Charge Description Charge CPT CODE HCPCS ADVAIR INHALER 45/21$ 5.00 CALCIUM POLYCARBOPHIL TABLET$ 5.00 MORPHINE 15MG IR TABLET$ 5.00 PROMETHAZINE/CODEINE SYRUP 5ML$ 5.00 THEOPHYLLINE 300 MG ER TABLET$ 5.00 ETHMOZINE 200MG TAB.$ 6.00 HYOSCYAMINE.125MG TB$ 6.00 OGEN .75MG TABLET$ 6.00 CYTADREN 250MG TAB$ 6.00 SALSITAB 500MG TAB$ 6.00 SALSITAB 750MG TAB$ 6.00 INSULIN NOVOLIN L$ 6.00 GLUCOTROL XL 5MG$ 6.00 ACCUPRIL 5MG TABLET$ 6.00 ESTRATAB O.625MG TAB$ 6.00 INSULIN HUMLIN 50/50$ 6.00 TOPROL XL 50 MG TAB$ 6.00 NEURONTIN 100MG CAPS$ 6.00 MAXZIDE 37.5/TABLET$ 6.00 ULTRAM 50MG TAB$ 6.00 GLUCOPHAGE 500MG TAB$ 6.00 NYSTATIN 100,000 UNI$ 6.00 PYRAZINAMIDE 500MGTB$ 6.00 GLUCOPHAGE 850 MG. T$ 6.00 PRECOSE$ 6.00 ZIAC 10MG TAB$ 6.00 INSULIN HUMALOG VIAL$ 6.00 LEVOXYL 175 MCG$ 6.00 CYLERT 37.5 MG TAB.$ 6.00 GLUCOSAMIN SUL 500MG$ 6.00 UROCIT-K 540MG TAB$ 6.00 ALLEGRA 60MG CAP$ 6.00 AMARYL 2MG TAB$ 6.00 SULAR 10MG TAB$ 6.00 GLUCOTROL XL 2.5MG$ 6.00 LEXXEL 5-5MG TAB$ 6.00 GLUCOPHAGE XR 500MG$ 6.00 LANT.INSULIN 100U/ML$ 6.00 NICOTROL INHALOR$ 6.00 BACLOFEN 10MG TABLET$ 6.00 PENCILLIN VK 500MG$ 6.00 TEGRETOLXR 200MG TAB$ 6.00 PEPCID COMPLETE TABS$ 6.00 TOPROL XL 25MG TAB$ 6.00 GLUCOSE TABLETS$ 6.00 CULTURELE/LACTOB TAB$ 6.00 GLYSET 25MG TAB$ 6.00 MOTRIN 100 MG SOL$ 6.00 ACETAMIN SOL 160MG$ 6.00 GI COCKTAIL 30ML LIQ$ 6.00 PROPRANOLOL 60MG TAB$ 6.00 LOXAPINE 5 MG CAP$ 6.00 RESERPINE 0.1MG TAB$ 6.00 SWEET-EASE 15ML$ 6.00 CYTOTEC 25MCG TAB$ 6.00 ADVAIR INHAL 115/21$ 6.00 PREDNISONE 1MG TAB$ 6.00 LANOXICAPS 0.1MG$ 6.00 VOLTAREN TAB 25MG$ 6.00 VOLTAREN TAB 75MG$ 6.00 LISINOPRIL TAB 10MG$ 6.00 CARDIZEM CAP 120MG$ 6.00 ANSAID 50MG TABLET$ 6.00 DEPAKENE SYRUP 250MG$ 6.00 PARAFON FORTE DSC$ 6.00 LITHIUM 300MG TABLET$ 6.00 CAPOZIDE TAB 25/15$ 6.00 CARDENE CAP 20MG$ 6.00 PCE 333$ 6.00 VASOTEC TAB 2.5MG$ 6.00 ALCOHOL 95% (190 PR)$ 6.00 WELLBUTRIN 100MG TAB$ 6.00 NEUTRA-PHOS(P-250MG)$ 6.00 VERAPAMIL 40MG TAB$ 6.00 DARVON-N 100MG TAB$ 6.00 TENORETIC 50MG TAB$ 6.00 RUTUSS TAB DE$ 6.00 PROVERA TAB 2.5MG$ 6.00 VISKEN 5MG TAB$ 6.00 LOPID 600MG TAB UD$ 6.00 CODIMAL DM PER OZ.$ 6.00 VERELAN 240MG SR$ 6.00 CARDURA TAB 1MG(DOXA$ 6.00 CARDURA TAB 4MG(DOXA$ 6.00 NALEX-A TAB$ 6.00 DIAZEPAM ORAL SOLN.1$ 6.00 LEVOTHYROXINE 125MCG$ 6.00 KERLONE 10MG TAB$ 6.00 AZULFIDINE EN-TAB500$ 6.00 LANOXICAPS 0.05MG$ 6.00 NORMODYNE/TRANDATE$ 6.00 LITHIUM CARBONATE 150 MG CAP$ 6.00 LOTENSIN 10MG TAB (B$ 6.00 BUTISOL TAB 15MG$ 6.00 WELLBUTRIN 75MG TAB$ 6.00 CITRUCEL UD PACKETS$ 6.00 BUFFERIN X-STR TAB$ 6.00 PRINIZIDE 12.5 TAB$ 6.00 KETOROLAC 10MG TAB$ 6.00 SLOW FE TAB$ 6.00 PERI COLACE SYRUP OZ$ 6.00 NIFEREX-150 FORTE$ 6.00 DALLERGY TAB$ 6.00 LEVOTHROID TAB 25MCG$ 6.00 GLYNASE 3MG PRESTAB$ 6.00 INSULIN HUMULIN U$ 6.00 SYNTHROID TB 88MCG.$ 6.00 TRIMETHOPRIM TAB100M$ 6.00 LEVSINEX TIMECAP O.3$ 6.00 CREON 10 ER CAP$ 6.00 ESKALITH CR 450MG$ 6.00 HUMIBID LA TAB.$ 6.00 HEMOCYTE TAB.$ 6.00 DAYPRO 600MG TAB$ 6.00 PHRENALIN FORTE CAP$ 6.00 KONSYL (NON STOCK)$ 6.00 INSULIN NOVULIN 70/3$ 6.00 TENORMIN 25MG. TAB$ 6.00 RENAGEL 403MG CAPSUL$ 6.00 AMOXIL 125MG CHE.TAB$ 6.00 DYPHYLLINE GG ELIX$ 6.00 ASACOL TAB 400MG DR$ 6.00 SYNTHROID .112MCG$ 6.00 HUMIBID DM$ 6.00 METHERGINE .2MG TAB$ 6.00 ZIAC 2.5MG$ 6.00 SINEMET CR 25/100$ 6.00 DEMADEX 20MG TAB$ 6.00 FERRO-SEQUELS TAB$ 6.00 DILOR 400MG TAB$ 6.00 DILOR 200MG TAB$ 6.00 GUAIFENESIN DM 10ML$ 6.00 GUAIFENESIN 200MG10C$ 6.00 ZIAC 5MG$ 6.00 EPLERENONE 25 MG TABLET$ 6.00 CLOZAPINE 100 MG TABLET$ 6.00 ACETAMINOPHEN/COD 10$ 6.00 ALDACTAZIDE TAB UD$ 6.00 SPIRONOLACTONE 25MG$ 6.00 ALDORIL 15 TAB$ 6.00 ALKA SELTZER FOIL$ 6.00 ALKERAN TAB 2MG$ 6.00 ALUPENT SYR$ 6.00 AMPHOJEL SUSP 12OZ$ 6.00 APRESAZIDE CAP 25/25$ 6.00 AROMATIC AMMONIA VAP$ 6.00 SULFAME/TRIMET TAB D$ 6.00 DIPHENHYDRAMINE 12.5 LIQUID PO$ 6.00 DICYCLOMINE 20MG CAP$ 6.00 BLOCADREN TAB 10MG$ 6.00 TERBUTALINE 2.5MG$ 6.00 TERBUTALINE 5MG TAB$ 6.00 BUMEX TAB 1MG UD$ 6.00 BUTABARBITAL TAB 30M$ 6.00 CAPOTEN TAB 25MG UD$ 6.00 CARAFATE TAB 1GM UD$ 6.00 CARDIZEM TAB 30MG$ 6.00 CARDIZEM TAB 60MG$ 6.00 CLONIDINE TAB 0.1MG$ 6.00 CLONIDINE TAB 0.2MG$ 6.00 CECLOR 250MG. CAP UD$ 6.00 CHLORPHENIRAMINE 12M$ 6.00 CHLORASEPTIC LOZ CUD$ 6.00 CITRATE OF MAG.10-OZ$ 6.00 CLINDAMYCIN CAP 150M$ 6.00 CLINORIL TAB 150MG$ 6.00 CODIMAL DH SYR 1-OZ$ 6.00 COGENTIN TAB 1MG UD$ 6.00 DOCUSATE SODIUM 10MG$ 6.00 COMPAZINE TAB 10MG U$ 6.00 Q0164 COMPAZINE TAB 05MG$ 6.00 Q0164 CORGARD TAB 40MG UD$ 6.00 COUMADIN TAB 1MG$ 6.00 COUMADIN TAB 2.5MG$ 6.00 COUMADIN TAB 2MG$ 6.00 COUMADIN TAB 5MG$ 6.00 ZEBETA 5MG TAB.$ 6.00 CYTOMEL TAB 25MCG$ 6.00 DESITIN BABY PAD 9OZ$ 6.00 DESYREL TAB 050MG$ 6.00 CHLORPROMDE TAB 250M$ 6.00 DILANTIN CAP 100MG$ 6.00 DITROPAN TAB UD$ 6.00 DOLOBID TAB 250MG$ 6.00 DOLOPHINE 5MG TAB$ 6.00 DONNATAL ELIX DISCO$ 6.00 DYAZIDE CAP UD$ 6.00 E E S LIQ 200MG 16OZ$ 6.00 E E S LIQ 400MG 16OZ$ 6.00 E E S 400 TAB UD$ 6.00 ERYTHROMYCIN TAB 250$ 6.00 ERYTHROMYCIN TAB 500$ 6.00 ETRAFON TAB 2-10$ 6.00 ETRAFON TAB 2-25$ 6.00 FEOSOL SPANSULE$ 6.00 FLAGYL TAB 250MG$ 6.00 CYCLOBENZAPRINE 10MG$ 6.00 FOLIC ACID TAB 1MG$ 6.00 GAVISCON TAB FOIL$ 6.00 GEVRABON 1-OZ$ 6.00 GLYCERIN SUPP ADULT$ 6.00 HALDOL TAB 0.5MG$ 6.00 HALOTESTIN TAB 10MG$ 6.00 DEXAMETHASONE TAB.75$ 6.00 HYGROTON TAB 50MG$ 6.00 IMODIUM CAP$ 6.00 PROPRANOLOL 10MG TAB$ 6.00 PROPRANOLOL 20MG TAB$ 6.00 PROPRANOLOL 40MG TAB$ 6.00 INDOMETHACIN CAP 25M$ 6.00 INSULIN HUMULIN NPH$ 6.00 INSULIN NOVOLIN REG$ 6.00 ISONIALZID (INH)$ 6.00 VERAPAMIL TAB 120MG$ 6.00 KEFLEX 250MG CAP$ 6.00 LACTINEX GRAN 1GM$ 6.00 LACTINEX TAB$ 6.00 LANOXIN TAB .125MG$ 6.00 LANOXIN TAB .25 MG$ 6.00 AMOXICILLIN CAP 250M$ 6.00 AMOXICILLIN CAP 500M$ 6.00 LONITEN TAB 2.5MG$ 6.00 LOPRESSOR TAB 50MG$ 6.00 MAALOX PLUS SUSP UD$ 6.00 MAALOX SUSP UD$ 6.00 MACRODANTIN CAP 50M$ 6.00 MELLARIL TAB 10MG$ 6.00 MELLARIL TAB 25MG$ 6.00 METAMUCIL INST MIX$ 6.00 MIDAMOR TAB 5MG$ 6.00 MILK MAGNESIA ROX$ 6.00 MINERAL OIL USP ROX$ 6.00 MINIPRESS CAP 1MG UD$ 6.00 MINIPRESS CAP 5MG UD$ 6.00 MODURETIC TAB 5/50$ 6.00 MYLICON 80 TAB UD$ 6.00 NAPROSYN TAB 250MG U$ 6.00 NAPROSYN TAB 375MG U$ 6.00 NAVANE CAP 2MG UD$ 6.00 NEOSPORIN OINT 1/32$ 6.00 NEUTRA PHOS CAP$ 6.00 NIFEREX TAB$ 6.00 NIFEREX 150 CAP$ 6.00 NITROGLYCERIN 6.5MG$ 6.00 NORPACE CAP 100MG$ 6.00 ORINASE TAB .5GM$ 6.00 PAPVERINE CAP$ 6.00 DOCUSATE NA.W/CASANT$ 6.00 PERIACTIN TAB 4MG$ 6.00 PERSANTINE TAB 25MG$ 6.00 PERSANTINE TAB 50MG$ 6.00 PERSANTINE TAB 75MG$ 6.00 PHENERGAN TAB 25MG$ 6.00 POTASS CHL LIQ10%PHC$ 6.00 AMPICILLIN CAP 250MG$ 6.00 AMPICILLIN CAP 500MG$ 6.00 PROCAN SR TAB 500MG$ 6.00 NIFEDIPINE 10MG CAP$ 6.00 PROLIXIN TAB 1MG$ 6.00 PYRIDIUM TAB 100MG$ 6.00 PYRIDIUM TAB 200MG$ 6.00 QUINIDEX EXTENTAB UD$ 6.00 QUINIDINE SULF TAB$ 6.00 QUINIDINE SULFTB300M$ 6.00 QUNINE SULF CAP 5GR$ 6.00 QUNINE SULF CAP 3GR$ 6.00 REGLAN SYR 16-OZ$ 6.00 REGLAN TAB 10MG$ 6.00 ROBAXIN TAB UD$ 6.00 ROBITUSSIN SYR UD5ML$ 6.00 SILVER NITRATE APPL$ 6.00 SINEMET TAB 25/250$ 6.00 SINEQUAN CAP 10MG$ 6.00 SINEQUAN CAP 25MG$ 6.00 SINEQUAN CAP 50MG$ 6.00 SORBITOL SOL USP 70%$ 6.00 ISOSORBIDE ORAL 5MG$ 6.00 ISOSORBIDE SA 40MG$ 6.00 STELAZINE TAB 1MG$ 6.00 STELAZINE TAB 2MG$ 6.00 TETRACYCLINE 500MG$ 6.00 SYMMETREL CAP 100MG$ 6.00 SYNTHROID TAB (0.05$ 6.00 SYNTHROID TAB .1MG$ 6.00 SYNTHROID TAB .15MG$ 6.00 SYNTHROID TAB .2MG$ 6.00 TEGRETOL TAB 100MGUD$ 6.00 TEGRETOL TAB 200MGUD$ 6.00 TESALON PERLES 100MG$ 6.00 THEO DUR TAB 200MG$ 6.00 THEO DUR TAB 300MG$ 6.00 THORAZINE TAB 10MG$ 6.00 THORAZINE TAB 100MG$ 6.00 THORAZINE TAB 25MG$ 6.00 IMIPRAMINE 10MG TAB$ 6.00 IMIPRAMINE 25MG TAB$ 6.00 TRINSICON CAP$ 6.00 TUCKS $ 6.00 URISED TAB$ 6.00 VIBRAMYCIN CAP 100MG$ 6.00 HYDROXYZINE CAP 25MG$ 6.00 HYDROXYZINE CAP 50MG$ 6.00 WYTENSIN TAB 4MG$ 6.00 ZYLOPRIM TAB 100MG$ 6.00 ZYLOPRIM TAB 300MG$ 6.00 METYLDOPA 250MG TAB$ 6.00 ACETAZOLAMIDE 250MG TABLET$ 6.00 FLORINEF .1MG TAB$ 6.00 ERYTHROMYCIN OINT 1G$ 6.00 NICORETTE 2MG GUM$ 6.00 PREMARIN .625MG UD$ 6.00 SINEMET 10/100 TAB$ 6.00 THYROID 1GRAIN ARMOR$ 6.00 FUROSEMIDE 40MG$ 6.00 DOCUSATE SOD 100MG V$ 6.00 POTASS CL TAB 750MG$ 6.00 MECLIZINE 25MG TAB$ 6.00 PROCAN SR 750MG TAB$ 6.00 NITROGLYCERIN 9MG SR$ 6.00 NORMODYNE/TRANDATE 2$ 6.00 TETRACYCLINE 125MG/5$ 6.00 CASCARA SAGRADA 5ML$ 6.00 PHENOBARBITAL 15MG U$ 6.00 ATROMID S 500MG$ 6.00 OGEN 1.25MG TABS 100$ 6.00 DEPAKENE 250MG CAPS$ 6.00 TRENTAL 400MG TAB$ 6.00 HYDROXYZINE HCL TABS$ 6.00 DILANTIN 50MG CHEW.$ 6.00 PROMETHAZINE EXPECTO$ 6.00 HYDRALAZINE 25MG TAB$ 6.00 THYROID 1/2 GRAIN 30$ 6.00 AMITRIPTYLINE TAB 25$ 6.00 NARDIL 15MG TAB$ 6.00 MATERNA 1-60 TAB$ 6.00 BACITRA SOL PT$ 6.00 DICYCLOMINE 10MG CAP$ 6.00 DEXAMETHASONE TAB.5M$ 6.00 MICRONASE 2.5MG TAB$ 6.00 PROENTIL 4MG TAB$ 6.00 GLYCERIN SUPP CHILD$ 6.00 LIMBITROL 10-25 TAB$ 6.00 NAVANE 5MG UD$ 6.00 DILAUDID SUPP. 3MG$ 6.00 AMITRIPTYLINE TAB100$ 6.00 AMITRIPTYLINE TAB 10$ 6.00 GLIPIZIDE 5MG TABLET$ 6.00 ASCRIPTIN AD TAB$ 6.00 BISACODYL UNISERTS ($ 6.00 ATROPISOL 1ML UD$ 6.00 CHLORPHENIRAM SYRUP$ 6.00 FER-IN-SOL SYRUP$ 6.00 MYSOLINE 250MG TAB U$ 6.00 TRIHEXIPHENIDYL 2MG$ 6.00 NORTRIPTYLINE HCL 25$ 6.00 DIPHENHYDRAMINE 50MG$ 6.00 PROBENICID 0.5GM TAB$ 6.00 DYNAPEN 250MG CAP UD$ 6.00 PROPYLTHIOURACIL 50M$ 6.00 COLCHICINE 0.6MG TAB$ 6.00 ESTRACE 1MG TAB.$ 6.00 LITHIUM CARBONATE300$ 6.00 DESIPRAMINE 25MG (PE$ 6.00 MYSOLINE 50 MG. TAB$ 6.00 SENOKOT TAB$ 6.00 MICRONASE 5 MG UDTAB$ 6.00 MAXZIDE UD TABLET$ 6.00 CAPOTEN 12.5 MG TAB$ 6.00 MAGNESIUM OXIDE400MG$ 6.00 MESTINON 60 MG. TAB$ 6.00 ISOSORBIDE ORAL 20MG$ 6.00 ISOSORBIDE ORAL 30MG$ 6.00 ISOSORBIDE ORAL 40MG$ 6.00 IBUPROFEN TAB400MGUD$ 6.00 IBUPROFEN TAB 800MG$ 6.00 VITAMIN D 50,000U$ 6.00 THEOPHYLLINE 80MG/15$ 6.00 HIBICLENS LIQ. 15ML$ 6.00 A4248 FIORICET TAB UD$ 6.00 NORTRIPTYLINE 10 MG$ 6.00 DEPAKOTE SPR. 125MG$ 6.00 DEPAKOTE TAB 125MG$ 6.00 NEPHRO-VITE RX$ 6.00 ADALAT CC 30MG TAB$ 6.00 MEXILETINE 200MG CAP$ 6.00 VASOTEC TAB 10.0MG$ 6.00 SECTRAL 200MG CAP.$ 6.00 MEXILETINE 150MG CAP$ 6.00 HYDROCORTISONE TAB.$ 6.00 MEGACE TAB 40MG 100'$ 6.00 BUSPAR TAB 5MG TAB$ 6.00 BUSPAR TAB 100MG UD$ 6.00 VASELINE TUBE 30GM$ 6.00 HALOPERIDOL TAB 1MG$ 6.00 HALOPERIDOL TAB. 2MG$ 6.00 HALOPERIDOL TAB 5MG$ 6.00 ERYPED SUSP. 400MG$ 6.00 PENICILLIN V K 100ML$ 6.00 LOZOL TAB 2.5MG UD$ 6.00 POTASSIUM CL 8MEQ$ 6.00 AUGMENTIN CHEW 125MG$ 6.00 HUMALOG MIX 75/25$ 6.00 PANCREASE CAP$ 6.00 ERYTHROMYCIN 333MG$ 6.00 PROVENTIL REPETAB 4M$ 6.00 GLIPIZIDE 10MG TABLE$ 6.00 POTASS CL 20MEQ TAB$ 6.00 TENEX TAB 1MG$ 6.00 RENVELA 800MG TABLET$ 6.18 BRILINTA 90MG TABLET$ 6.32 LISINOPRIL 5 MG TABLET$ 6.37 DISULFIRAM 250 MG TABLET$ 6.45 VINBLASTINE SULFATE 10MG VIAL$ 6.50 J9360 PREDNISONE 5MG/5ML LIQUID$ 6.55 BUPRENORPHINE 2 MG SL TAB$ 6.62 IMDUR 30MG TABLET$ 7.00 AMARYL 4MG TAB$ 7.00 MAVIK 2MG TAB$ 7.00 LIDOCAINE 20% 2GM$ 7.00 ULTRACET TABLET$ 7.00 DIFIL G 10ML LIQUID$ 7.00 ETODOLAC 400 MG TAB$ 7.00 WELCHOL 625MG TAB$ 7.00 ADVAIR INHALE 230/21$ 7.00 ALBUTEROL HFA 1 PUFF$ 7.00 XOPENEX HFA INHALER 1 PUFF$ 7.00 HYDROXYUREA CAP 500M$ 7.00 ROCALTROL 0.25MCGCAP$ 7.00 CYTOTEC 100MCG TAB$ 7.00 VERAPAMIL SR 120MG$ 7.00 VICODIN ES TAB$ 7.00 CARDENE SR 30MG CAP$ 7.00 LORCET 10/650 TAB.$ 7.00 ALUPENT SOL .6% 2.5M$ 7.00 TENORETIC 100MG$ 7.00 IMDUR 60MG$ 7.00 UROGESIC BLUE 0485015130$ 7.00 ACETAMINOPHEN/COD 5M$ 7.00 CASTOR OIL USP ROX$ 7.00 CLINORIL TAB 200MG$ 7.00 DANTRIUM CAP 25MG UD$ 7.00 ETRAFON FORTE TAB$ 7.00 FLUOR I STRIP AT$ 7.00 IBERET FOLIC 500 TAB$ 7.00 PREMARIN TAB 1.25MG$ 7.00 QUINAGLUTE DURATAB$ 7.00 SINEMET TAB 25/100UD$ 7.00 SYMMETREL SYR 50MG$ 7.00 TYLENOL/COD ELIXIR$ 7.00 LIDOCAINE VISC 2% 20$ 7.00 MEDROL TAB 4MG UD$ 7.00 LOPERAMIDE 2MG/1OML$ 7.00 PLAQUENIL TAB.$ 7.00 PREMARIN TAB 0.3MG$ 7.00 PROLIXIN TAB 5MG UD$ 7.00 VIIBRYD 40MG TABLET$ 7.58 ZANAFLEX 4MG TAB.$ 8.00 NEORAL 25MG CAP.$ 8.00 MYCOPHENOLIC ACID 180MG TAB DR$ 8.00 A9270 CETIRIZINE 5MG/5ML SYRUP$ 8.00 PRANDIN 2MG TAB$ 8.00 CELLUVISC EYE DROP$ 8.00 FEMHRT 1MG/5MCG$ 8.00 FUROSEMIDE 40MG/5MLO$ 8.00 PROAMATINE 2.5 MG$ 8.00 MAXALT MLT 10MG TABLET$ 8.00 ED-A-HIST SYRUP 5ML$ 8.00 NITROGLYCERIN OINT. 1GM$ 8.00 HYTRIN TABS 5MG (TER$ 8.00 HYTRIN TABS 1MG (TER$ 8.00 VERAPAMIL SR 180MG T$ 8.00 COUMADIN TAB 10MG$ 8.00 DYNACIRC CAP 2.5MG$ 8.00 MONOPRIL 10MG TAB$ 8.00 DAPSONE 100MG TAB$ 8.00 ORAP 2MG TAB$ 8.00 CARDIZEM CD 120MG$ 8.00 CARDIZEM 120MG TAB$ 8.00 ATROVENT INH SOL.02%$ 8.00 PETROLATUM$ 8.00 MIDODRINE 10 MG TABLET$ 8.00 ACETAMINOPHEN S 120M$ 8.00 ACETAMINOPHEN SUPP 3$ 8.00 ACETAMINOPHEN S650MU$ 8.00 ANAPROX TAB$ 8.00 ANUSOL SUPP$ 8.00 AZULFIDINE TAB 5GM$ 8.00 CHLOROMYCETIN OPTH$ 8.00 COUMADIN TAB 7.5MG$ 8.00 FELDENE CAP 20MG$ 8.00 URISPAS 100MG TAB UD$ 8.00 PREDNISONE 50MG TAB$ 8.00 NORPACE CR 150 UD$ 8.00 COMPAZINE SUPP 5MG$ 8.00 ERY TAB 250MG UD$ 8.00 ACHROMYCIN OS 1%0.5M$ 8.00 TETRACYCLINE 1% OPHT$ 8.00 DESIPRAMINE TAB 10MG$ 8.00 PREMARIN TAB 0.9MG$ 8.00 AUGMENTIN 250MG 100S$ 8.00 CARDIZEM TAB 90MG UD$ 8.00 HYTRIN TABS 2MG (TER$ 8.00 PRISTIQ ER 50MG TABLET$ 8.18 MULTIVITAMIN W/IRON 50ML DROPS$ 8.38 ELIQUIS 2.5 MG TABLET$ 8.40 SPIRIVA RESPIMAT PER DOSE$ 8.42 ELIQUIS 5MG TABLET$ 8.48 CAPILLARY BLOOD DRAW$ 9.00 CAPILLARY BLD DRAW$ 9.00 36416 CAPILLARY BLOOD DRAW$ 9.00 36416 CATH FOR URINE SPECIMAN$ 9.00 P9612 CAPILLARY BLOOD DRAW$ 9.00 36416 BLOOD DRAW HEEL STICK$ 9.00 DARAPRIM 25MG TABLET$ 9.00 CLARITIN D TABLET$ 9.00 ACCOLATE 20MG TABLET$ 9.00 UNIVASE 15MG TAB.$ 9.00 VERELAN 100MG CAP$ 9.00 STARLIX 120MG TAB$ 9.00 VISICOL TAB$ 9.00 PLENDIL ER 2.5MG$ 9.00 PAMINE 2.5MG$ 9.00 HEPARIN FLUSH SYRING$ 9.00 J1642 DIBENZYLINE 10MG CAP$ 9.00 EDECRIN TAB 50MG$ 9.00 DOXYCYCLINE 100MG TABLET$ 9.00 RYTHMOL TAB 150MG (P$ 9.00 PREMARTIN TAB. 2.5MG$ 9.00 HISTUSSIN HC / OZ$ 9.00 SURMONTIL 25MG CAP$ 9.00 FENTANYL 12MCG PATCH$ 9.00 PLENDIL TAB 5MG (FEL$ 9.00 CARDIZEM 180MG CD$ 9.00 SINEMET CR TAB$ 9.00 ERYTHROMYCIN TAB 500$ 9.00 ACCUPRIL TAB 10MG (Q$ 9.00 ISMO TAB 20MG (ISOSO$ 9.00 CARDENE SR 45MG.$ 9.00 EFFEXOR 37.5MG$ 9.00 ANUSOL HC SUPP$ 9.00 ASPIRIN SUPP 600MG$ 9.00 SULFAME/TRIMET TAB$ 9.00 CHLORPROPMDE TAB 100$ 9.00 DEXAMETHASONE TAB 4M$ 9.00 VERAPAMIL TAB 80MG$ 9.00 KEFLEX 500MG CAP$ 9.00 NOLVADEX TAB 10MG$ 9.00 NORPACE CAP 150MG$ 9.00 ASPIRIN SUP 300MG$ 9.00 STELAZINE TAB 5MG$ 9.00 TIGAN CAP 250MG$ 9.00 TIGAN SUPP 200MG$ 9.00 TIGAN SUPP PED 100MG$ 9.00 MILK MAGN/CASCA 30ML$ 9.00 MICARDIS 80MG TAB$ 9.00 BUMEX TAB. 0.5MG$ 9.00 LIMBITROL 5-12.5 TAB$ 9.00 MINOCIN 50MG CAP UD$ 9.00 METOLAZONE TAB 2.5MG$ 9.00 CORTAID CRM O.5%15GM$ 9.00 LONITEN 10 MG TAB$ 9.00 PEPCID 20MG TABLET$ 9.00 PHENOBARBITAL 15MG TABLET$ 9.04 MORPHINE SULFATE 30MG TABLET$ 9.55 URINALYSIS BY DIPSTICK W/MICRO$ 10.00 REFRACTOMETER$ 10.00 81002 SO RBC COUNT AUTOMATED$ 10.00 85041 TUBE ENDOTRAC RAE 5.0 CUFF$ 10.00 TUBE ENDOTRAC RAE 5.5 CUFF$ 10.00 TUBE ENDOTRAC RAE 6.0 CUFF$ 10.00 CORTEF FEM.ITCH.CRM.$ 10.00 NEURONTIN 300MG CAPS$ 10.00 ASCORBIC ACID INJECT$ 10.00 METHADONE 5MG/5ML SL$ 10.00 MIRAPEX 0.25MG TAB$ 10.00 ATACAND 16MG TAB$ 10.00 MIRALAX 17G POWDER$ 10.00 TEGRETOL XR 400MG TB$ 10.00 CODICLEAR DH SYR 5ML$ 10.00 HYDROCODONE 10/500$ 10.00 BENICAR 20 MG TAB$ 10.00 KLONOPIN WAF 0.25MG$ 10.00 DEPAKOTE ER 250MG TA$ 10.00 HYDROCODONE/APAP 7.5$ 10.00 ROBITUSSIN AC SYR 5M$ 10.00 HYDROCODONE 5MG APAP$ 10.00 LIDOCAINE 1% 10MG/ML$ 10.00 TICLID 250MG TABLET$ 10.00 RAMIPRIL 5MG CAPSULE$ 10.00 COMBIVENT INHALER 1 PUFF$ 10.00 ATROVENT INHALER 1 PUFF$ 10.00 CARBAMAZEPINE 100MG$ 10.00 KLONOPIN 1MG TAB$ 10.00 MEPERGAN FORTIS$ 10.00 PSEUDOEPHEDRINE 60MG$ 10.00 PROSOM(ESTAZOLAM)1MG$ 10.00 OXYCODONE TAB 5MG$ 10.00 ALTACE CAP 2.5MG (RA$ 10.00 PYRIDOXINE 100MG INJ$ 10.00 DILANTIN 100MG/4ML S$ 10.00 J1165 HEP-LOCK FLUSH 20U/2$ 10.00 ACETAMINOPEHN W/COD$ 10.00 HYDROMET$ 10.00 PERCOCET 10/325 MG TABLET$ 10.00 ENTRESTO 49/51 MG TABLET$ 10.00 ENTRESTO 97/103 MG TABLET$ 10.00 ETOPOSIDE 20MG/ML VIAL$ 10.00 J9181 PRADAXA 110 MG CAPSULE$ 10.00 HYDRO/APAP7.5/325MG ORAL SOLU$ 10.00 LORAZEPAM TAB 0.5MG$ 10.00 LORAZEPAM TAB 1MG UD$ 10.00 BUTAZOLIDIN CAP 100M$ 10.00 CHLORAL HYDRATE SYR$ 10.00 CODEINE TAB 30MG$ 10.00 CORTONE SALINE SUSP$ 10.00 DARVOCET N 100 TAB$ 10.00 PROPOXY 65MG CAP$ 10.00 DYPHYLLINE 500MG/2ML$ 10.00 J1180 FOLIC ACID INJ 5MG/M$ 10.00 HEPARIN 1000U/ML$ 10.00 J1644 LIBRAX CAP UD$ 10.00 CHLORDIAZPDE CAP 10M$ 10.00 CHLORDIAZDE CAP 25MG$ 10.00 CHLORDIAZDE CAP 05MG$ 10.00 LOMOTIL LIQUID 5ML$ 10.00 LOMOTIL TAB UD$ 10.00 MEPERIDINE HCL50MGTB$ 10.00 VITAMIN K TAB 5MG$ 10.00 METHADONE HCL TAB 10$ 10.00 METHADONE HCL TAB 5M$ 10.00 MIDRIN CAP$ 10.00 MORPHINE SOL 10MG/5M$ 10.00 J2270 NEOMYCIN SO4 TAB 500$ 10.00 PHENOBARB TAB30MGROX$ 10.00 PHENOBARB TAB60MGROX$ 10.00 PHENOBARBITAL ELIX20$ 10.00 PROMETH. 25MG/ML INJ$ 10.00 J2550 RESTORIL CAP 15MGRNP$ 10.00 RITALIN TAB 5MG$ 10.00 CARISOPRODOL TAB 350$ 10.00 TALWIN NX TAB UD$ 10.00 TUSSIONEX SUSP 1-OZ$ 10.00 TYLENOL/COD TAB #3$ 10.00 BETAMTSNE CRM.1%15GM$ 10.00 VALIUM TAB 10MG RNP$ 10.00 VALIUM TAB 2MG RNP$ 10.00 VALIUM TAB 5MG RNP$ 10.00 RITALIN 10MG TAB$ 10.00 XANAX .5MG$ 10.00 XANAX 0.25MG TAB UD$ 10.00 PHENOBARBITAL 100MG$ 10.00 DILAUDID 2MG TAB.$ 10.00 KLONOPIN 0.5MG TAB.$ 10.00 HEPARIN FLUSH KIT 10$ 10.00 MYCELEX TROCHE ORAL$ 10.00 DEPAKOTE TAB 250MG$ 10.00 ALBUTEROL SYRUP 2MG$ 10.00 HALICION .125MG UD$ 10.00 HEATED MIST PER HR.$ 10.00 ACETYLSTEINE 20PER 4ML$ 10.08 UA DIPSTICK$ 11.00 81002 UA DIPSTICK$ 11.00 UA BY DIPSTICK W/O MICRO$ 11.00 URINALYSIS DIPSTICK$ 11.00 81002 UA DIPSTICK$ 11.00 81002 ACIDOPHILUS 2 TABLET$ 11.00 COZAAR 50 MG. TABLET$ 11.00 AVAPRO 150MG$ 11.00 RIFAMPIN 150MG CAP$ 11.00 PLETAL 100MG TAB$ 11.00 AMIODARONE 150MG PER 30MG$ 11.00 J0282 HYZAAR 50/12.5 TAB$ 11.00 AEROBID INHALER 1 PUFF$ 11.00 FLOVENT 44MCG INH 1 PUFF$ 11.00 CARDENE CAP 30MG$ 11.00 MERTHIOLATE 1OZ$ 11.00 LIDOCAINE VISC2%100M$ 11.00 CARDIZEM CD 240MG CA$ 11.00 CARMEX 1/4 OZ$ 11.00 RELAFEN TAB 500MG (N$ 11.00 NORVASC 5MG TAB$ 11.00 ALBUTEROL .083% INH$ 11.00 ENTRESTO 24/26 MG TABLET$ 11.00 CALAMINE LOT PLAIN$ 11.00 SUCRETS LOZ. (24)$ 11.00 CYTOXAN 50 MG TAB.$ 11.00 BROMPTON'S SOLN.$ 11.00 LINACLOTIDE 145MG CAPSULE$ 11.36 LORTAB ELIXIR 10/300 15ML$ 11.39 VITAMIN D3 BOTTLE$ 11.55 DILTIAZEM 25MG/ 5 ML VIAL$ 11.86 MAGNEVIST 20ML$ 12.00 A9579 GADOLINIUM PER ML$ 12.00 A9579 GADOLINIUM$ 12.00 A9579 RHINOCAINE 5ML SOL.$ 12.00 TOPAMAX 25MG TABLET$ 12.00 DIOVAN 80MG CAPSULE$ 12.00 COREG 6.25 MG. TAB.$ 12.00 DETROL 2MG TAB.$ 12.00 CELEBRAX 100MG TAB$ 12.00 NEURONTIN 400MG CAP$ 12.00 CARBATROL ER 300MG$ 12.00 COREG 3.125MG TAB$ 12.00 PERPHENAZINE 2 MG TABLET$ 12.00 IPRA.ALBUTEROL 3ML UD$ 12.00 CARDIZEM SR CAP 60MG$ 12.00 HEPARIN FLUSH KIT2.5$ 12.00 NIACIN SR 500MG TAB$ 12.00 AYR NASAL MIST 50ML$ 12.00 METOLAZONE TAB 10MG$ 12.00 INDERAL LA CAP 120MG$ 12.00 IPECAC SYR 30ML$ 12.00 VICODIN TAB$ 12.00 ZINC OXIDE OINT NORW$ 12.00 BETHANECOL TAB 25MG$ 12.00 NITRO DUR 15CM$ 12.00 NITRO DUR II 20CM$ 12.00 MYRBETRIQ 50MG TABLET$ 12.13 MYRBETRIQ 25MG TABLET$ 12.13 MISOPROSTOL 200MCG TABLET$ 12.68 S0191 RIMACTANE 300MG TAB$ 13.00 LESCOL 20MG CAPSULE$ 13.00 SEROQUEL 25MG TAB$ 13.00 LEVABUTEROL 1.25MG/3ML UPDRAFT$ 13.00 FLOVENT 110MCG INHALER 1 PUFF$ 13.00 LORCET PLUS$ 13.00 VERELAN 120MG SR$ 13.00 VERELAN 180MG SR$ 13.00 AMICAR TAB 500MG$ 13.00 ATROPINE SULF .5MG$ 13.00 BETADINE OINT 1-OZ$ 13.00 MAGNESIUM SULF USP16$ 13.00 MONISTAT 7 VAG SUPP$ 13.00 NITRO DUR 10CM$ 13.00 PHENERGAN VC EXP/COD$ 13.00 MERCUROCLEAR SOLN. 1$ 13.00 TAMBOCOR 100MG TAB(F$ 13.00 VERAPAMIL 240MG TAB$ 13.00 D5W 25ML BAG$ 13.00 NAMENDA XR 7MG CAPSULE$ 13.46 NAMENDA XR 28MG CAPSULE$ 13.46 White Petrolatum 28 gm tube$ 13.56 ULORIC 40 MG TABLET$ 13.79 SO HEMOSIDERIN STAIN URINE$ 14.00 83070 PRELONE 10Z$ 14.00 REQUIP 0.5MG TAB.$ 14.00 TEVETEN 600/12.5MGTA$ 14.00 AMOXIL 200MG/15MLSPS$ 14.00 GEFTIN 250MG TABLET$ 14.00 OXYCODONE/APAP 7.5MG/325 TAB$ 14.00 FLOXIN 200MG TAB UD$ 14.00 CYCLOSPORINE 25MG UD$ 14.00 J7515 AD OINT 1.5OZ$ 14.00 BLISTEX REG. .15-OZ$ 14.00 LEUKERAN TAB 2MG$ 14.00 ZOVIRAX 200MG CAPS U$ 14.00 LACRI LUBE OPTH OINT$ 14.00 NITRO DUR II 30CM$ 14.00 TRIMMING OF NAILS$ 14.00 11719 XARELTO 15MG CAPSULE$ 14.16 SO TOTAL PROTEIN$ 15.00 84156 SKIN SCRAPING FOR SCABIES$ 15.00 87220 SO CSF PROTEIN TOTAL$ 15.00 84157 SO PH; BODY FLUID NOS$ 15.00 83986 SED RATE MANUAL-MC$ 15.00 85651 LANACAINE SPRAY 40Z$ 15.00 TARKA 2/240 TAB.$ 15.00 FLOMAX 0.4MG CAP.$ 15.00 ORAMORPH SR 15MG TAB$ 15.00 COMTAN 200MG TAB$ 15.00 VICODIN 10/325 MG$ 15.00 NOTUSS SYRUP$ 15.00 NAMENDA 10MG TABLET$ 15.00 CAMPHO PHENIQUE LIQ.$ 15.00 ROBINUL TAB 1MG.$ 15.00 AMBIEN TAB 5MG$ 15.00 ACTA CHAR 400ML 30GM$ 15.00 AFRIN NOSE DROP 20ML$ 15.00 AMERICAINE OINT 1 0Z$ 15.00 AYR NASAL DROPS 20ML$ 15.00 PERCONDAN TAB 5MG$ 15.00 XANAX TAB 1MG$ 15.00 XARELTO 20MG TABLET$ 15.28 SO GTT ADD SPEC$ 16.00 82952 SO SENSITIVITY-AGAR DILUTION /$ 16.00 87181 PROMETHAZINE HCL 50MG CREAM$ 16.00 FLOVENT 220MCG INHALER 1 PUFF$ 16.00 LIDOCAINE HCL 1%50MG$ 16.00 ESTRATEST H.S. TAB.$ 16.00 ACTIFED SYR 4OZ$ 16.00 CECLOR 500MG. CAP UD$ 16.00 FLEET PHOSPHO SODA$ 16.00 DEXAMETHASONE INJ4MG$ 16.00 MINERAL OIL LIGHT$ 16.00 NITROGLYCERIN .6MG$ 16.00 TRANXENE CAP 3.75MG$ 16.00 VICKS VAPOR RUB WHTE$ 16.00 PERCOCET TAB$ 16.00 LANOLIN USP 10Z$ 16.00 SKELAXIN 800 MG TAB$ 16.00 EST PATIENT LEVEL 1$ 16.00 99211 SO CHOLESTEROL SERUM/WHOLE BLD$ 17.00 82465 DECALCIFY TISSUE$ 17.00 88311 ALLERG SP IGE; QUAN OR SEMIQUA$ 17.00 86003 SO ALLERGY NICKEL$ 17.00 86003 SO ORGANOCHLOR PEST BLOOD TEST$ 17.00 82441 WELLBUTRIN SR 100MG$ 17.00 KLONOPIN WAF 0.125MG$ 17.00 TEMAZEPAM 30 MG TAB$ 17.00 ATENOLOL 50 MG TAB$ 17.00 NUCYNTA 50MG TAB$ 17.00 ADVAIR HFA 115 PER DOSE$ 17.00 ASPERCREME 1.25OZ TU$ 17.00 FLOXIN 300MG TAB (FL$ 17.00 SELSUM BLUE$ 17.00 NIVEA CRM 2OZ. TUBE$ 17.00 GOLD BOND POW 4OZ8.3$ 17.00 TRINTELLIX 10 MG TABLET$ 17.00 ATROPINE SULF INJ20M$ 17.00 ANTIPYRINE/BENZ OTIC$ 17.00 FIORINAL CAP RNP$ 17.00 MESTINON AMP 10MG$ 17.00 TENSILON AMP 10MG1ML$ 17.00 TRANXENE 7.5MG UD$ 17.00 MYCOSTATIN VAGINAL T$ 17.00 IMURAN 50MG TAB$ 17.00 J7500 ROBITUSSIN AC SYR 2O$ 17.00 AK-PRED OPTH SOL 5CC$ 17.00 TRADJENTA 5MG TABLET$ 17.63 VOLUME MEASUREMENT$ 18.00 81050 SO METHEMOGLOBIN$ 18.00 83050 SO SICKLE CELL SCREEN$ 18.00 85660 ATROPINE SULFATE 1%$ 18.00 HEPARIN LOCK FLUSH S$ 18.00 J1642 OXYCONTIN CR 10MGTAB$ 18.00 REMERON 15MG TABLET$ 18.00 KLONOPIN WAF 0.5MG$ 18.00 BYSTOLIC 5 MG TABLET$ 18.00 NIFEDIPINE XL TAB 60$ 18.00 ACETIC ACID USP .25%$ 18.00 CYTARABINE 100MG/5ML VIAL$ 18.00 J9100 DIAPER RASH OINTMENT$ 18.00 GENTAMICIN OINT 15GM$ 18.00 NYSTATIN TOPICAL CRE$ 18.00 CHLOROPTIC OPTHAL. G$ 18.00 NYSTATIN OINT 15GM$ 18.00 MORPHINE CONTIN 30MG$ 18.00 INVOKANA 100MG TABLET$ 18.29 DEXAMETHOSONE SOD PHOS 1MG INJ$ 19.00 J1100 J1100 VIT B-12 CYANO > TO 1000MCG IN$ 19.00 J3420 J3420 SO REFLEX TREPONEMA PALLIDUM$ 19.00 86593 SO TREPONEMA PALLIDUM (RPR)$ 19.00 86592 SO SUSCEPTIBILITY-MYCOBAC TUBE$ 19.00 87188 VANCOMYCIN CONFIRMATION SO$ 19.00 87181 SO UREA NITROGEN RANDOM URINE$ 19.00 84540 SO URINE BICARBONATE$ 19.00 82374 MED BRONCHO-DILATOR$ 19.00 VICOPROFEN 7.5/200MG$ 19.00 CRIXIVAN 400MG CAP$ 19.00 BUMETANID 0.25MG 4ML$ 19.00 CLR EYES OPTH DRP 15$ 19.00 NUCYNTA 75MG TAB$ 19.00 BUPIVICAINE 0.5 0/0 W/EPI 10ML$ 19.00 FLOXIN 400MG TAB$ 19.00 SODIUM BICARB 8.4% 5$ 19.00 HEPARIN SOD INJ 10MU$ 19.00 J1642 MOVANTIK 25 MG TABLET$ 19.00 ADRENALIN 1MG/1ML$ 19.00 J0171 AMIDATE 25MG/ML 20ML$ 19.00 AMINOPHYLLIN INJ250M$ 19.00 J0280 AMINOPHYLLIN INJ500M$ 19.00 J0280 ANBESOL .31OZ$ 19.00 ATROPINE SULF INJ.4M$ 19.00 J0461 GABITRIL 4MG TAB.$ 19.00 BANALG LIQ 2OZ$ 19.00 DIPHENHYDRAMINE 50MG$ 19.00 J1200 BREVITAL SOD 500MG$ 19.00 CALCIUM CHL INJ 10 percent$ 19.00 CALCIUM GLUC INJ 10%$ 19.00 J0610 COPPER TRACE ADD$ 19.00 CYANOCOBALAMIN 100MC$ 19.00 J3420 DESENEX PWD 1.5 OZ$ 19.00 HALCION TAB .25MG$ 19.00 HEPARIN 5,000U/0.5M$ 19.00 J1644 DEXAMETHASONE 4MG VL$ 19.00 J1100 HYDROXYZINE 50/2ML V$ 19.00 J3410 VERAPAMIL 5MG INJ.$ 19.00 LANOXIN INJ 0.5MG/2M$ 19.00 J1160 MAG. SULF. 50% VIAL$ 19.00 J3475 PHENYLEPHRINE INJ 1$ 19.00 NITROPRUSSIDE 50MG V$ 19.00 POTASS CHL INJ 20MEQ$ 19.00 J3480 POTASS CHL INJ 40MEQ$ 19.00 POTASS PHOS INJ 45MM$ 19.00 POTASSIUM ACETATE IJ$ 19.00 PROCAINAMIDE IM/IV 5$ 19.00 REGLAN 10MG/2ML VL$ 19.00 J2765 ROBAXIN INJ 10ML$ 19.00 ROBINUL INJ 0.2MG 1M$ 19.00 SODIUM ACETATE 40MEQ$ 19.00 SODIUM CHL INJ4MEQ/M$ 19.00 STERILE WATER/INJ10M$ 19.00 XYLOCAINE AMP 2%10ML$ 19.00 SODIUM PHOSPHATE 3MM$ 19.00 FUROSEMIDE 40MG/4ML$ 19.00 J1940 FUROSEMIDE 100MG/10M$ 19.00 J1940 XYLOCAINE/EPI 1%20ML$ 19.00 XYLOCAINE 2% 20ML$ 19.00 XYLOCAINE, 1% 20ML$ 19.00 HEPARIN LOCK FLUSHPF$ 19.00 J1642 OXYTOCIN AMP 1CC 10U$ 19.00 J2590 SODIUM CHL O.9% PF$ 19.00 PEN G BENZATHINE1.2M$ 19.00 GENTAMICIN 80MG/2ML$ 19.00 J1580 XYLOCAINE 1% 5ML AMP$ 19.00 RANITIDINE 50MG 100M$ 19.00 INDERAL LA CAP 60MG$ 19.00 HEPARIN LOCK FLUSH$ 19.00 J1642 SELE DEBRIDE W/O ANES ADD 20CM$ 19.00 97598 SYMBICORT 80/4.5 INH 1 PUFF$ 19.56 CHOLINESTERASE SERUM SO$ 20.00 82480 CHOLINESTERASE SERUM SO$ 20.00 82480 SO CRYOGLOBULIN, QUALITATIVE$ 20.00 82595 SO PHOSPHORUS$ 20.00 84105 SO SP CHLORIDE FLUID$ 20.00 82438 SO SODIUM FECAL$ 20.00 84302 SO CSF ALBUMIN$ 20.00 82042 SO STACH CHARTA/ATRA IGE$ 20.00 86003 SO STACH CHARTA/ATRA IGG$ 20.00 86001 SO IGG ALLERGEN EACH$ 20.00 86001 SO BILIRUBIN TOTAL$ 20.00 82247 BILIRUBIN,TOTAL TRANSCUTANEOUS$ 20.00 88720 PACU PHASE II EA ADD 15 MIN$ 20.00 URINE DRUG SCREEN DIPSTICK$ 20.00 80305 MUCOMYST 10 percent 2ml$ 20.00 ZONISAMIDE 100MG CAPSULE$ 20.00 CYCLOCORT OINT 0.1%$ 20.00 AVEENO BATH REG 16OZ$ 20.00 METOLAZONE 5MG TABLET$ 20.00 COMPOUNDING FEE$ 20.00 SMOKING CESS 3-10MIN$ 20.00 99406 MEPETEL NON-ADHESIVE$ 20.00 SMOKE CESSAT COUNS 3-10 MIN$ 20.00 99406 ROPINIROLE 2MG TABLET$ 20.04 CLINDAMYCIN 300MG/2ML VIAL$ 20.07 LIDOCAINE 2% 5ML VIAL$ 20.13 VALACYCLOVIR 1GM TABLET$ 20.22 ECG W/12 LEADS INTER & REPORT$ 20.50 93010 SYMBICORT 160/4.5 INH 1 PUFF$ 20.96 HOMOGENIZATION, TISSUE FOR CUL$ 21.00 87176 ESOINOPHIL SM OTHER$ 21.00 89190 SO PKU BLOOD$ 21.00 84030 SO BODY FLUID POTASSIUM$ 21.00 84999 SO CRP$ 21.00 86140 SO POTASSIUM FECAL$ 21.00 84311 SO PHENYLALANINE$ 21.00 84030 SO SGPT$ 21.00 84460 SO CREATININE; OTHER SOURCE$ 21.00 82570 KIT BARD TOUCHLESS 14FR CATH$ 21.00 BLADE MAC 3 DISP$ 21.00 BLADE MILLER #3$ 21.00 ADAPTER TUBING MALE$ 21.00 ADAPTER TUBING FEMALE$ 21.00 XOPENEX .63MG VIALS$ 21.00 XOPENEX 1.25MG DOSE$ 21.00 PRAVACHOL 20MG TAB$ 21.00 CELEBREX 200MG CAPSULE$ 21.00 MEPERIDINE 300MG PCA$ 21.00 J2175 METHENAMINE HIPPURATE 1GM TABL$ 21.00 DEXAMETHASONE 10MG$ 21.00 J1100 BACTITRACIN OINT 1OZ$ 21.00 REQUIP 1MG TABLET$ 21.00 COCOA BUTTER 6OZ CRM$ 21.00 BALM BARR COCOA BUCM$ 21.00 SWEEN CREAM TUBE 2OZ$ 21.00 RISPERDONE 4MG OD TABLET$ 21.00 KENALOG CRM .1% 15GM$ 21.00 TRIAMCINOLONE OINT1%$ 21.00 PARLODEL TAB 2.5MG$ 21.00 STERILE WATER/INJ500$ 21.00 SODIUM LACTATE 50MEQ$ 21.00 TRIAMCINOLONE CREAM$ 21.00 MARCAINE 0.25% INJ.$ 21.00 ADSORBONAC 2% 15ML$ 21.00 CEFAZOLIN 250MG VIAL$ 21.00 J0690 PRE/POST CARE PHASE II EA ADD$ 21.00 FILTER VENT AIR INTAKE$ 21.00 CONFORM BAND 6CM X 5M$ 21.00 A6442 PAD FOR BAND 10CMX2.5MX0.4$ 21.00 S8430 APPLY MULTI LAYER COMP WRAP$ 21.00 29581 GTT ADD SPEC$ 22.00 82952 SO RUSSELL VIPER VENOM DILUATE$ 22.00 85613 SO SMEAR, SPECIAL STAIN$ 22.00 87207 SO CELIAC DISEASE PANEL$ 22.00 82784 SO APT TEST$ 22.00 83033 SO CREATININE$ 22.00 82570 SO TRIGLYCERIDES, PLEURAL FLUI$ 22.00 84478 SO HERPES SIMPLEX TYPING$ 22.00 87140 SO RH FACT SCRE SYNOVIAL FLUID$ 22.00 86430 SO RH FACT TITE SYNOVIAL FLUID$ 22.00 86431 SHOE CAST MED$ 22.00 NEEDLE INFUSION 19G X.75 Y$ 22.00 NEEDLE SPINAL 25GA/4 11/16$ 22.00 URSTMY POST/OP SYS 2.75$ 22.00 BLADE EXT ELECTRODE COATED$ 22.00 NEEDLE SURGICAL ANCHOR S/S 2D$ 22.00 DRESSING MEPITEL 3X4$ 22.00 SUCTION FRAZIER 18FR$ 22.00 NEEDLE SPINAL WHITACRE 25GX5$ 22.00 PEG TUBE DECLOGGER 12-16FR$ 22.00 PEG TUBE DECLOGGER 18-24FR$ 22.00 RING OSTOMY HYDROFER BLUE FOAM$ 22.00 NEEDLE SPINAL 18GA X 6"$ 22.00 MOD SED 5 OR OLDER EA ADD 15MI$ 22.00 99157 XYLOCAINE 2%/EPI$ 22.00 NEORAL 100MG CAP.$ 22.00 SUFENTA 50 MCG/ML$ 22.00 PREVACID SOLUTAB30MG$ 22.00 MIRTAZAPINE(REMERON) 30MG TAB$ 22.00 LYRICA 50 MG CAPSULE$ 22.00 LYRICA 100MG CAPSULE$ 22.00 LYRICA 25MG CAPSULE$ 22.00 D5W 250ML GLASS$ 22.00 D5W 500ML GLASS$ 22.00 EVOXAC CAPSULE$ 22.00 MICONAZOLE CREAM 30G$ 22.00 LASIX INJ. 100MG/10M$ 22.00 TELEPAQUE 500MG CAPS$ 22.00 EPINEPHRINE INJ .05M$ 22.00 HYDROCORTOSINE CREAM 1%$ 22.00 INDERAL LA CAP 80MG$ 22.00 TPN ELECTROLYTES ABB$ 22.00 ZINC TRACE METAL ADD$ 22.00 CORTICAINE CREAM 1OZ$ 22.00 ROBINUL INJ. 20ML$ 22.00 PT SCHOOL IEP 15" P$ 22.00 OT SCHOOL IEP 15$ 22.00 ST SCHOOL IEP 15 P$ 22.00 DRESSING SORBACT PADS 4 X 4$ 22.00 CYCLOPHOSPHAMIDE 50MG CAPSULE$ 22.30 OSELTAMIVIR 30 MG TAB$ 22.69 DEXAMETHASONE ACET 1MG INJ$ 23.00 J1094 J1094 CIRCUIT ANES BRTHG KIT ADLT$ 23.00 DRAPE BILAT LIMB SHT$ 23.00 DRAIN PENROSE .75$ 23.00 FILTER LASER PRE NS DISP$ 23.00 DRESSING STATLOK VAS CATH$ 23.00 URO CART$ 23.00 GASTROVIEW 120ML$ 23.00 PIPELLE$ 23.00 TUBE 36FR RT ANGLE CHEST$ 23.00 SPLINT WRIST 6" LT/LG$ 23.00 FILTER MILLIPORE STERIVEX$ 23.00 BETAPACE 80MG TABLET$ 23.00 CYTOXAN 25MG TABLET$ 23.00 LEUCOVORIN 5MG TABL$ 23.00 ZERIT 40MG CAPSULES$ 23.00 LUVOX 50MG TABLET UD$ 23.00 EPIVIR 150MG TABLET$ 23.00 ZYRTEC 5MG TABLET$ 23.00 TRICOR 48MG CAPSULE$ 23.00 MIRAPEX 1MG TAB$ 23.00 CARAFATE SUSP 2OZ$ 23.00 REMINYL 4MG TAB$ 23.00 OVRAL TAB$ 23.00 VIRACEPT 250MG TAB$ 23.00 ZELNORM 6MG TAB$ 23.00 CYMBALTA 30 MG CAP$ 23.00 DEXAMETH ACTAT LA 8M$ 23.00 J1094 DYNACIRC CR 5MG TAB$ 23.00 TIKOSYN 250 MCG CAPS$ 23.00 TEKTURNA 150MG TAB$ 23.00 TIKOSYN 125MCG CAPSU$ 23.00 PEPTO BISMOL 4OZ$ 23.00 ERYPED DROPS$ 23.00 LICE X 4OZ. (RID)$ 23.00 ELDEPRYL TAB 5MG$ 23.00 EULEXIN CAP 125MG$ 23.00 PCE 500MG TAB$ 23.00 MARCAINE PF 0.5% 30M$ 23.00 MACROBID CAP. 100MG$ 23.00 PREDNISONE DOSEPK 5M$ 23.00 ADALAT CC 60MG$ 23.00 PROZAC 10MG TAB$ 23.00 AGGRENOX 200/25MG CA$ 23.00 LACTULOSE SYRUP 20GM$ 23.00 NORFLEX TAB 100MG$ 23.00 PEN VEE K 250MG ORAL$ 23.00 RIFAMPIN CAP 300MG$ 23.00 SODIUM BICARB 8.4% 1$ 23.00 GLUTOSE LIQ. 80GM$ 23.00 E E S 400/5ML 100ML$ 23.00 MYAMBUTOL 400MG TAB.$ 23.00 CEFAZOLIN 1GM PB PER 500MG$ 23.00 J0690 MEVACOR TAB 20MG. UD$ 23.00 PROZAC CAP 20MG UD$ 23.00 PAD FOR BAND 12CMX2.5CMX0.4$ 23.00 S8430 VENIPUNCTURE 3OR OLD NEC PHY$ 24.00 36410 ACCUCATH 20 GA X 1.25$ 24.00 SO GAMMAGLOBULIN IGA,IGD,IGG,I$ 24.00 82784 SO FASTIDIOUS PATH MIC$ 24.00 87186 SO CULT TYPING;IMMUNOFLUO METH$ 24.00 87140 SO MALARIA/BLOOD PARASITE SMEA$ 24.00 87207 AEROCHAMBER RT$ 24.00 BARIUM ENEMA KT SPR XL$ 24.00 CATH VASCULAR DILATOR 10FR$ 24.00 C1729 CATH VASCULAR DILATOR 14FR$ 24.00 C1729 BLADE CLIPPER SENSICLIP 4403A$ 24.00 TUBE 32FR RT ANGLE CHEST$ 24.00 DRESSING DERMA GRAN WITH ZINC$ 24.00 CO-FLEX AFD 4"$ 24.00 PINS SMOOTH 1/8$ 24.00 C1713 PINS SMOOTH 3/16$ 24.00 C1713 VIOXX 12.5MG TAB$ 24.00 ACTONEL 5MG TAB$ 24.00 LIDO 1.5% / EPI 5ML$ 24.00 VAGIFEM 25MCG TAB$ 24.00 LEXAPRO 10MG TAB$ 24.00 NAMENDA 5MG TABLET$ 24.00 TETRACAINE 0.45% LOL$ 24.00 UROXATRAL ER 10MG TA$ 24.00 KEPPRA 500MG/5ML ORA$ 24.00 NICODERM PATCH 7MG$ 24.00 ZOCOR TAB 10MG (SIMV$ 24.00 CLARITIN TAB 10MG (L$ 24.00 IMODIUM LIQUID 20Z$ 24.00 NICODERM PATCH 14MG$ 24.00 AMOXIL ORAL SUSP125M$ 24.00 PREDNISONE SYRUP 5MG$ 24.00 NEO SYNEPH OPTH SOL$ 24.00 NIZORAL TAB 200MG$ 24.00 KEPPRA 500MG TAB.$ 24.00 ZANTAC TAB 150MG UD$ 24.00 PEPCID 20MG/2ML (FAM$ 24.00 EST PATIENT (PAT) LEVEL 1$ 24.00 99211 O2 PER HOUR$ 24.00 DRESSING SORBACT GEL SHEET 3 X$ 24.00 BUPIVACAINE 0.75% 10ML$ 24.60 J3490 PTT SUBSTI PLASMA FRACT$ 25.00 85732 SO TYOSINE$ 25.00 84510 SO REFLEX TO PTT$ 25.00 85732 SO REFLEX PT 1:1 MIX 1HR$ 25.00 85611 SO REFLEX PT 1:1 MIX 2HR$ 25.00 85611 SO REFLEX PTT 1:1 MIX$ 25.00 85732 SO REFLEX PTT 1:1 MIX 2HR$ 25.00 85732 SO IGM CSF$ 25.00 82784 CATH COUDE 16FR/5CC$ 25.00 SPLINT SURG NAIL 4R$ 25.00 C1713 CATH COUDE 14FR/5CC$ 25.00 DRAPE HAND$ 25.00 NEEDLE STIMEX INSUL 22GA/2 1/8$ 25.00 CREAM SKIN 4OZ BARRIER DIMETHI$ 25.00 PACK MINI GENERAK CUSTOM$ 25.00 TUBING BLOOD Y-TYPE PLT$ 25.00 TUBE INTRODUCER TRACHEAL COUDE$ 25.00 TUBE INTRODUCER TRACHEAL STRT$ 25.00 HOUSE IV ULTRADRESSING PEDI SM$ 25.00 HOUSE IV ULTRADRESSING PEDI MD$ 25.00 HOUSE IV ULTRADRESSING PEDI LG$ 25.00 IMMOBILIZER SLING LG 9023-03$ 25.00 FORCEP RADIAL JAW EGD BIOPSY 2$ 25.00 SPLINT WRIST 6" LT/MED$ 25.00 SPLINT WRIST 6" LT/SM$ 25.00 SPLINT WRIST 6" RT/SM$ 25.00 SPLINT WRIST 6" RT/MED$ 25.00 SPLINT WRIST 6" RT/LG$ 25.00 CONTAINER FORMALIN PREF 480ML$ 25.00 IONTOPATCH SMALL SP$ 25.00 DRESSING FOAM 4X4 BACTERIOSTAT$ 25.00 QUESTRAN LIGHT PK$ 25.00 FOSAMAX 10MG. TAB$ 25.00 LIPITOR 10MG TABLET$ 25.00 DEPAKOTE ER 500MG TA$ 25.00 CELEXA 20MG TAB$ 25.00 TASMAR 100MG TAB.$ 25.00 BETAPACE 120MG TAB$ 25.00 FARESTON 60MG$ 25.00 REMERON SOLTAB 15MG$ 25.00 TRILEPTAL 300 MG TAB$ 25.00 NYSTATIN 500,000U/5ML$ 25.00 PROGESTERONE 200MGCP$ 25.00 PREDNISONE 5MG 12DAY$ 25.00 PENTOSAN POLYS 100MG$ 25.00 D10W 1000ML GLASS$ 25.00 DEXAMETHASONE 0.5MG$ 25.00 CARDIZEM CD 300MG CA$ 25.00 PROSCAR 5MG TAB$ 25.00 CHLORASEPTIC 6 OZ CH$ 25.00 RIOPAN PLUS SUSP 12O$ 25.00 RIFAMATE CAPS$ 25.00 ISOPTO CARPINE 3% 15$ 25.00 PROMETH. INJ.50MG/ML$ 25.00 J2550 CEFAZOLIN 500MG PB$ 25.00 J0690 ST SCHOOL DOCUM 15$ 25.00 HUMIDIFIER HF BUBBLE SALTER$ 25.00 SLEEP STUDY SCHEDULE FEE$ 25.00 PAD FOR COM BAND 10CMX2.5MX0.3$ 25.00 S8430 ESTABLISHED PATIENT LEVEL 1$ 25.50 99211 MNT GROUP INTVT EA30$ 26.00 G0271 97804 MNT GROUP$ 26.00 G0271 SO URIC ACID OTHER SOURCE$ 26.00 84560 THROMBIN TIME TITER$ 26.00 85675 SO CONCENTRATION FOR INFECTIOU$ 26.00 87015 T4-NEONATAL$ 26.00 84437 STAIN $ 26.00 87207 SO FACTOR II, ACT(PROTHROMBIN)$ 26.00 85210 SO CRYOGLOBULIN SERUM$ 26.00 82595 SO BACILLUS ANTHRACIS SCREEN$ 26.00 87081 SO CULTURE NEISSERIA GONORRHOE$ 26.00 87081 SO SPECTROPHOTOMETRY$ 26.00 84311 SO PLASMINOGEN ACTIVITY$ 26.00 85420 SO BC-ANAEROBE ADDITIONAL ID$ 26.00 87076 SO SULFHEMOGLOBIN$ 26.00 83060 KETONE BODY(S) QUANTITATIVE$ 26.00 82010 SO THROMBIN TIME$ 26.00 85670 IV SET BURETROL$ 26.00 DRESSING TIELLE HYDRO 4X4$ 26.00 VACUTAINER DROP IT HOLDER$ 26.00 PINS THREADED .035 3/16$ 26.00 C1713 SLEEVE 5 X 100 BALLOON CFS02$ 26.00 K-WIRE 1.25 X 150 SS$ 26.00 C1713 K-WIRE 1.0$ 26.00 C1769 FLUOCINOLONE .25% CM$ 26.00 ALPHA KERI SH&BD 4OZ$ 26.00 EVISTA 60MG TAB$ 26.00 LESCOL XL 80MG TAB$ 26.00 DEPAKOTE 500MG$ 26.00 ZETIA 10MG TAB$ 26.00 AVODART 0.5MG CAPSUL$ 26.00 ROZEREM 8MG TABLET$ 26.00 RANEXA TABLET 500MG$ 26.00 AMITIZA 24MG TABLET$ 26.00 ZOLOFT TAB 50MG (SE$ 26.00 ZOVIRAX 800MG TAB. ($ 26.00 DEBROX DROP 15ML$ 26.00 DECADRON TOP CRM .1 percent$ 26.00 PREPARATION H OINT.$ 26.00 WELLBUTRIN SR 150 TA$ 26.00 METHYLPREDNISOLON 40$ 26.00 J2920 HALOTEX 1% CREAM 15G$ 26.00 CELEXA 40MG TAB.$ 26.00 CORDARONE TAB 200MG$ 26.00 DOXORUBICIN 10MG/5ML VIAL$ 26.06 J9000 PRADAXA 150MG CAPSULE$ 26.20 DABIGATRAN 75MG CAPSULE$ 26.20 GRAFT OASIS PER SQ CM$ 26.70 Q4102 DILATOR VESSEL 038 7F 20CM$ 27.00 DILATOR VESSEL 038 12F 20CM$ 27.00 DILATOR VESSEL 038 14F 20CM$ 27.00 DILATOR VESSEL 038 16F 20CM$ 27.00 DILATOR VESSEL 038 18F 20CM$ 27.00 UNLISTED ALLER/CLINICA IMMUNOL$ 27.00 URINE-MICRO ONLY$ 27.00 81015 SO OSMOTIC FRAGILI ERYTHROCYTE$ 27.00 85555 SO ADENOSINE DEAMIN, PLEUR FL$ 27.00 84311 SO AROM PRI AMINE EXP URINE$ 27.00 84311 SO ANTIBOTIC SENSITIVITY TESTI$ 27.00 87184 TUBING CYSTO IRRIGATION$ 27.00 BARIUM ENEMA BARO-KIT$ 27.00 SUCTION FRAZIER 5FR$ 27.00 NEEDLE SPINAL WHIT 27G/ 4 11/1$ 27.00 SOAP MEDICATED LOTION STERIS$ 27.00 PROTECTOR CROUCH CORNEAL$ 27.00 TUBE BLOOD PRPL EDTA 3.0ML$ 27.00 PACKING POPE EPISTAXIS MERO$ 27.00 A6261 PAD OR FLOOR ABSORBENT 30X40$ 27.00 TROCAR ENDO BLDLSS 5MM X 100MM$ 27.00 DRESSING SOFSORB 15X18$ 27.00 TUBE T BARD 8FR$ 27.00 TUBE T BARD 10FR$ 27.00 TUBE T BARD 12FR$ 27.00 TUBE T BARD 18FR$ 27.00 TUBE T BARD 20FR$ 27.00 MICRO-KOVER 20 X62 FOR OPMI 1$ 27.00 SUTURE PROLENE O MO-6 8418H$ 27.00 SUTURE PROLENE 30" 8690H$ 27.00 EXUDERM 4 X 4$ 27.00 ARTHROSCOPIC IRRIGATION SET$ 27.00 SUTURE 0 VICRYL J479H$ 27.00 VICRYL 4-0 J422H$ 27.00 SLEEVE ENDO FIXATION 5MMX100$ 27.00 SUTURE PROLENE 2-0 SH8533H$ 27.00 APPLIED TROCAR SLEEVE$ 27.00 DRAIN T-TUBE DEAVER 14FR$ 27.00 BIOPSY VALVE MAJ-1414$ 27.00 PEP VALVE FOR COPD$ 27.00 A4617 NYSTATION CREAM 30GM$ 27.00 EFFEXOR XR 37.5MG CP$ 27.00 BAG BALM 10 OZ$ 27.00 AVANDIA 4MG TAB$ 27.00 PAXIL CR 12.5MG TAB$ 27.00 CRESTOR 10MG TABLET$ 27.00 EXELON 1.5MG CAPSULE$ 27.00 LIPITOR 20MG TABLET$ 27.00 D5W 50ML GLASS$ 27.00 MULTAQ 400MG TAB$ 27.00 METHOTREXATE 2.5MG T$ 27.00 J8610 NICODERM PATCH 21MG$ 27.00 PAXIL TAB 20MG (PARO$ 27.00 AFRIN NASAL SPR 15ML$ 27.00 DIPHENHYDRAMINE CRM1$ 27.00 COMPAZINE SUPP 25MG$ 27.00 CEFADROXIL CAP 500MG$ 27.00 MICONAZOLE CRM 2% 1O$ 27.00 NEO SYNEPHRINE SOL.5$ 27.00 NEO SYNEPHRINESPR.25$ 27.00 NEO SYNEPHRINE SPR.5$ 27.00 TINACTIN CREAM 15GM$ 27.00 WYCILLIN 1.2MM UNITS$ 27.00 J2510 B & O SUPP.$ 27.00 VOSOL 15ML$ 27.00 CONFORM BAND 8CM X 5M$ 27.00 A6443 MEDIPORE 4 INCH$ 27.00 HYDROFERA BLUE 4X4$ 27.00 PARING/CUTTING BEN LES – SIN $ 27.00 11055 SUTURE PROLENE BL 3-0 30" CRCL$ 28.00 SUTURE PROLENE BL 3-0 PS-2$ 28.00 SUTURE VICRYL 3-0 27" TPR PNT$ 28.00 SUTURE VICRYL 5-0 18" PS-2$ 28.00 SUTURE VICRYL 5-0 18" PS-2$ 28.00 GUIDEWIRE BOWL STERILE 2500CC$ 28.00 C1769 TEMPORARY TRANSCUT PACEMAKER$ 28.00 92953 SUTURE NYLON FS-1-2-0$ 28.00 ACCU-CHECK$ 28.00 82962 SO IGE ABY ALLER,EA$ 28.00 86003 RHEUMATOID FACTOR$ 28.00 86431 SO IGE AB MULTI-ALL$ 28.00 86003 SO PROPHYRINS PROFILE PLASMA$ 28.00 84311 SO CONCENTRATION$ 28.00 87015 SO BETA-HYDROXYBUTYRATE$ 28.00 82010 SO GGT$ 28.00 82977 STRAP CLAVICLE LG$ 28.00 L3670 SUTR VICRYL 1 CT-2 27IN$ 28.00 SUTURE BOOT$ 28.00 BAG HYPERINFLATION SYS$ 28.00 BLANKET BAIR HGGR UPPER$ 28.00 BLANKET BAIR HGGR LWR$ 28.00 NEEDLE KEITH STR TRI 2 7/8$ 28.00 SUTR PDS PLUS 0.60IN V PDP991G$ 28.00 SUTR VICRYL 1 36 CT-1$ 28.00 SUTURE VICRYL 2-0 36 CT-1$ 28.00 SUTR VICRYL 2-0 27 SH$ 28.00 SUTR VICRYL 2-0 27$ 28.00 SUTURE VICRYL 2-0 27 UR-5$ 28.00 SUTURE VICRYL 2-0 8-18 CT-1$ 28.00 SUTURE VICRYL 3-0 27 SH$ 28.00 SUTR VICRYL 3-0 36 CT-1$ 28.00 SUTURE VICRYL 3-0 16-18 TIES$ 28.00 SUTR VICRYL 4-0 27$ 28.00 SUTR VICRYL 6-0$ 28.00 SUTURE SILK 0 30 TIES$ 28.00 SUTURE SILK 0 30 KS$ 28.00 SUTR SILK 0 30 FSL$ 28.00 SUTURE SILK 2-0 30 TIES$ 28.00 SUTR SILK 3-0 30 SH$ 28.00 SUTURE SILK 3-0 18 FS-1$ 28.00 SUTURE SILK 3-0 18 TIES$ 28.00 SUTR SILK 3-0 18 PS1$ 28.00 SUTR SILK 4-0 8-18 SH$ 28.00 SUTR SILK 4-0 18 TIES$ 28.00 SUTURE SILK 4-0 18 FS-2$ 28.00 SUTURE SILK 5-0 18 TIES$ 28.00 SUTURE CHROMIC 1 27 CT-1$ 28.00 SUTURE CHROMIC 1 54 REEL$ 28.00 SUTURE CHROMIC 0 27 CT-1$ 28.00 SUTURE CHROMIC 0 27 UR-5$ 28.00 SUTURE CHROMIC 2-0 27 UR-5$ 28.00 SUTR CHROMIC 2-0 27IN SH$ 28.00 SUTURE CHROMIC 2-0 27 CT-1$ 28.00 SUTURE CHROMIC 2-0 27 CP-1$ 28.00 SUTURE CHROMIC 3-0 27 SH$ 28.00 SUTURE CHROMIC 3-0 36 CT$ 28.00 SUTURE CHROMIC 4-0 27 RB-1$ 28.00 SUTURE CHROMIC 4-0 27 SH$ 28.00 SUTURE CHROMIC 4-0 27 FS-2$ 28.00 SUTURE CHROMIC 4-0 18 PS-4$ 28.00 SUTURE CHROMIC 5-0 27 RB-1$ 28.00 SUTR PLAIN GUT 0 54 TIES$ 28.00 SUTURE PROLENE 0 8-18 MO-6$ 28.00 SUTURE PROLENE 2 60 TP-1$ 28.00 SUTURE PROLENE 1 60 TP-1$ 28.00 SUTR PROLENE 2-0 30 CT-2$ 28.00 SUTURE PROLENE 3-0 36 SH$ 28.00 SUTURE PROLENE 4-0 18 PS-2$ 28.00 SUTR PROLENE 4-0 36IN$ 28.00 SUTURE PROLENE 5-0 18 PS-2$ 28.00 SUTR PROLENE 7-0 24IN$ 28.00 SUTURE ETHILON 2-0 18 FS$ 28.00 SUTURE ETHILON 3-0 18 FS-1$ 28.00 SUTURE ETHILON 3-0 30 FSLX$ 28.00 SUTURE ETHILON 4-0 18 FS-2$ 28.00 SUTURE ETHIBOND 2-0 30 SH-2$ 28.00 SUTURE ETHIBOND 4-0 30 RB-1$ 28.00 SUTURE PDS II 1 36 CTX$ 28.00 SUTURE PDS II 1 36 CT-1$ 28.00 SUTURE PDS II 0 36 CT-1$ 28.00 SUTURE PDS II 2-0 27 CT-1$ 28.00 SUTURE VICRYL 3-0 8-27 SH$ 28.00 SUTR VICRYL 1 36IN CTB-1$ 28.00 SUTR VICRYL 2-0 27 CTB-1$ 28.00 SUTURE PROLENE 1 MO6 D SPECIAL$ 28.00 SUTURE CHROMIC 5-0 27 C-1$ 28.00 SUTR VICRYL 1 36IN CT1$ 28.00 SUTR VICRYL 0 27IN UR-6$ 28.00 SUTR VICRYL 2-0 27 CT-3$ 28.00 BLADE MILLER 2 DISPOSABLE$ 28.00 SUTURE ETHILON 18 6-0 P-3$ 28.00 SUTR ETHILON 4-0 18IN P3$ 28.00 SUTR PROLENE 5-0 18IN PS2$ 28.00 SUTURE PROLENE 3-0 18 FS-2$ 28.00 SUTR DERMABOND$ 28.00 SUTURE ETHILON 18 6-0 PS-3$ 28.00 SUTURE ETHILON 5-0 18 P-3$ 28.00 SUTURE ETHILON 5-0 18 PS-2$ 28.00 SUTR ETHILON 5-0 FS2$ 28.00 SUTURE ETHILON 4-0 18 P-3$ 28.00 SUTR ETHILON 4-0 PS2$ 28.00 SUTURE ETHILON 4-0 18 FS-1$ 28.00 SUTR SILK 0 FSL$ 28.00 SUTURE PROLENE 5-0 18 P-3$ 28.00 SUTR PROLENE 5-0 PS2$ 28.00 SUTURE PROLENE 6-0 18 P-1$ 28.00 SUTURE PROLENE 6-0 18 P-3$ 28.00 SUTR VICRYL 4-0 PC1$ 28.00 SUTURE PLAIN GUT 5-0 27 FS-2$ 28.00 SUTURE PLAIN GUT 5-0 18 PC-1$ 28.00 SUTURE PLAIN GUT 6-0 18 PC-1$ 28.00 SUTURE ETHIBOND 3-0 30 RB-1$ 28.00 SUTURE CHROMIC 5-0 18 P-3$ 28.00 SUTR CHROMIC 3-0 FS2$ 28.00 SUTR VICRYL 1 CT$ 28.00 SUTR VICRYL 3-0 CT1$ 28.00 SUTURE VICRYL 3-0 27 RB-1$ 28.00 SUTR VICRYL 0 27 CT-2$ 28.00 SUTR VICRYL 2 TP-1$ 28.00 SUTR VICRYL 3-0 CT1$ 28.00 SUTURE SILK 2-0 18 SH$ 28.00 SUTURE SILK 6-0 18 PS-3$ 28.00 SUTR PLAIN GUT 3-0 PS2 27IN$ 28.00 SUTR PLAIN GUT 4-0 SC1 18IN$ 28.00 SUTURE PROLENE 0 30 CT-1$ 28.00 SUTR PROLENE 3-0 V7 36IN$ 28.00 SUTR PROLENE 5-0 V5 36IN$ 28.00 SUTR PROLENE 8-0 24IN$ 28.00 SUTURE PDS II 3-0 27 RB-1$ 28.00 SUTURE MONOCRYL 2-0 27 SH$ 28.00 SUTURE ETHIBOND EXC 2 30 OS-4$ 28.00 SUTURE ETHIBOND 4-0 18 PS-4$ 28.00 SUTR VICRYL 5-0 PS3$ 28.00 SUTURE MONOCRYL 3-0 KS Y523$ 28.00 SUTURE PROLENE 5-0 RB1 24"$ 28.00 SUTURE ETHICON PDS II Z303H$ 28.00 C1727 SUTURE PDS 96" TP-1$ 28.00 SUTURE TICRON 5 30 C-20 HDS14$ 28.00 SUTURE TICRON 2 30 T-56 HDS21$ 28.00 SUTURE PLAIN GUT 2-0 27" FN-2$ 28.00 SUTURE CHROMIC 2-0 27" UR-6$ 28.00 SUTURE ETHIBOND EXT 2-0 36" SH$ 28.00 SUTURE GORETEX CV-0 PHX-26 36"$ 28.00 SUTURE MONOCRYL 0 27" UR-6$ 28.00 SUTURE PROLENE 2-0 18" CT-2$ 28.00 SUTR SILK V-20 3-0$ 28.00 SUTURE STEEL #6 CHEST WIRE$ 28.00 SUTURE TICRON 1 30" T-56 HGS21$ 28.00 SUTURE TICRON 1 30" KV-30$ 28.00 SUTR VICRYL 0 18 TIES$ 28.00 SUTURE VICRYL 0 8-27 CT-1$ 28.00 SUTR GORETEX 3-0 CV-3$ 28.00 SUTURE GORTEX 5-0 CV-5$ 28.00 SUTURE GORETEX 6-0 CV-6$ 28.00 SUTURE VICRYL 2-0 8-18" CP-2$ 28.00 SUTURE VICRYL 2-0 8-18" SH$ 28.00 SUTURE VICRYL 3-0 8-18" SH-1$ 28.00 SUTR VICRYL 18" 3-0$ 28.00 SUTURE VICRYL 4-0 27" FS-1$ 28.00 WIRE LEAD 60" BLACK SNAP CONNE$ 28.00 SUTR MONOCRYL 27IN Y417H$ 28.00 C1874 SUTR VICRYL PLUS 36" VCP947H$ 28.00 SUTR MONOFOF 4-0 SN5667G$ 28.00 TRANSFER PIPETS$ 28.00 DRESSING HYDROFERA BLUE 4X4$ 28.00 SUTR 2-0 POLYSORB V-20$ 28.00 SUTURE VICRYL RAPIDE 2-0 VR945$ 28.00 C1727 SUTURE SILK 3-0 8-18 SH$ 28.00 C1874 SUTR ETHIBOND X GRN BR 0 MO-6$ 28.00 DRAPE EXTREMITY W/ARMBO$ 28.00 K WIRE .062$ 28.00 C1776 K WIRE 0.45$ 28.00 C1776 SUTURE GORE TEX OUO1$ 28.00 C1713 SUTR VICRYL 3/0 27IN VCP423H$ 28.00 SUTR PROLENE 6-0 8707H$ 28.00 SUTR PROLENE 6-0 8719H$ 28.00 SUTURE ETHIBOND 0 30 CT-1$ 28.00 SUTURE ETHIBOND EXT 4-0 36 SH$ 28.00 SUTURE ETHIBOND EXC 2-0 36 SH$ 28.00 SUTURE ETHIBOND 4-0 30 BB$ 28.00 SUTURE ETHILON 2 30 LR$ 28.00 SUTURE PRONOVA 5-0 C-1 24$ 28.00 SUTURE CHROMIC 4-0 18 P-3$ 28.00 SUTURE CHROMIC 0 60 3T REEL$ 28.00 SUTR PROLENE 7-0 24L M8766$ 28.00 C1713 SUTR STEEL #6 18 M654G$ 28.00 C1713 SUTR MONO/BIO 5-0 Y495G$ 28.00 C1713 SUTURE MONOCRYL 3-0 27 UR-6$ 28.00 SUTR MONOCRYL 5-0 18IN$ 28.00 SUTR ASSIST ENDO 5.16MM SW100$ 28.00 A6210 SUTR ASSIST RELOAD SZ0 6 SW120$ 28.00 SUTURE MONOCRYL 4-0 27 PS-2$ 28.00 SURGIDAC 2-0$ 28.00 SUTR VICRYL 1 36 CTXB JB977$ 28.00 C1727 SUTR MONOCRYL 1-0 27 CT-1 Y341$ 28.00 SUTURE VICRYL 0 36 CT-1$ 28.00 SUTURE SILK 2-0 8-30 SH$ 28.00 SUTURE 5-0 18 ETHILON FS-2$ 28.00 SUTURE ETHILON 4-0 18 PS-4$ 28.00 SUTURE VICRYL 5-0 18 P-3$ 28.00 SUTURE CHROMIC 4-0 18 P-2$ 28.00 SUTURE VICRYL 4-0 18 P-3$ 28.00 SUTURE 3-0 18 PROLENE PS-2$ 28.00 SUTURE SILK 4-0 12-30 TIES$ 28.00 SUTURE 3-0 8-18 VICRYL ANTIBA$ 28.00 SUTURE VICRYL 4-0 27 FS-2$ 28.00 SUTURE VICRYL 3-0 36 CT$ 28.00 SUTURE 3-0 36 PROLENE D/A SH$ 28.00 SUTURE 7-0 4-24 PROLENE D/ACC$ 28.00 SUTURE CHROMIC 1 27 CT-2$ 28.00 SUTURE 0 36 CHROMIC GUT CT$ 28.00 SUTURE CHROMIC 3-0 54 REEL$ 28.00 SUTURE PLAIN GUT 3-0 27 FS-2$ 28.00 SUTURE PROLENE 1 30 CTX$ 28.00 SUTURE PROLENE 3-0 36 MH$ 28.00 SUTURE MERSILENE 5MM 12 BP-3$ 28.00 SUTURE 4-0 18 MERSILENE W D/A$ 28.00 SUTURE PDS II 1 54 TP-1$ 28.00 SUTURE PDS II 0 36 CT$ 28.00 SUTURE PDS II 0 36 CTX$ 28.00 SUTURE 3-0 27 MONOCRYL UNRB-1$ 28.00 SUTURE VICRYL 0 36 CTB-1$ 28.00 SUTURE VICRYL 0 8-18 CT2$ 28.00 SUTURE VICRYL 0 36 CT$ 28.00 SUTURE 2-0 27 VICRYL ANTIBC C$ 28.00 SUTURE 2-0 36 VICRYL ANTIBC C$ 28.00 SUTURE 2-0 8 18 VICRYL ANTIBC$ 28.00 SUTURE VICRYL 2-0 27 CP-1$ 28.00 SUTURE VICRYL 3-0 27 FSL$ 28.00 SUTURE VICRYL 4-0 12-18 TIES$ 28.00 SUTURE VICRYL 4-0 27 SH$ 28.00 SUTURE VICRYL 4-0 27 RB-1$ 28.00 SUTURE VICRYL 5-0 18 P-1$ 28.00 SUTURE VICRYL 5-0 27 RB-1$ 28.00 SUTURE VICRYL 7-0 12 TG140-8$ 28.00 SUTURE SILK 1 10-30 TIES$ 28.00 SUTURE SILK 3-0 30 RB-1$ 28.00 SUTURE ETHILON 2-0 30 FSLX$ 28.00 SUTURE 3-0 18 ETHILON PS-1$ 28.00 SUTURE 5-0 18 ETHILON P-3$ 28.00 SUTURE ETHILON 12 8-10 CS1758$ 28.00 SUTR 1 30 ETHIBOND EXCEL G OS$ 28.00 SUTURE ETHIBOND 3-0 30 V-5$ 28.00 SUTURE PDP PLS 4-0 18 PS-2$ 28.00 SUTURE SILK 2-0 18 FS$ 28.00 SUTR 0 36 VICRYL VIL CT-1$ 28.00 SUTR 5-0 18 VICRYL UND PS-2$ 28.00 SUTURE SILK 1 30 MH$ 28.00 SUTURE SILK 0 8-18 CT-1$ 28.00 SUTURE PROLENE 2-0 18 FS$ 28.00 SUTURE MONOSOF 0 30 C-16$ 28.00 C1876 SUTURE 6-0 CHROMIC$ 28.00 SUTURE PROLENE SH 3-0$ 28.00 SUTURE PROLENE SH 4-0$ 28.00 SUTURE, CAPIO POLYPROYLENE$ 28.00 SUTURE RETENTION BRIDGE$ 28.00 SUTURE 2-0 VICRYL J839D$ 28.00 5-0 SILK$ 28.00 SUTURE VICRYL 2-0 27 UR-6$ 28.00 SUTR VICRYL 1 27 CP$ 28.00 SUTR VICRYL 2-0 CT-1 J259H$ 28.00 C1713 SUTR VICRYL 5-0 27 FS-2$ 28.00 SUTURE PDS II 4-0 18 P-3$ 28.00 SUTURE VICRYL 2-0 8-27 SH$ 28.00 SUTURE VICRYL 2-0 CT J357H$ 28.00 SUTURE VICRYL 2-0 8-18 CT-2$ 28.00 SUTURE STEEL 7-0 4-18 CCS$ 28.00 SUTR ENDOLOOP PDSII SZ0 18$ 28.00 SUTR VICRYL 0 36 CT-1$ 28.00 C1727 SUTURE CHROMIC 5-0 18 PS-4$ 28.00 C1727 SUTURE PROLENE 2-0 30 KS$ 28.00 SUTURE CHROMIC 3-0 27 RB-1$ 28.00 C1713 SUTURE VICRYL 2-0 8-18 CTB-1$ 28.00 C1713 SUTURE VICRYL 0 27 UR-5$ 28.00 SUTR CHROMIC 2-0 36IN$ 28.00 C1713 SUTR CHROMIC 3-0 27IN$ 28.00 C1713 SUTR CHROMIC 4-0 36IN$ 28.00 SUTURE STEEL 5-0 8-16 KS$ 28.00 SUTR CHROMIC 7-0$ 28.00 SUTR ETHIBOND EXCEL 2-0 30IN$ 28.00 SUTR ETHIBOND EXCEL 2-0 27IN$ 28.00 SUTR ETHILON BLK 4-0 18IN$ 28.00 SUTR ETHILON BLK 8-0 12IN$ 28.00 SUTR MERSILENE 4-0 18IN$ 28.00 SUTR MERSILENE RS21 BP1 12IN$ 28.00 SUTR MONOCRYL #0 27IN$ 28.00 SUTR MONOCRYL #0 27IN$ 28.00 SUTR MONOCRYL #1 27IN$ 28.00 SUTR MONOCRYL #1 36IN$ 28.00 SUTR MONOCRYL 2-0 27IN$ 28.00 SUTR MONOCRYL VLT 2-0 27IN$ 28.00 SUTR MONOCRYL 3-0 27IN$ 28.00 SUTR MONOCRYL VLT 3-0 27IN$ 28.00 SUTR MONOCRYL VLT 3-0 27IN$ 28.00 SUTR MONOCRYL 3-0 27IN$ 28.00 SUTURE PDP PLS 3-0 18 PS-2$ 28.00 SUTURE 3-0 18 NUROLON RB-1 BK$ 28.00 SUTR PDS II 4-0 18 PC-3$ 28.00 SUTR VICRYL DEXON 3-0 18 SH$ 28.00 SUTUR CATGUT 1/2 CIRC/TAPR 5D$ 28.00 SUTUR CATGUT 1/2 CIRC/TAPR 6D$ 28.00 SUTUR ABDOMINAL STRGHT CUT 2D$ 28.00 SUTUR UTERINE 1/2 CIRC/RCUT 7D$ 28.00 SUTR GORETEX CV-6 24 TT12$ 28.00 SUTURE VICRYL 3-0 27 FS-2$ 28.00 SUTR VICRYL 2 54 TP-1$ 28.00 SUTR VICRYL 1 27 CP-1$ 28.00 SUTR VICRYL 1 36 CT$ 28.00 SUTURE VICRYL 1 8-18 CT-1$ 28.00 SUTURE VICRYL 0 6-18 TIES$ 28.00 SUTR VICRYL 2-0 27 CT-2$ 28.00 SUTR VICRYL 1 36 CT$ 28.00 SUTURE VICRYL 2-0 27 FS-1$ 28.00 SUTR VICRYL 3-0 27 FS-1$ 28.00 SUTR VICRYL 3-0 8-18 SH-1$ 28.00 SUTR VICRYL 3-0 8-27 SH$ 28.00 SUTURE VICRYL 4-0 8-18 SH-1$ 28.00 SUTURE VICRYL 5-0 18 PC-1$ 28.00 SUTURE VICRYL 5-0 18 PS-3$ 28.00 SUTURE VICRYL 6-0 18 P-3$ 28.00 SUTURE SILK 0 18 FSL$ 28.00 SUTURE SILK 2-0 30 FSL$ 28.00 SUTURE SILK 2-0 30 SH$ 28.00 SUTURE SILK 4-0 30 RB-1$ 28.00 SUTURE SILK 5-0 18 FS-2$ 28.00 SUTURE SILK 4-0 30 KS$ 28.00 SUTURE ETHILON 5-0 18 PS-3$ 28.00 SUTURE STEEL 4 4-18 V-40$ 28.00 SUTURE VICRYL 2-0 27 CP-2$ 28.00 SUTURE CATGUT 1/2 CIRC/TAPR 3D$ 28.00 SUTURE ETHIBOND 1 30 OS-4$ 28.00 SUTURE DEXON VICRYL 0 27" CT-1$ 28.00 SUTURE PDS PLUS 0 27" CT-2$ 28.00 SUTURE CHROMIC 6-0 18IN PS-6$ 28.00 SUTURE MONOCRYL 3-0 PS-2 27"$ 28.00 SUTURE MONOCRYL 2/0 YB257$ 28.00 SUTURE MONOCRYL 3-0 27" R-1$ 28.00 SPLINT WRIST/FOREARM LT MED 10$ 28.00 SPLINT WRIST/FOREARM LT SM 10"$ 28.00 SPLINT WRIST/FOREARM LT LGE 10$ 28.00 SPLINT WRIST/FOREARM RT SM 10"$ 28.00 SPLINT WRIST/FOREARM RT MED 10$ 28.00 SPLINT WRIST/FOREARM RT LGE 10$ 28.00 SUTURE 4-0 VICRYL RA VR494$ 28.00 5-0 VICRYL RAPIDE$ 28.00 SUTURE 4-0 ETH P-3 699H$ 28.00 SUTURE 5-0 ETHILON P-1 695G$ 28.00 SUTURE 3-0 SILK 8665G$ 28.00 SUTURE 4-0 NYLON FS-1 ET1629H$ 28.00 SUTURE 4-0 PROLENE 8699G$ 28.00 SUTURE 3-0 VICRYL J327H$ 28.00 SUTURE 6-0 ETHILON 697G$ 28.00 SUTURE 3-0 VICRYL J442H$ 28.00 SUTURE 3-0 VICRYL J774D$ 28.00 BAGS NS 3000CC$ 28.00 SUTURE 3-0 VICRYL J606H$ 28.00 SUTURE 0 VICRYL J340H$ 28.00 SUTURE 4-0 VICRYL VR845$ 28.00 SUTURE 1 VICRYL J468H$ 28.00 SUTURE 2-0 VICRYL J339H$ 28.00 SUTURE 4-0 VICRYL J392H$ 28.00 SUTURE 3-0 ETHIBOND X976H$ 28.00 SUTURE 3-0 EHTILON 669H$ 28.00 SUTURE 5-0 ETHIBOND MB46G$ 28.00 SUTURE 6-0 ETHILON 697H$ 28.00 SUTURE 0 PROLENE 8434H$ 28.00 SUTURE O ETHIBOND EXCEL CX45D$ 28.00 SUTURE ANCHOR 6.5 902580$ 28.00 C1713 SUTURE 2-O ETHIBOND MPX17$ 28.00 SUTURE 2-0 VICRYL J417H$ 28.00 SUTURE 2-0 VICRYL J635H$ 28.00 SUTURE 4-0 VICRYL J109T$ 28.00 SUTURE 9-0 ETHILON 2809G$ 28.00 SUTURE 8-0 ETHILON 2808G$ 28.00 SUTURE 10 ETHILON 2810G$ 28.00 SUTURE 1 ETH EXC X425H$ 28.00 SUTURE ETHIBOND EXC X964H$ 28.00 SUTURE 2-0 ETHIBOND EX X185H$ 28.00 SUTURE 2 ETHIBOND X406T$ 28.00 SUTURE 4-0 ETHIBOND X975H$ 28.00 SUTURE 0 VICRYL J467H$ 28.00 SUTURE 2-0 VICRYL J266H$ 28.00 SUTURE 3-0 PROLENE 8926H$ 28.00 SUTURE 4-0 PROLENE 8871H$ 28.00 SUTURE 4-0 PROLENE 8925H$ 28.00 SUTURE 5-0 PROLENE 8661G$ 28.00 SUTURE 5-0 PROLENE 8870H$ 28.00 SUTURE 6-0 PROLENE 8860H$ 28.00 SUTURE 6-0 PROLENE 8889H$ 28.00 SUTURE 4-0 VICRYL J845G$ 28.00 SUTURE 5-0 VICRYL VR844$ 28.00 SUTURE 3-0 VICRYL J868H$ 28.00 SUTURE 8-0 PROLENE 8741H$ 28.00 SUTURE CHRONIC GUT 915H$ 28.00 SUTURE CHRONIC GUT 922H$ 28.00 TEST DART NB215$ 28.00 SUTURE ETHIBOND X976H$ 28.00 SUTURE ANCHOR 5MM$ 28.00 C1713 SUTURE VICRYL RPD 3-0 VR935$ 28.00 SUTURE VICRYL RPD 4-0 VR426$ 28.00 SUTURE VICRYL RPD 4-0 VR494$ 28.00 SUTURE VICRYL RPD 3-0 VR493$ 28.00 SUTURE GORETEX CV-7 30" TTC12$ 28.00 K-WIRE .035 D-ENDED 00-0186-04$ 28.00 C1713 SUTURE LACERATION SET$ 28.00 SUTURE VICRYL 2-0 27"$ 28.00 SUTURE VICRYL 3-0 36" VCPB944H$ 28.00 SUTURE VICRYL 2 27" VCPB417H$ 28.00 SUTURE PDS II 7-0 24" Z155H$ 28.00 2-0 PROLENE MH 48"$ 28.00 MARTIN UTERINE SUTURE 1/2 CIRC$ 28.00 GUIDEWIRE W/TROCAR TIP .062"$ 28.00 C1769 SUTURE TICRON 2-0 10"NDL 30"L$ 28.00 COAGULATOR SUCTION 8FR 6"$ 28.00 SUTURE CAPROSYN 3/0 ABSORBABLE$ 28.00 SUTURE CAPROSYN 3.0 UNDYED ABS$ 28.00 SUTURE 1 MONOCRYL REF Y335H$ 28.00 4-0 MONOCRYL SUTURE Y494G$ 28.00 GUIDEWIRE FOR BIO-SCREW$ 28.00 C1769 STAY ELASTIC$ 28.00 SUTURE PROLENE 8557H$ 28.00 “SUTURE VCRL 3-0 27" V-20 $ 28.00 SUTURE 2 ETHILON 20 IN$ 28.00 SUTURE 0 ETHILON TP-1$ 28.00 K-WIRE 2.0 MM$ 28.00 SUTURE 2-0 PROLENE CT-1 NEEDLE$ 28.00 LANACAINE CREAM 10Z$ 28.00 HYDROCORTISONE CREAM .05 PERCE$ 28.00 ANBESOL GEL 7.4G$ 28.00 CELLCEPT 250 CAP.$ 28.00 J7517 SINGULAIR 10MG TAB$ 28.00 SINGULAIR 5MG TAB$ 28.00 MOBIC 7.5MG TABLET$ 28.00 SINGULAIR 4MG CHEW$ 28.00 DITROPAN XL 5 MG TAB$ 28.00 TRICOR 145 MG TABLET$ 28.00 EYE WASH$ 28.00 CYCLOSPORINE OPHT.05$ 28.00 CYMBALTA 20MG CAPSUL$ 28.00 HYDROCORT 100MG/2ML$ 28.00 J1720 VIT. E CRM. 4000IUTO$ 28.00 POLY VI SOL DROP 30M$ 28.00 PRAVACHOL TAB 10MG ($ 28.00 POLOCAINE 2% MPF$ 28.00 SITZMARKS CAPSULE$ 28.00 AMERICAINE AERO.67OZ$ 28.00 LACRIL TEARS 15ML$ 28.00 TOBRAMYCIN 80MG/2ML$ 28.00 J3260 NUPERCAINAL OINT 1OZ$ 28.00 PHENOBARBITAL INJ 60$ 28.00 VERELAN PM 300MG TAB$ 28.00 MUCOMYST 10% 4ML X 1$ 28.00 J0132 SUTURE PERMA-HAND SILK 2-0 18"$ 28.00 APP SK SU TO T,A,L EA AD 25 SQ$ 28.00 15272 ABILIFY 1MG/ML SOLUTION$ 28.24 J0400 LYRICA 75MG CAPSULE$ 28.60 SMOKING CESS COUN 3-10MIN$ 29.00 99406 GULCOSE$ 29.00 82962 SO STREP ANTIBODIES$ 29.00 86060 SO SUBCLASSES$ 29.00 82787 SO BODY FLUID LIPASE$ 29.00 83690 SO PHOSPHORUS INORGANIC$ 29.00 84100 SO PROTEIN TOTAL;SERUM,PLASMA/$ 29.00 84155 CATH TRAY W/O CATH$ 29.00 CATH FOLEY 10FR/3CC$ 29.00 CATH FOLEY 8FR/3CC$ 29.00 STRAP CAVICLE MED$ 29.00 L3670 STRAP CAVICLE SM$ 29.00 L3670 STRAP CAVICLE XLG$ 29.00 L3670 STRAP CAVICLE XSM$ 29.00 L3670 SPLINT FOREARM MD LT$ 29.00 SPLINT FOREARM MED RT$ 29.00 POUCH CLSTMY DRAIN 1.75$ 29.00 POUCH CLSTMY DRAIN 2.75$ 29.00 BLADE MAC 4 DISP$ 29.00 IMMOBILIZER KNEE PEDI$ 29.00 L1830 POUCH CLSTMY DRAIN 2.25$ 29.00 DEVICE STOMA MEASUREING$ 29.00 BRUSH 5FR BARON SUCTION$ 29.00 NO STING BARRIER SPRAY$ 29.00 NEEDLE INJCTR STRYKER 13GA$ 29.00 HOUSE IV ULTRADRESSING PED ARM$ 29.00 CURVTEK 12MM NEEDLES$ 29.00 EFFEXOR XR 75MG CAP.$ 29.00 SEROQUEL 100MG TAB$ 29.00 BOUDREAUX'S BUTT PAS$ 29.00 DETROL LA 2MG CAP$ 29.00 ACULAR P/FOPTSOL.4ML$ 29.00 SOLIFENACIN SUCIN TA$ 29.00 ENABLEX 7.5MG TABLET$ 29.00 POLYTRIM 10ML$ 29.00 LACRI LUBE SOP 3.5GM$ 29.00 NEO DECADRON OPTH OI$ 29.00 NEO SYNEPHRINESOL 1%$ 29.00 BETADINE SUGAR PASTE$ 29.00 THORAZINE 25MG SUP$ 29.00 TRIAMCINOLONE CR/OIN$ 29.00 NEO SYNEP OPTH SOL 2$ 29.00 PT SCHOOL DOCUM 15$ 29.00 OT SCHOOL DOCUM 15$ 29.00 NON STING BARRIER SPRAY$ 29.00 NON-SELECTIVE DEBRIDE WOUND$ 29.00 97602 DERMOPLAST PAIN SPRAY$ 29.36 H-PYLORI DRUG ADMINISTRATION$ 30.00 83014 SO COLD AGGLUTININ; TITER$ 30.00 86157 SO HEMOGLOBIN URINE$ 30.00 83069 AUTOMATED DIFF W/WBC COUNT$ 30.00 85004 SO ALBUMIN;SERUM, PLASMA/WHOLE $ 30.00 82040 PCP ENROLL FEE MCD$ 30.00 COLLAR CERVICAL LG$ 30.00 L0120 COLLAR CERVICLE XLG$ 30.00 L0120 COLLAR CERVICLE MED$ 30.00 L0120 COLLAR CERVICLE SM$ 30.00 L0120 SOLN NS STER 3000ML BG$ 30.00 SPLINT FOREARM LG RT$ 30.00 SPLINT FOREARM SM RT$ 30.00 IV SET PCA TUBING$ 30.00 GUIDEWIRE CATH .025$ 30.00 C1769 DRESSING BURN LEG 18X36$ 30.00 DRAPE MINI C-ARM STERILE$ 30.00 ETH SKIN STAPLER PMW35$ 30.00 SET BOLUS FEEDING 24$ 30.00 LINE INJECTOR HI PRES 1200 PSI$ 30.00 CONNECTOR Y PORT$ 30.00 TUBE T BARD 16FR$ 30.00 SUTURE 3-0 SUPRAMID EXTRA II$ 30.00 SUTURE 4-0 SUPRAMID EXTRA II$ 30.00 STOCKING TED HIGHT 2XL REG$ 30.00 BLADE MINI EDGE ENT STERL #65$ 30.00 SUTURE 2-0 VICRYL TIES 12 X 18$ 30.00 PEROXYL GEL$ 30.00 LAMICTAL 25MG TABLET$ 30.00 ROBITUSSIN PED. DROP$ 30.00 PROTONIX 40MG TAB$ 30.00 LIPITOR 40 MG TAB$ 30.00 PROTONIX 20MG TABLET$ 30.00 ZOCOR 20MG TABLET$ 30.00 ACTIGALL CAP 300MG$ 30.00 FER-IN-SOL GTTS$ 30.00 PRILOSEC 20MG CAPSUL$ 30.00 ORAJEL$ 30.00 NYSTATIN-TRIAMC ACET$ 30.00 DEMADEX TAB 100MG$ 30.00 LTA KIT$ 30.00 HYDROMORPHONE 1MG/ML INJECTION$ 30.00 J1170 ATIVAN 20MG/10ML MDV$ 30.00 J2060 PHENERGAN SUPP 12.5M$ 30.00 ROBITUSSIN SYR 4-OZ$ 30.00 ACTOS 15MG TABLET$ 30.00 TYLENOL DROP CHILD ($ 30.00 ANUSOL OINT. 1OZ.$ 30.00 ALORA 0.05MG PATCH ($ 30.00 AVULSION OF NAIL PLATE, EA ADD$ 30.00 11732 BUDESONIDE EC 3MG CAPSULE$ 30.16 ALBUTEROL HFA INHALER 8GM$ 30.53 ANAGRELIDE 1 MG CAPSULE$ 30.82 PHLEBOTOMY-VENIPUNCTURE$ 31.00 36415 PHLEBOTOMY$ 31.00 36415 PHLEBOTOMY$ 31.00 PHLEBOTOMY ER$ 31.00 36415 SGPT $ 31.00 84460 HDL CHOLESTEROL$ 31.00 83718 CSF PROTEIN$ 31.00 84157 PHLEBOTOMY$ 31.00 36415 BODY FLUID PROTEIN$ 31.00 84157 SO FUNGAL IDENTIFICATION ONLY$ 31.00 87106 SO GALACTITOL QUANTITATIVE URI$ 31.00 82760 SO HDL CHOLESTEROL$ 31.00 83718 SO IMMUNOGLOBULIN G SUBCLASS$ 31.00 82787 PHLEBOTOMY$ 31.00 36415 SHOE POST OP LG MLE$ 31.00 SHOE POST OP MED MLE$ 31.00 SHOE POST OP MED FEMLE$ 31.00 SHOE POST OP SM MLE$ 31.00 COLLAR CERVICAL PEDI$ 31.00 L0120 CATH FOLEY 26FR/30CC$ 31.00 TRANSDUCER PX600F CL$ 31.00 STAPLER MULTIDR PDOX WD$ 31.00 ASPIRATOR MECONIUM$ 31.00 BIPAP CPAP CIRCUIT$ 31.00 CAUTERY HIGH TEMP FINE TIP$ 31.00 DRESSING ALLYVEN HEEL PAD$ 31.00 A6210 TUBING VENTED PACLITAXEL IV$ 31.00 FORCEPS COLON$ 31.00 SHEET SPLIT 29433$ 31.00 STEINMANN PINS 7/64$ 31.00 C1713 SUTURE MONOFILAMENT STEEL$ 31.00 DRAIN T-TUBE WHELAN 12 X 18 FR$ 31.00 DRAIN T-TUBE WHELAN 16 X 20 FR$ 31.00 SET FILTERLINE CO2 ADLT/PEDI$ 31.00 WAFER CONVEX CUT TO FIT$ 31.00 FOLEY CATH 18FR 5CC LATEX FREE$ 31.00 FOLEY CATH 20FR 5CC LATEX FREE$ 31.00 FOLEY CATH 16FR SCC LATEX FREE$ 31.00 SALIVA SUBSTITUTE 4O$ 31.00 PHENOBARBITAL 65MGIN$ 31.00 VERSED 2MG/ML 2ML VI$ 31.00 J2250 PREVACID 30MG CAPSUL$ 31.00 PHENOBARB 130MG INJE$ 31.00 DENOREX SHAMP.EX-STR$ 31.00 RISPERDAL 0.5MG TAB$ 31.00 FENTANYL 0.1MG/2MLAM$ 31.00 J3010 PROGRAF 1 MG CAPSULE$ 31.00 J7507 RISPERAL M-TAB 0.5$ 31.00 MAGIC MOUTHWASH$ 31.00 PRAVASTATIN 40MG TAB$ 31.00 MORPHINE SULFATE 5MG/1ML$ 31.00 J2270 ALORA 0.1MG PATCH (E$ 31.00 CALADRYL LOTION 6OZ$ 31.00 NYSTATIN-TRIAMCINOLO$ 31.00 CEFZIL TAB 250MG (CE$ 31.00 FENTANYL .05MG/ML20M$ 31.00 J3010 EPHEDRINE AMP 50MG$ 31.00 HYDROMORPHONE HCL2MG$ 31.00 J1170 HYDROMORPHONE HCL4MG$ 31.00 J1170 TRIAMCINOLONE CRM/OI$ 31.00 MEPERIDINE HCLINJ100$ 31.00 J2175 MEPERIDINE INJ 25MG$ 31.00 J2175 MEPERIDINE HCLINJ 75$ 31.00 J2175 MEPERIDINE HCL50MG$ 31.00 J2175 MORPHINE INJ 10MG/ML$ 31.00 J2270 NUBAIN 10MG$ 31.00 J2300 PENTOTHAL INJ SYR400$ 31.00 FENTANYL INJ .05MG$ 31.00 J3010 TALWIN AMP 30MG 1ML$ 31.00 TETRACAINE HCL .5% 1$ 31.00 VALIUM AMP 10MG 2ML$ 31.00 J3360 ACETAMINOPHEN ELIX.$ 31.00 ATIVAN INJ 2MG/ML(DI$ 31.00 J2060 DANOCRINE 200 MG.CAP$ 31.00 STERILE WATER FOR IR$ 31.00 MORPHINE 2MG/ML INJ$ 31.00 J2270 MORPHINE 4MG/ML INJ$ 31.00 J2270 DEMECLOCYCLINE TAB 3$ 31.00 VERSED 5MG/1ML VIAL$ 31.00 J2250 BUPRENEX 0.3MG/1ML$ 31.00 J0592 CONFORM BAND 6CM X 4M$ 31.00 A6446 ALLEVYN HEEL PADS$ 31.00 ALLEVYEN HEEL PADS$ 31.00 LIDO 1% W/ EPINEPHRINE 30ML$ 31.28 ER VAC/TOX INJ EA ADD$ 32.00 90472 KOH PREP$ 32.00 87210 SO HEMOGLOBIN UNSTABLE$ 32.00 83068 CYSTINE & HOMOCYSTINE URINE QU$ 32.00 82615 SO MOLD IDENTIFICATION$ 32.00 87107 SO BACTERIAL ID & SENS NON-UA$ 32.00 87077 SO BACTERIAL ID & SEN UA ISOLA$ 32.00 87077 SO GALACTOSE QUANTITATIV URINE$ 32.00 82760 SO FUNGAL IDENTIFICATION$ 32.00 87106 SO FIBRINOGEN ACTIVITY CLAUSS$ 32.00 85384 EPST BARR ANTIBODY D AB(IgG) S$ 32.00 86663 OP VAC/TOX INJ 2$ 32.00 90472 CATH SUCTION 6FR$ 32.00 DRAIN ROUND 10FR W/TROCAR$ 32.00 DRAIN ROUND 15FR W/TROCAR$ 32.00 SHOE CAST LG$ 32.00 BAG RESUSC AMBU ADLT$ 32.00 STAPLER SKIN APPOSE REGULAR$ 32.00 STAPLER SKIN APPOSE WIDE$ 32.00 WIRE LEAD WITH SNAP CONNECTOR$ 32.00 C1874 CURCUIT X-LONG BREATHING$ 32.00 WIRE-K 06 292.460$ 32.00 C1713 WIRE-K 08 292.480$ 32.00 C1713 COVER C-ARM$ 32.00 SET BURETTE US3121M$ 32.00 INTRODUCER 9FR 11CM AAA$ 32.00 GUIDE WIRE .045 X 5.910$ 32.00 C1769 BACITRACIN OPTH ONIT$ 32.00 CALMOSEPTINE 4 OZ ON$ 32.00 PLAVIX 75MG TAB$ 32.00 NALOXONE 2 MG$ 32.00 J2310 RISPERDAL 1MG$ 32.00 BETAMTSNE OINT.1%45G$ 32.00 XYLOCAINE 5%/GLUC$ 32.00 MAG. SULFATE 50% INJ$ 32.00 EURAX CREAM 60GM$ 32.00 ERYTHROMYCIN SOL 2%$ 32.00 CONFORM BAND 10CM X 5M$ 32.00 A6443 DRAWTEX WOUND DRESSING$ 32.00 LATUDA 40MG TABLET$ 32.40 SELECTIVE CATH PLACE 2ND ORDER$ 33.00 36012 FECAL OCCULT$ 33.00 82272 URINE POTASSIUM/24HR$ 33.00 84133 COLLECT DRUG SCREEN$ 33.00 99001 CALCIUM 24HR URINE$ 33.00 82340 URINE POTASSIUM$ 33.00 84133 SO ALBUMIN URINE/OTHER SOURCE$ 33.00 82042 SO IMMUN ANALYSIS QUANTITATIVE$ 33.00 83519 OCCULT BLOOD FECES$ 33.00 82272 SO BRUCELLA AB$ 33.00 86622 SO YEAST IDENTIFICATION$ 33.00 87106 SO BIOTIN (VITAMIN B7)$ 33.00 84591 SO D-LACTATE$ 33.00 83605 SO CALCIUM URINE$ 33.00 82340 URINE UREA NITROGEN$ 33.00 84540 SUPPORT ABD/SACRAL XLG$ 33.00 PACK CYSTO$ 33.00 METER PEAK FLOW$ 33.00 CIRCUIT VENT PORTABLE$ 33.00 SUPPORT ARTLINE WRIST$ 33.00 CATH FOLEY 3WY 26FR/30CC$ 33.00 LIGACLIP MED$ 33.00 SOCK AID WIDE STYLE$ 33.00 DRESSING MEPILEX 6X6$ 33.00 TAPE SEAL SURE INDIC$ 33.00 TRAY PEDI CENTRAL LINE$ 33.00 BLADE BUR RND 2.3MM 1607-2-101$ 33.00 K-WIRE 1.5 X 150 #390164$ 33.00 C1713 ARGYROL SS 10% 15ML$ 33.00 LAMICTAL 100MG TABLE$ 33.00 ZOCOR 40MG TAB$ 33.00 EX STRNG TYLENOL LIQ$ 33.00 WELBUTRINXL 150MG TA$ 33.00 CIPROFLOXACIN TAB 25$ 33.00 COLLODION FLEX. 4 0Z$ 33.00 TETRACYCLINE OINT 1$ 33.00 CORTISPORIN OINT.5OZ$ 33.00 DIMETAPP ELIX 4-OZ$ 33.00 EMETROL 3OZ$ 33.00 GENTAMICIN 20MG/2ML$ 33.00 PHENERGAN SUPP 25MG$ 33.00 DRESSING SORBACT RIBBON 2 X 79$ 33.00 SHEATH INTRODUCER 12FR 12CM$ 34.00 GUIDEWIRE VASC FX-CR 035 150CM$ 34.00 C1769 INTRODUCER SHEATH 035 10F 12CM$ 34.00 C1766 OR TIME EACH MINUTE$ 34.00 CVP MONITORING 1 PER DAY$ 34.00 93770 BAG CATH CLOSED SYS METER$ 34.00 CATH FOLEY 16FR/5CC$ 34.00 TUBE FEEDING FLXFLO 8FR$ 34.00 CATH RADIAL ARTERY SET$ 34.00 CATH FOLEY 18FR/5CC$ 34.00 GUIDEWIRE 3MM J$ 34.00 C1769 CATH FOLEY 28FR/5CC$ 34.00 COAGULATOR ESU SUCT 10FR$ 34.00 ALISTRAP 3X30$ 34.00 OPTIRAY 320 20ML VIALS$ 34.00 Q9967 NEEDLE SURGICAL ANCHOR S/S$ 34.00 INTRODUCER SHEATH 9FX11CM$ 34.00 C1727 MAXORB DRESSING$ 34.00 Meniscal repair needle$ 34.00 PROBLOCK$ 34.00 OB TIME EACH MINUTE$ 34.00 PURINETHOL 50 MG. TA$ 34.00 DDAVP 0.2MG TAB$ 34.00 MULTI DRUG BRON/DILT$ 34.00 BSS 15ML$ 34.00 PENICILLIN G K 1 MIL$ 34.00 FLOVENT 220MG INHALE$ 34.00 OR TIME EACH MINUTE$ 34.00 SNIJ-TOBAC CESSATION 3-10MIN$ 34.25 99406 IPECACC/OBSERVATION$ 34.75 99175 HEPARIN 5 UNIT/5ML FLUSH$ 34.90 OMNIPAQUE 300 10ML VIALS$ 35.00 Q9967 CO 2 $ 35.00 82374 BODY FLUID PH$ 35.00 84315 SO MUSK(MUSCLE SP RECP TK)$ 35.00 83519 SO BILIRUBIN URINE$ 35.00 81005 SO OVA & PARASITES DIRECT SMEA$ 35.00 87177 SO PT CIRCULATING ANTICOAG$ 35.00 85610 SO FIBRINOGEN; ACTIVITY$ 35.00 85384 LAP $ 35.00 85540 SO NOROVIRUS EIA STOOL$ 35.00 87449 SO TBII-THYROTROPIN BINDING IN$ 35.00 83519 SO PROCOLLAGEN TYPE 1INTACT N$ 35.00 83519 SO PEPSINOGEN I$ 35.00 83519 SO PEPSINOGRN II$ 35.00 83519 SO ALPHA MSH$ 35.00 83519 SO HIV-1$ 35.00 86701 CATH FOLEY 12FR/5CC$ 35.00 CATH FOLEY 14FR/5CC$ 35.00 CATH FOLEY 24FR/5CC$ 35.00 SYSTEM WOUND IRRIGATION MAX$ 35.00 TRANSDUCER PRESSURE MONITORING$ 35.00 CATH FOLEY 20FR/5CC$ 35.00 CATH FOLEY 22FR/5CC$ 35.00 MASK RESPIRATOR SMALL$ 35.00 IMMOBILIZER KNEE PEDI 12$ 35.00 L1830 TUBE BLOOD BL VAC 2.7ML$ 35.00 SUTR CHROMIC 1 27IN 48G$ 35.00 C1727 NEEDLE ECHOTIP 21GAX7CM$ 35.00 C1769 CATH URETERAL 6FR OPEN END$ 35.00 CATH RADIAL ARTERY SET$ 35.00 CREAM SECURA EXTRA PROT 7.75OZ$ 35.00 A6250 POST OP SHOE DARCO SM FEMALE$ 35.00 POST OP SHOE DARCO MD MALE$ 35.00 POST OP SHOE DARCO LG FEMALE$ 35.00 POST OP SHOE DARCO XLG MALE$ 35.00 L3260 POST OP SHOE DARCO SM MALE$ 35.00 POST OP SHOE DARCO MD FEMALE$ 35.00 POST OP SHOE DARCO LG MALE$ 35.00 CETAPHIL 8OZ.$ 35.00 NEXIUM 40MG CAP$ 35.00 PULMICORT 0.5MG/2ML$ 35.00 RAZADYNE ER 8MG CAP$ 35.00 SULFACETAMIDE 10%5ML$ 35.00 XIFAXAN 550 MG TABLET$ 35.23 NEUPRO 1MG PATCH$ 35.30 NEUPRO 2 MG PATCH$ 35.30 CATH ANGIOGRAPHY 5F 100CM$ 36.00 C1885 SO HERPES SIMPLEX TYPE 1$ 36.00 86695 SO MAGNESUM 24HR URINE$ 36.00 83735 SO HERPES SIMPLEX VIRUS TYPE 1$ 36.00 86695 SO HSV IGM$ 36.00 86694 SO RUBELLA IGM$ 36.00 86762 TZANCKS STAIN$ 36.00 87207 SO MELATONIN$ 36.00 83519 AO BRUCELLA Ab$ 36.00 86622 SO CSF STRET PNEUMONIA ANTIGEN$ 36.00 87899 SO ALBUMIN;URINE/OTHER SOURCE$ 36.00 82042 RESTRAINT POSEY VEST$ 36.00 CATH FOLEY 22FR/30CC$ 36.00 CATH COUDE 24FR/5CC$ 36.00 CATH COUDE 12FR/5CC$ 36.00 SHEATH 5FR$ 36.00 STERIS 20$ 36.00 SYRINGE OPTISTAR MRI 25ML$ 36.00 INTRODUCER AVANTI 4F 035 X11CM$ 36.00 C1727 INTROD SHEATH AVAN 7FX11CM$ 36.00 INTROD SHEATH AVAN 8FX11CM$ 36.00 AVANTI PLUS 038 6F11CM W/O OBT$ 36.00 BLADES FOR SURGICAL CLIPPERS$ 36.00 DRESSING ACTICOAT ROPE 3/4X12$ 36.00 A6199 POST OP SHOE FEMALE LG$ 36.00 A9270 WIRE-K 1.0 292.500$ 36.00 C1713 HARMONIC BLUE HANDPIECE CORD$ 36.00 SPLINT WRIST COCKUP RAD BAR SM$ 36.00 FASTENER STAYFIX 5-14FR$ 36.00 GUIDEWIRE SS 0.91 X 80MM$ 36.00 OBSERVATION EA ADD HR- NURSERY$ 36.00 DECADRON TOPICAL CRM$ 36.00 PREVACID 15MG CAPSUL$ 36.00 ACIPHEX 20MG TAB$ 36.00 OMNICEF 300MG CAP$ 36.00 DEXAMETHASONE ELIX.0$ 36.00 PUNCT ASPIR EA ADD BREAST CYST$ 36.00 19001 GELFOAM 12X7$ 36.00 ELITE THERA BATH WASH 8OZ$ 36.00 TUBING BR HP INJECTOR 1200PSI$ 37.00 COMMHEALTH HS EVENT$ 37.00 HEMATOCRIT/HCT$ 37.00 85014 HEPARIN ANTI XA$ 37.00 85520 SO BLASTOMYCES DERM ANTIGE EIA$ 37.00 87449 SO T4 FREE (DIRECT DIALYSIS)$ 37.00 84439 PATH CONSULT INTRAOP ADDL$ 37.00 88332 SO CULTURE WOUND QUANTITATIVE$ 37.00 87071 SO AEROMONAS/PLESIOMONAS CULTU $ 37.00 87046 SO HCT$ 37.00 85014 SO RETICIGG & IGA SCRE W/REL$ 37.00 86255 SO RETICULIN IGG TITER$ 37.00 86256 SO RETICULIN IGA TITER$ 37.00 86256 SO INTERCELLULAR SUBSTANCE AB$ 37.00 86256 SO BASEMENT MEMBRANE ZONE TITE$ 37.00 86256 CATH FOLEY 18FR/30CC$ 37.00 SPLINT FOREARM LG LT$ 37.00 SPLINT FOREARM SM LT$ 37.00 CATH FOLEY 24FR/30CC$ 37.00 CATH COUDE 18FR/5CC$ 37.00 REMOVER CLSTMY ADHESIVE$ 37.00 CATH FOLEY 20FR/30CC$ 37.00 GUIDEWIRE VASC .035$ 37.00 C1769 NEEDLE CHIBA 22GA$ 37.00 CATH PEZZER 22FR$ 37.00 CATH PEZZER 26FR$ 37.00 CATH PEZZER 30FR$ 37.00 CATH PEZZER 32FR$ 37.00 TUBES PE VENT$ 37.00 CATH PEZZER 24FR$ 37.00 SHOE POST OP WOOD MD FEMLE$ 37.00 TWIN CATH 20/22$ 37.00 BURR OPHTHALMIC 1MM$ 37.00 COMPRESSION THERAPY SLEEVES LG$ 37.00 Stryker Interpulse Irrigation$ 37.00 TUBE ARMSTRONG BEVELED$ 37.00 D5W 100ML GLASS$ 37.00 CORDRAN SP O.025%CRM$ 37.00 BIAXIN TAB 500MG (CL$ 37.00 AMBENYL EXPT 4OZ$ 37.00 ISUPREL SOD 1/100 1%$ 37.00 AUGMENTIN TAB 500MG$ 37.00 DEWRAP$ 37.00 FIBROCOL SHEET$ 37.00 MEDIPORE 6 INCH$ 37.00 DRESSING PRISMA 4.34 X 4.34$ 37.00 A6022 ALFENTA 2ML$ 37.36 SO COLD AGGLUTININS$ 38.00 86156 SO PARASITE IDEN$ 38.00 87169 C&S STOOL$ 38.00 87046 FIBRIN DEGRA QUANITIATIVE$ 38.00 85379 SO VARICELLA-ZOSTER VIRUS DFA$ 38.00 87290 SO HSV 1$ 38.00 87274 SO HSV 2$ 38.00 87273 SO VGCC AB$ 38.00 83519 SO HERPES SIMPLEX TYPE 1$ 38.00 86695 SO YERSINIA CULTURE$ 38.00 87046 CULTURE VIBRIO SO$ 38.00 87046 SO ALCOHOL, ETHYL-LEGAL BLOOD$ 38.00 G0480 82055 OP FLU VACCINE ADMINISTRATION$ 38.00 G0008 CATH COUDE 22FR/5CC$ 38.00 CATH COUDE 20FR/5CC$ 38.00 CLSTMY PST-OP STER 1.75$ 38.00 CLSTMY PST-OP STER 2.75$ 38.00 CATH FOLEY 3WY CONTINUOUS 24FR$ 38.00 IV SET EPIDURAL PUMP$ 38.00 DRAPE VIDEO CAMERA$ 38.00 PACK HEAD AND NECK$ 38.00 CATH FOLEY 3WY 20FR/30CC$ 38.00 DRAPE IOBAN 2 23X33$ 38.00 NEEDLE CONCENTRIC SCN SHORT$ 38.00 C1781 SOCK AID TERRYCLOTH$ 38.00 NEEDLE CONCENTRIC DCN 50$ 38.00 TUBE LMA UNIQUE SIZE 3$ 38.00 TUBE LMA UNIQUE SIZE 4$ 38.00 TUBE LMA UNIQUE SIZE 5$ 38.00 SHOE POST OP WOOD SM MLE$ 38.00 SHOE POST OP WOOD MD MLE$ 38.00 SHOE POST OP WOOD LG MLE$ 38.00 SHOE POST OP WOOD SM FEMLE$ 38.00 STEINMANN PINS 5/32$ 38.00 C1713 STEINMANN PINS 9/64$ 38.00 C1713 STEINMANN PINS 3/32$ 38.00 C1713 K-WIRE 2.0 X 150 #390192$ 38.00 C1713 SPLINT WRIST COCKUP RAD BAR MD$ 38.00 CATH AMPLTZ 5FR 100CM$ 38.00 SUTURE PROLENE 8805H$ 38.00 CLOTRIMAZOLE 1% CREA$ 38.00 TOPAMAX 100MG TABLET$ 38.00 GEODON 20MG CAP$ 38.00 LANTISEPTIC CR 4 OZ$ 38.00 DEXTROSE 5%/.33NS$ 38.00 AUGMENTIN XR$ 38.00 ALBUTEROL/MUCOMYST U/D$ 38.00 TUBOCURARINE 3MG 10M$ 38.00 COLY MYCIN S OTIC 5M$ 38.00 LIDOCAINE HCL INJ 2G$ 38.00 CONFORM BAND 12CM X 5M$ 38.00 A6443 PAD BAND 15CM X 5M ISOBAND$ 38.00 A6450 JOBST IT STAYS ADHESIVE 2 OZ$ 38.00 PARING OR CUTTING BEN LES 2-4$ 38.00 11056 UNNA BOOT UNILATERAL$ 38.00 A6545 KETOROLAC TROMETH INJ PER 15MG$ 39.00 J1885 J1885 STREP SCREEN$ 39.00 87880 HEMOGLOBIN/HGB$ 39.00 85018 SO ANAPLASMA PHAG AB IGG&IGM$ 39.00 86666 SO HGB$ 39.00 85018 SO ETHANOL$ 39.00 G0480 82055 SPLINT COCKUP CHLD LT$ 39.00 TRAP POLYP$ 39.00 CATH FOLEY 3WY CONTINUOUS 22FR$ 39.00 CATH IN LINE SUCTION$ 39.00 CATH URET WDGE 5FR$ 39.00 POUCH URSTMY 1.75$ 39.00 DRESSING FIBROCOL 4X4$ 39.00 A6021 DRAPE STCKNTTE SPR LG$ 39.00 CAUTERY CORDLESS LOOP HI TEMP$ 39.00 C1874 CATH POLLACK 5FR OPEN END$ 39.00 C1762 SET RANGER FLUID WARMING$ 39.00 C1727 SYRINGE INJECTOR WITH STRAW$ 39.00 K-WIRES .054X4 D-PT$ 39.00 C1713 REGULATOR C02 PEDICAP$ 39.00 ELASTIC NET SIZE 1$ 39.00 ELASTIC NET SIZE 2$ 39.00 SILVERSORB 4 X 4$ 39.00 CATH FOLEY 3WY CONT 26FR$ 39.00 DRESSING ACTICOAT 3" 4X8$ 39.00 A6204 ETHANOL SO$ 39.00 G0480 80320 ARICEPT 5MG TABLET$ 39.00 PANCURONIUM 1MG/ML$ 39.00 HEPARIN 1000U/ML30ML$ 39.00 NEOSTIGMINE INJ .5MG$ 39.00 J2710 Bupivacaine 0.25% 10 ML VIAL$ 39.00 J3490 SENSORCAINE0.5% 10ML$ 39.00 ZANTAC 25MG/ML 2ML V$ 39.00 J2780 LOPRESSOR 5MG/ML$ 39.00 EFFIENT 10MG TAB$ 39.00 VIMPAT 100MG TAB$ 39.00 XYLOCAINE 0.5% W/O P$ 39.00 DOPAMINE INJ 400MG$ 39.00 TORADOL 30MG/1MLIMUS$ 39.00 J1885 CARDIZEM 50MG/10ML I$ 39.00 SODIUM BICARB 50MEQ/$ 39.00 MARCAINE SPINAL AMP$ 39.00 5FU INJ 500MG/10ML$ 39.00 J9190 MARCAINE 75% AMP$ 39.00 SUCCINYLCHOLINE 20MG$ 39.00 J0330 ANTILIRIUM AMP$ 39.00 TUBERCULIN 5TU1$ 39.00 VITAMIN K INJ 1MG/0.$ 39.00 J3430 ATROPINE SULF 1MG AB$ 39.00 J0461 BUMETANIDE .25MG/ML$ 39.00 CALCIUM CHL 10 percent 10 ML$ 39.00 PHENYTOIN 250MG INJE$ 39.00 PHENYTOIN 100MG INJE$ 39.00 ELIXICON SUSP 8 OZ$ 39.00 EPINEPHRINE IJ/1MG 1$ 39.00 J0171 ERYTHROCIN LACTOB IV$ 39.00 FLAGYL IV RTU VIAFLE$ 39.00 HEPARIN SOD INJ 10MU$ 39.00 J1644 LIDOCAINE HCL 2% 100$ 39.00 MAGNESIUM SULF 50%$ 39.00 MANNITOL INJ 25% 50M$ 39.00 METHOTREXATE SOD 50M$ 39.00 J9260 NARCAN INJ 0.4MG 1ML$ 39.00 J2310 AMPICILLIN 125MG VIA$ 39.00 AMPICILLIN 250MG INJ$ 39.00 AMPICILLIN 500MG VIA$ 39.00 J0290 SODIUM BICARB 4.2% 2$ 39.00 STADOL INJ 1MG/ML$ 39.00 J0595 TRACE METAL ADD 5ML$ 39.00 XYLOCAINE VL .5% 50M$ 39.00 XYLOCAINE/EP VL .5$ 39.00 XYLOCAINE/EP VL 1%$ 39.00 METHYLPREDNISOL 125$ 39.00 J2930 NORMODYNE 100MG/20ML$ 39.00 NORCURON VIAL 10ML$ 39.00 PAPAVERINE INJ. 60MG$ 39.00 SULFACETAMIDE SOD OP$ 39.00 DEXTROSE INJ 50% 25G$ 39.00 DEXTROSE 25% PED. AB$ 39.00 CEFAZOLIN 500MG VL$ 39.00 J0690 CEFAZOLIN 1GM VIAL$ 39.00 J0690 SNAREMASTER 2.8MMX230XCMX15MM$ 39.00 ZINC PASTE BAND W>=3<5YD UB$ 39.00 A6456 SELECTIVE DEBRIDE W/O ANESTHES$ 39.00 97597 WORK HARDENING EA HR$ 40.00 97546 MNT 2ND REASS/IN Q15$ 40.00 G0270 97804 MENT 2ND REASSESS PER 15 MIN$ 40.00 G0270 MCD ASSESS AND SCREEN$ 40.00 T1015 ER GASTRIC LAVAGE$ 40.00 43753 SO PROTEIN ELECTROPHORETIC FRA$ 40.00 84165 BODY FLUID ALBUMIN$ 40.00 82042 PINWORM SCOTCH TPSMR$ 40.00 87172 SO HEP BSAG CONFIRMATION$ 40.00 87341 SO EGG COMPONENT PANEL$ 40.00 86008 SO SCHISTOSOMA AB IGG FMI$ 40.00 86682 SO BULLOUS PEMPHIGOLD BP 230 I$ 40.00 83520 SO BULL PEMPH ANTIGEN AB$ 40.00 83520 SO TIF1 GAMMA (155/140) (EIA)$ 40.00 83520 SO ZIKA VIRUS AB IGM$ 40.00 86794 SO SICKLE CELL TST$ 40.00 85660 DRAIN ROUND 19FR W/TROCAR$ 40.00 TRAY LUMB PUNCT INFANT$ 40.00 TRAY PRUDENDAL BLOCK$ 40.00 CATH PROGRESS RT 5FR$ 40.00 CATH JUDK RT 5FR/4.0$ 40.00 CATH STRT PGTL 5FR/110$ 40.00 CATH JUDK LT 5FR/5.0$ 40.00 TUBE LAVACUATOR 36FR$ 40.00 PACK LITHO DRAPE W/POUCH$ 40.00 IRRIGATOR CLSTMY VISIFLO$ 40.00 REGULATOR C02 EASYCAP II$ 40.00 TUBING INSUFF DOUBLE$ 40.00 SUPPORTER ATHLETIC LARGE$ 40.00 SUPPORTER ATHLETIC MEDIUM$ 40.00 CATH IM 5FR$ 40.00 TUBE CONNECTING MEDI-TECH$ 40.00 CORD CLAMP REMOVER$ 40.00 BAG PHLEBOTOMY 4500ML$ 40.00 SUTR 6-0 4 30 PROLENE DA CC-1$ 40.00 TORQUE VISE$ 40.00 LOOP 2 VELFOAM 2$ 40.00 OTOFORM K$ 40.00 SUPPORT ATHLETIC X-LARGE$ 40.00 C1713 DRESSING ACTICOAT 4X5 ABSORB$ 40.00 NEEDLE NERVE STIMUPLEX 22GAX1$ 40.00 STIMUPLEX 22G 1 3/8 NEEDLE$ 40.00 DRESSING VERSAFOAM VAC SMALL$ 40.00 A6550 SPLINT THUMB THERMO 6 L-XS$ 40.00 SPLINT THUMB THERMO 6 R-XS$ 40.00 SPLINT THUMB THERMO 6 L-SM$ 40.00 SPLINT THUMB THERMO 6 R-SM$ 40.00 SPLINT THUMB THERMO 6 L-MD$ 40.00 SPLINT THUMB THERMO 6 R-MD$ 40.00 SPLINT THUMB THERMO 6 L-LG$ 40.00 SPLINT THUMB THERMO 6 R-LG$ 40.00 SPLINT THUMB THERMO 6 L-XL$ 40.00 SPLINT THUMB THERMO 6 R-XL$ 40.00 PRONET-SIZE 2$ 40.00 BINDER ABDOMINAL LG$ 40.00 BINDER ABDOMINAL XLG$ 40.00 POST OP SHOE MALE XL IS$ 40.00 POST OP SHOE FEMALE XL IS$ 40.00 A9270 K-WIRE 0.9MM X 100MM$ 40.00 C1713 SUCTION COAGULATOR FTSW 12 FR$ 40.00 CATH TROCAR 8 FR$ 40.00 BLADE LARYNGOSCOPE SZ 3$ 40.00 NEEDLE TUOHY 220 X 5$ 40.00 TOLNAFTATE PWDR.45GM$ 40.00 DOUBLE ANTIBIOTIC OI$ 40.00 VISINE AC 5OZ$ 40.00 GENTIAN VIOLET SOL 1$ 40.00 PHENERGAN SUPP 50MG$ 40.00 NEWBORN DRUG KIT$ 40.00 VASOPRESSIN TANNATE$ 40.00 IODODOSORB GEL$ 40.00 ALGEDIX PACKING 1/4$ 40.00 BIOPSY, SKIN, EA ADD LESION$ 40.00 11103 MOD SED SAME PHYS >5YRS$ 41.00 99152 SO ANA TITER$ 41.00 86039 SO MYCOB CULTURE DEFINF$ 41.00 87118 SO RESPIRATORY SYNCYTIAL VIRUS$ 41.00 87280 SO PYRUVIC ACID$ 41.00 84210 SO HEPATITIS B SURFACE ANTIGEN$ 41.00 87340 SO VITAMIN B5$ 41.00 84591 SO LDH ISOENZYEMS$ 41.00 83625 RESERVOIR LG VOL SUCTION$ 41.00 TRAY TUR/Y IRRIG SET$ 41.00 CATH 5FR 100CM MULTI$ 41.00 TRAY LACERATION$ 41.00 IRRIGATOR PULSOVC FN SPRY TP$ 41.00 URSTMY POST-OP SYS 1.75$ 41.00 APPLIANCE ADL REACHER$ 41.00 CATHETER BARD MALECOT 32FR$ 41.00 CATHETER BARD MALECOT 36FR$ 41.00 GAUZE ALGIDEX PACKING 1/4X5$ 41.00 DRAPE LAVH$ 41.00 RESECTOR 4.0MM DISP$ 41.00 C1713 CATH URETERAL 4FR WEDGE$ 41.00 TUBE LMA UNIQUE SIZE 1.5$ 41.00 TUBE LMA UNIQUE SIZE 2$ 41.00 DRESSING AQUACEL-AG 4X4$ 41.00 INDICATOR CYCLESURE BIOLOGICAL$ 41.00 WIRE TI KIRSCHNER 1.25 492.12$ 41.00 C1713 ATTACHMENT SMOKE EVAC BOVIE$ 41.00 WIRE-K 1.0 292.10$ 41.00 C1713 WIRE-K 0.8 292.08$ 41.00 C1713 STEINMANN PINS 5/64$ 41.00 C1713 HEMOSTASIS VAL ADAPT HVA-100$ 41.00 TIP FEMORAL CANAL 210-8$ 41.00 SCOPOLAMINE 0.4MG IN$ 41.00 OXYCONTIN 20MG TAB.$ 41.00 LIDODERM 5% PATCH$ 41.00 LIDOCAIN 20% 2GM/10M$ 41.00 VERSED 2MG/ML ORAL$ 41.00 CLEOCIN 300MG IV$ 41.00 LUNESTA 2 MG$ 41.00 LUNESTA 1 MG TAB$ 41.00 AMBIEN CR 6.25MG TAB$ 41.00 LUNESTA 3 MG TAB$ 41.00 SUPRAX 400MG TAB (CE$ 41.00 PROVENTIL SOLN. 20ML$ 41.00 COCOA BUTTER OZ JAR$ 41.00 ALBALON 15CC$ 41.00 KETAMINE 50MG/1ML SYRINGE$ 41.00 PHENYLEPHRINE 1MG/10 ML SYR$ 41.00 ACI JEL/APP 3OZ$ 41.00 ISUPREL SOD 1/5000 1$ 41.00 BETAMSNE OINT.1%15GM$ 41.00 HEPARIN 25,000 UNITS$ 41.00 J1644 SONATA 5MG CAPSULE$ 41.00 ALGEDIX PACKING 1/2$ 41.00 APP SK S TO F,S,N,H,F,G EA25SQ$ 41.00 15276 NEG PRE WND , DME, CERULOPLASMIN$ 42.00 82390 SO DILTIAZEM SERUM$ 42.00 TRIGLYCERIDES$ 42.00 84478 POUCH CLSTMY DRAIN 4$ 42.00 SPLINT COCKUP LG LT$ 42.00 SPLINT COCKUP MED LT$ 42.00 SPLINT COCKUP MED RT$ 42.00 SPLINT COCKUP SM LT$ 42.00 SPLINT COCKUP SM RT$ 42.00 SPLINT COCKUP XLG LT$ 42.00 SPLINT COCKUP XLG RT$ 42.00 CATH RENAL DBL CRV 5FR$ 42.00 GASTROVIEW 120ML$ 42.00 SPLINT COCKUP PEDI RT$ 42.00 SPLINT COCKUP PEDI LT$ 42.00 NEEDLE SPINAL 22GA/5.5$ 42.00 CATH COUDE 20FR/30CC$ 42.00 PACK UROVIEW TBL CVR$ 42.00 SUTR SILK 3-0 30 SH$ 42.00 CATH WORD BARTHOLIN GLAND$ 42.00 TRANSDUCER CO-SET INJECTATE$ 42.00 TUBE ARMSTRONG BEVELED VENT$ 42.00 GAUZE ALGIDEX AG PACKING 1'2X5$ 42.00 A6266 LOOP 2 VELFOAM 1$ 42.00 BOOT LINER PODUS DISPOSABLE$ 42.00 GUIDE NEEDLE LORAD 9G$ 42.00 EXUDERM 6 X6$ 42.00 WIRE-K WS-0906ST$ 42.00 C1713 ABDOMEN WOUND VAC KCI$ 42.00 SPLINT WRIST COCKUP RAD BAR LG$ 42.00 REVIA 50MG TAB.$ 42.00 INSULIN SEMILENTE 10$ 42.00 MARCAINE EPI 0.5% 30$ 42.00 CEFAZOLIN 500MG ADD/$ 42.00 J0690 ELOCON LOTION 0.1%$ 42.00 ZOCOR TAB 5MG$ 42.00 DROPERIDOL 2.5MG/ML$ 42.00 J1790 ISOPTO CARPINE 6%15M$ 42.00 PILOCARPINE 0.5% 15M$ 42.00 SMOKING CESS > 10 MIN$ 42.00 99407 LYMPHO BATH SOLUTION 8OZ$ 42.00 DEBRIDE, SUBQ, EA ADD 20 SQ CM$ 42.00 11045 SMOKE CESSAT COUNS OVER 10 MIN$ 42.00 99407 DEXAMETHASONE 10MG PRESER FREE$ 42.56 J1100 BROVANA 15MCG/2ML INHALATION$ 42.98 GUIDEWIRE BENTSON IQ35F150B$ 43.00 GUIDEWIRE 035 X145CM$ 43.00 SPLINT THUMB SPICA LT S/M$ 43.00 L3807 SPLINT THUMB SPICA RT S/M$ 43.00 L3807 SPLINT THUMB SPICA LT L/XL$ 43.00 L3807 SPLINT THUMB SPICA RT L/XL$ 43.00 L3807 ALBUMIN / SERUM$ 43.00 82040 SEMEN EXAM/POST VAS$ 43.00 89321 SO HEPATITIS A ANTIBODY IGM$ 43.00 86709 SLIDES ONLY, LIMITED$ 43.00 88321 OR CONSULT (ONLY)$ 43.00 88329 SO ZINC RBC$ 43.00 84630 SO ZINC URINE TEST$ 43.00 84630 SO PROTEIN S, TOTAL$ 43.00 85305 TUBE KAM VAC SUCT TIP$ 43.00 IRRIGATOR PULSOVC INTRMDLLRY$ 43.00 TRAY DRESSING CHANGE$ 43.00 BRUSH FEMORAL BONE$ 43.00 KIT STAGE DRAPING$ 43.00 WIRE GUIDE WS-1407ST$ 43.00 C1769 CATH THORACIC 8 FR$ 43.00 COOLING BLANKET AD 25X64$ 43.00 15-724B BOSTON SCIENTIFIC$ 43.00 C1894 HEMATROPINE 5% 15ML$ 43.00 ERYPED 200MG/5ML 100$ 43.00 RID SHAMPOO 2 OZ$ 43.00 VIRAMUNE 200MG TAB$ 43.00 MAG SULFATE 20G/1000$ 43.00 PREDNISONE DOSEPK10M$ 43.00 VERMOX TAB$ 43.00 ZOSTRIX CR 20G$ 43.00 AMOXIL ORAL SUSP250M$ 43.00 GAVISCON LIQ 12-OZ$ 43.00 HALOPERIDOL 2MG/ML 1$ 43.00 CLINDAMYCIN 900MG/6M$ 43.00 AVC CREAM W/DIENESTR$ 43.00 VITAMIN E DROPS 12ML$ 43.00 PREVENTIVE COUNSEL GROUP 30MIN$ 43.00 99411 SHIGA TOXINS,EIA W/REF TO E$ 43.20 87427 POTASSIUM$ 44.00 84132 URIC ACID$ 44.00 84550 SO PARASITE (WET) PREP$ 44.00 87210 SO RA QUANITATIVE$ 44.00 86431 SO CHLAMYDIA$ 44.00 86631 SO PROTEIN;ELECTRO FRACT/QUANT$ 44.00 84166 SO GLIADIN PEPTIDE ANTIBODY Ig$ 44.00 83516 SO GLIADIN PEPTIDE ANTIBODY I$ 44.00 83516 SO TISSUE TRANSGLUTAMINSE AB I$ 44.00 83516 SO HEPATITIS Be VIRUS ANTIGEN$ 44.00 87350 SO INHIBITOR ASSAY PTT$ 44.00 85730 SO PTT CIRCULATING ANTICOAG$ 44.00 85730 SO THIOCYANATE$ 44.00 84430 SO HEPATITIS B VIRUS CORE AB I$ 44.00 86705 SO MPO-AB$ 44.00 83516 SO IMMUNODIFFUSION; GEL DIFFUS$ 44.00 86331 SO PHOSPHOLIPID ANTIBODY$ 44.00 86148 SO GALACTITOL-1-PHOS URIDYT ER$ 44.00 84378 SO IMMUNOASSAY NONANTIBODY$ 44.00 83516 SO CALCULUS QUAL ANALYSIS SCMC$ 44.00 82355 SO STRAT JCV AB W/REFLE TO INH$ 44.00 86711 SO JC VIRUS AB INHIBITIO ASSAY$ 44.00 86711 SO IG. PROF (G,A,M)$ 44.00 82784 SOFTJAW INSERT SM$ 44.00 SLING SWATHE UNIVER$ 44.00 GUIDEWIRE ANGLE 3CMX018X150CM$ 44.00 DRESSING NASAL MEROCEL 8CM$ 44.00 STEINMANN PINS 1/8$ 44.00 C1713 K-WIRE W/TROCAR POINT 285MM 29$ 44.00 C1713 DRAIN 24F BLAKE$ 44.00 COBAN LITE COMP SYSTEM 2794$ 44.00 A6545 NEEDLE SPIN QUIN 22 GA$ 44.00 SO PAIN MGT BARBITURATES CON U$ 44.00 G0480 NAPHCON OPTH 15ML$ 44.00 TORADOL 60MG/2ML$ 44.00 J1885 AMIKACIN SULF 500MG V PE 100MG$ 44.00 J0278 FEMSTAT VAG CRM 28GM$ 44.00 ARISTOSPAN 5MG/ML$ 44.00 J3303 ALUPENT SOL 5DROPR$ 44.00 ATROPINE SULF 0.25MG$ 44.00 J0461 MULTIDEX GEL/POWDER$ 44.00 A6248 NEG PRESS WND DME, > 50 SQ CM$ 44.00 97606 COBAN COMPRESSION SLEEVE 2 LAY$ 44.00 OPTIRAY 350 25X50ML$ 45.00 Q9967 CONRAY CYSTOII 250ML$ 45.00 SOFTJAW INSERT MED$ 45.00 DRAPE ARTHROSCOPY SHEET$ 45.00 CATH TRAY 16FR (LF)$ 45.00 COVER PROBE ULTRASOUND W/ GEL$ 45.00 PAIN CLINIC EPIDURAL TRAY$ 45.00 PAD ARM LAMINECTOMY$ 45.00 SPLINT UNIVERSAL RT$ 45.00 SPLINT UNIVERSAL LEFT$ 45.00 ESMARK-4X9$ 45.00 MEDI-DUCT OCULAR FLUID$ 45.00 CORD SILICONE RETRACTOR$ 45.00 ATROPISOL 1% 5ML$ 45.00 PROVIGIL 100MG TAB$ 45.00 EXELON PATCH 4.6MG$ 45.00 LIDOCAINE 2PERCENT JEL 5ML$ 45.00 IBUPROFEN SUSP 100MG$ 45.00 NIMOTOP 30MG CAP$ 45.00 SULFAMET/TRIMET 5ML$ 45.00 GENTAMICIN OPTH SOL$ 45.00 AUGMENTIN 125MG150ML$ 45.00 INFLUENZA QW$ 46.00 87804 PROTEIN/SERUM$ 46.00 84155 SO NEUT/CYTOPL/ANTI$ 46.00 86255 SO ANA IGG REFLEX$ 46.00 86038 SO ANCA$ 46.00 86255 SO LAM Ag IgG$ 46.00 83516 SO MAN Ag IgG$ 46.00 83516 SO CHITO Ag IgA$ 46.00 83516 SO REFLEX ANNA IgG IMMUNOBLOT$ 46.00 83516 SO REFLEX NEURONAL NUCL Ab (AN$ 46.00 83516 SO IMMUNOASSAY ANALYTE OTHER$ 46.00 83516 SO DESMOGLEIN 1$ 46.00 83516 SO DESMOGLEIN 3$ 46.00 83516 SO SRP AUTOANTIBODY$ 46.00 83516 SO NMDA RECEPTOR (NR-1) AUTOAN$ 46.00 86255 SO ANTIBODY; CHLAMYDIA$ 46.00 86631 SPLINT COCKUP LG RT$ 46.00 CATH TRAY 18FR (LF)$ 46.00 BINDER ABD XXL$ 46.00 K-WIRE STNMN TROCR TIP 9 5/64$ 46.00 C1713 K-WIRE STNMN TROCR TIP 9$ 46.00 C1713 GUIDE NEEDLE LORAD 20-22G$ 46.00 EXUDERM SACRAL$ 46.00 GUIDE NEEDLE LORAD 12G$ 46.00 MARINOL 2.5MG CAPSLE$ 46.00 Q0167 MAXITROL O/S 5ML$ 46.00 METHERGINE 1ML (.2MG$ 46.00 MORPHINE 0.5MG SYRINGE$ 46.00 J2270 ERYTHROCIN LACTOB IV$ 46.00 LANOXIN 0.1MG/ML *PE$ 46.00 ARAVA 20 MG TABLET$ 46.00 PROTAMINE 50MG INJ.$ 46.00 MYCELEX G VAG 500MG$ 46.00 RONDEC DM DROPS 30ML$ 46.00 PAD FOR BAND 15CMX2.5MX0.4$ 46.00 S8430 DALIRESP 500MCG TABLET$ 46.65 CATH, VASCULAR DILAT$ 47.00 C1725 SHEATH BRITE TIP 4FR 11 CM$ 47.00 SHEATH BRITE TIP 5FR 11 CM$ 47.00 SHEATH BRITE TIP 6FR 11 CM$ 47.00 SO HERPES SMPLEX TYPE 2$ 47.00 86696 SO HEPATITIS A VIRUS TOTAL$ 47.00 86708 SO TRANSGLUTAMINASE AB IgG$ 47.00 83516 SO ASCA IgG$ 47.00 86671 SO ASCA IgA$ 47.00 86671 SO PNEUMOCYSTIS JIROVECI DFA$ 47.00 87281 SO DNase-B ANTIBODY$ 47.00 86215 SO METHEMALBUMIN SERUM/PLASMA $ 47.00 83857 SO AQUAPORIN-4 RECEPTOR AB$ 47.00 83516 SO CLOTTING INHIBITORS ANTITHR$ 47.00 85300 SO HU AB SCREEN$ 47.00 86255 SO ANA (FANA) BODY FLUID$ 47.00 86038 SO COPPER URINE TEST$ 47.00 82525 SO SPERM COUNT/PV$ 47.00 89310 IMMOBILIZER SHLDR LG$ 47.00 IMMOBILIZER SHLDR MED$ 47.00 IMMOBILIZER SHLDR SM$ 47.00 IMMOBILIZER SHLDR XLG$ 47.00 TRAY ARTHROGRAM$ 47.00 NEEDLE COLLAGEN PERIRTHAL$ 47.00 L8603 PROTECTOR BOOT CRADLE$ 47.00 AEROCHAMBER W/ MED MASK$ 47.00 AEROCHAMBER W/SM MASK$ 47.00 CATH URINE METER PEDI$ 47.00 BULB FIBEROPTIC WA$ 47.00 IMMOBILIZER SHLDR XXLG$ 47.00 IMMOBILIZER 16 UNIVERS. YOUTH$ 47.00 WIRE LEAD 60" GOLD$ 47.00 SHITE BRITE TIM 7 FR 11CM$ 47.00 HOOD OXYGEN BABY LRG$ 47.00 LAMISIL CREAM 15 GRA$ 47.00 SARNA LOTION 7.5 02$ 47.00 HEPARIN 1000U/500ML$ 47.00 ULTRAFOAM 12.7SQCM$ 47.00 DAKINS SOL 0.25%$ 47.00 OXANDRIN 2.5 MG TABS$ 47.00 INSULIN DETEMIR$ 47.00 PEDIAPRED LIQ 4OZ(5M$ 47.00 RESTORIL 7.5MG CAP$ 47.00 KANTREX INJ 1.0GM VL$ 47.00 NEOSPORIN OINT 1-OZ$ 47.00 SILVADENE CRM 50GM$ 47.00 HYDROCORT 250MG/2ML$ 47.00 J1720 CIPRO 500 MG TAB$ 47.00 ULTRAFOAM 12.5$ 47.00 AQUACEL AG ROPE 403712$ 47.00 CATH ANGIOGRAPHIC BRD 4F 100CM$ 48.00 C1885 LDH $ 48.00 83615 WBC ONLY$ 48.00 85048 BODY FLUID LDH$ 48.00 83615 SO CULT, FUNGUS VAG$ 48.00 87102 SO BLASTOMYCES$ 48.00 86612 SO CHLAMYDIA,. IgM$ 48.00 86632 SO HISTOPLASMA$ 48.00 86698 LEUKOCYTE HISTAMINE$ 48.00 86343 SO REFLEX ANNA IgG TITER BY IF$ 48.00 86256 SO REFLEX PURKINJE CELL CYTO A$ 48.00 86256 SO RELEX HU AB TITER$ 48.00 86256 SO REFLEX RI AB TITER$ 48.00 86256 SO FLUORESCENT NONINFECT AGT A$ 48.00 86255 SO PANCREATIC ELASTASE-1$ 48.00 82656 SO CSF ANTINUCLEAR ABS(ANA)$ 48.00 86038 SO STACH CHARTA/ATRA IGA$ 48.00 86671 SO COPPER RBC$ 48.00 82525 SO ENTAMOEBA HISTOLYTIC AB IGG$ 48.00 86753 SO HGB FRAC & QUANTITATION;ELE$ 48.00 83020 CATH TRAY COMP 16FR$ 48.00 A4344 CATH TRAY COMP 18FR$ 48.00 TRAY LUMB PUNCT 20GA$ 48.00 NEEDLE JMSHDI BNE MRW 16GA$ 48.00 OPTIRAY 50CC SYRINGE PREFILL$ 48.00 Q9967 WAFER DURADHESIVE 4$ 48.00 NEEDLE CHIBA 18GAX15CM$ 48.00 NEEDLE CHIBA 22GA 10CM$ 48.00 NEEDLE CHIBA 22GA 15CM$ 48.00 VALVE HEMOSTASIS$ 48.00 SHEATH PEELWAY SIDEPORT 9F 13C$ 48.00 GUIDEWIRE EXC JTIP 3MMX035X260$ 48.00 IMMOBILIZER SHLDR XXXLG$ 48.00 SUTURE NYLON 3-0 18" SH-2 WHT$ 48.00 SUTURE NONABSORABLE NYLON STER$ 48.00 NEEDLE TUOHY 20GA X 3.5$ 48.00 VITAMIN E OIL 30ML$ 48.00 CYTOVENE 500MG CAP$ 48.00 RAZADYNE ER TAB 8MG$ 48.00 NIZATIDINE ORAL SOLU$ 48.00 JANUVIA 100 MG TABLE$ 48.00 NACL 0.9%1000ML PLST$ 48.00 MAXIDEX OPH SOL 5ML$ 48.00 DEPO-TEST. SOL VIAL$ 48.00 VELTASSA 8.4 GM PACKET$ 48.00 CELESTONE SLSPN 12MG$ 48.00 J0702 CLAFORAN 1GM PB$ 48.00 J0698 MARCAINE EPI 0.25% 3$ 48.00 LESOC 4 X 6 SOCK LA46$ 48.00 99070 LEGLU ADHESIVE 1OZ LG$ 48.00 99070 COMMHEALTH INS GLUCO$ 49.00 82947 COMMHEALTH HS GLUCOS$ 49.00 82947 HEALTHY HEART CT$ 49.00 GLUCOSE$ 49.00 82947 GLUCOSE - 2 HR$ 49.00 82947 SO MICROALBUMIN URINE$ 49.00 82043 SO MUMPS VIRUS IGG$ 49.00 86735 SO MUMPS VIRUS IGM$ 49.00 86735 SO COXSACKIE A9 VIRUS AB BY CF$ 49.00 86658 SO TSH RECEPTOR AB$ 49.00 83520 SO REFLEX BARB CONFIRM/MECO$ 49.00 G0480 SO ASCA IgG$ 49.00 86671 SO COPPER$ 49.00 82525 SO COPPER FREE DIRECT$ 49.00 82525 SO VARIC-ZOSTER VIR AB IGG CSF$ 49.00 86787 SO GLUCOSE TOLERANCE 3HR$ 49.00 82951 SO MEASLES AB IGM$ 49.00 86765 SO ANTIBODY; CHLAMYDIA IGM$ 49.00 86632 SO COPPER/SERUM AT$ 49.00 82525 CATH UMBIL VESS 3.5FR$ 49.00 CATH UMBIL VESS 5FR$ 49.00 CATH MULTI A-1$ 49.00 CATH JUDK LT 5FR/6.0$ 49.00 CATH JUDK RT 5FR/5.0$ 49.00 CATH JUDK RT 5FR/6.0$ 49.00 CATH COUNCILL 16FR$ 49.00 CATH COUNCILL 18FR$ 49.00 CATH COUNCILL 20FR$ 49.00 IRRIGATOR PULSOVC SPIKE FLUID$ 49.00 CATH JUDK LT 5FR/3.5$ 49.00 CATH AMPLTZ LT 5FR/AL1$ 49.00 CATH AMPLTZ LT 5FR/AL2$ 49.00 CATH AMPLTZ LT 5FR/AL3$ 49.00 CATH AMPLTZ LT 5FR/AL4$ 49.00 CATH AMPLTZ RT 5FR/AR-MOD$ 49.00 CATH AMPLTZ RT 5FR/AR3$ 49.00 NEEDLE INSUF VERESS 120MM$ 49.00 CATH COUNCILL 22 FR$ 49.00 DRESSING STATLOK PICC$ 49.00 CATH CARDIAC PIGTAIL 7529-23$ 49.00 CATH ANGIO PER. KA2 5F 038X65C$ 49.00 CATH ANGIO PERF 5F 035X65C 6SH$ 49.00 C1769 DRESSING AQUACEL-AG 3/4 X 18$ 49.00 A6196 FEMORAL TIP FAN SPRAY$ 49.00 SPLINT WRIST D-RING 8 R-SM$ 49.00 TRAY LACERATION$ 49.00 CUFF BP BARIATRIC-REUSABLE$ 49.00 PROBE NEONATE OXYTIP EASY$ 49.00 DEMADEX IV 20MG 2ML$ 49.00 J3265 VALTREX 500MG CAP$ 49.00 MAGNESIUM SULF 2GM/50ML$ 49.00 J3475 NASALCROM 13ML$ 49.00 MAG SULFATE 4G/100ML$ 49.00 TRIAMCINOLONE IN 5GM$ 49.00 MYLICON DROPS 30ML$ 49.00 TIGAN AMP 200MG 2ML$ 49.00 J3250 GYNE-LORTIMIN VAG. T$ 49.00 BETAMTSNE CRM.1% 45G$ 49.00 PARING OR CUTTING BENI LES >4$ 49.00 11057 DRESSING ACTICOAT 3 5X5$ 49.00 INFRARED THERPY PT$ 50.00 97026 INFRARED THERPY OT$ 50.00 97026 PROTIME/INR BEDSIDE$ 50.00 85610 GUIDEWIRE COBRA CG501$ 50.00 C1769 DILATOR VESSEL 038 20F 20CM$ 50.00 DILATOR VESSEL 038 22F 20CM$ 50.00 DILATOR VESSEL 038 24F 20CM$ 50.00 SGOT $ 50.00 84450 RPR QUALITATIVE$ 50.00 86592 EOSINOPHIL SMEAR$ 50.00 89190 PROTIME/INR$ 50.00 85610 SO COMPLEMENT;AGTIGEN, EA COMP$ 50.00 86160 SO ST LOUIS ENCPH AB$ 50.00 86653 SO CRP, HIGH SENS$ 50.00 86141 SO PROINSULIN$ 50.00 84206 SO TREPONEMA PALLIDUM AB BY TP$ 50.00 86780 SO TREPONEMA PALLIDUM AB (FTA-$ 50.00 86780 TOBRAMYCIN (INHOUSE ONLY)$ 50.00 80200 SO PCCA IMMUNOBLOT$ 50.00 83516 SO CANDIDA ALBICANS AB IGA,IGG$ 50.00 86628 SO CENTROMERE B$ 50.00 86038 SO TRICHINELLA IGG AB, ELISA$ 50.00 86784 SO ANTIBODY; ADENOVIRUS$ 50.00 86603 SO IGE ANTIBODY (ANTI-IGE IGG)$ 50.00 83520 SO MANNOSE-BINDING LECTIN$ 50.00 83520 SO AB; ENCEP, CALIFORNIA$ 50.00 86651 SO AB; ENCEPH WESTERN EQUINE$ 50.00 86654 SO RNA POLYMERASE III AB$ 50.00 83520 SO LEPTOSPIRA AB SCREEN W/REF$ 50.00 86720 SO INTERLEUKIN-5 (IL-5) PLASMA$ 50.00 83520 TOBRAMYCIN PEAK$ 50.00 80200 TOBRAMYCIN TROUGH$ 50.00 80200 TOBRAMYCIN RANDOM$ 50.00 80200 SO ANTIBODY; ENTEROVIRUS$ 50.00 86658 SO GQ1B ANTIBODY TEST$ 50.00 83520 PROTHROMBIN TIME$ 50.00 85610 BLANKET HYPR/HYPO LG 25X64$ 50.00 IMMOBILIZER SHLDR XSM$ 50.00 TRAY AMNIOCENTESIS$ 50.00 TRAY LUMB PUNCT PEDI 22GA$ 50.00 CATH SIMMONS T/2$ 50.00 ADAPTER AEROSOL T$ 50.00 POUCH URSTMY 2.75$ 50.00 CATH ULTRA FLSH 90CM$ 50.00 AEROCHAMBER W/ADLT MASK$ 50.00 CATH BERENSTIN$ 50.00 BRUSH CYTOLOGY$ 50.00 POUCH URSTMY 2.25$ 50.00 CATHR ANGIO BENT2 5F 035X100CM$ 50.00 CATH ANGIO SOFT 4F 035X100CM$ 50.00 C1769 BRUSHES CYTOLOGY$ 50.00 CATHETER ANGIO WIRE COBRA 1 5F$ 50.00 C1769 NEEDLE PEEL-AWAY PN-04015$ 50.00 MASK BIPAP CPAP LG$ 50.00 TUBING INJECTION HI PRES 150CM$ 50.00 INFRARED THERAPY PT$ 50.00 97026 INFRARED THERPY PT$ 50.00 97026 I 131 TX EA ADD MCI$ 50.00 A9517 CAR SEAT/BED TEST EA ADD 30MIN$ 50.00 94781 NAROPIN 2MG/ML 20ML$ 50.00 J2795 POTASSIUM CHOLRIDE 20MEG/D5-NS$ 50.00 J3480 CAPSAISIN .025% CREA$ 50.00 ELASE OINTMENT 10GM$ 50.00 TESTOSTERONE 100MG/M$ 50.00 FLOXIN IV 200MG/50ML$ 50.00 XYLOCAINE TOP SOL 4%$ 50.00 DEPO-TESTOSTERONE 20$ 50.00 INFRARED THERAPY PT$ 50.00 97026 INFRARED THERAPY OT$ 50.00 97026 CIRCUIT INFANT EMV AEV EAGII$ 50.00 DERMAGRAN W/ZINC$ 50.00 A6248 XARELTO 10MG TABLET$ 50.85 URINE PREGNANCY TEST$ 51.00 81025 BUN $ 51.00 84520 WBC - STOOL$ 51.00 89055 PLATELET COUNT$ 51.00 85049 SO ANTI HISTONE ABY$ 51.00 83516 TITER, EACH ANTIBODY$ 51.00 86256 VOLATILES$ 51.00 84600 SO INFLUENZA B VIRUS AB IgM$ 51.00 86710 SO INFLUENZA B VIRUS AB IgG$ 51.00 86710 SO INFLUENZA A VIRUS AB IgM$ 51.00 86710 SO INFLUENZA A VIRUS AB IgG$ 51.00 86710 BODY FLUID UREA NITROGEN$ 51.00 84520 SO FETAL/MATERNAL SCR.