Billing and Financial Services

Charge Code Charge Description Charge Amount
2700051 REHAB RM CHARGE 0
2000001 PRIVATE MED/SURG 1,994.00
2150001 PRIVATE MED/SURG 1,994.00
2160001 PRIVATE MED/SURG 1,994.00
2170001 PRIVATE MED/SURG 1,994.00
2320001 PRIVATE MED/SURG 1,994.00
2330001 PRIVATE MED/SURG 1,994.00
2340001 PRIVATE MED/SURG 1,994.00
2350001 PRIVATE MED/SURG 1,780.00
2370001 PRIVATE MED/SURG 1,994.00
2500045 OB PRIVATE 1,109.00
2400048 PEDS PRIVATE 1,994.00
2340021 ONCOLOGY PRIVATE 2,436.00
2700065 REHAB PRIVATE 1,232.00
2000002 SEMI PRIVATE MED/SURG 1,770.00
2050002 SEMI PRIVATE MED/SURG 1,770.00
2150002 SEMI PRIVATE MED/SURG 1,770.00
2160002 SEMI PRIVATE MED/SURG 1,770.00
2290002 SEMI PRIVATE MED/SURG 1,770.00
2320002 SEMI PRIVATE MED/SURG 1,770.00
2330002 SEMI PRIVATE MED/SURG 1,770.00
2340002 SEMI PRIVATE MED/SURG 1,770.00
2340042 SEMI PRIVATE MED/SURG EDA 1,770.00
2350002 SEMI PRIVATE MED/SURG 1,580.00
2370002 SEMI PRIVATE MED/SURG 1,770.00
2500025 OB HIGH RISK SEMI-PRIVAT 1,140.00
2500042 MATERNITY SEMI-PRIVATE 986
2500044 OB SEMI PRIVATE 986
2400049 PEDS SEMI-PRIVATE 1,770.00
2700041 REHAB SEMI PRIVATE 1,047.00
2320009 PRIVATE DELUXE 2,654.00
2330046 PRIVATE SUITE 2,654.00
2320005 ISOLATION 1,994.00
2330005 ISOLATION 1,994.00
2340005 ISOLATION 1,994.00
2350005 ISOLATION 1,780.00
2370005 ISOLATION 1,994.00
2550010 NURSERY 616
2210013 NCCU 1:3 1,994.00
2210094 NICU 1:2 2,722.00
2400045 NURSERY INTENSIVE 1:3 1,994.00
2210020 NICU 1:1 5,527.00
2710080 VENT DEP BED HOLD 936
2710082 NON VENT BED HOLD 900
2710084 SAU SEMI PRIVATE 739
2710078 SAU VENT SEMI PRIVATE 862
2000019 SURGICAL ICU 5,527.00
2000022 MEDICAL ICU 5,527.00
2000042 MEDICAL ICU EDA 5,527.00
2050019 SURGICAL ICU 5,527.00
2050022 MEDICAL ICU 5,527.00
2150022 MEDICAL ICU 5,527.00
2290019 SURGICAL ICU 5,527.00
2290022 MEDICAL ICU 5,527.00
2000062 DOU/TELE SEMI-PRIVATE 2,878.00
2050062 DOU/TELE SEMI-PRIVATE 2,878.00
2150031 DOU/TELE PRIVATE 3,539.00
2150042 DOU/TELE SEMI-PRIVATE EDA 2,878.00
2150062 DOU/TELE SEMI-PRIVATE 2,878.00
2160031 DOU/TELE PRIVATE 3,539.00
2160062 DOU-TELE SEMI-PRIVATE 2,878.00
2170031 DOU/TELE PRIVATE 3,539.00
2290062 DOU/TELE SEMI-PRIVATE 2,878.00
2320031 DOU/TELE PRIVATE 3,539.00
2320062 DOU/TELE SEMI-PRIVATE 2,878.00
2330062 DOU/TELE SEMI-PRIVATE 2,878.00
2000026 CCU 5,527.00
2050026 CCU 5,527.00
2290026 CCU 5,527.00
1234567 TOBRAMYCIN SULFATE 40 MG/ML -30ML C 0
5302077 CARVEDILOL 3.125MG + 17.54
5302078 CARVEDILOL 6.25MG + 17.41
5302079 CARVEDILOL 12.5MG + 17.41
5302080 CARVEDILOL 25MG + 17.55
5302118 CEFIXIME 400MG TABLET + 44
5302122 CEFUROXIME AXETIL 500MG + 20
5302129 CELECOXIB 100MG + 11.46
5302204 CEPHALEXIN 250MG + 11.78
5302245 CETIRIZINE 5MG + 19
5302380 CHLORDIAZ/CLIDIN 5/2.5 + 11
5302389 CHLORDIAZEPOXIDE 10MG + 21.48
5302393 CHLORDIAZEPOXIDE 25MG + 20.54
5302590 CHLORPROMAZINE 10MG + 9
5302594 CHLORPROMAZINE 25MG + 14.83
5302600 CHLORPROMAZINE 100MG + 11
5302694 CHLORZOXAZONE 500MG + 19
5302730 CILOSTAZOL 50MG + 7
5302772 CITALOPRAM 40MG + 11
5302773 CITALOPRAM 20MG + 19.23
5302774 CITALOPRAM 10MG + 18.78
5302775 CIPROFLOXACIN 250MG + 30.84
5302776 CIPROFLOXACIN 500MG + 29.4
5302780 CLARITHROMYCIN 250MG + 27
5302894 CLOTRIMAZOLE TROCHE + 14.71
5302910 CLONAZEPAM .5MG + 22.22
5302914 CLONAZEPAM 1MG + 22.16
5302941 CLONIDINE .1MG + 10
5302945 CLONIDINE .2MG + 10.29
5303017 CLOZAPINE 100MG + 12
5303043 COLESEVALAM 625 + 9
5303051 CONJ ESTROG.625MEDROX2.5 + 15
5303065 CONJUGATED ESTR .3MG + 16.76
5303089 CORTISONE 25MG + 13.32
5303123 SULFAMETHOX/TRIMETH TAB + 11.66
5303254 CYCLOBENZAPRINE 10MG + 12.88
5303277 CYCLOPHOSPHAMIDE 25MG + 18.21
5303281 CYCLOPHOSPHAMIDE 3.84
5303304 CYPROHEPTADINE 4MG + 14
5303375 DANAZOL 100MG 0
5303419 DANTROLENE 25MG + 11
5303456 DIDANOSINE 200MG + 20
5303458 DIDANOSINE 400MG + 37
5303519 DEMECLOCY TAB 150MG + 19
5303525 DEMECLOCY TAB 300MG + 77.24
5303568 DESIPRAMINE 10MG + 9
5303573 DESIPRAMINE 50MG + 11
5303615 DEXMEDETOMIDINE 100MCG-1ML 2ML INJ 279.84
5303664 DEX4 GEL 15 GM 22.76
5303708 DIAZEPAM 2MG + 20
5303712 DIAZEPAM 5MG + 20
5303746 DICLOFENAC 50MG + 15
5303820 DICYCLOMINE 10MG + 11.39
5303824 DICYCLOMINE 20MG + 10.39
5303944 DIGOXIN .125MG + 10.57
5303945 CETACAINE (BUTAMBEN-TETR-BENZO) 2%-14-2% 34.48
5303952 DIGOXIN .25MG + 10.06
5304033 DILTIAZEM 30MG + 10.8
5304038 DILTIAZEM 90MG + 12.43
5304042 DILTIAZEM SR 60MG + 13.96
5304091 DIPHENHYDRAMINE 50MG + 10
5304098 DIPHENOXYLATE/ATRP TAB + 21.13
5304114 DIPYRIDAMOLE 25MG + 9
5304190 DIVALPROEX NA 125MG + 12.59
5304191 DIVALPROEX NA 250MG + 16.36
5304219 DOCUSATE SOD 100MG + 1
5304223 DOCUSATE SOD 250MG + 1
5304250 DONEPEZIL 5MG + 40.15
5304342 DOXEPIN 10MG + 9
5304388 DOXYCYCLINE 50MG + 15
5304392 DOXYCYCLINE 100MG + 14.54
5304410 DULOXETINE 20MG + 40.1
5304411 DULOXETINE 30 MG + 29.71
5304412 DULOXETINE 60MG + 43.9
5304460 ENTACAPONE 200MG + 25.31
5304519 ERGOT ALK 1MG + 14
5304585 ERGOTAMINE-CAFF + 11
5304601 ERLOTINIB 100MG + 296
5304641 ERYTHROMYCIN EC (ERYTAB)333MG PO+ 16.93
5304653 ERYTHROMYCIN BASE 500MG + 63.76
5304655 ERYTHROMYCIN STEAR 250M + 17.77
5304665 ESCITALOPRAM 10MG + 28.61
5304700 EXEMESTANE 25MG TAB 0
5304770 ETHAMBUTOL 100MG + 15
5304820 ETHOSUXIMIDE 250MG CAP 20.14
5304920 FELODIPINE 5MG + 15
5304937 FENOFIBRATE MIC 160MG + 18.51
5304938 FENOFIBRATE 145 MG+ + 29.6
5305017 FERROUS GLUCONATE 325MG 10
5305042 FERROUS SULF 160MG + 0
5305044 FERROUS SULF 325MG 1
5305059 FEXOFENADINE 180MG + 11
5305062 FEXOFENADINE 60MG + 21.51
5305066 FINASTERIDE 5MG + 25
5305097 FLUCONAZOLE 200MG + 63.51
5305102 FLUCYTOSINE 250MG + 337.28
5305106 FLUCYTOSINE 500MG + 722.73
5305204 FLUPHENAZINE 2.5MG + 11
5305206 FLUPHENAZINE 1MG + 11
5305207 FLUPHENAZINE 5MG TAB + 14.31
5305221 FLURAZEPAM 15MG + 14
5305233 FOLIC ACID 1MG + 1
5305245 FOSAMPRENAVIR 700MG + 37
5305279 FUROSEMIDE 20MG + 10
5305283 FUROSEMIDE 40MG + 10
5305291 GABAPENTIN 300MG + 14.32
5305292 GABAPENTIN 400MG + 16.97
5305321 GLIMEPIRIDE 2MG + 12.53
5305346 GLIPIZIDE XL 5MG + 11
5305347 GLIPIZIDE 10MG + 11.84
5305348 GLIPIZIDE XL 10MG + 11.79
5305350 GLUCOSAMIN CHONDROL MANG + 14
5305411 GLYBURIDE TAB 2.5MG + 10.22
5305413 GLYBURIDE TAB 5MG + 12.3
5305429 GLYCOPYRLTE 1 MG + 14.25
5305610 HALOPERIDOL .5MG + 10.39
5305614 HALOPERIDOL 1MG + 10.82
5305622 HALOPERIDOL 5MG + 12.12
5305680 HYDRALAZINE 50MG + 11.25
5305715 HYDROCHLOROTHIA 25MG + 10.09
5305739 HYDROCORTISONE 5MG + 10.36
5305788 HYDROXYCHLOROQU 200MG + 13.93
5305811 HYDROXYUREA 500MG + 12.52
5305820 UREA 20% 85GM 0
5305830 HYDROXYZINE 10MG + 10.11
5305950 IMIPRAMINE 25MG + 11.87
5305954 IMIPRAMINE 50MG + 9
5306100 ISONIAZID 300MG + 10
5306173 ISOSORBIDE 5MG + 9
5306177 ISOSORBIDE 10MG + 13.39
5306184 ISOSORBIDE MONONITR 30MG + 15.71
5306185 ISOSORBIDE SR 40MG + 14
5306257 ITRACONAZOLE 100MG + 78.97
5306293 KETOCONAZOLE 200MG + 19
5306300 KETOROLAC 10MG + 13.54
5306321 LABETALOL 200MG TAB + 12.71
5306339 LACTOBACILLUS CAPS + 10.86
5306342 LAMIVUDINE 100MG + 73.44
5306345 LAMIVUDINE 150MG + 37.64
5306347 LAMOTRIGINE 100MG + 28
5306349 LAMOTRIGINE 200MG + 35.03
5306352 LANSOPRAZOLE 30MG + 20
5306364 LEFLUNOMIDE 20MG + 29
5306405 LEVETIRACETAM 250MG + 20.5
5306406 LEVETIRACETAM 500MG + 10.74
5306428 LEVOFLOXACIN 750 MG + 119.04
5306430 LEVOFLOXACIN 250MG + 143.64
5306451 LEVOTHYROXIN .05MG + 11.3
5306454 LEVOTHYROXIN .075MG + 11.56
5306463 LEVOTHYROXIN .2MG + 12.81
5306501 LINEZOLID 600MG TABLET + 825.32
5306635 LISINOPRIL 5 MG + 13.02
5306636 LISINOPRIL 10MG + 13.42
5306637 LISINOPRIL 20MG + 13.29
5306729 LOPERAMIDE 2MG + 12.51
5306731 KALETRA TAB + 26
5306741 LORATADINE/PSE 5/120 + 11
5306742 LORATADINE/PSE 10/240 + 13
5306749 LORAZEPAM .5MG + 20
5306758 LOSARTAN HCTZ 50/12.5 + 14
5306759 LOSARTAN 25MG + 15.83
5306783 LOXAPINE 25MG + 14
5306795 LUBIPROST 24MCG+ + 13
5306832 MAGNESIUM CHLORIDE + 11
5306855 MAGNESIUM OXIDE 400MG + 1
5306856 MAGNESIUM GLUCON 500MG + 14
5306968 MECLIZINE TAB 12.5MG + 11.86
5306972 MECLIZINE TAB 25MG + 12.46
5307080 MELATONIN 3MG + 10
5307111 MEMANTINE 10MG + 26.97
5307249 MEPROBAMATE 400MG + 11
5307281 MESALAMINE 250MG CAP + 22.37
5307476 METHENAMINE 1GM + 11
5307507 METHIMAZOLE 10MG + 12.07
5307588 METHYLDOPA 250MG + 11
5307592 METHYLDOPA 500MG + 11.74
5307631 METHYLERGONOVIN .2MG + 14.67
5307731 METOCLOPRAMIDE 10MG + 10.09
5307762 METOLAZONE 5MG + 15.74
5307786 METOPROLOL EXT REL 50 MG + 13.46
5307787 TOPROL XL 100MG + 16.03
5307791 METOPROLOL 25MG + 10.43
5307792 METOPROLOL EXT REL 25 MG + 13.46
5307836 MEXILETINE 150MG + 11
5307837 MEXILETINE 200MG + 14.31
5307842 MIDODRINE 5MG + 19.5
5307879 MIRTAZAPINE 30MG + 20.18
5307881 MINOXIDIL 2.5MG + 15.78
5307883 MODAFINIL 100MG + 117.08
5307889 MINOXIDIL 10MG + 17.47
5307891 MISOPROSTOL 200MCG + 20.44
5307912 MULTIVIT,THERAP 118ML 1
5307947 MULTIVITAMINS-PRENATAL + 1
5307973 NADOLOL 20 MG + 22.72
5308086 NAPROXEN 375MG + 13.38
5308092 NATEGLINIDE 60MG + 15.65
5308099 NELFINAVIR 250MG + 20
5308102 NEBIVILOL 10MG + 16.94
5308103 NEBIVILOL 2.5MG + 16.94
5308105 NEOMYCIN 500MG + 9
5308130 NEVIRAPINE 200MG + 57.21
5308197 NIACIN 100MG + 11
5308224 NIACIN 250MG + 15
5308275 NICOTINE RESN 2MG GUM EA + 11
5308305 NIFEDIPINE EXT REL 90MG + 19.25
5308306 NIFEDIPINE EXT REL 60MG + 18.17
5308313 NIFEDIPINE 20MG + 15
5308335 NITROFURANTOIN TAB 50MG + 14.08
5308337 NITROFURANTOIN CAP 100MG + 26.12
5308374 NITROGLYCERIN SL .3MG + 18
5308379 NITROGLYCERIN SL .4MG 25 + 55.48
5308432 NORTRIPTYLINE 25MG + 14.87
5308494 ONDANSETRON ODT 8MG + 162.99
5308497 OLANZAPINE 5MG + 61.86
5308499 OLANZAPINE 10 MG 1 EA 190.76
5308507 OLANZAPINE ZYDIS 10MG + 92.89
5308528 OMEGA3 ETHYL ESTERS + 1
5308570 OXCARBAZEPINE 150MG + 15.11
5308571 OXCARBAZEPINE 300MG + 10.44
5308640 OXYBUTYNIN 5MG + 11.18
5308642 OXYBUTYNIN EXT REL 10MG + 12
5308949 PAROXETINE 10MG + 20.26
5308953 PAROXETINE CR 12.5MG + 23.48
5308955 PAROXETINE CR 37.5MG + 11
5309029 PENICILLIN V POT 500MG + 0
5309066 PENTOXIFYLLINE 400MG + 11.56
5309641 UROCIT-K + 13.44
5309658 POTASSIUM CL 20 MEQ + 11.72
5309690 PRAVASTATIN 10MG + 21.8
5309691 PRAVASTATIN 20MG + 22.07
5309692 PRAMIPEXOLE .25MG + 22.76
5309809 PRIMAQUINE PHOS 26MG + 17.09
5309847 PROBENECID 500MG + 12.93
5309983 PROCHLORPERAZINE 10MG + 11
5310090 PROPAFENONE 150MG + 15.74
5310199 PROPRANOLOL 10MG + 10.34
5310201 PROPRANOLOL 20MG + 10.08
5310203 PROPRANOLOL 40MG + 11
5310266 PSEUDOEPHEDRIN 30MG + 1
5310270 PSEUDOEPHEDRIN 60MG + 1
5310301 PYRIDOSTIGMINE 180MG + 15
5310324 PYRIDOXINE 25MG + 1
5310332 PYRIDOXINE 100MG + 1
5310335 PYRIMETHAMINE 25MG + 15
5310371 QUETIAPINE 100MG + 31.54
5310487 RALOXIFENE 60 MG + 11.59
5310491 RAMIPRIL 5MG + 14
5310552 REPAGLINIDE 0.5MG + 4
5310553 REPAGLINIDE 1MG + 18.3
5310620 RIFABUTIN 150MG + 78.98
5310625 RIFAXIMIN 200MG TABLET + 18
5310636 RIFAMPIN 150MG + 14
5310637 RIFAMPIN 300MG + 16.61
5310651 RISPERIDONE 1MG + 18.42
5310652 RISPERIDONE 2MG + 24.74
5310662 ROSIGLITAZ 2MG + 7
5310670 RITONAVIR 100 MG + 50.15
5310676 ROPINIROLE 0.5MG + 25
5310690 SAQUINAVIR 200MG + 15
5310720 SELEGILINE 5MG + 18.22
5310783 SIMETHICONE 80MG + 1.2
5310792 SIMVASTATIN 20MG + 25
5310793 SIMVASTATIN 40MG + 15
5310795 SITAGLIPT 25MG+ + 22
5310796 SITAGLIPT 100MG+ + 22
5310797 SITAGLIPT 50MG+ + 43.1
5310870 SOTALOL 80MG + 19.44
5310949 STAVUDINE 30MG + 27
5310951 STAVUDINE 20MG + 27
5311006 SUCRALFATE 1GM + 12.08
5311052 SULFADIAZINE 500MG + 14
5311092 SULFAMET/TRIMETH 800/160 + 10.18
5311183 SULINDAC 150MG + 9
5311190 SUMATRIPTAN 25MG + 46
5311210 TAMOXIFEN 10MG + 11.3
5311227 TELMISARTAN 80MG + 7
5311233 TEMAZEPAM 15MG + 21.94
5311234 TEMAZEPAM 7.5MG + 73.37
5311241 DANIELS SOLUTION 5ML + 27
5311250 TERAZOSIN 1MG + 14.78
5311251 TERAZOSIN 2MG + 14.78
5311252 TERAZOSIN 5MG + 14.78
5311255 TERBINAFINE 250 MG TABL + 61.24
5311310 TETRACYCLINE 250MG + 9
5311314 TETRACYCLINE 500MG + 9
5311388 THEOPHYLL SA 100MG + 11
5311395 THEOPHYLL SA 300MG + 9
5311405 THEOPHYLLINE SUSR 400MG + 14.43
5311416 THEOPHYLL TIM + 11
5311467 THIAMINE 50MG + 11
5311548 THIORIDAZINE 25MG + 9
5311556 THIORIDAZINE 100MG + 11
5311692 TIZANIDINE 4MG + 14.9
5311754 TOPIRAMATE 25MG + 17.4
5311755 TOPIRAMATE 100MG + 33.8
5311770 TRAMADOL 50MG + 22.15
5311864 TRIAMTERENE-HCTZ 75/50MG + 12.55
5311865 TRIAMTERENE/HCTZ 50/25 + 11
5311917 TRIFLUOPERAZINE 2MG + 11
5311919 TRIFLUOPERAZINE 5MG + 11
5311921 TRIFLUOPERAZINE 10MG + 11
5311942 TRIHEXYPHEN 2MG + 10
5311946 TRIHEXYPHEN 5MG + 14
5312037 STALEVO 50 + 24
5312258 VALACYCLOVIR 500MG + 41.86
5312261 VALPROATE 250MG + 12.18
5312270 VANCOMYCIN 125MG + 38
5312274 VENLAFAXINE XR 75MG + 29.74
5312275 VENLAFAXINE 25MG + 16.77
5312276 VENLAFAXINE 37.5MG + 17
5312279 VENLAFAXINE 100MG + 7
5312291 VERAPAMIL SR 120MG + 11
5312383 VITAMIN D 400 UNITS + 10
5312411 VITAMIN E 1000IU + 9
5312450 VORICONAZOLE 50MG TAB + 28
5312451 VORICONAZOLE 200MG TAB + 204.05
5312480 WARFARIN 2.5MG + 10
5312484 WARFARIN 2MG + 10
5312492 WARFARIN 7.5MG + 17.66
5312496 WARFARIN 10MG + 11
5312511 ZIDOVUDINE 300MG + 0
5312515 N-ZIDOVUDINE INJ 0
5312529 ZOLPIDEM 5MG + 37.5
5312530 ZOLPIDEM 10MG + 37.58
5312535 ZONISAMIDE 100MG + 13.93
5314011 ACETAMIN 160MG/5ML 5ML + 1
5314035 ACYCLOVIR 40MG/ML 5ML + 115
5314039 ACTIV CHAR SORBITOL 25g/120mL 0
5314040 ALBUTEROL 0-5ML + 15.64
5314127 ALUM MG HYDROX/SIMETH SUSP 12.11
5314249 AMOXICILLIN 125/5 5ML + 11
5314282 AMPICILLIN 250/5 100ML + 76.32
5314293 ATOVAQUONE 750/5 5ML + 766.84
5314455 CALCIUM CARB 500MG/5ML + 19.6
5314457 CALCIUM CARB 500/5 500ML + 1
5314465 CALCIUM GLUBIONATE 5ML + 33
5314482 CARBAMAZEPINE 200MG TAB 10.81
5314522 CASTOR OIL 60ML + 6
5314539 CEFACLOR 125MG/5ML 5ML + 4
5314617 CHLORAL HYDRATE 480ML + 52
5314638 CHLORHEXIDINE 15 ML + 19.18
5314671 CHLOROTHZ 50MG/ML + 25
5314754 CITRATE MAGNESIUM 300ML + 27.48
5314855 SULFAMETH/TRIM SUSP 200-40MG/5ML 19.56
5314860 SULFAMETHOXAZILE-TRIMETH 800MG/160MG =20 42.41
5314908 DEXAMETHASONE 0.5 MG/5ML PO 123.67
5314966 DIGOXIN .05MG/ML 2.5ML + 7
5314969 DIGOXIN .05MG/ML 60ML + 162.08
5314998 DIPHENHYDRA 12.5MG/5ML + 1
5315015 DIPHENOXYLATE/ATRP 5ML + 21.81
5315082 DONNATAL ELIX 120ML + 33
5315126 ERGOCALCIFEROL 8000U/ML + 225
5315200 FERROUS SULF DROPS 50 ML + 25
5315207 FERROUS SULF 300MG/5ML + 1.14
5315210 FERROUS SULF 220MG/5ML + 1
5315221 FLUCONAZOLE 40MG/ML 35ML 522.12
5315227 FLUOXETINE20MG/5ML/120ML + 321
5315248 FUROSEMIDE 40MG/5ML UD + 18.85
5315265 GLUCOSAMINE CAP + 10
5315282 GUAIFEN 100MG/5ML 10ML + 1
5315301 GUAIFENESIN DM 120ML + 1
5315312 HALOPER CONC 2MG/ML 5ML + 55.53
5315325 HYDROXYZINE 10MG/5ML + 20
5315335 IBUPROFEN 100MG/5ML + 12.49
5315349 IODINE/POT IODIDE + 2,916.46
5315395 ITRACONAZOLE 10M/M 150ML + 504
5315459 LACTULOSE UD 30ML + 24.23
5315475 LEVOCARNITINE 200MG/ML 5ML SOL 0
5315485 LITHIUM CITRATE 5ML + 56
5315528 LOPERAMIDE 5ML + 21.88
5315573 MEGESTR 625MG/5 + 153.13
5315668 METOCLOPRAM 10ML + 139.56
5315714 MINERAL OIL 30ML + 11.52
5315808 ORAL MULTI-VITAMIN NOS 1
5315836 NEOMYCIN 125MG/5ML + 70
5315861 NITAZOXANIDE 60ML + 226
5315866 NITROFURANTOIN 25MG/5ML + 25
5315881 NYSTATIN 5ML + 15.68
5316072 POLYETHYLENE GLYCOL 17GM + 15.11
5316105 POTASSIUM IODID 1GM/ML + 36
5316163 PROMETHAZINE-PHEN + 9
5316205 PSYLLIUM PKT + 1
5316250 RITONAVIR 80MG/ML + 199
5316334 SIMETHICONE 30ML + 43.76
5316363 SODIUM PHOSPHAT + 105
5316373 SORBITOL 30ML + 15.24
5316400 SPS SUSP 30G/120ML (ORAL OR RECTAL USE) 0
5316435 THEOPHYLLINE 80/15 30ML + 11
5316582 VALPROATE 250MG/5ML + 11.58
5316635 VITAMIN E 15U/ML DROPS + 95
5316660 ZIDOVUDINE 10MG/ML SYRUP 240ML 0
5318004 ACETAZOLAMIDE 500MG 223.2
5318078 ALCOHOL DEHYDRAT 1ML 294
5318089 METHOTREXATE 50MG 177.37
5318114 AMIKACIN PER 100MG 29
5318115 AMIKACIN 250MG/ML 2ML 23.86
5318120 AMIKACIN 250MG/ML 4ML 12.6
5318151 AMINOCAPROIC ACID 5GM 143.2
5318177 AMINOPHYLLINE 25M/M 10ML 145
5318200 AMIODARONE 50MG/ML 3ML 21
5318245 AMPHOTERICIN B 50MG 393
5318286 AMPICILLIN 250MG 107.14
5318300 ARGATROBAN 100mg/mL 2.5 mL 0
5318310 ANTIVENIN LACTRODECTUS 2.5mL /vial 0
5318311 ARGININE HCL 10% 300 ML INJ 707
5318316 ANTIVEN SNAKE POLYVALENT $ 1,757.00
5318330 ANIDULAFUNGIN 1MG 8
5318367 ATRACURIUM 10MG/ML 1ML 118
5318417 AZTREONAM 1GM 206.16
5318418 AZTREONAM 2GM 369.36
5318453 BACITRACIN 50000U 105
5318474 BACTERIOSTATIC WATER 48
5318559 BETAMETHASONE 6MG/ML 5ML 185.08
5318683 BUMETANIDE 2.5MG/10ML 59
5318685 BUMETANIDE 1MG/4ML 59
5318702 BUPIVACAINE .25% 30ML 59
5318710 BUPIVACAINE .5% 30ML 56.47
5318712 BUPIVACAINE 0.50% 50ML 1.2
5318715 BUPIVACAINE .75% 30ML 618
5318738 BUPIVACAINE/EPI .25%30ML 294
5318741 BUPICAINE/EPI .5% 30ML 218
5318746 BUPIVACAINE/EPI .75%30ML 222
5318747 BUPIVACAINE/DEX .75% 2ML 59
5318752 BUTOR PER 1MG 13
5318760 CAFFEINE CIT 20MG/ML 3M 81.49
5318767 CAFFEINE/SOD BENZ 500MG 176
5318810 CALCIUM CHLOR 10% 10ML 135.87
5318910 CARBOPROST 250MCG/1ML 1,749.28
5319023 CEFOTAXIME 1GM 105
5319050 CEFOXITIN 1GM PMX 210
5319082 CEFTRIAXONE 250MG 105
5319193 CHLORAMPHENICHOL 1GM 93
5319304 CHLORPROMAZINE 25MG/ML 124.78
5319388 CIPROFLOXACIN 200MG PMX 344
5319392 CISATRACURIUM 2MG/ML 5ML 61.44
5319423 CLINDAMYCIN 150MG INJ 67.62
5319426 CLINDAMYCIN 600MG PMX 191.94
5319427 CLINDAMYCIN 900MG PMX 210
5319491 COLISTIMETHATE 150MG 182.36
5319501 CONIVAPTAN IN D5W 20MG/100ML INJ 687.02
5319611 SULFAMETHOX/TRIMETH 5ML 105
5319612 SULFAMETHOX/TRIMETH 10ML 105
5319624 TENETEPLASE (TNKASE) 50 MG INJ 70.61
5319726 CYTARABINE 100MG 169.83
5319752 DANTROLENE 20MG/70ML $ 301
5319836 DEXAMETHA 10MG/ML 1-2ML 59
5319854 DEXAMETHASONE 4MG/ML 5ML 73.17
5319857 DEXAMETHASONE 4MG/ML 1M 59
5319893 DEXTRAN 40 IN 0.9% NACL 10% 30mL 0
5319898 DEXTROSE 25% 10ML SYG 152
5319901 DEXTROSE 50% 50ML 76.8
5319903 DEXTROSE 50%(50ML)BAG 154
5320010 AFINITOR 10MG TAB 0
5320012 N-TAMIFLU 6 MG/ML BOTTLE 0
5320059 DILTIAZEM HCL 5MG/ML-25 ML 71.28
5320117 DIPHENHYDRA 50MG/ML 74.46
5320245 DOXAPRAM 20MG/ML 1ML 108
5320294 DOXYCYCLINE 100MG 120.82
5320305 DROPERIDOL 5MG/2ML 188
5320311 DROTRECOGIN ALFA 20MG $ 3,547.00
5320315 DTA/IPV/HIB 15-20-5LF -MCG-LF 0
5320339 EDROPHONIUM CHLORIDE 10MG/ML 15ML 0
5320345 PEG INTERFERON ALFA-2A 180mcg/ml 0
5320395 ENALAPRIL 1.25MG/1ML 60.27
5320399 ENOXAPARIN 60MG SYR + 44.88
5320400 ENOXAPARIN 30MG SYR 48.47
5320401 ENOXAPARIN 40 MG SYR + 44.44
5320402 ENOXAPARIN 80MG SYR + 43.32
5320404 EPHEDRINE 50MG/ML 68.88
5320421 EPIRUBICIN 50 MG INJ 69.54
5320422 EPIRUBICIN PF 50mg/25ml inj 0
5320491 Ertapenem 1gm 0
5320524 ESMOLOL 10MG/ML 10ML 105
5320525 ESMOLOL IN WATER 2500MG/250ML 662
5320534 Estradiol cyp 5mg/ml 5ml 0
5320555 ETHACRYNATE SODIUM 50 MG INJ 26.4
5320560 ETHANOLAMINE OLEATE 5% INJ 173.25
5320609 ETOMIDATE 2MG/ML 20ML 109.88
5320661 FAMOTIDINE 10MG/ML 2ML 59
5320665 FAMOTIDINE 10MG/ML 50ML 0
5320677 FLUCONAZOLE 200MG PMX 210
5320681 FLUMAZENIL 5ML 80.54
5320682 FLUMAZENIL 10ML 373.44
5320720 FLUPHENAZINE 25MG/ML 401
5320739 FOLIC ACID 5MG/ML 10ML 176.16
5320740 FOSCARNET 24MG/ML 250ML 955
5320749 FOSPHENYTOIN PER 50MG 151
5320830 GANCICLOVIR 500MG 452
5320840 GEMCITABINE PER 200MG $ 360
5320852 GENTAMICIN 40MG/ML 2ML 105
5320920 GLYCOPYRROLATE .2MG/ML 77
5320921 GLYCOPYRROLATE 5ML INJ 259.2
5320969 HAEMOPH B POLY CONJ-TET TOX-PF .5 ML 102.86
5321100 HEPARIN NEONATAL FLUSH 2
5321116 HEP B-PD ACEL T-POLIO PEDIARIX 0.5 ML IN 1,655.20
5321127 HETASTARCH 500ML 785
5321178 HYALURONIDAS OV 150 UNIT/ML 1 ML 157
5321243 HYDROCORTISONE SS 100MG 130.27
5321250 N-HYDROCORTISONE (SOLU-CORTEF) INJ 0
5321253 HYDROCORTISONE SS 500MG 160
5321308 IBUPROFEN LYSINE (NEOPROFEN 609
5321315 HYDROXYZINE 25MG INJ 11
5321334 INDIGO CARMINE AMP 225
5321345 INDOMETHACIN 1MG 2,009.00
5321355 IVIG OCGTAGAM 10GM 267
5321536 ISONIAZID 100MG/ML 300
5321548 ISOPROTERENOL .2MG/ML 5M 8,640.54
5321635 KETAMINE 100MG/ML 5ML 87
5321657 LANSOPRAZOLE 30MG IV 97
5321695 LEVETIRACET 5ML + 48.29
5321698 NOREPINEPHRINE 4MG/4ML 95.18
5321712 LEVOFLOXACIN 250MG PMX 210
5321715 Levothyroxine 100mcg/vial 554.8
5321719 LEVOTHYROXINE .5MG 381
5321738 LIDOCAINE PMX .4%/500 ML 304
5321745 LIDOCAINE .5% 50ML 155
5321760 LIDOCAINE 1% /EPI 30ML 72.38
5321761 LIDOCAIN 1%/EPI 20ML 59
5321765 LIDOCAINE IN D7.5W (PF) 50mg/mL 2mL 0
5321770 LIDOCAINE 1% 30ML 190
5321775 LIDOCAINE PF 10MG/ML 30ML 2.07
5321780 LIDOCAINE 10MG/ML 10 ML 7.83
5321792 LIDOCAINE 20MG/ML 2%- 10ML 3.4
5321793 LIDOCAINE 2% 20ML AMP 1.48
5321795 LIDOCAINE 2% /EPI 20ML 123.46
5321798 LIDOCAINE EPI 2%-1:2000,000-10ML 0
5321800 LIDOCAINE EPI 1%-1:2000,000-30mL 1,282.80
5321805 LIDOCAINE GEL 2% 5ML 51.2
5321807 LIDOCAINE 4% 5ML 185
5321810 LIDOCAINE SYG 100MG 6.61
5322120 MESNA 100MG/ML(10ML) 4
5322269 METHYLERGONOVIN .2MG/ML 78.63
5322305 METHYLPRED A 80MG/ML 122.48
5322350 N-METOCLOPRAMIDE 0
5322367 N-METOCLOPRAMIDE 0
5322382 METOPROLOL 5MG/5ML CART 60.5
5322386 METRONIDAZOLE 250MG 134
5322387 METRONIDAZOLE 500MG 181
5322443 CYCLOSPORINE ORAL SOLN MODIFIED 100MG/ML 0
5322455 MIDOSTAURIN 25MG 0
5322518 MORRHUATE 50MG/ML 359
5322591 MULTIVITAMIN INJ 10ML 105
5322659 NAFCILLIN 1GM 152
5322664 NAFCILLIN 2GM 216
5322685 NALBUPHINE 10 MG/ML -1ML 1.43
5322860 NICARDIPINE 25MG/10ML 144.68
5322896 NITROGLYC PMX 50MG/250ML 210
5322897 NITROGLYCERIN COMPOUND 100 MCG/ML 0
5322899 NITROGLYCERIN 50MG/10ML 105
5322900 NESACAINE-MPF 30 ML 0
5322925 NITROPRUSSIDE 50MG/5ML 4,276.24
5322998 OXACILLING 2GM INJ 20.16
5323045 OXYTOCIN 10U/ML 1ML 105
5323056 PALIVIZUMAB (SYBAGUS) 100 MG/ML I ML 13,628.24
5323057 PALIVIZUMAB 50MG $ 1,809.96
5323062 PAMIDRONATE 90 MG/ML INJ 64
5323066 PANCURONIUM 10MG/10ML 379
5323070 PANTOPRAZOLE 40MG IV 72
5323147 PENICILLIN G POTASSIUM20,000,000 UNI-1EA 25.52
5323153 PENICILLIN G NA 5MU 176
5323189 PENTAMIDINE 300MG VIAL 1,491.00
5323242 PHENOBARB 65MG 59
5323260 PHENTOLAMINE 5MG 384
5323409 N-PIPERACILLIN/TAZOBACTAM(ZOSYN) IV 0
5323465 POLIOVIRUS VACCINE SUBQ 452
5323491 POLYMIX B 500MU 105
5323536 POTASSIUM ACET 40MEQ/20M 70
5323553 POTASSIUM PHOS 3MM/ML 107.56
5323675 PROCAINAMIDE100MG/ML 10M 109
5323678 PROCAINAMIDE 500 MG/ML 2ML 83
5323725 PROCHLORPERAZN 10MG SYRD 147.64
5323793 PROMETHAZINE 25MG/ML 62.37
5323798 PROMETHAZINE 50MG/ML IM 89.28
5323819 PROPRANOLOL 1MG/ML 88.8
5323845 PROPOFOL 10MG/ML 20ML 210
5323846 PROPOFOL 10MG/ML 50ML 210
5323847 PROPOFOL 10MG/ML 100ML 1,548.00
5323929 PYRIDOXINE 100MG/ML 118
5323953 QUINIDINE GLU 241-330MG 11
5323970 RANITIDINE HCL (ZANTAC)25 MG/ML INJ 4
5323973 RABIES VAC CHICKEN FIBR 433
5323994 REGADENOSOL (LEXISCAN) 0.4 MG/5ML INJ 1,214.20
5324015 RIFAMPIN 600MG 955
5324026 ROCURONIUM 10MG/ML SYRIN 124.8
5324029 ROMIPLOSTIM (NPLATE) 250 MCG INJ 54.13
5324031 RSV IMMUNE GLOBULIN 1GM 1,667.00
5324130 SODIUM ACET 2MEQ/ML 20ML 105
5324133 AODIUM ACETAZOL 500MG 55
5324138 SODIUM BICARB 4% ADDITIV 145
5324140 SODIUM ACET 4MEQ/ML 50ML 0
5324141 SODIUM BICARB PED 4.2% 74.56
5324150 SODIUM BICARB 8.4% 10ML 115.44
5324151 SODIUM BICARB 50ML VL 151
5324154 SODIUM BICARBONATE 8.4% 77.76
5324155 SODIUM BICARB 240ML 151
5324179 SODIUM CLOR 4MEQ/ML 30ML 105
5324185 SODIUM HYALURONATE 14mg/mL 0.85mL 0
5324186 SODIUM HYALURONATE (VISCOSUP) 10mg/mL 0
5324190 SODIUM CL 0.9% INJ. 50mL 0
5324194 SODIUM CL .9% 10ML 23.68
5324195 SODIUM CL 100ML 115
5324196 SODIUM CL .9% INJ 83
5324199 SODIUM CL 0.9% PF 50mL 0
5324201 SOD CL 0.9% 3ML 7
5324254 SODIUM THIOSULFATE 10% 10 ML INJ 18
5324257 SOD PHOS 3MM/ML 15ML 178
5324290 SODIUM TETRADECYL 3% 2ML 212
5324423 SYMPROIC 0.2MG 59.23
5324445 TALC POWDER 100MG-ML 5GM INJ. 0
5324465 TESTOSTERONE EN 200MG/ML 423
5324472 TESTOSTERONE-ES 405
5324618 THIAMINE 100MG/ML 1ML 84.25
5324780 TOBRAMYCIN 40MG/ML 2ML 339.6
5324785 TOBRAMYCIN SULFATE 40 MG/ML -30ML 43.89
5324869 TRIAMCIN 40MG/ML 23.94
5324953 TRIMETHOBENZ 200MG INJ 109
5324965 TROMETHAMINE 18G/500ML 617
5325065 VALPROATE INJ 500MG/5ML 105
5325079 VANCOMYCIN SUSPENSION 141.84
5325081 VANCOMYCIN EYEDROPS COMPOUNDED 105
5325100 VASOPRESSIN 20U/ML 59
5325114 VECURONIUM 10MG VIAL 61.92
5325125 VERAPAMIL 2.5MG/ML 59
5325210 VINORELBINE 10MG $ 1,798.00
5325229 VITAMIN A 50,000 UNIT ML/2ML 97
5325247 WATER FOR INJUECTION BACTERIOSTAT 30 ML 0.72
5325248 WATER FOR INJ 100CC 60.24
5326169 ASA BUTALB CAFF CODEIN30 + 15
5327011 ACETAMINOPH/COD 12MG/5ML + 9
5327015 ACETAMINOPHEN-C 15MG + 6
5327023 ACETAMINOPHEN-C 60MG + 15
5327024 ACETAMINOPHEN 80mg/0.8ml SYRINGES 0
5327036 ACETAM/BUTALB/CAF TAB + 15.75
5327318 COCAINE SOLN 4% 4ML 119.72
5327430 DRONABINOL 2.5MG CAP + 42.57
5327510 FENTANYL 25MCG/HR PATCH + 76.74
5327511 FENTANYL 50MCG/HR PATCH + 124.54
5327512 FENTANYL 75MCG/HR PATCH + 179.98
5327513 FENTANYL 100MCG/HR PATCH + 232.66
5327518 FENTANYL/BUPIVICANE EPIDURAL 2MCG/ML 82
5327544 HYDROCODONE/CPM PK 5ML + 8
5327546 HYD/APAP 7.5/750+ + 2
5327551 HYDROCOD/HOMATROP 10ML + 19
5327554 HYDROCOD/APAP 5/325 + 21.31
5327565 HYDROCOD/APAP 10/325 + 23.84
5327579 HYDROCOD/APAP 7.5/500 + 15
5327580 HYDROCODONE &ACETAMINOPHEN 7.5MG-325MG 21.47
5327629 MEPERIDINE SYG 50MG/ML 59.59
5327660 METHADONE 10MG/5ML 500ML BTL (ALC 8%) 0
5327670 METHADONE 10MG TAB + 20.75
5327674 METHADONE 5MG TAB + 15
5327695 METHYLPHENIDATE 5MG + 21.96
5327701 METHYLPHENIDATE SR 20MG + 7
5327730 MIDAZOLAM SYRUP 10MG/5M 48.33
5327755 MORPHIN CONC 20MG/ML 1ML + 15
5327780 MORPHINE SUL CR TAB 15MG + 26.38
5327802 OPIUM BELLADONNA 30MG 86.92
5327806 OPIUM BELLADONNA 60MG 101.5
5327831 OPIUM TINCT DOSE + 19
5327839 OXANDROLONE 10MG TAB + 62
5327840 OXANDROLONE 2.5MG TAB + 41.12
5327852 OXYCODONE-ASA + 18
5327857 OXYCODONE CONTR REL 10MG + 27.82
5327859 OXYCODONE CONTR REL 40MG + 52.76
5327860 OXYCODONE CONT REL 80MG + 28
5327872 OXYCODONE 20MG/ML 1ML + 11
5327892 HYDROMORPHONE PCA 0.2MG/ML(30ML) 485.6
5327931 PHENOBARB 15MG + 20
5327943 PHENOBARB 100MG + 9
5327947 PHENOBARB 20MG/5ML + 25
5328067 THIOPENTAL 500MG SG INJ 138
5328715 PROPOFOL 10 MG/ML 10 ML 210
5328722 AMPICILLIN-SULBACTAM 0
5328728 DICYCLOMINE 10 MG/5 ML 0
5328730 FERRIC SUBSULFATE (MONSEL SOL) 2 OZ 27.6
5328732 FLUTICCASONE 50 MCG/ML 29.17
5328736 IPRATOPIUM ALBTERAL 20-100 MCG 335.82
5328738 LIDOCAINE(pf) 50 MG/5 MG 1% 0
5328740 MAGNESUIM CARBONATE 54 MG 0
5328746 POLYETHYLENE GLUCOL, 3350 0
5328750 TRANEXAMIC ACID 100MG/ML 195.36
5330016 ACETIC ACID 2% 15ML + 15
5330045 ACETYLCHOLIN SYS PAK 77
5330072 ACETYLCYSTEINE 10% 30ML 39
5330079 ACETYLCYSTEINE 20% 4ML 109.39
5330093 ACETYLCYSTEINE 20% 30ML 323
5330123 DUO NEB 3ML + 17.83
5330215 APRACLONIDINE 1% .1ML 81
5330241 ARTIFICIAL TEARS UD + 42
5330353 BACITRACIN/POLYMXN 3.5GM + 42
5330402 BETAXOLOL 0.25% 10ML OS + 93
5330403 BETAXOLOL 0.5% 5ML OPHT + 81
5330410 BENZOCAINE/ANTIPYR 10ML + 29
5330428 BUDESONIDE 180MCG INH + 412
5330430 BUDESONIDE INH .25MG/2ML + 46.66
5330434 BORIC ACID 120ML + 55
5330437 BRIMONIDINE.2% 5ML OS + 92.52
5330445 CALCITONIN 200U/SPRAY2ML + 259
5330449 CARBACHOL .01% 1.5ML 577
5330451 BRIMONIDINE TAR 0.15% + 294.68
5330460 BUDESONIDE FORMOTEROL 160-4.5MCG INHAL+ 638.44
5330546 CIPROFLOXACIN 2.5ML OS + 120.12
5330549 CIPROFLOX OO 0.3% 3.5G + 366.08
5330590 CYCLOPENTOLATE 1% 2ML 79.08
5330591 CYCLOPENTOLATE 2% 2ML 0
5330602 ROPE EYE DROPS + 112
5330608 CYCLOPSPORINE 250 MG/5ML INJ 26.4
5330695 DEXAMETHASONE .1% 5ML OS + 43
5330761 DICLOFENAC .1% 2.5ML + 77
5330772 DIPIVEFRIN .1% 5ML OS + 89
5330926 ERYTHROMY OPTH 3.5GM + 60.87
5330944 OFLOXACIN .3% 5ML OTIC + 316
5330968 FLUORESCEIN STRIP 1
5330985 FLUTICASONE 100mcg/actuation 0
5330986 FLUTICASONE 250mcg/actuation 39.24
5330998 Fluticasone 110mcg 12gm 0
5331031 GENTAMICIN .3% 3.5GM OO + 98.68
5331133 HOMATROPINE 5% 1ML + 42
5331231 IPRATOPIUM .02% SOLN + 14.28
5331236 IPRATROPIUM NAS SPR 15ML + 162
5331355 KETOROLAC 0.5% 5ML OS + 143
5331358 KETOROLAC 0.40% 5ML 0
5331365 LATANOPROST .005% 2.5ML + 97.76
5331368 LEVOBUNOLOL .5% 1ML + 96
5331375 LEVALBUTEROL 0.63MG/3ML + 21.87
5331489 MOMETASONE 17GM NS + 264
5331527 NAPHCON A EYE DROPS + 31
5331532 NATAMYCIN 5% OPHTH 15ML + 454
5331605 NEOMYC/POLY/GRAMICID10ML + 140.12
5331616 NEPAFENAC 3ML+ + 297
5331640 OFLOXACIN .3% 5ML OS + 110
5331650 OLOPATADINE .20% 2.5mL 817.32
5331682 OXYMETAZOLINE 15ML .05% + 1
5331808 PHENYLEPHRN .5% 15ML SP + 35.2
5331816 PHENYLEPHRINE 1% SPRAY + 37.08
5331822 PHENYLEPHRN 10% 5ML OS 33
5331827 PHENYLEPHRN 2.5% 5ML OS 34.92
5331933 PILOCARPINE 2% 1ML OS + 33
5332095 POLY/NEO/HYDROCORTI OTIC + 38
5332140 PORACTANTALFA120MG/1.5M 1,699.96
5332141 PORACTANT ALFA 240MG/3M 3,379.92
5332145 POVIDON-IOD 5% 30ML OS 68.96
5332172 PREDNISOLONE .12% 5ML + 42
5332242 PROPARACAINE .5% 15ML 87
5332282 SALMETEROL DISKUS 50MCG + 151
5332285 SALMET/FLUT DSK50/100 2 + 46.4
5332287 SALMET/FLUT DSK50/250 2 + 46.4
5332289 SALMET/FLUT DSK50/500 2 + 63.03
5332384 SOD CHLORIDE .65% NASAL + 35.61
5332389 SODIUM CL 3% 15ML 10
5332390 SODIUM CL 5% 15ML 0
5332391 SODIUM CL 10% 15 ML NEB 12.59
5332392 SODIUM CL.9% 5ML NEB + 1
5332395 SODIUM CL 7% 4ML INHALATION 10.6
5332452 SODIUM-CALCIUM 15ML 46
5332454 SODIUM-CAL SOLN 500ML 291
5332457 SODIUM-CA PLUS SOL 500ML 969
5332501 SULFACETAMIDE S 10% 15ML + 41.67
5332592 TETRACAINE .5% 2ML 64.11
5332593 TETRACAINE .5% 15ML 62.16
5332662 TETRAHYDRAZOL .05% 15ML + 11
5332704 TIMOLOL .5% 5ML + 149.4
5332725 TOBRAMYCIN OO 3.5GM + 114
5332728 N-TOBRAMYCIN 0
5332733 TOBRAMYCIN/DEXAMETH 5ML + 183.56
5332737 TRIAMCINOLONE AQ INHALER + 161
5332745 TRAVOPROST 0.004% DROPS + 386.96
5332753 TRIFLURIDINE 1% 7.5ML OS + 733.12
5332780 TROPICAMIDE 1% 15ML 0
5334280 LMX4+ CRM 4% 5GM 16.69
5334293 BACITRACIN 30GM + 27
5334301 BACITRACIN/POLYMXN 15GM + 34.4
5334325 VIT A&D CR/OINT 60GM + 1
5334392 BENZO-TETRA SPRAY 56ML 100
5334418 BENZOCAINE 30ML SPRAY + 15
5334430 BENZOCAINE 60ML SPRY 605
5334445 BENZOIN TINCTURE + 28
5334495 BETAMETHASONE .05% 15G C + 83
5334505 BETAMETHASONE .05% 15G O + 15
5334660 CALAMINE/ZINC OXIDE + 40
5334730 CAPSAICIN .025% 42.5GM + 59.8
5334731 CAPSAICIN HP 0.075% 60G + 81
5334769 CHLORHEXIDINE 120ML + 52
5334848 CICLOPIROX .77% 15GM + 146.4
5334860 CLOBETASOL .05% 45GM + 89
5334871 CLOTRIMAZOLE 1% 15GM CRM + 43.96
5334907 COAL TAR SHAMPOO 4OZ + 54.04
5334957 COLLAGENASE 15GM + 511.52
5334999 CONJUGATED ESTR CRM 42GM + 192
5335271 DIPHENHYDRAMINE CREAM 2% 30GM 0
5335290 DOCOSANOL 10% 2GM CREAM + 87.36
5335315 ECONAZOLE CREAM 1% 15GM 0
5335322 EMOLLIENT COMBINATION NO.20 425GM 0
5335437 FLUOCINOLONE .01% 15GM + 72
5335457 FLUOCINOLONE .025% 15GM + 47
5335570 FLUOROURACIL 5% 40GM 0
5335724 N-GENTAMICIN INJ 105
5335886 HYDROCORTI .5% 30GM CRM + 32.96
5335901 HYDROCORTISONE .5% 30GM + 25
5335911 HYDROCORTISONE 1% 30GM + 33.92
5335913 HYDROCORTISONE 2.5% 30GM + 202.58
5335918 HYDROCORTISONE 2.5% 20GM + 42
5335951 INDIA INK/ML 70
5336057 KARAYA GUM + 39
5336084 KETOCONAZOLE 2% CREAM + 87.4
5336087 AMMONIUM LACT 12% LOT + 92.96
5336141 LANOLIN-MINERAL + 19
5336194 LIDOCAINE 2% 20ML 77
5336195 LIDOCAINE JELLY 2% 5mL 0
5336198 LIDOCAINE 2% 30GM JELLY 82.08
5336201 LIDOCA 2% UROJT 37.56
5336212 LIDOCAINE 5% 35GM UNG 1,516.32
5336213 LIDOCAINE 5% PATCH 42.08
5336220 LIDOCAINE 4% 4ML TOPICAL 0
5336230 LIDOCAINE 2% VISCOUS 15ML 13.32
5336355 MAGNESIUM SULFATE 480GM + 29
5336470 METHYL SAL/MENTHOL 30GM + 19
5336558 METRONIDAZOLE INSERT + 631.32
5336562 METRONIDAZOLE .75% 45GM + 192
5336594 MICONAZOLE 2% 30GM CRM + 47.8
5336595 MICONAZOLE 2% 45GM CRM + 54.4
5336612 MICROFIBRILLAR SHEETS + 506
5336615 MICROFIBRILLAR 1GM SHEET 771.96
5336644 MINERAL OIL STERILE 10M 46.25
5336678 MOMETASONE .1% 60 ML 77
5336680 MOMETASONE .1% 15GM + 81
5336683 MUPIROCIN 2% 1GM UD + 81
5336684 MUPIROCIN 2% 30GM + 65
5336685 MUPIROCIN 2% 15GM + 328.12
5336775 NEOMYC/POLYMY/BACIT 30G + 32.3
5336779 NEOMYCIN-POLYMY GU 1ML 160
5336781 NEOSPORN UNG PK+ + 10.11
5336810 NICOTINE TRANSDERMAL 7MG + 17.53
5336835 NITROGLYCERIN 0.1MG/HR + 16.43
5336836 NITROGLYCERIN 0.2MG/HR + 16.61
5336838 NITROGLYCERIN 0.4MG/HR + 16.39
5336840 NITROGLYCERIN 0.6MG/HR + 8
5336888 NITROGLYCERIN UNG U-D + 12.32
5336909 NYSTATIN TOP CRM 15GM + 90.2
5336934 NYSTATIN VAG TAB 100MU + 25
5337107 POVIDONE-IODINE 30GM + 32.48
5337140 PRAMOXINE 1% 4OZ + 91.44
5337272 SILVER SULFADIA 1% 50GM + 125.88
5337279 SILVER SULFADIA 1% 20G + 55.76
5337305 SOD HYPOCHLORITE 480ML 25
5337369 SURGILUBE 127.5 GM 25
5337426 TERBINAFN 1% 12G + 29
5337438 TESTOSTERONE 1%2.5GM GE + 23
