Description Unit Charge HC CT PERFUSION W/CONTRAST CBF 1 975 HC PERQ SACRAL AUGMT UNILAT INJ 1 12,283.00 HC PERQ SACRAL AUGMT BILAT INJ 1 12,283.00 TRLUML PERIP ATHRC RENAL ART 1 12,773.00 TRLUML PERIP ATHRC VISCERAL EA 1 12,773.00 TRLUML PERIP ATHRC ABD AORTA E 1 12,773.00 TRLUML PERIP ATHRC BRCHIOCPH E 1 12,773.00 TRLUML PERIP ATHRC ILIAC ART E 1 34,772.00 HC EVASC RPR ILIAC ART BIFUR 1 1,028.00 HC HDR ELCTRNC SKN SURF BRCHYTX 1 481 HC HDR ELCTR NTRST/NTRCV BRCHTX 1 1,737.00 HC PRGRMG EVAL AORTIC VENTR SYS 1 505 HC INTERROG AORTIC VENTR SYS 1 505 HC VISUAL EP TEST FOR GLAUCOMA 1 254 HC URINARY INCONTINENCE PLAN OF CARE DOCUMENTED 1 0.01 HC FALLS PLAN OF CARE DOCUMENTED 1 0.01 HC FNA BX, W/ US GUIDE; 1ST LES 1 1,357.00 HC FNA BX, W/ US GUIDE; EA ADDL LES 1 120 HC FNA BX W/FLUOR GDN 1ST LES 1 1,357.00 HC FNA BX W/FLUOR GDN EA ADDL 1 147 HC FNA BX, W/ CT GUIDE; 1ST LES 1 1,357.00 HC FNA BX, W/ CT GUIDE; EA ADDL LES 1 199 HC FNA BX, W/ MR GUIDE; 1ST LES 1 1,357.00 HC FNA BX, W/ MR GUIDE; EA ADDL LES 1 199 HC FINE NEEDLE ASP;W/O IMAGING GUIDANCE 1 566 HC FINE NEEDLE ASP;W/IMAGING GUIDANCE 1 1,148.00 HC IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER/ABDOMINAL1 WALL,1,732.00 NECK PERCUTANEOUS HC PERQ DEV SOFT TISS 1ST IMAG 1 1,134.00 HC PERQ DEV SOFT TISS ADD IMAG 1 636 HC ACNE SURGERY 1 232 ABSCESS I&D;SM/SINGLE/SIMPL 1 337 ER-ABSCESS I&D;SM/SINGLE/SIMPL 1 337 HC ABSCESS I&D;SM/SINGLE/SIMPL 1 337 HC CS FX/DS TX EX HEAD/TMJ WO 1 360 HC DRAIN SKIN ABSCESS SIMPLE 1 324 I&D OF ABSCESS, SIMPLE 1 337 HC ABSCESS I&D;LG/MULT/COMPLEX 1 400 HC DRAIN SKIN ABSCESS COMPLIC 1 688 HC I&D PILONIDAL CYST;SIMPLE 1 1,268.00 HC I&D PILONIDAL CYST;SIMPLE 1 1,268.00 HC I&D PILONIDAL CYST;COMPLICA 1 1,732.00 HC I&D PILONIDAL CYST;COMPLICA 1 1,732.00 HC I&R FB SUBCUTAN TIS;SIMPLE 1 539 HC REMOVE FOREIGN BODY SIMPLE 1 667 HC I&R FB SUBCUT TIS;COMPLICAT 1 3,372.00 HC REMOVE FOREIGN BODY COMPLIC 1 2,683.00 HC I&D HEMATOMA;SIMPLE 1 2,432.00 HC I&D HEMATOMA;SIMPLE 1 2,432.00 HC PUNCT ASPIRATN ABSC/HEMA/CY 1 382 HC PUNCT ASPIRATN ABSC/HEMA/CY 1 382 HC COMPLEX DRAINAGE, WOUND 1 3,272.00 HC I&D COMPLX P O WOUND INFECT 1 3,117.00 HC SMOKING & 2ND HAND SMOKE IN THE HOME ASSESSED 1 0.01 HC CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE 1 0.01 HC TOBACCO NON-SMOKER & NO 2NDHAND SMOKE EXPOSURE 1 0.01 HC CURRENT TOBACCO SMOKER 1 0.01 HC CURRENT SMOKELESS TOBACCO USER 1 0.01 HC CURRENT TOBACCO NON-USER 1 0.01 HC PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED 1 0.01 HC URINE INCONTINENCE TYPIFIED 1 0.01 DEBRIDEMENT SKIN, SUPERFICIAL 1 1,066.00 HC DEBRID ECZEMA/INF SKIN 10% 1 667 HC DEBRIDEMENT, INFECTED SKIN, EA ADD 10% BSA 1 382 HC PT FALLS ASSESS DOC 2+ FALLS/FALL W/INJURY/YR 1 0.01 HC DEBRIDE SKIN AT FX SITE 1 1,948.00 HC DEBRIDE ASSOC OPEN FX/DISLO SKIN/MUS/BONE 1 5,055.00 HC PT FALLS ASSESS DOC 0-1 FALLS W/OUT INJ PAST YR 1 0.01 HC DEBRIDEMENT SUBCUT/SKIN 1 667 DEBRIDEMENT SUBCU/MUSCLE 1 561 HC DEBRIDEMENT SUBCU/MUSCLE 1 767 HC DEBRIDE SKIN TO BONE 1 2,909.00 HC DEB SUBQ TISSUE ADD-ON 20 SQ C 1 150 HC DEB MUSC/FASCIA ADD-ON 20 SQ C 1 225 HC DEB BONE ADD-ON 20 SQ CM 1 1,250.00 HC CURRETTE CORN/CALLUS 1 LESI 1 360 HC PARING OF CALLOUS 2-4 1 344 HC PARING OF CALLOUS GREATER THAN 1 344 HC BIOPSY OF SKIN LESION 1 688 HC DAILY PRIVATE BED CHARGE 1 3,718.00 HC BIOPSY, EACH ADDED LESION 1 113 HC TANGNTL BX SKIN SINGLE LES 1 413 HC TANGNTL BX SKIN EA SEP/ADDL 1 56 HC PUNCH BX SKIN SINGLE LESION 1 413 HC PUNCH BX SKIN EA SEP/ADDL 1 67 HC INCAL BX SKN SINGLE LES 1 736 HC INCAL BX SKN EA SEP/ADDL 1 79 HC DISCHARGE MEDS RECONCILED W/ CURRENT OUTPATIENT MED LIST 1 0.01 HC REMOV SKIN TAGS,MAX 15 LESI 1 289 HC REMOVAL OF SKIN TAGS, UP TO 15 1 197 HC REMOVAL OF SKIN TAGS, EACH ADD 10 1 182 HC PAIN SEVERITY QUANTIFIED, PAIN HCESENT 1 0.01 HC PAIN SEVERITY QUANTIFIED, NO PAIN HCESENT 1 0.01 HC SHAVING LES.TRUNK/EXT<0.5CM 1 292 HC SHAVING LES.TRUNK/EXT1.1-1. 1 292 HC SHAVING LES.TRUNK/EXT>2.0CM 1 688 HC SHAVING LES.OTHER<0.5CM 1 197 HC SHAVING LES.OTHER .6-1.0CM 1 292 HC SHAVING LES.OTHER 1.1-2.0CM 1 292 HC SHAVING LES.FACE<0.5CM 1 292 HC SHAVING LES.FACE 0.6-1.0CM 1 292 HC SHAVING LES.FACE 1.1-2.0CM 1 688 HC SHAVING LES.FACE >2.0 CM 1 688 ER-EXC TR-EXT B9+MARG 0.5 < CM 1 1,640.00 HC EXC BLES-S/N/G 0.5CM/LESS 1 1,948.00 HC EXC BLES-S/N/G 0.6-1.0CM 1 1,948.00 HC EXC SKIN BENIG 1.1-2CM REMAINDR BODY 1 2,222.00 HC EXC SKIN BENIG 2.1-3CM REMAINDR BODY 1 2,222.00 HC EXC BLES S/N/EX G; 3.1-4.0CM 1 3,336.00 HC EXC SKIN BENIG >4CM REMAINDR BODY 1 3,336.00 ER-EXC FACE LES BENIGN < .5CM 1 889 HC EXC SKIN BENIG 1.1-2CM FACE,FACIAL 1 1,948.00 HC EXC SKIN BENIG 3.1-4CM FACE,FACIAL 1 1,948.00 CL-EXC HIDRAD UMBIL PERN W/REP 1 3,005.00 HC ADVANCE CARE PLAN OR EQUIV PRESENT IN MEDICAL RECORD 1 0.01 HC ADVANCE CARE PLANNING DISCUSS DOCUMENTED IN MEDICAL RECORD1 0.01 HC MEDICATION LIST DOCUMENTED IN MEDICAL RECORD 1 0.01 HC REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED 1 0.01 HC EXC SKIN MALIG 0.6-1CM FACE,FACIAL 1 1,948.00 HC EXC SKIN MALIG >4CM FACE,FACIAL 1 4,299.00 HC FUNCTIONAL STATUS ASSESSED 1 0.01 HC TRIMMING NONDYSTROPHIC NAIL 1 132 HC DEBRIDEMENT NAIL 5 OR LESS 1 123 HC DEBRIDEMENT, NAILS, 6 OR MORE 1 123 HC AVULSION NAILPLATE,PART/COM 1 344 HC AVULSION NAILPLATE,PART/COM 1 344 HC AVULSION OF NAIL PLATE, ADD'L 1 115 HC SUBUNGUAL HEMATOMA EVACUATI 1 136 HC EXCISION OF NAIL, PARTIAL OR C 1 757 HC NAIL EXCISION COMPL(INGROWN 1 841 ER-REMOVE NAIL BED/FINGER TIP 1 3,153.00 HC NAIL BED REPAIR 1 1,066.00 CL-WEDGE EXC NAIL FOLD(INGROWN 1 688 HC EXCISION OF NAIL FOLD, TOE 1 688 HC INJ INTRALESIONAL 1-7 LESIO 1 232 HC INJ INTRALESIONAL >7 LESION 1 197 HC TATTOO, 6.1-20.0 SQ CM 1 1,014.00 HC REMOV IMPLT CONTRACEP CAP 1 1,268.00 HC INSERT DRUG IMPLANT 1 215 HC REMOVAL DRUG IMPLANT DEVICE 1 620 HC REMOVAL W/ REINSERT DRUG IMPLANT DEVICE 1 620 HC REPAIR SUP SCALP WND<2.6CM 1 232 HC REPR SUPERF WND BODY <2.5CM 1 197 ER-REPR SUP SCALP WND2.6-7.5CM 1 364 HC REPR SUP SCALP WND2.6-7.5CM 1 232 ER-REPAIR SUP SCALP WND7.6-12. 1 424 HC REPAIR SUP SCALP WND7.6-12. 1 424 HC REPR SUPERF WND BODY 7.6-12.5 1 197 HC REPR SUPERF WND BODY 12.6-20 1 688 HC WOUND 12.6-20.0CM SCALP/TRU 1 680 HC REPR SUPERF WND BODY 20.1-30 1 440 HC WOUND 20.01-30.0CM SCALP/TR 1 508 HC REPR SUPERF WND BODY >30CM 1 292 ER-REPAIR SUP FACE WND<2.6CM 1 364 HC REPAIR SUP FACE WND<2.6CM 1 364 ER-REPAIR SUP FACE WND2.6-5.0C 1 232 HC REPAIR SUP FACE WND2.6-5.0C 1 232 HC REPAIR SUP FACE WND5.1-7.5C 1 454 HC REPAIR SUP FACE WND7.6-12.5 1 568 HC WOUND 12.6-20.0CM FACE REPA 1 604 HC WOUND 20.1-30.0CM FACE REPA 1 694 TX OF WOUND DEHISCENCE, SMP 1 690 HC CLOSURE SUPERF WND DEHIS W PACKING 1 440 HC LAYER CLOSE WNDS SCALP,2.6C 1 384 HC LAYER CLOS WNDS SCALP2.6-7. 1 633 HC LAYER CLOS WND SCALP7.6-12. 1 424 ER-INTER REP S/A/T/EX 12.6-20C 1 551 INT REP S/A/T EX 20.1-30.0 CM 1 607 HC LAYER SUTURE OVER 30.0CM 1 5,892.00 HC LAYER CLOS WNDS HAND <2.6CM 1 384 HC LAYER CLOS WNDS HAND2.6-7.5 1 400 HC LAYER CLOS WNDS HAND7.6-12. 1 1,066.00 ER-LAY CLOSURE WNDS12.6-20.0CM 1 607 ER-LAYER CLOS WNDS FACE<2.6CM 1 384 HC LAYER CLOS WNDS FACE<2.6CM 1 384 ER-LAYER CLOS WNDS FACE2.6-5.0 1 400 HC LAYER CLOS WNDS FACE2.6-5.0 1 400 HC LAYER CLOS WNDS FACE5.1-7.5 1 469 HC LAYER CLOS WNDS FACE7.6-12. 1 559 HC WOUND FACE 12.6-20.0CM LAYE 1 650 HC DAILY BED CHARGE 1 3,276.00 HC DAILY PEDS SEMI PRIV CHG 1 3,276.00 HC PSYCH DAILY BED CHARGE 1 1,793.00 HC COMPL REPAIR TRNK 2.6-7.5CM 1 1,064.00 ER-COMPL REPAIR TRNK EA ADD 5C 1 856 HC COMPL REPAIR TRNK EA ADD 5C 1 856 ER-COMPLEX REP S/A/L 1.1-2.5CM 1 607 ER-COMPLEX REP S/A/L 2.6-7.5CM 1 826 ER-COMP REP S/A/L EA+ IF 5CM/< 1 384 HC COMPLEX REPAIR OTHER 1.1CM- 1 826 HC COMPLEX REPAIR OTHER 2.6-7. 1 956 REPAIR COMPLEX ADD'L 5CM/LESS 1 826 ER-REP COMPL E/N/E/L 1.1-2.5CM 1 718 ER-REPAIR WND CLSE CMPLX 2.6 - 1 856 HC SECD CLOS SURG WND EXTEN/COMPLIC 1 5,042.00 ER-REP S/A/L D 10.1-30 SQ CM 1 3,095.00 ER-SKIN TISSUE REARRANGEMENT 1 3,095.00 ER-ADJ.TRANSF FACE DEF 10 SQ < 1 3,095.00 HC SRG CH/INF TK/ARM/LG 100S 1 3,359.00 HC PRP CH/INF TK/AM/LG+100S 1 275 PINCH GRFT SM, DEFECT TO 2CM 1 856 ER-SG F/S/E/M/N/G/EXT;1ST 100S 1 4,613.00 HC SKIN SUB GRFT TRNK/ARM/LEG 1ST 1 5,424.00 HC SKIN SUB GRFT T/A/LEG EA ADDT 1 100 HC SKIN SUB GRFT TRNK/ARM/LEG 1ST 1 5,424.00 HC SKIN SUB GRFT TRNK/ARM/LEG EA 1 250 HC SKIN SUB GRFT FACE/NK/HDS/FT/G 1 3,317.00 HC SKIN SUB GRFT FACE/NK/HF/G EA 1 125 HC SKIN SUB GRFT FACE/NK/HDS/FEET 1 3,317.00 HC SKIN SUB GRFT FACE/NK/HDS/FEE 1 250 HC DERMABRASION, TOTAL FACE 1 3,649.00 HC DERMABRASION, SEGMENTAL, FACE 1 1,653.00 HC DERMABRASION,REGIONAL,OTHER TH 1 2,909.00 HC DERMABRASION, SUPERFICIAL,ANY 1 566 HC CHEMICAL PEEL,FACIAL,EPIDERMAL 1 197 HC CHEMICAL PEEL,FACIAL,DERMAL 1 1,066.00 HC CHEM PEEL, NONFACIAL EPIDERM 1 688 HC CHEM PEEL, NONFACIAL DERMAL 1 688 HC BURN 1ST DEGREE,INITIAL TX 1 232 HC DRES/DEBRID;P.THICK BURN SM 1 292 HC DRES/DEBRID;P.THICK BURN SM 1 292 HC DRES/DEBRID;P.THICK BURN MD 1 486 HC DRES/DEBRID;P.THICK BURN LG 1 486 HC ELECTRICAL CAUTERY 1 LES 1 344 HC DAILY NURSERY BED CHARGE 1 3,733.00 HC WOUND CAUT 2-14 LESIONS 1 125 HC LESION DESTRUCT 15+ 1 667 HC DESTRUCT BENIGN LESION UPTO 1 232 HC DEST BENIGN LESIONS >15 1 344 HC CHEM CAUTER GRANUL TISSUE 1 350 HC WOUND CAUTERY CHEMICAL 1 292 HC CRYOTHERAPY,FOR ACNE 1 105 HC CHEMICAL EXFOLIATION FOR ACNE 1 292 HC NEONATAL ICU BED CHARGE 1 4,209.00 HC PUNCTURE ASPIR CYST/BREAST 1 976 HC ALC BED CHARGE 1 3,276.00 HC MASTOTOMY W/EXPL-DRAINABSCE 1 3,548.00 HC BIOPSY OF BREAST 1ST LESION STRTCTC 1 2,480.00 HC BX BREAST ADD LESION STRTCTC 1 1,867.00 BX BREAST 1ST LESION US IMAG 1 2,105.26 HC BX BREAST 1ST LESION US IMAG 1 2,105.26 HC BX. BREAST ADD LESION US IMAGING 1 2,105.00 HC BX BREAST 1ST LESION MR IMAG 1 1,668.00 HC BX BREAST ADDL LESION MR IMAG 1 1,996.00 HC BIOPSY OF BREAST, NEEDLE CORE 1 2,909.00 HC NIPPLE EXPLORATION 1 4,335.00 HC REMOVAL OF BREAST LESION 1 4,335.00 HC EXCISE BREAST LES W XRAY MARKER 1 4,335.00 HC NEEDLE LOCALIZATION, FIRST LESION, INCLUDING MAMMOGRAPHIC GUIDANCE1 1,134.00 HC MAMMO BREAST NEEDLE LOCALIZATION, ADDITONAL LESION 1 708 HC STEREOTATIC GUIDANCE BREAST NEEDLE LOCALIZATION, FIRST LESION1 1,134.00 HC STEREOTACTIC GUIDANCE BREAST NEEDLE LOCALIZATION, ADDITIONAL1 LESION 708 HC ULTRASOUND GUIDANCE BREAST NEEDLE LOCALIZATION, FIRST LESION1 1,134.00 HC ULTRASOUND GUIDANCE BREAST NEEDLE LOCALIZATION, ADDITIONAL1 LESION 708 HC PL BRST LOCAL DEV (CLIP, WIRE) PERCU, MRI, 1ST 1 1,268.00 HC PERQ DEV BREAST ADD MR GUIDE 1 966 HC MASTECTOMY FOR GYNECOMASTIA 1 4,335.00 HC MASTECTOMY, PARTIAL 1 4,335.00 HC MASTECTOMY,PARTIAL, WITH AXILLARY LYMPHADENECTOMY 1 8,301.00 HC MASTECTOMY, SIMPLE, COMPLETE 1 6,026.00 HC MASTECTOMY, MODIFIED RADICAL 1 8,301.00 HC ICU DAILY BED CHARGE 1 4,209.00 HC WOUND EXPL. EXTREMITY 1 2,534.00 HC MUSCLE BIOPSY SUPERFICIAL 1 3,160.00 HC MUSCLE BIOPSY DEEP 1 3,160.00 HC MUSCLE BIOPSY 1 2,480.00 HC US BONE SUPERFICIAL, BIOPSY 1 1,948.00 HC CT BONE, DEEP, BIOPSY 1 3,160.00 HC DILATED RETINAL EYE EXAM WITH INTERP/REVIEW 1 0.01 HC 7 FIELD PHOTOS WITH INTERP/ REVIEW 1 0.01 HC EYE IMAGING VALIDATED 7 FIELD PHOTOS WITH REVIEW 1 0.01 HC DAILY PICU BED CHARGE 1 4,209.00 HC REMOV FB MUSC/TENDON SHEATH 1 2,909.00 HC REMOVAL OF FOREIGN BODY DEEP/COMPLIC 1 5,055.00 HC INJECT CARPAL TUNNEL 1 422 HC INJECTION ENZYME PALMAR FASCIAL CORD 1 422 HC INJ TENDON SHEATH 1 422 HC INJ TENDON ORIGIN/INSERT 1 422 HC TRIGGER POINT INJECTION 1 422 HC INJECT TRIGGER POINTS, > 3 1 422 HC JT/BURSA/CYST ASPIRATN-SMAL 1 498 HC JT/BURSA/CYST ASPIRATN-MEDI 1 498 ER-JT/BURSA/CYST ASPIRATN-LARG 1 514 HC JT/BURSA/CYST ASPIRATN-LARG 1 422 HC STRAPPINGCAST APPLICATION 1 543 HC ASP/INS GANGLION CYST 1 498 CL-REMOVAL OF HALO 1 620 HC PIN REMOVAL 1 2,683.00 HC REM EXT FIX SYS W ANESTH 1 3,914.00 HC ICU DAILY BED CHARGE TRAUMA 1 5,709.00 REPLANT,DIGIT,COMPL AMPUTATION 1 5,442.00 HC CCU DAILY BED CHARGE 1 4,209.00 HC EXCISION,BENIGN TUMOR,MAXILLA/ZYGOMA 1 9,717.00 HC EXCISION,MAXILLARY TORUS PALATINUS 1 4,587.00 HC EXCISION,BENIGN TUMOR,MANDIBLE 1 4,587.00 HC PREP FACE/ORAL PROST ORAL SPLINT 1 1,524.00 ER-INTERDENTAL FIXATION DEVICE 1 1,469.00 HC TX OF NASAL BONE FX WO MANIP 1 260 HC TX NASAL BONE WO STABI 1 3,814.00 HC TX OF NASAL BONE FX, W STAB 1 5,113.00 HC FX MAXILLARY W FIXATION 1 4,812.00 HC CLO TX MAND/MAXILLA RIDG FX 1 4,587.00 HC INSRT PICC W/O PORT AGE 5 > 1 2,986.00 HC CLOSED REDUC W INTRAMAX WIR 1 9,332.00 HC TX TEMPOROMANDIBULAR DIS 1 456 ER-DENT. WIRE (COND O/THAN FX) 1 3,313.00 HC DRAIN NECK/CHEST LESION 1 5,571.00 HC DRAIN CHEST LESION 1 6,145.00 HC TX VERTEBRAL BODY FX WO MANIP 1 428 HC PERQ CERVICOTHORACIC INJECT 1 5,736.00 HC PERQ LUMBOSACRAL INJECTION 1 5,736.00 HC DRAIN SHOULDER LESION 1 5,571.00 USE OF ENDO RM 31-60 MIN 1 1,500.00 USE OF ENDO RM 61-90 MIN 1 2,472.00 USE OF ENDO RM >91 MIN 1 1,875.00 GI COLD BX FORCEP 1 80 HC REMOVAL SHOULDER FB DEEP 1 1,668.00 HC TX CLAVICULAR FX; WO MANIP 1 398 HC TX CLAVICULAR FX; W MANIP 1 1,681.00 HC TX SCAPULA FX W/O MANIPULAT 1 626 HC TX PROX HUMERAL FX; WO MANIP 1 504 HC TX PROX HUMERAL FX; W MANIP 1 3,914.00 ER-SHOULDER: DISLOCATION 1 580 HC SHOULDER: DISLOCATION 1 504 ER-CL TX SHOULDER DISLOC W/ANE 1 2,947.00 HC TX SHOULDER DISLOC W/ANE 1 2,947.00 ER-CL TX SHOULDR DSLOCATION FX 1 2,864.00 HC DRAINAGE OF ARM LESION 1 3,222.00 HC I&D UP ARM/ELBOW, DEEP ABSC 1 3,990.00 ER-EXCISION ARM/ELBOW LES<3CM 1 2,248.00 ER-REMOV FB UPPER ARM/ELBOW 1 2,909.00 HC TX HUMERUS FX WO MANIP 1 504 HC TX HUMERUS FX WITH MANIP 1 2,864.00 HC CLOSED RX HUMER CONDYLR FX 1 504 HC TX HUM CON FX MED/LAT W/MAN 1 2,864.00 ER-ELBOW DISLOCATION 1 763 HC ELBOW DISLOCATION 1 763 HC ELBOW SUBLAXATION 1 392 HC CLOSED RX RADIAL HEAD/NECK FX 1 504 HC CLOSED RX RADIAL HEAD/NECK FX,MANIP 1 2,864.00 HC I&D FOREARM/WRIST,DEEP ABSC 1 4,243.00 HC TX OF RADIAL SHAFT FX; WO MANIP 1 399 HC TX OF RADIAL SHAFT FX; W MANIP 1 1,681.00 HC GALEAZZI FX/DISLOC 1 2,864.00 HC TX ULNAR SHAFT W/O MANIP 1 522 CL TX ULNAR SHFT FX W MANIP 1 267 HC TX RADIAL&ULNAR W/O MANI 1 399 HC TX RADIAL&ULNAR W/MANIPU 1 2,864.00 HC RADIUS DISTAL FX.TREAT 1 504 HC TX RAD/DIST FX W/MANIPUL 1 1,681.00 HC CARPAL SCAPHOID FX W/O MANI 1 504 HC CARPAL EXC SCAPHOIL FX W/O 1 504 HC TX CARPL BONE FX W/MNP EA BO 1 2,864.00 HC TX CARPAL DISLOC 1 OR>W/ 1 392 HC SOL DEXTROS ANTI-COAGUL CITRAT 1 11 HC D5 500CC (AITU) 1 8 HC D5 W .045% NACL 1000CC (AITU) 1 15 HC D5 W .33% NACL 1000CC (AITU) 1 15 HC D5 W .9% NACL 1000CC (AITU) 1 9 HC D5 W 250CC (AITU) 1 13 HC NACL .45% 1000CC (AITU) 1 8 HC NACL .9% 1000CC (AITU) 1 8 HC NACL .9% 150CC (AITU) 1 7 HC NACL .9% 500CC (AITU) 1 11 HC NACL .9% 50CC (AITU) 1 8 HC ABSCESS I&D;FINGER-SIMPLE 1 337 ER-ABSCESS I&D;FINGER-COMPLICA 1 2,432.00 HC ABSCESS I&D;FINGER-COMPLICA 1 2,432.00 ER-EXCISION OF FINGER JNT LESI 1 3,852.00 HC PART PALMAR FASCIEC,OPEN 1 DIGIT 1 5,209.00 HC PALM RELEASE W EA ADDTL DIGIT 1 500 HC PARTIAL REMOVAL FINGER BONE 1 2,863.00 HC EXTENSOR TENDON HAND 1 3,283.00 HC EXTENSOR TENDON FINGER 1 3,283.00 HC METACARPAL CL FX W/O MANIP@ 1 504 HC CLOSE TX METACARPL FX MANIP 1 504 HC TREAT METACARPAL FRACTURE 1 5,651.00 HC TX CARPOMET DISLOC NO TH 1 2,864.00 HC HAND;DISLOC METACARPOPHALAN 1 638 HC TX MCP DISLOC SINGLW/MAN 1 2,864.00 HC FINGER/THUMB CL FX W/O MANI 1 399 HC FINGER/THUMB CL FX W MANI 1 470 HC TX ART FX MCP/IP JNT;W/O MAN 1 504 HC CL TX ART FX MCP/IP JNT; W/ MAN 1 2,864.00 HC CLOSE TX DISTL PHL FX FIN/TH 1 399 HC TX D PHAL FX FGGR/THMB; W MANIP 1 504 ER-FINGER;DISLOC INTERPHALANGE 1 626 HC FINGER;DISLOC INTERPHALANGE 1 626 HC TX INTERPHAL JT DISLOC 1 526 HC INCISION DRAINAGE HIP,PELVIS A 1 4,420.00 INCISION DRAINAGE HIP,PELVIS A 1 4,420.00 HC THERAPUTTY (TAKE HOME) 1 9 HC O/T THERABAND (TAKE HOME) 1 10 HC SHOE POST OP CHILD X-SM 1 10 HC SHOE POST OP FEMALE RIGID SM-M 1 10 HC SHOE POST OP MALE RIGID-SM- LR 1 10 HC SHOE POST OP SM-MED 1 10 HC SOLUTION, CYSTO IRRIGATING H20 1 11 HC FECAL COLLECTION MANAGEMENT KIT 1 31 HC LEG BAG 1 12 HC MALE EXT CATH BLUE 1 14 HC SUCTION TRAY 14FR 1 23 HC HANDSPLINT COLLIS PADDED MED 1 26 HC WRIST/ANKLE RESTRAINT 1 24 HC CATH, FOLEY SZ 24 30CC BAG 1 23 HC CATH, FOLEY SZ 14 5CC BAG 1 17 HC CATH, FOLEY SZ 16 5CC BAG 1 17 HC CATH, FOLEY SZ 20 5CC BAG 1 17 HC TRACHEATOMY CARE KIT 1 27 HC URETHRAL CATHETER TRAY BARD 1 12 HC Y TYPE ADMIN SET W/SIDE ARM 1 20 HC I V START KIT 1 6 HC CATH.CLOSED 24HR. 14FR 1 55 HC SYRINGE, BLOOD GAS KITS 1 7 HC CATH N SLEEVE 05FR 1 108 HC KIT CATHETER INFANT 05FR* 1 4 HC KIT CATHETER PED 08FR* 1 4 HC KIT UNIVERSAL LINE INSERTION 1 23 HC PH ADT LUM TRAY 20 X 3 1/2 1 23 HC CATH, FOLEY W/TRAY 1 47 HC PREP STICKS 1 15 HC PENROSE DRAIN ORS 1 23 HC DRESSING OP-SITE 1 6 HC KIT CHEST DRAINAGE 1 75 HC PEG KIT KIMBERLY CLARK 1 177 HC IODOFORM GAUZE 1 6 HC PLAIN PACKING GAUZE CSS 1 6 HC VASELINE GAUZE 1 6 HC SHAVE PREP SET 1 6 HC STOMA BAGS CSS 1 6 HC URINARY DRAINAGE BAG 1 23 HC YANKEE SUCTION SET CSS 1 6 HC KERLIX ROLLS 1 6 HC BANDAGE KLING 1 4 HC COLD PACKS 1 4 HC ENEMA, FLEET 1 12 HC FEEDING BAGS 1 19 HC FEEDING TUBES 1 24 HC FRENCH CATH BLADDER CARE TRAY 1 77 HC VEST RESTRAINT 1 38 HC SUTURE REMOVER SETS 1 6 HC CATH TRAY 16 FR W/URIMETER BAG 1 73 HC URIMETER DRAINAGE BAG 1 36 HC SALEM SUMP TUBE 1 12 HC THORACENTESIS TRAY 1 62 HC SLEEVE,VENODYNE 16" 1 166 HC BIDIRECTIONAL TORQUE WRENCH 1 104 HC STERI-DRAPE 1013 1 93 HC DRAPE, STERI 1050 1 80 HC COOL FLOW TUBING SET 1 125 HC VALLEY LAB INDIFFER ELEC CABLE 1 498 HC 10 FEET CELSIUS DS CABLE 1 464 HC 10 FT STOCKERT CABLE 1 423 HC 5 FT NAVISTAR CABLE 1 624 HC 5 FT NAVISTAR D S CABLE 1 624 HC 5 FT QWIKSTAR CABLE 1 785 HC 5 FT REFSTAR CABLE 1 624 HC 6 FT 10 POLE DIAG. CABLE 1 376 HC VIPER RADIOPAQUE TAPE 1 71 HC LUMBAR PUNCTURE TRAY 1 23 HC CENTRAL LINE DRESSING KIT (AITU) 1 7 HC INSYTE CATHETER 1 2 HC IV SET (AITU) 1 4 HC IV START KIT (AITU) 1 1 HC SECONDARY SET (AITU) 1 2 HC VASTACK NEEDLE (AITU) 1 7 HC PHLEBOTOMY SETS 1 7 HC CENTRAL LINE DRESSING KIT (AIT 1 7 HC INSYTE CATHETER 1 2 HC IV SET (AITU) 1 4 HC IV START KIT (AITU) 1 1 HC SECONDARY SET (AITU) 1 2 HC VASTACK NEEDLE AITU 1 7 HC PHLEBOTOMY SETS 1 7 HC LUMBAR PUNCTURE TRAY 1 23 HC TRAY BONE MARROW BIOPSY 1 23 HC E-Z EM DISP ENEMA 1 26 HC SANITARY BELT 1 9 HC SANITARY NAPKINS 1 24 HC TRAY, CIRCUMCISION 1 67 HC KIT, IV STARTER 1 6 HC BAG EXTERNAL DRAINAGE 1 57 HC ABDOMINAL BINDERS 5/BX 1 26 HC BOTTLE PERINEAL GAR 1 6 HC TUCKS 1 24 HC VSP BUNDLE 1 2,510.00 DUO-VISC 1 217 PRO-VISC 1 149 UNIVERSAL DRAINAGE BAG 1 35 HC INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMAGE 1 405 HC CATH 2 LUM BRONCHO-CATH 37FR 1 91 HC AIRWAY NASOPHARYNGEAL 28F STRL 1 106 HC AIRWAY NASOPHARYNGEAL 30F STRL 1 106 HC PRESS MONITNG TRAY SINGL LUM 3 1 108 HC PRESS MONITNG TRAY SINGL LUM 4 1 107 HC THAL-QUICK CHEST TUBE 18FR 1 201 HC THAL-QUICK CHEST TUBE 20FR 1 175 HC THAL-QUICK CHEST TUBE 24FR 1 176 HC THAL-QUICK CHEST TUBE 12FR 1 175 HC THAT-QUICK CHEST TUBE 14FR 1 201 HC THAT-QUICK CHEST TUBE 16FR 1 175 HC 5.5 FR X 8CM TRIPLE LUMEN CATH 1 583 HC 4 FR 13CM DOUBLE LUMEN CATH 1 452 HC V-LINK LUER DEVICE W CATH 1 85 HC NEEDLE BD REGNAL BLOCK 1 7 HC ARTERIAL LINE CATHETER 1 481 HC KIT, VENTRICULOSTOMY 1 887 HC TUBE, TRACHEOSTOMY 1 104 HC REFERENCE PATCH 1 643 HC DIRECT CONNECT CS CABLE 1 612 HC ABLATION CABLE 1 612 HC QUAD COURNAND CABLE 1 612 HC ABLATION CABLE THERMOCOOL SF 1 612 HC TEMP PACING ELECTRODE CATH 1 343 HC FRONTRUNNER 140CM CATH 1 1,373.00 HC OUTBACK 120CM RE-ENTRY CATH 1 2,955.00 HC OASIS 1 ACT STNT INTRO ST 1 123 HC MULTI-LAYER COMPRESS WRAP EA B 1 26 HC ONCONTROL POWER DRIVER W CRADL 1 929 HC 6F 088 NEURON MAX LONG SHEATH 90/4CM MP 1 1,274.00 HC 6F 088 NEURON MAX LONG SHEATH 80/4CM MP 1 1,274.00 HC 6F NEURON SELECT CATHETER SIMMONS 125/8CM 1 326 HC MAX CANNISTER WITH TUBING AND FILTER 1 950 HC PT SCREWDRIVER STD 1 672 HC ROTATING HEMOSTATIC VALVE 1 60 HC INSTRUMENT CORD 1 618 HC DISSECTING FORCEP 1 7,540.00 HC LG CLIP APPLIER 1 3,640.00 HC HUBER PLUS NON-CORING NEEDLE 1 37 HC #11 PROTECTED DISPOSABLE SCALPEL, STAINLESS STEEL 1 4 HC THRD GUIDE PIN 3.2 MM 1 331 HC X-STREAM LAP IRRIGATION TUBING 1 326 HC CAPTURA HELICAL STONE EXTRACTOR 3.0FR 1 423 HC ATLAS WIRE STONE EXTRACTOR 3.0FR 1 423 HC TWO-PART TROCAR NEEDLE 1 36 HC TREVO PRO 18 MICROCATHETER 1 1,938.00 HC XT27 MICROCATHETER 1 2,437.00 HC HALYARD BIOPSY FORCEPS 1 108 HC BENCHMARK 071 KIT 1 2,562.00 HC EMBOSPHERE MICROSPHERES 1 643 HC EKOSONIC ENDOVASCULAR DEVICE 1 7,488.00 HC HIGH FLOW NASAL CANNULA 1 263 TRIESENCE SUSP INJ PER 1MG 1 6 ER-CL TX TRAUMA HIP DISCLOC.W/ 1 470 DRYSEAL SHEATH HYDRO COATING 1 523 HARMONIC ACE CURVED SHEARS 1 671 CATH BAL 108X104CMX.035 18F 1 1,872.00 FORCEP BIOPSY W/NEEDLE 1 107 ANOSTOCLIP UNIVERSAL REMR 1 189 HALF-IN COLCT SET TUB 6FT DSP 1 28 BURR HOLE COVER 1 439 BLADE INTRA-ORAL 11.5X7.0MM 1 169 GW ZIPWIRE HYDRO .035X150CM 1 54 REVERE LAMINA HOOK, MED 1 1,354.00 ELECT SUPERLP PK FRNT LOAD 1 726 DSCTR CRDLS US 5MM-39CM 1 946 BAR 11X100MM 1 239 GUIDEWIRE SMTH 3.0MMX100 CM 1 153 CARROLL-GIRARD HEX END 1 527 BLADE BONE REDUCTION 1 439 GRASPING FINGER DEVICE DIGIT T 1 50 FORCEP ILM REVOL DSP 25GA 1 1,424.00 LUER LOCK TUBING SET SNG LMN 1 140 DEPTH GAUGE 1 1,108.00 DRILL BIT NCB-DF 4.3X300MM 1 221 SM TEAR CRS CUT RSP 11.0X5.0MM 1 167 DRILL BIT 1.1 X 5 MM STOP 1 216 INTRODUCER MICROPUNCTURE SET 1 63 CATH 2 LUM BRONCHO-CATH 37FR 1 91 STYLET 52 CM STR 1 87 CATH PLASTIC OPEN END TIP 18FR 1 37 CATH PLASTIC OPEN END TIP 22FR 1 37 CATH PLASTIC OPEN END TIP 20FR 1 37 CATH PLASTIC OPEN END TIP 16FR 1 37 CATH PLASTIC OPEN END TIP 10FR 1 37 CATH PLASTIC OPEN END TIP 12FR 1 37 CATH PLASTIC OPEN END TIP 14FR 1 37 CATH PLASTIC OPEN END TIP 24FR 1 37 MINI-BLADE 1 9 SUT 2-0 SOFTSILK COATED AUTO GS 66M 1 7 SUT MAXON 4-0 GREEN 30" C-14 1 2 BIOPATCH 0.075" 1 74 CONVENIENCE KIT (ANGIO KIT) NAMIC 1 76 CHIBA FINE NEEDLE 22GX X 10CM 1 10 ATRIEVE VASCULAR SNARE KIT 1 577 ANGIOGRAPHIC NEEDLE SELDINGER 18G 1 5 ANGIOGRAPHIC NEEDLE MAJESTIC SERIES SELDINGER 18G 1 8 EMBOSPHERE MICROSPHERES PRE-FILLED SYRINGE 500-700UM 1 574 HC CORD BIPOLAR DISP 1 21 HC CLIP APPLIER SCLP DISP 1 94 HC IKARI GUIDE CATHETER 1 173 ER-C/TX POST HIP DISLOC W/O AN 1 470 HC CANE,ADJUSTABLE (TAKE HOME) 1 19 HC CRUTCHES (TAKE HOME) 1 73 HC DRAIN THIGH/KNEE LESION 1 5,571.00 ER-REMOVAL FB DEEP THIGH/KNEE 1 4,507.00 HC O/T DOUBLE UPRIGHT EO W/CUFFS 1 1,040.00 HC CLOSED RX PATELLA FX 1 504 HC KNEE;DISLOCATION PATELLAR 1 688 ER-CL TX PATELLA DISLOC W/ANES 1 2,474.00 HC DRAIN LOWER LEG LESION 1 5,571.00 LENS INTROCLAR RESTOR-15.0 D 1 1,397.00 HC TIBIAL SHAFT CL.FX. 1 504 HC TX TIB SHFT FX WO MANIP 1 3,093.00 HC TX TIB SHFT FX W MANIP 1 428 HC MED. ANKLE FX W/MANE W/WO 1 2,625.00 HC TX DSTL FIB FX WO MANIP 1 504 HC TX DISTL FIB FX W/MANIP 1 504 HC CABLES 1 43 HC ALLOGRAFT 6 X 30 CM 1 774 HC FASCIOTOMY FOOT &/OR TOE 1 504 ANS CHARGING SYSTEM 1 1,553.00 HC TX BIMALLEOLAR ANKLE FRACT W MNP 1 1,681.00 HC TX TRIMALLEOT ANKLE FX W 1 635 TISSUE MICRONIZED CYMETRA 2CC 1 576 STRATTICE MATRIX PER SQCM 1 34 HC CLOSED RX ANKLE DISLOCATN,W/O 1 470 ENDOPROSTHESIS THORACIC 1 21,443.00 GRACILIS TENDON IMPLANT 1 1,298.00 COMPONENT SCRW/ANCHOR KIT 1 2,459.00 OSTEOSET RESORB BEAD IMPLANT 1 1,872.00 STNT S-E EPIC VAS6X120MMX120CM 1 1,747.00 STENT EXPRESS LD8X57MMX75CM 1 1,716.00 NAIL FEM CEPH LNG RT 11.5MM 1 2,016.00 PLAT SAGITTAL 6 HOLE 1 260 PLAT LINDORF 16 HOLE 3MM RT 1 494 Y-PLAT 5 HOLE XL 19MM 1 386 WASHER SM FOR 3.5/4.0 MM SCRW 1 29 PLAT PROV 32MM 1 4,396.00 SCRW TEMPORAL 1 215 PLAT SAGITAL REG 6 HOLE 1 161 PLAT CURVED 2 X 7 HOLES 1 1,204.00 SCRW MMF 2.0X15MM 1 155 SCRW MMF 2.0X12MM 1 155 PLAT ANGLE 2.0 MM 1 2,089.00 L PLAT 4X6 HOLE LT 1 587 PLAT PERI CANNU CON 5.5X60MM 1 181 SCRW MANDIBLE 2.3X6MM 1 142 TROCH FEM NAIL LT 14MMX42CM 1 1,541.00 PLAT ORBIT 1- HOLE 1 431 PLAT LC-DCP 9 HOLE 1 136 PLAT PROV ANT CERV 2-LVL, 36MM 1 4,396.00 SCRW LOCK 2.0 X 17 MM 1 166 PIN CLAMP 75MM-2BAR 1 1,872.00 BAR TO BAR CLAMP 3-D 1 989 PIN CLAMP 45MM, 2-BAR 1 1,774.00 REV T-CONN ADJ LO PRF 64-25MM 1 1,750.00 ELLIPSE TAPER ROD 350MM 1 835 TEMPLATE STRAIGHT FULL 1 118 PLAT PROV ANT CERV 1-LVL 18MM 1 4,151.00 SPCR IMPL RADL MED 9MM 1 1,950.00 IMPL CUSTOM MALAR HTR PMI, LT 1 9,218.00 IMPL CUSTOM MALAR HTR PMI, RT 1 9,218.00 TEMPLATE CURVED 1 118 FORTIFY STATIC FTPRNT12X14MM 1 12,740.00 PLAT CLAV NAR 6 HOLE LT 1 1,400.00 PLAT CURVED ORBITAL 18 HOLES 1 789 PLAT SEGMENTED RIGID BLUE 1 256 PLAT COMP NAR 8 H 4.5X135MM 1 139 PLAT L 2X2MM 1 633 ARTICULAR SURFACE SZ YEL C/D 1 1 2,953.00 NAIL FEM CEPHAL BLUE 10MMX38CM 1 2,016.00 ALLOGRF FORGE CRV SPCR 12X14X8 1 1,429.00 PLAT TRIANG RIGID 3 HOLE BLUE 1 342 PLAT TRIANG RIGID 3 HOLE BL LG 1 342 PLAT MICRO DOUBLE Y-SHAPE 1 353 PLAT STR LONG 1.0MM 1 577 PLAT ONE-THIRD TUB 12 H, 145MM 1 98 ENDOPROST VIABAHN 6MMX5CM 6FR 1 4,172.00 SPACER CALIBER 10X22, 8-12MM 1 8,438.00 TISSUE CRUSH CANCELLEOUS 30CC 1 738 PLAT CHAMPY SMALL 1.0MM 1 225 PLAT 7 HOLE 1 1,558.00 INTRLOCK FIB IDC OCCL 6MMX20CM 1 796 INTRLOCK DETACH COIL 15MMX40CM 1 1,560.00 INTRLOCK DETACH COIL 20MMX40CM 1 1,560.00 PLAT LOCK Y-SHAPE 2.5MM 1 950 PLAT SM FRAG LOCK HS Y 1 1,181.00 BSS 500CC BOTTLE 1 40 HC TREATMENT OF FOOT INFECTION 1 6,145.00 HC FASCIOTOMY FOOT &/OR TOE 1 504 HC PARTIAL REMOVAL OF TOE 1 5,733.00 HC INTERPHALANG TOE JNT EXC EA SGL 1 5,733.00 HC REMOVAL FB FOOT;SUBCUTANEOU 1 1,582.00 HC CLOSED RX HEEL FX 1 504 HC CLOSED RX HEEL FX,MANIPULATN 1 1,681.00 HC CLOSED RX TARSAL FX,MANIP,EACH 1 5,736.00 HC TX METATARSAL FX;W/O MAN 1 504 HC TX METATARSAL FX;W/ MAN 1 504 HC TX FX GT PHALNX(S) W MANIP 1 428 HC TOE CL FX REDUCTION 1 428 HC TOE CLOSE FRACTURE 1 323 HC CLOSED RX TARSAL DISLOCATION 1 504 HC TX METATARSOPHALANGEAL J 1 626 HC TX PHALANGEAL JT W/O ANE 1 626 CL TX IP JNT DISL; W ANESTH 1 1,965.00 HC APPLY SHOULDER CAST,SPICA 1 526 HC LONG ARM CAST 1 526 HC CAST APPL SHORT ARM,ELBOW-F 1 452 HC CAST APPL LOWER FOREARM-HAN 1 526 HC APPLY FINGER CAST 1 301 ER-LONG ARM SPLINT 1 262 HC LONG ARM SPLINT 1 301 HC ARM/WRIST;VOLAR OR GUTTER S 1 311 HC APPLY SHORT ARM SPLINT; DYNAMIC 1 123 ER-FINGER SPLINT 1 262 HC FINGER SPLINT 1 105 HC APPLY FINGER SPLINT; DYNAMIC 1 123 HC SHOULDER IMMOBILIZER 1 123 HC STRAPPING,ELBOW-WRIST 1 123 HC STRAPPING, HANDS-FINGER 1 123 HC APPLY LONG LEG CAST 1 526 ER-LONG LEG CAST APPLICATION 1 452 HC CAST APPL SHORT LEG 1 526 HC SHORT LEG CAST, WALKING 1 526 HC CASTELLAR BEARING CAST 1 526 HC APPLY TOTAL CONTACT LEG CAST 1 526 HC APPLY CLUBFOOT CAST LONG OR SHORT LEG 1 526 HC LEG LONG SPLINT 1 301 HC LEG SHORT SPLINT 1 301 ER-KNEE IMMOBILIZER 1 203 HC KNEE IMMOBILIZER 1 203 HC ANKLE;ACE/MOD JONES DRESSIN 1 203 HC TOE BUDDY TAPING 1 123 CL-UNA BOOT BILAT STRAPPING 1 205 CL-UNA BOOT BILAT STRAPPING 1 205 HC ANKLE/LEG UNNA BOOT 1 294 HC HBO-APPLY MULTLAY COMPRS LWR L 1 301 HC REMOVAL GAUNTLET/BOOT/CAST 1 301 HC REMOVAL ARM OR LEG CAST 1 526 HC ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING 1 3,160.00 ER-DRAIN ABSC/HEMAT NASAL INT 1 660 HC BODY MASS INDEX (BMI) DOCUMENTED 1 0.01 HC EXCISION NASAL POLYPS 1 2,443.00 HC SCREENING MAMMO RESULTS DOCUMENTED AND REVIEWED 1 0.01 HC COLORECTAL CA SCREEN RESULTS DOCUMENT/REVIEW 1 0.01 HC SPIROMETRY RESULTS DOCUMENTED AND REVIEWED 1 0.01 HC FB REMOVAL INTRANASAL 1 286 HC MOST RECENT HEMOGLOBIN A1C LEVEL <7.0% 1 0.01 HC MOST RECENT HEMOGLOBIN A1C LEVEL 7.0-9.0% 1 0.01 HC HEMOGLOBIN A1C LEVEL > 9.0% 1 0.01 HC MOST RECENT LDL-C < 100 MG/DL 1 0.01 HC MOST RECENT LDL-C 100-129 MG/DL 1 0.01 HC MOST RECENT LDL-C >= 130 MG/DL 1 0.01 HC POS MICROALBUMINURIA RESULT DOCUMENTED/REVIEW 1 0.01 HC NEG MICROALBUMINURIA RESULT DOCUMENTED/REVIEW 1 0.01 HC POS MACROALBUMINURIA RESULT DOCUMENTED/REVIEW 1 0.01 HC DOCUMENTATION OF TREATMENT FOR NEPHROPATHY 1 0.01 HC MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG 1 0.01 HC MOST RECENT SYSTOLIC BLOOD PRESS GE 130-139MM HG 1 0.01 HC MOST RECENT SYSTOLIC BLOOD PRESSURE >= 140 MM HG 1 0.01 HC MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG 1 0.01 HC MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG 1 0.01 HC MOST RECENT DIASTOLIC BLOOD PRESSURE >= 90 MM HG 1 0.01 ER-EPISTAXIS, SIMPLE 1 329 HC EPISTAXIS, SIMPLE 1 329 HC EPISTAXIS,ANTERIOR PACK 1 331 HC EPISTAXIS,POSTERIOR PACKS 1 331 HC CENTRAL DXA ORDERED 1 0.01 ER-NASAL ENDOSCOPY 1 355 NASAL ENDOSCOPY W/CONTROL OF H 1 4,174.00 HC ENDOTRACHEAL INTUBATION 1 259 HC TRACHEOTOMY TUBE CHANGE 1 259 HC LARYNGOSCOPY 1 190 HC FB REMOVAL;IND LARYNGOSCOPY 1 361 HC LARYNGOSCOPY,DIRECT,DIAGNOSTIC 1 2,519.00 ER-LARYNGOSCOPY W/FB REMOVAL 1 4,174.00 HC LARYNGOSCOPY, FLEX, FIBROPTIC 1 301 HC TRACHEOSTOMY-CRICOTHYROIDOT 1 3,118.00 HC BRONCHOSCOPY; DIAGNOSTIC 1 2,110.00 HC BRONCHOSCOPY W/BRUSHINGS 1 2,110.00 BRONCHOSCOPY W/B.A.L. 1 2,083.00 HC BRONCHOSCOPY W/B.A.L. 1 2,110.00 HC BRONCHOSCOPY W/BIOPSY 1 2,110.00 HC BRONCHO W/TRANSBRONCH LUNG BIO 1 5,719.00 HC BRONCHO W/TRANSBRON NEED ASP B 1 4,513.00 BRONCHO W/REMOV OF FOREIGN BOD 1 2,083.00 HC BRONCHOSCOPY W/DESTRUCT TUMOR 1 4,513.00 HC BRONCHO W/INIT ASP TRACHEO TRE 1 2,110.00 BRONCHO W/SUB ASP TRACHEO TREE 1 2,083.00 ER-TRACHEOSTOMY TUBE REPLACEME 1 1,999.00 HC GROUP A STREP TEST PERFORMED 1 0.01 HC THORACOTOMY W/CARDIAC MASSA 1 3,031.00 HC PLEURA BIOPSY 1 2,480.00 CT LUNG OR MEDIASTINUM, BIOPSY 1 2,909.00 HC LUNG OR MEDIASTINUM, BIOPSY 1 2,480.00 ER-INSERTION OF CHEST TUBE 1 1,070.00 HC INSERTION OF CHEST TUBE 1 1,153.00 HC ASPIRATE PLEURA W/O IMAGING 1 825 HC THORACENTESIS/ ASP PLEURA W 1 1,153.00 HC CHEST TUBE/ DRAIN PLRA W/ I 1 1,153.00 HC IOP REDUCED >= 15% HCE-INTERVENTION LEVEL 1 0.01 HC FALLS RISK ASSESSMENT DOCUMENTED 1 0.01 HC PERICARDIOCENTESIS 1 1,115.00 PERICARDIOCENTESIS INITIAL 1 1,115.00 HC INSR/REPL PACE W/TV ATRI ELEC 1 18,987.00 HC INSR/REPL PACE W/TV VENTR ELEC 1 19,987.00 HC INS/REP PACE W/TV A/V ELECT. 