$ 51.00 85461 SO TOXOCARA AB ELISA$ 51.00 86682 SO LISTERIA AB CSF OR SERUM$ 51.00 86609 SO FACTOR INHIBITOR TEST$ 51.00 85335 SO IMM ANA OTHER;QUANTITATIVE$ 51.00 83520 SO OXALATE SERUM$ 51.00 83945 SO DENGUE FEVER AB (IGG,IGM)$ 51.00 86790 SO ANTI-MULLERIAN HORMONE ASSE$ 51.00 83520 SO VWF:FACTOR VIII$ 51.00 83520 SO SLA AUTOANTIBODY$ 51.00 83520 SO FOSPHENYTOIN BLOOD$ 51.00 80185 SO CARPAMAZEPINE FREE$ 51.00 80157 SO RBC FRAGILITY, INCUBATED$ 51.00 85557 SO HIV-2$ 51.00 86702 SO ANA$ 51.00 86038 WAFER DURADHESIVE 2.75$ 51.00 WAFER DURAHESIVE 1.75$ 51.00 WAFER CLSTMY 2.25$ 51.00 STOCKINETTE COTTON 2$ 51.00 SPLINT WRIST D-RING 8 L-XS$ 51.00 SPLINT WRIST D-RING 8 R-XS$ 51.00 SPLINT WRIST D-RING 8 L-SM$ 51.00 SPLINT WRIST D-RING 8 L-MD$ 51.00 SPLINT WRIST D-RING 8 R-MD$ 51.00 SPLINT WRIST D-RING 8 L-LG$ 51.00 SPLINT WRIST D-RING 8 R-LG$ 51.00 SPLINT WRIST D-RING 8 L-XL$ 51.00 SPLINT WRIST D-RING 8 R-XL$ 51.00 DRESSING VERSAFOAM VAC LARGE$ 51.00 SO PAIN MGT GABAPENTIN URINE$ 51.00 80171 LACTATED RINGERS 100$ 51.00 DDAVP INJ 1ML$ 51.00 VITAMIN K INJ 10MG$ 51.00 J3430 VANCOMYCIN 500MG VL$ 51.00 J3370 ADSORBONAC 5% 15ML$ 51.00 NEEDLE NEURO TRACE INSULATE$ 51.00 TUBULAR DRESS D5 XSM 6CM X 20M$ 51.00 A6457 ARIPIPORAZOLE 2MG TABLET$ 51.38 DEXAMETHASONE 10 MG ORAL CONC$ 51.47 SODIUM$ 52.00 84295 CALCIUM$ 52.00 82310 SO EOSINOPHILS SMEAR SPUTUM$ 52.00 89190 GRAM STAIN-ROUTINSMR$ 52.00 87205 SO QUANTITATION OF DRUG , NES$ 52.00 80299 SO IMIPRAMINE$ 52.00 G0480 SO REFLEX DSDNA$ 52.00 86225 SO AMIDARONE & METABOLITE$ 52.00 82542 SO TAMBOCOR (FLECAINIDE)$ 52.00 80299 SO PCCA SCREEN$ 52.00 86255 SO PCCA TITER$ 52.00 86256 INSULIN TOTAL$ 52.00 83525 SO CSF VDRL$ 52.00 86592 SO VEGF PLASMA$ 52.00 83520 SO CYSTICERCUS AB ELISA SERUM$ 52.00 86682 SO CYSTICERUS AB ELISA CSF$ 52.00 86682 SO CLONIDINE URINE$ 52.00 80299 SO ARIPIPRAZOLE (ABILIFY)$ 52.00 80299 SO EVEROLIMUS (ZORTRESS)$ 52.00 80169 SO VORICONAZOLE$ 52.00 80299 SO BENZTROPINE SERUM/PLASMA$ 52.00 80299 SO LANREOTIDE$ 52.00 80299 SO CLONIDINE SERUM$ 52.00 80299 SO ANTIBODY; INFLUENZA VIRUS$ 52.00 86710 EIA HIV 1 AND/OR HIV 2 SCREEN$ 52.00 G0432 SYRINGE SAFETY LOK 3CC 22GX1$ 52.00 OPTIRAY 350 PREFILLED SYRINGE$ 52.00 Q9967 DRESSING SILVERLOIN$ 52.00 C1887 SPHY ANE HH CHILD BP CUFF$ 52.00 APPLIER LARGE CLIP$ 52.00 APPLIER MED-LG CLIP$ 52.00 VALVE KIT FUJI 2 PIECE (DISP)$ 52.00 LIDOCAINE JLY 2%10ML$ 52.00 LIDEX E CRM 15G$ 52.00 FLUOCINOLONE AC CR .$ 52.00 EPOETIN/DIALYSIS 2,000 UNITS/M$ 52.00 Q4081 GELFOAM SPONGE SZ 12$ 52.00 ACTOS 45MG TAB$ 52.00 ALCOHOL DEHYDRATED I$ 52.00 FLUOCINOLONE 0.025%$ 52.00 MYCOBACTERIUM AV COMP MIC PANE $ 52.62 87186 MCD GROUP TX$ 53.00 92508 SPEECH TX, GROUP$ 53.00 92508 GLIDESCOPE SIZE 3$ 53.00 IRON $ 53.00 83540 PH BODY FLUID$ 53.00 83986 SO ACETYLCHOLINE BLOCKING AB$ 53.00 83519 SO OLANZAPINE (ZYPREXA)$ 53.00 80299 SO PHENCYCLIDINE,GC/MS SERUM$ 53.00 G0480 PAD DISP LEG HOLDER STR IMP$ 53.00 SPLINT WRIST MED-RT FUTURO$ 53.00 SPLINT WRIST SM-RT FUTURO$ 53.00 SPLINT WRIST LG-RT FUTURO$ 53.00 SPLINT WRIST MED-LT FUTURO$ 53.00 BLANKET PED FULL ACCESS BAIR$ 53.00 CANISTER SUC RGD HOLDER 3000CC$ 53.00 TUBE 28FR RT ANGLE CHEST$ 53.00 SO PAIN MGT PHENCYCLIDINE CON$ 53.00 G0480 UNASYN 1.5GM VIAL$ 53.00 J0295 ZANTAC SYRUP 150MG$ 53.00 INDIGO CARMINE AMP 5$ 53.00 STADOL INJ*2MG/1ML$ 53.00 J0595 SPEECH TRATMENT GROUP$ 53.00 92508 HYPERINFLATION SYSTEM W/MASK$ 53.00 VENOUS PH$ 53.00 83986 CLOSED REDUCTION$ 53.00 UPR/LXTR ART STUDY 3+ LEVELS$ 53.80 93923 SO PARVO VIRUS ABY$ 54.00 86747 SO REFLEX THYROID PEROXIDASE A$ 54.00 86376 SO HALOPERIDOL$ 54.00 80173 SO H-PYLORI AB IGM$ 54.00 86677 SO INSULIN FREE$ 54.00 83527 SO FREE KAPPA/LAMBD LGHT CHAIN$ 54.00 83883 SO ZIPRASIDONE (GEODON) SERUM$ 54.00 80299 SO QUETIAPINE (SEOQUEL)$ 54.00 80299 SO CLOTTING INHIB ANTITHR III$ 54.00 85303 SO TRANSCOBALAMIN-VIT B12$ 54.00 82608 SO OCTREOTIDE/SANDOSTATI SERUM$ 54.00 80299 HEP SCREEN HIGH RISK/OTHER$ 54.00 G0472 OSTEOCALCIN N-MID SO$ 54.00 83937 VESSEL CLUDE 120$ 54.00 INTRODUCER TAUT$ 54.00 CLO TEST$ 54.00 COLLAR C STIFF NECK$ 54.00 L0120 COLLAR STIFF NECK C PEDI$ 54.00 L0120 APPLICATOR FLEXTIP ARISTA$ 54.00 NITROSTAT 0.6(100GR)$ 54.00 NEOSPORIN GU IRR 1ML$ 54.00 FEMARA 2.5MG TABLET$ 54.00 AMOXICILLIN 400MG/5ML 100ML SU$ 54.00 P4E1 EYE DROPS 15ML$ 54.00 ELASE/CHLOROMYCETIN$ 54.00 MVI-12 2/5ML VLS$ 54.00 NITROSTAT 1/150SL (.$ 54.00 NITROSTAT 1/200SL (0$ 54.00 AMPICILLIN 1GM VIAL$ 54.00 J0290 SULFACETAMIDE SOL10%$ 54.00 CEFAZOLIN 2GM/50ML PER 500MG$ 54.06 J0690 SHEATH BALKIN COOK$ 55.00 SHEATH ANVINTI INTRO$ 55.00 CREATININE; BLOOD$ 55.00 CREATININE (SERUM)$ 55.00 82565 CSF GLUCOSE$ 55.00 82945 BODY FLUID GLUCOSE$ 55.00 82945 SO AFB CULTURE$ 55.00 87116 MICROALB, URINE 24HR$ 55.00 82043 GFR $ 55.00 82565 SO METHSUXIMIDE$ 55.00 G0480 SUSCEPITIBILITY, KIRBY BAUER$ 55.00 87184 ANTIBODY IDENTIFICATION$ 55.00 86021 SO FATTY ACIDS, FREE$ 55.00 82725 SO LACOSAMIDE (VIMPAT)$ 55.00 80299 SO ZINC PROTOPORPHYRIN (ZPP)$ 55.00 84202 GLUCAGON SO$ 55.00 82943 SO CARBAMAZEPINE TOTAL$ 55.00 80156 SO FLUNITRA & META QUANT URINE$ 55.00 80346 SO ALPHA-1-ANTITRYPSIN (AAT) P$ 55.00 82104 SO IODINE SERUM$ 55.00 82542 SO URINE CHLORIDE$ 55.00 82436 HAEMOPHILUS INFLUENZE B AB$ 55.00 86684 CREAM FREE UP SOFT TISSUE 16OZ$ 55.00 THORACOPORT 11.5MM TCR$ 55.00 SLEEVE CLSTMY IRRIG 2.25$ 55.00 PARAFILM 4IN X 125FT$ 55.00 ELECTRODE SQUARE LOOP 5X5$ 55.00 Hem-o-lok Clip Applier$ 55.00 DRUG SCREEN TEST KIT 11 PANEL$ 55.00 HYDROCORTIZONE OINT.$ 55.00 AUGMENTIN 875MG TABL$ 55.00 D5/40KCL 1000ML$ 55.00 D5/40KCL 1000ML$ 55.00 ELAVIL INJ 10MG/ML$ 55.00 J1320 DURAMORPH INJ10MG/10$ 55.00 J2270 KETAMINE INJ 50MG/ML$ 55.00 KAYEXALATE$ 55.00 HYDROCORTISONE 2.5%$ 55.00 TUBULAR DRESS SM 8CM X 20M$ 55.00 A6457 TRIM NONDYSTROPHIC NAILS$ 55.00 11719 KIT MANIFOLD ACIST S/U$ 56.00 METHYLPREDNISOLONE 40MG INJ$ 56.00 J1030 J1030 VEIN DISTN BONCHEK SYS$ 56.00 ADAPTOR SWVL FBROPT BRNC$ 56.00 RESTRAINT FINGER CONTROL MITT$ 56.00 CATALYST$ 56.00 TUBE 40FR RT ANGLE CHEST$ 56.00 K-WIRES WS-1106ST$ 56.00 C1713 SLEEVE TROCAR ENDO FIX 11 X 10$ 56.00 BLADE BUR CARBID CROSS-CUT 2.1$ 56.00 GUIDE WIRE LONG 80-1524$ 56.00 C1769 TUBE INSUFFLATION VNUS$ 56.00 GUIDE WIRE .054 MM$ 56.00 C1769 K-WIRE 6" TROCAR POINT .045 OD$ 56.00 C1769 GUIDE WIRE .062 X 6$ 56.00 C1769 K-WIRE WS-1505ST$ 56.00 C1769 GUIDE WIRE .062 X 6$ 56.00 C1769 TUBING INSUFFLATION/ARTHREX$ 56.00 SODIUM CHLORIDE .9%$ 56.00 RACEPINEPHRINE 2.25$ 56.00 ZOVIRAX SUSP 1OZ$ 56.00 NITROGLYCERIN$ 56.00 AMPICILLIN 1GM/NS50M$ 56.00 J0290 DOXYCYLINE 100MG/NS$ 56.00 NACL 0.9% 500ML PLST$ 56.00 CEPHALEXIN 125MG/5ML$ 56.00 VANCOCIN 1GM IV$ 56.00 J3370 DEPO MEDROL INJ 40M$ 56.00 J1030 POLYMIXIN B SULF 500$ 56.00 BETOPTIC 0.5% OPHTH$ 56.00 CIRCUITS VEN EMV EAGLE 2$ 56.00 PARAFFIN BATH PT$ 57.00 97018 PARAFFIN BATH OT$ 57.00 97018 TX DEVICES; SIMPLE$ 57.00 77332 FLU VIRUS VAC SPLIT 3YRS > NOS$ 57.00 Q2039 Q2039 ED LEVEL I$ 57.00 99281 GLUCOSE PC /GLUCOLA$ 57.00 82950 PH-URINE$ 57.00 81003 URINE CREAT. 24HOUR$ 57.00 82570 BODY FLUID CREAT.$ 57.00 82570 GLUCOSE/1-HR 50G.$ 57.00 82950 UR. CREATININE RAND.$ 57.00 82570 SO ACTIVATED PROTEIN C (APC) R$ 57.00 85307 SO CARNTINE(TOTAL/FREE)$ 57.00 82379 SO ACYLCARNITINES, QUAN$ 57.00 82017 ANTINUCLEAR ANTIBODIES$ 57.00 86038 SO TETANUS ANTITOXOID AB$ 57.00 86774 URINALYSIS$ 57.00 81003 SO HERPES SIMPLEX NS TYPE TEST$ 57.00 86694 SO WNV IGG$ 57.00 86789 CREATININE; NOT BLOOD$ 57.00 82570 PACKING POPE EPSTXS W/O 10CM$ 57.00 SLEEVE ENDOSCOPIC STPCOCK 11MM$ 57.00 SLEEVE ENDOSCOPIC STPCOCK 12MM$ 57.00 BINDER ABDOMINAL 85-94 XXXL$ 57.00 CREATININE;OTHER SOURCE$ 57.00 82570 D5W 100ML AD VAN$ 57.00 ZYPREXA 5MG TABLET$ 57.00 RETROVIR 10MG SYRUP$ 57.00 TAMIFLU 75MG CAP$ 57.00 CONRAY 60$ 57.00 D5W 250ML PLSTC$ 57.00 D5W 500ML PLSTC$ 57.00 THIORIDAZINE 100MG/M$ 57.00 INSULIN LENTE U100$ 57.00 ALTERNAGEL 5OZ$ 57.00 FLUOCINONIDE .05% 15$ 57.00 DIPROSONE CRM.O.05%$ 57.00 PARAFFIN BATH OT$ 57.00 97018 PARAFFIN BATH OT$ 57.00 97018 PARAFFIN BATH PT$ 57.00 97018 APPLY COMPRESSION WRAP$ 57.00 29580 BILIRUBIN (TOTAL)$ 58.00 82247 BODY FLUID BILIRUBIN$ 58.00 82247 BILIRUBIN TOTAL$ 58.00 82247 NEONATAL BILIRUBIN$ 58.00 82247 DIPHTHERIA$ 58.00 86648 SO EPSTEIN-BARR VIRUS, NUCLEA$ 58.00 86664 SO APC RESISTANCE PROFILE$ 58.00 85307 SO ACETYLCHOLINE MODULATING AB$ 58.00 83519 SO REFLEX PHENC CONFIR/MEC$ 58.00 G0480 SO PHENOTYPE$ 58.00 82104 SO LC-1 AUTOANTIBODIES$ 58.00 86376 SO DIPTHERIA$ 58.00 86648 SO STREP PHEMONIA IGG AB 14 SE$ 58.00 86317 PRESUMPTIVE DRUG CLASS SCREEN$ 58.00 80305 SUPPORT ABD/SACRAL LG$ 58.00 A4461 SUPPORT ABD/SACRAL MED$ 58.00 SUPPORT ABD/SACRAL SM$ 58.00 PADS CPM UNIVERSAL INPAT REHAB$ 58.00 NEEDLE EPIDURAL 17GA/6$ 58.00 FILTER LASER NS X-LG PLUME$ 58.00 ADAPTER CARDIOPLGIA MLE 1/4$ 58.00 ADAPTER SET PERF 3/8 X24$ 58.00 CANNULA RF 100MMX22GAX5MM$ 58.00 ELECTRODES SELF ADH NEUTRAL PT$ 58.00 CPM SET UP/SUPPLY$ 58.00 SHEATH SAFESHEATH 7FR 25CM$ 58.00 K WIRE .045 9$ 58.00 SPONGE ENDO PEANUT CHERRY 10MM $ 58.00 ADHESIVE SURGICAL DERMABOND$ 58.00 K-WIRES .028X4 D-PT$ 58.00 K-WIRES .035X4 D-PT$ 58.00 K-WIRES .035X9 D-PT$ 58.00 C1713 WIRE K DMND PT 2 END 9 .062$ 58.00 C1713 PACEMAKER SLEEVE$ 58.00 C1727 CANNULA CURVED RF 150MM X 22MM $ 58.00 K-WIRE STNMN TROCR TIP 9$ 58.00 C1713 K-WIRE STNMN TROCR TIP 9$ 58.00 C1713 PROBE NEO PURELIGHT$ 58.00 ADAPTER FILTER TISSUE LORAD$ 58.00 ENDO SMART CAP-OLYMPUS$ 58.00 CANNULA RF 150MM 20G 15MM$ 58.00 SO PAIN MGT COCAINE CONFIR UA$ 58.00 G0480 82520 DISKECTOMY-PERC-LUMBAR$ 58.00 PREDNISONE 6DAY PACK$ 58.00 COMPAZIN INJ 5MG 2ML$ 58.00 J0780 GYNE-LOTRIMIN VAGCRM$ 58.00 NAFCILLIN 1GM VL$ 58.00 BRETHAIRE INHALER 7.$ 58.00 DEVICE DEBRIDE DEBRISOFT$ 58.00 SMOKING CESS 10MIN$ 59.00 99406 SMOKING CESSTN LESS THAN 10MIN$ 59.00 99406 SMOKING CESSATION <10 MIN$ 59.00 99406 SMOKING CESSATION LESS THAN 10$ 59.00 SMOKING CESSATION LESS THAN 10$ 59.00 SMOKING CESST LESS THAN 10 MIN$ 59.00 99406 SMOKING CESSATION 3-10MIN$ 59.00 SMOKING CESSATION LESS THAN 10$ 59.00 99406 SMOKING CESSATION LESS THAN 10$ 59.00 99406 SMOKING CESSATION LESS THAN 10$ 59.00 99406 RETICULOCYTE COUNT$ 59.00 85046 SED RATE/ESR$ 59.00 85652 CBC $ 59.00 85027 SO LIPOPROTEIN A$ 59.00 83695 SO APOLIPOPROTEIN, EACH$ 59.00 82172 SO ENDOMYSIAL AB TITER$ 59.00 86256 RUFINAMIDE$ 59.00 82542 PREGABALIN (LYRICA)$ 59.00 82542 SO IMMUNOASSAY INFECT AGEN AB$ 59.00 86317 5-HIAA PLASMA SO$ 59.00 82542 SO MDMA/MDA QUAN URINE$ 59.00 G0480 SO HIAA-5$ 59.00 83497 HEMOCLIP LG WECK$ 59.00 TRAY CT BPSY W/O NDL$ 59.00 CATH TROCAR 12FR$ 59.00 SYRINGE OPTISTAR MRI 60/60$ 59.00 GUIDEWIRE ROSEN CV 035 X145CM$ 59.00 C1769 DRAPE HIP$ 59.00 CATH UMBILICAL 2.5FR 12"$ 59.00 COLUMN CHROMATOGRAPHY/MASS SPE$ 59.00 82542 SO PAIN MGT AMPHETAMINE CON UA$ 59.00 G0480 82145 SO PAIN MGT BENZODIAZE CON UA$ 59.00 G0480 82145 SO PAIN MGT MARIJUANA CONFIR U$ 59.00 82542 SO PAIN MGT TRAMADOL URINE$ 59.00 82542 AMPICILLIN 500M/NS50$ 59.00 J0290 SOD CHL .45% 500ML B$ 59.00 D5W 100ML PLASTIC AB$ 59.00 D5W 50ML PLASTIC AB$ 59.00 NACL 0.9% 100ML PLST$ 59.00 NACL 0.9% 50ML PLST$ 59.00 NITROGLYCERIN IV 25MG$ 59.00 TRANSDERM SCOPE PATCH$ 59.00 AUGMENTIN SUSP.125MG$ 59.00 PREVENTIVE COUNSEL GROUP 60MIN$ 59.00 99412 NOZZLE CEMENT FEM REVI$ 59.00 ALGEDIX AG PASTE$ 59.00 EST PATIENT LEVEL 2$ 60.00 99212 COMMHEALTH INS CHOLE$ 60.00 82465 COMMHEALTH HS CHOLES$ 60.00 82465 GLIDESCOPE SIZE 5-4$ 60.00 PHOSPHORUS$ 60.00 84100 CHOLESTEROL$ 60.00 82465 BODY FL. CELL COUNT$ 60.00 89051 MONOSCREEN (TEST)$ 60.00 86308 KETONES BODY (S) QUALITATIVE$ 60.00 82009 BODY FLUID CRYSTALS$ 60.00 89060 KETONE BODY(S) QUALITATIVE URI$ 60.00 82009 URINE PROTEIN$ 60.00 84156 SO IGG$ 60.00 86787 IGM $ 60.00 86753 SO REFLEX COCAINE CONFIRM/MECO$ 60.00 G0480 82520 CSF CELL COUNT$ 60.00 89051 BARR BODIES$ 60.00 88130 PAP THIN PREP$ 60.00 88142 SO XYLENES PANEL BLOOD$ 60.00 84600 SO METHAMPHETAMI & METABOLITE$ 60.00 G0480 SO FLUPHENAZINE SERUM (PROLIXI$ 60.00 G0480 SO MILK COMPONENT PANEL$ 60.00 86008 SO PEANUT COMPONENT PANEL$ 60.00 86008 SEAL LOCK$ 60.00 SCREW CORTEX 2.7MM 202.030$ 60.00 C1713 SCREW CORTEX 2.7MM 202.040$ 60.00 C1713 BLADE LARYNGOSCOPE SZ 4$ 60.00 508515-5.01A$ 60.00 STR. WATER/INJ.1000M$ 60.00 HEMATROPINE 2% 15ML$ 60.00 RIBAVARIN 200MG CAP$ 60.00 D5 1/4 NS 500 ML$ 60.00 D5LR 20 KCL 1000ML$ 60.00 DEX 5% LR KCL 40MEQ$ 60.00 OXYTOCIN 10U D5LR$ 60.00 J2590 OCTREOTIDE 0.05MG/M$ 60.00 J2354 PILOCARPINE 1% OPTH$ 60.00 LIDEX CRM .05% 15GM$ 60.00 GENTAMICIN 80MG IN$ 60.00 J1580 CEFUROXIME 1.5GM VIAL$ 60.00 J0697 D5/.45NS 500CCPLASTI$ 60.00 SMOKING CESS COUNS>10MIN$ 61.00 99407 BILIRUBIN (DIRECT)$ 61.00 82248 SO GIARDIA ANTIGEN$ 61.00 87329 SO ORGANIC ACIDS QUALITITATIVE$ 61.00 83919 SO CHLORIDE OTHER SOURCE$ 61.00 82438 GIEMSA STAIN$ 61.00 87207 SO CONCENTRATION$ 61.00 87015 SO CORTISOL SALVIA$ 61.00 82530 SO ALKALINE PHOSPHATASE BONE S$ 61.00 84080 GAS CHROMATOGRAPHY$ 61.00 84600 SO BENZENE WHOLE BLOOD$ 61.00 84600 SO CLOTTING INHIB ANTITHR III$ 61.00 85306 SO APC RESISTENCE ASSAY$ 61.00 85307 SO DOXEPIN$ 61.00 G0480 SO ALCOHOL METHYL, BLOOD$ 61.00 84600 SO AMPHETAMIN.URINE$ 61.00 G0480 BLOOD RH$ 61.00 86901 ARC RH$ 61.00 86901 SO TOTAL GLUTATHIONE$ 61.00 82978 IMMOBILIZER KNEE SM$ 61.00 L1830 SYRINGE SODIUM CHLOR INJ 125ML$ 61.00 POUCH LOOP OSTOMY 2.75$ 61.00 ENDO GATOR-IRRIGATION$ 61.00 CATH FOLEY SHORT TP 2WY 16FR$ 61.00 CATH FOLEY SHRT TP 2WY 20FR$ 61.00 ZYPREXA ZYDIS 5 MG TAB$ 61.00 VALTREX 1GM TABLET$ 61.00 SUFENTA AMP 2ML$ 61.00 TOBRADX OPTH ONT 3.5$ 61.00 LASIX ORAL SOL 10MG/$ 61.00 HYDROXYZINE PAM.SUSP$ 61.00 EST PATIENT (PAT) LEVEL 2$ 61.00 99212 CITRONELLA LOTION 8 OZ$ 61.00 SMOK-TOBAC CESSATION >10 MIN$ 61.75 99407 FACE TO FACE WITH PATIENT 15 M$ 62.00 99231 HETEROPLHILE QW$ 62.00 86308 APPLY SHORT ARM SPLINT$ 62.00 29126 ELECTROLYTE PROFILE$ 62.00 80051 SO AFB SMEAR$ 62.00 87206 SO CORTISOL;FREE$ 62.00 82530 SO THYROTROPIN RECEP A/B SERUM$ 62.00 83519 SO CHLORPROMAZINE SERUM$ 62.00 G0480 SO GAMMAGLOBULIN; IGE$ 62.00 82785 PULLEY SET HOMERANGER$ 62.00 IMMOBILIZER KNEE MED$ 62.00 L1830 IMOBILIZER KNEE LG$ 62.00 L1830 IMMOBILIZER KNEE XLG$ 62.00 L1830 CATH FOLEY SHRT TP 18FR/30CC$ 62.00 CANNULA SHOULDER 7CM$ 62.00 TRAY 16G CENTRAL LINE$ 62.00 C1788 CUFF DISP. BLOOD PRESSURE$ 62.00 FOLLOW-UP STABLE/READY FOR DC$ 62.00 99231 ZITHROMAX 250MG$ 62.00 CORTONE B-OTIC 10MG$ 62.00 FLUOROMETHOLONE(FML) 0.1PER 5m$ 62.00 MEDROL DOSEPAK 4MG$ 62.00 NEW PATIENT LEVEL 1$ 63.00 99201 SHEATH PRELUDE 038 6F 4CM$ 63.00 BLOOD OCCULT$ 63.00 82270 COLORECTAL CANCER SCREENING$ 63.00 G0328 ER VACNE/TOXD INJ 1$ 63.00 90471 CLO TEST$ 63.00 87081 C&S MRSA/VRE/MDRPA$ 63.00 87081 C&S PATHOGENIC ORG$ 63.00 87081 SO HEP B SURFACE ABY$ 63.00 86317 86317 SO HEP E ANTIBODY IGM$ 63.00 86790 SO LYME DISEASE SEROLOGY SERUM$ 63.00 86617 SO CYSTINE$ 63.00 82131 HEMOGLOBIN A2 QUANTITATIVE SO$ 63.00 83021 SO FACTOR XIII ACTIVITY$ 63.00 85290 SO AMINOLEV ACID, RANDOM URINE$ 63.00 82135 HEMOGLOBIN FRACT$ 63.00 83021 SO IMM INF AG AB STREP PNEU$ 63.00 86317 OP VACNE/TOXID INJ 1$ 63.00 90471 OP PNEUMO VACCINE ADMIN$ 63.00 G0009 DRAPE IOBAN 2$ 63.00 SCREW CTX 3.5MM 206.010$ 63.00 C1713 CAPS 11.0MM TUBE & RODS 394.97$ 63.00 C1713 DRESSING FOAM MEPILEX AG 4X8$ 63.00 CATH HEMATURIA 2 WAY 16R$ 63.00 CATH HEMATURIA 2 WAY 18FR$ 63.00 SUBSEQUENT HOSPITAL CARE 1$ 63.00 99231 CARE MANAGE SERV MINIMUM 20$ 63.08 99484 SP AUDIO THRES WITH SP RECOG$ 64.00 TYMPANOMETRY$ 64.00 IMMUNOTHERAPY 2+ INJECTIONS$ 64.00 95117 ANTIGENS-ALLERG IMMUN; SGL/MUL$ 64.00 IMT ALLERGEN 2+ INJ$ 64.00 95117 SO INSUL-LIKE GR. FI$ 64.00 84305 SO DEOXYRIBONUCLEASE, ANTIBODY$ 64.00 86215 SO REFLEX AMPHET CONFIRM/MEC$ 64.00 G0480 SO MATERNAL SERUM AFP$ 64.00 82105 SO URINE CARNITINE$ 64.00 82379 SO AMPHIPHYSIN AB$ 64.00 84181 SO CHROMATOGRAPHY, QUALITATIVE$ 64.00 84591 VESEPHENE II SE STERIS$ 64.00 ANGIO KIT SEPERATE CATH LAB$ 64.00 BRACE ANKLE PNEUMATIC LT$ 64.00 L4350 BRACE ANKLE PNEUMATIC RT$ 64.00 L4350 ESMARK 6X12$ 64.00 SUTURE 2-0 VICRYL M0-6 CR$ 64.00 TC99M PERTECHNETATE PER 1 MCI$ 64.00 A9512 SUBSEQUENT OBSERV CARE PER DAY$ 64.00 99224 ARIMIDEX 1MG TAB$ 64.00 PERIDEX ORAL RIN16OZ$ 64.00 NEW PATIENT (PAT) LEVEL 1$ 64.00 99201 TRIAMCINOLONE-40 INJ$ 64.14 J3301 EOSINOPHIL COUNT/ABS$ 65.00 85008 SO T3 REVERSE SER$ 65.00 84482 SO RHEUFACTOR, BFL$ 65.00 86431 BIOTINIDASE$ 65.00 82261 PHENOL$ 65.00 84600 SO ANCA SCREEN W/REF TO TITER$ 65.00 86021 SO C-ANCA TITER RELEX$ 65.00 86021 SO P-ANCA TITER REFLEX$ 65.00 86021 SO ATYPICAL P-ANCA TITER REFLX$ 65.00 86021 SO PROTEINASE-3 AB$ 65.00 86021 P2Y12$ 65.00 85576 FLOOR OBSERVATION EA ADD HR$ 65.00 G0378 FLOOR OBSERVATION HR EA ADDITI$ 65.00 G0378 CAPS KIRSCHNER 2.5MM 392.24$ 65.00 C1713 CAPS BAR & ROD 4.0MM 394.99$ 65.00 C1713 KIT HOME MNTR SUPPLY 511 APNEA$ 65.00 K-WIRE 9" 5/64 3811-1-090$ 65.00 C1713 NACL 0.9% IRG.1000ML$ 65.00 ISOPTO CARPINE 4%$ 65.00 SENSOR FLOW VENT$ 65.00 ROPIVACAINE 0.2 PREC 60ML SYR$ 65.82 PERC TRANSHE DIL BIL DUCT STRI$ 66.00 74363 ICD OUICKLOOK 1-LEAD$ 66.00 93282 STREPTOCCUS QW$ 66.00 87880 PRO ALLERGY IMT$ 66.00 95115 IMT ALLERGY SHOT NOT ALERG EXT$ 66.00 95115 TRIGGER POINT 3 OR MORE MUSCLE$ 66.00 20553 AMYLASE$ 66.00 82150 COOMBS-INDIRECT$ 66.00 86885 BODY FLUID AMYLASE$ 66.00 82150 ACT $ 66.00 85347 PLATELET NEUTRALIZATION$ 66.00 85597 SO CHROMATOGRAPHY, QUANITITATI$ 66.00 82542 SO WESTERN BLOT INTERP/REPORT$ 66.00 84182 SO CHROMATOGRAPHY QUANT$ 66.00 82542 MASS SPECTROMETRY QUANTITATIVE$ 66.00 83789 SO REFLEX RNP$ 66.00 86235 SO REFLEX SMITH$ 66.00 86235 SO REFLEX SSA$ 66.00 86235 SO REFLEX SSB$ 66.00 86235 SO AEROBIC ORGANISM ID ROUTINE$ 66.00 87077 SO REFLEX SCLERODERMA AB$ 66.00 86235 FLAER $ 66.00 86356 SO RELEX HU AB WB$ 66.00 84181 SO REFLEX YO AB WB$ 66.00 84181 SO REFLEX YO AB TITER$ 66.00 86256 SO REFLEX RI AB WB$ 66.00 84181 SO WNV IGM$ 66.00 86788 SO HOMOCYSTEINE$ 66.00 83090 SO CSF IMMUNOGLOBULINS$ 66.00 82784 CYTOMEGALOVIRUS (CMV)$ 66.00 86644 OP ALLERGEN INJECTION 1$ 66.00 95115 SCREW CTX 3.5MM 206.012$ 66.00 C1713 SCREW CANC BONE 4.0 207.045$ 66.00 SPLINT WRIST & THUMB L-XS$ 66.00 SPLINT WRIST & THUMB R-XS$ 66.00 SPLINT WRIST & THUMB L-SM$ 66.00 SPLINT WRIST & THUMB R-SM$ 66.00 SPLINT WRIST & THUMB L-MD$ 66.00 SPLINT WRIST & THUMB R-MD$ 66.00 SPLINT WRIST & THUMB L-LG$ 66.00 SPLINT WRIST & THUMB R-LG$ 66.00 SPLINT WRIST & THUMB L-XL$ 66.00 SPLINT WRIST & THUMB R-XL$ 66.00 HANDPIECE IRRIG SUCTION TUBING$ 66.00 DRESSING DERMANET AG 4 X 4.75$ 66.00 LEVAQUIN 250MG TAB.$ 66.00 AROMASIN 25 MG TAB$ 66.00 PROPARACAINE HCL .5OP$ 66.00 ABILIFY 5MG TABLET$ 66.00 ZADITOR 0.025% OPHTH$ 66.00 ATRACURIUM 100MG/10ML VIAL$ 66.00 RENVELA 2.4GM PACKET$ 66.00 AMPICILLIN 2GM VIAL$ 66.00 J0290 MONISTAT 7 VAG CRM/A$ 66.00 TUBULAR DRESS 10CM X 20M$ 66.00 A6457 KIT HAND CONTROLLER ACIST S/U$ 67.00 SLITTER LEAD DELIVERY UNIV$ 67.00 TRAY SPINAL ANES 25GA/NO EPHED$ 67.00 CATH PEZZER 36FR$ 67.00 COLD PACK TKTEMP SHLDR WRP$ 67.00 PACK ARTHROSCOPY FLD SHLDR$ 67.00 DRESSING TUBE CHEST SZ 7$ 67.00 KNEE LOCK STANDARD$ 67.00 SPLINT WRIST ELBOW UNIV SM$ 67.00 SPLINT WRIST ELBOW UNIV MD$ 67.00 SPLINT WRIST ELBOW UNIV LG$ 67.00 SPLINT WRIST ELBOW UNIV XL$ 67.00 CATH PEZZER 38FR$ 67.00 CATH PEZZER 40FR$ 67.00 NEEDLE INJECT DURASPHERE$ 67.00 TUBE PEG GASTRO 18 FR 20ML$ 67.00 B4088 DRILL ACUTRAK 4.7 30MM$ 67.00 WIRE DBL ENDED .045 ACUTRAK II$ 67.00 C1713 GUIDE WIRE 0.94$ 67.00 C1769 CONNECTOR REPLACE GROSH 7F$ 67.00 CONNECTOR REPLACE GROSH 9.5F$ 67.00 470361 DA VINC$ 67.00 SPORONOX 100 MG CAPS$ 67.00 EAR GESIC OTIC DROPS$ 67.00 METRONIDAZDE 500MG TABLET$ 67.00 POLOCAINE 1.5% 30ML$ 67.00 FLUCONAZOLE TAB 100M$ 67.00 PRIMATENE MIST KIT$ 67.00 PILOCARPINE 2% 15ML$ 67.00 DRESSING LEFLAP MAGGOT 3X3$ 67.00 SMOKING CESST GREATER THAN 10M$ 68.00 G0437 CARDIAC SCREEN PATIE$ 68.00 SMOKING CESSATION > 10MIN$ 68.00 99407 SMOKING CESSATION >10 MIN$ 68.00 SMOKING CESS GREAT THAN 10 MIN$ 68.00 99407 SMOKING CESSATION >10MIN$ 68.00 SMOKING CESSATION > 10 MIN$ 68.00 99407 SMOKING CESSATION >10 MIN$ 68.00 99407 ENDOTRAC TUBE 2.5 CUFFED$ 68.00 CHLORIDES$ 68.00 82435 GGT $ 68.00 82977 SO THYROID AB GR.$ 68.00 86376 SO HEP B CORE ABY$ 68.00 86704 86704 SMEAR PRIMARY SOURCE,COMPLEX$ 68.00 87209 SO EPSTEIN-BARR VIRUS,VIRAL CA$ 68.00 86665 SO EBV IGA$ 68.00 86665 SO TSH$ 68.00 84443 PAP WITH PATH REVIEW$ 68.00 88141 SO HERPES VIRUS 6 DNA QUAN PCR$ 68.00 87533 HEPATITIS B CORE IGM$ 68.00 86705 SO IG A/SERUM$ 68.00 82784 SO IGM/SERUM$ 68.00 82784 SO COLD AGGLUTININ$ 68.00 86157 SO INSULIN/ASSA$ 68.00 83525 SO THY.MICROS/ANTIB$ 68.00 86376 SO IGG/SERUM$ 68.00 82784 DISSECTOR BLNT TIP 5MM$ 68.00 TUBE BLOOD LT GRN PST 3.0ML$ 68.00 NEEDLE ECHOTIP CHIBA 20X5.0$ 68.00 GARMENT STANDARD CALF$ 68.00 SCREW 4.5 CORTEX 214.014$ 68.00 C1713 SCREW4.5 CORTEX 30MM 214.03$ 68.00 C1713 SCREW4.5 CORTEX 32MM 214.032$ 68.00 C1713 SCREW 4.5 CORTEX 34 MM 214.034$ 68.00 C1713 SCREW 4.5 CORTEX 36 MM 214.036$ 68.00 C1713 SCREW 4.5 CORTEX 38MM 214.038$ 68.00 C1713 SCREW 4.5 CORTEX 40 MM 214.04$ 68.00 C1713 SCREW4.5 CORTEX 44 MM 214.044$ 68.00 C1713 SCREW 4.5 CORTEX 46 MM 214.046$ 68.00 C1713 SCREW 4.5 CORTEX 48MM 214.048$ 68.00 C1713 SCREW 4.5 CORTEX 50MM 214.05$ 68.00 C1713 SCREW 4.5 CORTEX 52MM 214.052$ 68.00 C1713 SCREW 4.5 CORTEX 54 MM 214.054$ 68.00 C1713 SCREW 4.5 CORTEX 56MM 214.056$ 68.00 C1713 MANIFOLD 4 PORT NEPTUNE 2$ 68.00 MEROPENEM 500MG VIAL$ 68.00 J2185 MURO 128*OINT TWN/PK$ 68.00 CORTENEMA$ 68.00 INSULIN PORK REG 10M$ 68.00 GROUP THERAPY PT$ 69.00 97150 MCD GROUP TX OT$ 69.00 97150 MCD GROUP THERAPY$ 69.00 97150 GROUP THERAPY OT$ 69.00 97150 MCD GRP THRPY OTA$ 69.00 97150 MCD GRP THPY PTA$ 69.00 97150 SHEATH PRELUDE 035 6F 11CM$ 69.00 C1894 OP VAC/TOX INJ 2$ 69.00 IMMUN ADM; EA ADDTL VACCINE$ 69.00 90472 PHYSICIAN TRIAGE$ 69.00 T1015 SO VMA URINE$ 69.00 84585 KETOGENIC STEROIDS FRACTIONATI$ 69.00 83582 SO HELICOBACTER PYLORI ANTIGEN$ 69.00 87338 ARC, COLD AGGLUTININ SCREEN$ 69.00 86156 SO OSMOLALITY FECAL$ 69.00 84999 SO PROTEIN ELECTROPHORESIS$ 69.00 84166 SO CORTISONE SERUM$ 69.00 83789 SO CARBOHYDRATE-DEFICIENT TRAN$ 69.00 82373 SO ACHR/MUSK REFLEX AB TEST$ 69.00 83519 SO URINE IODINE 24 HR$ 69.00 83789 SO MYCOPHENOLIC ACID$ 69.00 80180 SO PM-SCL AB$ 69.00 86235 SO COLUMN CHROMOTOGRAPHY QUAN$ 69.00 82542 SO DOPAMINE PLASMA$ 69.00 82542 SO ENA ANY METHOD$ 69.00 86235 SO RECOMBX MATA AUTOAB TEST$ 69.00 84182 SO RECOMBX CV2 AB TEST$ 69.00 84182 SO HEP B SUR AG W/CONFIRMATION$ 69.00 87340 SO CRYPTOSPOR. AG/F$ 69.00 87328 OP VAC/TOX INJ 2 OR MORE$ 69.00 90472 CANISTER GUARDINE LRG 12,000CC$ 69.00 BAG IV PRESS INFUSOR 500CC$ 69.00 SCREW CORTEX 4.5MM 214.842$ 69.00 C1713 SCREW CANCEL 4.0MM 206.045$ 69.00 C1713 TROCAR BLADE SHLD 5 X 150$ 69.00 GROUP THERAPY PT$ 69.00 97150 MCD GRP THPY PTA 15$ 69.00 97150 MCD GROUP THERAPY$ 69.00 97150 GROUP THERAPY PT$ 69.00 97150 SO PAIN MGT PREGABALIN URINE$ 69.00 83789 SO PAIN MGT TAPANTADOL URINE$ 69.00 83789 CAFFE SOD BEN 500MG$ 69.00 GROUP THERAP. PROC$ 69.00 97150 GROUP OUTING$ 69.00 97150 GROUP THERAPY OT$ 69.00 97150 GROUP THERAPY PT$ 69.00 97150 GROUP THERAP PROC$ 69.00 97150 EUCERIN LOTION 16 OZ$ 69.00 SO TRAMADOL QUANT URINE$ 69.55 G0480 CBC W/DIFF$ 70.00 85025 IRON BINDING (TOTAL)$ 70.00 83550 CBC/DIFF/PLT$ 70.00 85025 LDL CHOLESTEROL$ 70.00 83721 SO TULAREMIA AB$ 70.00 86000 SO DEOXYPRIDINOLINE CROSSLINK$ 70.00 82523 SO AMITRIPTYLINE$ 70.00 G0480 SO FACTOR VIII 1-STAGE$ 70.00 85240 SO PROTEIN FRACTIONATION$ 70.00 84166 RUBELLA IGG,QUAL.$ 70.00 86762 SO CANNABINOIDS PANEL SERUM$ 70.00 82542 SO LIPID PEROXIDES PROFILE$ 70.00 82542 SO VIGABATRIN (SABRIL)$ 70.00 82542 SO NOREPINEPHRINE PLASMA$ 70.00 82542 SO PSA ULTRASENSITIVE$ 70.00 84153 PAD DEFIB MULTI FUNC ADLT$ 70.00 SPICA THUMB HAND BASED MED$ 70.00 C1887 STRAP CHIN TRIANIM$ 70.00 DRESSING ACTICOAT 7 4X5$ 70.00 SCREW SHAFT 4.5MM 214.228$ 70.00 C1713 SCREW SHAFT 4.5MM 214.230$ 70.00 C1713 SCREW SHAFT 4.5MM 214.232$ 70.00 C1713 SCREW SHAFT 4.5MM 214.234$ 70.00 C1713 SCREW SHAFT 4.5MM 214.236$ 70.00 C1713 SCREW SHAFT 4.5MM 214.238$ 70.00 C1713 SCREW SHAFT 4.5MM 214.240$ 70.00 C1713 SUTURE PDS II 4-0 18"$ 70.00 MITYVAC CUP/TUBE$ 70.00 FAM/PT TRAIN 15 PT$ 70.00 97139 MEGESTROL ACETATE ORAL SOLU 40$ 70.00 ALUPENT INHALER 15ML$ 70.00 FAM/PT TRAIN$ 70.00 97139 PULSE OX SINGLE DETERMINE$ 70.00 94760 PUNCTURE ASPIRATION BREAST CYS$ 70.00 19000 GRAY FOAM$ 70.00 INIT/SUB PSYCH CARE ADD 30MIN.$ 70.26 99494 MONSEL'S TOP SOLUTION 8ML BOT$ 70.88 MASSAGE,LOCAL 15 OT$ 71.00 97124 MASSAGE, LOCAL 15 PT$ 71.00 97124 SHEATH 6 FR 25 CM$ 71.00 SHEATH 7 FR 25 CM$ 71.00 SHEATH 9 FR 25 CM$ 71.00 SO LIPOPROTEIN ELECTROPHORESIS$ 71.00 83700 SO CARNITINE, TOTAL$ 71.00 83789 SO HEXAGONAL PHOSPHOLIDIPD NEU$ 71.00 85598 SO CANNABINOID METABOLITES(SYN$ 71.00 80350 SO SMITH-LEMLI-OPITZ SCR PLASM$ 71.00 82542 SO REFLEX CANNABIN CONFIRM S/P$ 71.00 82542 SO CREOSOL SERUM$ 71.00 82542 SO SULONYLUREA HYPOG PANEL SER$ 71.00 83789 SO SM/RNP REFLEX$ 71.00 86235 SO MI-2 AUTOANTIBODIES$ 71.00 86235 SO MARIJUANA CONF BY GCMS BLD$ 71.00 82542 SO COENZYME Q 10$ 71.00 82542 SO ALPRAZOLAM (XANAX)$ 71.00 80346 SO BENZODIAZEPINES SERUM$ 71.00 G0480 SO N-TELOPEPTIDE SERUM$ 71.00 82523 BRACE ANKLE UNIVERSAL$ 71.00 SCREW CTX 3.5MM 206.024$ 71.00 C1713 SCREW CTX 3.5MM 206.026$ 71.00 C1713 SCREW 4.0 CANC$ 71.00 C1713 GLIDESCOPE GVL STAT SIZE 2$ 71.00 SET POWERLOCK SAFETY INFUSION$ 71.00 SCREW SHAFT 3.5MM 204.216$ 71.00 C1727 SCREW SHAFT 3.5MM 204.222$ 71.00 C1713 SCREW CANCEL 4.0MM 206.030$ 71.00 C1713 SCREW CANCEL 4.0MM 206.055$ 71.00 C1713 SCREW CANCEL 4.0MM 206.060$ 71.00 C1713 SCREW CANCEL 4.0MM 207.010$ 71.00 C1713 SCREW CANCEL 4.0MM 207.012$ 71.00 C1713 FIBERWIRE #2 ANGEL OPEN CUFFS$ 71.00 C1713 SCREW 4.0 45MM 206.045$ 71.00 C1713 BLADE KNEE K-2000-01$ 71.00 MASSAGE, LOCAL 15 PT$ 71.00 97124 MASSAGE, LOCAL 15 PT$ 71.00 97124 ZEMPLAR 2MCG/ML VIAL$ 71.00 J2501 PIPRACIL 3GM ADD/VAN$ 71.00 KWELL SHAMPOO 2OZ$ 71.00 THIAMINE HCL INJ 100$ 71.00 J3411 BETAMTSNE LOTION60ML$ 71.00 HYDOCORTISONE 1% 4OZ$ 71.00 CHARCOAL-AQUA 25G$ 71.00 MASSAGE, LOCAL 15 PT$ 71.00 97124 MASSAGE LOCAL 15 OT$ 71.00 97124 FIBERWIRE #2$ 71.00 C1713 REP SIM, SCA, TRU, EXT <2.5 CM$ 71.00 12001 STATLOCK AORTIC BLN CATH$ 72.00 SO DHEA SULFATE$ 72.00 82627 SO VIRUS ISOL. CENTRIFURE ENHA$ 72.00 87254 SO CULTURE CHLAMYDIA ANY SOURC$ 72.00 87110 SO AMIKACIN RANDOM$ 72.00 80150 SO HERPES SIMPLEX VIRUS TYPE 2$ 72.00 86696 SO GONADOTROPIN RELEASING HORM $ 72.00 83727 LHRH $ 72.00 83727 MURAMIDASE (LYSOZYME) SO$ 72.00 85549 SO PREGNANETRIOL$ 72.00 84138 SO LIDOCAINE$ 72.00 80176 SO ZINC/PLASMA$ 72.00 84630 SPLINT TIBIA SM$ 72.00 GUIDEWIRE PTFE MOVBLE CORE$ 72.00 C1874 SCREW CORTEX 2.7MM 202.026$ 72.00 C1713 SCREW CORTEX 2.7MM 202.032$ 72.00 C1713 SCREW CORTEX 2.7MM 202.036$ 72.00 C1713 SCREW CORTEX 2.7MM 202.038$ 72.00 C1713 DRESSING HEMO QUICKCLOT 4 X 4$ 72.00 A6209 GUIDEWIRE URO MVBL CORE .038"$ 72.00 C1769 LABOR/DELIV/RECOV EA ADD HR$ 72.00 PITCON IND 1ST HOUR$ 72.00 PITCON IND EA ADD HOUR$ 72.00 BETAGAN OPH. 2ML$ 72.00 AQUAPHOR 1LB$ 72.00 BLINX OPHTH 30ML$ 72.00 AVC CRM/APPL. 40Z$ 72.00 CYTARABINE INJ 100MG$ 72.00 J9100 SPIRIVA 18MCG CAPSULE$ 72.18 NEUPRO 4 MG PATCH$ 72.50 CPK $ 73.00 82550 MIC $ 73.00 87186 SO GLYCATED PROTEIN$ 73.00 82985 BARBITURATES NOT ELSEWHERE SPE$ 73.00 G0480 SO ANTIBODY; FUNGUS NES$ 73.00 86671 SUSCEPTIBILITY STUDIES EA MULT$ 73.00 87186 SO ZONISAMIDE$ 73.00 80203 SO 17-HYDROXYCORTICOSTEROIDS U$ 73.00 83491 SO REFLEX CHROMATIN$ 73.00 86235 SO REFLEX SCL-70$ 73.00 86235 SO REFLEX JO-1$ 73.00 86235 DIAGNOSTIC BLOOD, OCCULT, FECA$ 73.00 82274 SCREENING COLORECTAL CA; FECAL$ 73.00 G0328 82270 SO VALPROLIC ACID FREE$ 73.00 80164 SO VALPROLIC ACID TOTAL$ 73.00 80165 SO PREGNANEDIOL$ 73.00 84135 SO EPIDERMAL AB W/REFLEX TO TI$ 73.00 86255 SO BENZODIAZEPAM/S$ 73.00 G0480 CPK, TOTAL$ 73.00 82550 SO THROMBOPLASTIN TIME, PARTIA$ 73.00 85730 SO DESIPRAMINE$ 73.00 G0480 SO IMMUNOGLOBIN D$ 73.00 82784 SCREW CTX 2.0MM 201.810$ 73.00 C1713 SCREW CTX 2.0MM 201.816$ 73.00 C1713 INFUSER IV PRESS BG 1000CC$ 73.00 TENT CARE CUBES$ 73.00 SENSOR NEO ADHESIVE LNCS$ 73.00 KIT MRSA ADULT SINGLE PATIENT$ 73.00 SUTURE VLOC 3-0 CV23 6"$ 73.00 ZYPREXA 10 MG TAB$ 73.00 FAMVIR 500MG TAB$ 73.00 DIPROSONE CR 15GM$ 73.00 BETAGAN O/SOL .25% 5$ 73.00 CISPLATIN 50MG/50ML$ 73.00 J9060 MOISTURIN CREAM 16OZ$ 73.00 TUBULAR DRESS MLG 12CM X 20M$ 73.00 A6457 PROTIME QW$ 74.00 85610 SO LIPASE RANDOM URINE$ 74.00 83690 SO CULT TYP IDENT BY NU$ 74.00 87149 SO ISLET CELL ANTIBODY$ 74.00 86341 INFECTIOUS AGENT ANTIGEN DETEC$ 74.00 87449 INFLU VIRUS A & B RAPID CULTUR$ 74.00 87254 SO PROPHYRINS FRAC PLASMA(REFL$ 74.00 82542 SO TADALAFIL$ 74.00 83789 SO REFLEX CANNA CONFIRM/MECO$ 74.00 82542 SO LAMELLAR BODY COUNTS$ 74.00 83664 SO THIOPURINE MEATBOLITES$ 74.00 82542 SO HEPATITIS BE ANTIBODY$ 74.00 86707 SO OSMOLALITY,SERUM$ 74.00 83930 SCREW CTX 1.5MM 200.808$ 74.00 C1713 PAD DEFIB MULTI FUNC PEDI$ 74.00 C1751 GUIDE NEEDLE PICC 21G$ 74.00 470380 INTUTIVE SURG$ 74.00 SHEATH STAPLER$ 74.00 NEEDLE BIOPSY CHBA 22 GA$ 74.00 WRAP, POSITIONER STYRK LEG$ 74.00 WRAP LEG DEMAYO$ 74.00 BLEPH-10 5CC$ 74.00 PRISCOLINE INJECTION$ 74.00 PROPINE OPTH SOL .1%$ 74.00 K-WIRE -0.062 AR-2663$ 74.00 C1713 INITIAL TREAT 1ST DEGREE BURNS$ 74.00 16000 SAPHRIS 10MG SL TABLET$ 74.59 SO CAT SCR.D.ANTIB$ 75.00 86611 SO INHIBIN A$ 75.00 86336 SO SOMATOSTATIN$ 75.00 84307 SO CHROMOSOME COUNT, ADD$ 75.00 88285TC SO GAGS URINE$ 75.00 83864 SO ZINC TRANSPORTER 8 AB$ 75.00 86341 SO CARBONMONOXIDE$ 75.00 82375 SO LEAD/BLD.$ 75.00 83655 SO EHRLICHIA PANEL$ 75.00 86666 TRAY BREAST BIOPSY$ 75.00 KIT MULTICARE DRAPING$ 75.00 FIBERWIRE 3-0 AR-7227-01$ 75.00 C1713 INJECTOR HARRIS UTERINE$ 75.00 FIBERWIRE SIZE 4$ 75.00 C1713 SUTURE STRATAFIX 3-0 30CM PS-1$ 75.00 HECTOROL 4 MCG VIAL$ 75.00 J1270 NEO DECADRON OCUMETR$ 75.00 COM/WRK REINTRGT15PT$ 75.00 97537 PCU OBSERVATION EA ADD HR$ 75.00 G0378 COM/WRK REINTRGT 15 OT$ 75.00 97537 COM/WRK REINTRGT 15 PT$ 75.00 97537 COM/WRK REINTRGT15OT$ 75.00 97537 ALPS FITTING LOTION 4 OZ$ 75.00 BLOXIVERZ 1MG/ML 10ML VIAL$ 75.80 J2710 URINALYSIS/MICRO$ 76.00 81001 TULAREMIA$ 76.00 86668 SO REPTILASE TIME W/REFLEX$ 76.00 85635 SO PROLACTIN MACROADENOMA$ 76.00 84146 BUPRENORPHINE & METABOLITIES S$ 76.00 G0480 SO HERPES SIMPLEX TYPE 2$ 76.00 86696 SO CYANIDE BLOOD$ 76.00 82600 SCREW CTX 3.5MM 206.016$ 76.00 C1713 NEEDLE JMSHDI BNE MRW 8GA$ 76.00 CATH SIMMONS T/1$ 76.00 CATH MANI P 5 35 100 P NS MAN$ 76.00 GUIDEWIRE ROSEN CRV 035X220CM$ 76.00 C1769 CATHETER SOFT 5F 035 X100CM$ 76.00 CATHETER SOFT 5F 035 X100CM$ 76.00 CATHR AMR MOTAR CR 5F 035X100$ 76.00 CATH SOFTOUCH PIG 6F 035X110$ 76.00 CATH ANGIO SOFT RBC 5F 038X100$ 76.00 CATH ANGIO SOFT LCB 5F 038X100$ 76.00 CATHETER DIAGNOSTIC JL5.0 6F$ 76.00 CATHETER DIAGNOSTIC JL4.5 6F$ 76.00 C1769 SCREW CORT 2.7 #202.034$ 76.00 C1713 WHEELCHAIR MANAG 15 PT$ 76.00 97542 D5 LR 1000 CC$ 76.00 MORPHINE 150MG/30ML PCA$ 76.00 COCAINE VISCOUS 4%$ 76.00 INSULIN NPH U100 10M$ 76.00 DESOXIMETASONE CR. 0.05PER 15g$ 76.00 XYLOCAINE OINT 5% 35$ 76.00 TIMOLOL OPHT. SOL. 0$ 76.00 TOBREX OPHTH SOL .3%$ 76.00 WHEELCHIR MANGE 15PT$ 76.00 97542 WHEELCHIR MANGE 15OT$ 76.00 97542 WHEELCHAIR MANAGEMENT 15 OT$ 76.00 97542 WHEELCHAIR MANAGEMENT 15 PT$ 76.00 97542 OT COG SKL/ATN/MEM15$ 77.00 G0515 SP COG SKL/ATN/MEM15$ 77.00 G0515 BASIC DOSE CALCULATION$ 77.00 77300 VALVE ANGIO HEMOSTAT 7.2FR$ 77.00 SO FUNGUS CUL$ 77.00 87102 SO PREGNENOLONE SERUM$ 77.00 84140 SO NEISSERIA GONORRHOEA AB$ 77.00 86171 CYTOPATH SMEAR OTHER SOURCE$ 77.00 88160 SO CYTOMEGALOVIRUS CULTURE$ 77.00 87254 SO CYTOMEGALOVIRUS CULTURE$ 77.00 87254 SO CPK ISOENZYEMS$ 77.00 82552 SCREW CTX 1.5MM 200.807$ 77.00 C1713 SCREW CTX 1.5MM 200.810$ 77.00 C1713 SCREW CTX 1.5MM 200.816$ 77.00 C1713 NEEDLE CHIBA ECHO TIP 22-5.0$ 77.00 CATH FOLEY 6FR/1CC$ 77.00 STAPLER PREM SKIN 35$ 77.00 NEEDLE CHIBA 18GAX10CM$ 77.00 SCREW CORTEX 4.5MM 214.830$ 77.00 C1713 SCREW CORTEX 4.5MM 214.860$ 77.00 C1713 SCREW CORTEX 4.5MM 214.840$ 77.00 C1713 SCREW CORTEX 4.5MM 214.844$ 77.00 C1713 SCREW CORTEX 4.5MM 214.832$ 77.00 C1713 SCREW CORTEX 4.5MM 214.838$ 77.00 C1713 SCREW CORTEX 4.5MM 214.848$ 77.00 C1713 MARKERS ENDOSCOPIC$ 77.00 RETAINER VISCERA SM FISH$ 77.00 SCREW CORTEX 4.5MM 214.814$ 77.00 C1713 SCREW CORTEX 4.5MM 214.816$ 77.00 C1713 SCREW CORTEX 4.5MM 214.818$ 77.00 C1713 SCREW CORTEX 4.5MM 214.856$ 77.00 C1713 SCREW CORTEX 4.5MM 214.858$ 77.00 C1713 SCREW CORTEX 4.5MM 214.862$ 77.00 C1713 SCREW CORTEX 4.5MM 214.864$ 77.00 C1713 SCREW CORTEX 4.5MM 214.866$ 77.00 C1713 SCREW CORTEX 4.5MM 214.868$ 77.00 C1713 SCREW CORTEX 4.5MM 214.870$ 77.00 C1713 REFILL KITS MEDTRONIC PAIN CLI$ 77.00 SILVASORB 4 X 8"$ 77.00 WIRES-K KW062SS$ 77.00 C1713 PIN STEINMAN 3811-4-090$ 77.00 C1713 KCL 30MEG 100ML BAG$ 77.00 ABILIFY 10MG TABLET$ 77.00 WESTCORT CRM 0.2%$ 77.00 CLEOCIN 900MG/50ML D$ 77.00 SCREW SHAFT 4.5 X 5.0$ 77.00 C1713 BIOPSY OF SKIN, SINGLE LESION$ 77.00 11102 STRAPPPING ELBOW/WRIST$ 78.00 29260 STRAPPING HAND/FINGER$ 78.00 29280 SCREW CTX 2.0MM 201.806$ 78.00 C1713 SCREW CTX 2.0MM 201.812$ 78.00 C1713 SCREW CTX 2.0MM 201.814$ 78.00 C1713 SCREW CTX 2.0MM 201.818$ 78.00 C1713 SCREW CTX 2.0MM 201.820$ 78.00 C1713 SCREW CTX 2.7MM 202.812$ 78.00 C1713 SCREW CTX 2.7MM 202.814$ 78.00 C1713 SCREW CTX 2.7MM 202.816$ 78.00 C1713 SCREW CTX 3.5MM 206.014$ 78.00 C1713 SCREW CTX 3.5MM 206.018$ 78.00 C1713 SCREW CTX 3.5MM 206.020$ 78.00 C1713 SCREW CTX 3.5MM 206.022$ 78.00 C1713 SCREW CTX 3.5MM 206.040$ 78.00 C1713 GLIDESCOPE GVL STAT SIZE 2.5$ 78.00 BLADE STERNAL SAW$ 78.00 CATH BARD MALECOT 24FR$ 78.00 PASTE ELEFIX EEG$ 78.00 SCREW SHAFT 3.5MM 204.218$ 78.00 SCREW SHAFT 3.5MM 204.224$ 78.00 SCREW SHAFT 3.5MM 204.226$ 78.00 C1713 SCREW SHAFT 3.5MM 204.228$ 78.00 C1713 SCREW SHAFT 3.5MM 204.230$ 78.00 C1713 SCREW SHAFT 3.5MM 204.232$ 78.00 C1713 SCREW SHAFT 3.5MM 204.234$ 78.00 C1713 SCREW SHAFT 3.5MM 204.236$ 78.00 C1713 SCREW SHAFT 3.5MM 204.238$ 78.00 C1713 SCREW CTX 3.5MM 204.830$ 78.00 C1713 SCREW CTX 3.5MM 204.832$ 78.00 C1713 SCREW CTX 3.5MM 204.834$ 78.00 C1713 SCREW CTX 3.5MM 204.838$ 78.00 C1713 SCREW CTX 3.5MM 204.840$ 78.00 C1713 SCREW CTX 3.5MM 204.845$ 78.00 C1713 SCREW CANCEL 4.0MM 206.035$ 78.00 C1713 SCREW CANCEL 4.0MM 206.050$ 78.00 C1713 SCREW CANCEL 4.0MM 207.014$ 78.00 C1713 SCREW CANCEL 4.0MM 207.016$ 78.00 C1713 SCREW CANCEL 4.0MM 207.018$ 78.00 C1713 SCREW CANCEL 4.0MM 207.020$ 78.00 C1713 SCREW CANCEL 4.0MM 207.022$ 78.00 C1713 SCREW CANCEL 4.0MM 207.024$ 78.00 C1713 SCREW CANCEL 4.0MM 207.026$ 78.00 C1713 SCREW CANCEL 4.0MM 207.028$ 78.00 C1713 SCREW CANCEL 4.0MM 207.030$ 78.00 C1713 SCREW CANCEL 4.0MM 207.035$ 78.00 C1713 SCREW CANCEL 4.0MM 207.040$ 78.00 C1713 SCREW CANCEL 4.0MM 207.055$ 78.00 SCREW CANCEL 4.0MM 207.060$ 78.00 C1727 SCREW 4.OMM PT 50MM 207.050$ 78.00 C1713 SUTURE FIBER FORCE 1 X 38"$ 78.00 SUTURE SURGIDAC 0 7" GRN$ 78.00 BIOPSY FORCEPS$ 78.00 FLUOROMETHOLONE FML$ 78.00 VFEND 50MG TABLET$ 78.00 TERAZOL 3 VAG SUPP 3$ 78.00 LAC-HYDRIN 12% LOTIO$ 78.00 EPOETIN/DIALYSIS 3,000 UNITS/M$ 78.00 Q4081 NEOSPORIN OPTH OINT$ 78.00 DOXEPIN CONC. 10MG$ 78.00 INTBAT ICU KIT SUP$ 78.00 FIBERWIRE, BRADIDED PB 2-0 SU$ 78.00 TRI CUL BLOOD STERIPATH$ 78.00 TRI CUL BLOOD STERIPATH 21g NE$ 78.00 TRI CUL BLOOD STERIPATH 23G NE$ 78.00 ANESTHESIA OTHER EA ADD 15 MIN$ 79.00 IN-HS SGCHAMBW/REPRO$ 79.00 93279 PACER QUICKLOOK SINGLE LEAD$ 79.00 93279 PACER QUICKLOOK - 1-LEAD$ 79.00 93279 TB SKIN TEST$ 79.00 86580 TB SKIN TEST$ 79.00 86580 MOD SED SAME PHYS <5YRS$ 79.00 99151 STRAP TOE$ 79.00 29550 SUBUNQUAL HEMATOMA$ 79.00 11740 PTT $ 79.00 85730 PTT/HEPARIN PROTOCOL$ 79.00 85730 C&S URINE/C.L. CATCH$ 79.00 87086 SO SSDNA AB$ 79.00 86226 SO MAGNESIUM TOT RBC$ 79.00 83735 MOLE CYTOGENE DNA PR$ 79.00 88271 SO DNA PROBE-MYCOBACTERIUM AVI$ 79.00 87149 SO DNA PROBE-MYCOBACTERIUM TUB $ 79.00 87149 SO CD14$ 79.00 86356 SO CD15$ 79.00 86356 SO CD24$ 79.00 86356 SO CD33$ 79.00 86356 SO CD 59$ 79.00 86356 SO GLYCOPHORIN$ 79.00 86356 SO CANDIDA SPECIES DNA PROBE$ 79.00 87480 SO GARDNERELLA VAG DNA PROBE$ 79.00 87510 SO TRICHOMONAS VAGIN DNA PROBE$ 79.00 87660 SO DNA PROBE-COCCIDIOIDES IMMI$ 79.00 87149 INT DIFF CROSS MATCH/IRR ANTI$ 79.00 86077 SO BLASTOMYCES DERM ID DNA PRO$ 79.00 87149 C-PEPTIDE$ 79.00 84681 CRP $ 79.00 86140 TB SKIN TEST$ 79.00 86580 TB SKIN TEST$ 79.00 86580 DRESSING TIELLE HYDRO 7X7$ 79.00 TUBES, COLON 32 FR$ 79.00 DEMECLOCYCLINE 150MG$ 79.00 RESP FCN THERAPY/15 MIN$ 80.00 G0238 RESP FCN/STRENGH 2/> INDIV$ 80.00 G0239 OTH PULM REHAB SERV 1:1/15 MIN$ 80.00 G0238 GROUP EXERCISE$ 80.00 G0239 APPLICATION FINGER SPLINT$ 80.00 29130 SO CO PCP CONFIRM,UA$ 80.00 G0480 SO CHROMOGRANIN A$ 80.00 86316 SO BENZO CONF UA$ 80.00 G0480 DRUG-SCREEN PRESCRIPTION/OTC$ 80.00 80307 SO CD3$ 80.00 86356 SO CD4$ 80.00 86356 SO CD8$ 80.00 86356 SO GALACTITOL-1-PHOS URIDYT QU$ 80.00 82775 SO LEVEL 1 SURG PATH GROSS ANA$ 80.00 88300 SO DESMOGEIN AB (1 & 3)$ 80.00 83520 SO RAV IGG & IGM SERUM$ 80.00 86756 SO IBSDETEX$ 80.00 83520 SO ANTI-DNA-DS$ 80.00 86225 SO COCAINE/QUNT UA$ 80.00 G0480 NEG 50 MED FROZEN SECTION$ 80.00 CLEANER SPR HDQ NEUT$ 80.00 CORD ESU DISP MONOPOLAR$ 80.00 GUIDEWRIE ST SUPER ST 035X150C$ 80.00 C1769 FLOW PLUME-AWAY SES UTLTRA$ 80.00 SEAL DRIVE SHAFT RIA 351.718S$ 80.00 IMMOBILIZER KNEE 16" X-LGE$ 80.00 L1830 IMMOBILIZER KNEE 16" LGE$ 80.00 L1830 IMMOBILIZER KNEE 16" MED$ 80.00 L1830 IMMOBILIZER KNEE 16" S 7002-01$ 80.00 L1830 BREAST FEEDING EDUCAT PER 15 M$ 80.00 99401 LACTATION CONSULTS 15 MIN$ 80.00 99401 COCAINE/QUNT UA SO$ 80.00 G0480 80353 SSKI SOLN. DROPS 1OZ$ 80.00 NIZORAL CREAM 2% 15G$ 80.00 BRIMONIDINE 0.2% 5ML OPHTH DRO$ 80.33 SO OSMOLALITY UA-RANDOM$ 81.00 83935 SO HISTOPLASMA.AG$ 81.00 87385 SO LASA$ 81.00 84275 GALACTOSE-1-PHOSPHATE$ 81.00 82775 ORG. ID - ANAEROBIC$ 81.00 87076 SO REPTILASE TIME 1:1 MIX$ 81.00 85635 SO CAFFEINE$ 81.00 80155 SO CALCITONIN SERUM$ 81.00 82308 SO HEPATITIS B CORE ANTIBODY T$ 81.00 86704 SO KETOSTER-17 U TOT.$ 81.00 83586 SO KETOSTEROID 17-; TOTAL$ 81.00 83586 CATH HEMATURIA 2WY 22FR$ 81.00 IRRIGATOR PULSOVC HAND CNTRL$ 81.00 TUBE BLOOD MICRO SERUM SEP$ 81.00 TUBE BLOOD MICRO PLASMA SEP$ 81.00 PACK ANGIOPLASTY$ 81.00 LOOP CUTTING ANGLED$ 81.00 C1727 LOOP CUTTING STRAIGHT$ 81.00 MANIFOLD DRIP REDUCTION$ 81.00 SENSOR FORHEAD ADH MAX FAST$ 81.00 AIRLESS SPRAY ACCESSORY$ 81.00 LAMISIL 250 TAB$ 81.00 BETAGEN 0.5% OPTH.DP$ 81.00 SULFAMETH/TRIMETH (1$ 81.00 TIMOLOL OPHT. SOL. 0$ 81.00 WASHINGS$ 81.00 NEW PATIENT LEVEL 2$ 81.00 T1015 BLEEDING TIME$ 82.00 85002 T4 TOTAL$ 82.00 84436 SO IMMUNFIXATION ELECTRO; SERU$ 82.00 86334 SO PROTEIN S FREE ANTIGEN$ 82.00 85306 SO MESOMARK$ 82.00 86316 PROCALCITONIN$ 82.00 84145 SO VITAMIN C$ 82.00 82180 SO TOXOPLASMA$ 82.00 86777 TRAY THORACENTHESIS$ 82.00 LOOP SYS CLSTMY 4$ 82.00 ACCUGRID$ 82.00 PAD ADULT HEARTSTART PHILLIPS$ 82.00 CORETAINERS$ 82.00 C1887 CONNECTOR NYLON DENVER$ 82.00 SCREW SHAFT 4.5MM 214.242$ 82.00 C1713 SCREW SHAFT 4.5MM 214.244$ 82.00 C1713 SCREW SHAFT 4.5MM 214.246$ 82.00 C1713 SCREW SHAFT 4.5MM 214.248$ 82.00 C1713 SCREW SHAFT 4.5MM 214.250$ 82.00 C1713 BLADE SILVER BULLET 4MM$ 82.00 FORCEP JUMBO 240 CM$ 82.00 SCREW 2.7 CORTEX 10MM 202.87$ 82.00 C1713 K-WIRE .035X4$ 82.00 TUBE U-TUBE EAR TYMPANOSTOMY$ 82.00 BAG REINFUSION AUTOTRANS 1L$ 82.00 MAA PER VIAL$ 82.00 A9540 MURO 128 5% OPTH. SL$ 82.00 ABILIFY 15MG TAB$ 82.00 PONTOCAINE 20MG AMP$ 82.00 DECADRON OPTH SOL$ 82.00 PEDIAZOLE SUSP 100ML$ 82.00 EST PATIENT LEVEL 3$ 82.00 99213 PEDATRIC FLU VACCINE 0.25ML$ 82.07 90655 MNT REASS INTV EA15$ 83.00 97803 MNT REASSESS PER 15 MIN$ 83.00 97803 NEEDLE ELECTRO EACH EXT WITH$ 83.00 95885 SOLUTION SIALYSIS 1.5% DEXTROS$ 83.00 ALKALINE PHOSPHATASE$ 83.00 84075 LYMPHOCYTE SUBSET PANEL 5$ 83.00 86361 SO ESTROGENS TOTAL$ 83.00 82672 SO HEAVY METAL (ANTIMONY) QUAT$ 83.00 83018 SO HEAVY METAL (BISMUTH) QUAT$ 83.00 83018 SO HEAVY METAL (BERYLLIUM) QUA$ 83.00 83018 SO HEAVY METAL (BARIUM) QUAT E$ 83.00 83018 SO TITANIUM SERUM/PLASMA$ 83.00 83018 SO NUCLEATIDASE-5$ 83.00 83915 BOOT BUCKS UNIVERSAL$ 83.00 CATH HEMATURIA 2WY 20FR$ 83.00 TROCAR DIL TIP 5MMX100MM$ 83.00 SCREW CORTEX 4.5MM 214.836$ 83.00 C1713 SCREW CORTEX 4.5MM 214.850$ 83.00 C1713 SCREW CORTEX 4.5MM 214.846$ 83.00 C1713 BOOT PODUS HEEL PROTECT UNIV$ 83.00 ELASTIC NET SIZE 8$ 83.00 SHEATH BRITE TIP 7FR 23 CM$ 83.00 MINOR PROCEDURE$ 83.00 DESOWEN 0.05% CREAM$ 83.00 INVEGA 6MG TABLET$ 83.00 INVEGA 3MG TABLET$ 83.00 SYMBYAX 6/25 CAPSULE$ 83.00 LIDEX CRM .5% 60GM$ 83.00 M M R VIAL & DILUE$ 83.00 90707 VENOUS DUPLEX READING BILATERA$ 83.75 93970 MCD COTA THERAPY 15$ 84.00 97530 MNT ASSES/INTV EA 15$ 84.00 97802 MNT ASSESS/15 MIN$ 84.00 97802 TRACH TUBE CHANGE$ 84.00 31502 GASTRIC LAVAGE$ 84.00 43754 SO FUNGUS CULT, BLD$ 84.00 87103 SO IP STAIN$ 84.00 87253 IMMUNOFLUOR ANTB ADDL STAIN$ 84.00 88350 SO PROSTATIC ACD P$ 84.00 84066 GLIDEWIRE MICROV ANGL 038$ 84.00 C1769 GLIDEWIRE MICROV STRT 035$ 84.00 C1769 GLIDEWIRE MICROV ANGL 035$ 84.00 C1769 BAG RESUSC AMBU PEDI$ 84.00 CATH 3WAY HAEMA 20FR$ 84.00 ADAPTER URETER GOLD 14FR$ 84.00 SUTURE VLOC 3-0 CV23 12"$ 84.00 SUTURE VLOC 0 GS21 12"$ 84.00 SUTURE VLOC 3-0 P12 12"$ 84.00 BLADE FLEMING GL1966$ 84.00 GLIDWIRE ANGLED .38$ 84.00 C1769 LEVAQUIN 500MG TABLE$ 84.00 BETADINE OINT. 1LB.$ 84.00 LANOXIN PED ELIX 60M$ 84.00 US GUIDE FOR VASCULAR ACCESS$ 85.00 76937 US GUIDE NEEDLE PLACEMENT$ 85.00 76942 SPECIAL ANESTH SERV <1 OR >70$ 85.00 99100 US GUIDE VASC ACCESS$ 85.00 76937 US GUIDE NEED PLACE$ 85.00 76942 SPECIAL ANESTH SERV<1OR>70$ 85.00 99100 ANESTHESIA PRO FEE BILLING$ 85.00 ANESTHESIA PRO FEE BILLING$ 85.00 Anesthesia Pro Fee Bill Outpat$ 85.00 GUIDEWIRE INQ BENTSON 035X260$ 85.00 PULM REHAB STR/END 1:1/15MIN$ 85.00 G0237 ICD OUICKLOOK 2-LEAD$ 85.00 93284 PRGRM DEV EVAL MLT LD CAR/DEFI$ 85.00 93284 SOLUTION DIALYSIS 2.5% DEXTROS$ 85.00 GLIDESCOPE GVL STAT SZ 1$ 85.00 PSA FREE$ 85.00 84154 ARC, RBC AG$ 85.00 86905 SO PORPHOBILIN DEAM$ 85.00 82657 SO 17-HYDROXYPREGNENOLONE$ 85.00 84143 SO VONWILLEBRAND FACTOR ANT$ 85.00 85246 CYTOPATH FL NONGYN SMEARS$ 85.00 88104 CYTOPATH CONCENTRATE TECH$ 85.00 88108 CYTOPATH SMEAR OTHER SOURCE$ 85.00 88161 SCREW CTX 2.7MM 202.806$ 85.00 C1713 SCREW CTX 2.7MM 202.810$ 85.00 C1713 SCREW CTX 2.7MM 202.822$ 85.00 C1713 TRANSDUCER SINGLE W/VAMP$ 85.00 CATH MEDCOMP 14X8 20CM FEMOR$ 85.00 EZEFORM SPLINTING MATERIAL$ 85.00 POSITIONER HEAD REST F$ 85.00 C1727 DILATOR COPE-SADDEKNI SFA ACC$ 85.00 INTRODUCER SHEATH AVAN 5F 23CM$ 85.00 SHEATH ULTIMA 6FR X 23CM$ 85.00 C1880 PASTE ALGIUDEX AG$ 85.00 SCREW SHAFT 3.5MM 204.220$ 85.00 C1713 SUTUR CATGUT 1/2 CIRC/TROCR 6D$ 85.00 SCREW CTX 3.5MM 204.855$ 85.00 C1713 SCREW SHAFT 3.5MM 204.240$ 85.00 C1713 GUIDEWIRE .045 X 4 D-PT$ 85.00 C1769 K-WIRE .062X4$ 85.00 C1713 DRESSING/DEBRIDEMENT – SMALL $ 85.00 16020 CONTRAST BATH 15 PT$ 86.00 97034 SO CHOR.GON.B-SUB TM$ 86.00 84702 SO GLIADIN AB$ 86.00 83516 ORGANISM ID/URINE$ 86.00 87088 SO TISSUE TRANSGLUT IGG AB$ 86.00 83516 SO CYOGENETICS/MOLECULAR CYOGE$ 86.00 88291 SO IMMUNOFIXATION ELECT;OTHER$ 86.00 86335 INTERPRETATION & REPORT$ 86.00 88291 SO GADOLINIUM RANDOM URINE$ 86.00 83018 SO ALDOLASE$ 86.00 82085 SO MYOGLOBIN/URINE$ 86.00 83874 SO PRIMIDON-MYSOLIN$ 86.00 80188 SO IMMUNOGLOBE E$ 86.00 82785 SO STOOL PH$ 86.00 83986 LENS MORGAN MEDI-FLOW TUBING$ 86.00 SNARE POLYP LOOP 2.3 X 240$ 86.00 GUIDE WIRE 2.0 X 9$ 86.00 C1769 SCREW CORTEX 3.5 X 30$ 86.00 C1713 SCREW CORTEX 3.5X95 TAPPING$ 86.00 C1713 CONTRAST BATH 15 PT$ 86.00 97034 CONTRAST BATH 15 PT$ 86.00 97034 SENSIPAR 30MG TABLET$ 86.00 OCUPRESS 5ML$ 86.00 BETADINE DOUCHE PACK$ 86.00 DEPO PROVERA 100MG$ 86.00 J1050 CONTRAST BATH 15 PT$ 86.00 97034 ADMIN FLU VACCINE$ 86.95 G0008 G0008 PNEUMOVAC ADMIN$ 86.95 G0009 G0009 SIMULATION;SIMPLE$ 87.00 77280 SOLUTION DIALYSIS 4.25% DEXTRO$ 87.00 SO RENIN DIRECT$ 87.00 84244 SO VWB FACTOR VIII, MULTI ANAL$ 87.00 85247 HIV $ 87.00 86701 SCREW CORTEX 3.5 X 36 MM$ 87.00 C1713 SUTR 4-0 27 MONOCRYL PS-1$ 87.00 CONTRAST OPTIRAY 350 100ML$ 87.00 Q9967 WASHER 13.0MM 219.99$ 87.00 C1713 SPLINT FT DROP EXPDED HEEL MED$ 87.00 TOURNIQUET 12 DUAL PORT$ 87.00 CATH PEZZER 45FR$ 87.00 TOURNIQUET 8"$ 87.00 SCREW LOCKING 4.0 X 24$ 87.00 C1713 SCREW LOCKING 4.0 X 32$ 87.00 C1713 SCREW CANCEL PT 4.0 X 40 MM$ 87.00 C1713 SCREW CANCELLOUS PT 4.0 X 45 M$ 87.00 C1713 SCREW CORTICAL 3.5 X 40$ 87.00 C1713 SCREW CORTICAL 3.5 X 42 MM$ 87.00 C1713 SCREW CORTICAL 3.5 X 46 MM$ 87.00 C1713 SCREW CORTICAL 3.5 X 48 MM$ 87.00 C1713 SCREW CORTICAL 3.5 X 50MM$ 87.00 C1713 SCREW CORTICAL 3.5 X 55 MM$ 87.00 C1713 SCREW CORTICAL 3.5 X 60 MM$ 87.00 C1713 SCREW CORTICAL 3.5 X 70MM$ 87.00 C1713 SCREW CORTICAL 3.5 X 75MM$ 87.00 C1713 SCREW CORTICAL 3.5 X 90MM$ 87.00 C1713 SCREW CORTEX 3.5 X 14$ 87.00 C1713 SCREW CORTEX 3.5 X 38$ 87.00 C1713 SCREW CORTEX 3.5 X 80$ 87.00 C1713 SCREW CORTEX 3.5 X 36$ 87.00 C1713 SCREW CORTICAL 3.5 X 26 MM$ 87.00 C1713 SCREW CORTICAL 3.5 X 32 MM$ 87.00 C1713 SCREW CORTICAL 3.5 X 44 MM$ 87.00 C1713 SCREW CORTEX 3.5 X 20 MM$ 87.00 C1713 SCREW CORTEX 3.5 X 24 MM$ 87.00 C1713 SCREW CORTEX 2.5 X 24 MM$ 87.00 C1713 SCREW CORTEX 2.5 X 28 MM$ 87.00 C1713 SCREW CORTICAL 4.0 X 26 MM$ 87.00 SCREW CORTEX 3.5 X 65 MM$ 87.00 SCREW CORTEX TI 3.5x22$ 87.00 C1713 681428 $ 87.00 C1713 SCREW CORTEX 3.5X30MM$ 87.00 C1713 681434 $ 87.00 C1713 681436 $ 87.00 C1713 SUTURE STRATAFIX SPIRAL PDS$ 87.00 CORTEX SCREW 3.5 X 85MM$ 87.00 C1713 MOD SED AGE 5 OR OLDER 30 MIN$ 87.00 99156 COMBIVIR TABS$ 87.00 FENTANYL PATCH 25UG$ 87.00 SCREW CORTEX SLF TP4.5 X 6.2$ 87.00 C1713 SCREW CORTEX 3.5 X 30 MM$ 87.00 C1713 REPAIR SIMPLE, FACE, <2.5$ 87.00 12011 REMOTE 30DAY ECG REV/REPORT$ 87.88 93270 PM DEVICE INTERROAGATE REMOTE$ 87.88 93294 DEBRIDGE <10%$ 88.00 11000 SO PKU PROFILE$ 88.00 84030 SO NICOTINE & METABOLITIES SER$ 88.00 G0480 LITHIUM$ 88.00 80178 SO IMMUNOFIXATION$ 88.00 86334 CLOST. DIFF. TOXIN$ 88.00 87324 SCREW CTX 1.5MM 200.812$ 88.00 C1713 KIT NSY/MATERNITY$ 88.00 DRESSING BURN ADULT VEST$ 88.00 TUBE BLOOD MICRO EDTA$ 88.00 SOLUTION BUFFER PH7.01$ 88.00 SOLUTION BUFFER PH 1.07$ 88.00 LOOP VELCRO 2$ 88.00 SCREW CTX 3.5MM 204.814$ 88.00 C1713 TUBE TRACH UNCUFF PVC FEN 7.0$ 88.00 UNIVERSAL DRAPE PACK$ 88.00 SODIUM POLYSTYRENE$ 88.00 VANCOMYCIN CAP 125MG$ 88.00 LEVSIN DROPS$ 88.00 GENTAMICIN OPTH OINT$ 88.00 PHISOHEX 5 OZ.$ 88.00 APPLY SPLINT OT$ 88.00 APPLY SPLINT PT$ 88.00 DRY NEEDLING PHYSICAL THERAPY$ 88.00 97799 ADAPTER, UROLOCK II SCOPE$ 88.00 TUBE LMA UNIQUE SIZE 1$ 89.00 TUBE LMA UNIQUE SIZE 2.5$ 89.00 KIT RAPID REFILL 6600$ 89.00 DAVINCI ELECTROLUBE ANTI-STICK$ 89.00 RAPID REFILL INJECTION SET$ 89.00 K-WIRE .062 9" 3713-3-090$ 89.00 C1713 K-WIRE 1.4 X 100$ 89.00 C1713 PENCIL BOVIE W/SMOKE EVAC$ 89.00 LO-ESTRIN 1/20 TABS.$ 89.00 DONATUSSIN 16OZ$ 89.00 CAMPTOSAR 40MG/2ML VIAL$ 89.10 J9206 ICU OBSERVATION EA ADD HR$ 90.00 G0378 MAGNESIUM$ 90.00 83735 SO TRILEPTAL$ 90.00 80183 SO RIBOSOME P ABY$ 90.00 83516 DNA PROBE EACH$ 90.00 88271 SO SEX HORMONE BINDING GLOBULI$ 90.00 84270 HEAVY METALS$ 90.00 83018 SO ETIOCHOLANOLONE$ 90.00 82696 SO CAROTENE$ 90.00 82380 SO Q FEVER ANTIB$ 90.00 86638 NEEDLE COLLAGEN TRNSRTHRL$ 90.00 L8603 ENDO SUTR CLOSE$ 90.00 SHEET NEPHROSCOPY$ 90.00 DERMABOND DHV-12$ 90.00 OPTIRAY 350 25X50ML$ 90.00 Q9967 REVATIO 20MG TABLET$ 90.00 FEMARA 2.5 MG TABLET$ 90.00 CARNITOR LIQ.$ 90.00 CHARCOAL-SORBITOL 25$ 90.00 AQUATIC THERAPY PER 15 MIN$ 90.00 97113 DEBRIDE MUSCLE EA ADD 20 SQ CM$ 90.00 11046 AVULSION OF NAIL PLATE$ 90.00 11730 OT COG SKIL/SENSR 15$ 91.00 97533 SP COG SKIL/SENSR 15$ 91.00 97533 FLU SHOT ADMIN.$ 91.00 G0008 FLU SHOT ADMIN$ 91.00 FLU SHOT ADMIN$ 91.00 G0008 GASTRIC OCCULT BLOOD$ 91.00 82271 SO REDUCING SUB FECES$ 91.00 84376 SO PHENYTOIN; FREE$ 91.00 80186 SO HIV Ag/Ab 4th GEN W/REFLEX$ 91.00 87389 SCREW CTX 2.0MM 201.808$ 91.00 C1713 SCREW CTX 2.7MM 202.818$ 91.00 C1713 SPLINT ANKLE SM MCDAVID$ 91.00 L1902 SPLINT ANKLE MED MCDAVID$ 91.00 L1902 SPLINT ANKLE LG MCDAVID$ 91.00 L1902 TUBE BLOOD MICRO AMBER$ 91.00 PADS GROUNDING STRYKER$ 91.00 TOOL ACCESS 6056 PINCH ON FIX$ 91.00 CABLES PACING$ 91.00 SCREW CORTEX 3.5MM 204.824$ 91.00 C1713 SCREW CORTEX 4.5MM 214.824$ 91.00 C1713 SCREW CORTEX 4.5MM 214.826$ 91.00 C1713 SCREW CORTEX 4.5MM 214.828$ 91.00 C1713 SCREW CORTEX 4.5MM 214.834$ 91.00 C1713 SCREW CORTEX 4.5MM 214.820$ 91.00 C1713 SCREW CORTEX 4.5MM 214.822$ 91.00 C1713 SCREW CORTEX 4.5MM 214.852$ 91.00 C1713 SCREW CORTEX 4.5MM 214.854$ 91.00 C1713 SCREW CORTEX 3.5MM 204.818$ 91.00 IMMOBILIZER KNEE 20" SM$ 91.00 L1830 IMMOBILIZER KNEE 20" MED$ 91.00 L1830 IMMOBILIZER KNEE 20" LGE$ 91.00 L1830 GAIT/TRANS TRAINI 15 PT$ 91.00 97116 VIREAD 300MG TABLET$ 91.00 DYCLONE SOL .5 percent 1-OZ$ 91.00 EFUDEX CRM 25GM$ 91.00 D5/.45NS 1000CC$ 91.00 GAIT/TRANS TRAINING 15 PT$ 91.00 97116 COG SKIL/SENSR 15 OT$ 91.00 97533 COG SKIL/SENSR 15 SP$ 91.00 97533 BRUSHING$ 91.00 FLUVIRIN 0.5ML VACCINE IM$ 91.02 Q2037 Q2037 FLUVIRIN VACCINE 2015-2016$ 91.02 Q2037 DEFEROXAMINE 500MG$ 91.62 J0895 MANUAL THRPY EA15 PT$ 92.00 97140 MANUAL THRPY EA15 OT$ 92.00 97140 GAIT/TRANS TRAIN 15$ 92.00 97116 CATHETER, MOD HOOK 4FR 65 CM$ 92.00 CATHETER, MOD HOOK 4 F 100 CM$ 92.00 PSA; TOTAL$ 92.00 STRAP ANKLE$ 92.00 29540 REMOVAL CERUMEN$ 92.00 69210 FETAL HGB. STAIN$ 92.00 85460 ARC IRRADIATION -DAY$ 92.00 86945 PSA DIAG$ 92.00 84153 SO ANAFRANIL$ 92.00 G0480 SO NICOTINE METAB UR$ 92.00 G0480 SO FLOW CYTOMETRY EACH ADD$ 92.00 88185 SO CORTICOSTERONE$ 92.00 82528 SO ESTRIOL UNCONJUGATED$ 92.00 82677 SO ACE/CSF$ 92.00 82164 SO VITAMIN E$ 92.00 84446 CORTISOL/SER$ 92.00 82533 SO TRANSFERRIN$ 92.00 84466 SO GROWTH HORMONE$ 92.00 83003 PACK GENERAL ORTHO$ 92.00 CANNULA MENISCAL DART$ 92.00 CATH HOOK PERF 5F 035X100 6SH$ 92.00 CATHETER VENA CAA 5F 65CM$ 92.00 C1769 CATHETER VESSEL 5F 035X65X6SH$ 92.00 C1769 CATHETER VSC-2B 5F 035X100 10S$ 92.00 CATHETER AORTIC 5F 035X100CM$ 92.00 WASHER 10.0MM 219.91$ 92.00 C1713 NON-INFLATABLE DEVICE$ 92.00 WASHERS 219.99$ 92.00 C1713 SCREW CORTEX 200.809$ 92.00 C1713 SCREW CTX 1.5MM 200.814$ 92.00 C1713 MANUAL THERAP EA 15 PT$ 92.00 97140 ULTRASOUND 15 PT$ 92.00 97035 MANUAL THRPY EA15 PT$ 92.00 97140 GAIT/TRANS TRAIN 15$ 92.00 97116 XYLOCAINE JELLY 2% 3$ 92.00 ULTRASOUND 15 OT$ 92.00 97035 ULTRASOUND 15 PT$ 92.00 97035 MANUAL THERAPY EA 15 OT$ 92.00 97140 MANUAL THERAP EA 15 PT$ 92.00 97140 COG SKL/ATN/MEM 15 SP$ 92.00 97127 COG SKL/ATN/MEM 15 OT$ 92.00 97127 COG TRAIN/VIS PCP 15$ 92.00 97127 OB US <14 WKS ADDL FETUS$ 92.00 76802 NEURO REEDUCATION OT EA 15MIN$ 93.00 97112 TX DEVICES; INTERMEDIATE$ 93.00 77333 MEDTRONIC PINCH ON TOOL$ 93.00 FLOWMATE PROCEDURAL KITS$ 93.00 SLEEVE ANCHORING LEAD KIT$ 93.00 H. PYLORI ANTIBODY$ 93.00 86677 ALCOHOL - ETHANOL$ 93.00 G0480 82055 SO HISTOPLASMA AB$ 93.00 86698 SO IMMUNE COMP EXPAN PA ASSAY$ 93.00 86332 B CELLS, TOTAL COUNT$ 93.00 86355 NATURAL KILLER CELLS TOTAL COU$ 93.00 86357 SO GIARDIA LAMBLIA AB$ 93.00 86674 SO FLOW CYTOMETRY 16 OR MORE M$ 93.00 G0452 SO NICKEL$ 93.00 83885 SO MANGANESE HAIR TEST$ 93.00 83785 SO MANGANESE$ 93.00 83785 SO ROTAZYME$ 93.00 87425 SCREW CTX 2.7MM 202.820$ 93.00 C1713 SCREW CTX 2.7MM 202.824$ 93.00 C1713 COLLAR PHILI PEDI$ 93.00 L0150 OPTIRAY 300 100ML SYRINGE$ 93.00 Q9967 PORT MEDTRONIC CATHETER ACCESS$ 93.00 SHUNT CAROTID 8FR PRUITT$ 93.00 C1768 SCREW CORTEX 3.5MM 204.820$ 93.00 SCREW CORTEX 3.5MM 204.822$ 93.00 SCREW CORTEX 3.5MM 204.826$ 93.00 C1713 SCREW CTX 3.5MM 204.810$ 93.00 C1713 SCREW CTX 3.5MM 204.812$ 93.00 C1713 SCREW CTX 3.5MM 204.816$ 93.00 C1713 SCREW CTX 3.5MM 204.828$ 93.00 C1713 SCREW CTX 3.5MM 204.836$ 93.00 C1713 SCREW CTX 3.5MM 204.850$ 93.00 C1713 SCREW CTX 3.5MM 204.860$ 93.00 C1713 IOBAN 2 M6619$ 93.00 SCREW 3.5 50MM FRAG 204.85$ 93.00 C1713 SCREW CTX 2.7MM 202.806$ 93.00 C1713 SCREW CTX 2.7MM 202.808$ 93.00 C1713 SCREW CORTEX 1.5 200.808$ 93.00 C1713 CANNULA 8.25$ 93.00 WRENCH TORQUE #1101$ 93.00 K-WIRE 1.2MM 45-30015$ 93.00 C1713 CANNULA TWIST-IN 8.25MM X 9CM$ 93.00 GUIDEWIRE AGK09070M$ 93.00 C1769 470357 DA VINCI$ 93.00 REDUCER 12-8 MM$ 93.00 AR-8956K-01$ 93.00 C1769 CANNULA, TWIST IN ARTHREX$ 93.00 LOW PROFILE CANNULA$ 93.00 RIO DRAPE KIT, 1 PIECE W/POC$ 93.00 KIT CHECKPOINT TIBIAL$ 93.00 KIT CHECKPOINT FEMORAL$ 93.00 NEURO REEDUCATION PT$ 93.00 97112 NEURO REEDUCATION PT$ 93.00 97112 ROWASA (RECTAL SUSP 4.0gram$ 93.00 NEURO REEDUCATION PT EA 15MIN$ 93.00 97112 NEURO REEDUCATION PT$ 93.00 97112 NEURO REEDUCATION OT$ 93.00 97112 DPNS 8-11 OME 15 SP$ 93.00 97112 DPNS 8-11 OME 15 SP$ 93.00 97112 CT GUIDED NEEDLE PLACEMENT-BIO$ 93.00 77012 CAP KIT CS2406$ 93.00 CANNULA, PARTIALL THREAD$ 93.00 REPAIR SIMPLE, FACE, 2.6-5.0CM$ 93.00 12013 D5-1/2NS W/10MEQ KCL 500 ML BA$ 93.06 SO QUAL. FECAL FAT$ 94.00 82705 SUGARS/OLIGOSACC MULTI QUALITA$ 94.00 84377 SO TESTOSTERONE FREE$ 94.00 84402 SO OXALATES QUAN UA$ 94.00 83945 SO CMV$ 94.00 86644 COLLAR PHILI SM$ 94.00 L0150 COLLAR PHILI MED$ 94.00 L0150 COLLAR PHILI LG$ 94.00 L0150 OPTIVAC NOZZLE SLIM$ 94.00 OPTIVAC NOZZLE REVISION$ 94.00 C1713 BLADE CUTTER AGG 2.5$ 94.00 SUTUR STRATAFIX 2-0 CT-1 20 CM$ 94.00 SCREW CORTICAL 2.7 X 20$ 94.00 C1713 SCREW PART THREAD 3.5 X 30 MM$ 94.00 SCREW, CORTEX 3.5 X 24MM$ 94.00 C1713 CORTEX SELF TAPPING SCREW$ 94.00 C1713 NYSTATIN ORAL SUSP.$ 94.00 CATAPRES-TTS-1$ 94.00 PLSEOX MULTI/CONT DY$ 94.00 94761 SCREW CORTEX 2.7 X 10 MM$ 94.00 SCREW, CORTEX SHAFT 3.5$ 94.00 C1713 REP SIM, SCA, R,EX 2.6-7.5 CM$ 94.00 12002 VANCOMYCIN 500MG IV$ 94.50 J3370 MORPHINE 100MG/4ML VIAL$ 94.58 J2270 THERAPUTIC ACT 15 PT$ 95.00 97530 THERAPUTIC ACT 15 OT$ 95.00 97530 D-FIB EA DC W REPROG$ 95.00 93283 ON-BODY INJECTOR$ 95.00 96377 PRGRM DEV EVAL DUL LD IMP CARD$ 95.00 93283 IM/SQ INJECTION$ 95.00 96372 SO VAR ZOSTER IGG/M$ 95.00 86787 T3 FREE$ 95.00 84481 SO PGD2 SERUM OR PLASMA$ 95.00 84150 SO PGD2 URINE 24HR$ 95.00 84150 SO ANDROSTERONE$ 95.00 82160 SO DHEA$ 95.00 82626 SO HEP-DELTA/ANTIB$ 95.00 86692 SO RUBEOLA IGM/IGG$ 95.00 86765 IM/SQ INJ O.P.$ 95.00 96372 PAD CADEXOMER IODINE 5GRAM$ 95.00 A6222 FORCEP HOT BOX$ 95.00 OPTIRAY 320 20X100ML$ 95.00 Q9967 GAUZE TUBE 2 5/8"$ 95.00 THERAPUTIC ACT 15 PT$ 95.00 97530 THERAPUTIC ACT 15 PT$ 95.00 97530 CORTISPORIN OTIC SOL$ 95.00 THERAPY ACTIVITIES EA 15 MIN$ 95.00 97530 MCD INDIV TX OT$ 95.00 97530 THERAPUTIC ACT 15 OT$ 95.00 97530 THERAPUTIC ACT 15 PT$ 95.00 97530 D5NS W/40 MEQ KCL 1000ML BAG$ 95.02 D5-1/2NS W/30MEQ KCL 1000ML BA$ 95.02 SUBSQT OBBS CARE 15 MIN$ 95.50 99224 GUIDEWIRE, BENTSON$ 96.00 C1769 GUIDEWIRE VASC LRT 035 150CM$ 96.00 C1769 GUIDEWIRE VASC LRT 035 150CM$ 96.00 C1769 CARDIAC OUTPUT$ 96.00 COOMBS-DIRECT$ 96.00 86880 CORD BLD/DIRECT COMB$ 96.00 86880 SO COMP.TOT.(CH-100)$ 96.00 86162 MYELIN-ASSO GLYCOPROTEIN$ 96.00 83520 SO CYCLIC CITR PEPAB$ 96.00 86200 SO LIV/KID MICRO 1 AB$ 96.00 86376 86376 SO VIRUS ISOLATION, TISSUE CUL$ 96.00 87252 DIRECT COMBS$ 96.00 86880 SO HYDROXYPROLINE TOT URIN 24H$ 96.00 83505 SO URINE DHEA 24 HOUR$ 96.00 82626 SO URINE TESTOSTERONE$ 96.00 84403 SO MUMPS VR/ANT TIT$ 96.00 86735 SO SEROTONIN SR/QNT$ 96.00 84260 ARC DIRECT COOMBS$ 96.00 86880 INTRODUCER AVA 8F 038 X23$ 96.00 PACEMAKER SLITTER$ 96.00 CANNULA INSTRUMENT ARTHREX$ 96.00 CANNULA 5.75X7$ 96.00 CANNULA 8.25X$ 96.00 8MM BLADELESS OBTURATOR$ 96.00 SCREW 3.5 12MM 404.812$ 96.00 C1713 SCREW 3.5MM 404.814$ 96.00 C1713 SCREW 3.5MM 404.822$ 96.00 C1713 SCREW 3.5MM 404.826$ 96.00 C1713 SCREW 3.5MM 404.828$ 96.00 C1713 K-WIRE 2.0X228MM #56010228 WMT$ 96.00 C1713 SCREW CORTICAL 3.5 X 26$ 96.00 C1713 SCREW CORTICAL 3.5 X 22$ 96.00 C1713 SCREW CORTICAL 3.5 X 36$ 96.00 C1713 SCREW CORTICAL 3.5 X 38$ 96.00 C1713 SCREW CORTICAL 3.5 X 40$ 96.00 C1713 SCREW CORTICAL 3.5 X 30$ 96.00 C1713 SCREW CORTICAL 3.5 X 12$ 96.00 C1713 SCREW CORTICAL 3.5 X 14$ 96.00 C1713 SCREW CORTICAL 3.5 X 16$ 96.00 C1713 SCREW CORTICAL 3.5 X 18$ 96.00 C1713 SCREW CORTICAL 3.5 X 20$ 96.00 C1713 SCREW CANCELLOUS 4.0 X 36$ 96.00 C1713 SCREW CANCELLOUS 4.0 X 65$ 96.00 C1713 SCREW CANNULATED 4.0 X 38$ 96.00 C1713 TROCAR 5MM BALLOON CFR03$ 96.00 TROCAR ENDO FIX 5 X 150$ 96.00 EBUS ULTRASOUND BALLOON$ 96.00 SYNALAR 0.025% IN VS$ 96.00 TOBRAMYCIN 80MG/100ML$ 96.00 J3260 STRAPPING APPLICATION$ 96.00 ABG'S CORD BLOOD$ 96.00 82800 ELEC STIM W/US 15 OT$ 97.00 97032 E-STIM ATTEND Q15 SP$ 97.00 97032 TENS INT APP 15 OT$ 97.00 97032 TENS FOLLOWUP 15MIN$ 97.00 97032 TENS FOLLOWUP 15MIN$ 97.00 97032 ELEC STIM W/US 15 PT$ 97.00 97032 TENS INIT APPL 15$ 97.00 97032 D-FIB EA SC W/O REPR$ 97.00 93289 D-FIB EA SC W/REPROG$ 97.00 D-FIB ANALY DC W/O$ 97.00 93289 ICD OUICKLOOK$ 97.00 93289 SO IMMUNE COMPLEX ASSAY$ 97.00 86332 SO YERSINIA ENT. ABY$ 97.00 86793 SO FLOW CYTOMETRY EA ADD MARKE$ 97.00 88185TC SO CHIKUNGUNYA AB (IGG & IGM)$ 97.00 86790 SO TESTOSTERONE TOTAL$ 97.00 84403 MUCOPOLYSACCHARIDES, ACID;QUAN$ 97.00 83864 SPLINT PREFORMED RIGHT LG$ 97.00 C1895 C1895 SPLINT PREFORMED LEFT MED$ 97.00 SPLINT PREFORMED LEFT LG$ 97.00 CIDEX OPA SOLUTION 1 GALLON$ 97.00 C1765 TUBE TRACH BL LN CUF 8.0MM$ 97.00 TUBE T MODIFIED GOODE VENT$ 97.00 SPLINT PREFORMED POSITION SM$ 97.00 SPLINT PREFORMED POSITION MD$ 97.00 ANTERIOR DEVICE 4.5CM$ 97.00 SUTURE VLOC 180 P14 18"$ 97.00 TENS FOLLOWUP 15MIN$ 97.00 97032 TENS INIT APPL 15$ 97.00 97032 ELEC STIM W/US 15 PT$ 97.00 97032 AV OPTIMIZATION$ 97.00 93321 MEGACE 40MG/ML 30 ML$ 97.00 NG TUBE PLACED BY DR$ 98.00 43752 SO CALCIUM; IONIZED$ 98.00 82330 SO CHROMOSOME KARYOTYPE STUDY$ 98.00 88280 CHROMATIN (NUCLEOSOMAL) AB SO$ 98.00 86235 SO ALPHA-1- ANTITRYP$ 98.00 82103 SO CERULOPLASMIN$ 98.00 82390 SO MYCOPLASMA ANTI.$ 98.00 86738 TROCAR ENDO BLDLSS 5MM X 100MM$ 98.00 WASHER 7.0MM 219.98$ 98.00 C1713 TROCAR ENDO BLDLSS 5MM X 150MM$ 98.00 C1713 NERVE BLOCK SET$ 98.00 TOURNIQUET 12"$ 98.00 SUTURE GORETEX CV-7$ 98.00 WASHER ASNIS 4.0$ 98.00 C1713 SCREW CANC 4.0 X 18MM$ 98.00 C1713 SCREW CORTICAL 4.5 X 52$ 98.00 C1713 SCREW CANC 4.0 X 75$ 98.00 C1713 SCREW CANC 4.0 X 80$ 98.00 C1713 SCREW CANC 4.0 X 85$ 98.00 C1713 CASODEX 50MG TABLET$ 98.00 SILVASORB GEL 1.5 OZ$ 98.00 FORADIL AEROLIZER$ 98.00 MAZICON INJ. 0.5MG$ 98.00 SEREVENT DISKUS 50MC$ 98.00 MUCOMYST 20% SOL 30M$ 98.00 PREVENTIVE COUNSEL INDIV 15MIN$ 98.00 99401 WAFFLE HEEL ELEVATOR$ 98.00 FLU VAC QUAD SPLT 0.5ML IM$ 98.32 90688 NEUTROPHIL AB FLOW CYTOMETRY$ 98.53 86021 IN-HS DLCHAMBW/OREPR$ 99.00 93288 IN-HS SGCHAMB W/OREP$ 99.00 93288 PACER QUICKLOOK$ 99.00 93288 SO ETHYLENE GLYCOL$ 99.00 82693 NEPHELOMETRY$ 99.00 83883 SO PORPHYRINS, FECAL$ 99.00 84126 SO CARDIOLIPIN Ab IgG,IgM & Ig$ 99.00 86147 SO YERSINIA ENTERO AB IGG, IGA$ 99.00 86793 SO CRYPTO. AG/CSF$ 99.00 86403 SO VITAMIN A$ 99.00 84590 SO CYTOMEGALOVIRUS (CMV) IgM$ 99.00 86645 PACK GENERAL SURGERY$ 99.00 PUMP BREAST MAN/ELECT$ 99.00 GONIOMETER SMALL JOINT$ 99.00 CATH THORACIC 10 FR$ 99.00 CATH THORACIC 16 FR$ 99.00 TRAY THORACENTESIS$ 99.00 K-WIRE 12 MM$ 99.00 C1769 K-WIRE 1.6MM AGK16100$ 99.00 C1769 GELFOAM 50$ 99.00 DAVINCI CLIP HEM-O-LOK LG/MD$ 99.00 OFIRMEV 1000MG/100ML VIAL$ 99.10 J0131 SEQ IV PROPHYLACYTIC EA HR$ 100.00 96367 SEQ IV PROPHYLACYTIC 1ST HR$ 100.00 96367 TELEHEALTH ORGINATING SITE FAC$ 100.00 Q3014 IV SEQ PROPH 1ST HR$ 100.00 96367 VAG EXAM$ 100.00 SEQ IV PROPHYLACTIC IF EA ADD$ 100.00 96367 TROCAR ENDO BLNT SMTH SLV 12MM$ 100.00 CONTRAST OPTIRAY 350 100ML POW$ 100.00 Q9967 TOURNIQUET 18 DUAL PORT$ 100.00 INJECTOR CENTURY UTERINE MANI$ 100.00 WIRE K THREADED DIAMOND PNT 2$ 100.00 SCREW CORTICAL 3.5 X 34$ 100.00 C1713 SCREW CORTICAL 3.5 X 50$ 100.00 C1713 SCREW CORTICAL 3.5 X 60$ 100.00 C1713 SCREW CORTICAL 3.5 X 85$ 100.00 C1713 SCREW CORTICAL 3.4 X 75$ 100.00 C1713 SCREW CORTICAL 3.5 X 48 MM$ 100.00 C1713 SCREW CORTEX 4.5 X 32$ 100.00 C1713 SCREW CORTEX 4.5 X 80$ 100.00 C1713 SCREW CORTICAL 4.5 X 32$ 100.00 C1713 SCREW CORTICAL 4.5 X 36$ 100.00 C1713 SCREW CORTICAL 4.5 X 50$ 100.00 C1713 SCREW CORTICAL 4.5 X 65$ 100.00 C1713 SCREW CORTICAL 4.5 X 28$ 100.00 C1713 SCREW CORTICAL 4.5 X 30$ 100.00 C1713 SCREW CORTICAL 4.5 X 40$ 100.00 C1713 SCREW CORTICAL 4.5 X 75$ 100.00 C1713 SCREW CORTEX 4.5 X 44$ 100.00 C1713 SCREW CORTICAL 4.5 X 48$ 100.00 SCREW CORTEX 4.5 X 42$ 100.00 SCREW CORTEX 4.5 X 55$ 100.00 SCREW CORTEX 4.5 X 60$ 100.00 CORTEX SCREW 4.5 X 70$ 100.00 SCREW CORTEX 4.5 X 38$ 100.00 661790 $ 100.00 C1713 661738 $ 100.00 C1713 SCREW, CORTEX 4.5 X 22MM$ 100.00 C1713 SCREW, CORTEX 4.5 X 24MM$ 100.00 C1713 SCREW, CORTEX 4.5 X 26MM$ 100.00 C1713 LIDEX GEL 30GM$ 100.00 KEFLEX 250MG SUSP$ 100.00 AUGMENTIN SUSP 250MG$ 100.00 AUGMENTIN SUSP.250MG$ 100.00 SCREW CORTEX 4.5 X 46$ 100.00 C1713 VASOPNEUMATIC TX OT$ 101.00 97016 VASOPNEUMATIC TX PT$ 101.00 97016 SP HOME EXERCISE EA 15 MIN$ 101.00 97535 TRACTION,MECHANICAL$ 101.00 97012 ADL 15 PT$ 101.00 97535 ADL EA OT EA 15 MIN$ 101.00 97535 HOME EXER PGM 15 PT$ 101.00 97535 TRIGGER PT NB 1-2MCL$ 101.00 20552 IP CONSULT, LIMITED 20 MIN$ 101.00 99251 FIBRINOGEN LEVEL$ 101.00 85384 AMMONIA/PLASMA$ 101.00 82140 SO TOPIR/TOPAMAX$ 101.00 80201 SO NEURON SPEC ENOL$ 101.00 86316 SO PHOSPHATASE, ALKALINE;ISOEN$ 101.00 84080 SO ESTRIOL (E3)$ 101.00 82677 SO LUPUS ANTICOAG DR$ 101.00 85613 URINE SODIUM$ 101.00 84300 HIV1 & HIV2 SINGLE ASSAY$ 101.00 86703 SO THALLIUM SERUM$ 101.00 83018 SO 17-HYDROXYPROGESTERONE$ 101.00 83498 SO LIPOPROTEIN BLOOD (SUBCLASS$ 101.00 83701 C1 ESTERASE INHIBIT, PROTEI SO$ 101.00 86160 SO INFLU/A&B ANTTIT$ 101.00 86710 DERMACARRIER 012$ 101.00 TRAY CT BPSY W/NDL$ 101.00 INTRODUCER SUPRAPUB 16FR$ 101.00 BOOT WLKER X-LARGE$ 101.00 L4387 DERMACARRIER 6TO1$ 101.00 SUTURE MAXON ABSORABLE GS-26$ 101.00 VASOPNEUMATIC TREATM PT$ 101.00 97016 TRACTION MECHANICAL$ 101.00 97012 ADL 15 PT$ 101.00 97535 HOME EXER PGM 15 PT$ 101.00 97535 TRACTION,MECHANICAL$ 101.00 97012 VASOPNEUMATIC TX PT$ 101.00 97016 ADL 15 PT$ 101.00 97535 HOME EXER PGM 15 PT$ 101.00 97535 AVC SUPP$ 101.00 ESTROGEN NASAL SPRAY$ 101.00 BICILLIN LA 2,400,000$ 101.00 J0561 HOME EXER Q15 SP$ 101.00 97535 92507 HOME EXCER PROGRAM 15 OT$ 101.00 97535 TRACTION MECHANICAL$ 101.00 97012 VASOPNEUMATIC TREATMENT OT$ 101.00 97016 VASOPNEUMATIC TREATMENT PT$ 101.00 97016 ADL EA OT$ 101.00 97535 HOME EXER PGM 15 PT$ 101.00 97535 ADL 15 PT$ 101.00 97535 HOME EXERCISE SP$ 101.00 97535 HOME EXER PRG 15 OT$ 101.00 97535 97530 SUTURE VLOC 9" 1/2 CIRCLE TPR$ 101.00 PROSTHTC TRAIN INIT EA 15 PT$ 102.00 97761 PROSTHTC TRAIN INIT EA 15 OT$ 102.00 97761 E STIM INDOLENT WND$ 102.00 G0281 OXYGEN SATURATIN SDY$ 102.00 82810 EXC BEN LES SCALP/HAND/FEET$ 102.00 11420 SO HTLV-I/II ABY$ 102.00 86790 SO DIHYDROTESTOSTERONE$ 102.00 G0480 PLATELET FUNCTION TE$ 102.00 85576 SO EASTERN EQUINE ENCEPHALITIS$ 102.00 86652 17-APLHA HYDROXYPROG$ 102.00 83498 SO MICROGLOB. BETA 2$ 102.00 82232 BOOT WALKER SM$ 102.00 L4387 BOOT WALKER MED$ 102.00 L4387 BOOT WALKER LG$ 102.00 L4386 CATH EPISTAXIS 5.5 ANTERIOR$ 102.00 CATH HEMATURIA 2WY 24FR$ 102.00 ANTERIOR DEVICE 5.5 CM$ 102.00 ELEC STIM PT UNATTENDED$ 102.00 G0283 PROSTHTC TRAIN 15 PT$ 102.00 97761 PROSTHTC TRAIN 15 PT$ 102.00 97761 RHYTHM STRIP ALONE$ 102.00 93041 ELEC STIM PT UNATTENDED$ 102.00 G0283 ELEC STIM SP UNATTENDED$ 102.00 G0283 ELEC STIM OT UNATTENDED$ 102.00 G0283 PROSTHTC TRAIN 15 OT$ 102.00 97761 PROSTHTC TRAIN 15 PT$ 102.00 97761 CONTNEBTREAT1HRSUB$ 102.00 94645 LEUCOVORIN 350 MG VIAL$ 102.70 J0640 FACE TO FACE WITH PATIENT 30 M$ 103.00 90832 PSYTX PT&/FAMILY 30 MINUTES$ 103.00 90832 STRAPPING APPLICATIN$ 103.00 RSV $ 103.00 87807 LACTATE$ 103.00 83605 SO RAPAMUNE$ 103.00 80195 SO STREP PNEUMO AG, UR$ 103.00 87899 SO CITRIC ACID$ 103.00 82507 SO HISTAMINE$ 103.00 83088 SO ADENOVIRUS CULTURE$ 103.00 87252 SO ADENOVIRUS CULTURE$ 103.00 87252 SO PROCALCITONIN$ 103.00 84145 SO ANTI-THROMBN III ACT$ 103.00 85300 SO MYELIN BASIC PRO$ 103.00 83873 SO AFP - TUMOR MARK$ 103.00 82105 DRESSING TUBE TORSO SZ 12$ 103.00 TUBE TRACH SINGLE CANNULA 6$ 103.00 TUBE RECTAL / COLON 18FR 20"$ 103.00 SCREW CORTICAL 4.5 X 30$ 103.00 C1713 SCREW CORTICAL 4.5 X 28$ 103.00 C1713 DIPROLENE OINT. 45GM$ 103.00 NONSPEECH AUG TX$ 104.00 92606 TEST/MEASURE 15 MIN$ 104.00 97750 TEST/MEASURE 15MIN$ 104.00 97750 TEST/MEASURE 15 MIN$ 104.00 97750 COMMHEALTH INS HBA1C$ 104.00 83036 COMMHEALTH HS HGBA1C$ 104.00 83036 SO KEPPRA$ 104.00 80177 HEPATITIS C, ABY$ 104.00 86803 86703 SO PYRIDOXAL PHOSPHATE (VIT B6$ 104.00 84207 SO KAPPA/LAMB LT CH FR W/RAT U$ 104.00 83883 SO AMIKACIN (PEAK OR TROUGH)$ 104.00 80150 SO C-PEPTIDE/SERM$ 104.00 84681 HEMOGLOBIN A1C$ 104.00 83036 HEPATITIS C ANTI$ 104.00 86803 SUTURE PDS 11 2-0 27" CT-2$ 104.00 OPRIRAY 350 SYRINGE 20X 75$ 104.00 Q9967 VACCUUM KIWI OMNICUP FLAT DISC$ 104.00 C1713 NERVE BLOCK SET 18GA X 2$ 104.00 TEST/MEASURE 15 PT$ 104.00 97750 TEST/MEASURE 15 MIN$ 104.00 97750 EPOETIN/DIALYSIS 4,000 UNITS/M$ 104.00 Q4081 PHYS PERFORM TEST 15$ 104.00 97750 TEST/MEASURE 15 PT$ 104.00 97750 TEST/MEASURE 15MIN OT$ 104.00 97750 FLUZONE QUAD SYRINGE 60MCG/0.5$ 104.51 90686 PLANNING CT$ 105.00 77014 ILR ANALYSIS$ 105.00 93291 OPITIVAL THRU CARELINK$ 105.00 93297 OPITIVAL THRU CARELINK$ 105.00 93299 CARELINK ICD$ 105.00 93296 CARELINK ICD$ 105.00 93295 PACEMAKER CARELINK$ 105.00 93294 PM/ICD REMOTE TECH SERV$ 105.00 93296 ED LEVEL II$ 105.00 99282 PHENOTYPE$ 105.00 86906 SO IMMUN ANALUTE MULTIP$ 105.00 83516 SO FLOW CYTOMETRY INT 16 OR MO$ 105.00 G0452 SO ALLERGY PANEL GROUP$ 105.00 86003 SO STONE ANALYSIS$ 105.00 82365 T3 TOTAL$ 105.00 84480 ARC RH PHENO$ 105.00 86906 SO GROWTH FAC. BETA1 (TGF B1)$ 105.00 83520 DRESSING MULTIDEX$ 105.00 NERVE BLOCK SET 20GA X 2IN$ 105.00 CAPS PROT KIRSCHNER 392.18$ 105.00 C1713 SCREW 3.5MM 404.816$ 105.00 C1713 SCREW 3.5MM 404.818$ 105.00 C1713 SCREW 3.5MM 404.820$ 105.00 C1713 SCREW 3.5MM 404.824$ 105.00 C1713 CATH FOLEY TEMP SENSING 16FR$ 105.00 DRESSING AQUACEL 4 X 4$ 105.00 SUTURE COVIDINE VLOC0316$ 105.00 PT CORTEX SCREW 4.5 X 34$ 105.00 C1713 CORTEX SCREW 4.5MMX24MM$ 105.00 C1713 CORTEX SCREW 4.5MM X 30MM$ 105.00 C1713 ELASE OINT 30GM$ 105.00 ELEC STIM PT UNATTEN$ 106.00 97014 E-STIM UNATTENDED SP$ 106.00 97014 SO DEOXYCORTISOL, 11-$ 106.00 82634 LIPASE, PLASMA$ 106.00 83690 SO H-PYLORI BREATH TEST$ 106.00 83013 SO ESTRADIOL$ 106.00 82670 SO ZIKA VIRUS RNA QUAL REALTIM$ 106.00 87662 SO MUMPS VIRUS RNA, QUAL PCR$ 106.00 87798 DRAIN CHEST ATS BLOOD BAG$ 106.00 GARMENT REGULAR FOOT$ 106.00 A6549 GARMENT LARGE FOOT$ 106.00 TROCAR ENDO BLADE 12MM X 100MM $ 106.00 SPONGE ENDO PEANUT$ 106.00 GUIDE WIRE 1.25MM 292.62$ 106.00 C1769 BLADED ACCESS SYSTEM, 11X100$ 106.00 BLADED ACCESS SYSTEM, 5 X 100$ 106.00 TROCAR BLD SHLD 12 X 100$ 106.00 TROCAR BLD SHLD 12 X 150$ 106.00 TROCAR BLD SHLD 11 X 150$ 106.00 TUBING 4 SPIKE GRAVITY IRR$ 106.00 ELEC STIM PT UNATTEN$ 106.00 97014 VERSED 5MG/ML 10ML$ 106.00 J2250 D50W 50ML$ 106.00 MORPHINE SO4 500ML$ 106.00 KETALAR 100MG/ML$ 106.00 ASTRAMORPH/PF 2MG/2M$ 106.00 SILVADENE CRM 400GM$ 106.00 ELEC STIM OT UNATTEN OT$ 106.00 97014 97014 ROPIVACAINE 0.5 PER 20ML VIAL$ 106.14 GUIDEWIRE VASC LRT 035 260CM$ 107.00 C1769 GUIDEWIRE VASC LRT 035 260CM$ 107.00 C1769 PREGNANCY/URINE HCG$ 107.00 81025 PREGNANCY/SERUM HCG$ 107.00 84703 SO CULTURE$ 107.00 87252 STAPH A DNA AMP PROBE$ 107.00 87640 MR-STAPH DNA AMP PROBE$ 107.00 87641 SO ADENOVIRUS DNA QUAL PCR$ 107.00 87798 TOURNIQUET 24 DUAL PORT$ 107.00 TOURNIQUET 9 DUAL PORT$ 107.00 TOURNIQUET 24 BIER BLOCK$ 107.00 POSTERIOR/ANTERIOR DEVICE$ 107.00 PHOTOTHERAPY$ 107.00 96900 PLAVIX 300MG TABLET$ 107.00 CLEOCIN VAG CREAM40G$ 107.00 PROVENTIL/VENTOLIN M$ 107.00 SO LEGIONEL ANTIG, UR$ 108.00 87449 SO FMR1 GENE ANALYSIS CHARA/AL$ 108.00 81244 DNA/RNA AMP PROBE$ 108.00 87150 SPLINT TIBIA MED$ 108.00 MAMO LOK HOMER 20GAX3CM$ 108.00 MAMO LOK HOMER 20GAX7.5CM$ 108.00 NEEDLE TURKEL 8FR CATH$ 108.00 JURGAN PIN BALL W0564$ 108.00 JURGAN PIN BALL W332-CR$ 108.00 GARMENT LARGE CALF$ 108.00 EXPRESSEW II SUTURE NEEDLE$ 108.00 JURGAN BALLS MICRO PINK$ 108.00 C1713 JURGAN BALLS MICRO BLUE$ 108.00 C1713 JURGAN BALLS MICRO WHITE$ 108.00 C1713 JURGAN BALLS MED. WHITE$ 108.00 C1713 SCREW CORTICAL 2.7 X 28MM$ 108.00 C1713 SCREW CORTICAL 2.7 X 24MM$ 108.00 C1713 SCREW CORTICAL 2.7 X 26MM$ 108.00 C1713 SCREW CORTICAL 3.5 X 28$ 108.00 C1713 SCREW CANCEL 4.45 X 40$ 108.00 C1713 SCREW CANC FT 4.0 X 38MM$ 108.00 C1713 SCREW CORTICAL 3.5 X 22MM$ 108.00 C1713 SCREW CORTICAL 3.5 X 24MM$ 108.00 C1713 SCREW LOCKING 4.0 X 20$ 108.00 C1713 SCREW LOCKING 4.0 X 28$ 108.00 C1713 SCREW LOCKING 4.0 X 34$ 108.00 C1713 SCREW LOCKING 4.0 X 55$ 108.00 C1713 SCREW LOCKING 3.5 X 42$ 108.00 C1713 SCREW LOCKING 3.5 X 65$ 108.00 C1713 SCREW CANCEL 4.0$ 108.00 C1713 SCREW CORT 2.7 X 18MM$ 108.00 C1713 SCREW CANCELLOUS 4 X 50$ 108.00 C1713 SCREW CANCEL 4.0$ 108.00 C1713 SCREW CORT 3.5 X 10$ 108.00 C1713 SCREW CORT 3.5 X 55$ 108.00 C1713 SCREW CANCELLOUS 4.0 X 36$ 108.00 C1713 CALIBRATOR CKI/MBI$ 108.00 SCREW CANCELLOUS 4.0 X 45$ 108.00 C1713 SCREW CANCELLOUS 4.0 X 32$ 108.00 C1713 SCREW CORTICAL 3.5 X 70$ 108.00 C1713 SCREW CANCEL 4.0 X 28$ 108.00 C1713 SCREW CANCELLOUS 4.0 X 14$ 108.00 C1713 SCREW CANC FT 4.0 X 30$ 108.00 C1713 SCREW CANC FT 4.0 X 50$ 108.00 C1713 SCREW CORTICAL 3.5 X 44$ 108.00 C1713 SCREW CANCELLOUS 4.0 X 70$ 108.00 C1713 SCREW CORTICAL 3.5 X 46$ 108.00 C1713 K-WIRE STANDARD TIP 1.5 X 127$ 108.00 C1713 K-WIRE HCS 1.4 X 165$ 108.00 C1713 WIRE PILOT 5901-1119$ 108.00 OPTIPRANOLOL 0.3%$ 108.00 CEFZIL 125MG/5ML SUS$ 108.00 ASSAY CARBOXY HB QUANT.$ 108.00 82375 PERC NDL CORE BRST BX WO GUID$ 108.00 19100 ENDO SUTURE CLOSER EFX SYS$ 108.00 2-DAY PHASE 3$ 109.00 ORG. ID - AEROBIC$ 109.00 87077 SO CADMIUM$ 109.00 82300 SPLINT TIBIA LG$ 109.00 NEEDLE BLOCK 22 GA X 50MM$ 109.00 SCREW CORTICAL 4.5 X 85MM$ 109.00 C1713 SCREW CANCELLOUS 4.0 X 26$ 109.00 C1713 SCREW CORTICAL 4.5 X 75$ 109.00 C1713 SCREW CORTICAL 4.5 X 80$ 109.00 C1713 SCREW CORTICAL 4.5 X 65$ 109.00 C1713 SCREW CORTICAL 4.5 X 24 MM$ 109.00 C1713 WASHER 5.0 390017$ 109.00 SCREW CORTICAL 4.5 X 26$ 109.00 SCREW CORTEX 4.5 X 20$ 109.00 SCREW CORTEX 4.5 X 14 MM$ 109.00 C1713 340654 $ 109.00 C1713 D5NS 100 ML$ 109.00 ETOMIDATE 20MG. INJ.$ 109.00 SOD CHLORID 3% 500ML$ 109.00 APHTHASOL ORL PST 5%$ 109.00 GEODON 20MG/ML INJ$ 109.00 J3486 AMPICILLIN 2GM/NS100$ 109.00 J0290 VANCOMYCIN 1GM/NS250$ 109.00 J3370 KEFZOL 1GM/NS 50ML$ 109.00 J0690 VANCOMYCIN 500MG/NS$ 109.00 J3370 NAFCILLIN 2G/NS100ML$ 109.00 NAFCILLIN 1 G/NS50ML$ 109.00 FENT/MARC EPIDRL SYR$ 109.00 1/2 NS 20 KCL$ 109.00 MIVACRON INJECTION 5$ 109.00 LABET HYDRO INJ 20MG$ 109.00 ABILIFY 9.75MG VIAL$ 109.00 D5W 1000ML PLSTC$ 109.00 J7070 NACL .45% 1000MLPLST$ 109.00 D10W 1000ML PLASTIC$ 109.00 D10W 500ML$ 109.00 DOBUTAMINE 250MG/20M$ 109.00 J1250 DEXTROSE 10% 250ML B$ 109.00 VASOTEC IV 1.25MG/ML$ 109.00 D5/.225NS 1000CC$ 109.00 DIPRIVAN 10MG/ML 20M$ 109.00 CEFOTETAN 1GM PB (CE$ 109.00 CLINDAMYCIN 600MG$ 109.00 ZOSYN 2.25G$ 109.00 TRICHOPHYTON 1.500$ 109.00 BACITRACIN 50MU$ 109.00 SULFAMETH/TRIMET I.V$ 109.00 CLAFORAN 1GM VL$ 109.00 J0698 EPINEPHRINE IJ/1MG 3$ 109.00 J0171 HALOPERIDOL AMP 5MG/$ 109.00 LEVOPHED 1MG/ML 4ML$ 109.00 MEFOXIN 1GM VIAL$ 109.00 J0694 METHYLENE BLUE INJ$ 109.00 Q9968 PENICILLIN G K 5 MIL$ 109.00 D5LR 1000CC$ 109.00 THORAZINE INJ25MG/2M$ 109.00 J3230 GENTAMICIN 100MG IN$ 109.00 J1580 VEPESID 100MG VIAL$ 109.00 J9181 PROLIXIN DECANOATE I$ 109.00 J2680 CEFTAZIDIME 1GM VL.$ 109.00 J0713 NEOSTIGMINE INJ. 1/1$ 109.00 DYCLONE 1% SOLN. 1OZ$ 109.00 NITROGLYCERIN IV 50M$ 109.00 STELAZINE INJ2MG10ML$ 109.00 CEFUROXIME 1.5GM VL$ 109.00 ENLON INJ 15ML$ 109.00 LEUCOVORIN 100MG (IM$ 109.00 J0640 FLUOROURACIL 2.5GM VIAL$ 109.18 J9190 DPNS/ESTM 1-7 15 SP$ 110.00 97110 THERAPUTIC EX 15 PT$ 110.00 97110 BTE THERAP EX 15 OT$ 110.00 97110 THERAPUTIC EXC 15 OT$ 110.00 97110 SUBSQT HOSP CARE DA 15 MIN$ 110.00 99231 D-DIMER$ 110.00 85378 SO CRYPT ANTIG BLD$ 110.00 86403 UREA CLEARANCE 24HR$ 110.00 84545 INSULIN FREE SO$ 110.00 83527 SO AMPHETAMINE SERUM CONFIRM$ 110.00 G0480 82145 HEPATITIS B SURFACE AG$ 110.00 87340 D-DIMER QUALITATIVE$ 110.00 85378 SO DEOXYCORTISOL 11$ 110.00 82634 SO INTRI FACT BL.AB.$ 110.00 86340 FILIFORM STRT WOV 3FR 12.5$ 110.00 CATH MULTIPACKS 7560-13$ 110.00 INJECTOR UTERINE ZUI 2.0$ 110.00 FILIFORM SPIRAL WOV 3FR 12.5$ 110.00 FILIFORM SPIRAL WOV 4FR 12.5$ 110.00 FILIFORM STRT WOV 5FR 12.5$ 110.00 FILIFORM STRT WOV 6FR 12.5$ 110.00 FILIFORM COUDE WOV 3FR 12.5$ 110.00 FILIFORM COUDE WOV 4FR 12.5$ 110.00 FILIFORM COUDE WOV 5FR 12.5$ 110.00 FILIFORM COUDE WOV 6FR 12.5$ 110.00 FILIFORM SPIRAL WOV 6FR 12.5$ 110.00 TOURNIQUET 18"$ 110.00 CATH INTRODUCER 7FR$ 110.00 CANCELLOUS SCREW 6.0 X 50$ 110.00 C1713 LABOR ROOM/C-SEC EA ADD HR$ 110.00 MCD INDIV TX 15 PT$ 110.00 97110 THERAPUTIC EXC 15 PT$ 110.00 97110 MCD INDIV TX PTA 15$ 110.00 97110 THERAPUTIC EX 15 PT$ 110.00 97110 CORTANE-B OTIC 10ML$ 110.00 POTASS CHL 20MEG/100$ 110.00 J3480 UNASYN 1.5MG/NS50ML$ 110.00 J0295 KEFZOL 500MG/NS50ML$ 110.00 J0690 PIPRACIL 2GM ADD/VAN$ 110.00 PRED FORTE 5ML$ 110.00 DOXYCYCLINE HYCLATE 100 MG VIA$ 110.00 CHARCOAL-AQUA 50G 24$ 110.00 CHARCOAL-SORBITOL50G$ 110.00 THERAPEUTIC EX EA 15 MIN.$ 110.00 97110 MCD INDIV TX PTA 15$ 110.00 97110 MCD INDIV TX 15" PT$ 110.00 97110 DPNS/ESTM 1-7 15 SP$ 110.00 97110 BTE THERAPY EX 15 OT$ 110.00 97110 THERAPUTIC EXC 15 OT$ 110.00 97110 THERAPUTIC EXC 15 PT$ 110.00 97110 OXYTOCIN 20UN/IN NS PER 10 UN$ 110.24 J2590 SHEATH PRELUDE 035 6F 23CM$ 111.00 C1894 CATH INTRDCR 6FR$ 111.00 SUTR ARTHOSEW SINGLE UNIT$ 111.00 C1769 DRAIN 15FR BLAKE$ 111.00 WIRE GUIDE 1.6MM 292.722$ 111.00 C1713 CEFUROXIME 1.5G/50ML IV$ 111.00 J0697 METHYLPREDNISOLONE 5$ 111.00 PRED G OPTH SUSP 5ML$ 111.00 HYDRALAZINE AMP 20MG$ 111.00 J0360 GLAUCON 1% 10ML$ 111.00 CANALITH REPOSITIONING PROC$ 112.00 DEBRID FUL THICK SKN$ 112.00 97597 ESTRADIOL ENH$ 112.00 82670 SO THYROGLOB,ABY,S$ 112.00 86800 SO LACTIC ACID,CSF$ 112.00 83605 SO BETA-2 TRANSFERRIN BODY FLU$ 112.00 86335 PROLACTIN$ 112.00 84146 DERMACARRIER 013$ 112.00 MAMO LOK HOMER 20GAX5CM$ 112.00 DRESSING HYDROFERA BLUE$ 112.00 SCREW CAN 6.5MM TL 218.055$ 112.00 C1713 WIRE GUIDE 1.25MM 900.722$ 112.00 C1713 FIBERWIRE 2-0 AR-7220$ 112.00 C1713 K-WIRE OLIVE STOP #56-40281$ 112.00 C1713 PICC 5FR INTRO BEDSIDE$ 112.00 C1751 K-WIRE 1.1 X 160$ 112.00 C1713 TACK BB-TAK #AR-13226$ 112.00 C1713 SCREW CORTICAL 3.5 X 30$ 112.00 C1713 SCREW CORTEX 3.5 X 80 MM$ 112.00 C1713 SUTURE ABSO 3-0 18INL MONOFILA$ 112.00 CANALI REPOSTIT PER DAY$ 112.00 95992 CANALITH REPOSI PER DAY$ 112.00 95992 ZOMIG 5MG TAB.$ 112.00 LOTRISONE CREAM 15GM$ 112.00 CANALITH REPOSITIONING PER DAY$ 112.00 95992 CANALITH REPOSTITIONAL PER DAY$ 112.00 95992 GASTRIC FEEDING TUBE$ 112.00 TRANSMITTER BAG STERILE$ 112.00 FLU PED 0.25ML VAC$ 112.18 90685 IN-HS DLCHAMBW/REPRO$ 113.00 93280 PACER QUICKLOOK- 2 -LEAD$ 113.00 93280 APPL THUMB SPICA SPLINT$ 113.00 29131 PROGRAM DEVICE EVAL DUAL LD PM$ 113.00 93280 FB REM EYE SUP CONJ$ 113.00 65205 APPLCTN SHT ARM SPNT$ 113.00 29125 REM IMPACT CERUM USE IRRIGATIO$ 113.00 FORIN BDY EYE CORNEL$ 113.00 65220 SO PHENOBARBITAL$ 113.00 80184 SO LAMOTRIGINE$ 113.00 80175 SO VASOPRESSIN (ADH)$ 113.00 84588 SO LEUKOCYTE ALK P$ 113.00 85540 SO VITAMIN D/25 HYD$ 113.00 82306 DRAPE SNAP COVER$ 113.00 CATH EMBOLECTOMY 6FR IRR$ 113.00 PBDS MINOR UPPER$ 113.00 NUT CORTEX 4.5MM 219.96$ 113.00 C1713 TROCAR ENDO BLDLSS 8MM X 100$ 113.00 SUTURE VICRYL 7-0 BV-1$ 113.00 TUBE TRCHSTMY SZ 10 DCFS$ 113.00 FOSAMAX 70 MG TABLET$ 113.00 LEUCOVORIN 500MG VL$ 113.00 J0640 INSULIN REG U100 10M$ 113.00 FLAGYL IV 500MG VIAL$ 113.00 ORTHO/PROSTC MGMT SBSQ 15MIN$ 113.00 97763 OT Re-eval est plan of care$ 113.00 97168 ORTH/PRO TRAIN/MANAG UP/LOW EX$ 113.00 97763 ULTRASOUND 15 OT$ 114.00 97035 US W/POP TX 15 OT$ 114.00 97035 US W/POP TX 15 PT$ 114.00 97035 ULTRASOUND 15 PT$ 114.00 97035 ASP/INJ BURSA SMALL$ 114.00 20600 LARYNGOSCOPY, INDIRECT, DIAG$ 114.00 31505 SUBSQ NURS FAC PER DAY E/M$ 114.00 99307 PRE-ALBUMIN$ 114.00 84134 SO ANTI. RNP$ 114.00 86235 SO ANTI SS-B$ 114.00 86235 SO ANTI SS-A$ 114.00 86235 SO AMINO ACIDS QUANITATIVE$ 114.00 82139 SO ANTI SCL 70 AB$ 114.00 86235 SO E COLI 0157 AGN$ 114.00 87046 SO JO 1 AUTOANTIB$ 114.00 86235 SO ANTI HIV 2, SERUM$ 114.00 86702 GLUCOSE TOLERANCE 3HR$ 114.00 82951 SO CLOTTING FACTOR VII$ 114.00 85230 SO CLOTTING FACTOR XI$ 114.00 85270 SO OLIGOC.BAN.CSF$ 114.00 83916 SO LYMES DIS. CONF.$ 114.00 86617 IUPC INTRAN PLUS 400$ 114.00 REFLECTOR NEOGUARD THERMAL$ 114.00 PADDING MOLESKIN 6$ 114.00 PADDING MOLESKIN 9$ 114.00 CAMERA ARM DRAPE$ 114.00 TENS INITAL APP 15 PT$ 114.00 97032 US W/POP TX 15 PT$ 114.00 97035 TENS FOLLOW-UP 15MIN PT$ 114.00 97032 ELEC STIM W/US 15 PT$ 114.00 97032 ULTRASOUND 15 PT$ 114.00 97035 US W/POP TX 15 PT$ 114.00 97035 AMPHETAMINE URINE SO$ 114.00 G0480 80324 UNASYN 3.0GM VIAL$ 114.00 PRED MILD 0.12% OPTH$ 114.00 DEPO MEDROL INJ 80M$ 114.00 J1040 ELEC STIM W/US 15 OT$ 114.00 97032 ELEC STIM W/US 15 PT$ 114.00 97032 ELEC STIM ATTENDED Q15 SP$ 114.00 97032 TENS INITAL APP 15 OT$ 114.00 97032 TENS INITAL APP 15 PT$ 114.00 97032 TENS FOLLOW-UP 15MIN PT$ 114.00 97032 TENS FOLLOW-UP 15 MIN OT$ 114.00 97032 US W/POP TX 15 PT$ 114.00 97035 US W/POP TX 15 OT$ 114.00 97035 REMOVAL SKIN TAGS<=15 LESIONS$ 114.00 11200 DISCHARGE EVAL LESS THAN 30 MI$ 115.00 99238 FACE TO FACE WITH PATIENT 25 M$ 115.00 99232 BIOPSY, SKIN, SINGLE$ 115.00 11102 PACK GENERAL CATH LAB$ 115.00 GUIDEWIRE VASC HYDRO 035 150CM$ 115.00 C1769 STRAPPING KNEE$ 115.00 29530 ARSENIC,HAIR/NAIL SO$ 115.00 82175 FZ. SECT. STAINING$ 115.00 88314TC SO IFE$ 115.00 86335 CUSHION INVALID RING$ 115.00 LAVAGE PERITONEAL KT$ 115.00 CELLSAVER ATS SUCTION LINE$ 115.00 CATH EPISTAXIS 7.5 RHINO$ 115.00 JURGAN PIN BALL REFILL W062GN$ 115.00 JURGAN PIN BALL W045-YL$ 115.00 C1874 GUIDEWIRE HYDRO H20 035X150CM$ 115.00 C1769 GUIDEWIRE HYDRO 035X150 ANGLE$ 115.00 TOURNIQUETS 30X4$ 115.00 SPLINT SURG NAIL 10MM 4S$ 115.00 C1713 SPLINT SURG NAIL 22MM 4W$ 115.00 C1713 SCREW CORTICAL 4.5 X 32$ 115.00 C1713 SCREW CORTICAL 4.5 X 34$ 115.00 C1713 SCREW CORTICAL 4.5 X 36$ 115.00 C1713 SCREW CORTICAL 4.5 X 38$ 115.00 C1713 SCREW CORTICAL 4.5 X 46$ 115.00 C1713 SCREW CORTICAL 4.5 X 44$ 115.00 C1713 SCREW CORTICAL 4.5 X 40$ 115.00 C1713 SCREW CORTICAL 4.5 X 55$ 115.00 C1713 FOLLOW-UP MINOR/INADEQUATE RES$ 115.00 99232 DISCHARGE LESS THAN 30 MIN$ 115.00 99238 ADVANCE CARE PLAN EA ADD 30 MI$ 115.00 99498 SUBSEQUENT HOSPITAL CARE 2$ 115.00 99232 HOSPITAL D/C DAY MANAGE <30$ 115.00 99238 SUBSUQ HOSP VISIT$ 115.00 99232 BIOFEEDBACK$ 116.00 90901 ICUT ALLERGY TEST DRUG/BUG$ 116.00 SO THC CONFIRMATION$ 116.00 G0480 Clostridium difficile/EPI, Amp$ 116.00 87493 SO HAPTOGLOBIN$ 116.00 83010 BLOOD TYPING; ABO$ 116.00 86900 ARC ABO GR$ 116.00 86900 CATH 3WAY HAEMA 22FR$ 116.00 CATH 3WAY HAEMA 24FR$ 116.00 ELECTRODE HOOK WIRE L$ 116.00 BLADE TPS LNG MED AGGRESSIVE$ 116.00 BLADE TPS LNG$ 116.00 WIRE SS SUTURE GA$ 116.00 C1713 BLADE LONG NARROW 2296-33-115$ 116.00 BLADE LONG MED 2296-33-125$ 116.00 LONG MED AGGRESSIVE BLADE$ 116.00 LONG MED BLADE$ 116.00 BIOFEEDBACK$ 116.00 90901 BIOFEEDBACK$ 116.00 90901 SUBSEQUENT OBSERV CARE PER DAY$ 116.00 99225 DOXYSUSP25MG/5ML60ML$ 116.00 EPINEPHRINE SOLUTION$ 116.00 CIPRO IV 200MG/100ML$ 116.00 J0744 GENTAMICIN 40MG/ML 2$ 116.00 J1580 BIOFEEDBACK$ 116.00 90901 ARTERIAL THERAPT INJ$ 117.00 96373 ROCEPHIN 250 MG INJ$ 117.00 J0696 J0696 DIGOXIN (LANOXIN)$ 117.00 80162 SO PROLACTIN TOTAL & MONOMERIC$ 117.00 84146 BLADE BEAVER 6MM$ 117.00 SHUNT CAROTID$ 117.00 K-WIRE 1.6 X 150 MM$ 117.00 TUB TRCHSTMY SZ 10 DCFN$ 117.00 TUBE TRCHSTMY SZ 4 DCFN$ 117.00 NITROGLYCRN 50MG/250$ 117.00 ACTONEL 35 MG TABLET$ 117.00 ONDANSETRON 4MG ODT (TABLET)$ 117.00 LIDEX CRM .05% 30GM$ 117.00 KWELL LOTION 1% 60ML$ 117.00 CEFTRIAXONE 250MG VL$ 117.00 J0696 REP SIM, S,TR, EX 7.6-12.5 CM$ 117.00 12004 REP COM TR, EA ADD 5CM OR LESS$ 117.00 13102 NEW PATIENT LEVEL 2$ 118.00 99202 HEMIBODY PARTICLES TOTAL BODY$ 118.00 77321 HEPATITIS B VAC ADMINISTRATION$ 118.00 G0010 OP VAC/TOX INJ 1$ 118.00 IMMUN ADMIN 1 VACCINE$ 118.00 90471 HEPATITIS B VAC ADMIN$ 118.00 G0010 VENOUS DUPLEX READING UNILATER$ 118.00 93970 CRYOPRECIPITATE/EA.