5337467 THROMBIN 5000U 364.48
5337470 TOBRAMYCIN POWD 1.2GM 1,276.00
5337493 TOLNAFTATE 1% 15GM + 25
5337545 TRIAMCIN .025% 15GM CRM + 27
5337550 TRIAMCIN .025% 15GM UNG + 57
5337575 TRIAMCIN .1% 15GM UNG + 1
5337576 TRIAMCINOLONE .1% 30G + 36.8
5337605 TRIAMCIN .5% 20GM UNG + 25
5337620 TRIAMCIN A 5GM + 74
5337625 TRIAMCIN SPRAY .025% + 142
5337645 TRIPLE DYE APPL 25
5337659 XENADERM 30 GM + 256.2
5337742 VITAMIN E CRM 60GM + 11
5337744 WITCH HAZEL PADS 40’S + 25
5337756 ZINC OXIDE 3GM OINTMENT + 25
5338024 ACETAMINOPHEN 650MG + 1
5338095 ASPIRIN 300MG SUPP + 1
5338116 ASPIRIN 600MG SUPP + 1
5338320 DINOPROSTONE 10MG $ 1,479.08
5338488 HYDROCORTISONE 100MG60ML + 69.68
5338510 MESALAMINE 4G/60ML + 34
5338580 PRAMOXINE HYDRO 15GM + 68
5338614 PROGESTERONE SUPPOSITORY 0
5338726 SODIUM PHOS ENEMA + 1
5339938 PEDIALYTE 960ML + 1
5339965 SURGICAL LUBE JELLY 3gM 79.72
5339990 PREVNAR 4,398.00
5352998 DESFLURANE PER DOSE 745.52
5353049 HALOTHANE PER DOSE 208
5353069 ISOFLURANE PER DOSE 226
5353119 SEVOFLURANE PER DOSE 636
5358208 ISOSULFAN BLUE (LYMPHAZURIN) 1 % 10 MG I 4,948.00
5358244 LYMPHAZURIN DYE 1,692.00
5358290 SINCALIDE(KINEVAC) 50 MCG INJ 8.24
5370000 N-ABELCET 1mg/1mL INJ 0
5370036 N-AMIKACIN 5 MG/ML INJ 0
5370048 N-AMINOPHYLLINE 5 mg/mL INJ 0
5370084 N-AZTREONAM 20 MG/ML INJ 0
5370108 N-BUMETANIDE 0.125 MG/ML INJ 0
5370204 N-CLINDAMYCIN 10mcg/ml INJ 0
5370264 N-DEXAMETHASONE 0.2 mg/ml INJ 0
5370276 N-ENALAPRIL 25 MCG/ML INJ 0
5370336 N-FOLIC ACID 0.1 MG/ML SOLN 0
5370360 N-HYDRALAZINE 1 MG/ML SOLN 0
5370372 N-HYDRALAZINE 1 MG/ML SUSP 0
5370408 N-INDOMETHACIN 0.5 mg/ml INJ 189.95
5370444 N-MEROPENEM 50 mg/ml INJ 0
5370468 N-NAFCILLIN 40 MG/ML INJ 0
5370504 N-PANTOPRAZOLE 4 mg/ml INJ 0
5370552 N-PROPRANOLOL 1 MG/ML SOLN 105
5370576 N-RIFAMPIN 2 MG/ML INJ 0
5370612 N-SULFAMETHOXAZOLE-TRIMETOPRIM 1MG/ML IN 0
5410020 FREARMINE III AMINO ACID 8.5%-500 ML 0
5412446 HEXTEND 500ML 128
5413470 FAT EMULSION (LIPOSYN)iii) 20% 250ML IV 96.03
5417695 DIFLUPREDNATE 0.05% 5mL 510.08
5417710 LISSAMINE GREEN 10
5417720 OPHTH IRRIGATION SOLN (EYE WASH) 99.0% 0
5417725 GENTEAL TEARS 0.1-0.3% DROPS 25
5417730 PEN G 5MU D5 50ML (LD ONLY) 5mu/50ml 105
5417732 PEN G2.5MU D5 50ML (LD ONLY) 105
5417790 SYSTANE ULTRA EYE DROPS 0.4-0.3% 10.72
5417845 ESMOLOL IN WATER 2000MG/100ML 1,941.06
5417850 PHENOL 1.4% 20ML SPRAY 27.68
5417851 SODIUM NITHIODOTE & THIOSULF 300MG/10ML 0
6740162 DPMA INJECTION 189
8177381 VITAGEL SURGICEL $ 1,485.00
5351000 ACCU-CHECK 50’S * 20
5355670 DIATRIZ MEG 30% 50ML 41
5356183 HOCM 200-249 MG/ML 1 ML 9
5356185 HOCM 300-349 MG/ML 1ML 9
5358214 ISOVUE 100-199 20
5358215 ISOVUE 200-299 20
5358220 IOHEXOL 180MG 10ML 137
5337651 TROLAMINE SALIC 10% 60GM + 14
5324198 SODIUM CL 0.9% 5ML 20
5325250 WATER FOR INJECTION 10ML 59
5410000 TERT PRNT/IRR 0
5412075 DEXTRAN 40 NACL .9 500ML 398
5412080 DEXTRAN 70 NACL.9 500ML 36
5412148 D5W 100ML+MG SULFATE 10G 55
5412165 D5 L RINGERS 500ML 123
5412170 D5 LRINGERS 1000ML 131.53
5412174 LR 1000 ML+OXYTOCIN 20U 68
5412185 D5 RINGERS 500ML 137
5412190 D5 RINGERS 1000ML 218
5412210 D5 NACL.2 500ML 136
5412215 D5 NACL.2 1000ML 164.67
5412255 D5 NACL.33 1000ML 117
5412280 D5 NACL.45 250ML 128
5412285 D5 NACL.45 500ML 137
5412290 D5 NACL.45 1000ML 173.93
5412310 D5 NACL.45 KCL 20 1000ML 304
5412315 D5 NACL .45 KCL 30 1L 304
5412320 D5 NACL .45 KCL 40 1L 304
5412330 D5 NACL.9 500ML 160
5412334 D5 1/2 NS-KCL 20 MEQ 210
5412335 D5 NS 1000ML 147.66
5412355 D5W 50ML 154
5412360 D5W 100ML 153.96
5412370 D5W 250ML 153.7
5412375 D5W 500ML 154.95
5412380 D5W 1000ML 179.69
5412385 D5W KCL 10 1000ML 304
5412395 D5W KCL 20 1000ML 264
5412400 D5W KCL 30 1000ML 304
5412405 D5W KCL 40 1000ML 264
5412412 D10 NACL.225 250ML 42
5412415 D10 NACL.45 1000ML 145
5412425 D10 NACL.9 1000ML 192
5412430 D10W 250ML 144.27
5412435 D10W 500ML 122
5412440 D10W 1000ML 179.18
5412545 L RINGERS 500ML 137
5412550 L RINGERS 1000ML 215.41
5412585 MANNITOL 20% 500ML 372
5412620 NACL .45 500ML 109
5412625 NACL .45 1000ML 162.74
5412635 NACL .9 50ML 151.98
5412640 NACL .9 100ML 208.4
5412655 NACL .9 250ML 135.73
5412665 NACL .9 500ML 123
5412670 NACL .9 1000ML 201.85
5412690 NACL 3% 500ML 210
5412695 NACL 5% 500ML 122
5412780 STERILE WATER 250ML 29
5412785 STERILE WATER 500ML 59
5412790 STERILE WATER 1000ML 127.6
5412822 D5LR 1000ML+OXYTOCIN 20U 68
5412965 TPN ADULT 148
5412966 TPN NEONATAL 405
5412967 TPN HEPATIC 225
5412968 TPN RENAL 225
5412970 STOCK PTN 10W 405
5412972 STOCK TPN 7.5%/200ML 0
5413120 AA 8.5% 500ML 506
5413175 AA 10% 500ML 183
5413219 AA 8% HEPATIC FORM 500ML 685
5413345 DEXTROSE 20% 500ML 95
5413360 DEXTROSE 30% 500ML 81
5413375 DEXTROSE 40% 500 IN 1L 81
5413385 DEXTROSE 50% 500ML 87
5413405 DEXTROSE 60% 500ML 81
5413415 DEXTROSE 70% 500 IN 1L 81
5413429 DOPAMINE 800MG PMX 500ML 10.5
5413435 FAT EMULSION 10% 100ML 320
5413450 FAT EMULSION 10% 500ML 358
5413460 FAT EMULSION 20% 100ML 362
5413475 FAT EMULSION 20% 500ML 520
5414170 PROCALAMINE 3% 1000 ML 210
5417659 20 UNITS PITOCIN IN D5LR 1000ML 105
5417660 NS500M 0.9% 500ML 154
5417661 20 UNITS PITOCIN IN LR 1000ML 105
5418999 SOLUTIONS MISC 0
3100015 IV INFUSION UP TO ONE HR (PICTOCIN) 368
3100030 AMNIO INFUSION 300
3109730 IV INFUSION THE/DS EA ADDL HR 84
3109732 IV INFUSION TEHR/DX ADDL HR NEW DRUG 250
3109734 IV PUSH INITIAL 1ST HR-NEW DRUG 168
3109736 IV PUSH ADDL SEQ NEW DRUG 300
3109738 IV PUSH SAME DRUG EA ADDL/SEQ 175
3109740 IV INFUSION HYDRATE 1ST HR 500
3109742 IV INFUSE HYDRATE EA ADDL HR 250
3500626 IVPUSH NON CHEMO DRUG 168
3502064 IV THRPY UP TO 1 HR 384
3502065 IV THRPY EA ADD HR 84
3109755 SECONDARY IV SET V1921 1.98
3109757 FLOWTRON L501-M 37.41
3109759 SUTURES 12.57
3700045 NITROUS OXIDE 174
4906175 FILM DUPLICATION * 29
5414015 ACETIC ACID.25% IRR 1L 141
5414145 NACL .9 IRR 500ML 117
5414150 NACL .9 IRR 1000ML 123
5414160 NACL .9 IRR 2000ML 161
5414240 STERILE WATER IRR 500ML 111
5414245 STERILE WATER IRR 1000ML 123
5414255 STERILE WATER IRR 2000ML 198
5414260 STERILE WATER IRR 4000ML 264
5420000 TERT PRNT/IRR 0
5420005 ST IV SEC 70
5420020 ST PRIMARY CNTFLW 156
5420022 ST IV ADM Y 128
5420036 ST ADM BLOOD/PMP 62
5420053 ST IV METRIC 216
5420054 ST IV PLTLET 36
5420068 ST IRG CYS TUR 114
5420069 ST IRG TUR 216
5420078 ST IV EXT AS 34
5420080 IV SET WITHOUT INJECTION SITES 6.18
5420090 CATH IV A/S 28
5420093 ST IV ADM 114
5420101 ST IV START 162
5420118 KT IV START 81
5420123 CATH IV PLCMNT 77
5420124 CATH IV PLCMNT 43
5420125 CATH IV PLCMNT 9
5420157 ST BLD COLCT 61
5420167 ST IV ADM 74
5420168 ST IV ADM 171
5420169 ST IV ADM Y 87
5420170 ST IV ADM 62
5420172 ST IV ADM 87
5420183 BG BLD WRMR 156
5420188 ST IV EXT 102
5420196 ST BLD Y 297
5420204 ST CAPD TRNSFR 162
5420205 CLMP CAPD BETA 77
5420219 ST ADM BLD 240
5420225 CATH IV PLCMNT 9
5420244 ST IV ADM 48
5420265 FLTR BLD INFUS 206
5420267 CSET IV 232
5420268 T-PAK IV 28
5420288 ST IV ADM VOL 18
5420289 CONN T INFUS 18
5420296 VIAL O JET 7
5420297 BAG-A JET 57
5420309 CP INJ 18
5420312 BLOOD WARMER TUBING 151
5421002 IV SET EXT MICRO W/CLMP 81
5421705 TB UROPMP 151
5421735 ST EXT 2MLL 28
5428999 MISC-SOL MATERIL 0
5500102 AEROSOL HOURS 47
5500550 HELIOX TX INITIAL 401
5500640 TRANSCUTAN MNTR INIT * 253
5500700 OXYGEN INITIAL 222
5500702 OXYGEN HOURS 36
5500720 OXYGEN HOURS ER 156
5500724 OXYGEN XRAY 27
5510542 NITRUS OXIDE/ HOUR 375
5510706 OXYGEN HOOD INITIAL 467
5510708 OXYGEN HOOD HOURS 87
5518702 OXYGEN HOURS OTHR 70
8012225 SOL HYDRGN PEROX 15
8022000 ADHESIVE 62
8024010 BND BIND ABD 393
8024017 BND BIND SCULTETUS CLOTH 208
8024020 BND BIND F 6
8024030 BND COBAN A/S 53
8024046 BND ELST A/S 100
8024048 BND ELSTC HONEY COMB 23
8024050 BND ESMARK 4IN 198
8024051 BND BANDAIDE 15
8024059 BND GZ ANY SIZE 70
8024066 BND GZ ROLL 70
8024100 BND KLING A/S 131
8024115 BND MUSLIN 4IN 42
8024116 DRS DUODERM 287
8024118 DRS DUODERM 259
8024125 BND SHLD EYE WCK 33
8024135 BND STKNET A/S 53
8024155 BND STKNET 4/6 330
8024170 BND STKNG KNEE 93
8024195 BND TBGZ A/S 27
8024201 BND WEBRIL A/S 66
8024203 BND WEBRIL 2/3 55
8024205 BND WEBRIL 4/6 70
8024300 DRS ABD PD 9
8024310 DRS ABD 10X8 BX 87
8024320 DRS AD 74
8024323 DRS ADHES WND 81
8024325 DRS AEROPLAST 114
8024347 DRS 6X6 ANY 15
8024384 DRS COBAN 4IN 53
8024410 DRS EAR POSTAUR 87
8024425 DRS EYE PD 14
8024435 DRS EYE SHIELD 61
8024450 DRS FLUFF KER 71
8024455 DRS FLUFF KER 5 15
8024478 DRS GZ ANY SIZE 36
8024480 DRS GZ OWENS 20
8024555 DRS IV GARD 11
8024575 DRS KERLIX 81
8024615 DRS NUGAUZE 151
8024630 DRS OPSITE LG 87
8024635 DRS OPSITE MD 52
8024642 DRS OXYCEL 415
8024650 DRS PET/AD 3X3 70
8024660 DRS PET/VS AS 33
8024670 DRS PET/VS 1X8 36
8024685 DRS PET/VS 3X9 48
8024695 DRS PET/VS 6X36 55
8024715 DRS PK ADAP1/2 102
8024725 DRS PK IODO A/S 151
8024730 DRS PK IODO 1/2 57
8024770 DRS PCKNG EAR 232
8024792 DRS RESTORE LG 270
8024795 DRS SCRLT RED 27
8024804 DRS SORB A/S 109
8024811 DRS SPECIALTY 23
8024815 DRS SPLIT 7
8024820 DRS SPLIT 2X2 150
8024830 DRS SPLIT 4X4 179
8024831 DRS SPANDAGE 1-2 47
8024836 DRS SPANDAGE 9-10 53
8024860 DRS STICK 66
8024915 DRS TEGDRM A/S 15
8024927 DRS TELFA LG 38
8024929 TELFA A/S 42
8024933 DRS TP ELASTOPLAST 70
8024940 DRS ULCER 4X4 48
8024945 DRS ULCER 6X6 176
8024946 V.A.C. GRANUFOAM DRESSING XLARGE 304.53
8024959 DRS WND SILCN NON-ADHER 14
8024960 DRS WND MGT A/S 205
8024963 DRS WND 4X4 90
8024964 DRS WND 5X5 15
8024966 DRS WND 5 1/2 X 5 7/8 270
8024967 DRS WRAP COLD 223
8024971 DRS WET SAL A/S 27
8024977 DRS XEROFORM A/S 64
8024980 GEL CARRINGTON 217
8026020 GZ IODOFORM 188
8026040 GZ PACKING VAG 80
8027267 DISPOSABLE BB CUFF 83
8031008 ADPT LL 20
8031010 ADPT PORTS 36
8031015 ADPT SWIVEL 298
8031018 ADPT UNI 156
8031035 SPRT ANTIEMB ELST 240
8031045 APPL PK 2 90
8031065 ARMBD DISP (ALL) 28
8031074 ASP MECONIUM 62
8031165 BATH SITZ DISP 178
8031170 BATH SOAP – 15
8031185 BEDPAN DISP 47
8031210 BG BILE 9 OZ 100
8031235 BG ICE DISP CHM 48
8031245 BG ICP DRNAGE 225
8031255 BG ISOL DECNTAM 8
8031270 BG P-DIAL DRN 123
8031289 BG VNT/R DRN 206
8031290 BG WND MNGMT 109
8031305 BITEBLOCK TONGUE 36
8031309 BLD AORTIC PUNCH 384
8031315 BLD TONGUE 11
8031330 BLOOD FLTR 690
8031342 BLOOD REPL BAG 115
8031344 BLT GAIT 260
8031345 BLT RIB 240
8031360 BLT SANITARY 28
8031390 BOOT UNNA 75
8031405 BOTL CLEANSING 56
8031406 BOWEL MGMT SYS 915
8031411 BOTL VLUFEED INF 39
8031450 BRSH SCRUB ALL 9
8031460 BRST EZE 287
8031490 CAN ERCP 204
8031511 CAN UTERINE 423
8031512 CANNULA PROBE 325
8031513 CANNULA SUBCLAVIAN 867
8031528 CANNULA VENTRICULAR 2,361.00
8031545 CANTOR TB 232
8031553 CAP CATHETER CAPD 74
8031675 CAUT PRB 414
8031705 CLN DENTURE – 38
8031730 CLOSE SKN SS A/S 11
8031763 COLL FLEXISEAL FECAL 38
8031770 COLOS PCH ST 42
8031780 CON FEMALE 15
8031785 CON 3WAY PUDENZ 1,690.00
8031790 CONEC GROSHONG 331
8031810 CONEC TUBE 19
8031815 CONEC Y 100
8031820 CONEC 5/6-IN-1 55
8031835 CONT SPECI SPTUM 9
8031841 BBL PROTA-CULT TUBE 14
8031845 CONT SPECI 6OZ 28
8031850 CORD DISP 36
8031860 COT BL(S) 11
8031866 COT ROLL STERILE 56
8031877 COVER INSTRUTMENT A/S 18
8031881 HOLDER-TUBE 4
8031882 COV PROBE US 6
8031886 COVR TRANSDCR 429
8031920 CRM SKIN PROTC 74
8031955 CUSH CHAIR 115
8031960 CUSH FOAMRING 156
8031963 CUSH FT/HL WAFFLE W/CRD 90
8031965 CUSH HD 14
8031970 WEDGE, POSITIONING DISP 30.45
8031975 CVP MULTILUMEN 615
8031980 CYL FM 27
8031982 CUFF BP INFANT 178
8032010 DIAP ADLT A/S 101
8032030 DIAP/NNB 10
8032049 DISK-CD ANGIO 18
8032059 DRN CHST HEIMLICH VALVE 197
8032109 DVCE MICRON FLTR 102
8032127 ELCTRD INFANT 136
8032135 ELCTRD NERVE 11
8032150 ENEMA ADMIN ST 34
8032205 EXT DRN BG 401
8032210 EXT HOSE 2,015.00
8032222 KT MNTR 483
8032245 FLTR EYE 28
8032249 FLTR LASER 151
8032275 FRIDGITONICS 358
8032295 GELFOAM 117
8032297 GEOMATT 448
8032345 GLV LITE 0
8032350 GLV NONSTR BX 0
8032351 GLV RADIATION 358
8032380 GRIP-IT 4110 47
8032420 HEEL WARMER INF 77
8032450 HOOK AMNIO SERL 34
8032465 HUMI 482
8032483 HUMIVENT 36
8032505 INF PACIFIER 14
8032548 IV CASSETTE IMED DISP 136
8032580 KT BABY CR 75
8032583 KT IV START 38
8032585 KT PT ADM OB 99
8032586 KT INTERNAL JUG PUNCT 287
8032593 KT WRENCH DISP 358
8032605 KY JELLY 42
8032611 LAMBSWOOL PKG 25
8032620 LENS MORGAN 114
8032622 LENS CONTACT REMOVER 19
8032640 LANCET ECHO TIP 74
8032642 LITE DISP FLEX 260
8032660 MALE LL/CAPS 15
8032665 MANIFOLD DISP 61
8032725 MSK FACE ISOL 136
8032935 NURSER PLST 5
8032938 NURSERS SUPPLEMENT 5
8032942 OINT PROTECTIVE 2 OZ 17
8032944 ODOR ELIMINATOR 72
8032965 OST ADHES DISC 19
8032980 OST ADHESV MEDC 171
8033090 OST DRS DDRM 4X4 29
8033095 OST DRS DDRM 8X8 100
8033130 OST IRRIGATOR 53
8033140 OST PASTE KARYA 244
8033145 OST PASTE STMA 104
8033158 OST PCH STMA 1-3/4X12 75
8033195 OST SKIN BARIER 137
8033200 OST SKIN BOND 114
8033215 OST SKIN GEL 20 118
8033240 OST START ST I 4110 253
8033259 OST WAFR DURA FLNGE1-3/4 75
8033281 PANT DIGNITY 90
8033320 PD BED EGGCRATE 453
8033360 PD BRST DISP 4110 53
8033365 PD DUOTHERM 4110 565
8033375 PD LOW AIR LOSS 218
8033380 PD EXERCISR CPM 4110 836
8033400 PD FOOT FM 244
8033410 PD HOT ICE DISP 4110 1,056.00
8033425 PD KODEL 4110 9
8033435 PD PERK PKG 1 14
8033445 PD PERINEAL 152
8033465 PD RESTON A/S 4110 55
8033466 PD FOOT FOR KNEE HLDR 123
8033471 PD SHEEPSKIN 4110 179
8033485 PEN MARKER SURG 4110 33
8033525 PILLOW ABDUCTION 4110 861
8033535 PILLOW CERVICAL 4110 344
8033540 PILLOW HD FM 26
8033565 PIN LOCKING ASSY 4110 340
8033570 PIN SAFETY 4110 15
8033595 PK COLD 4110 93
8033605 PK HOT 4110 66
8033615 PK ICE JUMBO 4110 170
8033626 PK TRANSFER X2 133
8033627 PK TRANSFER X3 66
8033628 PK TRANSFER 178
8033630 PLEUR EVAC 4110 1,220.00
8033670 POSTN BODY 4110 235
8033685 BAG PSITN CUDLR 45
8033694 ELECTROPROBE W/PUSH HNDL 205
8033699 PRB DISP PULSE OX FOOT 151
8033700 PRB FINGER 4110 287
8033705 PRB SKIN TEMP 4110 27
8033731 PRESS INFUSE 4110 133
8033775 RAZOR DISP 33
8033795 RECTAL ESOPHPROB 4110 423
8033800 RESUSITATE MANL 4110 66
8033803 TRAY LUKENS DISP 19
8033990 SAFETY SEALS 4110 75
8033992 SCALPEL S DISP 4110 171
8034019 SHEET HYDROGEL 99
8034022 SHEET SILASTIC 4110 68
8034055 SLIDE DIAG/HEMO 4110 15
8034085 SOL BENZOIN VIAL 4110 27
8034096 SOL H2O IRRG 4110 141
8034099 SOL NACL IRRG 4110 136
8034100 SOL PERI WASH 4110 55
8034101 SOL NACL IRRG 4110 75
8034103 SOL PTN DILY 4110 171
8034108 SOL H2O DISTILLED 93
8034110 SPEC COL 156
8034113 SPECIPAN 4110 19
8034115 SPLNT NASAL 4110 83
8034145 SPPRT SCROTAL 4110 192
8034154 ST BUTTERFLY 4110 56
8034155 ST DRN CHST 4110 1,069.00
8034162 ST CAUTERY DISP 206
8034168 ST NIPPLE TRAIN 4110 10
8034169 ST PERCUTANEOUS INTROD 656
8034175 STETHESCOPE DISP 4110 74
8034177 ST TUR IRRIGATING Y 162
8034180 STIM NERVE 4110 161
8034205 STKG TED 4110 264
8034215 STKNET 4110 171
8034225 STMP SHRINKER 4110 $ 0
8034229 STOPCOCK 3WAY W/TUBING 62
8034231 STRAINER URINE 4110 42
8034256 STRP MONTGOMERY 4110 75
8034285 SUCT BOTL 4110 55
8034295 SUCT CATH 4110 93
8034340 SWAB BETADINE 4110 33
8034364 SYR A/T A/L 4110 19
8034380 SYR BULB 60C 4110 66
8034383 SYR COLLAGEN TREATMNT 2,984.00
8034392 SYR DISP 4110 4
8034395 SYR EAR/ULCER 4110 25
8034400 SYR INS/TB BX 4110 156
8034420 SYR LEVEEN 4110 470
8034425 SYR TB 4110 8
8034540 SYS BX 4110 114
8034545 SYS CLSD FLSH 4110 3,342.00
8034575 TAMPON NASAL 4110 246
8034580 TAMPON NASAL 4110 74
8034590 TB BLAKEMORE 4110 972
8034600 TB CHST 4110 152
8034660 TB EWALD 4110 142
8034675 TB FEED 4110 179
8034680 TB FEED 4110 351
8034688 TB FEED INFANT 4110 56
8034695 TB GASTROS 4110 253
8034715 TB HEMOCHROM HT LUNG 15
8034720 TB HI PRESS 4110 27
8034734 TB LARYNGECTOMY 1,050.00
8034740 TB LINTON 4110 1,503.00
8034745 TB MILLER ABOT 4110 440
8034756 TB NEURO 367
8034770 TB RECTAL RUBR 4110 162
8034791 TB TEAR DUCT 665
8034820 TB Y-CONNCTR 4110 61
8034880 TIP IRRG FEM 4110 255
8034882 TIP IRRIGATNG/ASPIRATING 1,056.00
8034893 TOWEL STERL CLTH 52
8034900 TP DURAPOR A/S 4110 27
8034901 TAPE A/S 4110 14
8034905 TP EYE 4110 11
8034921 TP FBRC FXN SILCN ALL SZ 33
8034925 TP MICROPR A/S 4110 68
8034940 TP PLST A/S 4110 75
8034945 TP SILK A/S 4110 109
8034955 TP TRNSP A/S 4110 55
8034970 TP VIDEO 4110 117
8035020 TRNSDU KT/FLSH 4110 306
8035065 UNDRPD 4110 0
8035067 UNDRPD CHUX EA 4110 0
8035090 UNDRPD 6/PK 4110 0
8035120 URINAL MALE 4110 36
8035232 WRAP EZ 4110 18
8035233 WRAP ICE SHLDR 4110 444
8035234 WRAP ICE KNEE 4110 90
8041075 BSK RETRV 4110 991
8041095 CATH CONNECTOR 4110 204
8041125 CATH EXT 74
8041300 FILIFORM GU 4110 401
8041325 ST DILAT URETH 4110 804
8041370 VALVE REFLUX CK 4110 56
8042910 SPINAL TRAY 70
8056642 CATH PACNG BIPOLAR 663
8081081 CART RENAL 1,392.00
8081277 INST CLAMP GIZMO 20
8081310 INST CYSTO FLEXB 4110 1,201.00
8081355 INST DRILL AIR 4110 860
8081360 INST DRILL BIT 4110 372
8081432 KT ENDSCP DVCE DISP 2,985.00
8081484 INST GDE ACL 4110 1,222.00
8081485 INST GDE WIRE 4110 * 1,304.00
8081490 INST HEMOSTAT 4110 * 34
8081535 INST KNF GRSH EY 4110 307
8081591 INST PNCH DONOR 4110 524
8081597 INST PRB BICAP 4110 743
8081604 INST REDUCER ENDO 57
8081632 INST RETRACTOR 4110 874
8081670 INST SIGMOIDSCOP 4110 100
8081700 INST SPECULM VAG 4110 28
8081705 INST SPINAL 4110 * 657
8081723 INSTR STERILE FEE 4110 102
8081730 INST STIMLTR NRV 4110 676
8081765 INST TREPHNE/VAC 4110 528
8081775 INST URETEROSCOP 4110 1,201.00
8081778 INST VITRECTR CUTTER EYE 1,950.00
8081779 INST VITRECT LIGHT PIP 1,053.00
8081800 INST WIRE CUTTER 4110 136
8081935 KT CPM ACCES 4110 152
8081945 KT CYTO 4110 1,595.00
8081965 KT DISP ICP 4110 2,796.00
8081970 KT DISP TRNSDU 4110 80
8082060 KT EYE CR 4110 152
8082070 KT FETAL BLOOD 4110 242
8082127 KT ICP TWST DRL 4110 287
8082130 KT INCNT 4110 38
8082140 KT PAIN MGMT INFUSE CTH 306
8082160 KT IRR EYE 4110 331
8082165 KT IRR VAG 4110 61
8082220 TEST PG HCG KIT 19
8082275 KT OB FATHER 48
8082342 KT PN BUSTER INFUSN 4,400.00
8082435 KT PUMP BRST 4110 150
8082447 KT REPAIR CV 4110 1,018.00
8082485 KT SHAVE PREP 4110 57
8082636 INST EYE PICK ASPIRATIN 128
8082674 SPACERS ORTHO 4110 246
8082718 ST FLUID DELIV 246
8083200 TRY CATH W/O C 4110 198
8083305 TRY CUTDOWN H/P 4110 826
8083455 TRY EMERG OB 4110 287
8083465 TRY ENT H/P 4110 568
8083500 TRY EXM PELV H/P 4110 232
8083525 TRY EYE 4110 183
8083565 TRY GASTRC LAV 4110 217
8083570 TRY GAVAGE INF 4110 90
8083660 TRY INST GEN 4110 287
8083700 TRY INTUBATON HP 4110 754
8083970 TRY PAP SMEAR 4110 136
8083980 TRY PARCNTS H/P 4110 474
8083997 PENILE PROS ACC KIT$ 2,652.00
8084005 TRY PERI-CRD H/P 4110 1,600.00
8084008 TRY PERC INTRO 591
8084085 TRY PREP W RAZ 4110 19
8084260 TRY SUT MIN H/P 4110 285
8084330 TRY THORCTMY H/P 4110 731
8084350 TRY TRACH CLEAN 4110 87
8084365 TRY TRANSF XCHA 4110 374
8091002 BTL VACUUM TEC 4110 109
8091015 BG AUTOTRANS 4110 836
8091025 BG PRESS INFU 4110 160
8091037 BLNKT BAIR HUGG 4110 204
8091051 CELLSAVER BWL/PK 4110 1,066.00
8091052 CELLSAVER TUBING 246
8091053 CELLSAVER RSRVOR 650
8091115 CUFF CATH MONTR 66
8091120 CUFFS DISP BLOOD 145
8091125 CUP VACUUM EXTR 198
8091130 CUSH WHEEL CHR 65
8091145 DRILL BITS ALL 340
8091170 EQ ANAL CO2 * 291
8091286 EQ BD ROTO D 1,223.00
8091474 EQ CRYOGN DEV D 358
8091475 EQ CT BI-POLAR 171
8091590 EQ EAR DRILL * 1,012.00
8091618 EQ EMG MET 1,200.00
8091735 EQ ILLUM FIBOP 1,411.00
8091803 EQ KERATOSCOPE 102
8091814 EQ LAMINAR FLOW ADD30MIN * 2,361.00
8091911 EQ CRVCL LZR RNTL 6,975.00
8091921 EQ LUMBAR LZR RNTL 6,975.00
8091950 EQ MICROSCP BASC 340
8092295 EQ PD AQUA D 109
8092340 EQ PD HEAT 136
8092343 EQ PD HEAT LG 287
8092520 EQ PMP/SYR INFUS 0
8092540 EQ PULSE OXIMETR * 50
8092586 EQ RHIZOTOMY 171
8092626 EQ SEQ COMP 123
8092942 EQ VACUUM WND 282
8092946 EQ VAPORIZER 1,365.00
8092965 EQ WALKER * 0
8093125 PD EKG BACKPAD 90
8093130 PD GROUNDING BIO 55
8093165 SLEVE SCD 1,028.00
8093200 SURGIBRA 911
8093210 TB ENDO LZ 504
8094045 ANS BAIR HUGGER 171
8094210 EKG ELCRDS DSP 53
8095128 HR IN DRILL TWIST BIT 70
8095140 HR IN ERASER WET FLD HEM 66
8095160 FRCEP SPNG MTL DSP 11
8095192 HR IN LAPROSCOPE 178
8095294 HR IN SPHINCTERTOME 699
8095320 HR IN STERILIZATION FEE 171
8095484 HR TR CARDIOVASC H/P 225
8095517 HR TRY C-SECTION 2,833.00
8095818 HR TRY PREP HP 70
8095900 HR TRY THORACOTOMY HP 615
8100000 4050 C/S CASTS/SPLINTS 0
8102011 BOOT CAST CUSTOM 284
8103013 BRCE WRIST 4110 306
8103020 CST ADD WK HEEL 4110 90
8103030 CST ARM LNG C 4110 433
8103035 CST ARM SHRT A 4110 287
8103102 CST CYLINDER A/S 188
8103160 +++++++++++++ 433
8103190 CST LEG SHRT A 4110 259
8103232 CST PLASTER A/S 341
8103241 CST SCOTCHCAST 5IN 237
8103242 CST SCOTCHCAST 4IN 174
8103243 CST SCOTCHCAST 3IN 150
8103273 CST SUPPLIES ALL 4110 551
8103314 STRAP CLAV A/S 253
8103375 PLAST ROL SPLNT2 4110 62
8103380 PLAST ROL SPLNT3 4110 90
8103385 PLAST ROL SPLNT4 4110 66
8103390 PLAST ROL SPLNT5 4110 90
8103395 PLAST ROL SPLNT6 4110 108
8103410 PLAST ROLL 3IN 27
8103415 PLAST ROLL 4IN 38
8103425 PLAST ROLL 6IN 47
8103430 PLAST ROLL 8IN 53
8103520 SPLNT CST 5X3 SCO 4110 198
8103572 SPLNT FINGER 4110 53
8103574 SPLNT FROG 77
8103601 SPLNT LEG HARE 171
8104600 SLNG CVA 4110 260
8104620 SPLNT CATG A 3110 152
8104621 SPLNT CATG B 3110 162
8104996 SLNG ARM STRAP A/S 123
8105020 TAPE SCOTCH CASTING 2IN 93
8108999 CST MISC 4110 0
8114015 BLT TRAC PELVIC 4110 312
8114030 BOOT ROOK 4110 212
8114170 COLLAR CERV 4110 225
8114180 COLLAR CERV FM 4110 335
8114195 COLLAR HARD CERV 4110 374
8114200 COLLAR PHIL 4110 358
8114210 CORSET LUMBO-SAC 4110 142
8114215 CRDL BOOT FM 4110 218
8114235 ELEVAT CST 4110 213
8114255 FELT ORTHO 4110 926
8114284 HALTER CERVICAL 226
8114290 HEEL-RUBR/CST 4110 61
8114296 HEEL/ELBOW PROTECTOR 204
8114335 IMBL KNEE 4110 489
8114336 IMBL KNEE 699
8114340 IMBL ANKLE AIR 4110 195
8114345 IMOBL ELBOW/WRST 4110 421
8114351 IMBL SHLDR 222
8114376 PILLOW ABDUCT 4110 543
8114410 SHOE CST A/S 4110 240
8114420 SHOE ORTHOPEDIC 4110 38
8114430 SLING & SWATH 4110 28
8114440 SLING ARM DELUX 4110 143
8114445 SLING ARM FASHON 4110 156
8114490 SLING KNEE 4110 145
8114495 4470 38
8114497 SLING PELVIC DISP 455
8114545 SPLNT FNGER A/S 4110 66
8114555 SPLNT FORARM CYL 4110 195
8114635 SPLNT THUMB 4110 264
8114755 TRAC BAL D 4110 359
8114775 TRAC BOOT BUCK 4110 331
8114830 TRAC BUCK SNGL D 4110 38
8114835 TRAC CERV BAL D 4110 344
8114960 TRAC PLVC SNG D 4110 1,033.00
8114980 TRAC RUSL SNG D 4110 340
8114990 TRAC SIDE ARM D 4110 291
8122175 SPEC PROC TABLE 340
8131306 CPR CMPR BND DISP S 424
8133078 DRILL (FLAP) 1,305.00
8134334 PLSTC KNEE FBRCTN * 4,500.00
8137065 WASHER 3110 448
8137112 SUT MICRO LASSO 420
8137169 GW BALL TIP 525
8137170 WIRE KIRSCH GAMMA 600.55
8137194 GW DRILL TIP 1,925.00
8162371 DRP STRI INCMD 48
8171125 ANS BREATH CIR 3310 122
8172007 AQUASONIC 100 7
8172730 BOWL CEMENT 3310 321
8172735 BOWL MIXING 3310 610
8172785 BRSH CYTOLOGY 3310 100
8172790 BRSH INERMEDLRY 3310 212
8173575 CEMT SYR 3310 244
8173900 CORD BI-POLAR 3310 93
8173902 CORD ACTIVE 3310 204
8173920 COTTON-LEUNG STN 3310 47
8173955 CRYOPHAKE HAND 3310 216
8174001 DEFOGGER 3310 232
8174319 ELCTRD VAPOR 3310 1,368.00
8174420 ENDOPOUCH SPEC 3310 699
8174500 EVC SMOKE 3310 743
8174525 EYE INFUSION/GAS 3310 554
8174545 EYE UNIPK ASPSET 3310 2,106.00
8174610 FIB OPTIC ASSEMB 3310 183
8174830 HNDPC W/FBR 3310 5,917.00
8174844 IRG MALIS BPLR 3310 306
8175145 LAVAGE TIP 3310 393
8175150 LENS GLIDE 10L 3310 11
8175154 LOOP CUT FINESS 3310 287
8175204 LZ CRTDGE 3310 610
8175205 LZ FIBER 3310 453
8175217 EQ LZR ST CHRNT RNTL 6,585.00
8175225 LZ PROBE 3310 5,006.00
8175230 LZ SCAPL ALL 3310 4,552.00
8175231 LASER GREENLITE 4,800.00
8175300 MED STAYS 3310 20
8176132 PRB LITHOTRIP 3310 676
8177008 SEAL COHESIVE 100
8177175 SPLNT NASAL 3310 255
8177210 ST CYSTO IRR 3310 90
8177332 SUCT ORTHO A/T 3310 27
8177534 TB CO2 INSUFFLATION 257
8177575 TIP LAV/PAK 3310 548
8177625 TOURN INFL DIS 3310 18
8177670 TRNSDU DOME 3310 226
8177690 TUBING ARTHRO IR 3310 340
8177700 TUBING FLO PUMP 3310 171
8181220 BG SPONGE COUN 3310 1
8181255 BND ELASTC 2/3S 3310 100
8181260 BND ELASTC 4/6S 3310 108
8181265 BND RUBBER ALL 3310 11
8181275 BND STCKIMP ALL 3310 19
8181385 CAN SUCT 3310 75
8181398 SYS CATH FLEXISL 936
8181425 CAUT OP TEMP DS 3310 199
8181455 CAUT TIP CLEANER 3310 48
8181460 CAUT TIP EXTEND 3310 55
8181485 CLMP COVER 3310 55
8181494 COMPRESN FT GARMNT 891
8181500 COTTON ROLL 1LB 3310 66
8181505 COV SHOE/BOOT 3310 9
8181520 CUFF TOURNIQUET 3310 171
8182080 DRN HEMO HYS-T 3310 372
8182189 J/P DRAIN 77
8182510 GLV STERILE 3310 0
8184500 PACKING SURGICEL 3310 145
8184505 PACKING SURGICEL 3310 226
8184510 PACKING SURGICEL 3310 260
8184515 PACKING SURGICEL 3310 90
8184565 PD MAGNETIC 3310 93
8184580 PD TBL OR 3310 269
8184630 PRB IRRIG 3310 1,012.00
8185008 SCALPEL 42
8185022 SHIELD FULLER 143
8185030 SHIELD SPLASH EN 3310 15
8185050 SKIN CLOS AS 3310 56
8185150 SPLNT NASL DOYLE 3310 161
8185240 SPNG SCRUB 3310 47
8185300 ST LAVAGE 3310 548
8185400 STRP FT ANKLE DISTRCT 152
8185550 SUCT HAND FRZR 3310 53
8185555 SUCT HAND YANK 3310 87
8185556 SCTN DVC BIOVC 300
8185598 ARISTA HEMOSTATIC SURGIFOAM 1,200.00
8186035 TB VACURETTE 3310 547
8186095 THERM PROBE REC 3310 155
8186510 PICO CARRY BAG 37.5
8186511 PICO 4X12 CM (S PUMP) 798.93
8186512 PICO 10 X 20 CM (S PUMP) 798.93
8186514 PICO 10 X 30 CM (S PUMP) 798.93
8186516 PICO 10 X 40 CM (S. PUMP) 798.93
8186518 PICO 15 X 15 CM (S PUMP) 798.93
8186520 PICO 15 X 20 CM (S PUMP) 798.93
8186522 PICO 15 X 30 CM ( S PUMP) 798.93
8186524 PICO 20 X 20 CM (S PUMP) 798.93
8186525 PICO 25 X 25 CM (S PUMP) 798.93
8186527 RENASYS ADHESIVE GEL PATCH 150
8186530 WIPE/SPONGE INST 3310 15
8186535 4 X 4 GAUZE PK 1.48
8201007 ADPT NEB 4110 25
8201045 AID PULMO 4110 391
8201070 KT ART PRES 4110 28
8201110 AW NASL 4110 195
8201120 AW ORAL 4110 89
8201500 BG AMBU 4110 57
8201520 BG RESUSCIT INF 4110 287
8201530 BG/TRAP COND 4110 36
8202000 CAN NASAL 4110 55
8202021 CANN DISP INER 4110 66
8202034 CIRC MDI 55
8202036 CIRC HEATED WIRE 4110 260
8202048 CIRT HHN 87
8202050 CIRT IPPB 4110 134
8202075 CIRT VOLV 4110 179
8202120 CRASH CRT 1,964.00
8202130 CUP ULTRSONC .45 4110 57
8202200 DETR CP CO2 4110 56
8202500 DIFFUSER AIR 4110 108
8203000 ELCTRD 4110 20
8203004 PAD DEFIB ADLT 474
8203005 ELCTRD EKG 4110 70
8203010 ELCTRD EKG 1 4110 19
8203065 ELCTRD SPIRAL 4110 131
8203500 FIL BACT 4110 27
8203545 FLTR BACTRA 4110 33
8203550 FLTR CIRCUIT 4110 42
8204005 DERMAGEL SHEET ANY SZ 110
8204016 HEMO VALVE INSERT TOOL 6
8204775 HUMIDFR O2 4110 55
8204820 INCENTIVE SPIRO 4110 156
8204830 INF PERCUSSOR 4110 81
8205000 KT ABG 4110 46
8205005 KT AEROSOL 4110 134
8205510 METER PEK FLO 4110 53
8205511 MINISTICK 173
8205555 MSK AIR ENTRAIN 4110 80
8205585 MSK ARSOL ADLT 4110 11
8205615 MSK BILI NB 4110 56
8205645 MSK CPAP ADULT 118
8205685 MSK FACE TNT 4110 142
8205700 MSK NOREBRET 4110 19
8205705 MSK O2 ADLT 4110 61
8205710 MSK O2 IPPB 4110 80
8205715 MSK O2 PED 4110 75
8205740 MSK TRACH 4110 75
8206250 OXISENSOR 4110 287
8206254 OXISENSOR CEREBRL 528
8206764 WATER STERILE 1L 48
8206765 STYLET ENDO TUBE 56
8207267 DISPOSABLE BP CUFF 71.7
8207296 TB O2 CONN 4110 75
8207350 TENT 4110 287
8207370 THERMOMETER 4110 42
8207371 TORQUE VISE 20
8207394 TRACH TB HOLDER 53
8207425 TUBING CONEC 4110 55
8207543 VORTRAN DISP 208
8211050 AID SHOE HORN 4110 38
8211060 AID SOCK ENGLISH 4110 156
8211165 BLT SPORT/BLACK 4110 122
8212133 CRUTCHES 4110 36
8212165 DONUT DISP 4110 33
8212186 ELECTRODES ROLLERBALL 24 780
8214530 MITT HND CNTRL 4110 297
8215243 REACHR 4110 260
8215260 RESTRNT WRIST-ANKLE 178
8215261 RSTNT VEST 4110 225
8215263 RESTRAINT LIMB HOLDER 223.2
8215270 RSTNT VEST LOCKING 287
8215600 SUCTION BRSH 4110 136
8216010 TOOTHETTE – 18
8216015 TRACH TALKER 4110 430
8216041 SUTURE TRAY 676
8220061 ADAPTER CHECK – FLO 42
8221015 BSK STONE DISP 1,001.00
8221050 BG URINE DRN 75
8221300 ELCTRD ECG 46
8221745 COIL EMBOLIC 181
8222045 URETERAL STENT SET $ 1,204.00
8222365 KT PERCU NEPHRO 1,015.00
8222592 ASSEMBLY, VAC LINE ATEC 2.5
8222598 CANISTER SUCTION W/ LID ATEC 22
8222604 FILTER TISSUE 44
8222618 LINE, MONITORING LUER LOCK PRESSURE 40.3
8222835 TRY ANGIOGRAPHY 557
8222874 NDL SPINAL 61
8223040 GDE LESION MARKING 165
8223253 SHTH INTRO LN 181
8223900 TRY MYELOGRAM 434
8225555 SUCTION YANKAUER 52
8225598 HR TRY HYSTERO 189
8226916 ST FLUID ADMIN 38
8227370 SYR IRRIGAT DISP 34
8182220 ELECTRODE TRIPOLAR GENERATOR 2,785.00
4915740 PLEURX PLEURAL CATH SYSTEM 2,750.00
4915745 PLEURX STARTER KIT 1,325.00
5336825 NITROFURAZONE SOL DRESS + 55
8024386 DRS COBAN 3IN 53
8024495 DRS GZ 2X2 2/P 14
8024515 DRS GZ 4X4 BX 48
8024525 DRS GZ 4X4 2PK 8
8024546 DRS WND GEL PAD ALL SZS 16
8024944 DRS ALGINATE 5X5 SHT 66
8024958 DRS WND 3-7 CM 152
8024968 DRS WND BIOPOLYMERIC 25
8024969 DRS WND 7-20 CM 680
8031554 ENDO CAP 1,620.00
8031605 CATH CYSTO 345
8031624 CATH SPINAL 4,806.00
8031630 CATH SUCT A/S 87
8031640 CATH SUCT+SLEV 34
8031660 CATH URET 81
8031665 CATH URET PRES 255
8032085 DRN PENROSE 53
8032448 HOOD COVER DISP 83
8032520 BALLOON INFLATION SYS 123
8032544 KT CATH ACCESS 240
8032574 KT AUTOTRANSFUSION 1,568.00
8032647 KT PAIN MGMT 435
8032750 NDL ARTERIAL 143
8032765 NDL BLUNT IRR 850
8032780 NDL BX 244
8032794 NDL COURAND DISP 246
8032795 NDL CYSTOTOM 401
8032807 NDL ELECTRD INSULATED 378
8032820 NDL HUBER 165
8032830 NDL HYPO A/S 1
8032831 NDL JAMSHIDI 306
8032832 NDL INFUSAID 61
8032835 NDL LOCALIZER 176
8032837 NDL LOCK DVCE 23
8032860 NDL PERCUTAN 36
8032872 NDL SHORT 155
8032873 NDL SMART 916
8032875 NDL SPINAL A/S 66
8032885 NDL SPINAL SPC 11
8032960 OST ADAPTOR URO 114
8032993 OST BARRIER FLANGE 75
8032997 OS BG COLOSTOMY 47
8033055 OST BLT A/S 75
8033149 OST PCH & WFR 53
8033175 OST POWDR KARYA 115
8033205 OST SKIN CLEANS 156
8033250 OST STMA BG 4110 47
8034305 SUMP DRN 4110 282
8034310 SUMP SALEM 4110 244
8034365 SYR ANGIO INJ 4110 42
8034375 SYR BULB 4110 70
8034390 SYR DIS TOOMEY 4110 62
8034450 SYR 10C CONTRL 4110 70
8034455 SYR 12CC 4110 19
8034460 SYR 12CC LL 4110 19
8034470 SYR 20C PLNTIP 4110 70
8034475 SYR 3CC LL 4110 19
8034480 SYR 3CC 23G 4110 20
8034490 SYR 30C PLNTIP 4110 53
8034500 SYR 5CC 4110 27
8034505 SYR 50C CATHT 4110 53
8034535 SYR 60CC LL 4110 70
8034537 SYS ART BLD IV 4110 27
8034546 SYRINGE MEDRAD 100
8034635 TB CULTURE 4110 42
8034780 TB STOM LEVINE 4110 174
8034799 TB TRACHEOSTOMY TYPE II 1,016.00
8035031 TROCAR CANNULA 305
8035066 BRDGE UMBLCL 10
8041005 ADPT CATH 4110 156
8041025 BG DRN URO 4110 109
8041040 BG URINE COL NB 48
8041050 BG URINE DRN 4110 116
8041065 BG URINE METER 4110 270
8041100 CATH COUDE ALL 4110 206
8041134 CATH FOLEY 3CC 100
8041135 CATH FOLEY 5CC 4110 142
8041145 CATH FOLY 2W ALL 4110 181
8041150 CATH FOLY 3W ALL 4110 270
8041176 CATH FOLY SILI 3CC 151
8041192 CATH R/R 4110 118
8041195 CATH RADIAL ART 4110 128
8041197 CATH STERI 4110 114
8041230 CATH TRY A/S 4110 199
8041231 CATH URETH 4110 102
8041250 CATH URETERAL 4110 96
8041315 PLUG CATH FOLY 4110 20
8048902 DURASPHERE 1ML 714
8055000 ADPT CATH 4110 225
8056014 CATH ANGIO 152
8056070 CATH BALOON UT 4110 $ 2,507.00
8056110 CATH BRONCHO 4110 830
8056200 CATH CARD KIT 4110 929
8056318 CATH EMBOLECTOMY 1,039.00
8056343 CATH EPIDURAL 4110 151
8056345 CATH CHOLNG 4110 162
8056353 CATH ERCP 4110 520
8056355 CATH CHOLNG 4110 659
8056366 CATH FGRTY DCLOT 4110 540
8056383 CATH FGRTY OCLSN 4110 659
8056397 CATH FOLOWR BOGE 4110 133
8056475 CATH HICKMAN 4110 $ 1,609.00
8056520 CATH INT PRESSR 4110 47
8056595 CATH MUSHROOM 4110 57
8056596 CATH MUSHROOM MALECOT 306
8056650 CATH PGTL 4110 360
8056690 CATH RECTL PRES 4110 179
8056695 CATH HYSTRSLPNGR 88
8056705 CATH SPEC 4110 554
8056739 CATH SW-GZ $ 4,359.00
8056770 COSEAL 1,665.09
8056795 CATH LONG SHEATH 438
8056815 CATH UMBIL A/S 4110 213
8056820 CATH VAS 4110 108
8056822 CATHETER, VASCULAR, 28G (1FR) 153
8056980 ST BASIN DBL S 4110 117
8056982 APPLICATOR BIOLOGLUE SYRINGE 2,000.00
8056983 CABLE, PACING SAFETY 350
8056984 CANNULA AORTIC ROOT 140
8056985 CANNULA AORTIC ANGLE TIP 262
8056986 CANNULA CORON BALLOON SELF INFLAT 600
8056987 CANNULA CORONARY UNIV SOFT TIP 208
8056988 CANNULA NEEDLELESS 3
8056989 CANNUL VENOUS RETURN 264