1 18,987.00 ER-PM INSERT TEMP TRANSVENOUS 1 16,411.00 HC PM INSERT TEMP TRANSVENOUS 1 16,411.00 TEMPORARY PACEMAKER INSERTION 1 16,411.00 HC INS/REPL PACE GENE ONLY SGL CH 1 13,091.00 HC INS/REPL PACE GENE ONLY DUA CH 1 18,987.00 HC UPGRADE IMPL PACEMKR SC TO DC 1 18,987.00 REPOSITION PACE-DEFIB LEAD 1 3,093.00 HC INSERTION TV SC ELECTRODE 1 13,091.00 HC INSERTION TV ELECT. DC PMKER 1 13,091.00 HC PACER POCKET REVISION 1 2,815.00 HC REVISE POCKET SC/DC ICD 1 2,815.00 LV PACING LEAD ADD-ON 1 39,501.00 REPOSITION LEFT VENTRIC. LEAD 1 4,606.00 REMOVE&REPLACE PM GEN SINGL SY 1 13,194.00 REMV&REPLC PM GEN DUAL LEAD SY 1 14,471.00 REMOVE PERM. PACE/PULSE GEN. 1 16,411.00 REMOVE 1-PACER LEAD ONLY 1 3,189.00 HC INSERTION SC/DC ICD GENERATOR 1 45,833.00 HC SUBQ REMOVAL ICD GENERATOR 1 4,694.00 REMOV ICD LEAD TRANSVN EXTRACT 1 4,606.00 HC INSERT/REPOS ICD & LEAD(S) 1 61,637.00 REMV&REPLC DEFIB GEN SING LEAD 1 47,833.00 REMV&REPLC DEFIB GEN DUAL LEAD 1 47,833.00 HC INSERT/REPLACE PERM SID SYS W/ELECT 1 72,632.00 HC IMPL PT ACTIV CARD LOOP REC 1 13,091.00 HC REMOV PT ACTIV CARD LOOP 1 1,653.00 HC INSJ SUBQ CAR RHYTHM MNTR 1 17,343.00 HC RMVL SUBQ CAR RHYTHM MNTR 1 1,357.00 HC STAND SCREEN TOOL NEGATIVE FOR DEHCESSION 1 0.01 HC STAND SCREEN TOOL NO SIGNIF DEPRESS SYMPTOMS 1 0.01 HC STAND SCREEN TOOL MILD - MOD DEPRESS SYMPTOMS 1 0.01 HC AJCC BREAST CANCER STAGE 0 DOCUMENTED 1 0.01 HC ECMO/ECLS INITIATION VENOUS 1 788 HC ECMO/ECLS DAILY MGMT-VENOUS 1 600 IABP 1 7,508.00 HC EVASC RPR A-AO NDGFT 1 1,576.00 HC EVASC RPR A-AO NDGFT RPT 1 2,349.00 HC EVASC RPR A-UNILAC NDGFT 1 1,792.00 HC EVASC RPR A-UNILAC NDGFT RPT 1 2,969.00 HC EVAC RPR A-BIILIAC NDGFT 1 1,960.00 HC EVASC RPR A-BIILIAC RPT 1 2,949.00 HC EVASC RPR ILIO-ILIAC NDGFT 1 1,470.00 HC EVASC RPR ILIO-ILIAC RPT 1 2,362.00 HC PLMT XTN PROSTH EVASC RPR 1 416 HC DLYD PLMT XTN PROSTH 1ST VSL 1 1,028.00 HC DLYD PLMT XTN PROSTH EA ADDL 1 384 HC CHLAMYDIA AND GONORRHEA SCREENINGS DOCUMENTED AS PERFORMED1 0.01 ER-SUTURE OF ARTERY UPPER EXT 1 6,860.00 ER-SUTUR OF VESSEL LOWER EXT 1 5,498.00 HC TBA PERC RENAL/VISC ART 1 10,693.00 HC TBA PERC RT ENTRY TO AORTA 1 10,693.00 HC TBA PERC RT BRACHIOCEPH TRNK/B 1 10,693.00 HC TBA PERC VENOUS 1 10,693.00 HC NTRO NEEDLE/INTERCATH VEIN 1 412 HC C-SECTION 1 2,875.00 HC C-SECTION COMPLICATED 1 6,450.00 HC D & C AFTER DELIVERY OR ABORTI 1 3,239.00 HC HERNIA REPAIR 1 1,842.00 HC HYSTERECTOMY 1 2,400.00 HC OVARIAN CYSTECTOMY 1 1,842.00 HC TUBAL LIG AT DELIVERY 1 1,686.00 HC REMOVAL OF CERCLAGE 1 2,848.00 HC LACERATION REPAIR (VAGOR CX) 1 2,006.00 HC C-SECTION W/TUBAL LIGATION 1 3,386.00 HC TUBAL STERILIZATION-ABDOMINAL 1 1,405.00 HC CERCLAGE INSERTION 1 1,315.00 HC INTRO CATH SVC/IVC 1 1,475.00 HC CATH PLCMT VENOUS 1ST ORDER 1 1,885.00 CATH PLCMT BIL VENOUS 2ND ORDE 1 6,222.00 CATH PLCMT LT VENOUS 2ND ORDER 1 3,111.00 CATH PLCMT RT VENOUS 2ND ORDER 1 3,111.00 HC SELECT CATH PULM ARTERY 1 2,102.00 HC INTRO NEEDLE BRACHIAL ART 1 1,540.00 HC INSERT ARTERIAL LINE 1 1,680.00 HC ACCESS AV DIAL GRFT FOR EVAL 1 1,949.00 HC INTRO NEEDLE AORTIC TRANSLUMBA 1 1,750.00 INTRO CATH AORTA 1 2,079.00 CATH PLCMT THOR/BRACH EA ADD'L 1 1,663.00 HC SELECTIVE CATHETER PLACEMENT COMMON CAROTID OR INNOMINATE1 ARTERY,5,120.00 EXTRACRANIAL CAROTID HC SELECTIVE CATHETER PLACEMENT, COMMON CAROTID OR INNOMINATE1 ARTERY,5,120.00 INTRACRANIAL CAROTID HC SELECTIVE CATHETER PLACEMENT INTERNAL CAROTID ARTERY 1 10,650.00 HC PLACE CATH SUBCLAVIAN/INNO ART 1 6,032.00 HC PLACE CATH VERTEB ART RT W S&I 1 12,543.00 HC PLACE CATH EXTRNL CAROTID 1 7,500.00 SELECT CATH PLMT 1ST ORDER 1 2,058.00 SEL CATH ART 2ND ABD PEL 1 2,314.00 CATH PLCMT BIL ABD/PEL ART 3RD 1 5,105.00 HC SEL CATH ART 3RD ABD PEL 1 4,254.00 SEL CATH ART 3RD ABD PEL 1 4,254.00 HC INS CATH RENAL ART 1ST ORDER U 1 6,032.00 HC INS CATH RENAL ART 1ST ORDER B 1 6,032.00 HC INS CATH RENAL ART 2ND ORDER U 1 9,620.00 HC INS CATH RENAL ART 2ND ORDER B 1 9,620.00 HC VENIPUNCT<3YRS,JUG FEM O/SA 1 105 HC VENIPUNCTURE CHLD<3 SCALP 1 106 HC VENI SCALP VEIN(UNDER 3) 1 121 HC VENIPUNCT<3YRS, OTHER VEIN 1 35 HC VENIPUNCT<3YRS, OTHER VEIN 1 35 HC VENI DIFFICULT (OVER 3) 1 55 VENIPUNCTURE, GREATER THAN 3 Y 1 55 ER-VENIPUNCTURE 1 32 HC VENIPUNCTURE 1 32 ROUTINE VENIPUNCTURE 1 32 VENIPUNCTURE 1 32 HC FINGER, HEEL, EAR STICK 1 34 HC FINGER, HEEL, EAR STICK 1 34 HC VENI CUTDOWN (UNDER 11) 1 132 HC VENI CUTDOWN (OVER 11) 1 620 ER-TRANSFUSION(BLOOD/COMPONENT 1 547 HC TRANSFUSION(BLOOD/COMPONENT 1 595 IV BLOOD ADMIN 1 547 HC BLOOD TRANSFUSION PUSH,<2 Y/O 1 595 HC EXCHANGE TRANSF OTHER THAN NB 1 595 HC PDT-FETAL TRANSFUSION 1 700 HC INJECTION THERAPY VEIN,MULT VEINS 1 688 VENOUS CATH FOR BLOOD SAMPLE 1 3,000.00 HC UMBILICAL ARTERY CATH 1 266 THERAPEUTIC LEUKAPHERESIS 1 1,986.00 HC THER APHARESIS FOR RBC 1 2,111.00 HC PLATELETS APHERESIS 1 2,111.00 HC PLASMA PHERESIS 1 2,111.00 THE/APH W EXT CORP IMM/ADS&PLS 1 4,817.00 HC APHERESIS IMMUNOADS SLCTV 1 8,703.00 ER-INSERT NONTUNN CV CATH <5YR 1 1,345.00 ER-INSRT NON-TUNN CV CATH >5YR 1 2,553.00 HC INSRT NON-TUNN CV CATH >5YR 1 1,988.00 INSERT NON-TUNN CVC AGE 5 OLDE 1 2,553.00 HC INSRT CVC-TNL W/O PORT < 5 AGE 1 5,268.00 HC INSRT CVC TNL W/O PORT AGE 5 > 1 5,268.00 HC INSRT CVAD W/PORT < AGE 5 1 5,268.00 HC INSRT TNL CVAD W/PORT > AGE 5 1 5,268.00 HC INSRT PICC W/O PORT < AGE 5 1 1,987.00 HC INSRT PICC W/O PORT AGE 5 > 1 1,987.00 HC INSRT PICC W/O PORT AGE 5 > 1 1,987.00 HC INSRT CVAD W SUBQ PORT AGE 5 > 1 4,473.00 HC RPLMT CNT COMPL TNL CVAD W POR 1 5,268.00 HC MIDLINE CATHETER EXCHANGE 1 1,018.00 HC PICC LINE EXCHANGE 1 2,035.00 HC REMOVE TNL CV CATH 1 1,150.00 HC EXCHANGE TRANSFUSION, NEWBORN 1 595 HC COLLECT BLD FRM VENO CATH/PICC 1 158 CL-DECLOTTING OF IMPLT VASC DE 1 657 HC DECLOT VASC THROMBO AGENT 1 460 HC REPOSITION CVC FLUOROGUIDE 1 1,987.00 HC CV ACCESS DEVICE CHECK 1 460 ARTERIAL BLOOD GAS SAMPLING 1 176 ARTERIAL PUNCTURE 1 176 ER-ARTERIAL PUNCTURE-ABG 1 176 HC ABG DRAW 1 264 HC TENSILON TEST 1 318 HC CATH/CANNU SAMPL MONIT TRANSF 1 775 HC INTRAOSSEOUS INFUSION 1 478 HC INTRO CATH DIALYSIS CIRCUIT 1 1,609.00 HC INTRO CATH DIALYSIS CIRCUIT W/ TBA 1 11,346.00 HC INTRO CATH DIALYSIS CIRCUIT W/ STENT PL 1 22,931.00 HC THRMBC/NFS DIALYSIS CIRCUIT 1 34,758.00 HC THRMBC/NFS DIALYSIS CIRCUIT W/TBA 1 22,931.00 HC THRMBC/NFS DIALYSIS CIRCUIT 1 34,758.00 HC BALO ANGIOP CTR DIALYSIS SEG 1 1,784.00 HC INS TRANSV INTRAHEP(TIPS) 1 2,250.00 HC PRIM ART M-THRMBC 1ST VSL 1 8,953.00 HC PRIM ART M-THRMBC SBSQ VSL 1 1,314.00 HC SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL 1 3,291.00 HCPERCUT MECH THROMBECTOMY, VENOUS 1 8,953.00 HC PERCUT MECH THROMBECTOMY, VENOUS, REPEAT 1 5,301.00 HC INS ENDOVAS VENA CAVA FILTER 1 5,268.00 HC INSERTION OF IVC FILTER 1 8,952.00 HC REPOSITIONING OF IVC FILTER 1 5,302.00 HC RETRIEVAL OF IVC FILTER 1 5,302.00 HC REMOVE INTRVAS FOREIGN BODY W 1 5,268.00 HC SURG TRANSCATH BX 1 5,268.00 HC THROMBOLY ART THRPY INITIAL DA 1 9,231.00 HC THROMBOLY VENOUS THRPY INITIAL 1 5,553.00 HC THROMBOLY VENOUS THRPY INITIAL 1 5,553.00 HC THROMBLY ART/VEN THRPY SUBSEQN 1 5,270.00 HC CESSATION THROMBOLTHRPY CATH R 1 5,268.00 HC STENT PLACEMENT RETRO CAROTID 1 2,859.00 ILIAC VESS STENT INCLUDING TLA 1 22,941.00 FEM/POP ART UNILAT TLA 1 7,560.00 FEM/POP ART UNILAT ATHEREC INC 1 16,051.00 RT FEM/POP ART STENT TLA 1 16,051.00 LT TIB/PER INIT VESS 1 22,941.00 TIB/PERON UNILAT INITIAL VESS 1 22,941.00 TIB/PERON UNILAT INITIAL STENT 1 34,772.00 HC TRANSCATH STNT, OPEN/PERCUT, W/RAD/PTA, 1 ARTERY 1 22,941.00 HC TRANSCATH STNT, OPEN/PERCUT, W/RAD/PTA, ADD ART 1 17,189.00 HC TRANSCATH STNT, OPEN/PERCUT, W/RAD/PTA, 1 VEIN 1 22,941.00 HC EMBOL VENOUS NOT HEM, E.G., AV ACCESS 1 22,941.00 HC VASC EMBOLIZATION, OTHER THAN HEMORRHAGE OR TUMOR 1 22,510.00 HC VASC EMBOLIZE/OCCLUDE ORGAN 1 22,680.00 HC ARTERIAL/VENOUS HEMORRHAGE OR LYMPHATIC EXTRAVASATION 1 19,255.72 HC ARTERIAL/VENOUS HEMORRHAGE OR LYMPHATIC EXTRAVASATION 1 22,510.00 HC TRLUML BALO ANGIOP 1ST ART 1 11,346.00 HC TRLUML BALO ANGIOP ADDL ART 1 2,125.00 HC TRLUML BALO ANGIOP 1ST VEIN 1 11,346.00 HC TRLUML BALO ANGIOP ADDL VEIN 1 1,560.00 HC INTRVASC US NONCORONARY 1ST 1 3,390.00 HC INTRVASC US NONCORONARY ADDL 1 1,164.00 HC SCREENING FOR DEPRESSION PERFORMED 1 0.01 ER-LIGATION SHORT ASPH VEIN 1 5,122.00 HC VASCULAR SURGERY PROCEDURE UNLIST 1 2,035.00 HC BONE MARROW; ASPIRATION ONLY 1 1,653.00 HC BONE MARROW;BIOP,NEEDLE/TROCAR 1 1,653.00 HC BONE MARROW BIOSPY & ASPIRATION 1 3,161.00 HC BX LYMPH NDL SUPERFICIAL 1 2,480.00 HC BX/REMV,LYMPH NODE,DEEP CERV 1 5,161.00 HC TOBACCO USE TXMNT COUNSELING 1 0.01 HC TOBACCO USE TXMNT, PHARMACOL 1 0.01 HC PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK 1 0.01 HC PHARMACOLOGIC OSTEOPOROSIS THERAPY HCESCRIBED 1 0.01 HC ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN 1 0.01 HC BLADDER SCAN 1 123 HC PNEUMOCOCCAL IMMUNIZATION ORDERED OR ADMINISTERED 1 0.01 HC REPAIR LIP-VERMILION 1 813 HC REPAIR LIP FT, UP TO 1/2 VERT HEIGHT 1 813 HC REPR LIP FULL THICK >1/2 VERT 1 2,443.00 HC I&D BUCCAL ABSCESS 1 1,268.00 HC REMOVAL FB MOUTH 1 620 CL-BIOPSY ORAL MACOSA 1 545 HC CLOSURE LAC VESTIBULE MOUTH 1 660 CL-BIOPSY TONGUE ANT 2/3 1 979 HC ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED 1 0.01 HC REPAIR TONGUE LAC <2.5CM 1 456 ER-LACERATION TONGE > 2.6 CM 1 1,469.00 HC ACUTE OTITIS EXTERNA TOPICAL HCEPS HCESCRIBED 1 0.01 HC SYSTEMIC ANTIMICROBIAL TX HCESCRIBED 1 0.01 HC SYSTEMIC ANTIMICROBIAL TX NOT HCESCRIBED 1 0.01 HC COUNSEL BENEFIT/RISK AREDS FOR MAC DEGENERATION 1 0.01 ER-INCI & DRAIN OF GUM(PERIAPI 1 295 HC GINGIVECTOMY EA QUAD 1 4,587.00 HC DESTR. LESION DENTOALVEOLAR 1 3,313.00 HC SUTURE OF GUM 1 3,248.00 ER-I&D ABSCESS PALATE, UVULA 1 660 CL-BIOPSY OF PALATE UVU/A 1 2,443.00 ER-REPAIR PALATE LAC UP TO 2CM 1 660 CL-DRAINAGE ABSCSS PAROTID SIM 1 2,209.00 ER-ABSCESS I&D PERITONSILLAR 1 660 HC ABSCESS I&D PERITONSILLAR 1 727 HC REMOVAL FB PHARYNX 1 620 HC PATIENT SCREENED FOR HIGH-RISK SEXUAL BEHAVIOR 1 0.01 HC EDG PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE 1 2,567.00 HC EGD REMOVAL OF FOREIGN BODY 1 1,491.00 HC ERCP REMOVE DUCT CALCULI 1 4,672.00 HC ERCP LITHOTRIPSY CALCULI 1 4,672.00 DILATION ESOPH OVER GUIDE WIRE 1 3,140.00 HC GASTROTOMY,ESOPH DIL+PERM TUBE 1 1,758.00 HC NG TUBE PLCMT FLUORO 1 447 HC TX GASTRO INTUB W/ASP 1 546 DX GASTR INTUB W/ASP SNGL SPEC 1 546 DX GASTR INTUB W/ASP MULTI SPE 1 158 HC CHANGE GASTROSTOMY TUBE PER 1 460 HC REPOSITION GASTRIC FEEDING TUB 1 1,491.00 HC RPLC GTUBE NO REVJ TRC 1 542 HC RPLC GTUBE REVJ GSTRST TRC 1 542 HC GASTROSTOMY,OPEN,W/O TUBE CNSTR 1 4,672.00 HC SURG INTRO LONG G.I. TUBE 1 1,150.00 HC IN HOUSE/ON ARRIVAL TRAUMA EVALUATION 1 3,000.00 HC I&D SUBMUCOSAL ABSC, RECTUM 1 2,720.00 HC CT I&D PELVIRECTAL/RETRORECTAL 1 3,428.00 CL-SIGMOIDOSCOPE, RIGID 1 1,160.00 HC SIGMOIDOSCOPE, FLEXIBLE 1 987 HC SIGMOIDOSCOPY,BIOPSY 1 987 HC REM FECAL IMPACT/FB W/ANEST 1 2,720.00 ER-RECTAL TUBE INSERTION 1 1,034.00 ER-I&D ABSCESS PERIRECTAL 1 4,620.00 HC ABSCESS I&D PERIANAL 1 1,042.00 HC THROMB HEMORRHOID I&D EXT 1 785 HC BANDING HEMORRHOID EXT 1 1,571.00 ER-EXC EXT THROMBOSD HEMORHOID 1 4,620.00 HC ANOSCOPY 1 263.5 HC ANOSCOPY W FB REMOVAL 1 1,782.00 ER-UNLISTED PROCEDURE ANUS 1 1,034.00 HC LIVER BIOPSY 1 2,480.00 HC LIVER ABLATION, 1 OR MORE TUMORS, PERCUTANEOUS, RADIOFREQUENCY1 10,527.00 CT CHOLECYSTOSTOMY 1 5,478.00 HC PERCUTANEOUS CHOLECYSTOSTOMY 1 7,703.00 HC INJECTION PROCEDURE FOR CHOLANGIOGRAPHY, PERCUTANEOUS, EXISTING1 6,734.00 ACCESS HC INJECTION PROCEDURE FOR CHOLANGIOGRAM, PERCUTANEOUS TRANSHEPATIC,1 5,136.00 NEW ACCESS HC PLMT BILIARY DRAINAGE CATH EXT 1 5,136.00 HC PLMT BILIARY DRAINAGE CATH INT AND EXT 1 5,136.00 HC CONVERSION EXT BIL DRG CATH 1 5,136.00 HC EXCHANGE BILIARY DRG CATH 1 5,136.00 HC REMOVAL BILIARY DRG CATH 1 1,139.00 HC PERQ PLMT BILE DUCT STENT;EXIS ACCESS 1 9,715.00 HC PERQ PLMT BILE DUCT STENT; NEW ACCESS 1 9,715.00 HC PERQ PLMT BILE DUCT STENT;NEW ACCESS W/CATH 1 9,715.00 HC PLMT ACCESS BIL TREE SM BWL 1 5,136.00 HC DILATE BILIARY DUCT/AMPULLA 1 2,119.00 HC ENDOLUMINAL BX BILIARY TREE 1 2,635.00 HC REMOVAL DUCT GLBLDR CALCULI 1 3,183.00 HC DILATION BIL.STRICTURE WO STEN 1 4,319.00 HC PLACEMENT OF CHOLEDOCHAL STENT 1 3,706.00 REMOVE CHOLECYSTOSTOMY CATH 1 5,016.00 HC PLC PARIPANCREAS DR FOR AC PANCREATITIS 1 7,287.00 CT PLCMNT DRAIN CHOLECYSTOSTOM 1 6,016.00 HC PANCREAS BIOPSY 1 2,480.00 BIOPSY TRAY KIT 1 199 HC CYSTOMETR W VP & UP 1 881 HC COMPLEX UROFLOWMETRY 1 267 HC ANAL/URINARY MUSCLE NON-NDLE S 1 267 HC INTRA ABD VOIDING PRESSURE 1 350 HC ABDOM PARACENTESIS W/O IMAG 1 1,153.00 HC ABDOM PARACENTESIS W/ IMAGI 1 1,153.00 HC PERITONEAL LAVAGE 1 1,646.00 HC ABDOMEN/RETROPERITONEAL BX 1 2,480.00 HC IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER LIVER/KIDNEY/SPLEEN/LUNG1 2,105.00 MIDIASTINUM HC IMAGE-GUIDED COLLECTION DRAINAGE BY CATHETER, PERCUTANEOUS,1 PERITONEAL2,105.00 OR RETROPERITONEAL HC IMAGE-GUIDED FLUID COLLECTION DRAINAGE, PERITONEAL OR RETROPERITONEAL/TRANSVAGINAL/TRANSRECTAL1 2,105.00 HC ABS/CYST DRAIN CATH EXCHANG 1 3,037.00 HC TUBE CHECK FOR CYST/ABSCESS 1 215 HC PERC PLCMT GASTROSTOMY TUBE 1 2,508.00 HC PLACE DUO/JEJ TUBE PERC 1 2,508.00 HC CHANGE G TUBE TO GASTRO-JEJUNO 1 2,508.00 HC REPLACEMENT GASTROSTOMY OR CECOSTOMY TUBE, PERCUTANEOUS,1 FLOUROSCOPY1,139.00 GUIDANCE HC HC REPLACE GASTRO-JEJUNO TUBE PERC UNDER FLUORO GUIDE INCL1 CONTRAST1,150.00 INJ HC CONTRAST INJ FOR GASTROSTOMY 1 356 HC NEPHROSTOMY WITH DRAINAGE 1 2,253.00 HC RENAL BIOPSY 1 2,480.00 REMOVE URETER STENT PERC 1 3,576.00 CL-REMOVE STENT VIA TRANURETH 1 3,869.00 HC US-ASP/INJ REN CYST OR PELV RT 1 2,480.00 HC PYELOGRAPHY THRU NEPHRO/PYELO 1 4,911.00 HC INJECTION PROCEDURE FOR ANTEGRADE NEPHROSTOGRAM AND OR 1URETEROGRAM1,237.00 HC INJECTION PROCEDURE FOR ANTEGRADE NEPHROSTOGRAM THROUGH1 EXISTING1,237.00 ACCESS HC PLACEMENT OF NEPHROSTOMY CATHETER, PERCUTANEOUS, INCLUDING1 DIAGNOSTIC3,554.00 HC PLMT NEPHROURETERAL CATHETER 1 3,554.00 HC EXCHANGE NEPROSTOMY CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC1 1,237.00 NEPHROSTOGRAM HC DILAT XST TRC NDURLGC PX 1 4,075.00 HC DILAT XST TRC NEW ACCESS RCS 1 6,856.00 LITHOTRIPSY/ESWL 1 8,196.00 HC ENDOLUMINAL BX URTR RNL PLVS 1 2,298.00 HC PLMT URETERAL STENT PRQ; EXIST ACCESS 1 5,292.00 HC PLMT URETERAL STENT PRQ;NEW ACCESS 1 5,292.00 HC PLMT URETERAL STENT PRQ;NEW ACCESS W/CATH 1 5,292.00 HC URETERAL EMBOLIZATION/OCCL 1 2,955.00 HC BALLOON DILATE URTRL STRIX 1 2,709.00 HC DRAIN BL W/CATH INSERTION 1 4,020.00 HC INJ.CYSTO/URETHROCYSTOGRAPHY 1 448 HC BLADDER IRRIGATION 1 428 HC STRGHT CATH FOR RESIDUAL UR 1 203 ER-FOLEY CATH SIMPLE 1 221 HC FOLEY CATH SIMPLE 1 221 HC FOLEY/URETH.CATH.SIMPLE 1 264 HC COMPLICATED BLADDER CATH 1 226 HC CYSTOSTOMY TUBE REPLACEMENT 1 508 HC CHANGE OF BLADDER TUBE,COMPLICATED 1 976 HC SIMPLE CYSTOMETROGRAM 1 487 HC CYSTOGRAM, COMPLEX 1 1,237.00 HC CYSTOMETR W UP 1 1,237.00 WHC-CYSTOMETROG W VP 1 1,292.00 HC SIMPLE UROFLOWMETRY 1 215 ANAL/URINARY MUSCLE NEEDLE STU 1 420 URINARY REFLEX STUDY 1 289 CL-BLADDER SCAN 1 134 HC CYSTOURETHROSCOPY 1 1,237.00 HC CYSTOSCOPY,INTERN URETHROTOMY,FEMALE 1 2,454.00 ER-CYSTOSCOPY W DILATION OF ST 1 3,283.00 HC CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER 1 3,554.00 HC DRAINAGE SKENES GLAND ABSCESS 1 3,554.00 HC EXCIS SKENE'S GLANDS 1 5,292.00 HC DILATION MALE URETHRA,INITI 1 504 HC DILATION MALE URETHRA,SUBSQ 1 226 HC DILATION FEMALE URETHRA, IN 1 267 HC DILATION FEMALE URETHRA,SUB 1 267 HC REMOVE STONE URINARY 1 508 ER-SLITTING PREPUCE 1 3,919.00 CL-CIRCUMCISION >= 29DAYS OLD 1 2,992.00 HC CIRCUMCISION <= 29DAYS OLD 1 3,624.00 HC CIRCUMCISION,OTHER,<28 D/O 1 3,554.00 HC IRRIGATION CORPORA 1 517 HC INJECTION OF CORPORA CAVERNOSA 1 504 NOCTURNAL PENILE TUMESCENCE&/O 1 618 HC INSERT SEMI-RIGID PENILE 1 17,523.00 HC REDUCTION OF PHIMOSIS 1 504 HC I&D EPIDIDYMIS TESTIS/SCROT 1 4,488.00 CL-ASP HYDRUCELE TUNICA VAG 1 1,268.00 DRAINAGE SCROTAL WALL ABSCESS 1 2,444.00 HC CT PROSTATE, BIOPSY 1 3,446.00 HC PERCUT/NEEDLE INSERT,PROSTATE,RADIOISOT 1 5,292.00 HC I&D OF VULVA 1 592 HC ABSCESS I&D;BARTHOLIN'S GLA 1 554 ER-LYSIS OF LABIAL ADHESIONS 1 3,864.00 HC DESTROY VULVA LESIONS SIMP 1 3,329.00 HC DESTRUCTION,LESION(S),VULVA;EXTENSIVE 1 5,042.00 HC VULVA, BIOPSY PROCEDURE 1 592 HC BX,VULVA/PERINEUM,ADDL LESION 1 370 HC EXC BARTHOLIN GLAND CYST 1 3,864.00 HC COLPOSCOPY OF VULVA 1 332 HC VULVA COLPOSC W BX 1 592 HC DRAINAGE OF PELVIC FLUID 1 4,390.00 HC DESTROY VAG LESION SIMPLE 1 2,576.00 HC DESTRUCT,VAGINAL LESION(S),EXTENSIVE 1 4,390.00 HC VAGINA, BIOPSY PROCEDURE 1 1,502.00 HC BIOPSY OF VAGINA,EXTENSIVE 1 4,390.00 HC EXCIS VAGINAL CYST/TUMOR 1 4,390.00 HC TREAT VAGINA INFECTION 1 215 HC INSERT,UTERINE TANDEMS &/OR VAG OVOIDS 1 4,390.00 HC PESSARY INSERTION 1 262 HC DIAPHRAM/CERVICAL CAP FIT 1 332 HC TREAT VAGINAL BLEEDING 1 332 HC REMOVE VAGINAL FOREIGN BODY 1 4,390.00 HC COLPOSCOPY OF VAGINA 1 592 HC EXAM/BIOPSY OF VAG W/SCOPE 1 1,502.00 HC COLPOSCOPY 1 332 HC COLPOSCOPY W/BX AND CURRETT 1 592 HC CERVIC COLP W CERVIX BX 1 592 HC CERV COLP W EC CURETT 1 592 HC CERV COLP LEEP W BX 1 4,390.00 HC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP CONIZ 1 4,390.00 HC BIOPSY, CERVIX 1 1,502.00 HC ENDOCERVICAL CURETTAGE 1 1,502.00 HC CAUTERIZATION,CERVIX,ELECTRO/THERMAL 1 4,390.00 HC CRYOTHERAPY, CERVIX 1 592 HC LASER SURGERY OF CERVIX 1 4,390.00 HC DILATION OF CERVICAL CANAL 1 4,390.00 HC BIOPSY, ENDOMETRIUM 1 330 HC ENDOMETRIAL SAMPLING BX 1 370 HC NON-OB D&C 1 4,390.00 CL-IUD INSERTION 1 99 HC IUD INSERTION 1 150 CL-IUD REMOVAL 1 649 HC REMOVAL IUD 1 400 HC ARTIFICIAL INSEMINATION; INTRA-UTERINE 1 332 HC ARTIF INSEMINATION,INTRA-UTERINE 1 332 HC DRAIN OVARIAN ABSCESS ABDO 1 1,150.00 HC AMNIOCENTESIS 1 975 HC PDT-CHORIONIC VILLUS SAMPLING 1 1,148.00 HC CONTRACTION STRESS TEST 1 309 HC FETAL CONTRACT STRESS TEST-RET 1 309 CL-FETAL MONITORING (NST) 1 378 HC NON STRESS TEST 1 262 NON STRESS TEST 1 378 FETAL BLOOD SAMPLING 1 656 HC FETAL MONITOR W/REPORT-INITIAL 1 500 HC FETAL MONITOR W/REPORT-RETEST 1 500 HC PLCMNT LAMINARIAS 1 592 ER-CERCLAGE PLACEMENT OBSTETRI 1 3,864.00 HC EXT CEPHAL VERS W/WO TOCOLYSIS 1 3,692.00 HC ANTEPARTUM CARE ONLY 4-6VIS 1 922 HC ANTEPARTUM CARE ONLY>6VISIT 1 1,622.00 HC POSTPARTUM CARE ONLY 1 360 HC SURG TRMNT INCOMPL ABORT 1 4,390.00 HC TX MISSED ABORT 1ST TRIM 1 4,390.00 HC INDUCED ABORTN BY D&C 1 4,390.00 HC DILATION AND EVACUTION ABORT 1 4,390.00 HC CERCLAGE REMOVAL 1 4,390.00 HC AMNIOINFUSION 1 262 HC US THYROID, BIOPSY 1 1,148.00 HC THYROID, CYST ASPIRATION 1 1,148.00 HC CT ADRENAL BX (NDL) 1 9,987.00 HC PERM OCCLUSION/EMBOLIZATION,PERCUT,CNS 1 2,559.00 HC TRCATH EMB HEAD OR NECK, NON C 1 22,680.00 HC PERQ ART M-THROMBECT &/NFS 1 11,998.00 HC EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST 1 11,998.00 HC EVASC PRLNG ADMIN RX AGNT 1ST 1 3,583.00 HC EVASC PRLNG ADMIN RX AGNT ADD 1 3,152.00 HC FIX SIMPL DEPRESS SKULL FX 1 9,332.00 HC IR PARASPINAL FLUID ASPIRATION 1 1,268.00 HC SPINAL LUMBAR TAP 1 745.52 HC DRAINAGEOF CEREBROSPINAL FLUID 1 878 HC EPIDURAL BLOOD PATCH 1 1,344.00 HC INJ,NEUROLYTIC,SUBARACHNOID 1 1,939.00 HC INJECT NEUROLYTIC,EPIDUR,CERV/THOR 1 1,939.00 HC INJ,NEUROLYTIC,EPID/LUMB/CAUDAL 1 1,939.00 HC INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR 1 405 HC INJECT DISCOGRAM,LUMBAR,EA LEVEL 1 834 HC INJ,CERV/THORAC,FOR DISCOGRAPHY 1 822 HC MYELOGRAPHY VIA LUMBAR INJECTION, INCLUDING RADIOLOGY S&I; 1CERVICAL1,576.00 HC MYELOGRAPHY VIA LUMBAR INJECTION, S&I; THORACIC 1 1,576.00 HC MYELOGRAPHY VIA LUMBAR INJECTION, S&I; LUMBOSACRAL 1 1,576.00 HC MYELOGRAPHY VIA LUMBAR INJECTION, TWO OR MORE REGIONS S&I1 1,576.00 HC NJX DX/THER SBST EPIDURAL/SUBRACH CERV/THORACIC 1 1,380.00 HC NJX DX/THER SBST EPIDURAL/SUBARACH LUMBAR/SACRAL 1 1,380.00 HC INJ/INFUS,CERV/THORAC,W/CATH 1 1,939.00 HC NJX INFUS/BOLUS DX/SBST EDRL/SUBARACH LUM/SACRAL 1 1,939.00 HC INJ INTERLAM CRV/THRC WO IMG 1 1,193.00 HC INJ INTERLAM CRV/THRC W IMG 1 1,014.00 HC INJ INTERLAM LMBR/SAC WO IMG 1 1,193.00 HC INJ INTERLAM LMBR/SAC W IMG 1 1,014.00 HC INJ INTLAM W CATH C/T WO IMG 1 1,502.00 HC INJ INTLAM W CATH C/T W IMG 1 1,277.00 HC INJ INTLAM W CATH L/S WO IMG 1 1,502.00 HC INJ INTLAM W CATH L/S W IMG 1 1,277.00 HC INJECT NERV BLCK,TRIGEMINAL 1 498 HC INJECT NERVE BLOCK, GREAT OCCIPTL 1 528 HC INJECT NERV BLCK,PARACERVICAL 1 1,380.00 HC DIGITAL/REGIONAL NERVE BLOC 1 1,193.00 HC PVB THORACIC SINGLE INJ SITE 1 1,380.00 HC PVB THORACIC 2ND+ INJ SITE 1 780 HC PVB THORACIC CONT INFUSION 1 1,380.00 HC INJ PARAVERT F JNT L/S 1LEV 1 1,939.00 HC INJ PARAVERT F JNT L/S 2LEV 1 525 HC INJ PARAVERT F JNT L/S 3LEV 1 525 HC INJ ANESTH; CELIAC PLEXUS 1 1,503.00 CL-APPLY TENS UNIT 1 78 HC FB REMOVAL SUPER CONJUNCTIV 1 2,371.00 HC FBREMV SUBCONJ/SCLERAL NONP 1 2,539.00 HC REMOV FB EXT EYE/CORNEAL W/ 1 2,228.00 HC REMOVAL FB EYE;CORNEAL W/SL 1 280 HC CORNEA SCRAPE/EXC 1 620 HC CORNEA, EPI REMOVAL 1 1,654.00 HC PARACENTESIS,ANTERIOR CHAMBER, 1 4,291.00 HC IRIDOMY/IRIDECTOMY LASER 1 887 HC DISCISSION,SECONDARY MEMBRANE 1 887 HC ASPIRATION OR RELEASE VITREOUS 1 4,131.00 HC INJECT INTRAVITREAL PHARMCOLOGIC 1 629 HC EVERING,VITREAL STRANDS/ETC,B 1 887 HC SEVERING,VITREAL STRANDS/ETC,B 1 887 HC TREATMENT OF RETINAL LESION 1 887 HC RETINAL PHOTOCOAG BIL EYE 1 887 HC RETINAL PHOTOCOAG LT EYE 1 887 HC RETINAL PHOTOCOAG RT EYE 1 887 HC TENON'S CAPSULE INJECTION 1 597 HC I&D EYELID ABSCESS 1 437 CANTHOTOMY 1 2,333.00 HC EXCISION,CHALAZION(SINGLE) 1 597 HC EXCISION,CHALAZION(MULTI/SAME/ 1 1,403.00 HC EXCISION,CHALAZION(MULTI/DIFFE 1 597 HC BIOPSY EYELID 1 632 HC EPILATION EYELID (FORCEPS) 1 235 EXCISION,LESION,EYELID(EXCEPT 1 982 HC CLOSURE,EYELID,TEMPORARY BY SU 1 1,654.00 HC DRAINAGE CONJUNCTIVA CYST 1 1,643.00 EXCISION,CONJUNCTIVAL LESION, 1 3,615.00 HC SUBCONJUNCTIVAL INJUNCTION 1 620 HC PUNCTAL PLUG CLOSURE 1 597 HC PUNCTAL DILATATION 1 620 ER-EXT EAR ABSC/HEMATOMA SIMPL 1 1,268.00 HC EXT EAR ABSC/HEMATOMA SIMPL 1 1,268.00 ER-EXC LES EXT AUDITORY CANAL 1 2,831.00 HC FB REMOVAL, EAR 1 156 HC CERUMEN REMOVAL 1 105 HC DEBRIDEMENT OF MASTOID CAVI 1 197 HC MYRINGOTOMY 1 856 HC EXCISION AURAL POLYPS 1 2,443.00 HC MYELOGRAM POSTERIOR FOSSA S&I 1 830 HC CISTERNOGRAPHY S&I 1 830 HC EYE FOR FOREIGN BODY XRAY RT 1 140 HC MANDIBLE,PART 4VS XRAY 1 140 HC MANDIBLE XRAY (COMPLETE,4 VIEW 1 224 HC MASTOIDS,3 VS/SIDE XRAY 1 140 HC MASTOID XRAY (COMPLETE) 1 224 HC MIDDLE EAR-COMPLETE XRAY BILAT 1 531 HC FACIAL BONES XRAY (2 VIEWS) 1 140 HC FACIAL BONES (MAXILLA), 3+ VIE 1 224 HC NASAL BONES XRAY (COMPLETE) 1 140 HC DACRCYSTOGR NASOLACR DUCT S&I 1 830 HC OPTIC FORAMINA XRAY 1 224 HC ORBITS XRAY 1 224 HC SINUSES LESS THAN 3 VW XRAY 1 140 HC SINUSES XRAY-3 VIEWS 1 224 HC SELLA TURCICA XRAY 1 140 HC SKULL 4VS XRAY 1 224 HC SKULL XRAY, (4+ VIEWS) 1 224 HC TEETH SINGLE VIEW 1 143 HC TEETH PART EXAM < FULL MOUTH 1 1,058.00 HC TMJ OPEN/CLOSED UNI XRAY 1 140 HC TEMPOROMANDIBULAR JOINTS XRAY 1 140 HC ARTHROGRAPHY TMJ S&I 1 453 HC MRI TMJ 1 675 HC SOFT TISSUE OF NECK 1 140 HC PHARYNX/LARYNX W/FLUORO 1 376 HC CT HEAD W/O CONTRAST 1 283 HC CT HEAD WITH CONTRAST 1 568 HC CT HEAD W/O - W/CONTRAST 1 635 HC CT ORBIT,O-M-IEAR W/O CONTRAST 1 283 HC CT ORBIT,O-M-IEAR W/CONTRAST 1 568 HC CT ORBIT,O-M-I EAR W/O-W/CONTR 1 635 HC CT MAXILLOFACIAL W/O CONTRAST 1 283 HC CT MAXILLOFACIAL WITH CONTRAST 1 568 HC CT MAXILLO FACIAL W/O-W/CONTRA 1 635 HC CT SFT.TIS,NECK W/O CONTRAST 1 283 HC CT SFT.TIS.NECK W/CONTRAST 1 568 HC CT SOFT TISS NECK,W*W/O CONT 1 635 HC CTA HEAD W &WO 1 664 HC CTA NECK W/W0 1 664 HC MRI ORBIT, FACE, NECK 1 675 HC MRI ORBIT/FACE/NECK W/CONT 1 1,006.00 HC MRI ORBIT/FACE/NECK W & W/O 1 1,138.00 HC MRA HEAD W/O CONTRAST 1 675 HC MRA HEAD W/ CONTRAST 1 1,006.00 HC MRA; HEAD W & WO CONTRAST 1 1,003.00 HC MRA NECK W/O CONTRAST 1 675 HC MRA NECK W/ CONTRAST 1 1,006.00 HC MRA NECK W/O FOLL WITH CONTRAST 1 1,138.00 HC MRI BRAIN W/O CONTRAST 1 675 HC MRI BRAIN W/CONTRAST 1 1,006.00 HC MRI BRAIN W/WO CONTRAST 1 1,138.00 HC FMRI BRAIN BY TECH 1 645 HC FMRI BRAIN BY PHYS/PSYCH 1 645 HC MRI BRAIN INTRACRANIAL WO DYE 1 645 HC MRI BRAIN INTRACRANIAL W DYE 1 1,072.00 HC MRI BRAIN INTRACRANL W&WO DYE 1 6,414.00 P.A.C.U. 0 > 1 HOUR 1 184 CHEST XRAY-SINGLE VIEW 1 173 CHEST,SINGLE (PORTABLE) 1 173 HC CHEST XRAY 1V 1 140 HC CHEST,SINGLE (PORTABLE) 1 119 CHEST XRAY (2 VIEWS) 1 190 HC CHEST XRAY (2 VIEWS) 1 140 HC