$ 118.00 P9012 SO TISSUE TRANSGLUT IGA AB$ 118.00 83516 T3 UPTAKE$ 118.00 84479 CRYOPRECIPITATE EA UNIT$ 118.00 P9012 SO INSULIN LIKE GROWTH FACTOR$ 118.00 83519 OP VAC/TOX INJ 1$ 118.00 90471 OPTIRAY 320 20X125ML$ 118.00 Q9967 TRAY CVL BUNDLE CUSTOM$ 118.00 BLADE XL WIDE 2299-3-108$ 118.00 DPTA AEROSOL UP TO 75 MCI$ 118.00 A9567 CRESEMBA 186 MG CAPSULE$ 118.00 DESMOPRESSIN AC 4 MC$ 118.00 J2597 SO HEPAT E AB IGG$ 119.00 86790 86790 SO CYSTATIN C$ 119.00 82610 SO NMR LIPOPROFILE$ 119.00 83704 SO PHOSPHATIDYLETHANOLAMINE AB$ 119.00 83520 SO ARSENIC/QUANTIT$ 119.00 82175 SO TOXOPLAS 1GM/QNT$ 119.00 86778 PROBE COVER ULTRASOUND$ 119.00 NORMAL SALINE 250CC$ 119.00 BLADES LONG NARROW 2296-33-414$ 119.00 BLADES NARROW 2296-22-115$ 119.00 K-WIRE 9" 5/32 3596-6-090$ 119.00 C1713 DRILL PIN 2.4$ 119.00 CANNULA PASSPORT BUTTON 8 X 30$ 119.00 FUNNEL ABS-1003$ 119.00 BUTTON CANNULA PASSPORT$ 119.00 LIDEX TOPICAL SOLUTI$ 119.00 NS 40 KCL 1000ML$ 119.00 D5 1/2 NS 20 KCL$ 119.00 D5 1/2 NS 40 KCL$ 119.00 NS 20 KCL 1000 ML$ 119.00 MYCOSTATIN TOP PWD15$ 119.00 CANNULA TRIPLEDAM AR-6530TD$ 119.00 BLADE SAW STERNAL$ 119.00 REPAIR SIMPLE, FACE, 5.1-7.5CM$ 119.00 12014 FLUIDOTHERAPY/DRY PT$ 120.00 97022 FLUIDOTHERAPY/DRY OT$ 120.00 97022 URINE CREAT. CL/24HR$ 120.00 82575 SO JAK2 V617FMUTA$ 120.00 81270 SPECTROPHOTOMETRY$ 120.00 84311 STRONTIUM-MISC METAL TESTING$ 120.00 83018 SO IMMUNOCHISTOCHEMISTR EA ADD $ 120.00 88341 SO PROCAINAMID/NAPA$ 120.00 80192 SO ACE SERUM$ 120.00 82164 TOURNIQUET 34 DUAL PORT$ 120.00 TROCAR ENDO FIXATION 5MMX100$ 120.00 CATH UMBILICAL DUAL 3.5FR 15"$ 120.00 CATH UMBILICAL DUAL 5FR 15"$ 120.00 WASHER TITANIUM 13.0$ 120.00 C1713 WASHER 4.0$ 120.00 C1713 CHOLANGIOGRAM KUMAR CATH 76CM $ 120.00 PT Re-eval est plan of$ 120.00 97164 FLUIDOTHERAPY/DRY PT$ 120.00 97022 FLUIDOTHERAPY/DRY PT$ 120.00 97022 LEVAQUIN 750MG TAB$ 120.00 REGONAL AMPS$ 120.00 ADEFOVIR 10MG TABLET$ 120.00 MORRHUATE SODIUM50MG$ 120.00 FLUPHENAZINE HCL 2.5$ 120.00 ISOPTO HYOSCINE .25PERC 5 ML$ 120.00 FLUIDOTHERAPY/DRY OT$ 120.00 97022 FLUIDOTHERAPY/DRY PT$ 120.00 97022 PT Re-eval est plan of care$ 120.00 97164 EST PATIENT LEVEL 3$ 121.00 99213 DEBRIDE SKIN & SUBCU$ 121.00 11042 SO GABAPENTIN$ 121.00 80171 NEEDLE CORE TISSUE 14GA X 10$ 121.00 DRAIN TRIPLE LUMEN SUMP$ 121.00 SUTR CARD 6-0 PROBL MONO M8726$ 121.00 C1727 TUBE JEJUNOSTOMY FEEDING 7FR$ 121.00 WIRE GUIDE 1.25MM 292.62$ 121.00 C1769 INSULIN HUMULIN 70/3$ 121.00 NEW PATIENT (PAT) LEVEL 2$ 121.00 99202 NEW PATIENT LEVEL 3$ 121.00 T1015 KNIFE MYRINGOTOMY$ 122.00 WIRE GUIDE 2.0MM 292.656$ 122.00 C1769 MOP DUST TRPR LOOPED END 48X5$ 122.00 GELFOAM SPONGE 50$ 122.00 CLINDAMYCIN 900MG AD$ 122.00 DIPRIVAN 10MG/ML 50M$ 122.00 ACTH 80MG CC$ 122.00 CERUMENEX DROP 6ML$ 122.00 NEEDLE BIOPSY QK CORE 18X15X10$ 122.30 FLUCELVAX SYRINGE 60MCG/0.5ML$ 122.47 90674 SO COCCIDIOIDES TOTAL AB$ 123.00 86635 SO IRON URINE$ 123.00 83540 LACTOFERRIN DECT$ 123.00 83630 CYTOGENETICS, 10-30$ 123.00 88273 BARIUM POLIBAR LIQUID L164$ 123.00 SCREW CANCEL 32MM TL 217.060$ 123.00 C1713 INTRODUCER W S/S 018 40CM21G7C$ 123.00 GUIDEWR FIR ROADRN 035 X145CM$ 123.00 C1880 SCREW CANCEL 6.5MM 218.045$ 123.00 C1713 SCREW CANCEL 6.5MM 218.060$ 123.00 C1713 NERVE BLOCK SET 20GA X 1 1/8IN$ 123.00 TUBE TRACH SINGLE CANNULA 8$ 123.00 MINOR OR PACK$ 123.00 PASSPORT BUTTON CANNULA$ 123.00 SCREW CORTICAL 4.5 X 50$ 123.00 C1713 SCREW CORTICAL 4.5 X 42MM$ 123.00 C1713 SCREW CORTICAL 4.5 X 90MM$ 123.00 C1713 SCREW CORTICAL 4.5 X 60$ 123.00 C1713 SCREW CORTICAL 4.5 X 70$ 123.00 C1713 DEPTH GAUGE$ 123.00 SCREW CANN 6.5 X 70 X 32 MM$ 123.00 C1713 SCREW CANCELLOUS FT 6.5 X 95$ 123.00 C1713 SCREW CANCELLOU FT 4.0 X 70 MM$ 123.00 C1713 SCREW CANCELLOUS 4.0 X 34 MM$ 123.00 C1713 SCREW CANCELLOUS 4.0 X 46 MM$ 123.00 C1713 SCREW CANCELLOUS 4.0 X 55 MM$ 123.00 C1713 SCREW CANCELLOUS 4.0 X 65$ 123.00 SCREW CANNCELLO PT 4.0 X 60 MM$ 123.00 SCREW CANNCELLO PT 4.0 X 65 MM$ 123.00 SCREW CANCELLOUS TI 4 X 60$ 123.00 SCREW LK 4.0 X 48 NON-LOCKING$ 123.00 SCREW CANCELLOUS PT 70X4.0MM$ 123.00 SCREW CANCELLOUS 4.0 X 50$ 123.00 C1713 607455 STRYKER$ 123.00 C1713 4.0MM X 42 CANCELLOUS SCREW$ 123.00 C1713 ADVANCED CARE PLAN 30 MIN$ 123.00 99497 PAVULON AMP 2MG/ML$ 123.00 EST PATIENT (PAT) LEVEL 3$ 123.00 99213 SCREW CANCELLOUS TI 4MM$ 123.00 C1713 KETAMINE 200MG/20ML VIAL$ 123.26 SO C4a LEVEL$ 123.51 86160 FERRITIN$ 124.00 82728 SO PORPHOBILIN UA$ 124.00 84110 SO IMMUNOASSAY ANALY NO$ 124.00 83520 SO CHROMATOGRAPHY, THIN LAYER$ 124.00 84999 SO FERRITIN$ 124.00 82728 CHYMOTRYPSIN STOOL SO$ 124.00 84311 FERRITIN$ 124.00 82728 FSH,SERUM$ 124.00 83001 SO VISCOSITY/SERUM$ 124.00 85810 LH/SERUM$ 124.00 83002 SCREW CANCEL 6.5MM 217.105$ 124.00 C1713 SCREW 2.7 CORTEX 12MM 202.872$ 124.00 C1713 SCREW 2.7 CORTEX 14MM 202.874$ 124.00 C1713 SCREW 2.7 CORTEX 16MM 202.876$ 124.00 C1713 SCREW 2.7 CORTEX 18MM 202.878$ 124.00 C1713 SCREW 2.7 CORTEX 20MM 202.88$ 124.00 C1713 SCREW 2.7 CORTEX 22MM 202.882$ 124.00 C1713 SCREW 2.7 CORTEX 24MM 202.884$ 124.00 C1713 SCREW 2.7 CORTEX 26MM 202.886$ 124.00 C1713 SCREW 2.7 CORTEX 28MM 202.888$ 124.00 C1713 SCREW 2.7 CORTEX 30MM 202.89$ 124.00 C1713 SCREW 2.7 CORTEX 32 MM 202.892$ 124.00 C1713 DEPACON 500MG/5ML IN$ 124.00 MMRII INJ$ 124.00 MEFOXIN 1GM/NS 50ML$ 124.00 J0694 EST PATIENT LEVEL 1$ 125.00 99211 EST PATIENT LEVEL 2$ 125.00 99212 EST PATIENT LEVEL 3$ 125.00 99213 EST PATIENT LEVEL 4$ 125.00 99214 EST PATIENT LEVEL 5$ 125.00 99215 NEW ACUITY LEV II 30$ 125.00 G0463 T1015 NEW ACUITY LV III 40$ 125.00 G0463 T1015 NEW ACUITY LEV IV 60$ 125.00 G0463 T1015 EST ACUITY LEV I 15$ 125.00 T1015 EST ACUITY LEV II 30$ 125.00 G0463 T1015 EST ACUITY LEV III$ 125.00 G0463 T1015 EST ACUITY LEV IV 60$ 125.00 T1015 T1015 INTRODUCER EP HEMOST TRIO .038$ 125.00 C1894 CR EST PT VISIT II$ 125.00 G0463 T1015 CR EST PT VISIT II/W$ 125.00 G0463 CR NEW PT VISIT II$ 125.00 G0463 T1015 CR NEW PT VISIT III$ 125.00 G0463 T1015 CR NEW PT VISIT IV$ 125.00 G0463 T1015 CR NEW PT VISIT V$ 125.00 G0463 T1015 CR EST PT VISIT III$ 125.00 G0463 T1015 CR EST PT VISIT IV$ 125.00 G0463 T1015 CR EST PT LEVEL V$ 125.00 G0463 T1015 TRANS CARE MGMT 14 DAY DISCHAR$ 125.00 99495 NEW PT LEVEL I$ 125.00 99201 NEW PT LEVEL II$ 125.00 99202 NEW PT LEVEL III$ 125.00 99203 NEW PT LEVEL IV$ 125.00 99204 NEW PT LEVEL V$ 125.00 99205 EST PT LEVEL I VISIT$ 125.00 99211 EST PT LEVEL II VIST$ 125.00 99212 EST PT LEVEL III VST$ 125.00 99213 EST PT LEVEL IV VIST$ 125.00 99214 EST PT LEVEL V VISIT$ 125.00 99215 NEW PATIENT ACUITY LEVEL 1$ 125.00 99201 NEW PATIENT ACUITY LEVEL 2$ 125.00 99202 NEW PATIENT ACUITY LEVEL 3$ 125.00 99203 NEW PATIENT ACUITY LEVEL 4$ 125.00 99204 NEW PATIENT ACUITY LEVEL 5$ 125.00 99205 ESTABLISH PATIENT ACUITY LEVEL$ 125.00 99211 ESTABLISH PATIENT ACUITY LEVEL$ 125.00 99212 ESTABLISH PATIENT ACUITY LEVEL$ 125.00 99213 ESTABLISH PATIENT ACUITY LEVEL$ 125.00 99214 ESTABLISH PATIENT ACUITY LEVEL$ 125.00 99215 NEW PATIENT LEVEL 1$ 125.00 99201 NEW PATIENT LEVEL 2$ 125.00 99202 NEW PATIENT LEVEL 3$ 125.00 99203 NEW PATIENT LEVEL 4$ 125.00 99204 NEW PATIENT LEVEL 5$ 125.00 99205 EST PATIENT LEVEL 1$ 125.00 99211 EST PATIENT LEVEL 2$ 125.00 99212 EST PATIENT LEVEL 3$ 125.00 99213 EST PATIENT LEVEL 4$ 125.00 99214 EST PATIENT LEVEL 5$ 125.00 99215 NEW PT LEVEL I$ 125.00 99201 NEW PT LEVEL II$ 125.00 99202 NEW PT LEVEL III$ 125.00 99203 NEW PT LEVEL IV$ 125.00 99204 NEW PT LEVEL V$ 125.00 99205 EST PT LEVEL I VISIT$ 125.00 99211 EST PT LEVEL II VIST$ 125.00 99212 EST PT LEVEL III VST$ 125.00 99213 EST PT LEVEL IV VIST$ 125.00 99214 EST PT LEVEL V VISIT$ 125.00 99215 NEW PATIENT VISIT LEVEL 1$ 125.00 NEW PATIENT VISIT LEVEL 2$ 125.00 NEW PATIENT VISIT LEVEL 3$ 125.00 NEW PATIENT VISIT LEVEL 4$ 125.00 NEW PATIENT VISIT LEVEL 5$ 125.00 EST. PATIENT VISIT LEVEL 1$ 125.00 EST. PATIENT VISIT LEVEL 2$ 125.00 EST. PATIENT VISIT LEVEL 3$ 125.00 EST. PATIENT VISIT LEVEL 4$ 125.00 EST. PATIENT VISIT LEVEL 5$ 125.00 NEW PATIENT LEVEL 1$ 125.00 99201 NEW PT LEVEL 2$ 125.00 99202 NEW PT LEVEL 3$ 125.00 99203 NEW PT LEVEL 4$ 125.00 99204 NEW PT LEVEL 5$ 125.00 99205 EST PT LEVEL 1$ 125.00 99211 EST PT LEVEL 2$ 125.00 99212 EST PT LEVEL 3$ 125.00 99213 EST PT LEVEL 4$ 125.00 99214 EST PT LEVEL 5$ 125.00 99215 NEW PATIENT LEVEL 3$ 125.00 99203 NEW PATIENT LEVEL 5$ 125.00 99205 EST PATIENT LEVEL 1$ 125.00 99211 EST PATIENT LEVEL 5$ 125.00 99215 EST PATIENT LEVEL 2$ 125.00 99212 NEW PATIENT LEVEL 4$ 125.00 99204 EST PATIENT LEVEL 3$ 125.00 99213 NEW PATIENT LEVEL 2$ 125.00 99202 NEW PATIENT LEVEL 1$ 125.00 99201 EST PATIENT LEVEL 4$ 125.00 99204 FLUZONE VACCINE IM$ 125.00 Q2038 Q2038 NEW PATIENT LEVEL I$ 125.00 99201 G0463 NEW PATIENT LEVEL II$ 125.00 99202 G0463 NEW PATIENT LEVEL III$ 125.00 99203 G0463 NEW PATIENT LEVEL IV$ 125.00 99204 G0463 NEW PATIENT LEVEL V$ 125.00 99205 G0463 EST PATIENT LEVEL I$ 125.00 99211 G0463 EST PATIENT LEVEL II$ 125.00 99212 G0463 EST PATIENT LEVEL III$ 125.00 99213 G0463 EST PATIENT LEVEL IV$ 125.00 99214 G0463 EST PATIENT LEVEL V$ 125.00 99215 G0463 NEW PATIENT LEVEL I$ 125.00 99201 NEW PATIENT LEVEL II$ 125.00 99202 NEW PATIENT LEVEL III$ 125.00 99203 NEW PATIENT LEVEL IV$ 125.00 99204 NEW PATIENT LEVEL V$ 125.00 99205 EST PATIENT LEVEL I$ 125.00 99212 EST PATIENT LEVEL II$ 125.00 99212 EST PATIENT LEVEL III$ 125.00 99213 EST PATIENT LEVEL IV$ 125.00 99214 EST PATIENT LEVEL V$ 125.00 G0463 ER IVP SAME DRUG 30M$ 125.00 96376 ALCOHOL/SUB SCREE INTEV 15-30M$ 125.00 G0396 ASP/INJ BURSA MED.$ 125.00 20605 THEOPHYLLINE$ 125.00 80198 C&S BRONCH BRUSHING$ 125.00 87070 C & S ABCESS$ 125.00 87070 SO RISPERIDONE$ 125.00 G0480 C & S CATH TIP$ 125.00 87070 C&S TISSUE-SPECIFY$ 125.00 87070 C&S EYE$ 125.00 87070 C&S JOINT ASPIRATE$ 125.00 87070 ASPERGILLUS AGN SO$ 125.00 87305 SO REFLEX BENZO CONFIRM/MECO$ 125.00 G0480 CSF C & S$ 125.00 87070 C&S BRONCH WASHING$ 125.00 87070 C&S ORTHOPED-SP.$ 125.00 87070 C&S UROGENT$ 125.00 87070 C&S G C$ 125.00 87070 C&S RESP CULTURE$ 125.00 87070 C&S WOUND$ 125.00 87070 C&S BODY FLD-SPECIFY$ 125.00 87070 C&S OTHER-SPECIFY$ 125.00 87070 C&S THROAT$ 125.00 87070 C&S EAR$ 125.00 87070 PROGESTRONE LC/MS/MS SO$ 125.00 84144 SO OXYCOD & METABOLITE QUANTIT$ 125.00 G0480 SO BENZODIAZEPINES PANEL BLOOD$ 125.00 G0480 SO SYNTH STIM QUANT URINE$ 125.00 G0480 SO RUFINAMIDE$ 125.00 G0480 PROGESTERONE$ 125.00 84144 SO ETHOSUXIMIDE/ZA$ 125.00 G0480 VITAMIN D/TOTAL$ 125.00 82306 CALCIUM, IONIZED IS$ 125.00 82330 EST PT LEVEL I PROC$ 125.00 G0463 T1015 EST PT LEVEL II PROC$ 125.00 G0463 T1015 EST PT LEVEL III PRO$ 125.00 G0463 T1015 EST PT LEVEL IV PROC$ 125.00 G0463 T1015 EST PT LEVEL V PROC$ 125.00 G0463 T1015 NEW PT LEVEL I PROC$ 125.00 G0463 T1015 NEW PT LEVEL II PROC$ 125.00 G0463 T1015 NEW PT LEVEL III PRO$ 125.00 G0463 T1015 NEW PT LEVEL IV PROC$ 125.00 G0463 T1015 NEW PT LEVEL V PROC$ 125.00 G0463 T1015 IVP SAME DRUG MORE30$ 125.00 96376 GARMENT THIGH REGULAR$ 125.00 OPTIRAY 350 20 X 125$ 125.00 Q9967 CONNECTOR Y INSTRUMED$ 125.00 MESH PROLITE 6 X 6$ 125.00 C1781 TROCAR ENDO FIX 11 X 100$ 125.00 TROCAR ENDO FIX 12 X 100$ 125.00 NEW PT LEVEL I$ 125.00 G0463 T1015 OP VISIT UP TO 30MIN$ 125.00 G0463 T1015 CYCLOGYL 1% 5ML$ 125.00 FLUZONE QUAD PEDI SYRINGE 30MC$ 125.00 Q2038 HEP B GAMMAGEE 5ML ($ 125.00 ISOPTO HOMATROPINE 5$ 125.00 NEOSPORIN OPTH. SOLN$ 125.00 NAROPIN 5MG/ML 30ML$ 125.00 J2795 IONIZED CALCIUM$ 125.00 82330 EST PATIENT LEVEL 2$ 125.00 99212 EST PATIENT LEVEL 3$ 125.00 99213 G0463 NEW PATIENT LEVEL 1$ 125.00 99201 G0463 NEW PATIENT LEVEL II$ 125.00 99202 G0463 NEW PATIENT LEVEL III$ 125.00 99203 G0463 NEW PATIENT LEVEL IV$ 125.00 99204 G0463 NEW PATIENT LEVEL V$ 125.00 99205 G0463 EST PATIENT LEVEL I$ 125.00 99211 G0463 EST PATIENT LEVEL II$ 125.00 99212 G0463 EST PATIENT LEVEL III$ 125.00 99213 G0463 EST PATIENT LEVEL V$ 125.00 99215 G0463 POSTOPERATIVE VISIT LEVEL I$ 125.00 99024 G0463 EST PATIENT LEVEL IV$ 125.00 99214 G0463 ULTRAFOAM 50$ 125.00 EST PT LEVEL I VISIT$ 125.00 T1015 T1015 EST PT LEVEL II VIST$ 125.00 T1015 T1015 EST PT LEVEL III VST$ 125.00 G0463 T1015 EST PT LEVEL IV VIST$ 125.00 G0463 T1015 EST PT LEVEL V VISIT$ 125.00 G0463 T1015 NEW PT LEVEL II$ 125.00 G0463 T1015 NEW PT LEVEL III$ 125.00 G0463 T1015 NEW PT LEVEL IV$ 125.00 G0463 T1015 NEW PT LEVEL V$ 125.00 G0463 T1015 EST PATIENT LEVEL 4$ 125.00 T1015 SO ASPERGILLUS IGE PANEL$ 125.70 86003 APPLCTN LG LEG SPLNT$ 126.00 29505 DILANTIN (PHENYTOIN)$ 126.00 80185 MYOGLOBIN(SERUM)$ 126.00 83874 SO PARIETAL CELL AB$ 126.00 83516 SO AFP CSF$ 126.00 86316 SO TOTAL CORTISOL$ 126.00 82633 SO METHOTREXATE SR$ 126.00 80299 SO CA 19-9$ 126.00 86301 COLD PACK TKTEMP KNEE WRP$ 126.00 WIRE GUIDE 1.6MM 292.72$ 126.00 C1769 SCREW CANCELLOUS 6.5 X 65$ 126.00 C1713 K-WIRE .035MM X 9IN DIAMOND PO$ 126.00 C1769 K-WIRE .045MM X 9IN DIAMOND PO$ 126.00 C1769 NAFCILLIN 2GM VL$ 126.00 MANDIBLE, PARTIAL < 4 VIEWS$ 126.00 70100 SELECT DEBRID 20CM$ 127.00 97598 SELECT DEBRIDE >20$ 127.00 97598 PACER QUICKLOOK MULT LEAD$ 127.00 93281 SELECT WND DEBRID E ADDL 20 CM$ 127.00 97598 COMMHEALTH HS PSA$ 127.00 G0103 COMMHEALTH INS PSA$ 127.00 G0103 PROGRAM DEVICE EVAL MLT LEAD$ 127.00 93281 INSERT ART LINE$ 127.00 36620 CK - MB$ 127.00 82553 PSA SCREEN$ 127.00 G0103 84153 CATH JUDK RT 5FR/3.5$ 127.00 TROCAR ENDO BLDLSS 12MM X 150$ 127.00 TROCAR ENDO BLDLSS 11MM X 100$ 127.00 TROCAR ENDO BLDLSS 11MM X 100$ 127.00 FOAM CONTOUR BLUE$ 127.00 C1781 TROCAR ENDO BLDLSS 12MM X 100$ 127.00 ROD 200 STEEL 395.770$ 127.00 C1713 ROD 180 STEEL 395.760$ 127.00 C1713 ROD 160 STEEL 395.750$ 127.00 C1713 ROD 140 STEEL 395.740$ 127.00 C1713 ROD 120 STEEL 395.730$ 127.00 C1713 ROD 100 STEEL 395.720$ 127.00 C1713 ROD 80 STEEL 395.710$ 127.00 C1713 ROD 60 STEEL 395.700$ 127.00 C1713 WASHER 619904$ 127.00 C1713 CAR SEAT/BED TEST 60MIN$ 127.00 94780 IMITREX 25MG TABLET$ 127.00 ANZEMET 12.5MG INJ$ 127.00 J1260 CLAFORAN 1 G/NS50ML$ 127.00 J0698 PROPRANOLOL INJ 1MG$ 127.00 SELECT DEBRIDE > 20CM OT$ 127.00 97598 SELECT DEBRIDE > 20CM PT$ 127.00 97598 SELECT DEBRID 20 CM$ 127.00 97598 EST PATIENT LEVEL 2$ 128.00 99212 NEW PATIENT LEVEL 2$ 128.00 99202 SO PREGNENOLONE$ 128.00 84140 MOLE CYTOGENE INTERPHASE IN SI$ 128.00 88274 SO LIPOPROTEIN-ASSOC PHOSPHOLI$ 128.00 83698 FOLATE/SERUM$ 128.00 82746 SO MERCURY$ 128.00 83825 PACEMAKER VALVE$ 128.00 C1900 GUIDEWIRE CATH ANGIO 5FR 65CM$ 128.00 K-WIRE OLIVE$ 128.00 C1769 DILAUDID 10MG/50ML P$ 128.00 J1170 D70W 500ML$ 128.00 ZOFRAN 4MG TAB$ 128.00 Q0162 SUCCINYLCHOLINE 100MG/5ML SYR$ 128.00 EPIFOAM 10GM$ 128.00 US GUIDED BREAST BIO EA ADD LE$ 128.00 19084 OP DL CHAMB TEL ANL$ 129.00 93293 VISIPAQUE 50 ML$ 129.00 Q9967 GUIDEWIRE VASC 014 3 X 180$ 129.00 C1769 NEEDLE ELECTRO; COMP 5 OR MORE$ 129.00 95886 QUANT. HCG$ 129.00 84702 SO HUMAN PAPILLOMAVIRUS DNA PR$ 129.00 87624 SO ELECTROPHORETIC TECHNIQUE$ 129.00 82664 SO EBV QUANTITATIVE PCR$ 129.00 87799 DRAIN 10FR BLAKE$ 129.00 TIMOPTIC-XE 0.5% SOL$ 129.00 MIRALAX 255GM NF POW$ 129.00 HYDROMORPHONE HCL/PF 50MG/5ML $ 129.00 VALVE 6248 VAL ADJUST$ 130.00 HEP C; AMPLIFIED PROBE TECH$ 130.00 87521 SO ELECTROLYTE QN F$ 130.00 84999 Chlamydia trachomatis,amplifie$ 130.00 87491 SO HLA-B27$ 130.00 86812 SO RBC FOLATE$ 130.00 82747 HOOK SELF ADHESIVE 1$ 130.00 DRESSING WND VAC SILVER 4 X 5$ 130.00 K-WIRE 1.6$ 130.00 C1769 UNIVERSAL SLITTER II$ 130.00 C1893 OBTURATOR OPTICAL 12MM$ 130.00 PIN, BONE 3.2 X 80MM$ 130.00 C1713 PIN, BONE 3.2 X 110MM$ 130.00 C1713 PIN, BONE 3.2 X 140MM$ 130.00 C1713 PIN, BONE 4 X 80MM$ 130.00 C1713 PIN, BONE 4 X 110MM$ 130.00 C1713 PIN, BONE 4 X 140MM$ 130.00 C1713 PIN, BONE 4 X 170MM$ 130.00 C1713 IRRIGATION CLIP ANSPACH$ 130.00 TUBE IRRIGATION ANSPACH HF$ 130.00 OCTREOTIDE 0.1MG/ML$ 130.00 J2354 ZOSYN 2.25 G/NS 50ML$ 130.00 J2543 BRMNIDINE TARTRTE DR$ 130.00 DURICEF ORAL SUSP250$ 130.00 SCREW NON-LOCKING -3.5 X 16$ 130.00 C1713 SCREW NON-LOCKING -3.5 X 18$ 130.00 C1713 SUTURETAPE 1.3MM W/NEEDLE W/B$ 130.00 REMOVAL SKIN TAGS 15$ 131.00 11200 INJ LIGA/TENDON/GANG$ 131.00 20550 T4 BIND PROT ELEC S/$ 131.00 82664 ELECTROPHORETIC TECH$ 131.00 82664 ARC DIFFERENTIAL/AUTO ADS SERU$ 131.00 86978 DRESSING VAC KIT SM ATS$ 131.00 SNARES POLYP$ 131.00 EXTRACTOR CORK SCREW$ 131.00 METHOTREXATE 250MG I$ 131.00 AMINOSYN-RF 5.2% 300$ 131.00 ZOSYN 3.375G$ 131.00 J2543 IONTOPHORESIS 15 PT$ 132.00 97033 IONTOPHORESIS 15MOT$ 132.00 97033 APPLCTN SHT LEG SPLT$ 132.00 29515 SO CA 27.29$ 132.00 86300 SO LEVEL IV TISSUE$ 132.00 88305 SO SPECIAL STAINS$ 132.00 88313 SO SPUTUM CYTOLOGY$ 132.00 88112 SO MUMPS VIRUS RNA, QUAL PCR$ 132.00 87798 SO M.TUBERCU COMP DIRECT DETEC$ 132.00 87556 SO TRICHOMONAS VAG RNA QUAL TM$ 132.00 87661 SO CLOSTRIDIUM DIFFICILE TOXIN$ 132.00 87493 SO TRICH VAG RNA QUAL. TMA MAL$ 132.00 87661 SO HIV-1 RNA QUALITATIVE TMA$ 132.00 87535 SO LEPTOSPIRA DNA QUAL PCR$ 132.00 87798 SO COMPLEMENT C3$ 132.00 86160 SO COMPLEMENT C4$ 132.00 86160 CA-125$ 132.00 86304 BIOPSY SYS MICROV$ 132.00 NEEDLE QUIKCRE 18G 9CM 10THR$ 132.00 NEEDLE QUIKCRE 18G 9CM 20THR$ 132.00 NEEDLE QUIKCRE 18G 6CM 20THR$ 132.00 NEEDLE QUIKCRE 18G 15CM 20TH$ 132.00 TENSO GRIP D$ 132.00 SCREW CORTEX 2.7 X 14$ 132.00 C1713 SCREW CORTEX 2.7 X 12$ 132.00 C1713 SCREW CORTEX 2.7 X 18MM$ 132.00 C1713 SCREW CORTEX 2.7 X 16MM$ 132.00 C1713 SCREW CORTEX 2.7 X 20MM$ 132.00 C1713 SCREW CORTEX 2.7 X 10$ 132.00 C1713 GUIDEWIRE 0.3 MM X 300MM$ 132.00 C1769 FETAL MONITOR LABOR$ 132.00 IONTOPHORESIS 15MIN PT$ 132.00 97033 IONTOPHORESIS 15 PT$ 132.00 97033 TRUSOPT 2PERC OPTHALMIC 5 ml$ 132.00 IMITRX NASL SPRY 20M$ 132.00 PROTAMINE AMP 25ML$ 132.00 DELESTROGEN 20MG$ 132.00 J1380 MYDRIACYL SOL 1% 15M$ 132.00 VINCRISTINE 2MG/2ML$ 132.00 J9370 INOTOPHORESIS PT PER 15MIN$ 132.00 97033 IONTOPHORESIS 15MIN OT$ 132.00 97033 IONTOPHORESIS 15MIN PT$ 132.00 97033 US OB 14WK EA AD FTS$ 132.00 76810 US OB 14WK EA AD FTS$ 132.00 76810 INJ RETRO URTHO CYST$ 132.00 SIMULATION; INTERMEDIATE$ 133.00 77285 DRAIN CHEST ATS READY SYS$ 133.00 CATH EMBOLECTOMY 5FR$ 133.00 CATH EMBOLECTOMY 6FR$ 133.00 TOURNIQUET 44 DUAL PORT$ 133.00 WIRE KIRSCHNER 2.0MM 292.699$ 133.00 C1713 SCREW CORTEX 2.0 T6$ 133.00 C1713 SCREW CORTEX 2.0 T6$ 133.00 C1713 SCREW CORTEX 2.0 T6$ 133.00 C1713 SCREW CORTEX 2.0 T6$ 133.00 C1713 DRILL BIT STRAIGHT 1.5$ 133.00 DRILL BIT STRAIGHT 2.0MM$ 133.00 DRILL BIT STRAIGHT 2.5MM$ 133.00 DRILL BIT STRAIGHT 2.7MM$ 133.00 DRILL BIT 3.5MM 00-2318-035-06$ 133.00 DRILL BIT STRAIGHT 4.5 MM$ 133.00 NIZORAL SHAMPOO 4OZ.$ 133.00 ZINACEF 1.5MG/NS50ML$ 133.00 STREPTOMYCIN 1GM VIAL$ 133.13 J3000 TRAVASOL 10%$ 133.30 IM OR SQ INJECTION$ 134.00 T1502 PSA SCREENING$ 134.00 G0103 IM OR SQ INJECTION$ 134.00 96372 IM/SQ INJECTION$ 134.00 96372 PSA SCREENING$ 134.00 THER/PROPH/DIAG INJ SC/IM$ 134.00 96372 SO FACTOR VIII ACT$ 134.00 85240 SO IODIDE SERUM$ 134.00 82542 CLOBAZAM SERUM/PLASMA SO$ 134.00 G0480 IM/SUQ INJECTION$ 134.00 96372 PSA SCREENING$ 134.00 G0103 FIBERWIRE AR-7201$ 134.00 C1713 WASHER- 390016$ 134.00 C1713 SCREW LOCKING 2.7 X 32$ 134.00 C1713 SCREW LOCKING 2.7 X 36$ 134.00 C1713 SCREW LOCKING 2.7 X 50$ 134.00 C1713 PIN STEMMER 35-003 ACMED$ 134.00 C1713 INITIAL VISIT 15 MIN$ 134.00 96150 REASSESSMENT$ 134.00 96151 INTERVENTION (SINGLE)$ 134.00 96152 BENZODIAZEPAMS SO$ 134.00 G0480 80346 ENLON PLUS 15ML VIAL$ 134.00 NUTRILIPID 20% 250ML BAG$ 134.00 CATHETER DIAGNOSTIC$ 135.00 PHASE 3 ASSESSMENT$ 135.00 PHASE 3 ASSESSMENT$ 135.00 EVAC SUBUNGAL HEMATO$ 135.00 SO BLASTOMYCES A/B SERUM$ 135.00 86612 SODIUM OTHER SOURCE$ 135.00 84302 TRAY EPIDURAL ARROW$ 135.00 CANISTER VAC KIT ATS$ 135.00 SPLINT DOYLE NASAL SEPTAL$ 135.00 GONIOMETER PLASTIC 12"$ 135.00 DRESSING AQUACEL AG 3.5 X 12$ 135.00 SLITTER 6230UNI UNIVERSAL 6230$ 135.00 DENAVIR 1% OINTMENT$ 135.00 APPLICAT FINGER SPLINT STATIC$ 136.00 29130 APPLICAT FINGER SPLINT DYN$ 136.00 29131 INJ TENDON ORIGIN/INSERT$ 136.00 20551 ESLICARBAZEPINE SO$ 136.00 80299 SO TOBRAMYCIN TROUGH$ 136.00 80200 SO TOBRAMYCIN PEAK$ 136.00 80200 HISTOPLA ABY CSF SO$ 136.00 86698 SO N-METHYLHISTAMINE UR$ 136.00 83789 SO CITRATE UA$ 136.00 82507 DRAIN CHEST INFANT/PEDI$ 136.00 C1786 TUBE TRCHSTMY 3.0 NEO$ 136.00 TUBE TRCHSTMY 4.0 NEO$ 136.00 INTRODUCER SET MICROOPT S/S 4F$ 136.00 FORTAZ 1 G/ NS 50ML$ 136.00 J0713 FENTANYL 50MCG/H TR.$ 136.00 COLYTE PKG.$ 136.00 BIOPSY BREAST-STEROTAC EA ADD$ 136.00 19082 GELFOAM 100$ 136.00 REP , S, A, L EA AD 5CM < LESS$ 136.00 13122 PERIPHERAL ARTER DISEASE REHAB$ 137.00 93668 PERIPHERAL ARTER DISEASE REHAB$ 137.00 93668 KNEE STRAPPING$ 137.00 29530 SHOULDER STRAPPING$ 137.00 29240 ELBOW/WRIST STRAPPIN$ 137.00 29260 ANKLE/FOOT STRAPPING$ 137.00 29540 TOE STRAPPING$ 137.00 29550 HAND OR FINGER STRAP$ 137.00 STRAP SHOULDER$ 137.00 29240 SO HIV-1 QUALTATIVE PCR$ 137.00 87535 SPLINT LONG LEG LG$ 137.00 SPLINT LONG LEG MED$ 137.00 SPLINT LONG LEG SM$ 137.00 SCREW CORTEX 2.0 T6$ 137.00 C1713 SCREW CORTEX 2.0 T6$ 137.00 C1713 SCREW CORTEX 2.0 X 6$ 137.00 C1713 SCREW CORTEX 2.0 T6$ 137.00 C1713 WRAP & COLD PK KNEE 4HR$ 137.00 SCREW CORTICAL 4.5$ 137.00 C1713 SCREW CORTICAL 4.5 X 95 MM$ 137.00 C1713 SCREW CORTICAL 4.5 X 18$ 137.00 C1713 SCREW CORTICAL 4.5 X 22$ 137.00 C1713 SCREW CORTICAL 4.5 X 16$ 137.00 C1713 TPN BAS 3000ML EMPTY$ 137.00 PSYTX PT&/FAMILY 45 MINUTES$ 138.00 90834 DIABETIC TEACH IND PER 30 MIN$ 138.00 G0108 ASP/INJ BURSA LARGE$ 138.00 20610 SO NEISSERIA GONORRHOEAE RNA T$ 138.00 87591 SO ANTIMICRO SUSCEP MIC$ 138.00 87186 SO ANTIMICRO SUSCEP MIC$ 138.00 87187 SO DETECT AGENT NOS, DNA, AMP$ 138.00 87798 SO BARTONELLA DNA QUAL REAL-TI$ 138.00 87471 SO HIV-1 RNA QUALITATIVE CSF$ 138.00 87535 FIBERWIRE SZ5$ 138.00 TUBE TRACHEOSTOMY NEONATAL$ 138.00 TOURNIQUET 18 BIER BLOCK$ 138.00 NUT SPRING LOADED 395.58$ 138.00 SCREW MALLEO 4.5MM 215.025$ 138.00 C1713 SCREW MALLEO 4.5MM 215.030$ 138.00 C1713 SCREW MALLEO 4.5MM 215.035$ 138.00 C1713 SCREW MALLEO 4.5MM 215.040$ 138.00 C1713 SCREW MALLEO 4.5MM 215.045$ 138.00 C1713 SCREW MALLEO 4.5MM 215.050$ 138.00 C1713 SCREW MALLEO 4.5MM 215.055$ 138.00 C1713 SCREW MALLEO 4.5MM 215.060$ 138.00 C1713 SCREW MALLEO 4.5MM 215.065$ 138.00 C1713 SCREW MALLEO 4.5MM 215.070$ 138.00 C1713 TUBE TRACH UNCUFF PVC 3.5 PED$ 138.00 CANNULA PASSPORT BUTTON 10X3$ 138.00 UNASYN 3 GM/NS 100ML$ 138.00 J0295 SO T CELLS; TOTAL COUNT$ 139.00 86359 SO CHROMIUM, SERUM$ 139.00 82495 SO MTB COMPLEX SPECIATION$ 139.00 87150 SO FACTOR IX ASSAY$ 139.00 85250 BLADE DERMATOME$ 139.00 BLADE DERMATONE$ 139.00 PRIMAXIN 250MG INJ$ 139.00 J0743 CEFOTAN 1 G/NS 50 ML$ 139.00 NEOSYNCOCAINE DROPS$ 139.00 COCAINE TOP SOL 4%4M$ 139.00 INPATIENT CONSULTATION 20 MIN$ 139.00 99251 FLU VAC IIV SPLT IM$ 139.93 90662 VISIPAQUE 320 50ML$ 140.00 Q9967 XRAY KNEE 1 OR 2 VIEWS LT$ 140.00 73560 XRAY KNEE 1 OR 2 VIEWS RT$ 140.00 73560 SO NMP22 TUMOR MARKR$ 140.00 86316 C&S STOOL$ 140.00 87045 CULTURE STOOL$ 140.00 87045 ACTIVATED PROTEIN C RESISTANCE$ 140.00 85307 CHOLANGIOCATH TAUT$ 140.00 TUBE TRACH XLNG SZ 8$ 140.00 GARMENT EX LARGE CALF$ 140.00 TUBE TRACH BL LN DBL CUF 9.0MM$ 140.00 A6204 TUBE TRACH DBL CUF 10.0MM$ 140.00 BLADES BNT CRS OF 2296-033-234$ 140.00 BLADE INSTRUMENT 5301-020-061$ 140.00 SCREW CANC 6.5 X 60$ 140.00 C1713 SCREW CANC 6.5 X 75$ 140.00 C1713 SCREW CANC 6.5 X 80$ 140.00 C1713 K-WIRE .8MM$ 140.00 C1769 PIN GUIDE 2.8 X 230 MM$ 140.00 C1713 XAP SOLUTION$ 140.00 CIPRODEX OTIC SUSP$ 140.00 CYSTO-CONRAY 250ML$ 140.00 CEFOTETAN 2GM VL.(CE$ 140.00 METRO-GEL VAG 75%$ 140.00 HISTOPLASMIN SK.TEST$ 140.00 86510 CANDIDA SKIN TEST 1:$ 140.00 86485 KNEE, 1 OR 2 VIEWS LT$ 140.00 73560 73560 KNEE 1-2 VIEWS RT$ 140.00 73560 73560 TYPE/CROSSMATCH$ 141.00 86920 TEGRATOL(CARBAMAZ.)$ 141.00 80156 AUTOLOGOUS X-MATCH$ 141.00 86920 SO CAMPYLOBACTER JEJUNI ANTIBO$ 141.00 86625 DEBRIDEMENT, SIMPLE$ 141.00 BOOT WEE WALKER$ 141.00 L4386 PACK MINOR ENT$ 141.00 TUBE VENT MORETZ TINY TAB$ 141.00 OIL INSTRUMENT$ 141.00 SCREW CORTEX LOW PRO 3.5 X 32$ 141.00 C1713 SCREW CORTEX 3.5 X 28$ 141.00 C1713 SCREW CORTEX 3.5 X 36$ 141.00 C1713 SCREW CORTEX LO PRO 3.5 X 30$ 141.00 C1713 SCREW CORTEX LO PRO 3.5 X 38$ 141.00 C1713 SCREW CORTEX LO PRO 3.5 X 24$ 141.00 C1713 RETROVIR 10MG/ML INJ$ 141.00 ULTRAFOAM 50 SPONGE$ 141.00 ULTRAVATE OINT 15GM$ 141.00 CAST REMOVAL/REPAIR$ 142.00 29705 SO ROCKY MTN SPOTTED FEVER$ 142.00 86757 SO TYPHUS FEVER IGG/IGM$ 142.00 86757 SO ANABOLIC STEROIDS$ 142.00 80307 SO HU,YO & RI AB W/REFLEX$ 142.00 86255 B12 VITAMIN$ 142.00 82607 RELOAD STPL TA30-4.8$ 142.00 EXTENSION SET MICK LOCK$ 142.00 TUBE TRACH PVC UNCUFFED 8.0MM$ 142.00 TUBE TRACH PVC UNCUFFED 9.0MM$ 142.00 STAPLER SKIN REG PXR-35$ 142.00 STAPLERS REG PXR35$ 142.00 ALPHAGAN 0.2% 5ML$ 142.00 BRETYLOL AMP 500MG/1$ 142.00 CEFEPIME 2 GM/ 50ML$ 142.32 J0692 TX DEVICES; COMPLEX$ 143.00 77334 OPTITORQUE 5FR RADIAL TIG 4.0$ 143.00 OPTITORQUE 5FR RADIAL TIG 4.5$ 143.00 OPTITORQUE 5FR JACKY RADIAL$ 143.00 OPTITORQUE 5FR SARAH RADIAL$ 143.00 SO CATACHOL/FRAC/U$ 143.00 82384 SO HERPES SIMPLEX VIRUS PCR$ 143.00 87529 SO HEP C RNA/PCR QUAL$ 143.00 87521 SO CONSULT AND REPORT REFERRED$ 143.00 88321 SO INTERLEUKIN 6$ 143.00 83520 CA 15.3$ 143.00 86300 SO INSULIN ANTIBOD$ 143.00 86337 SO SELENIUM S$ 143.00 84255 SO CATECHLMINS PLS$ 143.00 82384 SUTR CAPIO 0 48 CURV 833-137$ 143.00 SCREW CANC. 6.5 30MM 216.030$ 143.00 C1713 SCREW CANCEL 6.5MM 216.045$ 143.00 C1713 SCREW CANCEL 6.5MM 216.065$ 143.00 C1713 SCREW CANCEL 6.5MM 216.070$ 143.00 C1713 SCREW CORTEX 2.7 X 34MM$ 143.00 C1713 SCREW CORTEX 2.7 X 30MM$ 143.00 C1713 SCREW CORTEX 2.7 X 28$ 143.00 C1713 DRESSING DERMANET AG 4X8$ 143.00 SCREW CANN 6.5 X 70 X 16MM$ 143.00 C1713 SCREW CANN 6.5 X 70 MM$ 143.00 C1713 EACH ADD 30MIN BEYOND 1ST HR$ 143.00 99357 MAXIPIME 1GM ADD-VAN$ 143.00 J0692 CEFACLOR 250MG/5MLSU$ 143.00 FRAGMIN 5000 IU/0.2M$ 143.00 VANCOMYCIN CAP 250MG$ 143.00 LIDOCAINE HCL 2GR500$ 143.00 ELOCON CREAM 15GM$ 143.00 2-DAY PHASE 3$ 144.00 BLADE RECIPROCATING 227-96-251$ 144.00 WIRE SS SUTURE SIZE 4$ 144.00 C1713 WIRE SS SUTURE 18 GA$ 144.00 C1713 SCREW CTX 2.0 X 8$ 144.00 C1713 SCREW CORTEX SLF TP 2 X 16$ 144.00 C1713 SCREW CORTEX SELF TAP 2 X 18$ 144.00 C1713 SCREW CORTEX ST T6 2.0 X 20 MM$ 144.00 C1713 SCREW CORTEX ST T6 2.0 X 24 MM$ 144.00 C1713 SCREW SELF TAP 2 X 38$ 144.00 C1713 INTRODUCER FOR INFUSION PORT$ 144.00 TUB TRACH KIT SOF SEAL 8.0MM$ 144.00 MIACALCIN NASAL SPRA$ 144.00 LEVAQUIN INJ 250MG/5$ 144.00 J1956 ZOSYN 3.375GM/NS50ML$ 144.00 J2543 SPIRIVA HANDIHALER$ 144.00 BREVIBLOC (ESMOLOL)1$ 144.00 BIAXIN SUSP 125MG/5M$ 144.00 MCD EVAL EA 30 /OT$ 145.00 97165 FB REM SUBCONJUNCTVL$ 145.00 SO HEPARIN ANTI-XA$ 145.00 85520 SO CLOZAPINE, NORCLOZAPINE$ 145.00 G0480 SO EGFR SERUM$ 145.00 84238 COMPREHENSIVE$ 145.00 88325 SO GASTRIN$ 145.00 82941 GLIDEWIRE MICROV STRT 038$ 145.00 C1769 1ST HR BEYOND THE EM SERVICE$ 145.00 99356 DTIC/DOME 200MG VIAL$ 145.00 J9130 CISPLATIN 10MG INJECTION$ 145.00 J9060 AUGMENTIN 200MG/5ML$ 145.00 ROCEPHIN 250MG/NS 50$ 145.00 J0696 EPZICOM TABLET$ 145.00 OT eval, Low comple 30min$ 145.00 97165 GELIFILM 12.5CM$ 145.00 MANDIBLE COMPLETE MIN 4 VIEWS$ 145.00 70110 US GUIDE PERICARDIOCENTESIS S&$ 146.00 76930 GUIDEWIRE VASC FXD-CR 035 260C$ 146.00 C1769 PLASMINOGEN ACTIV INH ANTEG$ 146.00 85415 SO TOXIC SHOCK SYNDROME PANEL$ 146.00 86609 IV CONCURRENT INFUSION$ 146.00 96368 96368 SCREW CANCEL 32MM TL 217.055$ 146.00 C1713 SCREW CANCEL 6.5MM 216.060$ 146.00 C1713 SCREW CANCLUS 218.035$ 146.00 CONNECTOR X-MAS TREE YELLOW$ 146.00 PAD KNEE$ 146.00 GUIDEWIRE HYDRO H20 035X260CM$ 146.00 SCREW CANCEL 6.5MM 218.050$ 146.00 SCREW CANCEL 6.5MM 218.065$ 146.00 C1713 SCREW CANCEL 6.5MM 218.075$ 146.00 C1713 SCREW CANC 6.5 32 THR 70MM 217$ 146.00 C1713 NEEDLE INTRODUCER GEN II$ 146.00 SCREW CORTEX 2.0 T6$ 146.00 C1713 PRIMAXIN250MG/NS100$ 146.00 J0743 TESTOSTERONE 200MG/1ML VIAL$ 146.00 J1071 HESPAN 500ML PLASMA$ 146.00 DEB, SUBQ, FIR 20 SQ CM < LESS$ 146.00 11042 PCN G KCL 5MMU VIAL$ 146.82 J2540 CT HEART CORON CALCU$ 147.00 75571 T4 FREE$ 147.00 84439 C&S BLOOD$ 147.00 87040 SO TOBRAMYCIN RANDOM$ 147.00 80200 MAMMO UNILATERAL RT$ 147.00 77065 77065 MAMMO UNILATERAL, LT$ 147.00 77065 TUBING BLOOD WRMR LEV1$ 147.00 LENS MORGAN DELIVERY ST$ 147.00 BLADE BUR EGG 5.0 TPS$ 147.00 TUBING HEATED INSUFFLATION$ 147.00 CATH GRAHAM 16FR$ 147.00 TOURNIQUET TACTICAL BLACK$ 147.00 GUIDEWIRE 1.1MM X 22$ 147.00 C1769 SCREW CANNCE FT 6.0 X 70 MM$ 147.00 C1713 SCREW CANNCE FT 6.0 X 75 MM$ 147.00 C1713 SCREW CANNCE FT 6.0 X 80 MM$ 147.00 C1713 SCREW CANNCE PT 6.0 X 55 MM 16$ 147.00 C1713 SCREW CANNCE PT 6.0 X 60 MM 16$ 147.00 C1713 SCREW CANNCE PT 6.0 X 65 MM 16$ 147.00 C1713 SCREW CANNCE PT 6.0 X 80 MM 16$ 147.00 C1713 SCREW CANNCE PT 6.0 X 88 MM 32$ 147.00 C1713 SCREW CANCELLOUS 6.0 X 70 T32$ 147.00 SCREW CANCELLOUS 6.0 X 75 T16$ 147.00 SCREW CANCELLOUS 6.0 X 65 FT$ 147.00 SCREW CANCELLOUS 6.0 X 85 MM$ 147.00 608060 STRYKER$ 147.00 C1713 608085 STRYKER$ 147.00 C1713 Cable$ 147.00 TETANUS/DIPH TOX AD$ 147.00 90714 90714 CATAPRES-TTS-2$ 147.00 END CAPS 4MM 5027-1-040$ 147.00 C1713 SPINE SINGLE VIEW$ 147.00 72020 MAMMOGRAM-UNILATERAL KOMEN$ 147.00 77065 CATH THERMO SWAN-GANZ 7F 110CM $ 148.00 PNEUMOVAX ADMIN.$ 148.00 G0009 PNEUMOVAX ADMIN$ 148.00 PNEUMOVAX ADMIN$ 148.00 G0009 SO PARVOVIRUS B19 DNA S$ 148.00 87798 MOLE CYTO ANALYSIS 100-3$ 148.00 88275 SO T CELLS; ABSOLUTE CD4/CD8 C$ 148.00 86360 SO TRYPTASE SERUM$ 148.00 83520 SO COXSACKIE B VIRUS AB$ 148.00 86658 SO INTERLEUKIN-2 RECEPTOR, EIA$ 148.00 84238 NEEDLE QUIKCRE 18G 6CM 10THR$ 148.00 DEVICE TORQUE$ 148.00 C1769 DRAIN 19FR BLAKE$ 148.00 PACK DISCECTOMY OR CUST$ 148.00 TRIPLE LUMEN ADULT$ 148.00 MAJOR OR PACK$ 148.00 GUIDE WIRE 2.0 X 230$ 148.00 C1769 NIMBEX 20MG/10MLVIAL$ 148.00 LIBRIUM AMP 100MG$ 148.00 J1990 RUBELLA VIRUS VACCIN$ 148.00 SCAPULA, LEFT$ 148.00 73010 73010 SCAPULA, RIGHT$ 148.00 73010 73010 STYLET 6054-52 GLBL$ 149.00 VASCULAR SURGICAL SUPPLIES$ 149.00 SO SOLUBLE TRANSFERRIN RECEPTO$ 149.00 84238 SO BORDE PERT AB IGA,IGG/IGM W$ 149.00 86615 Neisseria gonorrhoeae, amplifi$ 149.00 87591 CUTTER MENISCUS 4.0 ANGL AGG$ 149.00 BURR 4.0 AGGRESSIVE PLUS STRT$ 149.00 SCREW CORTEX 2.0 T6$ 149.00 C1713 SCREW CORTEX LOW PRO 3.5 X 46$ 149.00 C1713 BLADE ELECTRODE COATED ENT$ 149.00 AR-8941-6$ 149.00 C1769 AR-8941-7$ 149.00 C1769 3.5MM CRTX SCREW/LO PRO$ 149.00 C1713 3.5MM CRTX SCREW/LO PRO$ 149.00 C1713 3.5MM CRTX SCREW/LO PRO$ 149.00 C1713 3.5MM CRTX SCREW/LO PRO$ 149.00 C1713 BONE CUTTER 4.0MM X 13CM$ 149.00 DISSECTOR 4.0MMX13CM$ 149.00 EXCALIBUR 4.0MM X 13CM$ 149.00 BURR OVAL 8 FLUTE 4.0MMX13CM$ 149.00 5.0 OVAL BURR$ 149.00 NEUROSTIMULATOR LEAD TEMPORARY $ 149.00 BONE CUTTER, HL 4.2MMX19CM$ 149.00 BURR, ROUND HL 8 FL 4MMX19CM$ 149.00 EXCALIBUR HL 4.2MM X 19CM$ 149.00 EXTENDER RETRACTOR TRAXI PANNI$ 149.00 AZOPT 1% OPHTH 5ML$ 149.00 BLADE SHAVER AGRS 2.3MM$ 149.00 XRAY ENTIRE SPINE 1 VIEW$ 149.65 72081 XRAY STRESS VIEW$ 149.65 77071 XRAY ABDOMEN COMPLETE$ 149.65 74020 XRAY SPINE LUMBOSAC BND 2-3 V$ 149.65 72120 CYTOPATH CELL ENHANCE TESH$ 150.00 BURN DRES.DEBRID.SML$ 150.00 16020 SO CLOTTING FACTOR VIII$ 150.00 85240 CYTOPATH CELL ENHANCE TECH$ 150.00 88112 URINE CYTOLOGY$ 150.00 88112 SO MITOCHONDRIA M2$ 150.00 83516 NEEDLE INTEROSSOUS 18 GA$ 150.00 PBDS MINOR LOWER EX$ 150.00 C1781 TROCAR FRST ENTRY THRD 11 X 10$ 150.00 SCREW CORTEX 2.7 202.870$ 150.00 C1713 IV THRPY/HYDRA EAHR$ 150.00 96361 PROZAC 90MG TAB$ 150.00 FENTANYL 500MCG/50ML$ 150.00 J3010 SYNALAR 0.01% CREAM$ 150.00 DICYCLOMINE INJ. 10M$ 150.00 J0500 FUNGIZONE IV 50MG$ 150.00 REPAIR SIMPLE, FACE 7.6-12.5CM$ 150.00 12015 TUBE JEJUNOSTOMY$ 151.00 CARTRIDGE CURVTEK 12MM LG$ 151.00 WIRE GUIDE 2.0MM 292.65$ 151.00 C1769 WRAP & COLD PACK SHOULDER$ 151.00 CEFOTETAN 2GM PB (CE$ 151.00 GELFOAM SPONGE 100MM$ 151.00 CYTOXAN 500MG VIAL$ 151.00 J9070 J9070 I & D ABSCESS SIMPLE/SINGLE$ 151.00 10060 REP SIM, S, T, E 12.6-20.0 CM$ 151.00 12005 STREP A AMPLIF NA PROBE$ 152.00 87651 Staphylococcus Aureus, amplifi$ 152.00 87640 MRSA amplified probe technique$ 152.00 87641 MRSA CLEARING NASAL SWAB PCR$ 152.00 87641 TEST PREGNANCY KT/30/B1077-23$ 152.00 PEG BALLOON GASTRO 18FR 20CC$ 152.00 SCREW CORTEX ST 2.0 X 18$ 152.00 C1713 SCREW CORTEX 2.7 X 12$ 152.00 C1713 SCREW CORTEX SLF TP 2.7 X 14$ 152.00 C1713 SCREW CORTEX SLF TAP 2.7 X 60$ 152.00 C1713 ZOSYN 4.5G VIAL$ 152.00 LEVSIN 1ML INJ .5MG$ 152.00 J1980 ORTHO DIENESTROL CRM$ 152.00 MICROPUNTURE SET MPI$ 153.00 DESC 2-4 SKIN LESION$ 153.00 17003 RPLC GTUBE NO REVJ TRC$ 153.00 43762 SO ANTIDEPRE SERO CLASS; 1OR2$ 153.00 80332 SO ANTIDEP SERO CLASS 6 OR MOR$ 153.00 80337 SO ANTIDEPRESSANT NOS$ 153.00 80338 SO PORPHYRIN/UA QAT$ 153.00 84120 IRRIGATOR STRYKFLO$ 153.00 SCREW CANCELLOUS 6.5$ 153.00 C1713 NEEDLE SCLEROTHRPY 23G 4MM$ 153.00 K-WIRE 2.0 X 235 MM$ 153.00 ALFENTA 10ML$ 153.00 SYNTHROID INJ 500MCG$ 153.00 GLIDESHEATH INTR 6FR 0.035GW$ 154.00 TR BAND STANDARD W/INFLATOR$ 154.00 C1760 TR BAND LONG W/INFLATOR$ 154.00 C1760 PARTICLE EMBOLIZ MCRSP 100-300$ 154.00 C1884 GLIDE CATH 4FR 150CM NONTA ANG$ 154.00 C1887 GLIDE CATH 4FR 100CM NONTA ANG$ 154.00 C1887 CATH GUIDE NON TPR 5FR 65 CM$ 154.00 ECG $ 154.00 93005 ECG 12-LEAD$ 154.00 93005 EKG $ 154.00 93005 EKG $ 154.00 93005 EKG 12 LEAD, TRACING ONLY$ 154.00 93005 E.C.G$ 154.00 93005 CEA $ 154.00 82378 SO ALUMINUM LEVEL$ 154.00 82108 SO THIAMINE B1$ 154.00 84425 SO COMPLEMENT C'5$ 154.00 86160 EKG $ 154.00 93005 CATH THERMODIL/SWANZ 7FR$ 154.00 KIT GASTRIC LAVAGE 18FR PEDI$ 154.00 KIT ACCESS STYLET 65CM$ 154.00 C1769 CONTRAST OPTIRAY 350 200ML$ 154.00 Q9967 PATCH STASYS$ 154.00 C1713 FUSER PRNT KT HP8500 C4155A$ 154.00 Hem-o-lok Clips$ 154.00 CANNULA CEMENT VERTEPORT 11G$ 154.00 METHYLPREDNISOLE 1GM$ 154.00 J2930 E.C.G.$ 154.00 93005 CANNULA 10 G 0306-410-000$ 154.00 APP SK SUB F,S,N,H,F,G 100 SQ$ 154.00 15275 FIBEROPTIC LARYNGOSCOPE$ 155.00 31575 CATH GUIDING 5 FR 100 CM$ 155.00 C1887 MAMMOGRAM SCREENING$ 155.00 77067 MAMMO SCREEN UNI LT$ 155.00 77067 77067 MAMMO SCREEN UNI/RT$ 155.00 77067 MAMMO SCREEN UNI LT$ 155.00 77067 G0202 MAMMO SCRN/INDUSTRY$ 155.00 77067 MAMMO SCREEN UNI/RT$ 155.00 77067 MAMMO SCRN/INDUSTRY$ 155.00 77067 IV SOL D5W 100ML$ 155.00 IV SOL D5W 50ML$ 155.00 IV SOL NS 0.9% 100ML$ 155.00 IV SOL D10 1000ML$ 155.00 IV SOL D5W 250ML AVIVA BAGS$ 155.00 IV SOL D10 500ML$ 155.00 IV SOL D5W 1000ML$ 155.00 IV SOL D5W 500ML$ 155.00 IV SOL D5W LR 500ML$ 155.00 IV SOL D5W LR 1000ML$ 155.00 IV SOL D5W 0.45 NS 1000ML$ 155.00 IV SOL D5W 0.45 NS 500ML$ 155.00 IV SOL D5W 0.9% NS 1000ML$ 155.00 IV SOL D5W 0.2% NS 1000ML$ 155.00 IV SOL EMPTY EVAC 1000ML$ 155.00 IV SOL LR 1000ML$ 155.00 IV SOL LR 500ML$ 155.00 IV SOL NS 0.9% 50ML$ 155.00 IV SOL NS 0.9% 250ML AVIVA$ 155.00 IV SOL NS 0.9% 1000ML$ 155.00 IV SOL NS 0.9% 500ML$ 155.00 IV SOL NS 0.45$ 155.00 IV SOL NS 0.45% 500ML$ 155.00 IV SOL H20 INJ 1000ML BG$ 155.00 SCREW CANCEL 6.5MM 216.085$ 155.00 IV SOL PLASMALITE PH7.4 1000CC$ 155.00 TAPE GLOW AND TELL$ 155.00 PIN THREADED TROCHAR PNT 2 END$ 155.00 SCREW CORTEX 2.7 X 24$ 155.00 C1713 ANZAMET 100 MG VIAL$ 155.00 J1260 MAMMOGRAM SCREENING KOMEN$ 155.00 77067 CATH GUDING 6F Z26EBU375$ 156.00 C1887 CATH GUID PERIPH PK1 6FR 100$ 156.00 C1887 TSH-ULTRA TS HORMONE$ 156.00 84443 SO ENDOMYSIAL ABY.$ 156.00 86255 TSH $ 156.00 84443 PACK VERTEBROPLASTY OR CUST$ 156.00 BLADE RECIPROCATING 277-96-325$ 156.00 MEDTRONIC WRENCH$ 156.00 DRILL BIT POLARUS 2.8$ 156.00 PLATE TACK PL-PTACK$ 156.00 C1713 EMBOLECTOMY CATH 3 FR$ 156.00 EMBOLECTOMY CATH 4 FR$ 156.00 EMBOLECTOMY CATH 5 FR$ 156.00 EMBOLECTOMY CATH 6 FR$ 156.00 EMBOLECTOMY CATH 7 FR$ 156.00 SCREW CORTICAL 2.7 X 12$ 156.00 SCREW CORTICAL 2.7 X 14$ 156.00 SUTURE PROLENE 6/0 4X18 BLU$ 156.00 ACCUCATH 20 GA X 2.25$ 156.00 BAG ENDOSCOPIC 5MM$ 156.00 LOVENOX 30MG INJ$ 156.00 J1650 CORTISPORIN OPTH OIN$ 156.00 EST PATIENT LEVEL 3$ 157.00 99213 SO VITAMIN K1$ 157.00 84597 ARC PRETREAT CHEM/DR$ 157.00 86970 TISSUE CULTURE$ 157.00 88230 SO LIBRIUM$ 157.00 G0480 BLADE CAST SAW STRYKER$ 157.00 DRAPE STERILE DOUBLE DISC$ 157.00 ROD CARBON FIBER 4.0MM 395.60$ 157.00 ROD CARBON FIBER 4.0MM 395.61$ 157.00 C1713 ROD CARBON FIBER 4.0MM 395.62$ 157.00 C1713 ROD CARBON FIBER 4.0MM 395.63$ 157.00 C1713 SCREW COMPRES DHS/DCS 280.99$ 157.00 C1713 CATH CERVICAL RIPEN 18FR 40CM$ 157.00 C1726 DICLOFENAC GEL 100 GM$ 157.00 DEBRIDE, BONE, EA ADD 20 SQ CM$ 157.00 11047 LONG ARM SPLINT$ 158.00 29105 DEBRIDE NAILS 1-5$ 158.00 SO FECAL FAT QUAN$ 158.00 82710 SO HVA$ 158.00 83150 THORACOPORT 10.5MM TCR$ 158.00 INTRODUC MICROPUNCTURE 4.5X9CM $ 158.00 C1874 INTRODUC PEEL MICRO 6.0FX9CMX7$ 158.00 CAP 5.0MM FIX PIN 394.993$ 158.00 C1713 ELASTIC NET SIZE 11$ 158.00 SCREW 1.5 X 6MM SK1510-06$ 158.00 BREAST FEEDING EDUCAT PER 30 M$ 158.00 99402 LACTATION CONSULTS 30 MIN$ 158.00 99402 DOC OBS STATUS LOW SEVERITY$ 158.00 99218 MAXIPIME 1 G/NS50ML$ 158.00 J0692 DIPROLENE GEL 15GM$ 158.00 NASALIDE SPRAY 25ML$ 158.00 KIT GASTRIC LAVAGE 34FR$ 159.00 TUBE TRCHSTMY 8DCFS$ 159.00 TUBE TRCHSTMY 6DCFS$ 159.00 TUBE TRCHSTMY 4DCFS$ 159.00 WIRE GUIDE 2.8MM 292.68$ 159.00 C1713 SENSOR DUAL FLEX$ 159.00 WIRE GUIDE THR 2.5MM 338.00$ 159.00 C1769 TUBE TRACH 9.0 CUFFLESS$ 159.00 TRIAL CASSETTE VAC VERAFLO$ 159.00 ADMIS/INIT VISIT LOW SEVERITY$ 159.00 99221 OPTI-RAY 240 50CC RE$ 159.00 Q9966 I & D PILONI CYST, SIM/SINGLE$ 159.00 10080 SET INTRODUCER SHEATH 40CM$ 160.00 C1766 3-DAY PHASE 3$ 160.00 SO HYDROX PROGES. 17$ 160.00 83498 VANCOMYCIN RANDOM$ 160.00 80202 SO INTERLEUKIN 6$ 160.00 83520 SO COMPLEMENT COMPONENT 1 FUNC$ 160.00 86161 VANCOMYCIN TROUGH$ 160.00 80202 VANCOMYCIN PEAK$ 160.00 80202 RELOAD STPL TA60-3.5$ 160.00 RELOAD STPL TA60-4.8L$ 160.00 BLADE TOTAL SAGITTAL 25MM$ 160.00 INTROD STIFFENED MICROPUNCTURE$ 160.00 SCREW TI CORTEX 2.7MM 402.870$ 160.00 C1713 SCREW TI CORTEX 2.7MM 402.884$ 160.00 C1713 SCREW TI CORTEX 2.7MM 402.886$ 160.00 C1713 SCREW TI CORTEX 2.7MM 402.888$ 160.00 C1713 SCREW TI CORTEX 2.7MM 402.890$ 160.00 C1713 BLADE TOTAL SAGITTAL 18MM$ 160.00 CATHETER EPISTAT NASAL$ 160.00 BLADES DUAL SAGITTAL$ 160.00 HDP PER DOSE$ 160.00 A9561 ULTRA VENT SYSTEM$ 160.00 ZOFRAN 4MG/2ML$ 160.00 J2405 NESACAINE-CE 2% INJ.$ 160.00 MONISTAT 3 200MG VAG$ 160.00 INITIAL HOSPITAL CARE 1$ 160.00 99221 K WIRE 1.1 MM$ 160.00 C1713 K WIRE 1.6 MM$ 160.00 C1713 INCISION & REMOVAL OF FB, SUBQ$ 160.00 10120 RAD EX STERNOCLAV (S) MIN 3 VI$ 160.00 71130 GUIDEWIRE VASC AMPLA 035 7X260$ 161.00 C1769 DISLOCATN TEMPOROMAN$ 161.00 21480 SO NMO AB IGG$ 161.00 86256 86256 SO FENTANYL, URINE$ 161.00 G0480 SO ALDOSTERONE$ 161.00 82088 SO JC VIRUS QUANT. PCR CSF$ 161.00 87799 RELOAD TX LIN STPLR 30MM VAS$ 161.00 SCISSOR CRVD LAP DRCT DRV 5MM$ 161.00 IONTOPATCH LARGE 80M$ 161.00 ENDOSTITCH POLYSORB 2.0$ 161.00 ENDOSTITCH 0 POLY 170050$ 161.00 ENDOSTITCH 3-0 POLY 170070$ 161.00 SCREW CANCEL 6.5MM 216.100$ 161.00 C1713 SCREW CANCEL 6.5MM 216.105$ 161.00 C1713 SCREW CANCEL 6.5MM 216.110$ 161.00 C1713 SCREW CANCEL 6.5MM 217.100$ 161.00 C1713 SCREW CANCEL 6.5MM 217.110$ 161.00 C1713 SCREW CANCEL 6.5MM 218.080$ 161.00 C1713 SCREW CANCEL 6.5MM 218.085$ 161.00 C1713 SCREW CANCEL 6.5MM 218.090$ 161.00 C1713 SCREW CANCEL 6.5MM 218.095$ 161.00 C1713 SCREW CANCEL 6.5MM 218.100$ 161.00 C1713 SPLINT ELBOW RANGER MD$ 161.00 NUT SPRING LOADED 393.43$ 161.00 C1713 SCREW CANCEL 6.5MM 217.105$ 161.00 C1713 SCREW CANCEL 6.5MM 217.100$ 161.00 C1713 BLADE BUR ROUND 6.3 TPS$ 161.00 BETOPTIC S 0.25PERC OPT 10 ml$ 161.00 TOBRADEX OPTH SUSP 2.5 ML$ 161.00 KNEE 3 VIEWS RT$ 161.00 73562 73562 KNEE 3 VIEWS LT$ 161.00 73562 73562 SPECIAL STAINS GROUP 2$ 162.00 ED LEVEL III$ 162.00 99283 SO PLATELET ANTIB'S$ 162.00 86022 SPECIAL STAINS;GROUP II$ 162.00 88313 SPLITTING BLOOD/BLOOD PRODUCTS$ 162.00 86985 SPECIAL STAINS GROUP 2$ 162.00 88313 SO CYCLOSPORIN$ 162.00 80158 CATH BRONCHO 37L$ 162.00 RELOAD STPL / CUTR GIA60-2.5$ 162.00 PROBE PULSE-OX DATASCPE DISP$ 162.00 TUBE TRCHSTMY 8 DCFN$ 162.00 FIBERWIRE SNARE #2$ 162.00 C1713 ZITHROMAX 1GM POWDER$ 162.00 NAROPIN 200MG/100ML$ 162.00 J2795 ZOSYN 4.5GM/NS 50ML$ 162.00 J2543 VINORELBINE 50MG/5ML VIAL$ 162.00 J9390 NESACAINE-CE HCL UNI$ 162.00 OT EVAL, MOD COMPLEXITY, 45MIN$ 162.00 97166 WORK HARDENING 2HRS$ 163.00 97545 ECG 1-3 LEADS INTRP/REPT$ 163.00 93040 RENAL PANEL$ 163.00 80069 SO PARVOVIRUS B19 DNA QUAN PCR$ 163.00 87799 PHLEBOTOMY THERAPEUTIC$ 163.00 99195 PHLEBOTOMY, THERAPU.$ 163.00 99195 CATH BRONCHO 35L$ 163.00 CATH BRONCHO 39L$ 163.00 COUPLING MODULAR HAND 316.396$ 163.00 COUPLING MODULAR HAND 316.402$ 163.00 BLADES AGG PLUS - 3.5$ 163.00 BLADE AGG PLUS - 5.5$ 163.00 BLADE BUR PEAR 5.0$ 163.00 BLADE AGG PLUS 4.0$ 163.00 BLADE PEAR BUR 6.0$ 163.00 IMMOBLIZIER SLINGSHOT SHLDER L$ 163.00 NEEDLES FOR RF PROBE$ 163.00 HAEMOPH-B VACC 0.5CC$ 163.00 AUGMENTIN 400MG/5ML$ 163.00 SPECTAZOLE 1% CREAM$ 163.00 CARDIZEM 100MG/NS100$ 163.00 DOPAMINE 800MG IV$ 163.00 CALDOLOR 800 MG VIAL$ 163.00 J1741 EPHEDRINE 25 MG/5 ML SYRINGE$ 163.00 MEFOXIN 2GM VIAL$ 163.00 J0694 US OF SPINE$ 163.00 76800 TRIM DYSTPH NAILS$ 163.00 G0127 INTRALIPID .20 100ML$ 163.10 FACE TO FACE WITH PATIENT 35 M$ 164.00 99233 CATH GUIDE CORO AMPLATZ 6FR$ 164.00 C1887 CATH GUIDE CORO IMA 6F 100CM$ 164.00 C1769 CATH GUIDE CORO IMA 6F 90CM$ 164.00 C1769 CATH GUIDE CORO JL3.0 6F 100CM$ 164.00 C1769 CATH GUIDE CORO JR3.0 6F 100CM$ 164.00 C1769 CATH GUIDE COR SCR4.0 6F 100CM$ 164.00 C1769 CATH GUIDE CORO 5F 058 100CM$ 164.00 C1769 CATH GUIDE CORO 5F 058 100CM$ 164.00 C1769 TROPONIN$ 164.00 84484 SO ECHOVIRUS AB$ 164.00 86658 SO SERPINA 1$ 164.00 81332 SO HLA-A29 DETERMINATION$ 164.00 81374 PACK OB$ 164.00 DRESSING VAC KIT LG ATS$ 164.00 SYRINGE INFLATION$ 164.00 C1727 SHEATH BANANA PEEL 16X15$ 164.00 C1887 SHEATH BANANA PEEL 12X15$ 164.00 C1887 SHEATH BANANA PEEL 11X15$ 164.00 SHEATH BANANA PEEL 9X15$ 164.00 PACK UPPER EXTEMITY$ 164.00 WRENCH KIT$ 164.00 SPLINT FT DROP EXPDED HEEL SM$ 164.00 DAVINCI TIP BLUE UTERINE MANIP$ 164.00 SCREW CORTEX 1.5MM$ 164.00 C1713 SCREW CANNCELLOUS 6.5 X 80$ 164.00 C1713 SCREW CORTEX 1.5MM X 9MM$ 164.00 C1713 SCREW CORTEX 1.5 X 13$ 164.00 C1713 TUBESET DECLOG$ 164.00 FOLLOW-UP NEW/DEV SEVERELY UNS$ 164.00 99233 SPEECH TREAT PER DAY$ 165.00 92507 MCD INDIV TX$ 165.00 92507 FAMILY PSYCHOTHERAPY W/O PATIE$ 165.00 90846 US GUIDED$ 165.00 76937 SO NTX-TELOPEP,URI$ 165.00 82523 PLATE MIN T 2.0M$ 165.00 C1713 DRESSING VAC KIT MED ATS$ 165.00 SURGICEL NUKNIT HEMSTAT 3X4$ 165.00 PERCUSSOR NEONATAL$ 165.00 PLATE QUARTER-TUBE 242.04$ 165.00 C1713 STAPLER 9.0 134046$ 165.00 PACK PACEMAKER TRAY$ 165.00 CLIP APPLIER LARGE 13"$ 165.00 BLADE SAGITTAL 6113-89-90$ 165.00 EASYSPRAY SETS$ 165.00 SUTRE STRATAFIX SPIRAL 0.22 CM$ 165.00 PRIMAXIN 500MG IM$ 165.00 J0743 ARIXTRA 2.5MG INJ$ 165.00 J1652 D30W 500ML$ 165.00 VIMPAT 200MG/20ML VIAL$ 165.00 EPIFRIN .5 percent 5ML$ 165.00 SUBSEQUENT HOSPITAL CARE 3$ 165.00 99233 SPEECH, LANG, VOICE COMM/AUD$ 165.00 92507 SPEECH TREATMENT PER DAY$ 165.00 92507 US GUID CVL PLACEMEN$ 165.00 76937 APPLY COMPRES WRP LT$ 165.00 29580 APPLY COMPRES WRP RT$ 165.00 29580 APPLY RIGID TOTAL CONTACT CAST$ 165.00 29445 SLEEVE TROCAR EXCEL 11MM$ 166.00 FOLLOWER PHLP STRT WOV 10FR$ 166.00 FOLLOWER PHLP STRT WOV 12FR$ 166.00 FOLLOWER PHLP STRT WOV 14FR$ 166.00 FOLLOWER PHLP STRT WOV 16FR$ 166.00 FOLLOWER PHLP STRT WOV 18FR$ 166.00 FOLLOWER PHLP STRT WOV 20FR$ 166.00 FOLLOWER PHLP STRT WOV 22FR$ 166.00 FOLLOWER PHLP STRT WOV 24FR$ 166.00 FILTER SYSTEM REDI FLOW FINE$ 166.00 BLADE BUR ROUND 3.2 TPS$ 166.00 BLADE BUR ROUND 4.8 TPS$ 166.00 BLADE BUR ROUND 6.3X21.8$ 166.00 SCREW CORTEX ST 2.0 X 24$ 166.00 C1713 SCREW CORTEX ST 2.0 X 26$ 166.00 C1713 SCREW CORTEX ST 2.0 X 28$ 166.00 C1713 SCREW CORTEX ST 2.0 X 30$ 166.00 C1713 SCREW CORTEX ST 2.0 X 32$ 166.00 C1713 SCREW CORTEX ST 2.0 X 34$ 166.00 C1713 SCREW CORTEX ST 2.0 X 36$ 166.00 C1713 SCREW CORTEX ST 2.0 X 38$ 166.00 C1713 SCREW CORTEX ST 2.0 X 40$ 166.00 C1713 NORFLEX INJ. 60MG$ 166.00 J2360 VOLTAREN OPHTHALMIC$ 166.00 BLEPHAMIDE SOPO/OINT$ 166.00 HIP 1 VIEW LT$ 166.00 73501 INFNT/CHLD PELVS/HIP 1 VIEW$ 166.00 73501 HIP-OR-RIGHT 1 VIEWS$ 166.00 73501 HIP-OR-LEFT 1 VIEW$ 166.00 73501 HIP 1 VIEW RT-PELVIS$ 166.00 73501 HIP 1 VIEW LT-PELVIS$ 166.00 73501 HIP 1 VIEW RT$ 166.00 73501 CATH GUIDE CORO EBU 3.5 FR 081$ 167.00 C1887 CATH GUID PERIPH MPH 6F 071 X$ 167.00 C1887 CATH GUID PERIPH PK1 6F 071 X$ 167.00 C1887 CATH GUID PERIPH RDC 6F 071 X$ 167.00 C1887 CATH GUID PERIPH MPH 7F 081 X$ 167.00 C1887 CATH GUID PERIPH PK1 7F 081 X$ 167.00 C1887 CATH GUID PERIPH RDC 7F 081 X$ 167.00 C1887 CATH GUID PERIPH MPH 8F 090 X$ 167.00 C1887 CATH GUID PERIPH PK1 8F 090 X$ 167.00 C1887 CATH GUID PERIPH RDC 8F 090 X$ 167.00 C1887 SUBQ NURS FAC PER DAY E/M$ 167.00 99308 SO ESTRONE -$ 167.00 82679 SO CMV QUANTITATIVE PCR$ 167.00 87497 SO ERYTHROPOIETIN$ 167.00 82668 IV FLUID PER BAG$ 167.00 BIPAP CPAP WHISPER SWIVEL$ 167.00 C1781 GRASPER CARTRIDGE 5MM X 38CM$ 167.00 NASAL POST PACK$ 167.00 GUIDE WIRE 702459$ 167.00 C1769 TIGER LOOP #2$ 167.00 WASHER 390019$ 167.00 C1713 CORTEX SCREW SELFTAP 28MM$ 167.00 C1713 CORTEX SCREW SELFTAP 64MM$ 167.00 C1713 SUBSEQUENT OBSERV CARE PER DAY$ 167.00 99226 HAEMOPHILUS B FLU VC$ 167.00 90648 LOTEMAX 0.5OP$ 167.00 CEFTAZIDIME 2GM ADD/$ 167.00 J0713 DOPAMINE HCL 400MG/2$ 167.00 MCD EVAL EA 30 /PT$ 168.00 97162 GUIDEWIRE, ROADRUNNER .035X180$ 168.00 C1769 GUIDEWIRE, ROADRUNNER .035X260$ 168.00 C1769 AVULSION NAIL$ 168.00 11730 SO ORGANIC ACID SC U$ 168.00 83918 SO ITRACONAZOLE$ 168.00 80299 INTERPHASE IN SITU HYBRID 100-$ 168.00 88275 PATH CONSULT INTRAP 1 BLOC$ 168.00 88331 DRILL BIT QC 1.5MM$ 168.00 GEL IODOSORB 10GRAM$ 168.00 A6261 NERVE LOCATOR VAR-STIM$ 168.00 PT eval, mod comple 30m$ 168.00 97162 PT eval, High com 45min$ 168.00 97163 PT EVAL, LOW COM 20MIN$ 168.00 97161 MCD EVAL EA 30 /PT$ 168.00 97162 PT EVAL, LOW COMPLEXITY, 20MIN$ 168.00 97161 PT eval, moderate comple 30min$ 168.00 97162 PT eval, High complexity 45min$ 168.00 97163 RT TX PLANNING; SIMPLE$ 169.00 77261 OPTIRAY 350 200ML$ 169.00 Q9967 BREATHING CAPACITY TEST$ 169.00 94010 BREATHING CAPACITY TEST$ 169.00 94010 SPIROMETRY INCLUD GRAPH RECORD$ 169.00 94010 GENTAMICIN TROUGH$ 169.00 80170 GENTAMICIN PEAK$ 169.00 80170 GENTAMICIN RANDOM$ 169.00 80170 CROSSMATCH ANTIGLOBU$ 169.00 86922 ARC CROSSMATCH$ 169.00 86922 KIT CENTRAL VENOUS CATH 7F$ 169.00 C1751 RELOAD STPL TA90-3.5$ 169.00 RELOAD STPL TA90-4.8$ 169.00 TUBE TRCHSTMY 6 DCFN$ 169.00 HANDPIECE FOOTCONTROL DISP.$ 169.00 PLATE MINI FRAG 242.340$ 169.00 C1713 PLATE 3 HOLE 243.130$ 169.00 C1713 BARB STAPLES$ 169.00 GUIDEWIRE 1.6 900.601$ 169.00 C1769 SCREW CANCELLOUS 6.5 X 75$ 169.00 C1713 SCREW CANCELLOUS 6.5 X 70$ 169.00 C1713 SCREW CANCELLOUS 6.5 X 60$ 169.00 C1713 SCREW CORTEX 2.0 X 36MM$ 169.00 C1713 SCREW CORTEX 2.0 X20$ 169.00 C1713 SCREW CORTEX 2.0 X 22$ 169.00 C1713 SCREW CORTEX 2.0 X 24$ 169.00 C1713 SCREW CORTEX 2.0 X 28$ 169.00 C1713 CANNULA ACCESS IVS 10 G$ 169.00 CANNULA ACCESS IVAS 11 G$ 169.00 HEPATITIS B VAC PED$ 169.00 90744 ZYPREXA 10 MG VIAL$ 169.00 PEAK FLOW METER$ 169.00 SIMPLE SPIOMETRY (PFT)$ 169.00 94010 PREVENTIVE COUNSEL INDIV 30MIN$ 169.00 99402 IV SOL PER BAG$ 169.00 X-RAY EYE/FOREIGN BODY, LT$ 169.00 70030 X-RAY EYE/FOREIGN BODY RT$ 169.00 70030 INSERT ART LINE$ 170.00 36620 ANESTHESIA COMPLI ER CONDITION$ 170.00 99140 INSERT ART LINE$ 170.00 36620 ANESTH COMPLI ER COND$ 170.00 99140 CATHETER GUIDING SR 3.0$ 170.00 C1887 CHEMO IV THERAPY EA ADD HR$ 170.00 96415 SO RISTOCETIN COFAC$ 170.00 85245 DEPAKOTE/VALPROIC$ 170.00 80164 SO P2Y12$ 170.00 85576 SO DHEA SERUM$ 170.00 82626 SO VITAMIN B6$ 170.00 84207 CHEMO ADMIN IV THRY EA HR$ 170.00 96415 PILLOW SHLDR ABDUCT MED$ 170.00 CATH GUIDING 6F JL 3.5$ 170.00 CATH GUIDING 6F JL 4.0$ 170.00 C1887 CATH GUIDING 6F JL 4.0 SH$ 170.00 C1887 CATH GUIDING 6F JL 4.5$ 170.00 C1887 CATH GUIDING 6F JL 5.0$ 170.00 C1887 CATH GUIDING 6F EBU 3.5$ 170.00 C1887 CATH GUIDING 6F EBU 4.0$ 170.00 C1887 CATH GUIDING 6F JR 3.0$ 170.00 C1887 CATH GUIDING 6F JR 3.0 SH$ 170.00 C1887 CATH GUIDING 6F JR 3.5$ 170.00 C1887 CATH GUIDING 6F JR 3.5 SH$ 170.00 C1887 CATH GUIDING 6F JR 4.0$ 170.00 C1887 CATH GUIDING 6F JR 4.0 SH$ 170.00 C1887 CATH GUIDING 6F JR 5.0$ 170.00 C1887 CATH GUIDING 6F FR 4.0$ 170.00 C1887 CATH GUIDING 6F SR 3.5$ 170.00 C1887 CATH GUIDING 6F SR 4.0$ 170.00 C1887 CATH GUIDING 6F SCR 3.5$ 170.00 C1887 CATH GUIDING 6F SCR 4.0$ 170.00 C1887 CATH GUIDING 6F AL 1.0$ 170.00 C1887 CATH GUIDING 6F AL 1.5$ 170.00 C1887 CATH GUIDING 6F AL 2.0$ 170.00 C1887 CATH GUIDING 6F AR 1.0$ 170.00 C1887 CATH GUIDING 6F AR 2.0$ 170.00 C1887 CATH GUIDING 6F SAR 1.0$ 170.00 C1887 CATH GUIDING 6F MB1$ 170.00 C1887 CATH GUIDING 6F HS 1$ 170.00 C1887 CATH GUIDING 6F ELGAMEL$ 170.00 C1887 CATH GUIDING 6F MAC 3.0$ 170.00 C1887 CATH GUIDING 6F MAC 3.5$ 170.00 C1887 CATH GUIDING 8F JL 4.0$ 170.00 C1887 CATH GUIDING 8F JL 4.0 SH$ 170.00 C1887 CATH GUIDING 8F JL 5.0 SH$ 170.00 C1887 CATH GUIDING 8F EBU 3.5$ 170.00 C1887 CATH GUIDING 8F EBU 4.0$ 170.00 C1887 CATH GUIDING 8F JR 4.0$ 170.00 C1887 CATH GUIDING 6F JL 3.0$ 170.00 C1887 CATH GUIDING 6F JL 3.0 SH$ 170.00 C1887 PROBE MAMMOTOME 11 G$ 170.00 BALLOON DILATATION SPRINTER$ 170.00 C1768 CATH GUIDING 4.0 Z26RBU40$ 170.00 C1725 CATH GUIDING 8FR 091X100$ 170.00 CATH GUIDING 6FR Z26EBU30SH$ 170.00 CATH GUIDING Z26SR35SH$ 170.00 C1727 CATH GUIDING 6F 071X100$ 170.00 SUTR ETHBND GRN BR 4-0 30$ 170.00 SUTR VIC UD BR CT 3-0 27$ 170.00 CATH GUIDING 6FRX3.5 Z26FR35$ 170.00 CATH GUIDING 6FR LCB Z26LCB$ 170.00 CATH GUIDING 6F EBU 3.0$ 170.00 C1887 CATH GUIDING 4.0SH Z26FR40SH$ 170.00 CATH GUID 6FX3.0 SH Z26FR30SH$ 170.00 CATH GUIDING 6FR IMA$ 170.00 CATH GUIDING 6FR Z26CHAMP10$ 170.00 C1887 CATH GUID 6FX3.5 SH Z26FR35SH$ 170.00 C1874 INTRODUCER SET PEELAWAY 9F 30C$ 170.00 C1727 CATH GUIDE Z2 IMA 6F 070X100CM$ 170.00 CATH GUIDE Z2 IMA 6F 070X100CM$ 170.00 CATH GUI Z2 CHAMP1.5 6F070X100$ 170.00 C1887 CATH GUI Z2 EBU3.5SH6F070X100C$ 170.00 C1887 CATH GUIZ2 EBU4.0SH 6F 070X100$ 170.00 C1887 CATH GUIZ2 EBU4.5SH 6F 070X100$ 170.00 C1887 CATH GUIZ2 EBU5.0SH 6F 070X100$ 170.00 C1887 CATH GUI Z2 FL3.0 6F 070MX100C$ 170.00 C1887 CATH GUI Z2 FL3.5 6F 070MX100C$ 170.00 C1887 CATH GUI Z2 FL4.0 6F 070MX100C$ 170.00 C1887 CATH GUI Z2 FR3.0 6F 070MX100C$ 170.00 C1887 CATHETER GUIDE 6F IMA 90CM$ 170.00 C1887 CATH GUIDE 6F IMASH 070X100CM$ 170.00 C1887 CATH GUIDE 6F IMA SH 070X90CM$ 170.00 CATH GUIDE LCBSH 6F 070X100CM$ 170.00 C1887 CATH GUIDE 6F MAC 3.0 SH$ 170.00 C1887 CATH GUIDE MAC 4.0 6F 070X100C$ 170.00 C1887 CATH GUIDE Z2 MB2 6F 070X100C$ 170.00 C1887 CATH GUIDE Z2 RCB 6F 070X90CM$ 170.00 C1887 CATH GUIDE Z2 RCBSH 6F 070X90C$ 170.00 C1887 CATH GUIDE SCR3.5SH 6F 070X100$ 170.00 C1887 CATH GUIDE 6F SCR4.0 SH$ 170.00 C1887 CATH GUIDE EBU 3.0 8F 091X100C$ 170.00 C1887 CATH GUIDE Z2 EBU 3.5 8F SH$ 170.00 C1887 CATH GUIDE Z2 FR 3.5 8F$ 170.00 C1887 THERAPUTTY YELLOW$ 170.00 SPLINT FT DROP EXPDED HEEL LG$ 170.00 CATH GUIDING 6F 3D RIGHT$ 170.00 DISK OPTICAL 9.1GHB CT$ 170.00 BIT DRILL MS-DC35$ 170.00 DRILL BITS MS-DC28$ 170.00 WIRE GUIDE WS-2020$ 170.00 C1769 SCREW CANC 6.5 X 95$ 170.00 C1713 ROD STEEL$ 170.00 C1713 EOVIST PER ML (10ML VIAL)$ 170.00 A9581 EOVIST 10ML VIAL$ 170.00 A9581 CYCLOSPORINE 250MG$ 170.00 J7516 MEFOXIN 2GM/NS 50ML$ 170.00 J0694 GELFOAM POWDER 1GM$ 170.00 FAMILY PSYCHOTHERAPY W PATIENT$ 171.00 90847 GLIDEWIRE ADVAN .035 X 260 CM$ 171.00 C1769 EST PATIENT LEVEL 4$ 171.00 99214 THORACENTESIS$ 171.00 32554 SO H PYLORI ABY IG$ 171.00 86677 SO CHLAMYDIA TRACHOMATIS RNA T$ 171.00 87491 CYTOPATH EVAL FNA REPORT$ 171.00 88173 PBDS HERNIA$ 171.00 PBDS HIP PINNING$ 171.00 SCREW CORTEX 1.5MM 400-810.96$ 171.00 C1713 SCREW CORTEX 1.5MM 400.812.96$ 171.00 C1769 SCREW CORTEX 1.5MM 400.808.96$ 171.00 C1713 SCREW CORTEX TI 2.0MM 401.814$ 171.00 C1713 SCREW CORTEX 1.5MM 400.820.96$ 171.00 C1713 SCREW CORTEX 1.5MM 400.806.96$ 171.00 C1713 WIRE GUIDE 1.25 292.600$ 171.00 C1769 SPLINT FOOT DROP X-LG$ 171.00 SCREW CORTEX 2.4 X 24MM$ 171.00 C1713 PIN STEINMANN SMOOTH 2.5X100$ 171.00 C1713 BURR ROUND 6.3MM$ 171.00 COLPO-PNEUMO OCCLUDERS, STERIL$ 171.00 PIPRACIL 4GM ADD/VAN$ 171.00 BI-CILLIN L-A 600,00$ 171.00 J0561 XRAY FINGER(S) 2 VIEWS LT$ 172.00 73140 XRAY FINGER(S) 2 VIEWS RT$ 172.00 73140 OMP$ 172.00 83516 SO HEPATITIS C VIRUS RNA OUAN$ 172.00 87522 PLATE MIN 2.0M ORT$ 172.00 C1713 TRAY PARACENTESIS 8FR TURKEL$ 172.00 PBDS ENT$ 172.00 SCREW 2.7 S-T 14MM 402.814$ 172.00 C1713 SCREW 2.7MM 16MM 402.816$ 172.00 C1713 SCREW 2.7MM SELF TAP 20MM 402.$ 172.00 C1713 SCREW 2.7MM SELF TAP 24MM 402.$ 172.00 C1713 SCREW TI CORTEX 2.7MM 402.812$ 172.00 C1713 KIT CENTRAL VEN CATH 7FR 16CML$ 172.00 TROCAR ENDO BLDLSS 15MM X 100$ 172.00 SCREW CORTEX TI 2 X 14$ 172.00 C1713 SCREW CORTEX TI 2 X 16$ 172.00 C1713 SCREW CORTEX TI 2 X 20$ 172.00 C1713 SCREW CORTICAL 2.0 ST L6$ 172.00 C1713 AZACTAM 1 G/NS 50 ML$ 172.00 BRETYLIUM 1GM/20ML$ 172.00 SCREW CORTEX 2.0 X 14 MM$ 172.00 C1713 SCREW CORTEX 2.0 X 16 MM$ 172.00 C1713 SCREW CORTEX 2.0 X 18 MM$ 172.00 C1713 FINGER/FINGERS LT MIN 2 VIEWS$ 172.00 73140 73140 FINGER/FINGERS RT MIN 2 VIEWS$ 172.00 73140 BONE AGE$ 172.00 77072 77072 GLIDESHEATH INTRO 5FR$ 173.00 GLIDESHEATH INTR 6FR$ 173.00 C1766 SUBSQT HOSP CARE DA 25 MIN$ 173.00 99232 SO SUBSTANCE UNK ID$ 173.00 80307 SO NEURONAL AB IGG BY IMMUNOBL$ 173.00 83516 SO FACTOR V HR2 DNA MUT ANAL$ 173.00 81400 DRESSING VAC WHITEFOAM TRAC$ 173.00 AMPLATZ EX-LONG DILATOR$ 173.00 EZEFORM SPLINT MAT WHITE$ 173.00 INTRODUC MICROPUNCTURE 5.5X9CM $ 173.00 C1874 INFLATOR 10CC LAVEEN$ 173.00 FIBERWIRE #2 10 LOOPS 7MM$ 173.00 C1713 NEEDLE INTRODUCER XL GEN II$ 173.00 FIBERLOOP #2 AR-7234$ 173.00 C1713 ACCESSORY KIT # 3550-14$ 173.00 INFLATOR ENCORE BALLOON$ 173.00 C1726 PROTONIX I.V. 40MG$ 173.00 S0164 CLINDAMYCN LOTN 60ML$ 173.00 VANCOCIN ORAL 1GM/6$ 173.00 CEFTRIAXONE 500MG VL$ 173.00 J0696 SCREW CORTEX 2.0 X 20 MM$ 173.00 C1713 OBSERVATION CARE D/C DA MG$ 173.25 99217 DATE OF HOSP D/C 30MIN OR <$ 173.25 99238 SIMPLE ISODOSE PLAN$ 174.00 77306 PULMONARY REHAB W EXER$ 174.00 G0424 PULMONARY REHAB W/EXER KX$ 174.00 G0424 PULM REHAB FOR COPD PT BUND CO$ 174.00 G0424 PULM REHAB FOR COPD-KX BUND CO$ 174.00 G0424 HEPATIC FUNCTION PANEL$ 174.00 SURGICAL PATH LVL 2$ 174.00 ALPHA-1-ANTITRYPSIN MUT ANA SO$ 174.00 81332 HEPATIC FUNCT. PANEL$ 174.00 80076 ENZYME HISTOCHEMICAL FROZEN SO$ 174.00 88319 SURGICAL PATH GROSS$ 174.00 88300 TISSUE EXAM BY PATHOLOGIST$ 174.00 88302 PLATE SM T$ 174.00 C1713 PLATE S L2.7M$ 174.00 C1713 TRAY MULTILMNEN PEDI 5.5FR$ 174.00 BURR 4.0 BARRELL 6 FLUTE$ 174.00 BURR STRYKER 375-951-100$ 174.00 CASSETTE NX$ 174.00 C1727 ACCESSORY KIT SPINE STIM 3550-$ 174.00 ACCESSORY KIT #3550-28$ 174.00 SCREW BONE 2.7 X 16$ 174.00 C1713 SCREW BONE 2.7 X 16 MM$ 174.00 C1713 SCREW BONE 2.7 X 26$ 174.00 C1713 SCREW BONE 2.7 X 28 MM$ 174.00 C1713 SCREW BONE 2.7 X 22 MM$ 174.00 C1713 SCREW BONE 2.7 X 14 MM$ 174.00 C1713 SCREW BONE T7 2.7 X 38$ 174.00 C1713 SCREW BONE T7 2.7 X 12$ 174.00 C1713 CATH CHOLANGIOGRAPHY C1002$ 174.00 SCREW BONE 2.7 X 12$ 174.00 C1713 SCREW NON-LOCKING 2.7 X 30$ 174.00 C1713 SCREW BONE 2.7 X 24 MM$ 174.00 SCREW BONE 2.7 X 8 MM$ 174.00 40-27032$ 174.00 C1713 420-27040$ 174.00 C1713 40-27050 STRYKER$ 174.00 C1713 40-27036 STRYKER$ 174.00 C1713 SCREW, BONE 2.7 X 34MM$ 174.00 C1713 SUPRAX SUSP100/MG/5L$ 174.00 2.0MM DRILL BIT$ 174.00 2.7MM DRILL BIT$ 174.00 US OB 1ST TRIMS SNGL$ 174.00 76801 OB US <14 WKS SING FETUS$ 174.00 76801 DRESSING/DEBRIDEMENT – MED $ 174.00 16025 HBO SUPERVISION PER SESSION$ 174.00 99183 SNF DISCHARGE < 30 MIN$ 174.25 99315 SO HEP C RNA QUANT$ 175.00 87522 BARICON$ 175.00 SPRAY DUPLOREACH 35 EX$ 175.00 INTRODUCER CHK-FL 40CM RAD 038$ 175.00 C1874 ROD CARBON FIBER 4.0MM 395.64$ 175.00 C1713 ROD CARBON FIBER 4.0MM 395.65$ 175.00 C1713 ROD CARBON FIBER 4.0MM 395.66$ 175.00 C1713 ROD CARBON FIBER 4.0MM 395.67$ 175.00 C1713 SCREW 2.7MM S-TAP 10MM 402.810$ 175.00 C1713 SCREW CANC PT 6.5 X 80$ 175.00 C1713 SCREW CANC PT 6.5 X 65$ 175.00 C1713 SCREW CANC PT 6.5 X 65$ 175.00 C1713 SCREW CANC FT 6.5 X 85$ 175.00 C1713 SCREW CANC FT 6.5 X 90$ 175.00 C1713 TIGERLINK WIRE AR-7235T$ 175.00 C1713 DRESSING HEMO QUICKCLOT Z-FOLD$ 175.00 A6209 CLAFORAN 2 G/NS50ML$ 175.00 J0698 EPOGEN 1000 UNITS$ 175.00 J0885 FENTANYL PATCH 75MCG$ 175.00 X-RAY CLAVICLE, LEFT$ 175.00 73000 73000 X-RAY CLAVICLE, RIGHT$ 175.00 73000 SUBSQT OBS CARE 25 MIN$ 175.50 99225 INIT PSYCH CARE MGMT 70MIN.$ 175.65 99492 SUBSEQ PSYCH CARE MGMT 60MIN.$ 175.65 99493 SWALLOW/FEEDING TX$ 176.00 92526 MULTIPLE-FAMILY GROUP PSYCHOTH$ 176.00 90849 GROUP PSYCHOTHERAPY-MULT FAM$ 176.00 90853 PORT FILMS$ 176.00 77417 SALICYLATE$ 176.00 80307 SO NON-DOT DRUG SCRN$ 176.00 80307 ACETAMINOPHEN$ 176.00 80307 SO OPIATE CONFIRMATION$ 176.00 G0480 83925 BARBITURATES/UR/QUAL$ 176.00 80307 DRUG TESTING/URINE$ 176.00 80307 SO TOTAL INHIBIN$ 176.00 83520 SO METHADONE DRUG SCREEN$ 176.00 80307 DRUG CONFIRMATION EACH DRUG$ 176.00 80307 SO METHADONE-SERUM$ 176.00 G0480 83840 SERUM IMMUNOASSAY$ 176.00 80307 SERUM, GC/FID$ 176.00 80307 SERUM, GC/ECD$ 176.00 80307 URINE IMMUNOASSAY$ 176.00 80307 URINE, GC/MS$ 176.00 80307 SO PROPOXYPHENE$ 176.00 G0480 SO TRAMADOL & METABOLITES$ 176.00 G0480 SO REFLEX METH & META CONF MEC$ 176.00 G0480 SO REFLEX OPIATES CONF/MEC$ 176.00 G0480 SO REFLEX PROPOX CONFIR/MEC$ 176.00 G0480 SO METHADONE URINE$ 176.00 G0480 SO MORPHINE SERUM$ 176.00 G0480 SO PAIN MGT OXYCODONE CONF UA$ 176.00 G0480 SO LSD SCREEN SERUM$ 176.00 80307 SO URINE METHADONE BY GC/MS$ 176.00 80358 SO CORDSTAT 5$ 176.00 80307 SO OPIATES URINE$ 176.00 G0480 SO NORTRIPTY QNT$ 176.00 80307 SO CARDIOLIPIN ANTIBODY$ 176.00 86147 REAGENT WBC B SAPPHIRE$ 176.00 TUBE TRCHSTMY 8FEN$ 176.00 TUBE TRCHSTMY 6FEN$ 176.00 TUBE TRCHSTMY 4FEN$ 176.00 THERAPUTTY RED$ 176.00 ROD REAMING 3.0/950 351.71S$ 176.00 C1713 WIRE GUIDE 2.5MM THREADED$ 176.00 C1713 SCREW 2.7MM SELF TAP 22MM 402.$ 176.00 C1713 SCREW CORTEX 2.0 X 26$ 176.00 C1713 DRUG SCREEN PRESCRIPTION/OTC$ 176.00 80307 SO OPIATES URINE$ 176.00 G0480 83925 METHADONE URINE SO$ 176.00 G0480 80358 SO PAIN MGT METHADONE CONFIR U$ 176.00 G0480 83840 SO PAIN MGT OPIATES CONFIRM UA$ 176.00 G0480 83925 SO PAIN MGT PROPOXYPHENE CON U$ 176.00 G0480 83925 SO PAIN MGT CARISPRODOL URINE$ 176.00 G0480 SO PAIN MGT FENTANYL URINE$ 176.00 G0480 PROCTO CREAM -HC$ 176.00 OCUFLOX 0.3% OPHTH.$ 176.00 XOPENEX HFA IH 45MCG$ 176.00 TERAZOL 7 VAG CRM 45$ 176.00 IMFERON 50MG$ 176.00 J1750 SWALLOW/FEEDING TREATMENT$ 176.00 92526 EST PATIENT LEVEL 5$ 176.00 T1015 HEEL-OS CALCIS, MIN 2 V LEFT$ 176.00 73650 73650 HEEL-OS CALCIS MIN 2 VIEWS RT$ 176.00 73650 73650 TRAY BNE MRW ILL/JAM$ 177.00 SPLINT FOOT DROP LG$ 177.00 NEEDLE COAXIAL BIOP 15.0$ 177.00 INTRODUCER SET 7 FR$ 177.00 GUIDEWIRE RAD ANGL 035X150CM$ 177.00 C1769 FIBERWIRE #2 50" ONE END STIF$ 177.00 C1713 DRILL BIT 2MM X 5 QUICK RELEAS$ 177.00 GUIDEWIRE 2.0$ 177.00 C1769 CATH MIDLINE BASCI 20GA 10CM$ 177.00 TERBUTALINE AMP 1MG$ 177.00 J3105 TRAY PARA/THORA$ 177.00 CATH MIDLINE 10CM$ 177.00 C1751 ALCHOLHOL-SUB ABUS SCRN 15-30$ 177.50 99408 CATH GUIDING 6F FR 5.0$ 177.85 C1887 CAST ELBOW TO FINGER$ 178.00 29075 CATH PICC KIT 4 FR SGLE LUM$ 178.00 CLAMP CATHETER 7F$ 178.00 C1727 PROBE PRESSURE MONITOR INDWELL$ 178.00 WASHER 2.7 MM$ 178.00 C1713 OPTIRAY 350 12X100ML$ 178.00 Q9967 VENTOLIN HFA INHALER$ 178.00 CIPRO 400MG/200ML D$ 178.00 J0744 PRAMOSONE CR 1%$ 178.00 OT EVAL, HIGH COMPLEX, 60MIN$ 178.00 97167 EXC OF NAIL MATRIX, (INGROWN)$ 178.00 11750 NEW PATIENT LEVEL 3$ 179.00 99203 RED IPJ DISLOCATION$ 179.00 28660 SO ASPERGIL.ANTI AB PANEL$ 179.00 86606 IRRIGATOR SIMPLSE FEMOR TIP$ 179.00 GUIDEWIRE NITINOL STIFF$ 179.00 C1769 TUBING ATHROSCOPY$ 179.00 ARTHROSCOPY PUMP TUBING$ 179.00 SCREW CORTEX 2.7 #402.022$ 179.00 C1713 SCREW CORTEX 2.7 #402.024$ 179.00 C1713 SCREW CORTEX 2.7 #402.016$ 179.00 C1713 SCREW CORTEX 2.7 #402.012$ 179.00 C1713 SCREW CORTEX 2.7 #402.026$ 179.00 C1713 SCREW CORTEX 2.7 #402.018$ 179.00 C1713 SCREW CORTEX 2.7 #402.020$ 179.00 C1713 SCREW CORTEX 2.7 X 14$ 179.00 C1713 FORCEP BRONCHO BX 1.7 X 100$ 179.00 LATERAL TRACTION SLEEVE$ 179.00 SCREW CORTEX 2.7 X 40$ 179.00 C1713 TUBING HEATED INSUFFL/ARTHREX$ 179.00 SHUNTOGRAM S&I$ 179.00 75809 EMLA CREAM 30GM$ 179.00 ULTRAFOAM 8 x 12.5 sheet$ 179.00 TOBREX OPTH OINT 3.5$ 179.00 PNEUMOVAX 0.5ML (25M$ 179.00 90732 RAD EX KNEE COMPLETE =>4 VIEWS$ 179.00 73564 73564 RAD EX KNEE, COM => 4 VIEWS RT$ 179.00 73564 73564 PACEMAKER SHEATH INTRODUCER$ 180.00 C1766 CATH BUD 6X15$ 180.00 SCREW TI CORTEX 2.7MM 402.872$ 180.00 C1713 SCREW TI CORTEX 2.7MM 402.874$ 180.00 C1713 SCREW TI CORTEX 2.7MM 402.876$ 180.00 C1713 SCREW TI CORTEX 2.7MM 402.878$ 180.00 C1713 SCREW TI CORTEX 2.7MM 402.880$ 180.00 C1713 SCREW TI CORTEX 2.7MM 402.882$ 180.00 C1713 DRILL BIT J-LTCH 1.1MM 310.113$ 180.00 BIT DRILL QC 1.1MM (310.111)$ 180.00 WIRE COMP LCP FOREFOOT 1.6 X 1$ 180.00 C1713 SCREW METAPHY SLF-TP 2.7 X 16$ 180.00 C1713 0601138 DUPLOTIP APPLIC. 318MM $ 180.00 BICILLIN CR 1,200,000$ 180.00 J0558 ALPHAGAN P 0.15% 5ML$ 180.00 SEREVENT INHAL AEROS$ 180.00 ANGEL PASTE TOPICAL$ 180.00 CANNULA AORTIC ARCH STR 7.0$ 181.00 SO PROT C. ACTIV -$ 181.00 85303 SO ORGANISM IB BY 16s r DNA SE$ 181.00 87158 SO ACTH$ 181.00 82024 CATH MEDCOMP 14X8 20CM LF IJ$ 181.00 GLOVE RADIATION RESIS 6 1/2$ 181.00 GLOVE RADIATION RESIST 8.0$ 181.00 STENT BILIARY GENESIS 9X79 80$ 181.00 C1874 GLOVE RADIOPAQUE 7 1/2$ 181.00 GLOVE RADIOPAQUE SZ 6$ 181.00 NEEDLE COAXIAL BIOP 9.0$ 181.00 NEEDLE SRS DELIVERY$ 181.00 C1713 SCREW CORTICAL 2.7 X 16$ 181.00 NEEDLE ASP EDUS$ 181.00 FLUID/BLOOD WARMER$ 181.00 2.7X8MM SCREW$ 181.00 C1713 2.7X10MM SCREW$ 181.00 C1713 2.7X11MM SCREW$ 181.00 C1713 POUCH FIST/WND EAKIN 9.7X6X3$ 181.00 COLISTIMETHATE 150 MG VIAL$ 181.90 J0770 CATH DILATOR 5.0$ 182.00 CATH DILATOR 6.0$ 182.00 DILATOR 4F$ 182.00 XRAY FEMUR MIN 2 VIEWS LT$ 182.00 73552 XRAY FEMUR MIN 2 VIEWS RT$ 182.00 73552 NOSE BLEED ROUTINE$ 182.00 30901 THROMBIN-ANTITHROMBIN COMP TAT $ 182.00 83520 TRICYCLICS ANTIDEP ID & QT SO$ 182.00 80337 TUBE TRCHSTMY 10FEN$ 182.00 CATH DILATOR 8.0$ 182.00 SCREW CORTEX 2.4 X 18MM$ 182.00 C1713 SCREW CORTEX 2.4 20MM$ 182.00 C1713 SCOLIOSIS SURVEY(AP)$ 182.00 72081 FEMUR, LEFT MIN 2 VIEW$ 182.00 73552 FEMUR, RT MIN 2 VIEWS$ 182.00 73552 73552 MULTIPLE-FAMILY GRP PSYCHOTHER$ 183.00 90849 GROUP PSYCHOTHERAPY-OTHER MULT $ 183.00 90853 TRAY UMBILICAL ARTERY$ 183.00 BURR 5.0 PEAR$ 183.00 MAMO LOK HOMER 20GAX10.0CM$ 183.00 RELOAD STPL / CUTR GIA60-4.8$ 183.00 CATH MIDLINE KIT 4 FR MK02041T$ 183.00 NEEDLE BRACHYTHERAPY 1.2X3$ 183.00 C1727 BURR STRYKER 3.5MM$ 183.00 C1769 CUTR AGG PLUS 5.5MM$ 183.00 C1713 VALVE PASSY-MUIR$ 183.00 BURR 3.5MM RESECTOR$ 183.00 RESECTOR 5.0$ 183.00 BURR 4.0 UNHOODED ROUND$ 183.00 BLADE CARPAL TUNNEL$ 183.00 POUCH LAP TISSUE$ 183.00 LOCKING INSERT 4.0 #370002$ 183.00 C1713 SCREW CORTEX 2.7 X 14$ 183.00 C1713 SCREW CORTEX 2.7 X 22$ 183.00 C1713 SCREW CORTEX 2.7 X 12$ 183.00 C1713 BURR ARTHRO EGG 5.5MM 6FLUTE$ 183.00 ACCESSORY KIT WRENCH & SCREWS$ 183.00 SCREW CORTEX LCP MOD MINI 2.4$ 183.00 C1713 SCREW CORTEX LCP MOD MINI 2.4$ 183.00 C1713 SCREW CORTEX LCP MOD MINI 2.4$ 183.00 C1713 SCREW CORTEX SLF-TP 2.4 X 38$ 183.00 C1713 DRILL BIT 1.1 MM W/MINI-QUICK$ 183.00 SCREW CORTEX SLF-TP T8 2.4X34$ 183.00 C1713 PRESSURE LUMBAR PUNCTR COMPASS $ 183.00 AR8935-40$ 183.00 C1713 AR-8935-42$ 183.00 C1713 AR-8935-36$ 183.00 C1713 POLAR GEL WRAP$ 183.00 NEW PATIENT (PAT) LEVEL 3$ 183.00 99203 CONTNEBTX1ST HR$ 183.00 94644 I & D HEMATOMA$ 183.00 10140 CHEST XRAY SNGLE VIEW FRONT$ 183.00 71045 71010 LATERAL VIEW$ 183.00 71045 X-RAY CHEST 1 VIEW$ 183.00 71045 OMNIPAQUE 240 20ML VIALS$ 184.00 Q9966 NEW PATIENT LEVEL 3$ 184.00 99203 TUBE TRCHSTMY 4LPC$ 184.00 TUBE TRCHSTMY 6LPC$ 184.00 TUBE TRCHSTMY 8LPC$ 184.00 STENT DBLJ SIL 8FR/26CM$ 184.00 C1874 SCREWDRIVER 3.5 314.03$ 184.00 CATH EMBOLECTOMY BIL 5FR$ 184.00 TEST BIOLOGICAL/RAVEN$ 184.00 STENTS POLARIS DUAL 5X26 DURO$ 184.00 STENTS POLARIS DUAL 5X28 DURO$ 184.00 C2617 STENTS POLARIS DUAL 6X24 DURO$ 184.00 C2617 STENTS POLARIS DUAL 6X26 DURO$ 184.00 C2617 STENTS POLARIS DUAL 6X28 DURO$ 184.00 C2617 STENTS POLARIS DUAL 7X24 DURO$ 184.00 C2617 STENTS POLARIS DUAL 7X26 DURO$ 184.00 C2617 STENTS POLARIS DUAL 7X28 DURO$ 184.00 C2617 STENTS BLUE 8X24$ 184.00 C2617 STENTS BLUE 8X28$ 184.00 C2617 SCISSOR SWITCH BLADE DISP$ 184.00 C1713 DRESSING VAC KIT SILVER SM$ 184.00 STENTS POLARIS DUAL 5X14 DURO$ 184.00 C1874 STENTS POLARIS DUAL 5X18 DURO$ 184.00 C1874 TUBE ENDO UNCUFFED 6$ 184.00 TUBE ENDO UNCUFFED 7$ 184.00 LAVAGE$ 184.00 BIT DRILL 310.200$ 184.00 WIRE-K 2.0 492.200$ 184.00 C1713 BIT DRILL 310.320$ 184.00 BIT DRILL 310.450$ 184.00 GUIDE WIRE ASNIS III$ 184.00 C1769 INTRODUCER VASC 5 FR 10CM$ 184.00 STENT URETER SFT 7FR 24CM$ 184.00 C2625 STENT URETER SFT 7FR 26CM$ 184.00 C2625 STENT URETER SFT 7FR 28CM$ 184.00 C2625 STENT URETER SFT 8FR 24CM$ 184.00 C2625 STENT URETER SFT 8FR 26CM$ 184.00 C2625 STENT URETER SFT 8FR 28CM$ 184.00 C2625 10G VERTEPORT #0306-410-000$ 184.00 STENT URETERAL POLARIS 8FR$ 184.00 C2617 STENT URETREAL FIRM 7 X 30$ 184.00 C2617 SHEATH MICROPUNCTURE 4F$ 184.00 ZITHROMAX 500MG/NS$ 184.00 J0456 PACU PHASE II 1ST 30 MIN$ 184.00 EST PATIENT LEVEL 4$ 185.00 99214 XRAY KNEES, STANDING AP$ 185.00 73565 LIPID PROFILE$ 185.00 80061 CHOLESTEROL FRACTION$ 185.00 80061 SPECIAL STAINS GROUP 1$ 185.00 88312 SO BCR/ABL1; MINOR BREAKPOINT$ 185.00 81207 SO LUP. ANTI COAG$ 185.00 85705 TRAY FEM ART LINE 18 GA$ 185.00 BLADE EGG BURR 5.0MM$ 185.00 K-WIRE GLENOID$ 185.00 C1769 DRILL HAND 10G 7.75$ 185.00 DRILL HAND 11 G 7.75$ 185.00 DAVINCI CLIP HEM-O-LOCK MED$ 185.00 CEFZIL 250MG/5ML SUS$ 185.00 KNEE, STANDING BIL$ 185.00 73565 ULTIVA 1MG VIAL$ 185.03 SO BILE ACIDS, FRACTINAT & TOT$ 186.00 83789 SO PHOSPHOLIPID/ATN.$ 186.00 86147 TUBE TRCHSTMY 10LPC$ 186.00 REMOVER VCS CLIP$ 186.00 PBDS MINOR LITHOTOMY$ 186.00 CATH PIG JL4 JR4 6F 038X100$ 186.00 TIGERWIRE #2 50" ONE END STIF$ 186.00 C1769 SCREW 2.4 CORTEX 7MM 201.757$ 186.00 C1713 SCREW 2.4 CORTEX 8MM 201.758$ 186.00 C1713 SCREW 2.4 CORTEX 9MM 201.759$ 186.00 C1713 SCREW 2.4 CORTEX 10MM 201.76$ 186.00 C1713 SCREW 2.4 CORTEX 11MM 201.761$ 186.00 C1713 SCREW 2.4 CORTEX 12MM 201.762$ 186.00 C1713 SCREW 2.4 CORTEX 13MM 201.763$ 186.00 C1713 SCREW 2.4 CORTEX 14MM 201.764$ 186.00 C1713 SCREW 2.4 CORTEX 16MM 201.766$ 186.00 C1713 SCREW 2.4 CORTEX 18MM 201.768$ 186.00 C1713 SCREW 2.4 CORTEX 20MM 201.77$ 186.00 C1713 SCREW 2.4 CORTEX 22MM 201.772$ 186.00 C1713 SCREW 2.4 CORTEX 6MM 201.756$ 186.00 C1713 NEEDLE EPIDURAL 6"$ 186.00 NASAL SPLINT SMALL$ 186.00 NASAL SPLINT MEDIUM$ 186.00 NASAL SPLINT LARGE$ 186.00 CATH EMBOLECTOMY LEMAITRE 38$ 186.00 C1757 CATH EMBOLECTOMY LEMAITRE 48$ 186.00 C1757 FIBERLOOP 13" 2-0 64.8 MM$ 186.00 CPAP DEVICE O-TWO$ 186.00 PIN STEINMANN THREADED TIP$ 186.00 C1713 KIT CHECKPOINT FEM/TIB$ 186.00 PENICILN 5MMU/NS10OM$ 186.00 J2540 PENICILN 2.5MMU/50ML$ 186.00 J2540 TEMODAR 100MG CAP$ 186.00 RIMSO 50 (DMSO) 50ML$ 186.00 NASACORT NASAL INHAL$ 186.00 MORPHINE INJ 50MG/50$ 186.00 J2270 MEPERIDINE 500MG/50M$ 186.00 J2175 AMNISURE ROM TEST$ 186.00 SO FATTY ACID PROFILE$ 187.00 82726 TISSUE CULTURE NON-NEOPLASTIC$ 187.00 88237 MAMMOGRAM BILATERAL$ 187.00 77066 MAMMOGRAM BILATERAL$ 187.00 77066 DRILL BIT QC 2.7MM$ 187.00 ADAPTER Y W/DUAL CHECK OPTIST$ 187.00 SCREW CORTEX 2.0MM 401.810.96$ 187.00 C1713 SCREW CORTEX 2.0MM 401.812.96$ 187.00 C1713 SCREW CORTEX 2.0MM 401.811.96$ 187.00 FILIFORM SPIRAL WOV 5FR 12.5$ 187.00 FILIFORM STRT WOV 4FR 12.5$ 187.00 SCREW CORTEX 2.0MM 401.810$ 187.00 C1713 SCREW CORTEX 2.0MM 401.808$ 187.00 C1713 SCREW CORTEX 2.0MM 401.812$ 187.00 C1713 PLATE MINI FRAG 243.140$ 187.00 C1713 DRILL BIT 4.5MM 310.45$ 187.00 RECIPROCATING BLADE$ 187.00 SHOULDER STABILIZATION KIT$ 187.00 NEEDLE DELIVERY 12 GA X 7.5$ 187.00 DIPROLENE CRM/OINT 0$ 187.00 MAMMOGRAM BILATERAL KOMEN$ 187.00 77066 ACETAZOLAMIDE BLOOD SO$ 188.00 80299 RELOAD STPL / CUTR GIA60-3.8$ 188.00 APPLIER MCA MULTI CLIP SM$ 188.00 STENT GRAFT FLU 6X60 80CM$ 188.00 C1874 SHEATH INTRODUCER PERCUTANEOUS$ 188.00 C1727 KIT INTRODUCER 13FR PEEL-APART$ 188.00 PLATE QUARTER-TUBE 242.03$ 188.00 C1713 GLOVE RADIATION SZ 7 X 1/2$ 188.00 DRESSING VAC KIT SILVER MD$ 188.00 PLATE-L 2.0 243.33$ 188.00 C1713 SCREW CORTEX ST 2.4 X 8$ 188.00 C1713 SCREW CORTEX ST 2.4 X 10$ 188.00 C1713 SCREW CORTEX ST 2.4 X 12$ 188.00 C1713 SCREW CORTEX ST 2.4 X 14$ 188.00 C1713 SCREW CORTEX ST 2.4 X 16$ 188.00 C1713 SCREW CORTEX ST 2.4 X 18$ 188.00 C1713 SCREW CORTEX ST 2.4 X 20$ 188.00 C1713 SCREW CORTEX ST 2.4 X 22$ 188.00 C1713 SCREW CORTEX ST 2.4 X 24$ 188.00 C1713 SCREW CORTEX ST 2.4 X 26$ 188.00 C1713 SCREW CORTEX ST 2.4 X 28$ 188.00 C1713 SCREW CORTEX ST 2.4 X 30$ 188.00 C1713 SCREW CORTEX ST 2.4 X 32$ 188.00 C1713 SCREW CORTEX ST 2.4 X 34$ 188.00 C1713 SCREW CORTEX ST 2.4 X 36$ 188.00 C1713 SCREW CORTEX ST 2.4 X 38$ 188.00 C1713 SCREW CORTEX ST 2.4 X 40$ 188.00 C1713 SCREW CORTEX ST 2.0 X 20$ 188.00 C1713 SCREW CORTEX ST 2.0 X 22$ 188.00 C1713 BIT DRILL 2.0$ 188.00 NEOSTIGMINE 3MG SYRINGE$ 188.00 J2710 HYDROXYZINE SYRUP 10$ 188.00 INTAL INHALER 112M S$ 188.00 ULTRAFOAM 100$ 188.00 TOE/TOES LT 2 VIEWS$ 188.00 73660 73660 TOE/TOES 2 VIEWS RT$ 188.00 73660 73660 CAST GAUNTLET HD/LOF$ 189.00 29085 SURGICLIP MED$ 189.00 APPLIER MCA MULTI CLIP MED$ 189.00 SLINGSHOT SHOULDER$ 189.00 CATH GUI Z2 HSI SH 6F 070MX100$ 189.00 C1887 SCREW CORTICAL LOCKING CO-3160$ 189.00 C1713 FIBERTAPE 7" 2MM$ 189.00 C1713 TIGERWIRE 7" 2MM$ 189.00 C1769 CINCH ANCHOR$ 189.00 SCREW CORTICAL 3.5 X 14 MM$ 189.00 C1713 SCREW CORTICAL 3.5 X 18 MM$ 189.00 C1713 SCREW CORTICAL 3.5 X 20 MM$ 189.00 C1713 SCREW CORTICAL 2.7MM X 22MM$ 189.00 C1713 SCREW CORTICAL 3.5MM X 10MM$ 189.00 C1713 SCREW CORTICAL 2.7 X 18 MM$ 189.00 C1713 SCREW CORTICAL 2.7 X 20 MM$ 189.00 C1713 CALIBRATOR TBI/DBI DC167$ 189.00 OVERSTITCH SUTURE CINCH$ 189.00 ZITHROMAX 200MG/5ML$ 189.00 VYTONE 1% CREAM$ 189.00 EST PATIENT (PAT) LEVEL 4$ 189.00 99214 ACROMIO-CLAV JNT BIL$ 189.00 73050 STERNUM MIN 2 VIEWS$ 189.00 71120 IVP SEQUENTIAL-NEW DRUG$ 190.00 96375 DRAIN ABC, CYST, HEM FROM DENT$ 190.00 PURE TONE AUDIOMETRY; AIR ONLY$ 190.00 ER IV SUQ IVP DIF DR$ 190.00 96375 MOD SED OTH PHYS EA ADD 15MIN$ 190.00 99157 IP CONSULT,INTERMED$ 190.00 99252 TISSUE CULTURE SOLID TUMOR$ 190.00 88239 BL DRAW IMPLNT VAD$ 190.00 36591 IVP-SUBSEQUENT EA ADD'L$ 190.00 96375 BLD DRAW PICC CVL$ 190.00 36592 IVP SEQUENTIAL-NEW DRUG$ 190.00 96375 SCREW SELF TAPPING 1.5X11MM$ 190.00 C1713 INTERPULSE HANDPIECE$ 190.00 SCISSOR TIPS DISPOSIBLE$ 190.00 C1887 SCREW CORTEX 1.5MM 400.814.96$ 190.00 C1713 BIT DRILL QC 4.5MM 310.44$ 190.00 SCREW CORTEX 1.5MM 400.809.96$ 190.00 C1713 SCREW CORTEX 1.5MM 400.816.96$ 190.00 C1713 ROD CARBON 120 395.780$ 190.00 C1713 BLADE BUR 3.2MM 1608-2-11$ 190.00 FORTAZ 2 GRAM/NS50ML$ 190.00 J0713 ACCUZYME SPRAY$ 190.00 CATAPRES-TTS-3$ 190.00 NEEDLE HOLDR AMPLATZ$ 191.00 DUPLEX HEMODIALYSIS ACCESS$ 191.00 XRAY ABDOMEN 1 AP VIEW$ 191.00 74018 SO FACTOR V ACTIV$ 191.00 85220 CVL CATHETER$ 191.00 C1751 APPLIER MCA MULTI CLIP LG$ 191.00 NEEDLE AMPLATZ INSERTS$ 191.00 BLUNT TROCAR OMS-T10BT$ 191.00 SCREW 2.7 12MM 402.812$ 191.00 C1713 SCREW 2.7MM 18MM 402.818$ 191.00 C1713 TROCAR ENDO BALLOON 12X100$ 191.00 LOVENOX 40MG INJECTI$ 191.00 J1650 ABDOMEN (KUB) 1 VIEW$ 191.00 74018 GROUP PSYCHOTHERAPY$ 192.00 90853 XRAY HIP UNILAT W/PEL 2-3V LT$ 192.00 73502 XRAY HIP UNILAT W/PEL 2-3V RT$ 192.00 73502 SO ANTI THROMBN 3 AG$ 192.00 85301 SO RIBOFLAVIN,VIT B2$ 192.00 84252 SO POLIOVIRUS AB NEUTRALIZATIO$ 192.00 86382 SO INSTU HYBRID EA ADD SINGLE$ 192.00 88364 SO RENIN$ 192.00 84244 SO HISTAMINE 24HR URINE$ 192.00 83088 PACK SPECIAL CATH PACK$ 192.00 CATH NASAL BALLOON EPISTAX$ 192.00 MONOPOLAR .35MM 24FR$ 192.00 LOOP CUTTING 27FR$ 192.00 BALL 24FR$ 192.00 BALL 27FR$ 192.00 SCREW CORTEX 2.0MM 401.809.96$ 192.00 C1713 SCREW CORTEX 2.0MM 401.808.96$ 192.00 C1713 STENTS POLARIS DUAL 5X30 DURO$ 192.00 C1874 STENTS POLARIS DUAL 6X30 DURO$ 192.00 C1874 STENTS POLARIS DUAL 7X30 DURO$ 192.00 C1874 PLATE 4 HOLE SEMI-TUB 222.040$ 192.00 C1713 GUIDEWIRE HYDROPHILIC$ 192.00 C1769 SCREW BONE 3.5 X 50 MM$ 192.00 C1713 SCREW BONE 3.5 X 42$ 192.00 C1713 SCREW CORTICAL TI 3.5 X 65$ 192.00 C1713 CABLE INSERTS$ 192.00 C1713 TAMIFLU 12MG/ML SUS$ 192.00 ELIMITE CREAM 60GM$ 192.00 ZOFRAN 8MG TAB$ 192.00 Q0162 HIP 2 - 3 VIEWS LT$ 192.00 73502 HIP-OR-LEFT 2-3 VIEWS$ 192.00 73502 HIP-OR-RIGHT 2-3 VIEWS$ 192.00 73502 INFANT-CHILD PELVIS/HIP 2-3 V$ 192.00 73502 HIP 2-3 VIEWS RT-PELVIS$ 192.00 73502 HIP 2 VIEW LT-PELVIS$ 192.00 73502 HIP 2 - 3 VIEWS RT$ 192.00 73502 COUNSELING VISIT LDCT SCREEN$ 193.00 G0296 REP EA5CM ADD/SCARLG$ 193.00 13122 BICNU 100MG INJ$ 193.00 J9050 SELLA TURCICA$ 193.00 70240 SIMULATION; COMPLEX$ 194.00 77290 FFP, FROZ W/N 8 HRS, EA P/S$ 194.00 P9017 FRESH FROZEN PLASMA$ 194.00 P9017 SUTR RETREIVER HEWSON$ 194.00 PROBE PRESSURE MONITOR QUICK$ 194.00 LARYNGOSCOPE, HANDLE, REUSABLE$ 194.00 LARYNGOSCOPE, HANDLE, REUSABLE$ 194.00 LARYNGOSCOPY, HANDLE, REUSABLE$ 194.00 SYNTHROID INJ 200MCG$ 194.00 PRE/POST CARE PHASE II 1ST 30M$ 194.00 GUIDEWIRE STORQ 180 CM ST$ 195.00 C1769 NAIL FIXATION 360MM/L 456.417S$ 195.00 C1713 COSOPT OCUMETER PLUS$ 195.00 LOTRIMIN LOTION 30ML$ 195.00 CETACAINE SPRAY 56GM$ 195.00 RAD EX SINUS, PARANASAL < 3 VI$ 195.00 70210 ECG 24HR MON CONT W/SCN & ANAL$ 196.00 93226 SO HOMOCYSTINE/PLAS$ 196.00 83090 BUR EGG 4.0MM 1607-2-35$ 196.00 SCREW CORTEX 2.0 SELF TAP$ 196.00 C1713 TRACH CUFFLESS DISTAL 6.0$ 196.00 TRACH CUFFLESS PROXIMAL 6.0$ 196.00 CANNULA INNER 6.0 XLT$ 196.00 SCAN ANLYSIS W/REPRT$ 196.00 93226 93226 D50W 500ML$ 196.00 METASTATIC SURVY LMT$ 196.00 77074 77074 PSYCHOTHERAPY. 30 MIN W/PT AND$ 197.00 90832 RESULTS EXPLAINED TO FAMILY$ 197.00 90887 INTER OF PSYCHIATRIC RESULTS F$ 197.00 90887 PSYCHOTHERAPY, 30 MIN$ 197.00 90832 INJ, ANEST. AGENT PARACERVICAL$ 197.00 64435 SO PROTEIN S ACTIV$ 197.00 85306 URINE SULFATE$ 197.00 84392 CATH THOR RIGHT ANGLE 16FR$ 197.00 CATH THOR RIGHT ANGLE 20FR$ 197.00 CATH THOR RIGHT ANGLE 24FR$ 197.00 CATH THORACIC RT ANGLED 28FR$ 197.00 SHEATH PEELWAY SIDEPORT 7F 13C$ 197.00 BIT DRILL QC 1.5MM 310.14$ 197.00 C1713 ENDOSCOPIC APPLICATOR$ 197.00 ASTELIN 137 MCG NSPR$ 197.00 ROCEPHIN500MG/NS50ML$ 197.00 J0696 ELOCON CR 0.1% 45GM.$ 197.00 BICILLIN CR 900/300I$ 197.00 J0558 AMRINONE 5MG/ML 20ML$ 197.00 CYTARABINE INJ 500MG$ 197.00 J9100 CATH, INTRO OPT 100003004$ 198.00 C1766 CATH OPT INTRO 1000093002$ 198.00 CHEMO SQ/IM HORMONAL$ 198.00 96402 CHEMO SQ/IM HORMONAL$ 198.00 96402 CHEMO HORMON ANTINEOPL SQ/IM$ 198.00 SO INHALENT ALLERGY PANEL$ 198.00 86003 CHEMO ADMIN SQ/IM HORMONAL$ 198.00 96402 CHEMO HORMAN ANTINEOPL SQ/IM$ 198.00 96402 INTRODUCER CHECK FLO FLEXOR 8F$ 198.00 C1769 NEEDLE AVAMAX TROCAR 11GX12CM$ 198.00 SET SHEATH W/O GUIDEWIRE 7F$ 198.00 C1874 CATH GLIDE 5 FR .038 X 65 CM$ 198.00 C1876 INTRO OPTISEAL GLBL 11FR13M-CM$ 198.00 C1766 INTRODUCER FLX 2 6F 018X038X45$ 198.00 C1788 SHORT TAPERED RECIP BLADE$ 198.00 3.5 FLOCUTTER$ 198.00 FIBREWIRE 2-0 MENIS REP NEEDLE$ 198.00 MONITOR PRESSURE COMPASS CMPRT $ 198.00 SUTURE PASSER TRANSOSSEOUS$ 198.00 AR-1322BCNF ARTHREX$ 198.00 C1713 2.0 DRILL BIT FOR SMART TOE$ 198.00 FIBERLINK, BLUE AR-7258$ 198.00 FLUCONAZOLE SUSP 10M$ 198.00 ZITHROMAX 500MG INJ$ 198.00 J0456 X-RAY PELVIS 1-2 VIEWS$ 198.00 72170 FFP BET 8-24 HRS OF COLL EA$ 199.00 P9059 FFP BET 8-24 HRS OF COLL EA$ 199.00 P9059 SHEATH INTRO 7FR FLEXOR$ 199.00 TUBE TRACH CUFF 8.0 XLT$ 199.00 FLOVENT 110MCG INH.$ 199.00 CEFOTAN 2 G/NS 50 ML$ 199.00 INTRAVAS DOP VELOCITY EA ADD V$ 200.00 93572 ACUITY LEVEL I$ 200.00 99281 SH LEG CAST WALKING$ 200.00 29425 MCD LEVEL I$ 200.00 99281 SO FK506$ 200.00 80197 CELL SURFACE SO$ 200.00 88346 SO IMMUNOHISTO AB SLIDE$ 200.00 88342 PLATE STRM 2.0M 5H$ 200.00 C1713 PLATE-T MINI FRAG 243.150$ 200.00 C1713 PLATE 242.030$ 200.00 C1713 THALLOUS CHLORI 4MCI$ 200.00 A9505 AZTREONAM 1GM VL 10'$ 200.00 IRRIG DRUG DELIVERY DEVICE$ 201.00 96523 PORT FLUSH ONLY$ 201.00 96523 96523 SO PROTEIN C AG$ 201.00 85302 BUTTON LIGAMENT HEWSON 19MM$ 201.00 3.0MM DRILL BIT$ 201.00 SANTYL OINTMENT 30GM$ 201.00 CATH PICC KIT 3 FR$ 202.00 C1757 H PYLORI$ 202.00 TOURNIQUET 30"$ 202.00 ABI UNILATERAL$ 202.00 93922 BACTROBAN OINT 2% 22$ 202.00 AP SK S, T, A, L, 1 25 SQ CM$ 202.00 15271 SKLTL SRVY LESS 1YR$ 202.00 77076 77076 PSYCHOTHERAPY, 30 MIN W/E&M$ 203.00 90833 SO PLATELET AB DIRECT$ 203.00 86023 SO PTH RELATED PROTEIN$ 203.00 83519 ARC INCUBATION XM$ 203.00 86921 ARC INCUBATION W/INHIBITORS$ 203.00 86977 SO ARC, AB SCREEN EACH MEDIA$ 203.00 86850 BIT DRILL CPLNG 1.8MM 317.861$ 203.00 DRAIN FLAT SUCTION BI$ 203.00 PLATE 5 HOLE SEMI-TUB 222.050$ 203.00 C1713 ALPHAGAN PO 1% OPTH$ 203.00 THORACOLUMBAR$ 203.00 72080 BN PEPTIDE (BNP)$ 204.00 83880 ATRIAL NATRIURETIC FACTOR PLAS$ 204.00 83880 INSITU HYBRIDIZATION (FISH)$ 204.00 88365 SO TISSUE HYBRIDIZATION$ 204.00 88365 SO G-6PD$ 204.00 82955 SCREW CORTEX 2.4MM 401.518.96$ 204.00 C1713 SCREW CORTEX 2.4 401.506.96$ 204.00 C1713 SCREW CORTEX 2.4 401.507.96$ 204.00 C1713 ANCOBON 500MG CAP$ 204.00 CLEOCIN PED SUSP 75M$ 204.00 REP SIMPLE, FACE, 12.6-20.0CM$ 204.00 12016 PSYCHOTHERPY 60 MIN W/PT/FAM$ 205.00 90837 INSERT CVL-DOCTOR$ 205.00 36556 CATH COBRA GLIDE 90$ 205.00 ORANDI KNIFE -24$ 205.00 CLEANER SANI-CARE DRC$ 205.00 C1713 Meniscus Stapler Handler$ 205.00 KNIFE ORANDI - 27$ 205.00 MANNITOL 20% 500ML$ 205.00 NEW PATIENT LEVEL 4$ 205.00 T1015 REMOVAL FB EYE$ 206.00 65205 OSHA SPIRO (COLUMBIA)$ 206.00 94200 GUIDE WIRE 2.5 X 200$ 206.00 C1769 BECONASE ORAL INHALE$ 206.00 MVV $ 206.00 94200 CPT TX EVAL/DEMON$ 206.00 94667 EST PATIENT LEVEL 5$ 207.00 99215 INSERT FOLEY CATH$ 207.00 51702 AO HANTAVIRUS AB IgG & IgM BY$ 207.00 86790 SCREW CORTEX 6.0MM 400-686$ 207.00 SCREW CORTEX 1.3MM X 8.0MM$ 207.00 C1781 DRILL BIT CPLNG 2.4MM 317.871$ 207.00 BIT DRILL QC 2.0MM 310.201$ 207.00 BOOT TCC-EZ REGULAR$ 207.00 RETRACTOR TRAXI PANNICULUS$ 207.00 PRIMAXIN500MG/NS100M$ 207.00 J0743 ARTERIAL PUNCTURE$ 207.00 36600 REP CO N, H, F EA A 5 CM< LESS$ 207.00 13133 ABDOMEN 2 VIEWS$ 207.00 74019 IVP CHEMOTHERAPY EA ADD DRUG$ 208.00 96411 DRESS/DEBRID PART-THICK BURN S$ 208.00 16020 BURN DRES/DEB SM$ 208.00 SO TESTOSTERONE/TOT$ 208.00 84403 SO GAD65$ 208.00 86341 SCREW BONE 3.5 X 60$ 208.00 C1713 AUGMENTIN ES - 600$ 208.00 BURN DRES DEBRIDE SM$ 208.00 16020 DRESSING/DEBRIDEMENT – LARGE $ 208.00 16030 SO CALPROTECTIN$ 209.00 83993 SO HIV TYPE 1 PROVIRAL DNA QUA$ 209.00 87535 SO CHLAMYDIA PNEUMONIAE$ 209.00 87486 SO 17-OHCS$ 209.00 83491 PBDS LOWER EXTREMITY$ 209.00 SCREW CORTEX 2.4MM 401.512.96$ 209.00 C1713 SCREW CORTEX 2.4MM 401.513.96$ 209.00 C1713 SCREW CORTEX 2.4MM 401.528.96$ 209.00 C1713 MIXER KNEE BONE CEMENT EVAC 3$ 209.00 OMNIPAQUE 300 MG INJ$ 209.00 Q9967 PROGESTERONE 50MG IN$ 209.00 SO FLT3 MUTATION ANALYSIS TKD$ 209.05 81246 COLOVANTAGE (METHY SEPT9)$ 209.18 81327 RADIONUCLIDE ABLATION$ 210.00 79005 RADIONUCLIDE THER THYROID SUPP$ 210.00 79005 RADIONUCLIDE FOR METASTASES$ 210.00 79005 XRAY HIP BILATERAL 2 VIEWS$ 210.00 73521 SCREW TI CORTEX 2.4MM 401.756$ 210.00 C1713 SCREW TI CORTEX 2.4MM 401.778$ 210.00 C1713 SCREW TI CORTEX 2.4MM 401.780$ 210.00 C1713 PLATE TUB 1/3 5H$ 210.00 C1713 FLOVENT 44MCG INHALR$ 210.00 HALFLYTELY BOWEL PRE$ 210.00 HIPS, BILATERAL$ 210.00 73521 73521 3-DAY PHASE 3$ 211.00 SO CMV QUALITATIVE PCR$ 211.00 87496 SO VIT D,1,25-DIHYD$ 211.00 82652 SAME DAY ADMIT/DC LOW SEVERITY$ 211.00 99234 DEPO ESTRADIOL CYP 5$ 211.00 J1000 RAD EX NASAL BONE, COM MIN 3 V$ 211.00 70160 DYSPHAGIA EVAL$ 212.00 92610 I * D ONYCHIA/PARONY$ 212.00 10060 FBR EAR$ 212.00 69200 DRUG SCREEN EACH DRUG CLASS$ 212.00 80307 80307 SO ESTRADIOL FREE LC/MS/MS$ 212.00 82670 BLOOD GAS MIXED WO 02 SAT$ 212.00 82803 PLATE QUARTER-TUBE 242.05$ 212.00 C1713 DRILL BIT CPLNG 1.5MM 310.141$ 212.00 DRILL BIT J-LTCH 1.5MM 310.143$ 212.00 BRUSH 3.6MM 352.041$ 212.00 FENTANYL PATCH 100MC$ 212.00 DYSPHAGIA EVALUATION$ 212.00 92610 ABG'S$ 212.00 82803 INPATIENT CONSULATION 40 MIN$ 212.00 99252 NEEDLE ELECTRO; 1 EXT$ 213.00 95860 XRAY WRIST 2 VIEWS LT$ 213.00 73100 XRAY WRIST 2 VIEWS RT$ 213.00 73100 POUCH ENDOSCOPIC 10MM$ 213.00 BIT DRILL QC 2.5MM 310.25$ 213.00 C1713 BIT DRILL QC 2.0MM 310.21$ 213.00 BONE CEMENT SIMPLEX P HV 6194-$ 213.00 C1713 WRIST, LEFT 2 VIEWS$ 213.00 73100 73100 WRIST RT 2 VIEWS$ 213.00 73100 IRR CORP/CAV PRIPSM$ 214.00 54220 SO LYME PCR$ 214.00 87801 SO JC VIRUS QUANT PCR$ 214.00 87799 SO DOA SCR MECONIUM$ 214.00 80307 SO MICROSLIDE CONSULT W/SLIDE$ 214.00 88323 SCREW 1.7 24MM 59-17024$ 214.00 C1713 SCREW 1.7MM SIZE 16 59-17016$ 214.00 C1713 SCREW 1.7MM SIZE 18 59-17018$ 214.00 C1713 SCREW 1.7MM SIZE 12 59-17012$ 214.00 C1713 IPG PORT PLUG$ 214.00 HEX WRENCH 7.6CM$ 214.00 DRESSING WND VAC SILVER 5 X 12$ 214.00 LABRALTAPE WHITE 1.5 MM 36"$ 214.00 VENOUS DOPPLER UN RT$ 214.00 INITIAL OBS CARE PER DAY$ 214.00 99219 AMNISURE CONTROL KIT$ 214.00 BONE CEMENT BIOMET$ 214.00 C1713 ADMISSION HISTORY AND PHYSICIA$ 215.00 99222 CATH BILIARY DRAIN 40 CML 14FR$ 215.00 C1729 SO METHYLMALONIC/A$ 215.00 83921 PATCH CV HEMSHLD VELOUR 3X3$ 215.00 CLIP FILSHIE$ 215.00 PLATE 6 HOLE SEMI TUB 222.060$ 215.00 C1713 ANCHOR PEEKZIP SUTURE 5.5$ 215.00 C1713 ADMIS/INIT VISIT MOD SEVERITY$ 215.00 99222 NAILBED REPAIR$ 215.00 11760 XRAY CHEST FRONT/LAT 2 VIEWS$ 216.00 71046 REPAIR LAC MOUTH 2.5 OR LESS$ 216.00 LUMBAR PUNCTURE$ 216.00 62270 TRANSDUCER TRPL LINE W/VAMP$ 216.00 WASHER 3.0MM$ 216.00 INITIAL HOSPITAL CARE 2$ 216.00 99222 SENTINAL LYMPH NODE DISSECTION$ 216.00 38900 CHEST (PRE-OP)$ 216.00 71046 CHEST PA & LAT 2 VIEWS$ 216.00 71046 EXECUTIVE CHEST 2 VIEWS$ 216.00 71046 SO CONSULTATION,COMP W/REVIEW$ 217.00 88325 INEC AGE DET NUC AC$ 217.00 87798 SHEATH PEWAY SIDEPORT 10.5F 13$ 217.00 SCREW BONE 2.7 X 18$ 217.00 C1713 VAC ULTA VERATRAC$ 217.00 NEEDLE 22 GA$ 217.00 PRO. PSY TX SRV EA ADDL 30M$ 217.25 99355 ANESTHESIA GENERAL EA ADD 15 M$ 218.00 INIT NURS FAC, PER DAY FOR E/M$ 218.00 99304 SUBQ NURS FAC PER DAY E/M$ 218.00 99309 IA-2 ANTIBODY$ 218.00 86341 DRILL BIT QC 2.0MM$ 218.00 DRILL BIT QC 3.5MM$ 218.00 CLIP APPLIER ENDO DDRV 10MM$ 218.00 FIBERLINK #2$ 218.00 XALATAN .005% OPHT.