Billing and Financial Services
Charge Code | Charge Description | Charge Amount |
1110001 | ARSENIC QUANTITATIVE | 40 |
1234567 | TOBRAMYCIN SULFATE 40 MG/ML -30ML C | 0 |
2700051 | REHAB RM CHARGE | 0 |
3080015 | LITHOTRIPSY LASER BILAT | 5261 |
3080020 | LITHOTRIPSY LASER UNILAT | 2631 |
3080100 | INTEGRA MATRIX WND DRESS PER SQ CM | 402 |
3080200 | INJECT BULKING AGENT SYN IMPLANT PER ML | 4900 |
3080206 | ESW BILATERAL | 27054 |
3080207 | ESW UNILATERAL | 13527 |
3080209 | ISW UNILATERAL | 5788 |
3080210 | ISW BILATERAL | 11671 |
3100015 | IV INFUSION UP TO ONE HR (PICTOCIN) | 783 |
3100017 | NON-STRESS TEST | 631 |
3100020 | FETAL CONTCT STRESS TEST/OXT | 612 |
3100027 | US GUIDANCE AMNIOCENTESIS S/I | 600 |
3100029 | AMNIOCENTESIS | 653 |
3100030 | AMNIO INFUSION | 300 |
3100035 | TRANSFUSION BLD PROD_LD | 1262 |
3100221 | LABOR 1ST HOUR | 292.5 |
3100230 | LABOR EA 1/2 HOUR | 146 |
3100337 | IM/SQ INJECTION ONLY | 300 |
3100473 | ADMIN OF VACC/INJECTION | 150 |
3100500 | US OB LTD 1OR> FETUS | 1476 |
3100510 | POC FERN TEST | 20 |
3100515 | URINALYSIS DIPSTICK METH | 20 |
3100610 | CERCLAGE | 898 |
3100612 | C SECTION SURGERY LVL ADDTNL 1/2HR | 449 |
3100615 | SURG MIN EA ADD MIN | 45 |
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 |
3101197 | OB VISIT LVL III | 275 |
3101199 | OB VISIT LVL 1 | 185 |
3101200 | LD TRIAGE/MSE | 314 |
3101202 | OB VISIT LVL II | 220 |
3101204 | OB VISIT LVL IV | 385 |
3101205 | OB VISIT LVL 5 | 505 |
3102010 | TOCOLYSIS | 2729 |
3102110 | MAGNESIUM SULFATE | 600 |
3103205 | ANES GEN 1ST HR | 1211 |
3103208 | ANES GEN EA ADDTL 1/2 HR | 605 |
3103210 | ANES REGIONAL 1ST HR | 906 |
3103211 | ANES REGIONAL ADDDTL 1/2 HR | 339 |
3109503 | DELIV C-SECT ADD MIN | 40 |
3109525 | OBSERV CHG/HRLY | 155 |
3109725 | INIT HEARING SCREEN MCA | 150 |
3109726 | OP MEDI-CAL NB HEAR SCR | 150 |
3109727 | INIT INFANT HEARING SCREENING | 24 |
3109730 | IV INFUSION THE/DS EA ADDL HR | 402 |
3109732 | IV INFUSION TEHR/DX ADDL HR NEW DRUG | 402 |
3109734 | IV PUSH INITIAL 1ST HR-NEW DRUG | 353 |
3109736 | IV PUSH ADDL SEQ NEW DRUG | 333 |
3109738 | IV PUSH SAME DRUG EA ADDL/SEQ | 305 |
3109740 | IV INFUSION HYDRATE 1ST HR | 796 |
3109742 | IV INFUSE HYDRATE EA ADDL HR | 387 |
3109744 | BLOOD PATCH | 965 |
3109750 | DEL /PLACENTA/NON DEL BOA | 4175 |
3109755 | SECONDARY IV SET V1921 | 1.98 |
3109757 | FLOWTRON L501-M | 37.41 |
3109759 | SUTURES | 12.57 |
3210004 | SURGERY 1 HOUR MAJOR | 6623 |
3210005 | SURGERY MAJOR EA ADD MIN | 63 |
3210041 | SURGERY 1 HOUR MINOR | 6143 |
3210051 | SURGERY MINOR EA ADD MIN | 91 |
3210400 | SURG LASER PROC 1ST HR | 5809 |
3210402 | SURG LASER PROC ADD MIN | 96 |
3210460 | SURG LASER MNR 1ST HR | 5214 |
3210476 | SURG LASER MNR ADD MIN | 75 |
3212005 | OR LEVEL 1, 30 MINUTES | 4000 |
3212010 | OR LEVEL 1, EACH 15 MINUTES | 1365 |
3212015 | OR LEVEL 2, 30 MINUTES | 4784 |
3212020 | OR LEVEL 2, EACH 15 MINUTES | 920 |
3212025 | OR LEVEL 3, 30 MINUTES | 7000 |
3212030 | OR LEVEL 3, EACH 15 MINUTES | 2266 |
3212035 | OR LEVEL 4, 30 MINUTES | 9000 |
3212040 | OR LEVEL 4, EACH 15 MINUTES | 2987 |
3212045 | OR LEVEL 5, 30 MINUTES | 10387 |
3212050 | OR LEVEL 5, EACH 15 MINUTES | 3579 |
3212055 | OR LEVEL 6, 30 MINUTES | 13000 |
3212060 | OR LEVEL 6, EACH 15 MINUTES | 3896 |
3220002 | RECOVERY RM 1/2 HOUR | 1789 |
3220003 | PACU EACH ADD MIN | 29 |
3220004 | RECOVERY RM 1 HOUR | 3579 |
3500260 | MINOR PROCEDURE | 1349 |
3500613 | PACU 1/2 HR | 1037 |
3500615 | PACU EA ADD MIN | 18 |
3500626 | IVPUSH NON CHEMO DRUG | 353 |
3501329 | CHEMO INF IM/SQ | 1206 |
3502064 | IV THRPY UP TO 1 HR | 783 |
3502065 | IV THRPY EA ADD HR | 402 |
3503110 | TRANSFUSION BLD-ADMIN_ED | 1262 |
3600408 | LUMBAR PUNCTURE | 2072.76 |
3603020 | CHEMOTHER INF EA HR 1-8H | 560 |
3700004 | ANESTHESIA 1 HOUR | 1211 |
3700005 | ANESTHESIA EA ADD MIN | 20 |
3700045 | NITROUS OXIDE | 174 |
3700054 | OXYGEN | 174 |
3708999 | ANESTHESIA MISC | 0 |
4100004 | ELECTROLYTE PANEL | 148 |
4100031 | VANCOMYCIN | 248 |
4100052 | GEN HEALTH PANEL * | 270 |
4100069 | RENAL FUNCTION PANEL | 321 |
4100074 | ACUTE HEPATITIS PANEL | 396 |
4100102 | AMPHETAMINE QUAL | 141 |
4100109 | HEPATIC FUNCTION PANEL | 294 |
4100111 | COMP METABOLIC PANEL | 178 |
4100160 | LIPID PANEL COMPREHENSV | 312 |
4100166 | BASIC METABOLIC PANEL | 150 |
4101001 | UA AUTO W/MICRO | 126 |
4101004 | URINE W/O MICRO AUTO | 56 |
4101015 | URINALYSIS MICRO ONLY | 111 |
4101026 | URINE PREG TEST QUAL | 181 |
4101050 | VOLUME MEASURMNT URINE * | 40 |
4102003 | ACETAMNOPHN QUANT | 240 |
4102010 | B- HYDROXYBUTYRATE QUANT-KETONE | 129 |
4102011 | DRUG TEST PRSMV CHEM ANLYZR | 158 |
4102040 | ALBUMIN SERUM | 42 |
4102045 | BODY FLUID ALBUMIN | 42 |
4102055 | ALCOHOL ETHYL | 321 |
4102066 | OXALATE URINE | 39 |
4102070 | EVAL AMNIOTIC FLUID PROTEIN | 490.55 |
4102114 | ALPHA FETO PROTEIN SERUM | 127 |
4102137 | THEOPHYLLINE | 180 |
4102140 | AMMONIA | 272 |
4102150 | AMYLASE | 78 |
4102151 | AMYLASE URINE | 78 |
4102213 | BARBITURATES QUAL | 69 |
4102239 | BILE PIGMENTS URINE | 20 |
4102250 | BILIRUBIN TOTAL | 108 |
4102253 | BILIRUBIN DIRECT | 120 |
4102270 | OCCULT BLD STL 1-3 | 32 |
4102272 | OCCULT BLD QL | 42 |
4102274 | HGB FECAL OCCULT BLD L | 60 |
4102275 | OCCULT BLD, GASTRIC | 50 |
4102310 | CALCIUM | 104 |
4102330 | CALCIUM IONIZED | 82 |
4102340 | CALCIUM URINE QUAN | 92 |
4102341 | CALCIUM 24HR URINE | 92 |
4102372 | CARBAMAZAPINE | 394 |
4102374 | CARBON DIOXIDE | 89 |
4102375 | CARBON MONOXIDE QUAN | 106 |
4102439 | CHLORIDE | 94 |
4102465 | CHOLESTEROL TOTAL | 94 |
4102476 | LDL CHOLESTOROL | 67 |
4102477 | CHOLESTEROL HDL | 76 |
4102533 | CORTISOL TOTAL | 272 |
4102550 | CREATINE KINASE TOTAL | 188 |
4102553 | CK MB FRACTION | 203 |
4102554 | CK MB | 203 |
4102560 | COCAINE QL | 44 |
4102565 | CREATININE BLOOD | 42 |
4102570 | CREATININE, FLUID | 76 |
4102571 | CREATININE 24HR URINE | 76 |
4102573 | CREATININE URINE | 76 |
4102575 | CREATININE CLEARANCE | 148 |
4102597 | BARBITURATES CONFIRMATION, URINE | 18 |
4102611 | CYANOCOBLMN(VIT B12) | 160 |
4102643 | DIGOXIN | 100 |
4102655 | PHENYTOIN TOTAL | 252 |
4102726 | FERRITIN | 166 |
4102731 | FETAL FIBRONECTIN | 740 |
4102746 | FOLIC ACID | 140 |
4102945 | GLUCOSE BODY FLUID | 116 |
4102946 | GLUCOSE POC | 50 |
4102947 | GLUCOSE QUANT | 76 |
4102948 | GLUCOSE BLD RGT ST VISU * | 50 |
4102950 | GLUCOSE POST DOSE | 144 |
4102951 | GLUCOSE TOLERANCE 3SPEC | 232 |
4102953 | GLUCOSE QNT URINE 24HR | 116 |
4102958 | GLUCOSE CSF | 116 |
4102980 | GGT | 120 |
4102994 | HEMOGLOBIN GLYCATED | 106 |
4103004 | GENTAMYCIN | 248 |
4103010 | HAPTOGLOBIN | 14 |
4103013 | GONADTOPN CHRONC(HCG)QL | 140 |
4103014 | GONADTOPN CHORNC(HCG)QNT | 246 |
4103052 | SICKLING OF RBC | 96 |
4103527 | B-TYP NATRIURETC PEPTID | 321 |
4103540 | IRON | 50 |
4103550 | IRON BINDING CAPCTY | 86 |
4103605 | LACTATE(LACTIC ACID) | 212 |
4103610 | POC LACTATE | 212 |
4103615 | LDH-LACTIC DEHYDROGENASE | 78 |
4103690 | LIPASE | 196 |
4103725 | LITHIUM | 66 |
4103735 | MAGNESIUM | 114 |
4103756 | MAGNESIUM URINE 24HR | 114 |
4103930 | OSMOLALITY BLOOD | 76 |
4103935 | OSMOLALITY URINE | 76 |
4103980 | PH,BODY FLUID EXCEPT BLD | 70 |
4104020 | PHENOBARBITAL | 252 |
4104075 | PHOSPHATASE ALKALINE | 60 |
4104100 | PHOSPHORUS | 94 |
4104102 | PHOSPHORUS URINE | 43 |
4104103 | PHOSPHORUS URINE 24 HR | 43 |
4104132 | POTASSIUM SERUM | 82 |
4104133 | POTASSIUM URINE | 108 |
4104134 | POTASSIUM 24HR URINE | 108 |
4104141 | PRIMIDONE | 101 |
4104154 | PROTEIN OTHER SOURCES | 76 |
4104155 | PROTEIN TOTAL | 62 |
4104156 | PROTEIN URINE RANDOM | 76 |
4104165 | PROTEIN ELCTRO SERUM | 13 |
4104176 | PRE-ALBUMIN | 100 |
4104180 | PROTEIN URINE QUAN 24 HR | 76 |
4104196 | PROTEIN SPINAL FLUID | 76 |
4104200 | PROTHROMBIN TIME SUBST | 75 |
4104250 | TRIIODTHYRN (T-3) UPTAKE | 18 |
4104295 | SODIUM BLOOD | 118 |
4104296 | SODIUM URINE | 133 |
4104300 | SODIUM 24HR URINE | 133 |
4104315 | SP-GR EXCEPT URINE | 42 |
4104436 | THYROXINE TOTAL | 96 |
4104443 | TSH | 222 |
4104450 | TRANSTERASE AST(SGOT) | 50 |
4104460 | TRANSAMINASE-SGPT (ALT) | 112 |
4104468 | TOBRAMYCIN | 248 |
4104475 | TRIGLYCERIDES | 106 |
4104520 | BLD UREA NITROGEN QUAN | 42 |
4104540 | UREA NITROGEN URINE | 92 |
4104541 | UREA NITROGEN 24HR URINE | 92 |
4104550 | URIC ACID BLOOD | 86 |
4104557 | URIC ACID, OTHER SOURCE | 43 |
4104559 | URIC ACID URINE | 43 |
4104560 | URIC ACID URINE 24HR | 43 |
4104584 | VALPROIC ACID | 104 |
4104701 | INFLUENZA B AG | 218 |
4105005 | C DIFF SCREEN AG A/B | 103 |
4105006 | C DIFF SCREEN TOX A/B | 165 |
4105007 | DIFF MANUAL | 22 |
4105008 | BLD SMR EXAM W/O DIFF * | 11 |
4105011 | RBC, AUTO | 21 |
4105012 | EOSINOPHILE COUNT MANUAL | 42 |
4105013 | WBC AUTO | 23 |
4105014 | HEMATOCRIT AUTOMATED | 42 |
4105018 | BLOOD HEMOGLBN | 54 |
4105021 | HEMOGRM AUTOMATED | 32 |
4105028 | CBC/PLT/AUTO DIFF (5) | 144 |
4105044 | RETICULOCYTE COUNT MAN | 48 |
4105347 | COAGULAT ACTIV | 267 |
4105362 | FDP/FSP AGGLUTNATN SLIDE | 275 |
4105380 | FDP D-DIMER EIA QNT | 245 |
4105384 | FIBRINOGEN ACTIVITY | 140 |
4105460 | HMOGLBN FETAL(KLEIHAUER) | 152 |
4105539 | LEUKOCYTE ALKA-PHSPHTASE | 11 |
4105576 | PLT FUNCTION TEST | 285 |
4105595 | PLATELET COUNT (AUTO) | 87 |
4105610 | PROTHROMBIN TIME | 50 |
4105651 | SEDIMENTN RATE-NON-AUTO | 84 |
4105730 | PTT PLASM | 194 |
4105732 | PTT SUB EA FRACTION | 80 |
4105744 | PLATELET AGGREGATION (PLAVIX) | 285 |
4106003 | HETEROPHILE AB SCREEN | 47 |
4106015 | COLD AGGLUTINATN TITER | 20.72 |
4106016 | RBC ANTIBODIES SCREEN | 167 |
4106024 | ANTIBDY IDENT RBC EA PNL | 424 |
4106025 | C-REACTIVE PROTEIN QL | 134 |
4106033 | DIRECT COOMBS POLY | 78 |
4106056 | HELICOBACT PYLORI AB QL | 48 |
4106080 | BLD TYPE ABO ONLY | 125 |
4106090 | RBC AG ROOM TEMP | 321 |
4106105 | BLD TYPE RH PHENOTYP CMP | 126 |
4106151 | CARCINO-EMBRYONIC AG | 253 |
4106210 | COMP TST EA UT SPIN TECH | 115 |
4106211 | COMP TST EA UT INCUB TCH | 27 |
4106212 | COMP TST EA UT AHG TECH | 46 |
4106264 | FFP THAW EA UNIT | 170 |
4106287 | HBS ANTIGEN | 126 |
4106288 | HBS AG NEUTRALIZATION | 134 |
4106289 | HEP B CORE AB(IGG & IGM) | 97 |
4106292 | HEPATITIS B SURF AB | 140 |
4106294 | HEPATITIS B CORE AB(IGM) | 95 |
4106297 | HEPATITIS A AB IGM | 91 |
4106304 | HEPATITIS C ANTIBODY | 116 |
4106316 | PSA TOTAL | 242 |
4106318 | RUBELLA AB | 163 |
4106319 | BENZODIAZEPINES QL | 49 |
4106414 | RSV ANTIGEN BY EIA | 461 |
4106420 | CRYPTOCOCCAL AG | 149 |
4106432 | RHEUMATOID FACTOR QUANT | 65 |
4106592 | VDRL/RPR QUAL | 42 |
4106593 | VDRL/RPR QUAN | 73 |
4106594 | VDRL-CSF | 42 |
4106650 | TREPONEMAL AB | 22.33 |
4106703 | HIV-1/HIV-2 Ag with HIV Ab | 213 |
4106895 | AG SCRN,RGNT SER,EA UNIT | 321 |
4107018 | SUSCEPTIBLITY MIC | 212 |
4107020 | SHIGA TOXIN | 85 |
4107022 | CULTURE SPUTUM | 190 |
4107024 | CULTURE GENITAL | 190 |
4107033 | CULTURE RESPIRATORY | 190 |
4107036 | BETA LACTAMASE | 50 |
4107039 | CULTURE BACTERIAL SCRN* | 0 |
4107040 | CULT BLOOD AERO/ANAERO | 212 |
4107044 | CULTURE GROUP B STREP | 158 |
4107048 | STOOL ADDL PATH EA | 58 |
4107053 | CULTURE VRE SCREEN* | 0 |
4107054 | CULTURE KPC SCREEN* | 0 |
4107055 | CULTURE STOOL | 275 |
4107065 | CULTURE BRONC WASH | 190 |
4107067 | CULTURE EAR | 190 |
4107068 | CULTURE BIOPSY/SURG SPC | 190 |
4107070 | CULTURE THROAT | 190 |
4107072 | CULTURE ENVIORNMTL | 190 |
4107073 | CULTURE EYE | 190 |
4107074 | CULTURE FLUID EX CSF | 190 |
4107075 | CULTURE ANAEROBIC ISOL | 86 |
4107078 | CULTURE CSF | 190 |
4107085 | CULTURE CATHETER TIP | 190 |
4107086 | CULTURE URINE COLONY CT | 106 |
4107101 | CULTURE FUNGUS SKIN | 27 |
4107102 | CULTURE FUNGI OTHER | 84 |
4107103 | CULTURE FUNGI BLOOD | 98 |
4107104 | ANAEROBIC ID CHG #1 | 243 |
4107106 | YEAST ID CHG | 79 |
4107116 | CULTURE AFB | 15 |
4107133 | CULTURE WOUND/ABCESS | 190 |
4107134 | CULTURE BLOOD AFB | 15 |
4107142 | EXAM MACRO PARASITE | 95 |
4107144 | EXAM PINWORM TP SITE | 32 |
4107160 | GC CULTURE | 158 |
4107184 | SUSCEPTIBILITY DISK | 138 |
4107198 | SUSCEPTIBILITY ETEST | 140 |
4107201 | SMEAR AFB | 54 |
4107202 | SMEAR MALARIA | 136 |
4107205 | GRAM STAIN | 50 |
4107210 | WET MOUNT W/SMPL STAIN | 84 |
4107215 | INDIA INK PREP | 84 |
4107220 | KOH PREP TISSUE | 84 |
4107235 | TROPONIN – I | 273 |
4107275 | INFLUENZA B VIRUS AG IF | 26 |
4107276 | INFLUENZA A DET AG | 156 |
4107400 | INFLUENZA A AG | 218 |
4107452 | CRYPTOCOCCUS AG TITER | 95 |
4107454 | PTH INTACT | 47 |
4107456 | VITAMIN D TOTAL | 95 |
4107650 | STREP GRP A DIR ANTIGEN | 137 |
4107802 | STREP B IA DIR ANITGEN | 35 |
4108707 | AERO ID CHG | 100 |
4108717 | TISSUE GRIND FOR CULTURE | 44 |
4109050 | CELL COUNT,MISC BODY FLD | 66 |
4109051 | CELL COUNT MISC W/DIFF | 158 |
4109250 | REDUCING SUBSTANCE | 53 |
4109363 | CRYST ID BODY FLD EX URN | 72 |
4109636 | BLD TYPE RBC DIRECT(RH) | 321 |
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 |
4202045 | PROCESS CRYO PRECIPITATE * | 13.44 |
4206264 | FFP THAW EA UNIT | 170 |
4206268 | WASHING RBC EA UNIT | 121 |
4206985 | SPLITTING BLD PROD EA UT | 170 |
4209010 | VENIPUNCTURE | 35 |
4209011 | VENIPUNCTURE INPATIENT | 35 |
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 |
4303521 | BLOOD SMEAR INTERP | 83 |
4303522 | BONE MARROW INTERP W/O DIFF | 646 |
4305106 | BONE MARROW ASPIRATE & BIOPSY | 1571 |
4308104 | CYTOPATH WASH/BRUSH/SM | 108 |
4308108 | CYTOPTH CONL SM | 176 |
4308112 | CYTOPATH CELL | 165 |
4308142 | CYTO PRSRV FLD AUTO T | 176 |
4308173 | FNA: INTRP/REPRT | 250 |
4308300 | GROSS EXAM ONLY | 108 |
4308302 | GROSS & MICRO: LVL II | 157 |
4308309 | GROSS & MICRO COMPREHNSV | 663 |
4308311 | DECALCIFICATION | 119 |
4308312 | SPEC STAINS GROUP I | 108 |
4308313 | SPEC STAINS GROUP II | 108 |
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 * | 126 |
4308403 | GROSS & MICRO EXAM III | 253 |
4308404 | LVL IV SURG PATH GROSS | 283 |
4308405 | LVL V SURG PATH GROSS | 540 |
4308406 | CELL BLOCK-FNA CYTO | 0 |
4309020 | ELECTRON MICRO – CEDARS | 646 |
4309021 | IMMUNOHISTO ANTB 1ST STAIN – CEDARS | 294 |
4309022 | IMMUNOFLUOR ANTB 1ST STAIN – CEDARS | 321 |
4309023 | IMMUNOFLUOR ANTB ADDL STAIN – CEDARS | 58 |
4309024 | SURGL PATH GROUP II – CEDARS | 108 |
4309025 | SURG PATH LEVEL IV – CEDARS | 283 |
4309026 | M PHMTRC ALYS TUMOR – CEDARS | 170 |
4309027 | M PHMTRC ALYS ISH – CEDARS | 903 |
4400150 | ABG W/CALC O2 SAT | 527 |
4400825 | FLOW VOLUME LOOPS * | 296 |
4401200 | SPIROMETRY | 609 |
4401201 | BRONCHOSPASM EVAL PRE/PS | 740 |
4401208 | DIFFUSION CAPACITY | 406 |
4401811 | NITROGEN WASHOUT CURVE | 428 |
4402010 | FUNCTIONAL RESID CAPAC | 396 |
4402205 | PULSE OX SINGLE * | 345 |
4404200 | MAX VOLUNTRY VENTILATION | 348 |
4404620 | PULM STRESS TST SMPL | 280 |
4404621 | PULM STRESS TEST CMPLX | 296 |
4500026 | BLD PLATELET PHERESIS | 921.17 |
4500047 | RH IMMUNEGLOBLIN | 267 |
4501013 | OUTSIDE FEE F/F PLASMA | 103.5 |
4501014 | OUTSIDE FEE CRYOPRECIP | 82.8 |
4501016 | OUTSIDE FEE CRYOPRECIP | 450 |
4502110 | AUTOLOGS DONOR DRAW ONLY | 170 |
4502262 | PLATELET TYPING | 55 |
4504152 | O/S FEE PK RBC/PED A | 274.4 |
4504154 | OUTSIDE FEE WASH CELLS | 1009.27 |
4504156 | OUTSIDE FEE LEUKO POOR | 592.17 |
4504161 | O/S F/F PLASMA AB | 208.66 |
4504165 | O/S FEE AUTOLOGOUS | 1033.76 |
4504166 | OUTSIDE FEE DIR DONOR | 482.72 |
4504172 | OUTSIDE FEE PHER PLATLET | 1155.54 |
4504177 | FFP QUICK FREEZE 8 24 HR | 184.8 |
4506125 | BLOOD PRODUCT IRRAND EA | 82.8 |
4506264 | FFP THAW EA UNIT | 170 |
4601135 | TILT TABLE W/PHARM | 3372 |
4603005 | EKG TRACE ONLY (FAA) | 547 |
4603015 | CARDIO STRESS | 1676 |
4603210 | ECHOCARDIOGRAM M MODE+2D | 3322 |
4603274 | EKG MNTR 24HRS | 1018 |
4603276 | EKG MNTR SCAN W REPORT | 1349 |
4603325 | DOPPLER ECHO PULSE/CONT* | 1140 |
4603330 | DOPPLER ECHO COLOR FLW* | 947 |
4603350 | ECHOCARDIOGRAM EX STRESS | 2436 |
4603355 | ECHO STRESS W/MED | 2436 |
4603400 | TRANSESOPHAGEAL ECHO | 2794 |
4610130 | APLSTY A-V SHUNT | 1730 |
4610145 | PRC ATHRCTMY ILIAC | 7917 |
4610158 | ATHRCTMY PERIPH INITL | 1553 |
4610160 | ATHR TBIO PERONL & BR | 1964 |
4610269 | PLC VASC CLSURE DEV | 1674 |
4610270 | RENAL BIL SELECTIVE CATH 1ST ORD MAIN | 1869.4 |
4610272 | RENAL BI SUPERSELECTIVE CATH 1- MORE ORD | 2151 |
4610278 | ILIAC ART BIL W CARD CT | 4778 |
4610279 | ILIAC ART UNI W CARD CT | 4778 |
4610290 | STNT COR DRUG ELUT INITL | 40791 |
4610291 | STNT COR DRUG ELUT EA ADDTNL | 40791 |
4610394 | A-V FISTULOGRAM | 1730 |
4610509 | STNT COR W/PTCA | 34040.7 |
4610513 | STENT EA ADDL | 34040.7 |
4610518 | COR ATHCTMY W/ COR ANGIOPLASTY | 42735.45 |
4610520 | ‘COR ATHCTMY W/ COR ANGIOPLASTY EA ADD”L’ | 42735.45 |
4610784 | INJ THER/PROPH/IVP | 353 |
4611110 | CARDIOVERSION ELEC | 2878 |
4611115 | TRANSESOPHOGEAL ECHO | 2797 |
4611117 | ESOPH REC ATRIAL E-GRAM | 3977 |
4611118 | ESOPH RECORD W/PACING | 3977 |
4612975 | COR THROMB SNGL VESSEL | 16104 |
4612977 | COR THROMB MULTI VESSELS | 16104 |
4612984 | PTCA EA ADDL VSL | 22412 |
4613010 | PERICARDIOCENTESIS,INTL | 2297 |
4613410 | BRACH EMBLCTMY INCSN | 636 |
4613501 | CATH,RT HEART ONLY | 15282 |
4613509 | CATH RT HR COR INJECTION | 15282 |
4613510 | CATH,LEFT HEART/RETROGRD | 15282 |
4613511 | CATH,LT HEART BY CUTDOWN | 15282 |
4613526 | CATH,RT HRT/LT HRT VGRAM | 15282 |
4613536 | BALLOON PERCV INSERT * | 9022 |
4613539 | CATH LT/RT, ART CONDUITS CORONARY LV GR | 15282 |
4613540 | ANGIO,ADD VESSEL COMP | 2553 |
4613541 | CATH,INJ/PULMONARY ANGIO | 1165 |
4613542 | CATH,INJ/RT VENTR-ANGIO | 1165 |
4613544 | CATH,INJ/AORTOGRAPHY | 1191 |
4613545 | CATH,LT CORO WITH/WITHOUT LV GRAM | 18492 |
4613582 | TMP PM INSRT EA ADD MIN | 63 |
4613585 | COAGULATION TIME ACTIVTD | 267 |
4613588 | CATH LAB FLUORO * | 918 |
4613592 | TEMP PACEMAKER INSER/BUN | 4220 |
4613594 | PRM PM INSRT EA ADD MIN | 63 |
4613595 | TMP PM INSRT 1ST HR | 4093 |
4613600 | BUNDLE HIS REC | 3977 |
4613603 | VENTRCLR REC RT | 3977 |
4613610 | PTCA INITL VESL | 22412.05 |
4613640 | CATH INJ AORTCOR VEN BYP | 498 |
4613654 | CORO ANGIO BPG S&I | 17256 |
4613655 | IMAGE, CARD CATH | 2693 |
4613656 | CORO ANGIO S&I | 15282 |
4613657 | INTRVSCLR DPLR VELPRS SNGL | 11357 |
4613658 | INTRVSCLR DPLR VELPRS ADDL | 1540 |
4613659 | CORO ANGIO BPG/SI/RHC SI WITH OR WITHOUT | 15282 |
4613660 | TILT TBLE WO/WDRG | 3372 |
4613661 | CORO ANGO BPG SI LHC SI W OR W/O LV GRAM | 20999 |
4613663 | CORO ANGIO W/R/L CATH W OR W/O LV GRAM | 20900 |
4613797 | CARIOPULMONARY RESUSC | 1641 |
4613969 | IABP INSERT | 3447 |
4613990 | DPLX SCN AV FIST | 1080 |
4614830 | INTRO CATH ABD AORTA | 636 |
4614955 | Unilat Angio Cerv Cereb Arch | 12112.25 |
4615627 | ABD AORTGRPHY SERIAL | 5517 |
4615631 | ABD W/BI ILIFEM | 11357 |
4615651 | CERVICOCEREBRL CATH COM | 18437 |
4615659 | ANGIO BRACHIAL | 5517 |
4615661 | EX CAROTID/CERVICAL UNI | 18437 |
4615663 | ANGIO CAROTID CERV BI | 18437 |
4615669 | ANGIO CAR0TID CERVICOCEREBRAL UN | 11357 |
4615711 | EXTREMITY UNI W/O SERL | 5517 |
4615713 | ANGIO EXTR UNIL | 5517 |
4615718 | EXTREMITY BI W/SERIAL | 5766 |
4615719 | ANGIO EXTR BILAT | 5766 |
4615723 | RENAL UNI SELCT W/FLUSH | 11357 |
4615725 | RENAL BI SELECT W/FLUSH | 4313 |
4615737 | ANGIO PELVIC SLCT/SUP | 6167 |
4615744 | PULMONARY BI SELECTIVE | 11357 |
4615821 | VENOGRAM EXTR UNI | 2455 |
4615823 | VENOGRM EXTREM BIL | 6093 |
4615828 | VENCAVGRM SUPRIOR | 2064 |
4615861 | VENOGRM SUBCL/JUG | 2481 |
4615898 | ANGIO THRU EXISTNG CTH | 1020 |
4615945 | INTRVSCLR US COR INIT VESSEL | 3960 |
4615946 | INTRVSCLR US COR ADDTL VESSEL | 1870 |
4615993 | ATHRCTMY PERIPH ADDL | 1553 |
4615997 | FLUORO CVA DEVICE | 658 |
4616003 | FLUORO INJ/GUIDE | 1201 |
4616013 | PLC CATH RT HRT/PLM ART | 636 |
4616311 | ABD W/BI ILIFEM | 11357 |
4616481 | INSRT PERMA CATH PREC V | 636 |
4616482 | PLC CATH SUP/INF VNA CAV | 636 |
4616569 | INSRT CV CTH W/O PRT/PMP | 1020 |
4616589 | REM CV CTH W/O PRT/PMP | 1020 |
4616937 | US GUIDE VASCULAR ACC | 432 |
4617001 | FLUORO > 1HR | 1258 |
4617189 | REVIS ART FISTLA | 636 |
4617690 | INJ EXTR VENOGR | 1020 |
4617800 | PLCE CATH AORTA | 636 |
4617821 | VENOGRM INJECTION | 2082 |
4617822 | CENTRAL LINE PLCMNT | 2082 |
4617823 | ART LINE PLCMNT | 2336 |
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 | 1617 |
4619180 | BIOPSY ABD/RPERITO,PERC | 473 |
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 | 1714 |
4630080 | ART STUDY SNGL LVL UE/LE | 742 |
4630086 | ART STUDY LE W/EXER | 597 |
4630365 | PREOP VESL MAP | 858 |
4636000 | VENOUS DUPLX IMAGE EXTR | 1714 |
4636010 | DUPLEX UE ARTERY | 1433 |
4636015 | CAROTID DUPLX IMAGING | 1714 |
4636026 | CAROTID DOPPLER UNILAT | 933 |
4636040 | DUPLEX LE ARTERY | 1714 |
4636046 | DUPLEX LE ARTERY LTD F/U | 1080 |
4636048 | DUPLEX UE LTD F/U | 1016 |
4636070 | DOPPLER VENOUS FLOW | 597 |
4637006 | ART EXT DOPPLER | 1194 |
4637012 | EXTREMITY VEINS LTD/FU | 1080 |
4637014 | SCAN HEMODIALYSIS ACCESS | 1080 |
4705833 | EMG MSCL BDY TST WO HND | 166 |
4705860 | EMG 1 EXTREMITY | 1043 |
4705861 | EMG 2 EXTREMITY | 1352 |
4705863 | EMG 3 EXTREMITY | 1757 |
4705864 | EMG 4 EXTREMITY | 2140 |
4705870 | EMG THOR PARASP 1 OR 12 | 1118 |
4705872 | EMG CRAN MUSC UNI | 953 |
4705873 | EMG CRANIAL BIL | 1129 |
4705874 | EMG-ONE EXTREMITY+UP TO 4 NCV | 1186 |
4705875 | EMG-ONE EXTREMITY +5 OR MORE NCV | 1630 |
4705880 | AMI-REVASC BYPASS GRAFT, PLASTY SNGL VES | 34040.7 |
4705882 | CTO-REVASC COR BYPASS STENT SNGL VES | 34040.7 |
4705884 | CTO-REVASC COR BYPASS STENT EA ADD VES | 34040.7 |
4705886 | CORONARY ARTERY BYPAS GRAFT | 34040.7 |
4705888 | ‘CORONARY ARTERY BYPAS GRAFT ADD”L’ | 34040.7 |
4705890 | CPR | 1641 |
4705892 | IABP INSERTION | 9140 |
4705906 | NCV ( 1 TO 2 NERVES) | 382 |
4705908 | NCV (3 TO 4 NERVES) | 510 |
4705910 | NCV (5 TO 6 NERVES) | 609 |
4705912 | NCV (7 TO 8 NERVES ) | 782 |
4705913 | NCV (9 TO 10 NEVERS) | 894 |
4705914 | NCV (11 TO 12 NERVES) | 923 |
4705916 | NCV (13 OR MORE) | 1023 |
4706000 | INSERT HEART PM ATRIAL | 29243.97 |
4706005 | INSERT HEART PM VENTRICULAR | 29243.97 |
4706010 | INSRT HEART PM ATRIAL & VENT | 29243.97 |
4706015 | INSERT ELECTRD/PM CATH SNGL | 22122.97 |
4706020 | INSERT CARD ELECTRODES DUAL | 22122.97 |
4706025 | INSERT PULSE GEN SNGL LEAD | 22122.97 |
4706030 | INSERT PULSE GEN DUAL LEADS | 29243.97 |
4706035 | UPGRADE OF PACEMAKER SYSTEM | 29493 |
4706040 | INSERT 1 ELECTRODE PM-DEFIB | 22122.97 |
4706045 | INSERT 2 ELECTRODE PM-DEFIB | 22122.97 |
4706050 | INSERT PULSE GEN MULT LEADS | 52756.62 |
4706055 | INSERT PACING LEAD & CONNECT | 34517 |
4706060 | REMOVE&REPLACE PM GEN SINGL | 36854.95 |
4706065 | REMV&REPLC PM GEN DUAL LEAD | 48739.95 |
4706070 | EMV&REPLC PM GEN MULT LEADS | 87927.7 |
4706075 | INSRT PULSE GEN W/DUAL LEADS | 66331.56 |
4706080 | INSRT PULSE GEN W/MULT LEADS | 92886.39 |
4706085 | INSRT PULSE GEN W/SINGL LEAD | 66331.56 |
4706090 | INSJ/RPLCMT DEFIB W/LEAD(S) | 92886.39 |
4706095 | REMOVAL OF PM GENERATOR | 36854.95 |
4706100 | REMOVAL OF PACEMAKER SYSTEM | 14339.75 |
4706105 | REMOVAL PACEMAKER ELECTRODE | 14339.75 |
4706110 | REMOVE PULSE GENERATOR | 14339.75 |
4706115 | REMOVE ELCTRD TRANSVENOUSLY | 14339.75 |
4706120 | REPOSITION PACING-DEFIB LEAD | 12463.7 |
4706125 | REPAIR LEAD PACE-DEFIB ONE | 14339.75 |
4706130 | REPAIR LEAD PACE-DEFIB DUAL | 14339.75 |
4706135 | RELOCATION POCKET PACEMAKER | 7842.15 |
4706140 | RELOCATE POCKET FOR DEFIB | 7842.15 |
4706145 | REPOSITION L VENTRIC LEAD | 12463.7 |
4802587 | AUDITORY EVOK POTENT COM | 1270 |
4805817 | EEG AWAKE/DROWSY | 1155 |
4805818 | EEG AWAKE/SLEEP | 1401 |
4805871 | VISUAL EVOKED POTENTIAL | 1035 |
4900010 | RADIOLOGY NO CHARGE | 0 |
4900021 | FNA NO IMAGE GUIDANCE | 0 |
4900030 | EYE,DETECTION OF FOR/BDY | 350 |
4900100 | MANDIBLE, LTD <4 VWS | 683 |
4900110 | MANDIBLE 4VW MIN | 1047 |
4900130 | MASTOIDS,COMP 3VW MIN/SD | 433 |
4900150 | FACIAL BONES,3VW MIN | 1126 |
4900152 | ORBITS 4VW MIN | 942 |
4900160 | NASAL BONES, 3VW MIN | 586 |
4900210 | SINUSES,2VW MAX | 317 |
4900220 | SINUSES,3VW MIN | 744 |
4900250 | SKULL < 4 VIEWS | 634 |
4900260 | SKULL,4VW MIN | 933 |
4900330 | TM JOINTS, BILATERAL | 916 |
4900355 | ORTHOPANTOGRAM | 293 |
4900360 | NECK FOR SOFT TISSUES | 436 |
4900373 | LARYNGOGRAPHY,CONTRAST | 833 |
4900390 | SIALOGRAPHY | 510 |
4901010 | CHEST,SINGLE VIEW PORTABLE | 578 |
4901011 | CHEST,SINGLE VIEW | 578 |
4901020 | CHEST,TWO VIEWS | 752 |
4901021 | CHEST W/LORDOTIC | 939 |
4901030 | CHEST, MIN 4 VW | 1414 |
4901034 | CHEST FLUOROSCOPY | 1414 |
4901050 | FLUORO INDEPENDENT | 918 |
4901056 | ERCP | 1995 |
4901100 | RIBS,UNILAT 2VW | 708 |
4901101 | RIBS, UNI MIN 3 VWS | 897 |
4901110 | RIBS,BILAT 3VW | 1080 |
4901111 | RIBS,BIL W PA CHST 4VW | 1328 |
4901120 | STERNUM 2VW | 551 |
4901130 | STERNCLAVR JNTS 3VW MIN | 691 |
4902020 | SPINE,ANY LEVEL SNGL VW | 477 |
4902040 | SPINE,CERV 2 OR 3 VWS | 691 |
4902050 | SPINE,CERVICAL 4VW MIN | 1208 |
4902052 | SPINE,CERV,FLEX&EXTEN | 1664 |
4902070 | SPINE,THORACIC 2 VWS | 727 |
4902071 | SPINE, THORACIC 3VW | 846 |
4902080 | SPINE,THORACO-LUMBAR 2VW | 718 |
4902100 | SPINE,LUMBAR 2 OR 3 VWS | 935 |
4902110 | SPINE,LUMBAR MIN 4VWS | 1346 |
4902114 | SPINE,AP/LAT/BEND | 1508 |
4902120 | SPINE,LMBR BENDNG 4 VWS | 688 |
4902170 | PELVIS 1-2 VWS | 552 |
4902190 | PELVIS,MIN 3 VWS | 749 |
4902202 | SACRO-ILIAC JNTS 3+ VWS | 634 |
4902220 | SACRUM & COCCYX 2VW MIN | 634 |
4902275 | EPIDUROGRAPHY | 696 |
4903000 | CLAVICLE | 598 |
4903010 | SCAPULA | 636 |
4903020 | SHOULDER, SNGL VIEW | 570 |
4903030 | SHOULDER, 2VW MIN | 724 |
4903050 | ACROMIO-CLVICULAR JTS,BI | 634 |
4903060 | HUMERUS, 2VW MIN | 630 |
4903070 | ELBOW,2 VWS | 622 |
4903080 | ELBOW, 3VW MIN | 724 |
4903091 | FOREARM 2 VWS | 598 |
4903092 | UPPR EXTRMTY INFNT 2VWS | 630 |
4903100 | WRIST, 2VWS | 554 |
4903110 | WRIST, 3VW MIN | 655 |
4903120 | HAND,2 VWS | 627 |
4903130 | HAND, 3VW MIN | 655 |
4903140 | FINGER(S) 2 VW MIN | 428 |
4903500 | HIP, UNIL w/ PELVIS 1 VIEW | 629 |
4903505 | HIP, UNIL w/ PELVIS 3-4 VIEWs | 1258 |
4903510 | HIP, UNIL w/ PELVIS 3-4 VIEWs | 1700 |
4903512 | HIP,UNILATERAL 2VW MIN | 665 |
4903514 | HIP,UNILATERAL 4 Views | 1300 |
4903520 | HIP,BI,CMPLT 2VW MIN | 1355 |
4903551 | FEMUR 2 VWS | 557 |
4903555 | FEMUR 2 VIEWS OR MORE | 617 |
4903560 | KNEE, 1-2 VWS | 668 |
4903562 | KNEE 3 VWS | 778 |
4903570 | KNEE, COMP 4 OR MORE VWS | 848 |
4903590 | TIB/FIB 2 VWS | 629 |
4903591 | LOWER EXT INFANT MIN 2VW | 189 |
4903600 | ANKLE, 2 VWS | 615 |
4903610 | ANKLE, 3VW | 755 |
4903620 | FOOT, 2 VWS | 600 |
4903630 | FOOT, 3VW MIN | 711 |
4903650 | OS CALCIS 2 VWS MIN | 521 |
4903660 | TOE(S) 2 VWS MIN | 609 |
4904000 | ABDOMEN,SINGLE VIEW(KUB) | 303 |
4904020 | ABD W/DECUB OR ERECT | 477 |
4904022 | COMP ACUTE ABD | 1218 |
4904200 | E R C P | 1995 |
4904210 | PHARYNX &/OR CERV ESOPH | 414 |
4904220 | ESOPHAGUS | 789 |
4904230 | SWAL FUNC W CINE/VIDEO | 906 |
4904242 | UPPER GI W/O KUB | 665 |
4904243 | UPPER GI W/KUB | 1096 |
4904245 | UPPER GI W/SMALL BOWEL | 1960 |
4904247 | UPPER GI AIR/KUB | 1549 |
4904249 | UPPER GI AIR/SMALL BOWEL | 2039 |
4904250 | SMALL BOWEL | 1255 |
4904270 | COLON,BARIUM W/WO KUB | 1478 |
4904280 | COLON BE W/AIR | 1891 |
4904290 | CHOLECYSTROGRAPHY,ORAL | 453 |
4904301 | CHOLANGIO,INTRAOP ADD SE | 358 |
4904328 | ENDO CATH BILIARY SYSTEM | 1562 |
4904415 | NEPHROTOMOGRAPHY | 1444 |
4904486 | DILATION NEPHRO/URETER | 1903 |