CHEST XRAY 2V 1 140 HC CHEST XR W/APICAL LORDOTIC 1 140 HC CHEST AP/LAT W/FLUORO 1 224 HC CHEST COMPLETE W/OBLIQUES 1 224 HC CHEST DECUBITUS XRAY 1 140 HC X-RAY EXAM CHEST 1 VIEW 1 146 HC X-RAY EXAM CHEST 2 VIEWS 1 146 HC X-RAY EXAM CHEST 3 VIEWS 1 146 HC X-RAY EXAM CHEST 4+ VIEWS 1 279 HC RIBS XRAY 1 140 HC RIBS BILAT 3 VW W/CHEST 1 224 HC STERNUM XRAY 1 140 HC STERNOCLAVICULAR JT.XRAY 1 140 HC CT CHEST/THORAX W/O CONTRAST 1 283 HC CT CHEST/THORAX WITH CONTRAST 1 568 HC CT CHEST/THORAX W/O-W/CONTRAST 1 635 HC CTA CHEST W/O FOLL W CONTRAST 1 664 HC MRI CHEST/MEDIASTINUM 1 675 HC MRI CHEST W/CONTRAST 1 1,006.00 HC MRI CHEST W/WO CONTRAST 1 1,138.00 HC REMOVAL RETAINED PLACENTA 1 1,850.00 HC REPAIR OBS LACERATION 1 2,563.00 HC LABOR ROOM 0-4 HRS 1 361 HC LABOR ROOM 4-8 HRS. 1 722 HC LABOR ROOM 8-12 HRS. 1 1,082.00 HC LABOR ROOM 12-16 HRS. 1 1,444.00 HC LABOR ROOM 16-20 HRS. 1 1,805.00 HC LABOR ROOM 20-24 HRS. 1 2,165.00 HC INTERNAL FETAL ELECTRODE/IUPC 1 514 HC SPINE 1V 1 140 HC SPINE CERVICAL XRAY 1 224 HC CERVICAL SPINE W/OBLIQUES 1 224 HC C SPINE W/FLEXION EXTENSION 1 224 HC THORACIC SPINE 2V 1 224 HC X-RAY EXAM ENTIRE SPI 1 VW 1 72 HC X-RAY EXAM ENTIRE SPI 2/3 VW 1 265 HC X-RAY EXAM ENTIRE SPI 4/5 VW 1 531 HC X-RAY EXAM ENTIRE SPI 6/> VW 1 531 HC SPINE-LUMBOSACRAL XRAY 1 224 HC LUMBOSACRAL SPINE W/OBLIQUES 1 269 LUMBOSACRAL SPINE W/OBLIQUES 1 269 HC SPINE LUMBAR BEND VW ONLY 1 144 HC CT CERVICAL SPINE W/O CONTRAST 1 283 HC CT CERVICAL SPINE W/ CONTRAST 1 568 HC CT CERVICAL SPINE W/WO CONTRAST 1 635 HC CT THORACIC SPINE W/O CONTRAST 1 283 HC CT THORACIC SPINE W/ CONTRAST 1 568 HC CT THORACIC W/WO CONTRAST 1 635 HC CT LUMBAR SPINE W/O CONTRAST 1 283 HC CT LUMBAR SPINE W/ CONTRAST 1 568 HC CT LUMBAR SPINE W/WO CONTRAST 1 635 HC MRI CX SPINE W/O CONTRAST 1 675 HC MRI CERVICAL SPINE W/CONTRAST 1 1,006.00 HC MRI THOR SPINE W/O CONTRAST 1 675 HC MRI THOR SPINE W/CONTRAST 1 1,006.00 HC MRI LUMB SPINE W/O CONTRAST 1 675 HC MRI LUMB SPINE W/CONTRAST 1 1,006.00 HC MRI CX SPINE W/WO CONTRAST 1 1,138.00 HC MRI THOR SPINE W/WO CONTRAST 1 1,138.00 HC MRI LUMB SPINE W/WO CONTRAST 1 1,138.00 HC PELVIS XRAY ANTEROPOSTERIOR VIEW 1 224 HC PELVIS XRAY 3V OR MORE 1 224 HC CT PELVIS W/O CONTRAST 1 283 CT PELVIS WITH CONTRAST 1 1,162.00 HC CT PELVIS WITH CONTRAST 1 1,162.00 HC CT PELVIS W/O-W/CONTRAST 1 838 HC MRI PELVIS W/O CONTRAST 1 675 HC MRI PELVIS W/CONTRAST 1 1,006.00 HC MRI PELVIS W/WO CONTRAST 1 1,138.00 HC SACROILIAC JOINTS 1 140 HC DELIVERY (NSD) W/EPISIOTOMY 1 1,500.00 HC DELIVERY (NSD) 1 1,223.00 HC VAGINAL DELIVERY W/LACERATION 1 2,994.00 HC FORCEP DELIVERY 1 1,680.00 HC VACUUM EXTRACTION DELIVERY 1 1,945.00 HC VAGINAL DELIVERY AFTER C/S 1 1,914.00 HC COCCYX & SACRUM XRAY 1 140 HC MYELOGRAPHY CERVICAL 1 1,447.00 HC MYELOGRAPHY THORACIC 1 1,447.00 HC MYELOGRAPHY LUMBAR 1 1,447.00 HC TOP 1 923 HC CLAVICLE XRAY 1 140 HC SCAPULA XRAY 1 140 HC SHOULDER XRAY 1V 1 140 HC SHOULDER XRAY 2V 1 224 HC A-C JOINTS X-RAY 1 224 HC HUMERUS XRAY 1 140 HC ELBOW XRAY 2V 1 140 HC ELBOW XRAY 1 140 HC FOREARM XRAY 1 140 HC UP EXT INFNT 2V 1 224 HC WRIST XRAY 2V AP&LAT 1 140 HC WRIST XRAY 1 140 HC HAND XRAY 2V 1 224 HC HAND XRAY 3V 1 140 HC FINGER XRAY 1 140 HC CT UP EXT W/O CONTRAST 1 283 HC CT UP EXT W/CONTRAST 1 568 HC CT UP EXT W/WO CONTRAST 1 635 HC CTA UP EXT W/WO CONTRAST 1 664 HC MRI UP EXT W/O CONTRAST 1 675 HC MRI UP EXT W/CONTRAST 1 1,006.00 HC MRI UP EXT W/WO CONTRAST 1 1,138.00 HC MRI UP EXT JT W/O CONTRAST 1 675 HC MRI UP EXT JOINT W/CONTRAST 1 1,006.00 HC MRI UP EXT W/WO CONTRAST 1 1,138.00 HC HIP UNILATERAL 1 VIEW 1 72 HC X-RAY EXAM HIP UNI 2-3 VIEWS 1 72 HC X-RAY EXAM HIP UNI 4/> VIEWS 1 265 HC X-RAY EXAM HIPS BI 2 VIEWS 1 265 HC X-RAY EXAM HIPS BI 3-4 VIEWS 1 265 HC X-RAY EXAM HIPS BI 5/> VIEWS 1 531 HC X-RAY EXAM OF FEMUR 1 1 72 HC X-RAY EXAM OF FEMUR 2/> 1 72 HC KNEE XRAY 2V 1 140 HC KNEE XRAY 3V 1 224 KNEE 3 VW XRAY 1 184 HC KNEE COMP MIN 4 VS XRAY 1 224 HC KNEES BOTH AP STANDING XRAY 1 140 HC TIBIA/FIBULA (LEG) XRAY 1 140 HC LOW EXTREM INFANT MIN 2V 1 224 HC ANKLE, AP&LAT 1 224 HC ANKLE XRAY 3V OR MORE 1 224 HC FOOT XRAY 2V 1 140 HC FOOT XRAY 3V OR MORE 1 140 HC HEEL XRAY 1 140 HC TOE(S) XRAY 2V OR MORE 1 140 HC CT LOW EXT W/O CONTRAST 1 283 HC CT LOW EXT W/CONTRAST 1 568 HC CT ANG OF EXTREM ONLY 1 664 HC MRI LOW EXT W/O CONT 1 675 HC MRI LOW EXT W/CONT 1 1,006.00 HC MRI LOW EXT W&W/O CONT 1 1,138.00 HC MRI LOW EXT JT WO CONT 1 675 HC MRI LOW EXT JT W/CONT 1 1,006.00 HC MRI LOW EXT JT W &WO CONT 1 1,138.00 HC PORTABLE ABDOMEN XRAY 1 140 K.U.B. XRAY 1 278 PORTABLE ABDOMEN XRAY 1 278 HC ABD AP & ADDL OBL&CONE 1 140 HC X-RAY EXAM ABDOMEN 1 VIEW 1 146 HC X-RAY EXAM ABDOMEN 2 VIEWS 1 279 HC ABDOMEN,COMP,INCL DECUB/ERECT 1 224 HC X-RAY EXAM ABDOMEN 3+ VIEWS 1 279 HC CT ABDOMEN W/O CONTRAST 1 283 HC CT ABDOMEN WITH CONTRAST 1 568 HC CT ABDOMEN W/O - W/ CONTRAST 1 635 HC CT ANGIOGRAPHY, ABDOMEN/PELVIS W/WO CONTRAST 1 750 HC CT ANG ABD AORTA W/RENAL 1 664 HC CT ABD & PELVIS W/O CONTRAST 1 558 HC CT ABD & PELVIS W CONTRAST 1 885 HC CT ABD & PELV WO/FOLL CONS + 1 1 885 HC MRI ABDOMEN W/O CONTRAST 1 675 HC MRI ABDOMEN W/CONT 1 1,006.00 HC MRI ABDOMEN W & W/O 1 1,138.00 HC ESOPHAGUS XRAY 1 240 HC MODIFIED BARIUM SWALLOW 1 240 HC G.I. SCAN XRAY 1 356 HC UPPER G.I. W/SMALL BOWEL STUDY 1 356 HC UPPER AIR GI W/SM BOWEL 1 356 HC SMALL BOWEL STUDY XRAY 1 240 HC CT COLONOGRAPHY WO DYE 1 265 HC CT COLONOGRAPHY W DYE 1 559 HC BARIUM ENEMA XRAY 1 356 HC BARIUM ENEMA AIR XRAY 1 356 HC THERAPEUTIC ENEMA 1 356 HC UROGRAPHY, RETROGRADE 1 625 HC UROGRAPHY, ANTEGRADE 1 625 HC CYSTOGRAM XRAY 1 625 HC URETHROCYSTOGRAPHY, RETROGRADE 1 625 HC URETHROCYSTOGRAPHY, VOIDING 1 625 HC MRI FETAL SNGL/1ST GESTATION 1 645 HC MRI FETAL EA ADDL GESTATION 1 552 HYSTEROSALPINGOGRAM XRAY 1 1,529.00 HC CARDIAC MRI FOR MORPH 1 645 HC CARDIAC MRI W STRESS IMG 1 1,041.00 HC CARDIAC MRI FOR MORPH W DYE 1 1,072.00 HC CARD MRI W STRESS IMG & DYE 1 2,615.00 HC CARD MRI VEL FLW MAP ADD-ON 1 105 HC CT HRT WO DYE W CA TEST 1 141 HC MR GUIDE TISSUE ABLATION S&I 1 492 HC CT HRT W3D IMAGE 1 559 HC DIGITAL DX BREAST TOMOSYNTHESIS BI + 1 623 HC CT HRT W3D IMAGE CONGEN 1 559 HC SCREENING DIGITAL BREAST TOMOSYNTHESIS BI+ 1 623 HC CTA HRT W3D IMAGE 1 559 HC AORTOGRAPHY THORAC S&I (W/O SE 1 5,121.00 HC AORTOGRAPHY, THORACIC 1 6,032.00 AORTOGRAPHY, ABDOMINAL 1 4,392.00 HC CT ANGIO ABDO AORT/BIL ILIOFEM 1 592 HC S&I ANGIO EXTREMITY 1 6,032.00 HC ANGIO EXTREMITY, BILATERAL 1 6,414.00 HC S&I ANGIO ADRENAL SELECTIVE 1 6,032.00 HC ANGIO ADRENAL,BILATERAL, SELEC 1 6,032.00 HC S&I ANGIO PULM SELECTIVE 1 6,032.00 HC ANGIO PULMONARY, BILAT SELECTI 1 6,032.00 HC ANGIO PULMON BY NON-SELECT CAT 1 1,949.00 HC S&I ANGIO INTERN MAMMARY 1 5,553.00 HC SHUNTOGRAM 1 224 HC S&I VENOGRAPHY EXTREMITY 1 1,949.00 HC VENOGRAPHY, EXTR. BILATERAL 1 1,916.00 HC VENOGRAM IVC 1 6,032.00 HC VENOGRAM SVC 1 1,949.00 HC S&I VENOGRAPHY RENAL 1 6,032.00 HC VENOGRAM BILAT RENAL 1 6,032.00 HC S&I VENOGRAPHY ADRENAL 1 6,032.00 HC VENOGRAM BILAT ADRENAL 1 6,032.00 HC TRANSHEP PORTOGRAPH W/HEMO 1 6,032.00 HC TRANSHEP PORTOGRAPH W/O HEMO 1 1,949.00 HC HEPATIC VENOGRAM W/HEMO 1 6,032.00 HC HEPATIC VENOGRAM W/O HEMO 1 6,032.00 HC VENOUS SAMPLING THRU CATH 1 6,032.00 HC TRANSCATH THERAPY,EMBOLIZATION 1 5,275.00 HC ANGIO EXIST CATH F/U STY TRAN 1 1,949.00 TRANSLUM ANGIOPLASTY,PERIPH AR 1 9,768.00 S&I TRANSLUM ANGIOP @ ADD ART 1 3,259.00 S&I TBA RENAL OR OTHER VISC 1 8,954.00 S & I ANGIO VENOUS DIAL SHUNT 1 5,177.00 HC CHANGE OF PERCUTANEOUS DRAINAG 1 849 HC RAD GUID ABSCESS DRAINAGE 1 942 HC FLUOROSCOPY XRAY(SEPARATE PROC 1 376 HC FLUOROSCOPY MORE THAN ONE HOUR 1 575 HC X-RAY, NOSE TO RECTUM 1 146 HC FISTULA OR SINUS TRACT STUDY 1 794 HC BREAST TISSUE SPECIMEN XRAY 1 794 OBSERVATION CARE DISCHARGE 1 3,178.00 HC CLOSED TX REDUCT TIBIAL SHFT F 1 218 HC STRAPPING&CAST APPLICATION 1 130 HC INJ.CYSTO/URETHROCYSTOGRAPHY 1 448 HC COMPLEX MOTION BODY SECT UNI 1 238 HC CT GUIDE PARENCHYMAL TISS ABL 1 1,045.00 HC COMPLEX MOTION BODY SECT BI 1 453 HC CINERADIOGRAPHY 1 238 HC CINERADIOGRAPHY ADD-ON 1 86 HC 3D RENDER W/O IMAGE POST PROCE 1 150 HC 3D RENDER WO IMAGE POST PROCESSING, MRI 1 150 HC 3D RENDER W/ POSTPROCESS 1 259 HC PEDIATRIC HEAD SONOGRAM 1 318 HC US OPHTHALMIC B & QUANT A 1 620 HC US OPHTHALMIC QUANT A ANAL 1 217 HC B SCAN EYE EXAM 1 270 HC US OPHTHALMIC ANTERIOR SEGMENT 1 362 HC CORNEAL US 1 1,403.00 HC OPHTHALMIC BIOMETRY 1 217 HC A SCAN W/IOL POWER CALC 1 1,403.00 HC ECHO EXAM OF EYE 1 217 HC US NECK,THY,PARATHY,PAROTID 1 318 HC US CHEST 1 318 HC ULTRASOUND BREAST COMPLETE 1 183 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED 1 217 HC ABDOMINAL SONOGRAM 1 318 HC US ABDOMINAL, LTD, RECENT F/U 1 318 HC US ABDOMINAL AORTA SCREEN AAA 1 225 HC RENAL SONOGRAM, COMPLETE 1 318 HC RETROPERITONEAL,US LTD 1 318 HC US TRANSPL KIDNEY W DUPLEX DOP 1 268 HC OBS US = < 14 WKS 1 GEST 1 318 HC OBS US =< 14 WKS EA ADDTL GEST 1 150 HC OBS US > 14 WKS 1 GEST 1 318 HC OBS US >14 WKS EACH ADDTL GEST 1 150 HC OBS US DETAILED SINGLE GEST 1 447 HC OBS US DETAILED EA ADDTL GEST 1 300 HC PDT-OB US NUCHAL MEAS 1 GEST 1 318 HC PDT-OB US NUCHAL MEAS ADD-ON 1 175 HC OBS US LIMITED 1 270 HC OBS US RPT/FOLL-UP 1 216 HC OBS US TRANSVAGINAL 1 270 HC FETAL BIOPHYSICAL PROFILE 1 398 PDT-FETAL BIO PROF W NST 1 539 HC FETAL BIOPHYS PROFILE WO NST 1 318 HC PDT-FETAL UMBILICAL DOPPLER 1 216 HC PDT-FETAL CEREB ART DOPPLER 1 216 HC FETAL CARDIOVASC 2-D US 1 1,704.00 HC COMPL FETAL DOPPLER ECHOCARD 1 550 HC FETAL DOPPLER ECHO FU/REPEAT 1 550 HC TRANSVAGINAL SONOGRAM 1 318 TRANSVAGINAL SONOGRAM 1 320 HC PDT-SONO HYSTEROGRAPHY 1 362 HC US PELVIS-NON OB 1 318 HC ECHO EXAM OF PELVIS-F/UP LTD(N 1 216 HC TESTICULAR SONOGRAM 1 318 HC US XTR NON-VASC COMPLETE 1 543 US EXTR NON-VASC COMPLETE LT 1 193 US EXTR NON-VASC COMPLETE RT 1 193 HC US EXTR NON-VASC LIMITED LT 1 183 HC US EXTR NON-VASC LIMITED RT 1 216 HC US INFANT HIPS DYNAMIC 1 217 HC US INFANT HIPS LIMITED STATIC 1 362 HC ECHO GUIDE FOR HEART SAC TAP 1 275 HC ECHO GUIDE FOR ARTERY REPAIR 1 777 US GUIDE VASC ACCESS 1 188 HC US GUIDE TISSUE ABLATION S&I 1 195 HC US FOR CORDOCENTESIS 1 300 HC BREAST LOCALIZATION W/ULTRASOU 1 350 HC US GUIDANCE NEEDLE PLACEMENT 1 350 HC ECHO GUIDE, VILLUS SAMPLING 1 150 HC US GUIDANCE AMNIOCENTESIS 1 750 HC US BONE DENSITY MEASUREMENT 1 72 HC ECHO EXAM AT SURGERY 1 275 HC UNLISTED ULTRASOUND PROC 1 216 HC FLUORO GUIDE CVAD PLCMT RMV,RE 1 250 HC S & I FLUOROSCOPIC GUIDANCE 1 925 HC LOC NDL/CATH TIP SPINE 1 325 HC CT GUIDANCE CYST ASPIRATION 1 775 HC CT GUIDE FOR PLACE RT FIELDS 1 683 HC MRI, BREAST, W/O CONTRAST; UNI 1 540 HC MRI, BREAST, W/O CONTRAST; BILAT 1 540 HC COMP DX MAMMO ADD ON 1 75 HC COMP SCREEN MAMMO ADD ON 1 75 HC MAMMOGRAPHY 1 250 HC MAMMOGRAPHY BILATERAL 1 325 HC MAMMOGRAPHY ROUTINE SCREENING 1 275 HC MAMMOGRAM DX CAD UNILAT LT 1 230 HC MAMMOGRAM DX CAD UNILAT RT 1 230 HC MAMMOGRAM DX CAD BILAT 1 294 HC MAMMOGRAM SCR CAD BILAT 1 243 HC X-RAY STRESS VIEW 1 215 HC BONE AGE STUDIES 1 224 HC BONE LENGTH STUDIES 1 224 HC BONE SURVEY, COMPLETE 1 376 HC BONE SURVEY, INFANT 1 224 HC CT BONE DENSITY AXIAL SKELETON 1 143 HC BONE DENSITY-DXA(AXIAL) 1 224 HC BONE DENSITY-PDXA 1 140 HC DEXA AXIAL SKELETAL FRACT ASSESS 1 238 HC DXA VERTEBRAL FRACTURE ASSESS 1 143 HC SET RADN THERAPY FIELD SIMPLE 1 393 HC SET RADN THERAPY FIELD INTERME 1 688 HC SET RADN THERAPY FIELD COMPLEX 1 688 HC RESPIRATOR MOTION MGMT SIMUL 1 239 HC 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS 1 2,422.00 HC UNLISTED CLIN TREATMENT PLAN 1 253 HC RADIATION THERAPY,DOSIMETRY PLAN 1 253 HC INTEN MOD RADIOTHER PLAN W/DOSE VOL HIST 1 2,422.00 HC TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION 1 393 HC TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY 1 688 HC BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL 1 253 HC BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL 1 688 HC BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL 1 688 HC TELETHER ISO-PORT PLAN 1 688 HC SPECIAL RADIATION DOSIMETRY 1 253 HC RADN TREATMENT AID(S) SIMPLE 1 253 HC RADN TREATMENT AID(S) INTERM 1 393 HC RADN TREATMENT AID(S) COMPLX 1 688 HC RADN PHYSICS CONSULT CONTINUING 1 253 HC MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN 1 688 HC RADN PHYSICS CONSULT SPECIAL 1 393 HC SRS LINEAR BASED 1 SESSION 1 17,742.00 HC RADN RX DELIV,BODY, EACH FRACTION 1 3,933.00 HC NTSTY MODUL RAD TX DLVR SMPL 1 1,192.00 HC NTSTY MODUL RAD TX DLVR CPLX 1 1,192.00 HC GUIDANCE FOR LOC OF TARGET VOL RADIAJ TX DLVR 1 393 HC UNLISTED RADIATION TX PROC 1 253 HC RADIATION TREATMENT DELIVERY 1 MEV+ SIMPLE 1 393 HC RADIATION TREATMENT DELIVERY 1 MEV+ INTERMEDIATE 1 260 HC RADIATION TREATMENT DELIVERY 1 MEV+ COMPLEX 1 458 HC RADIOLOGY PORT FILM(S) 1 150 HC HE NEUTRON BEAM TX SIMPLE 1 1,164.00 HC HE NEUTRON BEAM TX COMPLEX 1 1,192.00 HC IO RAD TX DELIVERY BY X-RAY 1 17,828.00 HC IO RAD TX DELIVER BY ELCTRNS 1 17,828.00 HC STEREOTACTIC RADIATION TX MANAGEMENT CRANIAL LESION 1 1,015.00 HC RADN RX DELIV,BODY, MANAGEMENT, PER COURSE 1 1,481.00 HC SPECIAL TREATMENT PROCEDURE 1 1,192.00 HC PROTON TX SIMPLE WO COMPENS 1 1,192.00 HC PROTON TX SIMPLE W COMPENS 1 2,714.00 HC PROTON TX INTERMEDIATE 1 2,714.00 HC PROTON TX COMPLEX 1 2,714.00 HC INFUSE RADIOACTIVE MATERIALS 1 458 HC INTRACAV RADIOELEM APPL SIMPLE 1 1,192.00 HC INTRACAV RADIOELEM APPL INTERM 1 1,192.00 HC INTRACAV RADIOELEM APPL COMPLX 1 1,642.00 HC HDR RDNCL SKN SURF BRACHYTX 1 458 HC HDR RDNCL SKN SURF BRACHYTX 1 458 HC HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHANNEL 1 1,737.00 HC HDR RDNCL NTRSTL/ICAV BRCHTX 2 - 12 CHANNEL 1 1,737.00 HC HDR RDNCL NTRSTL/ICAV BRCHTX GREATER THAN 12 CHANNEL 1 1,737.00 HC INTERSTI RADIOELEM APPL COMPLX 1 1,642.00 HC RADIOELEMENT APPLICATION SURFACE 1 260 HC UNLISTED CLIN BRACHYTX PROC 1 269 HC THYROID SNGL/ MULT QUANT MEAS 1 446 HC THYROID IMAGING W/BLOOD FLOW 1 447 HC THYROID IMAGE SNGL/MULT UPTAKE 1 664 HC THYROID MET IMAGING,LTD 1 889 THYROID MET IMAGING, W ADDL ST 1 1,134.00 HC THYROID, MET IMAGING, BODY 1 889 HC THYROID MET UPTAKE ADD-ON 1 142 HC PARATHYROID IMAGING 1 664 HC PARATHYRD PLANAR W/WO SUBTRJ 1 785 HC PARATHYRD PLANAR W/SPECT&CT 1 1,041.00 ADRENAL IMAG CORTEX/MEDULLA 1 2,576.00 HC ENDOCRINE NUCLEAR EXAM 1 785 HC BONE MARROW IMAGING, LTD 1 871 HC BONE MARROW IMAGING, MULT 1 871 HC BONE MARROW IMAGING 1 871 PLASMA VOLUME, SINGLE 1 2,679.00 PLASMA VOLUME, MULTIPLE 1 2,679.00 RED CELL MASS, SINGLE 1 1,023.00 HC RED CELL VOLUME MULTISAMPLING 1 1,480.00 BLOOD VOLUME 1 1,023.00 RED CELL SURVIVAL STUDY 1 1,023.00 RED CELL SURVIVAL KINETICS 1 1,116.00 RED CELL SEQUESTRATION 1 1,023.00 HC SPLEEN IMAGING 1 871 PLATELET SURVIVAL, KINETICS 1 2,679.00 PLATELET SURVIVAL 1 655 HC LYMPH SYSTEM IMAGING 1 871 HC BLOOD/LYMPH NUCLEAR EXAM 1 785 HC LIVER IMAGING,STATIC 1 879 HC LIVER IMAGING (SPECT) 1 2,679.00 HC LIVER IMAGING WITH FLOW 1 879 HC LIVER IMAGE SPECT W VASC FLOW 1 785 HC LIVER / SPLEEN SCAN 1 879 LIVER, SPLEEN IMAGE, FLOW 1 762 HC HEPATOBILLIARY SYS IMAGING 1 879 HC HEPATOBILLIARY SYS IMAGING W/D 1 879 SALIVARY GLAND FUNCTION EXAM 1 648 ESOPHAGEAL MOTILITY STUDY 1 648 GASTRIC MUCOSA IMAGING 1 648 GASTROESOPHAGEAL REFLUX EXAM 1 648 HC GASTRIC EMPTYING STUDY 1 770 HC GASTRIC EMPTYING IMAGING STUDY 1 785 HC GASTRIC EMPTYING IMAG STUDY, MULTIPLE DAYS 1 1,041.00 HC UREA BREATH TEST C14 ACQUIRE 1 22 HC UREA BREATH TEST C14 ANALYSIS 1 184 VIT B-12 ABSORPTION EXAM 1 485 VIT B-12 ABSORP EXAM, IF 1 485 VIT B-12 ABSORP, COMBINED 1 485 HC GI BLEED STUDY 1 770 GI PROTEIN LOSS EXAM 1 648 HC MECKEL'S SCAN (BOWEL) 1 770 HC GI NUCLEAR EXAM 1 785 BONE IMAGING, MULTIPLE AREAS 1 649 HC BONE, NUCLEAR SCAN 1 783 HC BONE SCAN,THREE PHASED 1 783 BONE MINERAL, SINGLE PHOTON 1 206 BONE MINERAL, DUAL PHOTON 1 624 NON-IMAGING HEART FUNCTION 1 813 CARDIAC SHUNT IMAGING 1 813 VASCULAR FLOW IMAGING 1 526 HC NM-HT MUSCLE IMAGE SPECT MULTI 1 2,687.00 HC ACUTE VENOUS THROMBUS IMAGING 1 2,615.00 HC VENOUS THROMBOSIS IMAGE,UNIL 1 2,679.00 HEART MUSCLE IMAGING (PET) 1 3,755.00 HEART INFARCT IMAGE, EF 1 813 HC MUGA SCAN 1 880 BLD POOL IMAG, PLANAR,MULT 1 999 HC PET MYOCARD PERFUSION SINGLE 1 3,032.00 HC PET MYOCARD PERFUSION MULT 1 3,032.00 HC GATED BLOOD POOL IMAGE SPECT 1 785 HC PET TUMOR IMAGING LTD 1 3,032.00 HC PET TUMOR IMAGE SKULL-THIGH 1 3,032.00 HC RIGHT VENT EF BY 1ST PASS TECH 1 106 HC CARDIOVASCULAR NUCLEAR EXAM 1 785 HC PET TUMOR IMAGE WHOLE BODY 1 3,032.00 HC LUNG VENTILA & PERFUS. IMAG-GA 1 1,037.00 HC LUNG PERFUSION DIFFERENTIAL 1 744 HC LUNG PERF. & VENTILATION DIFF 1 1,037.00 HC PET/CT TUMOR IMAGING LTD 1 3,032.00 HC RESPIRATORY NUCLEAR EXAM 1 785 HC BRAIN SCAN (PLANAR) 1 1,313.00 HC BRAIN IMAGING (SPECT) 1 2,800.00 BRAIN IMAGING (PET) MET EVAL 1 2,776.00 BRAIN IMAGING (PET) PERF EVAL 1 543 CSF VENTRICULOGRAPHY 1 1,517.00 CSF SHUNT EVALUATION 1 601 CEREBROSPINAL FLUID SPECT 1 1,517.00 CSF LEAKAGE IMAGING 1 1,517.00 NUCLEAR EXAM OF TEAR FLOW 1 601 HC NERVOUS SYSTEM NUCLEAR EXAM 1 785 HC PET/CT TUMOR IMAGE SKULL-THIGH 1 3,032.00 HC RENAL / KIDNEY SCAN 1 991 HC KIDNEY IMAGING STUDY WITH VASC 1 991 KIDNEY IMAGE, MULTIPLE STUDY 1 853 RENAL FUNCTION STUDY 1 485 HC URETERAL REFLUX STUDY 1 991 HC TESTICULAR SCAN,VASCULAR FLOW 1 991 TUMOR IMAGING, LIMITED AREA 1 925 HC PET/CT TUMOR IMAGE WHOLE BODY 1 3,032.00 HC TUMOR LOC WHOLE BODY 2+ DAYS 1 2,615.00 HC GALLIUM SCAN (INFECTION) 1 1,665.00 HC IV INJ RADPHARM NON IMAGE PROBE STUDY DX 1 785 UNLISTED MISC PROC NUC-MED 1 414 HC NM TX RADIOPHARM ORAL ADM 1 652 INTRACAVITARY NUC TREATMENT 1 919 INTERSTITIAL NUCLEAR THERAPY 1 572 NUCLEAR JOINT THERAPY 1 919 INTRAVASC RADIO,PARTICULATE 1 668 HC UNLISTED RADIOPHARM THERAPY 1 590 TRAY,ANESTHESIA EPIDURAL 1 58 BANDAGE EL RUB 1 6 BLOOD ADMINISTRATION SET 1 31 PORTO-VAC 1 41 GELFOAM DRESSING 1 63 IODOFORM GAUZE 1 6 MEDICUT CANULA CSS 1 16 PLAIN PACKING GAUZE CSS 1 6 PLEUR - EVAC CSS 1 159 VASELINE GAUZE 1 6 SHAVE PREP SET 1 6 STOMA BAGS CSS 1 6 SUSPENSORY 1 55 URINARY DRAINAGE BAG 1 23 YANKEE SUCTION SET CSS 1 6 KERLIX ROLLS 1 6 BANDAGE KLING 1 4 ABDOMINAL BINDERS 5/BX 1 26 COLD PACKS 1 4 DOME PASTE BANDAGE/UNNA BOOT 1 28 DRESSING HEAVY DRAINAGE 1 42 ENEMA, FLEET 1 12 FEEDING BAGS 1 19 FEEDING TUBES 1 24 FRENCH CATH BLADDER CARE TRAY 1 77 BOTTLE PERINEAL GAR 1 6 RECTAL TUBE 24 1 7 VEST RESTRAINT 1 38 SUTURE SETS 1 10 SUTURE REMOVER SETS 1 6 TELFA PADS 1 42 CATH TROCAR 1 37 TUCKS 1 24 XEROFORM GAUZE PAD 1 6 CATH TRAY 16 FR W/URIMETER BAG 1 73 URIMETER DRAINAGE BAG 1 36 SALEM SUMP TUBE 1 12 IRRIGATION TRAY 1 5 THORACENTESIS TRAY 1 62 BASIC METABOLIC PANEL 1 35 ELECTROLYTE PANEL 1 29 COMP. 14 METABOLIC PANEL 1 46 LIPID PROFILE 1 103 HEPATIC FUNCTION PANEL 1 30 CARBAMAZEPINE LEVEL(TEGRETOL) 1 59 Q-CYCLOSPORINE A TROUGH 1 60 Q-CYCLOSPORINE LEVEL 1 175 DIGOXIN LEVEL 1 76 VALPROIC ACID LEVEL 1 74 BHMC-GENTAMICIN RANDOM 1 93 GENTAMICIN PEAK 1 93 GENTAMICIN, TROUGH 1 93 Q-HALDPERIDOL 1 35 Q-LIDOCAINE/XYLOCAINE LEVEL 1 83.75 LITHIUM (SERUM) LEVEL 1 38 PHENOBARBITAL 1 63 PHENYTOIN (DILANTIN) LEVEL 1 74 Q-TACROLIMAS (FK 506) 1 71.25 THEOPHYLLINE LEVEL 1 80 Q-TOPIRAMATE (TOPAMAX) 1 45 BH-VANCOMYCIN RANDOM 1 76 VANCOMYCIN, PEAK 1 76 VANCOMYCIN, TROUGH 1 76 Q-GABAPENTIN 1 179.17 Q-IBUPOFEN LEVEL SERUM/PLSM 1 108.9 Q-LAMOTRIGINE (LAMICTAL) 1 59 Q-LEVETIRACETAM (KEPPRA) CHROM 1 112.5 Q-METHOTREXATE SERUM 1 78 Q-RISPERIDONE 1 156.67 Q-SIROLIMUS RAPAMYCIN QUANT 1 122.1 HC DRUG TEST PRSMV DIR OPT OBS 1 18 HC DRUG TEST PRSMV INSTRMNT 1 23 HC DRUG TEST PRSMV CHEM ANLYZR 1 93 ALCOHOLS BIOMARKERS 1OR 2 1 28.75 ANALGESICS NON-OPIOID 1 OR 2 1 40 UA W/MICROSCOPY AUTOMATED 1 41 URINALYSIS, AUTO W/MICRO 1 41 HC URINALYSIS NONAUTO W/O SCOPE 1 25 HC URINE DIPSTICK 1 25 BH/FH-UA W/O MICROSCOPY 1 8 HC URINE PREGNANCY 1 34 UCG-URINE 1 32 BCR/ABL GENE REARRA QUAN PCR Q 1 658 CYSTIC FIBROSIS CARRIER SCREEN 1 2,618.00 PROTHROMBIN GENE ANAL -#30326 1 270 FACTOR V MUTATION - #36192 1 216 DNA ANAL FOR FRAGILE - #16301 1 415 MTHFR DNA MUTATION ANALYSIS #1 1 260 HC T-CELL RECEPTOR (TCR) BETA, PCR 1 516 HC T-CELL RECEPTOR (TCR) GAMMA, PCR 1 498 PLASMINOGEN ACTIV INHIB 4G/5G 1 158 BETA GLOBIN COMPL NY- #14979 1 897 HC MOPATH PROCEDURE LEVEL 6 1 1,088.00 ALPHA GLOBIN GENE SEQ(NY)#1611 1 1,088.00 HC ALPHA GLOBIN GENE SEQ(NY)#1611 1 1,088.00 B-HYDROXBUTYRATE 1 22.5 Q-ACYLCARNITINE PLASMA 1 311.25 ALBUMIN-SERUM 1 28 Q13924-ALBUMIN SERUM 1 11.91 ALBUMIN FLUID 1 17 Q13924-ALBUMIN URINE &OTHR SCE 1 12.56 BH-MA 24HR URINE 1 20 MICROALBUMIN 1 20 Q-MICROALBUMIN (URINE) 1 130.9 HC URINE MICROALBUMIN DIPSTICK 1 25 Q-ALDOLASE-SERUM 1 58.75 Q-ALDOSTERONE, URINE 1 308.24 Q-ALDOSTERONE-SERUM 1 235 Q-ALPHA-1-ANTITRYPSIN,TOTAL 1 73.75 Q30294-ALPHA FETOP SERUM-BHMC 1 39.36 Q-AFP,TUMOR MARKER 1 192 Q-ALUMINUM 1 161.25 Q-CYSTINE, URINE 1 162 Q-AMINO ACID FRACTIONATED PLAS 1 139.4 Q-AMINO ACID FRACTIONATED, URI 1 1,116.00 AMMONIA 1 83 AMYLASE, BODY FLUID 1 38 AMYLASE-SERUM 1 38 AMYLASE-SPOT-URINE 1 38 Q-845 AMYLASE 1 20 Q-ANDROSTENEDIONE 1 167.5 Q-ANGIOTENSION CONVERTING ENZY 1 75.98 Q22272-APOLIPOPROTEIN EVAL 1 40 517817-ARSENIC 1 70 Q-ARSENIC, URINE 1 249.7 Q-VITAMIN C-PLASMA 1 46.25 Q-BETA-2-MICRO GLOBULIN,BLOOD 1 55.5 Q-BETA-2-MICRO GLOBULIN,URINE 1 177.1 Q-BILE ACIDS (TOTAL) 1 71.25 BILIRUBIN, NEO NATAL 1 29 BILIRUBIN, TOTAL-SERUM 1 29 BILIRUBIN, DIRECT 1 30 HC OCCULT BLOOD STOOL UP 3 SPECIM 1 18 CL-OCCULT BLOOD UPTO 3 SPECIME 1 23 HC BLOOD OCCULT/GUAIAC UP 3SPE 1 23 HC FECAL GLOBIN BY IMMUNOCHEMISTRY 1 39 HC VITAMIN D-25 - HYDROXY 1 81 Q-CALCITONIN LEVEL 1 150 CALCIUM-SERUM,TOTAL 1 29 Q1316-CALCIUM, TOTAL 1 12.56 CALCIUM IONIZED 1 19 CALCIUM URINE 24 HOURS 1 34 CALCIUM URINE SPOT 1 34 Q-CALCULUS ANALYSIS,QUAL 1 68.75 FLUID CO2 1 28 Q-BICARBONATE URINE 1 103 CARBON MONOXIDE 1 45 Q-CEA-BHMC 1 46.28 Q-CARNITINE 1 377.5 Q-CAROTENE-SERUM 1 56 Q-CATECHOLAMINES PLASMA 1 80 Q-CATECHOLAMINES,TOTAL-URINE 1 86.25 Q-CERULOPLASMIN-SERUM 1 40 Q-CHLORIDE, URINE 1 12.56 Q-CHLORIDE, URINE 24HR. 1 12.56 CHLORIDE, OTHER BODY FLUID 1 19 Q31595-CHLORIDE OTHER SOURCE 1 25 CHOLESTEROL-SERUM,TOTAL 1 25 Q-CHOLINESTERASE (SERUM) 1 43.75 Q14446-COPPER 1 71.25 Q-COPPER 1 34 Q-CORTISOL FREE URINE 1 153.12 BH-CORTISOL AM 1 89 BH-CORTISOL PM 1 89 CORTISOL SERUM,TOTAL 1 89 Q-CORTISOL TOTAL URINE 1 88.75 CK-TOTAL 1 40 Q44518-CPK TOTAL 1 16.25 Q44518-CPK ISOENZYMES 1 25.92 CREATININE-SERUM 1 29 Q1316-CREATININE BLOOD 1 12.56 CREATININE, OTHER SOURCES 1 30 Q149618-CREATININE, NOT BLOOD 1 77.5 Q200-CREATININE NOT BLOOD 1 20 Q-THALLIUM RANDOM URINE 1 195.8 URINE SPOT CREATININE 1 30 CREATININE CLEARANCE 1 54 CRYOGLOBULINS-SERUM 1 53 Q-CRYOGLOBULIN QUANT 1 23 VITAMIN B12-SERUM 1 86 Q-CYSTATIN C 1 168.75 Q-DHEA SULFATE 1 141.25 Q-DEOXYCORTISOL 1 368.75 Q-VITAMIN D (1,25 DEHYDROXY) 1 93.89 Q-ERYTHROPOIETIN 1 101.25 Q-ESTRADIOL 1 68.75 Q-SERUM ESTROGEN (TOTAL) 1 120 Q30294-ESTRIOL UNCONJUGATED-BHMC 1 58.85 Q-ESTRIOL-SERUM 1 132.5 Q-ETHYLENE GLYCOL 1 83.75 Q-FATTY ACIDS, FREE 1 166.25 FERRITIN-SERUM 1 78 FOLATE-SERUM 1 83 Q13924-GG,IGA,IGD,IGG,IGM W/MO 1 17.98 Q13924-GG,IGA,IGD,IGG,IGM,EACH 1 17.98 Q159810-GG,IGA,IGD,IGG,IGM, EA 1 77.5 Q19955-GG,IGA,IGD,IGG,IGM 1 32.5 Q-IGA BHMC 1 33 Q-IGG BHMC 1 22.48 Q-IGG, CSF 1 16 Q-IGM BHMC 1 22.48 Q-IGM, CSF 1 16 IGE,SERUM 1 46 Q10643-ASSAY OF IGE 1 60 Q-IMMUNO. G SUBCLASSES 1 370 CORD PH & BE 1 35 BH-BLOOD GAS ARTERIAL 1 68 BH-BLOOD GAS CAPILLARY 1 68 BH-BLOOD GAS VENOUS 1 68 Q-GASTRIN-SERUM 1 98.75 BODY FLUID-GLUCOSE,QUAN 1 36 URINE GLUCOSE 24 HOURS 1 36 CSF-GLUCOSE 1 24 GLUCOSE FASTING 1 24 GLUCOSE-SERUM 1 24 HC GLUCOSE BLD RGT STRIP 1 9 GLUCOSE 1 HR. POST PRANDIAL 1 28 GLUCOSE 2 HR. POST PRANDIAL 1 28 GLUCOSE TOLERANCE - 3 HR 1 71 GLUCOSE TOLERANCE-1ST 3 PROC. 1 71 GLUCOSE TOLERANCE 4 HR 1 13 Q-G6PD-GLUCOSE 6 PHOSPHATE DEH 1 31.25 GLUCOSE/ACCU-CHEK 1 24 HC ACCUCHECK 1 6 FLUID GGT 1 41 Q-FRUCTOSAMINE 1 123.75 FSH (FOLLOCLE STIMUL. HORMONE) 1 105 Q-LH - BHMC 1 44.96 Q-GROWTH HORMONE (HGH) 1 96.25 HAPTOGLOBULIN SERUM 1 63 Q-HAPTOGLOBIN-BHMC 1 30.41 HGB,FRACT & QUAN; EP 1 100 GLYCOHEMOGLOBIN (HGB A1) 1 54 Q-HOMOCYSTEINE 1 210 Q-17-OHCS/HYDROXYCORTICOSTEROI 1 101.25 Q-5 HIAA-URINE 1 73.75 Q12778-IA NO-INFECT AGNT AB 1 122.4 Q12778-IN NO-INFECT AGT AB W/ 1 122.4 Q159810-IA INF AGNT AB W MOD 1 76.5 Q159810-IA NOT INFEC AGT AB MU 1 76.5 Q19955-IA NOT INFECT AGNT 1 31.2 Q-ANTIPARIETAL ANTIBODY 1 40 Q-ANTI-SMOOTH MUSCLE ANTIBODY 1 67.2 Q-HISTONE ANTIBODY 1 168 Q-MYELOPEROXI P-ANCA AB 1 102 Q-NMO-IGG AUTOANTIBODY TEST (9 1 631 Q-RIBOSOMAL P. ANTIBODY 1 76.5 Q-TISSUE TRANSGLUTAMINA IGG AB 1 49.2 Q68512-QUAL ORG ACID EA SPEC 1 151.25 Q68512-QUAL ORG ACID W MOD 1 151.25 Q-ACETYCHOL RECEP BLOC ANTIB 1 212.91 Q-ACHR MODULATING AB 1 233.3 Q-ACTH-ADRENOCORTICOTROPIC HOR 1 335 Q-GLUTAMIC ACID DECARB ANTIBOD 1 81.25 Q-IGF BINDING 1 51.25 Q-LEPTIN 1 141.25 Q-MUSK AB 1 852.5 Q-PTH-RELATED PROTEIN(PTH-RP) 1 233.3 Q-TBII-THYROTROPIN BINDING 1 381 Q-ANTI-GLOMER.BASE.MEMB.ANTIBO 1 87.5 Q-INHIBIN-B, ELISA 1 198 Q-NEURON SPECIFIC ENOLASE 1 151.8 Q-TRYPTASE, SERUM 1 111.25 Q-INSULIN,TOTAL 1 62.5 Q-INSULIN, FREE 1 45 IRON 1 38 IRON BINDING CAPACITY 1 44 Q-17-KETOGENIC STEROIDS-URINE 1 70.4 Q-17-KETOSTEROIDS-URINE 1 46.25 LACTIC ACID 1 44 Q553011-LACTATE 1 25.79 BODY FLUID - LDH 1 38 L.D.H.-CHEM 1 38 LDH---CSF 1 38 BH-LEAD CAPILLARY 1 70 BH-LEAD LEVEL - QUANT VENOUS 1 70 Q17817-LEAD 1 45 Q-LEAD - 24 HOUR URINE 1 70 Q21014-FETAL LUNG MATURE; QUAN 1 95 LIPASE 1 33 Q-LIPASE PERITONEAL FLUID 1 9 Q-LIPASE PLEURAL FLUID 1 17.5 Q-LIPOPROTEIN (A) 1 42.5 Q19612-LIPO BLOOD,EP MOD 52 1 30 HDL (HIGH DENSITY LIPOPROT.) 1 46 MAGNESIUM - URINE 1 35 MAGNESIUM-SERUM 1 35 Q-URINE 24HR MAGNESIUM 1 16.53 Q-MANGANESE 1 68.75 Q-BILE ACIDS,FRACT.,CHOLYLGLYC 1 250.8 Q-OXCARBAZE CHROMAT. QUANTI 1 79 Q17817-MERCURY QUANT 1 60 Q-MERCURY BLOOD QUANT. 1 42.5 Q-MERCURY,URINE QUANT. 1 42.5 Q149618-METANEPHRINES 1 116.25 Q-METANEPHRINES-URINE 1 188 Q-METANESPHRI BLOOD 1 231.25 Q-MYELIN BASIC PROTEIN-CSF 1 153.33 Q-MYOGLOBIN - BLOOD 1 60 Q-MYOGLOBULIN-URINE 1 60 PRO-BNP 1 177 KAPPA LIGHT CHAIN 1 32 Q14492-NEPHELO EA ANAL W/ MOD 1 33.06 Q14492-NEPHELOMETRY EA ANALYTE 1 33.06 Q17405-NEPHELO EA ANAL W MOD 1 42.5 Q17405-NEPHELO EA ANALYTE 1 42.5 Q-C1 ESTERASE INHIBITOR 1 72.5 Q-FREE KAPPA 1 58.75 Q-FREE KAPPA & LAMDA, W/ 1 114.31 Q-OLIGOLCONAL BANDING 1 173.04 Q-ORGANIC ACID QUALITATIVE 1 210 Q200-QUAN SGL ORGANIC ACID 1 178.8 Q-METHYLMALONIC ACID-SERUM 1 337.2 OSMOLALITY-SERUM 1 40 OSMOLALITY-URINE 1 40 Q-OXALATES, URINE 1 117.39 Q PTH INTACT #35202 1 113 Q1316-PARATHORMONE 1 100.51 FLUID PH 1 34 Q-FECES PH 1 37.5 ALKALINE PHOSPHATASE-SERUM 1 30 Q21014-PHOSPATIDY GLYCEROL 1 95 PHOSPHORUS-SERUM 1 28 Q1316-PHOSPHATE 1 11.25 URINE PHOSPHORUS 24 HOURS 1 29 Q-URINE FOR PORPHOBILINOGEN 1 105.6 Q-PORPHYRIN SCREEN PATHOLOGY 1 47.5 POTASSIUM-SERUM 1 28 POTASSIUM-SPOT URINE 1 25 URINE POTASSIUM 24 HOURS 1 25 PREALBUMIN 1 54 Q-HYDROXYPROGESTERONE,17-ALPHA 1 173.13 Q-PROGESTERONE - SERUM 1 73.75 Q-PROCALCITONIN #11265 1 306 Q-PROLACTIN - BHMC 1 46.94 Q-COMPLEXED PSA-BHMC 1 160.6 Q6539-PSA TOTAL 1 44.96 Q6539-PSA FREE 1 44.96 PROTEIN, TOTAL-CSF 1 23 PROTEIN, TOTAL-SERUM 1 23 PROTEIN-BODY FLUID 1 23 Q13168-ASSAY PROTEIN 1 10 PROTEIN, URINE 1 23 PROTEIN-SPOT URINE 1 23 Q17405-URINE TOTAL PROTEIN 1 42.5 BH-SERUM PROTEIN ELECTROPHORES 1 40 Q13168-PROTEIN EP FRACT & QUAN 1 64.9 Q113067-PROT PHORES, URINE CSF 1 43.65 Q17405-PROT PHORES/URINE/CSF 1 43.65 Q-PROT ELEC M SPIKE 24 HR UR 1 49 Q-PROT ELEC M SPIKE RANDOM UR 1 49 Q-PROTEIN ELECTROPHORESIS, CSF 1 43.76 Q5203-PROTEIN WB IM ID - BANDS 1 97.5 Q-VITAMIN B6 1 55.01 Q553011-PYRUVATE 1 26.45 Q-ACETYLCHOLINE RECEPTOR AB 1 257.5 Q-RENIN 1 78 Q-SEROTONIN 1 373.75 Q-SEX HORMONE BIND GLOBULIN 1 52.89 Q-L.A.S.A.