$ 218.00 ADENOSCAN 6MG/2ML$ 218.00 J0153 KEPPRA 500MG/5ML INJ$ 218.00 J1953 PERIACTIN SYR 2MG$ 218.00 PRIMAXIN 500MG VL$ 218.00 J0743 METHOTREXATE SOD 200$ 218.00 GUIDEWIRE VASC NITREX 14X260$ 219.00 C1769 SO FACTOR VII ACTIV$ 219.00 85230 DRILL BIT QC 3.2MM$ 219.00 STAPLER PURSTRING 65 020242$ 219.00 PLATE QUARTER-TUBE 242.07$ 219.00 C1713 SPEECH EVALUATION FLUENCY$ 219.00 92521 EVALUATION SPEECH FLUENCY$ 219.00 92521 MCD EVAL OF SPEECH FLUENCY$ 219.00 92521 MCD EVAL OF SPEECH SOUND$ 219.00 92521 GUIDEWIRE MED ZUMA$ 220.00 C1769 CATH GUID VERIPATH$ 220.00 C1887 CATH, MTI PERFUSION$ 220.00 C1887 SO METHAD SCREEN/CONFIRM URINE$ 220.00 80307 SO ESCITALOPRAM SERUM$ 220.00 80332 SO DRUG SCR/PLASMA$ 220.00 80307 SO HOMOCYSTINE/U$ 220.00 83090 PATCH SYVEK NT HEMOST 3X3CM$ 220.00 C1760 BACK UP MEIER GUIDEWIRE$ 220.00 C1769 SCREW COMPRESSION 32.3$ 220.00 C1713 CORTISPORIN OPTH SUS$ 220.00 VITAL CAPACITY TOTAL$ 220.00 94150 INTRODUCER ACCUSTICK II SYSTEM$ 221.00 C1727 COUDE NEEDLE SC-4210$ 221.00 K-WIRE 3.2 #702627$ 221.00 C1713 PRECISION HEX WRENCH$ 221.00 PROTHROMBIN FRAGMENT 1:2$ 222.00 83520 HEPARIN COFACTOR II$ 222.00 85130 SCREW TI CORTEX 2.4MM 401.758$ 222.00 SCREW TI CORTEX 2.4MM 401.768$ 222.00 C1713 PACU EACH ADD 15 MIN$ 222.00 ZEMURON INJ 10MG/ML$ 222.00 RHO D IMMUNE GLOBULN$ 222.00 J2791 J2790 PRE/POST CARE EACH ADD 15MIN$ 222.00 O2 PER 12 HOURS$ 222.00 PACK CATH LAB$ 223.00 CATH PICC KIT 4FR DUAL LUM$ 223.00 NASONEX 17GM INHALER$ 223.00 POUCH FIST/WND EAKIN 6.9X4.3$ 223.00 SO METANEPH PLASMA$ 224.00 83835 16FR DENVER INTRODUCER$ 224.00 SPLINT ELBOW RANGER LG$ 224.00 REP COMP FA, EA ADD 5 CM 30 CM$ 233.00 12007 HUMERUS 2 VIEW LT$ 233.00 73060 HUMERUS 2 VIEW RT$ 233.00 73060 ORTHO FIT/TR INITIAL 15 PT$ 234.00 97760 ORTHO FIT/TRN 15 OT$ 234.00 97760 SO EBV PCR$ 234.00 87798 CLAMP ENDOCLINCH II RATCH 5MM$ 234.00 DISSECTOR CRVD W/UNIPOL 5MM$ 234.00 PLATE QUARTER-TUBE 242.08$ 234.00 C1713 PLATE QUARTER-TUBE 242.06$ 234.00 C1713 SPIKED WASHER 8.0 X 3.2$ 234.00 C1713 OB PRE/POST CARE EA ADDL 15MIN$ 234.00 ORTHO FIT/TRAIN 15 PT$ 234.00 97760 CHECKO/ORTH-PROS EA 15M$ 234.00 97760 ORTHOTIC MGMT&TRAINJ 1ST ENC$ 234.00 97760 ORTHO FIT/TR 15 PT$ 234.00 97760 ORTHO MANGE/TRAIN INIT EA 15MI$ 234.00 97760 CHECKOUT/ORTH-PROS EA 15M$ 234.00 97760 CHECKOUT/ORTH-PROS EA 15MIN$ 234.00 97760 ORTHO FIT/TRAIN 15 PT$ 234.00 97760 ORTHO FIT/TRAIN 15 OT$ 234.00 97760 ORTHO FIT & TRAIN INIT 15 MIN$ 234.00 97760 COIL EMBOLIZ CONICAL 3-7X67$ 235.00 C1770 SO GLOM. BASE MEM AB$ 235.00 83520 SCREW TI CORTEX 2.4MM 401.762$ 235.00 C1713 SCREW CORTICAL 3.5 X 12 MM$ 235.00 C1713 SCREW NON LOCK 3.5 X 22$ 235.00 C1713 SCREW NON LOCK 3.5 X 24$ 235.00 C1713 SCREW NON LOCK 3.5 X 26$ 235.00 C1713 SCREW CORTICAL 3.5 X 30$ 235.00 C1713 SCREW CORTICAL 3.5 X 28$ 235.00 C1713 MAXIPIME 2GM PIGGYBA$ 235.00 ACETAZOLAMIDE IV500M$ 235.00 J1120 ATROVENT ORAL INHALE$ 235.00 REP INTER NE, HA, FT, GEN <2.5$ 235.00 12041 DRAIN FLEXIMA 10FR$ 236.00 DRAIN FLEXIMA 8FR$ 236.00 DRAIN FLEXIMA 12FR$ 236.00 C1729 CEMENT BONE COBALT$ 236.00 CATHETER DRAINAGE APD 14FR$ 236.00 SHEATH RETREVAL BENT TIP$ 236.00 L4386 NETS FOREIGN BODY ROTH$ 236.00 ABVISER INTRA-ABD PRESSURE MON$ 236.00 CATH DRAIN APDL FLEXIMA 6F 25C$ 236.00 WIRE KIRSCHNER 0.6MM 292.06$ 236.00 C1713 SCREW TI CORTEX 2.4MM 401.760$ 236.00 C1713 SCREW TI CORTEX 2.4MM 401.766$ 236.00 C1713 SCREW TI CORTEX 2.4MM 401.770$ 236.00 C1713 SCREW TI CORTEX 2.4MM 401.772$ 236.00 C1713 SCREW TI CORTEX 2.4MM 401.774$ 236.00 C1713 SCREW TI CORTEX 2.4MM 401.776$ 236.00 C1713 IDENTIFIER TRIMARK 9G$ 236.00 EXPLOR 18X28 IMPLANT HEAD$ 236.00 C1713 CEMENT BONE COBALT HV 40G$ 236.00 C1713 MARKER ULTRACLIP II 17G X 10CM$ 236.00 WIRE SUTURE PASSING$ 236.00 SCREW BONE 3.5 X 22$ 236.00 C1713 SCREW BONE 3.5 X 14$ 236.00 C1713 SCREW BONE 3.5 X 16$ 236.00 C1713 SCREW BONE 3.5 X 10$ 236.00 C1713 SCREW BONE 3.5 X 20$ 236.00 C1713 SCREW BONE 3.5 X 18$ 236.00 C1713 SCREW BONE 3.5 X 12$ 236.00 C1713 PLATE 1/3 TUBULAR 8 HOLE$ 236.00 C1713 LOCKING INSERT 5.0 370003$ 236.00 C1713 SCREW NONLOCKING 3.5 X 26 FOOT$ 236.00 C1713 ACCESSORY KIT SPINE STIM 3550-$ 236.00 DRILL BIT 3.1 MM$ 236.00 DIFICID 200MG TABLET$ 236.62 PULM FUNC TST PLETHYSMOGRAPHY$ 236.82 94726 SO METANEPHRINE URINE$ 237.00 83835 BREAST FEEDING EDUCAT PER 45 M$ 237.00 99403 STERILE TALC PWD 5GR$ 237.00 CLINIMIX E 2.75/5 PERCENT$ 237.00 EPOGEN 3000 UNITS$ 237.00 J0885 PREVENTIVE COUNSEL INDIV 45MIN$ 237.00 99403 NERVE BLK AXILLARY$ 238.00 FBR SUBCUTANOUS-SIMP$ 238.00 10120 SO TISSUE CULTURE SOLID TUMOR$ 238.00 88239 HOLDER NEEDLE COOK G14464$ 238.00 SCREW CORT 3.5 X 38$ 238.00 C1713 SCREW CORT 3.5 X 40$ 238.00 C1713 SCREW LOCKING 3.5 X 34$ 238.00 C1713 SCREW CORT 3.5 X 36$ 238.00 C1713 SCREW BONE 2.7 X 60MM$ 238.00 C1713 SCREW BONE 2.7 X 40$ 238.00 C1713 SCREW BONE 3.5 X 50$ 238.00 C1713 SCREW BONE 3.5 X 10 MM$ 238.00 C1713 SCREW BONE 2.3 X 26$ 238.00 C1713 SCREW BONE 2.3 X 14$ 238.00 C1713 SCREW BONE CRS PIN 1.7 X 14$ 238.00 C1713 SCREW BONE 2.3 X 22 MM$ 238.00 C1713 SCREW BONE 2.3 X 16$ 238.00 C1713 SCREW BONE 1.2 X 8 MM$ 238.00 C1713 SCREW BONE 1.2 X 7 MM$ 238.00 C1713 SCREW BONE CRS OIN 1.7 X 24$ 238.00 C1713 SCREW BONE 3.5 X 40 MM$ 238.00 C1713 SCREW BONE 3.5 X 30 MM$ 238.00 C1713 SCREW BONE 2.3 X 24 MM$ 238.00 C1713 SCREW BONE 2.3 X 20 MM$ 238.00 C1713 SCREW BONE 3.5 X 28 MM$ 238.00 C1713 SCREW BONE 3.5 X 70 MM$ 238.00 C1713 SCREW BONE 3.5 X 32 MM$ 238.00 C1713 SCREW BONE 3.5 X 36 MM$ 238.00 C1713 SCREW BONE 1.2 MM x 4$ 238.00 C1713 SCREW BONE 1.2 MM x 5$ 238.00 C1713 SCREW BONE 1.7 MM x 5$ 238.00 C1713 SCREW BONE 2.3 MM x 13$ 238.00 C1713 SCREW NON LOCKING 1.7 X 7$ 238.00 C1713 SCREW NON LOCKING 1.7 X 8$ 238.00 C1713 SCREW NON LOCKING 1.7 X 10$ 238.00 C1713 SCREW NON LOCKING 1.7 X 13$ 238.00 C1713 SCREW BONE 1.7 X 11 MM$ 238.00 C1713 SCREW BONE 1.7 X 12$ 238.00 C1713 SCREW LOCKING 2.7 X 28$ 238.00 SCREW BONE 1.7 X 9$ 238.00 SCREW BONE 1.7 X 18$ 238.00 SCREW EMERGENCY 2.5 X 10 MM$ 238.00 SCREW BONE 1.7 X 6 MM$ 238.00 SCREW BONE CRS PN 1.7 X 16$ 238.00 SCREW BONE 3.5 x 8 x 1$ 238.00 SCREW NON LOCKING 1.7 X 20$ 238.00 C1713 614708 $ 238.00 C1713 614732 STRYKER$ 238.00 C1713 58-12006E STRYKER$ 238.00 C1713 58-12009E STRYKER$ 238.00 C1713 1.7 X 15MM BONE SCREW$ 238.00 C1713 BONE SCREW T10 2.7 X 36 MM$ 238.00 C1713 SCREW, EMER CROSS PIN 1.9X5MM$ 238.00 C1713 SCREW, EMERG CROSS PIN 1.9X8MM$ 238.00 C1713 UVC PROC NEONATE$ 238.00 36510 UAC PROCEDURE NEONATE$ 238.00 36660 LEVAQUIN 500MG INJ.$ 238.00 J1956 CAFFEINE CITRATE 60M$ 238.00 J0706 SCREW NON LOCKING 1.7 X 22$ 238.00 C1713 SCREW NON LOCKING 2.3 X 18$ 238.00 C1713 SCREW NON-LOCKING 2.3 X 6$ 238.00 C1713 SCREW BONE 2.3 X 15$ 238.00 C1713 OBTURATOR OPTICAL 12MM$ 238.00 DAVINCI ENDOWRIST 12MM BLDLESS$ 238.00 REP INTER SCALP, TRU, EXT <2.5$ 238.00 12031 PELVIS, 3 VIEWS$ 238.00 72190 72190 INITIAL OBS. CARE LOW 30 MIN$ 238.25 99218 WELLNESS SUBSEQUE ANNUAL VISIT$ 239.00 G0439 XRAY ELBOW 2 VIEWS LT$ 239.00 73070 XRAY ELBOW 2 VIEWS RT$ 239.00 73070 WINDOW CAST$ 239.00 29730 WEDGE CAST EXCEPT CLUBFOOT$ 239.00 29740 APPLY TOE SPLINT$ 239.00 29550 CATHETER SET PICC TWIN TURB 4F$ 239.00 C1727 SCREW SCHANZ 4.0/3.0MM 294.30$ 239.00 C1713 SCREW SCHANZ 4.0MM 294.43$ 239.00 C1713 SCREW SCHANZ 4.0MM 294.44$ 239.00 C1713 SCREW SCHANZ 4.0MM 294.45$ 239.00 C1713 SCREW SCHANZ 4.0MM 294.46$ 239.00 C1713 EMEND 40MG TABLET$ 239.00 J8501 ELBOW, LEFT 2 VIEWS$ 239.00 73070 73070 ELBOW RT 2 VIEWS$ 239.00 73070 ACYCLOVIR 1 GRAM VIAL$ 239.22 J0133 NERVE BLK BRACHIAL$ 240.00 SO CHROMOSOME ANA TISS NO GROW $ 240.00 88230 SO ADD TISS CULT BONE MAR/BLD$ 240.00 88237 SO ADDIT TISS CULT SOLID TUMOR$ 240.00 88239 FLUID SEMEN DILUTING 100ML$ 240.00 C1874 WIRE SPD-PNT 1.8MM 292.38$ 240.00 C1713 WIRE SPD-PNT 2.0MM 292.40$ 240.00 C1713 SCREW BONE 3.5 X 44$ 240.00 C1713 SCREW BONE 3.5 X 55$ 240.00 C1713 HYDROMORPHONE 10MG$ 240.00 I & D SIMPLE$ 241.00 10060 I&D PERINEAL ABSCESS$ 241.00 56405 SO QUANTIFERON-TB GOLD IN TUBE$ 241.00 86480 DRILL BIT 2.0MM AR-8944-22$ 241.00 DRILL BIT 2.0MM AR-4160-20$ 241.00 BLADE SAW HUB STYLE L OSTEOTOM$ 241.00 BLADE SAW HUB STYLE S OSTEOTOM$ 241.00 AR-8916 14 ARTHREX$ 241.00 ZOVIRAX 500MG VIAL PER 5MG$ 241.00 J0133 US BABY HEAD$ 241.00 76506 US BABY HEAD$ 241.00 76506 RAD EX ORBITS COMP MIN 4 VIEWS$ 241.00 70200 INITAL HOSP CARE DETAIL 30 MIN$ 241.25 99221 RADIATION THERAPY MGT 1-2 FRAC$ 242.00 77431 SCREW SCHANZ 4.5MM 294.71$ 242.00 C1713 SCREW SCHANZ 4.5MM 294.73$ 242.00 C1713 SCREW SCHANZ 4.5MM 294.74$ 242.00 C1713 COGNITIVE TEST BY HC PRO$ 242.00 96125 US EXTREMITY, LEFT$ 242.00 76882 US EXT NON-VASCULAR LIMITED$ 242.00 76882 US EXTREMITY RT$ 242.00 76882 US EXTREMITY, LEFT$ 242.00 76882 US EXTREMITY RT$ 242.00 76882 76882 JOINT SURVEY SINGLE$ 242.00 77077 77077 SHOULDER 1 VIEW LT$ 242.00 73020 73020 MASTOIDS LESS 3VIEWS LT$ 242.00 70120 70120 SHOULDER 1 VIEW RIGHT$ 242.00 73020 73020 SCANOGRAM$ 242.00 77073 77073 REAGENT SAPPHIRE HGB$ 243.00 C1725 VIPERSLIDE LUBRICANT$ 244.00 NEW PATIENT LEVEL 4$ 244.00 99204 REDUCTION HIP TRAUMA$ 244.00 SO PANCR POLYPEP PL$ 244.00 83519 STONE CATCHER W/TUBING$ 244.00 BONE PLUG TPA-8$ 244.00 BONE PLUG TPA-13$ 244.00 DRILL BIT 2.0MM$ 244.00 DRESSING WND VAC SILVER 10 X 1$ 244.00 KIT BIOPSY BONE IVS 10 G$ 244.00 KIT BIOPSY BONE IVAS 11 G$ 244.00 60-10122 STRYKER$ 244.00 NEUROSTIMULATOR KIT$ 244.00 C1897 EX M LESF/E/EY/NOD/LIPS 0.6-1.$ 244.00 11641 SUTURE SHARPSHOOTER HS4704$ 244.00 C1713 SCREW HEXA 4.O MM PT SZ 28$ 244.00 C1713 SCREW HEXA 4.0MM PT SZ 30$ 244.00 C1713 SCREW HEXA 4.0MM PT SZ 30$ 244.00 C1713 FUNNEL FISTULA KCI$ 244.00 INJECTION INTO SKIN LESIONS$ 245.00 11900 DESTRUCTION B9 LESION 1-14$ 245.00 DEBRIDE MASTOIDEC CAVITY SIMPL$ 245.00 AMNISURE$ 245.00 84112 WIRE ATW PTCA 014X300CM FLEX$ 245.00 BRACE KNEE KB3001-00$ 245.00 SIM REP OF SUPER WND 2.5/LESS$ 245.00 SIM REP OF SUPER WND 2.6 -7.5$ 245.00 ADACEL VACCINE (TDAP)$ 245.48 90715 SO BORDATELLA PERTUSIS IgG ANT$ 246.00 86615 CONTRAST EOVIST VL 10ML$ 246.00 A9581 SCREW CORTEX 2.4MM 401.510.96$ 246.00 C1713 SCREW CORTEX 2.4MM 401.509.96$ 246.00 C1713 DAVINCI BALLOON CODA 10FR$ 246.00 CLAMP VESSEL DISP$ 246.00 XRAY SINUSES, COMP MIN 3 VIEWS$ 247.00 70220 PUNCT.ASPIR.ABSCESS$ 247.00 10160 SM2-6-7-5CM BDY &EXT$ 247.00 12002 SCREW BONE 2.7 X 24 MM$ 247.00 C1713 SCREW BONE T7 2.7 X 20$ 247.00 SCREW NON-LOCKING 2.7 X 22$ 247.00 SCREW BONE NON-LOCKING 2.7X10$ 247.00 53-27226E$ 247.00 C1713 BONE SCREW 2.3 X 10MM$ 247.00 C1713 BONE SCREW 2.3 X 20MM$ 247.00 C1713 IRESSA 250MG TAB$ 247.00 XENADERM OINT 60 GM$ 247.00 SCREW T7 LOCKING 2.7 X 22$ 247.00 C1713 SCREW BONE 2.3X20MM$ 247.00 C1713 BONE SCREW 2.3 X 22MM$ 247.00 C1713 SCREW BONE 2.3X24MM$ 247.00 C1713 BONE SCREW 2.3 X 26MM$ 247.00 C1713 REP SIMPLE, FACE, 21.0-30.0CM$ 247.00 12017 BOOT LARGE TCC21114$ 247.00 SACRUM AND/OR COCCYX MIN 2 V$ 247.00 72220 INJECTION MYELOGRAPHY$ 247.00 XRAY SINUSES PARANASAL MIN 3 V$ 247.00 70220 SO TISSUE CULTURE$ 248.00 88237 SCREW TI CORTEX 2.4MM 401.764$ 248.00 C1713 IOPIDINE 0.5% 5ML OP$ 248.00 REFIL/MAINT PAIN PMP$ 248.00 MOD SED OTH PHYS >5YRS$ 249.00 99156 AIRTRAQ INTUB SIZE 3 REG$ 249.00 AIRTRAQ INTUB SIZE 1 PEDI$ 249.00 AIRTRAQ INTUB SIZE 2 SMALL$ 249.00 AIRTRAQ INTUB SIZE 0 INFANT$ 249.00 ANTIGEN TYPING$ 249.00 86902 SO ARC AGN SCREEN$ 249.00 86902 CONTRAST OPTIRAY 320 100ML$ 249.00 Q9967 VCare Standard DaVinci supply$ 249.00 VCare Large DaVinci supply$ 249.00 METAGLENE CENTRAL GUIDE PIN$ 249.00 C1713 2.5MM DRILL BIT$ 249.00 DAVINCI MANIP UTERINE VCARE SM$ 249.00 SHEATH GUIDING 7 FR 45 CM$ 250.00 CARDIAC EX. W/C ECG$ 250.00 93798 CARDIAC EXERCISE W/EKG /MOD KX$ 250.00 93798 CARDIAC EX WITH ECG$ 250.00 93798 CARDIAC EX WITH ECG W/KX$ 250.00 93798 ECG 24HR CONT W/VIS SCAN RECOR$ 250.00 93225 CLIP X-LARGE 3.0MM$ 250.00 CLIP MED 1.4MM$ 250.00 SCREW BONE 3.5 X 28$ 250.00 C1713 SCREW BONE 3.5 X 32$ 250.00 C1713 SCREW BONE 3.5 X 34$ 250.00 C1713 SCREW BONE 3.5 X 36$ 250.00 C1713 SCREW BONE 3.5 X 38$ 250.00 C1713 SCREW BONE 3.5 X 46$ 250.00 C1713 SCREW BONE 3.5 X 48$ 250.00 C1713 SCREW BONE T10 3.5 X 24$ 250.00 C1713 SCREW NON LOCKING 3.5 X 30 MM$ 250.00 C1713 SCREW NON LOCKING 3.5 X 40 MM$ 250.00 C1713 PLATE 1/3 4 HOLE$ 250.00 C1713 PLATE 1/3 TUBULAR 6HOLE$ 250.00 C1713 HOLTER MONITOR 24HR$ 250.00 93225 PROVERA TAB 10MG$ 250.00 SMPL RPR S/N/AX/GEN/TRK <2.5CM$ 250.00 12001 REPAIR SUPERF LAC 2.5 OR LESS$ 250.00 12001 UP/LOW EXTREM ART 2 LEVELS$ 250.05 93922 SUBSQT HOSP DA E/M$ 250.50 99233 SNF D/C > 30MIN$ 250.75 99316 SUBSQT OBS CARE 35 MIN$ 250.75 99226 SPEECH AUGMENTED TX$ 251.00 92609 SPECIAL RADIATION TREATMENT$ 251.00 77470 EXC BEN LES 06-1.0$ 251.00 11421 SO ALLERGY FOOD PROFILE$ 251.00 86003 SCREW SCHANZ 4.5MM 294.76$ 251.00 C1713 SCREW CORTEX 2.4MM 401.508.96$ 251.00 C1713 PLATE 5 HOLE PG-2725-05$ 251.00 C1713 SPEECH AUGMENTED TREATMENT$ 251.00 92609 TISSEEL THROMBIN 4ML$ 251.69 C9250 SO SALMONELLA TOT ANTI$ 252.00 86768 PBDS GENERAL ABDOMINAL$ 252.00 GUIDEWIRE SPARTA 014 X300CM$ 252.00 C1727 SCREW CORTEX 2.4MM 401.516.96$ 252.00 C1713 PICC PRO-PICC DUAL CT 5F 55CM$ 252.00 WIRE KIRSCHNER 2.0MM 292.20$ 252.00 C1713 SCREW CORTEX 2.4MM 401.511.96$ 252.00 C1713 STYLUS INSERTER 30MM$ 252.00 STYLUS INSERTER 38MM$ 252.00 PEG 16MM FP16$ 252.00 C1713 PEG 18MM FP18$ 252.00 C1713 PEG 20MM FP20$ 252.00 C1713 PEG 22MM FP22$ 252.00 C1713 PEG FULLY THRD 26MM FP26$ 252.00 C1713 PEG NON LOCKING 16MM SP16000$ 252.00 C1713 PEG NON LOCKING 22MM SP22000$ 252.00 C1713 PEG NON LOCKING 28MM SP28000$ 252.00 C1713 PEG SCREW 30MM SP30000$ 252.00 C1713 SCREW CORTICAL 18MM Cq28000$ 252.00 C1713 PEGS THREADED 10MM TP10000$ 252.00 C1713 PEGS THREADED 12MM TP12000$ 252.00 C1713 PEG THREADED 14MM TP14000$ 252.00 C1713 PEG THREADED 16MM TP16000$ 252.00 C1713 PEG THREADED 18MM TP18000$ 252.00 C1713 PEG THREADED 20MM TP20000$ 252.00 C1713 PEG THREADED 24MM TP24000$ 252.00 C1713 PEG THREADED 26MM TP26000$ 252.00 C1713 PEG THREADED 28MM TP28000$ 252.00 C1713 PEG LOCKING 10MM P10000$ 252.00 C1713 PEG LOCKING 12MM P12000$ 252.00 C1713 PEG LOCKING 14MM P14000$ 252.00 C1713 SCREW NON LOCKING 10MM SP10000$ 252.00 C1713 ANTENNA # 37092$ 252.00 DRILL BIT 2.0 AO SHAFT END$ 252.00 DRILL BIT 1.9 MM$ 252.00 DRILL BIT 2.3 MM$ 252.00 BIT DRILL VARIAX HAND 1.4 MM$ 252.00 DRILL BIT 1.0 X D22 MM$ 252.00 DRILL BIT 2.5 MM$ 252.00 DRIL BIT DENTAL 1.4$ 252.00 ACULAR .5%$ 252.00 DRILL BIT 1.9 MM$ 252.00 BIT DRILL 1.4$ 252.00 GUIDEWIRE VASC 014 2X185$ 253.00 C1769 BASIC MET. PANEL$ 253.00 80048 DIGITAL MAMMO SCREEN W/CAD UNI$ 253.00 77067 G0202 DIGITAL MAMMO SCREEN W/CAD UNI$ 253.00 77067 US GUIDED BREAST BIO 1 LESION$ 253.00 19083 US SCREENING AAA$ 253.00 76706 US SCREENING AAA$ 253.00 76706 INFANT LOW EXT less than 12mon$ 253.00 73592 RT TX PLANNING; INTERMEDIATE$ 254.00 77262 X-RAY NECK, SOFT TISSUE$ 254.00 70360 INSERT NON-TUNNEL CVC > 5 YRS$ 255.00 36556 INSERT NON-TUNNELED CVC <5YRS$ 255.00 36555 INSERT NON-TUNNEL CVC >5 YRS$ 255.00 36556 INS NON-TUNN CVS < 5YRS$ 255.00 36555 DA HOSP MAN EPID/SUBARA CON DR$ 255.00 1996 I&D BARTH.GLND ABSCS$ 255.00 56420 TRAY PNEUMOTHORAX$ 255.00 SCREW CORTEX 1.3MM X 7MM$ 255.00 C1713 SCREW CORTEX 1.3MM X 9MM$ 255.00 C1713 SCREW CORTEX 1.3MM X 10MM$ 255.00 C1713 SCREW CORTEX 1.3MM X 11MM$ 255.00 C1713 SCREW CORTEX 1.3 X 13MM$ 255.00 C1713 GUIDE WIRE 2,8$ 255.00 C1769 DRILL BIT QC 1.1 60 MM$ 255.00 CYTOSAR-U 2GM INJ$ 255.00 J9100 XRAY ELBOW 3 VIEWS LT$ 256.00 73080 XRAY ELBOW 3 VIEWS RT$ 256.00 73080 RED'NURSE MAID'ELBOW$ 256.00 24640 I&D HEMATOMA$ 256.00 10140 T SPRAY$ 256.00 C1781 TRIAL** STENT URETRL SFT 24X7$ 256.00 C1874 TRIAL** STENT URETRL SFT 26X7$ 256.00 C1874 TRIAL** STENT URETRL SFT 28X7$ 256.00 C1874 STENT URETERAL FIRM 6X24$ 256.00 C1874 STENT URETERAL FIRM 6X26$ 256.00 C1874 STENT URETERAL FIRM 6X28$ 256.00 C1874 REFILL PAIN PUMP/MD$ 256.00 95991 EST LEVEL 1 PALLIATIVE CARE 5$ 256.00 99211 EST LEVEL 2 PALLIATIVE CARE 10$ 256.00 99212 EST LEVEL 3 PALLIATIVE CARE 15$ 256.00 99213 EST LEVEL 4 PALLIATIVE CARE 25$ 256.00 99214 EST LEVEL 5 PALLIATIVE CARE 40$ 256.00 99215 NEW PATIENT LEVEL 1$ 256.00 EST PATIENT LEVEL 1$ 256.00 EST PATIENT LEVEL 4$ 256.00 G0463 EST PATIENT LEVEL 5$ 256.00 ELBOW COMPLETE RT MIN 3 V$ 256.00 73080 ELBOW COMPLETE, LT MIN 3 V$ 256.00 73080 73080 XRAY WRIST 3 VIEWS LT$ 257.00 73110 XRAY WRIST 3 VIEWS RT$ 257.00 73110 SO 5.10-MTHF RED BL$ 257.00 81291 WRIST COMPLETE, LEFT MIN 3 V$ 257.00 73110 73110 WRIST COMPLETE RT MIN 3 V$ 257.00 73110 FLU HD 0.5ML VAC(65YRS & UP)$ 257.50 90662 APPLICAT STATIC SHORT ARM SPLI$ 258.00 29125 APPLICAT SHORT ARM SPLINT DYN$ 258.00 29126 STRAPPING SHOULDER$ 258.00 29240 HOSP D/C DA MGMT >30 MIN$ 258.00 99239 SO IMMUNOHISTOCHEMISTRY TUMOR $ 258.00 88361TC GUIDEWIRE STORQ$ 258.00 C1769 GUIDEWIRE TORQUE PILOT 3CM$ 258.00 GUIDEWIRE PILOT 50 14X300$ 258.00 SCREW 1.7 8MM 59-17008$ 258.00 C1713 SCREW 1.7 9MM 59-17009$ 258.00 C1713 SCREW 1.7 10MM 59-17010$ 258.00 C1713 SCREW 1.7 11MM 59-17011$ 258.00 C1713 SCREW 1.7 14MM 59-17014$ 258.00 C1713 FLONASE NASAL SPRAY$ 258.00 SO HERBICIDES PANEL 1 SCREEN$ 259.00 80307 DX MAMMO INCL CAD UNI LT$ 259.00 77065 77065 DX MAMMO INCL CAD UNI RT$ 259.00 77065 PBDS C-SECTION$ 259.00 MESH POUCH ACCESSORY$ 259.00 AR-8935L-40$ 259.00 C1713 MOBILE AIR TRANS SYSTEM$ 259.00 E0705 ULTIVA 5MG/10ML INJ.$ 259.00 PATANOL 0.1% OPHT. S$ 259.00 CPT TX FIRST OF DAY$ 259.00 94668 CPT TX SUBSEQUENT$ 259.00 94668 METANEB SUPPLY$ 259.00 SCREW LOCKING -3.5 X 16$ 259.00 C1713 DRILL BIT -2.5 MM AR-8943-13$ 259.00 BOOT X-LARGE TCC21124$ 259.00 Q4037 LUMBAR SPINE AP&LAT 2 OR 3 V$ 259.00 72100 72100 PSYCHOTHERAPY, 45 MIN W/E&M$ 260.00 90836 CHEMO IV SEQ$ 260.00 96417 XRAY TIB/FIB 2 VIEWS LT$ 260.00 73590 XRAY TIB/FIB 2 VIEWS RT$ 260.00 73590 SO HEP B VIRAL DNA$ 260.00 87517 SO TRAMADOL GCMS SERUM$ 260.00 80373 SO BUPRENORPHINE QUANT URINE$ 260.00 80348 SO CLONAZE & 7-AMINO CLONAZ UR$ 260.00 80346 SCREW SCHANZ 5.0MM 294.52$ 260.00 C1713 SCREW SCHANZ 5.0MM 294.53$ 260.00 C1713 SCREW SCHANZ 5.0MM 294.54$ 260.00 C1713 GUIDE PIN 1.5 X 300$ 260.00 C1713 PLATE COMPRESSION 6H 2.7 MM$ 260.00 SURGICEL HEMOSTAT$ 260.00 EPOETIN/DIALYSIS 10,000 UNITS/$ 260.00 Q4081 BICILLIN LA 1,200,000$ 260.00 J0561 LEG, LEFT 2 VIEWS$ 260.00 73590 73590 LEG, RT 2 VIEWS$ 260.00 73590 73590 EST PATIENT LEVEL 5$ 261.00 99215 GUIDEWIRE VASC 014 185CM$ 261.00 C1769 STAPLER TA30-4.8$ 261.00 GUIDEWIRE WHOLEY HTF$ 261.00 C1769 SCREW SCHANZ 5.0MM 294.56$ 261.00 C1713 CATH BILIARY DRAIN 8.5FR$ 261.00 QUINTON DIALYSIS CATHETER 42CM$ 261.00 C1750 LOVENOX 60MG INJ$ 261.00 J1650 ROCEPHIN 1GM (CEFTRI$ 261.00 J0696 AEROBID INHALER 7G$ 261.00 MITHRACIN IV VIAL 25$ 261.00 J9270 D.H.E. 45 AMPULS$ 261.00 J1110 AZMACORT ORAL INHALE$ 261.00 PSYCHOTHERAPY, 45 MIN W/PT AND$ 262.00 90834 PSYCHOTHERAPY, 45 MIN$ 262.00 90834 SO AMINO ACIDS QUANTITATIVE$ 262.00 82131 SO DEAMIDATED GLIADN AB IgG &$ 262.00 83516 MICRODISSECTION; LASER CAPTURE$ 262.00 88380 STAPLER TA60-3.5$ 262.00 CLIP APPLIER LG PSTL GRP 10MM$ 262.00 I 131 TX EA MCI$ 262.00 A9517 S.I.JOINTS 1-2 VIEWS$ 262.00 72200 REP SCALP ETC 2.5 CM OR LESS$ 263.00 SO HAIRSTAT$ 263.00 80307 J-WIRE PLACEMENT EACH ADD$ 263.00 19282 J-WIRE STEREO PLACEMENT EACH A$ 263.00 19284 J-WIRE PLACEMENT EACH ADD$ 263.00 WIRE GUIDE 3.2MM 357.399$ 263.00 C1769 SCREW BONE 2.7 X 12$ 263.00 C1713 SCREW BONE 2.7 X 14$ 263.00 C1713 SCREW BONE 2.7 X 16$ 263.00 C1713 SCREW BONE 2.7 X 18$ 263.00 C1713 SCREW BONE 3.5 X 12$ 263.00 C1713 SCREW BONE 3.5 X 14$ 263.00 C1713 SCREW BONE 3.5 X 18$ 263.00 C1713 SCREW BONE 3.5 X 26$ 263.00 C1713 SCREW BONE 2.7 X 24$ 263.00 C1713 CYTOVENE 500MG VIAL$ 263.00 J1570 I & D PILONIDAL CYST, COM/MULT$ 263.00 10081 CT CALCIUM SCORING$ 264.00 75571 SO FMR1 GENE DETECTION$ 264.00 81243 CEMENT PLUG UNIVERSAL$ 264.00 C1713 CONTROL HR CLOTTRAC$ 264.00 CLIP U REG FLEX REG NEEDLE$ 264.00 7 DAY INFUSOR$ 264.00 NASACORT AQ NASL SPR$ 264.00 STAPLER SKIN PREM WIDE 35W$ 265.00 TAP 1.5 311.150$ 265.00 K-WIRE 1.6 MM 292.16$ 265.00 C1713 WASHER 3.5$ 265.00 C1713 SCREW NON-LOCKING 3.5 X 10$ 265.00 C1713 SCREW NON-LOCKING 2.7 X 16$ 265.00 C1713 SCREW NON-LOCKING 2.7 X 14$ 265.00 C1713 SCREW NON-LOCKING 3.5 X 26$ 265.00 C1713 AMINOSYN4.25%/DEXT25$ 265.00 GUIDEWIRE MED$ 266.00 C1769 DUP UP EXT ART UNI /LIMIT STUD$ 266.00 DUPLX UP EXT ART UNILAT$ 266.00 93931 FORESKIN MANIPULATION$ 266.00 54450 SCREW CORTEX 2.4 X 20$ 266.00 C1713 SCREW CORTEX 2.4 X 24$ 266.00 C1713 NI ART UNILAT/LTD UPPER EXT$ 266.00 93931 SAME DAY ADMIT/DC MODERATE SEV$ 266.00 99235 TILADE INHALER$ 266.00 ACYCLOVIR 5% OINTMENT 30GM$ 266.00 DLCO TEST (PFT)$ 266.00 94729 INITIAL PREVENTATIVE CARE$ 266.53 G0402 TRANSITIONAL CARE MANAGEMENT$ 267.00 99496 PRO PSY TX SRV 1ST HR NFC$ 267.00 99358 DRESSING MEROGEL NASAL$ 267.00 DAVINCI ENDOWRIST CLIP APP LG$ 267.00 CATH COPE INTR. CWGE-100$ 267.00 C1727 MESH POUCH 8590-1 MEDTRONIC$ 267.00 2.0 x 450MM WIRE$ 267.00 C1713 STENT URINARY SUBCU 8FR 80CML$ 267.00 C1874 STENT URINARY SUBCU 7FR 80CML$ 267.00 C1874 SCREW CORTEX SLF TP 2.4 X 7$ 267.00 C1713 SCREW CORTEX SLF TP 2.4 X 10$ 267.00 C1713 SCREW CORTEX SLF TAP 2.4 X 16$ 267.00 C1713 SCREW CORTEX SLF TAP 2.4 X 20$ 267.00 C1713 SCREW CORTEX SLF TAP 2.4 X 22$ 267.00 C1713 SCREW CORTEX SLF TP 2.4 X 26$ 267.00 C1713 SCREW CORTEX 2.4 X 32MM$ 267.00 C1713 EST PATIENT (PAT) LEVEL 5$ 267.00 99215 REPAIR INTERMEDIATE FACE <2.5$ 267.00 12051 NEW PATIENT LEVEL 5$ 267.00 T1015 OMNIPAQUE LOCM 180 MG/ML$ 267.26 Q9965 Q9965 CABLE EP BLACK QUAD 150 CM$ 268.00 CABLE EP BLUE QUAD 150$ 268.00 CABLE EP GREY QUAD 150$ 268.00 CABLE EP RED QUAD 150$ 268.00 DRAINAGE ABSCESS/HEMATOMA$ 268.00 CT 3D RENDER W/O WS$ 268.00 76376 NETS ROLYP ROTH$ 268.00 PACEMAKER BALOON$ 268.00 C1725 MARKER COR MARK BREAST BIOPSY$ 268.00 SCREW LOCKING CORTICAL CO-3140$ 268.00 C1713 SCREW 2.3X 9MM 53-23009E$ 268.00 C1713 SCREW 2.3 X 10MM 53-23010E$ 268.00 C1713 DRILL SURGIBIT QUK COUP 2.0MM$ 268.00 SCREW HEXALOBE CANCEL 4.0 X 30$ 268.00 C1713 SCREW HEXALOBE CANCEL 4.0 X 35$ 268.00 C1713 SCREW CANCELLOUS HEXA 4.0 X 12$ 268.00 SCREW CANCELLOUS HEXA 4.0 X 14$ 268.00 4.0MM PT CANCELLOUS HEX SCREW$ 268.00 C1713 X-RAY EXAM, CHEST, 3 VIEW$ 268.00 71047 CATH IJ DIALYSIS LT$ 269.00 C1752 CATH IJ DIALYSIS RT$ 269.00 C1752 NERVE CONDUCT 1-2$ 269.00 95907 COMPLEX UROFLOMETRY$ 269.00 ELECTROMYOGRAPHY STUDIES$ 269.00 COMP AUDIOMETRY EVAL&SP RECOG$ 269.00 SO FACTOR X$ 269.00 85260 RELOAD STPL GIA STRT BL 30-3.5$ 269.00 SCREW PLATE REST GAP 6.5 X 3.5$ 269.00 C1713 ABI COMPLETE STUDY$ 269.00 ESTRACE 0.01% VAG CM$ 269.00 OT SELECT DEB<=20 CM$ 270.00 97597 EVAL PROSTHTC DV FIT$ 270.00 92597 PT SELECT DEB <=20CM$ 270.00 97597 CHEMO SQ/IM NON-HORM$ 270.00 96401 CHEMO SQ/IM NON-HORM$ 270.00 96401 SELECTWND DEBRIDE 20 CM OR <$ 270.00 CHEMO ADMIN SQ/IM NON-HORM$ 270.00 96401 CHEMO SQ/IM NON-HORM$ 270.00 96401 TAP FOR CORTEX 2.0MM 311.19$ 270.00 STAPLER TA60-4.8$ 270.00 SCREW BONE 2.3 X 10$ 270.00 C1713 SCREW BONE 2.3 X 8$ 270.00 C1713 SCREW BONE 2.3 X 12$ 270.00 C1713 SCREW BONE 2.3 X 11$ 270.00 C1713 SCREW BONE 2.3 X 9$ 270.00 C1713 MIC SKIN LEVEL PEG TUBE 20X4.5$ 270.00 NURSERY - ROOMING IN$ 270.00 EVAL PROSTHTC DEVICE FIT$ 270.00 92597 SELECT DEB <= 20CM OT$ 270.00 97597 SELECT DEB <= 20CM PT$ 270.00 97597 BIOPSY BREAST STEROTAC 1 LESIO$ 270.00 19081 SELECT DEBRID 20CM$ 270.00 97597 TRANSBRONCHIAL ASPIR NEEDLE$ 271.00 SNARE POLYLOOP 30 X 2.8 X 230$ 271.00 PLATE 1/3 TUBULAR 3 HOLE$ 271.00 RHINOCORT NAS SP 120$ 271.00 US OB COMPLETE$ 271.00 76805 US OB COMPLETE$ 271.00 76805 TISSUE EXAM BY PATHOLOGI LVL 4$ 272.00 INC-THROMBOSD HEMORR$ 272.00 46083 LEVEL IV SURGICAL PATHOLOGY$ 272.00 88305 TISSUE EXAM BY PATHOLOGIST$ 272.00 88304 TISSUE EXAM BY PATHOLOGIST$ 272.00 88305 TRIGGER PT 1 OR MORE$ 272.00 SO ALCOHOL ETHYL QUAL URINE$ 273.00 80307 SO TRAMADOL URINE$ 273.00 83789 SO FENTANYL URINE$ 273.00 80307 CONTAINER TISSUE 16 OZ$ 273.00 DRESSING DERMANET AG 4 X14$ 273.00 US, ELASTOGRAPHY, 1ST LESION$ 273.00 76982 US, ELASTO, EA LESION$ 273.00 76983 ECG MONITORING & ANALYSIS$ 273.05 93271 REMOVAL F.B. PHARYNX$ 274.00 42809 COGENTIN INJ 2MG/2ML$ 274.00 J0515 INJECTION SINUS TRACT; DIAG$ 275.00 20501 CATH INFUS 5FR 50X135CM$ 275.00 C1752 SM REP 2.5 CM OR LESS$ 275.00 12001 TRYPSIN RIA NON-ANTIBODY$ 275.00 83519 BOWL MIXER 5401-76-501$ 275.00 ELECTRODE ARGON COAGULATOR$ 275.00 SCREW LOCKING 2.3 X 16$ 275.00 C1713 SCREW LOCKING 2.3 X 20$ 275.00 C1713 SCREW LOCKING 2.3 X 26$ 275.00 C1713 SCREW LOCK CRS PIN 1.7 X 14$ 275.00 C1713 SCREW LOCK CRS PIN 1.7 X 16$ 275.00 C1713 SCREW LOCK CRS PIN 1.7 X 13$ 275.00 C1713 SCREW LOCK CRS PIN 1.7 X 10$ 275.00 C1713 SCREW LOCK CRS PIN 1.7 X 8$ 275.00 C1713 SCREW LOCKING 2.3 X 22 MM$ 275.00 C1713 SCREW LOCKING 2.3 X 18$ 275.00 C1713 SCREW NON-LOCKING 2.7 X 10$ 275.00 C1713 SCREW NON-LOCKING 2.7 X 12$ 275.00 C1713 SCREW NON-LOCKING 2.7 X 24$ 275.00 C1713 SCREW NON-LOCKING 2.7 X 34$ 275.00 C1713 SCREW LOCKING 2.3 X 8 MM$ 275.00 C1713 SCREW LOCKING 2.3 X 13 MM$ 275.00 C1713 SCREW NON-LOCKING 2.7 X 22$ 275.00 C1713 SCREW NON-LOCKING 2.7 X 26$ 275.00 C1713 SCREW NON-LOCKING 3.5 X 24$ 275.00 C1713 CATH FOGARTY EMBOLC 12TLW403F$ 275.00 C1757 CATH FOGARTY EMBOLC 12TLW404F$ 275.00 C1757 CATH FOGARTY EMBOL 2TLW405F35$ 275.00 C1757 SCREW NONLOC HEXALOBE 3.5 X 20$ 275.00 C1713 SCREW NONLOC HEXALOBE 3.5 X 22$ 275.00 C1713 SCREW LOCKING 1.7 X 6$ 275.00 SCREW NON-LOCK HEXA 3.5 X 44$ 275.00 SCREW NON-LOCKING 2.7 X 30 MM$ 275.00 SCREW NON-LOCKING 2.7 X 38 MM$ 275.00 SCREW NON-LOCKING 3.0 X 24$ 275.00 SCREW LOCKING 3.5 X 38$ 275.00 SCREW LOCING 1.7 X 11$ 275.00 SCREW LOCING 1.7 X 12$ 275.00 SCREW NON-LOCKING 3.5 X 55$ 275.00 SCREW LOCKING 2.3 X 11$ 275.00 PLATE 7 HOLE$ 275.00 SCREW NON-LOCKING 3.5 X 22$ 275.00 SCREW NON-LOCKING 3.5 X 24$ 275.00 3.5MM NON-LOCKING HEX SCREW$ 275.00 C1713 2.7MM NON-LOCKING HEX SCREW$ 275.00 C1713 2.7MM NON-LOCKING HEX SCREW$ 275.00 C1713 PENTAMIDINE 300MG IN$ 275.00 SCREW LOCKING 2.3 X 6 MM$ 275.00 C1713 SCREW LOCKING 1.7 X 5$ 275.00 C1713 SCREW LOCKING 1.7 X 7$ 275.00 C1713 SCREW LOCKING 1.7 X 9$ 275.00 C1713 ZYGOMA HOOK 21CM$ 275.00 US GUIDE AMNIOCENTES$ 275.00 76946 US GUIDE AMNIOCENTES$ 275.00 76946 INJECTION FOR HIP ARTHOGRAM$ 275.00 27093 INJECTION SHOULDER ARTHROGRAM$ 275.00 23350 NJX CNTRST KNE ARTHG/CT/MRI$ 275.00 27369 STAPLER ROTIC ENDO GRSP 5MM$ 276.00 STAPLER TA90-4.8$ 277.00 RELOAD STPL GIA STRT WH 30-2.5$ 277.00 RELOAD STPL GIA STRT WH 45-2.5$ 277.00 RELOAD STPL GIA STRT GN 45-4.8$ 277.00 RELOAD STPL GIA STRT BL 45-3.5$ 277.00 SCREW LOCKING 3.5 X 12 MM$ 277.00 C1713 SCREW LOCKING 3.5 X 14 MM$ 277.00 C1713 SCREW LOCK CORT 3.5MM X 10MM$ 277.00 C1713 SCREW LOCK CORT 3.5MM X 16MM$ 277.00 C1713 EXCISION BEN LESION 1.1 TO 2.0$ 278.00 11402 MOPATH PROCEDURE LEVEL 2$ 278.00 81401 BIT DRILL QC FLUT 2.5MM 315.25$ 278.00 SCREW HEXALOBE 3.5 X 30$ 278.00 C1713 SCREW NON LOCKING 3.5 X 12$ 278.00 C1713 SCREW NON LOCKING 3.5 X 14$ 278.00 C1713 SCREW NON-LOCK HEX 3.5 X 40$ 278.00 C1713 SCREW NON-LOCK HEX 3.5 X 45$ 278.00 C1713 SCREW NON-LOCK HEX 3.5 X 34$ 278.00 C1713 SCREW NON-LOCK HEX 3.5 X 36$ 278.00 C1713 SCREW NON-LOCK HEX 3.5 X 18$ 278.00 C1713 SCREW NON-LOCK HEX 3.5 X 28$ 278.00 C1713 SCREW NON-LOCKING 3.5 X 16$ 278.00 C1713 BONE DRILL 5085-2-032$ 278.00 CIRCUIT VAPO$ 278.00 CIRCUIT LOW FLOW DIS PT$ 278.00 INSERT CATH W/COMPLN$ 279.00 51703 CATH BILIARY 10.2F 40CM 32SH$ 279.00 ANES. SPINAL$ 279.00 SOLU-MEDROL 2GM W/DI$ 279.00 PREMARIN VAG.CRM.APP$ 279.00 US BREAST UNI$ 279.00 76642 76642 US BREAST UNI$ 279.00 76642 I & D ABSCESS COMPLICATED/MULT$ 279.00 10061 REPAIR LAC F,L,N,E$ 280.00 SO THYROTROPIN REL HORM$ 280.00 83519 PROBE PRASS STAND PKG$ 280.00 C1727 PEG DRIVER 2.0 MM FDP20$ 280.00 REPAIR SIMPLE, FACE, OVER 30CM$ 280.00 12018 REPAIR FACE 2.5CM$ 281.00 K-WIRE 1.8 X 310$ 281.00 C1769 XRAY ENTIRE SPINE 2-3 VIEWS$ 281.83 72082 XRAY FOREARM 2 VIEWS LT$ 282.00 73090 XRAY FOREARM 2 VIEWS RT$ 282.00 73090 SM>2.5CM FC.8R EY/LP$ 282.00 12011 DRUG SCREEN EACH DRUG CLASS$ 282.00 80307 CYTOPATH DX EVAL FNA 1ST EA SI$ 282.00 88172 BIT DRILL QC FLUT 3.2MM 315.31$ 282.00 KIT NEEDLE INJCTR 13GA AVAMAX$ 282.00 UPTAKE CALVER LQ-T$ 282.00 OBS-INITAL- NURSERY$ 282.00 ADRIAMYCIN INJ 10MG$ 282.00 J9000 FOREARM, LEFT 2 VIEWS$ 282.00 73090 73090 FOREARM RT 2 VIEWS$ 282.00 73090 SYVEK NT PATCH$ 283.00 SHEATH-ATHERECTOMY$ 283.00 GUIDEWIRE SPORT MS/REX$ 283.00 C1776 DRAINAGE MOUTH LESION$ 283.00 SO B. PERTUSSIS PCR$ 283.00 87801 SO TROPHERYMA WHIPPLEI DNA$ 283.00 87798 CATH TRIPLE LUM 8.5F AVA$ 283.00 BIT DRILL QC 2.5MM 310.23$ 283.00 PEG NON-LOCKING 12MM SP12000$ 283.00 C1713 PEG NON LOCKING 14MM SP14000$ 283.00 C1713 PEG NON LOCKING 18MM SP18000$ 283.00 C1713 PEG NON LOCKING 20MM SP20000$ 283.00 C1713 PEG NON LOCKING 24MM SP24000$ 283.00 C1713 PEG NON LOCKING 26MM SP26000$ 283.00 C1713 SCREW CORTICAL 10MM Cq20000$ 283.00 C1713 SCREW CORTICAL 12 MM$ 283.00 C1713 SCREW CORTICAL Cq24000$ 283.00 C1713 SCREW CORTICAL 16MM Cq26000$ 283.00 C1713 SCREW CORTICAL 20MM CS20000$ 283.00 C1713 PEG THREADED 22MM TP22000$ 283.00 C1713 PEG THREADED 30MM TP30000$ 283.00 C1713 PEG LOCKING 16MM P16000$ 283.00 C1713 PEG LOCKING 18MM P18000$ 283.00 C1713 PEG LOCKING 20MM P20000$ 283.00 C1713 PEG LOCKING 22MM P22000$ 283.00 C1713 PEG LOCKING 24MM P24000$ 283.00 C1713 PEG LOCKING 26MM P26000$ 283.00 C1713 PEG LOCKING 28MM P28000$ 283.00 C1713 PEG LOCKING 30MM P30000$ 283.00 C1713 BALLOON URETERAL DIA 9X29$ 283.00 C1727 BALLOON URETERAL DIA 7X29$ 283.00 C1727 US PICC CATH PLACE$ 284.00 76499 BRACE KNEE HNGD SHRT$ 284.00 L1810 BRACE KNEE HNGD LNG$ 284.00 L1810 MASK GEL SMALL$ 284.00 MASK GEL MEDIUM$ 284.00 MASK GEL LARGE$ 284.00 WIRE GUIDE 3.2MM 357.399$ 284.00 C1713 ROTICULATING DISSECTOR$ 284.00 DRILL BIT/QC 1.5 X 110 MM$ 284.00 DRILL BIT 3.1$ 284.00 SCREW CTX 2.7 X 12$ 284.00 SCREW CTX 2.7 X 16$ 284.00 SCREW CTX 2.7 X 20$ 284.00 SCREW CTX 2.7 X 24$ 284.00 SCREW CTX 2.4 X 14$ 284.00 ROOMING IN - WOMENS UNIT$ 284.00 US INF HIP WO/MANPLT$ 284.00 76886 US PELVIC LIM/FOLLUP$ 284.00 76857 US INF HIP WO/MANPLT$ 284.00 76886 US PELVIC LIM/FOLLUP$ 284.00 76857 TCC EZ CAST BOOT TCC2116$ 284.00 FOREIGN BODY SPEC SI$ 284.00 76499 COMP FCCMN EA 5CM$ 286.00 13133 SET VITAGEL SPRAY$ 286.00 BLADE SHAVER ENT 3.5MM$ 286.00 X-RAY S.I.JOINTS 3 OR > VIEWS$ 286.00 72202 72202 ENTEREG 12MG CAPSULE$ 286.65 RELOAD STPL TA30-3.5$ 287.00 SYSTEM PERCUTANEOUS 8.5FR$ 287.00 SCREW CANCELLOUS BONE$ 287.00 C1713 SCREW CANCELLOUS BONE$ 287.00 C1713 SCREW CANCELLOUS 6.5 X 16$ 287.00 C1713 DRILL BITT 2.6MM AO$ 287.00 MESH CQUR LITE FX 3X6$ 287.00 C1781 DRILL BIT COUNTERSINK 45-80040$ 287.00 TRACH SPEAK VALVE$ 288.00 XRAY FOOT 2 VIEWS LT$ 288.00 73620 XRAY FOOT 2 VIEWS RT$ 288.00 73620 SO IMMUKNOW$ 288.00 86352 SO BCL-1 TRANSLOCATIO T(11:14)$ 288.00 81401 CRESCENTIC BLADE LONG$ 288.00 CRESCENTIC BLADE SHORT$ 288.00 METRO-GEL 0.75% GEL$ 288.00 AMINOSYN 8.5% 500ML$ 288.00 VIROPTIC SOL'N 7.5ML$ 288.00 FOOT 2 VIEWS, RT$ 288.00 73620 FOOT 2 VIEWS, LEFT$ 288.00 73620 73620 ARM, LONG ARM SPLINT$ 289.00 29105 SO BETA-2 GLYCOPROTEIN$ 289.00 86146 STAPLER / CUTTER GIA60-3.8$ 289.00 STAPLER / CUTTER GIA60-4.8$ 289.00 PLATE SM ACP 2.7 8 HOLE$ 289.00 INC & REM OF FB, COMPLICATED$ 289.00 10121 COAXIAL UMBILICAL$ 290.00 REMOVAL SKIN TAGS 15$ 290.00 CLSD TOE/MANIPULATIN$ 290.00 28515 SKIN TAG REMOVAL1-15$ 290.00 REPAIR NAIL BED$ 290.00 11760 FFPL-THAWING$ 290.00 86927 SO JC VIRUS QUAL BY PCR$ 290.00 87798 SCREW SCHANZ 4.5MM 294.75$ 290.00 C1713 SCREW CANN FULL THREAD AR-1400$ 290.00 C1713 SUTURE BUTTON AR-8920$ 290.00 C1713 BIOPSY STARTER KIT$ 290.00 PIN ANCHORAGE FIXATION$ 290.00 DRILL BIT -2 MM AR-8943-16$ 290.00 FIT/INSERT PF PESS OR OTH DEVI$ 291.00 XRAY SPINE, LUMBOSAC MIN 4 VIE$ 291.00 72110 NOSE BLEED POST PACK$ 291.00 30905 SO CASCADING REFLEX STAGE 2$ 291.00 86235 SCREW 6.5MM LOW PRO HEX 25MM$ 291.00 C1713 SCREW 6.5MM LOW PRO HEX 35MM$ 291.00 C1713 SCREW HEX 6.5MM X 30MM$ 291.00 C1713 LUMBOSAC SPINE >=4$ 291.00 72110 72110 CRITICAL CARE, EA ADD'L 30 MIN$ 291.75 99292 NOSE BLEED ANT. PACK$ 292.00 30903 PROLONG PSY TX SRVS 1ST HR FA-$ 292.00 99354 TAPE TWILL .5$ 292.00 TUBE SKIN LEVEL G 14FR$ 292.00 WIRE TI KIRSCHNER 1.6MM 492.16$ 292.00 C1713 INITIAL OBS CARE$ 292.00 99220 INSERT CVL N-TUN>5YR$ 292.75 36556 NASAL ENDOSCOPY, DIAGNOSTIC$ 293.00 DAVINCI WIRE LUNDERQUIST 260CM$ 293.00 SCREW BONE TI 16MM$ 293.00 C1713 SCREW BONE 2.7 52.27012$ 293.00 C1713 SCREW BONE 2.7MM TI$ 293.00 C1713 SCREW BONE TI 18MM$ 293.00 C1713 SCREW NONLOCKING 2.7 X 20$ 293.00 C1713 SCREW NON-LOCKING 2.7 X 24$ 293.00 C1713 SCREW BONE 2.7X26 52.27026E$ 293.00 C1713 K-WIRE$ 293.00 C1713 SCREW CTX 3.5 X 18$ 293.00 SCREW CTX 3.5 X 22$ 293.00 PANAFIL SPRAY$ 293.00 RIFAMPIN I.V. 600MG$ 293.00 PUNCTURE ASP EA ADD BREA CYST$ 293.00 DXA BONE DEN STDY 1OR MORE AX$ 294.00 77080 REPAIR FACE 2.6-5CM$ 294.00 BONE DENSITOMETRY$ 294.00 77080 77080 PROGRAM SPINAL STIMU$ 294.00 95972 ADVAIR DISKUS 100/50$ 294.00 ADVAIR DISKUS 250/50$ 294.00 CIPRO HC OTIC 10ML$ 294.00 PROGRAM NEUROSTIM 1ST HR$ 294.00 95972 MASTOIDS 3ORMORVIEWS$ 294.00 70130 70130 MASTOIDS 3 OR MORE$ 294.00 70130 70130 DRUG TEST 1-7 DRUG CLASS(ES)$ 294.13 80364 GUIDEWIRE VASC KINETIX 014 185$ 295.00 C1769 PLATE DCP 2.7MM$ 295.00 C1713 PACK OPEN SHOULDER$ 295.00 COMBIVENT 14.7G INHA$ 295.00 7HOLE 2.7MM PLATE$ 295.00 C1713 TELEMETRY$ 296.00 WIRE KIRSCHNER 1.25MM 292.12$ 296.00 C1713 WIRE GUIDE ASNIS III 3.2 X 300$ 296.00 QCTREOTIDE 500 MCG VIAL$ 296.00 J2354 HBOT, FULL BODY CHAMBER, 30M$ 296.00 G0277 99183 INJECT HSTEROSAPLIN$ 296.00 XRAY HAND 3 VIEWS LT$ 297.00 73120 XRAY HAND 2 VIEWS RT$ 297.00 73120 RHOGAM/VIAL 300 MCG$ 297.00 J2790 SO FOOD ALLERGY PRO W/REFLEXES$ 297.00 86003 DIGITAL MAMMO SCREEN W/CAD BIL$ 297.00 77067 77067 DIGITAL MAMMO SCREEN BIL$ 297.00 77067 DIGITAL MAMMO SCR/INDU W/CAD$ 297.00 77067 DIGITAL MAMMO SCREEN W/CAD BIL$ 297.00 77067 77067 DIGITAL MAMMO SCR/INDU W/CAD$ 297.00 77067 CATH BIL MAC-LK 12F 038 40CM$ 297.00 SCREW BONE 3.5 X 34$ 297.00 C1713 SCREW BONE 3.5 X 55$ 297.00 C1713 SCREW CORTEX TI 1 X 6$ 297.00 C1713 SCREW CORTEX TI 1 X 7$ 297.00 C1713 SCREW CORTEX TI 1 X 11$ 297.00 C1713 SCREW CORTEX TI 1 X 13$ 297.00 C1713 SCREW CORTEX TI 1 X 14$ 297.00 C1713 SCREW BONE T10 2.7 X 20$ 297.00 C1713 SCREW BONE T10 2.7 X 48$ 297.00 C1713 SCREW BONE T10 2.7 X 38$ 297.00 C1713 SCREW BONE T10 2.7 X 34$ 297.00 C1713 SCREW BONE 2.7 X 30$ 297.00 C1713 SCREW BONE T10 2.7 X 26$ 297.00 C1713 SCREW BONE T10 2.7 X 10$ 297.00 C1713 SCREW BONE 2.7 X 22$ 297.00 C1713 TAP 1.2$ 297.00 ZYVOX 600MG TAB$ 297.00 VANCENASE NASAL INHA$ 297.00 HAND AP/LAT$ 297.00 73120 73120 HAND AP/LAT RIGHT$ 297.00 73120 73120 X-RAY HAND 2 VIEWS RT$ 297.00 73120 X-RAY HAND 2 VIEWS LT$ 297.00 73120 EGD DIAGNOSTIC/DOCTOR$ 298.00 43235 SCREW LOW PROFILE TI 3 X 12$ 298.00 C1713 SCREW LOW PROFILE TI 3 X 14$ 298.00 C1713 SCREW LOW PROFILE TI 3 X 16$ 298.00 C1713 SO VIP$ 299.00 84586 CATH JUDK LT 5FR/4.0$ 299.00 TUBE G SKIN LEVEL 14FRX2.5$ 299.00 C1771 TUBE G SKIN LEVEL 16FRX2.0$ 299.00 TUBE G SKIN LEVEL 16FRX2.5CM$ 299.00 TUBE G SKIN LEVEL 18FRX2.0CM$ 299.00 TUBE G SKIN LEVEL 18X1.5$ 299.00 TUBE G SKIN LEVEL 16FRX1.5CM$ 299.00 TUBE G SKIN LEVEL 18FRX3.0CM$ 299.00 TUBE G SKIN LEVEL 16FR$ 299.00 TUBE G SKIN LEVEL 24FR$ 299.00 GUIDEWIRE NIT FLOPPY 018X180CM$ 299.00 C1769 TUBE 20FR. 4.0CM SKIN LEVEL$ 299.00 TUBE 14FR. 1.5CM SKIN LEVEL$ 299.00 GTUBE 14FR. 1.0 CM$ 299.00 CATH PEZZER 28FR$ 299.00 WIRE GUIDE DRILL TIPPED$ 299.00 C1769 WIRE GUIDE NITINOL$ 299.00 C1769 ACCESSORY KIT MEDTRONIC$ 299.00 TEAR AWAY SHEATH$ 299.00 C1892 KIT REPAIR PAIN PUMP SYCH$ 299.00 SCREW LOCKING 3X18$ 299.00 C1713 SCREW LOCKING 3 X 20$ 299.00 C1713 SCREW LOCKING LOW PRO 3X10$ 299.00 C1713 .040 PLATE TACK$ 299.00 C1713 TUNNELLER E32791$ 299.00 SCREW LAG 2.3 X 14MM$ 299.00 C1713 SCREW, 2.3 MM X 18MM HEX LAG$ 299.00 C1713 SCREW, 2.3MM X 20MM HEX LAG$ 299.00 C1713 BOOT CAST TCC21126$ 299.00 NEEDLE ELECTRO; 2 EXT$ 300.00 95861 I & D SIMPLE$ 300.00 ED LEVEL IV$ 300.00 99284 STAPLER TA30-V3$ 300.00 MIC-KEY LOW PROFILE GASTROSTOM$ 300.00 POST 20 DEGREE ANGLED$ 300.00 REMOVAL OF INFUSAPORT$ 300.00 36590 MEROPENEM 1GM/50ML IVPB$ 300.25 J2185 IV MED INJECT DURING CATH$ 301.00 93463 PART AGGLUTINATIN S$ 301.00 86403 SO NEUROKININ A$ 301.00 83519 SO PANCREASTATIN$ 301.00 83519 STAPLER / CUTTER GIA60-2.5$ 301.00 270 $ 301.00 HEPATITIS B VAC.ADUL$ 301.00 90746 RELENZA 5MG DISKHALER$ 301.00 SCREW SCHANZ 5.0MM 294.57$ 302.00 C1713 SCREW CORT 3.5X13MM Cq23000$ 302.00 C1713 SCREW CORT 3.5X15MM Cq25000$ 302.00 C1713 PEG FULL THRD 10MM FP10$ 302.00 C1713 PEG FULL THRD 12MM FP12$ 302.00 C1713 PEG FULL THRD 24MM FP24$ 302.00 C1713 PEG FULL THRD 28MM FP28$ 302.00 C1713 PEG FULL THRD 30MM FP30$ 302.00 C1713 CEMENT PLUG SZ 1$ 302.00 C1713 CEMENT SPACER 1067-0011$ 302.00 SCREW LOCKING 1.5 X 11$ 302.00 C1713 SCREW LOCKING 1.5 X 10$ 302.00 C1713 SCREW LOCKING 1.5 X 15$ 302.00 C1713 SCREW LOCKING 1.5 X 12$ 302.00 C1713 SCREW CORTICAL BONE TAP 3.5MM$ 302.00 C1713 NEW PATIENT LEVEL 4$ 303.00 99204 GUIDEWIRE,C-TIP .035 X 260 CM$ 303.00 C1769 REP IN SCA, TRU, EXT 2.6-7.5CM$ 303.00 12032 MOD SED OTH PHYS <5YRS 15 MIN$ 304.00 99151 I&D ABCESS EAR$ 304.00 69000 SO GANGLIOSIDE AB$ 304.00 83520 PBDS TURB/TURP$ 304.00 ENPOWER FOR NEPTUNE SYSTEM$ 304.00 SCREW BONE CANC #2030-6535-1$ 304.00 C1713 SCREW CANCELLOUS BONE 6.5$ 304.00 C1713 FILTER VAPOR-CLEAN ANESTHESIA$ 304.00 SCREW BONE CANCELLOUS 6.5 MM$ 304.00 C1713 SCREW CANCELLOUS BONE$ 304.00 C1713 GUIDEWIRE CORONARY 014 X 190$ 305.00 GUIDEWIRE VASC 0.014X180$ 305.00 C1769 GUIDEWIRE VASC 0.014 X 300$ 305.00 C1769 GUIDEWIRE VASC 0.014 X 180$ 305.00 C1769 GUIDEWIRE VASC 0.014 X 300$ 305.00 C1769 SHEATH SAFE II 6FR 13CM$ 305.00 GUIDEWIRE VASC 014 3X300$ 305.00 C1769 GUIDEWIRE VASC 014 3X190$ 305.00 C1769 GUIDEWIRE VASC 014 2X300$ 305.00 C1769 SHEATH SHUTTLE 5 FR 90 CM$ 305.00 C1894 SHEATH SHUTTLE 6 FR 90 CM$ 305.00 C1894 XRAY SHOULDER; COMP 2 VIEW LT$ 305.00 73030 XRAY SHOULDER COMP 2 VIEWS RT$ 305.00 73030 SO CHROMOSOME ANALY CONT 15-20$ 305.00 88262 SO ALDOSTER/SERUM$ 305.00 82088 STAPLER TA30-3.5$ 305.00 GUIDEWIRE BEAD TIP 2.6 X 80CM$ 305.00 C1769 NET ROTH RETRIEVER PED 1.7 MM$ 305.00 PUSHLOCK DISP KIT 3.5$ 305.00 BONE BLUG TPA-18$ 305.00 BONE PLUG TPA-24$ 305.00 POST BI-CORTICAL 4.5 X 40$ 305.00 C1713 WASHER SPIKED$ 305.00 C1713 SCREW TI EMERGENCY 1.0 X 14$ 305.00 C1713 BONE BIOPSY NEEDLE F07A$ 305.00 RETRACTOR LAP ALEXIS$ 305.00 SCREW CENTRAL 6.5 X 20 MM$ 305.00 C1713 SCREW LOCK FIXED 4.75X35$ 305.00 C1713 SHOULDER REV COMPR 6.5 X 40$ 305.00 C1766 SCREW NON-LOCK 4.75 X 20X 3.5$ 305.00 C1713 SCREW NON-LOCK 4.75 X 20X 15 H$ 305.00 C1713 BAG ENDOSCOPIC RETR 12/15MM$ 305.00 PICC ANTIMIC 3.0 X 55$ 305.00 SCREW NON-LOCKING 4.75X25X3.5$ 305.00 ANCHORS NEUROSTIM$ 305.00 CC02A MEDTRONIC$ 305.00 TAP 1.7 MM$ 305.00 HEX IMPACTION$ 305.00 POST CORTICAL BI 4.5 X 60$ 305.00 SHOULDER COMPT. LT MIN 2 V$ 305.00 73030 73030 SHOULDER 2 VIEWS, RT$ 305.00 73030 73030 SHOULDER COMPLETE, RT MIN 2 V$ 305.00 73030 BLADE CRESCENTRIC 2296-31-417$ 306.00 PULMOZYNE 2.5MG/2.5ML INHALA$ 306.00 DUP SCAN,EXCRANIAL, ART, UNIL$ 306.00 93882 XRAY ANKLE COMPLT 3 VIEWS LT$ 307.00 73610 XRAY ANKLE COMPLT 3 VIEWS RT$ 307.00 73610 CLOSED RED FR/DISLOC$ 307.00 BLOCK DIGITAL-DOCTOR$ 307.00 64450 CUTTER STPL INTER GIA 12MM$ 307.00 PREVENTIVE COUNSEL INDIV 60MIN$ 307.00 99404 ANKLE COMPLETE MIN 3 V LT$ 307.00 73610 ANKLE COMPLETE RT MIN 3 V RT$ 307.00 73610 73610 RAD EX SKULL, COM MIN 4 VIEWS$ 307.00 70260 PULMONARY STRESS TES$ 308.00 94618 6 MIN WALK TEST$ 308.00 94618 6 MINUTE WALK TEST$ 308.00 94618 6 MINUTE WALK TEST$ 308.00 94618 PLATELETS, EA UNIT$ 308.00 P9019 PLATELETS, EA UNIT$ 308.00 P9019 SO PARATHYROID HORMONE$ 308.00 83970 SHUNT CAROTID 9FR PRUITT$ 308.00 DEVICE TRAUMA PELVIC ORTHOTIC$ 308.00 TUBE NASO-JEJUNAL$ 308.00 ELECTRODE PAIRED$ 308.00 KNIFE LIGHT$ 308.00 PASSER CATH 38CM$ 308.00 SCREW NON LOCKING 2.3 X 14$ 308.00 C1713 SCREW NON LOCKING 2.3 X 22$ 308.00 C1713 SCREW NON LOCKING 2.3 X 12$ 308.00 C1713 SCREW NON LOCKING 2.3 X 20$ 308.00 C1713 SCREW NON LOCKING 2.3 X 18$ 308.00 C1713 SCREW NON LOCKING 2.3 X 24$ 308.00 C1713 4.0 TORPEDO ARTHREX$ 308.00 POWERPICK ARTHREX$ 308.00 BURR, ARTHOSCOPIC 5.0$ 308.00 POWER RASP 4.0 ARTHREX$ 308.00 DEPO-PROVERA 400MG S$ 308.00 STERILE TALC 4GM/100$ 308.00 PBDS GYN LAP$ 309.00 NEW PATIENT (PAT) LEVEL 4$ 309.00 99204 US BIO PROFILE W/O NON-STRESS$ 309.00 76819 US BIO PROFILE W/O NON-STRESS$ 309.00 76819 DEHYDRATED ALCOHOL 5ML VIAL$ 309.55 CT WIRE PLACEMENT$ 310.00 UPDRAFT 1ST TX DAY$ 310.00 94640 PBDS VAGINAL HYST$ 310.00 CHOLOTEC PER DOSE$ 310.00 A9537 NOREPINEPHRINE 8MG/250 ML BAG$ 310.00 EVAL/ASES RESP TX 1X$ 310.00 94664 FETAL FIBRONECTIN$ 311.00 82731 SO BK VIRUS DNA BY PCR$ 311.00 87799 BRACE HUMERAL FRACTURE SM$ 311.00 BRACE HUMERAL FRACTURE MED$ 311.00 BRACE HUMERAL FRACTURE LG$ 311.00 BRACE HUMERAL FRACTURE X-LG$ 311.00 SCREW CORTEX TI 1.3 X 12$ 311.00 C1713 SCREW CORTEX TI 1.3 X 14$ 311.00 C1713 SCREW TI CORTEX 1.3 X 16 MM$ 311.00 C1713 ANESTHESIA OTHER 1ST 15 MIN$ 312.00 INSERT CVL N-TUN<5YR$ 312.00 36555 INTRODUCER SAFESHEATH 9FR 25CM$ 312.00 STENT GRAFT 7MMX60MM 117CM$ 312.00 C1874 STENT GRAFT FL 6MMX80MM 117CM$ 312.00 TUBE G SKIN LEVEL 14FRX2.0$ 312.00 TUBE G SKIN LEVEL 18FRX2.5$ 312.00 TUBE G SKIN LEVEL 20FRX2.5$ 312.00 TUBE G SKIN LEVEL 20FRX2.0CM$ 312.00 TUBE G SKIN LEVEL 14FRX3.0CM$ 312.00 TUBE G SKIN LEVEL 16FRX3.0$ 312.00 TUBE G SKIN LEVEL 20FRX3.0$ 312.00 TUBE G SKIN LEVEL 16FRX3.5CM$ 312.00 C1874 TUBE G SKIN LEVEL 18FRX3.5CM$ 312.00 C1874 BUTTON MINI 20FR 1.5CM$ 312.00 BUTTON MINI 20FR 3.5CM$ 312.00 BLADE KIT OXFORD KNEE$ 312.00 DOUBLE UNDERWATER DRAINAGE$ 312.00 KIT TRIAL PATIENT$ 312.00 NEEDLE PD 15MM 9018V$ 312.00 SPACER UNIV. DISTAL OSTEONICS$ 312.00 C1713 CENTRALIZER HIP CEMENT$ 312.00 BONE PLUG SHOULDER$ 312.00 BONE PLUG 12.5MM STRYKER$ 312.00 CEMENT PLUG SIZED$ 312.00 C1713 SCREW BONE 2.3 X 12 53-23212E$ 312.00 C1713 CEMENT PLUG SIZE 4 X 15.5MM$ 312.00 C1713 FILSHIE CLIP$ 312.00 A4264 URETERAL DILATION$ 313.00 53899 APPLY LONG LEG SPLIN$ 313.00 29505 INIT NURS FAC PER DAY, E/M$ 313.00 99305 PACK SHLDR ARTHROSCPY CSTM$ 313.00 DRILL BIT 3.1 MM$ 313.00 ASMANEX INHALER$ 313.00 REP INTER N, H,F, G 2.6-7.5 CM$ 313.00 12042 SCREW TI LOCKING 2.4MM 412.808$ 314.00 C1713 SCREW TI LOCKING 2.4MM 412.830$ 314.00 C1713 TAP 2.7 311.260$ 314.00 SCREW PLATE GAP REST 6.5MM$ 314.00 C1713 SURGICAL NUKNIT HEMOSTAT 3 X 9$ 314.00 NEEDLE 21 GA$ 314.00 CEFADROXIL 500MG/5ML$ 314.00 EVAL SPEECH SOUND PRODUCTION$ 314.00 92523 EVAL SPEECH PRO W/LANG COMP$ 314.00 92523 MCD EVAL OF SPEECH SOUND/LANG$ 314.00 92523 DEST WARTS UP TO 14 LESIONS$ 315.00 17110 I & D SIMPLE SKIN$ 315.00 DIGITAL MAMMO DIAG BIL W/CAD$ 315.00 77066 77066 DIGITAL MAMMO DIAG BIL W/CAD$ 315.00 77066 MENISCAL DART 10MM$ 315.00 MENISCAL DART 12MM$ 315.00 MENISCAL DART 14MM$ 315.00 C1713 TUBE SKIN LEVEL 3.0$ 315.00 C1760 CATH INFUSION MTI 5F 5CMX100CB$ 315.00 CATH INFUSION MTI 5F 5CMX65CM$ 315.00 CATH GUIDING RDCI 6F 068 X50CM$ 315.00 C1727 CATH GUIDING RDCI 8F 088 X50CM$ 315.00 C1769 CATH GUIDING LIMA 6F 068 X50CM$ 315.00 C1887 CATH GUIDING LIMA 7F 078 X50CM$ 315.00 C1887 CATH GUIDING LIMA 8F 088 X50CM$ 315.00 C1887 CATH GUIDING VERIPH 6F 068X50$ 315.00 C1887 CATH INF CRAG MC 10CMX038X65CM$ 315.00 CATH INFUS MTI 5F 10CMX018X100$ 315.00 CRUTCHES CHILD 28IN-36IN$ 315.00 BIT DRILL FDB2.0$ 315.00 BIT DRILL DB2.5$ 315.00 PUNCH BONE BIOPSY AVAMAX 11G$ 315.00 BONE CEMENT CMW 2, 20GM$ 315.00 C1713 DRILL BIT 1/8 QUICK RELEASE$ 315.00 SWIFT LOCK ANCHOR #1192$ 315.00 C1713 LABOR ROOM/C-SEC 1ST HR$ 315.00 BREAST FEEDING EDUCAT PER 60 M$ 315.00 99404 CEFTRIAXONE 2GM ADD/$ 315.00 J0696 US CHEST$ 316.00 76604 ER CRITCL C/ADD/30MN$ 316.00 99292 EMER. ENDOTR. INTUB$ 316.00 31500 OMNICEF 125/5ML SUSP$ 316.00 US CHEST$ 316.00 76604 US CHEST$ 316.00 76604 CASTING 3" NO BOOTS$ 316.00 CASTING 4" NO BOOTS$ 316.00 PSYCHOTHERAPY FOR CRISIS, 60 M$ 317.00 90839 PSYCHOTHERAPY FOR CRISIS EA AD$ 317.00 90840 CATH-INFUSION 5 X 135 X 20$ 317.00 C1752 HEMORRHOID EXCISION$ 317.00 46320 SCREW CORTICAL LOCK 2.3 X 14MM$ 317.00 C1713 SCREW LOCKING 2.3 X 18$ 317.00 C1713 SCREW LOCKING 2.3 X 20$ 317.00 C1713 SCREW LOCKING 2.3 X 26$ 317.00 C1713 SCREW LOCKING CORTICAL 2.3X12$ 317.00 C1713 PEGS LOCKING SMOOTH 2.3 X 22$ 317.00 C1713 SCREW LOCKING 2.3 X 22$ 317.00 C1713 SCREW CORTIC PEG LOCK 2.3 X 16$ 317.00 C1713 SCREW CORTIC PEG LOCK 2.3X18$ 317.00 C1713 SCREW SEL 3.0 X 2.0$ 317.00 C1713 MMA PER DOSE$ 317.00 A9540 UP/LOW ART STUDE 3+ LEVELS$ 317.75 93923 LOWER EXTREM VASC STUDY BILAT$ 317.75 93924 ULTRASOUND, TRANSRECTAL$ 318.00 76872 CATH TEMP PACING KIT$ 318.00 SCREW BONE 2.3 X 16MM$ 318.00 C1713 SCREW BONE 2.7 X 22 52-27022E$ 318.00 C1713 2030-6560-1 STRYKER$ 318.00 C1713 ADMIS/INIT VISIT HIGH SEVERITY$ 318.00 99223 BI-PAP INITIAL/MGT$ 318.00 94660 BI-PAP SUBSEQ DAYS$ 318.00 94660 CPAP SUBSEQ. DAYS$ 318.00 94660 CPAP INITIAL$ 318.00 94660 SKIN BX EACH ADDITON$ 318.00 11103 REPAIR INTER FACE 2.6-5.0CM$ 318.00 12052 OBS INPT HOSP CARE 40 MIN$ 318.50 99234 CABLE EP BLACK DECA 150CM$ 319.00 CLSD GREAT TOE MANIP$ 319.00 28495 CEMENT MIXING BOWLS$ 319.00 INJ SI JOINT WO MEDS$ 319.00 INJ SI JOINT W/MEDS$ 319.00 BALLOON MEDICROSS 5 X 40 X 135$ 320.00 HEMASHIELD PLAT FIN CARDIO PAT$ 320.00 C1768 SCREW BONE 3.5 X 16$ 320.00 C1713 SCREW BONE 3.5 X 20$ 320.00 C1713 SCREW BONE 3.5 X 22$ 320.00 C1713 SCREW LOCKING 2.3 X 16$ 320.00 C1713 SCREW BONE 3.5 X 24$ 320.00 C1713 SCREW LOCKING 2.3 X 12$ 320.00 C1713 SCREW LOCKING 2.3 X 14$ 320.00 C1713 SCREW CORTIC PEG LOCK 2.3X22$ 320.00 C1713 PEG SMOOTH 2.3 X 24$ 320.00 C1713 PEG SMOOTH 2.3 X 26$ 320.00 C1713 SCREW NON-TOGG CORT 2.3 X 18$ 320.00 C1713 SCREW NON-TOGG CORT 2.3 X 30$ 320.00 C1713 SCREW NON-TOGG CORT 2.3 X 26$ 320.00 C1713 SCREW NON-TOGG CORT 2.3 X 16$ 320.00 C1713 PEG LOCKING CORT 2.3 X 20$ 320.00 C1713 SCREW NON-TOGG CORT 2.3 X 24$ 320.00 C1713 SCREW NON-TOGGING 2.3 X 20$ 320.00 C1713 PLATE COMPRESSION 4 HOLE$ 320.00 C1713 SCREW LOCKING 2.7 X 10 MM$ 320.00 SCREW LOCKING 2.7 X 26 MM$ 320.00 SCREW LOCKING 2.3 X 20$ 320.00 BAL PTA DIL META OTW35IN 4X20M$ 320.00 BAL PTA DIL META 4MMX40MM$ 320.00 BAL PTA DIL META 4MMX60MM$ 320.00 BAL PTA DIL META 4MMX100MM$ 320.00 BAL PTA DIL META 5MMX60MM$ 320.00 BAL PTA DIL META 5MMX100MM$ 320.00 BAL PTA DIL META 5MMX100 62IN$ 320.00 BAL PTA DIL META 5MMX150MM$ 320.00 BAL PTA DIL 5MMX150MM$ 320.00 BAL PTA DIL METACROSS 6MMX4MM$ 320.00 BAL PTA DIL META 6MMX100MM$ 320.00 BAL PTA DIL META 6MMX150MM$ 320.00 SCREW 2.7 X 30MM LOCKING$ 320.00 C1713 SCREW LOCKING 2.7 X 26 MM$ 320.00 SCREW LOCKING 2.7 X 28 MM$ 320.00 DRILL 1.7MM FOR FIBERTAK$ 320.00 CHANGE OF BLADDER TUBE$ 321.00 CATH IN/OUT RESIDUAL$ 321.00 51701 INFLU VIRUS, MULTIPLE TYPES FI$ 321.00 87502 IN/OUT CATH RESIDUAL$ 321.00 51701 INITIAL HOSPITAL CARE 3$ 321.00 99223 BIOPSY OF SKIN$ 322.00 11102 SM2.6-7.5 FC.8REY/LP$ 322.00 12013 GUIDE DRILL THRD 1.5$ 322.00 1067-0009$ 322.00 C1713 FENTANYL 500MCG/50 ML BAG$ 322.00 J3010 SKIN BIOPSY 1 LESION$ 322.00 11102 REPAIR COMP TRUNK, 1.1 – 2.5CM $ 322.00 13100 RAD EX FACIAL BONES, MIN 3 VI$ 322.00 70150 EXELON 2MG/ML 30ML$ 323.00 INPATIENT CONSULTATION 55 MIN$ 323.00 99253 REP INT SCA,TRU,EXT 7.6-12.5CM$ 323.00 12034 IP CONSULT LEVEL 3$ 323.00 99253 ALCOH/SUBS SCREE-INT 30 OR GRE$ 324.00 G0397 POLAR CARE 300$ 324.00 TROCAR ENDO HERNIA 10MM$ 324.00 PIN TRANSFIX APEX 5 X 300$ 324.00 C1713 PIN APEX 120 MM$ 324.00 C1713 X-RAY EXAM, CHEST, >3 VIEW$ 324.00 71048 X-RAY EXAM, ABD, >2 VIEW$ 324.00 74021 INJCT EXT VENOGRAPHY$ 325.00 36005 XRAY HIP BILATERAL 3-4 VIEWS$ 325.00 73522 INITIAL OBS. CARE MOD 50 MIN$ 325.00 99219 OFFICE CONSULT NEW/EST LTD 15M$ 325.00 99241 IP CONSULT MOD 55 MIN$ 325.00 99253 DRESSING VAC KIT XLG ATS$ 325.00 SCREW 2.4 LOCKING 6MM 212.806$ 325.00 C1713 SCREW 2.4 LOCKING 7MM 212.807$ 325.00 C1713 SCREW 2.4 LOCKING 8MM 212.808$ 325.00 C1713 SCREW 2.4 LOCKING 9MM 212.809$ 325.00 C1713 SCREW 2.4 LOCKING 10MM 212.81$ 325.00 C1713 SCREW 2.4 LOCKING 11MM 212.811$ 325.00 C1713 SCREW 2.4 LOCKING 12MM 212.812$ 325.00 C1713 SCREW 2.4 LOCKING 13MM 212.813$ 325.00 C1713 SCREW 2.4 LOCKING 14MM 212.814$ 325.00 C1713 SCREW 2.4 LOCKING 16MM 212.816$ 325.00 C1713 SCREW 2.4 LOCKING 18MM 212.818$ 325.00 C1713 SCREW 2.4 LOCKING 20MM 212.82$ 325.00 C1713 SCREW 2.4 LOCKING 22MM 212.822$ 325.00 C1713 SCREW LOCKING 2.4 X 24MM$ 325.00 C1713 SCREW LOCKING 2.4 X 26MM$ 325.00 C1713 SUBQ NURS FAC PER DAY E/M$ 325.50 99310 SM 5.1-7.5 EYE/LIP$ 326.00 12014 COMP MET PANEL$ 326.00 80053 FEMORAL CANAL PRESS W/OUT HUB$ 326.00 GUIDEWIRE CANN 6.5/7.3$ 326.00 C1769 INITAL HOSP CARE COMPLX 50 MIN$ 326.50 99222 APPLICATION LONG ARM SPLINT$ 327.00 29105 STRAPPING ANKLE/FOOT$ 327.00 29540 LDCT FOR LUNG CA SCREENING$ 327.00 G0297 FINGER SPLINT STATIC$ 327.00 29130 I & D PERINAL ABSCESS$ 327.00 SO KETOSTEROID-17 FRACTIONATIO$ 327.00 83593 HYALURONIDASE 150 UNIT VIAL$ 327.00 J3470 INJECTION WRIST ARTHROGRAM$ 327.00 25246 INJECTION ARTHROGRAM ELBOW$ 327.00 24220 INJECT FOR ANKLE ARTHROGRAM$ 327.00 27648 ROOM & BOARD - NURSERY$ 327.00 PLATE DCP 10 HOLE$ 328.00 SMPL RPR S/N/AX/GEN/TRK >2.6CM$ 328.00 12002 REPAIR SUPER LAC 2.6 TO 7.5$ 328.00 12002 TENOTOMY-TOE SINGLE TENDON$ 328.00 28010 XRAY FOOT COMPLT 3 VIEWS LT$ 329.00 73630 XRAY FOOT COMPLT 3 VIEWS RT$ 329.00 73630 ENDO STITCH$ 329.00 SCREW LK SLF-TPNG 3.5 212.119$ 329.00 C1713 SCREW LK SLF-TPNG 3.5 212.121$ 329.00 C1713 SCREW LOCKING CORTICAL 2.0X10$ 329.00 C1713 TRIMANO BEACH CHAIR KIT$ 329.00 PEGS SMOOTH LOCKING 2.3 X 14$ 329.00 C1713 SCREW NON-TOGGLING TH 2.3 X 14$ 329.00 C1713 SCREW NON-TOGGLING TH 2.3 X 20$ 329.00 C1713 CLOSESURE PRO KIT W/SUT PASSER$ 329.00 PEG LOCKING 2.3 X 36 MM$ 329.00 C1713 SCREW MULTI HEXALOBE 2.3 X 12$ 329.00 C1713 SCREW MULTI HEXALOBE 2.3 X 13$ 329.00 C1713 SCREW MULTI HEXALOBE 2.3 X 14$ 329.00 C1713 SCREW MULTI HEXALOBE 2.3 X 16$ 329.00 C1713 SCREW LOCK 2.3 X 24$ 329.00 C1713 PEGS CORTICAL LOCKING 2.3 X 28$ 329.00 SCREW TH NON-TOGGLING 2.3 X 12$ 329.00 SCREW HEXALOBE LAG 1.5 X 12 MM$ 329.00 C1713 SCREW HEXALOBE LAG 1.5 X 13 MM$ 329.00 C1713 PLATE 1.3MM T-PLATE$ 329.00 C1713 2.3MM HEXALOB MULTISCREW 8MM$ 329.00 C1713 2.3MM HEXALOB LAG SCREW 8MM$ 329.00 C1713 2.3MM HEXALOBE LAG SCREW 9MM$ 329.00 C1713 2.3MM HEXALOB LAG SCREW 10MM$ 329.00 C1713 SCREW,HEXALOBE LAX 1.5 X 8MM$ 329.00 C1713 SCREW, HEXALOBE LAG 1.5 X 9MMM$ 329.00 C1713 SCREW HEXALOBE LAG 1.5 X 10MM$ 329.00 C1713 SCREW, HEXALOBE LAG 1.5 X 11MM$ 329.00 C1713 SCREW HEXALOBE LAG 1.5 X 14MM$ 329.00 C1713 SCREW HEXALOBE LAG 1.5 X 16MM$ 329.00 C1713 SCREW, HEXALOBE LAG 1.5 X 18MM$ 329.00 C1713 SCREW HEXALOBE LAG 1.5 X 20MM$ 329.00 C1713 SCREWS MULTI HEXALOBE 2.3X18$ 329.00 SCREW MULTI HEXALOBE 2.3X20$ 329.00 SCREW HEXALOBE 1.5 X 9$ 329.00 C1713 SCREW HEXALOBE -1.5$ 329.00 C1713 SCREW MULTI -2.3 X 10$ 329.00 C1713 PEGS CORTICAL LOCK -2.3 10 MM$ 329.00 C1713 SCREW HEXALOBE MULTI -2.3 X11M$ 329.00 C1713 SCREW HEXALOBE LAG -2.3X11MM$ 329.00 C1713 SCREW HEXALOBE LAG -2.3X12MM$ 329.00 C1713 SCREW HEXALOBE LAG -2.3X13MM$ 329.00 C1713 FOOT COMPLETE MIN 3 VIEWS LT$ 329.00 73630 73630 FOOT COMPLETE MIN 3 VIEWS RT$ 329.00 73630 73630 CATH COUDE 22FR/30CC$ 329.50 ABSCESSOGRAM$ 330.00 49424 PERICARDIOCENTESIS KIT$ 330.00 SO HLA-DQ TYPING FOR NARCOLEPS$ 330.00 81383 MDP UP TO 30 MCI$ 330.00 A9503 SCREW2.7 LOCKING 12MM 202.212$ 331.00 C1713 SCREW 2.7 LOCKING 16MM 202.216$ 331.00 C1713 CEMENT RESTRICTOR$ 331.00 SCREW 2.7 LOCKING 22MM 202.222$ 331.00 C1713 SCREW 2.7 LOCKING 24MM 202.224$ 331.00 C1713 SCREW BONE 6.5MM 25MM$ 331.00 C1713 TROCAR POINT BLUNTED$ 331.00 3" CASTING SYSTEM W/2 REG BOOT$ 331.00 Q4038 4" CASTING SYSTEM W/2LG BOOTS$ 331.00 FB REM EMBED SUBCNJN$ 332.00 STAPLER TA90-3.5$ 332.00 SCREW TI LOCKING 2.4MM 412.828$ 332.00 C1713 GUIDE DRILL THRD 1.8MM 323.035$ 332.00 PLATE 1/3 TUBULAR 6H SM FRAG$ 332.00 C1713 SO INFLUENZA A H1N1 (2009) PCR$ 333.00 87502 SO INFLUENZA A H1N1 PCR$ 333.00 87502 SO INFLUENZA A&B RNA QUAL PCR$ 333.00 87502 TUBE FEEDING 8FR JEJUNAL$ 333.00 KINEVAC 5MCG$ 333.00 INVANZ 1GRAM INJ$ 333.00 J1335 CIPRO ORAL SUSP. 5G/$ 333.00 CLSD TX NASAL BONE FX W/O MAN$ 333.30 21310 DAILY TX-S 6-10 MEV$ 334.00 77402 DAILY TX-S 11-19 MEV$ 334.00 77402 DAILY TX-S >20 MEV$ 334.00 77402 EVAL/ASSESS RESP TX 1X$ 334.00 94664 I&D FINGER SIMPLE$ 334.00 26010 AUTO BLOOD UNIT$ 334.00 86890 ELECTRONIC XMATCH$ 334.00 86923 ARC INCUBATION; SERUM & DRUGS$ 334.00 86975 ARC PRETREATMENT W/ENZYMES$ 334.00 86971 ARC, AB ID /EA SELECT REAGENT$ 334.00 86885 SO ARC ELUTION$ 334.00 86860 HANDLE BUCKET RICHARDS 4.5X0.4$ 334.00 HANDLE BUCKET RICHARDS 4.5X0.6$ 334.00 HANDLE BUCKET RICHARDS 4.0X0.4$ 334.00 HANDLE BUCKET RICHARDS 4.0X0.6$ 334.00 HANDLE BUCKET RICHARDS 5.0X0.4$ 334.00 HANDLE BUCKET RICHARDS 5.0X0.6$ 334.00 HANDLE BUCKET RICHARDS 3.5X0.6$ 334.00 POST ANGLED 30 DEGREE$ 334.00 METANEB INITAL$ 334.00 94669 CPAP/HFT INITIAL DAY$ 334.00 94660 METANEB SUBSEQUENT$ 334.00 94669 I&D SCROTAL/EPIDID/TESTIS ABSC$ 335.00 54700 SO HERPES SIMPLES VIRUS TYPE 1$ 335.00 87530 SO HEMEFISH AUTO$ 335.00 88367 SO NONHEMEFISH AUTO-TECH$ 335.00 88367 DRILL BIT QC 3.5MM$ 335.00 PLATE DCP 2.7MM$ 335.00 C1713 ENDOCATCH BAG 15MM$ 335.00 DYSPHAGIA EVAL/FLURO$ 336.00 92611 SIMPLE SIMULATION$ 336.00 77280 BASIC DOSE CALC$ 336.00 77300 SPEC DOSIMETRY/TLD$ 336.00 77331 SIMPLE TX DEVICE$ 336.00 77332 CONTINUING PHYSICS$ 336.00 77336 SPEC PHYSICS CONSULT$ 336.00 77370 IMAGE CO-REGISTRATION$ 336.00 77399 18-HYDROXYCORTICOSTERONE SO$ 336.00 82542 NEEDLE INSERTION 6.5"$ 336.00 DRILLS TWIST NON-CANNULATED$ 336.00 INSERTION NEEDLE 4"$ 336.00 JUGGERKNOT 1.4 MM SHORT$ 336.00 C1713 NET FOREIGN BODY ROTH MAXI$ 336.00 RAPTOR MINI GRASPER$ 336.00 AR-8724-14 ARTHREX$ 336.00 C1713 AR-8724-24 ARTHREX$ 336.00 C1713 AR-8724-16 ARTHREX$ 336.00 C1713 AR-8724-12 ARTHREX$ 336.00 C1713 REP INT N,H,FT, GEN 7.6-12.5CM$ 336.00 12044 EGD W/BIOPSY$ 337.00 43239 NEEDLE INTRAOSSEOUS 15G$ 337.00 WIRE CALIBRATED 3.2MM 292.69$ 338.00 C1769 PIN STEINMANN 5.0MM 293.840$ 338.00 C1713 K-WIRE TI 04.11.300 1.8MM 150M$ 338.00 C1713 DRAIN MOUTH LESION$ 339.00 40800 OCT $ 339.00 59020 SCREW LOCKING 5.0 X 50$ 339.00 C1713 WIRE TROCAR 20"$ 339.00 I 123 PER DOSE$ 339.00 A9516 XRAY SPINE, THORACIC 2 VIEWS$ 340.00 72070 COVER PROBE/PC-0648$ 340.00 C1713 COSEAL APPLICATOR TIP$ 340.00 SCREW 3.5 02.200.150$ 340.00 C1713 PIN APEX 180 MM$ 340.00 C1713 AR-1934BCFT-2$ 340.00 C1713 GUIDE WIRE$ 340.00 C1769 TOBRAMYCIN 80MG$ 340.00 J3260 BIOPSY INCISIONAL BREAST$ 340.00 19101 APEX PIN 200MM$ 340.00 C1713 REPAIR INTER FACE 5.1-7.5CM$ 340.00 12053 RIBS ONE SIDE, 2 VIEWS LEFT$ 340.00 71100 RIBS UNI 2 VIEWS RT$ 340.00 71100 71100 XRAY THORACIC SPINE AP&L 2 VIE$ 340.00 72070 72070 FAMILY PSYCHOTHERAPY W/O PT$ 341.00 90846 FAMILY PSYCHOTHERAPY W/PT$ 341.00 90847 I & D COMPLEX$ 341.00 10061 TONER PHASER 8560 CYAN$ 341.00 INTUBATION ENDOTRACH, EMERG$ 342.50 31500 PSYCHOTHERAPY, 60MIN W/E&M$ 343.00 90838 RELOAD STPL / CUTR GIA100-4.8$ 343.00 SCREW 6MM LOCKING 201.876$ 343.00 C1713 SCREW 7MM LOCKING 201.877$ 343.00 C1713 SCREW 8MM LOCKING 201.878$ 343.00 C1713 SCREW 9MM LOCKING 201.879$ 343.00 C1713 SCREW 10MM LOCKING 201.880$ 343.00 C1713 SCREW 11MM LOCKING 201.881$ 343.00 C1713 SCREW 12MM LOCKING 201.882$ 343.00 C1713 SCREW 13MM LOCKING 201.883$ 343.00 C1713 SCREW 16MM LOCKING 201.886$ 343.00 C1713 TUBE PEG 24 FR$ 343.00 B4087 SAME DAY ADMIT/DC HIGH SEVERIT$ 343.00 99236 DIPRIVAN 10MG/ML 100$ 343.00 SHEATH UROPASS ACCESS 38CM$ 344.00 SHEATH UROPASS ACCESS 24CM$ 344.00 CATH PACING 5FR 1X110CM$ 345.00 C1756 REP SCALP ETC2.6-7.5$ 345.00 SO ALK LUNG FISH MANUAL$ 345.00 88368 SO HEMEFISH MANUAL$ 345.00 88368 SO ALK/ROS1 FISH MANUAL$ 345.00 88368 RETRACTOR ENDOPADDLE 173046$ 345.00 VENOFER 100MG VIAL$ 345.60 J1756 CATH TRIPLE LUM 9FR AVA$ 346.00 CELLSAVER ATF FAST START KIT$ 346.00 SCREW TI LOCKING 2.4MM 412.814$ 346.00 C1713 KIT CEMENT REMX INJTCR AVA-TEX$ 346.00 DRILL BITS DB3.3$ 346.00 SCREW UNICORTICAL DNP ANATOMIC$ 346.00 C1713 DRILL BIT 1.4 60-14126$ 346.00 PLATE SCREW 2080-0030$ 346.00 PLATE SCREW 6.5 X 15 GAP STRY$ 346.00 C1713 4" CASTING W/2 LG BOOT$ 346.00 SO HIV-1 RNA QUANT PCR$ 347.00 87536 SCREW LOCKING TI 14MM$ 347.00 C1713 SCREW LOCKING TI 18MM$ 347.00 C1713 SCREW LOCKING TI 20MM$ 347.00 C1713 SCREW LOCKING 2.3 X 18$ 347.00 C1713 SCREW LOCKING 2.3 X 14$ 347.00 C1713 SCREW LOCKING 2.3 X 12$ 347.00 C1713 SCREW LOCKING 2.3 X 10$ 347.00 C1713 SCREW LOCKING 2.7 X 12$ 347.00 C1713 SCREW LOCKING 2.7 52-27610$ 347.00 C1713 SCREW LOCKING 2.7 52-27616$ 347.00 C1713 SCREW LOCKING 2.3MM TI$ 347.00 C1713 SCREW LOCK 2.7$ 347.00 C1713 SCREW LOCKING 2.7 X 20$ 347.00 C1713 SCREW LOCKING 2.7 X 22$ 347.00 C1713 SCREW LOCKING 2.7 X 24$ 347.00 C1713 SCREW LOCKING 2.7 X 26$ 347.00 C1713 SCREW LOCKING 2.7 X 22$ 347.00 C1713 BONE FILLER DEVICE KYPHON$ 347.00 NEW PATIENT LEVEL 5$ 348.00 99205 INSERT CATH W/COMPLN$ 348.00 51703 SYRINGE INFLATION KYPHON$ 348.00 JAGWIRE GUIDEWIRE STRAIGHT TIP$ 348.00 C1769 SCREW LOCKING 3.0 X 18 MM$ 348.00 C1713 SCREW LOCKING 3.0 X 16 MM$ 348.00 C1713 SCREW, NONLOCK 3.5 X 12MM$ 348.00 C1713 REP INTER FACE 7.6-12.5CM$ 348.00 12054 X-RAY CERVICAL SPINE 2-3 VIEWS$ 348.00 72040 72040 SET CATH DRAIN THAL-QUICK 20F$ 349.00 C1729 SET CATH DRAIN THAL-QUICK 24F$ 349.00 C1729 I & D PILONIDAL CYST$ 349.00 10080 TUBE TRACH UNCUFFED XLT 8.0$ 349.00 BS FILTER RETR SHETH$ 350.00 VISIPAQUE 320 200ML$ 350.00 Q9967 DESTRUC PREMALIG LESION FIRST$ 350.00 17000 DESC SINGLE SKIN LESION$ 350.00 17000 DESTRUC PREMALG LES 1ST LESION$ 350.00 17000 GRAFT SIZER$ 350.00 ROD REAMING BAL 2.5MM 351.707S$ 350.00 C1776 BLADE SINUS STRT SERRATED 4.0$ 350.00 SCREW 14MM LOCKING 201.884$ 350.00 C1713 ROD REAMING 2.5 MM$ 350.00 C1776 SCREW LOCKING 22 X 92$ 350.00 C1713 PSYCHIATRIC DIAG EVAL W/MED SE$ 351.00 90791 PSYCHIATRIC DIAG EVALUATION$ 351.00 90791 BALLOON PTA ULTRVS 035 6F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 7F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 7F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 7F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 7F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 7F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 7F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 7F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 7F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 5F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 75$ 351.00 C1725 BALLOON PTA ULTRVS 035 7F 130$ 351.00 C1725 BALLOON ULTRVRS 035 5X20X75$ 351.00 C1725 BALLOON ULTRVRS 035 5X40X75$ 351.00 C1725 BALLOON ULTRVRS 035 6X60X75$ 351.00 C1725 BALLOON PTA ULTRVS 035 7F 130$ 351.00 C1725 BALLOON PTA ULTRVS 035 6F 130$ 351.00 C1725 TX SUPERFICIAL WOUND DEHISCENC$ 351.00 12020 AR-1204D$ 351.00 SCREW LOCKING -2.7 X 14$ 351.00 C1713 SCREW LOCKING -2.7 X 16$ 351.00 C1713 TOMOGRAMS$ 351.00 76100 76100 TAP 4.5 311.460$ 352.00 RELOAD STPL / CUTR GIA100-3.8$ 353.00 SCREW TI LOCKING 2.4MM 412.806$ 353.00 C1713 SCREW TI LOCKING 2.4MM 412.810$ 353.00 C1713 SCREW TI LOCKING 2.4MM 412.812$ 353.00 C1713 SCREW TI LOCKING 2.4MM 412.816$ 353.00 C1713 SCREW TI LOCKING 2.4MM 412.818$ 353.00 C1713 SCREW TI LOCKING 2.4MM 412.820$ 353.00 C1713 SCREW TI LOCKING 2.4MM 412.822$ 353.00 C1713 SCREW TI LOCKING 2.4MM 412.824$ 353.00 C1713 SCREW TI LOCKING 2.4MM 412.826$ 353.00 C1713 SHEATH UROPASS ACCESS 54CM$ 353.00 TRIGEMINAL NERVE BLK$ 354.00 64400 LOCKING CORTICAL PEGS 2.3MM$ 354.00 C1713 WELLNESS INITIAL ANNUAL VISIT$ 355.00 G0438 ACUITY LEVEL II$ 355.00 99282 MCD ED LEVEL II$ 355.00 99282 REPAIR LACERATION 2.5CM OR LES$ 355.00 41250 SO FOOD 13 RAST PN$ 355.00 86003 SCREW LK SLF-TPNG 3.5 212.117$ 355.00 C1713 DRILL BIT QC 2.8MM 310.288$ 355.00 C1713 BIT DRILL 311.340$ 355.00 SCREW LK SLF-TPNG 3.5 212.123$ 356.00 C1713 SCREW LK SLF-TPNG 3.5 212.124$ 356.00 C1713 SCREW LK TPNG 4.0MM 02.204.026$ 356.00 C1713 SCREW LK TPNG 4.0MM 02.204.054$ 356.00 C1713 BLADE SINUS CURV 15 DEG 4.0$ 356.00 BLADE SINUS SERR CONVEX 4.0$ 356.00 BLADE CURVED IRRIG 40 DEG$ 356.00 ABI-UNILATERAL$ 357.00 93922 UP/LOW EXTREMITY ART 2 LEVELS$ 357.00 SM7-6-12.5CM BDY&EXT$ 357.00 12004 UPPER/LOWER EXT ART 2 LEVELS$ 357.00 93922 GUIDEWIRE WHOLEY EXC FLOPPY$ 357.00 C1769 DRILL BIT RINGLOC/QUIK3.2X30MM$ 357.00 SCREW LOCKING 2.3 X 30 MM$ 357.00 C1713 SCREW LOCKING 2.3 X 38 MM$ 357.00 C1713 WIRE BLUNT 20"$ 357.00 SCREW BONE 2.3 X 30 MM$ 357.00 C1713 SCREW BONE 2.7 X 10 MM$ 357.00 C1713 SCREW BONE 2.4 X 34$ 357.00 C1713 SCREW NON LOCKING 2.3 X 26$ 357.00 C1713 SCREW NON LOCKING 2.7 X 16$ 357.00 C1713 SCREW LOCKING 3.5 X 55$ 357.00 SCREW NONLOCK HEXALOBE 3.5X50$ 357.00 SCREW BONE PT 2.7 X 22 MM$ 357.00 SCREW, BONE 2.7 X 14MM$ 357.00 C1713 ART SEG (ABI ONLY)$ 357.00 93922 ABI BILATERAL$ 357.00 93922 ART SEG (ABI ONLY)$ 357.00 93922 FAMILY PSYCHOTHERAPY W/O PATIE$ 358.00 90846 FAMILY PSYCHOTHERAPY W/PATIENT$ 358.00 90847 DDAVP(0.01% NASAL SO$ 358.00 COMPLEX ISODOSE PLAN$ 359.00 77307 VISIPAQUE 200 ML$ 359.00 Q9967 LARYNGOSCOPY, DIAG$ 359.00 STENT DBLJ SIL 6FR/26CM$ 359.00 C1874 STENT DBLJ SIL 7FR/26CM$ 359.00 C1874 STENT DBLJ 7X24$ 359.00 C1874 STENT DBLJ 7X28$ 359.00 C1874 STENT PERCUFLEX BLUE 6X24$ 359.00 STENT PERCUFLEX BLUE 6X28$ 359.00 C1874 VENT TESTING LUNG$ 359.00 SCREW NONLOCKING 3.0 X 16 MM$ 359.00 C1713 SCREW NONLOCKING 3.0 X 30 MM$ 359.00 C1713 SCREW NONLOCKING 3.5 X 30$ 359.00 C1713 SCREW NON-LOCKING 3.5 X 22$ 359.00 C1713 SCREW NON-LOCKING 5.0 X 28$ 359.00 C1713 SCREW NON-LOCKING 3.5 X 32$ 359.00 C1713 SCREW NON-LOCKING 3.5 X 38$ 359.00 C1713 SCREW NON-LOCKING 3.5 X 16$ 359.00 C1713 SCREW NON-LOCKING 3.5 X 24$ 359.00 C1713 SCREW NON-LOCKING 3.5 X 20$ 359.00 C1713 SCREW NON-LOCKING 3.5 X 26$ 359.00 C1713 SCREW NON-LOCKING 3.0 X 18$ 359.00 C1713 SCREW NON-LOCKING 3.0 X 24$ 359.00 C1713 SCREW NON-LOCKING 3.0 X 26$ 359.00 C1713 SCREW NON LOCKING 3.0 X 20MM$ 359.00 C1713 SCREW BONE 3.5 X 14 MM$ 359.00 C1713 SCREW BONE 3.5 X 18 MM$ 359.00 C1713 XRAY HAND 3 VIEWS LT$ 360.00 73130 XRAY HAND 3 VIEWS RT$ 360.00 73130 REPAIR FACE 5.1-7.5C$ 360.00 SCREW LOCKING 3.5 X 18 MM$ 360.00 C1713 PIN BUTTRESS 1.8 400.190$ 360.00 C1713 PIN BUTTRESS 1.8 400.191$ 360.00 C1713 PIN BUTTRESS 1.8 400.193$ 360.00 C1713 PIN BUTTRESS 1.8 400.194$ 360.00 C1713 PIN BUTTRESS 1.8 400.195$ 360.00 C1713 PIN BUTTRESS 1.8 400.196$ 360.00 C1713 PIN BUTTRESS 1.8 400.197$ 360.00 C1713 PIN BUTTRESS 1.8 400.198$ 360.00 C1713 PIN BUTTRESS 1.8 400.199$ 360.00 C1713 SCREW LOCKING CORT 3.5 X 20$ 360.00 C1713 SCREW LOCKING CORT 3.5 X 32$ 360.00 C1713 SCREW LOCKING CORTICAL 3.5X8$ 360.00 C1713 SCREW LOCKING 3.5 X 26$ 360.00 C1713 SYMBICORT 160/4.5MG 1 INHALER$ 360.00 HAND 3 VIEW LEFT$ 360.00 73130 73130 HAND 3 VIEW RT$ 360.00 73130 73130 GUIDEWIRES, SPECIALS$ 361.00 C1769 NERVE BLOCK FACIAL$ 361.00 64402 CANISTER 45ML PREVENA$ 361.00 US OB LIMITED$ 361.00 76815 HEPATAMINE 8% 500ML$ 361.00 LAVAGE GASTRIC$ 362.00 43753 LAVAGE GASTRIC$ 362.00 CATH MEDCOMP 14X6 15CM RT IJ$ 362.00 CATH MEDCOMP 14X9.5 24CM LG LI$ 362.00 TAP FOR CORTEX 3.5MM 311.32$ 362.00 SCREW LK SLF-TPNG 5.0 212.218$ 362.00 C1713 NEEDLE LD 45MM 9079V$ 362.00 AVUL NAIL BED EA ADD$ 362.00 11732 DEBRIDE, BONE, FIRST 20 SQ CM$ 362.00 11044 VIDEO FLUOR. SWA.STY$ 362.00 74230 GUIDEWIRES, CARDIAC$ 363.00 C1769 REM FB EXT AUD CANA W/O GEN AN$ 363.00 MOPATH PROCEDURE LEVEL 2$ 363.00 81335 REM FOREIGN BODY EXT EAR-W/O A$ 363.00 69200 CABLE PAT EDWARDS PX1800$ 363.00 SCREW HEXALOBE 3.5 X 60$ 363.00 C1713 SCREW NON-LOCK HEX 3.5 X 65$ 363.00 C1713 INJECT ARTHO HIP$ 363.00 INJECT ARTHO KNEE$ 363.00 INJECT ARTHO SHOULDER$ 363.00 INJECT ARTHO WRIST$ 363.00 RM FB EYE CORN W/OSL$ 364.00 INTRAOSSEOUS NEEDLE 45MM 15G$ 364.00 SO THYROID ST. IMMO$ 365.00 84445 PUMP PAIN 270CC LARGE$ 365.00 BIT DRILL 2.7MM 315.28$ 365.00 SCREW 2.7 LOCKING 18MM 202.218$ 365.00 C1713 SCREW 2.7 LOCKING 14MM 202.214$ 365.00 C1713 SCREW 2.7 LOCKING 20MM 202.22$ 365.00 C1713 DEBRIDE,MUSCLE, FIRST 20 SQ CM$ 365.00 11043 CATH SEEKER CROSS/SUP 014/150C$ 366.00 C1714 CATH SEEKER CROSS/SUP 018/150C$ 366.00 C1714 CATH SEEKER CROSS/SUP 035/90CM$ 366.00 C1714 CATH SEEKER CROSS/SUP 035/150C$ 366.00 C1714 BALLOON CR APE FX OTW 1.50 X 8$ 366.00 C1725 BALLOON CR APE FX OTW 2.00 X 8$ 366.00 C1725 BALLOON CR APE FX OTW 2.25 X 8$ 366.00 C1725 BALLOON CR APE FX OTW 2.50 X 8$ 366.00 C1725 BALLOON CR APE FX OTW 2.75 X 8$ 366.00 C1725 BALLOON CR APE FX OTW 3.00 X 8$ 366.00 C1725 BALLOON CR FX OTW 3.50 X 8$ 366.00 C1725 BALLOON CR APE FX OTW 4.00 X 8$ 366.00 C1725 BALLOON CR FX OTW 1.50 X 12$ 366.00 C1725 BALLOON CR FX OTW 2.00 X 12$ 366.00 C1725 BALLOON CR FX OTW 2.25 X 12$ 366.00 C1725 BALLOON CR FX OTW 2.50 X 12$ 366.00 C1725 BALLOON CR FX OTW 2.75 X 12$ 366.00 C1725 BALLOON CR FX OTW 3.00 X 12$ 366.00 C1725 BALLOON CR FX OTW 3.50 X 12$ 366.00 C1725 BALLOON CR FX OTW 4.00 X 12$ 366.00 C1725 BALLOON CR FX OTW 1.50 X 15$ 366.00 C1725 BALLOON CR FX OTW 2.00 X 15$ 366.00 C1725 BALLOON CR FX OTW 2.25 X 15$ 366.00 C1725 BALLOON CR FX OTW 2.50 X 15$ 366.00 C1725 BALLOON CR FX OTW 2.75 X 15$ 366.00 C1725 BALLOON CR FX OTW 3.00 X 15$ 366.00 C1725 BALLOON CR FX OTW 3.50 X 15$ 366.00 C1725 BALLOON CR FX OTW 4.00 X 15$ 366.00 C1725 BALLOON CR APEX FX RX 1.50 X 8$ 366.00 C1725 BALLOON CR APEX FX RX 2.00 X 8$ 366.00 C1725 BALLOON CR APEX FX RX 2.50 X 8$ 366.00 C1725 BALLOON CR APEX FX RX 2.75 X 8$ 366.00 C1725 BALLOON CR APEX FX RX 3.00 X 8$ 366.00 C1725 BALLOON CR APEX FX RX 3.50 X 8$ 366.00 C1725 BALLOON CR APEX FX RX 4.00 X 8$ 366.00 C1725 BALLOON CR APE FX RX 1.50 X 12$ 366.00 C1725 BALLOON CR APE FX RX 2.00 X 12$ 366.00 C1725 BALLOON CR APE FX RX 2.50 X 12$ 366.00 C1725 BALLOON CR APE FX RX 2.75 X 12$ 366.00 C1725 BALLOON CR APE FX RX 3.00 X 12$ 366.00 C1725 BALLOON CR APE FX RX 3.50 X 12$ 366.00 C1725 BALLOON CR APE FX RX 4.00 X 12$ 366.00 C1725 BALLOON CR APE FX RX 4.50 X 12$ 366.00 C1725 BALLOON CR APE FX RX 5.00 X 12$ 366.00 C1725 BALLOON CR APE FX RX 1.50 X 15$ 366.00 C1725 BALLOON CR APE FX RX 2.00 X 15$ 366.00 C1725 BALLOON CR APE FX RX 2.50 X 15$ 366.00 C1725 BALLOON CR APE FX RX 2.75 X 15$ 366.00 C1725 BALLOON CR APE FX RX 3.00 X 15$ 366.00 C1725 BALLOON CR APE FX RX 3.50 X 15$ 366.00 C1725 BALLOON CR APE FX RX 4.00 X 15$ 366.00 C1725 BALLOON CR APE FX RX 1.50 X 20$ 366.00 C1725 BALLOON CR APE FX RX 2.00 X 20$ 366.00 C1725 BALLOON CR APE FX RX 2.50 X 20$ 366.00 C1725 BALLOON CR APE FX RX 2.75 X 20$ 366.00 C1725 BALLOON CR APE FX RX 3.00 X 20$ 366.00 C1725 BALLOON CR APE FX RX 3.50 X 20$ 366.00 C1725 BALLOON CR APE FX RX 4.00 X 20$ 366.00 C1725 BALLOON APE NC MONORL 3.25 X 6$ 366.00 C1725 BALLOON APEX NC MONO 3.00 X 12$ 366.00 C1725 BALLOON APEX NC MONO 3.25 X 12$ 366.00 C1725 BALLOON APEX NC MONO 3.50 X 12$ 366.00 C1725 BALLOON APEX NC MONO 3.75 X 12$ 366.00 C1725 BALLOON APEX NC MONO 4.00 X 12$ 366.00 C1725 BALLOON APEX NC MONO 3.00 X 15$ 366.00 C1725 BALLOON APEX NC MONO 3.25 X 15$ 366.00 C1725 BALLOON APEX NC MONO 3.50 X 15$ 366.00 C1725 BALLOON APEX NC MONO 3.75 X 15$ 366.00 C1725 BALLOON APEX NC MONO 4.00 X 15$ 366.00 C1725 REM F.B. FOOT SUBCU$ 366.00 28190 CALR MUTATION ANALYSIS$ 366.00 81218 CEMENT RESTRICTOR MED$ 366.00 TRANSIXING PIN 4/5X250MM$ 366.00 C1713 SCREW LOW PROFILE TI 3 X 24$ 366.00 C1713 DRILL BIT CANNULATED AR-8933-$ 366.00 SCREW PART THREAD 3 X 28$ 366.00 C1713 SCREW LOW PROFILE TI 3X30$ 366.00 C1713 PIN TRANSFIX APEX 4 X 300$ 366.00 C1713 BALLOON APE NC MONORL 2.00 X 6$ 366.00 C1726 BALLOON APE NC MONORL 2.25 X 6$ 366.00 C1726 BALLOON APE NC MONORL 2.50 X 6$ 366.00 C1726 BALLOON APE NC MONORL 2.75 X 6$ 366.00 C1726 BALLOON APE NC MONORL 3.00 X 6$ 366.00 C1726 BALLOON APE NC MONORL 3.50 X 6$ 366.00 C1726 BALLOON APE NC MONORL 3.75 X 6$ 366.00 C1726 BALLOON APE NC MONORL 4.00 X 6$ 366.00 C1726 BALLOON APE NC MONORL 2.00 X 8$ 366.00 C1726 BALLOON APE NC MONORL 2.25 X 8$ 366.00 C1726 BALLOON APE NC MONORL 2.50 X 8$ 366.00 C1726 BALLOON APE NC MONORL 2.75 X 8$ 366.00 C1726 BALLOON APE NC MONORL 3.00 X 8$ 366.00 C1726 BALLOON APE NC MONORL 3.25 X 8$ 366.00 C1726 BALLOON APE NC MONORL 3.50 X 8$ 366.00 C1726 BALLOON APE NC MONORL 3.75 X 8$ 366.00 C1726 BALLOON APE NC MONORL 4.00 X 8$ 366.00 C1726 BALLOON APEX NC MONO 2.00 X 12$ 366.00 C1726 BALLOON APEX NC MONO 2.25 X 12$ 366.00 C1726 BALLOON APEX NC MONO 2.50 X 12$ 366.00 C1726 BALLOON APEX NC MONO 2.75 X 12$ 366.00 C1726 BALLOON APEX NC MONO 2.50 X 15$ 366.00 C1726 BALLOON APEX NC MONO 2.75 X 15$ 366.00 C1726 TRANSFIXING PIN 5MM$ 366.00 C1713 TRACKING KIT, KNEE VIZADISC$ 366.00 TRACKING KIT, HIP VIZADISC$ 366.00 PIN TRANSFIXING 250 MM$ 366.00 C1713 VORTEX COIL 2MM/4MM$ 367.00 TEMP STRIP CRYSTALINE$ 368.00 CATH EMBOLECTOMY 2FR$ 368.00 C1781 NURSERY$ 368.00 REP S, A, LEGS 1.1- 2.5 CM$ 368.00 13120 SHEATH GUIDE RADIAL KIT$ 369.00 TUBE T BARD 14FR$ 369.00 DRILL BIT 2.8MM$ 369.00 DEFINITY PERFLUTREN 1.5ML$ 369.00 Q9957 ENDO AVITENE 5MM$ 369.00 PLATE MODULE LID FOR DELUXE$ 369.00 C1776 MIXER HIP BONE CEMENT$ 370.00 US INF HIP W/MANPLTN$ 370.00 76885 US INF HIP W/MANPLTN$ 370.00 76885 ARANESP/DIALYSIS 40 MCG$ 370.50 J0882 INTRMED REP FACE<2.5$ 371.00 INTRMED REP FACE<2.5$ 371.00 SO NPM1 MUTATION ANALYSIS$ 371.00 81310 D STAT$ 371.00 CEMENT BONE$ 371.00 C1713 PUSHER/SUTURE CUTTER$ 371.00 NAVELBINE INJ 10MG/M$ 371.00 J9390 CATH ANGIOGRAPH BRD 5F 130CM$ 372.00 C1725 NEEDLE ELECTRO; 3 EXT$ 372.00 95863 SO SEROTONIN REL ASSA HEP DEP$ 372.00 86022 SCREW LOCKING 2.7 X 34$ 372.00 C1713 REP INTER SC, T, E 12.6-20.0CM$ 372.00 12035 L-SPINE COMP W/FLEX-EXT$ 372.00 72114 CONTROL NASAL BLEED$ 373.00 CONTROL NASAL BLEED$ 373.00 EXC NAIL/NAIL MATRIX$ 373.00 11750 FOREIGN BODY - NOSE$ 373.00 30300 CHEMO ADMIN INJ (IVP)$ 373.00 96409 CHANGE CYSTOSTOMY TUBE SIMPLE$ 374.00 BIT DRILL 4.3MM 310.431$ 374.00 EXC TR-EXT B9+MAR 3.1-4 CM LES$ 374.00 11404 HLA LOW RESOLUTION TYPING$ 375.00 81376 IV THRPY/HYDRA 1STHR$ 375.00 96360 MESH KEYHOLE LG PRE-SHAPE$ 375.00 C1781 PROTOPAM CL 1GM 20ML$ 375.00 J2730 SYNERCID 500MG 10ML$ 376.00 J2770 XRAY CERVICAL SPINE 4 OR 5 V$ 376.00 72050 72050 ECHO EXAM OF ABDOMEN$ 377.00 SHEATH INTRODUCER VASC 16 FR$ 377.00 XRAY RIBS, UNILAT 3 VIEWS LT$ 378.00 71101 XRAY RIBS, UNILAT 3 VIEWS RT$ 378.00 71101 XRAY SPINE, THORACIC 3 VIEWS$ 378.00 72072 BURN DRES.DEBRID.LRG$ 378.00 16030 SO ATRAZINE$ 378.00 82542 SO IHC QUANT MORPH ANALYSIS$ 378.00 88360 SO DNA TISSUE$ 378.00 88182 SCREW LK SLF-TPNG 3.5 212.106$ 378.00 C1713 SCREW LK SLF-TPNG 3.5 212.107$ 378.00 C1713 SCREW LK SLF-TPNG 3.5 212.108$ 378.00 C1713 SCREW LK SLF-TPNG 3.5 212.110$ 378.00 C1713 SCREW LK SLF-TPNG 3.5 212.115$ 378.00 C1713 NEEDLE TRU-CUT BIOPSY$ 378.00 RETROGRADE URETHROGRAM$ 378.00 74450 RIBS UNIL INCLD CHST LT 3 V$ 378.00 71101 XRAY RIBS UNIL INCLD CHEST 3 V$ 378.00 71101 THORACIC SPINE 3VIEW$ 378.00 72072 72072 IN>2.5CM SCP.TR.EXT.$ 379.00 12031 SO IHC QUAN MORPH ANAL-TC$ 379.00 88360 SO IHC QUAN MORP ANAL-TC AUTOM$ 379.00 88361 PROZAC 20MG/5ML 30M$ 379.00 GUIDE MEDULLARY 356.55$ 380.00 K-WIRE 2.0 X 285 MM$ 380.00 C1713 BLADE SHAVER STANDARD TYPE A$ 380.00 EXC BREAST LES-OPEN EA ADDL LE$ 380.00 19126 DECLT INTRLMN MC S&I$ 381.00 75902 BALLOON SPRINTER 1.5 X 12$ 381.00 BALLOON DIL SPRINTER 2 X 12$ 381.00 C1725 BALLOON DILAT CORO OTW$ 381.00 C1727 BALLOON DIL SPRINTER 2.5 X 12$ 381.00 C1727 BALLOON DIL SPRINTER 1.5 X 20$ 381.00 C1727 GUIDEWIRE PORTER 9G$ 381.00 C1769 BALLOON EUPHORA NC 3.5 X 15$ 381.00 C1726 BALLOON EUPHORA NC 3.75 X 12$ 381.00 C1726 BALLOON EUPHORA NC 3 X 15$ 381.00 C1726 BALLOON DIL EUPHORA RX 2x6$ 381.00 C1725 BALLOON DIL EUPHORA RX 2X10$ 381.00 C1725 BALLOON DIL EUPHORA RX 2.25x10$ 381.00 C1725 BALLOON DIL EUPHORA RX 2.25x20$ 381.00 C1725 BALLOON DIL EUPHORA RX 2.25x25$ 381.00 C1725 BALLOON DIL EUPHORA RX 2.75X10$ 381.00 C1725 BALLOON DIL EUPHORA RX 2.75X20$ 381.00 C1725 BALLOON DIL EUPHORA RX 3X15$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.25X6$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.25X10$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.25X12$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.25X15$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.25X25$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.25X25$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.5X20$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.5X10$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.5X12$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.5X25$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.75X6$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.75X10$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.75x12$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.75X15$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.75X20$ 381.00 C1725 BALLOON DIL EUPHORA RX 3.75X25$ 381.00 C1725 BALLOON DIL EUPHORA RX 4X20$ 381.00 C1725 BALLOON DIL EUPHORA RX 4X25$ 381.00 C1725 BALLOON DIL EUPHORA NC 2X8$ 381.00 C1725 BALLOON DIL EUPHORA NC 2X12$ 381.00 C1725 BALLOON DIL EUPHORA NC 2X15$ 381.00 C1725 BALLOON DIL EUPHORA NC 2X20$ 381.00 C1725 BALLOON DIL EUPHORA NC 2.25X12$ 381.00 C1725 BALLOON DIL EUPHORA NC 2.25X15$ 381.00 C1725 BALLOON DIL EUPHORA NC 2.25X20$ 381.00 C1725 BALLOON DIL EUPHORA NC 2.5X6$ 381.00 C1725 BALLOON DIL EUPHORA NC 2.5X20$ 381.00 C1725 BALLOON DIL EUPHORA NC 2.75X6$ 381.00 C1725 BALLOON DIL EUPHORA NC 2.75X15$ 381.00 C1725 BALLOON DIL EUPHORA NC 2.75X20$ 381.00 C1725 BALLOON DIL EUPHORA NC 2.75X27$ 381.00 C1725 BALLOON DIL EUPHORA NC 3X6$ 381.00 C1725 BALLOON DIL EUPHORA NC 3X8$ 381.00 C1725 BALLOON DIL EUPHORA NC 3X20$ 381.00 C1725 BALLOON DIL EUPHORA NC 3.25X12$ 381.00 C1725 BALLOON DIL EUPHORA NC 3.5X6$ 381.00 C1725 BALLOON DIL EUPHORA NC 3.5X20$ 381.00 C1725 BALLOON DIL EUPHORA NC 3.75X8$ 381.00 C1725 BALLOON DIL EUPHORA NC 4X6$ 381.00 C1725 BALLOON DIL EUPHORA NC 4.5X15$ 381.00 C1725 BALLOON DIL EUPHORA NC 5X15$ 381.00 C1725 BALLOON DIL EUPHORA 2.75 X 25$ 381.00 BALLOON DIL EUPHORA 3.5 X 30$ 381.00 BALLOON DIL EUPHORA 2 X 6$ 381.00 SO MYASTHENIA GR P A$ 381.00 83519 SO SUB P, P/S$ 381.00 83520 SO Y CHROM MICRO DNA ANALYSIS$ 381.00 81403 SO JAK2 EXON 12-14 MUTATION AN$ 381.00 81403 SO ACETYLCHOL REC AB$ 381.00 83519 DART CHONDRAL$ 381.00 C1713 SCREW LK SLF-TPNG 5.0 212.206$ 381.00 C1713 SCREW LK SLF-TPNG 5.0 212.207$ 381.00 C1713 SCREW LK SLF-TPNG 5.0 212.208$ 381.00 C1713 SCREW LK SLF-TPNG 5.0 212.227$ 381.00 C1713 SCREW LOCKING 2.7 X 18$ 381.00 C1713 SCREW NON-LOCKING 2.3 X 28$ 381.00 C1713 SCREW LOCK SELF TAP 2 X 6$ 381.00 C1713 SCREW LOCK SLF TP 2.0 X 10$ 381.00 C1713 SCREW LOCKING SLF TP 2 X 12$ 381.00 C1713 SCREW LOCK SELF TAP 2. X 16$ 381.00 C1713 SCREW LOCK ST T6 2.0 X 18 MM$ 381.00 C1713 SCREW LOCK MOD MIN FRAG 2.4 X$ 381.00 C1713 SCREW LOCK MOD MINI FRAG 2.4 X$ 381.00 C1713 DRILL BIT 2.8 MM$ 381.00 DRILL PIN, TIGHTROPE$ 381.00 C1713 SCREW LOCK SLF TP 2.0 X 16$ 381.00 C1713 SCREW LOCK SLF TP 2.0 X 18$ 381.00 C1713 SCREW LOCK SLF TP 2.0 X 20$ 381.00 C1713 SCREW UNICORTICAL 2.8 X 7.0$ 381.00 C1713 SCREW UNICORTICAL 2.8 X 8.0$ 381.00 C1713 DRILL BIT UNICORTICAL 3 X 41$ 381.00 BALLOON EUPHORA 3.75 X 15$ 381.00 C1725 AR-7000-01$ 381.00 CATHETER PICC LINE$ 382.00 C1751 XRAY ABDOMEN COMPLT SERIES$ 382.00 74022 MUSTARGEN 10MG INJECTION$ 382.00 J9230 PRIMACOR 200MCG/ML 1$ 382.00 J2260 ACUTE ABDOMEN SERIES$ 382.00 74022 74022 REMOVAL SKIN TAGS <=15$ 382.72 11200 EXC M LES F/E/E/NS/LP 0.6-1.0C$ 382.75 11641 BIT DRILL 2.0 #60-20485$ 383.00 REMOVAL OF FB – DEEP, COMP $ 383.00 20525 SCREW SCHANZ 4.0MM 294.771$ 384.00 C1727 SCREW LK TPNG 4.0MM 02.204.014$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.016$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.018$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.022$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.034$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.038$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.042$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.046$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.050$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.058$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.062$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.024$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.028$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.032$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.036$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.040$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.044$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.048$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.052$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.056$ 384.00 C1713 SCREW LK TPNG 4.0MM 02.204.060$ 384.00 C1713 SCREW TI CONICAL 3.5MM 412.428$ 384.00 C1713 DRILL BIT 1.9 X 27$ 384.00 SCREW LOCKING 2.7 32MM$ 384.00 C1713 SCREW LK SLF-TPNG 3.5 212.101$ 387.00 C1713 SCREW LK SLF-TPNG 3.5 212.102$ 387.00 C1713 SCREW LK SLF-TPNG 3.5 212.103$ 387.00 C1713 SCREW LK SLF-TPNG 3.5 212.104$ 387.00 C1713 SCREW LK SLF-TPNG 3.5 212.105$ 387.00 C1713 SCREW LK SLF-TPNG 3.5 212.109$ 387.00 C1713 SCREW LK SLF-TPNG 3.5 212.111$ 387.00 C1713 SCREW LK SLF-TPNG 3.5 212.112$ 387.00 C1713 SCREW LK SLF-TPNG 3.5 212.113$ 387.00 C1713 SCREW LK SLF-TPNG 3.5 212.116$ 387.00 C1713 SCREW LOCKING 3.5 X 28$ 387.00 C1713 SCREW LOCKING 3.5 X 36$ 387.00 C1713 SCREW LOCKING 3.5 X 34$ 387.00 C1713 SCREW LOCKING 3.5 X 38$ 387.00 C1713 SCREW LOCKING 3.5 X 22$ 387.00 C1713 SCREW LOCKING 3.5 X 12MM$ 387.00 C1713 SCREW LOCKING 3.5 X 14MM$ 387.00 C1713 BURR DISC DIAMOND MD$ 387.00 DRILL BIT 3.2 MM$ 387.00 AREDIA 90MG VIAL$ 387.00 J2430 REDUCTN NURSEMD ELBW$ 388.00 REDUCTN KNEE PATELLA$ 388.00 SCREW LOCKING 4.0 X 85$ 388.00 C1713 SCREW LOCK 4.0 X 90$ 388.00 C1713 SCREW LOCKING 4.0 X 14 MM$ 388.00 C1713 SCREW CORTICAL 3.5 X 16$ 388.00 C1713 PSYCHIATRIC DIA EVAL W/MED SER$ 390.00 90792 TRANSCERV CATH S&I$ 390.00 74742 ALK MUTATION ANALYSIS$ 390.00 81479 SCREW LK SLF-TPNG 5.0 212.217$ 390.00 C1713 SCREW LK SLF-TPNG 5.0 212.226$ 390.00 C1713 SCREW LK SLF-TPNG 5.0 212.201$ 390.00 C1713 SCREW LK SLF-TPNG 5.0 212.202$ 390.00 C1713 SCREW LK SLF-TPNG 5.0 212.203$ 390.00 C1713 SCREW LK SLF-TPNG 5.0 212.205$ 390.00 C1713 SCREW LK SLF-TPNG 5.0 212.215$ 390.00 C1713 SCREW LK SLF-TPNG 5.0 212.219$ 390.00 C1713 SCREW LK SLF-TPNG 5.0 212.222$ 390.00 C1713 SCREW LK SLF-TPNG 5.0 212.223$ 390.00 C1713 SCREW LK SLF-TPNG 5.0 212.225$ 390.00 C1713 SCREW LOCKING 2.7 X 26$ 390.00 C1713 SCREW LOCKING 2.7 X 30$ 390.00 C1713 ULTRA TAG PER DOSE$ 391.00 A9560 US BREAST KOMEN$ 391.00 76642 US BREAST KOMEN$ 391.00 76642 PEPCID 40MG/5ML SUSP$ 392.00 REP COMP NE, HDS, FT 1.1-2.5$ 392.00 13131 OPTIVAC MIXER$ 393.00 OPTIVAC DOUBLE MIXER$ 393.00 KIT TUBING LAP BAND REPAIR$ 393.00 BIT DRILL QC FLUT 3.2MM 315.29$ 393.00 BIT DRILL QC FLUT 4.5MM 315.48$ 393.00 BIT DRILL 3.2MM 315.29$ 393.00 KNOT PUSHER/SUTURE 2-O FIBERWI$ 393.00 C1713 SCREW BONE 2.7 X 12$ 393.00 C1713 SCREW BONE 2.7 X 16$ 393.00 C1713 SPIKED WASHER 13.5 MM X 5.5 MM$ 393.00 SCREW BINE 2.7X14$ 393.00 C1713 GUIDEWIRE WALLSTENT .035$ 393.00 C1769 PIN APEX 180 MM 5018-8-180$ 393.00 C1713 PIN APEX 180 MM 5018-3-120$ 393.00 C1713 RT TX PLANNING; COMPLEX$ 394.00 77263 SILVER NITRATE TREATMENT$ 394.00 APP SHORT LEG SPLINT$ 394.00 29515 HYBRID GLENOID BASE$ 394.00 C1713 SCREW LOCK 2.7 X 12 MM$ 394.00 C1713 SILVER NITRATE TX$ 394.00 17250 BILIMASK PREMI 01A$ 394.70 REPAIR COMP TRUNK, 2.6-7.5CM$ 395.00 13101 PSYCHOTHERAPY. 