Charge Master Code Description Price Effective Date Department Charge Code Type 100001 ABD PARACENTESIS W/ IMAGING 999 11/1/2017 Emergency Standard 100002 ABD PARACENTESIS W/O IMAGING 1276 11/1/2017 Emergency Standard 100003 APPLY SHRT ARM SPLNT 602 11/1/2017 Emergency Standard 100004 ARTHROCENTESIS INJ/ASPIR INTERMED JOINT 814 11/1/2017 Emergency Standard 100005 ARTHROCENTESIS INJ/ASPIR MAJOR JOINT 1038 11/1/2017 Emergency Standard 100006 ARTHROCENTESIS INJ/ASPIR MJR JT W/GUID 1612 11/1/2017 Emergency Standard 100007 ARTHROCENTESIS INJ/ASPIR SMALL JOINT 832 11/1/2017 Emergency Standard 100008 ARTHROTOMY ANKLE W/ EXPLORATION 2870 11/1/2017 Emergency Standard 100009 ARTHROTOMY WRIST JOINT W/ EXPLORATION 1770 11/1/2017 Emergency Standard 100010 AVULSION NAIL PLATE SIMPLE SINGLE 672 11/1/2017 Emergency Standard 100011 BLADDER IRRIGATION 714 11/1/2017 Emergency Standard 100012 BLOOD DRAW FROM PERIPHERAL IV 102 11/1/2017 Emergency Standard 100013 BLOOD DRAW FROM PORT 102 11/1/2017 Emergency Standard 100014 BURN CARE FIRST DEGREE INITIAL 372 11/1/2017 Emergency Standard 100015 BURN DRESS/DEBRIDE LG > 10% BSA 784 11/1/2017 Emergency Standard 100016 BURN DRESS/DEBRIDE MED 5‐10% BSA 533 11/1/2017 Emergency Standard 100017 BURN DRESS/DEBRIDE SMALL < 5% BSA 540 11/1/2017 Emergency Standard 100018 CARDIOVERSION ER 1499 11/1/2017 Emergency Standard 100019 CHEMICAL CAUTERY OF GRANULATION TISSUE 690 11/1/2017 Emergency Standard 100020 CL FX TX BIMALLEOLAR ANKLE W/ MANIP 1109 11/1/2017 Emergency Standard 100021 CL FX TX BIMALLEOLAR ANKLE W/O MANIP 786 11/1/2017 Emergency Standard 100022 CL FX TX HUMERAL SHAFT W/ MANIP 827 11/1/2017 Emergency Standard 100023 CL FX TX MEDIAL MALLEOLUS W/ MANIP 1880 11/1/2017 Emergency Standard 100024 CL FX TX METACARPAL W/ MANIP 603 11/1/2017 Emergency Standard 100025 CL FX TX NASAL BONE W/O STABILIZATION 670 11/1/2017 Emergency Standard 100026 CL FX TX PHALANGEAL SHAFT W/ MANIP 849 11/1/2017 Emergency Standard 100027 CL FX TX PHALANX W/ MANIP EACH 516 3/16/2018 Emergency Standard 100028 CL FX TX RADIAL HEAD/NECK W/MANIP 927 11/1/2017 Emergency Standard 100029 CL FX TX RADIUS & ULNA W/ MANIP 961 11/1/2017 Emergency Standard 100030 CL FX TX RADIUS & ULNA W/O MANIP 515 11/1/2017 Emergency Standard 100031 CL FX TX RADIUS/ULNA W/MANIP 1192 11/1/2017 Emergency Standard 100032 CL FX TX TIBIAL SHAFT W/ MANIP 2816 3/10/2018 Emergency Standard 100033 CL FX TX TRIMALLEOLAR ANKLE W/MANIP 1401 11/1/2017 Emergency Standard 100034 CL FX TX ULNAR STYLOID 1310 11/1/2017 Emergency Standard 100035 CL TX ELBOW DISLOCATION W/ ANES 1006 11/1/2017 Emergency Standard 100036 CL TX HIP DISLOCATION TRAUMATIC W/ ANES 2633 11/1/2017 Emergency Standard 100037 CL TX HIP DISLOCATION TRAUMATIC W/O ANES 1554 11/1/2017 Emergency Standard 100038 CL TX INTERPHALANGEAL JT DISLO W/ANES 608 11/1/2017 Emergency Standard 100039 CL TX KNEE DISLOCATION W/ ANESTHESIA 1114 11/1/2017 Emergency Standard 100040 CL TX KNEE DISLOCATION W/O ANESTHESIA 833 11/1/2017 Emergency Standard 100041 CL TX MCP DISLOCATION W/MANIP W/ANES 347 11/1/2017 Emergency Standard 100042 CL TX MCP DISLOCATION W/MANIP W/O ANES 837 11/1/2017 Emergency Standard 100043 CL TX PATELLAR DISLOCATION W/ ANES 2090 11/1/2017 Emergency Standard 100044 CL TX PATELLAR DISLOCATION W/O ANES 1299 11/1/2017 Emergency Standard 100045 CL TX RAD HD SUBLUX NURSEMD ELB W/MANIP 380 11/1/2017 Emergency Standard 100046 CL TX SHOULDER DISLOC W/ MAN W/ ANES 1362 11/1/2017 Emergency Standard 100047 CL TX SHOULDER DISLOC W/ MAN W/O ANES 1258 11/1/2017 Emergency Standard 100048 CPR ER 1584 11/1/2017 Emergency Standard 100049 CRITICAL CARE 30 ‐ 74 MIN 5370 11/1/2017 Emergency Standard 100050 CRITICAL CARE 30 ‐ 74 MIN 5370 11/1/2017 Emergency Standard 100051 CRITICAL CARE ADD'L HALF HR 1058 11/1/2017 Emergency Standard 100052 CRITICAL CARE ADD'L HALF HR 1058 11/1/2017 Emergency Standard 100053 DEBRIDE SKIN ‐ PARTIAL 895 11/1/2017 Emergency Standard 100054 DEBRIDE SKIN ‐ TISSUE ER 737 11/1/2017 Emergency Standard 100055 DEBRIDEMENT =%10 BSA 676 11/1/2017 Emergency Standard 100056 DEBRIDEMENT SIMPLE EA ADD %10 BSA 338 11/1/2017 Emergency Standard 100057 ER LEVEL I 403 11/1/2017 Emergency Standard 100058 ER LEVEL I W/MOD 25 403 11/1/2017 Emergency Standard 100059 ER LEVEL II 601 11/1/2017 Emergency Standard 100060 ER LEVEL II W/MOD 25 601 11/1/2017 Emergency Standard 100061 ER LEVEL III 1016 11/1/2017 Emergency Standard 100062 ER LEVEL III W/MOD 25 1016 11/1/2017 Emergency Standard 100063 ER LEVEL IV 1744 11/1/2017 Emergency Standard 100064 ER LEVEL IV W/MOD 25 1744 11/1/2017 Emergency Standard 100065 ER LEVEL V 2844 11/1/2017 Emergency Standard 100066 ER LEVEL V W/MOD 25 2844 11/1/2017 Emergency Standard 100067 EVACUATION SUBUNGUAL HEMATOMA 525 11/1/2017 Emergency Standard 100068 EXC NAIL FOLD TOE 748 11/1/2017 Emergency Standard 100069 EXT PACEMAKER TEMPORARY 1204 11/1/2017 Emergency Standard 100070 FOLEY CATHETER INSERTION COMPLICATED 519 11/1/2017 Emergency Standard 100071 GASTRC INTUB & LAVGE 514 11/1/2017 Emergency Standard 100072 GLUCOSE FINGERSTICK 60 11/1/2017 Emergency Standard 100073 HAND OR FINGER SPLINT 474 11/1/2017 Emergency Standard 100074 HEP B VAC ER 109 11/1/2017 Emergency Standard 100075 I&D ABSCESS BARTHOLINS GLAND 539 11/1/2017 Emergency Standard 100076 I&D ABSCESS DENTOALVEOLAR 695 11/1/2017 Emergency Standard 100077 I&D ABSCESS PERITONSILLAR 630 11/1/2017 Emergency Standard 100078 I&D ABSCESS VULVA OR PERINEAL 927 11/1/2017 Emergency Standard 100079 I&D ABSCESS W/PACKING 815 11/1/2017 Emergency Standard 100080 I&D ADCESS SIMPLE 661 11/1/2017 Emergency Standard 100081 I&D HEMATOMA FLUID 1655 11/1/2017 Emergency Standard 100082 I&D PILONIDAL CYST SIMPLE 543 11/1/2017 Emergency Standard 100083 IM OR SUBQ INJECTION 258 11/1/2017 Emergency Standard 100084 IMMUNIZATION ADMIN 1 VACCINE 132 11/1/2017 Emergency Standard 100085 IMMUNIZATION ADMIN ADDTL VACCINE 60 11/1/2017 Emergency Standard 100086 INCISION OF THROMB HEMORRHOID EXTERNAL 812 11/1/2017 Emergency Standard 100087 INJ NERVE BLOCK OTHER PERIPHERAL 1142 11/1/2017 Emergency Standard 100088 INJ NERVE BLOCK TRIGEMINAL 795 11/1/2017 Emergency Standard 100089 INSERTION CATHETER SIMPLE 402 11/1/2017 Emergency Standard 100090 INSERTION NON TUNNELED CEN VEN CATH 5YR+ 2233 11/1/2017 Emergency Standard 100091 INSERTION NON‐INDWELLING CATHETER STRAIG 262 11/1/2017 Emergency Standard 100092 INTRAOSSEOUS NEEDLE PLACEMENT 458 11/1/2017 Emergency Standard 100093 INTUBATION ENDOTRACHEAL ER 1250 11/1/2017 Emergency Standard 100094 IV CORONARY THROMBOLYSIS 2751 11/1/2017 Emergency Standard 100095 IV INFUS TX/DX MD SUP TO 1H 550 11/1/2017 Emergency Standard 100096 IV INFUS TX/DX SEQ UP TO 1 HR 257 11/1/2017 Emergency Standard 100097 IV INFUS TX/DX W/MD SUP ADD HR<8 204 11/1/2017 Emergency Standard 100098 IV INFUSION FOR THERAPY PROPHYLAXIS 289 11/1/2017 Emergency Standard 100099 IV INFUSION HYDRATION 31MIN ‐ 60MIN 479 11/1/2017 Emergency Standard 100100 IV INFUSION HYDRATION ADDL HR UP TO 8 HR 246 11/1/2017 Emergency Standard 100101 IVP EA ADD SEQ PUSH SAME DRUG 272 11/1/2017 Emergency Standard 100102 IVP FOR EA ADD SEQUENTIAL PUSH NEW DRUG 287 11/1/2017 Emergency Standard 100103 IVP INTRAVENOUS INJECTION‐CLINICAL ER 305 11/1/2017 Emergency Standard 100104 LONG ARM SPLNT 590 11/1/2017 Emergency Standard 100105 LONG LEG SPLNT 586 11/1/2017 Emergency Standard 100106 LUMBAR PUNCTURE DIAGNOSTIC 1160 11/1/2017 Emergency Standard 100107 LUMBAR PUNCTURE THERAPEUTIC 1192 11/1/2017 Emergency Standard 100108 MEASURE BLOOD OXYGEN LEVEL 97 11/1/2017 Emergency Standard 100109 MOD SED W/ASSIST <5 YRS 1ST 15 MIN 293 11/1/2017 Emergency Standard 100110 MOD SED W/ASSIST 5+ YRS 1ST 15 MIN 150 11/1/2017 Emergency Standard 100111 MOD SED W/ASSIST EA ADDL 15 MIN 140 11/1/2017 Emergency Standard 100112 MOD SED W/O ASSIST <5 YRS 1ST 15 MIN 1150 11/1/2017 Emergency Standard 100113 MOD SED W/O ASSIST 5+ YRS 1ST 15 MIN 940 11/1/2017 Emergency Standard 100114 MOD SED W/O ASSIST EA ADDL 15 MIN 713 11/1/2017 Emergency Standard 100115 NASO/GASTRIC TUBE PLACEMENT 851 11/1/2017 Emergency Standard 100116 NOSEBLEED ANTERIOR COMPLEX ANY METHOD 692 11/1/2017 Emergency Standard 100117 NOSEBLEED ANTERIOR SIMPLE ANY METHOD 732 11/1/2017 Emergency Standard 100118 NOSEBLEED POSTERIOR W/PACK INITIAL 667 11/1/2017 Emergency Standard 100119 NOSEBLEED POSTERIOR W/PACK SUBS 785 11/1/2017 Emergency Standard 100120 OBSERVATION ER PER HOUR 124 11/1/2017 Emergency Standard 100121 OBSERVATION TELE ER PER HOUR 180 11/1/2017 Emergency Standard 100122 OP E&M LEVEL I 51 11/1/2017 Emergency Standard 100123 OP E&M LEVEL II 102 11/1/2017 Emergency Standard 100124 OP E&M LEVEL III 153 11/1/2017 Emergency Standard 100125 OP E&M LEVEL IV 204 11/1/2017 Emergency Standard 100126 OP E&M LEVEL V 255 11/1/2017 Emergency Standard 100127 PICC HICK PORT FLUSH 270 11/1/2017 Emergency Standard 100128 PICC LINE REMOVAL 1853 11/1/2017 Emergency Standard 100129 POSITIVE AIRWAY PRESSURE, CPAP 1367 11/1/2017 Emergency Standard 100130 REMOVE FB CONJUNCTIVAL EMBEDDED 775 11/1/2017 Emergency Standard 100131 REMOVE FB CONJUNCTIVAL SUPERFICIAL 640 11/1/2017 Emergency Standard 100132 REMOVE FB CORNEAL W/O SLIT LAMP 723 11/1/2017 Emergency Standard 100133 REMOVE FB CORNEAL W/SLIT LAMP 505 11/1/2017 Emergency Standard 100134 REMOVE FB EXT AUDITORY CANAL W/ ANES 973 11/1/2017 Emergency Standard 100135 REMOVE FB EXT AUDITORY CANAL W/O ANES 456 11/1/2017 Emergency Standard 100136 REMOVE FB FOOT SUBCUTANEOUS 1265 11/1/2017 Emergency Standard 100137 REMOVE FB MCP JOINT / ARTHROTOMY 1460 11/1/2017 Emergency Standard 100138 REMOVE FB SUBCUT SIMPLE 1043 11/1/2017 Emergency Standard 100139 REMOVE IMPACTED CERUMEN W/INSTRMT 410 11/1/2017 Emergency Standard 100140 REMOVE IMPACTED CERUMEN W/O INSTRMT 410 11/1/2017 Emergency Standard 100141 REPAIR COMPLEX EY/EAR/NS/LP 1.1‐2.5CM 1033 11/1/2017 Emergency Standard 100142 REPAIR COMPLEX EY/EAR/NS/LP 2.6‐7.5CM 999 11/1/2017 Emergency Standard 100143 REPAIR COMPLEX FC/HN/FT/GEN 1.1‐2.5CM 928 11/1/2017 Emergency Standard 100144 REPAIR COMPLEX FC/HN/FT/GEN 2.6‐7.5CM 1095 11/1/2017 Emergency Standard 100145 REPAIR COMPLEX FC/HN/FT/GEN EA + 5CM/< 848 11/1/2017 Emergency Standard 100146 REPAIR COMPLEX SCLP/EXTR 1.1‐2.5CM 841 11/1/2017 Emergency Standard 100147 REPAIR COMPLEX SCLP/EXTR 2.6‐7.5CM 1014 11/1/2017 Emergency Standard 100148 REPAIR COMPLEX SCLP/EXTR EA + 5 CM/< 1133 11/1/2017 Emergency Standard 100149 REPAIR COMPLEX TRUNK 1.1‐2.5 CM 507 11/1/2017 Emergency Standard 100150 REPAIR COMPLEX TRUNK 2.6‐7.5 CM 960 11/1/2017 Emergency Standard 100151 REPAIR COMPLEX TRUNK EA + 5CM/< 982 11/1/2017 Emergency Standard 100152 REPAIR INTERM FACE 12.6‐20.0 CM 1009 11/1/2017 Emergency Standard 100153 REPAIR INTERM FACE 2.5 CM/< 1140 11/1/2017 Emergency Standard 100154 REPAIR INTERM FACE 2.6‐5.0 CM 1104 11/1/2017 Emergency Standard 100155 REPAIR INTERM FACE 5.1‐7.5 CM 1083 11/1/2017 Emergency Standard 100156 REPAIR INTERM FACE 7.6‐12.5 CM 915 11/1/2017 Emergency Standard 100157 REPAIR INTERM NCK/HND/FT 12.6‐20.0 CM 776 11/1/2017 Emergency Standard 100158 REPAIR INTERM NCK/HND/FT 2.5 CM/< 650 11/1/2017 Emergency Standard 100159 REPAIR INTERM NCK/HND/FT 2.6‐7.5 CM 1083 11/1/2017 Emergency Standard 100160 REPAIR INTERM NCK/HND/FT 7.6‐12.5 CM 779 11/1/2017 Emergency Standard 100161 REPAIR INTERM SC/TRNK/EXTR >30 CM 1096 11/1/2017 Emergency Standard 100162 REPAIR INTERM SC/TRNK/EXTR 12.6‐20.0CM 1031 11/1/2017 Emergency Standard 100163 REPAIR INTERM SC/TRNK/EXTR 2.5CM/< 781 11/1/2017 Emergency Standard 100164 REPAIR INTERM SC/TRNK/EXTR 2.6‐7.5CM 944 11/1/2017 Emergency Standard 100165 REPAIR INTERM SC/TRNK/EXTR 7.6‐12.5CM 1104 11/1/2017 Emergency Standard 100166 REPAIR NAIL BED 744 11/1/2017 Emergency Standard 100167 REPAIR NONUNION RADIUS & ULNA W/O GRAFT 4270 11/1/2017 Emergency Standard 100168 REPAIR SIMPLE FACE 12.6‐20.0 CM 815 11/1/2017 Emergency Standard 100169 REPAIR SIMPLE FACE 2.5CM/< 642 11/1/2017 Emergency Standard 100170 REPAIR SIMPLE FACE 2.6‐5.0 CM 706 11/1/2017 Emergency Standard 100171 REPAIR SIMPLE FACE 5.1‐7.5 CM 753 11/1/2017 Emergency Standard 100172 REPAIR SIMPLE FACE 7.6‐12.5 CM 708 11/1/2017 Emergency Standard 100173 REPAIR SIMPLE SC/TRNK/EXTR 12.6‐20.0 CM 796 11/1/2017 Emergency Standard 100174 REPAIR SIMPLE SC/TRNK/EXTR 2.5CM/< 657 11/1/2017 Emergency Standard 100175 REPAIR SIMPLE SC/TRNK/EXTR 2.6‐7.5 CM 678 11/1/2017 Emergency Standard 100176 REPAIR SIMPLE SC/TRNK/EXTR 7.6‐12.5 CM 682 11/1/2017 Emergency Standard 100177 REPOSITION PICC LINE 2764 11/1/2017 Emergency Standard 100178 SHORT LEG SPLNT 559 11/1/2017 Emergency Standard 100179 TB SKIN TEST INTRADERMAL 132 11/1/2017 Emergency Standard 100180 TELEHEALTH ORIGINATING SITE FAC FEE 1246 12/1/2017 Emergency Standard 100181 TEMPORARY TRANSCUTANEOUS PACING 1204 1/1/2018 Emergency Standard 100182 THERA INJ TRIGGER POINT 1 OR 2 MUSCLES 939 11/1/2017 Emergency Standard 100183 THERA INJ TRIGGER POINT 3+ MUSCLES 1076 11/1/2017 Emergency Standard 100184 THORACENTESIS W/ IMAGE GUIDANCE 1473 11/1/2017 Emergency Standard 100185 THORACENTESIS W/O IMAGE GUIDANCE 1292 11/1/2017 Emergency Standard 100186 TRAUMA ACTIVATION 3123 11/1/2017 Emergency Standard 100187 TREAT FINGER DISLOCATION W/MAN W/ANES 1139 11/1/2017 Emergency Standard 100188 TREAT FINGER DISLOCATION W/MAN W/O ANES 764 11/1/2017 Emergency Standard 100189 TUBE THORACOSTOMY 1399 11/1/2017 Emergency Standard 100190 US EXTREM NON VASC LTD ER 458 11/1/2017 Emergency Standard 100191 VENOUS BLOOD DRAW CENTRAL CATH EXPT PORT 107 11/1/2017 Emergency Standard 100192 WITHDRAWAL OF ARTERIAL BLOOD 346 11/1/2017 Emergency Standard 100193 WOUND DEHISCENCE W/ PACKING 554 11/1/2017 Emergency Standard 100194 WOUND DEHISCENCE W/O PACKING 1036 11/1/2017 Emergency Standard 100195 FINE NEEDLE ASPIRATION W/IMAGE GUIDANCE 1008 8/16/2018 Emergency Standard 100196 CL TX POST HIP ARTHRO DISLOCATION W/ANES 1511 8/1/2018 Emergency Standard 100197 CL TX THUMB DISLOCATION W/MANIP 1139 10/1/2018 Emergency Standard 100198 BLOOD TRANSFUSION 1342 10/1/2018 Emergency Standard 100199 BLADDER SCAN 229 10/1/2018 Emergency Standard 100200 REMOVE FB INTRANASAL 238 10/1/2018 Emergency Standard 100201 REMOVE FB EXT AUDITORY CANAL W/O ANES 456 10/1/2018 Emergency Standard 100202 VAGINAL DELIVERY ONLY 10257 10/1/2018 Emergency Standard 100203 DELIVERY PLACENTA 1160 10/1/2018 Emergency Standard 100204 INTRODUCTION OF NEEDLE OR INTRACATHETER, VEI 90 11/1/2018 Emergency Standard 100205 LEFT WITHOUT BEING SEEN 0 12/1/2018 Emergency Standard 500001 BLOOD DRAW FROM PERIPHERAL IV 102 11/1/2017 Infusion Services Standard 500002 PICC LINE INSERTION 2863 11/1/2017 Infusion Services Standard 500003 PICC LINE REMOVAL 1853 11/1/2017 Infusion Services Standard 500004 BLOOD DRAW FROM PORT 102 11/1/2017 Infusion Services Standard 500005 VENOUS BLOOD DRAW CENTRAL CATH EXPT PORT 107 11/1/2017 Infusion Services Standard 500006 REPOSITION PICC LINE 2764 11/1/2017 Infusion Services Standard 500007 INSERTION CATHETER SIMPLE 402 11/1/2017 Infusion Services Standard 500008 FOLEY CATHETER INSERTION DIFFICULT 519 11/1/2017 Infusion Services Standard 500009 SUPRAPUBIC CATH CHANGE ‐ SIMPLE 1034 11/1/2017 Infusion Services Standard 500010 SUPRAPUBIC CATH CHANGE ‐ COMPLICATED 1807 11/1/2017 Infusion Services Standard 500011 GLUCOSE FINGERSTICK 60 11/1/2017 Infusion Services Standard 500012 NON INVASIVE HEMOGLOBIN MONITORING 22 11/1/2017 Infusion Services Standard 500013 IV INFUSION HYDRATION INITIAL UP TO 1 HR 479 11/1/2017 Infusion Services Standard 500014 IV INFUSION HYDRATION ADDL HR UP TO 8 HR 246 11/1/2017 Infusion Services Standard 500015 IV INFUS TX/DX MD SUP TO 1H 550 11/1/2017 Infusion Services Standard 500016 IV INFUS TX/DX W/MD SUP ADD HR<8 204 11/1/2017 Infusion Services Standard 500017 IV INFUS TX/DX SEQ UP TO 1 HR 257 11/1/2017 Infusion Services Standard 500018 IV INFUSION FOR THERAPY PROPHYLAXIS 289 11/1/2017 Infusion Services Standard 500019 IM OR SUBQ INJECTION 258 11/1/2017 Infusion Services Standard 500020 IVP INTRAVENOUS INJECTION‐CLINICAL 305 11/1/2017 Infusion Services Standard 500021 IVP EACH ADD SEQUENTIAL PUSH NEW DRUG 287 11/1/2017 Infusion Services Standard 500022 IVP EACH ADD SEQUENTIAL PUSH SAME DRUG 272 11/1/2017 Infusion Services Standard 500023 PICC HICK PORT FLUSH 270 11/1/2017 Infusion Services Standard 500024 INSERTION CATHETER SIMPLE W/59 402 11/1/2017 Infusion Services Standard 500025 IV INFUSION HYDR ADDL HR UP TO 8 HR W/59 246 11/1/2017 Infusion Services Standard 500026 IV INFUS TX/DX W/MD SUP ADD HR<8 W/59 204 11/1/2017 Infusion Services Standard 500027 IV INFUSION FOR THERAPY PROPHYLAXIS W/59 289 11/1/2017 Infusion Services Standard 500028 IM OR SUBQ INJECTION W/59 258 11/1/2017 Infusion Services Standard 500029 IVP INTRAVENOUS INJECTION‐CLINICAL W/59 305 11/1/2017 Infusion Services Standard 500030 IVP EACH ADD SEQ PUSH NEW DRUG W/59 287 11/1/2017 Infusion Services Standard 500031 IVP EACH ADD SEQ PUSH SAME DRUG W/59 272 11/1/2017 Infusion Services Standard 500032 BLOOD TRANSFUSION 1342 11/1/2018 Infusion Services Standard 900001 ART CATH PERQ 300 11/1/2017 CC_Anesthesia Pr Standard 900002 INJ EPIDURAL CERVICAL/THORACIC 1700 11/1/2017 CC_Anesthesia Pr Standard 900003 INJ EPIDURAL LUMBAR/SACRAL 1600 12/18/2017 CC_Anesthesia Pr Standard 900004 REMOVE PREV IMPL INTRATHEC/EPIDURAL CATH 1800 12/1/2017 CC_Anesthesia Pr Standard 900005 INJ BRACHIAL PLEXUS SINGLE INTERSCALENE 800 11/1/2017 CC_Anesthesia Pr Standard 900006 INJ SCIATIC NERVE BLOCK SINGLE 700 11/1/2017 CC_Anesthesia Pr Standard 900007 INJ FEMORAL NERVE BLOCK SINGLE 700 11/1/2017 CC_Anesthesia Pr Standard 900008 INJ NERVE BLOCK OTHER PERIPHERAL 500 11/1/2017 CC_Anesthesia Pr Standard 900009 TAP BLOCK UNILATERAL BY INJ W/ IMAGING 500 11/1/2017 CC_Anesthesia Pr Standard 900010 US GUIDED NERVE BLOCK 0 11/1/2017 CC_Anesthesia Pr Standard 900012 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900013 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900014 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900015 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900016 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900017 ANESTHESIA TIME 100 1/1/2018 CC_Anesthesia Pr Standard 900018 ANESTHESIA TIME 100 12/1/2017 CC_Anesthesia Pr Standard 900019 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900020 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900021 ANESTHESIA TIME 100 1/1/2018 CC_Anesthesia Pr Standard 900022 ANESTHESIA TIME 100 1/1/2018 CC_Anesthesia Pr Standard 900023 ANESTHESIA TIME 100 1/1/2018 CC_Anesthesia Pr Standard 900024 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900025 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900026 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900027 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900028 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900029 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900030 ANESTHESIA TIME 100 1/3/2018 CC_Anesthesia Pr Standard 900031 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900032 ANESTHESIA TIME 100 1/31/2018 CC_Anesthesia Pr Standard 900033 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900034 ANESTHESIA TIME 100 1/3/2018 CC_Anesthesia Pr Standard 900035 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900036 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900037 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900038 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900039 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900040 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900041 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900042 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900043 ANESTHESIA TIME 100 1/8/2018 CC_Anesthesia Pr Standard 900044 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900045 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900046 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900047 ANESTHESIA TIME 100 1/16/2018 CC_Anesthesia Pr Standard 900048 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900049 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900050 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900051 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 900052 ANESTHESIA TIME 100 11/1/2017 CC_Anesthesia Pr Standard 901710 ANESTHESIA TIME 100 8/1/2018 CC_Anesthesia Pr Standard 1100001 E&M INITIAL LEVEL I 133 11/1/2017 CC_Surgeon Pro FStandard 1100002 E&M INITIAL LEVEL II 250 11/1/2017 CC_Surgeon Pro FStandard 1100003 E&M INITIAL LEVEL III 380 11/1/2017 CC_Surgeon Pro FStandard 1100004 E&M INITIAL LEVEL IV 642 11/1/2017 CC_Surgeon Pro FStandard 1100005 E&M INITIAL LEVEL V 837 11/1/2017 CC_Surgeon Pro FStandard 1100006 E&M INITIAL LEVEL I W/MOD 25 133 11/1/2017 CC_Surgeon Pro FStandard 1100007 E&M INITIAL LEVEL II W/MOD 25 250 11/1/2017 CC_Surgeon Pro FStandard 1100008 E&M INITIAL LEVEL III W/MOD 25 380 11/1/2017 CC_Surgeon Pro FStandard 1100009 E&M INITIAL LEVEL IV W/MOD 25 642 11/1/2017 CC_Surgeon Pro FStandard 1100010 E&M INITIAL LEVEL V W/MOD 25 837 11/1/2017 CC_Surgeon Pro FStandard 1100011 E&M ESTABLISHED LEVEL I 46 11/1/2017 CC_Surgeon Pro FStandard 1100012 E&M ESTABLISHED LEVEL II 126 11/1/2017 CC_Surgeon Pro FStandard 1100013 E&M ESTABLISHED LEVEL III 252 11/1/2017 CC_Surgeon Pro FStandard 1100014 E&M ESTABLISHED LEVEL IV 389 11/1/2017 CC_Surgeon Pro FStandard 1100015 E&M ESTABLISHED LEVEL V 550 11/1/2017 CC_Surgeon Pro FStandard 1100016 E&M ESTABLISHED LEVEL I W/MOD 25 46 11/1/2017 CC_Surgeon Pro FStandard 1100017 E&M ESTABLISHED LEVEL II W/MOD 25 126 11/1/2017 CC_Surgeon Pro FStandard 1100018 E&M ESTABLISHED LEVEL III W/MOD 25 252 11/1/2017 CC_Surgeon Pro FStandard 1100019 E&M ESTABLISHED LEVEL IV W/MOD 25 389 11/1/2017 CC_Surgeon Pro FStandard 1100020 E&M ESTABLISHED LEVEL V W/MOD 25 550 11/1/2017 CC_Surgeon Pro FStandard 1100021 ER E&M LEVEL I 113 11/1/2017 CC_Surgeon Pro FStandard 1100022 ER E&M LEVEL II 220 11/1/2017 CC_Surgeon Pro FStandard 1100023 ER E&M LEVEL III 335 11/1/2017 CC_Surgeon Pro FStandard 1100024 ER E&M LEVEL IV 640 11/1/2017 CC_Surgeon Pro FStandard 1100025 ER E&M LEVEL V 950 11/1/2017 CC_Surgeon Pro FStandard 1100026 ER E&M LEVEL I W/MOD 25 113 11/1/2017 CC_Surgeon Pro FStandard 1100027 ER E&M LEVEL II W/MOD 25 220 11/1/2017 CC_Surgeon Pro FStandard 1100028 ER E&M LEVEL III W/MOD 25 335 11/1/2017 CC_Surgeon Pro FStandard 1100029 ER E&M LEVEL IV W/MOD 25 640 11/1/2017 CC_Surgeon Pro FStandard 1100030 ER E&M LEVEL V W/MOD 25 950 11/1/2017 CC_Surgeon Pro FStandard 1100031 IP E&M INITIAL LEVEL I 480 11/1/2017 CC_Surgeon Pro FStandard 1100032 IP E&M INITIAL LEVEL II 653 11/1/2017 CC_Surgeon Pro FStandard 1100033 IP E&M INITIAL LEVEL III 965 11/1/2017 CC_Surgeon Pro FStandard 1100034 IP E&M SUBSEQUENT LEVEL I 190 11/1/2017 CC_Surgeon Pro FStandard 1100035 IP E&M SUBSEQUENT LEVEL II 348 11/1/2017 CC_Surgeon Pro FStandard 1100036 IP E&M SUBSEQUENT LEVEL III 500 11/1/2017 CC_Surgeon Pro FStandard 1100037 ARTHROCENTESIS INJ/ASPIR SMALL JOINT OV 165 11/1/2017 CC_Surgeon Pro FStandard 1100038 ARTHROCENTESIS INJ/ASPIR INTERM JOINT OV 170 11/1/2017 CC_Surgeon Pro FStandard 1100039 ARTHROCENTESIS INJ/ASPIR MAJOR JOINT OV 198 11/1/2017 CC_Surgeon Pro FStandard 1100040 CL FX TX BIMALLEOLAR ANKLE W/O MANIP OV 190 11/1/2017 CC_Surgeon Pro FStandard 1100041 CL FX TX BIMALLEOLAR ANKLE W/MANIP OV 333 11/1/2017 CC_Surgeon Pro FStandard 1100042 CL FX TX DISTAL RADIAL W/O MANIP OV 174 11/1/2017 CC_Surgeon Pro FStandard 1100043 CL FX TX DISTAL RADIAL W/MANIP OV 391 11/1/2017 CC_Surgeon Pro FStandard 1100044 CL FX TX CLAVICLE W/O MANIP OV 138 11/1/2017 CC_Surgeon Pro FStandard 1100045 CL FX TX CLAVICLE W/ MANIP OV 239 11/1/2017 CC_Surgeon Pro FStandard 1100046 CL FX TX METATARSAL W/O MANIP OV 127 11/1/2017 CC_Surgeon Pro FStandard 1100047 CL FX TX METATARSAL W/ MANIP OV 188 11/1/2017 CC_Surgeon Pro FStandard 1100048 CL FX TX PHALANX W/O MANIP OV 73 11/1/2017 CC_Surgeon Pro FStandard 1100049 CL FX TX SCAPULAR W/O MANIP OV 148 11/1/2017 CC_Surgeon Pro FStandard 1100050 CL FX TX PROX HUMERUS W/O MANIP OV 188 11/1/2017 CC_Surgeon Pro FStandard 1100051 CL FX TX HUM TUBEROSITY W/O MANIP OV 160 11/1/2017 CC_Surgeon Pro FStandard 1100052 CL FX TX RADIAL HEAD/NECK W/O MANIP OV 144 11/1/2017 CC_Surgeon Pro FStandard 1100053 CL FX TX PROX TIBIA W/O MANIP OV 166 11/1/2017 CC_Surgeon Pro FStandard 1100054 CL FX TX PROX FIBULA W/O MANIP OV 177 11/1/2017 CC_Surgeon Pro FStandard 1100055 CL FX TX DISTAL FIBULA W/O MANIP OV 189 11/1/2017 CC_Surgeon Pro FStandard 1100056 ARTHROCENTESIS INJ/ASPIR SMALL JOINT ER 697 11/1/2017 CC_Surgeon Pro FStandard 1100057 ARTHROCENTESIS INJ/ASPIR INTERM JOINT ER 446 11/1/2017 CC_Surgeon Pro FStandard 1100058 ARTHROCENTESIS INJ/ASPIR MAJOR JOINT ER 233 11/1/2017 CC_Surgeon Pro FStandard 1100059 CL FX TX BIMALLEOLAR ANKLE W/O MANIP ER 432 11/1/2017 CC_Surgeon Pro FStandard 1100060 CL FX TX BIMALLEOLAR ANKLE W/MANIP ER 603 11/1/2017 CC_Surgeon Pro FStandard 1100061 CL FX TX DISTAL RADIAL W/O MANIP ER 446 11/1/2017 CC_Surgeon Pro FStandard 1100062 CL FX TX DISTAL RADIAL W/MANIP ER 745 11/1/2017 CC_Surgeon Pro FStandard 1100063 ARTHROCENTESIS INJ/ASPIR SMALL JOINT IP 697 11/1/2017 CC_Surgeon Pro FStandard 1100064 ARTHROCENTESIS INJ/ASPIR INTERM JOINT IP 446 11/1/2017 CC_Surgeon Pro FStandard 1100065 ARTHROCENTESIS INJ/ASPIR MAJOR JOINT IP 233 11/1/2017 CC_Surgeon Pro FStandard 1100066 I&D ABSCESS SINGLE SIMPLE IP 305 1/1/2018 CC_Surgeon Pro FStandard 1100067 DEBRIDEMENT <20 SQ CM OV 128 11/1/2017 CC_Surgeon Pro FStandard 1100068 EXC SOFT TIS ABD WALL >=5 CM OV 2528 11/1/2017 CC_Surgeon Pro FStandard 1100069 EXC SOFT TIS THIGH/KNEE >=3CM OV 1478 11/1/2017 CC_Surgeon Pro FStandard 1100070 I&D HEMATOMA FLUID OV 395 11/1/2017 CC_Surgeon Pro FStandard 1100071 PUNCH BIOPSY FIRST OV 203 11/1/2017 CC_Surgeon Pro FStandard 1100072 PUNCH BIOPSY EACH ADDTL OV 103 11/1/2017 CC_Surgeon Pro FStandard 1100073 DEBRIDE SUBCUT TISSUE <= 20 SQ CM OV 253 11/1/2017 CC_Surgeon Pro FStandard 1100074 REMOVE FB SUBCUT SIMPLE OV 305 11/1/2017 CC_Surgeon Pro FStandard 1100075 EXC TRNK/ARM/LEG BENIGN <=0.5CM OV 225 11/1/2017 CC_Surgeon Pro FStandard 1100076 EXC TRNK/ARM/LEG BENIGN 0.6‐1.0CM OV 320 11/1/2017 CC_Surgeon Pro FStandard 1100077 EXC TRNK/ARM/LEG BENIGN 1.1‐2.0CM OV 363 11/1/2017 CC_Surgeon Pro FStandard 1100078 EXC TRNK/ARM/LEG BENIGN 2.1‐3.0CM OV 460 11/1/2017 CC_Surgeon Pro FStandard 1100079 EXC TRNK/ARM/LEG BENIGN 3.1‐4.0CM OV 528 11/1/2017 CC_Surgeon Pro FStandard 1100080 EXC TRNK/ARM/LEG BENIGN >4.0CM OV 880 11/1/2017 CC_Surgeon Pro FStandard 1100081 EXC TRNK/ARM/LEG MALIG 0.6‐1.0CM OV 518 11/1/2017 CC_Surgeon Pro FStandard 1100082 EXC TRNK/ARM/LEG MALIG 1.1‐2.0CM OV 568 11/1/2017 CC_Surgeon Pro FStandard 1100083 EXC TRNK/ARM/LEG MALIG 2.1‐3.0CM OV 705 11/1/2017 CC_Surgeon Pro FStandard 1100084 EXC TRNK/ARM/LEG MALIG 3.1‐4.0CM OV 793 1/30/2018 CC_Surgeon Pro FStandard 1100085 EXC TRNK/ARM/LEG MALIG >4.0CM OV 1255 11/1/2017 CC_Surgeon Pro FStandard 1100086 EXC FACE BENIGN 0.6‐1.0CM OV 283 11/1/2017 CC_Surgeon Pro FStandard 1100087 EXC FACE BENIGN 1.1‐2.0CM OV 443 11/1/2017 CC_Surgeon Pro FStandard 1100088 EXC FACE BENIGN 3.1‐4.0CM OV 798 11/14/2017 CC_Surgeon Pro FStandard 1100089 EXC TUMOR LEG/ANKLE SUBCUT >3CM OV 1478 11/1/2017 CC_Surgeon Pro FStandard 1100090 BIOPSY SFT TISSUE BK/FLNK SUPERFICIAL OV 528 11/1/2017 CC_Surgeon Pro FStandard 1100091 EXC SC/NK/HN/FT/GEN MALIG 0.6‐1.0CM OV 520 11/1/2017 CC_Surgeon Pro FStandard 1100092 EXC SC/NK/HN/FT/GEN MALIG 1.1‐2.0CM OV 603 11/1/2017 CC_Surgeon Pro FStandard 1100093 EXC SC/NK/HN/FT/GEN MALIG 3.1‐4.0CM OV 905 11/1/2017 CC_Surgeon Pro FStandard 1100094 EXC SC/NK/HN/FT/GEN MALIG >4.0CM OV 1153 11/1/2017 CC_Surgeon Pro FStandard 1100095 REPAIR INTERM SC/TRNK/EXT 2.6‐7.5CM OV 630 11/1/2017 CC_Surgeon Pro FStandard 1100096 REPAIR INTERM FACE =<2.5CM OV 583 11/1/2017 CC_Surgeon Pro FStandard 1100097 EXC BREAST LESION 1 OR MORE OV 1480 11/1/2017 CC_Surgeon Pro FStandard 1100098 I&D ABSCESS SINGLE SIMPLE OV 305 11/1/2017 CC_Surgeon Pro FStandard 1100099 I&D ABSCESS MULTIPLE COMPLEX OV 613 11/1/2017 CC_Surgeon Pro FStandard 1100100 STAB PHLEB VEINS 10‐20 STAB INCISIONS OV 1928 11/1/2017 CC_Surgeon Pro FStandard 1100101 EXC SC/NK/HN/FT/GEN BENIGN 2.1‐3.0CM OV 515 11/1/2017 CC_Surgeon Pro FStandard 1100102 EXC SC/NK/HN/FT/GEN BENIGN 0.6‐1.0CM OV 368 11/1/2017 CC_Surgeon Pro FStandard 1100103 EXC FACE MALIG 3.1‐4.0 CM OV 1085 11/1/2017 CC_Surgeon Pro FStandard 1100104 EXC FACE MALIG 1.1‐2.0 CM OV 655 11/1/2017 CC_Surgeon Pro FStandard 1100105 TONGUE BIOPSY POSTERIOR ONE‐THIRD OV 368 11/1/2017 CC_Surgeon Pro FStandard 1100106 I&D ABSCESS PERIANAL SUPERFICIAL OV 310 11/1/2017 CC_Surgeon Pro FStandard 1100107 INCISION OF THROMB HEMORRHOID EXT OV 363 11/1/2017 CC_Surgeon Pro FStandard 1100108 SKIN TAG REMOVAL MULTI <= 15 LESIONS OV 205 11/1/2017 CC_Surgeon Pro FStandard 1100109 FINE NEEDLE ASPIRATION W/O IMAGING OV 318 11/1/2017 CC_Surgeon Pro FStandard 1100110 REPAIR SIMPLE SC/TRNK/EXTR 2.5CM/< OV 210 11/1/2017 CC_Surgeon Pro FStandard 1100111 EXC ANUS SNGL EXT PAPILLA/TAG OV 403 11/1/2017 CC_Surgeon Pro FStandard 1100112 I&D HEMATOMA VAGINAL NON‐OB OV 1295 11/1/2017 CC_Surgeon Pro FStandard 1100113 BIOPSY VULVA/PERINEUM 1 LESION OV 275 12/21/2017 CC_Surgeon Pro FStandard 1100114 COLONOSCOPY W/ SINGLE OR MULTI BIOPSY 890 11/1/2017 CC_Surgeon Pro FStandard 1100115 COLONOSCOPY DIAGNOSTIC 815 11/1/2017 CC_Surgeon Pro FStandard 1100116 COLONOSCOPY W/ FB REMOVAL 1070 11/1/2017 CC_Surgeon Pro FStandard 1100117 COLONOSCOPY W/REMOVAL BY HOT FORCEPS 1018 11/1/2017 CC_Surgeon Pro FStandard 1100118 COLONOSCOPY W/REMOVAL BY SNARE 1143 11/1/2017 CC_Surgeon Pro FStandard 1100119 ARTHROSCOPY SHOULDER CAPSULORRHAPHY 3785 11/1/2017 CC_Surgeon Pro FStandard 1100120 ARTHROSCOPY SHOULDER DEBRIDE EXT 2090 11/1/2017 CC_Surgeon Pro FStandard 1100121 ARTHROSCOPY SHLDR W/CORACOACROMIAL 750 11/1/2017 CC_Surgeon Pro FStandard 1100122 ARTHROSCOPY SHLDR W/CLAVICULECTOMY 2245 11/1/2017 CC_Surgeon Pro FStandard 1100123 ARTHROSCOPY SHOULDER DEBRIDE LIMITED 1900 11/1/2017 CC_Surgeon Pro FStandard 1100124 ARTHROSCOPY SHLDR W/ROT CUFF REPAIR 3898 11/1/2017 CC_Surgeon Pro FStandard 1100125 MANIP KNEE JOINT W/ ANES 448 11/1/2017 CC_Surgeon Pro FStandard 1100126 OPEN FX TX PROX TIBIA BICONDYLAR 4348 11/1/2017 CC_Surgeon Pro FStandard 1100127 OPEN FX TX KNEE INTERCONDYLAR SPINE 2825 12/26/2017 CC_Surgeon Pro FStandard 1100128 ARTHROSCOPY KNEE DIAG W/ MENISCECTOMY 1758 11/1/2017 CC_Surgeon Pro FStandard 1100129 ARTHROSCOPY KNEE DEBR W/ MENISCECTOMY 1848 11/1/2017 CC_Surgeon Pro FStandard 1100130 ARTHROPLASTY TOTAL KNEE 5180 11/1/2017 CC_Surgeon Pro FStandard 1100131 COMPUTER ASSIST SURG NAV PROC W/O IMAGES 625 11/1/2017 CC_Surgeon Pro FStandard 1100132 FX FEMORAL PERC SKEL FIX PROX END/NECK 3250 11/1/2017 CC_Surgeon Pro FStandard 1100133 OPEN FX TX FEMUR PROX END/NECK W/FIX 4403 1/3/2018 CC_Surgeon Pro FStandard 1100134 FX TX FEMUR SUBTROCHANTERIC W/IMPLANT 4545 1/3/2018 CC_Surgeon Pro FStandard 1100135 REPAIR RUPTURED ROT CUFF OPEN ACUTE 2848 11/1/2017 CC_Surgeon Pro FStandard 1100136 REPAIR RUPTURED ROT CUFF OPEN CHRONIC 2983 11/1/2017 CC_Surgeon Pro FStandard 1100137 EXC TUMOR LEG/ANKLE SUBCUT > 3CM 1478 11/1/2017 CC_Surgeon Pro FStandard 1100138 EXC TUMOR LEG/ANKLE SUBCUT < 3CM 990 11/1/2017 CC_Surgeon Pro FStandard 1100139 DEBRIDE MUSC/FASCIA <= 20 SQ CM 675 11/1/2017 CC_Surgeon Pro FStandard 1100140 ARTHROPLASTY TOTAL HIP 5180 11/1/2017 CC_Surgeon Pro FStandard 1100141 HEMORR INT/EXT 2+ COLUMNS/GROUPS 1683 11/1/2017 CC_Surgeon Pro FStandard 1100142 HEMORR INT/EXT SINGLE COLUMN/GROUP 1240 11/1/2017 CC_Surgeon Pro FStandard 1100143 HEMORR INT SINGLE COLUMN/GROUP 553 11/1/2017 CC_Surgeon Pro FStandard 1100144 HEMORR INT 2+ COLUMNS/GROUPS 658 11/1/2017 CC_Surgeon Pro FStandard 1100145 EXC SOFT TIS NECK/ANT THRX <3CM 990 11/1/2017 CC_Surgeon Pro FStandard 1100146 EXC SOFT TIS NECK/ANT THRX >=3CM 1623 11/1/2017 CC_Surgeon Pro FStandard 1100147 OPEN FX TX RADIAL SHAFT 2640 11/1/2017 CC_Surgeon Pro FStandard 1100148 REPAIR COMPLEX FC/HN/FT/GEN 1.1‐2.5CM 933 11/1/2017 CC_Surgeon Pro FStandard 1100149 REPAIR HERNIA UMBILICAL INC/STR >5YRS 1770 11/1/2017 CC_Surgeon Pro FStandard 1100150 REPAIR HERNIA UMBILICAL REDUC >5YRS 1648 11/1/2017 CC_Surgeon Pro FStandard 1100151 REPAIR HERNIA EPIGASTRIC REDUCIBLE 1513 12/1/2018 CC_Surgeon Pro FStandard 1100152 REPAIR HERNIA REC INGUINAL INC/STR 2870 11/15/2018 CC_Surgeon Pro FStandard 1100153 REPAIR HERNIA INCISIONAL/VENT REDUC 3093 11/1/2017 CC_Surgeon Pro FStandard 1100154 REPAIR HERNIA REC INGUINAL REDUCIBLE 2498 11/1/2017 CC_Surgeon Pro FStandard 1100155 REPAIR HERNIA LAPAROSCOPIC REDUCIBLE 2980 11/1/2017 CC_Surgeon Pro FStandard 1100156 MESH/PROSTHESIS IMPLANT 1220 11/1/2017 CC_Surgeon Pro FStandard 1100157 REPAIR HERNIA INCISIONAL/VENT INC/STR 3845 11/1/2017 CC_Surgeon Pro FStandard 1100158 REPAIR HERNIA INGUINAL INC/STR >5YRS 2273 11/1/2017 CC_Surgeon Pro FStandard 1100159 REPAIR HERNIA INGUINAL REDUCIBLE 1990 11/1/2017 CC_Surgeon Pro FStandard 1100160 REPAIR HERNIA LAPAROSCOPIC INC/STR 3735 11/1/2017 CC_Surgeon Pro FStandard 1100161 REPAIR INTERM SC/TRNK/EXT 2.6‐7.5CM 630 11/1/2017 CC_Surgeon Pro FStandard 1100162 REPAIR INTERM SC/TRNK/EXTR 7.6‐12.5CM 743 11/1/2017 CC_Surgeon Pro FStandard 1100163 REPAIR INTERM SC/TRNK/EXTR 20.1‐30CM 1058 11/1/2017 CC_Surgeon Pro FStandard 1100164 EXC TRNK/ARM/LEG BENIGN 3.1‐4.0CM 528 11/1/2017 CC_Surgeon Pro FStandard 1100165 EXC TRNK/ARM/LEG BENIGN >4.0CM 880 11/1/2017 CC_Surgeon Pro FStandard 1100166 EXC TRNK/ARM/LEG BENIGN2.1‐3.0CM 460 11/1/2017 CC_Surgeon Pro FStandard 1100167 LIGATION/DIVISION LONG SAPHENOUS VEIN 955 11/1/2017 CC_Surgeon Pro FStandard 1100168 STAB PHLEB VEINS 10‐20 STAB INCISIONS 1928 11/1/2017 CC_Surgeon Pro FStandard 1100169 BILIARY TRACT UNLISTED PROCEDURE 300 11/1/2017 CC_Surgeon Pro FStandard 1100170 I&D HEMATOMA FLUID 395 11/1/2017 CC_Surgeon Pro FStandard 1100171 EXC SC/NK/HN/FT/GEN MALIG 3.1‐4.0CM 905 1/26/2018 CC_Surgeon Pro FStandard 1100172 EXC SC/NK/HN/FT/GEN MALIG >4.0CM 1153 11/1/2017 CC_Surgeon Pro FStandard 1100173 ARTHROSCOPY JOINT UNLISTED 2075 11/1/2017 CC_Surgeon Pro FStandard 1100174 CHOLECYSTECTOMY LAPAROSCOPIC 2618 11/1/2017 CC_Surgeon Pro FStandard 1100175 EXC SC/NK/HN/FT/GEN BENIGN >4.0CM 1023 11/1/2017 CC_Surgeon Pro FStandard 1100176 EXC SC/NK/HN/FT/GEN BENIGN 3.1‐4.0CM 620 11/17/2018 CC_Surgeon Pro FStandard 1100177 REPAIR INTERM NCK/HND/FT 2.6‐7.5CM 698 11/1/2017 CC_Surgeon Pro FStandard 1100178 OPEN FX TX HUMERAL CONDYLAR 2860 11/1/2017 CC_Surgeon Pro FStandard 1100179 OPEN FX TX DISTAL TIBIOFIBULAR JOINT 2200 11/1/2017 CC_Surgeon Pro FStandard 1100180 OPEN FX TX ULNAR PROXIMAL END 2093 11/1/2017 CC_Surgeon Pro FStandard 1100181 EGD DIAGNOSTIC 523 11/1/2017 CC_Surgeon Pro FStandard 1100182 EGD DIAGNOSTIC W/ BIOPSY 598 11/1/2017 CC_Surgeon Pro FStandard 1100183 OPEN FX TX RADIAL 3+ FRAGMENTS 3595 11/1/2017 CC_Surgeon Pro FStandard 1100184 OPEN FX TX RADIAL 2 FRAGMENTS 2768 11/1/2017 CC_Surgeon Pro FStandard 1100185 CLAVICULECTOMY PARTIAL 1848 11/1/2017 CC_Surgeon Pro FStandard 1100186 ESOPHAGOSCOPY FLEX W/ BIOPSY 430 11/1/2017 CC_Surgeon Pro FStandard 1100187 REPAIR INTERM FACE 2.6‐5.0CM 718 11/1/2017 CC_Surgeon Pro FStandard 1100188 REPAIR INTERM FACE 5.1‐7.5CM 793 1/26/2018 CC_Surgeon Pro FStandard 1100189 EXC FACE BENIGN >4.0CM 1200 11/1/2017 CC_Surgeon Pro FStandard 1100190 OPEN FX TX BIMALLEOLAR ANKLE 2655 11/1/2017 CC_Surgeon Pro FStandard 1100191 OPEN FX TX DISTAL FIBULA 2188 11/1/2017 CC_Surgeon Pro FStandard 1100192 OPEN FX TX TRIMALL ANKLE W/O FIX LIP 2803 11/1/2017 CC_Surgeon Pro FStandard 1100193 I&D ABSCESS PERIANAL SUPERFICIAL 310 11/1/2017 CC_Surgeon Pro FStandard 1100194 I&D ABSCESS ISCHIORECTAL/PERIRECTAL 1343 11/1/2017 CC_Surgeon Pro FStandard 1100195 UNLISTED PROC HANDS/FINGERS 1270 11/1/2017 CC_Surgeon Pro FStandard 1100196 EXC TRNK/ARM/LEG MALIG 3.1‐4.0CM 793 11/1/2017 CC_Surgeon Pro FStandard 1100197 EXC TRNK/ARM/LEG MALIG >4.0CM 1255 11/1/2017 CC_Surgeon Pro FStandard 1100198 SIGMOIDOSCOPY DIAGNOSTIC 210 11/1/2017 CC_Surgeon Pro FStandard 1100199 SIGMOIDOSCOPY W/ BIOPSY 285 11/1/2017 CC_Surgeon Pro FStandard 1100200 OPEN FX TX CLAVICLE 2423 11/1/2017 CC_Surgeon Pro FStandard 1100201 APPENDECTOMY OPEN RUPTURED 3625 11/1/2017 CC_Surgeon Pro FStandard 1100202 APPENDECTOMY LAPAROSCOPIC 2363 11/1/2017 CC_Surgeon Pro FStandard 1100203 ARTHROTOMY GLENOHUMERAL JOINT 2438 11/1/2017 CC_Surgeon Pro FStandard 1100204 ARTHROTOMY AC/SC JOINT 1898 11/1/2017 CC_Surgeon Pro FStandard 1100205 IMPLANT REMOVAL DEEP 1490 11/1/2017 CC_Surgeon Pro FStandard 1100206 DRESSING CHANGE W/ ANES 215 11/1/2017 CC_Surgeon Pro FStandard 1100207 NEUROPLASTY MED NERVE CARPAL TUNNEL 1243 11/1/2017 CC_Surgeon Pro FStandard 1100208 I&D ABSCESS VULVA OR PERINEAL 373 11/1/2017 CC_Surgeon Pro FStandard 1100209 COLECTOMY PARTIAL W/ ANASTOMOSIS 5648 11/1/2017 CC_Surgeon Pro FStandard 1100210 MOBILIZATION OF SPLENIC FLEXURE 558 11/1/2017 CC_Surgeon Pro FStandard 1100211 BX/EXC LYMPH NODE OPEN DEEP CERVICAL 1685 11/1/2017 CC_Surgeon Pro FStandard 1100212 LYMPH NODE BIOPSY OPEN SUPERFICIAL 948 1/26/2018 CC_Surgeon Pro FStandard 1100213 UNLISTED ABD PROCEDURE 885 11/1/2017 CC_Surgeon Pro FStandard 1100214 EXC SOFT TIS ABD WALL <5CM 2080 11/1/2017 CC_Surgeon Pro FStandard 1100215 WOUND VAC APP <50CM 138 11/1/2017 CC_Surgeon Pro FStandard 1100216 ENTERECTOMY SINGLE RESECTION 5205 11/1/2017 CC_Surgeon Pro FStandard 1100217 ARTHROTOMY KNEE W/ EXPLORATION 2500 11/1/2017 CC_Surgeon Pro FStandard 1100218 DESTRUCT ANAL LESION SIMPLE SURG EXC 478 11/1/2017 CC_Surgeon Pro FStandard 1100219 LYMPHADENECTOMY INGUINOFEMORAL 3405 11/1/2017 CC_Surgeon Pro FStandard 1100220 LIGATION/BX TEMPORAL ARTERY 763 11/1/2017 CC_Surgeon Pro FStandard 1100221 REVISION ARTHROPLASTY TOTAL KNEE 5280 11/1/2017 CC_Surgeon Pro FStandard 1100222 REPAIR ABD WALL SECONDARY 3103 11/1/2017 CC_Surgeon Pro FStandard 1100223 PORT‐A‐CATH INSERTION 1448 11/1/2017 CC_Surgeon Pro FStandard 1100224 COMPLETE REPLACEMENT PORT‐A‐CATH 1248 11/1/2017 CC_Surgeon Pro FStandard 1100225 OPEN FX TX PROX HUMERUS 3075 11/1/2017 CC_Surgeon Pro FStandard 1100226 REMOVE FB FOOT SUBCUTANEOUS 503 11/1/2017 CC_Surgeon Pro FStandard 1100227 SHOULDER JT MANIP W/ ANES 643 1/16/2018 CC_Surgeon Pro FStandard 1100228 EXC FACE MALIG >4.0CM 1565 1/26/2018 CC_Surgeon Pro FStandard 1100229 REVISION ARTHROPLASTY TOTAL HIP 5925 1/31/2018 CC_Surgeon Pro FStandard 1100230 OPEN FX TX ULNAR SHAFT W/ INT FIX 1985 2/13/2018 CC_Surgeon Pro FStandard 1100231 OPEN FX TX RADIUS & ULNA 3073 3/6/2018 CC_Surgeon Pro FStandard 1100232 I&D PILONIDAL CYST SIMPLE 305 3/1/2018 CC_Surgeon Pro FStandard 1100233 INSERTION OF IVC FILTER 1115 3/19/2018 CC_Surgeon Pro FStandard 1100234 EXC GANGLION WRIST PRIMARY 883 12/1/2018 CC_Surgeon Pro FStandard 1300001 IR E&M INITIAL VISIT LEVEL II 250 12/1/2017 CC_Imaging Pro F Standard 1300002 IR E&M INITIAL LEVEL II W/ MOD 25 250 12/1/2017 CC_Imaging Pro F Standard 1300003 CT SACRAL JOINT INJECTION PROF 370 1/1/2018 CC_Imaging Pro F Standard 1300004 CT EPIDURAL LUMBAR/SACRAL SINGLE LEVEL PROF 475 1/1/2018 CC_Imaging Pro F Standard 1300005 CT EPIDURAL LUMBAR/SACRAL SINGLE LEVEL BILATE 475 1/1/2018 CC_Imaging Pro F Standard 1300006 CT FACET JOINT INJ LUMBAR SINGLE LEVEL PROF 380 1/1/2018 CC_Imaging Pro F Standard 1300007 FL SOFT TISSUE DRAINAGE W/ CATHETER INSERTION 688 6/13/2018 CC_Imaging Pro F Standard 1300008 CT EPIDURAL LUMBAR/SACRAL ADDITIONAL LEVEL P 250 1/1/2018 CC_Imaging Pro F Standard 1300009 CT SOFT TISSUE DRAINAGE W/ CATHETER INSERTION 688 10/1/2018 CC_Imaging Pro F Standard 1300010 CT FACET JOINT INJ LUMBAR ADDITIONAL LEVEL PRO 250 1/1/2018 CC_Imaging Pro F Standard 1300011 IR E&M INITIAL LEVEL III 380 7/2/2018 CC_Imaging Pro F Standard 1300012 IR E&M INITIAL LEVEL III W/MOD 25 380 7/2/2018 CC_Imaging Pro F Standard 1300013 FL FACET JOINT CERVICAL/THORACIC SINGLE LEVEL P 455 11/1/2018 CC_Imaging Pro F Standard 1300014 CT FACET JOINT CERVICAL/THORACIC SINGLE LEVEL P 455 1/1/2018 CC_Imaging Pro F Standard 1300015 FL FACET JOINT CERVICAL/THORACIC ADDITIONAL LE 290 11/1/2018 CC_Imaging Pro F Standard 1300016 CT FACET JOINT CERVICAL/THORACIC ADDITIONAL LE 290 1/1/2018 CC_Imaging Pro F Standard 1300017 FL EPIDURAL CERVICAL/THORACIC SINGLE LEVEL PRO 573 11/1/2018 CC_Imaging Pro F Standard 1300018 FL EPIDURAL CERVICAL/THORACIC ADDITIONAL LEVE 300 11/1/2018 CC_Imaging Pro F Standard 1300019 FL ARTHROCENTESIS MAJOR JT W/O US PROF 198 11/1/2018 CC_Imaging Pro F Standard 1300020 CT EPIDURAL CERVICAL/THORACIC SINGLE LEVEL PRO 573 1/1/2018 CC_Imaging Pro F Standard 1300021 FL INJECTION TENDON SHEATH/LIGAMENT PROF 188 11/1/2018 CC_Imaging Pro F Standard 1300022 CT EPIDURAL CERVICAL/THORACIC ADDITIONAL LEVE 300 1/1/2018 CC_Imaging Pro F Standard 1300023 US INJECTION TENDON SHEATH/LIGAMENT PROF 188 11/1/2018 CC_Imaging Pro F Standard 1300024 CT ARTHROCENTESIS MAJOR JT W/O US PROF 198 1/1/2018 CC_Imaging Pro F Standard 1300025 US GUIDED ARTHROCENTESIS MAJOR JT PROF 275 1/1/2018 CC_Imaging Pro F Standard 1300026 US FINE NEEDLE ASPIRATION W/ IMAGE GUIDANCE P 318 11/1/2018 CC_Imaging Pro F Standard 1300027 US GUIDED ARTHROCENTESIS MINOR JT PROF 223 1/1/2018 CC_Imaging Pro F Standard 1300028 CT INJECTION TENDON SHEATH/LIGAMENT PROF 188 1/1/2018 CC_Imaging Pro F Standard 1300029 FL FLUOROSCOPY GUIDANCE NEEDLE PLACEMENT PR 135 1/1/2018 CC_Imaging Pro F Standard 1300030 CT BONE MARROW ASPIRATION PROF 300 1/1/2018 CC_Imaging Pro F Standard 1300031 CT BONE MARROW BIOPSY PROF 320 1/1/2018 CC_Imaging Pro F Standard 1300032 CT FINE NEEDLE ASPIRATION W/ IMAGE GUIDANCE P 318 1/1/2018 CC_Imaging Pro F Standard 1300033 CT LUNG BIOPSY PROF 420 1/1/2018 CC_Imaging Pro F Standard 1300034 CT LIVER BIOPSY PROF 413 1/1/2018 CC_Imaging Pro F Standard 1300035 CT BONE BIOPSY SUPERFICIAL PROF 318 1/1/2018 CC_Imaging Pro F Standard 1300036 CT BONE BIOPSY DEEP PROF 468 1/1/2018 CC_Imaging Pro F Standard 1300037 US GUIDED ABDOMINAL MASS BIOPSY PROF 433 1/1/2018 CC_Imaging Pro F Standard 1300038 US THYROID BIOPSY PROF 390 1/1/2018 CC_Imaging Pro F Standard 1300039 US THOROCENTESIS W/IMAGING PROF 568 1/1/2018 CC_Imaging Pro F Standard 1300040 US GUIDED PARACENTESIS PROF 500 1/1/2018 CC_Imaging Pro F Standard 1300041 CT LYMPH NODE BIOPSY PROF 285 1/1/2018 CC_Imaging Pro F Standard 1300042 CT MYELOGRAM LUMBAR/SACRAL PROF 563 1/1/2018 CC_Imaging Pro F Standard 1300043 CT MYELOGRAM CERVICAL PROF 573 1/1/2018 CC_Imaging Pro F Standard 1300044 CT MYELOGRAM THORACIC PROF 573 1/1/2018 CC_Imaging Pro F Standard 1300045 CT KIDNEY BIOPSY PROF 595 1/1/2018 CC_Imaging Pro F Standard 1300046 US SOFT TISSUE BIOPSY THIGH/KNEE SUPERFICAL PRO 583 1/1/2018 CC_Imaging Pro F Standard 1300047 US ENDOVENOUS ABLATION PROF 1325 1/1/2018 CC_Imaging Pro F Standard 1300048 US ENDOVENOUS ABLATION ADD‐ON PROF 663 1/1/2018 CC_Imaging Pro F Standard 1300049 FL FLUOROSCOPY GUIDANCE VENOUS ACCESS PROF 95 1/1/2018 CC_Imaging Pro F Standard 1300050 US GUIDANCE VASCULAR ACCESS PROF 75 1/1/2018 CC_Imaging Pro F Standard 1300051 CT LUMBAR PUNCTURE FOR THERAPEUTIC PROF 338 1/1/2018 CC_Imaging Pro F Standard 1300052 CT LUMBAR PUNCTURE DIAGNOSTIC PROF 343 1/1/2018 CC_Imaging Pro F Standard 1300053 US INJECTION OF SCLEROSANT SINGLE VEIN PROF 188 1/1/2018 CC_Imaging Pro F Standard 1300054 US INJECTION OF SCLEROSANT MULTIPLE VEINS PRO 375 1/1/2018 CC_Imaging Pro F Standard 1300055 CT BONE MARROW BIOPSY AND ASPIRATION PROF 360 1/1/2018 CC_Imaging Pro F Standard 1300056 US GUIDANCE FOR NEEDLE PLACMENT PROF 168 1/1/2018 CC_Imaging Pro F Standard 1300057 MA STEREOTACTIC BREAST BIOPSY PROF 823 1/1/2018 CC_Imaging Pro F Standard 1300058 MA STEREOTACTIC BREAST BIOPSY ADD LESION PROF 413 1/1/2018 CC_Imaging Pro F Standard 1300059 US GUIDED BREAST BIOPSY PROF 775 2/14/2018 CC_Imaging Pro F Standard 1300060 CT MUSCLE/TISSUE BIOPSY PROF 248 2/28/2018 CC_Imaging Pro F Standard 1300061 FL PICC LINE INSERTION PROF 1273 3/20/2018 CC_Imaging Pro F Standard 1300062 US LUNG BIOPSY PROF 420 11/1/2018 CC_Imaging Pro F Standard 1300063 US LIVER BIOPSY PROF 413 11/1/2018 CC_Imaging Pro F Standard 1300064 US LYMPH NODE BIOPSY PROF 285 11/1/2018 CC_Imaging Pro F Standard 1300065 FL MYELOGRAM LUMBAR/SACRAL PROF 563 11/1/2018 CC_Imaging Pro F Standard 1300066 FL MYELOGRAM CERVICAL PROF 573 11/1/2018 CC_Imaging Pro F Standard 1300067 FL MYELOGRAM THORACIC PROF 573 11/1/2018 CC_Imaging Pro F Standard 1300068 US KIDNEY BIOPSY PROF 595 11/1/2018 CC_Imaging Pro F Standard 1300069 US LUMBAR PUNCTURE FOR THERAPEUTIC PROF 338 11/1/2018 CC_Imaging Pro F Standard 1300070 US LUMBAR PUNCTURE DIAGNOSTIC PROF 343 11/1/2018 CC_Imaging Pro F Standard 1300071 US MUSCLE/TISSUE BIOPSY PROF 248 11/1/2018 CC_Imaging Pro F Standard 1300072 US BREAST LOCALIZATION W/US GUIDANCE PROF 425 8/1/2018 CC_Imaging Pro F Standard 1300073 G‐J TUBE REPLACEMENT PROF 2793 8/15/2018 CC_Imaging Pro F Standard 1300074 FL PORT‐A‐CATH ASSESSMENT PROF 185 8/1/2018 CC_Imaging Pro F Standard 1300075 FL NG TUBE PLACEMENT BY PHYSICIAN PROF 203 8/1/2018 CC_Imaging Pro F Standard 1300076 IR E&M ESTABLISHED LEVEL II 126 8/1/2018 CC_Imaging Pro F Standard 1300077 IR E&M ESTABLISHED LEVEL II W/MOD 25 126 8/1/2018 CC_Imaging Pro F Standard 1300078 TUBE THORACOSTOMY PROF 760 11/1/2018 CC_Imaging Pro F Standard 1300079 IR E&M ESTABLISHED LEVEL III 254 11/1/2018 CC_Imaging Pro F Standard 1300080 IR E&M ESTABLISHED LEVEL III W/MOD 25 254 11/1/2018 CC_Imaging Pro F Standard 1300081 MODERATE SEDATION PROVIDED BY OTHER PROVIDE 413 11/1/2018 CC_Imaging Pro F Standard 1300082 MODERATE SEDATION PROVIDED BY OTHER PROVIDE 313 11/1/2018 CC_Imaging Pro F Standard 1400001 CT SACRAL JOINT INJECTION 1677 11/1/2017 CC_Theraputic ImStandard 1400002 CT EPIDURAL LUMBAR/SACRAL SINGLE LEVEL 2252 11/1/2017 CC_Theraputic ImStandard 1400003 CT EPIDURAL LUMBAR/SACRAL SINGLE LEVEL BILATE 2252 11/1/2017 CC_Theraputic ImStandard 1400004 CT FACET JOINT INJECTION LUMBAR SINGLE LEVEL 1823 11/1/2017 CC_Theraputic ImStandard 1400005 FL SOFT TISSUE DRAINAGE W/ CATHETER INSERTION 2758 6/13/2018 CC_Theraputic ImStandard 1400006 CT EPIDURAL LUMBAR/SACRAL ADDITIONAL LEVEL 1040 11/1/2017 CC_Theraputic ImStandard 1400007 CT SOFT TISSUE DRAINAGE W/ CATHETER INSERTION 2758 7/1/2018 CC_Theraputic ImStandard 1400008 CT FACET JOINT INJECTION LUMBAR ADDITIONAL LEV 1040 11/1/2017 CC_Theraputic ImStandard 1400009 FL FACET JOINT CERVICAL/THORACIC SINGLE LEVEL 2134 7/1/2018 CC_Theraputic ImStandard 1400010 FL FACET JOINT CERVICAL/THORACIC ADDITIONAL LE 1206 7/1/2018 CC_Theraputic ImStandard 1400011 FL EPIDURAL CERVICAL/THORACIC SINGLE LEVEL 2647 7/1/2018 CC_Theraputic ImStandard 1400012 CT FACET JOINT CERVICAL/THORACIC SINGLE LEVEL 2134 11/1/2017 CC_Theraputic ImStandard 1400013 FL EPIDURAL CERVICAL/THORACIC ADDITIONAL LEVE 1261 7/1/2018 CC_Theraputic ImStandard 1400014 CT FACET JOINT CERVICAL/THORACIC ADDITIONAL LE 1206 11/1/2017 CC_Theraputic ImStandard 1400015 FL ARTHROCENTESIS MAJOR JT W/O US 1816 7/1/2018 CC_Theraputic ImStandard 1400016 FL INJECTION TENDON SHEATH/LIGAMENT 832 7/1/2018 CC_Theraputic ImStandard 1400017 US INJECTION TENDON SHEATH/LIGAMENT 832 7/1/2018 CC_Theraputic ImStandard 1400018 CT EPIDURAL CERVICAL/THORACIC SINGLE LEVEL 2647 11/1/2017 CC_Theraputic ImStandard 1400019 US FINE NEEDLE ASPIRATION W/ IMAGE GUIDANCE 1303 7/20/2018 CC_Theraputic ImStandard 1400020 CT EPIDURAL CERVICAL/THORACIC ADDITIONAL LEVE 1261 11/1/2017 CC_Theraputic ImStandard 1400021 US LUNG BIOPSY 2079 8/1/2018 CC_Theraputic ImStandard 1400022 CT ARTHROCENTESIS MAJOR JT W/O US 1816 11/1/2017 CC_Theraputic ImStandard 1400023 US LIVER BIOPSY 2065 8/1/2018 CC_Theraputic ImStandard 1400024 US GUIDED ARTHROCENTESIS MINOR JT 1677 11/1/2017 CC_Theraputic ImStandard 1400025 CT INJECTION TENDON SHEATH/LIGAMENT 832 11/1/2017 CC_Theraputic ImStandard 1400026 FL FLUOROSCOPY GUIDANCE NEEDLE PLACEMENT 1816 11/1/2017 CC_Theraputic ImStandard 1400027 US GUIDED ARTHROCENTESIS MAJOR JT 1816 11/1/2017 CC_Theraputic ImStandard 1400028 CT BONE MARROW ASPIRATION 1234 11/1/2017 CC_Theraputic ImStandard 1400029 CT BONE MARROW BIOPSY 1490 11/1/2017 CC_Theraputic ImStandard 1400030 CT FINE NEEDLE ASPIRATION W/ IMAGE GUIDANCE 1303 11/1/2017 CC_Theraputic ImStandard 1400031 CT LUNG BIOPSY 2079 11/1/2017 CC_Theraputic ImStandard 1400032 CT LIVER BIOPSY 2065 11/1/2017 CC_Theraputic ImStandard 1400033 CT BONE BIOPSY SUPERFICIAL 1455 11/1/2017 CC_Theraputic ImStandard 1400034 CT BONE BIOPSY DEEP 2176 11/1/2017 CC_Theraputic ImStandard 1400035 US GUIDED ABDOMINAL MASS BIOPSY 1719 11/1/2017 CC_Theraputic ImStandard 1400036 US THYROID BIOPSY 1580 11/1/2017 CC_Theraputic ImStandard 1400037 US THORACENTESIS W/IMAGING 2252 11/1/2017 CC_Theraputic ImStandard 1400038 US GUIDED PARACENTESIS 2183 11/1/2017 CC_Theraputic ImStandard 1400039 CT LYMPH NODE BIOPSY 1428 11/1/2017 CC_Theraputic ImStandard 1400040 CT MYELOGRAM LUMBAR/SACRAL 2412 11/1/2017 CC_Theraputic ImStandard 1400041 CT MYELOGRAM CERVICAL 2460 11/1/2017 CC_Theraputic ImStandard 1400042 CT MYELOGRAM THORACIC 2481 11/1/2017 CC_Theraputic ImStandard 1400043 CT KIDNEY BIOPSY 2599 11/1/2017 CC_Theraputic ImStandard 1400044 US SOFT TISSUE BIOPSY THIGH/KNEE SUPERFICIAL 3555 11/1/2017 CC_Theraputic ImStandard 1400045 US ENDOVENOUS ABLATION 5620 11/1/2017 CC_Theraputic ImStandard 1400046 US ENDOVENOUS ABLATION ADD‐ON 2765 11/1/2017 CC_Theraputic ImStandard 1400047 FL FLUOROSCOPY GUIDANCE VENOUS ACCESS 1649 11/1/2017 CC_Theraputic ImStandard 1400048 US GUIDANCE VASCULAR ACCESS 617 11/1/2017 CC_Theraputic ImStandard 1400049 MA STEREOTACTIC BREAST BIOPSY 3389 11/1/2017 CC_Theraputic ImStandard 1400050 MA STEREOTACTIC BREAST BIOPSY ADD LESION 1705 11/1/2017 CC_Theraputic ImStandard 1400051 CT LUMBAR PUNCTURE THERAPEUTIC 1684 11/1/2017 CC_Theraputic ImStandard 1400052 CT LUMBAR PUNCTURE DIAGNOSTIC 1559 11/1/2017 CC_Theraputic ImStandard 1400053 US INJECTION OF SCLEROSANT SINGLE VEIN 1663 11/1/2017 CC_Theraputic ImStandard 1400054 US INJECTION OF SCLEROSANT MULTIPLE VEINS 2010 11/1/2017 CC_Theraputic ImStandard 1400055 XR INTERVENTIONALIST CONSULTATION 0 11/1/2017 CC_Theraputic ImStandard 1400057 CT BONE MARROW BIOPSY AND ASPIRATION 1552 1/1/2018 CC_Theraputic ImStandard 1400058 US GUIDANCE FOR NEEDLE PLACMENT 1178 1/1/2018 CC_Theraputic ImStandard 1400059 US GUIDED BREAST BIOPSY 3160 2/14/2018 CC_Theraputic ImStandard 1400060 CT MUSCLE/TISSUE BIOPSY 1178 2/28/2018 CC_Theraputic ImStandard 1400061 FL PICC LINE INSERTION 6223 3/20/2018 CC_Theraputic ImStandard 1400062 US LYMPH NODE BIOPSY 1428 8/1/2018 CC_Theraputic ImStandard 1400063 FL MYELOGRAM LUMBAR/SACRAL 2412 8/1/2018 CC_Theraputic ImStandard 1400064 FL MYELOGRAM CERVICAL 2460 8/1/2018 CC_Theraputic ImStandard 1400065 FL MYELOGRAM THORACIC 2481 8/1/2018 CC_Theraputic ImStandard 1400066 US KIDNEY BIOPSY 2599 8/1/2018 CC_Theraputic ImStandard 1400067 US LUMBAR PUNCTURE THERAPEUTIC 1684 8/1/2018 CC_Theraputic ImStandard 1400068 US LUMBAR PUNCTURE DIAGNOSTIC 1559 8/1/2018 CC_Theraputic ImStandard 1400069 US MUSCLE/TISSUE BIOPSY 1178 8/1/2018 CC_Theraputic ImStandard 1400070 US BREAST LOCALIZATION W/US GUIDANCE 1733 8/1/2018 CC_Theraputic ImStandard 1400071 G‐J TUBE REPLACEMENT 715 8/15/2018 CC_Theraputic ImStandard 1400072 FL NG TUBE PLACEMENT BY PHYSICIAN 818 8/1/2018 CC_Theraputic ImStandard 1400073 FL PORT‐A‐CATH ASSESSMENT 735 8/1/2018 CC_Theraputic ImStandard 1400074 TUBE THORACOSTOMY 3146 11/1/2018 CC_Theraputic ImStandard 1400075 MODERATE SEDATION PROVIDED BY OTHER PROVIDE 1490 11/1/2018 CC_Theraputic ImStandard 1400076 MODERATE SEDATION PROVIDED BY OTHER PROVIDE 1137 11/1/2018 CC_Theraputic ImStandard 1500002 