8056990 CANNULA VESSEL WITH VALVE & LUER 65
8056991 CANNULA, ARTERIAL FEMORAL 940
8056992 CANNULA, ARTERIAL STR 20DR 160
8056993 CANNULA, RETROGRADE 14 FR 351
8056994 CANNULA, VENOUS DUAL STAGE 979
8056995 CANNULA, VENOUS RETRN 29 FR 211
8056996 CATRIDGE HEPARIN 60
8056997 CATH THORAC RT ANGLE 48
8056998 CATH VENOUS RETURN 307.86
8056999 CATH VENTRIC LT HEART 16 FR 195.2
8057000 CATH CONTINOUT CARDIAC OUTPUT 1,482.00
8057001 CATH, RETRO CARDIOPLEGIA 858.72
8057002 CARTRIDGE CLOT ACTIVATING 16.8
8057003 ADHESIVE DERMABOND 232
8057004 FILTER CARDIOPLEGIA W/ SOLUTION 592
8057005 STAPLES RELOAD FLEX ARTIC 2,660.00
8057006 STAPLER FLEX ARTICULATING 3,760.00
8057007 GEL, RECONSTITUTING 125.33
8057008 STABILIZER HEART 3,600.00
8057009 COIL HEART STRING 2,116.00
8057010 KIT FOLEY TEMP SENSOR 260
8057011 KIT INTRO PERCUT SHEATH 365
8057012 CANNULA VENOUS QUICKDRAW 1,275.00
8057013 CATH DUAL LUMEN 615
8057014 KIT PERCUT INSERT 510
8057015 KIT SURGI FOAM ANTICOAG 375
8057016 WIRE MYOCARD PACING 200
8057017 OCCLUDER CORON DISPOS 445
8057018 PACK CELL SAVER 2,050.00
8057019 FILTER PALL 78
8057020 PUMP BLOOD CENTRIF DISP 510
8057021 PUNCH AORTIC 236
8057022 STAPLE RELAOD ECHELON 880
8057023 SENSOR NEURO 156
8057024 SET HEMOCONCENTRATOR 900
8057025 SET CORON PERFUSION 112.49
8057026 SET CARDIOPLEGIA DELIVERY 1,160.00
8057027 STRIP BOVINE PERICARD DRY 1,135.00
8057028 SUTURE EITHIBOND CARDIO 20
8057029 SUTURE ETHIBOND XTRA 180
8057030 SUTURE VICRYL 30
8057031 CATH ENDO PLEGE SINUS 6,225.00
8057033 WIRE CARDIAC TEMPORARY 90
8057037 ISOLATOR CLAMP 8,100.00
8057039 40 MM ATRI CRIP 2,850.00
8057040 FLOSEAL 10ML 1,012.59
8057041 CATHETER POWER PORT 1,317.00
8057042 EXOS FORM, L/XLM 471.75
8057044 EXOS FORM, S/M 631 471.75
8057046 EXOS FORM, S/M 627 456.45
8057048 KIT, RAPR-ROUND LRG VEST & LEG WRPS 414.06
8057052 SET,INFUSSION BURETTE 150ML SMALLBORE 47.3
8057054 SET,SYRINGE MICROBORE PRESSURE NDL FREE 18.7
8062510 CATH OCCL BALLN NEURO 8,050.00
8062511 CATH INTRACRAN 625
8062512 MICROCATH NEURO 2,208.00
8062534 EMBOL FILTER 5,985.00
8062544 MICRO GW NEURO 1,203.00
8062546 KIT NEUROVASC 125
8062548 CATH GUIDE 450
8062550 DEVICE, TORQUE 51
8062565 DVCE FB RETR INTRVS 5,305.00
8062569 NEURO EMBOL SEPARTR 5,800.00
8062572 CATH REPERCUSION 3,125.00
8062574 CATH NEURON GUIDE 990
8062576 TUBING ASPRTN STER 1,425.00
8062579 SOLITAIRE FR. REVASCULARIZATION DEVICE 32,625.00
8073086 GW 174
8073251 SHTH INTRO 4110 87
8073253 SHTH INTRO LN 4110 164
8073262 SHTH DAIG OBTURATOR 74
8073275 WIRE EXCH 4110 599
8081010 BSK SEGURA 4110 487
8081015 BSK STONE 4110 1,520.00
8081025 BX FORCEPS 4110 474
8081054 CLAMP UMBILICAL CATH 27
8081063 CLMP POUCH 465
8081065 CLMP VES 4110 303
8081095 DRILL TIP 4110 3,016.00
8081097 DRL WIRE PASS 3310 582
8081105 DVCE INFL 4110 470
8081115 ENDO FORCEP DISP 4110 109
8081116 ENDO BABCOCK 1,805.00
8081118 ENDOPEANUT 270
8081119 ENDO DISSECTOR 1,171.00
8081120 ENDO GRASPER 4110 1,171.00
8081122 ENDO IRRIGATOR 1,433.00
8081126 HEMOCLIP 420
8081129 ENDO STAPLER 1,337.00
8081130 ENDO SHEARS 4110 1,171.00
8081229 INST BIOPSY DISP 53
8081319 INST DELEE SUCTION 62
8081418 DVC TACKER DELIV 225
8081580 KT CNTRL LN DRS BIOPTCH 50
8081605 KT BLD COL PLE MNT WY ST 74
8081608 KT CTH FIXATION 42
8081660 INST SHAVE PATLA 4110 676
8081815 KT ACCESS 4110 255
8081835 KT ANS LTA II 4110 70
8081860 KT ARTERY RADIL 4110 151
8081890 KT CATH DIALYSH 4110 4,993.00
8081900 KT CATH PERC 4110 244
8081917 KT CHOLANGIOGRAPHY 411
8082000 KT DRN VENTRCUL 4110 719
8082010 KT DRS POST OP 4110 100
8082012 KT DRS SMALL 3.9X3 90
8082014 KT DRS MED 7.1X4.9 114
8082016 KT DRS LG 10.1X5.9 332
8082040 KT ENDO ACCESS 4110 801
8082050 KT EPID W/MED 4110 74
8082055 KT EPID W/O MED 4110 117
8082061 KT EYE BLUE 77
8082062 KT EYE GRAY 70
8082080 KT FTUBE ENTRAL 4110 78
8082081 KT PCNL 2,145.00
8082111 KT HERNIA 3,947.00
8082120 KT IABP INSERT 4110 10,416.00
8082155 KT INTRAUTERINE 4110 151
8082170 KT IRR WND 4110 1,018.00
8082180 KT JEJUCATH+ND 4110 386
8082344 KT PEG A/S 439
8082355 KT PER/LUM DISC 4110 10,406.00
8082395 KT PNEUMOTHORAX 4110 1,018.00
8082434 KT PRESSURE MONITOR 3,297.00
8082449 KT REPAIR VASC CATH 12
8082515 KT SKIN CR 4110 – 81
8082535 KT SUCT 4110 45
8082601 MANOMETER DISP 4110 128
8082635 PERFOR DISP NEUR 4110 861
8082668 SNARE STERILE 74
8082671 SNARE TONSIL 75
8082675 ST ART PUNCTURE 4110 506
8082679 ST CARDIOPLEGIC 1,796.00
8082808 TIP U/S 4110 282
8082820 TRY AMNIOCENTES 4110 266
8082835 TRY ANGIOGRAPHY 4110 2,125.00
8082845 TRY ANGIOGRPHIC 4110 1,472.00
8082870 TRY ANS EPIDRL 4110 340
8082910 TRY ANS SPINAL 4110 152
8082960 TRY ARTHROGRAM 4110 348
8082975 TRY ARTRL LIN 4110 506
8083005 TRY BN MARROW 4110 393
8083035 TRY BX 4110 325
8083040 TRY BX BASIC 4110 423
8083070 TRY BX TISU 4110 423
8083095 TRY CATH CARE 4110 124
8083110 TRY CATH CVP 4110 1,137.00
8083130 TRY CATH FO+BA 4110 276
8083155 TRY CATH FOLY 4110 245
8083175 TRY CATH ST 4110 171
8083185 TRY CATH ST 4110 255
8083190 TRY CATH SUBCLAV 4110 340
8083225 TRY CHEST 4110 1,189.00
8083230 TRY CIRCUM DISP 4110 442
8083250 TRY CRANIOTOMY 4110 282
8083265 TRY CRDVASC H/P 4110 304
8083271 TRY C/S H/P 4110 2,196.00
8083272 TRY CRNI TONG 4110 1,710.00
8083276 TRY CATH FO+URIMETER 316
8083295 TRY CTH SW-GZ HP 4110 1,349.00
8083315 TRY CVP TRI LUM 4110 676
8083329 TRY DBL LUMEN INT JUGLR 721
8083330 TRY DIALY PERTN 4110 848
8083340 TRY DECLOTTING 4110 557
8083395 TRY DRS EAR H/P 4110 520
8083440 TRY DRS SUBCLV 4110 260
8083625 TRY HYSTERECTMY 4110 245
8083645 TRY I&D 4110 374
8083725 TRY IRR W PIST 4110 38
8083775 TRY LAPARPSCOPY 4110 178
8083805 TRY LUMB PUNCT 4110 306
8083900 TRY MYELOGRAM 4110 551
8083910 TRY MYRINGOTOMY 4110 306
8084020 TRY PLS 4110 379
8084130 TRY REMV SUT 4110 136
8084210 TRY SIGMOID 4110 543
8084310 TRY THORACENTES 393
8084341 TRY TONSIL HEMMORAGE 538
8084345 TRY TRACH 4110 1,016.00
8084370 TRY TRIP/LUMEN 4110 887
8084419 VEN STRIP 4110 195
8089009 BECKER EXT. DRAINAGE & MONITORING SYSTEM 965
8089019 EXTERNAL DRAINAGE AND MONITORING KIT 1,616.00
8089029 VENTRICULOSTOMY SUPPLY 1,590.00
8092456 TR MAMOSTE CTH 7,800.00
8114031 BOOTS-STAY DRI 182
8114050 BRCE BACK CUSTM 4110 631
8121065 EAR TUBE 3105 206
8121075 EAR TUBE 3105 235
8121080 EAR TUBE 3105 74
8121116 RETNL PHTO CHAN NIFU 801
8121120 EAR WICK 36
8134750 PROTECT CAPS 2P 3110 14
8136246 SET SCREW 870
8136649 STAPLER RE-LOAD UNIT 1,383.00
8137111 FIBERWIRE 63
8137116 QUICKSET 3,210.00
8137117 PRB LITHOSTAT 690
8137118 PRB U/S 1,620.00
8137119 COVR THRDED HOLE 340
8137124 FLOSEAL 462
8137130 TRY SHOULDER 870
8137135 CANN ARTHRSCPE 375
8137158 DRILL BIT T2 525
8137162 DRILL TAP FOR POLARI 196
8137163 WIRE KIRSCHNR NITINOL 154
8137180 DRP SURGICAL 0
8137181 CAUT TENSIL 333
8137188 DRILL BIT CALIBRTED 801
8137189 DRILL BIT 405
8137195 DRILL BIT 375
8137196 DRILL BIT 870
8140995 CANN ANT CHMBR WSHT 118
8141011 ART/FEM CANNULA 80
8145765 VENA CAVA KT 3120 902
8151211 CLIP APPLIER DISP 615
8153025 KT CRANIOPLAST 1,734.00
8153029 NEURO CATHETER 1,971.00
8153042 KT P/M INTRO 457
8162035 DRP C-ARM 3300 235
8162037 C-SECTION DRAPE 0
8162040 DRP CAMERA 3300 303
8162095 DRP GOWN AS 3300 0
8162113 DRP IOBAN 3300 118
8162115 DRP LAP 3300 80
8162120 DRP LAP 3300 151
8162160 DRP LASER 18
8162185 DRP MAYO COVER 3300 36
8162190 DRP MICRO 3300 190
8162230 DRP S IOB 3300 235
8162245 DRP SHEET 3300 0
8162250 DRP SHEET 3300 0
8162275 DRP SHEET EXTR 3300 0
8162300 DRP SHEET SPLT 3300 0
8162315 DRP SHT HIP AS 3300 100
8162320 DRP SLEEVE S 3300 0
8162331 DRP STERILE 3300 0
8162375 DRP STRI INCSM 3300 36
8162385 DRP STRI ORTHO 3300 195
8162390 DRP STRI POUCH 3300 118
8162395 DRP STRI TOWSM 3300 47
8162400 DRP STRI TOWLG 3300 28
8162410 DRP STRI URO 3300 90
8162415 DRP STRI VAG 3300 80
8162420 DRP STRI X-LG 3300 141
8162440 DRP SURG 3300 0
8162445 DRP SURG 3300 0
8162455 DRP TBL 3300 133
8162465 DRP THYROID 3300 111
8162475 DRP TOWEL 3300 0
8162497 TOWEL STERILE CLTH 0
8162500 DRP TUR 3300 798
8162503 DRP U 174
8162525 DRP XRAY CASET 3300 42
8165015 PK ARTHROSCOPY 3300 323
8165050 PK CATARACT 3300 1,266.00
8165055 PK CESARIAN 3300 285
8165080 PK CYSTO 3300 90
8165105 PK EYE 3300 1,403.00
8165115 PK EYE IRR/ASP 3300 1,615.00
8165120 PK EYE PHACO 3300 601
8165125 PK GOWN/TOWXL3 3300 0
8165150 PK LAP 3300 100
8165160 PK LAVAGE WOND 3300 135
8165170 PK LITHOT 3300 236
8165175 PK MAJOR 3300 1,520.00
8165180 PK MINOR 3300 1,180.00
8165195 PK OB 3300 136
8165205 PK OB DELVRY 378
8165210 PK OB/GYN 3300 378
8165215 PK OCCUTOME 3300 246
8165276 PK ST PLASTIC BAG 28
8165305 PK TOTAL HIP 3300 755
8165310 PK TOTAL KNEE 3300 812
8165325 PK VITRECTOMY 3300 1,680.00
8170090 ANCHOR SUTURE 203
8171370 AS TROCAR 3310 757
8172210 BLD ARTHRO DIS 3310 615
8172235 BLD BEVR 3310 162
8172240 BLD BEVR 3310 204
8172285 BLD DERM GRAFT 3310 212
8172290 BLD DISP 3310 8
8172300 BLD EYE 3310 102
8172335 BLD SAW 3310 171
8172350 BLD SAW GIGLE 3310 145
8172385 BLD TREPHINE 3310 811
8172780 BRSH BRONCHIAL 3310 303
8172852 BURR OSTEO 3310 520
8172857 BURR DIAMOND 3310 920
8173328 CATH INTRATHECAL $ 2,085.00
8173330 CATH INTRO SET 3310 2,355.00
8173517 CEMENT CURRETTE 255
8173550 CEMT NOZZLE 3310 948
8173565 CEMT RSTR SET 963
8173700 CLIP IRIS MENTOR 3310 839
8173971 CURET LATDE DISP 600
8174010 DERMACARRIER 3310 204
8174016 DVCE ENDOCLSR 219
8174035 DIL VESSEL 3310 70
8174050 DRILL BIT CANNL 3310 1,510.00
8174102 EXT FIXATOR DEVICE $ 43,746.00
8174305 ELCTRD HOOK LAP 3310 1,439.00
8174405 ENDO DISSECT 3310 1,223.00
8174415 ENDOPATH 3310 804
8174645 FLTR BLD PALL 3310 226
8174906 HYDRO-SURG DBRIDE TBNG 1,335.00
8174910 INJECTR/NEDL GI 3310 178
8174929 INTRODUCER NEEDLE 96
8175005 KIT ACL 1,973.00
8175008 KT CRANIAL ACCESS W/5MM 1,600.00
8175009 KT DURASEAL GEL 1,650.00
8175019 KNF ANGLED SLIT 270
8175045 KNF MYRINGOTOMY 3310 379
8175060 KNF SURG EYE 3310 297
8175165 LOOP VESSEL AS 3310 81
8175180 LOOPS 3310 882
8175207 LZ FIBER MICRON 3,120.00
8175211 LZ FIBER SIDE-FIRING 6,252.00
8176070 PHACOEM TIP STR 3310 282
8176100 PLEDGET CV TEF 102
8176134 PRB LITHO CWRB 2,250.00
8176140 PRB OCCUTOME 3310 1,403.00
8176149 TISSEL 10ML 1,636.50
8177031 SHEARS HRMONIC 1,134.00
8177113 SHTH VASC FR ANY SZ 945
8177160 SOFTJAW INS SET 3310 426
8177218 SET DISKCTMY 5,085.00
8177405 SUT RETREIVER 3310 255
8177487 EQ ISOGARD SYS 960
8177501 EQ YTI NAVIG SYS 2,925.00
8177596 TISSUE MANIPULATOR ENDO 888
8177960 URET DILAT BLN 3310 $ 2,956.00
8177963 WAND ARTHRO LOPRO DISP 1,771.00
8177967 WAND SPINAL 7,200.00
8181230 CLPR BLADE HR REM 4
8181410 CAUT COAG SUCT 3310 102
8181419 CAUTERY PROBE 640
8181430 CAUT PEN+CRD 3310 171
8181435 CAUT PEN+CUP 3310 62
8181440 CAUT PEN+TIP 3310 118
8181445 CAUT PEN+TIP+CRD 3310 171
8181450 CAUT TIP BAL/NED 3310 38
8181466 CELL PCKR COLL DVCE 525
8182050 DRN ABRAMSON 3310 80
8182065 DRN CHEST 340
8182100 DRN HEMOVAC 3310 530
8182105 DRN JACKPRAT 3310 561
8182120 DRN RESER 3310 131
8182145 DRN SUMP SALEM 3310 77
8182169 DRN WOUND A/T 3310 217
8182256 DRSG HYDROGL WND GEL FLO 287
8182515 GLV SUR/SPC 3310 0
8182520 GLV SURGN PR 3310 0
8182630 INTRO CATH 3310 27
8182882 KT CRYOABLATION 17,250.00
8182900 KT ENDOMTRIAL ABLATN 2,985.00
8182924 MSK LARYNGL AIRWAY ADLT 102
8183010 NDL BX CHIBA 3310 306
8183020 NDL BX T CUT 3310 423
8183050 NDL SOFT TIP 3310 66
8183595 SYS BIPLR/TURP 5,400.00
8184560 PD INST MAGNET 3310 75
8184800 RAZOR DISP STERL 3310 90
8184805 RAZOR S/P 3310 8
8184810 RF ABLATION PROBE 6,600.00
8184820 SYS BIPOLAR LZR 1,125.00
8184825 RETAINER VISCERA 3310 131
8185110 SLEVE TH PR COM 3310 628
8185115 SLEVE TH ST EA 3310 331
8185180 SPNG DENTL PKG 3310 102
8185195 SPNG LAP 3310 70
8185200 SPNG LAP 18X18 3310 20
8185215 SPNG NEURO 1X1 3310 57
8185225 SPNG PEANUT 3310 70
8185235 SPNG SCLERALS 3310 811
8185265 SPNG TONSIL 3310 11
8185560 SUCT HANDLE POOL 3310 70
8185585 SUCT TUBNG 3310 53
8185590 SUCT TUBNG VAC 3310 21
8185595 SUCT/IRR TIP LG 3310 27
8185596 INTERSED-HEMOSTAT-SURGICAL 750
8186015 TB DRN 3310 1,379.00
8186030 TB T DISP 114
8186130 TP GLOW & TELL 70
8186529 ANTIMICROBIAL GAUZE 76.23
8186531 DRESSING, XEROFOAM5X9 2.8
8186533 DRESSING, VAC SILVER GRANULFOAM 281.45
8186536 XG DRESSING, BRIDGE 275
8186538 RETRACTOR ALEXIS O-C-SECTION 152.5
8191005 AS CLIP 3200 195
8191056 AS IRG/SUCT 3200 19
8191060 AS LDSXX A/T 1,616.00
8191065 AS NDL TROCAR 3200 779
8191087 PURSE STRING 657
8191106 AS STPL RELD 662
8191108 AS STPL RELD 453
8191158 STPL LINEAR CUTTR 2,072.00
8191165 AS STPL SKN 3200 442
8193087 STAPLE HEMRRHD 1,050.00
8194016 SUT ANCHR SWIVL 1,065.00
8194020 SUT BASIC/GEN 3200 30
8194025 SUT BLSTR RETEN 3200 28
8194072 SUT CARDIOVASCULAR 1,349.00
8194081 SUT CATG I 3200 1,012.00
8194125 SUT CLIP SKIN 124
8194155 SUT CLOS NLON 3200 42
8194160 SUT CLOS PROLEN 3200 68
8194165 SUT CLOS SLK 3200 80
8194180 SUT CLOS VIC&JE 3200 27
8194190 SUT CLP LIGA AS 48
8194220 SUT ENDOLOOP 3200 204
8194235 SUT EYE 3200 1,180.00
8194560 SUT STAPLE REM 3200 151
8195000 TP UMBILICAL 3200 55
8195250 WAX BONE 2.5GMS 15
8202023 500 ML CANISTER (WITH GEL) 111.33
8203060 EP ELCTRODE MPNG SYS 3,135.00
8206766 ADJSTBL SLTTR 43
8207265 TB ENDOTRACH 4110 312
8207270 TB ENDTRACH 4110 279
8207275 TB ET RAE 4110 102
8207300 TB TRACH FN 4110 591
8207320 TB TRACH SHILY 4110 446
8221115 CATH DRNG ALL PURPOSE 693
8221988 KT BILIARY DRN 986
8222196 TOUHEY BORST STOPCOCK 40
8222197 STOPCOCK 3WAY DISP 11
8222758 NDL ANY 95
8222763 NDL BX ANY 151
8223029 TRY LUMB PUNCT 304
8223058 GW AMPLATZ STIFF 151
8223820 NDL ENTRY 65
8224548 DRS TRANSPARENT 4X4 36
8224554 DRS STERI-STRIP ANY 23
8224602 TB CONN EXT 12FT 72
8224684 TB SUCTION CONN 6FT 38
8226439 CATH GLIDE 289
8226920 ST IV 127
8231040 CABLE PACING 131
8232001 KT O2 SATURATION 19
8232200 SUT PROLENE 70
8233020 TRY ACCESSORY MANIFLD SY 160
8233057 GW 379
8233166 SLEVE SWAN-GANZ ADPT 81
8236004 CATH ANGIO 426
8236015 PM CABLE WI ALLIGTOR CLIP TEMP 54
8236168 CATH DIAGNOSTIC 87
8236900 GUIDE CATH W DILATOR 455
8240044 CATH TRHROMB DCLOT ARTGRFT 1,906.00
8240070 CORONARY BALLOON CUTTING 4,556.00
8240084 FEMORA COMPRESSION SYS 346
8240142 HLS SFTY SHEET 195
8240160 GUIDE CATHETERS 261
8240165 PRESSURE WIRE 2,851.00
8240179 PTCA GUIDEWIRES 495
8240181 PTCA GUIDE WIRE EXTENSION 495
8240258 LD PM SEALNG ADPTR 300
8240855 CATH IVUS 30 MEGA 3,936.00
8243339 FASTNR CATH PERC DRN 34
8243364 INFLATR HI PRS W/GE ENC 495
8243368 EMBOLIZTN PRTCLS MICR 330
8243374 SNRE INTRAVASC AMPLTZ 900
8243388 STYLT EMBOL OCC SPRNG 105
8243389 SYSTM ASPIRAT/RNSE VSC 4,485.00
8245200 ROTALINK BURR 2,775.00
8245210 ROTALINK PLUS ADVANCER 3,592.00
8033080 OST CLAMP BG 74
8033147 OST PCH DRNBLE 212
8114100 BRCE ORTHOPEDIC 4110 $ 0
8114205 COLLAR, ASPEN VISTA UNIV 234.75
8122005 EYE CONFRM – 20
8122120 EYE SPHERE 3105 99
8122125 EYE TIRE/S 3105 – 638
8137123 KT OSTEO-SET REABSRB 2,955.00
8137185 KT OSTEO RESRB BEAD 2,955.00
8137197 NORIAN SRS $ 7,290.00
8137198 NDL NORIAN DELIVERY 615
8140991 PM AICD TRPL BIVENTRIC $ 84,000.00
8140993 PM AICD SNGL CHMBR $ 57,000.00
8144030 P/M LD INTRM 3130 $ 9,356.00
8144060 PCMKR TEMPRY 540
8144071 PACE LD ARTERIAL J $ 8,698.00
8240012 PM HF/RF BIVENTR TOT SYS $ 90,000.00
8240138 PM BIVENTRIC $ 24,000.00
8240151 PM AICD DC $ 58,500.00
8240189 LD AICD SNGL CHMBR $ 12,267.00
8240197 LD AICD COMB/SNGLE DUAL $ 12,267.00
8240229 PM LEADS $ 2,100.00
8240313 PM DUAL NON-RATE RESP $ 18,000.00
8240314 PM AICD DUL CH $ 67,500.00
8240315 PM SINGL NON-RATE RESP $ 18,000.00
8240316 LD ACID $ 16,800.00
8240319 PM DC RATE-RESPONSIVE $ 43,010.00
8240320 PM AICD BIV $ 74,100.00
8240321 PM SC RATE-RESPONSIVE $ 43,010.00
8240322 PM SC RATE RESP $ 14,550.00
8240323 PM DC RATE RESP $ 19,500.00
8240349 PM OTHER THAN SING/DUAL $ 21,000.00
8241744 LP SPRNT QUATRO SNGL CL $ 16,800.00
8242642 PM DC RATE-RESP $ 21,900.00
8242663 PM DC RATE RESP $ 14,550.00
8242748 PM CGNIS HE IIS-1DFTOTSY $ 129,000.00
8122015 EYE CORNEA 3105 $ 14,664.00
8122026 EYE GLAUC IMP 4110 $ 600
8122040 IOL POSTERIOR$ $ 2,685.00
8122041 EYE IOL 4110 $ 1,368.00
8122042 EYE IOL 4110 $ 761
8122043 IOL ANTERIOR $ 1,520.00
8122065 IOL IRIS SUPPRT $ 2,085.00
8122071 IOL ASTIG CORCT FNCTN * 1,185.00
8122172 IOL PRESBYOPIA 1,185.00
3080200 INJECT BULKING AGENT SYN IMPLANT PER ML 4,900.00
8031359 BN PTY ORTH BLND 5 CC $ 2,880.00
8031364 BN PTY ORTH BLDN 10 CC $ 4,170.00
8031366 BN PTY 5 CC $ 2,250.00
8031368 BN GEL $ 1,795.00
8031369 BN PTTY 10 CC $ 3,211.00
8031372 BN GEL/PUTTY 10 CC $ 7,275.00
8033510 PERMACATH 4110 $ 2,277.00
8041080 CATH BLN 4110 1,105.00
8041085 CATH BLN DIL 4110 232
8056010 CATH ANGIO BALN 4110 2,378.00
8056236 CATH CHLNG PRC INTRO 109
8056350 CATH CHOLNG 4110 255
8056375 CATH CV BAL DBL 4110 6,080.00
8056377 CATH FGRTY IRR 4110 325
8056380 CATH CVP 4110 $ 6,080.00
8056390 CATH, DIALYSIS, QUENTIN $ 2,671.00
8056440 CATH GLIDE WIRE 4110 448
8056455 CATH GORSHANG SM 4110 $ 3,749.00
8056470 CATH HICKMAN 4110 $ 1,953.00
8056660 CATH PORTACATH 4110 $ 6,070.00
8056750 CATH SW-GZ DIAGP 4110 170
8056765 CATH SW-GZ THERM 4110 1,450.00
8056775 CATH TENCHHOFF 4110 726
8056780 CATH THORACIC 4110 273
8056811 CATH TROCAR INGRAM 12FR 216
8057032 GW PLAIN 52.4
8057035 PERICARDIAL TISSUE HEART$ 18,480.00
8057050 SHUNT INTRACORONARY 440
8062045 STENT-UR-DIVER SET-$ $ 1,568.00
8062050 ST STENT MZR UR 4110 $ 1,568.00
8062055 STNT BIL $ 1,600.00
8062061 STNT ESOPH PLY FLX $ 6,150.00
8062085 URET STENT-DBL-J-SG$ $ 2,111.00
8062096 STENT FETAL BLADDER $ 1,200.00
8062143 STNT ULTRAFLX ESOPH $ 3,966.00
8062145 STNT URETERAL 4110 $ 1,505.00
8062150 STNT URETERAL 4110 $ 2,588.00
8062155 STNT URETERAL 4110 $ 1,889.00
8062500 STNT BALLOON NEURO 5,225.00
8062515 DEVICE ARTER CLOSE 1,175.00
8062520 COIL NEURO IMPL 6,700.00
8062530 EMBOL ANEURYSM SYS 13,650.00
8062532 EMBOL LIQ GLUE 7,560.00
8062536 EMBOL GWIRE CAPTR 5,092.50
8062538 EMBOL SPHERES 2,484.00
8062539 EMBOL COIL PUSHER 790
8062542 INTRODCR SHTH NEURO 455
8062560 STENT CAROTID IMPL 3,525.00
8062567 STNT CERBRAL ANEURY 12,590.00
8073055 GW 4110 378
8073100 GW COOK 4110 632
8073165 GW INTR 4110 1,157.00
8081606 KT CTH PRC THRMB HI FLO $ 1,839.00
8081607 KT CTH DUL LMN W/CRVD EX 287
8081609 KI CTH SUB DBL LM W/CRV 287
8081610 KT CATH C/V MULTI-LMN 259
8081611 KT INTRODCR W SHTH&GW 179
8081612 KT INTRO CTH SHTH&DIL WO 158
8081613 KT INTRO CTH SHTH WO GWR 165
8081614 KT INTRO CTH 189
8081615 KT INTRO MICROPE CTH NDL 450
8081616 KT INTRO PRC SHTH W/HI F 91
8081617 KT SHTH INTRO W/GDRW 35
8081618 KT STNT URET AMPL WO GW 447
8081619 KT SB PRT PL PRE VEN INT 690
8081620 KT THOR VNT W/CATH 627
8081621 KT VSC ACC FSTRCKR TPR $ 1,530.00
8082216 KT ATTAIN LDS 1,800.00
8084018 TRY PICC 1,114.00
8093155 TORP-GOLDENBERG-RH$ $ 2,895.00
8093300 VENTRICULR LT SYS DVCE $ 1,018.00
8121070 EAR TUBE 3105 $ 1,266.00
8121114 PROS EAR PORP $ 1,200.00
8122027 EYE GRFT HUMAN 3105 $ 6,573.00
8122028 IMP EYE PTCH PRCRDIAL 795
8122167 GRFT AMNIOTIC $ 1,428.00
8124000 VOICE DKBL 3105 $ 1,000.00
8131260 BN BLOCKS 3110 $ 2,776.00
8131275 BN CHIPS 3110 $ 1,823.00
8131278 BN PUTTY $ 4,350.00
8131282 IMP BN HYDRCPT $ 3,750.00
8131285 BN GRFT 3110 $ 5,412.00
8131286 BN GRFT MTRIX STRP $ 4,050.00
8131293 FORMAGRAFT $ 4,485.00
8131315 BOLT CNNLTD 3110 $ 448
8131325 BOLT TIBIA N+WAS 3110 $ 244
8131330 BOLT TIBIA WASHR 3110 143
8131376 BN GEL/PUTTY 15 CC $ 10,476.00
8131500 CABLE FX SPINE 3110 $ 6,257.00
8131520 CEMT BN $ 1,028.00
8131531 DURASEAL $ 1,502.00
8131555 CUP $ 6,118.00
8131560 CUP SELF CENT $ 7,131.00
8132007 EXFX CAP TIP 3110 710
8132020 EXFX COLLES 3110 206
8132150 EXFX MIN 3110 $ 13,380.00
8132155 EXFX PIN HOLD 3110 386
8132510 FEM NAIL 3110 $ 9,224.00
8132520 GREAT TOE IMPLANT $ 3,150.00
8132800 HD BIPOLAR 3110 $ 4,250.00
8132805 HIP-BIP-FEM HEAD$ $ 4,349.00
8132820 HIP EXETER CENT 3110 386
8132835 HOOK HARINGTNS+B 3110 $ 1,201.00
8132900 IMP BN 3110 $ 1,189.00
8132914 IMP SPNL FUSN $ 19,665.00
8132928 ROD $ 900
8132940 IMPL ARTICLR COMPNT $ 6,000.00
8132951 IMPL TAPER POST $ 1,185.00
8133075 NAIL TIBIA 3110 $ 5,006.00
8133077 IMP PLATE $ 7,386.00
8133079 IMP SCREW $ 1,140.00
8133080 IMP RE-FIXATN PIN 528
8133081 IMP CORTICAL SPACER $ 3,228.00
8133082 CORTICAL BLOCK $ 3,165.00
8133545 PIN HABIE 3110 $ 457
8133580 INTRAMEDULLARY PIN$ $ 6,192.00
8133590 PIN KNOWLES AS 3110 473
8133595 PIN MLT FIXATN 3110 142
8133601 PIN ORTHOSORB 3110 $ 1,046.00
8133616 PIN HEADED 225
8133620 PIN SKULL MAYFLD 3110 42
8133635 PIN STEINMAN PL 3110 $ 800
8133640 PIN STEINMAN THR 3110 143
8133651 PLATE AO SPECIAL TYP2 398
8133652 PLATE AO SPECIAL TYP3 656
8133653 PLATE AO SPECIAL TYP4 $ 1,256.00
8133654 PLATE AO SPECIAL TYP5 1,932.00
8133665 BONE PLATE $ 2,700.00
8133666 PLATE CRVICAL $ 9,000.00
8133670 PLT BN LIGHT 3110 $ 1,033.00
8133675 PLT BN MED 3110 $ 1,742.00
8133690 PLT COMP HIP 3110 $ 1,487.00
8133700 PLT COMPRESION 3110 $ 1,200.00
8133715 PLT E CLOVLEAF 3110 $ 1,439.00
8133720 PLT E COMP BRD 3110 $ 1,162.00
8133725 PLT E COMP DCP 3110 699
8133735 PLT E COMP NRW 3110 704
8133785 PLT E SEM TUBE 3110 $ 1,200.00
8133795 PLT E T 3110 242
8133800 PLT E T BUTRES 3110 $ 1,500.00
8133810 PLT E T OBLIQ 3110 242
8133811 PLATE TIBIAL $ 3,561.00
8133825 PLT E 1/3 TUBE 3110 242
8133837 PLT LEG DISP 117
8133843 PLATE OTHER 189
8133845 PLT RECONTSRCT 3110 $ 1,347.00
8133870 PLT-SUPRA-8HOLE-ZI $ $ 3,973.00
8134200 HIP-TOT,FEMORAL HEAD$ $ 4,916.00
8134202 HIP-BIPOLAR STEM $ 17,709.00
8134204 IMPL FEMORAL HEAD $ 3,588.00
8134267 PROS EAR $ 3,176.00
8134290 HIP-TOT-ELIMINATOR $ $ 1,216.00
8134299 IMPL HIP ACET INSERT $ 7,281.00
8134300 IMPL HIP ACTBCU $ 5,718.00
8134315 IMPL HIP FEMSTE $ 16,687.00
8134333 BIOMET BIPOLAR NECK$ $ 3,730.00
8134338 IMPL HIP LINER $ 5,006.00
8134352 IMPL HUMERAL HD $ 5,554.00
8134354 IMPL HUMERAL STEM $ 15,421.00
8134355 KNEE-REPLACE FEMUR -R $ $ 19,215.00
8134360 IMPL KNE/FEMORA $ 16,315.00
8134375 KNEE-FEMUR-CEMTD-IT$ $ 16,232.00
8134380 IMPL KNE/INSERT $ 5,816.00
8134385 IMPL KNE/PATELA $ 4,046.00
8134400 IMPL KNE/TIBIAL $ 11,377.00
8134425 KNEE-ARTIC-PORUS-ZI $ $ 6,393.00
8135010 ROD-FEMORAL-AM $ $ 7,587.00
8135030 RD SPINL FUSN $ 1,236.00
8135105 RUSH PIN E-6IN 710
8135150 SCRW ARTHRO 3110 $ 1,162.00
8136005 SCRW BN 3110 850
8136006 SCRW BN MINI $ 1,125.00
8136020 SCRW CANCL 3110 216
8136021 SCRW CANCL 3110 72
8136026 SCRW ANGLED $ 1,500.00
8136030 SCRW CANN 3110 821
8136060 SCRW COMPRS/LAG 3110 $ 2,421.95
8136066 SCRW CORTICAL 100X40 MM 264
8136067 SCRW CORTX 3110 70
8136108 SCREW MALLEOLAR $ 300
8136120 SCRW E WASHER 3110 204
8136140 SCRW FIXATION 3110 676
8136146 SCRW HEADLESS 693
8136171 IMPL CRANIO SCREW 182
8136175 SCRW HIP COMP 3110 $ 1,402.00
8136220 SCRW PEDICLE $ 5,445.00
8136226 IMP SCRW SPINL FUSN $ 3,525.00
8136266 SCREW SPECIALITY TYPEI $ 500
8136267 SCREW SPECIALITY TYPEII 568
8136278 CANNUL-TIB-NAIL-AM $ $ 5,261.00
8136280 SCRW TITAN 3110 216
8136285 SCRW TOTAL HIP 3110 761
8136301 SPACR CORTICL $ 4,500.00
8136305 SCRW ZIMMER 3110 $ 1,100.00
8136582 ST SCREW & NDL $ 1,066.00
8136590 KNEE-STEM-POUROS-ZI$ $ 15,723.00
8136595 STEM SPACER 3110 $ 4,704.00
8136600 HIP-CENTLGN STEM-ZI$ $ 17,054.00
8136620 STPL BN 827
8137015 HIP-TOT,PSFT HEAD-I$ $ 4,147.00
8137025 TOTAL HIP STEM $ 23,211.00
8137095 WIRE KIRCHNER PL 3110 102
8137110 WIRE TROCANTOR 3110 75
8137113 SCRW TENODESIS 885
8137114 TIBIAL BLOCK $ 2,508.00
8137120 REF XLPE $ 3,735.00
8137121 SCRW SPINAL $ 9,450.00
8137122 STEM BIPOLAR $ 17,709.00
8137127 GRFT JACKET 7,575.00
8137128 XBSM $ 3,855.00
8137129 STEM TOT HIP $ 9,450.00
8137131 IMPL OPES 450
8137132 IMPL LOW PROF 450
8137133 SCRW BIO-INTRFR 415
8137134 SCRW ANCHR BIO 675
8137136 IMPL HIP FEM PEG $ 1,467.00
8137137 IMPL HIP FEM NK $ 2,970.00
8137138 IMPL HOLE CVR REFL 1,050.00
8137139 IMPL PEG $ 1,467.00
8137140 IMPL BLOCK $ 2,508.00
8137141 IMPL FEM REVI PPOR $ 13,775.00
8137143 IMPL TIBL BASE NO SPKE $ 6,204.00
8137144 IMPL STEM $ 2,613.00
8137145 IMPL AUG $ 2,508.00
8137146 IMPL INSERT $ 3,828.00
8137148 IMPL HEAD A $ 10,890.00
8137149 IMPL HIP PROX STND SZ $ 8,250.00
8137150 IMPL MOD NECK $ 2,970.00
8137151 IMPL STEM $ 5,808.00
8137152 IMPL CONSERV A $ 10,899.00
8137153 IMPL SHLDR HUMRL STEM $ 11,154.00
8137154 IMPL HEAD CBLT CHRM $ 4,758.00
8137155 GW T2 SMOOTH TIP 1,019.10
8137156 GW T2 BALL TIP 1,019.10
8137157 SHFT RMR MODLR TRNKL 525
8137159 IMPL NAIL HUMERAL $ 4,200.00
8137160 SCREW IMPL LCKING T2 510
8137161 IMPL ROD UMRL POLARI $ 4,374.00
8137164 IMPL ACET SHELL HELPOR $ 3,870.00
8137165 IMPL INTER-IO DURASUL $ 3,183.00
8137166 NAIL FEMORAL $ 12,168.50
8137167 SCRW LAB TITAN $ 1,512.00
8137168 SHFT REAMER MOD TRNKL 2,544.50
8137171 IMPL TIBIL INSRT NONPOR $ 5,640.00
8137172 IMPL INSERT $ 3,480.00
8137173 IMPL PATEL COMP $ 1,932.00
8137174 IMPL FEMUR REVISION $ 12,504.00
8137175 IMPL STEM $ 2,184.00
8137176 LAMINA HOOKS $ 4,350.00
8137177 LOCKING PLUG $ 1,485.00
8137178 PROS EAR SMRT STPS PSTN $ 1,200.00
8137182 IMPL PALACO RTG W/GENT $ 1,185.00
8137183 IMPL GRFT JACKET $ 7,875.00
8137184 IMPL METAPH GRFT INJ $ 5,595.00
8137186 NAIL CANNUL TIBIAL ANY S $ 3,831.00
8137187 SCRW LOCKING ANY SZ 528
8137190 GUIDE ROD 300
8137191 LCP CNDYLR PLATE $ 3,921.00
8137192 SCRW CANN LCKNG ANY SZ 495
8137193 SCRW CANN CONICAL 657
8140986 CONTOUR ALLODERM LARGE 164 SQ CM 20,733.00
8140988 CONTOUR ALLODERM LARGE 164 SQ CM 8,984.30
8140990 PM AICD DUAL CHMBR $ 72,000.00
8140994 AORTIC MECHANICAL VALVE 45,375.00
8140999 ACTIFUSE SHAPE LRG 15.8 mL 28,500.00
8141136 CATH URET MEAS DISP 330
8141250 CATH GROSHONG $ 5,147.00
8141275 CATH VENTR 3120 3,447.50
8141285 CLIP ANEURANEUR 3120 $ 1,638.00
8141598 FLEX GRAFTON $ 4,362.00
8142016 GRFT CRANI DURA PTCH $ 1,008.00
8142021 GRFT STRAIGHT $ 9,477.00
8142026 GRFT APLIGRAF SKN $ 1,000.00
8142056 IMPL DYNAGRAFT $ 1,300.00
8142059 GRFT BIF ENDO-PROS $ 51,225.00
8142065 GRFT GRTX PTCH 3120 $ 2,750.00
8142080 GRFT MESH MARLX 3120 $ 1,200.00
8142090 GRFT MESH PROLN 3120 $ 1,100.00
8142105 GRFT MESH $ 1,256.00
8142116 GRFT PATCH DACRON 3120 $ 1,033.00
8142130 GRFT FLX AAA BIF $ 22,866.00
8142150 GRFT VASC BIF G 3120 $ 6,908.00
8142155 GRFT VASC BIF M 3120 $ 4,349.00
8142176 GRFT ILIAC LEG $ 15,425.00
8142180 GRFT VASC STR B 3120 $ 2,886.00
8144130 PACE LD VENT 3130 $ 9,356.00
8145005 SHNT CAROTD BYP 3120 502
8145105 SHNT INAHARA 3120 $ 1,647.00
8145119 STEM CELL KIT PRP GRAFT 5,250.00
8145795 VLV HAKIM STD 3120 $ 5,609.00
8151030 ENDOPRSTH THORACIC $ 36,225.00
8151210 CLIP ANUERSYM 3105 $ 1,661.00
8151215 DURAGEN 2X2 1,155.00
8151217 DURAGEN 3X3 2,101.02
8151219 DURAGEN 4X5 3,529.83
8151511 IMP ELBOW HD $ 4,725.00
8151512 IMP ELBOW STM $ 5,580.00
8151980 IMPL ANCHOR CRKSCRW 5MM $ 1,300.00
8151981 IMPL NOVABONE $ 1,185.00
8151991 IMPL URETH ENDOPRSTH $ 8,985.00
8151997 IMPL CRANIO PLATE 1,890.00
8152003 COLLAGRAFT/3 STRIP$ $ 6,019.00
8152011 IMP SPNE XSTOP ALL $ 12,000.00
8152021 IMP PATLLA TNDN $ 8,625.00
8152022 IMPL SCRW BIOABSORB I 131
8152028 IMPL TISSU EXPNDR BRST $ 3,975.00
8152033 IMP SPHINC URN 3105 $ 9,003.00
8154000 PENILE IMP 3105 $ 15,538.00
8154060 PROS BREAST 3105 $ 6,573.00
8154155 PROS PENILE PUM $ 34,512.00
8154190 PROS TESTICULAR $ 15,538.00
8170070 ANCHOR FASTAK 755
8172010 BARS ARCH 3310 246
8173355 CATH PERITNL 3310 $ 4,654.00
8173505 CEMT BON 3310 487
8173515 CEMT CARTRIDGE 3310 $ 1,388.00
8173551 CEMT FEMORAL PRESSURZR 259
8174690 FLTR VENA CAVA $ 10,071.00
8175147 KT SPNL CRD EXT $ 2,805.00
8175148 QUAD PLUS LEAD-MD $ $ 14,056.00
8175345 MSH PROLENE 3310 610
8176080 PIN GDE ALL 3310 195
8176209 RESER RICKMAN 3310 $ 1,276.00
8176767 KYPHOPLASTY IMPLANT $ 12,879.00
8177174 ITREL-3 GENERATOR $ 51,000.00
8177540 TB SILSTIC/IN 3310 195
8177576 MICRN CONTCT FBR W/TP $ 1,935.00
8177585 TISSUE EXPNDR $ 4,500.00
8177820 UTERINE ELEVATOR 3310 $ 7,535.00
8177944 VLV AHMED GLACM $ 1,785.00
8177975 WIRE CERCLAGE 3310 1,904.00
8177991 IMPL VAG SLING $ 3,384.00
8181389 CATHETER SAVI SPACER 585
8191037 AS ENDO GIA VASC $ 2,794.00
8191102 JOINT DEVICE (IMPLANTABLE) 2,948.00
8191109 AS STPL RELD $ 1,033.00
8191150 AS STPL ILS 3200 $ 5,044.00
8194620 ANCHOR 3.5 MM $ 1,520.00
8203055 PACING ELCTRODE,INTRACA$ $ 1,728.00
8207031 ST CATH CV/PICC DBL LMN 318
8207032 ST DRAINGE W/LCKG PGTL 277
8207033 ST INTRO PEL-AW SHTH WO 158
8207034 ST LVR ACC BIOPS W/ NDL& $ 1,354.00
8216031 TR CAT TRIPLE LUMEN CURV 360
8216032 TR DIALY MAH CTH TRPL LM 360
8221080 CATH BLN LRG 1,105.00
8223055 GW ANGIO 804
8223080 GW SEEKER/TRCKR 1,229.00
8223085 GW DX 629
8223087 GW VARIABLE STIFFNESS 378
8223247 GW SUPER STIFF 257
8224690 FLTR VENA CAVA 6,271.00
8226097 CATH BIL DRAINAGE 509
8226450 CATH GORSHONG LG $ 1,016.00
8226615 CATH NEPHROSTOMY 651
8233055 GW 66
8233060 GW 199
8233075 GW 359
8233080 GW 123
8236778 CATH THERMODILUTION 1,437.00
8240010 CATH, SLVR HAWK DRCTNL $ 8,985.00
8240028 EP ABLATN CBLES 375
8240031 CATH BLN TRILOBE 1,755.00
8240061 SYS CPS DELIV 1,335.00
8240086 EP CATH DIAG 3,150.00
8240088 CATH EP ABLATION $ 2,700.00
8240094 EP CATH COOL TIP 4,350.00
8240095 CATH CSL DECA 1,185.00
8240096 CATH CRD-2 390
8240097 CATH JSN 390
8240098 CATH SAPHIRE CRVD 2,175.00
8240127 CATH SLVR HWK DRCTNL $ 8,995.00
8240129 CATH SLVR HWK ROTANL $ 8,995.00
8240132 CATH STEERBLE DISP 1,437.00
8240133 DEV CLOSR VASC IMP/INSRT $ 1,087.00
8240136 LD PM $ 7,200.00
8240148 SYLVEK PATCH 86
8240188 LD AICD ENDO DUAL COIL $ 12,267.00
8240195 IMP LD NEUROSTIM TEST KT $ 58,581.00
8240196 IMP EVENT RCRDR $ 13,080.00
8240199 IMP MESH $ 4,673.00
8240200 IMP NO-RCHRG NEUR STM GE $ 41,272.00
8240359 NRSTM PGRMR $ 3,570.00
8240363 PROS PENILE INFLATABLE $ 20,295.00
8240364 PROS PENILE N-INFLATABLE $ 15,538.00
8240365 IMP URNRY SPHNCTR $ 23,985.00
8240367 STNT DRUG ELUT TAXUS IMP 10,188.00
8240369 STNT COR COBALT CHROM GUIDANT 5,940.00
8240371 STNT COR HEP COAT 4,262.00
8240373 STNT CAROTD RDC ANY SZ $ 9,000.00
8240375 STNT COR MULTILINK IMP 5,339.00
8240379 STNT NCOAT/COV W DEL SYS $ 7,632.00
8240381 STNT NCOAT/COV WO DELSYS $ 9,405.00
8240398 STNT FLUENCY ANY SIZE $ 1,500.00
8240400 STNT BILIARY $ 5,244.00
8240402 STNT RENL MONORIL ANY SZ $ 4,185.00
8240406 STNT CAROTD LIMA ANY SZ $ 9,000.00
8240421 STNT GRAFT $ 24,636.00
8240423 STNT ENDOPROSTH $ 9,795.00
8240449 STNT ILIAC END $ 4,125.00
8240769 PTA BLN DIL CTH NANOCRS $ 1,140.00
8240780 CATH DX ABLTN $ 3,600.00
8241101 CPS DELIVRY SYSTM $ 2,085.00
8241212 GRFT THORC ANEUR $ 36,000.00
8241315 GLDWRE STRGHT TIP 35
8241439 IMP PLUG A.F $ 2,400.00
8241453 IMP RCHRG NEURO STIM GEN $ 75,468.00
8241474 IMP PMP SYNCHRO $ 33,600.00
8241478 STNT GRFT TRACHEO B $ 7,185.00
8241690 PM ATTAIN CMND EH 643
8241741 LD DFIB RIATA ST 18,000.00
8241776 LD LFT VENTRCL IS BIPOLA $ 12,267.00
8241845 LD QUAD TRIAL $ 4,170.00
8242137 MESH PANEL 2,500.00
8242452 PLG PIN IS-1 300
8242872 IMP BRST $ 2,700.00
8243062 SLING PELVIC $ 3,000.00
8243065 CRSR SHTH CTH W GDW $ 5,250.00
8243067 STNT GRFT ENDVSCLR $ 4,500.00
8243099 SHTH OUTER SLITBLE 867
8243133 STNT BILI $ 4,770.00
8243289 CATH ABSC DRGE FLXIMA 700
8243290 CATH ANGIO CNTL-FLW PLS 69
8243291 CATH ANGIO FLSH IMGR PGT 34
8243292 CATH ANGIO FLSH IMGR II 34
8243293 CATH ANGIO GDE BERN 34
8243294 CATH ANGIO GDE IMGR 34
8243295 CATH ANGIO IMGR II TENNI 34
8243296 CATH ANGIO OMNI FLUSH 85
8243297 CATH ANGIO PIGTL 200
8243298 CATH ANGIO SLCT PLS N/HL 50
8243299 CATH ANGIO SPR TRQ HYD 186
8243300 CATH ANGIO TMPO 5 SEL 35
8243301 CATH BALLOON DIL L 977
8243302 CATH CEREBRAL 54
8243303 CATH DIAL VXCL CHRIN $ 1,124.00
8243304 CATH DILAT BIG MAX 567
8243305 CATH DILAT BLLN SYMTRY 912
8243306 CATH DILAT BLLN ULTR DIA 510
8243307 CATH DILAT PERIPHL XXL B 847
8243308 CATH DILATION XXL BLN 847
8243309 CATH DRN BILI LCKN PGTL 237
8243310 CATH DRN VTC BILI 222
8243311 CATH DRN APRP RG W/LCK 231
8243312 CATH, DIAL PERMACATH $ 1,354.00
8243313 CATH INFUSE MEWIS 246
8243314 CATH INFUS RPD TRNS W/EX $ 1,560.00
8243315 CATH INTRAVSC SPRT 477
8243316 CATH NEPHR CLM RH 285
8243317 CATH NEPHR DRNG REG 231
8243318 CATH NEPHR LCK PGTL FRM 222
8243319 CATH NEPHR ULT 153
8243320 CATH NYLEX PGTL 28
8243321 CATH PERIPH ATHER $ 8,985.00
8243322 CATH PERIPH CTNG BLLN $ 2,400.00