60 MIN W/PT AND$ 396.00 90837 PSYCHOTHERAPY, 60 MIN$ 396.00 90837 NEW PATIENT LEVEL 5$ 396.00 T1015 SO KETOSTEROIDS 17; FRACT$ 396.00 83593 PIN STEINMANN 5.0MM 293.940$ 396.00 C1713 LIORESAL 50MCG/ML 1ML TEST DOS$ 396.00 J0476 BALLOON DIL SPRINTER 3.0 X 12$ 397.00 C1727 BALLOON DIL SPRINTER 1.5 X 10$ 397.00 C1727 ELECTRODE VAPOR S90$ 397.00 STAPLER RELOAD GRN ECHELON 60$ 397.00 STAPLER RELOAD WHT ECHELON 60$ 397.00 CEMENT PLUG B006-0185$ 397.00 C1713 APOLLO RF HOOK PROBE$ 397.00 SMALL BOWEL SERIES$ 397.00 74250 74250 APIXABAN (ELIQUIS) SO$ 398.00 80299 SCREW LOCK 2.7 28MM$ 398.00 C1713 SCREW LOCKING 2.7 X 14$ 398.00 C1713 SCREW LOCKING 2.7 X 12$ 398.00 C1713 SALINE INF SONOHYSTEROGRAPHY$ 398.00 76831 SO CHROMOSOME ANALYSIS;COUNT 5$ 399.00 88261 BENDING PIN 329.922$ 399.00 C1713 BIT DRILL 2.4 310.53$ 399.00 DRILL BIT AO 1.9 X 87$ 399.00 DRILL BIT 2.0$ 399.00 CATH BALLOON OTW 5F$ 400.00 C1727 IVP INITIAL$ 400.00 96374 IVP DRUG INITIAL$ 400.00 96374 ER IVP EACH NEW DRUG$ 400.00 96374 HLA HIGH RESOLUTION TYPING$ 400.00 81382 IVP EACH NEW DRUG$ 400.00 96374 IVP INITIAL$ 400.00 96374 SCREW LOCKING 2.3 X 10$ 400.00 C1713 SCREW LOCKING 2.3 X 24$ 400.00 C1713 DRILL QR SURGIBIT 2.0 X 3.5$ 400.00 DRILL MINI AO 2.0 X 3.5$ 400.00 DRESSING VAC VERAFLO CLEANSE$ 400.00 AVITENE SHEET 70X35X$ 400.16 SO STREP PNEMONIAE IGG AB (7)$ 401.00 86317 SPIKED WASHER 13.5 MM X 4.0 MM$ 401.00 ROD REAMING EXT 2.5$ 401.00 C1776 DRILL BIT 2.6$ 401.00 CAP TI END 458.10$ 402.00 DRUG TEST 8-14 DRUG CLASS(ES)$ 402.48 80307 TX METATRSPHLNGL JT DISL WO AN$ 402.93 28630 PT REM DEV TIS N-SEL$ 403.00 97602 OT REM DEV TIS N-SEL$ 403.00 97602 CAPS ENDO IRRIGATOR EL-400C$ 403.00 C1769 BLADE RADNOID PEDIATRIC 4MM$ 403.00 C1727 DRILL BIT 2.0 MM$ 403.00 DEBRIDEMENT NON-SELC$ 403.00 97602 SCREW LOCKING 3.5$ 404.00 C1713 SCREW LOCKING 3.5 14MM$ 404.00 C1713 SCREW LOCKING 3.5 22MM$ 404.00 C1713 SCREW LOCKING 3.5 20MM$ 404.00 C1713 DRILL BIT 2.6$ 404.00 DRILL BIT 2.0$ 404.00 NEW PATIENT (PAT) LEVEL 5$ 404.00 99205 OBSER/INPT HOSP CARE 50 MIN$ 404.50 99235 INIT NURS FAC PER DAY E/M$ 405.75 99306 POTATO POWDER$ 406.00 C1727 DRILL BIT CANNULATED 2.6 MM$ 406.00 SCREW LOCKING SLF-TPN T8 50MM$ 407.00 C1713 SCREW LOCKING SLF-TPN T8 55MM$ 407.00 C1713 DRILL BIT QC 3.2 195MM$ 407.00 TETANUS IMM GLOB 250$ 407.00 J1670 SCREW RESTORATION GAP 6.5 X 40$ 408.00 C1713 SCREW RESTORATION GAP 6.5 X 20$ 408.00 C1713 SCREW RESTORATION GAP 6.5 X 25$ 408.00 C1713 BLADE CRESCENTRIC 18X0.51X30MM$ 408.00 SO BASOFUNCTION HRT PT BLUE V$ 409.00 86352 SENSOR THERMOCOUPLES ADULT$ 409.00 C1874 MASK THERMO UNI-FRAME 12" DISP$ 409.00 C1768 SENSOR SNORING MICROPHONE$ 409.00 C1727 PUMP PAIN 120CC$ 409.00 DISC EPI TEMPANOPLASTY$ 409.00 SPACER OMNIFIX DISTAL 12MM 106$ 409.00 C1713 SPACER OMNIFIX DISTAL 13MM 106$ 409.00 C1713 QUICK-VAC MIX SYS BONE CEMENT$ 409.00 REFLUDAN 50MG VIAL$ 409.00 REM F.B. NOSE$ 410.00 XRAY SPINE, THORACIC 4 VIEWS$ 410.00 72074 REM F.B. NOSE$ 410.00 REP SCLP ETC7.6-12.5$ 410.00 FOREIGN BODY REMOVAL$ 410.00 X-RAY RIBS, BILAT 3 VIEWS$ 410.00 71110 71110 LUMIGAN OPTH 0.03PERC 5ml$ 411.00 GUIDEWIRE VASC ASAHI 190CM$ 412.00 C1769 GUIDEWIRE VASC 0.0009 X 180$ 412.00 C1769 GUIDEWIRE VASC 0.014 X 300$ 412.00 C1769 GUIDEWIRE VASC 014 11X300$ 412.00 C1769 CABLE 1904-SA 85953$ 412.00 SM7.6-12.5 FC.8EY/LP$ 412.00 12015 AO DRILL BIT 3.1 X 204$ 412.00 ELECTRODE S90 ARTHX VAPOR$ 412.00 SCREW LOCKING 2.3 X 20$ 412.00 C1713 PLATE COMPRESSION 7 HOLE$ 412.00 C1713 MESH SOFT 12 X 12$ 412.00 C1781 MESNA 1GM INJECTION$ 412.00 J9209 PLATE 4/3 HOLE TI-T PLATE$ 412.00 C1713 TYGACIL 50MG/100ML IV$ 412.35 J3243 CATH MONITOR SWANZ 5FR$ 413.00 ALLPORT AL326$ 414.00 SCREW LK TPNG 4.0MM 02.204.030$ 414.00 C1713 BIT DRILL 4.5MM 315.48$ 414.00 SCREW LOCKING ST 5.0 X 18$ 414.00 C1713 SCREW LOCK 5.0 X 14 MM$ 414.00 C1713 SCREW LOCK 5.0 X 12 MM$ 414.00 C1713 SCREW LOCKING 5.0 X 32 MM$ 414.00 C1713 SCREW LOCKING 5.0 X 44 MM$ 414.00 C1713 REP LAC MOUTH VES 2.5 OR <$ 415.00 RELOAD GIA 60S 030412 WHITE$ 415.00 RELOAD STPL GIA STRT BL 60-3.5$ 415.00 RELOAD STPL GIA STRT GN 60-4.8$ 415.00 TUBE PEG 20FR X 2.0CM$ 415.00 B4087 TALON GRASPING DEVICE$ 415.00 DRILL, AO STERILE$ 415.00 BIT DRILL AO STERILE 4.2 X 260$ 415.00 SCREW CANN INT FT 8 X 20$ 415.00 DIFLUCAN 100M/50MLNS$ 415.00 US TV PREG UTERUS$ 415.00 76817 US TV PREG UTERUS$ 415.00 76817 SO PARANEOPLAST AUTANTI EVA CS$ 416.00 86256 BAG SPECIMN ENDO CTCH 10MM$ 416.00 SPIKED WASHER 13.5 X 4.0$ 416.00 C1713 SCREW LOCKING 4.0 X 42$ 416.00 C1713 SCREW LOCKING 4.0 X 46$ 416.00 C1713 SCREW LOCKING 4.0 X 44$ 416.00 C1713 THYROID SCAN (123 I)$ 416.00 78012 CORTROSYN 0.25MG/ML$ 416.00 J0834 REM FOREIGN BODY EAR$ 417.00 REM FB EYE EXTERNAL$ 417.00 AVULSION NAIL PLATE$ 417.00 REM NAILBED & MATRIX$ 417.00 INJ 1> TRIGER PT1-2M$ 417.00 I&D SMP FINGER ABSCS$ 417.00 REDUCTION FINGER MP$ 417.00 REDUCTION TOE IP DIS$ 417.00 I&D BARTHOLIN'S GLND$ 417.00 PLATE 1.7MM 57-05290$ 417.00 C1713 PLATE 1.7MM 57-05292$ 417.00 C1713 SO FLT3 GENE ITD$ 417.10 81245 BILI STONE EXTR S&I$ 418.00 47544 TEMP PACER LEAD$ 418.00 C1779 GUIDE WIRE$ 418.00 C1769 DRILL BIT 2.8$ 418.00 DRILL BIT 2.5$ 418.00 BURR RASP HELICOIDAL MD$ 418.00 DRILL BIT 700352$ 418.00 DRILL BIT 3.2 #700356$ 418.00 SCREW, HEXALOBE LOCKING 3.5MM$ 418.00 C1713 REP INT N,H,FT, G 12.6-20.0CM$ 418.00 12045 REP COMP, S, A, L 2.6-7.5 CM$ 418.00 13121 BARIUM ENEMA$ 418.00 74270 GUIDEWIRE VASC 0.014 X 180$ 419.00 C1769 NEEDLE ELECTRO; 4 EXT$ 419.00 95864 ANTI-IBM AB (ANTI-cN-1A)SO$ 419.00 83520 SCREW LOCK 3.5 X 13$ 419.00 C1713 SCREW LOCKING$ 419.00 C1713 5572-4520$ 419.00 C1713 5573-6540$ 419.00 C1713 5573-6536$ 419.00 C1713 SCREW CORTEX$ 419.00 C1713 SCREW PERIPHERAL 5572-4516$ 419.00 C1713 SCREW PERIPHERAL 5572-4524$ 419.00 C1713 SCREW PERIPHERAL 5572-4532$ 419.00 C1713 SCREW CORTEX 5573-6532$ 419.00 C1713 SCREW PERIPHERAL 5572-4528$ 419.00 C1713 SCREW CORTEX 5573-6528$ 419.00 C1713 SCREW PERIPHERAL 5572-4540$ 419.00 C1713 SCREW PERIPHERAL 5572-4536$ 419.00 C1713 SCREW PHERIPHERAL 4.5 X 44$ 419.00 C1713 IN>2.5CM NK/HD/GT/FT$ 420.00 12041 BIT DRILL QC FLUT 4.5MM 315.23$ 420.00 BIT DRILL FLUT 2.7MM 315.28$ 420.00 SCREW LK SLF-TPNG 5.0 212.220$ 420.00 C1713 SCREW LK SLF-TPNG 5.0 212.204$ 420.00 C1713 SCREW LK SLF-TPNG 5.0 212.209$ 420.00 C1713 SCREW LK SLF-TPNG 5.0 212.210$ 420.00 C1713 SCREW LK SLF-TPNG 5.0 212.211$ 420.00 C1713 SCREW LK SLF-TPNG 5.0 212.212$ 420.00 C1713 SCREW LK SLF-TPNG 5.0 212.213$ 420.00 C1713 SCREW LK SLF-TPNG 5.0 212.216$ 420.00 C1713 SCREW LK SLF-TPNG 5.0 212.221$ 420.00 C1713 SCREW LK SLF-TPNG 5.0 212.224$ 420.00 C1713 LARYNGOSCOPY, DIAG$ 421.00 31575 CURTAIN EQUIP DRYER$ 421.00 MAINTEN. KIT PHASER 8500/8550$ 421.00 RETRIEVER SUTURE SPDPSS DISP$ 421.00 BIT DRILL 4.2 X 250$ 421.00 EPIRUBICIN HCL 2 MG INJ$ 421.00 J9178 BLEPHAMIDE SUSP 5ML$ 421.00 LOOP COAG 24FR$ 422.00 LOOP COAG 27FR$ 422.00 EXCISION LESION BREAST <2.5 CM$ 422.00 11400 BIT DRILL 4.0 315.400$ 423.00 DRILL BIT BONE HIGH PERFORMANC$ 423.00 US PSUDO-ANRYSM COMP$ 423.00 76936 US PSUDO-ANRYSM COMP$ 423.00 76936 ULTRASOUND OF HEAD AND NECK$ 424.00 OPTIVAC FUSION KIT BIOMET$ 424.00 PIN STEINMANN 4.5 X 5 X 150MM$ 424.00 C1713 PIN STEINMAN 4.5 X 5X 180MM$ 424.00 C1713 PUSHER KNOT STRAIGHT SUTR$ 424.00 C1713 SCREW, LOCKING 2.7 X 28MM$ 424.00 C1713 SCREW, LOCKIN 2.7 X 22MM$ 424.00 C1713 US GUIDANCE INTRAOP$ 424.00 76998 US GUIDANCE INTRAOP$ 424.00 76998 INJECT ANESTH AGT SUPRA NERVE$ 425.00 64418 INJECT ANESTH AGT INTERCOSTAL$ 425.00 64420 INJ ANESTH AGT ILIOINGUINAL NE$ 425.00 64425 INJ ANESTH AGT PUDENDAL NERVE$ 425.00 64430 INJ ANESTH AGT PARACERV UTER N$ 425.00 64435 TAP BLOCK, BILATERAL$ 425.00 64488 INJ ANESTH;OTHER PERIPH NRV/BR$ 425.00 64450 INJ ANES AGT SUPRA NERVE$ 425.00 64418 INJ ANES AGT INTERCOSTAL$ 425.00 64420 INJ ANESTH AGT ILIOING NERV$ 425.00 64425 INJ ANESTH AGT PUDENDAL NERV$ 425.00 64430 INJ ANESTH AGT PARACERV UTER N$ 425.00 64435 TAP BLOCK, BILATERAL$ 425.00 64488 INJ ANESTH;OTHR PERIP NRV/BRAN$ 425.00 64450 INJ EPID CER/THOR W/O IMA$ 425.00 62320 INJ EPI CER/THOR W/IMAG$ 425.00 62321 INJ EPID LUM/SAC W/O IMAG$ 425.00 62322 TAP BLOCK UNIL BY INJECT$ 425.00 64486 INJ CNT INF EPD CRV/THR WO IMA$ 425.00 62324 INJ CNT INF EPD LUM/SAC WO IMA$ 425.00 62326 INJ CNT INF EPD LUM/SAC W/IMAG$ 425.00 62326 INJ EPIDURAL CERV/THOR W/O IMA$ 425.00 62320 INJ EPIDURAL CERV/THOR W/IMAG$ 425.00 62321 INJ EPIDURAL LUMB/SAC W/O IMAG$ 425.00 62322 TAP BLOCK UNIL BY INJECTION$ 425.00 64486 INJ CNT INF EPD CRV/THR WO IMA$ 425.00 62324 INJ CNT INF EPD LUM/SAC WO IMA$ 425.00 62326 INJ CNT INF EPD LUM/SAC W/IMAG$ 425.00 62327 REM FB EYE CORN W/SL$ 425.00 IN7.6-12.5NK/HD/GT/F$ 425.00 12044 IN5.1-7.5F/ER/EY/LP$ 425.00 12053 HLA-A-B *5701 TYPING$ 425.00 81381 SCREW BIOINTERFERENCE 9X23$ 425.00 C1713 APPLIERS MENISCAL$ 425.00 Meniscus Stapler$ 425.00 DRILL BIT AO 2.7 X 102$ 425.00 DRILL BIT AO 3.5 X 122$ 425.00 SCREW LOCKING 2.7 X 16$ 425.00 C1713 SCREW LOCKING 2.7 X 14 MM$ 425.00 C1713 SCREW LOCKING 2.7 X 12 MM$ 425.00 C1713 SCREW LOCKING 2.7 X 24 MM$ 425.00 C1713 SCREW LOCKING 2.7 X 10$ 425.00 C1713 PERCUTANOUS TUBE CHANGE$ 426.00 75984 COUNTERSINK 310.971$ 426.00 BALLOON DILAT SPRINT RX 2.5 X$ 427.00 C1727 BALLOON DILAT SPRNT RX 2.5 X 1$ 427.00 C1727 BALLOON DILAT SPRNT RX 3 X 12$ 427.00 C1727 BALLOON DILAT SPRNT RX 3 X 15$ 427.00 C1727 BALLOON DILAT SPRNT RX 3.5 X 9$ 427.00 C1727 BALLOON DILAT SPRNT RX 3.5 X 1$ 427.00 C1726 BALLOON DILAT SPRNT RX 4 X 9$ 427.00 C1727 BALLOON DILAT SPRNT RX 4 X 12$ 427.00 C1727 BALLOON DILAT SPRNT RX 4 X 15$ 427.00 C1727 BALLOON DILAT PRINT RX 2.5 X 9$ 427.00 C1727 BALLOON DILAT SPRNT RX 3.0X21$ 427.00 C1727 BALLOON DILAT SPRNT RX$ 427.00 C1727 BALLOON DILAT SPRINT RX 32515X$ 427.00 C1727 BALLOON DILAT SPRINT RX 9X2.75$ 427.00 C1727 WIRE WHISPER VIEW EDS .014X190$ 427.00 C1769 CATH ANGIO SPRINTER 1.25X6MM$ 427.00 C1725 CATH ANGIO SPRINTER 3X15MM$ 427.00 C1725 TREATMENT OF BLADDER LESION$ 427.00 DILA URE STRI BY PASS DILA M$ 427.00 INJ OF CORPORA CAVERNOSA$ 427.00 FORESKIN MANIPULATION$ 427.00 GUIDEWIRE AMPLATZ 35X16 75CM$ 427.00 C1769 GUIDEWIRE AMPLATZ 35X16 145CM$ 427.00 C1753 C1769 GUIDEWIRE ANGLE 3CMX035X260CM$ 427.00 C1727 BALLOON SPRINTER NC 3.5X12$ 427.00 C1727 SUTURE LASSO 90 DEGREE$ 427.00 RT SUTURE PASSER AR-4068-45R$ 427.00 SUTURE LASSO 45 DEG LFT$ 427.00 SUTURE LASSO 25 DEG TIGHT CUR$ 427.00 SUTURE LASSO 25 DEG TIGHT CUR$ 427.00 AR-8724V-20 ARTHREX$ 427.00 C1713 AR-8724V-12 ARTHREX$ 427.00 C1713 AR-8724V-16 ARTHREX$ 427.00 C1713 AR-8724V-10 ARTHREX$ 427.00 C1713 ENDOWRIST STAPLER 45 INST$ 427.00 WAND,50DEG, ASP ABLA MULTIPORT$ 427.00 90 DEG CURVE RT$ 427.00 BALLOON EUPHORA RX 3.5 X 20$ 428.00 C1726 BIT DRILL QC 1.8MM 310.510$ 428.00 BIT DRILL QC 2.4MM 310.530$ 428.00 KNIFE SAFEGUARD CARPAL TUNNEL$ 428.00 BIT DRILL J-LATCH 1.0$ 428.00 SCREW 4.5 X 18 MM$ 428.00 C1713 SCREW 4.5 X 38 MM$ 428.00 C1713 SCREW 4.5 X 30MM$ 428.00 C1713 SCREW 4.5 X 22 MM$ 428.00 C1713 SCREW REV SHLD COMP 4.5 X 26MM$ 428.00 C1713 SCREW 4.5 X 34 MM$ 428.00 C1713 BREVIBLOC 2.5G/10ML$ 428.00 DILATATION$ 428.00 ESOPHAGEAL DILATATIN$ 428.00 PUNCH BX SKIN SINGLE LESION$ 428.00 11104 PUNCH BX SKIN EA SEP/ADDL$ 428.00 11105 DRESS/DEBRID PART-THICK BURN M$ 429.00 16025 BURN DRES/DEB MED$ 429.00 INC SQ TISSUE ABSCSS$ 429.00 REMOVAL IUD$ 429.00 INSERT FOLEY W/COMP BY DOCTOR$ 429.00 PLATE 5 HOLE LC-DCP 224.55$ 429.00 C1713 PLATE 4 HOLE LC-DCP 224.54$ 429.00 C1713 OMNIPAQUE LOCM 240 MG/ML$ 429.00 Q9966 BURN DRES DEBRID MED$ 429.00 16025 RELOAD STPL GIA ROTC BL 30-3.5$ 430.00 RELOAD STPL GIA ROTC WH 30-2.5$ 430.00 SLEEVE HIP UNITRAX$ 430.00 C1713 SCREW HEXALOBE 3.5 X 20$ 430.00 C1713 SCREW HEXALOBE 3.5 X 26$ 430.00 C1713 SCREW LOCKING 3.5 X 12$ 430.00 C1713 SCREW LOCKING 3.5 X 14$ 430.00 C1713 SCREW LOCKING 3.5 X 16$ 430.00 C1713 SCREW TAP 3.5 AO 70MM$ 430.00 C1713 ACUTE HEPATITIS PANEL$ 431.00 80074 PBDS ABDOMINAL HYST$ 431.00 A4649 DANTRIUM 20MG VIAL$ 431.00 APPLY HAND/WRST CAST$ 432.00 29085 STAPLER / CUTTER GIA80-3.8$ 432.00 STAPLER / CUTTER GIA80-4.8$ 432.00 ROD CARBON FIBER 8.0MM 395.782$ 432.00 C1713 ROD CARBON FIBER 8.0MM 395.784$ 432.00 C1713 LOOP CUTTING STRAIGHT$ 432.00 SCREW LOCK 4.0 X 48$ 432.00 C1713 SCREW LOCKING 3.5 X 24 MM$ 432.00 C1713 SCREW LOCKING 3.5 X 60$ 432.00 C1713 SCREW LOCKING 3.5 X 30$ 432.00 SCREW LOCKING 3.5 X 32$ 432.00 SCREW LOCKING 3.5 X 34$ 432.00 SCREW LOCKING 3.5 X 38$ 432.00 40-35626 STRYKER$ 432.00 C1713 40-35628 STRYKER$ 432.00 C1713 DIASTAT 10 MG RECTAL$ 432.00 EMER CRICOTHYROIDOMY$ 433.00 31605 ANTIBODY ID PANEL$ 433.00 86870 SO NEUROMYELITIS OPTICA (NMO)$ 433.00 83516 ARC ID PANEL$ 433.00 86870 SCREW LOCKING 2.7 X 10MM$ 433.00 C1713 SCREW HEXALOBE 3.5 X 22$ 433.00 C1713 SCREW LOCKING 2.7 X 8MM$ 433.00 C1713 SCREW LOCKING 3.5 X 28$ 433.00 C1713 SCREW LOCKING 3.5 X 18 MM$ 433.00 C1713 SCREW LOCK 3.5MM X 24 MM$ 433.00 C1713 SCREW LOCK 3.5 MM X 30 MM$ 433.00 C1713 SCREW LOCK 3.5 MM X 32 MM$ 433.00 C1713 SCREW LOCK 3.5 MM X 34 MM$ 433.00 C1713 SCREW LOCKING 3.5 X 10$ 433.00 C1713 SCREW LOCKING 2.7 X 12$ 433.00 C1713 SCREW LOCKING 2.7 X 16$ 433.00 C1713 SCREW LOCKING 2.7 X 14$ 433.00 C1713 SCREW LOCKING 2.7 X 18$ 433.00 C1713 GEMZAR 200MG IV$ 433.00 J9201 MDI INTIAL TREATMENT$ 433.00 94640 UPDRFT 1ST TREATMENT$ 433.00 94640 REP INT SC,TR,EX 20.1CM-30.0CM$ 433.00 12036 XRAY RIBS BILAT 4 VIEWS$ 434.00 71111 BARIUM HYPAQUE$ 435.00 SCREW SCHANZ 5.0MM 294.785$ 435.00 C1713 SCREW SCHANZ 5.0MM 294.786$ 435.00 C1713 703706 STRYKER$ 435.00 DEPO PROVRA 150MG/ML$ 435.00 J1050 TARCEVA 150MG TAB$ 435.00 SHEATH GUIDING RSR04$ 436.00 GUIDING SHEATH 6FR 45CM$ 436.00 C1766 SHEATH GUIDING 5FR 45 X 35$ 436.00 CATH EP JSN QUAD 5FR$ 436.00 C1730 CATH EP CRD 2 QUAD 5FR$ 436.00 C1730 SCREW BI-CORTICAL$ 436.00 C1713 SPIKED WASHER$ 436.00 SUTURE BUTTON 12 MM$ 436.00 C1713 TIGHTROP ABS BUTTON 8 X 12 MM$ 436.00 C1713 SCREW BI-CORT POST 4.5 X 32.5M$ 436.00 C1713 SCREW BI-CORT POST 4.5 X 37.5M$ 436.00 C1713 DRILL BIT CAMMULATED 1.9$ 436.00 APPLY PROFORE COMP WRAP BIL$ 436.00 29581 OPTITWIST VACUUM MIXING BOWEL$ 437.00 EVOKED AUDITORY TEST LIMITED$ 438.00 SO KRAS GENE ANALYSIS;VARIANTS$ 438.00 81275 SO KRAS GENE ANAL; ADD VARIANT$ 438.00 81276 SO KRAS GENE VAR EXON 2$ 438.00 81275 SO KRAS GENE ADDL VAR$ 438.00 81276 SCREW ANG LOCK 2.4 X 10$ 438.00 C1713 SCREW ANG LOCK 2.4 X 12$ 438.00 C1713 SCREW ANG LOCK 2.4 X 14$ 438.00 C1713 SCREW LOCKING STARDRIVE 2.4 X$ 438.00 C1713 SCREW LOCKING STARDRIVE 2.4 X$ 438.00 C1713 SCREW LOCKING STARDRIVE 2.4 X$ 438.00 C1713 SCREW LOCK STARDRIVE 2.4 X 8$ 438.00 C1713 SCREW LOCK STARDRIVE 2.4 X 16$ 438.00 C1713 SCREW LOCK STARDRIVE 2.4 X 30$ 438.00 C1713 NB HEARING SCRN EDAE$ 438.00 92587 CHOLANGIOGRAM OPERAT$ 438.00 74300 SURETRANS PVC DRAIN$ 439.00 SCREW SELF-LOCKING 3.5 X 28$ 439.00 C1713 DAVINCI STAPLER 20 CURVED TIP$ 439.00 RADIATION TX MANAGEMENT X5$ 440.00 77427 IVUS NON-CORONARY S&I$ 440.00 37252 KIT PEG 20FR$ 440.00 SCREW LK SLF-TPNG 5.0 212.214$ 440.00 C1713 LASSO SUTURELASSO SD 30DEG STR$ 440.00 C1713 SCORPION NEEDLE AR-1399ON$ 440.00 SCREW CANN ASNIS III$ 441.00 C1713 SCREW LOCKING 5.0 X 46$ 441.00 C1713 SCREW LOCKING 5.0 X 50$ 441.00 C1713 SCREW LOCKING 5.0 X 90$ 441.00 C1713 SCREW LOCKING 5.0 X 80$ 441.00 C1713 SCREW LOCKING 4.0 X 65 MM$ 441.00 C1713 ROCEPHIN 1 G/NS 50ML$ 441.00 J0696 NITROLINGUAL 0.4MG/S$ 441.00 GUIDE, DRILL 1.4/2.7$ 441.00 INTMED REPR FACE 2.6 to 5.0 CM$ 442.00 COMP RP S/A/L>7.5Q%$ 442.00 COMP RP FACE>7.5Q%$ 442.00 BLADE RADENOID 4MM$ 442.00 DRILL BIT LONG$ 442.00 O2 PER 24 HRS.$ 442.00 I&D PERITONSILLAR ABSESS$ 442.73 42700 TYPMANOSTOMY$ 442.73 69420 UNLISTED PROCEDURE MIDDLE EAR$ 442.73 69799 RM EMBED FB EYELID$ 443.00 67938 STENT PERCUFLEX SFT WHT 7X28$ 443.00 BIT DRILL QC FLUT 4.0MM 315.40$ 443.00 SCREW CORTICAL HCO3225-S$ 443.00 C1713 SCREW 5.0 CANC. 20MM HCA5200-S$ 443.00 C1713 SCREW 5.0 CANC. 25MM HCA5250-S$ 443.00 C1713 SCREW 5.0 CANC. 40MM HCA5400-S$ 443.00 C1713 SCREW 5.0 CANC. 45MM HCA5450-S$ 443.00 C1713 SCREW 5.0 CANC. 50MM HCA5500-S$ 443.00 C1713 SCREW 5.0 CANC. 55MM HCA5550-S$ 443.00 C1713 SCREW 3.5 CORT. 17MM HCO3175-S$ 443.00 C1713 SCREW 3.5 CORT. 25MM HCO3250-S$ 443.00 C1713 SCREW 3.5 CORT. 27.5MM HCO3275$ 443.00 C1713 SCREW 3.5 CORT. 30MM HCO3300-S$ 443.00 C1713 SCREW 3.5 CORT. 32.5MM HCO3325$ 443.00 C1713 SCREW 3.5 CORT. 35MM HCO3350-S$ 443.00 C1713 SCREW 3.5 CORT. 40MM HCO3400-S$ 443.00 C1713 SCREW 3.5 CORT. 45MM HCO3450-S$ 443.00 C1713 SCREW 3.5 CORT. 50MM HCO3500-S$ 443.00 C1713 SCREW 3.5 CORT. 55MM HCO3550-S$ 443.00 C1713 SCREW 3.5 CORT. 60MM HCO3600-S$ 443.00 C1713 VA TI LOCKING SCREW 16MM$ 443.00 C1713 VA TI LOCKING SCREW 18MM$ 443.00 C1713 VA TI LOCKING SCREW 20MM$ 443.00 C1713 VA TI LOCKING SCREW 22MM$ 443.00 C1713 LOCKING SCREW 04.210.112$ 443.00 C1713 LOCKING SCREW 04.210.114$ 443.00 C1713 2.4 LOCK SCREW 20MM 04.210.120$ 443.00 C1713 SCREW LOCK TI 24MM$ 443.00 C1713 SCREW LOCK ANGLE TIT 2.4 X 8$ 443.00 C1713 SCREW LOCK ANGLE TIT 2.4 X 10$ 443.00 C1713 SCREW LOCK ANGLE TIT 2.4 X 26$ 443.00 C1713 SCREW LOCK ANGLE TIT 2.4 X 28$ 443.00 C1713 SCREW LOCK ANGLE TIT 2.4 X 30$ 443.00 C1713 BREVIBLOC 2500MG/250$ 443.00 IRRIGATION OF CORPORA CAVERNOS$ 444.00 SM12.6-20.0CM BDY&EX$ 444.00 12005 PISTON RICHARDS 4.75 X 0.6MM$ 444.00 PISTON RICHARDS 3.5X0.6$ 444.00 PISTON RICHARDS 3.75X0.6$ 444.00 PISTON RICHARDS$ 444.00 PISTON RICHARDS 4.5X0.6$ 444.00 PISTON RICHARDS 5.0X0.6$ 444.00 AMIODARONE 900 MG/500ML D5W$ 444.00 J0282 ADRIAMYCIN INJ 50MG$ 444.00 J9000 INITIAL OBS.CARE HIGH 70 MIN$ 444.50 99220 LUMBAR PUNCTURE DIAG$ 445.00 THROMBOLYSIS CORAONARY BY IV F$ 445.00 STENT BIL. ENDO CAREY-COONS SF$ 445.00 PUSHER KNOT CURVED SUTURE$ 445.00 METHROTREXATE 1GM VIAL$ 445.00 J9260 Lapra-ty Clips DaVinci$ 446.00 BIT DRILL MODULAR HAND 316.286$ 446.00 BIT DRILL MODULAR HAND 316.288$ 446.00 BIT DRILL 316.294$ 446.00 BIT DRILL MODULAR HAND 316.290$ 446.00 BIT DRILL 316.292$ 446.00 BIT DRILL 316.294$ 446.00 END-CAP TITAN 458.120$ 446.00 C1713 PEG LOCK RADIUS 2.0 X 26$ 446.00 C1713 PEG LOCK RADIUS 2.0 X 18$ 446.00 C1713 SCREW LOCK 2.3$ 446.00 C1713 NURSERY LEVEL II$ 446.00 TEFLARO 400 MG VIAL$ 446.10 J0712 SO DNA SEQUENCING-AFB IDENTIFI$ 447.00 87153 SO DNA SEQ-FUNGAL IDENT$ 447.00 87153 BOLT TI LOCKING 4.9MM 459.44$ 447.00 SCREW SCHANZ 4.0MM 294.775$ 447.00 C1713 SCREW SCHANZ 4.0MM 294.776$ 447.00 C1713 BOLT TI LOCKING 3.9MM 458.44$ 447.00 C1713 SCREW SCHANZ 4.0MM 294.777$ 447.00 C1713 BIT DRILL AO SM 5 X 340$ 447.00 SCREW LOCKING 4.0 X 30 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 36 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 40 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 50 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 70 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 85 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 90 MM$ 447.00 C1713 SCREW LOCKING 3.5 X 20$ 447.00 C1713 SCREW LOCKING 4.0 X 16$ 447.00 C1713 KWIRE 1.4 X 150 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 14 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 24 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 32 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 65 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 80 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 18 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 75 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 38$ 447.00 C1713 SCREW LOCKING 4.0 X 42$ 447.00 C1713 SCREW LOCKING 4.0 X 46$ 447.00 C1713 SCREW LOCKING 4.0 X 55 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 28 MM$ 447.00 C1713 SCREW LOCKING 4.0 X 26$ 447.00 SCREW LOCKING 4.0 X 44$ 447.00 SCREW LOCKING 4.0 X 34 MM$ 447.00 SCREW LOCKING 4.0 X 48 MM$ 447.00 SCREW LOCKING 4.0 X 22 MM$ 447.00 SCREW LOCKING 4.0 X 60$ 447.00 C1713 DRILL BIT 4.2 X 230 MM$ 447.00 Quantitation Therp drug, NOS$ 448.00 80299 SO CHEMILUMINESCENT ASSAY$ 448.00 82397 HERPES VIRUS 8 DNA Q. PCR SO$ 448.00 87799 CURETTE GYNOSAMPLER ENDO$ 448.00 MESH PROLENE 3X6$ 448.00 STENTS POLARIS DUAL 8X30 DURO$ 448.00 C1874 GUIDE PLACEMNT MARKR$ 448.00 MOLRASRAF SO$ 448.00 87799 BLADDER IRRIG CONT D$ 449.00 I&D THROM HEMORRHOID$ 449.00 EXC BEN LES T/A/L; > 4.0CM$ 449.00 11406 PLATELETS, LEUKO RD,IRR,EA$ 449.00 P9033 PLATELETS, LEUKO,RD,IRR, EA$ 449.00 P9033 SULFUR COLLOID UP TO 20 MCI$ 449.00 A9541 IV PROPHYLACYTIC INFUSION 1ST$ 450.00 96365 SEQ IV PROPHYLACYTIC 1ST HR$ 450.00 96365 IV PROPHYLACYTIC INFUSION 1ST$ 450.00 96365 SEQ IV PROPHYLACYTIC EA HR$ 450.00 96365 SO CULTURE, TYPING; IDENT BY N$ 450.00 87153 DIALYSIS, PERITONEAL$ 450.00 90945 90945 IV PROPHYLAC INF 1HR$ 450.00 96365 IV PROL INFUS > 8HRS$ 450.00 96365 96365 IV PROPHYLACTIC INF 1ST HOUR$ 450.00 96365 AO END DRILL 2.5 X 125$ 450.00 DRILL BIT 3.5 X 125$ 450.00 HIP ARTHROSCOPY SET$ 450.00 IV INFUSION PER HR - MAG$ 450.00 96365 REP COMPLEX FACE, 1.1 – 2.5CM $ 450.00 13151 STENTS POLARIS DUAL 5X24 DURO$ 451.00 STENT AMPLATZ URETER 10.2F 22C$ 452.00 STENT AMPLATZ URETER 10.2F 24C$ 452.00 STENT AMPLATZ URETER 10.2F 26C$ 452.00 C1874 PLATE 3.5MM 241.331$ 452.00 C1713 WIRE GUIDE 1.25 292.62$ 452.00 C1769 EPOGEN 4000 UNITS$ 452.00 J0885 LEVAQUIN 750MG IV$ 452.00 J1956 APPLY WND VAC<=50SQC$ 452.00 97605 APPLY WOUND VAC <=50 SQ$ 452.00 97605 AVITENE$ 452.00 WOUND VAC LE50 SQ CM$ 452.00 97605 TUBE, JEJUNAL 8.5 FR BEND$ 453.00 US GUIDED NEEDLE PLACEMENT$ 453.00 SCREW SCHANZ 4.0/3.0MM 494.771$ 453.00 C1713 CAP END TI 0.0MM 04.004.000$ 453.00 C1713 SCREW LOCKING 4.0 X 24$ 453.00 C1713 SCREW LOCKING 4.0 X 42$ 453.00 C1713 SCREW LOCKING 4.0 X 30$ 453.00 C1713 SCREW LOCKING 4.0 X 40$ 453.00 C1713 SCREW LOCKING 4.0 X 22$ 453.00 C1713 SCREW LOCK 4.0 X 30 370530$ 453.00 C1713 SCREW LOCK 4.0 X 32 370532$ 453.00 C1713 SCREW LOCK 4.0 X 38 370538$ 453.00 C1713 SCREW LOCK 4.0 X 40 370540$ 453.00 C1713 SCREW LOCK 4.0 X 60 370560$ 453.00 C1713 SCREW LOCK 4.0 X 70 370570$ 453.00 C1713 FRAGMIN 10,000 UNITS$ 453.00 J1645 ESOPHAGRAM$ 453.00 74220 74220 SO Drug test(s), presum,” $ 454.00 80307 SO DRUG ABUSE PANEL 9$ 454.00 80307 NON STRESS TEST$ 454.00 59025 DRUG OF ABUSE 9 PNL SER/PAIN C$ 454.00 80307 APPLY ULNAR GUTTER SPLINT$ 455.00 29125 ARM, SHORT SPLT STAT$ 455.00 29125 GAS SUPRANE$ 455.00 THROMBINAR TOPICAL10$ 455.00 FLURO NEEDLE BIOPSY$ 456.00 77002 NERVE CONDUCT 3-4$ 456.00 95908 NERVE CONDUCT 5-6$ 456.00 95909 NERVE CONDUCT 7-8$ 456.00 95910 REPAIR FACE 7.6-12.5$ 456.00 PEG KIT 20FR$ 456.00 SCREW BONE 2.3 X 14$ 456.00 C1713 LOCKING SCREW 2.3 X 16$ 456.00 C1713 SCREW LOCKING 2.3 X 12$ 456.00 C1713 SCREW LOCKING 2.3 X 18$ 456.00 C1713 SCREW LOCKING 2.3 X 22$ 456.00 C1713 SCREW LOCKING 2.7X12$ 456.00 C1713 SCREW LOCKING 2.7X14$ 456.00 C1713 SCREW LOCKING 2.7X16$ 456.00 C1713 SCREW LOCKING 2.7X18$ 456.00 C1713 SCREW LOCKING 2.7X20$ 456.00 C1713 FLUOROSCOPIC GUIDE$ 456.00 77002 77002 FLURO.GUIDE/LOCALEYA$ 456.00 77002 77002 VORICONAZOLE 200MG VIAL$ 457.74 J3465 BALLOON DILAT PTA 5 X 40 X 130$ 458.00 C1727 BALLOON DILAT PTA 5 X 80 X 130$ 458.00 C1727 BALLOON DILAT PTA 5 X 120 X 13$ 458.00 C1727 CATH BALLOON OTW 5F 035 X 5 X$ 458.00 C1727 BALLOON DILAT PTA 6 X 80 X 130$ 458.00 C1727 BALLOON DILAT PTA 6 X 120 X 13$ 458.00 C1727 BALLOON DILAT PTA 7 X 40 X 130$ 458.00 C1727 BALLOON DILAT PTA 7 X 80 X 130$ 458.00 C1727 BALLOON DILAT PTA 8.0 X 40 X 1$ 458.00 C1727 BALLOON DILAT PTA 8 X 80 X 130$ 458.00 C1727 BALLOON DILAT PTA 9 X 40 X 80$ 458.00 C1727 BALLOON DILAT PTA 9 X 80 X 80$ 458.00 C1727 BALLOON DILAT PTA 10 X 40 X 80$ 458.00 C1727 BALLOON DILAT PTA 12 X 40 X 80$ 458.00 C1727 BALLOON DILAT PTA 6 X 40 X 130$ 458.00 C1727 CLOSURE VASCULAR EXOSEAL 6F$ 458.00 C1760 WIRE ASAHI TREASURE 12 X 300$ 458.00 C1769 WIRE ASAHI ASTATO 30 300$ 458.00 C1769 WIRE ASAHI TREASURE FLPY 300CM$ 458.00 C1769 WIRE ASAHI REGALIA 300CM$ 458.00 C1769 WIRE ASAHI ASTATO XS 20 X 300$ 458.00 C1769 CABLE 1920-SA 85954$ 458.00 IN7.6-12.5F/ER/EY/LP$ 458.00 12054 STAPLER POWERED LDS 15W$ 458.00 GUIDEWIRE SENSH1228W$ 458.00 C1769 PIN 4 X 250 MM 5030-4-250$ 458.00 C1713 PRP SYRINGE ABS-10010S$ 458.00 SCREW LOCKING 2.7 X 30MM$ 458.00 C1713 SCREW LOCKING 2.7 X 10 MM$ 458.00 C1713 SCREW LOCKING 2.7 X 12 MM$ 458.00 C1713 PLATE COMPRESSION 10 HOLE$ 458.00 C1713 SENSOR NICOM CHEETAH CMS25$ 458.00 SCREW LOCKING 2.7 X 8 MM$ 458.00 C1713 SCREW LOCKING 2.7 X 28$ 458.00 C1713 PLATE COMPRESSION 12 HOLE$ 458.00 C1713 SCREW LOCKING 2.7 X 24$ 458.00 C1713 SCREW LOCKING 2.7 X 34$ 458.00 C1713 SCREW LOCKIN HEXALOBE 2.7 X 20$ 458.00 C1713 SCREW LOCKING 2.7 X 25$ 458.00 SCREW LOCKING HEXALOBE 2.7X18$ 458.00 SCREW LOCKIN GHEXALOBE 2.7X22$ 458.00 SCREW LOCKING HEXALOBE 2.7X26$ 458.00 SCREW HEXALOBE LOCKING 3.5 X 8$ 458.00 30-0286$ 458.00 C1713 RFX-BAY-TS CABLE$ 458.00 SURGICAL BLADE$ 458.00 STRYKER 2.0 CUTTER/SET$ 458.00 BLADE, MAKO SURG NARROW$ 458.00 XEROGEL XG-102$ 458.00 SCREW HEXALOBE LOCKING 2.7 X 8$ 458.00 C1713 SYRINGE 14CC MIXING$ 458.00 MAGGOTS DISINFECTED 250-500 ML$ 458.00 PBDS KNEE ARTHROSCOPY$ 459.00 LASER SHEILDS CO2 ET TUBES 6.5$ 459.00 SCREW LOCKING 2.7 X 12 MM$ 459.00 C1713 SCREW LOCKING 2.7 X 20 MM$ 459.00 C1713 SCREW LOCKING 2.7 X 40 MM$ 459.00 C1713 SCREW VA LOCK SLF-TP 2.7 X 26$ 459.00 C1713 SCREW VA LOCK SLF-TP 2.7 X 36$ 459.00 C1713 SCREW LOCKING 2.7 X 34$ 459.00 C1713 ARANESP 25 MCG INJ$ 459.00 J0881 FLUOROSCOPY, DIAG.EX$ 460.00 76000 FLURO PCKMR INSRT SI$ 460.00 76000 SO ALLERGEN RESP PRO REGION 6$ 460.00 86003 FLUOROSCOPY W/C-ARM$ 460.00 76000 FLUOROSCOPY$ 460.00 76000 76000 FLUOROSCOPY OVER 60M$ 460.00 76000 COUNTERSINK 310.880$ 461.00 COUNTERSINK 310.972$ 461.00 DRILL BIT 2.8 MM$ 461.00 ELECT. ANALYSIS WITH REPRO/REF$ 461.00 TYGACIL VIAL 50MG$ 461.00 J3243 DRILL BIT 1.1MM X 3.5 QR$ 461.00 ARTHROCENTESIS SMALL JOINT$ 462.00 20600 ARTHROCENTESIS SMALL JOINT W/U$ 462.00 ARTHROCENTESIS INT JOINT W/O U$ 462.00 ARTHROCENTESIS MAJ JOINT W/O U$ 462.00 20610 ARTHROCENTESIS MAJ JOINT W/US$ 462.00 20611 TRIGGER POINT 1-2 MUSCLES$ 462.00 20552 ARTHROCENTESIS SM JOINT W/O US$ 462.00 20600 ARTHROC ASPIR/INJ SM JOI W/US$ 462.00 20604 ARTHROCENTE INTER JOINT W/O US$ 462.00 20605 ARTHROCENTE MAJOR JOINT W/O US$ 462.00 20610 ARTHROCENTES MAJOR JOINT W US$ 462.00 20611 TRIGGER POINT INJECT 1-2 MUSCL$ 462.00 20552 TRIGGER POINT INJECT 1 OR MORE$ 462.00 POST TIB NEUROSTIM SINGLE TX$ 462.00 ARTHROCNTS SM JOINT$ 462.00 ARTHROCNTS INTR JONT$ 462.00 ARTHROCNT MAJOR JONT$ 462.00 CHEM ADMIN IV THRY>8HR W/P$ 462.00 96416 INJECTION JOINT$ 462.00 TRIGGER POINT INJECT 1 OR MORE$ 462.00 20552 ARTHROCENT, ASP SMAL JOINT W/O$ 462.00 20600 ARTHOCENT ASP SMALL JOINT W/US$ 462.00 20604 ARTHROCENT ASP INTERMED W/O US$ 462.00 20605 ARTHROCENT ASP MAJOR JOINT W/O$ 462.00 20610 ARTHROCENT ASP MAJOR JOINT W/U$ 462.00 20611 BOLT INSERTION 356.542$ 462.00 C1713 DRILL BIT 2.7 MM$ 462.00 INJECTION JOINT$ 462.00 TRIGGER POINT 1 OR M$ 462.00 MORTON'S NEUROMA NEUROTOMY$ 462.00 CARDEC DM 1 OZ SYRUP$ 462.00 APPLY SHORT LEG RIGID CAST$ 462.00 29445 INJ TRIGGER POINT 1-2 MUSCLES$ 462.00 ARTHROCENTESIS,ASPIR/INJ SM JO$ 462.00 ARTHROC, ASPIR/INJ SM JOI/W-US$ 462.00 ARTHRO ASP/INJ INTERMED JOINT$ 462.00 ATHRO ASPIR/INJ MAJOR JOINT$ 462.00 ARTHO ASPIR/INJ MAJ JOI W/US$ 462.00 INJECTION JOINT SMALL w/o US$ 462.00 INJECTION SMALL JOINT W/US GUI$ 462.00 INJECTION INTERME JOINT w/o US$ 462.00 INJECTION INTERMED JOINT W/US$ 462.00 INJECTION MAJOR JOINT W/O US$ 462.00 INJECTION MAJOR JOINT W/US$ 462.00 TRIGGER POINT 1 OR 2 MUSCLES$ 462.00 ANTI QGIB AB SO$ 463.00 83520 FB REM MOUTH EMBED S$ 464.00 ROD REAMING 3.0 SMOOTH 355.041$ 464.00 C1776 GUIDEWIRE,SPORT STR$ 465.00 C1769 NASOPHARYNGOSCOPY W/ENDOSCOPE$ 465.00 DUPLX UP EXT ART COMP BILAT$ 465.00 93930 CARBO JET$ 465.00 PEG MULTI DIR 28MM 1312-11-128$ 465.00 C1713 PEG MULTIDIR 30MM 1312-11-130$ 465.00 C1713 PEG MULTIDIR 16MM 1312-11-116$ 465.00 C1713 PEG MULTIDIR 18MM 1312-11-118$ 465.00 C1713 PEG MULTIDIR 20MM 1312-11-120$ 465.00 C1713 PEG MULTIDIR 22MM 1312-11-122$ 465.00 C1713 PEG MULTIDIR 24MM 1312-11-124$ 465.00 C1713 TUBE JEJUNOSTOMY 12 FR X 68 CM$ 465.00 B4087 DUPLEX UE ART/BPG; BILATERAL$ 465.00 93930 MECKELS SCAN$ 465.00 78290 MIVACURIUM 2MG/ML5ML$ 465.00 INPATIENT CONSULTATION 80 MIN$ 465.00 99254 NASOPHARNGSPY W/ENDO$ 465.00 92511 IP CONSULT LEVEL 4$ 465.00 99254 PEG MDTP 2.5X26MM 1312-11-126$ 466.00 C1713 PEG MDTP 2.5X30MM 1312-11-130$ 466.00 C1713 SHAVE SKIN LESION$ 467.00 DESTRUCTION OF SKIN LESION$ 467.00 REDUCTION POST ELBOW$ 467.00 SCREW NL MOD MINI FRAG 2.0$ 467.00 C1713 SCREW NL MOD MINI FRAG 2.0 X$ 467.00 C1713 PROLIXIN 2.5MG/ML 10$ 467.00 INTERMEDI REP 2.5 CM OR LESS$ 467.00 INTERMEDI REP 2.6 CM TO 7.5$ 467.00 SHAFT REAMER BIX CUT STERILE$ 468.00 C1713 CEMENT BONE SPEEDSET$ 468.00 C1713 SMARTMIX 5401-98-000$ 468.00 OASIS 3X3.5CM FEN$ 469.00 Q4102 SCREW LOCKING 5.0 X 65$ 469.00 C1713 SCREW LOCKING 3.5 X 22$ 469.00 C1713 EEG CERBRAL DTH EVAL$ 469.00 95824 EPOGEN 10000 UNITS$ 469.00 J0885 SHEATH GUIDE PINNACLE 6F 65CM$ 470.00 SHEATH GUIDE PINNACLE 7F 65CM$ 470.00 SCREW CANNULAT COUNTERSINK 5.0$ 470.00 C1713 BOLT TI LOCKING 3.9MM 458.26$ 471.00 C1769 BOLT LOCKING 3.9MM X 28MM$ 471.00 BOLT LOCKING 3.9MM X 40MM$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.76$ 471.00 BOLT TI LOCKING 4.9MM 459.30$ 471.00 C1713 BOLT 3.9 LOK TI 30MM 458.30$ 471.00 C1713 BOLT 3.9 LOK TI 52MM 458.52$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.32$ 471.00 BOLT TI LOCKING 3.9MM 458.20$ 471.00 BOLT TI LOCKING 3.9MM 458.66$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.26$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.28$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.42$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.48$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.50$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.52$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.60$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.64$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.68$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.72$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.80$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.85$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.90$ 471.00 C1713 BOLT TI LOCKING 4.9MM 459.95$ 471.00 C1713 BOLT TI LOCKING 3.9MM 458.32$ 471.00 C1713 BOLT TI LOCKING 3.9MM 458.76$ 471.00 C1713 BOLT TI LOCKING 3.9MM 458.22$ 471.00 C1713 BOLT TI LOCKING 3.9MM 458.54$ 471.00 C1713 INT REPR FACE5.1-7.5$ 472.00 SCREW LOCKING HCA5350-S$ 472.00 C1713 SCREW LOCKING HCA5300-S$ 472.00 C1713 SCREW CORTICAL HCO3200-S$ 472.00 C1713 WIRE K-WIRE GAMMA 3.2X450$ 472.00 C1713 SCREW 5.3 CANC. 25MM HCA-L5325$ 472.00 C1713 SCREW 5.3 CANC. 30MM HCA-L5330$ 472.00 C1713 SCREW 5.3 CANC. 35MM HCA-L5335$ 472.00 C1713 SCREW 5.3 CANC. 40MM HCA-L5340$ 472.00 C1713 SCREW 5.3 CANC. 45MM HCA-L5345$ 472.00 C1713 SCREW CENTRAL 6.5MM$ 472.00 C1713 SUTURELESS PUMP CONNEC REV KIT$ 472.00 ACCESSORY KIT INTERSTIM$ 472.00 US ABD LIMITED$ 472.00 76705 US RENAL, LEFT$ 472.00 76775 76775 US RENAL BILATERAL LIMITED$ 472.00 76775 US HEPATIC$ 472.00 76705 US GALLBLADDER$ 472.00 76705 US ABD LIMITED$ 472.00 76705 US RENAL, LEFT$ 472.00 76775 US AORTA$ 472.00 76775 US RENAL BILATERAL LIMITED$ 472.00 76775 US HEPATIC$ 472.00 76705 US GALLBLADDER$ 472.00 76705 US RENAL, UNI RT$ 472.00 76775 76775 US AORTA$ 472.00 76775 76775 I&D COMPLEX$ 472.00 10061 SYMBICORT 80/4.5 MCG INHALER$ 472.84 SCREW LOW PROF HEX 4.3 X 50$ 473.00 C1713 SCREW LOW PROF HEX 4.3 X 34$ 473.00 C1713 SCREW LOW PROF HEX 4.3 X 32$ 473.00 C1713 SCREW LOW PROF HEX 4.3 X 40$ 473.00 C1713 SCREW LOW PROF HEX 4.3 X 28$ 473.00 C1713 SCREW LOW PROF HEX 4.3 X 30$ 473.00 C1713 SCREW LOW PROF HEX 4.3 X 20$ 473.00 C1713 SCREW HEX LOW PRO 4.3 X 24$ 473.00 C1713 SCREW HEX LOW PRO 4.3 X 44$ 473.00 C1713 SCREW HX LO PRO 4.3 X 26$ 473.00 C1713 SCREW HEX LO PRO 4.3 X 36$ 473.00 C1713 SINUS IRRIGATION CATHETER$ 473.00 C1729 SCREW HEXALOBE 4.3 X 38$ 473.00 C1713 SCREW HEX LO PRO 4.3 X 42$ 473.00 C1713 SCREW HEX LO PRO 4.3 X 22$ 473.00 C1713 LOCK SCREW 5.0MM/L4MM$ 473.00 C1713 SCREW, LOCKING 5.0 X 22 MM$ 473.00 C1713 US PELVIS COMPLETE$ 473.00 76856 US PELVIS COMPLETE$ 473.00 76856 RAD EXAM CERVICAL SPINE 6 OR M$ 473.00 72052 SCREW CANN ASNIS PT 4.0 X 38$ 474.00 PLATE DCP 2.7MM$ 474.00 C1713 BIT DRILL QC 1.8MM 310.509$ 474.00 ELECTRODE BALL 22FR 3MM$ 474.00 SCREW CANN ASNIS SS 4.0 X 26 M$ 474.00 C1713 SCREW ASNIS CANN 4 X 30$ 474.00 C1713 SCREW ASNIS CANN 4 X 38$ 474.00 C1713 SCREW ASNIS CANN 4 X 40$ 474.00 C1713 SCREW CANNULATED 4.0 X 46MM$ 474.00 C1713 SCREW CANNULATED 4.0 X 44 MM$ 474.00 C1713 SCREW CANNULATED 4.0 X 46 MM$ 474.00 C1713 SCREW CANN FULLTHREAD 4.0 X 42$ 474.00 C1713 SCREW CANNULATED 4.0 X 55 MM$ 474.00 C1713 SCREW CANNULATED 4.0 X 42$ 474.00 C1713 SCREW CANNULATED 4.0 X 36$ 474.00 C1713 SCREW CANNULATED 4.0 X 28$ 474.00 C1713 SCREW CANNULATED 4.0 X 30MM$ 474.00 C1713 SCREW CANNULATED PT 4.0 X 34$ 474.00 C1713 SCREW CANNULATED FT 4.0 X 28$ 474.00 C1713 SCREW CANNULATED FT 4.0 X 30$ 474.00 C1713 SCREW CANNULATED FT 4.0 X 38$ 474.00 C1713 SCREW CANNULATED FT 4.0 X 40$ 474.00 C1713 SCREW LOCKING 5.0 X 24$ 474.00 C1713 SCREW LOCKING 5.0 X 32$ 474.00 C1713 SCREW LOCKING 5.0 X 38$ 474.00 C1713 SCREW LOCKING 5.0 X 40$ 474.00 C1713 SCREW LOCKING 5.0 X 80$ 474.00 C1713 SCREW LOCKING 5.0 X 85$ 474.00 C1713 SCREW LOCKING 5.0 X 36$ 474.00 C1713 SCREW LOCKING 5.0 X 30$ 474.00 C1713 SCREW LOCKING 5.0 X 55$ 474.00 C1713 SCREW LOCKING 5.0 X 60$ 474.00 C1713 SCREW LOCKING 5.0 X 34$ 474.00 C1713 SCREW LOCKING 5.0 X 50$ 474.00 C1713 SCREW LOCKING 5.0 X 75$ 474.00 C1713 SCREW CANNULATE ASNIS 2.0 X 28$ 474.00 C1713 SCREW LOCKING 5.0 X 65$ 474.00 C1713 SCREW LOCKING 5.0 X 70$ 474.00 C1713 SCREW CANNULATED 4.0 X 36$ 474.00 SCREW LOCKING 5.0 X 16$ 474.00 SCREW LOCKING 5.0 X 16$ 474.00 SCREW LOCKING 5.0 X 18$ 474.00 661148 $ 474.00 C1713 661114 $ 474.00 C1713 61120 $ 474.00 C1713 661126 $ 474.00 C1713 661190 STRYKER$ 474.00 C1713 LOCKING SCREW 5.0 X 44$ 474.00 C1713 CANNULATED SCREW 4.0 X 10MM$ 474.00 C1713 CANNULATED SCREW 4.0X12MM$ 474.00 C1713 CANN SCREW 4X10MM TI ASNIS III$ 474.00 C1713 ADVAIR 500/50 DISKUS$ 474.00 SCREW CORTEX 4.5 X 85 MM$ 474.00 C1713 SCREW LOCKING 5.0 X 42 MM$ 474.00 C1713 SCREW CANNULATED 4.0 X 32 MM$ 474.00 C1713 OFFICE CONSULT LOW 30 MIN$ 475.00 99242 TRIGGER POINT INJECTION >3$ 475.00 INJECTION CARPAL TUNNEL$ 475.00 20526 INJECTION TENDON SHEATH/LIGAME$ 475.00 20550 INJECTION TENDON ORGIN/INSERT$ 475.00 20551 TRIGGER POINT INJECTION >3$ 475.00 20553 ASPIRATION/INJEC GANGLION CYST$ 475.00 20612 SEAMGUARD GRN 45$ 475.00 C1784 STRIP STAPLE LINE BLUE 45 3.5$ 475.00 SCREW FIX LK 4.75X15MM$ 475.00 C1713 SCREW FIX LK 4.75X20MM$ 475.00 C1713 SCREW FIX LK 4.75X35MM$ 475.00 C1713 SCREW FIX LK 4.75X30MM$ 475.00 C1713 REP INT N,H,FT, G 20.1-30.0CM$ 475.00 12046 THROMBOLYSIS OF CORONARY BY IN$ 476.00 92977 LOCKING SCREW 30MM 130770030$ 476.00 C1713 LOCKING SCREW 24MM 130770024$ 476.00 C1713 SCREW NON-LOCKING LG 18$ 476.00 C1713 SCREW LOCKING 2.7 X 22$ 476.00 C1713 SCREW LOCKING 2.7 X 24$ 476.00 C1713 SCREW SCHANZ 4/3 X 100MM$ 476.00 C1713 SCREW LOCKING 2.7 X 38 MM$ 476.00 C1713 DRILL BIT 2.0 MM$ 476.00 Bone Screw 2.3mm T7$ 476.00 C1713 REPAIR INTER FACE 12.6-20.0CM$ 476.00 12055 WIRE KIRSCHNER 1.6MM 292.71$ 477.00 C1713 BRONCHO RESP PRE/POST BRONCHO$ 478.00 94060 EVAL BRONCHO$ 478.00 94060 RELOAD STPL GIA ROTC BL 45-3.5$ 478.00 GRAFT HARVESTING KIT$ 478.00 SCREW LOCKING 4.0 X 28$ 478.00 C1713 SCREW LOCKING 4.0 X 32$ 478.00 C1713 SCREW LOCKING 4.0 X 60$ 478.00 C1713 SCREW LOCKING 4.0 X 38$ 478.00 C1713 SCREW LOCKING 4.0 X 48$ 478.00 C1713 SCREW LOCKING 4.0 X 80$ 478.00 C1713 SCREW LOCKING 4.0 X 75$ 478.00 C1713 SCREW LOCKING 4.0 X 70$ 478.00 C1713 SCREW LOCKING 4.0 X 26$ 478.00 C1713 SCREW LOCKING 4.0 X 34 371$ 478.00 C1713 SCREW LOCKING 3.5 X 44 MM$ 478.00 C1713 SCREW LOCKING 3.5 X 70$ 478.00 C1713 SCREW LOCKING 2.7 X 40$ 478.00 C1713 SCREW LOCKING 2.7 X 46$ 478.00 C1713 SCREW LOCKING 2.7 X 50$ 478.00 C1713 SCREW LOCKING 3.5 X 32 MM$ 478.00 C1713 LOVENOX 80MG INJ$ 478.00 J1650 PRE/POST SPIRO EVAL (PFT)$ 478.00 94060 SCREW, LOCKING 2.7MM X 55MM$ 478.00 C1713 SCREW, LOCKING 2.7MM X 65MM$ 478.00 C1713 SCREW LOCKING 370575$ 479.00 C1713 SCREW LOCKING 4.0 X 65$ 479.00 C1713 SCREW LOCKING 4.0 X 28$ 479.00 C1713 SCREW LOCKING 40. X 36$ 479.00 C1713 SCREW LOCKING 4.0 X 50$ 479.00 C1713 SCREW LOCKING 4.0 X 80$ 479.00 C1713 PLATE DIS FIB MOD LID FOR VARI$ 479.00 C1776 PARTICLE EMBOLIZ MCRSPH 45-150$ 480.00 C1884 SM20.1-30.0 BDY&EXT$ 480.00 12006 INTERPRETATION OF 2-8 MARKERS$ 480.00 G0452 SO FLOW CYTOMETRY 2-8 MARKERS$ 480.00 G0452 MOUNT WIRE 4.5MM 281.001S$ 480.00 C1713 INT REP FACE7.6-12.5$ 481.00 GUIDEQIRE PT 014X300CM CHOICE$ 481.00 LASER SHEILDS CO2 ET TUBES 7.0$ 481.00 LASER SHEILDS CO2 ET TUBES 7.5$ 481.00 LASER SHEILDS CO2 ET TUBES 8.0$ 481.00 PLATE 3.5MM 241.341$ 482.00 C1713 SUTURE FISHHOOK LASSO$ 482.00 SCREW 40MM X 2.7$ 482.00 C1713 SCREW 38MM X 2.7$ 482.00 C1713 SCREW 36MM X 2.7$ 482.00 C1713 SCREW LOCKING 2.7 X 16 MM$ 482.00 C1713 SCREW LOCKING 2.7 X 18 MM$ 482.00 C1713 SCREW VA LOCK SLF-TP 2.7 X 22$ 482.00 C1713 BASKET STONE CAPTURA G32756$ 482.00 DRILL BIT 2.0$ 482.00 DRILL BIT 2.8$ 482.00 DRILL BIT 2.7$ 482.00 GUIDE WIRE$ 482.00 C1769 MESH 8.0 X 13.7$ 482.00 C1781 MESH 3D LIGHT MD 3 X 5$ 482.00 C1781 2.7MM VA LOCK SCREW SLF TP$ 482.00 C1713 EPIDURAL STEROID INJ$ 482.00 SCREW HEXALOBE VA 2.7X14MM$ 482.00 C1713 PERITONEOGRAM S & I$ 483.00 74190 CATH-INFUSION 5 X 100 X 30$ 483.00 C1752 CATH THROMBE INF 5 FR 35 X 40$ 483.00 CATH THROMBE INF 5 FR 50 X 135$ 483.00 SO ANALYSIS 20-25 CELLS$ 483.00 88264 ABD (KUB W/GASTVIEW)$ 483.00 49465 IN>2.5CM FC/ER/EY/LP$ 484.00 12051 INITIAL HOSPITAL DA E/M HIGH$ 484.00 99223 BIT DRILL 3FLUT 4.2 03.010.104$ 484.00 ULTRASOUND BREAST LIMITED,UNIL$ 484.00 76642 PLATE 7-Hole LC-DCP 224.570$ 485.00 C1713 PLATE 9 HOLE LC-DCP 224.59$ 485.00 C1713 PLATE 8 HOLE LC-DCP 224.58$ 485.00 C1713 PLATE 7 HOLE LC-DCP 224.57$ 485.00 C1713 PLATE 6 HOLE LC-DCP 224.56$ 485.00 C1713 SCREW LOCKING 4.0 X 55$ 485.00 C1713 MUTAMYCIN 5MG INJ.$ 485.00 J9280 SPLINT WHITE EZEFORM 24X36$ 486.00 SPLINT BEIGE EZEFORM 24X36$ 486.00 CAP TI END EXT 0MM 456.311$ 486.00 C1713 CAP TI END EXT 5MM 456.312$ 486.00 C1713 CAP TI END EXT 10MM 456.313$ 486.00 C1713 PLUG MESS ULTRAPRO SM$ 486.00 C1781 PUNCH BONE BIOPSY AVAMAX 13G$ 486.00 SCREW LOCK VRBL ANGLE 3.5 X 28$ 486.00 C1713 SCREW LOCK VRBL ANGLE 3.5 X 34$ 486.00 C1713 CATH THROMBE INF 5 FR 30 X 135$ 488.00 BIT DRILL 3.2MM 03.010.103$ 488.00 VAPR LD SUCTION ELECTRODE$ 488.00 SUTURETAK KIT$ 488.00 TORFEX TRANSSEPTAL GUID SHEATH$ 488.00 NERVE BLOCK OCCIPITA$ 488.00 CALCIUM DISODIUM VER$ 488.00 J0600 ANTIBODY TITER$ 489.00 86886 SO CONSULT & REPORT$ 489.00 88323 SO IMMUNFLOUORESCENT STU$ 489.00 88350 SO FLOW CYTOMETRY 1ST MARKER$ 489.00 88184TC MICROSLIDE CONSULTATION$ 489.00 88323 TUMOR IMMUNOHISTOCHEM/COMPUTER$ 489.00 88361 INVEST OF TRANSFUSION REACTION$ 489.00 86078 AUTH FOR DEV FROM STD PROC$ 489.00 86079 SO IMMUNOFLUORESCENT STUDY$ 489.00 88346 SO SEZARY PANEL$ 489.00 88184 SO IMMUNOCYTOCHEMISTRY EA ADD$ 489.00 88344 SO IMMUNOFLUORESCENT STUDY$ 489.00 88346 SO FLOW CYTOMETRY$ 489.00 88184 END CAP 1850-0002S$ 489.00 C1713 SM12.6-20 FC.8REY/LP$ 490.00 12016 SO INFECT AGENT DRUG PHENOTYPE$ 490.00 87900 ED LEVEL V$ 491.00 99285 SO MAPLE SYRUP DISE (MSUD) ANA$ 491.00 81205 K WIRE INSERT 1.25MM 324.084$ 491.00 C1713 PLUG MESS ULTRAPRO MD$ 491.00 C1781 BUTTON SEPTAL 1524105$ 491.00 K-WIRE$ 491.00 C1713 SUTURE LASSO 25 DEGREE$ 491.00 US OB LEVEL 11 SINGLE FETUS$ 491.00 76811 US OB LEVEL 11 SINGLE FETUS$ 491.00 76811 IN12.6-20.0SCP TR EX$ 492.00 12035 PRBC LEUKORED UNIT$ 492.00 P9016 PRBC LEUKO EA UNIT PROC/STOR$ 492.00 P9016 STAPLER ENDOPATH ECHELON 60$ 492.00 RELOAD STPL GIA ROTC WH 45-2.5$ 492.00 PIN 5 X 120 MM 5018-5-120$ 492.00 C1713 PIN APEX 5.0 X 200 MM$ 492.00 C1713 DIPYRIDAMOLE 50MG/10$ 492.00 J1245 ADVAIR 45/21MCG INHALER$ 493.18 SO BRAF MUTATION ANALYSIS$ 494.00 81210 SCREW 294.640$ 494.00 C1713 ARTHROWAND 2.5MM 30D$ 494.00 DRILL BIT 2.0$ 494.00 NURSERY LEVEL III$ 494.00 US FTL AGE FLUP Q FS$ 494.00 76816 US FTL AGE FLUP Q FS$ 494.00 76816 REP COM NE, HDS, FT 2.6-7.5CM$ 494.00 13132 AORTIC ROOT INJ$ 495.00 93567 UNLISTED ULTRASOUND$ 495.00 SO ALLERGENS, FOOD COMP PROFIL$ 495.00 86003 CAP TI END 12MM 459.013$ 495.00 C1713 PIN CERCLAGE POS 298.803S$ 495.00 C1713 SCREW SELF-TAPPING 3.5$ 495.00 C1713 US OTHER$ 495.00 76999 US OTHER$ 495.00 76999 PLUG MESS ULTRAPRO LG$ 496.00 C1781 DRUG TEST 15-21 DRUG CLASS(ES)$ 497.00 80377 COUNTERSINK 310.870$ 497.00 DRILL BIT 3.5$ 497.00 MYD88 MUTATION ANALYSIS$ 498.00 81479 GRASPER URO STONE 3.2FR 115CM$ 498.00 ITRACONAZOLE 10MG/ML$ 498.00 SO MPL MUTATION ANALYSIS$ 499.00 81402 CL TX FX PHALNX/PHALANG WO MAN$ 500.00 EZEFORM SPLINT MAT BEIGE 18X24$ 500.00 BASKET URO STONE 2.2FR 115CM$ 500.00 C1769 SCREW ADVANTAGE 9X30MM 230130$ 500.00 C1713 SCREW CANCELLOUS 8MMX46MM WAS$ 500.00 C1713 PLATE TIBIA PROX 4.5MM$ 500.00 C1713 SCREW LOCKING 3.5 X 10 #614610$ 500.00 C1713 SCREW CANCELLOUS WASHERLO 6X48$ 500.00 C1713 DISPOSABLE 2.9 KIT AR-1923DS$ 500.00 URETERAL CATH STEN ILL 5FR$ 500.00 C1758 KIT BIO-SUTURETAK 2.4MM$ 500.00 DRILL BIT T2 2.2$ 500.00 SCREW CANNULATED 4.0 X 42$ 500.00 C1713 SCREW CANNULATED 4.0 X 36$ 500.00 ACETADOTE 200MG/ML V$ 500.00 J0132 MAXAIR (PIRBUTEROL)$ 500.00 PULSE OX OVERNIGHT STUDY$ 500.00 94762 ENDOTRACH INTUBATION$ 501.00 31500 FDA PD-LI$ 501.00 88360 BALLOON DILAT CORO OTW 1.5X10$ 503.00 C1887 BALLOON CORON SPRINTER 2.0 X 2$ 503.00 C1725 BALLOON DILAT CORO RX 2.5 X 25$ 503.00 C1727 BALLOON DILAT CORO RX 2.25 X 6$ 503.00 C1727 BALLOON DILAT CORO RX 2.25 X 1$ 503.00 C1726 BALLOON DILAT CORO OTW 1.25X6$ 503.00 C1726 BALLOON DILAT CORO OTW 1.25X10$ 503.00 C1727 BALLOON DILAT CORO RX 1.25 X 1$ 503.00 C1726 BALLOON DILAT CORO RX 1.25 X 1$ 503.00 C1726 BALLOON DILAT CORO OTW 1.25 X$ 503.00 C1726 BALLOON DILAT CORO RX 1.25 X 1$ 503.00 C1726 BALLOON DILAT CORO RX 1.5 X 6$ 503.00 C1726 BALLOON DILAT CORO RX 2 X 30$ 503.00 C1726 BALLOON DILAT CORO RX 2.25 X 1$ 503.00 C1726 BALLOON DILAT CORO RX 2.5 X 6$ 503.00 C1726 BALLOON DILAT CORO RX 2.5 X 10$ 503.00 C1726 BALLOON DILAT CORO RX 2.5 X 20$ 503.00 C1726 BALLOON DILAT CORO RX 2.5 X 25$ 503.00 C1726 BALLOON DILAT CORO RX 2.5 X 30$ 503.00 C1726 BALLOON DILAT CORO RX 2.75 X6$ 503.00 C1726 BALLOON DILAT CORO RX 2.75 X 1$ 503.00 C1726 BALLOON DILAT CORO RX 2.75 X 1$ 503.00 C1726 BALLOON DILAT CORO RX 3 X 6$ 503.00 C1726 BALLOON DILAT CORO RX 3 X10$ 503.00 C1726 BALLOON DILAT CORO RX 3 X 20$ 503.00 C1726 BALLOON DILAT CORO RX 3 X 25$ 503.00 C1726 BALLOON DILAT CORO RX 3 X 30$ 503.00 C1726 BALLOON DILAT CORO RX 3.5 X 6$ 503.00 C1726 BALLOON DILAT CORO RX 3.5 X 15$ 503.00 C1726 BALLOON DILAT CORO RX 4 X 6$ 503.00 C1726 BALLOON DILAT CORO RX 4 X 10$ 503.00 C1726 BALLOON DILAT CORO RX 4 X 12$ 503.00 C1726 BALLOON DILAT CORO RX 4 X 15$ 503.00 C1726 BALLOON DILAT CORO RX 4 X 30$ 503.00 C1726 CHEST TUBE INSERTION$ 503.00 32551 SCREW CAN 4.5MM 214.560$ 503.00 GUIDEWIRE NIT ANGLE 018X80CM$ 503.00 C1769 PUMP PAIN ON-Q 270ML 2.5 CATH$ 503.00 CELL PACKER WITH CITRATE$ 503.00 SP2 PAT PLANER BLDE/CTR DRL SM$ 503.00 3.2MM FIXATION PIN$ 503.00 C1713 WIRE STIFF AORTIC 4804$ 503.00 WIRE SUREPASS AF ENDO-035$ 503.00 C1713 BREAK AWAY GUIDE PIN 2.5MM$ 503.00 C1713 SCREW LOCKING 4.0 X 24$ 503.00 C1713 SCREW LOCKING 4.0 X 26$ 503.00 C1713 SCREW LOCKING 4.0 X 34$ 503.00 C1713 SCREW 6.5 X 30 MM$ 503.00 C1713 DRILL PIN II RETRO$ 503.00 SCREW CANN INT W/DISP SHEATH$ 503.00 C1713 DRILL BIT/QC 1.8 X 125 MM$ 503.00 DRILL BIT/QC 2.4 X 100 MM$ 503.00 SCREW CANN W/DISP SHEATH$ 503.00 C1713 SCREW CANN INTERFE 9 X 20$ 503.00 C1713 SCREW LOCKING F-T 4 X 22$ 503.00 C1713 SCREW LOCKING 4 X 25 MM$ 503.00 C1713 SCREW LOCKING FT 4 X 34 MM$ 503.00 Sheath Transeptall SLD$ 503.00 C1893 407358 $ 503.00 C1766 SO PT G20210A GENE MU$ 504.00 81240 ROD CARBON FIBER 8.0MM 395.786$ 504.00 C1713 SCREW SCHANZ 5.0MM 294.783$ 504.00 C1713 SCREW SCHANZ 5.0MM 294.784$ 504.00 C1713 THOROCOTOMY$ 504.00 SCREW LOCK 4.0 X 24$ 505.00 C1713 SO FISH AUTO-TC (MULTIPLEX PRO$ 506.00 88374 SO FISH AUTO-TC(SINGLE PROBE)$ 506.00 88365 SO LUNG FISH MANUAL-TC$ 506.00 88377 APEX PIN 5X150MM$ 506.00 C1713 DRILL BIT 2.2MM 03.501.038$ 506.00 SCREW LOCKING 5.0 X 28$ 506.00 C1713 SCREW LOCKING 5.0 X 26$ 506.00 C1713 SCREW LOCKING 5.0 X 70$ 506.00 C1713 SCREW LOCKING 5.0 X 85$ 506.00 C1713 SCREW LOCKING 5.0 X 38$ 506.00 C1713 SCREW LOCKING 5.0 X40$ 506.00 C1713 SCREW LOCKING 5.0 X 65$ 506.00 C1713 SCREW LOCKING 5.0 X 75$ 506.00 C1713 SCREW LOCKING 5.0 X 55$ 506.00 C1713 SCREW LOCKING 5.0 X 44$ 506.00 C1713 SCREW LOCKING 4.75 FIXED 25MM$ 506.00 C1713 SCREW 4.0 CANN 207.716$ 507.00 C1713 SCREW 4.0 CANN 207.718$ 507.00 C1713 SCREW 4.0 CANN 207.720$ 507.00 C1713 SCREW 4.0 CANN 207.750$ 507.00 C1713 COUNTER SINK 310.89$ 507.00 SCREW LOCKING ANCHORAGE 3 X 20$ 507.00 C1713 SCREW LOCKING 3.5X12$ 507.00 C1713 SCREW ANCHORAGE LOCK 3MM X 10M $ 507.00 C1713 IN2.6-7.5NK/HD/GT/FT$ 508.00 12042 IN2.6-5.0FC/ER/EY/LP$ 508.00 12052 SCREW LOCKING 3.5 X 12 #614612$ 508.00 C1713 SCREW LOCKING 3.5 X 14$ 508.00 C1713 SCREW LOCKING 3.5 X 16 #614616$ 508.00 C1713 SCREW LOCKING 3.5 X 18 #614618$ 508.00 C1713 SCREW LOCKING 3.5 X 20 #614620$ 508.00 C1713 SCREW LOCKING 3.5 X 22 #614622$ 508.00 C1713 SCREW LOCKING 3.5 X 24 #614624$ 508.00 C1713 SCREW LOCKING 3.5 X 26 #614626$ 508.00 C1713 SCREW LOCKING 3.5 X 28 #614628$ 508.00 C1713 SCREW LOCKING 3.5 X 30 #614630$ 508.00 C1713 SCREW LOCKING 3.5 X 46 #614646$ 508.00 C1713 SCREW LOCKING 3.5 X 60 #614660$ 508.00 C1713 DRILL BIT 2.5 T-FLUTED$ 508.00 CATHETER CROSSING RUBICON 14 4$ 509.00 C1887 CATH SUPPORT RUBICON 018 150CM$ 509.00 CATH SUPPORT RUBICON 018 135CM$ 509.00 US OF ABDOMINAL COMPLETE$ 509.00 CLOSED CLAVICLE$ 509.00 23500 CLSD TX OTHER TOE WM$ 509.00 COMP<2.5CM SCLP.EXT.$ 509.00 13120 END CAP HUMER PROX T2$ 509.00 C1713 RISPERDAL 1MG/ML$ 509.00 J2794 MERREM 1 GRAM VIAL$ 509.00 J2185 ENDOTRACH INTUBATION$ 510.00 31500 BOLT TI LOCKING 4.9MM 459.34$ 510.00 C1713 DRILL BIT PERCU 3.2 X 300$ 510.00 DRILL BIT PERCU 4.3 X 300$ 510.00 CORING REAMER CONN AR-1224S$ 510.00 REAMER CORING 9MM W/COLL PIN$ 510.00 DEV DETACH CONTROLLER AZUR$ 510.00 MORPH/BACLOFEN INTRA$ 510.00 ROMAZICON 1MG/10ML I$ 510.00 PEG PULL KIT 20 FR$ 510.00 CORNING REAMER$ 510.00 REP INT SC, TR, EXT > 30.0 CM$ 510.00 12037 SO ALLER BASOFU HRT PAT BLUE V$ 511.00 86352 ANCHOR PEEK ZIP 5.5MM$ 511.00 C1713 GENERAL HEALTH PANEL$ 512.00 80050 SCREW LOCKING 5.0 X 30$ 512.00 C1713 SCREW LOCKING 5.0 X 28$ 512.00 C1713 SCREW LOCKING 5.0 X 24$ 512.00 C1713 SCREW LOCKING 5.0 X 20$ 512.00 C1713 SCREW LOCKING 3.5 X 14 FOOT$ 512.00 C1713 SCREW LOCKING 3.5 X 16 FOOT$ 512.00 C1713 SCREW LOCKING 3.5 X 18 FOOT$ 512.00 C1713 SCREW LOCKING 3.5 X 10$ 512.00 C1713 SCREW LOCKING 3.5 X 12$ 512.00 C1713 SCREW LOCKING 3.5 X 20$ 512.00 C1713 3011-43046 ACUMED 4.3 SCREW$ 512.00 C1713 FLOSEAL 5 ML$ 512.00 A6250 SO B-CELL GEND REARRANGEMTN$ 512.08 81264 PUSHER COIL 16$ 513.00 STRIP STAPLE LINE EC60 4.1$ 513.00 SEAMGUARD GRN 60$ 513.00 C1781 STRIPE STAPLE LINE BLUE 60 2.5$ 513.00 DRILL BIT 3.1 X 238$ 513.00 SEL CATH ART-BRACH-CEPH,EA ADD$ 514.00 36218 SCREW 4.0 CANN 207.610$ 514.00 C1713 SCREW 4.0 CANN 207.614$ 514.00 C1713 SCREW 4.0 CANN 207.616$ 514.00 C1713 SCREW 4.0 CANN 207.618$ 514.00 C1713 SCREW 4.0 CANN 207.726$ 514.00 C1713 SCREW 4.0 CANN 207.728$ 514.00 C1713 SCREW 4.0 CANN 207.730$ 514.00 C1713 SCREW 4.0 CANN 207.732$ 514.00 C1713 SCREW 4.0 CANN 207.734$ 514.00 C1713 SCREW 4.0 CANN 207.738$ 514.00 C1713 SCREW 4.0 CANN 207.744$ 514.00 C1713 SCREW 4.0 CANN 207.748$ 514.00 C1713 SCREW 4.0 CANN$ 514.00 C1713 SCREW LOCKING 4 X 55$ 514.00 C1713 SCREW LOCK FULLY THREAD 4 X 32$ 514.00 C1713 END CAP T2 6 MM$ 514.00 C1776 FACET NER INJ EA ADD$ 514.00 EEG REC AWAKE/DROWSY$ 515.00 95816 BLADE GIGLI SAW$ 515.00 PLATE ACU-LOC2 VDR EXT LINK SC$ 515.00 ZERBAXA 1.5 GM VIAL$ 515.50 J0695 J0695 BURN DRES/DEB LG$ 516.00 SCREW INTRFX TAPRD 7-9 X 30MM$ 516.00 C1713 COUNTERSINK 2.OMM 310.972$ 516.00 SCREW TI LOK 4.0MM 04.005.416$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.420$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.422$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.424$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.426$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.428$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.430$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.432$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.434$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.440$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.444$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.448$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.450$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.452$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.454$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.456$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.458$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.460$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.462$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.464$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.466$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.468$ 516.00 C1713 SCREW TI LOK 4.0MM 04.005.470$ 516.00 C1713 RELOAD STPL GIA ROTC GN 45-4.8$ 516.00 TAP 311.63$ 516.00 BAR TIBIA MOD LOCKING 141205$ 516.00 C1713 CANNULATED COMPRESSION SCREW$ 516.00 C1713 BURN DRESS DEBRID LG$ 516.00 16030 BONE CEMENT GENT$ 517.00 C1713 SCREW ASNIS CANN 3.0 X 34$ 517.00 C1713 SCREW ASNIS CANN 3.0 X 30$ 517.00 C1713 SCREW LOCKING 5.0 X 26$ 517.00 C1713 SCREW LOCKING 5.0 X 42$ 517.00 C1713 SCREW LOCKING 5.0 X 16$ 517.00 C1713 SCREW LOCKING 5.0 X 22$ 517.00 C1713 HEP B IMMUNE GLO 1ML$ 517.00 90371 DOVONEX 0.005% OINTM$ 517.00 PRECEDEX 200MCG INJ$ 517.00 LOCKING BOLT 3.9 50MM #458.50$ 518.00 C1713 END CAP 0 MM$ 518.00 C1713 END CAP 0 MM$ 518.00 C1713 END CAP 0MM 04.003.000$ 518.00 C1713 GUIDE WIRE 0.014$ 519.00 C1769 INS CENT LINE TPL$ 519.00 MOPATH PROCEDURE LEVEL 4$ 519.00 81403 ELECTRODE VAPOR WEDGE 2.3$ 519.00 GUIDE WIRE BALL TIP HUMERAL 2.$ 519.00 C1769 PLATE DCP 2.7MM X 80 10HOLE$ 519.00 C1713 K-WIRE COCR RECON 3.2 X 400$ 519.00 C1769 TRIAL PROTECTOR ORTHO ALEXIS$ 519.00 K-WIRE 1.2 X 100 MM$ 519.00 C1769 HYDROMORP/BUPIV50/10$ 519.00 DEBRIDE SUBCU TIS EA ADD 20 CM$ 519.00 11045 24 HR EVENT RECORDER$ 520.00 93270 LUMBAR PUNCTURE,DIAG$ 520.00 SEAMGUARD 60$ 520.00 SCREW CANNULATED 5.0 X 40 MM$ 520.00 C1713 SCREW CANNULAT ASNIS 5.0 X 44$ 520.00 C1713 SCREW CANNULATED 5.0 X 38 MM$ 520.00 C1713 SCREW CANNULATED 5.0 X 50 MM$ 520.00 C1713 SCREW CANNULATED 4.0 x 75$ 520.00 SCREW CANNULATED 4.0 x 80$ 520.00 325655S STRYKER$ 520.00 C1713 SCREW CANNULATED 5.0 X 42$ 520.00 C1713 SCREW,CANN 5.0 X 42 MM$ 520.00 C1713 SCREW CANNULATED 5.0 X 65$ 520.00 C1713 SCREW CANNULATED 5.0 X 60$ 520.00 C1713 SCREW CANNULATED 5.0 X 55$ 520.00 C1713 SCREW CANNULATED 5.0X48$ 520.00 C1713 LUMBAR PUNCTURE,DIAG$ 520.00 CARDIAC OUTPUT$ 521.00 93561 CARDIAC ARREST$ 521.00 92950 SO FETAL LUNG MAT.$ 521.00 83663 CARDIAC OUTPUT MON-NICOM CHEET$ 521.00 93561 GRASPER SUTURE 45*$ 521.00 RELOAD CUTTER CURVED CONTOUR$ 521.00 RELOAD CUTTER CURVED CONTOUR$ 521.00 PLATE 12 HOLE LC-DCP 224.620$ 521.00 C1713 PLATE 10-Hole LC-DCP 224.600$ 521.00 C1713 PLATE 10 HOLE LC-DCP 224.60$ 521.00 C1713 PLATE 11 HOLE LC-DCP 224.61$ 521.00 C1713 PLATE 12 HOLE LC-DCP 224.62$ 521.00 C1713 SCREW SET RECON 1847-0001S$ 521.00 C1713 SCREW LOCK CANN 3.7 X 22$ 521.00 C1713 SCREW LOCKING CANN 3.7 X 32$ 521.00 C1713 SCREW LOCK CANN 3.7 X 40$ 521.00 C1713 SCREW CANN LOCK 3.7 X 42 MM$ 521.00 C1713 SCREW CANN LOCK 3.7 X 44MM$ 521.00 C1713 SCREW CANN LOCK 3.7 X 50$ 521.00 C1713 SCREW LOCK CANN 3.7 X 70$ 521.00 C1713 SCREW LOCK CANNULATED 3.7 X 80$ 521.00 C1713 CANNULATED SCREW LOCK 3.7 X 85$ 521.00 C1713 SCREW LOCKING CANN 3.7 X 52$ 521.00 C1713 DAVINCI STAPLER 20 RELOAD$ 521.00 OBSER/INPT HOSP CARE 55 MIN$ 521.50 99236 SCREW CANN 3.5MM 205.020$ 522.00 C1713 SCREW CANN 3.5MM 205.044$ 522.00 C1713 SCREW CANN 3.5MM 205.016$ 522.00 C1713 SCREW CANN 3.5MM 205.032$ 522.00 C1713 SCREW CANN 3.5MM 205.040$ 522.00 C1713 SCREW CANN 3.5MM 205.048$ 522.00 C1713 SCREW CANN 3.5MM 205.210$ 522.00 C1713 SCREW CANN 3.5MM 205.212$ 522.00 C1713 SCREW CANN 3.5MM 205.218$ 522.00 C1713 SCREW CANN 3.5MM 205.220$ 522.00 C1713 SCREW CANN 3.5MM 205.222$ 522.00 C1713 SCREW CANN 3.5MM 205.224$ 522.00 C1713 SCREW CANN 3.5MM 205.226$ 522.00 C1713 SCREW CANN 3.5MM 205.232$ 522.00 C1713 SCREW CANN 3.5MM 205.242$ 522.00 C1713 SCREW CANN 3.5MM 205.244$ 522.00 C1713 SCREW CANN 3.5MM 205.246$ 522.00 C1713 SCREW CANN 3.5MM 205.250$ 522.00 C1713 PLATE Y-PLATE TI 1.5MM 446.612$ 522.00 C1713 PLATE TI T-PLATE 1.5 446.233$ 522.00 C1713 SCREW LOCKING 5.0 X 60$ 522.00 C1713 SCREW LOCKING 3.5 X 16 MM$ 522.00 C1713 SCREW LOCKING 3.5 X 18 MM$ 522.00 C1713 SCREW LOCKING 3.5 X 22 MM$ 522.00 C1713 SCREW LOCKING 3.5 X 14$ 522.00 C1713 SCREW LOCKING 3.5 X 24$ 522.00 C1713 SCREW LOCKING 3.5 X 28$ 522.00 C1713 SCREW LOCKING 3.5 X 30$ 522.00 C1713 SCREW LOCKING 3.5 X 40$ 522.00 C1713 SCREW LOCKING 3.0 X 12$ 522.00 C1713 SCREW LOCKING 3.0 X 14$ 522.00 C1713 SCREW LOCKING 3.0 X 22 MM$ 522.00 C1713 SCREW LOCKING 3.0 X 24 MM$ 522.00 C1713 SCREW LOCKING 3.5 X 20 MM$ 522.00 C1713 SCREW LOCKING 3.5 X 10 MM$ 522.00 C1713 SCREW COMP HEADLESS 2.5 X 26$ 522.00 C1713 FLURO GUIDANCE CVL$ 523.00 77001 XRAY ENTIRE SPINE 4-5 VIEWS$ 523.00 72083 STAPLER ARTICUL LINEAR GRN$ 523.00 BIT DRILL 2.0 323.062$ 523.00 SCREW AUTO COMP MOD T7 DR 2.0X$ 523.00 FORCEPS CADIERE$ 523.00 BRIDION 200 MG VIAL$ 523.00 SCREW HEADLESS COMPRESS 2.0X30$ 523.00 C1713 SCREW COMP HEADLESS 2.5 X 30$ 523.00 C1713 SCREW COMPRESSION 2.0 X 25$ 523.00 C1713 FLURO GUIDANCE CVL$ 523.00 77001 ED CRITICAL CARE DOC$ 524.00 99291 IN7.6-12.5 SCP.TR.EX$ 524.00 12034 EMERGENCY CRICOTHYROTOMY CATH$ 524.00 AMIODARONE 900MG/18M$ 524.00 J0282 CATH IN/OUT RESIDUAL$ 525.00 BLADDER SCAN$ 525.00 BLADDER IRR/LAV/INST$ 525.00 SO MYCOBACTERIUM MIC 12 DRUG &$ 525.00 87188 BLADDER SCAN$ 525.00 51798 BLADDER IRRIG CONT D$ 525.00 51700 SCREW 4.0 CANN 207.620$ 525.00 C1713 SCREW 4.0 CANN 207.622$ 525.00 C1713 SCREW 4.0 CANN 207.624$ 525.00 C1713 SCREW 4.0 CANN 207.634$ 525.00 C1713 SCREW 4.0 CANN 207.636$ 525.00 C1713 SCREW 4.0 CANN 207.640$ 525.00 C1713 DRILL BIT 4.3 AO END$ 525.00 CATH 5 X 70FR ACCU-VU SIZING$ 525.00 PERFORATOR CRANIAL DISPOS 14MM$ 525.00 BIT DRILL CANNULATED 2.0$ 525.00 PLATE COMPRESSION LOCKING 10 H$ 525.00 C1713 MESH 3D LEFT LG 4 X 6$ 525.00 C1781 MESH 3D RIGHT LG 4 X 6$ 525.00 C1781 DRILL BIT SHORT 4.3 MM$ 525.00 PLATE LOCKING COMPRESSION 7H$ 525.00 PLATE COMPRESSION AXSOS 8H 5.0$ 525.00 SO INTERFERON BETA SCREEN$ 526.00 86352 SO INTERFERON BETA TITER$ 526.00 86352 BALLOON DIL AGILTRAC 6X18 135C$ 526.00 BALLOON DIL OTW 1010004-40$ 526.00 BALLOON DIL 5F 6MMX40MM$ 526.00 C1727 BALLOON DIL 6FR 7MMX40MM 80CM$ 526.00 BALLOON DIL OTW 035 6X40CM 55C$ 526.00 BALLOON DIL OTW 035 7X20CM 80C$ 526.00 BALLOON DIL OTW 035 6X40CM 135$ 526.00 C1727 PLUG LG PERFIX$ 526.00 C1781 ARTHROSEW SINGLE 8.6MM CANNULA $ 526.00 INSTR OSTEOCHONDRAL FLP REPAIR$ 526.00 PLATE ROTATOR CUFF BUTTRS 1.75$ 526.00 C1713 DRILL 4 SM 2X300$ 526.00 SCREW CANN LOCK 3.5 X 70$ 526.00 C1713 SCREW CANN LOCK 3.5 X 60$ 526.00 C1713 SCREW CANN 3.7 X 26$ 526.00 C1713 SCREW CANN 3.7 X 38$ 526.00 C1713 IFEX 1GM VIAL$ 526.00 J9208 CARDENE IV$ 526.00 MCD EVAL EA 30 /ST$ 527.00 IN2.6-7.5 SCP.TR.EXT$ 527.00 12032 SCREW 3.2 14MM 58-30414$ 527.00 C1713 BLADE KOBY GARD$ 527.00 TRAY PNEUMOTHORAX/COOK$ 527.00 PLATE DCP 2.7MM$ 528.00 C1713 INHALANT ANESTHETIC SEVOFLURAN$ 528.00 PLATE 4 HOLE 226.540$ 528.00 C1713 STRAIGHT POST #4921-2-120$ 528.00 C1713 SCREW LOCKING 14 X 2.7$ 528.00 C1713 SCREW LOCKING 32 X 2.7$ 528.00 C1713 SCREW LOCKING 36 X 2.7$ 528.00 C1713 SCREW LOCKING 42 X 2.7$ 528.00 C1713 SCREW LOCKING 4.0$ 528.00 C1713 GRAFT CV ACCUSEAL .8X7.5X.8$ 529.00 C1768 MESH PROCEED 10X15 PCDN1$ 529.00 ROD STEEL 393.540$ 529.00 C1713 ROD STEEL 393.550$ 529.00 C1713 ROD STEEL 393.560$ 529.00 C1713 SCREW PERIPROSTH 5.0 X 12 MM$ 529.00 C1713 SCREW LOCKING PERI 5.0 X 10$ 529.00 C1713 SCREW LOCKING PERI 5.0 X 18$ 529.00 C1713 ANTER NASAL PCK COMP$ 530.00 PATCH CV HEMSHLD VELOUR 1X6$ 530.00 CAP END TI 5MM 04.004.001$ 530.00 C1713 SCREW LOCKING CAN 5.0$ 530.00 C1713 US S TIS HEAD/NECK$ 530.00 76536 US THYROID$ 530.00 76536 US S TIS HEAD/NECK$ 530.00 76536 US THYROID$ 530.00 76536 ANTER NASAL PCK COMP$ 531.00 REMOV FECAL IMPACT W SEDATION$ 531.00 45915 BRONCH TOILETING FLX$ 531.00 RETAINER VISCERA MED FISH$ 531.00 SCREW SELF-TAPPING WICHITA$ 531.00 C1713 SCREW SELF-TAPPING FT WICHITA$ 531.00 C1713 SCREW SELF-TAPPING FT WICHITA$ 531.00 C1713 SCREW LOCKING 2.7 X 18$ 531.00 C1713 40-27620 STRYKER$ 531.00 C1713 40-27630 STRYKER$ 531.00 C1713 3-D RECONSTRUCTION$ 532.00 77295 DESIGN MLC DEVICE FOR IMRT$ 532.00 77338 BOLT TI LOCKING 4.9MM 459.40$ 532.00 BOLT TI LOCKING 4.9MM 459.38$ 532.00 C1713 BOLT TI LOCKING 4.9MM 459.36$ 532.00 C1713 BOLT TI LOCKING 4.9MM 459.54$ 532.00 C1713 SCREW CANN 4.5MM 214.522$ 532.00 C1713 SCREW CANN 4.5MM 214.524$ 532.00 C1713 SCREW CANN 4.5MM 214.526$ 532.00 C1713 SCREW CANN 4.5MM 214.536$ 532.00 C1713 SCREW CANN 4.5MM 214.564$ 532.00 C1713 SCREW CANN 4.5MM 214.568$ 532.00 C1713 SCREW CANN 4.5MM 214.720$ 532.00 C1713 SCREW CANN 4.5MM 214.722$ 532.00 C1713 SCREW CANN 4.5MM 214.726$ 532.00 C1713 SCREW CANN 4.5MM 214.732$ 532.00 C1713 SCREW CANN 4.5MM 214.736$ 532.00 C1713 SCREW CANN 4.5MM 214.738$ 532.00 C1713 SCREW CANN 4.5MM 214.742$ 532.00 C1713 SCREW CANN 4.5MM 214.750$ 532.00 C1713 SCREW CANN 4.5MM 214.752$ 532.00 C1713 SCREW CANN 4.5MM 214.754$ 532.00 C1713 SCREW CANN 4.5MM 214.760$ 532.00 C1713 SCREW CANN 4.5MM 214.764$ 532.00 C1713 SCREW CANN 4.5MM 214.772$ 532.00 C1713 SCREW CANN 4.5MM 214.746$ 532.00 C1713 SCREW CANN 4.5MM 214.768$ 532.00 C1713 ROD CARBON FIBER 11.0MM 394.83$ 532.00 C1713 ROD CARBON FIBER 11.0MM 394.81$ 532.00 C1713 BLADE SINUS STRT SERRATED 4.8$ 532.00 BOLT LOCKING 458.25$ 532.00 C1713 BONE MARROW SCAN MLT$ 532.00 78103 AVITENE FLOUR 1GM.$ 532.00 DUPLEX EXT VEINS;UNILATERAL$ 533.00 DUPLX EXT VEINS UNILAT$ 533.00 93971 CAP END TI HUMER NAIL 0MM$ 533.00 C1713 DRILL BIT 80-0724$ 533.00 VENOUS DUPLEX RIGHT$ 533.00 93971 DUPLEX EXT VEINS; UNIL/LIMIT$ 533.00 93971 93971 LUNG/VENT/PERF QUANT$ 533.00 78598 CLOSURE VASCULAR MYNX$ 534.00 C1760 VASCULAR CLOSURE MYNX$ 534.00 C1760 FORESKIN MANIPULATION$ 534.00 PLATE LCP TUB 1-3RD 241.351$ 534.00 C1713 PLATE LCP TUB 1-3RD 241.361$ 534.00 C1713 CEMENT BONE KYPHON MIX PK CO1B$ 534.00 C1713 ENHANCED STYLET KIT SC-4395-50$ 534.00 GUIDE WIRE .014 4103$ 534.00 C1769 SCREW LOCKING 4.0 X 20$ 534.00 C1713 GUIDE WIRE .014$ 534.00 C1769 SCREW LOCKING 4.0 X 18$ 534.00 C1713 SCREW LOCKING 4.0 X 44$ 534.00 C1713 SCREW LOCKING 4.0 X 36MM$ 534.00 C1713 KIT STYLET STIFF 70CM$ 534.00 SCREW LOCKING 4.0 X 46$ 534.00 C1713 SCREW LOCKING 4.0 X 50$ 534.00 C1713 BIT DRILL QUICK COUPLER 1.7$ 534.00 PATCH VASCULAR XENOSURE 0.8X8$ 534.00 C1768 ABS-10011$ 534.00 AR-1322DSC ARTHEX$ 534.00 AR-8956C-35PD$ 534.00 KIT DISP, FIBERTAK STRAIGHT$ 534.00 SCREW, CANN BONE TAP 4.5MM$ 534.00 C1713 DISPS KIT 3.0MM HIP S-TAK$ 534.00 BALLOON DILAT PTA 5.0X150X130$ 535.00 C1727 CATHETER CONNECTION CABLE$ 535.00 REP SCLP ETC 12.6-20$ 535.00 SEAM GUARD$ 535.00 BINDER PELVIC$ 535.00 SCREW CANNULATED LOCK 5.0 X 25$ 535.00 C1713 SCREW CANNULATED LOCK 5.0 X 60$ 535.00 C1713 PROTRACK PIGTAIL WIRE (175 CM)$ 535.00 SO HLA-A HIGH RESOLUTION$ 536.00 81380 SO HLA-B HIGH RESOLUTION$ 536.00 81380 SO HLA-C HIGH RESOLUTION$ 536.00 81380 REMOVAL TOOL 351.783$ 536.00 REPAIR INTER FACE 20.1-30.0CM$ 536.00 12056 BIT DRILL FLUT 2.0MM 511.411$ 537.00 C1713 BIT DRILL FLUT 3.6MM 511.416$ 537.00 C1713 BIT DRILL FLUT 4.0MM 511.417$ 537.00 BIT DRILL FLUT 4.5MM 511.418$ 537.00 BIT DRILL AT2M-L1813$ 537.00 DRILL AT2-L2515$ 537.00 MESH PERMACOL 2 X 4 X 1$ 537.00 C9364 PIN STEINMANN 9 IN$ 537.00 C1713 GUIDE PIN 3.2$ 537.00 C1713 SCREW NON-LOCKING 4.75 X 15MM$ 537.00 C1713 SCREW FIXED LOCKING 4.75 X 25M$ 537.00 C1713 SCREW NON-LOCKING 4.75 X 30$ 537.00 C1713 SCREW CANN ASNIS 3.0 X 24/6$ 538.00 C1713 SCREW CANN ASNIC MICR 3.0 X 40$ 538.00 C1713 SCREW CANN MICR ASNIS 2.0 X 24$ 538.00 C1713 SCREW CANN MICR ASNIS 2.0 X 28$ 538.00 C1713 SCREW CANN MICRO 2.0 X 22 MM$ 538.00 C1713 SCREW CANNULATED 3.0 X 22 MM$ 538.00 C1713 SCREW CANNULATED 3.0 X 18$ 538.00 C1713 SCREW CANN MIC ASNIS 3.0 X 26$ 538.00 C1713 SCREW CANNULATED 3.0 X 30MM$ 538.00 C1713 SCREW LOCKING 5 X 45 MM$ 538.00 C1713 SCREW CANNULATED 3.0 X 20$ 538.00 C1713 SCREW CANNULATED 3.0 X 28$ 538.00 C1713 MESH 3D MAX LIGHT$ 538.00 C1781 MESH 3D MAX LIGHT LEFT LARGE$ 538.00 C1781 SCREW CANNULATED 2.0 X 20$ 538.00 C1713 SCREW CANNULATED 2.0 X 16$ 538.00 C1713 SCREW 2.0 X 18 MM$ 538.00 SCREW CANNULATED 3.0 X 36 MM$ 538.00 SCREW MICRO CANNU 3.0 X 36 MM$ 538.00 SCREW CANNULATED 3.0 X 34 MM$ 538.00 SCREW CANNULATED 3.0 x 17 mm$ 538.00 C1713 SCREW CANNULATED 2.0 X 26$ 538.00 C1713 40-30228 STRYKER$ 538.00 C1713 40-30226 STRYKER$ 538.00 C1713 SCREW ASNIS 3.0 X 38$ 538.00 C1713 SCREW CAMMULATED 3.0 X 38$ 538.00 SCREW CANNULATED 2.0 X 13 MM$ 538.00 C1713 SCREW CANNULATED 2.0 X 14 MM$ 538.00 C1713 SCREW CANNULATED 2.0 X 12 MM$ 538.00 C1713 SCREW CANNULATED 2.0 X 15 MM$ 538.00 C1713 SCREW, CAN MICRO 2.0 X 26MM$ 538.00 C1713 SCREW CAN MICRO 2.0 X 24MM$ 538.00 C1713 SCREW 3.0 ASNIS SZ 19$ 538.00 C1713 BALON DILAT CORN VOY RX 2.5X12$ 539.00 INSITU HYBRIDIZATION MANUAL$ 539.00 SO INSITU HYBRIDIZATION MANUAL$ 539.00 88367TC BALLOON DILATATION OTW 2.5MM$ 539.00 CATH SIDEHOLE 6CM 035 X145CM$ 539.00 RETAINER VISCERA LG FISH$ 539.00 RETAINER VISCERA X-LG FISH$ 539.00 DRILL BIT AT2-2515$ 539.00 CAP END GAMMA3 SCREW 8X17.5$ 539.00 C1713 END CAP GAMMA 3$ 539.00 C1713 REABSORBABLE SLEEVE$ 539.00 C1713 AZATHIOPRINE 100MG I$ 539.00 J7501 TEFLARO 600 MG VIAL$ 539.00 J0712 DEBRIDEMENT BONE 20 SQ CM /<$ 540.00 11044 SCREW CANN 3.5MM 205.230$ 540.00 C1713 PLATE NARW 6 HOLE 226.56$ 540.00 C1713 PLATE NARW 7 HOLE 226.57$ 540.00 C1713 CAP END 459.012S$ 540.00 C1713 MIXING KIT ABS-1000$ 540.00 SCREW LOCKING SLF TP 2.9 X 10$ 540.00 C1713 DRIVER TIP 1.5 MM$ 540.00 LOVENOX 100MG/ML$ 540.00 J1650 DUPLEX SCAN VISCERAL LIMITED$ 540.00 93976 INCIS THROMBOSED HEMMORR EXT$ 540.10 46083 EXPL PENWD ABD/FL/BK$ 541.00 20102 SCREW BIG ADV 11X25MM 230825$ 541.00 C1713 SCREW BIG ADV 11X30MM 230830$ 541.00 C1713 SCREW BIG ADV 13X25MM 230925$ 541.00 C1713 PLATE SMALL FRAG #4270085$ 541.00 C1713 CONNECT PIN-DIST LAT FEMUR$ 541.00 C1713 NASO- OR ORO-GASTRIC TUBE PLAC$ 542.00 43752 REMOVAL FB CORNEA$ 542.00 65220 NG TUBE INSERT/REPLC$ 542.00 43752 REMOVAL FB PHARYNX$ 542.00 TRACH KIT BLUE RHINO PERC.$ 542.00 C1725 SCREW TI LOCKING 5.0 422.392$ 542.00 C1713 SCREW TI LOCKING 5.0 422.393$ 542.00 C1713 SCREW TI LOCKING 5.0 422.395$ 542.00 C1713 SCREW TI LOCKING 5.0 422.396$ 542.00 C1713 I & D SIMPLE$ 542.00 10060 INJECTION LOOP-O-GRAM$ 542.00 SO BCR/ABL TRANSLO 9:22 MINOR$ 543.00 81207 BOLT TI LOCKING 3.9MM 458.42$ 543.00 C1713 BOLT TI LOCKING 3.9MM 458.56$ 543.00 C1713 BOLT TI LOCKING 3.9MM 458.60$ 543.00 C1713 BOLT TI LOCKING 3.9MM 458.62$ 543.00 C1713 BOLT TI LOCKING 3.9MM 458.64$ 543.00 C1713 BOLT TI LOCKING 3.9MM 458.80$ 543.00 C1713 BOLT TI LOCKING 3.9MM 458.34$ 543.00 C1713 BOLT TI LOCKING 3.9MM 458.36$ 543.00 C1713 SCREW CANN 4.5 MM$ 543.00 C1713 CLIP HEMOSTASIS ESOPH 2.8X235$ 543.00 FORCEP STONE GRASP 3.2F 115CM$ 543.00 DOBUTAMN 500MG/250ML$ 543.00 J1250 FNA BX W/O IMG EA ADD LESION$ 544.00 10004 SCREW INTRFX TAPRD 8-10 X 30MM$ 544.00 C1713 Cadiere Forceps DaVinci$ 544.00 SLEEVE FEMORAL CENTERING 10MM$ 544.00 LOCKING SCREW 5.0$ 544.00 C1713 SCREW LOCK GAMMA3 5X25$ 544.00 C1713 SCREW LOCK GAMMA3 5X27.5$ 544.00 C1713 SCREW LOCK GAMMA3 5X30$ 544.00 C1713 SCREW LOCK GAMMA3 5X32.5$ 544.00 C1713 SCREW LOCK GAMMA3 5X35$ 544.00 C1713 SCREW LOCK GAMMA3 5X42.5$ 544.00 C1713 SCREW LOCK GAMMA3 5X47.5$ 544.00 C1713 SCREW LOCK GAMMA3 5X52.5$ 544.00 C1713 SCREW LOCK GAMMA3 5X55$ 544.00 C1713 SCREW LOCK GAMMA3 5X57.5$ 544.00 C1713 SCREW LOCK GAMMA3 5X60$ 544.00 C1713 SCREW LOCK GAMMA3 5X65$ 544.00 C1713 SCREW LOCK GAMMA3 5X70$ 544.00 C1713 SCREW LOCK GAMMA3 5X75$ 544.00 C1713 SCREW LOCK GAMMA3 5X80$ 544.00 C1713 SCREW LOCK GAMMA3 5X85$ 544.00 C1713 SCREW LOCK GAMMA3 5X90$ 544.00 C1713 SCREW LOCK GAMMA3 5X95$ 544.00 C1713 SCREW LOCK GAMMA3 5X100$ 544.00 C1713 TUBE TRACH CUFF STL 6.0$ 544.00 TUBE TRACH CUFF STL 7.0$ 544.00 TUBE TRACH CUFF STL 8.0$ 544.00 TUBE TRACH CUFF STL 9.0$ 544.00 DRILL BIT AO 2.0 END$ 544.00 PIN APEX 5.0 X 150$ 544.00 C1713 STAPLER / CUTTER GIA100-3.8$ 545.00 END CAP 15MM STANDARD$ 545.00 C1713 END CAP 10MM GRAY$ 545.00 C1713 DRILL, AO, STERILE 04,2 X 180M$ 545.00 CLOSED TREAT OF NAV FX FOOT$ 546.00 28455 VIZISHOT NEEDLE$ 546.00 PLATE LCP TUB 1-3RD 241.371$ 546.00 C1713 2.0 STAIN STEEL CABLE SYSTEM$ 546.00 C1713 SCREW LOCKING 8 X 29MM$ 546.00 C1713 PIN STEINMANN 3.2 X 9 ACCESS$ 546.00 C1713 SCREW CANNULATED 4.5 X 50$ 546.00 C1713 ABI MULTI LEVEL UNI$ 546.00 93923 REP COMPLEX FACE, 2.6 - 7.5CM$ 546.00 13152 SO NPML GENE$ 547.00 81310 DALL-MILES CABLE 2.0$ 547.00 C1776 BIT DRILL CANNULATED 2.0 X 1.7$ 547.00 3.7MM CANN LOCKING SCREW$ 547.00 C1713 SCREWDRIVER T/O$ 547.00 IC Green 25 mg$ 547.46 CATH FLEXIMA DRAIN W$ 548.00 C1729 BALLOON DILAT PTA 5 X 80$ 548.00 C1726 BALLOON DILAT PTA 6 X 80$ 548.00 C1726 BALLOON DILAT PTA 6F 7 X 20$ 548.00 C1727 BALLOON DILAT PTA 6F 7 X 80$ 548.00 C1727 BALLOON DILAT PTA 8 X 80$ 548.00 C1727 BALLOON DILAT PTA 5F 5 X 20$ 548.00 C1727 BALLOON DILAT PTA 5F 5 X 40$ 548.00 C1727 BALLOON DILAT PTA 5F 6 X 40$ 548.00 C1727 BALLOON DILAT PTA 5F 7 X 40$ 548.00 C1727 BALLOON DILAT PTA 6F 8 X 20$ 548.00 C1727 BALLOON DILAT PTA 6F 8 X 40$ 548.00 C1727 TRANSEPTAL NEEDLE 71CM ADLT$ 548.00 C1893 G407212$ 548.00 C1893 SO CALR MUTATION ANALYSIS$ 548.00 81479 DISK LAPAROSCOPIC$ 548.00 PICO DRESSING 4 X 12$ 548.00 PICO DRESSING 6 X 6$ 548.00 SCREW CANNULATED 3.0 X 32$ 548.00 C1713 V003155$ 548.00 G407211$ 548.00 G407208$ 548.00 DRIVER LARGE NEEDLE$ 548.00 PICO DRESSING 6 X 12$ 548.00 GLUCAGON INJ 1MG$ 548.00 J1610 DAVINCI FORCEP TENACULUM X1$ 548.00 CYSTOGRAM$ 548.00 74430 CATHETER ATTAIN GLOBAL 6227DEF$ 549.00 C1887 GUIDEWIRE VASC. 0.035 X 260$ 549.00 C1769 GLIDEWIRE ADV .035 X 180 CM$ 549.00 C1769 GLIDEWIRE ADV. .014 X 300 CM$ 549.00 C1769 SCREW 4.0 CANN 207.626$ 549.00 C1713 SCREW 4.0 CANN 207.628$ 549.00 C1713 SCREW 4.0 CANN 207.630$ 549.00 C1713 SCREW 4.0 CANN 207.644$ 549.00 C1713 SCREW 4.0 CANN 207.646$ 549.00 C1713 SCREW 4.0 CANN 207.648$ 549.00 C1713 SCREW 4.0 CANN 207.650$ 549.00 C1713 SCREW 4.0 CANN 207.724$ 549.00 C1713 SCREW 4.0 CANN 207.742$ 549.00 C1713 SCREW TI LOK 4.0MM 04.005.418$ 549.00 C1713 SCREW TI LOK 4.0MM 04.005.436$ 549.00 C1713 SCREW TI LOK 4.0MM 04.005.438$ 549.00 C1713 SCREW TI LOK 4.0MM 04.005.442$ 549.00 C1713 SCREW TI LOK 4.0MM 04.005.446$ 549.00 C1713 RELOAD STPL GIA ROTC BL 60-3.5$ 549.00 DRILL BIT 2.7$ 549.00 SCREW CANN 4.0 X 40$ 549.00 C1713 SCREW SHAFT T2 5 X 50MM$ 549.00 C1713 RELOAD ENDOWRIST STAPLR 45 WH$ 549.00 RELOAD ENDOWRIST STAPLR 45 BLU$ 549.00 RELOAD ENDOWRIST STAPLR 45 GRE$ 549.00 CATH BALLOON DIL POWERFLEX$ 550.00 C1874 BALLOON DIL P3 5F 035X4X2CM110$ 550.00 BALLOON DILP3 6F 035X8X4CMX80$ 550.00 BOLT TI LOCKING 4.9MM 459.56$ 550.00 C1713 BOLT TI LOCKING 4.9MM 459.58$ 550.00 C1713 PLATE T TI 2.0MM 3H 447.233$ 550.00 C1713 BOLT TI LOCKING 3.9MM 458.38$ 550.00 C1713 BOLT TI LOCKING 3.9MM 458.68$ 550.00 C1713 BOLT TI LOCKING 3.9MM 458.70$ 550.00 C1713 BOLT TI LOCKING 3.9MM 458.72$ 550.00 C1713 BOLT TI LOCKING 3.9MM 458.74$ 550.00 C1713 BOLT TI LOCKING 3.9MM 458.78$ 550.00 C1713 PLATE STRT TI 2.0MM 6H 447.031$ 550.00 C1713 KIT DIS BIO-TENODESIS AR1676DS$ 550.00 C1713 KIT DISPOSABLE PUSHLOCK 3.5MM$ 550.00 C1713 SUTURETAK MICRO KIT$ 550.00 DRILL BIT AT2-1509$ 550.00 SCREW CANN LOCK 5.0 X 85$ 550.00 C1713 SCREW CANN LOCK 3.7 X 30$ 550.00 C1713 SCREW CANN LOCKING 5.0 X 100$ 550.00 C1713 UPPER GI/AIR$ 550.00 74246 74246 SAMSCA (TOLVAPTAN) 15MG TABLET$ 550.40 PICC DUAL CT 5F - BEDSIDE$ 551.00 C1751 PICC SINGLE CT 4F$ 551.00 C1751 WIRE SURPASS ACCESS ENDO-014$ 551.00 C1713 THYROID SCAN$ 551.00 78013 DEBRID PART THK SKIN$ 552.00 NEEDLE NORIAN DLS-7123-05S$ 552.00 CEMENT BONE VRTBRPLSTY AVA-TEX$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.520$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.522$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.526$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.530$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.532$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.534$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.542$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.546$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.548$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.550$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.552$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.554$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.558$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.560$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.528$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.562$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.566$ 552.00 C1713 SCREW TI LOK 5.0MM 04.005.568$ 552.00 C1713 GUIDEWIRE BALL TIP 3X800MM$ 552.00 C1769 ADENOSCAN 60MG/20ML$ 552.00 J0153 LIPOSYN 20% 500ML$ 552.00 UPPER/GI SERIES$ 552.00 74240 74240 BALLOON NON COMPLIANT 2.0 X 12$ 553.00 C1726 BALLOON NONCOMPL 2.0 X12MM$ 553.00 C1726 BALLOON NONCOMP 2.5 X12MM$ 553.00 C1726 BALLOON SEMI COMPLIN 2.0 X12MM$ 553.00 C1726 BALLOON SEMI COMP 2.0 X 15MM$ 553.00 C1726 BALLOON SEMICOMP 2.0 X 20MM$ 553.00 C1726 BALLOON SEMICOMP$ 553.00 C1726 BALLOON SEMICOMP 2.5 X 15MM$ 553.00 C1726 BALLOON SEMICOMP 2.5 X 20MM$ 553.00 C1726 BLADE PRECISION CARTRIDGE SYS6$ 553.00 SCREW FIXATION 2.7 X 30$ 553.00 C1713 SCREW CONDYLE T2 5 X 80$ 553.00 C1713 NUT FOR CONDYLE SCREW T2$ 553.00 C1713 SCREW CONDYLKE T2 5 X 60$ 553.00 C1713 SHEATH EP 8FR 63 CM$ 554.00 C1893 I&D COMP SKIN ABSCES$ 554.00 TRIAL** EXTRACTOR STONE NITINL$ 554.00 CHEMO IV THERAPY 1ST HR$ 555.00 96413 I & D COMPLEX$ 555.00 CHEMO IV THRPY 1STHR$ 555.00 96413 CORD DIEGO REPOSABLE$ 555.00 SCREW LOCKING 5.0MM TI T25 50M$ 555.00 C1713 SCREW LOCKING 5.0MM TI T25 34M$ 555.00 C1713 SCREW LOCKING 5.0 ANGULAR 38MM$ 555.00 C1713 SCREW LOCKING 5.0 ANGULAR 32MM$ 555.00 C1713 SCREW LOCKING 5.0 ANGULAR 42MM$ 555.00 C1713 SCREW LOCKING 5.0 ANGULAR 46MM$ 555.00 C1713 SCREW LOCK TI ANG 5.0 X 36MM$ 555.00 C1713 SCREW LOCK TI ANG 5.0 X 40MM$ 555.00 C1713 SCREW ASNIS CANN 4 X 14$ 555.00 C1713 SCREW ASNIS CANN 4 X 16$ 555.00 C1713 SCREW ASNIS CANN 4 X 18$ 555.00 C1713 SCREW ASNIS CANN 4 X 20$ 555.00 C1713 SCREW ASNIS CANN 4 X 22$ 555.00 C1713 SCREW ASNIS CANN 4 X 24$ 555.00 C1713 SCREW ASNIS CANN 4 X 28$ 555.00 C1713 SCREW ASNIS CANN 4 X 32$ 555.00 C1713 SCREW ASNIS CANN 4 X 34$ 555.00 C1713 SCREW ASNIS CANN 4 X 36$ 555.00 C1713 SCREW ASNIS CANN 4 X 42$ 555.00 C1713 SCREW ASNIS CANN 4 X 44$ 555.00 C1713 SCREW ASNIS CANN 4 X 46$ 555.00 C1713 SCREW ASNIS CANN 4 X 48$ 555.00 C1713 SCREW ASNIS CANN 4 X 50$ 555.00 C1713 SCREW ASNIS CANN 4 X 55$ 555.00 C1713 SCREW ASNIS CANN 4 X 60$ 555.00 C1713 SCREW ASNIS CANN 4 X 65$ 555.00 C1713 SCREW ASNIS CANN 4 X 70$ 555.00 C1713 PLATE COMPRESSION 7H 5.0$ 555.00 C1713 OB US DETAILED ADDL FETUS$ 555.00 76812 OB US DETAILED ADDL FETUS$ 555.00 76812 OB US DETAILED ADDL FETUS$ 555.00 76812 SODIUM THIOSULFATE 12.5G/50ML$ 556.80 ABI-BILATERAL$ 557.00 93923 REDUCTION FINGER DIS$ 557.00 CEMENT BONE G COBALT W/ GENT$ 557.00 SCREW WASHERLOC CANCELLOUS$ 557.00 C1713 SCREW CANC 40MM 6MM$ 557.00 C1713 SCREW CANCELLOUS 60 X 6$ 557.00 C1713 SEAMGUARD 60 #12BSGEC60A$ 557.00 SCREW CANN CONICAL 3.7 X 60$ 557.00 C1713 PLATE COMPRESSION 9 HOLE$ 557.00 ART. SEG. PRESSURES$ 557.00 93923 CEREBYX 500MG PE/10M$ 557.00 Q2009 DEPO PROVERA 400MG/M$ 557.00 CATH ANGIO 6F 038X100$ 558.00 SCREW CANN 4.5MM 214.548$ 558.00 C1713 SCREW CANN 4.5MM 214.560$ 558.00 C1713 SCREW CANN 4.5MM 214.542$ 558.00 C1713 SCREW CANN 4.5MM 214.552$ 558.00 C1713 SCREW DRILL BIT 3.2MM$ 558.00 BOLT TI LOCKING 4.9MM 459.46$ 559.00 C1713 CLIP APPLIER ENDOSCOPIC 5MM$ 559.00 STONE CONE RETRIEVAL COIL 3FR$ 559.00 CAP TITANIUM END 459.014S$ 559.00 C1713 CAP TITANIUM END 459.013S$ 559.00 C1713 CAP TITANIUM CAP 459.014S$ 559.00 C1713 SCREW CANN 4.0 X 10MM$ 559.00 C1713 SCREW CANN 4.0 X 12MM$ 559.00 C1713 PNEUMOTHORAX TRAY WAYNE 10 FR$ 559.00 MRI BREAST W/O CONTRAST UNL$ 559.00 77046 MRI BREAST W/O CONTRAST BILAT$ 559.00 77047 ARTHROGRAM ELBOW$ 559.00 73085 FEMORAL NERVE BLOCK, SINGLE$ 560.00 64447 FEMORAL NERVE BLOCK, SINGLE$ 560.00 64447 BALLOON PERIPH CON 5.5F 035 50$ 560.00 C1725 BALLOON PERIPH CON 5.5F 035 50$ 560.00 C1725 BALLOON PERIPH CON 5.5F 035 50$ 560.00 C1725 BALLOON PERIPH CON 5.5F 035 50$ 560.00 C1725 BALLOON PERIPH CON 5.5F 035 50$ 560.00 C1725 BALLOON PERIPH CON 5.5F 035 50$ 560.00 C1725 BALLOON PERIPH CON 5.5F 035 50$ 560.00 C1725 BALLOON PERIPH CON 5.5F 035 50$ 560.00 C1725 BALLOON PERIPH CON 5.8F 035 75$ 560.00 C1725 BALLOON PERIPH CON 6.5F 035 75$ 560.00 C1725 BALLOON PERIPH CON 6.5F 035 75$ 560.00 C1725 BALLOON PERIPH CON 5.8F 035 75$ 560.00 C1725 AVIATOR PTA 6 X 20$ 560.00 C1725 CABLE CATH EP PIN X 24 150 CM$ 560.00 PILLOW SHLDR ABDUCT LG$ 560.00 BALLOON DIL PEROP CONQUEST 5.8$ 560.00 C1725 BALLOON DIL PEROP CONQUEST 5.5$ 560.00 C1725 BALLOON DIL PERIP 5.5F 75CM$ 560.00 C1874 BALLOON DIL PERI CONQUEST 5.5F$ 560.00 C1725 BALLOON FIL PERIP CONQUEST 5.5$ 560.00 LASSO SUTURELASSO SD 25 TC LFT$ 560.00 C1713 LASSO SUTURELASSO SD 25 TC RGT$ 560.00 C1713 SCREW CANN 4.5$ 560.00 C1713 SCREW CANN 4.5MM$ 560.00 C1713 SCREW CANN 4.5 X 38$ 560.00 C1713 TRIMIT DRILLPIN 2.0 X 100MM$ 560.00 C1713 SCREW CANN FT 36MM$ 560.00 C1713 SCREW CANN FT 38MM$ 560.00 C1713 SCREW CANN FT 52MM$ 560.00 C1713 SCREW CANN 4.5 X 48 214.648$ 560.00 C1713 SCREW CANN 4.5 X 40 214.640$ 560.00 C1713 SCREW CANN 4.5 X 44 214.644$ 560.00 C1713 SCREW CANN 4.5 X 32$ 560.00 C1713 SCREW CANN 4.5 X 40$ 560.00 C1713 SCREW BIOCOMPSOITE INTER 7X23$ 560.00 C1713 SCREW BIO INT W/DISP 8 X 23$ 560.00 C1713 SCREW INTERFERENCE FT BIO-COMP$ 560.00 C1713 SCREW BIOCOMPOSITE INTER$ 560.00 C1713 KIT ESSENTIALS CARTICEL$ 560.00 MIXING SYSTEM-SUBCHONDROPLSTY$ 560.00 TIGHTROPE BUTTON EXTENDER$ 560.00 C1713 DRILL QUICK CONNECT 2.7 CANNUL$ 560.00 PNEUMOTHORAX TRAY$ 560.00 PLATE COMPRESSION 5.0 MM 7H$ 560.00 CATH GROSH CENT VEN 7F 90CM$ 560.00 CATH GROSH CENT VEN 9.5F 90CM$ 560.00 57-10170$ 560.00 C1713 PLATE, BONE 7 HOLE NARROW Y$ 560.00 C1713 FIBER HOLMIUM 200 MICRON$ 560.00 FIBER HOLMIUM 273 MICRON$ 560.00 FIBER HOLMIUM 365 MICRON$ 560.00 FIBER HOLMIUM 550 MICRON$ 560.00 PLATE T NARROW 6 HOLE$ 560.00 C1713 SO BCR/ABL1 GENE MAJOR BP$ 561.00 81206 SO ESTRONE$ 561.00 82679 DRILL 26MM #703702$ 561.00 SCREW CENTRAL CRS 6.5 X 25$ 561.00 C1713 DRILL BIT 2.7 MM$ 561.00 TIGHTROPE ABS, IMPLANT$ 561.00 C1713 PREMARIN IV 25MG/5M$ 561.00 J1410 SCREW CANN 7.3MM 408.885$ 562.00 C1713 SHEATH INTRFX TIBIAL 30MM$ 562.00 BIT DRILL GAMMA 4.2X300MM$ 562.00 DRILL BIT 3.2 315.330$ 562.00 SCREW PERIPROSTECTIC 5.0 X 10$ 562.00 661110 $ 562.00 C1713 DRIVER HEX MDLR TIP 4MM 219219$ 563.00 CATH PRUITT AORTIC OCCLUSION$ 563.00 SCREW CANN THREAD 4.5 X 30$ 563.00 C1713 K-WIRE 2.0 MM$ 563.00 C1713 KYPROLIS 10 MG VIAL PER 1MG$ 563.51 J9047 VISICOIL MARKERS/FIDUCIAL MARK$ 564.00 C1727 ELECTRICAL UMBILICAL$ 564.00 MAMMO SURG SPECIMEN$ 564.00 76098 MAMMO SURG SPECIMEN$ 564.00 76098 SCREW CANN 3.5MM 205.022$ 564.00 C1713 SCREW CANN 3.5MM 205.042$ 564.00 C1713 WIRE KIRSCHNER 2.5MM 292.75$ 564.00 C1713 SCREW CANN 3.5MM 205.024$ 564.00 C1713 SCREW CANN 3.5MM 205.030$ 564.00 C1713 SCREW CANN 3.5MM 205.034$ 564.00 C1713 SCREW CANN 3.5MM 205.036$ 564.00 C1713 SCREW CANN 3.5MM 205.038$ 564.00 C1713 SCREW CANN 3.5MM 205.240$ 564.00 C1713 WIRE REDUCTION 2.0MM 292.41$ 564.00 C1713 BIT DRILL 3FLUT 4.2 03.010.101$ 564.00 SCREW LK TPNG 4.0MM 02.204.020$ 564.00 C1713 RELOAD STPL GIA ROTC WH 60-2.5$ 564.00 WAND ELECTRO COBLATOR$ 564.00 XRAY ENTIRE SPINE 6> VIEWS$ 564.78 72084 XRAY HIPS BILAT W/PELVIS 5>$ 565.00 73523 XRAY HIP BILAT MIN 5 VIEWS$ 565.00 73523 GRASPIT 3.2$ 565.00 LARGE NEEDLE DRIVER DaVinci$ 565.00 ProGrasp Forcep$ 565.00 DAVINCI ENDOWRIST FRCP TENACLM$ 565.00 BIT DRILL 1.5MM QC/96MM 310.50$ 565.00 QUICK CONNECT DRILL BIT 4 MM$ 565.00 BALLOON BAKR UTRN 24 FR 500 ML$ 565.00 IMITREX 6MG/0.5ML (S$ 565.00 J3030 SO PNEUMOCOCCAL ABYS$ 566.00 86609 AMPLATZ RENAL DILATOR SET$ 566.00 SCREW INTRFX TAPRD 6-8 X 30MM$ 566.00 C1713 STAPLER / CUTTER GIA100-4.8$ 566.00 PUTTY 1CC$ 566.00 C1713 DRILL BIT ASNIS 702626$ 566.00 DRILL ICONIX 2.3 #3910-500-569$ 566.00 BIT DRILL ICONIX 1.4$ 566.00 5901-6053$ 566.00 C1713 US GUID NEEDLE PLACE IMAGING$ 567.00 76942 CATH ANGIOGRAPH SFT 5F 130CM$ 567.00 C1725 PLATE 2.0MM TI LC-DCP$ 567.00 C1713 PIN THREADED BENDING 329.921$ 567.00 C1713 SCREW LOCKING 5.0 X 38MM$ 567.00 C1713 SCREW LOCKING 5.0 X 40MM$ 567.00 C1713 SCREW LOCKING 5.0 X 60MM$ 567.00 C1713 SCREW LOCKING 5.0 X 70MM$ 567.00 C1713 SCREW LOCKING 5.0 X 90$ 567.00 C1713 SCREW LOCKING 3.5 X 40$ 567.00 C1713 SCREW LOCKING 5.0 X 80$ 567.00 C1713 SCREW LOCKING 5.0 X 36$ 567.00 C1713 SCREW LOCKING 5 X 75$ 567.00 C1713 SCREW LOCKING 5.0 X 34$ 567.00 C1713 SCREW LOCKING 5.0 X 46$ 567.00 C1713 SCREW LOCKING 5.0 X 55$ 567.00 C1713 SCREW LOCKING FIXED 4.75 X 15M$ 567.00 C1713 SCREW LOCKING FIXED 4.75 X 25M$ 567.00 C1713 SCREW LOCKING FIXED 4.75 X 30M$ 567.00 C1713 OVERTUBE ESOPHA 25X19.5X16.7$ 567.00 US THROMBIN INJECTION$ 567.00 76942 US GUIDED NEEDLE PLACEMENT$ 567.00 76942 US GUIDED NEDLE PLCM$ 567.00 76942 US CYST ASPIRATION$ 567.00 76942 US GUIDED NEDLE PLCM$ 567.00 76942 US GUIDED NEEDLE BX$ 567.00 76942 US THROMBIN INJECTION$ 567.00 76942 US CYST ASPIRATION$ 567.00 76942 HEP C GENOTYPE 3NS5A DRG RESIS$ 567.18 87902 CATH SUPPORT NAVICROS 4F 150CM$ 568.00 CATH SUPPORT NAVICROS 4F 90CM$ 568.00 SCREW LOCKING 5.0 X 95$ 568.00 C1713 SCREW LOCKING 5.0 X 85$ 568.00 C1713 SCREW LOCKING 2.7 X 24$ 568.00 C1713 GUIDEWIRE STIFF .035 X 450 CM$ 568.00 C1769 INTEGRILIN 20MG/20ML VIAL$ 568.32 J1327 PLATE LCP BRD 4.5 14H 226.642$ 569.00 C1713 BIT DRILL 3FLUT 4.2 03.010.061$ 569.00 BIT DRILL 3FLUT 3.2 03.010.060$ 569.00 PLATE TI STRT 12H 1.5 446.032$ 569.00 C1713 SYSTEM SHOULDER VERSA-DIAL$ 569.00 C1713 AMPHOTEC 50MG INJ$ 569.00 J0285 ETHIODOL$ 569.00 PLATE LCP TUB 1-3RD 241.381$ 570.00 C1713 PLATE LCP TUB 1-3RD 241.401$ 570.00 C1713 CAP TI END 12MM 459.014$ 570.00 C1713 PLATE LCP TUB 1-3RD 241.391$ 570.00 C1713 TI END CAP FOR SPIRAL BLADE 46$ 570.00 SCREW CANN CONICAL 5.0 02.205.$ 570.00 C1713 SCREW CANN CONICAL 5.0 02.205.$ 570.00 C1713 SCREW CANN CON 5.0 X 95MM$ 570.00 C1713 CATH HICKMAN DUAL 9FR$ 570.00 ACTEMA 80 MG VIAL$ 570.00 J3262 SO HERE HEMO GENE BL$ 571.00 81256 ROD CARBON 11.0 FIBER$ 572.00 ROD CARBON FIBER 11.0MM 394.86$ 572.00 C1713 SCREW CANN 7.3MM 209.895$ 572.00 C1713 SCREW CANN 7.3MM 209.900$ 572.00 C1713 SCREW CANN 7.3MM 208.910$ 572.00 C1713 SCREW CANN 7.3MM 208.915$ 572.00 C1713 SCREW CANN 7.3MM 208.920$ 572.00 C1713 SCREW CANN 7.3MM 209.905$ 572.00 C1713 SCREW CANN 6.5MM 208.414$ 572.00 C1713 SCREW CANN 6.5MM 208.417$ 572.00 C1713 SCREW CANN 6.5MM 208.418$ 572.00 C1713 SCREW CANN 6.5MM 208.419$ 572.00 C1713 SCREW CANN 6.5MM 208.420$ 572.00 C1713 SCREW CANN 6.5MM 208.434$ 572.00 C1713 SCREW CANN 6.5MM 208.438$ 572.00 C1713 SCREW CANN 7.3MM 208.845$ 572.00 C1713 SCREW CANN 7.3MM 208.855$ 572.00 C1713 SCREW CANN 7.3MM 208.860$ 572.00 C1713 SCREW CANN 7.3MM 209.915$ 572.00 C1713 SCREW 7.3MM 16MM CANN 208.83$ 572.00 C1713 SCREW 7.3MM 16MM THREADED 208.$ 572.00 C1713 SCREW 7.3MM 125MM CANN. 209.92$ 572.00 C1713 SCREW 7.3MM 130MM CANN. 209.93$ 572.00 C1713 SCREW COMPRESSION$ 572.00 C1713 END CAP$ 572.00 C1713 SCREW 1896-4026S$ 572.00 C1713 SCREW 1891-4045S$ 572.00 C1713 END CAP T2 1832-0004$ 572.00 C1713 NGAGE NITI STONE EXT 2.2FRX115$ 572.00 GRASPIT STONE EXT NGAGE 2.2FR$ 572.00 REP INTER N,H,F,G > 30.0 CM$ 572.00 12047 SKELTL SRVY MORE 1YR$ 572.00 77075 77075 214.556$ 573.00 C1713 CATHFLO ACTIVASE 2MG$ 573.00 J2997 CHEMO EXTEND IF INFUS W/PUMP$ 574.00 G0498 PATCH HEMSHLD 1X6$ 574.00 C1781 SO PSILOCYBIN QUAL URINE MUSHR$ 575.00 G0480 MESH PROLENE 2.16X4.92 LGE$ 575.00 ANCHOR MINI LOCK PLUS #2$ 575.00 C1713 DRILL BIT AO 3.5 X 180$ 575.00 DRILL BIT 3.2 AO END$ 575.00 DRILL BIT 4.5 AO END$ 575.00 DRILL BIT 2.5 X 230 700355$ 575.00 SCREW CANNULATED 4.0 X 44$ 575.00 C1713 SCREW CANNULATED 4.0 X 40$ 575.00 C1713 SCREW CANNULATED 4.0 X 22$ 575.00 C1713 SCREW CANN 4.0 X 50$ 575.00 C1713 DRILL BIT 2.8 X 200$ 575.00 DRILL BIT 3.1 X 216 MM$ 575.00 DRILL BIT 3 FLUT 4.0 357.407$ 576.00 C1776 PROBES FOR COMPARTMENTAL PRESS$ 576.00 C1769 SENTINEL NODE INJ$ 576.00 38792 IMMUNOHISTO ANTIBODY SLIDE$ 577.00 SO MMR PROTEIN$ 577.00 88344 IMMUNOHISTOCHEMISTRY$ 577.00 88342 SO IMMUNOHISTOCHEMISTRY$ 577.00 88342 TUMOR IMMUNOHISTOCHEM/MANUAL$ 577.00 88360 SO CUTANE DIR IMMUNOFLU$ 577.00 88346 SCREW TI LOCKING 5.0 422.397$ 577.00 C1713 CAP END GAMMA3 !0$ 577.00 C1713 WIRE BALL$ 577.00 C1713 DRILL$ 577.00 WIRE SMOOTH$ 577.00 C1713 DUAL LUMEN CATHETER$ 577.00 C1751 NEUROELTRD STIM POST TIBIAL$ 577.50 64566 BALLOON DIAL STORMER 1.5MMX20M $ 578.00 SIMPLE REPAIR SCALP/AX/GENIT$ 578.00 12007 BALLOON SPRINTER 2X25MM$ 578.00 CATH BALLOON SPRINTER 1.5X6MM$ 578.00 CATH BALLOON SPRINTER 2MMX 6MM $ 578.00 BALLOON SPRINTER 2.5X6$ 578.00 CATH BALLOON SPRINTER 2.5X25$ 578.00 CATH BALLOON SPRINTER 2.75X12$ 578.00 C1727 BALLOON SPRINTER 2.25 X 15$ 578.00 BALLOON SPRINTER 3X6$ 578.00 CATH BALLOON SPRINTER 3X25$ 578.00 C1727 CATH BALLOON SPRINTER 3.5X12$ 578.00 C1727 CATH BALLOON SPRINTER$ 578.00 CATH BALLOON SPRINTER 4X12$ 578.00 CATH BALLOON SPRINTER 4X30$ 578.00 BALLOON SPRINTER 3.5X10$ 578.00 BALLOON SPRINTER 2X10$ 578.00 C1727 BALLOON SPRINTER SPR2510W$ 578.00 BALLOON DILATION 6FR OTW$ 578.00 C1727 BALLOON DIL SPRINTER 2.5X15$ 578.00 BALLOON DIL SPRINTER 2X15$ 578.00 C1769 BALLOON CRE DILATOR 18-20$ 578.00 BALLOON CRE DILATOR 15-18$ 578.00 BALLOON CRE DILATOR 12-15$ 578.00 C1727 CATH BALLOON 2.0X20MM$ 578.00 C1887 CATH BALLOON 3.0X10 D3S3010$ 578.00 C1887 DILATORS 10-12 CRE$ 578.00 NEEDLE SRS DELIVERY 7126$ 578.00 CAPSULES PH BRAVO$ 578.00 BALLOON DIL. SPRINTER 2MMX12MM$ 578.00 BALLOON DILA. 2.5MMX20$ 578.00 BALLOON SPRINTER 2X15$ 578.00 BALLOON SPRINTER 2.5X15$ 578.00 BALLOON SPRINTER 1.5X12MM$ 578.00 BALLOON SPRINTER 2.75X15$ 578.00 BALLOON SPRINTER 3X15MM$ 578.00 C1727 BALLOON DIL. SPRINTER 2.5X30$ 578.00 BALLOON SPRINTER 2.5X12$ 578.00 CATH BALLOON DIL. SPRINTER 3.$ 578.00 BALLOON DILA. SPRIN. 3MX30MM$ 578.00 BALLOON SPRINTER 3.5X15$ 578.00 C1713 BALLOON SPRINTER 1.5MMX15MM$ 578.00 C1887 BALLOON SPRINTER 3MMX12MM$ 578.00 BALLOON SPRINTER OTW 4MMX15MM $ 578.00 BALLOON SPRINTER OTW 2X30MM$ 578.00 CAP END GAMMA3 STANDARD 0$ 578.00 C1713 SCREW LOCKING TI 5.0 #422.391$ 578.00 C1713 END CAP 5$ 578.00 C1713 SCREW BONE 6.5 X 35MM$ 578.00 C1713 BALLOON DILATION 6FR$ 578.00 C1727 ARANESP/DIALYSIS 60 MCG$ 578.85 J0882 1ST ORD VENOUS CATH$ 579.00 36011 ANGIO SEAL$ 580.00 C1760 PROBE DISCOGRAM$ 580.00 CLOSURE VASCULAR ANGIO PLUS 6F$ 580.00 C1760 ROD STEEL TUBE 200 393.53$ 580.00 C1713 CLOSURE VASCULAR ANGIO PLUS 8F$ 580.00 SCREW CENTRAL 6.5 X 30 MM$ 580.00 C1713 SCREW CENTRAL 6.5 X 20 MM$ 580.00 C1713 SCREW CENTRAL 6.5 X 35MM$ 580.00 C1713 SCREW CENTRAL 6.5 X 25 MM$ 580.00 C1713 DRILL BIT 2.5 M$ 580.00 US J-WIRE PLACEMENT EACH ADD$ 580.00 19286 PROVOK BRONCHO EVAL MLT SPIROM$ 580.78 94070 INSTLL RX AGNT INTO RNAL TUB$ 581.00 50391 DIALATOR RENAL SET$ 581.00 SCREW CANN 4.5MM$ 581.00 C1713 SCREW CANN 4.5 MM$ 581.00 C1713 SCREW CANN 32MM$ 581.00 C1713 HEMABATE(IM ONLY)250$ 581.00 BALLOON KIT 6215$ 582.00 REPAIR SCALP ECT >30CM$ 582.00 ASPIRAT/INJ JONT$ 582.00 SCREW LOCK GAMMA3 5X37.5$ 582.00 C1713 SCREW LOCK GAMMA3 5X40$ 582.00 C1713 END CAP 1822-0003S STRYKER$ 582.00 C1713 SCREW LOCKING 4.0X45$ 582.00 C1713 END CAP #1822-0010S$ 582.00 C1713 SCREW LOCKING 4.0 X 35$ 582.00 C1713 SCREW LOCKING 4.0 X 40$ 582.00 C1713 IMPLANT MENISCAL 0 STRAIGHT$ 583.00 IMPLANT MENISCAL 27 RAPID LD$ 583.00 C1713 SCREW LOCK GAMMA3 5X45$ 583.00 C1713 SCREW LOCK GAMMA3 5X50$ 583.00 C1713 DRILL, AO STERILE 1806-4260S$ 583.00 END CAP 1822-0005S$ 583.00 C1713 SCREW CANCELLOUS 6 X 58$ 583.00 C1713 SCREW CANCELLOUS WASHERLOC$ 583.00 C1713 SCREW DRILL BIT 2.7MM$ 583.00 DOPRAM INJ. 20ML$ 583.00 SCREW TI CANN 7.3MM 409.880$ 584.00 SCREW CANN 6.5 208.413$ 584.00 C1713 SCREW CANN 6.5 208.416$ 584.00 C1713 SCREW TI CANN 7.3MM 409.875$ 584.00 SCREW CANN 7.3MM 408.890$ 584.00 C1713 SCREW CANN 7.3MM 408.895$ 584.00 C1713 SCREW CANN 7.3MM 409.860$ 584.00 C1713 COLD KNIFE$ 584.00 SCREW TI CANN 7.3MM 408.870$ 584.00 C1713 SCREW TI CANN 7.3MM 408.880$ 584.00 C1713 SCREW TI CANN 7.3MM 408.920$ 584.00 C1713 SCREW TI CANN 7.3MM 409.850$ 584.00 C1713 SCREW TI CANN 7.3MM 409.895$ 584.00 C1713 SCREW TI CANN 7.3MM 409.910$ 584.00 C1713 SCREW CANN 7.3MM 208.865$ 584.00 C1713 SCREW CANN 7.3MM 208.870$ 584.00 C1713 SCREW CANN 6.5MM 208.436$ 584.00 C1713 SCREW CANN 6.5MM 208.439$ 584.00 C1713 SCREW CANN 6.5MM 208.440$ 584.00 C1713 SCREW CANN 6.5MM 208.441$ 584.00 C1713 SCREW CANN 6.5MM 208.442$ 584.00 C1713 SCREW CANN 6.5MM 208.443$ 584.00 C1713 SCREW CANN 6.5MM 208.404$ 584.00 C1713 SCREW CANN 6.5MM 208.409$ 584.00 C1713 SCREW CANN 7.3MM 208.890$ 584.00 C1713 SCREW CANN 6.5MM 208.407$ 584.00 C1713 SCREW CANN 6.5MM 208.447$ 584.00 C1713 SCREW CANN 6.5MM 208.410$ 584.00 C1713 SCREW CANN 6.5MM 208.408$ 584.00 C1713 SCREW CANN 6.5MM 208.437$ 584.00 C1713 BALLOON PTA UNTRA .018 4X10$ 585.00 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 5F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 5F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 5F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 5F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 5F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 5F 150$ 585.00 C1725 BALLOON PTA ULTRVS 018 4F 150$ 585.00 C1725 BALLOON PTA ULTRVS 014 4F 150$ 585.00 C1725 BALLOON ULTRVRS 014 2X15X150$ 585.00 C1725 BALLOON ULTRVRS 014 2X4X150$ 585.00 C1725 BALLOON ULTRVRS 014 2.5X22X150$ 585.00 C1725 BALLOON ULTRVRS 014 2.5X4X150$ 585.00 C1725 BALLOON ULTRVRS 014 3X15X150$ 585.00 C1725 BALLOON ULTRVRS 014 3X22X150$ 585.00 C1725 BALLOON ULTRVRS 014 3X4X150$ 585.00 C1725 BALLOON ULTRVRS 014 3X8X150$ 585.00 C1725 BALLOON ULTRVRS 014 4X4X150$ 585.00 C1725 BALLOON ULTRVRS 014 4X8X150$ 585.00 C1725 SCREW RETRO BIO-COMPOSITE$ 585.00 C1713 SCREW BIOCOMPOSIT FT 12 X 28MM$ 585.00 C1713 SCREW BIO-COMP 10 X 28$ 585.00 SCREW BIO-COM INTER TAPER TIP$ 585.00 SCREW BIO-COMP INTER W/DISP SH$ 585.00 C1713 EEG AWAKE & ASLEEP$ 586.00 95819 SCREW TI LOK 5.0MM 04.005.518$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.536$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.538$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.524$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.540$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.544$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.516$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.556$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.564$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.570$ 586.00 C1713 SCREW LK DL CR 5.0 04.015.520$ 586.00 C1713 SCREW LK DL CR 5.0 04.015.530$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.575$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.580$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.585$ 586.00 C1713 SCREW TI LOK 5.0MM 04.005.590$ 586.00 C1713 BIT DRILL 4.0 356.982$ 586.00 DRILL BIT 3.9/4.2$ 586.00 END CAP 15 MM 462.965$ 586.00 C1713 TRACHEOSTOMY TUBE$ 586.00 TRACHEOSTOMY TUBE$ 586.00 SCREW NON-LOCK3.5 HEX 4.75X 30$ 586.00 C1713 SCREW NON-LOCK3.5 HEX 4.75X35$ 586.00 C1713 SCREW LOCK FIX 3.5 HEX 4.75X20$ 586.00 C1713 ARTHROGRAM HIP RT$ 586.00 73525 ARTHROGRAM HIP LEFT$ 586.00 73525 BE COLON W AIR & BARIUM$ 586.00 74280 CABLE EP ABLATION 250 CM$ 587.00 CABLE EP CATH EXT 300 CM$ 587.00 CABLE EP THERAPY IBI-1500T$ 587.00 TRACH TUBE CHANGE$ 587.00 31502 TRACH TUBE CHANGE$ 587.00 31502 SCREW CANN 6.5MM 208.415$ 587.00 C1713 DRILL BILL CALIBRATED 4.2$ 587.00 BLEPHARTY ABS EYELID$ 588.00 67700 WIRE 3.0 GEMIMI$ 588.00 BIT DRILL AT2M-1813$ 588.00 CATH OCCLUSION PRUITT AORTIC$ 588.00 BASKET URO STONE GEMINI 3X90$ 588.00 PLATE LOCK COMPR 6 HOLE$ 588.00 C1713 SCREW BIOSTEON 9X28$ 588.00 C1713 SCREW BIOSTEON 8X28$ 588.00 C1713 SCREW BIOSTEON 9X23$ 588.00 C1713 QUICK CONNECT DRILL BIT 15/64$ 588.00 SCREW ST VAR ANGLE LOCK 5.0 X$ 588.00 C1713 SCREW ST VAR ANGLE LOCK 5.0 X$ 588.00 C1713 SCREW ST VAR ANGLE LOCK 5.0 X$ 588.00 C1713 SCREW ST VAR ANGLE LOCK 5.0 X$ 588.00 C1713 SCREW LOCK 5.0 X 34$ 588.00 C1713 SCREW LOCK 5.0 X 60$ 588.00 C1713 SCREW LOCK 5.0 X 80$ 588.00 C1713 SCREW LOCK 5.0 X 85$ 588.00 C1713 SCREW LOCK 5.0 X 44$ 588.00 C1713 SCREW LOCK 5.0 X 48$ 588.00 C1713 SCREW LOCK 5.0 X 42$ 588.00 C1713 SCREW LOCK 5.0 X 38$ 588.00 C1713 SCREW LOCKING VA 5.0 X 40$ 588.00 C1713 SCREW LOCK SLF-TP 5.0 X 40$ 588.00 C1713 SCREW LOCKING SLF-TP CAR ANG 5$ 588.00 C1713 MESH 3D MAX LIGHT MED 3.1X5.3$ 588.00 MESH 3D MAX LIGHT RT 3X5$ 588.00 ALBUMIN 5% 250ML$ 588.00 P9045 DAILY TX-I >20 MEV$ 589.00 77407 PROBE LITHOCLAST ULTRA 1X497MM$ 589.00 PROBE LITHOCLAST PNEUMA 1X570$ 589.00 ROMAZICON 0-5 ML$ 589.00 ABI MULTI LEVEL BIL$ 589.00 PUNCTURE ASPIRATION$ 590.00 10160 PUNCTURE ASPIRATION$ 590.00 SHIELD BLAST MIRROW$ 590.00 SCREW 5.0 X 45$ 590.00 C1713 SCREW 5.0 X 50$ 590.00 C1713 DILATOR NEPHROMAX 30FR 210-118$ 591.00 ANTI MERKEL CELL PANEL SO$ 592.00 86256 SCREW CANNULATED 4.0 X 60$ 592.00 C1713 SCREW CANNULATED 4.0 X 65$ 592.00 C1713 SCREW CANNULATED 4.0 X 38$ 592.00 C1713 SCREW CANNULATED 4.0$ 592.00 C1713 SCREW FULL THREAD 4.0 X 50$ 592.00 C1713 SCREW CANNULATED 4.0 X 48$ 592.00 C1713 SCREW CANN ASNIS TI 4.0 X 70MM$ 592.00 C1713 END CAP #1826-0003S$ 593.00 C1713 CARBOPLATIN 150MG IV$ 593.00 J9045 ING BETA INTERFERON SQ 1 MCG$ 593.00 Q3028 INTRATHECAL INJECTIO$ 594.00 LAMP STA HALOGEN 26699$ 594.00 PLATE STRAIGHT 2.4MM 449.906$ 594.00 C1713 BONE PLUG LG 130613$ 594.00 C1727 BIT DRILL 2.5 MM$ 594.00 HALDOL DECONATE 100M$ 594.00 J1631 INJ ANESTH AGT SCIATIC NERVE$ 595.00 64445 INJ ANESTH AGT SCIATIC NER$ 595.00 64445 VASCULAR CLOSURE DEVICE$ 595.00 C1760 WIRE VIPERAIRE ADV CORO .014$ 595.00 C1769 SCREW 4.0 CANN 207.632$ 595.00 C1713 SCREW 4.0 CANN 207.638$ 595.00 C1713 SCREW 4.0 CANN 207.642$ 595.00 C1713 SCREW 4.0 CANN 207.722$ 595.00 C1713 SCREW 4.0 CANN 207.736$ 595.00 C1713 SCREW 4.0 CANN 207.740$ 595.00 C1713 SCREW 4.0 CANN 207.746$ 595.00 C1713 BASKET 4 WIRE 3FR$ 595.00 PLATE LCP TUB 1-3RD 241.421$ 595.00 C1713 SCREW LOCKING FT 1896-5052S$ 595.00 C1713 PT HYBRID GLENOID POST$ 595.00 C1776 TUBE JEJUNAL FEEDING 8.5 FR$ 595.00 REAMER LOW PROFILE 9.5 MM$ 595.00 REAMER LOW PROFILE 11MM$ 595.00 DRILL BIT CANNULATED 9.5 MM$ 595.00 DRILL BIT CANNULATED 4MM$ 595.00 DRILL BIT CANNULATED 10.5MM$ 595.00 DRILL BIT 7.5$ 595.00 57-10101 STRYKER$ 595.00 C1713 DRILL PIN, FLEX TIGHTROPE$ 595.00 SCORPION NEEDLE, KNEE$ 595.00 DISP KIT, FOR FIBERTAK SUT ANC$ 595.00 PLATE 4 HOLE STRAIGHT$ 595.00 C1713 DISLOCATION FINGER$ 596.00 26770 PUMP ANALYSIS W/WO$ 596.00 Facet Nerve Inj =/> 3rd$ 596.00 Facet Nerv Inj Lum 3rd or more$ 596.00 PACEMAKER ATTAIN$ 597.00 PACEMAKER ATTAIN$ 597.00 DEVICE STATAK SOFT TISSUE$ 597.00 SCREW LOCKING 3.5 X 50$ 597.00 C1713 SCREW LOCKING 3.5 X 8$ 597.00 C1713 PICC ANTIMIC 5.5 X 40$ 597.00 PICC ANTIMIC 5.5 X 50$ 597.00 PICC ANTIMIC 5.5 X 55$ 597.00 PICC ANTIMIC 4.5 X 55$ 597.00 STAPLER ROTICULATOR 55 4.8 GRN$ 598.00 SCREW ASNIS III$ 598.00 C1713 DRILL BIT 3.5$ 598.00 DRILL BIT CANNULATED 2.1 MM$ 598.00 SCREW CANN 8.0 X 65 MM$ 598.00 C1713 SCREW NON-LOCKING 3.5 X 34 MM$ 598.00 SCREW NON-LOCKING 3.5 X 28MM$ 598.00 SCREW CANNULATED 8.0 X 95$ 598.00 SCREW CANNULATED 8.0 X 100$ 598.00 LYMPHAZURIN 1% 10MG/$ 598.00 CT PARENCHYMAL ABLA$ 599.00 77013 DIALATORS BALL UROMAX 20X10CM$ 599.00 C1762 SCREW LOCKING FT 4 X 38$ 599.00 C1713 SCREW LOCKING FT 4 X 36$ 599.00 C1713 END CAP 1822-0015S$ 600.00 C1713 PUSHLOCK KIT$ 600.00 APPLY WND VAC >50SQC$ 601.00 97606 DEST > 15 LESIONS$ 601.00 17004 REMOVAL TOENAIL$ 601.00 11750 WEDGE TOENAIL$ 601.00 11765 WEDGE EXC SKIN NAIL FOLD$ 601.00 EXC BENIGN LESION .5 TO 1CM$ 601.00 11401 ARTHROWAND 3.5 90 D$ 601.00 SCREW CANCELL WASHERLOCK$ 601.00 C1713 CARDIOLITE PER DOSE$ 601.00 A9500 APPLY WOUND VAC > 50SQ CM$ 601.00 97606 WOUND VAC >50 SQ CM$ 601.00 97606 97606 EXC,BEN LES TR/AR/LG .6 TO 1.