METOPROLOL TART (LOPRESSOR) TAB: 100MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500003 DEXTROMETHOR POLISTIREX 30MG/5ML 35.2 4/5/2018 CC_Pharmacy Pharmacy 1500004 SODIUM CHLORIDE 0.9% INJ: 100ML ADDV BAG 71.82 4/5/2018 CC_Pharmacy Pharmacy 1500005 DEXTROSE 5% INJ: 100 ML BAG 86.63 4/5/2018 CC_Pharmacy Pharmacy 1500006 SODIUM CHLORIDE 0.9% INJ: 100ML BAG 86.63 4/5/2018 CC_Pharmacy Pharmacy 1500007 SODIUM CHLORIDE 0.9% INJ: 50ML BAG 89.12 4/5/2018 CC_Pharmacy Pharmacy 1500008 SODIUM CHLORIDE 0.9% IRRIGATION:250ML BL 103.36 4/5/2018 CC_Pharmacy Pharmacy 1500009 LACTATED RINGERS 1000ML 104.86 4/5/2018 CC_Pharmacy Pharmacy 1500010 SODIUM CHLORIDE 0.9% INJ: 250ML BAG 101.65 4/5/2018 CC_Pharmacy Pharmacy 1500011 SODIUM CHLORIDE 0.9% INJ: 500ML BAG 102.08 4/5/2018 CC_Pharmacy Pharmacy 1500012 DEXTROSE 5% INJ: 250 ML BAG 102.39 4/5/2018 CC_Pharmacy Pharmacy 1500013 DEXTROSE 5% INJ: 500 ML BAG 102.01 4/5/2018 CC_Pharmacy Pharmacy 1500014 DEXTROSE 5% INJ: 1000ML BAG 103.02 4/5/2018 CC_Pharmacy Pharmacy 1500015 POTASSIUM CHLORIDE 10mEq/NS PREMIX100ML 103.95 4/5/2018 CC_Pharmacy Pharmacy 1500016 DEXTROSE 5% / LR INJ: 1000ML BAG 103.37 4/5/2018 CC_Pharmacy Pharmacy 1500017 STERILE WATER IRRIGATION: 250ML BOTTLE 103.57 4/5/2018 CC_Pharmacy Pharmacy 1500018 STERILE WATER IRRIGATION: 500ML BOTTLE 103.63 4/5/2018 CC_Pharmacy Pharmacy 1500020 SODIUM CHLORIDE 0.45% INJ: 1000ML BAG 103.96 4/5/2018 CC_Pharmacy Pharmacy 1500021 DEXTROSE 5% 0.225%NACL INJ: 1000ML BAG 104.11 4/5/2018 CC_Pharmacy Pharmacy 1500022 DEXTROSE 5% / 1/2NS INJ: 1000ML BAG 104.27 4/5/2018 CC_Pharmacy Pharmacy 1500023 SODIUM CHLORIDE 0.9% IRRIGATION: 1L BAG 104.66 4/5/2018 CC_Pharmacy Pharmacy 1500024 SODIUM CHLORIDE 0.9% IRRIGATIO: 0.5L BTL 124.15 4/5/2018 CC_Pharmacy Pharmacy 1500025 SODIUM CHLORIDE 0.9% IRRIGATION: 1L BTL 104.46 4/5/2018 CC_Pharmacy Pharmacy 1500026 DEXTROSE 5% 1/2NS 20MEQ KCL INJ:1000ML 105.73 4/5/2018 CC_Pharmacy Pharmacy 1500027 SODIUM CHLORIDE 3% INJ: 500ML BAG 105.82 4/5/2018 CC_Pharmacy Pharmacy 1500028 SODIUM CHLORIDE 0.45% INJ: 250ML BAG 114.43 4/5/2018 CC_Pharmacy Pharmacy 1500029 STERILE WATER IRRIGATION: 1000ML BOTTLE 119.98 4/5/2018 CC_Pharmacy Pharmacy 1500030 DEXTROSE 5% INJ: 500 ML GLASS 124.15 4/5/2018 CC_Pharmacy Pharmacy 1500031 TRAVASOL (AMINO ACID) INJECTION 1L: 10% 173.48 4/5/2018 CC_Pharmacy Pharmacy 1500032 LIPOSYN III INTRAVENOUS EMULSION 20% 175.95 4/5/2018 CC_Pharmacy Pharmacy 1500033 ALBUMIN HUMAN IV SOLUTION: 25GM 510.38 4/5/2018 CC_Pharmacy Pharmacy 1500034 SODIUM CHLORIDE 0.9% IRRIGATION: 3L BAG 318.42 4/5/2018 CC_Pharmacy Pharmacy 1500037 BENAZEPRIL (LOTENSIN) TAB:5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500045 GUAIFENESI SYR 100MG/5ML 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500047 DOXAZOSIN (CARDURA) TAB: 4MG 14.45 4/5/2018 CC_Pharmacy Pharmacy 1500048 CEPASTAT SORE THROAT LOZENGE 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500049 GLUCOSAMINE CHONDROITIN 1500mg CAPS 10.75 4/5/2018 CC_Pharmacy Pharmacy 1500050 BACITRACIN (BACITRACIN) OINT:500U/G 28GR 16.75 4/5/2018 CC_Pharmacy Pharmacy 1500051 ACETAMINOPHEN (TYLENOL) TAB: 325MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500052 ACETAMINOPHEN (TYLENOL) TAB: 500MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500053 amLODIPine (NORVASC) TAB: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500054 amLODIPine (NORVASC) TAB: 2.5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500056 ASPIRIN (CHEWABLE) TAB: 81MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500057 ASPIRIN EC TAB: 325MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500058 ASPIRIN TAB: 325MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500059 ATENOLOL (TENORMIN) TAB 100MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500060 ATENOLOL (TENORMIN) TAB: 25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500061 ATENOLOL (TENORMIN) TAB: 50MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500062 BENAZEPRIL (LOTENSIN) TAB:20MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500063 BENAZEPRIL (LOTENSIN) TAB:40MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500065 BISACODYL (DULCOLAX) EC TAB:5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500066 BISMATROL (PEPTO BISMOL)CHEW TAB: 262MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500068 CALCIUM ANTACID (TUMS) TAB: 500MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500069 CALCIUM CARB+D (CALTRATE): 600MG/200IU 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500070 CALCIUM CITRATE + D TAB: 315MG‐250IU 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500071 CALCIUM/MAGNESIUM/ZINC+D TABLET 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500072 CARVEDILOL (COREG) TAB: 25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500073 CETIRIZINE (ZYRTEC) TAB: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500074 CINNAMON CAP: 500MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500075 CITALOPRAM (CELEXA) TAB: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500076 CITALOPRAM (CELEXA) TAB: 40MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500077 cloNIDine (CATAPRES) TAB:0.1MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500078 cloNIDine (CATAPRES) TAB:0.3MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500080 COENZYME Q‐10 CAP: 100MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500081 diphenhydraAMINE (BENADRYL) CAP:25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500082 DOCUSATE SOD (COLACE) CAP: 100MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500083 DOCUSATE SOD (COLACE) SOLN: 50MG/5ML 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500084 DONEPEZIL (ARICEPT) HCL TAB: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500085 DONEPEZIL (ARICEPT) HCL TAB: 5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500087 ESTRADIOL (ESTRACE) TAB: 0.5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500088 FAMOTIDINE (PEPCID) TAB: 20MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500089 FERROUS GLUC (27MG ELEMEN) : 240MG TAB 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500090 FERROUS SULFATE (IRON TAB) : 325MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500091 FIBER (FIBERCON) CAP: 625MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500092 FISH OIL CAP: 1000MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500093 FLUoxetine (PROZAC) CAP: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500094 FLUoxetine (PROZAC) CAP: 20MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500095 FOLIC ACID (FOLVITE) TAB: 0.4 MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500096 FOLIC ACID (FOLVITE) TAB: 1MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500097 FUROSEMIDE (LASIX) TAB: 40MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500098 FUROSEMIDE (LASIX) TAB: 80MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500099 GABAPENTIN (NEURONTIN) CAP: 100MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500100 GINKGO BILOBA CAP: 40MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500101 GLIMEPIRIDE (AMARYL) TAB: 1MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500102 GLIPIZIDE (GLUCOTROL) TAB:5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500103 GLYCERINE ADULT SUPP 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500104 H‐CHLOR 12 (DAKINS) SOL: 0.5% 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500105 hydrALAZINE (APRESOLINE) TAB: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500106 HYDROCHLOROTHIAZIDE CAP: 12.5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500107 HYDROCHLOROTHIAZIDE TAB: 25 MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500108 HYDROCHLOROTHIAZIDE TAB: 50 MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500109 HYDROXYZINE HCL (ATARAX) TAB: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500110 IBUPROFEN (MOTRIN) TAB: 200MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500111 LACTOBACILLUS ACIDOPHILUS CAP: 25MILL 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500112 L‐ARGININE TAB: 1000MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500113 LISINOPRIL (ZESTRIL) TAB: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500114 LISINOPRIL (ZESTRIL) TAB: 2.5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500115 LISINOPRIL (ZESTRIL) TAB: 20MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500116 LISINOPRIL (ZESTRIL) TAB: 40MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500117 LISINOPRIL /HCTZ(ZESTORTIC)20/12.5MG TAB 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500118 L‐LYSINE TAB: 500MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500119 LORATADINE (CLARITIN) TAB: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500120 LOSARTAN POTASSIUM (COZAAR) TAB: 25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500121 LOSARTAN POTASSIUM (COZAAR) TAB: 50MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500122 LOSARTAN‐HCTZ (HYZAAR) TAB: 100‐12.5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500123 LOSARTAN‐HCTZ (HYZAAR) TAB: 50‐12.5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500124 LOVASTATIN (LOVASTATIN) TAB: 20MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500125 LOVASTATIN (MEVACOR) TAB: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500126 LOVASTATIN (MEVACOR) TAB: 40MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500127 MAGNESIUM GLUCONATE TAB: 500MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500128 MAGNESIUM OXIDE(MAGOX) 400MG: TAB 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500129 MELATONIN TAB: 1MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500130 MELATONIN TAB: 5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500131 metFORMIN (GLUCOPHAGE) TAB: 1000MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500132 metFORMIN (GLUCOPHAGE) TAB: 500MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500133 metFORMIN (GLUCOPHAGE) TAB: 850MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500134 METOPROLOL TART (LOPRESSOR) TAB: 25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500135 METOPROLOL TART (LOPRESSOR) TAB: 50MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500136 MONTELUKAST (SINGULAIR) TAB : 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500137 MULTI‐VITAMIN TABLET 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500138 OCUVITE (PRESERVISION) TAB 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500139 OMEPRAZOLE (PRILOSEC) CAP: 20MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500140 OYSTER SHELL (CALCIUM CARB) TAB: 500MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500141 PANTOPRAZOLE (PROTONIX) TAB: 40MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500142 PRIMIDONE (MYSOLINE) TAB: 50MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500143 PSEUDOEPHEDRINE (SUDAFED) TAB: 30MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500144 PSYLLIUM (METAMUCIL) CAP 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500145 QUEtiapine (SEROQUEL) TAB: 25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500146 QUEtiapine (SEROQUEL) TAB: 50MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500147 RAMIPRIL (ALTACE) CAP: 2.5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500149 risperiDONE (RISPERDAL) TAB: 0.25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500150 risperiDONE (RISPERDAL) TAB: 0.5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500151 risperiDONE (RISPERDAL) TAB: 1MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500152 risperiDONE (RISPERDAL) TAB: 2MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500153 rOPINIRole (REQUIP) TAB: 0.25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500154 rOPINIRole (REQUIP) TAB: 1MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500155 SELENIUM TAB: 200MCG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500156 SENNOS/DOCUSATE (SENOKOT S)TAB: 8.6‐50MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500157 SENNOSIDES (SENNA) TAB: 8.6MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500158 SERTRALINE (ZOLOFT) TAB 50MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500159 SERTRALINE (ZOLOFT) TAB: 100MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500160 SERTRALINE (ZOLOFT) TAB: 25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500161 SIMETHICONE (MYLICON) CHEW TB: 80MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500162 SIMETHICONE (MYLICON) GCAP: 180MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500163 SIMVASTATIN (ZOCOR) TAB: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500164 SIMVASTATIN (ZOCOR) TAB: 20MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500165 SIMVASTATIN (ZOCOR) TAB: 40MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500166 SODIUM CHLORIDE (THERMOTABS) TAB: 452MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500167 SODIUM CHLORIDE TAB: 1GM 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500169 SPIRONOLACTONE (ALDACTONE) TAB: 25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500170 TERAZOSIN (HYTRIN) CAP: 10MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500171 TERAZOSIN (HYTRIN) CAP: 1MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500172 TERAZOSIN (HYTRIN) CAP: 2MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500173 TERAZOSIN (HYTRIN) CAP: 5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500174 TOPIRAMATE (TOPAMAX) TAB: 25MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500175 TRAZODONE (DESYREL) TAB: 100MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500176 VERAPAMIL (CALAN) TAB: 80MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500177 VITAMIN B COMPLEX CAP 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500178 VITAMIN B1 (THIAMINE) TAB: 100MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500179 VITAMIN B12 (CYANOCOBALA) TAB: 1,000MCG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500180 VITAMIN B12 (CYANOCOBALA) TAB: 500MCG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500181 VITAMIN B2 (RIBOFLAVIN) TAB: 100MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500182 VITAMIN B6 (PYRIDOXINE) TAB: 100MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500183 VITAMIN C (ASCORBIC ACID) TAB: 1,000MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500184 VITAMIN C (ASCORBIC ACID) TAB: 500MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500185 VITAMIN D3 TABLET 2000IU 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500186 VITAMIN D3(CHOLECALCIFEROL)CAP: 5,000 IU 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500187 VITAMIN D3(CHOLECALCIFEROL)TAB: 1,000 IU 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500188 VITAMIN E (VIT E) SOFTGEL 400IU 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500189 VITAMIN K2 100 MCG: TAB 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500190 WARFARIN (COUMADIN) TAB: 2MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500191 WARFARIN (COUMADIN) TAB: 3MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500192 WARFARIN (COUMADIN) TAB: 4MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500193 WARFARIN (COUMADIN) TAB: 5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500194 WARFARIN (COUMADIN) TAB: 6MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500195 WARFARIN (COUMADIN) TAB: 7.5MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500196 ZINC SULFATE CAP: 220MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500197 ZINC TAB: 50 MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500198 ALPRAZOLAM (XANAX) TAB: 0.5MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500199 amLODIPine (NORVASC) TAB: 5MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500200 CITALOPRAM (CELEXA) TAB: 20MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500201 clonazePAM (KLONOPIN) TAB: 1MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500202 CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500203 CYCLOBENZAPRINE (FLEXERIL) TAB: 5MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500204 DIAZEPAM (VALIUM) TAB: 2MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500205 DIAZEPAM (VALIUM) TAB: 5MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500206 FUROSEMIDE (LASIX) TAB: 20MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500207 LAMOTRIGINE (LAMICTAL) TAB: 25MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500208 LISINOPRIL (ZESTRIL) TAB: 5MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500209 LISINOPRIL AND HCTZ TABLET 10MG‐12.5 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500210 LORazepam (ATIVAN) TAB: 0.5MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500211 LORAZEPAM (ATIVAN) TAB: 1MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500212 MELOXICAM (MOBIC) TAB: 7.5MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500213 METOCLOPRAMIDE (REGLAN) TAB: 5MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500214 SORBITOL SOLUTION 70%‐480ML 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500215 traMADol (ULTRAM) TAB 50MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500216 ZOLPIDEM (AMBIEN) TAB: 10MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500217 ZOLPIDEM (AMBIEN) TAB: 5MG 4.95 4/5/2018 CC_Pharmacy Pharmacy 1500218 ACETA/ASPIRIN/CAFFEINE(EXCEDRIN)TAB 5 4/5/2018 CC_Pharmacy Pharmacy 1500219 ALPRAZOLAM (XANAX) TAB: 0.25MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500221 BUSPIRone (BUSPAR) TAB: 10MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500222 CARISOPRODOL (SOMA) TAB: 350MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500223 chlordiazePOXIDE (LIBRIUM) CAP: 10MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500224 chlordiazePOXIDE (LIBRIUM) CAP: 25MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500225 chlordiazePOXIDE (LIBRIUM) CAP: 5MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500226 clonazePAM (KLONOPIN) TAB: 0.5MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500227 CLOPIDOGREL (PLAVIX) TAB: 75MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500228 DICYCLOMINE (BENTYL) CAP: 10MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500229 DICYCLOMINE (BENTYL) TAB: 20MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500230 GABAPENTIN (NEURONTIN) CAP: 300MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500231 GABAPENTIN (NEURONTIN) CAP: 400MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500232 HALOPERIDOL (HALDOL) TAB: 0.5MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500233 hydrALAZINE (APRESOLINE) TAB: 25MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500234 hydrALAZINE (APRESOLINE) TAB: 50MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500235 HYDROMORPHONE HCL TAB: 2MG 10.9 4/5/2018 CC_Pharmacy Pharmacy 1500236 HYDROXYZINE HCL (ATARAX) TAB: 25MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500237 HYDROXYZINE PAM (VISTARIL) CAP: 25MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500238 HYDROXYZINE PAM (VISTARIL) CAP: 50MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500239 IBUPROFEN (MOTRIN) TAB: 800MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500240 LAMOTRIGINE (LAMICTAL) TAB: 100MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500241 LAMOTRIGINE (LAMICTAL) TAB: 150MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500242 MECLIZINE (ANTIVERT) TAB: 12.5MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500243 METHOCARBAMOL (ROBAXIN) TAB: 500MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500244 NAPROXEN (NAPROXEN) TAB: 500MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500245 NIACIN (NIASPAN) TR CAP: 500MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500246 PARoxetine (PAXIL) TAB: 10MG 11.75 4/5/2018 CC_Pharmacy Pharmacy 1500247 PAROXETINE (PAXIL) TAB: 20MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500248 PIOGLITAZONE (ACTOS) TAB: 15MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500249 PROMETHAZINE (PHENERGAN) TAB: 25MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500250 PROMETHAZINE TAB 5.61 5/10/2018 CC_Pharmacy Pharmacy 1500251 QUEtiapine (SEROQUEL) TAB: 100MG 11.9 4/5/2018 CC_Pharmacy Pharmacy 1500252 RAMIPRIL (ALTACE) CAP 10MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500253 RANITIDINE (ZANTAC) TAB: 150MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500254 SERTRALINE (ZOLOFT) TAB: 100MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1500255 SOTALOL (BETAPACE) TAB: 80MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500256 SULFAMETHOX/TRIMETHOPRIM 800/160 6.03 5/10/2018 CC_Pharmacy Pharmacy 1500257 SULF/TMP DS (BACTRIM DS): 800/160 TB 5 4/5/2018 CC_Pharmacy Pharmacy 1500258 TEMAZEPAM (RESTORIL) CAP: 15MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500259 TEMAZEPAM (RESTORIL) CAP: 30MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500260 TOPIRAMATE (TOPAMAX) TAB: 100MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500261 TORSEMIDE (DEMADEX) TAB 20MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500262 traZODone (DESYREL) TAB: 50MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500263 WARFARIN (COUMADIN) TAB: 1MG 5 4/5/2018 CC_Pharmacy Pharmacy 1500264 ACET/COD (TYLENOL#3) TAB: 300/30MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500265 ACYCLOVIR (ZOVIRAX) TAB: 800MG 12.2 4/5/2018 CC_Pharmacy Pharmacy 1500266 AMOXICILLIN (AMOXIL) CAP: 500MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500267 BUSPIRone (BUSPAR) TAB: 15MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500268 CARBID/LEVOD (SIMEMET) TAB: 25/100MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500269 CEPHALEXIN (KEFLEX) CAPS: 250MG 15.05 4/5/2018 CC_Pharmacy Pharmacy 1500270 CEPHALEXIN (KEFLEX) CAPS: 500MG 11.4 4/5/2018 CC_Pharmacy Pharmacy 1500271 CHARCOAL/SORBITOL SOLN: 50GM/240ML 10.35 4/5/2018 CC_Pharmacy Pharmacy 1500272 CILOSTAZOL (PLETAL) TAB: 50MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500273 CILOSTAZOL (PLETAL) TAB: 50MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500274 DICLOFENAC (VOLTAREN) TAB: 75MG 10.6 4/5/2018 CC_Pharmacy Pharmacy 1500275 DILTIAZEM (CARDIZEM) TAB: 30MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500276 FUL‐GLO(FLUORESCEINE)OPTH STRIP 1MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500277 GABAPENTIN (NEURONTIN) TAB: 600MG 10.45 4/5/2018 CC_Pharmacy Pharmacy 1500278 GEMFIBROZIL (LOPID) TAB: 600 MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500279 GLUCOSAMINE/CHONDROITIN TAB: 500MG/66MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500280 H‐CHLOR 12 (DAKINS) SOL: .125% 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500281 hydrALAZINE (APRESOLINE) TAB: 100MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500282 IBUPROFEN (MOTRIN) TAB: 400MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500283 IMIPRAMINE HCL(TOFRANIL) TABLET 25MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500284 IRBESARTAN (AVAPRO) TAB: 150MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500285 METHIMAZOLE TAB: 5MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500286 NAPROXEN (ALEVE) TAB: 220MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500287 NAPROXEN (NAPROSYN) TAB: 250MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500288 PANTOPRAZOLE (PROTONIX) TAB: 20MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500289 QUINAPRIL (ACCUPRIL) TAB: 10MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500290 rOPINIRole (REQUIP) TAB: 2MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500291 SODIUM CHLORIDE (NS) NEB: 0.9% INH 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500292 SURGICAL LUBRICANT 3 GM UD 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500293 TRIAMTER/HCTZ (MAXZIDE) TAB: 37.5/25MG 10.45 4/5/2018 CC_Pharmacy Pharmacy 1500294 TUCKS PADS: 40 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500295 VERAPAMIL (COVERA‐HS) ER TAB: 180MG 5.05 4/5/2018 CC_Pharmacy Pharmacy 1500296 ATORVASTATIN (LIPITOR) TAB: 10MG 10.85 4/5/2018 CC_Pharmacy Pharmacy 1500297 CARBID/LEVOD (SINEMET) ER TAB: 25/100MG 10.65 4/5/2018 CC_Pharmacy Pharmacy 1500298 GLIPIZIDE XL (GLUCOTROL XL) TAB: 5MG 11.25 4/5/2018 CC_Pharmacy Pharmacy 1500299 VERAPAMIL ER (CALAN SR) TAB: 120MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500300 AMIODARONE (PACERONE) TAB: 200MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500301 AMITRIPTYLINE (ELAVIL) TAB: 10MG 10.8 4/5/2018 CC_Pharmacy Pharmacy 1500302 BENZTROPINE (COGENTIN) TAB: 0.5MG 10.4 4/5/2018 CC_Pharmacy Pharmacy 1500304 GLUCERNA 1.5 CAL ORAL SOLUTION 10.6 4/5/2018 CC_Pharmacy Pharmacy 1500305 IRBESARTAN/HCTZ (AVALIDE) TAB:150‐12.5MG 10.4 4/5/2018 CC_Pharmacy Pharmacy 1500306 PIOGLITAZONE (ACTOS) TAB: 45MG 10.4 4/5/2018 CC_Pharmacy Pharmacy 1500307 TERBINFINE (lamISIL) TAB 250MG 10.4 4/5/2018 CC_Pharmacy Pharmacy 1500308 VENLAFAXINE (EFFEXOR) XR CAP: 37.5MG 10.4 4/5/2018 CC_Pharmacy Pharmacy 1500309 VERAPAMIL (COVERA‐HS) ER TAB: 240MG 10.4 4/5/2018 CC_Pharmacy Pharmacy 1500310 ACYCLOVIR (ZOVIRAX) CAP: 200MG 12.5 4/5/2018 CC_Pharmacy Pharmacy 1500311 NORTRIPTYLINE (PAMELOR) CAP: 10MG 10.45 4/5/2018 CC_Pharmacy Pharmacy 1500312 OMEPRAZOLE (PRILOSEC) CAP: 40MG 10.45 4/5/2018 CC_Pharmacy Pharmacy 1500313 ALBUTEROL (VENTOLIN) NEB SOL :0.083% 10.55 4/5/2018 CC_Pharmacy Pharmacy 1500314 BENZTROPINE (COGENTIN) TAB: 1MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500315 ESTRADIOL (ESTRACE) TAB: 2MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500316 IBUPROFEN (MOTRIN) TAB: 600MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500317 levETIRAcetam (KEPPRA) TAB: 500MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500318 MEDROXYPROGESTERONE(MEDROXYPRO)TAB:2.5MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500319 MIRTAZAPINE (REMERON) TAB: 15MG 12.05 4/5/2018 CC_Pharmacy Pharmacy 1500320 NABUMETONE (RELAFEN) TAB: 500MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500321 NAPROXEN (NAPROSYN) TAB: 375 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500322 ONDANSETRON (ZOFRAN) TAB: 4MG 13.4 4/5/2018 CC_Pharmacy Pharmacy 1500323 oxyCODONE (ROXICODONE) IR TAB: 5 MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500324 PENTOSAN (ELMIRON) CAP: 100MG 50.65 4/5/2018 CC_Pharmacy Pharmacy 1500325 PROPRANOLOL (INDERAL) TAB: 10MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500326 QUINAPRIL (ACCUPRIL) TAB: 5MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500327 TIZANIDINE (ZANAFLEX) TAB: 2MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1500328 ATORVASTATIN (LIPITOR) TAB: 20MG 11.3 4/5/2018 CC_Pharmacy Pharmacy 1500329 CARVEDILOL (COREG) TAB: 12.5MG 10.55 4/5/2018 CC_Pharmacy Pharmacy 1500330 CARVEDILOL (COREG) TAB: 3.125MG 10.55 4/5/2018 CC_Pharmacy Pharmacy 1500331 CARVEDILOL (COREG) TAB: 6.25MG 10.55 4/5/2018 CC_Pharmacy Pharmacy 1500332 FLUCONAZOLE (DIFLUCAN) TAB: 100MG 12.4 4/5/2018 CC_Pharmacy Pharmacy 1500333 FLUoxetine (PROZAC) CAP: 40MG 10.55 4/5/2018 CC_Pharmacy Pharmacy 1500334 LITHIUM CARBONATE CAPS: 300MG 10.55 4/5/2018 CC_Pharmacy Pharmacy 1500335 METHOCARBAMOL (ROBAXIN) TAB: 750MG 10.55 4/5/2018 CC_Pharmacy Pharmacy 1500336 OXcarbazepine (TRILEPTAL) TAB: 300MG 10.65 4/5/2018 CC_Pharmacy Pharmacy 1500337 ATORVASTATIN (LIPITOR) TAB: 40MG 11.3 4/5/2018 CC_Pharmacy Pharmacy 1500338 ATORVASTATIN (LIPITOR) TAB: 80MG 10.6 4/5/2018 CC_Pharmacy Pharmacy 1500339 BACITRACIN OINTMENT FOILPACS:0.9GM 10.6 4/5/2018 CC_Pharmacy Pharmacy 1500340 BACLOFEN (LIOREASAL) TAB: 10MG 10.6 4/5/2018 CC_Pharmacy Pharmacy 1500342 DILTIAZEM (CARDIZEM) TAB: 60MG 10.6 4/5/2018 CC_Pharmacy Pharmacy 1500344 ENALAPRIL/HCTZ TAB: 5MG 10.6 4/5/2018 CC_Pharmacy Pharmacy 1500345 GLIMEPIRIDE (AMARYL) TAB: 2MG 11.05 4/5/2018 CC_Pharmacy Pharmacy 1500346 GLIPIZIDE XL (GLUCOTROL XL) TAB: 2.5MG 11.15 4/5/2018 CC_Pharmacy Pharmacy 1500347 PENTOXIFYLLINE (TRENTAL) ER TAB: 400MG 10.6 4/5/2018 CC_Pharmacy Pharmacy 1500349 SULFASALAZINE (AZULFIDINE) TAB: 500MG 10.65 4/5/2018 CC_Pharmacy Pharmacy 1500350 TRIAMTER/HCTZ (DYAZIDE) CAP: 37.5/25MG 10.6 4/5/2018 CC_Pharmacy Pharmacy 1500351 VENLAFAXINE (EFFEXOR) XR CAP: 75MG 10.8 4/5/2018 CC_Pharmacy Pharmacy 1500352 ALLOPURINOL (ZYLOPRIM) TAB: 100MG 12.05 4/5/2018 CC_Pharmacy Pharmacy 1500353 BUSPIRone (BUSPAR) TAB: 5MG 10.65 4/5/2018 CC_Pharmacy Pharmacy 1500354 CARBID/LEVOD (SINEMET) TAB: 25/250MG 10.65 4/5/2018 CC_Pharmacy Pharmacy 1500355 COENZYME Q‐10 SOFTGEL: 50MG 10.8 4/5/2018 CC_Pharmacy Pharmacy 1500356 DERMAZINC ‐ BETANETHASONE 0.05% TOP SPRA 10.7 4/5/2018 CC_Pharmacy Pharmacy 1500357 HYDROcod/APAP (NORCO) TAB: 5/325 10.65 4/5/2018 CC_Pharmacy Pharmacy 1500358 ICAPS MV TAB 10.65 4/5/2018 CC_Pharmacy Pharmacy 1500359 LETROZOLE (FEMARA) TAB: 2.5MG 12.35 4/5/2018 CC_Pharmacy Pharmacy 1500361 QUINAPRIL (ACCUPRIL) TAB: 20MG 10.65 4/5/2018 CC_Pharmacy Pharmacy 1500362 SPIRONOLACTONE (ALDACTONE) TAB: 50MG 10.65 4/5/2018 CC_Pharmacy Pharmacy 1500363 ACETAMINOPHEN (TYLENOL) ER TAB: 650MG 10.7 4/5/2018 CC_Pharmacy Pharmacy 1500364 BENZTROPINE (COGENTIN) TAB: 2MG 10.7 4/5/2018 CC_Pharmacy Pharmacy 1500365 HYDROcod/APAP (NORCO) TAB: 10/325 MG 11.25 4/5/2018 CC_Pharmacy Pharmacy 1500366 IPRATROPIUM/ALBUTEROL NEB :3ML 10.7 4/5/2018 CC_Pharmacy Pharmacy 1500367 LANSOPRAZOLE (PREVACID) CAP:30MG 10.7 4/5/2018 CC_Pharmacy Pharmacy 1500368 N‐ACETYL‐CYSTEINE CAP: 600MG 10.7 4/5/2018 CC_Pharmacy Pharmacy 1500369 OLANZAPINE (ZYPREXA) TAB: 5MG 10.7 4/5/2018 CC_Pharmacy Pharmacy 1500370 VITAMIN D3(CHOLECALCIFEROL)CAP: 50,000 U 10.7 4/5/2018 CC_Pharmacy Pharmacy 1500371 DICLOFENAC (VOLTAREN) TAB: 50MG 11 4/5/2018 CC_Pharmacy Pharmacy 1500372 ISOSORBIDE MONO ER(IMDUR)TAB: 30MG 10.75 4/5/2018 CC_Pharmacy Pharmacy 1500373 MORPHINE SULF IR TAB: 15MG 11.1 4/5/2018 CC_Pharmacy Pharmacy 1500374 PHOSPHA NEUTRAL(NEUTRA PHOS) TAB: 250MG 11.5 4/5/2018 CC_Pharmacy Pharmacy 1500375 PROPRANOLOL (INDERAL) TAB: 20MG 10.75 4/5/2018 CC_Pharmacy Pharmacy 1500376 SODIUM BICARBONATE TAB: 10 GR (650MG) 10.75 4/5/2018 CC_Pharmacy Pharmacy 1500377 TRIMETHOPRIM (PRILOPRIM) TAB: 100MG 10.75 4/5/2018 CC_Pharmacy Pharmacy 1500378 A&D PKT (VIT A&D) OINT: 10.8 4/5/2018 CC_Pharmacy Pharmacy 1500379 CLINDAMYCIN (CLEOCIN) CAP: 150MG 10.8 4/5/2018 CC_Pharmacy Pharmacy 1500380 GABAPENTIN (NEURONTIN) TAB: 800MG 10.8 4/5/2018 CC_Pharmacy Pharmacy 1500381 INDAPAMIDE (LOZOLE) TAB: 1.25MG 10.8 4/5/2018 CC_Pharmacy Pharmacy 1500383 NORTRIPTYLINE (PAMELOR) CAP: 25MG 11.8 4/5/2018 CC_Pharmacy Pharmacy 1500384 PENICILLIN VK (PEN VK) TAB: 500MG 10.8 4/5/2018 CC_Pharmacy Pharmacy 1500385 PRAVASTATIN (PRAVACHOL) TAB: 10MG 13.5 4/5/2018 CC_Pharmacy Pharmacy 1500386 CIPROFLOXACIN(CIPRO)TAB: 500MG 10.85 4/5/2018 CC_Pharmacy Pharmacy 1500387 DILTIAZEM CD (CARDIZEM) CAP: 120MG 10.85 4/5/2018 CC_Pharmacy Pharmacy 1500388 LABETALOL (TRANDATE) TAB: 100MG 12.55 4/5/2018 CC_Pharmacy Pharmacy 1500389 levETIRAcetam (KEPPRA) TAB: 750MG 11.6 4/5/2018 CC_Pharmacy Pharmacy 1500390 PRAVASTATIN (PRAVACHOL) TAB: 20MG 13.55 4/5/2018 CC_Pharmacy Pharmacy 1500391 AMOXICILLIN (AMOXIL) CAP: 250MG 10.9 4/5/2018 CC_Pharmacy Pharmacy 1500392 GLIMEPIRIDE (AMARYL) TAB: 4MG 12.25 4/5/2018 CC_Pharmacy Pharmacy 1500393 MELOXICAM (MOBIC) TAB: 15MG 10.9 4/5/2018 CC_Pharmacy Pharmacy 1500394 PIOGLITAZONE (ACTOS) TAB: 30MG 10.9 4/5/2018 CC_Pharmacy Pharmacy 1500395 HYDROMORPHONE ORAL SOL 473ML: 1MG/ML 11.15 4/5/2018 CC_Pharmacy Pharmacy 1500396 MIDAZOLAM SYRUP: 2MG/ML 10.95 4/5/2018 CC_Pharmacy Pharmacy 1500398 PRAMIPEXOLE (MIRAPEX) TAB: 0.25MG 10.95 4/5/2018 CC_Pharmacy Pharmacy 1500399 PRAMIPEXOLE (MIRAPEX) TAB: 0.5MG 10.95 4/5/2018 CC_Pharmacy Pharmacy 1500400 PRAMIPEXOLE(MIRAPEX) ER TAB ER 0.75MG 10.95 4/5/2018 CC_Pharmacy Pharmacy 1500401 PSYLLIUM (METAMUCIL) PCKT: 12.2 GM 10.95 4/5/2018 CC_Pharmacy Pharmacy 1500402 TRIPLE ANTIBIOTIC OINT (NEOSPORIN) 10.95 3/30/2018 CC_Pharmacy Pharmacy 1500403 WARFARIN (COUMADIN) TAB: 2.5MG 10.95 4/5/2018 CC_Pharmacy Pharmacy 1500404 ENALAPRIL (VASOTEC) TAB: 10MG 11 4/5/2018 CC_Pharmacy Pharmacy 1500405 LEVOFLOXACIN (LEVAQUIN) TAB: 500MG 11 4/5/2018 CC_Pharmacy Pharmacy 1500406 LOSARTAN‐HCTZ (HYZAAR) TAB: 100‐25MG 11 4/5/2018 CC_Pharmacy Pharmacy 1500407 metroNIDAZOLE (FLAGYL) TAB: 250MG 11.4 4/5/2018 CC_Pharmacy Pharmacy 1500408 NIFEdipine (NIFEDICAL XL) ER TAB: 30MG 11 4/5/2018 CC_Pharmacy Pharmacy 1500409 PHENYTOIN (DILANTIN) CAP: 100MG 11 4/5/2018 CC_Pharmacy Pharmacy 1500410 TAMSULOSIN (FLOMAX) CAP: 0.4MG 11.95 4/5/2018 CC_Pharmacy Pharmacy 1500411 AMITRIPTYLINE (ELAVIL) TAB: 25MG 11.15 4/5/2018 CC_Pharmacy Pharmacy 1500412 DILTIAZEM CD (CARDIZEM) CAP: 180MG 11.05 4/5/2018 CC_Pharmacy Pharmacy 1500413 MIRTAZAPINE (REMERON) TAB: 15MG 11.05 4/5/2018 CC_Pharmacy Pharmacy 1500414 NORTRIPTYLINE (PAMELOR) CAP: 50MG 12.25 4/5/2018 CC_Pharmacy Pharmacy 1500415 PERINDOPRIL (ACEON) TAB: 4 MG 11.25 4/5/2018 CC_Pharmacy Pharmacy 1500416 POTASSIUM CL (KLOR‐CON) TAB: 10MEQ 11.05 4/5/2018 CC_Pharmacy Pharmacy 1500417 PRAVASTATIN (PRAVACHOL) TAB: 40MG 15.55 4/5/2018 CC_Pharmacy Pharmacy 1500418 PROPRANOLOL (INDERAL) TAB: 40MG 11.05 4/5/2018 CC_Pharmacy Pharmacy 1500419 BENZONATATE (TESSALON) PEARLS: 100MG 11.1 4/5/2018 CC_Pharmacy Pharmacy 1500420 FLECAINIDE TAB: 50MG 11.1 4/5/2018 CC_Pharmacy Pharmacy 1500421 HYDROCORTISONE (CORTEF) TAB: 5MG 11.1 4/5/2018 CC_Pharmacy Pharmacy 1500422 LACTAID FAST ACT CHEW TAB 11.1 4/5/2018 CC_Pharmacy Pharmacy 1500423 POTASSIUM CL (KLOR‐CON) TAB: 20MEQ 11.1 4/5/2018 CC_Pharmacy Pharmacy 1500424 PROPAFENONE HCL (RYTHMOL): 150MG 11.4 4/5/2018 CC_Pharmacy Pharmacy 1500425 SUCRALFATE (CARAFATE) TAB: 1GM 11.1 4/5/2018 CC_Pharmacy Pharmacy 1500426 DILTIAZEM CD (CARDIZEM) CAP: 240MG 12.65 4/5/2018 CC_Pharmacy Pharmacy 1500427 DULOXETINE(CYMBALTA) DR CAP: 60MG 11.15 4/5/2018 CC_Pharmacy Pharmacy 1500428 INDOMETHACIN (INDOCIN) CAP: 25MG 11.15 4/5/2018 CC_Pharmacy Pharmacy 1500429 RT ALBUTEROL SULF INH SOL. 0.5% 5MG/ML 12.25 4/5/2018 CC_Pharmacy Pharmacy 1500430 TACROLIMUS (PROGRAF) 0.5MG CAP 11.15 4/5/2018 CC_Pharmacy Pharmacy 1500431 ENALAPRIL (VASOTEC) TAB: 2.5MG 11.2 4/5/2018 CC_Pharmacy Pharmacy 1500432 LOPERAMIDE (IMODIUM) CAP: 2MG 11.2 4/5/2018 CC_Pharmacy Pharmacy 1500433 LOXAPINE (LOXITANE) CAP: 5MG 11.2 4/5/2018 CC_Pharmacy Pharmacy 1500434 MEMANTINE (NAMENDA) TAB: 10MG 11.2 4/5/2018 CC_Pharmacy Pharmacy 1500435 METOPROLOL SUCC (TOPROL XL) TAB: 25MG 11.2 4/5/2018 CC_Pharmacy Pharmacy 1500436 PRESERVISION AREDS GCAP 11.2 4/5/2018 CC_Pharmacy Pharmacy 1500437 LEVOFLOXACIN (LEVAQUIN) TAB: 750MG 11.25 4/5/2018 CC_Pharmacy Pharmacy 1500438 NITROGLYCERIN (NITROBID) ER CAP: 2.5MG 11.25 4/5/2018 CC_Pharmacy Pharmacy 1500439 OXcarbazepine (TRILEPTAL) TAB: 600MG 11.25 4/5/2018 CC_Pharmacy Pharmacy 1500440 PREDNISOL (PRELONE) SYRUP 15MG/5ML 11.25 4/5/2018 CC_Pharmacy Pharmacy 1500441 VENLAFAXIME (EFFEXOR) TAB: 75MG 11.25 4/5/2018 CC_Pharmacy Pharmacy 1500442 amLOD/BENAZE (LOTREL) CAP: 10/20MG 11.3 4/5/2018 CC_Pharmacy Pharmacy 1500443 CIPROFLOXACIN(CIPRO)TAB: 750MG 11.3 4/5/2018 CC_Pharmacy Pharmacy 1500444 SPIRONOLACTONE (ALDACTONE) TAB: 100MG 11.3 4/5/2018 CC_Pharmacy Pharmacy 1500446 BENZONATATE (TESSALON) PEARLS: 200MG 11.35 4/5/2018 CC_Pharmacy Pharmacy 1500447 CARBAMAZEPINE(TEGRETOL)CHEW TAB: 100MG 11.35 4/5/2018 CC_Pharmacy Pharmacy 1500448 HYDROXYUREA (HYDREA) CAP 500MG 11.55 4/5/2018 CC_Pharmacy Pharmacy 1500449 OXYCO/APAP TAB:7.5‐325MG (PERCOCET) 11.35 4/5/2018 CC_Pharmacy Pharmacy 1500450 THEOPHYLLINE ER TAB 200MG 11.35 4/5/2018 CC_Pharmacy Pharmacy 1500451 amLOD/BENAZE (LOTREL) CAP: 5/20MG 11.4 4/5/2018 CC_Pharmacy Pharmacy 1500453 PRAZOSIN (MINIPRESS) CAP: 1MG 11.4 4/5/2018 CC_Pharmacy Pharmacy 1500454 CALCITRIOL (ROCALTROL) CAP: 0.25MCG 11.45 4/5/2018 CC_Pharmacy Pharmacy 1500455 DULOXETINE(CYMBALTA) DR CAP: 30MG 11.45 4/5/2018 CC_Pharmacy Pharmacy 1500456 ESCITALOPRAM (LEXAPRO)TAB: 10MG 11.55 4/5/2018 CC_Pharmacy Pharmacy 1500457 ROSUVASTATIN (CRESTOR) TAB: 10MG 11.45 4/5/2018 CC_Pharmacy Pharmacy 1500458 ROSUVASTATIN (CRESTOR) TAB: 20MG 11.45 4/5/2018 CC_Pharmacy Pharmacy 1500459 ROSUVASTATIN (CRESTOR) TAB: 5MG 11.45 4/5/2018 CC_Pharmacy Pharmacy 1500460 TRAZODONE (DESYREL) TAB: 150MG 11.45 4/5/2018 CC_Pharmacy Pharmacy 1500461 ESCITALOPRAM (LEXAPRO)TAB: 20MG 11.65 4/5/2018 CC_Pharmacy Pharmacy 1500462 FEXOFENADINE(ALLEGRA) TAB: 180MG 11.55 4/5/2018 CC_Pharmacy Pharmacy 1500463 NIFEdipine (NIFEDICAL XL) ER TAB: 60MG 11.55 4/5/2018 CC_Pharmacy Pharmacy 1500464 NITROGLYCERIN TD PATCH ER: 0.2MG/HR 11.65 4/5/2018 CC_Pharmacy Pharmacy 1500465 TACROLIMUS (PROGRAF) CAP: 1MG 11.55 4/5/2018 CC_Pharmacy Pharmacy 1500468 LEVOTHYROXINE (SYNTHROID) TAB: 0.025MG 11.6 4/5/2018 CC_Pharmacy Pharmacy 1500469 MEGESTROL ACETATE ORAL SUS UD 400MG/10ML 13.4 4/5/2018 CC_Pharmacy Pharmacy 1500470 MYCOPHENOLATE (CELLCEPT) TAB: 500MG 11.6 4/5/2018 CC_Pharmacy Pharmacy 1500471 BUMETANIDE (BUMEX) TAB: 1MG 11.65 4/5/2018 CC_Pharmacy Pharmacy 1500472 LEVOTHYROXINE (SYNTHROID) TAB: 0.05MG 11.65 4/5/2018 CC_Pharmacy Pharmacy 1500473 ORPHENADRINE (NORFLEX) ER TAB: 100MG 11.65 4/5/2018 CC_Pharmacy Pharmacy 1500474 OXYBUTYNIN (DITROPAN) TAB: 5MG 11.65 4/5/2018 CC_Pharmacy Pharmacy 1500475 POTASSIUM IODIDE (SSKI) 1G/ML 30ML 11.65 4/5/2018 CC_Pharmacy Pharmacy 1500476 BUMETANIDE (BUMEX) TABLET: 0.5MG 11.7 4/5/2018 CC_Pharmacy Pharmacy 1500477 guaiFENesin (MUCINEX) SR TAB: 600MG 11.75 4/5/2018 CC_Pharmacy Pharmacy 1500478 METOPROLOL SUCC (TOPROL XL) TAB: 50MG 11.7 4/5/2018 CC_Pharmacy Pharmacy 1500479 ENALAPRIL (VASOTEC) TAB: 20MG 11.75 4/5/2018 CC_Pharmacy Pharmacy 1500480 SULFAMETHOX/TRIMETH 200MG/40MG 5ML 11.75 4/5/2018 CC_Pharmacy Pharmacy 1500481 LANSOPRAZOLE (PREVACID) CAP:15MG 11.8 4/5/2018 CC_Pharmacy Pharmacy 1500482 MIRTAZAPINE (REMERON) TAB: 45MG 11.8 4/5/2018 CC_Pharmacy Pharmacy 1500483 NICOTINE Lozenge: 4MG 11.8 4/5/2018 CC_Pharmacy Pharmacy 1500484 SOD/POT/PHOS (PHOS‐NAK) PKT 0.05OZ 11.8 4/5/2018 CC_Pharmacy Pharmacy 1500485 CLINDAMYCIN (CLEOCIN) CAP: 300MG 13.15 4/5/2018 CC_Pharmacy Pharmacy 1500486 LACTULOSE 15ML SYP UD: 10GM/15ML 11.9 4/5/2018 CC_Pharmacy Pharmacy 1500487 BISOPROLOL (ZEBETA) TAB: 5MG 11.95 4/5/2018 CC_Pharmacy Pharmacy 1500488 FLUDROCORTISONE (FLORINEF)TAB: 0.1MG 11.95 4/5/2018 CC_Pharmacy Pharmacy 1500489 KETOPROFEN CREAM 10% 11.95 4/5/2018 CC_Pharmacy Pharmacy 1500490 MECLIZINE (ANTIVERT) TAB: 25MG 11.95 4/5/2018 CC_Pharmacy Pharmacy 1500491 AMITRIPTYLINE (ELAVIL) TAB: 50MG 12.25 4/5/2018 CC_Pharmacy Pharmacy 1500492 BENZO/BUTAM/TETRA (CETACAINE)SPRAY: 20G 12.6 4/5/2018 CC_Pharmacy Pharmacy 1500493 metroNIDAZOLE (FLAGYL) TAB: 500MG 12.55 4/5/2018 CC_Pharmacy Pharmacy 1500494 PHENOBARBITAL TAB: 16.2MG (1/4GR) 12 4/5/2018 CC_Pharmacy Pharmacy 1500495 ACETAMINOPHEN (TYLENOL) SUPP: 325 MG 13.35 4/5/2018 CC_Pharmacy Pharmacy 1500496 CALMOSEPTINE OINTMENT: 3.5GM 12.05 4/5/2018 CC_Pharmacy Pharmacy 1500497 COENZYME Q‐10 CAP: 200MG 12.05 4/5/2018 CC_Pharmacy Pharmacy 1500498 LEVOTHYROXINE (SYNTHROID) TAB: 0.075MG 12.05 4/5/2018 CC_Pharmacy Pharmacy 1500499 MISOPROSTOL(CYTOTEC) TAB: 100MCG 12.05 4/5/2018 CC_Pharmacy Pharmacy 1500500 NIFEdipine (NIFEDICAL) CAP: 10MG 12.05 4/5/2018 CC_Pharmacy Pharmacy 1500501 LEVOTHYROXINE (SYNTHROID) TAB: 0.088MG 12.1 4/5/2018 CC_Pharmacy Pharmacy 1500502 MORPHINE SULF (MS CONTIN) ER TAB:15MG 12.1 4/5/2018 CC_Pharmacy Pharmacy 1500503 NITROGLYCERIN TD PATCH ER: 0.4MG/HR 12.1 4/5/2018 CC_Pharmacy Pharmacy 1500504 TELMISARTAN (MICADRIS) TAB: 40MG 12.1 4/5/2018 CC_Pharmacy Pharmacy 1500505 ENALAPRIL (VASOTEC) TAB: 5MG 12.15 4/5/2018 CC_Pharmacy Pharmacy 1500506 LEVOTHYROXINE (SYNTHROID) TAB: 0.100MG 12.15 4/5/2018 CC_Pharmacy Pharmacy 1500507 LEVOTHYROXINE (SYNTHROID) TAB: 0.112MG 12.2 4/5/2018 CC_Pharmacy Pharmacy 1500508 MORPHINE SULF (MS CONTIN) ER TAB:30MG 12.2 4/5/2018 CC_Pharmacy Pharmacy 1500509 PRIMIDONE (MYSOLINE) TAB: 250MG 12.2 4/5/2018 CC_Pharmacy Pharmacy 1500510 SILVER NITRATE APPLICATOR 12.2 4/5/2018 CC_Pharmacy Pharmacy 1500511 GUAIFEN/COD UD: 100MG/10MG/5ML 12.25 4/5/2018 CC_Pharmacy Pharmacy 1500512 ACETAMINOPHEN (TYLENOL) SUPP: 120MG 12.3 4/5/2018 CC_Pharmacy Pharmacy 1500513 HYDROCORTISONE (CORTEF) TAB: 10MG 12.3 4/5/2018 CC_Pharmacy Pharmacy 1500514 METOPROLOL SUCC (TOPROL XL) TAB: 100MG 12.3 4/5/2018 CC_Pharmacy Pharmacy 1500515 ARMOUR THYROID TAB: 15MG 12.8 4/5/2018 CC_Pharmacy Pharmacy 1500516 LOXAPINE (LOXITANE) CAP: 25MG 12.35 4/5/2018 CC_Pharmacy Pharmacy 1500517 LEVOTHYROXINE (SYNTHROID) TAB: 0.125MG 12.45 4/5/2018 CC_Pharmacy Pharmacy 1500519 oxyCODONE (ROXICODONE) IR TAB: 20 MG 13.35 4/5/2018 CC_Pharmacy Pharmacy 1500520 DIPHEN/ATRO (LOMOTIL) TAB: 2.5MG/0.25MG 12.6 4/5/2018 CC_Pharmacy Pharmacy 1500521 LEVOTHYROXINE (SYNTHROID) TAB: 0.137MG 12.6 4/5/2018 CC_Pharmacy Pharmacy 1500522 LEVOTHYROXINE (SYNTHROID) TAB: 0.15MG 12.6 4/5/2018 CC_Pharmacy Pharmacy 1500523 NITROFURANTOIN (MACRODANTIN) CAP: 50MG 12.75 4/5/2018 CC_Pharmacy Pharmacy 1500524 PHENYTOIN (DILANTIN) CHEW TAB: 50MG 12.65 4/5/2018 CC_Pharmacy Pharmacy 1500525 PRAZOSIN (MINIPRESS) CAP: 2MG 12.65 4/5/2018 CC_Pharmacy Pharmacy 1500526 ACETAMINOPHEN (TYLENOL) SUPP:650MG 12.7 4/5/2018 CC_Pharmacy Pharmacy 1500528 NITROGLYCERIN (NITROSTAT) SL TAB: 0.4MG 12.95 4/5/2018 CC_Pharmacy Pharmacy 1500529 NITROSTAT 0.4MG TAB #25 30 5/10/2018 CC_Pharmacy Pharmacy 1500530 SUMAtriptan (IMITREX) TAB: 50MG 12.75 4/5/2018 CC_Pharmacy Pharmacy 1500531 CIMETIDINE (TAGAMET) TAB: 400MG 12.8 4/5/2018 CC_Pharmacy Pharmacy 1500533 CIPROFLOXACIN(CIPRO)TAB: 250MG 13.6 4/5/2018 CC_Pharmacy Pharmacy 1500535 ALLOPURINOL (ZYLOPRIM) TAB: 300MG 12.9 4/5/2018 CC_Pharmacy Pharmacy 1500536 DOXEPIN (SINEQUAN) CAP: 25MG 12.9 4/5/2018 CC_Pharmacy Pharmacy 1500537 AMOX/CLA (AUGMENTIN) TAB: 500MG 12.95 4/5/2018 CC_Pharmacy Pharmacy 1500538 buPROPion (WELLBUTRIN) TAB:100MG 15.15 4/5/2018 CC_Pharmacy Pharmacy 1500539 CELECOXIB (CELEBREX) CAP: 200MG 12.95 4/5/2018 CC_Pharmacy Pharmacy 1500540 DOXYCYCLINE (VIBRAMYCIN) CAP: 100MG 14.25 4/5/2018 CC_Pharmacy Pharmacy 1500541 ISOSORBIDE DINITRATE (ISORDIL)TAB: 20MG 16.3 4/5/2018 CC_Pharmacy Pharmacy 1500542 SUMAtriptan (IMITREX) TAB: 100MG 13.05 4/5/2018 CC_Pharmacy Pharmacy 1500543 amLOD/VALSAR (EXFORGE) TAB: 5/160MG 13.1 4/5/2018 CC_Pharmacy Pharmacy 1500544 BETHANECHOL ORAL TAB: 25MG 13.1 4/5/2018 CC_Pharmacy Pharmacy 1500545 ARMOUR THYROID TAB: 60MG 13.7 4/5/2018 CC_Pharmacy Pharmacy 1500546 HALOPERIDOL (HALDOL) TAB: 10MG 13.45 4/5/2018 CC_Pharmacy Pharmacy 1500547 LEVOTHYROXINE (SYNTHROID) TAB: 0.200MG 13.15 4/5/2018 CC_Pharmacy Pharmacy 1500548 OXYCO/APAP TAB:10‐325MG (PERCOCET) 13.15 4/5/2018 CC_Pharmacy Pharmacy 1500549 HALOPERIDOL (HALDOL) TAB: 2MG 13.2 4/5/2018 CC_Pharmacy Pharmacy 1500550 MEMANTINE (NAMENDA) TAB: 5MG 13.3 4/5/2018 CC_Pharmacy Pharmacy 1500551 BUTAL/APAP/CAFF(FIORICET) TAB: 50/325/40 18.2 4/5/2018 CC_Pharmacy Pharmacy 1500552 METHIMAZOLE TAB: 10MG 13.25 4/5/2018 CC_Pharmacy Pharmacy 1500553 SPIRONO/HCTZ (ALDACTAZIDE) TAB: 25/25MG 13.25 4/5/2018 CC_Pharmacy Pharmacy 1500554 MIDODRINE (PROAMATINE) TAB: 5MG 13.3 4/5/2018 CC_Pharmacy Pharmacy 1500555 PYRIDOSTIGMINE (MESTINON) TAB: 60MG 13.3 4/5/2018 CC_Pharmacy Pharmacy 1500556 MIRTAZAPINE (REMERON) ODT TAB: 15MG 13.35 4/5/2018 CC_Pharmacy Pharmacy 1500557 PHENAZOPYRIDINE (PYRIDIUM) TAB: 100MG 13.35 4/5/2018 CC_Pharmacy Pharmacy 1500558 CARBAMAZEPINE(TEGRETOL) TAB: 200MG 16.55 4/5/2018 CC_Pharmacy Pharmacy 1500559 NITROGLYCERIN TD PATCH ER: 0.1MG/1HR 13.4 4/5/2018 CC_Pharmacy Pharmacy 1500561 HYDROCORTISONE (CORTEF) TAB: 20MG 13.45 4/5/2018 CC_Pharmacy Pharmacy 1500562 OXYBUTYNIN (DITROPAN XL) ER TAB: 10MG 13.5 4/5/2018 CC_Pharmacy Pharmacy 1500563 amLOD/VALSAR (EXFORGE) TAB: 10/160MG 13.55 4/5/2018 CC_Pharmacy Pharmacy 1500564 HALOPERIDOL (HALDOL) TAB: 5MG 13.55 4/5/2018 CC_Pharmacy Pharmacy 1500565 ALIGN CAP: 4MG 14.65 4/5/2018 CC_Pharmacy Pharmacy 1500567 buPROPion (WELLBUTRIN) TAB:75MG 13.8 4/5/2018 CC_Pharmacy Pharmacy 1500568 CHLORTHALIDONE TAB: 25MG 16.4 4/5/2018 CC_Pharmacy Pharmacy 1500569 DOXYCYCLINE (VIBRAMYCIN) TAB: 100MG 13.65 4/5/2018 CC_Pharmacy Pharmacy 1500570 NYSTATIN (MYCOSTATIN) SUSP 5ML UD 14.85 4/5/2018 CC_Pharmacy Pharmacy 1500571 ADDERALL (DEXTRO/AMPHETAMINE) TAB: 20MG 13.9 4/5/2018 CC_Pharmacy Pharmacy 1500572 NICOTINE TRANS PATCH: 21MG/24HRS 13.9 4/5/2018 CC_Pharmacy Pharmacy 1500573 POLYETHYLENE GLY (MIRALAX) : 17GM 16.15 4/5/2018 CC_Pharmacy Pharmacy 1500574 DULCOLAX RECTAL SUPP: 10MG 14 4/5/2018 CC_Pharmacy Pharmacy 1500575 OXYBUTYNIN (DITROPAN XL) ER TAB: 5MG 14 4/5/2018 CC_Pharmacy Pharmacy 1500576 glyBURIDE (MICRONASE) TAB: 5MG 14.1 4/5/2018 CC_Pharmacy Pharmacy 1500577 DEEP SEA (SALINE NASAL) SPRAY:0.65% 14.2 4/5/2018 CC_Pharmacy Pharmacy 1500578 FEXOFENADINE(ALLEGRA) TAB: 60MG 14.2 4/5/2018 CC_Pharmacy Pharmacy 1500579 OXYMETAZOLINE (AFRIN) NASAL 15ML: 0.05% 14.2 4/5/2018 CC_Pharmacy Pharmacy 1500580 DOXEPIN (SINEQUAN) CAP: 50MG 14.25 4/5/2018 CC_Pharmacy Pharmacy 1500581 FELODIPINE (PLENDIL) ER TAB: 5MG 14.3 4/5/2018 CC_Pharmacy Pharmacy 1500582 OXYCO/APAP TAB:5‐325MG (PERCOCET) 14.35 4/5/2018 CC_Pharmacy Pharmacy 1500583 FENOFIBRATE (TRICOR) TAB: 145MG 14.4 4/5/2018 CC_Pharmacy Pharmacy 1500584 PERMETHRIN CREAM 5% 14.5 4/5/2018 CC_Pharmacy Pharmacy 1500585 MORPHINE SULF (MS CONTIN) ER TAB:60MG 14.55 4/5/2018 CC_Pharmacy Pharmacy 1500586 OXYCODONE ORAL SOLN 5MG/5ML 14.55 4/5/2018 CC_Pharmacy Pharmacy 1500587 CARBAMAZEPINE(TEGRETOL) XR CAP: 200MG 14.65 4/5/2018 CC_Pharmacy Pharmacy 1500588 KETOROLAC (TORODOL) TAB: 10MG 14.7 4/5/2018 CC_Pharmacy Pharmacy 1500589 AMITRIPTYLINE (ELAVIL) TAB: 100MG 15.55 4/5/2018 CC_Pharmacy Pharmacy 1500590 CLARITHROMYCIN (BIAXIN) TAB:500MG 14.85 4/5/2018 CC_Pharmacy Pharmacy 1500591 POTASSIUM CL (KLOR‐CON) ER CAP: 8MEQ 14.9 4/5/2018 CC_Pharmacy Pharmacy 1500592 VENLAFAXIME (EFFEXOR) TAB: 25MG 14.95 4/5/2018 CC_Pharmacy Pharmacy 1500593 ARMOUR THYROID TAB: 90MG 15.95 4/5/2018 CC_Pharmacy Pharmacy 1500594 CALCIUM CARBONATE ORAL SUSP UD1250MG/5ML 20.15 4/5/2018 CC_Pharmacy Pharmacy 1500596 MILK OF MAG SUSP UD: 30ML 18.4 4/5/2018 CC_Pharmacy Pharmacy 1500597 PROGESTERONE (PROMETRIUM) CAP: 100MG 15.2 4/5/2018 CC_Pharmacy Pharmacy 1500598 AZITHROMYCIN (ZITHROMAX) TAB: 500MG 18.1 4/5/2018 CC_Pharmacy Pharmacy 1500599 GI COCKTAIL (MAALOX,LIDO VISC, DONN LIQ) 15.25 3/30/2018 CC_Pharmacy Pharmacy 1500600 GLYCERIN PED SUPPOSITORY 1GM EA 15.25 4/5/2018 CC_Pharmacy Pharmacy 1500601 NITROFURANTOIN (MACROBID) CAP: 100MG 15.3 4/5/2018 CC_Pharmacy Pharmacy 1500602 BUMETANIDE (BUMEX) TAB: 2MG 20.9 4/5/2018 CC_Pharmacy Pharmacy 1500603 DIPHENHY(BENADRYL)ELIX UD 5ML:12.5MG/5ML 15.35 4/5/2018 CC_Pharmacy Pharmacy 1500604 EAR DROPS (DEBROX) OTIC SOL : 6.5% 15.45 4/5/2018 CC_Pharmacy Pharmacy 1500605 ACETAMINOPHEN ELIXIR:160MG/5ML 15.66 4/5/2018 CC_Pharmacy Pharmacy 1500606 SALINE ENEMA (FLEET) 133ML 15.5 4/5/2018 CC_Pharmacy Pharmacy 1500607 HYDROcod/APAP(VICODIN ES) TAB: 7.5/300MG 15.75 4/5/2018 CC_Pharmacy Pharmacy 1500608 FLUCONAZOLE (DIFLUCAN) TAB: 150MG 15.8 4/5/2018 CC_Pharmacy Pharmacy 1500609 NITROFURANTOIN (MACRODANTIN) CAP: 100MG 15.8 4/5/2018 CC_Pharmacy Pharmacy 1500610 AMANTADINE (SYMMETREL) CAP: 100MG 16 4/5/2018 CC_Pharmacy Pharmacy 1500612 DIVALPROEX (DEPAKOTE) ER TAB: 250MG 16.2 4/5/2018 CC_Pharmacy Pharmacy 1500613 FLUCONAZOLE (DIFLUCAN) TAB: 200MG 16.2 4/5/2018 CC_Pharmacy Pharmacy 1500614 GALANTAMINE (RAZADYNE) ER CAP: 24MG 16.25 4/5/2018 CC_Pharmacy Pharmacy 1500615 VERAPAMIL (COVERA‐HS) ER CAP: 120MG 16.35 4/5/2018 CC_Pharmacy Pharmacy 1500616 OXYCODONE HCL IR CAP: 5MG 16.45 4/5/2018 CC_Pharmacy Pharmacy 1500617 RIFAMPIN CAP: 150MG 17 4/5/2018 CC_Pharmacy Pharmacy 1500618 CREON DR CAP: 6,000U 17.35 4/5/2018 CC_Pharmacy Pharmacy 1500619 ESOMEPRAZOLE (NEXIUM) DR CAP: 40MG 16.6 4/5/2018 CC_Pharmacy Pharmacy 1500620 POT CHLORIDE (KLOR‐CON) PACKET : 20MEQ 16.75 4/5/2018 CC_Pharmacy Pharmacy 1500621 PROPRANOLOL (INDERAL LA) CAP: 60MG 17.25 4/5/2018 CC_Pharmacy Pharmacy 1500622 NADOLOL (CORGARD) TAB:20MG 17.3 4/5/2018 CC_Pharmacy Pharmacy 1500623 FENOFIBRATE (TRICOR) TAB: 48MG 17.45 4/5/2018 CC_Pharmacy Pharmacy 1500624 FENOFIBRATE (TRICOR) TAB: 54MG 17.45 4/5/2018 CC_Pharmacy Pharmacy 1500625 ESOMEPRAZOLE (NEXIUM) DR CAP: 20MG 17.5 4/5/2018 CC_Pharmacy Pharmacy 1500626 HYDROcod/APAP SOL: 7.5‐325MG/15ML 17.6 4/5/2018 CC_Pharmacy Pharmacy 1500627 PINK BISMUTH (PEPTO‐BISMOL) SUSP: 17.6 4/5/2018 CC_Pharmacy Pharmacy 1500628 ALAMAG SUSP (MAALOX SUSP): 12OZ 17.7 4/5/2018 CC_Pharmacy Pharmacy 1500629 GERILLANTA (MYLANTA) SUSP 360ML 19.05 4/5/2018 CC_Pharmacy Pharmacy 1500630 DIGOXIN (LANOXIN) TAB: 0.125MG 18.8 4/5/2018 CC_Pharmacy Pharmacy 1500631 DIGOXIN (LANOXIN) TAB: 0.25MG 18.8 4/5/2018 CC_Pharmacy Pharmacy 1500632 HYDROcod/APAP(VICODIN HP)TAB: 10/300MG 17.85 4/5/2018 CC_Pharmacy Pharmacy 1500633 RALOXIFENE (EVISTA) TAB: 60MG 27.9 4/5/2018 CC_Pharmacy Pharmacy 1500634 FELODIPINE (PLENDIL) ER TAB: 10MG 18 4/5/2018 CC_Pharmacy Pharmacy 1500635 NICOTINE TRANS PATCH: 14MG/24HRS 18.05 4/5/2018 CC_Pharmacy Pharmacy 1500636 CALCITRIOL (ROCALTROL) CAP: 0.5MCG 18.15 4/5/2018 CC_Pharmacy Pharmacy 1500637 BuPROPioN (WELLBUTRIN) XL TAB: 150MG 18.5 4/5/2018 CC_Pharmacy Pharmacy 1500638 LEUCOVORIN CALCIUM TAB: 5MG 18.5 4/5/2018 CC_Pharmacy Pharmacy 1500639 PROPRANOLOL (INDERAL) LA CAP: 80MG 18.5 4/5/2018 CC_Pharmacy Pharmacy 1500640 RACEPINEPHRINE INH NEB 2.25 :0.5ML 18.7 4/5/2018 CC_Pharmacy Pharmacy 1500641 NICOTINE TRANS PATCH PATCH: 7MG/24H 18.75 4/5/2018 CC_Pharmacy Pharmacy 1500642 SIMETHICONE (SIMETHICONE) DROP: 40/0.6ML 18.8 4/5/2018 CC_Pharmacy Pharmacy 1500643 ARTIFICIA TEAR (TEARS NATURAL) OPTH:15ML 18.9 4/5/2018 CC_Pharmacy Pharmacy 1500644 METHENAMINE HIPPURATE TAB: 1GM 18.9 4/5/2018 CC_Pharmacy Pharmacy 1500645 CEFUROXIME (CEFTIN) TAB 500MG 19 4/5/2018 CC_Pharmacy Pharmacy 1500646 ZIOPTAN 0.0015% OPHTHALMIC SOLUTION 20.9 4/5/2018 CC_Pharmacy Pharmacy 1500647 LOSARTAN POTASSIUM (COZAAR) TAB: 100MG 9.75 4/5/2018 CC_Pharmacy Pharmacy 1500648 PHENOBARBITAL TAB: 64.8MG (1GR) 13.29 4/5/2018 CC_Pharmacy Pharmacy 1500649 IBUPROFEN (MOTRIN) SUSP: 100MG/5ML 23.55 4/5/2018 CC_Pharmacy Pharmacy 1500651 Cetaphil Lotion 8OZ 9.19 4/5/2018 CC_Pharmacy Pharmacy 1500652 CHLORHEXIDINE (HIBICLENS) 4%; 4OZ 25.5 4/5/2018 CC_Pharmacy Pharmacy 1500653 traMADol (ULTRAM) ER TAB 200MG 21.85 4/5/2018 CC_Pharmacy Pharmacy 1500654 HYDROCORTISONE CREAM 1oz: 1% 20.75 4/5/2018 CC_Pharmacy Pharmacy 1500655 RAMIPRIL (ALTACE) CAP: 5MG 17.69 4/5/2018 CC_Pharmacy Pharmacy 1500656 BIOETEN DRY MOUTH SPRAY 36.4 4/5/2018 CC_Pharmacy Pharmacy 1500657 LORAZAPAM 0.5MG TAB #4 7.72 5/10/2018 CC_Pharmacy Pharmacy 1500658 CHOLESTYRAMINE ORAL SUSP 13.11 4/5/2018 CC_Pharmacy Pharmacy 1500660 METRONIDAZOLE 250MG TAB 5.4 5/10/2018 CC_Pharmacy Pharmacy 1500661 AMOXICILLIN 250MG CAP 4.02 12/3/2018 CC_Pharmacy Pharmacy 1500662 NITROFURANTOIN CAP 11.89 5/10/2018 CC_Pharmacy Pharmacy 1500663 ALBUTEROL NEBULIZER SOL 0.083% UD 2.5MG 12.3 5/10/2018 CC_Pharmacy Pharmacy 1500664 DIPHENHYRDRAMINE 12.5MG/5ML 5.57 5/10/2018 CC_Pharmacy Pharmacy 1500665 PRAZOSIN (MINIPRESS) CAP: 5MG 13.7 4/5/2018 CC_Pharmacy Pharmacy 1500667 ACETAMINOPHEN ELIXIR:160MG/5ML 15.5 4/5/2018 CC_Pharmacy Pharmacy 1500668 metFORMIN (GLUCOPHAGE) ER TAB: 500MG 12.57 4/5/2018 CC_Pharmacy Pharmacy 1500669 TUSSIN DM (ROBITUSSIN DM) UD 5ML 5 4/5/2018 CC_Pharmacy Pharmacy 1500670 SODIUM CITRATE/CITRIC ACID ORAL SOL 15ML 11.29 4/5/2018 CC_Pharmacy Pharmacy 1500671 LIOTHYRONINE (CYTOMEL) TABLET 5MCG 11.28 4/5/2018 CC_Pharmacy Pharmacy 1500675 DUTASTRIDE (AVODART) CAP: 0.5MG 35.7 4/5/2018 CC_Pharmacy Pharmacy 1500676 DULOXETINE(CYMBALTA) DR CAP: 20MG 12.8 4/5/2018 CC_Pharmacy Pharmacy 1500677 EUCERIN TOPICAL CREAM 113G 42.05 4/5/2018 CC_Pharmacy Pharmacy 1500682 NEO/POLY‐B/DEXA (MAXITROL) OPTH OINT 37.6 4/5/2018 CC_Pharmacy Pharmacy 1500683 CLOTRI/BETAM (LOTRISONE) CRM 15GM 74.55 4/5/2018 