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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