-LIPID ASSOC.SIALIC 1 76.25 SODIUM - SERUM 1 28 SODIUM-SPOT URINE 1 29 URINE SODIUM 24 HOURS 1 29 Q31595-SODIUM OTHER SOURCE 1 25 Q-SOMATOMEDIN-C 1 63 Q31595-SPECTROPHO ANALYTE 1 25 Q-ADENOSINE DEAMINASE 1 235 Q-STOOL ANALYSIS-REDUCING SUBS 1 27.6 REDUCING SUBSTANCE URINE 1 25 Q-TESTOSTERONE, FREE (W/O) 1 62.15 Q36170-TESTOSTERONE;TOTAL 1 73 Q-TESTOSTERONE-SERUM,TOTAL 1 146.25 Q-VIT B1 PLASMA 1 52.5 Q30278X-THYROGLOBULIN 1 39.01 FREE T 4 1 53 Q-THYROXINE BINDING GLOBULIN 1 83.75 TSH-THYROID STIMULATING HORMON 1 96 Q-THYROID STIMUL IMMUG 1 228.75 Q-VITAMIN E 1 36.25 SGOT (AST)-SERUM 1 23 SGPT - SERUM 1 28 TRANSFERRIN 1 68 TRIGLYCERIDES 1 31 Q-T3 UPTAKE 1 12 TT3 (TOTAL T3) 1 78 Q-T3 FREE 1 34 TROPONIN-I 1 61 BHMC-BUN FLUID 1 24 BUN POST DIALYSIS 1 24 UREA-NITROGEN SERUM 1 24 URINE UREA NITROGEN 24 HOURS 1 28 URIC ACID-SERUM 1 28 Q-URIC ACID RANDOM URINE 1 11.91 URIC ACID FLUID 1 28 URINE URIC ACID 24 HOURS 1 28 Q-VANILLYLMANDELIC ACID(VMA) 1 87.5 Q-VASOACTIVE INTEST.POLYPEPTID 1 302.5 Q-ANTIDIURETIC HORMONE(VASOPRE 1 305 Q-VITAMIN A (RETINOL) 1 100.52 Q-VITAMIN K1 1 101.25 Q-ALCOHOL, ISOPROPYL 1 140 Q-METHANOL 1 121.25 Q-ZINC/PLASMA 1 27.78 Q-C-PEPTIDE 1 182.5 HCG/HUMAN CHORIONIC,QUAN 1 111 Q30294-HCG QUANT-BHMC 1 36.36 HC CLINITEST HCG PREGNANCY TEST 1 19 HC T-CELL CLONALITY PANEL (TCRB, TCRG) PCR 1 516 MUCOUS THREADS 1 26 Q-OSMOLALITY, STOOL 1 15 DIFFERENTIAL BLOOD,MANUAL 1 23 RBC MORPHOLOGY 1 20 HC HEMOCUE HGB 1 13 CBC WITH AUTO DIFF 1 46 PLATELET MANUAL COUNT 1 25 RETICULOCYTE CNT-HEMO-MAN 1 22 RETICULOCYTE HGB (CHR) 1 21 HC BLOOD SMEAR INTERPRETATION 1 115 HC BONE MARROW,SMEAR INTERPRETATION 1 1,039.00 Q-FACTOR II LEVEL 1 62.5 Q-FACTOR V CLOTTING 1 88.75 Q-FACTOR VII (7) 1 90 Q1979OX-BLD CLOT FACT VII 1 110 Q40083-CLOT FACTOR VII ONE STA 1 286.25 Q-FACTOR VIII (ONE STAGE) 1 43.75 Q-FACTOR VIII ANTIGEN-VONWILLE 1 52.5 Q1979OX-CLOT FACT VIII RISTO C 1 110 Q1979OX-CLOT FAC VIII,VW FAC A 1 110 Q1979OX-FACTOR VWF MULTIMRIC 1 110 Q-FACTOR VIII MULTIMERIC 1 298.75 Q-FACTOR IX 1 90 Q-FACTOR X(FACTOR 10)STUART 1 88.75 Q-FACTOR XI (PTA) 1 88.75 Q-FACTOR XII-HAGEMAN 1 90 Q-FACTOR XIII SCREEN 1 263.75 Q-ANTITHROMBIN III ACTIVITY 1 188.75 Q-ANTITHROMBIN III ANTIGEN 1 332.5 Q-PROTEIN C ANTIGEN 1 70 Q-PROTEIN C ACTIVITY 1 219.17 Q1968 CLOT INHIB PROTEIN S TOT 1 68.75 Q-PROTEIN S,TOTAL 1 373.75 Q1968-CLOT INHIB PROTEIN S FRE 1 45 Q-PROTEIN S ACTIVITY 1 62.5 Q-ACTIVATED PROTEIN RESIS 1 66 Q40083-FACTOR INHIBITOR TEST 1 286.25 Q-VWF PROTEASE INHIBITOR 1 83 ACTIV CLOT TIME + PRE-OP/POST- 1 15 HC ACTIV CLOT TIME PRE & POST OP 1 23 D-DIMER (QUANT)T) 1 48 FIBRINOGEN, ACTIVITY 1 44 Q-FIBRINOGEN (CLAUSS) 1 134.17 Q-ADAM 13 LVL PLASMA 1 343.75 Q-PLASMINOGEN ACT INH ANTIGEN 1 172.5 HEINZ BODIES 1 12 Q-FETAL HEMOGLOBIN-HEMO BHMC 1 106.7 FETAL SCREENING, QUAL. 1 18 Q-HEPARIN ANTI-XA ASSAY 1 185 Q-LYSOZYME, BLOOD 1 255 OSMOTIC FRAGILITY INCUBATED 1 44 HC VERIFY NOW ASPIRIN TEST 1 117 Q-LUPUS ANTICOAGULANT 1 43.65 Q-LUPUS ANTICOAGULANT CONFIRMA 1 66.25 HC PROTHROMBIN TIME 1 37 PROTHROMBIN TIME 1 37 PT (10%) 2 HOURS 1 37 PT (10%) IMMEDIATE 1 37 PT (50%) 2 HOURS 1 37 PT (50%) IMMEDIATE 1 37 PT (50/50) 1 HOUR 1 37 PT (50/50) 2 HOURS 1 37 PT (50/50) IMMEDIATE 1 37 PT (90%) 2 HOURS 1 37 PT (90%) IMMEDIATE 1 37 Q-DRVVT 1:1 MIX 1 19 Q-DRVVT SCREEN 1 19 SEDIMENTATION RATE,NON-AUTO 1 22 SICKLE CELL PREP. 1 23 BHMC-THROMBIN TIME, PLASMA 1 21 PTT (10%) 2 HOURS 1 53 PTT (10%) IMMEDIATE 1 53 PTT (50%) 2 HOURS 1 53 PTT (50%) IMMEDIATE 1 53 PTT (50/50) 1 HOUR 1 53 PTT (50/50) 2 HOURS 1 53 PTT (50/50) IMMEDIATE 1 53 PTT (90%) 2 HOURS 1 53 PTT (90%) IMMEDIATE 1 53 PTT PARTIAL THROMBOPLASTIN TIM 1 53 PTT PLASMA/WH BLOOD 1 53 Q1979OX-PTT PLASMA/WHOLE BLD 1 110 Q-SERUM VISCOSITY 1 70 Q10643-ALLERG SP IGE 1 20 Q10643-ALLERG SP IGE W MOD 1 20 Q-ALLEGEN PEA 1 52.8 Q-ALLERGEN ALMOND 1 52.8 Q-ALLERGEN ALTERNARIA TENUIS 1 52.8 Q-ALLERGEN APPLE 1 52.8 Q-ALLERGEN ASPERGILLUS FUMIGAT 1 52.8 Q-ALLERGEN BANANA 1 52.8 Q-ALLERGEN BARLEY 1 52.8 Q-ALLERGEN BEECH TREE 1 52.8 Q-ALLERGEN BERMUDA GRASS 1 52.8 Q-ALLERGEN BIRCH TREE 1 52.8 Q-ALLERGEN BLUEBERRY 1 52.8 Q-ALLERGEN CARROT 1 52.8 Q-ALLERGEN CASEIN BHMC 1 52.8 Q-ALLERGEN CASHEW NUT 1 52.8 Q-ALLERGEN CAT DANDER 1 52.8 Q-ALLERGEN CELERY 1 52.8 Q-ALLERGEN CHEESE, CHEDDAR 1 52.8 Q-ALLERGEN CHERRY 1 52.8 Q-ALLERGEN CHICKEN MEAT 1 52.8 Q-ALLERGEN CHOCOLATE (COCOA) 1 52.8 Q-ALLERGEN CLAM 1 52.8 Q-ALLERGEN COCKROACH 1 52.8 Q-ALLERGEN COCONUT 1 52.8 Q-ALLERGEN CODFISH 1 52.8 Q-ALLERGEN COMMON RAGWEED(SHOR 1 52.8 Q-ALLERGEN CORN 1 52.8 Q-ALLERGEN CRAB 1 52.8 Q-ALLERGEN DERMATO FARINAE 1 52.8 Q-ALLERGEN DERMATO PTERONYSSIU 1 52.8 Q-ALLERGEN DOG DANDER 1 52.8 Q-ALLERGEN EGG WHITE 1 52.8 Q-ALLERGEN EGG YOLK 1 52.8 Q-ALLERGEN ELM 1 52.8 Q-ALLERGEN ENGLISH PLANTAIN 1 52.8 Q-ALLERGEN ENGLISH WALNUT IGE 1 20 Q-ALLERGEN GARLIC 1 52.8 Q-ALLERGEN GLUTERN BHMC 1 52.8 Q-ALLERGEN GOOSE FEATHER BHMC 1 52.8 Q-ALLERGEN HAZEL NUT 1 52.8 Q-ALLERGEN HONEY BEE VENOM 1 52.8 Q-ALLERGEN HOUSE DUST GREER 1 52.8 Q-ALLERGEN JOHNSON GRASS 1 52.8 Q-ALLERGEN KIWI 1 20 Q-ALLERGEN LENTIL 1 52.8 Q-ALLERGEN LOBSTER 1 52.8 Q-ALLERGEN MANGO 1 52.8 Q-ALLERGEN MAPLE (BOX ELDER) 1 52.8 Q-ALLERGEN MELON 1 52.8 Q-ALLERGEN MILK 1 52.8 Q-ALLERGEN OAK 1 52.8 Q-ALLERGEN OAT 1 52.8 Q-ALLERGEN OYSTER 1 52.8 Q-ALLERGEN PEACH 1 52.8 Q-ALLERGEN PEANUT 1 52.8 Q-ALLERGEN PECAN NUT 1 52.8 Q-ALLERGEN PISTACHIO 1 52.8 Q-ALLERGEN PLUM 1 52.8 Q-ALLERGEN RED KIDNEY BEANS 1 52.8 Q-ALLERGEN RICE 1 52.8 Q-ALLERGEN RYE 1 52.8 Q-ALLERGEN SALMON 1 52.8 Q-ALLERGEN SESAME SEED 1 52.8 Q-ALLERGEN SHRIMP 1 52.8 Q-ALLERGEN SOYBEAN 1 52.8 Q-ALLERGEN STRAWBERRY 1 52.8 Q-ALLERGEN SUNFLOWER 1 52.8 Q-ALLERGEN SWEET VERNAL GRASS 1 52.8 Q-ALLERGEN TIMOTHY GRASS 1 52.8 Q-ALLERGEN TOMATO 1 52.8 Q-ALLERGEN TUNA 1 52.8 Q-ALLERGEN WALNUT TREE CALIF 1 52.8 Q-ALLERGEN WHEAT 1 52.8 Q-ALLERGEN WHITE PINE 1 52.8 Q-BRAZIL NUT 1 20 Q-LATEX IGE 1 8 Q-PINEAPPLE IGE 1 8 Q36733-AB ID LEUKO AB MOD 1 61 Q36733-AB ID LEUKOC AB 1 61 Q-NEUTROPHIL ANTIBODY 1 207.9 Q-NEUTROPHIL CYTOPLASMIC AB 1 176.25 Q-HEPARIN INDUCED PLT ANTIBODY 1 101.25 Q-PLATELET ANTIBODY INDIRECT 1 224.17 Q-SEROTONIN RELEASE ASSAY 1 357.5 Q-PLATELET ANTIBODY DIRECT 1 467.5 ANA-ANTINUCLEAR ANTIBODY 1 42 Q-CENTROMERE B ANTIBODY 1 29.75 ANTI-STREP O AB TITER (ASO) 1 28 ANTI-STREPTOLYSIN O SCREEN 1 13 C-REACTIVE PROTEIN 1 17 Q-HI SENSITIVE CRP 1 47.5 Q148908-BETA 2 GLYCOP AB W MOD 1 62.15 Q148908-BETA 2 GYCOPRO AB EA 1 62.15 Q30340-BETA2 GLYCOPR AB,EA W/M 1 62.15 Q30340-BETA2 GLYCOPROTEN AB,EA 1 62.15 Q148908-CARDIO LIPIN AB W MOD 1 62.15 Q148908-CARDIO LIPIN AB, EA IG 1 62.15 Q-ANTI-CARDIOLIPIN ANTIBODY 1 62.15 Q148908-ANTI PHOSPHATIDYLSE AB 1 39.01 Q148908-ANTI-PHOS AB W MOD 1 39.01 Q-COLD AGGLUTININS BHMC 1 21.25 Q-C3 - BHMC 1 29.09 Q-C4 - BHMC 1 29.09 Q-COMPLEMENT C1Q 1 114.24 Q-COMPLEMENT C2 1 180.83 Q-COMPLEMENT C5 1 173.33 Q-COMPLEMENT COMPONENT C9 1 115 Q-COMPLIMENT CH 50 1 113.75 Q-CYCLIC CITRULLINE PEPTIDE 1 100 Q-DNA ANTIBODY (DOUBLE) 1 77.5 Q75-ENA, ANY METHOD 1 43.65 Q75-ENA, ANY METHOD W/ MOD 1 43.65 Q-ENA-EXTRAT. NUCLEAR ANTIGEN 1 100 Q-JO-1 ANTIBODY 1 154 Q-PM SCL ANTIBODY 1 98.25 Q-SCLERODERMA ANTIBODY 1 112.5 Q-ANTI-GLIADIN ANTIBODY 1 246.25 Q-ANTI-MITOCHONDRIAL ANTIBODY 1 70 Q-ANTI-RETICULIN ANTIBODY 1 168.75 Q-DNA(DS)ANTIB CRITHIDIA IFA W 1 91 Q-ENDOMYSIAL AB SCR IGA RLX TI 1 135 Q-MITOCHONDRIAL ANT.W/REFLEX T 1 23 Q-ANTI PANCREATIC ISLET CELL A 1 70 Q-STRIATED MUSCLE EA. AB 1 32.5 Q-CA 15-3 1 118.75 Q-CA 27-29 1 52.5 Q-CA 19-9 1 118.75 CA 125 (CANCER ANTIGEN 125) 1 71 HETEROPHILE AB, SCREEN 1 18 Q-CHROMOGRANIN A 1 159.5 Q-FILARIASIS 1 185.9 Q-BENCE JONES PROTEIN 1 111.1 Q-IMMUNIFIXATION SEDUM BHMC 1 33 Q17405-IMMUNFIX PHORS/URIN/CSF 1 71.41 Q-IMMUNOFIXATION URINE 1 71.41 Q30294-INHIBIN A - BHMC 1 30.15 Q-INHIBIN A, TUMOR MARKER 1 198.33 Q-INSULIN AUTO AB 1 89.1 Q-INTRINSIC FACTOR ANTIBODIES 1 55 Q-ISLET CELL ANTIBODY 1 70.83 Q7197-B CELL TOTAL COUNT BHMC 1 82.5 Q7197-NK CELLS TOT COUNT BHMC 1 82.5 Q7197-T CELL TOTAL COUNT BHMC 1 88.24 Q7197-T CELL ABSO CD4&CD8 BH/F 1 109.81 Q9042-MICROSOMAL AB, EACH 1 47.5 Q-MICROSOMAL AB LIVER/KIDNEY 1 113.75 Q-THYROID PEROXIDASE ANTIBODY 1 26 CRYPTOCOCCAL AG, SCREEN 1 22 HAEM.INFLU TYPE B, RAPID AG 1 22 Q-S. PNEUMONIAC ANTIGENS 1 37.5 Q-STREP GP B AG, URINE 1 99.17 SEROTYPE 1 22 CRYPTOCOCCAL AG/TITER 1 26 RHEUMATOID FACTOR,QUAL. 1 19 RHEUMATOID FACTOR TITER 1 14 Q-QUANTIFERON 1 135 HC PPD IMPLANTATION 1 69 BH-RPR CORD BLOOD 1 17 Q-VDRL-CSF 1 11.25 VDRL (RPR) 1 17 RPR TITER 1 17 Q-ADENOVIRUS ANTIBODY GROUP 1 31.9 Q-ASPERGILLUS AB 1 70.4 Q-ASPERGILLUS IGG ABS 1 160.83 Q3511-AB BARTONELLA 1 20.1 Q3511-AB BARTONELLA W/ MOD 1 20.1 Q8593 - LYME IGM WEST BLOT 1 41.25 Q8593-LYME IGG WEST BLOT 1 41.25 Q-LYME DISEASE PROGRESSIVE 1 41.66 Q91068-BRUCELLA AB 1 44 Q91068-BRUCELLA AB W/MOD 1 44 Q-BRUCELLA AB, AGGLUTINATION 1 34 Q-CHLAMYDIA TRACHOMITIS,IGG AB 1 201.25 Q-CHLAMYDIA TRACHOMITIS,IGM AB 1 255 Q8521-AB COXIELLA BRUNET W/MOD 1 29.75 Q8521-AB COXIELLA BRUNETTI 1 29.75 Q56192-AB CMV IGG 1 28.52 Q56192-AB CMV IGM 1 32.8 DOH-ENCEPHALITIS, CALIFORNIA 1 74 Q-349808 AB;ENCEPHALITIS CALIF 1 16 Q-349808 AB;ENCEPHALITIS CALIF 1 16 DOH-ENCEPHALITIS EASTERN EQUIN 1 74 Q-349808 AB;ENCEPHALITIS E EQU 1 16 Q-349808 AB;ENCEPHALITIS E EQU 1 16 DOH-ENCEPHALITIS ST. LOUIS 1 74 Q-349808 AB;ENCEPHALITIS ST.LO 1 16 Q-349808 AB;ENCEPHALITIS ST.LO 1 16 DOH-ENCEPHALITIS WESTERN EQUIN 1 74 Q-349808 AB;ENCEPHALITIS W EQU 1 16 Q-349808 AB;ENCEPHALITIS W EQU 1 16 Q4022-COXSACKIE B1-6 AB 1 25.39 Q4022-COXSACKIE B1-6 AB W MOD 1 25.39 Q-COXSAKIE ANTIBODY 1 216.25 Q6421-AB EBNA 1 37.03 Q6421-EPST BARR VCA W/MOD 1 44.31 Q6421-EPSTEIN BARR VCA 1 44.31 Q-EHRLICHIA AB PANEL 1 542.5 Q-CYSTOCEROSIS ANTIBODY 1 128.75 Q-ECHINOCOCCUS GRANULOS AB IGG 1 244.2 Q-STRONGYLOIDES ANTIBODY 1 120 Q-TOXOCARA ANTIBODY 1 223 Q HTLV I/II CONFIRMATION ASSAY 1 155.75 Q-HERPES SIMPLEX ANTIBODY 1 75 Q-HSV IGM AB TITER 1 36 Q14992-HERPES VIRUS TYPE 1 1 32.4 Q14992-HERPES VIRUS TYPE 2 1 48.75 Q-HISTOPLASMA ANTIBODIES 1 108.33 HC UNSPECIFIED VIROLOGY 1 49 HC Q-UNSP VIROLOGY EIA AB SCR 1 75 HIV 1/HIV 2 RAPID TEST 1 78 HIV ANTIBODY 1 132 HEPATITIS B CORE ANTIBODY 1 42 Q-HEPATITIS B CORE ANTIBODY IG 1 90 HEPATITIS B SURF.ANTIBODY 1 36 Q-HEPATITIS BE ANTIBODY 1 185.97 HEPATITIS A ANTIBODY (IGG/IGM) 1 43 HEPITITIS A ANTIBODY (IGM) 1 40 Q-HEPATITIS A IGM 1 32 Q489-AB INFLUENZA VIRUS 1 30 Q489-AB INFLUENZA VIRUS 1 70 Q-LEGIONELLA PNEUMOPHILIA AB 1 73.75 Q-LISTERIA ANTIBODY 1 157.5 Q128044-AB LCM 1 106.7 Q128044-AB LCM W MOD 1 106.7 MUMPS, IGG 1 86 Q-MUMPS IGM AB 1 100 Q MYCOPLASMA AB 1 42.9 Q-MYCOPLASMA IGM BHMC 1 32.4 Q-BABESIA MICROTI IGG, IGM 1 124.3 Q-ENTAMOEBE HISTOE ANTIBODY 1 36.25 Q12170-AB RICKETTSIA W/ MOD 1 37.4 Q12170-AB; RICKETTSIA 1 37.4 Q37507-AB;RICKETTSIA 1 34 Q37507-AB;RICKETTSIA W/MOD 1 34 Q-RICKETTSIA ANTIBODY PANEL 1 153.75 Q-RUBELLA IGM 1 57.5 RUBELLA AB, IGG 1 50 Q-MEASLES AB IGM 1 46.25 Q-MEASLES IGG-BHMC 1 31.74 RUBEOLA (MEASLES) ANTIBODY 1 50 Q-TETANUS TOXIN ANTIBODY 1 48.4 TOXOPLASMA IGG ANTIBODY 1 50 Q-TOXOPLASMA GONDII IGM,AB,CSF 1 114 TOXOPLASMA IGM ANTIBODY 1 79 Q-TRICHINELLA TITER 1 112.2 Q-VARICELLA ZOSTER, IGM 1 72.5 VARICELLA IGG 1 29 Q36596-WEST NILE VIRUS AB, IGM 1 78.75 Q36596-WEST NILE VIRUS ANTIBOD 1 78.75 HTLV I/II PROGRESSIVE Q 1 29 Q15085-HEP E VIRUS AB 1 97.5 Q15085-HEP E VIRUS AB W/MOD 1 97.5 Q-HERPESVIRUS 8 IGG AB 1 191.25 BH-THYROGLOBULIN ANTIBODIES 1 44 Q30278X-AB THYROGLOBULIN 1 39.01 Q9042-AB THYROGLOBULIN 1 47.5 HEPATITIS C ANTIBODY 1 50 Q-HLA B27 HISTOCOMP ANTIGEN 1 60.3 HLA TYPING (A,B,C) 1 703 ANTIBODY SCREEN 1 69 HC ANTIBODY SCREEN 1 69 ANTIBODY ELUTION 1 244 ANTIBODY IDENT., RBC EACH PANE 1 433 DIRECT AGT-COOMBS EA ANTISERUM 1 67 INDIRECT, TITER, EA. ANTISERUM 1 244 AUTOLOGOUS DONOR - BLOOD BANK 1 413 BLOOD TYPING, ABO 1 128 BLOOD TYPING; RH(D) 1 42 BLOOD TYPE ANTIGEN DONOR EA 1 433 SPECF RBC AG TYPING, NON ABO/R 1 433 CROSSMATCH, IMMED SPIN TECHNIQ 1 244 CROSSMATCH, ANTIGLOBULIN TECH. 1 244 Q-12200-CONCENTRATION FOR INFE 1 49 CULTURE-BLOOD 1 44 CULTURE-STOOL 1 54 BH-GENITAL CULTURE FEMALE 1 31 BODY FLUID CULTURE 1 48 CATHETER TIP CULTURE 1 31 CSF CULTURE-BACTERIAL 1 48 CULTURE MISC. SOURCES NOT LIST 1 48 CULTURE-SPUTUM 1 48 EAR CULTURE 1 48 EYE CULTURE 1 36 GENITAL CULTURE 1 48 HC THROAT CULTURE 1 48 NOSE CULTURE 1 48 THROAT CULTURE 1 48 URETHRAL CULTURE-BACTERIAL 1 48 CULTURE, ANAEROBIC BACTERIAL 1 89 IDENTIFICATION AEROBIC 1 30 BHMC-CULT.THROAT GRP A STREP 1 53 Q-LEGIONELLA CULTURE 1 58.33 STREP GP B PRENATAL SCREEN 1 29 CULTURE-URINE 1 39 CULT.FUNGUS SKIN/SCALP/NAIL 1 26 CULT.FUNGUS SOURCES 1 34 Q16427-FUNGUS CULTURE DEF ID Y 1 102 Q-MOLD ID 1 21 AFB CULTURE 1 85 Q-HERPES SIMPLEX VIRUS TYPING 1 38.5 CRYPTOSPORIDIUM ANTIGEN 1 35 ETEST (LAB USE ONLY 1 18 SENSITIVITY BACTERIOLOGY 1X 1 30 SENSITIVITY BACTERIOLOGY 2X 1 30 SENSITIVITY BACTERIOLOGY 3X 1 30 CSF INDIA INK STAIN 1 25 EOSINOPHIL SCREEN-URINE 1 25 GRAM STAIN 1 25 AFB SMEAR 1 41 MALARIA - BLOOD SMEARS 1 34 Q-TRICHROME STAIN 1 49 HC WET MOUNT 1 36 WET MOUNT/SIMPLE STAIN 1 25 KOH PREPARATION 1 15 Q13961-VIRUS ISOL TISS CULT IN 1 375 Q7184-VIRUS ISOL TISS CULT INO 1 63.48 Q7184-VIRUS ISOL ADD'L ID 1 41.27 Q7184-VIRUS ISOL ADD'L ID W/MO 1 41.27 Q3318-VIRUS ISO SHEL VIAL TECH 1 47.6 Q3318-VIRUS ISOL SHELL W/ MOD 1 47.6 Q-CYTOMEGALOVIRUS CULTURE 1 303.33 Q-RAPID VIRAL RESPIRATORY 1 86.9 Q-RESPIRATORY VIRUS CULTURE 1 92.4 Q-HERPES CULTURE 1 146.25 Q314-HERPES SMPLX 2 AG BY IF 1 24 Q314-HERP SMPLX L AG-IF MOD 59 1 25 Q-12200 PNEUMOCYSTIS AG BY IF 1 49 Q314-VARIC ZOST AG - DFA MOD59 1 24 Q-ASPERGILLUS ANTIGEN 1 160.6 CRYPTOSPORID AG 1 32 Q-GIARDIA AG 1 42 BH-H. PYLORI ANTIGEN IN STOOL 1 32 HEPATITIS B SURFACE ANTIGEN 1 36 HEP B SURFACE, AG CONFIRMATION 1 22 Q-HEPATITIS BE ANTIGEN 1 68.75 Q-HEPATITIS B DELTA ANTIGN/ANT 1 145 Q-HISTOPLASMA ANTIGEN BHMC 1 170.5 H INFLUENZA TYPE A / B ANTIGEN 1 172 HC H INFLUENZA TYPE A / B ANTIGEN 1 65 INFECT ANTIGEN BY EIA-MULTISTE 1 45 LEGIONELLA AG, URINE 1 25 BH-GROUP A STREP, RAPID AG 1 34 BACT.ANTIGENS-CSF,EACH ANTIGEN 1 64 Q-LYME DISEASE ANTIBODY (CSF) 1 316.25 Q-17305 CHLAMYDIA AMPLIF NA PR 1 96 Q-CLOSTRIDIUM DIFFICILE TOXIN 1 96 Q-CMV-DNA QUALITATIVE PCR 1 398.75 Q-CMV DNA PCR BHMC 1 363.33 Q-CMV-PCR 1 190 Q-HEPATITIS B VIRUS DNA QUANT 1 358.75 Q-HCV BY RNA 1 518.75 Q14426-HERPES S AMPLIF NA PROB 1 360 Q14426-HERPES S AMPLIF W/ MOD 1 174.9 Q-UNSPEC VIROLOGY V/L RNA PCR 1 426.25 Q-MTA CMPX DET TMA NO-RES 1 305.8 Q16064-MYCOBAC AMPL PROBE W MO 1 258.5 Q16064-MYCOBACT AMPL NA PROBE 1 258.5 Q-17305 NEISSERIA AMPL NA PROB 1 96 Q-(VZV) DNA ON REAL TIME PCR 1 486.75 Q11365-AMPLIF NA PROBE NOS AG 1 213 Q11365-AMPLIF NA PROBE NOS AGE 1 213 Q-JC POLYOMA VIRUS DNA 1 502.7 Q-PARVOVIRUS ANTIBODY 1 466 Q-ADENOVIRUS PCR 1 538.75 CLOSTRIDIUM DIFF IA W DO 1 68 RSV ANTIGEN 1 52 HC RAPID STREP THROAT SWAB 1 65 Q13532-PHENO DRUG UNSP VIROLOG 1 652.5 Q-UNSPEC VIROLOGY GENOTYPE 1 1,082.50 Q-HEPATITIS C GENOTYPING 1 627.48 Q11319-PHENO DNA UNSP VIR CULT 1 1,190.83 CYTOPATHOLOGY SMEAR-NON GYN 1 52 CYTOPATH CONCENTRATION TECH 1 88 PAP SMEAR THIN PREP 1 44 CYTOLOGY BRONCH WASH 1 80 EVAL.FNA,INTERP/REPORT 1 149 Q-LEUKEMIA/LYMPHOMA (BLOOD) 1 893.75 Q-LEUKEMIA/LYMPHOMA (BONE MARR 1 893.75 Q14593-TISS CULT SKIN/SOLID BX 1 385 G100-CHROM ANALY ATL DARY EA S 1 279.4 SURGICAL PATHOLOGY LEVEL I 1 122 SURGICAL PATHOLOGY LEVEL II 1 137 SURGICAL PATHOLOGY LEVEL III 1 151 CELL BLOCK, ANY SOURCE 1 191 SURGICAL PATHOLOGY LEVEL IV 1 191 SURGICAL PATHOLOGY LEVEL V 1 284 SURGICAL PATHOLOGY LEVEL VI 1 1,068.00 DECALCIFICATION PROCEDURE 1 27 SPECIAL STAINS GROUP 1 85 SPECIAL STAINS GROUP II 1 79 PATH CONSULT DURNG SURG W/FROZ 1 142 FROZEN SECT.EA.ADDL.TISSUE BLO 1 142 CYTOLOGIC EXAM EACH ADDTL SITE 1 139 HC IMMUNOFLUOR EA AB DIRECT 1 247 HC IMMUNOFLUOR ANTB ADDL STAIN 1 99 CSF CELL COUNT W/DIFF COUNT 1 27 FLUID CELL COUNT W/ DIFF 1 27 STOOL PUS LEUKOCYTE 1 25 CRYSTAL I.D.,NOT URINE 1 28 Q-FAT STAIN - STOOL 1 22 HC ADM ANY RTE 1ST VAC THRU AGE18 1 50 HC ADM RTE ADDL VAC THRU AGE 18 1 25 HC IMMUNIZATION ADMIN 1 107 HC IMMUNIZATION ADMIN EACH ADD 1 27 HC IMMUNE ADMIN ORAL/NASAL 1 126 HC IMMUNE ADMIN ORAL/NASAL ADDL 1 25 PNEUMOCOCCAL VACC -PCV13 1 218 TDAP VACC (BOOSTRIX,ADACEL) 1 98 TDAP VACCINE GREATER THAN OR EQUAL TO 7YO IM 1 98 HC INTERACTIVE COMPLEXITY 1 61 HC CPEP PSYCH DIAG EVAL BRIEF VISIT 1 187.04 HC CPEP PSYCH DIAG EVAL FULL VISIT 1 1,095.36 HC CPEP PSYCH DIAGNOSTIC EVALUATION 1 1,095.36 HC MD ADD ON PSYCH DIAGNOSTIC EVALUATION 1 295 HC PSYCH DIAGNOSTIC EVAL LANGUAGE 1 295 HC PSYCH DIAGNOSTIC EVALUATION 1 295 HC CMD ADD ON PSYCH DIAG EVAL W/M 1 295 HC CPSYCH DIAG EVAL W/ MED SRVCS LANGUAGE 1 295 HC PSYCH DIAG EVAL W/ MED SRVCS 1 295 HC CMD ADD ON PSYTX PT&/FAMILY 30 1 164 HC CPSYTX PT&/FAMILY 30 MINS LANGUAGE 1 164 HC PSYTX PT&/FAMILY 30 MINUTES 1 164 HC PSYTX PT&/FAM W/E&M 30 MIN 1 356 HC PSYTX PT&/FAM W/E&M 30 MIN ADD 1 356 HC PSYTX PT&/FAM W/E&M 30 MIN LAN 1 356 HC CMD ADD ON PSYTX PT&/FAMILY 45 1 295 HC CPSYTX PT&/FAMILY 45 MINUTES LANGUAGE 1 295 HC PSYTX PT&/FAMILY 45 MINUTES 1 295 HC PSYTX PT&/FAM W/E&M 45 MIN 1 432 HC PSYTX PT&/FAM W/E&M 45 MIN LAN 1 432 HC PSYCHOTHERAPY PT& FAMILY 60 MINS. 1 295 HC PSYCHOTHERAPY PT& /FAMILY W/EM 60 MINS. 1 245 HC COMM PSY SUP TX PGM PER DIEM 1 1,064.50 HC CRISIS INTERVENTION PER DIEM 1 1,064.50 HC PSYCHOTHERAPY FOR CRISIS 60 MINS. 1 295 HC PSYCHOTHERAPY FOR CRISIS EACH ADDT' 30 MIN 1 139 HC CFAM PSYCHOTHER.W/O PT. > =30 M 1 292 HC CFAM PSYCHOTHER.W/O PT. > 30 MI LANGUAGE 1 292 HC CMD ADD ON-FAM PSY WO PT=>30MIN 1 292 HC FAM.MED.PSYCHOTHERAPY(W/OUT PT 1 292 HC CFAM.PSYCHOTHER.W/PT. > 60 MIN LANGUAGE 1 292 HC CMD ADD ON-FAM PSY W/PT=>60 MIN 1 292 HC FAMILY PSYCHOTHERAPY W/PT > = 60 MI 1 292 HC CFAMILY GRP PSYCHOTHER - 1 HR 1 156 HC CFAMILY GRP PSYCHOTHER - 1 HR LANGUAGE 1 156 HC CMD ADD ON-FAM GRP PSY =>60 MIN 1 156 HC GROUP PSYCHOTHERAPY MD ADD ON 1 156 HC GROUP PSYCHOTHERAPY,NON MEDIC LANGUAGE 1 156 HC GROUP PSYCHOTHERAPY,NON MEDICA 1 156 HC GRP PSYCHOTHERAPY (PER PERSON) 1 156 NAROSYNTHESIS 1 295 HC COMPLEX CARE MANAGEMENT 1 250 HC COMPLEX CARE MANAGEMENT LANGUAGE 1 112 HC ENVIRONMENTAL INTERVENTION 1 250 PSYCH.EVAL.OF HOSP.RECORDS/TES 1 518 HC VOC THER-INITIAL INTERVIEW 1 250 HC HEMODIALYSIS TREATMENT ANY VASCULAR CATH V5 1 1,243.00 HC HEMODIALYSIS TREATMENT ARTERIOVENOUS FISTULA V7 1 1,243.00 HC HEMODIALYSIS TREATMENT ARTERIOVENOUS GRAFT V6 1 1,243.00 HC NON-ERSD HEMODIALYSIS 8 HRS 1 1,227.00 HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL 1 774 HEMODIALYSIS TREATMENT 1 1,243.00 ESOPHAGUS MOTILITY STUDY 1 820 HC ESOPHAGUS MOTILITY STUDY 1 657 HC ESOPHAGOGASTRIC STUDY 1 657 HC ACID PERFUSION OF ESOPHAGUS 1 657 HC ESOPHAGUS CATH ACID REFLUX TES 1 978 HC PROLONGED ACID REFLUX TEST 1 800 PROLONGED ACID REFLUX TEST 1 800 BREATH HYDROGEN TEST 1 185 HC BREATH HYDROGEN TEST 1 300 HC CAPSULE ENDOSCOPY 1 1,705.00 ANAL PRESSURE RECORD 1 364 HC ANAL PRESSURE RECORD 1 428 HC OPTH EXAM NEW INTERM 1 213 HC OPTH EXAM NEW COMPREH 1 253 HC OPTH EXAM EST INTERM 1 213 HC OPTH EXAM EST COMPREH 1 1,293.00 HC REFRACTIVE STATE 1 125 HC GONIOSCOPY 1 235 HC CORNEAL TOPOGRAPHY 1 132 HC SENSORIMOTOR EXAM 1 104 HC VISUAL FIELD LTD-OPTH.ONLY 1 104 VISUAL FILED,UNI/BI;INTER 1 122 HC VISUAL FIELD EXT.-OPTH.ONLY 1 215 HC SERIAL TONOMETRY 1 125 HC CMPTR OPHTH DX IMG ANT SEGMT 1 132 HC CMPTR OPHTH IMG OPTIC NERVE 1 132 HC COMPUTERIZED OPHTHALMIC IMAGING RETINA 1 132 HC OPHTHALMOSCOPY EXTENDED, IN 1 132 HC OPHTHALMOSCOPY, EXTENDED, S 1 132 HC FLUORESC ANGIOSCN W/INTERP/ 1 620 HC FLUORESCEIN ANGIOGRAPHY 1 520 HC ICG ANGIOGRAPHY 1 520 HC FLUORESCEIN ICG ANGIOGRAPHY 1 464 HC EYE EXAM WITH PHOTOS. 1 215 HC COLOR VISION EXAMINATION 1 104 HC EYE PHOTOGRAPHY 1 104 HC ANT SEGM PHOTO W ENDO CELL CNT 1 202 HC ALTERNATIVE/AUGMENTATION MOD. 1 182 HC NASOPHARYNGEAL THERAPY 1 182 HC TREAT-LANGUAGE SKILLS 1 182 HC TREAT-VOICE THERAPY 1 182 HC TR-FLUENCY TRAINING 1 182 HC TR-SPCH INTELLIGIB'TY 1 182 HC TR-DYSPHAGIA TRAINING- 1 54 HC TREAT-LANGUAGE SKILLS- 1 54 HC TREAT-VOICE THERAPY-GR 1 54 HC TR-FLUENCY TRAINING-GR 1 54 HC TR-SPCH INTELLIGIB'TY- 1 54 HC NASOPHARYNGOSCOPY 1 333 HC BEHAVRAL QUALIT ANALYS VOICE 1 194 HC TR-DYSPHAGIA TRAINING 1 198 POSITIONAL NYSTAGMUS TEST 1 149 HC OPTOKINETIC NYSTAGMUS TEST 1 236 HC CALORIC VSTBLR TEST W/REC 1 546 HC CALORIC VSTBLR TEST W/REC/MONOTHERMAL 1 546 HC BASIC VESTIBULAR EVAL 1 337 HC SPONTANEOUS NYSTAGMUS TEST 1 311 HC POSITIONAL NYSTAGMUS TEST;4 PO 1 123 OPTOKINETIC NYSTAGMUS TEST 1 236 HC OSCILLATING TRACKING TEST 1 337 SINUSOIDAL ROTATIONAL TEST 1 236 HC VERT ELECTRODES ADD'L 1 150 POSTUROGRAPHY 1 236 HC TYMPANOMETRY REFLEX THRESH 1 236 HC SCREENING,PURE TONE, AIR ONLY 1 100 HC PURE TONE THRESHOLDS - AIR ONL 1 278 HC PURE TONE THRESHOLDS- AIR & BO 1 278 HC SPEECH AUDIOMETRY THRESHOLD 1 102 HC SPEECH AUDIO THRESH W/SPCH REC 1 102 HC COMPREHENSIVE AUDIOMETRY COMBO 1 278 BEKESY AUDIOMETRY, DIAGNOSIS 1 138 LOUDNESS BALANCE TEST 1 299 HC TONE DECAY 1 87 SISI HEARING TEST 1 122 HC STENGER TEST; PURE TONE 1 87 HC TYMPANOMETRY 1 87 HC ACOUSTIC REFLEX TESTING 1 69 HC ACOUSTIC IMMITTANCE TESTING 1 236 HC FILTERED SPEECH;HEARING TEST 1 102 HC STAGGERED SPONDAIC WORD TEST 1 236 SENSORINEURAL ACUITY TEST 1 138 HC SYNTHETIC SENTENCE ID TEST 1 87 STENGER TEST, SPEECH 1 978 HC BOA/VRA 1 278 HC CONDITIONED PLAY AUDIOMETRY 1 278 SELECT PICTURE AUDIOMETRY 1 122 ELECTROCOCHLEOGRAPHY 1 345 HC EVOKED RESP BRAIN STEM 1 545 HC ABR (LIMITED) 1 318 HC OTOACOUSTIC EMISSIONS (LIMITED 1 337 HC OTOACOUSTIC EMISSIONS COMPREHE 1 337 HC HEARING AID EXAMINATION;MONAUR 1 175 HC HEARING AID EXAMINATION;BINAUR 1 200 HC HEARING AID CHECK (MONAURAL) 1 75 HC HEARING AID CHECK (BINAURAL) 1 150 EAR PROTECTOR ATTEN.MEAS. 1 138 EVAL,VOICE PROSTH./AUG. COMM.D 1 331 HC EVAL RX NON SPEECH COMMUN DEV. 1 350 HC THERA.SERV NON-SPCH DEV W/PROG 1 175 HC EVAL RX SPCH GEN COMM DEV F-F1 1 289 HC EVAL RX SPCH GEN COMM DEV E+30 1 124 HC THERA SERV-SPCH GEN DEV W/PROG 1 256 HC BLUE DYE 1 196 HC EVAL ORAL/PHARYN SWALLOW FUNC. 1 196 HC MOTION FLUO EVAL SWAL/FUNC-VID 1 203 ENDOSCOPY SWALLOW TEST (FEES) 1 228 LARYNGOSCOPIC SENSORY TEST 1 223 HC EVAL/CTRL/AUDIO/FUNC(1ST 60MN) 1 278 HC EVAL/CTRL/AUDIO/FUNC(EA+15MN) 1 50 HC TINNITUS ASSESSMENT 1 306 HC EVAL AUDITORY REHAB STATUS, 1ST HOUR 1 306 LOMBARD TEST 1 122 PERC CARDIAC ANGIOPLAST 1 LD 1 10,421.00 PERC CARDIAC ANGIOPLAST 1 RC A 1 10,421.00 PERC CARDIACANGIOPLASTADDTL 1 10,421.00 PERC CARD STENT W/ANGIO 1 LC A 1 12,220.00 PERC CARD STENT W/ANGIO 1 LD A 1 12,220.00 PERC CARD STENT W/ANGIO 1 RC A 1 12,220.00 PERC CARD STENT W/ANGIO ADDL L 1 12,220.00 C P R 1 1,260.00 CARDIOPULMONARY RESUSCITATION 1 1,260.00 CPR (EMERGENCY) 1 1,260.00 HC CARDIOPULM RESUSC CLOSED 1 476 HC TEMP TRANSCUTANEOUS PACING 1 941 HC CARDIOVER.ELECT;EXT 1 941 HC CARDIOVERSION ARRYTHMIA ELE 1 1,132.00 HC CARDIOVERSION INTERNAL 1 1,108.00 CARDIOASSIST-METHOD;INTERNAL 1 402 CARDIOASSIST-METHOD EXTERNAL 1 207 CATH-CORONARY IV BRACHYTX 1 3,583.00 HC THRMBLYSIS,CORONARY;IV INFUS 1 390 PB VALVULOPLASTY AORTIC VALV 1 8,954.00 PB VALVULOPLASTY MITRAL VALVE 1 22,941.00 HC EKG >/= 12 LEADS 1 157 HC SIGNAL-AVERAGED EKG (SAECG) 1 105 HC CV STRESS TEST/TREADMILL 1 476 ERGONOVINE PROVOCATION TEST 1 462 HC HBO-ECG MONITOR 1 28 HC TRACING ECG 1-3 LEADS 1 105 HC ECG MONITOR/RPT, MAX 48HRS REC 1 157 HC ECG MONITOR/RPT, MAX 48HRS SCA 1 157 REMOTE 30DY ECG/MOBILE TELEMET 1 2,020.00 HC INTERROGATE SUBQ DEFIB 1 83 ECG TRANSM PHYS REVIEW & INT 1 496 SNGL/MULT EVENT RECORD HOOKUP 1 176 SNGL OR MULT EVENT RECORD;MONI 1 283 SIGNAL-AVERAGED EKG (SAECG) 1 186 HC PM DEVICE PROGR EVAL, SNGL 1 70 HC PM DEVICE PROGR EVAL, DUAL 1 70 HC PM DEVICE PROG EVAL, MULTI 1 85 HC ICD DEVICE PROG EVAL, 1 SNGL 1 70 HC ICD DEV PROGR EVAL, DUAL 1 70 HC ICD DEVICE PROGR EVAL, MULTI 1 85 HC ILR DEV EVAL PROG 1 85 HC PERI-PROC PM DEVICE EVAL 1 75 HC PERI-PROC ICD DEVICE EVAL 1 100 HC PM DEVICE EVAL IN PERSON 1 70 HC ICD DEVICE INTERROGATE 1 70 HC ICM DEVICE EVAL IN PERSON 1 85 HC ILR DEVICE INTERROGATE IN PERS 1 70 ILR DEVICE INTERROGATE IN PERS 1 62 HC WCD DEVICE INTERROGATE 1 70 HC PM PHONE R-STRIP DEVICE EVAL 1 70 HC INTERROGATION REMOTE NRV CNDJ PRECONF ELTRODE LIMB 1 643 AUTONOMIC NERV FUNC TEST PARAS 1 211 AUTONOMIC NERV FUNC TEST SYM 1 194 AUTONOMIC NERV FUNC TEST SUDOM 1 211 HC SOMATOSENSORY TESTING UPPER LI 1 318 SOMATOSENSORY TESTING TRUNK/HE 1 474 HC VISUAL EVOKED POTENTIAL TEST 1 318 HC BLINK REFLEX TEST 1 190 HC NEUROMUSCULAR JUNCTION TEST 1 380 HC IONM IN OPERATING ROOM 1 486 HC IONM REMOTE/>1 PT OR PER HR 1 486 HC PR AMBULATORY EEG MONITORING 1 1,709.00 HC EEG MONITORING/VIDEORECORD 1 1,709.00 EEG MONITORING/COMPUTER 1 2,295.00 DRUG/ACTIVATION DUR.EEG W/PHYS 1 978 HC EEG DURING SURGERY 1 950 EEG MONITORING/CABLE/RADIO 1 2,203.00 EEG DIGITAL ANALYSIS 1 378 EEG MONITORING/FUNCTION TEST 1 2,034.00 ELECTRODE STIM BRAIN 1ST HR 1 2,034.00 ELECTRODE STIM BRAIN EA ADDL H 1 517 HC PSYCH.TEST.W/INTERP/REPORT-1HR 1 520 HC PSYCHOMETRIC TEST 1 239 CL -DEVELOP SCREEN 1 367 CL -DEVELOP SCREEN 1 367 HC DEVELOPMENTAL SCREENING W/RPT 1 367 HC DEVELOPMENT TESTING, EXTENDED 1 306 HC DEVEL TST PHYS/QHP 1ST HR 1 318 HC DEVEL TST PHYS/QHP EA ADDL 1 134 HC NEUROBEHAV STATUS EXAM PER HR 1 520 HC NEUROPSYCH TEST PER HR 1 520 HC BRIEF EMOTIONAL/BEHAV ASSMT 1 30 HC PSYCL TST EVAL PHYS/QHP 1ST 1 318 HC PSYCL TST EVAL PHYS/QHP EA 1 184 HC NRPSYC TST EVAL PHYS/QHP 1ST 1 318 HC NRPSYC TST EVAL PHYS/QHP EA 1 184 HC PSYCL/NRPSYC TST PHY/QHP 1ST 1 40 HC PSYCL/NRPSYC TST PHY/QHP EA 1 40 HC PSYCL/NRPSYC TECH 1ST 1 40 HC PSYCL/NRPSYC TST TECH EA 1 40 HC PSYCL/NRPSYC TST AUTO RESULT 1 40 HC HLTH/BEHAVE ASSESS 15 MIN 1 200 HC HLTH/BEHAVE RE-ASSESS 15 MIN 1 200 HC HLTH/BEHAVE INDIV 15 MIN 1 200 HC HLTH/BEHAVE GRP 15 MINS 1 200 HC HLTH/BEHAVE FAM W/PT 15 MINS 1 200 HC HLTH/BEHAVE FAM W/O PT 15 MINS 1 200 HC PT-FOCUSED HLTH RISK ASSMT 1 59 HC CAREGIVER HEALTH RISK ASSMT 1 59 ER-HYDRA IV INFUSE UP TO 1 HR 1 216 HC HYDRA IV INFUSE UP TO 1 HR 1 216 IV HYDRATION UP TO 1 HR 1 216 ER-HYDRA IV EA ADD'L HR TO 8HR 1 73 HC HYDRA IV EA ADD'L HR TO 8HR 1 65 IV HYDRATION EA ADD'L HR 1 73 ER-IV INFUSION TX; TO 1 HR 1 370 HC IV INFUSION TX; TO 1 HR 1 347 IV INFUSION UP TO 1 HR 1 370 ER-IV INFUSION TX.EA. ADD'L HR 1 73 HC IV INFUSION TX.EA. ADD'L HR 1 65 IV INFUSION TX; EA ADD'L HR 1 73 ER-IV INFUSION TX SEQ 1 107 HC IV INFUSION TX SEQ 1 107 TX/PROPH/DG ADDL SEQ IV INF 1 107 ER-THER/DIAG