CC_Pharmacy Pharmacy 1500684 AEROCHAMBER (AEROCHAMBER) 179.2 4/5/2018 CC_Pharmacy Pharmacy 1500685 LEFLUNOMIDE(ARAVA) TAB 20MG 23.4 4/5/2018 CC_Pharmacy Pharmacy 1500686 LINEZOLIDE (ZYVOX) TAB: 600MG 19.3 4/5/2018 CC_Pharmacy Pharmacy 1500687 RABEPRAZOLE (ACIPHEX) TAB: 20MG 19.3 4/5/2018 CC_Pharmacy Pharmacy 1500688 FENOFIBRIC ACID (TRILIPIX) DR CAP: 135MG 19.35 4/5/2018 CC_Pharmacy Pharmacy 1500689 SORE THROAT SPRAY BOTTLE 1.4% 177ML 19.35 4/5/2018 CC_Pharmacy Pharmacy 1500690 POVIDONE (BETADINE) TOPICAL 4OZ 19.45 4/5/2018 CC_Pharmacy Pharmacy 1500691 NADOLOL (CORGARD)TAB 40MG 30.6 4/5/2018 CC_Pharmacy Pharmacy 1500692 PROTECTIVE OINTMENT (SECURA) TUBE 19.7 4/5/2018 CC_Pharmacy Pharmacy 1500693 ACETAZOLAMIDE (DIAMOX) TAB: 250MG 20.75 4/5/2018 CC_Pharmacy Pharmacy 1500695 BuPROPioN (WELLBUTRIN) XL TAB: 300MG 19.8 4/5/2018 CC_Pharmacy Pharmacy 1500696 VALSAR/HCTZ (DIOVAN/HCT) TAB: 80/12.5MG 19.8 4/5/2018 CC_Pharmacy Pharmacy 1500697 LIOTHYRONINE (CYTOMEL) TAB: 0.025MG. 22.8 4/5/2018 CC_Pharmacy Pharmacy 1500698 EYE WASH 4 OZ 20.2 4/5/2018 CC_Pharmacy Pharmacy 1500699 NITROGLYCERIN (NITRO‐BID)OINT 1GM PK 2% 21.15 4/5/2018 CC_Pharmacy Pharmacy 1500700 ZIPRASIDONE (GEODON) CAP: 40MG 20.4 4/5/2018 CC_Pharmacy Pharmacy 1500701 MIDODRINE (PROAMATINE) TAB: 10MG 20.7 4/5/2018 CC_Pharmacy Pharmacy 1500702 METOLAZONE (ZAROXOLYN) TAB: 2.5MG 20.85 4/5/2018 CC_Pharmacy Pharmacy 1500703 CIPROFLOXACIN (CILOXAN) OPTH 2.5ML:0.3% 26.4 4/5/2018 CC_Pharmacy Pharmacy 1500704 OIL ENEMA (FLEET) 133ML 21.3 4/5/2018 CC_Pharmacy Pharmacy 1500705 TEMAZEPAM (RESTORIL) CAP: 7.5MG 58.45 4/5/2018 CC_Pharmacy Pharmacy 1500706 FENOFIBRATE (TRICOR) TAB: 160MG 21.5 4/5/2018 CC_Pharmacy Pharmacy 1500707 ZINC ACETATE CAP 50MG 22.6 4/5/2018 CC_Pharmacy Pharmacy 1500708 ACETAZOLAMIDE (DIAMOX) ER CAP: 500MG 21.7 4/5/2018 CC_Pharmacy Pharmacy 1500709 ACETA/BUTAL/CAF(FIORICET)CAP:300/50/40MG 22.1 4/5/2018 CC_Pharmacy Pharmacy 1500710 ARIPIPRAZOLE (ABILIFY) TAB: 10MG 22.25 4/5/2018 CC_Pharmacy Pharmacy 1500711 ARIPIPRAZOLE (ABILIFY) TAB: 2MG 22.25 4/5/2018 CC_Pharmacy Pharmacy 1500712 ARIPIPRAZOLE (ABILIFY) TAB: 5MG 22.25 4/5/2018 CC_Pharmacy Pharmacy 1500713 NARATRIPTAN (AMERGE) TAB: 2.5MG 22.45 4/5/2018 CC_Pharmacy Pharmacy 1500714 CALAMINE LOTION: 6OZ 23 4/5/2018 CC_Pharmacy Pharmacy 1500715 PROMETH w/ COD SYR UD 5ML 22.55 4/5/2018 CC_Pharmacy Pharmacy 1500716 PROMETHAZINE (PHENERGAN) SYR: 6.25MG/5ML 22.55 4/5/2018 CC_Pharmacy Pharmacy 1500717 TRIAMCINOLONE AC TOP CREAM 15GM: 0.1% 22.65 4/5/2018 CC_Pharmacy Pharmacy 1500718 TRIAMCINOLONE AC TOP OINTM 15GM: 0.1% 23 4/5/2018 CC_Pharmacy Pharmacy 1500719 CREON DR CAP: 12,000U 24.1 4/5/2018 CC_Pharmacy Pharmacy 1500720 AMOX/CLA (AUGMENTIN) 50ML:200‐28.5MG/5ML 46.2 4/5/2018 CC_Pharmacy Pharmacy 1500721 CARBIDOPA/LEVODOPA ER TAB: 50MG‐200MG 22.85 4/5/2018 CC_Pharmacy Pharmacy 1500722 TIMOLOL MALEATE OPHTH SOLN 0.25% 22.9 4/5/2018 CC_Pharmacy Pharmacy 1500723 SOD SULFACET (SULF) OPH SOL: 10% 23.05 4/5/2018 CC_Pharmacy Pharmacy 1500724 oxyCODONE(OXYCONTIN) ER TAB 10MG 24.85 4/5/2018 CC_Pharmacy Pharmacy 1500725 HYDROCORTISONE CREAM: 2.5% 23.35 4/5/2018 CC_Pharmacy Pharmacy 1500726 METAXALONE (SKELAXIN) TAB: 800MG 23.35 4/5/2018 CC_Pharmacy Pharmacy 1500727 HYDROXYCHLOROQUINE TAB: 200MG 23.45 4/5/2018 CC_Pharmacy Pharmacy 1500728 MICONAZOLE 7 DAY VAGINAL CREAM 45GM 33.15 4/5/2018 CC_Pharmacy Pharmacy 1500729 BARIUM SULFATE (E‐Z HD) UD CUP:135ML 24.8 4/5/2018 CC_Pharmacy Pharmacy 1500730 IPRATROPIUM (ATROVENT NEB) 0.02% INH 24.6 4/5/2018 CC_Pharmacy Pharmacy 1500731 AMOX/CLA (AUGMENTIN) TAB: 875MG 24.5 4/5/2018 CC_Pharmacy Pharmacy 1500732 BELLADONA ALK(DONNATAL)ELX: 16.2MG/5ML 24.65 4/5/2018 CC_Pharmacy Pharmacy 1500733 CEFDINIR(OMNICEF) CAP: 300MG 25 4/5/2018 CC_Pharmacy Pharmacy 1500734 ESTRADIOL/NORETH(ACTIVELLA)1MG‐0.5MG TAB 25.35 4/5/2018 CC_Pharmacy Pharmacy 1500735 TROPICAMIDE (MYDRIACYL) OPTH SOL: 1% 25.75 4/5/2018 CC_Pharmacy Pharmacy 1500736 DIVALPROEX (DEPAKOTE) ER TAB: 500MG 25.85 4/5/2018 CC_Pharmacy Pharmacy 1500737 TOBRAMYCIN OPTH SOL 5ML 35.55 4/5/2018 CC_Pharmacy Pharmacy 1500738 AMOXICILLIN (AMOXIL)SUSP 80ML:250MG/5ML 26.2 4/5/2018 CC_Pharmacy Pharmacy 1500739 AMOXICILLIN 125MG/5ML 100ML 7.41 5/10/2018 CC_Pharmacy Pharmacy 1500740 TIMOLOL (BETIMOL) OPHTH SOLN 2.5ML: 0.5% 26.3 4/5/2018 CC_Pharmacy Pharmacy 1500741 THERMACARE HEAT WRAP BACK/HIP 26.35 4/5/2018 CC_Pharmacy Pharmacy 1500742 TIMOLOL MALEATE OPHTH DROP 5ML: 0.5% 26.6 4/5/2018 CC_Pharmacy Pharmacy 1500743 RESTASIS OPHTH EMULSION 0.05% 30.5 4/5/2018 CC_Pharmacy Pharmacy 1500744 VALSARTAN (DIOVAN) TAB: 80MG 30.35 4/5/2018 CC_Pharmacy Pharmacy 1500745 ALENDRONATE (FOSAMAX) TAB: 70MG 27.35 4/5/2018 CC_Pharmacy Pharmacy 1500746 LEVALBUTEROL (XOPENEX) 1.25MG/3ML 27.4 4/5/2018 CC_Pharmacy Pharmacy 1500747 KETOROLAC OPTH SOLN: 0.5% 3ML 28.05 4/5/2018 CC_Pharmacy Pharmacy 1500748 NEBIVOLOL (BYSTOLIC) TAB: 2.5MG 31.1 4/5/2018 CC_Pharmacy Pharmacy 1500749 NEBIVOLOL (BYSTOLIC) TAB: 5MG 31.1 4/5/2018 CC_Pharmacy Pharmacy 1500750 NIACIN (NIASPAN) ER TAB: 1000MG 27.6 4/5/2018 CC_Pharmacy Pharmacy 1500751 DEMECLOCYCLINE (DECLOMYCIN) TAB: 150MG 33 4/5/2018 CC_Pharmacy Pharmacy 1500752 oxyCODONE ER TAB:15MG (OXYCONTIN) 32 4/5/2018 CC_Pharmacy Pharmacy 1500753 GENTAMICIN OPHTH SOLN 0.3%: 5ML 32.65 4/5/2018 CC_Pharmacy Pharmacy 1500754 VALSARTAN (DIOVAN) TAB: 160MG 32.25 4/5/2018 CC_Pharmacy Pharmacy 1500755 AZITHROMYCIN (ZITHROMAX) TAB: 250MG 29.05 4/5/2018 CC_Pharmacy Pharmacy 1500756 ALENDRONATE (FOSAMAX) TAB: 35MG 29.15 4/5/2018 CC_Pharmacy Pharmacy 1500757 PHENYLEPHINE (NEO‐SYNEPH) INH 0.5%; 15ML 29.8 4/5/2018 CC_Pharmacy Pharmacy 1500758 MORPHINE SULF ORAL SOLN 15ML: 20MG/1ML 29.95 4/5/2018 CC_Pharmacy Pharmacy 1500759 DIPHENHYDRAMIN(BENADRYL)CREAM 1OZ:2‐0.1% 30.2 4/5/2018 CC_Pharmacy Pharmacy 1500760 RIVASTIGMINE (EXELON) CAP: 1.5MG 30.2 4/5/2018 CC_Pharmacy Pharmacy 1500761 CROMOLYN SODIUM OPTH SOL 10ML: 4% 30.3 4/5/2018 CC_Pharmacy Pharmacy 1500762 BENZOIN TINCTURE: 60ML 55.6 4/5/2018 CC_Pharmacy Pharmacy 1500763 POLYMYXIN B‐TRIMETHOPRIM10ML OPTH DROPS 30.9 4/5/2018 CC_Pharmacy Pharmacy 1500764 NYSTATIN CREAM 100,000U/GM 33.1 4/5/2018 CC_Pharmacy Pharmacy 1500765 OXYCODONE ORAL SOLUTION: 20MG/1ML 31.25 4/5/2018 CC_Pharmacy Pharmacy 1500766 DESVENLAFAXINE (PRISTIQ) TAB: 100MG 31.85 4/5/2018 CC_Pharmacy Pharmacy 1500767 DESVENLAFAXINE (PRISTIQ) TAB: 50MG 31.85 4/5/2018 CC_Pharmacy Pharmacy 1500768 FLUTICASONE (FLONASE) NASAL SPRAY 16GM 125.1 4/5/2018 CC_Pharmacy Pharmacy 1500769 MYCOPHENOLATE MOFETIL CAPSULE 250MG 31.9 4/5/2018 CC_Pharmacy Pharmacy 1500770 APIXABAN (ELIQUIS) ORAL TAB: 2.5MG 35.4 4/5/2018 CC_Pharmacy Pharmacy 1500771 APIXABAN (ELIQUIS) ORAL TAB: 5MG 35.4 4/5/2018 CC_Pharmacy Pharmacy 1500772 TOLTERODINE (DETROL) TAB: 2MG 36.4 4/5/2018 CC_Pharmacy Pharmacy 1500773 CLOTRIMAZOLE (LOTRIMIN) CREAM 1% 32.2 4/5/2018 CC_Pharmacy Pharmacy 1500774 BALSALAZIDE (COLAZAL) CAP: 750MG 35.5 4/5/2018 CC_Pharmacy Pharmacy 1500775 HYDROPHOR TOPICAL OINT: 100 GRAMS 33.2 4/5/2018 CC_Pharmacy Pharmacy 1500776 oxyCODONE (ROXICODONE) IR TAB: 15 MG 35.2 4/5/2018 CC_Pharmacy Pharmacy 1500777 CHLORPROMAZINE (THORAZINE) TAB 50 MG 33.5 4/5/2018 CC_Pharmacy Pharmacy 1500778 oxyCODONE ER TAB: 20MG (OXYCONTIN) 36.3 4/5/2018 CC_Pharmacy Pharmacy 1500779 VALSARTAN (DIOVAN) TAB: 320MG 36.55 4/5/2018 CC_Pharmacy Pharmacy 1500780 DABIGATRAN (PRADAXA) CAP: 150MG 37.5 4/5/2018 CC_Pharmacy Pharmacy 1500781 DABIGATRAN (PRADAXA) CAP: 75MG 37.5 4/5/2018 CC_Pharmacy Pharmacy 1500782 NITROGLYCERIN TD PATCH ER: 0.3MG/HR 34.3 4/5/2018 CC_Pharmacy Pharmacy 1500783 ACETA/COD(TYLENOL COD) ELX120ML:12MG/5ML 34.4 4/5/2018 CC_Pharmacy Pharmacy 1500785 LIDOCAINE HYDR 2% VISC ORAL SOL 100ml 34.45 4/5/2018 CC_Pharmacy Pharmacy 1500786 ITRACONAZOLE (SPORANOX) CAP: 100MG 40 4/5/2018 CC_Pharmacy Pharmacy 1500787 LEVALBUTEROL (XOPENEX) 0.63MG/3ML 34.7 4/5/2018 CC_Pharmacy Pharmacy 1500788 MESALAMINE (PENTASA) CAP: 500MG 37.75 4/5/2018 CC_Pharmacy Pharmacy 1500789 NILOTINIB (TASIGNA) CAP: 150MG 114.75 4/5/2018 CC_Pharmacy Pharmacy 1500791 LATANOPROST(XALATAN) OP SOL 2.5M: 0.005% 40.1 4/5/2018 CC_Pharmacy Pharmacy 1500792 LUBIPROSTONE (AMITIZA) CAPSULES 24MCG 38 4/5/2018 CC_Pharmacy Pharmacy 1500793 TETRACAINE (PONTOCAINE)OP SOL 0.5% 4ML 57.2 4/5/2018 CC_Pharmacy Pharmacy 1500794 AZILSARTAN (EDARBI) TAB: 40MG 36.65 4/5/2018 CC_Pharmacy Pharmacy 1500795 CEFPODOXIME(VANTIN) 200MG TAB 35.65 4/5/2018 CC_Pharmacy Pharmacy 1500796 ICY HOT CREAM 35.65 3/30/2018 CC_Pharmacy Pharmacy 1500797 RANOLAZINE (RANEXA) ER TAB: 500MG 37.2 4/5/2018 CC_Pharmacy Pharmacy 1500798 TRIAMCINOLONE CREAM 15GM: 0.025% 36.25 4/5/2018 CC_Pharmacy Pharmacy 1500799 PREGABALIN (LYRICA) CAP: 100MG 44.05 4/5/2018 CC_Pharmacy Pharmacy 1500800 PREGABALIN (LYRICA) CAP: 150MG 44.05 4/5/2018 CC_Pharmacy Pharmacy 1500801 PREGABALIN (LYRICA) CAP: 200MG 44.05 4/5/2018 CC_Pharmacy Pharmacy 1500802 PREGABALIN (LYRICA) CAP: 25MG 44.05 4/5/2018 CC_Pharmacy Pharmacy 1500803 PREGABALIN (LYRICA) CAP: 50MG 44.05 4/5/2018 CC_Pharmacy Pharmacy 1500804 PREGABALIN (LYRICA) CAP: 75MG 44.05 4/5/2018 CC_Pharmacy Pharmacy 1500805 OLMESAR/HCTZ (BENICAR/HCT)TAB: 20/12.5MG 41.95 4/5/2018 CC_Pharmacy Pharmacy 1500806 ZINC OXIDE (DESITIN) OINTMENT 113gm TUBE 37.1 4/5/2018 CC_Pharmacy Pharmacy 1500807 LIDOCAINE 2% JELLY (UROJET) 10ML 37.4 4/5/2018 CC_Pharmacy Pharmacy 1500808 levETIRAcetam (KEPPRA) TAB: 250MG 39.45 4/5/2018 CC_Pharmacy Pharmacy 1500809 ARIPIPRAZOLE (ABILIFY) TAB: 15MG 37.6 4/5/2018 CC_Pharmacy Pharmacy 1500810 AMMONIA INHALANT 12/BOX 38 4/5/2018 CC_Pharmacy Pharmacy 1500811 NEW SKIN LIQUID BANDAGE 1OZ 38.65 4/5/2018 CC_Pharmacy Pharmacy 1500812 NYSTATIN TOP POWDER 100,000U/GM 38 4/5/2018 CC_Pharmacy Pharmacy 1500813 PROCHLORPERA(COMPAZINE) SUPP: 25MG 38.05 4/5/2018 CC_Pharmacy Pharmacy 1500814 JANUMET ORAL TABLET 50MG‐500MG 42.8 4/5/2018 CC_Pharmacy Pharmacy 1500815 CELECOXIB (CELEBREX) CAP: 100MG 43.65 4/5/2018 CC_Pharmacy Pharmacy 1500817 MOXIFLOXACIN (AVELOX) TAB: 400 MG 39.85 4/5/2018 CC_Pharmacy Pharmacy 1500818 MUPIROCIN (bactroban) TOP OINT 22GM: 2% 40.1 4/5/2018 CC_Pharmacy Pharmacy 1500819 DRONABINOL LIQ CAP 5MG 54 4/5/2018 CC_Pharmacy Pharmacy 1500820 URSODIOL (ACTIGALL) CAP: 300MG 44.45 4/5/2018 CC_Pharmacy Pharmacy 1500821 KETOTIFEN OPTH SOLN: 0.025% 5ML 46.75 4/5/2018 CC_Pharmacy Pharmacy 1500822 LIDOCAINE TOPICAL JELLY 30ML:2% 82.1 4/5/2018 CC_Pharmacy Pharmacy 1500823 oxyCODONE ER TAB: 30MG (OXYCONTIN) 46.7 4/5/2018 CC_Pharmacy Pharmacy 1500824 VIIBRD 40MG TAB 41.7 4/5/2018 CC_Pharmacy Pharmacy 1500825 AQUAPHOR OINT 3 OZ 41.75 4/5/2018 CC_Pharmacy Pharmacy 1500826 PROMETHAZINE (PHENERGAN) SUPP: 25MG 42.1 4/5/2018 CC_Pharmacy Pharmacy 1500827 PROMETHAZINE (PHENERGAN) SUPP: 12.5MG 42.65 4/5/2018 CC_Pharmacy Pharmacy 1500828 MESALAMINE (ASACOL HD) TAB: 800MG 42.7 4/5/2018 CC_Pharmacy Pharmacy 1500829 fentaNYL (DURAGESIC) PATCH 25MCG/1HR 42.95 4/5/2018 CC_Pharmacy Pharmacy 1500830 PREPARATION H CREAM 26 GM 43.2 4/5/2018 CC_Pharmacy Pharmacy 1500831 SOD/POL/SUL (KAYEXALATE) UD: 15GM/60ML 44.55 4/5/2018 CC_Pharmacy Pharmacy 1500832 ClomIPRAMINE(ANAFRANIL) CAP 25MG 45.3 4/5/2018 CC_Pharmacy Pharmacy 1500833 PEG 3350 ELCTROLYTES (GO‐LYTELY) 4L 45.95 4/5/2018 CC_Pharmacy Pharmacy 1500834 EXELON TD PATCH 9.5MG/24HR 46 4/5/2018 CC_Pharmacy Pharmacy 1500835 LEVALBUTEROL (XOPENEX) 0.31MG/3ML 46.4 4/5/2018 CC_Pharmacy Pharmacy 1500836 CREON DR CAP: 36,000U 50.4 4/5/2018 CC_Pharmacy Pharmacy 1500837 ROFLUMILAST (DALIRESP) TAB: 500MCG 52.9 4/5/2018 CC_Pharmacy Pharmacy 1500838 LIDOCAINE PATCH (LIDODERM): 5% 77.5 4/5/2018 CC_Pharmacy Pharmacy 1500839 MORPHINE SULF ORAL SOLN100ML:10MG/5ML 47.25 4/5/2018 CC_Pharmacy Pharmacy 1500840 DICLOFENAC (VOLTAREN) OPTH DROPS 47.35 4/5/2018 CC_Pharmacy Pharmacy 1500841 DEXLANSOPROZOLE(DEXILANT) DR CAP: 30MG 51.5 4/5/2018 CC_Pharmacy Pharmacy 1500842 DEXLANSOPROZOLE(DEXILANT) DR CAP: 60MG 51.5 4/5/2018 CC_Pharmacy Pharmacy 1500843 LORazepam INTENSOL SOLN 30ML: 2MG/ML 48.25 4/5/2018 CC_Pharmacy Pharmacy 1500844 OLMESARTAN (BENICAR) TAB: 20MG 47.55 4/5/2018 CC_Pharmacy Pharmacy 1500845 OLMESARTAN (BENICAR) TAB: 40MG 47.55 4/5/2018 CC_Pharmacy Pharmacy 1500846 ClomIPRAMINE(ANAFRANIL) CAP 50MG 48.4 4/5/2018 CC_Pharmacy Pharmacy 1500847 COREG CR CAP ER 10MG 51.65 4/5/2018 CC_Pharmacy Pharmacy 1500848 DEMECLOCYCLINE (DECLOMYCIN) TAB: 300MG 55.4 4/5/2018 CC_Pharmacy Pharmacy 1500849 parcalcitol (ZEMPLAR) LIQUID CAP 1MCG 66.1 4/5/2018 CC_Pharmacy Pharmacy 1500850 ARIPIPRAZOLE (ABILIFY) TAB: 20MG 49.35 4/5/2018 CC_Pharmacy Pharmacy 1500851 BUDESONIDE 3MG CAP 96.45 4/5/2018 CC_Pharmacy Pharmacy 1500852 VALSAR/HCTZ (DIOVAN/HCT) TAB: 160/25MG 57.2 4/5/2018 CC_Pharmacy Pharmacy 1500853 GENTAMICIN OPHTH OINT3.5GM: 0.3% 58.6 4/5/2018 CC_Pharmacy Pharmacy 1500855 amLOD/ATORVA (CADUET) TAB: 10/20MG 51.45 4/5/2018 CC_Pharmacy Pharmacy 1500856 DORZOLAMIDE (TRUSOPT) OPHTH SOLN 2% 56.2 4/5/2018 CC_Pharmacy Pharmacy 1500857 RIVAROXABAN (XARELTO) TAB: 10MG 58.1 4/5/2018 CC_Pharmacy Pharmacy 1500858 RIVAROXABAN (XARELTO) TAB: 15MG 58.1 4/5/2018 CC_Pharmacy Pharmacy 1500859 RIVAROXABAN (XARELTO) TAB: 20MG 58.1 4/5/2018 CC_Pharmacy Pharmacy 1500860 ERYTHROMYCIN STERATE 250MG 57.15 4/5/2018 CC_Pharmacy Pharmacy 1500861 DRONEDARONE (MULTAQ) TAB: 400MG 57.3 4/5/2018 CC_Pharmacy Pharmacy 1500862 SILVER SULFA(SILVADENE) CRM 1% 50GM 53.5 4/5/2018 CC_Pharmacy Pharmacy 1500863 FEBUXOSTAT (ULORIC) TAB: 40MG 58.55 4/5/2018 CC_Pharmacy Pharmacy 1500864 EZETIMIBE/SIMVAST (VYTORIN) TAB: 10/20MG 59.1 4/5/2018 CC_Pharmacy Pharmacy 1500865 EZETIMIBE/SIMVAST (VYTORIN) TAB: 10/40MG 59.1 4/5/2018 CC_Pharmacy Pharmacy 1500866 FIORICET/CODEINE CAP: 30/300/50/40 MG 54.95 4/5/2018 CC_Pharmacy Pharmacy 1500867 ERYTHROMYCIN (ERY‐TAB) DR TAB: 500MG 56.7 4/5/2018 CC_Pharmacy Pharmacy 1500868 OFLOXACIN OPTH DROPS 5ML:0.3% 54.5 4/5/2018 CC_Pharmacy Pharmacy 1500869 SOLIFENACIN (VESICARE) TAB: 5MG 62.25 4/5/2018 CC_Pharmacy Pharmacy 1500870 CITRUCEL FIBER PWD FOR SUSP: 2GM/30ML 56.15 4/5/2018 CC_Pharmacy Pharmacy 1500871 fentaNYL (DURAGESIC) PATCH 12MCG/1HR 55.1 4/5/2018 CC_Pharmacy Pharmacy 1500872 VORTIOXETINE (TRINTELLIX) 10MG: TAB 63.8 4/5/2018 CC_Pharmacy Pharmacy 1500873 BARIUM SULFATE (POLIBAR ACB) KIT 56.05 3/30/2018 CC_Pharmacy Pharmacy 1500874 LINACLOTIDE (LINZESS) CAP: 145 MCG 65.6 4/5/2018 CC_Pharmacy Pharmacy 1500875 fentaNYL (DURAGESIC) PATCH 75MCG/1HR 56.6 4/5/2018 CC_Pharmacy Pharmacy 1500876 LINAGLIPTIN (TRADJENTA) TAB: 5MG 63.25 4/5/2018 CC_Pharmacy Pharmacy 1500877 GLUCOSE GEL (GLUTOSE15) 15G 57.05 4/5/2018 CC_Pharmacy Pharmacy 1500878 OLANZAPINE (ZYPREXA ZYDIS) ODT: 5MG 57.15 4/5/2018 CC_Pharmacy Pharmacy 1500879 TOLTERODINE (DETROL LA) ER CAP: 4MG 62.45 4/5/2018 CC_Pharmacy Pharmacy 1500880 SAXAGLIPTIN (ONGLYZA) TAB: 5MG 62.8 4/5/2018 CC_Pharmacy Pharmacy 1500881 DIOVAN HCT ORAL TABLET 320MG‐25MG 66.2 4/5/2018 CC_Pharmacy Pharmacy 1500882 ERYTHROMYCIN OPTH OINT 0.5% 3.5GM 58 4/5/2018 CC_Pharmacy Pharmacy 1500883 ERYTHROMYCIN OPTH OINTMENT 0.5% 3.5GM 24.01 5/10/2018 CC_Pharmacy Pharmacy 1500884 POLYETHYLENE GLY (MIRALAX) : 238GM 58.2 4/5/2018 CC_Pharmacy Pharmacy 1500885 AZITHROMYCIN (ZITHROMAX) SUS: 200/5ML 62.85 4/5/2018 CC_Pharmacy Pharmacy 1500886 LACOSAMIDE (VIMPAT) TAB: 100MG 68.1 4/5/2018 CC_Pharmacy Pharmacy 1500887 MEMANTINE (NAMENDA) XR CAP: 28MG 71.05 4/5/2018 CC_Pharmacy Pharmacy 1500888 TRANSDERM SCOP PATCH 1MG /3 DAYS 62.7 4/5/2018 CC_Pharmacy Pharmacy 1500889 BENZOCAINE (HURRICANE) SOL UD: 20% 64.35 4/5/2018 CC_Pharmacy Pharmacy 1500890 SITAGLIPTIN (JANUVIA) TAB: 100MG 71.8 4/5/2018 CC_Pharmacy Pharmacy 1500891 SITAGLIPTIN (JANUVIA) TAB: 50MG 71.8 4/5/2018 CC_Pharmacy Pharmacy 1500892 HALOPERIDOL CONC: 2MG/ML 63.1 4/5/2018 CC_Pharmacy Pharmacy 1500893 CEPHALEXIN (KEFLEX) SUSP: 250MG/5 ML 63.65 4/5/2018 CC_Pharmacy Pharmacy 1500894 fentaNYL (DURAGESIC) PATCH 50MCG/HRS 65.1 4/5/2018 CC_Pharmacy Pharmacy 1500895 BAC/POLY B OPTH OINT(POLYSPORN) 3.5G 65.7 4/5/2018 CC_Pharmacy Pharmacy 1500897 canagliflozine(INVOKANA) 300MG TAB 76.8 4/5/2018 CC_Pharmacy Pharmacy 1500898 STERILE WATER INJ VIAL: 20ML 70.24 4/5/2018 CC_Pharmacy Pharmacy 1500899 LIDOCAINE HCI‐MPF INJ 2ML: 10MG/ML 70.45 4/5/2018 CC_Pharmacy Pharmacy 1500900 PRASUGREL (EFFIENT) TAB: 10MG 76.05 4/5/2018 CC_Pharmacy Pharmacy 1500901 ESZOPICLONE (LUNESTA) TAB: 3MG 77.7 4/5/2018 CC_Pharmacy Pharmacy 1500902 LIDOCAINE HCI / EPINEPHRINE 1%: 20ML 73.13 4/5/2018 CC_Pharmacy Pharmacy 1500903 LIDOCAINE HCI / EPINEPHRINE 1%: 30ML 81.83 4/5/2018 CC_Pharmacy Pharmacy 1500904 LEVOBUNOLOL (BETAGAN) HCL OPTH SOL 0.5% 73.45 4/5/2018 CC_Pharmacy Pharmacy 1500905 levETIRAcetam (KEPPRA) TAB: 1000MG 77.9 4/5/2018 CC_Pharmacy Pharmacy 1500906 RISERDRONATE (ACTONEL) TAB 35MG 73.75 4/5/2018 CC_Pharmacy Pharmacy 1500907 NEO/POLY‐B/DEX (MAXITROL) OPTH SUSP 5ML 74.55 4/5/2018 CC_Pharmacy Pharmacy 1500908 ACETIC ACID OTIC 15ML 76.85 4/5/2018 CC_Pharmacy Pharmacy 1500909 AZELASTINE (OPTIVAR) OPHTH SOLN 0.05% 77.4 4/5/2018 CC_Pharmacy Pharmacy 1500910 EZ CHAR PELLETS 78.35 4/5/2018 CC_Pharmacy Pharmacy 1500911 OLANZAPINE (ZYPREXA ZYDIS) ODT: 10MG 78.85 4/5/2018 CC_Pharmacy Pharmacy 1500912 ACTIVATED CHARCOAL SUSP: 25G/120ML 98 4/5/2018 CC_Pharmacy Pharmacy 1500913 SEROQUEL XR ORAL TAB ER 200MG 80.6 4/5/2018 CC_Pharmacy Pharmacy 1500914 BACTROBAN NASAL OINT 1GM PKT 80.9 4/5/2018 CC_Pharmacy Pharmacy 1500915 POTASSIUM CHLORIDE 20MEQ/15ML ORAL SOLN 31.9 4/5/2018 CC_Pharmacy Pharmacy 1500916 IBANDRONATE(BONIVA) TAB: 150MG 130.55 4/5/2018 CC_Pharmacy Pharmacy 1500917 LACRI LUBE OPHTHALMIC OINTMENT 92.15 4/5/2018 CC_Pharmacy Pharmacy 1500918 EXELON TD PATCH ER 4.6MG/24HR 96.25 4/5/2018 CC_Pharmacy Pharmacy 1500919 IPRATROPIUM (ATROVENT) NASAL SPRAY 0.06% 109 4/5/2018 CC_Pharmacy Pharmacy 1500920 SILVASORB GEL 91.4 4/5/2018 CC_Pharmacy Pharmacy 1500921 VENTOLIN HFA (ALBUTEROL) INHALER 8GM 97.95 4/5/2018 CC_Pharmacy Pharmacy 1500922 RASAGILINE (AZILECT) TAB: 0.5MG 106.3 4/5/2018 CC_Pharmacy Pharmacy 1500923 RASAGILINE (AZILECT) TAB: 1MG 106.3 4/5/2018 CC_Pharmacy Pharmacy 1500924 KETOCONAZOLE (NIZORAL) CREAM 2%: 15GM 96.9 4/5/2018 CC_Pharmacy Pharmacy 1500925 COLCHICINE (COLCRYS) 0.6MG TAB 99.75 4/5/2018 CC_Pharmacy Pharmacy 1500926 PROPARACAINE/FLUO OPTH DROPS 159 4/5/2018 CC_Pharmacy Pharmacy 1500927 CINACALCET (SENSIPAR) TAB: 30MG 118.65 4/5/2018 CC_Pharmacy Pharmacy 1500928 cloNIDine (CATAPRES TTS‐2) PATCH: 0.2MG 114.85 4/5/2018 CC_Pharmacy Pharmacy 1500929 MAGIC MOUTHWASH 117.25 3/30/2018 CC_Pharmacy Pharmacy 1500930 INVEGA ORAL EXTENDED RELEASE TAB 3MG 159.2 4/5/2018 CC_Pharmacy Pharmacy 1500931 MODAFINIL(PROVIGIL) TAB: 100MG 146.25 4/5/2018 CC_Pharmacy Pharmacy 1500932 DARIFENACIN (ENABLEX) TAB ER: 15MG 148.15 4/5/2018 CC_Pharmacy Pharmacy 1500933 ITRACONAZOLE (SPORANOX) TAB: 200MG 151.85 4/5/2018 CC_Pharmacy Pharmacy 1500934 cloNIDine (CATAPRES TTS‐1) PATCH: 0.1MG 152.3 4/5/2018 CC_Pharmacy Pharmacy 1500935 TOBRAMYCIN/DEXAMETH OPTH SUSP 2.5ML 155.15 4/5/2018 CC_Pharmacy Pharmacy 1500936 ADVAIR HFA INH: 230MCG/21MCG 170.8 4/5/2018 CC_Pharmacy Pharmacy 1500937 SULFACETAMIDE SOD OPTH SOL 10% 163.05 4/5/2018 CC_Pharmacy Pharmacy 1500938 DICLOFENAC NA (VOLTAREN) GEL 100GM:1% 166.85 4/5/2018 CC_Pharmacy Pharmacy 1500939 HYDROCORTISONE AC (ANUSOL) SUP: 25MG 175.55 4/5/2018 CC_Pharmacy Pharmacy 1500940 DESMOPRESSIN(DDAVP)NASAL SPRAY 5ML 382.75 4/5/2018 CC_Pharmacy Pharmacy 1500941 APRACLONIDINE(IOPIDINE) 0.5% OPTH SOL 177.65 4/5/2018 CC_Pharmacy Pharmacy 1500942 LIDOCAINE/PRILOCAINE(EMLA) 30G CREAM 178.2 4/5/2018 CC_Pharmacy Pharmacy 1500943 PREDNISOLONE ACETATE OPHTH SUSP 1% 178.55 4/5/2018 CC_Pharmacy Pharmacy 1500944 ATROPINE (ISOPTO ATRO) OPTH SOL 1%:5ML 203.1 4/5/2018 CC_Pharmacy Pharmacy 1500945 IODOSORB GEL 255.65 4/5/2018 CC_Pharmacy Pharmacy 1500946 ESTROGEN CONJ (PREMARIN) TAB: 0.625MG 211.5 4/5/2018 CC_Pharmacy Pharmacy 1500947 AMOX/CLA (AUGMENTIN) 75ML:250‐62.5MG/5ML 191.7 4/5/2018 CC_Pharmacy Pharmacy 1500948 NEO/POLY‐B/GRAM (NEOSPORIN) OPTH SOLN 198.65 4/5/2018 CC_Pharmacy Pharmacy 1500950 VANCOMYCIN ORAL SOL:50MG/ML 198.8 3/30/2018 CC_Pharmacy Pharmacy 1500951 TIOTROPIUM BROMIDE (SPIRIVA) 18MCG CAP 200.55 4/5/2018 CC_Pharmacy Pharmacy 1500952 TOBRAMYCIN (TOBREX) OPTH OINT 0.3% 239.35 4/5/2018 CC_Pharmacy Pharmacy 1500953 AZITHROMYCIN(ZITHROMAX)SUSP PKT 1GM 225.05 4/5/2018 CC_Pharmacy Pharmacy 1500954 METHERGINE TAB: 0.2 MG 313.55 4/5/2018 CC_Pharmacy Pharmacy 1500955 VITAMIN K (MEPHYTON) TAB: 5MG 233.95 4/5/2018 CC_Pharmacy Pharmacy 1500956 PILOCARPINE(ISOPTOCARPINE) OPTH SOL 2% 277.3 4/5/2018 CC_Pharmacy Pharmacy 1500957 THROMBIN (RECOTHROM) TOPICAL 5000 UNITS 255.85 4/5/2018 CC_Pharmacy Pharmacy 1500958 FLUTICASONE (FLOVENT) DISKUS: 100MCG 293.75 4/5/2018 CC_Pharmacy Pharmacy 1500959 GATIFLOXACIN(ZYMAR)OPTH SOLN 0.5% 2.5ML 263.15 4/5/2018 CC_Pharmacy Pharmacy 1500960 BACITRACIN OPTH OINT 3.5GM 274.35 4/5/2018 CC_Pharmacy Pharmacy 1500961 FLUOROMETHOLONE OPTH SUSP 0.1% 265.5 4/5/2018 CC_Pharmacy Pharmacy 1500962 XOPENEX HFA INHALER 270.15 4/5/2018 CC_Pharmacy Pharmacy 1500963 EZETIMIBE (ZETIA) TAB: 10MG 282.2 4/5/2018 CC_Pharmacy Pharmacy 1500964 NYSTATA/TRIAM (MYCOLOG II) OINT: 15GRAMS 288.85 4/5/2018 CC_Pharmacy Pharmacy 1500965 MOMETASONE TWISTHALER ( ASMANEX): 110MCG 291.8 4/5/2018 CC_Pharmacy Pharmacy 1500966 NITROGLYCERIN SL SPRAY 304.85 4/5/2018 CC_Pharmacy Pharmacy 1500967 CLOBETASOL PROPIONATE OINT30GM 0.05% 295.75 4/5/2018 CC_Pharmacy Pharmacy 1500968 NEO/POLY HC OTIC 1% SUSP: 10ML 296.45 4/5/2018 CC_Pharmacy Pharmacy 1500969 PILOCARPINE (ISOPTOCAR) OPTH SOL1% 308.8 4/5/2018 CC_Pharmacy Pharmacy 1500970 NEO/POLY HC OTIC 1% SOLN: 10ML 313.45 4/5/2018 CC_Pharmacy Pharmacy 1500971 BREO ELLIPTA 28 INHALTIONS 200/25 325.3 4/5/2018 CC_Pharmacy Pharmacy 1500972 BSS (BSS) OPTH SOL:15ML 324.35 4/5/2018 CC_Pharmacy Pharmacy 1500973 NEO/POLY/DE (MAXITROL) OPTH OINT: 3.5G 375.05 4/5/2018 CC_Pharmacy Pharmacy 1500974 FLUTICASON/SALMET (ADVAIR)INH 14U:100/50 404.2 4/5/2018 CC_Pharmacy Pharmacy 1500975 FLUTICASON/SALMET (ADVAIR)INH 14U:250/50 404.2 4/5/2018 CC_Pharmacy Pharmacy 1500976 Loteprednol (ALREX) 0.2% OPTH SUSP: 5ML 410.6 4/5/2018 CC_Pharmacy Pharmacy 1500977 ADVAIR HFA INH: 115MCG/21MCG 377.95 4/5/2018 CC_Pharmacy Pharmacy 1500978 FLUOROMETHOLONE OPTH OINT 0.1% 421.25 4/5/2018 CC_Pharmacy Pharmacy 1500979 BRIMONIDINE (ALPHAGAN P) OPHTH:0.1%:5ML 422.35 4/5/2018 CC_Pharmacy Pharmacy 1500980 oxyCODONE(ROXICODON)ORAL SOL30ML:20MG/ML 357.5 4/5/2018 CC_Pharmacy Pharmacy 1500981 SEREVENT DISKUS DISK 0.046MG/ACT 424 4/5/2018 CC_Pharmacy Pharmacy 1500982 CIPRODEX OTIC SUSP: 7.5ML 419.5 4/5/2018 CC_Pharmacy Pharmacy 1500983 FLUTICASON/SALMET (ADVAIR)INH 14U:500/50 438.35 4/5/2018 CC_Pharmacy Pharmacy 1500984 TOBRAMYCIN/DEXAMETHASONE OPTH 3MG/1MG 413.25 4/5/2018 CC_Pharmacy Pharmacy 1500985 PULMICORT180MCG(BUDESONIDE) FLEXHALER 437.75 4/5/2018 CC_Pharmacy Pharmacy 1500986 COMBIGAN OPHTH SOLN 0.2%‐0.5% 464.55 4/5/2018 CC_Pharmacy Pharmacy 1500987 NEOMYCIN (NEOMYCIN) TAB: 500MG 394.7 4/5/2018 CC_Pharmacy Pharmacy 1500988 SYMBICORT INH AER 10.2GM:160MCG‐4.5MCG 607.65 4/5/2018 CC_Pharmacy Pharmacy 1500989 SYMBICORT INH AER 6GM:160MCG‐4.5MCG/DOSE 441.35 4/5/2018 CC_Pharmacy Pharmacy 1500990 fentaNYL (DURAGESIC) PATCH 100MCG/1HR 402.45 4/5/2018 CC_Pharmacy Pharmacy 1500991 ALVIMOPAN (ENTEREG) CAP:12MG 481.85 4/5/2018 CC_Pharmacy Pharmacy 1500992 MOMETASONE TWISTHALER (ASMANEX): 220MCG 433.1 4/5/2018 CC_Pharmacy Pharmacy 1500993 ZOVIRAX 5% TOPICAL APPLICATION CREAM 411.5 4/5/2018 CC_Pharmacy Pharmacy 1500994 QVAR 40MCG (BECLOMETHASONE) INHALER 420.25 4/5/2018 CC_Pharmacy Pharmacy 1500995 QVAR 80MCG (BECLOMETHASONE) INHALER 420.25 4/5/2018 CC_Pharmacy Pharmacy 1500996 PULMICORT 90MCG(BUDESONIDE) FLEXHALER 489.2 4/5/2018 CC_Pharmacy Pharmacy 1500997 TRAVOPROST OPHTH SOL(TRAVATAN Z) 0.004% 488.45 4/5/2018 CC_Pharmacy Pharmacy 1500998 NEPAFENAC (ILEVRO) OPTH 1.7ML: 0.3% 487.15 4/5/2018 CC_Pharmacy Pharmacy 1500999 NEPAFENAC (NEVANAC) OPTH SOLN 3ML 490.05 4/5/2018 CC_Pharmacy Pharmacy 1501000 BIMATOPROST(LUMIGAN) OPH SOL2.5ML: 0.01% 436.95 4/5/2018 CC_Pharmacy Pharmacy 1501001 BIMATOPROST(LUMIGAN) OPH SOL3ML: 0.03% 436.95 4/5/2018 CC_Pharmacy Pharmacy 1501002 FLUTICASONE (FLOVENT) HFA IN: 44MCG 441.35 4/5/2018 CC_Pharmacy Pharmacy 1501003 LOTEPREDNOL (LOTEMAX) OPTH GEL 0.5% 443.15 4/5/2018 CC_Pharmacy Pharmacy 1501004 DIFLUPREDNATE (DUREZOL) OPTH 0.05% 444.2 4/5/2018 CC_Pharmacy Pharmacy 1501005 OLOPATADINE(PATADAY)0.2% OPTH SOLN 339.8 4/5/2018 CC_Pharmacy Pharmacy 1501006 OLOPATADINE(PATANOL)0.1% OPTH SOLN 523.65 4/5/2018 CC_Pharmacy Pharmacy 1501007 MOMETASONE FUROATE (NASONEX): 50MCG 483.3 4/5/2018 CC_Pharmacy Pharmacy 1501008 OLOPATADINE(PAZEO)0.7% OPTH SOLN 476.9 4/5/2018 CC_Pharmacy Pharmacy 1501009 BRINZOLAMIDE (AZOPT) OPHTH SUSP 1%:10ML 544.95 4/5/2018 CC_Pharmacy Pharmacy 1501010 ESTRACE VAGINAL CREAM 42.5GM 0.1% 602.9 4/5/2018 CC_Pharmacy Pharmacy 1501011 BETAXOLOL (BETOPTIC S) OPHT SUSP 0.25% 591.8 4/5/2018 CC_Pharmacy Pharmacy 1501012 IPRATROP/ALBUTEROL (COMBIVENT) RESPIMAT 527.7 4/5/2018 CC_Pharmacy Pharmacy 1501013 DULERA INHALER: 100MCG/5MCG 596.15 4/5/2018 CC_Pharmacy Pharmacy 1501014 DULERA INHALER: 200MCG/5MCG 596.15 4/5/2018 CC_Pharmacy Pharmacy 1501015 TIOTROPIUM (SPIRIVA respimat)Inhaler 4GM 683.95 4/5/2018 CC_Pharmacy Pharmacy 1501016 DESONIDE 0.05% TOPICAL LOTION 601.95 4/5/2018 CC_Pharmacy Pharmacy 1501017 BRIMONIDINE (ALPHAGAN P) OPHTH:0.15%:15M 606.25 4/5/2018 CC_Pharmacy Pharmacy 1501018 FLUTICASONE PROP (FLOVENT)HFA IN: 220MCG 686.05 4/5/2018 CC_Pharmacy Pharmacy 1501019 IPRATROPIUM (ATROVENT HFA)17MCG 12.9GM 686.7 4/5/2018 CC_Pharmacy Pharmacy 1501020 COCAINE SOLUTION 4ML: 4% 711.16 4/5/2018 CC_Pharmacy Pharmacy 1501021 EXENATIDE(BYETTA) SUB Q SOLN: 5MCG 1134.15 4/5/2018 CC_Pharmacy Pharmacy 1501022 SUCRALFATE (CARAFATE) SUSP 1GM/10ML 32.35 4/5/2018 CC_Pharmacy Pharmacy 1501023 LEFLUNOMIDE(ARAVA) TAB 10MG 34.45 4/5/2018 CC_Pharmacy Pharmacy 1501024 rizatriptan (Maxalt) ODT tab 10mg 31.47 4/5/2018 CC_Pharmacy Pharmacy 1501025 MIRABEGRON (MYRBETRIQ) TAB 25MG 46.79 4/5/2018 CC_Pharmacy Pharmacy 1501026 LEVOFLOXACIN (LEVAQUIN)ORAL SOL: 25MG/ML 40.59 4/5/2018 CC_Pharmacy Pharmacy 1501027 AZELASTINE (ASTELIN) 0.1% NASAL SPRAY 60.98 4/5/2018 CC_Pharmacy Pharmacy 1501028 LATUDA 40MG TAB 171.6 4/5/2018 CC_Pharmacy Pharmacy 1501029 MEDIHONEY GEL 80% 52.8 4/5/2018 CC_Pharmacy Pharmacy 1501030 PROAIR RespiClick (ALBUTEROL) INH 215.1 4/5/2018 CC_Pharmacy Pharmacy 1501031 BRIMONIDINE (ALPHAGAN) OPHTH 5ML:0.2% 93.1 4/5/2018 CC_Pharmacy Pharmacy 1501032 THEOPHYLLINE ER CAP 300MG 96.11 4/5/2018 CC_Pharmacy Pharmacy 1501033 INCRUSE ELLIPTA INH POWD 62.5MCG 473.83 4/5/2018 CC_Pharmacy Pharmacy 1501034 INCRUSE ELLIPTA INH POWD 62.5MCG 206.4 4/5/2018 CC_Pharmacy Pharmacy 1501035 NYSTATIN OINT: 30GRAMS 110.55 4/5/2018 CC_Pharmacy Pharmacy 1501036 PERFOROMIST INH SOLN 20MCG/2ML 26.44 4/5/2018 CC_Pharmacy Pharmacy 1501039 GUAIFENESIN W/CODEINE LIQUID 60ML 10.14 5/10/2018 CC_Pharmacy Pharmacy 1501040 TYLENOL #3 TAB 5.37 5/10/2018 CC_Pharmacy Pharmacy 1501041 CLONAZEPAM TAB 6.79 5/10/2018 CC_Pharmacy Pharmacy 1501043 PROMETHAZINE/CODEINE SYRUP 60ML 28.95 5/10/2018 CC_Pharmacy Pharmacy 1501045 SILVER SULFA(SILVADENE) CRM 1% 25GM 34.85 4/5/2018 CC_Pharmacy Pharmacy 1501046 NICOTINE GUM: 4MG #10 100.4 4/5/2018 CC_Pharmacy Pharmacy 1501047 OSELTAMIVIR (TAMIFLU) 6MG/ML ORAL SUSP 425.52 4/5/2018 CC_Pharmacy Pharmacy 1501049 IBUPROFEN TAB 5 5/10/2018 CC_Pharmacy Pharmacy 1501050 AZITHROMYCIN 200MG/5ML 15ML 62.85 5/10/2018 CC_Pharmacy Pharmacy 1501051 CLINDAMYCIN 300MG CAP 19.86 5/10/2018 CC_Pharmacy Pharmacy 1501052 METRONIDAZOLE GEL TOP 0.75% 45GM 250.3 4/5/2018 CC_Pharmacy Pharmacy 1501053 ETHYL CHLORIDE (GEBAUER'S) 103.5 ML 110.3 4/5/2018 CC_Pharmacy Pharmacy 1501054 CHLORHEXIDINE GLUCONATE 4% SOLN 28 4/5/2018 CC_Pharmacy Pharmacy 1501055 TICAGRELOR (BRILINTA) TAB 90MG 36.75 4/5/2018 CC_Pharmacy Pharmacy 1501056 MORPHINE SULF ER CAP:20MG 28.25 4/5/2018 CC_Pharmacy Pharmacy 1501057 BENZO/BUTAM/TETRA (CETACAINE)SPY UD 5GM 199.19 4/5/2018 CC_Pharmacy Pharmacy 1501070 M‐M‐R II Vaccine 345.42 4/5/2018 CC_Pharmacy Pharmacy 1501071 DIGIBIND (DIGOXINE IMMUNE) VL :40MG 6065 4/5/2018 CC_Pharmacy Pharmacy 1501076 ENOXAPARIN (LOVENOX) SYRN: 40 MG/0.4 ML 83.88 4/5/2018 CC_Pharmacy Pharmacy 1501077 CEFEPIME HYDROCHL (MAXIPIME) : 2GM 121.1 4/5/2018 CC_Pharmacy Pharmacy 1501078 DIPHENHYDRAM (BENADRYL) INJ:50MG/ML 68.09 4/5/2018 CC_Pharmacy Pharmacy 1501079 DEPO‐PROVERA (DEPO‐PROVERA)INJ:150MG/ML 690.22 4/5/2018 CC_Pharmacy Pharmacy 1501080 NITROPRUSSIDE(NITROPRESS)SDV2ML: 25MG/ML 1865 4/5/2018 CC_Pharmacy Pharmacy 1501081 DEXAMETHASONE (DECADRON) TAB: 4MG 11.8 4/5/2018 CC_Pharmacy Pharmacy 1501082 ANASTROZOLE (ARIMIDEX) TAB: 1MG 10.4 4/5/2018 CC_Pharmacy Pharmacy 1501083 FLUCONAZOLE/NS PREMIX IVPB: 200MG/100ML 119.6 4/5/2018 CC_Pharmacy Pharmacy 1501084 predniSONE (PREDNISONE) TAB: 20MG 10.4 4/5/2018 CC_Pharmacy Pharmacy 1501085 predniSONE (PREDNISONE) TAB: 5MG 10.4 4/5/2018 CC_Pharmacy Pharmacy 1501086 predniSONE (PREDNISONE) TAB: 1MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1501087 predniSONE (PREDNISONE) TAB: 10MG 10.5 4/5/2018 CC_Pharmacy Pharmacy 1501088 buPROPion (WELLBUTRIN) SR TAB: 150MG 10.65 4/5/2018 CC_Pharmacy Pharmacy 1501089 ONDANSETRON (ZOFRAN) TAB: 8MG 13.95 4/5/2018 CC_Pharmacy Pharmacy 1501090 AZATHIOPRINE (IMURAN) TAB: 50MG 13.55 4/5/2018 CC_Pharmacy Pharmacy 1501092 PROCHLORPERAZINE (COMPAZINE) TAB: 5MG 10.95 4/5/2018 CC_Pharmacy Pharmacy 1501093 DEXAMETHASONE (DECADRON) TAB: 1MG 10.9 4/5/2018 CC_Pharmacy Pharmacy 1501094 PROCHLORPERAZINE (COMPAZINE) TAB: 10MG 11.5 4/5/2018 CC_Pharmacy Pharmacy 1501095 buPROPion (WELLBUTRIN) SR TAB: 200MG 20.8 4/5/2018 CC_Pharmacy Pharmacy 1501096 ONDANSETRON (ZOFRAN) ODT: 8MG 18.45 4/5/2018 CC_Pharmacy Pharmacy 1501097 METHYLPRED (SOLU‐MEDROL) INJ: 40MG 90.22 4/5/2018 CC_Pharmacy Pharmacy 1501098 ONDANSETRON (ZOFRAN) ODT: 4MG 13.1 4/5/2018 CC_Pharmacy Pharmacy 1501099 CYCLOSPORINE GCAP: 50MG 14.85 4/5/2018 CC_Pharmacy Pharmacy 1501100 METHYLNALTREXONE(RELISTOR)12MG/0.6 MLSYR 509.1 4/5/2018 CC_Pharmacy Pharmacy 1501101 BUDESONIDE (PULMICORT)NEB: 0.5MG/2ML 34.75 4/5/2018 CC_Pharmacy Pharmacy 1501102 ACETYLCYSTEINE(ORAL/INH MUCOMY): 6G/30ML 43.35 4/5/2018 CC_Pharmacy Pharmacy 1501103 ACETYLCYSTEINE ORAL/INH SOL: 1GM/10ML 43.1 4/5/2018 CC_Pharmacy Pharmacy 1501104 CYCLOPHOSPHAMIDE CAP: 50MG 51.4 4/5/2018 CC_Pharmacy Pharmacy 1501105 OSELTAMIVIR (TAMIFLU) CAP: 75MG 57.55 4/5/2018 CC_Pharmacy Pharmacy 1501106 ONDANSETRON (ZOFRAN) MDV: 2MG/ML 20ML 65.77 4/5/2018 CC_Pharmacy Pharmacy 1501107 ENALAPRILAT (VASOTEC) IV: 2.5MG/2ML 92.04 4/5/2018 CC_Pharmacy Pharmacy 1501108 ONDANSETRON (ZOFRAN) SDV 2ML: 2MG/ML 66.52 4/5/2018 CC_Pharmacy Pharmacy 1501109 SODIUM CHLORIDE 0.9% FLUSH SYR 66.76 4/5/2018 CC_Pharmacy Pharmacy 1501110 metroNIDAZOLE (FLAGYL) PREM: 500MG/100ML 89.02 4/5/2018 CC_Pharmacy Pharmacy 1501111 SODIUM CHLORIDE BD 0.9% POSIFLUSH 10ML 0 4/5/2018 CC_Pharmacy Pharmacy 1501112 LORazepam (ATIVAN) SYRINGE: 2MG/ML 77.49 4/5/2018 CC_Pharmacy Pharmacy 1501113 OSELTAMIVIR (TAMIFLU) CAP: 30MG 70.1 4/5/2018 CC_Pharmacy Pharmacy 1501114 DIPRIVAN (PROPOFOL) 10MG/ML 50ML 145.64 4/5/2018 CC_Pharmacy Pharmacy 1501115 FERRIC GLUCONATE (FERRLECIT) IV: 62.5MG 141.26 4/5/2018 CC_Pharmacy Pharmacy 1501116 MIDAZOLAM (VERSED) VL: 1MG/ML 5ML 69.56 4/5/2018 CC_Pharmacy Pharmacy 1501117 MMR/V (PROQUAD) SYR : 0.5 LF 716.27 4/5/2018 CC_Pharmacy Pharmacy 1501118 SODIUM CHLORIDE 0.9% INJ: 10ML VIAL 68.79 4/5/2018 CC_Pharmacy Pharmacy 1501119 fentaNYL 50MCG/ML VL 2ML 68.46 4/5/2018 CC_Pharmacy Pharmacy 1501120 STERILE WATER INJ: 10ML VIAL 69.13 4/5/2018 CC_Pharmacy Pharmacy 1501121 MIDAZOLAM (VERSED) VL: 5MG/ML 1ML 68.79 4/5/2018 CC_Pharmacy Pharmacy 1501122 HALOPERIDOL (HALDOL) INJ: 5MG/ML 96.9 4/5/2018 CC_Pharmacy Pharmacy 1501123 DEXAMETHASONE (DECADRON) 4MG/ML 1ML 69.87 4/5/2018 CC_Pharmacy Pharmacy 1501124 HYDROMORPHONE(DILAUDID) SDV: 2MG/ML 73.52 4/5/2018 CC_Pharmacy Pharmacy 1501126 BACTERIOSTATIC WATER INJ: 30ML VIAL 70.79 4/5/2018 CC_Pharmacy Pharmacy 1501128 MORPHINE SULF(DURAMORPH)10ML:5MG/10ML 180.91 4/5/2018 CC_Pharmacy Pharmacy 1501129 DEXAMETHASONE (DECADRON) 4MG/ML 5ML 70.19 4/5/2018 CC_Pharmacy Pharmacy 1501130 DEXAMETHASONE (DECADRON) 10MG/ML 70.24 4/5/2018 CC_Pharmacy Pharmacy 1501131 FERRIC CARBOXYMALTOSE (INJECTAFER) 750MG 2438.12 4/5/2018 CC_Pharmacy Pharmacy 1501132 HEPARIN LOCK INJ SYRINGE 100U/ML: 5ML 0 4/5/2018 CC_Pharmacy Pharmacy 1501133 HEPARIN LOCK INJ: 100UN/ML 1mL MDV 0 4/5/2018 CC_Pharmacy Pharmacy 1501134 HEPARIN SOD INJ: 5,000UN/ML 70.27 4/5/2018 CC_Pharmacy Pharmacy 1501135 METHOTREXATE (RHEUMATREX) TAB: 2.5MG 21 4/5/2018 CC_Pharmacy Pharmacy 1501136 METOPROLOL TART (LOPRESSOR) VL: 5MG/5ML 78.83 4/5/2018 CC_Pharmacy Pharmacy 1501137 PROMETHAZINE (PHENERGAN) VL: 25MG/1ML 70.51 4/5/2018 CC_Pharmacy Pharmacy 1501138 PHENYTOIN (DILANTIN) SDV 2ML: 100MG/2ML 71.22 4/5/2018 CC_Pharmacy Pharmacy 1501139 LIDOCAINE HCI 2%: MPF 100MG/5ML 71.92 4/5/2018 CC_Pharmacy Pharmacy 1501140 MORPHINE SULF INJ SYR 1ML:4MG/ML 73.97 4/5/2018 CC_Pharmacy Pharmacy 1501141 LIDOCAINE HCI MDV 1% 20ML : 10MG/ML 69.93 4/5/2018 CC_Pharmacy Pharmacy 1501143 KETOROLAC (TORADOL) INJ: 60MG/2ML 76.75 4/5/2018 CC_Pharmacy Pharmacy 1501144 OXYTOCIN (PITOCIN) VL: 10 UNITS/ML 73.7 4/5/2018 CC_Pharmacy Pharmacy 1501145 BUPIVACAINE MPF (MARCAINE)INJ 30ML:0.5% 72.71 4/5/2018 CC_Pharmacy Pharmacy 1501146 TERBUTALINE (BRETHINE) 1MG/ML 72.79 4/5/2018 CC_Pharmacy Pharmacy 1501147 DEXTROSE 5% / NS INJ: 1000ML BAG 103.66 4/5/2018 CC_Pharmacy Pharmacy 1501148 MORPHINE SULF INJ SYR 1ML:2MG/ML 150.22 4/5/2018 CC_Pharmacy Pharmacy 1501149 MORPHINE SULF INJ SYR 1ML:5MG/1ML 93.1 4/5/2018 CC_Pharmacy Pharmacy 1501150 MANNITOL 20% IV 500ML 179.95 4/5/2018 CC_Pharmacy Pharmacy 1501151 HEPARIN SOD INJ: 10,000UN/ML SDV 74.69 4/5/2018 CC_Pharmacy Pharmacy 1501152 LIDOCAINE HCI 2%: 20ML VIAL 20MG/ML 70.72 4/5/2018 CC_Pharmacy Pharmacy 1501153 KETOROLAC (TORADOL) INJ: 30MG/1ML 87.84 4/5/2018 CC_Pharmacy Pharmacy 1501154 DILTIAZEM (CARDIZEM) IV: 25MG/5ML 78.33 4/5/2018 CC_Pharmacy Pharmacy 1501155 DEXTROSE 50% 25G INJ: 50ML VIAL 78.58 4/5/2018 CC_Pharmacy Pharmacy 1501156 ENGERIX‐B (HEPATITIS B) PED INJ:10MCG 133.34 4/5/2018 CC_Pharmacy Pharmacy 1501157 LABETALOL (TRANDATE) VL 20ML: 5MG/ML 65.77 4/5/2018 CC_Pharmacy Pharmacy 1501158 ADENOSINE INJ VL: 3MG/ML 2ML 77.46 4/5/2018 CC_Pharmacy Pharmacy 1501159 LUPRON DEPOT (LEUPROLIDE) INJ: 22.5MG 8311.1 4/5/2018 CC_Pharmacy Pharmacy 1501160 BUPIVACAINE/EPI MPF INJ 30ML: 0.25% 77.59 4/5/2018 CC_Pharmacy Pharmacy 1501161 ROCURONIUM (ZEMURON) 10MG/ML 5ML VIAL 78.79 4/5/2018 CC_Pharmacy Pharmacy 1501162 ENOXAPARIN (LOVENOX) SYRN: 60 MG/0.6 ML 93.33 4/5/2018 CC_Pharmacy Pharmacy 1501163 FUROSEMIDE (LASIX) IV: 40MG/4ML 79.21 4/5/2018 CC_Pharmacy Pharmacy 1501164 LINEZOLID (ZYVOX) PREMIX: 600MG/300ML 567.28 4/5/2018 CC_Pharmacy Pharmacy 1501165 PROMETHAZINE (PHENERGAN) AMP: 25MG/ML 160.78 4/5/2018 CC_Pharmacy Pharmacy 1501166 LIDOCAINE HCI 2%: 20MG/ML10ML MDV 75.07 4/5/2018 CC_Pharmacy Pharmacy 1501167 PROPOFOL (DIPRIVAN) 10MG/ML 10ML 80.74 4/5/2018 CC_Pharmacy Pharmacy 1501168 AZITHROMYCIN (ZITHROMAX) VIAL IV: 500MG 81.42 4/5/2018 CC_Pharmacy Pharmacy 1501169 RANITIDINE (ZANTAC) INJ: 50MG/2ML 113.07 4/5/2018 CC_Pharmacy Pharmacy 1501170 FUROSEMIDE (LASIX) IV: 20MG/2ML 81.79 4/5/2018 CC_Pharmacy Pharmacy 1501172 PANTOPRAZOLE(PROTONIX) IV VIAL 40MG 82.67 4/5/2018 CC_Pharmacy Pharmacy 1501173 PROTONIX IV PWD FOR SOLN: 40MG 82.67 4/5/2018 CC_Pharmacy Pharmacy 1501174 BUTORPHANOL (STADOL): 1MG/ML 84.68 4/5/2018 CC_Pharmacy Pharmacy 1501175 LIDOCAINE HCI / EPINEPHRINE 2%: 20ML 94.59 4/5/2018 CC_Pharmacy Pharmacy 1501176 LIDOCAINE/D5W INJ 500ML:4MG/ML 80.48 4/5/2018 CC_Pharmacy Pharmacy 1501178 MORPHINE SULF INJ VL 1ML:10MG/ML 74.74 4/5/2018 CC_Pharmacy Pharmacy 1501179 DOXY 100 INTRAVENOUS PWD FOR SOLN 100 2518 4/5/2018 CC_Pharmacy Pharmacy 1501180 cefTRIAXone (ROCEPHIN) VL 250MG 83.67 4/5/2018 CC_Pharmacy Pharmacy 1501181 ENOXAPARIN (LOVENOX) SYRN: 80 MG/0.8 ML 102.78 4/5/2018 CC_Pharmacy Pharmacy 1501182 DTaP (DAPTACEL) SYR : 0.5 LF 204.35 4/5/2018 CC_Pharmacy Pharmacy 1501183 VIT B‐12 (CYANOCOBALA) : 1000MCG/ML 101.52 4/5/2018 CC_Pharmacy Pharmacy 1501184 CefaZOLIN (ANCEF) PWVL: 1GM 84.61 4/5/2018 CC_Pharmacy Pharmacy 1501185 BUPIVA/EPI (SENSOR/EPI) VIAL 50ML:0.5% 84.93 4/5/2018 CC_Pharmacy Pharmacy 1501186 hydrALAZINE (APRESOLINE) INJ: 20MG/ML 127.39 4/5/2018 CC_Pharmacy Pharmacy 1501187 PHENYTOIN (DILANTIN) SDV 5ML: 250MG/5ML 88.92 4/5/2018 CC_Pharmacy Pharmacy 1501188 ACYCLOVIR (ZOVIRAX) INJ VL: 500MG 157.08 4/5/2018 CC_Pharmacy Pharmacy 1501189 KETAMINE (KETALAR) MDV 100MG/ML 5ML VIAL 116.15 4/5/2018 CC_Pharmacy Pharmacy 1501190 HYDROXYZINE HCL 50MG/ML VIAL 119.8 4/5/2018 CC_Pharmacy Pharmacy 1501191 GENTAMICIN (GARAMYCIN) 2ML VL : 40MG/ML 86.1 4/5/2018 CC_Pharmacy Pharmacy 1501192 cefTRIAXone (ROCEPHIN) VL 500MG 88.03 4/5/2018 CC_Pharmacy Pharmacy 1501193 AMIODARONE INJECTION SDV 3ML:50MG/ML 86.29 4/5/2018 CC_Pharmacy Pharmacy 1501194 METHYLPRED (SOLU‐MEDROL) VL: 125MG 105.14 4/5/2018 CC_Pharmacy Pharmacy 1501195 FLUVESTRANT (FASLODEX) 50 MG/1ML: 500MG 3789.7 4/5/2018 CC_Pharmacy Pharmacy 1501196 AMPICILLIN/SULBACTAM (UNASYN) IV 1.5GM 86.82 4/5/2018 CC_Pharmacy Pharmacy 1501197 EPOETIN (PROCRIT) MDV VIAL: 20,000UN/ML 1554.65 4/5/2018 CC_Pharmacy Pharmacy 1501198 BUPIVACAINE (MARCAINE) INJ:0.5% 50ML MDV 89.8 4/5/2018 CC_Pharmacy Pharmacy 1501199 MAGNESIUM VIAL: 5GM/10ML 89.02 4/5/2018 CC_Pharmacy Pharmacy 1501200 CEFOTAXIME (CLAFORAN) VIAL: 500MG 90.06 4/5/2018 CC_Pharmacy Pharmacy 1501201 OCTREOTIDE (SANDOSTATIN) 50MCG/ML VIAL 88.51 4/5/2018 CC_Pharmacy Pharmacy 1501202 LEVOFLOXACIN (LEVAQUIN) PREMIX 750MG/150 91.54 4/5/2018 CC_Pharmacy Pharmacy 1501203 PHENYLEPH (NEO‐SYNEPH) 10MG/ML VL 88.92 4/5/2018 CC_Pharmacy Pharmacy 1501204 CEFUROXIME (ZINACEF) VL: 1500MG 89.02 4/5/2018 CC_Pharmacy Pharmacy 1501205 MANNITOL (OSMITROL) 12.5GM 50ML 74.84 4/5/2018 CC_Pharmacy Pharmacy 1501206 MIDAZOLAM (VERSED) VL: 1MG/ML 2ML 68.72 4/5/2018 CC_Pharmacy Pharmacy 1501207 AMPICILLIN 1GM IV VIAL 89.18 4/5/2018 CC_Pharmacy Pharmacy 1501208 CLINDAMYCIN (CLEOCIN) VIAL :300MG/2ML 89.4 4/5/2018 CC_Pharmacy Pharmacy 1501209 FUROSEMIDE (LASIX) IV: 100MG/10ML 89.55 4/5/2018 CC_Pharmacy Pharmacy 1501210 NALBUPHINE (NUBAIN) INJ 1 ML AMP:10MG 90.6 4/5/2018 CC_Pharmacy Pharmacy 1501211 NALOXONE (NARCAN) SYR:2MG2/ML 203.93 4/5/2018 CC_Pharmacy Pharmacy 1501212 PROPOFOL (DIPRIVAN) 10MG/ML 20ML 111.33 4/5/2018 CC_Pharmacy Pharmacy 1501213 LEVOFLOXACIN (LEVAQUIN) PREMIX: 500MG 104.82 4/5/2018 CC_Pharmacy Pharmacy 1501214 CLINDAMYCIN (CLEOCIN) VIAL :600MG/4ML 91.56 4/5/2018 CC_Pharmacy Pharmacy 1501215 INTRALIPID INJ 250ML:20% 143.81 4/5/2018 CC_Pharmacy Pharmacy 1501216 VALPROATE SODIUM INJ: 500 MG 91.8 4/5/2018 CC_Pharmacy Pharmacy 1501217 VANCOMYCIN (VIAL) IV 500MG 92.17 4/5/2018 CC_Pharmacy Pharmacy 1501218 ATROPINE (ATROPEN) VIAL:1MG/ML 1ML 95.82 4/5/2018 CC_Pharmacy Pharmacy 1501219 FAMOTIDINE (PEPCID) INJ: 20MG/2ML 68.78 4/5/2018 CC_Pharmacy Pharmacy 1501220 POTASSIUM CHLORIDE 20mEq/NS INJ:1L BAG 93.18 4/5/2018 CC_Pharmacy Pharmacy 1501221 DIPRIVAN (PROPOFOL) 10MG/ML 50ML 92.54 4/5/2018 CC_Pharmacy Pharmacy 1501222 AMPICILLIN/SULBACTAM (UNASYN)/NS 3GM 92.59 4/5/2018 CC_Pharmacy Pharmacy 1501223 CIPROFLOXACIN(CIPRO)PREMIX: 200MG/100ML 93.14 4/5/2018 CC_Pharmacy Pharmacy 1501224 ephEDRINE INJ 50MG/ML 1ML AMP 282.55 4/5/2018 CC_Pharmacy Pharmacy 1501225 ACETYLCYSTEINE (INH): 800MG/4ML 93.87 4/5/2018 CC_Pharmacy Pharmacy 1501226 AMPICILLIN 2GM IV VIAL 94.16 4/5/2018 CC_Pharmacy Pharmacy 1501227 BUPIVACAINE/EPI MPF 0.5% 30ML 94.22 4/5/2018 CC_Pharmacy Pharmacy 1501228 LIDOCAINE HCI 2%: 100MG/5ML PREFILL‐SYR 84.42 4/5/2018 CC_Pharmacy Pharmacy 1501229 BUPIVACAINE (MARCAINE) INJ 10ML:0.25% 96.16 4/5/2018 CC_Pharmacy Pharmacy 1501230 HEPARIN SOD INJ: 20,000UN/ML 94.82 4/5/2018 CC_Pharmacy Pharmacy 1501231 CLINDAMYCIN (CLEOCIN) VIAL :900MG/6ML 95.29 4/5/2018 CC_Pharmacy Pharmacy 1501232 CEFOTAXIME (CLAFORAN) VIAL: 1 GM 110.5 4/5/2018 CC_Pharmacy Pharmacy 1501233 DEXTROSE 50% 25G INJ: 50ML SYRINGE 104.52 4/5/2018 CC_Pharmacy Pharmacy 1501234 CEFOXITIN (MEFOXIN) 1 GM VIAL 100.2 4/5/2018 CC_Pharmacy Pharmacy 1501235 CIPROFLOXACIN(CIPRO)PREMIX: 400MG/200ML 98.57 4/5/2018 CC_Pharmacy Pharmacy 1501236 METHYLPRED (SOLU‐MEDROL) VL: 1GM 221.5 4/5/2018 CC_Pharmacy Pharmacy 1501237 POTASSIUM CHLORIDE 40mEq INJ: 20ML VIAL 102.71 4/5/2018 CC_Pharmacy Pharmacy 1501238 VANCOMYCIN VL 1GM 100.62 4/5/2018 CC_Pharmacy Pharmacy 1501239 HYDROCORTISONE(SOLU‐CORTEF) INJ 100MG 115.21 4/5/2018 CC_Pharmacy Pharmacy 1501240 NABI‐HB 312U/ML; 1ML SDV 665.15 4/5/2018 CC_Pharmacy Pharmacy 1501241 EPINEPHrine (EpiPen) 0.3MG AUTO INJ 1226.2 4/5/2018 CC_Pharmacy Pharmacy 1501242 DOPamine (INTROPIN) PREMIX 400MG/250ML 117.47 4/5/2018 CC_Pharmacy Pharmacy 1501243 CEFEPIME HYDROCHL (MAXIPIME) : 1GM 102.91 4/5/2018 CC_Pharmacy Pharmacy 1501244 POTASSIUM CHLORIDE 20mEq/NS INJ: 100ML 104.21 4/5/2018 CC_Pharmacy Pharmacy 1501245 SODIUM CHLORIDE 0.9% INJ: 1000ML BAG 103.42 4/5/2018 CC_Pharmacy Pharmacy 1501246 TUBERSOL TB (PPD) INJ: 5UN/0.1ML 10TEST 104.4 4/5/2018 CC_Pharmacy Pharmacy 1501247 CEFTAZIDIME (FORTAZ) INJ: 1GM 103.29 4/5/2018 CC_Pharmacy Pharmacy 1501248 CefaZOLIN (ANCEF) premix: 2 GM 108.9 4/5/2018 CC_Pharmacy Pharmacy 1501249 LIDOCAINE 4% TOPICAL 40MG/ML 5ML 82.94 4/5/2018 CC_Pharmacy Pharmacy 1501250 MORPHINE SULF INJ SYR 1ML:10MG/ML 74.01 4/5/2018 CC_Pharmacy Pharmacy 1501251 AMIKACIN INJ VL: 500MG/2ML 104.87 4/5/2018 CC_Pharmacy Pharmacy 1501252 PHENYLEPH (Vazculep) 10MG/ML INJ 105.18 4/5/2018 CC_Pharmacy Pharmacy 1501253 cefTRIAXone (ROCEPHIN) VL 1GM 106.16 4/5/2018 CC_Pharmacy Pharmacy 1501254 SODIUM BICARB VIAL: 8.4% 50mEq/50ML 110.17 4/5/2018 CC_Pharmacy Pharmacy 1501255 GLYCOPYRROLATE VL: 0.2MG/ML 1 ML 106.48 4/5/2018 CC_Pharmacy Pharmacy 1501256 CALCIUM CHLORIDE SYR 10ML:100MG/ML 106.96 4/5/2018 CC_Pharmacy Pharmacy 1501257 DOBUTamine (DOBUTREX)250MG VIAL 107.4 4/5/2018 CC_Pharmacy Pharmacy 1501258 BACITRACIN INJ 50,000 UNITS VL 107.61 4/5/2018 CC_Pharmacy Pharmacy 1501259 ROPIVACAINE (NAROPIN) SDV: 0.5% 30ML 107.71 4/5/2018 CC_Pharmacy Pharmacy 1501260 SODIUM BICARB SYR: 8.4% 50mEq/50ML 112.63 4/5/2018 CC_Pharmacy Pharmacy 1501261 ENALAPRILAT (VASOTEC) IV: 1.25MG/ML 65.83 4/5/2018 CC_Pharmacy Pharmacy 1501262 TRIAMCIN(KENALOG‐40) SDV 1ML: 40MG/ML 113.51 4/5/2018 CC_Pharmacy Pharmacy 1501263 PIPERACILL/TAZOBA (ZOSYN) VL: 4.5GM 110.21 4/5/2018 CC_Pharmacy Pharmacy 1501264 ATROPINE (SYRINGE): 0.1MG/ML 10ML 110.53 4/5/2018 CC_Pharmacy Pharmacy 1501265 CISATRACURIUM (NIMBEX) SDV 5ML:2MG/ML 132.7 4/5/2018 CC_Pharmacy Pharmacy 1501266 SUMAtriptan (IMITREX) INJ: 6MG/0.5ML 111.17 4/5/2018 CC_Pharmacy Pharmacy 1501267 VITAMIN B1 (THIAMINE) VL: 100MG/ML 2ML 129.67 4/5/2018 CC_Pharmacy Pharmacy 1501268 CALCIUM GLUCO 10%: 1GM/10ML 112.09 4/5/2018 CC_Pharmacy Pharmacy 1501269 SODIUM BICARB SYR: 8.4% 50mEq/50ML 115.51 4/5/2018 CC_Pharmacy Pharmacy 1501270 VECURONIUM (NORCURON) VIAL: 10MG 112.99 4/5/2018 CC_Pharmacy Pharmacy 1501271 MAGNESIUM SULF SDV 2 ML: 1GM/2ML 88.23 4/5/2018 CC_Pharmacy Pharmacy 1501272 ADENOSINE INJ SYR: 3MG/ML 2ML 114.84 4/5/2018 CC_Pharmacy Pharmacy 1501273 DOPamine HCL INJECTION 80MG/ML 83.35 4/5/2018 CC_Pharmacy Pharmacy 1501274 AMINOPHYLLINE VIAL: 250MG/10ML 118.04 4/5/2018 CC_Pharmacy Pharmacy 1501275 POLYMYXIN B INJ 500,000 UNITS 135.57 4/5/2018 CC_Pharmacy Pharmacy 1501277 DEPO‐MEDROL 80MG/ML SDVL 135.09 4/5/2018 CC_Pharmacy Pharmacy 1501278 DEPO‐MEDROL 80MG/ML SDVL 135.08 4/5/2018 CC_Pharmacy Pharmacy 1501281 NITROPRUSSIDE SOD INJ: 50MG/2ML 2601.08 4/5/2018 CC_Pharmacy Pharmacy 1501282 Cleocin Premix (D5W) 50ml: 900mg 123.31 4/5/2018 CC_Pharmacy Pharmacy 1501283 PROCHLOR (COMPAZINE)VIAL 10MG/2ML 124.42 4/5/2018 CC_Pharmacy Pharmacy 1501284 EPOETIN (EPOGEN) SDV : 20,000UN/ML 1345.3 4/5/2018 CC_Pharmacy Pharmacy 1501285 EXENATIDE(BYETTA) SYR 2.4ML: 10MCG 2006.63 4/5/2018 CC_Pharmacy Pharmacy 1501286 TYPHOID (VIVOTIFF) TY 21A CAP 131.97 4/5/2018 CC_Pharmacy Pharmacy 1501287 IOPAMIDOL (ISOVUE 370) 100ML BTLE :76% 145.5 4/5/2018 CC_Pharmacy Pharmacy 1501288 HEPARIN/D5W: 25000U/250ML 133.18 4/5/2018 CC_Pharmacy Pharmacy 1501289 ENOXAPARIN (LOVENOX) MDV: 300 MG/3 ML 291.91 4/5/2018 CC_Pharmacy Pharmacy 1501290 PROPOFOL (DIPRIVAN) 10MG/ML 100ML 204.92 4/5/2018 CC_Pharmacy Pharmacy 1501291 cefTRIAXone (ROCEPHIN) VL 2GM 134.53 4/5/2018 CC_Pharmacy Pharmacy 1501292 DEPO‐TESTERONE 200MG/ML 1ML VL 134.99 4/5/2018 CC_Pharmacy Pharmacy 1501293 PROTAMINE SULFATE 50MG/5ML INJ 140.09 4/5/2018 CC_Pharmacy Pharmacy 1501294 NATALIZUMAB (TYSABRI): 300 MG/15 ML 12440 4/5/2018 CC_Pharmacy Pharmacy 1501295 tranexamic (CYKLOKAPRON) 1000MG/10ML SDV 139.41 4/5/2018 CC_Pharmacy Pharmacy 1501296 SODIUM PHOSPHATE INJ 15ML VIAL:3mM/ML 140.76 4/5/2018 CC_Pharmacy Pharmacy 1501297 FILGRASTIM (NEUPOGEN) INJ: 300MCG/1ML 1291.62 4/5/2018 CC_Pharmacy Pharmacy 1501298 CISATRACURIUM (NIMBEX) MDV10ML:2MG/ML 141.39 4/5/2018 CC_Pharmacy Pharmacy 1501299 VECURONIUM (NORCURON) VIAL 20MG 142.39 4/5/2018 CC_Pharmacy Pharmacy 1501300 HETASTARCH/NACL(HESPAN) IV 500ML:6‐0.9% 169.67 4/5/2018 CC_Pharmacy Pharmacy 1501302 PIPERACILL/TAZOBA (ZOSYN) VL: 3.375GM 152.12 4/5/2018 CC_Pharmacy Pharmacy 1501303 SUCCINYLCH (ANECTINE) 20MG/ML 10ML IV 154.24 4/5/2018 CC_Pharmacy Pharmacy 1501304 TETANUS/DIPHTHERIA TOX VIAL : 0.5 ML 158.44 4/5/2018 CC_Pharmacy Pharmacy 1501305 INSULIN LISPRO‐HUMALOG KWIKPEN MIX 75/25 168.37 4/5/2018 CC_Pharmacy Pharmacy 1501306 INSULIN LISPRO‐HUMALOG VIAL MIX 75/25 308.93 4/5/2018 CC_Pharmacy Pharmacy 1501307 INSULIN NPH (HUMULIN N) 100U/ML 3ML VIAL 74.64 4/5/2018 CC_Pharmacy Pharmacy 1501308 NITHIODOTE 729 4/5/2018 CC_Pharmacy Pharmacy 1501309 BUMETANIDE (BUMEX) IV VL: 1MG/4ML 162.7 4/5/2018 CC_Pharmacy Pharmacy 1501310 DIAZEPAM (VALIUM) 2ML SYR: 5MG/ML 165.13 4/5/2018 CC_Pharmacy Pharmacy 1501311 DTAP/HepB/IP(PEDIARIX) SYR : 0.5 LF 383.37 4/5/2018 CC_Pharmacy Pharmacy 1501312 NOREPINEPHRIN (LEVOPHED) VIAL: 4MG/4ML 168.21 4/5/2018 CC_Pharmacy Pharmacy 1501313 SOLU‐CORTEF INJ 2ML VL 250MG/VL 179.61 4/5/2018 CC_Pharmacy Pharmacy 1501314 COSYNTROPIN (CORTROSYN) INJ: 0.25MG 168.78 4/5/2018 CC_Pharmacy Pharmacy 1501315 METOCLOPRAMIDE (REGLAN) VL: 10MG/2ML 70.5 4/5/2018 CC_Pharmacy Pharmacy 1501316 HEPATITIS A PED (VAQTA VACC) INJ: 175.66 4/5/2018 CC_Pharmacy Pharmacy 1501317 Meninigoccal CONJUGATE (MENACTRA) 0.5ML 536.61 4/5/2018 CC_Pharmacy Pharmacy 1501318 Hib‐PRP‐T (HIBERIX) :0.5ML 176.86 3/30/2018 CC_Pharmacy Pharmacy 1501319 HIB (PedvaxHib) :0.5ML 186.26 4/5/2018 CC_Pharmacy Pharmacy 1501320 OCTREOTIDE ACETA (SANDOSTATIN) 100MCG/ML 190.48 4/5/2018 CC_Pharmacy Pharmacy 1501321 TRIMETHOBENZAMIDE(tigan) INJ: 200mg/2ml 213.92 4/5/2018 CC_Pharmacy Pharmacy 1501322 IRON SUCROSE(VENOFER) 20MG/ML VL : 10ML 431.07 4/5/2018 CC_Pharmacy Pharmacy 1501323 FLUMAZENIL (ROMAZICON) 0.1MG/ML 5ML VIAL 86.68 4/5/2018 CC_Pharmacy Pharmacy 1501324 DEXMEDETOMIDINE (PRECEDEX) 200MCG/2ML VL 194.12 4/5/2018 CC_Pharmacy Pharmacy 1501325 VERAPAMIL (CALAN) VIAL: 5MG/2ML 196.16 4/5/2018 CC_Pharmacy Pharmacy 1501326 DIGOXIN (LANOXIN) AMP: 500MCG/2ML 198.07 4/5/2018 CC_Pharmacy Pharmacy 1501327 DIAZEPAM (VALIUM) 10ML VIAL:5MG/ML 225.33 4/5/2018 CC_Pharmacy Pharmacy 1501328 DTaP (INFANRIX) SYRINGE : 0.5 LF 171.56 4/5/2018 CC_Pharmacy Pharmacy 1501329 METHYLPRED (SOLU‐MEDROL) VL: 500MG 180.4 4/5/2018 CC_Pharmacy Pharmacy 1501330 ENOXAPARIN (LOVENOX) SYRN: 30 MG/0.3 ML 79.16 4/5/2018 CC_Pharmacy Pharmacy 1501332 NALOXONE (NARCAN) VL: 0.4MG/ML 138.66 4/5/2018 CC_Pharmacy Pharmacy 1501333 IPRATROPIUM 0.02% UD NEB SOLUTION 47.06 5/10/2018 CC_Pharmacy Pharmacy 1501334 GLYCOPYRROLATE MDV: 0.2MG/ML 5 ML 206.9 4/5/2018 CC_Pharmacy Pharmacy 1501335 TOBRAMYCIN INJ : 40MG/ML 2ML VIAL 208.06 4/5/2018 CC_Pharmacy Pharmacy 1501336 ATROPINE (ATROPEN) :0.4MG/ML 20ML VIAL 214.48 4/5/2018 CC_Pharmacy Pharmacy 1501337 TETANUS DIPT(TENIVAC) ADULT SYR : 0.5 LF 217.44 4/5/2018 CC_Pharmacy Pharmacy 1501339 PHYSOSTIGMINE 1MG/ML INJ 256.82 4/5/2018 CC_Pharmacy Pharmacy 1501340 Tdap (BOOSTRIX) 0.5ML SYR 233.4 4/5/2018 CC_Pharmacy Pharmacy 1501341 PROTAMINE SULFATE 10MG/ML 235.03 4/5/2018 CC_Pharmacy Pharmacy 1501342 IMIPENEM/CILASTA(PRIMAXIN) 500MG VIAL 229.45 4/5/2018 CC_Pharmacy Pharmacy 1501343 VITAMIN K (AQUAMYPHTON) AMP: 10MG/ML 261.99 4/5/2018 CC_Pharmacy Pharmacy 1501345 ZIPRASIDONE (GEODON) IM INJ: 20MG/ML 280.14 4/5/2018 CC_Pharmacy Pharmacy 1501346 AMIODARONE(NEXTERON)PRE‐MIX: 150MG/100ML 242.16 4/5/2018 CC_Pharmacy Pharmacy 1501349 ACETAMINOPHEN (OFIRMEV) INJ 1000MG/100ML 263.43 4/5/2018 CC_Pharmacy Pharmacy 1501350 DEPO‐TESTOSTERONE MDV 10ML:200MG/ML 253.6 4/5/2018 CC_Pharmacy Pharmacy 1501351 Tdap (ADACEL) 0.5ML SYR 257.5 4/5/2018 CC_Pharmacy Pharmacy 1501352 AMPHOTERICIN B 50 MG VIAL 257.38 4/5/2018 CC_Pharmacy Pharmacy 1501353 KCENTRA MR KIT NO STRENGTH‐1IU 2599.25 4/5/2018 CC_Pharmacy Pharmacy 1501354 BENZTROPINE(COGENTIN) AMPS INJ 2MG/2ML 270.39 4/5/2018 CC_Pharmacy Pharmacy 1501355 DT‐PEDIATRIC(DIPTHERIA/TETANUS) ADS 0.5 304.75 4/5/2018 CC_Pharmacy Pharmacy 1501356 AMIODARONE(NEXTERON)PRE‐MIX: 360MG/200ML 282.48 4/5/2018 CC_Pharmacy Pharmacy 1501357 EPINEPHrine 0.15MG AUTO INJ 1645.8 4/5/2018 CC_Pharmacy Pharmacy 1501358 EDARAVONE(RADICAVA)PREMIX: 30MG/100ML 1741.58 4/5/2018 CC_Pharmacy Pharmacy 1501359 HEP‐B ADULT (ENGERIX‐B) :20MCG/ML 305.88 4/5/2018 CC_Pharmacy Pharmacy 1501360 ENOXAPARIN (LOVENOX) SYRN: 100 MG/ ML 208.38 4/5/2018 CC_Pharmacy Pharmacy 1501361 ROTAVIRUS (ROTATEQ)RV5 ORAL 10X2ML 322.2 4/5/2018 CC_Pharmacy Pharmacy 1501362 ADRENAL (EPINEPHrine) : 1MG/ML 30ML VIAL 303.05 4/5/2018 CC_Pharmacy Pharmacy 1501363 MVI‐12 (INFUVITE) INJ 104.18 4/5/2018 CC_Pharmacy Pharmacy 1501364 PROCAINAMIDE INJ: 1GM/2MLVIAL 375.76 4/5/2018 CC_Pharmacy Pharmacy 1501365 ROTAVIRUS (ROTARIX)RV SD ORAL 10 X 1ML 325.35 4/5/2018 CC_Pharmacy Pharmacy 1501366 DEPO‐MEDROL 40MG/ML 10ml MDV 384.28 4/5/2018 CC_Pharmacy Pharmacy 1501367 HEPATITIS A ADULT (HAVRIX VAC) INJ 351.81 4/5/2018 CC_Pharmacy Pharmacy 1501368 niCARdipine INJ: 2.5 MG/ML 10ML MDV 180.4 4/5/2018 CC_Pharmacy Pharmacy 1501369 MEDROXYPROGEST(DEPO‐PROVERA) SYR 150MG 421.85 4/5/2018 CC_Pharmacy Pharmacy 1501370 DICYCLOMINE (BENTYL) VL: 20MG/2ML 412.19 4/5/2018 CC_Pharmacy Pharmacy 1501371 PENICILLIN G (BICILLIN LA) 600,000U/ML 432.89 4/5/2018 CC_Pharmacy Pharmacy 1501372 DTaP/HIB/IPV(PENTACEL) SYR : 0.5 LF 441.31 4/5/2018 CC_Pharmacy Pharmacy 1501373 LEUPROLIDE ACETATE (ELIGARD) 22.5MG 2650.48 4/5/2018 CC_Pharmacy Pharmacy 1501374 Rho(D) Ig(HYPERRHO S/D) SYR:300MCG 393.44 4/5/2018 CC_Pharmacy Pharmacy 1501375 SANTYL OINT 30GM :250U/1GM 435 4/5/2018 CC_Pharmacy Pharmacy 1501376 IMMUNE GLOBULINE (GAMASTAN S/D) 2ML IM 427.61 4/5/2018 CC_Pharmacy Pharmacy 1501377 TOBRAMYCIN INJ 1.2GM VIAL 409.13 4/5/2018 CC_Pharmacy Pharmacy 1501379 PNEUMOCOCCAL (PNEUMOVAX 23) VACCINE SYR 436.31 4/5/2018 CC_Pharmacy Pharmacy 1501380 MEGESTROL (MEGACE) TAB: 40MG 10.75 4/5/2018 CC_Pharmacy Pharmacy 1501381 SEVOFLURANE 250ML 411.68 4/5/2018 CC_Pharmacy Pharmacy 1501382 HEPATITIS B IG(HYPER HEPB)SYR:110U/0.5ML 413.6 4/5/2018 CC_Pharmacy Pharmacy 1501383 DTaP/IPV (KINRIX) SYR : 0.5 LF 275.5 4/5/2018 CC_Pharmacy Pharmacy 1501384 IRON SUCROSE(VENOFER) 20MG/ML VL : 5ML 266.98 4/5/2018 CC_Pharmacy Pharmacy 1501385 HepA/HepB (TWINRIX) SYR 1ML LF 436.72 4/5/2018 CC_Pharmacy Pharmacy 1501386 GAMUNEX C (IVIG) 1GM 10ML 439.05 4/5/2018 CC_Pharmacy Pharmacy 1501387 HYDROCORTISONE SUC(SOLU‐CORTEF) INJ 1GM 481.44 4/5/2018 CC_Pharmacy Pharmacy 1501388 SUMAtriptan (IMITREX) INJ: 6MG/0.5ML CAR 478.91 4/5/2018 CC_Pharmacy Pharmacy 1501389 ETOMIDATE (AMIDATE) 20MG/10ML SDV 92.36 4/5/2018 CC_Pharmacy Pharmacy 1501390 INSULIN LISPRO (HUMALOG) KWIKPEN 100U/ML 168.37 4/5/2018 