4906040 | BONE LENGTH STUDIES | 887 |
4906050 | DXA BNE DNSTY AXL SKLT | 338 |
4906060 | BONE SURVEY, LTD | 769 |
4906063 | BONE SURVEY COMPLETE | 1538 |
4906065 | BONE SURVEY,INFANT | 354 |
4906077 | BN DENS – APPENDCAR | 96 |
4906081 | COMPTR DETECT SCRN MAMM | 300 |
4906083 | SCREENING MAMMOGRAPHY | 300 |
4906088 | MAMMO DUCTGRAM SINGLE | 591 |
4906090 | MAMMOGRAPHY UNILATERAL | 251 |
4906091 | MAMMOGRAPHY,BILATERAL | 378 |
4906095 | SURGICAL SPECIMEN | 2281.55 |
4906099 | BREAST BIOPSY LOCAL | 2104 |
4906110 | TOMO COMPLEX MOTION 2 VW | 700 |
4906170 | SUBTRACTION STUDY | 122 |
4906175 | FILM DUPLICATION * | 29 |
4906655 | STERO LOC BX, EA LESION | 3177 |
4906657 | FINE NDL ASPIR W/WO SMR | 185 |
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 |
4908902 | BRST PREOP PL NDL 1ST LS | 176 |
4908903 | BRST PREOP PL NDL ADD LS | 90 |
4908921 | RENAL UNI w/ FLUSH & AORTOGRAM | 1435.5 |
4908927 | RENAL UNI, SUPER SELECTIVE CATH | 4313 |
4908933 | RENAL BILAT, 1ST ORD MAIN RENAL ARTERY | 1869.4 |
4908939 | RENAL BILAT, SUPER SELECTIVE CATH | 5045 |
4908945 | IVC FILTER PLACEMENT | 1235.8 |
4910161 | ATHERCT TIBIOP | 1964 |
4910399 | ATEROPOSTERIOR, BOTH KNEES STANDING | 798 |
4910405 | KNEE COMPLETE, 4 OR MORE VIEWS | 848 |
4910412 | FINE NEEDLE ASPIRATION | 381 |
4910417 | BRST BX PERC W/IMAGE | 1571 |
4910419 | PLC NDL/WIRE BRST | 1571 |
4910421 | PLC BRST CLIP PERC | 318 |
4910423 | NEEDLE BX MUSCLE | 720 |
4910424 | BONE BX TROCAR/NDL | 1254 |
4910425 | INJ SINUS TRCT | 417 |
4910430 | PERC VRTBRPLSTY THRX | 4632 |
4910431 | PER VRTBRPLSTY EA ADD | 4632 |
4910432 | PERC KYPHPLSTY THRX | 16368 |
4910433 | PERC KYPHPLSTY LMBR | 16368 |
4910434 | PERC KYPHLSTY ADD | 16368 |
4910445 | INSRT CHEST TUBE | 666 |
4910447 | NDL BX CHST LINING | 1131 |
4910448 | BX LUNG/MEDIASTINUM | 3667 |
4910452 | INJ EXT VENOGRAPHY | 381 |
4910454 | PLCE CATH VEIN | 636 |
4910455 | INSRT HEPATIC SHNT | 5385 |
4910456 | REMVE HEPATIC SHNT | 12624 |
4910457 | TRANSCTH OCCLSN PERC | 5385 |
4910459 | NDL BX LYMPH NDS | 720 |
4910462 | PLCE GASTRST TUBE | 4533 |
4910464 | CHNG GASTRST TUBE | 432 |
4910465 | REPOSTIN GASTRST TUBE | 432 |
4910466 | INTRO GASTRST TUBE | 432 |
4910468 | NDL BX LIVER | 1131 |
4910469 | PER DRAIN LIVR LESION | 2124 |
4910471 | INCISION GLBLDER | 4191 |
4910472 | INJ FOR LIVER X-RAYS | 381 |
4910473 | INJ FOR LIVER X-RAY | 381 |
4910474 | INSRT CATH BILE DUCT | 3735 |
4910475 | INSRT BILE DUCT DRN | 3735 |
4910476 | CHNG BILE DUT CATH | 2148 |
4910477 | REVIE/REINSERT BILE TUBE | 2148 |
4910478 | PERC BILLIARY BX | 2148 |
4910481 | PLCE BILE DCT SPPRT | 3735 |
4910482 | NDL BX PANCREAS | 1131 |
4910483 | DRN PANCR PSUDOCYST | 1893 |
4910484 | DRN ABD ABSCESS | 1893 |
4910485 | DRN PERC ABD ABSC | 1893 |
4910486 | DRN PRC RTRO PERIT ABSC | 1893 |
4910487 | PUNCT PERIT CVITY | 666 |
4910488 | DRAIN ABD FLUID | 666 |
4910489 | BX ABD MASS | 1131 |
4910491 | EXCH DRNG CATH | 2148 |
4910492 | ASSES CYST CONTRST INJ | 381 |
4910493 | RNL ABSC PERC DRN | 1893 |
4910494 | BX KIDNEY | 1131 |
4910498 | DRN KIDNEY LESN | 1131 |
4910499 | INSRT KIDNEY DRN | 3543 |
4910500 | INSRT URETRL TUBE | 3543 |
4910501 | INJ KDNEY X-RAY | 381 |
4910502 | CREATE PSG TO KIDNEY | 3543 |
4910503 | CHNG KIDNEY TUBE | 1377 |
4910506 | INJ BLDDR X-RAY | 381 |
4910507 | INJ BLDDR X-RAY | 381 |
4910510 | BX PROSTATE | 1035 |
4910511 | CTH FOR HYSTRGRPHY | 2736 |
4910513 | DRN PELVC ABSC PRC | 2736 |
4910514 | BX THYROID | 381 |
4910515 | SPINAL TAP DX | 774 |
4910516 | DRN CRBRL SPNL FLUID | 387 |
4910518 | INJ SPINE CT | 1170 |
4910519 | INJ SPINE LS | 1170 |
4910527 | BONE BX THROCAR/NDL | 502 |
4910528 | THORACTS NDL ONLY | 666 |
4910529 | THORACTS THERAP W/TBE | 666 |
4911926 | BX NECK | 3150 |
4912023 | AV SHNT 1ST | 4935 |
4912024 | AV SHNT EA ADD | 636 |
4912240 | MYELOGRAM CERVICAL COMP | 2538 |
4913526 | PER G-TBE RPLCE | 636 |
4913527 | G-TBE CNVRT TO J | 1713 |
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 |
4914235 | REMOVE FB W/FLUORO | 1315 |
4914248 | PERC VERTEBROPLASTY UNI/BIL LUMBAR INJ | 7629.13 |
4914350 | PERC PLACE GASTROSTOMY | 877 |
4914360 | DILATN STRICTURE/OBSTRUC | 1083 |
4914363 | BILIARY DIL W/WO STENT | 1153 |
4914420 | PYELOGRAPHY,RETROGRADE | 1374 |
4914422 | NEPHROSTOGRAM | 883 |
4914425 | ANTEGRADE NEPHROSTOGRAM | 965 |
4914427 | REMOVAL OF NEPHROSTOMY TUBE | 3916 |
4914434 | CYSTOGRAPHY,COMPLETE | 860 |
4914450 | URETHROCYSTOGRAPHY,RETR | 986 |
4914455 | URETHROCYSTOGRAPHY,VOID | 934 |
4914470 | TRANSLUMBAR RENAL CYST | 1255 |
4914478 | PELVIC/HIP AREA SUPERFICIAL BIOPSY | 3336.63 |
4914480 | Ea Intra Cran Brnch Cartd/Vert Unilat | 1144.2 |
4914483 | Ext Cartd Art unilat w/ Angio | 561.45 |
4914485 | Vert Art Uni w/ Angio inc Cer Cereb Arc | 19808.9 |
4914486 | DILATION NEPHRO/URETER | 1474 |
4914488 | Unilat Angio Cerv Cereb Arch | 12112.25 |
4914490 | Int Cartd Art w/ Angio | 19808.9 |
4914492 | Com Cartd inc Angio of Ext Cran/Cer/Cere | 12112.25 |
4914494 | Sel Cath Pl Carotd/Innomnate Artery | 12112.25 |
4914497 | Non selct cath pl Car/Ver/Thor Aorta | 12112.25 |
4914501 | Thora Needl or Cath Asp of Pleural Space | 582.25 |
4914503 | Trans Cath Retrieval Perc Intravasc | 1594.85 |
4914505 | PERC TRANSLUMINAL REVASC TOTAL OCC | 34041 |
4914507 | PERC TRANSLUMINAL REVASC ACC OCC MYO INF | 34041 |
4914740 | HYSTEROSALPINGOGRAPHY | 732 |
4915490 | ATHERCT REN/VSC | 1964 |
4915492 | ATHERCTMY ILIAC | 1964 |
4915493 | ATHERCT FEM/POP | 1964 |
4915494 | ATHERCT BRACHCP | 1964 |
4915606 | THORACIC W/SERL,COMPLT | 5517 |
4915626 | ABD TRANSLUMBAR W/SERL | 5517 |
4915631 | ABD W/BILAT ILIOFEMORAL | 11357 |
4915650 | ABD PARACENTESIS(Dx)/THERA w/ GUIDANCE | 2060 |
4915659 | BRACHIAL RETRGRD COMP | 5517 |
4915706 | SPINAL SELCTIVE,COMPLT | 5517 |
4915712 | EXTREMITY UNI W/SERIAL | 5517 |
4915718 | EXTREMITY BI W/SERIAL | 5766 |
4915727 | VISCERAL SELECTIVE,COMP | 5642 |
4915732 | ADRENAL UNILATERAL | 5517 |
4915734 | ADRENAL BILATERAL | 5517 |
4915737 | PELVIC SELECTIVE | 6167 |
4915740 | PLEURX PLEURAL CATH SYSTEM | 2750 |
4915742 | PULMONARY UNI SELECTIVE | 5517 |
4915744 | PULMONARY BI SELECTIVE | 11357 |
4915745 | PLEURX STARTER KIT | 1325 |
4915747 | PULM CATH NON-S | 1752 |
4915757 | INTERNAL MAMMARY | 2481 |
4915775 | ANGIO,ADD VESSEL COMP | 2553 |
4915821 | VENOGRAM EXTREMITY UNI | 2455 |
4915823 | VENOGRAM EXTREMITY BIL | 6093 |
4915826 | INFERIOR VENACAVAGRAM | 5517 |
4915828 | SUPERIOR VENACAVAGRAM | 2064 |
4915832 | VENOGRAPHY RENAL UNILA | 5517 |
4915834 | VENOGRAPHY RENAL BILAT | 5517 |
4915841 | VENOGRAPHY ADRENAL UNI | 5517 |
4915843 | VENOGRAPHY ADRENAL BIL | 5517 |
4915861 | VNOGRM SNUS/JUG | 2481 |
4915886 | PERC HEP PORT W | 5517 |
4915888 | PERC HEP PRT WO | 1752 |
4915890 | HEP VENGPHY W/E | 5517 |
4915892 | HEP VENGPHY WO/ | 6620 |
4915893 | VENOUS SAMPLING VIA CATH | 5517 |
4915896 | TCATH OCC EMBO-NON NEURO-HD/NK PERC | 39879.3 |
4915898 | ANGIO EXIST CATH P THRPY | 1020 |
4915901 | REM PERICTH OBST CV CAT | 576 |
4915902 | REM INTRLMNL OBST CV CT | 576 |
4915910 | REMV INTRAVASC VENA CAV FILTR | 1908.85 |
4915971 | TCATH BIOPSY | 2243 |
4915973 | SHIELD, FEMORAL CAT ID 5300A-Y | 1080 |
4915990 | PERC DRN ABSC W/CATH | 2294 |
4915991 | ATHER W/ INTRACOR STENT W/ PLASTY SINGLE | 34040.7 |
4915994 | ATHERCT RENAL | 35791.45 |
4915995 | ATHER W/ INTRACOR STENT W/ PLASTY EA ADD | 34040.7 |
4915996 | ATHERCT VISC EA | 1149 |
4915997 | FLUOROGUID FOR VEIN DVC | 658 |
4915998 | FLUORO <1HR TECH TIME | 918 |
4915999 | FLUORO >1HR TECH TIME | 1258 |
4916000 | CONTRAST INJ PERQ RAD EVAL GI TUBE | 481.53 |
4916005 | INJECT VENOGRPHY EXTRMTY | 636 |
4916010 | FLUORO BX/ASP/INJ/GUIDE | 1201 |
4916082 | FISTULA-SINUS TRCT STDY | 665 |
4916420 | CHEMO INJ IAPUSH | 630 |
4916555 | INSRT NON-TUNNL CV CTH< | 1020 |
4916556 | INSRT NONTUNNL CV CTH 5 | 1020 |
4916558 | INSRT TNL CV CTH5>WO PM | 1365 |
4916561 | INSRT TUNNL VAD 5>W POR | 1560 |
4916566 | INSR TNL VAD 2STS W PRT | 1560 |
4916568 | INSRT CV CATH NO PORT<5 | 1020 |
4916569 | INSRT CV CATH NO PRT 5> | 1020 |
4916578 | REPLCE CATH ONLY CVAD | 1365 |
4916580 | REPLCE NON-TUNNL CV CAT | 1020 |
4916581 | REPLACE TUNNELED CV CAT | 1365 |
4916584 | RPLC CVAD W/O PUMP | 1020 |
4916585 | REPLC COMP CVAD W SQ PR | 1020 |
4916589 | REMV TUNL CVC WO PMP/PRT | 1020 |
4916590 | RMV TUNLD CVAD W SQ POR | 1020 |
4916837 | US GDE VSC ACC | 432 |
4916942 | US GUIDANCE | 2164 |
4917553 | PRC BLIARY BPSY | 6027 |
4917615 | INJECT F/CYSTO OR VCUG | 176 |
4917620 | INJECT BLADDER RETRO UR | 197 |
4917635 | 3D RNDR 1&R CT MRI-US-OTH POST PCX | 2264.65 |
4917745 | INJECT WRIST XRAY | 277 |
4917755 | INSERT BILE DUCT DRAIN | 2152 |
4917775 | INSERT URETERAL TUBE | 799 |
4917782 | INTRO LONG GI TUBE | 1017 |
4917805 | PLACE CATH AORTC TRNSLM | 636 |
4917815 | PLACE CATH ART ABD 1ST | 636 |
4917820 | PLACE CATH ART ABD 2ND | 636 |
4917825 | PLACE CATH ART ABD 3RD | 636 |
4917830 | PLACE CATH ART ADD ORDR | 636 |
4917835 | PLACE CATH ART 1ST ORDR | 636 |
4917840 | PLACE CATH ART 2ND ORDR | 636 |
4917845 | PLACE CATH ART 3RD ORDR | 636 |
4917865 | PLACE CATH EXTRM ARTERY | 636 |
4917880 | PLACE CATH VEIN SHUNT | 636 |
4917885 | PLACE CATH VEIN 1ST ORD | 636 |
4917890 | PLACE CATH VEIN 2ND ORD | 636 |
4917965 | REPAIR BLOCKG PERC ILIAC | 1374 |
4917970 | REPAIR BLOCKG PERC TIBIO | 1964 |
4917975 | REPAIR BLOCKG PERC VENOS | 1228 |
4917980 | REPAIR BLOCKG PERC VISCR | 2290 |
4917995 | TRANSCATH THRPY ANY TYPE | 676 |
4918007 | TRANSCATH RTRVL PERC FB | 1026 |
4918010 | TRANSCATHETER OCCLUSION | 3591 |
4918015 | TUBE JEJUNOSTOMY | 645 |
4918021 | PTA TIB-PERI ART/BRNCHS | 7917 |
4918022 | PTA RENAL OR VISCERAL | 7917 |
4918023 | PTA AORTA | 7917 |
4918024 | PTA ILIAC | 7917 |
4918026 | PTA BRACH-CEPHALIC | 7917 |
4918027 | PTA VENOUS | 7917 |
4918028 | ATHRCTMY PERC REN/VISCRL | 7917 |
4918029 | ATHRCTMY PERC AORTIC | 7917 |
4918030 | VENIPUNCTR, NON-ROUTINE | 636 |
4918031 | ATHRCTMY PERC ILIAC | 7917 |
4918032 | ATHRECTMY PERC FEM-POP | 7917 |
4918033 | ATHRECTMY PERC BACH-CEPH | 7917 |
4918034 | ATHRCTMY PERC TIBPRINEAL | 7917 |
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 | 1617 |
4918157 | IN N/TNLD CTRL VNOUS CTH | 4179 |
4918158 | INSRT TNLD CTRL VNS CTH | 11508 |
4918160 | INSRT PERI CTRL VNS CTH | 4200 |
4918161 | INST PERI CTRL VNOUS CTH | 4179 |
4918162 | REPLD CTH CV ACCESS DVCE | 4179 |
4918163 | REPLD NON-TUNNLD CV CTH | 1617 |
4918164 | REPLD TUNNLD CV CATH | 4689 |
4918165 | RPLD TNLD CTRL VNOUS CTH | 5256 |
4918166 | REPLD PERIH CV CTH | 2151 |
4918167 | RPLD PERI CV ACCESS DVCE | 4689 |
4918168 | REMV TUNL CVC WO PMP/PRT | 1617 |
4918169 | RMVE CV CTH NO PRT | 1617 |
4918170 | RMV OBSTR CV DVCE | 4179 |
4918512 | RMV OBSTR CV DEVICE | 1617 |
4918513 | REPOSITION CV CATH | 1617 |
4918514 | INJCT CNTRST CV ACC DVCE | 120 |
4918515 | PLACE CATH ART ADD ORDR | 5970 |
4918516 | PRIM PERC THROMBECTOMY | 6957 |
4918517 | PERC THROMBCTY 2ND&SUBSQ | 6957 |
4918518 | SCONDRY PRC THRMBCTMY | 6957 |
4918519 | PERC THRMBCTMY W PHRM IN | 6957 |
4918520 | PERC THRMBTMY W INJ RPLD | 6957 |
4918521 | BIOPSY TRANSCATH | 1131 |
4918522 | TRANSCATH THPY/INFUSE | 381 |
4918523 | TRANSCATH THPY/INFUSE | 381 |
4918524 | TRANSCATH RETRIEVAL FB | 2994 |
4918525 | TRANSCATH OCCL PERC | 5385 |
4918526 | TRANSCTH PLCMT STNT INIT | 12624 |
4918527 | TRNSCTH PLCE STNT E/AD V | 12624 |
4918528 | EXCHG INTRVSCLR CATH | 2994 |
4918529 | EMBLZTN UTER ARTERIE | 7926 |
4918530 | INTRPT INFRIOR VENA CAVA | 6402 |
4918531 | PTA AV FIS OR GRAFT ART | 7917 |
4918532 | PTA FIS OR GRAFT VENOUS | 7917 |
4918533 | INTR NDL CTH VEIN | 636 |
4918544 | INTR NDL CTH ARTRY | 636 |
4918600 | REVASC FEM/POP w/ ATH | 25399 |
4918610 | REVASC FEM/POP w/ STENT | 25587 |
4918620 | REVASC FEM/POP w/ STENT/ ATH | 45306 |
4918630 | REVASC TIB / PER w/ TLA | 15167.67 |
4918640 | RE/ENDOVASC OPE/PERC TIB PERART UNI w/ I | 32208.67 |
4918650 | REV. ENDOV. OPEN/PERC. TIBIAL PERONEAL | 41946.56 |
4918660 | TRANSLUMINAL STENT PLACE./ ATHERECTOMY | 55592.67 |
4918670 | REV. ENDOV. OPEN/PERC. TIBIAL PERONEAL | 13906.31 |
4918680 | UNI. EACH ADDI. W/ ATHER. INCL. ANGIOPLA | 24748 |
4918900 | SPINAL PUNCTURE, LUMBAR | 246 |
4919011 | LUMBAR RHIZOTOMY LEVEL 1 | 4406.4 |
4919012 | LUMBAR RHIZOTOMY LEVEL1 | 4406.4 |
4919023 | LUMBAR RHIZOTOMY, EA ADDTNL LEVEL | 2613.35 |
4919024 | LUMBAR RHIZOTOMY, EA ADDTNL LEVEL | 2613.35 |
4919036 | CERVICAL CAROTID STENT w/ DISTAL PROTECT | 4173 |
4919048 | TEMPORARY BALLOON OCCLUSION | 2072 |
4919060 | CENTRAL NERVOUS SYSTEM EMBOLIZATION | 4096 |
4919072 | HEAD AND NECK EMBOLIZATION | 3207 |
4919078 | PTA-RE/ENDOVASC UNI INITIAL VES w/ ANGIO | 42390.25 |
4919084 | PTA + STENT PLACEMENT | 65656.58 |
4919090 | EA ADDTNL VESSEL w/ PTA | 31489 |
4919096 | EA ADDTNL VESSEL w/ STENT | 42424 |
4919102 | PTA FEM POPLITEAL ART w/ TRAN ANGIO | 28367.58 |
4919108 | TRANSCAT PLCMNT OF INTRAVASC STENT | 16563 |
4919114 | INTRACRANIAL PRESSURE MONITORING (IPC) | 1584.95 |
4919539 | BALLOON ANGIOPLASTY INTRACRANIAL, PERC | 6197.1 |
4919541 | BALLOON DIL-INTRACRANIAL VASOPASM EA ADD | 1144.75 |
4919544 | BALLOON DILATATION-INTRACRANIAL VASOPASM | 3255.1 |
4919545 | BALLOON DILAT-INTRA-C VASPSM EA. ADD-ON | 2288 |
4919550 | TRANSC THE ART INFUSION FOR THROMBOLYSIS | 4289.15 |
4919551 | VENOUS INFUSION FOR THROMBOLYSIS | 4289.15 |
4919552 | ART/VEN INF FOR THROMBO OTH THAN CORONAR | 9571.01 |
4919553 | CESS OF THROMBO INC REMOV CATH & VES CLO | 9571.01 |
4919555 | TRANSCATH PLACEMENT INTRAVASCULAR STENT | 13030.18 |
4919557 | TRANSCA. PLACE. INTRAVAS STENT EA ADD | 6301.61 |
4919559 | TRANSC PLACE INTRAV STENT OPEN-PERCUTAN | 13030.18 |
4919561 | TRANS CATH PLACE-OPEN-PERCUTAN-EA ADD | 6301.61 |
4919563 | VASCULAR EMBOLIZ OR OCCLUSSION VENOUS | 12634.43 |
4919565 | VASCULAR EMBOLIZ ARTERIAL | 12634.43 |
4919567 | VASC EMBOL-OCCLUSION-TUMOR -INFARC | 12634.43 |
4919569 | VASC EMB-OCCL ARTER OR VENOUS-LYMPH | 12634.43 |
5050141 | CTA HRT LV RV FUNC WCONT $ | 3192 |
5050146 | CTA CARD WO CALC EVAL $ | 3511 |
5050147 | CTA HRT QUANT EVAL WCONT $ | 2638 |
5050148 | CTA CARD WO CALC EVAL $ | 3511 |
5050149 | CTA CARD W CALC EVAL $ | 3511 |
5050150 | CTA HRT EVAL STRUCTR WCO $ | 2902 |
5050200 | CT SINUS W/CM $ | 4309 |
5050202 | CT SINUS W/O CM $ | 3675 |
5050204 | CT SINUS WO/W CM $ | 5318 |
5050215 | CTA HEART W CONT $ | 3511 |
5050450 | CT HEAD/BR W/O CM $ | 3712 |
5050461 | CTA CHST NON COR WO/W C $ | 2110 |
5050468 | CT BRAIN W/CM $ | 4077 |
5050478 | CT BRAIN WO/W CM $ | 5721 |
5050486 | CT FACIAL W/O CM $ | 3675 |
5050487 | CT FACIAL W/CM $ | 4309 |
5050488 | CT FACIAL WO/W CM $ | 5318 |
5050490 | CT NECK W/O CM $ | 3716 |
5050491 | CT NECK W/CM $ | 4269 |
5050492 | CT NECK WO/W CM $ | 4354 |
5050496 | CTA ABD LE RO WO/W CONT $ | 2638 |
5050497 | CTA HEAD W CONT $ | 4746 |
5050498 | CTA ABD WO/W CONT $ | 2638 |
5050499 | CTA NECK W CONT $ | 2110 |
5050500 | CTA HEAD WO/W CONT $ | 4746 |
5050502 | CTA NCK WO/W CONT $ | 2110 |
5050504 | CTA PELVIS WO/W CONT $ | 3602 |
5050508 | CTA UE WO/W CONT $ | 2110 |
5050510 | CTA LE WO/W CONT $ | 2722 |
5050520 | CT ORB/EAR/P FOS WO CM $ | 3925 |
5050524 | CT ORB/EAR/P FOS W CM $ | 4111 |
5050528 | CT ORB/EAR/P FOS WO/W CM $ | 4663 |
5050535 | CT SCAN ABDOMEN & PELVIS W/ CONT | 3000 |
5050540 | CT SCAN ABDOMEN & PELVIS W/O CONT | 1940 |
5050545 | CT SCAN ABDOMEN & PELVIS W AND W/O CONT | 3340 |
5050546 | CT SCAN ABDOMEN & PELVIS w/ and w/o CONT | 3340 |
5051250 | CT CHEST W/O CM $ | 2894 |
5051260 | CT CHEST W/CM $ | 3272 |
5051270 | CT CHEST WO/W CM $ | 3798 |
5051274 | CTA CHEST WCONT $ | 2110 |
5052125 | CT SP CERV W/O CM $ | 4687 |
5052126 | CT SP CERV W/CM $ | 5332 |
5052127 | CT SP CERV WO/W CM $ | 6053 |
5052128 | CT SP THOR W/O CM $ | 3242 |
5052129 | CT SP THOR W/CM $ | 4174 |
5052130 | CT SP THOR WO/W CM $ | 5142 |
5052131 | CT SP LUMB W/O CM $ | 3342 |
5052132 | CT SP LUMB W/CM $ | 4299 |
5052133 | CT SP LUMB WO/W CM $ | 5294 |
5052143 | CT CEREBRAL PERFUSION | 1698.2 |
5052192 | CT PELVIS W/O CM $ | 3608 |
5052193 | CT PELVIS W/CM $ | 5148 |
5052194 | CT PELVIS WO/W CM $ | 5673 |
5052196 | CTA PELV W CONT $ | 3602 |
5053200 | CT UE W/O CM $ | 3693 |
5053201 | CT UE W/CM $ | 4714 |
5053202 | CT UE WO/W CM $ | 6203 |
5053206 | CTA UE W CONT $ | 2110 |
5053700 | CT LE W/O CM $ | 4128 |
5053701 | CT LE W/CM $ | 5360 |
5053702 | CT LE WO/W CM $ | 5556 |
5053703 | CT LE WO/W CM BI $ | 0 |
5053706 | CTA LE W CONT $ | 2722 |
5054150 | CT ABDOMEN W/O CM $ | 3618 |
5054160 | CT ABDOMEN W/CM $ | 4180 |
5054170 | CT ABDOMEN WO/W CM $ | 4748 |
5054175 | CTA ABD W CONT $ | 2638 |
5055635 | CTA AB LE BI ILIOF W/CON $ | 2638 |
5056355 | CT STEREOTACTIC LOCALZTN $ | 1449 |
5056360 | CT GUIDE TISSUE ABLATIO | 940 |
5056361 | CT GUIDANCE NDL PLACEMNT $ | 2898 |
5056370 | CT GUIDE RAD THERAPY FL $ | 978 |
5056380 | CT RECONSTR * | 1250 |
5056505 | CT LTD OR LOC F/U STUDY $ | 1564 |
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 |
5066536 | SOFT TISSUE HEAD/NECK | 1823 |
5066538 | US THYROID | 1822.85 |
5066604 | US CHEST REAL TIME M | 1130 |
5066637 | THORANCENTS TUBE INSERT | 473 |
5066641 | US BREAST UNILAT. INCLUDES AXILLA | 968 |
5066660 | BRST PREOP PL NDL 1ST LS | 473 |
5066700 | US ABDOMEN COMPLETE | 2103 |
5066705 | US ABDOMEN LTD/QUAD/FU | 1498 |
5066770 | US RETROPERITONEAL COMP | 1796 |
5066782 | US SCROTUM CONTENTS | 1780 |
5066800 | US SPINAL CANAL | 1056 |
5066810 | US OB LTD 1OR> FETUS | 1476 |
5066811 | US OB COMP W FETL ANATM | 564 |
5066816 | US OB TRANSVAGINAL | 436 |
5066818 | FETAL BIOPHYSICAL PROF | 1240 |
5066825 | US OB COMP>14WK SGL GEST | 275 |
5066826 | US OB F/U PER FETUS | 137 |
5066828 | INFANT HEAD ECHO | 1288 |
5066830 | US TRANSVAGINAL | 1130 |
5066831 | HYSTEROSNGRPH | 303 |
5066856 | US PELVIC COMPLETE | 1924 |
5066873 | US TRANSRECTAL | 1365 |
5066880 | US EXTREMITY, NON VASCULAR LTD | 362 |
5066881 | US EXTREMITY NON VASCULR | 1299 |
5066885 | US INFANT HIPS, LTD.STATIC | 341 |
5066931 | US GUIDE PERICARDIOCENTS | 909 |
5066937 | US GUIDE VASCULAR ACCES | 432 |
5066940 | US GUIDE TISSUE ABLATIO | 272 |
5066960 | US GUIDE NEEDLE PLACEMNT | 2164 |
5066970 | US STUDY F/U | 826 |
5066986 | INTRAOPERATIVE ECHO | 1710 |
5067510 | BX LUNG/MEDIASTN PERC ND | 473 |
5067515 | BX MUSCLE,PERC NDL | 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 |
5067568 | US OF AXILLARY | 362 |
5067582 | DRN PERCUT ABSCESS | 473 |
5069063 | IMAGE GUIDED FLUID COLL DRAIN INC GUIDAN | 877 |
5069065 | BIOPSY BREAST PLACMT LOC DEVICE | 877 |
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 | 666 |
5069077 | PLACE BRST LOC DEV EA ADD INC STEREO GUI | 269.95 |
5069079 | PLCT LOCZTION DEV 1ST LESION INC ULTRASD | 666 |
5069081 | PLCMT LOC DEV W/ US GUIDE EA ADD | 269.95 |
5069083 | PLCMT BREAST LOC UNDER MRI GUIDE | 666 |
5069085 | PLCMT BREAST LOC/MRI GUIDE EA ADD | 269.95 |
5070080 | MINOR GI LAB 1/2HR | 2631 |
5070084 | MINOR GI LAB ADDL MIN | 88 |
5071037 | CYTOLOGY | 170 |
5071066 | ESOPHAGUS-BERNSTEIN TEST | 750 |
5107280 | RADTHER SIMULATION SMPLE | 732 |
5107285 | RADTHER SIMULATION INTER | 2341 |
5107290 | RADTHER SIMULATION CMPLX | 2493 |
5107295 | RADTHER 3-D RECON DOSMTR | 3105 |
5107300 | BASIC RADIATION DOSIMTRY | 828 |
5107302 | IMRT PLAN W DOSE VOLUME | 4059 |
5107305 | TELETHER ISODOSE SIMPLE | 748 |
5107310 | TELETHER ISODOSE INTERM | 990 |
5107315 | TELETHER ISODOSE CMPLEX | 990 |
5107321 | SPEC TELETHER PORT PLAN | 848 |
5107326 | BRACHYTHERAPY SIMPLE | 461 |
5107327 | BRACHYTHERAPY INTERMED | 610 |
5107328 | BRACHYTHERAPY COMPLEX | 1045 |
5107331 | SPECIAL DOSIMETRY | 479 |
5107332 | TX DVC, DESIGN, SMPL | 514 |
5107333 | TX DVC, DESIGN, INT | 601 |
5107334 | TX DVC, DESIGN, CMPLX | 684 |
5107336 | RADPHYSICS CONSULT P/WK * | 883 |
5107338 | MULTI-LEAF COLLIMATOR DEVICE FOR IMRT | 1428.8 |
5107370 | RADPHYSICS SPEC CONSULT * | 1074 |
5107402 | MEGAVOLT/RX SNGL +20 | 779 |
5107403 | MEGAVOLT/RX SINGLE 6-10 | 779 |
5107404 | MEGAVOLT/RX SINGLE 11-19 | 779 |
5107408 | MEGAVOLT/RX TWO 6-10 | 869 |
5107409 | MEGAVOLT/RX TWO 11-19 | 869 |
5107410 | DAILY MEGAVLT TRT CMPLEX | 1711 |
5107412 | MEGAVOLT/RX 3 +20 | 1711 |
5107413 | MEGAVOLT/RX THREE 6-10 | 1711 |
5107414 | MEGAVOLT/RX THREE 11-19 | 1711 |
5107416 | PORT FILM | 467 |
5107418 | IMRT SNGL/MULT PER SESS | 4598 |
5107427 | RADIATION TX MGMT, 5 TX * | 772 |
5108999 | 00000 XRAY THER MISC | 0 |
5191066 | IN 111 SATUMOMAB DOSE $ | 3289 |
5191094 | TC99 ALBUMIN MAA PERDOSE $ | 395 |
5191400 | GA67 CITRATE 1MCI $ | 1944 |
5191724 | IN111 DTPA .5MCI $ | 938 |
5191729 | IN111 OXINE .5MCI $ | 982 |
5191760 | IN111 PENTETREOT.PERDOSE $ | 9561 |
5194010 | TC99 MEDRONAT UPTO 30MCI $ | 1703 |
5194060 | TC99 ALBUMIN COLLOID DOS $ | 1446 |
5194065 | TC99M TSC SULFUR COLLOID UD | 417.9 |
5194120 | TC99 GLUCOHEPTONATE VIAL $ | 1869 |
5194126 | TC99 MERTIATIDE PER DOSE $ | 1975 |
5194140 | TC99 OXIDRONATE PER DOSE | 1688 |
5194165 | TC99 RBC PER DOSE $ | 1763 |
5194175 | TC99 SUCCIMER VIAL $ | 1811 |
5194190 | TC99 TETROFOSMIN DOSE $ | 1879 |
5194207 | TC99 CERETEC-EXAMETAZINE INJ, 1-30 MCI | 5058.8 |
5194800 | TL201 CHLORIDE 1MCI $ | 1715 |
5195100 | XE133 10 MCI $ | 1754 |
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 |
5199517 | TX I131 SOD CAP PER MCI | 764 |
5199530 | TX I-131 SOD SOL PER MCI | 195 |
5199531 | I 123 ADVW MIBG | 13000 |
5199532 | I 123 ADVW MIBG | 13000 |
5202012 | TUMOR LOCAL MULTIPLE | 1615 |
5202022 | TUMOR LOCAL WHOLEBODY | 2079 |
5204300 | MYOCARD TOMO SPCT SNGL | 3215 |
5204301 | MYOCARD TOMO SPCT MULT W C | 3675 |
5204302 | MYOCARD PER SNGL W EJF L | 3085 |
5204303 | MYOCARD PERF MULT W E JF L | 3215 |
5208015 | THYROID C/M IMG NCK/CHST | 966 |
5208018 | THYROID C/M IMG WHOL BDY | 2039 |
5208031 | PARATHYROID PLANAR IMAGING | 2454 |
5208104 | BONE MARROW IMG WH/BODY | 1480 |
5208186 | SPLEEN IMAG VASCULAR FLO | 1123 |
5208192 | INFL PR LCL/LTD | 1608 |
5208193 | ABSCESS LOCL WHBDY | 2892 |
5208195 | LYMPHATICS & LYMPH NODES | 3946 |
5208199 | MISC HEM/LYMP | 1440.4 |
5208205 | LIVER IMAGING (SPECT) | 2096 |
5208215 | LIVER/SPLEEN IMAG STATIC | 1813 |
5208216 | LIVER/SPLEEN VASC FLOW | 1562 |
5208223 | HEPATOBILLARY IMG INC GB | 1667 |
5208276 | GASTRIC EMPTYING STDY-DM | 2392 |
5208280 | GI BLOOD LOSS STUDY | 2409 |
5208291 | PERITONEAL SHUNT PATENCY | 1316 |
5208299 | MISC GI PROC | 1341.1 |
5208300 | BONE IMAGING LIMITED | 1932 |
5208305 | BONE IMAGING MULTIPLE | 2321 |
5208307 | BONE IMAGING WHOLE BODY | 2523 |
5208315 | BONE IMAG 3 PHASE TECH | 2876 |
5208320 | BONE IMG TOMOGRM (SPECT) | 2167 |
5208405 | MYOCARDIUM IMG TL REST | 3675 |
5208423 | MYOCARD IMAG MULT STDY | 3085 |
5208445 | VASCULAR FLOW STUDY IMAG | 1648 |
5208458 | VENOGRAM BILATERAL | 1683 |
5208465 | CARD TOM(SPECT)REST&EXCR | 3215 |
5208467 | MYOCARD INFARCT IMAGING | 3642 |
5208468 | MYOCARD INFARCT 1ST PASS | 3704 |
5208472 | GATED HEART,PLANAR,SNGL | 1983 |
5208480 | MYOCARD PERF W/EJ FRX | 3704 |
5208481 | CRD BLPL 1ST PS/RST/EF | 1152 |
5208482 | MYOCARD PERF W/WM | 4054 |
5208483 | CRD BLD PL MULT STDIES | 3289 |
5208507 | CARD TOMO REST/STRESS | 4054 |
5208510 | MYOCAR TL STR/DRUG SPECT | 4054 |
5208580 | PULM PERF PARTICULATE | 1809 |
5208594 | PULMUNARY VENT IMAGING | 1092 |
5208595 | PULMONARY VENT AND PERFUSION IMAGING | 2581 |
5208597 | QNT DIFF PULMUNARY PERFUSION INC IMAGING | 1012.25 |
5208598 | QNT DIF PULMUNARY PERF INC IMG-PERFORMED | 1582.1 |
5208601 | BRAIN IMAG LTD VASC FLOW | 1808 |
5208607 | BRAIN IMG TOMGRAM(SPECT) | 2488 |
5208610 | BRAIN IMAG VASC FLO ONLY | 952 |
5208630 | CISTERNOGRAM | 2062 |
5208635 | VENTRICULOGRAM | 2088 |
5208645 | SHUNT EVALUATION | 2015 |
5208650 | CSF LEAK DETECTION | 1975 |
5208652 | CSF TOMOGRAPHIC (SPECT) | 2055 |
5208701 | KIDNEY IMAG VASC FLOW | 1496 |
5208704 | KIDNEY IMAG FUNCTION | 2524 |
5208707 | KIDNEY IMG VASC/FUNCTION | 3034 |
5208710 | KIDNEY IMAGING | 1347 |
5208715 | KIDNEY VASCULAR FLOW | 1496 |
5208720 | KIDNEY FUNCTN NON IMAG | 1645 |
5208762 | TESTICULAR IMAGING | 1169 |
5208803 | TUMOR LOCALIZATION-SPECT | 2135 |
5208806 | ABSCESS LOCAL WHOLE BODY | 2892 |
5208825 | COMPUTER EVAL 30 MIN * | 1223 |
5208891 | COMPUTER EVAL OVER 30MIN * | 2039 |
5209000 | HYPERTHYROID INTL/NUCLID | 1586 |
5209001 | HYPERTHYROID ADD EACH | 1586 |
5209005 | RADPHARM TX ORAL | 1586 |
5209030 | THYROID CARC ABLATION | 1586 |
5209035 | THYROID CARC THERAPY | 1645 |
5209400 | THERAPY (NON THYROID) | 1033 |
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 | 966 |
5209420 | THYROID CARC W/ ADD STUDIES | 1645 |
5209425 | THYROID CARC. WHOLE BODY | 2039 |
5209430 | Thyroid Carc. Metas Uptake | 1173.3 |
5209435 | PARATHYROID W/ TOMOGRAPHIC SPEC | 2814 |
5250230 | MRI SP CERV W/WO CM $ | 6749 |
5250234 | MRI SP THOR W/WO CM $ | 7056 |
5250238 | MRI SP LUMB W/WO CM $ | 10654 |
5250301 | MRI NECK W/ CONTRAST | 5689 |
5250305 | MRI NECK wo CONTRAST | 4290 |
5250308 | MRI NECK WO/W CONTRAST | 7323 |
5250601 | MRA HEAD W/O CONTRAST $ | 6706 |
5250602 | MRA HEAD W/CONTRAST $ | 6781 |
5250603 | MRA HEAD WO/W CONTRAST $ | 7099 |
5250606 | MRA NK W/O CONTRAST $ | 7483 |
5250607 | MRA NECK W/CONTRAST $ | 8231 |
5250608 | MRA NECK WO/W CONTRAST $ | 9054 |
5250625 | MRA U/E W/WO CONT * | 4184 |
5250640 | MRA PELVIS * | 4184 |
5250662 | MRI SP CERV W/O CM $ | 3444 |
5250676 | MRI SP THOR W/O CM $ | 3444 |
5250692 | MRI SP LUMB W/O CM $ | 5568 |
5250802 | MRI BR/HEAD W/O CM $ | 5520 |
5250810 | MRI BR/HEAD W/CM $ | 6448 |
5250816 | MRI BR/HEAD W/WO CM $ | 7483 |
5250820 | MRI IAC W/ CONTRAST | 6448 |
5250822 | MRI IAC W/O CONTRAST | 5520 |
5250824 | MRI IAC WO/W CONTRAST | 7483 |
5250840 | MRI UE NO JNT W/O CONT $ | 1935 |
5250842 | MRI UE NO JNT W/CONTRAS $ | 2079 |
5250846 | MRI UE JNT WO/W CONTRAS $ | 7386 |
5250848 | MRI UPPER EXT ANY JT W/ CONTRAS $ | 6062 |
5250850 | MRI PELVIS W/O CONTRAST $ | 5633 |
5250852 | MRI PELVIS WO/W CONTRAST $ | 6830 |
5250939 | MRI CARD MORPH W/CM $ | 5136 |
5250945 | MRI CARD FUNCT COMP $ | 4669 |
5250971 | MRI CHEST W/CONTRAST $ | 3542 |
5250973 | MRI CHEST W/O AND W/ CONTRAST $ | 4437 |
5250974 | MRI ABD W/CONTRAST $ | 8137 |
5251000 | MRI ABD WO/W CONTRAST $ | 8649 |
5251003 | MRI LE NO JNT W/CONTRAS $ | 4529 |
5251004 | MRI LE NO JNT W/O CONT $ | 3853 |
5251006 | MRI LE JNT W/CONTRAST $ | 4089 |
5251007 | MRI LE JNT WO/W CONTRAS $ | 6506 |
5251023 | MRI ORBIT/FACE/NECK EXT $ | 4290 |
5251025 | ORB/FACE&/OR NK $ | 4290 |
5251035 | MRI TMJ $ | 3253 |
5251040 | MRI CHEST WO $ | 3253 |
5251050 | MRI PELV W CTRS $ | 6506 |
5251055 | MRI UE/NOT JNT WO/W CTRS $ | 2528 |
5251060 | MRI UE/JNT WO CTRS $ | 3444 |
5251065 | MRI LE/NOT JNT WO/W CTRS $ | 5747 |
5251070 | MRI LE/JNT WO CTRS $ | 2927 |
5251075 | MRI ABD WO CTRS $ | 5112 |
5252142 | MRI SP CERV W/CM $ | 5103 |
5252147 | MRI SP THOR W/CM $ | 4845 |
5252149 | MRI SP LUMB W/CM $ | 8813 |
5258899 | MRA ABDOMEN W CONT $ | 5652 |
5258901 | MRA ABDOMEN WO CONT $ | 5652 |
5258902 | MRA ABDOMEN WO/W CONT $ | 5652 |
5258903 | MRI BRST UNI W CONT $ | 3253 |
5258904 | MRI BRST UNI WO CONT $ | 2079 |
5258905 | MRI BRST UNI WO/W CONT $ | 4023 |
5258906 | MRI BRST BIL W CONT $ | 3253 |
5258907 | MRI BRST BIL WO CONT $ | 2079 |
5258908 | MRI BRST BIL WO/W CONT $ | 4023 |
5258909 | MRA CHEST W CONT $ | 4184 |
5258910 | MRA CHEST WO CONT $ | 4184 |
5258911 | MRA CHEST WO/W CONT $ | 4184 |