CONCURRENT INF 1 61 HC THER/DIAG CONCURRENT INF 1 65 ER-THERAPEUTIC INJ;SUBCUT IM 1 73 HC INJECTION SUBCUT/INTRAMUSCULAR 1 105 HC THERAPEUTIC INJ;SUBCUT IM 1 100 INJECTION SUBCUT/INTRAMUSCULAR 1 126 MHC-THER/PROPH/DIAG,INJ,SC/IM 1 158 HC THER/PROPH/DIAG;INJ I.A. 1 255 ER-TX/PROPH DX IV PUSH 1 423 HC TX/PROPH DX IV PUSH 1 216 IV PUSH 1 423 ER-IV PUSH EACH ADD'L 1 107 HC IV PUSH EACH ADD'L 1 65 IV PUSH EACH ADDITIONAL 1 107 ER-IV PUSH EA SAME ADDTL DRUG 1 103 HC IV PUSH EA SAME ADDTL DRUG 1 107 IV PUSH SEQUEN SAME DRUG 1 103 HC CHEMO ANTI-NEOPL SQ/IM 1 216 HC CHEMO HORMON ANTI-NEOP SQ/IM 1 107 HC CHEMO IV, PUSH TECH 1 347 HC CHEMO IV PUSH EA. ADD'L 1 107 HC CHEMO ADM IV INFU 1ST HOUR 1 570 HC CHEMO ADM IV INF ADD HR 1 107 CHEMO PROLONG>8HR INFUSE W PUM 1 393 HC CHEMO PROLONG>8HR INFUSE W PUM 1 570 HC CHEMO IV INFUS EA ADDTL SEQ 1 107 HC CHEMOTHER,IA PUSH TECHNIQUE 1 657 HC CHEMO INTO CNS INTRATHECAL WLP 1 570 HC REFILL/MAINT, PORTABLE PUMP 1 347 HC REFILL/MAINT SYSTEMIC PUMP/RESVR 1 411 HC IRRIG PORT/VENOUS ACCESS DEVIC 1 158 HC CHEMO INFU CONCURRENT 1 65 HC PDT DSTR PRMLG LES PHYS/QHP 1 396 HC DBRDMT PRMLG LES W/PDT 1 396 HC ULTRAVIOLET LIGHT THERAPY 1 58 HC PMR-PATIENT EVALUATION W/REPOR 1 188 HC PMR-PHYSICAL THERAPY RE-EVAL 1 82 HC OT ADL EVALUATION 1 208 HC OT C & E COG. SKILLS 1 208 HC OT EVALUATION 1 208 HC OT WHEELCHAIR EVALUATION 1 208 HC OT ADL RE-EVALUATION 1 103 HC OT RE-EVALUATION 1 103 HC OT COLD PACKS TREATMENT 1 65 HC OT HOT PACKS TREATMENT 1 65 HC TBI-COLD PACKS,PT 1 65 HC TBI-HOT PACKS,PT 1 65 HC TBI-CERVICAL TRACTION,PT 1 31 HC TBI-PELVIC TRACTION,PT 1 31 HC OT VASOPNEUMATIC DEVICES 1 37 HC OT-APPL. OF PRESSURE GARMENT 1 37 HC OT-APPL.OF PRESSURE BANDAGE 1 37 HC PMR-VASOPNEUMATIC DEVICES 1 37 HC OT PARAFFIN HEAT TREATMENT 1 21 HC TBI-PARAFFIN HEAT,PT 1 21 HC OT FLUIDO THERAPY 1 45 HC PMR-FB WHIRLPOOL STRL W/ DEBR 1 45 HC PMR-WHIRLPOOL TREAT.W/O DEBRID 1 45 HC PT FLUIDOTHERAPY 1 45 HC PMR-DIATHERMY 1 12 HC OT ELECTRICAL STIM PER 15 MIN 1 38 HC TBI-ELECTRICAL STIM.,ATTENDED, 1 38 HC PMR-IONTOPHORESIS 1 63 HC OT CONTRAST BATH 1 35 HC OT ULTRASOUND PER 15 MIN 1 25 HC PMR-PHONOPHORESIS EA 15 MIN. 1 25 HC PMR-ULTRASOUND TREATMENT 1 25 HC OT RANGE OF MOTION EXERCISES 1 63 HC OT-AAROM EXERCISE 1 63 HC OT-INDIV.HEP TRAIN. IN JT MOVE 1 63 HC OT-PROM EXERCISE 1 63 HC OT-RESISTIVE EXERCISE 1 63 HC PMR-BREATHING THERAP. EXERCISE 1 63 HC PMR-CONDITIONING EXERCISE 1 63 HC PMR-PREPROSTHETIC TRAINING 1 63 HC PMR-RESISTIVE THERAP. EXERCISE 1 63 HC TBI-ACTIVE ASSISTANCE ROM EA 1 1 63 HC TBI-R.O.M. EXERCISES,PT 1 63 HC OT-NEUROMUSCULR REEDUC.MOVMT/B 1 66 HC PMR-BALANCE TRAINING 1 66 HC PMR-COORDINATION EXERCISES 1 66 HC PMR-TILT TABLE TREATMENT 1 66 HC PMR-VESTIBULAR REHAB 1 66 HC PMR-AQUATIC THER.W/THER.EXERCI 1 84 HC PMR-GAIT TRAINING 1 56 HC OT DRESSING (STERILE) PER 15 MIN 1 50 HC PMR-ACE WRAPPING/ORTHO TAPING 1 50 HC OT-MYOFASC RELEASE/SOFTTIS.MOB 1 59 HC OT-UE JOINT MOBILIZATION 1 59 HC PMR-JOINT MOBILIZATION 1 59 HC PMR-MYOFASCIAL RELEASE/STM 1 59 HC TBI-MANUAL LYMPH DRAINAGE 1 59 HC OT ADL,SAFETY-SELF MANAGEMENT GRP 1 34 HC OT-GROUP THERAPEUTIC ACTIVITY 1 34 HC PT COMMUNITY REENTRY GROUP 1 34 HC PT GROUP THERAPY ACTIVITIES 1 34 HC PT EVAL LOW COMPLEX 20 MIN 1 190 HC PT EVAL MOD COMPLEX 30 MIN 1 190 HC PT EVAL HIGH COMPLEX 45 MIN 1 190 HC PT RE-EVAL EST PLAN CARE 1 130 HC OT EVAL LOW COMPLEX 30 MIN 1 184 HC OT EVAL MOD COMPLEX 45 MIN 1 184 HC OT EVAL HIGH COMPLEX 60 MIN 1 184 HC OT RE-EVAL EST PLAN CARE 1 122 HC OT-DYNAM (INDIV) THERAPEUTIC ACT 1 68 HC TBI-DYNAM ACT TO IMPRV FUNC PE 1 68 HC OT-INDIV.COGNITIVE PERFORM. TR 1 53 HC OT-SENSORY INTEGRATIVE TECH 1 57 HC PT SENSORY INTEGRATIVE TECHNIQ 1 57 HC SENSORIMOTOR STIM PER 15 MIN 1 67 HC OT-SELF CARE/HOME MGMT 1 68 HC PMR-DISCHARGE INSTRUCT/PLANNING 1 64 HC PMR-SELFCARE MMGT/EDUCATION 1 68 HC OT COMMUNITY/WORK REINTEGRATI 1 59 HC TBI-COMMUNITY RE-ENTRY,PT 1 59 HC OT WHEELCHAIR MANGMNT/TRAINING 1 60 HC OT-WORK HARDENING,INITIAL 2HRS 1 225 HC OT-WORK HARDENING-EACH ADDL.HR 1 175 HC PMR-ACTV WUND CARE(SURF 20SQ/< CM 1 344 HC PMR-ACTV WUND CARE(SURF>20SQ CM 1 100 HC NON-SELEC WND DEBRIDEM PER SES 1 344 HC NEG PRESS WOUND TX, < 50 CM 1 232 HC NEG PRESS WOUND TX, > 50 CM 1 688 HC PMR-PHYSICAL PERFORMANCE TEST 1 65 BR-ASSISTIVE TECHNOLOGY ASSESS 1 79 HC OT ORTH FIT-ADD'L. 15 MIN 1 74 HC OT ORTH/SPLT FIT/TRAIN EA 15 MIN 1 74 HC OT STRAP,ELBOW/WRIST EA 15 MIN 1 74 HC OT STRAP,HAND/FINGER EA 15 MIN 1 74 HC PMR-ORTHO/SP FIT & TRAIN EA 15 MIN 1 74 HC OT PROST TRAINING EA 15 MIN 1 65 HC PMR-PROSTH TRAINING EA 15 MIN 1 65 HC OT PROST/ORTH CHECK EA 15 MIN 1 93 HC PMR-PROSTH/ORTH CHECKO,EA 15MIN 1 93 HC ORTHC/PROSTC MGMT SBSQ ENC 1 115 HC ORTHC/PROSTC MGMT SBSQ ENC 1 115 CL-INT NUTRITION THER EACH 15M 1 58 HC INT NUTRITION THER EACH 15M 1 75 CL-RE-ASSESS NUTRI THER EH 15M 1 38 HC RE-ASSESS NUTRI THER EH 15M 1 124 HC GRP NUTRIT THER EA 30 MINS 1 35 HC OMT 3-4 BODY REGION INVOLVE 1 108 HC OMT 9-10 BODY REGIONS 1 47 HC SELF-MGMT EDUC & TRAIN, 1 PT, EA 30 MIN 1 44 HC ASTHMA SELF MGMT GRP 5-8,30 1 50 HC HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB 1 50 HC POST-OP FOLLOW-UP VISIT 1 0 CL-MED SERVICES AFTER HRS 1 40 HC MED SERV EVE/WKEND/HOL 1 47 HC PHYSICIAN ED SVS TO PT 1 128 HC CONSCIOUS SEDATE MOD < 5YRS 1 190 HC CONSCIOUS SEDATE MOD > 5YRS 1 250 HC MODERATE SEDATJ SAME PHYS/QHP EACH ADDL 15 MIN 1 100 HC MOD SED SAME PHYS/QHP <5 YRS 1 187 HC MOD SED SAME PHYS/QHP 5/>YRS 1 124 HC MOD SED SAME PHYS/QHP EA 1 28 HC MOD SED OTH PHYS/QHP <5 YRS 1 198 HC MOD SED OTH PHYS/QHP 5/>YRS 1 162 HC MOD SED OTHER PHYS/QHP EA 1 123 CL-COLOR VISION(PSEUDOISOCHRO) 1 101 HC VISUAL ACUITY SCREEN BILAT - Q 1 59 HC THERAPEUTIC PHLEBOTOMY 1 158 HC CLINIC VISIT LEV 1 NEW PT 1 252 CLINIC VISIT LEV 2 NEW PT 1 402 HC CLINIC VISIT LEV 2 NEW PT 1 402 CLINIC VISIT LEV 3 NEW PT 1 460 HC CLINIC VISIT LEV 3 NEW PT 1 460 HC CLINIC VISIT LEV 4 NEW PT 1 493 HC CLINIC VISIT LEV 5 NEW PT 1 525 CLINIC VISIT LEV 1 ESTAB PT 1 236 HC CLINIC VISIT LEV 1 ESTAB PT 1 236 CLINIC VISIT LEV 2 ESTAB PT 1 256 HC CLINIC VISIT LEV 2 ESTAB PT 1 256 CLINIC VISIT LEV 3 ESTAB PT 1 256 FOLLOW-UP VISIT F/P 1 273 HC CLINIC VISIT LEV 3 ESTAB PT 1 256 CLINIC VISIT LEV 4 ESTAB PT 1 276 CLINIC VISIT LEV 4 ESTAB PT 1 276 HC CLINIC VISIT LEV 4 ESTAB PT 1 276 CLINIC VISIT LEV 5 ESTAB PT 1 296 HC CLINIC VISIT LEV 5 ESTAB PT 1 296 HC INITIAL OBSERVATION CARE/DAY 30 MINUTES 1 232 HC INITIAL OBSERVATION CARE/DAY 50 MINUTES 1 314 HC INITIAL OBSERVATION CARE/DAY 70 MINUTES 1 428 INITIAL HOSP CARE MOD COMPLEX 1 210 SUBSEQUENT HOSPITAL CARE 15MIN 1 46 THERAPIST ASSISTED TRANSP W/RE 1 167 CONSULT LEVEL 3 1 350 CONSULT LEVEL 4 1 381 HC ER VISIT LEVEL 1 1 625 HC ER-TRIAGE ALERT 1 142 HC ER VISIT LEVEL 2 1 756 HC ER VISIT LEVEL 3 1 882 HC ER VISIT LEVEL 4 1 946 HC ER VISIT LEVEL 5 1 1,160.00 HC CRITIC CARE 1 1,314.00 HC IN-HOUSE/ON ARRIVAL TRAUMA ACTIVATION - FULL 1 7,500.00 HC IN-HOUSE/ON ARRIVAL TRAUMA ACTIVATION - PARTIAL 1 5,000.00 ER-CRITIC CARE EA ADDTL 30 MIN 1 252 HC CRITIC CARE EA ADDTL 30 MIN 1 252 TEAM CONF WO PT/FAM HCP=>30MIN 1 240 HC PREV MED < 1YR NEW 1 260 HC PREV MED NEW AGE 1-4 YRS 1 268 HC PREV MED NEW AGE 5-11 YRS 1 292 HC PREV MED NEW AGE 12-17 YRS 1 315 HC PREV MED NEW AGE 18-39 YRS 1 539 HC PREV MED NEW AGE 40 - 64 1 553 HC PREV MED NEW AGE 40-64 1 553 HC PREV MED NEW 65YRS & OLDER 1 579 HC PREV MED NEW AGE 65 & OLDER 1 579 HC PREV MED EST < 1YR 1 236 HC PREV MED EST AGE 1-4 YRS 1 245 HC PREV MED EST AGE 5-11 YRS 1 260 HC PREV MED EST AGE 12-17 YRS 1 268 HC PREV MED EST AGE 18-39 YRS 1 284 HC PREV MED EST AGE 40 - 64 1 292 HC PREV MED EST AGE 40-64 1 292 HC PREV MED EST AGE 65 & OLDER 1 308 HC PREV MED EST AGE 65YRS & OLDER 1 308 HC PREV COUNSEL INDIV 15 MINS 1 60 HC PREV COUNSEL INDIV 30 MINS 1 128 HC PREV COUNSEL INDIV 45 MINS 1 176 HC PREV COUNSEL INDIV 60 MINS 1 224 HC SMOKE CESS COUNSEL 3-10 MIN 1 60 HC SMOKE CESS COUNSEL >10 MINS 1 60 HC PREVENT COUNSELING GRP, 30 MIN 1 252 HC PREVENT COUNSELING GRP, 60 MIN 1 252 HC HEALTH RISK ASSESSMENT TEST 1 150 HC DELIVERY/BIRTHING ROOM RESUSCITATION 1 941 HC ASSMT & CARE PLN PT COG IMP 1 169 HC CARE MGMT SVC BHVL HLTH COND 1 71 HC CHRON CARE MGMT SRVC 20 MIN 1 144 HC 1ST PSYC COLLAB CARE MGMT 1 169 HC SBSQ PSYC COLLAB CARE MGMT 1 169 HC 1ST/SBSQ PSYC COLLAB CARE 1 154 HC USPS CORP. HEALTH VISIT 1 250 AMB.TRANSPORT & ALS1 1 840 AMBULANCE TRANSPORT 1 1,321.00 AMB TRANSPORT & ALS 2 1 1,123.00 IMPL PERM CONTRACEPTIVE ADIANA 1 1,014.00 SUCTION TRAY 10FR 1 21 TUBING, CYSTO Y/STRON SET 1 20 CATH, FOLEY - 3 WAY 1 48 I 123 CAPSULE 1 335 HC VISICOIL GOLD MARKER 1 416 MARKER/CLIP BX SITE SMARK CELE 1 171 MARKER/CLIP BX SITE SMARK EVIV 1 178 HC SYRINGE W/ W/O NDLE DIALYSIS 1 1 CATH SHILEY 7.6 MM I.D. 1 75 OT-EXERCISE BAND 1 6 HC TC99M SESTAMIBI, PER DOSE 1 191 HC NM TC- 99M MEDRONATE, UP TO 30MCI 1 37 RP DX INDIUM IN 111 CAPROMAB P 1 5,063.00 TC99M DISOFENIN PER VIAL 1 208 TECHNETIUM TC 99M DISOFENIN PE 1 226 HC NM TC-99M SODIUM PERTECHNETATE, 35MCI 1 33 TC99M PERTECHNETATE PER MCI 1 1 I 131 CAPSULE 1 335 TECHNETIUM TC 99M EXAMETAZIME 1 2,166.00 TC99M MEBFEN/STUD DOS MX 15MCI 1 89 TC99M PYROPH/STUD DOS MX 25MCI 1 80 TC99M PENT/STUD DOS MX 25MCI 1 28 TC99M ALB AGG/STUD DOS MX 10MC 1 40 HC TC-99M FILTERED SULFUR COLLOID, UP TO 20MCI 1 178 TC99 SULF COL/STUD DOS MX 20MC 1 40 CO 58/57 PER STUDY DOSE MAX 1 1 586 IN111 OXYQUINOLINE, PER 0.5MCI 1 674 TC 99M GLUCEPTATE MAX 25 MCI 1 29 TC99M SUCC/STUD DOS MX 10MCI 1 235 GALLIUM, GA67, PER MCI 1 68 TC99M BICISATE/STUD MX 25MCI 1 933 HC NM TC - 99 ULTRATAG RBC, UP TO 30MCI 1 185 TC 99M - LABELLED RBC MAX 30 M 1 63 TC 99M OXIDRONATE MAX 30 MCI 1 14 TC 99M MERTIATIDE MAX 15 MCI 1 116 NA PHOSPHATE P-32 PER MCI 1 432 CHROMC PHSPHT P32 PER MCI 1 349 INDIUM 111 - IN PENTETREOTIDE 1 1,848.00 STRONTIUM-89 CHLORIDE/MCI 1 2,225.00 SM 153 LEXIDRONAM MAX 150 MCL 1 12,118.00 HC RADIUM RA-223 DICHLORIDE, PER MICROCURIE 1 257 1.7 "T" PLATE 1 175 10 HOLE STRAIGHT PLATE 1 196 12X390MM TIBIAL NAIL 1 2,202.00 135 DEG 3 HOLE PLATE 1 868 24 HOLE STRT PLT MDFACE 1 573 3.5 CORTLY SCREW 1 46 3.5MM HUMERUS PLATE 5 HOLE-RGH 1 1,846.00 3.5MM LOCKING W/STARDRIVE 10-6 1 184 300MM BAR 1 388 5.O LOCKING SCREW 1 425 ACUMED LONG OLECRANON PLATE 1 1,187.00 ANCHOR 2.0MM TACIT QUICK 1 444 ANCHOR IMPLANT, MITEK 1 655 ANCHOR SUTURE TWINFIX 1 348 ARTHREX FIBERWIRE 1 172 BAR 11 X 300MM 1 380 BAR SEMI-CIRCULAR 1 591 BAR TO BAR, STRYKER 1 554 BAR TO PIN CLAMP (EBI) 1 798 BONE CANCELLOUS CUBE 15ML 1 422 BONE CRUSHED CANCELLOUS 30ML 1 749 CABLE CERCLAGE W/CRIMP 1 568 CABLE SLEEVE 1 424 CEMENT & ANTIBIOTIC 1 928 CEMENTED HIP STEM 1 6,424.00 CLAMP, STRYKER 5 HOLE 1 620 CORTICAL SCREW 1 162 CORTICAL SCREWS 3.5MM X 10-18M 1 179 CRANIAL PLATE 1 165 C-WIRE 1 21 DBM INTERGRO 10ML 1 1,706.00 DBM INTERGRO 5ML 1 965 DBM MATRIX STRIPS 1X20CM 1 3,086.00 DENTAL PLATE 1 535 FEMORAL HEAD 1 1,359.00 FILLER BONE VOID 3CC 1 1,362.00 GAMMA NAIL 1 2,060.00 GRFT, BONE GEL 5CC 1 1,517.00 HAND INNOV CORTIC SCRW3.5X12MM 1 146 HC COFLEX INTERLAMINAR 1 13,650.00 HC CURVED FIX PLAT 1 363 HC DRILL TWIST 1.5 X 50MM 7MM STOP 1 217 HC HFN LAG SCRW 10.5MM X 110 MM 1 1,487.00 HC HFN RH 125 DEG 13MM X 380MM 1 7,288.00 HC KLS RED MODIFIED 1 16,023.00 HC LINEUM PLUG BIOMET 1 778 HC LINEUM SCREW BIOMET 1 4,491.00 HC PLAT BSSO TRI-SHAPED MED 1 413 HC PLAT BSSO TRI-SHAPED SHORT 1 439 HC PLAT LINDORF LT 5MM ADVNCMNT 1 611 HC PLAT LINDORF TT 5MM ADVNCMNT 1 611 HC PLAT MICRO L-SHAPE LONG 1 350 HC PLAT MICRO, DUBLE Y-SHAPE T=.6MM 1 400 HC SCRW 2 X 9 MM 1 101 HC SCRW DRILL FREE 1.5 X 5MM 1 115 HC SCRW DRILL FREE 2 X 7MM 1 110 HC SCRW DRILL FREE 2X5MM 1 110 HC SCRW EMERGNCY 2.3 X 7MM 1 128 HC STR FIX PLAT 1 363 HC VERTICAL GEAR BAR 1 7,409.00 HEAD BI-POLAR UNIV 45MMX26MM 1 1,878.00 HEAD FEMORAL (ZIMMER) 1 1,804.00 HEAD UNIV BIPOLAR COMP 50X28MM 1 1,878.00 KIRSCHNER WIRE ORS 1 23 K-WIRE STRYKER 1 43 LAG SCREW - GAMMA 1 1,216.00 LAG SCREW ASSY TELESCOPING KEY 1 1,302.00 MESH GOLD CRANAIL 1 595 MINI PLATE 1 179 MMF SCREW 1 203 NAIL CANNULATED FEM TI 1 2,170.00 NAIL GAMMA 3 130 DEG 1 4,851.00 NAIL, TIBIAL, STRYKER 1 3,317.00 PEEK IMPLANT 1 13,019.00 PEG SCREW 2.5MM X 10-30MM TI 1 146 PEG THRD 2.5MM X 10=30MM TI 1 199 PIN (STRYKER) 1 193 PIN CLAMP BLUE BAR TO BAR 3-D 1 1,164.00 PIN EXT. FIXATOR 1 211 PIN THREADED (#1) 1 392 PIN TO BAR, STRYKER 1 554 PIN, HALF, SM, STRYKER 1 165 PLATE 1 239 PLATE 1/3 TUBULAR 8 HOLE 1 129 PLATE 14 HOLE 1 1,111.00 PLATE 2 HOLE 16MM BAR 1 205 PLATE 3.5MM LCP 7 HOLES 98MM 1 595 PLATE 3.5MM POSTEROLATERAL 5H- 1 1,392.00 PLATE 4 HOLE 1 1,647.00 PLATE 6 HOLE 1 1,647.00 PLATE ANTEROLATERAL DESTAL TIB 1 2,024.00 PLATE BURR HOLE 1 435 PLATE HUMERUS 1 3,022.00 PLATE LCP 2MM 1 445 PLATE LOCKING 4 HOLE 1 2,246.00 PLATE MATRIX 1MM 1 553 PLATE ORBITAL FLOOR LG 1 1,540.00 PLATE POST LATERAL 1 1,797.00 PLATE PROXIMAL TIBIA 1 1,283.00 PLATE SUPRACONDYLAR 8SLOT 95DG 1 831 PLATE TUBULAR 1/3 5,6,7,8 HOLE 1 83 PLATE, 4 HOLE LONG 1 470 PLATE, DENTAL 4 H LONG 1 545 PLATE, DENTAL 6 H CURVED 1 698 POST 90 STRYKER 1 206 PUTTY BONE MATRIX 1ML 1 243 RECON PLATE W/ TEMP 1 1,256.00 ROD CURVED 1 595 SCREW 120/40 4.5 TAPER 1 172 SCREW 2.4 CORTICAL 1 144 SCREW 2.7 X 16-24 NONLOCK 1 162 SCREW 22MM FIXATION 1 448 SCREW 3.0-4.0 SET 1 196 SCREW 3.5MM X 50-65MM CAN LOCK 1 177 SCREW 80/35 1 141 SCREW CANNUL. SYNTHES 1 461 SCREW CANNULATED 4.0 SYNTH 1 37 SCREW CANNULATED ALL SIZES 1 595 SCREW CROSS 1 162 SCREW FIXATION 1 1,021.00 SCREW PERIART FULL THF 6.5 X 80 MM 1 50 SCREW SELF DRILL 1 98 SCREW SYNTHES 1826 - 1136S 1 42 SCREW, 3.5-4.0 1 218 SCREW, 3.5MMX16MM NON-LOCKING 1 37 SCREW, SET, SA 1 360 SCREW, THREADED, LOCKING 1 177 SCREW,LOCKING,STRYKER(1896) 1 397 SCREW-MINI FRAGMENT 1 94 SCREWS SYNTHES 1 33 SCRW 1.5 X 4 MM 1 123 SCRW 1.5 X 5MM SD W/NEW HEAD 1 62 SCRW 2.0 X 5MM 1 82 SCRW 6.5 X 45 MM 1 1,279.00 SCRW CANCELLOUS 4.0 X 16MM 1 111 SCRW CANNU PERI LOCK 5.5 X 45 MM 1 186 SCRW CANNU THD 7.0 X 80 MM 1 239 SCRW CORT HEX 3.5 X 45 MM 1 151 SCRW CORT LOCK 3.5 X 16 MM 1 221 SCRW CORT NON-LOCK 3.5 X 14 MM 1 111 SCRW CORT NON-LOCK 3.5 X 46 MM 1 111 SCRW CORTICAL 3.5 X 40MM 1 158 SCRW EMERG. 5MM 1 125 SCRW LOCK 2.0 X 19MM 1 138 SCRW LOCK 2.0 X 7 MM 1 138 SCRW LOCK 2.7 X 20 MM 1 190 SCRW LOCK 3.5 X 12 MM 1 82 SCRW LOCK 3.5 X 12MM 1 129 SCRW LOCKING 2.0 X 10 MM 1 145 SCRW LOCKING 2.0 X 6 MM 1 145 SCRW LOCKING 2.7X11MM 1 202 SCRW LOCKING 3.5 X 10 MM 1 183 SCRW MMF 8 MM 1 135 SCRW NON-LOCK 1.5 X 10MM 1 172 SELF TAP SCREW 1 88 SET SCREW S&N 1 24 SIMPLEX BONE CEMENT 1 425 SINGLE INNER SET SCREW 1 356 SLEEVE UNIV TPR ADPTR +0MM 1 478 SPACER ACCOLADE 1 218 SPINAL POLYAXIAL SCREW 1 1,895.00 STAPLE GIA 8038L 1 152 STRYKER DENTAL SCREW 2.7 1 141 SUPER LAG SCREW 1 487 SYNTHES LAG SCREW 280--- 1 601 SYNTHES SCREW 214--- 1 50 T2 TIBIAL NAIL STAND 9X345MM 1 2,496.00 TACK ABSORBABLE FOR MESH SHORT 1 608 THREADED WIRES 1 199 TIBIAL PLATE 1 2,097.00 TIGHTROPE ANCHOR SYSTEM 1 1,171.00 VOLAR BEARING PLATE 1 1,864.00 WASHER 1 116 WASHER 6.5 - 7.0 1 50 WIRE, KIRSCHNER, SYNTHES 1 119 CATH PERIPH PLAQUE EXCISION TU 1 4,964.00 HC ASSURITY DR-DUAL CHAMBER PPM MODEL 2240 1 7,800.00 HC ASSURITY PULSE GENERATOR MODEL # PM1240 1 10,636.00 HC BOST SCI DYNAGEN D153 EL ICD IS-1 1 41,418.00 HC DYNAGEN EL ICD DF4 - DR MODEL # D152 1 30,060.00 HC FORTIFY ASSURA VR 1357-40C--SGL CHAMBER CARDIOVERTER DEFIBRILLATOR1 22,691.00 HC MEDTRONIC EVERA MRI SURESCAN DDMB1D4 1 48,683.00 HC MEDTRONIC EVERA SURESCAN DDMB1D1 1 84,700.00 MEDTRONIC-DUAL CHAMBER AICD-EVERA XT DR,MODEL#DDBB1D1 1 31,705.00 HC BOSTON SCI DYNAGEN EL ICD DF 4 MODEL #D150 1 38,233.00 HC BOSTON SCI EMB S-ICD MODEL A209 1 35,455.00 HC DYNAGEN EL ICD IS MODEL D151 1 37,935.00 HC EMBLEM MRI S-ICD MODEL #A219 1 35,455.00 HC EVERA MRI XT DVMB1D4 MEDTRONIC 1 44,200.00 HC MEDTRONIC DVAB1D4 VISIA AF VR 1 15,191.00 HC MEDTRONIC VR SURESCAN DVFB1D1 1 41,899.00 HC ST. JUDE DEF MODEL# CD1357-40Q 1 41,600.00 HC VISIA AF MRI DVFB1D4 MEDTRONIC 1 44,884.00 HC VISIA AF VR DVA B1D1 MEDTRONIC 1 44,813.00 HC PREDATOR CATH 1.75MM-2.0MM 1 4,673.00 ROTALINK PLUS 1.25-1.75MM BURR 1 1,709.00 APEX DILATION CATHETERS 1 530 CATH BALN DIL OVER-WIRE 1 861 CATH COYOTE PTA BAL DIL 4.0 X 40MM 1 568 CATH COYTE PTA BAL DIL 3.0X150MMX150CM 1 714 CATH COYTE PTA BAL DIL 3.5X150MMX150CM 1 714 CATH MUSTANG BAL 12 X 0X40X135CM 1 491 CATH MUSTANG PTA BAL DIL 10.0X60MMX75CM 1 491 CATH OTW PTA BLLN DIL2.5X100MM 1 718 CATH PIGTAIL 5FR 90CM 1 13 CATH PTA BAL 3.5X40MMX155CM 1 1,342.00 CATH PTA BAL 4.0X80MMX150CM 1 568 CATH PTA BAL DIL 2.0X60MMX150CM 1 568 CATH PTA BAL DIL 3.0X60MMX150CM 1 568 CATH PTA BAL DIL COYOTE 3.5X60MMX150CM 1 567 CATH PTA BAL DIL COYTE 2.0X100MMX150CM 1 568 CATH PTA BAL DIL COYTE 2.5X60MMX150CM 1 568 CATH PTA BAL DIL MUSTANG 5.0X200MMX135CM 1 569 CATH PTA BAL DIL MUSTANG 8.0X60MMX75CM 1 492 CATH PTA BLLN 1.5 X 40MM X 150CM 1 568 CATH PTA BLLN 2 X 80MM X 150CM 1 568 CATH PTA BLLN DIL 4MM 1 599 CATH PTCA DIL OVER-THE-WIRE 1 414 CATH STERL PTA BAL DIL 5.0X120MMX150CM 1 678 CATH STERLING PTA BAL DIL 7.0X120MMX150CM 1 595 CATH STERLING PTA BAL DIL 7.0X220MMX150CM 1 708 CATH STERLING PTA BAL DIL OTW 5.0C40MMX80CM 1 590 CATH STRLNG PTA BAL DIL 6.0X150MMX150CM 1 679 CATH, BALLOON DIL 1 410 CATH, BALLOON DIL XXL 1 567 CATH, POWERFLEX EXTREME PTA 1 386 CATH, SAVVY PTA DILA 1 631 CUTTING BALLON 2MMX1.5CMX140CM 1 1,498.00 FLEXTOME CUT BALLON 2.00-3.50M 1 1,746.00 HC ADVANCE 35 LP BALLOON CATH 1 236 HC INFLATION DEVICE 1 55 HC SABER BALLOON 5MM15CM150 1 509 INTRO AORTIC BALLON CATH. (IAB 1 3,545.00 MAVERICK 2 BALLOON MONORAIL 1 537 MAVERICK 2 BALLOON OTW 1 537 MAVERICK BALLOON QUANTUM 1 537 MONORAIL CATH PTA BAL DIL 2.5X100MMX150CM 1 568 NC TREK BALLOONS 1 336 PTA DILATATION CATHETER 4F 1 683 SPRINTER LEGEND DIL BALLOON 1 228 STERLING BALLOON CATH 1 868 TRIPLE LUMEN CATH 1 146 VASCULAR BALLOON DILATION CATH 1 749 CATH PTA BAL DIL 4.0X40MM 1 492 CATH PTA BAL DIL 5.0X40MM 1 492 CATH, BALLOON 3 LUMEN 1 157 CATH, NEPHRO MAX DILATION 1 339 CATH, PASSER DISPOSABLE 1 185 DAWSON MUELLER DRAINAGE CATH 1 217 GI DILATION BALLOON 1 435 GI RETRIEVAL BALLOON 3 LUMEN 1 220 GI RX BALLOON 12-15 1 740 HC AMPLATZ SEQUENTIAL RENAL DILATOR SET 1 499 HC MOZEC NC PTCA BALLOON 1 257 HC MOZEC PTCA BALLOON 1 257 SET, AMPLATZ RENAL DIL. 1 370 BIL DRAINAGE CATH FLEX /ABSC 1 169 CHEST DRAINAGE SET CSS 1 182 HC ASPIRA PLEURAL DRAINAGE STARTER KIT 1 2,501.00 HC ASPIRA TUNNEL DRAINAGE CATHETER 1 1,364.00 MARX COPE GASTROJEJUNOSTO TUBE 1 691 PERCUTANOUS NPHRSTMY CATH 1 231 PERCUTNS NEPHROSTOMY SET 10FR 1 180 PLEURAL CATH KIT 1 984 CATHETER 6F DYNAMIC XT 1 770 HC DEFLECTABLE DECAPOLAR 10 POLE 1 1,015.00 HC DEFLECTABLE OCTAPOLAR 8 POLE 1 932 HC DIRECT CONNECT CABLE FOR QUAD CATH 1 652 HC DYNAMIC XT OCTAPOLAR CATH 1 1,189.00 HC EPCATH. DECAPOLAR 1 1,112.00 HC EPCATH. HEXAPOLAR 1 925 HC EPCATH. OCTAPOLAR 1 1,112.00 HC EPCATH. QUADPOLAR 1 682 HC EPCATH-DIAG RESPONSE DECAP. 1 786 HC FIXED FR. QUAD COURNARD CATHETER 1 170 HC HEXAPOLAR W/IVC UNIPOAR 6POLE 1 356 HC MILAUKEE HALO 24 ELEC-ORBITER 1 2,189.00 HC QUAD COURNAND CATHETER 1 160 HC WEBSTER CS-F 6F CATHETER 1 803 HC EPCATH. DUO-DECAPOLAR 1 1,112.00 HC ISMUS 20POLE CATH-DIAG TO FLAT 1 1,772.00 HC BI-DIRECTIONAL NAVISTAR 4MM 1 4,477.00 HC BI-DIRECTIONAL NAVISTAR 8MM 1 5,121.00 HC BIOSENSE W PENTARAY NAV ECO 1 2,168.00 HC EZ STEER BI-DIRECT 8MM ABLATIO 1 1,872.00 HC NAVISTAR THEMOCOOL 3.5MM 1 4,680.00 HC QUICK STAR 4MM D&F CURVE CATH 1 4,084.00 HC SMARTTOUCH DF CURVE CATHETER 1 5,188.00 HC SMARTTOUCH FJ CURVE CATHETER 1 5,188.00 HC ABLATION CATHETER 1 1,638.00 CATH DUBL LUMEN 14.5F X 36CM CUF 31CM 1 1,240.00 CATH DUBL LUMEN 14.5FR X 28CM PRE-CRVD HEM-FLOW 1 207 CATH MEDCOMP 1 907 CATH-PERITONEAL DIALYSIS 1 92 HEMOSTAR CATHETER 1 931 CATH ANGIOGR SIZING PIGTAIL 5F 1 366 CATH CENTRAL VENOUS SING/LUMEN 1 42 CATH CV DUAL LUMEN 1 591 CATH CVP SINGLE LUMEN 1 54 CATH CVP TRIPLE LUMEN 1 102 CATH DBLE LMEN PRE-CRVD 14.5FX32CMX27CM CUFF 1 207 CATH DUAL LUMEN (ENDOVASC) 1 198 CATH DUAL-LUMEN CV 1 381 CATH OMNI FLUSHI SZNG 100CM 1 968 CATH, HICKMAN 1 626 CENTRAL VENOUS ACCESS CATH 1 329 DUAL LUMEN CATH 1 63 HC 4 FR X 5CM DOUBLE LUMEN CATH 1 452 HC MIDLINE CATH. DUAL. 7CC 5F 20CM 1 165 HC MIDLINE CATH. SGL 5CC 4F 20CC 1 165 HC POWERWAND MIDLINE CATHETER KIT 4FR (10CM) 1 414 HC PRESS MONITNG TRAY SINGL LUM 2 1 93 HC THAL-QUICK CHEST TRAY SZ 10FR 1 175 HC THAL-QUICK CHEST TRAY SZ 8FR 1 175 HC TRIPLE LUMEN 1 116 INFUSION SYSTEM 1 400 MORPHEUS 5 FR PICC 1 244 PICC CATH DOUBLE LUMEN 1 260 PICC SINGLE LUMEN 4FR 19GA 1 92 PICC SINGLE LUMEN 5FR 18GA 1 92 5CROSS IVUS CATH. 1 1,658.00 HC OPTICROSS 18 PERIPHERAL IMAGING CATHETER 1 2,210.00 HC OPTICROSS 6 CORONARY IMAGING CATHETER 1 2,238.00 CATH EMBOLECTOMY LEMAITRE 1 162 CATH, EMBOLECTOMY 1 329 HC ANGIOJET SOLENT DISTA 145CM 4F 1 6,045.00 HC ANGIOJET THROMBECTOMY SYSTEM, 6F 12CM OTW 1 2,147.00 HC ANGIOJET ZELANTEDVT 105CMX8F 1 8,840.00 HC EXPORT XT ASPIRATION SYS. 6F 1 1,346.00 HC MINDFRAME CAPTURE THROMBECTOMY DEVICE 1 16,965.00 HC SEPARATOR 5 1 1,819.00 HC SEPARATOR 6 1 3,107.00 HC SEPARATOR 8 1 5,187.00 HC SOLITAIRE PLATINUM 4 X 40 1 16,965.00 HC SOLITAIRE2 6 X 30 1 16,965.00 HC TREVO XP PROVUE RETRIEVER 4MM X 30 1 17,680.00 HC TREVO XP PROVUE RETRIEVER 6MM X 25 1 17,680.00 HC UNI-FUSE INFUSION CATHETER 1 424 LP EXTRACTION CATHETER 1 928 SPIROFLEX 4 FR CATHETER 1 3,271.00 CATH URETERAL 1 23 CATH URETERAL TAMPONADE 1 360 CATH, URETERAL 1 1,433.00 COBRA C2 5F 65/30 1 46 HC CONE TIP URETERAL CATHETER 8FR 1 28 HC DUAL LUMEN ACCESS CATHETER 1 85 HC OPEN-END URETERAL CATHETER 6FR X 70CM 1 28 HC SPIRAL TIP URETERAL ACCESS CATHETER 6FR X 70CM 1 30 HC WHISTLE TIP URETERAL CATHETER 5FR X 70CM 1 23 MALECOT NEPHROST CATH SET 1 116 OPENEND URETERAL AXXCESS CATH 1 25 PERCU SUPRAPUBIC CATH SET 1 135 STNT URETERAL FLEXMA REG 1 142 URETERAL CATH DUAL LUMEN 1 110 WHISTLE TIP 5FT. 1 21 ANGIO-SEAL STS PLUG PLATFORM 1 478 DEVICE EXOSEAL VASC CLOSURE 1 352 HC ANGIO-SEAL STS PLUG PLATFORM 1 478 HC VASCULAR/ARTERIAL CLOSER DEVIC 1 404 VASCULAR CLOSURE DEVICE 7F 1 352 ALLODERM REGENERATIVE TISSUE M 1 1,093.00 TENDON SEMITENDINOSUS 1 1,575.00 DURA REGENERATION MATRIX 4"X5" 1 1,897.00 DURAL GRAFT IMPLANT 3X3 1 1,109.00 DURAL GRAFT IMPLANT 4X5 1 1,685.00 GRAFT MATRIX/DURA GEN DARA 1 1,003.00 HC CARDIAC RHYTHM MGMT DEVICE LNQ11 1 13,767.00 ADAPTER OFFSET 1 1,999.00 NERVE STIMULATOR INTERSTIM II 1 14,721.00 6.4X6.4CM HERNIA PATCH 1 1,503.00 8MMX70CM GRAFT 1 1,422.00 GRAFT GORE PROPATEN STDWALL6X4 1 1,816.00 GRAFT,VASCULAR,VENAFLO W/CARBO 1 1,358.00 GRFT, BIFURCATED ENDOGRAFT 1 18,371.00 GRFT, STANDARD 6MMX80CM 1 1,901.00 GRFT, STRETCH STD WALL 6MMX10C 1 250 GRFT, STRETCH STD WALL 6MMX20C 1 566 GRFT, STRETCH STD WALL 6MMX40C 1 936 GRFT, STRETCH STD WALL 6MMX50C 1 1,173.00 GRFT, STRETCH STD WALL 8MMX80C 1 1,648.00 GRFT, WALL ENDOPROSTHESIS 1 5,897.00 HC SAPHENOUS VEIN 1 37,032.00 PATCH HERNIA VENTRIO 11X14CM 1 1,522.00 PERIPHERAL VASC. PATCH 1CMX6CM 1 206 2.0MM WIRE THRD SPADE TIP 280M 1 61 AMPLATZ 035 SUPER STIFF G/WIRE 1 100 AMPLATZ SUPER STIFF 1 78 ANGLED GLIDE WIRE SILVER HAWK 1 114 AQUALINE HYDROPHILIC G/WIRE 1 113 ASAHI MIRACLEBROS 4.5-6CM G/WI 1 211 BALANCE 190-300CM G/WIRE 1 252 BENTSON GUIDE WIRE 1 43 CATH MICRO GUIDE 1 468 COPE MANDRIL G / WIRE 1 81 DOC ENTENSION WIRE 1 187 FILTERWIRE EZ 1 2,239.00 GI GUIDEWIRE BOSTON SCF 1 362 GI HYDROTOME G/WIRE 1 899 GLIDEWIRE .018" 1 160 GUIDE WIRE .038 1 503 GUIDE WIRE V-18 POLY 1 206 GUIDEWIRE .045MM 1 21 GUIDEWIRE BALL NOSE 1 478 GUIDEWIRE BALL TIP 1 404 GUIDEWIRE NITINOL 1 85 GUIDEWIRE STARTER NEWTON 1 25 GUIDEWIRE, AMPLATZ SUPER-STIFF 1 343 GUIDEWIRE, SMOOTH TIP 1 173 GWIRE ASAHI 1 234 GWIRE HYDROPHILIC.035X180CM 1 182 HC AMPLATZ SUPER STIFF 1 78 HC AMPLATZ ULTRA STIFF .038 X 150CM 1 69 HC BALANCE 190-300CM G/WIRE 1 252 HC BENTSON WIRE GUIDE .038 X 150CM 1 43 HC CHOICE PT WIRE 1 195 HC COMET FFR WIRE 185CM 1 1,820.00 HC CROSS-IT 190-300CM G/WIRE 1 243 HC FILTER WIRE EZ 1 1,400.00 HC G/W AQUATRACK 260CM STIFF/REG 1 139 HC G/W STORQ 300CM STANDARD 1 147 HC G/WIRE COUGAR XT .014 190MM 1 185 HC GHIATAS BEADED BREAST LOCALIZATION WIRE, 20GX5CM 1 43 HC GLIDE WIRE 145-150 CM 1 68 HC GLIDE WIRE TRANSFER 1 117 HC GLIDEWIRE .035X80CM STIFF 1 504 HC GLIDEWIRE ADVANTAGE 0.035 X 180 CM ANGLED 1 577 HC GLIDEWIRE ADVANTAGE 0.035 X 260 CM 1 625 HC GUIDE WIRE REGULAR 145-150 CM 1 26 HC GUIDE WIRE TRANSFER 190-260 CM 1 39 HC HI-TORQUE 0.014 STEERABLE GUI 1 59 HC HI-TORQUE 0.018 STEERABLE GUI 1 77 HC HIWIRE WIRE GUIDE .038 X 150CM 1 76 HC LUGE WIRE 182CM-200CM 1 195 HC MAILMAN WIRE 1 187 HC PTFE WIRE GUIDE .038 X 150CM 1 36 HC SYNCHRO 2 STANDARD MICROWIRE 200CM 1 1,246.00 HC SYNCHRO 300CM GUIDEWIRE 1 1,788.00 HC VIPERWIRE ADVANCE G/W 1 247 HC WHISPER J 190-300CM G/WIRE 1 316 HYDROPHILIC GUIDEWIRE ANGLED 1 110 HYDROTOME GUIDE/WIRE 1 890 JAG WIRE 1 393 ROSEN G/WIRE 180CM 1 46 ROTAWIRE FLOPPY 325CM 1 1,560.00 ST.JUDE FFR CATHETERS 1 1,366.00 STIFF GLIDEWIRE .035X180CM 1 110 STIFFBOD 3CMFLXTIP PTFE G/WIRE 1 29 STRYKER GUIDEWIRE 1 154 SUPRACORE 35 G/WIRE 1 143 V-18 GUIDWIRE 300CM 1 170 WIRE GUIDE .035MM 1 33 WIRE GUIDE STRAIGHT, FLOPPY AN 1 75 WIRE GUIDE XTRSTIF 1 202 WIRE, GLIDE 1 47 WIRE, GLIDE ANGLE 1 64 WIRE, GUIDE 1 115 WIRE, GUIDE PTFF 1 19 WIRE, SENSOR DUAL FLEX GUIDE 1 113 SLING TAPE SUPRIS SUPRAPUBIC 1 1,545.00 TRANS-VAGINAL TAPE 1 1,640.00 EXPRO ELITE SNARE 1 797 SET ENSNARE CATH7F/SNARE18-30 1 655 COMPONENT PATELLAR 1 1,877.00 EXCEL STEM 1 1,566.00 HEAD BI-POLAR UNIV 52MMX26MM 1 1,498.00 HEAD ENDO UNIPOLAR 46MM 1 1,038.00 SHELL TRIT HEMISP 1 5,438.00 TIBIAL SHEATH INTRAFIX 1 378 UNIPOLAR HEAD 1 655 HC MEDTRONIC MR COND LEAD # 6935M 1 10,616.00 HC MEDTRONIC MR COND LEAD MODEL# 6935 1 8,985.00 LEAD NEUROSTIM SNS 1 5,174.00 NEUROSTIM SURGICAL LEAD 1 4,561.00 FASTENERS ABS MESH 1 1,122.00 MESH 3D 1 3,761.00 MESH PARIETEX 1 256 MESH POLYESTER 8" X 6" 1 1,515.00 MESH SOFT 4" X 6" 1 182 MESH VICRYL 12X12 IN 1 1,797.00 MESH, BARD 1 X 4 1 74 MESH, BARD 10 X 14 1 246 MESH, BARD 4 X 6 1 140 MESH, BARD 3D MAX 1 424 MESH, BARD 4X8 1 419 MESH, COMPOSIX EX 7 X 9 1 2,419.00 MESH, DUAL W/ HOLES 10.0X15.0X 1 1,085.00 MESH, ETHICON 15X20CM 1 1,822.00 MESH, GORE MICRO PLUS 2.5X10X1 1 132 MESH, GORE MICRO PLUS 5X10X1MM 1 220 MESH, GORE-DUAL BIO 150 SQ CM 1 651 MESH, GORE-DUAL BIO 75 SQ CM 1 439 MESH, GORE-DUAL BIO 96 SQ CM 1 567 MESH, GORE-DUAL PLUS BIO/150 S 1 866 MESH, MARLEX FLAT 3X 6 1 320 MESH, PERFIX PLUG EX LARGE 6/C 1 542 MESH, PERFIX PLUG LARGE 6/CTN 1 456 MESH, PERFIX PLUG MEDIUM 6/CTN 1 456 MESH, PERFIX PLUG SMALL 6/CTN 1 456 MESH, TITANIUM 1 1,752.00 PATCH HERNIA LARGE W/STRAPS 1 1,326.00 PATCH HERNIA SMALL W/STRAPS 1 901 PATCH HERNIA VENTRIO 4.5X4.5 1 1,464.00 PATCH HERNIA VENTRIO 8X12CM 1 1,288.00 PREFIX MESH PLUG 1 456 PROCEED MESH 4" X 6" 1 1,052.00 PROCEED SURG MESH 10"X14" 1 3,597.00 STPL, TACKER FOR HERNIA 1 512 TACK ABSORBABLE FOR MESH 1 1,122.00 TACK ABSORBABLE FOR MESH 30 1 749 TRELEX MESH 2 X 12 1 501 SHUNT MINI GLAUCOMA P-50 1 1,864.00 STENT PACILTAXEL-ELUT CORONARY 1 4,171.00 ADAPTA ADSR01 VVI PPM 1 5,481.00 HC ACCOLADE DR IS -1 MODEL L301 1 9,180.00 HC ACCOLADE