CC_Pharmacy Pharmacy 1501391 YELLOW FEVER (YF‐VAX) VACCINE 505.04 4/5/2018 CC_Pharmacy Pharmacy 1501392 Meninigoccal POLYSACCHA (MENOMUNE) 0.5ML 572.48 4/5/2018 CC_Pharmacy Pharmacy 1501393 TRUMENBA INJ : 0.5 ML 547.18 4/5/2018 CC_Pharmacy Pharmacy 1501394 Meninigoccal CONJUGATE (MENVEO) 0.5ML 507.59 4/5/2018 CC_Pharmacy Pharmacy 1501395 CHICKEN POX VARICELLA(VARIVAX)VACCINE 563.61 4/5/2018 CC_Pharmacy Pharmacy 1501396 LORazepam (ATIVAN) SDV 1 ML: 2MG/ML 67.87 4/5/2018 CC_Pharmacy Pharmacy 1501397 MEPERIDINE 50MG/ML SDV 76.1 4/5/2018 CC_Pharmacy Pharmacy 1501398 VASOPRESSIN (VASOSTRICT) 20U/1ML MDV 702.4 4/5/2018 CC_Pharmacy Pharmacy 1501399 CATHFLO ACTIVASE IV PWD FOR SOLN: 2MG 684.93 4/5/2018 CC_Pharmacy Pharmacy 1501400 NABI‐HB 312U/ML; 5ML SDV 1481.69 4/5/2018 CC_Pharmacy Pharmacy 1501401 REGADENOSON (LEXISCAN) INJ:0.4MG/5ML 916.28 4/5/2018 CC_Pharmacy Pharmacy 1501402 GARDASIL (HPV) QUAD SDV 682.95 4/5/2018 CC_Pharmacy Pharmacy 1501403 ceftaroline (TEFLARO) VIAL: 400MG 765.74 4/5/2018 CC_Pharmacy Pharmacy 1501404 ceftaroline (TEFLARO) VIAL: 600MG 765.74 4/5/2018 CC_Pharmacy Pharmacy 1501405 TIGECYCLINE (TYGACIL) 50MG SOL IV 689.9 4/5/2018 CC_Pharmacy Pharmacy 1501406 PNEUMOCOCCALCONJUGATE(PREVNAR13)SYR 743.52 4/5/2018 CC_Pharmacy Pharmacy 1501407 MORPHINE PCA INJ: 1MG/1ML 30ML SYR 106.28 4/5/2018 CC_Pharmacy Pharmacy 1501408 EPTIFIBATIDE (INTEGRILIN) 20MG/10ML 728.2 4/5/2018 CC_Pharmacy Pharmacy 1501409 ESMOLOL (BREVIBLOC)100MG/10ML VIAL 128.12 4/5/2018 CC_Pharmacy Pharmacy 1501410 EPINEPHrine SYR 1:10,000 10ML:0.1MG/ML 94.94 4/5/2018 CC_Pharmacy Pharmacy 1501411 GARDASIL (HPV‐9) 9 SDV 837 4/5/2018 CC_Pharmacy Pharmacy 1501412 HYALURONATE NA(hyalgan) :20MG/ 2ML 825 4/5/2018 CC_Pharmacy Pharmacy 1501413 AmBISOME (AMPHOTERICIN B) VL: 50MG 1009.24 4/5/2018 CC_Pharmacy Pharmacy 1501414 ACETYLCYSTEINE(ACETADOTE)INJ: 6G/30ML 869.86 4/5/2018 CC_Pharmacy Pharmacy 1501415 ZOSTER (ZOSTAVAX) VACCINE LIVE 957.28 4/5/2018 CC_Pharmacy Pharmacy 1501416 RABIES VACCINE (RABAVERT) SYR: 2.5IU 904.96 4/5/2018 CC_Pharmacy Pharmacy 1501417 THROMBIN (THROMBIN‐JMI) 20,000 IU VIAL 907.44 4/5/2018 CC_Pharmacy Pharmacy 1501418 GLUCAGON (GLUCAGEN) KIT: 1MG 1122.96 4/5/2018 CC_Pharmacy Pharmacy 1501419 FILGRASTIM (NEUPOGEN)SYR: 480MCG/0.8ML 1617.87 4/5/2018 CC_Pharmacy Pharmacy 1501420 HYALURONATE NA(SUPARTZ FX) :10MG/ML 2.5M 1188.88 4/5/2018 CC_Pharmacy Pharmacy 1501422 EPINEPHrine 0.15MG(EPI‐PEN JR) AUTO INJ 1226.2 4/5/2018 CC_Pharmacy Pharmacy 1501423 EPINEPHrine 1:1000 ‐ 1MG/ML 1ML VL 138.27 4/5/2018 CC_Pharmacy Pharmacy 1501424 EPOETIN ALFA(EPOGEN) 1ML VL: 10,000UN/ML 720.05 4/5/2018 CC_Pharmacy Pharmacy 1501425 RABIES VACCINE (IMOVAX) SYR: 2.5IU 1345.52 4/5/2018 CC_Pharmacy Pharmacy 1501426 BUPIVACAINE SUSP (EXPAREL)INJ 20ML:266MG 1324.96 4/5/2018 CC_Pharmacy Pharmacy 1501427 EPTIFIBA (INTEGRILIN IV) 75MG/100ML 1636.94 4/5/2018 CC_Pharmacy Pharmacy 1501428 DAPTOmycin (CUBICIN): 500 MG 1355 4/5/2018 CC_Pharmacy Pharmacy 1501429 FILGRASTIM‐S (ZARXIO) 480MCG 1340.44 4/5/2018 CC_Pharmacy Pharmacy 1501430 FINASTERIDE (PROSCAR) TAB: 5MG 10.4 4/5/2018 CC_Pharmacy Pharmacy 1501432 GAMUNEX C (IVIG) 5GM/50ML VIAL 1576.85 4/5/2018 CC_Pharmacy Pharmacy 1501433 NALBUPHINE (NUBAIN) 20MG INJ 95.71 4/5/2018 CC_Pharmacy Pharmacy 1501434 BELIMUMAB (BENLYSTA) INJ: 120 MG VIAL 1611.65 4/5/2018 CC_Pharmacy Pharmacy 1501435 OCTAGAM PREMIX (IVIG) 5GM/100ML VIAL 1569.2 4/5/2018 CC_Pharmacy Pharmacy 1501436 ERTAPENEM SODIUM (INVANZ) 1GM IV 601.07 4/5/2018 CC_Pharmacy Pharmacy 1501437 EPINEPHrine 0.3MG(EPI‐PEN) AUTO INJ 766.08 4/5/2018 CC_Pharmacy Pharmacy 1501438 BAYTET (HYPER‐TET) INJ: 250U/ML 1655 4/5/2018 CC_Pharmacy Pharmacy 1501440 FILGRASTIM (NEUPOGEN) VL: 480MCG/1.6ML 1529.92 4/5/2018 CC_Pharmacy Pharmacy 1501441 HYPERRAB(RABIES Ig) SDV 2ML:15OU/ML 2140.1 4/5/2018 CC_Pharmacy Pharmacy 1501442 VARIZIG(VARICELLA ZOSTER IG) 2015 4/5/2018 CC_Pharmacy Pharmacy 1501443 BEVACIZUMAB (AVASTIN SPD) 100MG VL 2101.04 4/5/2018 CC_Pharmacy Pharmacy 1501444 DENOSUMAB (PROLIA) SYRINGE: 60MG 2432.1 4/5/2018 CC_Pharmacy Pharmacy 1501445 RECLAST PREMIX IVPB 5MG/100ML 2147.94 4/5/2018 CC_Pharmacy Pharmacy 1501446 inFLIXimab (REMICADE) INJ 100MG VL 2356.12 4/5/2018 CC_Pharmacy Pharmacy 1501447 ARANESP (DARBEPOETIN ALFA):40MCG/0.4ML 2383.28 4/5/2018 CC_Pharmacy Pharmacy 1501448 FERUMAXYTOL (FERAHEME) VIAL: 30MG/ML 2465.72 4/5/2018 CC_Pharmacy Pharmacy 1501449 OCTAGAM PREMIX (IVIG) 10GM/100ML VIAL 2313.89 4/5/2018 CC_Pharmacy Pharmacy 1501450 OCTAGAM PREMIX (IVIG) 10GM/200ML VIAL 2313.89 4/5/2018 CC_Pharmacy Pharmacy 1501451 MAGNESIUM SULF IV PREMIX 1GM/100 D5W 113.57 4/5/2018 CC_Pharmacy Pharmacy 1501452 HEPATITIS B IMMUNE(HEPAGAM) >312IU/ML 2477.75 4/5/2018 CC_Pharmacy Pharmacy 1501453 riTUXimab (RITUXAN) 10MG/ML: 100MG 2898.56 4/5/2018 CC_Pharmacy Pharmacy 1501454 KETAMINE (KETALAR) 500MG/10ML 92.46 4/5/2018 CC_Pharmacy Pharmacy 1501455 GAMMAGARD LIQUID (IVIG) VL: 10GM/100ML 2650.7 4/5/2018 CC_Pharmacy Pharmacy 1501456 LEVEMIR FLEXPEN SOLN 100U/1ML 311.28 4/5/2018 CC_Pharmacy Pharmacy 1501457 ZOLEDRONIC ACID (ZOMETA) VL: 4MG/5ML 2720.15 4/5/2018 CC_Pharmacy Pharmacy 1501458 ZOMETA / NS PREMIX IVPB : 4MG/100ML 2720.15 4/5/2018 CC_Pharmacy Pharmacy 1501459 ABATACEPT (ORENCIA) VL: 250MG 2729.99 4/5/2018 CC_Pharmacy Pharmacy 1501460 PRIVIGEN (IVIG) 10GM/100ML VIAL 2735 4/5/2018 CC_Pharmacy Pharmacy 1501461 ACTEMRA IV SOLUTION 200MG/10ML VIAL 2809.58 4/5/2018 CC_Pharmacy Pharmacy 1501462 ARANESP(DARBEPOETIN ALFA): 200MCG/0.4ML 2962.86 4/5/2018 CC_Pharmacy Pharmacy 1501463 GAMUNEX C PREMIX (IVIG) 10GM/100ML VIAL 3073.64 4/5/2018 CC_Pharmacy Pharmacy 1501464 DALBAVANCIN (DALVANCE) VL: 500MG 2969.62 4/5/2018 CC_Pharmacy Pharmacy 1501465 XOLAIR SUBQ PWD FOR SOLN 150MG 3029.48 4/5/2018 CC_Pharmacy Pharmacy 1501466 GAMMAGARD LIQUID (IVIG) VL: 20GM/200ML 3440.4 4/5/2018 CC_Pharmacy Pharmacy 1501467 GAMUNEX C PREMIX (IVIG) 20GM/200ML VIAL 4071.52 4/5/2018 CC_Pharmacy Pharmacy 1501468 DENOSUMAB (XGEVA) VIAL: 120MG 4241.8 4/5/2018 CC_Pharmacy Pharmacy 1501469 ARANESP (DARBEPOETIN ALFA):300MCG/0.6ML 4411.78 4/5/2018 CC_Pharmacy Pharmacy 1501470 CIMZIA SUBQ SOLN 200MG/1ML/SYR 2 SYR 7833.14 4/5/2018 CC_Pharmacy Pharmacy 1501471 FORTEO SUBQ SYR 2.4ML: 20MCG/DOSE 6271.56 4/5/2018 CC_Pharmacy Pharmacy 1501472 ORITAVANCIN(ORBACTIV)VLS1.2GM 5613.2 4/5/2018 CC_Pharmacy Pharmacy 1501473 BEVACIZUMAB (AVASTIN)SDV 16ML: 25MG/ML 6455.52 4/5/2018 CC_Pharmacy Pharmacy 1501474 GAMUNEX C PREMIX (IVIG)40GM/400ML VIAL 7557.44 4/5/2018 CC_Pharmacy Pharmacy 1501476 PRIVIGIN (IVIG) 40 GM/400ML VIAL 7164 4/5/2018 CC_Pharmacy Pharmacy 1501477 LUPRON DEPOT (LEUPROLIDE) INJ: 45MG 16657.28 4/5/2018 CC_Pharmacy Pharmacy 1501478 riTUXimab (RITUXAN) 10MG/ML: 500MG 9475.2 4/5/2018 CC_Pharmacy Pharmacy 1501479 TRASTUZUMAB (HERCEPTIN) VIAL: 150MG 8203.14 4/5/2018 CC_Pharmacy Pharmacy 1501480 CENTUROIDES IMUUNE FAB2 INJ (ANASCORP) 8241.14 4/5/2018 CC_Pharmacy Pharmacy 1501481 PEGFILGRASTIM (NEULASTA) 6MG SYR 10205 4/5/2018 CC_Pharmacy Pharmacy 1501482 NEOSTIGMINE 10MG/10ML MDV 339.08 4/5/2018 CC_Pharmacy Pharmacy 1501483 CROTALIDAE POLYVALENT ANTIVENIN KIT 14278.2 4/5/2018 CC_Pharmacy Pharmacy 1501484 ACTIVASE ALTEPLASE INJ: 100MG 16658.12 4/5/2018 CC_Pharmacy Pharmacy 1501485 LEVOFLOXACIN (LEVAQUIN) IVPB: 250MG 88.7 4/5/2018 CC_Pharmacy Pharmacy 1501486 KETOROLAC (TORADOL) INJ: 15MG/1ML 75.12 4/5/2018 CC_Pharmacy Pharmacy 1501487 GLUCAGON (GLUCAGEN) VIAL: 1MG 500.16 4/5/2018 CC_Pharmacy Pharmacy 1501489 TOUJEO (insulin glargine):300Units/ml 308.67 4/5/2018 CC_Pharmacy Pharmacy 1501490 BUPIVACAINE SUSP (EXPAREL)INJ 10ML:133MG 745 4/5/2018 CC_Pharmacy Pharmacy 1501491 BELIMUMAB (BENLYSTA) INJ: 400 MG/VIAL 3483.56 4/5/2018 CC_Pharmacy Pharmacy 1501493 MOXIFLOXACIN (AVELOX)PREMIX: 400MG/250ML 304.04 4/5/2018 CC_Pharmacy Pharmacy 1501494 PRIVIGEN (IVIG) 20GM/200ML VIAL 3622.46 4/5/2018 CC_Pharmacy Pharmacy 1501495 LANTUS SOLOSTAR 3ML PEN 100U/1ML 388.88 4/5/2018 CC_Pharmacy Pharmacy 1501496 DROPERIDOL (INAPSINE) 5MG/2ML 100.17 4/5/2018 CC_Pharmacy Pharmacy 1501497 INSULIN DETEMIR(LEVEMIR)VL 10ML:100U/ML 780.8 4/5/2018 CC_Pharmacy Pharmacy 1501498 FLUCONAZOLE/NS PREMIX IVPB:400MG/200ML 117.51 4/5/2018 CC_Pharmacy Pharmacy 1501500 SS INSULIN LISPRO(HUMALOG)3ML 100U/ML 1.5 4/5/2018 CC_Pharmacy Pharmacy 1501501 SS INSULIN R(HUMULIN R) 3ML VL 100U/ML 1.5 4/5/2018 CC_Pharmacy Pharmacy 1501502 MANNITOL 20% IV SOLUTION 179.95 4/5/2018 CC_Pharmacy Pharmacy 1501504 DEXAMETHASONE PF (DECADRON) 10MG/ML 267.03 4/5/2018 CC_Pharmacy Pharmacy 1501505 RYANODEX (DANTROLENE) 250MG VIAL 3975.92 4/5/2018 CC_Pharmacy Pharmacy 1501506 IOPAMIDOL (ISOVUE 370) 75ML BTLE :76% 121.89 4/5/2018 CC_Pharmacy Pharmacy 1501507 IPOL POLIOVIRUS INACTIVATED (IPV) 0.5ML 212.97 4/5/2018 CC_Pharmacy Pharmacy 1501508 GADOTERATE MEG (DOTAREM)SYR:7.5mMOL/15ML 412.07 4/5/2018 CC_Pharmacy Pharmacy 1501509 IOPAMIDOL (ISOVUE 200) 20ML BTLE:41% 133.74 4/5/2018 CC_Pharmacy Pharmacy 1501510 OCTAGAM PREMIX (IVIG) 20GM/200ML VIAL 3680 4/5/2018 CC_Pharmacy Pharmacy 1501511 tbo‐FILGRASTIM (GRANIX)INJ: 300MCG/0.5ML 951.76 4/5/2018 CC_Pharmacy Pharmacy 1501512 ROPIVACAINE (NAROPIN) SDV: 0.5% 20ML 159.28 4/5/2018 CC_Pharmacy Pharmacy 1501515 DIATROZOATE(GASTROGRAFIN 66) BTLE :30ML 53.7 4/5/2018 CC_Pharmacy Pharmacy 1501516 SODIUMTETRAD(SOTRADECOL 3%)2MLVL:30MG/ML 405.54 4/5/2018 CC_Pharmacy Pharmacy 1501517 SOTRADECOL1% 2MLVL 405.54 4/5/2018 CC_Pharmacy Pharmacy 1501518 IRON DEXTRAN (INFED) VL: 100MG/2ML 202.34 4/5/2018 CC_Pharmacy Pharmacy 1501519 PREDNISONE TAB 4.49 5/10/2018 CC_Pharmacy Pharmacy 1501520 ONDANSETRON ODT TAB 54.34 5/10/2018 CC_Pharmacy Pharmacy 1501521 NITROGLYCERIN DRIP PREMIX 50MG/250ML 122.94 4/5/2018 CC_Pharmacy Pharmacy 1501522 METHYLPRED (MEDROL) DOSEPAK: 4MG 13.1 4/5/2018 CC_Pharmacy Pharmacy 1501523 DILTIAZEM (CARDIZEM) IV:50MG/10ML 77.12 4/5/2018 CC_Pharmacy Pharmacy 1501524 FOLIC ACID (FOLVITE) MDV 10ML: 5MG/ML 69.67 4/5/2018 CC_Pharmacy Pharmacy 1501525 IOHEXOL(OMNIPAQUE)100ML BTLE:300mg I /ml 455.4 4/5/2018 CC_Pharmacy Pharmacy 1501526 IOPAMIDOL (ISOVUE 300) 100ML BTLE:61% 133.17 4/5/2018 CC_Pharmacy Pharmacy 1501527 BUPIVACAINE MPF (MARCAINE)INJ:0.25% 30ML 103.55 4/5/2018 CC_Pharmacy Pharmacy 1501529 TRIAMCIN(KENALOG‐40) MDV 10ML:40MG/ML 74.19 4/5/2018 CC_Pharmacy Pharmacy 1501530 IOPAMIDOL(ISOVUE‐M200) INJ VL 41%: 20ML 165.89 4/5/2018 CC_Pharmacy Pharmacy 1501531 LUPRON DEPOT (LEUPROLIDE) INJ: 7.5MG 2813.7 4/5/2018 CC_Pharmacy Pharmacy 1501532 Cleocin Premix (D5W) 50ml: 600mg 115.1 4/5/2018 CC_Pharmacy Pharmacy 1501533 ROMIPLOSTIM (NPLATE) INJ: 250MCG/VL 3688.9 4/5/2018 CC_Pharmacy Pharmacy 1501534 PAMIDRONATEDISOD(AREDIA)SDV 10ML:30MG/ML 218.8 4/5/2018 CC_Pharmacy Pharmacy 1501535 DOXAZOSIN (CARDURA) TAB: 1MG 14.2 4/5/2018 CC_Pharmacy Pharmacy 1501536 ASPIRIN EC TAB: 81MG 0.15 4/5/2018 CC_Pharmacy Pharmacy 1501537 VITAMIN K (AQUAMYPHTON) NEONAT:1MG/0.5ML 85.93 4/5/2018 CC_Pharmacy Pharmacy 1501538 ACIDOPHILUS with citrus CAPTAB:25 MU 0.15 4/5/2018 CC_Pharmacy Pharmacy 1501539 ARMOUR THYROID TAB: 30MG 13.3 4/5/2018 CC_Pharmacy Pharmacy 1501540 ABREVA CREAM 10%: 2GM 96.45 4/5/2018 CC_Pharmacy Pharmacy 1501541 PIPERACILL/TAZOBA (ZOSYN) VL: 2.25GM 96.5 4/5/2018 CC_Pharmacy Pharmacy 1501542 ARFORMOTEROL (BROvana) NEB SOL 15MCG/2ML 37.53 4/5/2018 CC_Pharmacy Pharmacy 1501543 MAGNESIUM CITRATE SOLUTION 296 mL, 296 mL 16 7/23/2018 CC_Pharmacy Pharmacy 1501544 INDOMETHACIN 50 MG CAPSULE 50 mg, 100 eaches 10.55 7/17/2018 CC_Pharmacy Pharmacy 1501545 Lantus 100 UNIT/ML 1.49 11/30/2018 CC_Pharmacy Pharmacy 1501546 cloNIDine HCL 0.2 MG TABLET 0.2 mg 0.15 11/29/2018 CC_Pharmacy Pharmacy 1501547 RICOLA HERB THROAT DROPS 1 ea, 21 eaches 0.15 7/23/2018 CC_Pharmacy Pharmacy 1501548 ENOXAPARIN 120 MG/0.8 ML SYR 118.57 11/30/2018 CC_Pharmacy Pharmacy 1501549 XYLOCAINE 2%‐EPI 1:200,000 10 mL 83.04 7/18/2018 CC_Pharmacy Pharmacy 1501550 Dilaudid 0.5 MG/0.5 ML SYRINGE 0.5 mg, 0.5 mL 81.99 7/18/2018 CC_Pharmacy Pharmacy 1501551 SODIUM NITROPRUSSIDE 50 MG/2ML 50 mg, 2 mL 426.37 7/18/2018 CC_Pharmacy Pharmacy 1501552 SODIUM CHLORIDE 0.9% IRRIG. 1000 mL, 1000 mL 103.85 7/23/2018 CC_Pharmacy Pharmacy 1501553 dilTIAZem HCL 100 MG VIAL 100 mg, 1 each 133.57 9/7/2018 CC_Pharmacy Pharmacy 1501554 BIOGLO 1 MG OPHTHALMIC STRIP 1 ea, 100 eaches 14.9 9/11/2018 CC_Pharmacy Pharmacy 1501555 HYDROCORTISONE 0.5% CREAM 30 g, 28.35 g 4.26 9/28/2018 CC_Pharmacy Pharmacy 1501556 Banana Bag nutritional support 150 10/18/2018 CC_Pharmacy Pharmacy 1501557 CLEOCIN 300 MG‐D5W‐GALAXY 300 mg, 50 mL 135.8 10/29/2018 CC_Pharmacy Pharmacy 1501558 NAROPIN 0.2% 400 MG/200 ML BAG 400 mg, 200 mL 334.5 10/29/2018 CC_Pharmacy Pharmacy 1501559 Epidural Fentanyl‐Ropivacaine 2mcg/1mg/mL 495 11/8/2018 CC_Pharmacy Pharmacy 1501560 VIAL2BAG DC 20mm 0 11/19/2018 CC_Pharmacy Pharmacy 1501561 VIAL2BAG DC 13mm 0 11/19/2018 CC_Pharmacy Pharmacy 1501562 ACIDOPHILUS CAPLET 1 ea, 0.15 11/30/2018 CC_Pharmacy Pharmacy 1501563 metFORMIN HCL ER 500 MG TABLET 500 mg, 9.84 11/30/2018 CC_Pharmacy Pharmacy 1501564 NITRO‐BID 2% OINTMENT 30 g, 136.9 11/30/2018 CC_Pharmacy Pharmacy 1501565 CEPHALEXIN 250MG CAPSULES #6 5.94 11/30/2018 CC_Pharmacy Pharmacy 1501566 diphenhydrAMINE 50 MG/ML VIAL 69.13 11/30/2018 CC_Pharmacy Pharmacy 1501567 Kaopectate 262 MG/15 ML SUSP 236 mL 5.63 12/3/2018 CC_Pharmacy Pharmacy 1501568 buPROPion HCL SR 100 MG TABLET 100 mg, 13.4 12/3/2018 CC_Pharmacy Pharmacy 1501569 FluZONE QUAD 2018‐2019 VIAL 0.5 mL, 151.48 12/3/2018 CC_Pharmacy Pharmacy 1501570 KCL 40 MEQ‐NS 1,000 ML IV SOLN 40 mEq, 1000 mL 97.92 12/3/2018 CC_Pharmacy Pharmacy 1501571 POVIDONE‐IODINE 10% SOLUTION 120 mL, 29.35 12/3/2018 CC_Pharmacy Pharmacy 1501572 PRIVIGEN 10% VIAL 5 g, 50 mL 1377.8 12/3/2018 CC_Pharmacy Pharmacy 1501573 ROCURONIUM 50 MG/5 ML VIAL 5 mL, 83.6 12/3/2018 CC_Pharmacy Pharmacy 1501574 VANCOMYCIN HCL 125 MG CAPSULE 125 mg, 32.95 12/3/2018 CC_Pharmacy Pharmacy 1501575 ENTYVIO 300 MG VIAL 300 mg, 1 each 164.59 12/3/2018 CC_Pharmacy Pharmacy 1501576 DOTAREM 7.5 MMOL/15 ML SYRINGE 15 mL, 412.07 12/4/2018 CC_Imaging Pharmacy 1501577 DOTAREM 5 MMOL/10 ML VIAL 10 mL, 296.38 12/4/2018 CC_Imaging Pharmacy 1501578 HYDROmorphone 2 MG/ML VIAL 1 mL 73.52 12/5/2018 CC_Pharmacy Pharmacy 1501580 Technetium TC‐99m Sestamibi 336.4 10/1/2018 CC_Imaging Pharmacy 1501581 TECHNETIUM TC‐99M MACROAGGREGATED ALBUMI 534.3 10/1/2018 CC_Imaging Pharmacy 1501582 TECHNETIUM TC‐99M MEBROFENIN 250.71 10/1/2018 CC_Imaging Pharmacy 1501583 TECHNETIUM TC‐99M MEDRONATE 276.04 10/1/2018 CC_Imaging Pharmacy 1501584 TECHNETIUM TC‐99M MERTIATIDE 1421.8 10/1/2018 CC_Imaging Pharmacy 1501585 TECHNETIUM TC‐99M PERTECHNETATE 188.27 10/1/2018 CC_Imaging Pharmacy 1501586 TECHNETIUM TC‐99M PENTETATE, 362.02 10/1/2018 CC_Imaging Pharmacy 1501588 TECHNETIUM TC‐99M PYROPHOSPHATE, 289.29 10/1/2018 CC_Imaging Pharmacy 1501589 TECHNETIUM TC‐99M SESTAMIBI 290.4 10/1/2018 CC_Imaging Pharmacy 1501590 TECHNETIUM TC‐99M SULFUR COLLOID, 377.06 10/1/2018 CC_Imaging Pharmacy 1501591 TECHNETIUM TC‐99M TETROFOSMIN, 313.4 10/1/2018 CC_Imaging Pharmacy 1501592 Beer one can 5 12/10/2018 CC_Pharmacy Pharmacy 1501593 LETS Gel 27.07 10/1/2018 CC_Pharmacy Pharmacy 1501594 PROLASTIN C 1,000 MG/20 ML VL 1000 mg, 1 each 1781.36 12/11/2018 CC_Pharmacy Pharmacy 1501595 XYLOCAINE‐MPF 2% VIAL 2 mL 73.6 12/18/2018 CC_Pharmacy Pharmacy 1501596 THEOPHYLLINE ER 300 MG TAB 26.68 12/13/2018 CC_Pharmacy Pharmacy 1501597 aMILoride HCL 5 MG TABLET 5 mg, 10.91 12/1/2018 CC_Pharmacy Pharmacy 1501598 ALFUZOSIN HCL ER 10 MG TABLET 10 mg, 10.06 12/1/2018 CC_Pharmacy Pharmacy 1501599 LIDOCAINE‐PRILOCAINE CREAM 5 g, 31.59 12/22/2018 CC_Pharmacy Pharmacy 1501600 D3‐50 50,000 UNIT CAPSULE 50000 unit, 10.7 12/22/2018 CC_Pharmacy Pharmacy 1501601 FIRVANQ 25 MG/ML SOLUTION 25 mg, 150 mL 163.3 12/22/2018 CC_Pharmacy Pharmacy 1501602 FluZONE HIGH‐DOSE 2018‐19 SYR 0.5 mL, 0.5 mL 186.9 12/22/2018 CC_Pharmacy Pharmacy 1501603 FLULAVAL QUAD 2018‐2019 VIAL 0.5 mL 192.4 12/22/2018 CC_Pharmacy Pharmacy 1501604 FluZONE QUAD PEDI 2018‐19 SYR 0.25 mL, 0.25 mL 151.52 12/22/2018 CC_Pharmacy Pharmacy 1501605 KINEVAC 5 MCG VIAL 1 ea, 1 each 474.74 12/23/2018 CC_Imaging Pharmacy 1501606 DEFINITY 1.1 MG/ML VIAL 1.1 mg, 2 mL 275 12/23/2018 CC_Imaging Pharmacy 1501607 ISOVUE‐370 76% VIAL 50 mL, 50 mL 400.5 12/23/2018 CC_Imaging Pharmacy 1501608 VANCOMYCIN HCL 250 MG VIAL 100.74 12/27/2018 CC_Pharmacy Pharmacy 1501609 PROAIR HFA 90 MCG INHALER 1 ea, 8.5 g 97.95 12/1/2018 CC_Pharmacy Pharmacy 1600001 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/17/2017 CC_Anesthesia Standard 1600002 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/17/2017 CC_Anesthesia Standard 1600003 FAC ANESTHESIA TIME 1ST 30 MIN 600 5/30/2017 CC_Anesthesia Standard 1600004 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 5/30/2017 CC_Anesthesia Standard 1600005 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/1/2017 CC_Anesthesia Standard 1600006 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/1/2017 CC_Anesthesia Standard 1600007 FAC ANESTHESIA TIME 1ST 30 MIN 600 4/3/2017 CC_Anesthesia Standard 1600008 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 4/3/2017 CC_Anesthesia Standard 1600009 FAC ANESTHESIA TIME 1ST 30 MIN 600 1/1/2018 CC_Anesthesia Standard 1600010 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 1/1/2018 CC_Anesthesia Standard 1600011 FAC ANESTHESIA TIME 1ST 30 MIN 600 12/1/2017 CC_Anesthesia Standard 1600012 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 12/1/2017 CC_Anesthesia Standard 1600013 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/1/2017 CC_Anesthesia Standard 1600014 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/1/2017 CC_Anesthesia Standard 1600015 FAC ANESTHESIA TIME 1ST 30 MIN 600 4/15/2017 CC_Anesthesia Standard 1600016 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 4/15/2017 CC_Anesthesia Standard 1600017 FAC ANESTHESIA TIME 1ST 30 MIN 600 1/1/2018 CC_Anesthesia Standard 1600018 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 1/1/2018 CC_Anesthesia Standard 1600019 FAC ANESTHESIA TIME 1ST 30 MIN 600 1/1/2018 CC_Anesthesia Standard 1600020 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 1/1/2018 CC_Anesthesia Standard 1600021 FAC ANESTHESIA TIME 1ST 30 MIN 600 1/1/2018 CC_Anesthesia Standard 1600022 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 1/1/2018 CC_Anesthesia Standard 1600023 FAC ANESTHESIA TIME 1ST 30 MIN 600 8/23/2017 CC_Anesthesia Standard 1600024 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 8/23/2017 CC_Anesthesia Standard 1600025 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/1/2017 CC_Anesthesia Standard 1600026 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/1/2017 CC_Anesthesia Standard 1600027 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/1/2017 CC_Anesthesia Standard 1600028 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/1/2017 CC_Anesthesia Standard 1600029 FAC ANESTHESIA TIME 1ST 30 MIN 600 5/10/2017 CC_Anesthesia Standard 1600030 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 5/10/2017 CC_Anesthesia Standard 1600031 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/13/2017 CC_Anesthesia Standard 1600032 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/13/2017 CC_Anesthesia Standard 1600033 FAC ANESTHESIA TIME 1ST 30 MIN 600 1/1/2018 CC_Anesthesia Standard 1600034 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 1/3/2018 CC_Anesthesia Standard 1600035 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/28/2017 CC_Anesthesia Standard 1600036 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/28/2017 CC_Anesthesia Standard 1600037 FAC ANESTHESIA TIME 1ST 30 MIN 600 1/31/2018 CC_Anesthesia Standard 1600038 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 1/31/2018 CC_Anesthesia Standard 1600039 FAC ANESTHESIA TIME 1ST 30 MIN 600 1/3/2018 CC_Anesthesia Standard 1600040 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 1/3/2018 CC_Anesthesia Standard 1600041 FAC ANESTHESIA TIME 1ST 30 MIN 600 5/10/2017 CC_Anesthesia Standard 1600042 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 5/10/2017 CC_Anesthesia Standard 1600043 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/1/2017 CC_Anesthesia Standard 1600044 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/1/2017 CC_Anesthesia Standard 1600045 FAC ANESTHESIA TIME 1ST 30 MIN 600 12/26/2017 CC_Anesthesia Standard 1600046 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 12/26/2017 CC_Anesthesia Standard 1600047 FAC ANESTHESIA TIME 1ST 30 MIN 600 5/11/2017 CC_Anesthesia Standard 1600048 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 5/11/2017 CC_Anesthesia Standard 1600049 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/1/2017 CC_Anesthesia Standard 1600050 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/1/2017 CC_Anesthesia Standard 1600051 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/1/2017 CC_Anesthesia Standard 1600052 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/1/2017 CC_Anesthesia Standard 1600053 FAC ANESTHESIA TIME 1ST 30 MIN 600 1/8/2018 CC_Anesthesia Standard 1600054 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 1/8/2018 CC_Anesthesia Standard 1600055 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/1/2017 CC_Anesthesia Standard 1600056 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/1/2017 CC_Anesthesia Standard 1600057 FAC ANESTHESIA TIME 1ST 30 MIN 600 1/16/2018 CC_Anesthesia Standard 1600058 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 1/16/2018 CC_Anesthesia Standard 1600059 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/1/2017 CC_Anesthesia Standard 1600060 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/1/2017 CC_Anesthesia Standard 1600061 FAC ANESTHESIA TIME 1ST 30 MIN 600 2/20/2018 CC_Anesthesia Standard 1600062 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 2/20/2018 CC_Anesthesia Standard 1600063 FAC ANESTHESIA TIME 1ST 30 MIN 600 11/1/2017 CC_Anesthesia Standard 1600064 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 11/1/2017 CC_Anesthesia Standard 1600065 FAC ANESTHESIA TIME 1ST 30 MIN 600 12/5/2017 CC_Anesthesia Standard 1600066 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 12/5/2017 CC_Anesthesia Standard 1600067 FAC ART CATH PERQ 2832 3/28/2017 CC_Anesthesia Standard 1600068 FAC INJ EPIDURAL CERVICAL/THORACIC 9472 5/10/2017 CC_Anesthesia Standard 1600069 FAC INJ EPIDURAL LUMBAR/SACRAL 9472 12/18/2017 CC_Anesthesia Standard 1600070 FAC INJ BRACHIAL PLEXUS SINGLE INTERSCAL 2796 11/29/2017 CC_Anesthesia Standard 1600071 FAC INJ SCIATIC NERVE BLOCK SINGLE 4001 12/4/2017 CC_Anesthesia Standard 1600072 FAC INJ FEMORAL NERVE BLOCK SINGLE 4144 11/29/2017 CC_Anesthesia Standard 1600073 FAC INJ NERVE BLOCK OTHER PERIPHERAL 5095 11/29/2017 CC_Anesthesia Standard 1600074 FAC TAP BLOCK UNILATERAL BY INJ W/IMAGIN 5095 11/29/2017 CC_Anesthesia Standard 1600075 FAC US GUIDANCE NEEDLE PLACEMENT 1184 11/29/2017 CC_Anesthesia Standard 1600076 FAC ANESTHESIA TIME 1ST 30 MIN 600 8/1/2018 CC_Anesthesia Standard 1600077 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 8/1/2018 CC_Anesthesia Standard 1600078 FAC ANESTHESIA TIME 1ST 30 MIN 600 8/1/2018 CC_Anesthesia Standard 1600079 FAC ANESTHESIA TIME EA ADDTL 15 MIN 300 8/1/2018 CC_Anesthesia Standard 1800001 PT MECHANICAL TRACTION BGD 103 11/1/2017 Physical Therapy ‐Standard 1800002 IONTOPHORESIS EACH 15 BGD 115 11/1/2017 Physical Therapy ‐Standard 1800003 PT ULTRASOUND EACH 15 BGD 91 11/1/2017 Physical Therapy ‐Standard 1800004 PT EX THERAP EX EA 15 MIN (L1) BGD 102 11/1/2017 Physical Therapy ‐Standard 1800005 PT THERAPY 15M NEUROMUSC RE‐ED+MOD 59 BG 104 11/1/2017 Physical Therapy ‐Standard 1800006 PT NMR THERAPY 15M NEUROMUSC RE‐ED BGD 104 11/1/2017 Physical Therapy ‐Standard 1800007 PT GAIT TRAINING 15 MIN (L1) + MOD 59 BG 82 11/1/2017 Physical Therapy ‐Standard 1800008 PT GAIT TRAINING 15 MIN (L1) BGD 82 11/1/2017 Physical Therapy ‐Standard 1800009 PT MANUAL THERAPY TECH EA 15 BGD 103 11/1/2017 Physical Therapy ‐Standard 1800010 GROUP THERAPEUTIC PROC BGD 69 11/1/2017 Physical Therapy ‐Standard 1800011 PT INITIAL EVAL LOW COMPLEXITY BGD 226 11/1/2017 Physical Therapy ‐Standard 1800012 PT INITIAL EVAL MOD COMPLEXITY BGD 226 11/1/2017 Physical Therapy ‐Standard 1800013 PT INITIAL EVAL HIGH COMPLEXITY BGD 226 11/1/2017 Physical Therapy ‐Standard 1800014 PT RE‐EVAL MODIFIER 59 BGD 153 11/1/2017 Physical Therapy ‐Standard 1800015 PT RE‐EVAL BGD 153 11/1/2017 Physical Therapy ‐Standard 1800016 PT THERAP ACT EA 15 (L1) MODIFIER 59 BGD 112 11/1/2017 Physical Therapy ‐Standard 1800017 PT TA THERAP ACT EA 15 (L1) BGD 112 11/1/2017 Physical Therapy ‐Standard 1800018 PT SELF‐CARE TRAINING EA 15 BGD 112 11/1/2017 Physical Therapy ‐Standard 1800019 PT PHYSICAL PERFORMANCE TST & MEASURE BG 157 11/1/2017 Physical Therapy ‐Standard 1800020 UNLISTED PHYSICAL MEDICINE‐REHAB SV BGD 76 11/1/2017 Physical Therapy ‐Standard 1800021 DRY NEEDLING <7 MIN BGD 20 11/21/2017 Physical Therapy ‐Standard 1800022 SELF‐PAY DRY NEEDLING <7 MIN BGD 20 12/1/2017 Physical Therapy ‐Standard 1800023 SELF‐PAY DRY NEEDLING EA 15 BGD 60 12/11/2017 Physical Therapy ‐Standard 1800024 DRY NEEDLING EA 15 BGD 60 12/11/2017 Physical Therapy ‐Standard 1800025 PT ELEC STIM/UNA BGD 73 11/1/2017 Physical Therapy ‐Standard 1800026 MOBILITY CURRENT STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800027 MOBILITY CURRENT STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800028 MOBILITY CURRENT STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800029 MOBILITY CURRENT STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800030 MOBILITY CURRENT STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800031 MOBILITY CURRENT STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800032 MOBILITY CURRENT STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800033 MOBILITY GOAL STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800034 MOBILITY GOAL STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800035 MOBILITY GOAL STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800036 MOBILITY GOAL STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800037 MOBILITY GOAL STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800038 MOBILITY GOAL STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800039 MOBILITY GOAL STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800040 MOBILITY D/C STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800041 MOBILITY D/C STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800042 MOBILITY D/C STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800043 MOBILITY D/C STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800044 MOBILITY D/C STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800045 MOBILITY D/C STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800046 MOBILITY D/C STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800047 BODY POS CURRENT STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800048 BODY POS CURRENT STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800049 BODY POS CURRENT STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800050 BODY POS CURRENT STATUS CKPT 0.01 6/28/2013 Physical Therapy ‐Standard 1800051 BODY POS CURRENT STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800052 BODY POS CURRENT STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800053 BODY POS CURRENT STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800054 BODY POS GOAL STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800055 BODY POS GOAL STATUS CIPT 0.01 6/28/2013 Physical Therapy ‐Standard 1800056 BODY POS GOAL STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800057 BODY POS GOAL STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800058 BODY POS GOAL STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800059 BODY POS GOAL STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800060 BODY POS GOAL STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800061 BODY POS D/C STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800062 BODY POS D/C STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800063 BODY POS D/C STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800064 BODY POS D/C STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800065 BODY POS D/C STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800066 BODY POS D/C STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800067 BODY POS D/C STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800068 CARRY CURRENT STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800069 CARRY CURRENT STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800070 CARRY CURRENT STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800071 CARRY CURRENT STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800072 CARRY CURRENT STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800073 CARRY CURRENT STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800074 CARRY CURRENT STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800075 CARRY GOAL STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800076 CARRY GOAL STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800077 CARRY GOAL STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800078 CARRY GOAL STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800079 CARRY GOAL STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800080 CARRY GOAL STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800081 CARRY GOAL STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800082 CARRY D/C STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800083 CARRY D/C STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800084 CARRY D/C STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800085 CARRY D/C STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800086 CARRY D/C STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800087 CARRY D/C STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800088 CARRY D/C STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800089 SELF CARE CURRENT STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800090 SELF CARE CURRENT STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800091 SELF CARE CURRENT STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800092 SELF CARE CURRENT STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800093 SELF CARE CURRENT STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800094 SELF CARE CURRENT STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800095 SELF CARE CURRENT STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800096 SELF CARE GOAL STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800097 SELF CARE GOAL STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800098 SELF CARE GOAL STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800099 SELF CARE GOAL STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800100 SELF CARE GOAL STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800101 SELF CARE GOAL STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800102 SELF CARE GOAL STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800103 SELF CARE D/C STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800104 SELF CARE D/C STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800105 SELF CARE D/C STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800106 SELF CARE D/C STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800107 SELF CARE D/C STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800108 SELF CARE D/C STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800109 SELF CARE D/C STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800110 OTHER PT/OT CURRENT STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800111 OTHER PT/OT CURRENT STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800112 OTHER PT/OT CURRENT STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800113 OTHER PT/OT CURRENT STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800114 OTHER PT/OT CURRENT STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800115 OTHER PT/OT CURRENT STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800116 OTHER PT/OT CURRENT STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800117 OTHER PT/OT GOAL STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800118 OTHER PT/OT GOAL STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800119 OTHER PT/OT GOAL STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800120 OTHER PT/OT GOAL STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800121 OTHER PT/OT GOAL STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800122 OTHER PT/OT GOAL STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800123 OTHER PT/OT GOAL STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800124 OTHER PT/OT D/C STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800125 OTHER PT/OT D/C STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800126 OTHER PT/OT D/C STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800127 OTHER PT/OT D/C STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800128 OTHER PT/OT D/C STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800129 OTHER PT/OT D/C STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800130 OTHER PT/OT D/C STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800131 SUB PT/OT CURRENT STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800132 SUB PT/OT CURRENT STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800133 SUB PT/OT CURRENT STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800134 SUB PT/OT CURRENT STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800135 SUB PT/OT CURRENT STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800136 SUB PT/OT CURRENT STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800137 SUB PT/OT CURRENT STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800138 SUB PT/OT GOAL STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800139 SUB PT/OT GOAL STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800140 SUB PT/OT GOAL STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800141 SUB PT/OT GOAL STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800142 SUB PT/OT GOAL STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800143 SUB PT/OT GOAL STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800144 SUB PT/OT GOAL STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800145 SUB PT/OT D/C STATUS CHPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800146 SUB PT/OT D/C STATUS CIPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800147 SUB PT/OT D/C STATUS CJPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800148 SUB PT/OT D/C STATUS CKPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800149 SUB PT/OT D/C STATUS CLPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800150 SUB PT/OT D/C STATUS CMPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800151 SUB PT/OT D/C STATUS CNPT 0.01 7/1/2013 Physical Therapy ‐Standard 1800152 PT CANALITH REPOSITIONING BGD 194 11/1/2018 Physical Therapy ‐Standard 2300001 I&D ABSCESS SINGLE SIMPLE 661 11/1/2017 CC_Swing Bed Standard 2300002 ARTHROCENTESIS INJ/ASPIR INTERMED JOINT 814 11/1/2017 CC_Swing Bed Standard 2300003 ARTHROCENTESIS INJ/ASPIR MAJOR JOINT 1038 11/1/2017 CC_Swing Bed Standard 2300004 UNNA BOOT APPLICATION 381 11/1/2017 CC_Swing Bed Standard 2300005 INTUBATION ENDOTRACHEAL ACUTE 1250 11/1/2017 CC_Swing Bed Standard 2300006 THORACENTESIS W/O IMAGE GUIDANCE 1292 11/1/2017 CC_Swing Bed Standard 2300007 THORACENTESIS W/ IMAGE GUIDANCE 1473 11/1/2017 CC_Swing Bed Standard 2300008 BLOOD DRAW FROM PERIPHERAL IV 102 11/1/2017 CC_Swing Bed Standard 2300009 INSERTION NONTUNNELED CENT VEN CATH 5YR+ 2233 11/1/2017 CC_Swing Bed Standard 2300010 PICC LINE INSERTION 2863 11/1/2017 CC_Swing Bed Standard 2300011 PICC LINE REMOVAL 1853 11/1/2017 CC_Swing Bed Standard 2300012 BLOOD DRAW FROM PORT 102 11/1/2017 CC_Swing Bed Standard 2300013 VENOUS BLOOD DRAW CENTRAL CATH EXPT PORT 107 11/1/2017 CC_Swing Bed Standard 2300014 REPOSITION PICC LINE 2764 11/1/2017 CC_Swing Bed Standard 2300015 NASO/GASTRIC TUBE PLACEMENT 851 11/1/2017 CC_Swing Bed Standard 2300016 ABD PARACENTESIS W/O IMAGING 1276 11/1/2017 CC_Swing Bed Standard 2300017 ABD PARACENTESIS W/IMAGING 999 11/1/2017 CC_Swing Bed Standard 2300018 BLADDER IRRIGATION 714 11/1/2017 CC_Swing Bed Standard 2300019 INSERTION NON‐INDWELLING CATHETER STRAIG 262 11/1/2017 CC_Swing Bed Standard 2300020 INSERTION CATHETER SIMPLE 402 11/1/2017 CC_Swing Bed Standard 2300021 FOLEY CATHETER INSERTION DIFFICULT 519 11/1/2017 CC_Swing Bed Standard 2300022 LUMBER PUNCTURE 1160 11/1/2017 CC_Swing Bed Standard 2300023 IV INFUSION HYDRATION INITIAL UP TO 1 HR 479 11/1/2017 CC_Swing Bed Standard 2300024 IV INFUSION HYDRATION EA ADD 1 HOUR 246 11/1/2017 CC_Swing Bed Standard 2300025 IV INFUS TX/DX MD SUP TO 1H 550 11/1/2017 CC_Swing Bed Standard 2300026 IV INFUS TX/DX W/MD SUP ADD HR<8 204 11/1/2017 CC_Swing Bed Standard 2300027 IV INFUS TX/DX SEQ UP TO 1 HR 257 11/1/2017 CC_Swing Bed Standard 2300028 IV INFUSION FOR THERAPY PROPHYLAXIS 289 11/1/2017 CC_Swing Bed Standard 2300029 IM OR SUBQ INJECTION 258 11/1/2017 CC_Swing Bed Standard 2300030 IVP INTRAVENOUS INJECTION‐CLINICAL ACUTE 305 11/1/2017 CC_Swing Bed Standard 2300031 IVP EACH ADD SEQUENTIAL PUSH NEW DRUG 287 11/1/2017 CC_Swing Bed Standard 2300032 IVP EACH ADD SEQUENTIAL PUSH SAME DRUG 272 11/1/2017 CC_Swing Bed Standard 2300033 PICC HICK PORT FLUSH 270 11/1/2017 CC_Swing Bed Standard 2300034 DEBRIDEMENT <20 SQ CM IP 895 11/1/2017 CC_Swing Bed Standard 2300035 DEBRIDEMENT EA ADD 20 CM 452 11/1/2017 CC_Swing Bed Standard 2300036 NONSELECT DEBRIDEMENT ‐ NURSE 281 11/1/2017 CC_Swing Bed Standard 2300037 WOUND VAC APP <50CM 338 11/1/2017 CC_Swing Bed Standard 2300038 WOUND VAC APP >50CM 400 11/1/2017 CC_Swing Bed Standard 2300039 SWING BED 1700 11/1/2017 CC_Swing Bed Standard 2300040 BLOOD TRANSFUSION 1342 11/1/2018 CC_Swing Bed Standard 2600001 SWALLOW CURRENT STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600002 SWALLOW CURRENT STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600003 SWALLOW CURRENT STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600004 SWALLOW CURRENT STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600005 SWALLOW CURRENT STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600006 SWALLOW CURRENT STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600007 SWALLOW CURRENT STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600008 SWALLOW GOAL STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600009 SWALLOW GOAL STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600010 SWALLOW GOAL STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600011 SWALLOW GOAL STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600012 SWALLOW GOAL STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600013 SWALLOW GOAL STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600014 SWALLOW GOAL STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600015 SWALLOW D/C STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600016 SWALLOW D/C STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600017 SWALLOW D/C STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600018 SWALLOW D/C STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600019 SWALLOW D/C STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600020 SWALLOW D/C STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600021 SWALLOW D/C STATUS CNOT 0.01 7/1/2013 CC_RehabilitationStandard 2600022 MOTOR SPEECH CURRENT STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600023 MOTOR SPEECH CURRENT STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600024 MOTOR SPEECH CURRENT STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600025 MOTOR SPEECH CURRENT STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600026 MOTOR SPEECH CURRENT STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600027 MOTOR SPEECH CURRENT STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600028 MOTOR SPEECH CURRENT STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600029 MOTOR SPEECH GOAL STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600030 MOTOR SPEECH GOAL STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600031 MOTOR SPEECH GOAL STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600032 MOTOR SPEECH GOAL STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600033 MOTOR SPEECH GOAL STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600034 MOTOR SPEECH GOAL STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600035 MOTOR SPEECH GOAL STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600036 MOTOR SPEECH D/C STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600037 MOTOR SPEECH D/C STATUS CIOT 0.01 7/1/2013 CC_RehabilitationStandard 2600038 MOTOR SPEECH D/C STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600039 MOTOR SPEECH D/C STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600040 MOTOR SPEECH D/C STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600041 MOTOR SPEECH D/C STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600042 MOTOR SPEECH D/C STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600043 LANG COMP CURRENT STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600044 LANG COMP CURRENT STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600045 LANG COMP CURRENT STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600046 LANG COMP CURRENT STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600047 LANG COMP CURRENT STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600048 LANG COMP CURRENT STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600049 LANG COMP CURRENT STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600050 LANG COMP GOAL STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600051 LANG COMP GOAL STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600052 LANG COMP GOAL STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600053 LANG COMP GOAL STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600054 LANG COMP GOAL STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600055 LANG COMP GOAL STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600056 LANG COMP GOAL STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600057 LANG COMP D/C STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600058 LANG COMP D/C STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600059 LANG COMP D/C STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600060 LANG COMP D/C STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600061 LANG COMP D/C STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600062 LANG COMP D/C STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600063 LANG COMP D/C STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600064 LANG EXPRESS CURRENT STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600065 LANG EXPRESS CURRENT STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600066 LANG EXPRESS CURRENT STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600067 LANG EXPRESS CURRENT STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600068 LANG EXPRESS CURRENT STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600069 LANG EXPRESS CURRENT STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600070 LANG EXPRESS CURRENT STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600071 LANG EXPRESS GOAL STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600072 LANG EXPRESS GOAL STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600073 LANG EXPRESS GOAL STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600074 LANG EXPRESS GOAL STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600075 LANG EXPRESS GOAL STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600076 LANG EXPRESS GOAL STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600077 LANG EXPRESS GOAL STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600078 LANG EXPRESS D/C STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600079 LANG EXPRESS D/C STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600080 LANG EXPRESS D/C STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600081 LANG EXPRESS D/C STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600082 LANG EXPRESS D/C STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600083 LANG EXPRESS D/C STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600084 LANG EXPRESS D/C STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600085 ATTEN CURRENT STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600086 ATTEN CURRENT STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600087 ATTEN CURRENT STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600088 ATTEN CURRENT STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600089 ATTEN CURRENT STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600090 ATTEN CURRENT STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600091 ATTEN CURRENT STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600092 ATTEN GOAL STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600093 ATTEN GOAL STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600094 ATTEN GOAL STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600095 ATTEN GOAL STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600096 ATTEN GOAL STATUS CLSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600097 ATTEN GOAL STATUS CMSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600098 ATTEN GOAL STATUS CNSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600099 ATTEN D/C STATUS CHSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600100 ATTEN D/C STATUS CISLP 0.01 7/1/2013 CC_RehabilitationStandard 2600101 ATTEN D/C STATUS CJSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600102 ATTEN D/C STATUS CKSLP 0.01 7/1/2013 CC_RehabilitationStandard 2600103 ATTEN D/C STATUS 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7/1/2013 CC_RehabilitationStandard 2600383 MOBILITY GOAL STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600384 MOBILITY GOAL STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600385 MOBILITY D/C STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600386 MOBILITY D/C STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600387 MOBILITY D/C STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600388 MOBILITY D/C STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600389 MOBILITY D/C STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600390 MOBILITY D/C STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600391 MOBILITY D/C STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600392 BODY POS CURRENT STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600393 BODY POS CURRENT STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600394 BODY POS CURRENT STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600395 BODY POS CURRENT STATUS CKPT 0.01 6/28/2013 CC_RehabilitationStandard 2600396 BODY POS CURRENT STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600397 BODY POS CURRENT STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600398 BODY POS CURRENT STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600399 BODY POS GOAL STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600400 BODY POS GOAL STATUS CIPT 0.01 6/28/2013 CC_RehabilitationStandard 2600401 BODY POS GOAL STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600402 BODY POS GOAL STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600403 BODY POS GOAL STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600404 BODY POS GOAL STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600405 BODY POS GOAL STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600406 BODY POS D/C STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600407 BODY POS D/C STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600408 BODY POS D/C STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600409 BODY POS D/C STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600410 BODY POS D/C STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600411 BODY POS D/C STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600412 BODY POS D/C STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600413 CARRY CURRENT STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600414 CARRY CURRENT STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600415 CARRY CURRENT STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600416 CARRY CURRENT STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600417 CARRY CURRENT STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600418 CARRY CURRENT STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600419 CARRY CURRENT STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600420 CARRY GOAL STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600421 CARRY GOAL STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600422 CARRY GOAL STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600423 CARRY GOAL STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600424 CARRY GOAL STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600425 CARRY GOAL STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600426 CARRY GOAL STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600427 CARRY D/C STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600428 CARRY D/C STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600429 CARRY D/C STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600430 CARRY D/C STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600431 CARRY D/C STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600432 CARRY D/C STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600433 CARRY D/C STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600434 SELF CARE CURRENT STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600435 SELF CARE CURRENT STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600436 SELF CARE CURRENT STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600437 SELF CARE CURRENT STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600438 SELF CARE CURRENT STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600439 SELF CARE CURRENT STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600440 SELF CARE CURRENT STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600441 SELF CARE GOAL STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600442 SELF CARE GOAL STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600443 SELF CARE GOAL STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600444 SELF CARE GOAL STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600445 SELF CARE GOAL STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600446 SELF CARE GOAL STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600447 SELF CARE GOAL STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600448 SELF CARE D/C STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600449 SELF CARE D/C STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600450 SELF CARE D/C STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600451 SELF CARE D/C STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600452 SELF CARE D/C STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600453 SELF CARE D/C STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600454 SELF CARE D/C STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600455 OTHER PT/OT CURRENT STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600456 