5258912 | MRA LWR EXT W CONT $ | 4184 |
5258913 | MRA LWR EXT WO CONT $ | 4184 |
5258914 | MRA LWR EXT WO/W CONT $ | 4184 |
5258918 | MRA PELVIS WITH CONT $ | 1510 |
5258919 | MRA PELVIS WO CONT $ | 1377 |
5258920 | MRA PELVIS WO/W CONT $ | 1735 |
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 |
5301155 | ATOVAQUONE/PROGUANIL TAB 250MG/100MG | 0 |
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 |
5302077 | CARVEDILOL 3.125MG + | 18 |
5302078 | CARVEDILOL 6.25MG + | 18 |
5302079 | CARVEDILOL 12.5MG + | 8 |
5302080 | CARVEDILOL 25MG + | 8 |
5302118 | CEFIXIME 400MG TABLET + | 44 |
5302122 | CEFUROXIME AXETIL 500MG + | 20 |
5302129 | CELECOXIB 100MG + | 15 |
5302130 | CELECOXIB 200MG + | 9 |
5302204 | CEPHALEXIN 250MG + | 9 |
5302208 | CEPHALEXIN 500MG + | 15 |
5302245 | CETIRIZINE 5MG + | 19 |
5302246 | CETIRIZINE 10MG + | 19 |
5302331 | CHLORAMBUCIL 2MG + | 15 |
5302380 | CHLORDIAZ/CLIDIN 5/2.5 + | 11 |
5302385 | CHLORDIAZEPOXIDE 5MG + | 15 |
5302389 | CHLORDIAZEPOXIDE 10MG + | 15 |
5302393 | CHLORDIAZEPOXIDE 25MG + | 20 |
5302565 | CHLORPHENIRAMINE 4MG + | 9 |
5302590 | CHLORPROMAZINE 10MG + | 9 |
5302594 | CHLORPROMAZINE 25MG + | 11 |
5302598 | CHLORPROMAZINE 50MG + | 9 |
5302600 | CHLORPROMAZINE 100MG + | 11 |
5302667 | CHLORTHALIDONE 25MG TAB | 0 |
5302694 | CHLORZOXAZONE 500MG + | 19 |
5302730 | CILOSTAZOL 50MG + | 7 |
5302731 | CILOSTAZOL 100MG + | 7 |
5302762 | CINACALCET 30MG + | 41 |
5302763 | CINACALCET 60MG + | 82 |
5302772 | CITALOPRAM 40MG + | 11 |
5302773 | CITALOPRAM 20MG + | 11 |
5302774 | CITALOPRAM 10MG + | 0 |
5302775 | CIPROFLOXACIN 250MG + | 6 |
5302776 | CIPROFLOXACIN 500MG + | 20 |
5302780 | CLARITHROMYCIN 250MG + | 27 |
5302781 | CLARITHROMYCIN 500MG + | 20 |
5302814 | CLINDAMYCIN 150MG + | 18 |
5302894 | CLOTRIMAZOLE TROCHE + | 14 |
5302900 | CLOMIPRAMINE 25mg | 0 |
5302910 | CLONAZEPAM .5MG + | 14 |
5302914 | CLONAZEPAM 1MG + | 14 |
5302941 | CLONIDINE .1MG + | 9 |
5302945 | CLONIDINE .2MG + | 9 |
5302949 | CLONIDINE .3MG + | 11 |
5302965 | CLOPIDOGREL 75MG + | 20 |
5302966 | CLOPIDOGREL 300MG + | 73 |
5303017 | CLOZAPINE 100MG + | 12 |
5303042 | COLCHICINE TAB .6MG + | 11 |
5303043 | COLESEVALAM 625 + | 9 |
5303044 | COLESEVELAM HCL 3.75GM | 0 |
5303050 | CONJ ESTROG.625MEDROX 5mg + | 15 |
5303051 | CONJ ESTROG.625MEDROX2.5 + | 15 |
5303065 | CONJUGATED ESTR .3MG + | 11 |
5303069 | CONJUGATED ESTR .625MG + | 9 |
5303089 | CORTISONE 25MG + | 11 |
5303123 | SULFAMETHOX/TRIMETH TAB + | 11 |
5303135 | CRANBERRY EXTRACT 405MG CAP | 0 |
5303254 | CYCLOBENZAPRINE 10MG + | 0 |
5303277 | CYCLOPHOSPHAMIDE 25MG + | 18 |
5303280 | CYCLOPHOSPHAMIDE 2GM | 0 |
5303281 | CYCLOPHOSPHAMIDE | 3.84 |
5303285 | CYCLOPHOSPHAMIDE 500MG | 0 |
5303289 | CYCLOSPORIN 25MG SOFTGEL + | 18 |
5303290 | CYCLOSPORIN 100MG (NEOR) | 33 |
5303304 | CYPROHEPTADINE 4MG + | 14 |
5303373 | DANAZOL 200 MG PO+ | 4.77 |
5303375 | DANAZOL 100MG | 0 |
5303419 | DANTROLENE 25MG + | 11 |
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 |
5303456 | DIDANOSINE 200MG + | 20 |
5303458 | DIDANOSINE 400MG + | 37 |
5303519 | DEMECLOCY TAB 150MG + | 19 |
5303525 | DEMECLOCY TAB 300MG + | 28 |
5303568 | DESIPRAMINE 10MG + | 9 |
5303573 | DESIPRAMINE 50MG + | 11 |
5303596 | DEXAMETHASONE .5MG + | 11 |
5303603 | DEXAMETHASONE 2MG + | 11 |
5303604 | DEXAMETHASONE 4MG + | 9 |
5303610 | DEXAMETHASONE 1MG + | 9 |
5303615 | DEXMEDETOMIDINE 100MCG-1ML 2ML INJ | 0 |
5303630 | DEXTROMETHORPHAN-GUAIFENESIN30-600MG PO+ | 0.44 |
5303664 | DEX4 GEL 15 GM | 0 |
5303708 | DIAZEPAM 2MG + | 15 |
5303712 | DIAZEPAM 5MG + | 15 |
5303720 | DIAZOXIDE 50mg/ml 30 mL | 0 |
5303746 | DICLOFENAC 50MG + | 15 |
5303747 | DICLOFENAC 75MG + | 15 |
5303766 | DICLOXACIL 250MG + | 11 |
5303820 | DICYCLOMINE 10MG + | 11 |
5303824 | DICYCLOMINE 20MG + | 11 |
5303944 | DIGOXIN .125MG + | 9 |
5303945 | CETACAINE (BUTAMBEN-TETR-BENZO) 2%-14-2% | 0 |
5303952 | DIGOXIN .25MG + | 9 |
5304033 | DILTIAZEM 30MG + | 11 |
5304037 | DILTIAZEM 60MG + | 11 |
5304038 | DILTIAZEM 90MG + | 14 |
5304040 | DILTIAZEM SR 90MG + | 14 |
5304042 | DILTIAZEM SR 60MG + | 15 |
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 |
5304091 | DIPHENHYDRAMINE 50MG + | 6 |
5304095 | DIPHENHYDRAMINE ZINC ACET 2-0.1% 28gm | 0 |
5304098 | DIPHENOXYLATE/ATRP TAB + | 14 |
5304114 | DIPYRIDAMOLE 25MG + | 9 |
5304123 | DIPYRIDAMOLE/ASA SR CAP + | 7 |
5304190 | DIVALPROEX NA 125MG + | 11 |
5304191 | DIVALPROEX NA 250MG + | 14 |
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 |
5304219 | DOCUSATE SOD 100MG + | 1 |
5304223 | DOCUSATE SOD 250MG + | 9 |
5304250 | DONEPEZIL 5MG + | 27 |
5304255 | DONEPEZIL 23MG TAB | 0 |
5304336 | DOXAZOSIN 2MG + | 19 |
5304337 | DOXAZOSIN 4MG + | 19 |
5304342 | DOXEPIN 10MG + | 9 |
5304365 | DOXEPIN 25MG + | 9 |
5304367 | DOXEPIN 50MG + | 11 |
5304379 | DOXERCALCIFEROL(HECTORAL)0.5 MCG PO+ | 7.44 |
5304388 | DOXYCYCLINE 50MG + | 15 |
5304392 | DOXYCYCLINE 100MG + | 11 |
5304410 | DULOXETINE 20MG + | 14 |
5304411 | DULOXETINE 30 MG + | 15 |
5304412 | DULOXETINE 60MG + | 15 |
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 |
5304460 | ENTACAPONE 200MG + | 8 |
5304469 | ERGOCALCIFEROL 50000U + | 14 |
5304519 | ERGOT ALK 1MG + | 14 |
5304585 | ERGOTAMINE-CAFF + | 11 |
5304600 | ERLOTINIB 25MG + | 108 |
5304601 | ERLOTINIB 100MG + | 296 |
5304602 | ERLOTINIB 150MG + | 335 |
5304641 | ERYTHROMYCIN EC (ERYTAB)333MG PO+ | 0.4 |
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 |
5304652 | CRANBERRY 200MG | 0 |
5304653 | ERYTHROMYCIN BASE 500MG + | 151 |
5304655 | ERYTHROMYCIN STEAR 250M + | 1 |
5304657 | ERYTHROMYCIN STEAR 500M + | 1 |
5304665 | ESCITALOPRAM 10MG + | 9 |
5304666 | ESCITALOPRAM 20MG + | 9 |
5304667 | FINASTERIDE(PROPECIA) 1MG | 0 |
5304700 | EXEMESTANE 25MG TAB | 0 |
5304770 | ETHAMBUTOL 100MG + | 15 |
5304774 | ETHAMBUTOL 400MG + | 15 |
5304820 | ETHOSUXIMIDE 250MG CAP | 0 |
5304875 | EZETIMIBE 10MG + | 13 |
5304890 | ETOPOSIDE 50MG | 88 |
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 |
5304920 | FELODIPINE 5MG + | 15 |
5304933 | FENOFIBRATE (TRICOR)48MG PO | 1.61 |
5304935 | FENOFIBRATE MICRONIZED 134mg CAP- LOFIBR | 0 |
5304937 | FENOFIBRATE MIC 160MG + | 11 |
5304938 | FENOFIBRATE 145 MG+ + | 16 |
5304940 | FENOFIBRATE MICRONIZED 200mg CAP- LOFIBR | 0 |
5304943 | FENOFIBRIC ACID (CHOLINE) | 0 |
5305017 | FERROUS GLUCONATE 325MG | 0 |
5305042 | FERROUS SULF 160MG + | 0 |
5305044 | FERROUS SULF 325MG | 0 |
5305059 | FEXOFENADINE 180MG + | 11 |
5305062 | FEXOFENADINE 60MG + | 5 |
5305066 | FINASTERIDE 5MG + | 25 |
5305083 | FLECAINIDE 50mg | 0 |
5305085 | FLECAINIDE 100MG + | 15 |
5305095 | FLUCONAZOLE 50MG + | 28 |
5305096 | FLUCONAZOLE 100MG + | 38 |
5305097 | FLUCONAZOLE 200MG + | 48 |
5305102 | FLUCYTOSINE 250MG + | 15 |
5305106 | FLUCYTOSINE 500MG + | 19 |
5305115 | FLUDARABINE 50MG SOLN-FLUDARA | 0 |
5305129 | FLUDROCORTISONE .1MG + | 14 |
5305159 | FLUOXETINE 10MG + | 20 |
5305160 | FLUOXETINE 20MG + | 19 |
5305204 | FLUPHENAZINE 2.5MG + | 11 |
5305206 | FLUPHENAZINE 1MG + | 11 |
5305207 | FLUPHENAZINE 5MG TAB + | 14 |
5305221 | FLURAZEPAM 15MG + | 14 |
5305228 | FLUTAMIDE 125MG CAP | 0 |
5305229 | FOLIC ACID 400 MCG PO+ | 0.02 |
5305233 | FOLIC ACID 1MG + | 9 |
5305234 | FLUVOXAMINE 25 MG | 0 |
5305245 | FOSAMPRENAVIR 700MG + | 37 |
5305279 | FUROSEMIDE 20MG + | 9 |
5305283 | FUROSEMIDE 40MG + | 14 |
5305287 | FUROSEMIDE 80MG + | 9 |
5305290 | GABAPENTIN 100MG + | 11 |
5305291 | GABAPENTIN 300MG + | 15 |
5305292 | GABAPENTIN 400MG + | 15 |
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 |
5305321 | GLIMEPIRIDE 2MG + | 11 |
5305322 | GLIMEPIRIDE 4MG + | 15 |
5305345 | GLIPIZIDE 5MG + | 11 |
5305346 | GLIPIZIDE XL 5MG + | 11 |
5305347 | GLIPIZIDE 10MG + | 11 |
5305348 | GLIPIZIDE XL 10MG + | 11 |
5305350 | GLUCOSAMIN CHONDROL MANG + | 14 |
5305411 | GLYBURIDE TAB 2.5MG + | 11 |
5305413 | GLYBURIDE TAB 5MG + | 11 |
5305429 | GLYCOPYRLTE 1 MG + | 5 |
5305481 | GUAIFENESIN 600MG + | 2 |
5305610 | HALOPERIDOL .5MG + | 11 |
5305614 | HALOPERIDOL 1MG + | 14 |
5305622 | HALOPERIDOL 5MG + | 9 |
5305672 | HYDRALAZINE 10MG + | 9 |
5305676 | HYDRALAZINE 25 MG + | 9 |
5305680 | HYDRALAZINE 50MG + | 9 |
5305715 | HYDROCHLOROTHIA 25MG + | 9 |
5305739 | HYDROCORTISONE 5MG + | 14 |
5305742 | HYDROCORTISONE 10MG + | 15 |
5305788 | HYDROXYCHLOROQU 200MG + | 15 |
5305811 | HYDROXYUREA 500MG + | 15 |
5305820 | UREA 20% 85GM | 0 |
5305830 | HYDROXYZINE 10MG + | 9 |
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 |
5305950 | IMIPRAMINE 25MG + | 9 |
5305954 | IMIPRAMINE 50MG + | 9 |
5306000 | INDOMETHACIN 25MG + | 9 |
5306004 | INDOMETHACIN 50MG + | 11 |
5306052 | IRBESARTAN 300MG + | 8 |
5306056 | IRON POLYSACCHAR 150MG + | 2 |
5306100 | ISONIAZID 300MG + | 9 |
5306173 | ISOSORBIDE 5MG + | 9 |
5306177 | ISOSORBIDE 10MG + | 11 |
5306181 | ISOSORBIDE 20MG + | 9 |
5306182 | ISOSORBIDE MONO 20MG + | 11 |
5306184 | ISOSORBIDE MONONITR 30MG + | 18 |
5306185 | ISOSORBIDE SR 40MG + | 14 |
5306186 | ISOSORBID MONONI ER 60MG + | 15 |
5306257 | ITRACONAZOLE 100MG + | 28 |
5306280 | IVERMECTIN 3MG + | 0 |
5306293 | KETOCONAZOLE 200MG + | 19 |
5306300 | KETOROLAC 10MG + | 19 |
5306320 | LABETALOL 100MG TAB + | 9 |
5306321 | LABETALOL 200MG TAB + | 11 |
5306339 | LACTOBACILLUS CAPS + | 11 |
5306342 | LAMIVUDINE 100MG + | 18 |
5306343 | LACTOBACILLUS TABS + | 14 |
5306344 | LAMIVUDN/ZIDOVUDN150/300 + | 36 |
5306345 | LAMIVUDINE 150MG + | 27 |
5306346 | LAMOTRIGINE 25MG + | 11 |
5306347 | LAMOTRIGINE 100MG + | 15 |
5306349 | LAMOTRIGINE 200MG + | 16 |
5306351 | LANSOPRAZOLE 15MG + | 25 |
5306352 | LANSOPRAZOLE 30MG + | 20 |
5306361 | LANTHANUM CARBONATE 500M + | 26 |
5306364 | LEFLUNOMIDE 20MG + | 29 |
5306368 | LETROZOLE 2.5MG + | 33 |
5306389 | LEUCOVORIN CA 5MG + | 38 |
5306393 | LEUCOVORIN CA 25MG + | 122 |
5306405 | LEVETIRACETAM 250MG + | 7 |
5306406 | LEVETIRACETAM 500MG + | 8 |
5306410 | LEVOCETIRIZINE(XYZAL) 5MG PO+ | 3.42 |
5306420 | LEVOLEUCOVORIN CALCIUM 50mg | 0 |
5306428 | LEVOFLOXACIN 750 MG + | 77 |
5306430 | LEVOFLOXACIN 250MG + | 35 |
5306431 | LEVOFLOXACIN 500MG + | 33 |
5306435 | LEVOTHYROXIN .088MG + | 11 |
5306447 | LEVOTHYROXIN .025MG + | 11 |
5306451 | LEVOTHYROXIN .05MG + | 14 |
5306454 | LEVOTHYROXIN .075MG + | 14 |
5306455 | LEVOTHYROXIN .15MG + | 9 |
5306456 | LEVOTHYROXIN .112MG + | 11 |
5306457 | LEVOTHYROXINE(SYTHROID00.137 MG PO+ | 0.77 |
5306458 | LEVOTHYROXIN .125MG + | 9 |
5306459 | LEVOTHYROXIN .1MG + | 9 |
5306463 | LEVOTHYROXIN .2MG + | 11 |
5306501 | LINEZOLID 600MG TABLET + | 251 |
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 |
5306635 | LISINOPRIL 5 MG + | 11 |
5306636 | LISINOPRIL 10MG + | 14 |
5306637 | LISINOPRIL 20MG + | 4 |
5306638 | LISINOPRIL 40MG + | 6 |
5306652 | LITHIUM 300MG + | 11 |
5306729 | LOPERAMIDE 2MG + | 6 |
5306731 | KALETRA TAB + | 26 |
5306740 | LORATADINE 10MG + | 18 |
5306741 | LORATADINE/PSE 5/120 + | 11 |
5306742 | LORATADINE/PSE 10/240 + | 18 |
5306749 | LORAZEPAM .5MG + | 11 |
5306752 | LORAZEPAM 1MG + | 11 |
5306753 | LORAZEPAM 2MG TABLET | 0 |
5306757 | LOSARTAN 50MG + | 14 |
5306758 | LOSARTAN HCTZ 50/12.5 + | 14 |
5306759 | LOSARTAN 25MG + | 15 |
5306765 | LOTEPREDNOL 0.20% 5ML OPHTH | 0 |
5306783 | LOXAPINE 25MG + | 14 |
5306787 | LOXAPINE 10MG CAP | 0 |
5306794 | LUBIPROSTONE(AMITIZIA)8MCG PO+ | 4.19 |
5306795 | LUBIPROST 24MCG+ + | 13 |
5306832 | MAGNESIUM CHLORIDE + | 11 |
5306835 | MAGNESIUM HYDROXIDE 400 MG/5ML PO | 0 |
5306855 | MAGNESIUM OXIDE 400MG + | 11 |
5306856 | MAGNESIUM GLUCON 500MG + | 14 |
5306930 | MARAVIROC(SELZENTRY)150 MG PO+ | 18.36 |
5306968 | MECLIZINE TAB 12.5MG + | 11 |
5306972 | MECLIZINE TAB 25MG + | 9 |
5307022 | MEDROXYPROGEST 2.5MG + | 11 |
5307026 | MEDROXYPROGEST 10MG + | 14 |
5307076 | MEGESTROL 40MG + | 19 |
5307080 | MELATONIN 3MG + | 14 |
5307095 | MELOXICAM 7.5MG + | 12 |
5307099 | MELPHALAN 2MG + | 15 |
5307110 | MEMANTINE 5MG + | 9 |
5307111 | MEMANTINE 10MG + | 9 |
5307249 | MEPROBAMATE 400MG + | 11 |
5307276 | MERCAPTOPURINE 50 MG PO+ | 4.09 |
5307280 | MESALAMINE 400MG TAB + | 18 |
5307281 | MESALAMINE 250MG CAP + | 11 |
5307355 | METFORMINXR 500 mg TAB | 0 |
5307360 | METFORMIN 500MG + | 11 |
5307361 | METFORMIN 850MG + | 11 |
5307364 | METFORMIN 750MG + | 5 |
5307476 | METHENAMINE 1GM + | 11 |
5307505 | METHIMAZOLE 5MG PO+ | 0.44 |
5307507 | METHIMAZOLE 10MG + | 11 |
5307530 | METHOCARBAMOL 500MG + | 11 |
5307534 | METHOCARBAMOL 750MG + | 11 |
5307561 | METHOTREXATE 2.5MG + | 28 |
5307588 | METHYLDOPA 250MG + | 11 |
5307592 | METHYLDOPA 500MG + | 11 |
5307600 | METHYLDOPA 250M/HYDOCTZ 15MG TAB | 0 |
5307631 | METHYLERGONOVIN .2MG + | 14 |
5307658 | METHYLPRED 4MG + | 11 |
5307731 | METOCLOPRAMIDE 10MG + | 11 |
5307758 | METOLAZONE 2.5MG + | 11 |
5307762 | METOLAZONE 5MG + | 11 |
5307785 | METOPROLOL 50MG + | 11 |
5307786 | METOPROLOL EXT REL 50 MG + | 4 |
5307787 | TOPROL XL 100MG + | 4 |
5307789 | METOPROLOL 100MG + | 9 |
5307791 | METOPROLOL 25MG + | 1 |
5307792 | METOPROLOL EXT REL 25 MG + | 2 |
5307812 | METRONIDAZOLE 250MG + | 9 |
5307815 | METRONIDAZOLE 500MG + | 9 |
5307836 | MEXILETINE 150MG + | 11 |
5307837 | MEXILETINE 200MG + | 14 |
5307842 | MIDODRINE 5MG + | 15 |
5307851 | MIGLITOL(GLYSET) 50MG PO+ | 1.21 |
5307877 | MIRTAZAPINE 15MG SOLTAB + | 12 |
5307879 | MIRTAZAPINE 30MG + | 25 |
5307880 | MIRABETRIQ 25MG | 0 |
5307881 | MINOXIDIL 2.5MG + | 14 |
5307883 | MODAFINIL 100MG + | 16 |
5307884 | MODAFINIL 200MG + | 23 |
5307887 | MOXIFLOXACIN HCL 400MG TAB | 0 |
5307889 | MINOXIDIL 10MG + | 14 |
5307890 | MISOPROSTOL 100MCG + | 11 |
5307891 | MISOPROSTOL 200MCG + | 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 |
5307912 | MULTIVIT,THERAP 118ML | 6 |
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 |
5307947 | MULTIVITAMINS-PRENATAL + | 1 |
5307956 | MYCOPHENOLATE 250MG | 20 |
5307957 | MYCOPHENOLATE MOFETIL | 0 |
5307958 | MYCOPHENOLATE SODIUM 360mg | 0 |
5307959 | MYCOPHENOLATE SODIUM 180mg | 0 |
5307960 | NABUMETONE 500MG + | 15 |
5307973 | NADOLOL 20 MG + | 7 |
5308050 | NAPHAZOLINE-GLYCERINE 0.012%-0.25% 15ML | 0 |
5308078 | NAPROXEN 250MG + | 11 |
5308086 | NAPROXEN 375MG + | 9 |
5308088 | NAPROXEN 500MG + | 15 |
5308092 | NATEGLINIDE 60MG + | 4 |
5308093 | NATEGLINIDE 120MG + | 4 |
5308099 | NELFINAVIR 250MG + | 20 |
5308100 | NELFINAVIR 625MG | 0 |
5308102 | NEBIVILOL 10MG + | 7 |
5308103 | NEBIVILOL 2.5MG + | 7 |
5308104 | NEBIVILOL 5MG + | 7 |
5308105 | NEOMYCIN 500MG + | 9 |
5308130 | NEVIRAPINE 200MG + | 25 |
5308140 | NEVIRAPINE(VIRAMUNE) 50MG/5ML SUSP + | 2.62 |
5308174 | NIACIN 500MG | 0 |
5308197 | NIACIN 100MG + | 11 |
5308224 | NIACIN 250MG + | 15 |
5308248 | NIACIN ER 500MG + | 1 |
5308255 | NIACIN SR 500 M+ | 0 |
5308270 | NICARDIPINE IN SALINE | 0 |
5308271 | NICARDIPINE 20MG PO+ | 0.46 |
5308275 | NICOTINE RESN 2MG GUM EA + | 11 |
5308305 | NIFEDIPINE EXT REL 90MG + | 18 |
5308306 | NIFEDIPINE EXT REL 60MG + | 18 |
5308307 | NIFEDIPINE EXT REL 30MG + | 14 |
5308308 | NIFEDIPINE EXT REL 90MG + | 18 |
5308310 | NIFEDIPINE EXT REL 30MG + | 15 |
5308312 | NIFEDIPINE 10MG + | 9 |
5308313 | NIFEDIPINE 20MG + | 15 |
5308320 | NIMODIPINE 30MG + | 33 |
5308322 | NISOLDIPINE 8.5 MG | 0 |
5308324 | NISOLDIPINE 17MG | 0 |
5308335 | NITROFURANTOIN TAB 50MG + | 9 |
5308337 | NITROFURANTOIN CAP 100MG + | 14 |
5308374 | NITROGLYCERIN SL .3MG + | 18 |
5308379 | NITROGLYCERIN SL .4MG 25 + | 19 |
5308428 | NORTRIPTYLINE 10MG + | 11 |
5308432 | NORTRIPTYLINE 25MG + | 11 |
5308435 | NORTRIPTYLINE 50MG + | 8 |
5308450 | NOXAFIL DR 100MG TAB | 0 |
5308486 | OMEPRAZOLE 20MG + | 25 |
5308492 | ONDANSETRON ODT 4MG + | 79 |
5308494 | ONDANSETRON ODT 8MG + | 130 |
5308495 | ONDANSETRON 4MG + | 83 |
5308497 | OLANZAPINE 5MG + | 29 |
5308499 | OLANZAPINE 10 MG 1 EA | 35.69 |
5308500 | OLANZAPINE 2.5MG + | 9 |
5308504 | OSELTAMIVIR 75MG + | 19 |
5308506 | OLANZAPINE ZYDIS 5MG + | 27 |
5308507 | OLANZAPINE ZYDIS 10MG + | 38 |
5308522 | OLMESARTAN 40 MG + | 8 |
5308528 | OMEGA3 ETHYL ESTERS + | 9 |
5308570 | OXCARBAZEPINE 150MG + | 4 |
5308571 | OXCARBAZEPINE 300MG + | 7 |
5308635 | OXYBUTYNIN CL 5MG/5ML 473ML | 0 |
5308640 | OXYBUTYNIN 5MG + | 11 |
5308641 | OXYBUTYNIN EXT REL 5MG + | 11 |
5308642 | OXYBUTYNIN EXT REL 10MG + | 12 |
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 |
5308949 | PAROXETINE 10MG + | 33 |
5308950 | PAROXETINE 20MG + | 20 |
5308953 | PAROXETINE CR 12.5MG + | 10 |
5308955 | PAROXETINE CR 37.5MG + | 11 |
5308970 | PEG 3350-ELECTROLYTES236-22.74-6.74 GRAM | 0 |
5309029 | PENICILLIN V POT 500MG + | 0 |
5309066 | PENTOXIFYLLINE 400MG + | 14 |
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 |
5309641 | UROCIT-K + | 2 |
5309657 | POTASSIUM CL 10MEQ + | 2 |
5309658 | POTASSIUM CL 20 MEQ + | 4 |
5309666 | POTASSIUM CL 8MEQ CAP + | 9 |
5309688 | PRAVASTATIN 40MG + | 16 |
5309690 | PRAVASTATIN 10MG + | 19 |
5309691 | PRAVASTATIN 20MG + | 18 |
5309692 | PRAMIPEXOLE .25MG + | 15 |
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 |
5309777 | PREDNISONE 1MG + | 11 |
5309781 | PREDNISONE 2.5MG + | 9 |
5309785 | PREDNISONE 5MG + | 11 |
5309789 | PREDNISONE 10MG + | 11 |
5309793 | PREDNISONE 20MG + | 11 |
5309795 | PREGABALIN 25 MG + | 8 |
5309796 | PREGABALIN 50MG + | 8 |
5309797 | PREDNISONE 50MG + | 9 |
5309799 | PREGABALIN 75MG + | 9 |
5309802 | PREGABALIN(LYRICA) 100 MG PO+ | 3.12 |
5309809 | PRIMAQUINE PHOS 26MG + | 15 |
5309820 | PRIMIDONE 50MG + | 11 |
5309824 | PRIMIDONE 250MG + | 11 |
5309847 | PROBENECID 500MG + | 11 |
5309983 | PROCHLORPERAZINE 10MG + | 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 |
5310090 | PROPAFENONE 150MG + | 15 |
5310199 | PROPRANOLOL 10MG + | 11 |
5310201 | PROPRANOLOL 20MG + | 9 |
5310203 | PROPRANOLOL 40MG + | 11 |
5310216 | PROPYLTHIOURACIL 50MG + | 14 |
5310266 | PSEUDOEPHEDRIN 30MG + | 4 |
5310270 | PSEUDOEPHEDRIN 60MG + | 4 |
5310295 | PYRAZINAMIDE 500MG + | 14 |
5310297 | PYRIDOSTIGMINE 60MG + | 11 |
5310301 | PYRIDOSTIGMINE 180MG + | 15 |
5310324 | PYRIDOXINE 25MG + | 9 |
5310328 | PYRIDOXINE 50MG + | 9 |
5310332 | PYRIDOXINE 100MG + | 11 |
5310335 | PYRIMETHAMINE 25MG + | 15 |
5310368 | QUETIAPINE(SEROQUEL XR) 50MG PO+ | 48.56 |
5310370 | QUETIAPINE 25MG + | 18 |
5310371 | QUETIAPINE 100MG + | 20 |
5310372 | QUETIAPINE 200MG + | 0 |
5310373 | QUETIAPINE ER 150MG | 0 |
5310481 | QUININE 300MG + | 11 |
5310487 | RALOXIFENE 60 MG + | 9 |
5310490 | RAMIPRIL 2.5MG + | 14 |
5310491 | RAMIPRIL 5MG + | 14 |
5310492 | RAMIPRIL 10MG + | 7 |
5310493 | RALTEGRAVIR POT 400MGTAB | 63 |
5310495 | RALTEGRAVIR 100MG TAB | 0 |
5310505 | RANITIDINE 150MG + | 18 |
5310520 | RANOLAZINE 500 MG + | 13 |
5310524 | RASAGILINE (AZILECT)0.5MG PO+ | 1.25 |
5310552 | REPAGLINIDE 0.5MG + | 4 |
5310553 | REPAGLINIDE 1MG + | 4 |
5310554 | REPAGLINIDE 2MG + | 15 |
5310620 | RIFABUTIN 150MG + | 25 |
5310625 | RIFAXIMIN 200MG TABLET + | 18 |
5310630 | RIBOFLAVIN 100mg | 0 |
5310636 | RIFAMPIN 150MG + | 14 |
5310637 | RIFAMPIN 300MG + | 14 |
5310650 | RIMANTADINE 100MG + | 15 |
5310651 | RISPERIDONE 1MG + | 18 |
5310652 | RISPERIDONE 2MG + | 20 |
5310653 | RISPERIDONE 3MG + | 25 |
5310656 | RISPERIDONE CONSTA 50MG VIAL INJ. | 0 |
5310660 | RIVASTIGMINE 9.5 MG PATCH | 0 |
5310662 | ROSIGLITAZ 2MG + | 7 |
5310663 | ROSIGLITAZONE 4MG + | 28 |
5310665 | RIVASTIGMINE 1.5MG + | 9 |
5310666 | RIVASTIGMINE 3.0MG + | 9 |
5310667 | RIVASTIGMINE 4.6MG/24 HR | 9 |
5310670 | RITONAVIR 100 MG + | 20 |
5310676 | ROPINIROLE 0.5MG + | 6 |
5310688 | ROPINIROLE 3MG PO | 0.88 |
5310690 | SAQUINAVIR 200MG + | 15 |
5310720 | SELEGILINE 5MG + | 9 |
5310725 | SENSOCAINE MPF 0.25% W/ EPI 10ML | 0 |
5310730 | SENSOCAINE W/ EPI 50ML | 0 |
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 |
5310783 | SIMETHICONE 80MG + | 4 |
5310791 | SIMVASTATIN 10MG + | 18 |
5310792 | SIMVASTATIN 20MG + | 25 |
5310793 | SIMVASTATIN 40MG + | 15 |
5310795 | SITAGLIPT 25MG+ + | 22 |
5310796 | SITAGLIPT 100MG+ + | 22 |
5310797 | SITAGLIPT 50MG+ + | 22 |
5310810 | SODIUM BICARBONATE 650MG + | 11 |
5310833 | SODIUM CL 1GM + | 11 |
5310835 | SODIUM CL 5% 3.5gm | 0 |
5310867 | SOLIFENACIN | 0 |
5310870 | SOTALOL 80MG + | 18 |
5310902 | SPIRONOLAC-HCTZ 25MG + | 11 |
5310910 | SPIRONOLACTONE 25MG + | 11 |
5310914 | SPIRONOLACTONE 50MG + | 11 |
5310949 | STAVUDINE 30MG + | 27 |
5310951 | STAVUDINE 20MG + | 27 |
5311006 | SUCRALFATE 1GM + | 11 |
5311052 | SULFADIAZINE 500MG + | 14 |
5311092 | SULFAMET/TRIMETH 800/160 + | 1 |
5311110 | SULFASALAZINE 500MG + | 9 |
5311183 | SULINDAC 150MG + | 9 |
5311187 | SULINDAC 200MG + | 18 |
5311190 | SUMATRIPTAN 25MG + | 46 |
5311192 | SUMATIPTAN SUCCINATE 100 MG PO | 25.14 |
5311194 | SUMATIPTAN SUCCINATE 50mg | 0 |
5311204 | TACROLIMUS 1MG IMMEDT RELEASE ORAL | 13 |
5311206 | TACROLIMUS IMM RELEASE ORAL .5MG + | 8 |
5311210 | TAMOXIFEN 10MG + | 19 |
5311215 | TAMSULOSIN .4MG + | 19 |
5311226 | TELMISARTAN 40MG + | 7 |
5311227 | TELMISARTAN 80MG + | 7 |
5311233 | TEMAZEPAM 15MG + | 15 |
5311234 | TEMAZEPAM 7.5MG + | 4 |
5311240 | TEMOZOLOMIDE 100MG $ | 29 |
5311241 | DANIELS SOLUTION 5ML + | 27 |
5311242 | TEMOZOLOMIDE 140mg | 0 |
5311245 | TENOFOVIR 300MG + | 48 |
5311247 | TESTOSTERONE(ANDROGEL)1%5GM | 5.28 |
5311248 | TESTOTERONE(ANDRODERM) 2.5MG/24HR PATCH | 5.44 |
5311250 | TERAZOSIN 1MG + | 19 |
5311251 | TERAZOSIN 2MG + | 19 |
5311252 | TERAZOSIN 5MG + | 19 |
5311255 | TERBINAFINE 250 MG TABL + | 46 |
5311260 | TERBUTALINE 2.5MG + | 9 |
5311310 | TETRACYCLINE 250MG + | 9 |
5311314 | TETRACYCLINE 500MG + | 9 |
5311361 | THALIDOMIDE 100 MG PO+ | 0 |
5311362 | THALIDOMIDE 200 MG PO+ | 0 |
5311388 | THEOPHYLL SA 100MG + | 11 |
5311392 | THEOPHYLL SA 200MG + | 9 |
5311395 | THEOPHYLL SA 300MG + | 9 |
5311405 | THEOPHYLLINE SUSR 400MG + | 9 |
5311416 | THEOPHYLL TIM + | 11 |
5311467 | THIAMINE 50MG + | 11 |
5311471 | THIAMINE 100MG + | 6 |
5311548 | THIORIDAZINE 25MG + | 9 |
5311556 | THIORIDAZINE 100MG + | 11 |
5311591 | THIOTHIXEME 5MG + | 11 |
5311649 | THYROID 60MG + | 11 |
5311692 | TIZANIDINE 4MG + | 15 |
5311748 | TOLTERODINE LA 4MG + | 13 |
5311752 | TOLTERODINE 2MG + | 14 |
5311754 | TOPIRAMATE 25MG + | 6 |
5311755 | TOPIRAMATE 100MG + | 14 |
5311757 | TOPIRAMATE 200MG + | 15 |
5311761 | TORSEMIDE 10MG + | 9 |
5311770 | TRAMADOL 50MG + | 15 |
5311791 | TRAZODONE 50MG + | 11 |
5311795 | TRAZODONE 100MG + | 11 |
5311800 | TREANDA 25MG/8ML VIAL (INJ) | 0 |
5311810 | TREANDA 100MG/20ML VIAL (INJ) | 0 |
5311820 | TRETINOIN(CHEMOTHERAPY) 10 MG | 0 |
5311863 | TRIAMTREN-HCTZ 37.5/25MG + | 9 |
5311864 | TRIAMTERENE-HCTZ 75/50MG + | 11 |
5311865 | TRIAMTERENE/HCTZ 50/25 + | 11 |
5311887 | TRIAZOLAM .125MG + | 11 |
5311917 | TRIFLUOPERAZINE 2MG + | 11 |
5311919 | TRIFLUOPERAZINE 5MG + | 11 |
5311921 | TRIFLUOPERAZINE 10MG + | 11 |
5311942 | TRIHEXYPHEN 2MG + | 11 |
5311946 | TRIHEXYPHEN 5MG + | 14 |
5312036 | STALEVO 31.25-125-200 MG | 0 |
5312037 | STALEVO 50 + | 10 |
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 |
5312258 | VALACYCLOVIR 500MG + | 20 |
5312260 | VALGANCICLOVIR 50 MG/ML SOLUTION | 0 |
5312261 | VALPROATE 250MG + | 11 |
5312262 | VALSARTAN 40MG + | 0 |
5312263 | VALGANCICLOVIR 450MG + | 105 |
5312264 | VALSARTAN (ENTRESTO)49MG/51MG | 0 |
5312265 | VALSARTAN 80MG + | 0 |
5312266 | VALSARTAN 160MG + | 0 |
5312270 | VANCOMYCIN 125MG + | 38 |
5312271 | VANCOMYCIN 250MG + | 46 |
5312273 | VENLAFAXINE XR 37.5MG + | 11 |
5312274 | VENLAFAXINE XR 75MG + | 11 |
5312275 | VENLAFAXINE 25MG + | 14 |
5312276 | VENLAFAXINE 37.5MG + | 15 |
5312278 | VENLAFAXINE 75MG + | 7 |
5312279 | VENLAFAXINE 100MG + | 7 |
5312284 | VERAPAMIL 80MG + | 9 |
5312288 | VERAPAMIL 120MG + | 9 |
5312289 | VERAPAMIL SUST REL 240MG + | 15 |
5312290 | VERAPAMIL SR 180MG + | 15 |
5312291 | VERAPAMIL SR 120MG + | 11 |
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 |
5312383 | VITAMIN D 400 UNITS + | 1 |
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 |
5312411 | VITAMIN E 1000IU + | 9 |
5312450 | VORICONAZOLE 50MG TAB + | 28 |
5312451 | VORICONAZOLE 200MG TAB + | 129 |
5312480 | WARFARIN 2.5MG + | 9 |
5312481 | WARFARIN 1 MG + | 9 |
5312483 | WARFARIN 3 MG + | 4 |
5312484 | WARFARIN 2MG + | 9 |
5312485 | WARFARIN 4MG + | 4 |
5312488 | WARFARIN 5MG + | 9 |
5312492 | WARFARIN 7.5MG + | 9 |
5312496 | WARFARIN 10MG + | 11 |
5312510 | ZIDOVUDINE 100MG + | 25 |
5312511 | ZIDOVUDINE 300MG + | 0 |
5312515 | N-ZIDOVUDINE INJ | 0 |
5312523 | ZINC SULFATE 220MG + | 9 |
5312529 | ZOLPIDEM 5MG + | 19 |
5312530 | ZOLPIDEM 10MG + | 25 |
5312533 | ZIPRASIDONE 40MG + | 15 |
5312535 | ZONISAMIDE 100MG + | 9 |
5314009 | ACETAMIN 80MG/.8ML 15ML + | 81 |
5314011 | ACETAMIN 160MG/5ML 5ML + | 6 |
5314016 | ACETAMIN 650MG/20.3ML + | 11 |
5314035 | ACYCLOVIR 40MG/ML 5ML + | 115 |
5314037 | ACTIV CHAR 25GRAM/120ML | 42 |
5314039 | ACTIV CHAR SORBITOL 25g/120mL | 0 |
5314040 | ALBUTEROL 0-5ML + | 9 |
5314127 | ALUM MG HYDROX/SIMETH SUSP | 0 |
5314162 | ALUMINUM HYDROXIDE 30ML + | 6 |
5314233 | AMOXICLN/CLAV 125/5 5ML + | 114 |
5314237 | AMOXICLN/CLAV 250/5 5ML + | 10 |
5314249 | AMOXICILLIN 125/5 5ML + | 11 |
5314253 | AMOXICILLIN 250/5 5ML + | 11 |
5314272 | AMPICILLIN 125MG/5ML + | 28 |
5314282 | AMPICILLIN 250/5 100ML + | 29 |
5314293 | ATOVAQUONE 750/5 5ML + | 1530 |
5314304 | AZITHROMYCIN 200/5 30ML + | 133 |
5314306 | AZITHROMYCIN 200MG/5ML | 0 |
5314362 | BISMUTH SUBSALICYL 240ML + | 11 |
5314455 | CALCIUM CARB 500MG/5ML + | 2 |
5314457 | CALCIUM CARB 500/5 500ML + | 46 |
5314465 | CALCIUM GLUBIONATE 5ML + | 33 |
5314482 | CARBAMAZEPINE 200MG TAB | 0 |
5314522 | CASTOR OIL 60ML + | 6 |
5314539 | CEFACLOR 125MG/5ML 5ML + | 4 |
5314562 | CEPHALEXIN 125MG/5 5ML + | 87 |
5314568 | CEPHALEXIN 250MG/5 100ML + | 117 |
5314569 | CEPACOL | 0 |
5314617 | CHLORAL HYDRATE 480ML + | 52 |
5314620 | CHLORASEPTIC 1.40% 177mL | 0 |
5314638 | CHLORHEXIDINE 15 ML + | 4 |
5314671 | CHLOROTHZ 50MG/ML + | 27 |
5314680 | CHOLESTYRAMINE 4G + | 15 |
5314754 | CITRATE MAGNESIUM 300ML + | 6 |
5314855 | SULFAMETH/TRIM SUSP 200-40MG/5ML | 9 |
5314860 | SULFAMETHOXAZILE-TRIMETH 800MG/160MG =20 | 0 |
5314908 | DEXAMETHASONE 0.5 MG/5ML PO | 0.24 |
5314910 | DEXAMETHASONE 1MG/ML INT + | 77 |
5314914 | DEXTROMETHORPHAN-GUAIFEN 15-100 MG/5ML | 0 |
5314916 | DEXTROMETHORPHAN-GUAIFENESIN 30-600 MG | 0 |
5314966 | DIGOXIN .05MG/ML 2.5ML + | 7 |
5314969 | DIGOXIN .05MG/ML 60ML + | 104 |
5314998 | DIPHENHYDRA 12.5MG/5ML + | 15 |
5315015 | DIPHENOXYLATE/ATRP 5ML + | 4 |
5315054 | DOCUSATE 100MG/10ML UD + | 11 |
5315082 | DONNATAL ELIX 120ML + | 33 |
5315126 | ERGOCALCIFEROL 8000U/ML + | 225 |
5315145 | ERYTHROMY ET 200MG/5ML + | 122 |
5315166 | Erythromycin 250mg | 0 |
5315200 | FERROUS SULF DROPS 50 ML + | 66 |
5315207 | FERROUS SULF 300MG/5ML + | 6 |
5315210 | FERROUS SULF 220MG/5ML + | 1 |
5315221 | FLUCONAZOLE 40MG/ML 35ML | 0 |
5315224 | FLUCONAZOLE 10MG/ML SUSP+ | 35.8 |
5315227 | FLUOXETINE20MG/5ML/120ML + | 321 |
5315232 | FLUPHENAZINE 2.5MG/5ML ELIXIR+ | 2.46 |
5315248 | FUROSEMIDE 40MG/5ML UD + | 15 |
5315249 | GABAPENTIN 250 MG/5 ML PO+ | 2.95 |
5315265 | GLUCOSAMINE CAP + | 1 |
5315282 | GUAIFEN 100MG/5ML 10ML + | 18 |
5315290 | GUAIFEN/CODEINE 10ML + | 11 |
5315301 | GUAIFENESIN DM 120ML + | 6 |
5315304 | GUAIFENESIN DM 10ML + | 6 |
5315312 | HALOPER CONC 2MG/ML 5ML + | 48 |
5315325 | HYDROXYZINE 10MG/5ML + | 20 |
5315335 | IBUPROFEN 100MG/5ML + | 6 |
5315349 | IODINE/POT IODIDE + | 18 |
5315395 | ITRACONAZOLE 10M/M 150ML + | 504 |
5315440 | LACTOBACILLUS GRANULES + | 2 |