8243323 CATH PERIPH RISE $ 4,485.00
8243324 CATH PGTL STR HI FLO 34
8243325 CATH PGTL TP HI FLO 34
8243326 CATH PTA DILTN BLLN 735
8243327 CATH PTA ROTOBLTR SYS $ 11,985.00
8243328 CATH PWER PIC DBL LUM 240
8243329 CATH PWER PIC TRPL LUM 310
8243330 CATH SM VS SY STF SHFT D 912
8243331 CATH THRMB BRD+D16ED $ 1,797.00
8243332 CATH VSL SML DLTN 912
8243333 CATH VISCERAL 59
8243334 CATH VSC PERIPH SPRT 477
8243335 COIL EMBOLIZATION 210
8243336 DEV SECRMNT STLK W/PST 18
8243337 VESSEL DILATOR 20
8243338 DISTAL TPER ANG TP 133
8243340 FLTR IV VNA CVA FM/JG $ 3,390.00
8243341 FILTR JG RCVRY GENRTN II $ 4,185.00
8243342 FLTR OPTEASE RETRIEV $ 4,872.00
8243343 GW AMPLA SPR STF 98
8243344 GW ANGIO 298
8243345 GW BENTSON STR 49
8243346 GW CPE MANDRIL STN STL 172
8243347 GW EXCH TFLN FIX CR HP C 74
8243348 GW HI TRQ SPARTACORE 333
8243349 GW LUBRICATED ANGLED 112
8243350 GW NITINOL FIRM TIP 242
8243351 GW RFSP FLX SHF SHRT TP 119
8243352 GW SMALL VESL STRT 203
8243353 GW STIF SHFT STRT 193
8243354 GW STRAIGHT 150
8243355 GW TAPER 570
8243356 GW TEFLON 63
8243357 GW TORQUE 200
8243358 GW TORQ FLX W/ANG TP 357
8243359 GW TRANSEND STEERABL 594
8243360 GW INFUS KTZEN W/SDE HLE 603
8243361 GW THRUWY SHRT STRT 312
8243362 FLTR VEN CV IMP OVR WR $ 3,597.00
8243363 PRT LO PRF PLAPRT WCTH 750
8243365 SHTH INTROD FEP 165
8243366 SHTH INTR CTH RD BND W/O 165
8243367 MICROCTH FBR BRD HYDCTD 909
8243369 SHTH INTRO PNCL RDIOPQ 807
8243370 SHTH INTRODUCER W/GW $ 5,025.00
8243371 SHTH INTRODUCE W/O GW 39
8243373 SHTH RETR EX BNT TP ATO 263
8243375 STNT TRACHEOBRONCH GRF $ 6,735.00
8243376 STNT TRCH/ENDO WLL GRF $ 5,850.00
8243377 STNT VLN OTW PTFE-CVRD $ 7,350.00
8243378 STNT BILI BLN $ 5,250.00
8243379 STNT BILI LUMIN NITNOL $ 4,350.00
8243380 STNT BILI NITINOL $ 4,350.00
8243381 STNT BILI WALL HOL W/DL $ 2,890.00
8243382 STNT BILI WALL UNIST PLS $ 2,890.00
8243383 STNT BILI WALL W/DEL SYS $ 2,976.00
8243384 STNT TRNSHPTIC UNISTP PL $ 2,889.00
8243385 STNT URETERAL 345
8243386 STNT URETRL BTW PGTL RG 384
8243387 STNT URETERL PERCUFLX 315
8243390 SYST FLTR G2 FMRL INTRO $ 4,185.00
8243391 GW TORQUE VISE 21
8243392 STNT BILI SYSTM STD $ 3,597.00
8243393 SHTH CATH BRIT TIP XLNG 333
8243394 GW MULT TORQ VSE 25
8243395 POWER PICC 4FR SINGLE 9174108D 187
8243396 POWER PICC 5FR DUAL 9275108D 935
8243530 EMBLC PRTCTN SYS FLTRWRE $ 4,485.00
8243550 FILTERWIRE 8,296.00
8243664 SYS PERIGEE W LITE 4,785.00
8243795 TISS DRM/EPID NHUM $ 6,300.00
8245140 CATH BLN VENGRM 600
8245240 CORONARY BALLOON 2,796.00
8247356 LD QUAD TRIAL $ 7,170.00
8247860 IMP MESH $ 7,500.00
8247885 MESH NOVASILK 900
8248550 SHTH SAFESHEATH 867
8248560 DYNAMIC Y AIRWAY STENT $ 11,722.00
8035172 WALKER RIGID P/U* 0
8091335 EQ CANE ALL TYPE * 225
3100510 POC FERN TEST 16
3100515 URINALYSIS DIPSTICK METH 23
4100004 ELECTROLYTE PANEL 74
4100052 GEN HEALTH PANEL * 270
4100102 AMPHETAMINE QUAL 141
4101015 URINALYSIS MICRO ONLY 65
4101050 VOLUME MEASURMNT URINE * 40
4102066 OXALATE URINE 39
4102151 AMYLASE URINE 54
4102213 BARBITURATES QUAL 69
4102239 BILE PIGMENTS URINE 83
4102270 OCCULT BLD STL 1-3 21
4102274 HGB FECAL OCCULT BLD L 60
4102560 COCAINE QL 44
4102597 BARBITURATES CONFIRMATION, URINE 35
4102953 GLUCOSE QNT URINE 24HR 79
4103610 POC LACTATE 73
4104102 PHOSPHORUS URINE 41
4104141 PRIMIDONE 101
4105362 FDP/FSP AGGLUTNATN SLIDE 185
4106090 RBC AG ROOM TEMP 43
4106264 FFP THAW EA UNIT 83.65
4106703 HIV-1/HIV-2 Ag with HIV Ab 213
4107134 CULTURE BLOOD AFB 95
4107235 TROPONIN – I 273
4107454 PTH INTACT 168.69
4107456 VITAMIN D TOTAL 47.43
4109700 INFLUENZA A&B TEST by RNA or DNA 116.73
4201100 SPEC HANDLING: ALIQUOT * 87
4201105 SPEC HANDLING * 3
4201300 PKU: MAILED 1
4201305 HEEL STICK IP 3
4201310 PKU: CAP PUNCTURE O/P 6
4206264 FFP THAW EA UNIT 83.65
4209010 VENIPUNCTURE 20
4209011 VENIPUNCTURE INPATIENT 20
4209022 LAB SPECIAL SERVICE * 0
4209070 EH SGPT 0
4209071 EH DIPTHERIA PERTUSIS AB 0
4209072 EH BLOOD UREA NITROGEN 0
4209073 EH CBC W/ DIFF 0
4209074 EH CREATININE 0
4209075 EH HBSAG SCREEN 0
4209076 EH HEP C ANTIBODY 0
4209077 EH HEP B CORE ANTIBODY 0
4209078 EH HEP B SURFACE AB 0
4209079 EH HEPA FUNCTION PANEL 0
4209080 EH HEPATITIS PANEL 0
4209081 EH MMR 0
4209082 EH MUMPS AB IGM 0
4209083 EH HIV 0
4209084 EH RENAL FUNCTION PANEL 0
4209085 EH RUBELLA AB 0
4209086 EH RUBEOLA AB 0
4209087 EH UA AUTO W/ MICRO 0
4209088 EH VARICELLA ZOSTER AB 0
4209089 EH VARICELLA ZOSTER AB 0
4400150 ABG W/CALC O2 SAT 262
4506125 BLOOD PRODUCT IRRAND EA 82.8
4613585 COAGULATION TIME ACTIVTD 267
5318851 CANDIDA SKIN TEST 145
5324989 TUBERCULIN PPD 5TU 74
5500152 ABG ANALYSIS 307
5510060 ABG W/CALC O2 SAT 307
6104000 OCCULT BLOOD FECES 16
6104010 GLUCOSE BLOOD STICK TEST 127
6104018 URINE PG BY REAGENT 58
6734834 LAB COLLECTION/HNDLG* 33
6734840 SKIN TEST-PPD 42
6740156 URINE DIPSTICK 10
6740160 SPECIMEN HANDLING* 10
6740161 SPECIMEN HANDLING 5
6740175 URINE PREG TEST QUAL 25
6740176 URINE PREG TEST QUAL 25
6800030 LAB COLLECTION/HNDLG* 33
6800060 ACCUCHECK 34
6800062 URINE DIPSTICK 40
6800070 SKIN TEST-PPD 42
7002112 ALUMINUM PLASMA 17.31
7002155 LIPASE, BODY FLUID 11
7002943 GLUCAGON 53
7002985 FRUCTOSAMINE 14.49
7003586 SOLUBLE LIVER ANTIGEN (SLA) IGG ANTIBODY 76
7004066 PROSTATIC ACID PHOS 9.76
7004430 THIOCYANATE 80.5
7004446 VITAMIN E 20
7005220 CLOT FACTOR V (LABILE) 30.96
7005243 PTT SUB EA FRACTION 80
7005303 PROTEIN C ACTIVITY 106.31
7005731 THROBOPLASTIN TIME PARTIAL 45
7006440 TYPHUS IGG AB 15
7006441 TYPHUS IGM AB 15
7006645 CMV AB IGM 8
7006677 HISTOPLASMOSIS AB ID 12.55
7006803 HEPATITIS C AB CONFRM 14
7007480 RESP VIRUS 12-25 TARGETS 408
7007792 PARAINFLUENZA PCR 34.66
7007795 BORDETELLA PCR 318.75
7008220 AMINO ACIDS QNT URINE 120
7008236 TISS CULT F/NEOPLASTIC 130
7008260 CHRMSM ANALYSIS 20-25C 130
7008300 Flow cyto, FLAER 84.38
7008301 Flow cyto, CD 50.63
7009433 EBV EARLY AG EA 28.93
7013842 METHADONE SCRN AND CONF 59
7026019 RBC ANTIBDY ELUTION EACH 58
7029003 SPECIAL HANDLING ARC * 140
7029004 SPECIAL HANDLING ARC * 32
7046020 HL1 TYPING, HLA B57:01, ABACAVIR HYPERS 124.35
7062500 NEWBORN METABOLIC SCREEN PKU PANEL
7062501 NEWBORN METABOLIC SCREEN PKU PANEL
7069164 TSO PROCESSING FEE 25
7069393 FAMILIAL MEDITERRANEAN FEVER 850
7069441 WBC, TOTAL LYMPHS 11.5
7069467 ALLERGEN IGE, TOTAL 17.16
7069475 ALLERGEN SPECIFIC IGE, TOTAL 27.67
7069499 PROTHROMBIN F1+2 67.5
7069500 TAT COMPLEX 55.5
7069507 IMMUNO ASSAY FOR ANALYTE OTHER THAN IA 34
7069646 GAD-65 Antibody 107.6
7069647 IA-2 Antibody 107.6
7069648 Insulin Autoantibody 107.6
7069670 NEURON SPECIFIC ENOLASE 161.5
1110001 ARSENIC QUANTITATIVE 23.99
4100031 VANCOMYCIN 124
4100069 RENAL FUNCTION PANEL 179
4100074 ACUTE HEPATITIS PANEL 282
4100109 HEPATIC FUNCTION PANEL 147
4100111 COMP METABOLIC PANEL 89
4100160 LIPID PANEL COMPREHENSV 156
4100166 BASIC METABOLIC PANEL 75
4102003 ACETAMNOPHN QUANT 240
4102010 B- HYDROXYBUTYRATE QUANT-KETONE 129
4102011 DRUG TEST PRSMV CHEM ANLYZR 158
4102040 ALBUMIN SERUM 21
4102045 BODY FLUID ALBUMIN 21
4102055 ALCOHOL ETHYL 303
4102070 EVAL AMNIOTIC FLUID PROTEIN 490.55
4102114 ALPHA FETO PROTEIN SERUM 122
4102137 THEOPHYLLINE 90
4102140 AMMONIA 136
4102150 AMYLASE 39
4102250 BILIRUBIN TOTAL 54
4102253 BILIRUBIN DIRECT 60
4102272 OCCULT BLD QL 21
4102275 OCCULT BLD, GASTRIC 50
4102310 CALCIUM 52
4102330 CALCIUM IONIZED 79
4102340 CALCIUM URINE QUAN 56
4102341 CALCIUM 24HR URINE 65
4102372 CARBAMAZAPINE 265
4102374 CARBON DIOXIDE 47
4102375 CARBON MONOXIDE QUAN 106
4102439 CHLORIDE 47
4102465 CHOLESTEROL TOTAL 47
4102476 LDL CHOLESTOROL 46
4102477 CHOLESTEROL HDL 74
4102533 CORTISOL TOTAL 136
4102550 CREATINE KINASE TOTAL 98
4102553 CK MB FRACTION 295
4102554 CK MB 121
4102565 CREATININE BLOOD 21
4102570 CREATININE, FLUID 21
4102571 CREATININE 24HR URINE 42
4102573 CREATININE URINE 38
4102575 CREATININE CLEARANCE 74
4102611 CYANOCOBLMN(VIT B12) 80
4102643 DIGOXIN 100
4102655 PHENYTOIN TOTAL 126
4102726 FERRITIN 83
4102731 FETAL FIBRONECTIN 370
4102746 FOLIC ACID 70
4102945 GLUCOSE BODY FLUID 58
4102946 GLUCOSE POC 25
4102947 GLUCOSE QUANT 38
4102948 GLUCOSE BLD RGT ST VISU * 31
4102950 GLUCOSE POST DOSE 72
4102951 GLUCOSE TOLERANCE 3SPEC 120
4102958 GLUCOSE CSF 58
4102980 GGT 60
4102994 HEMOGLOBIN GLYCATED 53
4103004 GENTAMYCIN 124
4103010 HAPTOGLOBIN 60
4103013 GONADTOPN CHRONC(HCG)QL 70
4103014 GONADTOPN CHORNC(HCG)QNT 123
4103527 B-TYP NATRIURETC PEPTID 321
4103540 IRON 25
4103550 IRON BINDING CAPCTY 43
4103605 LACTATE(LACTIC ACID) 106
4103615 LDH-LACTIC DEHYDROGENASE 39
4103690 LIPASE 98
4103725 LITHIUM 33
4103735 MAGNESIUM 57
4103756 MAGNESIUM URINE 24HR 57
4103930 OSMOLALITY BLOOD 38
4103935 OSMOLALITY URINE 38
4103980 PH,BODY FLUID EXCEPT BLD 70
4104020 PHENOBARBITAL 126
4104075 PHOSPHATASE ALKALINE 60
4104100 PHOSPHORUS 47
4104103 PHOSPHORUS URINE 24 HR 43
4104132 POTASSIUM SERUM 41
4104133 POTASSIUM URINE 54
4104134 POTASSIUM 24HR URINE 48
4104154 PROTEIN OTHER SOURCES 38
4104155 PROTEIN TOTAL 31
4104156 PROTEIN URINE RANDOM 38
4104165 PROTEIN ELCTRO SERUM 84
4104176 PRE-ALBUMIN 50
4104180 PROTEIN URINE QUAN 24 HR 48
4104196 PROTEIN SPINAL FLUID 38
4104250 TRIIODTHYRN (T-3) UPTAKE 47
4104295 SODIUM BLOOD 118
4104296 SODIUM URINE 120
4104300 SODIUM 24HR URINE 95
4104315 SP-GR EXCEPT URINE 21
4104436 THYROXINE TOTAL 48
4104443 TSH 111
4104450 TRANSTERASE AST(SGOT) 39
4104460 TRANSAMINASE-SGPT (ALT) 63
4104468 TOBRAMYCIN 124
4104475 TRIGLYCERIDES 53
4104520 BLD UREA NITROGEN QUAN 21
4104540 UREA NITROGEN URINE 46
4104541 UREA NITROGEN 24HR URINE 79
4104550 URIC ACID BLOOD 43
4104557 URIC ACID, OTHER SOURCE 44
4104559 URIC ACID URINE 43
4104560 URIC ACID URINE 24HR 43
4104584 VALPROIC ACID 104
4106151 CARCINO-EMBRYONIC AG 128
4106316 PSA TOTAL 242
4106319 BENZODIAZEPINES QL 49
7000016 LEVETIRACETAM 32.63
7000038 LAMOTRIGINE QNT SNGL 53.75
7000250 GABAPENTIN 34.32
7000264 AMIKACIN 109.5
7000284 AMIODARONE QUANT 61
7000348 TACROLIMUS 62
7000350 ASSAY OF SIROLIMUS 153.5
7002005 ACYLCARNITINE 86
7002017 CATECHOLS 24 HR URINE 31.25
7002020 CATECHOLAMINES, FRAC 32.92
7002024 ACTH 37.93
7002047 MICROALB UR RANDOM 4.45
7002078 ALCOHOL METHYL 13.67
7002080 AMPHETAMINE CONFIRMATION UR 35
7002082 OPIATES CONFIRMATION UR 35
7002084 CANABINOIDS CONFIRMATION UR 35
7002085 ALDOLASE 9
7002087 ALDOSTERONE 35
7002104 ANTITRYPSIN ALPHA PHENO 80.74
7002110 ALUMINUM 17.31
7002115 ALPHA FETO PROTEIN TUMOR MARKER 28
7002156 AMYLASE ISOENZYMES 44.5
7002157 ANDROSTENEDIONE 192.75
7002164 ANGIOTENSIN CONV ENZYME 15.13
7002175 ARSENIC QUANTITATIVE 23.99
7002176 APOLIPOPROTEIN B 8.65
7002186 ARSENIC UR RDM 23.99
7002203 PENTOBARBITAL(NEMBUTAL) 17.5
7002231 BETA-2-MICROGLOBLN URIN 11.5
7002232 BETA-2-MICROGLOBLN 10.42
7002265 BILIRUBIN AMNIOTIC FLUID 8.65
7002308 CALCITONIN 28.18
7002322 ANTI-GLOMERULAR BSMNT 33
7002360 CALCULUS QUANT CHEMICAL 13.14
7002363 CALPROTECTIN, FECAL 200
7002365 CALCULUS INFRARED SPCTRO 25
7002380 CAROTENE 12.27
7002390 CERULOPLASMIN 5.2
7002436 CHLORIDE, URINE RDM 40.05
7002520 COCAINE OR METABOLITE QN 35
7002525 COPPER 10.88
7002535 CORTISOL URINE FREE 55
7002596 CRYOGLOBULLIN 35
7002613 CYCLOSPORINE 26.45
7002631 DEHYDROEPIANDRST SULFAT 10.82
7002652 VIT D 1 25-DIHYDROXY 47.52
7002668 ERYTHROPOIETIN 7.29
7002670 ESTRADIOL 5
7002672 ESTROGENS TOTAL 17.32
7002691 ETHYLENE GLYCOL 8.3
7002705 FAT OR LIPID FECES QUAL 10.11
7002744 BENZODIAZEPINES CONF, UR 35
7002941 GASTRIN 14.36
7002955 G6PD QUANT 14.64
7003001 FOLLICLE STIMLAT HORMON 7.5
7003002 LEUTENIZING HORMONE 5
7003003 GROWTH HORMONE(HGH) 14.64
7003010 HAPTOGLOBIN QUANT 7.1
7003024 HEMOGLOBIN FRAC & QNT 17
7003051 HEMOGLOBIN PLASMA 31
7003086 HOMOCYSTINE QNT PLASMA 13
7003497 HYDRXINDOL ACD5(HIAA)QT 13.67
7003498 HYDRXYPRGSTRONE 17-D 25.73
7003512 IG-A SERUM 7.77
7003513 IG-E SERUM 14.01
7003514 IG-G SERUM 7.76
7003515 IG-M SERUM 7.76
7003516 IGG SUBCLASS 1,2,3, 4 OR EA 104.75
7003521 IG-D SERUM 59
7003525 INSULIN TOTAL 10.04
7003526 PRO-INSULIN 85.5
7003534 THYROXINE FREE 4
7003539 TRIIODTHYRNINE TOTAL T3 3.5
7003554 T3 FREE 5
7003565 URINE PHOSPHORUS RANDOM 8.19
7003570 URINE MAGNESIUM RANDOM 8.82
7003575 24HR URINE PHOSPHORUS 8.19
7003580 24HR URINE MAGNESIUM 8.85
7003583 MAGNESIUM, RBC 92
7003588 HISTONE AB QUAL/SEMIQUA 43
7003590 SULFATE 24 HR URINE, QUAL 64
7003618 LACTIC ACID CSF 47.5
7003655 LEAD QUANTITATIVE 8.75
7003661 L/S RATIO AMNIOTIC FLUID 124.29
7003716 LIPOPROTEIN (A) 10
7003789 BILE ACIDS FRAC & TOTAL 115.72
7003838 METANEPHRINES TOT 24HR 16.26
7003854 METHYLMALONIC ACID 55
7003873 MYOGLOBIN 16.53
7003874 MYELIN BASIC PROTEIN CSF 21.76
7003875 MYOGLOBIN URINE 16.53
7003902 PTH INTACT w/ CA 10.27
7003925 OLIGOCLONAL BANDS 18.9
7003976 C-PEPTIDE 22.59
7003978 PTH RELATED PROTEIN 72.6
7004020 PHENOBARBITAL 8.25
7004045 PHENYTOIN FREE 15
7004144 PROGESTERONE 11.54
7004146 PROLACTIN 3
7004165 PROTEIN ELCTRC SERUM QN 4.75
7004167 PROT ELECT, 24H UR 132.75
7004191 PROTEIN ELCTRO URINE 10.33
7004207 VITAMINE B6 20.93
7004210 PYRUVATE 16.53
7004244 RENIN 20.08
7004260 SEROTONIN 54.11
7004305 IGF 1 (SOMATOMEDIN-C) 62.5
7004403 TESTOSTERONE TOTAL 43.5
7004425 THIAMINE(VITAMIN B1) 10
7004432 THYROGLOBULIN 16
7004435 THYROXINE TOTAL 9.69
7004436 TRIIODTHYRN (T-3) UPTAKE 9
7004442 TBG-THYROXINE BND GLOBL 36
7004444 THYRD STIM IMMUNGLBN(TS 65
7004449 TOXICOLOGY COMPRHNSV 194
7004452 ACTYCHLN RCPTR BLCKNG A 99.2
7004466 TRANSFERRIN 12.27
7004470 TOPIRAMATE 29.14
7004585 VMA 24HR URINE 15.41
7004586 VMA URINE 15.41
7004588 VASOPRESSIN (ADH) 41.28
7004590 VITAMIN A 19.73
7004591 VITAMIN K1 62
7004595 VITAMIN D/25-HYDROXY 10.42
7004635 ZINC QUANTITATIVE URINE 10.88
7004901 METANEPHRINES FR RD UR 72
7004905 REVERSE T3 26.93
7004915 THYROTROPIN RELEASE HOR 120
7006067 ANTITRYPSIN ALPHA 1 TOTL 14.36
7007468 IGG CSF 20
7007800 PHENCYCLIDINE CONFIRMATION, URINE 35
7008213 AMINO ACIDS QNT UR/BLD 282.31
7008391 ORGANIC ACIDS QUAL 99
7008415 PSA FREE 13.33
7012290 FUNGITEL 45.28
7013617 LDH CSF 6.62
7013836 METANEPHRINES, PLASMA 102.03
7016369 THER DRUG MON1 46.51
7033959 IMMUNOASSAY QNT 75
7062504 ASSAY OF LIPOPROTEIN (FIBROSURE) 25
7062505 BILIRUBIN TOTAL (FIBROSURE) 25
7062506 ASSAY OF GGT (FIBROSURE) 25
7062507 ASSAY OF HAPTO GLOB QNT (FIBROSURE) 25
7062508 ASSAY NEPHELOMETRY NOT SPEC (FIBROSURE) 25
7062509 ALT (FIBROSURE) 25
7069011 ADA PLEURAL FLUID 75
7069071 PREGNENOLONE, LC-MS-MS 73.5
7069101 TSH RECEPTOR Ab 115
7069105 Anti Mullerian Hormone (AMH) 102
7069107 OXALIC ACID 24hr U w/o CREAT 12
7069149 DRUG SCREEN PANEL 1 20
7069156 CALCIUM 24hr URINE 18.63
7069157 CREATINE URINE 15.87
7069159 CYSTATIN C 54
7069194 CARBOHYDRATE GLYCERIN 195
7069201 COLLAGEN CROSS LINKS 33.79
7069202 CREATININE URINE 8.45
7069234 CK TOTAL 4.93
7069235 CK ISOENZYME 9.43
7069256 DRUG SCREEN QUAL, EA DRUG CLASS 21
7069257 DRUG SCREEN QUAL, EA DRUG CLASS 19.6
7069295 GLYCOAMINOGLYCAN,URINE 75
7069322 ARSENIC, RNDM URINE 40.17
7069323 LEAD, RNDM URINE 33.73
7069324 MERCURY RNDM URINE 33.73
7069325 CADMIUM, RNDM URINE 40.17
7069326 COBALT, RNDM URINE 36.18
7069327 THALLIUM, RNDM URINE 34.65
7069328 CREATININE, RNDM URINE 8.89
7069382 NEPHELOMETRY 60
7069460 PROSTAGLANDIN E2, SERUM 275
7069526 CITRATE URINE 80.8
7069527 CREATININE, URINE 20.2
7069533 PROTEIN ELECTROPHORESIS 9.9
7069535 TOTAL PROTEIN URINE 3.15
7069536 CREATININE, URINE 4.74
7069618 TISSUE TG AB 40.21
7069619 IGA SERUM 12.29
7069625 BETA-HYDROXYBUTYRATE 75
7069640 SEX HORMONE BINDING GLOBULIN 37.5
7069680 INTERLEUKIN 2 SOLUBLE RECEPTOR 301
7069685 TRYPTASE 34
4106003 HETEROPHILE AB SCREEN 47
4106015 COLD AGGLUTINATN TITER 20.72
4106016 RBC ANTIBODIES SCREEN 83.65
4106024 ANTIBDY IDENT RBC EA PNL 212
4106025 C-REACTIVE PROTEIN QL 108
4106033 DIRECT COOMBS POLY 52
4106056 HELICOBACT PYLORI AB QL 48
4106080 BLD TYPE ABO ONLY 15
4106105 BLD TYPE RH PHENOTYP CMP 126
4106289 HEP B CORE AB(IGG & IGM) 97
4106292 HEPATITIS B SURF AB 80
4106294 HEPATITIS B CORE AB(IGM) 69
4106297 HEPATITIS A AB IGM 75
4106304 HEPATITIS C ANTIBODY 73
4106318 RUBELLA AB 89
4106432 RHEUMATOID FACTOR QUANT 65
4106592 VDRL/RPR QUAL 21
4106593 VDRL/RPR QUAN 43
4106594 VDRL-CSF 36
4106650 TREPONEMAL AB 22.33
4106895 AG SCRN,RGNT SER,EA UNIT 52
4109636 BLD TYPE RBC DIRECT(RH) 52
4206985 SPLITTING BLD PROD EA UT 83.65
4502262 PLATELET TYPING 208
4506264 FFP THAW EA UNIT 83.65
7003596 CITRULLLINE PEPTIDE AB 45
7003989 NMP 22 102
7004183 ECHINOCOCCUS AB 76.03
7004258 SCLERODERMA AB SCL-70 10.92
7004898 CA 27-29 7
7004900 CA 19-9 10
7005536 INTRINSIC FACTOR ANTIBD 30.36
7005605 CYSTICERCOS IGG AB SERU 57.8
7006002 COCCIDIOIDOMYCES AB CSF 20.78
7006014 ANTIBODY ID:PLATELET 55
7006017 HEPARIN INDUCED PLT AB 25.3
7006042 ANTIBODY INSULIN 59.4
7006051 IGG PLATELET ASSOCIATED 83
7006060 ANTI-STREPTOLYSN O TITE 7.18
7006115 BETA 2 GLYCOPROTEIN IGG 23
7006117 BETA 2 GLYCOPROTEIN IGM 23
7006162 COMPLEMENT TOTAL CH50 21.2
7006172 COCCIDIOIDOMYCOSIS AB 17.85
7006181 MYCOPLASMA 12
7006204 COCCIDIOIDES IMMUNODIFF 13.67
7006207 INFLUENZA A AB 18.34
7006208 INFLUENZA B AB 18.34
7006219 DNA ANTIBODY SINGLE STRN, QNT IgG 139
7006220 DNA ANTIBODY DOUBL STRN 10
7006229 MYCOPLASMA IGM TITER 12
7006239 JO-1 ANTIBODY 31.68
7006243 ADRENAL ANTIBODIES 17.5
7006258 LEGIONELLA AB 13.14
7006259 LYME ANTIBODY TITER 52
7006262 EPSTEIN-BARR VIRUS IGM 14.92
7006263 EPSTEIN BAR VIRUS ACUTE INF PROFILE 117
7006271 SJOGRENS SSA AB 8.2
7006273 VARICELLA ZOSTER IGM 12
7006275 SJOGRENS SSB AB 8.2
7006286 RUBEOLA IGM 10
7006291 HEPATITIS A AB(IGG&IGM) 4.66
7006296 HEPATITIS BE ANTIBODY 10.88
7006297 HEPATITIS DELTA AGENT A 18.62
7006308 LYME AB WESTERN BLOT SE 20.46
7006322 HIV CONFIRM WESTERN BLOT 40
7006331 COMPLEMENT C2 88.5
7006332 COMPLEMENT C3 4.2
7006333 COMPLEMENT C4 12.55
7006340 IMMUNOFIX, SERUM 20.92
7006344 IMMUNOFIX URINE 24.5
7006361 T-CELLS ABSOLUTE CD4 CNT 38.02
7006362 LYME IGM WB 50
7006363 CRP HI SENSITIVITY 20
7006373 CHLAMYDIA AB 74
7006385 CARDIOLIPIN IGA AB 15.79
7006386 ANTI-CARDIOLIPIN AB IGM 14.5
7006399 MITOCHONDRIAL AB SCRN 13.67
7006404 MENINGITIS AB SCREEN 7.73
7006407 S PNEUMO AG 26
7006437 ROCKY MNTN SPOT FVR IGG 15
7006439 ROCKY MNTN SPOT FVR IGM 15
7006479 WEST NILE VIRUS IGM 28
7006492 TB, QUANTIFERON 65
7006541 Q FEVER IGG PHASE I 10
7006598 TISSUE TYPING HLA-B27 95
7006625 B HENSELAE IgG IgM WITH REFLEX 59
7006628 BRUCELLA IGM AB 28
7006635 BRUCELLA IGG AB 28
7006640 ANTI-THYROGLOBULIN AB 5
7006680 TOXOCARA AB 39.25
7006698 HSV 1& 2 Sp Ab Ig 10
7006705 COXSACKIE B TYPE 1 14.37
7006712 MUMPS AB IGM 41
7006713 E HISTOLYTICA AB 18.34
7006715 RUBEOLA IGG AB 2.9
7006735 MUMPS AB IGG 16.53
7006748 PARVOVIRUS B19 IGG 12.55
7006763 RUBELLA IGM 7.9
7006781 FTA-ABS CSF 46
7006786 VARICELLA ZOSTER IGG, CSF 15.75
7006787 VARICELLA ZOSTER IGG, 8.32
7006797 HTLV I/II AB SNGL ASSAY 55
7006798 PARAINFLUENZA AB 43.17
7006900 CANCER ANTIGEN 125 8.33
7006907 ASPERGILLUS AB 4.55
7006909 TOXOPLSMOSIS IGM AB TIT 13
7006915 CMV ANTIBODY-IGG 8
7006920 TOXOPLSMOSIS IGG AB TIT 9
7006921 TOXO IGG CSF 32.7
7007248 ANTI SM MUSCLE AB 16.53
7009434 EBV EBNA 14.92
7014998 CA15-3 11.66
7016059 ANTI-NEUTRPHL CYTOPLASM 7.29
7016360 T CELLS T4/T8 PLS RATIO 50
7016682 CYSTICEROS IGG AB CSF 53.12
7016911 ADENOVIRUS AB 13
7026009 AB ID PLT 242
7026012 ANTIBDY ABSORP EA SERUM 34.5
7026016 RBC ANTIBODIES SCREEN 23.5
7026024 ANTIBDY IDENT RBC EA PNL 29
7026031 COOMBS DIRECT 9
7026074 BLD CRSSMTCH SCREENING 33.25
7026080 BLD TYPE ABO ONLY 17.25
7026095 RBC AG EXCPT ABO/RHO EA 83.65
7026100 BLD TYPE RHO(D)ONLY 43.6
7026105 BLD TYPE RH PHENOTYP CMP 23.5
7026130 HLA TYPING A B OR C 229
7026213 PRETRTMNT RBC AB DETECT 29
7026915 CMV ANTIBODY-IGG 35
7026919 ANTIGEN TYPING EA UNIT 55
7026975 RBC SERUM W/DRUG 125
7026977 PRETX SRM AB ID INCUB EA 272.5
7028697 PRETX SERUM DILUT 36
7035559 ANTITHYROID PEROXIDAS AB 53
7035560 LIVER KIDNEY MICROSOME 13.67
7036238 ANTI SM RNP 53
7038630 ANTI-SACROMYCES CEREVISIAE AB 50
7069005 ALLERGEN IgE 7
7069007 ALLERGEN PROFILE W/ TOT IGE RESP AREA 13 687.5
7069023 CHROMOGRANIN A, ECL 55
7069035 HE4, OVARIAN CA MONITORING 150
7069089 STRONGYLOIDES, IgG Ab 56.75
7069153 ANA, IFA w/ REFLEX TITER PATTERN 4.16
7069177 BETA2-GLYCOPROTEIN 1 IMMUNOGLOBIN 15
7069178 PHOSPHATIDYLSER 37.23
7069179 PHOSPHATIDYLSERIN AB 36.14
7069181 CARDIOLIPIN AB 30.04
7069187 ALLERGEN SPECIFIC IgE 7.56
7069188 ALLERGEN SPECIFIC IgE 6.72
7069227 HSV TYPE 1 14.4
7069228 HSV TYPE 2 21.6
7069268 HSV TYPE 1 16.2
7069269 HSV TYPE 2 18
7069270 HSV TYPE 1&2 16.2
7069271 LCM ANTIBODIES 16.2
7069272 RUBEOLA ANTIBODY 16.2
7069273 MUMPS ANTIBODIES 16.2
7069274 VARICELLA ZOSTER AB 16.2
7069280 ENDOMYSIAL AB SCREEN 34.43
7069281 ENDOMYSIAL AB TITER 80
7069287 ENTEROVIRUS ANTIBODY ID-COXSAKIE TYPE 9.31
7069288 ENTEROVIRUS ANTIBODY ID-ECHO TYPE 10.64
7069289 ENTEROVIRUS ANTIBODY ID-POLIO TYPE 7.98
7069349 ANCA SCREEN 7.29
7069351 FUNGUS ANTIBODY IDENTIFICATION 200
7069352 FLOURESCENT AB TITER 218
7069378 SRA, UNFRACTIONATED HEPARIN 216.59
7069379 HEPARIN INDUCED PLATELET 104.13
7069388 LEISHMANIA IgG ANTIBODY ID 7.05
7069389 LEISHMANIA IgM ANTIBODY ID 6.51
7069414 LYMES-CSF ANTIBODY 28
7069420 ENTERO VIRUS ANTIBODY ID 16.62
7069421 ENTERO VIRUS ANTIBODY ID 14.67
7069422 ENTERO VIRUS ANTIBODY ID-ECHO VIRUS 19.28
7069423 INFLUENZA VIRUS A&B ID 47.86
7069424 CHLAMYDIA AB ID 69.75
7069425 CHLAMYDIA ANTIBODY ID 67.68
7069440 PHENOTYPING 38.5
7069466 ALLERGEN SPECIFIC IgE 5.72
7069473 ALLERGEN SPECIFIC IgE 5.54
7069474 ALLERGEN SPECIFIC IgE 4.15
7069513 RUBELLA AB ID 12.21
7069514 CMV AB IgG 8.21
7069515 CMV AB, IgM 8.22
7069516 HSV TYPE 1&2 IgG 10.09
7069517 HSV IgM SCREEN 13.03
7069518 TAXOPLASMA IgG AB 7.75
7069519 TAXOPLASMA IgM AB 10.91
7069520 CMV AB IgG 8
7069521 CMV AB IgM 8
7069534 IMMUNOFIXATION URINE 30.63
7069676 Mononuclear cell Ag 323
7069677 NK Cells Total count 0
7069679 T Cells Total Count 0
4103052 SICKLING OF RBC 48
4104200 PROTHROMBIN TIME SUBST 73
4105007 DIFF MANUAL 11
4105008 BLD SMR EXAM W/O DIFF * 11
4105011 RBC, AUTO 21
4105012 EOSINOPHILE COUNT MANUAL 42
4105013 WBC AUTO 21
4105014 HEMATOCRIT AUTOMATED 21
4105018 BLOOD HEMOGLBN 27
4105021 HEMOGRM AUTOMATED 16
4105028 CBC/PLT/AUTO DIFF (5) 72
4105044 RETICULOCYTE COUNT MAN 48
4105347 COAGULAT ACTIV 70
4105380 FDP D-DIMER EIA QNT 245
4105384 FIBRINOGEN ACTIVITY 70
4105460 HMOGLBN FETAL(KLEIHAUER) 87
4105539 LEUKOCYTE ALKA-PHSPHTASE 80
4105576 PLT FUNCTION TEST 225
4105595 PLATELET COUNT (AUTO) 47
4105610 PROTHROMBIN TIME 25
4105651 SEDIMENTN RATE-NON-AUTO 42
4105730 PTT PLASM 97
4105732 PTT SUB EA FRACTION 80
4105744 PLATELET AGGREGATION (PLAVIX) 153.85
7005230 CLOT FACTOR VII(STABLE) 30.96
7005240 FCTR VIII (AHG) 111
7005245 FACTR VIII RISTO CO-FCTR 71.5
7005246 FACTR VIII VW AG CO-FCTR 73.5
7005250 CLOT FCTR IX(PTC/XMAS) 72
7005260 CLOT FCTR X(STUART-PRWR 72
7005270 CLOT FCTR XI(PTA) 30.96
7005290 CLOT FCTR XIII(FBRN STB 73
7005300 CLOT INHIB ANT-THRMBNIII 33
7005301 ANTI-THROMBINE 3 AG 20
7005302 PROTEIN C AG 12
7005305 PROTEIN S TOTAL 121.5
7005306 PROTEIN S ACTIVITY 111.37
7005307 PROTEIN C RESIST 48.5
7005520 HEPARIN ANTI-XA 175
7005540 LEUKOCYTE ALKA-PHSPHTAS 3.25
7005613 RUSSL VIPR VEN TIME(DIL 39.6
7005619 LUPUS ANTICOAG II 26.55
7005670 THROMBIN TIME 20
7005810 VISCOSITY BLOOD 14.36
7015823 LUPUS TYPE ANTICOAGULANT 10
7069125 VON WILLEBRAND FACTOR ACT 60
7069131 VON WILLEBRAND FACTOR Ag 73.5
7069163 ADAMTS 13 ACTIVITY 60
7069171 FACTOR II ACTIVITY, CLOTTING 107.8
7069497 D-DIMER, SO 33
7069498 FIBRIN MONOMER 40.5
4104701 INFLUENZA B AG 218
4105005 C DIFF SCREEN AG A/B 103
4105006 C DIFF SCREEN TOX A/B 103
4106287 HBS ANTIGEN 97
4106288 HBS AG NEUTRALIZATION 134
4106414 RSV ANTIGEN BY EIA 461
4106420 CRYPTOCOCCAL AG 149
4107018 SUSCEPTIBLITY MIC 106
4107020 SHIGA TOXIN 85
4107022 CULTURE SPUTUM 95
4107024 CULTURE GENITAL 95
4107033 CULTURE RESPIRATORY 95
4107036 BETA LACTAMASE 25
4107039 CULTURE BACTERIAL SCRN* 0
4107040 CULT BLOOD AERO/ANAERO 106
4107044 CULTURE GROUP B STREP 95
4107048 STOOL ADDL PATH EA 29
4107053 CULTURE VRE SCREEN* 0
4107054 CULTURE KPC SCREEN* 0
4107055 CULTURE STOOL 243
4107065 CULTURE BRONC WASH 95
4107067 CULTURE EAR 95
4107068 CULTURE BIOPSY/SURG SPC 95
4107070 CULTURE THROAT 95
4107072 CULTURE ENVIORNMTL 95
4107073 CULTURE EYE 95
4107074 CULTURE FLUID EX CSF 95
4107075 CULTURE ANAEROBIC ISOL 86
4107078 CULTURE CSF 95
4107085 CULTURE CATHETER TIP 95
4107086 CULTURE URINE COLONY CT 53
4107101 CULTURE FUNGUS SKIN 95
4107102 CULTURE FUNGI OTHER 81
4107103 CULTURE FUNGI BLOOD 95
4107104 ANAEROBIC ID CHG #1 243
4107106 YEAST ID CHG 79
4107116 CULTURE AFB 95
4107133 CULTURE WOUND/ABCESS 95
4107142 EXAM MACRO PARASITE 95
4107144 EXAM PINWORM TP SITE 32
4107160 GC CULTURE 95
4107184 SUSCEPTIBILITY DISK 69
4107198 SUSCEPTIBILITY ETEST 140
4107201 SMEAR AFB 54
4107202 SMEAR MALARIA 73
4107205 GRAM STAIN 25
4107210 WET MOUNT W/SMPL STAIN 42
4107215 INDIA INK PREP 42
4107220 KOH PREP TISSUE 42
4107275 INFLUENZA B VIRUS AG IF 63
4107276 INFLUENZA A DET AG 156
4107400 INFLUENZA A AG 218
4107452 CRYPTOCOCCUS AG TITER 95
4107650 STREP GRP A DIR ANTIGEN 137
4107802 STREP B IA DIR ANITGEN 35
4108707 AERO ID CHG 50
4108717 TISSUE GRIND FOR CULTURE 42.15
7000042 CHLAMYDIA GC&DNA SCRN 15
7002934 GIARDIA ANTIGEN EIA 9.95
7003085 HIV-1PCR,PN CSF 311.5
7003876 MYCOPL PNEUM DNA, PCR 91
7003917 HCV GENOTYPE 165
7003934 HCV RNA PCR QUANT 119.89
7006234 EBV DNA PCR QNT 255
7006293 HEPATITIS BE ANTIGEN 10.88
7006318 ROTAVIRUS AG EIA 23.22
7006323 HIV 1 RNA QNT BY PCR 87.3
7006911 ADENOVIRUS DIRECT DETECT 18
7007057 YERSINIA CULTURE 8.65
7007084 HERPES CULTURE 33.35
7007109 CULTURE MYCOPLASMA ANY 34.59
7007113 CULTURE FUNGI MOLD 13.5
7007177 O & P CONC, ID 6.6
7007179 CHLAMYDIA GC AMPL 42
7007221 SMEAR MICROSPORIDIUM 6.46
7007227 CULTURE CMV 28.25
7007257 HERPES DSIMPLEX VIRUS/VZ RAPID CULTURE 81
7007258 VIRAL CUTLURE SHELL VIAL 31.47
7007272 CRYPTOSPORIDIUM DFA 35
7007298 PARAINFLUENZA AG DFA 3.97
7007337 ENTAMOEBA ANTIGEN 44
7007338 H PYLORI ANTIGEN 32.86
7007385 HISTOPL AG UR 54.5
7007486 CHLAM PNEUM DNA, PCR 91
7007492 CHLAMYDIA DNA AMP PROBE 33.5
7007497 CYTOMEGALOVIRUS PCR 102.25
7007498 CMV DNA QUANT 105
7007536 HIV-1 RNA, PCR ULTRA 150
7007541 LEGN PNEUM DNA PCR 91
7007556 MTB DNA BY PCR 94
7007557 MTB PCR, RESP 94
7007595 NEISSERIA MENINGITIDIS ANTIGEN 160
7007793 ENTEROVIRUS RNA QL RTPC 175
7007796 VARICELLA ZOSTER BY PCR 145
7007797 PARVOVIRUS PCR 120
7007798 DETEC AGENT NOS DNA AMP 150.5
7007812 H1N1/RVPCR 149
7007902 HIV 1 INTEGRACE GENOTYPE 440
7007912 LEGIONELLA AG UR 15
7007915 BETA D1-3 GLUCAN, FUNGITELL 85
7008675 HEPATITIS B DNA QUANT 150
7008730 ASPERGILLUS AG 58.5
7013504 HEP C RNA PCR 119.89
7017203 LEGIONELLA DFA 35.05
7017265 BORDETELLA PERTUSSIS DFA 21.41
7047106 YEAST ID REF 53
7047118 AFB ID REF 40
7069041 INFLUENZA A&B RNA 90
7069170 MYCOBATERIUM CULTURE, AFB 14.12
7069208 C DIFF DNA 149
7069209 C DIFF TOXIN GENES 149
7069241 SAMPLE CONCENTRATION 21.38
7069242 CYCLOSPORA-ISOSPORA 26.12
7069343 HSV 1,2 DNA PCR 42.5
7069375 CONCENTRATE SPEC 67.8
7069376 SMEAR, ISOSPORA 45.2
7069407 SAMPLE CONCENTRATION 2.87
7069408 SPECIAL STAIN 8.59
7069447 PNEUMOCYSTIS CARINII AB ID 16.5
7069448 P. CARINII CONCENTRATION 13.5
7069454 INFECTIOUS AGENT DETECTION-DNA 85
7069481 SHIGA TOX EIA 41
7069482 E COLI 0157 CULT 10
7069632 RSV RNA PCR 54.75
7069633 INFLUENZA A, B PCR 105.85
7069634 INFECTIOUS AGENT DETECTION, NUCLEIC ACID 51.1
7069636 INFLUENZA B 25.66
7069637 INFLUENZA A 25.65
4101001 UA AUTO W/MICRO 63
4101004 URINE W/O MICRO AUTO 53
4101026 URINE PREG TEST QUAL 173
4109250 REDUCING SUBSTANCE 53
4109050 CELL COUNT,MISC BODY FLD 33
4109051 CELL COUNT MISC W/DIFF 79
4109363 CRYST ID BODY FLD EX URN 36
4502110 AUTOLOGS DONOR DRAW ONLY 125
4303521 BLOOD SMEAR INTERP 50
4303522 BONE MARROW INTERP W/O DIFF 250
4308104 CYTOPATH WASH/BRUSH/SM 54
4308108 CYTOPTH CONL SM 88
4308112 CYTOPATH CELL 88
4308173 FNA: INTRP/REPRT 189
4308300 GROSS EXAM ONLY 54
4308302 GROSS & MICRO: LVL II 104
4308309 GROSS & MICRO COMPREHNSV 392
4308311 DECALCIFICATION 119
4308312 SPEC STAINS GROUP I 54
4308313 SPEC STAINS GROUP II 54
4308314 IMMUN CYT EACH AB 294
4308315 IMMUN CYT EACH SUBSEQUENT AB 294
4308321 CNSLT/RPT REFRD SLIDES 325
4308331 CONSULT/FROZEN SEC * 411
4308332 CONSULT/FROZEN ADD * 95
4308403 GROSS & MICRO EXAM III 128
4308404 LVL IV SURG PATH GROSS 192
4308405 LVL V SURG PATH GROSS 270
4308406 CELL BLOCK-FNA CYTO 0
4309020 ELECTRON MICRO – CEDARS 521
4309021 IMMUNOHISTO ANTB 1ST STAIN – CEDARS 271
4309022 IMMUNOFLUOR ANTB 1ST STAIN – CEDARS 248
4309023 IMMUNOFLUOR ANTB ADDL STAIN – CEDARS 1
4309024 SURGL PATH GROUP II – CEDARS 171
4309025 SURG PATH LEVEL IV – CEDARS 60
4309026 M PHMTRC ALYS TUMOR – CEDARS 95
4309027 M PHMTRC ALYS ISH – CEDARS 903
5071037 CYTOLOGY 170
7003960 BRCA1/2 Comprehensive Analysis 2,412.00
7003965 PROTHROMBIN DNA ANYLIS FACTOR II 82.45
7003967 FACTOR V LEIDEN PROBE 6
7008282 CHROMS KARYOTYPE TISSUE 45
7008302 INTERP 9-15 MARKERS 73.08
7069557 JAK2,QL,Leum w/rfl 12, 13 202.53
4308142 CYTO PRSRV FLD AUTO T 88
7008231 TISS CULT F/NON-NEOPLSA 269.5
7008253 CHROMOSONE ANALYSIS 295
7008263 CHRMSM ANAL 15-20 BANDS 229.5
7008289 CHROM HI RESOLN 57.75
7008294 INTERP & REPORT* 40
7018188 LEUKEMIA & LYMPHOMA PNL 275
7069248 MOL CYTO-DNA PROBE 101.75
7069249 CHROMO IN-SITU 154
7069250 INTERPRETAION AND REPORT 19.25
7069432 MOLECULAR CYTOGENETICS-DNA PROBE 45.5
7069433 INTERPHASE IN-SITU 87.75
7069434 INTERPRETATION AND REPORT 9.75
4610158 ATHRCTMY PERIPH INITL 1,553.00
4610270 RENAL BIL SELECTIVE CATH 1ST ORD MAIN 1,869.40
4610272 RENAL BI SUPERSELECTIVE CATH 1- MORE ORD 2,151.00
4610278 ILIAC ART BIL W CARD CT 4,778.00
4610279 ILIAC ART UNI W CARD CT 4,778.00
4613540 ANGIO,ADD VESSEL COMP 1,754.00
4613588 CATH LAB FLUORO * 468
4614830 INTRO CATH ABD AORTA 636
4614955 Unilat Angio Cerv Cereb Arch 12,112.25
4615627 ABD AORTGRPHY SERIAL 11,357.00
4615631 ABD W/BI ILIFEM 11,357.00
4615659 ANGIO BRACHIAL 11,357.00
4615711 EXTREMITY UNI W/O SERL 11,357.00
4615713 ANGIO EXTR UNIL 11,357.00
4615718 EXTREMITY BI W/SERIAL 11,357.00
4615719 ANGIO EXTR BILAT 11,357.00
4615737 ANGIO PELVIC SLCT/SUP 11,357.00
4615744 PULMONARY BI SELECTIVE 11,357.00
4615821 VENOGRAM EXTR UNI 4,028.00
4615823 VENOGRM EXTREM BIL 4,028.00
4615828 VENCAVGRM SUPRIOR 4,028.00
4615861 VENOGRM SUBCL/JUG 4,028.00
4615898 ANGIO THRU EXISTNG CTH 425
4615993 ATHRCTMY PERIPH ADDL 1,553.00
4615997 FLUORO CVA DEVICE 503
4616003 FLUORO INJ/GUIDE 1,201.00
4617001 FLUORO > 1HR 1,258.00
4900010 RADIOLOGY NO CHARGE 0
4900021 FNA NO IMAGE GUIDANCE 0
4900030 EYE,DETECTION OF FOR/BDY 350
4900100 MANDIBLE, LTD <4 VWS 395
4900110 MANDIBLE 4VW MIN 640
4900130 MASTOIDS,COMP 3VW MIN/SD 433
4900150 FACIAL BONES,3VW MIN 953
4900152 ORBITS 4VW MIN 640
4900160 NASAL BONES, 3VW MIN 293
4900210 SINUSES,2VW MAX 317
4900220 SINUSES,3VW MIN 426
4900250 SKULL < 4 VIEWS 317
4900260 SKULL,4VW MIN 524
4900330 TM JOINTS, BILATERAL 854
4900355 ORTHOPANTOGRAM 293
4900360 NECK FOR SOFT TISSUES 218
4900373 LARYNGOGRAPHY,CONTRAST 520
4900390 SIALOGRAPHY 510
4901010 CHEST,SINGLE VIEW PORTABLE 429
4901011 CHEST,SINGLE VIEW 429
4901020 CHEST,TWO VIEWS 752
4901021 CHEST W/LORDOTIC 939
4901030 CHEST, MIN 4 VW 1,881.00
4901034 CHEST FLUOROSCOPY 1,414.00
4901050 FLUORO INDEPENDENT 775
4901056 ERCP 901
4901100 RIBS,UNILAT 2VW 367
4901101 RIBS, UNI MIN 3 VWS 648
4901110 RIBS,BILAT 3VW 540
4901111 RIBS,BIL W PA CHST 4VW 759
4901120 STERNUM 2VW 551
4901130 STERNCLAVR JNTS 3VW MIN 278
4902020 SPINE,ANY LEVEL SNGL VW 432
4902040 SPINE,CERV 2 OR 3 VWS 672
4902050 SPINE,CERVICAL 4VW MIN 1,208.00
4902052 SPINE,CERV,FLEX&EXTEN 1,664.00
4902070 SPINE,THORACIC 2 VWS 619
4902071 SPINE, THORACIC 3VW 714
4902080 SPINE,THORACO-LUMBAR 2VW 619
4902100 SPINE,LUMBAR 2 OR 3 VWS 656
4902110 SPINE,LUMBAR MIN 4VWS 1,074.00
4902114 SPINE,AP/LAT/BEND 1,479.00
4902120 SPINE,LMBR BENDNG 4 VWS 688
4902170 PELVIS 1-2 VWS 552
4902190 PELVIS,MIN 3 VWS 648
4902202 SACRO-ILIAC JNTS 3+ VWS 317
4902220 SACRUM & COCCYX 2VW MIN 317
4902275 EPIDUROGRAPHY 348
4903000 CLAVICLE 317
4903010 SCAPULA 613