OTHER PT/OT CURRENT STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600457 OTHER PT/OT CURRENT STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600458 OTHER PT/OT CURRENT STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600459 OTHER PT/OT CURRENT STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600460 OTHER PT/OT CURRENT STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600461 OTHER PT/OT CURRENT STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600462 OTHER PT/OT GOAL STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600463 OTHER PT/OT GOAL STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600464 OTHER PT/OT GOAL STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600465 OTHER PT/OT GOAL STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600466 OTHER PT/OT GOAL STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600467 OTHER PT/OT GOAL STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600468 OTHER PT/OT GOAL STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600469 OTHER PT/OT D/C STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600470 OTHER PT/OT D/C STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600471 OTHER PT/OT D/C STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600472 OTHER PT/OT D/C STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600473 OTHER PT/OT D/C STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600474 OTHER PT/OT D/C STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600475 OTHER PT/OT D/C STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600476 SUB PT/OT CURRENT STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600477 SUB PT/OT CURRENT STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600478 SUB PT/OT CURRENT STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600479 SUB PT/OT CURRENT STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600480 SUB PT/OT CURRENT STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600481 SUB PT/OT CURRENT STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600482 SUB PT/OT CURRENT STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600483 SUB PT/OT GOAL STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600484 SUB PT/OT GOAL STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600485 SUB PT/OT GOAL STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600486 SUB PT/OT GOAL STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600487 SUB PT/OT GOAL STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600488 SUB PT/OT GOAL STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600489 SUB PT/OT GOAL STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600490 SUB PT/OT D/C STATUS CHPT 0.01 7/1/2013 CC_RehabilitationStandard 2600491 SUB PT/OT D/C STATUS CIPT 0.01 7/1/2013 CC_RehabilitationStandard 2600492 SUB PT/OT D/C STATUS CJPT 0.01 7/1/2013 CC_RehabilitationStandard 2600493 SUB PT/OT D/C STATUS CKPT 0.01 7/1/2013 CC_RehabilitationStandard 2600494 SUB PT/OT D/C STATUS CLPT 0.01 7/1/2013 CC_RehabilitationStandard 2600495 SUB PT/OT D/C STATUS CMPT 0.01 7/1/2013 CC_RehabilitationStandard 2600496 SUB PT/OT D/C STATUS CNPT 0.01 7/1/2013 CC_RehabilitationStandard 2600497 PT CANALITH REPOSITIONING 194 11/1/2018 CC_RehabilitationStandard 2600498 PT CANALITH REPOSITIONING\59 194 11/1/2018 CC_RehabilitationStandard 3200001 VENIPUNCTURE 38 11/1/2017 CC_Laboratory Standard 3200002 HGB A1C 131 11/1/2017 CC_Laboratory Standard 3200003 ABG 352 11/1/2017 CC_Laboratory Standard 3200004 CARBOXY HEMOGLOBIN 259 11/1/2017 CC_Laboratory Standard 3200005 ACETAMINOPHEN 154 11/1/2017 CC_Laboratory Standard 3200006 ALBUMIN 36 11/1/2017 CC_Laboratory Standard 3200007 ETHANOL 162 11/1/2017 CC_Laboratory Standard 3200008 ALKALINE PHOSPHATASE 37 11/1/2017 CC_Laboratory Standard 3200009 ALT 41 11/1/2017 CC_Laboratory Standard 3200010 AMYLASE 175 11/1/2017 CC_Laboratory Standard 3200011 AMMONIA 224 11/1/2017 CC_Laboratory Standard 3200012 AST 47 11/1/2017 CC_Laboratory Standard 3200013 HCG QUANT 591 11/1/2017 CC_Laboratory Standard 3200014 BMP 286 11/1/2017 CC_Laboratory Standard 3200016 BUN 61 11/1/2017 CC_Laboratory Standard 3200017 CALCIUM TOTAL 47 11/1/2017 CC_Laboratory Standard 3200018 CALCIUM IONIZED 139 11/1/2017 CC_Laboratory Standard 3200019 CARBAMEZEPINE 278 11/1/2017 CC_Laboratory Standard 3200020 CHOLESTEROL 51 11/1/2017 CC_Laboratory Standard 3200021 CK TOTAL 181 11/1/2017 CC_Laboratory Standard 3200022 CKMB 304 11/1/2017 CC_Laboratory Standard 3200023 CHLORIDE BLOOD 41 11/1/2017 CC_Laboratory Standard 3200024 CMP 432 11/1/2017 CC_Laboratory Standard 3200025 CARBON DIOXIDE 35 11/1/2017 CC_Laboratory Standard 3200026 CREATININE 58 11/1/2017 CC_Laboratory Standard 3200027 C‐REACTIVE PROTEIN 102 11/1/2017 CC_Laboratory Standard 3200028 HS‐CRP 131 11/1/2017 CC_Laboratory Standard 3200029 BILIRUBIN DIRECT 86 11/1/2017 CC_Laboratory Standard 3200030 HDL CHOLESTEROL‐DIRECT 76 11/1/2017 CC_Laboratory Standard 3200031 DIGOXIN 242 11/1/2017 CC_Laboratory Standard 3200032 ELECTROLYTE PANEL 130 11/1/2017 CC_Laboratory Standard 3200033 IRON 88 11/1/2017 CC_Laboratory Standard 3200034 FERRITIN 25 11/1/2017 CC_Laboratory Standard 3200035 FREE T4 138 11/1/2017 CC_Laboratory Standard 3200036 GLUCOSE 57 11/1/2017 CC_Laboratory Standard 3200037 GLUCOSE TOLERANCE 2HR 150 11/1/2017 CC_Laboratory Standard 3200038 GLUCOSE TOLERANCE 3HR 150 11/1/2017 CC_Laboratory Standard 3200039 GLUCOSE GESTATIONAL TOLERANCE 1HR SCREEN 134 11/1/2017 CC_Laboratory Standard 3200040 GLUCOSE GESTATIONAL TOLERANCE 2HR 150 11/1/2017 CC_Laboratory Standard 3200041 GLUCOSE GESTATIONAL TOLERANCE 3HR 150 11/1/2017 CC_Laboratory Standard 3200042 POTASSIUM SERUM 67 11/1/2017 CC_Laboratory Standard 3200043 LACTATE 191 11/1/2017 CC_Laboratory Standard 3200044 LD 105 11/1/2017 CC_Laboratory Standard 3200045 LIPASE 219 11/1/2017 CC_Laboratory Standard 3200046 LIPID PANEL 200 11/1/2017 CC_Laboratory Standard 3200047 LITHIUM 197 11/1/2017 CC_Laboratory Standard 3200048 HEPATIC FUNCTION PANEL 241 11/1/2017 CC_Laboratory Standard 3200049 MAGNESIUM 130 11/1/2017 CC_Laboratory Standard 3200050 SODIUM SERUM 50 11/1/2017 CC_Laboratory Standard 3200051 PHENYTOIN TOTAL 272 11/1/2017 CC_Laboratory Standard 3200052 PHOSPHORUS 93 11/1/2017 CC_Laboratory Standard 3200053 PSA (SCREENING Z125) 113 11/1/2017 CC_Laboratory Standard 3200054 PSA (DIAGNOSTIC) 129 11/1/2017 CC_Laboratory Standard 3200055 PSA TOTAL AND FREE (SCREENING Z125) 33 11/1/2017 CC_Laboratory Standard 3200056 PSA TOTAL AND FREE (DIAGNOSTIC) 28 11/1/2017 CC_Laboratory Standard 3200057 RENAL FUNCTION PANEL 312 11/1/2017 CC_Laboratory Standard 3200058 SALICYLATE 154 11/1/2017 CC_Laboratory Standard 3200059 T3 FREE 126 11/1/2017 CC_Laboratory Standard 3200060 BILIRUBIN TOTAL 36 11/1/2017 CC_Laboratory Standard 3200061 THEOPHYLLINE 154 11/1/2017 CC_Laboratory Standard 3200062 TIBC (IRON, %SAT) 117 11/1/2017 CC_Laboratory Standard 3200063 TROPONIN I 299 11/1/2017 CC_Laboratory Standard 3200064 PROTEIN TOTAL 45 11/1/2017 CC_Laboratory Standard 3200065 TRIGLYCERIDES 75 11/1/2017 CC_Laboratory Standard 3200066 TSH 213 11/1/2017 CC_Laboratory Standard 3200067 URIC ACID BLOOD 81 11/1/2017 CC_Laboratory Standard 3200068 VANCOMYCIN TROUGH 266 11/1/2017 CC_Laboratory Standard 3200070 VALPROIC ACID (DEPAKOTE) 265 11/1/2017 CC_Laboratory Standard 3200071 VITAMIN D 25 HYDROXY TOTAL 149 11/1/2017 CC_Laboratory Standard 3200100 DRUG SCREEN URINE 90 11/1/2017 CC_Laboratory Standard 3200101 CREATININE 24HR URINE 72 11/1/2017 CC_Laboratory Standard 3200102 VOLUME MEASUREMENT TIMED COLLECTION 31 11/1/2017 CC_Laboratory Standard 3200103 CREATININE CLEARANCE SERUM & 24 HR URINE 134 11/1/2017 CC_Laboratory Standard 3200104 PROTEIN URINE 24H W/CREATININE 79 11/1/2017 CC_Laboratory Standard 3200105 CREATININE URINE RANDOM 72 11/1/2017 CC_Laboratory Standard 3200106 MICROALBUMIN 24H URINE 100 11/1/2017 CC_Laboratory Standard 3200107 SODIUM URINE 24 HOUR 115 11/1/2017 CC_Laboratory Standard 3200108 POTASSIUM URINE 24 HOUR 112 11/1/2017 CC_Laboratory Standard 3200109 CHLORIDE URINE RANDOM 66 11/1/2017 CC_Laboratory Standard 3200110 POTASSIUM URINE RANDOM 112 11/1/2017 CC_Laboratory Standard 3200111 MICROALBUMIN RANDOM URINE W/CREAT 100 11/1/2017 CC_Laboratory Standard 3200112 SODIUM RANDOM URINE 115 11/1/2017 CC_Laboratory Standard 3200113 PROTEIN URINE RANDOM W/CREATININE 79 11/1/2017 CC_Laboratory Standard 3200150 CBC W/DIFF 148 11/1/2017 CC_Laboratory Standard 3200151 HEMOGLOBIN 58 11/1/2017 CC_Laboratory Standard 3200152 HEMATOCRIT 64 11/1/2017 CC_Laboratory Standard 3200153 SED RATE 62 11/1/2017 CC_Laboratory Standard 3200154 RETICULOCYTE COUNT 183 11/1/2017 CC_Laboratory Standard 3200155 HEMOGRAM 114 11/1/2017 CC_Laboratory Standard 3200156 PLATELET COUNT 101 11/1/2017 CC_Laboratory Standard 3200157 WBC 35 11/1/2017 CC_Laboratory Standard 3200158 H & H 0 11/1/2017 CC_Laboratory Standard 3200159 PT/INR 85 11/1/2017 CC_Laboratory Standard 3200160 PTT 157 11/1/2017 CC_Laboratory Standard 3200161 FIBRINOGEN QUANTITATIVE 157 11/1/2017 CC_Laboratory Standard 3200162 D‐DIMER (FEU) 272 11/1/2017 CC_Laboratory Standard 3200170 GLUCOSE CSF 129 11/1/2017 CC_Laboratory Standard 3200171 PROTEIN CSF 140 11/1/2017 CC_Laboratory Standard 3200172 CSF CELL COUNT 108 11/1/2017 CC_Laboratory Standard 3200173 CELL COUNT SEROUS FLUID 223 11/1/2017 CC_Laboratory Standard 3200174 SYNOVIAL FLUID CELL COUNT 223 11/1/2017 CC_Laboratory Standard 3200180 TYPE & SCREEN 0 11/1/2017 CC_Laboratory Standard 3200181 BB ABO GROUP 86 11/1/2017 CC_Laboratory Standard 3200182 BB RH (D)TYPE 82 11/1/2017 CC_Laboratory Standard 3200183 BB ANTIBODY SCREEN 170 11/1/2017 CC_Laboratory Standard 3200184 BB COOMBS DIRECT 128 11/1/2017 CC_Laboratory Standard 3200185 TYPE & CROSSMATCH 0 11/1/2017 CC_Laboratory Standard 3200186 BB CHARGE CROSSMATCH 174 11/1/2017 CC_Laboratory Standard 3200187 BB ABO RETYPE UNIT 24 11/1/2017 CC_Laboratory Standard 3200188 FFP 0 11/1/2017 CC_Laboratory Standard 3200189 PLATELETPHERESIS 0 11/1/2017 CC_Laboratory Standard 3200200 CULTURE BLOOD 303 11/1/2017 CC_Laboratory Standard 3200201 GRAM STAIN 105 11/1/2017 CC_Laboratory Standard 3200202 CHLAMYDIA/N GONORRHOEAE DNA PCR 0 11/1/2017 CC_Laboratory Standard 3200203 CHARGE C TRACHOMATIS 68 11/1/2017 CC_Laboratory Standard 3200204 CHARGE N GONORRHOEAE 68 11/1/2017 CC_Laboratory Standard 3200205 C DIFF TOX (DNA) STOOL 181 11/1/2017 CC_Laboratory Standard 3200206 MRSA SCREEN (DNA) 138 11/1/2017 CC_Laboratory Standard 3200220 SEMEN ANALYSIS SPERM PRESENCE/ABSENCE 105 11/1/2017 CC_Laboratory Standard 3200221 WET MOUNT 105 11/1/2017 CC_Laboratory Standard 3200222 INFLUENZA A,B (RAPID‐NASAL SWAB) 142 11/1/2017 CC_Laboratory Standard 3200223 INFLUENZA A,B (CHARGE FOR FLU B) 142 11/1/2017 CC_Laboratory Standard 3200224 OCCULT BLOOD GASTRIC/VOMITUS 35 11/1/2017 CC_Laboratory Standard 3200225 HIV 1/2 AG/AB SCREEN (POST EXPOSURE) 112 11/1/2017 CC_Laboratory Standard 3200226 MONOSPOT 148 11/1/2017 CC_Laboratory Standard 3200227 NASAL EOSINOPHIL SMEAR 52 11/1/2017 CC_Laboratory Standard 3200228 IFOBT SCREENING (Z1211) 48 11/1/2017 CC_Laboratory Standard 3200229 IFOBT DIAGNOSTIC 48 11/1/2017 CC_Laboratory Standard 3200231 HCG SERUM QUAL 232 11/1/2017 CC_Laboratory Standard 3200232 HCG URINE QUAL 232 11/1/2017 CC_Laboratory Standard 3200233 RAPID STREP (NEG RFLX TO CULTURE) 127 11/1/2017 CC_Laboratory Standard 3200234 RSV ANTIGEN 123 11/1/2017 CC_Laboratory Standard 3200235 FECAL LEUKOCYTES 93 11/1/2017 CC_Laboratory Standard 3200236 ACETONE SERUM QUALITATIVE 113 11/1/2017 CC_Laboratory Standard 3200237 CRYSTAL ID SYNOVIAL FLUID 153 11/1/2017 CC_Laboratory Standard 3200240 UROGRAM 70 11/1/2017 CC_Laboratory Standard 3200241 UA W/ MICROSCOPIC 112 11/1/2017 CC_Laboratory Standard 3200242 MICROSCOPIC ONLY (URINE) 35 11/1/2017 CC_Laboratory Standard 3200243 UA REFLEX MICROSCOPIC 0 11/1/2017 CC_Laboratory Standard 3200244 UA REFLEX MICROSCOPIC & C&S 0 11/1/2017 CC_Laboratory Standard 3200245 UA W/ MICROSCOPIC REFLEX C&S 112 11/1/2017 CC_Laboratory Standard 3200246 MICROSCOPIC ONLY(URINE) RFLX C&S 35 11/1/2017 CC_Laboratory Standard 3200250 BB CHARGE PLATELETPHERESIS 1277 11/1/2017 CC_Laboratory Standard 3200251 BB CHARGE PLTPHER CMV NEG 1313 11/1/2017 CC_Laboratory Standard 3200252 BB CHARGE PLTPHER CMV NEG IRRADIATED 1442 11/1/2017 CC_Laboratory Standard 3200253 BB CHARGE PLTPHER IRRADIATED 1406 11/1/2017 CC_Laboratory Standard 3200254 BB CHARGE PRBC 475 11/1/2017 CC_Laboratory Standard 3200255 BB CHARGE PRBC CMV NEG 511 11/1/2017 CC_Laboratory Standard 3200256 BB CHARGE PRBC CMV NEG IRRADIATED 567 11/1/2017 CC_Laboratory Standard 3200257 BB CHARGE PRBC IRRADIATED 531 11/1/2017 CC_Laboratory Standard 3200258 BB CHARGE FFP 176 11/1/2017 CC_Laboratory Standard 3200259 GTT EACH ADDITL SPECIMEN‐CHARGE ONLY 66 11/1/2017 CC_Laboratory Standard 3200260 UA AUTO W/O MICRO 70 11/1/2017 CC_Laboratory Standard 3200261 UA AUTO W/ MICRO 112 11/1/2017 CC_Laboratory Standard 3200262 BBRL LEUKOCYTE ANTIBODY ID 36 11/1/2017 CC_Laboratory Standard 3200263 BBRL ANTIBODY ELUTION (RBC) 120 11/1/2017 CC_Laboratory Standard 3200264 BBRL ANTIBODY IDENTIFICATION PANEL 180 11/1/2017 CC_Laboratory Standard 3200265 BBRL IND COOMBS TITER (TITRATION) 258 11/1/2017 CC_Laboratory Standard 3200266 BBRL ABO 60 11/1/2017 CC_Laboratory Standard 3200267 BBRL RH PHENOTYPE 128 11/1/2017 CC_Laboratory Standard 3200268 BBRL ANTIGEN TYPING CLASS 1 (PER AG) 151 11/1/2017 CC_Laboratory Standard 3200269 BBRL DAT 48 11/1/2017 CC_Laboratory Standard 3200270 BBRL ABO DISCREPANCY 85 11/1/2017 CC_Laboratory Standard 3200271 BBRL ADSORPTION 232 11/1/2017 CC_Laboratory Standard 3200272 BBRL EXTENDED PHENOTYPE 343 11/1/2017 CC_Laboratory Standard 3200273 BBRL 4C ANTIBODY IDENTIFICATION 111 11/1/2017 CC_Laboratory Standard 3200274 BBRL RED CELL TREATMENT‐EGA/CHL/DTT 128 11/1/2017 CC_Laboratory Standard 3200276 BBRL RH(D) TYPING 43 11/1/2017 CC_Laboratory Standard 3200277 BBRL ANTIBODY DETECTION (SCREEN) 120 11/1/2017 CC_Laboratory Standard 3200278 BBRL ANTIBODY DETECTION (SCREEN) GEL 180 11/1/2017 CC_Laboratory Standard 3200279 BBRL RED CELL SEPARATION 308 11/1/2017 CC_Laboratory Standard 3200280 BBRL COLD AGGLUTININ SCREEN 103 11/1/2017 CC_Laboratory Standard 3200281 BBRL COLD AGGLUTININ TITER 231 11/1/2017 CC_Laboratory Standard 3200282 BBRL ANTIGEN TYPING CLASS II (PER AG) 166 11/1/2017 CC_Laboratory Standard 3200283 BBRL ANTIGEN TYPING PATIENT(PER AG) 111 11/1/2017 CC_Laboratory Standard 3200500 PHLEBOTOMY THERAPEUTIC 405 11/1/2017 CC_Laboratory Standard 3200501 PKU 0 11/1/2017 CC_Laboratory Standard 3200502 EMPLOYEE SCREEN COLLECTION 15 11/1/2017 CC_Laboratory Standard 3200503 LAB CORP VENIPUNCTURE 38 11/1/2017 CC_Laboratory Standard 3200504 LAB CORP SPEC HANDLING 59 11/1/2017 CC_Laboratory Standard 3200505 SONORA QUEST SPEC HANDLING 59 11/1/2017 CC_Laboratory Standard 3200506 SONORA QUEST VENIPUNCTURE 38 11/1/2017 CC_Laboratory Standard 3200507 PATHOLOGY 0 11/1/2017 CC_Laboratory Standard 3201001 BO COCCI IMDF 86 11/1/2018 CC_Laboratory Standard 3201010 CHARGE IFE 83 11/1/2017 CC_Laboratory Standard 3201013 CHARGE HCV RNA QUANT PCR 193 11/1/2017 CC_Laboratory Standard 3201021 CHARGE HBSAG CONFIRMATION 250 11/1/2017 CC_Laboratory Standard 3201031 CHARGE MYCOBACTERIA CULTURE, CONCENTRATI 88 11/1/2017 CC_Laboratory Standard 3201032 CHARGE TISSUE PROCESSING 32 11/1/2017 CC_Laboratory Standard 3201035 CHARGE MYCOBACT IDENT BY SEQUENCING 203 11/1/2017 CC_Laboratory Standard 3201036 CHARGE ID MALDI‐TOF MASS SPEC AFB 150 11/1/2017 CC_Laboratory Standard 3201037 ID M. TUBERCULOSIS COMPLX SPECIATION PCR 213 11/1/2017 CC_Laboratory Standard 3201038 CHARGE MYCOBACTERIA PROBE ID SOLID 124 11/1/2017 CC_Laboratory Standard 3201039 CHARGE MYCOBACTERIA PROBE ID BROTH 124 11/1/2017 CC_Laboratory Standard 3201040 CHARGE MOLEC CYTO DNA PROBE FISH (_PBCT) 75 11/1/2017 CC_Laboratory Standard 3201041 CHARGE MOLEC CYTO DNA PROBE FISH (_PADD) 41 11/1/2017 CC_Laboratory Standard 3201042 CHARGE MOLEC CYTO DNA PROBE FISH (_PB02) 75 11/1/2017 CC_Laboratory Standard 3201043 CHARGE MOLEC CYTO DNA PROBE FISH (_PB03) 108 11/1/2017 CC_Laboratory Standard 3201044 CHARGE INTERPHASE IN SITU HYB (_IL25) 58 11/1/2017 CC_Laboratory Standard 3201045 CHARGE INTERPHASE IN SITU HYB (_I099) 58 11/1/2017 CC_Laboratory Standard 3201046 CHARGE INTERPHASE IN SITU HYB (_I300) 58 11/1/2017 CC_Laboratory Standard 3201047 CHARGE PROTEIN S ANTIGEN 69 11/1/2017 CC_Laboratory Standard 3201048 CHARGE IMMUNOFIXATION CRYOGLOBULIN 244 11/1/2017 CC_Laboratory Standard 3201051 CHARGE D‐DIMER 98 11/1/2017 CC_Laboratory Standard 3201052 CHARGE BETHESDA UNITS 262 11/1/2017 CC_Laboratory Standard 3201053 CHARGE COAG FACTOR VIII INHIBITOR SCREEN 466 11/1/2017 CC_Laboratory Standard 3201054 CHARGE COAG FACTOR V ACTIVITY ASSAY 125 11/1/2017 CC_Laboratory Standard 3201055 CHARGE COAG FACTOR VII ACTIVITY ASSAY 111 11/1/2017 CC_Laboratory Standard 3201056 CHARGE THROMBIN TIME (BOVINE) PLASMA 90 11/1/2017 CC_Laboratory Standard 3201057 CHARGE FACTOR IX ACTIVITY, CLOTTING 108 11/1/2017 CC_Laboratory Standard 3201058 CHARGE FACTOR X ACTIVITY ASSAY 125 11/1/2017 CC_Laboratory Standard 3201059 CHARGE FACTOR XI ACTIVITY ASSAY 125 11/1/2017 CC_Laboratory Standard 3201060 CHARGE FACTOR XII ACTIVITY ASSAY 125 11/1/2017 CC_Laboratory Standard 3201061 CHARGE FACTOR VIII ACTIVITY ASSAY 125 11/1/2017 CC_Laboratory Standard 3201062 CHARGE REPTILASE TIME 108 11/1/2017 CC_Laboratory Standard 3201063 CHARGE FACTOR II ACTIVITY ASSAY 125 11/1/2017 CC_Laboratory Standard 3201064 CHARGE FIBRINOGEN 155 11/1/2017 CC_Laboratory Standard 3201065 CHARGE SOLUBLE FIBRIN MONOMER 313 11/1/2017 CC_Laboratory Standard 3201066 CHARGE PLATELET NEUTRALIZATION PROCEDURE 166 11/1/2017 CC_Laboratory Standard 3201067 CHARGE PT MIX 1:1 150 11/1/2017 CC_Laboratory Standard 3201068 CHARGE APTT MIX 1:1 150 11/1/2017 CC_Laboratory Standard 3201069 CHARGE SPECIAL COAG INTERPRETATION 288 11/1/2017 CC_Laboratory Standard 3201070 CHARGE STACLOT LUPUS ANTICOAGULANT 188 11/1/2017 CC_Laboratory Standard 3201071 CHARGE PCP CONFIRMATION 92 11/1/2017 CC_Laboratory Standard 3201072 CHARGE BZO CONFIRMATION 92 11/1/2017 CC_Laboratory Standard 3201074 CHARGE AMP CONFIRMATION 56 11/1/2017 CC_Laboratory Standard 3201075 CHARGE THC CONFIRMATION 92 11/1/2017 CC_Laboratory Standard 3201076 CHARGE BAR CONFIRMATION 92 11/1/2017 CC_Laboratory Standard 3201079 FLOW CYTOMETRY INTERP., 2 TO 8 MARKERS 160 11/1/2017 CC_Laboratory Standard 3201080 FLOW CYTOMETRY INTERP., 9 TO 15 MARKERS 219 11/1/2017 CC_Laboratory Standard 3201081 FLOW CYTOMETRY INTERP., 16 OR GREATER 262 11/1/2017 CC_Laboratory Standard 3201082 TCR V‐BETA 1172 11/1/2017 CC_Laboratory Standard 3201083 FLOW CYTOMETRY CELL SURFACE, FIRST 83 11/1/2017 CC_Laboratory Standard 3201084 FLOW CYTOMETRY CELL SURFACE, ADDITIONAL 41 11/1/2017 CC_Laboratory Standard 3201086 CHARGE HSV IGM IFA 41 11/1/2017 CC_Laboratory Standard 3201087 CHARGE GAD65 AB 49 11/1/2017 CC_Laboratory Standard 3201088 CHARGE CRMP‐5 IGG WESTERN BLOT 441 11/1/2017 CC_Laboratory Standard 3201089 CHARGE ACHR GANGLIONIC NEURONAL AB 441 11/1/2017 CC_Laboratory Standard 3201090 CHARGE NEURONAL (V‐G) K+ CHANNEL AB 500 11/1/2017 CC_Laboratory Standard 3201091 CHARGE IBETH (VON WILLEBRAND PROFILE) 258 11/1/2017 CC_Laboratory Standard 3201092 CHARGE COAGULATION FACTOR VIII INHIBITOR 466 11/1/2017 CC_Laboratory Standard 3201093 CHARGE RISTOCETIN COFACTOR 91 11/1/2017 CC_Laboratory Standard 3201094 CHARGE SPECIAL COAG INTERPRETATION 75 11/1/2017 CC_Laboratory Standard 3201095 CHARGE VON WILLEBRAND FACTOR MULTIMER 75 11/1/2017 CC_Laboratory Standard 3201096 CHARGE PARASITE ID BUG 86 11/1/2017 CC_Laboratory Standard 3201097 CHARGE PARASITE ID WORMY 86 11/1/2017 CC_Laboratory Standard 3201098 CHARGE DRVVT CONF (FLUPV) 123 11/1/2017 CC_Laboratory Standard 3201099 CHARGE DRVVT 1:1 MIX (FLUPV) 71 11/1/2017 CC_Laboratory Standard 3201100 CHARGE THROMBIN CLOTTING TIME (FLUPV) 139 11/1/2017 CC_Laboratory Standard 3201101 CHARGE HEXAGONAL PHASE CONF (FLUPV) 144 11/1/2017 CC_Laboratory Standard 3201102 CHARGE ANTITHROMBIN ANTIGEN PLASMA 61 11/1/2017 CC_Laboratory Standard 3201103 CHARGE PROTEIN C ANTIGEN 88 11/1/2017 CC_Laboratory Standard 3201122 CHARGE PROTEIN S ACTIVITY 130 11/1/2017 CC_Laboratory Standard 3201123 CHARGE FACTOR V R506Q LEIDEN MUTATION 100 11/1/2017 CC_Laboratory Standard 3201124 CHARGE RIBOSOMAL P AB 77 11/1/2017 CC_Laboratory Standard 3201125 CHARGE ENAE‐EXTRACTABLE NUCLEAR AG EVAL 108 11/1/2017 CC_Laboratory Standard 3201126 CHARGE CENTROMERE AB (CTDC) 72 11/1/2017 CC_Laboratory Standard 3201127 CHARGE DS DNA AB WITH RFLX (CTDC) 30 11/1/2017 CC_Laboratory Standard 3201128 CHARGE DS DNA AB BY CRITHIDIA IFA (CTDC) 208 11/1/2017 CC_Laboratory Standard 3201129 CHARGE NMO/AQP4 IGG TITER (NMOTS) 133 11/1/2017 CC_Laboratory Standard 3201137 CHARGE PORPHYRINS FRACT PLASMA 495 11/1/2017 CC_Laboratory Standard 3201141 CHRG PARANEOPLASTIC AUTOAB WB SERUM 433 11/1/2017 CC_Laboratory Standard 3201142 CHRG ACHR MODULATING AB 433 11/1/2017 CC_Laboratory Standard 3201143 CHRG AMPHIPHYSIN WB 433 11/1/2017 CC_Laboratory Standard 3201144 CHRG NMDA‐R AB CBA 750 11/1/2017 CC_Laboratory Standard 3201145 CHRG AMPA‐R AB CBA 750 11/1/2017 CC_Laboratory Standard 3201146 CHRG GABA‐B‐R AB CBA 750 11/1/2017 CC_Laboratory Standard 3201147 CHRG NMDA‐R AB IF TITER 150 11/1/2017 CC_Laboratory Standard 3201148 CHRG AMPA‐R AB IF TITER 150 11/1/2017 CC_Laboratory Standard 3201149 CHRG GABA‐B‐R AB IF TITER 150 11/1/2017 CC_Laboratory Standard 3201150 CHRG NMO/AQP4 FACS 875 11/1/2017 CC_Laboratory Standard 3201151 CHRG LGI1‐IGG CBA 417 11/1/2017 CC_Laboratory Standard 3201152 CHRG CASPR2‐IGG 417 11/1/2017 CC_Laboratory Standard 3201154 THROMBIN TIME 91 11/1/2017 CC_Laboratory Standard 3201155 ANTITHROMBIN III ACTIVITY 49 11/1/2017 CC_Laboratory Standard 3201157 APTT (MML) 50 11/1/2017 CC_Laboratory Standard 3201158 PROTHROMBIN TIME (MML) 36 11/1/2017 CC_Laboratory Standard 3201159 D‐DIMER (MML) 80 11/1/2017 CC_Laboratory Standard 3201160 PROTEIN C ACTIVITY 105 11/1/2017 CC_Laboratory Standard 3201161 ACTIVATED PROTEIN C RESISTANCE V 116 11/1/2017 CC_Laboratory Standard 3201162 PROTEIN S ANTIGEN FREE 116 11/1/2017 CC_Laboratory Standard 3201163 DILUTED RUSSELS VIPER VENOM 67 11/1/2017 CC_Laboratory Standard 3201164 FIBRINOGEN (MML) 68 11/1/2017 CC_Laboratory Standard 3201165 COAGULATION INTERPRETATION 44 11/1/2017 CC_Laboratory Standard 3201166 SOLUBLE FIBRIN MONOMER 69 11/1/2017 CC_Laboratory Standard 3201167 PROTHROMBIN G20210A MUTATION 354 11/1/2017 CC_Laboratory Standard 3201168 ASSAY OF APOLIPOPROTEIN 139 11/1/2017 CC_Laboratory Standard 3201169 BILIRUBIN TOTAL 29 11/1/2017 CC_Laboratory Standard 3201170 ASSAY OF GGT 29 11/1/2017 CC_Laboratory Standard 3201171 ASSAY OF HAPTOGLOBIN 126 11/1/2017 CC_Laboratory Standard 3201172 ASSAY NEPHELOMETRY NOT SPEC 136 11/1/2017 CC_Laboratory Standard 3201173 ASSAY OF ALT 29 11/1/2017 CC_Laboratory Standard 3201174 ARSENIC 24 HR URINE 159 11/1/2017 CC_Laboratory Standard 3201175 LEAD 24 HR URINE 105 11/1/2017 CC_Laboratory Standard 3201176 CADMIUM 24 HR URINE 138 11/1/2017 CC_Laboratory Standard 3201177 MERCURY 24 HR URINE 193 11/1/2017 CC_Laboratory Standard 3201178 CHARGE ANA (CTDC) 35 11/1/2017 CC_Laboratory Standard 3201179 CHARGE CCP (CTDC) 37 11/1/2017 CC_Laboratory Standard 3201196 CHARGE MEASLES AB IGG 29 11/1/2017 CC_Laboratory Standard 3201197 CHARGE MUMPS AB IGG 37 11/1/2017 CC_Laboratory Standard 3201198 CHARGE RUBELLA AB IGG 28 11/1/2017 CC_Laboratory Standard 3201199 CHARGE RUBELLA AB IGG 36 11/1/2017 CC_Laboratory Standard 3201200 CHARGE ACH RECEPTOR BINDING AB 66 11/1/2017 CC_Laboratory Standard 3201201 CHARGE ACH RECEPTOR MODULATING AB 66 11/1/2017 CC_Laboratory Standard 3201202 CHARGE STRIATIONAL (STRIATED MUSCLE) AB 63 11/1/2017 CC_Laboratory Standard 3201203 CHARGE VARICELLA ZOSTER VIRUS PCR 479 11/1/2017 CC_Laboratory Standard 3201204 CHARGE HERPES SIMPLEX VIRUS PCR 479 11/1/2017 CC_Laboratory Standard 3201205 CHRG ANTI‐NEURONAL NUCLEAR AB TYPE 1 138 11/1/2017 CC_Laboratory Standard 3201206 CHRG ANTI‐NEURONAL NUCLEAR AB TYPE 2 138 11/1/2017 CC_Laboratory Standard 3201207 CHRG ANTI‐NEURONAL NUCLEAR AB TYPE 3 138 11/1/2017 CC_Laboratory Standard 3201208 CHRG ANTI‐GLIAL NUCLEAR AB TYPE 1 138 11/1/2017 CC_Laboratory Standard 3201209 CHRG PURKINJE CELL CYTOPLASMIC AB TYPE 1 138 11/1/2017 CC_Laboratory Standard 3201210 CHRG PURKINJE CELL CYTOPLASMIC AB TYPE 2 138 11/1/2017 CC_Laboratory Standard 3201211 CHRG PURKINJE CELL CYTOPLASMIC AB TYP TR 138 11/1/2017 CC_Laboratory Standard 3201212 CHRG AMPHIPHYSIN AB 138 11/1/2017 CC_Laboratory Standard 3201213 CHRG CRMP5 IGG 138 11/1/2017 CC_Laboratory Standard 3201214 CHRG STRIATED MUSCLE AB 148 11/1/2017 CC_Laboratory Standard 3201215 CHRG PQ‐TYPE CALCIUM CHANNEL AB 155 11/1/2017 CC_Laboratory Standard 3201216 CHRG N‐TYPE CALCIUM CHANNEL AB 155 11/1/2017 CC_Laboratory Standard 3201217 CHRG ACH RECEPTOR BINDING AB 155 11/1/2017 CC_Laboratory Standard 3201218 CHRG ACHR GANGLIONIC NEURONAL AB 155 11/1/2017 CC_Laboratory Standard 3201219 CHRG NEURONAL V‐G K+ CHANNEL AB 155 11/1/2017 CC_Laboratory Standard 3201220 BNP 329 12/1/2018 CC_Laboratory Standard 3202001 25‐HYDROXYVITAMIN D2 AND D3 (SENDOUT) 149 11/1/2017 CC_Laboratory Standard 3202002 COCCIDIOIDES ANTIBODY REFLEX CF & ID 54 11/1/2017 CC_Laboratory Standard 3202003 COCCIDIOIDES ANTIBODY WITH CF & ID 86 11/1/2017 CC_Laboratory Standard 3202004 VITAMIN B12‐CYANOCOBALAMINE 23 11/1/2017 CC_Laboratory Standard 3202005 TESTOSTERONE FREE AND TOTAL 45 11/1/2017 CC_Laboratory Standard 3202006 TESTOSTERONE TOTAL 32 11/1/2017 CC_Laboratory Standard 3202007 FOLATE 27 11/1/2017 CC_Laboratory Standard 3202008 RHEUMATOID FACTOR 24 11/1/2017 CC_Laboratory Standard 3202009 CARCINOEMBRYONIC ANTIGEN (CEA) 34 11/1/2017 CC_Laboratory Standard 3202010 ESTRADIOL (E2) 51 11/1/2017 CC_Laboratory Standard 3202011 CORTISOL LC/MS/MS 70 11/1/2017 CC_Laboratory Standard 3202012 IMMUNOGLOBULINS (IGG, IGA, IGM) QUANT 42 11/1/2017 CC_Laboratory Standard 3202013 THYROPEROXIDASE (TPO) ANTIBODIES 30 11/1/2017 CC_Laboratory Standard 3202014 PTH W/ MINERALS (CA, PHOS, CREAT) 42 11/1/2017 CC_Laboratory Standard 3202015 ANTINUCLEAR ANTIBODIES (ANA) 44 11/1/2017 CC_Laboratory Standard 3202016 CULTURE STOOL 80 11/1/2017 CC_Laboratory Standard 3202017 PARASITIC EXAMINATION (O&P) 66 11/1/2017 CC_Laboratory Standard 3202018 CA 15‐3 41 11/1/2017 CC_Laboratory Standard 3202019 IMMUNOFIXATION SERUM 83 11/1/2017 CC_Laboratory Standard 3202020 FSH 29 11/1/2017 CC_Laboratory Standard 3202021 CANCER ANTIGEN 125 (CA 125) 36 11/1/2017 CC_Laboratory Standard 3202022 T4/THYROXINE TOTAL 28 11/1/2017 CC_Laboratory Standard 3202023 PROGESTERONE 38 11/1/2017 CC_Laboratory Standard 3202024 TRANSFERRIN 34 11/1/2017 CC_Laboratory Standard 3202025 DHEA SULFATE 41 11/1/2017 CC_Laboratory Standard 3202026 BETA‐2 MICROGLOBULIN 25 11/1/2017 CC_Laboratory Standard 3202027 T3 TOTAL 29 11/1/2017 CC_Laboratory Standard 3202028 ELEC PROTEIN SERUM RFLX IFE 48 11/1/2017 CC_Laboratory Standard 3202029 LH 29 11/1/2017 CC_Laboratory Standard 3202030 VITAMIN B6 (PYRIDOXAL 5‐PHOSPHATE) 57 11/1/2017 CC_Laboratory Standard 3202031 TACROLIMUS 46 11/1/2017 CC_Laboratory Standard 3202032 PROLACTIN 35 11/1/2017 CC_Laboratory Standard 3202033 HIV 1/2 AG & AB SCREEN/HIV 1/2 RFLX 35 11/1/2017 CC_Laboratory Standard 3202034 HEPATITIS C AB W/ RFLX QUANT RNA,PCR 50 11/1/2017 CC_Laboratory Standard 3202035 T3 REVERSE 59 11/1/2017 CC_Laboratory Standard 3202036 CELIAC DISEASE SEROLOGY CASCADE (CDSP) 30 11/1/2017 CC_Laboratory Standard 3202037 SYPHILIS IGG ANTIBODY W/ RFLX 35 11/1/2017 CC_Laboratory Standard 3202038 HEPATITIS B SURFACE ANTIGEN 41 11/1/2017 CC_Laboratory Standard 3202039 OSMOLALITY URINE 29 11/1/2017 CC_Laboratory Standard 3202040 ALPHA FETOPROTEIN SERUM 32 11/1/2017 CC_Laboratory Standard 3202041 CA 27.29 36 11/1/2017 CC_Laboratory Standard 3202042 LDL DIRECT 78 11/1/2017 CC_Laboratory Standard 3202043 METHYLMALONIC ACID 89 11/1/2017 CC_Laboratory Standard 3202044 CA 19‐9 35 11/1/2017 CC_Laboratory Standard 3202045 COMPLEMENT C3 28 11/1/2017 CC_Laboratory Standard 3202046 HOMOCYSTEINE 46 11/1/2017 CC_Laboratory Standard 3202047 COMPLEMENT C4 28 11/1/2017 CC_Laboratory Standard 3202048 GGT 31 11/1/2017 CC_Laboratory Standard 3202049 ANTI‐DNA DOUBLE STRAND, IGG 30 11/1/2017 CC_Laboratory Standard 3202050 THYROID ANTIBODIES‐THYROGLOBULIN AB 39 11/1/2017 CC_Laboratory Standard 3202051 INSULIN 30 11/1/2017 CC_Laboratory Standard 3202052 IGF‐1 54 11/1/2017 CC_Laboratory Standard 3202053 HEPATITIS B SURFACE AB QUAL/QUANT 39 11/1/2017 CC_Laboratory Standard 3202054 SIROLIMUS (RAPAMYCIN) 48 11/1/2017 CC_Laboratory Standard 3202055 ACTH 46 11/1/2017 CC_Laboratory Standard 3202056 STREP PNEUMONIAE AG URINE 92 11/1/2017 CC_Laboratory Standard 3202057 MYCOPLASMA PNEUMONIAE ANTIBODY 43 11/1/2017 CC_Laboratory Standard 3202058 LEGIONELLA URINARY ANTIGEN 59 11/1/2017 CC_Laboratory Standard 3202059 IMMUNOGLOBULIN FREE LIGHT CHAINS SERUM 158 11/1/2017 CC_Laboratory Standard 3202060 LEVETIRACETAM (KEPPRA) 45 11/1/2017 CC_Laboratory Standard 3202061 JAK2 V617F MUTATION DETECTION 582 11/1/2017 CC_Laboratory Standard 3202062 CYCLIC CITRULLINATED PEPTIDE AB (IGG) 40 11/1/2017 CC_Laboratory Standard 3202063 VITAMIN B1, WHOLE BLOOD 59 11/1/2017 CC_Laboratory Standard 3202064 QUANTIFERON(R) TB GOLD 150 11/1/2017 CC_Laboratory Standard 3202065 HELICOBACTER PYLORI ANTIGEN FECES 118 11/1/2017 CC_Laboratory Standard 3202066 GLIADIN AB PANEL IGG IGA 53 11/1/2017 CC_Laboratory Standard 3202067 ESTROGENS, E1+E2 FRACTIONATED 48 11/1/2017 CC_Laboratory Standard 3202068 ANGIOTENSIN CONVERTING ENZYME 35 11/1/2017 CC_Laboratory Standard 3202069 PROTEIN C ACTIVITY 73 11/1/2017 CC_Laboratory Standard 3202070 MITOCHONDRIAL ANTIBODIES (M2) 26 11/1/2017 CC_Laboratory Standard 3202071 METANEPHRINES FRACTIONATED FREE PLASMA 56 11/1/2017 CC_Laboratory Standard 3202072 ENDOMYSIAL ANTIBODIES IGA (EMA) 100 11/1/2017 CC_Laboratory Standard 3202073 COMPLEMENT TOTAL (CH50) 38 11/1/2017 CC_Laboratory Standard 3202074 CYTOPLASMIC NEUTROPHILIC ABS (ANCA) 57 11/1/2017 CC_Laboratory Standard 3202075 DIHYDROXY VITAMIN D (1 25‐DIHYDROXY) 53 11/1/2017 CC_Laboratory Standard 3202076 TISSUE TRANSGLUTAMINASE AB IGG, IGA 70 11/1/2017 CC_Laboratory Standard 3202077 T4 FREE BY DIALYSIS 53 11/1/2017 CC_Laboratory Standard 3202078 INFLUENZA VIRUS A IGG & IGM 56 11/1/2017 CC_Laboratory Standard 3202079 IMMUNOGLOBULIN E 27 11/1/2017 CC_Laboratory Standard 3202080 IMMUNOGLOBULIN G (IGG) SERUM 31 11/1/2017 CC_Laboratory Standard 3202081 IMMUNOGLOBULIN A (IGA) SERUM 30 11/1/2017 CC_Laboratory Standard 3202082 HEPATITIS B CORE AB IGM 49 11/1/2017 CC_Laboratory Standard 3202083 HEPATITIS A ANTIBODY IGM 33 11/1/2017 CC_Laboratory Standard 3202084 H PYLORI UREA BREATH TEST 104 11/1/2017 CC_Laboratory Standard 3202085 HLA B27 77 11/1/2017 CC_Laboratory Standard 3202086 GIARDIA ANTIGEN STOOL 56 11/1/2017 CC_Laboratory Standard 3202087 CULTURE FUNGUS SKIN,HAIR OR NAIL 70 11/1/2017 CC_Laboratory Standard 3202088 CREATINE KINASE ISOENZYMES REFLEX 22 11/1/2017 CC_Laboratory Standard 3202089 C‐PEPTIDE 33 11/1/2017 CC_Laboratory Standard 3202090 BK VIRUS DNA QUANT,REAL‐TIME PCR 133 11/1/2017 CC_Laboratory Standard 3202091 ALDOSTERONE 64 11/1/2017 CC_Laboratory Standard 3202092 F‐ACTIN AB IGG 205 11/1/2017 CC_Laboratory Standard 3202093 PROTEIN S ACTIVITY 130 11/1/2017 CC_Laboratory Standard 3202094 PREALBUMIN 33 11/1/2017 CC_Laboratory Standard 3202095 MYOGLOBIN URINE 39 11/1/2017 CC_Laboratory Standard 3202096 METANEPHRINES FRACTIONED 24 HR URINE 51 11/1/2017 CC_Laboratory Standard 3202097 LYME DISEASE SEROLOGY REFLEX IMMUNOBLOT 35 11/1/2017 CC_Laboratory Standard 3202098 INFLUENZA VIRUS B IGG & IGM 51 11/1/2017 CC_Laboratory Standard 3202099 HEMOCHROMATOSIS HFE GENE ANALYSIS 268 11/1/2017 CC_Laboratory Standard 3202100 CATECHOLAMINES FRACT 24HR URINE 68 11/1/2017 CC_Laboratory Standard 3202101 ANTINEUTROPHIL CYTOPLASMIC AB VASC 506 11/1/2017 CC_Laboratory Standard 3202102 VIRAL CULTURE, NON‐RESPIRATORY 549 11/1/2017 CC_Laboratory Standard 3202103 PHENYTOIN TOTAL AND FREE 346 11/1/2017 CC_Laboratory Standard 3202104 HEPATITIS C RNA DETECT & QUANT PCR 193 11/1/2017 CC_Laboratory Standard 3202105 HEPATITIS B CORE AB TOTAL 45 11/1/2017 CC_Laboratory Standard 3202106 HEPATITIS A ANTIBODY IGG 33 11/1/2017 CC_Laboratory Standard 3202107 HEMOGLOBIN ELECTROPHORESIS CASCADE 112 11/1/2017 CC_Laboratory Standard 3202108 EPSTEIN‐BARR VIRUS ANTIBODY PANEL 66 11/1/2017 CC_Laboratory Standard 3202109 DHEA 50 11/1/2017 CC_Laboratory Standard 3202110 BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR 133 11/1/2017 CC_Laboratory Standard 3202111 RENIN ACTIVITY PLASMA 31 11/1/2017 CC_Laboratory Standard 3202112 ACTIVATED PROTEIN C RESISTANCE V 94 11/1/2017 CC_Laboratory Standard 3202113 TRAMADOL AND METABOLITE URINE 151 11/1/2017 CC_Laboratory Standard 3202114 TESTOSTERONE FREE,BIOAVAILABLE & TOTAL 83 11/1/2017 CC_Laboratory Standard 3202115 RNP ANTIBODIES IGG 40 11/1/2017 CC_Laboratory Standard 3202116 SM ANTIBODIES IGG 40 11/1/2017 CC_Laboratory Standard 3202117 PROTHROMBIN G20210A MUTATION (ZB1IY) 138 11/1/2017 CC_Laboratory Standard 3202118 MYOGLOBIN SERUM 48 11/1/2017 CC_Laboratory Standard 3202119 ACID‐FAST SMEAR FOR MYCOBACTERIUM 54 11/1/2017 CC_Laboratory Standard 3202120 CULTURE MYCOBACTERIUM 110 11/1/2017 CC_Laboratory Standard 3202121 LEAD BLOOD 23 11/1/2017 CC_Laboratory Standard 3202122 LACTOFERRIN, STOOL 137 11/1/2017 CC_Laboratory Standard 3202123 MONOCLONAL PROTEIN STUDY 24‐HR URINE 109 11/1/2017 CC_Laboratory Standard 3202124 IMMUNOGLOBULIN M (IGM) SERUM 31 11/1/2017 CC_Laboratory Standard 3202125 HISTONE AUTOANTIBODIES 45 11/1/2017 CC_Laboratory Standard 3202126 FREE THYROXINE INDEX (FTI) 40 11/1/2017 CC_Laboratory Standard 3202127 ERYTHROPOEITIN 31 11/1/2017 CC_Laboratory Standard 3202128 CULTURE FUNGUS ROUTINE 63 11/1/2017 CC_Laboratory Standard 3202129 BETA‐CROSSLAPS (BETA‐CTX) 66 11/1/2017 CC_Laboratory Standard 3202130 CERULOPLASMIN 36 11/1/2017 CC_Laboratory Standard 3202131 CALCIUM 24HR URINE 41 11/1/2017 CC_Laboratory Standard 3202132 UROVYSION FOR BLADDER CANCER FISH 620 11/1/2017 CC_Laboratory Standard 3202133 VITAMIN A 41 11/1/2017 CC_Laboratory Standard 3202134 VARICELLA ZOSTER VIRUS ABS (IGG,IGM) 54 11/1/2017 CC_Laboratory Standard 3202135 MONOCLONAL PROTEIN EXPANDED PANEL SERUM 231 11/1/2017 CC_Laboratory Standard 3202136 PREGNENOLONE 107 11/1/2017 CC_Laboratory Standard 3202137 BCR/ABL P210 MRNA, QUANT, MONITORING 679 11/1/2017 CC_Laboratory Standard 3202138 BCR/ABL P190 MRNA, QUANT, MONITORING 1008 11/1/2017 CC_Laboratory Standard 3202139 RUBELLA ANTIBODIES IGG 28 11/1/2017 CC_Laboratory Standard 3202140 MUMPS VIRUS ANTIBODY IGG 37 11/1/2017 CC_Laboratory Standard 3202141 MEASLES ANTIBODY (IGG) 29 11/1/2017 CC_Laboratory Standard 3202142 HERPES SIMPLEX VIRUS 1/2 IGG ANTIBODY 36 11/1/2017 CC_Laboratory Standard 3202143 HEPATITIS BE ANTIBODY 46 11/1/2017 CC_Laboratory Standard 3202144 FRUCTOSAMINE 42 11/1/2017 CC_Laboratory Standard 3202145 BCR/ABL1 TRANS (9;22) (Z CODE ZB44S) 475 11/1/2017 CC_Laboratory Standard 3202146 SHIGA TOXIN MOLECULAR DETECT. PCR FECES 205 11/1/2017 CC_Laboratory Standard 3202147 EPSTEIN BARR VIRUS QUANT PCR 160 11/1/2017 CC_Laboratory Standard 3202148 DIHYDROTESTOSTERONE LC/MS/MS 76 11/1/2017 CC_Laboratory Standard 3202149 CORTISOL FREE 24HR URINE 41 11/1/2017 CC_Laboratory Standard 3202150 COPPER SERUM 32 11/1/2017 CC_Laboratory Standard 3202151 BCR/ABL1 RNA QUAL DIAGNOSTIC 895 11/1/2017 CC_Laboratory Standard 3202152 ANTITHROMBIN ACTIVITY 58 11/1/2017 CC_Laboratory Standard 3202153 ALPHA‐1‐ANTITRYPSIN 28 11/1/2017 CC_Laboratory Standard 3202154 MYASTHENIA GRAVIS (MG) EVAL PEDIATRIC 178 11/1/2017 CC_Laboratory Standard 3202155 ZINC SERUM 29 11/1/2017 CC_Laboratory Standard 3202156 WEST NILE VIRUS AB (IGG, IGM) CSF 102 11/1/2017 CC_Laboratory Standard 3202157 VITAMIN B2 (RIBOFLAVIN) 102 11/1/2017 CC_Laboratory Standard 3202158 VARICELLA ZOSTER AB IGG 36 11/1/2017 CC_Laboratory Standard 3202159 TOPIRAMATE 55 11/1/2017 CC_Laboratory Standard 3202160 TSI (THYROID STIMULATING IMMUNOGLOBULIN) 131 11/1/2017 CC_Laboratory Standard 3202161 THYROTROPIN RECEPTOR ANTIBODY 67 11/1/2017 CC_Laboratory Standard 3202162 SEX HORMONE BINDING GLOBULIN 56 11/1/2017 CC_Laboratory Standard 3202163 RESPIRATORY PROFILE AZ/CA DESERT(12) 132 11/1/2017 CC_Laboratory Standard 3202164 PROTEIN S ANTIGEN 46 11/1/2017 CC_Laboratory Standard 3202165 PTH‐RELATED PEPTIDE (PTH‐RP) 56 11/1/2017 CC_Laboratory Standard 3202166 GRANULOCYTE ANTIBODIES 170 11/1/2017 CC_Laboratory Standard 3202167 MYELOPEROXIDASE ANTIBODIES IGG 55 11/1/2017 CC_Laboratory Standard 3202168 MALARIA/BABESIA/TRYPANOSOME SMEAR 111 11/1/2017 CC_Laboratory Standard 3202169 LIPOPROTEIN (A) LP(A) 49 11/1/2017 CC_Laboratory Standard 3202170 LEGIONELLA PNEUMOPHILA ANTIBODY 43 11/1/2017 CC_Laboratory Standard 3202171 HEPATITIS C VIRUS GENOTYPE 368 11/1/2017 CC_Laboratory Standard 3202172 HEPATITIS BE ANTIGEN 45 11/1/2017 CC_Laboratory Standard 3202173 HEPATITIS B VIRAL DNA,QUANT,PCR 206 11/1/2017 CC_Laboratory Standard 3202174 HAPTOGLOBIN 34 11/1/2017 CC_Laboratory Standard 3202175 GLUTAMIC ACID DECARBOXYLASE (GAD65) AB 49 11/1/2017 CC_Laboratory Standard 3202176 FACTOR V LEIDEN MUTATION (ZB014) 100 11/1/2017 CC_Laboratory Standard 3202177 FACTOR IX ASSAY 108 11/1/2017 CC_Laboratory Standard 3202178 ESTRONE (E1) SERUM 54 11/1/2017 CC_Laboratory Standard 3202179 ESTRADIOL FREE 308 11/1/2017 CC_Laboratory Standard 3202180 CYCLOSPORA STAIN 78 11/1/2017 CC_Laboratory Standard 3202181 CRYPTOSPORIDIUM ANTIGEN 89 11/1/2017 CC_Laboratory Standard 3202182 CRYOGLOBULIN REFLEX IMMUNOFIXATION 42 11/1/2017 CC_Laboratory Standard 3202183 CHROMOGRANIN A 65 11/1/2017 CC_Laboratory Standard 3202184 CATECHOLAMINES FRACTIONATED FREE PLASMA 70 11/1/2017 CC_Laboratory Standard 3202185 VMA (24 HR URINE) 72 11/1/2017 CC_Laboratory Standard 3202186 HYDROXYINDOLEACETIC ACID 24HR URINE 69 11/1/2017 CC_Laboratory Standard 3202187 VON WILLEBRAND ANTIGEN, MULTIMERIC 122 11/1/2017 CC_Laboratory Standard 3202188 LUPUS ANTICOAG RFLX CONF & FACTOR ASSAYS 84 11/1/2017 CC_Laboratory Standard 3202189 VITAMIN K 166 11/1/2017 CC_Laboratory Standard 3202190 VITAMIN E (TOCOPHEROL) 47 11/1/2017 CC_Laboratory Standard 3202191 NIACIN (VITAMIN B3) 133 11/1/2017 CC_Laboratory Standard 3202192 PAIN MANAGEMENT DRUG SCREEN URINE 196 11/1/2017 CC_Laboratory Standard 3202193 ACUTE HEPATITIS PANEL 107 11/1/2017 CC_Laboratory Standard 3202194 THYROGLOBULIN TUMOR MARKER SERUM 50 11/1/2017 CC_Laboratory Standard 3202195 LEUKEMIA/LYMPHOMA PHENOTYPE 0 11/1/2017 CC_Laboratory Standard 3202196 MONOCLONAL PROTEIN STUDY SERUM 102 11/1/2017 CC_Laboratory Standard 3202197 ELECT PROTEIN RANDOM URINE RFLX IFE 83 11/1/2017 CC_Laboratory Standard 3202198 SS‐A AND SS‐B ANTIBODIES, IGG 51 11/1/2017 CC_Laboratory Standard 3202199 SCL‐70 ANTIBODIES 36 11/1/2017 CC_Laboratory Standard 3202200 PROTEINASE‐3 ANTIBODY 65 11/1/2017 CC_Laboratory Standard 3202201 SYPHILIS ANTIBODY BY TP‐PA 96 11/1/2017 CC_Laboratory Standard 3202202 FENTANYL W/ METABOLITE CONF., URINE 92 11/1/2017 CC_Laboratory Standard 3202203 ESTRIOL (UE3) 64 11/1/2017 CC_Laboratory Standard 3202204 HERPES SIMPLEX VIRUS IGM AB 35 11/1/2017 CC_Laboratory Standard 3202205 EBV QUAL PCR BLOOD 293 11/1/2017 CC_Laboratory Standard 3202206 PHENOBARBITAL 168 11/1/2017 CC_Laboratory Standard 3202207 FACTOR II ACTIVITY ASSAY 125 11/1/2017 CC_Laboratory Standard 3202208 MYASTHENIA GRAVIS (MG) EVAL ADULT 0 11/1/2017 CC_Laboratory Standard 3202209 ALDOLASE 136 11/1/2017 CC_Laboratory Standard 3202210 CHROMIUM 328 11/1/2017 CC_Laboratory Standard 3202211 COBALT 100 11/1/2017 CC_Laboratory Standard 3202212 G6PD 56 11/1/2017 CC_Laboratory Standard 3202213 GROWTH HORMONE 226 11/1/2017 CC_Laboratory Standard 3202214 INTRINSIC FACTOR BLOCKING ANTIBODY 258 11/1/2017 CC_Laboratory Standard 3202215 ENA (SS‐A,SS‐B,RNP,SM,SCL‐70,JO1) AB 108 11/1/2017 CC_Laboratory Standard 3202216 VON WILLEBRAND PROFILE 633 11/1/2017 CC_Laboratory Standard 3202217 FACTOR V ACTIVITY ASSAY 125 11/1/2017 CC_Laboratory Standard 3202218 FACTOR VII ACTIVITY ASSAY 111 11/1/2017 CC_Laboratory Standard 3202219 FACTOR X ACTIVITY ASSAY 125 11/1/2017 CC_Laboratory Standard 3202220 PARASITE ID (ARTHROPOD/WORM) 0 11/1/2017 CC_Laboratory Standard 3202221 DES‐GAMMA‐CARBOXY PROTHROMBIN 287 11/1/2017 CC_Laboratory Standard 3202222 KIDNEY STONE ANALYSIS 68 11/1/2017 CC_Laboratory Standard 3202223 WEST NILE VIRUS AB (IGG, IGM) SERUM 332 11/1/2017 CC_Laboratory Standard 3202224 ANTI‐STREP‐O TITER 58 11/1/2017 CC_Laboratory Standard 3202225 CALPROTECTIN, STOOL 353 11/1/2017 CC_Laboratory Standard 3202226 ALPHA‐1‐ANTITRYPSIN PHENOTYPE 123 11/1/2017 CC_Laboratory Standard 3202227 CORTISOL 30 11/1/2017 CC_Laboratory Standard 3202228 MONOCLONAL PROTEIN STUDY RANDOM URINE 109 11/1/2017 CC_Laboratory Standard 3202229 CENTROMERE ANTIBODIES IGG SERUM 72 11/1/2017 CC_Laboratory Standard 3202230 SEROTONIN, SERUM 241 11/1/2017 CC_Laboratory Standard 3202231 CANDIDA ANTIGEN AND ANTIBODY PANEL 303 11/1/2017 CC_Laboratory Standard 3202232 AMINO ACIDS QUANTITATIVE PLASMA 780 11/1/2017 CC_Laboratory Standard 3202233 GLOMERULAR BASEMENT MEMBRANE AB IGG 58 11/1/2017 CC_Laboratory Standard 3202234 METHYLPHENIDATE 107 11/1/2017 CC_Laboratory Standard 3202235 LYME DISEASE (B. BURGDORFERI) DNA BLOOD 145 11/1/2017 CC_Laboratory Standard 3202236 BORRELIA HERMSII ANTIBODY PANEL IFA 274 11/1/2017 CC_Laboratory Standard 3202237 NMR LIPOPROFILE SERUM W/IR MARKERS 75 11/1/2017 CC_Laboratory Standard 3202238 CRYPTOCOCCUS AG SCREEN W/TITER SERUM 205 11/1/2017 CC_Laboratory Standard 3202239 PARIETAL CELL ANTIBODIES IGG SERUM 223 11/1/2017 CC_Laboratory Standard 3202240 PYRIMIDINE 5' NUCLEOTIDASE 450 11/1/2017 CC_Laboratory Standard 3202241 EVEROLIMUS BLOOD 258 11/1/2017 CC_Laboratory Standard 3202242 CYTOMEGALOVIRUS DNA QUANT PLASMA 172 11/1/2017 CC_Laboratory Standard 3202243 VITAMIN C PLASMA 58 11/1/2017 CC_Laboratory Standard 3202244 PHOSPHOLIPID AB IGA SERUM 116 11/1/2017 CC_Laboratory Standard 3202245 PHOSPHOLIPID AB IGG SERUM 116 11/1/2017 CC_Laboratory Standard 3202246 PHOSPHOLIPID AB IGM SERUM 116 11/1/2017 CC_Laboratory Standard 3202247 IGFBP‐3 228 11/1/2017 CC_Laboratory Standard 3202248 TRYPTASE SERUM 112 11/1/2017 CC_Laboratory Standard 3202249 MTHFR 5,10‐METHYLENETETRAHYDROFOLATE 991 11/1/2017 CC_Laboratory Standard 3202250 PANCREATIC ELASTASE STOOL 128 11/1/2017 CC_Laboratory Standard 3202251 BORDETELLA PERTUSIS AB IGG 180 11/1/2017 CC_Laboratory Standard 3202252 CORTISOL FREE RANDOM URINE (+CREAT) 48 11/1/2017 CC_Laboratory Standard 3202253 WA1 IGG (BABESIA DUNCANI AB) 202 11/1/2017 CC_Laboratory Standard 3202254 NICOTINE AND METABOLITES URINE 248 11/1/2017 CC_Laboratory Standard 3202255 CYTOMEGALOVIRUS AB IGM AND IGG 49 11/1/2017 CC_Laboratory Standard 3202256 ELECTROLYTE AND OSMOLALITY PANEL FECES 211 11/1/2017 CC_Laboratory Standard 3202257 HOMOVANILLIC ACID (24 HR URINE) 188 11/1/2017 CC_Laboratory Standard 3202258 APTT MIXING STUDIES 230 11/1/2017 CC_Laboratory Standard 3202259 GENTAMICIN PEAK 168 11/1/2017 CC_Laboratory Standard 3202260 GENTAMICIN TROUGH 168 11/1/2017 CC_Laboratory Standard 3202261 GENTAMICIN RANDOM 168 11/1/2017 CC_Laboratory Standard 3202262 LAMOTRIGINE 230 11/1/2017 CC_Laboratory Standard 3202263 SPOTTED FEVER GROUP AB IGG AND IGM 298 11/1/2017 CC_Laboratory Standard 3202264 BETA‐2 GYLCOPROTEIN 1 AB IGG AND IGM 472 11/1/2017 CC_Laboratory Standard 3202265 BETA‐2 GYLCOPROTEIN 1 AB IGA 240 11/1/2017 CC_Laboratory Standard 3202266 LUPUS ANTICOAG RFLX CONF 143 11/1/2017 CC_Laboratory Standard 3202267 PROMETHEUS LACTOTYPE (MAYO/PROMETHEUS) 494 11/1/2017 CC_Laboratory Standard 3202268 VDRL CSF 23 11/1/2017 CC_Laboratory Standard 3202269 SOLUBLE LIVER ANTIGEN (SLA) ANTIBODY 138 11/1/2017 CC_Laboratory Standard 3202270 LIVER/KIDNEY MICROSOME TYPE 1 ANTIBODIES 233 11/1/2017 CC_Laboratory Standard 3202271 NASH FIBROSURE 702 11/1/2017 CC_Laboratory Standard 3202272 DILUTE RUSSELL'S VIPER VENOM TEST 150 11/1/2017 CC_Laboratory Standard 3202273 FACTOR VIII INHIBITOR EVALUATION 483 11/1/2017 CC_Laboratory Standard 3202274 PARATHYROID HORMONE (PTH) SERUM 52 11/1/2017 CC_Laboratory Standard 3202275 ARGININE VASOPRESSIN PLASMA 86 11/1/2017 CC_Laboratory Standard 3202276 MAGNESIUM RANDOM URINE 148 11/1/2017 CC_Laboratory Standard 3202277 PM‐SCL ANTIBODY 158 11/1/2017 CC_Laboratory Standard 3202278 JO 1 ANTIBODIES IGG 41 11/1/2017 CC_Laboratory Standard 3202279 ANTIMULLERIAN HORMONE (AMH) 232 11/1/2017 CC_Laboratory Standard 3202280 TITANIUM,SERUM 351 11/1/2017 CC_Laboratory Standard 3202281 MOLYBDENUM, SERUM 315 11/1/2017 CC_Laboratory Standard 3202282 THROMBIN TIME PLASMA 90 11/1/2017 CC_Laboratory Standard 3202283 PORPHOBILINOGEN QUANT RANDOM URINE 147 11/1/2017 CC_Laboratory Standard 3202284 CYSTATIN C WITH ESTIMATED GFR SERUM 310 11/1/2017 CC_Laboratory Standard 3202285 PSA ULTRASENSITIVE 105 11/1/2017 CC_Laboratory Standard 3202286 MYCOPHENOLIC ACID SERUM 441 11/1/2017 CC_Laboratory Standard 3202287 SUPERSATURATION PROFILE 24HR URINE 498 11/1/2017 CC_Laboratory Standard 3202288 THYROXINE BINDING GLOBULIN (TBG) 69 11/1/2017 CC_Laboratory Standard 3202289 T AND B CELL QUANT BY FLOW CYTOMETRY 858 11/1/2017 CC_Laboratory Standard 3202290 NK CYTOTOXICITY PROFILE (T&B CELL QNT) 1681 11/1/2017 CC_Laboratory Standard 3202291 CELL‐BOUND PLATELET AB 673 11/1/2017 CC_Laboratory Standard 3202292 IMMUNOGLOBULIN TOTAL LIGHT CHAINS URINE 469 11/1/2017 CC_Laboratory Standard 3202293 CORTISOL FREE AND TOTAL SERUM 305 11/1/2017 CC_Laboratory Standard 3202294 2‐3‐DINOR‐11BETA‐PROSTAGLANDIN F2 ALPHA, 402 11/1/2017 CC_Laboratory Standard 3202295 CALCIUM RANDOM URINE 41 11/1/2017 CC_Laboratory Standard 3202296 CORTISOL ‐ ACTH STIMULATION 30 11/1/2017 CC_Laboratory Standard 3202297 INFLAMMATORY BOWEL DISEASE SEROLOGY PANE 209 11/1/2017 CC_Laboratory Standard 3202298 CORTISOL SALIVA 394 11/1/2017 CC_Laboratory Standard 3202299 HEPATITIS D ANTIBODY TOTAL 205 11/1/2017 CC_Laboratory Standard 3202300 HEPATITIS D IGM ANTIBODY 278 11/1/2017 CC_Laboratory Standard 3202301 CHLAMYDIA PNEUMONIAE PCR 300 11/1/2017 CC_Laboratory Standard 3202302 CLOMIPRAMINE SERUM 94 11/1/2017 CC_Laboratory Standard 3202303 KAPPA/LAMBDA FREE LIGHT CHAINS URINE QN 247 11/1/2017 CC_Laboratory Standard 3202304 MICROSPORIDIA SP MOLECULAR DETECTION PCR 580 11/1/2017 CC_Laboratory Standard 3202305 VASCULAR ENDOTHELIAL GROWTH FACTOR 351 11/1/2017 CC_Laboratory Standard 3202306 CARBON MONOXIDE BLOOD 87 11/1/2017 CC_Laboratory Standard 3202307 URIC ACID BODY FLUID 70 11/1/2017 CC_Laboratory Standard 3202308 PHOSPHORUS 24 HOUR URINE 102 11/1/2017 CC_Laboratory Standard 3202309 C9ORF72 HEXANUCLEOTIDE REPEAT MOLECULAR 914 11/1/2017 CC_Laboratory Standard 3202310 THROMBOPHILIA PROFILE 0 11/1/2017 CC_Laboratory Standard 3202311 CUTANEOUS IMMUNOFLUORESCENCE AB (IGG) 486 11/1/2017 CC_Laboratory Standard 3202312 HISTOPLASMA ANTIBODY, SERUM 309 11/1/2017 CC_Laboratory Standard 3202313 VIRAL CULTURE, RESPIRATORY 345 11/1/2017 CC_Laboratory Standard 3202314 LIVER FIBROSIS, FIBROTEST‐ACTI PANEL 0 11/1/2017 CC_Laboratory Standard 3202315 BULLOUS PEMPHIGOID BP180 & BP230 AB 214 11/1/2017 CC_Laboratory Standard 3202316 6‐MONOACETYLMORPHINE CONFIRMATION, URINE 295 11/1/2017 CC_Laboratory Standard 3202317 PROSTATIC ACID PHOSPHATASE 41 11/1/2017 CC_Laboratory Standard 3202318 GLUCOSE BODY FLUID 99 11/1/2017 CC_Laboratory Standard 3202319 ALBUMIN BODY FLUID (MAYO) 70 11/1/2017 CC_Laboratory Standard 3202320 TOTAL PROTEIN BODY FLUID 81 11/1/2017 CC_Laboratory Standard 3202321 ALLERGEN NUTS(ALMOND,SESAME,PEANUT, 85 11/1/2017 CC_Laboratory Standard 3202322 ALLERGEN ALMOND IGE 23 11/1/2017 CC_Laboratory Standard 3202323 ALLERGEN SESAME SEED IGE 23 11/1/2017 CC_Laboratory Standard 3202324 ALLERGEN PEANUT IGE 23 11/1/2017 CC_Laboratory Standard 3202325 ALLERGEN PECAN‐FOOD IGE 23 11/1/2017 CC_Laboratory Standard 3202326 ALLERGEN COCONUT IGE 23 11/1/2017 CC_Laboratory Standard 3202327 ALLERGEN BRAZIL NUT IGE 23 11/1/2017 CC_Laboratory Standard 3202328 ALLERGEN HAZELNUT‐FOOD IGE 23 11/1/2017 CC_Laboratory Standard 3202329 ALLERGEN CASHEW NUT IGE 23 11/1/2017 CC_Laboratory Standard 3202330 ALLERGEN PISTACHIO NUT IGE 23 11/1/2017 CC_Laboratory Standard 3202331 ALLERGEN CHESTNUT SWEET IGE 23 11/1/2017 CC_Laboratory Standard 3202332 ALLERGEN PINE NUT IGE 23 11/1/2017 CC_Laboratory Standard 3202333 ALLERGEN WALNUT‐FOOD IGE 23 11/1/2017 CC_Laboratory Standard 3202334 ALLERGEN BLACKBERRY IGE 23 11/1/2017 CC_Laboratory Standard 3202335 ALLERGEN RASPBERRY IGE 23 11/1/2017 CC_Laboratory Standard 3202336 ALLERGEN KIWI IGE 23 11/1/2017 CC_Laboratory Standard 3202337 MEASLES ANTIBODY (IGM) 238 11/1/2017 CC_Laboratory Standard 3202338 CRYPTOCOCCUS AG SCREEN W/TITER CSF 306 11/1/2017 CC_Laboratory Standard 3202339 MACROPROLACTIN,SERUM(INCLUDES PROLACTIN) 405 11/1/2017 CC_Laboratory Standard 3202340 HEAVY METALS SCREEN 24 HR URINE 0 11/1/2017 CC_Laboratory Standard 3202341 OSMOLALITY SERUM 35 11/1/2017 CC_Laboratory Standard 3202342 COCCIDIOIDES AB (IGG,IGM) SPINAL FLUID 285 11/1/2017 CC_Laboratory Standard 3202343 HSV MOLECULAR DETECTION (OTHER SOURCE) 83 11/1/2017 CC_Laboratory Standard 3202344 NICOTINE AND METABOLITES SERUM 148 11/1/2017 CC_Laboratory Standard 3202345 IL‐6 SERUM 291 11/1/2017 CC_Laboratory Standard 3202346 ALLERGEN ANISE IGE 23 11/1/2017 CC_Laboratory Standard 3202347 ALLERGEN BASIL IGE 23 11/1/2017 CC_Laboratory Standard 3202348 ALLERGEN BAY LEAF IGE 23 11/1/2017 CC_Laboratory Standard 3202349 ALLERGEN BLACK/WHITE PEPPER IGE 23 11/1/2017 CC_Laboratory Standard 3202350 ALLERGEN CARAWAY IGE 23 11/1/2017 CC_Laboratory Standard 3202351 ALLERGEN CARDAMOM IGE 23 11/1/2017 CC_Laboratory Standard 3202352 ALLERGEN CHILI PEPPER IGE 23 11/1/2017 CC_Laboratory Standard 3202353 ALLERGEN CINNAMON IGE 23 11/1/2017 CC_Laboratory Standard 3202354 ALLERGEN CLOVE IGE 23 11/1/2017 CC_Laboratory Standard 3202355 ALLERGEN CORIANDER IGE 23 11/1/2017 CC_Laboratory Standard 3202356 ALLERGEN CURRY IGE 23 11/1/2017 CC_Laboratory Standard 3202357 ALLERGEN DILL IGE 23 11/1/2017 CC_Laboratory Standard 3202358 ALLERGEN FENNEL SEED IGE 23 11/1/2017 CC_Laboratory Standard 3202359 ALLERGEN GARLIC IGE 23 11/1/2017 CC_Laboratory Standard 3202360 ALLERGEN GINGER IGE 23 11/1/2017 CC_Laboratory Standard 3202361 ALLERGEN GREEK FENNEL IGE 23 11/1/2017 CC_Laboratory Standard 3202362 ALLERGEN MACE IGE 23 11/1/2017 CC_Laboratory Standard 3202363 ALLERGEN MARJORAM IGE 23 11/1/2017 CC_Laboratory Standard 3202364 ALLERGEN MUSTARD IGE 23 11/1/2017 CC_Laboratory Standard 3202365 ALLERGEN NUTMEG IGE 23 11/1/2017 CC_Laboratory Standard 3202366 ALLERGEN OREGANO IGE 23 11/1/2017 CC_Laboratory Standard 3202367 ALLERGEN PAPRIKA IGE 23 11/1/2017 CC_Laboratory Standard 3202368 ALLERGEN PEPPER GREEN IGE 23 11/1/2017 CC_Laboratory Standard 3202369 ALLERGEN POPPY SEED IGE 23 11/1/2017 CC_Laboratory Standard 3202370 ALLERGEN TARRAGON IGE 23 11/1/2017 CC_Laboratory Standard 3202371 ALLERGEN THYME IGE 23 11/1/2017 CC_Laboratory Standard 3202372 ALLERGEN VANILLA IGE 23 11/1/2017 CC_Laboratory Standard 3202373 FAT FECES 231 11/1/2017 CC_Laboratory Standard 3202374 ETG URINE 229 11/1/2017 CC_Laboratory Standard 3202375 DEXAMETHASONE 215 11/1/2017 CC_Laboratory Standard 3202376 HIV‐1 RNA DETECTION AND QUANT PLASMA 1010 11/1/2017 CC_Laboratory Standard 3202377 PROCALCITONIN 378 11/1/2017 CC_Laboratory Standard 3202378 ALUMINUM SERUM 361 11/1/2017 CC_Laboratory Standard 3202379 AMIODARONE SERUM 352 