DR IS -1 (EL) MODEL# L321 1 2,219.00 HC ACCOLADE MODEL L311 - DR- IS-1 1 11,923.00 HC ESSENTIO DR IS - 1/ MODEL L101 - BS 1 5,488.00 HC LV GENERATOR PACEMAKER PM2240 ASSURITY U PR 1 14,300.00 HC MEDRONIC-DUAL CHAMBER PACEMAKER MODEL-A2DROI 1 12,618.00 HC ST. JUDE M2272 ASSURITY MRI PACEMAKER 1 15,600.00 PACEMAKER DUAL RATE RESPONSIVE 1 9,637.00 HC ACCOLADE MODEL L310-SR-IS-1 1 11,934.00 HC ACCOLADE SR IS-1 MODEL L300 1 10,764.00 HC ASSURITY MRI_ PACEMAKER MODEL# PM1272 1 14,182.00 HC BOSTON SCIENTIFIC ESSENTIO SR IS-1 MODEL L100 1 8,060.00 HC MEDTRONIC ADVISA SURESCAN MODEL A3SR01 1 9,056.00 PATIENT PROGRAMMER INS 1 1,782.00 CATH OPEN SGL LUM VENOUS (PORT 1 1,069.00 IMPLANTABLE PORT BARD ACCESS SYS 1 725 INFUSE A PORT 1 1,583.00 PORT CT SINGLE TI W VORTEX 8FR 1 617 PORT LIFEPORT 9FR 1 393 PORT TI W OPEN END CATH 1 1,250.00 EXPANDER TISSUE INTEGRA 1 1,366.00 EXPDR, BREAST 1 6,254.00 IMPL, BREAST 1 1,685.00 IMPL, PENILE PROSTHESIS INFLAT 1 6,177.00 PUMP CYLINDER OTR 1 11,232.00 TITAN RESERV W/LO VALV IMPLT 1 2,209.00 TITAN SCROTAL CYLIN/PUMP IMPLT 1 9,784.00 NEUROSTIM W/RECHG BATT&CHG SYS 1 31,722.00 X-STOP TI DEVICE FOR SPINE 1 7,488.00 HC MEDTRONIC DTMA1D4 CLARIA MRI 1 55,640.00 HC ONCONTROL BX SYST TRAY W (102 1 169 ONCONTROL BX SYST TRAY W (102 1 169 HC ELUNIR DRUG ELUTING STENT 1 2,278.00 HC RESOLUTE ONYX ZOTAROLIMUS-ELUTING CORONARY STENT SYS 1 3,900.00 HC STNT ZILVER 518 VAS SELF-EXPND 1 4,290.00 HC TRYTON SIDE BRANCH STENT 1 2,860.00 HC ZILVER PTX 35 DRUG-ELUT STENT 60CM 1 3,887.00 HC ZILVER PTX 35 DRUG-ELUT STENT 100CM 1 4,667.00 PROMUS-PREMIER MR EVEROLIMUS ELUTING STENT 1 1,966.00 RESOLUTE DRUG ELUTING STENT 1 2,122.00 STENT WALL 9F ENDOPROSTHESIS 1 1,940.00 STENT WALLFLEX BILIARY 1 4,842.00 STNT ENDO VIABAHN 6FRX0.018 1 4,172.00 VIABAHN ENDOPROSTH STENT 1 4,945.00 VIABAHN STENT 1 5,265.00 XIENCE PRIME DRUG ELUDING STEN 1 2,184.00 BILIARY STENT 1 129 EPIC VASCULAR SELF-EXPAND STEN 1 1,622.00 GI BILIARY STENT 1 167 GI BILIARY STENT 1 198 GI PANCREATIC STENT 1 109 HC INNOVA VASCULAR 6MMX200MMX130CM 1 2,387.00 HC INNOVA VASCULAR 6MMX40MMX 130CM 1 3,315.00 HC PRECISE PRO RX US CAROTID SYSTEM STENT 1 3,705.00 INTEGRITY CORONARY STENT 1 1,248.00 MINI VISION STENT 2.25MM 1 1,322.00 STENT E LUMINEXX BILIARY 1 2,172.00 STENT ILIAC SMART 1 1,847.00 STENT SELF-EXPAND 6X80MMX120CM 1 1,622.00 STENT SELF-EXPAND 7X41MMX120CM 1 1,622.00 STNT EPIC SELF EXPND 8MM X 61 MM X 120 CM 1 1,622.00 VISION STENT 3.0MM-4.0MM 1 1,322.00 WALLSTENT ENDOPRS VASC 1 2,074.00 CELECT IVC FEM FILTER 1 4,284.00 FILTER IVC DUAL APPROACH 1 1,633.00 FILTER TRAPEASE 1 1,790.00 FILTER VENA CAVA G2 1 2,089.00 FILTER VENA CAVA SYS 1 1,697.00 GUNTHER TULIP RECOVERY FILTER 1 2,177.00 HC CELECT PLATINUM VENA CAVA FILTER 1 2,206.00 HC OPTEASE VENA CAVA FILTER 1 1,456.00 HC TRAPEASE 55CM VENA CAVA FILTER 1 2,397.00 OPTION IVC FILTER 1 1,491.00 VENA CAVA FILTER FEMORAL 1 2,239.00 VENA CAVA FILTER JUGULAR 1 3,555.00 VENA CAVA FILTER PLATUM CLECT 7FR 1 1,310.00 VENA TECH LP IVC FILTER 1 1,889.00 CATH SET HEMOD DURAFLO 1 693 DURAMAX DIALYSIS CATHETER 1 2,496.00 HC BOSTON SCIENTIFIC DYNAGEN G151 DF-1/IS-1 1 52,182.00 HC MEDTRONIC DTMA1QQ CLARIA MRI QUAD 1 57,309.00 HC MEDTRONIC AMPLIA MRI SURESCAN DTMB1D4 1 55,640.00 HC MEDTRONIC VIVA QUAD XT CRT-D MODEL#DTBA1QQ 1 33,396.00 HC ST JUDE MED UNIFYASSURA CD3357 1 32,618.00 HC ANGIOGUARD EMBOLI CAPTURE GUIDEWIRE SYSTEM 1 3,380.00 HC EZ BENT TIP RETRIEVAL SHEATH 1 79 HC MOMA DEVICE- EMBOLIC PROTECTION DEVICE 1 4,290.00 ANGIOGRAPHIC CATH 4F FLUSH CON 1 31 BERENSTEIN 5 F CATH 65/38 1 46 BERENSTEIN 5 FR CATH 40/38 1 46 CATH ANGIC MARINER 1 133 CATH CXI SUPPORT 1 241 CATH TEMPO BEREN 5FR 65CM 5/BX 1 40 CATH TRESPASS ANGIOGRAPHIC 1 196 CATH UNIFUSE 1 400 CATH, ANGIOGRAPHIC 5FR 1 235 CATHETER SUPPORT 0.014"X135CM 1 215 DIAGNOSTIC CATH(FR4) 1 16 GUIDING CATH-CORDIS 1 111 HC 3MAX REPERFUSION CATHETER 153 CM 1 4,342.00 HC 4MAX REPERFUSION CATHETER 139 CM 1 4,342.00 HC 5MAX ACE REPERFUSION CATHETER 060 + HI-FLOW TUBING KIT 1 7,371.00 HC 5MAX ACE REPERFUSION CATHETER 064 + HI-FLOW TUBING KIT 1 7,371.00 HC 5MAX ACE REPERFUSION CATHETER 064 5.6F 132CM 1 6,422.00 HC 5MAX ACE REPERFUSION CATHETER 068 + HI-FLOW TUBING KIT 1 7,371.00 HC 5MAX ACE REPERFUSION CATHETER 5.4F 132 CM 1 6,422.00 HC AXS CATALYST 5 DISTAL ACCESS CATH 1 4,290.00 HC DIAGNOSTIC CATHETERS SF-6F 1 43 HC EXPO DIAGNOSTIC CATH 1 179 HC GUIDING CATH 1 120 HC INDIGO CATHETER 2,STRAIGHT TIP, 150CM-PENUMBRA 1 3,354.00 HC INDIGO CATHETER 6, STRAIGHT TIP, 135CM- PENUMBRA 1 7,774.00 HC INDIGO CATHETER 8, STRAIGHT TIP, 85 CM 1 7,774.00 HC INDIGO CATHETER 8, XTORQ TIP 115 1 7,774.00 HC MARINER HYDROPHILIC COATED ANGIGRAPHIC CATH 5F SIDEWINDER 1 381 HC MAX DISTAL DELIVERY CATHETER 1 4,342.00 HC MB HYDROPHILIC COATED ANGIOGRAPHIC CATH 5F 130/0.038 IN 1 381 HC MEDTRONIC SURE VALVE 6250V-EH 1 767 HC MEDTRONIC SURE VALVE 6250V-MPX 1 767 HC RUBICON 14 0.014 X 150 CM 1 2,040.00 HC SUPERCROSS MICROCATHETER 1 1,326.00 HC TORCON NB ADVANTAGE CATHETER-DAV 5F 0.038 1 39 HC VELOCITY DELIVERY MICROCATHETER 1 2,259.00 LAUNCHER GUIDE CATH 1 127 MICROCATHETER 1 732 OMNI FLUSH 5 FR CATH 65/38 1 48 PIGTAIL 5 F CATH 65/38 1 55 QUICK CROSS SUPPORT CATH 1 313 QUICK CROSS SUPPORT CATH .035 1 250 SOS OMNI 5 F CATH 1 46 STRAIGHT FLUSH 5F CATH 65 38 1 46 CATH, CLOSURE 1 1,141.00 CATH, THERMACHOICE ABLATION 1 1,290.00 CATHETER CLOSUREFAST 1 1,488.00 SET HYDRO THERMAL ABLATION 1 1,572.00 HC SAFE SHEATH ULTRA 7F 1 132 HC SAFE SHEATH ULTRA 9F 1 132 SHEATH CAROTID GUIDING 1 249 HC INTRODUCER GUIDING SAFL,SRO CS 1 332 SHEATH SOFT-TIP SHEATHS 1 74 ANTECUBITAL SHEATH SYST 1 331 EXCLUDER INTRO SHEATH 18FTX30C 1 256 HC BRITE TIP SHEATH 1 69 HC DESTINATION SHEATH 1 69 HC FLEXOR URETERAL ACCESS SHEATH 1 256 HC INTRODUCER SHEATH (SHORT) 1 55 HC INTRODUCER SHEATH LONG 1 104 HC INTRODUCER SHEATH SUPERFLEX LO 1 87 INTRODUCER 1 187 INTRODUCER SHEATH 1 155 INTRODUCER SHEATHS AVANTI 1 157 INTRODUCER SHEATHS BRITE TIP 1 62 INTRODUCER VNUS SHEATH 1 42 PEEL-AWAY INTRODUCER SET 1 141 SAFE SHEATH 1 702 SHEATH (BIOTRONIK) 1 1,498.00 SHEATH GUIDING 5FR .018"X45CM 1 83 SHEATH RENAL GUIDING 1 203 SHEATH SUPER R/O 1 58 SUPER SHEATH 1 31 VSI RADI ARTER HV INTRO 5/6 FR 1 123 HC 6947M - 62 CM MEDTRONIC 1 12,064.00 HC MEDTRONIC MODEL 6947M - 55 CM 1 10,616.00 HC RELIANCE DUAL CODE MODEL 0295 1 12,636.00 HC ST. JUDE HV LEAD LDA220Q/65 1 10,400.00 RELIANCE 4-SITE G ACTIVE FIX DUAL COIL 64CM 1 7,942.00 HC BOSTON SCI EMB ELECT MODEL 3401 1 7,091.00 LEAD NERVE STIM PT TRIAL 1 2,591.00 HC CONDTENDRIL LEAD MODEL# LPA1200M/58 1 1,820.00 HC DEXTRUS IS BI POSITIVE FIX MODEL 4136 1 772 HC DEXTRUS IS BI POSITIVE FIX MODEL 4137 1 772 HC INGEVITY MODEL 7741 52CM 1 1,288.00 HC INGEVITY MODEL 7742 59CM 1 1,288.00 HC LEAD MODEL 5076 52 CM MEDTRONIC 1 1,550.00 HC MEDTRONIC LEAD MODEL 5076 - 58 CM 1 930 PACE LEADS-MEDTRONIC 6907 OR 1 1,310.00 HC MEDTRONIC 4598 1 10,979.00 HC GORE VIATORR STENT (TIPS) 10MMX6CM 1 11,759.00 HC GORE VIATORR STENT (TIPS) 10MMX7CM 1 11,759.00 HC GORE VIATORR STENT (TIPS) 10MMX8CM 1 11,759.00 HC BIOSENTRY LUNG BIOPSY PLUG WITH DELIVERY SYSTEM 1 820 HC BIOSENTRY TRACT SELANT SYSTEM 1 65 HC SOF FLEX URETERAL STENT 1 238 HC UNIVERSA URETERAL STENT 1 130 STENT NON CORON TEMP W/O DEL.S 1 161 STENT POLARIS ULTRA SET 1 330 STENT URETERAL OPTIMA 1 199 STENT, PERC PLUS 1 246 STENT,URETERAL,DOUBLE PIGTAIL 1 391 STNT URTRAL DUBL PIGTAIL 7.0FR X 28 CM 1 143 PACEMAKER BIVENTRICULAR 1 14,182.00 IMPL, PENILE PROSTH NON-INFLAT 1 5,388.00 PROSTH PENILE MALLBL 1 6,509.00 SEMI-RIGID PENILE PROSTHESIS 1 5,633.00 HC LUTONIX 035 4.0 X 60MM 1 4,550.00 STENT BANDER URETERAL 6FR 75MM 1 140 STENT,NON-CORON TEMP W/DEL SYS 1 161 FADER TIP SUPRA PUBIC CATH. 1 187 HC FLOWGATE BGC 8F 95CM 1 2,380.00 HC FLOWGATE BGC 8F X 85CM 1 2,380.00 IMPLANT INJ COAPTITE 1 414 HC MRA ABDOMEN, W/CONTRAST 1 1,006.00 HC MRA CHEST, WITH CONTRAST 1 1,006.00 HC MRA CHEST, W/O CONTRAST 1 675 HC MRA CHEST, W/O FOLL W/CONTRAST 1 1,138.00 HC MRA LOWER EXTR W/CONTRAS 1 1,006.00 HC MRA LOWER EXTR W/O CONTRAST 1 675 CONG TT ECHO COMP W CONTRAST 1 1,940.00 CONG TT ECHO FU/LTD W CONTRAST 1 1,940.00 TT ECHO W CONTRAST WO DOPPLER 1 1,940.00 TT ECHO FU/LTD W CONTRAST 1 1,940.00 COMPLETE TTE W/DOPP WITH CONTR 1 1,707.00 STRESS ECHO WITH CONTRAST 1 1,707.00 HC MRA W/CONTR UPPER EXT 1 1,006.00 HC MRA W/O CONTR.UPPER EXT 1 675 HC CAD BREAST MRI 1 278 NEURA WRAP 7MM X 4CM 1 3,087.00 NEURAWRAP 1 2,022.00 TENDON PROTECTOR 1 3,632.00 HC INTEGRA MESHED BILAYER WOUND MATRIX 1 7,791.00 PERMACOL MESH PER SQ CM 1 26 PERC DRUG-EL COR STENT SNGL LC 1 15,526.00 PERC DRUG-EL COR STENT SNGL LD 1 15,526.00 PERC DRUG-EL COR STENT SNGL LM 1 15,526.00 PERC DRUG-EL COR STENT SNGL RC 1 15,526.00 PERC DRUG-EL COR STENT SNGL RI 1 15,526.00 PERC DRUG-EL COR STENT ADDTL L 1 15,526.00 PERC DRUG-EL COR STENT ADDTL R 1 15,526.00 PERC DRG-EL COR STENT ATHER AN 1 34,772.00 PERC DRG-ELCOR REVASC T CABG S 1 15,526.00 PERC DRG-ELUT COR REVASC W AC 1 34,772.00 PERC DRG-ELUT COR REVASC CHR O 1 34,772.00 HC PERC D-E COR REVASC CHR OCCL A 1 15,500.00 ER-OCCLUSAL FILM 1 1,990.00 ER PANORAMIC XRAY 1 50 CL-TOPICAL FLUORIDE VARNISH 1 60 ER SEDATIVE FILLING 1 54 ER PULPOTOMY 1 104 ER-END THX ANTERIOR TOOTH 1 600 ER PROVISIONAL SPLINT INTRACOR 1 72 ER EXT SIMPLE TTH 1 1,244.00 ER EXT SURG W/FLAP 1 1,244.00 ER REMOV IMPCT TOOTH PART BONE 1 1,990.00 ER REMOV IMPCT TOOTH COMP BONE 1 1,990.00 ER EXT RESIDUAL ROOT TIPS 1 1,244.00 ER TOOTH REPLANTATION 1 174 ER-DENT BX ORAL TISSUE 1 136 BX ORAL TISSUE 1 104 ER-DENT ALVEOPLASTY W EXTR 1-3 1 1,024.00 ER MANDIBLE - CLOSED REDUCTION 1 696 ER ALVEOUS - CLOSED REDUCTION 1 54 CL-INFLUENZA VACCINE ADMINISTR 1 82 CL-INFLUENZA VACCINE ADMINISTR 1 82 INFLUENZA VACCINE ADMINISTR 1 82 CL-PNEUMOCOCCAL ADMINISTRATION 1 82 PNEUMOCOCCAL ADMINISTRATION 1 82 CL-HEP B VAC ADMIN 1 82 HC CA SCREEN;PELVIC/BREAST EXAM 1 128 HC PROSTATE SCREEN, DRE 1 50 BH-PSA-PROSTATIC SPECIFIC AGEN 1 103 HC COLON CA SCRN NOT HI RSK IND 1 1,571.00 HC COLORECTAL SCRN; HI RISK IND 1 1,310.00 HC COLON CA SCRN NOT HI RSK IND 1 1,571.00 HC TRIMMING DYSTROPHIC NAIL 1 132 EXT.COUNTERPULSATION,PER TREAT 1 352 DIGITAL MAMMO SCRN BIL 1 237 HC SCR MAMMO BI INCL CAD 1 0.01 DIGITAL MAMMO DIAG BIL 1 293 HC DX MAMMO INCL CAD BI 1 0.01 DIGITAL MAMMO LT UNIL 1 213 TX PROC RESP STR/ENDUR 1/1 15M 1 72 TX IMPROV RESP FUNC 1/1 15 MIN 1 72 TX IMPROV RESP FUNC 2 OR MORE 1 72 HC INITIAL EVALUATION 1 250 HC FOLLOW EVALUATION 1 250 HC ROUTINE FOOTCARE 1 232 HC HYPERBARIC OXYGEN TX FULL BODY CHAMBER 30MIN 1 259 RT ILIAC/FEM ANGIO W CARD CATH 1 4,053.00 HC OT ELEC STIMULATION UNATTENDED 1 27 HC TBI-ELECT.STIM.UNATTENDED,PT 1 27 HC LDCT FOR LUNG CA SCREEN 1 141 HC CA SCREEN;FLEXI SIGMOIDSCOPE 1 0.01 HC ROBOT LIN-RADSURG COM, FIRST 1 6,600.00 HC ROBT LIN-RADSURG FRACTX 2-5 1 6,600.00 HC BONE MARROW ASP & BX SAME I 1 1,080.00 HOSPITAL OBSERVATION PER HR 1 130 HC DIRECT ADMIT TO OBSERVATION 1 1,222.00 HC FIELD (PRENOTIFIED) TRAUMA ACTIVATION - FULL 1 7,500.00 HC FIELD (PRENOTIFIED) TRAUMA ACTIVATION - PARTIAL 1 5,000.00 PULM REHAB W EXER 1HR PER SESS 1 111 HC SMOKE CESS COUNSEL 3-10 MIN 1 60 CL-SMOKE CESS COUNSEL >10 MINS 1 61 HC SMOKE CESS COUNSEL >10 MINS 1 60 HC PPPS, INITIAL VISIT 1 401 HC PPPS, SUBSEQ VISIT 1 274 HC DERESSION SCREEN ANNUAL 1 59 HC BEHAVIOR COUNSEL OBESITY 15M 1 165 HC HPV COMBO ASSAY CA SCREEN 1 0.01 HC DRUG TEST PRESUMPTIVE OPTICAL 1 18 HC DRUG TEST PRESUMPTIVE OPTICAL INSTRUMENT 1 23 HC DRUG TEST PRESUMPTIVE NOT OPT 1 93 HC DRUG TEST DEF 1-7 CLASSES 1 235 HC CHEMO EXT IV INFUS W/PUMP HOME 1 559 HC MOD SEDAT ENDO SERVICE >5YRS 1 143 HC THER IVNTJ W/FOCUS COG FUNCJ 1 66 HC DIL MACULAR/FUNDUS NOT PERFO 1 0.01 HC PT W/DXA RESULTS DOCUMENT 1 0.01 HC PT W/DXA NO RESULTS DOC 1 0.01 HC CALC BMI ABV UP PARAM F/U 1 0.01 HC CALC BMI BLW LOW PARAM F/U 1 0.01 HC CALC BMI OUT NRM PARAM NOF/U 1 0.01 HC CALC BMI NORM PARAMETERS 1 0.01 HC BMI NOT CALCULATED 1 0.01 HC DOC CUR MEDS BY HCOV 1 0.01 HC CUR MEDS NOT DOCUMENT 1 0.01 HC POS CLIN DEHCES SCRN F/U DOC 1 0.01 HC CLIN DEHCESSION SCREEN NOT D 1 0.01 HC POS PAIN ASSESS NO F/U DOC 1 0.01 HC PT INELIG NEG SCRN DEHCES 1 0.01 HC NO DOC ELDER MAL SCRN 1 0.01 HC NO DOC CUR FUNCT ASSESS 1 0.01 HC ASP THERP USED 1 0.01 HC NO ASP THERP USED 1 0.01 HC NO DOC OF PAIN 1 0.01 HC SYS BP LESS 140 1 0.01 HC SYS BP > OR = 140 1 0.01 HC DIAS BP LESS 90 1 0.01 HC NO BP MEASURE DOC 1 0.01 HC SPIRO NO PERF OR DOC 1 0.01 HC OT MOBILITY CURR STATUS 20-39% 1 1 HC OT MOBILITY CURR STATUS 60-79% 1 1 HC OT MOBILITY CURR STATUS 40-59% 1 1 HC OT MOBILITY CURR STATUS 80-99% 1 1 HC OT MOBILITY CURR STATUS-1-19% 1 1 HC OT MOBILITY CURRENT STATUS-0% 1 1 HC PT MOBILITY CURR STATUS 20-39% 1 1 HC PT MOBILITY CURR STATUS 60-79% 1 1 HC PT MOBILITY CURR STATUS 100% 1 1 HC PT MOBILITY CURR STATUS 40-59% 1 1 HC PT MOBILITY CURR STATUS 80-99% 1 1 HC PT MOBILITY CURR STATUS-1-19% 1 1 HC OT MOBILITY CURR STATUS 100% 1 1 HC OT MOBILITY GOAL STATUS 20-39% 1 1 HC OT MOBILITY GOAL STATUS 60-79% 1 1 HC OT MOBILITY GOAL STATUS 100% 1 1 HC OT MOBILITY GOAL STATUS 40-59% 1 1 HC OT MOBILITY GOAL STATUS 80-99% 1 1 HC OT MOBILITY GOAL STATUS-0% 1 1 HC OT MOBILITY GOAL STATUS-1-19% 1 1 HC PT MOBILITY GOAL STATUS 20-39% 1 1 HC PT MOBILITY GOAL STATUS 60-79% 1 1 HC PT MOBILITY GOAL STATUS 100% 1 1 HC PT MOBILITY GOAL STATUS 40-59% 1 1 HC PT MOBILITY GOAL STATUS 80-99% 1 1 HC PT MOBILITY GOAL STATUS-0% 1 1 HC PT MOBILITY GOAL STATUS-1-19% 1 1 HC OT MOBILITY D/C STATUS 60-79% 1 1 HC OT MOBILITY D/C STATUS 100% 1 1 HC OT MOBILITY D/C STATUS 20-39% 1 1 HC OT MOBILITY D/C STATUS 80-99% 1 1 HC OT MOBILITY D/C STATUS -0% 1 1 HC OT MOBILITY D/C STATUS -1-19% 1 1 HC OT MOBILITY D/C STATUS 40-59% 1 1 HC PT MOBILITY D/C STATUS 60-79% 1 1 HC PT MOBILITY D/C STATUS 100% 1 1 HC PT MOBILITY D/C STATUS 20-39% 1 1 HC PT MOBILITY D/C STATUS 80-99% 1 1 HC PT MOBILITY D/C STATUS -0% 1 1 HC PT MOBILITY D/C STATUS -1-19% 1 1 HC PT MOBILITY D/C STATUS 40-59% 1 1 HC OT BODY POS CURRENT STATUS 100% 1 1 HC OT BODY POS CURRENT STATUS 20-39% 1 1 HC OT BODY POS CURRENT STATUS 40-59% 1 1 HC OT BODY POS CURRENT STATUS 60-79% 1 1 HC OT BODY POS CURRENT STATUS 80-99% 1 1 HC OT BODY POS CURRENT STATUS-0% 1 1 HC OT BODY POS CURRENT STATUS-1-19% 1 1 HC PT BODY POS CURRENT STATUS 100% 1 1 HC PT BODY POS CURRENT STATUS 20-39% 1 1 HC PT BODY POS CURRENT STATUS 40-59% 1 1 HC PT BODY POS CURRENT STATUS 60-79% 1 1 HC PT BODY POS CURRENT STATUS 80-99% 1 1 HC PT BODY POS CURRENT STATUS-0% 1 1 HC PT BODY POS CURRENT STATUS-1-19% 1 1 HC OT BODY POS GOAL STATUS 100% 1 1 HC OT BODY POS GOAL STATUS 20-39% 1 1 HC OT BODY POS GOAL STATUS 40-59% 1 1 HC OT BODY POS GOAL STATUS 60-79% 1 1 HC OT BODY POS GOAL STATUS 80-99% 1 1 HC OT BODY POS GOAL STATUS-0% 1 1 HC OT BODY POS GOAL STATUS-1-19% 1 1 HC PT BODY POS GOAL STATUS 100% 1 1 HC PT BODY POS GOAL STATUS 20-39% 1 1 HC PT BODY POS GOAL STATUS 40-59% 1 1 HC PT BODY POS GOAL STATUS 60-79% 1 1 HC PT BODY POS GOAL STATUS 80-99% 1 1 HC PT BODY POS GOAL STATUS-0% 1 1 HC PT BODY POS GOAL STATUS-1-19% 1 1 HC OT BODY POS D/C STATUS 100% 1 1 HC OT BODY POS D/C STATUS 20-39% 1 1 HC OT BODY POS D/C STATUS 40-59% 1 1 HC OT BODY POS D/C STATUS 60-79% 1 1 HC OT BODY POS D/C STATUS 80-99% 1 1 HC OT BODY POS D/C STATUS-0% 1 1 HC OT BODY POS D/C STATUS-1-19% 1 1 HC PT BODY POS D/C STATUS 100% 1 1 HC PT BODY POS D/C STATUS 20-39% 1 1 HC PT BODY POS D/C STATUS 40-59% 1 1 HC PT BODY POS D/C STATUS 60-79% 1 1 HC PT BODY POS D/C STATUS 80-99% 1 1 HC PT BODY POS D/C STATUS-0% 1 1 HC PT BODY POS D/C STATUS-1-19% 1 1 HC OT CARRY CURRENT STATUS 100% 1 1 HC OT CARRY CURRENT STATUS 20-39% 1 1 HC OT CARRY CURRENT STATUS 40-59% 1 1 HC OT CARRY CURRENT STATUS 60-79% 1 1 HC OT CARRY CURRENT STATUS 80-99% 1 1 HC OT CARRY CURRENT STATUS-0% 1 1 HC OT CARRY CURRENT STATUS-1-19% 1 1 HC PT CARRY CURRENT STATUS 100% 1 1 HC PT CARRY CURRENT STATUS 20-39% 1 1 HC PT CARRY CURRENT STATUS 40-59% 1 1 HC PT CARRY CURRENT STATUS 60-79% 1 1 HC PT CARRY CURRENT STATUS 80-99% 1 1 HC PT CARRY CURRENT STATUS-0% 1 1 HC PT CARRY CURRENT STATUS-1-19% 1 1 HC OT CARRY GOAL STATUS 100% 1 1 HC OT CARRY GOAL STATUS 20-39% 1 1 HC OT CARRY GOAL STATUS 40-59% 1 1 HC OT CARRY GOAL STATUS 60-79% 1 1 HC OT CARRY GOAL STATUS 80-99% 1 1 HC OT CARRY GOAL STATUS-0% 1 1 HC OT CARRY GOAL STATUS-1-19% 1 1 HC PT CARRY GOAL STATUS 100% 1 1 HC PT CARRY GOAL STATUS 20-39% 1 1 HC PT CARRY GOAL STATUS 40-59% 1 1 HC PT CARRY GOAL STATUS 60-79% 1 1 HC PT CARRY GOAL STATUS 80-99% 1 1 HC PT CARRY GOAL STATUS-0% 1 1 HC PT CARRY GOAL STATUS-1-19% 1 1 HC OT CARRY D/C STATUS 100% 1 1 HC OT CARRY D/C STATUS 20-39% 1 1 HC OT CARRY D/C STATUS 40-59% 1 1 HC OT CARRY D/C STATUS 60-79% 1 1 HC OT CARRY D/C STATUS 80-99% 1 1 HC OT CARRY D/C STATUS-0% 1 1 HC OT CARRY D/C STATUS-1-19% 1 1 HC PT CARRY D/C STATUS 100% 1 1 HC PT CARRY D/C STATUS 20-39% 1 1 HC PT CARRY D/C STATUS 40-59% 1 1 HC PT CARRY D/C STATUS 60-79% 1 1 HC PT CARRY D/C STATUS 80-99% 1 1 HC PT CARRY D/C STATUS-0% 1 1 HC PT CARRY D/C STATUS-1-19% 1 1 HC OT SELF CARE CURR STATUS-0% 1 1 HC OT SELF CARE CURRENT STATUS 100% 1 1 HC OT SELF CARE CURRENT STATUS 20-39% 1 1 HC OT SELF CARE CURRENT STATUS 40-59% 1 1 HC OT SELF CARE CURRENT STATUS 60-79% 1 1 HC OT SELF CARE CURRENT STATUS 80-99% 1 1 HC OT SELF CARE CURRENT STATUS-1-19% 1 1 HC PT SELF CARE CURR STATUS-0% 1 1 HC PT SELF CARE CURRENT STATUS 100% 1 1 HC PT SELF CARE CURRENT STATUS 20-39% 1 1 HC PT SELF CARE CURRENT STATUS 40-59% 1 1 HC PT SELF CARE CURRENT STATUS 60-79% 1 1 HC PT SELF CARE CURRENT STATUS 80-99% 1 1 HC PT SELF CARE CURRENT STATUS-1-19% 1 1 HC OT SELF CARE GOAL STATUS 100% 1 1 HC OT SELF CARE GOAL STATUS 20-39% 1 1 HC OT SELF CARE GOAL STATUS 40-59% 1 1 HC OT SELF CARE GOAL STATUS 60-79% 1 1 HC OT SELF CARE GOAL STATUS 80-99% 1 1 HC OT SELF CARE GOAL STATUS-0% 1 1 HC OT SELF CARE GOAL STATUS-1-19% 1 1 HC PT SELF CARE GOAL STATUS 100% 1 1 HC PT SELF CARE GOAL STATUS 20-39% 1 1 HC PT SELF CARE GOAL STATUS 40-59% 1 1 HC PT SELF CARE GOAL STATUS 60-79% 1 1 HC PT SELF CARE GOAL STATUS 80-99% 1 1 HC PT SELF CARE GOAL STATUS-0% 1 1 HC PT SELF CARE GOAL STATUS-1-19% 1 1 HC OT SELF CARE D/C STATUS 100% 1 1 HC OT SELF CARE D/C STATUS 20-39% 1 1 HC OT SELF CARE D/C STATUS 40-59% 1 1 HC OT SELF CARE D/C STATUS 60-79% 1 1 HC OT SELF CARE D/C STATUS 80-99% 1 1 HC OT SELF CARE D/C STATUS-0% 1 1 HC OT SELF CARE D/C STATUS-1-19% 1 1 HC PT SELF CARE D/C STATUS 100% 1 1 HC PT SELF CARE D/C STATUS 20-39% 1 1 HC PT SELF CARE D/C STATUS 40-59% 1 1 HC PT SELF CARE D/C STATUS 60-79% 1 1 HC PT SELF CARE D/C STATUS 80-99% 1 1 HC PT SELF CARE D/C STATUS-1-19% 1 1 HC OT OTHER PT/OT CURR STATUS-0% 1 1 HC OT OTHER PT/OT CURRENT STATUS 100% 1 1 HC OT OTHER PT/OT CURRENT STATUS 20-39% 1 1 HC OT OTHER PT/OT CURRENT STATUS 40-59% 1 1 HC OT OTHER PT/OT CURRENT STATUS 60-79% 1 1 HC OT OTHER PT/OT CURRENT STATUS 80-99% 1 1 HC OT OTHER PT/OT CURRENT STATUS-1-19% 1 1 HC PT OTHER PT/OT CURR STATUS-0% 1 1 HC PT OTHER PT/OT CURRENT STATUS 100% 1 1 HC PT OTHER PT/OT CURRENT STATUS 1-19% 1 1 HC PT OTHER PT/OT CURRENT STATUS 60-79% 1 1 HC PT OTHER PT/OT CURRENT STATUS-20-39% 1 1 HC PT OTHER PT/OT CURRENT STATUS-40-59% 1 1 HC PT OTHER PT/OT CURRENT STATUS-99% 1 1 HC OT OTHER PT/OT GOAL STATUS 100% 1 1 HC OT OTHER PT/OT GOAL STATUS 20-39% 1 1 HC OT OTHER PT/OT GOAL STATUS 40-59% 1 1 HC OT OTHER PT/OT GOAL STATUS 60-79% 1 1 HC OT OTHER PT/OT GOAL STATUS 80-99% 1 1 HC OT OTHER PT/OT GOAL STATUS-0% 1 1 HC OT OTHER PT/OT GOAL STATUS-1-19% 1 1 HC PT OTHER PT/OT GOAL STATUS 100% 1 1 HC PT OTHER PT/OT GOAL STATUS 20-39% 1 1 HC PT OTHER PT/OT GOAL STATUS 40-59% 1 1 HC PT OTHER PT/OT GOAL STATUS 60-79% 1 1 HC PT OTHER PT/OT GOAL STATUS 80-99% 1 1 HC PT OTHER PT/OT GOAL STATUS-0% 1 1 HC PT OTHER PT/OT GOAL STATUS-1-19% 1 1 HC OT OTHER PT/OT D/C STATUS 100% 1 1 HC OT OTHER PT/OT D/C STATUS 20-39% 1 1 HC OT OTHER PT/OT D/C STATUS 40-59% 1 1 HC OT OTHER PT/OT D/C STATUS 60-79% 1 1 HC OT OTHER PT/OT D/C STATUS 80-99% 1 1 HC OT OTHER PT/OT D/C STATUS-0% 1 1 HC OT OTHER PT/OT D/C STATUS-1-19% 1 1 HC PT OTHER PT/OT D/C STATUS 100% 1 1 HC PT OTHER PT/OT D/C STATUS 20-39% 1 1 HC PT OTHER PT/OT D/C STATUS 40-59% 1 1 HC PT OTHER PT/OT D/C STATUS 60-79% 1 1 HC PT OTHER PT/OT D/C STATUS 80-99% 1 1 HC PT OTHER PT/OT D/C STATUS-0% 1 1 HC PT OTHER PT/OT D/C STATUS-1-19% 1 1 HC OT SUB PT/OT CURRENT STATUS 100% 1 1 HC OT SUB PT/OT CURRENT STATUS 20-39% 1 1 HC OT SUB PT/OT CURRENT STATUS 40-59% 1 1 HC OT SUB PT/OT CURRENT STATUS 60-79% 1 1 HC OT SUB PT/OT CURRENT STATUS 80-99% 1 1 HC OT SUB PT/OT CURRENT STATUS-0% 1 1 HC OT SUB PT/OT CURRENT STATUS-1-19% 1 1 HC PT SUB PT/OT CURRENT STATUS 100% 1 1 HC PT SUB PT/OT CURRENT STATUS 20-39% 1 1 HC PT SUB PT/OT CURRENT STATUS 40-59% 1 1 HC PT SUB PT/OT CURRENT STATUS 60-79% 1 1 HC PT SUB PT/OT CURRENT STATUS 80-99% 1 1 HC PT SUB PT/OT CURRENT STATUS-0% 1 1 HC PT SUB PT/OT CURRENT STATUS-1-19% 1 1 HC OT SUB PT PT/OT GOAL STATUS 100% 1 1 HC OT SUB PT PT/OT GOAL STATUS 20-39% 1 1 HC OT SUB PT PT/OT GOAL STATUS 40-59% 1 1 HC OT SUB PT PT/OT GOAL STATUS 60-79% 1 1 HC OT SUB PT PT/OT GOAL STATUS 80-99% 1 1 HC OT SUB PT PT/OT GOAL STATUS-0% 1 1 HC OT SUB PT PT/OT GOAL STATUS-1-19% 1 1 HC PT SUB PT PT/OT GOAL STATUS 100% 1 1 HC PT SUB PT PT/OT GOAL STATUS 20-39% 1 1 HC PT SUB PT PT/OT GOAL STATUS 40-59% 1 1 HC PT SUB PT PT/OT GOAL STATUS 60-79% 1 1 HC PT SUB PT PT/OT GOAL STATUS 80-99% 1 1 HC PT SUB PT PT/OT GOAL STATUS-0% 1 1 HC PT SUB PT PT/OT GOAL STATUS-1- 19% 1 1 HC OT SUB PT/OT D/C STATUS 100% 1 1 HC OT SUB PT/OT D/C STATUS 20-39% 1 1 HC OT SUB PT/OT D/C STATUS 40-59% 1 1 HC OT SUB PT/OT D/C STATUS 60-79% 1 1 HC OT SUB PT/OT D/C STATUS 80-99% 1 1 HC OT SUB PT/OT D/C STATUS-0% 1 1 HC OT SUB PT/OT D/C STATUS-1-19% 1 1 HC PT MOBILITY CURRENT STATUS-0% 1 1 HC PT SELF CARE D/C STATUS-0% 1 1 HC PT SUB PT/OT D/C STATUS 100% 1 1 HC PT SUB PT/OT D/C STATUS 20-39% 1 1 HC PT SUB PT/OT D/C STATUS 40-59% 1 1 HC PT SUB PT/OT D/C STATUS 60-79% 1 1 HC PT SUB PT/OT D/C STATUS 80-99% 1 1 HC PT SUB PT/OT D/C STATUS-0% 1 1 HC PT SUB PT/OT D/C STATUS-1-19% 1 1 HC SWALLOW CURRENT 0% IMPAIR 1 1 HC SWALLOW CURRENT 100% IMPAIR 1 1 HC SWALLOW CURRENT 1-19% IMPAIR 1 1 HC SWALLOW CURRENT 20-39% IMPAIR 1 1 HC SWALLOW CURRENT 40-59% IMPAIR 1 1 HC SWALLOW CURRENT 60-79% IMPAIR 1 1 HC SWALLOW CURRENT 80-99% IMPAIR 1 1 HC SWALLOW GOAL STATUS 0% IMPAIR 1 1 HC SWALLOW GOAL STATUS 100% IMPAIR 1 1 HC SWALLOW GOAL STATUS 1-19% IMPAIR 1 1 HC SWALLOW GOAL STATUS 20-39% IMPAIR 1 1 HC SWALLOW GOAL STATUS 40-59% IMPAIR 1 1 HC SWALLOW GOAL STATUS 60-79% IMPAIR 1 1 HC SWALLOW GOAL STATUS 80-99% IMPAIR 1 1 HC SWALLOW D/C STATUS 0% IMPAIR 1 1 HC SWALLOW D/C STATUS 100% IMPAIR 1 1 HC SWALLOW D/C STATUS 1-19% IMPAIR 1 1 HC SWALLOW D/C STATUS 20-39% IMPAIR 1 1 HC SWALLOW D/C STATUS 40-59% IMPAIR 1 1 HC SWALLOW D/C STATUS 60-79% IMPAIR 1 1 HC SWALLOW D/C STATUS 80-99% IMPAIR 1 1 HC MOTOR ST CURRENT 0% IMPAIR 1 1 HC MOTOR ST CURRENT 100% IMPAIR 1 1 HC MOTOR ST CURRENT 1-19% IMPAIR 1 1 HC MOTOR ST CURRENT 20-39% IMPAIR 1 1 HC MOTOR ST CURRENT 40-59% IMPAIR 1 1 HC MOTOR ST CURRENT 60-79% IMPAIR 1 1 HC MOTOR ST CURRENT 80-99% IMPAIR 1 1 HC MOTOR ST D/C STATUS 1 1 HC MOTOR ST D/C STATUS 1 1 HC MOTOR ST D/C STATUS 1 1 HC MOTOR ST D/C STATUS 1 1 HC MOTOR ST D/C STATUS 1 1 HC MOTOR ST D/C STATUS 1 1 HC MOTOR ST D/C STATUS 1 1 HC LANG COMP CURRENT 0% IMPAIR 1 1 HC LANG COMP CURRENT 100% IMPAIR 1 1 HC LANG COMP CURRENT 1-19% IMPAIR 1 1 HC LANG COMP CURRENT 20-39% IMPAIR 1 1 HC LANG COMP CURRENT 40-59% IMPAIR 1 1 HC LANG COMP CURRENT 60-79% IMPAIR 1 1 HC LANG COMP CURRENT 80-99% IMPAIR 1 1 HC LANG COMP GOAL 0% IMPAIR 1 1 HC LANG COMP GOAL 100% IMPAIR 1 1 HC LANG COMP GOAL 1-19% IMPAIR 1 1 HC LANG COMP GOAL 20-39% IMPAIR 1 1 HC LANG COMP GOAL 40-59% IMPAIR 1 1 HC LANG COMP GOAL 60-79% IMPAIR 1 1 HC LANG COMP GOAL 80-99% IMPAIR 1 1 HC LANG COMP D/C 0% IMPAIR 1 1 HC LANG COMP D/C 100% IMPAIR 1 1 HC LANG COMP D/C 1-19% IMPAIR 1 1 HC LANG COMP D/C 20-39% IMPAIR 1 1 HC LANG COMP D/C 40-59% IMPAIR 1 1 HC LANG COMP D/C 60-79% IMPAIR 1 1 HC LANG COMP D/C 80-99% IMPAIR 1 1 HC LANG EXPRESS CURRENT 0% IMPAIR 1 1 HC LANG EXPRESS CURRENT 100% IMPAIR 1 1 HC LANG EXPRESS CURRENT 1-19% IMPAIR 1 1 HC LANG EXPRESS CURRENT 20-39% IMPAIR 1 1 HC LANG EXPRESS CURRENT 40-59% IMPAIR 1 1 HC LANG EXPRESS CURRENT 60-79% IMPAIR 1 1 HC LANG EXPRESS CURRENT 80-99% IMPAIR 1 1 HC LANG EXPRESS GOAL 0% IMPAIR 1 1 HC LANG EXPRESS GOAL 100% IMPAIR 1 1 HC LANG EXPRESS GOAL 1-19% IMPAIR 1 1 HC LANG EXPRESS GOAL 20-39% IMPAIR 1 1 HC LANG EXPRESS GOAL 40-59% IMPAIR 1 1 HC LANG EXPRESS GOAL 60-79% IMPAIR 1 1 HC LANG EXPRESS GOAL 80-99% IMPAIR 1 1 HC LANG EXPRESS D/C 0% IMPAIR 1 1 HC LANG EXPRESS D/C 100% IMPAIR 1 1 HC LANG EXPRESS D/C 1-19% IMPAIR 1 1 HC LANG EXPRESS D/C 20-39% IMPAIR 1 1 HC LANG EXPRESS D/C 40-59% IMPAIR 1 1 HC LANG EXPRESS D/C 60-79% IMPAIR 1 1 HC LANG EXPRESS D/C 80-99% IMPAIR 1 1 HC ATTEN CURRENT 0% IMPAIR 1 1 HC ATTEN CURRENT 100% IMPAIR 1 1 HC ATTEN CURRENT 1-19% IMPAIR 1 1 HC ATTEN CURRENT 20-39% IMPAIR 1 1 HC ATTEN CURRENT 40-59% IMPAIR 1 1 HC ATTEN CURRENT 60-79% IMPAIR 1 1 HC ATTEN CURRENT 80-99% IMPAIR 1 1 HC ATTEN GOAL 0% IMPAIR 1 1 HC ATTEN GOAL 100% IMPAIR 1 1 HC ATTEN GOAL 1-19% IMPAIR 1 1 HC ATTEN GOAL 20-39% IMPAIR 1 1 HC ATTEN GOAL 40-59% IMPAIR 1 1 HC ATTEN GOAL 60-79% IMPAIR 1 1 HC ATTEN GOAL 80-99% IMPAIR 1 1 HC ATTEN D/C 0% IMPAIR 1 1 HC ATTEN D/C 100% IMPAIR 1 1 HC ATTEN D/C 1-19% IMPAIR 1 1 HC ATTEN D/C 20-39% IMPAIR 1 1 HC ATTEN D/C 40-59% IMPAIR 1 1 HC ATTEN D/C 60-79% IMPAIR 1 1 HC ATTEN D/C 80-99% IMPAIR 1 1 HC MEMORY CURRENT 0% IMPAIR 1 1 HC MEMORY CURRENT 100% IMPAIR 1 1 HC MEMORY CURRENT 1-19% IMPAIR 1 1 HC MEMORY CURRENT 20-39% IMPAIR 1 1 HC MEMORY CURRENT 40-59% IMPAIR 1 1 HC MEMORY CURRENT 60-79% IMPAIR 1 1 HC MEMORY CURRENT 80-99% IMPAIR 1 1 HC MEMORY GOAL STATUS- 0% IMPAIR 1 1 HC MEMORY GOAL STATUS 100% IMPAIR 1 1 HC MEMORY GOAL STATUS 1-19 1 1 HC MEMORY GOAL STATUS 20-3 1 1 HC MEMORY GOAL STATUS 60-7 1 1 HC MEMORY GOAL STATUS 80-9 1 1 HC MEMORY D/C STATUS 40-59 1 1 HC NORSN NO FOOT EXAM 1 0.01 HC DOC ESRD DIA TRANS HCEG 1 0.01 HC OUTREACH ENGAGEMENT 1 275 PSYCHOTROPIC MED TX PER 15 MIN 1 158 HC CRISIS INTERVENTION PER 15 MIN 1 150 HC CRISIS INTERVENTION PER 15 MIN LANGUAGE 1 150 FACTOR 9 1 89 HC O/T WATUSI/FOAM FLEX CERV COLL 1 42 PHILADELPHIA CERVICAL COLLAR 1 128 HC TBI-STATIC CUSTOM-POST FOOT DR 1 1,169.00 HC OT-STATIC ANT FOOT DROP SPL MO 1 1,723.00 HC O/T SHOULDER IMMOBL SO ABD RES 1 159 HC O/T CLAVICAL SUPPORT SO 1 204 HC O/T DBL UPRT EO W/CUFFS FREEMO 1 1,589.00 HC O/T ELBOW HINGE BRACE EO W/LOC 1 2,401.00 HC O/T COMBIN HUM,RAD/ULNAR, WRST 1 1,362.00 HC O/T WRIST HINGE UE FX ORTHOSIS 1 1,715.00 HC O/T ANTI-SPAST SLOT&FINGERSPRT 1 718 HC O/T LONG OPPONENS 1 718 HC O/T SHORT OPPONENS SPLINT 1 718 HC OT-ANTI SPASTICITY SPL W/MOLDE 1 718 HC O/T R/C TENDOESIS WRST DRVN SP 1 718 HC O/T TENDOESIS RAD PALSY FNGR/W 1 718 HC O/T WRIST EXT COCK-UP SPLINT 1 121 HC OT-WRIST, NON MOLDED COCK-UP S 1 121 HC O/T FLEXION GLOVE 1 144 HC O/T RESTING HAND