4903020 SHOULDER, SNGL VIEW 570
4903030 SHOULDER, 2VW MIN 660
4903050 ACROMIO-CLVICULAR JTS,BI 317
4903060 HUMERUS, 2VW MIN 341
4903070 ELBOW,2 VWS 546
4903080 ELBOW, 3VW MIN 641
4903091 FOREARM 2 VWS 532
4903092 UPPR EXTRMTY INFNT 2VWS 190
4903100 WRIST, 2VWS 540
4903110 WRIST, 3VW MIN 634
4903120 HAND,2 VWS 543
4903130 HAND, 3VW MIN 573
4903140 FINGER(S) 2 VW MIN 420
4903500 HIP, UNIL w/ PELVIS 1 VIEW 629
4903505 HIP, UNIL w/ PELVIS 3-4 VIEWs 1,258.00
4903510 HIP, UNIL w/ PELVIS 3-4 VIEWs 1,700.00
4903512 HIP,UNILATERAL 2VW MIN 665
4903514 HIP,UNILATERAL 4 Views 1,300.00
4903520 HIP,BI,CMPLT 2VW MIN 1,355.00
4903551 FEMUR 2 VWS 317
4903555 FEMUR 2 VIEWS OR MORE 600
4903560 KNEE, 1-2 VWS 513
4903562 KNEE 3 VWS 602
4903570 KNEE, COMP 4 OR MORE VWS 602
4903590 TIB/FIB 2 VWS 341
4903591 LOWER EXT INFANT MIN 2VW 189
4903600 ANKLE, 2 VWS 607
4903610 ANKLE, 3VW 642
4903620 FOOT, 2 VWS 300
4903630 FOOT, 3VW MIN 317
4903650 OS CALCIS 2 VWS MIN 317
4903660 TOE(S) 2 VWS MIN 169
4904000 ABDOMEN,SINGLE VIEW(KUB) 303
4904020 ABD W/DECUB OR ERECT 477
4904022 COMP ACUTE ABD 646
4904200 E R C P 1,562.00
4904210 PHARYNX &/OR CERV ESOPH 414
4904220 ESOPHAGUS 477
4904230 SWAL FUNC W CINE/VIDEO 726
4904242 UPPER GI W/O KUB 665
4904243 UPPER GI W/KUB 1,096.00
4904245 UPPER GI W/SMALL BOWEL 1,960.00
4904247 UPPER GI AIR/KUB 1,411.00
4904249 UPPER GI AIR/SMALL BOWEL 2,039.00
4904250 SMALL BOWEL 1,251.00
4904270 COLON,BARIUM W/WO KUB 1,096.00
4904280 COLON BE W/AIR 1,228.00
4904290 CHOLECYSTROGRAPHY,ORAL 453
4904301 CHOLANGIO,INTRAOP ADD SE 358
4904328 ENDO CATH BILIARY SYSTEM 1,562.00
4904415 NEPHROTOMOGRAPHY 1,444.00
4904486 DILATION NEPHRO/URETER 1,474.00
4906040 BONE LENGTH STUDIES 887
4906050 DXA BNE DNSTY AXL SKLT 279
4906060 BONE SURVEY, LTD 769
4906063 BONE SURVEY COMPLETE 769
4906065 BONE SURVEY,INFANT 354
4906077 BN DENS – APPENDCAR 96
4906088 MAMMO DUCTGRAM SINGLE 591
4906095 SURGICAL SPECIMEN 2,281.55
4906110 TOMO COMPLEX MOTION 2 VW 700
4906170 SUBTRACTION STUDY 122
4906655 STERO LOC BX, EA LESION 1,921.00
4906657 FINE NDL ASPIR W/WO SMR 185
4908921 RENAL UNI w/ FLUSH & AORTOGRAM 1,435.50
4908927 RENAL UNI, SUPER SELECTIVE CATH 1,933.90
4908933 RENAL BILAT, 1ST ORD MAIN RENAL ARTERY 1,869.40
4908939 RENAL BILAT, SUPER SELECTIVE CATH 2,151.00
4910399 ATEROPOSTERIOR, BOTH KNEES STANDING 242.8
4910405 KNEE COMPLETE, 4 OR MORE VIEWS 242.8
4912240 MYELOGRAM CERVICAL COMP 1,443.00
4914235 REMOVE FB W/FLUORO 1,315.00
4914350 PERC PLACE GASTROSTOMY 877
4914360 DILATN STRICTURE/OBSTRUC 1,083.00
4914363 BILIARY DIL W/WO STENT 1,153.00
4914420 PYELOGRAPHY,RETROGRADE 816
4914425 ANTEGRADE NEPHROSTOGRAM 875
4914434 CYSTOGRAPHY,COMPLETE 430
4914450 URETHROCYSTOGRAPHY,RETR 493
4914455 URETHROCYSTOGRAPHY,VOID 673
4914470 TRANSLUMBAR RENAL CYST 1,255.00
4914480 Ea Intra Cran Brnch Cartd/Vert Unilat 1,144.20
4914483 Ext Cartd Art unilat w/ Angio 561.45
4914485 Vert Art Uni w/ Angio inc Cer Cereb Arc 19,808.90
4914488 Unilat Angio Cerv Cereb Arch 12,112.25
4914490 Int Cartd Art w/ Angio 19,808.90
4914492 Com Cartd inc Angio of Ext Cran/Cer/Cere 12,112.25
4914494 Sel Cath Pl Carotd/Innomnate Artery 12,112.25
4914497 Non selct cath pl Car/Ver/Thor Aorta 12,112.25
4914740 HYSTEROSALPINGOGRAPHY 510
4915606 THORACIC W/SERL,COMPLT 5,517.00
4915626 ABD TRANSLUMBAR W/SERL 5,517.00
4915631 ABD W/BILAT ILIOFEMORAL 5,517.00
4915650 ABD PARACENTESIS(Dx)/THERA w/ GUIDANCE 2,060.00
4915659 BRACHIAL RETRGRD COMP 5,517.00
4915706 SPINAL SELCTIVE,COMPLT 5,517.00
4915712 EXTREMITY UNI W/SERIAL 5,517.00
4915718 EXTREMITY BI W/SERIAL 5,517.00
4915727 VISCERAL SELECTIVE,COMP 5,517.00
4915732 ADRENAL UNILATERAL 5,517.00
4915734 ADRENAL BILATERAL 5,517.00
4915737 PELVIC SELECTIVE 5,517.00
4915742 PULMONARY UNI SELECTIVE 5,517.00
4915744 PULMONARY BI SELECTIVE 5,517.00
4915747 PULM CATH NON-S 1,752.00
4915757 INTERNAL MAMMARY 1,503.00
4915775 ANGIO,ADD VESSEL COMP 1,754.00
4915821 VENOGRAM EXTREMITY UNI 1,785.00
4915823 VENOGRAM EXTREMITY BIL 6,093.00
4915826 INFERIOR VENACAVAGRAM 5,517.00
4915828 SUPERIOR VENACAVAGRAM 2,064.00
4915832 VENOGRAPHY RENAL UNILA 5,517.00
4915834 VENOGRAPHY RENAL BILAT 5,517.00
4915841 VENOGRAPHY ADRENAL UNI 5,517.00
4915843 VENOGRAPHY ADRENAL BIL 5,517.00
4915861 VNOGRM SNUS/JUG 2,143.00
4915886 PERC HEP PORT W 5,517.00
4915888 PERC HEP PRT WO 1,752.00
4915890 HEP VENGPHY W/E 5,517.00
4915892 HEP VENGPHY WO/ 5,517.00
4915893 VENOUS SAMPLING VIA CATH 5,517.00
4915898 ANGIO EXIST CATH P THRPY 1,472.00
4915901 REM PERICTH OBST CV CAT 288
4915902 REM INTRLMNL OBST CV CT 288
4915971 TCATH BIOPSY 1,149.00
4915990 PERC DRN ABSC W/CATH 1,147.00
4915996 ATHERCT VISC EA 1,149.00
4915997 FLUOROGUID FOR VEIN DVC 503
4915998 FLUORO <1HR TECH TIME 918
4915999 FLUORO >1HR TECH TIME 1,258.00
4916010 FLUORO BX/ASP/INJ/GUIDE 1,201.00
4916082 FISTULA-SINUS TRCT STDY 480
4916568 INSRT CV CATH NO PORT<5 1,020.00
4916569 INSRT CV CATH NO PRT 5> 1,020.00
4917615 INJECT F/CYSTO OR VCUG 176
4917635 3D RNDR 1&R CT MRI-US-OTH POST PCX 2,264.65
4917820 PLACE CATH ART ABD 2ND 636
4917830 PLACE CATH ART ADD ORDR 636
4917845 PLACE CATH ART 3RD ORDR 636
4918010 TRANSCATHETER OCCLUSION 3,591.00
4919072 HEAD AND NECK EMBOLIZATION 3,207.00
4919114 INTRACRANIAL PRESSURE MONITORING (IPC) 1,584.95
4919539 BALLOON ANGIOPLASTY INTRACRANIAL, PERC 6,197.10
4919541 BALLOON DIL-INTRACRANIAL VASOPASM EA ADD 1,144.75
4919544 BALLOON DILATATION-INTRACRANIAL VASOPASM 3,255.10
4919545 BALLOON DILAT-INTRA-C VASPSM EA. ADD-ON 2,288.00
4919550 TRANSC THE ART INFUSION FOR THROMBOLYSIS 4,289.15
4919551 VENOUS INFUSION FOR THROMBOLYSIS 4,289.15
4919552 ART/VEN INF FOR THROMBO OTH THAN CORONAR 9,571.01
4919553 CESS OF THROMBO INC REMOV CATH & VES CLO 9,571.01
4919555 TRANSCATH PLACEMENT INTRAVASCULAR STENT 13,030.18
4919557 TRANSCA. PLACE. INTRAVAS STENT EA ADD 6,301.61
4919565 VASCULAR EMBOLIZ ARTERIAL 12,634.43
4919567 VASC EMBOL-OCCLUSION-TUMOR -INFARC 12,634.43
4919569 VASC EMB-OCCL ARTER OR VENOUS-LYMPH 12,634.43
4914507 PERC TRANSLUMINAL REVASC ACC OCC MYO INF 3,415.00
4616311 ABD W/BI ILIFEM 11,357.00
3501329 CHEMO INF IM/SQ 1,206.00
4916420 CHEMO INJ IAPUSH 315
5107280 RADTHER SIMULATION SMPLE 732
5107285 RADTHER SIMULATION INTER 1,175.00
5107290 RADTHER SIMULATION CMPLX 1,369.00
5107295 RADTHER 3-D RECON DOSMTR 2,894.00
5107300 BASIC RADIATION DOSIMTRY 828
5107302 IMRT PLAN W DOSE VOLUME 4,059.00
5107305 TELETHER ISODOSE SIMPLE 374
5107310 TELETHER ISODOSE INTERM 495
5107315 TELETHER ISODOSE CMPLEX 596
5107321 SPEC TELETHER PORT PLAN 848
5107326 BRACHYTHERAPY SIMPLE 461
5107327 BRACHYTHERAPY INTERMED 610
5107328 BRACHYTHERAPY COMPLEX 1,045.00
5107331 SPECIAL DOSIMETRY 240
5107332 TX DVC, DESIGN, SMPL 333
5107333 TX DVC, DESIGN, INT 432
5107334 TX DVC, DESIGN, CMPLX 684
5107336 RADPHYSICS CONSULT P/WK * 630
5107338 MULTI-LEAF COLLIMATOR DEVICE FOR IMRT 1,428.80
5107370 RADPHYSICS SPEC CONSULT * 537
5107402 MEGAVOLT/RX SNGL +20 941
5107403 MEGAVOLT/RX SINGLE 6-10 779
5107404 MEGAVOLT/RX SINGLE 11-19 869
5107408 MEGAVOLT/RX TWO 6-10 869
5107409 MEGAVOLT/RX TWO 11-19 941
5107410 DAILY MEGAVLT TRT CMPLEX 1,006.00
5107412 MEGAVOLT/RX 3 +20 1,053.00
5107413 MEGAVOLT/RX THREE 6-10 1,006.00
5107414 MEGAVOLT/RX THREE 11-19 1,073.00
5107416 PORT FILM 467
5107418 IMRT SNGL/MULT PER SESS 2,415.00
5107427 RADIATION TX MGMT, 5 TX * 772
5108999 00000 XRAY THER MISC 0
3603020 CHEMOTHER INF EA HR 1-8H 2,529.00
6296413 CHEMO IV TO 1 HR 723
6296415 CHEMO IV EA ADD HR TO 8 1,806.00
5209000 HYPERTHYROID INTL/NUCLID 1,033.00
5209001 HYPERTHYROID ADD EACH 659
5209005 RADPHARM TX ORAL 1,033.00
5209400 THERAPY (NON THYROID) 1,033.00
5202012 TUMOR LOCAL MULTIPLE 1,615.00
5202022 TUMOR LOCAL WHOLEBODY 1,496.00
5204300 MYOCARD TOMO SPCT SNGL 3,215.00
5204301 MYOCARD TOMO SPCT MULT W C 3,644.55
5204302 MYOCARD PER SNGL W EJF L 3,085.00
5204303 MYOCARD PERF MULT W E JF L 3,215.00
5208015 THYROID C/M IMG NCK/CHST 966
5208018 THYROID C/M IMG WHOL BDY 1,975.00
5208031 PARATHYROID PLANAR IMAGING 2,454.00
5208104 BONE MARROW IMG WH/BODY 1,480.00
5208186 SPLEEN IMAG VASCULAR FLO 1,123.00
5208192 INFL PR LCL/LTD 1,608.00
5208193 ABSCESS LOCL WHBDY 1,720.00
5208195 LYMPHATICS & LYMPH NODES 3,946.00
5208199 MISC HEM/LYMP 1,440.40
5208205 LIVER IMAGING (SPECT) 2,096.00
5208215 LIVER/SPLEEN IMAG STATIC 1,451.00
5208216 LIVER/SPLEEN VASC FLOW 1,562.00
5208223 HEPATOBILLARY IMG INC GB 1,467.15
5208276 GASTRIC EMPTYING STDY-DM 1,196.00
5208280 GI BLOOD LOSS STUDY 1,795.00
5208291 PERITONEAL SHUNT PATENCY 1,316.00
5208299 MISC GI PROC 1,341.10
5208300 BONE IMAGING LIMITED 1,033.00
5208305 BONE IMAGING MULTIPLE 1,316.00
5208307 BONE IMAGING WHOLE BODY 1,550.00
5208315 BONE IMAG 3 PHASE TECH 1,647.00
5208320 BONE IMG TOMOGRM (SPECT) 2,167.00
5208405 MYOCARDIUM IMG TL REST 2,262.00
5208423 MYOCARD IMAG MULT STDY 3,289.00
5208445 VASCULAR FLOW STUDY IMAG 1,648.00
5208458 VENOGRAM BILATERAL 1,683.00
5208465 CARD TOM(SPECT)REST&EXCR 3,587.00
5208467 MYOCARD INFARCT IMAGING 3,642.00
5208468 MYOCARD INFARCT 1ST PASS 1,808.00
5208472 GATED HEART,PLANAR,SNGL 1,161.00
5208480 MYOCARD PERF W/EJ FRX 823
5208481 CRD BLPL 1ST PS/RST/EF 1,152.00
5208482 MYOCARD PERF W/WM 823
5208483 CRD BLD PL MULT STDIES 3,289.00
5208507 CARD TOMO REST/STRESS 2,392.00
5208510 MYOCAR TL STR/DRUG SPECT 1,975.00
5208580 PULM PERF PARTICULATE 1,729.00
5208594 PULMUNARY VENT IMAGING 1,012.25
5208595 PULMONARY VENT AND PERFUSION IMAGING 1,582.00
5208597 QNT DIFF PULMUNARY PERFUSION INC IMAGING 1,012.25
5208598 QNT DIF PULMUNARY PERF INC IMG-PERFORMED 1,582.10
5208601 BRAIN IMAG LTD VASC FLOW 1,808.00
5208607 BRAIN IMG TOMGRAM(SPECT) 2,245.00
5208610 BRAIN IMAG VASC FLO ONLY 952
5208630 CISTERNOGRAM 2,062.00
5208635 VENTRICULOGRAM 1,975.00
5208645 SHUNT EVALUATION 1,975.00
5208650 CSF LEAK DETECTION 1,975.00
5208652 CSF TOMOGRAPHIC (SPECT) 1,975.00
5208701 KIDNEY IMAG VASC FLOW 1,496.00
5208704 KIDNEY IMAG FUNCTION 1,645.00
5208707 KIDNEY IMG VASC/FUNCTION 2,750.00
5208710 KIDNEY IMAGING 1,347.00
5208715 KIDNEY VASCULAR FLOW 969
5208720 KIDNEY FUNCTN NON IMAG 1,645.00
5208762 TESTICULAR IMAGING 1,169.00
5208803 TUMOR LOCALIZATION-SPECT 2,943.00
5208806 ABSCESS LOCAL WHOLE BODY 1,720.00
5208825 COMPUTER EVAL 30 MIN * 1,223.00
5208891 COMPUTER EVAL OVER 30MIN * 2,039.00
5209030 THYROID CARC ABLATION 1,496.00
5209035 THYROID CARC THERAPY 1,645.00
5209405 Thyroid Uptake Single or Mult Quant Meas 475.55
5209410 Thyroid Imag w/ Sing or Mult Uptake Qnt 913.85
5209415 Thyroid Ca Meta Imag LTD Neck Chest 1,173.30
5209420 Thyroid Carc w/ Add Studies 1,173.30
5209425 Thyroid Carc. Whole body 1,173.30
5209430 Thyroid Carc. Metas Uptake 1,173.30
5209435 Parathyroid w/ Tomographic Spec 1,757.20
5191066 IN 111 SATUMOMAB DOSE $ 3,289.00
5191094 TC99 ALBUMIN MAA PERDOSE $ 395
5191400 GA67 CITRATE 1MCI $ 1,944.00
5191724 IN111 DTPA .5MCI $ 938
5191729 IN111 OXINE .5MCI $ 982
5191760 IN111 PENTETREOT.PERDOSE $ 9,561.00
5194010 TC99 MEDRONAT UPTO 30MCI $ 1,703.00
5194060 TC99 ALBUMIN COLLOID DOS $ 1,446.00
5194065 TC99M TSC SULFUR COLLOID UD 417.9
5194120 TC99 GLUCOHEPTONATE VIAL $ 1,869.00
5194126 TC99 MERTIATIDE PER DOSE $ 1,975.00
5194140 TC99 OXIDRONATE PER DOSE 1,688.00
5194165 TC99 RBC PER DOSE $ 1,763.00
5194175 TC99 SUCCIMER VIAL $ 1,811.00
5194190 TC99 TETROFOSMIN DOSE $ 1,879.00
5194207 TC99 CERETEC-EXAMETAZINE INJ, 1-30 MCI 5,058.80
5194800 TL201 CHLORIDE 1MCI $ 1,715.00
5195100 XE133 10 MCI $ 1,754.00
5199511 TC-99M FILTERED SULFUR COLLOID 545.75
5199512 TC99 PERTECHN PER MCI 69
5199513 TC99 MEBROFENIN PER DOSE 326
5199514 TC99 PYROPHOSPH PER DOSE 85
5199515 TC99 PENTETATE PER DOSE 39
5199516 I 123 SOD CAP PER 100UC 764
5199531 I 123 ADVW MIBG 13,000.00
5199532 I 123 ADVW MIBG 13,000.00
5199517 TX I131 SOD CAP PER MCI 764
5199530 TX I-131 SOD SOL PER MCI 195
5050141 CTA HRT LV RV FUNC WCONT $ 2,638.00
5050146 CTA CARD WO CALC EVAL $ 1,199.00
5050147 CTA HRT QUANT EVAL WCONT $ 2,638.00
5050148 CTA CARD WO CALC EVAL $ 1,199.00
5050149 CTA CARD W CALC EVAL $ 1,199.00
5050150 CTA HRT EVAL STRUCTR WCO $ 2,638.00
5050200 CT SINUS W/CM $ 3,663.00
5050202 CT SINUS W/O CM $ 3,239.00
5050204 CT SINUS WO/W CM $ 4,252.00
5050215 CTA HEART W CONT $ 2,638.00
5050450 CT HEAD/BR W/O CM $ 3,606.00
5050461 CTA CHST NON COR WO/W C $ 1,055.00
5050468 CT BRAIN W/CM $ 4,077.00
5050478 CT BRAIN WO/W CM $ 4,732.00
5050486 CT FACIAL W/O CM $ 3,239.00
5050487 CT FACIAL W/CM $ 3,663.00
5050488 CT FACIAL WO/W CM $ 4,252.00
5050490 CT NECK W/O CM $ 2,733.00
5050491 CT NECK W/CM $ 3,090.00
5050492 CT NECK WO/W CM $ 3,587.00
5050496 CTA ABD LE RO WO/W CONT $ 2,638.00
5050497 CTA HEAD W CONT $ 2,629.00
5050498 CTA ABD WO/W CONT $ 2,638.00
5050499 CTA NECK W CONT $ 1,055.00
5050500 CTA HEAD WO/W CONT $ 2,629.00
5050502 CTA NCK WO/W CONT $ 1,055.00
5050504 CTA PELVIS WO/W CONT $ 2,631.00
5050508 CTA UE WO/W CONT $ 1,055.00
5050510 CTA LE WO/W CONT $ 1,361.00
5050520 CT ORB/EAR/P FOS WO CM $ 3,239.00
5050524 CT ORB/EAR/P FOS W CM $ 3,663.00
5050528 CT ORB/EAR/P FOS WO/W CM $ 4,252.00
5051250 CT CHEST W/O CM $ 1,447.00
5051260 CT CHEST W/CM $ 1,636.00
5051270 CT CHEST WO/W CM $ 1,899.00
5051274 CTA CHEST WCONT $ 1,055.00
5052125 CT SP CERV W/O CM $ 4,612.00
5052126 CT SP CERV W/CM $ 5,329.00
5052127 CT SP CERV WO/W CM $ 6,053.00
5052128 CT SP THOR W/O CM $ 2,733.00
5052129 CT SP THOR W/CM $ 3,090.00
5052130 CT SP THOR WO/W CM $ 3,587.00
5052131 CT SP LUMB W/O CM $ 2,733.00
5052132 CT SP LUMB W/CM $ 3,090.00
5052133 CT SP LUMB WO/W CM $ 3,587.00
5052143 CT CEREBRAL PERFUSION 1,698.20
5052192 CT PELVIS W/O CM $ 3,608.00
5052193 CT PELVIS W/CM $ 4,169.00
5052194 CT PELVIS WO/W CM $ 4,736.00
5052196 CTA PELV W CONT $ 2,631.00
5053200 CT UE W/O CM $ 2,733.00
5053201 CT UE W/CM $ 3,090.00
5053202 CT UE WO/W CM $ 3,587.00
5053206 CTA UE W CONT $ 1,055.00
5053700 CT LE W/O CM $ 3,525.00
5053701 CT LE W/CM $ 3,986.00
5053702 CT LE WO/W CM $ 4,627.00
5053703 CT LE WO/W CM BI $ 0
5053706 CTA LE W CONT $ 1,361.00
5054150 CT ABDOMEN W/O CM $ 3,618.00
5054160 CT ABDOMEN W/CM $ 4,180.00
5054170 CT ABDOMEN WO/W CM $ 4,748.00
5054175 CTA ABD W CONT $ 2,638.00
5055635 CTA AB LE BI ILIOF W/CON $ 2,638.00
5056355 CT STEREOTACTIC LOCALZTN $ 1,449.00
5056360 CT GUIDE TISSUE ABLATIO 940
5056361 CT GUIDANCE NDL PLACEMNT $ 1,449.00
5056370 CT GUIDE RAD THERAPY FL $ 489
5056380 CT RECONSTR * 950
5056505 CT LTD OR LOC F/U STUDY $ 1,564.00
5050535 CT SCAN ABDOMEN & PELVIS w/ CONT 1,500.00
5050540 CT SCAN ABDOMEN & PELVIS w/o CONT 970
5050545 CT SCAN ABDOMEN & PELVIS w and w/o CONT 1,670.00
5050546 CT SCAN ABDOMEN & PELVIS w/ and w/o CONT 1,670.00
3100610 CERCLAGE 898
3210004 SURGERY 1 HOUR MAJOR 3,868.00
3210005 SURGERY MAJOR EA ADD MIN 63
3210041 SURGERY 1 HOUR MINOR 3,201.00
3210051 SURGERY MINOR EA ADD MIN 53
3210400 SURG LASER PROC 1ST HR 5,809.00
3210402 SURG LASER PROC ADD MIN 96
3210460 SURG LASER MNR 1ST HR 5,214.00
3210476 SURG LASER MNR ADD MIN 75
3212005 OR LEVEL 1, 30 MINUTES 4,000.00
3212010 OR LEVEL 1, EACH 15 MINUTES 500
3212015 OR LEVEL 2, 30 MINUTES 4,500.00
3212020 OR LEVEL 2, EACH 15 MINUTES 550
3212025 OR LEVEL 3, 30 MINUTES 7,000.00
3212030 OR LEVEL 3, EACH 15 MINUTES 1,750.00
3212035 OR LEVEL 4, 30 MINUTES 9,000.00
3212040 OR LEVEL 4, EACH 15 MINUTES 2,250.00
3212045 OR LEVEL 5, 30 MINUTES 10,000.00
3212050 OR LEVEL 5, EACH 15 MINUTES 2,500.00
3212055 OR LEVEL 6, 30 MINUTES 13,000.00
3212060 OR LEVEL 6, EACH 15 MINUTES 3,250.00
3600408 LUMBAR PUNCTURE 2,072.76
4610130 APLSTY A-V SHUNT 1,730.00
4610145 PRC ATHRCTMY ILIAC 7,917.00
4610160 ATHR TBIO PERONL & BR 1,964.00
4610394 A-V FISTULOGRAM 1,730.00
4613410 BRACH EMBLCTMY INCSN 636
4613582 TMP PM INSRT EA ADD MIN 63
4613592 TEMP PACEMAKER INSER/BUN 4,220.00
4613594 PRM PM INSRT EA ADD MIN 63
4613595 TMP PM INSRT 1ST HR 3,868.00
4613969 IABP INSERT 3,447.00
4616013 PLC CATH RT HRT/PLM ART 636
4616481 INSRT PERMA CATH PREC V 636
4616482 PLC CATH SUP/INF VNA CAV 636
4616569 INSRT CV CTH W/O PRT/PMP 1,020.00
4616589 REM CV CTH W/O PRT/PMP 1,020.00
4617189 REVIS ART FISTLA 636
4617690 INJ EXTR VENOGR 1,020.00
4617800 PLCE CATH AORTA 636
4617821 VENOGRM INJECTION 2,082.00
4617822 CENTRAL LINE PLCMNT 2,082.00
4617823 ART LINE PLCMNT 2,336.00
4617860 PLCE CATH EXTR ART 636
4617866 PLCE CATH 3RD ORDER 636
4617867 ATHRCTMY FEM POP 636
4617868 PRMRY PERC THRMB INITL V 636
4617896 PRMRY PERC THRM SBSQ VSL 636
4617897 SECNDRY PERC THRMBCTMY 636
4617898 PLCE STNT TRNSCTH INITL 636
4617899 PLCE STNT TRNSCTH EA AD 636
4617906 PLCE FILTER VEIN 636
4617907 INSRT NTUNLED CV CTH 1,617.00
4908945 IVC FILTER PLACEMENT 1,235.80
4910419 PLC NDL/WIRE BRST 318
4910421 PLC BRST CLIP PERC 318
4910430 PERC VRTBRPLSTY THRX 4,632.00
4910431 PER VRTBRPLSTY EA ADD 4,632.00
4910432 PERC KYPHPLSTY THRX 16,368.00
4910433 PERC KYPHPLSTY LMBR 16,368.00
4910434 PERC KYPHLSTY ADD 16,368.00
4910445 INSRT CHEST TUBE 666
4910454 PLCE CATH VEIN 636
4910455 INSRT HEPATIC SHNT 5,385.00
4910456 REMVE HEPATIC SHNT 12,624.00
4910457 TRANSCTH OCCLSN PERC 5,385.00
4910459 NDL BX LYMPH NDS 720
4910466 INTRO GASTRST TUBE 432
4910468 NDL BX LIVER 1,131.00
4910469 PER DRAIN LIVR LESION 2,124.00
4910471 INCISION GLBLDER 4,191.00
4910473 INJ FOR LIVER X-RAY 381
4910475 INSRT BILE DUCT DRN 3,735.00
4910482 NDL BX PANCREAS 1,131.00
4910487 PUNCT PERIT CVITY 666
4910488 DRAIN ABD FLUID 666
4910489 BX ABD MASS 1,131.00
4910491 EXCH DRNG CATH 2,148.00
4910494 BX KIDNEY 1,131.00
4910499 INSRT KIDNEY DRN 3,543.00
4910501 INJ KDNEY X-RAY 381
4910502 CREATE PSG TO KIDNEY 3,543.00
4910510 BX PROSTATE 1,035.00
4910513 DRN PELVC ABSC PRC 2,736.00
4910514 BX THYROID 381
4910515 SPINAL TAP DX 387
4910519 INJ SPINE LS 1,170.00
4912023 AV SHNT 1ST 4,935.00
4912024 AV SHNT EA ADD 636
4914501 Thora Needl or Cath Asp of Pleural Space 582.25
4914503 Trans Cath Retrieval Perc Intravasc 1,594.85
4914505 Perc Transluminal Revasc Total Occ 3,415.00
4915490 ATHERCT REN/VSC 1,964.00
4915492 ATHERCTMY ILIAC 1,964.00
4915896 TCATH OCC EMBO-NON NEURO-HD/NK PERC 39,879.30
4915910 REMV INTRAVASC VENA CAV FILTR 1,908.85
4915994 ATHERCT RENAL 35,791.45
4916555 INSRT NON-TUNNL CV CTH< 1,020.00
4916556 INSRT NONTUNNL CV CTH 5 1,020.00
4916558 INSRT TNL CV CTH5>WO PM 1,365.00
4916561 INSRT TUNNL VAD 5>W POR 1,560.00
4916566 INSR TNL VAD 2STS W PRT 1,560.00
4916578 REPLCE CATH ONLY CVAD 1,365.00
4917620 INJECT BLADDER RETRO UR 197
4917805 PLACE CATH AORTC TRNSLM 636
4917815 PLACE CATH ART ABD 1ST 636
4917835 PLACE CATH ART 1ST ORDR 636
4917840 PLACE CATH ART 2ND ORDR 636
4917880 PLACE CATH VEIN SHUNT 636
4917965 REPAIR BLOCKG PERC ILIAC 1,374.00
4917975 REPAIR BLOCKG PERC VENOS 1,228.00
4917980 REPAIR BLOCKG PERC VISCR 2,290.00
4918015 TUBE JEJUNOSTOMY 645
4918021 PTA TIB-PERI ART/BRNCHS 7,917.00
4918022 PTA RENAL OR VISCERAL 7,917.00
4918023 PTA AORTA 7,917.00
4918024 PTA ILIAC 7,917.00
4918026 PTA BRACH-CEPHALIC 7,917.00
4918027 PTA VENOUS 7,917.00
4918028 ATHRCTMY PERC REN/VISCRL 7,917.00
4918029 ATHRCTMY PERC AORTIC 7,917.00
4918030 VENIPUNCTR, NON-ROUTINE 636
4918031 ATHRCTMY PERC ILIAC 7,917.00
4918032 ATHRECTMY PERC FEM-POP 7,917.00
4918033 ATHRECTMY PERC BACH-CEPH 7,917.00
4918034 ATHRCTMY PERC TIBPRINEAL 7,917.00
4918133 INJ PERC PSED/ANEURYSM 636
4918134 INJ VENOGRPHY EXTREM 636
4918135 PLACE CATH VEIN 636
4918136 PLACE CATH VEIN 636
4918137 PLACE CATH VEIN 636
4918141 PLACE CATH ARTERY 636
4918142 PLCE INTRA ARTERAL SHUNT 636
4918143 PLACE CATH ARTERY 636
4918144 PLACE CATH ARTERY 636
4918145 PLACE CATH ARTERY 636
4918146 PLACE CATH ARTERY 636
4918147 PLACE CATH ARTERY 636
4918148 PLACE CATH ARTERY 636
4918149 PLACE CATH ARTERY 636
4918150 PLACE CATH ARTERY 636
4918151 PLACE CATH ARTERY 636
4918153 PERC PORTAL VEIN CATH 636
4918154 VENOUS CATH 636
4918155 DECLOT VASC ACCESS 427
4918156 IN N/TNLD CTRL VNOUS CTH 1,617.00
4918157 IN N/TNLD CTRL VNOUS CTH 4,179.00
4918158 INSRT TNLD CTRL VNS CTH 11,508.00
4918160 INSRT PERI CTRL VNS CTH 4,200.00
4918161 INST PERI CTRL VNOUS CTH 4,179.00
4918162 REPLD CTH CV ACCESS DVCE 4,179.00
4918163 REPLD NON-TUNNLD CV CTH 1,617.00
4918164 REPLD TUNNLD CV CATH 4,689.00
4918165 RPLD TNLD CTRL VNOUS CTH 5,256.00
4918166 REPLD PERIH CV CTH 2,151.00
4918167 RPLD PERI CV ACCESS DVCE 4,689.00
4918168 REMV TUNL CVC WO PMP/PRT 1,617.00
4918169 RMVE CV CTH NO PRT 1,617.00
4918170 RMV OBSTR CV DVCE 4,179.00
4918512 RMV OBSTR CV DEVICE 1,617.00
4918513 REPOSITION CV CATH 1,617.00
4918514 INJCT CNTRST CV ACC DVCE 120
4918515 PLACE CATH ART ADD ORDR 5,970.00
4918516 PRIM PERC THROMBECTOMY 6,957.00
4918517 PERC THROMBCTY 2ND&SUBSQ 6,957.00
4918518 SCONDRY PRC THRMBCTMY 6,957.00
4918519 PERC THRMBCTMY W PHRM IN 6,957.00
4918520 PERC THRMBTMY W INJ RPLD 6,957.00
4918521 BIOPSY TRANSCATH 1,131.00
4918522 TRANSCATH THPY/INFUSE 381
4918523 TRANSCATH THPY/INFUSE 381
4918524 TRANSCATH RETRIEVAL FB 2,994.00
4918525 TRANSCATH OCCL PERC 5,385.00
4918526 TRANSCTH PLCMT STNT INIT 12,624.00
4918527 TRNSCTH PLCE STNT E/AD V 12,624.00
4918528 EXCHG INTRVSCLR CATH 2,994.00
4918529 EMBLZTN UTER ARTERIE 7,926.00
4918530 INTRPT INFRIOR VENA CAVA 6,402.00
4918531 PTA AV FIS OR GRAFT ART 7,917.00
4918532 PTA FIS OR GRAFT VENOUS 7,917.00
4918533 INTR NDL CTH VEIN 636
4918544 INTR NDL CTH ARTRY 636
4918600 REVASC FEM/POP w/ ATH 25,399.00
4918610 REVASC FEM/POP w/ STENT 25,587.00
4918620 REVASC FEM/POP w/ STENT/ ATH 45,306.00
4918630 REVASC TIB / PER w/ TLA 15,167.67
4918640 RE/ENDOVASC OPE/PERC TIB PERART UNI w/ I 32,208.67
4918650 REV. ENDOV. OPEN/PERC. TIBIAL PERONEAL 41,946.56
4918660 TRANSLUMINAL STENT PLACE./ ATHERECTOMY 55,592.67
4918670 REV. ENDOV. OPEN/PERC. TIBIAL PERONEAL 13,906.31
4918680 UNI. EACH ADDI. W/ ATHER. INCL. ANGIOPLA 24,748.00
4918900 SPINAL PUNCTURE, LUMBAR 246
4919036 CERVICAL CAROTID STENT w/ DISTAL PROTECT 4,173.00
4919048 TEMPORARY BALLOON OCCLUSION 2,072.00
4919060 CENTRAL NERVOUS SYSTEM EMBOLIZATION 4,096.00
4919078 PTA-RE/ENDOVASC UNI INITIAL VES w/ ANGIO 42,390.25
4919084 PTA + STENT PLACEMENT 65,656.58
4919090 EA ADDTNL VESSEL w/ PTA 31,489.00
4919096 EA ADDTNL VESSEL w/ STENT 42,424.00
4919102 PTA FEM POPLITEAL ART w/ TRAN ANGIO 28,367.58
4919108 TRANSCAT PLCMNT OF INTRAVASC STENT 16,563.00
4919559 TRANSC PLACE INTRAV STENT OPEN-PERCUTAN 13,030.18
4919561 TRANS CATH PLACE-OPEN-PERCUTAN-EA ADD 6,301.61
4919563 VASCULAR EMBOLIZ OR OCCLUSSION VENOUS 12,634.43
5066637 THORANCENTS TUBE INSERT 473
5067515 BX MUSCLE,PERC NDL 473
5510205 INTUBATION 282
3500260 MINOR PROCEDURE 1,349.00
4908902 BRST PREOP PL NDL 1ST LS 176
4914248 PERC VERTEBROPLASTY UNI/BIL LUMBAR INJ 7,629.13
4914422 NEPHROSTOGRAM 883
4916000 CONTRAST INJ PERQ RAD EVAL GI TUBE 481.53
3103205 ANES GEN 1ST HR 1,211.00
3103208 ANES GEN EA ADDTL 1/2 HR 605
3103210 ANES REGIONAL 1ST HR 370
3103211 ANES REGIONAL ADDDTL 1/2 HR 185
3700004 ANESTHESIA 1 HOUR 1,211.00
3700005 ANESTHESIA EA ADD MIN 20
3700054 OXYGEN 174
3708999 ANESTHESIA MISC 0
4504165 O/S FEE AUTOLOGOUS 1,033.76
4504166 OUTSIDE FEE DIR DONOR 482.72
4501013 OUTSIDE FEE F/F PLASMA 103.5
4504161 O/S F/F PLASMA AB 208.66
4500026 BLD PLATELET PHERESIS 921.17
4501014 OUTSIDE FEE CRYOPRECIP 82.8
4504152 O/S FEE PK RBC/PED A 274.4
4106210 COMP TST EA UT SPIN TECH 115
4106211 COMP TST EA UT INCUB TCH 27
4106212 COMP TST EA UT AHG TECH 46
4202045 PROCESS CRYO PRECIPITATE * 13.44
4206268 WASHING RBC EA UNIT 121
4501016 OUTSIDE FEE CRYOPRECIP 450
4504156 OUTSIDE FEE LEUKO POOR 592.17
4504172 OUTSIDE FEE PHER PLATLET 1,155.54
4504177 FFP QUICK FREEZE 8 24 HR 184.8
7026018 ANTIBDY SCREEN/ENZYME 17.25
3100035 TRANSFUSION BLD PROD_LD 631
3503110 TRANSFUSION BLD-ADMIN_ED 631
6103110 TRANSFUSION BLD_ER 631
6103116 TRANSFUSION BLD-ADMIN_CHALET 631
6103117 TRANSFUSION BLD-ADMIN_CICU 631
6103118 TRANSFUSION BLD-ADMIN_SICU 631
6103119 TRANSFUSION BLD-ADMIN_CCU 631
6103120 TRANSFUSION BLD-ADMIN_NICU 631
6103121 TRANSFUSION BLD-ADMIN_MEDSURG 631
6293110 TRANSF BLOOD-ADMIN 631
4504154 OUTSIDE FEE WASH CELLS 1,009.27
4906090 MAMMOGRAPHY UNILATERAL 251
4906091 MAMMOGRAPHY,BILATERAL 378
3100027 US GUIDANCE AMNIOCENTESIS S/I 600
3100500 US OB LTD 1OR> FETUS 1,113.00
4616937 US GUIDE VASCULAR ACC 216
4916837 US GDE VSC ACC 216
4916942 US GUIDANCE 2,164.00
5066536 SOFT TISSUE HEAD/NECK 1,114.00
5066538 US THYROID 1,822.85
5066604 US CHEST REAL TIME M 1,130.00
5066641 US BREAST UNILAT. INCLUDES AXILLA 968
5066700 US ABDOMEN COMPLETE 1,895.00
5066705 US ABDOMEN LTD/QUAD/FU 932
5066770 US RETROPERITONEAL COMP 1,241.00
5066782 US SCROTUM CONTENTS 1,245.00
5066800 US SPINAL CANAL 1,056.00
5066810 US OB LTD 1OR> FETUS 1,113.00
5066811 US OB COMP W FETL ANATM 564
5066816 US OB TRANSVAGINAL 218
5066818 FETAL BIOPHYSICAL PROF 1,240.00
5066825 US OB COMP>14WK SGL GEST 997
5066826 US OB F/U PER FETUS 1,050.00
5066828 INFANT HEAD ECHO 1,288.00
5066830 US TRANSVAGINAL 1,130.00
5066831 HYSTEROSNGRPH 303
5066856 US PELVIC COMPLETE 1,434.00
5066873 US TRANSRECTAL 1,365.00
5066880 US EXTREMITY, NON VASCULAR LTD 341
5066881 US EXTREMITY NON VASCULR 1,279.00
5066885 US INFANT HIPS, LTD.STATIC 341
5066931 US GUIDE PERICARDIOCENTS 503
5066937 US GUIDE VASCULAR ACCES 216
5066940 US GUIDE TISSUE ABLATIO 272
5066960 US GUIDE NEEDLE PLACEMNT 2,164.00
5066970 US STUDY F/U 826
5066986 INTRAOPERATIVE ECHO 1,369.00
5067568 US OF AXILLARY 326.13
6106065 CENTRAL LINE 216
6106070 US GUIDANCE 2,164.00
6740082 LIMITED OB ULTRASOUND 137.35
6740084 F/UP OB ULTRASOUND 137.35
6740086 OB TRANSVAGINAL ULTRASOUND 137.35
6740088 TRANSVAGINAL ULTRASOUND 137.35
6740090 PELVIC GYN ULTRASOUND 137.35
6740092 LIMITED FOCUSED NON OB ULTRASOUND 137.35
6740158 US OB COMP>14 WK SGL GEST 137.35
4906081 COMPTR DETECT SCRN MAMM 153
4906083 SCREENING MAMMOGRAPHY 300
5500103 AER TX DEMO AND/OR EVAL 117
5500122 HAND HELD NEB TREATMENT 183
5500230 SUCTION DEEP * 62
5500236 TRACH CHANGE ALL TYPES * 0
5500502 IPPB TX 183
5500504 IPPB TX DEMO AND/OR EVAL 165
5500555 HELIOX PER HOUR 48
5500600 CPAP INIT/MGMT 358
5500607 PULSE OXIMETR MNTR INIT * 303
5500609 PULSE OXIMETR MNTR/HR * 36
5500620 VOLUME VENTILATOR INTL 671
5500626 VOLUME VENT SUBSQ/DLY 5,213.00
5500630 WEANING PARAMETERS * 128
5500811 TECH IN ASSISTANCE * 0
5500819 PEAK FLOW ONLY * 155
5501104 BLOOD GASARTERIAL STICK * 195
5501857 BIPAP INITIAL 358
5501860 BIPAP HOURLY 358
5502105 MDI TREATMENT 183
5504004 VOL VENT SNF 2,285.00
5504660 MDI INHALER/VENT 183
5504667 CHST WALL MANIPULATN INI 190
5504668 CHST WALL MANIPULATN SUB 174
5510122 HAND HELD NEB TX 183
5510600 CPAP INITIAL 358
5510618 HIGH FREQ VENT SUBSQ/DLY 5,213.00
5510620 VOLUME VENTILATOR INTL 671
5510626 VOLUME VENT SUBSQ/DLY 5,213.00
5510811 TECH IN ASSISTANCE * NICU 0
5510812 #ECH TRANSPORT 1 WAY * 368
5700283 PT E-STIM BASIC 181
5705178 PT MANUAL THERAPY EA 15M 173
5705248 PT PARAFFIN BATH BSC 160
5705266 PT E-STIM MANUAL 15 BSC 222
5705272 PT IONTOPHORESIS 15 BSC 285
5705284 PT US EA 15 BSC 181
5705296 PT THER EX EA 15 196
5705300 PT NEUROMUSC RE-ED EA15 168
5705312 PT THERAPEUTC ACT EA 15 181
5705316 PT SLF CR/HM MGMT EA 15 201
5705344 ORTH MGM./TRN/UP/LR/15 385
5705530 PT TX INIT 30 MIN MCAL 262
5705532 PT TX EA ADDL 15MIN MCAL 133
5705535 PT EVAL INIT 30MIN MCAL 608
5705537 PT EVAL EA ADD 15 MIN MCAL 304
5705600 PT MECH TRACTION BSC 850
5705610 VASOPNEUM DVCE * 36
5705656 PT GAIT/STR TRN EA 15 222
5705664 PT WHLCHR TRN EA 15 169
5730283 PT E-STIM BASIC 83
5735284 PT US EA 15 BSC 181
5735344 ORTH MGM/ TR/ UP/LR 15 385
5737593 SEL DEB >20 CM COMPLX 322
5737594 SEL DEB 322
5737597 SEL DEB 378
5737598 SEL DEB >20 CM BASIC 322
6040283 PT E-STIM BASIC 170
6041454 PT PARAFFIN BATH BSC 160
6041496 PT E-STIM MAN EA 15 BSC 222
6041502 PT IONTOPHOR EA 15 BSC 285
6041514 PT US EA15 BSC 181
6041538 PT THER EX EA 15 196
6041542 PT NEUROMUSC RE-ED EA15 168
6041550 PT GAIT/STR TRN EA15 222
6041562 PT THER ACT EA 15 181
6041566 PT SLF CARE/HM MGMT EA15 201
6041570 PT COMM/WK REINT TRN EA1 66
6041574 PT WHEELCHR TRN EA15 169
6041598 ORTH MGMT/ TRN/UP/LR 15 385
6041602 PROS TRN UPR/LWR EA 15 145
6041610 PT PROS/ORTH CKOUT EA 15 69
6041622 PT GRP1 THERAPTC PROC(2+ 122
6045178 PT MANUAL THERAPY EA 15M 173
6051454 PT PARAFFIN BATH BSC 69
6051496 PT E-STIM MAN EA 15 BSC 191
6051502 PT IONTOPHOR EA 15 BSC 285
6051514 PT US EA15 BSC 181
6051538 PT THERAPEUTC EXER EA15 196
6051542 PT NEUROMUSC RE-ED EA15 168
6051550 PT GAIT/STR TRN EA15 222
6051562 PT THER ACT EA 15 181
6051566 PT SLF CARE/HM MGMT EA15 201
6051574 PT WHEELCHR TRN EA15 169
6051598 ORTH MGMT/TRN/UPR/LWR15 385
6051602 PT PROS FIT/TRN EA 15MN 145
6051610 CKOUT PROS/ORTH EA 15 122
6055178 PT MANUAL THERAPY EA 15M 173
6057013 PT E-STIM BASIC 170
5700001 PT MOB: AMB & MOVING AROUND CURRENT CH 0.01
5700002 PT MOB: AMB & MOVING AROUND CURRENT CI 0.01
5700003 PT MOB: AMB & MOVING AROUND CURRENT CJ 0.01
5700004 PT MOB: AMB & MOVING AROUND CURRENT CK 0.01
5700005 PT MOB: AMB & MOVING AROUND CURRENT CL 0.01
5700006 PT MOB: AMB & MOVING AROUND CURRENT CM 0.01
5700007 PT MOB: AMB & MOVING AROUND CURRENT CN 0.01
5700008 PT MOB: AMB & MOVING AROUND GOAL CH 0.01
5700009 PT MOB: AMB & MOVING AROUND GOAL CI 0.01
5700010 PT MOB: AMB & MOVING AROUND GOAL CJ 0.01
5700011 PT MOB: AMB & MOVING AROUND GOAL CK 0.01
5700012 PT MOB: AMB & MOVING AROUND GOAL CL 0.01
5700013 PT MOB: AMB & MOVING AROUND GOAL CM 0.01
5700014 PT MOB: AMB & MOVING AROUND GOAL CN 0.01
5700015 PT MOB: AMB & MOVING AROUND DC CH 0.01
5700016 PT MOB: AMB & MOVING AROUND DC CI 0.01
5700017 PT MOB: AMB & MOVING AROUND DC CJ 0.01
5700018 PT MOB: AMB & MOVING AROUND DC CK 0.01
5700019 PT MOB: AMB & MOVING AROUND DC CL 0.01
5700020 PT MOB: AMB & MOVING AROUND DC CM 0.01
5700021 PT MOB: AMB & MOVING AROUND DC CN 0.01
5700022 PT CHANGING BODY POSITION CURRENT CH 0.01
5700023 PT CHANGING BODY POSITION CURRENT CI 0.01
5700024 PT CHANGING BODY POSITION CURRENT CJ 0.01
5700025 PT CHANGING BODY POSITION CURRENT CK 0.01
5700026 PT CHANGING BODY POSITION CURRENT CL 0.01
5700027 PT CHANGING BODY POSITION CURRENT CM 0.01
5700028 PT CHANGING BODY POSITION CURRENT CN 0.01
5700029 PT CHANGING BODY POSITION GOAL CH 0.01
5700030 PT CHANGING BODY POSITION GOAL CI 0.01
5700031 PT CHANGING BODY POSITION GOAL CJ 0.01
5700032 PT CHANGING BODY POSITION GOAL CK 0.01
5700033 PT CHANGING BODY POSITION GOAL CL 0.01
5700034 PT CHANGING BODY POSITION GOAL CM 0.01
5700035 PT CHANGING BODY POSITION GOAL CN 0.01
5700036 PT CHANGING BODY POSITION DC CH 0.01
5700037 PT CHANGING BODY POSITION DC CI 0.01
5700038 PT CHANGING BODY POSITION DC CJ 0.01
5700039 PT CHANGING BODY POSITION DC CK 0.01
5700040 PT CHANGING BODY POSITION DC CL 0.01
5700041 PT CHANGING BODY POSITION DC CM 0.01
5700042 PT CHANGING BODY POSITION DC CN 0.01
5700043 PT CARRYING & HANDLING OBJ CURRENT 0.01
5700044 PT CARRYING & HANDLING OBJ CURRENT 0.01
5700045 PT CARRYING & HANDLING OBJ CURRENT 0.01
5700046 PT CARRYING & HANDLING OBJ CURRENT 0.01
5700047 PT CARRYING & HANDLING OBJ CURRENT 0.01
5700048 PT CARRYING & HANDLING OBJ CURRENT 0.01
5700049 PT CARRYING & HANDLING OBJ CURRENT 0.01
5700050 PT CARRYING & HANDLING OBJ GOAL CH 0.01
5700051 PT CARRYING & HANDLING OBJ GOAL CI 0.01
5700052 PT CARRYING & HANDLING OBJ GOAL CJ 0.01
5700053 PT CARRYING & HANDLING OBJ GOAL CK 0.01
5700054 PT CARRYING & HANDLING OBJ GOAL CL 0.01
5700055 PT CARRYING & HANDLING OBJ GOAL CM 0.01
5700056 PT CARRYING & HANDLING OBJ GOAL CN 0.01
5700057 PT CARRYING & HANDLING OBJ DC CH 0.01
5700058 PT CARRYING & HANDLING OBJ DC CI 0.01
5700059 PT CARRYING & HANDLING OBJ DC CJ 0.01
5700060 PT CARRYING & HANDLING OBJ DC CK 0.01
5700061 PT CARRYING & HANDLING OBJ DC CL 0.01
5700062 PT CARRYING & HANDLING OBJ DC CM 0.01
5700063 PT CARRYING & HANDLING OBJ DC CN 0.01
5700064 PT SELF CARE CURRENT CH 0.01
5700065 PT SELF CARE CURRENT CI 0.01
5700066 PT SELF CARE CURRENT CJ 0.01
5700067 PT SELF CARE CURRENT CK 0.01
5700068 PT SELF CARE CURRENT CL 0.01
5700069 PT SELF CARE CURRENT CM 0.01
5700070 PT SELF CARE CURRENT CN 0.01
5700071 PT SELF CARE GOAL CH 0.01
5700072 PT SELF CARE GOAL CI 0.01
5700073 PT SELF CARE GOAL CJ 0.01
5700074 PT SELF CARE GOAL CK 0.01
5700075 PT SELF CARE GOAL CL 0.01