5315459 | LACTULOSE UD 30ML + | 29 |
5315460 | LAMIVUDINE 240ML + | 324 |
5315470 | LEVETIRACETAM 100 mg/mL | 0 |
5315475 | LEVOCARNITINE 200MG/ML 5ML SOL | 0 |
5315480 | LITHIUM CARBONATE 300mg | 0 |
5315485 | LITHIUM CITRATE 5ML + | 56 |
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 |
5315528 | LOPERAMIDE 5ML + | 11 |
5315568 | MEGESTROL 10ML + | 51 |
5315573 | MEGESTR 625MG/5 + | 80 |
5315575 | MELOXICAM 15MG + | 17 |
5315668 | METOCLOPRAM 10ML + | 11 |
5315711 | MINERAL OIL 10 ML + | 27 |
5315714 | MINERAL OIL 30ML + | 4 |
5315746 | MAG HYDROXIDE(MOM) 400MG/5ML PO+ | 0.43 |
5315785 | MAGIC MOUTHWASH 5ML | 0 |
5315789 | MOUTH WASH BLM 8 OZ | 0 |
5315808 | ORAL MULTI-VITAMIN NOS | 4 |
5315836 | NEOMYCIN 125MG/5ML + | 70 |
5315861 | NITAZOXANIDE 60ML + | 226 |
5315866 | NITROFURANTOIN 25MG/5ML + | 25 |
5315881 | NYSTATIN 5ML + | 11 |
5315890 | ONDANSETRON 4MG/5ML + | 353 |
5316020 | PHENOL/NA PHENOLATE SPRY + | 15 |
5316059 | PHENYTOIN 100MG/4ML + | 11 |
5316070 | KAYEXELATE 60 | 0 |
5316072 | POLYETHYLENE GLYCOL 17GM + | 8 |
5316089 | POTASSIUM CL 10% + | 9 |
5316097 | POTASSIUM CL 20MEQ PKT + | 9 |
5316105 | POTASSIUM IODID 1GM/ML + | 36 |
5316109 | POTASSIUM&SODIUM PHOSPHATES | 0 |
5316123 | PREDNISOLONE 15MG/5ML + | 14 |
5316147 | PROMETHAZINE /COD + | 9 |
5316155 | PROMETHAZINE 6.25MG/5ML + | 25 |
5316163 | PROMETHAZINE-PHEN + | 9 |
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 |
5316205 | PSYLLIUM PKT + | 11 |
5316245 | RANITIDINE 150MG/10ML + | 29 |
5316250 | RITONAVIR 80MG/ML + | 199 |
5316253 | RIVASTIGMINE 13.3 MG/24 HOUR | 0 |
5316254 | RISPERIDONE 1MG/ML 100ML + | 11 |
5316256 | SACCHAROMYCES BOULARDII 250 MG | 0.88 |
5316334 | SIMETHICONE 30ML + | 19 |
5316337 | SILDENAFIL 20 MG | 0 |
5316355 | SOD CITRATE/CITR AC 30ML + | 25 |
5316363 | SODIUM PHOSPHAT + | 70 |
5316373 | SORBITOL 30ML + | 6 |
5316389 | STERILE TALC SPRAY 4 GRAMS | 0 |
5316390 | SUCRALFATE 1G/10ML SUSP + | 18 |
5316392 | STRIBILD 150/150/200/300 MG | 0 |
5316400 | SPS SUSP 30G/120ML (ORAL OR RECTAL USE) | 0 |
5316435 | THEOPHYLLINE 80/15 30ML + | 11 |
5316582 | VALPROATE 250MG/5ML + | 48 |
5316617 | VITAMIN C 100MG/ML DROPS + | 9 |
5316635 | VITAMIN E 15U/ML DROPS + | 95 |
5316651 | PEDIATRIC MULTIVI (POLY VITAMIN)50ML PO+ | 5.24 |
5316653 | PEDIA MULTIVI/PHYTONADIONE 400mcg/mL BTL | 0 |
5316660 | ZIDOVUDINE 10MG/ML SYRUP 240ML | 0 |
5318004 | ACETAZOLAMIDE 500MG | 300 |
5318008 | ABCIXIMAB 10MG $ | 2166 |
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 $ | 1349 |
5318035 | ALBUMIN, HUMAN 5%-500 ML | 351.95 |
5318058 | ALBUMIN, HUMAN 25% W/ DISP SIZE 100 | 145.8 |
5318063 | ALBUMIN 25% 50ML $ | 955 |
5318078 | ALCOHOL DEHYDRAT 1ML | 294 |
5318083 | ALPROSTADIL 500MCG/1ML | 1379 |
5318089 | METHOTREXATE 50MG | 17 |
5318091 | METHOTREXATE 100MG | 219 |
5318092 | ALTEPLASE PER 1MG | 0 |
5318114 | AMIKACIN PER 100MG | 29 |
5318115 | AMIKACIN 250MG/ML 2ML | 568 |
5318120 | AMIKACIN 250MG/ML 4ML | 808 |
5318151 | AMINOCAPROIC ACID 5GM | 384 |
5318170 | AMINOPHYLLINE | 0 |
5318177 | AMINOPHYLLINE 25M/M 10ML | 145 |
5318199 | AMIODARONE PER 30MG | 6 |
5318200 | AMIODARONE 50MG/ML 3ML | 955 |
5318243 | AMPHOTER B LIP COMP 10M | 95 |
5318245 | AMPHOTERICIN B 50MG | 393 |
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 |
5318286 | AMPICILLIN 250MG | 80 |
5318293 | AMPICILLIN/SULB 3GM | 384 |
5318294 | AMPICILLIN/SUL VPB 1.5GM | 195 |
5318300 | ARGATROBAN 100mg/mL 2.5 mL | 0 |
5318310 | ANTIVENIN LACTRODECTUS 2.5mL /vial | 0 |
5318311 | ARGININE HCL 10% 300 ML INJ | 12.71 |
5318316 | ANTIVEN SNAKE POLYVALENT $ | 1757 |
5318319 | LYMPHOCYTE ANTI-THYMO IgG 50mg/mL 5mL | 0 |
5318330 | ANIDULAFUNGIN 1MG | 8 |
5318367 | ATRACURIUM 10MG/ML 1ML | 118 |
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 |
5318417 | AZTREONAM 1GM | 348 |
5318418 | AZTREONAM 2GM | 509 |
5318453 | BACITRACIN 50000U | 0 |
5318474 | BACTERIOSTATIC WATER | 48 |
5318537 | BENZTROPINE 2MG/2ML | 164 |
5318545 | BENZOCAINE 20%, 6 gm | 0 |
5318559 | BETAMETHASONE 6MG/ML 5ML | 378 |
5318560 | BETAMETHASONE, AUGMENTED 0.05% | 0 |
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 $ | 4470 |
5318683 | BUMETANIDE 2.5MG/10ML | 197 |
5318685 | BUMETANIDE 1MG/4ML | 152 |
5318702 | BUPIVACAINE .25% 30ML | 152 |
5318710 | BUPIVACAINE .5% 30ML | 0 |
5318712 | BUPIVACAINE 0.50% 50ML | 0 |
5318715 | BUPIVACAINE .75% 30ML | 162 |
5318738 | BUPIVACAINE/EPI .25%30ML | 294 |
5318741 | BUPICAINE/EPI .5% 30ML | 218 |
5318746 | BUPIVACAINE/EPI .75%30ML | 222 |
5318747 | BUPIVACAINE/DEX .75% 2ML | 183 |
5318750 | CABERGOLINE 0.5mg | 0 |
5318752 | BUTOR PER 1MG | 13 |
5318755 | BUTORPHANOL 2MG | 15 |
5318760 | CAFFEINE CIT 20MG/ML 3M | 159 |
5318767 | CAFFEINE/SOD BENZ 500MG | 176 |
5318788 | CALCITONIN 400IU/2ML + | 402 |
5318790 | CALCITRIOL 1MCG/1ML | 232 |
5318810 | CALCIUM CHLOR 10% 10ML | 151 |
5318811 | CALCIUM CHLORIDE 10% 10ML VIAL | 0 |
5318830 | CALCIUM GLUC 10% 10ML | 77 |
5318851 | CANDIDA SKIN TEST | 145 |
5318910 | CARBOPROST 250MCG/1ML | 297 |
5318911 | CARBOPLATIN 50MG $ | 487 |
5318933 | CASPOFUNGIN PER 5MG | 136 |
5318976 | CEFAZOLIN 500MG | 151 |
5318978 | CEFAZOLIN 1G PMX | 118 |
5318980 | CEFDINIR 250mg/5ml 60mL | 0 |
5318981 | CEFAZOLIN 1GM | 83 |
5318984 | CEFAZOLIN 2GM | 222 |
5318986 | CEFEPIME 1GM | 56 |
5318987 | CEFEPIME 2GM | 114 |
5319021 | CEFOTAXIME 500MG | 0 |
5319023 | CEFOTAXIME 1GM | 345 |
5319027 | N CEFOTAXIME | 0 |
5319028 | CEFOTAXIME 2GM | 430 |
5319049 | CEFOXITIN 1 GM | 40 |
5319050 | CEFOXITIN 1GM PMX | 137 |
5319051 | CEFOXITIN 2GM PMX | 216 |
5319061 | CEFTAZIDIME 1GM | 232 |
5319062 | CEFTAZIDIME 2GM | 495 |
5319070 | CEFTAZIDIME-AVIBACTAM 2.5/2 gm vial | 0 |
5319082 | CEFTRIAXONE 250MG | 232 |
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 |
5319193 | CHLORAMPHENICHOL 1GM | 93 |
5319201 | CETUXIMAB (ERBITUX)10MG | 210 |
5319262 | CHLOROTHIAZIDE 500MG | 1378.6 |
5319304 | CHLORPROMAZINE 25MG/ML | 36 |
5319387 | CIRPOFLOXACIN 400MG PMX | 452 |
5319388 | CIPROFLOXACIN 200MG PMX | 344 |
5319390 | CIPROFLOXACIN OTIC 0.2% DROP BTL. | 0 |
5319392 | CISATRACURIUM 2MG/ML 5ML | 80 |
5319395 | CISATRACURIUM BESYLATE INJ 10MG/ML 20ML | 0 |
5319398 | CISPLATIN 10MG $ | 452 |
5319423 | CLINDAMYCIN 150MG INJ | 19 |
5319426 | CLINDAMYCIN 600MG PMX | 330 |
5319427 | CLINDAMYCIN 900MG PMX | 388 |
5319430 | CLINDMYCIN PALMITATE HCL 75mg/5mL -100mL | 0 |
5319491 | COLISTIMETHATE 150MG | 339 |
5319501 | CONIVAPTAN IN D5W 20MG/100ML INJ | 687.02 |
5319502 | CONJUGATED ESTR 25MG | 374 |
5319590 | COSYNTROPIN .25MG/ML | 312 |
5319602 | MICAFUNGIN SODI | 0 |
5319611 | SULFAMETHOX/TRIMETH 5ML | 331 |
5319612 | SULFAMETHOX/TRIMETH 10ML | 225 |
5319624 | TENETEPLASE (TNKASE) 50 MG INJ | 70.61 |
5319634 | CROTALIDAE POLYV IMM FA $ | 3225 |
5319665 | CYANOCOBALOMINE 100MCG TABLET | 0 |
5319670 | CYANOCOBALAMINE 250 MCG | 0 |
5319673 | CYANOCOBALAMINE 500 MCG PO+ | 0.06 |
5319674 | CYANOCOBALAMIN 1000MCG | 0 |
5319695 | CYCLOPHOS 100MG | 160 |
5319726 | CYTARABINE 100MG | 257 |
5319742 | DACARBAZINE 200MG | 0 |
5319752 | DANTROLENE 20MG/70ML $ | 301 |
5319759 | DAPTOMYCIN PER 1MG | 2 |
5319765 | DARBEPOETIN ALFA PER1MC $ | 21 |
5319781 | DECITABINE 50MG $ | 112 |
5319790 | DEFEROXAMINE 2GM | 0 |
5319794 | DEFEROXAMINE 500MG | 0 |
5319815 | DESMOPRESSIN 0.1 MG PO+ | 3.02 |
5319819 | DESMPR PER 1MCG | 128 |
5319820 | DESMPOPRESSIN 0.2mg | 0 |
5319824 | DESMOPRESSIN 10MCG/5ML NASAL SP + | 143.34 |
5319836 | DEXAMETHA 10MG/ML 1-2ML | 109 |
5319854 | DEXAMETHASONE 4MG/ML 5ML | 61 |
5319857 | DEXAMETHASONE 4MG/ML 1M | 5 |
5319893 | DEXTRAN 40 IN 0.9% NACL 10% 30mL | 0 |
5319898 | DEXTROSE 25% 10ML SYG | 152 |
5319901 | DEXTROSE 50% 50ML | 151 |
5319903 | DEXTROSE 50%(50ML)BAG | 0 |
5319905 | DEXTROSE 50%(50ML)VIAL | 0 |
5319934 | DIAZEPAM 10MG/2ML AMP | 203 |
5319981 | DICYCLOMINE 10MG/ML 2ML | 83 |
5319982 | METHADONE 5MG/5mL | 0 |
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 |
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 |
5320002 | TAMIFLU 6 MG/ML | 0 |
5320006 | SIROLIMUS 1 MG/ML | 0 |
5320010 | AFINITOR 10MG TAB | 0 |
5320012 | N-TAMIFLU 6 MG/ML BOTTLE | 0 |
5320028 | DIGOXIN .5MG/2ML | 0 |
5320031 | DIGOXIN IMMUNE FAB 40MG $ | 1800 |
5320059 | DILTIAZEM HCL 5MG/ML-25 ML | 0 |
5320060 | DILTIAZEM 25 MG | 300 |
5320061 | DILTIAZEM 5` MG/ML-10 ML | 17 |
5320075 | DIMETHYL SULFOXIDE 50% 50mL | 0 |
5320117 | DIPHENHYDRA 50MG/ML | 83 |
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 |
5320245 | DOXAPRAM 20MG/ML 1ML | 108 |
5320268 | DOXORUBICIN PER 10MG $ | 850 |
5320270 | DOXORUBICIN 50MG 25ML | 0 |
5320272 | DOXORUBICIN LIP PER 10MG $ | 1593 |
5320294 | DOXYCYCLINE 100MG | 108 |
5320302 | DROPERIDOL 2.5MG/ML-2ML | 152 |
5320305 | DROPERIDOL 5MG/2ML | 188 |
5320311 | DROTRECOGIN ALFA 20MG $ | 3547 |
5320312 | DIP TET PERT <7YRS | 162 |
5320315 | DTA/IPV/HIB 15-20-5LF -MCG-LF | 0 |
5320317 | D20W 20% 500ML | 0 |
5320325 | EDETATE CA DISODIUM 200 MG/ML INJ-5 ML | 961.7 |
5320339 | EDROPHONIUM CHLORIDE 10MG/ML 15ML | 0 |
5320345 | PEG INTERFERON ALFA-2A 180mcg/ml | 0 |
5320380 | ENFUVIRTIDE (FUZEON) 90 MG INJ | 0.57 |
5320395 | ENALAPRIL 1.25MG/1ML | 170 |
5320396 | ENALAPRILAT 1.25MG/ML 2ML | 0 |
5320398 | ENOXAPARIN 100MG SYR + | 165 |
5320399 | ENOXAPARIN 60MG SYR + | 200 |
5320400 | ENOXAPARIN 30MG SYR | 0 |
5320401 | ENOXAPARIN 40 MG SYR + | 96 |
5320402 | ENOXAPARIN 80MG SYR + | 487 |
5320404 | EPHEDRINE 50MG/ML | 77 |
5320405 | ENOXAPARIN 150MG SYR + | 338 |
5320406 | ENOXAPARIN 120MG SYR + | 271 |
5320421 | EPIRUBICIN 50 MG INJ | 69.54 |
5320422 | EPIRUBICIN PF 50mg/25ml inj | 0 |
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 |
5320491 | Ertapenem 1gm | 0 |
5320508 | ERYTHROMY LA 500MG | 179 |
5320510 | NEXTERONE (AMIODARONE) 150MG/100ML | 0 |
5320524 | ESMOLOL 10MG/ML 10ML | 257 |
5320525 | ESMOLOL IN WATER 2500MG/250ML | 0 |
5320534 | Estradiol cyp 5mg/ml 5ml | 0 |
5320551 | ETANERCEPT 50mg/mL | 0 |
5320555 | ETHACRYNATE SODIUM 50 MG INJ | 26.4 |
5320560 | ETHANOLAMINE OLEATE 5% INJ | 173.25 |
5320570 | ETHACRYNIC ACID 25mg | 0 |
5320609 | ETOMIDATE 2MG/ML 20ML | 81 |
5320614 | ETOPOSIDE 20MG/ML 5ML | 0 |
5320639 | FACTOR VIIA | 4 |
5320657 | FACTOR IX COMPLEX BEBULIN 20mL VIAL | 0 |
5320661 | FAMOTIDINE 10MG/ML 2ML | 0 |
5320665 | FAMOTIDINE 10MG/ML 50ML | 0 |
5320674 | INFLUENZA VACCINE 0.5ML-45MCG/0.5ML | 0 |
5320676 | INFLUENZA VACCINE MDV-45MCG/0.5ML | 0 |
5320677 | FLUCONAZOLE 200MG PMX | 955 |
5320678 | FLUCONAZOLE 400MG PMX | 955 |
5320679 | FERRIC GLC 12.5MG/ML 5ML | 122 |
5320681 | FLUMAZENIL 5ML | 137 |
5320682 | FLUMAZENIL 10ML | 707 |
5320708 | FLUOROURACIL 1 GRAM/20ML | 118 |
5320709 | FLUOROURACIL 50MG/ML50M | 57 |
5320720 | FLUPHENAZINE 25MG/ML | 401 |
5320736 | FOLIC ACID-VITB6-B12 FOLIC2.5-25-2MG PO+ | 0.73 |
5320739 | FOLIC ACID 5MG/ML 10ML | 83 |
5320740 | FOSCARNET 24MG/ML 250ML | 955 |
5320749 | FOSPHENYTOIN PER 50MG | 151 |
5320753 | ARIXTRA 7.5MG SYR | 372 |
5320759 | FUROSEMIDE 100MG/10ML | 70 |
5320762 | FULVESTRANT (FASLODEX) 250 MG/5 ML INJ | 0 |
5320764 | FUROSEMIDE 10MG/ML 2ML | 68 |
5320769 | FUROSEMIDE 40MG/4ML | 66 |
5320784 | FILGRASTIM 480MCG/1.6ML $ | 1231 |
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 |
5320815 | ZARXIO(FILGRASTIM) 12.5 MG TAB | 0 |
5320817 | ZARXIO(FILGRASTIM) 25MG TAB | 0 |
5320830 | GANCICLOVIR 500MG | 452 |
5320835 | GEMTUZUMAB 5MG $ | 8790 |
5320838 | N-GANCICLOVIR 5 mg/mL BAG | 0 |
5320840 | GEMCITABINE PER 200MG $ | 360 |
5320842 | GENTAMICIN 10MG/ML 2ML | 77 |
5320845 | GENTAMICIN 40MG/ML | 0 |
5320846 | GENTAMICIN 80 PMX | 35 |
5320852 | GENTAMICIN 40MG/ML 2ML | 108 |
5320884 | GLATIRAMER ACETATE 20MG + | 130 |
5320898 | GLUCAGON 1MG CA $ | 378 |
5320920 | GLYCOPYRROLATE .2MG/ML | 77 |
5320921 | GLYCOPYRROLATE 5ML INJ | 108 |
5320968 | GRANISETRON INJ .1MG | 0 |
5320969 | HAEMOPH B POLY CONJ-TET TOX-PF .5 ML | 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 |
5321100 | HEPARIN NEONATAL FLUSH | 2 |
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 |
5321116 | HEP B-PD ACEL T-POLIO PEDIARIX 0.5 ML IN | 80.36 |
5321124 | HEPATITS A VAC 720U/.5M | 120 |
5321127 | HETASTARCH 500ML | 785 |
5321178 | HYALURONIDAS OV 150 UNIT/ML 1 ML | 157 |
5321191 | HYALURONATE 10MG/ML 2ML | 405 |
5321202 | HYDRALAZINE 20MG/1ML | 176 |
5321243 | HYDROCORTISONE SS 100MG | 108 |
5321248 | HYDROCORTISONE SS 250MG | 150 |
5321250 | N-HYDROCORTISONE (SOLU-CORTEF) INJ | 0 |
5321253 | HYDROCORTISONE SS 500MG | 160 |
5321276 | HYDROMORPHONE 1MG/ML | 0 |
5321278 | HYDROMORPHONE 10MG/ML 1ML INJ | 0 |
5321304 | IBUPROFIN | 0 |
5321308 | IBUPROFEN LYSINE (NEOPROFEN | 609 |
5321311 | HYDROXYZINE 100MG INJ | 61 |
5321314 | IBUTILIDE .1MG/ML 10ML $ | 891 |
5321315 | HYDROXYZINE 25MG INJ | 11 |
5321317 | ORBACTIV (ORITAVANCIN) 400 MG | 0 |
5321321 | IDARUBICIN 1MG/ML-(20ML)$ | 1527 |
5321322 | IFOSFAMIDE 1GM $ | 955 |
5321334 | INDIGO CARMINE AMP | 225 |
5321337 | INOCYAN GRN25MG + | 318 |
5321345 | INDOMETHACIN 1MG | 2009 |
5321354 | RHOD IMMGLOB-MALTOSE 5,000 UNIT/4.4ML | 59 |
5321355 | IVIG OCGTAGAM 10GM | 267 |
5321356 | INFLIXIMAB PER 10MG $ | 300.5 |
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 |
5321486 | INTERFERON ALFA 2B 1MU | 59 |
5321502 | IRINOTECAN PER 20MG $ | 461 |
5321520 | IRON ASPGL & PS CM-VIT C-CA-SA 150-50-50 | 0 |
5321536 | ISONIAZID 100MG/ML | 300 |
5321548 | ISOPROTERENOL .2MG/ML 5M | 181 |
5321594 | IVIG CARIMUNE 12 GM $ | 203 |
5321595 | IVIG CARIMUNE 6 GM $ | 267 |
5321603 | IVIG OCTAGAM 5GM | 209 |
5321635 | KETAMINE 100MG/ML 5ML | 198 |
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 |
5321657 | LANSOPRAZOLE 30MG IV | 97 |
5321660 | LEUCOVORIN CAL 350MG | 0 |
5321667 | LEUPROLIDE DEPT 11.25 MG | 0 |
5321668 | LEUPROLIDE DEPOT 3.75MG $ | 2050 |
5321676 | LEUPROLIDE ACET 7.5MG $ | 2048 |
5321695 | LEVETIRACET 5ML + | 132 |
5321696 | LEVETIRACETAM INJ/ 10MG | 3 |
5321698 | NOREPINEPHRINE 4MG/4ML | 190 |
5321700 | NOREPINEPHRINE 4MG/250ML D5W BAG | 0 |
5321707 | LEVOFLX 750 PR-MIX | 213 |
5321711 | LEVOFLOXACIN 500MG PMX | 87 |
5321712 | LEVOFLOXACIN 250MG PMX | 95 |
5321715 | Levothyroxine 100mcg/vial | 0 |
5321719 | LEVOTHYROXINE .5MG | 381 |
5321738 | LIDOCAINE PMX .4%/500 ML | 304 |
5321745 | LIDOCAINE .5% 50ML | 155 |
5321760 | LIDOCAINE 1% /EPI 30ML | 39 |
5321761 | LIDOCAIN 1%/EPI 20ML | 33 |
5321765 | LIDOCAINE IN D7.5W (PF) 50mg/mL 2mL | 0 |
5321770 | LIDOCAINE 1% 30ML | 190 |
5321775 | LIDOCAINE PF 10MG/ML 30ML | 0 |
5321776 | LIDOCAINE 1% MPF AMPULE 10ML | 0 |
5321778 | LIDOCAINE HCL 10MG/ML 1%-20 ML | 0 |
5321780 | LIDOCAINE 10MG/ML 10 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 |
5321792 | LIDOCAINE 20MG/ML 2%- 10ML | 0 |
5321793 | LIDOCAINE 2% 20ML AMP | 151 |
5321794 | LIDOCAINE 2% MDV 10ML | 0 |
5321795 | LIDOCAINE 2% /EPI 20ML | 33 |
5321797 | LIDOCAINE-EPI 2% 1:200,000/20 ML | 0 |
5321798 | LIDOCAINE EPI 2%-1:2000,000-10ML | 0 |
5321799 | LIDOCAINE EPI 1.5%-1:2000,000-5ML | 0 |
5321800 | LIDOCAINE EPI 1%-1:2000,000-30mL | 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 |
5321805 | LIDOCAINE GEL 2% 5ML | 0 |
5321807 | LIDOCAINE 4% 5ML | 185 |
5321810 | LIDOCAINE SYG 100MG | 8 |
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 |
5322055 | MENINGOCOCCAL GRP B 0.5ML VACC IM | 369 |
5322059 | MENINGOCOCCAL VACC IM | 369 |
5322114 | MEROPENEM 500MG | 61 |
5322116 | MEROPEN PER 100MG | 22 |
5322120 | MESNA 100MG/ML(10ML) | 4 |
5322125 | MEROPENEM 1gm INJ | 0 |
5322248 | METHYLENE BLUE 1% 10ML | 40 |
5322249 | METHYLENE BLUE 1% 1ML | 108 |
5322269 | METHYLERGONOVIN .2MG/ML | 151 |
5322280 | METHYLNALTREXONE 12MG/0.6ML | 0 |
5322295 | METHYLPRED A 40MG/ML | 183 |
5322305 | METHYLPRED A 80MG/ML | 222 |
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 |
5322350 | N-METOCLOPRAMIDE | 0 |
5322366 | METOCLOPRAM 5MG/ML 2ML | 61 |
5322367 | N-METOCLOPRAMIDE | 0 |
5322382 | METOPROLOL 5MG/5ML CART | 145 |
5322386 | METRONIDAZOLE 250MG | 134 |
5322387 | METRONIDAZOLE 500MG | 181 |
5322388 | METRONIDAZOLE 500MG PMX | 107 |
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 |
5322443 | CYCLOSPORINE ORAL SOLN MODIFIED 100MG/ML | 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 |
5322455 | MIDOSTAURIN 25MG | 0 |
5322460 | MINOCIN 100MG VIAL (IV) | 0 |
5322492 | MITOMYCIN 5MG $ | 1158 |
5322518 | MORRHUATE 50MG/ML | 359 |
5322591 | MULTIVITAMIN INJ 10ML | 80 |
5322659 | NAFCILLIN 1GM | 152 |
5322664 | NAFCILLIN 2GM | 216 |
5322685 | NALBUPHINE 10 MG/ML -1ML | 1.43 |
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 $ | 1455 |
5322860 | NICARDIPINE 25MG/10ML | 353 |
5322865 | NICARDIPINE 30mg | 0 |
5322896 | NITROGLYC PMX 50MG/250ML | 23 |
5322897 | NITROGLYCERIN COMPOUND 100 MCG/ML | 0 |
5322899 | NITROGLYCERIN 50MG/10ML | 151 |
5322900 | NESACAINE-MPF 30 ML | 0 |
5322910 | OCTREOTIDE ACETATE 500mcg/ml | 0 |
5322920 | OCTREOTIDE PER 25MCG IN | 35 |
5322922 | OCTREOIDE ACETATE 50MCG/ML | 0 |
5322925 | NITROPRUSSIDE 50MG/5ML | 152 |
5322936 | ONDANSET PER 1MG | 0 |
5322945 | ONDANSETRON 4MG INJ | 0 |
5322993 | OXACILLIN 1GM | 77 |
5322998 | OXACILLING 2GM INJ | 25.77 |
5323008 | OXALIPLATIN PER .5MG | 38 |
5323045 | OXYTOCIN 10U/ML 1ML | 5 |
5323056 | PALIVIZUMAB (SYBAGUS) 100 MG/ML I ML | 1216.68 |
5323057 | PALIVIZUMAB 50MG $ | 2895 |
5323060 | PAMIDRONATE 30MG $ | 1322 |
5323061 | PAMIDRONATE 60MG/10ML | 0 |
5323062 | PAMIDRONATE 90 MG/ML INJ | 64 |
5323064 | 554368 (2-5-3-5-5/0.5)mL | 0 |
5323065 | 554838 (2-5-3-5-5/0.5)mL | 0 |
5323066 | PANCURONIUM 10MG/10ML | 379 |
5323070 | PANTOPRAZOLE 40MG IV | 141 |
5323075 | VABOMERE 2GM SDV | 0 |
5323077 | PAPAVERINE 30MG/ML 2ML | 13 |
5323080 | PARICALCITOL 5MCG/ML 1ML | 237 |
5323101 | PEGFILGRASTIM 6MG $ | 8850 |
5323118 | PENICILLIN G BENZ 1.2MU | 192 |
5323120 | PENICILLIN G BENZ 2.4MU | 374 |
5323147 | PENICILLIN G POTASSIUM20,000,000 UNI-1EA | 25.52 |
5323148 | PENICILLIN G POT 5MU | 183 |
5323153 | PENICILLIN G NA 5MU | 176 |
5323174 | PENICILLIN G PROCANE 600,000 UNIT | 0 |
5323175 | PENICILLIN V POTASSIUM 250MG TAB | 0 |
5323189 | PENTAMIDINE 300MG VIAL | 1491 |
5323242 | PHENOBARB 65MG | 95 |
5323243 | PHENOBARB-HYOSCY-ATROP 16.2-0.0194MG TAB | 0 |
5323246 | PHENOBARB SYR 130MG | 164 |
5323260 | PHENTOLAMINE 5MG | 84 |
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 |
5323409 | N-PIPERACILLIN/TAZOBACTAM(ZOSYN) IV | 0 |
5323420 | IMBRUVICA 420MG TAB (ORAL) | 0 |
5323449 | PNEUMOC VACC POLYS 23VAL | 298 |
5323465 | POLIOVIRUS VACCINE SUBQ | 452 |
5323491 | POLYMIX B 500MU | 185 |
5323492 | POLYMYX B-TRIMETH 10000U-ML 0.1% OPHTH | 0 |
5323536 | POTASSIUM ACET 40MEQ/20M | 70 |
5323548 | POTASSIUM CL PREMIX 10MEQ IN 100ML WATER | 0 |
5323550 | POTASSIUM CL 10meq / 100mL | 52 |
5323553 | POTASSIUM PHOS 3MM/ML | 100 |
5323555 | POTASSIUM PHOSPHATE,MONOBASIC 500MG PO+ | 0.15 |
5323558 | POTASSIUM CHLOR 2MEQ/ML | 5 |
5323675 | PROCAINAMIDE100MG/ML 10M | 109 |
5323677 | PRIMAXIN 500 MG | 0 |
5323678 | PROCAINAMIDE 500 MG/ML 2ML | 83 |
5323725 | PROCHLORPERAZN 10MG SYRD | 61 |
5323793 | PROMETHAZINE 25MG/ML | 61 |
5323798 | PROMETHAZINE 50MG/ML IM | 83 |
5323800 | PROPAFENONE 225MG CAP | 0 |
5323819 | PROPRANOLOL 1MG/ML | 28 |
5323845 | PROPOFOL 10MG/ML 20ML | 0 |
5323846 | PROPOFOL 10MG/ML 50ML | 452 |
5323847 | PROPOFOL 10MG/ML 100ML | 233 |
5323861 | PROTAMINE 50MG | 152 |
5323865 | PROTAMINE 10MG/ML-25ML | 0 |
5323929 | PYRIDOXINE 100MG/ML | 118 |
5323953 | QUINIDINE GLU 241-330MG | 11 |
5323967 | RANITIDINE 25MG/ML 2ML | 118 |
5323970 | RANITIDINE HCL (ZANTAC)25 MG/ML INJ | 4 |
5323973 | RABIES VAC CHICKEN FIBR | 433 |
5323974 | RABIES VACCINE, IM $ | 518 |
5323976 | RABIES IMMUNE GLOBULIN 150 UNIT/ML | 0 |
5323980 | RETEPLASE 18.8MG KIT $ | 8618 |
5323992 | REGADEN.1MG IJ | 222 |
5323994 | REGADENOSOL (LEXISCAN) 0.4 MG/5ML INJ | 63.16 |
5324010 | RHO (D)IMM GLO IM 300MCG $ | 432 |
5324011 | RHO (D) IMM GLOB IM50MC | 74 |
5324015 | RIFAMPIN 600MG | 955 |
5324017 | RISPERD PER 0.5MG | 20 |
5324020 | RITUXIMAB 100MG/10ML $ | 1583 |
5324026 | ROCURONIUM 10MG/ML SYRIN | 0 |
5324027 | ROMIPLOST PER 10 MCG $ | 3900 |
5324028 | ROCURONIUM 10MG/ML 5ML | 0 |
5324029 | ROMIPLOSTIM (NPLATE) 250 MCG INJ | 54.13 |
5324031 | RSV IMMUNE GLOBULIN 1GM | 1667 |
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 |
5324060 | NAROPIN 2MG/ML 10ML INJ | 0 |
5324080 | SECRETIN PER 1MCG $ | 1219 |
5324130 | SODIUM ACET 2MEQ/ML 20ML | 80 |
5324133 | AODIUM ACETAZOL 500MG | 55 |
5324138 | SODIUM BICARB 4% ADDITIV | 145 |
5324140 | SODIUM ACET 4MEQ/ML 50ML | 0 |
5324141 | SODIUM BICARB PED 4.2% | 152 |
5324150 | SODIUM BICARB 8.4% 10ML | 152 |
5324151 | SODIUM BICARB 50ML VL | 151 |
5324154 | SODIUM BICARBONATE 8.4% | 122 |
5324155 | SODIUM BICARB 240ML | 151 |
5324179 | SODIUM CLOR 4MEQ/ML 30ML | 48 |
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 | 48 |
5324195 | SODIUM CL 100ML | 115 |
5324196 | SODIUM CL .9% INJ | 83 |
5324198 | SODIUM CL 0.9% 5ML | 20 |
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 |
5324303 | SOMATROPIN PER 1MG | 331 |
5324363 | STREPTOMYCIN 1GM | 0 |
5324407 | SUCCINYLCHL 20MG/ML 10ML | 0 |
5324420 | SUMATRIPTAN 6MG INJ + | 203 |
5324423 | SYMPROIC 0.2MG | 0 |
5324426 | TERBUTALINE 1MG/ML | 118 |
5324433 | TERIPARITIDE 20MCG/DOSE-600MCG/2.4ML | 0 |
5324445 | TALC POWDER 100MG-ML 5GM INJ. | 0 |
5324457 | TESTOSTERONE CY 100MG/M | 6 |
5324465 | TESTOSTERONE EN 200MG/ML | 423 |
5324472 | TESTOSTERONE-ES | 405 |
5324499 | TETANUS IMMUNE GLOB 250U | 1275.8 |
5324519 | TETANUS TOXOID 0.5ML 0.5ML | 151 |
5324618 | THIAMINE 100MG/ML 1ML | 77 |
5324620 | THEOPHYLLINE 24hr RELEASE 100mg CAP | 0 |
5324681 | THIOTEPA 15MG $ | 596 |
5324703 | THYROTROPN 1.1 MG $ | 3429 |
5324739 | TIGECYCLINE 1MG | 5 |
5324780 | TOBRAMYCIN 40MG/ML 2ML | 320 |
5324785 | TOBRAMYCIN SULFATE 40 MG/ML -30ML | 0 |
5324830 | URSODIOL 250MG TAB | 0 |
5324831 | ALTEPLASE 50MG $ | 4332 |
5324855 | TRASTUZUMAB PER 10MG | 231 |
5324864 | TRIAMCIN 10MG/ML 5ML | 176 |
5324869 | TRIAMCIN 40MG/ML | 183 |
5324870 | TRIAMCIN 40MG/ML 5ML | 225 |
5324953 | TRIMETHOBENZ 200MG INJ | 109 |
5324965 | TROMETHAMINE 18G/500ML | 617 |
5324989 | TUBERCULIN PPD 5TU | 74 |
5325065 | VALPROATE INJ 500MG/5ML | 232 |
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 |
5325079 | VANCOMYCIN SUSPENSION | 0 |
5325081 | VANCOMYCIN EYEDROPS COMPOUNDED | 0 |
5325083 | VARICELLA 0.5 ML | 0 |
5325100 | VASOPRESSIN 20U/ML | 192 |
5325114 | VECURONIUM 10MG VIAL | 154 |
5325125 | VERAPAMIL 2.5MG/ML | 61 |
5325177 | VINBLASTIN | 42 |
5325203 | VINCRISTINE 2MG | 134 |
5325210 | VINORELBINE 10MG $ | 1798 |
5325229 | VITAMIN A 50,000 UNIT ML/2ML | 97 |
5325239 | VORICONAZOLE PER 10MG | 20 |
5325247 | WATER FOR INJUECTION BACTERIOSTAT 30 ML | 0.72 |
5325248 | WATER FOR INJ 100CC | 4 |
5325250 | WATER FOR INJECTION 10ML | 48 |
5325270 | ZIDOVUDINE 10MG/ML 20ML | 78 |
5325292 | ZOLEDRONIC ACID PER 1MG $ | 940 |
5325301 | ZIPRASIDONE PER 20MG 1EA | 84 |
5325304 | ZIPRASIDONE HCL 20MG | 16.22 |
5326169 | ASA BUTALB CAFF CODEIN30 + | 15 |
5327011 | ACETAMINOPH/COD 12MG/5ML + | 9 |
5327015 | ACETAMINOPHEN-C 15MG + | 6 |
5327019 | ACETAMINOPHEN-C 30MG + | 14 |
5327021 | ACETAMINOPHEN 325mg SUPPOSITORY | 0 |
5327022 | ACETAMINOPHEN 80mg SUPPOSITORY | 0 |
5327023 | ACETAMINOPHEN-C 60MG + | 15 |
5327024 | ACETAMINOPHEN 80mg/0.8ml SYRINGES | 0 |
5327025 | ACETAMINOPHEN-C-PYRILAMINE 500/60/15 MG+ | 0 |
5327036 | ACETAM/BUTALB/CAF TAB + | 15 |
5327318 | COCAINE SOLN 4% 4ML | 75 |
5327397 | CODEINE-BUTA-ASPI-CAFF30-50-325-40MG PO+ | 1.4 |
5327430 | DRONABINOL 2.5MG CAP + | 15 |
5327431 | DRONABINOL 5MG + | 34 |
5327432 | DRONABINOL 10 MG PO+ | 22.52 |
5327433 | DRONABINOL 5mg CAP | 0 |
5327501 | FENTANYL .05MG/ML 2ML | 83 |
5327505 | FENTANYL .05MG/ML 5ML | 11 |
5327510 | FENTANYL 25MCG/HR PATCH + | 81 |
5327511 | FENTANYL 50MCG/HR PATCH + | 74 |
5327512 | FENTANYL 75MCG/HR PATCH + | 109 |
5327513 | FENTANYL 100MCG/HR PATCH + | 225 |
5327515 | FENTANYL 12mcg/hr | 0 |
5327518 | FENTANYL/BUPIVICANE EPIDURAL 2MCG/ML | 0 |
5327520 | FENTANYL PCA 10 MCG/ML | 0 |
5327530 | FENTORA 600MCG TAB | 0 |
5327544 | HYDROCODONE/CPM PK 5ML + | 8 |
5327546 | HYD/APAP 7.5/750+ + | 2 |
5327551 | HYDROCOD/HOMATROP 10ML + | 19 |
5327554 | HYDROCOD/APAP 5/325 + | 3 |
5327565 | HYDROCOD/APAP 10/325 + | 4 |
5327578 | HYDROCODONE/ACETA 5MG + | 0 |
5327579 | HYDROCOD/APAP 7.5/500 + | 15 |
5327580 | HYDROCODONE &ACETAMINOPHEN 7.5MG-325MG | 0 |
5327585 | HYDROMORPH 10MG/ML 5ML | 69 |
5327586 | HYDROMORPHONE 2MG INJ | 109 |
5327587 | HYDROMORPHONE 2MG TAB + | 15 |
5327592 | HYDROMORPHONE 4MG INJ | 109 |
5327593 | HYDROMORPHONE 4MG TAB + | 15 |
5327625 | MEPERIDINE SYG 25MG/ML | 96 |
5327629 | MEPERIDINE SYG 50MG/ML | 95 |
5327633 | MEPERIDINE SYG 75ML/ML | 99 |
5327637 | MEPERIDINE SYG 100MG/ML | 99 |
5327660 | METHADONE 10MG/5ML 500ML BTL (ALC 8%) | 0 |
5327670 | METHADONE 10MG TAB + | 15 |
5327674 | METHADONE 5MG TAB + | 15 |
5327675 | LACOSAMIDE(VIMPAT0200MG PO+ | 7.74 |
5327677 | LACOSAMIDE 50MG TAB | 0 |
5327695 | METHYLPHENIDATE 5MG + | 19 |
5327699 | METHYLPHENIDATE 10MG + | 18 |
5327701 | METHYLPHENIDATE SR 20MG + | 7 |
5327730 | MIDAZOLAM SYRUP 10MG/5M | 19 |
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 |
5327755 | MORPHIN CONC 20MG/ML 1ML + | 15 |
5327757 | MORPHINE SYG 2MG/ML | 83 |
5327761 | MORPHINE SYG 4MG/ML | 99 |
5327765 | MORPHINE SYG 8MG/ML | 109 |
5327780 | MORPHINE SUL CR TAB 15MG + | 9 |
5327782 | MORPHINE SUL CR TAB 30MG + | 20 |
5327800 | MORPHINE 10MG SYG NDLS | 44 |
5327802 | OPIUM BELLADONNA 30MG | 18 |
5327806 | OPIUM BELLADONNA 60MG | 19 |
5327831 | OPIUM TINCT DOSE + | 19 |
5327839 | OXANDROLONE 10MG TAB + | 62 |
5327840 | OXANDROLONE 2.5MG TAB + | 16 |
5327847 | OXYCODONE/ACET 5/325 + | 4 |
5327852 | OXYCODONE-ASA + | 18 |
5327855 | OXYCODONE 5MG + | 14 |
5327857 | OXYCODONE CONTR REL 10MG + | 18 |
5327858 | OXYCODONE CONTR REL 20MG + | 20 |
5327859 | OXYCODONE CONTR REL 40MG + | 20 |
5327860 | OXYCODONE CONT REL 80MG + | 28 |
5327872 | OXYCODONE 20MG/ML 1ML + | 11 |
5327892 | HYDROMORPHONE PCA 0.2MG/ML(30ML) | 62 |
5327900 | PENTOBARBITAL 50M/M 50ML | 297 |
5327931 | PHENOBARB 15MG + | 9 |
5327935 | PHENOBARB 30MG + | 11 |
5327939 | PHENOBARB 60MG + | 14 |
5327943 | PHENOBARB 100MG + | 9 |
5327947 | PHENOBARB 20MG/5ML + | 41 |
5328067 | THIOPENTAL 500MG SG INJ | 138 |
5328710 | ZOLEDRONIC ACID 5MG/100ML INJ | 1102.75 |
5328715 | PROPOFOL 10 MG/ML 10 ML | 0 |
5328720 | OXYCODONE IR 15 MG TABLET | 0 |
5328722 | AMPICILLIN-SULBACTAM | 0 |
5328728 | DICYCLOMINE 10 MG/5 ML | 0 |
5328730 | FERRIC SUBSULFATE (MONSEL SOL) 2 OZ | 0 |
5328732 | FLUTICCASONE 50 MCG/ML | 0 |
5328736 | IPRATOPIUM ALBTERAL 20-100 MCG | 0 |
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 | 0 |
5330016 | ACETIC ACID 2% 15ML + | 15 |
5330045 | ACETYLCHOLIN SYS PAK | 77 |
5330072 | ACETYLCYSTEINE 10% 30ML | 39 |
5330079 | ACETYLCYSTEINE 20% 4ML | 70 |
5330093 | ACETYLCYSTEINE 20% 30ML | 323 |
5330114 | ALBUTEROL 90MCG 17GM + | 19 |
5330116 | ALBUTEROL .0839% 3ML + | 14.32 |
5330123 | DUO NEB 3ML + | 8 |
5330215 | APRACLONIDINE 1% .1ML | 81 |
5330241 | ARTIFICIAL TEARS UD + | 42 |
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 |
5330353 | BACITRACIN/POLYMXN 3.5GM + | 42 |
5330382 | BECLOMETHASONE DIPRIONATE (QVAR) 40 MCG | 86.99 |
5330384 | BECLOMETHASONE DIPRIONATE 80 MCG INH | 0 |
5330402 | BETAXOLOL 0.25% 10ML OS + | 93 |
5330403 | BETAXOLOL 0.5% 5ML OPHT + | 81 |