$ 601.00 11401 LOVENOX 120MG INJ$ 602.00 J1650 PENCIL ENDOSTAT$ 603.00 BIT DRILL QC FLUT 4.0MM 356.98$ 603.00 SMOOTH TIP GUIDE 3.0X800$ 603.00 C1713 SCREW LOCKING 5.0 EXT 32MM$ 603.00 C1713 SCREW LOCKING 5.0 EXT 44MM$ 603.00 C1713 SCREW LOCKING 28 MM$ 603.00 C1713 SCREW LOCKING 36 MM$ 603.00 C1713 MOPATH PROCEDURE LEVEL 2$ 604.00 81401 SO T-CELL RECP GAMMA GEN REARR$ 604.00 81342 PLATE TI STRAIGHT 1.5 446.031$ 604.00 C1713 SCREW CANN 4.5MM 214.534$ 604.00 C1713 SCREW CANN 4.5MM 214.550$ 604.00 C1713 SCREW CANN 4.5MM 214.744$ 604.00 C1713 SCREW CANN 4.5MM 214.748$ 604.00 C1713 SCREW CANN 4.5MM 214.756$ 604.00 C1713 BIT DRILL 3FLUT 3.2 03.010.100$ 604.00 SCREW LOCKING PT 5 X 55$ 604.00 C1713 SCREW ASNIS PART THREAD 40MM$ 604.00 C1713 SCREW ASNIS PART THREA STER 4O$ 604.00 C1713 SCREW ASNIS 6.5 X 55MM$ 604.00 C1713 SCREW CANN ASNIS 8 X 80$ 604.00 SCREW ASNIS 6.5/8.0 110$ 604.00 C1713 SCREW ASNIS CANNULAT 6.5 X 60$ 604.00 C1713 SCREW ASNIS CANNULAT 6.5 X 75$ 604.00 C1713 SCREW 80 MM X 95 MM$ 604.00 SCREW CANNULATED 6.5 X 100$ 604.00 C1713 0117011 CR BARD $ 604.00 C1781 326285 STRYKER$ 604.00 C1713 SCREW, CANN 6.5 X 120MM STRYKE$ 604.00 C1713 CANNULATED SCREW 80 X 6.5MM$ 604.00 C1713 SCREW CANNULATED 6.5 X 90$ 604.00 C1713 SCREW ASNIS 6.5 X 8.0 MM$ 604.00 C1713 SCREW CANNULTED 6.5 X 100$ 604.00 C1713 CODE BLUE ICCU$ 605.00 STAPLER EEA ORVIL 21MM$ 605.00 SCREW LOCKING TI 3.9 X 24$ 605.00 C1713 SCREW LOCKING TI 3.9 X 46$ 605.00 C1713 SCREW LOCKING TI 3.9 X 48$ 605.00 C1713 3.0 X 10MM LOCKING SCREW$ 605.00 C1713 3.0 X 14MM LOCKING SCREW$ 605.00 C1713 3.0 X 16MM LOCKING SCREW$ 605.00 C1713 3 X 12 MM LOCKING SCREW$ 605.00 C1713 3.0 X 18MM LOCKING SCREW$ 605.00 C1713 REPAIR INTER FACE > 30.0CM$ 605.00 12057 TAP FOR CANCEL 6.5MM 311.66$ 606.00 TUBE EMG ENDOTRACH 8.0MM$ 606.00 NAIL ELASTIC TI 2.OMM 475.920$ 606.00 C1713 NAIL ELASTIC 2.0MM 475.920$ 606.00 C1713 EXTRACTOR 12MM/15MM$ 606.00 SCREW LOCKING 2.7 X 22$ 607.00 C1713 SCREW LOCKING 2.7 X 26$ 607.00 C1713 SCREW LOCKING 2.7 X 24$ 607.00 C1713 SCREW LOCKING 2.7 X 16$ 607.00 C1713 SCREW LOCKING 2.7 X 16$ 607.00 C1713 SCREW LOCKING 2.7 X 20$ 607.00 C1713 ADAPTOR HUMERAL CUP TRIAL$ 607.00 C1776 PRINTER PAPER/RIBBON ARTHREX$ 607.00 DIALATOR CRE FOR EGD 10-12$ 608.00 DIALATOR CRE FOR EGD 12-15$ 608.00 C1713 DIALATOR CRE FOR EGD 15-18$ 608.00 DIALATOR CRE FOR EGD 18-20$ 608.00 PLATE 2.0 LCP 247.36$ 608.00 C1713 PLATE 2.0 LCP 247.348$ 608.00 C1713 PLATE 2.0 LCP 247.347$ 608.00 C1713 PLATE 2.0 LCP 247.346$ 608.00 C1713 PLATE 2.0 LCP 247.345$ 608.00 C1713 PLATE 2.0 LCP 247.344$ 608.00 C1713 CATH 5 X 100FR ACCU-VU SIZING$ 608.00 SCREW LOCKING FULLY THREADED$ 608.00 C1713 SCREW LOCK 4 X 30 MM$ 608.00 C1713 CAP END PROX HUMER STANDARD$ 608.00 C1713 SCREW LOCKING FULLY THREAD 04$ 608.00 C1713 SCREW LOCKING FULLY THREADED$ 608.00 C1713 END CAP T2 SYSTEM$ 608.00 C1713 FLUCONAZOLE 400MG/D5$ 608.00 PAPER ATL-3000 ULTRASOUND$ 609.00 DILATOR BALLOON URET 5FR 65CM$ 609.00 CATH DIALYSIS PWR TRPL LUM 13F$ 610.00 C1750 GUIDEWIRE AAA 18F$ 610.00 IMPELLA CASSETTE PRG CONTROLLR$ 610.00 SCREW CANN 3.5MM 205.010$ 610.00 SCREW CANN 3.5MM 205.012$ 610.00 SCREW CANN 3.5MM 205.014$ 610.00 C1713 SCREW CANN 3.5MM 205.018$ 610.00 C1713 SCREW CANN 3.5MM 205.026$ 610.00 C1713 SCREW CANN 3.5MM 205.028$ 610.00 C1713 SCREW CANN 3.5MM 205.046$ 610.00 C1713 SCREW CANN 3.5MM 205.050$ 610.00 C1713 SCREW CANN 3.5MM 205.214$ 610.00 C1713 SCREW CANN 3.5MM 205.216$ 610.00 C1713 SCREW CANN 3.5MM 205.228$ 610.00 C1713 SCREW CANN 3.5MM 205.234$ 610.00 C1713 SCREW CANN 3.5MM 205.236$ 610.00 C1713 SCREW CANN 3.5MM 205.238$ 610.00 C1713 SCREW CANN 3.5MM 205.248$ 610.00 C1713 ACCESSORY KIT 355531$ 610.00 C1778 PICC SAPIENS 4FR SINGLE$ 610.00 C1751 PICC SAPIENS 5FR DUAL$ 610.00 C1751 PLATE 1.7MM 4 HOLE$ 610.00 C1713 LOOP KNOTILUS 25MM$ 610.00 BUTTON INSERTER$ 610.00 ACCESSORY KIT MEDTRONIC 8785$ 610.00 GUIDEWIRE SENSH1628W$ 610.00 C1769 GUIDEWIRE SENSH1428W$ 610.00 C1769 CEMEX PREPKIT (BONE PLUG)$ 610.00 WAND TURBINATOR COBLATOR$ 610.00 PROBE AR SCOPE MEASUR 220MM 60$ 610.00 FORCEPS DEBAKEY$ 610.00 HOOK PERM MONOP CAUTERY$ 610.00 SPATULA PERM MONOP CAUTERY$ 610.00 AR-7000-34FT$ 610.00 C1713 AR-7000-36FT$ 610.00 C1713 BAL PTA DIL CROSPERIO 2X40MM$ 610.00 BAL PTA DIL CROSPERIO 2X80MM$ 610.00 BAL PTA DIL CROSPERIO 2X12MM$ 610.00 BAL PTA DIL CROSPERIO 2MMX200M$ 610.00 BAL PTA DIL CROSPERIO 2.5X40MM$ 610.00 BAL PTA DIL CROSPERIO 3.0X40MM$ 610.00 BAL PTA DIL CROSPERIO 3.0X80MM$ 610.00 BAL PTA DIL CROSPERIO 3.0X120M$ 610.00 BAL PTA DIL CROSPERIO 4X40MM$ 610.00 BAL PTA DIL CROSPERIO 4X80MM$ 610.00 BAL PTA DIL CROSPERIO 4X150MM$ 610.00 NEEDLE SCORP CAPS CLOSE$ 610.00 NEEDLE BONE MARROW ASPIRATION$ 610.00 BALLOON OPTIPLAST 9MX4CMX120CM $ 611.00 C1727 MESH MED EXT HERNIA SYSTEM$ 611.00 WIRE REDUCTION 1.8MM 292.39$ 611.00 C1713 BIT DRILL CANN TWIST 4.0 X 2.6$ 611.00 DECLOT VAS DEV W/MED$ 612.00 36593 CT PULMONARY VEIN MAP$ 612.00 75572 DECLOT VAS DEV W/MED$ 612.00 36593 CERVIDIL VAG. INSERT$ 612.00 BALLOON DIL ALL TER 7MMX4.080C$ 613.00 NAIL ELASTIC 1.5MM 475.915$ 613.00 C1713 OPTIVAC KIT 80GR 417200$ 613.00 DRILL, AO, STERILE$ 613.00 CLOSED FX TX PACU$ 613.00 CLOSED FX TX PRE/POST CARE$ 613.00 SO BCR/ABL TRANSLO 9:22 MAJOR$ 614.00 81206 CAP TI END EXT 15MM 458.110$ 614.00 C1713 SYRING EMBOLIZ MCRSP 300-500MI$ 615.00 CLOSED REDUC OF COLLES'RADIUS$ 615.00 IRIGATE CORPORA CAVER PRIAPISM$ 615.00 SCREW, CORTICAL$ 615.00 C1713 SCREW, ANGLE CORTICAL$ 615.00 C1713 BLEPHAROTOMY$ 616.00 SEPRAFILM$ 616.00 IMPLANT MENISCAL 12 RAPID LD$ 616.00 BIT DRILL QC FLUT 3.2MM 356.97$ 616.00 ROD CARBON FIBER 11.0MM 394.80$ 616.00 C1713 ROD CARBON FIBER 11.0MM 394.82$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.580$ 616.00 C1713 CAP END TI 10MM 04.004.002$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.550$ 616.00 C1713 Suture Cut Needle DR DaVinci$ 616.00 CAP END TI 15MM 04.004.003$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.525$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.535$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.540$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.545$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.555$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.560$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.565$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.570$ 616.00 C1713 SCREW LK DL CR 5.0 04.015.575$ 616.00 C1713 Super Turbovac 90 w/cable$ 616.00 ARTHROWAND 3.0MM 45D$ 616.00 EPI INJECT EA ADD LE$ 616.00 Epi Inject ea add lumb/sacral$ 616.00 BIT DRILL FLUT 3.2MM 511.414$ 618.00 C1713 BIT DRILL FLUT 3.2MM 511.431$ 618.00 BIT DRILL FLUT 4.0MM 511.432$ 618.00 SCREW CANN LOCK 5.0 X 65$ 618.00 C1713 5.0 CANNULATED LOCKING SCREW$ 618.00 C1713 SCREW CANNULATED 3.7 X 34MM$ 618.00 C1713 SCREW CANNULATED 3.7 X 36MM$ 618.00 C1713 SCREW CANNULATED 3.7 X 44MM$ 618.00 C1713 SCREW CANNULATED 3.7 X 46MM$ 618.00 C1713 SCREW CANNULATED 3.7 X 48MM$ 618.00 C1713 US SCROTUM$ 618.00 76870 US SCROTUM$ 618.00 76870 DAILY TX-C 6-10 MEV$ 619.00 77412 DAILY TX-C 11-19 MEV$ 619.00 77412 DAILY TX-C >20 MEV$ 619.00 77412 SCREW LOCKING 5MM 02.221.508$ 619.00 C1713 SCREW LOCKING 5MM 02.221.510$ 619.00 C1713 SCREW LOCKING 5MM 02.221.512$ 619.00 C1713 SCREW CANN LOCK 5.0 X 30$ 619.00 C1713 SCREW CANN LOCK 5.0 X 35$ 619.00 C1713 SCREW CANN LOCK 5.0 X 55$ 619.00 C1713 SCREW CANN LOCK 5.0 X 70$ 619.00 C1713 BASKET RETRIEVAL AIRWAY 12 X 1$ 620.00 PENTAM 300 MG VIAL$ 620.60 S0080 REPAIR F,E,L,N OR L 12.6/20.0$ 621.00 REAMER SHAFT 8.0X448$ 621.00 CT TOMOGM FEMUR RT$ 622.00 76380 76380 CT TOMOGM FEMUR LT$ 622.00 76380 CT LIMITED STUDY$ 622.00 76380 76380 PLATE-T 1.3MM TI 3HOLE$ 622.00 C1713 GUIDEWIRE ZIPWIRE 0.35 X 180CM$ 622.00 C1769 ADAPTER LATTUDE CELL USB$ 623.00 CLOSURE VASC STARCLOSE SE$ 623.00 OLECRANON SLED WASHER$ 623.00 C1713 DRILL, AO STERILE 33.5 X 30MM$ 623.00 NEEDLE 19 GA$ 623.00 DRILL TWIST CANN 8.0 MM$ 623.00 AUTO INJECTOR O PRIME PNA$ 623.00 C1874 ENDOVASCULAR AUTO INJECTOR$ 623.00 SCREW PEEK INTERF 2/DISP SHTH$ 623.00 C1713 INTSCREW RD DELTATPR W/DISP$ 623.00 C1713 SCREW INTS, 12X28MM$ 623.00 C1713 SCREW W/DISP SHTH 7 X 23MM$ 623.00 C1713 NON ARTICULATING 45MM TSG45$ 624.00 TUBE EMG ENDOTRACH 7.0MM$ 624.00 PLATE COMP LOCK 13 H$ 624.00 C1713 INJ CNT INF EPD CRV/THOR W/IMA$ 625.00 62325 OFFICE CONSULT MOD 40 MIN$ 625.00 99243 STENT RETROMAX PLS 7-14FRX26$ 625.00 C1874 SCREW TI LOCKING 5.0 422.394$ 625.00 C1713 SCREW LOCKING PART THREADED$ 625.00 C1713 SCREW LOCKNG PT 5 X 60$ 625.00 C1713 HEP C VIRUS$ 626.00 87902 BALLOON DIL PERIP OPTI-PLAST 5$ 626.00 C1725 BALLOON OPTIPLAST XT7554$ 626.00 C1727 BALLOON OPTIPLAST XT-7564$ 626.00 BALLOON DILATATION PERI 5FR$ 626.00 BALLOON DILATATION PERI 5FR$ 626.00 BALLOON DIL PERI 5FR 6MM$ 626.00 BALLOON OPTIPLAST XT-12034$ 626.00 BALLOON OPTIPLAST 6MX2CMX75CM$ 626.00 BALLOON OPTIPLAST 7MX4CMX75CM$ 626.00 C1751 BALLOON OPTIPLAST 10MX2CMX75CM $ 626.00 C1727 BALLOON OPTIPLAST 10MX2CMX75CM $ 626.00 C1727 BALLOON OPTIPLAST 9MX2CMX75CM$ 626.00 C1727 BALLOON OPTIPLAST 5MX2CMX120CM $ 626.00 C1727 ROD CARBON FIBER 11.0MM 394.87$ 626.00 C1713 SO MOLFLT3-FLT3 MUT AN ITD TKD$ 626.15 OTIPRIO(CIPROFLOXACIN) OTIC SU$ 627.00 J7342 OASIS APP EA AD 100S$ 627.00 15274 15274 EXCISION CALLUS 1 LE$ 627.00 11055 11055 AVULSION NAIL BED SN$ 627.00 11730 APP SKIN GFT F,S ETC EA ADD100$ 627.00 15278 CATH CCO/SV02 744HF75$ 628.00 ROCEPHIN 2 G/NS50ML$ 628.00 J0696 ACCESSORY KIT MEDTRONIC$ 629.00 PLATE 4 HOLE 57-15301$ 629.00 C1713 PLATE 1.7 4 HOLE 57-0522$ 629.00 C1713 PLATE 1.7MM 4 HOLE 57-05201$ 629.00 C1713 WIRE GUIDE 3 X 1000$ 629.00 C1769 90 DEG ANGLED POST$ 629.00 C1713 GRAFTING INST IMPACT SLEEVE$ 629.00 REM IMPACT EAR WAX INSTRU UNIL$ 630.00 69210 REMOVE IMPAC CERUMEN, UNLAT LT$ 630.00 69210 REMOVE IMPAC CERUMEN UNILAT RT$ 630.00 69210 REMOVAL EAR CERUMEN$ 630.00 69210 REMOVAL EAR CERUMEN$ 630.00 69210 PK Dissecting Forcep$ 630.00 SCREW QUICKFIX 3 X 13$ 630.00 C1713 SCREW QUICKFIX 3 X 15$ 630.00 C1713 SCREW QUICKFIX 3 X 17$ 630.00 C1713 DISLOC. PATELLA$ 631.00 27560 SCREW CANN 7.3MM 208.875$ 631.00 C1713 SCREW CANN 7.3MM 209.890$ 631.00 C1713 SCREW CANN 6.5MM 208.431$ 631.00 C1713 SCREW CANN 6.5MM 208.432$ 631.00 C1713 SCREW CANN 6.5MM 208.433$ 631.00 C1713 SCREW CANN 6.5MM 208.444$ 631.00 C1713 SCREW CANN 6.5MM 208.403$ 631.00 C1713 SCREW CANN 7.3MM 208.880$ 631.00 C1713 SCREW CANN 7.3MM 208.895$ 631.00 C1713 SCREW CANN 6.5MM 208.405$ 631.00 C1713 SCREW CANN 6.5MM 208.406$ 631.00 C1713 SCREW CANN 7.3MM 208.900$ 631.00 C1713 SCREW CANN 6.5MM 208.411$ 631.00 C1713 SCREW CANN 7.3MM 208.905$ 631.00 C1713 SCREW CANN 6.5MM 208.412$ 631.00 C1713 SCREW CANN 7.3MM 208.885$ 631.00 C1713 SCREW CANN 7.3MM 209.910$ 631.00 C1713 SCREW CANN 7.3MM 209.920$ 631.00 C1713 SO TCR-BETA PCR CAPILL ELECTRO$ 632.00 81340 SCREW CANN PT 4.5$ 632.00 C1713 SCREW CANN 4.5$ 632.00 C1713 SCREW CANN 4.5 X 72$ 632.00 C1713 FONDAPARINUX 5MG SYRINGE$ 633.00 J1652 POLYPECTOMY/TRAPS$ 633.00 TRANEXAMIC ACID 1GM/50ML BAG$ 633.84 ZYVOX 600 MG IV$ 634.00 J2020 DRUG TEST 22 OR MORE CLASS(ES)$ 634.68 G0483 CEMENT BONE SIMPLEX P W/ TOBRA$ 635.00 C1713 CHIPS CANCELLOUS 15CC 1.7-10MM$ 635.00 C1713 SCREW LOCKING 36MM$ 635.00 C1713 SCREW LOCKING 42 1307-90-042$ 635.00 C1713 ANCHOR PEEK ZIP 5.5MM$ 635.00 C1713 SCREW QUICK FIX 3 X 19$ 635.00 C1713 SCREW LOCKING CANN 3.7 X 65$ 635.00 C1713 SCREW LOCKING CANN 3.7 X 75$ 635.00 C1713 SUTURE, ANC, PEEK STURTAK$ 635.00 C1713 US ABD REAL TIME W/DOC COMPLT$ 637.00 76700 CLSD DSTL PHALNG/MNP$ 637.00 26755 RENAL SCAN W/VASFLOW$ 637.00 78701 LEVER BONE 230 X 19MM$ 637.00 US ABDOMEN$ 637.00 76700 US ABDOMEN$ 637.00 76700 BASKET ESCAPE STONE RETRIEVAL$ 638.00 END CAP TI 10MM$ 638.00 C1713 ACUITY LEVEL III$ 639.00 99283 MCD LEVEL III$ 639.00 99283 SUTR ARTHOSEW DEVICE 8MM$ 639.00 C1874 DRILL BIT 2.5 X 216 MM$ 639.00 IMOVAX RABIES VAC 2.$ 639.00 90675 NEPHROSTOGRAM S&I$ 640.00 74425 SKIN PUNCH BIOPSY$ 640.00 DRESSING BIOBRANE 5 X 15$ 640.00 DRILL STEP 3.8 MM$ 640.00 LOOP O GRAM$ 640.00 74425 CLOSED TX BIMALL FX W/MANULIP$ 642.00 27810 GUIDEWIRE EX JAGWR STR 035X260$ 642.00 DIALATORS BALL UROMAXII PL 4CM$ 642.00 FROCEP BRONC BIOPSY RADIAL JAW$ 642.00 STATLOCK UNIVERSAL PLUS 12-22F$ 642.00 C1760 HANDPIECE LORAD PETITE 9GX12CM$ 642.00 HANDPIECE LORAD STNDRD 9GX12CM$ 642.00 FISTUAL GUIDANCE$ 643.00 76080 AO DRILL BIT 3.1 X 285$ 644.00 AO DRILL BIT 2.5 X 285$ 644.00 STAPLER ENDO 35MM$ 644.00 PROGLYCEM 50MG/30ML$ 644.35 CRITICAL CARE ADD 30 ER$ 645.00 99292 ACL KIT$ 645.00 CLOSURE SYSTEM-MED PROGLIDE$ 645.00 FENTANYL 500MCG/ML40$ 645.00 DRAINAGE NOSE LESION$ 646.00 RELEASE OF NASAL ADHESIONS$ 646.00 BIOPSY OF LIP$ 646.00 INCISION OF LIP FOLD$ 646.00 DRAINAGE OF TONSIL ABSCESS$ 646.00 STAPLE FIXATION BARBED 11 X 23$ 646.00 447.232$ 646.00 C1713 CRITICAL CARE, FIRST 30-74 MIN$ 646.50 99291 MESH LG EXT HERNIA SYSTEM$ 647.00 MESH PROLENE HERN SYSTEM EXT$ 647.00 C1781 ELECTRODE TC VAPOR$ 647.00 DEVICE SONICBEAT 35CM$ 647.00 BLADE, PLASMABLADE TNA$ 647.00 ROD SEMI-CIRCULAR CARBON$ 647.00 C1713 PLATE 1.5MM TI-T$ 648.00 C1713 INJECT VENOGRAM$ 648.00 INJECT VENOGRAM$ 648.00 T-M JOINT, BILATERAL$ 648.00 70330 FLOOR OBSERVATION 1ST HOUR$ 650.00 G0378 DRILL BIT 4.2$ 650.00 REDUCTION SHOULDER W/O ANESTHE$ 651.00 SCREW CANN 5.0 X 95MM$ 652.00 C1713 SCREW LOCK CANN 5.0$ 652.00 C1713 SCREW LOCK CANN 5.0 X 80$ 652.00 C1713 SCREW LOCK CANN 5.0 X 75$ 652.00 C1713 SCREW CANNULATED 5.0 X 85$ 652.00 C1713 SCREW LOCKING CANN VAR ANG 5.0$ 652.00 C1713 SCREW LOCKING CANN VA 5.0 X 50$ 652.00 C1713 SCREW LOCKING CANN VA 5.0 X 65$ 652.00 C1713 BALLOON DIL CONQUEST$ 654.00 C1769 BALLOON DILATION 6FR AGILTRAC$ 654.00 CATH 12.5FR HICKMAN TL$ 654.00 C1713 FECAL MANAGMENT KIT FLEX-SEAL$ 654.00 C1781 PLATE LCP 3.5MM 5H 223.551$ 655.00 C1713 LOCKING SCREW 3600 13790036$ 655.00 C1713 LOCKING SCREW 30MM 1307900300$ 655.00 C1713 SCREW LOCKING 4.5 X 24$ 655.00 C1713 SCREW LOCKING 130790042$ 655.00 C1713 SO NRAS GENE VAR EXON 2-3$ 656.00 81311 SO NRAS MUTATION ANA EXON 2&3$ 656.00 81311 EPI PAIN PUMP TRIAL$ 657.00 PEEK INTRALINE ANCHOR 5.5MM$ 658.00 C1713 RELOAD STPL PRPL GIA 60-3.0-4.$ 658.00 AMNIOEXCEL DISKS 12 MM X 1 CM$ 658.00 Q4137 CLAMP OPEN 393.69$ 660.00 IRRIGATOR SUCTION 8MM$ 660.00 CHIPS CANCELLOUS 15CC 3-6MM$ 661.00 C1713 PLATE 8 HOLE 226.580$ 661.00 C1713 PLATE 10 HOLE 4.5 BROAD 226.60$ 661.00 C1713 CUTTER 45MM LINEAR GREEN LOAD$ 663.00 CUTTER SCW45$ 663.00 ROD 8 X 150 MM$ 663.00 C1713 ROD 8 X 100 MM$ 663.00 C1713 MENINGOCOC. VACC. 0.$ 663.00 90733 ASPIRATE INTERP BM$ 665.00 85097 GRAFT HEMSHLD STR GLD 22X15$ 665.00 C1768 GRAFT HEMSHLD STR GLD 20X15$ 665.00 C1768 GRAFT HEMSHLD STR GLD 18X15$ 665.00 C1768 GRAFT HEMSHLD STR GLD 14X15$ 665.00 C1768 SHAFT REAMER BIXCUT 8X448$ 665.00 MESH PROLENE SYSTEM MED$ 666.00 SCREW HERBERT #16$ 666.00 C1713 SYSTEM VACORA BIOPSY 10GAX140M$ 667.00 TUBE EMG REINFORCED 7MM$ 667.00 TUBE EMG REINFORCED 6MM$ 667.00 TUBE EMG REINFORCED 8MM$ 667.00 PLATE LOCKING COMPRESSION 8 HO$ 667.00 C1713 ACCESSORY KIT SCS #1701$ 667.00 PLATE LCP 2.0 MM 4 HOLE$ 667.00 C1713 PLATE LCP 6 H 2 X 45$ 667.00 C1713 PLATE LCP 7H 2.0 X 52$ 667.00 C1713 DISLOCATION SHOULDER$ 668.00 23650 7.3 CANNULATED CONICAL SCREW$ 668.00 C1713 PIN VERSA$ 669.00 C1713 STAPLER GIA UNIVERSAL 12MM$ 670.00 ZOFRAN 32MG/50ML BAG$ 670.00 J2405 INSERT, ARTERIAL LIN$ 671.00 HYDROMORPHONE 500MG$ 671.00 INSERT ART LINE$ 671.00 SCREW 3.2 14MM 5830414$ 672.00 C1713 SCREW T-FIX 3.2 16MM 5830416$ 672.00 C1713 SCREW T-FIX 3.2 18MM 5830418$ 672.00 C1713 SCREW TWIN FIX 3.2 22MM$ 672.00 C1713 SCREW TWIN FIX 3.2 24MM$ 672.00 C1713 SCREW TWIN FIX 3.2 26MM$ 672.00 C1713 SCREW TWIN FIX 3.2 28MM$ 672.00 C1713 SCREW TWIN FIX 3.2 30MM$ 672.00 C1713 SCREW TWIN FIX 3.2 32 MM$ 672.00 C1713 SCREW TWIN FIX 3.2 34 MM$ 672.00 C1713 PLATE COMP STRAIGHT 4 HOLE LG$ 672.00 C1713 PLATE COMP STRAIGHT 4 HOLE M$ 672.00 C1713 PLATE COMPRESSION 4-HOLE$ 672.00 PLATE COMPRESSION NARRO 7H 2.3$ 672.00 DISSECTOR CURVED BIPOLAR$ 672.00 FORCEPS DVINCI FENEST BIPOLAR$ 672.00 PLATE COMPRESSION T 6 HOLE$ 672.00 C1713 DAVINCI CORD MONOPOLAR$ 672.00 DAVINCI CORD BIPOLAR$ 672.00 CAP TITANIUM END 458.110S$ 673.00 C1713 SCREW LOCK 5.0 X 14$ 673.00 C1713 PULMICORT TURBUHALER$ 673.00 MYCAMINE 100MG VIAL$ 673.20 J2248 DUPLX LOW EX ART/BYPAS UNILAT$ 674.00 93926 ART. UNILAT STDY LT$ 674.00 93926 93926 ART. UNILAT STUDY RT$ 674.00 93926 93926 IP CONSULT MOD-HIGH 80 MIN$ 675.00 99253 PLATE NARW 9 HOLE 226.59$ 675.00 C1713 US PELVIS TRANS.VAG.$ 675.00 76830 US PELVIS TRANS.VAG.$ 675.00 76830 CHEMO INTRA-ART. PUS$ 676.00 96420 PROGENSA PCA3 SO$ 676.00 81313 PLATE-T 240.140$ 676.00 C1713 CABLE & SLEEVE SET 1.6MM$ 676.00 REFILL PAIN PUMP/RN$ 676.00 95990 REDUCTION TOE MP DIS$ 677.00 TENODESIS KIT SM DIAM$ 677.00 C1713 KIT SCREW DRIVE SQ TORQUE DEFI$ 677.00 STRESS TEST$ 678.00 93017 STRESS W/RHYTHM STRP$ 678.00 93017 SO IGH-PCR BY CAP ELECTROPHORE$ 678.98 81261 INJECT EPIDURAL BLOOD/CLOT$ 680.00 62273 INJ ANESTH AGT INTERCOSTAL NER$ 680.00 64421 NERVE BLOCK BRACHIAL$ 680.00 64415 NERVE BLOCK AXILLARY$ 680.00 64417 INJECT EPIDURAL BLOOD/CLOT$ 680.00 62273 INJ ANESTH AGT INTERCOSTAL NER$ 680.00 64421 NERVE BLOCK BRACHIAL$ 680.00 64415 NERVE BLOCK AXIALLARY$ 680.00 64417 ANCHOR SUTURE 3MM TI SCREW$ 680.00 C1713 ANCHOR SUTURE LACTOSCREW 3.5$ 680.00 C1713 SCREW BIO-TENODESIS AR-1555B$ 680.00 C1713 DRILL TRANSVERSE$ 680.00 ROD CONNECTING MRI 8 X 250$ 680.00 C1713 ROD 8 X 200$ 680.00 ADVAIR 230/21 INHALER$ 681.00 SCREW TI CANN 7.3MM 408.830$ 682.00 C1769 SCREW TI CANN 7.3MM 408.835$ 682.00 C1769 SCREW TI CANN 7.3MM 408.840$ 682.00 C1713 SCREW TI CANN 7.3MM 408.845$ 682.00 C1713 SCREW TI CANN 7.3MM 408.850$ 682.00 C1713 SCREW TI CANN 7.3MM 408.860$ 682.00 C1713 SCREW TI CANN 7.3MM 408.915$ 682.00 C1713 SCREW TI CANN 7.3MM 408.930$ 682.00 C1713 SCREW TI CANN 7.3MM 409.865$ 682.00 C1713 SCREW TI CANN 7.3MM 409.905$ 682.00 SCREW TI CANN 7.3MM 409.920$ 682.00 C1713 SCREW TI CANN 7.3MM 409.925$ 682.00 C1713 SCREW CANN 7.3MM 208.850$ 682.00 C1713 SCREW CANN 7.3MM 209.860$ 682.00 C1713 SCREW CANN 7.3MM 209.865$ 682.00 C1713 SCREW CANN 7.3MM 209.870$ 682.00 C1713 SCREW CANN 7.3MM 209.875$ 682.00 C1713 SCREW CANN 7.3MM 209.880$ 682.00 C1713 SCREW CANN 7.3MM 209.885$ 682.00 C1713 SCREW CANN 6.5MM 208.435$ 682.00 C1713 SCREW CANN 6.5MM 208.445$ 682.00 C1713 SCREW CANN 6.5MM 208.446$ 682.00 C1713 SCREW CANN 6.5MM 208.401$ 682.00 C1713 SCREW CANN 6.5MM 208.402$ 682.00 C1713 SCREW CANN 7.3MM 208.840$ 682.00 C1713 SCREW CANN 7.3MM 209.845$ 682.00 C1713 SCREW CANN 7.3MM 209.850$ 682.00 C1713 SCREW CANN 7.3MM 209.855$ 682.00 C1713 SCREW 7.3 CANC. 125MM 208.925$ 682.00 C1713 SCREW 7.3 CANC. 130MM 208.930$ 682.00 C1713 CABLE BEADED 2MM 6704-0-520$ 684.00 CABLE BEADED 1.6MM 3704-0-040$ 684.00 CABLE BEADED 2MM 3704-0-050$ 684.00 SCREW LAG RECON 1897-6085a$ 684.00 C1713 DRILL BIT 5.0 CANNULA #702447$ 684.00 CATH SING LUMEN 9.6 FR$ 684.00 CATH SIDEKICK SUPPORT ST 110CM$ 685.00 C1887 CATH SIDEKICK SUPPORT AN 110CM$ 685.00 C1887 CATH USHER SUPPORT TAPERED 130$ 685.00 C1887 CATH USHER SUPP ANG-TAPER 130$ 685.00 C1887 IMPELLA CABLE CONT CONN$ 685.00 DRILL BIT 3.2 703542$ 685.00 ANCHOR BI-WING NEURTOSTIM PAIN$ 685.00 RETRACTOR PENILE TCL-5042-M$ 685.00 ANCHOR BUMPY NEUROSTIM PAIN$ 685.00 DISP KIT FOR DX SWIVELOCK$ 685.00 SP1052 INHEALTH TECH$ 685.00 L8047 FIBER HOLMIUM 910 MICRON$ 685.00 DISP KIT 2.4MM PUSHLOCK$ 685.00 FENT/BUPIV.CLON500/2$ 685.00 DISPOSABLES KIT, 2.4MM PUSHLOC$ 685.00 SO INSITU HYBRIDIZATION AUTO$ 687.00 88368TC CONT INJ CVL/VAS DEV$ 688.00 36598 SO CHROMOSOME ANALYSIS, 5$ 689.00 88261TC FOLLOW-UP ECHOCARDIOGRAM$ 690.00 93308 ECHO,FOLLOW UP/LIMIT$ 690.00 93308 RABIES VACCINE IM$ 691.00 90675 PBDS TOTAL KNEE$ 692.00 PROTACK 5MM INST$ 693.00 PK BiPolar Cord$ 693.00 RETRACTOR WILSON IMPLANT KIT$ 693.00 PLATE DCP 2.7MM X 10$ 693.00 C1713 INVANZ 1 GRAM/NS50ML$ 693.28 J1335 INTERCEED 3X4 ADHESIVE BARRIER$ 694.00 C1765 DAVINCI ENDOWRIST FRCP MARYLND$ 694.00 Mega Needle Driver DaVinci$ 694.00 Fenestrated BiPolar Forceps$ 694.00 LOVENOX 150MG/ML INJ$ 695.00 J1650 ERAXIS 100MG VIAL$ 696.00 J0348 RBC, LEUKO, RD IRR EA$ 697.00 P9040 RBC, LEUKO, RD IRR EA$ 697.00 P9040 SCREW HERBERT #22 47-1154-22$ 697.00 C1713 SCREW HERBERT #18 47-1154-18$ 697.00 C1713 SCREW HERBERT # 20 47-1154-20$ 697.00 C1713 SCREW HERBERT#24 47-1154-24$ 697.00 C1713 SCREW HERBERT#26 47-1124-26$ 697.00 C1713 SCREW HERBERT #28 47-1154-28$ 697.00 C1713 SET CABLE 6704-0-0510$ 697.00 SCREW HERBERT BONE 47-1154-30$ 697.00 C1713 PATCH VASCULAR XENOSURE 2X9$ 697.00 C1768 IDEAL SUTURE SHUTTLE 45 L$ 697.00 IDEAL SUTURE SHUTTLE 45 R$ 697.00 THYROID SCN UPT MULT$ 697.00 78014 VENA CAVA LP GUNTH TUL REMOVER$ 698.00 SCREW CANNULATED 8.0 X 105MM$ 698.00 C1713 SCREW CANNULATED 8.0 X 110MM$ 698.00 C1713 SCREW CANNULATED 8.0 X 115 MM$ 698.00 C1713 KIT CANNULA PONTO BACK UP 3MM$ 698.00 DEXRAZOXANE HCI INJ 500MG$ 698.50 J1190 SO SF3B1 MUTATION ANALYSIS$ 699.00 81479 PICC TRIPLE LUMEN$ 699.00 C1751 CATH FFR NAVVUS 014667$ 700.00 SCREW CANN 7.0MM 208.030$ 700.00 C1713 SCREW CANN 7.0MM 208.035$ 700.00 C1713 SCREW CANN 7.0MM 208.040$ 700.00 C1713 SCREW CANN 7.0MM 208.045$ 700.00 C1713 SCREW CANN 7.0MM 208.050$ 700.00 C1713 SCREW CANN 7.0MM 208.065$ 700.00 C1713 SCREW CANN 7.0MM 208.075$ 700.00 C1713 SCREW CANN 7.0MM 208.080$ 700.00 C1713 SCREW CANN 7.0MM 208.085$ 700.00 C1713 SCREW CANN 7.0MM 208.090$ 700.00 C1713 SCREW CANN 7.0MM 208.095$ 700.00 C1713 SCREW CANN 7.0MM 208.100$ 700.00 C1713 SCREW CANN 7.0MM 208.105$ 700.00 C1713 SCREW CANN 7.0MM 208.110$ 700.00 C1713 SCREW CANN 7.0MM 208.115$ 700.00 C1713 SCREW CANN 7.0MM 208.120$ 700.00 C1713 SCREW CANN 7.0MM 208.125$ 700.00 SCREW CANN 7.0MM 208.130$ 700.00 C1713 SCREW CANN 7.0MM 209.045$ 700.00 C1713 SCREW CANN 7.0MM 209.050$ 700.00 C1713 SCREW CANN 7.0MM 209.070$ 700.00 C1713 SCREW CANN 7.0MM 209.075$ 700.00 C1713 SCREW CANN 7.0MM 209.080$ 700.00 C1713 SCREW CANN 7.0MM 209.085$ 700.00 C1713 SCREW CANN 7.0MM 209.090$ 700.00 C1713 SCREW CANN 7.0MM 209.095$ 700.00 C1713 SCREW CANN 7.0MM 209.100$ 700.00 C1713 SCREW CANN 7.0MM 209.105$ 700.00 C1713 SCREW CANN 7.0MM 209.110$ 700.00 C1713 SCREW CANN 7.0MM 209.115$ 700.00 C1713 SCREW CANN 7.0MM 209.120$ 700.00 C1713 SCREW CANN 7.0MM 209.125$ 700.00 C1713 ARTHRORIVET LACTOSORB$ 701.00 MUMPS SKIN TEST 0.1M$ 701.00 86486 Balloon Angio Cntral Dial Seg$ 702.00 36907 Balloon Angio Cntral DialSeg w$ 702.00 36908 Dialysis Circuit Embolization$ 702.00 36909 REP SCLP ETC20.1-30C$ 702.00 REAMER HEAD RIA 12MM 352.250S$ 702.00 REAMER HEAD RIA 14.5 352.255S$ 702.00 PLATE TI LC-DCP 2.0MM 449.936$ 702.00 C1713 NAIL ELASTIC 2.5MM 475.925$ 702.00 C1713 PLATE 11 HOLE 226.610$ 702.00 C1713 SHEATH DRYSEAL GORE DSL1228$ 702.00 INT REP S/T/E7.6-125$ 703.00 PLATE Y 3H/8H 2 X 48$ 703.00 C1713 PLATE 3.5MM LCP 4 HOLE 57MM 24$ 704.00 C1713 PLATE CONDYLAR 1.5MM 446.64.96$ 705.00 C1713 ENDOCAP 0 MM$ 705.00 C1713 MYSTOTOMY W/EXPLOR/DRAINAGE$ 706.00 19020 SO MYCOBAC TB, AMPGP$ 706.00 87556 DEVICE ENDO FIX 5MM W 20 NITI$ 706.00 ANCHOR SUTURE 5MM TI SCREW$ 706.00 C1713 ANCHOR SUTURE LACTOSCREW 5.5$ 706.00 C1713 LOW PROFILE REAMER 10MM$ 706.00 LOW PROFILE REAMER 8MM AR-1408$ 706.00 SCREW ASNIS CANN 6.5 X 105$ 706.00 C1713 SCREW ASNIS III 6.5 X 40MM$ 706.00 C1713 SCREW CANNULATED 6.5 X 65$ 706.00 C1713 SCREW ASNIS CANN 6.5 X 75$ 706.00 C1713 SCREW ASNIS CANN 6.5 X 55$ 706.00 C1713 SCREW ASNIS CANN 6.5 X 115$ 706.00 C1713 SCREWDRIVER SHAFT 314.467$ 707.00 C1713 THYROID CA WHLE BODY$ 708.00 78018 PBDS LAP CHOLE$ 709.00 ROOM(SEMI-PRIVATE) OBSERVATION$ 709.00 CLSD PHALNG SHFT/MNP$ 710.00 26725 LONG TUNNELING TOOL SC-4254$ 710.00 STRAW TUNNELING TOOL 28CM$ 710.00 ANCHOR PEEK 3.5MM TWINLOOP$ 710.00 C1713 PLATE NARROW COMPRESSION 4 H$ 710.00 C1713 SUTURE ANC MIN CORKSCREW FT$ 710.00 C1713 SCREW LOCKING 3.5 X 26 MM$ 710.00 SCREW LOCKING 3.5 X 34 MM$ 710.00 CAROTID DUPLEX SCAN; BILAT$ 710.00 93880 SUTURE ANCHOR, PEEK CORKSCREW$ 710.00 C1713 MASTOTOMY W/EXPLORATION/DRAINA$ 711.00 19020 COMP<2.5CM NK/FH/HFG$ 711.00 13131 DRILL BIT 4.3 703541$ 711.00 ARTHROGRAM SHOULDER RT$ 711.00 73040 ARTHROGRAM SHOULDER LEFT$ 711.00 73040 RED METACARP/PHAL$ 714.00 26700 FERAHEME 510MG VIAL$ 714.21 Q0138 IP CONSULT HIGH 110 MIN$ 715.00 99255 FLUCONAZOLE 200MG/D5$ 715.00 J1450 CRESEMBA 372 MB VIAL$ 715.50 J1833 PROBE #7 GOLD$ 716.00 PLATE NARW 12 HOLE 226.62$ 717.00 C1713 PLATE NARW 14 HOLE 226.64$ 717.00 C1713 SCREW CANNULATED 7.3 TI$ 717.00 C1713 SCREW LAG OMEGA 90 MM$ 717.00 C1713 SCREW LAG OMEGA PLS 95 MM$ 717.00 C1713 SCREW OMEGA LAG 100 MM$ 717.00 C1713 SCREW LAG OMEGA 80MM$ 717.00 C1713 SCREW STANDARD LAG 85 MM$ 717.00 C1713 SCREW STANDARD LAG 105 MM$ 717.00 C1713 SCREW LAG 110MM 3362-5-110$ 717.00 C1713 SCREW LAG STANDARD 120 MM$ 717.00 C1713 3362-5-115 STRYKER$ 717.00 C1713 LAG SCREW STAND 130MM$ 717.00 C1713 SCREW LAG STANDARD 3362-5-125$ 717.00 C1713 AMNIOEXCEL DISKS 15MM X 2 CM$ 717.00 Q4137 LEAD INTRODUCER KIT #3550-18$ 718.00 C1894 CATHETER BALL DILA DORADO PTA$ 718.00 C1727 CATH BALLOON DIAL OTW 9X4X80$ 718.00 CATHBALLOON DIAL OTW 8X4X80$ 718.00 CATH BALLOON DIAL OTW 7X4X80$ 718.00 PARTIAL EXCHANGE TRANSFUSION$ 718.00 36450 INT REP S/T/E/ LESS THAN 2.5$ 719.00 EXCISE LACTIFEROUS DUCT FISTUL$ 719.25 19112 CARBON FIBER RODS 11.0$ 720.00 C1713 HYSTEROSALPINGOGRAM$ 721.00 74740 GRASPER LONG BIPOLAR$ 722.00 VCUG$ 723.00 74455 REDUCTION KNEE DISLO$ 724.00 27550 PBDS TOTAL HIP$ 724.00 ROD CARBON FIBER 11.0MM 394.88$ 724.00 C1713 PLATE T 2H/8H 2.4 X 54$ 724.00 C1713 BIT DRILL ACUTRAK II CANNULATE$ 727.00 PLATE TAP 3.5$ 727.00 DRILL BIT CANNULATED$ 727.00 OVERSTITCH 2-0 POLYPRO SUTURE$ 728.00 EEG 40-60 MINUTES$ 729.00 95812 SPIRALOCK 5.0 W/ ORTHOCORD$ 729.00 C1713 CARDIOPULMARY RESUST$ 731.00 SO KIT GEN TARG SEQ ANALYS$ 731.00 81272 CATH BUD 8X30$ 731.00 BALLOON NC MERLIN 2.5X10CM$ 731.00 BALLOON DIL CORONARY VOY 2.OX8$ 731.00 C1874 BALLOON DIL CORONARY VOY 2.5X8$ 731.00 C1874 BALLOON DIL CORONARY VOY 3.0X8$ 731.00 C1727 BALLOON DIL CORONARY VO 1.5X12$ 731.00 C1727 BALLOON DIL CORONARY VO 2.5X12$ 731.00 C1727 BALLOON DIL CORONARY VO 3.5X12$ 731.00 C1727 BALLOON DIL CORONARY VO 1.5X15$ 731.00 C1727 BALLOON DIL CORONARY VO 2.0X15$ 731.00 C1727 BALLOON DIL CORONARY VO 2.5X15$ 731.00 C1727 BALLOON DIL CORONARY VO 3.0X15$ 731.00 C1727 BALLOON DIL CORONARY VO 2.5X20$ 731.00 C1727 BALLOON DIL CORONARY VO 4.0X20$ 731.00 C1727 CHIPS CANCELLOUS 4-9.5MM 15CC$ 731.00 C1713 SCREW BIO-TENODESIS AR-1547B$ 731.00 C1713 SCREW BIO-TENODESIS AR-1562B$ 731.00 C1713 SCREW BIO-TENODESIS AR-1670B$ 731.00 C1713 SCREW BIO-TENODESIS AR-1570B$ 731.00 C1713 SCREW BIO-TENODESIS AR-1680B$ 731.00 C1713 SCREW BIO-TENODESIS AR-1580B$ 731.00 C1713 SCREW BIO-TENODESIS AR-1590B$ 731.00 C1713 SEAM GUARD CIRCULAR 1BSGC25$ 731.00 INTMED RPR S/A/T/EXT <2.5CM$ 731.25 12031 INTMED RPR S/A/T/EXT >2.6CM$ 731.25 12032 REMOVAL FOREIGN BODY$ 731.55 10120 DRESS/DEBRID PART-THICK BURN L$ 731.55 RPR INTRMED WND F/MM 2.6-5.0$ 732.00 12052 TRANSTIBIAL ACL DISP KIT$ 732.00 MENISCAL CINCH AR-4500$ 732.00 OR CABLE & EXTENSION$ 732.00 PC HYBRID GLENOID POST$ 732.00 C1713 ARANESP 40 MCG INJ$ 732.00 J0881 ASH SPLIT CATH 14 FR$ 735.00 C1750 5.5 HEALIX BR ANCHOR$ 735.00 C1713 LUMBAR PUNCTURE THERAPEUTIC$ 736.00 HYPRTHYRD THRPY ORAL$ 736.00 79005 INTUBATION EMERGENCY$ 737.00 31500 INTUBATION EMERGENCY$ 737.00 31500 STAPLE W/SPIKES 5-16 X 7.9MM$ 737.00 C1713 STAPLE W/O SPIKES LG 9/16X14.3$ 737.00 C1713 CATH INLINE SUCT 72HR TRACH$ 737.00 INTUBATION EMERG NEO$ 737.00 31500 DARZALEX 100 MG/5ML VIAL$ 737.09 J9145 US RETROPER REALTIME W/IMG DOC$ 738.00 76770 US RENAL BILATERAL COMPLETE$ 738.00 76770 US RENAL BILATERAL COMPLETE$ 738.00 76770 EPI CONTINOUS W/CATH$ 739.00 SLINGSHOT 70 DEF UP STRYKER$ 739.00 APPLICATION UNNA BOOT$ 740.00 29580 PLATE LCP NRW 4.5MM 4H 224.541$ 742.00 C1713 ABELCET 100MG VIAL$ 742.00 J0287 REPAIR FACE 20.1-30C$ 743.00 SO FLOW CYTOMETRY 9-15 MARKERS$ 743.00 G0452 STAPLER CIRCULAR 21MM$ 744.00 STAPLER CIRCULAR 25MM$ 744.00 STAPLER CIRCULAR 28MM$ 744.00 CUTTER 4.0 AGG. PLUS TIP$ 744.00 SNARE AMPLATZ 6F 15MMX 120CM$ 744.00 C1874 BALLOON DIL CORONARY VOY 3.5X8$ 744.00 C1727 BALLOON DIL CORONARY VO 3.5X15$ 744.00 C1727 SCREW MILAGRO INTRFNNCE 8X23$ 744.00 C1713 SCREW MILAGRO INTRFNNCE 9X23$ 744.00 C1713 WIRE GUIDE BALL TIP 3X800$ 744.00 C1769 SCREW MILAGNA INTER 12X30$ 744.00 C1713 SCREW MILAGNA INTER 11X30$ 744.00 C1713 SCREW MILAGNA INTER 10x30$ 744.00 C1713 SCREW MILAGNA INTER 9x30$ 744.00 C1713 SCREW MILAGNA INTER 8x30$ 744.00 C1713 TRIGGER PT NERV BLCK$ 745.00 REDUCE ANKLE DISLOC$ 745.00 27840 NAIL ELASTIC 3.0MM 475.930$ 745.00 C1713 PORT INFUSION PWR INJ 8F$ 745.00 C1788 DEVICE FIXATION 5MM TITANIUM$ 745.00 C1713 ANOSCOPY$ 745.00 PNEMOCOCCAL CONJ VAC 13 VAL IM$ 746.00 90670 73. CAN LOCK SCREW 02.207.090$ 746.00 C1713 7.3 CAN LOCK SCREW 02.207.095$ 746.00 C1713 SCREW CANN TI 7.3 X 10$ 746.00 C1713 SCREW CANNULATED 7.3 X 85$ 746.00 C1713 SCREW CANNULATED 7.3 X 90$ 746.00 C1713 SCREW FIXED ANGLE TORQUE KIT$ 746.00 C1713 PREVNAR 13 VACCINE SYRINGE$ 746.00 90670 EEG REC COMA/SLP ONY$ 747.00 95822 ARTISS FIBRIN SEALANT 2 ML$ 747.00 C9250 PLATE 3H LCP HEAD 3.5$ 747.00 EXTENDER PENILE NARROW BASE$ 747.00 PLATE NARROW T-PLATE 6 HOLE$ 747.00 C1713 PLATE NARROW T 1.7 6 HOLE$ 747.00 PLATE STRAIGHT WITH BAR 4H$ 747.00 SUTR ANCH, PEEK CRKSCRW FT$ 747.00 C1713 PLATE L 6 HOLE$ 747.00 C1713 INTRATHE CATH PINAL SEG REV KI$ 747.00 C1755 PYELOGRAM RETROGRADE$ 748.00 74420 ROOM SEMI-PRIVATE MED SURGICAL$ 750.00 ROOM PRIVATE-MED-SURGICAL$ 750.00 ROOM SEMI PRIVATE ACC$ 750.00 ROOM SEMI PRIVATE ER$ 750.00 PRIVATE ROOM-EMU$ 750.00 PLATE CLOVERLEAF 241.830$ 750.00 C1713 ROOM (PRIVATE)$ 750.00 ROOM(PRIVATE)$ 750.00 SEMI PRIVATE ROOM$ 750.00 ROOM(SEMI PRIVATE)$ 750.00 ROOM(PRIVATE 3RD)$ 750.00 PRIVATE ROOM 4TH FLOOR EAST$ 750.00 PRIVATE ROOM CHARGE PEDIATRIC$ 750.00 ROOM(PRIVATE 4TH)$ 750.00 PRIVATE ROOM(J-CAMP)$ 750.00 OBS UNIT - PRIVATE$ 750.00 ROOM Private$ 750.00 ROOM SEMI-PRIVATE PRE/POST OP$ 750.00 PCU OBSERVATION 1ST HOUR$ 750.00 G0378 PRIVATE RM - RECUP$ 750.00 SEMI-PRIVATE RECUP$ 750.00 ROOM & BOARD SEMI-PRIVATE$ 750.00 ROOM & BOARD - PVT$ 750.00 ROOM & BOARD-SWING BED SEMI-PR$ 750.00 ROOM & BOARD SWING BED-PRIVATE$ 750.00 NAIL ELASTIC TI 2.5MM 475.925$ 751.00 C1713 FORCEP BIOPSY 3.3 FR 115$ 751.00 MESH PROLENE SYSTEM EXT$ 754.00 C1781 CATHETER ATTAIN SELECT II$ 754.00 C1887 VENTILATOR SUBSEQ DA$ 754.00 94003 IO RADIATION TX MANAGEMENT$ 756.00 77469 SO T-CELL ANTIGEN RECEPT GAMMA$ 757.00 81342 SENDOR BELT RESPIRATORY$ 757.00 CARBON ROD 08 X 500$ 757.00 C1713 GUN EZ-IO 9058V$ 758.00 RADIESSE VOICE GEL$ 758.00 C1878 I&D PILONIDAL CYST S$ 759.00 RETRACTOR DEEP SCROTAL SYSTEM$ 759.00 REM FB SUBQ SIMPLE$ 760.00 TEFLON TUBE 1806-0073S$ 760.00 MYOVIEW$ 761.00 A9502 MYOVIEW PER DOSE$ 761.00 A9502 INCISION BX SKN SINGLE LES$ 762.00 11106 INCISION BX SKN EA SEP/ADDL$ 762.00 11107 EX TM/VASML HD/FG SQ$ 763.00 26115 EEG DIGITAL ANALYSIS$ 764.00 95957 PLATE 2.4MM TI LC-DCP$ 764.00 C1713 SHAFT SCRWDRVR 2.5MM 314.10$ 764.00 STAPLER CIRCULAR 31MM$ 766.00 STAPLER CIRCULAR 33MM$ 766.00 REM, NON-BIO DRUG DEL IMPLANT$ 767.00 DEVICE SUTURE CAPTURE STNDRD$ 767.00 PORT INFUSION MINI TI 8FR$ 767.00 DEVICE SUTURE CAPTURE OPEN$ 767.00 DRILL 2.0 MM$ 767.00 ESOPHAGEAL MOTILITY$ 768.00 91010 NEPHROSTOGRAM$ 770.00 50431 SCREW CANULATED 8.0 X 85$ 770.00 C1713 SCREW CANNULATED 8.5 X 90$ 770.00 C1713 SCREW #611095$ 770.00 C1713 SCREW #611105$ 770.00 C1713 SCREW #611110$ 770.00 C1713 SNARE TRIPLE LOOP$ 770.00 SCREW ASNIS CANN 8.0 X 75$ 770.00 C1713 SHUNDT CAROTID$ 772.00 SHUNDT CAROTID$ 772.00 HEAD REAMER MDLRY 10.5$ 772.00 C1713 HEAD REAMER MDLRY 11.0$ 772.00 C1713 HEAD REAMER MDLRY 11.5$ 772.00 C1713 HEAD REAMER MDLRY 12.0$ 772.00 C1713 HEAD REAMER MDLRY 12.5$ 772.00 C1713 HEAD REAMER MDLRY 13.0$ 772.00 C1713 HEAD REAMER MDLRY 13.5$ 772.00 C1713 HEAD REAMER MDLRY 14.0$ 772.00 C1713 HEAD REAMER MDLRY 14.5$ 772.00 C1713 HEAD REAMER MDLRY 15.0$ 772.00 C1713 HEAD REAMER MDLRY 15.5$ 772.00 C1713 HEAD REAMER MDLRY 16.0$ 772.00 C1713 HEAD REAMER MDLRY 16.5$ 772.00 C1713 HEAD REAMER MDLRY 17.0$ 772.00 C1713 INT REP S/T/E 2.6-75$ 773.00 REMOVAL FB UP ARM/ELBOW DEEP$ 773.00 24201 TUMOR SCAN MULTIPLE$ 773.00 78801 SPORANOX 10MG/ML 25M$ 773.00 LARYNGOSCOPY FOR ASPIRATION$ 775.00 CLSD TX GRHMTB FX WA$ 775.00 23655 BLOOD ADMIN EA ER VS$ 775.00 36430 BLOOD ADMINISTRATION$ 775.00 36430 BLOOD ADMIN O.P.$ 775.00 36430 LIGATORS SUPERVIEW BAND$ 775.00 STRIP STAPLE LINE ETSFLEX 45$ 775.00 A6231 CABLE BEADED 1.6MM 6704-0-420$ 776.00 CL RED FINGER FXW/MN$ 778.00 26742 PULMONARY ART. INJ$ 779.00 36014 PLATE DCP 2.7MM X 12$ 779.00 C1713 FACET NERVE INJ$ 779.00 LAVAGE PERITONEAL$ 780.00 STEEL CABLE STAINLESS$ 780.00 C1713 SCREW 2.5 X 30 SV30$ 781.00 C1713 SCREW 2.5 X 26 SV26$ 781.00 C1713 SCREW COMPRESSION 2.5 X 24MM$ 781.00 C1713 SCREW COMPRESSION 2.5 X 28MM$ 781.00 C1713 INFUMORPH PF 500MG$ 781.00 J2274 SCREW ASNIS III$ 782.00 C1713 LEXISCAN 0.4MG/5ML$ 783.00 J2785 ROD CARBON FIBER 11.0MM 394.90$ 783.00 C1713 ROD CARBON FIBER 11.0MM 394.91$ 783.00 C1713 ROD CARBON FIBER 11.0MM 394.92$ 783.00 C1713 SCREW LOCK CANNUL 7.3 65MM$ 783.00 C1713 LEXISCAN 0.4MG/5ML$ 783.00 J2785 MYELOGRAPHY, LUMBARSAC$ 783.00 62304 TREANDA 45MG/0.5ML VIAL$ 783.20 J9033 GUIDEWIRE PERIPH ADV 018 1X300$ 784.00 C1769 SCREW CANN 8.0 X 115$ 784.00 C1713 SCREW TENOD BIOCOMP 5.5 X 15MM$ 784.00 C1713 PLATE 3D 2 X 2 2 HOLE$ 784.00 C1713 PLATE 3D 1.7 X 4 X 2$ 784.00 C1713 PLATE 5H LEFT BLADE$ 784.00 PLATE 5H RIGHT BLADE$ 784.00 SUTR ANCH, PEEK, CS FT, 4.75MM$ 784.00 C1713 SCREW, TENO, PEEK VENT$ 784.00 C1713 SO T-CELL ANTIGEN RECEPT BETA$ 785.00 81340 COMP<2.5CM RY/NS/L/E$ 786.00 13151 FLURO ABSCESS DRAIN$ 788.00 75989 CT GUIDED ABSCESS DRAINAGE$ 788.00 75989 EXPAREL SUSP 133MG 10ML VIAL$ 788.00 C9290 REHAB - SEMI-PRIVATE$ 788.00 BLADE SKIMMER ANGLE 3.5$ 789.00 NAIL ELASTIC 3.5MM 475.935$ 789.00 C1713 PLATE 2.4MM TI LC-DCP$ 791.00 C1713 HEPATOBILIARY SCAN$ 792.00 78226 SCREW CANN LK 7.3 X 85$ 794.00 C1713 ZINECARD 250 MG VIAL$ 794.00 J1190 SO SULF HYPO PANEL QUANT URINE$ 795.00 G0480 DRUG PRESCR MONITERI URINE SO$ 795.00 G0480 SPIRALOCK 6.5 W/ ETHIBOND$ 796.00 C1713 PLATE LCP NRW 4.5MM 5H 224.551$ 796.00 C1713 REAMER HEAD MED 8.5MM$ 796.00 REAMER HEAD MED 9.0MM$ 796.00 REAMER HEAD MED 9.5MM$ 796.00 REAMER HEAD MED 10.0MM$ 796.00 CATH VASC 65 CM 4 FR$ 797.00 RELIEVA SPION SINUS GUIDE CATH$ 797.00 C1887 GUIDE FRONTAL SINUS RSM110C$ 797.00 CATH GUIDE SINUS FRNT RELIEVA$ 797.00 ANCHOR MINI QUICK PLUS$ 798.00 C1713 SCREW ASNIS 6.5 X 95$ 799.00 C1713 SCREW ASNIS 6.5 X 100$ 799.00 C1713 SCREW CANN ASNIS 6.5 X 65$ 799.00 C1713 SCREW ASNIS 8.0$ 799.00 C1713 SYSTEM FIXATION MENISCAL STRT$ 800.00 C1713 SYSTEM FIXATION MENISCAL CRVD$ 800.00 C1713 PARATHYROID PLANAR IMAGING$ 800.00 78070 COMP2.6-7.5CM SCP EX$ 801.00 13121 SCREW BIOINTERFERENCE 9X23$ 802.00 C1713 SCREW 10 X 23$ 802.00 C1713 SCREW BIOCOMP INTER 11 X 28MM$ 802.00 C1713 SO CYP2C19 GENOTYPE$ 803.00 81225 ANCHOR BIOKNOTLESS RC PANACRYL$ 803.00 C1713 PLATE CLOVERLEAF 241.840$ 803.00 C1713 BRIDION 500 MG VIAL$ 803.00 DRILL BIT CANNULATED 2.7$ 804.00 ELLENCE 200MG/100ML$ 806.40 J9178 IRRIGATOR ENDOFLO$ 808.00 SNARE KIT 4FRX10MM GN1000$ 808.00 SNARE KIT 6FRX25MM GN2500$ 808.00 SCREW MILAGRO INTRFNNCE 10X23$ 808.00 C1713 SCREW CAN ASNIS III 611075S$ 808.00 C1713 ELECTRODE VAPOR S50$ 809.00 FLIP CUTTER II 9.5MM$ 809.00 SUTURE ANCHOR VENTED #2$ 809.00 C1713 AFX INTRODUCER SHEATH$ 809.00 10.5MM FLIP CUTTER II$ 809.00 FLIP CUTTER II 11.0 MM$ 809.00 SUTR ANCH, BIO COMP S-TAK$ 809.00 FLIP CUTTER II 8.5MM$ 809.00 AR-1204AS-90 ARTHREX$ 809.00 AR-1204AS-80 MEDITECH$ 809.00 AR-1204AS-85$ 809.00 ARTHREX FLIPCUTTER 9.5MM$ 809.00 FIBERTAK W #2 TIGERTAIL$ 809.00 SUTURE, FIBERTAK ANCHOR$ 809.00 C1713 SO HEP C GENO S$ 810.00 87902 ACL TIGHTROPE AR-1588T$ 811.00 C1713 SPLEEN SCAN W/WO VSF$ 811.00 78185 BCR-ABL 1 STAND (MAJOR/MINOR)$ 813.00 81479 PLATE LCP 3.5MM 6H 223.561$ 813.00 C1713 SCREW CANN LOCKING 7.3 X 100$ 813.00 C1713 DAVINCI ENDOWRIST RETRACTOR DB$ 816.00 SUTURE ANCHOR MIN HARPOON$ 816.00 C1713 DISLOCATE ELBOW$ 818.00 24600 MTB COMPLEX PCR SO$ 818.00 87801 SCREW CANN CONNECT 03.010.044$ 818.00 C1713 NERVE CONDUCT 9-10$ 819.00 95911 NERVE CONDUCT 11-12$ 819.00 95912 NERVE CONDUCT 13 OR MORE$ 819.00 95913 SPIRALOCK 6.5 W/ ORTHOCORD$ 819.00 C1713 ACID REFLUX TEST-PH$ 819.00 91034 PLATE BUTTESSS 240.54$ 820.00 C1713 PLATE BUTTESSS 240.44$ 820.00 C1713 GUIDE DRILL 323.029$ 820.00 Hot Shears DaVinci supply$ 821.00 SCREW ANSIS 6.5 X 85$ 821.00 C1713 SCREW ANSIS 6.5 X 95$ 821.00 C1713 SCREW CANNULATED ASNIS 602880S$ 821.00 C1713 SCREW CANNULATED ASNIS 602890S$ 821.00 C1713 SCREW CANNULATED ASNIS 602650S$ 821.00 C1713 SCREW CANNULATED ASNIS 602690S$ 821.00 C1713 SCREW, ASNIS #602680$ 821.00 C1713 SCREW, ASNIS #602700$ 821.00 C1713 SCREW LAG DHS/DCS 280.05$ 823.00 C1713 SCREW LAG DHS/DCS 280.10$ 823.00 C1713 SCREW LAG DHS/DCS 280.15$ 823.00 C1713 SCREW LAG DHS/DCS 280.20$ 823.00 C1713 SCREW LAG DHS/DCS 280.25$ 823.00 C1713 SCREW LAG DHS/DCS 280.30$ 823.00 C1713 SCREW LAG DHS/DCS 280.35$ 823.00 C1713 SCREW LAG DHS/DCS 280.40$ 823.00 C1713 SCREW LAG DHS/DCS 280.55$ 823.00 C1713 SCREW LAG DHS/DCS 280.60$ 823.00 C1713 SCREW LAG DHS/DCS 280.65$ 823.00 C1713 SCREW LAG DHS/DCS 280.70$ 823.00 C1713 SCREW LAG DHS/DCS 280.75$ 823.00 C1713 SCREW LAG DHS/DCS 280.80$ 823.00 C1713 SCREW LAG DHS/DCS 280.85$ 823.00 C1713 SCREW LAG DHS/DCS 280.90$ 823.00 C1713 SCREW LAG DHS/DCS 280.95$ 823.00 C1713 SCREW 6.5 # 602670$ 823.00 C1713 SCREW ASNIS 8.0 X 80 611280$ 823.00 C1713 SCREW ASNIS 8.0 X 85 611285$ 823.00 C1713 SCREW ASNIS 6.5 X 75$ 823.00 C1713 SCREW ASNIS 6.5 X 80$ 823.00 C1713 SCREW ASNIS 6.5 X 85$ 823.00 C1713 SCREW ASNIS 6.5 X 95$ 823.00 C1713 SCREW ASNIS III 8.0 X 70MM$ 824.00 C1713 SCREW ASNIS III 8.0 X 100MM$ 824.00 C1713 ADENOSCAN 90MG/30ML$ 824.00 J0153 J0153 EXPL P WND; EXTREMITY$ 825.00 20103 REAMER HEAD RIA 12.5 352.251S$ 825.00 REAMER HEAD RIA 13MM 352.252S$ 825.00 REAMER HEAD RIA 13.5 352.253S$ 825.00 REAMER HEAD RIA 14MM 352.254S$ 825.00 REAMER HEAD RIA 15MM 352.256S$ 825.00 REAMER HEAD RIA 15.5 352.257S$ 825.00 REAMER HEAD RIA 16MM 352.258S$ 825.00 REAMER HEAD RIA 16.5 352.259S$ 825.00 TEASED NERVE PREPARATION SO$ 827.00 88362 SCREW INTERFERENCE 10X28$ 827.00 C1713 SCREW FIXOS COMP 2.5 X 22 MM$ 828.00 C1713 BALLOON SEMICOMP 1.5MM X 6MM$ 829.00 C1726 BALLOON SEMICOMP 1.5 X 12MM$ 829.00 C1726 BALLOON SEMICOMP 1.5 X 15MM$ 829.00 C1726 SHUNDT CAROTID$ 829.00 CUBICIN 500MG/10ML VIAL$ 829.00 J0878 MOLCEBPA-CEBPA MUT ANALYSIS$ 829.55 81218 INC/DRAIN PERITONSILLAR ABSCES$ 830.00 SMP WND DEHISCEN REP$ 830.00 DEBRIDE SUBQ 20 SQ CM$ 832.00 11042 DEBRID SQ TISSUE <20SQ CM$ 832.00 11042 DEBRIDE WOUND SUBQ$ 832.00 11042 REDUCTION ANKLE DISC$ 832.00 FINE NEED ASPIR W/O IMA 1ST LE$ 832.00 10021 SCREW ASNIS 8.0 X 85$ 832.00 C1713 SCREW ASNIS 8.0 X 90$ 832.00 C1713 DEBRID SUBQ TISSUE <20SQ CM$ 832.00 11042 PUMP PAIN ON-Q C-BLOC 400ML$ 833.00 LEAD INTRODUCER 9 FR 50 CM$ 834.00 LEAD INTRODUCER JUMBO 9FR 50CM$ 834.00 DRYSEAL SHEATH W/HYDRO COATING$ 834.00 CX01B MEDTRONIC$ 834.00 C1713 NEEDLE AVAMAX KYPHO CRVD 11G$ 834.00 CLSD RED HIP DISLOCT$ 835.00 27250 OP HEMODIALYSIS UNSH$ 835.00 G0257 REPAIR LIP, FT, VERM ONLY$ 835.83 40650 GRAFT FILTER FOR RIA STERILE$ 836.00 UPPER GI/SBFT$ 836.00 74245 MYELOGRAPHY, CERVICAL$ 836.00 62302 CTA ABD WO/W SEC$ 837.00 74175 CTA ABD WO/W SEC$ 837.00 74175 SCREW CANN ASNIS 6.5 X 85$ 837.00 C1713 PLATE 2.4MM LC-DCP 8 HOLE 449.$ 839.00 C1713 SCREW TAP & DRILL 3.8 MM$ 839.00 INT REP HFNG <2.5CM$ 840.00 CLAMP 4.0MM/2.5MM 395.56$ 840.00 C1713 CLAMP 4.0MM/4.0MM 395.57$ 840.00 PLATE T LCP 4H 3.5MM 241.141$ 840.00 C1713 LUNG PERFUSION SCAN$ 840.00 78580 78580 MODULAR PEGS$ 841.00 MAGNETIC RESONANC SPECTROSCOPY$ 841.00 76390 MAGNETIC RESONANC SPECTROSCOPY$ 841.00 76390 SCREW ASNIS 6.5 X 45$ 842.00 C1713 SCREW ASNIS 6.5 X 50$ 842.00 C1713 SCREW ASNIS 6.5 X 90$ 842.00 C1713 PIN PARTIAL THREADED 100MM$ 842.00 C1713 PIN PARTIAL THREAD 105MM$ 842.00 C1713 SCREW CANN 6.5 X 60MM$ 842.00 C1713 SCREW CANN 6.5 X 70MM$ 842.00 C1713 SCREW ASNIS 6.5 X 45MM$ 842.00 C1713 SCREW ASNIS CANN 6.5 X 60$ 842.00 C1713 SCREW ASNIS CANN 6.5 X 70$ 842.00 C1713 SCREW CANN 6.5 X 75$ 842.00 C1713 SCREW ASNIS CANNUL 6.5 X 110MM$ 842.00 C1713 SHEATH DRYSEAL GORE DSL1828$ 842.00 ENDO RETRACT II 10MM$ 843.00 FETAL BLOOD SCREENING KIT$ 844.00 PLATE 3.5MM 241.951$ 844.00 C1713 SNARE KIT 6FR 5MM GN500$ 846.00 SYRINGE COLLAGEN IMPLNT TX$ 847.00 C1713 ASH SPLINT 14X32$ 847.00 PLATE LCP 3.5MM 7H 223.571$ 847.00 C1713 SCREWS AT-1125-S$ 847.00 C1713 SCREWS AT-1150-S$ 847.00 C1713 SCREWS AT-1175-S$ 847.00 C1713 SCREWS AT-1200-S$ 847.00 C1713 SCREWS AT-1275-S$ 847.00 C1713 SCREWS AT-1300-S$ 847.00 C1713 NAIL ELASTIC 4.0MM 475.940$ 847.00 C1713 SCREW BIO-CORKSCREW ANCHOR$ 847.00 C1713 ANCHOR BIO-CORKSCREW$ 847.00 C1713 AR-1934BCFT-2$ 847.00 C1713 AR-1934BCT$ 847.00 SUTURE, FIBERTAK DOU LOAD FW C$ 847.00 C1713 MATRIX HEMOSTAT FLOSEAL$ 849.00 OFFICE CONSULT HIGH 60 MIN$ 850.00 99251 NRAS MUTAT ANAL EXON 4 SO$ 850.00 81403 PLATE T LCP 3H 3.5MM 241.931$ 850.00 C1713 ANCHOR ABSORBATACK 10$ 850.00 C1713 CLSD TX LAT MALLS WM$ 856.00 POST NASAL PACK INTL$ 856.00 FORCEP RENAL BIOPSY DISP$ 856.00 PULMONARY BRONCHIA BALL DIALAT$ 859.00 SCREW ACUTRAK II 26MM$ 859.00 C1713 SCREW ACUTRAK AT2-C16 16MM$ 859.00 C1713 SCREW ACUTRAK AT2-C18 18MM$ 859.00 C1713 SCREW ACUTAK AT2-C20 20MM$ 859.00 C1713 SCREW ACUTRAK AT2-C22 22MM$ 859.00 C1713 SCREW ACUTRAK AT2-C24 24MM$ 859.00 C1713 SCREW ACUTRAK AT2-C28 28MM$ 859.00 C1713 SCREW TENODESIS BIOCOMP 4 X 10$ 859.00 CATH SPRINTER BALOON$ 861.00 SCAPEL HARMONIC CS23C$ 861.00 MESH HERNIA ULTRAPRO LG$ 861.00 C1781 PROLASTIN 10MG$ 861.00 J0256 J0256 ALBUMIN 25% 100ML$ 861.00 P9047 REM VENOUS ACC DEVCE$ 861.00 PLATE T LCP 3H 3.5MM 241.051$ 862.00 C1713 ENDOSTAT 12FT FIBER OPTIC$ 863.00 INTERMEDIATE SIMULATION$ 865.00 77285 SIMPLE ISODOSE PLAN$ 865.00 77306 SPECIAL THERAPY PLAN$ 865.00 77321 COMPLEX TX DEVICE$ 865.00 77334 DESIGN MLC DEVICE FOR IMRT$ 865.00 77338 MAMMOTOME, BILATERAL BREAST$ 865.00 MESH DEXON 9 X7$ 868.00 C1781 DRILL BIT CARBIDE 6.0$ 868.00 MAMMO STEROTACTIC GUIDANCE$ 868.00 ANESTHESIA GENERAL 1ST 15 MIN$ 869.00 SUTURE KIT ARTH UNIVERS APEX$ 869.00 CLIP LARGE 2.0MM$ 870.00 C1721 CARBON MRI ROD 450 MM$ 870.00 DRILL BIT REV SHLD 2.0 X 3.2$ 870.00 UNIT RF MERLIN @ HOME EX1150$ 872.00 GUIDEWIRE STD FLEX TIP 3CM X 1$ 872.00 ASSEMBLY PROBOSCIS/PISTON$ 872.00 KIT LEAD PAIN 1X8$ 872.00 C1778 DEVICE ENERGY FUSION 5$ 872.00 DEVICE ENERGY FUSION FN$ 872.00 BUTTON DOG BONE AR-2270$ 872.00 DEVICE OPEN 20CM VOYANT$ 872.00 AR-7000-14$ 872.00 HIP ARTHROSCOPE INST SET$ 872.00 REAMER ARTHREX FLEX 10MM$ 872.00 BUTTON DIST CLAV PLATE$ 872.00 C1713 HANDLE SHARPSHOOTER - 4700$ 872.00 LOCK BIO-PUSHLOCK 3MM$ 873.00 C1713 TOT ELB CEMENT REST W/NOZZLE$ 873.00 DUPLEX EXT VEINS; BILATERAL$ 874.00 SCAPEL HARMONIC CS14C$ 874.00 MENISCAL REPAIR DEVICE 2-0 SZ5$ 874.00 C1713 REHAB - PRIVATE$ 876.00 HEMODIALYSIS PROC.$ 877.00 90937 SO FACTOR V LEIDEN$ 879.00 81241 MESH PROLENE SYSTEM LG$ 881.00 EEG GREATER 1 HOUR$ 882.00 95813 INT REP HFNG <2.5CM$ 882.00 CATH ANGIO 5FR 38X100$ 884.00 C1885 INTRAOSSUEOUS NEEDLE PLACEMENT$ 884.00 36680 CATH ANGIO 5F 38X65$ 884.00 C1725 PACU 1ST 30 MIN$ 885.00 EXCISION CALLUS 2/4L$ 885.00 11056 11056 THORACENTESIS W/TUBE$ 886.00 32555 COMP2.6-7.5CM TRUNK$ 886.00 DESTRUCTION OF SKIN LESION$ 886.00 THORACENTESIS$ 886.00 32555 THORACENTESIS$ 886.00 32555 KIT CROSS PIN RGDFX FEM 3.3 ST$ 888.00 C1713 CROSS PIN RGDFX FEM 2.7 BTP$ 888.00 C1713 PLATE LCP 3.5MM 8H 223.581$ 889.00 C1713 GRAFT HEMASHIELD GOLD MDVS$ 890.00 GRAFT VASCULAR ULTRAMAX 16X30$ 890.00 THROMBO FOLLOW-UP$ 891.00 75898 TUBE ESPOHAGEL SENGSTAKEN 20 F$ 891.00 SCREW LAG 12.7 X 100$ 892.00 C1713 CYKLOKAPRON 1000MG/10ML AMP$ 892.68 BALLOON DILAT PERIPH OTW 2 X 4$ 896.00 C1727 BALLOON DILAT PERIPH OTW 2 X 1$ 896.00 C1727 BALLOON DILAT PERIPH OTW 3 X 4$ 896.00 C1727 BALLOON DILAT PERIPH OTW 3 X 1$ 896.00 C1727 BALLOON DILAT PERIPH OTW 4 X 4$ 896.00 C1727 BALLOON DILAT PERIPH OTW 4 X 1$ 896.00 C1727 MESH COMPOSIX EX 4X6$ 896.00 SUTURE ANCHOR 3.5 X 19.5 MM$ 896.00 C1713 RELOAD ENDOWRIST STAPLER 45 GR$ 896.00 SUTURE ANCHOR,PEEK PUSHLOCK$ 896.00 C1713 SCREW LAG DHS/DCS 280.45$ 897.00 C1713 SCREW LAG DHS/DCS 280.50$ 897.00 C1713 PORT INFUSION STANDARD TI 8FR$ 898.00 C1788 BALLOON DIL PERO 6.5FR 12MM$ 898.00 C1727 TISSUE BUTTON 10MMX5MM$ 898.00 COSEAL EXTENDED APPLICATOR$ 898.00 BALLOON DIL PERIPH 6.5FR 14X40$ 898.00 C1727 SCREW MINI BONE AT2-M24-S$ 898.00 C1713 SCREW MINI BONE 20MM AT2-M20-S$ 898.00 C1713 DRESSING VAC ABDOMINAL$ 899.00 BIOCOMPOSITE INTER SCREW 7MM$ 899.00 C1713 INTERERENCE SCREW FULLY THREAD$ 899.00 C1713 ICU OBSERVATION 1ST HOUR$ 900.00 G0378 LIVER/SPLEEN SCAN$ 900.00 78216 PRIVATE ROOM 2 EAST PCU$ 900.00 DRILL BIT CANN 5.0$ 901.00 ANCHOR PEEK ZIP W/NEEDLE 6.5$ 901.00 C1713 AREDIA 3OMG/VIAL$ 902.00 J2430 ANCHOR ICONIX 2.3 W/FORCE FIBE$ 904.00 C1713 ANCHOR SUTURE ICONIX 25$ 904.00 C1713 ANCHOR SUTURE ICONIX 1$ 904.00 C1713 ANCHOR SUTURE ICONIX 3$ 904.00 C1713 COUNTERSINK 310.860$ 905.00 SO EGFR MUTATION ANALYSIS$ 906.00 81235 BALLOON DIL CATH$ 906.00 C1726 GRAFT PTFE 6X45$ 907.00 ARTHROGRAM KNEE RT$ 908.00 73580 ARTHROGRAM KNEE LEFT$ 908.00 73580 COMPLEX ISODOSE PLAN$ 909.00 77307 PLATE 3.5MM LCP 6 HOLE 77MM 24$ 909.00 C1713 MESH VENTALIGHT 4 X 6$ 909.00 C1781 PLAT, LEUKO RD CMV-NEG AP/PH$ 910.00 P9055 PLAT, LEUKO RD CMV-NEG AP/PH$ 910.00 P9055 PLATE LCP BRD 4.5MM 6H 226.561$ 911.00 C1713 VERSALOK ANCHOR W/ORTHOCORD$ 911.00 C1713 CARDIOPULMONARY RESUSCITATION$ 914.00 92950 PLATE 6 HOLE$ 915.00 C1713 DAVI PROSTATE OR TIME EA 15 MI$ 915.00 CATH EP P-TYPE CRV 6FR X 60CM$ 916.00 C1730 MICROMAX DISPOSABLE INST SET$ 916.00 JUGGERKNOT 2.9MM$ 916.00 C1713 SUTURE ANCHOR 2.4 X 12$ 916.00 C1713 T6 STICK FIT DRIVER TIP$ 916.00 C1713 DRILL BIT 2.8MM LONG$ 916.00 DRILL BIT 3.2$ 918.00 BONE SCAN LIMIT AREA$ 918.00 78300 PLATE T LCP 3H 3.5MM 241.031$ 919.00 C1713 PLATE 3.5MM 241.971$ 919.00 C1713 KRAS MUTATION ANALYSIS EX 4 SO$ 920.00 81276 GRAFT PTFE 8X80$ 920.00 C1768 ALIMTA 100MG VIAL$ 920.11 J9305 OPN DSTL PHALANG/STC$ 921.00 26765 ASH SPLIT$ 921.00 CATHETER ASH SPL W CUFF 14FX36$ 921.00 PLATE 2.4 LCP 247.364$ 921.00 C1713 PLATE 2.4 LCP 247.377$ 921.00 C1713 PLATE 2.4 LCP 247.375$ 921.00 C1713 FIBERTAK 2.6 SOFT ANCH W/1.3MM$ 921.00 C1713 RENOGRAM$ 921.00 78707 INJ DX/THER LUM/SAC$ 921.00 EMEND 150MG VIAL$ 921.60 J1453 US PARACENTESIS DIAG$ 922.00 49083 US PARACENTESIS THERP$ 922.00 49083 US PARACENTESIS DIAG$ 922.00 49083 US PARACENTESIS THERP$ 922.00 49083 ARTHROGRAM WRIST RT$ 923.00 73115 ARTHROGRAM WRIST LEFT$ 923.00 73115 ARTHROGRAM ANKLE$ 923.00 73615 COMPLEX SIMULATION$ 924.00 77290 PLATE LCP 3.5MM 9H 223.591$ 924.00 C1713 PLATE T LCP 3H 3.5MM 241.151$ 924.00 C1713 PLATE-L 2.7 249.686$ 924.00 C1713 PLATE-L 2.7 249.687$ 924.00 C1713 PLATE-L 2.7 249.688$ 924.00 C1713 HLA-A,B,C LOW RESOLUTION SO$ 925.00 81372 IDEAL SUTURE GRASPER 30$ 926.00 IDEAL SUTURE GRASPER 60$ 926.00 GRAFT HEMSHLD STR GLD 24X15$ 927.00 C1768 ADAPTER TAPER M2A MAGNUM$ 929.00 C1713 o2A MAGNUM 42-50 TPR ADPT$ 929.00 C1776 o2A MAGNUM 52-60 TPR INSRT$ 929.00 C1776 SCREW MILAGRO INTERFE 10 X 30$ 929.00 C1713 M2A MAGNUM TAPER ADAPTER$ 929.00 C1776 M2A MAGNUM TAPER ADAPTER$ 929.00 C1776 M2A MAGNUM TAPER ADD 52-60MM$ 929.00 C1776 ADAPTER MAGNUM M2A 42-50MM$ 929.00 CT THORAX W/O CONTRAST$ 930.00 CT CHEST WO CNTRST$ 930.00 71250 CT CHEST WO CNTRST$ 930.00 71250 OB PREOP/POSTOP CARE 1ST 30MIN$ 930.00 PRE/POST CARE 1ST 30MIN$ 930.00 MICRO QUICKANCHOR PLUS SUTURE$ 931.00 C1713 FLIP CUTTER II 9MM$ 931.00 FLIP CUTTER 10MM$ 931.00 FLIP CUTTER II 8MM$ 931.00 DEVICE IBD EZ LACTORRERIN$ 932.00 PLATE FIB STRAIGHT 7 HOLE$ 932.00 C1713 MRI CARDIAC W/O CONTRAST$ 932.00 75557 MRI CARDIAC W/O CONTRAST$ 932.00 75557 RISPERDAL CONSTA2.50$ 933.00 J2794 J2794 CATH EXTEN GUIDEZILLA 6F 1.45$ 934.00 C1769 JUGGERKNOT 1.4MM SHORT W/NEEDL $ 934.00 C1713 ANCHOR CLIK$ 934.00 C1713 TIGHT ROPE BTB$ 934.00 C1713 CONNECTOR 2 MM X 15.0$ 934.00 C1713 SUTR ANCH, PEEK 4.75 X 19.1MM$ 934.00 C1713 SUTURE ANCHOR, PEEK SWIVELOCK$ 934.00 C1713 KYTRIL 1MG/ML INJECT$ 937.00 J1626 DRILL BIT 3.0$ 939.00 GUIDEWIRE ACUTRAK 4.7$ 941.00 C1769 ANCHOR BIO SWVL LCK 4.75X24.5$ 941.00 C1713 JUGGARKNOT 1.0MM MINI 3-0$ 941.00 C1713 PROF DRILL$ 941.00 LONG PROF DRILL$ 941.00 PLATE COMP BROAD STRAIGHT 7 H$ 941.00 C1713 PLATE COMP NARROW STRAIGHT 6H$ 941.00 C1713 PLATE COMP NARROW STRAIGHT 7 H$ 941.00 C1713 PLATE STRAIGHT BROAD 6 HOLE$ 941.00 PLATE STRAIGHT BROAD 5 HOLE$ 941.00 PLATE 5H COMP NARROW, STRAIGHT$ 941.00 C1713 PLATE VARIAX COMP 7 HOLE$ 941.00 C1713 PLATE VAR COMP 7 HOLE$ 941.00 C1713 SCAPEL HARMONIC ACE23E$ 942.00 DECLT INTRALMN MEC$ 943.00 36596 REAMER ANCHORAGE CP$ 945.00 SO CONNEXIN 26 DNA SEQ TEST$ 946.00 81252 MESH VENTRALEX SMALL CIRCLE$ 946.00 SUTURE ANCHOR 5.5 SWIVELOCK$ 946.00 C1713 SUTURE ANC 2.4MM HIP PEEK PL$ 946.00 C1713 PLATE L-PLATE RIGHT 40-15092$ 947.00 C1713 PLATE-T 40-15081$ 947.00 C1713 CLAMP ADJ$ 948.00 C1713 PLATE LCP 3.5MM 10H 223.601$ 948.00 C1713 AMBISOME 50MG VIAL$ 948.00 J0289 PATCH CURASOFT SM 7X6$ 949.00 C1781 ENDOCUTTER ARTICULATING$ 949.00 REAMER BARREL 8MM$ 949.00 REAMER BARREL 9MM$ 949.00 REAMER BARREL 10MM$ 949.00 REAMER ACORN 8MM$ 949.00 REAMER ACORN 9MM$ 949.00 REAMER ACORN 10MM$ 949.00 ELITEK 1.5MG VIAL$ 949.77 J2783 EXP REM FOREIGN BODY ARM/WRIST$ 952.28 25248 MICROFIX QUICKANCHOR PLUS SUT$ 954.00 C1713 MINILOR QA 2/0 OCCORD$ 954.00 C1713 DEPTH GAUGE FOR LOCK SCREW$ 954.00 MLH1 PROMOTER METHYLATION SO$ 955.00 81288 BIT DRILL CANNULATED 4.3$ 955.00 CTA COR ART W QUANTI$ 956.00 75574 GRAFT PTFE 4-7MM$ 956.00 BIT DRILL CANN 4.5MM 310.69$ 956.00 CLSD RD TRIAKL FX ML$ 957.00 27818 DEBRID FULL TCK SKIN$ 957.00 SMP WND DEHIS RP W/P$ 957.00 SHEATH DILATOR LEAD 16 FR$ 957.00 GOOSENECK SNARE$ 958.00 C1773 CLAMP 4 X 2.5$ 959.00 CLAMP 4 X 4$ 959.00 SCREW BIOCOMP TENO 4X10$ 959.00 C1713 BIOCOMP SWIVELOCK 6.25 X 15$ 959.00 C1713 BALLOON NC RANGER 9/2.5$ 962.00 BALLOON NC RANGER 9/3.0$ 962.00 C1877 BALLOON NC RANGER 9/3.5$ 962.00 C1727 BALLON OTW NC RANGER 3MMX16MM$ 962.00 BALLOON OTW NC RANGER 4MMX9MM$ 962.00 KIT ACL STRAT PACK$ 962.00 SCREW STANDARD BONE AT2-q26-S$ 962.00 C1713 SCREW STANDARD BONE AT2-q28-S$ 962.00 C1713 SCREW STANDARD BONE AT2-S20-S$ 962.00 C1713 SCREW STANDARD BONE ATS-S22-S$ 962.00 C1713 SCREW STANDARD BONE AT2-S24-S$ 962.00 C1713 SCREW STANDARD BONE AT2-S26-S$ 962.00 C1713 SCREW STANDARD BONE AT2-S28-S$ 962.00 C1713 SCREW STANDARD BONE AT2-S30-S$ 962.00 C1713 SCREW MINI BONE AT2-M26-S$ 962.00 C1713 SCREW MINI BONE AT2-M22-S$ 962.00 C1713 SCREW 24MM AT-S24-S$ 962.00 C1713 SCREW AT-1225-S$ 962.00 C1713 SCREW AT-1250-S$ 962.00 C1713 SCREW 10 MICRO BONE AT2-C10-S$ 962.00 C1713 SCREW 11 MICRO BONE AT2-C11-S$ 962.00 C1713 SCREW 12MM MICR BONE AT2-C12-S$ 962.00 C1713 SCREW 14MM MICRO BONE AT2-C14-$ 962.00 C1713 SCREW 8MM MICRO BONE AT2-C8-S$ 962.00 C1713 SCREW 9MM MICRO BONE AT2-C9-S$ 962.00 C1713 SCREW 16MM MINI BONE AT2-M16-S$ 962.00 C1713 SCREW 18MM MINI AT2-M18-S$ 962.00 C1713 SCREW MINI BONE 28MM AT2-M28-S$ 962.00 C1713 SCREW MINI BONE AT2-M30-S$ 962.00 C1713 SCREW 13MM MICRO AT2-C13-S$ 962.00 C1713 PLATE T LCP 3H 3.5MM 241.041$ 963.00 C1713 PLATE T LCP 3H 3.5MM 241.941$ 963.00 C1713 BIT DRILL CANN 5.0MM 310.63$ 963.00 ARANESP/DIALYSIS 100 MCG$ 964.80 J0882 SO HEP C VIR RNA NS3 DRUG RESI$ 965.00 87902 REMOVAL NAILBED/MATRIX$ 965.00 BTB KIT$ 965.00 PLATE LCP RECON 3.5MM 245.051$ 966.00 C1713 PLATE LCP BRD 4.5MM 7H 226.571$ 966.00 C1713 SO GENOTYPE DNA HIV REVERSE T$ 967.00 87901 GRANULE BONE GRAFT 1.4-2.8/5CC$ 967.00 C1713 TAP FOR CAN 3.5MM 311.39$ 968.00 PLATE TI LCP-TM DISTAL 442.501$ 968.00 C1713 VNS THERAPY TUNNELER 402$ 968.00 SCREW INTERFERENCE 9 X 30MM$ 969.00 C1713 SCREW INTERFERENCE 8 X 30MM$ 969.00 C1713 PLATE COMPRESSION -0.8MM 6H$ 969.00 C1713 PLATE 2.7 LCP 247.372$ 970.00 C1713 PLATE 2.7 LCP 10 HOLE 247.374$ 970.00 C1713 PLATE 2.7 LCP 7 HOLE 249.683$ 970.00 C1713 SCREW 3.2 20MM 58-30420$ 970.00 C1713 SCREW 3.2 21MM 58-30421$ 970.00 C1713 SCREW 3.2 23MM 58-30423$ 970.00 C1713 SCREW 3.2 25MM 58-30425$ 970.00 C1713 PLATE 4 HOLE 249.680$ 970.00 C1713 NERVE BLOCK$ 972.00 I & D PERIRECTAL ABS$ 974.00 46040 INSERT CVL N-TUN <5Y$ 975.00 GUIDEWIRE THUNDER .014X190 ST$ 975.00 C1769 GUIDEWIRE COUGAR 014X190$ 975.00 C1887 GUIDEWIRE ZINGER 014X180$ 975.00 BALLOON DIL PERIPH 6.5FR 16X40$ 975.00 C1727 BALLOON DIL PERIPH 7FR 18X40$ 975.00 C1727 ANCHOR BIO SWVL LCK 4.75X24.5$ 975.00 C1713 BIO SWIVELOCK 4.75$ 975.00 C1713 BLENOXANE 15 UNITS I$ 976.00 J9040 STAPLER EEA 21MM X 3.5MM$ 977.00 PLATE 2.4 LCP 249.678$ 977.00 C1713 PLATE 2.4 LCP 249.676$ 977.00 C1713 PLATE 2.4 LCP 249.674$ 977.00 C1713 BRAVO PH MONITORING$ 977.00 91035 ACL TIGHT ROPE RT$ 979.00 C1713 ARTHREX CANN DRILL 3MM ACL$ 979.00 XIGRIS 5MG INJ$ 979.00 GRAFT HEMSHLD STR 8X60$ 980.00 C1768 GRAFT HEMSHLD STR 6X60$ 980.00 C1768 JUGGERKNOT 2 ANCHOR 2.9MM$ 984.00 C1713 JUGGERKNOT 1.0 MM$ 984.00 C1713 SCREW BIO-COMPRESSION 2.7 X 20$ 984.00 SCREW BIO-COMPRESSION 3 X 18MM$ 984.00 COSMEGEN 0.5MG/3ML VIAL$ 985.34 J9120 SO CFTR GENE COM VARIANTS$ 986.00 81220 CORKSCREW COMPSITE 5.5$ 986.00 C1713 JUGGERKNOT SINGLE SZ 1 LOADED$ 986.00 C1713 IMRT PLAN$ 989.00 77301 METHYLENE BLUE 0.5% ML AMPULE$ 989.00 Q9968 CATH.BALL.DIL.MARSHL$ 992.00 C1725 BYETTA(EXENATIDE 10MCG/.04)$ 992.00 C9399 EXC BEN LES F/E/E/N/L 0.6-1 CM$ 993.00 EXC TR-EXT MLG+MARG 1.1 - 2 CM$ 993.00 EXC FACE-MM MALIG+MAR 0.6-1 CM$ 993.00 EXC FACE-MM MALIG+MAR 1.1-2 CM$ 993.00 PUNCTURE ASPIRATIO BREAST CYST$ 993.00 CLSD TX RD/UL FXW/MN$ 994.00 25565 RING POST LONG$ 995.00 INTRO CATH IN AORTA$ 996.00 36200 INQ STEE QUAD 5F FOR POINT/POI$ 996.00 PIN BUTTRESS 1.8 400.192$ 996.00 C1713 KIT PUMP REVISION SEGMENT$ 996.00 ANCHOR SUTURE SWIVELCK 4.75 X$ 996.00 C1713 TROCAR SIZE 2 T34B$ 996.00 EXTERNAL NEUROSTIMULATOR$ 996.00 REMOVAL BILIARY DRAIN CATHETER$ 997.00 NERVE DEST FACET ADD CER/THOR$ 998.00 Nerv Dest Facet Nerv Lumb ea$ 998.00 HOLMIUM FIBERS LASER 365$ 999.00 C1874 LEAD INTRODUCE TELSC 7FR 62 CM$ 1,000.00 DEBRIDE SQ TISSUE$ 1,000.00 DEBRIDE SQ TISSUE$ 1,000.00 ATTACHMENT ROD CLAMP 390.003$ 1,000.00 PROCTOSIGMOIDOSCOPY$ 1,000.00 PORT DUAL INTRO SET$ 1,001.00 C1788 PLATE-L 2.7 249.689$ 1,001.00 C1713 ALPROSTDIL 500MCG/ML$ 1,002.00 PLATE TI LCP-TM DISTAL 442.508$ 1,005.00 C1713 PLATE LCP-TM DST 2.4MM 442.500$ 1,005.00 C1713 PLATE LCP-TM DST 2.4MM 442.504$ 1,005.00 C1713 PLATE LCP-TM DST 2.4MM 442.506$ 1,005.00 C1713 INFER VENACAVA GRAM$ 1,006.00 36010 EXC BENG LESION T/A/L .5 OR LE$ 1,006.00 EXC BEN LES F/E/E/N/L <.5CM$ 1,006.00 EXC BEN LES TRUN/ARM/LEG <.5CM$ 1,006.00 EXC BEN LES F/E/E/N/L <.5CM$ 1,006.00 PARAGARD IUD$ 1,006.00 J7300 PLATE-T WIDE 8 HOLE$ 1,008.00 C1713 PLATE ROTATION 5 HOLE$ 1,008.00 C1713 PLATE T-PLATE HAND LOCK 7H 1.7$ 1,008.00 C1713 TENO 7MM W/FORK EYELET$ 1,008.00 C1713 PLATE MINI FRAG 2.3 MM T-PLATE$ 1,008.00 C1713 PLATE 7 HOLE NARROW T-PLATE$ 1,008.00 C1713 PLATE 2.3 MM 4X2 3D$ 1,008.00 C1713 PLATE STRAIGHT 16 HOLE$ 1,008.00 C1713 PLATE 2 X 2 2 HOLE 3D$ 1,008.00 C1713 PLATE 3 X 2 3 D$ 1,008.00 C1713 PLATE 3D 4 X 2$ 1,008.00 PLATE NARROW Z 13 HOLE$ 1,008.00 57-15390 STRYKER$ 1,008.00 C1713 PLATE LOCKING 1.7 8 HOLE$ 1,008.00 C1713 PLATE,PROFY HAND LOCK ROTATION$ 1,008.00 C1713 PLATE NARROW Z 9HOLE$ 1,008.00 C1713 PLATE 1.7, 3X2 HOLE$ 1,008.00 C1713 SUTURE ANC SWVKL PEEK TENO 8MM$ 1,008.00 C1713 PLATE LOCKING 2.3MM 16 HOLE$ 1,008.00 C1713 KIT ACL DISPOSABLE$ 1,014.00 REAMER SHAFT AO FITTING$ 1,018.00 COIL EMBOLIZATION 035 5X30$ 1,019.00 TISSEEL THROMBIN 2ML$ 1,020.00 C9250 PORT IMPLANTABLE VAS ACC. MINI$ 1,024.00 PORT INFUSION DUAL IMPL 10FR$ 1,024.00 FORCEP CUTTING GYRUS 5MMX33CM$ 1,024.00 FORCEP CUTTING GYRUS 10MMX15CM $ 1,024.00 SET 2.5 FEN CATH PAIN PUMP$ 1,026.00 ANCHOR MICRO CORKSCREW FT$ 1,026.00 C1713 NEEDLE TROCAR KYPHON$ 1,026.00 PLATE LCP 3.5MM 12H 223.621$ 1,028.00 C1713 SCREW BONE HERBERT 2.5MMX10MM $ 1,028.00 C1713 SCREW BONE HERBERT 2.5MMX12MM $ 1,028.00 C1713 SCREW BONE HERBERT 2.5MMX14MM $ 1,028.00 C1713 SCREW BONE HERBERT 2.5MMX16MM $ 1,028.00 C1713 SCREW BONE HERBERT 2.5MMX18MM $ 1,028.00 C1713 SCREW BONE HEBERT 2.5MMX20MM$ 1,028.00 C1713 SCREW BONE HERBERT 2.5MMX22MM $ 1,028.00 C1713 SCREW BONE HEBERT 2.5MMX24MM$ 1,028.00 C1713 DRILL BIT 4.0 702449$ 1,028.00 OXALIPLATIN 50MG VIAL$ 1,028.00 J9263 INTRAOP CYTO PATH CONSULT 1$ 1,030.00 88333 CARBOPLATIN INJECTION 50 MG$ 1,030.00 J9045 PLATE 2.0 LCP 247.362$ 1,032.00 C1713 CONNECTING ROD MRI 350MM$ 1,032.00 C1713 CONNECTING ROD MRI 300MM$ 1,032.00 C1713 INSERT BALLOON PUMP$ 1,033.00 33967 PACK DISP ASCENSION MCP STRYKE$ 1,033.00 CSD DL SHD W/NKFX WM$ 1,037.00 23675 SUTURE ANCHOR DBL 4.75MM$ 1,038.00 C1713 COMP2.6-7.5 N/FH/HFG$ 1,039.00 13132 CHIPS CANCELLOUS 30CC 1.7-10MM$ 1,039.00 C1713 MEASURE LUNG VOL THRU 2 YRS$ 1,039.68 94013 INCISION DEEP TISSUE ABSCESS$ 1,040.00 ARTHROCENTESIS INT JOINT W/US$ 1,041.00 20606 ARTHROCENTESIS INT JOINT W/ US$ 1,041.00 20606 INJ ANESTH; OTHR PERI NRV/BRAN$ 1,041.00 ARTHROCENT ASP INTERMED W/US$ 1,041.00 20606 NERVE BLOCK$ 1,041.00 CATHETER DYE STUDY$ 1,041.00 ARTHROCENTESIS INTER JOINT W/U$ 1,041.00 REAMER CONCEX XFR004222$ 1,046.00 NEBCIN 1.2GM AMP$ 1,046.00 REAMER CONCAVE XFR004222$ 1,046.00 BIT DRILL CANN 7.3MM 310.495$ 1,047.00 RELOAD STPL GIA ROTC GN 60-4.8$ 1,047.00 CUTTER 10MM AR-1204F-100$ 1,047.00 INJ OF AIR/CONTRAST PERITONE C$ 1,050.00 49400 DRILL BIT 4.3$ 1,051.00 THAM 500ML IV$ 1,051.00 BALLOON DIL PERIPH 7FR 20X40$ 1,052.00 C1727 PLATE TI LC-DCP 8H 2.0X48$ 1,053.00 C1713 REAMER RIA TUBE 520MM 314.746S$ 1,054.00 COMP2.6-7.5CME/N/L/E$ 1,055.00 13152 MIDLINE CATH >2YRS$ 1,057.00 PLATE LCP-TM DST 2.4MM 442.512$ 1,057.00 C1713 PLATE LCP-TM DST 2.4MM 442.503$ 1,057.00 C1713 PLATE LCP-TM DST 2.4MM 442.505$ 1,057.00 C1713 STAPLER ENDO PROX HENMOR CIR$ 1,058.00 DRILL BIT CANN 2.4MM$ 1,058.00 CANNULA SUBCHONDROPLASTY$ 1,058.00 DX SWIVELOCK SL W/FORKED EYELE$ 1,058.00 IVY AIR 4720$ 1,058.00 PLATE TI LCP-TM DISTAL 442.502$ 1,059.00 C1713 PLATE LCP-TM DST 2.4MM 442.511$ 1,059.00 C1713 ROD 400 X 8.0 MM 5028-8-400$ 1,059.00 C1713 BIT DRILL CANN 4.5 X 102$ 1,059.00 CATH BONANO SUPRAPUBIC$ 1,060.00 C2627 MESH VISILEX 4.5 X6 DAVOL$ 1,062.00 VENTILATOR INIT/SUP$ 1,062.00 94002 SCREW INTERERENCE 9 X 30MM$ 1,063.00 C1713 SCREW INTERFERENCE 7 X 25$ 1,063.00 C1713 SCREW CORTEX 2.4MM 401.514.96$ 1,065.00 C1713 PELLETS OSTEOSET 5CC$ 1,065.00 C1713 MESH PHYSIOMESH 10 x 10CM$ 1,065.00 C1781 CATH AND INTRO OF SALINE$ 1,065.00 58340 SO c-kit MUTA ANALYSIS, CELL-B$ 1,066.00 81404 AMNIOINFUSION$ 1,067.00 59070 EPOETIN/DIALYSIS 40,000 UNITS/$ 1,068.00 Q4081 INS CATH ABD/L-EXT ART ADDL$ 1,069.00 36248 LYMPHATIC IMAGING$ 1,069.00 78195 SNARE TRIPLE LOOP 45CM$ 1,071.00 PLATE 2.4 LCP 247.366$ 1,071.00 C1713 CHIPS CANCELLOUS 30CC 3-6MM$ 1,074.00 C1713 INJ FOR PER TX EXT PSEUDOANEUR$ 1,076.00 36002 CYTP URNE 3-5 PROBES EA SPEC$ 1,078.00 BONE MARROW ASPIRATION$ 1,078.00 CYTP URNE 3-5 PROBES EA SPEC$ 1,078.00 88120 PLATE 2.0 LCP 247.351$ 1,078.00 C1713 PLATE 2.0 LCP 247.35$ 1,078.00 C1713 PLATE T LCP 4H 3.5MM 241.161$ 1,079.00 C1713 CATH POWERFLEX BL/DL$ 1,080.00 C1725 MOPATH PROCEDURE LEVEL 2$ 1,081.00 81401 DECLT FIBRN SHTH S&I$ 1,082.00 75901 CELIAC PLEXUS INJ$ 1,082.00 INTRATHECAL CATHETER CHECK$ 1,082.00 ASPIRATION PROCEDURE$ 1,082.00 DEB/REM FB/OPN FX/SKIN & SUBQ$ 1,082.00 DEBRIDEMENT SKIN/SUB/MUSCLE$ 1,082.00 11011 COMPLEX CYSTOMETROGRAM$ 1,083.00 COMP CYSTOMETROGRAM W/VOID$ 1,083.00 COMP CYSTO W VOID PRESS$ 1,083.00 PLATE LCP NARR 4.5 #224.561$ 1,083.00 C1713 SUTURE SL TEN BIO-COMP 7X19.5$ 1,083.00 C1713 AR-7324-PSL$ 1,083.00 C1713 SO MICROSATELLITE INSTABILITY$ 1,085.00 81301 BIOCOMPOSITE SUTURE TAK 3.0$ 1,086.00 PUSHLOCK COMPOSITE 3.5$ 1,088.00 2.9 PUSHLOCK AR-1923BC$ 1,088.00 PLATE T LCP 3H 3.5MM 241.071$ 1,089.00 C1713 VENOGRAM RT$ 1,091.00 75820 VENOGRAM LT$ 1,091.00 75820 VENOGRAM RT$ 1,091.00 75820 VENOGRAM LEFT$ 1,091.00 75820 DPLX EXT STDY VEINS COMP BILAT$ 1,093.00 93970 UNITRAX C-TAPER SLEEVE 6942-7-$ 1,093.00 C1776 UNITRAX C-TAPER SLEEVE 6942-7-$ 1,093.00 C1776 UNITRAX C-TAPER SLEEVE 6942-7-$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 41MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 42MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 43MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 44MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 46MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 47MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 48MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 51MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 52MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 53MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 54MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 55MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 56MM 69$ 1,093.00 C1776 UNITRAX MOD. ENDO HEAD 58MM 69$ 1,093.00 C1776 VENOUS DUPLEX BILATERAL$ 1,093.00 93970 PLATE LCP DISTAL 2.4MM 442.477$ 1,094.00 C1713 PLATE LCP-TM DST 2.4MM 442.490$ 1,094.00 C1713 RING TRANSJUGULART 16GAX52CM$ 1,095.00 C1729 SCREW INTERFERENCE 10 X 30$ 1,095.00 C1713 SCREW INTERFER 905262$ 1,095.00 C1713 SO ELECTRON MICROSCOPY$ 1,096.00 88348 C315HIS02 MEDTRONIC$ 1,096.00 C1887 SO AARAY-BASED MULT MOLE PROBE$ 1,097.00 88399 ARANESP SYRNGE 60MCG$ 1,097.00 J0881 THROMBIN TOP. SPRAY$ 1,097.00 ACUITY LEVEL IV$ 1,100.00 99284 MCD ED LEVEL IV$ 1,100.00 99284 PLEURODESIS$ 1,100.00 PLATE LCP-TM DST 2.4MM 442.479$ 1,101.00 C1713 PLATE LCP NRW 4.5MM 8H 224.581$ 1,101.00 C1713 KIT STERILE 3.0MM PACKED INST$ 1,101.00 EXC BEN LES TR/AR/LE 1.1 / 2CM$ 1,106.00 EXC BEN LESION 1-2 CM$ 1,106.00 11402 REMOVAL MOLE < .5$ 1,106.00 11400 EXC BLESN T/A/L1.1-2$ 1,106.00 I&D EAR ABSCESS SMPL$ 1,106.00 BIOPSY VESTIBLUE MOUTH$ 1,106.55 40808 BIOPSY OF EXTERNAL EAR$ 1,106.55 69100 DEBRID MASTOIDEC COMPLX W/ANTH$ 1,106.55 69222 TYMP W/PE TUBES W LOC OR TOP A$ 1,106.55 69433 BIOPSY VESTIBULE MOUTH$ 1,106.55 40808 REPAIR NAILBED$ 1,107.00 BIT DRILL CANN 3.2MM 310.65$ 1,108.00 BIT DRILL CANN 4.5MM 310.66$ 1,108.00 RELIANT STENT GRAFT REL46$ 1,108.00 RESORBABLE BILAYER COLL MEMBRA$ 1,108.00 GRYPHON P BR SINGLE ANCHOR$ 1,111.00 C1713 GRAFT PTFE 6X80$ 1,112.00 C1768 SCAPEL HARMONIC ACE36E$ 1,113.00 URETERAL REFLEX STUDY$ 1,113.00 78740 INJECT CYSTOGRAM$ 1,113.00 78740 NEORAL ORAL SOLUTION$ 1,114.00 GUIDE LINER 6 FR 20 CM$ 1,118.00 SCREW HEADLESS 2.4 X 17 LG THR$ 1,118.00 C1713 INT REP HFNG 2.6-7.5$ 1,119.00 TRACHEOSTOMY PROC.$ 1,120.00 SHEATH STEERABLE 6F MED CURL$ 1,121.00 RESECTION OXFORD 3/PK 506124$ 1,121.00 SCREW COMPOSITE 8 X 23$ 1,121.00 C1713 SCREW COMPOSITE 6.25 X 15$ 1,121.00 C1713 SCREW TENODESIS COMPOSITE 7 X$ 1,121.00 C1713 HIP ARTHOSCOPY MSTR DIS KITW/B$ 1,121.00 MUGA SCAN$ 1,122.00 78472 78472 COIL FIBERED 18 HELICAL$ 1,124.00 RENOGRAM W/MED$ 1,124.00 78708 RENOGRAM W/MED MULTI$ 1,124.00 78709 TRAY CHOLECYSTECTOMY TNC61$ 1,125.00 MESH SKIRTED TACSHLD CQUR 4X6$ 1,125.00 C1781 NEEDLE FAST-FIX 360 CURVED$ 1,125.00 PLATE CALCANEAL 60MM 241.61$ 1,126.00 C1713 DRILL BIT 3.5$ 1,128.00 BIT DRILL CANN 3.5MM 310.68$ 1,128.00 NEEDLE CURVED 10G$ 1,128.00 GRAFT HEMSHLD BIFUR 18X9X40$ 1,129.00 C1768 BOLT GRAFT 9MM$ 1,130.00 C1713 GRAFT BOLT 10MM$ 1,130.00 C1713 GRAFTBOLT TIBIAL 8MM$ 1,130.00 C1713 SCREW BIO-COMPRESSION$ 1,130.00 C1713 SCREW BIO-COMPRESSION 3. X 16$ 1,130.00 C1713 TAP 311.630$ 1,131.00 PLATE DIST RAD STRAIGHT 242.47$ 1,131.00 C1713 EXC BEN LES T/A/L .6 TO 1CM$ 1,132.00 EXC BLES T/A/L .6-1C$ 1,132.00 ISOPROTERENOL 1MG/5ML AMPULE$ 1,132.28 RPR COMPLX TRNK 1.1-2.5 CM$ 1,132.75 13100 RPR COMPLX EY/N/E/LP 1.1-2.5CM$ 1,132.75 13151 DUETT CLOSURE DEVICE$ 1,133.00 C1760 MESH VENTRALEX MD CIRCLE$ 1,133.00 RABIES IMMUN GLOBULN$ 1,133.00 90376 GRYPHON P BR DOUBLE ANCHOR$ 1,135.00 C1713 TRANSCATH THRPY/EMBO$ 1,136.00 75894 2D TTE W/WO FOL W/CON FU$ 1,136.00 C8924 INJECT VCUG$ 1,137.00 PLATE COMPRESS 6HOLE$ 1,145.00 C1713 PLATE LCP 2.7 249.680$ 1,145.00 C1713 PLATE LCP 2.7 247.372$ 1,145.00 C1713 PLATE LCP 2.7 249.683$ 1,145.00 C1713 PLATE LOCKING 2.7 4 HOLE$ 1,145.00 C1713 EXC BLESN SNHFG.6-1C$ 1,146.00 EXC BLESN SNHFG.6-1C$ 1,146.00 INTRON 18MMU/1 ml$ 1,146.00 J9214 OPN PHALNG SHFT/STC$ 1,147.00 SCREW CANN 3.2 X 18MM$ 1,148.00 C1713 REMOVAL STIM GENERAT$ 1,148.00 PLATE CALCANEAL 70MM 241.62$ 1,150.00 C1713 PLATE LCP NRW 4.5MM 7H 224.571$ 1,150.00 C1713 CL TX TIB SHFT FX W MANI$ 1,151.00 27252 REPOSITION CVL CATH$ 1,152.00 36597 G.I. BLEEDING SCAN$ 1,152.00 78278 INS PICC, AGE 5 YRS/>$ 1,152.00 I&D PERIRECTAL ABSCE$ 1,153.00 PLATE DIST RAD L-PLATE 242.500$ 1,153.00 C1713 PLATE DIST RAD L-PLATE 242.502$ 1,153.00 C1713 PLATE DIST RAD L-PLATE 242.511$ 1,153.00 C1713 PLATE DIST RAD L-PLATE 242.508$ 1,153.00 C1713 PLATE DIST RAD L-PLATE 242.506$ 1,153.00 C1713 PLATE DIST RAD L-PLATE 242.504$ 1,153.00 C1713 HARMONIC FOCUS 9CM COAG SHEARS$ 1,154.00 BALOON DILAT PERIP VIATRAC 14$ 1,155.00 CATH PER. DIAL14 5MMX20MM 135C$ 1,155.00 C1876 CATH PER. DIAL14 6MMX20MM 80CM$ 1,155.00 C1876 CATH PER. DIAL14 7MMX20MM 135C$ 1,155.00 CATH PER. DIAL14 7MMX15MM 80CM$ 1,155.00 FORCEP REDUCTION W/POINT$ 1,155.00 KIT TIGHT ROPE SYNDESMOSIS$ 1,155.00 TRITIS BIO 8X30$ 1,155.00 C1713 TRITIS BIO 11X30$ 1,155.00 C1713 TRITIS BIO 12X30$ 1,155.00 C1713 STRATIS BIO 9X25$ 1,155.00 C1713 STRATIS BIO 10X25$ 1,155.00 C1713 TITAN ASSEMBLY KIT$ 1,155.00 TIGHTROPE SYNDESMOSIS REP KIT$ 1,155.00 C1713 CANCELLOUS-CRUSHED GRAFT 30 CC$ 1,155.00 C1713 CURRETTE IVAS 10G$ 1,156.00 CURETTE KYPHO 11 G$ 1,156.00 MUSCLE COMPART MONIT$ 1,159.00 CLOSED RED D-RADIUS$ 1,159.00 25605 WOUND EXPL EXTREMITY$ 1,159.00 BLOCK DIGITAL$ 1,159.00 J-WIRE PLACEMENT RT$ 1,159.00 19281 J-WIRE PLACEMENT LT$ 1,159.00 19281 J-WIRE STEREO PLACEMENT RT$ 1,159.00 19283 J-WIRE STEREO PLACEMENT LT$ 1,159.00 19283 J-WIRE PLACEMENT LT$ 1,159.00 DIRECT ADMIT HOSPITAL OBSERV$ 1,159.00 G0379 MUSCLE COMPART MONIT$ 1,159.00 20950 LEUKINE 250 MCG VIAL$ 1,159.00 J2820 US J-WIRE PLACEMENT RT$ 1,159.00 19285 US J-WIRE PLACEMENT LT$ 1,159.00 19285 ASPIRTION/INJCTION MAJOR JOINT$ 1,159.00 EXCISION CALLUS >4 L$ 1,160.00 11057 11057 NEUPOGEN 300 MCG$ 1,161.00 J1442 2102-2101$ 1,162.00 C1763 PLEURX PERIT CATH KI$ 1,163.00 CUTTER CURVED CONTOUR$ 1,163.00 BRONCHOSCOPY W/DILATATI/STENT$ 1,163.00 ARTERIAL DOPPLER-BILATERAL$ 1,164.00 93925 DUPLX LOW EX ART/BYPAS BILAT$ 1,164.00 93925 ART. DUPLEX BILAT$ 1,164.00 93925 BONE SPECT$ 1,164.00 78320 TAP FOR CAN 4.5MM 311.59$ 1,165.00 PLATE STRAIGHT FIBULA VARIAX$ 1,165.00 C1713 PLATE VARIAX STRAIGHT 5H$ 1,165.00 C1713 PLATE VARIAX STRAIGHT 2 HOLE$ 1,165.00 C1713 PLATE 4H VARIAX FIBULA STRAIG$ 1,165.00 C1713 PLATE VARIAK STRAIGHT 8H$ 1,165.00 C1713 PLATE FIBULA STRAIGHT 6 HOLE$ 1,165.00 C1713 PERICARDIOCNTIS INIT$ 1,166.00 33010 PERICARDIOCENTESIS$ 1,166.00 CLAMP BODY 2 NUTS 393.44$ 1,168.00 BREAST BX NEDLE CORE$ 1,169.00 GUIDE DRILL UNV 3.5MM 323.36$ 1,170.00 PUTTY DBX BONE 2.5CC$ 1,170.00 C1713 GRAFT VASCULAR HEMAGARD 12X40$ 1,170.00 C1768 GRAFT VASCULAR HEMAGARD 14MM$ 1,170.00 C1768 PLATE ADAPTATION 2.7 12HOLE$ 1,171.00 C1713 RUSH PIN HOWMEDICA$ 1,173.00 C1713 REAMER CANNULATED 8MM$ 1,173.00 INT REP HFNG 2.6-7.5$ 1,175.00 PLATE LCP RECON 3.5MM 245.071$ 1,175.00 C1713 SILAPT 5MM$ 1,175.00 GRAFT VASC ADVANTA 5 X 80$ 1,176.00 C1768 TIBIAL INSERT SZ5 MAKO ONLAY$ 1,176.00 C1776 PLATE DISTAL RAD L$ 1,177.00 C1713 PUSHLOCK MINI AR-8825P$ 1,180.00 PLATE T 3H/7H 2.0$ 1,181.00 C1713 ROD TO PIN COUPLING$ 1,181.00 C1713 PLATE TI LCP-TM DISTAL 442.509$ 1,182.00 C1713 PLATE LCP-TM DST 2.4MM 442.507$ 1,182.00 C1713 PLATE DISTAL RAD L$ 1,182.00 C1713 NEEDLE FAST-FIX ST DEL SYS 360$ 1,182.00 CT UPPER EXT W/O CONTRAST$ 1,183.00 PLATE OBLIQUE 2.4 X 42 2H$ 1,183.00 C1713 GRAFT STRUT CRT FM 20X200MM$ 1,184.00 C1762 FLUDARA 50MG INJECTI$ 1,185.00 J9185 PIN TO ROD COUPLINGS$ 1,186.00 C1713 PLATE 8 HOLE LOCK RECON$ 1,186.00 C1713 STAPLER 31MM 111989$ 1,187.00 NEEDLE, FAST FIX 360, REVERSE$ 1,187.00 TISSUE EXAM BY PATHOLOGIST$ 1,188.00 88307 PLATE 1/3 RECON 4 H$ 1,188.00 C1713 PLATE DIST RAD T-PLATE 242.477$ 1,191.00 C1713 PLATE DIST RAD STRAIGHT 242.49$ 1,191.00 C1713 NERVE DST FAC NERVE LUMBAR$ 1,191.00 Botox Inject ea add 1-4 muscle$ 1,191.00 Botox Inject 1 Ext > 5 muscle$ 1,191.00 Botox Inj 1 Ext ea add > 5$ 1,191.00 Botox Inject Trunk Muscle 1-5$ 1,191.00 Botox Inject trunk Muscle >6$ 1,191.00 Chemodenervat Muscle innverted$ 1,191.00 Destr Neuro ag other peri nerv$ 1,191.00 SO MOLB-B CELL REARRANGEMNT$ 1,191.06 PLATE DHS 140 DEG 281.25$ 1,192.00 C1713 SHAFT SCRWDRVR 1.5MM 313.993$ 1,192.00 CHIPS CANCELLOUS 4-9.5MM 30CC$ 1,193.00 C1713 PLATE LCP BRD 4.5MM 9H 226.591$ 1,193.00 C1713 GRAFT HEMSHLD STR 10X60$ 1,194.00 C1768 REPLACE G-TUBE/C-TUBE PERCUTAN$ 1,196.00 49450 COMP RP S/A/L1.1-2.5$ 1,197.00 DRILL GUIDE 2.0 323.061$ 1,197.00 T-HANDLE REAMER 3.8$ 1,197.00 MECH REMOVAL OBS MAT FROM TUBE $ 1,199.00 49460 CATH LEAD 9 FR 51 CM$ 1,199.00 PCK FINAL CPS 7 FR 47CM$ 1,199.00 HEALIX ADV 5.5 TRIPLE ANCHOR$ 1,199.00 C1713 HEALIX ADV 6.5 TRIPLE ANCHOR$ 1,199.00 C1713 ECHOCARDIOGRAM$ 1,200.00 93306 ECHO TRANTHOR W/O SPEC/COLOR F$ 1,200.00 93306 ECHO TRANTHOR 2D CARDIO STRS T$ 1,200.00 93350 SO CYTOGENOMIC CONS MICRO ANA$ 1,200.00 81229 PLATE LCP RECON 3.5MM 245.061$ 1,200.00 C1713 SCREW HEADLESS 20MM$ 1,200.00 C1713 STRESS ECHO$ 1,200.00 93350 STRESS ECHO W EKG W SUPERVISIO$ 1,200.00 93351 ECHO, 2D/M MODE$ 1,200.00 93306 TAXOTERE 20MG INJ$ 1,200.00 J9171 SINGLE USE OATS SEAT 10 MM$ 1,201.00 GRAFT 8 MM OATS$ 1,201.00 SINGLE USE OATS SET 6MM$ 1,201.00 PLATE DHS 135 DEG 281.14$ 1,202.00 C1713 PLATE DHS 135 DEG 281.15$ 1,202.00 C1713 PLATE DHS 135 DEG 281.16$ 1,202.00 C1713 PLATE DHS 140 DEG 281.26$ 1,202.00 C1713 PLATE DHS 145 DEG 281.35$ 1,202.00 C1713 PLATE DHS 145 DEG 281.36$ 1,202.00 C1713 CARTRIDGE CURVTEK 22MM XLG$ 1,202.00 PLATE DHS 150 DEG 281.45$ 1,202.00 C1713 PLATE DHS 150 DEG 281.46$ 1,202.00 C1713 PLATE DHS 140 DEG 281.66$ 1,202.00 C1713 PLATE DHS 145 DEG 281.75$ 1,202.00 C1713 PLATE DHS 150 DEG 281.84$ 1,202.00 C1713 PLATE DHS 150 DEG 281.85$ 1,202.00 C1713 PLATE DHS 150 DEG 281.86$ 1,202.00 C1713 SCREW LAG GAMMA3 10.5X70$ 1,202.00 C1713 SCREW GENTLE THREADS INTER$ 1,203.00 C1713 GRAFT, VAS 8X40 ADVANTA$ 1,203.00 C1768 CICA CARE$ 1,204.00 CABLE / CRMP 1.7MM 298.801.01S$ 1,204.00 C1713 CABLE / COCR 1.7MM 611.105.01S$ 1,204.00 HEALIX 3.4 BR ANCHOR$ 1,204.00 C1713 LUNG/VENT/PERF 1/MLT$ 1,204.00 78582 I 131 DX 5 MCI$ 1,205.00 A9528 DISK LAPAROSCOPIC LD1115$ 1,206.00 BALLOON COYOTE PTA 4FR 3.00 X$ 1,207.00 C1725 BALLOON COYOTE PTA 4FR 4.00 X$ 1,207.00 C1725 INT REP HFNG7.6-12.5$ 1,209.00 PLATE ADAPTION 12 HOLE 247.370$ 1,209.00 C1713 COMP2.6-7.5CME/N/L/E$ 1,210.00 COMP REPEYE,NO,EAR,LIP 2.6-7.5$ 1,210.00 PLATE VARIAX STRAIGHT 10 HOLE$ 1,210.00 C1713 SUTURE ANCHOR 2.9 L-15$ 1,210.00 C1713 ECHO, T.E.E.$ 1,210.00 93312 CURETTE 10 G 0306-620-000$ 1,210.00 PATCH CURASOFT LG 11X8$ 1,212.00 C1781 PLATE LCP DISTAL 2.4MM 442.478$ 1,212.00 C1713 GRAFT VASCULAR HEMASHIELD 14X3$ 1,212.00 C1768 GRAFT VASCULAR HEMASHIELD 16X3$ 1,212.00 C1768 PORT GELPORT (ONLY)$ 1,213.00 CATH PLEURX (ONLY) PLEURAL$ 1,213.00 C1729 GRAFT HEMSHLD BIFUR 24X12X40$ 1,214.00 C1768 GRAFT HEMSHLD BIFUR 20X10X40$ 1,214.00 C1768 GRAFT HEMSHLD BIFUR 14X7X40$ 1,214.00 C1768 GRAFT HEMSHLD BIFUR 12X7X40$ 1,214.00 C1768 PLATE DISTAL RAD L$ 1,214.00 C1713 PLATE DISTAL RAD L$ 1,214.00 C1713 PLATE L DISTAL RAD LCP 2.4$ 1,214.00 C1713 PLATE METACARPAL 5TH$ 1,214.00 C1713 PLATE STRAIGHT 10 HOLE 1.3 MM$ 1,215.00 C1713 PLATE ROLANDO FX HOOK 1.3$ 1,215.00 PLATE COMPRESSION 1.3 MM 6 H$ 1,215.00 C1713 FIXATION WASHERLOC TISSUE$ 1,216.00 C1713 REGRANEX .01% GEL$ 1,216.00 TISSUE FIX WASHLOC 16MM$ 1,217.00 C1713 SCREW, LAG HEXALOBE 2.3X16MM$ 1,217.00 C1713 HEALIX ADV 4.5 DOUBLE ANCHOR$ 1,218.00 C1713 HEALIX ADV 5.5 ANCHOR$ 1,218.00 C1713 HEALIX ADV 6.5 DOUBLE ANCHOR$ 1,218.00 C1713 GASTRIC EMPTY SCAN$ 1,218.00 78264 DIRECT LARYNGOSCOPY$ 1,218.00 US OF SPINE$ 1,218.00 76800 76800 REPL DUODEN/J-TUBE W/FLUOR$ 1,219.00 49451 CATH BALLOON #611765$ 1,219.00 C1725 CATH BALLOON #611761$ 1,219.00 C1725 CATH BALLOON #611757$ 1,219.00 C1725 CATH BALLOON #611753$ 1,219.00 C1725 COMP REP FACE1.1-2.5$ 1,219.00 COMP REP FACE1.1-2.5$ 1,219.00 GRAFT 5MM OATS$ 1,219.00 GRAFT 6MM OATS$ 1,219.00 BALLOON DIL PERIPH 10FR 22X40$ 1,219.00 C1727 PLATE LCP RECON 3.5MM 245.081$ 1,220.00 C1713 SCREW ACUTRAK AT-2C30 30MM$ 1,220.00 C1713 NRG TRANSSEPTA NEEDLE EEPROM$ 1,220.00 NRG TRANSSEPTAL NEEDLE EEPROM$ 1,220.00 PERITONEAL PLEUREX CATH KIT$ 1,221.00 C1729 PLATE CURVED 4 HOLE$ 1,221.00 C1713 PLATE 3.5 RECTANGULAR$ 1,221.00 C1713 SCREW ACUTRAK II 4.7 X 45MM$ 1,222.00 C1713 SCREW ACUTRAK II 4.7 X 35$ 1,222.00 C1713 GRAFT HEMSHLD 24X30$ 1,224.00 C1768 GRAFT HEMSHLD 26X30$ 1,224.00 C1768 GRAFT HEMSHLD 28X30$ 1,224.00 C1768 GRAFT HEMSHLD 30X30$ 1,224.00 C1768 GRAFT HEMSHLD 32X30$ 1,224.00 C1768 PERMACOL MESH 5 X 5 X 1$ 1,224.00 C9364 AMS 700 ACCESSORY KIT$ 1,224.00 OCTAGAM 5% 5GM VIAL$ 1,224.00 J1568 GRAFT VASCULAR ULTRAMAX 8X100$ 1,226.00 C1768 BRONCH W/TRAN NDL BX$ 1,227.00 CLOSED TX TIB SHAFT FX$ 1,228.00 27752 SHAFT SCREW DRVER T6$ 1,229.00 TROCAR SILS 5.12MM$ 1,231.00 MYOCARDIAL SPECT SINGLE STUDY$ 1,231.00 78451 COSEAL 4ML$ 1,232.00 4.5 VITAGEL$ 1,232.00 C1713 MRI BREAST SNGL DUCT$ 1,232.00 77053 MRI BREAST SNGL DUCT$ 1,232.00 77053 PCKL LEAD TENDRIL 2088TC/58$ 1,233.00 C1898 PCKL LEAD TENDRIL STS 1 2088TC$ 1,233.00 C1898 VERSAJET HNDPC EXCT 45DEG 14MM$ 1,233.00 PREVENA DRESSING ORTHO$ 1,233.00 KIT KNEE CARTILAGE BIOPSY$ 1,233.00 BIO-GLIDE 40 X 50$ 1,233.00 C1763 PREVENA NEG PRESS DRESS$ 1,233.00 A6550 CEM GUN AND BONE FILLER SZ 3$ 1,233.00 INTERFERON 3 MMU (EA$ 1,234.00 J9214 Z-MED II BALL DIL CATH PDZ653$ 1,235.00 Z-MED II BALL DIL PDZ657$ 1,235.00 Z-MED II BALL DIL CATH PDZ661$ 1,235.00 Z-MED II BALL DIL CATH PDZ765$ 1,235.00 K-WIRE 1.4 #702495$ 1,235.00 C1713 LABOR/DELIVERY/RECOV 1ST HR$ 1,235.00 STREPTASE IV 750MU$ 1,235.00 J2995 PLATE 8 HOLE$ 1,236.00 C1713 FMT FMP250$ 1,236.00 J3590 BALLOON STENT GORE Q50-65P$ 1,238.00 CLS TX NOSE$ 1,239.00 MESH SM CIRCLE KUGEL$ 1,239.00 DRILL BIT CANN TP 11MM 357.404$ 1,239.00 PLATE L-PLATE DIST RAD 90 2.4$ 1,240.00 C1713 PLATE 1/3 RECON 6H$ 1,240.00 C1713 SO CYTOCHROME P450 2D6 GENOTYP$ 1,241.00 81226 DIALYSIS PERITONEAL REPEAT EVA$ 1,241.00 PEGASYS 180UG SYRINGE$ 1,242.00 PLATE 2.7 LCP 5 HOLE 249.681$ 1,243.00 C1713 PELLETS OSTEOSET 10CC$ 1,244.00 FASCIALATA TUTTO PLAST 2CMX7CM$ 1,244.00 CURVTEK MED$ 1,244.00 CABLE WITH CRIMP 1 X 750$ 1,244.00 GUIDEWIRE, LUNDERQUIST 260 CM$ 1,245.00 C1769 PLATE DIST RAD T-PLATE 242.478$ 1,245.00 C1713 LEAD TRIAL PERCUTANEOUS 3778-7$ 1,245.00 C1778 LEAD TRIAL SUB COMPACT 60CM$ 1,245.00 C1778 SCREW BIO-COMPRESSION$ 1,245.00 C1713 LEAD TRIAL MRI 1 X 8 60 CML$ 1,245.00 C1897 CATH ASCENDA REVISION-INTRASPI$ 1,245.00 C1755 ANTENNA WEARABLE-NEUROSTIMULAT$ 1,245.00 MCK CONSUMABLE KIT (ORTHO)$ 1,245.00 PF CONSUMABLE KIT (ORTHO)$ 1,245.00 TOTAL KNEE CONSUM KIT (ORTHO)$ 1,245.00 TOTAL HIP CONSUM KIT (ORTHO)$ 1,245.00 REPAIR CVL W/O PT/PM$ 1,247.00 36575 REMOVAL PLEURAL CATHETER$ 1,247.00 32552 CARDIAC PROCEDURE-UNLISTED$ 1,247.00 33999 EXTERNAL PACING ER$ 1,250.00 92953 PLATE DORSAL 2480-01$ 1,250.00 C1713 PLATE DORSAL 2480-02$ 1,250.00 C1713 PLATE DORSAL 2480-03$ 1,250.00 C1713 PLATE DORSAL 2480-04$ 1,250.00 C1713 DRILL BIT 4.9 #702601$ 1,250.00 CATH BALLOON DIATION 80 CML$ 1,250.00 CATH BALLOON DILATION 110 CML$ 1,250.00 CODE BLUE/NEONATE$ 1,250.00 99465 BOTOX INJECTION$ 1,251.00 PLATE T LCP 3H 3.5MM 241.171$ 1,252.00 C1713 DRILL BIT 310.221$ 1,252.00 MYELOGRAPHY, 2 LEVELS$ 1,252.00 62305 PUSHLOCK COMPOSITE 4.5$ 1,254.00 C1713 PLATE Y CALCANEAL 87MM 241.65$ 1,256.00 C1713 GRAFT VASCULAR HEMASHIELD 24X3$ 1,256.00 C1768 BLADE TI HELICAL 11MM 456.308$ 1,257.00 C1713 DRAINAGE NOSE LESION$ 1,258.00 PROBE LITHOCLAST ULTRA 3.8X330$ 1,259.00 PROBE LITHOCLAST ULTRA 3.8X403$ 1,259.00 PLATE DHS 135 DEG 281.12$ 1,261.00 C1713 PLATE DHS 4H 140 DEG 281.24$ 1,261.00 C1713 TRIAL DRESSING VERAFLO MEDIUM$ 1,262.00 PLATE LCP RECON 3.5MM 245.101$ 1,264.00 C1713 PLATE STRAIGHT 12 HOLE$ 1,265.00 C1713 ECCENTER TI #5413-20/5$ 1,268.00 C1713 CABLE UMBILICAL$ 1,270.00 CLIP SMALL 9MM 40 CLIPS$ 1,270.00 CATHETER EXTRACT PRONTO 6F 046$ 1,270.00 EXTENSION NEURO STIM KIT$ 1,270.00 C1883 STENT COR BMS INT OTW 3.0 X 22$ 1,271.00 C1874 STENT CORO BMS INT RX 2.25X22$ 1,271.00 C1876 STENT CORO BMS INT OTW 2.25X22$ 1,271.00 C1876 STENT CORO BMS INT RX 2.25X26$ 1,271.00 C1876 STENT CORO BMS INT RX 2.5X22$ 1,271.00 C1876 STENT CORO BMS INT OTW 2.5X26$ 1,271.00 C1876 STENT CORO BMS INT RX 2.75X22$ 1,271.00 C1876 STENT CORO BMS INT RX 3.0X22$ 1,271.00 C1876 STENT CORO BMS INT RX 4.0X22$ 1,271.00 C1876 STENT RX CORONARY INT$ 1,271.00 PKS CUTTING FORCEPS W/9-PIN$ 1,271.00 SCREW HEADLESS COMPRESS 3.5 X$ 1,271.00 C1713 PLATE DISTAL THIRD LEFT$ 1,271.00 C1713 MESH PRIMATRIX 18MM DISC$ 1,271.00 Q4110 EEG OVERNIGHT$ 1,273.00 95827 DISK LAPAROSCOPIC LD112$ 1,273.00 PLATE LCP NRW 4.5MM 9H 224.591$ 1,273.00 C1713 NEUPOGEN 480 MCG$ 1,273.00 J1442 MRA ABDOMEN WITHOUT CONTRAST$ 1,274.00 74185 ELECTRON MICROSCOPY$ 1,275.00 88348 CATH EP DECAPOLAR 6FR 115CM$ 1,276.00 C1730 CATH EP DUO-DECA 7FR 95CM$ 1,276.00 C1731 PLATELETS, PHERES LEUKO,RD EA$ 1,277.00 P9035 PLATELET PHERESIS LEUKO RD, EA$ 1,277.00 P9035 PLATE LCP RECON 3.5MM 245.121$ 1,277.00 C1713 GRAFT GORE-TEX STRE VAS 12X30$ 1,277.00 C1768 GRAFT GORE-TEX STRE VAS 14X30$ 1,277.00 C1768 GRAFT GORE-TEX STRE VAS 16X30$ 1,277.00 C1768 RING CLAMPS$ 1,278.00 PYELOGRAM (IVP)$ 1,279.00 74400 IVP/TOMOS$ 1,279.00 74400 VALVE PROT MINI TITANIUM VAXCE$ 1,280.00 C1727 GRAFT 7MM OATS$ 1,280.00 GRAFT 8MM OATS$ 1,280.00 GRAFT 9MM OATS$ 1,280.00 GRAFT 10MM OATS$ 1,280.00 PLATE COMPRESS BROAD CURVED 9H$ 1,282.00 C1713 PLATE BROAD STRAIGH COMP 8HOLE$ 1,282.00 C1713 PLATE STRAIGHT NARROW COMP 9H$ 1,282.00 C1713 PLATE VAR COMP NAR,ST8,8HOLES$ 1,282.00 C1713 STAPLER ROTIC 55 POLY 200$ 1,283.00 CATHETER SELECTSITE GLOBAL$ 1,283.00 PERSONAL THERAPY MANAGER$ 1,283.00 C1713 PLATE 2.4 LCP 249.679$ 1,284.00 C1713 CARDIOVERSION$ 1,285.00 92960 CHG NEPHROSTOMY TUBE$ 1,286.00 BLADE SPIRAL RETRO 04.013.046$ 1,289.00 NEEDLE CABLE W/CLAMP 1.0 MM TI$ 1,289.00 CARDIOVERSION$ 1,290.00 92960 CARDIOVERSION$ 1,290.00 CARDIOVERSION EXTERN$ 1,290.00 92960 CT GUIDED PLACEMENT$ 1,292.00 77012 AMP FING/THMB ANY JT$ 1,292.00 26951 BONE SCAN WHOLE BODY$ 1,293.00 78306 FIBERS LASER HOLMIUM 550$ 1,295.00 MESH PVPM VENTRAL PATCH$ 1,295.00 C1781 PLATE FIBULA STRAIGHT 14 HOLE$ 1,297.00 C1713 VENOGRAM BILATERAL$ 1,298.00 75822 BLADE HELICAL TI 11MM 456.302$ 1,298.00 C1713 BLADE TI HELICAL 11MM 456.301$ 1,298.00 C1713 INTRAVAS DOPPLER VELOCITY$ 1,300.00 93571 PLATE DHS SHORT BARREL 4HOLE$ 1,300.00 C1713 PLATE BARREL 145DEG 4H$ 1,300.00 C1713 PLATE BARREL 150DEG 4H$ 1,300.00 C1713 SHOLE PIN CLAMP$ 1,301.00 C1713 PLATE STANDARD BARREL HIP$ 1,303.00 C1713 2ND ORDER THORACIC$ 1,304.00 36216 INDURA CATHETER 5.64$ 1,305.00 C1755 GRAFT VASCULAR HEMASHIELD 28X3$ 1,305.00 C1768 KIT CANNULA PONTO MIPS 4MM$ 1,305.00 EPIDURAL INJ BL PTCH ER$ 1,306.00 PLATE BARREL HIP OMEGA 4 HOLE$ 1,306.00 C1713 PLATE BARREL HIP 12 HOLE$ 1,306.00 C1713 PLATE OMEGA BARREL HIP 2H 130D$ 1,306.00 C1713 PLATE HIP BARREL 3H$ 1,306.00 C1713 PLATE 140 DEGREE 2 HOLE$ 1,306.00 C1713 HIP BARREL STNDRD KYD 130 3 H$ 1,306.00 C1766 597028S $ 1,306.00 C1713 597004S STRYKER$ 1,306.00 C1713 PLATE STANDARD BARREL HIP$ 1,306.00 C1713 DEBRIDE MUSC/FAS 20 SQ CM$ 1,307.00 11043 DEBRIDE WOUND MUSCLE$ 1,307.00 11043 DEBRID SQ TIS/MUSCLE$ 1,307.00 CANCIDAS 70 MG INJ$ 1,309.00 J0637 CANCIDAS 50 MG INJ$ 1,309.00 J0637 PLATE SHRT BRL 2H 135DEG 46MM$ 1,310.00 C1713 PET FDG PER DOSE$ 1,311.00 A9552 Inj Anesth Agent, Lumbar/Thora$ 1,312.00 Inj Anesth Agent Celiac Plexus$ 1,312.00 CT ANGIOGRAPHY ABD ARTERIES$ 1,314.00 DRILL BIT ASNIS 702611$ 1,314.00 CLSD TX FNG/THMB W/M$ 1,316.00 EPI INJ SGL DIA/THER$ 1,318.00 SCREW ACUTRAK 2 7.5 X 55$ 1,319.00 C1713 KNEE FEMORAL DISTAL BLOCK LGE$ 1,320.00 C1776 14 HOLE COMPRESSION PLATE$ 1,321.00 C1713 OXFORD RESECTION 3/PK BLADES$ 1,322.00 KIT DISP TUBRICLE OSTEOTOMY$ 1,324.00 CORVERT 1MG/10ML$ 1,324.00 J1742 CTA ABD/PELVIS W & W/O CONTRAS$ 1,325.00 74174 GAMASTAN 10ML VIAL$ 1,325.00 J1560 CTA ABD & PELVIS W&W/O CONTRAS$ 1,325.00 74174 PLATE CURVED LFT 5 HOLE$ 1,328.00 C1713 MESH VENTRALIGHT ST 6"$ 1,328.00 C1781 MESH VENTRALEX LARGE CIRCLE$ 1,331.00 C1781 SCREW ACUTRAK 2 7.5 X 65$ 1,331.00 C1713 SCREW ACUTRAK 2 7.5 X 70$ 1,331.00 C1713 IMAGE-GUIDED FLUID COLLECTION$ 1,332.00 10030 HEAD MODULAR COMP 28MM$ 1,333.00 C1713 28MM MOD HEAD 6 NECK 163638$ 1,333.00 C1776 28MM MOD HEAD 163660$ 1,333.00 C1776 28MM MOD HEAD 163661$ 1,333.00 C1776 28MM MOD HEAD ST NECK 163662$ 1,333.00 C1776 28MM MOD HEAD 3 NECK 163663$ 1,333.00 C1776 28MM MOD HEAD 9 NECK 163665$ 1,333.00 C1776 28MM MOD HEAD 12 NECK 163666$ 1,333.00 C1776 CLSD TX PROX TIBIA FX W/WO MAN$ 1,336.75 27532 SCREW / WASHERLOC BONE MULCH$ 1,338.00 C1713 KIT EZLOCK / WASHERLOC DISP KI$ 1,338.00 C1713 ENBREL 50MG INJ$ 1,339.00 J1438 TOOLKIT VPT02A VP NEE SET CUR$ 1,340.00 ZIPLOOP EXT TOGG ART FIX DEVIC$ 1,342.00 C1713 MRI BREAST MULT DUCT$ 1,342.00 77054 MRI BREAST MULT DUCT$ 1,342.00 77054 BLADE TI HELICAL 11MM 456.309$ 1,344.00 COMP RP S/A/L2.6-7.5$ 1,345.00 COMP RP S/A/L2.6-7.5$ 1,345.00 MUTAMYCIN 20MG$ 1,345.00 J9280 PLEURAL DRAIN PER W/INT CATH$ 1,347.00 32557 PUNC. ASP BREAST LESION$ 1,347.25 19000 PUNC ASP BRST LES ADD-ON$ 1,347.25 19001 PUNC ASP BREAST LESION$ 1,347.25 19000 PUNC ASP BRST LES ADD ON$ 1,347.25 19001 EXC B9 LES TRK/ARM/LG 2.1-3.0$ 1,347.78 11403 EX MLG LES S/NK/H/F/GN 0.6-1.0$ 1,347.78 11621 CATHETER UNIDIRECT 6FR CS-F CU$ 1,349.00 C1730 REDUCTION JAW$ 1,351.00 PLATE T SHAPE LOCKING 1.5 MM$ 1,351.00 C1713 TI SPIRAL BLADE FOR HUMERAL NA$ 1,355.00 MED PACELD CAPSURE 4574-53$ 1,357.00 C1898 HEPATOBILIARY SCAN W/CCK$ 1,357.00 78227 BALLOON DIL PERIPH 10FR 24X40$ 1,359.00 C1727 BALLOON DIL PERIPH 12FR 26X40$ 1,359.00 C1727 BIOMET ORTHO, CUT BLADES$ 1,361.00 KIT MICRO AUTOGRAFTING XPANSIO$ 1,361.00 TROCAR GELPOINT KIT$ 1,364.00 RABIES IMMUNE GLOB 1500U/10 ML$ 1,365.45 90376 DRESSING PURAPLY AM 2 X 2$ 1,368.00 Q4172 BLADE TI HELICAL 11MM 456.303$ 1,369.00 C1713 BLADE TI HELICAL 11MM 456.305$ 1,369.00 BLADE TI HELICAL 11MM 456.306$ 1,369.00 PART MASTECTO WITH AX LES REMO$ 1,372.00 19302 ESOPHAGOSCOPY$ 1,372.00 CARDIOVERSION BY DEFIB MANUAL$ 1,373.00 92960 CYSTOURETHROSCOPY$ 1,373.60 52000 CATH BI-DIRECTIONA 6F MED CURL$ 1,374.00 PLATE BROAD 8H 4.5 X 152$ 1,374.00 C1713 LIGAMENT CMC RECONSTRUCTION$ 1,374.00 480322 INTUTIVE SURG$ 1,374.00 CT LOWER EXT W/O CONTRAST$ 1,377.00 CT LO EXT LT WO/CTS$ 1,377.00 73700 73700 CT LO EXT LT WO/CTS$ 1,377.00 73700 CT LO EXT WO/CONTRAS$ 1,377.00 73700 73700 CT LO EXT WO/CONTRAS$ 1,377.00 73700 MESH PVPS VENTRAL SMALL$ 1,379.00 C1781 SO c-KIT MUTATIONS$ 1,383.00 81404 SO PDGFRA FOR GIST REFLEX$ 1,383.00 81404 DRILL BIT 3.2 MM$ 1,383.00 FAS T 325 VAS$ 1,385.00 PLATE LCP NRW 4.5 11H 224.611$ 1,385.00 C1713 COIL DETACHABLE 8 X 14CM$ 1,386.00 C1770 STENT CORO BM INTEGRA-BULK$ 1,386.00 C1874 WIRE PRESSURE FFR 175CM$ 1,386.00 C1769 WIRE PRESSUREWIRE OCT AERIS$ 1,386.00 C1769 MICRA INTRO/SHEATH GUIDING$ 1,386.00 C1894 12860 $ 1,386.00 CLAMP OPEN ADJUST 390.008$ 1,387.00 COMPRESSOR OPEN 393.76$ 1,389.00 OPDIVO 40MG VIAL$ 1,389.54 J9299 SCREW LAG GAMMA3 10.5X75$ 1,392.00 C1713 SCREW LAG GAMMA3 10.5X80$ 1,392.00 C1713 SCREW LAG GAMMA3 10.5X85$ 1,392.00 C1713 SCREW LAG GAMMA3 10.5X100$ 1,392.00 C1713 SCREW LAG GAMMA3 10.5X105$ 1,392.00 C1713 SCREW LAG GAMMA3 10.5X110$ 1,392.00 C1713 SCREW LAG GAMMA3 10.5X120$ 1,392.00 C1713 RAD TX DELIVERY IMRT-SIMPLE$ 1,398.00 77385 IMRT; COMPLEX$ 1,398.00 77386 BLADE TI HELICAL 11MM 456.304$ 1,398.00 BLADE TI HELICAL 11MM 456.307$ 1,398.00 PERMACOL MESH 3 X 8 X 1$ 1,399.00 C9364 PLATE 2.7 LCP CONDYLAR 249.684$ 1,401.00 C1713 CT ORB SEL MID-INN EAR W/O CON$ 1,402.00 CT SELLA/EAR/ORB WO$ 1,402.00 70480 CANNULA CURVED LUMBAR 17G 6"$ 1,402.00 Introduction Cath Dialysis Cir$ 1,404.00 36901 THORACENTESIS W/TUBE$ 1,404.00 THORACENTESIS- ER$ 1,404.00 GRAFT HEMSHLD STR 12X60$ 1,404.00 C1768 MESH SM OVAL KUGEL 8CM X 12CM$ 1,404.00 RMVL SUBQ CAR RHYTHM MNTR$ 1,405.00 33286 FNA BX W/US GDN 1ST LES$ 1,405.00 10005 FNA BX W/US GDN EA ADDL$ 1,405.00 10006 FNA BX W/FLUOR GDN 1ST LES$ 1,405.00 10007 FNA BX W/FLUOR GDN EA ADDL$ 1,405.00 10008 FNA BX W/CT GDN 1ST LES$ 1,405.00 10009 FNA BX W/CT GDN EA ADDL$ 1,405.00 10010 FNA BX W/MR GDN 1ST LES$ 1,405.00 10011 FNA BX W/MR GDN EA ADDL$ 1,405.00 10012 SCREW TROCH FIX 11 MM$ 1,410.00 C1713 ZYVOX 100MG/5ML SUSP 150ML$ 1,410.90 PLATE HOOK 7007-0602$ 1,411.00 C1713 RISPERDAL CONSTA 37.