5700076 PT SELF CARE GOAL CM 0.01
5700077 PT SELF CARE GOAL CN 0.01
5700078 PT SELF CARE DC CH 0.01
5700079 PT SELF CARE DC CI 0.01
5700080 PT SELF CARE DC CJ 0.01
5700081 PT SELF CARE DC CK 0.01
5700082 PT SELF CARE DC CL 0.01
5700083 PT SELF CARE DC CM 0.01
5700084 PT SELF CARE DC CN 0.01
5700085 PT OTHER PRIMARY FXNL LIMT CURRENT CH 0.01
5700086 PT OTHER PRIMARY FXNL LIMT CURRENT CI 0.01
5700087 PT OTHER PRIMARY FXNL LIMT CURRENT CJ 0.01
5700088 PT OTHER PRIMARY FXNL LIMT CURRENT CK 0.01
5700089 PT OTHER PRIMARY FXNL LIMT CURRENT CL 0.01
5700090 PT OTHER PRIMARY FXNL LIMT CURRENT CM 0.01
5700091 PT OTHER PRIMARY FXNL LIMT CURRENT CN 0.01
5700092 PT OTHER PRIMARY FXNL LIMT GOAL CH 0.01
5700093 PT OTHER PRIMARY FXNL LIMT GOAL CI 0.01
5700094 PT OTHER PRIMARY FXNL LIMT GOAL CJ 0.01
5700095 PT OTHER PRIMARY FXNL LIMT GOAL CK 0.01
5700096 PT OTHER PRIMARY FXNL LIMT GOAL CL 0.01
5700097 PT OTHER PRIMARY FXNL LIMT GOAL CM 0.01
5700098 PT OTHER PRIMARY FXNL LIMT GOAL CN 0.01
5700099 PT OTHER PRIMARY FXNL LIMT DC CH 0.01
5700100 PT OTHER PRIMARY FXNL LIMT DC CI 0.01
5700101 PT OTHER PRIMARY FXNL LIMT DC CJ 0.01
5700102 PT OTHER PRIMARY FXNL LIMT DC CK 0.01
5700103 PT OTHER PRIMARY FXNL LIMT DC CL 0.01
5700104 PT OTHER PRIMARY FXNL LIMT DC CM 0.01
5700105 PT OTHER PRIMARY FXNL LIMT DC CN 0.01
5700106 PT OTHER SECONDARY FXNL LIMT CURRENT CH 0.01
5700107 PT OTHER SECONDARY FXNL LIMT CURRENT CI 0.01
5700108 PT OTHER SECONDARY FXNL LIMT CURRENT CJ 0.01
5700109 PT OTHER SECONDARY FXNL LIMT CURRENT CK 0.01
5700110 PT OTHER SECONDARY FXNL LIMT CURRENT CL 0.01
5700111 PT OTHER SECONDARY FXNL LIMT CURRENT CM 0.01
5700112 PT OTHER SECONDARY FXNL LIMT CURRENT CN 0.01
5700113 PT OTHER SECONDARY FXNL LIMT GOAL CH 0.01
5700114 PT OTHER SECONDARY FXNL LIMT GOAL CI 0.01
5700115 PT OTHER SECONDARY FXNL LIMT GOAL CJ 0.01
5700116 PT OTHER SECONDARY FXNL LIMT GOAL CK 0.01
5700117 PT OTHER SECONDARY FXNL LIMT GOAL CL 0.01
5700118 PT OTHER SECONDARY FXNL LIMT GOAL CM 0.01
5700119 PT OTHER SECONDARY FXNL LIMT GOAL CN 0.01
5700120 PT OTHER SECONDARY FXNL LIMT DC CH 0.01
5700121 PT OTHER SECONDARY FXNL LIMT DC CI 0.01
5700122 PT OTHER SECONDARY FXNL LIMT DC CJ 0.01
5700123 PT OTHER SECONDARY FXNL LIMT DC CK 0.01
5700124 PT OTHER SECONDARY FXNL LIMT DC CL 0.01
5700125 PT OTHER SECONDARY FXNL LIMT DC CM 0.01
5705200 PT EVAL LOW COMPLEX 276
5705202 PT EVAL MOD COMPLX 766
5705204 PT EVAL HIGH COMPLX 811
5705210 PT RE-EVAL MOD COMPLX 621
5735201 PT EVAL LOW COMPLX 276
5735206 PT EVAL HIGH COMPLX 811
6041404 PT EVAL LOW COMPLX 276
6041406 PT EVAL HIGH COMP 811
6041408 PT EVAL MOD COMPLX 766
6041414 PT RE-EVAL COMP 448
6051414 PT RE-EVAL COMP 448
6051604 PT EVAL LOW COMPLX 276
6051608 PT EVAL MOD COMPLX 766
5800283 OT E-STIM BASIC 170
5801452 VASOPNEUM DVCE 36
5801804 OT TX INIT 30 MIN MCAL 262
5801810 OT TX EA ADDL 15MIN MCAL 133
5801814 OT THER GRP EA15MIN MCAL 133
5805180 OT MANUAL THERAPY EA 15M 173
5805200 OT EVAL LOW COMPLX 276
5805202 OT EVAL MOD COMPLX 766
5805206 OT EVAL HIGH COMPLX 811
5805248 OT PARAFFIN BATH BSC 242
5805266 OT E-STIM MAN EA 15 BSC 222
5805284 OT US EA 15 BASIC 181
5805296 OT THERAPTC EXER EA 15 196
5805300 OT NEUROMUSC RE-EDUC EA1 168
5805312 OT THERAPTC ACT EA 15 181
5805316 OT SLF CARE HM MGMT EA15 201
5805344 ORTH MGMT/ TRN/UP/LR 15 385
5805356 CKOUT PROS/ORTH EA 15 122
5805664 OT WHLCHR TRN EA 15 69
5807545 OT SENSRY INTRGRN EA15 133
6041848 OT PARAFFIN BATH BSC 242
6041866 OT E-STIM MAN EA 15 BSC 222
6041884 OT US EA 15 BASIC 181
6041896 OT THERAPTC EXER EA 15 196
6041900 OT NEUROMUSC RE-EDUC EA1 168
6041912 OT THERAPTC ACT EA 15 181
6041916 OT SLF CARE HM MGMT EA15 201
6041920 OT COMM/WK REINT TRNG 15 66
6041944 ORTH MGMT/TRN/UPR/LWR15 385
6041956 CKOUT PROS/ORTH EA 15 122
6041968 OT GRP 1 THER PROC 2+ 122
6045180 OT MANUAL THERAPY EA 15M 173
6045664 OT WHLCHR TRN EA 15 169
6047013 OT E-STIM BASIC 170
6047545 OT SENSRY INTRGRN EA15 133
6051848 OT PARAFFIN BATH BSC 242
6051866 OT E-STIM MAN EA 15 BSC 222
6051884 OT US EA15 BSC 181
6051896 OT THER EX EA 15 196
6051900 OT NEUROMUSC RE-ED EA15 168
6051912 OT THERAPTC ACT EA 15 181
6051916 OT SLF CARE/HM MGMT EA15 201
6051920 OT COMM/WK REINT TRN EA1 66
6051944 ORTH MGMT/TRN/UPR.LRW15 385
6051956 CKOUT PROS/ORTH EA 15 122
6055180 OT MANUAL THERAPY EA 15M 173
6055664 OT W/C MANAGEMENT EA 15 169
6057021 OT E-STIM BASIC 170
6057545 OT SENSRY INTRGRN EA15 133
5800001 OT MOB: AMB & MOVING AROUND CURRENT CH 0.01
5800002 OT MOB: AMB & MOVING AROUND CURRENT CI 0.01
5800003 OT MOB: AMB & MOVING AROUND CURRENT CJ 0.01
5800004 OT MOB: AMB & MOVING AROUND CURRENT CK 0.01
5800005 OT MOB: AMB & MOVING AROUND CURRENT CL 0.01
5800006 OT MOB: AMB & MOVING AROUND CURRENT CM 0.01
5800007 OT MOB: AMB & MOVING AROUND CURRENT CN 0.01
5800008 OT MOB: AMB & MOVING AROUND GOAL CH 0.01
5800009 OT MOB: AMB & MOVING AROUND GOAL CI 0.01
5800010 OT MOB: AMB & MOVING AROUND GOAL CJ 0.01
5800011 OT MOB: AMB & MOVING AROUND GOAL CK 0.01
5800012 OT MOB: AMB & MOVING AROUND GOAL CL 0.01
5800013 OT MOB: AMB & MOVING AROUND GOAL CM 0.01
5800014 OT MOB: AMB & MOVING AROUND GOAL CN 0.01
5800015 OT MOB: AMB & MOVING AROUND DC CH 0.01
5800016 OT MOB: AMB & MOVING AROUND DC CI 0.01
5800017 OT MOB: AMB & MOVING AROUND DC CJ 0.01
5800018 OT MOB: AMB & MOVING AROUND DC CK 0.01
5800019 OT MOB: AMB & MOVING AROUND DC CL 0.01
5800020 OT MOB: AMB & MOVING AROUND DC CM 0.01
5800021 OT MOB: AMB & MOVING AROUND DC CN 0.01
5800022 OT CHANGING BODY POSITION CURRENT CH 0.01
5800023 OT CHANGING BODY POSITION CURRENT CI 0.01
5800024 OT CHANGING BODY POSITION CURRENT CJ 0.01
5800025 OT CHANGING BODY POSITION CURRENT CK 0.01
5800026 OT CHANGING BODY POSITION CURRENT CL 0.01
5800027 OT CHANGING BODY POSITION CURRENT CM 0.01
5800028 OT CHANGING BODY POSITION CURRENT CN 0.01
5800029 OT CHANGING BODY POSITION GOAL CH 0.01
5800030 OT CHANGING BODY POSITION GOAL CI 0.01
5800031 OT CHANGING BODY POSITION GOAL CJ 0.01
5800032 OT CHANGING BODY POSITION GOAL CK 0.01
5800033 OT CHANGING BODY POSITION GOAL CL 0.01
5800034 OT CHANGING BODY POSITION GOAL CM 0.01
5800035 OT CHANGING BODY POSITION GOAL CN 0.01
5800036 OT CHANGING BODY POSITION DC CH 0.01
5800037 OT CHANGING BODY POSITION DC CI 0.01
5800038 OT CHANGING BODY POSITION DC CJ 0.01
5800039 OT CHANGING BODY POSITION DC CK 0.01
5800040 OT CHANGING BODY POSITION DC CL 0.01
5800041 OT CHANGING BODY POSITION DC CM 0.01
5800042 OT CHANGING BODY POSITION DC CN 0.01
5800043 OT CARRYING & HANDLING OBJ CURRENT CH 0.01
5800044 OT CARRYING & HANDLING OBJ CURRENT CI 0.01
5800045 OT CARRYING & HANDLING OBJ CURRENT CJ 0.01
5800046 OT CARRYING & HANDLING OBJ CURRENT CK 0.01
5800047 OT CARRYING & HANDLING OBJ CURRENT CL 0.01
5800048 OT CARRYING & HANDLING OBJ CURRENT CM 0.01
5800049 OT CARRYING & HANDLING OBJ CURRENT CN 0.01
5800050 OT CARRYING & HANDLING OBJ GOAL CH 0.01
5800051 OT CARRYING & HANDLING OBJ GOAL CI 0.01
5800052 OT CARRYING & HANDLING OBJ GOAL CJ 0.01
5800053 OT CARRYING & HANDLING OBJ GOAL CK 0.01
5800054 OT CARRYING & HANDLING OBJ GOAL CL 0.01
5800055 OT CARRYING & HANDLING OBJ GOAL CM 0.01
5800056 OT CARRYING & HANDLING OBJ GOAL CN 0.01
5800057 OT CARRYING & HANDLING OBJ DC CH 0.01
5800058 OT CARRYING & HANDLING OBJ DC CI 0.01
5800059 OT CARRYING & HANDLING OBJ DC CJ 0.01
5800060 OT CARRYING & HANDLING OBJ DC CK 0.01
5800061 OT CARRYING & HANDLING OBJ DC CL 0.01
5800062 OT CARRYING & HANDLING OBJ DC CM 0.01
5800063 OT CARRYING & HANDLING OBJ DC CN 0.01
5800064 OT SELF CARE CURRENT CH 0.01
5800065 OT SELF CARE CURRENT CI 0.01
5800066 OT SELF CARE CURRENT CJ 0.01
5800067 OT SELF CARE CURRENT CK 0.01
5800068 OT SELF CARE CURRENT CL 0.01
5800069 OT SELF CARE CURRENT CM 0.01
5800070 OT SELF CARE CURRENT CN 0.01
5800071 OT SELF CARE GOAL CH 0.01
5800072 OT SELF CARE GOAL CI 0.01
5800073 OT SELF CARE GOAL CJ 0.01
5800074 OT SELF CARE GOAL CK 0.01
5800075 OT SELF CARE GOAL CL 0.01
5800076 OT SELF CARE GOAL CM 0.01
5800077 OT SELF CARE GOAL CN 0.01
5800078 OT SELF CARE DC CH 0.01
5800079 OT SELF CARE DC CI 0.01
5800080 OT SELF CARE DC CJ 0.01
5800081 OT SELF CARE DC CK 0.01
5800082 OT SELF CARE DC CL 0.01
5800083 OT SELF CARE DC CM 0.01
5800084 OT SELF CARE DC CN 0.01
5800085 OT OTHER PRIMARY FXNL LIMT CURRENT CH 0.01
5800086 OT OTHER PRIMARY FXNL LIMT CURRENT CI 0.01
5800087 OT OTHER PRIMARY FXNL LIMT CURRENT CJ 0.01
5800088 OT OTHER PRIMARY FXNL LIMT CURRENT CK 0.01
5800089 OT OTHER PRIMARY FXNL LIMT CURRENT CL 0.01
5800090 OT OTHER PRIMARY FXNL LIMT CURRENT CM 0.01
5800091 OT OTHER PRIMARY FXNL LIMT CURRENT CN 0.01
5800092 OT OTHER PRIMARY FXNL LIMT GOAL CH 0.01
5800093 OT OTHER PRIMARY FXNL LIMT GOAL CI 0.01
5800094 OT OTHER PRIMARY FXNL LIMT GOAL CJ 0.01
5800095 OT OTHER PRIMARY FXNL LIMT GOAL CK 0.01
5800096 OT OTHER PRIMARY FXNL LIMT GOAL CL 0.01
5800097 OT OTHER PRIMARY FXNL LIMT GOAL CM 0.01
5800098 OT OTHER PRIMARY FXNL LIMT GOAL CN 0.01
5800099 OT OTHER PRIMARY FXNL LIMT DC CH 0.01
5800100 OT OTHER PRIMARY FXNL LIMT DC CI 0.01
5800101 OT OTHER PRIMARY FXNL LIMT DC CJ 0.01
5800102 OT OTHER PRIMARY FXNL LIMT DC CK 0.01
5800103 OT OTHER PRIMARY FXNL LIMT DC CL 0.01
5800104 OT OTHER PRIMARY FXNL LIMT DC CM 0.01
5800105 OT OTHER PRIMARY FXNL LIMT DC CN 0.01
5800106 OT OTHER SECONDARY FXNL LIMT CURRENT CH 0.01
5800107 OT OTHER SECONDARY FXNL LIMT CURRENT CI 0.01
5800108 OT OTHER SECONDARY FXNL LIMT CURRENT CJ 0.01
5800109 OT OTHER SECONDARY FXNL LIMT CURRENT CK 0.01
5800110 OT OTHER SECONDARY FXNL LIMT CURRENT CL 0.01
5800111 OT OTHER SECONDARY FXNL LIMT CURRENT CM 0.01
5800112 OT OTHER SECONDARY FXNL LIMT CURRENT CN 0.01
5800113 OT OTHER SECONDARY FXNL LIMT GOAL CH 0.01
5800114 OT OTHER SECONDARY FXNL LIMT GOAL CI 0.01
5800115 OT OTHER SECONDARY FXNL LIMT GOAL CJ 0.01
5800116 OT OTHER SECONDARY FXNL LIMT GOAL CK 0.01
5800117 OT OTHER SECONDARY FXNL LIMT GOAL CL 0.01
5800118 OT OTHER SECONDARY FXNL LIMT GOAL CM 0.01
5800119 OT OTHER SECONDARY FXNL LIMT GOAL CN 0.01
5800120 OT OTHER SECONDARY FXNL LIMT DC CH 0.01
5800121 OT OTHER SECONDARY FXNL LIMT DC CI 0.01
5800122 OT OTHER SECONDARY FXNL LIMT DC CJ 0.01
5800123 OT OTHER SECONDARY FXNL LIMT DC CK 0.01
5800124 OT OTHER SECONDARY FXNL LIMT DC CL 0.01
5800125 OT OTHER SECONDARY FXNL LIMT DC CM 0.01
5801800 OT EVAL INIT 30 MIN MCAL 608
5801802 OT EVAL ADDL 15 MIN MCAL 304
5805210 OT RE-EVAL INTERM 448
5805212 OT RE-EVAL EXT 875
6041410 OT EVAL LOW COMPLX 276
6041412 OT EVAL MOD COMPLX 766
6041806 OT EVAL HIGH COMP 811
6041814 OT RE-EVAL COMP 448
6051410 OT EVAL LOW COMPLX 766
6051412 OT EVAL MOD COMPLX 766
6051814 OT RE-EVAL COMP 448
5900200 COGNITIVE REHAB MCAL 133
5900202 SP THER EA 30 MIN MCAL 262
5901001 SPEECH/LANG TX 522
5901022 ST ORAL MTR TX 228
5902611 SP EVAL CINE VIDEO 176
5904300 LANGUAGE EVAL M/CAL 618
5904301 SPEECH EVAL M/CAL 618
5904303 SP/LANG TX PER HR M/CAL 522
5907538 SP COG SKL DEV EA 15 87
6041001 SP SPCH/LANG TX 522
6041065 SP DYSPHAGIA TX 228
6042610 SP SWAL EVAL PHARYN LTD 162
6042611 SP EVAL CINE VIDEO 176
6047534 SP COG SKL DEV EA 15 87
6051065 SP DYSPHAGIA TX IND 228
6052522 SP SP/LANG TX COM 522
6052610 SP SWAL EVAL PHARYN LTD 162
6052611 SP EVAL CINE VIDEO 176
6054055 SP LANG THRPY IND 522
6057539 SP COG SKL DEV E15#2 87
5900001 ST SWALLOWING CURRENT CH 0.01
5900002 ST SWALLOWING CURRENT CI 0.01
5900003 ST SWALLOWING CURRENT CJ 0.01
5900004 ST SWALLOWING CURRENT CK 0.01
5900005 ST SWALLOWING CURRENT CL 0.01
5900006 ST SWALLOWING CURRENT CM 0.01
5900007 ST SWALLOWING CURRENT CN 0.01
5900008 ST SWALLOWING GOAL CH 0.01
5900009 ST SWALLOWING GOAL CI 0.01
5900010 ST SWALLOWING GOAL CJ 0.01
5900011 ST SWALLOWING GOAL CK 0.01
5900012 ST SWALLOWING GOAL CL 0.01
5900013 ST SWALLOWING GOAL CM 0.01
5900014 ST SWALLOWING GOAL CN 0.01
5900015 ST SWALLOWING DC CH 0.01
5900016 ST SWALLOWING DC CI 0.01
5900017 ST SWALLOWING DC CJ 0.01
5900018 ST SWALLOWING DC CK 0.01
5900019 ST SWALLOWING DC CL 0.01
5900020 ST SWALLOWING DC CM 0.01
5900021 ST SWALLOWING DC CN 0.01
5900022 ST MOTOR SPEECH CURRENT CH 0.01
5900023 ST MOTOR SPEECH CURRENT CI 0.01
5900024 ST MOTOR SPEECH CURRENT CJ 0.01
5900025 ST MOTOR SPEECH CURRENT CK 0.01
5900026 ST MOTOR SPEECH CURRENT CL 0.01
5900027 ST MOTOR SPEECH CURRENT CM 0.01
5900028 ST MOTOR SPEECH CURRENT CN 0.01
5900029 ST MOTOR SPEECH GOAL CH 0.01
5900030 ST MOTOR SPEECH GOAL CI 0.01
5900031 ST MOTOR SPEECH GOAL CJ 0.01
5900032 ST MOTOR SPEECH GOAL CK 0.01
5900033 ST MOTOR SPEECH GOAL CL 0.01
5900034 ST MOTOR SPEECH GOAL CM 0.01
5900035 ST MOTOR SPEECH GOAL CN 0.01
5900036 ST MOTOR SPEECH DC CH 0.01
5900037 ST MOTOR SPEECH DC CI 0.01
5900038 ST MOTOR SPEECH DC CJ 0.01
5900039 ST MOTOR SPEECH DC CK 0.01
5900040 ST MOTOR SPEECH DC CL 0.01
5900041 ST MOTOR SPEECH DC CM 0.01
5900042 ST MOTOR SPEECH DC CN 0.01
5900043 ST SPOKEN LANG COMP CURRENT CH 0.01
5900044 ST SPOKEN LANG COMP CURRENT CI 0.01
5900045 ST SPOKEN LANG COMP CURRENT CJ 0.01
5900046 ST SPOKEN LANG COMP CURRENT CK 0.01
5900047 ST SPOKEN LANG COMP CURRENT CL 0.01
5900048 ST SPOKEN LANG COMP CURRENT CM 0.01
5900049 ST SPOKEN LANG COMP CURRENT CN 0.01
5900050 ST SPOKEN LANG COMP GOAL CH 0.01
5900051 ST SPOKEN LANG COMP GOAL CI 0.01
5900052 ST SPOKEN LANG COMP GOAL CJ 0.01
5900053 ST SPOKEN LANG COMP GOAL CK 0.01
5900054 ST SPOKEN LANG COMP GOAL CL 0.01
5900055 ST SPOKEN LANG COMP GOAL CM 0.01
5900056 ST SPOKEN LANG COMP GOAL CN 0.01
5900057 ST SPOKEN LANG COMP DC CH 0.01
5900058 ST SPOKEN LANG COMP DC CI 0.01
5900059 ST SPOKEN LANG COMP DC CJ 0.01
5900060 ST SPOKEN LANG COMP DC CK 0.01
5900061 ST SPOKEN LANG COMP DC CL 0.01
5900062 ST SPOKEN LANG COMP DC CM 0.01
5900063 ST SPOKEN LANG COMP DC CN 0.01
5900064 ST SPOKEN LANG EXPR CURRENT CH 0.01
5900065 ST SPOKEN LANG EXPR CURRENT CI 0.01
5900066 ST SPOKEN LANG EXPR CURRENT CJ 0.01
5900067 ST SPOKEN LANG EXPR CURRENT CK 0.01
5900068 ST SPOKEN LANG EXPR CURRENT CL 0.01
5900069 ST SPOKEN LANG EXPR CURRENT CM 0.01
5900070 ST SPOKEN LANG EXPR CURRENT CN 0.01
5900071 ST SPOKEN LANG EXPR GOAL CH 0.01
5900072 ST SPOKEN LANG EXPR GOAL CI 0.01
5900073 ST SPOKEN LANG EXPR GOAL CJ 0.01
5900074 ST SPOKEN LANG EXPR GOAL CK 0.01
5900075 ST SPOKEN LANG EXPR GOAL CL 0.01
5900076 ST SPOKEN LANG EXPR GOAL CM 0.01
5900077 ST SPOKEN LANG EXPR GOAL CN 0.01
5900078 ST SPOKEN LANG EXPR DC CH 0.01
5900079 ST SPOKEN LANG EXPR DC CI 0.01
5900080 ST SPOKEN LANG EXPR DC CJ 0.01
5900081 ST SPOKEN LANG EXPR DC CK 0.01
5900082 ST SPOKEN LANG EXPR DC CL 0.01
5900083 ST SPOKEN LANG EXPR DC CM 0.01
5900084 ST SPOKEN LANG EXPR DC CN 0.01
5900085 ST ATTENTION CURRENT CH 0.01
5900086 ST ATTENTION CURRENT CI 0.01
5900087 ST ATTENTION CURRENT CJ 0.01
5900088 ST ATTENTION CURRENT CK 0.01
5900089 ST ATTENTION CURRENT CL 0.01
5900090 ST ATTENTION CURRENT CM 0.01
5900091 ST ATTENTION CURRENT CN 0.01
5900092 ST ATTENTION GOAL CH 0.01
5900093 ST ATTENTION GOAL CI 0.01
5900094 ST ATTENTION GOAL CJ 0.01
5900095 ST ATTENTION GOAL CK 0.01
5900096 ST ATTENTION GOAL CL 0.01
5900097 ST ATTENTION GOAL CM 0.01
5900098 ST ATTENTION GOAL CN 0.01
5900099 ST ATTENTION DC CH 0.01
5900100 ST ATTENTION DC CI 0.01
5900101 ST ATTENTION DC CJ 0.01
5900102 ST ATTENTION DC CK 0.01
5900103 ST ATTENTION DC CL 0.01
5900104 ST ATTENTION DC CM 0.01
5900105 ST ATTENTION DC CN 0.01
5900106 ST MEMORY CURRENT CH 0.01
5900107 ST MEMORY CURRENT CI 0.01
5900108 ST MEMORY CURRENT CJ 0.01
5900109 ST MEMORY CURRENT CK 0.01
5900110 ST MEMORY CURRENT CL 0.01
5900111 ST MEMORY CURRENT CM 0.01
5900112 ST MEMORY CURRENT CN 0.01
5900113 ST MEMORY GOAL CH 0.01
5900114 ST MEMORY GOAL CI 0.01
5900115 ST MEMORY GOAL CJ 0.01
5900116 ST MEMORY GOAL CK 0.01
5900117 ST MEMORY GOAL CL 0.01
5900118 ST MEMORY GOAL CM 0.01
5900119 ST MEMORY GOAL CN 0.01
5900120 ST MEMORY DC CH 0.01
5900121 ST MEMORY DC CI 0.01
5900122 ST MEMORY DC CJ 0.01
5900123 ST MEMORY DC CK 0.01
5900124 ST MEMORY DC CL 0.01
5900125 ST MEMORY DC CM 0.01
5900126 ST MEMORY DC CN 0.01
5900127 ST VOICE CURRENT CH 0.01
5900128 ST VOICE CURRENT CI 0.01
5900129 ST VOICE CURRENT CJ 0.01
5900130 ST VOICE CURRENT CK 0.01
5900131 ST VOICE CURRENT CL 0.01
5900132 ST VOICE CURRENT CM 0.01
5900133 ST VOICE CURRENT CN 0.01
5900134 ST VOICE GOAL CH 0.01
5900135 ST VOICE GOAL CI 0.01
5900136 ST VOICE GOAL CJ 0.01
5900137 ST VOICE GOAL CK 0.01
5900138 ST VOICE GOAL CL 0.01
5900139 ST VOICE GOAL CM 0.01
5900140 ST VOICE GOAL CN 0.01
5900141 ST VOICE DC CH 0.01
5900142 ST VOICE DC CI 0.01
5900143 ST VOICE DC CJ 0.01
5900144 ST VOICE DC CK 0.01
5900145 ST VOICE DC CL 0.01
5900146 ST VOICE DC CM 0.01
5900147 ST VOICE DC CN 0.01
5900148 ST OTHER PRIMARY FXNL LIMT CURRENT CH 0.01
5900149 ST OTHER PRIMARY FXNL LIMT CURRENT CI 0.01
5900150 ST OTHER PRIMARY FXNL LIMT CURRENT CJ 0.01
5900151 ST OTHER PRIMARY FXNL LIMT CURRENT CK 0.01
5900152 ST OTHER PRIMARY FXNL LIMT CURRENT CL 0.01
5900153 ST OTHER PRIMARY FXNL LIMT CURRENT CM 0.01
5900154 ST OTHER PRIMARY FXNL LIMT CURRENT CN 0.01
5900155 ST OTHER PRIMARY FXNL LIMT GOAL CH 0.01
5900156 ST OTHER PRIMARY FXNL LIMT GOAL CI 0.01
5900157 ST OTHER PRIMARY FXNL LIMT GOAL CJ 0.01
5900158 ST OTHER PRIMARY FXNL LIMT GOAL CK 0.01
5900159 ST OTHER PRIMARY FXNL LIMT GOAL CL 0.01
5900160 ST OTHER PRIMARY FXNL LIMT GOAL CM 0.01
5900161 ST OTHER PRIMARY FXNL LIMT GOAL CN 0.01
5900162 ST OTHER PRIMARY FXNL LIMT DC CH 0.01
5900163 ST OTHER PRIMARY FXNL LIMT DC CI 0.01
5900164 ST OTHER PRIMARY FXNL LIMT DC CJ 0.01
5900165 ST OTHER PRIMARY FXNL LIMT DC CK 0.01
5900166 ST OTHER PRIMARY FXNL LIMT DC CL 0.01
5900167 ST OTHER PRIMARY FXNL LIMT DC CM 0.01
5900168 ST OTHER PRIMARY FXNL LIMT DC CN 0.01
5900169 ST FLUENCY EVAL 325
5900170 ST SPEECH EVAL 325
5900172 ST LANGUAGE EVAL 325
5900174 ST VOICE EVAL 325
5900175 VOICE PROSTHETIC EVAL 132.75
5900177 COGNITIVE PERFORMANCE TEST 349
5902610 SP SWAL EVAL PHARYN LTD 162
6047536 ST FLUENCY EVAL 325
6047538 ST SPEECH EVAL 325
6047540 ST LANGUAGE EVAL 325
6047541 ST VOICE EVAL 325
6047542 VOICE PROSTHETIC EVAL 132.75
6047543 COGNITIVE PERFORMANCE TEST 349
6057546 ST FLUENCY EVAL 325
6057548 ST SPEECH EVAL 325
6057550 ST LANGUAGE EVAL 325
6057552 ST VOICE EVAL 325
6057554 VOICE PROSTHETIC EVAL 132.75
6057556 COGNITIVE PERFORMANCE TEST 349
6100510 ER VISIT LVL I 190
6100514 CRIT CARE E&M 30-74 MIN 3,473.00
6100522 ER VISIT LVL II 689
6100524 ER VISIT LVL III 1,147.00
6100526 ER VISIT LVL IV 1,781.00
6100527 ER VISIT LVL V 2,524.00
6102960 CARDIOVERT EXTRNL 1,040.00
6103055 CRITICAL CR E&M ADDL 30 1,280.00
6103060 CPR 1,641.00
6105100 IV INF THERAPY 16-90 MIN 700
6105150 IV INFUSION EACH ADDL 60 MIN 250
6105200 IV INF ADDL SEQ 16-90 MIN 250
6105250 IV INF CONCURRENT 250
6105300 IV PUSH INITIAL 300
6105350 IV PUSH ADDL NEW DRUG 300
6105400 IV PUSH ADDL SEQ SAME DRUG > 30 MIN 175
6105450 INJ SC/IM 300
6105550 IV INF HYDRATION 31-90 MIN 500
6105600 IV INF HYDRATION EA ADDL 60 MIN 250
6106000 PROCEDURE, SIMPLE 688
6106001 SURG PROC MULT/INTRMDTE 1,279.00
6106002 SURG PROC EXTENSVE/CMPLX 1,869.00
6108997 ER HPMC FIRST AID 0
61090001 EMERG DIALYSIS ESRD PATIENT 2,763.00
6109002 EXC FACE-MM B9+MARG 0.6-1 CM 2,700.00
6109003 EXPLORE WOUND CHEST 7,139.00
6109004 ADJ GASTRIC BAND DIAM VIA INJ/ASP 600
6109005 INTMD WON REPAIR N-HF/GENIT 2,265.00
6109006 REMOVE DRUG IMPLANT DEVICE 1,320.00
6109007 SIMPLE REPAIR WND 20.1-30.0 CM 1,465.00
6109008 INIT TREATMENT OF 1ST DEG BURN 770
6109009 INJ NERVE BLOCK OCCIPITAL 1,155.00
6109010 EXPLORE WOUND NECK 2,215.00
6109011 EXC FACE-MM B9+MARG 1.1-2 CM 2,700.00
6109012 REMOVAL NAIL PLATE 765
6109013 REMOVAL NAIL PLATE EA ADD’L 765
6109014 FASCIOTOMY ILIOTIBIAL OPEN 12,190.00
6109015 CONTROL THROAT BLEEDING, SIMPLE 885
6109016 NEG PRESS WOUND TX >50 CM 1,465.00
6109017 EXCIS TONGUE OF LESION W/O CLOSURE 10,868.00
6109018 CYSTOSCOPY W URETERAL CATH 8,225.00
6109019 CLOSED TREAT KNEE DISLOCATION W/O ANESTH 1,000.00
6109020 AMPUTATION, FINGER OR THUMB 12,190.00
6109021 CL TX VERTEBRAL W BRACE/CAST 6,087.00
6109022 ANOSCOPY DIAGNOSTIC 500
6109023 NASOPHARYNGOSCOPY w/ ENDOSCOPE 735
6109024 APPLICATION OF FINGER SPLINT 275
6109025 ASPIRATE PLEURA w/ IMAGING 3,420.00
6109026 APPLY LONG ARM SPLINT 625
6109027 APPLY LONG LEG SPLINT 625
6109028 APPLY FOREARM SPLINT 500
6109029 APPLY FOREARM SPLINT STAT 500
6109030 APPLY LOWER LEG SPLINT 625
6109031 EGD BIOPSY SINGLE/MULTIPLE 3,500.00
6109032 APPLICATION OF LONG ARM CAST 1,100.00
6109033 APPL OF HIP CAST ONE LEG 1,100.00
6109034 APPLICATION OF SHORT ARM CAST 1,100.00
6109035 INSERTION ARTERIAL CATHETER 250
6109036 ARTHOCENTESIS/ASPIRIN/INJ 1,155.00
6109037 ARTHOCENTESIS/ASPIRIN/INJ 1,155.00
6109038 ASPIRATE/INJ GANGLION CYST 1,155.00
6109039 ATT E/N/E/LD10 SQ CM 7,135.00
6109040 ATT F/C/M/N/A/G/H/F/10 SQ CM/< 7,135.00
6109041 BIVALVE ARM/LEG CAST 1,100.00
6109043 BLADDER IRRIGA SIMPLE LAVAGE 1,080.00
6109044 BLEPHAROTOMY DRAINAGE ABSC 1,340.00
6109045 HEART LUNG RESUSCITATION CPR 1,160.00
6109046 BRONCHOSCOPY DX/ w/wo CELL 6,350.00
6109047 BIOPSY SKIN LESSION 1,465.00
6109049 C REP TRUNK EA ADDTL 5 CM/< 2,265.00
6109050 CARDIOVERSION ELECTRIC EXT 2,405.00
6109051 CATH ASPIRATE (CLEARANCE OF AIRWAYS) 810
6109052 INSERTION OF CATHETHER VEIN 276
6109053 INSERT TEMP BLADDER CATH 500
6109054 INSERT TEMP BLADDER CATH COMPLX 635
6109055 CAUTERY OF CERVIX 10,400.00
6109056 TREAT ANKLE DISLOCATION 6,085.00
6109057 CHANGE OF BLADDER TUBE 1,080.00
6109058 CHANGE OF GASTROSMY TUBE 1,080.00
6109059 TREAT WRIST DISLOCATION 1,000.00
6109060 TREAT THUMB DISLOCATION 1,000.00
6109061 TREAT HAND DISLOCATION 1,000.00
6109062 TREAT THUMB FRACTURE 6,085.00
6109063 CL TX FEMORAL SHAFT FX w/ MANIP 6,085.00
6109064 CL TX FEMUR FX OR EPIPHYSIS SE 6,085.00
6109065 CL TX IP JT D W MANIP w/ ANESTH 1,100.00
6109066 TREAT BIG TOE FRACTURE 1,100.00
6109067 CL TX LUNATE DISCLOC w/ MANIP, WRIST 6,085.00
6109068 TREAT LOWER JAW FRACTURE 5,190.00
6109069 TREAT KNUCKLE DISLOCATION 6,085.00
6109070 CL TX MED ANKLE FX w MNPJ 6,085.00
6109071 TREAT ELBOW FRACTURE 6,085.00
6109072 CL TX NASAL SEPTAL FX 10,800.00
6109073 TREAT ANKLE DISCLOCATION 1,000.00
6109074 COMPLX REPAIR EA ADDL 5 CM 2,265.00
6109075 COMPLX SCALP REPAIR EA ADDL<= 5 CM 2,265.00
6109076 CNTRL NASAL HEMORR POST w/ 500
6109077 CNTRL OF NASAL HEMORR ANT COMP 500
6109078 CNTRL OF NASAL HEMORR ANT SIMP 500
6109079 DEBRIDE NAIL 1-5 CM 275
6109080 CL TX OF NASAL BONE FX w/o S 5,200.00
6109081 CL TX POSTOP HIP DISLOC w/ ANESTH 6,085.00
6109082 CL TX TRAUMA HIP DISLOC w/ ANESTH 6,085.00
6109083 CL TX SCAPULAR FX w/ MANIP 6,085.00
6109084 CLO TX WB DSTL TIB FX w/ MANIP 6,085.00
6109085 CLO TX AROMIOCLAVICULAR DIS 1,000.00
6109086 DEBRID SKIN + SUBQ TISS 1,465.00
6109087 DEBRIDE SKIN TO MUSCLE 2,265.00
6109088 DECLOT VASCULAR ACCESS 1,400.00
6109089 DELIVERY OF PALCENTA 10,425.00
6109090 DRAIN ABSCESS/CYST FRO 500
6109091 DRAIN EXT AUDITORY CANCAL 2,695.00
6109092 DRAIN EXT EAR ABSCESS/HE 2,695.00
6109093 DRAIN FINGER ABSCESS 765
6109094 DRAIN SCROTAL WALL ABSCESS 6,180.00
6109095 FORESKIN MANIP 1,080.00
6109096 I+D ABSCESS COMPLIC/MX 1,465.00
6109097 I+D ABSCESS SIMPLE/SINGLE 765
6109098 I+D PILONIDAL CYST SIMPLE 2,695.00
6109099 I+D ABSCESS PERITONSILLAR 885
6109100 I+D BARTHOLINS GLAND ABSCESS 760
6109101 I+D VULVA/PERINEAL ABSCESS 1,375.00
6109102 INCS+REMOVE FOREING BODY SUBQ TISS S 1,465.00
6109103 INFUSION CONCURRENT 265
6109104 INJECTION IV PUSH NEW DRUG 265
6109105 IV INF HYD ADDL HR 265
6109106 IV INF MED ADDL HR 265
6109107 ED CRITICAL CARE EA ADDL 30min 700
6109108 IV INF SEQ 1ST HR 265
6109109 IV INF MED 1ST HR 900
6109110 INJ IV PUSH INIT 900
6109111 INJ SUBQ/IM 265
6109112 INJ SAME RX ADD-ON 265
6109113 IV INF HYDR 1ST HR 900
6109114 INTUBATION ENDOTRACHEAL EMER 885
6109115 INSERT NEEDLE IN BONE CAVITY 1,320.00
6109116 REMOVE EYELID FOREIGN BODY 1,320.00
6109117 REMOVE EMBEDED FOREIGN BODY EYELID 1,340.00
6109118 REMOVE FB EXT AUDITORY CANAL 500
6109119 REMOVE FB EXT EYE CONJUNC SU 500
6109120 REMOVE FB EXT EYE CORNEAL W 500
6109121 REMOVE FB EXT EYE CORNEAL WO 1,320.00
6109122 REMOVE FB UPPER ARM/ELBOW AREA 6,180.00
6109123 REMOVE IMPACTED CERUMEN (EARWAX) 275
6109124 REMOVAL OF FOREIGN BODY 10,740.00
6109125 REMOVAL OF FOREIGN BODY, PHARYNX 1,320.00
6109126 REMOVE IMPACTED FOREIGN BODY, VAGINA 10,425.00
6109127 REMOVAL OF SKIN TAGS ANY AREA 765
6109128 REPAIR NAIL BED 2,265.00
6109129 REPAIR PALATE LACERATE UP TO CM 2,215.00
6109130 REPAIR COMPLEX FOREHEAD /CHIN /A 2,265.00
6109131 REPAIR COMPLEX FOREHEAD /CHIN /AX 1,405.00
6109132 REPAIR COMPLX LIDS/NOSE/EARS 2.6 2,265.00
6109133 REPAIR COMPLX LIDS/NOSE/EARS 1.1 2,265.00
6109134 REPAIR COMPLX SCALP/ARMS/LEGS 2,265.00
6109135 REPAIR LACERATE TONGUE/FLOOR 2,215.00
6109136 REPAIR LACERATION 2.5 CM /LESS, TONGUE 1,320.00
6109137 REPAIR LIP FULL THICK VERMILLI 2,215.00
6109138 SIMP REP FACE/EAR/NOSE MU 12.6 765
6109139 SIMP REP FACE/EAR/NOSE MU 7.6 765
6109140 SIMP REP FACE/EAR/NOSE MU 5.1 765
6109141 SIMP REP FACE/EAR/NOSE MU 2.6 765
6109142 SIMP REP FACE/EAR/NOSE MU 2.5 765
6109143 SIMP REP SCLP/AX/GEN/TRU>30 765
6109144 SIMP REP SCLP/AX/GEN/TRU 20.1 1,465.00
6109145 SIMP REP SCLP/AX/GEN/TRU 12.6 1,465.00
6109146 SIMP REP SCLP/AX/GEN/TRU 7.6 765
6109147 SIMP REP SCLP/AX/GENIT/TRU 2.6 765
6109148 SIMP REP SCLP/AX/GEN/TRU 2.5 765
6109149 SPINAL PUNCT LUMBAR DX 2,535.00
6109150 STRAPPING OF KNEE 275
6109151 SUPRAPUBIC CATHERIZATION 8,225.00
6109152 THRACHEOSTOMY EMERGENCY 5,190.00
6109153 TREAT WOUND DEHISC SIMPLE 2,265.00
6109154 ABD PARACENTESIS 3,500.00
6109155 REMOVE IMPACTED EARWAX UNI 275
4400825 FLOW VOLUME LOOPS * 110
4401200 SPIROMETRY 609
4401201 BRONCHOSPASM EVAL PRE/PS 609
4401208 DIFFUSION CAPACITY 332
4401811 NITROGEN WASHOUT CURVE 428
4402010 FUNCTIONAL RESID CAPAC 299
4402205 PULSE OX SINGLE * 345
4404200 MAX VOLUNTRY VENTILATION 174
4404620 PULM STRESS TST SMPL 280
4404621 PULM STRESS TEST CMPLX 290
5500411 INCENTIVE SPIROMETRY INT * 118
5510206 EXTUBATION * 128
5510940 SURVANTA MGMT 30MIN 378
5511847 TCPO2-PCO2 INITIAL 244
5511850 TCPO2-PCO2 HOURS 47
3109725 INIT HEARING SCREEN MCA 150
3109726 OP MEDI-CAL NB HEAR SCR 150
3109727 INIT INFANT HEARING SCREENING 24
4802587 AUDITORY EVOK POTENT COM 1,035.00
4601135 TILT TABLE W/PHARM 3,372.00
4603210 ECHOCARDIOGRAM M MODE+2D 3,007.00
4603350 ECHOCARDIOGRAM EX STRESS 1,218.00
4603355 ECHO STRESS W/MED 2,867.00
4603400 TRANSESOPHAGEAL ECHO 2,529.00
4610269 PLC VASC CLSURE DEV 1,365.00
4610509 STNT COR W/PTCA 34,040.70
4610513 STENT EA ADDL 34,040.70
4610518 COR ATHCTMY W/ COR ANGIOPLASTY 42,735.45
4610520 COR ATHCTMY W/ COR ANGIOPLASTY EA ADD’L 42,735.45
4611110 CARDIOVERSION ELEC 2,085.00
4611115 TRANSESOPHOGEAL ECHO 2,797.00
4611117 ESOPH REC ATRIAL E-GRAM 3,977.00
4611118 ESOPH RECORD W/PACING 3,977.00
4612975 COR THROMB SNGL VESSEL 16,104.00
4612977 COR THROMB MULTI VESSELS 16,104.00
4612984 PTCA EA ADDL VSL 22,412.00
4613600 BUNDLE HIS REC 3,977.00
4613603 VENTRCLR REC RT 3,977.00
4613610 PTCA INITL VESL 22,412.05
4613654 CORO ANGIO BPG S&I 15,282.00
4613659 CORO ANGIO BPG/SI/RHC SI WITH OR WITHOUT 15,282.00
4613660 TILT TBLE WO/WDRG 1,647.00
4613661 CORO ANGO BPG SI LHC SI w or w/o LV GRAM 15,282.00
4613797 CARIOPULMONARY RESUSC 914
4615945 INTRVSCLR US COR INIT VESSEL 1,980.00
4615946 INTRVSCLR US COR ADDTL VESSEL 935
4705882 CTO-REVASC COR BYPASS STENT SNGL VES 34,040.70
4705884 CTO-REVASC COR BYPASS STENT EA ADD VES 34,040.70
4705886 CORONARY ARTERY BYPAS GRAFT 34,040.70
4705888 CORONARY ARTERY BYPAS GRAFT ADD’L 34,040.70
4705890 CPR 895.95
4915991 ATHER W/ INTRACOR STENT W/ PLASTY SINGLE 34,040.70
4915995 ATHER W/ INTRACOR STENT W/ PLASTY EA ADD 34,040.70
4610290 STNT COR DRUG ELUT INITL 40,791.00
4610291 STNT COR DRUG ELUT EA ADDTNL 40,791.00
4613501 CATH,RT HEART ONLY 15,282.00
4613509 CATH RT HR COR INJECTION 15,282.00
4613510 CATH,LEFT HEART/RETROGRD 15,282.00
4613511 CATH,LT HEART BY CUTDOWN 15,282.00
4613526 CATH,RT HRT/LT HRT VGRAM 15,282.00
4613536 BALLOON PERCV INSERT * 371
4613539 CATH LT/RT, ART CONDUITS CORONARY LV GR 15,282.00
4613541 CATH,INJ/PULMONARY ANGIO 1,165.00
4613542 CATH,INJ/RT VENTR-ANGIO 1,165.00
4613544 CATH,INJ/AORTOGRAPHY 1,165.00
4613545 CATH,LT CORO WITH/WITHOUT LV GRAM 15,282.00
4613640 CATH INJ AORTCOR VEN BYP 498
4613655 IMAGE, CARD CATH 2,693.00
4613656 CORO ANGIO S&I 15,282.00
4613657 INTRVSCLR DPLR VELPRS SNGL 11,357.00
4613658 INTRVSCLR DPLR VELPRS ADDL 770
4613663 CORO ANGIO W/R/L CATH w or w/o LV GRAM 15,282.00
4705880 AMI-REVASC BYPASS GRAFT, PLASTY SNGL VES 34,040.70
4603015 CARDIO STRESS 1,396.00
4603325 DOPPLER ECHO PULSE/CONT* 769
4603330 DOPPLER ECHO COLOR FLW* 707
6106075 LIMITED ECHO 101
5730150 PT WOUND CARE INIT EVAL * 414
5730152 PT WOUND CARE F/UP VISIT * 315
5250676 MRI SP THOR W/O CM $ 1,722.00
5250802 MRI BR/HEAD W/O CM $ 2,760.00
5250810 MRI BR/HEAD W/CM $ 6,448.00
5250816 MRI BR/HEAD W/WO CM $ 7,483.00
5250301 MRI NECK w/ CONTRAST 4,235.00
5250305 MRI NECK wo CONTRAST 4,290.00
5250308 MRI NECK wo/w CONTRAST 5,280.00
5250820 MRI IAC w/ CONTRAST 4,235.00
5250822 MRI IAC w/o CONTRAST 4,015.00
5250824 MRI IAC wo/w CONTRAST 5,280.00
5250230 MRI SP CERV W/WO CM $ 4,669.00
5250234 MRI SP THOR W/WO CM $ 4,669.00
5250238 MRI SP LUMB W/WO CM $ 10,654.00
5250662 MRI SP CERV W/O CM $ 1,722.00
5250692 MRI SP LUMB W/O CM $ 3,930.00
5252142 MRI SP CERV W/CM $ 4,023.00
5252147 MRI SP THOR W/CM $ 3,862.00
5252149 MRI SP LUMB W/CM $ 8,813.00
5250840 MRI UE NO JNT W/O CONT $ 2,079.00
5250842 MRI UE NO JNT W/CONTRAS $ 2,079.00
5250846 MRI UE JNT WO/W CONTRAS $ 3,253.00
5250848 MRI UPPER EXT ANY JT w/ CONTRAS $ 1,587.90
5250850 MRI PELVIS W/O CONTRAST $ 5,633.00
5250852 MRI PELVIS WO/W CONTRAST $ 5,633.00
5250939 MRI CARD MORPH W/CM $ 4,023.00
5250945 MRI CARD FUNCT COMP $ 4,669.00
5250971 MRI CHEST W/CONTRAST $ 3,253.00
5250973 MRI CHEST w/o AND w/ CONTRAST $ 2,894.25
5250974 MRI ABD W/CONTRAST $ 7,610.00
5251000 MRI ABD WO/W CONTRAST $ 7,610.00
5251003 MRI LE NO JNT W/CONTRAS $ 2,079.00
5251004 MRI LE NO JNT W/O CONT $ 2,079.00
5251006 MRI LE JNT W/CONTRAST $ 2,079.00
5251007 MRI LE JNT WO/W CONTRAS $ 3,253.00
5251023 MRI ORBIT/FACE/NECK EXT $ 9,028.00
5251025 ORB/FACE&/OR NK $ 9,028.00
5251035 MRI TMJ $ 3,253.00
5251040 MRI CHEST WO $ 3,253.00
5251050 MRI PELV W CTRS $ 3,253.00
5251055 MRI UE/NOT JNT WO/W CTRS $ 1,722.00
5251060 MRI UE/JNT WO CTRS $ 1,722.00
5251065 MRI LE/NOT JNT WO/W CTRS $ 1,722.00
5251070 MRI LE/JNT WO CTRS $ 1,722.00
5251075 MRI ABD WO CTRS $ 4,395.00
5258903 MRI BRST UNI W CONT $ 3,253.00
5258904 MRI BRST UNI WO CONT $ 2,079.00
5258905 MRI BRST UNI WO/W CONT $ 4,023.00
5258906 MRI BRST BIL W CONT $ 3,253.00
5258907 MRI BRST BIL WO CONT $ 2,079.00
5258908 MRI BRST BIL WO/W CONT $ 4,023.00
5250601 MRA HEAD W/O CONTRAST $ 6,706.00
5250602 MRA HEAD W/CONTRAST $ 6,706.00
5250603 MRA HEAD WO/W CONTRAST $ 6,706.00
5250606 MRA NK W/O CONTRAST $ 7,483.00
5250607 MRA NECK W/CONTRAST $ 7,483.00
5250608 MRA NECK WO/W CONTRAST $ 7,483.00
5258912 MRA LWR EXT W CONT $ 4,184.00
5258913 MRA LWR EXT WO CONT $ 4,184.00
5258914 MRA LWR EXT WO/W CONT $ 4,184.00
5250625 MRA U/E W/WO CONT * 4,184.00
5250640 MRA PELVIS * 4,184.00
5258899 MRA ABDOMEN W CONT $ 5,652.00
5258901 MRA ABDOMEN WO CONT $ 5,652.00
5258902 MRA ABDOMEN WO/W CONT $ 5,652.00
5258909 MRA CHEST W CONT $ 4,184.00
5258910 MRA CHEST WO CONT $ 4,184.00
5258911 MRA CHEST WO/W CONT $ 4,184.00
5258918 MRA PELVIS WITH CONT $ 1,510.00
5258919 MRA PELVIS WO CONT $ 1,377.00
5258920 MRA PELVIS WO/W CONT $ 1,735.00
4915973 SHIELD, FEMORAL CAT ID 5300A-Y 1,080.00
8221810 CONEC TUBE 133
8222199 INST BX GUN 1,205.00
8222220 INST DIL VESSEL 74
8222370 KT PERCU NEPHRO STNT 2,229.00
8222586 KT CT INJECTION 212
8222610 GUIDE NEEDLE 9G 44
8222616 HANDPIECE, BIOPSY 9G/10CM/12MM PET 1,166.00
8222622 HANDPIECE BIOPSY 9G/10CM/20MM VERT 1,166.00
8222628 HANDPIECE BIOPSY 9GX/13CM/20MM LAT 1,166.00
8222634 MARKER BIOPSY SITE SM 10CM 2ND SHAPE 360.8
8222640 MARKER BIOPSY SITE SM 13CM 2ND SHAPE 360.8
8222646 MARKER BIOPSY SITE TM 10 CM 2ND SHAPE 330
8222652 MARKER BIOPSY SITE TM 13 CM 2ND SHAPE 330
8222668 SNARE STERILE VASC ALL 1,134.00
8222755 GOWN DRS 0