11/1/2017 CC_Laboratory Standard 3202380 LD BODY FLUID 113 11/1/2017 CC_Laboratory Standard 3202381 ALDOSTERONE 24HR URINE 543 11/1/2017 CC_Laboratory Standard 3202382 ALLERGEN CARROT IGE 23 11/1/2017 CC_Laboratory Standard 3202383 ALLERGEN CORN IGE 23 11/1/2017 CC_Laboratory Standard 3202384 ALLERGEN SOYBEAN IGE 23 11/1/2017 CC_Laboratory Standard 3202385 ALLERGEN WATERMELON IGE 23 11/1/2017 CC_Laboratory Standard 3202386 ENTEROVIRUS MOLECULAR DETECTION PCR 606 11/1/2017 CC_Laboratory Standard 3202387 VARICELLA ZOSTER MOLECULAR DETECTION PCR 606 11/1/2017 CC_Laboratory Standard 3202388 CONNECTIVE TISSUE DISEASES CASCADE 0 11/1/2017 CC_Laboratory Standard 3202389 UREA RANDOM URINE 102 11/1/2017 CC_Laboratory Standard 3202390 FUNGITELL SERUM 208 11/1/2017 CC_Laboratory Standard 3202391 AMITRIPTYLINE AND NORTRIPTYLINE 278 11/1/2017 CC_Laboratory Standard 3202392 PH BODY FLUID 72 11/1/2017 CC_Laboratory Standard 3202393 GABAPENTIN 281 11/1/2017 CC_Laboratory Standard 3202394 PROCOLLAGEN I INTACT N‐TERMINAL SERUM 391 11/1/2017 CC_Laboratory Standard 3202395 BILE ACIDS, TOTAL 105 11/1/2017 CC_Laboratory Standard 3202396 HYPERSENSITIVITY PNEUMONITIS IGG AB 533 11/1/2017 CC_Laboratory Standard 3202397 ALLERGEN RESP PROF REGION14 CENTRAL CA 143 11/1/2017 CC_Laboratory Standard 3202398 ALLERGEN HOUSE DUST MITES/D PTERONYSSINU 23 11/1/2017 CC_Laboratory Standard 3202399 ALLERGEN HOUSE DUST MITES/D FARINAE 23 11/1/2017 CC_Laboratory Standard 3202400 ALLERGEN CAT EPITHELIUM 23 11/1/2017 CC_Laboratory Standard 3202401 ALLERGEN DOG DANDER IGE 23 11/1/2017 CC_Laboratory Standard 3202402 ALLERGEN BERMUDA GRASS 23 11/1/2017 CC_Laboratory Standard 3202403 ALLERGEN TIMOTHY GRASS 23 11/1/2017 CC_Laboratory Standard 3202404 ALLERGEN COCKROACH IGE 23 11/1/2017 CC_Laboratory Standard 3202405 ALLERGEN PENICILLIUM IGE 23 11/1/2017 CC_Laboratory Standard 3202406 ALLERGEN CLADOSPORIUM IGE 23 11/1/2017 CC_Laboratory Standard 3202407 ALLERGEN ASPERGILLUS FUMIGATUS IGE 23 11/1/2017 CC_Laboratory Standard 3202408 ALLERGEN ALTERNARIA TENUIS IGE 23 11/1/2017 CC_Laboratory Standard 3202409 ALLERGEN OLIVE TREE IGE 23 11/1/2017 CC_Laboratory Standard 3202410 ALLERGEN GREY ALDER IGE 23 11/1/2017 CC_Laboratory Standard 3202411 ALLERGEN MOUNTAIN CEDAR IGE 23 11/1/2017 CC_Laboratory Standard 3202412 ALLERGEN OAK IGE 23 11/1/2017 CC_Laboratory Standard 3202413 ALLERGEN ELM IGE 23 11/1/2017 CC_Laboratory Standard 3202414 ALLERGEN EASTERN SYCAMORE IGE 23 11/1/2017 CC_Laboratory Standard 3202415 ALLERGEN SILVER BIRCH IGE 23 11/1/2017 CC_Laboratory Standard 3202416 ALLERGEN MULBERRY IGE 23 11/1/2017 CC_Laboratory Standard 3202417 ALLERGEN SHORT RAGWEED IGE 23 11/1/2017 CC_Laboratory Standard 3202418 ALLERGEN MUGWORT IGE 23 11/1/2017 CC_Laboratory Standard 3202419 ALLERGEN RUSSIAN THISTLE IGE 23 11/1/2017 CC_Laboratory Standard 3202420 ALLERGEN ROUGH PIGWEED IGE 23 11/1/2017 CC_Laboratory Standard 3202421 ALLERGEN RYE GRASS IGE 23 11/1/2017 CC_Laboratory Standard 3202422 ALLERGEN JOHNSON GRASS IGE 23 11/1/2017 CC_Laboratory Standard 3202423 ALLERGEN COTTONWOOD IGE 23 11/1/2017 CC_Laboratory Standard 3202424 ALLERGEN ACACIA IGE 23 11/1/2017 CC_Laboratory Standard 3202425 BETA HCG QUANT,TUMOR MARKER SERUM 238 11/1/2017 CC_Laboratory Standard 3202426 NOROVIRUS RNA PCR 417 11/1/2017 CC_Laboratory Standard 3202427 BRCA1/BRCA2 FULL GENE ANALYSIS 0 11/1/2017 CC_Laboratory Standard 3202428 HSV MOLECULAR DETECTION CSF 83 11/1/2017 CC_Laboratory Standard 3202429 CHROMATIN (NUCLEOSOMAL) ANTIBODY 146 11/1/2017 CC_Laboratory Standard 3202430 URIC ACID 24HR URINE 79 11/1/2017 CC_Laboratory Standard 3202431 CITRATE EXCRETION 24HR URINE 69 11/1/2017 CC_Laboratory Standard 3202432 OXALATE 24HR URINE 259 11/1/2017 CC_Laboratory Standard 3202433 IMMUNOGLOBULIN G SUBCLASSES SERUM 78 11/1/2017 CC_Laboratory Standard 3202434 MUMPS VIRUS ANTIBODY IGG AND IGM 51 11/1/2017 CC_Laboratory Standard 3202435 MMRV IMMUNE STATUS PROFILE SERUM 0 11/1/2017 CC_Laboratory Standard 3202436 ALLERGEN EGG WHITE IGE 23 11/1/2017 CC_Laboratory Standard 3202437 ALLERGEN MILK IGE 23 11/1/2017 CC_Laboratory Standard 3202438 ALLERGEN COD IGE 23 11/1/2017 CC_Laboratory Standard 3202439 ALLERGEN SALMON IGE 23 11/1/2017 CC_Laboratory Standard 3202440 ALLERGEN SCALLOPS IGE 23 11/1/2017 CC_Laboratory Standard 3202441 ALLERGEN SHRIMP IGE 23 11/1/2017 CC_Laboratory Standard 3202442 ALLERGEN TUNA IGE 23 11/1/2017 CC_Laboratory Standard 3202443 ALLERGEN MANGO IGE 23 11/1/2017 CC_Laboratory Standard 3202444 ALLERGEN OAT IGE 23 11/1/2017 CC_Laboratory Standard 3202445 ALLERGEN WHEAT IGE 23 11/1/2017 CC_Laboratory Standard 3202446 ALLERGEN COCOA IGE 23 11/1/2017 CC_Laboratory Standard 3202447 GASTRIN, SERUM 295 11/1/2017 CC_Laboratory Standard 3202448 CALCITONIN SERUM 446 11/1/2017 CC_Laboratory Standard 3202449 STREPTOCOCCUS PNEUMONIAE IGG 23 SEROTYPE 108 11/1/2017 CC_Laboratory Standard 3202450 ANTITHROMBIN ANTIGEN, PLASMA 61 11/1/2017 CC_Laboratory Standard 3202451 PROTEIN C ANTIGEN 88 11/1/2017 CC_Laboratory Standard 3202452 LEUKOTRIENE E4 URINE 409 11/1/2017 CC_Laboratory Standard 3202453 N‐METHYLHISTAMINE 24 HR URINE 473 11/1/2017 CC_Laboratory Standard 3202454 NEUROMYELITIS OPTICA (NMO) IGG 883 11/1/2017 CC_Laboratory Standard 3202455 ALKALINE PHOSPHATASE ISOENZYMES SERUM 60 11/1/2017 CC_Laboratory Standard 3202456 JAK2 EXON 12 & OTH NON‐V617F MUTAT BLOOD 767 11/1/2017 CC_Laboratory Standard 3202457 IGF‐2 166 11/1/2017 CC_Laboratory Standard 3202458 IL‐2 RECEPTOR 208 11/1/2017 CC_Laboratory Standard 3202459 IL‐8 246 11/1/2017 CC_Laboratory Standard 3202460 THYROGLOBULIN AB & TG (IMA OR LC‐MS/MS) 386 11/1/2017 CC_Laboratory Standard 3202461 LEPTIN 180 11/1/2017 CC_Laboratory Standard 3202462 HUNTINGTON DISEASE MOLECULAR ANALYSIS 633 11/1/2017 CC_Laboratory Standard 3202463 ALLERGEN OYSTER IGE 23 11/1/2017 CC_Laboratory Standard 3202464 ALLERGEN CRAB IGE 23 11/1/2017 CC_Laboratory Standard 3202465 ALLERGEN LOBSTER IGE 23 11/1/2017 CC_Laboratory Standard 3202466 ALLERGEN LATEX IGE 23 11/1/2017 CC_Laboratory Standard 3202467 CHIC2(4Q12)DELETION (FIP1L1‐PDGFRA) FISH 1086 11/1/2017 CC_Laboratory Standard 3202468 IODINE SERUM 347 11/1/2017 CC_Laboratory Standard 3202469 OXCARBAZEPINE METABOLITE SERUM 306 11/1/2017 CC_Laboratory Standard 3202470 GLYCOMARK 133 11/1/2017 CC_Laboratory Standard 3202471 MERCURY BLOOD 303 11/1/2017 CC_Laboratory Standard 3202472 HSV AND VZV PCR 0 11/1/2017 CC_Laboratory Standard 3202473 PHOSPHATIDYL SERINE/PROTHROMBIN ABS 349 11/1/2017 CC_Laboratory Standard 3202474 COENZYME Q10 PLASMA 528 11/1/2017 CC_Laboratory Standard 3202475 ARSENIC BLOOD 301 11/1/2017 CC_Laboratory Standard 3202476 HEMOGLOBIN S SCREEN BLOOD 184 11/1/2017 CC_Laboratory Standard 3202477 FLUORIDE PLASMA 327 11/1/2017 CC_Laboratory Standard 3202478 C1 ESTERASE INHIBITOR ANTIGEN 292 11/1/2017 CC_Laboratory Standard 3202479 FRANCISELLA TULARENSIS ANTIBODY 195 11/1/2017 CC_Laboratory Standard 3202480 GALACTOMANNAN SERUM 317 11/1/2017 CC_Laboratory Standard 3202481 EHRLICHIA AB PANEL, SERUM 556 11/1/2017 CC_Laboratory Standard 3202482 ALPHA‐1‐ANTITRYPSIN FECES RANDOM 298 11/1/2017 CC_Laboratory Standard 3202483 PORPHYRINS TOTAL PLASMA 337 11/1/2017 CC_Laboratory Standard 3202484 PORPHYRINS QUANT RANDOM URINE 151 11/1/2017 CC_Laboratory Standard 3202485 SELENIUM SERUM 375 11/1/2017 CC_Laboratory Standard 3202486 MAGNESIUM RBC 71 11/1/2017 CC_Laboratory Standard 3202487 ZINC RBC 144 11/1/2017 CC_Laboratory Standard 3202488 AMPHETAMINES SERUM 110 11/1/2017 CC_Laboratory Standard 3202489 HCV FIBROSURE 446 11/1/2017 CC_Laboratory Standard 3202490 BETA‐HYDROXYBUTYRATE SERUM 255 11/1/2017 CC_Laboratory Standard 3202491 PROINSULIN PLASMA 409 11/1/2017 CC_Laboratory Standard 3202492 TRYPANOSOMA CRUZI AB IGG 276 11/1/2017 CC_Laboratory Standard 3202493 TRYPANOSOMA CRUZI AB IGM 122 11/1/2017 CC_Laboratory Standard 3202494 IMMUNOGLOBULIN A SUBCLASSES SERUM 78 11/1/2017 CC_Laboratory Standard 3202495 CYTOMEGALOVIRUS AB IGG 324 11/1/2017 CC_Laboratory Standard 3202496 HEMOPHILIA A F8 GENE INTRON 22 INV (KNOW 1067 11/1/2017 CC_Laboratory Standard 3202497 GALECTIN‐3, SERUM 204 11/1/2017 CC_Laboratory Standard 3202498 DOA SCREEN (10 PANEL) W/CONF SERUM/PLASM 223 11/1/2017 CC_Laboratory Standard 3202499 ALLERGEN WHITE BEAN IGE 23 11/1/2017 CC_Laboratory Standard 3202500 ALLERGEN GREEN PEA IGE 23 11/1/2017 CC_Laboratory Standard 3202501 ALLERGEN LENTIL IGE 23 11/1/2017 CC_Laboratory Standard 3202502 ALLERGEN BARLEY IGE 23 11/1/2017 CC_Laboratory Standard 3202503 ALLERGEN RICE IGE 23 11/1/2017 CC_Laboratory Standard 3202504 ALLERGEN RYE IGE 23 11/1/2017 CC_Laboratory Standard 3202505 VEDOLIZUMAB AND ANTI‐VEDOLIZUMAB ABS 442 11/1/2017 CC_Laboratory Standard 3202506 HISTAMINE PLASMA 217 11/1/2017 CC_Laboratory Standard 3202507 PARANEOPLASTIC AUTOANTIBODY EVAL SERUM 0 11/1/2017 CC_Laboratory Standard 3202508 INFLUENZA A/B AND RSV PCR 601 11/1/2017 CC_Laboratory Standard 3202509 LACTATE DEHYRDROGENASE ISOENZYMES SERUM 376 11/1/2017 CC_Laboratory Standard 3202510 TPMT ACTIVITY 491 11/1/2017 CC_Laboratory Standard 3202511 ZONISAMIDE, SERUM 331 11/1/2017 CC_Laboratory Standard 3202512 CYCLOSPORINE BLOOD 398 11/1/2017 CC_Laboratory Standard 3202513 BARTONELLA AB PANEL, IGG, IGM 363 12/1/2018 CC_Laboratory Standard 3203018 PERIPHERAL BLOOD SMEAR PATH REVIEW 46 11/1/2017 CC_Laboratory Standard 3203020 AFB CULTURE AND SMEAR 110 10/1/2018 CC_Laboratory Standard 3203021 CULTURE ANAEROBIC 277 10/1/2018 CC_Laboratory Standard 3203022 CULTURE BODY FLUID STERILE W/GS 255 10/1/2018 CC_Laboratory Standard 3203024 CULTURE CSF W/GRAM STAIN 255 10/1/2018 CC_Laboratory Standard 3203025 CULTURE EAR 255 10/1/2018 CC_Laboratory Standard 3203026 CULTURE EYE 255 10/1/2018 CC_Laboratory Standard 3203027 CULTURE FLUID AER/ANA W/GS 277 10/1/2018 CC_Laboratory Standard 3203028 CULTURE GENITAL 42 10/1/2018 CC_Laboratory Standard 3203029 CULTURE NASOPHARYNGEAL 255 10/1/2018 CC_Laboratory Standard 3203030 ORGANISM ID 98 10/1/2018 CC_Laboratory Standard 3203031 CULTURE SPUTUM W/GRAM STAIN 255 10/1/2018 CC_Laboratory Standard 3203032 CULTURE TISSUE AEROBIC W/GS 134 10/1/2018 CC_Laboratory Standard 3203033 CULTURE TISSUE AER/ANA W/GS 277 10/1/2018 CC_Laboratory Standard 3203034 CULTURE URINE 224 10/1/2018 CC_Laboratory Standard 3203035 CULTURE URINE CATHETERIZED 224 10/1/2018 CC_Laboratory Standard 3203036 CULTURE WOUND AEROBIC W/GS 255 10/1/2018 CC_Laboratory Standard 3203037 CULTURE WOUND AER/ANA W/GS 277 10/1/2018 CC_Laboratory Standard 3203040 CULTURE FUNGUS BLOOD 163 10/1/2018 CC_Laboratory Standard 3203041 CULTURE FUNGUS MISCELLANEOUS 63 10/1/2018 CC_Laboratory Standard 3203042 CULTURE STOOL W/SHIGA TOXIN 80 10/1/2018 CC_Laboratory Standard 3203043 SUSCEPTIBILITY BACTERIAL 196 10/1/2018 CC_Laboratory Standard 3203044 CULTURE GROUP A STREP 160 10/1/2018 CC_Laboratory Standard 3401101 FOAMING BODY CLEANSER 23 4/1/2018 CC_Central SupplyStandard 3401214 CATH FOLEY SILICONE TRAY16FR W/STATLOCK 65 4/1/2018 CC_Central SupplyStandard 3401216 FOLEY TRAY 14FR 43.29 11/1/2018 CC_Central SupplyStandard 3401217 FOLEY TRAY 18FR 77.6 11/1/2018 CC_Central SupplyStandard 3401222 JOEY WIPES CLEANSING WIPES 8 12/1/2018 CC_Central SupplyStandard 3401224 WOUNDSEAL 51 4/1/2018 CC_Central SupplyStandard 3401229 TRAY LACERATION 40 4/1/2018 CC_Central SupplyStandard 3401231 FOLEY TRAY URINE METER 16FR 80.36 11/1/2018 CC_Central SupplyStandard 3401233 SUTURE ETHILON 2‐0 35.28 11/1/2018 CC_Central SupplyStandard 3401234 SUTURE ETHILON 3‐0 PS‐1 27 4/1/2018 CC_Central SupplyStandard 3401235 SUTURE ETHILON 4‐0 26 4/1/2018 CC_Central SupplyStandard 3401251 SURGICAL CLIPPER BLADE ASSY PURPLE 22 4/1/2018 CC_Central SupplyStandard 3401270 CURVED FINGER SPLINTS SMALL 1.5 6.08 11/1/2018 CC_Central SupplyStandard 3401271 SPLINTS CURVED FINGER MEDIUM 3 7 4/1/2018 CC_Central SupplyStandard 3401272 SPLINTS CURVED FINGER MED/LRG 4 7 4/1/2018 CC_Central SupplyStandard 3401273 SPLINTS CURVED FINGER LARGE 6 10 4/1/2018 CC_Central SupplyStandard 3401282 SECURE‐ALL RESTRAINT LIMB HOLDER 14 4/1/2018 CC_Central SupplyStandard 3401284 DRESSING TEGADERM 2X2 2 4/1/2018 CC_Central SupplyStandard 3401286 DISPOSABLE LIMB RESTRAINTS 109.1 11/1/2018 CC_Central SupplyStandard 3401288 SURGICAL CLIPPER BLADE ASSY GREEN 15 4/1/2018 CC_Central SupplyStandard 3401305 BANDAGE ROLL GAUZE 2 1 4/1/2018 CC_Central SupplyStandard 3401332 CHEST TUBE TRAY 12FR 453.6 11/1/2018 CC_Central SupplyStandard 3401338 CHEST TUBE TRAY 10FR 453.6 11/1/2018 CC_Central SupplyStandard 3401366 STATLOCK PICC PLUS 37 4/1/2018 CC_Central SupplyStandard 3401367 CLAVE CONNECTOR 6 4/1/2018 CC_Central SupplyStandard 3401368 STATLOCK FOLEY 3‐WAY 24 4/1/2018 CC_Central SupplyStandard 3401370 CHEST TUBE TRAY 20FR 513.8 11/1/2018 CC_Central SupplyStandard 3401371 CHEST TUBE TRAY 28FR 513.8 11/1/2018 CC_Central SupplyStandard 3401372 CHEST TUBE TRAY 36FR 506.4 11/1/2018 CC_Central SupplyStandard 3401375 MAXZERO LARGE BORE EXTENSION SET 18 4/1/2018 CC_Central SupplyStandard 3401377 CATHETER NEUTRON PATENCY DEVICE 33 4/1/2018 CC_Central SupplyStandard 3401438 BANDAGE ROLL GAUZE 4 2 4/1/2018 CC_Central SupplyStandard 3401440 BASIN EMESIS 1 4/1/2018 CC_Central SupplyStandard 3401441 EME‐BAG 34.8 11/1/2018 CC_Central SupplyStandard 3401442 CUFF BP WELCH ALLYN #12 (LG ADULT) 62.07 11/1/2018 CC_Central SupplyStandard 3401447 TONGUE BLADES STERILE 1 4/1/2018 CC_Central SupplyStandard 3401452 GLUCOLA ORANGE 75 GRAM 8.1 11/1/2018 CC_Central SupplyStandard 3401477 STAPLER SKIN 39 4/1/2018 CC_Central SupplyStandard 3401517 DRESSING 3 X 3 ADAPTIC 4 4/1/2018 CC_Central SupplyStandard 3401518 DRESSING TELFA 3 X 8 2 12/1/2018 CC_Central SupplyStandard 3401520 CLIPPER SURG RECHARGEABLE PURPLE 286 11/1/2018 CC_Central SupplyStandard 3401523 THORA‐SEAL III CHEST TUBE‐DRAIN UNIT 282.1 11/1/2018 CC_Central SupplyStandard 3401525 CLIPPER SURG RECHARGEABLE GREEN 163.6 11/1/2018 CC_Central SupplyStandard 3401533 RHINO ROCKET MED 75.24 11/1/2018 CC_Central SupplyStandard 3401534 RHINO ROCKET LG 95.91 11/1/2018 CC_Central SupplyStandard 3401537 CATH BARD CRITICORE FOLEY 14F SIL 84.2 11/1/2018 CC_Central SupplyStandard 3401538 DRESSING TELFA 2 X 3 1 4/1/2018 CC_Central SupplyStandard 3401541 EYE PROTECTOR MEDC FOAM STERILE 13.62 11/1/2018 CC_Central SupplyStandard 3401542 CATHETER KIT PED 5F 28 4/1/2018 CC_Central SupplyStandard 3401584 SPLINT BASEBALL 8.76 11/1/2018 CC_Central SupplyStandard 3401585 SPLINT FROG SMALL 6.44 11/1/2018 CC_Central SupplyStandard 3401586 SPLINT FROG MEDIUM 6.44 11/1/2018 CC_Central SupplyStandard 3401587 SPLINT FROG LARGE 6.44 11/1/2018 CC_Central SupplyStandard 3401588 LEG STRAP CATHETER HOLDER 12 4/1/2018 CC_Central SupplyStandard 3401590 DRESSING ALLEVYN 3X3 17 4/1/2018 CC_Central SupplyStandard 3401592 DRESSING FOAM 4X4 9 4/1/2018 CC_Central SupplyStandard 3401593 FINGER COT SMALL 6.32 11/1/2018 CC_Central SupplyStandard 3401594 FINGER COT MEDIUM 7 4/1/2018 CC_Central SupplyStandard 3401595 FINGER COT LARGE 6.32 11/1/2018 CC_Central SupplyStandard 3401596 DRESSING ALLEVYN HEEL 43.73 11/1/2018 CC_Central SupplyStandard 3401597 BANDAGE PROFORE 4‐LAYER COMPRESSION 60 4/1/2018 CC_Central SupplyStandard 3401619 NEEDLE 18G X 1.5 1 4/1/2018 CC_Central SupplyStandard 3401623 SAF‐T‐INTIMA 22GA 30 4/1/2018 CC_Central SupplyStandard 3401633 PAD EGGCRATE 3 IN 76.93 11/1/2018 CC_Central SupplyStandard 3401691 GAUZE STERILE 2X2 1 4/1/2018 CC_Central SupplyStandard 3401708 STAPLE REMOVER SKIN 5 4/1/2018 CC_Central SupplyStandard 3401711 STOCKING ANTI‐EMB XXL THIGH 80 11/1/2018 CC_Central SupplyStandard 3401712 STOCKING ANTI‐EMB XL THIGH 35.08 11/1/2018 CC_Central SupplyStandard 3401713 STOCKING ANTI‐EMB XL KNEE 30 4/1/2018 CC_Central SupplyStandard 3401714 STOCKING ANTI‐EMB LG KNEE 30 4/1/2018 CC_Central SupplyStandard 3401715 STOCKING ANTI‐EMB SM KNEE 21 4/1/2018 CC_Central SupplyStandard 3401716 STOCKING ANTI‐EMB MED KNEE 29 4/1/2018 CC_Central SupplyStandard 3401717 STOCKING ANTI‐EMB LG THIGH 35.08 11/1/2018 CC_Central SupplyStandard 3401718 STOCKING ANTI‐EMB MED THIGH 30 4/1/2018 CC_Central SupplyStandard 3401719 STOCKING ANTI‐EMB SM THIGH 47.51 11/1/2018 CC_Central SupplyStandard 3401720 STOCKING ANTI‐EMB XXL KNEE 23 4/1/2018 CC_Central SupplyStandard 3401724 STOCKING ANTI‐EMB KNEE LONG MD 22.82 11/1/2018 CC_Central SupplyStandard 3401946 LARYNGOSCOPE BLADE MILLER SZ 2 32 4/1/2018 CC_Central SupplyStandard 3402740 TUBE TRACHIAL DISP SIZE 6 W/CUFF SHILEY 208 4/1/2018 CC_Central SupplyStandard 3402743 TUBE TRACHIAL DISP SIZE 10 W/CUFF SHILEY 208 4/1/2018 CC_Central SupplyStandard 3402746 NASOPHARYNGEAL TUBE 30FR RUSCH AIRWAY 29.91 11/1/2018 CC_Central SupplyStandard 3402747 NASOPHARYNGEAL TUBE 32FR RUSCH AIRWAY 29.91 11/1/2018 CC_Central SupplyStandard 3402748 NASOPHARYNGEAL TUBE 34FR RUSCH AIRWAY 29.91 11/1/2018 CC_Central SupplyStandard 3402749 NASOPHARYNGEAL TUBE 36FR RUSCH AIRWAY 29.91 11/1/2018 CC_Central SupplyStandard 3402750 AIRWAY SOFT NASOPHARYNGEAL 46 4/1/2018 CC_Central SupplyStandard 3402755 DRESSING TEGADERM 4 X 5 6 4/1/2018 CC_Central SupplyStandard 3402775 AIRWAY GUEDEL COLOR MEDC 90MM 3 4/1/2018 CC_Central SupplyStandard 3402882 NEEDLE MULT SMPL 21X1 1 4/1/2018 CC_Central SupplyStandard 3402992 BANDAGE ROLL GAUZE 3 2 4/1/2018 CC_Central SupplyStandard 3403298 SCALPEL MEDICHOICE #11 63.75 11/1/2018 CC_Central SupplyStandard 3403331 NEEDLE 23G BD SAF‐T WING 6 4/1/2018 CC_Central SupplyStandard 3403363 DRESSING KALTOSTAT 5X5 12 4/1/2018 CC_Central SupplyStandard 3403430 TAPE MICROFOAM SURGICAL 3 31 4/1/2018 CC_Central SupplyStandard 3404038 SURGITUBE 1IN 103 4/1/2018 CC_Central SupplyStandard 3404144 TUBING PRIMARY IV 31.2 11/1/2018 CC_Central SupplyStandard 3404201 SCALPEL BARD PARKER #11 5 4/1/2018 CC_Central SupplyStandard 3404202 SCALPEL BARD PARKER #15 5 4/1/2018 CC_Central SupplyStandard 3404236 SCALPEL MEDICHOICE #15 8.29 11/1/2018 CC_Central SupplyStandard 3404304 SPECULUM VAG LG 12.83 11/1/2018 CC_Central SupplyStandard 3404306 NORMAL SALINE .9PCT 1000ML 8.1 11/1/2018 CC_Central SupplyStandard 3404347 GAUZE SPONGE TRAYS 4X4 5 4/1/2018 CC_Central SupplyStandard 3404445 SPECULUM VAG MED 9.03 11/1/2018 CC_Central SupplyStandard 3404535 SHOE HEALING DARCO ORTHOWEDGE 108 11/1/2018 CC_Central SupplyStandard 3404541 YANKAUER SUCTION PH HANDLE 4 4/1/2018 CC_Central SupplyStandard 3404828 BUTTERFLY SET 19GA 298 11/1/2018 CC_Central SupplyStandard 3404924 CATH PLUG W/ CAP 17 4/1/2018 CC_Central SupplyStandard 3404940 NEEDLE MULT SMPL 22X1 1 4/1/2018 CC_Central SupplyStandard 3405219 TUBING BLOOD 50.16 11/1/2018 CC_Central SupplyStandard 3405233 SLEEVES SCD THIGH LENGTH SMALL 225.1 11/1/2018 CC_Central SupplyStandard 3405875 BASIN WASH 4 4/1/2018 CC_Central SupplyStandard 3405881 PACKING STRIP 1/4 IODO 20 4/1/2018 CC_Central SupplyStandard 3406144 BETADINE SWAB 1.1 12/1/2018 CC_Central SupplyStandard 3406330 SPECIMEN COLLECTOR PAN 4 4/1/2018 CC_Central SupplyStandard 3406401 TRACHIAL TUBE 8.0 17 4/1/2018 CC_Central SupplyStandard 3406403 MASK VENTURI ADULT 10.27 11/1/2018 CC_Central SupplyStandard 3406412 DEODORANT 3 4/1/2018 CC_Central SupplyStandard 3406427 VALVE SALEM SUMP ANTI REFLUX 30.84 11/1/2018 CC_Central SupplyStandard 3406437 PACKING STRIP 1/2 IODO CURAD 14 4/1/2018 CC_Central SupplyStandard 3406439 PACKING STRIPS 1/4 PLAIN 22 4/1/2018 CC_Central SupplyStandard 3406440 PACKING STRIPS 1/2 PLAIN 18 4/1/2018 CC_Central SupplyStandard 3406531 CANNULA NASAL PEDS 7' 7.64 11/1/2018 CC_Central SupplyStandard 3406532 CANNULA NASAL INFANT 7' 26.12 11/1/2018 CC_Central SupplyStandard 3406533 CANNULA NASAL NEO‐NATAL 7' 16.39 11/1/2018 CC_Central SupplyStandard 3406581 BAG DRAINAGE 22 4/1/2018 CC_Central SupplyStandard 3406675 URINAL MALE WITH COVER 3 4/1/2018 CC_Central SupplyStandard 3407100 CATH FOLEY 3 WAY 18FR 30CC 68.59 11/1/2018 CC_Central SupplyStandard 3407101 CATH FOLEY 3 WAY 22FR 30CC 68.59 11/1/2018 CC_Central SupplyStandard 3407102 CATH FOLEY 22FR 5CC 32.98 11/1/2018 CC_Central SupplyStandard 3407171 CATH FOLEY 14FR 5CC 31 4/1/2018 CC_Central SupplyStandard 3407172 CATH STRAIGHT COUDE 14 FR 25 4/1/2018 CC_Central SupplyStandard 3407449 IV CATHETER JELCO 14 G 1 1/4 IN 122.7 11/1/2018 CC_Central SupplyStandard 3407450 ANGIOCATH 16G X 1.16 12 4/1/2018 CC_Central SupplyStandard 3407553 SPECULUM VAG SM 9.6 11/1/2018 CC_Central SupplyStandard 3407566 SPECULA PEDIATRIC 2.75MM 101.2 11/1/2018 CC_Central SupplyStandard 3407572 SPECULA ADULT 4.0MM 115.2 11/1/2018 CC_Central SupplyStandard 3407648 PAD DEFIB ADULT 26.03 11/1/2018 CC_Central SupplyStandard 3407757 DISPOSABLE MRI KIT SPECTRIS SOLARIS 79.79 11/1/2018 CC_Central SupplyStandard 3408002 TUBING SECONDARY BAXTER CLEARLINK 7 4/1/2018 CC_Central SupplyStandard 3408003 TUBING BLOOD BAXTER Y‐TYPE (ACUTE & ED) 34 4/1/2018 CC_Central SupplyStandard 3408007 TUBING PRIMARY VENTED 21 4/1/2018 CC_Central SupplyStandard 3408008 TUBING NITRO 60 DPM W/DUO VENT SPIKE PVC 33.17 11/1/2018 CC_Central SupplyStandard 3408009 TUBING EXTENSION OL BONDED PI STD BORE 12.63 11/1/2018 CC_Central SupplyStandard 3408010 DRESSING SORBAVIEW SHIELD PERIPHERAL 15.03 11/1/2018 CC_Central SupplyStandard 3408019 SPECULUM VAG LG DISP W/LIGHT 24.32 11/1/2018 CC_Central SupplyStandard 3408020 SPECULUM VAG MED DISP W/LIGHT 27 4/1/2018 CC_Central SupplyStandard 3408021 STOCKINETTE BIAS COTTON 6INX4YD ST 21.19 11/1/2018 CC_Central SupplyStandard 3408024 STOCKINETTE BIAS CUT COTTON 6INX4YD ST 50.58 11/1/2018 CC_Central SupplyStandard 3408027 SPECULUM VAG SM DISP W/LIGHT 27 4/1/2018 CC_Central SupplyStandard 3408087 TUBING OXYGEN 7FT VINYL TIPPED AIRLIFE 3 4/1/2018 CC_Central SupplyStandard 3408365 STYLET INTUBATING 5FR 25CM ST 18.49 11/1/2018 CC_Central SupplyStandard 3408373 SLEEVES SCD THIGH LENGTH MEDIUM 238.2 11/1/2018 CC_Central SupplyStandard 3408374 SLEEVES SCD THIGH LENGTH LARGE 286.6 11/1/2018 CC_Central SupplyStandard 3408454 CANNULA VIAL ACCESS 121.2 11/1/2018 CC_Central SupplyStandard 3408566 INJECT SITE MALE ADAPTER 9.79 11/1/2018 CC_Central SupplyStandard 3408620 BAG ENEMA AND TUBING 8.83 11/1/2018 CC_Central SupplyStandard 3408759 CANNULA BLUNT 2 4/1/2018 CC_Central SupplyStandard 3408762 VIAL ADAPTER UNIVERSAL 157.1 11/1/2018 CC_Central SupplyStandard 3408967 NASAL STRIP FASTNER 8 4/1/2018 CC_Central SupplyStandard 3408984 CATH INSERT TRAY WITHOUT CATH 17 4/1/2018 CC_Central SupplyStandard 3409500 FORCEP KELLY 5.5 CURVED DISP 62.21 11/1/2018 CC_Central SupplyStandard 3409502 FORCEP CRILE 5.5 CURVED DISP 13 4/1/2018 CC_Central SupplyStandard 3409506 FORCEP MOSQUITO 5.0 CURVED DISP 13 4/1/2018 CC_Central SupplyStandard 3409522 STRAP KNEE AND BODY 60 X 3 DISP 12 4/1/2018 CC_Central SupplyStandard 3410221 ADHESIVE TOPSKIN DERMABOND LF 100 4/1/2018 CC_Central SupplyStandard 3410526 DRESSING DUODERM 4X4 X‐THIN 29.85 11/1/2018 CC_Central SupplyStandard 3412080 ACAPELLA DM BLUE MOUTHPIECE NS 10/CS 215.9 11/1/2018 CC_Central SupplyStandard 3412086 MESH PARIETEX PROGRIP LEFT 4.7 X 3 941 4/1/2018 CC_Central SupplyStandard 3412087 MESH PARIETEX PROGRIP RIGHT 4.7 X 3 941 4/1/2018 CC_Central SupplyStandard 3412088 MESH PARIETEX PROGRIP LEFT 5.5 X 3.5 969 4/1/2018 CC_Central SupplyStandard 3412089 MESH PARIETEX PROGRIP RIGHT 5.5 X 3.5 969 4/1/2018 CC_Central SupplyStandard 3412100 HISTOACRYL SKIN GLUE 71 4/1/2018 CC_Central SupplyStandard 3412549 WET OR DRY CAST PADDING 4 X 4YD 41.35 11/1/2018 CC_Central SupplyStandard 3412566 EVIVA 9GA 13CM 20MM APERTURE 709 11/1/2018 CC_Imaging Standard 3412567 EVIVA 9GA FISCHER PRONE AND LORAD 51 11/1/2018 CC_Imaging Standard 3412570 EVIVIA SECUREMARK (TOP HAT) 236.2 11/1/2018 CC_Central SupplyStandard 3413495 AIRWAY MASK LRYNGL LMA SIZE4 148 4/1/2018 CC_Central SupplyStandard 3413496 AIRWAY MASK LRYNGL CUFD DISP STER STD PK 50 4/1/2018 CC_Central SupplyStandard 3413498 AIRWAY NASAL ROBERTAZZI LF 28F 25.14 11/1/2018 CC_Central SupplyStandard 3413499 AIRWAY NASAL ROBERTAZZI LF 30F 25.14 11/1/2018 CC_Central SupplyStandard 3413500 AIRWAY NASAL ROBERTAZZI 32F 25.14 11/1/2018 CC_Central SupplyStandard 3413501 AIRWAY NASAL ROBERTAZZI LF 34F 25.14 11/1/2018 CC_Central SupplyStandard 3413504 AIRWAY NASAL ROBERTAZZI 22F 25.14 11/1/2018 CC_Central SupplyStandard 3413515 CANN NASAL DIVIDED CO2 O2 LINE MALE LL C 17 4/1/2018 CC_Central SupplyStandard 3413540 DETECTOR CO2 TIDAL PEDI COLORIMETRIC 50.86 11/1/2018 CC_Central SupplyStandard 3413550 HANDLE SUCTION YANKAUER REGULAR CAPACITY 5 4/1/2018 CC_Central SupplyStandard 3413551 BOUGIE INTRO ET STYLET COUDE TIP 15FR 36.73 11/1/2018 CC_Central SupplyStandard 3413565 SENSOR MNTR TEMP SKIN DEVICE 400 SERIES 36 4/1/2018 CC_Central SupplyStandard 3413570 NASAL RAE TRACHEAL SIZE 7.0 29FR 27.18 11/1/2018 CC_Central SupplyStandard 3413578 NEEDLE HYPO BLUNT FILL STER 18GAX1.5IN 1 4/1/2018 CC_Central SupplyStandard 3413580 NEEDLE SPIN QUINCKE BEVEL 22GAX4.75IN 21 4/1/2018 CC_Central SupplyStandard 3413600 SENSOR ADULT SPO2 56 4/1/2018 CC_Central SupplyStandard 3413608 TUBING BLOOD Y‐TYPE W/2 PORTS (SURGERY) 32 4/1/2018 CC_Central SupplyStandard 3413613 ST IV EXTN 0.22MIC 1 INJ STE 19IN 22.71 11/1/2018 CC_Central SupplyStandard 3413614 ST IV EXTN 2 NDL FREE PORT MALE LL 5ML 24 4/1/2018 CC_Central SupplyStandard 3413619 ST IV VNTD N/VENT 2 NDL FREE PORT MALE 24.57 11/1/2018 CC_Central SupplyStandard 3413620 ST IV VNTD N/VENT 3 NDL FREE PORT 2 MALE 23 4/1/2018 CC_Central SupplyStandard 3413624 ST WRMNG BLD IV FLU INJ PORT HOTLINE 72 4/1/2018 CC_Central SupplyStandard 3413627 STETH ESOPH TEMP SENSOR 18FR 46 4/1/2018 CC_Central SupplyStandard 3413628 STETH MECH 1 HEAD LIGHTWEIGHT LF BLU 30 34.62 11/1/2018 CC_Central SupplyStandard 3413630 STYLET INTUBATING 14FR SATIN SLIP 23 4/1/2018 CC_Central SupplyStandard 3413631 STYLET INTUBATING 10FR SATIN SLIPI 22.65 11/1/2018 CC_Central SupplyStandard 3413643 TRANSDUCER PRESSURE MONITOR 72IN 12IN TU 262 11/1/2018 CC_Central SupplyStandard 3413644 ARMBOARD DISPOSABLE VINYL 57.04 11/1/2018 CC_Central SupplyStandard 3413645 TRNDCR 02 NASAL OX SENSOR ADH BNDG ADLT 71.96 11/1/2018 CC_Central SupplyStandard 3413647 TUBE 7.0MM ENDOTRACHEASL NASAL ORAL CUFF 166.5 11/1/2018 CC_Central SupplyStandard 3413648 TUBE 7.5MM ENDTRACHEASL NASAL ORAL CUFF 166.5 11/1/2018 CC_Central SupplyStandard 3413651 TUBE ENDOBRONCH 2 LUM LT BRONCH CATH 37F 281.3 11/1/2018 CC_Central SupplyStandard 3413653 TUBE ENDOBRONCH 2 LUM LT BRONCH CATH 41F 281.3 11/1/2018 CC_Central SupplyStandard 3413675 TUBE SUCTION MOLDED CLR STER 6MMX12FT 7 4/1/2018 CC_Central SupplyStandard 3413680 ADHESIVE STING FREE RELEASER SPRAY STER 109.4 11/1/2018 CC_Central SupplyStandard 3413684 CHLORAPREP APPLICATOR ORANGE 26ML 41 4/1/2018 CC_Central SupplyStandard 3413689 URNARY DRAIN ANTI RFLX CHMB SMPL PORT ST 24.92 11/1/2018 CC_Central SupplyStandard 3413693 BINDER ABD 4 PANEL ELAS CLSR LG 12X46‐62 92.2 11/1/2018 CC_Central SupplyStandard 3413695 BANDAGE ESMARK 6IN X 3YD STERILE 34.6 11/1/2018 CC_Central SupplyStandard 3413698 ABD 4 PANEL ELAS VELCRO ADJ LF REU XL 104.7 11/1/2018 CC_Central SupplyStandard 3413699 BOWL SPONGE UTIL DISP STER 35 OZ 10.92 11/1/2018 CC_Central SupplyStandard 3413711 UNIT COLLECTION 1500ML STM OUTLET 48/CS 13 4/1/2018 CC_Central SupplyStandard 3413739 DRAIN FLAT FULL PERF HUBLESS SI LF 10MM 145.1 11/1/2018 CC_Central SupplyStandard 3413787 DSG PETROLATUM STRIP OVERWRAP 5X9 12.48 11/1/2018 CC_Central SupplyStandard 3413792 ELECT PT RET LF DISP REM ADLT 9FT CORD 27 4/1/2018 CC_Central SupplyStandard 3413806 KIT DRESSING NEG PRESSURE 4X12 688.8 11/1/2018 CC_Central SupplyStandard 3413807 KIT DRESSING NEG PRESSURE 4X16 1378 11/1/2018 CC_Central SupplyStandard 3413808 KIT DRESSING NEG PRESS 4X8 688.8 11/1/2018 CC_Central SupplyStandard 3413836 SET IRRIGATION Y TYPE TUR BLADDER 37.6 11/1/2018 CC_Central SupplyStandard 3413841 SOLUTION BETADINE 4 OZ 26 4/1/2018 CC_Central SupplyStandard 3413856 SPONGE SURG ENDO CLEANING DISP 14.57 11/1/2018 CC_Central SupplyStandard 3413857 STCKNT ORTHO BX CTN 2 X 25YD 50.11 11/1/2018 CC_Central SupplyStandard 3413858 STCKNT ORTHO BX CTN 4 X 25YD 82.53 11/1/2018 CC_Central SupplyStandard 3413863 STRIP PACKING PLAIN STER CURITY 1X5YD 19.59 11/1/2018 CC_Central SupplyStandard 3413864 STRIP PACKING PLN STER CURITY 2 X 5YD 26.82 11/1/2018 CC_Central SupplyStandard 3413889 TRACH TUBE SZ 6 XLT PROXIMAL 295.2 11/1/2018 CC_Central SupplyStandard 3413890 TRACH TUBE SZ 7 OD 12.3M ID 7MM LGTH 100 295.2 11/1/2018 CC_Central SupplyStandard 3413925 CATH URETH RND TIP STER DOVER 14FR 3 4/1/2018 CC_Central SupplyStandard 3413931 AIRWAY LMA UNIQUE SIZE 1 89.13 11/1/2018 CC_Central SupplyStandard 3413932 AIRWAY LMA UNIQUE SIZE 1.5 126.8 11/1/2018 CC_Central SupplyStandard 3413933 AIRWAY LMA UNIQUE SIZE 2 123.1 11/1/2018 CC_Central SupplyStandard 3413934 AIRWAY LMA UNIQUE SIZE 2.5 122.8 11/1/2018 CC_Central SupplyStandard 3413936 CUFF WELCH ALLYN SOFT SMALL CHILD 18.23 11/1/2018 CC_Central SupplyStandard 3413937 CUFF WELCH ALLYN SOFT DISP SZ 12 24.87 11/1/2018 CC_Central SupplyStandard 3413951 TOBOGGAN PAD 16.25 X 8.25 X 0.37 350 4/1/2018 CC_Central SupplyStandard 3413955 AIRWAY 1‐ GEL SIZE 1 NEONATE 101.3 11/1/2018 CC_Central SupplyStandard 3413956 AIRWAY I ‐ GEL SIZE 1.5 98.2 11/1/2018 CC_Central SupplyStandard 3413957 AIRWAY 1 ‐ GEL SIZE 2 PEDIATRIC 101.3 11/1/2018 CC_Central SupplyStandard 3413958 AIRWAY I ‐ GEL SIZE 2.5 LARGE PEDATRIC 101.3 11/1/2018 CC_Central SupplyStandard 3413959 AIRWAY I‐GEL SIZE 3 199.6 11/1/2018 CC_Central SupplyStandard 3413960 AIRWAY I ‐ GEL SIZE 4 98.2 11/1/2018 CC_Central SupplyStandard 3413961 AIRWAY I ‐ GEL SIZE 5 95.1 11/1/2018 CC_Central SupplyStandard 3414003 SENSOR OCIMETER OXIMAX INFANT 71.96 11/1/2018 CC_Central SupplyStandard 3414004 SENSOR ADULT ADHESIVE FOREHEAD 92.25 11/1/2018 CC_Central SupplyStandard 3414018 DEVICE BLOOD TRANSFER 3.81 12/1/2018 CC_Central SupplyStandard 3414159 ON Q T BLOC PREP TRAY 158 4/1/2018 CC_Central SupplyStandard 3414160 KNEE POSITIONER 2ND ASSIST 421 4/1/2018 CC_Central SupplyStandard 3414164 STERILE BULB TIP YANKAUERS 4 4/1/2018 CC_Central SupplyStandard 3414182 KNEE ARTHROSCOPY PLUS II PACK 214 4/1/2018 CC_Central SupplyStandard 3414183 STD TOTAL KNEE PLUS III PACK 229 4/1/2018 CC_Central SupplyStandard 3414184 TOTAL HIP PLUS III PACK 070 262 4/1/2018 CC_Central SupplyStandard 3414188 BLADE,RECIPROCATING DOUBLE SIDED 291 4/1/2018 CC_Central SupplyStandard 3414189 BLADE SAGITTAL 2108 SERIES 28.9X.64X58.7 307 4/1/2018 CC_Central SupplyStandard 3414190 INTERPULSE HANDPIECE WITH BONE CLEANING 195 4/1/2018 CC_Central SupplyStandard 3414193 PASTE PROTECTANT 4OZ 31.2 11/1/2018 CC_Central SupplyStandard 3414194 CLEANSER BODY REMEDY 25.95 11/1/2018 CC_Central SupplyStandard 3414220 ARMBOARD IV PEDIBOARD 2X6 45.3 11/1/2018 CC_Central SupplyStandard 3414228 BANDAGE SELF ADHRNT COFLEX 4X5YD STRL 21.04 11/1/2018 CC_Central SupplyStandard 3414230 COBAN LF WRAP 4'' LATEX FREE 22 4/1/2018 CC_Central SupplyStandard 3414231 BANDAGE FOAM COFLEX LF2 6X5YD STRL 41.22 11/1/2018 CC_Central SupplyStandard 3414232 PROTECTANT NUTRASHIELD SKIN 20OZ REMEDY 25.14 11/1/2018 CC_Central SupplyStandard 3414234 DRAIN BLAKE ROUND 328 12/1/2018 CC_Central SupplyStandard 3414261 BINDER ABDOMINAL 12IN 4‐PANEL 104.7 11/1/2018 CC_Central SupplyStandard 3414263 LUMBER TRAY ANES PUNCTURE 20G 58.38 11/1/2018 CC_Central SupplyStandard 3414264 OMNI JUG CANISTER SUCTION 16 LITER 97 4/1/2018 CC_Central SupplyStandard 3414270 KIT SURGIFLO HEMOSTATIC MATRIX DIR ONLY 791.8 11/1/2018 CC_Central SupplyStandard 3414271 KIT EVICEL FIBRIN SEALANT 5ML DIR ONLY 1471 11/1/2018 CC_Central SupplyStandard 3414280 BATTERIES INSTRUMENT 124 4/1/2018 CC_Central SupplyStandard 3414281 PINS THA FEMUR 3X150 542 4/1/2018 CC_Central SupplyStandard 3414282 COATED VICRYL UNDYED BRAIDED 3‐0 18 90.53 11/1/2018 CC_Central SupplyStandard 3414353 APPLICATOR CHLORAPREP ONE STEP 3ML LF 13 4/1/2018 CC_Central SupplyStandard 3414354 AHTO SUCTION IRRIGATION SET W/TIP 316 4/1/2018 CC_Central SupplyStandard 3414358 SUTURE 0 VICRYL 18 IN J840D 91 4/1/2018 CC_Central SupplyStandard 3414362 TROCAR BLADELESS 12MM 206 4/1/2018 CC_Central SupplyStandard 3414369 SPONGE KITTNER 6.67 11/1/2018 CC_Central SupplyStandard 3414373 THE PINK PAD XL‐ PIGAZZI PATIENT POSITI 307 4/1/2018 CC_Central SupplyStandard 3414376 TUBE TRACH RAE NASAL 3.0MM 27.18 11/1/2018 CC_Central SupplyStandard 3414380 TUBE SUCTION CONN PLASTIC 120 L 8 4/1/2018 CC_Central SupplyStandard 3414383 JP 3‐SPRINGS RES W/10FR PVC DRAIN/TRO 54 4/1/2018 CC_Central SupplyStandard 3414384 SUTURE ETHILON 18 32.94 11/1/2018 CC_Central SupplyStandard 3414386 SUTURE SILK 18 (45CM) 3‐0 BLK 65.48 11/1/2018 CC_Central SupplyStandard 3414392 SUTURE VICRYL 18 (45CM) 2‐0 VIO 221.3 11/1/2018 CC_Central SupplyStandard 3414402 SUTURE PDS PLUS 27 (70CM) 2‐0 VIO 63 4/1/2018 CC_Central SupplyStandard 3414406 SUTURE MONOCRYL 27 (70CM) 3‐0 PS‐2 43 4/1/2018 CC_Central SupplyStandard 3414408 SUTURE MONOCRYL 27 (70CM) 3‐0 PS‐1 43 4/1/2018 CC_Central SupplyStandard 3414409 SUTURE PDS II (45CM) 0 VIOLET 132.8 11/1/2018 CC_Central SupplyStandard 3414423 PENCEL ELECTROSURG ROCKER SWITCH EDGE 49 4/1/2018 CC_Central SupplyStandard 3414424 CUFF WELCH ALLYN DISP SOFT 11 25 4/1/2018 CC_Central SupplyStandard 3414426 SUTURE ETHIBOND 8X18 CTX CX30D 60 4/1/2018 CC_Central SupplyStandard 3414427 SUTURE O PDS II 27 CT‐2 Z334 19 4/1/2018 CC_Central SupplyStandard 3414433 MESH PROLENE 8CM X 15CM 504 4/1/2018 CC_Central SupplyStandard 3414434 MESH PROLENE SOFT 7.6 X 15CM 1059 12/1/2018 CC_Central SupplyStandard 3414446 ENDOPOUCH SPECIMEN RETRIEVAL BAG 265 4/1/2018 CC_Central SupplyStandard 3414447 SCALPEL HARMONIC 36CM 1506 4/1/2018 CC_Central SupplyStandard 3414448 TROCAR BLADELESS 5MM 156 4/1/2018 CC_Central SupplyStandard 3414449 TROCAR SLEEVE 5MM 91 4/1/2018 CC_Central SupplyStandard 3414451 TROCAR SLEEVE 11MM 114.5 11/1/2018 CC_Central SupplyStandard 3414453 TROCAR SLEEVE 12MM 118 11/1/2018 CC_Central SupplyStandard 3414455 ENDOSCOPIC CLIP APPLIER 12MM 379 4/1/2018 CC_Central SupplyStandard 3414456 BABCOCK 5MM 21 4/1/2018 CC_Central SupplyStandard 3414458 CARTRIDGE RELOAD 55MM 234.5 11/1/2018 CC_Central SupplyStandard 3414484 MASK DISPOSABLE FACE ‐ SMITH&NEPHEW 145 4/1/2018 CC_Central SupplyStandard 3414496 HARMONIC BLUE HAND PIECE 1790 11/1/2018 CC_Central SupplyStandard 3414700 SPONGE BENDABLE CONTOUR 37.95 11/1/2018 CC_Central SupplyStandard 3414927 CONVEEN SELF SECUR MALE TEXAS CATHETER 15.27 11/1/2018 CC_Central SupplyStandard 3415001 BITE BLOCK LATEX FREE PED 35 4/1/2018 CC_Central SupplyStandard 3415401 DVT LEG CUFF LARGE ‐ OR 112.5 11/1/2018 CC_Central SupplyStandard 3415402 DVT LEG CUFF X‐LARGE‐ 112.5 11/1/2018 CC_Central SupplyStandard 3415434 BLADE SAGITTAL 18.0 360 4/1/2018 CC_Central SupplyStandard 3415435 PINS NAVIGATION 3X100 376 4/1/2018 CC_Central SupplyStandard 3415437 BLADE SAGITTAL 25X90X.97 360 4/1/2018 CC_Central SupplyStandard 3415441 WEDGE INVISCOAT 33/55 DEGREE WEDGE 24 728.3 11/1/2018 CC_Central SupplyStandard 3415449 BONE CEMENT MIXING SYSTEM 48 4/1/2018 CC_Central SupplyStandard 3415451 FLOSTEADY‐DISPOSABLE TUBE SET 226 4/1/2018 CC_Central SupplyStandard 3415454 SUTURE PASSER 360 DEGREE 694 4/1/2018 CC_Central SupplyStandard 3415487 DRESSING ADHESIVE 2X2.75 SOFT 50/BX 1 4/1/2018 CC_Central SupplyStandard 3415493 SUTURE ETHILON 2.0 BLK FS 1 X 18 13 4/1/2018 CC_Central SupplyStandard 3415494 SUTURE SILK 2‐0 BLK PERMA HAND FS 1 X 18 12 4/1/2018 CC_Central SupplyStandard 3415503 DRESSING FOAM SILVER MEPILEX 4X10 STERIL 127 4/1/2018 CC_Central SupplyStandard 3415505 TUBING GAS SAMPLE ADULT 2.5MM 40 4/1/2018 CC_Central SupplyStandard 3415530 BANDAGE TUBULAR GAUZE 2 5/8IN X 50YD SZ4 89.6 11/1/2018 CC_Central SupplyStandard 3415531 MASK LARYNGEAL AIRWAY SIZE 3 123 4/1/2018 CC_Central SupplyStandard 3415533 DRESSING TEGADERM TRANSPARENT 2X2.75 3 4/1/2018 CC_Central SupplyStandard 3415546 NEEDLE ULTRAPLEX 360 20GA X 4 68 4/1/2018 CC_Central SupplyStandard 3415548 DRILL SHORT 2.7MM 429 11/1/2018 CC_Central SupplyStandard 3415552 ELECTRODE 6.5 BLADE EZ CLEAN 48.57 11/1/2018 CC_Central SupplyStandard 3415553 ELECTRODE 4.0 BLADE EZ CLEAN 54 4/1/2018 CC_Central SupplyStandard 3415554 RESOLUTION CLIP 235X2.8 480 12/1/2018 CC_Central SupplyStandard 3415574 KITTNER ENDOSCOPIC 1 TIP DISP 203 4/1/2018 CC_Central SupplyStandard 3415576 NEEDLE BLOCK ECHOGEN 20GA X 100MM 69 4/1/2018 CC_Central SupplyStandard 3415577 SUTURE PDS PLUS 2/0 27IN VIOLET 21 4/1/2018 CC_Central SupplyStandard 3415582 DRILL BIT 2.7MM W/QC 516 4/1/2018 CC_Central SupplyStandard 3415586 DRILL BIT SHORT W/QC 2.0MM 468 4/1/2018 CC_Central SupplyStandard 3415587 DRILL BIT SHORT W/QC 2.7MM 421 4/1/2018 CC_Central SupplyStandard 3415596 CUFF WELCH ALLYN SOFT DISP 11L 29 4/1/2018 CC_Central SupplyStandard 3415601 STAPLER SKIN ROTATING HEAD 101 4/1/2018 CC_Central SupplyStandard 3415607 BASIC ORTHO PLUS II PACK 134 4/1/2018 CC_Central SupplyStandard 3415616 POWERLOC PORT ACCESS KIT 20GX1 177 4/1/2018 CC_Central SupplyStandard 3415618 RELOAD FOR TL30 203.6 11/1/2018 CC_Central SupplyStandard 3415619 RELOAD LINEAR 219.3 11/1/2018 CC_Central SupplyStandard 3415620 PODIATRY PACK II 159 4/1/2018 CC_Central SupplyStandard 3415622 CUFF BP FITTING PORT TUBE BAYONET 12.33 11/1/2018 CC_Central SupplyStandard 3415632 CUFF TOURNIQUET DISP 34 X 4 144 4/1/2018 CC_Central SupplyStandard 3415638 CANNULA SHOULDER 5.5MMX70MM 92 4/1/2018 CC_Central SupplyStandard 3415658 DRILL W/QC 2.0MM 429 11/1/2018 CC_Central SupplyStandard 3415664 SECURESTRAP FIXATION DEVICE 1044 12/1/2018 CC_Central SupplyStandard 3415666 WET OR DRY CAST PADDING 3X4 YDS 9.69 11/1/2018 CC_Central SupplyStandard 3415667 ETCO2 MASK POM CURAPLEX ADULT 102 11/1/2018 CC_Central SupplyStandard 3415669 CARTER THOMASON XL SG SUTURE PASSER 529 12/1/2018 CC_Central SupplyStandard 3415672 GLIDESCOPE GVL 3 STAT 56 4/1/2018 CC_Central SupplyStandard 3415675 GLIDESCOPE GVL 4 STAT 56 4/1/2018 CC_Central SupplyStandard 3415685 CUFF COLOR DISPOSABLE TOURN CUFF 44 157 4/1/2018 CC_Central SupplyStandard 3415687 CUFF TOURNIQUET DISP 30 X 4.0 134 4/1/2018 CC_Central SupplyStandard 3415688 CUFF COLOR DISPOS TOURN 24 X 4 124 4/1/2018 CC_Central SupplyStandard 3415707 PITCHER TRAY STERILE 19 4/1/2018 CC_Central SupplyStandard 3415708 BULB IRRIGATION SYRINGE STRL 3 OZ 185 4/1/2018 CC_Central SupplyStandard 3415711 BUR OVAL CARBIDE 4.0MM 272 4/1/2018 CC_Central SupplyStandard 3415712 BLADE AVG MEDIUM 25.0MM X 9.0MM 185 4/1/2018 CC_Central SupplyStandard 3415713 BLADE PRECISION 5.5X.51X25.0MM 272 4/1/2018 CC_Central SupplyStandard 3415714 Z‐SUTURE SADDLE BAGS 32 4/1/2018 CC_Central SupplyStandard 3415717 SUTURE VICRYL 0 18 2‐0 59 4/1/2018 CC_Central SupplyStandard 3415723 BNDG, ELSTC, MATRIX, STRL 4X5 LF HOOK&LP 9 4/1/2018 CC_Central SupplyStandard 3415725 SCISSORS IRIS CVD 4‐1/2 6 4/1/2018 CC_Central SupplyStandard 3415728 STOCKINGS ANTI EMBOLISM LONG 32.16 11/1/2018 CC_Central SupplyStandard 3415729 STOCKINGS ANTI EMBOLISM XL LONG 13.86 11/1/2018 CC_Central SupplyStandard 3415734 BLADE PRECISION THIN 9.0 X.25 273 4/1/2018 CC_Central SupplyStandard 3415742 LIGACLIP DISP MEDIUM 246 12/1/2018 CC_Central SupplyStandard 3415743 LIGACLIP DISP LARGE 249 12/1/2018 CC_Central SupplyStandard 3415750 FLUID POUCH CONVERTERS 30 4/1/2018 CC_Central SupplyStandard 3415751 MASK CAPNOXYGEN 52 4/1/2018 CC_Central SupplyStandard 3415754 SUTURE PROLENE 5‐0 PS‐3 32.51 11/1/2018 CC_Central SupplyStandard 3415757 PROMOGRAN 4.34" 54.67 11/1/2018 CC_Central SupplyStandard 3415759 SURGICAL CLIPPER BLADE ASSY BLUE 23 4/1/2018 CC_Central SupplyStandard 3415760 SONEX HL 302.2 11/1/2018 CC_Central SupplyStandard 3415773 DVT CUFF SMALL ‐ACUTE 112.5 11/1/2018 CC_Central SupplyStandard 3415792 SUTURE VICRYL UNDYED 8X18 CT‐2 429 4/1/2018 CC_Central SupplyStandard 3415793 SUTURE VICRYL PLUS 3‐0 18 65.18 11/1/2018 CC_Central SupplyStandard 3415794 FORCEPS RADIAL JAW DISP BIOPSY 65 12/1/2018 CC_Central SupplyStandard 3415799 LAPAROSCOPIC DISSECTOR 288 4/1/2018 CC_Central SupplyStandard 3415800 SCISSORS ‐ ENDOSCOPIC 293 4/1/2018 CC_Central SupplyStandard 3415801 GRASPER ‐ ENDOSCOPIC 287.2 11/1/2018 CC_Central SupplyStandard 3415804 HOLDER WELL LEG 146 4/1/2018 CC_Central SupplyStandard 3415805 ENDO KIT ENDOCHOICE CEK‐724‐20 36 4/1/2018 CC_Central SupplyStandard 3415818 DRESSING MEPILEX AG FOAM 7.2 X 7.2 238.9 11/1/2018 CC_Central SupplyStandard 3415819 SPONGE GAUZE 4X4 11.41 11/1/2018 CC_Central SupplyStandard 3415824 NEEDLE ASPIRATION/INJECTION 5MM 91 4/1/2018 CC_Central SupplyStandard 3415825 CATHETER DILATION 10 ‐ 12MM 616 12/1/2018 CC_Central SupplyStandard 3415829 MESH PRIETEX ROUND 15CM 1755 12/1/2018 CC_Central SupplyStandard 3415853 BONE GRAFT CUT 30CC 1093 11/1/2018 CC_Central SupplyStandard 3415895 NEOX 1K GRAFT 4X3CM 4390 12/1/2018 CC_Central SupplyStandard 3415899 K WIRE 1.6MM PATELLA ASYMMETRIC 206 11/1/2018 CC_Central SupplyStandard 3415929 COLLECTOR SMALL WOUND DRAINAGE NS 45.64 11/1/2018 CC_Central SupplyStandard 3415931 DISPOSABLE PEAK FLOW METER 53.16 11/1/2018 CC_Central SupplyStandard 3415938 SLIPPER MED DOUBLE TREAD BLUE 5 4/1/2018 CC_Central SupplyStandard 3415940 SLIPPER XL DOUBLE TREAD GREY 6 4/1/2018 CC_Central SupplyStandard 3415950 SLIPPER XXXL DOUBLE TREAD PURPLE 7 4/1/2018 CC_Central SupplyStandard 3415953 FORCEPS JUMBO BIOPSY 130.5 12/1/2018 CC_Central SupplyStandard 3415982 OVERDRILL FOR 2.0MM SCREWS 387 12/1/2018 CC_Central SupplyStandard 3415983 DRILL LONG 1.5MM 387 12/1/2018 CC_Central SupplyStandard 3415998 CUFF WELCH ALLYN SOFT DISP SZ 10 24.87 11/1/2018 CC_Central SupplyStandard 3416020 PERINEAL WASH 8OZ 10 4/1/2018 CC_Central SupplyStandard 3416023 CUFF DISP VINYL ADULT 1‐TUBE BAYONET 19.77 11/1/2018 CC_Central SupplyStandard 3416024 CUFF DISP VINYL LG ADULT 1‐TUBE BAYONET 35.46 11/1/2018 CC_Central SupplyStandard 3416031 CUFF DISPOSABLE SM ADULT 24 4/1/2018 CC_Central SupplyStandard 3416032 ANASEP WOUND CLEANSER 64 4/1/2018 CC_Central SupplyStandard 3416034 CUFF BP PHILIPS MEDIUM ADULT 145.3 11/1/2018 CC_Central SupplyStandard 3416035 THERAPEUTIC PHLEBOTOMY BAG W/LL 20CC 90.72 11/1/2018 CC_Central SupplyStandard 3416037 CUFF DISPOSABLE MED ADULT 33 4/1/2018 CC_Central SupplyStandard 3416039 CUFF DISPOSABLE LG ADULT SZ 12 27 4/1/2018 CC_Central SupplyStandard 3416050 BAG ICE 3 4/1/2018 CC_Central SupplyStandard 3416068 BANDAGE SPECIALIST 4 X 5 YDS 8.22 11/1/2018 CC_Central SupplyStandard 3416070 DRESSING AQUACEL AG HYDROFIBER 50 4/1/2018 CC_Central SupplyStandard 3416093 GAUZE VASELINE 3 X 18 5 4/1/2018 CC_Central SupplyStandard 3416094 DRESSING TEGADERM 6X8 534.3 11/1/2018 CC_Central SupplyStandard 3416095 GAUZE VASELINE 1 X 36 6 4/1/2018 CC_Central SupplyStandard 3416096 GAUZE VASELINE 3 X 9 5 4/1/2018 CC_Central SupplyStandard 3416102 DRESSING DUODERM 6X6 EXTRA THIN 43.88 11/1/2018 CC_Central SupplyStandard 3416106 MASTISOL LIQUID ADHESIVE 11 4/1/2018 CC_Central SupplyStandard 3416116 DRESSING TELFA 4 X 8 8 4/1/2018 CC_Central SupplyStandard 3416117 EYE PAD 1 4/1/2018 CC_Central SupplyStandard 3416123 SPOT ENDO MARKER 5ML 162 11/1/2018 CC_Central SupplyStandard 3416126 CATH SUCTION 12FR 4 4/1/2018 CC_Central SupplyStandard 3416133 TUBING NITRO 41.58 11/1/2018 CC_Central SupplyStandard 3416142 SLIPPER LG DOUBLE TREAD TAN 6 4/1/2018 CC_Central SupplyStandard 3416150 ACE WRAP 4 7 4/1/2018 CC_Central SupplyStandard 3416152 SELFCLOSE ELASTIC BANDAGE 3 6 4/1/2018 CC_Central SupplyStandard 3416154 DRESSING ELASTO‐GEL TAPE 45.1 11/1/2018 CC_Central SupplyStandard 3416200 HIP ASSISTIVE DEVICE KIT II 65.5 11/1/2018 CC_Central SupplyStandard 3416201 BAG LEG URI‐DRAIN LG 23 4/1/2018 CC_Central SupplyStandard 3416207 CATH FOLEY 20FR 30CC 25.78 11/1/2018 CC_Central SupplyStandard 3416213 CATH KIT FEMALE 11.69 11/1/2018 CC_Central SupplyStandard 3416215 MASK ADULT 02 W/TU 7FT 5 4/1/2018 CC_Central SupplyStandard 3416217 SPIROMETER INCENTIVE 17 4/1/2018 CC_Central SupplyStandard 3416220 KIT HUMIDIFICATION 500 ML 11.96 11/1/2018 CC_Central SupplyStandard 3416221 CATH FOLEY 22FR 30CC 30.94 11/1/2018 CC_Central SupplyStandard 3416223 SYRINGE‐BULB IRRIGATION 7.89 11/1/2018 CC_Central SupplyStandard 3416224 WRAP TENSOPLAST ATHLETIC 2X5YDS 26.63 11/1/2018 CC_Central SupplyStandard 3416225 WRAP TENSOPLAST ATHLETIC 3 X 5YDS 34.06 11/1/2018 CC_Central SupplyStandard 3416226 IRRIGATION TRAY 7 4/1/2018 CC_Central SupplyStandard 3416230 PED LUMBAR PUNCTURE TRAY 62.76 11/1/2018 CC_Central SupplyStandard 3416233 LUMBAR PUNCTURE TRAY 75 4/1/2018 CC_Central SupplyStandard 3416234 THORACENTESIS/PARACENTESIS TRAY 143.6 11/1/2018 CC_Central SupplyStandard 3416237 CATH STRAIGHT 5FR 29.49 11/1/2018 CC_Central SupplyStandard 3416238 ANGIOCATH 24G X .75 12 4/1/2018 CC_Central SupplyStandard 3416239 CATH FOLEY 8FR 3CC 36.73 11/1/2018 CC_Central SupplyStandard 3416240 TUBE RED W/GEL 2.0ML 21.63 11/1/2018 CC_Central SupplyStandard 3416241 ANGIOCATH 20G X 1.0 12 4/1/2018 CC_Central SupplyStandard 3416242 ANGIOCATH 18G X 1.16 12 4/1/2018 CC_Central SupplyStandard 3416252 CANNULA NASAL 14' 6 4/1/2018 CC_Central SupplyStandard 3416253 NEBULIZER MISTY (SUW) 5 4/1/2018 CC_Central SupplyStandard 3416254 MASK OXYGEN ADULT NON‐REBREATHER 7 4/1/2018 CC_Central SupplyStandard 3416257 TRAUMA KIT 8.5F 105 4/1/2018 CC_Central SupplyStandard 3416258 MANIFOLD WITH NUB UNIVERSAL IIPPB 17.72 11/1/2018 CC_Central SupplyStandard 3416259 NEBULIZER CANISTER AIRLIFE 350ML 21.17 11/1/2018 CC_Central SupplyStandard 3416262 AMMONIA INHALANT 2 4/1/2018 CC_Central SupplyStandard 3416263 TUBING SUCTION 18 3 4/1/2018 CC_Central SupplyStandard 3416264 TUBING SUCTION 10FT CLEAR 3 4/1/2018 CC_Central SupplyStandard 3416265 CATH FOLEY 12FR 5CC 22.37 11/1/2018 CC_Central SupplyStandard 3416266 CATH FOLEY 16FR 5CC 31 4/1/2018 CC_Central SupplyStandard 3416267 CATH COUDE 16FR 5CC 79 4/1/2018 CC_Central SupplyStandard 3416268 CATH FOLEY 20FR 5CC 31 4/1/2018 CC_Central SupplyStandard 3416269 EXTENTION SET IV 10 4/1/2018 CC_Central SupplyStandard 3416274 TRACH CARE KIT 9.29 11/1/2018 CC_Central SupplyStandard 3416275 TRACHIAL TUBE 6.0 16.26 11/1/2018 CC_Central SupplyStandard 3416276 IV START KIT 4 4/1/2018 CC_Central SupplyStandard 3416277 TRACHIAL TUBE 7.0 16 4/1/2018 CC_Central SupplyStandard 3416278 TRACHIAL TUBE 7.5 BX/10EA 16.26 11/1/2018 CC_Central SupplyStandard 3416279 IV CATHETER 14 GA 13 4/1/2018 CC_Central SupplyStandard 3416282 MEASURE GRADUATED CLEAR 1.5 12/1/2018 CC_Central SupplyStandard 3416284 THORACENTESIS SET (ULTRASOUND PROCEDURE) 17.52 11/1/2018 CC_Central SupplyStandard 3416302 ENTERAL TUBE FEEDING BAGS (QUANTUM) 32.74 11/1/2018 CC_Central SupplyStandard 3416329 SALEM SUMP 18 FR 10.27 11/1/2018 CC_Central SupplyStandard 3416330 SALEM SUMP 14 FR 10.22 11/1/2018 CC_Central SupplyStandard 3416331 GASTROSTOMY FEEDING TUBE MIC 16FR SILICO 325 11/1/2018 CC_Central SupplyStandard 3416332 ENTERAL TUBE FEEDING BAGS (PATROL) 25.56 11/1/2018 CC_Central SupplyStandard 3416333 ENTERAL FEEDING BAG 1000 (KANGAROO) 27.69 11/1/2018 CC_Central SupplyStandard 3416341 BOOT UNNA 4IN W/ CALIMINE 254 4/1/2018 CC_Central SupplyStandard 3416343 BOOT UNNA 3IN W/ CALIMINE 35 4/1/2018 CC_Central SupplyStandard 3416369 CATH TRIPLE LUMEN IV CATH TRAY 139 4/1/2018 CC_Central SupplyStandard 3416370 DEVICE URINE TRANSFER STERILE (50/PK) 33.83 11/1/2018 CC_Central SupplyStandard 3416410 FINGER PLASTALUME 7 1/4 11.66 11/1/2018 CC_Central SupplyStandard 3416411 FINGER PLASTALUME 6 1/4 11 4/1/2018 CC_Central SupplyStandard 3416413 FINGER PLASTALUME 3 1/4 6.63 11/1/2018 CC_Central SupplyStandard 3416414 FINGER PLASTALUME 4 1/4 7.74 11/1/2018 CC_Central SupplyStandard 3416416 FINGER PLASTALUME 5 1/4 9 4/1/2018 CC_Central SupplyStandard 3416419 BIOPATCH ANTIMICROBIAL DRESSING 48 4/1/2018 CC_Central SupplyStandard 3416420 OB DELIVERY ROOM PACK IV 348 11/1/2018 CC_Central SupplyStandard 3416424 RAPID RHINO 5.5CM ANTERIOR 148.1 11/1/2018 CC_Central SupplyStandard 3416430 PROBE RECTAL 9 FT FOR MODEL 678 205 11/1/2018 CC_Central SupplyStandard 3416620 HEEL PROTECTOR 21.19 11/1/2018 CC_Central SupplyStandard 3416621 GAIT BELT 60 35 4/1/2018 CC_Central SupplyStandard 3416627 GAIT BELT 72 35 4/1/2018 CC_Central SupplyStandard 3416628 ELECTRODE POLYS E‐STIM PT 2 ROUND 13 4/1/2018 CC_Central SupplyStandard 3416650 CATH FOLEY 3 WAY 24FR 30CC 68.59 11/1/2018 CC_Central SupplyStandard 3416658 TUBING REP CORDS LF BLUE 100FT 175.5 11/1/2018 CC_Central SupplyStandard 3416664 TRACHIAL TUBE 8.5 17 4/1/2018 CC_Central SupplyStandard 3416672 TRACHIAL TUBE 6.5 17 4/1/2018 CC_Central SupplyStandard 3416675 BLADE DERMA BIOPSY STERILE 262.3 11/1/2018 CC_Central SupplyStandard 3416690 STETHOSCOPE DISPOSABLE 16 4/1/2018 CC_Central SupplyStandard 3416691 THERMOMETER DISPOSABLE ORAL/RECTAL 20.66 11/1/2018 CC_Central SupplyStandard 3416692 DISPOSABLE RECTAL THERMOMETER 38.2 11/1/2018 CC_Central SupplyStandard 3416693 NOSE CLIP DISPOSABLE 3 4/1/2018 CC_Central SupplyStandard 3416698 NOSEBLEED TRAY(12TY/CS) 71 4/1/2018 CC_Central SupplyStandard 3416706 SUTURE ETHILON 6‐0 18 BLK (45CM) 31 4/1/2018 CC_Central SupplyStandard 3416708 SUTURE ETHILON 7‐0 18 P‐1 53.78 11/1/2018 CC_Central SupplyStandard 3416709 SUTURE PROLENE 3‐0 FS‐1 19 4/1/2018 CC_Central SupplyStandard 3416711 SUTURE PROLENE 4‐0 18 BLU (45CM) 32 4/1/2018 CC_Central SupplyStandard 3416712 SUTURE PROLENE 5‐0 P‐3 18 BLU (45CM) 33 4/1/2018 CC_Central SupplyStandard 3416714 SUTURE PROLENE 6‐0 18 BLU (45CM) 33 4/1/2018 CC_Central SupplyStandard 3416715 SUTURE VICRYL 3‐0 CT‐1 43.54 11/1/2018 CC_Central SupplyStandard 3416717 SUTURE VICRYL 4‐0 SH 12 4/1/2018 CC_Central SupplyStandard 3416719 SUTURE VICRYL 5‐0 53 4/1/2018 CC_Central SupplyStandard 3416734 IV CATH 24G X.75 326.5 11/1/2018 CC_Central SupplyStandard 3416752 SUTURE MONOCRYL 3‐0 VIOLET 27 SH TAPER 32.5 11/1/2018 CC_Central SupplyStandard 3416755 SUTURE SILK 3‐0 BLACK 18 PS‐1 CUTTING 24.84 11/1/2018 CC_Central SupplyStandard 3416756 SUTURE ETHIBOND GREEN #1 30 CT‐1 TAPER 25 4/1/2018 CC_Central SupplyStandard 3416757 SUTURE VICRYL 4‐0 UNDYED 27 PS‐1 45 4/1/2018 CC_Central SupplyStandard 3416758 SUTURE VICRYL 3‐0 UNDYED 27 CT‐2 TAPER 11.91 11/1/2018 CC_Central SupplyStandard 3416761 SUTURE PROLENE 2‐0 26.04 11/1/2018 CC_Central SupplyStandard 3416816 NEEDLE YUEH CENTESIS 140 4/1/2018 CC_Central SupplyStandard 3416826 DRAIN PENROSE 1/4 6.69 12/1/2018 CC_Central SupplyStandard 3416837 SURGICEL HEMOSTAT 2 X 3 265 4/1/2018 CC_Central SupplyStandard 3416985 SUTURE ETHILON 5‐0 53 4/1/2018 CC_Central SupplyStandard 3417002 SUTURE VICRYL 6‐0 18 PC‐1 F 30.61 11/1/2018 CC_Central SupplyStandard 3417004 SUTURE PROLENE 7‐0 90 11/1/2018 CC_Central SupplyStandard 3417015 PACK LAPAROTOMY 070 169 4/1/2018 CC_Central SupplyStandard 3417016 LAPAROSCOPY GENERAL PACK 175 4/1/2018 CC_Central SupplyStandard 3417028 ELECTRODES PEDS ZOLL 332.5 11/1/2018 CC_Central SupplyStandard 3417087 NEEDLE SPINAL 22GA X 7.00 33 4/1/2018 CC_Central SupplyStandard 3417088 NEEDLE SPINAL 22GA X 5.00 33 4/1/2018 CC_Central SupplyStandard 3417091 PH CONNECTOR STER Y 3/8 10.94 11/1/2018 CC_Central SupplyStandard 3417271 ELECTRODES RESUSCITATION ADULT FHC 489 4/1/2018 CC_Central SupplyStandard 3417272 ELECTRODE RESUSCITATION PEDIATRIC ZOLL 44 11/1/2018 CC_Central SupplyStandard 3417290 OXYGEN SENSOR ADULT 51.98 11/1/2018 CC_Central SupplyStandard 3417291 OXYGEN SENSOR PEDS 51.98 11/1/2018 CC_Central SupplyStandard 3417292 ELECTRODES RESUSCITATION ADULT ZOLL 283 4/1/2018 CC_Central SupplyStandard 3417295 ELECTRODE EKG 1 4/1/2018 CC_Central SupplyStandard 3417296 ELECTRODE ULTRATRACE 5 4/1/2018 CC_Central SupplyStandard 3417306 OXYGEN SENSOR NEO 64 4/1/2018 CC_Central SupplyStandard 3417322 MORGAN LENS 207 4/1/2018 CC_Central SupplyStandard 3417325 PILLOW BLUE 17.69 12/1/2018 CC_Central SupplyStandard 3417330 CHUX 