$ 1,412.00 J2794 REP LIP > 1/2 VERT H$ 1,416.00 KIT PORT LAP BAND ACCESS 9.75$ 1,416.00 DRILL GUIDE THREADED 2.0$ 1,417.00 T-HANDLE REAMER 3.0MM$ 1,418.00 EXC BN LESN FAC1.1-2 CM$ 1,422.00 REM FB FOOT SUBQ$ 1,422.00 EXC BN LESN FAC1.1-2$ 1,422.00 FEM FIXATION EZLOC 9-10MM$ 1,423.00 C1713 INTRANASAL BIOPSY$ 1,424.00 REMOVAL OF NOSE POLYP(S)$ 1,424.00 ABLAT INF TURBINATE, SUPERFICI$ 1,424.00 VISUALIZATION OF WINDPIPE$ 1,424.00 BIOSPY OF TONGUE; ANTERIOR 2/3$ 1,424.00 EXCISION OF LINGUAL FERNUM$ 1,424.00 INCISE INNER EAR$ 1,424.00 EPIDURAL INJ BL PTCH$ 1,424.00 62273 FIXATION EZLOC FEM LNG 9-10MM$ 1,424.00 C1713 CT HEAD/BRAIN W/O CONTRAST$ 1,425.00 CT ABD W/O CONTRAST$ 1,426.00 CT ABDMN WO CNTRST$ 1,426.00 74150 CT ABDMN WO CNTRST$ 1,426.00 74150 ABSORBATACK 5MM #ABSTACK20$ 1,426.00 C1713 PLATE BARREL 135 DEG 3H 62MM$ 1,427.00 C1713 CATHETER ASPIRATION EXPORT$ 1,428.00 GUIDEWIRE SM PRESSURE XT14/185$ 1,428.00 C1727 LEAD TRIAL 50CM$ 1,428.00 C1778 LEAD TRIAL 70CM$ 1,428.00 C1778 LEAD TRIAL STANDARD 45CM$ 1,428.00 C1897 LEAD TRIAL STANDARD 60CM$ 1,428.00 C1897 LEAD TRIAL COMPACT 45CM$ 1,428.00 C1897 LEAD TRIAL COMPACT 60CM$ 1,428.00 C1897 LEAD TRIAL SUBCOMPACT 45CM$ 1,428.00 C1897 LEAD TRIAL SUBCOMPACT 60CM$ 1,428.00 C1897 LEAD TRIAL ELECTRODE 60 CM$ 1,428.00 C1778 PLATE DISTAL FIBULA 9 HOLE$ 1,429.00 C1713 EXPAREL SUSP 20ML VIA PER 1MG$ 1,432.13 C9290 PLATE LCP NRW 4.5 14H 224.641$ 1,433.00 C1713 BIO-A TISSUE REINFORCE 7 X 10$ 1,435.00 C1781 REMOVAL G-TUBE$ 1,436.00 REPAIR BLOOD VESSEL$ 1,437.00 EXC EYEL LESW/O CLOSE/SIMP REP$ 1,438.00 CT MAXILLOFACIAL W/O CONTRAST$ 1,441.00 CT MAXILLOFACIAL W/O$ 1,441.00 70486 CT MAXILLOFACIAL W/O$ 1,441.00 70486 C-TAPER HEAD 06-2810$ 1,442.00 C1713 C-TAPER HEAD LFIT 28MM$ 1,442.00 C1713 ANGIOMAX VL 250MG$ 1,442.00 J0583 J0583 PLAT, PHER, LEUKO RD CMV-IR$ 1,445.00 P9053 PLAT, PHER, LEUKO RD CMV-IR$ 1,445.00 P9053 BONE MULCH SCREW/WASHERLOC DIS $ 1,445.00 PLATE LCP HOOK 3.5 3 HOLE$ 1,447.00 C1713 I&D VULVA/PERINEUM$ 1,452.00 THRMBN INJ PSDANRYAM$ 1,452.00 36002 EGD W/PEG PLACEMENT$ 1,452.00 ORENCIA 250MG INJ$ 1,453.00 J0129 SPINAL PUNCTURE, THERAPEUTIC$ 1,455.00 62272 SPINAL PUNCTURE, DX$ 1,455.00 62270 SACROILIAC INJECTION/CT$ 1,455.00 27096 SO FABRY DIS FULL GENE ANALYSI$ 1,455.00 81405 NERVE BLOCK, OTHR PERI NRV/BRA$ 1,455.00 64450 I&D COMP FINGER ABSC$ 1,456.00 FIBERS LASER HOLMIUM 200$ 1,458.00 C1874 PLATE LCP 3.5MM 14H 223.641$ 1,458.00 C1713 SUPERIOR VENACAVAGRM$ 1,460.00 75827 GRAFT HEMSHLD AXIL 8X100X60$ 1,460.00 C1768 CLAMP COMBINATION LG 390.005$ 1,460.00 SPECIAL TX PROCEDURE$ 1,468.00 77470 PLATE DHS 135DEG 4HOLE$ 1,468.00 C1713 GRAFT AMNIOEXCEL 1.5 X 1.5$ 1,469.00 Q4137 MRI CARDIAC W & W/O CONTRAST$ 1,470.00 75561 MRI CARDIAC W & W/O CONTRAST$ 1,470.00 75561 INTEGRILIN 75MG/100ML$ 1,472.00 J1327 PLATE BROAD STRAIGHT$ 1,473.00 C1713 DRILL BIT CANN 8.0 ASNIS$ 1,474.00 REAMER CONCAVE 18MM - 218$ 1,476.00 REAMER CONCAVE 18MM - 318$ 1,476.00 TIBIAL FIX TUNNELOC DEVICE$ 1,476.00 C1713 GUIDEWIRE PRESSURE FFR COMET$ 1,478.00 C1769 CATHETER OPTICROSS IVUS$ 1,478.00 C1753 CT UP EXT WO/CTS LT$ 1,479.00 73200 73200 CT UP EXT RT WO/CONT$ 1,479.00 73200 CT UP EXT WO/CTS LT$ 1,479.00 73200 CT UP EXT RT WO/CONT$ 1,479.00 73200 73200 CTA HEAD WO/W SEC$ 1,482.00 70496 CTA HEAD WO/W SEC$ 1,482.00 70496 LIORESAL INTRA 20MG$ 1,484.00 J0475 REOPRO 10MG/5ML VIAL$ 1,484.00 J0130 AC TIGHTROPE REPAIR KIT$ 1,485.00 C1713 HEAD HIP 26MM$ 1,486.00 C1776 C-TAPER HEAD 06-2605$ 1,486.00 C1713 KYPROLIS 30MG VIAL$ 1,487.00 J9047 MED PACELD CAPSURE 4074-52$ 1,488.00 MED PACELD CAPSURE 4575-45$ 1,488.00 C1898 LEAD PACE J SHAPE 45CM 457445$ 1,488.00 PLATE CLAVICLE 7HOLE$ 1,488.00 C1713 PLATE HOOK$ 1,488.00 C1713 PLATE HOOK LOCKING PEG$ 1,488.00 C1713 CHEMODENRV EXT/TR/MU$ 1,488.00 VECTIBIX 100MG/5ML VIAL$ 1,488.55 J9303 MRI ABDOMEN W/O CONTRAST$ 1,490.00 74181 CATHETER BALLOON BCL2645$ 1,490.00 MRI ABDOMEN WO CONT$ 1,490.00 74181 MRI ABDOMEN WO CONT$ 1,490.00 74181 CISTERNOGRAPH$ 1,490.00 78630 PLATE VARIAX FOOT$ 1,491.00 C1713 MED PACELD CAPSURE 5076-58$ 1,492.00 C1898 EZLOCK FEMORAL FIXATION 7-8MM$ 1,492.00 C1713 KIT-EXPLORATION BILE DUCT$ 1,492.00 COLONOSCOPY W/DILAT/STENT$ 1,498.00 SCREW TROCH FIX 11 X 110$ 1,499.00 C1713 SCREW NAIL FIX TROCH 11 X 90$ 1,499.00 C1713 ACUITY LEVEL V$ 1,500.00 99285 MCD ED LEVEL V$ 1,500.00 99285 SO GENOMIC ALTER POST,OLIGO-SN$ 1,500.00 81229 REPAIR LIP FULL THICK VERM ONL$ 1,501.00 STENT INTEGRITY 4.0 X 12W$ 1,502.00 C1876 STENT INTEGRITY 4.0 X 12UX$ 1,502.00 C1876 STENT CORON BM INTEGR 3.0X12$ 1,502.00 C1874 STENT CORO DES INT RX 2.75 X 1$ 1,502.00 C1874 STENT CORO DES INT RX 2.75 X 8$ 1,502.00 C1874 STENT CORO BMS INT RC 2.25 X 8$ 1,502.00 C1874 STENT CORO BMS INT RX 2.28 X 1$ 1,502.00 C1874 STENT CORO BMS INT RX 2.25 X 1$ 1,502.00 C1874 STENT CORO BMS INT RX 2.25 X 1$ 1,502.00 C1874 STENT CORO BMS INT OTW 2.25 X$ 1,502.00 C1874 STENT CORO BMS INT RX 2.50 X 8$ 1,502.00 C1874 STENT CORO BMS INT RX 2.50 X 1$ 1,502.00 C1874 STENT CORO BMS INT RX 2.50 X 1$ 1,502.00 C1874 STENT CORO BMS INT RX 2.50 X 1$ 1,502.00 C1874 STENT CORO BMS INT RX 2.50 X 2$ 1,502.00 C1874 STENT CORO BMS INT RX 2.75 X 1$ 1,502.00 C1876 STENT CORO BMS INT FX 2.75 X 1$ 1,502.00 C1874 STENT CORO BMS INT OTW 2.75 X$ 1,502.00 C1874 STENT CORO BMS INT RX 2.75 X 2$ 1,502.00 C1874 STENT CORO BMS INT OTW 2.75 X$ 1,502.00 C1874 STENT CORO BMS INT RX 3.00 X 9$ 1,502.00 C1876 STENT CORO BMS INT RX 3.0 X 15$ 1,502.00 C1876 STENT CORO BMS INT RX 3.00 X 1$ 1,502.00 C1874 STENT CORO BMS INT OTW 3.00 X$ 1,502.00 C1874 STENT CORO BMS INT RX 3.00 X 2$ 1,502.00 C1874 STENT CORO BMS INT RX 3.00 X 3$ 1,502.00 C1874 STENT CORO BMS INT RX 3.50 X 9$ 1,502.00 C1874 STENT CORO BMS INT RX 3.50 X 1$ 1,502.00 C1874 STENT CORO BMS INT RX 3.50 X 1$ 1,502.00 C1876 STENT CORO BMS INT RX 3.50 X 2$ 1,502.00 C1874 STENT CORO BMS INT OTW 3.50 X$ 1,502.00 C1874 STENT CORO BMS INT RX 3.50 X 2$ 1,502.00 C1874 STENT CORO BMS INT OTW 3.50 X$ 1,502.00 C1874 STENT CORO BMS INT RX 3.50 X 3$ 1,502.00 C1874 STENT CORO BMS INT RX 4.00 X 9$ 1,502.00 C1874 STENT CORO BMS INT RX 4.00 X 1$ 1,502.00 C1874 STENT CORO BMS INT RX 4.00 X 1$ 1,502.00 C1874 STENT CORO BMS INT OTW 4.00 X$ 1,502.00 C1874 STENT CORO BMS INT RX 4.00 X 2$ 1,502.00 C1874 STENT CORO BMS INT OTW 4.00 X$ 1,502.00 C1874 STENT CORO BMS INT RX 4.00 X 3$ 1,502.00 C1874 STENT BILIARY LIFESTR 8X40 135$ 1,502.00 C1876 STENT BILIARY LIFESTR 8X60 135$ 1,502.00 C1876 STENT BILIARY LIFESTR 8X80 135$ 1,502.00 C1876 STENT BILIARY LIFESTR 9X40 135$ 1,502.00 C1876 STENT BILIARY LIFESTR 9X60 135$ 1,502.00 C1876 STENT BILIARY LIFESTR 9X80 135$ 1,502.00 C1876 STENT BILIARY LIFEST 10X40 135$ 1,502.00 C1876 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 014 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 1.8F 140$ 1,502.00 C1725 BALLOON PTA VASTR 018 2.5F 140$ 1,502.00 C1725 DRESSING PREVENA PLUS$ 1,502.00 BENLYSTA 120 MG VIAL$ 1,503.00 J0490 CT SOFT TISSUE NECK W/O CONTRA$ 1,505.00 COMPRESSOR OPEN 395.51$ 1,506.00 C1769 Epi Sing inject lumbar/sacral$ 1,507.00 TRAY VERTEBROPLASTY AVAMAX$ 1,508.00 C1776 REMOVAL RENAL TUBE W/FLUORO$ 1,511.00 50389 PLATE FIBULA VARIAX 3 HOLE$ 1,514.00 C1713 PLATE 5HOLE FOOT SYSTEM$ 1,514.00 C1713 PLATE FOOT SOLUTION STRYKER$ 1,514.00 C1713 INSJ PICC 5 YR+ W/O IMAGING$ 1,518.00 36569 PLATE LCP NRW 10H 4.5MM$ 1,520.00 C1713 PLATE TROCHANETER STABIL 138MM$ 1,520.00 C1713 2ND ODR ABD/PELV EXT$ 1,521.00 36246 ABBI LEFT BREAST$ 1,522.00 PLATE DISTAL FIBULA 6 H$ 1,523.00 C1713 BRAIN SPECT$ 1,524.00 78607 PLATE VOLAR STD UNIVERSAL$ 1,525.00 C1713 INTRATHECAL PAIN PUMP CATHETER$ 1,525.00 PLATE COMPRES BROAD CURVED 12H$ 1,525.00 C1713 HALAVEN 1MG/2ML VIAL$ 1,530.00 J9179 IN111 PENTETATE PER 0.5 MCI/6$ 1,535.00 A9548 EZLOC FEMORAL FIXATION 7-8MM$ 1,537.00 C1713 IMPLANT STIM. GENERA$ 1,539.00 IMPLNT CATH SP/EPI$ 1,539.00 IMPLANT PROG PAIN PU$ 1,539.00 REMOVAL IMPT CATH$ 1,539.00 MESH PHYSIOMESH 12 x 15CM$ 1,540.00 C1781 BLADE SPIRAL TI 38MM$ 1,541.00 IVUS WIRE VOLCANO$ 1,542.00 C1753 HEAD FEM V40 26MM X 4MM$ 1,542.00 C1713 FEMORAL HEAD 6260-9-426$ 1,542.00 C1776 C-TAPER LFIT HEAD LOW FRIC TX$ 1,542.00 C1713 C TAPER LFIT HEAD$ 1,542.00 C1776 HEAD FEMORAL LFIT V40$ 1,542.00 C1776 HEAD FEMORAL LFIT V40$ 1,542.00 C1776 SCREW LAG GAMMA3 10.5X90$ 1,544.00 C1713 SCREW LAG GAMMA3 10.5X115$ 1,544.00 C1713 PTD TREROTOLO OTW$ 1,545.00 SCREW LAG GAMMA3 10.5X95$ 1,545.00 C1713 SYMMETRIC PATELLA TI$ 1,545.00 C1776 PLATE RADIAL 2 HOLE$ 1,545.00 C1713 ERBITUX 100 MG INJ$ 1,545.00 J9055 MED PACELD CAPSURE 5076-52$ 1,547.00 C1898 MED PACELD CAPSURE 5076-45$ 1,547.00 C1898 BALLOON INTRA AORTIC DL 10.5FR$ 1,547.00 C1769 BALOON AORTIC TRUE 9.5FR 40CCC$ 1,547.00 C1769 BALOON AORTIC TRUE 9.5FR 34CCC$ 1,547.00 C1727 PATELLA TRIATHLON ASYMMETRIC$ 1,547.00 C1776 PATELL KNEE ASYM X3 TRIATH$ 1,547.00 C1776 PATELLA TRIATHLON SYMMETRIC$ 1,547.00 C1776 VICRYL WOVEN MESH$ 1,548.00 C1781 CHARGING SYSTEM RECHARG 3701$ 1,548.00 PATELLA SYMP TRIATHLON$ 1,550.00 C1776 DEVICE FIXATION TUB TUNLC 10MM$ 1,550.00 C1713 TOTAL MASTECTOMY$ 1,551.00 19303 MORCELLATOR GYNECARE$ 1,559.00 BICEPS TENODESIS KIT PROX$ 1,559.00 C1713 BONIVA 3MG/3ML$ 1,561.00 J1740 DRILL BIT 6.0$ 1,562.00 SCREW NAIL FIX TORCH 11X100$ 1,562.00 C1713 BIOPSY BREAST STEROT$ 1,562.00 CT PELVIS W/O CONTRAST$ 1,565.00 CTA NECK WO/W SEC$ 1,565.00 70498 CTA NECK WO/W SEC$ 1,565.00 70498 CT THOR SPINE WO CNT$ 1,565.00 72128 CLAMP ADJ WIRE/PIN$ 1,567.00 C1713 MRI ORBT FACE NECK W/WO CONTRA$ 1,568.00 70540 EZLOCK FEMORAL FIXATION 9-10MM$ 1,568.00 C1713 MRI ORB/FAC/NECK WO$ 1,568.00 70540 MRI ORB/FAC/NECK WO$ 1,568.00 70540 PLATE 2.4 LCP 249.615$ 1,571.00 C1713 INTRATHECAL CATH INDURA$ 1,571.00 C1755 PACLITAXEL 1 MG (100 MG VIAL$ 1,571.00 J9267 CT UP EXT W/CTS LT$ 1,574.00 73201 73201 CT UP EXT RT W/CONTR$ 1,574.00 73201 73201 PLATE CALCANEAL 241.623$ 1,586.00 C1713 PLATE CALCANEAL 241.622$ 1,586.00 C1713 TTE W/WO FOLWCON DOPPLER$ 1,586.00 93306 TTE W/WO CONT ECG$ 1,586.00 C8930 2D TEE W/WO FOI W/CONT IN$ 1,586.00 C8925 PLATE FUBULA LAT 2.7/3.5 4HOLE$ 1,594.00 C1713 PLATE LCP FIBULA 4 HOLE$ 1,594.00 C1713 PLATE FIBULA 4 HOLE 2.7/3.5X86$ 1,594.00 C1713 PLATE DISTAL LEFT 5 HOLE$ 1,594.00 C1713 BALLOON RANGER NC$ 1,595.00 C1725 MESH MD OVAL KUGEL 11CM X 14CM$ 1,595.00 PLATE DHS 135 DEG 281.10$ 1,597.00 C1713 PLATE DHS 135 DEG 281.18$ 1,597.00 C1713 PLATE DHS 150 DEG 281.40$ 1,597.00 C1713 PLATE DHS 150 DEG 281.48$ 1,597.00 C1713 ICCU PRIVATE ROOM$ 1,600.00 ICCU STEP DOWN PRIVATE ROOM$ 1,600.00 ICCU$ 1,600.00 ROOM CHARGE (IMCU)$ 1,600.00 ROOM & BOARD IMCU$ 1,600.00 GAMMAGARD 5 GRAM LIQUID$ 1,602.00 J1569 EXTENSION KIT$ 1,605.00 C1883 STENT SINUS PROPEL 23MM$ 1,605.00 C1874 STENT SINUS PROBLL CONTOUR 8MM$ 1,605.00 C2625 CLAMP ADJUST 4.0MM 390.051$ 1,606.00 STENT SINUS INTERSECT 60011$ 1,608.00 S1090 CATH TRETOTOLA KIT$ 1,611.00 PLATE DISTAL FIBULA 10 HOLE$ 1,616.00 C1713 PLATE FIBULA 12 HOLE$ 1,616.00 C1713 STENT CORONARY COBALT 3.5 X 12$ 1,617.00 C1876 PLATE DISTAL FIB 5 H2.7/3.5X99$ 1,617.00 C1713 CATH KIT OCT DRAGONFLY C7$ 1,617.00 BEARING SHLD XL-115367 RVRS$ 1,617.00 C1776 11823 $ 1,617.00 E0785 IMPLANT SYS BICEPS TENDO$ 1,617.00 C1713 MRI PELVIS WO CONST$ 1,617.00 72195 MRI PELVIS WO CONST$ 1,617.00 72195 REVISE REPLACE NEUROELETRODE$ 1,617.00 KIT TRIAL KIT BRBA-TRL-A0$ 1,617.00 KIT TRIAL KIT FR8A-TRL-B0$ 1,617.00 PLATE 10 HOLE$ 1,619.00 C1713 DISCOGRAM EACH LEVEL$ 1,621.00 I&D HEMATOMA$ 1,622.00 DRILL BIT CANN 17MM 357.394$ 1,625.00 Xolair 150 MG$ 1,626.98 J2357 TRITIS BIO 9X30$ 1,630.00 C1713 PLATE LCP NRW 4.5 16H 224.661$ 1,631.00 C1713 MINI TIGHT ROPE 1.1MM$ 1,635.00 C1713 PLATE SM CALCANEUS MESH$ 1,635.00 PLATE CALCANUS SMALL$ 1,635.00 C1713 PLATE MED CALCANEUS MESH$ 1,635.00 C1713 COMP RP ENEL 1.1-2.5$ 1,639.00 PLATE LCP LAT DIST FIB 7H 2.7X$ 1,641.00 C1713 ABD ARTERIES CTANGIO$ 1,643.00 75635 PLATE LCP BRD 4.5 13H 226.632$ 1,643.00 C1713 AGGRASTAT 12.5MG/50M$ 1,643.00 J3246 TISSEEL FROZEN 10ML$ 1,644.00 C9250 GRAFT HEMSHLD BIFUR 22X11X40$ 1,645.00 C1768 PLATE LAT DR 54-25401$ 1,646.00 C1713 PLATE DORSAL MEDIAL$ 1,646.00 C1713 PLATE FIBULA VARIAX 7 HOLE$ 1,647.00 C1713 VENOUS CATH SEL ORGA$ 1,648.00 36500 EPOGEN 40,000U/1ML V$ 1,648.00 J0885 THERAPY EP MD BI-D 4 MM TIP$ 1,652.00 C1733 PRIME WIRE$ 1,654.00 C1874 RITUXAN 100MG VL 10M$ 1,654.00 J9310 REPLC NONTUNN SAME A$ 1,655.00 36580 CLAMPS 393.750$ 1,656.00 COMPL RPLCMT PICC RS&I$ 1,657.00 36584 ODC-FX CEMENTED HIP #8 6072-08$ 1,657.00 C1776 ODC-FX CEMENTED HIP #9 6072-09$ 1,657.00 C1776 ODC-FX CEMENTED HIP #10 6072-1$ 1,657.00 C1776 BURN 1ST DEG INITIAL$ 1,658.00 HIP STEM 599T106$ 1,658.00 C1725 HIP STEM ODC-FX 7$ 1,658.00 C1769 CLAMP MULTI-PIN LG 390.002$ 1,659.00 PLATE CURVED 5 HOLE$ 1,660.00 C1713 NEUROLITE PER DOSE$ 1,660.00 A9557 PLATE UNIV VOLAR STD X LONG$ 1,663.00 C1713 VERSAJET EXACT HANDPIECE 45-14$ 1,663.00 PLATE STABLIZATION LOCK TROCH$ 1,665.00 C1713 V STEM MAPPING$ 1,670.00 93609 PIN TEN HOLE$ 1,670.00 DRESSING WOUND VAC VIA 7DAY$ 1,672.00 PLATE, PHER, LEUKO, RD, IRR EA$ 1,673.00 P9037 PLATE, PHER, LEUKO,RD, IRR EA$ 1,673.00 P9037 FACET NERVE INJECTIO$ 1,676.00 OPEN RING 180 MM$ 1,680.00 REGITINE 5MG INJ. 1M$ 1,680.00 PERICARDIOCNTIS SUBQ$ 1,681.00 33011 TUMOR SCAN WB 2DAYS$ 1,681.00 78804 GALLIUM SCAN 48HR$ 1,681.00 78804 GALLIUM SCAN 72HR$ 1,681.00 78804 ERCP SPHINC/PAPILL$ 1,681.00 PLATE LCP BRD 4.5 12H 226.622$ 1,684.00 C1713 CUROSURF 240MG/3ML$ 1,684.00 CT CERVICAL SPINE W/O CONTRAST$ 1,685.00 CT LUMBOSPINE WO CNT$ 1,685.00 72131 CT LUMBOSPINE WO CNT$ 1,685.00 72131 PLATE ULNAR COLUMN$ 1,688.00 C1713 MESH CQUR TACSHIELD 6X8$ 1,688.00 C1781 PARACENTESIS, ABD$ 1,688.00 EGD W/POLYPECTOMY$ 1,688.00 EGD W/BIO & POYLP SS$ 1,688.00 EGD W/REMOVAL PEG TU$ 1,688.00 EGD W/CAUTERY/FORCEPS$ 1,688.00 PLATE RADIAL COLUMN$ 1,689.00 C1713 MRI UP EXT RT WO CON$ 1,691.00 73218 73218 MRI UP EXT LT WO$ 1,691.00 73218 73218 MRI UP EXT RT WO CON$ 1,691.00 73218 MRI UP EXT LT WO$ 1,691.00 73218 PLATE LCP VOLAR DST 442.461TM$ 1,693.00 C1713 PLATE LCP VOLAR DST 442.467TM$ 1,693.00 C1713 REMOVAL TUN CV CATH$ 1,699.00 36589 RPLC GTUBE NO REVJ TRC$ 1,699.00 43762 OCTAGAM 5% 10GM VIAL$ 1,700.00 J1568 SET 5.0 FEN CATH PAIN PUMP$ 1,702.00 U-BLADE SET 3065-0110S$ 1,702.00 SCREW U-BLADE LAG 85 MM$ 1,702.00 SCREW LAG U-BLADE 95 MM$ 1,702.00 PLATE FIBULA LATERAL 2.7/3.5MM$ 1,705.00 C1713 PLATE DEDICATED MC5 5HOLE$ 1,709.00 C1713 REMOVAL OF INFUSAPORT$ 1,709.50 36590 INTERFERON B1A 30MCG$ 1,710.00 Q3027 PLATE FIB DIST LAT 2.7/3.5 6HO$ 1,712.00 C1713 EGD W/FOREIGN BODY REMOVAL$ 1,715.00 SMART TOE II 16MM 10DEG ANGLE$ 1,721.00 IMPLANT INTRA ARTHRO SMART TOE$ 1,721.00 C1713 CATH IMAGING EAGLE EYE 3.5FR$ 1,725.00 C1769 CATH VISIONS PV 0.018$ 1,725.00 DRILL BIT WIRLY BIRD 4.3 MM$ 1,726.00 COIL AZUR 18D SYSTEM 4 X 5$ 1,728.00 COIL AZUR 18D SYSTEM 3 X 5$ 1,728.00 PLATE DHS 140 DEG 281.210$ 1,728.00 C1713 PLATE BARREL 145DEG 12H$ 1,728.00 C1713 PLATE BARREL 150DEG 12H$ 1,728.00 C1713 PLATE BARREL 145DEG 8H$ 1,728.00 C1713 PLATE BARREL 140DEG 8H$ 1,728.00 C1713 PLATE BARREL 145DEG 10H$ 1,728.00 C1713 PLATE BARREL 135DEG 12H$ 1,728.00 C1713 PLATE BARREL 140DEG 12H$ 1,728.00 C1713 CT MAXILLOFACIAL WI$ 1,730.00 70487 CLAMP TRANSVERSE 393.66$ 1,730.00 CLAMP TUBE TO TUBE 393.36$ 1,730.00 COMP REP FACE2.6-7.5$ 1,732.00 COMP REP FACE2.6-7.5$ 1,732.00 FT 205MM RINGS$ 1,732.00 LEAD CATH DELIV 4FR 59CM$ 1,733.00 C1898 COIL AZUR 18D SYSTEM 5 X 16$ 1,733.00 PEG 14MM FP14$ 1,733.00 BALLOON CATHETER$ 1,733.00 COIL EMBOL DETACH AZU 3X8MM$ 1,733.00 COIL EMBOL DETACH AZUR 4X13MM$ 1,733.00 COIL EMBO DETACH 7X24MM$ 1,733.00 COIL EMBO DETACH AZUR 8MMX28CM $ 1,733.00 COIL EMBO DETACH 10MMX32CM$ 1,733.00 COIL EMBO DETAC AZUR 12MMX38CM $ 1,733.00 COIL EMBO DETA AZUR 14MMX34CM$ 1,733.00 COIL EMBO DETA AZUR 16MMX39CM$ 1,733.00 NEEDLE, SCORPION MULTIFIRE$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 BALLOON CATHETER$ 1,733.00 CT LO EXT LT W/CTS$ 1,734.00 73701 73701 CT LO EXT RT W/CONTR$ 1,734.00 73701 73701 TIBIAL INSERT SZ 2 MAKO UNI OL$ 1,735.00 C1776 QUTENZA 8% PATCH$ 1,735.02 J7336 STEM COBALT CHROME$ 1,737.00 C1776 PCKL LEAD TENRIL STS 2088TC/52$ 1,742.00 C1898 PCKL PACING RENDRIL 52$ 1,742.00 C1898 PCKL PACKING TRENDRIL 58$ 1,742.00 C1898 ROD TO ROD COUPLING$ 1,744.00 C1713 CRUCIATE RETAINING TIBIAL INSE$ 1,744.00 CURCIATE RET TIB INS SIZE 7$ 1,744.00 C1713 PLATE 6 HOLE$ 1,748.00 C1713 ABD PARACENTESIS W/IMAGING$ 1,749.48 49083 INSERT ARTERIAL LINE$ 1,752.00 INSERT ARTERIAL LINE$ 1,752.00 36620 ERBITUX 200MG/100ML VIAL$ 1,753.92 J9055 LUPRON DEPOT 3.75MG$ 1,760.00 J1950 RPLC GTUBE NO REVJ TRC$ 1,763.00 43762 TIBIAL INSERT MAKO ONLAY$ 1,763.00 C1713 TIBAIL INSERT SZ 3 MAKO$ 1,763.00 C1776 TIBIAL INSERT MAKO ONLAY$ 1,763.00 C1776 SO QNATAL ADVANCED$ 1,766.00 81420 CLAMP COMBINATION 393.647$ 1,766.00 MESH COMPOSIX 6X8 EX$ 1,767.00 TOGGLELOC/WASHERLOC DISP KIT$ 1,767.00 C1713 NAIL METACARPAL STD 4.0$ 1,767.00 C1713 NAIL DISTAL RADIUS LONG$ 1,767.00 C1713 BONE SCAN, 3 PHASE$ 1,771.00 78315 AVASTIN 100MG/4ML VL$ 1,772.00 J9035 PLATE PL-CL6SR$ 1,773.00 C1713 PLATE LATERAL RADIAL SHORT$ 1,774.00 C1713 MIRENA 52MG$ 1,777.00 J7298 CT PELVIS WO CNTRST$ 1,778.00 72192 CT PELVIS WO CNTRST$ 1,778.00 72192 BIO CARTILAGE UMTB 1850$ 1,779.00 C1763 DEST W NEUROLYTIC, OT PERI NRV$ 1,780.00 64640 OPTFIX ABSORB FIXATION SYSTEM$ 1,783.00 CT PELVIS WITH CONTRAST$ 1,784.00 T PLATE 2.7 #249.685$ 1,784.00 C1713 MESH PROLENE 6X6 SOFT$ 1,785.00 CYRAMZA 100MG/10ML VIAL$ 1,786.74 J9308 DEBRID SQ MUSCL/BONE$ 1,788.00 EGD WITH REPLACEMENT PEG TUBE$ 1,788.00 LIVEWIRE CSL 6 FR$ 1,790.00 INTRAVAS US INT VESS$ 1,792.00 92978 IVUS EACH ADD VESSEL$ 1,792.00 92979 IVUS NON-CORONARY VES INITAL$ 1,792.00 37252 INTRAVASCULAR OCT$ 1,792.00 92978 PLATE LCP VOLAR DST 442.459TM$ 1,796.00 C1713 PLATE LCP VOLAR DST 442.462TM$ 1,796.00 C1713 PLATE LCP VOLAR DST 442.465TM$ 1,796.00 C1713 PLATE LCP VOLAR DST 442.468TM$ 1,796.00 C1713 TRIATHLON ASYMMETRIC PATELLA$ 1,799.00 C1776 CRITICAL CARE$ 1,800.00 99291 FLEX SIGMOIDOSCOPY W/CAUTERY$ 1,801.00 PLATE WIDE DORSAL RT 54-25292$ 1,802.00 C1713 COLONOSCOPY W/CAUTERY$ 1,803.00 1ST ODR ABD/PELV EXT$ 1,807.00 36245 COLONSCOPY$ 1,807.00 ADD VESSEL STUDY$ 1,808.00 75774 ASH-SPLIT DIAL CATH$ 1,808.00 C1750 PROCRIT 20,000 UNITS/1ML$ 1,808.70 J0885 3RD ODR ABD/PELV EXT$ 1,811.00 36247 CLAMP TI TUBE-TUBE 393.361$ 1,814.00 REM FB MUSCLE SIMPLE$ 1,815.00 SEMI-PRIVATE ROOM$ 1,815.00 MAMMOTOME LT BREAST$ 1,815.00 MAMMOTOME RT BREAST$ 1,815.00 AMPUTATION ANY EXT$ 1,815.00 CHRONOS GRANULES-MEDIUM$ 1,818.00 C1713 SO GRAM-NEG BACILLUS GENE PCR$ 1,820.00 82542 C-TAPER HEAD LFIT 22 10$ 1,823.00 C1713 RADICAL MOD MASTECTOMY$ 1,825.00 19307 ARANESP 100 MCG$ 1,829.00 J0881 CT UP EXT W/WO CS LT$ 1,833.00 73202 73202 CT UP EXT RTW/WO CON$ 1,833.00 73202 73202 CLAMP 5HOLE MULTI PIN$ 1,833.00 C1713 CT CERV SPINE WO CNT$ 1,834.00 72125 CT CERV SPINE WO CNT$ 1,834.00 72125 72125 CT SOFT TISS NECK W CONTRAST$ 1,835.00 OLECRANON SLEDS NEUT 50MM$ 1,836.00 C1713 AR-9055-45PT ARTHREX$ 1,836.00 C1713 AR-9055-50PT$ 1,836.00 C1713 SCREW, LO-PRO PT THD TI 4.5X50$ 1,836.00 C1713 PLATE LEFT 5 HOLE$ 1,841.00 C1713 PLATE 6HOLE RIGHT$ 1,841.00 C1713 PLATE HIGH STRENGTH LEFT$ 1,841.00 C1713 PLATE HIGH STRENGTH STRAIGHT$ 1,841.00 C1713 PLATE HIGH STRENGTH Y 8 HOLE$ 1,841.00 C1713 PLATE HIGH FLEX LEFT$ 1,841.00 C1713 PLATE HIGH FLEX STRAIGHT$ 1,841.00 C1713 PLATE HIGH FLEX Y$ 1,841.00 C1713 ZOLADEX 3.6MG INJECTION$ 1,841.96 J9202 CATH EP ABLATION M CRL 4MM TIP$ 1,842.00 C1733 POST-OP NERVE BLOCK$ 1,843.00 NERVE DEST NEUROLTIC$ 1,843.00 TRITIS BIO 10X30$ 1,844.00 C1713 GRAFT VASC HEM EPTFE 6 X 80$ 1,844.00 C1768 AC GRAFTROPE$ 1,846.00 C1713 BONE PUTTY 2102-2102$ 1,846.00 C9359 MYELOGRAPHY, THORACIC$ 1,847.00 62303 BALLOON RAIL CUTTING 3.5 X 142$ 1,848.00 C1725 BALLOON CUT FLEXTOME 2X15$ 1,848.00 C1725 BALLOON CUT FLEXTOME 3.75X10$ 1,848.00 C1725 Catheter Mapping$ 1,848.00 C1730 BEARING KNEE PRT MENISC SM 9MM$ 1,848.00 C1713 BEARING MENISC UNI OXFORD 7MM$ 1,848.00 C1713 BEARING KNEE MENISCAL R 6MM$ 1,848.00 C1713 BEARING MENISCAL ARCOM ANATOMA $ 1,848.00 C1713 MENISCAL BEARING LARGE LT 3MM$ 1,848.00 C1713 BEARING KNEE MESCL LG RT 3MM$ 1,848.00 C1713 OXFORD PART KNEE SYS SM LT 6MM$ 1,848.00 C1776 BEARING MEN ANA AR SM LT 5MM T$ 1,848.00 C1713 BEAR MENISCAL OXFORD RT SM 3M$ 1,848.00 C1713 LEAD NEUROSTIM SPARE FREEDOM$ 1,848.00 C1897 CARDIO/TILT TEST$ 1,848.00 93660 CLADRIBINE 10MG VIAL$ 1,848.00 J9065 INJ SI JOINT W/MEDS$ 1,850.00 PERC PLACE G TUBE$ 1,851.00 49440 INS/REPL PEG/ENDO$ 1,851.00 PERC PLACEMNT G TUBE$ 1,851.00 49440 TENOTOMY TOE SINGLE$ 1,851.00 28010 RELOCATE POCKET FOR DEFIB$ 1,857.00 33223 CT PELVIS WI CNTRST$ 1,864.00 72193 CT PELVIS WI CNTRST$ 1,864.00 72193 NPLATE 10MCG$ 1,867.35 J2796 INSERT TIBIAL BEARING$ 1,868.00 C1713 ADULT PSYCH ROOM$ 1,873.00 BIOPSY STEREOTACTIC RT$ 1,873.00 19081 BIOPSY STEREOTACTIC LT$ 1,873.00 19081 BIOPSY STEREOTACTIC EACH ADD$ 1,873.00 19082 BIOPSY STEREOTACTIC RT$ 1,873.00 US BREAST BIOPSY RT$ 1,873.00 19083 US BREAST BIOPSY LT$ 1,873.00 19083 US BREAST BIOPSY EACH ADD$ 1,873.00 19084 MIRENA 52 MG IUD$ 1,877.94 J7298 PLATE ACU-LOC2 VDR EXT PLT NEU$ 1,878.00 DISTAL TIBIA PLATE$ 1,878.00 C1713 NORIAN SRS BONE VOID FILLER$ 1,880.00 C1769 MRA NECK WO CONST$ 1,880.00 70547 MRA NECK WO CONST$ 1,880.00 70547 CT NECK WO CNTRST$ 1,882.00 70490 CT NECK WO CNTRST$ 1,882.00 70490 JOINT UNIVERSAL 393.71$ 1,883.00 C1713 DISCOGRAM EACH LEVEL$ 1,884.00 CATH ABLATION ELC BI-D DF CURV$ 1,885.00 C1730 CT ORB SEL MID-INNE EAR W&W/O$ 1,887.00 CT SELL/EAR/ORB WO/W$ 1,887.00 70482 CERETEC PER DOSE$ 1,887.00 A9521 STENT CORONARY ZETA OT 2.75X15$ 1,892.00 C1874 PLATE TI LCP-TM DISTAL 442.491$ 1,892.00 C1713 PLATE TI LCP-TM DISTAL 442.492$ 1,892.00 C1713 PLATE TI LCP-TM DISTAL 442.493$ 1,892.00 C1713 PLATE LCP VOLAR DST 442.464TM$ 1,892.00 C1713 PLATE LCP VOLAR DST 442.458TM$ 1,892.00 C1713 PLATE ANATOMIC FIBULA 8HOLE$ 1,895.00 C1713 PLATE DVRAN-L$ 1,897.00 C1713 PLATE DVRAN-R$ 1,897.00 C1713 PLATE DVRA-R$ 1,897.00 C1713 PLATE DVRAS-R$ 1,897.00 C1713 PLATE DVRAX-L$ 1,897.00 C1713 PLATE DVRAX-R$ 1,897.00 C1713 PLATE DVRAW-R$ 1,897.00 C1713 PLATE DVRAW-L$ 1,897.00 C1713 PLATE EXT LT DVRAXX-L$ 1,897.00 C1713 PLATE EXT RT DVRAXX-R$ 1,897.00 C1713 SMART TOE 15MM/0 ANGLE$ 1,897.00 C1713 TOE SMART 15MM/O ANGLE$ 1,897.00 C1713 CT ABD & PELVIS W/O CONTRAST$ 1,901.00 PLEURX PERITONEAL CATH KIT$ 1,901.00 C1729 VALVULOTOME LAMAITRE SHORT$ 1,902.00 BALLOON CUT OTW ULTR2 3MMX10MM$ 1,904.00 C1727 BALLOON DIL CUTTING 2.25X15$ 1,904.00 C1713 BALLOON CUTTING 2MMX15MM$ 1,904.00 BALLOON CUTTING 4MMX10MM$ 1,904.00 C1727 PLATE DNPA-R$ 1,904.00 C1713 BEARING KNEE OXFORD L 6MM$ 1,904.00 C1713 BEARING KNEE OXFORD L 7MM$ 1,904.00 C1713 BEARING ANATOMIC LEFT SMALL$ 1,904.00 C1776 BEARING ANATOMIC RT MED SZ$ 1,904.00 C1776 BEARING ANATOMIC RT LARGE SZ$ 1,904.00 C1776 BEARING ANATOMIC RT LARGE$ 1,904.00 C1776 SLING SUPRIS SUPRAPUBC$ 1,904.00 C1771 OXFORD UNICOMP KNEE MEN BEARIN$ 1,904.00 C1776 OXFORD PART KNEE MEN BEAR$ 1,904.00 C1776 MENISCAL BEARING SM RT 4MM OXF$ 1,904.00 C1776 BEARING KNEE MENISCAL MD 7MM$ 1,904.00 C1713 MENISCAL BEARING MD BIOMET$ 1,904.00 C1776 MENISCAL BEARING SM BIOMET$ 1,904.00 C1776 BIOMET OX PART KNEE ANA BEAR$ 1,904.00 C1713 MESICAL PARTIAL BEARING KNEE 4$ 1,904.00 C1713 BEARING MENISCAL SM LT 3MM$ 1,904.00 C1713 BEARING KNEE UNICOM MD 9MM$ 1,904.00 C1713 BEARING KNEE MEN MD 5MM$ 1,904.00 C1713 MENISCAL BEARING SM 5MM$ 1,904.00 C1776 MENISCAL BEARING KNEE PHASE 3$ 1,904.00 C1776 AUTOPLEX W/ HV 0605-887-000$ 1,904.00 BEARING KNEE MENISCAL R 3MM$ 1,904.00 C1713 BEARING UNI KNEE PHASE 3 MEN$ 1,904.00 C1713 BEARING PART KNEE SYS ANA ACRO$ 1,904.00 C1713 SEMI-PRIVATE ADULT PSYCH$ 1,906.00 SIGMOIDOSCOPY,FLEXBL$ 1,906.00 EPI SINGLE INJECT$ 1,912.00 PLATE LCP BRD 4.5 15H 226.652$ 1,917.00 C1713 WBC FULLBODY TAG STD$ 1,919.00 78806 NATRECOR 1.5MG VIAL$ 1,921.00 J2325 PLATE LCP CLAVICLE HOOK 4H 15M$ 1,922.00 C1713 PLATE LOCKIN CALCANEAL LONG-RT$ 1,924.00 C1713 PLATE LOCKIN CALCANEAL LONG-LT$ 1,924.00 C1713 INSERT N-TUNEL DIALY$ 1,927.00 36556 INSERT CVL N-TUNN 5YRS$ 1,927.00 36556 INSERT CVL >5Y$ 1,927.00 VERTBRPLASTY EA ADD$ 1,927.00 CATH, PRONTO$ 1,928.00 C1757 ARANESP/DIALYSIS 200 MCG$ 1,929.60 J0882 FLIXENE VASCULAR GRAFT$ 1,931.00 C1768 CTA UPEXT RTWO/WSEC$ 1,932.00 73206 73206 CTA UPEXT LTWO/WSEC$ 1,932.00 73206 CT VENOGRAM UPPER EXT RT$ 1,932.00 73206 CT VENOGRAM UPPER EXT LT$ 1,932.00 73206 FABRAZYME 5MG VIAL$ 1,932.00 J0180 MAG 3 PER DOSE$ 1,940.00 A9562 CUP RING LOC BI-POL ACETB 28MM$ 1,942.00 C1713 RINGLOC BI-POLAR 28X41MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X42MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X43MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X44MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X45MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X46MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X48MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X49MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X50MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X51MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X52MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X53MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X54MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X55MM 11-16$ 1,942.00 C1776 RINGLOC BI-POLAR 28X58MM 11-16$ 1,942.00 C1713 VAPRISOL 20MG VIAL$ 1,942.55 EXC BEN LES SC/HA/FEET 1.1-2CM$ 1,944.00 EXC BEN LES SC/HA/FE 2.1-3 CM$ 1,944.00 EXC BN LESN FAC 2.1 - 3 CM$ 1,944.00 EXC H-FNK-SP MLG+MARG 1.1-2 CM$ 1,944.00 EXC FACE-MM MALIG+MAR 2.1-3 CM$ 1,944.00 EXC FACE-MM MALIG+MAR3.1-4 CM$ 1,944.00 EXC TUM ST FAC/SCAL SUBQ < 2CM$ 1,944.00 BIOPSY OF FLOOR OF MOUTH$ 1,944.00 EXC BEN LESI T/A/L; 3.1-4.0 CM$ 1,944.00 CT NEEDLE BIOPSY$ 1,944.00 I&DHEMA, SERO FLUID$ 1,944.00 INCISION & DRAINAGE OF SEROMA$ 1,944.00 ATTAIN DELIVERY SYST$ 1,945.00 C1766 PATELLA TRIATHLON ASYMMETRIC$ 1,945.00 C1776 PATELLA KNEE ASYM X3 TRIATH$ 1,945.00 C1776 TRIATHLON PATELLA SZ A38$ 1,945.00 C1776 TRIA PATELLA COMP 5551-G-350$ 1,945.00 C1776 PATELLA ASYMM TRIA$ 1,945.00 C1776 BONE FILLER HYDROSET 3CC$ 1,946.00 C9359 REMICADE 100MG INJEC$ 1,947.00 J1745 PLATE LCP POSTEROLATERAL 3H 2.$ 1,950.00 C1713 ATGAM 250 MG / 5ML AMPULE$ 1,951.90 J7504 PLATE 2.0 LCP 7 HOLE$ 1,952.00 C1713 C-TAPER FEMORAL HEAD$ 1,952.00 C1713 V40 FEMORAL HEAD$ 1,952.00 C1776 MESH PRIMATRIX 3 X 3$ 1,952.00 Q4110 CT THOR SPINE WO CNT$ 1,957.00 72128 DIGIBIND INJ 40MG$ 1,957.00 J1162 HUMERAL LINER 320-38-03$ 1,958.00 C1713 BLOCK HALF AUGMENT TRIATH$ 1,962.00 C1776 CATH CHOCOLATE BALLOON$ 1,964.00 C1725 PLATE LCP BRD 4.5 16H 226.661$ 1,965.00 C1713 SIGMOIDOSCOPY W/DILATATION$ 1,968.00 PLATE LCP BRD 4.5 16H 226.662$ 1,969.00 C1713 FEMORAL JOINT PATELLA COMP$ 1,969.00 C1776 ULNA PLATE 6 HOLE$ 1,970.00 C1713 CT PELVIS WO/WI CNTR$ 1,971.00 72194 BALOON CUTTING 2.75X10CM$ 1,971.00 BALLOON CUTTING 2MMX10MM$ 1,971.00 BALLOON CUTTING 2.5MMX10MM$ 1,971.00 C1727 BALLOON CUTTING 3.25MMX10MM$ 1,971.00 C1727 BALLOON CUTTING 3.25MMX15MM$ 1,971.00 C1727 BALLOON CUTTING 3.75MMX15MM$ 1,971.00 C1727 BALLOON CUTTING 4MMX15MM$ 1,971.00 C1727 BALLOON CUTTING 2.25MMX10MM$ 1,971.00 C1727 BALLOON CUTTING 2.50MMX15MM$ 1,971.00 C1727 BALLOON CUT OTW ULTR2 3MMX15MM$ 1,971.00 C1727 BALLOON CUTOTW ULTR2 3.5MX10MM$ 1,971.00 C1727 BALLOON CUTOTW ULTR2 3.5MX15MM$ 1,971.00 C1727 PRESS FIT EXTENDER$ 1,971.00 C1776 PLATE FIB 6 H RT 2.7/3.5 X 112$ 1,973.00 C1713 PLATE CLAVICLE ANTERIOR 10H$ 1,975.00 C1713 PLATE RADIAL STYLOID 70-0331$ 1,975.00 C1713 PLATE DORSAL LUNATE 70-0337$ 1,975.00 C1713 REP FOOT TENDON$ 1,976.00 DRIVE BATTERY SMALL$ 1,976.00 C1713 CT THORAX WITH CONTRAST$ 1,977.00 CT CHEST WI CNTRST$ 1,977.00 71260 CT CHEST WI CNTRST$ 1,977.00 71260 INT REP S/T/E12.6-20$ 1,977.00 ALOXI 0.25MG/5ML VIAL$ 1,977.00 J2469 CAMPTOSAR 100MG INJE$ 1,978.00 J9206 GUIDE CATH CPS LUMINARY XLG CL$ 1,980.00 C1887 CIRCUMCISION$ 1,983.00 PLATE LCP RADIUS 3H 48MM RT$ 1,983.00 C1713 PLATE LCP RADIUS 5H 66MM RT$ 1,983.00 C1713 PLATE LCP RADIUS 3H 48MM LT$ 1,983.00 C1713 PLATE LCP RADIUS 5H 66MM LT$ 1,983.00 C1713 PLATE LCP RADUS 3H 47MM RT$ 1,983.00 C1713 PLATE LCP RADIUS 5H 65MM RT$ 1,983.00 C1713 PLATE LCP RADIUS 3H 47MM LT$ 1,983.00 C1713 PLATE LCP RADIUS 5H 65MM LT$ 1,983.00 C1713 REPAIR INC CIRCUMCIS$ 1,983.00 CIRCUMCISION W/DEVIC$ 1,983.00 54150 MRA PELVIS W OR WO CONTRAST$ 1,985.00 72198 SCREW LAG U-BLADE 10.5 X 80$ 1,989.00 C1713 PUTTY DBX BONE 5CC$ 1,990.00 C1713 ACTEMRA 200MG VIAL$ 1,992.00 J3262 SO SENSORI MONITOR NEUROPATHY$ 1,994.00 83520 ILEOSCOPY ARTIF OPEN$ 1,996.00 HEMORRHOID BAND PROC$ 1,996.00 GRAFT HEMSHLD BIFUR 16X6X40$ 1,998.00 C1768 MESH PROCEED 15CM X 20CM$ 1,999.00 C1781 PLATE DVRA-L$ 1,999.00 C1713 PLATE DVRAS-L$ 1,999.00 C1713 PLATE-DNP ANATOMIC LEFT$ 1,999.00 C1713 PLATE LT SH NARW DVRANS-L$ 1,999.00 C1713 PLATE RT SH NARW DVRANS-R$ 1,999.00 C1713 CT HEAD WO CONTRAST$ 2,000.00 70450 CT HEAD WO CONTRAST$ 2,000.00 70450 NAIL CANNULATED FEM 464.40S$ 2,000.00 C1713 NAIL CANNULATED FEM 464.38S$ 2,000.00 C1713 NAIL CANNULATED FEM 464.36S$ 2,000.00 C1713 NAIL CANNULATED FEM 464.34S$ 2,000.00 C1713 NAIL CANNULATED FEM 464.32S$ 2,000.00 C1713 UHR BIOPOLAR 46MM UH1-46-26$ 2,003.00 C1776 C-TAPER HEAD #06-2610$ 2,003.00 C1713 STENT URETERAL METAL$ 2,003.00 C2625 PLATE TI LCP-TM DISTAL 442.494$ 2,006.00 C1713 BLOCK HALF AUGMENT TRIATH$ 2,009.00 C1776 HEAD C-TAPER COCR LFIT$ 2,011.00 C1713 C-TAPER FEMORAL HEAD$ 2,011.00 C1713 VOLAR PLATE RIDE UNIV$ 2,011.00 C1713 C-TAPER FEMORAL HEAD$ 2,011.00 C1713 PLATE UNIV DISTAL RADIUS$ 2,011.00 C1713 PLATE LCP VOLAR 8H 04.110.430$ 2,011.00 C1713 PLATE LCP VOLAR 8H 04.110.431$ 2,011.00 C1713 PLATE LCP VOLAR 9H 04.110.330$ 2,011.00 C1713 PLATE LCP VOLAR 9H 04.110.331$ 2,011.00 C1713 TRAUMA ACTIVATION FEE WRMC$ 2,011.00 G0390 TRAUMA ACTIVATION FEE SCMC$ 2,011.00 G0390 ADAPTOR TOTAL STABILIZ OFFSET$ 2,015.00 C1776 FEM HEAD C-TAPER 26MMO$ 2,020.00 FEM HEAD C-TAPER 26MM%$ 2,020.00 FEM HEAD C-TAPER 26MM!0$ 2,020.00 C1713 CAVA FILTER DINALI JUGULAR$ 2,021.00 C1880 STENT OTW 3.5X15 S73515W$ 2,023.00 STENT OTW 4.0X15$ 2,023.00 C1887 DISTAL BICEPS REP IMPLANT SYST$ 2,023.00 C1713 SLING SYST LYNX SUPRAUBIC$ 2,029.00 C1771 BOTOX 100 UNIT INJEC$ 2,030.00 J0585 RADIO EXAM RENAL CYST STUDY$ 2,032.00 74470 US NEEDLE BIOPSY$ 2,032.00 TIGHTROPE SYNDESMOSIS REP KIT$ 2,033.00 C1713 DISTAL CLAVICLE PLATE 12 HOLE$ 2,035.00 C1713 PLATE CLAVICAL DISTAL LT 9 HOL$ 2,035.00 C1713 PLATE CLAVICLE 8H MD LEFT$ 2,035.00 C1713 TITANIUM FLUTED STEM$ 2,037.00 C1776 PLATE LCP POSTEROLATERAL 6H 2.$ 2,040.00 C1713 GRAFT AMNIOEXCEL 2 X 3$ 2,044.00 Q4137 INJ LOWER EXT$ 2,048.00 CATH VNUS (DR. JEFFREY) 60CM$ 2,050.00 CATH VNUS (DR. JEFFREY) 100CM$ 2,050.00 PCKL CAPSURE 5076$ 2,051.00 C1898 MRI CERV SPINE WO$ 2,051.00 72141 MRI CERV SPINE WO$ 2,051.00 72141 VERTBRPLASTY-LUMBAR$ 2,052.00 VERTBROPLASTY-THORAC$ 2,052.00 FIBERS LASER HOLMIUM 1000$ 2,054.00 MRA ABD W & WO CONTRAST$ 2,054.00 74185 MRA ABD W & WO CONTRAST$ 2,054.00 74185 HEAD SHOULDER SOLAR 22MM$ 2,058.00 C1776 TENDON SEMITENDINOSUS SHORT$ 2,058.00 C1762 TENDON TIBIALIS SHRT <200MM$ 2,059.00 C1762 SURVANTA 4ML IV$ 2,059.00 COMPONENT PAT KNEE 32MM$ 2,064.00 C1776 PATIENT PROGRAMMER MEDTRONIC$ 2,067.00 C1787 TIGHTROPE CMC MINI 1.1 MM$ 2,067.00 C1713 PLATE 3 TI PROX LAT TIBIA 2H$ 2,067.00 C1713 REAMER BARRELL 18MM - 418$ 2,070.00 PURAPLY 2 X 4$ 2,070.00 Q4172 PLATE BROAD LCP 11H 4.5 X 206$ 2,074.00 C1713 PLATE LCP VOLAR 8H 04.110.440$ 2,076.00 C1713 PLATE LCP VOLAR 4H 04.110.441$ 2,076.00 C1713 PLATE LCP VOLAR 9H 04.110.340$ 2,076.00 C1713 PLATE LCP VOLAR 9H 04.110.341$ 2,076.00 C1713 CLAMP ADJUSTING 40MM$ 2,077.00 COIL DETACHABLE 10 X 21.5CM$ 2,079.00 C1770 KIT PROGRAMMER PATIENT$ 2,079.00 C1787 PLATE ULNA SHORTENING$ 2,079.00 C1713 CATHETER INTRATHECAL ASCENDA$ 2,079.00 C1755 PLATE SHORT DORSAL$ 2,079.00 C1713 PATIENT PROGRAMMER MY STIM$ 2,079.00 C1787 KIT NEEDLE CURVED KYPHO$ 2,079.00 PLATE DR NARROW LT VOLAR LONG$ 2,079.00 C1713 PLATE FIBULA LAT 9 HOLE LT$ 2,079.00 C1713 BLOCK FEMORAL DISTAL AUMENTAT$ 2,080.00 C1776 UHR BIOPOLAR 42MM UH1-42-26$ 2,084.00 C1713 TRIATHLON ASYM PATELLA$ 2,084.00 C1776 MINOR PROCEDURE$ 2,085.00 ASPIRA/INJECT RENAL CYST PERCU$ 2,085.00 50390 VAG. DELIVERY EMER.$ 2,086.00 59409 STENT CORONARY VISION 2.25x15$ 2,089.00 C1874 STENT CORONARY VISION 4X12$ 2,089.00 C1876 STENT VISION ABBOTT 4 X 8$ 2,089.00 C1876 STENT CORONARY VISION 2.25X12$ 2,090.00 C1874 STENT CORONARY VISION 2.25X15$ 2,090.00 C1874 BLADE HELICAL TFNA 85 MM$ 2,091.00 RABIES IMMUNE GLOB 1500U/5ML$ 2,094.72 90376 MESH HERNIA BIOABSORB 9 X 15$ 2,095.00 C1781 HYDROXOCOBALAMIN 5GM VIAL$ 2,102.00 CT CHEST WO/WI CNTRS$ 2,103.00 71270 MRI LUMB SPINE WO$ 2,105.00 72148 MRI LUMB SPINE WO$ 2,105.00 72148 CT LOW EXT WITH & W/O CONTRAST$ 2,106.00 CT LO EXT LT W/WO CS$ 2,106.00 73702 73702 CT LO EXT RTW/WO CON$ 2,106.00 73702 73702 NUCLEAR SCAN$ 2,109.00 TENDON SEMI TENODESIS$ 2,109.00 C1762 MYOCARDIAL SCAN$ 2,109.00 78452 PLATE MED DISTAL HUMERUS 6H$ 2,111.00 C1713 PLATE DIST POST MED 4H LEFT$ 2,111.00 C1713 PLATE DIST LAT HUM 4 HOLE LEFT$ 2,111.00 C1713 PLATE EXT MED DIST HUMERUS$ 2,111.00 C1713 PLATE POST LAT DIST HUMERUS$ 2,111.00 C1713 PLATE OLECRANON 4 HOLE$ 2,111.00 C1713 PLATE OLECRANON 4 HOLE$ 2,111.00 C1713 PLATE RT POST LATERAL 3 HOLE$ 2,111.00 PLATE OLECRANON LEFT 6 HOLE$ 2,111.00 629324 $ 2,111.00 C1713 STENT, TRBR$ 2,112.00 C1874 INSERT KNEE POLY TRIATH$ 2,113.00 C1776 TIBIAL INSERT TRIATHLON$ 2,113.00 C1713 TIBIAL INSERT TRIATHLON$ 2,113.00 C1713 INSERT TIBIAL TRIA 5630-G-509$ 2,113.00 C1776 PRO OSTEON BONE GRAFT 5RG15$ 2,113.00 C9399 INSERT TIBIAL TRIATHLON$ 2,113.00 C1776 GEMZAR 1 GM INJECTIO$ 2,117.00 J9201 PLATE CLAVICLE HOOK 3.5 LCP 4H$ 2,118.00 C1713 PLACE OF INTERSTIT DEVICE/RADI$ 2,119.00 CT MAXILLOFAC WO/WI$ 2,119.00 70488 BRONCHOSCOPY$ 2,119.00 BRONCHOSCOPY W/WASHING$ 2,119.00 BRONCHOSCOPY W/BRUSHING$ 2,119.00 BRONCHOSCOPY W/BIOPSY$ 2,119.00 FACET NER INJ EA ADD$ 2,121.00 NEUROLYSIS$ 2,121.00 Facet Ner Inj Parave Facet Lum$ 2,121.00 Neuroplasty; Nerv of hand/foot$ 2,121.00 Neuro Maj Peri Nerve AorL open$ 2,121.00 Neur Maj Perip Nerv Brach Plex$ 2,121.00 Neuroplasty Ulnar Nerve Elbow$ 2,121.00 Neuroplasty Ulnar Nerve Wrist$ 2,121.00 Neuro Med Nerve Carpal Tunnel$ 2,121.00 Internal Neurolysis$ 2,121.00 Facet Nerv Inj Para Lum 2 lev$ 2,121.00 REM TUNNEL CATHETER$ 2,124.00 36589 REMOVAL TUN CV CATH$ 2,124.00 36589 PLATE MTP LOW PROFILE TI$ 2,125.00 C1713 PLATE STANDARD MTP LEFT$ 2,125.00 C1713 TISSEEL THROMBIN 5ML$ 2,127.00 AUGMENT HALF BLOCK TIB SZ3 5MM$ 2,128.00 5545-A-701$ 2,128.00 C1713 5545-A-702$ 2,128.00 C1713 STENT CORON S7 OTW 3.0MMX18MM$ 2,130.00 C1874 STENT CORON S7 OTW 3.0MMX30MM$ 2,130.00 STENT CORON S7 OTW 3.5MMX18MM$ 2,130.00 C1876 STENT CORON S7 OTW 3.5MMX30MM$ 2,130.00 C1876 STENT CORON S7 OTW 4MMX9MM$ 2,130.00 C1874 STENT CORON S7 OTW 4MMX18MM$ 2,130.00 C1876 STENT CORON S7 OTW 4MMX24MM$ 2,130.00 C1874 STENT CORON S7 OTW 4MMX30MM$ 2,130.00 C1876 STENT CORO DRV OTW 2.25MMX12MM$ 2,130.00 C1876 STENT CORO DRV OTW 2.25MMX14MM$ 2,130.00 C1876 STENT CORO DRV OTW 2.25MMX18MM$ 2,130.00 C1876 STENT CORO DRV OTW 2.5MMX8MM$ 2,130.00 C1876 STENT CORO DRV OTW 2.5MMX12MM $ 2,130.00 C1876 STENT CORO DRV OTW 2.5MMX14MM $ 2,130.00 C1876 STENT CORO DRV OTW 2.5MMX18MM $ 2,130.00 C1876 STENT CORO DRV OTW 2.5MMX24MM $ 2,130.00 C1876 STENT CORO DRV OTW 2.75MMX8MM $ 2,130.00 C1876 STENT CORO DRV OTW 2.75MMX12MM$ 2,130.00 C1876 STENT CORO DRV OTW 2.75MMX14MM$ 2,130.00 C1876 STENT CORO DRV OTW 2.75MMX18MM$ 2,130.00 C1876 STENT CORO DRV OTW 2.75MMX24MM$ 2,130.00 C1876 STENT CORONARY COBALT 3X12$ 2,130.00 C1876 STENT CORONARY COBALT 3X15$ 2,130.00 C1876 TRACHEOSTOMY PROC.$ 2,130.00 31603 STENT OTW 3.0X24$ 2,130.00 C1887 STENT OTW 4.0X12$ 2,130.00 C1874 STENT OTW 3.5X9 S73509W$ 2,130.00 STENT OTW 3.0X9$ 2,130.00 C1874 STENT AVE 3.5X12 S73512W$ 2,130.00 STENT OTW 3.0X12$ 2,130.00 STENT OTW 3.0X15$ 2,130.00 C1874 STENT CORONY S7 OTW 3.5MMX24MM$ 2,130.00 C1876 BALLOON THERMACHOICE THERAPY$ 2,130.00 PLATE 4 HOLE$ 2,134.00 7007-0104L ACUMED$ 2,134.00 C1713 PLATE LCP VOLAR 8H 04.110.450$ 2,136.00 C1713 PLATE LCP VOLAR 8H 04.110.451$ 2,136.00 C1713 PLATE LCP VOLAR 9H 04.110.350$ 2,136.00 C1713 PLATE LCP VOLAR 9H 04.110.351$ 2,136.00 C1713 AR-8956-01 ARTHREX$ 2,137.00 C1713 COLON W/BIO/POLYP SS$ 2,137.00 MED PACELD CAPSURE FIX MRI 45$ 2,141.00 C1898 MED PACELD CAPSURE FIX MRI 52$ 2,141.00 C1898 MED PACELD CAPSURE FIX MRI 58$ 2,141.00 C1898 NASAL/SINUS ENDOSCOPY, SURGIC$ 2,142.00 KIT PROGRAMMER PATIENT$ 2,142.00 C1787 CATH VISIONS PV 8.2$ 2,142.00 MRA HEAD WO CONST$ 2,142.00 70544 MRA HEAD WO CONST$ 2,142.00 70544 PLATE LCP T-ADAPTION 2.4 7H$ 2,144.00 C1713 PLATE LCP Y 2.4 X 60MM 3H$ 2,144.00 C1713 HERCEPTIN 150MG VIAL$ 2,148.00 J9355 HUMERAL LINER CONSTRAINED 42 M$ 2,153.00 C1776 HUMERAL LINER 42MM +2.5$ 2,153.00 C1776 LINER REV SHLD HUMERAL 2.5X42$ 2,153.00 C1713 LINER CONSTRAINED HUMERAL 38MM$ 2,153.00 C1713 CHARGING SYSTEM$ 2,154.00 BACK BRACE$ 2,159.00 L0460 CATH CARDIO ATTAIN COMMAND$ 2,160.00 C1887 PLATE VOLAR WIDE SHORT$ 2,160.00 C1713 PLATE VOLAR WIDE LONG$ 2,160.00 C1713 PLATE VOLAR NARROW LONG$ 2,160.00 C1713 INT REP S/T/E20.1-30$ 2,163.00 INSERT KNEE TIB SCORPIO$ 2,165.00 C1776 CT ST NECK WITH & W/O CONTRAST$ 2,166.00 INSERT KNEE TIBIAL 16MM$ 2,166.00 C1713 MRI LO EXT LTW/O CON$ 2,168.00 73718 73718 MRI LO EXT RT WO$ 2,168.00 73718 73718 MRI LO EXT LTW/O CON$ 2,168.00 73718 MRI LO EXT RT WO$ 2,168.00 73718 MESH PRIMATRIX 4 X 4 GRAFT$ 2,168.00 Q4110 PLATE CLAVICLE DIS 2.3MM 16H$ 2,171.00 C1713 PLATE LATERAL FIBULA 5 HOLE$ 2,174.00 C1713 PLATE FIBULA POSTEROLATERAL 4H$ 2,174.00 C1713 7007-0204L$ 2,174.00 C1713 BLOCK TIBIAL AUG MAXIM MODULAR$ 2,175.00 C1713 STEM CEMENTED TRIATHLON$ 2,179.00 C1713 STEM CEMENTED 100 MM$ 2,179.00 C1713 STEM CEMENTED 150 MM$ 2,179.00 C1713 ROTATING HINGE KNEE$ 2,183.00 C1776 OXALIPLATIN 100MG INJ$ 2,184.68 J9263 INTRODUCER STRBLE 8.5F 71CM$ 2,195.00 C1766 PLUG VASC EMBOLIZ 4X10$ 2,195.00 PLUG VASC EMBOLIZ 6X11$ 2,195.00 PLUG VASC EMBOLIZ 8X13.5$ 2,195.00 SHEATH STEERABLE MED CURL$ 2,195.00 PLUG VASC 12 MM CLOSURE DEVICE$ 2,195.00 PLUG VASC 14 MM CLOSURE DEVICE$ 2,195.00 EXC BENI LESN TR/AR/LE 2.1-3CM$ 2,196.00 CT ABD WITH CONTRAST$ 2,197.00 CT ABDMN WI CNTRST$ 2,197.00 74160 CT ABDMN WI CNTRST$ 2,197.00 74160 MLST MULTI LATENCY$ 2,199.00 95805 MRI TM JOINT$ 2,200.00 70336 MRI CHEST WO CONT$ 2,200.00 71550 MRI TM JOINT$ 2,200.00 70336 MRI CHEST WO CONT$ 2,200.00 71550 PLATE SHORT BEND 442.520$ 2,201.00 C1713 PLATE STANDARD 442.510$ 2,201.00 C1713 PLATE LEFT LATERAL FIBULA 6H$ 2,211.00 C1713 PLATE RT ACU-LOC DORSAL WRIST$ 2,213.00 C1713 CTA LOEXT RTWO/WSEC$ 2,214.00 73706 CTA LOEXT LTWO/WSEC$ 2,214.00 73706 CT VENOGRAM LOWER EXT RT$ 2,214.00 73706 CT VENOGRAM LOWER EXT LT$ 2,214.00 73706 GRAFT VASC PERIPH 6MM X 50CM$ 2,222.00 C1765 PEGINTRON 120 MCG SYRINGE$ 2,225.76 PLATE RIB UNIVERSAL MATRIX$ 2,229.00 C1713 STONE EXTR BILI DUCT$ 2,233.00 47544 PLATE CLAVICLE 6HOLE$ 2,233.00 C1713 PLATE CLAVICLE 6H 02.112.080$ 2,233.00 C1713 VIDAZA 100 MG VIAL$ 2,234.00 J9025 INSERT CVL CATH >5YR$ 2,241.00 PLATE 442.530$ 2,242.00 C1713 TIBIAL AUGMENT HALF BLOCK$ 2,242.00 C1776 RADIAL/HUMERAL HEAD SZ 40$ 2,246.00 C1776 PLATE LCP BRD 4.5 17H 226.672$ 2,250.00 C1713 PLATE LAT FIBULA LT 6 HOLE$ 2,250.00 C1713 PLATE FIBULA 6 HOLE LEFT PL$ 2,250.00 C1713 INTERFERON 5MMU (EA.$ 2,251.00 J9214 LIGAMENT INTERNAL BRACE REPAIR$ 2,252.00 C1713 SYSTEM UROLIFT UL400-4$ 2,252.00 L8699 AUGUMENT FEMORAL DISTAL$ 2,258.00 LEAD PACEMAKER VDD$ 2,261.00 C1898 STENT CORO DRV OTW 2.25MMX8MM $ 2,261.00 C1876 STENT CORO DRV OTW 2.25MMX24MM$ 2,261.00 C1876 PATIENT PROGRAMMER$ 2,261.00 C1787 PLATE LCP BRD 4.5 18H 226.682$ 2,262.00 C1713 ANGEL BMC KIT ABS-10062$ 2,264.00 REPLC CVL SM ACCESS$ 2,266.00 36580 PRIALT 100MCG/ML$ 2,267.00 J2278 GRAFT AMNIOEXCEL 4. X 4$ 2,271.00 Q4137 TRIATHLON TIBIAL AUG HALF BLOC$ 2,272.00 C1776 BLOCK HALF AUGMENT TRIA TIBIAL$ 2,272.00 C1776 BLOCK HALF AUG TRIA TIB SZ 4 5$ 2,272.00 C1776 HALF BLOCK AUGMENT TIB$ 2,272.00 C1713 AUGMENT HALF BLOCK TIB SIZ 8$ 2,272.00 C1713 PLATE WRIST DORSAL LT$ 2,280.00 C1713 PLATE NARROW RT DORSAL WRIST$ 2,280.00 C1713 PLATE DORSAL STANDARD LEFT$ 2,280.00 C1713 MRI BREAST C-+ W/CAD UNI$ 2,284.00 77048 MRI BREAST C-+ W/CAD BI$ 2,284.00 77049 CHEST TUBE PROC.$ 2,286.00 32551 CHEST TUBE INSERTION$ 2,286.00 32551 CHEST TUBE INSERT WT$ 2,286.00 32551 CHEST TUBE PLACEMENT$ 2,286.00 32551 PLATE LEFT 7 HOLE$ 2,287.00 C1713 PLATE POLYAXIAL LOCKING$ 2,287.00 C1713 LEAD KIT SPINE STIM$ 2,287.00 DELIVERY SYSTEM 6216$ 2,291.00 PLATE CLAVICLE LCP 7 HOLE$ 2,291.00 C1713 CT NECK WI CNTRST$ 2,294.00 70491 PLATE BARREL 135DEG 14H$ 2,297.00 C1713 PLATE BARREL 140DEG 14H$ 2,297.00 C1713 PLATE BARREL 145DEG 14H$ 2,297.00 C1713 PLATE BARREL 150DEG 14H$ 2,297.00 C1713 PLATE BARREL 135DEG 16H$ 2,297.00 C1713 PLATE BARREL 140DEG 16H$ 2,297.00 C1713 PLATE BARREL 145DEG 16H$ 2,297.00 C1713 PLATE BARREL 150DEG 16H$ 2,297.00 C1713 SLING RESTORELLE Y 24 X 4$ 2,298.00 C1771 ABLATION DEVICE NOVASURE$ 2,298.00 ADAPTER CATH LAB 13.5X25X65$ 2,298.00 CMRM6133$ 2,298.00 C1781 AFFILN AMNI DRESS 2.5CMX2.5CM$ 2,298.00 Q4159 HUMERAL LINER 320-38-00$ 2,300.00 C1776 SIGMOIDOSCOPY WITH POLYPECTOMY $ 2,301.00 SIGMOIDOSCOPY W/BIOPSY$ 2,301.00 2.4MM VA/LCP 6 HOLE DISTAL RAD$ 2,308.00 C1713 2.4 VA VOLAR PLATE 7H 04.111.7$ 2,308.00 C1713 PLATE VA-LCP TI 6HOLE 49MM$ 2,308.00 C1713 PLATE VA-LCP TI 7HOLE 49MM$ 2,308.00 C1713 MESH HERNIA 7X9$ 2,310.00 C1781 MESH VENTRALIGHT 7 X 9$ 2,310.00 C1781 PATELADV INLAT ALL-POLY SZ 35$ 2,310.00 C1776 MRI ORBIT FACE NECK W/CONTRAST$ 2,312.00 70542 SCREW SET U-BLADE LAG 10.5MM$ 2,312.00 C1713 MRI ORB/FAC/NECK W/ CONTRAST$ 2,312.00 70542 MRI ORB/FAC/NECK W/ CONTRAST$ 2,312.00 70542 TRIATHLON CEMENTED STEM$ 2,313.00 C1776 STEM CEMENTED KNEE$ 2,313.00 C1776 PLATE UTILITY PLP40340$ 2,313.00 C1713 PATELLA SYMMETRIC TRIATH$ 2,316.00 C1776 IDET PROCEDURE SINGL$ 2,319.00 IDET PROC EA ADD LEV$ 2,319.00 CTA CHEST WO/W SEC$ 2,321.00 71275 CTA CHEST WO/W SEC$ 2,321.00 71275 BLOCK HALF AUGMENT TIB$ 2,325.00 C1713 PLATE ANGL LOCK R 5H$ 2,326.00 C1713 PLATE ANGL LOCK L 5H$ 2,326.00 C1713 PLATE ANGL LCK R 4H$ 2,326.00 C1713 PLATE ANGL LCK L 4H$ 2,326.00 C1713 BAVENCIO 200 MG (PER 10MG)$ 2,330.63 J9023 PLATE MESH VARIAX CALCANEAL #4$ 2,334.00 C1713 PLATE STANDARD CLAVICLE 6H LFT$ 2,335.00 C1713 VENOGRAM, UNILATERAL$ 2,337.00 TUMOR SCN WHL BDY 1D$ 2,337.00 78802 GALLIUM SCAN$ 2,337.00 78802 GALLIUM SCAN 24HR$ 2,337.00 78802 OFFSET ADAPTER 6MM$ 2,338.00 C1776 ADAPTER OFFSET 4MM$ 2,338.00 BONE PUTTY W/DBM/CAN BONE CHIP$ 2,340.00 C9359 PLATE ACU-LOC2 VDU LG RIGHT$ 2,342.00 PLATE ACU-LOC VDU LEFT$ 2,342.00 INJECTAFER 750 MG$ 2,343.75 J1439 PLATE LCP RT VOLAR 7H 2.4$ 2,347.00 C1713 STENT WALLSTENT 14 X 40$ 2,348.00 STENT WALLSTENT 14 X 60 AAA$ 2,348.00 C1874 WALLSTENT ENDOPROSTHESIS 16X60$ 2,348.00 C1874 WALLSTENT ENDOPROSTHESIS 16X40$ 2,348.00 C1874 PLATE VA 2 COLUMN RIGHT$ 2,349.00 C1713 MRI CHEST W/CONTRAST$ 2,354.00 71551 MRI CHEST W CONST$ 2,354.00 71551 MRI CHEST W CONST$ 2,354.00 71551 PROSTIN E2 20MG VAG$ 2,359.00 PLATE SYNDESMO BUT T-RP$ 2,360.00 C1713 AUGMENT FEMUR POST SZ3 5MM$ 2,364.00 PLATE MTP CP LEFT$ 2,364.00 C1713 NAIL SOLID FEMORAL 9MM 464.32$ 2,365.00 C1713 NAIL SOLID FEMORAL 9MM 464.34$ 2,365.00 C1713 NAIL SOLID FEMORAL 9MM 464.36$ 2,365.00 C1713 NAIL SOLID FEMORAL 9MM 464.38$ 2,365.00 C1713 NAIL SOLID FEMORAL 9MM 464.40$ 2,365.00 C1713 NAIL SOLID FEMORAL 9MM 464.42$ 2,365.00 C1713 NAIL SOLID FEMORAL 9MM 464.44$ 2,365.00 C1713 PLATE LCP CLV HOOK 7H 3.5 X15M$ 2,366.00 C1713 STENT,BIL PALMAZ BAL$ 2,368.00 C1876 GRAFT VASC PTFE 4-7MM X 45CM$ 2,375.00 C1768 PLATE CLAVICLE 7H 02.112.083$ 2,376.00 C1713 NPSG$ 2,378.00 95810 NPSG-INCOMPLETE$ 2,378.00 95810 CATH SPINE INTRADISCAL 8 PIN$ 2,380.00 CATH SPINE INTRADISCAL XL 8PIN$ 2,380.00 OVAL DOME PATELLA 3-PEG$ 2,380.00 C1713 1ST ORDER THORACIC$ 2,385.00 36215 3RD ORDER THORACIC$ 2,385.00 36217 INTRO ART CATH EXT$ 2,385.00 36140 PLATE LT DISTAL RADIUS$ 2,396.00 C1713 PLATE VOLAR LCP 2.4$ 2,396.00 C1713 PLATE DIST RAD LCP$ 2,396.00 C1713 PLATE VA-LCP TI 6HOLE 58MM$ 2,396.00 C1713 PLATE DCS 90DEG 8H 146MM$ 2,397.00 C1713 NAIL TITANIUM TIBIAL 478.28S$ 2,398.00 C1713 NAIL TITANIUM TIBIAL 478.30S$ 2,398.00 C1713 NAIL TITANIUM TIBIAL 478.33S$ 2,398.00 C1713 NAIL TITANIUM TIBIAL 478.34S$ 2,398.00 C1713 NAIL TITANIUM TIBIAL 478.36S$ 2,398.00 C1713 NAIL SOLID TIBIAL 479.28S$ 2,398.00 C1713 NAIL SOLID TIBIAL 479.30S$ 2,398.00 C1713 NAIL SOLID TIBIAL 479.31S$ 2,398.00 C1713 NAIL SOLID TIBIAL 479.33S$ 2,398.00 C1713 NAIL SOLID TIBIAL 479.34S$ 2,398.00 C1713 NAIL SOLID TIBIAL 479.36S$ 2,398.00 C1713 NAIL SOLID TIBIAL 479.42S$ 2,398.00 C1713 NAIL SOLID TIBIAL 479.30S$ 2,398.00 C1713 NAIL SOLID TIBIAL 479.38S$ 2,398.00 C1713 NAIL SOLID TIBIAL 479.40S$ 2,398.00 C1713 PLATE OLECRANON 6H 3.5$ 2,402.00 C1713 STEM FLUTED #5565-S-012$ 2,406.00 C1776 AUGMENT HALF BLOCK TIBIAL$ 2,406.00 C1776 RENAL STENT EXP 4X15X90$ 2,410.00 C1876 RENAL STEN EXP 4X19X90$ 2,410.00 C1876 RENAL STENT EXP 5X15X90$ 2,410.00 C1876 RENAL STENT EXP 5X19X90$ 2,410.00 C1876 RENAL STENT EXP 6X14X90$ 2,410.00 C1876 RENAL STENT EXP 6X18X90$ 2,410.00 C1876 STENT BILIARY EXPR SD 4X15 150$ 2,410.00 C1876 STENT BILIARY EXPR SD 5X15 150$ 2,410.00 C1876 STENT BILIARY EXPR SD 6X14 150$ 2,410.00 C1876 STENT BILIARY EXPR SD 7X15 150$ 2,410.00 C1876 STENT BILIARY EXPR SD 4X19 150$ 2,410.00 C1876 STENT BILIARY EXPR SD 5X19 150$ 2,410.00 C1876 STENT BILIARY EXPR SD 6X18 150$ 2,410.00 C1876 STENT BILIARY EXPR SD 7X19 150$ 2,410.00 C1876 STENT BILIARY EXP LD 10X25 135$ 2,410.00 C1876 STENT BILIARY EXP LD 10X57 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 6X27 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 6X37 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 6X57 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 7X27 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 7X37 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 7X57 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 8X27 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 8X37 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 8X57 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 9X25 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 9X37 135$ 2,410.00 C1876 STENT BILIARY EXPR LD 9X57 135$ 2,410.00 C1876 CATH DUO-DECA 7FR 115CM$ 2,410.00 C1731 STENT ILIAC EXP LD 7X27X75$ 2,410.00 C1876 STENT ILIAC EXP LD 7X37X75$ 2,410.00 C1876 STENT ILIAC EXP LD 8X27X75$ 2,410.00 C1876 STENT ILIAC EXP LD 8X37X75$ 2,410.00 C1876 STENT ILIAC EXPRESS LD10X25X75$ 2,410.00 C1876 STENT ILIAC EXPRESS 10 X 37 X$ 2,410.00 C1876 STENT PREMOUNTED 7FR$ 2,410.00 C1876 PLATE RIGHT 9 HOLE$ 2,410.00 C1713 PLATE RIGHT COMB 8 HOLE$ 2,410.00 C1713 PLATE R CALC 8 HOLE$ 2,410.00 C1713 PLATE SHORT BEND 224.520$ 2,411.00 C1713 PLATE TIBIA POSTEROMEDIAL 3.5$ 2,411.00 C1713 TIB INSERT 20 MM$ 2,418.00 C1776 KNEE TIB INSERT$ 2,418.00 C1776 PCKL CAPSURE SENSE$ 2,422.00 C1898 IABP DAILY CHARGE$ 2,422.00 FILTER SYS JUGULAR DIL SHEATH$ 2,425.00 C1874 NAIL TITANIUM 485.027S$ 2,427.00 C1713 NAIL TITANIUM 485.028S$ 2,427.00 C1713 NAIL TITANIUM 485.030S$ 2,427.00 C1713 NAIL TITANIUM 485.034S$ 2,427.00 C1713 NAIL TITANIUM 485.036S$ 2,427.00 C1713 NAIL TITANIUM 485.038S$ 2,427.00 C1713 PLATE LCP 2-CLMN 6 H HD/3H SHA$ 2,427.00 C1713 SLING SYST OBTRYX CURVED$ 2,429.00 C1771 MRI BRAIN W/O CONT$ 2,429.00 70551 MRI BRAIN W/O CONT$ 2,429.00 70551 EXTENSION LEAD IPG 35CM$ 2,430.00 C1883 PLATE TROCHANTERIC GRIP-2CABLE$ 2,430.00 C1713 PLATE DM LG VITA GRIP 2.0 MM$ 2,430.00 C1713 CT NECK WI/WO CNTRST$ 2,431.00 70492 VOLAR RADIUS PLATE, NARROW$ 2,440.00 C1713 PERMACOL MESH 5 X 10 X 1$ 2,440.00 C9364 PLATE LEFT VOLAR RADIUS$ 2,440.00 C1713 PLATE ANATOMIC VOLAR$ 2,440.00 C1713 PLATE NARROW ANATO VOLAR$ 2,440.00 C1713 PLATE VOLAR ANA 54-25387$ 2,440.00 C1713 OVERSTITCH ENDO SUTURING SYS$ 2,441.00 EGD$ 2,445.00 I&D PERIANAL ABSCESS$ 2,446.00 MRA, HEAD W/CONTRAST$ 2,453.00 70545 U-BLADE SET 3065-0090S$ 2,454.00 U-BLADE SET, TI$ 2,454.00 PLATE CLAV VARIAX ANA SUPER 6$ 2,457.00 C1713 PLATE CLAVICLE SUP 7 HOLE$ 2,457.00 C1713 ZOMETA 4MG IV$ 2,457.00 J3489 J3489 BEARING HUMERAL SHOULDER REV$ 2,458.00 C1713 PLATE PROX TIB 02.120.704S$ 2,458.00 C1713 INTERNAL BRACE LIGAMENT$ 2,460.00 C1713 FISTULA PLUG SET .4CM$ 2,463.00 C1763 FISTULA PLUG SET .7CM$ 2,463.00 C1763 PLATE VOLAR DIST RAD 6H 2.4$ 2,464.00 C1713 INSERT OMNIFIT CROSS 10 SER II$ 2,468.00 C1713 PLATE DORSAL 10 HOLE$ 2,470.00 C1713 PLATE LONG ANATOMIC VOLAR$ 2,470.00 C1713 PLATE CUP CLAVICLE LCP 3.5 8H$ 2,470.00 C1713 PLATE VAR CLAV HOOK 7H 16MM LT$ 2,470.00 C1713 PLATE VARIAX CLAVICLE HOOK 5H$ 2,470.00 PLATE TI VARIAX HOOK 5H 16MM L$ 2,470.00 PLATE VAR CLAVICLE HOOK RT 5H$ 2,470.00 C1713 PLATE VARIAX CLAVICLE HOOK 7H$ 2,470.00 C1713 6 HOLE HOOK PLATE$ 2,470.00 C1713 PLATE 6 HOLE RT 16MM$ 2,470.00 C1713 PLATE CLAV HOOK VARIAN 5H$ 2,470.00 C1713 PLATE VARIAX CLAVICLE HOOK$ 2,470.00 C1713 PLATE 7H R VARIAX CLAV 12MM$ 2,470.00 C1713 BLOCK HALF AUG TIB SZ3 10MM$ 2,473.00 C1713 PLATE DISTAL RADIUS LT$ 2,476.00 C1713 PLATE VA-LCP TI 6HOLE 70MM RT$ 2,476.00 C1713 PLATE VA-LCP TI 6HOLE 70MM LT$ 2,476.00 C1713 PLATE VA-LCP TI 7HOLE 70MM$ 2,476.00 C1713 2.7MM VA-LCP LAT DIS FIB PLATE$ 2,477.00 C1713 PLATE ANGL LCK R 5H$ 2,480.00 C1713 PLATE ANGL LCK L 4H$ 2,480.00 C1713 PLATE ANGL LCK R 4H$ 2,480.00 C1713 PLATE ANGL LCK L 4H$ 2,480.00 C1713 MRI ABDOMEN W/CONTRAST$ 2,483.00 74182 MRI ABDOMEN W/CONTRAST$ 2,483.00 74182 MRI ABDOMEN W/CONTRAST$ 2,483.00 74182 STENT BILIARY 9MMX59MM 80CM$ 2,487.00 A9581 STENT BILIARY 6MMX15MM 135CM$ 2,487.00 A6209 AUGMENT HALF BLOCK TIB SZ 5$ 2,488.00 C1713 NAIL CANN FEMORAL 12MM 474.241$ 2,489.00 C1713 MODULAR FOOT MODULE 2.0 X 2.4$ 2,492.00 C1713 CT ABD WITH & W/O CONTRAST$ 2,494.00 CT ABD WO/WI CNTRST$ 2,494.00 74170 45-751324 THERUMO$ 2,494.00 C2628 45-751019 THERUMO$ 2,494.00 C2628 TISSUE EXAM BY PATHOLOGIST$ 2,495.00 88309 NAIL FEMORAL 465.40S$ 2,496.00 C1713 CLSD TX ARTCLAR W/MN$ 2,497.00 CLOSED TX BIMALL FX W/MANULIP$ 2,497.00 CLSD TX TRIMALL ANKLE FX W/MA$ 2,497.00 CLOSED TX WRIST FX /MANIPULATI$ 2,497.00 MESH LG OVAL KUGEL 14CM X 18CM$ 2,499.00 C1781 CT HEAD WI CONTRAST$ 2,500.00 70460 STENT CORONARY VISION 3X28$ 2,501.00 C1874 STENT CORONARY VISION 3X8$ 2,501.00 C1874 STENT CORONARY VISION 2.5X23$ 2,501.00 C1874 STENT CORONARY VISION 2.5X12$ 2,501.00 C1874 NAIL CANNULATED FEM 474.036S$ 2,502.00 C1713 NAIL CANNULATED FEM 474.034S$ 2,502.00 C1713 NAIL CANNULATED FEM 474.032S$ 2,502.00 C1713 REM FECA IMPAC W/SED$ 2,506.00 PLATE VA-LCP OLECR 4H 2.7X3.5$ 2,508.00 C1713 NEEDLE BIOPSY KIT & MARK 14GA$ 2,508.00 NEEDLE BIOPSY KIT MARKER 12 GA$ 2,508.00 STENT SMART 120CM 6X20$ 2,510.00 STENT COMPL 10 X 40 X 80$ 2,510.00 C1874 STENT COMPL 10 X 60 X 80$ 2,510.00 C1874 STENT BILIARY COMP 5 X 120 X 1$ 2,510.00 C1874 STENT BILIARY COMP OTW 5X40X13$ 2,510.00 C1874 STENT BILIARY COMP OTE 5X80X13$ 2,510.00 C1874 STENT BILIARY COMP 6X120X130$ 2,510.00 C1874 STENT BILIARY COMP 6X150X130$ 2,510.00 C1874 STENT BILIARY COMP 6X40X130$ 2,510.00 C1874 STENT COMPL 6X80X130$ 2,510.00 C1874 STENT BILIARY COMP 7X120X130$ 2,510.00 C1874 STENT DILIARY COMP 7X150X130$ 2,510.00 C1874 STENT COMPL 6X7X40X80$ 2,510.00 C1874 STENT COMPL 7X80X130$ 2,510.00 C1874 STENT COMPL OTW 8X40X130$ 2,510.00 C1874 STENT DILIARY COMP 8X80X130$ 2,510.00 C1874 STENT COMPL 9X60X80$ 2,510.00 C1874 PATCH EP CARDIA MAPPING NAVX$ 2,510.00 SHEATH STEERABLE FLEXCATH 12FR$ 2,510.00 C1766 TENDON SINGLE STRAND SEMI$ 2,510.00 5571-C-3610$ 2,510.00 C1776 5571-S-3206$ 2,510.00 C1776 5571-S4004 STRYKER$ 2,510.00 C1713 INSERT HUMERAL 5571-C-326$ 2,510.00 C1776 INSERT HUMERAL 5571-S-3608$ 2,510.00 C1776 INSERT HUMERAL 5571-C-3208$ 2,510.00 C1776 INSERT HUMERAL X3$ 2,510.00 C1776 INSERT HUMERAL$ 2,510.00 C1776 HUMERAL INSERT 32MM X 8MM$ 2,510.00 C1713 HUMERAL INSERT 12MM X 30MM$ 2,510.00 C1713 TENDON GRACILIS .35X23 CM$ 2,510.00 C1762 HUMERAL INSERT 32MM X 4MM$ 2,510.00 C1713 SGL STRD SEMITENDINOSUS .55X24$ 2,510.00 C1762 PLATE LCP 3.5 POST/LAT DIS HUM$ 2,511.00 C1713 PLATE LCP 3.5 MRD DIS HUM 5HOL$ 2,511.00 C1713 EN0020-P$ 2,514.00 OLECRANON PLATE LT 5 HOLE$ 2,516.00 C1713 COLON W/BIOP & POLYP$ 2,517.00 GRAFT AMNIOEXCEL 5 X 5 CM$ 2,519.00 Q4137 TRIATHLON FLUTED STEM 5565-G-5$ 2,522.00 C1776 PLATE RT LATERAL 10 HOLE$ 2,522.00 C1713 PLATE MEDIAL 8 HOLE$ 2,522.00 C1713 REMOVAL FB INTROCULAR$ 2,529.85 65265 MRI ABDOMEN WO/W CONTRAST$ 2,532.00 74183 MRI ABDOMEN WO/W CONTRAST$ 2,532.00 74183 MRI ABDOMEN WO/W CONTRAST$ 2,532.00 74183 RELOCATE POCKET PACEMAKER$ 2,533.00 33222 DEBRIDE WOUND BONE UP TO 20CM$ 2,537.00 11044 FEMORAL DIST AUGE RT TRIATH$ 2,537.00 C1713 PLATE OLECRANON LCP 3.5$ 2,540.00 C1713 TRIATHLON TOT KNEE CEMENT STEM$ 2,540.00 C1776 PLATE DISTAL FEMORAL AXSOS$ 2,541.00 C1713 DISKECTOMY-PERC-LUMB$ 2,545.00 RING TO ROD$ 2,547.00 AUGMENT DISTAL FEMORAL$ 2,549.00 C1776 MESH GRFT VASCULA 4-7MM X 45CM$ 2,553.00 C1781 PLATE DISTAL CLAVICLE 2.3 13 H$ 2,554.00 C1713 PLATE DISTAL CLAVICLE LT 13HOL$ 2,554.00 C1713 PLATE CLAV ANT 8HOLE$ 2,554.00 C1713 STENT, COR RES 2.25MM X 34MM$ 2,560.00 C1874 STENT, COR RES ONX 2.25MMX38MM$ 2,560.00 C1874 STENT, COR RES ONX 2.50MMX34MM$ 2,560.00 C1784 STENT, COR RES ONX 2.50MMX38MM$ 2,560.00 C1874 STENT, COR RES ONX 2.75MMX34MM$ 2,560.00 C1874 STENT, COR RES ONX 2.75MMX38MM$ 2,560.00 C1874 PLATE CLAVICLE ANTERIOR 6HOLE$ 2,560.00 C1713 PLATE MIDSHAFT CLAVICLE 7H$ 2,560.00 C1713 PLATE SUPER LATERAL 3H RT$ 2,560.00 C1713 KIT AC ACUTE REPAIR$ 2,560.00 C1713 DOXIL 20MG/10ML VIAL$ 2,565.00 Q2050 SPARC SLING SYSTEM$ 2,575.00 STRATIS BIO 8X25$ 2,575.00 C1713 REPLC TUN CVL WO PRT$ 2,576.00 36581 PLATE DORSAL VARIAX$ 2,578.00 C1713 PLATE ANATOMIC LONG$ 2,578.00 C1713 INTRO T151 1STEP TRO & DIA$ 2,580.00 HEAD HIP LFIT 26MM$ 2,582.00 C1776 BALLOON DIL PERIP 3X4 120CM$ 2,584.00 C1725 BALLOON DIL PERIP 6X4 75CM$ 2,584.00 BALLOON DIL PERIP OPTI 5FR 75C$ 2,584.00 BALLOON DIL PERIP ATLAS 6.5FR$ 2,584.00 C1725 STENT GRAFT FLU 7X80 80CM$ 2,584.00 BALLOON DIL OTW 4.0 X 10$ 2,584.00 BALLOON DIL OTW 5MMX40MM$ 2,584.00 C1727 STENT BILIARY OTW 9X38 80CM$ 2,584.00 CATH ASPIRATION EXPORT 7F 145C$ 2,584.00 BALLOON DIL OTW 014IN 2.5MMX10$ 2,584.00 SLING SYST PREFYX PPS$ 2,586.00 C1771 BEARING SHLD REV 44- 36 XTD #$ 2,590.00 C1776 PLATE STD 80-0695$ 2,590.00 C1713 COMP REV SLD HUMERAL BEARING/S$ 2,590.00 C1776 MESH VENTRALIGHT ST.$ 2,590.00 C1781 NAIL TIBIAL 8MM 478.38S$ 2,591.00 C1713 NAIL TIBIAL 8MM 478.40S$ 2,591.00 C1713 NAIL TIBIAL 10MM 476.31S$ 2,591.00 C1713 UHR BIOPOLAR 41MM UH1-41-26$ 2,591.00 C1776 UHR BIOPOLAR 43MM UH1-43-26$ 2,591.00 C1776 UHR BIOPOLAR 44MM UH1-44-26$ 2,591.00 C1776 UHR BIOPOLAR 45MM UH1-45-26$ 2,591.00 C1776 UHR BIOPOLAR 47MM UH1-47-26$ 2,591.00 C1776 UHR BIOPOLAR 48MM UH1-48-26$ 2,591.00 C1776 UHR BIOPOLAR 49MM UH1-49-26$ 2,591.00 C1776 UHR BIOPOLAR 50MM UH1-50-26$ 2,591.00 C1776 UHR BIOPOLAR 51MM UH1-51-26$ 2,591.00 C1776 UHR BIOPOLAR 52MM UH1-52-26$ 2,591.00 C1776 UHR BIOPOLAR 53MM UH1-53-26$ 2,591.00 C1776 UHR BIOPOLAR 54MM UH1-54-26$ 2,591.00 C1776 UHR BIOPOLAR 55MM UH1-55-26$ 2,591.00 C1776 UHR BIOPOLAR 56MM UH1-56-26$ 2,591.00 C1776 UHR BIOPOLAR 57MM UH1-57-26$ 2,591.00 C1776 UHR BIOPOLAR 58MM UH1-58-26$ 2,591.00 C1776 UHR BIOPOLAR 61MM UH1-61-26$ 2,591.00 C1776 PLATE OLECRANON 6H RT$ 2,595.00 C1713 KCENTRA, PER I.U$ 2,596.14 C9132 INCISION LING FREN (FRENOTOMY$ 2,596.38 41010 TYMPANOSTOMY W/GEN ANESTHESIA$ 2,596.38 69436 AUGMENT HALF BLOCK TIBIAL$ 2,597.00 BLOCK HLF AUB TIB SZ4 REV$ 2,597.00 BLOCK HLF AUG TIB SZ4 REV$ 2,597.00 KIT KYPHO IVAS 11G 15MM$ 2,598.00 0705-310-000 STRYKER$ 2,598.00 CT ABD/PELVIC W/O CONTRAST$ 2,600.00 74176 CT ABD/PELVIC W/O CONTRAST$ 2,600.00 74176 PELLETS OSTEOSET RBK 25CC$ 2,600.00 C1713 MRI CHEST WO/W CONTRAST$ 2,601.00 71552 MRI CHEST WO/W CONTRAST$ 2,601.00 71552 MRI CHEST WO/W CONTRAST$ 2,601.00 71552 TIBIAL BASEPLATE-RM/LL SZ 2 MC$ 2,604.00 C1776 PLATE DIS LAT HUMERUS LT 10 H$ 2,610.00 C1713 ACU-LOK 2 VDR PLATES$ 2,612.00 C1713 ACU-LOC 2 VDR PLATES$ 2,612.00 C1713 ACU-L=LOK 2 VDR PLATES$ 2,612.00 C1713 MRI ORB/FAC/NECK WO/W CONTRAST $ 2,613.00 70543 MRI ORB/FAC/NECK WO/W CONTRAST $ 2,613.00 70543 CATH EP ABLATION BI-D 8MM TIP$ 2,620.00 C1733 PLATE HOOK VARIAX CLAVICLE 5H$ 2,621.00 PLATE DISTAL RAD 2.4 VOLAR$ 2,622.00 C1713 INSERT INTER FID MARK, PERC, R$ 2,623.00 INSERT INTER FID MARK, PERC, R$ 2,623.00 EGD/BX$ 2,623.00 PROLIA 60MG/1ML SYRINGE$ 2,625.00 J0897 MRA CHEST W OR W/O CONTRAST$ 2,632.00 71555 PLATE 12HOLE DCS 281.92$ 2,633.00 C1713 MYO PERF TREADMILL$ 2,637.00 78452 TIBIAL BASE PLATE MAKO ONLAY$ 2,641.00 C1713 TIBIAL BASEPLATE SZ5 MAKO$ 2,641.00 C1776 TIBIAL BASEPLATE SZ 3 MAKO$ 2,641.00 C1776 TIBIAL BASEPLATE MAKO ONLAY$ 2,641.00 C1776 CLSD TX HUM SHFT W/M$ 2,642.00 CLSD TX RAD HD/NCK$ 2,642.00 STEM FLUTED #5565-S-014$ 2,642.00 C1776 PLATE ANT CLAVICLE MED 6 H$ 2,642.00 C1713 PLATE CLAVICLE LARGE 8 HOLE$ 2,642.00 C1713 PLATE OLECRANON 8 HOLE$ 2,642.00 C1713 PLATE OLECRANON 8 HOLE$ 2,642.00 C1713 PLATE DISTAL POSTERIOR LAT 12H$ 2,642.00 6293505 STRYKER $ 2,642.00 C1713 DISTAL MEDIAL PLATE 12 HOLE$ 2,642.00 C1713 MRI THROAC SP WO$ 2,644.00 72146 MRI THROAC SP WO$ 2,644.00 72146 PLATE ANCH OPN WED OMM$ 2,644.00 C1713 MRI LOWER EXT W/CONTRAST RT$ 2,645.00 73719 MRI LO EXT LT W/CONTRAST$ 2,645.00 73719 MRI LO EXT LT W/CONTRAST$ 2,645.00 73719 MRI LOWER EXT W/CONTRAST RT$ 2,645.00 73719 PLATE HUMERUS 3.5$ 2,650.00 C1713 CT CERV SPINE WI CNT$ 2,654.00 72126 800 R ACCESSORY KIT 720066-01$ 2,654.00 EGD/DILATATION$ 2,654.00 REMV/REVS NEROELCTRD$ 2,655.00 C-TAPER LFIT HEAD LOW FRIC 28M$ 2,662.00 C1713 AUGMENT POSTERIOR FEMORAL$ 2,662.00 C1776 AUGMENT DISTAL FEMORAL #5541-A$ 2,662.00 C1776 IMPLANT UCL INTERNAL BRACE$ 2,668.00 ANGIOGUARD 6MM-GUIDEWIRE$ 2,670.00 C1769 TISSUE FIBULAR STRUT 8M X 110M$ 2,670.00 C1713 EMPLICITI 300 MG VIAL$ 2,671.00 J9176 PLATE ACU-LOCIL STANDARD SIZE$ 2,678.00 C1713 PLATE ACU-LOC STD SZ RIGHT$ 2,678.00 C1713 PASTA REPAIR KIT$ 2,680.00 1O HOLE X PLATE$ 2,686.00 C1713 10 HOLE H PLATE$ 2,686.00 C1713 MRA ABD W & WO CONTRAST$ 2,687.00 74185 PLATE LCP FOREFOOT/MIDFOOT$ 2,693.00 C1713 ARTHROSCOPY WRIST$ 2,693.00 INSERT HIP TRIDENT 623-00-36G$ 2,694.00 C1776 INSERT HIP POLY 623-10-36G$ 2,694.00 C1776 MRI PELVIS W/CONTRAST$ 2,695.00 72196 MRI PELVIS W/CONT$ 2,695.00 72196 MRI PELVIS W/CONT$ 2,695.00 72196 REPAIR ICDL DUAL$ 2,700.00 33220 IMP SYS INTBRACE KNEE LIG AUG$ 2,700.00 C1713 PLATE VARIAX ELBOW MED$ 2,701.00 C1713 IMPLANT KINGER MCP SZ 40$ 2,702.00 C1776 MESH CQUR TACSHIELD 8X10$ 2,704.00 C1781 EPIRUBICIN 200MG/100$ 2,704.00 J9178 NAIL FEMORAL 10MM 474.038S$ 2,705.00 C1713 NAIL FEMORAL 10MM 474.041S$ 2,705.00 C1713 PLATE OLECRANON LCP 8HOLE$ 2,706.00 C1713 PLATE PROX MEDIAL TIBIA$ 2,707.00 C1713 STENT BILIARY EPIC 8X120 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 6X100 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 6X120 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 6X40 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 6X60 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 6X80 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 7X100 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 7X118 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 7X40 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 7X60 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 7X80 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 8X100 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 8X40 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 8X61 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 8X82 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 9X99 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 9X40 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 9X60 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 9X80 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 10X30 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 10X40 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 12X32 120CM$ 2,710.00 C1876 STENT VASC EPIC 6F 12X40 120CM$ 2,710.00 C1876 STENT, COR RES ONX2.0MMX08MM$ 2,710.00 C1874 STENT, COR RES ONX2.0MMX12MM$ 2,710.00 C1874 STENT, COR RES ONX2.0MMX18MM$ 2,710.00 C1874 STENT, COR RES ONX2.0MMX15MM$ 2,710.00 C1874 STENT,COR RES ONYX 2.OOMMX22MM $ 2,710.00 C1874 STENT, COR RES ONX2.0MMX26MM$ 2,710.00 C1874 STENT, COR RES ONX2.0MMX30MM$ 2,710.00 C1874 STENT, COR RES ONX 4.5MMX12MM$ 2,710.00 C1874 STENT, COR RES ONX 4.5MMX15MM$ 2,710.00 C1874 STENT, COR RES ONX 4.5MMX18MM$ 2,710.00 C1874 STENT, COR RES ONX 4.5MMX22MM$ 2,710.00 C1874 STENT, COR RES ONX 4.5MMX26MM$ 2,710.00 C1874 STENT, COR RES ONX 4.5MMX30MM$ 2,710.00 C1874 STENT, COR RES ONX 5.0MMX12MM$ 2,710.00 C1874 STENT, COR RES ONX 5.0MMX15MM$ 2,710.00 C1874 STENT, COR RES ONX 5.0MMX22MM$ 2,710.00 C1874 STENT, COR RES ONX 5.0MMX26MM$ 2,710.00 C1874 STENT, COR RES ONX 5.0MMX30MM$ 2,710.00 C1874 STENT,CORO RES ONYX 5.0MMX18MM $ 2,710.00 C1874 STENT, COR RES ONX2.0MMX22MM$ 2,710.00 C1874 VASCULAR GRAFT 8 MM X 40$ 2,710.00 C1768 VASCULAR GRAFT 6 MM X 40$ 2,710.00 C1768 CRYO 2.1cx 90 DEGREE NEEDLE$ 2,710.00 EEG MONITOR/VIDEO RECORD$ 2,712.00 95951 PLATE POSTEROLATERAL RT 5H$ 2,712.00 PLATE MED LISFRANC$ 2,714.00 C1713 PLAT LISFRANC SMALL RIGHT$ 2,714.00 C1713 PLATE LAPIDUS PLP20341$ 2,714.00 C1713 PLATE LISFRANC LEFT LARGE$ 2,714.00 C1713 PLATE LISFRANC LEFT SMALL$ 2,714.00 C1713 PLATE HUME DIS SHORT POSTERIOR$ 2,716.00 C1713 STENT CORONARY VISION$ 2,720.00 C1874 ANGIOGRAPHY EXTREMI UNILATERAL$ 2,723.00 EGD W/ESOPHAGEAL BANDING$ 2,725.00 NAIL HUMERAL 1830-0727S$ 2,731.00 C1713 ICD LEAD OPTISURE LDA210Q/58$ 2,733.00 C1777 PLATE OLECRANON LEFT 3 HOLE$ 2,736.00 C1713 PLATE OLECRANON RT 3 HOLE$ 2,736.00 TIBIAL BEAR INSERT TRIA SZ 6$ 2,737.00 C1776 TIBIAL BEAR INS TRI SZ 6 13MM$ 2,737.00 C1776 INSERT KNEE BEARING TIB SZ6$ 2,737.00 C1776 NAIL 90 MM X 3.8 MM$ 2,740.00 C1713 STEM CMNT TTL KNEE 12 X 50 REV$ 2,740.00 STENT BILIARY HERC 5X12 135$ 2,742.00 C1876 STENT BILIARY HERC 7X40 55CM$ 2,742.00 C1874 STENT TRANS BILIARY 7C18 135CM$ 2,742.00 C1727 STENT BILIARY 6MMX15MM 80CM$ 2,742.00 STENT BILIARY HERC 5X15$ 2,742.00 STENT BILIARY HERC 5MMX12M 80C$ 2,742.00 C1887 STENT BILIARY HERC 5MX12M 135C$ 2,742.00 C1887 STENT BILIARY HERC 6MX12M 80CM$ 2,742.00 C1876 CUP HUMERAL STAND PE$ 2,743.00 C1713 PLATE CLAVICLE MIDSHAFT SUP 7H$ 2,743.00 C1713 PLATE WRIST FUSION NEUTRAL$ 2,750.00 C1713 PLATE OLECRANON 3.5 MM$ 2,752.00 C1713 FILTER V CAVA TRAP 6F 55CM 8SH$ 2,756.00 C1769 MESH PHYSIOMESH 15 x 20CM$ 2,756.00 C1781 TUTOPLAST 6X8$ 2,758.00 NERVE CONNECTOR 2 X 10MM AXOGU $ 2,760.00 C9353 NERVE CONNECTOR 3X10MM AXOGUAR$ 2,760.00 C9353 SO FLCN GENE SEQUENCING$ 2,765.00 81229 PATIENT PROGRAMMER #3037$ 2,771.00 C1787 PATIENT PROGRAMMER MEDTRONIC$ 2,771.00 C1787 PLATE DISTAL HUMBER LLP 3H 3.5$ 2,774.00 C1713 LAPIDUS CP PLATE$ 2,775.00 C1713 FILTER VENA CAVA FEM BIRD 75CM$ 2,781.00 BALLOON 15/2 KYPHON$ 2,781.00 C1727 DARZALEX 400 MG VIAL$ 2,783.00 J9145 SUTURE BRIDGE ACHILLES PACK$ 2,792.00 C1713 CATH, BALLOON PUMP$ 2,806.00 MRI UPPER EXT NO JOINT W/CONT$ 2,807.00 73219 MRI UP EXT LT W/CONTRAST$ 2,807.00 73219 MRI UP EXT LT W/CONTRAST$ 2,807.00 73219 STENT CORO DES INT RX 3.50X38$ 2,810.00 C1874 STENT CORO RI DRUG-EL 2.50 X 8$ 2,810.00 C1874 STENT CORO RI DRUG-ELUT 3 X 34$ 2,810.00 C1874 STENT CORO RT DRUG-ELU 3 X 38$ 2,810.00 C1874 STENT CORO RT DRUG-EL 3.5 X 34$ 2,810.00 C1874 STENT CORO RI DRUG-EL 4 X 34$ 2,810.00 C1874 STENT CORO RI DRUG-EL 4 X 38$ 2,810.00 C1874 STENT CORO RI DRUG-EL OTW 3X38$ 2,810.00 C1874 STENT CORO RT DRUG OTW 3.5X34$ 2,810.00 C1874 STENT CORO RI DRUG OTW 4 X 34$ 2,810.00 C1874 STENT CORO RT DRUG OTW 4 X 38$ 2,810.00 C1874 STENT VASC LIFESTENT 5X60 130$ 2,810.00 C1876 STENT VASC LIFESTENT 5X100 130$ 2,810.00 C1876 STENT VASC LIFESTENT 5X150 130$ 2,810.00 C1876 STENT VASC LIFESTENT 5X170 130$ 2,810.00 C1876 STENT VASC LIFESTENT 6X60 130$ 2,810.00 C1876 STENT VASC LIFESTENT 6X100 130$ 2,810.00 C1876 STENT VASC LIFESTENT 6X150 130$ 2,810.00 C1876 STENT VASC LIFESTENT 6X200 135$ 2,810.00 C1876 STENT VASC LIFESTENT 7X100 130$ 2,810.00 C1876 STENT BILIARY LIFEST 7X150 130$ 2,810.00 C1876 STENT VASC LIFESTENT 7X200 135$ 2,810.00 C1876 STENT LIFESTENT 7X60X130$ 2,810.00 C1876 MESH COMPOSIX EX 8X10$ 2,810.00 C1713 HEAD EXPLOR IMPL 10X20MM$ 2,810.00 C1713 PLAT TIB PROX LAT LFT 14H 251M$ 2,811.00 C1713 PLATE AXSOS PROX LAT 12 HOLE$ 2,811.00 C1713 PLATE TIB ANT DIS 4.0 RT AXSOS$ 2,813.00 C1713 CABLE GRIP SYSTEM$ 2,815.00 GRAFT GORTEX RINGED 6X80$ 2,817.00 C1768 INSERT KNEE PS TRIATH$ 2,820.00 C1776 PS INSERT SIZE 5/22MM$ 2,820.00 C1776 NAIL TIBIAL 10MM 315MM 485.031$ 2,825.00 C1713 NAIL TIBIAL 10MM 330MM 485.033$ 2,825.00 C1713 HUMERAL CUP$ 2,826.00 C1776 HUMERAL STAND PE CUP$ 2,826.00 C1776 HUMERAL ST PE CUP$ 2,826.00 C1776 HUMERAL PE CUP STANDARD$ 2,826.00 C1776 HUMERAL PE CUP STAN 38X6$ 2,826.00 C1776 CLSD TX COLLES FX WM$ 2,829.00 PLATE XXL VOLAR DR NARROW 2.7$ 2,830.00 THROMBOLYSIS CORONARY ARTERY$ 2,833.00 92975 LT HEART CATH TRNSPTL PUNCTURE$ 2,834.00 93462 PLATE TIBIA PROX 4.5MM 240.036$ 2,835.00 C1713 PLATE LAT ANA DISTAL HUMERAL$ 2,838.00 C1713 MRI UP EXT JNT LT WO$ 2,838.00 73221 MRI UP EXT JNT LT WO$ 2,838.00 73221 MRI UP EXT JNT RT W/O CONTRAST$ 2,838.00 73221 MRI UP EXT JNT RT W/O CONTRAST$ 2,838.00 73221 73221 HUMRIA 40MG/0.8ML SYRINGE$ 2,839.05 J0135 TENDON LATERAL ANKLE$ 2,840.00 C1762 STENT BILIARY 1008021-15$ 2,843.00 C1769 STENT BILIARY HERC 7MX18M 80CM$ 2,843.00 C1876 STENT BILIARY RX HR 5.5X15X135$ 2,843.00 C1874 NAIL TIBIAL 10X330MM 476.33S$ 2,843.00 C1713 NAIL TIBIAL 8MMX255 478.25S$ 2,843.00 C1713 NAIL TIBIAL 8MMX 315 478.31S$ 2,843.00 C1713 CIMZIA 200MG VIAL POWDER$ 2,843.64 J0717 PLATE VDR ACU-LOC 2 WIDE RT$ 2,844.00 PLATE ACU-LOC2 VDR PRO WIDE RT$ 2,844.00 NAIL CANN TIB 10MM 04.004.458S$ 2,845.00 C1713 INSERT KNEE CS TRIA SZ5 16MM$ 2,846.00 C1776 TIBIAL BEAR INSERT 5 X 16$ 2,848.00 C1713 INSERT TIBIAL BEARING 16MM SZ7$ 2,849.00 C1713 PLATE LAPIDIS$ 2,849.00 C1713 PLATE CP LAPIDUS PLP27372$ 2,849.00 C1713 FEMORAL HEAD LFIT ANATOMIC V40$ 2,849.00 C1776 FEMORAL HEAD LFIT ANAT V40-36$ 2,849.00 C1776 PLATE MTP CP RIGHT$ 2,849.00 C1713 PLATE LAPIDUS CP$ 2,849.00 HEAD RHEAD RAD RHA-H4$ 2,850.00 C1776 ACTEMRA 400MG/20ML VIAL$ 2,855.00 J3262 SOLYX SLING SYSTEM$ 2,858.00 C1771 LEAD PERMANENT 70CM$ 2,860.00 C1778 KIT LEAD TRIAL 50 CM 3-4$ 2,860.00 C1778 TIBIAL BEARING INSERT$ 2,860.00 C1776 BEARING TIBIAL INSERT PS TRIAT$ 2,860.00 C1713 XPANSION SKIN GRAFT EA ADD 100$ 2,865.00 15101 XPANSION SKIN GFT EA ADD 100SQ$ 2,865.00 15121 ILIAC ART ANGIO CARD CATH/CORO$ 2,866.00 G0278 C-TAPER HEAD DELTA 28MM$ 2,873.00 C1713 GRAFT VASCULAR LEFENE PTFE$ 2,873.00 PLATE HUMREUS DIST 3.5 LCP SZ5$ 2,875.00 C1713 LIORESAL IT 10MG/20ML$ 2,877.00 J0475 MRI LO EXT RT WO/W CONT$ 2,878.00 73720 MRI LO EXT LT WO/W CONT$ 2,878.00 73720 MRI LO EXT LT WO/W CONT$ 2,878.00 73720 MRI LO EXT RT WO/W CONT$ 2,878.00 73720 BEARING KNEE MEN R 7MM$ 2,880.00 C1713 BEARING MENISC KNEE PART SM$ 2,880.00 C1713 ABRAXANE 100MG VIAL$ 2,883.00 J9264 NAIL TROCH 456.318S$ 2,887.00 C1713 NAIL TROCH 456.323S$ 2,887.00 C1713 NAIL TROCH 456.316S$ 2,887.00 C1713 NAIL TROCH 456.321S$ 2,887.00 C1713 NAIL TROCH 456.314S$ 2,887.00 C1713 NAIL TROCH 456.315S$ 2,887.00 C1713 PLATE DISTAL MED TIBIA 10 HOLE$ 2,889.00 C1713 PLATE DISTAL MEDIAL TIBIAL 4 H$ 2,889.00 C1713 PLATE DIST MED TIBIA 14 HOLE$ 2,889.00 C1713 PLATE TIBIA MEDIAL DIST 8 HOLE$ 2,889.00 C1713 PLATE T LCP 16H 3.5MM 241.017$ 2,893.00 C1713 REPLEFORM 5X10$ 2,895.00 C1762 NERVE GUIDE PNG730$ 2,895.00 C9352 NEUROGRN 3MMX3CM INTEGRA$ 2,897.00 C9352 NEUROGEN 4MMX3CM INTEGRA$ 2,897.00 C9352 NEUROGEN 5MMX3CM INTEGRA$ 2,897.00 C9352 NEUROGEN 6MMX3CM INTEGRA$ 2,897.00 C9352 FLEBOGAMMA 10% 100ML VIAL$ 2,897.70 J1572 J1572 ORBACTIV 400 MG$ 2,900.00 J2407 TENDON GRACILIS 3-10MMX20-38CM$ 2,903.00 C1762 PLATE OLECRANON 7 HOLE$ 2,904.00 C1713 MRI LO EXT JT LT WO$ 2,904.00 73721 73721 MRI LO EXT JT LT WO$ 2,904.00 73721 MRI LO EXT JNT RT WO$ 2,904.00 73721 MRI LO EXT JNT RT WO$ 2,904.00 73721 73721 STENT BILARY HERC 5X18X135$ 2,910.00 C1874 STENT BILARY HERC 5.5X15X135$ 2,910.00 C1874 STENT, HERCULINK RX 6 X 15X135$ 2,910.00 C1874 STENT BILARY HERC 6 X 18 X 135$ 2,910.00 C1874 NAIL CANN FEMORAL 10MM 474.032$ 2,912.00 C1713 NAIL CANN FEMORAL 10MM 474.034$ 2,912.00 C1713 NAIL CANN FEMORAL 10MM 474.036$ 2,912.00 C1713 NAIL CANN FEMORAL 10MM 474.038$ 2,912.00 C1713 NAIL CANN FEMORAL 10MM 474.041$ 2,912.00 C1713 NAIL CANN FEMORAL 10MM 474.042$ 2,912.00 C1713 NAIL CANN FEMORAL 10MM 474.044$ 2,912.00 C1713 NAIL CANN FEMORAL 10MM 474.046$ 2,912.00 C1713 NAIL CANN FEMORAL 11MM 474.134$ 2,912.00 C1713 NAIL CANN FEMORAL 11MM 474.136$ 2,912.00 C1713 NAIL CANN FEMORAL 11MM 474.138$ 2,912.00 C1713 NAIL CANN FEMORAL 11MM 474.141$ 2,912.00 C1713 NAIL CANN FEMORAL 11MM 474.142$ 2,912.00 C1713 NAIL CANN FEMORAL 11MM 474.144$ 2,912.00 C1713 NAIL CANN FEMORAL 11MM 474.146$ 2,912.00 C1713 NAIL CANN FEMORAL 12MM 474.232$ 2,912.00 C1713 NAIL CANN FEMORAL 12MM 474.234$ 2,912.00 C1713 NAIL CANN FEMORAL 12MM 474.236$ 2,912.00 C1713 NAIL CANN FEMORAL 12MM 474.238$ 2,912.00 C1713 NAIL CANN FEMORAL 12MM 474.242$ 2,912.00 C1713 NAIL CANN FEMORAL 12MM 474.244$ 2,912.00 C1713 NAIL CANN FEMORAL 12MM 474.246$ 2,912.00 C1713 NAIL CANN FEMORAL 13MM 474.334$ 2,912.00 C1713 NAIL CANN FEMORAL 13MM 474.336$ 2,912.00 C1713 NAIL CANN FEMORAL 13MM 474.338$ 2,912.00 C1713 NAIL CANN FEMORAL 13MM 474.341$ 2,912.00 C1713 NAIL CANN FEMORAL 13MM 474.342$ 2,912.00 C1713 NAIL CANN FEMORAL 13MM 474.344$ 2,912.00 C1713 NAIL CANN FEMORAL 13MM 474.346$ 2,912.00 C1713 SKIN TISSUE REARRANGEMENT$ 2,913.00 SKIN TISSUE REARRANGEMENT$ 2,913.00 SKIN FULL GRAFT EEN & LIPS$ 2,913.00 DEST OF LESIO PENIS,SIMPLE ELE$ 2,913.00 MESH SURGISIS GOLD 13X22$ 2,915.00 C1781 STEM EXT KNEE FEMORAL 16X80MM$ 2,915.00 C1713 RIM INSERT ELEVATED$ 2,918.00 C1776 TRIDENT HIP INSERT 623-00-36F$ 2,918.00 C1776 PLATE MEDICAL 16 HOLE$ 2,918.00 BIOPSY BONE DEEP$ 2,919.00 20225 EXC BEN LES SC/HA/FE 3.1-4 CM$ 2,919.00 EXC BEN LES SC/HAN/FEET > 4 CM$ 2,919.00 EXC TR-EXT MLG+MARG > 4 CM$ 2,919.00 EXC TUM ST FAC/SCAL SUBQ > 2CM$ 2,919.00 EXC TUM ST N/THO SUBFASC 5CM/>$ 2,919.00 REMOVE LESION, NECK / CHEST$ 2,919.00 REMOVE LESION ARM/ELBOW$ 2,919.00 REMOVEAL FOREARM LESION SUBCU$ 2,919.00 EXC TUM ST H/F SUBC 1.5 OR GRE$ 2,919.00 TEMPORAL ARTERY PROCEDURE$ 2,919.00 EXC ST LESION EXT AUDITORY CAN$ 2,919.00 INCISI& REM FB SQ COMPLICATED$ 2,919.00 CT ASPIRATION$ 2,919.00 ESSURE BIRTH CONTROL$ 2,930.00 A4649 INSERT HIP TRIDENT POLY$ 2,930.00 C1776 623-00-32C$ 2,930.00 C1713 POLYETHLENE 32 MM INSERT$ 2,930.00 C1776 623-00-32E STRYKER$ 2,930.00 C1713 INSERT KNEE CS TRIATH SZ 5 13M$ 2,932.00 C1776 TIBIAL BEARING INSERT$ 2,932.00 C1776 BEARING INSERT TIBIAL TRIATH$ 2,932.00 C1713 BEARING INSERT TIBIAL TRIATH$ 2,932.00 C1713 BEARING INSERT TIBIAL 5 X 9MM$ 2,932.00 C1713 BEARING INSERT TIBIAL 5 X 11MM$ 2,932.00 C1713 INSERT KNEE BEARING TIB TI$ 2,932.00 C1776 PLATE MIDSHAFT RT SUPERIOR 6H$ 2,941.00 NAIL FIXATION 130 DEG-STERILE$ 2,942.00 C1713 HEAD HIP LFIT 36MM$ 2,942.00 C1776 HEAD HIP LFIT 40MM$ 2,942.00 C1776 HEAD HIP LFIT 40MM$ 2,942.00 C1776 C-TAPER FEMORAL HEAD$ 2,942.00 C1713 FEMORAL HEAD C-TAPER 40MM$ 2,942.00 C1713 C-TAPER FEMORAL HEAD$ 2,942.00 C1713 C-TAPER FEMORAL HEAD$ 2,942.00 C1713 CT LUMBOSPINE WI CNT$ 2,943.00 72132 72132 KIT LEAD ST PERM 50CM$ 2,946.00 C1778 LEAD PERM 50CM$ 2,946.00 C1778 CT THORACIC SPINE WI CONTRAST$ 2,947.00 72129 INSERT KNEE BEARING TIB TRIATH$ 2,948.00 C1776 PUTTY DBX 10CC$ 2,950.00 DILATION URTR/URT RS&I$ 2,952.00 74485 IMPLT CATH THEAC/EPI$ 2,953.00 MRI UP EXT RT WO/W CONT$ 2,954.00 73220 MRI UP EXT LT WO/W CONT$ 2,954.00 73220 MRI UP EXT LT WO/W CONT$ 2,954.00 73220 MRI UP EXT RT WO/W CONT$ 2,954.00 73220 FEMORAL POSTERIOR AUGMENT$ 2,959.00 C1776 FEMORAL DISTAL AUGMENT 5540-A-$ 2,959.00 C1776 FEMORAL POST AUG 5543-A-500$ 2,959.00 C1776 C-TAPER DELTA HEAD$ 2,960.00 C1713 C-TAPER HEAD DELTA BILOX 28MM$ 2,960.00 C1713 NAIL TITANIUM 485.040S$ 2,965.00 C1713 CT ABD & PELVIS WITH CONTRAST$ 2,969.00 NAIL FEMORAL 474.031S$ 2,972.00 C1713 NAIL FEMORAL 474.444S$ 2,972.00 C1713 TIBIAL BEARING INSERT SZ 3$ 2,974.00 C1776 TIBIAL BEARING INSERT$ 2,974.00 C1776 TIBIAL BEARING INSERT SIZE 4$ 2,974.00 C1776 TIBIAL BEARING INSERT SIZE 5$ 2,974.00 C1776 TIBIAL BEAR INSERT SZ 7$ 2,974.00 C1776 TIBIAL BEAR INSERT SZ 5$ 2,974.00 C1776 OFFSET ADAPTER 5570-S-020$ 2,976.00 STENT TRANS BILIARY 6X30 120CM$ 2,980.00 C1874 STENT GENESIS 6X29X80$ 2,980.00 C1887 STENT GENESIS 8X29 PG2980BPX$ 2,980.00 STENT GENES TRANS BI 8X29X80CM$ 2,980.00 C1769 STENT GENES OPTA PRO 29MMX9MM$ 2,980.00 C1769 PLATE DISTAL ANTE LAT TIBIA 4H$ 2,984.00 C1713 NAIL CANN TIB 10MM 04.004.446S$ 2,986.00 C1713 NAIL CANN TIB 10MM 04.004.452S$ 2,986.00 C1713 NAIL CANN TIB 12MM 04.004.640S$ 2,986.00 C1713 NAIL CANN TIB 8MM 04.004.243S$ 2,986.00 C1713 NAIL CANN TIB 10MM 04.004.443S$ 2,986.00 C1713 NORIAN SRS BONE VOID FILLER$ 2,987.00 PLATE PROX HUMERUS 3 HOLE$ 2,988.00 C1713 MCP FINGER IMPLANT SIZE 60$ 2,990.00 C1713 MCP FINGER IMPLANT SIZE 50$ 2,990.00 C1713 NAIL TROCH 456.322S$ 2,992.00 C1713 APLIGRAF SKIN SUBS PER 1 SQ CM$ 2,998.00 Q4101 ABBOTT BALLOON BS$ 3,000.00 CT HEAD/BRAIN W & W/O CONTRAST$ 3,000.00 70470 CT HEAD WO/WI CNTRST$ 3,000.00 70470 TENOGLIDE 5X5CM$ 3,003.00 C9356 HYCAMTIN 4MG VIAL$ 3,003.00 J9351 13 HOLE LOCKING RECON PLATE$ 3,004.00 C1713 RIM INSERT ELEVATED$ 3,006.00 C1776 POLYETHYLENE INSERT$ 3,006.00 C1713 POLYETHYLENE INSERT$ 3,006.00 C1713 ELEVATED RIM INSERT$ 3,006.00 C1713 POYLETHYLENE INSERT 10$ 3,006.00 C1713 PET LIMITED (BRAIN)$ 3,008.00 78814 78814 STENT CORO DES PREM MR 2.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.75 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 4.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.25 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.75 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 4.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.25 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.75 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 4.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.25 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.75 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 4.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.25 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.75 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 4.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.25 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.75 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 4.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.25 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.75 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 4.