W/WEBSPACES 1 132 HC OT-HAND BASED SPREADING SPLINT 1 132 HC O/T CAPENER COIL FINGER EXT AS 1 75 HC O/T FINGER KNUCKLE BENDER 1 75 HC O/T SAFETY PIN/SPRING WIRE FIN 1 75 HC O/T COMPOSITE ELASTIC ORTHOSIS 1 119 HC O/T HAND-BASED 2 SEG DYNAMIC M 1 119 HC O/T REVERSE FINGER KNUCKLE BEN 1 119 HC DORSAL WRIST W/ ATTACHMENT 1 347 HC O/T DORSAL WRIST BLOCKING SPLI 1 347 HC O/T PALMAR WHFO, NOS 1 347 HC O/T SOFTHAND ULNAR DEVIATN SLT 1 347 HC THOMAS SUSPENSION 1 347 HC WRIST EXTEN COCK-UP W/OUTRIGGE 1 347 HC O/T AIRPLANE SPLINT 1 1,373.00 HC O/T SARMIENTO HUMERAL SPLINT 1 644 HC O/T WRIST FX ORTHOSIS 1 671 HC ELBOW EXTENSION 1 195 HC O/T ELBOW SHELL/3 PT PRESS SPL 1 217 HC O/T FINGER GUTTER SPLINT 1 43 HC O/T FINGR ROM ASSIST BUDDY STR 1 43 HC O/T FLEX SPIRALTAP W/SUPIN/PRO 1 52 HC UPPER LIMB ORTHOSIS NOS 1 43 IMPLANT HYDROXYAPATITE 1 1,302.00 DURASPHRE 1ML INJ BULK AGENT 1 370 HC IMPLT NEUROSTIM ELCTR EACH 1 4,659.00 BLOOD (SPLIT UNIT) 1 358 CRYOPRECIPITATE PROC. FEE 1 231 LEUKOCYTE DEPLETED RBC PROC.FE 1 681 FRESH FROZEN PLASMA PROC FEE 1 241 PLATELET CONCENTRATE PROC FEE 1 265 RED BLOOD CELLS PROC. FEE 1 392 WASHED RED BLOOD CELLS 1 665 PLT,LEUKO REDUCED EA. UNIT 1 237 PLATELETS IRRADIATED EA/UNIT 1 331 PLT,LEUKO,IRRAD EA. UNIT 1 308 PLATELET PHERESIS 1 1,032.00 PLAT PHER LEUKOREDUCED EA/UNIT 1 1,280.00 PLAT PHER IRRADIATED EA/UNIT 1 1,147.00 PLTPHER, LEUKO IRRAD EA. UNIT 1 1,691.00 RBC IRRADIATED 1 497 RBC DEGLYCERIZED PROC.FEE 1 1,310.00 RBC, LEUKO, IRRAD EA. UNIT 1 539 PLASMA CRYO REDUCED EA/UNIT 1 236 NYBC-GRANULOCYTE CONC. APHERES 1 3,052.50 RBC, LEUKO, CMV NEC EA. UNIT 1 326 NYBC-PLATELETPHERESIS,HLA MATC 1 3,576.10 WHOLE BLD,LEUKORED,IRRAD/UNIT 1 363 RBC,LEUKO,CMV,IRRAD EA. UNIT 1 735 HC SCREENING PAP SMEAR 1 30 MATRIX STRATICE PLIABLE 8X16CM 1 6,306.00 MATRISTEM MICRO MATRIX PER ML 1 3 CYSTOGRAFIN HOCM<149MG/ML IODI 1 68 LOCM 200-299 IODINE PER ML 1 1 HC LOCM 300-399 IODINE PER ML 1 1 LOCM 300-399 IODINE PER ML 1 1 HC REMOVAL OF SUTURES 1 50 HC CT LUNG SCREENING, LOW-DOSE 1 568 HC CRISIS INTERVENTION PER 1 HOUR 1 842 HC CRISIS INTERVENTION PER 1 HR LANGUAGE 1 842 HC TEGARDERM LARGE 1 24 ER-MED LANG INTERP INITIAL 8- 1 22 HC MED LANG INTERP ADDTL >23 M 1 22 HC MED LANG INTERP INITIAL 8-22M 1 22 CORNEAL TISSUE PROCESS/HANDLIN 1 4,536.00 AMINOGRAFT MEMB SZ A 2X2.5 CM 1 1,489.00 1.6MM TWIST DRILL STRYKER 1 177 1.9 FR NITINOL BASKET 1 362 1.9MM TWIST DRILL 35MM STRYKER 1 162 1.9MM TWIST DRILL,35MM WORKING 1 171 175W XENON CERAMIC LAMP 1 740 2.0MM BIT W/DEPTH MARK/QC/110M 1 230 24IN DUAL PORT SNGL BLADR CUFF 1 624 270GIFLO HEMOSTATIC MATRIX 1 202 2LADE OSCILLATING SAW 1 175 3 FLUTED BITS W/RADIOLUCENT DR 1 408 3 FLUTED BITS, QUICK COUPLING 1 184 3.0MM WIRE W/TROCAR POINT 150M 1 94 300W XENON CERAMIC LAMP 1 740 36-56MM SYREK CAGE 1 13,203.00 3MM ROLLERBALL ELECTRODE 24FR 1 1,217.00 4 FR 13CM DOUBLE LUMEN CATH 1 452 4 FR X 5CM DOUBLE LUMEN CATH 1 452 4.0MM/2.5MM CLAMP 1 474 4.0MM/2.5MM OPEN CLAMP 1 631 4.0MM/4.0MM CLAMP 1 445 4FR #7417 BIPOLAR PACING ELECT 1 423 5% DEXTROSE .02 NACL 1000 ML 1 18 5.0 FR CATHETER 3/WIRE BASKET 1 591 5.5 FR X 8CM TRIPLE LUMEN CATH 1 583 5/A-BASIC PACK (OPTH) 1 1,036.00 5ARMONIC HANDPIECE 1 3,321.00 5MOKE PENCIL ATTACHMENT 1 19 5USA, EXT TIP, NEURO 1 891 6.25MM MALYUGIN RING 1 217 6FR #1253 POLAR PACING ELECTRO 1 423 6X20 POLARIS LOOP 1 336 8.0MM/11.0MM COMB CLAMP 1 1,111.00 ABDOMINAL DRESSING 1 406 ABLATOR VULCAN 1 942 ABRADER MINI BLADE 2.9MM 1 127 ACCUSTIX 11 1 176 ACCUTRAK SYSTEM 25 1 501 ACL GRAFT KNIFE 9 MM 1 360 ACROMIONIZER 4.0MM , 5,5MM 1 445 ADAPTER HEMOSTASIS 1 24 ADAPTER LUER TITANIUM 1 314 ADAPTER SAFESHEATH SEALING CPS 1 156 ADAPTOR FEMHEAD 12/14 TAPER +1 1 172 ADAPTOR UROLOCK 1 25 ADMINISTRATION SET W/Y SIT 1 26 ADULT ADHESIVE OXYGEN SENSOR 1 47 ADULT AMBU BAG 1 25 ADULT HEAD POSITIONER 9"LX8"WX4.5"H 1 10 AIRWAY NASOPHARYNGEAL 28F STRL 1 106 AIRWAY NASOPHARYNGEAL 30F STRL 1 106 AIRWAY NASOPHAYNAGL 22FR ROBER 1 104 A-LINE TRAY AK-04550 1 83 ALLIANCE SYRINGE & GAUGE 1 79 ALLOGRAFT 6 X 30 CM 1 774 ALLOGRAFT ILIAC(CREST) WEDGE 1 1,091.00 ALM 23V/100W O.R.OVERHEAD LAMP 1 68 ALM 24V/120W O.R.OVERHEAD LAMP 1 73 AMPLATZ GOOSE NECK SNARE KIT 1 516 ANASTOCLIP VESSEL CLOSURE SYS 1 635 ANCHOR LEAD CINCH 1 156 ANDERSON TUBES GASTRIC SUMPANL 1 45 ANGIO TOUCH KIT 1 92 ANGIOCATH, 24 GA 3/4" 1 11 ANGIOGRAPHIC CATHETER 1 42 ANJOLET SOLENT PROXI THROMBECTOMY SET 1 2,022.00 ANTENNA FOR 3037 INS 1 118 AORTIC EXTENDER 1 4,019.00 APPLICATOR FLOSEAL ENDOSCOPIC 1 106 ARCH BARS 1 224 ARM SLING LARGE 1 16 ARM SLING MED 1 16 ARM SLING SMALL 1 16 ARTERIAL ENTRY NEEDLE 1 9 ARTERIAL LINE CATHETER 1 481 ARTERIAL VENOUS BLOOD TUBING 1 6 ARTH SUTURE RETRIEVER 180 1 850 ARTHO FLO IRRIGATOR(3775) 1 258 ARTHREX DRILL PIN SET 1 669 ARTHROCHRE LP 30 DREGREE 1 478 ARTHROSCOPY CDS 1 755 ARTHROSCOPY CUTTER 1 729 ARTHROSCOPY PACK 1 435 ARTHROSCOPY SHAVER 1 218 ARTHROWAND MICROBLATOR 1 358 ASSAY CARTRIGES 1 5 AUTO SUTURE 30-3.5 OR 30-4.8 1 519 AUTO SUTURE 30-V 1 145 AUTO SUTURE GIA OR PGIA 1 352 AUTO SUTURE LDS-15 1 123 AUTO SUTURE SM-25 & W 1 198 AUTOTRANSFUSION BAG 1 167 AUTOTRANSFUSION UNIT 1 422 AVANTA DISPLAY CONTROL UNIT SE 1 5 AVANTA HAND CONTROLLER 1 10 AVANTA MULTI PATIENT DISPOSABL 1 31 AVANTA SINGLE USE DISPOSABLE S 1 28 AVANTA SINGLE USE HAND CONTROL 1 5 AVITENE COLLAGEN HEMOSTAT 5GM 1 119 AWI CURVED 1 431 BAG EXTERNAL DRAINAGE 1 57 BAG URETHERAL DRAINAGE 1 16 BAG,EXTERNAL DRAINAGE 1 68 BALL DIAMOND FOR MED ATTACH 1 147 BALLOON CATH 6FX90CM 2-LUMEN 1 87 BALLOON STONE EXTRACTOR 1 335 BANDAGE CAST PADING 6" X 4 YDS 1 6 BANDAGE KNUCKLE COVER 1 22 BANDAGE PL OF PARIS 3 IN 1 12 BANDAGE PL OF PARIS 4IN 1 15 BANDAGE PL OF PARIS 5X30(SPLIN 1 55 BANDAGE PL OF PARIS 6IN X5 1 16 BANDAGE SPLINT 3X15 1 28 BANDAGE SPLINT ALUMAFOAM 3X16 1 23 BANDAGE SPLINT ALUNA 3X16 1 63 BANDAGE STOCK 6 INX25 YD 1 52 BANDAGE STOCKINET 2X25YDS 1 24 BANDAGE STOCKINET 3" X 25 YDS 1 28 BANDAGE STOCKINET 4" X 25 YDS 1 36 BANDAGE STOCKINET 5" X 25 YDS 1 43 BANDAGE WEBRIL 2" X 4 YDS 1 4 BANDAGE WEBRIL 3" X 4 YDS 1 4 BANDAGE WEBRIL 4" X 4 YDS 1 31 BAR 3.0MM ANGLED CONNECTING 1 102 BAR TO BAR CROSSOVER 1 842 BARDEX I.C. COMPLETE CARE KIT 1 82 BARON SINUS-PAK 1 36 BASKET SEGURA 4 WIRE 1 404 BATTERY STERILE 1 109 BB-TAK 1 83 BD SPINAL NEEDLE 22GA 2.50 IN 1 5 BD SPINAL NEEDLE 22GA 3.50 IN 1 4 BD SPINAL NEEDLE 22GA 7.00 IN 1 12 BELT CUFF 1 4,212.00 BENDER 1 150 BENDER DVR PLATE 1 412 BENSTON STR WIRE 1 29 BIDIRECTIONAL TORQUE WRENCH 1 104 BIO GLUE ENDOSCOPIC TIP 1 110 BIO-CORKSCREW PUNCH 1 156 BIOGLUE 5ML 1 935 BIOPSY DEVICE BONE 1 166 BIOPSY FORCEPS 1 77 BIOPSY INSTRUMENT MONOPTY 1 79 BIT DRILL 11MM 1 928 BIT DRILL MIDFACE 1 199 BIT, 4.5MM W/102MM STOP/170M 1 606 BIT,5.0MM 3-FLUT QC/330MM/100M 1 475 BLADE ARTH ORBIT SYNOVATR 1 160 BLADE HELICAL (S) 1 1,277.00 BLADE MICRO SAGITTAL 1 54 BLADE OSC SM BONE 1 12 BLADE OSTEOTOME LONG 1 250 BLADE PATELLA REAMER 1 360 BLADE RECIDBL SIDED 1 92 BLADE RECIPROCATING SAW 1 152 BLADE RECIPROCATOR 1 249 BLADE STRYKER 1 208 BLADE, CURVED ADENOID 1 244 BLADE, CURVED SINUS 1 330 BLADE, SAW 1 79 BLADE, TRICUT 4.0MM 1 330 BLADES OSCILLIAT SAW AGRESSIVE 1 150 BLADES OSCILLIAT SAW CALIBRATE 1 119 BLAKEMORE TUBES CHILD 1 83 BLANKET, HYPERTHERMIA 1 243 BLD, BEAVER 1 48 BLOCK CANCELLOUS 6X14X11MM 1 1,930.00 BLOCKER 4.5 1 327 BLOCKERS 1 194 BLOCKERS 1 440 BLOOD COLLECTION W/16 GA 1 36 BLOOD SOL ADM SET 100" Y TYPE 1 24 BLOOD SOL ADMINISTRATION SET 8 1 14 BOLT REMOVAL 1 570 BONE CEMENT COBALT W/GENTA 1 798 BONE CEMENT INJECTOR 1 177 BONE CLAMP WRIST 1 599 BONE DEPTH GAUGE/F.A.S.T. 1 561 BONE MARROW TRAY 1 24 BONE PREPARTATION KIT BIO-PREP 1 184 BONE SCALPEL 20MM 1 655 BOOT-UNNA 4 (MEDICO PASTE)) 1 14 BREAST PUMP EVENFLOW 1 21 BRUSH DISP BRONCHIAL BX BRUSH 1 21 BSKT NITINOL STONE RETRV 1 468 BUR CROSS-CUT FISS 1 15 BUR CROSSCUT FISSURE 1.2MM 1 12 BUR FLUTED BALL 1 152 BUR OSC LITHOTRIPSY 1 539 BUR PF J MILLNG STANDARD 1 393 BUR ROUND DIAMOND 1 227 BUR, OVAL CARBIDE 1 62 BUR: EGG ETC 1 187 BURETROL W/ MEMBRANE VALUE 1 17 BURN PACK 1 37 BURR HOLE COVER MALLEASBLE 1 259 BURR ULTRA POWER 1 115 BURS, ASSORTED 1 88 BUTTON REPLACEMENT GASTRO 1 426 CABLE EXTENSION 1 57 CABLE EXTENTION ELECTROPHYSIOL 1 165 CABLE GRIP 1 1,329.00 CABLES 1 43 CADDY WRIST TRAY 1 543 CAMERA COVER 1 12 CANE,ADJUSTABLE (TAKE HOME) 1 19 CANISTER 500ML ATS 1 73 CANISTER W/GEL FOR VAC 300ML 1 73 CANNULA 1 12 CANNULA INNER TRACH XLT 1 12 CANNULA RADIOFREQ 1 431 CANNULA SEALS 1 31 CANNULA W OBT THRD (1) 1 54 CANNULA W OBT THREAD?????????? 1 199 CANNULATED COUNTER SINK 1 404 CANNULATED DRILL BIT 17MM 1 1,493.00 CAP ANATOMIC HEALING 1 37 CAPIO SUTUR POLYSTER TAPR NDLE 1 56 CAPIO SUTURE CAPTURING DEVICE 1 175 CAPSTONE VERT-STACK 22X12MM 1 5,666.00 C-ARM COVER 1 10 CAROTID SHUNT 1 494 CARTRIDGE NITROUS OXIDE 1 936 CASSETTE 30 DEG K FLARED 1 208 CASSETTE 30 DEGFLARED 1 208 CAST BOOT EX LARGE 1 36 CAST BOOT LARGE 1 36 CAST SHOE LARGE 1 31 CAST SHOE MEDIUM 1 30 CAST SHOE SMALL 1 28 CAST WALKER SABEL LG 1 36 CAST WALKER SABEL MED 1 36 CAST WALKER SABEL SMALL 1 36 CAST-SHORT ARM 1 24 CATH I.V. 20 GA 1 1/4 1 6 CATH I.V. PRN 20 GA. 1 12 CATH I.V. PRN 24 GA. 1 14 CATH (4-5FR CV) 1 52 CATH ATTAIN COMMAND GUIDE EH 1 405 CATH BACTISEAL 1 1,030.00 CATH BAKER JEJUNOSTOMY 1 635 CATH BEACON TIP 1 54 CATH BERSTEIN IMAGER SELECT 5F 1 89 CATH CHOLANGIOGRAM 1 62 CATH CLOSURERFS 1 477 CATH COUDE 14 FR-18FR 1 26 CATH DIL EVERCROSS 1 239 CATH EPIDURAL 1 129 CATH EVE NEURO 1 861 CATH FOLEY DOUBLE BALLOON 20FR 1 55 CATH FOLEY SILICONE 14FR 5CC 1 9 CATH FRONTRUNNER XP CTO 1 1,373.00 CATH I.V. JELCO 14 GA. 2 1/4" 1 7 CATH I.V. PRN 22 GA. 1 12 CATH IRRIG SINUS 1 234 CATH LATEX FREE-FOLEY 14FR 5CC 1 9 CATH LATEX FREE-FOLEY 16FR, 18 1 9 CATH N SLEEVE 05FR 1 108 CATH SNGLE LUMEN EMBOLECTOMY 6 FR 1 83 CATH SUCTION GASTRIC BALLOON 1 176 CATH SUPRAPUBIC INTRODUCE 1 37 CATH TEMPO 5FR 110CM 5/BX 1 13 CATH TEMPO 5FR 65CM 5/BX 1 19 CATH TEMPO ANGIO 1 103 CATH TEMPO VERTE 5FR100CM 5/BX 1 19 CATH UMBIL ARTERY 3.5FR** 1 27 CATH UMBIL ARTERY 5.0FR** 1 25 CATH XXL VAS LG DIA 14MMX4X75CM 1 371 CATH, ACCU-FLO DOT VENTRICULAR 1 539 CATH, FOLEY 22 FR 5CC BAG 1 16 CATH, FOLEY 24 FR 5CC BAG 1 15 CATH, FOLEY 30CC 3WAY 18 1 24 CATH, FOLEY 30CC 3WAY 22 1 24 CATH, FOLEY 30CC 3WAY 24 1 24 CATH, FOLEY 30CC/16 1 22 CATH, FOLEY 30CC/18 1 19 CATH, FOLEY 30CC/20 1 20 CATH, FOLEY 30CC/22 1 19 CATH, FOLEY 30CC/24 1 19 CATH, FOLEY 30CC/26 1 20 CATH, FOLEY 30CC/28 1 20 CATH, FOLEY 30CC/30 1 20 CATH, FOLEY 3CC/10 1 26 CATH, FOLEY 5CC/22 1 16 CATH, FOLEY 5CC/28 1 19 CATH, FOLEY ANY SIZE COUNCIL 1 53 CATH, FOLEY REG ORS 1 24 CATH, FOLEY SIZE 18 5CC 1 16 CATH, FOLEY SZ 12 5CC BAG 1 16 CATH, FOLEY SZ 14 5CC BAG 1 17 CATH, FOLEY SZ 16 5CC BAG 1 17 CATH, FOLEY SZ 20 5CC BAG 1 17 CATH, FOLEY SZ 24 30CC BAG 1 23 CATH, FOLEY SZ 26 5CC BAG 1 17 CATH, FOLEY W/TRAY 1 47 CATH, GIMINI BASKET 1 222 CATH, IRRIGATED FOGARTY 1 196 CATH, MIDLINELINE 1 61 CATH, MUSHROOM 30 FR FR 1 20 CATH, MUSHROOM 32 FR 1 20 CATH, MUSHROOM 34 FR FR 1 22 CATH, MUSHROOM 36 FR FR 1 20 CATH, SILASTIC MUSHROOMOOM 1 43 CATH, VENTRICULAR 1 128 CATH.:RENAL DIAL.,2 LUMEN 36CM 1 243 CATH.:RENAL DIAL.,TRIPLE LUMEN 1 103 CATH.CLOSED 24HR. 14FR 1 55 CATHETER BAL. CHOLANGIO 1 436 CATHETER FOGARTY BILIARY ORS 1 329 CATHETER URETHRAL 1 40 CATHETER VENTRICULAR HAKIM 1 1,040.00 CATHETER WORD BARTHOLN 1 36 CAUT, DISPOSABLE 1 48 CAUT, GROUND PLATE 1 9 CAUT, NDL/BL ELECT 1 16 CAUT, PENCIL - HAND CONTROL 1 85 CAUTERY HOOK TIP 5MM 1 156 CAUTERY, BIPOLAR CORD 1 12 CELL SAVER COLLECTION KIT 1 749 CEMENT MIXER BOWL 1 125 CENTERING SLEEVE 6MM 1 205 CENTRAL LINE-DOUBLE LUMEN HEMO 1 546 CENTRAL LINE-SINGLE LUMEN SUBC 1 546 CENTRAL LINE-TRIPLE LUMEN SC3P 1 546 CENTRAL VENOUS 7FR ACCESS KIT 1 239 CERCLAGE WIRE 1 71 CFS RESERVOIR STD OMMAYA W INTGRAL CONECTOR 2.5CM 1 692 CHARGING SYSTEM NEUROSTIM 1 3,389.00 CHEST DRAINAGE 1 107 CHEST TUBE 1 77 CHOLANGIOCATH 1 130 CIRCUMCISION-NURSERY 1 18 CIRCUMCISION-RITUAL 1 106 CLAMP ADJUSTABLE 4MM 1 1,527.00 CLAMP DISP BULLDOG MINI ANGLED 1 27 CLAMP EX FIX 1 2,241.00 CLAMP POINTED REDUCTION 1 402 CLAMP RAYPORT MUSCLE BX 1 50 CL-ASPIRATION 1 177 CLAVICLE SPLINT MED-LARGE 1 10 CL-BIOPSY 1 143 CL-BIOPSY 1 270 CL-CAST APPLICATION 1 147 CL-CAST REPLACEMENT 1 97 CL-CAUTERIZATION GRANULATN TIS 1 185 CL-CHALAZION REMOVAL 1 234 CL-CLOSED REDUCTION 1 182 CL-CLOSED REDUCTION 1 182 CL-COLPOSCOPY 1 335 CL-CYST REMOVAL 1 558 CL-DEBRIDEMENT, SOFT TISSUE 1 558 CL-DEBRIDEMENT, SOFT TISSUE 1 571 CLEAR CANNULA WITH OBTURATOR 1 181 CL-EXC PERIAURICULAR TAG 1 146 CL-I&D ABSCESS 1 194 CL-I&D ABSCESS 1 198 CL-INCISION & DRAINAGE 1 185 CL-INJ/ASP OF JOINT 1 185 CLIP ANCHORING NEURO RESERVOIR 1 175 CLIP APPLIER DIRECT DRIVE 1 141 CLIP APPLIER, 5MM 1 178 CLIP FIXATION 5X100MM 1 62 CLIP HEM-O-LOK LIGATION XL 1 65 CLIP, LIGATING MED/LG AP300 1 212 CLIPS PINLESS 1 644 CL-NASAL CAUTERY 1 185 CL-NASAL PACKING 1 185 CLOSED TUBE CLIP 1 332 CLOSURE SYS PROGLIDE SUT MEDIATED 6F 1 460 CLOSURE VAS DEVICE MYNX ACE 6F/7F 1 373 CL-REMOVAL FOREIGN BODY 1 558 CL-REMOVAL OF CAST,SPLINT,BRAC 1 97 CL-SPLINT APPLICATION 1 143 CL-SPLINT REPLACEMENT 1 143 CL-SUTURING 1 202 CL-WOUND CLOSURE 1 227 COAXIL BIOPSY SYSTEM 1 108 COIL PUSHABLE VORTX-35 FIBRED PLAT 7X5.5MM 1 133 COLD THERAPY SYSTEM W/KNEE PAD 1 260 COLLAGEN SHIELD 1 73 COLLAJEN HEMOSTAT 1 196 COLLAR CERVICAL-UNIVERSAL 1 19 COLLECTOR WOUND DRAINAGE 4X8" 1 55 COLLES SPLINT RGT/LFT SM-MED-L 1 9 COMFORT TOUCH POSITIONER 1 23 COMPONENT GLENOID FOSSA LT 1 6,240.00 COMPONENT MANDIBULAR 1 6,240.00 COMPRESSOR CAP 1 317 CONDUCT COMPOSITE 1 1,896.00 CONE STONE (7MM) 1 238 CONFORMER OCULAR 1 73 CONFORT TOUCH POSITIONER 1 16 CONNECT BAR 5.0 MM 1 31 CONNECTOR ACCU FLO 3 WAY 1 341 CONNECTOR V-P SHUNT CATH STR 1 127 CONTRA LEG 1 6,416.00 CONTROL PUMP 1 4,526.00 COOLING SYSTEM EMBICE KNE/SHLD 1 234 COPE CATHETER INTRO SYSTEM 1 185 COPE GASTROINTEST SUTURE ANCHO 1 195 CORE BIOPSY DEVICE-GUN 1 107 CORE BX INSTRUMENT DISP 1 94 CORTICAL CANC MORS BONE GRAFT 30CC 1 738 COUDE CATHETER 1 95 COUDE FOLEY CATH.-SIZE 14,16,1 1 36 COUNTER SINK 1 218 COUNTERSINK CANNULATED 1 195 COUNTERSINK QUICK RELEASE 3.0/ 1 615 COVER 3-D PROBE 1 12 COVER MINIVIEW C-ARM 1 36 COVER TRANSDUCER 1 24 COYOTEˇPTA BAL DIL CATH ˇˇˇ2.5X150MMX150CM 1 714 CRADLE POSITIONER 1 56 CRANIAL MESH (2) 1 1,146.00 CRANIOTOMY KIT 1 734 CREST PLUGS 1 4 CRUCIAL TOOL SMOOTHER 1 433 CRUTCHES (TAKE HOME) 1 73 CUFF SUPRARENAL EXT 1 6,629.00 CUFF TOURN DUAL PORT DISP 1 74 CUSA, NOSE CONE NEURO 1 127 CUSA, TUBING NEURO 1 555 CUT BIOPSY NEEDLE 1 87 CUTTER MOLLING 1 1,481.00 CYCLER DRAINAGE SET 1 6 CYLINDER 21CM 1 4,994.00 CYSTO IRRIGATION SET 1 12 CYSTOTOME 1 11 D&C HYSTEROSCOPY CDS - BHMC 1 49 DBX MIX 10CC 1 2,376.00 DELIVERY SYSTEM 1 138 DELUXE PHACO PACK (OPTH) 1 385 DENTAL A/T FIXER 1 116 DEPT GAUGE SLEEVELESS 1 561 DEPTH GAUGE 1 399 DERMA CARRIER 1 37 DERMACLOSE EXT TISSUE EXPANDER 1 1,309.00 DERMATOME BLADE 1 109 DERMATOME BLADE ORS 1 43 DETACH COIL FIBRED IDC OCLUSION SYS 10MM X 40 CM 1 1,558.00 DETACHER ID INSTANT 1 87 DEVICE ACCORDION STONEMGMT10MM 1 609 DEVICE BONE FILLER KYPHX 1 196 DEVICE DIGITEX SUTURE DELIVERY 1 540 DEVICE ENCORE INFLATION 1 158 DEVICE ENSEAL ROUND TIP 1 586 DEVICE INFLATION DISPOSABLE 1 119 DEVICE MYOSURE TISSUE REMOVAL 1 1,616.00 DEVICE SUT CAPTURE OPEN ACCESS 1 1,790.00 DEVICE TRUEPATH CTO 0.018"X165 1 3,404.00 DEVICE VASC INFLATION 1 208 DEVICE WOUND CLOSURE(ABSORBABL 1 50 DEXTROSE 5%/W 100ML 1 24 DILATOR COAXIAL 8FR 1 123 DILATOR NOTTINGHAM 1 214 DILATOR PERIPH VASC 1 16 DILATOR/CANNULA VERSASTEP 12MM 1 422 DILATORS DISPOSABLE SET 1 250 DIREXION FATHOM-16 SYSTEM BERN SHAPE 0.021INX130CMX180CM 1 1,396.00 DIREXION HI FLO J SHAPE 0.027INX130CM 1 1,396.00 DISP ALTERN PRESS MATTRESS 1 100 DISPO'BLE BRUSHES > COLONOSCOP 1 73 DISPO'BLE BRUSHES > GASTROSCOP 1 62 DISPOS. PROBE 11G W/TUB. P1175 1 410 DISPOSABLE BIOPSY RADIAL JAW 1 329 DISPOSABLE CANNULA 1 94 DISPOSABLE PROBE 11G MST-11 1 362 DISPOSABLE PROBE 8G MST 8 1 355 DISPOSABLE RETRACTOR 1 703 DISPOSABLE WARMING BLANKET 1 24 DISSECTOR ENDORE MARTIN 1 1,321.00 DISSECTOR VOLLMAR RING 1 1,274.00 DISSECTOR, BLUNT TIP BTD05 1 166 DISSECTOR, R. ANGLE BRK 10 1 329 DISSECTOR, STRAIGHT DSD31 1 367 DISTRACTOR RPE 1 3,101.00 DRAIN BLAKE SILICON 1 95 DRAIN, ABRAMSON 1 43 DRAIN, HEMOVAC 1 90 DRAIN, J-PAC 1 12 DRAIN, PENROSE 1 16 DRAINAGE BAG - ORS 1 27 DRAINAGE BAG URETERAL 1 67 DRAINAGE BOTTLE PLEURX 1000ML 1 99 DRAINAGE KIT EXT. CSF 1 397 DRAINAGE LINE SET PLEURX 1 28 DRAINAGE POUCH #9760 1 16 DRAPE CAMERA ARM 1 61 DRAPE INSTRUMENT ARM 1 94 DRAPE, MICROSCOPE 1 31 DRAPE, STERI 1020 1 36 DRAPE, STERI 1050 1 80 DRAPE, STERI 1071 URO 1 73 DRAPE, VAC 1 15 DRESSING AQUACEL EXTRA AG 2 X 2 IN (SILVER) 1 8 DRESSING GRANUFOAM X-LARGE 1 115 DRESSING MELROSE 4 1/2 X 8PLY 1 123 DRESSING OP-SITE 1 6 DRESSING TEGADERM 4" X 8" 1 19 DRESSING VAC ABDOMINAL 1 135 DRESSING VAC PAC LG W/O CAN 1 73 DRESSING VAC PAC MD W/O CAN 1 61 DRESSING VAC PAC SM W/O CAN 1 34 DRILL 2.0 S&N 1 177 DRILL 2.5 1 166 DRILL 2.7 S&N 1 37 DRILL 20MM SCREWS 1.9X58MM 1 223 DRILL 26MM WORK LENGTH 1 181 DRILL 4.2 1 441 DRILL 4.5 CANNULATED 1 959 DRILL 5MM SCREWS 1.35X50MM 1 196 DRILL BIT 0.4 X 4MM 1 166 DRILL BIT 1.1MM 1 199 DRILL BIT 1.35 X 5MM 1 222 DRILL BIT 2.5 MM 1 177 DRILL BIT 2.5MM X 83MM 1 118 DRILL BIT 2.6 1 224 DRILL BIT 2.7MM 1 593 DRILL BIT 3.2 1 397 DRILL BIT 3.5MM 1 104 DRILL BIT F.A.S.T. 2.0MM X 76M 1 166 DRILL BIT PUSH/PULL 1 648 DRILL BIT Q-C 2.5X110MM 1 89 DRILL BIT TRUSS 1 1,115.00 DRILL BIT TWIN FIX 1 580 DRILL BUR CALIBRATED 1.5X25MM 1 314 DRILL CANNULATED 1 468 DRILL CANNULATED QUICK COUPLIN 1 542 DRILL GUIDE 1 591 DRILL GUIDE 1.5MM 1 660 DRILL GUIDE EXTEN 2.0MM 1 68 DRILL GUIDE SLOTTED 2.0MM 1 102 DRILL OPENING 1 913 DRILL PROXIMAL FEMORAL 1 243 DRILL REAMER 1 1,103.00 DRILL REDUCTION BIT 1 526 DRILL STEPPED 1 921 DRILL STOP STRYKER ED 1 162 DRILL TWIST 1.5 X 115 MM 1 159 DRILL TWIST 1.5 X 50 MM 1 159 DRILL TWIST 1.5 X 50 MM 7 MM STOP 1 159 DRILL WORKING DTL EN 1 157 DRILL, VARIOUS 1 181 DRILL-WIRE PASS 1 65 DRIVE SHAFT SEAL 1 25 DRIVER 1.5MM STD HEX DISTRACTR 1 423 DRIVER 1.5MM UNIV HEX DISTRACT 1 647 DRIVER PIN 1 759 DRIVING HEAD 1 40 DSG AQUACEL AG W/HYDRFB23X30CM 1 75 DSG AQUACEL AG W/HYDRFB4X4.7CM 1 23 DSG AQUACEL RIBBON 1 12 DSG AQUALCEL 6"X6" 1 52 DSG BIOPATCH W/CHG 1 12 DSG COBAN 4"STERILE ADHER WRAP 1 16 DSG NASAL W/STRING SM 4.5X1.5X2C 1 19 DSG SILVER ANTIMICROBIAL 4"X4" 1 37 DSG SILVER ANTIMICROBIAL 4"X8" 1 62 DUOFLO DISPENSER KIT 1 75 DYNAMIZATION CLIP LRG COMB CLP 1 137 DYNAMIZATION CLIP MED COMB CLP 1 171 E. T. TUBE HOLDER 1 36 ECRP CANNULA 1 123 EDM LUMBAR DRAINAGE KIT 1 1,853.00 EDS3 CSF COLLECTION BAG 1 68 ELASTOPLAST BANDAGE 4" 1 28 ELECT HF-RESECTION LOOP 1 853 ELECTRODE 4-CHANNEL PAIRED 1 187 ELECTRODE BUTTON FRONT LOADING 1 820 ELECTRODE FISHER CONE BX 1 42 ELECTRODE LAP WIRE 1 88 ELECTRODE LD SUCTION 1 467 ELECTRODE LOOP VERSAPOINT 1 629 ELECTRODE ROLLER BALL 1 168 ELECTRODE SIMPLICITY III RF 1 780 ELECTRODE SUPERPULSE PK-784515 1 727 ELECTRODE SUPERPULSE PK-786500 1 763 ELECTRODE TWIST PAIR 1 917 ELECTRODE VAPR HOOK 1 404 ELECTRODE VAPR S90 1 460 ELECTRODES LIGASURE STD 1 329 ELECTROHOOK ENDO CAMBRIDGE 1 461 ELLICK EVACUATOR (DISP) 1 83 ELLIPSE INLINE HOOK 1 617 EMBOLIZATION COIL 1 81 EMBOLIZATION COILS 1 108 EMBOSPHERE MICROPHERES PRE FILLED SYRINGE 100- 300 UM 1 596 EMERALD STD J-TIP.025IN X 150C 1 77 EMERSON PUMP TUBING 1 63 ENDO BABCOCK 1 161 ENDO CATCH 15MM 1 177 ENDO CLINCH II 5MM INSTRUMENT 1 820 ENDO CLOSURE 1 73 ENDO DISSECTOR/MANIPULATOR 1 179 ENDO GIA UNIV ROTICULAT 45-4.8 1 1,506.00 ENDO GIA UNIV ROTICULAT 60-4.8 1 426 ENDO GRASPER 1 1,172.00 ENDO ILLUMINATOR 1 110 ENDO LOOP, CHROMIC 1 19 ENDO PEANUT/KITNER 1 116 ENDO POUCH 1 175 ENDO RETRACTOR 1 483 ENDO RETRACTOR II 1 25 ENDO SHEARS 1 337 ENDO SUTURE SURGIDAC 1 55 ENDOLOOP, CHROMIC EL 10G 1 19 ENDOSCOPE 1 195 ENDOSCOPIC APPLICATOR 1 61 ENDOSCOPIC BITE BLOCK 1 9 ENDOSCOPIC LIGATOR KIT 1 166 ENDOSCOPY BLADE SYSTEM 1 448 ENDOSTITCH NEEDLEHOLDER 1 110 ENDOTRACHEAL TUBE CUFFED 1 6 ENDOWRIST PROGRASP 1 412 ENTERAL FEEDING TUBE 1 41 EQMNT LAP COLOSTOMY REVERSAL 1 382 EQMT, INS RENTAL 1 360 EQMT, INTRAOP NERVE MONITORING 1 2,000.00 EQMT, MORELAND REVOV SET 1 1,113.00 EQMT. NIM USAGE FEE 1 960 ERASER 1 37 ESMARCK BANDAGE 1 15 ESOPHAGEAL STETHOSCOPE 1 10 ESSENTIAL KIT 1 120 ESSURE 1 1,997.00 EVICEL 5ML FIBRIN SEALANT 1 932 EVICEL FIBRIN SEALANT 1ML 1 173 EX FIX PIN HOLDER 1 1 451 EXTENDIBLE FLEXI TUBNG(TRACHS) 1 62 EXTENSION LIMB 1 3,906.00 EXTERNAL DRAINAGE VENTRICUL CATH SET 1 171 EXTRACTOR XL 1 227 EYE CONFORMER 1 31 EYE DRAIN MEDTRONIC 1 26 EYE PACK 1 58 EYE SUTURE 1 121 E-Z EM DISP ENEMA 1 26 EZ-PAQUE 96% BARIUM SULF SUSPE 1 4 FALOPE RING 719-250 1 316 FALOPE-RING BAND 1 2,179.00 FAMILY PLANNING 1 252 FAST FIX STRUTS 1 2,261.00 FAST-FIX AB STR NEEDLE DEL SYS 1 592 FAST-FIX MENISCAL CARVED SUTUR 1 117 FEEDING TUBE KANGAROO 1 56 FEEDING TUBE WEIGHTED 1 37 FEMORAL CANAL BRUSH 1 199 FEMORAL CANAL PRESSURZR MDM 1 36 FEMORAL CANAL RESTRICTOR 1 468 FIBER DEVICE SLIM LINE EZ????? 1 669 FIBER SLIM LINE EZ 200 1 595 FIBER STANDARD 1 196 FIBER SUTURE #2 1 54 FIBERED PLATINUM COILS 1 664 FIBRIN SEALANT CROSSEAL 2ML 1 386 FILIFORM STRAIGHT TIP 4FR 1 21 FILIFORMS-WOVEN 1 37 FILLER CAVITY WIC SILVER 1 19 FILTER - PALL RC 100 1 56 FILTER, INSUFFLATOR 1 87 FIXATION DEVICE DISPOSABLE 1 62 FIXATION DEVICE ZIPLOOP AC REP 1 1,161.00 FIXATION TOOL 1 62 FIXATOR ELBOW HINGE 1 2,270.00 FLEXIBLE PINS 1 632 FLL RADIUS MINIBLADE 2.9X7CM 1 127 FLUID ADMIN TUBING 0153C 1 444 FLUID WARMING SET (LEVEL 1) 1 146 FLUTED MATCHSTICK 3MM 1 150 FMS TUBING 1 140 FOAM COLLAR LG 1 23 FOAM COLLAR MED 1 25 FOAM COLLAR SMALL WIDE 1 16 FOLEY (URI)METER BAG&STATLOCK 1 116 FOLEY CATHETER (3 WAY) 1 185 FOLEY KITS 16G, 18G. 1 47 FOLEY TRAY W/O CATH 1 17 FOLLOWER 1 102 FOOT DROP SPLINT 1 142 FORCEP BIPOLAR FENESTRATED 1 505 FORCEP BIPOLAR MARYLAND 1 505 FORCEP DISP BX 1 28 FORCEP PULMONARY BIOPSY 1 147 FORCEP ROTIC ENDO GRASP 1 131 FORCEP TENACULUM 1 412 FORCEP, UROLOGICAL GRASPER 1 238 FORCEPS BICOAG BIPOLAR 1 237 FORCEPS CUTTING PKS W/CORD 1 710 FORCEPS GRASPIT STN RET2.6X120 1 431 FORCEPS, DISP. JAW HOT BIOPSY 1 199 FORCEPS, GRASPING STONE 1 258 FRACTURE BED PANS 1 14 FRAGMATOME ACCESSORY PK 1 127 FRAZIER SUCTION TUBE 1 36 FRED 22001 1 19 GAMMA DRILL 1 144 GAUZE COMBAT QUIKCLOT 1 7 GAUZE DIR AND LIGATURE TUCKER 1 61 GAUZE PETROLATUM 3 X 9 1 23 GELFOAM PLUS 1 202 GELPORT 120MMM RETRACTOR 1 841 GENTLE FOAM PILLOW 1 145 GHAJAR GUIDE 1 775 GI 7FR PUSHER TUBE 1 75 GI ADAPTER FEEDING Y-PORT 1 15 GI ANOSCOPE 1 104 GI BALLOON REPLACEMENT 1 100 GI BALOON STONE EXTRACTOR 1 111 GI BASKET 1 516 GI BHMC SNARES 1 26 GI BIOPSY CAPS 1 12 GI BITE BLOCK 1 5 GI BRUSH CYTOL DISP 1 199 GI BRUSH CYTOLOGY DISP 1 199 GI CLIP RESOLUTION 1 252 GI CYTOMAX II-BILIARY BX BRUSH 1 152 GI DISP BRUSHES > COLONOSCOPY 1 73 GI DISP BRUSHES > GASTROSCOPY 1 39 GI ENDO CAPSULE 1 842 GI ERCP CANNULA 1 121 GI EXTRACTION BASKET 1 336 GI FORCEP DISP COLON BIOPSY 1 78 GI FORCEPS GRASPING 1 1,037.00 GI FORCEPS HOT BIOPSY DISP JAW 1 125 GI FORCEPS POLYGRAB 1 208 GI GOLD PROBE 1 497 GI HOT BX FORCEP 1 48 GI INFLATION SYRINGE 1 64 GI INFLATION SYRINGE 1 66 GI LIGATOR MULTIBAND 6 SHOOTER 1 333 GI LOCKING DEVICE 1 18 GI NEEDLE KNIFE 1 343 GI NEEDLE SCLERO THERAPY 1 46 GI NEEDLES, INJECTOR 1 104 GI OPTIRAY 320 1 21 GI OPTIRAY 320 1 21 GI PEG KIT 1 146 GI PEG KIT 1 146 GI PEG KIT 1 STEP BUTTON 1 516 GI POLYP SNARE 1 36 GI RADIAL JAW JUMBO FORCEPS 1 137 GI RAPID CANNULA 1 119 GI SNARE POLYPECTOMY SINGULAR 1 47 GI SPECIMEN RETRIEVAL DEVICE 1 187 GI SPHINCTEROTOME AUTOTOME RX 1 506 GI SPHINCTEROTOME BILROTH II 1 433 GI SPHINCTEROTOME JAGTOME RX 1 755 GI SPOT ENDOSCOPIC MARKER 1 26 GI STANDARD TIP CANNULA 1 103 GI STONE RETRIEVER(WIRE BASKET 1 587 GI TAPERED TIP CANNULA 1 68 GI TUBE GASTROSTOMY 1 120 GI ULTRATOME XL 1 237 GI-BHMC BIOPSY FORCEPS 1 28 GI-BHMC HOT BIOPSY FORCEPS 1 77 GIGLI SAW 1 43 GI-LIGATOR 1 348 GLIDECATH 5F 1 135 GOLD PROBE, DISPOSABLE 1 605 GRAFT AORTIC EXT 20X80X34MM 1 6,375.00 GRAFT AORTIC EXTENSION 28X11S 1 5,382.00 GRAFT BLOCK CORT SR 6X14X11MM 1 1,317.00 GRAFT ETEX EQUIVABONE 1 5,595.00 GRAFT FILTER FOR RIA 1 418 GRAFT VAS PLATNUM HEMASHIELD DUBL 24MMX30CM 1 990 GRAFTON PLUS PASTE 10C 1 1,674.00 GRFT ENDOVASC SR EXT 34X34X120 1 6,800.00 GRFT EXT INFRARENAL BIFR 1 6,459.00 GRFT ZENITH FLEX ENDOVASC 1 5,098.00 GRFT ZENITH FLX MAIN BODY 1 13,975.00 GRID 1 129 GUIDE PERCUTANEOUS DRILL 1 1,067.00 GUIDE SOFT TISSUE WRIST 1 461 GUIDEWIRE 1 29 GUNTHER TULIP RETRIEVAL SET 1 576 H2O FILTER, 25 MICRON INCOME 1 24 HALO 1 1,947.00 HALO BREMER 1 1,639.00 HALO VEST 1 1,498.00 HALOGEN LAMP (DNF) 21V/150W 1 48 HALOGEN LAMP (EFP) 12V/100W 1 43 HALOGEN LAMP (EFR) 15V/150W 1 42 HAN/SIEMEN LAMP 22.8V/75W /40W 1 79 HAND DRAPE 1 26 HAND TEAR COHESIVE BANDAGE 1 10 HANDLE PEG DRIVER MINI QUICK C 1 234 HANDPIECE ATEC BREAST BX SYS 1 468 HANDPIECE NEEDLE STD EVIVA 1 518 HANDPIECE RF PROSTIVA 1 2,246.00 HANDPIECE STD EVIVA 1 497 HANDPIECE TUNA 1 2,246.00 HANDPIECE VAPR W/SUCTION 1 516 HANDPIECE VERSAJET 45 DEGREE 1 842 HANDPIECE VERSAJET SYSTEM 1 1,793.00 HANDSPLINT COLLIS PADDED LGE 1 26 HANDSPLINT COLLIS PADDED MED 1 26 HANDSPLINT COLLIS PADDED SMALL 1 26 HARMONIC CURVED BLADE 1 324 HARMONIC DISSECTING HOOK 1 192 HARMONIC SCALPEL HAND CONTROL 1 740 HARMONIC SCALPEL SHEARS 23CM C 1 538 HARMONIC SCALPEL, 5MM LCS, CUR 1 669 HC 10' EXT. CABLE 8MM DS REDEL 1 543 HC 10' EXT. CABLE THR/TC, REDEL 1 543 HC 4F STANDARD MICRO-INTRODUCER KIT 1 70 HC BEEKLY COLDSPOTS 1 5 HC COAXIAL ACHIEVE 14GX11CM AUTOMATIC BIOPSY TRAY 1 66 HC COAXIAL ACHIEVE 16G X 11CM AUTOMATIC BIOSPY TRAY 1 66 HC DUPLEX ABD/PEL VASC STUDY,LIMITD 1 362 HC EUPHORA BALLOON 1 234 HC FEMOSTOP GOLD FEMORAL COMPRESSION DEVICE 1 228 HC HOMMER MAMALOK 20GA X 10CM MEDICAL DEVICE 1 111 HC HOMMER MAMALOK 20GA X 5CM MEDICAL DEVICE - 1 111 HC HOMMER MAMALOK 20GA X 7.5CM MEDICAL DEVICE 1 111 HC IMPLANT PACK 1 134 HC INTERLOCK FIBERED IDC OCCULSION SYSTEM 6MMXMMC20CM 1 780 HC INTERLOCK FIBERED IDC OCCULSION SYSTEM 8MMX20CM 1 780 HC MAX ASPIRATION TUBING 1 1,170.00 HC NCEUPHORA BALLOON 1 234 HC POWERFLEX PRO 6X20 PTA 1 418 HC SMARTTOUCH CABLE 1 522 HC ULTRACLIP DUAL TRIGGER BREAST TISSUE MARKER 17 X 10CM COIL 1 154 HC ULTRACLIP DUAL TRIGGER BREAST TISSUE MARKER 17G X 10CM RIBBON1 154 HC ULTRACLIP DUAL TRIGGER BREAST TISSUE MARKER 17G X 10CM WING1 154 HEAD HALTER DISP 1 15 HEAD POSITIONER SLOTTED 1 6 HEEL & ELBOW PROTECTOR 1 16 HEMOCLIP 1 89 HEMOSTAT GPS III PLATELET CONC 1 938 HEX DRIVER CAPTIVE 2.5MM 1 157 HEX WRENCH 1 146 HEYMAN FOLLOWER SZ 10-24FR 1 337 HINGE MALE 1 208 HIP PAC DISP 1 677 HIP PACK 1 94 HOLDING CLAMP FOR K-WIRES 1 1,277.00 HOLDING TAKS 1 87 HOLMIUM RFID 400 MICRON 1 842 HOLMIUM RFID 600 MICRON 1 920 HOOD BARRIER 1 95 HOOK BLADE 1 185 HOOK BLUNT LONE STAR 1 12 HOOK GRAY 6MM 1 610 HOT PACKS 1 4 HYDRODISECTION CANNULA 1 6 HYPOTHERMIA BLANKET,PED. 1 27 I V START KIT 1 6 IMAGER BERN WIRE 1 29 IMMOBILIZER KNEE SM-MED-LG-XLG 1 31 IMPELLA 2.5 PUMP KIT 1 35,455.00 IMPL GOLD EYELID WEIGHT 