5330410 | BENZOCAINE/ANTIPYR 10ML + | 29 |
5330419 | BIMATOPROST .03% 2.5ML + | 186 |
5330423 | BRIMONIDINE 0.1% 5ML | 0 |
5330426 | BRIMONIDINE-TIMOLOL 0.2-0.5% OPHT 5ML | 83.35 |
5330428 | BUDESONIDE 180MCG INH + | 412 |
5330430 | BUDESONIDE INH .25MG/2ML + | 18 |
5330434 | BORIC ACID 120ML + | 55 |
5330437 | BRIMONIDINE.2% 5ML OS + | 109 |
5330443 | BRINZOLAMIDE 1% 10ML + | 80 |
5330445 | CALCITONIN 200U/SPRAY2ML + | 259 |
5330448 | BUDESONIDE INH .5MG/2ML + | 18 |
5330449 | CARBACHOL .01% 1.5ML | 577 |
5330451 | BRIMONIDINE TAR 0.15% + | 267 |
5330454 | CALCITONIN 200U/Spray 3.7ml | 0 |
5330459 | BUDESONIDE FORMTEROL 80-4.5 MCG INHAL + | 0 |
5330460 | BUDESONIDE FORMOTEROL 160-4.5MCG INHAL+ | 0 |
5330470 | BRIDION INJ 200MG/2ML | 0 |
5330472 | BRIDION INJ 500MG/2ML | 0 |
5330492 | CARBAMIDE PEROX 15ML + | 48 |
5330543 | CIPROF/DEX 7.5 ML + | 328 |
5330546 | CIPROFLOXACIN 2.5ML OS + | 68 |
5330549 | CIPROFLOX OO 0.3% 3.5G + | 93 |
5330590 | CYCLOPENTOLATE 1% 2ML | 0 |
5330591 | CYCLOPENTOLATE 2% 2ML | 0 |
5330602 | ROPE EYE DROPS + | 112 |
5330608 | CYCLOPSPORINE 250 MG/5ML INJ | 26.4 |
5330683 | DEXAMETHASONE SODIUM PHOSPHATE 10MG | 0 |
5330695 | DEXAMETHASONE .1% 5ML OS + | 43 |
5330722 | DEXAMETH/NEO/POLY 5ML OS + | 29 |
5330761 | DICLOFENAC .1% 2.5ML + | 77 |
5330763 | DISOPYRAMIDE 150 MG | 0 |
5330770 | DISOPYRAMIDE PHOSPHATE | 0 |
5330772 | DIPIVEFRIN .1% 5ML OS + | 89 |
5330780 | DORNASE ALFA (PULMOZYME)1MG/ML INH+ | 75.95 |
5330786 | DORZOLAMIDE 2% 10ML OS + | 217 |
5330787 | DORZOLAMIDE/TIMOLOL 5ML + | 181 |
5330860 | EPINEPHRINE HCL 0.1% 30 mL | 0 |
5330926 | ERYTHROMY OPTH 3.5GM + | 23 |
5330944 | OFLOXACIN .3% 5ML OTIC + | 136 |
5330947 | FLUNISOLIDE .025% 25ML + | 156 |
5330968 | FLUORESCEIN STRIP | 27 |
5330970 | FLUORESCEIN INJECTION 10% | 0 |
5330979 | FLUTICASONE (FLOVENT hfa) 44MCG INH+ | 109.88 |
5330985 | FLUTICASONE 100mcg/actuation | 0 |
5330986 | FLUTICASONE 250mcg/actuation | 0 |
5330992 | FLURBIPROFEN .03% 2.5ML + | 0 |
5330995 | FLUTICASONE .05%16GM + | 217 |
5330996 | FLUTICASONE .05% 15gm | 217 |
5330998 | Fluticasone 110mcg 12gm | 0 |
5330999 | FLUTICASONE 220MCG 12GM | 0 |
5331020 | GATIFLOXACIN (ZYMAR)0.30% OPTH SOLN+ | 83.75 |
5331031 | GENTAMICIN .3% 3.5GM OO + | 20 |
5331038 | GENTAMICIN .3% 5ML OS + | 23 |
5331133 | HOMATROPINE 5% 1ML + | 42 |
5331231 | IPRATOPIUM .02% SOLN + | 14.28 |
5331233 | IPRATROPIUM BROMIDE ATROVENT 17MCG/ACTUA | 155.56 |
5331235 | IPRATROP/ALBUT INH14.7GM + | 131 |
5331236 | IPRATROPIUM NAS SPR 15ML + | 162 |
5331353 | KETOROLAC 0.5% 3ML | 16 |
5331355 | KETOROLAC 0.5% 5ML OS + | 143 |
5331358 | KETOROLAC 0.40% 5ML | 0 |
5331365 | LATANOPROST .005% 2.5ML + | 195 |
5331368 | LEVOBUNOLOL .5% 1ML + | 96 |
5331375 | LEVALBUTEROL 0.63MG/3ML + | 25 |
5331380 | LEVABUTEROL TARTRATE 45MCG/ACTUATION | 0 |
5331415 | LOTEPREDNOL ETABONATE 0.50%OPHT SOL+ | 73.12 |
5331479 | METHYLCELLULOSE + | 83 |
5331489 | MOMETASONE 17GM NS + | 264 |
5331491 | MOXIFLOXACIN .5% 3ML OS + | 0 |
5331494 | MOMETASONE (ASMANEX TWISTHALER)22MCG | 136.73 |
5331500 | NAPHAZOLINE .1% 15ML + | 20 |
5331527 | NAPHCON A EYE DROPS + | 31 |
5331532 | NATAMYCIN 5% OPHTH 15ML + | 454 |
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 |
5331605 | NEOMYC/POLY/GRAMICID10ML + | 42 |
5331607 | NEO-POLY DEX 3.5 GM OPHT OINT+ | 19.86 |
5331616 | NEPAFENAC 3ML+ + | 297 |
5331640 | OFLOXACIN .3% 5ML OS + | 100 |
5331645 | OLOPATADINE (PATANOL)0.10% OPTH SOL+ | 116.52 |
5331650 | OLOPATADINE .20% 2.5mL | 0 |
5331682 | OXYMETAZOLINE 15ML .05% + | 6 |
5331686 | OXYMETAZOLINE0.05% 30ML | 3.99 |
5331688 | OXYBUTYNIN-3.9MG/24 HR | 0 |
5331787 | PHENYLEPHRN .25% 15ML DR + | 15 |
5331808 | PHENYLEPHRN .5% 15ML SP + | 13 |
5331816 | PHENYLEPHRINE 1% SPRAY + | 14 |
5331822 | PHENYLEPHRN 10% 5ML OS | 33 |
5331827 | PHENYLEPHRN 2.5% 5ML OS | 0 |
5331912 | PILOCARPINE 1% 1ML OS + | 33 |
5331933 | PILOCARPINE 2% 1ML OS + | 33 |
5331948 | PILOCARPINE 4% 15ML OS + | 6 |
5332095 | POLY/NEO/HYDROCORTI OTIC + | 38 |
5332130 | POLYVINYL ALCOH 15ML + | 29 |
5332140 | PORACTANTALFA120MG/1.5M | 936 |
5332141 | PORACTANT ALFA 240MG/3M | 1833 |
5332145 | POVIDON-IOD 5% 30ML OS | 39 |
5332172 | PREDNISOLONE .12% 5ML + | 42 |
5332193 | PREDNISOLONE 1% 5ML + | 0 |
5332225 | PROPYLHEXEDRINE 0.5MG | 3.89 |
5332242 | PROPARACAINE .5% 15ML | 87 |
5332250 | PEG 400 PROPYLENE GLYCOL 0.4% OPHT SOL+ | 8.99 |
5332260 | RACIPINEPHIRNE 2.25% | 0 |
5332277 | SALIVA SUBSTITUTE | 0 |
5332282 | SALMETEROL DISKUS 50MCG + | 151 |
5332285 | SALMET/FLUT DSK50/100 2 + | 305 |
5332287 | SALMET/FLUT DSK50/250 2 + | 323 |
5332289 | SALMET/FLUT DSK50/500 2 + | 323 |
5332384 | SOD CHLORIDE .65% NASAL + | 15 |
5332389 | SODIUM CL 3% 15ML | 0 |
5332390 | SODIUM CL 5% 15ML | 0 |
5332391 | SODIUM CL 10% 15 ML NEB | 0 |
5332392 | SODIUM CL.9% 5ML NEB + | 1 |
5332395 | SODIUM CL 7% 4ML INHALATION | 0 |
5332452 | SODIUM-CALCIUM 15ML | 46 |
5332454 | SODIUM-CAL SOLN 500ML | 291 |
5332457 | SODIUM-CA PLUS SOL 500ML | 969 |
5332473 | SULFACETAMIDE 10% 3.5GM + | 20 |
5332501 | SULFACETAMIDE S 10% 15ML + | 11 |
5332564 | TEA-PPO-CL-BUTA 8ML + | 72 |
5332592 | TETRACAINE .5% 2ML | 42 |
5332593 | TETRACAINE .5% 15ML | 102 |
5332662 | TETRAHYDRAZOL .05% 15ML + | 11 |
5332665 | TETRAHYCROZOLINE .05% 30ML | 0 |
5332697 | TIMOLOL .25% 5ML + | 18 |
5332704 | TIMOLOL .5% 5ML + | 23 |
5332713 | TIOTROPIUM 18MCG EACH + | 20 |
5332725 | TOBRAMYCIN OO 3.5GM + | 114 |
5332726 | TOBRAMYCIN OS 0.3% 5ML + | 42 |
5332728 | N-TOBRAMYCIN | 0 |
5332731 | TOBRAMYCIN/DEXAMETH3.5GM + | 151 |
5332733 | TOBRAMYCIN/DEXAMETH 5ML + | 137 |
5332737 | TRIAMCINOLONE AQ INHALER + | 161 |
5332745 | TRAVOPROST 0.004% DROPS + | 310 |
5332753 | TRIFLURIDINE 1% 7.5ML OS + | 242 |
5332780 | TROPICAMIDE 1% 15ML | 0 |
5333000 | PILOCARPINE 5MG TAB | 0 |
5334037 | ACYCLOVIR 5% 15GM + | 151 |
5334280 | LMX4+ CRM 4% 5GM | 36 |
5334291 | BACITRACIN 15GM + | 6 |
5334293 | BACITRACIN 30GM + | 27 |
5334294 | BACITRACIN OINT UD PKT + | 18 |
5334301 | BACITRACIN/POLYMXN 15GM + | 11 |
5334325 | VIT A&D CR/OINT 60GM + | 6 |
5334392 | BENZO-TETRA SPRAY 56ML | 100 |
5334418 | BENZOCAINE 30ML SPRAY + | 15 |
5334430 | BENZOCAINE 60ML SPRY | 81 |
5334433 | BENZOCAINE MENTHOL DERMPPLAST 20-.05% | 0 |
5334435 | BENZOCAINE PECTIN 15-5 MG | 0 |
5334445 | BENZOIN TINCTURE + | 28 |
5334448 | BENZOYL PEROXIDE 4% 42.5GM | 0 |
5334495 | BETAMETHASONE .05% 15G C + | 83 |
5334505 | BETAMETHASONE .05% 15G O + | 15 |
5334530 | BETAMETHASONE .1% 15GM C + | 11 |
5334659 | CALAMINE 120ML + | 9 |
5334660 | CALAMINE/ZINC OXIDE + | 23 |
5334662 | CALADRYL 8% 177mL | 0 |
5334663 | CALADRYL CLEAR 1% 177mL | 0 |
5334666 | CALCIPOTRIENE 0.005% 60gm + | 199 |
5334730 | CAPSAICIN .025% 42.5GM + | 77 |
5334731 | CAPSAICIN HP 0.075% 60G + | 81 |
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 |
5334769 | CHLORHEXIDINE 120ML + | 52 |
5334770 | CHLORHEXIDINE ORAL 1PINT + | 87 |
5334848 | CICLOPIROX .77% 15GM + | 55 |
5334860 | CLOBETASOL .05% 45GM + | 89 |
5334868 | CLOBETASOL .05% 15GM + | 33 |
5334869 | CLOBAZAM 10 MG | 0 |
5334871 | CLOTRIMAZOLE 1% 15GM CRM + | 74 |
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 |
5334907 | COAL TAR SHAMPOO 4OZ + | 48 |
5334936 | ZINC OXIDE 40% 28GM | 0 |
5334957 | COLLAGENASE 15GM + | 114 |
5334999 | CONJUGATED ESTR CRM 42GM + | 192 |
5335210 | DICLOFENA(EPOLAMINE)1.30% | 0 |
5335212 | DICLOFENA(VOLTAREN)1% GEL TOP+ | 31.52 |
5335271 | DIPHENHYDRAMINE CREAM 2% 30GM | 0 |
5335290 | DOCOSANOL 10% 2GM CREAM + | 53 |
5335315 | ECONAZOLE CREAM 1% 15GM | 0 |
5335320 | Emollient Combination No.10 45gm | 0 |
5335322 | EMOLLIENT COMBINATION NO.20 425GM | 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 |
5335437 | FLUOCINOLONE .01% 15GM + | 72 |
5335457 | FLUOCINOLONE .025% 15GM + | 47 |
5335498 | FLUOCINONIDE .05% 15GM + | 100 |
5335527 | FLUOCINONIDE 0.05%TOP+ | 26.18 |
5335550 | FLUOROMETHOLONE 0.1% 5ML | 0 |
5335565 | FLUOROURACIL 2% 10mL | 0 |
5335570 | FLUOROURACIL 5% 40GM | 0 |
5335724 | N-GENTAMICIN INJ | 0 |
5335729 | GENTAMICIN 0.1% 15GM UNG + | 29 |
5335777 | GLYCERIN | 0 |
5335886 | HYDROCORTI .5% 30GM CRM + | 93 |
5335901 | HYDROCORTISONE .5% 30GM + | 25 |
5335910 | HYDROCORTISONE -ACET ACID1-2% OTIC DROP+ | 251.14 |
5335911 | HYDROCORTISONE 1% 30GM + | 33 |
5335913 | HYDROCORTISONE 2.5% 30GM + | 56 |
5335915 | HYDROCORTISONE PRAMOXINE2.5-1% CREAM+ | 62.26 |
5335918 | HYDROCORTISONE 2.5% 20GM + | 42 |
5335951 | INDIA INK/ML | 70 |
5336057 | KARAYA GUM + | 39 |
5336084 | KETOCONAZOLE 2% CREAM + | 102 |
5336087 | AMMONIUM LACT 12% LOT + | 19 |
5336088 | KETOCONAZOLE 2% BOTTLE + | 0 |
5336141 | LANOLIN-MINERAL + | 19 |
5336190 | LIDOCAINE 2% (20MG/ML) SDV PF 5ML | 0 |
5336191 | LIDOCAINE 2% (20MG/ML) PF 10ML AMP | 0 |
5336194 | LIDOCAINE 2% 20ML | 77 |
5336195 | LIDOCAINE JELLY 2% 5mL | 0 |
5336198 | LIDOCAINE 2% 30GM JELLY | 74 |
5336201 | LIDOCA 2% UROJT | 0 |
5336212 | LIDOCAINE 5% 35GM UNG | 87 |
5336213 | LIDOCAINE 5% PATCH | 27 |
5336220 | LIDOCAINE 4% 4ML TOPICAL | 0 |
5336230 | LIDOCAINE 2% VISCOUS 15ML | 0 |
5336294 | LANOLIN TENDER CARE DISP SIZE 2 | 0 |
5336355 | MAGNESIUM SULFATE 480GM + | 29 |
5336380 | PARAB-CETY&STEA ALC-PRO 473ML TOP+ | 9.72 |
5336470 | METHYL SAL/MENTHOL 30GM + | 19 |
5336474 | CAMPH-METHYL-SALICYMENTHOL4-30-10% 113GM | 2.26 |
5336475 | METHYL SALICYLATE MENTHOL 3oz 85gm | 0 |
5336558 | METRONIDAZOLE INSERT + | 136 |
5336562 | METRONIDAZOLE .75% 45GM + | 192 |
5336594 | MICONAZOLE 2% 30GM CRM + | 15 |
5336595 | MICONAZOLE 2% 45GM CRM + | 80 |
5336612 | MICROFIBRILLAR SHEETS + | 506 |
5336615 | MICROFIBRILLAR 1GM SHEET | 420 |
5336644 | MINERAL OIL STERILE 10M | 13 |
5336678 | MOMETASONE .1% 60 ML | 77 |
5336680 | MOMETASONE .1% 15GM + | 81 |
5336683 | MUPIROCIN 2% 1GM UD + | 81 |
5336684 | MUPIROCIN 2% 30GM + | 179 |
5336685 | MUPIROCIN 2% 15GM + | 106 |
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 |
5336775 | NEOMYC/POLYMY/BACIT 30G + | 20 |
5336776 | NEOMYE/POLYMY/BACI 15G + | 11 |
5336779 | NEOMYCIN-POLYMY GU 1ML | 160 |
5336781 | NEOSPORN UNG PK+ + | 1 |
5336810 | NICOTINE TRANSDERMAL 7MG + | 42 |
5336811 | NICOTINE TRANSDERML 14MG + | 42 |
5336812 | NICOTINE TRANSDERML 21MG + | 42 |
5336825 | NITROFURAZONE SOL DRESS + | 55 |
5336835 | NITROGLYCERIN 0.1MG/HR + | 7 |
5336836 | NITROGLYCERIN 0.2MG/HR + | 8 |
5336837 | NITROGLYCERIN 0.3MG/HR + | 11 |
5336838 | NITROGLYCERIN 0.4MG/HR + | 9 |
5336840 | NITROGLYCERIN 0.6MG/HR + | 8 |
5336869 | NITROGLYCERIN 0.4MG/DOSE 4.9 GM | 0 |
5336888 | NITROGLYCERIN UNG U-D + | 20 |
5336909 | NYSTATIN TOP CRM 15GM + | 6 |
5336919 | NYSTATIN TOP POWD 15GM + | 77 |
5336924 | NYSTATIN TOP 100,000-0.1 UNIT/G-% | 34 |
5336934 | NYSTATIN VAG TAB 100MU + | 25 |
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 |
5337107 | POVIDONE-IODINE 30GM + | 66 |
5337122 | POVIDONE-IODINE SOLN 10%/118 ML | 25 |
5337124 | POVIDONE IODIN SOLN 10%/240ML | 39 |
5337140 | PRAMOXINE 1% 4OZ + | 6 |
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 |
5337272 | SILVER SULFADIA 1% 50GM + | 29 |
5337279 | SILVER SULFADIA 1% 20G + | 53 |
5337302 | GREEN SOAP | 0 |
5337305 | SOD HYPOCHLORITE 480ML | 20 |
5337369 | SURGILUBE 127.5 GM | 28 |
5337399 | NYSTATIN TRIAMCINOLONE 15 GM TOP+ | 6.87 |
5337426 | TERBINAFN 1% 12G + | 29 |
5337438 | TESTOSTERONE 1%2.5GM GE + | 23 |
5337467 | THROMBIN 5000U | 117 |
5337470 | TOBRAMYCIN POWD 1.2GM | 1276 |
5337490 | TOLNAFTATE 1% 133GM TOP+ | 5.52 |
5337493 | TOLNAFTATE 1% 15GM + | 25 |
5337495 | TOLNAFTATE 1% 10ML | 0 |
5337510 | E-OIL 30,000 IU/ 118ML | 0 |
5337545 | TRIAMCIN .025% 15GM CRM + | 27 |
5337550 | TRIAMCIN .025% 15GM UNG + | 57 |
5337575 | TRIAMCIN .1% 15GM UNG + | 25 |
5337576 | TRIAMCINOLONE .1% 30G + | 9 |
5337595 | TRIAMCIN .5% 15GM CRM + | 141 |
5337605 | TRIAMCIN .5% 20GM UNG + | 225 |
5337620 | TRIAMCIN A 5GM + | 74 |
5337625 | TRIAMCIN SPRAY .025% + | 142 |
5337645 | TRIPLE DYE APPL | 25 |
5337651 | TROLAMINE SALIC 10% 60GM + | 14 |
5337659 | XENADERM 30 GM + | 217 |
5337670 | XOFLUZA 20MG TAB | 0 |
5337672 | XOFLUZA 40MG TAB | 0 |
5337742 | VITAMIN E CRM 60GM + | 11 |
5337744 | ‘WITCH HAZEL PADS 40”S +’ | 11 |
5337756 | ZINC OXIDE 3GM OINTMENT + | 9 |
5338016 | ACETAMINOPHEN 120 mg + | 0 |
5338024 | ACETAMINOPHEN 650MG + | 6 |
5338095 | ASPIRIN 300MG SUPP + | 6 |
5338116 | ASPIRIN 600MG SUPP + | 6 |
5338162 | BISACODYL 10MG + | 14 |
5338320 | DINOPROSTONE 10MG $ | 738 |
5338367 | ETHYL CL 100% 103.5ML | 0 |
5338409 | GLYCERIN, ADULT + | 0 |
5338413 | GLYCERIN, INFANT + | 4 |
5338488 | HYDROCORTISONE 100MG60ML + | 20 |
5338493 | HYDROCORTISONE 25MG SUPP + | 20 |
5338497 | INDOMETHACIN 50MG SUPP + | 15 |
5338510 | MESALAMINE 4G/60ML + | 34 |
5338512 | MESALAMINE(CANASA) 1000MG SUPP+ | 15.47 |
5338534 | MINERAL OIL ENEMA + | 15 |
5338580 | PRAMOXINE HYDRO 15GM + | 68 |
5338590 | PRAMOXINE-MINERAL OIL-ZINC (Prep H) | 0 |
5338614 | PROGESTERONE SUPPOSITORY | 0 |
5338620 | PROGESTERONE 50 mg/mL 10 mL | 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 |
5338726 | SODIUM PHOS ENEMA + | 9 |
5339755 | ISONIAZIDE 100MG | 0 |
5339938 | PEDIALYTE 960ML + | 10 |
5339960 | STOMAHERSIVE PASTE | 0 |
5339965 | SURGICAL LUBE JELLY 3gM | 0 |
5339990 | PREVNAR | 0 |
5351000 | ‘ACCU-CHECK 50”S *’ | 20 |
5352998 | DESFLURANE PER DOSE | 245 |
5353049 | HALOTHANE PER DOSE | 208 |
5353069 | ISOFLURANE PER DOSE | 226 |
5353119 | SEVOFLURANE PER DOSE | 740 |
5355670 | DIATRIZ MEG 30% 50ML | 41 |
5356182 | PERFLUTREN LIPID MICROSPHERE | 0 |
5356183 | HOCM 200-249 MG/ML 1 ML | 9 |
5356185 | HOCM 300-349 MG/ML 1ML | 9 |
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 | 1342 |
5358208 | ISOSULFAN BLUE (LYMPHAZURIN) 1 % 10 MG I | 75.48 |
5358214 | ISOVUE 100-199 | 20 |
5358215 | ISOVUE 200-299 | 20 |
5358217 | ISOVUE 300-399 | 20 |
5358220 | IOHEXOL 180MG 10ML | 137 |
5358223 | IOHEXOL 240MG 10ML | 150 |
5358225 | IOHEXOL 300MG 10ML | 140 |
5358241 | MRI CNTRST GAD 1ML | 13 |
5358242 | MRI CNTRST FE 1ML | 13 |
5358244 | LYMPHAZURIN DYE | 1692 |
5358290 | SINCALIDE(KINEVAC) 50 MCG INJ | 8.24 |
5364081 | EPO/100 UNITS>=10,000 | 6 |
5370000 | N-ABELCET 1mg/1mL INJ | 0 |
5370012 | N-ACETAZOLAMIDE 5 MG/ML SOLN | 0 |
5370024 | N-ACYCLOVIR 5 mg/mL INJ | 0 |
5370036 | N-AMIKACIN 5 MG/ML INJ | 0 |
5370048 | N-AMINOPHYLLINE 5 mg/mL INJ | 0 |
5370060 | N-ASPIRIN 81 mg/mL ORAL | 0 |
5370072 | N-ASPIRIN 81 mg/mL RECTAL | 0 |
5370084 | N-AZTREONAM 20 MG/ML INJ | 0 |
5370108 | N-BUMETANIDE 0.125 MG/ML INJ | 0 |
5370120 | N-CAPTORIL 0.75 mg/ml SOLN | 0 |
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 |
5370204 | N-CLINDAMYCIN 10mcg/ml INJ | 0 |
5370216 | N-CYANOCOBALAMIN 100mcg/ml INJ | 0 |
5370218 | CYANOCOBALAMIN 1000 MCG INJ | 0 |
5370264 | N-DEXAMETHASONE 0.2 mg/ml INJ | 0 |
5370276 | N-ENALAPRIL 25 MCG/ML INJ | 0 |
5370288 | N-ENALAPRIL 1 mg/ml SUSP | 0 |
5370300 | N-ERYTHROMYCIN 5 MG/ML SUSP | 0 |
5370312 | N-FILGRASTIM 300 MCG | 0 |
5370324 | N-FLUCYTOSINE 50 MG/ML SUSP | 0 |
5370336 | N-FOLIC ACID 0.1 MG/ML SOLN | 0 |
5370348 | N-HYDRALAZINE 1 MG/ML INJ | 0 |
5370360 | N-HYDRALAZINE 1 MG/ML SOLN | 0 |
5370372 | N-HYDRALAZINE 1 MG/ML SUSP | 0 |
5370386 | N-HYDROCORTISONE ORAL SUSP 1MG/ML 20 ML | 0 |
5370396 | N-HYDROCORTISONE 2 MG/ML SUSP | 0 |
5370408 | N-INDOMETHACIN 0.5 mg/ml INJ | 0 |
5370420 | N-LANSOPRAZOLE 3 MG/ML SUSP | 0 |
5370432 | N-LEVOTHYROXINE 25 MCG/ML SOLN | 0 |
5370444 | N-MEROPENEM 50 mg/ml INJ | 0 |
5370450 | N-PREDNISONE 5 mg/ml SUSP | 0 |
5370456 | N-METHYLPREDNISOLONE 40 mg/ml INJ | 0 |
5370468 | N-NAFCILLIN 40 MG/ML INJ | 0 |
5370480 | N-NEVIRAPINE 10 MG/ML SOLN | 0 |
5370492 | N-OXACILLIN 40 mg/ml INJ | 0 |
5370504 | N-PANTOPRAZOLE 4 mg/ml INJ | 0 |
5370516 | N-PENICILLIN G 100000 unit/ml INJ | 0 |
5370528 | N-PHYTONADIONE 50 MCG/ML SUSP | 0 |
5370552 | N-PROPRANOLOL 1 MG/ML SOLN | 0 |
5370564 | N-RANITIDINE 1 mg/ml INJ | 0 |
5370576 | N-RIFAMPIN 2 MG/ML INJ | 0 |
5370588 | N-SILDENAFIL 2.5 mg/ml SUSP | 0 |
5370600 | N-SPIRINOLACTONE 1 MG/ML SUSP | 0 |
5370612 | N-SULFAMETHOXAZOLE-TRIMETOPRIM 1MG/ML IN | 0 |
5370624 | N-URSODIOL 10 mg/ml SUSP | 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 |
5370700 | JARDIANCE 25MG TAB | 0 |
5370708 | ARANESP 150 mcg / 0.3 mL | 0 |
5370720 | METHADONE CONC. 10 MG/ML | 0 |
5370732 | PHENOBARBITAL 50 mg/mL | 0 |
5370744 | RIFAXIMIN 550MG TAB | 0 |
5370756 | TOLTERODINE 2MG LONG ACTING | 0 |
5410000 | TERT PRNT/IRR | 0 |
5410013 | AMINO ACID (LYTES-GLYCERIN) 3% | 0 |
5410014 | CARBOPLATIN 10MG/ML 45ML | 0 |
5410016 | CARBOPLATIN 450MG | 0 |
5410020 | FREARMINE III AMINO ACID 8.5%-500 ML | 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 | 111 |
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 | 218 |
5412255 | D5 NACL.33 1000ML | 117 |
5412280 | D5 NACL.45 250ML | 128 |
5412285 | D5 NACL.45 500ML | 137 |
5412290 | D5 NACL.45 1000ML | 190 |
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 | 101 |
5412335 | D5 NS 1000ML | 218 |
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 |
5412355 | D5W 50ML | 115 |
5412360 | D5W 100ML | 115 |
5412370 | D5W 250ML | 128 |
5412375 | D5W 500ML | 181 |
5412380 | D5W 1000ML | 218 |
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 | 128 |
5412435 | D10W 500ML | 122 |
5412440 | D10W 1000ML | 218 |
5412446 | HEXTEND 500ML | 128 |
5412545 | L RINGERS 500ML | 137 |
5412550 | L RINGERS 1000ML | 218 |
5412585 | MANNITOL 20% 500ML | 372 |
5412610 | FLUCONAZOLE IN NACL (ISO-OSM) | 0 |
5412620 | NACL .45 500ML | 109 |
5412625 | NACL .45 1000ML | 117 |
5412635 | NACL .9 50ML | 111 |
5412640 | NACL .9 100ML | 111 |
5412655 | NACL .9 250ML | 128 |
5412665 | NACL .9 500ML | 123 |
5412670 | NACL .9 1000ML | 218 |
5412690 | NACL 3% 500ML | 122 |
5412695 | NACL 5% 500ML | 122 |
5412780 | STERILE WATER 250ML | 29 |
5412785 | STERILE WATER 500ML | 59 |
5412790 | STERILE WATER 1000ML | 88 |
5412822 | D5LR 1000ML+OXYTOCIN 20U | 68 |
5412965 | TPN ADULT | 148 |
5412966 | TPN NEONATAL | 131 |
5412967 | TPN HEPATIC | 225 |
5412968 | TPN RENAL | 225 |
5412970 | STOCK PTN 10W | 0 |
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 | 171 |
5413435 | FAT EMULSION 10% 100ML | 320 |
5413450 | FAT EMULSION 10% 500ML | 358 |
5413460 | FAT EMULSION 20% 100ML | 362 |
5413470 | FAT EMULSION (LIPOSYN)iii) 20% 250ML IV | 34.2 |
5413475 | FAT EMULSION 20% 500ML | 520 |
5414015 | ACETIC ACID.25% IRR 1L | 141 |
5414059 | HEPARIN 1000 PMX 500ML | 223 |
5414145 | NACL .9 IRR 500ML | 117 |
5414150 | NACL .9 IRR 1000ML | 123 |
5414160 | NACL .9 IRR 2000ML | 161 |
5414170 | PROCALAMINE 3% 1000 ML | 0 |
5414240 | STERILE WATER IRR 500ML | 111 |
5414245 | STERILE WATER IRR 1000ML | 123 |
5414255 | STERILE WATER IRR 2000ML | 198 |
5414260 | STERILE WATER IRR 4000ML | 264 |
5417600 | DENOSUMAB120 MG/1.7 ML VIAL | 0 |
5417650 | K-PHOS NEUTRAL 250MG TABLET | 0 |
5417659 | 20 UNITS PITOCIN IN D5LR 1000ML | 0 |
5417660 | NS500M 0.9% 500ML | 0 |
5417661 | 20 UNITS PITOCIN IN LR 1000ML | 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 |
5417685 | CHERRY | 0 |
5417690 | COLESTIPOL 1gm | 0 |
5417695 | DIFLUPREDNATE 0.05% 5mL | 0 |
5417700 | LOTREL 5/40 5-40mg | 0 |
5417710 | LISSAMINE GREEN | 0 |
5417720 | OPHTH IRRIGATION SOLN (EYE WASH) 99.0% | 0 |
5417725 | GENTEAL TEARS 0.1-0.3% DROPS | 0 |
5417730 | PEN G 5MU D5 50ML (LD ONLY) 5mu/50ml | 0 |
5417732 | PEN G2.5MU D5 50ML (LD ONLY) | 0 |
5417740 | PODOPHYLLUM RESIN 25% 15ML | 0 |
5417760 | RILPIVIRINE 25mg | 0 |
5417780 | SURFACTANTS 480mL | 0 |
5417790 | SYSTANE ULTRA EYE DROPS 0.4-0.3% | 0 |
5417810 | TAZAROTENE 0.10% 30gm | 0 |
5417820 | TOLVAPTAN 15mg | 0 |
5417825 | COBICISTAT 150MG | 0 |
5417827 | VEMLIDY 25MG TAB | 0 |
5417831 | ZERBAXA, INJ | 0 |
5417832 | OSELTAMIVIR 30MG CAP | 0 |
5417833 | ATAZANIVIR-COBICISTAT 300MG/150MG TAB | 0 |
5417834 | CEFUROXIME ACETIL 500MG TAB | 0 |
5417835 | CLINDAMYCIN 300MG/50ML INJ | 0 |
5417836 | CEFTAROLINE FOSAMIL 600MG INJ | 0 |
5417837 | ENTRESTO 24MG-26MG TAB | 0 |
5417838 | ENTRESTO 97MG-103MG TAB | 0 |
5417839 | HYDROMORPHONE 0.5MG/0.5ML SYRINGE | 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 |
5417845 | ESMOLOL IN WATER 2000MG/100ML | 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 |
5417850 | PHENOL 1.4% 20ML SPRAY | 0 |
5417851 | SODIUM NITHIODOTE & THIOSULF 300MG/10ML | 0 |
5417852 | INFLUENZA VACCINE 18 YEARS & UP 45MCG/0. | 0 |
5417855 | GAMMAGARD LIQUID INJ 10% 500 MG 50 ML | 0 |
5417870 | FIRVANQ 25MG/ML 300ML | 0 |
5417872 | FIRVANQ 50MG/ML 150ML | 0 |
5418000 | INVIRASE 500MG TAB | 0 |
5418100 | CAROSPIR 25MG/5ML 118ML BTL | 0 |
5418130 | BIKTARVY TAB 50/200/25 | 0 |
5418999 | SOLUTIONS MISC | 0 |
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 |
5500103 | AER TX DEMO AND/OR EVAL | 117 |
5500122 | HAND HELD NEB TREATMENT | 319 |
5500152 | ABG ANALYSIS | 614 |
5500230 | SUCTION DEEP * | 160 |
5500236 | TRACH CHANGE ALL TYPES * | 0 |
5500411 | INCENTIVE SPIROMETRY INT * | 160 |
5500502 | IPPB TX | 319 |
5500504 | IPPB TX DEMO AND/OR EVAL | 225 |
5500550 | HELIOX TX INITIAL | 401 |
5500555 | HELIOX PER HOUR | 48 |
5500600 | CPAP INIT/MGMT | 716 |
5500607 | PULSE OXIMETR MNTR INIT * | 303 |
5500609 | PULSE OXIMETR MNTR/HR * | 36 |
5500620 | VOLUME VENTILATOR INTL | 5734 |
5500626 | VOLUME VENT SUBSQ/DLY | 5213 |
5500630 | WEANING PARAMETERS * | 160 |
5500640 | TRANSCUTAN MNTR INIT * | 253 |
5500700 | OXYGEN INITIAL | 222 |
5500702 | OXYGEN HOURS | 36 |
5500720 | OXYGEN HOURS ER | 156 |
5500724 | OXYGEN XRAY | 27 |
5500811 | TECH IN ASSISTANCE * | 0 |
5500819 | PEAK FLOW ONLY * | 160 |
5501000 | BRONCHOSCOPY DIAGNOSTIC | 6350 |
5501005 | BRUSHING/PROTECT BRUSH | 7721.65 |
5501010 | BRONCHIAL ALVEOLAR LAVAGE | 7823 |
5501104 | BLOOD GASARTERIAL STICK * | 195 |
5501857 | BIPAP INITIAL | 5734 |
5501860 | BIPAP HOURLY | 716 |
5502105 | MDI TREATMENT | 319 |
5504004 | VOL VENT SNF | 2285 |
5504660 | MDI INHALER/VENT | 319 |
5504667 | CHST WALL MANIPULATN INI | 190 |
5504668 | CHST WALL MANIPULATN SUB | 227 |
5510060 | ABG W/CALC O2 SAT | 527 |
5510122 | HAND HELD NEB TX | 319 |
5510205 | INTUBATION | 282 |
5510206 | EXTUBATION * | 128 |
5510542 | NITRUS OXIDE/ HOUR | 375 |
5510600 | CPAP INITIAL | 716 |
5510618 | HIGH FREQ VENT SUBSQ/DLY | 5213 |
5510620 | VOLUME VENTILATOR INTL | 5734 |
5510626 | VOLUME VENT SUBSQ/DLY | 5213 |
5510706 | OXYGEN HOOD INITIAL | 467 |
5510708 | OXYGEN HOOD HOURS | 87 |
5510811 | TECH IN ASSISTANCE * NICU | 0 |
5510812 | #ECH TRANSPORT 1 WAY * | 368 |
5510940 | SURVANTA MGMT 30MIN | 160 |
5511847 | TCPO2-PCO2 INITIAL | 244 |
5511850 | TCPO2-PCO2 HOURS | 47 |
5518702 | OXYGEN HOURS OTHR | 70 |
5518811 | TECH IN ASSIST OTHR | 0 |
5600257 | UNSCHED DIAL ESRD PT | 4300 |
5600962 | PERI DIAL ACUTE RNL FAIL | 2488 |
5600976 | IP HEMODIALYSIS | 2150 |
5600984 | SPEC PROC/TX ROOM | 1349 |
5606001 | SURG PROC MINOR | 1514 |
5608910 | DIALYSIS CANCELLATION * | 707 |
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 |
5700283 | PT E-STIM BASIC | 166 |
5705178 | PT MANUAL THERAPY EA 15M | 183 |
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 |
5705248 | PT PARAFFIN BATH BSC | 122 |
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 | 200 |
5705300 | PT NEUROMUSC RE-ED EA15 | 203 |
5705312 | PT THERAPEUTC ACT EA 15 | 203 |
5705316 | PT SLF CR/HM MGMT EA 15 | 209 |
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 |
5730150 | PT WOUND CARE INIT EVAL * | 556 |
5730152 | PT WOUND CARE F/UP VISIT * | 505 |
5730283 | PT E-STIM BASIC | 166 |
5735201 | PT EVAL LOW COMPLX | 276 |
5735206 | PT EVAL HIGH COMPLX | 811 |
5735284 | PT US EA 15 BSC | 181 |
5735344 | ORTH MGM/ TR/ UP/LR 15 | 385 |
5737593 | SEL DEB >20 CM COMPLX | 179 |
5737594 | SEL DEB 359 |
|
5737597 | SEL DEB 359 |
|
5737598 | SEL DEB >20 CM BASIC | 179 |
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 |
5800283 | OT E-STIM BASIC | 166 |
5801452 | VASOPNEUM DVCE | 36 |
5801800 | OT EVAL INIT 30 MIN MCAL | 608 |
5801802 | OT EVAL ADDL 15 MIN MCAL | 304 |
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 | 183 |
5805200 | OT EVAL LOW COMPLX | 276 |
5805202 | OT EVAL MOD COMPLX | 766 |
5805206 | OT EVAL HIGH COMPLX | 811 |
5805210 | OT RE-EVAL INTERM | 875 |
5805212 | OT RE-EVAL EXT | 875 |
5805248 | OT PARAFFIN BATH BSC | 122 |
5805266 | OT E-STIM MAN EA 15 BSC | 222 |
5805284 | OT US EA 15 BASIC | 181 |
5805296 | OT THERAPTC EXER EA 15 | 200 |
5805300 | OT NEUROMUSC RE-EDUC EA1 | 203 |
5805312 | OT THERAPTC ACT EA 15 | 203 |
5805316 | OT SLF CARE HM MGMT EA15 | 209 |
5805344 | ORTH MGMT/ TRN/UP/LR 15 | 385 |
5805356 | CKOUT PROS/ORTH EA 15 | 69 |
5805664 | OT WHLCHR TRN EA 15 | 169 |
5807545 | OT SENSRY INTRGRN EA15 | 133 |
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 | 541 |
5900172 | ST LANGUAGE EVAL | 650 |
5900174 | ST VOICE EVAL | 650 |
5900175 | VOICE PROSTHETIC EVAL | 132.75 |
5900177 | COGNITIVE PERFORMANCE TEST | 349 |
5900200 | COGNITIVE REHAB MCAL | 133 |
5900202 | SP THER EA 30 MIN MCAL | 262 |
5901001 | SPEECH/LANG TX | 522 |
5901022 | ST ORAL MTR TX | 433 |
5902610 | SP SWAL EVAL PHARYN LTD | 324 |
5902611 | SP EVAL CINE VIDEO | 352 |
5904300 | LANGUAGE EVAL M/CAL | 618 |
5904301 | SPEECH EVAL M/CAL | 618 |
5904303 | SP/LANG TX PER HR M/CAL | 522 |
5905442 | SP NEURO MUSC RE-ED | 203 |
5907538 | SP COG SKL DEV EA 15 | 87 |
6040283 | PT E-STIM BASIC | 166 |
6041001 | SP SPCH/LANG TX | 522 |
6041065 | SP DYSPHAGIA TX | 433 |
6041404 | PT EVAL LOW COMPLX | 276 |
6041406 | PT EVAL HIGH COMP | 811 |
6041408 | PT EVAL MOD COMPLX | 766 |
6041410 | OT EVAL LOW COMPLX | 276 |
6041412 | OT EVAL MOD COMPLX | 766 |
6041414 | PT RE-EVAL COMP | 621 |
6041454 | PT PARAFFIN BATH BSC | 122 |
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 | 200 |
6041542 | PT NEUROMUSC RE-ED EA15 | 203 |
6041550 | PT GAIT/STR TRN EA15 | 222 |
6041562 | PT THER ACT EA 15 | 203 |
6041566 | PT SLF CARE/HM MGMT EA15 | 209 |
6041570 | PT COMM/WK REINT TRN EA1 | 132 |
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+ | 231 |
6041806 | OT EVAL HIGH COMP | 811 |
6041814 | OT RE-EVAL COMP | 875 |
6041848 | OT PARAFFIN BATH BSC | 122 |
6041866 | OT E-STIM MAN EA 15 BSC | 222 |
6041884 | OT US EA 15 BASIC | 181 |
6041896 | OT THERAPTC EXER EA 15 | 200 |
6041900 | OT NEUROMUSC RE-EDUC EA1 | 203 |
6041912 | OT THERAPTC ACT EA 15 | 203 |
6041916 | OT SLF CARE HM MGMT EA15 | 209 |
6041920 | OT COMM/WK REINT TRNG 15 | 132 |
6041944 | ORTH MGMT/TRN/UPR/LWR15 | 385 |
6041956 | CKOUT PROS/ORTH EA 15 | 69 |
6041968 | OT GRP 1 THER PROC 2+ | 231 |
6042610 | SP SWAL EVAL PHARYN LTD | 324 |
6042611 | SP EVAL CINE VIDEO | 352 |
6045178 | PT MANUAL THERAPY EA 15M | 183 |
6045180 | OT MANUAL THERAPY EA 15M | 183 |
6045442 | SP NEUROMUSC RE-ED | 203 |
6045664 | OT WHLCHR TRN EA 15 | 169 |
6047013 | OT E-STIM BASIC | 166 |
6047534 | SP COG SKL DEV EA 15 | 87 |
6047536 | ST FLUENCY EVAL | 325 |
6047538 | ST SPEECH EVAL | 541 |
6047540 | ST LANGUAGE EVAL | 650 |
6047541 | ST VOICE EVAL | 650 |
6047542 | VOICE PROSTHETIC EVAL | 132.75 |
6047543 | COGNITIVE PERFORMANCE TEST | 349 |
6047545 | OT SENSRY INTRGRN EA15 | 133 |
6051065 | SP DYSPHAGIA TX IND | 433 |
6051410 | OT EVAL LOW COMPLX | 276 |
6051412 | OT EVAL MOD COMPLX | 766 |
6051414 | PT RE-EVAL COMP | 621 |
6051454 | PT PARAFFIN BATH BSC | 122 |
6051496 | PT E-STIM MAN EA 15 BSC | 222 |
6051502 | PT IONTOPHOR EA 15 BSC | 285 |
6051514 | PT US EA15 BSC | 181 |
6051538 | PT THERAPEUTC EXER EA15 | 200 |