5 12/1/2018 CC_Central SupplyStandard 3417367 DETECTOR CO2 END TIBIAL NEONATAL 54.95 11/1/2018 CC_Central SupplyStandard 3417373 DETECTOR CO2 ADULT END TIDAL 63.75 11/1/2018 CC_Central SupplyStandard 3417374 FILTER AIRLIFE BACTERIAL NONCONDUCTION 8 4/1/2018 CC_Central SupplyStandard 3417376 OXISENSOR PEDS DISP 54 11/1/2018 CC_Central SupplyStandard 3417390 PEDI CAP CO2 DETECTOR 78.95 11/1/2018 CC_Central SupplyStandard 3417398 CATH FOLEY 18FR 5CC 31 4/1/2018 CC_Central SupplyStandard 3417399 CATH FOLEY 24FR 5CC 22.37 11/1/2018 CC_Central SupplyStandard 3417400 CATH FOLEY 24FR 5CC SILICONE COAT 32.98 11/1/2018 CC_Central SupplyStandard 3417402 PADDING CAST 2IN 70.3 11/1/2018 CC_Central SupplyStandard 3417405 SELF CATH KIT BARD TOUCHLESS 14FR RED 24 4/1/2018 CC_Central SupplyStandard 3417406 CATH FOLEY LF 18FR 5CC 2‐WAY 21.91 11/1/2018 CC_Central SupplyStandard 3417410 CATH COUDE 18 FR 5CC 2‐WAY 105 4/1/2018 CC_Central SupplyStandard 3417411 CATH COUDE 18FR 5CC 91 4/1/2018 CC_Central SupplyStandard 3417418 DISPOSABLE BIPAP CIRCUIT 34.65 11/1/2018 CC_Central SupplyStandard 3417432 SP02 RESPOSABLE SENSOR ADULT 39.88 11/1/2018 CC_Central SupplyStandard 3417433 SP02 RESPOSABLE SENSOR PEDIATRIC 39.88 11/1/2018 CC_Central SupplyStandard 3417438 NEEDLE HUBER 20G X 1.5 32 4/1/2018 CC_Central SupplyStandard 3417440 HUBER NEEDLE 20GA X 3/4 32 4/1/2018 CC_Central SupplyStandard 3417448 SP02 LNOP ADHESIVE SENSOR ADULT 39.88 11/1/2018 CC_Central SupplyStandard 3417449 SP02 LNOP ADHESIVE SENSOR PEDS 39.88 11/1/2018 CC_Central SupplyStandard 3417452 ODOR ELIMINATOR COLOSTOMY BAG 18.32 11/1/2018 CC_Central SupplyStandard 3417455 CATHETER 14FR STRAIGHT TIP GREEN 5 4/1/2018 CC_Central SupplyStandard 3417461 SENSOR SPO2 DISPOSABLE NONIN 7000A 11.89 11/1/2018 CC_Central SupplyStandard 3417463 SMART CAPNOLINE PLUS O2 70.17 11/1/2018 CC_Central SupplyStandard 3417465 EVAC CONTAINER 1000ML GLASS 53 4/1/2018 CC_Central SupplyStandard 3417481 BARRIER CREAM BAZA 23 4/1/2018 CC_Central SupplyStandard 3417482 SUTURE REMOVAL 12 4/1/2018 CC_Central SupplyStandard 3417485 RAPID RHINO ANTERIOR ‐ POSTERIOR 7.5 165.2 11/1/2018 CC_Central SupplyStandard 3417487 RHINO ROCKET WIDELINE LG 152.8 11/1/2018 CC_Central SupplyStandard 3417488 IRIS SCISSORS STRAIGHT 8 4/1/2018 CC_Central SupplyStandard 3417489 RHINO ROCKET WIDELINE MED 125.2 11/1/2018 CC_Central SupplyStandard 3417497 CAUTERY HIGH TEMP ADJUST FINE TIP 54 4/1/2018 CC_Central SupplyStandard 3417520 SYRINGE ATRIAL BLOOD GAS & KIT 487.5 11/1/2018 CC_Central SupplyStandard 3417528 COFLEX 1 X 5YDS MULTI COLOR 5 4/1/2018 CC_Central SupplyStandard 3417530 COFLEX 2 X 5YDS MULTI COLOR 9 4/1/2018 CC_Central SupplyStandard 3417550 CIRCUIT J VENTILATOR UNIVERSAL (NEWPORT) 60 11/1/2018 CC_Central SupplyStandard 3417552 CIRCUIT VENTILATOR UNIVERSAL W/ EXHALATI 36.01 11/1/2018 CC_Central SupplyStandard 3417555 CIRCUITS PATIENT W/O PEEP 22MM 53.3 11/1/2018 CC_Central SupplyStandard 3417557 CIRCUITS AIRVO (CS/10) 246.1 11/1/2018 CC_Central SupplyStandard 3417561 ANESTHESIA CIRCUIT KIT ( MEDLINE) 39 4/1/2018 CC_Central SupplyStandard 3417568 RESUSCITATOR MANUAL BVM W/PEEP VALVE 88 4/1/2018 CC_Central SupplyStandard 3417569 TUBING SUCTION 3/16 X 6 FT CLEAR 3 4/1/2018 CC_Central SupplyStandard 3417702 FACIAL TISSUE 3.77 12/1/2018 CC_Central SupplyStandard 3417704 ANGIOCATH 22G X 1.050 12 4/1/2018 CC_Central SupplyStandard 3417722 HYDRO PEROXIDE 3% 16 OZ BTLS 4 4/1/2018 CC_Central SupplyStandard 3417728 CANISTER LINER SUCTION RED CRD 10 4/1/2018 CC_Central SupplyStandard 3417731 CANISTER LINER SUCTION BLUE FLEX 10 4/1/2018 CC_Central SupplyStandard 3417735 POLIGRIP DENTURE SUPER CREAM 39 4/1/2018 CC_Central SupplyStandard 3417736 DENTURE CLEANSER TABLETS 11 4/1/2018 CC_Central SupplyStandard 3417742 HYDRO PEROXIDE 3% 4 OZ BTLS 11 4/1/2018 CC_Central SupplyStandard 3417889 BANDAGE KERLIX 4.5 9 4/1/2018 CC_Central SupplyStandard 3418060 BAG PRESSURE INFUSER 1000CC 54.37 11/1/2018 CC_Central SupplyStandard 3418100 CATH SUCTION 8FR REPOLGE 42.65 11/1/2018 CC_Central SupplyStandard 3418102 CATH FOLEY ULTRAMER 18FR 48.02 11/1/2018 CC_Central SupplyStandard 3418103 CATH FOLEY 2 WAY 14FR 30CC SIL COAT 25.78 11/1/2018 CC_Central SupplyStandard 3418104 CATH FOLEY 1.5CC 6FR 203.4 11/1/2018 CC_Central SupplyStandard 3418107 TUBE MIC GASTROSTOMY 12FR 3‐5ML BALLOON 182.1 11/1/2018 CC_Central SupplyStandard 3418108 TUBE MIC GASTROSTOMY 14FR 3‐5ML BALLOON 182.1 11/1/2018 CC_Central SupplyStandard 3418109 TUBE MIC GASTROSTOMY 18FR 7‐10ML BALLOON 182.1 11/1/2018 CC_Central SupplyStandard 3418110 TUBE MIC GASTROSTOMY 24FR 7‐10ML BALLOON 182.1 11/1/2018 CC_Central SupplyStandard 3418111 CATH COUDE 12 FR 5CC 2‐WAY 48.37 11/1/2018 CC_Central SupplyStandard 3418112 TUBE TRACHIAL DISP SIZE 4 W/CUFF 206.8 11/1/2018 CC_Central SupplyStandard 3418113 TUBE TRACHIAL DISP SIZE 8 W/CUFF 208 4/1/2018 CC_Central SupplyStandard 3418114 DRAIN MALECOT 4‐WING 18FR LATEX 200.8 11/1/2018 CC_Central SupplyStandard 3418115 DRAIN MALECOT 4‐WING 24FT LATEX 216 11/1/2018 CC_Central SupplyStandard 3418116 DRAIN MALECOT 4‐WING 30FR LATEX 189.9 11/1/2018 CC_Central SupplyStandard 3418118 COLLECTOR SMALL WOUND DRAINAGE NS 45.64 11/1/2018 CC_Central SupplyStandard 3418275 ELECTRODE QUICK‐PACE (ADULT) 176.6 11/1/2018 CC_Central SupplyStandard 3418500 DRESSING MEPILEX AG FOAM 4 X 4 BX/5EA 46 4/1/2018 CC_Central SupplyStandard 3418502 DRESSING ALLEVYN HYDROCELLULAR FOAM 4X4 17.64 11/1/2018 CC_Central SupplyStandard 3418504 DRESSING MEPILEX AG FOAM 4 X 8 89.21 11/1/2018 CC_Central SupplyStandard 3418505 MEDIHONEY GEL(10 TUBES) 48 4/1/2018 CC_Central SupplyStandard 3418508 STOCKINETTE COTTON TUBULAR NS 3IN 38.84 11/1/2018 CC_Central SupplyStandard 3418509 VASHE WOUND THERAPY 118ML 52 4/1/2018 CC_Central SupplyStandard 3418510 VASHE WOUND THERAPY 250ML 88.73 11/1/2018 CC_Central SupplyStandard 3418511 VASHE WOUND THERAPY 475ML 85.9 11/1/2018 CC_Central SupplyStandard 3418518 STOCKINETTE IMPERVIOUS LARGE 9INX48IN ST 22 4/1/2018 CC_Central SupplyStandard 3418519 STOCKINETTE IMPERVIOUS XLARGE 12INX48IN 69.38 11/1/2018 CC_Central SupplyStandard 3418522 CATHETER DILATION 8‐10MM 691 12/1/2018 CC_Central SupplyStandard 3418533 COLOSTOMY WAFER STOMAHESIVE FLEX 4X4X1 6 4/1/2018 CC_Central SupplyStandard 3418534 COLOSTOMY POUCH DRAINAGE 1 3/4 11 4/1/2018 CC_Central SupplyStandard 3418536 COLOSTOMY KIT DRAINABLE 2 PC 2 1/4 57MM 64.24 11/1/2018 CC_Central SupplyStandard 3418537 COLOSTOMY KIT DRAINABLE 2 PC 2 3/4 70MM 64.24 11/1/2018 CC_Central SupplyStandard 3418540 COLOSTOMY KIT OPEN POUCH 2 3/4 32.83 11/1/2018 CC_Central SupplyStandard 3418542 UROSTOMY SURGIT POUCH 2 1/4 CONVATEC 23.12 11/1/2018 CC_Central SupplyStandard 3418543 WAFER OSTOMY NEW IMAGE 57MM 2 1/4 17.66 11/1/2018 CC_Central SupplyStandard 3418795 DRESSING CHANGE TRAY 22 4/1/2018 CC_Central SupplyStandard 3419000 LARYNGOSCOPE BLADE MAC SZ 4 29.25 11/1/2018 CC_Central SupplyStandard 3419001 LARYNGOSCOPE BLADE MAC SZ 3 50.86 11/1/2018 CC_Central SupplyStandard 3419002 HAND SANITIZER PERSONAL 1 OZ PURELL 5 4/1/2018 CC_Central SupplyStandard 3419004 TUBE FEEDING NASOGASTRIC DOBBHOF 10FR 55.4 11/1/2018 CC_Central SupplyStandard 3419013 ADAPTER VIAL MATE IV 10 4/1/2018 CC_Central SupplyStandard 3419017 PROBE ORAL 4 FT FOR MODEL 690 199.9 11/1/2018 CC_Central SupplyStandard 3419025 SKIN MARKER DUAL TIP ST 11 4/1/2018 CC_Central SupplyStandard 3419030 APPLICATOR CHLORAPREP SWABSTICK 4 4/1/2018 CC_Central SupplyStandard 3419034 MEPILEX BORDER 3 X 3 17 4/1/2018 CC_Central SupplyStandard 3419036 MEPILEX BORDER 4 X 4 23 4/1/2018 CC_Central SupplyStandard 3419037 CURETTE EAR BIONIX WHITE 5 4/1/2018 CC_Central SupplyStandard 3419040 APPLICATOR CHLORAPREP 1‐STEP 10.5ML 21 4/1/2018 CC_Central SupplyStandard 3419041 ELASTIC NET SIZE 6 42 4/1/2018 CC_Central SupplyStandard 3419042 MEPITEL ONE 3X4 210.1 11/1/2018 CC_Central SupplyStandard 3419044 HGB CONTROLS 213.3 11/1/2018 CC_Central SupplyStandard 3419045 CHEK STIX COMBO PACK 269.9 11/1/2018 CC_Central SupplyStandard 3419046 LARYNGOSCOPE BLADE MILLER SZ 3 28.93 11/1/2018 CC_Central SupplyStandard 3419047 LARYNGOSCOPE BLADE MILLER SZ 4 28.93 11/1/2018 CC_Central SupplyStandard 3419053 STERI GAGE 346.4 11/1/2018 CC_Central SupplyStandard 3419055 NEEDLE SET EZ‐IO 15MM 460 4/1/2018 CC_Central SupplyStandard 3419056 FLUID TRANSFER SET EZ‐CONNECT 30.88 11/1/2018 CC_Central SupplyStandard 3419057 DRESSING ANTIMICROBIAL FOAM 4X4 31.61 11/1/2018 CC_Central SupplyStandard 3419061 STYLET INTUBATION FLEX‐SLIP 14F 13 4/1/2018 CC_Central SupplyStandard 3419064 HOLDER URINAL EZP VINYL STRAP (25/CS) 55.2 11/1/2018 CC_Central SupplyStandard 3419067 CURETTE EAR BIONIX GREEN MICROLOOP 5 4/1/2018 CC_Central SupplyStandard 3419070 WAFER OSTOMY NEW IMAGE 70MM 2 3/4 15.47 11/1/2018 CC_Central SupplyStandard 3419074 BAG URINE 2000ML SINGLE HOOK ST 41.21 11/1/2018 CC_Central SupplyStandard 3419078 BANDAGE TUBULAR MEDIGRIP SIZE A 101.3 11/1/2018 CC_Central SupplyStandard 3419079 BANDAGE TUBULAR MEDIGRIP SIZE B 126.9 11/1/2018 CC_Central SupplyStandard 3419080 BANDAGE TUBULAR MEDIGRIP SIZE C 120.1 11/1/2018 CC_Central SupplyStandard 3419081 BANDAGE TUBULAR MEDIGRIP SIZE D 157.2 11/1/2018 CC_Central SupplyStandard 3419082 BANDAGE TUBULAR MEDIGRIP SIZE E 8 4/1/2018 CC_Central SupplyStandard 3419083 BANDAGE MEDIGRIP SIZE F 12 4/1/2018 CC_Central SupplyStandard 3419084 BANDAGE TUBULAR SIZE G 225 11/1/2018 CC_Central SupplyStandard 3419085 NEEDLE SET EZ‐IO 45MM 15GA 476 4/1/2018 CC_Central SupplyStandard 3419087 TRAY CUT DOWN 202.2 11/1/2018 CC_Central SupplyStandard 3419112 CURETTTE DISPOSABLE DERMAL 4MM 10 4/1/2018 CC_Central SupplyStandard 3419120 CYSTO BLADDER IRRIGATION SET 30.7 11/1/2018 CC_Central SupplyStandard 3419122 TUBING SUCTION 9/32 X 12' 8 4/1/2018 CC_Central SupplyStandard 3419178 STRAP ARM DISPOSABLE 12 4/1/2018 CC_Central SupplyStandard 3419179 SPLINT PRIMACAST UNPADDED 3X12 20.62 11/1/2018 CC_Central SupplyStandard 3419180 PRIMACST SPLINT UNPADDED 4 X 15 30.94 11/1/2018 CC_Central SupplyStandard 3419181 PRIMACAST SPLINT UNPADDED 5X 30 59.02 11/1/2018 CC_Central SupplyStandard 3420658 TRAY SKIN SCRUB DRY PREMIUM 24 4/1/2018 CC_Central SupplyStandard 3420673 PACK FLUID CNTRL ARTH PROC 211 4/1/2018 CC_Central SupplyStandard 3420674 UNIVERSAL 70 PACK STERILE 207 4/1/2018 CC_Central SupplyStandard 3420709 PATTIES SURGICAL XRAY 1/4X1/4 94.25 11/1/2018 CC_Central SupplyStandard 3420710 PATTIES SURGICAL XRAY 1/2X1/2 114.8 11/1/2018 CC_Central SupplyStandard 3420711 SURGSTRIDE 1/2X6 76.25 11/1/2018 CC_Central SupplyStandard 3500001 I&D ABSCESS SINGLE SIMPLE 661 11/1/2017 CC_Inpatient Standard 3500002 ARTHROCENTESIS INJ/ASPIR INTERMED JOINT 814 11/1/2017 CC_Inpatient Standard 3500003 ARTHROCENTESIS INJ/ASPIR MAJOR JOINT 1038 11/1/2017 CC_Inpatient Standard 3500004 UNNA BOOT APPLICATION 381 11/1/2017 CC_Inpatient Standard 3500005 INTUBATION ENDOTRACHEAL ACUTE 1250 11/1/2017 CC_Inpatient Standard 3500006 THORACENTESIS W/O IMAGE GUIDANCE 1292 11/1/2017 CC_Inpatient Standard 3500007 THORACENTESIS W/ IMAGE GUIDANCE 1473 11/1/2017 CC_Inpatient Standard 3500008 BLOOD DRAW FROM PERIPHERAL IV 102 11/1/2017 CC_Inpatient Standard 3500009 INSERTION NONTUNNELED CENT VEN CATH 5YR+ 2233 11/1/2017 CC_Inpatient Standard 3500010 PICC LINE INSERTION 2863 11/1/2017 CC_Inpatient Standard 3500011 PICC LINE REMOVAL 1853 11/1/2017 CC_Inpatient Standard 3500012 BLOOD DRAW FROM PORT 102 11/1/2017 CC_Inpatient Standard 3500013 VENOUS BLOOD DRAW CENTRAL CATH EXPT PORT 107 11/1/2017 CC_Inpatient Standard 3500014 REPOSITION PICC LINE 2764 11/1/2017 CC_Inpatient Standard 3500015 NASO/GASTRIC TUBE PLACEMENT 851 11/1/2017 CC_Inpatient Standard 3500016 ABD PARACENTESIS W/O IMAGING 1276 11/1/2017 CC_Inpatient Standard 3500017 ABD PARACENTESIS W/IMAGING 999 11/1/2017 CC_Inpatient Standard 3500018 BLADDER IRRIGATION 714 11/1/2017 CC_Inpatient Standard 3500019 INSERTION NON‐INDWELLING CATHETER STRAIG 262 11/1/2017 CC_Inpatient Standard 3500020 INSERTION CATHETER SIMPLE 402 11/1/2017 CC_Inpatient Standard 3500021 FOLEY CATHETER INSERTION DIFFICULT 519 11/1/2017 CC_Inpatient Standard 3500022 LUMBER PUNCTURE 1160 11/1/2017 CC_Inpatient Standard 3500023 IV INFUSION HYDRATION INITIAL UP TO 1 HR 479 11/1/2017 CC_Inpatient Standard 3500024 IV INFUSION HYDRATION EA ADD 1 HOUR 246 11/1/2017 CC_Inpatient Standard 3500025 IV INFUS TX/DX MD SUP TO 1H 550 11/1/2017 CC_Inpatient Standard 3500026 IV INFUS TX/DX W/MD SUP ADD HR<8 204 11/1/2017 CC_Inpatient Standard 3500027 IV INFUS TX/DX SEQ UP TO 1 HR 257 11/1/2017 CC_Inpatient Standard 3500028 IV INFUSION FOR THERAPY PROPHYLAXIS 289 11/1/2017 CC_Inpatient Standard 3500029 IM OR SUBQ INJECTION 258 11/1/2017 CC_Inpatient Standard 3500030 IVP INTRAVENOUS INJECTION‐CLINICAL ACUTE 305 11/1/2017 CC_Inpatient Standard 3500031 IVP EACH ADD SEQUENTIAL PUSH NEW DRUG 287 11/1/2017 CC_Inpatient Standard 3500032 IVP EACH ADD SEQUENTIAL PUSH SAME DRUG 272 11/1/2017 CC_Inpatient Standard 3500033 PICC HICK PORT FLUSH 270 11/1/2017 CC_Inpatient Standard 3500034 DEBRIDEMENT <20 SQ CM IP 895 11/1/2017 CC_Inpatient Standard 3500035 DEBRIDEMENT EA ADD 20 CM 452 11/1/2017 CC_Inpatient Standard 3500036 NONSELECT DEBRIDEMENT ‐ NURSE 281 11/1/2017 CC_Inpatient Standard 3500037 WOUND VAC APP <50CM 338 11/1/2017 CC_Inpatient Standard 3500038 WOUND VAC APP >50CM 400 11/1/2017 CC_Inpatient Standard 3500039 MED ACUTE 1700 11/1/2017 CC_Inpatient Standard 3500040 MED ACUTE WITH TELE 2100 11/1/2017 CC_Inpatient Standard 3500041 HOSPICE 1700 11/1/2017 CC_Inpatient Standard 3500042 BLOOD TRANSFUSION 1342 11/1/2018 CC_Inpatient Standard 3500043 MOD SED W/O ASSIST 5+ YRS 1ST 15 MIN 940 11/1/2018 CC_Inpatient Standard 3600001 I&D ABSCESS SINGLE SIMPLE 661 11/1/2017 CC_Observation Standard 3600002 ARTHROCENTESIS INJ/ASPIR INTERMED JOINT 814 11/1/2017 CC_Observation Standard 3600003 ARTHROCENTESIS INJ/ASPIR MAJOR JOINT 1038 11/1/2017 CC_Observation Standard 3600004 UNNA BOOT APPLICATION 381 11/1/2017 CC_Observation Standard 3600005 INTUBATION ENDOTRACHEAL ACUTE 1250 11/1/2017 CC_Observation Standard 3600006 THORACENTESIS W/O IMAGE GUIDANCE 1292 11/1/2017 CC_Observation Standard 3600007 THORACENTESIS W/ IMAGE GUIDANCE 1473 11/1/2017 CC_Observation Standard 3600008 BLOOD DRAW FROM PERIPHERAL IV 102 11/1/2017 CC_Observation Standard 3600009 INSERTION NONTUNNELED CENT VEN CATH 5YR+ 2233 11/1/2017 CC_Observation Standard 3600010 PICC LINE INSERTION 2863 11/1/2017 CC_Observation Standard 3600011 PICC LINE REMOVAL 1853 11/1/2017 CC_Observation Standard 3600012 BLOOD DRAW FROM PORT 102 11/1/2017 CC_Observation Standard 3600013 VENOUS BLOOD DRAW CENTRAL CATH EXPT PORT 107 11/1/2017 CC_Observation Standard 3600014 REPOSITION PICC LINE 2764 11/1/2017 CC_Observation Standard 3600015 NASO/GASTRIC TUBE PLACEMENT 851 11/1/2017 CC_Observation Standard 3600016 ABD PARACENTESIS W/O IMAGING 1276 11/1/2017 CC_Observation Standard 3600017 ABD PARACENTESIS W/IMAGING 999 11/1/2017 CC_Observation Standard 3600018 BLADDER IRRIGATION 714 11/1/2017 CC_Observation Standard 3600019 INSERTION NON‐INDWELLING CATHETER STRAIG 262 11/1/2017 CC_Observation Standard 3600020 INSERTION CATHETER SIMPLE 402 11/1/2017 CC_Observation Standard 3600021 FOLEY CATHETER INSERTION DIFFICULT 519 11/1/2017 CC_Observation Standard 3600022 LUMBER PUNCTURE 1160 11/1/2017 CC_Observation Standard 3600023 IV INFUSION HYDRATION INITIAL UP TO 1 HR 479 11/1/2017 CC_Observation Standard 3600024 IV INFUSION HYDRATION EA ADD 1 HOUR 246 11/1/2017 CC_Observation Standard 3600025 IV INFUS TX/DX MD SUP TO 1H 550 11/1/2017 CC_Observation Standard 3600026 IV INFUS TX/DX W/MD SUP ADD HR<8 204 11/1/2017 CC_Observation Standard 3600027 IV INFUS TX/DX SEQ UP TO 1 HR 257 11/1/2017 CC_Observation Standard 3600028 IV INFUSION FOR THERAPY PROPHYLAXIS 289 11/1/2017 CC_Observation Standard 3600029 IM OR SUBQ INJECTION 258 11/1/2017 CC_Observation Standard 3600030 IVP INTRAVENOUS INJECTION‐CLINICAL ACUTE 305 11/1/2017 CC_Observation Standard 3600031 IVP EACH ADD SEQUENTIAL PUSH NEW DRUG 287 11/1/2017 CC_Observation Standard 3600032 IVP EACH ADD SEQUENTIAL PUSH SAME DRUG 272 11/1/2017 CC_Observation Standard 3600033 PICC HICK PORT FLUSH 270 11/1/2017 CC_Observation Standard 3600034 DEBRIDEMENT <20 SQ CM IP 895 11/1/2017 CC_Observation Standard 3600035 DEBRIDEMENT EA ADD 20 CM 452 11/1/2017 CC_Observation Standard 3600036 NONSELECT DEBRIDEMENT ‐ NURSE 281 11/1/2017 CC_Observation Standard 3600037 WOUND VAC APP <50CM 338 11/1/2017 CC_Observation Standard 3600038 WOUND VAC APP >50CM 400 11/1/2017 CC_Observation Standard 3600039 OBSERVATION PER HOUR 124 11/1/2017 CC_Observation Standard 3600040 OBSERVATION TELE PER HOUR 180 11/1/2017 CC_Observation Standard 3600041 BLOOD TRANSFUSION 1342 11/1/2018 CC_Observation Standard 3700001 ABD PARACENTESIS W/ IMAGING 500 11/1/2017 CC_ED Physician PStandard 3700002 ABD PARACENTESIS W/O IMAGING 638 11/1/2017 CC_ED Physician PStandard 3700003 APPLY SHORT ARM SPLINT 301 11/1/2017 CC_ED Physician PStandard 3700004 ARTHROCENTESIS INJ/ASPIR INTERMED JOINT 450 11/1/2017 CC_ED Physician PStandard 3700005 ARTHROCENTESIS INJ/ASPIR MAJOR JOINT 519 11/1/2017 CC_ED Physician PStandard 3700006 ARTHROCENTESIS INJ/ASPIR MJR JT W/GUID 720 11/1/2017 CC_ED Physician PStandard 3700007 ARTHROCENTESIS INJ/ASPIR SMALL JOINT 416 11/1/2017 CC_ED Physician PStandard 3700008 ARTHROTOMY ANKLE W/ EXPLORATION 1435 11/1/2017 CC_ED Physician PStandard 3700009 ARTHROTOMY WRIST JOINT W/ EXPLORATION 885 11/1/2017 CC_ED Physician PStandard 3700010 AVULSION NAIL PLATE SIMPLE SINGLE 336 11/1/2017 CC_ED Physician PStandard 3700011 BLADDER IRRIGATION 357 11/1/2017 CC_ED Physician PStandard 3700012 BURN CARE FIRST DEGREE INITIAL 610 11/1/2017 CC_ED Physician PStandard 3700013 BURN DRESS/DEBRIDE LG > 10% BSA 392 11/1/2017 CC_ED Physician PStandard 3700014 BURN DRESS/DEBRIDE MED 5‐10% BSA 1200 11/1/2017 CC_ED Physician PStandard 3700015 BURN DRESS/DEBRIDE SMALL < 5% BSA 270 11/1/2017 CC_ED Physician PStandard 3700016 CARDIOVERSION ER PHYSICIAN 750 11/1/2017 CC_ED Physician PStandard 3700017 CHEMICAL CAUTERY OF GRANULATION TISSUE 345 11/1/2017 CC_ED Physician PStandard 3700018 CL FX TX BIMALLEOLAR ANKLE W/ MANIP 555 11/1/2017 CC_ED Physician PStandard 3700019 CL FX TX BIMALLEOLAR ANKLE W/O MANIP 393 11/1/2017 CC_ED Physician PStandard 3700020 CL FX TX HUMERAL SHAFT W/ MANIP 414 11/1/2017 CC_ED Physician PStandard 3700021 CL FX TX MEDIAL MALLEOLUS W/ MANIP 940 11/1/2017 CC_ED Physician PStandard 3700022 CL FX TX METACARPAL W/ MANIP 302 11/1/2017 CC_ED Physician PStandard 3700023 CL FX TX NASAL BONE W/O STABILIZATION 335 11/1/2017 CC_ED Physician PStandard 3700024 CL FX TX PHALANGEAL SHAFT W/ MANIP 425 11/1/2017 CC_ED Physician PStandard 3700025 CL FX TX PHALANX W/ MANIP EACH 258 3/16/2018 CC_ED Physician PStandard 3700026 CL FX TX RADIAL HEAD/NECK W/MANIP 440 11/1/2017 CC_ED Physician PStandard 3700027 CL FX TX RADIUS & ULNA W/ MANIP 481 11/1/2017 CC_ED Physician PStandard 3700028 CL FX TX RADIUS & ULNA W/O MANIP 258 11/1/2017 CC_ED Physician PStandard 3700029 CL FX TX RADIUS/ULNA W/MANIP 596 11/1/2017 CC_ED Physician PStandard 3700030 CL FX TX TIBIAL SHAFT W/ MANIP 1408 3/10/2018 CC_ED Physician PStandard 3700031 CL FX TX TRIMALLEOLAR ANKLE W/MANIP 701 11/1/2017 CC_ED Physician PStandard 3700032 CL FX TX ULNAR STYLOID 655 11/1/2017 CC_ED Physician PStandard 3700033 CL TX ELBOW DISLOCATION W/ ANES 503 11/1/2017 CC_ED Physician PStandard 3700034 CL TX FINGER DISLOCATION W/MAN W/ANES 570 11/1/2017 CC_ED Physician PStandard 3700035 CL TX FINGER DISLOCATION W/MAN W/O ANES 382 11/1/2017 CC_ED Physician PStandard 3700036 CL TX HIP DISLOCATION TRAUMATIC W/ ANES 1317 11/1/2017 CC_ED Physician PStandard 3700037 CL TX HIP DISLOCATION TRAUMATIC W/O ANES 777 11/1/2017 CC_ED Physician PStandard 3700038 CL TX INTERPHALANGEAL JT DISLO W/ANES 304 11/1/2017 CC_ED Physician PStandard 3700039 CL TX KNEE DISLOCATION W/ANESTHESIA 557 11/1/2017 CC_ED Physician PStandard 3700040 CL TX KNEE DISLOCATION W/O ANESTHESIA 417 11/1/2017 CC_ED Physician PStandard 3700041 CL TX MCP DISLOCATION W/MANIP W/ANES 174 11/1/2017 CC_ED Physician PStandard 3700042 CL TX MCP DISLOCATION W/MANIP W/O ANES 419 11/1/2017 CC_ED Physician PStandard 3700043 CL TX PATELLAR DISLOCATION W/ ANES 1045 11/1/2017 CC_ED Physician PStandard 3700044 CL TX PATELLAR DISLOCATION W/O ANES 650 11/1/2017 CC_ED Physician PStandard 3700045 CL TX RAD HD SUBLUX NURSEMD ELB W/MANIP 190 11/1/2017 CC_ED Physician PStandard 3700046 CL TX SHOULDER DISLOC W/ MAN W/ ANES 681 11/1/2017 CC_ED Physician PStandard 3700047 CL TX SHOULDER DISLOC W/ MAN W/O ANES 629 11/1/2017 CC_ED Physician PStandard 3700048 ER PHYS CRITICAL CARE 30 ‐ 74 MIN 1958 11/1/2017 CC_ED Physician PStandard 3700049 ER PHYS CRITICAL CARE 30‐74MIN W/MOD 25 1958 11/1/2017 CC_ED Physician PStandard 3700050 ER PHYSICIAN E&M LEVEL I 196 11/1/2017 CC_ED Physician PStandard 3700051 ER PHYSICIAN E&M LEVEL I W/MOD 25 196 11/1/2017 CC_ED Physician PStandard 3700052 ER PHYSICIAN E&M LEVEL II 383 11/1/2017 CC_ED Physician PStandard 3700053 ER PHYSICIAN E&M LEVEL II W/MOD 25 383 11/1/2017 CC_ED Physician PStandard 3700054 ER PHYSICIAN E&M LEVEL III 583 11/1/2017 CC_ED Physician PStandard 3700055 ER PHYSICIAN E&M LEVEL III W/MOD 25 583 11/1/2017 CC_ED Physician PStandard 3700056 ER PHYSICIAN E&M LEVEL IV 1114 11/1/2017 CC_ED Physician PStandard 3700057 ER PHYSICIAN E&M LEVEL IV W/MOD 25 1114 11/1/2017 CC_ED Physician PStandard 3700058 ER PHYSICIAN E&M LEVEL V 1653 11/1/2017 CC_ED Physician PStandard 3700059 ER PHYSICIAN E&M LEVEL V W/MOD 25 1653 11/1/2017 CC_ED Physician PStandard 3700060 EVACUATION SUBUNGUAL HEMATOMA 263 11/1/2017 CC_ED Physician PStandard 3700061 EXC NAIL FOLD TOE 374 11/1/2017 CC_ED Physician PStandard 3700062 I&D ABSCESS BARTHOLINS GLAND 270 11/1/2017 CC_ED Physician PStandard 3700063 I&D ABSCESS DENTOALVEOLAR 348 11/1/2017 CC_ED Physician PStandard 3700064 I&D ABSCESS MULTIPLE COMPLEX 408 11/1/2017 CC_ED Physician PStandard 3700065 I&D ABSCESS PERITONSILLAR 315 11/1/2017 CC_ED Physician PStandard 3700066 I&D ABSCESS SINGLE SIMPLE 331 11/1/2017 CC_ED Physician PStandard 3700067 I&D ABSCESS VULVA OR PERINEAL 464 11/1/2017 CC_ED Physician PStandard 3700068 I&D HEMATOMA FLUID 828 11/1/2017 CC_ED Physician PStandard 3700069 I&D PILONIDAL CYST SIMPLE 272 11/1/2017 CC_ED Physician PStandard 3700070 INCISION OF THROMB HEMORRHOID EXTERNAL 406 11/1/2017 CC_ED Physician PStandard 3700071 INJ NERVE BLOCK OTHER PERIPHERAL 571 11/1/2017 CC_ED Physician PStandard 3700072 INJ NERVE BLOCK TRIGEMINAL 398 11/1/2017 CC_ED Physician PStandard 3700073 INSERTION CATHETER SIMPLE 201 11/1/2017 CC_ED Physician PStandard 3700074 INSERTION NON TUNNELED CEN VEN CATH 5YR+ 1117 11/1/2017 CC_ED Physician PStandard 3700075 INSERTION NON‐INDWELLING CATH STRAIGHT 200 11/1/2017 CC_ED Physician PStandard 3700076 INTRAOSSEOUS NEEDLE PLACEMENT 229 11/1/2017 CC_ED Physician PStandard 3700077 INTUBATION ENDOTRACHEAL ER 625 11/1/2017 CC_ED Physician PStandard 3700078 LUMBAR PUNCTURE DIAGNOSTIC 580 11/1/2017 CC_ED Physician PStandard 3700079 LUMBAR PUNCTURE THERAPEUTIC 596 11/1/2017 CC_ED Physician PStandard 3700080 MOD SED W/ASSIST <5 YRS 1ST 15 MIN 147 11/1/2017 CC_ED Physician PStandard 3700081 MOD SED W/ASSIST 5+ YRS 1ST 15 MIN 75 11/1/2017 CC_ED Physician PStandard 3700082 MOD SED W/ASSIST EA ADDL 15 MIN 70 11/1/2017 CC_ED Physician PStandard 3700083 MOD SED W/O ASSIST <5 YRS 1ST 15 MIN 575 11/1/2017 CC_ED Physician PStandard 3700084 MOD SED W/O ASSIST 5+ YRS 1ST 15 MIN 470 11/1/2017 CC_ED Physician PStandard 3700085 MOD SED W/O ASSIST EA ADDL 15 MIN 357 11/1/2017 CC_ED Physician PStandard 3700086 NOSEBLEED ANTERIOR COMPLEX ANY METHOD 346 11/1/2017 CC_ED Physician PStandard 3700087 NOSEBLEED ANTERIOR SIMPLE ANY METHOD 366 11/1/2017 CC_ED Physician PStandard 3700088 NOSEBLEED POSTERIOR W/PACK INITIAL 334 11/1/2017 CC_ED Physician PStandard 3700089 NOSEBLEED POSTERIOR W/PACK SUBS 393 11/1/2017 CC_ED Physician PStandard 3700090 REMOVE FB CONJUNCTIVAL EMBEDDED 388 11/1/2017 CC_ED Physician PStandard 3700091 REMOVE FB CONJUNCTIVAL SUPERFICIAL 320 11/1/2017 CC_ED Physician PStandard 3700092 REMOVE FB CORNEAL W/O SLIT LAMP 362 11/1/2017 CC_ED Physician PStandard 3700093 REMOVE FB CORNEAL W/SLIT LAMP 253 11/1/2017 CC_ED Physician PStandard 3700094 REMOVE FB EXT AUDITORY CANAL W/ ANES 487 11/1/2017 CC_ED Physician PStandard 3700095 REMOVE FB EXT AUDITORY CANAL W/O ANES 228 11/1/2017 CC_ED Physician PStandard 3700096 REMOVE FB FOOT SUBCUTANEOUS 633 11/1/2017 CC_ED Physician PStandard 3700097 REMOVE FB MCP JOINT / ARTHROTOMY 730 11/1/2017 CC_ED Physician PStandard 3700098 REMOVE FB SUBCUT SIMPLE 522 11/1/2017 CC_ED Physician PStandard 3700099 REMOVE IMPACTED CERUMEN W/INSTRMT 205 11/1/2017 CC_ED Physician PStandard 3700100 REMOVE IMPACTED CERUMEN W/O INSTRMT 205 11/1/2017 CC_ED Physician PStandard 3700101 REPAIR CMPLX FC/HN/FT/GEN EA + 5 CM/< 424 11/1/2017 CC_ED Physician PStandard 3700102 REPAIR COMPLEX EY/EAR/NS/LP 1.1‐2.5CM 517 11/1/2017 CC_ED Physician PStandard 3700103 REPAIR COMPLEX EY/EAR/NS/LP 2.6‐7.5CM 500 11/1/2017 CC_ED Physician PStandard 3700104 REPAIR COMPLEX FC/HN/FT/GEN 1.1‐2.5CM 464 11/1/2017 CC_ED Physician PStandard 3700105 REPAIR COMPLEX FC/HN/FT/GEN 2.6‐7.5CM 548 11/1/2017 CC_ED Physician PStandard 3700106 REPAIR COMPLEX SCLP/EXTR 1.1‐2.5CM 421 11/1/2017 CC_ED Physician PStandard 3700107 REPAIR COMPLEX SCLP/EXTR 2.6‐7.5CM 507 11/1/2017 CC_ED Physician PStandard 3700108 REPAIR COMPLEX SCLP/EXTR EA + 5 CM/< 567 11/1/2017 CC_ED Physician PStandard 3700109 REPAIR COMPLEX TRUNK 1.1‐2.5CM 254 11/1/2017 CC_ED Physician PStandard 3700110 REPAIR COMPLEX TRUNK 2.6‐7.5 CM 480 11/1/2017 CC_ED Physician PStandard 3700111 REPAIR COMPLEX TRUNK EA + 5 CM/< 491 11/1/2017 CC_ED Physician PStandard 3700112 REPAIR INTERM FACE 12.6‐20.0 CM 505 11/1/2017 CC_ED Physician PStandard 3700113 REPAIR INTERM FACE 2.5 CM/< 570 11/1/2017 CC_ED Physician PStandard 3700114 REPAIR INTERM FACE 2.6‐5.0 CM 552 11/1/2017 CC_ED Physician PStandard 3700115 REPAIR INTERM FACE 5.1‐7.5 CM 542 11/1/2017 CC_ED Physician PStandard 3700116 REPAIR INTERM FACE 7.6‐12.5 CM 458 11/1/2017 CC_ED Physician PStandard 3700117 REPAIR INTERM NCK/HND/FT 12.6‐20.0 CM 388 11/1/2017 CC_ED Physician PStandard 3700118 REPAIR INTERM NCK/HND/FT 2.5 CM/< 325 11/1/2017 CC_ED Physician PStandard 3700119 REPAIR INTERM NCK/HND/FT 2.6‐7.5 CM 542 11/1/2017 CC_ED Physician PStandard 3700120 REPAIR INTERM NCK/HND/FT 7.6‐12.5 CM 390 11/1/2017 CC_ED Physician PStandard 3700121 REPAIR INTERM SC/TRNK/EXTR >30 CM 325 11/1/2017 CC_ED Physician PStandard 3700122 REPAIR INTERM SC/TRNK/EXTR 12.6‐20.0 CM 516 11/1/2017 CC_ED Physician PStandard 3700123 REPAIR INTERM SC/TRNK/EXTR 2.5 CM/< 391 11/1/2017 CC_ED Physician PStandard 3700124 REPAIR INTERM SC/TRNK/EXTR 2.6‐7.5 CM 472 11/1/2017 CC_ED Physician PStandard 3700125 REPAIR INTERM SC/TRNK/EXTR 7.6‐12.5 CM 552 11/1/2017 CC_ED Physician PStandard 3700126 REPAIR NAIL BED 372 11/1/2017 CC_ED Physician PStandard 3700127 REPAIR NONUNION RADIUS & ULNA W/O GRAFT 2135 11/1/2017 CC_ED Physician PStandard 3700128 REPAIR SIMPLE FACE 12.6‐20.0 CM 408 11/1/2017 CC_ED Physician PStandard 3700129 REPAIR SIMPLE FACE 2.5 CM/< 321 11/1/2017 CC_ED Physician PStandard 3700130 REPAIR SIMPLE FACE 2.6‐5.0 CM 353 11/1/2017 CC_ED Physician PStandard 3700131 REPAIR SIMPLE FACE 5.1‐7.5 CM 460 11/1/2017 CC_ED Physician PStandard 3700132 REPAIR SIMPLE FACE 7.6‐12.5 CM 580 11/1/2017 CC_ED Physician PStandard 3700133 REPAIR SIMPLE SC/TRNK/EXTR 12.6‐20.0 CM 682 11/1/2017 CC_ED Physician PStandard 3700134 REPAIR SIMPLE SC/TRNK/EXTR 2.5CM/< 329 11/1/2017 CC_ED Physician PStandard 3700135 REPAIR SIMPLE SC/TRNK/EXTR 2.6‐7.5 CM 339 11/1/2017 CC_ED Physician PStandard 3700136 REPAIR SIMPLE SC/TRNK/EXTR 7.6‐12.5 CM 341 11/1/2017 CC_ED Physician PStandard 3700137 TELEHEALTH CONSULTATION 30 MIN 623 12/1/2017 CC_ED Physician PStandard 3700138 TELEHEALTH CONSULTATION 50 MIN 779 12/1/2017 CC_ED Physician PStandard 3700139 TELEHEALTH CONSULTATION 70 MIN 974 12/1/2017 CC_ED Physician PStandard 3700140 THERA INJ TRIGGER POINT 1 OR 2 MUSCLE 470 11/1/2017 CC_ED Physician PStandard 3700141 THERA INJ TRIGGER POINT 3+ MUSCLE 538 11/1/2017 CC_ED Physician PStandard 3700142 THORACENTESIS W/ IMAGE GUIDANCE 1164 11/1/2017 CC_ED Physician PStandard 3700143 THORACENTESIS W/O IMAGE GUIDANCE 646 11/1/2017 CC_ED Physician PStandard 3700144 TUBE THORACOSTOMY 700 11/1/2017 CC_ED Physician PStandard 3700145 US EXTREM NON VASC LTD ER 210 11/1/2017 CC_ED Physician PStandard 3700146 WOUND DEHISCENCE W/O PACKING 518 11/1/2017 CC_ED Physician PStandard 3700147 WOUND DEHISCENCE W/PACKING 277 11/1/2017 CC_ED Physician PStandard 3700148 FINE NEEDLE ASPIRATION W/IMAGE GUIDANCE 504 8/16/2018 CC_ED Physician PStandard 3700149 CL TX POST HIP ARTHRO DISLOCATION W/ANES 756 8/1/2018 CC_ED Physician PStandard 3700150 CL TX THUMB DISLOCATION W/MANIP 570 1/1/2018 CC_ED Physician PStandard 3700151 DEBRIDE SKIN ‐ TISSUE ER 369 10/1/2018 CC_ED Physician PStandard 3700152 LONG ARM SPLINT 295 10/1/2018 CC_ED Physician PStandard 3700153 HAND OR FINGER SPLINT 237 10/1/2018 CC_ED Physician PStandard 3700154 LONG LEG SPLINT 293 10/1/2018 CC_ED Physician PStandard 3700155 SHORT LEG SPLINT 280 10/1/2018 CC_ED Physician PStandard 3700156 GASTRIC INTUB & LAVGE 257 10/1/2018 CC_ED Physician PStandard 3700157 CPR ER 792 10/1/2018 CC_ED Physician PStandard 3700158 TEMPORARY TRANSCUTANEOUS PACING 602 10/1/2018 CC_ED Physician PStandard 3700159 IV CORONARY THROMBOLYSIS 1376 10/1/2018 CC_ED Physician PStandard 3700160 BLADDER SCAN 115 10/1/2018 CC_ED Physician PStandard 3700161 REMOVE FB EXT AUDITORY CANAL W/O ANES 228 10/1/2018 CC_ED Physician PStandard 3700162 REMOVE FB INTRANASAL 119 10/1/2018 CC_ED Physician PStandard 3700163 VAGINAL DELIVERY ONLY 5129 10/1/2018 CC_ED Physician PStandard 3700164 DELIVERY PLACENTA 580 10/1/2018 CC_ED Physician PStandard 3700165 INTRODUCTION OF NEEDLE OR INTRACATHETER, VEI 45 11/1/2018 CC_ED Physician PStandard 3700166 POST OP FOLLOW UP 0.01 12/1/2018 CC_ED Physician PStandard 3700167 ER PHYS CRITICAL CARE ADD'L 30 MIN 770 11/1/2018 CC_ED Physician PStandard 3700168 ER PHYS CRITICAL CARE ADD'L 30 MIN W/MOD 25 770 11/1/2018 CC_ED Physician PStandard 3800001 CP NASOTRACHEAL ASPIRATION 104 11/1/2017 CC_Cardiology/ReStandard 3800002 CP ARTERIAL BLOOD GAS COLLECTION 125 2/1/2018 CC_Cardiology/ReStandard 3800003 CP ARTERIAL BLOOD GAS 313 2/1/2018 CC_Cardiology/ReStandard 3800004 CP CARDIOVERSION 1490 2/1/2018 CC_Cardiology/ReStandard 3800005 CP ECG TRACING W/INTERPRETATION 531 2/1/2018 CC_Cardiology/ReStandard 3800006 CP ECG TRACING NO INTERPRETATION 425 2/1/2018 CC_Cardiology/ReStandard 3800007 CP CARDIAC TREADMILL STRESS TEST TRACING 1778 2/1/2018 CC_Cardiology/ReStandard 3800008 CP CARDIAC CHEMICAL STRESS TEST TRACING 1778 2/1/2018 CC_Cardiology/ReStandard 3800009 CP ECG RHYTHM STRIP TRACING 243 2/1/2018 CC_Cardiology/ReStandard 3800010 CP HOLTER MONITOR W/INTERPRETATION 1375 2/1/2018 CC_Cardiology/ReStandard 3800011 CP HOLTER MONITOR NO INTERPRETATION 756 2/1/2018 CC_Cardiology/ReStandard 3800012 CP HOLTER SCANNING ANALYSIS REPORT 1142 2/1/2018 CC_Cardiology/ReStandard 3800013 CP CARDIAC EVENT RECORDER 348 2/1/2018 CC_Cardiology/ReStandard 3800014 CP VENTILATOR ASSISTANCE & MGT 1ST DAY BIPAP 2504 11/1/2017 CC_Cardiology/ReStandard 3800015 CP VENTILATOR ASSISTANCE & MGT 1ST DAY 3490 11/1/2017 CC_Cardiology/ReStandard 3800016 CP VENTILATOR ASSISTANCE & MGT ADDITIONAL DA 3490 11/1/2017 CC_Cardiology/ReStandard 3800017 CP PULMONARY FUNCTION TEST SCREENING 462 2/1/2018 CC_Cardiology/ReStandard 3800018 CP PULMONARY FUNCTION TEST COMPLETE 700 2/1/2018 CC_Cardiology/ReStandard 3800019 CP SMALL VOLUME NEBULIZER TREATMENT 191 11/1/2017 CC_Cardiology/ReStandard 3800020 CP IPPB TREATMENT 191 11/1/2017 CC_Cardiology/ReStandard 3800021 CP SPUTUM INDUCTION TREATMENT 191 11/1/2017 CC_Cardiology/ReStandard 3800022 CP METERED DOSE INHALER 191 11/1/2017 CC_Cardiology/ReStandard 3800023 CP CONTINUOUS POSITIVE AIRWAY PRESSURE 1367 11/1/2017 CC_Cardiology/ReStandard 3800024 CP INCENTIVE SPIROMETRY 162 11/1/2017 CC_Cardiology/ReStandard 3800025 CP CHEST WALL MANIPULATION 313 11/1/2017 CC_Cardiology/ReStandard 3800026 CP CHEST WALL MANIPULATION ADDITIONAL 205 11/1/2017 CC_Cardiology/ReStandard 3800027 CP VEST PERCUSSION THERAPY 104 11/1/2017 CC_Cardiology/ReStandard 3800028 CP PEAK FLOW SINGLE BREATH TEST 125 2/1/2018 CC_Cardiology/ReStandard 3800029 CP FUNCTIONAL RESIDUAL CAPACITY 776 2/1/2018 CC_Cardiology/ReStandard 3800030 CP MEMBRANE DIFFUSION CAPACITY 1080 2/1/2018 CC_Cardiology/ReStandard 3800031 CP PULSE OXIMETRY SINGLE 118 2/1/2018 CC_Cardiology/ReStandard 3800032 CP PULSE OXIMETRY MULTIPLE 328 2/1/2018 CC_Cardiology/ReStandard 3800033 CP PULSE OXIMETRY OVER NIGHT 331 2/1/2018 CC_Cardiology/ReStandard 3800034 CP CO2 BY ANALYZER 230 11/1/2017 CC_Cardiology/ReStandard 3800035 CP SLEEP STUDY AT HOME 551 2/1/2018 CC_Cardiology/ReStandard 3800036 CP SMALL VOLUME NEBULIZER TREATMENT ADDITIO 191 11/1/2017 CC_Cardiology/ReStandard 3800037 CP IPPB TREATMENT ADDITIONAL 191 11/1/2017 CC_Cardiology/ReStandard 3800038 CP METERED DOSE INHALER ADDITIONAL 191 11/1/2017 CC_Cardiology/ReStandard 3800039 CP DEMONSTRATION EVALUATION FOR TREATMENT 130 11/1/2017 CC_Cardiology/ReStandard 3800040 CP SLEEP STUDY AT HOME PROF 105 2/1/2018 CC_Cardiology/ReStandard 3800041 CP OXYGEN PER HOURLY UNIT 6 11/1/2017 CC_Cardiology/ReStandard 4500001 XR EYE FOR FOREIGN BODY 602 11/1/2017 CC_Imaging Standard 4500002 XR MANDIBLE 2 VIEWS 373 11/1/2017 CC_Imaging Standard 4500003 US LIMITED 350 11/1/2017 CC_Imaging Standard 4500004 EC ECHOCARDIOGRAM COMPLETE 2624 11/1/2017 CC_Imaging Standard 4500005 EC ECHOCARDIOGRAM COMPLETE WITH BUBBLE STU 2624 11/1/2017 CC_Imaging Standard 4500006 XR FACIAL BONES COMPLETE 550 11/1/2017 CC_Imaging Standard 4500007 XR NECK SOFT TISSUE 404 11/1/2017 CC_Imaging Standard 4500008 XR ORBITS COMPLETE 435 11/1/2017 CC_Imaging Standard 4500009 XR SKULL 2 VIEWS 439 11/1/2017 CC_Imaging Standard 4500010 XR SKELETAL SURVEY 1344 11/1/2017 CC_Imaging Standard 4500011 XR TEMPORAL MANDIBULAR JTS 540 11/1/2017 CC_Imaging Standard 4500012 XR FACIAL BONES 2 VIEWS 535 11/1/2017 CC_Imaging Standard 4500013 FL ESOPHAGRAM W/SPEECH 762 11/1/2017 CC_Imaging Standard 4500014 CT CALCIUM SCORE 300 12/14/2017 CC_Imaging Standard 4500015 CT HEAD W/O 2458 11/1/2017 CC_Imaging Standard 4500016 CT HEAD W/IV 2899 11/1/2017 CC_Imaging Standard 4500017 CT HEAD W/O + W/IV 3489 11/1/2017 CC_Imaging Standard 4500018 CT ORBITS W/O IV 1560 11/1/2017 CC_Imaging Standard 4500019 CT TEMPORAL BONES W/O IV 1560 11/1/2017 CC_Imaging Standard 4500020 CT INTERNAL AUDITORY CANAL W/O IV 1560 11/1/2017 CC_Imaging Standard 4500021 CT MASTOIDS W/O IV 1560 11/1/2017 CC_Imaging Standard 4500022 CT SELLA TURCICA W/O IV 1560 11/1/2017 CC_Imaging Standard 4500023 CT ORBITS W/IV 2389 11/1/2017 CC_Imaging Standard 4500024 CT TEMPORAL BONES W/IV 2389 11/1/2017 CC_Imaging Standard 4500025 CT INTERNAL AUDITORY CANAL W/IV 2389 11/1/2017 CC_Imaging Standard 4500026 CT MASTOIDS W/IV 2389 11/1/2017 CC_Imaging Standard 4500027 CT SELLA TURCICA W/IV 2389 11/1/2017 CC_Imaging Standard 4500028 CT ORBITS W/O + W/IV 2458 11/1/2017 CC_Imaging Standard 4500029 CT TEMPORAL BONES W/O + W/IV 2458 11/1/2017 CC_Imaging Standard 4500030 CT INTERNAL AUDITORY CANAL W/O + W/IV 2458 11/1/2017 CC_Imaging Standard 4500031 CT MASTOIDS W/O + W/IV 2458 11/1/2017 CC_Imaging Standard 4500032 CT SELLA TURCICA W/O + W/IV 2458 11/1/2017 CC_Imaging Standard 4500033 XR MANDIBLE COMPLETE 555 11/1/2017 CC_Imaging Standard 4500034 CT SINUSES W/IV 2170 11/1/2017 CC_Imaging Standard 4500035 CT MANDIBLE W/IV 2170 11/1/2017 CC_Imaging Standard 4500036 CT FACIAL BONES W/IV 2170 11/1/2017 CC_Imaging Standard 4500037 CT SINUSES W/O + W/IV 3489 11/1/2017 CC_Imaging Standard 4500038 CT MANDIBLE W/O + W/IV 3489 11/1/2017 CC_Imaging Standard 4500039 CT FACIAL BONES W/O + W/IV 3489 11/1/2017 CC_Imaging Standard 4500040 CT NECK SOFT TISSUE W/O IV 1862 11/1/2017 CC_Imaging Standard 4500041 CT NECK SOFT TISSUE W/IV 1868 11/1/2017 CC_Imaging Standard 4500042 CT RUN OFF W/ LOWER EXT IMAGING 2200 11/1/2017 CC_Imaging Standard 4500043 CT SINUSES W/O IV 1560 11/1/2017 CC_Imaging Standard 4500044 CT MANDIBLE W/O IV 1560 11/1/2017 CC_Imaging Standard 4500045 CT FACIAL BONES W/O IV 1560 11/1/2017 CC_Imaging Standard 4500046 CT ANGIO NECK 2200 11/1/2017 CC_Imaging Standard 4500047 CT ANGIO HEAD 2200 11/1/2017 CC_Imaging Standard 4500048 XR CHEST 1 VIEW 354 11/1/2017 CC_Imaging Standard 4500049 XR CHEST 2 VIEW 414 11/1/2017 CC_Imaging Standard 4500050 XR CHEST 3 VIEW 426 11/1/2017 CC_Imaging Standard 4500051 MA MAMMOGRAM DIAGNOSTIC 512 11/1/2017 CC_Imaging Standard 4500052 MA MAMMOGRAM SCREENING 348 11/1/2017 CC_Imaging Standard 4500053 MA MAMMOGRAM UNILATERAL DIAGNOSTIC 367 11/1/2017 CC_Imaging Standard 4500054 XR RIBS RIGHT NO CHEST 437 11/1/2017 CC_Imaging Standard 4500056 XR RIBS BILATERAL NO CHEST 655 11/1/2017 CC_Imaging Standard 4500057 XR RIBS BILATERAL W/1 VIEW CHEST 724 11/1/2017 CC_Imaging Standard 4500058 XR STERNUM 521 11/1/2017 CC_Imaging Standard 4500059 XR STERNOCLAVICULAR JOINTS 521 11/1/2017 CC_Imaging Standard 4500060 CT CHEST W/O IV 1664 11/1/2017 CC_Imaging Standard 4500061 CT CHEST W/IV 2015 11/1/2017 CC_Imaging Standard 4500062 CT CHEST W/O + W/IV 2337 11/1/2017 CC_Imaging Standard 4500063 XR CERVICAL SPINE 1 VIEW 367 11/1/2017 CC_Imaging Standard 4500064 XR THORACIC SPINE 1 VIEW 367 11/1/2017 CC_Imaging Standard 4500065 XR LUMBAR SPINE 1 VIEW 367 11/1/2017 CC_Imaging Standard 4500066 XR CERVICAL SPINE 2 VIEWS 500 11/1/2017 CC_Imaging Standard 4500067 XR CERVICAL SPINE COMPLETE 675 11/1/2017 CC_Imaging Standard 4500068 XR CERVICAL SPINE COMPLETE W/SWIMMERS 706 11/1/2017 CC_Imaging Standard 4500069 XR CERVICAL SPINE COMP W/FLEX/EXT 706 11/1/2017 CC_Imaging Standard 4500070 XR SPINE SCOLIOSIS 852 11/1/2017 CC_Imaging Standard 4500071 XR THORACIC SPINE 2 VIEWS 422 11/1/2017 CC_Imaging Standard 4500072 XR THORACIC SPINE COMPLETE 558 11/1/2017 CC_Imaging Standard 4500073 XR LUMBAR SPINE 2 VIEWS 514 11/1/2017 CC_Imaging Standard 4500074 XR LUMBAR SPINE COMPLETE 685 11/1/2017 CC_Imaging Standard 4500075 XR LUMBAR SPINE COMP W/FLEX/EXT 852 11/1/2017 CC_Imaging Standard 4500076 CT C‐SPINE W/O IV 1862 11/1/2017 CC_Imaging Standard 4500077 CT C‐SPINE W/IV 1977 11/1/2017 CC_Imaging Standard 4500078 CT T‐SPINE W/O IV 1862 11/1/2017 CC_Imaging Standard 4500079 CT ANGIO AORTA AND LOWER EXTREMITIES 2420 11/1/2017 CC_Imaging Standard 4500080 CT ANGIO ABDOMEN 2200 11/1/2017 CC_Imaging Standard 4500081 CT L‐SPINE W/O IV 1862 11/1/2017 CC_Imaging Standard 4500082 CT ANGIO PELVIS 2200 11/1/2017 CC_Imaging Standard 4500083 CT ANGIO CORONARY ARTERIES 3750 11/1/2017 CC_Imaging Standard 4500084 CT ANGIO ABD PELVIS 3750 11/1/2017 CC_Imaging Standard 4500085 XR PELVIS 3 VIEWS 389 11/1/2017 CC_Imaging Standard 4500086 US CHEST 401 11/1/2017 CC_Imaging Standard 4500087 XR SACRAL ILIAC JOINTS 642 11/1/2017 CC_Imaging Standard 4500088 XR SACRUM/COCCYX 496 11/1/2017 CC_Imaging Standard 4500089 XR CLAVICLE RT 385 11/1/2017 CC_Imaging Standard 4500090 XR SCAPULA RIGHT 338 11/1/2017 CC_Imaging Standard 4500091 XR SHOULDER RIGHT 1 VIEW 345 11/1/2017 CC_Imaging Standard 4500092 XR SHOULDER RIGHT COMPLETE 455 11/1/2017 CC_Imaging Standard 4500093 XR AC JOINTS 381 11/1/2017 CC_Imaging Standard 4500094 XR HUMERUS RIGHT 416 11/1/2017 CC_Imaging Standard 4500095 XR ELBOW RIGHT 2 VIEWS 401 11/1/2017 CC_Imaging Standard 4500096 XR ELBOW RIGHT COMPLETE 476 11/1/2017 CC_Imaging Standard 4500097 XR FOREARM RIGHT 376 11/1/2017 CC_Imaging Standard 4500098 XR UPPER EXTREMITY INFANT 299 11/1/2017 CC_Imaging Standard 4500099 XR SINUSES 585 11/1/2017 CC_Imaging Standard 4500100 XR WRIST RIGHT COMPLETE 493 11/1/2017 CC_Imaging Standard 4500101 XR WRIST RIGHT 2 VIEWS 398 11/1/2017 CC_Imaging Standard 4500102 XR HAND RIGHT 2 VIEWS 449 11/1/2017 CC_Imaging Standard 4500103 XR HAND RIGHT COMPLETE 485 11/1/2017 CC_Imaging Standard 4500104 XR FINGER RIGHT 339 11/1/2017 CC_Imaging Standard 4500105 CT UPPER EXTREMITY RIGHT W/O IV 2153 11/1/2017 CC_Imaging Standard 4500106 CT UPPER EXTREMITY RIGHT W/IV 2353 11/1/2017 CC_Imaging Standard 4500107 XR HIP RIGHT 1 VIEW 207 11/1/2017 CC_Imaging Standard 4500108 XR HIP RIGHT WITH PELVIS 414 11/1/2017 CC_Imaging Standard 4500109 XR HIPS BILATERAL WITH PELVIS 2 VIEWS 455 11/1/2017 CC_Imaging Standard 4500111 XR FEMUR RIGHT 486 11/1/2017 CC_Imaging Standard 4500113 XR KNEE RIGHT 2 VIEWS 419 11/1/2017 CC_Imaging Standard 4500114 XR KNEE LEFT COMPLETE 486 11/1/2017 CC_Imaging Standard 4500116 XR TIBIA FIBULA RIGHT 468 11/1/2017 CC_Imaging Standard 4500117 XR LOWER EXTREMITY INFANT 299 11/1/2017 CC_Imaging Standard 4500118 XR ANKLE RIGHT 2 VIEWS 424 11/1/2017 CC_Imaging Standard 4500119 XR ANKLE RIGHT COMPLETE 496 11/1/2017 CC_Imaging Standard 4500120 XR FOOT RIGHT 2 VIEWS 383 11/1/2017 CC_Imaging Standard 4500121 XR SKULL COMPLETE 640 11/1/2017 CC_Imaging Standard 4500122 XR FOOT RIGHT COMPLETE 455 11/1/2017 CC_Imaging Standard 4500123 XR HEEL RIGHT 373 11/1/2017 CC_Imaging Standard 4500124 XR TOE RIGHT 339 11/1/2017 CC_Imaging Standard 4500125 CT LOWER EXTREMITY RIGHT W/O IV 2359 11/1/2017 CC_Imaging Standard 4500126 CT LOWER EXTREMITY LEFT W/O IV 2359 11/1/2017 CC_Imaging Standard 4500127 CT LOWER EXTREMITY RIGHT W/IV 2353 11/1/2017 CC_Imaging Standard 4500128 CT LOWER EXTREMITY LEFT W/IV 2353 11/1/2017 CC_Imaging Standard 4500129 XR ALIMENTARY CANAL 459 11/1/2017 CC_Imaging Standard 4500130 XR ABDOMEN 1 VIEW 342 11/1/2017 CC_Imaging Standard 4500131 XR ABDOMEN 2 VIEW 459 11/1/2017 CC_Imaging Standard 4500132 XR ABDOMEN 3VW W/CXR 1V 733 11/1/2017 CC_Imaging Standard 4500133 CT ABD W/O IV + ORAL 1173 11/1/2017 CC_Imaging Standard 4500134 CT ABD W/O IV + NO ORAL 1173 11/1/2017 CC_Imaging Standard 4500135 CT ABD W/IV + ORAL 1542 11/1/2017 CC_Imaging Standard 4500136 CT ABD W/IV + NO ORAL 1542 11/1/2017 CC_Imaging Standard 4500137 CT ABD W/O + W/IV + ORAL 1817 11/1/2017 CC_Imaging Standard 4500138 CT ABD W/O + W/IV + NO ORAL 1817 11/1/2017 CC_Imaging Standard 4500139 FL ESOPHAGRAM 1106 11/1/2017 CC_Imaging Standard 4500140 FL UPPER GI DOUBLE CONTRAST 1106 11/1/2017 CC_Imaging Standard 4500141 FL UPPER GI W/SMALL BOWEL 1406 11/1/2017 CC_Imaging Standard 4500142 FL SMALL BOWEL SERIES 822 11/1/2017 CC_Imaging Standard 4500143 FL BARIUM ENEMA SINGLE CONTRAST 942 11/1/2017 CC_Imaging Standard 4500144 FL BARIUM ENEMA DOUBLE CONTRAST 1414 11/1/2017 CC_Imaging Standard 4500145 IR INTRAVENOUS PYELOGRAPHY 1259 11/1/2017 CC_Imaging Standard 4500146 XR NECK SOFT TISSUE 452 11/1/2017 CC_Imaging Standard 4500147 XR ANKLE LEFT POST RED 424 11/1/2017 CC_Imaging Standard 4500148 XR FOOT RIGHT POST REDUCTION 383 11/1/2017 CC_Imaging Standard 4500149 XR FOOT LEFT POST REDUCTION 383 11/1/2017 CC_Imaging Standard 4500150 XR TIBIA FIBULA RIGHT POST REDUCTION 468 11/1/2017 CC_Imaging Standard 4500151 XR TIBIA FIBULA LEFT POST REDUCTION 468 11/1/2017 CC_Imaging Standard 4500152 XR ANKLE RIGHT POST RED 424 11/1/2017 CC_Imaging Standard 4500153 XR FEMUR LEFT POST REDUCTION 486 11/1/2017 CC_Imaging Standard 4500154 XR KNEE RIGHT POST REDUCTION 419 11/1/2017 CC_Imaging Standard 4500155 XR KNEE LEFT POST REDUCTION 419 11/1/2017 CC_Imaging Standard 4500156 XR HIP RIGHT POST REDUCTION 414 11/1/2017 CC_Imaging Standard 4500157 XR LEFT HIP POST REDUCTION 414 11/1/2017 CC_Imaging Standard 4500158 XR FEMUR RIGHT POST REDUCTION 486 11/1/2017 CC_Imaging Standard 4500159 XR HAND LEFT POST REDUCTION 449 11/1/2017 CC_Imaging Standard 4500160 XR FINGER RIGHT POST REDUCTION 389 11/1/2017 CC_Imaging Standard 4500161 XR FINGER LEFT POST REDUCTION 389 11/1/2017 CC_Imaging Standard 4500162 XR WRIST RIGHT POST REDUCTION 398 11/1/2017 CC_Imaging Standard 4500163 XR WRIST LEFT POST REDUCTION 398 11/1/2017 CC_Imaging Standard 4500164 XR HAND RIGHT POST REDUCTION 449 11/1/2017 CC_Imaging Standard 4500165 XR ELBOW LEFT POST RED 401 11/1/2017 CC_Imaging Standard 4500166 XR FOREARM RIGHT POST REDUCTION 376 11/1/2017 CC_Imaging Standard 4500167 XR FOREARM LEFT POST REDUCTION 376 11/1/2017 CC_Imaging Standard 4500168 XR HUMERUS RIGHT POST REDUCTION 416 11/1/2017 CC_Imaging Standard 4500169 XR HUMERUS LEFT POST REDUCTION 416 11/1/2017 CC_Imaging Standard 4500170 XR ELBOW RIGHT POST RED 401 11/1/2017 CC_Imaging Standard 4500171 XR TOE RIGHT POST REDUCTION 339 11/1/2017 CC_Imaging Standard 4500172 XR TOE LEFT POST REDUCTION 339 11/1/2017 CC_Imaging Standard 4500173 XR SHOULDER RIGHT POST REDUCTION 406 11/1/2017 CC_Imaging Standard 4500174 XR SHOULDER LEFT POST REDUCTION 406 11/1/2017 CC_Imaging Standard 4500175 XR PELVIS 2 VIEWS 372 11/1/2017 CC_Imaging Standard 4500176 XR RIBS RIGHT W/1 VIEW CHEST 628 11/1/2017 CC_Imaging Standard 4500177 CT ABD PELVIS W/O IV + ORAL 2652 11/1/2017 CC_Imaging Standard 4500178 CT ABD PELVIS W/O IV + NO ORAL 2652 11/1/2017 CC_Imaging Standard 4500179 CT ABD PELVIS W/ IV + ORAL 3084 11/1/2017 CC_Imaging Standard 4500180 CT ABD PELVIS W/ IV + NO ORAL 3084 11/1/2017 CC_Imaging Standard 4500181 CT ABD PELVIS W/O + W/ IV + ORAL 3634 11/1/2017 CC_Imaging Standard 4500182 CT ABD PELVIS W/O + W/ IV + NO ORAL 3634 11/1/2017 CC_Imaging Standard 4500183 CT UROGRAM 3634 11/1/2017 CC_Imaging Standard 4500184 XR BONE AGE STUDY 305 11/1/2017 CC_Imaging Standard 4500185 CT NECK SOFT TISSUE W/O + W/IV 2125 11/1/2017 CC_Imaging Standard 4500186 MR MRI ORBITS W/O IV 3258 11/1/2017 CC_Imaging Standard 4500187 MR MRI FACIAL SOFT TISSUE W/O IV 3258 11/1/2017 CC_Imaging Standard 4500188 MR MRI NECK SOFT TISSUE W/O IV 3258 11/1/2017 CC_Imaging Standard 4500189 MRI BRAIN WO CONT 2983 11/1/2017 CC_Imaging Standard 4500190 MR MRI BRAIN W/O + W/IV 4319 11/1/2017 CC_Imaging Standard 4500191 MR MRI PITUITARY W/O + W/IV 4319 11/1/2017 CC_Imaging Standard 4500192 MR MRI INTERNAL AUDITARY CANAL W/O + W/IV 4319 11/1/2017 CC_Imaging Standard 4500193 US THYROID 705 11/1/2017 CC_Imaging Standard 4500194 US NECK/HEAD SOFT TISSUE 705 11/1/2017 CC_Imaging Standard 4500195 US BREAST LIMITED 401 11/1/2017 CC_Imaging Standard 4500196 US ABDOMEN COMPLETE 920 11/1/2017 CC_Imaging Standard 4500197 US ABD LIMITED 740 11/1/2017 CC_Imaging Standard 4500198 US GALL BLADDER 740 11/1/2017 CC_Imaging Standard 4500199 US AORTA 740 11/1/2017 CC_Imaging Standard 4500200 US RIGHT UPPER QUADRANT 740 11/1/2017 CC_Imaging Standard 4500201 US LIVER 740 11/1/2017 CC_Imaging Standard 4500202 XR CHEST 4 OR MORE VIEWS 453 11/1/2017 CC_Imaging Standard 4500203 US RETROPERITONEAL LIMITED 684 11/1/2017 CC_Imaging Standard 4500204 US RETROPERITONEAL COMPLETE 788 11/1/2017 CC_Imaging Standard 4500205 US OBSTERTICAL LIMITED 680 11/1/2017 CC_Imaging Standard 4500206 US TRANSVAGINAL 788 11/1/2017 CC_Imaging Standard 4500207 US PELVIC COMPLETE 930 11/1/2017 CC_Imaging Standard 4500208 US PELVIC LIMITED 642 11/1/2017 CC_Imaging Standard 4500209 US SCROTUM 908 11/1/2017 CC_Imaging Standard 4500210 US EXTREM NON VASC 630 11/1/2017 CC_Imaging Standard 4500212 US BLADDER 624 11/1/2017 CC_Imaging Standard 4500213 US AORTA AAA SCREENING 740 11/1/2017 CC_Imaging Standard 4500214 US JOINT COMPLETE 630 11/1/2017 CC_Imaging Standard 4500215 EC ECHOCARDIOGRAM LIMITED 941 11/1/2017 CC_Imaging Standard 4500216 US CAROTID 1409 11/1/2017 CC_Imaging Standard 4500217 US ARTERIAL DUPLEX RIGHT LEG 1293 11/1/2017 CC_Imaging Standard 4500218 US ARTERIAL DUPLEX LEGS BILATERAL 1592 11/1/2017 CC_Imaging Standard 4500219 US VENOUS DOPPLER BILATERAL LEGS 1752 11/1/2017 CC_Imaging Standard 4500220 US VENOUS DOPPLER BILATERAL ARMS 1752 11/1/2017 CC_Imaging Standard 4500221 US VENOUS DOPPLER RIGHT ARM 1180 11/1/2017 CC_Imaging Standard 4500222 US VENOUS DOPPLER RIGHT LEG 1180 11/1/2017 CC_Imaging Standard 4500223 CT T‐SPINE W/O + W/IV 4275 11/1/2017 CC_Imaging Standard 4500224 MR MRI CHEST W/O IV 3089 11/1/2017 CC_Imaging Standard 4500225 MR MRI BRACHIAL PLEXUS W/O IV 3089 11/1/2017 CC_Imaging Standard 4500226 MR MRA CHEST 3089 11/1/2017 CC_Imaging Standard 4500228 CT ‐SPINE W/IV 3688 11/1/2017 CC_Imaging Standard 4500229 CT L‐SPINE W/IV 3800 11/1/2017 CC_Imaging Standard 4500230 CT L‐SPINE W/O + W/IV 3869 11/1/2017 CC_Imaging Standard 4500231 MR MRI CERVICAL SPINE W/O IV 3322 11/1/2017 CC_Imaging Standard 4500232 MR MRI THORACIC SPINE W/O IV 3128 11/1/2017 CC_Imaging Standard 4500233 MR MRI LUMBAR SPINE W/O IV 3213 11/1/2017 CC_Imaging Standard 4500234 MR MRI CERVICAL SPINE W/O + W/IV 5101 11/1/2017 CC_Imaging Standard 4500235 MR MRI THORACIC SPINE W/O IV + W/IV 4473 11/1/2017 CC_Imaging Standard 4500236 MR MRI LUMBAR SPINE W/O + W/IV 4531 11/1/2017 CC_Imaging Standard 4500237 XR INJECTION FOR ARTHROGRAPHY SHOULDER 613 11/1/2017 CC_Imaging Standard 4500238 IR FLUOROSCOPY GUIDANCE NEEDLE PLACEMENT 1093 11/1/2017 CC_Imaging Standard 4500239 XR INJECTION FOR ARTHROGRAPHY HIP 847 11/1/2017 CC_Imaging Standard 4500240 XR INJECTION FOR ARTHROGRAPHY KNEE 607 11/1/2017 CC_Imaging Standard 4500241 CT UPPER EXTREMITY RIGHT W/O + W/IV 3345 11/1/2017 CC_Imaging Standard 4500242 MR MRI HUMERUS RIGHT W/O + W/IV 3345 11/1/2017 CC_Imaging Standard 4500243 MR MRI FOREARM RIGHT W/O + W/IV 3345 11/1/2017 CC_Imaging Standard 4500244 MR MRI HAND RIGHT W/O + W/IV 3345 11/1/2017 CC_Imaging Standard 4500245 MR MRI ELBOW RIGHT W/O IV 2455 11/1/2017 CC_Imaging Standard 4500246 MR MRI SHOULDER RIGHT W/O IV 2455 11/1/2017 CC_Imaging Standard 4500247 MR MRI WRIST RIGHT W/O IV 2455 11/1/2017 CC_Imaging Standard 4500248 CT LOWER EXTREMITY RIGHT W/O + W/IV 3471 11/1/2017 CC_Imaging Standard 4500249 CT LOWER EXTREMITY LEFT W/O + W/IV 3471 11/1/2017 CC_Imaging Standard 4500250 MR MRI KNEE RIGHT W/O +W/IV 3471 11/1/2017 CC_Imaging Standard 4500251 MR MRI ANKLE RIGHT W/O +W/IV 3471 11/1/2017 CC_Imaging Standard 4500252 MR MRI FEMUR RIGHT W/O + W/IV 3471 11/1/2017 CC_Imaging Standard 4500253 MR MRI TIBIA/FIBULA RIGHT W/O + W/IV 3471 11/1/2017 CC_Imaging Standard 4500254 MR MRI FOOT RIGHT W/O + W/IV 3471 11/1/2017 CC_Imaging Standard 4500255 MR MRI KNEE RIGHT W/O IV 2450 11/1/2017 CC_Imaging Standard 4500256 MR MRI ANKLE RIGHT W/O IV 2450 11/1/2017 CC_Imaging Standard 4500257 MR MRI ABDOMEN W/O IV 2673 11/1/2017 CC_Imaging Standard 4500258 MR MRI ADRENAL GLANDS W/O IV 2673 11/1/2017 CC_Imaging Standard 4500259 MR MRCP 2673 11/1/2017 CC_Imaging Standard 4500260 MR MRI KIDNEYS W/O IV 2673 11/1/2017 CC_Imaging Standard 4500261 MR MRI LIVER W/O IV 2673 11/1/2017 CC_Imaging Standard 4500262 MR MRI PANCREAS W/O IV 2673 11/1/2017 CC_Imaging Standard 4500263 MR MRI SPLEEN W/O IV 2673 11/1/2017 CC_Imaging Standard 4500264 MR MRA ABDOMEN W/O + W/IV 3089 11/1/2017 CC_Imaging Standard 4500265 MR MRA RENAL ARTERIES 3089 11/1/2017 CC_Imaging Standard 4500266 FL FLUOROSCOPY LESS THAN 1 HOUR 740 11/1/2017 CC_Imaging Standard 4500268 FL FLUOROSCOPY MORE THAN 1 HOUR 828 11/1/2017 CC_Imaging Standard 4500269 CT GUIDANCE FOR NEEDLE PLACEMENT 2641 11/1/2017 CC_Imaging Standard 4500270 XR ANKLE LEFT 2 VIEWS 424 11/1/2017 CC_Imaging Standard 4500271 XR ANKLE LEFT COMPLETE 496 11/1/2017 CC_Imaging Standard 4500272 US ARTERIAL DUPLEX LEFT LEG 1293 11/1/2017 CC_Imaging Standard 4500273 XR CLAVICLE LT 385 11/1/2017 CC_Imaging Standard 4500274 CT UPPER EXTREMITY LEFT W/O + W/IV 3345 11/1/2017 CC_Imaging Standard 4500275 CT UPPER EXTREMITY LEFT W/IV 2353 11/1/2017 CC_Imaging Standard 4500276 CT UPPER EXTREMITY LEFT W/O IV 2153 11/1/2017 CC_Imaging Standard 4500277 US VENOUS DOPPLER LEFT LEG 1180 11/1/2017 CC_Imaging Standard 4500278 US VENOUS DOPPLER LEFT ARM 1180 11/1/2017 CC_Imaging Standard 4500279 XR ELBOW LEFT 2 VIEWS 401 11/1/2017 CC_Imaging Standard 4500280 XR ELBOW LEFT