8223028 TRY ARTHROGRAM 304
8223035 TRY BX 330
8223275 WIRE EXCH 165
8223990 LOCK CLICK 46
8232776 NDL FEMORAL 62
8234530 DRS 4X4 10PK 25
5364081 EPO/100 UNITS>=10,000 6
3080100 INTEGRA MATRIX WND DRESS PER SQ CM 402
4500047 RH IMMUNEGLOBLIN 89
5303280 CYCLOPHOSPHAMIDE 2GM 0
5303285 CYCLOPHOSPHAMIDE 500MG 0
5303289 CYCLOSPORIN 25MG SOFTGEL + 18
5303290 CYCLOSPORIN 100MG (NEOR) 33
5303596 DEXAMETHASONE .5MG + 11
5303603 DEXAMETHASONE 2MG + 11
5303604 DEXAMETHASONE 4MG + 9
5303610 DEXAMETHASONE 1MG + 9
5304600 ERLOTINIB 25MG + 108
5304890 ETOPOSIDE 50MG 88
5305115 FLUDARABINE 50MG SOLN-FLUDARA 0
5306393 LEUCOVORIN CA 25MG + 122
5306420 LEVOLEUCOVORIN CALCIUM 50mg 0
5307658 METHYLPRED 4MG + 11
5307956 MYCOPHENOLATE 250MG 20
5308450 NOXAFIL DR 100MG TAB 0
5309777 PREDNISONE 1MG + 11
5309781 PREDNISONE 2.5MG + 9
5309785 PREDNISONE 5MG + 11
5309789 PREDNISONE 10MG + 11
5309793 PREDNISONE 20MG + 11
5309797 PREDNISONE 50MG + 9
5310495 RALTEGRAVIR 100MG TAB 0
5310656 RISPERIDONE CONSTA 50MG VIAL INJ. 0
5310725 SENSOCAINE MPF 0.25% W/ EPI 10ML 0
5310730 SENSOCAINE W/ EPI 50ML 0
5311204 TACROLIMUS 1MG IMMEDT RELEASE ORAL 13
5311206 TACROLIMUS IMM RELEASE ORAL .5MG + 8
5311240 TEMOZOLOMIDE 100MG $ 29
5311800 TREANDA 25MG/8ML VIAL (INJ) 0
5311810 TREANDA 100MG/20ML VIAL (INJ) 0
5314037 ACTIV CHAR 25GRAM/120ML 42
5314910 DEXAMETHASONE 1MG/ML INT + 77
5316123 PREDNISOLONE 15MG/5ML + 14
5318008 ABCIXIMAB 10MG $ 2,166.00
5318011 ACYCLOVIR 50MG 10 MLINJ 163
5318012 ACYCLOVIR SODIUM 50MG/ML -20 ML 0
5318017 ACETYLCYSTEINE 6g/30mL 0
5318020 ADNOSINE DIAGNOSTIC 3MG/ML-30 ML 0
5318025 ADENOSINE 3MG/ML 2ML 155
5318031 ALBUMIN 5% 50ML $ 955
5318032 ALBUMIN 5% 250ML $ 1,349.00
5318035 ALBUMIN, HUMAN 5%-500 ML 351.95
5318058 ALBUMIN, HUMAN 25% W/ DISP SIZE 100 145.8
5318063 ALBUMIN 25% 50ML $ 955
5318083 ALPROSTADIL 500MCG/1ML 1,379.00
5318091 METHOTREXATE 100MG 219
5318092 ALTEPLASE PER 1MG 0
5318170 AMINOPHYLLINE 0
5318199 AMIODARONE PER 30MG 6
5318243 AMPHOTER B LIP COMP 10M 95
5318265 AMPICILLIN 500MG 104
5318271 AMPICILLIN 1GM 61
5318275 AMPICLLIN 1GM IN NS 100ML BAG 0
5318276 AMPICILLIN 2GM 83
5318277 AMPICILLIN 2GM NS100ML (LD ONLY) 0
5318281 AMPICILLIN 125MG 80
5318293 AMPICILLIN/SULB 3GM 384
5318294 AMPICILLIN/SUL VPB 1.5GM 195
5318319 LYMPHOCYTE ANTI-THYMO IgG 50mg/mL 5mL 0
5318374 ATROPINE .4MG/ML 1ML 34
5318375 ATROPINE 0.4MG/ML 20ML VIAL 0
5318377 ATROPINE 1MG/ML 1ML 151
5318380 ATROPINE. 5MG PFS 15
5318385 ATROPINE 1MG/10ML PFS 9
5318414 AZITHROMYCIN 500MG INJ 353
5318415 N-AZITHROMYCIN INJ 0
5318537 BENZTROPINE 2MG/2ML 164
5318607 BEVACIZUMAB 25MG/ML 16ML 241
5318610 BEVACIZUMAB 25MG/ML-4 ML 303.1
5318617 BIVALIRUDIN 1MG 9
5318621 BLEOMYCIN 15 UNITS $ 145
5318645 BORTEZOMIB 3.5MG $ 4,470.00
5318755 BUTORPHANOL 2MG 15
5318788 CALCITONIN 400IU/2ML + 402
5318790 CALCITRIOL 1MCG/1ML 232
5318811 CALCIUM CHLORIDE 10% 10ML VIAL 0
5318830 CALCIUM GLUC 10% 10ML 77
5318911 CARBOPLATIN 50MG $ 487
5318933 CASPOFUNGIN PER 5MG 136
5318976 CEFAZOLIN 500MG 151
5318978 CEFAZOLIN 1G PMX 118
5318981 CEFAZOLIN 1GM 83
5318984 CEFAZOLIN 2GM 222
5318986 CEFEPIME 1GM 56
5318987 CEFEPIME 2GM 114
5319021 CEFOTAXIME 500MG 0
5319027 N CEFOTAXIME 0
5319028 CEFOTAXIME 2GM 430
5319049 CEFOXITIN 1 GM 40
5319051 CEFOXITIN 2GM PMX 216
5319061 CEFTAZIDIME 1GM 232
5319062 CEFTAZIDIME 2GM 495
5319070 CEFTAZIDIME-AVIBACTAM 2.5/2 gm vial 0
5319083 CEFTRIAXONE 500MG 93
5319084 CEFTRIAXONE 1GM 452
5319086 CEFTRIAXONE 1GM PMX 452
5319087 CEFTRIAXONE 2GM PMX 840
5319088 CEFTRIAXONE 2gm 0
5319101 CEFUROXIME 750MG 197
5319106 CEFUROXIME 1.5GM 374
5319201 CETUXIMAB (ERBITUX)10MG 210
5319262 CHLOROTHIAZIDE 500MG 1,378.60
5319387 CIRPOFLOXACIN 400MG PMX 452
5319390 CIPROFLOXACIN OTIC 0.2% DROP BTL. 0
5319398 CISPLATIN 10MG $ 452
5319502 CONJUGATED ESTR 25MG 374
5319590 COSYNTROPIN .25MG/ML 312
5319634 CROTALIDAE POLYV IMM FA $ 3,225.00
5319695 CYCLOPHOS 100MG 160
5319742 DACARBAZINE 200MG 0
5319759 DAPTOMYCIN PER 1MG 2
5319765 DARBEPOETIN ALFA PER1MC $ 21
5319781 DECITABINE 50MG $ 112
5319790 DEFEROXAMINE 2GM 0
5319794 DEFEROXAMINE 500MG 0
5319819 DESMPR PER 1MCG 128
5319905 DEXTROSE 50%(50ML)VIAL 0
5319934 DIAZEPAM 10MG/2ML AMP 203
5319981 DICYCLOMINE 10MG/ML 2ML 83
5319983 DAUNORUBICIN 5MG/ML 0
5319984 DIMERCAPROL 100 MG/ML 0
5319987 DOPAMINE 400 MG/10 ML (40 MG/ML) 0
5319988 ECULIZUMAB 300 MG/30 ML 0
5320002 TAMIFLU 6 MG/ML 0
5320006 SIROLIMUS 1 MG/ML 0
5320028 DIGOXIN .5MG/2ML 0
5320031 DIGOXIN IMMUNE FAB 40MG $ 1,800.00
5320060 DILTIAZEM 25 MG 300
5320075 DIMETHYL SULFOXIDE 50% 50mL 0
5320139 DIPH, PERTUSS,TET VAC2.5-8-5 LF-0.5ML 0
5320147 DIP TET PERT > 7YRS 162
5320185 DOBUTAMINE 250MG/20ML 585
5320187 DOBUTAMINE PMX 500MG/250 325
5320195 DOCETAXEL 20MG $ 755
5320198 DOCETAXEL 80MG/4ML$ 0
5320206 DOPAMINE 200MG AMP 151
5320211 DOPAMINE 400MG AMP 108
5320228 DORIPENEM 500MG 168
5320229 DORIPENEM PER 10 MG 29
5320268 DOXORUBICIN PER 10MG $ 850
5320270 DOXORUBICIN 50MG 25ML 0
5320272 DOXORUBICIN LIP PER 10MG $ 1,593.00
5320302 DROPERIDOL 2.5MG/ML-2ML 152
5320312 DIP TET PERT <7YRS 162
5320325 EDETATE CA DISODIUM 200 MG/ML INJ-5 ML 961.7
5320425 Epinephrine 1:1000 0.3mg/0.3mL 0
5320427 EPINEPHRINE 1:1000 30ML 222
5320432 EPO 1000<10,000 U NONESR $ 60
5320433 EPO 1000>=10,000U NONESR $ 60
5320435 EPINEPHRINE SYR 1MG/10ML 151
5320449 Eptifibatide 0.75mg/ml 100 ml 0
5320454 EPTIFIBATIDE 2mg/mL 10ml 0
5320508 ERYTHROMY LA 500MG 179
5320510 NEXTERONE (AMIODARONE) 150MG/100ML 0
5320551 ETANERCEPT 50mg/mL 0
5320614 ETOPOSIDE 20MG/ML 5ML 0
5320639 FACTOR VIIA 4
5320657 FACTOR IX COMPLEX BEBULIN 20mL VIAL 0
5320674 INFLUENZA VACCINE 0.5ML-45MCG/0.5ML 0
5320676 INFLUENZA VACCINE MDV-45MCG/0.5ML 0
5320678 FLUCONAZOLE 400MG PMX 955
5320679 FERRIC GLC 12.5MG/ML 5ML 122
5320708 FLUOROURACIL 1 GRAM/20ML 118
5320709 FLUOROURACIL 50MG/ML50M 57
5320753 ARIXTRA 7.5MG SYR 372
5320759 FUROSEMIDE 100MG/10ML 70
5320762 FULVESTRANT (FASLODEX) 250 MG/5 ML INJ 97.29
5320764 FUROSEMIDE 10MG/ML 2ML 68
5320769 FUROSEMIDE 40MG/4ML 66
5320784 FILGRASTIM 480MCG/1.6ML $ 1,231.00
5320785 FILGRASTIM 300MCG/1.0ML $ 773
5320790 GRANIX (FILGRASTM-TBO) 300mcg/0.5mL $ 0
5320793 GRANIX (FILGRASTM-TBO) 480mcg/0.8mL $ 0
5320800 ZARXIO (FILGRASTIM) 300mcg/0.8mL $ 0
5320803 ZARXIO (FILGRASTIM) 480mcg/0.8mL $ 0
5320835 GEMTUZUMAB 5MG $ 8,790.00
5320838 N-GANCICLOVIR 5 mg/mL BAG 0
5320842 GENTAMICIN 10MG/ML 2ML 77
5320845 GENTAMICIN 40MG/ML 0
5320846 GENTAMICIN 80 PMX 35
5320884 GLATIRAMER ACETATE 20MG + 130
5320898 GLUCAGON 1MG CA $ 378
5320968 GRANISETRON INJ .1MG 0
5320972 HALOPERIDOL 5MG/ML 1ML 61
5320989 HEPARIN PORCINE PF-100 UNIT/ML-5ML 0
5320992 HEPARIN 100U/ML 10ML 68
5321001 HEPARIN 25000 PMX 0.45% NS 108
5321005 HEPARIN 25000/250D5W PM 88
5321018 HEPARIN 5000U/ML 1ML 68
5321020 HEPARIN 10000U/ML 1ML 70
5321063 HEPARIN 1000U/ML 1ML 4
5321065 HEPARIN 1000U/ML 10ML 77
5321108 HEPATITS B IMM GLOB .5ML $ 713
5321112 RECOMBIVAX-HB 5MCG/0.5ML (HEP B VAC) 0
5321113 HEPATITIS B IMM GLOB 1ML $ 468
5321114 HEPATITIS B VAC ADULT 199
5321115 HEPATITIS B VAC PED/ADOL 89
5321124 HEPATITS A VAC 720U/.5M 120
5321191 HYALURONATE 10MG/ML 2ML 405
5321202 HYDRALAZINE 20MG/1ML 176
5321248 HYDROCORTISONE SS 250MG 150
5321276 HYDROMORPHONE 1MG/ML 0
5321278 HYDROMORPHONE 10MG/ML 1ML INJ 0
5321311 HYDROXYZINE 100MG INJ 61
5321314 IBUTILIDE .1MG/ML 10ML $ 891
5321317 ORBACTIV (ORITAVANCIN) 400 MG 0
5321321 IDARUBICIN 1MG/ML-(20ML)$ 1,527.00
5321322 IFOSFAMIDE 1GM $ 955
5321354 RHOD IMMGLOB-MALTOSE 5,000 UNIT/4.4ML 59
5321356 INFLIXIMAB PER 10MG $ 300.5
5321486 INTERFERON ALFA 2B 1MU 59
5321502 IRINOTECAN PER 20MG $ 461
5321594 IVIG CARIMUNE 12 GM $ 203
5321595 IVIG CARIMUNE 6 GM $ 267
5321603 IVIG OCTAGAM 5GM 209
5321636 KETOROLAC 15MG 6
5321637 KETOROLAC 30MG/ML 1ML 0
5321638 KETOROLAC 30MG/ML 2ML 0
5321641 LABETALOL 5MG/ML 20ML 20
5321642 LABETALOL 5MG/ML 4ML SYR 95
5321652 LEUCOVORIN 100MG 31
5321667 LEUPROLIDE DEPT 11.25 MG 0
5321668 LEUPROLIDE DEPOT 3.75MG $ 2,050.00
5321676 LEUPROLIDE ACET 7.5MG $ 2,048.00
5321696 LEVETIRACETAM INJ/ 10MG 3
5321707 LEVOFLX 750 PR-MIX 213
5321711 LEVOFLOXACIN 500MG PMX 87
5321776 LIDOCAINE 1% MPF AMPULE 10ML 0
5321778 LIDOCAINE HCL 10MG/ML 1%-20 ML 0
5321785 LIDOCAINE 1% 2ML MPF 0
5321786 LIDOCAINE 1% MPF (10MG/ML) 5ML VIAL 0
5321789 LIDOCAINE 1% MPF (10MG/ML) 5ML AMP 0
5321790 LIDOCAINE PF 20MG/ML 2% 2 ML 0
5321794 LIDOCAINE 2% MDV 10ML 0
5321797 LIDOCAINE-EPI 2% 1:200,000/20 ML 0
5321799 LIDOCAINE EPI 1.5%-1:2000,000-5ML 0
5321801 LIDOCAINE/EPI 2% (1:100,000) 20ML 0
5321802 LIDOCAINE/EPI 1% PF (1:200,000) 10ML 0
5321803 LIDOCAINE/EPI 1% (1:100,000) 50ML 0
5321853 LINEZOLID INJ PER 200MG 87
5321893 LORAZEPAM SYG 2MG/ML 1ML 61
5321894 LORAZEPAM 2MG/ML 131
5321897 LORAZEPAM 4MG/ML 225
5321899 LORAZEPAM 4mg/mL 1mL 0
5321938 MAGNESIUM SULF 50% 10ML 77
5321939 MAGNESIUM SULFATE 4GM/100 ML 0
5321940 MAGNESIUM SULF 50% 2ML 77
5321949 MAG SULF 10GM/100ML 25
5321950 MAG SULF 10GM IN 100ML NS 0
5321952 MAG SULF 10 GM in 100 ML NS 25GM/250ML 0
5321960 MAGNESIUM 1gm/100mL PREMIX IVPB 0
5321961 MANNITOL 25% 50ML 104
5321963 MANNITOL 20% 250ML IVPB 0
5321965 MAGNESIUM 1gm/50mL PREMIX IVPB 0
5321992 MMR VACC 195
5322025 MEDROXYPROGEST 150MG/ML 189
5322059 MENINGOCOCCAL VACC IM 369
5322114 MEROPENEM 500MG 61
5322116 MEROPEN PER 100MG 22
5322125 MEROPENEM 1gm INJ 0
5322248 METHYLENE BLUE 1% 10ML 40
5322249 METHYLENE BLUE 1% 1ML 108
5322280 METHYLNALTREXONE 12MG/0.6ML 0
5322295 METHYLPRED A 40MG/ML 183
5322315 METHYLPRED SS 40MG 93
5322325 METHYLPRED SS 125MG 151
5322330 METHYLPRED SS 1GM 291
5322335 METHYLPRED SS 500MG 188
5322340 METHYLPREDNISOLONE SUCC 2gm 0
5322366 METOCLOPRAM 5MG/ML 2ML 61
5322409 MICAFUNGIN 100MG (1EA) 5.1
5322412 MICFUNGIN 50MG- 1EA 5.1
5322431 MIDAZOLAM 5MG/ML 1MLSYR 34
5322433 MIDAZOLAM 5MG/ML-10ML 0
5322438 MIDAZ 10MG/2ML 14
5322439 MIDAZOLAM 1MG/1ML 2ML VL 161
5322442 MIDAZOLAM 5MG/ML VIAL 0
5322447 MILRINONE LACT 1 MG/ML (10 ML) 237
5322450 MILRINONE IN D5W-20MG/100 ML 0
5322451 MIDAZOLAM 1mg/mL- 5mL VIAL 0
5322460 MINOCIN 100MG VIAL (IV) 0
5322492 MITOMYCIN 5MG $ 1,158.00
5322691 NALBUPHINE 20MG/ML 1ML 226
5322710 NALOXONE 1MG/ML 2ML 151
5322711 NALOXONE .4MG/ML 1ML 183
5322800 NESITIRITIDE PER .1MG 124
5322805 NEOSTIGMINE 1:1000 10ML 61
5322821 OPRELVEKIN 5MG $ 1,455.00
5322910 OCTREOTIDE ACETATE 500mcg/ml 0
5322920 OCTREOTIDE PER 25MCG IN 35
5322922 OCTREOIDE ACETATE 50MCG/ML 0
5322936 ONDANSET PER 1MG 0
5322945 ONDANSETRON 4MG INJ 0
5322993 OXACILLIN 1GM 77
5323008 OXALIPLATIN PER .5MG 38
5323060 PAMIDRONATE 30MG $ 1,322.00
5323061 PAMIDRONATE 60MG/10ML 0
5323064 554368 (2-5-3-5-5/0.5)mL 0
5323065 554838 (2-5-3-5-5/0.5)mL 0
5323075 VABOMERE 2GM SDV 0
5323077 PAPAVERINE 30MG/ML 2ML 13
5323080 PARICALCITOL 5MCG/ML 1ML 237
5323101 PEGFILGRASTIM 6MG $ 8,850.00
5323118 PENICILLIN G BENZ 1.2MU 192
5323120 PENICILLIN G BENZ 2.4MU 374
5323148 PENICILLIN G POT 5MU 183
5323174 PENICILLIN G PROCANE 600,000 UNIT 0
5323246 PHENOBARB SYR 130MG 164
5323288 PHENYLEPHRN 10MG/ML 1ML 19
5323309 PHENYTOIN 100MG/2ML 61
5323314 PHENYTOIN 250MG/5ML 61
5323366 PHYTONADIONE 1MG/.5ML 108
5323371 PHYTONADIONE 10MG/ML 1ML 145
5323403 PIPERCLLN TAZOBACT 2.25G 52
5323404 PIPERCLN TAZOBACT 3.375G 300
5323405 PIP/TAZO 4.5GM 97
5323407 IMATINIB MESYLATE 400 MG 0
5323449 PNEUMOC VACC POLYS 23VAL 298
5323548 POTASSIUM CL PREMIX 10MEQ IN 100ML WATER 0
5323550 POTASSIUM CL 10meq / 100mL 52
5323558 POTASSIUM CHLOR 2MEQ/ML 5
5323677 PRIMAXIN 500 MG 0
5323861 PROTAMINE 50MG 152
5323865 PROTAMINE 10MG/ML-25ML 0
5323967 RANITIDINE 25MG/ML 2ML 118
5323974 RABIES VACCINE, IM $ 518
5323976 RABIES IMMUNE GLOBULIN 150 UNIT/ML 0
5323980 RETEPLASE 18.8MG KIT $ 8,618.00
5323992 REGADEN.1MG IJ 222
5324010 RHO (D)IMM GLO IM 300MCG $ 432
5324011 RHO (D) IMM GLOB IM50MC 74
5324017 RISPERD PER 0.5MG 20
5324020 RITUXIMAB 100MG/10ML $ 1,583.00
5324027 ROMIPLOST PER 10 MCG $ 3,900.00
5324028 ROCURONIUM 10MG/ML 5ML 0
5324040 ROPIVACAINE 2MG/ML 20ML 137
5324041 ROPIVACAINE 30ML 51
5324043 ROPIVACAINE 5mg/mL 30 mL 0
5324044 ROPIVACAINE 2MG/ML 100ML 237
5324045 ROPIVACAIN 10mg/ml 20ml 0
5324046 ROPIVACAIN 10mg/ml 10ml 0
5324080 SECRETIN PER 1MCG $ 1,219.00
5324303 SOMATROPIN PER 1MG 331
5324363 STREPTOMYCIN 1GM 0
5324407 SUCCINYLCHL 20MG/ML 10ML 0
5324420 SUMATRIPTAN 6MG INJ + 203
5324426 TERBUTALINE 1MG/ML 118
5324457 TESTOSTERONE CY 100MG/M 6
5324499 TETANUS IMMUNE GLOB 250U 1,275.80
5324519 TETANUS TOXOID 0.5ML 0.5ML 151
5324681 THIOTEPA 15MG $ 596
5324703 THYROTROPN 1.1 MG $ 3,429.00
5324739 TIGECYCLINE 1MG 5
5324831 ALTEPLASE 50MG $ 4,332.00
5324855 TRASTUZUMAB PER 10MG 231
5324864 TRIAMCIN 10MG/ML 5ML 176
5324870 TRIAMCIN 40MG/ML 5ML 225
5325070 VANCOMYCIN 10gm 0
5325071 VANCOMYCIN 750 MG 0
5325073 VANCOMYCIN 1GM 0
5325075 N VANCOMYCIN 0
5325077 VANCOMYCIN 500MG PMX 0
5325078 VANCOMYCIN 500MG 0
5325083 VARICELLA 0.5 ML 0
5325177 VINBLASTIN 42
5325203 VINCRISTINE 2MG 134
5325239 VORICONAZOLE PER 10MG 20
5325270 ZIDOVUDINE 10MG/ML 20ML 78
5325292 ZOLEDRONIC ACID PER 1MG $ 940
5325301 ZIPRASIDONE PER 20MG 1EA 84
5327431 DRONABINOL 5MG + 34
5327433 DRONABINOL 5mg CAP 0
5327501 FENTANYL .05MG/ML 2ML 83
5327505 FENTANYL .05MG/ML 5ML 11
5327520 FENTANYL PCA 10 MCG/ML 0
5327585 HYDROMORPH 10MG/ML 5ML 69
5327586 HYDROMORPHONE 2MG INJ 109
5327592 HYDROMORPHONE 4MG INJ 109
5327625 MEPERIDINE SYG 25MG/ML 96
5327633 MEPERIDINE SYG 75ML/ML 99
5327637 MEPERIDINE SYG 100MG/ML 99
5327733 MORPHINE PF 0.5M/M 10ML 312
5327743 MORPHINE PF 1MG/ML 10ML 359
5327744 MORPHINE 10MG/ML 1ML INJ 109
5327745 MORPHINE 15MG/ML 1ML INJ 99
5327746 MORPHINE 30MG/ML 30ML PCA 360
5327747 MORPHINE 5MG/ML 30ML PCA 406
5327749 MORPHINE 10MG/5ML + 15
5327757 MORPHINE SYG 2MG/ML 83
5327761 MORPHINE SYG 4MG/ML 99
5327765 MORPHINE SYG 8MG/ML 109
5327800 MORPHINE 10MG SYG NDLS 44
5327900 PENTOBARBITAL 50M/M 50ML 297
5328710 ZOLEDRONIC ACID 5MG/100ML INJ 1,102.75
5330454 CALCITONIN 200U/Spray 3.7ml 0
5330470 BRIDION INJ 200MG/2ML 0
5330472 BRIDION INJ 500MG/2ML 0
5330683 DEXAMETHASONE SODIUM PHOSPHATE 10MG 0
5330860 EPINEPHRINE HCL 0.1% 30 mL 0
5330992 FLURBIPROFEN .03% 2.5ML + 0
5336088 KETOCONAZOLE 2% BOTTLE + 0
5336190 LIDOCAINE 2% (20MG/ML) SDV PF 5ML 0
5336191 LIDOCAINE 2% (20MG/ML) PF 10ML AMP 0
5337510 E-OIL 30,000 IU/ 118ML 0
5338620 PROGESTERONE 50 mg/mL 10 mL 0
5356182 PERFLUTREN LIPID MICROSPHERE 0
5356186 HOCM 350-399 MG/ML 1 ML 9
5356300 IODIX 270M/M 50ML 179
5356310 IODIX 270M/M BTL 100ML 339
5356870 IOHEXOL 350M/M BTL 100ML 1,342.00
5358217 ISOVUE 300-399 20
5358223 IOHEXOL 240MG 10ML 150
5358225 IOHEXOL 300MG 10ML 140
5358241 MRI CNTRST GAD 1ML 13
5358242 MRI CNTRST FE 1ML 13
5370132 N-CEFAZOLI 100 mg/ml INJ 0
5370144 N-CEFEPIME 40 mg/ml INJ 0
5370156 N-CEFTAZIDIME 50 mg/ml INJ 0
5370168 N-CEFTRIAXONE 40 mg/ml INJ 0
5370180 N-CEFUROXIME 30 mg/ml INJ 0
5370192 N-CHLOROTHIAZIDE 20 mg/ml INJ 0
5370216 N-CYANOCOBALAMIN 100mcg/ml INJ 0
5370218 CYANOCOBALAMIN 1000 MCG INJ 0
5370300 N-ERYTHROMYCIN 5 MG/ML SUSP 0
5370312 N-FILGRASTIM 300 MCG 0
5370348 N-HYDRALAZINE 1 MG/ML INJ 0
5370396 N-HYDROCORTISONE 2 MG/ML SUSP 0
5370450 N-PREDNISONE 5 mg/ml SUSP 0
5370456 N-METHYLPREDNISOLONE 40 mg/ml INJ 0
5370492 N-OXACILLIN 40 mg/ml INJ 0
5370516 N-PENICILLIN G 100000 unit/ml INJ 0
5370564 N-RANITIDINE 1 mg/ml INJ 0
5370636 N-VANCOMYCIN 2.5 MG/ML INH 0
5370660 ARANESP 25 mcg/0.4mL 0
5370672 ARANESP 40 mcg / 0.4 mL 0
5370684 ARANESP 60 mcg / 0.3 mL 0
5370696 ARANESP 100 mcg / 0.5 mL 0
5370708 ARANESP 150 mcg / 0.3 mL 0
5370732 PHENOBARBITAL 50 mg/mL 0
5410014 CARBOPLATIN 10MG/ML 45ML 0
5410016 CARBOPLATIN 450MG 0
5412336 D5-1/2NS-KCL 30 MEQ 101
5412339 D5-1/2 NS -KCL 40 MEQ/L 0
5412340 D5 NS w/ KCL 20meq/L – 1000mL 0
5412610 FLUCONAZOLE IN NACL (ISO-OSM) 0
5414059 HEPARIN 1000 PMX 500ML 223
5417600 DENOSUMAB120 MG/1.7 ML VIAL 0
5417665 NS WITH POTASSIUM CHLORIDE 40meq/L 0
5417666 NS WITH POTASSIUM CHLORIDE 20meq/L 0
5417670 1/2 NS w/ POTASSIUM CHLO 20meq/1L 1000mL 0
5417831 ZERBAXA, INJ 0
5417835 CLINDAMYCIN 300MG/50ML INJ 0
5417836 CEFTAROLINE FOSAMIL 600MG INJ 0
5417839 HYDROMORPHONE 0.5MG/0.5ML SYRINGE 0
5417846 FOSPHENYOIN 500MG PE/10ML 0
5417847 HEPATITIS A VACCINE 0
5417848 IMMUNE GLOB (IGG)-GLYCINE 15-18% 10ML 0
5417849 PARICALCITOL 2 MCG/ML VIAL 0
5417852 INFLUENZA VACCINE 18 YEARS & UP 45MCG/0. 0
5417855 GAMMAGARD LIQUID INJ 10% 500 MG 50 ML 0
6303400 ISAVUCONAZONIUM SULFATE 372mg/vial 0
6740164 DPMA INJECTION 189
8140997 ALLODERM 8X16 CM 14,985.00
8182634 INTEGRA BILAYER MATRIX WOUND DRESSING 4,950.00
8241355 IMP ALLODERM $ 13,368.00
5300002 ABACAVIR/LAMIVUD/ZIDOVU + 65
5300003 ABACAVIR 300MG + 27
5300005 ACARBOSE 50MG + 15
5300007 ABACAVIR/LAMIVUDINE TAB + 106
5300013 ACETAMINOPHEN EXST CAP + 9
5300017 ACETAMINOPHEN 325MG + 6
5300098 ACETAZOLAMIDE 250MG + 11
5300102 ACETAZOLAMIDE 500MG SEQ + 15
5300160 ACYCLOVIR 200MG + 9
5300161 ACYCLOVIR 800MG + 14
5300162 ACYCLOVIR 400MG + 8
5300165 ALBENDAZOLE 200MG TAB 0
5300221 ALBUTEROL TAB 2MG + 9
5300223 ALBUTEROL 4MG + 11
5300224 ALBUTEROL SULFATE 0
5300230 ALENDRONATE 10MG + 19
5300232 ALENDRONATE 20.5
5300233 ALENDRONATE 70MG + 67
5300241 ALISKIREN 300MG + 9
5300242 ALISKIREN 150MG + 9
5300244 ALLOPURINOL 100MG + 9
5300248 ALLOPURINOL 300MG + 11
5300294 ALPRAZOLAM .25MG + 11
5300298 ALPRAZOLAM .5MG + 11
5300402 ALUM,MAG HYDROX/SIMETH + 4
5300476 AMANTADINE 100MG + 14
5300480 AMANTADINE 50mg/5mL SYRUP 0
5300524 AMILORIDE 5 MG 0
5300549 AMINOCAPROIC ACID 500+ + 0
5300625 AMIODARONE 200MG + 19
5300634 AMITRIPTYLINE 10MG + 9
5300638 AMITRIPTYLINE 25MG + 9
5300648 RISPERIDONE 0.25MG + 12
5300649 RISPERIDONE .5MG + 12
5300650 AMITRIPTYLINE 100MG + 9
5300661 AMLODIPINE 5MG + 14
5300662 AMLODIPINE 10MG + 19
5300663 AMLODIPIN/BENAZEPR 5/10 + 19
5300664 AMLODIPIN/BENAZEPR 5/20 + 8
5300666 AMLO/BEN 10/20 + 9
5300708 AMMONIA AROMATIC 72
5300712 AMOXICILLIN/CLAV 250MG + 14
5300713 AMOXICILLIN/CLAV 875MG + 27
5300715 AMOXICILLIN/CLAV 500MG + 20
5300723 AMOXICILLIN 250MG + 11
5300725 AMOXICILLIN 500MG + 11
5300746 AMPICILLIN 250MG + 9
5300750 AMPICILLIN 500MG + 11
5300755 ANAGRELIDE 0.5MG + 28
5300759 ANAGRELIDE 1MG + 40
5300762 ANASTROZOLE 1MG + 36
5300780 ARIPIPRAZOLE 15MG + 39
5300782 ARIPIPRAZOLE 2mg TAB 0
5300783 ARIPIPRAZOLE 5MG + 39
5300784 ARIPIPRAZOLE 10MG + 37
5300785 ARIPIPRAZOLE 1mg/mL 150mL 37
5301057 ASCORBIC ACID 250MG + 6
5301061 ASCORBIC ACID 500MG + 4
5301108 ASPIRIN EC 325MG + 4
5301109 ASPIRIN EC 81MG + 11
5301110 ASPIRIN BABY + 4
5301113 ASPIRIN 325MG + 4
5301121 ATAZANAVIR 150MG + 51
5301122 ATAZANAVIR 200MG + 49
5301134 ATENOLOL 100MG + 11
5301137 ATENOLOL 25MG + 11
5301138 ATENOLOL 50MG + 11
5301145 ATORVASTATIN 10MG + 19
5301146 ATORVASTATIN 20MG + 14
5301147 ATORVASTATIN 40MG + 14
5301215 AZATHIOPRINE 50MG + 15
5301217 AZELASTINE HCL 0.1% 30 ML NASAL SPRAY 0
5301218 AZELASTINE 0.05% 6ML OPHTH 0
5301220 AZITHROMYCIN 250MG + 42
5301223 AZITHROMYCIN 600MG + 57
5301230 AZITHROMYCIN 1% 2.5ML 0
5301357 BACLOFEN 10MG + 11
5301430 BENAZEPRIL 5MG + 9
5301431 BENAZEPRIL 10MG + 9
5301432 BENAZEPRIL 20MG + 9
5301499 BENZONATATE 100MG + 14
5301522 BENZTROPINE 1MG + 11
5301526 BENZTROPINE 2MG + 11
5301572 BETHANECHOL 5MG + 11
5301576 BETHANECHOL 10MG + 9
5301580 BETHANECHOL 25MG + 11
5301590 BICALUTAMIDE 50MG + 34
5301602 BISACODYL 5MG + 6
5301605 BISOPROLOL 5MG + 6
5301616 BISMUTH SUBSALICYL TAB + 6
5301675 BROMFENAC 25,000 Unit 0
5301680 BROMOCRIPTINE 2.5MG + 19
5301742 BUMETANIDE 1 MG PO + 0
5301744 BUPROPRION 300XL + 15
5301745 BUPROPION 75MG + 19
5301746 BUPROPION 100MG + 14
5301748 BUPROPION SR 100MG + 4
5301749 BUPROPION SR 150MG + 8
5301750 BUPROPION-HCL 0
5301752 BUPROPION-HCL 200 mg 0
5301760 BUSPIRONE 5MG + 14
5301761 BUSPIRONE 10MG + 15
5301791 CALCITRIOL .25MCG + 15
5301793 CALCITRIOL .5MCG + 11
5301795 CALCITROL ROCALCITROL 1MCG/1ML 15ML 0
5301810 CALCIUM ACETATE 667MG + 14
5301811 CALCIUM CARBONATE + 4
5301815 CALCIUM CARBONATE 500MG + 1
5301819 CALCIUM CARBONATE CHEW + 4
5301822 CALCIUM CARBONATE 600MG 0
5301826 CALCIUM CARBONATE 1250mg + 1
5301828 CALCIUM CITRATE 200MG + 1
5301834 CALCIUM 500MG/VIT D + 11
5301842 CALCIUM GLUCONATE 500MG + 6
5301844 CALCIUM GLUCONATE 650 MG 0
5301914 CANDESARTAN 16MG + 27
5301917 CAPECITABINE 150MG 33
5301918 CAPECITAB 500MG + 51
5301922 CAPTOPRIL 12.5MG + 11
5301923 CAPTOPRIL 25MG + 11
5301927 CAPTOPRIL 50MG + 15
5301975 CARBAMAZEPINE 100MG + 11
5301979 CARBAMAZEPINE ER 200MG + 4
5301981 CARBAMAZEPINE 200MG/10 ML 11
5301982 CARBAMAZEPINE 300MG XR 0
5302027 CARBIDOPA/LEVOD 10/100 + 11
5302031 CARBIDOPA/LEVOD 25/100 + 11
5302032 CARBIDOPA/LEVO 25/100CR + 14
5302035 CARBIDOPA/LEVOD 25/250 + 11
5302036 CARBIDOPA/LEVOD 50/200 + 14
5302038 CARBIDOPA/LEVOD/ENT 50/200/200 mg 0
5302039 CARBIDOPA/LEVOD/ENT 37.5/150/200 mg 0
5302058 CARISOPRODOL 350MG + 11
5302070 LEVOCARNITINE 330MG + 4
5302130 CELECOXIB 200MG + 9
5302208 CEPHALEXIN 500MG + 15
5302246 CETIRIZINE 10MG + 19
5302331 CHLORAMBUCIL 2MG + 15
5302385 CHLORDIAZEPOXIDE 5MG + 15
5302565 CHLORPHENIRAMINE 4MG + 9
5302598 CHLORPROMAZINE 50MG + 9
5302667 CHLORTHALIDONE 25MG TAB 0
5302731 CILOSTAZOL 100MG + 7
5302762 CINACALCET 30MG + 41
5302763 CINACALCET 60MG + 82
5302781 CLARITHROMYCIN 500MG + 20
5302814 CLINDAMYCIN 150MG + 18
5302900 CLOMIPRAMINE 25mg 0
5302949 CLONIDINE .3MG + 11
5302965 CLOPIDOGREL 75MG + 20
5302966 CLOPIDOGREL 300MG + 73
5303042 COLCHICINE TAB .6MG + 11
5303044 COLESEVELAM HCL 3.75GM 0
5303050 CONJ ESTROG.625MEDROX 5mg + 15
5303069 CONJUGATED ESTR .625MG + 9
5303135 CRANBERRY EXTRACT 405MG CAP 0
5303373 DANAZOL 200 MG PO+ 4.77
5303443 DAPSONE 100MG + 11
5303444 DARUNAVIR (PREZISTA) 400 MG PO 18.37
5303445 DARIFENACIN (ENABLEX) 7.5 PO+ 5.11
5303446 DARIFENACIN (ENABLEX) 15 MG PO+ 5.11
5303447 DARUNAVIR (PREZISTA) 600 MG PO+ 18.37
5303449 DARUNAVIR 800 MG TAB 0
5303455 DARUNAVIR/COBISTAT 800/150 MG TAB 0
5303630 DEXTROMETHORPHAN-GUAIFENESIN30-600MG PO+ 0.44
5303720 DIAZOXIDE 50mg/ml 30 mL 0
5303747 DICLOFENAC 75MG + 15
5303766 DICLOXACIL 250MG + 11
5304037 DILTIAZEM 60MG + 11
5304040 DILTIAZEM SR 90MG + 14
5304043 DILTIAZEM CD 120MG + 19
5304044 DILTIAZEM CD 180 MG + 18
5304045 DILTIAZEM CD 240 MG + 20
5304046 DILTIAZEM CD 300 MG + 18
5304060 DIMENHYDRINATE 50MG + 4
5304087 DIPHENHYDRA 25MG + 6
5304089 DIPHENHYDRAMIHE HCL 25 MG 0
5304095 DIPHENHYDRAMINE ZINC ACET 2-0.1% 28gm 0
5304123 DIPYRIDAMOLE/ASA SR CAP + 7
5304193 DIVALPROEX NA 500MG + 14
5304194 DIVALPROEX ER 250MG TABLET 0
5304195 DIVALPROEX ER 500MG TAB 0
5304200 DIVALPROEX SPRINKLE 125mg 0
5304203 DOCUSATE CA 240MG + 4
5304255 DONEPEZIL 23MG TAB 0
5304336 DOXAZOSIN 2MG + 19
5304337 DOXAZOSIN 4MG + 19
5304365 DOXEPIN 25MG + 9
5304367 DOXEPIN 50MG + 11
5304379 DOXERCALCIFEROL(HECTORAL)0.5 MCG PO+ 7.44
5304415 DUTASTERIDE 0.5MG + 11
5304431 EFAVIRENZ 200MG + 20
5304434 ENALAPRIL 2.5MG + 11
5304439 ENALAPRIL 10MG + 14
5304440 ENALAPRIL 20MG + 18
5304454 EFAVIRENZ-EMTRICI-TENOF600-200-300MG PO+ 61.1
5304455 EMTRICITABINE/TENOFOVIR + 98
5304456 EMTRICITABINE 200MG + 36
5304459 Entecavir 0.5mg 0
5304469 ERGOCALCIFEROL 50000U + 14
5304602 ERLOTINIB 150MG + 335
5304642 GLUCOTROL(GLIPIZIDE ER) 2.5MG 0
5304644 DICLOFENAC POTASSIUM (CATAFLAM)50MG 0
5304648 BRILINTA(TICAGRELOR) 60 MG 0
5304650 CHLOCALCIFEROL (VIT D3) 5000 IU 0
5304651 CRANBERRY FRUIT 450MG 0
5304657 ERYTHROMYCIN STEAR 500M + 1
5304666 ESCITALOPRAM 20MG + 9
5304667 FINASTERIDE(PROPECIA) 1MG 0
5304774 ETHAMBUTOL 400MG + 15
5304875 EZETIMIBE 10MG + 13
5304892 ETRAVIRINE 100MG TAB + 25
5304895 ETRAVIRINE 200mg 0
5304898 FAMCICLOVIR 500MG + 29
5304900 FAMOTIDINE 20MG + 9
5304911 FEBUXOSTAT (ULORIC)40 MG PO+ 5.89
5304933 FENOFIBRATE (TRICOR)48MG PO 1.61
5304935 FENOFIBRATE MICRONIZED 134mg CAP- LOFIBR 0
5304940 FENOFIBRATE MICRONIZED 200mg CAP- LOFIBR 0
5304943 FENOFIBRIC ACID (CHOLINE) 0
5305083 FLECAINIDE 50mg 0
5305085 FLECAINIDE 100MG + 15
5305095 FLUCONAZOLE 50MG + 28
5305096 FLUCONAZOLE 100MG + 38
5305129 FLUDROCORTISONE .1MG + 14
5305159 FLUOXETINE 10MG + 20
5305160 FLUOXETINE 20MG + 19
5305228 FLUTAMIDE 125MG CAP 0
5305229 FOLIC ACID 400 MCG PO+ 0.02
5305234 FLUVOXAMINE 25 MG 0
5305287 FUROSEMIDE 80MG + 9
5305290 GABAPENTIN 100MG + 11
5305299 GALANTAMINE 4MG + 9
5305301 GALANTAMINE 8 MG 0
5305302 GALANTAMINE 16 mg 0
5305303 GATIFLOXACIN 0.50% 2.5ML OPHTH 0
5305305 GAVISCON 80-14.2 MG 0
5305311 GEMFIBROZIL 600MG + 15
5305320 GLIMEPIRIDE 1MG + 11
5305322 GLIMEPIRIDE 4MG + 15
5305345 GLIPIZIDE 5MG + 11
5305481 GUAIFENESIN 600MG + 2
5305672 HYDRALAZINE 10MG + 9
5305676 HYDRALAZINE 25 MG + 9
5305742 HYDROCORTISONE 10MG + 15
5305835 HYDROXYZINE 25MG TAB + 11
5305836 HYDROXYZINE 50MG TAB + 9
5305865 HYOSCYAMINE 0.125MG TAB 0
5305909 IBUPROFEN TAB 200MG + 4
5305915 IBUPROFEN 400MG + 0
5305919 IBUPROFEN 600MG + 0
5305920 IBUPROFEN 800MG + 0
5305930 IMATINIB 100MG + 69
5306000 INDOMETHACIN 25MG + 9
5306004 INDOMETHACIN 50MG + 11
5306052 IRBESARTAN 300MG + 8
5306056 IRON POLYSACCHAR 150MG + 2
5306181 ISOSORBIDE 20MG + 9
5306182 ISOSORBIDE MONO 20MG + 11
5306186 ISOSORBID MONONI ER 60MG + 15
5306280 IVERMECTIN 3MG + 0
5306320 LABETALOL 100MG TAB + 9
5306343 LACTOBACILLUS TABS + 14
5306344 LAMIVUDN/ZIDOVUDN150/300 + 36
5306346 LAMOTRIGINE 25MG + 11
5306351 LANSOPRAZOLE 15MG + 25
5306361 LANTHANUM CARBONATE 500M + 26
5306368 LETROZOLE 2.5MG + 33
5306389 LEUCOVORIN CA 5MG + 38
5306410 LEVOCETIRIZINE(XYZAL) 5MG PO+ 3.42
5306431 LEVOFLOXACIN 500MG + 33
5306435 LEVOTHYROXIN .088MG + 11
5306447 LEVOTHYROXIN .025MG + 11
5306455 LEVOTHYROXIN .15MG + 9
5306456 LEVOTHYROXIN .112MG + 11
5306457 LEVOTHYROXINE(SYTHROID00.137 MG PO+ 0.77
5306458 LEVOTHYROXIN .125MG + 9
5306459 LEVOTHYROXIN .1MG + 9
5306510 LIOTHYRONINE 5MCGPO+ 0.8
5306517 LIOTHYRONINE 25MCG + 14
5306519 LIPASE-PROTEASE-AMYLASE 6K-19K-30K UNIT 0
5306520 LIPASE-PROTEASE-AMY 24-76-120K UNIT PO+ 3.38
5306620 LIPASE PORTEASE AMYLASE 12K-38K-60K UNIT 0
5306638 LISINOPRIL 40MG + 6
5306652 LITHIUM 300MG + 11
5306740 LORATADINE 10MG + 18
5306752 LORAZEPAM 1MG + 11
5306757 LOSARTAN 50MG + 14
5306765 LOTEPREDNOL 0.20% 5ML OPHTH 0
5306787 LOXAPINE 10MG CAP 0
5306794 LUBIPROSTONE(AMITIZIA)8MCG PO+ 4.19
5306835 MAGNESIUM HYDROXIDE 400 MG/5ML PO 0
5306930 MARAVIROC(SELZENTRY)150 MG PO+ 18.36
5307022 MEDROXYPROGEST 2.5MG + 11
5307026 MEDROXYPROGEST 10MG + 14
5307076 MEGESTROL 40MG + 19
5307095 MELOXICAM 7.5MG + 12
5307099 MELPHALAN 2MG + 15
5307110 MEMANTINE 5MG + 9
5307276 MERCAPTOPURINE 50 MG PO+ 4.09
5307280 MESALAMINE 400MG TAB + 18
5307355 METFORMINXR 500 mg TAB 0
5307360 METFORMIN 500MG + 11
5307361 METFORMIN 850MG + 11
5307364 METFORMIN 750MG + 5
5307505 METHIMAZOLE 5MG PO+ 0.44
5307530 METHOCARBAMOL 500MG + 11
5307534 METHOCARBAMOL 750MG + 11
5307561 METHOTREXATE 2.5MG + 28
5307758 METOLAZONE 2.5MG + 11
5307785 METOPROLOL 50MG + 11
5307789 METOPROLOL 100MG + 9
5307812 METRONIDAZOLE 250MG + 9
5307815 METRONIDAZOLE 500MG + 9
5307851 MIGLITOL(GLYSET) 50MG PO+ 1.21
5307877 MIRTAZAPINE 15MG SOLTAB + 12
5307880 MIRABETRIQ 25MG 0
5307884 MODAFINIL 200MG + 23
5307887 MOXIFLOXACIN HCL 400MG TAB 0
5307890 MISOPROSTOL 100MCG + 11
5307903 MONTELUKAST 10MG + 19
5307907 MORPHINE 30 MG PO+ 0.55
5307908 MORPHINE 15MG PO+ 0.33
5307909 MORPHINE SR(ORAMORPH SR) 60MG PO+ 1.18
5307918 PEDIATRIC MULTIVITAMIN (POLYVITAMIN)50ML 0
5307934 MULTIVITAMINS-IRON + 4
5307936 PRENTAL VIT-IRON FUMARATE-FA 27-1MG PO 0
5307940 PRENATAL VIT-IRON FUMARATE-FA 28-.8 MG 0
5307957 MYCOPHENOLATE MOFETIL 0
5307958 MYCOPHENOLATE SODIUM 360mg 0
5307959 MYCOPHENOLATE SODIUM 180mg 0
5307960 NABUMETONE 500MG + 15
5308050 NAPHAZOLINE-GLYCERINE 0.012%-0.25% 15ML 0
5308078 NAPROXEN 250MG + 11
5308088 NAPROXEN 500MG + 15
5308093 NATEGLINIDE 120MG + 4
5308100 NELFINAVIR 625MG 0
5308104 NEBIVILOL 5MG + 7
5308140 NEVIRAPINE(VIRAMUNE) 50MG/5ML SUSP + 2.62
5308174 NIACIN 500MG 0
5308248 NIACIN ER 500MG + 1
5308255 NIACIN SR 500 M+ 0
5308270 NICARDIPINE IN SALINE 0
5308271 NICARDIPINE 20MG PO+ 0.46
5308307 NIFEDIPINE EXT REL 30MG + 14
5308308 NIFEDIPINE EXT REL 90MG + 18
5308310 NIFEDIPINE EXT REL 30MG + 15
5308312 NIFEDIPINE 10MG + 9
5308320 NIMODIPINE 30MG + 33
5308322 NISOLDIPINE 8.5 MG 0
5308324 NISOLDIPINE 17MG 0
5308428 NORTRIPTYLINE 10MG + 11
5308435 NORTRIPTYLINE 50MG + 8
5308486 OMEPRAZOLE 20MG + 25
5308492 ONDANSETRON ODT 4MG + 79
5308495 ONDANSETRON 4MG + 83
5308500 OLANZAPINE 2.5MG + 9
5308504 OSELTAMIVIR 75MG + 19
5308506 OLANZAPINE ZYDIS 5MG + 27
5308522 OLMESARTAN 40 MG + 8
5308635 OXYBUTYNIN CL 5MG/5ML 473ML 0
5308641 OXYBUTYNIN EXT REL 5MG + 11
5308870 PANTOPRAZOLE 40mg 0
5308872 PANTOPRAZOLE 20mg 0
5308874 PANTOPRAZOLE 40 MG GRANULE PACK 0
5308875 PANTOTHENIC AC MIN OIL-PET 50MG TOP+ 4.2
5308879 PALIPERIDONE (INVEGA) 3MG TAB+ 16.51
5308900 PARICALCITOL (ZEMPLAR) 1 MCG PO+ 9.67
5308950 PAROXETINE 20MG + 20
5308970 PEG 3350-ELECTROLYTES236-22.74-6.74 GRAM 0
5309106 PERPHENAZINE 2MG + 14
5309145 PHENAZOPYRIDINE 100MG + 11
5309149 PHENAZOPYRIDINE 200MG + 9
5309434 PHENYTOIN 50MG + 11
5309438 PHENYTOIN 100MG + 9
5309461 PHYTONADIONE 5MG + 15
5309500 PIOGLITAZONE 15MG TAB + 12
5309502 PIOGLITAZONE 30MG TAB + 23
5309504 PIOGLITAZONE 45MG TAB + 25
5309534 PIROXICAM 20MG + 19
5309657 POTASSIUM CL 10MEQ + 2
5309666 POTASSIUM CL 8MEQ CAP + 9
5309688 PRAVASTATIN 40MG + 16
5309695 PRAMIPEXOLE 0.125MG 0
5309696 PRAMIPEXOLE 1mg 0
5309703 PRASUGREL (EFFIENT) 10MG PO+ 6.54
5309706 PRAMIPREXOLE 0.5MG + 9
5309730 PRAZIQUANTEL 600mg 0
5309795 PREGABALIN 25 MG + 8
5309796 PREGABALIN 50MG + 8
5309799 PREGABALIN 75MG + 9
5309802 PREGABALIN(LYRICA) 100 MG PO+ 3.12
5309820 PRIMIDONE 50MG + 11
5309824 PRIMIDONE 250MG + 11
5309987 PROCHLORPERAZINE 25MG + 19
5310015 APIXIBAN(ELOQUIS) 2.5 MG 0
5310017 APIXIBAN (ELOQUIS) 5MG 0
5310020 BROMPHENIRAMINE-PHENYL 1-2.5MG/5ML 118ML 0
5310023 BROMPHENIRAMINE-PHENYL 1-2.5MG/5-237ML 0
5310064 RIVASTIGMINE 4.5mg CAP 0
5310065 PROMETHAZINE 12.5MG + 15
5310066 TICGRELOR 90 MG TAB 0
5310068 PROMETHAZINE 25MG + 11
5310216 PROPYLTHIOURACIL 50MG + 14
5310295 PYRAZINAMIDE 500MG + 14
5310297 PYRIDOSTIGMINE 60MG + 11
5310328 PYRIDOXINE 50MG + 9
5310368 QUETIAPINE(SEROQUEL XR) 50MG PO+ 48.56
5310370 QUETIAPINE 25MG + 18
5310372 QUETIAPINE 200MG + 0
5310481 QUININE 300MG + 11
5310490 RAMIPRIL 2.5MG + 14
5310492 RAMIPRIL 10MG + 7
5310493 RALTEGRAVIR POT 400MGTAB 63
5310505 RANITIDINE 150MG + 18
5310520 RANOLAZINE 500 MG + 13
5310524 RASAGILINE (AZILECT)0.5MG PO+ 1.25
5310554 REPAGLINIDE 2MG + 15
5310630 RIBOFLAVIN 100mg 0
5310650 RIMANTADINE 100MG + 15
5310653 RISPERIDONE 3MG + 25
5310660 RIVASTIGMINE 9.5 MG PATCH 0
5310663 ROSIGLITAZONE 4MG + 28
5310665 RIVASTIGMINE 1.5MG + 9
5310666 RIVASTIGMINE 3.0MG + 9
5310667 RIVASTIGMINE 4.6MG/24 HR 9
5310688 ROPINIROLE 3MG PO 0.88
5310750 SENNOSIDES 8.8MG/5ML 237ML 0
5310755 SENNA TABLETS + 4
5310756 SENNA CONC/DOCUSATE + 4
5310759 SERTRALINE 25MG + 12
5310760 SERTRALINE 50MG + 25
5310761 SERTRALINE 100MG + 12
5310762 SEVELAMER 403MG CAP + 2
5310764 SEVELAMER 800MG + 5
5310766 SEVELAMER CARBONATE 0.8 MG POWDER PACK 0
5310773 SILDENAFFIL (VIAGRA) 25 MG 20.4
5310776 SILDENAFIL 100MG + 40
5310778 SILDENAFIL 0.8 mg/mL vial 0
5310791 SIMVASTATIN 10MG + 18
5310810 SODIUM BICARBONATE 650MG + 11
5310833 SODIUM CL 1GM + 11
5310835 SODIUM CL 5% 3.5gm 0
5310867 SOLIFENACIN 0
5310902 SPIRONOLAC-HCTZ 25MG + 11
5310910 SPIRONOLACTONE 25MG + 11
5310914 SPIRONOLACTONE 50MG + 11
5311110 SULFASALAZINE 500MG + 9
5311187 SULINDAC 200MG + 18
5311192 SUMATIPTAN SUCCINATE 100 MG PO 25.14
5311194 SUMATIPTAN SUCCINATE 50mg 0
5311215 TAMSULOSIN .4MG + 19
5311226 TELMISARTAN 40MG + 7
5311242 TEMOZOLOMIDE 140mg 0
5311245 TENOFOVIR 300MG + 48
5311247 TESTOSTERONE(ANDROGEL)1%5GM 5.28
5311248 TESTOTERONE(ANDRODERM) 2.5MG/24HR PATCH 5.44
5311260 TERBUTALINE 2.5MG + 9
5311361 THALIDOMIDE 100 MG PO+ 0
5311362 THALIDOMIDE 200 MG PO+ 0
5311392 THEOPHYLL SA 200MG + 9
5311471 THIAMINE 100MG + 6
5311591 THIOTHIXEME 5MG + 11
5311649 THYROID 60MG + 11
5311748 TOLTERODINE LA 4MG + 13
5311752 TOLTERODINE 2MG + 14
5311757 TOPIRAMATE 200MG + 15
5311761 TORSEMIDE 10MG + 9
5311791 TRAZODONE 50MG + 11
5311795 TRAZODONE 100MG + 11
5311820 TRETINOIN(CHEMOTHERAPY) 10 MG 0
5311863 TRIAMTREN-HCTZ 37.5/25MG + 9