6051542 | PT NEUROMUSC RE-ED EA15 | 203 |
6051550 | PT GAIT/STR TRN EA15 | 222 |
6051562 | PT THER ACT EA 15 | 203 |
6051566 | PT SLF CARE/HM MGMT EA15 | 209 |
6051574 | PT WHEELCHR TRN EA15 | 169 |
6051598 | ORTH MGMT/TRN/UPR/LWR15 | 385 |
6051602 | PT PROS FIT/TRN EA 15MN | 145 |
6051604 | PT EVAL LOW COMPLX | 276 |
6051608 | PT EVAL MOD COMPLX | 766 |
6051610 | CKOUT PROS/ORTH EA 15 | 69 |
6051814 | OT RE-EVAL COMP | 875 |
6051848 | OT PARAFFIN BATH BSC | 122 |
6051866 | OT E-STIM MAN EA 15 BSC | 222 |
6051884 | OT US EA15 BSC | 181 |
6051896 | OT THER EX EA 15 | 200 |
6051900 | OT NEUROMUSC RE-ED EA15 | 203 |
6051912 | OT THERAPTC ACT EA 15 | 203 |
6051916 | OT SLF CARE/HM MGMT EA15 | 209 |
6051920 | OT COMM/WK REINT TRN EA1 | 132 |
6051944 | ORTH MGMT/TRN/UPR.LRW15 | 385 |
6051956 | CKOUT PROS/ORTH EA 15 | 69 |
6052522 | SP SP/LANG TX COM | 522 |
6052610 | SP SWAL EVAL PHARYN LTD | 324 |
6052611 | SP EVAL CINE VIDEO | 352 |
6054055 | SP LANG THRPY IND | 522 |
6055178 | PT MANUAL THERAPY EA 15M | 183 |
6055180 | OT MANUAL THERAPY EA 15M | 183 |
6055442 | SP NEUROMUSC RE-ED | 203 |
6055664 | OT W/C MANAGEMENT EA 15 | 169 |
6057013 | PT E-STIM BASIC | 166 |
6057021 | OT E-STIM BASIC | 166 |
6057539 | SP COG SKL DEV E15#2 | 87 |
6057545 | OT SENSRY INTRGRN EA15 | 133 |
6057546 | ST FLUENCY EVAL | 325 |
6057548 | ST SPEECH EVAL | 541 |
6057550 | ST LANGUAGE EVAL | 650 |
6057552 | ST VOICE EVAL | 650 |
6057554 | VOICE PROSTHETIC EVAL | 132.75 |
6057556 | COGNITIVE PERFORMANCE TEST | 349 |
6100100 | VACCINE ADMIN INITIAL | 150 |
6100150 | VACCINE ADMIN ED ADDL | 150 |
6100510 | ER VISIT LVL I | 479 |
6100511 | ER VISIT LVL I | 190 |
6100514 | CRIT CARE E&M 30-74 MIN | 5567 |
6100522 | ER VISIT LVL II | 949 |
6100524 | ER VISIT LVL III | 1567 |
6100526 | ER VISIT LVL IV | 2433 |
6100527 | ER VISIT LVL V | 3712 |
6102202 | ER OBSERVATION PER HR * | 155 |
6102960 | CARDIOVERT EXTRNL | 2878 |
6103055 | CRITICAL CR E&M ADDL 30 | 2560 |
6103060 | CPR | 1641 |
6103110 | TRANSFUSION BLD_ER | 1262 |
6103116 | TRANSFUSION BLD-ADMIN_CHALET | 1262 |
6103117 | TRANSFUSION BLD-ADMIN_CICU | 1262 |
6103118 | TRANSFUSION BLD-ADMIN_SICU | 1262 |
6103119 | TRANSFUSION BLD-ADMIN_CCU | 1262 |
6103120 | TRANSFUSION BLD-ADMIN_NICU | 1262 |
6103121 | TRANSFUSION BLD-ADMIN_MEDSURG | 1262 |
6104000 | OCCULT BLOOD FECES | 32 |
6104010 | GLUCOSE BLOOD STICK TEST | 50 |
6104015 | URINALYSIS DIPSTICK METH | 20 |
6104018 | URINE PG BY REAGENT | 181 |
6105100 | IV INF THERAPY 16-90 MIN | 783 |
6105150 | IV INFUSION EACH ADDL 60 MIN | 402 |
6105200 | IV INF ADDL SEQ 16-90 MIN | 402 |
6105250 | IV INF CONCURRENT | 396 |
6105300 | IV PUSH INITIAL | 353 |
6105350 | IV PUSH ADDL NEW DRUG | 333 |
6105400 | IV PUSH ADDL SEQ SAME DRUG > 30 MIN | 305 |
6105450 | INJ SC/IM | 300 |
6105550 | IV INF HYDRATION 31-90 MIN | 796 |
6105600 | IV INF HYDRATION EA ADDL 60 MIN | 387 |
6106000 | PROCEDURE, SIMPLE | 688 |
6106001 | SURG PROC MULT/INTRMDTE | 1279 |
6106002 | SURG PROC EXTENSVE/CMPLX | 1869 |
6106065 | CENTRAL LINE | 432 |
6106070 | US GUIDANCE | 2164 |
6106075 | LIMITED ECHO | 271 |
6108997 | ER HPMC FIRST AID | 0 |
6108999 | LWBS | 0 |
6109000 | VAGINAL DELIVERY ONLY | 10427 |
61090001 | EMERG DIALYSIS ESRD PATIENT | 4300 |
6109002 | EXC FACE-MM B9+MARG 0.6-1 CM | 2700 |
6109003 | EXPLORE WOUND CHEST | 7139 |
6109004 | ADJ GASTRIC BAND DIAM VIA INJ/ASP | 600 |
6109005 | INTMD WON REPAIR N-HF/GENIT | 2265 |
6109006 | REMOVE DRUG IMPLANT DEVICE | 397 |
6109007 | SIMPLE REPAIR WND 20.1-30.0 CM | 1232 |
6109008 | INIT TREATMENT OF 1ST DEG BURN | 770 |
6109009 | INJ NERVE BLOCK OCCIPITAL | 1155 |
6109010 | EXPLORE WOUND NECK | 2215 |
6109011 | EXC FACE-MM B9+MARG 1.1-2 CM | 2970 |
6109012 | REMOVAL NAIL PLATE | 766 |
6109013 | ‘REMOVAL NAIL PLATE EA ADD”L’ | 383 |
6109014 | FASCIOTOMY ILIOTIBIAL OPEN | 12190 |
6109015 | CONTROL THROAT BLEEDING, SIMPLE | 885 |
6109016 | NEG PRESS WOUND TX >50 CM | 1465 |
6109017 | EXCIS TONGUE OF LESION W/O CLOSURE | 10868 |
6109018 | CYSTOSCOPY W URETERAL CATH | 8225 |
6109019 | CLOSED TREAT KNEE DISLOCATION W/O ANESTH | 1000 |
6109020 | AMPUTATION, FINGER OR THUMB | 12190 |
6109021 | CL TX VERTEBRAL W BRACE/CAST | 6087 |
6109022 | ANOSCOPY DIAGNOSTIC | 464 |
6109023 | NASOPHARYNGOSCOPY w/ ENDOSCOPE | 735 |
6109024 | APPLICATION OF FINGER SPLINT | 496 |
6109025 | ASPIRATE PLEURA w/ IMAGING | 3420 |
6109026 | APPLY LONG ARM SPLINT | 625 |
6109027 | APPLY LONG LEG SPLINT | 625 |
6109028 | APPLY FOREARM SPLINT | 550 |
6109029 | APPLY FOREARM SPLINT STAT | 500 |
6109030 | APPLY LOWER LEG SPLINT | 625 |
6109031 | EGD BIOPSY SINGLE/MULTIPLE | 3500 |
6109032 | APPLICATION OF LONG ARM CAST | 1100 |
6109033 | APPL OF HIP CAST ONE LEG | 1100 |
6109034 | APPLICATION OF SHORT ARM CAST | 1100 |
6109035 | INSERTION ARTERIAL CATHETER | 250 |
6109036 | ARTHOCENTESIS/ASPIRIN/INJ | 1155 |
6109037 | ARTHOCENTESIS/ASPIRIN/INJ | 1155 |
6109038 | ASPIRATE/INJ GANGLION CYST | 1155 |
6109039 | ATT E/N/E/LD10 SQ CM | 7135 |
6109040 | ATT F/C/M/N/A/G/H/F/10 SQ CM/< | 7135 |
6109041 | BIVALVE ARM/LEG CAST | 1100 |
6109042 | ATT E/N/E/L/D 10.1-30 SQCM | 8824 |
6109043 | BLADDER IRRIGA SIMPLE LAVAGE | 1080 |
6109044 | BLEPHAROTOMY DRAINAGE ABSC | 1340 |
6109045 | HEART LUNG RESUSCITATION CPR | 1641 |
6109046 | BRONCHOSCOPY DX/ w/wo CELL | 6350 |
6109047 | BIOPSY SKIN LESSION | 1465 |
6109048 | INCISION OF EYELID FOLD | 8505 |
6109049 | C REP TRUNK EA ADDTL 5 CM/< | 2265 |
6109050 | CARDIOVERSION ELECTRIC EXT | 2878 |
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 | 780 |
6109055 | CAUTERY OF CERVIX | 10400 |
6109056 | TREAT ANKLE DISLOCATION | 6085 |
6109057 | CHANGE OF BLADDER TUBE | 1080 |
6109058 | CHANGE OF GASTROSMY TUBE | 1080 |
6109059 | TREAT WRIST DISLOCATION | 1000 |
6109060 | TREAT THUMB DISLOCATION | 1000 |
6109061 | TREAT HAND DISLOCATION | 1000 |
6109062 | TREAT THUMB FRACTURE | 6085 |
6109063 | CL TX FEMORAL SHAFT FX w/ MANIP | 6085 |
6109064 | CL TX FEMUR FX OR EPIPHYSIS SE | 6085 |
6109065 | CL TX IP JT D W MANIP w/ ANESTH | 1100 |
6109066 | TREAT BIG TOE FRACTURE | 1100 |
6109067 | CL TX LUNATE DISCLOC w/ MANIP, WRIST | 6085 |
6109068 | TREAT LOWER JAW FRACTURE | 5190 |
6109069 | TREAT KNUCKLE DISLOCATION | 6085 |
6109070 | CL TX MED ANKLE FX w MNPJ | 6085 |
6109071 | TREAT ELBOW FRACTURE | 6085 |
6109072 | CL TX NASAL SEPTAL FX | 10800 |
6109073 | TREAT ANKLE DISCLOCATION | 1000 |
6109074 | COMPLX REPAIR EA ADDL 5 CM | 1133 |
6109075 | COMPLX SCALP REPAIR EA ADDL<= 5 CM | 1133 |
6109076 | CNTRL NASAL HEMORR POST w/ | 500 |
6109077 | CNTRL OF NASAL HEMORR ANT COMP | 1000 |
6109078 | CNTRL OF NASAL HEMORR ANT SIMP | 530 |
6109079 | DEBRIDE NAIL 1-5 CM | 275 |
6109080 | CL TX OF NASAL BONE FX w/o S | 5200 |
6109081 | CL TX POSTOP HIP DISLOC w/ ANESTH | 6085 |
6109082 | CL TX TRAUMA HIP DISLOC w/ ANESTH | 6085 |
6109083 | CL TX SCAPULAR FX w/ MANIP | 6085 |
6109084 | CLO TX WB DSTL TIB FX w/ MANIP | 6085 |
6109085 | CLO TX AROMIOCLAVICULAR DIS | 1000 |
6109086 | DEBRID SKIN + SUBQ TISS | 1465 |
6109087 | DEBRIDE SKIN TO MUSCLE | 2265 |
6109088 | DECLOT VASCULAR ACCESS | 1400 |
6109089 | DELIVERY OF PALCENTA | 10425 |
6109090 | DRAIN ABSCESS/CYST FRO | 1000 |
6109091 | DRAIN EXT AUDITORY CANCAL | 2695 |
6109092 | DRAIN EXT EAR LESSION, SIMPLE | 1530 |
6109093 | DRAIN FINGER ABSCESS | 1530 |
6109094 | DRAIN SCROTAL WALL ABSCESS | 1530 |
6109095 | FORESKIN MANIP | 1080 |
6109096 | I+D ABSCESS COMPLIC/MX | 1347 |
6109097 | I+D ABSCESS SIMPLE/SINGLE | 765 |
6109098 | I+D PILONIDAL CYST SIMPLE | 2695 |
6109099 | I+D ABSCESS PERITONSILLAR | 885 |
6109100 | I+D BARTHOLINS GLAND ABSCESS | 760 |
6109101 | I+D VULVA/PERINEAL ABSCESS | 1375 |
6109102 | INCS+REMOVE FOREING BODY SUBQ TISS S | 1465 |
6109103 | INFUSION CONCURRENT | 396 |
6109104 | INJECTION IV PUSH NEW DRUG | 333 |
6109105 | IV INF HYD ADDL HR | 387 |
6109106 | IV INF MED ADDL HR | 402 |
6109108 | IV INF SEQ 1ST HR | 402 |
6109109 | IV INF MED 1ST HR | 783 |
6109110 | INJ IV PUSH INIT | 353 |
6109111 | INJ SUBQ/IM | 300 |
6109112 | INJ SAME RX ADD-ON | 305 |
6109113 | IV INF HYDR 1ST HR | 796 |
6109114 | INTUBATION ENDOTRACHEAL EMER | 1671 |
6109115 | INSERT NEEDLE IN BONE CAVITY | 1320 |
6109116 | REMOVE EYELID FOREIGN BODY | 1320 |
6109117 | REMOVE EMBEDED FOREIGN BODY EYELID | 1320 |
6109118 | REMOVE FB EXT AUDITORY CANAL | 500 |
6109119 | REMOVE FB EXT EYE CONJUNC SU | 554 |
6109120 | REMOVE FB EXT EYE CORNEAL W | 804 |
6109121 | REMOVE FB EXT EYE CORNEAL WO | 646 |
6109122 | REMOVE FB UPPER ARM/ELBOW AREA | 6180 |
6109123 | REMOVE IMPACTED CERUMEN (EARWAX) | 499 |
6109124 | REMOVAL OF FOREIGN BODY | 10740 |
6109125 | REMOVAL OF FOREIGN BODY, PHARYNX | 1320 |
6109126 | REMOVE IMPACTED FOREIGN BODY, VAGINA | 1320 |
6109127 | REMOVAL OF SKIN TAGS ANY AREA | 207 |
6109128 | REPAIR NAIL BED | 2265 |
6109129 | REPAIR PALATE LACERATE UP TO CM | 2215 |
6109130 | REPAIR COMPLEX FOREHEAD /CHIN /A | 2265 |
6109131 | REPAIR COMPLEX FOREHEAD /CHIN /AX | 1405 |
6109132 | REPAIR COMPLX LIDS/NOSE/EARS 2.6 | 2492 |
6109133 | REPAIR COMPLX LIDS/NOSE/EARS 1.1 | 2265 |
6109134 | REPAIR COMPLX SCALP/ARMS/LEGS | 2265 |
6109135 | REPAIR LACERATE TONGUE/FLOOR | 2215 |
6109136 | REPAIR LACERATION 2.5 CM /LESS, TONGUE | 1320 |
6109137 | REPAIR LIP FULL THICK VERMILLI | 2215 |
6109138 | SIMP REP FACE/EAR/NOSE MU 12.6 | 1120 |
6109139 | SIMP REP FACE/EAR/NOSE MU 7.6 | 1018 |
6109140 | SIMP REP FACE/EAR/NOSE MU 5.1 | 926 |
6109141 | SIMP REP FACE/EAR/NOSE MU 2.6 | 842 |
6109142 | SIMP REP FACE/EAR/NOSE MU 2.5 | 765 |
6109143 | SIMP REP SCLP/AX/GEN/TRU>30 | 1355 |
6109144 | SIMP REP SCLP/AX/GEN/TRU 20.1 | 1232 |
6109145 | SIMP REP SCLP/AX/GEN/TRU 12.6 | 1120 |
6109146 | SIMP REP SCLP/AX/GEN/TRU 7.6 | 1018 |
6109147 | SIMP REP SCLP/AX/GENIT/TRU 2.6 | 842 |
6109148 | SIMP REP SCLP/AX/GEN/TRU 2.5 | 765 |
6109149 | SPINAL PUNCT LUMBAR DX | 774 |
6109150 | STRAPPING OF KNEE | 304 |
6109151 | SUPRAPUBIC CATHERIZATION | 8225 |
6109152 | THRACHEOSTOMY EMERGENCY | 5190 |
6109153 | TREAT WOUND DEHISC SIMPLE | 2265 |
6109154 | ABD PARACENTESIS | 3500 |
6109155 | REMOVE IMPACTED EARWAX UNI | 444 |
6109160 | I&D PILONID CYST CPLX | 4479 |
6109163 | EVAC SU HEMATOMA | 373 |
6109166 | REMOVAL OF NAIL BED | 1102.05 |
6109169 | TX S WND DEHIS W PACK | 1102.05 |
6109172 | INTMD WND REPAIR S/A/T/EXT =<2.5 CM | 1218 |
6109175 | INTMD WND REPAIR S/A/T/EXT 2.6-7.5 CM | 1545 |
6109178 | INTMD WND REPAIR S/TR/EXT 7.6-12.5 CM | 1650 |
6109181 | INTMD WND REPAIR S/A/T/EXT 12.6-20.0 CM | 1913 |
6109184 | INTMD WND REPAIR S/A/T/EXT 20.1-30.0 CM | 2229 |
6109187 | INTMD WND REPAIR N-HF/GENIT =< 2.5 CM | 1188 |
6109190 | INTMD WND REPAIR N-HF/GENIT 2.6 – 7.5 CM | 1592 |
6109193 | INTMD WND REPAIR N-HF/GENIT 7.6-12.5 CM | 1708 |
6109196 | INTMD WND REPAIR N-HF/GENIT 20.1-30.0 CM | 2484 |
6109199 | INTMD WND REPAIR FACE/MM =< 2.5 CM | 1362 |
6109202 | INTMD WND REPAIR FACE/MM 2.6-5.0 CM | 1620 |
6109205 | INTMD WND REPAIR FACE/MM 5.1-7.5 CM | 1733 |
6109208 | INTMD WND REPAIR FACE/MM 7.6-12.5 CM | 1764 |
6109211 | INTMD WND REPAIR FACE/MM 12.6-20.0 CM | 2401 |
6109214 | INTMD WND REPAIR FACE/MM 12.6-20.0 CM | 3046 |
6109217 | C REP S/A/L 1.1-2.5CM | 1877 |
6109220 | DRESS/DEBRID P-THICK BURN S | 619.14 |
6109223 | DRESS/DEBRID P-THICK BURN M | 1262 |
6109226 | DRESS/DEBRID P-THICK BURN L | 1526 |
6109229 | CL TX PROX HUMERAL FX W MANIP | 6882 |
6109232 | CL TX SHLDR DISL W MANI WO ANESTH | 4688 |
6109235 | DEEP REM FB FROM UA/ELBOW | 9101 |
6109238 | RX CL ELBOW DISLOC WO ANESTH | 8345.1 |
6109241 | CL TX NURSEMAID ELBO W MANIP | 855 |
6109244 | DEEP FB REM – FOREARM/WRIST | 4608.33 |
6109247 | CL TX RADIAL SHFT FX W MANIP | 5054 |
6109250 | CL TX ULNAR SHFT FX W MANIP | 5039 |
6109253 | CL TX RADIAL & ULNA FX W MANIP | 5143 |
6109256 | CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP | 3464 |
6109259 | CLTX DSTL RDL FX/EPIPHYSL SEP W MNP | 5651 |
6109262 | CL TX CARPL SCAPHOID FX W MANIP | 4860 |
6109265 | CLTX CARPL BONE FX W MNP EA BONE | 4631 |
6109268 | CL TX DSTL RADIOULNAR DISLOC W MANIP | 4402 |
6109271 | DRAIN FINGER ABSC SIMPLE | 1513 |
6109274 | DRAIN FINGER ABSC COMPLICATED | 2048 |
6109277 | CL TX MC FX SGL W MANIP | 862 |
6109280 | CL TX MCP DISLOC SGL W MANIP | 985 |
6109283 | CL TX PHAL SHAFT FX WO MANIP | 789.91 |
6109286 | CL TX PHALANG SHFT FX W MANIP | 1301 |
6109289 | CL TX ARTFX MCP/IP JNT W MANIP | 1437 |
6109292 | CL TX D PHAL FX FGR/THMB WO MANIP | 793 |
6109295 | CL TX D PHAL FX FGRR/THMB W MANIP | 1167 |
6109298 | CL TX IP JNT D W MANIP WO ANESTH | 1095 |
6109301 | CL TX TRAUMA HIP DICLOC WO ANESTH | 1443 |
6109304 | CL TX POST HIP DISLOC WO ANESTH | 4185 |
6109307 | DEEP I&D THIGH/KNEE | 8345.1 |
6109310 | C TX PATELLAR DISLOCATION WO ANESTH | 789.81 |
6109313 | I&D LEG/ANKLE DEEP ABSC/HEMATOMA | 8345.1 |
6109316 | CL TX TIB SHFT FX W MANIP | 4608.33 |
6109319 | CL TX PROX FIB/SHAFT FX W MANIP | 4608.33 |
6109322 | CLTX BIMALLEOLAR ANKLE FRACT W MNP | 4913 |
6109325 | CL TX PROX TIB-FIB JNT DISL WO ANESTH | 789.81 |
6109328 | REM FB FOOT SQ | 2032.83 |
6109331 | REM DEEP FB OF FOOT | 4826.43 |
6109334 | TX TARSAL BONE FX W MANIP | 4608.33 |
6109337 | CL TX METATARSAL FX WO MANIP | 1290 |
6109340 | CL TX METATARSAL FX W MANIP | 1438 |
6109343 | CL TX FX GT PHALANX(S) WO MANIP | 789.81 |
6109346 | CL TX FX PHALNX/PHALANG WO MANIP | 1058 |
6109349 | CL TX FX PHALANX/PHALANG W MANIP | 1259 |
6109352 | CL TX SESAMOID FRACTURE | 910 |
6109355 | CL TX TARSAL BONE DISLO WO ANESTH | 1543 |
6109358 | CL TX TALOTARSAL JOINT DIS WO ANEST | 1700 |
6109361 | CL TX TMT JNT DISL WO ANESTHESIA | 1651 |
6109364 | CL TX MTP JNT DISLOC WO ANESTH | 972 |
6109367 | CL TX IP JOINT DISL WO ANESTH | 789.81 |
6109370 | REM FB INTRANASAL OFFICE | 373.62 |
6109373 | TRACH TUBE CHG BEFORE FISTULA TRACT | 723.33 |
6109376 | LARYNGOSCOPY IND W REM OF FB | 575.34 |
6109379 | TRACHEOSTOMY EMERG CRICOTHYROID | 723.33 |
6109382 | INSERTION OF CHEST TUBE | 3837.39 |
6109385 | PERICARDIOCENTESIS INITIAL | 3837.39 |
6109388 | INSERT ELECTRD/PM CATH SNGL | 25979.97 |
6109391 | BL DRAW < 3 YRS FEM/JUGULAR | 61.02 |
6109394 | BL DRAW <3 YRS SCALP VEIN | 50.55 |
6109397 | BL DRAW <3 YRS SCALP VEIN | 28.74 |
6109400 | NON-ROUTINE BL DRAW 3/> YRS | 30.75 |
6109406 | INSERT NON-TUNNEL CV CATH <5 YRS | 3837.39 |
6109409 | INS NON-TUNNEL CV CATH 5 YRS/> | 3837.39 |
6109412 | INSJ PICC <5 YR W/O IMAGING | 2175.54 |
6109415 | INSJ PICC 5 YR+ W/O IMAGING | 3837.39 |
6109417 | CATH FOR SPECIMEN COLLECT SGL PT | 9 |
6109418 | COLLECT BLOOD FROM PICC | 373.62 |
6109421 | THROMBOLYSIS CEREBRAL BY IV INFUSION | 1011.9 |
6109424 | REPAIR LIP FT UP TO HALF VERTICAL HGHT | 1709.28 |
6109427 | REPAIR LIP FT > 1/2 V HGT OR COMPLEX | 4488.18 |
6109430 | DR ABSC CYST HEMAT-MOUTH SIMPLE | 2032.83 |
6109433 | REM EMBEDDED FB MOUTH VESTIB SIMPLE | 2672.16 |
6109436 | CL LACERATION MOUTH VESTIB 2.5CM/ < | 723.33 |
6109439 | CL LACERATION MOUTH VESTIB > 2.5 CM | 1709.28 |
6109442 | REPOSITION GASTROSTOMY TUBE | 812.01 |
6109445 | INSERT BLADDER CATHETER | 373.62 |
6109448 | US PV RESIDUAL URINE | 196.14 |
6109451 | INJ ANESTH TRIGEMINAL NERVE | 868.38 |
6109454 | INJ ANESTH OTHR PERIPHERAL NRV/BRANCH | 2101.14 |
6109457 | REM FB CONJUNCTIVA EMBEDDED | 1221.63 |
6109460 | STREP A ASSAY W/OPTIC | 49.59 |
6109463 | PULSE OX MULTIPLE | 112.29 |
6109466 | MOD SED SAME PHYS/QHP <5 YRS | 208.89 |
6109469 | MOD SED SAME PHYS/QHP 5/>YRS | 139.95 |
6109472 | MOD SED SAME PHYS/QHP EA | 30.27 |
6109475 | NEEDLE ASPIRATION | 942 |
6109480 | CL TX DISTL FIB FX W MANIP | 675.27 |
6240245 | HOSP OBS/HR | 155 |
6240247 | POST RR SVC/HR * | 65 |
6240248 | POST RR OBS/HR * | 63 |
6240263 | DIR ADM OBS/HR | 155 |
6290008 | FLU VAC ADM | 120 |
6290009 | PNEUM VAC ADM | 120 |
6290010 | HEP B VAC ADM | 150 |
6290011 | ADM EA ADD VACC | 150 |
6293110 | TRANSF BLOOD-ADMIN | 1262 |
6293252 | ART/CV LINE INSERT * | 1444 |
6296413 | CHEMO IV TO 1 HR | 1119 |
6296415 | CHEMO IV EA ADD HR TO 8 | 560 |
6303100 | SIMPLE SYRUP | 0 |
6303400 | ISAVUCONAZONIUM SULFATE 372mg/vial | 0 |
6303410 | ZANAMIVIR 5mg/ACTUATION DISKHALER | 0 |
6303420 | ALOGLIPTIN (NESINA) 6.25 MG TAB | 0 |
6570035 | NUT CONSULT BASIC * | 45 |
6570047 | NUT CONSULT INTERMED * | 83 |
6570054 | NUT CONSULT EXTENDED * | 164 |
6570112 | DIET INSTRUCTION * | 421.05 |
6570818 | NUTR EDUC N/C | 0 |
6730009 | PNEUMO VACC ADMIN | 60 |
6731780 | VENIPUNCTURE | 0 |
6734005 | E&M LVL 1 | 185 |
6734013 | E& M LVL II | 220 |
6734017 | E& M LVL III | 275 |
6734019 | E&M LVL III | 385 |
6734020 | E&M LVL IV | 505 |
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 | 385 |
6734812 | E&M-EST PATIENT LVLV | 505 |
6734814 | E&M NEW PATIENT LEVEL 1 | 204 |
6734816 | E&M NEW PATIENT LEVEL 2 | 242 |
6734818 | E&M NEW PATIENT LEVEL 3 | 303 |
6734820 | E&M NEW PATIENT LEVEL 4 | 424 |
6734822 | E&M NEW PATIENT LEVEL 5 | 556 |
6734830 | EKG MNTR 24 HRS | 1018 |
6734832 | EKG TRACE ONLY | 547 |
6734834 | LAB COLLECTION/HNDLG* | 33 |
6734836 | FLU VACC ADMIN | 60 |
6734838 | PNEUM VAC ADM | 120 |
6734840 | SKIN TEST-PPD | 130 |
6734842 | HEP A VACC ADM | 150 |
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’ | 2265 |
6734860 | ‘EXC”N TUMOR/VASC MALFORMT”N HND,FNGR’ | 2845 |
6734861 | ‘EXC”N TUMOR/VASC MALFORMT”N HND,FNGR’ | 2845 |
6734863 | ‘EXC”N BENIGN SKIN LESION,TOT DIAM 1-2 CM’ | 2970 |
6734865 | REMV TUNL CVC WO PMP/PRT | 1020 |
6734868 | REMV TUNL CVC WITH PMP/PRT | 1020 |
6734870 | DIAGNOSTIC ANOSCOPY | 463.59 |
6734872 | EXC MALIG LESN SCALP,NECK,HANDS,FEET,GEN | 2908.53 |
6734874 | PUNCTR ASP ABSCESS, HEMATOM,BULLA CYST | 569.91 |
6737175 | EXCISION, TUMOR,SOFT TISSUE OF BACK | 3295 |
6737220 | EXCISION TUMOR, LEG | 1612.7 |
6737225 | EXC TUM, SFT TISS THIGH/KNEE DEP 5CM/> | 2749 |
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 | 1966.6 |
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 | 2193.26 |
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 | 2606.03 |
6737272 | ASPRIATION OF GANGLION CYST | 253.92 |
6737274 | EXCISION TUMOR. FACE <2 CM | 993.75 |
6737276 | EXCISION TUMOR, NECK/THORAX <3 CM | 1612.7 |
6737278 | EXCISION TUMOR, BACK | 1612.7 |
6737280 | EXCISION TUMOR, SHOULDER | 1612.7 |
6737282 | EXCISION TUMOR, ARM | 1612.7 |
6737284 | EXCISION TUMOR, LEG | 1612.7 |
6737286 | EXCISION TUMOR, PELVIS/HIPS | 1612.7 |
6737288 | I &D PERIANAL ABSCESS-36590 | 1014.09 |
6737290 | I & D PERIANAL ABSCESS-46050 | 532.01 |
6737292 | HEMORRHOID BAND | 532.01 |
6737294 | HEMORRHOID SIMPLE | 2334.07 |
6737298 | ANAL FISTULECTOMY | 2334.07 |
6737300 | EXCISION THROMBOSED HEMORRHOID | 1749.46 |
6737302 | CIRCUMCISION | 2178.68 |
6737304 | VASECTOMY | 2178.68 |
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 | 1939 |
6737318 | EXC BENIGN LES EXC SKIN TAG,SCALP,NECK H | 3933.43 |
6737320 | EXC MUTI EXT PAPILLAE OR TAGS, ANUS | 4266.96 |
6737322 | EXC OTHR BEGN LES INC MARGNS EXC SKIN | 2423.78 |
6737325 | INC REM FOREIGN BODY SUBCUT TIS COMPLCTD | 4720.11 |
6737328 | EXC BNG LES INC MARGIN EXCPT SKIN TAG | 4720.11 |
6737330 | SURG TRMT ANAL FISTULA INTERSPHINCTERIC | 5465.13 |
6737334 | EXC BGN LSN EXC SKTAG TRK, ARMS DIA >4.0 | 4720.11 |
6737339 | EXC MAL LES INCSCALP NECK HNDS DIA 3.1-4 | 2045.37 |
6737343 | EXC TUM SOFT SUBCUT LEG OR ANK <3CM | 2045.37 |
6737348 | EXC TUM SOF TIS ABD INTRAMUSCL <5CM | 2781.7 |
6737350 | BIOPSY BREAST PREC NDLE NO IMAGE GUIDE | 1571 |
6737352 | DESTR, PREMALIGNANT LESIONS 1ST LESION | 428.53 |
6737354 | DESTR,PREMALIGNANT LESIONS 2ND-14 LES EA | 471 |
6737356 | EXC, TUMOR,SOFT TIS THIGH-KNEE AREA SUBC | 2139.77 |
6737358 | EXC RECTUM TRANSANAL PART | 6867.78 |
6737359 | INCISION OF THROMBED HEMORRHOID EXTERNAL | 644 |
6737360 | INCISION & DRAIN OF ABSCESS, COMP OR MUL | 1347 |
6737362 | EXC BACK LES SC 3 CM/> | 4174.68 |
6737364 | DESTRUCTION PENIS LESION | 368 |
6737365 | EXC FACE-MM B9+MARG 1.1-2 CM | 2970 |
6737367 | EXC FACE-MM B9+MARG 3.1-4.0 CM | 3267 |
6737370 | EXCISION SINGLE EXT PAPILLA OR TAG,ANUS | 4708.26 |
6737375 | EXC TUMOR,SOFT TISS PELVIS &HIP AREA 3CM | 4007.67 |
6737377 | INC DRAINGE ISCHIORECTAL/PERIRECTAL ABCS | 9241 |
6737378 | PUNCT ASP HYDROCELE,TUNICA VAG WWO INJ M | 1703 |
6737380 | EXCD BNGN LES INC MARG EXC SKINTAG 1.1-2 | 3336.63 |
6737383 | EXC,TUMOR,SOFT TIS FACE/SCALP SUBFAC>2CM | 4007.67 |
6737385 | EXC TUMOR SOFTTIS PELVIS/HIP SUB>=3CM | 4007.67 |
6737387 | EXC BEGN LES EXC SKIN TAG,SCALP, ETC <.5 | 1571 |
6737389 | EXC SFT TISS FOREARM-WRIST SUBC>=3CM | 5009.61 |
6737391 | EXC TUMOR SOFT TIS PELVIS HIP<5CM | 5007 |
6737393 | EXC SINGLE EXT PAPILLA OR TAG ANUS | 5885.31 |
6737395 | INJ,INTRALESIONAL,UP TO & INC SEVEN LESN | 417.36 |
6737397 | PUNCTURE ASPIRATION OF CYST IN BREAST | 740 |
6737398 | RPR GENITALIA, TRUNK/OTR 2.6CM TO 7.5CM | 926 |
6737399 | HEMORRHOIDECTOMY, INTERNAL, BY LIGATION | 11000 |
6737400 | REMOVAL OF FOREIGN BODY, FOOT; DEEP | 6180 |
6737401 | EXCISION, B9 +MARG, EXC TRK 0.5CM,< | 2700 |
6737402 | DEBRIDE, SUBC TISSUE, 1ST 20 SQ CM OR < | 1465 |
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 | 2100 |
6740060 | HYSTEROSCOPY SURG REMOV IMPACTD FRGN BOD | 547.23 |
6740062 | ESSURE BILATERAL PLACEMENT | 2213.28 |
6740063 | LAPARO-VAG HYST INCL T/O | 2453.98 |
6740066 | FETAL NON STRESS TEST | 192 |
6740068 | GLOBAL ANTEPARTM VAG DEL & POSTPART CARE | 3268.68 |
6740070 | ENDOCERVICAL CURETTAGE | 800 |
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 |
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 |
6740156 | URINE DIPSTICK | 10 |
6740158 | US OB COMP>14 WK SGL GEST | 137.35 |
6740160 | SPECIMEN HANDLING* | 10 |
6740161 | SPECIMEN HANDLING | 5 |
6740162 | DPMA INJECTION | 189 |
6740164 | DPMA INJECTION | 189 |
6740168 | S9445 ONE TIME COUNSELING-FAMILY PACT | 38.16 |
6740170 | FOLLOW UP VISIT NOT BILLABLE* | 0 |
6740175 | URINE PREG TEST QUAL | 25 |
6740176 | URINE PREG TEST QUAL | 25 |
6740180 | HYSTEROSCOPY W/ BIOPSY | 2300 |
6740182 | FIT OR INSERT PESSARY/INTRAVAG SUPPORT | 388.16 |
6800003 | E&M NEW PATIENT LVL1 | 204 |
6800005 | E&M NEW PATIENT LVL 2 | 242 |
6800007 | E&M NEW PATIENT LVL 3 | 303 |
6800009 | E&M NEW PATIENT LVL 4 | 424 |
6800010 | E&M NEW PATIENT LVL 5 | 556 |
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 | 385 |
6800020 | E&M EST PT LVL 5 | 505 |
6800022 | EKG MNTR 24 HRS | 1018 |
6800024 | EKG TRACE ONLY | 547 |
6800030 | LAB COLLECTION/HNDLG* | 33 |
6800032 | FLU VACCINE ADM | 120 |
6800034 | PNEUMO VACC ADM | 120 |
6800060 | ACCUCHECK | 50 |
6800062 | URINE DIPSTICK | 20 |
6800068 | HEP A VACC ADM | 150 |
6800070 | SKIN TEST-PPD | 130 |
6900000 | OCT OPTIC NERVE TC | 196.14 |
6900001 | OCT RETINA TC | 196.14 |
6900002 | K PACHYMETRY | 60.24 |
6900003 | IOLMASTER/LENSTAR TC | 373.62 |
6900004 | IOLMASTER/LENSTAR TC | 373.62 |
6900005 | ASCAN TC | 394.77 |
6900006 | OCT ANTERIOR SEGMENT TC | 196.14 |
6900007 | EXTERNAL PHOTO TC | 196.14 |
6900008 | CORNEAL TOPOGRAPHY TC | 196.14 |
6900009 | VISUAL FIELD TC | 373.62 |
6900010 | IV FLUORESCEIN TC | 885.33 |
6900011 | BSCAN W QUANT ASCAN TC | 373.62 |
6900012 | BSCAN TC | 394.77 |
7000016 | LEVETIRACETAM | 32.63 |
7000038 | LAMOTRIGINE QNT SNGL | 53.75 |
7000042 | CHLAMYDIA GC&DNA SCRN | 15 |
7000045 | CHLAMY/GC, PHARYNGL SWAB | 227 |
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 |
7002112 | ALUMINUM PLASMA | 17.31 |
7002115 | ALPHA FETO PROTEIN TUMOR MARKER | 28 |
7002155 | LIPASE, BODY FLUID | 11 |
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 |
7002934 | GIARDIA ANTIGEN EIA | 9.95 |
7002941 | GASTRIN | 14.36 |
7002943 | GLUCAGON | 53 |
7002955 | G6PD QUANT | 14.64 |
7002985 | FRUCTOSAMINE | 14.49 |
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 |
7003085 | HIV-1PCR,PN CSF | 311.5 |
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 |
7003586 | SOLUBLE LIVER ANTIGEN (SLA) IGG ANTIBODY | 76 |
7003588 | HISTONE AB QUAL/SEMIQUA | 43 |
7003590 | SULFATE 24 HR URINE, QUAL | 64 |
7003596 | CITRULLLINE PEPTIDE AB | 45 |
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 |
7003876 | MYCOPL PNEUM DNA, PCR | 91 |
7003902 | PTH INTACT w/ CA | 10.27 |
7003917 | HCV GENOTYPE | 165 |
7003925 | OLIGOCLONAL BANDS | 18.9 |
7003934 | HCV RNA PCR QUANT | 119.89 |
7003960 | BRCA1/2 Comprehensive Analysis | 2412 |
7003965 | PROTHROMBIN DNA ANYLIS FACTOR II | 82.45 |
7003967 | FACTOR V LEIDEN PROBE | 6 |
7003976 | C-PEPTIDE | 22.59 |
7003978 | PTH RELATED PROTEIN | 72.6 |
7003989 | NMP 22 | 102 |
7004020 | PHENOBARBITAL | 8.25 |
7004045 | PHENYTOIN FREE | 15 |
7004066 | PROSTATIC ACID PHOS | 9.76 |
7004115 | EVAL OF CERVICOVAG FLD FOR SP AMIO FLD | 490.55 |
7004144 | PROGESTERONE | 11.54 |
7004146 | PROLACTIN | 3 |
7004165 | PROTEIN ELCTRC SERUM QN | 4.75 |
7004167 | PROT ELECT, 24H UR | 132.75 |
7004183 | ECHINOCOCCUS AB | 76.03 |
7004191 | PROTEIN ELCTRO URINE | 10.33 |
7004207 | VITAMINE B6 | 20.93 |
7004210 | PYRUVATE | 16.53 |
7004244 | RENIN | 20.08 |
7004258 | SCLERODERMA AB SCL-70 | 10.92 |
7004260 | SEROTONIN | 54.11 |
7004305 | IGF 1 (SOMATOMEDIN-C) | 62.5 |
7004403 | TESTOSTERONE TOTAL | 43.5 |
7004425 | THIAMINE(VITAMIN B1) | 10 |
7004430 | THIOCYANATE | 80.5 |
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 |
7004446 | VITAMIN E | 20 |
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 |
7004898 | CA 27-29 | 7 |
7004900 | CA 19-9 | 10 |
7004901 | METANEPHRINES FR RD UR | 72 |
7004905 | REVERSE T3 | 26.93 |
7004915 | THYROTROPIN RELEASE HOR | 120 |
7005220 | CLOT FACTOR V (LABILE) | 30.96 |
7005230 | CLOT FACTOR VII(STABLE) | 30.96 |
7005240 | FCTR VIII (AHG) | 111 |
7005243 | PTT SUB EA FRACTION | 80 |
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 |
7005303 | PROTEIN C ACTIVITY | 106.31 |
7005305 | PROTEIN S TOTAL | 121.5 |
7005306 | PROTEIN S ACTIVITY | 111.37 |
7005307 | PROTEIN C RESIST | 48.5 |
7005520 | HEPARIN ANTI-XA | 175 |
7005536 | INTRINSIC FACTOR ANTIBD | 30.36 |
7005540 | LEUKOCYTE ALKA-PHSPHTAS | 3.25 |
7005605 | CYSTICERCOS IGG AB SERU | 57.8 |
7005610 | CFTR GENE COM VARIANTS | 108.14 |
7005613 | RUSSL VIPR VEN TIME(DIL | 39.6 |
7005619 | LUPUS ANTICOAG II | 26.55 |
7005670 | THROMBIN TIME | 20 |
7005731 | THROBOPLASTIN TIME PARTIAL | 45 |
7005810 | VISCOSITY BLOOD | 14.36 |
7006002 | COCCIDIOIDOMYCES AB CSF | 20.78 |
7006010 | HEPATITIS B SURF AB QUANT | 74.25 |
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 |
7006067 | ANTITRYPSIN ALPHA 1 TOTL | 14.36 |
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 |
7006234 | EBV DNA PCR QNT | 255 |
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 |
7006293 | HEPATITIS BE ANTIGEN | 10.88 |
7006296 | HEPATITIS BE ANTIBODY | 10.88 |
7006297 | HEPATITIS DELTA AGENT A | 18.62 |
7006308 | LYME AB WESTERN BLOT SE | 20.46 |
7006318 | ROTAVIRUS AG EIA | 23.22 |
7006322 | HIV CONFIRM WESTERN BLOT | 40 |
7006323 | HIV 1 RNA QNT BY PCR | 87.3 |
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 |
7006440 | TYPHUS IGG AB | 15 |
7006441 | TYPHUS IGM AB | 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 |
7006645 | CMV AB IGM | 8 |
7006677 | HISTOPLASMOSIS AB ID | 12.55 |
7006678 | HISTOPLASMA CAPSULATUM ANTIBODIES | 377 |
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 |
7006803 | HEPATITIS C AB CONFRM | 14 |
7006900 | CANCER ANTIGEN 125 | 8.33 |
7006907 | ASPERGILLUS AB | 4.55 |
7006909 | TOXOPLSMOSIS IGM AB TIT | 13 |