COMPLETE 476 11/1/2017 CC_Imaging Standard 4500281 XR FEMUR LEFT 486 11/1/2017 CC_Imaging Standard 4500282 XR FINGER LEFT 389 11/1/2017 CC_Imaging Standard 4500283 XR FOOT LEFT 2 VIEWS 383 11/1/2017 CC_Imaging Standard 4500284 XR FOOT LEFT COMPLETE 455 11/1/2017 CC_Imaging Standard 4500285 XR FOREARM LEFT 376 11/1/2017 CC_Imaging Standard 4500286 XR HAND LEFT 2 VIEWS 449 11/1/2017 CC_Imaging Standard 4500287 XR HAND LEFT COMPLETE 485 11/1/2017 CC_Imaging Standard 4500288 XR HIP LEFT 1 VIEW 207 11/1/2017 CC_Imaging Standard 4500289 XR HIP LEFT WITH PELVIS 414 11/1/2017 CC_Imaging Standard 4500290 XR HUMERUS LEFT 416 11/1/2017 CC_Imaging Standard 4500291 XR KNEE LEFT 2 VIEWS 419 11/1/2017 CC_Imaging Standard 4500292 MR MRI KNEE LEFT W/O IV 2450 11/1/2017 CC_Imaging Standard 4500293 MR MRI ANKLE LEFT W/O IV 2450 11/1/2017 CC_Imaging Standard 4500294 MR MRI FEMUR LEFT W/O IV 2359 11/1/2017 CC_Imaging Standard 4500295 MR MRI FOOT LEFT W/O IV 2359 11/1/2017 CC_Imaging Standard 4500296 MR MRI TIBIA/FIBULA LEFT W/O IV 2359 11/1/2017 CC_Imaging Standard 4500297 MR MRI KNEE LEFT W/O + W/IV 3471 11/1/2017 CC_Imaging Standard 4500298 MR MRI ANKLE LEFT W/O + W/IV 3471 11/1/2017 CC_Imaging Standard 4500299 MR MRI ELBOW LEFT W/O IV 2455 11/1/2017 CC_Imaging Standard 4500300 MR MRI SHOULDER LEFT W/O IV 2455 11/1/2017 CC_Imaging Standard 4500301 MR MRI WRIST LEFT W/O IV 2455 11/1/2017 CC_Imaging Standard 4500302 MR MRI ELBOW LEFT W/O + W/IV 3022 11/1/2017 CC_Imaging Standard 4500303 MR MRI SHOULDER LEFT W/O + W/IV 3022 11/1/2017 CC_Imaging Standard 4500304 MR MRI WRIST LEFT W/O + W/IV 3022 11/1/2017 CC_Imaging Standard 4500305 MR MRI HUMERUS LEFT W/O IV 2292 11/1/2017 CC_Imaging Standard 4500306 MR MRI FOREARM LEFT W/O IV 2292 11/1/2017 CC_Imaging Standard 4500307 MR MRI HAND LEFT W/O IV 2292 11/1/2017 CC_Imaging Standard 4500308 MR MRI HUMERUS LEFT W/O + W/IV 3345 11/1/2017 CC_Imaging Standard 4500309 MR MRI FOREARM LEFT W/O + W/IV 3345 11/1/2017 CC_Imaging Standard 4500310 MR MRI HAND LEFT W/O + W/IV 3345 11/1/2017 CC_Imaging Standard 4500311 XR HEEL LEFT 373 11/1/2017 CC_Imaging Standard 4500312 XR RIBS LEFT NO CHEST 437 11/1/2017 CC_Imaging Standard 4500313 XR RIBS LEFT W/1 VIEW CHEST 628 11/1/2017 CC_Imaging Standard 4500314 XR SCAPULA LEFT 338 11/1/2017 CC_Imaging Standard 4500315 XR SHOULDER LEFT 1 VIEW 345 11/1/2017 CC_Imaging Standard 4500316 XR SHOULDER LEFT COMPLETE 455 11/1/2017 CC_Imaging Standard 4500317 XR TIBIA FIBULA LEFT 468 11/1/2017 CC_Imaging Standard 4500318 XR TOE LEFT 339 11/1/2017 CC_Imaging Standard 4500319 XR WRIST LEFT 2 VIEWS 398 11/1/2017 CC_Imaging Standard 4500320 MR MRI FEMUR LEFT W/O + W/IV 3471 11/1/2017 CC_Imaging Standard 4500321 MR MRI TIBIA/FIBULA LEFT W/O + W/IV 3471 11/1/2017 CC_Imaging Standard 4500322 MR MRI FOOT LEFT W/O + W/IV 3471 11/1/2017 CC_Imaging Standard 4500323 XR WRIST LEFT COMPLETE 493 11/1/2017 CC_Imaging Standard 4500324 XR KNEE RIGHT COMPLETE 486 11/1/2017 CC_Imaging Standard 4500325 NM NUCLEAR STRESS TEST 9550 11/1/2017 CC_Imaging Standard 4500326 NM BONE SCAN THREE PHASE 7013 11/1/2017 CC_Imaging Standard 4500327 NM BONE SCAN WHOLE BODY 5094 11/1/2017 CC_Imaging Standard 4500328 NM GASTRIC EMPTYING 6819 11/1/2017 CC_Imaging Standard 4500329 NM HIDA SCAN 6708 11/1/2017 CC_Imaging Standard 4500330 NM HIDA SCAN W/CCK 9099 11/1/2017 CC_Imaging Standard 4500331 NM MECKEL'S DIVERTICULUM 6729 11/1/2017 CC_Imaging Standard 4500332 NM MUGA SCAN 4629 11/1/2017 CC_Imaging Standard 4500333 NM PARATHYROID SCAN W/SPECT 8351 11/1/2017 CC_Imaging Standard 4500334 NM RENAL SCAN /LASIX 3555 11/1/2017 CC_Imaging Standard 4500335 NM THYROID UPTAKE AND SCAN 4900 11/1/2017 CC_Imaging Standard 4500336 NM LUNG VENTILATION/PERFUSION SCAN 6784 11/1/2017 CC_Imaging Standard 4500337 NM WBC LIMITED 3708 11/1/2017 CC_Imaging Standard 4500338 NM WBC WHOLE BODY 6757 11/1/2017 CC_Imaging Standard 4500339 NM GI BLEED SCAN 7062 11/1/2017 CC_Imaging Standard 4500340 NM RENAL SCAN 4712 11/1/2017 CC_Imaging Standard 4500341 NM BRAIN DEATH SCAN 3548 11/1/2017 CC_Imaging Standard 4500342 NM BRAIN SPECT SCAN 7124 11/1/2017 CC_Imaging Standard 4500344 NM GALLIUM SCAN 6757 11/1/2017 CC_Imaging Standard 4500345 NM LIVER SPECT SCAN 4276 11/1/2017 CC_Imaging Standard 4500346 NM LIVER SPLEEN SCAN 3936 11/1/2017 CC_Imaging Standard 4500347 NM LUNG PERFUSION 4844 11/1/2017 CC_Imaging Standard 4500348 NM LYMPHOSCINTOGRAPHY 7221 11/1/2017 CC_Imaging Standard 4500349 NM TESTICULAR SCAN 4324 11/1/2017 CC_Imaging Standard 4500350 CT C‐SPINE W/O + W/IV 4148 11/1/2017 CC_Imaging Standard 4500351 BD BONE DENSITY 539 11/1/2017 CC_Imaging Standard 4500352 MR MRI ORBITS W/O + W/IV 4386 11/1/2017 CC_Imaging Standard 4500353 MR MRI FACIAL SOFT TISSUE W/O + W/IV 4386 11/1/2017 CC_Imaging Standard 4500354 MR MRI NECK SOFT TISSUE W/O + W/IV 4386 11/1/2017 CC_Imaging Standard 4500355 MR MRA HEAD 2730 11/1/2017 CC_Imaging Standard 4500356 MR MRA/MRV HEAD 2978 11/1/2017 CC_Imaging Standard 4500357 MR MRA NECK W/O IV 2757 11/1/2017 CC_Imaging Standard 4500358 MR MRA CAROTID W/O IV 2757 11/1/2017 CC_Imaging Standard 4500359 MR MRA NECK W/O IV 2978 11/1/2017 CC_Imaging Standard 4500360 MR MRA CAROTID W/O IV 2978 11/1/2017 CC_Imaging Standard 4500361 MR MRI CHEST W/O + W/IV 3746 11/1/2017 CC_Imaging Standard 4500362 MR MRI BRACHIAL PLEXUS W/O + W/IV 3746 11/1/2017 CC_Imaging Standard 4500363 MR MRI PELVIS W/O IV 2178 11/1/2017 CC_Imaging Standard 4500364 MR MRI PELVIS W/HIP RIGHT W/O IV 2178 11/1/2017 CC_Imaging Standard 4500365 MR MRI PELVIS W/HIP LEFT W/O IV 2178 11/1/2017 CC_Imaging Standard 4500366 MR MRI PELVIS/SACRUM/SI JTS W/O IV 2178 11/1/2017 CC_Imaging Standard 4500367 MR MRI PELVIS W/O + W/IV 2999 11/1/2017 CC_Imaging Standard 4500368 MR MRI UTERUS W/O + W/IV 2999 11/1/2017 CC_Imaging Standard 4500369 MR MRI PROSTATE W/O + W/IV 2999 11/1/2017 CC_Imaging Standard 4500370 MR MRI UTERUS W/O + W/IV 2999 11/1/2017 CC_Imaging Standard 4500371 MR MRI HUMERUS RIGHT W/O IV 2292 11/1/2017 CC_Imaging Standard 4500372 MR MRI FOREARM RIGHT W/O IV 2292 11/1/2017 CC_Imaging Standard 4500373 MR MRI HAND RIGHT W/O IV 2292 11/1/2017 CC_Imaging Standard 4500374 MR MRI ELBOW RIGHT W/O + W/IV 3022 11/1/2017 CC_Imaging Standard 4500375 MR MRI SHOULDER RIGHT W/O + W/IV 3022 11/1/2017 CC_Imaging Standard 4500376 MR MRI WRIST RIGHT W/O + W/IV 3022 11/1/2017 CC_Imaging Standard 4500377 MR MRI FEMUR RIGHT W/O IV 2359 11/1/2017 CC_Imaging Standard 4500378 MR MRI FOOT RIGHT W/O IV 2359 11/1/2017 CC_Imaging Standard 4500379 MR MRI TIBIA/FIBULA RIGHT W/O IV 2359 11/1/2017 CC_Imaging Standard 4500381 MR MRI ABDOMEN W/O + W/IV 3746 11/1/2017 CC_Imaging Standard 4500382 MR MRI KIDNEYS W/O + W/IV 3746 11/1/2017 CC_Imaging Standard 4500383 MR MRI LIVER W/O + W/IV 3746 11/1/2017 CC_Imaging Standard 4500384 MR MRI PANCREAS W/O + W/IV 3746 11/1/2017 CC_Imaging Standard 4500385 MR MRI SPLEEN W/O + W/IV 3746 11/1/2017 CC_Imaging Standard 4500386 CT ANGIO CHEST 2200 11/1/2017 CC_Imaging Standard 4500387 CT PELVIS W/O IV + ORAL 1326 11/1/2017 CC_Imaging Standard 4500388 CT PELVIS W/O IV + NO ORAL 1326 11/1/2017 CC_Imaging Standard 4500389 CT PELVIS W/IV + ORAL 1542 11/1/2017 CC_Imaging Standard 4500390 CT PELVIS W/IV + NO ORAL 1542 11/1/2017 CC_Imaging Standard 4500391 CT PELVIS W/O + W/IV + ORAL 1817 11/1/2017 CC_Imaging Standard 4500392 CT PELVIS W/O + W/IV + NO ORAL 1817 11/1/2017 CC_Imaging Standard 4500393 XR PELVIS 342 11/1/2017 CC_Imaging Standard 4500394 ACR PHANTOM 0 11/1/2017 CC_Imaging Standard 4500395 CT CT LOW DOSE SCAN FOR LUNG CANCER SCREENIN 1664 3/19/2018 CC_Imaging Standard 4500396 XR HIPS BILATERAL WITH PELVIS 3‐4 VIEWS 439 11/1/2017 CC_Imaging Standard 4500397 XR HIPS BILATERAL WITH PELVIS MIN 5 VIEWS 495 11/1/2017 CC_Imaging Standard 4500398 US BREAST RIGHT COMPLETE 668 11/1/2017 CC_Imaging Standard 4500399 US BREAST LEFT COMPLETE 668 11/1/2017 CC_Imaging Standard 4500400 US BREAST LIMITED 401 11/1/2017 CC_Imaging Standard 4500401 NM WBC SPECT 8351 11/1/2017 CC_Imaging Standard 4500402 MA SURGICAL SPECIMEN IMAGING 498 8/1/2018 CC_Imaging Standard 4500403 EC ECHOCARDIOGRAM REST/STRESS 2347 9/1/2018 CC_Imaging Standard 4500404 ANKLE BRACHIAL INDEX 1176 11/1/2018 CC_Imaging Standard 4500405 NM PARATHYROID SCAN 6098 11/1/2018 CC_Imaging Standard 4500406 XR KNEE RIGHT 3 VIEWS 546 11/1/2018 CC_Imaging Standard 4500407 XR KNEE LEFT 3 VIEWS 546 11/1/2018 CC_Imaging Standard 4600001 WOUND CARE NURSE VISIT 155 11/1/2017 Wound Care Standard 4600002 DEBRIDEMENT <20 SQ CM WC 483 11/1/2017 Wound Care Standard 4600003 DEBRIDEMENT EA ADD 20 SQ CM 452 11/1/2017 Wound Care Standard 4600004 WOUND VAC <50 CM 338 11/1/2017 Wound Care Standard 4600005 WOUND VAC >50 CM 400 11/1/2017 Wound Care Standard 4600006 UNNA BOOT APPLICATION 381 11/1/2017 Wound Care Standard 4600007 NONSELECT DEBRIDEMENT ‐ ASSESSMENT 281 11/1/2017 Wound Care Standard 4600008 BURN DRESS/DEBRIDE SMALL < 5% BSA 165 11/1/2017 Wound Care Standard 4600009 BURN DRESS/DEBRIDE MED 5‐10% BSA 341 11/1/2017 Wound Care Standard 4600010 BURN DRESS/DEBRIDE LG > 10% BSA 410 11/1/2017 Wound Care Standard 4600011 DEBRIDEMENT EXTENSIVE <= 10% BSA 569 11/1/2017 Wound Care Standard 4600012 APPLY SKIN SUB GRAFT TRNK/EXT<= 25 SQ CM 3300 11/1/2017 Wound Care Standard 4600013 APPLY SKIN SUB GRAFT EACH ADDTL 25 SQ CM 2240 11/1/2017 Wound Care Standard 4600014 APPLY EPIFIX FC/NK/HN/FT<= 25 SQ CM 3300 11/1/2017 Wound Care Standard 4600015 APPLY EPIFIX FC/NK/HN/FT EA ADD 25 SQ CM 2240 11/1/2017 Wound Care Standard 4600016 E&M INITIAL 10 MIN W/DOC 133 11/1/2017 Wound Care Standard 4600017 E&M INITIAL 20 MIN W/DOC 250 11/1/2017 Wound Care Standard 4600018 E&M INITIAL 30 MIN W/DOC 380 11/1/2017 Wound Care Standard 4600019 E&M INITIAL 45 MIN W/DOC 642 11/1/2017 Wound Care Standard 4600020 E&M INITIAL 60 MIN W/DOC 837 11/1/2017 Wound Care Standard 4600021 E&M SUB 10 MIN W/DOC 126 11/1/2017 Wound Care Standard 4600022 E&M SUB 15 MIN W/DOC 252 11/1/2017 Wound Care Standard 4600023 E&M SUB 25 MIN W/DOC 389 11/1/2017 Wound Care Standard 4600024 E&M SUB 40 MIN W/DOC 550 11/1/2017 Wound Care Standard 4600025 E&M INITIAL 10 MIN W/DOC MOD25 133 11/1/2017 Wound Care Standard 4600026 E&M INITIAL 20 MIN W/DOC MOD25 250 11/1/2017 Wound Care Standard 4600027 E&M INITIAL 30 MIN W/DOC MOD25 380 11/1/2017 Wound Care Standard 4600028 E&M INITIAL 45 MIN W/DOC MOD25 642 11/1/2017 Wound Care Standard 4600029 E&M INITIAL 60 MIN W/DOC MOD25 837 11/1/2017 Wound Care Standard 4600030 E&M SUB 10 MIN W/DOC MOD25 126 11/1/2017 Wound Care Standard 4600031 E&M SUB 15 MIN W/DOC MOD25 252 11/1/2017 Wound Care Standard 4600032 E&M SUB 25 MIN W/DOC MOD25 389 11/1/2017 Wound Care Standard 4600033 E&M SUB 40 MIN W/DOC MOD25 550 11/1/2017 Wound Care Standard 4800001 PACU 660 11/1/2017 CC_Pacu Standard 4900001 OR APPENDECTOMY LAPAROSCOPIC 11435 11/1/2017 CC_OR Facility FeeStandard 4900002 OR APPENDECTOMY OPEN RUPTURED 15192 11/1/2017 CC_OR Facility FeeStandard 4900003 OR ARTHROPLASTY TOTAL HIP 9500 11/1/2017 CC_OR Facility FeeStandard 4900004 OR ARTHROPLASTY TOTAL KNEE 14500 11/1/2017 CC_OR Facility FeeStandard 4900005 OR ARTHROSCOPY JOINT UNLISTED 9000 11/1/2017 CC_OR Facility FeeStandard 4900006 OR ARTHROSCOPY KNEE DEBR W/MENISCECTOMY 8229 11/1/2017 CC_OR Facility FeeStandard 4900007 OR ARTHROSCOPY KNEE DIAG W/MENISCECTOMY 7141 11/1/2017 CC_OR Facility FeeStandard 4900008 OR ARTHROSCOPY SHLDR W/CLAVICULECTOMY 6585 11/1/2017 CC_OR Facility FeeStandard 4900009 OR ARTHROSCOPY SHLDR W/CORACOACROMIAL 5071 11/1/2017 CC_OR Facility FeeStandard 4900010 OR ARTHROSCOPY SHLDR W/ROT CUFF REPAIR 7988 11/1/2017 CC_OR Facility FeeStandard 4900011 OR ARTHROSCOPY SHOULDER DEBRIDE EXT 7698 11/1/2017 CC_OR Facility FeeStandard 4900012 OR ARTHROSCOPY SHOULDER DEBRIDE LIMITED 7580 11/1/2017 CC_OR Facility FeeStandard 4900013 OR ARTHROTOMY AC/SC JOINT 9780 11/1/2017 CC_OR Facility FeeStandard 4900014 OR ARTHROTOMY GLENOHUMERAL JOINT 12360 11/1/2017 CC_OR Facility FeeStandard 4900015 OR ARTHROTOMY KNEE W/ EXPLORATION 6858 11/1/2017 CC_OR Facility FeeStandard 4900016 OR BILIARY TRACT UNLISTED PROCEDURE 4500 11/1/2017 CC_OR Facility FeeStandard 4900017 OR BX/EXC LYMPH NODE OPEN DEEP CERVICAL 6571 11/1/2017 CC_OR Facility FeeStandard 4900018 OR CHOLECYSTECTOMY LAPAROSCOPIC 11233 11/1/2017 CC_OR Facility FeeStandard 4900019 OR CLAVICULECTOMY PARTIAL 5546 11/1/2017 CC_OR Facility FeeStandard 4900020 OR COLECTOMY PARTIAL W/ ANASTOMOSIS 21632 11/1/2017 CC_OR Facility FeeStandard 4900021 OR COLONOSCOPY DIAGNOSTIC 3492 11/1/2017 CC_OR Facility FeeStandard 4900022 OR COLONOSCOPY W/ SINGLE OR MULTI BIOPSY 3498 11/1/2017 CC_OR Facility FeeStandard 4900023 OR COLONOSCOPY W/REMOVAL BY HOT FORCEPS 2793 11/1/2017 CC_OR Facility FeeStandard 4900024 OR COLONOSCOPY W/REMOVAL BY SNARE 2894 11/1/2017 CC_OR Facility FeeStandard 4900025 OR COMPLETE REPLACEMENT PORT‐A‐CATH 5342 11/1/2017 CC_OR Facility FeeStandard 4900026 OR COMPUTER ASSIST NAV PROC W/O IMAGES 0 11/1/2017 CC_OR Facility FeeStandard 4900027 OR CORRECTION BUNIONECTOMY W/DBL OSTEO 7984 11/1/2017 CC_OR Facility FeeStandard 4900028 OR CORRECTION HAMMERTOE 3984 11/1/2017 CC_OR Facility FeeStandard 4900029 OR DEBRIDE MUSC/FASCIA <= 20 SQ CM 2768 11/1/2017 CC_OR Facility FeeStandard 4900030 OR DEBRIDE SUBCUT TISSUE <= 20 SQ CM 2641 11/14/2017 CC_OR Facility FeeStandard 4900031 OR DESTRUCT ANAL LESION SIMPLE SURG EXC 5520 11/1/2017 CC_OR Facility FeeStandard 4900032 OR DRESSING CHANGE W/ ANES 810 11/1/2017 CC_OR Facility FeeStandard 4900033 OR EGD DIAGNOSTIC 3422 11/1/2017 CC_OR Facility FeeStandard 4900034 OR EGD DIAGNOSTIC W/ BIOPSY 2800 11/1/2017 CC_OR Facility FeeStandard 4900035 OR EGD W/ ESOPHAGEAL DILATION 3216 3/1/2018 CC_OR Facility FeeStandard 4900036 OR ENTERECTOMY SINGLE RESECTION 21276 11/1/2017 CC_OR Facility FeeStandard 4900037 OR ESOPHAGOSCOPY FLEX W/ BIOPSY 1818 11/1/2017 CC_OR Facility FeeStandard 4900038 OR EXC FACE BENIGN >4.0CM 3850 11/1/2017 CC_OR Facility FeeStandard 4900039 OR EXC FACE MALIG >4.0CM 6161 1/26/2018 CC_OR Facility FeeStandard 4900040 OR EXC INTERDIGITAL NEUROMA SINGLE 6132 11/1/2017 CC_OR Facility FeeStandard 4900041 OR EXC SC/NK/HN/FT/GEN BENIGN >4.0CM 5848 11/1/2017 CC_OR Facility FeeStandard 4900042 OR EXC SC/NK/HN/FT/GEN BENIGN 3.1‐4.0CM 5499 11/17/2017 CC_OR Facility FeeStandard 4900043 OR EXC SC/NK/HN/FT/GEN MALIG >4.0CM 4766 11/1/2017 CC_OR Facility FeeStandard 4900044 OR EXC SC/NK/HN/FT/GEN MALIG 3.1‐4.0CM 3379 1/26/2018 CC_OR Facility FeeStandard 4900045 OR EXC SOFT TIS ABD WALL <5CM 9762 11/1/2017 CC_OR Facility FeeStandard 4900046 OR EXC SOFT TIS NECK/ANT THRX <3CM 5205 11/1/2017 CC_OR Facility FeeStandard 4900047 OR EXC SOFT TIS NECK/ANT THRX >=3CM 6102 11/1/2017 CC_OR Facility FeeStandard 4900048 OR EXC TRNK/ARM/LEG BENIGN >4.0CM 4572 11/1/2017 CC_OR Facility FeeStandard 4900049 OR EXC TRNK/ARM/LEG BENIGN 2.1‐3.0CM 3600 11/1/2017 CC_OR Facility FeeStandard 4900050 OR EXC TRNK/ARM/LEG BENIGN 3.1‐4.0CM 3864 11/1/2017 CC_OR Facility FeeStandard 4900051 OR EXC TRNK/ARM/LEG MALIG >4.0CM 4234 11/1/2017 CC_OR Facility FeeStandard 4900052 OR EXC TRNK/ARM/LEG MALIG 3.1‐4.0CM 3217 11/1/2017 CC_OR Facility FeeStandard 4900053 OR EXC TUMOR LEG/ANKLE SUBCUT >3CM 5319 11/1/2017 CC_OR Facility FeeStandard 4900054 OR FASCIOTOMY FOOT/TOE 4248 12/4/2017 CC_OR Facility FeeStandard 4900055 OR FX FEMORAL PERC SKEL FIX PROX END/NEC 8734 11/1/2017 CC_OR Facility FeeStandard 4900056 OR FX TX FEMUR SUBTROCHANTERIC W/IMPLANT 7780 1/3/2018 CC_OR Facility FeeStandard 4900057 OR HEMORR INT 2+ COLUMNS/GROUPS 8430 11/1/2017 CC_OR Facility FeeStandard 4900058 OR HEMORR INT SINGLE COLUMN/GROUP 4833 11/1/2017 CC_OR Facility FeeStandard 4900059 OR HEMORR INT/EXT 2+ COLUMNS/GROUPS 8082 11/1/2017 CC_OR Facility FeeStandard 4900060 OR HEMORR INT/EXT SINGLE COLUMN/GROUP 7268 11/1/2017 CC_OR Facility FeeStandard 4900061 OR I&D ABSCESS ISCHIORECTAL/PERIRECTAL 6267 11/1/2017 CC_OR Facility FeeStandard 4900062 OR I&D ABSCESS PERIANAL SUPERFICIAL 5387 11/1/2017 CC_OR Facility FeeStandard 4900063 OR I&D ABSCESS VULVA OR PERINEAL 1854 11/1/2017 CC_OR Facility FeeStandard 4900064 OR I&D HEMATOMA FLUID 5477 11/1/2017 CC_OR Facility FeeStandard 4900065 OR I&D PILONIDAL CYST SIMPLE 1764 3/1/2018 CC_OR Facility FeeStandard 4900066 OR IMPLANT REMOVAL DEEP 6774 11/1/2017 CC_OR Facility FeeStandard 4900067 OR INCISION BONE CORTEX 4254 11/1/2017 CC_OR Facility FeeStandard 4900068 OR INSERTION OF IVC FILTER 8118 3/19/2017 CC_OR Facility FeeStandard 4900069 OR LIGATION/BX TEMPORAL ARTERY 6727 11/1/2017 CC_OR Facility FeeStandard 4900070 OR LIGATION/DIVISION LONG SAPHENOUS VEIN 7266 11/1/2017 CC_OR Facility FeeStandard 4900071 OR LYMPH NODE BIOPSY OPEN SUPERFICIAL 5277 1/26/2018 CC_OR Facility FeeStandard 4900072 OR LYMPHADENECTOMY INGUINOFEMORAL 14628 11/1/2017 CC_OR Facility FeeStandard 4900073 OR MANIP KNEE JOINT W/ ANES 3124 11/1/2017 CC_OR Facility FeeStandard 4900074 OR MESH/PROSTHESIS IMPLANT 3605 11/1/2017 CC_OR Facility FeeStandard 4900075 OR METATARSECTOMY 5887 11/1/2017 CC_OR Facility FeeStandard 4900076 OR MOBILIZATION OF SPLENIC FLEXURE 2118 11/1/2017 CC_OR Facility FeeStandard 4900077 OR NEUROPLASTY MED NERVE CARPAL TUNNEL 4769 11/1/2017 CC_OR Facility FeeStandard 4900078 OR OPEN FX TX BIMALLEOLAR ANKLE 13265 11/1/2017 CC_OR Facility FeeStandard 4900079 OR OPEN FX TX CLAVICLE 13928 11/1/2017 CC_OR Facility FeeStandard 4900080 OR OPEN FX TX DISTAL FIBULA 10643 11/1/2017 CC_OR Facility FeeStandard 4900081 OR OPEN FX TX DISTAL TIBIOFIBULAR JOINT 7892 11/1/2017 CC_OR Facility FeeStandard 4900082 OR OPEN FX TX FEMUR PROX END/NECK W/FIX 20700 1/3/2018 CC_OR Facility FeeStandard 4900083 OR OPEN FX TX HUMERAL CONDYLAR 13362 11/1/2017 CC_OR Facility FeeStandard 4900084 OR OPEN FX TX KNEE INTERCONDYLAR SPINE 13998 12/26/2018 CC_OR Facility FeeStandard 4900085 OR OPEN FX TX PROX HUMERUS 16341 11/1/2017 CC_OR Facility FeeStandard 4900086 OR OPEN FX TX PROX TIBIA BICONDYLAR 13416 11/1/2017 CC_OR Facility FeeStandard 4900087 OR OPEN FX TX RADIAL 2 FRAGMENTS 12081 11/1/2017 CC_OR Facility FeeStandard 4900088 OR OPEN FX TX RADIAL 3+ FRAGMENTS 12103 11/1/2017 CC_OR Facility FeeStandard 4900089 OR OPEN FX TX RADIAL SHAFT 13518 11/1/2017 CC_OR Facility FeeStandard 4900090 OR OPEN FX TX RADIUS & ULNA 17305 3/6/2018 CC_OR Facility FeeStandard 4900091 OR OPEN FX TX TRIMALL ANKLE W/O FIX LIP 14347 11/1/2017 CC_OR Facility FeeStandard 4900092 OR OPEN FX TX ULNAR PROXIMAL END 13693 11/1/2017 CC_OR Facility FeeStandard 4900093 OR OPEN FX TX ULNAR SHAFT W/ INT FIX 12603 2/13/2018 CC_OR Facility FeeStandard 4900094 OR OSTECTOMY FIFTH METATARSAL HEAD 4430 11/1/2017 CC_OR Facility FeeStandard 4900095 OR PARTIAL EXC BONE TALUS/CALCANEUS 6257 12/4/2017 CC_OR Facility FeeStandard 4900096 OR PARTIAL EXC BONE TARSAL/METATARSAL 5012 11/13/2017 CC_OR Facility FeeStandard 4900097 OR PORT‐A‐CATH INSERTION 7440 11/1/2017 CC_OR Facility FeeStandard 4900098 OR REMOVE FB FOOT SUBCUTANEOUS 4113 11/1/2017 CC_OR Facility FeeStandard 4900099 OR REPAIR ABD WALL SECONDARY 14130 11/1/2017 CC_OR Facility FeeStandard 4900100 OR REPAIR COMPLEX FC/HN/FT/GEN 1.1‐2.5CM 4338 11/1/2017 CC_OR Facility FeeStandard 4900101 OR REPAIR HERNIA EPIGASTRIC REDUCIBLE 7218 12/1/2017 CC_OR Facility FeeStandard 4900102 OR REPAIR HERNIA INCISIONAL/VENT INC/STR 5565 11/1/2017 CC_OR Facility FeeStandard 4900103 OR REPAIR HERNIA INCISIONAL/VENT REDUC 6931 11/1/2017 CC_OR Facility FeeStandard 4900104 OR REPAIR HERNIA INGUINAL INC/STR >5YRS 9719 11/1/2017 CC_OR Facility FeeStandard 4900105 OR REPAIR HERNIA INGUINAL REDUCIBLE 8876 11/1/2017 CC_OR Facility FeeStandard 4900106 OR REPAIR HERNIA LAPAROSCOPIC INC/STR 10690 11/1/2017 CC_OR Facility FeeStandard 4900107 OR REPAIR HERNIA LAPAROSCOPIC REDUCIBLE 12591 11/1/2017 CC_OR Facility FeeStandard 4900108 OR REPAIR HERNIA REC INGUINAL INC/STR 10020 11/15/2017 CC_OR Facility FeeStandard 4900109 OR REPAIR HERNIA REC INGUINAL REDUCIBLE 9309 11/1/2017 CC_OR Facility FeeStandard 4900110 OR REPAIR HERNIA UMBILICAL INC/STR >5YRS 7146 11/1/2017 CC_OR Facility FeeStandard 4900111 OR REPAIR HERNIA UMBILICAL REDUC >5YRS 7216 11/1/2017 CC_OR Facility FeeStandard 4900112 OR REPAIR INTERM FACE 2.6‐5.0CM 2299 11/1/2017 CC_OR Facility FeeStandard 4900113 OR REPAIR INTERM FACE 5.1‐7.5CM 3774 1/26/2018 CC_OR Facility FeeStandard 4900114 OR REPAIR INTERM NCK/HND/FT 2.6‐7.5CM 2050 11/1/2017 CC_OR Facility FeeStandard 4900115 OR REPAIR INTERM SC/TRNK/EXT 2.6‐7.5CM 1621 11/1/2017 CC_OR Facility FeeStandard 4900116 OR REPAIR INTERM SC/TRNK/EXTR 20.1‐30CM 4818 11/1/2017 CC_OR Facility FeeStandard 4900117 OR REPAIR INTERM SC/TRNK/EXTR 7.6‐12.5CM 1503 11/1/2017 CC_OR Facility FeeStandard 4900118 OR REPAIR RUPT ACHILLES TENDON PRIMARY 8193 11/1/2017 CC_OR Facility FeeStandard 4900119 OR REPAIR RUPTURED ROT CUFF OPEN ACUTE 12044 11/1/2017 CC_OR Facility FeeStandard 4900120 OR REPAIR RUPTURED ROT CUFF OPEN CHRONIC 10316 11/1/2017 CC_OR Facility FeeStandard 4900121 OR REVISION ARTHROPLASTY TOTAL HIP 10500 1/31/2018 CC_OR Facility FeeStandard 4900122 OR REVISION ARTHROPLASTY TOTAL KNEE 15500 11/1/2017 CC_OR Facility FeeStandard 4900123 OR SESAMODIECTOMY 1ST TOE 4483 11/1/2017 CC_OR Facility FeeStandard 4900124 OR SHOULDER JT MANIP W/ ANES 4757 1/16/2018 CC_OR Facility FeeStandard 4900125 OR SIGMOIDOSCOPY DIAGNOSTIC 4266 11/1/2017 CC_OR Facility FeeStandard 4900126 OR SIGMOIDOSCOPY W/ BIOPSY 3161 11/1/2017 CC_OR Facility FeeStandard 4900127 OR STAB PHLEB VEINS 10‐20 STAB INCISIONS 8535 11/1/2017 CC_OR Facility FeeStandard 4900128 OR TENOTOMY OPEN EXT FOOT/TOE EA TENDON 2410 11/1/2017 CC_OR Facility FeeStandard 4900129 OR TENOTOMY OPEN TENDON FLEXOR FOOT 4060 11/13/2017 CC_OR Facility FeeStandard 4900130 OR UNLISTED ABD PROCEDURE 9000 11/1/2017 CC_OR Facility FeeStandard 4900131 OR UNLISTED ANUS PROCEDURE 4500 11/1/2017 CC_OR Facility FeeStandard 4900132 OR UNLISTED FOOT/TOES PROCEDURE 5028 11/1/2017 CC_OR Facility FeeStandard 4900133 OR UNLISTED PROC HANDS/FINGERS 4500 11/1/2017 CC_OR Facility FeeStandard 4900134 OR WOUND VAC APP <50CM 2277 11/1/2017 CC_OR Facility FeeStandard 4900135 OR EX GANGLION WRIST PRIMARY 6212 12/1/2018 CC_OR Facility FeeStandard 5000001 FAC FINE NEEDLE ASPIRATION W/O IMAGING 380 3/1/2018 CC_Surgery Clinic Standard 5000002 FAC I&D ABSCESS SINGLE SIMPLE 114 3/1/2018 CC_Surgery Clinic Standard 5000003 FAC I&D ABSCESS MULTIPLE COMPLEX 426 3/1/2018 CC_Surgery Clinic Standard 5000004 FAC REMOVE FB SUBCUT SIMPLE 323 3/1/2018 CC_Surgery Clinic Standard 5000005 FAC I&D HEMATOMA FLUID 1468 3/1/2018 CC_Surgery Clinic Standard 5000006 FAC DEBRIDE SUBCUT TISSUE <= 20 SQ CM 724 3/1/2018 CC_Surgery Clinic Standard 5000007 FAC PUNCH BIOPSY FIRST 670 3/1/2018 CC_Surgery Clinic Standard 5000008 FAC PUNCH BIOPSY EA ADDTL 171 3/1/2018 CC_Surgery Clinic Standard 5000009 FAC SKIN TAG REMOVAL MULTI <= 15 LESIONS 863 3/1/2018 CC_Surgery Clinic Standard 5000010 FAC EXC TRNK/ARM/LEG BENIGN <=0.5CM 966 3/1/2018 CC_Surgery Clinic Standard 5000011 FAC EXC TRNK/ARM/LEG BENIGN 0.6‐1.0CM 975 3/1/2018 CC_Surgery Clinic Standard 5000012 FAC EXC TRNK/ARM/LEG BENIGN 1.1‐2.0CM 837 3/1/2018 CC_Surgery Clinic Standard 5000013 FAC EXC TRNK/ARM/LEG BENIGN 2.1‐3.0CM 1015 3/1/2018 CC_Surgery Clinic Standard 5000014 FAC EXC TRNK/ARM/LEG BENIGN 3.1‐4.0CM 1098 3/1/2018 CC_Surgery Clinic Standard 5000015 FAC EXC TRNK/ARM/LEG BENIGN >4.0CM 1363 3/1/2018 CC_Surgery Clinic Standard 5000016 FAC EXC SC/NK/HN/FT/GEN BENIGN 0.6‐1.0CM 1066 3/1/2018 CC_Surgery Clinic Standard 5000017 FAC EXC SC/NK/HN/FT/GEN BENIGN 2.1‐3.0CM 1226 3/1/2018 CC_Surgery Clinic Standard 5000018 FAC EXC FACE BENIGN 0.6‐1.0CM 720 3/1/2018 CC_Surgery Clinic Standard 5000019 FAC EXC FACE BENIGN 1.1‐2.0CM 805 3/1/2018 CC_Surgery Clinic Standard 5000020 FAC EXC FACE BENIGN 3.1‐4.0CM 1317 3/1/2018 CC_Surgery Clinic Standard 5000021 FAC EXC TRNK/ARM/LEG MALIG 0.6‐1.0CM 875 3/1/2018 CC_Surgery Clinic Standard 5000022 FAC EXC TRNK/ARM/LEG MALIG 1.1‐2.0CM 793 3/1/2018 CC_Surgery Clinic Standard 5000023 FAC EXC TRNK/ARM/LEG MALIG 2.1‐3.0CM 845 3/1/2018 CC_Surgery Clinic Standard 5000024 FAC EXC TRNK/ARM/LEG MALIG 3.1‐4.0CM 1003 3/1/2018 CC_Surgery Clinic Standard 5000025 FAC EXC TRNK/ARM/LEG MALIG >4.0CM 1372 3/1/2018 CC_Surgery Clinic Standard 5000026 FAC EXC SC/NK/HN/FT/GEN MALIG 0.6‐1.0CM 1391 3/1/2018 CC_Surgery Clinic Standard 5000027 FAC EXC SC/NK/HN/FT/GEN MALIG 1.1‐2.0CM 1134 3/1/2018 CC_Surgery Clinic Standard 5000028 FAC EXC SC/NK/HN/FT/GEN MALIG 3.1‐4.0CM 1071 3/1/2018 CC_Surgery Clinic Standard 5000029 FAC EXC SC/NK/HN/FT/GEN MALIG >4.0CM 1480 3/1/2018 CC_Surgery Clinic Standard 5000030 FAC EXC FACE MALIG 1.1‐2.0CM 1456 3/1/2018 CC_Surgery Clinic Standard 5000031 FAC EXC FACE MALIG 3.1‐4.0CM 1665 3/1/2018 CC_Surgery Clinic Standard 5000032 FAC REPAIR SIMPLE SC/TRNK/EXTR 2.5CM/< 730 3/1/2018 CC_Surgery Clinic Standard 5000033 FAC REPAIR INTERM SC/TRNK/EXT 2.6‐7.5CM 563 3/1/2018 CC_Surgery Clinic Standard 5000034 FAC REPAIR INTERM FACE =<2.5CM 865 3/1/2018 CC_Surgery Clinic Standard 5000035 FAC EXC BREAST LESION 1 OR MORE 1842 3/1/2018 CC_Surgery Clinic Standard 5000036 FAC ARTHROCENTESIS INJ/ASPIR SMALL JOINT 697 3/1/2018 CC_Surgery Clinic Standard 5000037 FAC ARTHROCENTESIS INJ/ASPIR INTERM JT 446 3/1/2018 CC_Surgery Clinic Standard 5000038 FAC ARTHROCENTESIS INJ/ASPIR MAJOR JOINT 233 3/1/2018 CC_Surgery Clinic Standard 5000039 FAC BIOPSY SFT TISSUE BK/FLNK SUPERFICIA 824 3/1/2018 CC_Surgery Clinic Standard 5000040 FAC EXC SOFT TIS ABD WALL >=5 CM 3365 3/1/2018 CC_Surgery Clinic Standard 5000041 FAC CL FX TX CLAVICLE W/O MANIP 320 3/1/2018 CC_Surgery Clinic Standard 5000042 FAC CL FX TX CLAVICLE W/ MANIP 480 3/1/2018 CC_Surgery Clinic Standard 5000043 FAC CL FX TX SCAPULAR W/O MANIP 343 3/1/2018 CC_Surgery Clinic Standard 5000044 FAC CL FX TX PROX HUMERUS W/O MANIP 442 3/1/2018 CC_Surgery Clinic Standard 5000045 FAC CL FX TX HUM TUBEROSITY W/O MANIP 365 3/1/2018 CC_Surgery Clinic Standard 5000046 FAC CL FX TX RADIAL HEAD/NECK W/O MANIP 345 3/1/2018 CC_Surgery Clinic Standard 5000047 FAC CL FX TX DISTAL RADIAL W/O MANIP 446 3/1/2018 CC_Surgery Clinic Standard 5000048 FAC CL FX TX DISTAL RADIAL W/ MANIP 745 3/1/2018 CC_Surgery Clinic Standard 5000049 FAC EXC SOFT TIS THIGH/KNEE >=3CM 2080 3/1/2018 CC_Surgery Clinic Standard 5000050 FAC CL FX TX PROX TIBIA W/O MANIP 399 3/1/2018 CC_Surgery Clinic Standard 5000051 FAC EXC TUMOR LEG/ANKLE SUBCUT >3CM 1699 3/1/2018 CC_Surgery Clinic Standard 5000052 FAC CL FX TX PROX FIBULA W/O MANIP 397 3/1/2018 CC_Surgery Clinic Standard 5000053 FAC CL FX TX DISTAL FIBULA W/O MANIP 408 3/1/2018 CC_Surgery Clinic Standard 5000054 FAC CL FX TX BIMALLEOLAR ANKLE W/O MANIP 432 3/1/2018 CC_Surgery Clinic Standard 5000055 FAC CL FX TX BIMALLEOLAR ANKLE W/ MANIP 613 3/1/2018 CC_Surgery Clinic Standard 5000056 FAC CL FX TX METATARSAL W/O MANIP 295 3/1/2018 CC_Surgery Clinic Standard 5000057 FAC CL FX TX METATARSAL W/ MANIP 328 3/1/2018 CC_Surgery Clinic Standard 5000058 FAC CL FX TX PHALANX W/O MANIP 180 3/1/2018 CC_Surgery Clinic Standard 5000059 FAC STAB PHLEB VEINS 10‐20 STAB INCISION 2616 3/1/2018 CC_Surgery Clinic Standard 5000060 FAC TONGUE BIOPSY POSTERIOR ONE‐THIRD 571 3/1/2018 CC_Surgery Clinic Standard 5000061 FAC I&D ABCESS PERIANAL SUPERFICIAL 1424 3/1/2018 CC_Surgery Clinic Standard 5000062 FAC INCISION OF THROMB HEMORRHOID EXT 537 3/1/2018 CC_Surgery Clinic Standard 5000063 FAC EXC ANUS SNGLE EXT PAPILLA/TAG 1206 3/1/2018 CC_Surgery Clinic Standard 5000064 FAC BIOPSY VULVA/PERINEUM 1 LESION 709 3/1/2018 CC_Surgery Clinic Standard 5000065 FAC I&D HEMATOMA VAGINAL NON‐OB 1644 3/1/2018 CC_Surgery Clinic Standard 5000066 FAC DEBRIDEMENT <20 SQ CM 599 3/1/2018 CC_Surgery Clinic Standard 91000001 SCREW CANN 7X85 16MM THREAD 829 4/1/2018 CC_Central SupplyStandard 91000002 SCREW CANN 7X80 16MM THREAD 829 4/1/2018 CC_Central SupplyStandard 91000003 SCREW CANN 7X95 16MM THREAD 829 4/1/2018 CC_Central SupplyStandard 91000004 FEMORAL KNEE POSTERIOR 3200 4/1/2018 CC_Central SupplyStandard 91000005 BASEPLATE UNIVERSAL TIBIAL 2800 4/1/2018 CC_Central SupplyStandard 91000006 INSERT TIBIAL BEARING 6X9 2001 4/1/2018 CC_Central SupplyStandard 91000007 PATELLA ASYMMETRIC SZ A38X11 1500 4/1/2018 CC_Central SupplyStandard 91000008 PIN FLUTED HEADLESS 1200 4/1/2018 CC_Central SupplyStandard 91000009 SHELL HEMISPHERICAL CLUSTER 56MM 2800 4/1/2018 CC_Central SupplyStandard 91000010 INSERT POLYETHYLENE 36MM 2200 4/1/2018 CC_Central SupplyStandard 91000011 FEMORAL HEAD CERAMIC V40 36MM 1401 4/1/2018 CC_Central SupplyStandard 91000012 HIP STEM NECK ANGLE SIZE 7 4800 4/1/2018 CC_Central SupplyStandard 91000013 SCREW CANCELLOUS BONE 6.5MM X 25 351 4/1/2018 CC_Central SupplyStandard 91000014 SHELL CLUSTER HOLE 50MM D 2800 4/1/2018 CC_Central SupplyStandard 91000015 INSERT POLYETHYLENE 32MM 2200 4/1/2018 CC_Central SupplyStandard 91000016 HIP STEM 132 NECK ANGLE #8 4800 4/1/2018 CC_Central SupplyStandard 91000017 FEMORAL HEAD CERAMIC V40 32MM 2200 4/1/2018 CC_Central SupplyStandard 91000018 SCREW BONE CANCELLOUS 6.5MM 351 4/1/2018 CC_Central SupplyStandard 91000019 FEMORAL POSTERIOR STABILIZED 3200 4/1/2018 CC_Central SupplyStandard 91000020 BASEPLATE UNIVERSAL TIBIA #3 2800 4/1/2018 CC_Central SupplyStandard 91000021 INSERT TIBIAL BEARING #3 2001 4/1/2018 CC_Central SupplyStandard 91000022 PATELLA ASYMETRIC A32 1200 4/1/2018 CC_Central SupplyStandard 91000024 SHELL CLUSTER HOLE 58MM 2800 4/1/2018 CC_Central SupplyStandard 91000026 INSERT POLYETHYLENE 36MM F 2401 4/1/2018 CC_Central SupplyStandard 91000027 HIP STEM 127 NECK ANGLE #8 6001 4/1/2018 CC_Central SupplyStandard 91000028 FEMORAL POSTERIOR STABILIZED #7 4801 4/1/2018 CC_Central SupplyStandard 91000029 BASEPLATE UNIVERSAL TIBIAL #7 2800 4/1/2018 CC_Central SupplyStandard 91000030 INSERT TIBIAL BEARING PS #7 2001 4/1/2018 CC_Central SupplyStandard 91000031 PATELLA ASYMMETRIC #A40 1251 4/1/2018 CC_Central SupplyStandard 91000032 KNEE TOTAL CEMENTED STEM #12MM 2257 4/1/2018 CC_Central SupplyStandard 91000033 FEMORAL POSTERIOR STABILIZED #4 3200 4/1/2018 CC_Central SupplyStandard 91000034 BASEPLATE UNIVERSAL TIBIAL #4 2801 4/1/2018 CC_Central SupplyStandard 91000035 INSERT BEARING TIBIAL‐PS #4 2201 4/1/2018 CC_Central SupplyStandard 91000036 FEMORAL POSTERIOR STABILIZED #4 RT 3201 4/1/2018 CC_Central SupplyStandard 91000037 INSERT BEARING TIBIAL PS #4X9MM 2200 4/1/2018 CC_Central SupplyStandard 91000038 ANCHOR SUTURE HEALICOIL 998 4/1/2018 CC_Central SupplyStandard 91000039 ANCHOR MULTIIX 5.5MM KNOTLESS FIXATION 1063 4/1/2018 CC_Central SupplyStandard 91000047 FEMORAL POSTERIOR STABILIZED #2 3200 4/1/2018 CC_Central SupplyStandard 91000048 BASEPLATE UNIVERSAL TIBIA #2 2800 4/1/2018 CC_Central SupplyStandard 91000049 INSERT BEARING TIBIAL PS #2 2001 4/1/2018 CC_Central SupplyStandard 91000050 FEMORAL POSTERIOR #6 3200 4/1/2018 CC_Central SupplyStandard 91000051 INSERT TIBIAL BEARING PS #6 2201 4/1/2018 CC_Central SupplyStandard 91000053 PLATE RECON 8H 3.5MM 1589 4/1/2018 CC_Central SupplyStandard 91000055 INSERT TIBIAL BEARING #2 11MM 2200 4/1/2018 CC_Central SupplyStandard 91000056 SCREW CANNULATED 4X54MM 805 4/1/2018 CC_Central SupplyStandard 91000057 SCREW CANNULATED 4X46MM 805 4/1/2018 CC_Central SupplyStandard 91000058 SCREW CORTEX 20MM X 2.5MM 454 4/1/2018 CC_Central SupplyStandard 91000059 SCREW CORTEX 22MM X 2.5MM 454 4/1/2018 CC_Central SupplyStandard 91000060 SCREW CORTEX 14MM X 3.5MM 150 4/1/2018 CC_Central SupplyStandard 91000061 SCREW CORTEX 12MM X 3.5MM 150 4/1/2018 CC_Central SupplyStandard 91000062 PLATE STD HEAD 3H SHAFT LEFT 62MM 2345 4/1/2018 CC_Central SupplyStandard 91000063 FEMORAL CRUCIATE RETAINING SZ 5R 3201 4/1/2018 CC_Central SupplyStandard 91000064 BASEPLATE TIBIAL SZ 5 2800 4/1/2018 CC_Central SupplyStandard 91000065 INSERT BEARING TIBIAL SZ 5 2200 4/1/2018 CC_Central SupplyStandard 91000066 PATELLA ASYMETRIC SZ A35 1501 4/1/2018 CC_Central SupplyStandard 91000067 SCREW LOCKING 16MMX2.4MM 435 4/1/2018 CC_Central SupplyStandard 91000068 SCREW LOCKING 18MMX2.4MM 435 4/1/2018 CC_Central SupplyStandard 91000069 SCREW OSTEOPENIA 18X3MM 320 4/1/2018 CC_Central SupplyStandard 91000070 PLATE 4H LT STD D‐RAD SMART PACK 1449 4/1/2018 CC_Central SupplyStandard 91000071 SCREW CANNULATED 7.0X75 16MM 829 4/1/2018 CC_Central SupplyStandard 91000072 PATELLA ASYMETRIC SZ S29 1251 4/1/2018 CC_Central SupplyStandard 91000073 FEMORAL POSTERIOR STABILIZED SZ3 3200 4/1/2018 CC_Central SupplyStandard 91000074 BASEPLATE UNIVERSAL TIBIAL SZ3 4001 4/1/2018 CC_Central SupplyStandard 91000076 INSERT BEARING TIBIAL SZ 3 16MM 2001 4/1/2018 CC_Central SupplyStandard 91000077 SCREW CANNULATED HEADLESS 3X36 999 4/1/2018 CC_Central SupplyStandard 91000079 PLATE FIBULA 5H,RIGHT,83MM 1801 4/1/2018 CC_Central SupplyStandard 91000080 SCREW SELF‐TAPPING 2.7MMX16MM 138 4/1/2018 CC_Central SupplyStandard 91000081 SCREW SELF‐TAPPING 3.5MMX14MM 500 4/1/2018 CC_Central SupplyStandard 91000082 SCREW SELF‐TAPPING 3.5MMX16MM 500 4/1/2018 CC_Central SupplyStandard 91000083 SCREW SELF‐TAPPING CORTEX 3.5MMX10MM 134 4/1/2018 CC_Central SupplyStandard 91000084 SCREW SELF‐TAPPING CORTEX 3.5MMX14MM 134 4/1/2018 CC_Central SupplyStandard 91000085 SCREW SELF‐TAPPING CORTEX 3.5MMX16MM 134 4/1/2018 CC_Central SupplyStandard 91000086 SHELL HEMISPHERICAL CLUSTER 54MM 2800 4/1/2018 CC_Central SupplyStandard 91000087 FEMORAL HEAD CERAMIC V40 36MM 6001 4/1/2018 CC_Central SupplyStandard 91000088 SCREW LOCKING 12MMX2.4MM 236 4/1/2018 CC_Central SupplyStandard 91000089 SCREW LOCKING 16MMX2.4MM 236 4/1/2018 CC_Central SupplyStandard 91000090 SCREW CANN 7X75 16MM THREAD 829 4/1/2018 CC_Central SupplyStandard 91000091 ANCHOR SUTURE 4.75X19.1MM 601 4/1/2018 CC_Central SupplyStandard 91000092 PLATE 4H LEFT SMART PACK 1449 4/1/2018 CC_Central SupplyStandard 91000093 PLATE 3.5MM L‐D FIB 83MM 1801 4/1/2018 CC_Central SupplyStandard 91000094 SCREW CRTX 2.7MM X 16MM 138 4/1/2018 CC_Central SupplyStandard 91000095 SCREW LOCKING 3.5MM X 14MM 500 4/1/2018 CC_Central SupplyStandard 91000096 SCREW CRTX 2.7MM X 14MM 138 4/1/2018 CC_Central SupplyStandard 91000097 SCREW LOCKING 3.5MM X 10MM 134 4/1/2018 CC_Central SupplyStandard 91000098 SCREW CRTX 3.5MM X 14MM 134 4/1/2018 CC_Central SupplyStandard 91000099 SCREW CRTX 3.5MM X 16MM 134 4/1/2018 CC_Central SupplyStandard 91000100 SCREW CRTX 3.5MM X 12MM 150 4/1/2018 CC_Central SupplyStandard 91000101 SCREW CRTX 3.5MM X 18MM 150 4/1/2018 CC_Central SupplyStandard 91000102 SCREW CRTX 3.5MM X 26MM 150 4/1/2018 CC_Central SupplyStandard 91000103 SCREW CRTX 3.5MM X 16MM 150 4/1/2018 CC_Central SupplyStandard 91000104 SCREW CRTX 3.5MM X 20MM 150 4/1/2018 CC_Central SupplyStandard 91000105 SCREW CRTX 3.5MM X 38MM 150 4/1/2018 CC_Central SupplyStandard 91000106 SCREW CRTX 3.5MM X 22MM 150 4/1/2018 CC_Central SupplyStandard 91000107 SCREW CRTX 3.5MM X 14MM 517 4/1/2018 CC_Central SupplyStandard 91000108 SCREW CRTX 2.7MM X 20MM 150 4/1/2018 CC_Central SupplyStandard 91000109 SCREW CRTX 2.7MM X 60MM 229 4/1/2018 CC_Central SupplyStandard 91000110 SCREW CRTX 2.7MM X 14MM 509 4/1/2018 CC_Central SupplyStandard 91000111 SCREW CRTX 2.7MM X 14MM 509 4/1/2018 CC_Central SupplyStandard 91000112 PLATE MED DIST HUM 5H L 79MM 3113 4/1/2018 CC_Central SupplyStandard 91000113 PLATE OLECRANON 4H L 56MM 3441 4/1/2018 CC_Central SupplyStandard 91000114 FEMORAL CRUCIATE RETAINING #6R 4801 4/1/2018 CC_Central SupplyStandard 91000115 INSERT BEARING TIBIAL‐PS #5 2200 4/1/2018 CC_Central SupplyStandard 91000116 INSERT TIBIAL BEARING 2200 4/1/2018 CC_Central SupplyStandard 91000117 FEMORAL POSTERIOR STABILIZED SZ2 RT 3200 4/1/2018 CC_Central SupplyStandard 91000118 PATELLA ASYMETRIC SZ A29 1500 4/1/2018 CC_Central SupplyStandard 91000119 INSERT BEARING TIBIAL‐PS #5X13MM 2001 4/1/2018 CC_Central SupplyStandard 91000120 INSERT TIBIAL SZ 3 11MM PS 2001 4/1/2018 CC_Central SupplyStandard 91000121 INSERT TIBIAL SZ 3 13MM PS 2200 4/1/2018 CC_Central SupplyStandard 91000122 PLATE SUP MED CLAV LK PL 8H R 97MM 1985 4/1/2018 CC_Central SupplyStandard 91000123 SCREW CORTEX 3.5MM 12MM 517 4/1/2018 CC_Central SupplyStandard 91000124 SCREW CRTX 3.5MM X 14MM 150 4/1/2018 CC_Central SupplyStandard 91000125 HAMMERTOE IMPLANT MEDIUM 3791 4/1/2018 CC_Central SupplyStandard 91000126 INSERT TIBIAL BEARING 5X16 2200 4/1/2018 CC_Central SupplyStandard 91000127 FEMORAL POSTERIOR STABILIZED #5L 3200 4/1/2018 CC_Central SupplyStandard 91000128 FEMORAL POSTERIOR STABILIZED #5L 3200 4/1/2018 CC_Central SupplyStandard 91000129 INSERT TIBIAL BEARING 5X9 2200 4/1/2018 CC_Central SupplyStandard 91000130 FEMORAL HEAD CERAMIC V40 36MM + 10MM 1401 4/1/2018 CC_Central SupplyStandard 91000131 HIP STEM NECK ANGLE SIZE 5X35X108 4800 4/1/2018 CC_Central SupplyStandard 91000132 INSERT TIBIAL BEARING‐PS #6X13MM 2200 4/1/2018 CC_Central SupplyStandard 91000133 INSERT TIBIAL BEARING SZ 5X11 2200 4/1/2018 CC_Central SupplyStandard 91000134 FEMORAL CRUCIATE RETAINING #4L 4801 4/1/2018 CC_Central SupplyStandard 91000135 INSERT TIBIAL BEARING 4X16 2001 4/1/2018 CC_Central SupplyStandard 91000136 ANCHOR SUTURE 5.5MM KNOTLESS 988 4/1/2018 CC_Central SupplyStandard 91000137 PLATE LATERAL DISTAL LF 71MM 1705 4/1/2018 CC_Central SupplyStandard 91000138 SCREW 2.7MM SELF TAPPING 138 4/1/2018 CC_Central SupplyStandard 91000139 SCREW CORTEX 3.5MM 12MM 134 4/1/2018 CC_Central SupplyStandard 91000140 SCREW CRTX 3.5MM X 16MM 33.2 4/1/2018 CC_Central SupplyStandard 91000141 SCREW LOCKING 3.5MM 18MM 500 4/1/2018 CC_Central SupplyStandard 91000142 FEMORAL CRUCIATE RETAINING #3R 4801 4/1/2018 CC_Central SupplyStandard 91000143 INSERT TIBIAL SZ 3 11MM PS 2200 4/1/2018 CC_Central SupplyStandard 91000145 SCREW CORTEX 18MM X 2.5MM 454 4/1/2018 CC_Central SupplyStandard 91000146 PLATE VDR LK PL STD HD 3H L 62MM 2345 4/1/2018 CC_Central SupplyStandard 91000147 SCREW CORTEX 18MM X 2.5MM 138 4/1/2018 CC_Central SupplyStandard 91000148 SCREW CORTEX 16MM X 2.5MM 138 4/1/2018 CC_Central SupplyStandard 91000149 SCREW CORTEX 10MM X 3.5MM PERILOC 150 4/1/2018 CC_Central SupplyStandard 91000150 PLATE SUP MED CLAV LK PL 8H L 97MM 1985 4/1/2018 CC_Central SupplyStandard 91000151 SCREW CRTX 3.5MM X 10MM 150 4/1/2018 CC_Central SupplyStandard 91000153 ANCHOR SUTURE 6.5MM KNOTLESS 988 4/1/2018 CC_Central SupplyStandard 91000154 HIP STEM NECK ANGLE SIZE PX37X120 6001 4/1/2018 CC_Central SupplyStandard 91000155 FEMORAL HEAD CERAMIC V40 36MM 2200 4/1/2018 CC_Central SupplyStandard 91000156 FEMORAL HEAD CERAMIC V40 36MMX5 2200 4/1/2018 CC_Central SupplyStandard 91000157 SCREW BONE CANCELLOUS 6.5MMX20 351 4/1/2018 CC_Central SupplyStandard 91000158 SCREW REPAIR 10295 4/1/2018 CC_Central SupplyStandard 91000159 SHELL HEMISPHERICAL CLUSTER 52MMD 2800 4/1/2018 CC_Central SupplyStandard 91000160 FEMORAL HEAD CERAMIC V40 32MMX4 2200 4/1/2018 CC_Central SupplyStandard 91000161 HIP STEM 132 NECK ANGLE #4 35X105 4800 4/1/2018 CC_Central SupplyStandard 91000162 PATELLA SYMETRIC SZ 31X9 1251 4/1/2018 CC_Central SupplyStandard 91000163 TIBIA LK 3.5MM 2937 4/1/2018 CC_Central SupplyStandard 91000164 SCREW CRTX 3.5MM X 70MM 134 4/1/2018 CC_Central SupplyStandard 91000165 SCREW CRTX 3.5MM X 50MM 134 4/1/2018 CC_Central SupplyStandard 91000166 SCREW CRTX 3.5MM X 55MM 134 4/1/2018 CC_Central SupplyStandard 91000167 SCREW CRTX 3.5MM X 65MM 134 4/1/2018 CC_Central SupplyStandard 91000168 SCREW CRTX 3.5MM X 24MM 134 4/1/2018 CC_Central SupplyStandard 91000169 SCREW CRTX 3.5MM X 30MM 134 4/1/2018 CC_Central SupplyStandard 91000170 SCREW CRTX 3.5MM X 70MM LOCK 500 4/1/2018 CC_Central SupplyStandard 91000171 FOAM PACK VITOSS 1.2CC 1603 4/1/2018 CC_Central SupplyStandard 91000172 PLATE LOCKING POLYAXIAL 5975 4/1/2018 CC_Central SupplyStandard 91000173 SCREW LAG 3.6X22MM 880 4/1/2018 CC_Central SupplyStandard 91000174 SCREW LOCKING 2.7X18MM 844 4/1/2018 CC_Central SupplyStandard 91000175 SCREW LOCKING 2.7X10MM 844 4/1/2018 CC_Central SupplyStandard 91000176 SCREW LOCKING 2.7X12MM 844 4/1/2018 CC_Central SupplyStandard 91000177 SCREW CORTEX 16MM X 2.5MM 454 4/1/2018 CC_Central SupplyStandard 91000178 SCREW CORTEX 20MM X 2.5MM 138 4/1/2018 CC_Central SupplyStandard 91000179 PLATE VDR LCKING 3H R 62MM 2345 4/1/2018 CC_Central SupplyStandard 91000180 HV WITH GENTAMICIN 300 4/1/2018 CC_Central SupplyStandard 91000181 PLATE 3.5MM L‐D FIB 83MM 5H 1809 4/1/2018 CC_Central SupplyStandard 91000182 SCREW 2.7MM CRTX SCRW 22MM 138 4/1/2018 CC_Central SupplyStandard 91000183 PLATE 5MM L‐D FIB 86MM 1801 4/1/2018 CC_Central SupplyStandard 91000185 FEMORAL POSTERIOR STABILIZED #8L 3200 4/1/2018 CC_Central SupplyStandard 91000186 BASEPLATE UNIVERSAL TIBIAL #8 2800 4/1/2018 CC_Central SupplyStandard 91000187 INSERT TIBIAL BEARING #8X16 2001 4/1/2018 CC_Central SupplyStandard 91000188 FEMORAL CRUCIATE RETAINING SZ 7L 4801 4/1/2018 CC_Central SupplyStandard 91000189 INSERT TIBIAL BEARING #7 13MM 2001 4/1/2018 CC_Central SupplyStandard 91000190 HIP STEM NECK ANGLE SIZE 6X111 6001 4/1/2018 CC_Central SupplyStandard 91000191 SCREW 2.7MM CRTX SCRW 18MM 138 4/1/2018 CC_Central SupplyStandard 91000192 SCREW LOCKING 3.5MM X 8MM 134 4/1/2018 CC_Central SupplyStandard 91000193 FEMORAL CRUCIATE RETAINING #5L 3201 4/1/2018 CC_Central SupplyStandard 91000194 SCREW CRTX 3.5MM X 36MM 150 4/1/2018 CC_Central SupplyStandard 91000195 SCREW CRTX 3.5MM X 26MM 517 4/1/2018 CC_Central SupplyStandard 91000196 SCREW CRTX 3.5MM X 38MM 517 4/1/2018 CC_Central SupplyStandard 91000197 SCREW CRTX 3.5MM X 40MM 517 4/1/2018 CC_Central SupplyStandard 91000198 SCREW CRTX 3.5MM X 42MM 517 4/1/2018 CC_Central SupplyStandard 91000199 SCREW CRTX 3.5MM X 46MM 517 4/1/2018 CC_Central SupplyStandard 91000200 SCREW CRTX 3.5MM X 48MM 517 4/1/2018 CC_Central SupplyStandard 91000202 INSERT TIBIAL BEARING SZ7X13MM 2200 4/1/2018 CC_Central SupplyStandard 91000203 FIBULA LATERAL DISTAL 1696 4/1/2018 CC_Central SupplyStandard 91000204 SCREW 2.7MM CRTX SCRW 28MM 138 4/1/2018 CC_Central SupplyStandard 91000205 SCREW LOCKING 3.5MM 10MM 500 4/1/2018 CC_Central SupplyStandard 91000206 RADIUS VOLAR DISTAL WIDE 3HL LEFT 62MM 2344 4/1/2018 CC_Central SupplyStandard 91000207 SCREW CORTEX 24MM X 2.5MM 453.6 4/1/2018 CC_Central SupplyStandard 91000208 BASEPLATE UNIVERSAL TIBIAL #4 2200 4/1/2018 CC_Central SupplyStandard 91000209 HIP STEM 132 NECK ANGLE #7 4800 4/1/2018 CC_Central SupplyStandard 91000210 SCREW CANNULATED 4X50MM 805 4/1/2018 CC_Central SupplyStandard 91000211 HEAD UNIVERSAL BIPOLAR COMPONENT 1800 4/1/2018 CC_Central SupplyStandard 91000212 FEMORAL HEAD CERAMIC V40 26MM +4MM 1000 4/1/2018 CC_Central SupplyStandard 91000213 NAIL TRIGEN 10X38 5704 4/1/2018 CC_Central SupplyStandard 91000214 SCREW INTERLOCK LAG SCREW 100 95 1824 4/1/2018 CC_Central SupplyStandard 91000215 SCREW TRIGEN LP 5X50 840 4/1/2018 CC_Central SupplyStandard 91000216 INSERT TIBIAL BEARING PS 6X9 2201 4/1/2018 CC_Central SupplyStandard 91000217 BASEPLATE UNIVERSAL TIBIAL #3 2200 4/1/2018 CC_Central SupplyStandard 91000218 HIP STEM NECK ANGLE SIZE 6X35 4800 4/1/2018 CC_Central SupplyStandard 91000219 INSERT TIBIAL BEARING #7X16 2200 4/1/2018 CC_Central SupplyStandard 91000220 SHELL HEMISPHERICAL CLUSTER 48MMD 2400 4/1/2018 CC_Central SupplyStandard 91000221 BASEPLATE TIBIAL SZ 5 2200 4/1/2018 CC_Central SupplyStandard 91000222 HEAD UNIVERSAL BIPOLAR COMPONENT 51X26 1800 4/1/2018 CC_Central SupplyStandard 91000223 FEMORAL HEAD CERAMIC V40 26MM+0MM 1000 4/1/2018 CC_Central SupplyStandard 91000224 SCREW CRTX 2.7MM X 14MM 150 4/1/2018 CC_Central SupplyStandard 91000225 PLATE SUP MED CLAV LK PL 10H L 121MM 2056 4/1/2018 CC_Central SupplyStandard 91000226 PLATE 2.7MM TINE 7 HOLE 2296 4/1/2018 CC_Central SupplyStandard 91000227 SCREW CORTEX 2.4MM 14MM 181.26 4/1/2018 CC_Central SupplyStandard 91000228 SCREW CORTEX 2.7MM X 14MM 190.8 4/1/2018 CC_Central SupplyStandard 91000229 SCREW CORTEX 2.7MM X 15MM 190.8 4/1/2018 CC_Central SupplyStandard 91000230 SCREW LCK 2.7MM X 15MM 462 4/1/2018 CC_Central SupplyStandard 91000231 SCREW LCK 2.7MM X 13MM 462 4/1/2018 CC_Central SupplyStandard 91000232 SCREW LCK 2.7MM X 14MM 462 4/1/2018 CC_Central SupplyStandard 91000233 PLATE 2.4MM X 28MM CTX SCR T7 S‐T 181.26 4/1/2018 CC_Central SupplyStandard 91000234 SCREW CTX 2.7MMX22MM 181.26 4/1/2018 CC_Central SupplyStandard 91000235 SCREW CTX 2.7MMX16MM 181.26 4/1/2018 CC_Central SupplyStandard 91000236 SCREW CTX 2.7MMX26MM 181.26 4/1/2018 CC_Central SupplyStandard 91000237 SCREW CTX 2.7MMX17MM 181.26 4/1/2018 CC_Central SupplyStandard 91000238 SCREW CTX 2.7MMX20MM 181.26 4/1/2018 CC_Central SupplyStandard 91000239 SCREW CTX 2.7MMX19MM 181.26 11/1/2018 CC_Central SupplyStandard 91000240 SCREW CTX 2.4MMX32MM 181.26 11/1/2018 CC_Central SupplyStandard 91000241 SCREW LCK 2.7MMX16MM 462 11/1/2018 CC_Central SupplyStandard 91000242 SCREW LCK 2.7MMX18MM 462 11/1/2018 CC_Central SupplyStandard 91000243 PLATE 2.7MM TINE 3 HOLE 1784 11/1/2018 CC_Central SupplyStandard 91000244 FEMORAL POSTERIOR 5 RT PS 4860 11/1/2018 CC_Central SupplyStandard 91000245 TIBIAL COMPONENT SZ 6 3060 11/1/2018 CC_Central SupplyStandard 91000246 PATELLA ASYMMETRIC A40X11 1440 11/1/2018 CC_Central SupplyStandard 91000247 PLATE 9H 3.5X132MM 729.6 11/1/2018 CC_Central SupplyStandard 91000248 SCREW CRTX 2.7MM X 16MM 149.4 11/1/2018 CC_Central SupplyStandard 91000249 PLATE 10H 3.5X118MM 1656 11/1/2018 CC_Central SupplyStandard 91000250 SCREW CRTX 3.5MM X 16MM 517 11/1/2018 CC_Central SupplyStandard 91000251 FEMORAL POSTERIOR 3 LT PS 5400 11/1/2018 CC_Central SupplyStandard 91000252 TIBIAL COMPONENT SZ 3 3400 11/1/2018 CC_Central SupplyStandard 91000253 INSERT TIBIAL SZ 9MM PS 2200 11/1/2018 CC_Central SupplyStandard 91000254 PATELLA ASYMMETRIC A32X10 1440 11/1/2018 CC_Central SupplyStandard 91000255 SCREW CORTEX 3.5 MM 10MM 122.04 11/1/2018 CC_Central SupplyStandard 91000256 HIP STEM NECK ANGLE SIZE 5X108 4800 11/1/2018 CC_Central SupplyStandard 91000257 SCREW CANN 8X120 46MM PARTIAL THREAD 756 11/1/2018 CC_Central SupplyStandard 91000258 SCREW CANN 7X105 16MM 829 11/1/2018 CC_Central SupplyStandard 91000259 SCREW CANN 8X110 22MM PARTIAL THREAD 756 11/1/2018 CC_Central SupplyStandard 91000260 BASEPLATE UNIVERSAL TIBIAL #2 2200 11/1/2018 CC_Central SupplyStandard 91000261 PACK VITOSS BA2X FOAM 2.5CC 2195.2 11/1/2018 CC_Central SupplyStandard 91000262 SCREW 3.0MM CANNULATED 28/6 856.8 11/1/2018 CC_Central SupplyStandard 91000263 PLATE ANCHORAGE MTP V2 LEFT S 3926.4 11/1/2018 CC_Central SupplyStandard 91000264 SCREW ANCHORAGE LOCKING 3X12MM 837.6 11/1/2018 CC_Central SupplyStandard 91000265 SCREW ANCHORAGE LOCKING 3X16MM 837.6 11/1/2018 CC_Central SupplyStandard 91000266 SCREW ANCHORAGE LOCKING 3X18MM 837.6 12/1/2018 CC_Central SupplyStandard 91000267 HEAD UNIVERSAL BIPOLAR COMPONENT 47X26 1800 11/1/2018 CC_Central SupplyStandard 91000268 FEMORAL POSTERIOR 4 RT PS 4860 11/1/2018 CC_Central SupplyStandard 91000269 TIBIAL COMPONENT SZ 4 3060 11/1/2018 CC_Central SupplyStandard 91000270 FEMORAL POSTERIOR 5 LFT PS 4860 11/1/2018 CC_Central SupplyStandard 91000271 TIBIAL COMPONENT SZ 5 3060 12/1/2018 CC_Central SupplyStandard 91000272 PATELLA ASYMMETRIC A38X11 1440 11/1/2018 CC_Central SupplyStandard 91000273 TIBIAL COMPONENT SZ 5 3060 11/1/2018 CC_Central SupplyStandard 91000274 PATELLA ASYMMETRIC A35X10 1440 11/1/2018 CC_Central SupplyStandard 91000275 FEMORAL CRUCIATE RETAINING #3L 4860 11/1/2018 CC_Central SupplyStandard 91000276 INSERT BEARING TIBIAL‐PS #4 2200 11/1/2018 CC_Central SupplyStandard 91000277 FEMORAL POSTERIOR #6L 4860 11/1/2018 CC_Central SupplyStandard 91000278 HIP STEM 132 NECK ANGLE #2 30X99 4800 11/1/2018 CC_Central SupplyStandard 91000279 DAN MILES CABLE AND SLEEVE SET 988.75 12/1/2018 CC_Central SupplyStandard 91000280 SCREW LOCKING 3.5MM X 16MM 500 11/1/2018 CC_Central SupplyStandard 91000281 PLATE 2.4MM T 3X8 HOLE 2016 11/1/2018 CC_Central SupplyStandard 91000282 SCREW 2.4MM CRTX SCRW 36MM 235.2 11/1/2018 CC_Central SupplyStandard 91000283 SCREW 2.4MM CRTX SCRW 30MM 235.2 11/1/2018 CC_Central SupplyStandard 91000284 SCREW 2.4MM CRTX SCRW 26MM 235.2 11/1/2018 CC_Central SupplyStandard 91000285 SCREW 2.4MM CRTX SCRW 38MM 235.2 11/1/2018 CC_Central SupplyStandard 91000286 SCREW 2.4MM CRTX SCRW 34MM 235.2 11/1/2018 CC_Central SupplyStandard 91000287 SCREW LOCKING 16MMX2.4MM 456.4 11/1/2018 CC_Central SupplyStandard 91000288 SCREW LOCKING 14MMX2.4MM 434 11/1/2018 CC_Central SupplyStandard 91000289 SCREW LOCKING 32MMX2.4MM 434 11/1/2018 CC_Central SupplyStandard 91000290 SCREW LOCKING 12MMX2.4MM 434 11/1/2018 CC_Central SupplyStandard 91000291 K WIRE 1.25MM 205.2 11/1/2018 CC_Central SupplyStandard 91000292 K WIRE 1.6MM 205.2 12/1/2018 CC_Central SupplyStandard 91000293 PLATE 3.5 MM T 7 HL 107MM 1904 11/1/2018 CC_Central SupplyStandard 91000294 SCREW CANNULATED HEADLESS 3X34 999 11/1/2018 CC_Central SupplyStandard 91000295 SCREW 2.7MM CRTX SCRW 20MM 138 11/1/2018 CC_Central SupplyStandard 91000296 SCREW CANNULATED HEADLESS 3X38 999 11/1/2018 CC_Central SupplyStandard 91000297 PATELLA ASYMETRIC A38X11 1440 11/1/2018 CC_Central SupplyStandard 91000298 TIBIAL COMPONENT SIZE 7 3060 12/1/2018 CC_Central SupplyStandard 91000299 SCREW CANNULATED 4X38MM 805 12/1/2018 CC_Central SupplyStandard 91000300 SCREW CANNULATED 4X42MM 805 12/1/2018 CC_Central SupplyStandard 91000301 SCREW CRTX 3.5MM X 16MM 150 12/1/2018 CC_Central SupplyStandard 91000302 SCREW LOCK 14MM X 3.5MM 516 12/1/2018 CC_Central SupplyStandard 91000303 HIP STEM NECK ANGLE SIZE 4X127 4800 12/1/2018 CC_Central SupplyStandard 91000304 HEAD UNIVERSAL BIPOLAR COMPONENT 48X26 1800 12/1/2018 CC_Central SupplyStandard 91000305 SHELL HEMISPHERICAL ACETABULAR 52MME 2400 12/1/2018 CC_Central SupplyStandard 91000306 INSERT TIBIAL BEARING #8X13 2001 12/1/2018 CC_Central SupplyStandard 91000307 FEMORAL POSTERIOR #6R 4860 12/1/2018 CC_Central SupplyStandard 91000308 PLATE 5 SHORT LEFT 3074.5 12/1/2018 CC_Central SupplyStandard 91000309 SCREW LOCKING PLATE 2.7X10 604.5 12/1/2018 CC_Central SupplyStandard 91000310 SCREW LOCKING PLATE 2.7X12 604.5 12/1/2018 CC_Central SupplyStandard 91000311 SCREW LOCKING PLATE 2.7X15 604.5 12/1/2018 CC_Central SupplyStandard 91000312 SCREW NONLOCKING PLATE 2.7X14 468 12/1/2018 CC_Central SupplyStandard 91000313 SCREW HEADLESS 3X30 809.25 12/1/2018 CC_Central SupplyStandard 91000314 SCREW LOCK 12MM X 3.5MM 516 12/1/2018 CC_Central SupplyStandard 91000315 SCREW CANNULATED HEADLESS 3X32 999 12/1/2018 CC_Central SupplyStandard 91000316 SCREW CANNULATED HEADLESS 3X29 999 12/1/2018 CC_Central SupplyStandard 91000317 PLATE 2.4MM TINE 3 HOLE 1784 12/1/2018 CC_Central SupplyStandard 91000318 SCREW CORTEX 2.4MM 12MM N/L 181.26 12/1/2018 CC_Central SupplyStandard 91000319 SCREW CORTEX 2.4MM 12MM LOCKING 181.26 12/1/2018 CC_Central SupplyStandard 91000320 SCREW CORTEX 2.4MM 10MM LOCKING 181.26 12/1/2018 CC_Central SupplyStandard 91000321 PLATE 8 HOLE OLECRANON R 107MM 4000 11/1/2018 CC_Central SupplyStandard 91000322 SCREW LOCK 2.7MM X 38MM 149.4 11/1/2018 CC_Central SupplyStandard 91000323 SCREW LOCK 3.5MM X 28MM 149.4 11/1/2018 CC_Central SupplyStandard 91000324 SCREW LOCK 3.5MM X 18MM 516 11/1/2018 CC_Central SupplyStandard 91000325 SCREW LOCK 2.7X55MM 508.8 11/1/2018 CC_Central SupplyStandard 91000326 FEMORAL CRUCIATE RETAINING 4860 11/1/2018 CC_Central SupplyStandard 91000327 FEMORAL CRUCIATE RETAINING RT #4 4860 11/1/2018 CC_Central SupplyStandard 91000328 INSERT BEARING TIBIAL‐PS #5 9MM 2200 11/1/2018 CC_Central SupplyStandard 91000329 SCREW CORTEX 3.5MM 14MM 122.04 11/1/2018 CC_Central SupplyStandard 91000330 SCREW CORTEX 3.5MM 12MM 122.04 11/1/2018 CC_Central SupplyStandard 91000331 SCREW CORTEX 3.5MM 12MM 122.04 12/1/2018 CC_Central SupplyStandard 91000332 SCREW 2.0MM CRTX SCRW 23MM 171.72 12/1/2018 CC_Central SupplyStandard