5311887 TRIAZOLAM .125MG + 11
5312036 STALEVO 31.25-125-200 MG 0
5312038 STALEVO 100 + 10
5312142 TRIPROLIDINE-PS + 4
5312244 COENZYME Q10 100MG PO+ 0.5
5312252 N-URSODIOL SUSPENSION(ACTIGALL) 0
5312255 URSODIOL 300 MG + 9
5312260 VALGANCICLOVIR 50 MG/ML SOLUTION 0
5312262 VALSARTAN 40MG + 0
5312263 VALGANCICLOVIR 450MG + 105
5312264 VALSARTAN (ENTRESTO)49MG/51MG 0
5312265 VALSARTAN 80MG + 0
5312266 VALSARTAN 160MG + 0
5312271 VANCOMYCIN 250MG + 46
5312273 VENLAFAXINE XR 37.5MG + 11
5312278 VENLAFAXINE 75MG + 7
5312284 VERAPAMIL 80MG + 9
5312288 VERAPAMIL 120MG + 9
5312289 VERAPAMIL SUST REL 240MG + 15
5312290 VERAPAMIL SR 180MG + 15
5312345 VITAMIN B & C COMPLEX + 6
5312350 B COMPLEX-FOLIC ACID 0.03
5312357 VITAMIN B COMPLX + 11
5312358 VITAMIN D DROPS 400 IU 0
5312370 B COMPLEX-VIT C-FOLIC ACID (NEPHROVITE) 0.14
5312385 CHOLECALCIFEROL (VIT D3) 1000 UNIT PO+ 0
5312389 CHOLECALCIFEROL VIT D3 0
5312390 VITAMIN E-100 IU 0
5312400 VITAMIN E 200IU 0
5312407 VITAMIN E 400IU + 11
5312481 WARFARIN 1 MG + 9
5312483 WARFARIN 3 MG + 4
5312485 WARFARIN 4MG + 4
5312488 WARFARIN 5MG + 9
5312510 ZIDOVUDINE 100MG + 25
5312523 ZINC SULFATE 220MG + 9
5312533 ZIPRASIDONE 40MG + 15
5314009 ACETAMIN 80MG/.8ML 15ML + 81
5314016 ACETAMIN 650MG/20.3ML + 11
5314162 ALUMINUM HYDROXIDE 30ML + 6
5314233 AMOXICLN/CLAV 125/5 5ML + 114
5314237 AMOXICLN/CLAV 250/5 5ML + 10
5314253 AMOXICILLIN 250/5 5ML + 11
5314272 AMPICILLIN 125MG/5ML + 28
5314304 AZITHROMYCIN 200/5 30ML + 133
5314306 AZITHROMYCIN 200MG/5ML 0
5314362 BISMUTH SUBSALICYL 240ML + 11
5314562 CEPHALEXIN 125MG/5 5ML + 87
5314568 CEPHALEXIN 250MG/5 100ML + 117
5314569 CEPACOL 0
5314620 CHLORASEPTIC 1.40% 177mL 0
5314680 CHOLESTYRAMINE 4G + 15
5314914 DEXTROMETHORPHAN-GUAIFEN 15-100 MG/5ML 0
5314916 DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG 0
5315054 DOCUSATE 100MG/10ML UD + 11
5315145 ERYTHROMY ET 200MG/5ML + 122
5315166 Erythromycin 250mg 0
5315224 FLUCONAZOLE 10MG/ML SUSP+ 35.8
5315232 FLUPHENAZINE 2.5MG/5ML ELIXIR+ 2.46
5315249 GABAPENTIN 250 MG/5 ML PO+ 2.95
5315290 GUAIFEN/CODEINE 10ML + 11
5315304 GUAIFENESIN DM 10ML + 6
5315440 LACTOBACILLUS GRANULES + 2
5315460 LAMIVUDINE 240ML + 324
5315470 LEVETIRACETAM 100 mg/mL 0
5315480 LITHIUM CARBONATE 300mg 0
5315500 LOPINAVIR/RITONAVIR 5ML + 39
5315504 LIDOCAINE HCL 2% 20ML SOL 0
5315505 LIDOCAINE VISC 100ML + 46
5315520 LINEZOLID(ZYVOX)100MG/5ML SUSP+ 15.33
5315525 LIPASE PROTEASEAMYLASE3,000-9500-15,000U 0
5315568 MEGESTROL 10ML + 51
5315575 MELOXICAM 15MG + 17
5315711 MINERAL OIL 10 ML + 27
5315746 MAG HYDROXIDE(MOM) 400MG/5ML PO+ 0.43
5315785 MAGIC MOUTHWASH 5ML 0
5315890 ONDANSETRON 4MG/5ML + 353
5316020 PHENOL/NA PHENOLATE SPRY + 15
5316059 PHENYTOIN 100MG/4ML + 11
5316070 KAYEXELATE 60 0
5316089 POTASSIUM CL 10% + 9
5316097 POTASSIUM CL 20MEQ PKT + 9
5316109 POTASSIUM&SODIUM PHOSPHATES 0
5316147 PROMETHAZINE /COD + 9
5316155 PROMETHAZINE 6.25MG/5ML + 25
5316165 PROMETHAZINE/DM 4OZ + 6
5316172 PROPRANOLOL 20MG/5ML PO+ 0.4
5316190 PSYLLIUM HUSK 0.52 GM PO+ 0.08
5316192 PSYLLIUM SEED-SUCROSE 3.4 GM 0
5316245 RANITIDINE 150MG/10ML + 29
5316253 RIVASTIGMINE 13.3 MG/24 HOUR 0
5316254 RISPERIDONE 1MG/ML 100ML + 11
5316256 SACCHAROMYCES BOULARDII 250 MG 0.88
5316337 SILDENAFIL 20 MG 0
5316355 SOD CITRATE/CITR AC 30ML + 25
5316389 STERILE TALC SPRAY 4 GRAMS 0
5316390 SUCRALFATE 1G/10ML SUSP + 18
5316392 STRIBILD 150/150/200/300 MG 0
5316617 VITAMIN C 100MG/ML DROPS + 9
5316651 PEDIATRIC MULTIVI (POLY VITAMIN)50ML PO+ 5.24
5316653 PEDIA MULTIVI/PHYTONADIONE 400mcg/mL BTL 0
5318545 BENZOCAINE 20%, 6 gm 0
5318560 BETAMETHASONE, AUGMENTED 0.05% 0
5318750 CABERGOLINE 0.5mg 0
5318980 CEFDINIR 250mg/5ml 60mL 0
5319430 CLINDMYCIN PALMITATE HCL 75mg/5mL -100mL 0
5319602 MICAFUNGIN SODI 0
5319665 CYANOCOBALOMINE 100MCG TABLET 0
5319670 CYANOCOBALAMINE 250 MCG 0
5319673 CYANOCOBALAMINE 500 MCG PO+ 0.06
5319674 CYANOCOBALAMIN 1000MCG 0
5319815 DESMOPRESSIN 0.1 MG PO+ 3.02
5319820 DESMPOPRESSIN 0.2mg 0
5319824 DESMOPRESSIN 10MCG/5ML NASAL SP + 143.34
5319982 METHADONE 5MG/5mL 0
5319991 ESTRADIOL TABLET 1MG 0
5319992 LORAZEPAM ORAL SOL 2MG/mL 0
5319993 CLINDAMYCIN CAPSULE 300MG 0
5319994 RILUZOLE TABLET 50MG 0
5319995 ROPINROLE TABLET 2MG 0
5319996 GUAIFENESIN DM SYRUP 10-100MG/5mL 0
5319997 PHENYTOIN ER CAP(NDC:00071374066) 30MG 0
5319999 VITAMIN A GELCAP 10000IU 0
5320061 DILTIAZEM 5` MG/ML-10 ML 17
5320317 D20W 20% 500ML 0
5320380 ENFUVIRTIDE (FUZEON) 90 MG INJ 0.57
5320396 ENALAPRILAT 1.25MG/ML 2ML 0
5320398 ENOXAPARIN 100MG SYR + 165
5320405 ENOXAPARIN 150MG SYR + 338
5320406 ENOXAPARIN 120MG SYR + 271
5320570 ETHACRYNIC ACID 25mg 0
5320736 FOLIC ACID-VITB6-B12 FOLIC2.5-25-2MG PO+ 0.73
5320815 ZARXIO(FILGRASTIM) 12.5 MG TAB 0
5320817 ZARXIO(FILGRASTIM) 25MG TAB 0
5321304 IBUPROFIN 0
5321337 INOCYAN GRN25MG + 318
5321386 INS HUM 50/50 DOSE + 11
5321397 INS ANALG LISP 75/25 3ML + 57
5321407 INS GLARGINE 10ML + 165
5321440 INS DETEMIR 10ML+ + 317
5321443 INS ANALG ASPR70/30 10M + 235
5321446 INS ANALOG ASPAR 10ML 235
5321450 INS HUM REG 10ML + 110
5321451 INS HUM REG DOSE + 11
5321453 INS ANALOG LISPRO 10ML + 57
5321456 INS HUM 70/30 10ML + 14
5321457 INS HUM 70/30 DOSE + 11
5321461 INS HUM NPH 10ML + 110
5321520 IRON ASPGL & PS CM-VIT C-CA-SA 150-50-50 0
5321660 LEUCOVORIN CAL 350MG 0
5322388 METRONIDAZOLE 500MG PMX 107
5322865 NICARDIPINE 30mg 0
5323175 PENICILLIN V POTASSIUM 250MG TAB 0
5323243 PHENOBARB-HYOSCY-ATROP 16.2-0.0194MG TAB 0
5323420 IMBRUVICA 420MG TAB (ORAL) 0
5323492 POLYMYX B-TRIMETH 10000U-ML 0.1% OPHTH 0
5323555 POTASSIUM PHOSPHATE,MONOBASIC 500MG PO+ 0.15
5323800 PROPAFENONE 225MG CAP 0
5324433 TERIPARITIDE 20MCG/DOSE-600MCG/2.4ML 0
5324620 THEOPHYLLINE 24hr RELEASE 100mg CAP 0
5324830 URSODIOL 250MG TAB 0
5325304 ZIPRASIDONE HCL 20MG 16.22
5327019 ACETAMINOPHEN-C 30MG + 14
5327021 ACETAMINOPHEN 325mg SUPPOSITORY 0
5327022 ACETAMINOPHEN 80mg SUPPOSITORY 0
5327025 ACETAMINOPHEN-C-PYRILAMINE 500/60/15 MG+ 0
5327397 CODEINE-BUTA-ASPI-CAFF30-50-325-40MG PO+ 1.4
5327432 DRONABINOL 10 MG PO+ 22.52
5327515 FENTANYL 12mcg/hr 0
5327530 FENTORA 600MCG TAB 0
5327578 HYDROCODONE/ACETA 5MG + 0
5327587 HYDROMORPHONE 2MG TAB + 15
5327593 HYDROMORPHONE 4MG TAB + 15
5327675 LACOSAMIDE(VIMPAT0200MG PO+ 7.74
5327677 LACOSAMIDE 50MG TAB 0
5327699 METHYLPHENIDATE 10MG + 18
5327782 MORPHINE SUL CR TAB 30MG + 20
5327847 OXYCODONE/ACET 5/325 + 4
5327855 OXYCODONE 5MG + 14
5327858 OXYCODONE CONTR REL 20MG + 20
5327935 PHENOBARB 30MG + 11
5327939 PHENOBARB 60MG + 14
5328720 OXYCODONE IR 15 MG TABLET 0
5330114 ALBUTEROL 90MCG 17GM + 19
5330116 ALBUTEROL .0839% 3ML + 14.32
5330242 ARTIFICIAL TEARS 15ML + 8
5330244 ARTIFICIA TEAR OINTMENT 0
5330282 ATROPINE 1% 5ML OS + 11
5330284 THIOTHIXENE 10 MG CAP 0
5330289 DOLUTEGRAVIR 50MG TABLET 0
5330292 ROFLUMILASGT 500MCG TABLET 0
5330294 MESALAMINE 800MG TABLET EA 0
5330351 BACITRACIN 3.5GM OO + 27
5330382 BECLOMETHASONE DIPRIONATE (QVAR) 40 MCG 86.99
5330384 BECLOMETHASONE DIPRIONATE 80 MCG INH 0
5330419 BIMATOPROST .03% 2.5ML + 186
5330423 BRIMONIDINE 0.1% 5ML 0
5330426 BRIMONIDINE-TIMOLOL 0.2-0.5% OPHT 5ML 83.35
5330443 BRINZOLAMIDE 1% 10ML + 80
5330448 BUDESONIDE INH .5MG/2ML + 18
5330459 BUDESONIDE FORMTEROL 80-4.5 MCG INHAL + 0
5330492 CARBAMIDE PEROX 15ML + 48
5330543 CIPROF/DEX 7.5 ML + 328
5330722 DEXAMETH/NEO/POLY 5ML OS + 29
5330763 DISOPYRAMIDE 150 MG 0
5330770 DISOPYRAMIDE PHOSPHATE 0
5330780 DORNASE ALFA (PULMOZYME)1MG/ML INH+ 75.95
5330786 DORZOLAMIDE 2% 10ML OS + 217
5330787 DORZOLAMIDE/TIMOLOL 5ML + 181
5330947 FLUNISOLIDE .025% 25ML + 156
5330979 FLUTICASONE (FLOVENT hfa) 44MCG INH+ 109.88
5330995 FLUTICASONE .05%16GM + 217
5330996 FLUTICASONE .05% 15gm 217
5330999 FLUTICASONE 220MCG 12GM 0
5331020 GATIFLOXACIN (ZYMAR)0.30% OPTH SOLN+ 83.75
5331038 GENTAMICIN .3% 5ML OS + 23
5331233 IPRATROPIUM BROMIDE ATROVENT 17MCG/ACTUA 155.56
5331235 IPRATROP/ALBUT INH14.7GM + 131
5331353 KETOROLAC 0.5% 3ML 16
5331380 LEVABUTEROL TARTRATE 45MCG/ACTUATION 0
5331415 LOTEPREDNOL ETABONATE 0.50%OPHT SOL+ 73.12
5331479 METHYLCELLULOSE + 83
5331491 MOXIFLOXACIN .5% 3ML OS + 0
5331494 MOMETASONE (ASMANEX TWISTHALER)22MCG 136.73
5331500 NAPHAZOLINE .1% 15ML + 20
5331584 NEO/POLY/BAC/HCORTIS3.5G + 28
5331586 NEO-POLY HC 7.5 ML OPHT SOLN = 91.2
5331588 NEOMYCIN-POLYMYX-HC 3.5-1MG 10ML 0
5331607 NEO-POLY DEX 3.5 GM OPHT OINT+ 19.86
5331645 OLOPATADINE (PATANOL)0.10% OPTH SOL+ 116.52
5331686 OXYMETAZOLINE0.05% 30ML 3.99
5331688 OXYBUTYNIN-3.9MG/24 HR 0
5331787 PHENYLEPHRN .25% 15ML DR + 15
5331912 PILOCARPINE 1% 1ML OS + 33
5331948 PILOCARPINE 4% 15ML OS + 6
5332130 POLYVINYL ALCOH 15ML + 29
5332193 PREDNISOLONE 1% 5ML + 0
5332225 PROPYLHEXEDRINE 0.5MG 3.89
5332250 PEG 400 PROPYLENE GLYCOL 0.4% OPHT SOL+ 8.99
5332260 RACIPINEPHIRNE 2.25% 0
5332277 SALIVA SUBSTITUTE 0
5332473 SULFACETAMIDE 10% 3.5GM + 20
5332564 TEA-PPO-CL-BUTA 8ML + 72
5332665 TETRAHYCROZOLINE .05% 30ML 0
5332697 TIMOLOL .25% 5ML + 18
5332713 TIOTROPIUM 18MCG EACH + 20
5332726 TOBRAMYCIN OS 0.3% 5ML + 42
5332731 TOBRAMYCIN/DEXAMETH3.5GM + 151
5333000 PILOCARPINE 5MG TAB 0
5334037 ACYCLOVIR 5% 15GM + 151
5334291 BACITRACIN 15GM + 6
5334294 BACITRACIN OINT UD PKT + 18
5334433 BENZOCAINE MENTHOL DERMPPLAST 20-.05% 0
5334435 BENZOCAINE PECTIN 15-5 MG 0
5334448 BENZOYL PEROXIDE 4% 42.5GM 0
5334530 BETAMETHASONE .1% 15GM C + 11
5334659 CALAMINE 120ML + 9
5334662 CALADRYL 8% 177mL 0
5334663 CALADRYL CLEAR 1% 177mL 0
5334666 CALCIPOTRIENE 0.005% 60gm + 199
5334733 CAMPH-EUCA-MEN-TURP-PET TOP/105 GM 4.97
5334740 CIPROFLOXACIN HYDROCORTIS 0.2-1% 10ML 0
5334750 CROMOLYN-4% 10ML 0
5334755 CYCLOSPORINE 0.05% OPTH 0
5334770 CHLORHEXIDINE ORAL 1PINT + 87
5334868 CLOBETASOL .05% 15GM + 33
5334869 CLOBAZAM 10 MG 0
5334874 CLOTRIMAZOLE 1% 30GM + 100
5334884 CLOTRIMAZOLE 1% 45GM VAG + 102
5334886 CLOTRIMZOLE 2% 0
5334893 CLOTRIMZOL/BETAMETH 15GM + 96
5334895 CLOZAPINE 100 MG 0
5334897 CLONIDINE HCL 0.1MG TTS + 56
5334899 CLONIDINE HCL 0.2MG TTS + 77
5334901 CLONIDINE HCL 0.3MG TTS + 83
5334936 ZINC OXIDE 40% 28GM 0
5335210 DICLOFENA(EPOLAMINE)1.30% 0
5335212 DICLOFENA(VOLTAREN)1% GEL TOP+ 31.52
5335320 Emollient Combination No.10 45gm 0
5335325 EMPAGLIFOZIN 10MG 0
5335353 ESTRADIOL(ESTRACE)0.01%0.1MG/G 42.5 GM 134.41
5335355 HEMORRHOIDAL OINTMENT 14-17.9%-0.25% 0
5335435 FLUOCINOLONE ACETON OIL0.01%20ML 35
5335436 FLUOCINOLONE 0.025% OINT 15 gm 0
5335498 FLUOCINONIDE .05% 15GM + 100
5335527 FLUOCINONIDE 0.05%TOP+ 26.18
5335550 FLUOROMETHOLONE 0.1% 5ML 0
5335565 FLUOROURACIL 2% 10mL 0
5335729 GENTAMICIN 0.1% 15GM UNG + 29
5335777 GLYCERIN 0
5335910 HYDROCORTISONE -ACET ACID1-2% OTIC DROP+ 251.14
5335915 HYDROCORTISONE PRAMOXINE2.5-1% CREAM+ 62.26
5336294 LANOLIN TENDER CARE DISP SIZE 2 0
5336380 PARAB-CETY&STEA ALC-PRO 473ML TOP+ 9.72
5336474 CAMPH-METHYL-SALICYMENTHOL4-30-10% 113GM 2.26
5336475 METHYL SALICYLATE MENTHOL 3oz 85gm 0
5336687 NAFTIN CRM 1% 30GM + 183
5336767 NEOMYCIN-POLYMYX-DEXAMET3.5-0.1MG 3.5GM 0
5336769 NEOMYCIN-POLYMYX-DEXAMETH3.5-0.1MG 5ML 0
5336776 NEOMYE/POLYMY/BACI 15G + 11
5336811 NICOTINE TRANSDERML 14MG + 42
5336812 NICOTINE TRANSDERML 21MG + 42
5336837 NITROGLYCERIN 0.3MG/HR + 11
5336869 NITROGLYCERIN 0.4MG/DOSE 4.9 GM 0
5336919 NYSTATIN TOP POWD 15GM + 77
5336924 NYSTATIN TOP 100,000-0.1 UNIT/G-% 34
5336996 PERMETHRIN 1% 60ML + 84
5336998 PERMETHRIN 5% 60GM + 83
5337013 PETROLATUM ZB IX DUNETG VIT E 71.5% 71GM 0
5337020 WHITE PETROLATUM-MINERAL OIL 120 GM 0
5337022 WHITE PETROLATUM 28.35 GM 0
5337122 POVIDONE-IODINE SOLN 10%/118 ML 25
5337124 POVIDONE IODIN SOLN 10%/240ML 39
5337142 PRAMOXINE-ZINC ACETATE1-0.1% 177ML 0
5337240 SELENIUM 200mcg 0
5337253 SCOPOLAMINE PATCH + 29
5337271 SILVER NITRATE APPL-75-25% 100 EA 4
5337302 GREEN SOAP 0
5337399 NYSTATIN TRIAMCINOLONE 15 GM TOP+ 6.87
5337490 TOLNAFTATE 1% 133GM TOP+ 5.52
5337495 TOLNAFTATE 1% 10ML 0
5337595 TRIAMCIN .5% 15GM CRM + 141
5338016 ACETAMINOPHEN 120 mg + 0
5338162 BISACODYL 10MG + 14
5338367 ETHYL CL 100% 103.5ML 0
5338409 GLYCERIN, ADULT + 0
5338413 GLYCERIN, INFANT + 4
5338493 HYDROCORTISONE 25MG SUPP + 20
5338497 INDOMETHACIN 50MG SUPP + 15
5338512 MESALAMINE(CANASA) 1000MG SUPP+ 15.47
5338534 MINERAL OIL ENEMA + 15
5338590 PRAMOXINE-MINERAL OIL-ZINC (Prep H) 0
5338622 POSACONAZOLE 200 MG/5ML SUSPENSION 0
5338625 PROGESTERONE MICRONIZED 200 mg 0
5338626 PROGESTERONE MICRONIZED 100 mg 0
5338634 PROMETHAZINE 12.5MG SUPP + 16
5338638 PROMETHAZINE 25MG SUPP + 18
5339755 ISONIAZIDE 100MG 0
5339960 STOMAHERSIVE PASTE 0
5370012 N-ACETAZOLAMIDE 5 MG/ML SOLN 0
5370024 N-ACYCLOVIR 5 mg/mL INJ 0
5370060 N-ASPIRIN 81 mg/mL ORAL 0
5370072 N-ASPIRIN 81 mg/mL RECTAL 0
5370120 N-CAPTORIL 0.75 mg/ml SOLN 0
5370288 N-ENALAPRIL 1 mg/ml SUSP 0
5370324 N-FLUCYTOSINE 50 MG/ML SUSP 0
5370386 N-HYDROCORTISONE ORAL SUSP 1MG/ML 20 ML 0
5370420 N-LANSOPRAZOLE 3 MG/ML SUSP 0
5370432 N-LEVOTHYROXINE 25 MCG/ML SOLN 0
5370480 N-NEVIRAPINE 10 MG/ML SOLN 0
5370528 N-PHYTONADIONE 50 MCG/ML SUSP 0
5370588 N-SILDENAFIL 2.5 mg/ml SUSP 0
5370600 N-SPIRINOLACTONE 1 MG/ML SUSP 0
5370624 N-URSODIOL 10 mg/ml SUSP 0
5370700 JARDIANCE 25MG TAB 0
5370720 METHADONE CONC. 10 MG/ML 0
5370744 RIFAXIMIN 550MG TAB 0
5370756 TOLTERODINE 2MG LONG ACTING 0
5410013 AMINO ACID (LYTES-GLYCERIN) 3% 0
5417650 K-PHOS NEUTRAL 250MG TABLET 0
5417685 CHERRY 0
5417690 COLESTIPOL 1gm 0
5417700 LOTREL 5/40 5-40mg 0
5417740 PODOPHYLLUM RESIN 25% 15ML 0
5417760 RILPIVIRINE 25mg 0
5417780 SURFACTANTS 480mL 0
5417810 TAZAROTENE 0.10% 30gm 0
5417820 TOLVAPTAN 15mg 0
5417832 OSELTAMIVIR 30MG CAP 0
5417833 ATAZANIVIR-COBICISTAT 300MG/150MG TAB 0
5417834 CEFUROXIME ACETIL 500MG TAB 0
5417837 ENTRESTO 24MG-26MG TAB 0
5417838 ENTRESTO 97MG-103MG TAB 0
5417840 IVABRADINE 5MG TAB 0
5417841 IVABRADINE 7.5MG TAB 0
5417842 GENVOYA 150MG-150MG-200MG-10MG TAB 0
5417843 DESCOVY 200MG/25MG TABLET 0
5417844 DIVALPROX ER 200MG TABLET 0
6303410 ZANAMIVIR 5mg/ACTUATION DISKHALER 0
6303420 ALOGLIPTIN (NESINA) 6.25 MG TAB 0
3100701 RECOVERY ROOM CSECT-GEN 1ST HR 985
3100705 RECOV CSECT GEN EA ADDNL 1/2 HR 310
3100708 RECOV CSECT REG 1ST HR 950
3100710 RECOV CSECT REG ADDTL 1/2 HR 475
3100713 RECOV POST-VAG 1ST HR 595
3100715 RECOV POST-VAG EA ADDNL 1/2HR 240
3100717 EXTENDED RR INITAL 1 HR 250
3100719 EXTENDED RR ADDTL 1/2 HR 125
3220002 RECOVERY RM 1/2 HOUR 1,789.00
3220003 PACU EACH ADD MIN 29
3220004 RECOVERY RM 1 HOUR 3,579.00
3500613 PACU 1/2 HR 1,037.00
3500615 PACU EA ADD MIN 18
6240247 POST RR SVC/HR * 65
6240248 POST RR OBS/HR * 63
3100029 AMNIOCENTESIS 600
3100615 SURG MIN EA ADD MIN 45
3102010 TOCOLYSIS 272
3102110 MAGNESIUM SULFATE 600
3109750 DEL /PLACENTA/NON DEL BOA 4,175.00
3100221 LABOR 1ST HOUR 292.5
3100230 LABOR EA 1/2 HOUR 146
3101200 LD TRIAGE/MSE 314
4603005 EKG TRACE ONLY (FAA) 547
6734832 EKG TRACE ONLY 547
6800024 EKG TRACE ONLY 547
4603274 EKG MNTR 24HRS 509
4603276 EKG MNTR SCAN W REPORT 1,349.00
6734830 EKG MNTR 24 HRS 509
6800022 EKG MNTR 24 HRS 509
4805817 EEG AWAKE/DROWSY 813
4805818 EEG AWAKE/SLEEP 1,004.00
5070080 MINOR GI LAB 1/2HR 2,631.00
5070084 MINOR GI LAB ADDL MIN 88
5071066 ESOPHAGUS-BERNSTEIN TEST 750
3100612 C SECTION SURGERY LVL ADDTNL 1/2HR 449
3109503 DELIV C-SECT ADD MIN 40
3100337 IM/SQ INJECTION ONLY 60
3101197 OB VISIT LVL III 275
3101199 OB VISIT LVL 1 185
3101202 OB VISIT LVL II 220
3101204 OB VISIT LVL IV 385
3101205 OB VISIT LVL 5 505
3109744 BLOOD PATCH 965
4305106 BONE MARROW ASPIRATE & BIOPSY 30
4613010 PERICARDIOCENTESIS,INTL 2,297.00
4615651 CERVICOCEREBRL CATH COM 18,437.00
4615661 EX CAROTID/CERVICAL UNI 18,437.00
4615663 ANGIO CAROTID CERV BI 18,437.00
4615669 ANGIO CAR0TID CERVICOCEREBRAL UN 11,357.00
4615723 RENAL UNI SELCT W/FLUSH 11,357.00
4615725 RENAL BI SELECT W/FLUSH 11,357.00
4619180 BIOPSY ABD/RPERITO,PERC 473
4706000 INSERT HEART PM ATRIAL 29,243.97
4706005 INSERT HEART PM VENTRICULAR 29,243.97
4706010 INSRT HEART PM ATRIAL & VENT 29,243.97
4706015 INSERT ELECTRD/PM CATH SNGL 22,122.97
4706020 INSERT CARD ELECTRODES DUAL 22,122.97
4706025 INSERT PULSE GEN SNGL LEAD 22,122.97
4706030 INSERT PULSE GEN DUAL LEADS 29,243.97
4706035 UPGRADE OF PACEMAKER SYSTEM 29,243.97
4706040 INSERT 1 ELECTRODE PM-DEFIB 22,122.97
4706045 INSERT 2 ELECTRODE PM-DEFIB 22,122.97
4706050 INSERT PULSE GEN MULT LEADS 52,756.62
4706055 INSERT PACING LEAD & CONNECT 29,243.97
4706060 REMOVE&REPLACE PM GEN SINGL 36,854.95
4706065 REMV&REPLC PM GEN DUAL LEAD 48,739.95
4706070 EMV&REPLC PM GEN MULT LEADS 87,927.70
4706075 INSRT PULSE GEN W/DUAL LEADS 66,331.56
4706080 INSRT PULSE GEN W/MULT LEADS 92,886.39
4706085 INSRT PULSE GEN W/SINGL LEAD 66,331.56
4706090 INSJ/RPLCMT DEFIB W/LEAD(S) 92,886.39
4706095 REMOVAL OF PM GENERATOR 36,854.95
4706100 REMOVAL OF PACEMAKER SYSTEM 14,339.75
4706105 REMOVAL PACEMAKER ELECTRODE 14,339.75
4706110 REMOVE PULSE GENERATOR 14,339.75
4706115 REMOVE ELCTRD TRANSVENOUSLY 14,339.75
4706120 REPOSITION PACING-DEFIB LEAD 12,463.70
4706125 REPAIR LEAD PACE-DEFIB ONE 14,339.75
4706130 REPAIR LEAD PACE-DEFIB DUAL 14,339.75
4706135 RELOCATION POCKET PACEMAKER 7,842.15
4706140 RELOCATE POCKET FOR DEFIB 7,842.15
4706145 REPOSITION L VENTRIC LEAD 12,463.70
4906099 BREAST BIOPSY LOCAL 1,052.00
4907490 ASPIR BREAST CYST 774
4907491 BX BRST NDL UNGUIDED 199
4907492 BX BRS NEED GUI 348
4907493 BREAST NEEDLE BB INCISN 675
4907801 PLC BRS CLP PERC 405
4908903 BRST PREOP PL NDL ADD LS 90
4910161 ATHERCT TIBIOP 1,964.00
4910412 FINE NEEDLE ASPIRATION 381
4910417 BRST BX PERC W/IMAGE 720
4910423 NEEDLE BX MUSCLE 720
4910424 BONE BX TROCAR/NDL 1,254.00
4910425 INJ SINUS TRCT 417
4910447 NDL BX CHST LINING 1,131.00
4910448 BX LUNG/MEDIASTINUM 3,667.00
4910452 INJ EXT VENOGRAPHY 381
4910462 PLCE GASTRST TUBE 4,533.00
4910464 CHNG GASTRST TUBE 432
4910465 REPOSTIN GASTRST TUBE 432
4910472 INJ FOR LIVER X-RAYS 381
4910474 INSRT CATH BILE DUCT 3,735.00
4910476 CHNG BILE DUT CATH 2,148.00
4910477 REVIE/REINSERT BILE TUBE 2,148.00
4910478 PERC BILLIARY BX 2,148.00
4910481 PLCE BILE DCT SPPRT 3,735.00
4910483 DRN PANCR PSUDOCYST 1,893.00
4910484 DRN ABD ABSCESS 1,893.00
4910485 DRN PERC ABD ABSC 1,893.00
4910486 DRN PRC RTRO PERIT ABSC 1,893.00
4910492 ASSES CYST CONTRST INJ 381
4910493 RNL ABSC PERC DRN 1,893.00
4910498 DRN KIDNEY LESN 1,131.00
4910500 INSRT URETRL TUBE 3,543.00
4910503 CHNG KIDNEY TUBE 1,377.00
4910506 INJ BLDDR X-RAY 381
4910507 INJ BLDDR X-RAY 381
4910511 CTH FOR HYSTRGRPHY 2,736.00
4910516 DRN CRBRL SPNL FLUID 387
4910518 INJ SPINE CT 1,170.00
4910527 BONE BX THROCAR/NDL 502
4910528 THORACTS NDL ONLY 666
4910529 THORACTS THERAP W/TBE 666
4911926 BX NECK 3,150.00
4913526 PER G-TBE RPLCE 636
4913527 G-TBE CNVRT TO J 1,713.00
4913528 G-TBE RPLCE 909
4913529 J-TBE RPLCE 909
4913530 G-J TB RPLCE 909
4913531 G-J TBE RMVEL 909
4913532 INJ G-J TBS 305
4914427 REMOVAL OF NEPHROSTOMY TUBE 1,957.78
4914478 PELVIC/HIP AREA SUPERFICIAL BIOPSY 3,336.63
4914486 DILATION NEPHRO/URETER 1,474.00
4915493 ATHERCT FEM/POP 1,964.00
4915494 ATHERCT BRACHCP 1,964.00
4916005 INJECT VENOGRPHY EXTRMTY 636
4916580 REPLCE NON-TUNNL CV CAT 1,020.00
4916581 REPLACE TUNNELED CV CAT 1,365.00
4916584 RPLC CVAD W/O PUMP 1,020.00
4916585 REPLC COMP CVAD W SQ PR 1,020.00
4916589 REMV TUNL CVC WO PMP/PRT 1,020.00
4916590 RMV TUNLD CVAD W SQ POR 1,020.00
4917553 PRC BLIARY BPSY 6,027.00
4917745 INJECT WRIST XRAY 277
4917755 INSERT BILE DUCT DRAIN 2,152.00
4917775 INSERT URETERAL TUBE 799
4917782 INTRO LONG GI TUBE 1,017.00
4917825 PLACE CATH ART ABD 3RD 636
4917865 PLACE CATH EXTRM ARTERY 636
4917885 PLACE CATH VEIN 1ST ORD 636
4917890 PLACE CATH VEIN 2ND ORD 636
4917970 REPAIR BLOCKG PERC TIBIO 1,964.00
4917995 TRANSCATH THRPY ANY TYPE 676
4918007 TRANSCATH RTRVL PERC FB 1,026.00
4919011 LUMBAR RHIZOTOMY LEVEL 1 4,406.40
4919012 LUMBAR RHIZOTOMY LEVEL1 4,406.40
4919023 LUMBAR RHIZOTOMY, EA ADDTNL LEVEL 2,613.35
4919024 LUMBAR RHIZOTOMY, EA ADDTNL LEVEL 2,613.35
5057502 BIOPSY ABDOMINAL MASS 473
5057503 BIOPSY BONE DEEP 473
5057504 BIOPSY BONE SUPERFICIAL 473
5057505 BIOPSY CHEST LINING NDL 473
5057510 BIOPSY LUNG OR MEDISTNM 473
5057511 BIOPSY MUSCLE PERC 473
5057512 BIOPSY PANCREAS PERC 473
5057514 BIOPSY RENAL PERC 473
5057516 BIOPSY LYMPH NODE 473
5057577 TUBE INSERTN CHST,ABD 473
5057582 DRAIN PERCUT ABSCESS 473
5057583 PERC DRAIN LIVER ABSCESS 473
5057590 DRAIN RENAL ABSCESS PERC 473
5057798 PERITONECENTESIS INIT 473
5057799 PERITONECENTESIS SUBSQ 473
5058215 BX LIVER, PERC NDL 473
5059041 DRN SUBDIAPHRG ABSC PERC 473
5059061 DRN RETROPERIT ABSC PERC 473
5061125 PARACENTESIS ABD INIT 473
5066660 BRST PREOP PL NDL 1ST LS 473
5067510 BX LUNG/MEDIASTN PERC ND 473
5067520 BX LIVER, PERC NDL 473
5067525 BX PANCREAS, PERC NDL 473
5067530 BX ABD/RETROPER PERC NDL 473
5067535 BX RENAL PERC NDL 473
5067540 BX PROSTATE,NDL 473
5067545 BX THYROID,PERC NDL 473
5067582 DRN PERCUT ABSCESS 473
5069063 IMAGE GUIDED FLUID COLL DRAIN INC GUIDAN 438.7
5069065 BIOPSY BREAST PLACMT LOC DEVICE 438.7
5069071 BREAST BX-LOC DEVICE W/ MRI GUIDANCE 438.7
5069073 PLACEMNT BREAST LOC DEVICE W/ MAMMO GUID 438.7
5069075 PLCMT BRST LOC DEV 1ST LESION INC STEREO 269.95
5069077 PLACE BRST LOC DEV EA ADD INC STEREO GUI 269.95
5069079 PLCT LOCZTION DEV 1ST LESION INC ULTRASD 269.95
5069081 PLCMT LOC DEV W/ US GUIDE EA ADD 269.95
5069083 PLCMT BREAST LOC UNDER MRI GUIDE 269.95
5069085 PLCMT BREAST LOC/MRI GUIDE EA ADD 269.95
5501000 BRONCHOSCOPY DIAGNOSTIC 7,721.65
5501005 BRUSHING/PROTECT BRUSH 7,721.65
5501010 BRONCHIAL ALVEOLAR LAVAGE 7,721.65
5600984 SPEC PROC/TX ROOM 1,349.00
5606001 SURG PROC MINOR 1,514.00
6109042 ATT E/N/E/L/D 10.1-30 SQCM 1,425.00
6109048 INCISION OF EYELID FOLD 8,505.00
6570818 NUTR EDUC N/C 0
6734005 E&M LVL 1 185
6734013 E& M LVL II 220
6734017 E& M LVL III 275
6734019 E&M LVL III 294
6734020 E&M LVL IV 385
6734800 E&M-NEW PATIENT LVL1 185
6734802 E&M-EST.PATIENT LVLI 185
6734806 E&M-EST.PATIENT LVLII 220
6734808 E&M-EST PATIENT LVLIII 275
6734810 E&M-EST.PATIENT LVL IV 300
6734812 E&M-EST PATIENT LVLV 320
6734814 E&M New Patient Level 1 148
6734816 E&M New Patient Level 2 221
6734818 E&M New Patient Level 3 278
6734820 E&M New Patient Level 4 298
6734822 E&M New Patient Level 5 322
6734850 REMOVAL OF SKIN TAG UP TO 15 LESIONS 125
6734852 REMVL SKIN TAG BYND INIT 15 EA ADD 10 105
6734855 EXC’N OF TENDON SHEATH LESSION 2,265.00
6734860 EXC’N TUMOR/VASC MALFORMT’N HND,FNGR 2,845.00
6734861 EXC’N TUMOR/VASC MALFORMT’N HND,FNGR 2,845.00
6734863 EXC’N BENIGN SKIN LESION,TOT DIAM 1-2 CM 930
6734865 REMV TUNL CVC WO PMP/PRT 1,020.00
6734868 REMV TUNL CVC WITH PMP/PRT 1,020.00
6734870 DIAGNOSTIC ANOSCOPY 463.59
6734872 EXC MALIG LESN SCALP,NECK,HANDS,FEET,GEN 2,908.53
6734874 PUNCTR ASP ABSCESS, HEMATOM,BULLA CYST 569.91
6737175 EXCISION, TUMOR,SOFT TISSUE OF BACK 3,295.00
6737220 EXCISION TUMOR, LEG 1,612.70
6737225 EXC TUM, SFT TISS THIGH/KNEE DEP 5CM/> 1,612.70
6737244 FINE NEEDLE ASPIRATION 175.7
6737246 I & D OF ABSCESS 194.72
6737248 I & R OF FOREIGN BODY 340.4
6737250 I & D OF COMPLEX ABSCESS 1,966.60
6737252 EXCISION 0.6-1.0 CM-11401 455.12
6737254 EXCISION 0.6-1.0 CM-11421 993.75
6737256 EXCISION 0.6-1.0 CM-11441 455.12
6737258 EXCISION OF NAIL & NAIL MATRIX 455.12
6737260 EXCISION OF PILONDIAL CYST 2,193.26
6737262 REPAIR SIMPLE-12001 100.67
6737264 EPAIR SIMPLE 12011 100.67
6737266 REPAIR INTERMEDIATE 264.41
6737268 DESTRUCTION OF LESION 100.67
6737270 EXCISION BREAST MASS 2,606.03
6737272 ASPRIATION OF GANGLION CYST 253.92
6737274 EXCISION TUMOR. FACE <2 CM 993.75
6737276 EXCISION TUMOR, NECK/THORAX <3 CM 1,612.70
6737278 EXCISION TUMOR, BACK 1,612.70
6737280 EXCISION TUMOR, SHOULDER 1,612.70
6737282 EXCISION TUMOR, ARM 1,612.70
6737284 EXCISION TUMOR, LEG 1,612.70
6737286 EXCISION TUMOR, PELVIS/HIPS 1,612.70
6737288 I &D PERIANAL ABSCESS-36590 1,014.09
6737290 I & D PERIANAL ABSCESS-46050 532.01
6737292 HEMORRHOID BAND 532.01
6737294 HEMORRHOID SIMPLE 2,334.07
6737298 ANAL FISTULECTOMY 2,334.07
6737300 EXCISION THROMBOSED HEMORRHOID 1,749.46
6737302 CIRCUMCISION 2,178.68
6737304 VASECTOMY 2,178.68
6737306 POST OP 90 DAYS 0
6737310 DEST,MALIG LES TRUNK,ARMS,LEGS 0.6-1.0CM 176.55
6737312 DEST,MAL LES,SCALP,NECK,HNDS. FT, GENTAL 176.55
6737315 EXC BENGN LES EX SKINTAG,TRUNK,ARMS LEGS 1,939.00
6737318 EXC BENIGN LES EXC SKIN TAG,SCALP,NECK H 3,933.43
6737320 EXC MUTI EXT PAPILLAE OR TAGS, ANUS 4,266.96
6737322 EXC OTHR BEGN LES INC MARGNS EXC SKIN 2,423.78
6737325 INC REM FOREIGN BODY SUBCUT TIS COMPLCTD 4,720.11
6737328 EXC BNG LES INC MARGIN EXCPT SKIN TAG 4,720.11
6737330 SURG TRMT ANAL FISTULA INTERSPHINCTERIC 5,465.13
6737334 EXC BGN LSN EXC SKTAG TRK, ARMS DIA >4.0 4,720.11
6737339 EXC MAL LES INCSCALP NECK HNDS DIA 3.1-4 2,045.37
6737343 EXC TUM SOFT SUBCUT LEG OR ANK <3CM 2,045.37
6737348 EXC TUM SOF TIS ABD INTRAMUSCL <5CM 2,781.70
6737350 BIOPSY BREAST PREC NDLE NO IMAGE GUIDE 571.61
6737352 DESTR, PREMALIGNANT LESIONS 1ST LESION 428.53
6737354 DESTR,PREMALIGNANT LESIONS 2ND-14 LES EA 428.53
6737356 EXC, TUMOR,SOFT TIS THIGH-KNEE AREA SUBC 2,139.77
6737358 EXC RECTUM TRANSANAL PART 6,867.78
6737359 INCISION OF THROMBED HEMORRHOID EXTERNAL 609.88
6737360 INCISION & DRAIN OF ABSCESS, COMP OR MUL 673.8
6737362 EXC BACK LES SC 3 CM/> 4,174.68
6737364 DESTRUCTION PENIS LESION 347.8
6737365 EXC FACE-MM B9+MARG 1.1-2 CM 2,780.53
6737367 EXC FACE-MM B9+MARG 3.1-4.0 CM 2,780.53
6737370 EXCISION SINGLE EXT PAPILLA OR TAG,ANUS 4,708.26
6737375 EXC TUMOR,SOFT TISS PELVIS &HIP AREA 3CM 4,007.67
6737377 INC DRAINGE ISCHIORECTAL/PERIRECTAL ABCS 4,708.26
6737378 PUNCT ASP HYDROCELE,TUNICA VAG WWO INJ M 1,702.50
6737380 EXCD BNGN LES INC MARG EXC SKINTAG 1.1-2 3,336.63
6737383 EXC,TUMOR,SOFT TIS FACE/SCALP SUBFAC>2CM 4,007.67
6737385 EXC TUMOR SOFTTIS PELVIS/HIP SUB>=3CM 4,007.67
6737387 EXC BEGN LES EXC SKIN TAG,SCALP, ETC <.5 3,336.63
6737389 EXC SFT TISS FOREARM-WRIST SUBC>=3CM 5,009.61
6737391 EXC TUMOR SOFT TIS PELVIS HIP<5CM 5,007.00
6737393 EXC SINGLE EXT PAPILLA OR TAG ANUS 5,885.31
6737395 INJ,INTRALESIONAL,UP TO & INC SEVEN LESN 417.36
6737397 Puncture aspiration of cyst in breast 381
6737398 RPR GENITALIA, TRUNK/OTR 2.6CM TO 7.5CM 616
6737399 HEMORRHOIDECTOMY, INTERNAL, BY LIGATION 11,000.00
6737400 REMOVAL OF FOREIGN BODY, FOOT; DEEP 6,180.00
6737401 EXCISION, B9 +MARG, EXC TRK 0.5CM,< 2,700.00
6737402 DEBRIDE, SUBC TISSUE, 1ST 20 SQ CM OR < 1,465.00
6740004 I&D ABSCESS, SIMPLE 202.74
6740006 EXCISION SKIN TAG(S) 1-15 202.74
6740008 EXCISION BENIGN LESION GENITALIA 0.5 CM 159.72
6740009 NEXPLANON REMOVAL/REINSERTION 396.01
6740010 INSERTION OF IMPLANON 126.05
6740012 IMPLANT REMOVAL 199.34
6740014 IMPLANT INSERTION 126.05
6740016 REMOVAL NON BIODEGRADABLE DRUG DELIV IMP 396.01
6740018 VENOUS BLOOD COLLECTION BY VENIPUNCTURE 20
6740020 I&D VULVAR ABSCESS 272.1
6740022 I&D BARTHOLIN ABSCESS 272.1
6740024 DESTRUCT VULVAR LESION,SIMPLE 96.07
6740026 DESTRUCT VULVAR LESION, EXT 367.86
6740028 BIOPSY, VULVAR, 1 LESION 176.34
6740030 VULVAR BIOPSY, EACH ADDITIONAL LESION 104.88
6740032 DESTRUCT VAG LESION, SIMPLE 176.34
6740034 BIOPSY, VAGINAL MUCOSA 293.37
6740036 DIAPHRAM FITTING 114
6740038 COLPOSCOPY 192.84
6740040 COLPOSCOPY W/BIOPSY(IES) 322.02
6740042 COLPO WITH BIOPSY OF CERVIX 322.02
6740044 ENDOSCOPY WITH ENDOCERVICAL CURETTAGE 322.02
6740046 BIOPSY OF CERVIX 121.62
6740048 BIOPSY, ENDOMETRIAL 192.84
6740050 BIOPSY, ENDROMETRIAL WITH COLPO 129.21
6740052 IUD INSERTION 100
6740054 IUD REMOVAL 100
6740056 ARTIFICIAL INSEMINATION, INTRA-UTERINE 192.84
6740058 DIAGNOSTIC HYSTEROSCOPY 2,100.00
6740060 HYSTEROSCOPY SURG REMOV IMPACTD FRGN BOD 547.23
6740062 ESSURE BILATERAL PLACEMENT 2,213.28
6740063 LAPARO-VAG HYST INCL T/O 2,453.98
6740066 FETAL NON STRESS TEST 192
6740068 GLOBAL ANTEPARTM VAG DEL & POSTPART CARE 3,268.68
6740070 ENDOCERVICAL CURETTAGE 800
6740094 INJECTIONS 69.84
6740096 NEW PATIENT, MINIMAL 136
6740098 NEW PATIENT, PROBLEM 178
6740100 NEW PATIENT, LOW COMPLEX 233
6740102 NEW PATIENT, MOD COMPLEX 309
6740104 NEW PATIENT COMPREHENSIVE 423
6740106 ESTABLISHED PATIENT, MINIMAL 123
6740108 ESTABLISHED PATIENT, PROBLEM 145
6740110 ESTABLISHED PATIENT, LOW COMPLEX 160
6740112 ESTABLISHED PATIENT, DETAILED 210
6740114 ESTABLISHED PATIENT, COMPREHENSIVE 278
6740116 OFFICE CONSULT,STRAIGHTFOWARD 141.6
6740118 OFFICE CONSULT, LOW COMPLEX 178.5
6740120 OFFICE CONSULT, MED COMPLEX 244.2
6740122 CONSULTATION, COMPLEX 306.6
6740124 NEW WELL WOMAN, 12-17 197.34
6740126 NEW WELL WOMAN, 18-39 197.34
6740128 NEW WELL WOMAN, 40-64 197.34
6740130 NEW WELL WOMAN, 65+ 197.34
6740132 ESTABLISH WELL WOMAN, 12-17 164.49
6740134 ESTABLISHED WELL WOMAN, 18-39 164.49
6740136 ESTABLISHED WELL WOMAN, 40-64 164.49
6740138 ESTABLISHED WELL WOMAN, 65+ 164.49
6740140 15 MINS COUNSELING FAM PACT 185
6740142 30 MINS COUNSELING FAM PACT 210.08
6740144 45 MINS COUNSELING FAM PACT 240
6740148 INITIAL OV<16 WKS 378.93
6740150 INDIVIDUAL ANTEPARTUM OV 181.44
6740152 POSTPARTUM OV 181.44
6740154 GLOBAL BILLING-OB 1
6740168 S9445 ONE TIME COUNSELING-FAMILY PACT 38.16
6740170 FOLLOW UP VISIT NOT BILLABLE* 0
6740180 HYSTEROSCOPY W/ BIOPSY 2,300.00
6800003 E&M NEW PATIENT LVL1 148
6800005 E&M NEW PATIENT LVL 2 221
6800007 E&M NEW PATIENT LVL 3 278
6800009 E&M NEW PATIENT LVL 4 298
6800010 E&M NEW PATIENT LVL 5 322
6800012 E&M EST PT LVL 1 185
6800014 E&M EST PT LVL 2 220
6800016 E&M EST PT LVL 3 275
6800018 E&M EST PT LVL 4 300
6800020 E&M EST PT LVL 5 320
8154180 SYS SHUNT VALVE HAKIM PROG W/ SIPHN GRD$ 12,240.00
3109525 OBSERV CHG/HRLY 71
6102202 ER OBSERVATION PER HR * 71
6240245 HOSP OBS/HR 71
6240263 DIR ADM OBS/HR 76
3100473 ADMIN OF VACC/INJECTION 150
6100100 VACCINE ADMIN INITIAL 150
6290008 FLU VAC ADM 60
6290009 PNEUM VAC ADM 60
6730009 PNEUMO VACC ADMIN 60
6734836 FLU VACC ADMIN 60
6734838 PNEUM VAC ADM 60
6734842 HEP A VACC ADM 60
6800032 FLU VACCINE ADM 60
6800034 PNEUMO VACC ADM 60
6800068 HEP A VACC ADM 60
3080015 LITHOTRIPSY LASER BILAT 5,261.00
3080020 LITHOTRIPSY LASER UNILAT 2,631.00
3080206 ESW BILATERAL 27,054.00
3080207 ESW UNILATERAL 13,527.00
3080209 ISW UNILATERAL 5,788.00
3080210 ISW BILATERAL 11,671.00
5600962 PERI DIAL ACUTE RNL FAIL 2,488.00
5600976 IP HEMODIALYSIS 2,150.00
5608910 DIALYSIS CANCELLATION * 707
5600257 UNSCHED DIAL ESRD PT 2,150.00
3100017 NON-STRESS TEST 450
3100020 FETAL CONTCT STRESS TEST/OXT 612
4705833 EMG MSCL BDY TST WO HND 166
4613990 DPLX SCN AV FIST 540
4630020 AORTA/ILIAC DUPLEX SCAN 857
4630030 AORTA/ILIAC DUPLEX LTD 540
4630036 ART/VEN FLOW PENILE COMP 857
4630038 ART/VEN FLOW PENILE LTD 857
4630040 ART INFLOW & VEN OUTFLW 857
4630080 ART STUDY SNGL LVL UE/LE 371
4630086 ART STUDY LE W/EXER 597
4630365 PREOP VESL MAP 857
4636000 VENOUS DUPLX IMAGE EXTR 857
4636010 DUPLEX UE ARTERY 857
4636015 CAROTID DUPLX IMAGING 857
4636026 CAROTID DOPPLER UNILAT 857
4636040 DUPLEX LE ARTERY 857
4636046 DUPLEX LE ARTERY LTD F/U 540
4636048 DUPLEX UE LTD F/U 535
4636070 DOPPLER VENOUS FLOW 597
4637006 ART EXT DOPPLER 597
4637012 EXTREMITY VEINS LTD/FU 540
4637014 SCAN HEMODIALYSIS ACCESS 540
4705860 EMG 1 EXTREMITY 665
4705861 EMG 2 EXTREMITY 1,191.00
4705863 EMG 3 EXTREMITY 1,296.00
4705864 EMG 4 EXTREMITY 1,886.00
4705870 EMG THOR PARASP 1 OR 12 315
4705872 EMG CRAN MUSC UNI 104
4705873 EMG CRANIAL BIL 315
4705874 EMG-ONE EXTREMITY+UP TO 4 NCV 1,186.00
4705875 EMG-ONE EXTREMITY +5 OR MORE NCV 1,630.00
4705892 IABP INSERTION 9,140.00
4705906 NCV ( 1 to 2 nerves) 190.76
4705908 NCV (3 to 4 nerves) 323.71
4705910 NCV (5 to 6 nerves) 323.71
4705912 NCV (7 to 8 nerves ) 323.71
4705913 NCV (9 to 10 nevers) 323.71
4705914 NCV (11 to 12 nerves) 323.71
4705916 NCV (13 or more) 323.71
4805871 VISUAL EVOKED POTENTIAL 1,035.00
4610784 INJ THER/PROPH/IVP 168
5905442 SP NEURO MUSC RE-ED 168
6045442 SP NEUROMUSC RE-ED 168
6055442 SP NEUROMUSC RE-ED 168
6570035 NUT CONSULT BASIC * 45
6570047 NUT CONSULT INTERMED * 83
6570054 NUT CONSULT EXTENDED * 164
6570112 DIET INSTRUCTION * 421.05
6293252 ART/CV LINE INSERT * 1,444.00
8011800 ONT BETADINE 11
8011805 ONT PROTECT – 75

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