7006911 | ADENOVIRUS DIRECT DETECT | 18 |
7006915 | CMV ANTIBODY-IGG | 8 |
7006920 | TOXOPLSMOSIS IGG AB TIT | 9 |
7006921 | TOXO IGG CSF | 32.7 |
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 |
7007248 | ANTI SM MUSCLE AB | 16.53 |
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 |
7007468 | IGG CSF | 20 |
7007480 | RESP VIRUS 12-25 TARGETS | 408 |
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 |
7007792 | PARAINFLUENZA PCR | 34.66 |
7007793 | ENTEROVIRUS RNA QL RTPC | 175 |
7007795 | BORDETELLA PCR | 318.75 |
7007796 | VARICELLA ZOSTER BY PCR | 145 |
7007797 | PARVOVIRUS PCR | 120 |
7007798 | DETEC AGENT NOS DNA AMP | 150.5 |
7007800 | PHENCYCLIDINE CONFIRMATION, URINE | 35 |
7007812 | H1N1/RVPCR | 149 |
7007902 | HIV 1 INTEGRACE GENOTYPE | 440 |
7007912 | LEGIONELLA AG UR | 15 |
7007915 | BETA D1-3 GLUCAN, FUNGITELL | 85 |
7008213 | AMINO ACIDS QNT UR/BLD | 282.31 |
7008220 | AMINO ACIDS QNT URINE | 120 |
7008225 | AMINO ACID PROFILE, QUATITATIVE, CSF | 196.5 |
7008231 | TISS CULT F/NON-NEOPLSA | 269.5 |
7008236 | TISS CULT F/NEOPLASTIC | 130 |
7008253 | CHROMOSONE ANALYSIS | 295 |
7008260 | CHRMSM ANALYSIS 20-25C | 130 |
7008263 | CHRMSM ANAL 15-20 BANDS | 229.5 |
7008282 | CHROMS KARYOTYPE TISSUE | 45 |
7008289 | CHROM HI RESOLN | 57.75 |
7008294 | INTERP & REPORT* | 40 |
7008300 | Flow cyto, FLAER | 84.38 |
7008301 | Flow cyto, CD | 50.63 |
7008302 | INTERP 9-15 MARKERS | 73.08 |
7008391 | ORGANIC ACIDS QUAL | 99 |
7008415 | PSA FREE | 13.33 |
7008675 | HEPATITIS B DNA QUANT | 150 |
7008730 | ASPERGILLUS AG | 58.5 |
7009433 | EBV EARLY AG EA | 28.93 |
7009434 | EBV EBNA | 14.92 |
7012290 | FUNGITEL | 45.28 |
7013504 | HEP C RNA PCR | 119.89 |
7013617 | LDH CSF | 6.62 |
7013836 | METANEPHRINES, PLASMA | 102.03 |
7013842 | METHADONE SCRN AND CONF | 59 |
7014620 | DRUG/SUBSTANCE NOS 1-3, ISONIAZID | 28 |
7014622 | DRUG/SUBSTANCE NOS 1-3, RIFAMPIN | 56.05 |
7014624 | DRUG/SUBSTANCE NOS 1-3,DIPHENHYDRAMINE | 87.5 |
7014998 | CA15-3 | 11.66 |
7015823 | LUPUS TYPE ANTICOAGULANT | 10 |
7016059 | ANTI-NEUTRPHL CYTOPLASM | 7.29 |
7016360 | T CELLS T4/T8 PLS RATIO | 50 |
7016369 | THER DRUG MON1 | 46.51 |
7016682 | CYSTICEROS IGG AB CSF | 53.12 |
7016911 | ADENOVIRUS AB | 13 |
7017203 | LEGIONELLA DFA | 35.05 |
7017260 | BORDETELLA PERTUSSIS IGA, IGG | 55.5 |
7017265 | BORDETELLA PERTUSSIS DFA | 21.41 |
7018188 | LEUKEMIA & LYMPHOMA PNL | 275 |
7026009 | AB ID PLT | 242 |
7026012 | ANTIBDY ABSORP EA SERUM | 34.5 |
7026016 | RBC ANTIBODIES SCREEN | 23.5 |
7026018 | ANTIBDY SCREEN/ENZYME | 17.25 |
7026019 | RBC ANTIBDY ELUTION EACH | 58 |
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 |
7029003 | SPECIAL HANDLING ARC * | 140 |
7029004 | SPECIAL HANDLING ARC * | 32 |
7033959 | IMMUNOASSAY QNT | 75 |
7033961 | INHIBIN B | 245 |
7033965 | INHIBIN A, ULTRASENSITIVE | 252.75 |
7035559 | ANTITHYROID PEROXIDAS AB | 53 |
7035560 | LIVER KIDNEY MICROSOME | 13.67 |
7036238 | ANTI SM RNP | 53 |
7038630 | ANTI-SACROMYCES CEREVISIAE AB | 50 |
7046020 | HL1 TYPING, HLA B57:01, ABACAVIR HYPERS | 124.35 |
7047105 | YEAST SUSCEPTIBILITY REF | 484.83 |
7047106 | YEAST ID REF | 53 |
7047118 | AFB ID REF | 40 |
7062500 | NEWBORN METABOLIC SCREEN; PKU PANEL | 129.25 |
7062501 | NEWBORN METABOLIC SCREEN; PKU PANEL | 141.25 |
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 |
7069005 | ALLERGEN IgE | 7 |
7069007 | ALLERGEN PROFILE W/ TOT IGE RESP AREA 13 | 687.5 |
7069011 | ADA PLEURAL FLUID | 75 |
7069023 | CHROMOGRANIN A, ECL | 55 |
7069035 | HE4, OVARIAN CA MONITORING | 150 |
7069041 | INFLUENZA A&B RNA | 90 |
7069071 | PREGNENOLONE, LC-MS-MS | 73.5 |
7069089 | STRONGYLOIDES, IgG Ab | 56.75 |
7069101 | TSH RECEPTOR Ab | 115 |
7069105 | Anti Mullerian Hormone (AMH) | 102 |
7069107 | OXALIC ACID 24hr U w/o CREAT | 12 |
7069125 | VON WILLEBRAND FACTOR ACT | 60 |
7069131 | VON WILLEBRAND FACTOR Ag | 73.5 |
7069149 | DRUG SCREEN PANEL 1 | 20 |
7069153 | ANA, IFA w/ REFLEX TITER PATTERN | 4.16 |
7069156 | CALCIUM 24hr URINE | 18.63 |
7069157 | CREATINE URINE | 15.87 |
7069159 | CYSTATIN C | 54 |
7069163 | ADAMTS 13 ACTIVITY | 60 |
7069164 | TSO PROCESSING FEE | 25 |
7069170 | MYCOBATERIUM CULTURE, AFB | 14.12 |
7069171 | FACTOR II ACTIVITY, CLOTTING | 107.8 |
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 |
7069194 | CARBOHYDRATE GLYCERIN | 195 |
7069201 | COLLAGEN CROSS LINKS | 33.79 |
7069202 | CREATININE URINE | 8.45 |
7069208 | C DIFF DNA | 149 |
7069209 | C DIFF TOXIN GENES | 149 |
7069227 | HSV TYPE 1 | 14.4 |
7069228 | HSV TYPE 2 | 21.6 |
7069234 | CK TOTAL | 4.93 |
7069235 | CK ISOENZYME | 9.43 |
7069241 | SAMPLE CONCENTRATION | 21.38 |
7069242 | CYCLOSPORA-ISOSPORA | 26.12 |
7069248 | MOL CYTO-DNA PROBE | 101.75 |
7069249 | CHROMO IN-SITU | 154 |
7069250 | INTERPRETAION AND REPORT | 19.25 |
7069256 | DRUG SCREEN QUAL, EA DRUG CLASS | 21 |
7069257 | DRUG SCREEN QUAL, EA DRUG CLASS | 19.6 |
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 |
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 |
7069343 | HSV 1,2 DNA PCR | 42.5 |
7069349 | ANCA SCREEN | 7.29 |
7069351 | FUNGUS ANTIBODY IDENTIFICATION | 200 |
7069352 | FLOURESCENT AB TITER | 218 |
7069375 | CONCENTRATE SPEC | 67.8 |
7069376 | SMEAR, ISOSPORA | 45.2 |
7069378 | SRA, UNFRACTIONATED HEPARIN | 216.59 |
7069379 | HEPARIN INDUCED PLATELET | 104.13 |
7069382 | NEPHELOMETRY | 60 |
7069388 | LEISHMANIA IgG ANTIBODY ID | 7.05 |
7069389 | LEISHMANIA IgM ANTIBODY ID | 6.51 |
7069393 | FAMILIAL MEDITERRANEAN FEVER | 850 |
7069407 | SAMPLE CONCENTRATION | 2.87 |
7069408 | SPECIAL STAIN | 8.59 |
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 |
7069432 | MOLECULAR CYTOGENETICS-DNA PROBE | 45.5 |
7069433 | INTERPHASE IN-SITU | 87.75 |
7069434 | INTERPRETATION AND REPORT | 9.75 |
7069440 | PHENOTYPING | 38.5 |
7069441 | WBC, TOTAL LYMPHS | 11.5 |
7069447 | PNEUMOCYSTIS CARINII AB ID | 16.5 |
7069448 | P. CARINII CONCENTRATION | 13.5 |
7069454 | INFECTIOUS AGENT DETECTION-DNA | 85 |
7069460 | PROSTAGLANDIN E2, SERUM | 275 |
7069466 | ALLERGEN SPECIFIC IgE | 5.72 |
7069467 | ALLERGEN IGE, TOTAL | 17.16 |
7069473 | ALLERGEN SPECIFIC IgE | 5.54 |
7069474 | ALLERGEN SPECIFIC IgE | 4.15 |
7069475 | ALLERGEN SPECIFIC IGE, TOTAL | 27.67 |
7069481 | SHIGA TOX EIA | 41 |
7069482 | E COLI 0157 CULT | 10 |
7069497 | D-DIMER, SO | 33 |
7069498 | FIBRIN MONOMER | 40.5 |
7069499 | PROTHROMBIN F1+2 | 67.5 |
7069500 | TAT COMPLEX | 55.5 |
7069507 | IMMUNO ASSAY FOR ANALYTE OTHER THAN IA | 34 |
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 |
7069526 | CITRATE URINE | 80.8 |
7069527 | CREATININE, URINE | 20.2 |
7069533 | PROTEIN ELECTROPHORESIS | 9.9 |
7069534 | IMMUNOFIXATION URINE | 30.63 |
7069535 | TOTAL PROTEIN URINE | 3.15 |
7069536 | CREATININE, URINE | 4.74 |
7069549 | MTHFR GENE | 81.16 |
7069557 | JAK2,QL,Leum w/rfl 12, 13 | 202.53 |
7069618 | TISSUE TG AB | 40.21 |
7069619 | IGA SERUM | 12.29 |
7069625 | BETA-HYDROXYBUTYRATE | 75 |
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 |
7069640 | SEX HORMONE BINDING GLOBULIN | 37.5 |
7069646 | GAD-65 Antibody | 107.6 |
7069647 | IA-2 Antibody | 107.6 |
7069648 | Insulin Autoantibody | 107.6 |
7069670 | NEURON SPECIFIC ENOLASE | 161.5 |
7069676 | Mononuclear cell Ag | 323 |
7069677 | NK Cells Total count | 0 |
7069679 | T Cells Total Count | 0 |
7069680 | INTERLEUKIN 2 SOLUBLE RECEPTOR | 301 |
7069685 | TRYPTASE | 34 |
8011800 | ONT BETADINE | 11 |
8011805 | ONT PROTECT – | 75 |
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 |
8024386 | DRS COBAN 3IN | 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 |
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 |
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 |
8024944 | DRS ALGINATE 5X5 SHT | 66 |
8024945 | DRS ULCER 6X6 | 176 |
8024946 | V.A.C. GRANUFOAM DRESSING XLARGE | 304.53 |
8024958 | DRS WND 3-7 CM | 152 |
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 |
8024968 | DRS WND BIOPOLYMERIC | 25 |
8024969 | DRS WND 7-20 CM | 680 |
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 |
8031359 | BN PTY ORTH BLND 5 CC $ | 2880 |
8031360 | BLT SANITARY | 28 |
8031364 | BN PTY ORTH BLDN 10 CC $ | 4170 |
8031366 | BN PTY 5 CC $ | 2250 |
8031368 | BN GEL $ | 1795 |
8031369 | BN PTTY 10 CC $ | 3211 |
8031372 | BN GEL/PUTTY 10 CC $ | 7275 |
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 | 2361 |
8031545 | CANTOR TB | 232 |
8031553 | CAP CATHETER CAPD | 74 |
8031554 | ENDO CAP | 1620 |
8031605 | CATH CYSTO | 345 |
8031624 | CATH SPINAL | 4806 |
8031630 | CATH SUCT A/S | 87 |
8031640 | CATH SUCT+SLEV | 34 |
8031660 | CATH URET | 81 |
8031665 | CATH URET PRES | 255 |
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 | 1690 |
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 |
8032085 | DRN PENROSE | 53 |
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 | 2015 |
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 |
8032448 | HOOD COVER DISP | 83 |
8032450 | HOOK AMNIO SERL | 34 |
8032465 | HUMI | 482 |
8032483 | HUMIVENT | 36 |
8032505 | INF PACIFIER | 14 |
8032520 | BALLOON INFLATION SYS | 123 |
8032544 | KT CATH ACCESS | 240 |
8032548 | IV CASSETTE IMED DISP | 136 |
8032574 | KT AUTOTRANSFUSION | 1568 |
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 |
8032647 | KT PAIN MGMT | 435 |
8032660 | MALE LL/CAPS | 15 |
8032665 | MANIFOLD DISP | 61 |
8032725 | MSK FACE ISOL | 136 |
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 |
8032935 | NURSER PLST | 5 |
8032938 | NURSERS SUPPLEMENT | 5 |
8032942 | OINT PROTECTIVE 2 OZ | 17 |
8032944 | ODOR ELIMINATOR | 72 |
8032960 | OST ADAPTOR URO | 114 |
8032965 | OST ADHES DISC | 19 |
8032980 | OST ADHESV MEDC | 171 |
8032993 | OST BARRIER FLANGE | 75 |
8032997 | OS BG COLOSTOMY | 47 |
8033055 | OST BLT A/S | 75 |
8033080 | OST CLAMP BG | 74 |
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 |
8033147 | OST PCH DRNBLE | 212 |
8033149 | OST PCH & WFR | 53 |
8033158 | OST PCH STMA 1-3/4X12 | 75 |
8033175 | OST POWDR KARYA | 115 |
8033195 | OST SKIN BARIER | 137 |
8033200 | OST SKIN BOND | 114 |
8033205 | OST SKIN CLEANS | 156 |
8033215 | OST SKIN GEL 20 | 118 |
8033240 | OST START ST I 4110 | 253 |
8033250 | OST STMA BG 4110 | 47 |
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 | 1056 |
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 |
8033510 | PERMACATH 4110 $ | 2277 |
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 | 1220 |
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 | 1069 |
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 |
8034305 | SUMP DRN 4110 | 282 |
8034310 | SUMP SALEM 4110 | 244 |
8034340 | SWAB BETADINE 4110 | 33 |
8034364 | SYR A/T A/L 4110 | 19 |
8034365 | SYR ANGIO INJ 4110 | 42 |
8034375 | SYR BULB 4110 | 70 |
8034380 | SYR BULB 60C 4110 | 66 |
8034383 | SYR COLLAGEN TREATMNT | 2984 |
8034390 | SYR DIS TOOMEY 4110 | 62 |
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 |
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 |
8034540 | SYS BX 4110 | 114 |
8034545 | SYS CLSD FLSH 4110 | 3342 |
8034546 | SYRINGE MEDRAD | 100 |
8034575 | TAMPON NASAL 4110 | 246 |
8034580 | TAMPON NASAL 4110 | 74 |
8034590 | TB BLAKEMORE 4110 | 972 |
8034600 | TB CHST 4110 | 152 |
8034635 | TB CULTURE 4110 | 42 |
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 | 1050 |
8034740 | TB LINTON 4110 | 1503 |
8034745 | TB MILLER ABOT 4110 | 440 |
8034756 | TB NEURO | 367 |
8034770 | TB RECTAL RUBR 4110 | 162 |
8034780 | TB STOM LEVINE 4110 | 174 |
8034791 | TB TEAR DUCT | 665 |
8034799 | TB TRACHEOSTOMY TYPE II | 1016 |
8034820 | TB Y-CONNCTR 4110 | 61 |
8034880 | TIP IRRG FEM 4110 | 255 |
8034882 | TIP IRRIGATNG/ASPIRATING | 1056 |
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 |
8035031 | TROCAR CANNULA | 305 |
8035065 | UNDRPD 4110 | 0 |
8035066 | BRDGE UMBLCL | 10 |
8035067 | UNDRPD CHUX EA 4110 | 0 |
8035090 | UNDRPD 6/PK 4110 | 0 |
8035120 | URINAL MALE 4110 | 36 |
8035172 | WALKER RIGID P/U* | 0 |
8035232 | WRAP EZ 4110 | 18 |
8035233 | WRAP ICE SHLDR 4110 | 444 |
8035234 | WRAP ICE KNEE 4110 | 90 |
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 |
8041075 | BSK RETRV 4110 | 991 |
8041080 | CATH BLN 4110 | 1105 |
8041085 | CATH BLN DIL 4110 | 232 |
8041095 | CATH CONNECTOR 4110 | 204 |
8041100 | CATH COUDE ALL 4110 | 206 |
8041125 | CATH EXT | 74 |
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 |
8041300 | FILIFORM GU 4110 | 401 |
8041315 | PLUG CATH FOLY 4110 | 20 |
8041325 | ST DILAT URETH 4110 | 804 |
8041370 | VALVE REFLUX CK 4110 | 56 |
8042910 | SPINAL TRAY | 70 |
8048902 | DURASPHERE 1ML | 714 |
8055000 | ADPT CATH 4110 | 225 |
8056010 | CATH ANGIO BALN 4110 | 2378 |
8056014 | CATH ANGIO | 152 |
8056070 | CATH BALOON UT 4110 $ | 2507 |
8056110 | CATH BRONCHO 4110 | 830 |
8056200 | CATH CARD KIT 4110 | 929 |
8056236 | CATH CHLNG PRC INTRO | 109 |
8056318 | CATH EMBOLECTOMY | 1039 |
8056343 | CATH EPIDURAL 4110 | 151 |
8056345 | CATH CHOLNG 4110 | 162 |
8056350 | CATH CHOLNG 4110 | 255 |
8056353 | CATH ERCP 4110 | 520 |
8056355 | CATH CHOLNG 4110 | 659 |
8056366 | CATH FGRTY DCLOT 4110 | 540 |
8056375 | CATH CV BAL DBL 4110 | 6080 |
8056377 | CATH FGRTY IRR 4110 | 325 |
8056380 | CATH CVP 4110 $ | 6080 |
8056383 | CATH FGRTY OCLSN 4110 | 659 |
8056390 | CATH, DIALYSIS, QUENTIN $ | 2671 |
8056397 | CATH FOLOWR BOGE 4110 | 133 |
8056440 | CATH GLIDE WIRE 4110 | 448 |
8056455 | CATH GORSHANG SM 4110 $ | 3749 |
8056470 | CATH HICKMAN 4110 $ | 1953 |
8056475 | CATH HICKMAN 4110 $ | 1609 |
8056520 | CATH INT PRESSR 4110 | 47 |
8056595 | CATH MUSHROOM 4110 | 57 |
8056596 | CATH MUSHROOM MALECOT | 306 |
8056642 | CATH PACNG BIPOLAR | 663 |
8056650 | CATH PGTL 4110 | 360 |
8056660 | CATH PORTACATH 4110 $ | 6070 |
8056690 | CATH RECTL PRES 4110 | 179 |
8056695 | CATH HYSTRSLPNGR | 88 |
8056705 | CATH SPEC 4110 | 554 |
8056739 | CATH SW-GZ $ | 4359 |
8056750 | CATH SW-GZ DIAGP 4110 | 170 |
8056765 | CATH SW-GZ THERM 4110 | 1450 |
8056770 | COSEAL | 1665.09 |
8056775 | CATH TENCHHOFF 4110 | 726 |
8056780 | CATH THORACIC 4110 | 273 |
8056795 | CATH LONG SHEATH | 438 |
8056811 | CATH TROCAR INGRAM 12FR | 216 |
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 | 2000 |
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 | 1482 |
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 | 2660 |
8057006 | STAPLER FLEX ARTICULATING | 3760 |
8057007 | GEL, RECONSTITUTING | 125.33 |
8057008 | STABILIZER HEART | 3600 |
8057009 | COIL HEART STRING | 2116 |
8057010 | KIT FOLEY TEMP SENSOR | 260 |
8057011 | KIT INTRO PERCUT SHEATH | 365 |
8057012 | CANNULA VENOUS QUICKDRAW | 1275 |
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 | 2050 |
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 | 1160 |
8057027 | STRIP BOVINE PERICARD DRY | 1135 |
8057028 | SUTURE EITHIBOND CARDIO | 20 |
8057029 | SUTURE ETHIBOND XTRA | 180 |
8057030 | SUTURE VICRYL | 30 |
8057031 | CATH ENDO PLEGE SINUS | 6225 |
8057032 | GW PLAIN | 52.4 |
8057033 | WIRE CARDIAC TEMPORARY | 90 |
8057035 | PERICARDIAL TISSUE HEART$ | 18480 |
8057037 | ISOLATOR CLAMP | 8100 |
8057039 | 40 MM ATRI CRIP | 2850 |
8057040 | FLOSEAL 10ML | 1012.59 |
8057041 | CATHETER POWER PORT | 1317 |
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 |
8057050 | SHUNT INTRACORONARY | 440 |
8057052 | SET,INFUSSION BURETTE 150ML SMALLBORE | 47.3 |
8057054 | SET,SYRINGE MICROBORE PRESSURE NDL FREE | 18.7 |
8062045 | STENT-UR-DIVER SET-$ $ | 1568 |
8062050 | ST STENT MZR UR 4110 $ | 1568 |
8062055 | STNT BIL $ | 1600 |
8062061 | STNT ESOPH PLY FLX $ | 6150 |
8062085 | URET STENT-DBL-J-SG$ $ | 2111 |
8062096 | STENT FETAL BLADDER $ | 1200 |
8062143 | STNT ULTRAFLX ESOPH $ | 3966 |
8062145 | STNT URETERAL 4110 $ | 1505 |
8062150 | STNT URETERAL 4110 $ | 2588 |
8062155 | STNT URETERAL 4110 $ | 1889 |
8062500 | STNT BALLOON NEURO | 5225 |
8062510 | CATH OCCL BALLN NEURO | 8050 |
8062511 | CATH INTRACRAN | 625 |
8062512 | MICROCATH NEURO | 2208 |
8062515 | DEVICE ARTER CLOSE | 1175 |
8062520 | COIL NEURO IMPL | 6700 |
8062530 | EMBOL ANEURYSM SYS | 13650 |
8062532 | EMBOL LIQ GLUE | 7560 |
8062534 | EMBOL FILTER | 5985 |
8062536 | EMBOL GWIRE CAPTR | 5092.5 |
8062538 | EMBOL SPHERES | 2484 |
8062539 | EMBOL COIL PUSHER | 790 |
8062542 | INTRODCR SHTH NEURO | 455 |
8062544 | MICRO GW NEURO | 1203 |
8062546 | KIT NEUROVASC | 125 |
8062548 | CATH GUIDE | 450 |
8062550 | DEVICE, TORQUE | 51 |
8062560 | STENT CAROTID IMPL | 3525 |
8062565 | DVCE FB RETR INTRVS | 5305 |
8062567 | STNT CERBRAL ANEURY | 12590 |
8062569 | NEURO EMBOL SEPARTR | 5800 |
8062572 | CATH REPERCUSION | 3125 |
8062574 | CATH NEURON GUIDE | 990 |
8062576 | TUBING ASPRTN STER | 1425 |
8062579 | SOLITAIRE FR. REVASCULARIZATION DEVICE | 32625 |
8073055 | GW 4110 | 378 |
8073086 | GW | 174 |
8073100 | GW COOK 4110 | 632 |
8073165 | GW INTR 4110 | 1157 |
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 | 1520 |
8081025 | BX FORCEPS 4110 | 474 |
8081054 | CLAMP UMBILICAL CATH | 27 |
8081063 | CLMP POUCH | 465 |
8081065 | CLMP VES 4110 | 303 |
8081081 | CART RENAL | 1392 |
8081095 | DRILL TIP 4110 | 3016 |
8081097 | DRL WIRE PASS 3310 | 582 |
8081105 | DVCE INFL 4110 | 470 |
8081115 | ENDO FORCEP DISP 4110 | 109 |
8081116 | ENDO BABCOCK | 1805 |
8081118 | ENDOPEANUT | 270 |
8081119 | ENDO DISSECTOR | 1171 |
8081120 | ENDO GRASPER 4110 | 1171 |
8081122 | ENDO IRRIGATOR | 1433 |
8081126 | HEMOCLIP | 420 |
8081129 | ENDO STAPLER | 1337 |
8081130 | ENDO SHEARS 4110 | 1171 |
8081229 | INST BIOPSY DISP | 53 |
8081277 | INST CLAMP GIZMO | 20 |
8081310 | INST CYSTO FLEXB 4110 | 1201 |
8081319 | INST DELEE SUCTION | 62 |
8081355 | INST DRILL AIR 4110 | 860 |
8081360 | INST DRILL BIT 4110 | 372 |
8081418 | DVC TACKER DELIV | 225 |
8081432 | KT ENDSCP DVCE DISP | 2985 |
8081484 | INST GDE ACL 4110 | 1222 |
8081485 | INST GDE WIRE 4110 * | 1304 |
8081490 | INST HEMOSTAT 4110 * | 34 |
8081535 | INST KNF GRSH EY 4110 | 307 |
8081580 | KT CNTRL LN DRS BIOPTCH | 50 |
8081591 | INST PNCH DONOR 4110 | 524 |
8081597 | INST PRB BICAP 4110 | 743 |
8081604 | INST REDUCER ENDO | 57 |
8081605 | KT BLD COL PLE MNT WY ST | 74 |
8081606 | KT CTH PRC THRMB HI FLO $ | 1839 |
8081607 | KT CTH DUL LMN W/CRVD EX | 287 |
8081608 | KT CTH FIXATION | 42 |
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 $ | 1530 |
8081632 | INST RETRACTOR 4110 | 874 |
8081660 | INST SHAVE PATLA 4110 | 676 |
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 | 1201 |
8081778 | INST VITRECTR CUTTER EYE | 1950 |
8081779 | INST VITRECT LIGHT PIP | 1053 |
8081800 | INST WIRE CUTTER 4110 | 136 |
8081815 | KT ACCESS 4110 | 255 |
8081835 | KT ANS LTA II 4110 | 70 |
8081860 | KT ARTERY RADIL 4110 | 151 |
8081890 | KT CATH DIALYSH 4110 | 4993 |
8081900 | KT CATH PERC 4110 | 244 |
8081917 | KT CHOLANGIOGRAPHY | 411 |
8081935 | KT CPM ACCES 4110 | 152 |
8081945 | KT CYTO 4110 | 1595 |
8081965 | KT DISP ICP 4110 | 2796 |
8081970 | KT DISP TRNSDU 4110 | 80 |
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 |
8082060 | KT EYE CR 4110 | 152 |
8082061 | KT EYE BLUE | 77 |
8082062 | KT EYE GRAY | 70 |
8082070 | KT FETAL BLOOD 4110 | 242 |
8082080 | KT FTUBE ENTRAL 4110 | 78 |
8082081 | KT PCNL | 2145 |
8082111 | KT HERNIA | 3947 |
8082120 | KT IABP INSERT 4110 | 10416 |
8082127 | KT ICP TWST DRL 4110 | 287 |
8082130 | KT INCNT 4110 | 38 |
8082140 | KT PAIN MGMT INFUSE CTH | 306 |
8082155 | KT INTRAUTERINE 4110 | 151 |
8082160 | KT IRR EYE 4110 | 331 |
8082165 | KT IRR VAG 4110 | 61 |
8082170 | KT IRR WND 4110 | 1018 |
8082180 | KT JEJUCATH+ND 4110 | 386 |
8082216 | KT ATTAIN LDS | 1800 |
8082220 | TEST PG HCG KIT | 19 |
8082275 | KT OB FATHER | 48 |
8082342 | KT PN BUSTER INFUSN | 4400 |
8082344 | KT PEG A/S | 439 |
8082355 | KT PER/LUM DISC 4110 | 10406 |
8082395 | KT PNEUMOTHORAX 4110 | 1018 |
8082434 | KT PRESSURE MONITOR | 3297 |
8082435 | KT PUMP BRST 4110 | 150 |
8082447 | KT REPAIR CV 4110 | 1018 |
8082449 | KT REPAIR VASC CATH | 12 |
8082485 | KT SHAVE PREP 4110 | 57 |
8082515 | KT SKIN CR 4110 – | 81 |
8082535 | KT SUCT 4110 | 45 |
8082601 | MANOMETER DISP 4110 | 128 |
8082635 | PERFOR DISP NEUR 4110 | 861 |
8082636 | INST EYE PICK ASPIRATIN | 128 |
8082668 | SNARE STERILE | 74 |
8082671 | SNARE TONSIL | 75 |
8082674 | SPACERS ORTHO 4110 | 246 |
8082675 | ST ART PUNCTURE 4110 | 506 |
8082679 | ST CARDIOPLEGIC | 1796 |
8082718 | ST FLUID DELIV | 246 |
8082808 | TIP U/S 4110 | 282 |
8082820 | TRY AMNIOCENTES 4110 | 266 |
8082835 | TRY ANGIOGRAPHY 4110 | 2125 |
8082845 | TRY ANGIOGRPHIC 4110 | 1472 |
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 | 1137 |
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 |
8083200 | TRY CATH W/O C 4110 | 198 |
8083225 | TRY CHEST 4110 | 1189 |
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 | 2196 |
8083272 | TRY CRNI TONG 4110 | 1710 |
8083276 | TRY CATH FO+URIMETER | 316 |
8083295 | TRY CTH SW-GZ HP 4110 | 1349 |
8083305 | TRY CUTDOWN H/P 4110 | 826 |
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 |
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 |
8083625 | TRY HYSTERECTMY 4110 | 245 |
8083645 | TRY I&D 4110 | 374 |
8083660 | TRY INST GEN 4110 | 287 |
8083700 | TRY INTUBATON HP 4110 | 754 |
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 |
8083970 | TRY PAP SMEAR 4110 | 136 |
8083980 | TRY PARCNTS H/P 4110 | 474 |
8083997 | PENILE PROS ACC KIT$ | 2652 |
8084005 | TRY PERI-CRD H/P 4110 | 1600 |
8084008 | TRY PERC INTRO | 591 |
8084018 | TRY PICC | 1114 |
8084020 | TRY PLS 4110 | 379 |
8084085 | TRY PREP W RAZ 4110 | 19 |
8084130 | TRY REMV SUT 4110 | 136 |
8084210 | TRY SIGMOID 4110 | 543 |
8084260 | TRY SUT MIN H/P 4110 | 285 |
8084310 | TRY THORACENTES | 393 |
8084330 | TRY THORCTMY H/P 4110 | 731 |
8084341 | TRY TONSIL HEMMORAGE | 538 |
8084345 | TRY TRACH 4110 | 1016 |
8084350 | TRY TRACH CLEAN 4110 | 87 |
8084365 | TRY TRANSF XCHA 4110 | 374 |
8084370 | TRY TRIP/LUMEN 4110 | 887 |
8084419 | VEN STRIP 4110 | 195 |
8089009 | BECKER EXT. DRAINAGE & MONITORING SYSTEM | 965 |
8089019 | EXTERNAL DRAINAGE AND MONITORING KIT | 1616 |
8089029 | VENTRICULOSTOMY SUPPLY | 1590 |
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 | 1066 |
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 | 1223 |
8091335 | EQ CANE ALL TYPE * | 225 |
8091474 | EQ CRYOGN DEV D | 358 |
8091475 | EQ CT BI-POLAR | 171 |
8091590 | EQ EAR DRILL * | 1012 |
8091618 | EQ EMG MET | 1200 |
8091735 | EQ ILLUM FIBOP | 1411 |
8091803 | EQ KERATOSCOPE | 102 |
8091814 | EQ LAMINAR FLOW ADD30MIN * | 2361 |
8091911 | EQ CRVCL LZR RNTL | 6975 |
8091921 | EQ LUMBAR LZR RNTL | 6975 |
8091950 | EQ MICROSCP BASC | 340 |
8092295 | EQ PD AQUA D | 109 |
8092340 | EQ PD HEAT | 136 |
8092343 | EQ PD HEAT LG | 287 |
8092456 | TR MAMOSTE CTH | 7800 |
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 | 1365 |
8092965 | EQ WALKER * | 0 |
8093125 | PD EKG BACKPAD | 90 |
8093130 | PD GROUNDING BIO | 55 |
8093155 | TORP-GOLDENBERG-RH$ $ | 2895 |
8093165 | SLEVE SCD | 1028 |
8093200 | SURGIBRA | 911 |
8093210 | TB ENDO LZ | 504 |
8093300 | VENTRICULR LT SYS DVCE $ | 1018 |
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 | 2833 |
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 |
8114031 | BOOTS-STAY DRI | 182 |
8114050 | BRCE BACK CUSTM 4110 | 631 |
8114100 | BRCE ORTHOPEDIC 4110 $ | 0 |
8114170 | COLLAR CERV 4110 | 225 |
8114180 | COLLAR CERV FM 4110 | 335 |
8114195 | COLLAR HARD CERV 4110 | 374 |
8114200 | COLLAR PHIL 4110 | 358 |
8114205 | COLLAR, ASPEN VISTA UNIV | 234.75 |
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 | 1033 |
8114980 | TRAC RUSL SNG D 4110 | 340 |
8114990 | TRAC SIDE ARM D 4110 | 291 |
8121065 | EAR TUBE 3105 | 206 |
8121070 | EAR TUBE 3105 $ | 1266 |
8121075 | EAR TUBE 3105 | 235 |
8121080 | EAR TUBE 3105 | 74 |
8121114 | PROS EAR PORP $ | 1200 |
8121116 | RETNL PHTO CHAN NIFU | 801 |
8121120 | EAR WICK | 36 |
8122005 | EYE CONFRM – | 20 |
8122015 | EYE CORNEA 3105 $ | 14664 |
8122026 | EYE GLAUC IMP 4110 $ | 600 |
8122027 | EYE GRFT HUMAN 3105 $ | 6573 |
8122028 | IMP EYE PTCH PRCRDIAL | 795 |
8122040 | IOL POSTERIOR$ $ | 2685 |
8122041 | EYE IOL 4110 $ | 1368 |
8122042 | EYE IOL 4110 $ | 761 |
8122043 | IOL ANTERIOR $ | 1520 |
8122065 | IOL IRIS SUPPRT $ | 2085 |
8122071 | IOL ASTIG CORCT FNCTN * | 1185 |
8122120 | EYE SPHERE 3105 | 99 |
8122125 | EYE TIRE/S 3105 – | 638 |
8122167 | GRFT AMNIOTIC $ | 1428 |
8122172 | IOL PRESBYOPIA | 1185 |
8122175 | SPEC PROC TABLE | 340 |
8124000 | VOICE DKBL 3105 $ | 1000 |
8131260 | BN BLOCKS 3110 $ | 2776 |
8131275 | BN CHIPS 3110 $ | 1823 |
8131278 | BN PUTTY $ | 4350 |
8131282 | IMP BN HYDRCPT $ | 3750 |
8131285 | BN GRFT 3110 $ | 5412 |
8131286 | BN GRFT MTRIX STRP $ | 4050 |
8131293 | FORMAGRAFT $ | 4485 |
8131306 | CPR CMPR BND DISP S | 424 |
8131315 | BOLT CNNLTD 3110 $ | 448 |
8131325 | BOLT TIBIA N+WAS 3110 $ | 244 |
8131330 | BOLT TIBIA WASHR 3110 | 143 |
8131376 | BN GEL/PUTTY 15 CC $ | 10476 |
8131500 | CABLE FX SPINE 3110 $ | 6257 |
8131520 | CEMT BN $ | 1028 |
8131531 | DURASEAL $ | 1502 |
8131555 | CUP $ | 6118 |
8131560 | CUP SELF CENT $ | 7131 |
8132007 | EXFX CAP TIP 3110 | 710 |
8132020 | EXFX COLLES 3110 | 206 |
8132150 | EXFX MIN 3110 $ | 13380 |
8132155 | EXFX PIN HOLD 3110 | 386 |
8132510 | FEM NAIL 3110 $ | 9224 |
8132520 | GREAT TOE IMPLANT $ | 3150 |
8132800 | HD BIPOLAR 3110 $ | 4250 |
8132805 | HIP-BIP-FEM HEAD$ $ | 4349 |
8132820 | HIP EXETER CENT 3110 | 386 |
8132835 | HOOK HARINGTNS+B 3110 $ | 1201 |
8132900 | IMP BN 3110 $ | 1189 |
8132914 | IMP SPNL FUSN $ | 19665 |
8132928 | ROD $ | 900 |
8132940 | IMPL ARTICLR COMPNT $ | 6000 |
8132951 | IMPL TAPER POST $ | 1185 |
8133075 | NAIL TIBIA 3110 $ | 5006 |
8133077 | IMP PLATE $ | 7386 |
8133078 | DRILL (FLAP) | 1305 |
8133079 | IMP SCREW $ | 1140 |
8133080 | IMP RE-FIXATN PIN | 528 |
8133081 | IMP CORTICAL SPACER $ | 3228 |
8133082 | CORTICAL BLOCK $ | 3165 |
8133545 | PIN HABIE 3110 $ | 457 |
8133580 | INTRAMEDULLARY PIN$ $ | 6192 |
8133590 | PIN KNOWLES AS 3110 | 473 |
8133595 | PIN MLT FIXATN 3110 | 142 |
8133601 | PIN ORTHOSORB 3110 $ | 1046 |
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 $ | 1256 |
8133654 | PLATE AO SPECIAL TYP5 | 1932 |
8133665 | BONE PLATE $ | 2700 |
8133666 | PLATE CRVICAL $ | 9000 |
8133670 | PLT BN LIGHT 3110 $ | 1033 |
8133675 | PLT BN MED 3110 $ | 1742 |
8133690 | PLT COMP HIP 3110 $ | 1487 |
8133700 | PLT COMPRESION 3110 $ | 1200 |
8133715 | PLT E CLOVLEAF 3110 $ | 1439 |
8133720 | PLT E COMP BRD 3110 $ | 1162 |
8133725 | PLT E COMP DCP 3110 | 699 |
8133735 | PLT E COMP NRW 3110 | 704 |
8133785 | PLT E SEM TUBE 3110 $ | 1200 |
8133795 | PLT E T 3110 | 242 |
8133800 | PLT E T BUTRES 3110 $ | 1500 |
8133810 | PLT E T OBLIQ 3110 | 242 |
8133811 | PLATE TIBIAL $ | 3561 |
8133825 | PLT E 1/3 TUBE 3110 | 242 |
8133837 | PLT LEG DISP | 117 |
8133843 | PLATE OTHER | 189 |
8133845 | PLT RECONTSRCT 3110 $ | 1347 |
8133870 | PLT-SUPRA-8HOLE-ZI $ $ | 3973 |
8134200 | HIP-TOT,FEMORAL HEAD$ $ | 4916 |
8134202 | HIP-BIPOLAR STEM $ | 17709 |
8134204 | IMPL FEMORAL HEAD $ | 3588 |
8134267 | PROS EAR $ | 3176 |
8134290 | HIP-TOT-ELIMINATOR $ $ | 1216 |
8134299 | IMPL HIP ACET INSERT $ | 7281 |
8134300 | IMPL HIP ACTBCU $ | 5718 |
8134315 | IMPL HIP FEMSTE $ | 16687 |
8134333 | BIOMET BIPOLAR NECK$ $ | 3730 |
8134334 | PLSTC KNEE FBRCTN * | 4500 |
8134338 | IMPL HIP LINER $ | 5006 |