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 2.75 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.00 X$ 3,010.00 C1874 STENT CORO DES PREM MR 3.50 X$ 3,010.00 C1874 STENT CORO DES PREM MR 4.00 X$ 3,010.00 C1874 STENT SUPRA PERI 5.5X100X120$ 3,010.00 C1876 STENT PERIPH SUP 6F 4.5X40$ 3,010.00 C1876 STENT PERIPH SUP 6F 4.5X60$ 3,010.00 C1876 STENT PERIPH SUP 6F 4.5X80$ 3,010.00 C1876 STENT PERIPH SUP 6F 4.5X100$ 3,010.00 C1876 STENT PERIPH SUP 6F 4.5X120$ 3,010.00 C1876 STENT PERIPH SUP 6F 5.5X40$ 3,010.00 C1876 STENT PERIPH SUP 6F 5.5X60$ 3,010.00 C1876 STENT PERIPH SUP 6F 5.5X80$ 3,010.00 C1876 STENT PERIPH SUP 6F 6.5X40$ 3,010.00 C1876 STENT PERIPH SUP 6F 6.5X80$ 3,010.00 C1876 STENT PERIPH SUP 6F 6.5X100$ 3,010.00 C1876 VERTEBRAL BALLON TRAY$ 3,010.00 PLATE TIBIA PROX 4.5MM 240.037$ 3,011.00 C1713 NERVE GUIDE PNG630$ 3,011.00 C9352 PLATE ANTERIOR LAT 7H$ 3,013.00 C1713 PLATE MIDSHAFT ANTERIOR 8 HOLE$ 3,013.00 C1713 PLATE PRO LAT CLAVI 4 HOLE$ 3,013.00 C1713 PLATE LATERAL CLAVICLE 4 H$ 3,013.00 C1713 PLATE CLAVICLE SUPER 5HOLE$ 3,013.00 C1713 PLATE CLAV ANT LAT 8 HOLE$ 3,013.00 C1713 PLATE CLAVICLE LT SUPER LATERA$ 3,013.00 C1713 PLATE CLAVICLE SUPER MIDSHAFT$ 3,013.00 C1713 PLATE CLAVICLE SUPER MIDSHAFT$ 3,013.00 C1713 PLATE SUPERIOR LATERAL 5 HOLE$ 3,013.00 C1713 PLATE CLAVICLE 10 HOLE$ 3,013.00 C1713 HEAD MOD M2A MAGNUM$ 3,018.00 C1713 MOD HD SZ 48MM MAGNUM$ 3,018.00 C1776 MOD HD SZ 54MM MAGNUM$ 3,018.00 C1776 M2A-MAGNUM MODULAR HEAD 50MM$ 3,018.00 C1776 HEAD MAGNUM M2A MOD 52MM$ 3,018.00 C1713 BILIARY CATH CHANGE$ 3,022.00 47536 MYOCARDIAL BIOPSY$ 3,024.00 93505 EGD POLYPECTOMY/DILA$ 3,033.00 TITAN BIOFLEX RESERVOIR$ 3,039.00 C1813 PENTOSTATIN 10 MG VIAL$ 3,040.00 J9268 REM VEN ACC DEV$ 3,041.00 36590 REMOVAL VAC DEVICE$ 3,041.00 MRI LO EXTRE JOINT W CONTRAST$ 3,042.00 73722 MRI LO EXTRE JOINT W CONTRAST$ 3,042.00 73722 FASLODEX 250/5ML INJ$ 3,044.00 J9395 J9395 PLATE TIBIA PROX 4.5MM 240.038$ 3,045.00 C1713 STEM KNEE SPLINED 141660$ 3,045.00 C1776 NAIL TIBIAL STANDAR 1822-0936S$ 3,048.00 C1713 NAIL TIBIAL 11 X 375$ 3,048.00 C1713 NAIL TIBIAL 10 X 290 MM$ 3,048.00 NAIL TIBIAL 1822-0928S$ 3,048.00 C1713 NAIL TIBIAL 8 X 345MM$ 3,048.00 C1713 NAIL FIXATION 170MM-STERILE$ 3,049.00 NAIL FIXATION 130 12MMDEG-STER$ 3,049.00 C1713 HEAD HIP CERAMIC 36MM$ 3,051.00 C1776 STABILIZER TIBIAL INSERT TOTAL$ 3,051.00 C1776 NEUROMATRIX COLL N C$ 3,051.00 C9355 PLATE TUBULAR 6HOLE 1/3$ 3,052.00 C1713 UNI EXTER CAROTID ANGIO$ 3,053.00 36227 UNI CAR/VERT BRANCH ANGIO$ 3,053.00 36228 ASCITES SHUNTDBLE$ 3,060.00 5570-3610$ 3,060.00 C1776 5570-4010 STRYKER$ 3,060.00 C1776 5573-2E-4006$ 3,060.00 C1776 GLENOSPHERE CONCENTRIC 5573-$ 3,060.00 C1776 HUMERAL CUP 5570-3210$ 3,060.00 C1776 GLENOSPHERE ECCEN 5573-2E-3606$ 3,060.00 C1776 CUP HUMERAL 5570-3604$ 3,060.00 C1776 GLENOSPHERE CONCE 5573-C-3202$ 3,060.00 C1776 HUMERAL CUP 5570-3204$ 3,060.00 C1776 GLENOID VAULTLOCK ARTHREX UNIV$ 3,060.00 C1776 MEDIAL PATELLOFEMORAL LIGAMENT$ 3,068.00 C1762 SCREW 5.5X45MM #5601554 WMT$ 3,070.00 C1713 NAIL HUMERAL 7 X 300 MM$ 3,071.00 C1713 NAIL HUMERAL 1830-0721S$ 3,071.00 C1713 NAIL HUMERAL$ 3,071.00 C1713 TRNSHP INTR PERC CTH$ 3,072.00 47533 HEAD RADIAL LAT SIZE 3$ 3,074.00 C1713 STENT DRIVER CORONAR$ 3,075.00 C1874 DUROLANE 3ML SINGLE USE$ 3,075.00 J3490 EXT DRAIN, PSEUDO PANCREA PERC$ 3,077.00 49405 BRACE LUMBAR SUPPORT CHRBK 8"$ 3,078.00 STENT BILIARY 8X39 80CM PG3980$ 3,079.00 C1727 STENT BILIARY PALMAZ 6X39$ 3,079.00 STENT BILIARY PALMAZ 7X39$ 3,079.00 C1874 PLATE 6 HOLE DISTAL HUMERUS SY$ 3,082.00 C1713 NAIL FEMORAL 11 X 320$ 3,083.00 C1713 NAIL FEMORAL T2 10 X 280$ 3,083.00 C1713 NAIL FEMORAL T2 10 X 420$ 3,083.00 C1713 KYPROLIS 60MG VIAL$ 3,084.36 J9047 INCIS/DRANAGE SEROMA/FLUID$ 3,090.25 10140 BX BRST 1ST LES STEROTACTIC$ 3,090.25 19081 BX BRST EA ADD'L LES STEROTCTC$ 3,090.25 19082 BX BREAST 1ST LES US GUIDE$ 3,090.25 19083 BX BREAST ADD LES US GUIDE$ 3,090.25 19084 BX BREAST NDL CORE W/O IMAG$ 3,090.25 19100 EX MLG LES S/N/H/F/GN 2.1-3.0$ 3,091.55 11623 EX B9 LES S/NK/H/FT/GN <0.5CM$ 3,092.00 11420 RESTORATION ADM CUP INSERT$ 3,093.00 C1776 PLATE PROX MEDIAL TIBIA 5H$ 3,096.00 MEDIAL TIBIA PLATE 8 HOLE$ 3,096.00 C1713 PLATE TIBIA RT 4 HOLE$ 3,096.00 C1713 STENT LUMINEXX 80X40$ 3,101.00 STENT LUMINEXX 100X40$ 3,101.00 STENT LUMINEXX 100X50$ 3,101.00 C1874 STENT LUMINEXX 120X40$ 3,101.00 C1874 STENT BILIARY 6F 10MX60MX80CM$ 3,101.00 C1727 VASECTOMY, UNI OR BILATERAL$ 3,109.00 BIO, PROSTATE; NEEDLE OR PUNCH$ 3,109.00 STENT CORO DES INT RX 2.50 X 1$ 3,110.00 C1874 DCB LUTONIX 035 130CM 6 X 60MM$ 3,110.00 C2623 DCB LUTONIX 035 130CM 5 X 60MM$ 3,110.00 C2623 DCB LUTONIX 035 130CM 4 X 60MM$ 3,110.00 C2623 DCB LUTONIX 035 130CM 5 X 100M$ 3,110.00 C2623 DCB LUTONIX 035 130CM 6 X 100M$ 3,110.00 C2623 DCB LUTONIX 035 130CM 4 X 100M$ 3,110.00 C2623 BALLOON DRUG LUTONIX 4X120X130$ 3,110.00 C2623 BALLOON DRUG LUTONIX 4X150X130$ 3,110.00 C2623 OX PART KNEE SYSTEM$ 3,110.00 C1776 TIBIAL TRAY LT MED OXFOR SZ AA$ 3,110.00 C1713 #113034 BIO SHOULDER MOD HEAD$ 3,110.00 C1776 HIP STEM CEMENT, SIZE 2$ 3,112.00 C1776 COMPONENT KNEE TIBIAL PKR$ 3,115.00 C1776 BASEPLATEM TUBUAK TRIA$ 3,115.00 C1713 BASEPLATE TIBIAL TRIATH$ 3,115.00 C1713 MESH PROCEED 20X25$ 3,118.00 C1781 HEAD HIP FEMOR V40$ 3,118.00 C1776 HEAD HIP FEMOR V40$ 3,118.00 C1776 NEURAWRAP 3MMX4CM INTEGRA$ 3,119.00 C9353 NEURAWRAP 5MMX4CM INTEGRA$ 3,119.00 C9353 NEURAWRAP 7MMX4CM INTEGRA$ 3,119.00 C9353 NEURAWRAP 10MMX4CM INTEGRA$ 3,119.00 C9353 NAIL CANN TIB 8MM 04.004.246S$ 3,120.00 C1713 NAIL CANN TIB 11MM 04.004.546S$ 3,120.00 C1713 NAIL CANN TIB 11MM 04.004.552S$ 3,120.00 C1713 PLATE PROX HUMERUS 3 HOLE$ 3,120.00 C1713 PLATE PROX HUMERUS 5 HOLE$ 3,121.00 C1713 NPSG W/BIPAP OR CPAP$ 3,129.00 95811 CPAP/SPLIT INCOMPLETE$ 3,129.00 95811 MRA NECK WO/W CONTRAST$ 3,132.00 70549 MRA NECK WO/W CONTRAST$ 3,132.00 70549 GRAFT, VASCULAR HEMA 10X85$ 3,135.00 C1768 MODULAR HEAD 36MM$ 3,142.00 C1776 PLATE PROX LAT HUMERUS 12HOLE$ 3,146.00 C1713 PLATE RT AXSOS PROX LAT HUMERU$ 3,146.00 C1713 PLATE LCP POST DSTHUMERUS 7HOL$ 3,151.00 C1713 MINOR PROCEDURE$ 3,153.00 ORAL PHARYNGOSCOPY W/BIOPSY$ 3,156.00 MESH ABSORB PHASIX 7 X 10$ 3,160.00 C1781 PLATE WRIST FUSION$ 3,160.00 TIBIAL BEARING INSERT TI$ 3,164.00 C1776 TIBIAL BEARING INSERT SZ 7$ 3,164.00 C1776 MAKO TIBIAL BEARING SZ 6$ 3,164.00 C1776 TIBIAL BEARING INSERT SZ 3$ 3,164.00 C1713 TIBIAL BEARING INSERT SZ 6$ 3,164.00 C1713 INSERT TRIDENT 36MM$ 3,171.00 C1776 PLATE RT ANT DIST TIB 14 HOLE$ 3,172.00 C1713 HEMI CLUSTER HOLE SHELL$ 3,174.00 C1713 3-DIMENSION SIMULATN$ 3,177.00 77295 RAD DOSE PLAN IMRT$ 3,177.00 77301 SCREW R/S KT RDCK SAYE$ 3,178.00 C1713 CABLE DALL-MILES TROCH GRIP W/$ 3,182.00 C1713 CABLE DALL-MILES TROCH GRIP W/$ 3,182.00 C1713 EGD/BIOP/DILATATION$ 3,185.00 STENT CAROTID PRECISE 7 X 30$ 3,190.00 C1876 VASCULAR GRAFT 8 MM X 60$ 3,190.00 C1768 VASCULAR GRAFT 6 MM X 60$ 3,190.00 C1768 PLATE BOLAR DR NARROW 11 HOLE$ 3,190.00 C1713 CATHETER FILTER RECOV. FEMORAL$ 3,193.00 C1874 CTA PELVIS WO/W SEC$ 3,199.00 72191 OCTREOTIDE LAR 10MG INJ$ 3,207.75 J2353 PLATE POSTERIOR R 4 HOLE$ 3,208.00 C1713 ILR REMOVAL$ 3,209.00 33284 STENT SUPERA PERI 5.5X150X120$ 3,210.00 C1876 STENT SUPRA PERI 5.5X120X120$ 3,210.00 C1876 STENT PERIPH SUP 6F 6.5X120$ 3,210.00 C1786 STENT PERIPH SUP 6F 6.5X150$ 3,210.00 C1786 CHARGING SYSTEM KIT SC-6412-3$ 3,210.00 MRI LO EXT JOINT LT WO/W CONT$ 3,211.00 73723 MRI LO EXT JOINT RT WO/W CONT$ 3,211.00 73723 MRI LO EXT JOINT LT WO/W CONT$ 3,211.00 73723 MRI LO EXT JOINT RT WO/W CONT$ 3,211.00 73723 LINER HIP X3 40MM$ 3,218.00 C1713 TRIDENT POLY INSERT #623-00-40$ 3,218.00 C1776 TRIDENT POLYETHYLENE INSERT$ 3,218.00 C1776 HEAD FEMORAL CERAMIC V40$ 3,218.00 C1776 6570-0-132$ 3,218.00 C1713 6570-0-436$ 3,218.00 C1713 6570-0-032$ 3,218.00 C1776 6570-0-236 STRYKER$ 3,218.00 C1776 FEMORAL HEAD 6570-0-536$ 3,218.00 C1776 CERETEC W/WBC DOSE$ 3,219.00 A9569 AORTOGRAM ABD$ 3,223.00 75625 PLATE BASE GLENOID$ 3,228.00 PERCUTAN TUBE CHANGE$ 3,236.00 50435 PLATE TIBIA PROX 4.5MM 240.039$ 3,237.00 C1713 MRI BRAIN WITH CONTRAST$ 3,238.00 70552 MRI BRAIN WITH CONTRAST$ 3,238.00 70552 HUMERAL STEM 21MM R5350-4521$ 3,241.00 C1776 SOLAR HUMERAL HEAD 5350-4015$ 3,241.00 C1776 HUMERAL HEAD DUAL RADIUS R5350$ 3,241.00 C1776 BIOPSY;OROPHARYNX$ 3,248.00 IVAS KYPHO KIT 0705-115-000$ 3,255.00 TITAN BIOFLEX RESERVIOR$ 3,260.00 C1813 TITAN BIOFLEX RESERVIOR 90-910$ 3,260.00 C1813 PLATE TI DISTAL FEMUR 422.345$ 3,262.00 C1713 PLATE TI PROXIM TIBIA 422.301$ 3,262.00 C1713 PLATE TI PROXIM TIBIA 422.305$ 3,262.00 C1713 PLATE TI PROXIM TIBIA 422.309$ 3,262.00 C1713 NAIL CANN TIB 12MM 04.004.658S$ 3,266.00 NAIL CANN TIB 8MM 04.004.231S$ 3,266.00 NAIL CANN TIB 8MM 04.004.234S$ 3,266.00 C1713 NAIL CANN TIB 10MM 04.004.449S$ 3,266.00 C1713 NAIL CANN TIB 10MM 04.004.455S$ 3,266.00 C1713 NAIL CANN TIB 12MM 04.004.637S$ 3,266.00 C1713 NAIL CANN TIB 12MM 04.004.643S$ 3,266.00 C1713 NAIL CANN TIB 12MM 04.004.646S$ 3,266.00 C1713 NAIL CANN TIB 12MM 04.004.649S$ 3,266.00 C1713 NAIL CANN TIB 12MM 04.004.652S$ 3,266.00 C1713 NAIL CANN TIB 12MM 04.004.655S$ 3,266.00 C1713 NAIL CANN TIB 8MM 04.004.237S$ 3,266.00 C1713 NAIL CANN TIB 8MM 04.004.240S$ 3,266.00 C1713 NAIL CANN TIB 8MM 04.004.249S$ 3,266.00 C1713 NAIL CANN TIB 8MM 04.004.252S$ 3,266.00 C1713 NAIL CANN TIB 8MM 04.004.255S$ 3,266.00 C1713 NAIL CANN TIB 8MM 04.004.258S$ 3,266.00 C1713 NAIL CANN TIB 10MM 04.004.431S$ 3,266.00 C1713 NAIL CANN TIB 10MM 04.004.434S$ 3,266.00 C1713 NAIL CANN TIB 10MM 04.004.437S$ 3,266.00 C1713 NAIL CANN TIB 12MM 04.004.631S$ 3,266.00 C1713 NAIL CANN TIB 11MM 04.004.531S$ 3,266.00 C1713 NAIL CANN TIB 11MM 04.004.534S$ 3,266.00 C1713 NAIL CANN TIB 11MM$ 3,266.00 C1713 NAIL CANN TIB 11MM 04.004.540S$ 3,266.00 C1713 NAIL CANN TIB 11MM 04.004.543S$ 3,266.00 C1713 NAIL CANN TIB 11MM 04.004.549S$ 3,266.00 C1713 NAIL CANN TIB 11MM 04.004.555S$ 3,266.00 C1713 NAIL CANN TIB 11MM 04.004.558S$ 3,266.00 C1713 1822-104S$ 3,267.00 C1713 INSERT TUNNEL DIALYS$ 3,269.00 36558 HEMI CLUSTER HOLE CUP TRITANIU$ 3,269.00 C1713 HEMI CLUSTER HOLE SHELL$ 3,269.00 CUP HIP TRITDENT PSL PRIM$ 3,270.00 C1713 HEMISPHERICAL CLUSTER SHELL$ 3,270.00 C1776 HEMI CLUSTER HOLE SHELL$ 3,270.00 C1713 HEMISPERICAL CLUSTER HOLE SHEL$ 3,270.00 C1776 CUP HIP TRIDENT PSL PRIM$ 3,270.00 C1713 HEMISPHERICAL CLUS HOLE SHELL$ 3,270.00 C1776 CLUSTER ACETABULAR SHELL$ 3,270.00 C1713 STEM EXPLORE IMPL 7X26MM$ 3,272.00 C1713 EXC BEN LES T/A/L; > 4.0CM$ 3,273.00 STENT BILIARY BALLOON 4X10MM$ 3,276.00 C1874 PLATE PROX MED TIBIA 6 HOLE$ 3,276.00 C1713 PLATE PRO MEDICAL TI 3 6HOLE$ 3,276.00 C1713 REVISION EYELID$ 3,282.00 PLATE RT SUPER MIDSHAFT CLAVIC$ 3,283.00 C1713 PLATE RT SUPER MIDSHAFT 6 H$ 3,283.00 C1713 628148 $ 3,283.00 C1713 PLATE SUPER CLAVICL BRIDGE 6 H$ 3,283.00 C1713 MPFL IMPLANT SYSTEM BIOCOMP$ 3,284.00 C1713 SHOULDER HUMERAL HEAD 1128-44-$ 3,285.00 C1776 HEAD HUMERAL ADVANTAGE$ 3,285.00 C1776 HUMERAL HEAD ADVANTAGE$ 3,285.00 C1776 PLATE 6 HOLE TIBIA 239.905$ 3,288.00 C1713 PLATE 6 HOLE TIBIA 239.904$ 3,288.00 C1713 BRUSHING SLEEVE$ 3,291.00 C1776 BASEPLATE TIBIAL TRIATHLON$ 3,294.00 C1713 VENA CAVA FILTER$ 3,300.00 C1880 WIRE FILTER 0.042 190CM$ 3,300.00 C1769 BONE PUTTY W/CHUNKS 10CC$ 3,300.00 C9359 CT THOR SPINE WO/WI$ 3,301.00 72130 OR TIME 1ST 30 MINUTES$ 3,306.00 DAVI PROSTATE OR TIME 60 MIN$ 3,306.00 OR TIME 1ST 30 MINUTE$ 3,306.00 SEMI-TENDINOSIS TENDON$ 3,307.00 C1762 STENT CORON DE RESOLUTE 3X18$ 3,310.00 C1874 STENT CORON DE RESOLUTE 2.5 X$ 3,310.00 C1874 STENT CORON DE RESOLUTE 2.75X1$ 3,310.00 C1874 STENT CORON DE RESOLUTE 4.0 X$ 3,310.00 C1874 STENT CORON DE RESOLUTE 2.5X14$ 3,310.00 C1874 STENT CORO DES INT RX 2.25 X 3$ 3,310.00 C1874 STENT CORO DES INT RX 2.75 X 1$ 3,310.00 C1874 STENT CORO DES INT RX 3.0 X 22$ 3,310.00 C1874 STENT CORO DES RX 3.5 X 15$ 3,310.00 C1874 STENT CORO DES RX RX 3.5 X 23$ 3,310.00 C1874 STENT CORO DES SPRNT RX 2.5 X$ 3,310.00 C1874 STENT CORO DES SPRNT RX 3 X 18$ 3,310.00 C1874 STENT CORO DES INT RX 2.25 X 8$ 3,310.00 C1874 STENT CORO DES INT OTW 2.25 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.25 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 2.25 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.25 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 2.25 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.25 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 2.25 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.25 X 2$ 3,310.00 C1874 STENT CORO DES INT OTW 2.25 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.25 X 2$ 3,310.00 C1874 STENT CORO DES INT OTW 2.25 X$ 3,310.00 C1874 STENT CORO DES INT OTW 2.25 X$ 3,310.00 C1874 STENT CORO DES INT OTW 2.50 X$ 3,310.00 C1874 STENT CORO DES INT OTW 2.50 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.50 X 1$ 3,310.00 C1874 STENT CORO DES INT RX 2.50 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 2.50 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.50 X 2$ 3,310.00 C1874 STENT CORO DES INT OTW 2.50 X$ 3,310.00 C1874 STENT CORO DES INT OTW 2.50 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.50 X 3$ 3,310.00 C1874 STENT CORN DES INT OTW 2.5X30$ 3,310.00 C1874 STENT CORO DES INT RX 2.75 X 8$ 3,310.00 C1874 STENT CORO DES INT OTW 2.75 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.75 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 2.75 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.75 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 2.75 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.75 X 2$ 3,310.00 C1874 STENT CORO DES INT OTW 2.75 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.75 X 2$ 3,310.00 C1874 STENT CORO DES INT OTW 2.75 X$ 3,310.00 C1874 STENT CORO DES INT RX 2.75 X 3$ 3,310.00 C1874 STENT CORO DES INT OTW 2.75 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.00 X 9$ 3,310.00 C1874 STENT CORO DES INT OTW 3.00 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.00 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 3.00 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.00 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 3.00 X$ 3,310.00 C1874 STENT CORO DES INT OTW 3.0 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 3.0 X 2$ 3,310.00 C1874 STENT CORO DES INT RX 3.00 X 2$ 3,310.00 C1874 STENT CORO DES INT OTW 3.00 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.00 X 3$ 3,310.00 C1874 STENT CORO DES INT OTW 3.00 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.50 X 9$ 3,310.00 C1874 STENT CORO DES INT OTW 3.50 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.50 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 3.50 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.50 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 3.50 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.50 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 3.50 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.50 X 2$ 3,310.00 C1874 STENT CORO DES INT OTW 3.50 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.50 X 2$ 3,310.00 C1874 STENT CORO DES INT OTW 3.50 X$ 3,310.00 C1874 STENT CORO DES INT RX 3.50 X 3$ 3,310.00 C1874 STENT CORO DES INT OTW 3.50 X$ 3,310.00 C1874 STENT CORO DES INT RX 4.00 X 9$ 3,310.00 C1874 STENT CORO DES INT OTW 4.0 X 9$ 3,310.00 C1874 STENT CORO DES INT RX 4.00 X 1$ 3,310.00 C1874 STENT CORO DES INT RX 4.00 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 4.0 X 1$ 3,310.00 C1874 STENT CORO DES INT RX 4.00 X 1$ 3,310.00 C1874 STENT CORO DES INT OTW 4.0 X 1$ 3,310.00 C1874 STENT CORO DES INT RX 4.00 X 2$ 3,310.00 C1874 STENT CORO DES OTW 4.0 X 22$ 3,310.00 C1874 STENT CORO DES RX 4.00 X 26$ 3,310.00 C1874 STENT CORO DES OTW 4.0 X 26$ 3,310.00 C1874 STENT CORO DES INT RX 4.00 X 3$ 3,310.00 C1874 STENT CORO DES OTW 4.0 X 30$ 3,310.00 C1874 HEAD SHOULDER W/VARI OFFSET$ 3,310.00 C1776 COMP SHLD SYSTEM MODULAR HEAD$ 3,310.00 C1776 M0067913600 BOSTON SCIENTIFIC $ 3,310.00 PLATE TIBIA #437322$ 3,316.00 C1713 PLATE PROX LAT TIB AXSOS 6H$ 3,316.00 C1713 PLATE 8 HOLE TIBIA 239.908$ 3,317.00 C1713 PLATE TIBIA 239.909$ 3,317.00 C1713 MRA LT LOW EX W & WO CONTRAST$ 3,321.00 73725 MRA RT LOW EX W & WO CONTRAST$ 3,321.00 73725 NAIL FIXATION 340MM/L 456.415S$ 3,322.00 C1713 NAIL FIXATION 400MM/L 456.421S$ 3,322.00 C1713 PLATE TIBIA PROX 12 HOLE$ 3,323.00 C1713 PLATE PROX/LATERAL TIB$ 3,323.00 C1713 PLATE PROX TIB 14HOLE$ 3,323.00 C1713 CERAMIC C-TAPER FEMORAL HEAD$ 3,324.00 C1713 C-TAPER HEAD 18-3675$ 3,324.00 C1713 REMOVAL EXOSTOSIS MANDIBLE$ 3,337.00 CLD REDUCTION NOSE FX W/O STAB$ 3,337.00 REMOVAL OF INTRANASAL LESION$ 3,337.00 PARTIAL EXCISION OF LIP$ 3,337.00 EXC/REP MOUTH LESIO W/SIMP REP$ 3,337.00 EXC/REP MOUTH LES W COMP REPAI$ 3,337.00 EXC OF FRENUM,LABIAL OR BUCCAL$ 3,337.00 EXC LES OF TONGUE W/O CLOSURE$ 3,337.00 EXC LESION TONG W/CLOS ANT 2/3$ 3,337.00 HEAD SHOULDER HUMERAL SOLAR$ 3,339.00 C1776 HUMERAL HEAD 40/12$ 3,339.00 C1776 SOLAR HUMERAL HEAD$ 3,339.00 C1776 SOLAR HUMERAL HEAD 5350-4021$ 3,339.00 C1776 THROMBECTOMY SECONDA$ 3,346.00 37186 PLATE 10 HOLE TIBIA 239.913$ 3,348.00 C1713 PLATE 10 HOLE TIBIA 239.912$ 3,348.00 C1713 TIBIAL NAIL TI 10MM X 315MM$ 3,348.00 C1713 NAIL TIBIAL TI EX 10MM$ 3,348.00 C1713 HEAD RADIAL LATERAL SIZE 4$ 3,350.00 C1713 CT ABD & PELVIS W & W/O CONT$ 3,355.00 MCP DISTAL COMPONENT 40D$ 3,356.00 C1776 SCREW COMPRESSION WICHITA$ 3,356.00 C1713 GLENOSPHERE COMP SHOULDER REV$ 3,362.00 C1713 DRAIN EXT EAR, ABS/HEMA; COMPL$ 3,363.00 I&D EAR ABSCESS COMP$ 3,363.00 69005 PLATE DISTAL MEDIAL TIBIA 14 H$ 3,364.00 627434 $ 3,364.00 C1713 627444S $ 3,364.00 C1776 627440 STRYKER$ 3,364.00 C1713 627438 STRYKER$ 3,364.00 C1713 PLATE 6 HOLE RT DISTAL MEDIAL$ 3,364.00 C1713 IMAG GUID FLD COLL PERITONEAL$ 3,365.00 49406 PLATE DIS LAT FEMUR RT 4H$ 3,365.00 C1713 PLATE DIST LAT FEMUR 6H RT$ 3,365.00 C1713 PLATE DIST LAT FEMUR 10H RT$ 3,365.00 C1713 PLATE AXSOS 16 HOLE 437536$ 3,365.00 C1713 PLATE PROX MED TIB AXSOS 8 H$ 3,366.00 C1713 HUMERAL HEAD ARTH UNIVERS II$ 3,366.00 C1776 AMS 700 RESERVIOR$ 3,367.00 C1813 MRI PELVIS WO/W CONTRAST$ 3,369.00 72197 MRI PELVIS WO/W CONTRAST$ 3,369.00 72197 PLATE PROX TIBIAL 437302$ 3,372.00 C1713 EGD W/BIO & POLYP$ 3,373.00 EGD W/BIO&FOREI BODY$ 3,373.00 PACER LV LEAD REPOST$ 3,377.00 33226 PLATE PROX LAT TIB AXSOS 4 H$ 3,378.00 C1713 PLATE PROX LAT TIBIA 4 HOLE$ 3,378.00 C1713 PLATE PROX MED TIBIA 6 HOLE$ 3,378.00 C1713 PLATE PROX LAT TIBIA 2 HOLE$ 3,378.00 C1713 PLATE, TIB PROX LAT 12 HOLE$ 3,378.00 C1713 RT TIBIA PLATE 10 HOLE$ 3,378.00 C1713 TENDON QUAD BONE BLOCK$ 3,380.00 C1762 PLATE PROX HUMERUS 4 HOLE$ 3,382.00 C1713 CUTTING BALLOON ULTRA$ 3,383.00 C1725 CUP ADM RESTORATION INSERT X3$ 3,385.00 C1776 PARTIAL MASTECTOMY$ 3,386.00 19301 EXCISI CYST,FIBROID 1 OR MORE$ 3,386.00 19120 EXC BREAST LES-OPEN SINGLE LES$ 3,386.00 19125 RECLAST 5MG VIAL$ 3,389.00 J3489 PLATE DIST HUM POSTEROLATERAL$ 3,392.00 C1713 TIB BASEPLASTE PRIM TRI$ 3,393.00 C1776 TRIATHLON TIBIAL BASEPLATE #7$ 3,393.00 C1776 TIBIAL BASEPLATE PRIMARY TI$ 3,393.00 C1776 TIBIAL BASEPLATE #2$ 3,393.00 C1776 BASEPLATE TIBIAL TRIATHLON$ 3,393.00 C1713 BASEPLATE TIB TRIATHLON$ 3,394.00 C1713 BASEPLATE TIB PRIM TRIATHLON$ 3,394.00 C1713 PLATE POSTERIOR MEDIAL 8H$ 3,396.00 C1713 SEPRAFILM 3X5 SHEETS$ 3,399.00 VITOSS 5CC BONE GRAFT$ 3,399.00 SYNVISC-ONE 48MG SYRINGE$ 3,400.80 J7325 PLATE PROX LAT HUMERUS 3HOLE$ 3,406.00 PROX HUMERUS PLATE 5 HOLE$ 3,406.00 C1713 PLATE, PROX HUMERUS 3H RIGHT$ 3,406.00 C1713 PLATE, HUMERUS 4 HOLE PROX$ 3,406.00 C1713 BONE MARROW BIOPSY$ 3,407.00 38221 ADVANCE DURAMER TIBIAL INSERT$ 3,408.00 C1713 PLATE AXSOS 6 HOLE$ 3,409.00 C1713 PET MELANOMA DIAGNOSTIC$ 3,409.00 78816 PET MELANOMA STAGING$ 3,409.00 78816 78816 PET MELANOMA RESTAGI$ 3,409.00 78816 PET IMAGING WHOLE BODY$ 3,409.00 78816 STENT LUTONIX DRUG 6X120X130$ 3,410.00 C2623 STENT LUTONIX DRUG 5X120X130$ 3,410.00 C2623 STENT CORONARY VISION 3X15$ 3,410.00 C1874 STENT CORONARY VISION 3.5X15$ 3,410.00 C1874 STENT CORONARY VISION 4X15$ 3,410.00 C1874 STENT CORONARY VISION 3X18$ 3,410.00 C1874 STENT CORONARY VISION 3.5X18$ 3,410.00 C1874 STENT CORONARY VISION 3X23$ 3,410.00 C1874 STENT CORONARY VISION 3.5X28$ 3,410.00 C1874 STENT CORONARY VISION 4X28$ 3,410.00 C1874 STENT CORONARY VISION 3.5X8$ 3,410.00 C1874 STENT CORONARY VISION 4X8$ 3,410.00 C1874 STENT CORONARY VISION 2.25X8$ 3,410.00 C1874 STENT CORONARY VISION 2.25X28$ 3,410.00 C1874 STENT CORONARY VISION 2.5X15$ 3,410.00 C1874 STENT CORONARY VISION 2.5X28$ 3,410.00 C1874 STENT CORONARY VISION 3.5X12$ 3,410.00 C1874 STENT CORONARY VISION 4X12$ 3,410.00 C1874 STENT CORONARY VISION 3X12$ 3,410.00 C1874 TENDON ANTERIOR TIBIALIS$ 3,410.00 C1762 ROD HR-L1115-S$ 3,410.00 C1713 ROD HUM. 8X 220MM HR-0820-S$ 3,410.00 C1713 ROD HUM. 8X220MM HR-0822-S$ 3,410.00 C1776 ROD HUM. 8X240MM HR-0824-S$ 3,410.00 C1776 ROD HUM. 8X260MM HR-0826-S$ 3,410.00 C1776 ROD HUM. 8X280MM HR-0828-S$ 3,410.00 C1776 PLATE LCP DISTAL 3.5MM 238.707$ 3,413.00 C1713 ARGATROBAN SDV 100MG$ 3,420.00 J0883 HUMERUS PROX 3.5MM LCP 241.901$ 3,421.00 C1713 PLATE PROX FEMUR 6 HOLE$ 3,421.00 C1713 4.5MM LCP PROX FEMUR PLATE$ 3,422.00 C1713 INSERT BEARING TIB TRIATHLON$ 3,422.00 C1776 PLATE MEDIAL DISTAL TIBIA$ 3,428.00 C1713 IMM GLOBIN IV 1000MCG$ 3,429.00 J2792 ROD HUNTER TENDON 4 X 24.5$ 3,434.00 C1713 PLATE TIB DIS MED RT 6 HOLE$ 3,436.00 C1713 METAGLENE$ 3,444.00 C1776 PLATE 6 HOLE 241.919$ 3,445.00 C1713 COMPONENT DISTAL FINGER IMPLAN$ 3,450.00 L8631 INSERT KNEE BEARING TIB TRIAT$ 3,455.00 C1776 BEARING TIBIAL INS 5531-G-213$ 3,455.00 C1713 BEARING TIBIAL INS 5531-G-716$ 3,455.00 C1713 BEARING TIBIAL INS 5531-G-713$ 3,455.00 C1713 BEARING INSERT TIBIAL TRIATHLO$ 3,455.00 C1713 TIBIAL BEAR INSERT TRI 5531-G$ 3,455.00 C1776 TIBIAL INSERT TRIA 5531-G-816$ 3,455.00 C1713 INSERT TIBIAL BEARING TRI SZ 1$ 3,455.00 C1776 INSERT KNEE BEARING TIB TRIA$ 3,455.00 C1776 INSERT BEARING KNEE TIB TRIATH$ 3,455.00 C1776 INSERT BEARING KNEE TRIATH$ 3,455.00 C1776 PLATE DISTAL HUME 8H 3.5 X 194$ 3,455.00 C1713 PEGGED GLENOID COMPONENT 5361$ 3,459.00 C1713 GLENOID COMP SOLAR PEGGED$ 3,459.00 C1713 PEGGED GLENOID COMPONENT$ 3,459.00 C1713 PLATE VOLAR 8 HOLE 100 MM XXL$ 3,460.00 C1713 496H222 Wright Medical$ 3,460.00 C1776 RADIAL HEAD 496H024$ 3,460.00 C1776 NAIL FEMORAL 1828-1140S$ 3,461.00 C1713 NAIL FEMORAL 10 X 340$ 3,461.00 C1713 NAIL FEMORAL R1500 10X360$ 3,461.00 C1713 NAIL FEMORAL 10 X 380$ 3,461.00 C1713 1828-1142S$ 3,461.00 C1713 FEMORAL NAIL 11 X 380MM$ 3,461.00 C1773 FEMORAL NAIL 10X300MM$ 3,461.00 C1713 NAIL FEMORAL A/R R1500 011X340$ 3,461.00 C1713 NAIL FEMORAL A/R R1500 012X360$ 3,461.00 C1713 ESOPHAGEAL STENT 20 MM X 8CM$ 3,464.00 C1874 ESOPHAGEAL STENT 20MM X 10CM$ 3,464.00 C1874 ESOPHAGEAL STENT 20MM X 12.5CM$ 3,464.00 C1876 ESOPHAGEAL STENT 20MM X 12CM$ 3,464.00 C1874 TIBIAL BEARING INSERT SIZE 7$ 3,464.00 C1776 OB TIME 1ST 30 MINUTE$ 3,472.00 INSERT HIP TRIDENT$ 3,476.00 C1776 PLATE LT ANTERIOR LATER 4 HOLE$ 3,477.00 C1713 627454 STRYKER$ 3,477.00 C1713 PLATE DIA-META 5H 04.110.005$ 3,484.00 C1713 PLATE DIA-META 5H 04.110.105$ 3,484.00 C1713 STEM-FLUTED 5566-S-016$ 3,486.00 C1776 STEM FLUTED TRIA 5566-S-014$ 3,486.00 C1776 STEM FLUTED TRIA 5566-S-015$ 3,486.00 C1776 MRI LUMBAR SPINE W/CONTRAST$ 3,494.00 72149 MRI LUMBAR SPINE W/CONTRAST$ 3,494.00 72149 BENDEKA(BENDAMUSTINE HCL)1MG$ 3,496.22 J9034 BASEPLATE GLENOSPHERE SHLDER R$ 3,498.00 C1713 ELTPC EVAL ICD@INSRT$ 3,500.00 93640 ELTPC EVAL/TEST ICD$ 3,500.00 93641 ELTPC EVAL/TEST ICD$ 3,500.00 93642 PLATE TI DISTAL FEMUR 422.340$ 3,500.00 PLATE TI DISTAL FEMUR 422.348$ 3,500.00 C1713 PLATE TI DISTAL FEMUR 422.349$ 3,500.00 C1713 NAIL GAMMA3 11x180 120DEG$ 3,502.00 C1713 NAIL GAMMA3 11X180 125DEG$ 3,502.00 C1713 PLATE MEDIA DIST TIB LCP 8 H$ 3,503.00 C1713 LINER HIP CERAMIC 36MM$ 3,504.00 C1713 5552-E-5220$ 3,509.00 C1776 5552-E-4416$ 3,509.00 C1776 HUMERAL HEAD SZ 44 SIG RAD$ 3,509.00 C1776 FILTER WIRE SPIDER 5X320$ 3,510.00 C1884 FILTER WIRE SPIDER 6X320$ 3,510.00 C1884 FILTER WIRE SPIDER 7X320$ 3,510.00 C1884 NAIL TIBIA 8 X 330 T2 SYSTEM$ 3,510.00 C1713 NAIL TIBIAL T2 SYS 9 X 375$ 3,510.00 C1713 NAIL TIBIAL STD 8 X 135 T2 SYS$ 3,510.00 C1713 MRI THORACIC SPINE W/CONTRAST$ 3,510.00 72147 MRI THORACIC SPINE W/CONTRAST$ 3,510.00 72147 INTRACARDIAC ECHO DURING THER/$ 3,512.00 93662 STEM HIP FEMORAL 10X130MM$ 3,515.00 C1776 STEM HIP FMRL FRACT. 8X120MM 1$ 3,515.00 C1776 STEM HIP FMRL FRACT 12X140MM 1$ 3,515.00 C1776 STEM HIP FMRL FRACT 14X150MM 1$ 3,515.00 C1776 STEM HIP FMRL FRACT 16X160MM 1$ 3,515.00 C1776 PLATE MEDIAL PROX TIBIA 4 HOL$ 3,515.00 C1713 HUMERUS PROX 3.5MM LCP 241.903$ 3,518.00 C1713 ANTIZOL 1.5GM$ 3,518.00 J1451 PLATE TIBIAL PROX LCP 3.5X 76$ 3,523.00 C1713 PLATE TIB MED DISTAL 10 HOLE$ 3,534.00 C1713 NAIL HUMERAL T2 SYS$ 3,535.00 C1713 NAIL HUMERAL 27 X 230$ 3,535.00 C1713 NAIL HUMERAL 8 X 250$ 3,535.00 C1713 NAIL HUMERUS T2 SYSTEM 8 X 240$ 3,535.00 C1713 XIGRIS 20MG INJ$ 3,539.00 TIBIAL LT MEDIAL TRAY$ 3,542.00 C1713 OXFORD PART KNEE SYSTEM SZ AA$ 3,542.00 C1776 OXFORD PARTIAL KNEE SYSTE SZ E$ 3,542.00 C1776 OPDIVO 100MG VIAL$ 3,547.74 J9299 CEMENTLESS METAGLENE$ 3,548.00 C1713 HUMERAL OFFSET HEAD$ 3,549.00 C1776 NAIL FIXATION 340MM/R 456.414S$ 3,551.00 C1713 NAIL FIXATION 420MM/R 456.422S$ 3,551.00 C1713 NAIL FIXATION 420MM/L 456.423S$ 3,551.00 C1713 GLENSPHERE COMP RVRS SHLD 36MM$ 3,552.00 C1776 CT CERV SPINE WO/WI$ 3,554.00 72127 CT LUMBOSPINE WO/WI$ 3,554.00 72133 PLATE DISTAL TIB 6 HOLE$ 3,555.00 C1713 PLATE DISTAL TIB 6H 3.5 X135$ 3,555.00 C1713 MRA HEAD WO/W CONTRAST$ 3,556.00 70546 MRA HEAD WO/W CONTRAST$ 3,556.00 70546 TRIATHLON CS INS SZ 6 13MM$ 3,559.00 C1776 TRIATHLON CS INS SZ 4 13MM$ 3,559.00 C1776 TRITHLON CS INS SZ5 11M$ 3,559.00 C1713 INSERT KNEE X3 CS TRIATH$ 3,559.00 C1776 INSERT KNEE CA TRIATH$ 3,559.00 C1776 TRIATHLON TIB BEARING SZ 7$ 3,559.00 C1776 TRIATHLON TIBIAL BEARING INSER$ 3,559.00 C1776 TRIATHLON TIBIAL BEARING$ 3,559.00 C1776 TRIATHLON TIBIAL BEAR INSERT$ 3,559.00 C1776 BEARING INSERT KNEE TIB TRIATH$ 3,559.00 C1713 TRIA TIBIAL INSERT 5531-G-609$ 3,559.00 C1776 TRIATHLON KNEE INSERT #4$ 3,559.00 C1776 TIBIAL BEARING INSERT TI$ 3,559.00 C1776 TIBIAL BEARING INSERT TI$ 3,559.00 C1776 TIBIAL BEARING INSERT TI$ 3,559.00 C1776 TRIAT TIBIAL BEAR INSERT$ 3,559.00 C1776 BEARING TIBIAL INSERT TRI$ 3,559.00 C1713 BEARING TIBIAL INSERT$ 3,559.00 C1713 BEARING TIBIAL KNEE INSERT$ 3,559.00 C1713 BEARING TIBIAL TRIATH INSERT$ 3,559.00 C1713 BEARING TIBIAL INSERT TRIA$ 3,559.00 C1713 BEARING KNEE TIB INSERT TRIA$ 3,559.00 C1713 INSERT BEARING TIBIAL TRIA$ 3,559.00 C1776 TIBIAL BEAR INSERT TI 5531-G-7$ 3,559.00 C1776 EMPLICITI 400MG VIAL$ 3,559.00 J9176 HIP STEM ODC #5$ 3,561.00 C1713 HIP STEM ODC #6$ 3,561.00 C1713 HIP STEM ODC #7$ 3,561.00 C1776 HIP STEM ODC #8$ 3,561.00 C1776 HIP STEM ODC #9$ 3,561.00 C1776 HIP STEM ODC #10$ 3,561.00 C1776 PLATE DIA-META 7H 04.110.007$ 3,561.00 C1713 PLATE DIA-META 7H 04.110.107$ 3,561.00 C1713 PLATE PROX HUMERUS 5 HOLE$ 3,561.00 C1713 PLATE PROX TIB 239.984S$ 3,564.00 C1713 PLATE DISTAL POST LAT HUMERUS$ 3,566.00 C1713 ESOPHAGEAL STENT G48031$ 3,568.00 C1876 ESOPHAGEAL STENT G48033$ 3,568.00 C1876 FLAP EYELID/NOS/LIPS/INTRAORAL$ 3,569.43 15576 NEURAWRAP NERVE PROT 10X4CM$ 3,572.00 C9353 NAIL FIXATION TROCH CANN 11MM$ 3,572.00 C1713 GLENOSPHERE 42 MM$ 3,572.00 C1713 INSERT KNEE DISHED ARTICU 18MM$ 3,572.00 C1776 FEM COMP SERIES 7000 11L$ 3,573.00 STENT TRACH ENDOPROSTHESIS 9 F$ 3,578.00 C1876 CLSD TX TIB SHFT WM$ 3,583.00 SLING PINNACLE UPHOLD$ 3,583.00 C1771 PLATE TIBIA DIST W/O TAB 3.5$ 3,587.00 C1713 PLATE SHORT DISTAL MEDIAL$ 3,588.00 C1713 PATELLA SYMMETRIC TRIATH$ 3,590.00 C1776 EXCHANGE PREVIOUS DRAINAGE CAT$ 3,593.00 49423 NERVE DST FACET NERV CER/THOR$ 3,593.00 Nerv Destruct Facet Ner Lumbar$ 3,593.00 PATCH WHITTMAN 20X40CM$ 3,595.00 NAIL GAMMA3 11X180 130DEG$ 3,597.00 C1713 MITOMYCIN 40 MG VIAL$ 3,597.00 J9280 PET LUNG CA DIAGNOS$ 3,600.00 78815 78815 PET LUNG CA STAGING$ 3,600.00 78815 78815 PET LUNG CA RESTAGIN$ 3,600.00 78815 78815 PET COLORECTAL CA DX$ 3,600.00 78815 PET COLORECTAL CA ST$ 3,600.00 78815 78815 PET COLORECTAL CA RS$ 3,600.00 78815 78815 PET LYMPHOMA DIAGNOS$ 3,600.00 78815 78815 PET LYMPHOMA STAGING$ 3,600.00 78815 78815 PET LYMPHOMA RESTAGI$ 3,600.00 78815 78815 PET HEAD & NECK DIAG$ 3,600.00 78815 78815 PET HEAD & NECK STAG$ 3,600.00 78815 78815 PET HEAD & NECK REST$ 3,600.00 78815 78815 PET ESOPHAGEAL CA DX$ 3,600.00 78815 PET ESOPHAGEAL CA ST$ 3,600.00 78815 78815 PET ESOPHAGEAL CA RS$ 3,600.00 78815 PET BREAST CA STAGIN$ 3,600.00 78815 78815 PET BREAST CA RESTAG$ 3,600.00 78815 78815 PET THYROID CA RESTA$ 3,600.00 78815 78815 PET SOLTARY PULM NOD$ 3,600.00 78815 78815 PET IMAGE W/CT SKULL-THIGH$ 3,600.00 78815 PET CERV DX STA REST$ 3,600.00 78815 78815 WIRE FILTER EX 300CM$ 3,603.00 C1781 PLATE LOCK COMP NAR 8 HOLE$ 3,604.00 C1713 PLATE LOCK COMP NAR 10 HOLE$ 3,604.00 C1713 PLATE LOCK COMP BROAD 8 HOLE$ 3,604.00 C1713 STENT CORONARY ABBOT 2.75 x 12$ 3,607.00 C1876 BEARING TIBIAL INSERT TRIATHLO$ 3,608.00 C1713 BEARING TIBIAL INSERT TRIA 553$ 3,608.00 C1713 INSERT BEARING TIBIAL TRIA$ 3,608.00 C1776 BEARING INSERT TIBIAL 3 X 11MM$ 3,608.00 C1713 INSERT KNEE TIB TRIATH SZ6$ 3,608.00 C1776 TIBIAL BEARING TRIATHLON INSER$ 3,608.00 C1776 TIBIAL BEARING INSERT SZ 5X9MM$ 3,608.00 C1776 COLONOSCOPY/BX$ 3,608.00 CATH ABLATION BI-D 4H D-F CURV$ 3,610.00 C1733 CATH ABLATION EP F-J CURVE$ 3,610.00 MESH COMPOSIX EX 10X13$ 3,610.00 PEC REJPAIR KIT$ 3,610.00 C1713 SUTURE VEIN/ARTERY$ 3,611.00 PLATE TIBIAL DIS MED 6HOLE$ 3,628.00 C1713 ZOLADEX 10.8MG INJ$ 3,631.00 J9202 PLATE LCP 4.5MM 8H$ 3,634.00 C1713 PLATE TIBIA 4.5$ 3,634.00 C1713 PLATE DIA-META 9H 04.110.009$ 3,637.00 C1713 PLATE DIA-META 9H 04.110.109$ 3,637.00 C1713 PLATE LCP DIA-META 5 HOLE$ 3,642.00 C1713 TRAY KNEE TIBIAL OXFORD PART$ 3,649.00 C1776 TIBIAL RT MEDIAL SZ TRAY$ 3,649.00 C1713 TIBIAL RT MEDIAL TRAY 154725$ 3,649.00 C1713 MEDIAL TIBIAL TRAY OXFORD SZ A$ 3,649.00 C1776 MENISCAL BEARING LG BIOMET$ 3,649.00 C1776 TIBIAL RT MEDIAL TRAY$ 3,649.00 C1713 TIBIAL TRAY LT MEDI OXFORD$ 3,649.00 C1713 TIBIAL MEDIAL TRAY UNICOM SZ E$ 3,649.00 C1713 HUMERAL HEAD SHOULDER 1128-52$ 3,649.00 C1776 HEAD SHOULDER ECCENTRIC ADV$ 3,649.00 C1776 HEAD SHOULDER ECCENTRIC 52X21$ 3,649.00 C1776 ARANESP 200 MCG INJ$ 3,652.00 J0881 APPL SKIN SUBSTI GRAFT 25 SQ$ 3,656.00 15271 APPLY SKIN GRAFT F,S,E,M,N,H,F$ 3,656.00 15275 APP SKIN GFT F,S, ETC. 100 CM$ 3,656.00 15277 RELIEVA SPIN BALLOON SINUPLAST$ 3,660.00 C1726 BALLOON SPIN SYSTEM RELIEVA$ 3,660.00 C1726 BALLOON SINUS RELIEVA 5 X 16$ 3,660.00 C1726 SYSTEM EUSTACHIAN DILATION AER$ 3,663.00 C1726 COLONSCPY/POLYPECTMY$ 3,663.00 HUMERUS NAIL LG LT 8X260MM PRO$ 3,668.00 C1776 NAIL,HUMERAL, LONG LT 8X24MM$ 3,668.00 C1713 NEURAGEN NERVE GUIDE 2MM X 2CM$ 3,680.00 C9352 NAIL CANN RETR/ANT 04.013.552S$ 3,682.00 C1713 NAIL PROX HUMERAL 8MM 462.971$ 3,688.00 C1713 MODULAR HEAD W/VAR 50 X 21 X 5$ 3,692.00 C1776 PLATE LCP PERI PROX HUM 3 H$ 3,696.00 C1713 PTA ILIAC ADDITIONAL$ 3,697.00 37222 NAIL TI LAT ENTRY FEM REC 11MM$ 3,697.00 C1713 INSERTION SUPRAPUBIC CATHETER$ 3,704.00 51102 BALLOON DRUG LUTONIX 5X150X130$ 3,710.00 C2623 BALLOON DRUG LUTONIX 6X150X130$ 3,710.00 C2623 SPEEDBRIDGE IMPLANT SYSTEM$ 3,710.00 NEEDLE, ISESPHERE$ 3,710.00 SIMPONI 50MG VIAL$ 3,710.00 J1602 PLATE DIA META 11H 04.110.011$ 3,712.00 C1713 PLATE DIA-META 11H 04.110.111$ 3,712.00 C1713 TORISEL 25MG VIAL$ 3,714.00 J9330 NAIL SLD HUMERAL 7.5MM 462.719$ 3,717.00 C1713 NAIL SLD HUMERAL 7.5MM 462.720$ 3,717.00 C1713 NAIL SLD HUMERAL 7.5MM 462.722$ 3,717.00 C1713 NAIL SLD HUMERAL 7.5MM 462.724$ 3,717.00 C1713 NAIL SLD HUMERAL 7.5MM 462.725$ 3,717.00 C1713 NAIL SLD HUMERAL 7.5MM 462.726$ 3,717.00 C1713 NAIL SLD HUMERAL 7.5MM 462.727$ 3,717.00 C1713 NAIL SLD HUMERAL 7.5MM 462.728$ 3,717.00 C1713 NAIL SLD HUMERAL 7.5MM 462.731$ 3,717.00 C1713 NAIL SLD HUMERAL 7.5MM 462.732$ 3,717.00 C1713 INSERT KNEE X3 PS TRIATH$ 3,717.00 C1776 TRIATHLON KNEE INSERT PS #3$ 3,717.00 C1776 TIBIAL BEARING INSERT TRIATHLO$ 3,717.00 C1776 BEARING TIBIAL INSERT TRIA$ 3,717.00 C1713 TIBIAL BEAR INSERT TI 5532.G-5$ 3,717.00 C1776 SPACER ARTELON CMC-1$ 3,719.00 C1713 3.5MM LCP PROXIMAL TIBIA PLATE$ 3,725.00 C1713 NAIL TIBIAL STANDARD 10 X 345$ 3,733.00 C1713 HUMERAL OFFSET HEAD 5352-4521$ 3,734.00 C1776 HUMERAL HEAD 40 X 18$ 3,734.00 C1776 HUMERAL OFFSET HEAD SOLAR$ 3,734.00 C1776 PLATE COMPRESSION 9 HOLE$ 3,736.00 C1713 SO TRYPANSOMA CRUZI AB TOTAL$ 3,740.00 86753 BIOLOX CERA FEMO HEAD 7.5 X 36$ 3,747.00 C1776 CABLE GRIP SYSTEM - SMALL$ 3,748.00 CABLE GRIP SYSTEM-LARGE$ 3,748.00 PLATE PROX TIBIA RT 6H 4.5 X 1$ 3,749.00 C1713 ANGIOJET SOL OMNI 6FR 120C OTW$ 3,750.00 HYBRID GLENOID BASE 4MM MED$ 3,750.00 C1776 PLATE HUMERAL AXSOS 14H$ 3,750.00 C1713 PLATE TI DISTAL FEMUR 422.344$ 3,755.00 C1713 PLATE TI PROXIM TIBIA 422.300$ 3,755.00 C1713 PLATE TI DISTAL FEMUR 422.341$ 3,755.00 C1713 PLATE TI PROXIM TIBIA 422.304$ 3,755.00 C1713 PLATE TI PROXIM TIBIA 422.308$ 3,755.00 C1713 PLATE TI MATRIX RIB 6&7 17HOLE$ 3,756.00 C1713 PLATE TI MAT RIB 8&9 18HOLE$ 3,756.00 C1713 BOTOX 200 UNITS$ 3,756.00 J0585 PLATE HUM PROX AXSOS 8 HOLE$ 3,758.00 C1713 NAIL HUMERUS 7 X 190$ 3,762.00 C1713 NAIL HUMERUS 08 X 270 MM$ 3,762.00 C1713 MRI UP EXT JOINT W/CONT$ 3,768.00 73222 MRI UP EXT JOINT W/CONT$ 3,768.00 73222 STENT WALLSTENT 12 X 90$ 3,769.00 C1874 NAIL SLD HUMERAL 7.5MM 462.725$ 3,777.00 C1713 NAIL FEMORAL T2 9 X 340 MM$ 3,777.00 C1713 DELIVERY, VAGINAL EMERGENCY$ 3,782.00 PLATE 6HOLE 239.987$ 3,782.00 C1713 TIBIAL BEARING INSERT SZ 1$ 3,782.00 C1776 ANTIVENIN POLYVALENT$ 3,786.00 J0840 STENT,BILRXHERCLNK14$ 3,789.00 C1876 BIO-COM ACHILLES SPEED BRIDGE$ 3,790.00 C1713 TIBIAL BEAR INSERT PS SZ 7$ 3,792.00 C1776 GRAFT GORTEX RINGED 8 X 100$ 3,797.00 C1768 CT ABD/PELVIC W/CONTRAST$ 3,800.00 74177 CT ABD/PELVIC W/CONTRAST$ 3,800.00 74177 STNT,BILSMRTNIT40/60$ 3,810.00 C1876 CROSSER CTO 14S OTW 146CM$ 3,810.00 C1714 CROSSER CTO 14P OTW 146CM$ 3,810.00 C1714 CROSSER CTO NO WIRE S6 154CM$ 3,810.00 C1714 CATH ABLATION EP 7 FR 110 CM$ 3,810.00 FILTER VENA CAVE OPTEASE 6FR$ 3,811.00 C1874 MESH SURGISIS GOLD 20X20$ 3,822.00 C1781 PLATE PROX TIBIA 4.5$ 3,824.00 C1713 PLATE PROX TIBIA 4.5$ 3,824.00 C1713 NAIL FEMORAL$ 3,825.00 C1713 RIMFIT CUP 6309-3-654$ 3,829.00 C1776 TRAY REV HUMERAL SHLDR 44MM RI$ 3,834.00 C1713 PLATE GLENOID REV SHLD$ 3,836.00 C1713 VELCADE 3.5 MG INJ$ 3,837.00 J9041 NAIL CANN TROCH 11MM 456.418S$ 3,838.00 C1713 NAIL FIXATION 456.34S$ 3,838.00 C1713 NAIL FIXATION 456.36S$ 3,838.00 C1713 NAIL FIXATION 456.38S$ 3,838.00 C1713 NAIL FIXATION 456.40S$ 3,838.00 C1713 NAIL TROCH 456.414S$ 3,838.00 C1713 NAIL TROCH 456.415S$ 3,838.00 C1713 NAIL TROCH 456.418S$ 3,838.00 C1713 NAIL TROCH 456.411S$ 3,838.00 C1713 NAIL TROCH 456.410S$ 3,838.00 C1713 MRI UP EXT JOINT RTWO/W CONT$ 3,842.00 73223 MRI UP EXT JOINT LT WO/W CONT$ 3,842.00 73223 MRI UP EXT JOINT LT WO/W CONT$ 3,842.00 73223 MRI UP EXT JOINT RTWO/W CONT$ 3,842.00 73223 PTC THROMBECTOMY$ 3,848.00 92973 PLATE VA LCP CURVE COND 6H 4.5$ 3,848.00 C1713 PLATE COND CUR LCP VA 4.5 6 RT$ 3,848.00 C1713 GAMMAGARD 10 GM VIAL 10%$ 3,849.00 J1569 PACING/DEFIB LEAD REPOSITIONIN$ 3,852.00 33215 PLATE DIA-META 13H 04.110.013S$ 3,862.00 C1713 PLATE DIA-META 13H 04.110.113S$ 3,862.00 C1713 PLATE TROCH GRIP W/2 CABLES$ 3,865.00 C1776 PLATE DM LG VITA GRIP 200MM$ 3,865.00 C1713 PCKL ATTAIN ABILITY STRAIGHT$ 3,870.00 C1900 STENT BILIARY 9X79$ 3,870.00 C1874 PLATE VOLAR DIST 7H$ 3,870.00 C1713 FREEDM CONSTRAINED MOD HEAD 36$ 3,874.00 C1776 INDIUM 111$ 3,881.00 A9570 PLARE PROXI LATERAL HUMERUS 6H$ 3,882.00 PLATE PROX LAT HUMERUS 6H$ 3,882.00 MINI IGNITE POWER MIX 4CC$ 3,894.00 C1713 KIT LEAD 3776-75$ 3,900.00 C1778 CHARGING SYSTEM MEDTRONIC$ 3,900.00 NAIL FEMORAL LEFT 9 X 340 MM$ 3,905.00 C1713 NAIL FEMORAL LT 10X380MM$ 3,905.00 C1713 XIENCE DRUG STENT$ 3,910.00 C1874 STENT XIENCE DRUG 100953908$ 3,910.00 C1874 TITAN RESERVOIR CL$ 3,910.00 C1813 PLATE VOLAR 11 HOLE 145MM XXL$ 3,910.00 C1713 NAIL CANN TROCH 11MM 456.415S$ 3,913.00 C1713 NAIL CANN TROCH 11MM 456.417S$ 3,913.00 C1713 NAIL CANN TROCH 11MM 456.421S$ 3,913.00 C1713 NAIL CANN TROCH 11MM 456.425S$ 3,913.00 C1713 NAIL CANN TROCH 11MM 456.412S$ 3,913.00 C1713 NAIL CANN TROCH 11MM 456.414S$ 3,913.00 C1713 NAIL CANN TROCH 11MM 456.420S$ 3,913.00 C1713 NAIL CANN TROCH 11MM 456.422S$ 3,913.00 C1713 NAIL CANN TROCH 11MM 456.424S$ 3,913.00 C1713 NAIL FIXATION 360MM/R 456.416S$ 3,913.00 C1713 NAIL FIXATION 400MM/R 456.420S$ 3,913.00 C1713 NAIL FIXATION 440MM/R 456.424S$ 3,913.00 C1713 NAIL FIXATION 440MM/L 456.425S$ 3,913.00 C1713 NAIL TROCH 456.419S$ 3,913.00 C1713 TROCHANTERIC GRIP W/CABLES DAL$ 3,919.00 C1713 PRIM ART M-THR MBC SBSQ VSL$ 3,925.00 37185 HYBRID GLENOID BASE$ 3,940.00 C1776 T2 SUPRACONDYLAR NAIL 10X32OMM$ 3,940.00 C1713 T2 SUPRACONDYLAR NAIL 10X400MM$ 3,940.00 C1713 T2 SUPRACONDYLAR 11X320MM$ 3,940.00 C1713 T2 SUPRACONDYLAR NAIL 11X360MM$ 3,940.00 C1713 T2 SUPRACONDYLAR NAIL 11X420MM$ 3,940.00 C1713 T2 SUPRACONDYLAR NAIL 12X300MM$ 3,940.00 C1713 T2 SUPRACONDYLAR NAIL 12X360MM$ 3,940.00 C1713 T2 SUPRACONDYLAR NAIL 12X420MM$ 3,940.00 C1713 T2 SUPRACONDYLAR NAIL 11X200MM$ 3,940.00 C1713 T2 SUPRACONDYLAR NAIL 10X170MM$ 3,940.00 C1713 T2 SUPRACONDYLAR NAIL 14X170MM$ 3,940.00 C1713 NAIL SUPRACONDYLAR 10 X 200$ 3,941.00 C1713 NAIL SUPRACONDYLAR 14 X 380$ 3,941.00 C1713 NAIL SUPRACONDYLAR$ 3,941.00 NAIL SCN 10X 360$ 3,941.00 C1713 NAIL, SCN 11 X 300$ 3,941.00 C1713 INSERT BEARING KNEE TIB TRIATH$ 3,949.00 C1776 TIBIAL BEARING INSERT SIZE 8$ 3,949.00 C1713 TIBIAL BEARING INSERT SIZE 1$ 3,949.00 C1776 FEMORAL BEARING IN. SIZE 2$ 3,949.00 C1713 ANGJOJET SOLENT PROXI$ 3,950.00 C1757 NAIL FEMORAL 14 X 32$ 3,952.00 C1713 PLATE DIA-META 15H 04.110.015S$ 3,958.00 C1713 PLATE DIA-META 15H 04.110.115S$ 3,958.00 C1713 FEMUR KNEE PS TRIATH$ 3,968.00 C1776 COMPONENT SHOULDER SOLAR BIPLR$ 3,980.00 C1776 RESTORATION ADM W/INSERT CUP$ 3,982.00 C1776 PLATE AXSOS PROX TIBIA$ 3,986.00 C1713 PLATE 6-HOLE AXSOS PROX TIBIA$ 3,986.00 C1713 PLATE AXSOS TIBIA PROXIMAL$ 3,986.00 C1713 PLATE PROX HUMERAL 5 HOLE$ 3,992.00 C1713 PLATE PROXIMAL HUMERUS$ 3,992.00 C1713 PLATE PROX HUMERAL ANATOMICAL$ 3,992.00 C1713 FEMORAL STAB POST TRIA SZ 7 PS$ 3,994.00 C1713 ARTERIOGM/ABD/RUNOFF$ 3,997.00 75630 ENDOSTAT FIBER OPTIC X/TIP$ 4,000.00 HYDROSET CEMENT 5CC$ 4,003.00 C1713 PLATE DIS LAT FEMUR 8 HOLE$ 4,005.00 C1713 A-FASE-DF$ 4,010.00 C1732 A-FASE-FJ$ 4,010.00 C1732 D-AVSE-DF10-F20$ 4,010.00 C1732 NOVANTRONE 20MG INJ$ 4,017.00 J9293 LEAD KIT 60CM LENGTH$ 4,028.00 C1778 LEAD KIT 30CM #3183$ 4,028.00 C1778 INSERT TIBIAL BEARING 5531-P-4$ 4,037.00 C1713 TIBIAL BEARING INSERT$ 4,037.00 C1776 VERA-DIAL SHOULDER SYS 50 X 24$ 4,038.00 C1776 CLUSTERHOLE 52E TRIDENT TITAN$ 4,040.00 C1776 12 HOLE RT PROX LAT HUM PLATE$ 4,041.00 C1713 TIBIAL NAIL STANDARD #1822-103$ 4,042.00 C1713 TIBIAL NAIL 1882-0931S STRYKER$ 4,042.00 C1713 TIBIAL NAIL 8X360$ 4,042.00 C1713 TIBIAL NAIL 8.0 X 300 T2$ 4,042.00 C1713 NAIL TIBIA 10 X 375$ 4,042.00 C1713 NAIL TIBIAL STD 1822-1030S$ 4,042.00 C1713 STENT DES ENDEAVOR OTW 2.5X24$ 4,045.00 C1874 STENT DES ENDEAVOR OTW 3.0X24$ 4,045.00 C1874 STENT DES ENDEAVOR OTW 3.0X30$ 4,045.00 C1874 STENT DES ENDEAVOR OTW 3.5X30$ 4,045.00 C1874 INSERT ARTIC POST SZ 3-4 18MM$ 4,045.00 C1776 CONCEAL RESERVIOR IZ$ 4,048.00 C1813 MRI BRAIN WO/W CONTRAST$ 4,048.00 70553 MRI BRAIN WO/W CONTRAST$ 4,048.00 70553 LT DISTAL FEMUR PLATE 6HOLE$ 4,058.00 C1713 PLATE AXSOS DIAT LAT FEMUR 10H$ 4,059.00 C1713 PLATE DISTAL FEMUR RT 10 HOLE$ 4,059.00 C1713 PLATE DISTAL LATERAL FEMUR$ 4,059.00 C1713 PLATE DISTAL LATERAL 14 HOLE$ 4,059.00 C1713 PLATE DIS LAT FEMUR 6H$ 4,059.00 PLATE FEMUR LEFT 16 HOLE$ 4,059.00 627642 STRYKER$ 4,059.00 C1713 FEMUR PLATE 14 HOLE LEFT$ 4,059.00 C1713 GRAFT ARTHROFLEX 35 X 35 MM$ 4,076.00 Q4122 HEAD, RADIAL 20MM PROLINE$ 4,080.00 C1776 PLATE CONY VA LCP CURV 4.5 10H$ 4,084.00 C1713 FEMORAL NAIL 12X400 STRYKER$ 4,088.00 C1713 BEARING TIBIAL INSERT SCORPIO-$ 4,088.00 C1713 BENLYSTA 400 MG VIAL$ 4,088.00 J0490 OCTAGAM 10 PERC VIAL 10MG/100M$ 4,099.00 J1568 CT ABD/PELVIC W & W/O CONTRAST$ 4,100.00 74178 CT ABD/PELVIC W & W/O CONTRAST$ 4,100.00 74178 PLATE PROX TIBIA 4 HOLE$ 4,100.00 C1713 THROMBLYTIC ART/VEN THERAPY$ 4,101.00 37213 CESSJ THERAPY CATH REMOVAL$ 4,101.00 37214 RESTORATION ADM X3 INSERT$ 4,102.00 C1776 NAIL HUMERAL$ 4,106.00 C1713 MATRIX DX REINFORECEMENT 5X5$ 4,106.00 C1762 CYSTO W/CALI & DIL STRICT$ 4,111.65 52281 RMV STNT CYST W/REM FORE BDY S$ 4,111.65 52310 AUTO PLEX SYSTEM 0605-687-015$ 4,113.00 HUMERAL NAIL TI 7.5$ 4,123.00 C1776 MRA UP EXT LT W & WO CONTRAST$ 4,123.00 C8936 MRA UP EXT RT W & WO CONTRAST$ 4,123.00 C8936 627208 $ 4,126.00 C1713 SWIVELOCK SPEEDBRIDGE IMPLANT$ 4,128.00 C1713 STEM 8MM X 4MM$ 4,128.00 C1713 PLATE DISTAL RADIUS 2.7$ 4,132.00 C1713 MRI LUMBAR SPINE WO/W CONT$ 4,132.00 72158 MRI LUMBAR SPINE WO/W CONT$ 4,132.00 72158 SCREW REDDICK SAYNE RETRACTOR$ 4,134.00 STEM CURVED RADIAL 8MM$ 4,135.00 C1713 HEAD RADIAL 28MM$ 4,135.00 C1713 RADIAL HEAD 26 X 2 MM$ 4,135.00 C1713 STEM STRAIGHT RADIAL 7 MM$ 4,135.00 C1713 HEAD RADIAL COCR 12.5 X 22$ 4,135.00 C1776 RADIAL HEAD COCR 24 X 19 MM$ 4,135.00 C1776 RADIAL STEM TI CURVED 7 X 42$ 4,135.00 C1776 GLENOID APG 52MM$ 4,140.00 C1713 ANCHOR PEG GLENOID 1136-41-026$ 4,140.00 C1713 ANCHOR PEG GLENOID 48MM$ 4,140.00 C1713 TIBIAL NAIL 8 X 270$ 4,142.00 C1713 TIBIAL NAIL 8 X 285$ 4,142.00 C1713 NAIL TIBIAL STANDARD$ 4,142.00 C1713 TIBIAL NAIL 10 X 330MM$ 4,142.00 C1713 TIBIAL BEARING INSERT SIZE 3$ 4,147.00 C1713 FEMORAL NAIL T2 SYS 1825-1140S$ 4,152.00 C1713 NAIL FEMORAL A/R T2 SYS$ 4,152.00 C1713 FEMORAL NAIL 13 X 380MM$ 4,152.00 C1713 TROCHANTERIC REATTACH 498.806S$ 4,158.00 HUMERAL STEM CEMENTLESS MOD$ 4,162.00 C1776 HUMERAL STEM$ 4,162.00 C1776 PLATE VA CONDYLAR 12H 4.5 X 26$ 4,164.00 C1713 I&D HEMATOMA/DEEP ABS LEG/ANKL$ 4,185.00 27603 NAIL PROX HUMERAL CANNULATED$ 4,188.00 C1713 NAIL PROX HUMERAL T2$ 4,188.00 C1713 NAIL HUMERAL PROX CANN LT$ 4,188.00 C1713 FEMORAL-RM-LL SZ 3 MCK$ 4,190.00 C1776 PLATE DISTAL FEMUR 8H AXSOS$ 4,194.00 C1713 STENT ILIAC ADDITIONAL$ 4,196.00 37223 AVASTIN 400MG/16ML$ 4,202.40 J9035 OCTREOTIDE LAR 20MG INJ$ 4,202.72 J2353 TAXOTERE 80MG INJECT$ 4,203.00 J9171 NAIL FIX CANN TROCH 12 X 360$ 4,206.00 C1713 BALLOON RELIEVA SINUS ADULT KI$ 4,210.00 C1726 BALLOON RELIEVA SINUS KIT PEDI$ 4,210.00 C1726 PLATE HUMERUS PROX LT 10 HOLE$ 4,213.00 C1713 PLATE DIST HUMER 10H 3.5 X 230$ 4,226.00 C1713 ANGIOGRAPHY-PELVIC$ 4,230.00 75736 TIBIAL BEARING INSERT SCORPIO-$ 4,239.00 C1713 INSERT TIB BEAR SCOR-FLEX 12MM$ 4,239.00 C1713 STENT TRANSBRONCHIAL NC 100CM$ 4,244.00 C1876 STENT TRANSBRONCHIAL NC 100CM$ 4,244.00 C1876 STENT TRANSBRONCHIAL NC 100CM$ 4,244.00 C1876 STENT TRANSBRONCHIAL COV 100CM$ 4,244.00 C1874 STENT TRANSBRONCHIAL COV 100CM$ 4,244.00 C1874 STENT TRANSBRONCHIAL COV 100CM$ 4,244.00 C1874 MODULAR HEAD W/VARIABLE OFFSET$ 4,244.00 C1776 VERSA-DIAL SLD SYSTEM MOD HEAD$ 4,244.00 C1776 PLATE PROX HUM 3 10 H$ 4,248.00 FEMORAL COMP MAKO SZ 3$ 4,253.00 C1713 FEMORAL COMP SZ 5 MAKO$ 4,253.00 C1776 FEMORAL COMP SZ 4 MAKO$ 4,253.00 C1776 MRI CERVICAL SPINE WO/W CONT$ 4,255.00 72156 MRI CERVICAL SPINE WO/W CONT$ 4,255.00 72156 REM SGL/DUAL ELECTRO$ 4,259.00 33244 ADJ GASTRIC BAND DIAM VIA INJ$ 4,261.00 S2083 EGD W/BIO & CONTROL BLEEDING$ 4,264.00 HUMERAL TRAY COMP REV SLD$ 4,264.00 C1776 COMP REV SLD HUMERAL TRAY$ 4,264.00 C1776 TIBIALIS POSTERIOR GRAFT$ 4,265.00 C1762 NAIL ANKLE ARTHRODESIS LEFT$ 4,269.00 C1713 NAIL ANKLE RIGHT 1819-1015S$ 4,269.00 C1713 NAIL FEMORAL T2 1825-1038S$ 4,277.00 C1713 DECITABINE INJ 50 MG VIAL$ 4,277.50 J0894 REUNION DUAL RADIUS HUMERAL HE$ 4,280.00 C1776 REUNION DUAL RADIUS HUMER HEAD$ 4,280.00 C1776 726214S $ 4,283.00 C1713 PLATE PROX LAT HUMERUS 14 HOLE$ 4,283.00 C1713 MANIPULATION PERITONEAL CATH$ 4,293.00 49999 INTRA-ABD COMPART MONITORING$ 4,293.00 49999 NERVE PROTECTOR 10 X 40$ 4,300.00 C1763 CATH REBOA ER$ 4,300.00 ACHILLES SYS W/JUMP$ 4,300.00 C1713 NUCALA 200 MG VIARL$ 4,303.01 J2182 ICD-LEAD ATTAIN PERFORMA 4298$ 4,310.00 C1900 ICD-LEAD ATTAIN PERFORMA 4598$ 4,310.00 C1900 439888 MEDTRONIC$ 4,310.00 C1900 CLUSTER HOLE SCHELL TRIT HEMIS$ 4,312.00 C1713 502-03-48C$ 4,312.00 C1713 MESH PHYSIOMESH 15 x 25CM$ 4,321.00 C1781 NAIL HUMERAL T2 SYSTEM 8X260$ 4,326.00 C1713 NAIL TIBIAL STANDARD 10X36$ 4,334.00 C1713 TIBIAL NAIL STANDARD 9 X 300$ 4,334.00 C1713 TIBIAL NAIL STANDARD 9 X 330$ 4,334.00 C1713 TIBIAL NAIL STANDARD$ 4,334.00 C1713 INSERT TIBIA SZ 2 THK 2 X 17MM$ 4,336.00 C1713 INSERT ADV II MEDIA PIVOT SZ 4$ 4,336.00 C1776 STENT CORONARY 3.5X12$ 4,337.00 C1874 STENT CORONARY 2.5X18$ 4,337.00 C1874 STENT CORONARY 2.5X23$ 4,337.00 C1874 STENT CORONARY 3.0 X 12$ 4,337.00 C1874 STENT CORONARY 3.0 X 18$ 4,337.00 A6266 STENT CORONARY 3.0 X 23$ 4,337.00 SPACER ARTELON CMC LG 21004$ 4,337.00 C1713 STENT CORONARY DES 3.5X18$ 4,337.00 C1874 TENDON TIBIALIS POSTER 240X9$ 4,337.00 C1762 NAIL FEMORAL 9 X 260$ 4,346.00 C1713 NAIL FEMORAL, A/R 11 X 360$ 4,346.00 C1713 NEUROGEN 2MMX3CM INTEGRA$ 4,352.00 C9352 NEURAGEN NERVE GUIDE 3MMX3CM$ 4,352.00 C9352 KIT DISCECTOMY W PROBE 407-250$ 4,353.00 KADCYLA 100 MG VIAL$ 4,358.44 J9354 COMPONENT TIB BASE SIZE 4$ 4,359.00 C1713 EGD W/REM FB & DILATATION$ 4,369.00 EGD W/PEG & BIOPSY$ 4,373.00 FIXATOR STRYKER TRAUMA EXTER$ 4,380.00 SHOULDER SYSTEM VERA-DIAL$ 4,384.00 C1776 VALVULOTOME EXPANDABLE LEG$ 4,388.00 MRI THORACIC SPINE WO/W CONT$ 4,388.00 72157 MRI THORACIC SPINE WO/W CONT$ 4,388.00 72157 LUPRON DEPOT 22.50MG$ 4,391.43 J9217 SYNAGIS 50MG VIAL$ 4,398.69 90378 KIT LEAD MEDTRONIC 977A290$ 4,400.00 C1778 LEAD MRI 1 X 8 SURESCAN$ 4,400.00 C1778 COMP REV SHLD HUME TRAY 44 X 5$ 4,402.00 C1776 NAIL CANN HUMERAL 7MM$ 4,407.00 C1713 PACEMAKER IATTAIN$ 4,409.00 C1777 INJECTABLE GRAFT 5CC$ 4,410.00 C1713 CLOFARABINE 20MG/20ML VIAL$ 4,411.00 J9027 HEAD GLENOID 38MM$ 4,414.00 C1776 DILAT XST TRC NDURLGC PX$ 4,422.00 50436 NEUTROSPEC 20 MCI$ 4,431.00 A4641 5542-P-0048$ 4,434.00 C1713 5542-P-0044$ 4,434.00 C1713 GLENOID SIZE 40 SELF-PRES$ 4,434.00 C1776 INSERT TIB TTL STBLZ SZ 3 13MM$ 4,436.00 5537-G516 STRYKET$ 4,436.00 C1776 INSERT TOTAL STAB TIBIAL$ 4,436.00 C1713 ELIGARD 45MG SYRINGE$ 4,438.80 J9217 BALLOON DIL OTW 2.75MMX10MM$ 4,440.00 C1727 MESH PERMACOL BIOLGC 10X10X1.0$ 4,440.00 C9364 ANGIOJET SPIROFLEX$ 4,450.00 HIP MATRIX DX REIN 6 X 8$ 4,450.00 C1762 CTA HEAD 44 X 18 MM$ 4,461.00 C1776 STENT ESOPHAGEAL POLY 14X21$ 4,470.00 C1874 PENILE IMPLANT TITAN RESERVOIR$ 4,478.00 MESH PHASIX 4 X 6$ 4,480.00 INSERT PLEURAL CATH (ER)$ 4,493.00 PLATE VARIABLE ANGLE 16H 4.5MM$ 4,502.00 C1713 Advisor HD Grid SE/6251491$ 4,510.00 C1732 LEAD KIT MEDTRONIC$ 4,510.00 C1778 BIOPSY/REMOVAL LYMPH NODES$ 4,515.00 TRIATHLON FEMUR KNEE TIB #2$ 4,518.00 C1776 BASEPLATE TIBIAL TRI UNIV$ 4,518.00 C1713 BASEPLATE TIBIAL TRI$ 4,518.00 C1713 BS FILTERWIRE 300CM$ 4,519.00 C1884 NAIL LONG 10X440MM 125 DEG TI$ 4,529.00 C1713 NAIL LONG KIT, LT 010 X 440MM$ 4,529.00 C1713 NAIL LONG KIT 13 X 420 MM$ 4,529.00 C1713 PERCCATH REN PLVS LT$ 4,540.00 50433 INTO CATH RENAL PLVS$ 4,540.00 50432 PERCCATH REN PLVS RT$ 4,540.00 50433 STENT CORONARY XIENCE 2.75MMX1$ 4,543.00 C1727 STENT CORONARY XIENCE 2.75X23M$ 4,543.00 STENT CORONARY 2.5X12$ 4,543.00 C1874 STENT CORONARY 2.5 X 15$ 4,543.00 C1874 STENT CORONARY 3.0 X15$ 4,543.00 C1874 STENT ESOPHAGEAL 12CM$ 4,543.00 C1727 STENT ESOPHAGEAL 15CM$ 4,543.00 STENT ESOPHAGEAL COVER 95CM$ 4,543.00 C1874 STENT ESOPH POLYFLEX 90CM$ 4,543.00 C1874 STENT ESOPH POLYFLEX 90MM$ 4,543.00 C1874 BASEPLATE KNEE NON-POROUS LT$ 4,544.00 C1776 STENT GRAFT FLU 10X60 80CM$ 4,547.00 C1725 BASEPLATE COMP REV SLD GLEN 25$ 4,548.00 C1713 HUMERAL ADAPTER TRAY$ 4,556.00 NOVOSEVEN RT 2MG VIAL$ 4,574.00 J7189 496S075 WRIGHT MEDICAL$ 4,580.00 C1776 RADIAL HEAD STEM 496S065$ 4,580.00 C1776 MESH PRIMATRIX 6 X 6$ 4,581.00 Q4110 STEM HUMERAL PRIMARY PRESS-FIT$ 4,585.00 C1713 NAIL LOCKING PROXIMAL 3 LT$ 4,606.00 C1713 NAIL PROX LOCK 150 MM RT POLAR$ 4,606.00 C1713 SCREW LOCK NAIL POLARUS 3 260$ 4,606.00 C1713 INSERT KNEE TIB TRIA PS SZ3$ 4,610.00 C1776 INSERT TIBIAL BEARING SZ2$ 4,610.00 C1713 INSERT KNEE BEARING TIB$ 4,610.00 C1776 TIBIAL BERRING INSERT-PS$ 4,610.00 C1713 TIBIAL INSERT SIZE 7 11MM$ 4,610.00 C1713 TRIPLE AAA STENT GRAFT S&I$ 4,619.00 75952 PLACEMENT URETERAL STENT PRQ$ 4,630.00 EGD W/BIOPSY & BANDING$ 4,630.00 NAIL FUSION WICHITA$ 4,638.00 C1713 BALLOON DIL OTW 3.0MM X 10MM$ 4,644.00 MESH PROCEED OVAL 26X34CM$ 4,644.00 C1781 DISCOGRPHY SI CER TH$ 4,657.00 72285 NAIL LOCKING POLARUS 3 240MM$ 4,658.00 GLENOSPHERE STD 130760142$ 4,660.00 C1713 PROTECTOR NERVE 7 X 40 MM$ 4,660.00 DISCOGRPHY SI LUMBAR$ 4,660.00 72295 ADRENAL ABLATION$ 4,663.00 INSERT ARTICULAR SZ3-4 RT 15MM$ 4,667.00 C1713 MED DISTAL FEMUR PLATE 4 HOLES$ 4,706.00 C1713 CHARGING SYSTEM SC-6412-2$ 4,710.00 TENDON ACHILLES BONE BLOCK$ 4,710.00 C1762 INSERT TIB KNEE SIZE 3-4$ 4,711.00 C1776 VENACAVA FILTER$ 4,718.00 C1880 BILAYER MATRIX 10X12.5CM$ 4,720.00 Q4108 NAIL TROCHANTERIC KIT$ 4,722.00 C1713 DECLOT FIBRIN SHEATH$ 4,723.00 36595 BASEPLATE TTL KNEE SZ 3 REV$ 4,733.00 POLY TIBIAL COMPONENT$ 4,733.00 C1776 TIBIAL COMPONENT ALL POLY$ 4,733.00 C1776 ARCOM XL RINGLOC ACTEBULAR LIN$ 4,734.00 C1776 HEMISPHERICAL CLUSTER HOLE SHE$ 4,738.00 C1776 ZALTRIP 200MG VIAL$ 4,750.74 J9400 ARTERIOGRM,MESENTRIC$ 4,784.00 75726 STEM RHEAD CPTL SZ 4$ 4,788.00 C1776 STENT DES ENDEAVOR OTW 2.5X8$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 2.5X12$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 2.5X14$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 2.5X18$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 2.5X30$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 3.0X9$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 3.0X12$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 3.0X15$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 3.0X18$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 3.5X9$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 3.5X12$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 3.5X15$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 3.5X18$ 4,790.00 C1874 STENT DES ENDEAVOR OTW 3.5X24$ 4,790.00 C1874 VASCULAR GRAFT 6 MM X 80$ 4,790.00 C1768 DECELLULARIZED DERMIS 40 X 70$ 4,794.00 Q4122 STEM RHEAD LAT COLLAR SZ3 6MM$ 4,808.00 C1713 STEM RHEAD LATERAL SZ 4$ 4,808.00 C1713 MCP PROXIMAL COMPONENT 40P$ 4,840.00 C1776 STENT GRAFT FLUENCY 7X40 80CM$ 4,841.00 C1874 ARTERIO, EXT BIL$ 4,842.00 75716 ARTERGRM,EXTWRNOF LT$ 4,842.00 75710 ARTERGRM,EXTWRNOF RT$ 4,842.00 75710 THROMBOLYTIC VENOUS THERAPY$ 4,842.00 37212 ARTERIOGRAM-SURGERY$ 4,842.00 75710 ARTERIOGRAM-OR-LEFT$ 4,842.00 75710 BEARING TIBIAL INSERT$ 4,844.00 C1713 ENDEAVOR OTW DRUG ST$ 4,849.00 NAIL SUPRACONDYLAR 014 X 200MM$ 4,849.00 C1713 GLENOSPHE REV SHLD OFFSET 4X38$ 4,859.00 C1713 STABILIZER TIBIAL TRAY TOTAL$ 4,892.00 C1776 COMP FEMORAL TRIATH$ 4,900.00 C1776 STENT, COV 6MM X 16MM 135 SHFT$ 4,900.00 C1874 STENT, COV 7MM X 17MM 135 SFT$ 4,900.00 C1874 STENT, COV 8MM X 18MM 135CM SH$ 4,900.00 C1874 TRANSCER INTR FLPNTB$ 4,904.00 58345 IMPLANT HIP PARTIAL ENDO$ 4,910.00 TENDON SPEEDGRAFT PRE-SUTR$ 4,910.00 C1762 INTRACARDIAC ECHO CATH VIEWFLE$ 4,910.00 C1759 CHOLECYSTOSTOMY, PERCUTANEOUS$ 4,917.00 47490 PERC DIL BILIARY STRICTURE WO$ 4,919.00 47555 GLENOID HEAD 130760038$ 4,923.00 C1713 NAIL HUMERAL T2 PROXIMAL 8 X 2$ 4,928.00 C1713 STENT GRAFT 9F 035X7MX40MX80CM$ 4,944.00 C1727 UNITRAX MOD. ENDO HEAD 40MM 69$ 4,944.00 C1776 NAIL LONG GAMMA$ 4,946.00 C1713 Transluminal Balloon Angio ea$ 4,947.00 PTA VENOUS EA ADDL VEIN$ 4,947.00 37249 COCR HEAD 46 MM / 17.25 MM$ 4,954.00 C1713 THROMBECTOMY PRIMARY$ 4,955.00 37184 XLK CURVED PLUS INSERT$ 4,955.00 C1713 CATH ANGIOJET SOLENT DISTA$ 4,960.00 C1757 INSERT ARTICULAR SZ 3-4 18MM$ 4,960.00 C1713 PLATE DISTAL FEMORAL 10 HOLE$ 4,972.00 C1713 PLATE AXSOS FEMUR DISTAL$ 4,972.00 C1713 PLATE DISTAL FEMUR AXSOS 8H$ 4,972.00 C1713 FEMORAL NAIL A/R R1500$ 4,984.00 C1713 I&D SCROTAL/EPIDID/TESTIS ABSC$ 4,985.00 REP FING EXT TENDON$ 5,001.00 SO CADASIL(NOTCH3)$ 5,004.00 81406 INTRAVENT AND/OR INTRA-ATRIAL$ 5,004.28 93609 COMP EP EVAL W/LT ARTIAL PACIN$ 5,005.00 93621 COMP EP EVAL W/LT VENT PACING$ 5,005.00 93622 PROGRAMMED STIMULATION & PACIN $ 5,005.00 93623 INTRACARDIAC EP 3 D MAPPING$ 5,005.00 93613 NAIL RECONST TI 1843-1340S$ 5,007.00 C1713 STENT WLGORE VBC070502$ 5,017.00 STABILIZER TIBIAL INSERT$ 5,036.00 C1776 ARANESP 500MCG/ML$ 5,040.00 J0881 COMPONENT KNEE FEMUR PKR$ 5,047.00 C1776 FEMORAL COMPONENT TRIATHLON$ 5,047.00 C1713 FEMORAL COMP TRIATHLON$ 5,047.00 C1713 HIP STEM CEMENTED ACCOLADE$ 5,052.00 C1776 IXEMPRA 45MG VIAL$ 5,054.00 J9207 RADIAL HEAD 8MM MORSE TAPER L$ 5,072.00 C1776 PTA TIBIAL-PERONEAL ADDITIONAL$ 5,079.00 37232 KCENTRA 1000 UNIT VIAL$ 5,088.00 C9132 LEAD KIT PERM 1X8 STANDARD$ 5,090.00 C1778 FEMORAL POST STABIL SZ 1$ 5,090.00 C1713 GAMMA NAIL TI R 011X360MMX125$ 5,095.00 C1713 NAIL GANNA LONG 11 X 380$ 5,095.00 C1713 NAIL LONG KIT GAMMA 3325-0340S$ 5,095.00 C1713 STENT GRAFTMASTER 2.8 X 16$ 5,100.00 C1874 STENT GRAFTMASTER 2.8 X 19$ 5,100.00 C1874 XGEVA 120MG/1.7ML$ 5,100.00 J0897 PLATE DISTAL LATERAL FEMUR$ 5,108.00 C1713 PLATE DISTEL FEMUR AXSOS 6HOLE$ 5,108.00 C1713 BALLOON PTA DRUG 6MM X 220MM$ 5,110.00 BALLOON PTA DRUG 4MM X 220MM$ 5,110.00 BALLOON PTA DRUG 5MM X 220$ 5,110.00 STENT LIFESTRM COV 8X37X135$ 5,110.00 C1874 STENT LIFESTRM COV 9X38X135$ 5,110.00 C1874 STENT LIFESTRM COV 10X38X135$ 5,110.00 C1874 STENT, COV 5MMX26MM 135CM SHT$ 5,110.00 C1874 STENT,COV 5MM X 37MM 136 SHFT$ 5,110.00 C1874 STENT, COV 6MM X 26MM 136CM SH$ 5,110.00 C1874 STENT, COV 6MM X 37MM 135 SFT$ 5,110.00 C1874 STENT, COV 7MM X 27MM 135 SFT$ 5,110.00 C1874 STENT, COV 7MM X 37MM 135CM SF$ 5,110.00 C1874 STENT, COV 8MM X 28MM 135CM SF$ 5,110.00 C1874 STENT,COV 12MM X 38MM 135CM SF$ 5,110.00 C1874 NAIL RECON T2 9X340$ 5,122.00 PEG EXT CAGE 10MM$ 5,123.00 C1713 PLATE REV SLD POST AUG GLENOID$ 5,123.00 C1713 STEM RADIAL CURVED 9MM$ 5,126.00 C1713 RADIAL HEAD 24 MM$ 5,126.00 C1713 STENT ESOPH WALL 23 X 10$ 5,130.00 C1874 STENT WALLFLEX ESOPH 23 X 125$ 5,130.00 C1874 NAIL KIT TROCHANTERIC TI GAMMA$ 5,160.00 C1713 RETAINING FEMORAL CRUCIAT TRIA$ 5,165.00 C1713 HUMERAL ADAPTER TRAY$ 5,171.00 TRIATHLON UNIV TIBIAL BASEPLAT$ 5,180.00 C1776 BASEPLATE TIBIAL TRI UNI$ 5,180.00 C1713 PLATE, TIBIAL BASE TRIATHLON$ 5,180.00 C1713 TRIATHLON TOT STAB TIBIAL INSE$ 5,186.00 C1776 ARANESP 300MCG$ 5,190.00 J0881 NAIL HUMERAL PROX LONG RT 08 X$ 5,198.00 C1713 NAIL LONG PROXIMAL HUMERAL$ 5,198.00 C1713 NAIL PROXMIA HUMERUS LONG RT 2$ 5,198.00 C1713 OMNIFIT CEMENT HIP STEM$ 5,202.00 C1776 FEMORAL STAB POST TRIA 5515-F$ 5,214.00 C1713 FEMORAL STAB POST TRIA SZ 6$ 5,214.00 C1713 FEMORAL STAB POST TRIA SZ 7$ 5,214.00 C1713 FEMORAL STAB POST TRIA SZ 3$ 5,214.00 C1713 COMPONENT PROX FINGER IMPLANT$ 5,214.00 L8630 HEAD COCR 44MM X 16MM$ 5,221.00 C1776 NAIL GAMMA LONG 3225-0420S$ 5,226.00 C1713 LEAD KIT MEDTRONIC$ 5,243.00 C1778 LEAD KIT #3776-60$ 5,243.00 C1778 CHARGING SYSTEM #37752$ 5,243.00 PTC INJ CHOLANGIO$ 5,244.00 47532 CHOLANGIO PERC SUPER$ 5,244.00 47532 DRAIN CATH PLACE/SPV$ 5,244.00 47534 DRAIN PERC BILARY/SP$ 5,244.00 47533 TRAY KYPHOPAK EXPRESS KPE1004$ 5,253.00 NAIL SUPRACONDYLAR 14X320$ 5,256.00 C1713 STENT ESOPH WALLFLEX 23 X 10$ 5,260.00 C1874 STENT WALLFLEX ESOPHAGEAL 18X1$ 5,260.00 C1874 T2 RECON NAIL 9 X 340$ 5,276.00 C1713 BILAYER MATRIX WND PER SQ CM$ 5,296.00 Q4108 STENT LIFESTM COV 8X58X135$ 5,300.00 C1874 STENT, LIFESTRM COV 9X58X135$ 5,300.00 C1874 STENT, COV 6MM X 58MM 135 SFT$ 5,300.00 C1874 STENT, COV 7MM X 58MM 136CM SF$ 5,300.00 C1874 STENT, COV 10MM X 38MM 135CM$ 5,300.00 C1874 STENT, COV 12MM X 58MM 136CM S$ 5,300.00 C1874 PLATE FEMUR HOOK 12H$ 5,306.00 C1713 GRAFT ARTHROFLEX 40 X 70$ 5,310.00 Q4122 PN-004 075$ 5,310.00 C2630 PACEMAKR,SING.LD REM$ 5,320.00 33234 PACEMAKR, DUAL LD REM$ 5,320.00 33235 COMP FEM TRIATHLON CR$ 5,320.00 C1776 TRIATHLON CR FEM COMP$ 5,320.00 C1776 FEM CR TRITHLON COMP$ 5,320.00 C1713 TRIATHLON CR FEM COMP$ 5,320.00 C1776 FEMUR KNEE CR TRIATH$ 5,320.00 C1776 FEMUR KNEE CR TRATH$ 5,320.00 C1713 TRIATHLON CRU RETAIN FEM #7$ 5,320.00 C1776 TRIATHLON CRUCIATE RETAIN FEMO$ 5,320.00 C1776 TRIATHLON CRUC RETAIN FEMORAL$ 5,320.00 C1776 TRIATHLON CR RET FEMORAL$ 5,320.00 C1776 FEMORAL RETAINING CRUCIATE TI$ 5,320.00 C1713 FEMORAL RETAIN CRUCIATE TRIATH$ 5,320.00 C1713 FEMORAL CRUT RETAIN TRIA$ 5,320.00 C1713 FEMORAL RETAIN CRUCIATE TRIA$ 5,320.00 C1713 NAIL GAMMA 300MM LONG$ 5,334.00 C1713 NAIL GAMMA RT 10 X 320 X 125$ 5,334.00 C1713 R/H/MALLORY/HEAD MODULAR$ 5,344.00 C1713 STENT ENDO BIOACTIVE 7FR$ 5,346.00 C1727 STENT ENDO 7FR 6MMX2.5CM$ 5,346.00 C1727 OMNIFIT EON 132$ 5,359.00 C1776 HIP STEM OMNIFIT CEMENTED$ 5,359.00 C1776 TRIATHLON FEMUR KNEE PS #3$ 5,371.00 C1776 FEMORAL CRUT RETAIN TI$ 5,371.00 C1713 FEMORAL STABILIZED POST TRIA$ 5,371.00 C1713 PS FEMUR SIZE 4$ 5,371.00 C1776 FEMORAL STAB TRIA 5515-F-501$ 5,371.00 C1713 INSERT ARM PORT 5YR$ 5,374.00 36571 TRIATH TK TIBIAL BASEPLATE SZ7$ 5,374.00 C1776 PLATE KNEE TIBIAL BASE LGE-2$ 5,374.00 C1713 INSERT TIBIAL STBLZR SZ 4 22MM$ 5,381.00 C1713 ANOSCOPY W/POLYPECTOMY$ 5,385.00 STENT WALLFLEX ESOPH 23 X 120$ 5,388.00 C1874 SO TARG GENOMIC SEQ ANA$ 5,400.00 81450 TREANDA 180MG/2ML$ 5,400.00 J9033 PRAXBIND 2.5GM/50ML VIAL$ 5,400.00 PERCSTNT REN PLVS LT$ 5,404.00 50695 PERCSTNT REN PLVS RT$ 5,404.00 50695 REMOVAL FIXATION DEVICE, DEEP$ 5,407.00 20680 TSA HUMKERAL STEM SZ 15$ 5,422.00 C1776 EXC LES MUCO/SUB VST MTH W/O$ 5,434.23 40810 EXC LES PALAT UVUL W/O CLOSURE$ 5,434.23 42104 SIALOLITHOTOMY SUBMANDIU UNCOM$ 5,434.23 42330 SIALOLITHOTOMY SUBMANDIBU COMP $ 5,434.23 42335 EXC/DEST PHARYNX LES ANY METH$ 5,434.23 42808 ADENOOIDECTOMY PRIMARY <12YRS$ 5,434.23 42830 TYMPANIC MEMBRANE REPAIR$ 5,434.23 69610 STRAIGHT CEMENTED STEM$ 5,458.00 C1776 STENT FTL06080$ 5,459.00 C1727 RIGHT VENTRICULAR RECORDING$ 5,460.00 93603 STENT, I-CAST 8 X 38 X 120 CM$ 5,460.00 C1874 STENT, I-CAST 9 X 38 X 120 CM$ 5,460.00 C1874 STENT, I-CAST 10 X 38 X 120 CM$ 5,460.00 C1874 CTA HEAD 52 X 21 130752021$ 5,463.00 C1776 CTA HEAD 48 X 21 130748021$ 5,463.00 C1776 OXFORD KNEE SYS TWIN PEG FEMOR$ 5,478.00 C1713 OXFORD PART KNEE SYS SMALL$ 5,478.00 C1776 STENT WALLFELX COLONIC W/ANCH$ 5,481.00 C1876 KATALYST RADIAL STEM/SHAFT$ 5,492.00 C1776 KATALYST RADIAL HEAD ASSEMBLY$ 5,492.00 C1776 ELITEK 7.5 MG VIAL$ 5,497.00 J2783 SHAFT FLEX 5.0 MM 352.040$ 5,504.00 C1713 RESTORATION ADM ACETULAR CUP$ 5,504.00 C1776 HEAD COCR 42MM$ 5,506.00 C1776 GLENOSPHERE$ 5,517.00 ACETABULAR INSERT$ 5,536.00 C1776 BRUSH BIOPSY/URETER$ 5,538.00 52007 T2 ANKLE NAIL 11X200$ 5,542.00 C1713 ACTIVASE 50MG VIAL$ 5,542.00 J2997 IVC FILTER PLACEMENT$ 5,548.00 37191 STEM CEMENTED HIP 132$ 5,552.00 C1776 STEM HIP CEMENTED 132$ 5,552.00 C1776 STEM HIP CEMENTED 6058-0537D$ 5,552.00 C1776 NAIL KIT GAMMA LONG$ 5,572.00 C1713 NAIL LONG KIT GAMMA$ 5,572.00 C1713 NAIL KIT LONG GAMMA 3 SYS$ 5,572.00 C1713 NAIL LONG KIT GAMMA 3 SYSTEM$ 5,572.00 C1713 NAIL LONG KIT GAMMA 3 SYS$ 5,572.00 C1713 NAIL LING KIT TI GAMMA 3 SYS$ 5,584.00 C1713 NAIL GAMMA LONG TI 3 SYSTEM$ 5,584.00 C1713 NAIL GAMMA LONG LEFT$ 5,584.00 C1713 RINGLOC LTD SHL SIZE 50$ 5,586.00 C1776 MESH STRATTICE 6 X 16$ 5,590.00 C1781 FEMUR KNEE PS TRIATH #6$ 5,592.00 C1776 POST STAB FEMORAL SIZE 8$ 5,592.00 C1713 FEMORAL PROSTHESIS STAB SIZE 2$ 5,592.00 C1776 POST STAB FEMORAL SIZE 1$ 5,592.00 C1776 FEMORAL POST. STAB. SIZE 2$ 5,592.00 C1713 HEAD FEMORAL CERAMIC V40$ 5,598.00 C1776 FEMORAL HEAD 6570-0-136$ 5,598.00 C1776 NAIL TICAN TFNA 11 X 380 X 130$ 5,621.00 C1713 STENT ICAST ATRIUM 6 X 38 X 80$ 5,624.00 C1874 STENT ICAST ATRIUM 8 X 38 X 80$ 5,624.00 C1874 PRALATREXATE 20MG/ML VIAL$ 5,625.00 J9307 KNEE FEMORAL OXFORD PARTIAL MD$ 5,643.00 C1776 KNEE FEMORAL OXFORD PARTIAL SM$ 5,643.00 C1776 KNEE FEMORAL OXFORD PARITIAL L$ 5,643.00 C1776 MOD HIP SYSTEM 155MM X 20MM$ 5,644.00 C1776 BVL ATTAIN STARFIX LD MEDTRONI$ 5,645.00 C1900 MODULAR HIP SYSTEM RESTORATION$ 5,664.00 C1776 MODULAR HIP SYSTEM 6276-7-017$ 5,664.00 C1776 MODULAR HIP SYSTEM 6276-7-014$ 5,664.00 MODULAR HIP SYSTEM 6276-7-015$ 5,664.00 MODULAR HIP SYSTEM 6276-7-016$ 5,664.00 MOD HIP SYS 155MM X 18MM$ 5,664.00 C1776 STENT COLON 10FR 25 X 120$ 5,665.00 C1876 STENT TRACHEOBRONCHIAL ULTRAFL$ 5,668.00 C1874 STENT TRACHEOBRONCHIAL ULTRAFL$ 5,668.00 C1874 MESH PHASIX$ 5,670.00 C1781 SHELL HEMISPERICA TRIDEN TI 60$ 5,689.00 C1776 HEMISPHERICAL SHELF$ 5,689.00 PRESS REG BALLOON 72400024$ 5,690.00 C1815 MESH BILAYER WND 2 X 2$ 5,692.00 Q4104 CURVED VERT BALL SYS 11G X 15M$ 5,710.00 FEMORAL HEAD 6570-0-232$ 5,714.00 C1776 DRESSING OASIS 7X20CM MESHED$ 5,730.00 AORTOGRAP, THORACIC SERIAL S&I$ 5,739.00 75605 ANGIOGRAPHY SPINAL SELECTI S&I$ 5,739.00 75705 NAIL SUPRACONDYLAR$ 5,746.00 C1713 BASEPLATE TTL KNEE SZ4 REV$ 5,747.00 SCREW 240 ROD & SCHANZ KIT$ 5,749.00 C1713 STABILIZER TIBIAL INSERT TOTAL$ 5,796.00 C1776 OMNIFIT HEAD/NECK HIP STEM$ 5,799.00 C1776 OMNIFIT HIP STEM HEAD/NECK$ 5,799.00 C1713 HIP STEM HEAD/NECK$ 5,799.00 C1776 STEM HIP HEAD/NECK 6050-0935$ 5,799.00 C1776 INSERT STABILIZER TIBIAL$ 5,806.00 C1776 STRYKER VERTEBRAL BALLOON TRAY$ 5,810.00 INSERTION PERITONEAL CATH PERM$ 5,816.00 49421 INFER VENCAV GRM S&I$ 5,838.00 75825 TISSUE MEND SKIN SUB$ 5,853.00 Q4100 STENT, I-CAST 8 X 59 X 120 CM$ 5,860.00 C1874 STENT, I-CAST 9 X 59 X 120 CM$ 5,860.00 C1874 INT REP S/T/ETC >30C$ 5,861.00 PTC INJ W/T-TUBE$ 5,871.00 47531 CHOLANGIO POSTOP SPV$ 5,871.00 47531 BILARY ENDO PERCUT$ 5,871.00 47552 CHOLANGIOGRAM T-TUBE$ 5,871.00 47531 CHOLANGIOGRAM T-TUBE$ 5,871.00 47531 INSERT PLEURAL CATHETER$ 5,873.00 32550 INSERT TUN INTRAPERITONEAL CAT$ 5,873.00 49418 320-02-038 EXACTECH$ 5,882.00 C1776 EXTENSION PIECE 50MM$ 5,884.00 C1776 5568-0007$ 5,887.00 C1776 TIBIAL ROTATING COMPONENT$ 5,889.00 C1776 STENT SUPERA PERIPHERAL SYSTEM$ 5,900.00 C1876 MESH ABSORB PHASIX 4 X 6$ 5,910.00 PURAPLY 5 X 5$ 5,910.00 Q4172 PULMONARY ANGIO LEFT$ 5,977.00 75741 VIABAHN STENT$ 5,977.00 RENAL RENIN SAMPLING$ 5,977.00 75893 R/H MALLORY/HEAD MODULAR$ 6,005.00 C1713 OASIS ACELLULR APPLY 1ST 100 S$ 6,026.00 15273 15273 STENT ICAST ATRIUM 6 X 59 X 80$ 6,036.00 C1874 STENT ICAST ATRIUM 8 X 59 X 80$ 6,036.00 C1874 CT RFA LIVER TUMOR$ 6,042.00 CT RFA KIDNEY TUMOR$ 6,042.00 CT RFA LUNG TUMOR$ 6,042.00 ACETABULAR CUP ANA DUL MOBILIT$ 6,052.00 C1776 VECTIBIX 400MG/20ML VIAL$ 6,069.80 J9303 BONE GRAFT SYNTHETIC$ 6,075.00 C1763 NORIAN SRS BONE VOID FILLER$ 6,088.00 C1713 THORACIC AORTA ANGIO$ 6,105.00 36221 UNI COMM CAROTID ANGIO/EXTRACR$ 6,105.00 36222 UNI COM CAROTID ANGIO/INTRACRA$ 6,105.00 36223 UNI SUBCLAVIN ANGIO$ 6,105.00 36225 SHOULDER SYSTEM/COMPREHENSIVE$ 6,110.00 C1776 KATALYST RADIAL STEM/SHAFT$ 6,120.00 C1776 KATALYST HEAD 21 MM$ 6,120.00 C1776 TRANSCATH RETRIV F.B$ 6,127.00 37197 TRANSCATH RET.FB INT$ 6,127.00 37197 REMOV ENDOVAS VENA CAVA FILTER$ 6,127.00 37193 RINGLOC CONSTRAINED LINER 36MM$ 6,132.00 C1776 REMOVAL ICD GENERATO$ 6,179.00 33241 REPAIR ICDL SINGLE$ 6,179.00 33218 REPAIR ICD LEAD DUAL CHAMBER$ 6,179.00 33220 POWERLINK SYS 20-13-70FL$ 6,180.00 C1874 NAIL, GAMMA LONG KIT TI$ 6,193.00 C1713 GRAFTJACKET PER 1 SQ CM$ 6,210.00 Q4107 XPANSION SKIN GRAFT FIRST 100S$ 6,218.00 15100 XPANSION SKIN GRAFT 1ST 100SQ,$ 6,218.00 15120 DEBRIDEMENT SKIN/SUB/MUS/BONE$ 6,223.00 11012 HYDROSET CEMENT 10CC$ 6,232.00 C1713 GLENOSPHERE 38 MM$ 6,238.00 C1776 EXC BREAST LES-OPEN EA ADDL LE$ 6,246.00 19126 BX BREAST OPEN$ 6,246.00 19101 EXCIS CYST FIBROID 1 OR MORE L$ 6,246.00 19120 EXCIS BREAST OPEN SNGL LESION$ 6,246.00 19125 PARTIAL MASTECTOMY$ 6,246.00 19301 INSERT VADEVIC PORT$ 6,255.00 36561 INSERT GROSHONG PORT$ 6,255.00 36561 POWERLINK SYS W/INTUITRACK$ 6,283.00 C1874 NAIL ANKLE ARTHRODESIS$ 6,294.00 C1713 MODULAR HIP SYSTEM 6276-7-215$ 6,294.00 C1776 STENT VIABAHN 8F 8X2.5X120$ 6,300.00 C1874 CATH PERIPH OCELOT 6F 110 CM$ 6,300.00 C1751 CATH PERIPH OCELOT 5 FR 135 CM$ 6,300.00 C1751 CATH ATHERECTOMY PANTHERIS 8 F$ 6,300.00 C1714 CATH ATHERECTOMY PANTHERIS 7 F$ 6,300.00 C1714 CATH PERIPH OCELON 6F 110 CM O$ 6,300.00 C1751 ARTHRE DEV PANTH 7 FR$ 6,300.00 C1714 LIMB EXTENSION RIGHT$ 6,300.00 C1875 KNEE TIBIAL BASEPLATE$ 6,304.00 C1776 SPACER SHOULDER TEMP W/CEMENT$ 6,310.00 C1713 MODULAR HIP SYSTEM 120$ 6,312.00 C1776 M2A MAGNUM PF CUP US157852$ 6,321.00 C1776 MAGNUM o2A PF CUP$ 6,321.00 C1713 MAGNUM o2A PF CUP$ 6,321.00 C1713 M2A-MAGNUM PF CUP 56ODX501D$ 6,321.00 C1776 MAGNUM PF CUP M2A 58 MM X 52MM$ 6,321.00 C1713 GAMMA NAIL LONG$ 6,356.00 C1713 NAIL LONG GAMMA 3425.0380S$ 6,356.00 C1713 NAIL GAMMA LONG KIT 10X400MM$ 6,356.00 C1713 SCREW CANCELLOUS 6.0 X8.5 MM$ 6,357.00 50694 RMVL PERM LDLS PM$ 6,408.00 33275 AVON PATELLO FEMORA PROSTHESIS$ 6,430.00 C1776 FEMORAL COMPONENT WICHITA$ 6,432.00 C1776 SCREW DISTAL RADIUS FIX 220M$ 6,445.00 C1713 CORONARY & GRAFTS ONLY$ 6,451.00 93455 LINER TRIDENT CONSTRAINED 22 M$ 6,486.00 C1713 TRANSCATH PLACE STE EA ADD ART$ 6,494.00 37237 STENT VIABAHN 7F 6X10X120$ 6,500.00 C1876 STENT VIABAHN 9F 9X5X120$ 6,500.00 C1876 MILD LUMBAR DECOMP KIT$ 6,500.00 POWERLINK ENDOGRAFT 28X95X28$ 6,500.00 C1874 ORGAN PROCUREMENT - KIDNEY$ 6,500.00 53899 TENDON PATELLAR MACHINED 11MM$ 6,510.00 C1762 TIBIAL BEARING INSERT$ 6,534.00 C1776 RADIAL HEAD SM 11 MM$ 6,535.00 C1713 LUPRON DEPOT 11.25 MG SYRINGE$ 6,567.30 J1950 HEAD LEFT 22MM$ 6,580.00 C1713 LEAD SNS #3093$ 6,582.00 C1897 MINI IGNITE POWER MIX 20CC 876$ 6,600.00 C1713 KADCYLA 160MG VIAL$ 6,607.31 J9354 MAKO PATELLOFEMORAL COM SZ5$ 6,637.00 C1776 MESH HERNIA BIOABSORB 20 X 20$ 6,638.00 INTERSPACE KNEE #SPK0121$ 6,665.00 C1713 HEMISHPERICAL SHELL 509-02-56E$ 6,667.00 C1776 SHELL TI HEMSPERICAL 54 MM$ 6,667.00 C1776 PERMACOL MESH 10 X 15 X 1.5$ 6,679.00 C9364 CATH CUTR TURBOHAWK 6FR$ 6,700.00 C1724 CATHETER ATHERECTOMY SC$ 6,710.00 C1724 CATHETER ATHERECTOMY XC$ 6,710.00 C1724 CATH ATHERECTOMY JETSTREAM 1.8$ 6,710.00 C1724 CATH ATHEREC JETSTREAM 2.4/3.4$ 6,710.00 C1724 INS CATH REN ART 2ND+ UNILAT$ 6,748.00 36253 NAIL GAMMA 3 LONG 10 X 380 X 1$ 6,780.00 C1713 NAIL GAMMA 3S 10 X 360 X 125$ 6,780.00 C1713 NAIL GAMMA 10 X 400 X 125$ 6,780.00 C1713 NAIL KIT LG GAMMA 3 10X320X125$ 6,780.00 C1776 INSERT ART RT SZ3-4 15MM AP48M$ 6,810.00 C1713 Organ Procurement - Liver$ 6,825.00 47399 BVL ATTIN LV LED4193$ 6,830.00 C1900 STEM HEAD/NECK HIP SZ 9 X160MM$ 6,848.00 C1713 ARTERIOGRM,RENAL RT$ 6,869.00 36251 ARTERIOGRM, RENAL LT$ 6,869.00 36251 AORTAGRAM, ARCH$ 6,869.00 75600 PULMONARY,ANGIO/BIL$ 6,869.00 75743 VENOGRAPHY,RENAL BIL$ 6,869.00 75833 LEAD INTERSTIM 3889 SNS 33 CM$ 6,880.00 C1778 LIMB EXTENSION$ 6,900.00 C1875 LIMB EXTENSION ENDOLOGIX$ 6,900.00 C1875 KIT SUBCHONDROPLASTY KNEE$ 6,900.00 C1776 BAND LAP APS SMALL$ 6,901.00 BAND LAP APL LARGE$ 6,901.00 CUP HIP TRIDENT 58MM$ 6,922.00 C1776 SYS PACEMAKER ADAPTA SNGL CHMB$ 6,940.00 C1786 TR-H240R-S$ 6,954.00 C1713 BILAYER MATRIX 10X25CM$ 6,960.00 Q4104 CONICAL DISTAL STEM$ 6,978.00 C1776 HUMERAL COMPONENT 14MM$ 6,981.00 C1776 STEM SHOULDER HUMERAL SOLAR$ 6,981.00 C1776 HUMERAL STEM 10MM$ 6,981.00 C1776 HUMERAL COMPONENT SOLAR$ 6,981.00 C1776 SOLAR SHOULDER HUMERAL$ 6,981.00 C1776 HUMERAL STEM 12MM R5351-4512$ 6,984.00 C1776 REUNION HA FX STEM HUMBERAL CO$ 6,984.00 C1776 REUNION HUMERAL COMPONENT R535$ 6,984.00 C1776 HUMERAL REUNION COMPONENT$ 6,986.00 C1776 LUPRON DEPOT 30 MG$ 7,002.81 J9217 HUMERAL HEAD 8 X 133$ 7,036.00 C1776 CATH PREDATOR 1.25$ 7,100.00 C1724 CATH PREDATOR 1.50$ 7,100.00 C1724 CATH SOLID ATHER 2.00 DIAMONDB$ 7,100.00 C1724 CATH MICRO ATHER 1.25 DIAMONDB$ 7,100.00 C1724 CATH CLASSIC ATHER 1.5 DIAMOND$ 7,100.00 C1724 CATH CLASSIC ATHER 2.0 DIAMOND$ 7,100.00 C1724 HUMERLA STEM 12MM 1137-12-050$ 7,132.00 C1713 REPR INITIAL INGUIN HERNIA 5>$ 7,156.85 REPR RECURRENT INGUIN HERNIA$ 7,156.85 RESTORATION ADM ACETA CUP$ 7,166.00 C1776 TYSABRI 300MG/15ML V$ 7,174.00 J2323 STEM SHLDR HUMERAL REUNION FX$ 7,194.00 C1776 HUMERAL STEM REUNION #9 STRYKE$ 7,194.00 C1776 REUNION HUMERAL COMP$ 7,194.00 C1776 PLMT URETERAL STENT PRQ$ 7,221.00 50694 PLMT URETERAL STENT PRQ$ 7,221.00 50693 THROMBOECTOMY MECH VENOUS$ 7,226.00 37187 HERCEPTIN 10 MG VIAL$ 7,226.00 J9355 STENT TIBIAL-PERONEAL ADDITION$ 7,255.00 37234 SILVERHAWK PERI CATH$ 7,270.00 PERJETA 420MG VIAL$ 7,286.68 J9306 CATH ATHRECTOMY TURBO HAWK$ 7,310.00 C1714 TOTAL KNEE SYSTEM N2VAC$ 7,310.00 POWERLINK SYS 25-25-115RL$ 7,313.00 C1874 POWERLINK SYS 28-28-115RL$ 7,313.00 C1874 HUMERAL STEM TI 10/125MM$ 7,339.00 C1713 GRAFTJACKET 86UM-4X07$ 7,365.00 Q4107 RESTORATION ADM CUP WITH HA LT$ 7,381.00 C1776 IMPLANT PONTO BHX 3MM$ 7,416.00 L8690 IMPLANT PONTO BHX 4 MM$ 7,416.00 L8690 STEM HIP ANGLE NECK$ 7,420.00 C1776 RADIAL HEAD 22.OMM ANATOMIC$ 7,420.00 C1776 STRAIGHT FLUTED PRESS-FIT STEM$ 7,426.00 C1776 STENT VIABAHN 5 X 15$ 7,430.00 C1874 STENT 9 X 10 MM$ 7,450.00 C1874 ARTERIOGRM,RENAL BIL$ 7,472.00 36252 HEART CATH, RT$ 7,500.00 93451 CORONARY ANGIOGRAM$ 7,500.00 93454 LT HEART W/LV GRAM ONLY$ 7,500.00 93452 RT & LT HEART W/LV GRAM ONLY$ 7,500.00 93453 STENT VIABAHN 6 X 15$ 7,500.00 C1874 PROXIMAL EXTENTSION ENDOLOGIX$ 7,500.00 C1874 GRAFT PROXIMAL EXTENSION$ 7,500.00 C1874 COMP EP EVAL W/RT ATRIAL PACIN$ 7,507.00 93619 TENECTEPLAS 50MG INJ$ 7,514.00 J3101 5569-92012$ 7,569.00 C1776 5569-P-2014$ 7,569.00 C1776 5569-P-2009$ 7,569.00 C1776 STEM MODUL HUMERAL 5569-P-2010$ 7,569.00 C1776 STEM MOD HUMERAL SZ 13$ 7,569.00 C1776 STEM MOD HUMERAL SZ 11$ 7,569.00 C1776 HUMERAL STEM MODULAR SIZE 8$ 7,569.00 C1776 EGD W/BIO,DILAT & POLYP$ 7,577.00 HUMERAL STEM ARTHREX UNIVERS$ 7,606.00 C1776 INTERSPACE SHLD KIT SPS0021K$ 7,646.00 C1776 MESH WOUND MATRIX 4 X 5 THIN$ 7,650.00 Q4104 MODULAR CENTERED EPIPHYSIS$ 7,693.00 C1776 EPIPHYSIS CEMENTLESS MOD SZ 1$ 7,693.00 C1776 EPIPHYS MODULAR SIZE 1$ 7,693.00 C1776 GAZYVA 1000MG/40ML VIAL$ 7,697.63 J9301 ALLOGRAFT DERMIS DECELL 40X70$ 7,699.00 Q4122 PTA, FEM POP$ 7,702.00 37224 TRAY KYPHOPAK EXPRESS KPE1003$ 7,725.00 S.T. CUFF WITH IZ 72404130$ 7,732.00 NEULASTA ONPRO 6 MG$ 7,734.00 J2505 THROMBOLYSIS INFUSON$ 7,751.00 37211 THROMBOLYTIC ART THERAPY$ 7,751.00 37211 BONE FILLER HYDROSET 15CC$ 7,762.00 C9359 ARTHOFLEX TENDON GRAFT 50x90MM $ 7,762.00 Q4125 MODULAR HIP SYS REST 23 MM$ 7,782.00 C1776 MODULAR HIP SYSTEM 6276-1-021$ 7,782.00 C1776 MODULAR HIP SYSTEM 6276-1-019$ 7,782.00 C1776 MOD HIP SYS 21MM$ 7,782.00 C1776 STEM HUMER PRESS-FIT 12/130$ 7,785.00 C1776 IMPLANT KNEE TTL SYS LESS REV$ 7,792.00 PROCESSOR PONTO RT BLK$ 7,802.00 L8690 KIT KNEE SUBCHONDROPLASTY$ 7,860.00 C1713 HIP STEM NEUT 130 NECK ANG SZ5$ 7,881.00 C1776 CATH CLASSIC CORONARY DIAMONDB$ 7,900.00 C1724 FEMORAL PROSTHESIS$ 7,910.00 C1776 INSRT PM PULSE GEN SNGL LEAD$ 7,960.00 33212 HIP STEM RESTORATION S-2652-09$ 8,015.00 C1776 STEM HUMER MONOBLOCK 1 X 14$ 8,038.00 C1776 STEM SZ2 - 14$ 8,038.00 C1776 HUMERAL STEM 1 X 8 130708100$ 8,040.00 C1776 TRAY KYPHOPAK EXPRESS KPE1001$ 8,045.00 PACLITAXEL 1MG (300 MG VIAL)$ 8,062.00 J9267 STEM HIP ANGLE$ 8,084.00 EXTENSION AORTIC AFX$ 8,090.00 C1874 PTA, ILIAC$ 8,093.00 37220 IMPLANT HIP TTL SYS LESS REV$ 8,138.00 OCTREOTIDE 30MG IM$ 8,184.00 J2353 HEART CATH, LT$ 8,200.00 93458 HEART CATH, GRAFT$ 8,200.00 93459 HEART CATH, RT & LT$ 8,200.00 93460 RT HEART W/CORONARY ONLY$ 8,200.00 93456 RT HEART W/CORO& GRAFTS ONLY$ 8,200.00 93457 RT & LT HEART /LV/CORO & GRAFT$ 8,200.00 93461 MODULAR HIP SYSTEM 325$ 8,221.00 C1776 MODULAR HIP SYSTEM 327$ 8,221.00 C1776 STEM PRIM STD LEN SHLD 6 X 122$ 8,222.00 C1776 STEM PRIM STD LEN SHLD 7 X 122$ 8,222.00 C1776 IPG A3JRO1 ADVISA SR MRI$ 8,226.00 C1786 ICD LEAD SPRINT DF4 SC 55CM$ 8,250.00 C1777 RITUXAN 500MG VL 50M$ 8,256.00 J9310 HUMERAL STEM 8/120MM$ 8,268.00 C1776 STEM HIP 132 SECUR-FIX MAX 605$ 8,280.00 C1776 HUMERAL STEM 130710100$ 8,280.00 C1776 STEM SZ 1/DIA 12$ 8,280.00 C1776 STENT 9 X 15 CM$ 8,290.00 C1874 LEAD, ICD EMBLEM SQ$ 8,310.00 C1896 TOTAL KNEE IMPL SYS INPATIENT$ 8,310.00 CRYONEEDLE ICE-ROD PROSTATE$ 8,310.00 STEM NECK ANGLE HIP$ 8,317.00 PTA TIBIAL-PERONEAL ADD W/ARTH$ 8,343.00 37233 CALCITONIN SALMON INJ 400U/2ML$ 8,370.57 J0630 J0630 STEM HIP SECUR-FIT PLS MX$ 8,467.00 C1776 SERCU-FIT NECK ANGEL STEM$ 8,467.00 C1776 SECUR-FIT HIP STEM$ 8,467.00 C1776 SECUR-FIT HIP STEM$ 8,467.00 C1776 NECK ANGLE HIP STEM$ 8,467.00 C1713 STEM HIP SECURE-FIT MAX$ 8,467.00 C1776 SECUR-FIT HIP STEM$ 8,467.00 C1776 SECUR-FIT PLUX HIP STEM$ 8,467.00 C1776 SECUR-FIT PLUS MAX HIP STEM$ 8,467.00 C1776 SECUR-FIT NECK ANGLE HIP STEM$ 8,467.00 C1776 HIP STEM 127 NECK ANGLE$ 8,467.00 C1776 SECUR-FIT HIP STEM$ 8,467.00 C1776 REVEAL, CARDREC9526$ 8,510.00 C1764 REVEAL XT MONITOR 9529$ 8,510.00 C1764 REPAIR ARTERY-DIGIT$ 8,527.00 HIP STEM NECK ANGLE SIZE 2$ 8,557.00 C1713 NECK ANGLE HIP STEM SIZE 10$ 8,557.00 C1776 NECK ANGLE HIP STEM SIZE 11$ 8,557.00 C1776 ICD LEAD DEFIB BIPOLAR 7FR 65C$ 8,560.00 C1895 PROSTATE ICE-ROD CRYO-NEEDLE K$ 8,560.00 C2618 PROSTATE ICE-SEED CRYO-NEEDLE$ 8,560.00 C2618 6720-0937$ 8,618.00 C1776 5568-0010$ 8,638.00 C1776 5568-0009$ 8,638.00 C1776 5568-0008 STRYKER$ 8,638.00 C1776 HUMERAL STEM 12MM$ 8,638.00 C1713 KNEE FEMORAL COMPONENT LGE$ 8,652.00 C1776 6720-0635$ 8,678.00 C1776 6720-0230 STRYKER$ 8,678.00 C1776 6721-0435 STRYKER$ 8,678.00 C1776 NECK ANGLE HIP STEM SIZE 8$ 8,678.00 C1776 HIP STEM SIZE 1 ANGLE 132$ 8,678.00 C1776 NECK ANGLE HIP STEM SIZE 7$ 8,678.00 C1776 NECK ANGLE HIP STEM S 8$ 8,678.00 C1776 ANGLE HIP STEM SIZE 5$ 8,678.00 C1776 HIP STEM NEUTRAL NECK ANG SZ 6$ 8,678.00 C1776 HIP STEM$ 8,678.00 C1776 STEM HIP NECK ANGLE 127$ 8,678.00 C1776 NECK ANGLE HIP STEM SIZE 4$ 8,678.00 C1776 POWERLINK SYSTEM 34-34-100RLE$ 8,700.00 C1874 KNEE COMP KIT ZIMMER 414.503$ 8,700.00 C1776 IMPLANT KNEE PARTIAL UNI$ 8,710.00 C1776 STEM LONG 8 MM X 175 MM$ 8,725.00 C1713 EGD W/DILATATION/STENT$ 8,732.00 HUMERAL STEM 130712200$ 8,758.00 C1776 LUPRON 45MG INJECTION$ 8,783.00 J9217 IPG WIDRO AZURE XT DR MRI$ 8,960.00 C1785 PACEMAKER DUAL CHAMBER PM2240$ 8,976.00 C1785 THROMBECTOMY CELIAC/MESENT ART $ 8,997.00 34151 EMBOLECTOMY; RADIAL/ULNAR ARE$ 8,997.00 34111 COMPONENT KNEE LEGION LT$ 9,069.00 C1776 STEM SHOULDER MIN LENGTH$ 9,071.00 C1776 ICDL SPRTQ RV LD 6944$ 9,082.00 C1895 SHOULDER STANDARD/ENDO CAP$ 9,110.00 CRYAMZA 500MG/50ML VIAL$ 9,130.74 J9308 RESTORATION HIP STEM$ 9,131.00 C1776 PACEMKR,DUL CH.GN RP$ 9,132.00 SHOULDER STANDARD STEM 8 X 122$ 9,134.00 C1713 PTCA:MAJOR CORONARY OR BRANCH$ 9,237.00 92920 PTCA:EACH ADDITIONAL BRANCH$ 9,237.00 92921 STENT GRAFT END II CONTRAL SYS$ 9,260.00 C1874 MESH BILAYER WND 4 X 5$ 9,288.00 Q4104 GRAFT PROXIMAL EXTENSION$ 9,300.00 C1874 STENT GRAFT MAIN BODY$ 9,300.00 C1874 OPDIVO 240 MG$ 9,306.43 J9299 CATH CARD CRYOABLATION 23MM$ 9,310.00 C1733 CATH CARD CRYOABLATION 28MM$ 9,310.00 C1733 TV-IL141080-J ENDOLOGIX$ 9,310.00 BIOMET OXFORD UNI KNEE V001213$ 9,310.00 C1776 ICEROD I-THAW PROSTATE KIT/VL$ 9,310.00 CRYONEEDLE ICE-SEED PROS 17GA$ 9,310.00 C2618 NEULASTA 6MG/.6MLSYR$ 9,348.00 J2505 IMPLANT KNEE TOTAL$ 9,375.00 C1776 STRATTICE MESH 10X16 1016002$ 9,384.00 C1781 5568-0006 Stryker$ 9,395.00 C1776 STEM HUMERAL FRACTURE$ 9,395.00 C1776 PCKMR ASSURITY MRI SGL CHAMBER$ 9,415.00 C1786 ANATO HIP STEM SIZE 2$ 9,438.00 C1776 ANATO HIP STEM SIZE 3$ 9,438.00 C1776 SLING MALE VIRTUE$ 9,476.00 C1771 Rituxan Hycela- 1400 mg vial$ 9,485.45 C9467 TWIN PEG CEMENTED FEMORAL LARG$ 9,498.00 C1713 OXFORD PART KNEE SYSTEM$ 9,498.00 C1776 COMPREHESIVE SHOULDER SYS 14 X$ 9,500.00 C1776 STEM SHOULDER 9MM MINI$ 9,500.00 C1776 STENT EXCLUDER ENDO AAA 12 FR$ 9,556.00 STENT EXCLUDER PXC141400$ 9,556.00 POWERLINK SYS 34-34-120RLE$ 9,579.00 C1874 IMPLANT SHOULDER ENDO/TOTAL$ 9,710.00 GRAFT MENISCUS RT LATERAL$ 9,810.00 C9399 GRAFT MENISCUS LEFT MEDIAL$ 9,810.00 C1762 MESH BIO-A 20 X 30$ 9,828.00 C1781 STABILIZER FEMORAL RT TOTAL$ 9,831.00 C1776 STEM CEMENTED HIP 6058-0335D$ 9,840.00 C1776 STEM CEMENTED HIP 6058-4035D$ 9,840.00 C1776 MOD TAPERLOC FMRL 5X130MM 1032 $ 9,845.00 C1776 MOD TAPERLOC FMRL 6X132MM 1032 $ 9,845.00 C1776 MOD TAPERLOC FMRL 7.5X135MM 10$ 9,845.00 C1776 MOD TAPERLOC FMRL 9.0X137MM 10$ 9,845.00 C1776 MOD TAPERLOC FMRL 10X140MM 103 $ 9,845.00 C1776 MOD TAPERLOC FMRL 11X142MM 103 $ 9,845.00 C1776 MOD TAPERLOC FMRL 12.5X145MM 1$ 9,845.00 C1776 MOD TAPERLOC FMRL 13.5X147MM 1$ 9,845.00 C1776 MOD TAPERLOC FMRL 15 X150MM 10$ 9,845.00 C1776 MOD TAPERLOC FMRL 17.5X155MM 1$ 9,845.00 C1776 MOD TAPERLOC FMRL 20X160MM 103 $ 9,845.00 C1776 MOD TAPERLOC FMRL 25X170MM 103 $ 9,845.00 C1776 STEM TAPERLOCK POR EMRL 10X140$ 9,845.00 C1713 PACEMAKER ASSURITY MRI DUAL CH$ 9,866.00 C1785 Intro Cath Dialysis Cir w/angi$ 9,895.00 36902 Thrombec/NFS Dialysis Cir$ 9,895.00 36904 Transluminal Balloon Angio 1 a$ 9,895.00 IMPLANT HIP TOTAL$ 9,910.00 ADVANCED MALE SLING 7200-88-01$ 9,946.00 C1771 UNI INTER CAROTID ANGIO$ 9,984.00 36224 UNI VERTEBRAL ANGIO$ 9,984.00 36226 STEM SLD PRIM MIN 10MM X 83MM$ 10,006.00 C1776 PRIMARY MINI LENGTH SHLDR STEM$ 10,006.00 C1776 COMP SLD SYSTEM 11MM X 83 MM$ 10,006.00 C1776 EDURANT II STENT GRAFT SYSTEM$ 10,010.00 TOTAL ELB INTER ULNAR ASSEM SM$ 10,045.00 C1776 PCKL LEAD 6947M 55$ 10,068.00 C1895 STENT TIB-PERONEAL ADD W/ARTHE$ 10,157.00 37235 ENDURANT II STENT ETLW1628C93E$ 10,160.00 STENT GRT SYS CONT LIM END II$ 10,160.00 C1874 STENT GRAFT END II CONT SYSTEM$ 10,160.00 C1874 STENT GRAFT END II CONTRAL LIM$ 10,160.00 C1874 STEM HIP NECK ANGLE 6720-0435$ 10,199.00 C1776 REM PPG/REPL PPG; SNGLE LEAD S$ 10,243.00 33227 STENT GRAFT SYS ENDURANT$ 10,260.00 C1874 PONTO 3 POWER$ 10,310.00 L8690 EXC SUBMANDIBULAR GLAND$ 10,327.35 42440 TONSELECT&ADENOIDECTO <12YRS$ 10,327.35 42820 COMPONENT KNEE LEGION SIZE 5$ 10,346.00 C1776 STEM LONG HUMERAL FRACTURE$ 10,365.00 C1713 STEM SHOULDER MINI 7MM$ 10,366.00 C1776 PERC TRAN AORTIC VALVULOPLASTY$ 10,397.00 92986 TOTAL ELB INTER HUMER ASSEM SM$ 10,449.00 C1776 RENAL ICE-ROD CRYO-NEEDLE KIT$ 10,620.00 C2618 STEM SLD PRIMARY MINI 12 X 83M$ 10,668.00 C1776 STEM PRIM MINI SHLD 17X 83MM$ 10,668.00 C1776 REM PPG/REPL PPG;DUAL LEAD SYS$ 10,669.00 33228 CT RFA BONE TUMOR$ 10,708.00 20982 CT RENAL CRYOTHERAPY$ 10,716.00 50593 STEM HIP 132 SECUR-FIX MAX 605$ 10,749.00 C1776 STEM HIP 132 SECUR-FIX MAX 605$ 10,749.00 C1776 STEM HIP 132 SECUR-FIX MAX 605$ 10,749.00 C1776 STEM HIP 132 SECUR-FIX MAX 605$ 10,749.00 C1776 STEM HIP 132 SECUR-FIX MAX 605$ 10,749.00 C1776 STEM HIP 132 SECUR-FIX MAX 605$ 10,749.00 C1776 STEM HIP 132 SECUR-FIX MAX 605$ 10,749.00 C1776 YERVOY 50MG VIAL$ 10,750.74 J9228 ACTIVASE 1OOMG$ 10,759.00 J2997 CT LIVER CRYOTHERAPY ABLATION$ 10,790.00 47383 V STEM STUDY$ 10,834.00 93620 COMP EP EVAL INSERT/REPOST MUL$ 10,834.00 93620 SYS MONITOR REVEAL LINQSYS$ 10,900.00 C1764 PCK ASSURITY PM1240$ 10,923.00 C1786 TRANSHEP STENT INTRO$ 10,947.00 47534 TOTAL STAB FEM COMPONENT$ 10,967.00 C1776 PARTIAL MASTECTOMY W/AX LN REM$ 11,044.00 19302 RADICAL MOD MASTECTOMY$ 11,044.00 19307 PACEMAKER REVOMRI SURESCAN$ 11,070.00 C1785 PCKG ADAPTA DR$ 11,110.00 C1785 BILIARY ENDO W/DIL BIL ST W/ST$ 11,129.00 47556 IMPLANT HIP TOTAL ADM (SCMC)$ 11,310.00 INSRT/REP ELECTRD/PM PM CATH S$ 11,354.00 33210 OCTREOSCAN PER DOSE$ 11,359.00 A9572 PACEMAKER IPG ADDR01$ 11,392.00 C1785 FEMORAL COMPONENT DISTAL$ 11,447.00 C1776 FEMORAL COMPNOENT STABILIZER T$ 11,491.00 C1713 TOTAL SHOULDER CAPITATED$ 11,510.00 800 TM CONTROL PUMP WITH IZ 72$ 11,640.00 C1815 C1815 VNS LEAD 304-20$ 11,644.00 C1778 LEAD SPRINT QUATTRO RV/SVC$ 11,650.00 C1895 PACEMAKER SPRINT FIDELIS$ 11,650.00 VNS LEAD PERENNIADURA 303$ 11,654.00 C1778 PACEMAKER MRI ADVISA DR$ 12,042.00 C1785 SPHINCTER CUFF URETH 4.5 CM$ 12,074.00 C1815 C1815 TRANSCATH PLC STENT EA AD VEIN$ 12,130.00 37239 STABILIZER FEMORAL COMP$ 12,147.00 C1776 STEM HIP RESTORATION SIZE 10$ 12,158.00 C1776 PACER LD SING INSERT$ 12,268.00 33216 SO F-2 FOUNDATION ONE$ 12,342.00 81479 NOVOSEVEN 2.4 MG VI$ 12,424.00 J7189 MESH ABSORB PHASIX 6X10$ 12,470.00 C1781 PACEMAKER KAPPA DR$ 12,474.00 C1777 ELECTRODE STIM INSER$ 12,522.00 ENTYVIO 300MG$ 12,579.00 J3380 INSERT HEPATIC SHUNT (TIPS)$ 12,628.00 HIP STEM RESTORATION SZ 10$ 12,633.00 C1776 INTRACARDIAC CATHETER ABLATION$ 12,639.00 93650 PACER LEAD DUAL INST$ 12,664.00 33217 PM2272 ST JUDE$ 12,716.00 C2619 EP FOLLOW-UP STUDY W/PACING$ 12,747.00 93624 BUNDLE OF HIS RECORDING$ 12,747.00 93600 INTRA-ATRIAL RECORDING$ 12,747.00 93602 STIMULATOR IMPLANT SPF-XL$ 12,846.00 MODULAR REACH METAPHYSEAL$ 12,902.00 C1713 TRIATHLON TOT STAB FEMORAL COM$ 12,904.00 C1776 SOLARA QUAD CRTP MRI PACEMAKER$ 12,910.00 C2621 TECENTRIQ 1200MG VIA PER 10MG$ 12,937.00 J9022 PCKG ADAPTA SR MEDTR$ 12,991.00 C1786 PERMACOL MESH 15 X 20 X 1.5$ 13,038.00 C9364 STENT GRAFT SYSTEM, ENDURANT I$ 13,110.00 C1874 STENT GRAFT END II CONT LIMB S$ 13,110.00 C1874 PTCA W/STENT:MAJOR CORON OR BR$ 13,159.00 92928 PTCA W/STENT: EA ADD BRANCH$ 13,159.00 92929 PTCA W/ATHREC & STENT EA ADD B$ 13,159.00 92934 PTCA W/ATHRE/STENT/DIS PRO THR$ 13,159.00 92937 PTCA W/ATHR/STENT/DIS PRO EA A$ 13,159.00 92938 PTCA W/ATHRE/THROM/STENT DURIN$ 13,159.00 92941 PTCA W/ATHR/STENT OF CTO CORO$ 13,159.00 92943 PTCA W/ATHR/STENT CTO CORO EA$ 13,159.00 92944 ENDURANT II STENT ETLW1610C199$ 13,300.00 INTRA-ATRIAL PACING$ 13,385.00 93610 INTRAVENTRICULAR PACING$ 13,385.00 93612 ALIMTA 500 MG VIAL$ 13,475.00 J9305 DISTAL FEMORAL COMPONENT$ 13,478.00 C1776 PACEMAKER SERENA QUAD CRTP MRI$ 13,510.00 C2621 FABRAZYME 35MG VIAL$ 13,519.00 J0180 IMPLANT SPINAL FUSION STIM$ 13,576.00 PTA VENOUS INITIAL VEIN$ 13,615.00 37248 INSJ SUBQ CAR RHYTHM MNTR$ 13,819.00 33285 MESH PHASIX 8 X 10$ 13,880.00 PCKER PERCEPTA QUAD CRTP MRI$ 13,910.00 C2621 BONE GROWTH STIMULATOR$ 13,910.00 TITAN OTR SCROTAL BIOFLEX CYLI$ 13,916.00 C1813 VEIN SAPHENOUS 61 - 71 CML$ 13,966.00 C1768 TITAN OTR SCRO CYLINDER/PUMP$ 14,038.00 C1813 TITAN OTR SCROTAL CLYIN W/PUMP$ 14,038.00 C1813 CYLINDER TITAN SCROTAL OTR$ 14,038.00 C1813 ADCETRIS 50MG VIAL$ 14,105.00 J9042 PACEMAKER SPRINT FIDELIS$ 14,122.00 C1777 PTA, TIBOPERONEAL$ 14,147.00 37228 STABILIZER FEMORAL COMP$ 14,319.00 C1776 PERC IMPLT NEUROSTM ELECTRO$ 14,362.78 64561 PACEMAKER CONSULTA CRT-P MUL L$ 14,510.00 C2621 AMS 700 CX, MS PUMP$ 14,532.00 C1813 CYLINDER PUMP CX 72404231$ 14,532.00 C1813 MESH BILAYER 4 X 10$ 14,632.00 Q4104 CYLINDER TITAN SCROTAL OTR$ 14,720.00 C1813 PACEMAKR GEN. REMOVE$ 14,776.00 33233 INSERT HEART PM ATRIAL$ 14,801.00 33206 LITHOTRIPSY PROC$ 14,847.00 IMPLANT SHOULDER REVERSE STRYK$ 14,910.00 INSERT VAD ARTERY ACCESS$ 15,000.00 33990 IMPLANT SHLDER REV CAP EXACTEC$ 15,100.00 CYLINDER SET W/OTR PUMP$ 15,150.00 C1813 STEM HIP 35 MM$ 15,522.00 C1776 STEM HIP 132 DEGREE 6720-0330$ 15,524.00 C1776 DES STENT MAJOR CORONARY$ 15,691.00 92928 DES STENT EACH BRANCH$ 15,691.00 92929 DES STENT/ATHRECTOMY MAJOR COR$ 15,691.00 C9602 DES STENT/ATHRECTOMY EACH BRAN$ 15,691.00 C9603 DES STENT BYPASS GRAFT$ 15,691.00 92937 DES STENT EACH BRANCH THRU BYP$ 15,691.00 C9605 DES STENT DURING ACUTE MI$ 15,691.00 92941 DES STENT CTO MAJOR CORONARY$ 15,691.00 92937 DES STENT CTO EACH BRANCH$ 15,691.00 C9608 INSRT/REP SGL CHAM PM VENTRICU$ 15,821.00 33207 MS PUMP LGX 15CMX12MM$ 15,956.00 C1813 JEVTANA 60MG/1.5ML$ 16,000.00 J9043 ICDL SPRINT Q RV6947$ 16,002.00 ATHERECTOMY,PER FEM$ 16,387.00 37225 STENT FEMORAL-POPITIAL$ 16,387.00 37226 SOMATULINE DEPO 120MG INJ$ 16,632.00 J1930 CYLINDER PENILE W/PUMP$ 16,710.00 C1813 CYLINDER W/PUMP SCROTAL$ 16,710.00 C1815 SHOUDER TOTAL, REVERSE$ 16,710.00 C1776 INTRACARDIAC CATH ABLATION$ 16,779.00 93655 TX L/R ATRIAL FIB ADD'L$ 16,786.00 93657 PERC. STENT INITIAL$ 16,855.00 INSRT/REP DUAL CHAM PM ATRL VE$ 17,012.00 33208 1202025 $ 17,030.00 C1781 CYLINDER PUMP CXR 72404261$ 17,094.00 C1813 PCKG ADAPTA ADDR01$ 17,559.00 C1785 PRIALT 500MCG/20ML VIAL$ 17,731.00 J2278 STENT TIBIAL-PERONEAL$ 17,775.00 37230 SCROTAL CYLINDER SET /PUMP$ 17,890.00 C1815 CYLINDER W/PUMP SCROTAL$ 17,890.00 C1815 BONE GROWTH STIMULATOR$ 18,050.00 ATHERECTOMY TIBIAL PERONEAL TR$ 18,137.00 37229 PTCA W/ATHRECTOMY:MAJOR CORON/$ 18,180.00 92924 PTCA W/ATHRECTOMY:EA ADD BRANC$ 18,180.00 92925 PCKG ENRHYTHM DR$ 18,394.00 C1785 STRATTICE MESH 16X20 1620002$ 18,450.00 C1781 NEUROSTIM INTERSTIM$ 18,610.00 C1767 PCKL LV LEAD 1458-92Q$ 19,160.00 C1900 LEAD QUARTER V PR$ 19,160.00 C1900 SCROTAL 0DEG ANG CYL SET W/PUM$ 19,288.00 C1813 STENT TIB-PERONEAL W/ARTHER$ 19,588.00 37231 STENT ILIAC$ 19,998.00 37221 Intro Cath Dialysis Cir w/ Ste$ 19,998.00 36903 Thrombec/NFS Dialysis Cir w/an$ 19,998.00 36905 13827 $ 20,110.00 C1772 STENT GRAFT SYS ENDURANT$ 20,260.00 C1874 ENDURANT II STENT ETBF3616C166$ 20,260.00 ENDURANT II STENT ETBF2813C145$ 20,260.00 STENT GRAFT SYS ENDUR II BIF$ 20,260.00 C1874 STENT GRAFT END II BIF SYSTEM$ 20,260.00 C1874 STENT GRAFT END II BIFUR SYSTE$ 20,260.00 C1874 RECHARGEABLE BATTERY RESTORE$ 20,310.00 C1820 LV ATTAIN LEAD 2187$ 20,347.00 C1900 MESH, PHASIX 10 X 12$ 20,535.00 NEUROSTIMULATOR #3058$ 20,879.00 C1767 SYNCHROMED PAIN PUMP 8637-20$ 20,920.00 C1772 INSRT LV LD W/PM/ICD$ 21,148.00 33225 MICRA LEADLESS PACEMAKER$ 21,435.00 C1786 POWERLINK SYSTEM 28-16-100BL$ 21,503.00 C1874 POWERLINK INTUITRACK SYSTEM$ 21,503.00 C1874 TRANSCATH STENT CCA W/EPS$ 21,714.00 37215 TRANSCATH STENT CCA W/O EPS$ 21,714.00 37216 GRAFT OSETOCHON CONDYLE LT$ 21,735.00 C1762 GRAFT FEMORAL HEMI COND LAT RT$ 21,735.00 C1768 SYNCHROMED II PUMP MEDTRONIC$ 21,909.00 C1772 POWERLINK SYS W/INTUITRACK$ 22,149.00 C1874 POWERLINK SYS 28-16-120BL$ 22,149.00 C1874 POWERLINK SYS 22-16-100BL$ 22,149.00 C1784 STENT ENCLUDER ENDO AAA 18 FR$ 22,223.00 STENT EXCLUDER RLT281418$ 22,223.00 POWERLINK ENDOGRAFT 22X13X120$ 22,253.00 C1874 STENT GRAFT MAIN BODY ENDOLOGI$ 22,253.00 C1874 STENT GRAFT MAIN BODY ENDOLOGI$ 22,253.00 C1875 STENT GRAFT MAIN BODY ENDOLOGI$ 22,253.00 C1875 STENT GRAFT MAIN BODY ENDOLOGI$ 22,253.00 C1874 STENT GRAFT MAIN BODY ENDOLOGI$ 22,253.00 C1874 MESH BILAYER 8 X 10$ 22,400.00 Q4104 ALLOGRAFT FREST FEMORAL TROCH$ 22,448.00 C1762 IPG 16-CHANNEL RECHARG 3716$ 22,465.00 C1820 ADVANCED PRIME NON-CHARG GEN$ 22,560.00 C1767 GRAFT AFX MAIN BODY$ 22,680.00 C1874 STENT GRAFT MAIN BODY ENDOLOGI$ 22,680.00 C1874 STENT GRAFT AAA 25X13X80X40$ 22,680.00 C1874 STENT GRAFT AAA BIFURATED$ 22,680.00 C1874 STENT GRAFT AAA BIFURATED$ 22,680.00 C1874 ICD VR EVERA S DVBC3D1 SG CHAM$ 22,710.00 C1722 GRAFT LT MEDIAL CONDYLE FRESH$ 22,815.00 C1762 SPINAL CORD STIM #97712$ 22,860.00 C1820 POWERLINK SYS 25-13-120BL$ 22,921.00 C1874 INSERT LV UPGRADE$ 23,225.00 33224 NEUROSTIM NON-RECHAR MRI$ 23,310.00 C1767 1202530 BARD $ 23,925.00 C1781 IPG 16 CHANNEL$ 23,933.00 C1820 IPG CHARGE SYSTEM$ 24,135.00 VASC EMB/OCC TUMOR/ORGAN/INFAR $ 24,318.00 37243 EMBOLIZATION ART/VEN HEMORRHAG $ 24,318.00 37244 OCREVUS 300 MG VIAL$ 24,381.44 J2350 ICD EVERA S IS1/DF4 DU CHAMBER$ 24,585.00 C1721 VASC EMBOLIZE/OCCLUDE VENOUS$ 24,612.00 37241 RIB FIXATION SYSTEM TITANIUM$ 24,720.00 C1713 IPG 16 CHANNEL RECHARGEABLE$ 24,782.00 C1820 MESH BIO XENMA TRIX 19 X 28$ 24,935.00 C1781 TRANSCATH PLACE INTRA STENT, I$ 25,080.00 37236 TRANSCATH PLC STENT INIT VEIN$ 25,080.00 37238 STELARA 45 MG VIAL$ 25,432.00 J3357 ICD EVERA XT VR DF4 SC$ 25,710.00 C1722 ICD VR VISIA AF US DF4$ 25,710.00 C1722 PACEMAKER SYSTEM QUADRA ALLURE$ 25,932.00 C2621 ICD EVERA MRI S DR DDMC3D4$ 26,235.00 C1721 AAA SYS ENDOLOGIX CAPITATED$ 26,303.00 BEA22-60/113-40 ENDOLOGIX$ 26,309.00 AFX2 BIFURCATED ENDOGRAFT SYS$ 26,309.00 C1768 MESH PERMACOL 20X30X1.50$ 26,455.00 C9364 RESTORE PRIME STIM NON-CHARG$ 26,544.00 C1767 SHLD REV REVISION IN-PT ONLY$ 26,689.00 SYSTEM IPG CHARGING$ 26,714.00 C1820 MESH STRATTICE 20 X 25$ 26,716.00 Q4100JD ICD EVERA XT$ 26,835.00 C1721 ICD-DR EVERA XT DDBB1D1 MEDTRO$ 26,835.00 C1721 IPG PRESCISION SC-1110-02$ 27,060.00 C1820 ENDOLOGIX MAIN BODY BA28-100/1$ 27,803.00 RESTORE SENSOR STIMULATOR 3771$ 28,260.00 C1820 1192540 BARD $ 28,313.00 C1781 STENT FEM-POP W/ARTHERECTOMY$ 28,349.00 37227 ICD FORTY ASSURA DR$ 28,410.00 C1721 ICD ELLIPSE DR DF4$ 28,410.00 C1721 ICD EVERA MRI XT DR$ 28,485.00 C1721 PROTECTA XT D314VRG$ 28,652.00 C1722 ICD DEVICE VIRTUOSO$ 28,862.00 RESTORE ULTRA STIM 37712$ 29,417.00 C1820 STENT THORACIC 30 MM$ 29,528.00 LEMTRADA 12MG VIAL$ 29,633.06 J0202 STENT THORACIC TGU 2810$ 29,685.00 STENT THORACIC GRAFT TGU262610$ 29,685.00 VNS GENERATOR 102$ 29,801.00 C1767 SECURA VR DEFI D224VRC$ 29,809.00 C1722 Thrombec/NFS Dialysis Cir w/St$ 30,312.00 36906 PTCA W/ATHREC &STENT:MAJOR COR$ 30,443.00 92933 RESTORE STIM #37711$ 30,576.00 C1820 ICD VIVA CRT-D QUAD S$ 30,660.00 C1882 SYS DEFIB ICD DC EVERA S$ 30,960.00 C1721 NEUROSTIMULATOR REC KIT$ 31,560.00 C1820 ICD GEN CHANGE SINGLE CHAMBER$ 32,368.00 33262 ICD DR EVERA XT$ 32,460.00 C1721 ICD EVERA MRI S DR SYSTEM$ 32,610.00 C1721 PROTECTA XT DR D314DRG$ 32,760.00 C1721 ICD VIVA XT CRT-D$ 33,525.00 C1882 REM/REPL PULSE GEN DUAL SYSTEM$ 33,717.00 33263 KEYTRUDA 100MG VIAL$ 33,835.14 J9271 HV GENERATOR ICD CD3357-40Q$ 34,035.00 C1882 PROTECTA DR D334DRG$ 34,220.00 C1721 C1721 VNS DEMIPULSE GENERATOR 21934$ 34,292.00 C1767 VIRTUOSO ICD DR AT 35J$ 34,346.00 C1721 ICD EVERA MRI XT DR SYSTEM$ 34,478.00 C1721 ICD CRT-D VIVA QUAD XT$ 34,575.00 C1882 REM PP GEN W/REP MULLEADSYSTEM$ 34,900.00 33229 ICD DEFIB QUADRA ASSURA OTHER$ 35,010.00 C1882 BIV-ICD GEN CHANGE$ 35,065.00 33264 AAA SYS OVATION TX CAPITATED$ 35,309.00 PCK AMPLIA MRI QUAD DF4 CRTD$ 35,310.00 C1882 ICD VIRTUOSO D154AWG$ 35,319.00 C1721 SECURA DR DEFIB GEN #D224DRG$ 35,505.00 C1721 ICD EBLEM MRI S$ 35,948.00 C1722 ICD PROTECTA D314DRM$ 35,955.00 C1895 ICD CRTD CLARIA MRI QUAD DEVIC$ 36,810.00 C1882 CONSULTA CRT-D D224TRK$ 37,515.00 C1882 PROTECTA CRT-D D334TRG$ 37,515.00 C1882 PACEMAKER ICD CONCERTO C154DWK $ 38,316.00 C1882 KRYSTEXXA 8 MG VIAL$ 38,514.00 J2507 INSERT ICD W/LEADS$ 39,107.00 33249 COMP EP EVAL INSERT/REPOST MUL$ 39,497.00 93653 COMP EP EVAL INSERT/REPOST MUL$ 39,497.00 93654 PCKG ALLURE QUADRA BIV$ 39,578.00 C2621 PROTECTA XT CRT-D D314TRG$ 40,091.00 C1882 PACEMAKER INSYNC MAXIMO$ 40,232.00 C1785 ICD-GEN QUADRA ASSURA CD3265$ 40,334.00 C1882 INS TRANSCATH PACEMAKER LEADLE$ 40,651.00 TX ATRIAL FIB PULM VEIN ISOL$ 41,964.00 93656 ICD EMBLEM SUBQ SYSTEM$ 42,323.00 C1722 PCK QUADRA ALLURE$ 42,578.00 C2621 C2621 IMPELLA CP PUMP SET US 3.5$ 42,810.00 INSERT LEADLESS C PM/RPL VENTR$ 42,895.00 33274 YERVOY 200MG/40ML VIAL$ 43,158.80 J9228 ICD CRT-D VIVA QUAD XT$ 44,393.00 C1882 ICD QUADRA ASSURA SYSTEM$ 46,656.00 C1882 STELARA 90 MG VIAL$ 50,714.00 J3357 PROVENGE INJECTION$ 55,800.00 Q2043 INSERT ICD GENERATOR$ 61,070.00 33240 MACI VERICEL COLLAGEN$ 62,579.00 J7330 INS/REP SUBQ DEFIBRILLATOR$ 74,368.00 33270