8134352 | IMPL HUMERAL HD $ | 5554 |
8134354 | IMPL HUMERAL STEM $ | 15421 |
8134355 | KNEE-REPLACE FEMUR -R $ $ | 19215 |
8134360 | IMPL KNE/FEMORA $ | 16315 |
8134375 | KNEE-FEMUR-CEMTD-IT$ $ | 16232 |
8134380 | IMPL KNE/INSERT $ | 5816 |
8134385 | IMPL KNE/PATELA $ | 4046 |
8134400 | IMPL KNE/TIBIAL $ | 11377 |
8134425 | KNEE-ARTIC-PORUS-ZI $ $ | 6393 |
8134750 | PROTECT CAPS 2P 3110 | 14 |
8135010 | ROD-FEMORAL-AM $ $ | 7587 |
8135030 | RD SPINL FUSN $ | 1236 |
8135105 | RUSH PIN E-6IN | 710 |
8135150 | SCRW ARTHRO 3110 $ | 1162 |
8136005 | SCRW BN 3110 | 850 |
8136006 | SCRW BN MINI $ | 1125 |
8136020 | SCRW CANCL 3110 | 216 |
8136021 | SCRW CANCL 3110 | 72 |
8136026 | SCRW ANGLED $ | 1500 |
8136030 | SCRW CANN 3110 | 821 |
8136060 | SCRW COMPRS/LAG 3110 $ | 2421.95 |
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 $ | 1402 |
8136220 | SCRW PEDICLE $ | 5445 |
8136226 | IMP SCRW SPINL FUSN $ | 3525 |
8136246 | SET SCREW | 870 |
8136266 | SCREW SPECIALITY TYPEI $ | 500 |
8136267 | SCREW SPECIALITY TYPEII | 568 |
8136278 | CANNUL-TIB-NAIL-AM $ $ | 5261 |
8136280 | SCRW TITAN 3110 | 216 |
8136285 | SCRW TOTAL HIP 3110 | 761 |
8136301 | SPACR CORTICL $ | 4500 |
8136305 | SCRW ZIMMER 3110 $ | 1100 |
8136582 | ST SCREW & NDL $ | 1066 |
8136590 | KNEE-STEM-POUROS-ZI$ $ | 15723 |
8136595 | STEM SPACER 3110 $ | 4704 |
8136600 | HIP-CENTLGN STEM-ZI$ $ | 17054 |
8136620 | STPL BN | 827 |
8136649 | STAPLER RE-LOAD UNIT | 1383 |
8137015 | HIP-TOT,PSFT HEAD-I$ $ | 4147 |
8137025 | TOTAL HIP STEM $ | 23211 |
8137065 | WASHER 3110 | 448 |
8137095 | WIRE KIRCHNER PL 3110 | 102 |
8137110 | WIRE TROCANTOR 3110 | 75 |
8137111 | FIBERWIRE | 63 |
8137112 | SUT MICRO LASSO | 420 |
8137113 | SCRW TENODESIS | 885 |
8137114 | TIBIAL BLOCK $ | 2508 |
8137116 | QUICKSET | 3210 |
8137117 | PRB LITHOSTAT | 690 |
8137118 | PRB U/S | 1620 |
8137119 | COVR THRDED HOLE | 340 |
8137120 | REF XLPE $ | 3735 |
8137121 | SCRW SPINAL $ | 9450 |
8137122 | STEM BIPOLAR $ | 17709 |
8137123 | KT OSTEO-SET REABSRB | 2955 |
8137124 | FLOSEAL | 462 |
8137127 | GRFT JACKET | 7575 |
8137128 | XBSM $ | 3855 |
8137129 | STEM TOT HIP $ | 9450 |
8137130 | TRY SHOULDER | 870 |
8137131 | IMPL OPES | 450 |
8137132 | IMPL LOW PROF | 450 |
8137133 | SCRW BIO-INTRFR | 415 |
8137134 | SCRW ANCHR BIO | 675 |
8137135 | CANN ARTHRSCPE | 375 |
8137136 | IMPL HIP FEM PEG $ | 1467 |
8137137 | IMPL HIP FEM NK $ | 2970 |
8137138 | IMPL HOLE CVR REFL | 1050 |
8137139 | IMPL PEG $ | 1467 |
8137140 | IMPL BLOCK $ | 2508 |
8137141 | IMPL FEM REVI PPOR $ | 13775 |
8137143 | IMPL TIBL BASE NO SPKE $ | 6204 |
8137144 | IMPL STEM $ | 2613 |
8137145 | IMPL AUG $ | 2508 |
8137146 | IMPL INSERT $ | 3828 |
8137148 | IMPL HEAD A $ | 10890 |
8137149 | IMPL HIP PROX STND SZ $ | 8250 |
8137150 | IMPL MOD NECK $ | 2970 |
8137151 | IMPL STEM $ | 5808 |
8137152 | IMPL CONSERV A $ | 10899 |
8137153 | IMPL SHLDR HUMRL STEM $ | 11154 |
8137154 | IMPL HEAD CBLT CHRM $ | 4758 |
8137155 | GW T2 SMOOTH TIP | 1019.1 |
8137156 | GW T2 BALL TIP | 1019.1 |
8137157 | SHFT RMR MODLR TRNKL | 525 |
8137158 | DRILL BIT T2 | 525 |
8137159 | IMPL NAIL HUMERAL $ | 4200 |
8137160 | SCREW IMPL LCKING T2 | 510 |
8137161 | IMPL ROD UMRL POLARI $ | 4374 |
8137162 | DRILL TAP FOR POLARI | 196 |
8137163 | WIRE KIRSCHNR NITINOL | 154 |
8137164 | IMPL ACET SHELL HELPOR $ | 3870 |
8137165 | IMPL INTER-IO DURASUL $ | 3183 |
8137166 | NAIL FEMORAL $ | 12168.5 |
8137167 | SCRW LAB TITAN $ | 1512 |
8137168 | SHFT REAMER MOD TRNKL | 2544.5 |
8137169 | GW BALL TIP | 525 |
8137170 | WIRE KIRSCH GAMMA | 600.55 |
8137171 | IMPL TIBIL INSRT NONPOR $ | 5640 |
8137172 | IMPL INSERT $ | 3480 |
8137173 | IMPL PATEL COMP $ | 1932 |
8137174 | IMPL FEMUR REVISION $ | 12504 |
8137175 | IMPL STEM $ | 2184 |
8137176 | LAMINA HOOKS $ | 4350 |
8137177 | LOCKING PLUG $ | 1485 |
8137178 | PROS EAR SMRT STPS PSTN $ | 1200 |
8137180 | DRP SURGICAL | 0 |
8137181 | CAUT TENSIL | 333 |
8137182 | IMPL PALACO RTG W/GENT $ | 1185 |
8137183 | IMPL GRFT JACKET $ | 7875 |
8137184 | IMPL METAPH GRFT INJ $ | 5595 |
8137185 | KT OSTEO RESRB BEAD | 2955 |
8137186 | NAIL CANNUL TIBIAL ANY S $ | 3831 |
8137187 | SCRW LOCKING ANY SZ | 528 |
8137188 | DRILL BIT CALIBRTED | 801 |
8137189 | DRILL BIT | 405 |
8137190 | GUIDE ROD | 300 |
8137191 | LCP CNDYLR PLATE $ | 3921 |
8137192 | SCRW CANN LCKNG ANY SZ | 495 |
8137193 | SCRW CANN CONICAL | 657 |
8137194 | GW DRILL TIP | 1925 |
8137195 | DRILL BIT | 375 |
8137196 | DRILL BIT | 870 |
8137197 | NORIAN SRS $ | 7290 |
8137198 | NDL NORIAN DELIVERY | 615 |
8140986 | CONTOUR ALLODERM LARGE 164 SQ CM | 20733 |
8140988 | CONTOUR ALLODERM LARGE 164 SQ CM | 8984.3 |
8140990 | PM AICD DUAL CHMBR $ | 72000 |
8140991 | PM AICD TRPL BIVENTRIC $ | 84000 |
8140993 | PM AICD SNGL CHMBR $ | 57000 |
8140994 | AORTIC MECHANICAL VALVE | 45375 |
8140995 | CANN ANT CHMBR WSHT | 118 |
8140997 | ALLODERM 8X16 CM | 14985 |
8140999 | ACTIFUSE SHAPE LRG 15.8 mL | 28500 |
8141011 | ART/FEM CANNULA | 80 |
8141136 | CATH URET MEAS DISP | 330 |
8141250 | CATH GROSHONG $ | 5147 |
8141275 | CATH VENTR 3120 | 3447.5 |
8141285 | CLIP ANEURANEUR 3120 $ | 1638 |
8141598 | FLEX GRAFTON $ | 4362 |
8142016 | GRFT CRANI DURA PTCH $ | 1008 |
8142021 | GRFT STRAIGHT $ | 9477 |
8142026 | GRFT APLIGRAF SKN $ | 1000 |
8142056 | IMPL DYNAGRAFT $ | 1300 |
8142059 | GRFT BIF ENDO-PROS $ | 51225 |
8142065 | GRFT GRTX PTCH 3120 $ | 2750 |
8142080 | GRFT MESH MARLX 3120 $ | 1200 |
8142090 | GRFT MESH PROLN 3120 $ | 1100 |
8142105 | GRFT MESH $ | 1256 |
8142116 | GRFT PATCH DACRON 3120 $ | 1033 |
8142130 | GRFT FLX AAA BIF $ | 22866 |
8142150 | GRFT VASC BIF G 3120 $ | 6908 |
8142155 | GRFT VASC BIF M 3120 $ | 4349 |
8142176 | GRFT ILIAC LEG $ | 15425 |
8142180 | GRFT VASC STR B 3120 $ | 2886 |
8144030 | P/M LD INTRM 3130 $ | 9356 |
8144060 | PCMKR TEMPRY | 540 |
8144071 | PACE LD ARTERIAL J $ | 8698 |
8144130 | PACE LD VENT 3130 $ | 9356 |
8145005 | SHNT CAROTD BYP 3120 | 502 |
8145105 | SHNT INAHARA 3120 $ | 1647 |
8145119 | STEM CELL KIT PRP GRAFT | 5250 |
8145765 | VENA CAVA KT 3120 | 902 |
8145795 | VLV HAKIM STD 3120 $ | 5609 |
8151030 | ENDOPRSTH THORACIC $ | 36225 |
8151210 | CLIP ANUERSYM 3105 $ | 1661 |
8151211 | CLIP APPLIER DISP | 615 |
8151215 | DURAGEN 2X2 | 1155 |
8151217 | DURAGEN 3X3 | 2101.02 |
8151219 | DURAGEN 4X5 | 3529.83 |
8151511 | IMP ELBOW HD $ | 4725 |
8151512 | IMP ELBOW STM $ | 5580 |
8151980 | IMPL ANCHOR CRKSCRW 5MM $ | 1300 |
8151981 | IMPL NOVABONE $ | 1185 |
8151991 | IMPL URETH ENDOPRSTH $ | 8985 |
8151997 | IMPL CRANIO PLATE | 1890 |
8152003 | COLLAGRAFT/3 STRIP$ $ | 6019 |
8152011 | IMP SPNE XSTOP ALL $ | 12000 |
8152021 | IMP PATLLA TNDN $ | 8625 |
8152022 | IMPL SCRW BIOABSORB I | 131 |
8152028 | IMPL TISSU EXPNDR BRST $ | 3975 |
8152033 | IMP SPHINC URN 3105 $ | 9003 |
8153025 | KT CRANIOPLAST | 1734 |
8153029 | NEURO CATHETER | 1971 |
8153042 | KT P/M INTRO | 457 |
8154000 | PENILE IMP 3105 $ | 15538 |
8154060 | PROS BREAST 3105 $ | 6573 |
8154155 | PROS PENILE PUM $ | 34512 |
8154180 | SYS SHUNT VALVE HAKIM PROG W/ SIPHN GRD$ | 12240 |
8154190 | PROS TESTICULAR $ | 15538 |
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 |
8162371 | DRP STRI INCMD | 48 |
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 | 1266 |
8165055 | PK CESARIAN 3300 | 285 |
8165080 | PK CYSTO 3300 | 90 |
8165105 | PK EYE 3300 | 1403 |
8165115 | PK EYE IRR/ASP 3300 | 1615 |
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 | 1520 |
8165180 | PK MINOR 3300 | 1180 |
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 | 1680 |
8170070 | ANCHOR FASTAK | 755 |
8170090 | ANCHOR SUTURE | 203 |
8171125 | ANS BREATH CIR 3310 | 122 |
8171370 | AS TROCAR 3310 | 757 |
8172007 | AQUASONIC 100 | 7 |
8172010 | BARS ARCH 3310 | 246 |
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 |
8172730 | BOWL CEMENT 3310 | 321 |
8172735 | BOWL MIXING 3310 | 610 |
8172780 | BRSH BRONCHIAL 3310 | 303 |
8172785 | BRSH CYTOLOGY 3310 | 100 |
8172790 | BRSH INERMEDLRY 3310 | 212 |
8172852 | BURR OSTEO 3310 | 520 |
8172857 | BURR DIAMOND 3310 | 920 |
8173328 | CATH INTRATHECAL $ | 2085 |
8173330 | CATH INTRO SET 3310 | 2355 |
8173355 | CATH PERITNL 3310 $ | 4654 |
8173505 | CEMT BON 3310 | 487 |
8173515 | CEMT CARTRIDGE 3310 $ | 1388 |
8173517 | CEMENT CURRETTE | 255 |
8173550 | CEMT NOZZLE 3310 | 948 |
8173551 | CEMT FEMORAL PRESSURZR | 259 |
8173565 | CEMT RSTR SET | 963 |
8173575 | CEMT SYR 3310 | 244 |
8173700 | CLIP IRIS MENTOR 3310 | 839 |
8173900 | CORD BI-POLAR 3310 | 93 |
8173902 | CORD ACTIVE 3310 | 204 |
8173920 | COTTON-LEUNG STN 3310 | 47 |
8173955 | CRYOPHAKE HAND 3310 | 216 |
8173971 | CURET LATDE DISP | 600 |
8174001 | DEFOGGER 3310 | 232 |
8174010 | DERMACARRIER 3310 | 204 |
8174016 | DVCE ENDOCLSR | 219 |
8174035 | DIL VESSEL 3310 | 70 |
8174050 | DRILL BIT CANNL 3310 | 1510 |
8174102 | EXT FIXATOR DEVICE $ | 43746 |
8174305 | ELCTRD HOOK LAP 3310 | 1439 |
8174319 | ELCTRD VAPOR 3310 | 1368 |
8174405 | ENDO DISSECT 3310 | 1223 |
8174415 | ENDOPATH 3310 | 804 |
8174420 | ENDOPOUCH SPEC 3310 | 699 |
8174500 | EVC SMOKE 3310 | 743 |
8174525 | EYE INFUSION/GAS 3310 | 554 |
8174545 | EYE UNIPK ASPSET 3310 | 2106 |
8174610 | FIB OPTIC ASSEMB 3310 | 183 |
8174645 | FLTR BLD PALL 3310 | 226 |
8174690 | FLTR VENA CAVA $ | 10071 |
8174830 | HNDPC W/FBR 3310 | 5917 |
8174844 | IRG MALIS BPLR 3310 | 306 |
8174906 | HYDRO-SURG DBRIDE TBNG | 1335 |
8174910 | INJECTR/NEDL GI 3310 | 178 |
8174929 | INTRODUCER NEEDLE | 96 |
8175005 | KIT ACL | 1973 |
8175008 | KT CRANIAL ACCESS W/5MM | 1600 |
8175009 | KT DURASEAL GEL | 1650 |
8175019 | KNF ANGLED SLIT | 270 |
8175045 | KNF MYRINGOTOMY 3310 | 379 |
8175060 | KNF SURG EYE 3310 | 297 |
8175145 | LAVAGE TIP 3310 | 393 |
8175147 | KT SPNL CRD EXT $ | 2805 |
8175148 | QUAD PLUS LEAD-MD $ $ | 14056 |
8175150 | LENS GLIDE 10L 3310 | 11 |
8175154 | LOOP CUT FINESS 3310 | 287 |
8175165 | LOOP VESSEL AS 3310 | 81 |
8175180 | LOOPS 3310 | 882 |
8175204 | LZ CRTDGE 3310 | 610 |
8175205 | LZ FIBER 3310 | 453 |
8175207 | LZ FIBER MICRON | 3120 |
8175211 | LZ FIBER SIDE-FIRING | 6252 |
8175217 | EQ LZR ST CHRNT RNTL | 6585 |
8175225 | LZ PROBE 3310 | 5006 |
8175230 | LZ SCAPL ALL 3310 | 4552 |
8175231 | LASER GREENLITE | 4800 |
8175300 | MED STAYS 3310 | 20 |
8175345 | MSH PROLENE 3310 | 610 |
8176070 | PHACOEM TIP STR 3310 | 282 |
8176080 | PIN GDE ALL 3310 | 195 |
8176100 | PLEDGET CV TEF | 102 |
8176132 | PRB LITHOTRIP 3310 | 676 |
8176134 | PRB LITHO CWRB | 2250 |
8176140 | PRB OCCUTOME 3310 | 1403 |
8176149 | TISSEL 10ML | 1636.5 |
8176209 | RESER RICKMAN 3310 $ | 1276 |
8176767 | KYPHOPLASTY IMPLANT $ | 12879 |
8177008 | SEAL COHESIVE | 100 |
8177031 | SHEARS HRMONIC | 1134 |
8177113 | SHTH VASC FR ANY SZ | 945 |
8177160 | SOFTJAW INS SET 3310 | 426 |
8177174 | ITREL-3 GENERATOR $ | 51000 |
8177175 | SPLNT NASAL 3310 | 255 |
8177210 | ST CYSTO IRR 3310 | 90 |
8177218 | SET DISKCTMY | 5085 |
8177332 | SUCT ORTHO A/T 3310 | 27 |
8177381 | VITAGEL SURGICEL $ | 1485 |
8177405 | SUT RETREIVER 3310 | 255 |
8177487 | EQ ISOGARD SYS | 960 |
8177501 | EQ YTI NAVIG SYS | 2925 |
8177534 | TB CO2 INSUFFLATION | 257 |
8177540 | TB SILSTIC/IN 3310 | 195 |
8177575 | TIP LAV/PAK 3310 | 548 |
8177576 | MICRN CONTCT FBR W/TP $ | 1935 |
8177585 | TISSUE EXPNDR $ | 4500 |
8177596 | TISSUE MANIPULATOR ENDO | 888 |
8177625 | TOURN INFL DIS 3310 | 18 |
8177670 | TRNSDU DOME 3310 | 226 |
8177690 | TUBING ARTHRO IR 3310 | 340 |
8177700 | TUBING FLO PUMP 3310 | 171 |
8177820 | UTERINE ELEVATOR 3310 $ | 7535 |
8177944 | VLV AHMED GLACM $ | 1785 |
8177960 | URET DILAT BLN 3310 $ | 2956 |
8177963 | WAND ARTHRO LOPRO DISP | 1771 |
8177967 | WAND SPINAL | 7200 |
8177975 | WIRE CERCLAGE 3310 | 1904 |
8177991 | IMPL VAG SLING $ | 3384 |
8181220 | BG SPONGE COUN 3310 | 1 |
8181230 | CLPR BLADE HR REM | 4 |
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 |
8181389 | CATHETER SAVI SPACER | 585 |
8181398 | SYS CATH FLEXISL | 936 |
8181410 | CAUT COAG SUCT 3310 | 102 |
8181419 | CAUTERY PROBE | 640 |
8181425 | CAUT OP TEMP DS 3310 | 199 |
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 |
8181455 | CAUT TIP CLEANER 3310 | 48 |
8181460 | CAUT TIP EXTEND 3310 | 55 |
8181466 | CELL PCKR COLL DVCE | 525 |
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 |
8182050 | DRN ABRAMSON 3310 | 80 |
8182065 | DRN CHEST | 340 |
8182080 | DRN HEMO HYS-T 3310 | 372 |
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 |
8182189 | J/P DRAIN | 77 |
8182220 | ELECTRODE TRIPOLAR GENERATOR | 2785 |
8182256 | DRSG HYDROGL WND GEL FLO | 287 |
8182510 | GLV STERILE 3310 | 0 |
8182515 | GLV SUR/SPC 3310 | 0 |
8182520 | GLV SURGN PR 3310 | 0 |
8182630 | INTRO CATH 3310 | 27 |
8182634 | INTEGRA BILAYER MATRIX WOUND DRESSING | 4950 |
8182882 | KT CRYOABLATION | 17250 |
8182900 | KT ENDOMTRIAL ABLATN | 2985 |
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 | 5400 |
8184500 | PACKING SURGICEL 3310 | 145 |
8184505 | PACKING SURGICEL 3310 | 226 |
8184510 | PACKING SURGICEL 3310 | 260 |
8184515 | PACKING SURGICEL 3310 | 90 |
8184560 | PD INST MAGNET 3310 | 75 |
8184565 | PD MAGNETIC 3310 | 93 |
8184580 | PD TBL OR 3310 | 269 |
8184630 | PRB IRRIG 3310 | 1012 |
8184800 | RAZOR DISP STERL 3310 | 90 |
8184805 | RAZOR S/P 3310 | 8 |
8184810 | RF ABLATION PROBE | 6600 |
8184820 | SYS BIPOLAR LZR | 1125 |
8184825 | RETAINER VISCERA 3310 | 131 |
8185008 | SCALPEL | 42 |
8185022 | SHIELD FULLER | 143 |
8185030 | SHIELD SPLASH EN 3310 | 15 |
8185050 | SKIN CLOS AS 3310 | 56 |
8185110 | SLEVE TH PR COM 3310 | 628 |
8185115 | SLEVE TH ST EA 3310 | 331 |
8185150 | SPLNT NASL DOYLE 3310 | 161 |
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 |
8185240 | SPNG SCRUB 3310 | 47 |
8185265 | SPNG TONSIL 3310 | 11 |
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 |
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 |
8185598 | ARISTA HEMOSTATIC SURGIFOAM | 1200 |
8186015 | TB DRN 3310 | 1379 |
8186030 | TB T DISP | 114 |
8186035 | TB VACURETTE 3310 | 547 |
8186095 | THERM PROBE REC 3310 | 155 |
8186130 | TP GLOW & TELL | 70 |
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 |
8186529 | ANTIMICROBIAL GAUZE | 76.23 |
8186530 | WIPE/SPONGE INST 3310 | 15 |
8186531 | DRESSING, XEROFOAM5X9 | 2.8 |
8186533 | DRESSING, VAC SILVER GRANULFOAM | 281.45 |
8186535 | 4 X 4 GAUZE PK | 1.48 |
8186536 | XG DRESSING, BRIDGE | 275 |
8186538 | RETRACTOR ALEXIS O-C-SECTION | 152.5 |
8191005 | AS CLIP 3200 | 195 |
8191037 | AS ENDO GIA VASC $ | 2794 |
8191056 | AS IRG/SUCT 3200 | 19 |
8191060 | AS LDSXX A/T | 1616 |
8191065 | AS NDL TROCAR 3200 | 779 |
8191087 | PURSE STRING | 657 |
8191102 | JOINT DEVICE (IMPLANTABLE) | 2948 |
8191106 | AS STPL RELD | 662 |
8191108 | AS STPL RELD | 453 |
8191109 | AS STPL RELD $ | 1033 |
8191150 | AS STPL ILS 3200 $ | 5044 |
8191158 | STPL LINEAR CUTTR | 2072 |
8191165 | AS STPL SKN 3200 | 442 |
8193087 | STAPLE HEMRRHD | 1050 |
8194016 | SUT ANCHR SWIVL | 1065 |
8194020 | SUT BASIC/GEN 3200 | 30 |
8194025 | SUT BLSTR RETEN 3200 | 28 |
8194072 | SUT CARDIOVASCULAR | 1349 |
8194081 | SUT CATG I 3200 | 1012 |
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 | 1180 |
8194560 | SUT STAPLE REM 3200 | 151 |
8194620 | ANCHOR 3.5 MM $ | 1520 |
8195000 | TP UMBILICAL 3200 | 55 |
8195250 | WAX BONE 2.5GMS | 15 |
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 |
8202023 | 500 ML CANISTER (WITH GEL) | 111.33 |
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 | 1964 |
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 |
8203055 | PACING ELCTRODE,INTRACA$ $ | 1728 |
8203060 | EP ELCTRODE MPNG SYS | 3135 |
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 |
8206766 | ADJSTBL SLTTR | 43 |
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& $ | 1354 |
8207265 | TB ENDOTRACH 4110 | 312 |
8207267 | DISPOSABLE BP CUFF | 71.7 |
8207270 | TB ENDTRACH 4110 | 279 |
8207275 | TB ET RAE 4110 | 102 |
8207296 | TB O2 CONN 4110 | 75 |
8207300 | TB TRACH FN 4110 | 591 |
8207320 | TB TRACH SHILY 4110 | 446 |
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 |
8216031 | TR CAT TRIPLE LUMEN CURV | 360 |
8216032 | TR DIALY MAH CTH TRPL LM | 360 |
8216041 | SUTURE TRAY | 676 |
8220061 | ADAPTER CHECK – FLO | 42 |
8221015 | BSK STONE DISP | 1001 |
8221050 | BG URINE DRN | 75 |
8221080 | CATH BLN LRG | 1105 |
8221115 | CATH DRNG ALL PURPOSE | 693 |
8221300 | ELCTRD ECG | 46 |
8221745 | COIL EMBOLIC | 181 |
8221810 | CONEC TUBE | 133 |
8221988 | KT BILIARY DRN | 986 |
8222045 | URETERAL STENT SET $ | 1204 |
8222196 | TOUHEY BORST STOPCOCK | 40 |
8222197 | STOPCOCK 3WAY DISP | 11 |
8222199 | INST BX GUN | 1205 |
8222220 | INST DIL VESSEL | 74 |
8222365 | KT PERCU NEPHRO | 1015 |
8222370 | KT PERCU NEPHRO STNT | 2229 |
8222586 | KT CT INJECTION | 212 |
8222592 | ASSEMBLY, VAC LINE ATEC | 2.5 |
8222598 | CANISTER SUCTION W/ LID ATEC | 22 |
8222604 | FILTER TISSUE | 44 |
8222610 | GUIDE NEEDLE 9G | 44 |
8222616 | HANDPIECE, BIOPSY 9G/10CM/12MM PET | 1166 |
8222618 | LINE, MONITORING LUER LOCK PRESSURE | 40.3 |
8222622 | HANDPIECE BIOPSY 9G/10CM/20MM VERT | 1166 |
8222628 | HANDPIECE BIOPSY 9GX/13CM/20MM LAT | 1166 |
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 | 1134 |
8222755 | GOWN DRS | 0 |
8222758 | NDL ANY | 95 |
8222763 | NDL BX ANY | 151 |
8222835 | TRY ANGIOGRAPHY | 557 |
8222874 | NDL SPINAL | 61 |
8223028 | TRY ARTHROGRAM | 304 |
8223029 | TRY LUMB PUNCT | 304 |
8223035 | TRY BX | 330 |
8223040 | GDE LESION MARKING | 165 |
8223055 | GW ANGIO | 804 |
8223058 | GW AMPLATZ STIFF | 151 |
8223080 | GW SEEKER/TRCKR | 1229 |
8223085 | GW DX | 629 |
8223087 | GW VARIABLE STIFFNESS | 378 |
8223247 | GW SUPER STIFF | 257 |
8223253 | SHTH INTRO LN | 181 |
8223275 | WIRE EXCH | 165 |
8223820 | NDL ENTRY | 65 |
8223900 | TRY MYELOGRAM | 434 |
8223990 | LOCK CLICK | 46 |
8224548 | DRS TRANSPARENT 4X4 | 36 |
8224554 | DRS STERI-STRIP ANY | 23 |
8224602 | TB CONN EXT 12FT | 72 |
8224684 | TB SUCTION CONN 6FT | 38 |
8224690 | FLTR VENA CAVA | 6271 |
8225555 | SUCTION YANKAUER | 52 |
8225598 | HR TRY HYSTERO | 189 |
8226097 | CATH BIL DRAINAGE | 509 |
8226439 | CATH GLIDE | 289 |
8226450 | CATH GORSHONG LG $ | 1016 |
8226615 | CATH NEPHROSTOMY | 651 |
8226916 | ST FLUID ADMIN | 38 |
8226920 | ST IV | 127 |
8227370 | SYR IRRIGAT DISP | 34 |
8231040 | CABLE PACING | 131 |
8232001 | KT O2 SATURATION | 19 |
8232200 | SUT PROLENE | 70 |
8232776 | NDL FEMORAL | 62 |
8233020 | TRY ACCESSORY MANIFLD SY | 160 |
8233055 | GW | 66 |
8233057 | GW | 379 |
8233060 | GW | 199 |
8233075 | GW | 359 |
8233080 | GW | 123 |
8233166 | SLEVE SWAN-GANZ ADPT | 81 |
8234530 | DRS 4X4 10PK | 25 |
8236004 | CATH ANGIO | 426 |
8236015 | PM CABLE WI ALLIGTOR CLIP TEMP | 54 |
8236168 | CATH DIAGNOSTIC | 87 |
8236778 | CATH THERMODILUTION | 1437 |
8236900 | GUIDE CATH W DILATOR | 455 |
8240010 | CATH, SLVR HAWK DRCTNL $ | 8985 |
8240012 | PM HF/RF BIVENTR TOT SYS $ | 90000 |
8240028 | EP ABLATN CBLES | 375 |
8240031 | CATH BLN TRILOBE | 1755 |
8240044 | CATH TRHROMB DCLOT ARTGRFT | 1906 |
8240061 | SYS CPS DELIV | 1335 |
8240070 | CORONARY BALLOON CUTTING | 4556 |
8240084 | FEMORA COMPRESSION SYS | 346 |
8240086 | EP CATH DIAG | 3150 |
8240088 | CATH EP ABLATION $ | 2700 |
8240094 | EP CATH COOL TIP | 4350 |
8240095 | CATH CSL DECA | 1185 |
8240096 | CATH CRD-2 | 390 |
8240097 | CATH JSN | 390 |
8240098 | CATH SAPHIRE CRVD | 2175 |
8240127 | CATH SLVR HWK DRCTNL $ | 8995 |
8240129 | CATH SLVR HWK ROTANL $ | 8995 |
8240132 | CATH STEERBLE DISP | 1437 |
8240133 | DEV CLOSR VASC IMP/INSRT $ | 1087 |
8240136 | LD PM $ | 7200 |
8240138 | PM BIVENTRIC $ | 24000 |
8240142 | HLS SFTY SHEET | 195 |
8240148 | SYLVEK PATCH | 86 |
8240151 | PM AICD DC $ | 58500 |
8240160 | GUIDE CATHETERS | 261 |
8240165 | PRESSURE WIRE | 2851 |
8240179 | PTCA GUIDEWIRES | 495 |
8240181 | PTCA GUIDE WIRE EXTENSION | 495 |
8240188 | LD AICD ENDO DUAL COIL $ | 12267 |
8240189 | LD AICD SNGL CHMBR $ | 12267 |
8240195 | IMP LD NEUROSTIM TEST KT $ | 58581 |
8240196 | IMP EVENT RCRDR $ | 13080 |
8240197 | LD AICD COMB/SNGLE DUAL $ | 12267 |
8240199 | IMP MESH $ | 4673 |
8240200 | IMP NO-RCHRG NEUR STM GE $ | 41272 |
8240229 | PM LEADS $ | 2100 |
8240258 | LD PM SEALNG ADPTR | 300 |
8240313 | PM DUAL NON-RATE RESP $ | 18000 |
8240314 | PM AICD DUL CH $ | 67500 |
8240315 | PM SINGL NON-RATE RESP $ | 18000 |
8240316 | LD ACID $ | 16800 |
8240319 | PM DC RATE-RESPONSIVE $ | 43010 |
8240320 | PM AICD BIV $ | 74100 |
8240321 | PM SC RATE-RESPONSIVE $ | 43010 |
8240322 | PM SC RATE RESP $ | 14550 |
8240323 | PM DC RATE RESP $ | 19500 |
8240349 | PM OTHER THAN SING/DUAL $ | 21000 |
8240359 | NRSTM PGRMR $ | 3570 |
8240363 | PROS PENILE INFLATABLE $ | 20295 |
8240364 | PROS PENILE N-INFLATABLE $ | 15538 |
8240365 | IMP URNRY SPHNCTR $ | 23985 |
8240367 | STNT DRUG ELUT TAXUS IMP | 10188 |
8240369 | STNT COR COBALT CHROM GUIDANT | 5940 |
8240371 | STNT COR HEP COAT | 4262 |
8240373 | STNT CAROTD RDC ANY SZ $ | 9000 |
8240375 | STNT COR MULTILINK IMP | 5339 |
8240379 | STNT NCOAT/COV W DEL SYS $ | 7632 |
8240381 | STNT NCOAT/COV WO DELSYS $ | 9405 |
8240398 | STNT FLUENCY ANY SIZE $ | 1500 |
8240400 | STNT BILIARY $ | 5244 |
8240402 | STNT RENL MONORIL ANY SZ $ | 4185 |
8240406 | STNT CAROTD LIMA ANY SZ $ | 9000 |
8240421 | STNT GRAFT $ | 24636 |
8240423 | STNT ENDOPROSTH $ | 9795 |
8240449 | STNT ILIAC END $ | 4125 |
8240769 | PTA BLN DIL CTH NANOCRS $ | 1140 |
8240780 | CATH DX ABLTN $ | 3600 |
8240855 | CATH IVUS 30 MEGA | 3936 |
8241101 | CPS DELIVRY SYSTM $ | 2085 |
8241212 | GRFT THORC ANEUR $ | 36000 |
8241315 | GLDWRE STRGHT TIP | 35 |
8241355 | IMP ALLODERM $ | 13368 |
8241439 | IMP PLUG A.F $ | 2400 |
8241453 | IMP RCHRG NEURO STIM GEN $ | 75468 |
8241474 | IMP PMP SYNCHRO $ | 33600 |
8241478 | STNT GRFT TRACHEO B $ | 7185 |
8241690 | PM ATTAIN CMND EH | 643 |
8241741 | LD DFIB RIATA ST | 18000 |
8241744 | LP SPRNT QUATRO SNGL CL $ | 16800 |
8241776 | LD LFT VENTRCL IS BIPOLA $ | 12267 |
8241845 | LD QUAD TRIAL $ | 4170 |
8242137 | MESH PANEL | 2500 |
8242452 | PLG PIN IS-1 | 300 |
8242642 | PM DC RATE-RESP $ | 21900 |
8242663 | PM DC RATE RESP $ | 14550 |
8242748 | PM CGNIS HE IIS-1DFTOTSY $ | 129000 |
8242872 | IMP BRST $ | 2700 |
8243062 | SLING PELVIC $ | 3000 |
8243065 | CRSR SHTH CTH W GDW $ | 5250 |
8243067 | STNT GRFT ENDVSCLR $ | 4500 |
8243099 | SHTH OUTER SLITBLE | 867 |
8243133 | STNT BILI $ | 4770 |
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 $ | 1124 |
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 $ | 1354 |
8243313 | CATH INFUSE MEWIS | 246 |
8243314 | CATH INFUS RPD TRNS W/EX $ | 1560 |
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 $ | 8985 |
8243322 | CATH PERIPH CTNG BLLN $ | 2400 |
8243323 | CATH PERIPH RISE $ | 4485 |
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 $ | 11985 |
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 $ | 1797 |
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 |
8243339 | FASTNR CATH PERC DRN | 34 |
8243340 | FLTR IV VNA CVA FM/JG $ | 3390 |
8243341 | FILTR JG RCVRY GENRTN II $ | 4185 |
8243342 | FLTR OPTEASE RETRIEV $ | 4872 |
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 $ | 3597 |
8243363 | PRT LO PRF PLAPRT WCTH | 750 |
8243364 | INFLATR HI PRS W/GE ENC | 495 |
8243365 | SHTH INTROD FEP | 165 |
8243366 | SHTH INTR CTH RD BND W/O | 165 |
8243367 | MICROCTH FBR BRD HYDCTD | 909 |
8243368 | EMBOLIZTN PRTCLS MICR | 330 |
8243369 | SHTH INTRO PNCL RDIOPQ | 807 |
8243370 | SHTH INTRODUCER W/GW $ | 5025 |
8243371 | SHTH INTRODUCE W/O GW | 39 |
8243373 | SHTH RETR EX BNT TP ATO | 263 |
8243374 | SNRE INTRAVASC AMPLTZ | 900 |
8243375 | STNT TRACHEOBRONCH GRF $ | 6735 |
8243376 | STNT TRCH/ENDO WLL GRF $ | 5850 |
8243377 | STNT VLN OTW PTFE-CVRD $ | 7350 |
8243378 | STNT BILI BLN $ | 5250 |
8243379 | STNT BILI LUMIN NITNOL $ | 4350 |
8243380 | STNT BILI NITINOL $ | 4350 |
8243381 | STNT BILI WALL HOL W/DL $ | 2890 |
8243382 | STNT BILI WALL UNIST PLS $ | 2890 |
8243383 | STNT BILI WALL W/DEL SYS $ | 2976 |
8243384 | STNT TRNSHPTIC UNISTP PL $ | 2889 |
8243385 | STNT URETERAL | 345 |
8243386 | STNT URETRL BTW PGTL RG | 384 |
8243387 | STNT URETERL PERCUFLX | 315 |
8243388 | STYLT EMBOL OCC SPRNG | 105 |
8243389 | SYSTM ASPIRAT/RNSE VSC | 4485 |
8243390 | SYST FLTR G2 FMRL INTRO $ | 4185 |
8243391 | GW TORQUE VISE | 21 |
8243392 | STNT BILI SYSTM STD $ | 3597 |
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 $ | 4485 |
8243550 | FILTERWIRE | 8296 |
8243664 | SYS PERIGEE W LITE | 4785 |
8243795 | TISS DRM/EPID NHUM $ | 6300 |
8245140 | CATH BLN VENGRM | 600 |
8245200 | ROTALINK BURR | 2775 |
8245210 | ROTALINK PLUS ADVANCER | 3592 |
8245240 | CORONARY BALLOON | 2796 |
8247356 | LD QUAD TRIAL $ | 7170 |
8247860 | IMP MESH $ | 7500 |
8247885 | MESH NOVASILK | 900 |
8248550 | SHTH SAFESHEATH | 867 |
8248560 | DYNAMIC Y AIRWAY STENT $ | 11722 |
2000001 | PRIVATE MED/SURG | 4239 |
2000002 | SEMI PRIVATE MED/SURG | 3763 |
2000019 | SURGICAL ICU | 11474 |
2000022 | MEDICAL ICU | 11474 |
2000026 | CCU | 11474 |
2000042 | MEDICAL ICU EDA | 11474 |
2000062 | DOU/TELE SEMI-PRIVATE | 4613 |
2050002 | SEMI PRIVATE MED/SURG | 3763 |
2050019 | SURGICAL ICU | 11474 |
2050022 | MEDICAL ICU | 11474 |
2050026 | CCU | 11474 |
2050062 | DOU/TELE SEMI-PRIVATE | 4613 |
2150001 | PRIVATE MED/SURG | 4239 |
2150002 | SEMI PRIVATE MED/SURG | 3763 |
2150022 | MEDICAL ICU | 11474 |
2150031 | DOU/TELE PRIVATE | 5673 |
2150042 | DOU/TELE SEMI-PRIVATE EDA | 4613 |
2150062 | DOU/TELE SEMI-PRIVATE | 4613 |
2160001 | PRIVATE MED/SURG | 4239 |
2160002 | SEMI PRIVATE MED/SURG | 3763 |
2160031 | DOU/TELE PRIVATE | 5673 |
2160062 | DOU-TELE SEMI-PRIVATE | 4613 |
2170001 | PRIVATE MED/SURG | 4239 |
2170031 | DOU/TELE PRIVATE | 5673 |
2210013 | NCCU 1:3 | 3428 |
2210020 | NICU 1:1 | 9500 |
2210094 | NICU 1:2 | 4679 |
2290002 | SEMI PRIVATE MED/SURG | 3763 |
2290019 | SURGICAL ICU | 11474 |
2290022 | MEDICAL ICU | 11474 |
2290026 | CCU | 11474 |
2290062 | DOU/TELE SEMI-PRIVATE | 4613 |
2320001 | PRIVATE MED/SURG | 4239 |
2320002 | SEMI PRIVATE MED/SURG | 3763 |
2320005 | ISOLATION | 4239 |
2320009 | PRIVATE DELUXE | 5642 |
2320031 | DOU/TELE PRIVATE | 5673 |
2320062 | DOU/TELE SEMI-PRIVATE | 4613 |
2330001 | PRIVATE MED/SURG | 4239 |
2330002 | SEMI PRIVATE MED/SURG | 3763 |
2330005 | ISOLATION | 4239 |
2330046 | PRIVATE SUITE | 5642 |
2330062 | DOU/TELE SEMI-PRIVATE | 4613 |
2340001 | PRIVATE MED/SURG | 4239 |
2340002 | SEMI PRIVATE MED/SURG | 3763 |
2340005 | ISOLATION | 4239 |
2340021 | ONCOLOGY PRIVATE | 5179 |
2340042 | SEMI PRIVATE MED/SURG EDA | 3763 |
2350001 | PRIVATE MED/SURG | 4239 |
2350002 | SEMI PRIVATE MED/SURG | 3763 |
2350005 | ISOLATION | 4239 |
2370001 | PRIVATE MED/SURG | 4239 |
2370002 | SEMI PRIVATE MED/SURG | 3763 |
2370005 | ISOLATION | 4239 |
2400045 | NURSERY INTENSIVE 1:3 | 3428 |
2400048 | PEDS PRIVATE | 4239 |
2400049 | PEDS SEMI-PRIVATE | 3763 |
2500025 | OB HIGH RISK SEMI-PRIVAT | 2424 |
2500042 | MATERNITY SEMI-PRIVATE | 2096 |
2500044 | OB SEMI PRIVATE | 2096 |
2500045 | OB PRIVATE | 2358 |
2550010 | NURSERY | 1059 |
2700041 | REHAB SEMI PRIVATE | 2226 |
2700065 | REHAB PRIVATE | 2619 |
2710078 | SAU VENT SEMI PRIVATE | 862 |
2710080 | VENT DEP BED HOLD | 936 |
2710082 | NON VENT BED HOLD | 900 |
2710084 | SAU SEMI PRIVATE | 739 |
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