1.6GM 1 797 IMPLANT GOLD EYELID WEIGHT 1 460 IMPLANT TAPER INTERNAL 1 336 IMPLANTCORE RADIOLUCNT 1 11,167.00 INCENTIVE SPIROMETER 1 38 INCISOR CRV 4.5MM 1 834 INCISOR PLUS ORBIT 1 160 INCISOR STR 4.5MM 1 624 INDERMIL TOPICAL ADHESIVE 1 31 INFANT ADHESIVE OXISENSOR 1 25 INFANT FEED G TUBE #8 1 10 INFANT FEED G TUBE 5 1 9 INFLATION DEVICE SINUS 1 185 INFUSE LARGE II SPINAL 1 8,679.00 INJECTION NEEDLE CATHETER 1 59 INJECTOR OZ PALM 1 373 INSTRATEK ENDOTRAC BLADE SYS 1 314 INSTRUMENT CORE BIOPSY DISP 1 88 INSUFFLATOR NEEDLE VERRESUV120 1 166 INT JUGULAR/PED PUNCT AK04150E 1 36 INTER.IRRI.TUBNG BIPOL(80-1163 1 68 INTERLOCK DETACHBLE COIL IDC 10MMX25CM 1 1,189.00 INTERLOCK FIBERED IDC OCCUL 10MMX30CM 1 796 INTRLCK FIBRED IDC OCLUSION 8MMX20CM 1 796 INTRO CHECK-FLO 1 71 INTRO CHECK-FLO PERFORMER 1 215 INTRODUCER FLEXOR 4FR X 70 CM 1 128 INTRODUCER FLEXOR CHCK-FLW 5FX55CM 1 111 INTRODUCER INTROSF NEEDLE 1 247 INTRODUCER SYSTEM 1-STEP OSTEO 1 1,797.00 INTUITRAK DELIVERY SYSTEM 1 4,927.00 INTUITRAK DELIVERY SYSTEM 10CM 1 6,800.00 IRRIG STOMA W/CONN #7723 1 23 IRRIG TRAY PISTON SYRINGE 1 12 IRRIGATING CANNULA 1 4 IRRIGATING CEPTOTOME 1 6 IRRIGATING Y TUBING (CABOT) 1 255 IRRIGATING Y TUBING (STORZ) 1 337 IRRIGATION/ASPIRATION KIT 1 55 IVS TUNNELLER 1 1,403.00 JACKSON PRATT DRAINAGE 1 16 JEJUNOSTOMY TUBE 1 250 K WIRE 1.6MMX127M 1 29 KANGAROO PUMP SET 1 16 KIT 5F MICRO-INTRODUCER 1 54 KIT AC JOINT SYSTEM DISPOSABLE 1 1,147.00 KIT ACC MX-LEAD TRAILING CABLE 1 468 KIT ACCESSRY NERVE STIMULATOR 1 398 KIT ACL DISPOSABLE 1 849 KIT ACL/PCL INSTRUMENT 1 740 KIT ARTHREX BIO-TRANSFIX 1 722 KIT ASSEMBLY (PENILE IMPLANT) 1 842 KIT BIO-SUTURE DISPOSABLE 1 580 KIT BRAIN BIOPSY NEEDLE 1 363 KIT CARDIAC LEAD REPAIR 1 87 KIT CATHETER INFANT 05FR* 1 4 KIT CATHETER PED 08FR* 1 4 KIT CHEST DRAINAGE 1 75 KIT COLLEC EXTERNAL DRAINAGE 1 356 KIT CRANIAL ACCESS 1 356 KIT CRUCIATE RAP-PAC ACCESS 1 259 KIT END CAP 1 50 KIT FIOS FIRST ENTRY 1 114 KIT HABIB BIPOLAR RESECTION 4X 1 5,618.00 KIT HICKMAN CATH REPAIR** 1 59 KIT HYSTEROSCOPIC PROCEDURE 1 468 KIT INFLATION DEVICE 1 100 KIT INSERT ENDOPYELOTOMY STENT 1 2,314.00 KIT LAP-BAND SYS ACCESS PORT 1 929 KIT LOCKING TALAR-FIT SURG INS 1 1,123.00 KIT MANIFOLD 1 52 KIT MED ADD ON 1 1,022.00 KIT MICRO ACCESS 1 54 KIT MULTIPORT FLEXIBLE 1 861 KIT NEEDLE & DILATOR M5 DISP 1 3,062.00 KIT PATIENT TRIAL NERVE STIM 1 172 KIT PED 2 LUM CV 13CM AK-1440 1 73 KIT PHACO ABS 45DEG 1 388 KIT PLASMA PROCESSING 1 166 KIT PT CHARGING TRIAL EXTERNAL 1 5,497.00 KIT PT PROGRAMER EXT NRVE STIM 1 1,924.00 KIT SAFETY PEG PUSH 24F 1 330 KIT SNARE AMPLATZ 1 572 KIT STERILE ZONE ARTHROSCOPY 1 102 KIT SURGIFLO HEMOSTATIC MATRIX 1 255 KIT SUSPENSION SHOULDER 1 372 KIT TISSUE EXPANDER FILL 1 16 KIT TOGGLELOC DISPOSABLE 1 992 KIT TRAJECTORY GUIDE 1 1,317.00 KIT TUBING DOLPHIN COLL W/FLTR 1 34 KIT TURBOSONICS MICRO PARTS 1 50 KIT UNIVERSAL LINE INSERTION 1 23 KIT VASC ENTRY 1 110 KIT VASCULAR TOURNIQUET 1 16 KIT, ACCESS PORT CRANIAL 1 936 KIT, CODMAN GHAJAR GUIDE VENTR 1 655 KIT, CODMAN VENT PERIT CATH 1 1,127.00 KIT, CRANIAL MONITOR ACCESS 1 791 KIT, DCP CATH INFL DEVICE BILA 1 1,040.00 KIT, DCP CATH/INFL DEVICE UNI 1 407 KIT, GYN LAPAROSCOPY - BHMC 1 244 KIT, IV STARTER 1 6 KIT, LAP CHOLE - BHMC 1 206 KIT, MAJOR - BHMC 1 124 KIT, MINOR - BHMC 1 115 KIT, TUBING ACCESSORY - BHMC 1 165 KIT,COLLECTION EXTERNAL DRAINA 1 391 KIT,LACERATION REPAIR 1 12 KNEE IMMOBILIZER 1 94 KNEE IMMOBILIZER CONTOURED (ME 1 85 KNEE IMMOBILIZER CONTOURED-LAR 1 92 KNEE IMMOBILIZER TRIPANEL 1 31 KNEE PAD FOR COLD THERAPY SYS 1 101 KNEE SLING LARGE 1 43 KNIFE ARTHRO(SCOPY) 1 146 KNIFE BAYONET DISCECTOMY 1 887 KNIFE COLD STR 1 211 KNIFE LIGHT 1 116 KNIFE RGD SEG-WAY 1 562 KNIFE SLIT INTREPID 1 102 KNIFE, MYRINGOTOMY 1 29 KNOT PUSHER ENDO SLIDE AUTO SUTURE 1 19 KNOT PUSHER/CUTTER MENISCAL 1 184 K'T SYRINGE 1 40 K-WIRE GUIDE NCB 5.2/.2MM 1 718 K-WIRE TROCAR POINTS 4" X .028" 1 8 K-WIRE TROCAR POINTS 9" X .045" 1 9 K-WIRE, STRLE 3X285MM 1 244 K-WIRES GLOBUS 1 617 LACERATION REPAIR KIT 1 31 LACERATION TRAY DISP 1 12 LACRIMAL INTUBATION SET 1 227 LACTATED RINGERS 1000CC 1 14 LAP CHOLE CDS - BHMC 1 1,319.00 LAP CHOLE KIT 1 641 LAP KIT LKR72 1 1,433.00 LAPAROSCOPY CDS - BHMC 1 723 LAP-BAND SYSTEM 1 8,029.00 LARGE COMBINATION CLAMP 1 1,197.00 LARGE HOOKS 1 992 LARGE OPEN ADJUSTABLE CLAMP 1 985 LASER ENDOPROBE 1 187 LASERSCOPE FIBER OPTIC 1 535 LASR , 200 MICRON FIBER 1 1,572.00 LASR, 1000 MICRON FIBER 1 1,565.00 LASR, 365 MICRON FIBER 1 755 LASR, FIBER GREEN LIGHT 1 1,722.00 LEECHES 1 24 LEG BAG 1 12 LEICA 12V/50W BULB 1 129 LEICA MICROSCOPE DRAPE 1 33 LENS 1 763 LENS, GLIDE 1 22 LEVEL PELVIC ALIGNMENT 1 493 LID SCREW CADDY WRIST 1 162 LIFESITE VASCULAR ACCESS KIT 1 118 LIGAMENT CHISEL 1 942 LIGASURE ATLAS 1 1,104.00 LIGASURE IMPACT 1 1,171.00 LIGASURE IMPACT 36MM-18CM 1 1,462.00 LIGASURE MAX 1 513 LIGASURE TISSUE FIXATION 1 1,595.00 LIGATION CLIPS LARGE 1 10 LIGATION CLIPS MED 1 4 LIGATION CLIPS MED/LG 1 9 LIGATION CLIPS SM/MD 1 10 LIGATION CLIPS SMALL 1 15 LIGHTGUIDE HOLMIUM 1 886 LIGHTGUIDE HOLMIUM 1000 MICRON 1 1,560.00 LINE HI PRESSURE CONN 1 15 LINE HI PRESSURE CONNECT 48" 1 12 LINE INJECTION 1 23 LINEAR CUTTER 30MM BLUE 1 135 LINEAR CUTTER 75MM BLUE 1 3,298.00 LINEAR CUTTER, 55MM BLUE 1 140 LINEAR STAPLER 30MM, VACS 1 146 LINEAR STAPLER 60MM BLUE 1 136 LINER 28MM 1 670 LINER KNEE HOLDER 1 50 LITHOCLAST RIGID PROBE 1MM 1 1,142.00 LITHOTRIPTOR PROBE 1 441 LITHOTRIPTOR V DISP MECH 1 664 LIVER BIOPSY SETS 1 809 LOCKING CAP 1 1,284.00 LONE STAR SURGICAL STAYS 1 12 LOOP ELECTRODE 1 180 LOOP ELECTRODE GYN 1 491 LOOP RESECT CUTTING 1 386 LOOP SPARE SUPRALOOP 1 218 LOOP, CUTTING RESECTOSCOPE 1 183 LRG MULTI-PIN CLAMP 4 POSITION 1 900 LRG MULTI-PIN CLAMP 6 POSITION 1 1,359.00 LUER LOK INJECTION CAPS 1 37 LUMBAR PUNCTURE 1 290 LVL 1 WRM BLNKT LOWERBDY 1 113 MAGNETIC DRAPE 1 61 MAGNUM SPEEDSTITCH COBRAID 1 250 MAGNUM SPEEDSTITCH WHITE 1 250 MALE BAG & BELT 1 36 MALE EXT CATH BLUE 1 14 MALECOT ANY KIND 1 42 MAMMORMARK BREAST MARK 8G-11G 1 146 MANIFOLD 4 PORT 1 43 MANIPULATOR VCARE LARGE 1 150 MANIPULATOR VCARE MED 1 160 MARKING PEN 1 15 MASTERGRAFT MATRIX 10CC 1 1,560.00 MATTRESS, AIR 1 128 MAXCESS DISPOSABLE MODULE 1 3,525.00 MAXIMA RTU 1 10 MAXON SUTURE 1 71 MAYO NEEDLE 1/2 TAPER 1 22 MEASURING TEMPLATE 1 73 MEASURING TEMPLATE ACTIVATING 1 66 MED MULTI-PIN CLAMP 6 POSITION 1 1,272.00 MED SIDECUTTING BURR TAPER/STR 1 42 MEDIUM MULTI-PIN CLAMP 4 POS. 1 1,168.00 MEDTRONIC DRILL BIT 1 468 MEDULLARY TUBE 1 156 MEMBRANE MEM-LOK COLLAGEN 1 148 MEMBRANE PERICARDIAL 6CMX12CM 1 688 MEMBRANE RESORB COLLAGEN MEM-LOK 1 144 MEMBRANE RX 50X20MM 0.1MM 1 729 MEMBRNE RESORB COLAGEN MEM-LOK 20X30 1 169 MEMORY SOFT WIRE BASKET 1 342 MENISCAL APPLIER 1 234 MESH 3D MAX 3.3" X 5.4" 1 342 MESH 85X50MMX2MM THICK 1 1,116.00 MESH ORBIT FLOOR RESORB 1 1,022.00 MESH PERFIX PLUG LG 1 404 MESH PRECONTOUR PEEK 1 7,800.00 MIC BIO-SUTR TAK W/NDLE2.4X6.5 1 460 MICROSENSOR BASIC KIT 1 1,086.00 MICROSENSOR SKULL BOLT METAL 1 963 MIDFACE CUTTER 1 1,126.00 MINI C-ARM COVER 1 15 MINI MONOKA 1 215 MINI STICK KIT 1 85 MIX KIT 1 120 MIXER KYPHON 1 155 MODEL ADULT MANDIBLE-MAXILLA 1 3,070.00 MODEL CLEARVIEW SKULL 1 4,199.00 MODULE NEEDLE ELECTRODE 1 1,587.00 MOLD SPACER CEMENT KNEE FEM 1 3,361.00 MOLD SPACER CEMENT KNEE TIB 1 1,403.00 MONOPOLAR CAUTERY 1 169 MORCELLEX TISSUE MRCLLTR 1 1,103.00 MOSS TUBES 4-18111 1 50 MOSS TUBES 5-17719 1 412 MULTI SEAL CAP 1 19 MULTI-CLIP APPLIER 1 548 MULTI-FIRE GIA 30 3.5 RELOAD 1 605 MULTI-FIRE GIA 30V(2.5)RELOAD 1 605 MULTI-LAYER COMPRESS WRAP EA B 1 26 MVAC - TUBING 1 28 MYRINGOTOMY KIT CHILDREN/ADULT 1 168 NAIL LONG GAMMA LT 1 3,945.00 NASAL CANNULA 02 THERAPY 1 10 NASAL CUSTOM SPLINT 0.50X51X76 MM CLEAR 1 12 NASOGASTRIC TUBE ADULT 0 FR 1 37 NAVIGATOR 1 236 NDL GUIDE EVIVA 1 21 NDL INSUFFLATION STEP 14G SHR 1 28 NDL, AIR INJECT CANNULA 1 62 NDL, CHIBA BX 1 7 NDL, RETROBULBAR 1 90 NDLE, VERRESE 1 166 NEEDLE 15IN,20 GA PENCIL POINT 1 52 NEEDLE 30G1/2 PRECISIONGLIDE 1 15 NEEDLE ASPIRATING 20GA 45DEG 1 328 NEEDLE BD REGNAL BLOCK 1 7 NEEDLE BIOPSY 1 88 NEEDLE BONE ACCESS 1 61 NEEDLE BRACHY APPL STYLE 1 25 NEEDLE CASETTE FOR SPEEDSTITCH 1 94 NEEDLE DEL 12GAX7.5CM STER 1 94 NEEDLE DELIVERY\12GAX10CM 1 98 NEEDLE DRIVE LARGE 1 412 NEEDLE DRIVER SUTURE CUT 1 449 NEEDLE EPIDURAL 1 21 NEEDLE EXPRESSEW 1 222 NEEDLE FORAMEN 1 83 NEEDLE GUIDE EVIVA 1 22 NEEDLE INSERTION 1 366 NEEDLE RIGID SIDEKICK 1 55 NEEDLE SPINAL TIP 15 INCHES 1 43 NEEDLE STELLATE 1 16 NEEDLE, JAMSHIDI 1 38 NEEDLES, INJECTOR 1 186 NEFF SET 1 153 NEO-CATE 4-400GRM 1 64 NEURO-CRANI PACK 1 528 NG TUBE NON-BOL 12FR36IN 1 21 NIM BALL TIP PROBE 1 218 NIM THORACIC PEDICLE PROBE 1 1,275.00 NON-RETRACTING GRASPING FORECE 1 401 NU GAUZE IODOFORM 1/2 INCH 1 11 NU GAUZE PLAIN 2" 1 19 NUT COUNTER DC 1 175 NUT FOR EXFI 1 21 OASIS 1 ACT STNT INTRO ST 1 123 OCCLUDER COLPO-PNEUMO 1 110 OLIVEWIRE 1 46 ONCONTROL POWER DRIVER W CRADL 1 929 OPAQUE DRAIN POUCH W/2" FLANGE 1 16 OPAQUE DRAIN POUCH W/4" FLANGE 1 36 OPTHALMIC BUR 1 193 OPTHALMIC KNIFE (ALL TYPES) 1 250 OPTICAL ACCESS SYSTEM 1 114 OPTIMA PEDIATRIC PACK 1 33 OR >10 HOURS 1 14,238.00 OR 1 1/2 HR TO 2 HRS 1 2,983.00 OR 1 HOUR OR LESS 1 2,502.00 OR 1 HR OR LESS 1 1,494.00 OR 1 HR TO 1 1/2 HRS 1 2,239.00 OR 1/2 HR OR LESS 1 468 OR 1-2 HOURS 1 3,676.00 OR 2 1/2 TO 3 HRS 1 971 OR 2 HRS TO 2 1/2 HRS 1 864 OR 2-3 HOURS 1 4,847.00 OR 3-4 HOURS 1 6,021.00 OR 4-5 HOURS 1 8,367.00 OR 5-6 HOURS 1 9,542.00 OR 6-7 HOURS 1 9,542.00 OR 7-8 HOURS 1 10,715.00 OR 8-9 HOURS 1 11,890.00 OR 9-10 HOURS 1 13,064.00 ORBITAL FLOOR IMPLANT 1 539 ORBITAL SPHERE 1 973 ORTHO SORB PIN 1 318 OSTEOTOME FLEXIBLE 1 649 OSTEOTOME FLEXIBLE GRAY 6MM 1 973 OSTOMY STARTER SET 1 30 OUTRIGGER 30 1 181 OUTRIGGER 90 1 206 OVAL SPONGE #506 1 362 OXYGEN MASK THERAPY 1 40 OXYGEN SUPPLY SIMPLE MASK 1 23 P.A.C.U. >8 HOURS 1 1,388.00 P.A.C.U. 1 > 2 HOURS 1 368 P.A.C.U. 5>6 HOURS 1 926 P.A.C.U. 6>7 HOURS 1 1,080.00 P.A.C.U. 7>8 HOURS 1 1,234.00 P.ANESTHESIA CARE UNIT 2 > 3 H 1 536 P.ANESTHESIA CARE UNIT 3 > 4 H 1 706 P.ANESTHESIA CARE UNIT 4 > 5 H 1 874 PACEMAKER CABLES 1 104 PACEMAKER STERILE SLEEVE 1 31 PACING ELECTRODES 1 79 PACK ACC 3CHAMBER AICD-PACERS 1 1,685.00 PACK CATARACT CUSTOM?????????? 1 1,939.00 PACK CATARACT-11 1 561 PACK CLOSUREFAST 1 120 PACK C-SECTION 1 134 PACK EYE CUSTOM 1 239 PACK JOINT TOTAL (CUSTOM) 1 1,141.00 PACK LAVH CDS 1 1,244.00 PACK LITHOTOMY 1 23 PACK MCKOOL 30DEG FLARE TIP 1 513 PACK MCKOOL 45DEG FLARE TIP 1 196 PACK ORTHOPEDIC 1 141 PACK PODIATRY 1 1,093.00 PACK SCOPE TUBAL CDS 1 629 PACK TRANSVERSE LAPAROTOMY 1 47 PACK, ANGIO 1 55 PACK, CRANIOTOMY 1 426 PACK, CYSTO 1 36 PACK, EXTREMITY 1 147 PACK, HAND 1 111 PACK, HEAD AND NECK 1 33 PACK, LAPAROSCOPY - BHMC 1 183 PACK, LAPAROTOMY - BHMC 1 100 PACK, MAJOR - BHMC 1 79 PACK, MAJOR CUSTOM - BHMC 1 197 PACK, MINOR - BHMC 1 64 PACK, MINOR CUSTOM - BHMC 1 145 PACK, ORTHO MAJOR 1 253 PACK, PELVIC GYN/D&C BHMC 1 51 PACK, T & A 1 46 PACK, THROMBECTOMY/AV FISTULA 1 155 PACK, VASCULAR 1 374 PACK, VASCULAR MINOR 1 115 PACKING, EPISTAXIS 1 20 PACKING, MEROCEL SINUS 1 222 PAD GROUND NEONATAL POLYHESIV 1 6 PAD GROUNDING RADIO FREQUENCY 1 33 PAD LEG HOLDER DISP 1 50 PAD, WHEELCHAIR 1 43 PADS FOOT 1 318 PAK PROBE ANT VITREC21NF CANN 1 259 PAK VITRECTOMY ANTERIOR W 21 G 1 192 PARACENTESIS ABDOMINAL 1 546 PARAGUARD IUD 1 400 PASTE BONE DBM 20CC 1 4,594.00 PASTE PREMIUM OSTOMY SKIN CARE 1 21 PATCH WITTMANN STARSURGICAL 20CM X 40 CM 1 2,434.00 PCA TUBING 1 10 PEAK FLOW METER 1 26 PED 2 LUMEN CV 5CM KIT AK12402 1 73 PED MULTI LUM CV 13CM AK-16553 1 123 PED MULTI LUM CV 8CM AK-15553 1 123 PEDIATRIC DRAINAGE POUCH #9765 1 16 PEDICLE MARKER REVERE 1 226 PEG DRIVER F.A.S.T 2.0MM 1 89 PEG KIT KIMBERLY CLARK 1 177 PELVIC POSITIONERS 1 50 PENCIL ELECTROSURGICAL 1 31 PENROSE DRAIN ORS 1 23 PERC SHEATH INTRO 5-6-7FR 1 61 PERCANNULA SYSTEM 4MM 1 241 PERCUTANEOUS SHEATH INTRO KIT 1 100 PERCUTNS NEEDLE 18 GUAGE 1 77 PERF, DISPOSABLE CRANI 1 196 PERFORATOR DISP NEURO 1 344 PERINEAL POST PAD 1 153 PERITONEAL DIALYSIS DRAINAGE B 1 12 PERITONEAL LAVAGE SET 1 37 PH ADT LUM TRAY 20 X 3 1/2 1 23 PHACO PACK 30 DEGREE MICRO 1 172 PHACO TIP 30', CURVED 1 104 PHACO TIP 30', STRAIGHT 1 131 PHILA COLLAR W/TRACH 3.25 SM 1 29 PHILA COLLAR W/TRACH 4.25 MED 1 27 PILLOW ABDUCTION - LARGE 1 175 PILLOW ABDUCTION-MEDIUM 1 77 PILLOW ABDUCTION-SMALL 1 65 PILOT GUIDE 15 MM 1 43 PIN COVER 1 11 PIN COVER 1 19 PIN COVER 1 113 PIN DISTRACTION 1 106 PIN DOCKING 1 973 PIN DRIVER ADJUSTABLE 1 598 PIN POST 1 561 PIN REPOSITIONING 1 716 PK, CATARACT 1 1,073.00 PK, VITRECTOMY - POST 1 586 PKS PLASMA SPATULA 1 572 PLASTIC,FIBERGLASS 4" 1 21 PLASTIC,FIBERGLASS 5" 1 27 PLAT DIST POSTER LAT HUMRL 1 1,020.00 PLAT LEFORT ADVNCMNT 1.5X2MM 1 605 PLAT PROX ULNAR LK 3H RT 1 902 PLATE HOLDER 1 853 PLATE REDUCT WIRE 1 195 PLAXMASPLUS CONCENTRATOR 1 1,312.00 PLEDGET SOFT TFE 1 158 PLEUREVAC 1 183 PLEUR-EVAC ADULT NON-METRIC 1 42 PLUG BONE CANN ACL 1 108 PLUG LEAD PORT 1 73 POD SHOE SM-MED-LG 1 12 POLIBAR ACB BA.ENEMA KIT 1 16 POLYSORB 1 467 PORT BLADELESS 1 102 PORT PLUS BLADELESS 1 137 PORTEX ENDO TRACH TUBE UNCUFFE 1 12 POSITIONER ARM/LEG 1 27 POSITIONER,SHOULDER ABDUCTION 1 194 POUCH KIT FOR SEED 1 66 PREGNANCY TEST 1 9 PREGNANCY TEST KIT-FAMILY PRAC 1 7 PREP KIT - WET PREP 1 37 PREP STICKS 1 15 PRESS MONITNG TRAY SINGL LUM 3 1 108 PRESS MONITNG TRAY SINGL LUM 4 1 107 PROBE (ERBE) 1 389 PROBE GUIDE (FISCHER) 1 12 PROBE INCREMENTING STIMULATOR 1 240 PROBE INSULATED 1 955 PROBE JAMSLIDE NEEDLE 1 159 PROBE LITHOTRIPSY CYBERWAND 1 1,216.00 PROBE WHIRLWIND 1 387 PROTECTIVE CAPS 1 99 PROTECTOR HEEL 1 9 PULSE LAVAGE IRRIGATOR 1 87 PUMP 700 LGX MS W/INHIBIZONE 1 5,585.00 PVA MICROSPHERE 1 430 PYROPHOSPHATATE PER VIAL 1 30 QUICK PRESSURE MONITOR SET 1 3,405.00 QUICKPLACE V INSERTION KIT 1 121 QUIK-COMBO REDI-PAK2010188-005 1 44 RADIOFREQUENCY CANNULA STR NDLE 22G 1 34 RADIOFREQUENCY DISP GROUND PAD 1 28 RAP-PAC C,1.2 1 446 REAMER CALIBRATED 1 196 REAMER ENTRY 9.5MM 1 586 REAMER HEAD FOR RIA 1 486 REAMER SHAFT 1 386 REAMER SHAFT,MOD TRINKLE 8X510MM 1 1,142.00 REAMING ROD 1 360 REBEL MR US-BARE METAL STENT 1 1,076.00 REDUCER CAP 1 62 RELIANCE 4-SITE G ACTIVE FIX DUAL COIL 64CM,MODEL 0296 1 7,942.00 RELOAD CONTOUR CVD CUTTER 1 464 RELOAD ENDO GIA RAD W TRI-STPLE TECH MED/THCK 1 574 RELOAD ENDO LINEAR CUT, REG 1 115 RELOAD ENDO LINEAR CUT,VASC 1 115 RELOAD ETS-COMP FLEX, 45MM REG 1 115 REMOVAL OF CERCLAGE 1 2,848.00 RESECTOSCOPE LOOP ELECTRODES 1 158 RESERVOIR 100ML 1 2,151.00 RESERVOIR OMMAYA NEURO 1 654 RESORB BARRIER MEMBRANE 1 173 RETRACTOR ALEXIS WOUND 1 156 RETRACTOR GREISHABER FLEX 1 183 RETRACTOR LONE STAR RETRACTOR 1 95 RETRACTOR MED (4-7) ACCESS 1 505 RETRACTOR MINI HOHMANN 1 183 RETRACTOR WOUND JELL SEAL CAP 1 929 RETRACTOR, PROTRACTOR/ELASTIC 1 367 RETRIEVAL BASKET ENDO 1 130 RIA TUBE ASSEMBLY 1 448 RIGID DISPOS CURETTE 11 MM,CURVED 1 3 RING 180MM 1 824 RING CAPSULAR TENSION 1 208 RING CLAMP 1 625 RING EX FIX FULL 1 1,146.00 RING EX FIX MED 1 1,147.00 ROD ATTACH MED MULTI-PIN CLAMP 1 669 ROD CONNECT ELLIPSE 21-33MM ST 1 1,529.00 ROD REAMING 3MM 1 322 RODS REVOLVE 1 1,444.00 ROTICULATOR 1 442 ROUTER FLUTED 1 160 ROUTER TAPERED 1 191 ROXIDERM 1 217 SACHS-VINE GASTROSTOMY KIT 1 411 SAGITAL SAW BLADE 1 234 SALINE IRRIGATION 3000CC 1 25 SALT HIRUDO 1 31 SANITARY BELT 1 9 SANITARY NAPKINS 1 24 SAW BLADE 2 1 374 SCENT INFILTRATION 1 23 SCISSORS 1 202 SCISSORS DIRECT DRIVE 1 83 SCISSORS ENDOWRIST HOT SHEARSC 1 599 SCISSORS TIP ENDOWRST HOTSHEAR 1 42 SCLERAL BUCKLING COMPONENT 1 98 SCORPION NEEDLE 1 535 SCREW (WOODRUFF) DUE DRIVE ORS 1 24 SCRW CARROLL-GIRARD TOOL 1 807 SCULPTOR PROBE 90DG 1 251 SEAL CANNULA 8.5-13MM 1 69 SEAL CAP ASSEMBLE 1 2,417.00 SEALANT OMNEX SURGICAL 1 1,092.00 SEALANT TISSEEL 4ML KIT 1 1,792.00 SEALANT, FIBRIN GLUE 1 1,085.00 SEALANT, FLOSEAL 1 329 SEALANT, TISSEL 5ML 1 1,015.00 SEALER LIGASURE BLUNT TIP 1 973 SEMITENDINOSUS .9 X 27CM 1 2,222.00 SEMITENDINOSUS 65 X 27 CM 1 2,521.00 SERIES 20000 30DEG K FLARED CA 1 1,591.00 SET CANNULA 5.5MM 1 36 SET COLLECTION 1/2IN W/ ADP 1 29 SET COLLECTION 3/8IN W/ H ADP 1 9 SET IRRIG BULB SYRINGE 1 9 SET JEJUNAL FEEDING 1 208 SET MACRO LEV LOCK 2C6401 1 2 SET NORMOFLOW IRRIG WARMING 1 89 SET PEDS EXT 15CM 2C5681 1 2 SET PIN HOLDING (2 PINS) 1 516 SET PIN HOLDING (4 PINS) 1 516 SET RAPIDO ADVANCE IMP TOOLS 1 1,864.00 SET, BIOPSY SYSTEM AUTOMATIC 1 66 SET, SINGLE ACTION PUMP 1 119 SET, SINGLE ACTION PUMPSYS 1 81 SETS,FEMORAL ARTERIAL 1 23 SHAFT BLUE MONOTUBE 20MM 1 3,557.00 SHAFT RED MONOTUBE 25MM 1 3,639.00 SHARP HOOK 1 131 SHEATH/DILATOR PTFE INTRO 14F 1 31 SHOE CAST ROCKER SOLE SM-MED-L 1 12 SHOE POST OP CHILD X-SM 1 10 SHOE POST-OPERATIVE 1 10 SHOULDER CANNULA 1 62 SHOULDER IMMOB SMALL-MED-LG-XL 1 10 SHOULDER IMMOBILIZER LGE 1 24 SHOULDER IMMOBILIZER MED. 1 16 SHOULDER IMMOBILIZER SMALL 1 17 SHUNT DENVER ASCITES DBL VALVE 1 1,826.00 SHUNT SUNDT 3.5 X 5 1 234 SIDEPORT KNIFE 1 27 SIDEPORT MBR BLADE 20GA 1 16 SIGMOIDOSCOPE SPEC DISP 1 12 SIMPULSE IRRIGATOR SET (ORTH0) 1 584 SIMPULSE TIP (ORTHO) 1 232 SIMPULSE-SHIELD 1 41 SINGULAR POLYPECTOMY SNARE 1 75 SIZER BREAST IMPLANT 1 94 SIZER GRAFT 5-24MM 1 21 SKIN BARRIER W/2" FLANGE #3703 1 6 SKIN BARRIER W/4" FLANGE #3706 1 21 SKIN TRAC 1 11 SKW DEEP SCROTAL RTRCTN SYSTEM 1 487 SLEEVE CANNULA 1 1,086.00 SLEEVE CONTROL CABLE WITH 1 609 SLEEVE IMPLT RETINA DETACH SUR 1 36 SLEEVE SUTURE SPLIT 1 121 SLEEVE ULTRA INFUSION 1 71 SLEEVE VARIABLE APERTURE 1 31 SLEEVE,VENODYNE 14" 1 142 SLEEVE,VENODYNE 16" 1 166 SLING ARM SM-MED-LG 1 9 SM ROUND SHANK RASP CROSSCUT 1 107 SMALL HOOKS 1 992 SMARTSTITCH M-CONNECTOR 1 196 SMIT SLEEVE 1 150 SNARE 1 36 SOAP (PK OF 10) 1 5 SOCKET THREADED 20MM 1 116 SOFT THORACOPORT 15MM 1 332 SOFT-VU COBRA 5F 1 37 SOL,VISCO-ELASTIC/VISCOAT 1 131 SOLN CIDEX OPA 1 75 SOLUTION, CYSTO IRRIGATING H20 1 11 SOLUTION, GLYCINE 1 35 SPACEMAKER DISSECTOR SYSTEM 1 639 SPACER COALITION 7MM 1 7,691.00 SPACER PERIMETER XS 1 3,063.00 SPACER, SM CERVICAL 1 1,864.00 SPHERE MEDPOR PLUS 1 1,123.00 SPHERE REFLECTIVE MARKER 1 52 SPINAL NEEDLE 20GA 21/2 1 6 SPINAL NEEDLE 20GA 31/2 1 6 SPINAL NEEDLE 22GA 31/2 1 6 SPINAL NEEDLE 25GA 31/2 1 6 SPLINCTER ACCESSORY KIT 1 893 SPLINT FOAM INSERT 1 46 SPLINT NASAL BIVALVE 0.50X60X38MM CLEAR LG. 1 168 SPLINT NASAL SEPTAL DOYLE II 1 73 SPLINT ONE STEP 3X12IN 1 86 SPLINT ONE STEP 4X15IN 1 141 SPLINT ONE STEP 4X30IN 1 135 SPLINT TRACTION EX.SMALL & SMA 1 77 SPLINT VSP ORTHO (CUS) 1 1,522.00 SPLINT WINTER 1 64 SPLINT-WRIST, UNIV.(LEFT/RIGHT 1 25 SPLIT DRAPE 1 104 SPONGE 1 9 SPONGE POST-OP 1 12 SPRING CLIP 1 877 SPRING GRIP 10MM 1 127 ST EMER CRICOTHYRO CATH/NO TBE 1 196 ST VINYL CONNECTING TUBE 1 23 STABILITY THREAD 1 22 STANDARD COMP/DISTRACTION MECH 1 759 STAPLE EASYCLIP 1 1,444.00 STAPLE EASYCLIP (EZ18) 1 1,685.00 STAPLE GIA 4.8 X 80 RELOAD 1 140 STAPLER 30 3.5 1 177 STAPLER 30 4.8 1 126 STAPLER 30V 2.5 D/U 1 145 STAPLER 4.8 1 137 STAPLER CONTOUR CVD CUTTER 1 850 STAPLER DST SERIES EEA XL 1 725 STAPLER ENDO GIA D/U 1 220 STAPLER ENDO GIA D/U 2.0 1 379 STAPLER ENDO GIA D/U 2.5 - 3.5 1 425 STAPLER GIA 4.8 X 80 1 199 STAPLER GIA 60 2.5 1 100 STAPLER GIA UNIVERSAL 1 189 STAPLER POLY ROTICULATOR 1 416 STAPLER TA 3.5 D/U 1 98 STAPLER TA 30V ROTICULATOR 1 154 STAPLER TA30 4.8 D/U 1 81 STAPLER TA45 3.5 D/U 1 113 STAPLER TA55 ROTICULATOR 4.8 1 135 STAPLER TA90 4.8MM 1 519 STAPLES RELOAD FOR TL 60 1 106 STAPLES TA30 1 140 STEIN PIN BAY TIP NS 1.6 MM X 6 IN 1 71 STENT DSG NASAL MEROPAK 1 177 STENT GFT ENDO BIFR 1 18,371.00 STENT GRAFT VALIANT THORACIC 1 27,647.00 STENT GRFT BIFURC 28X100X16X40 1 16,018.00 STENT GRFT ILIAC LIMB 1 5,361.00 STENT KIT 1 662 STENT TALENT THORACIC 1 21,237.00 STENT URETRL PERCUFLEX 6FX26CM 1 210 STERI DRAPE-SMALL ORS 1 12 STERI-DRAPE 1013 1 93 STERI-DRAPE 1014 1 73 STERI-DRAPE IRRIGATION POUCH 1 10 STERILE FRAZIER SUCTION INSTRU 1 6 STERILE TALC POWDER 1 198 STERILE TOURNIQUET CUFF 1 50 STERLING PTA BAL DIL CATH ˇˇˇ7.0X150MMX150CM 1 679 STEROTACTIC NEEDLE GUIDE 1 21 STIMULATOR NERVE 1 116 STIMULATOR PROBE 1 192 STNT DUBL URETERAL PIGTIL 8.5 FR X 26 CM 1 123 STNT GRFT MAIN 28X70 ILIAC 16X 1 16,018.00 STNT URETHRAL ZAONTZ 8.0FR/12CM 1 55 STOCKINETTE 1 16 STONE RETRIEVER (WIRE BASKET) 1 579 STONE RETRIEVER(6 WIRE BASKET) 1 355 STPL DUET TRS??????? 1 693 STPL ENDO GIA DUET 1 906 STPL, ACCESS 55, REGULAR 1 345 STPL, ACCESS 55,THICK TISSUE 1 345 STPL, CEEA 25 PLUS 1 812 STPL, CEEA PREMIUM 1 524 STPL, CIRCULAR STAPLER STAND 1 165 STPL, ENDO GIA UNIVERSAL HANDL 1 326 STPL, ENDO LINEAR CUT REG 1 3,298.00 STPL, ENDO ROTICUL(45-20)-(60- 1 356 STPL, PURSESTRING 45 1 84 STPL, RELOAD TLC 55 BLUE 1 75 STPL, RELOAD TLC 75 BLUE 1 111 STPL, RELOAD TX60B 1 67 STPL, SKIN STAPLER 1 40 STRYKER DRILL 1 144 STRYKER REAMER 1 157 STYLET 1 468 STYLET AICD 1 104 STYLET KIT 1 111 STYLET LOCATOR PLUS DEFLECTABL 1 655 SUCTION CANISTER W LID 1 13 SUCTION CANISTER B1605 1 11 SUCTION DRAINAGE CATH 18FR 1 9 SUCTION IRRIGATOR 1 214 SUCTION TIP - POOLE 1 105 SUCTION TRAY 14FR 1 23 SUCTION TRAY 8 FR 1 23 SUCTION TUBING G4002235 1 3 SUCTION/ANTICOAGULATION ASMBLY 1 42 SUCTION/COAG TIP 1 33 SUPER SHEATH 7F 2.3MM X 11 CM 1 46 SUPPORT ANKLE STIRRUP 1 23 SURGIBRA 1 73 SURGICAL FIBRIL ABSORB HMST 4"X4" 1 222 SURGICAL HEMOSTAT 6IN X 9IN 1 230 SURGICAL NERVE LOCATER/STIMULA 1 71 SURGICAL PATTIES 1 26 SURGICAL SPEAR (1400101) 1 16 SURGICAL STRAY SINGLE PK 1 7 SURGICEL ORS 1 141 SURGICLIP 1 255 SURGIFLO HEMOSTATIC MATRIX 2991 1 213 SURX 1 1,302.00 SUT SURGIPRO II 4-0 BLUE 18" P-12 1 2 SUT 3-0 PROLENE 36" BLU MOMOFIL 26MM TAPER 1 33 SUT BLK MONOFILMNT 6-0 18" P-3 1 14 SUT CAPROSYN 3-0 UNDYED 30" CV-23 1 3 SUT CAPROSYN 4-0 UNDYED 18" P-13 1 6 SUT CAPROSYN 4-0 UNDYED 30" V-20 1 3 SUT CAPRSN 4/0 18UD P12 SC561 1 6 SUT CAPTURE DEVICE OPEN ACCESS 1 621 SUT CHROMIC CUT 2-0GS-25 36" CG-63 1 11 SUT CHROMIC CUT 5/0 30" CV-23 TAPER 1 2 SUT CHROMIC GUT 0 UNDYED 36" GS-25 1 3 SUT CHROMIC GUT 2 1 2 SUT CHROMIC GUT 2-0 UNDYED 30" GS-21 1 2 SUT CHROMIC GUT 3-0 UNDYED 36" V-20 1 5 SUT CHROMIC GUT 6-0 18" P-21 1 5 SUT LARIAT SPEEDPASS 25DEG 1 374 SUT MAXN 1 1X96 LOOPED 6085-73 G26 1 6 SUT MAXON 0 GREEN 36" GS-21 1 3 SUT MAXON 1 GREEN 36" GS-21 1 3 SUT MAXON 2-0 GREEN 30" GS-21 1 3 SUT MAXON 2-0 GREEN 30" V-20 1 3 SUT MAXON GS-25 1 6 SUT MONOCRYL 6-0 UNDYED 18" PS-6 SM 1 25 SUT MONOCRYL VIOLET MONOFLMNT 3-0 RB-1 1 29 SUT MONOSOF 3-0 30" P-17 CUT BLK 1 5 SUT MONOSOF 4-0 BLK 18" P-12 1 2 SUT ORTHOCORD 2 36" MO-7 TAPER 1 85 SUT POLYSB 2.0 U/D36 GS21CL953 1 2 SUT POLYSORB 0 UNDYED 18" GS-21 1 9 SUT POLYSORB 0 UNDYED 30" GU-45 1 3 SUT POLYSORB 0 UNDYED 36" GS-21 1 2 SUT POLYSORB 0 VIOLET 18" GS-22 1 9 SUT POLYSORB 2- 0 UNDYED 30" C-14 1 2 SUT POLYSORB 3-0 30V-20NDL 1 2 SUT POLYSORB 3-0 UNDYED 18" P-14 1 5 SUT POLYSORB 3-0 UNDYED 30" GS-21 1 2 SUT POLYSORB 3-0 UNDYED 36" GS-24 1 2 SUT POLYSORB 4-0 V-20 1 2 SUT POLYSORB 6-0 VIOLET 30" CV-23 1 2 SUT POLYSURB 5-0 18" CV-22 GL885 1 3 SUT SOFSILK 3-0 BLK 30" V-20 1 2 SUT SOLSILT 3-0 BLK 30" CV-23 1 2 SUT SPEEDPASS W/NITINOL WIRE 1 374 SUT SURGILON 4-0 CV-22 BLK 1 14 SUT SURGIPRO 5-0 SP5698G 1 6 SUT SURGIPRO II 0 BLU 30" GS-21 1 3 SUT SURGIPRO II 4-0 BLUE 30" CV-15 1 3 SUT SURGIPRO II 5-0 BLU 30" CV-11 1 5 SUT SURGIPRO II 5-0 BLU 30" P-12 1 7 SUT SURGIPRO II 5-0 BLUE 36" KV-11 1 10 SUT SURGIPRO II 6-0 BLU 18" P-10 1 6 SUT TICRN 2/- 1X30 BLU 3185-51 CV305 1 7 SUT TICRON 0 BLUE 30" GS-22 1 2 SUT TICRON 2-0 BLU 30" CV-316 1 5 SUT TICRON 3-0 BLU 18" 1 2 SUT TI-CRON O GS22 1 16 SUT VICRYL 3-0 POLYSORB 18" V/20DD 1 87 SUTURE CARTRIDGE SMARTSTICH 1 250 SUTURE GRASPER 15DEG 1 393 SUTURE LASSO 25 DEG CURVE LEFT 1 218 SUTURE LASSO 25 DEG CURVE RIGH 1 218 SUTURE MAX BRAID 1X38 1 422 SUTURE MITEX 1 584 SUTURE ORHTOCORD 1 446 SUTURE PASSER 1 178 SUTURE PROLENE 6-0 1 33 SUTURE QUILL 1 56 SUTURE RETRIEVER 1 364 SUTURE SHUTTLE 1 184 SUTURE SHUTTLE IDEAL 1 347 SUTURE SHUTTLE STRAIGHT HOOK 1 347 SYNDEMOSIS REPAIR KIT 1 928 SYPIN PLATE HOLDING 1 228 SYR W TOOMEY TIP 1 12 SYRINGE 150ML W/J-TUBE 1 14 SYRINGE INFLATION FOR KYFHX 1 203 SYRINGE INJECTION 1 5 SYRINGE KIT 1 73 SYRINGE, ARTERIAL LINEDRAW 1 6 SYRINGE, BLOOD GAS KITS 1 7 SYS AUTOLOGOUS PLATELET SEPARA 1 858 SYS DELIVERY INTUITRAK 22X13MM 1 16,018.00 SYS DELIVERY INTUITRAK(#2) 1 15,309.00 SYS EMBOLIZATION COIL 10MMX30C 1 1,241.00 SYS EMBOLIZATION COIL 5MMX20CM 1 1,210.00 SYS EMBOLIZATION COIL 9MMX30CM 1 1,241.00 SYS ENDO POUCH RETRIEVAL 1 140 SYS IMPLANT TOOLS LEAD DELVRY 1 2,115.00 SYS INTERLOC CF OCCLUSION 8X20 1 1,404.00 SYS INTERLOC FIB OCCLUSION 1 757 SYS PLASMAKINETIC SUPERPULSE 1 894 SYS VERSAPOINT RESECTOSCOPIC 1 542 SYSTEM CSF EXTERNAL DRAINAGE 1 165 SYSTEM CT SCOPE 1 181 SYSTEM IRRIGATION 1 120 SYSTEM SHOULDER PROC 1 468 T.R.A.C. PAD 1 37 T.R.A.C. Y CONNECTOR 1 4 T5 HOOD 1 64 TA 30 RELOAD 1 62 TA 60, 90 1 183 T-ADAPTER BLUE 20MM 1 2,079.00 TAMP BONE KYPHX XPNDR INFLTBL 1 1,940.00 TAP DUAL LEAD INSTRUMENT 1 570 TAPE VIPERTRACK RADIOPAQUE 1 71 T-CLAMP EX FIX 1 1,664.00 T-DRAINS ORS 1 24 TEAR CROSS CUT RASP LG 14.0X7.0MM 1 167 TEMP PADS COLD 1 127 TEMP. PACING ELECTRODE CATH. 1 343 TEMPERATURE PROBE 1 72 TEMPLATE FOR 20 HOLE PLATE 1 74 TENDON ACHILLES SHAPED 10MM 1 3,900.00 TENSOPLAST BEIGE 2" X 5 YDS 1 4 TENSOPLAST BEIGE 4" X 5 YDS 1 8 TENSOPLAST WHITE 4" X 5 YDS 1 8 TEST STIMULATOR FOR INTERSTIM 1 1,489.00 THAL-QUICK CHEST TUBE 12FR 1 175 THAL-QUICK CHEST TUBE 18FR 1 201 THAL-QUICK CHEST TUBE 20FR 1 175 THAL-QUICK CHEST TUBE 24FR 1 176 THAT-QUICK CHEST TUBE 14FR 1 201 THAT-QUICK CHEST TUBE 16FR 1 175 THERMODILUTION CATH 1 181 THORACOPORT 1 29 THORACOSCOPY CUTTER/STAPLER 1 1,373.00 TI BLADE 40MM FOR TI HUMERAL N 1 778 TI SPIRAL BLADE 42MM-STERILE 1 812 TIP APPLICATOR FOR EVICEL 1 187 TIP SET 24KHZ MICRO 1 1,023.00 TIP SPRAY APPLICATOR 1 73 TIP TURBO SONICS 1 156 TISSUE ADHESIVE OCTYLSEAL 1 92 TISSUE EXPANDER 1 1,489.00 TISSUE EXPANDER 600ML 1 2,059.00 TISSUE EXPANDER ELLIPTICAL 1 1,077.00 TISSUE TEK UNI-CASSETTE LWS PINK 1 0.24 TLS DRAINAGE SYS 1 1,142.00 TOOL IMPLANT LOCATOR PLUS 1 655 TOOL TO TIGHTEN EX FIX 1 196 TOOL, MIDAS REX 1 197 TOP CURETTE 1 110 TOP TUBING 1 81 TOPICAL SKIN ADHESIVE SWIFT SET 1 26 TORQUE DEVICE 1 16 TORQUE DEVICE BOSSEI 1 16 TORQUE VISE 1 10 TOTAL HIP PREP KIT 1 480 TR BAND COMPRESSION DEVICE 1 78 TRACHEATOMY CARE KIT 1 27 TRACTION SPLINT CONVOLUTED LGE 1 77 TRACTION SPLINT CONVOLUTED MED 1 77 TRANSDUCER PROTECTOR 1 6 TRANSDUCER TUBING 1 143 TRANSRADIAL ACCESS KIT 7CM 1 109 TRAP BERKELEY TISSUE SAFE TOUC 1 19 TRAY BONE MARROW BIOPSY 1 23 TRAY EXCHANGE TRANSFUSION* 1 95 TRAY FLEX MOLD FOR BONEPLAST 1 440 TRAY FOLEY CATH 14FR**-16FR-18 1 42 TRAY INSERT 18FR FOLEY CATH 1 10 TRAY MYELO-NATE 1 1 31 TRAY, CIRCUMCISION 1 67 TRAY,ARTERIAL LINE 20 GA X 5" 1 48 TRAY,CATH.SET,CVP,ANTISEPTIC 1 37 TRAY,CATHETER SET CVP 16 EA 8" 1 68 TRAY,DEL. ROOM, C-SECTION 1 259 TRAY,DELIVERY ROOM 1 88 TRAY,LUMBAR PUNCTURE ADULT 1 47 TRAY,LUMBAR PUNCTURE PED 1 37 TREPHINE BLADE 1 83 TRIAL LEAD TRANSMITTER 1 655 TROCAR FIRST ENTRY 1 62 TROCAR OPTICAL 1 695 TROCAR RIGIDFIX STEP 1 158 TROCAR SINGLE USE 1 29 TROCAR, 10/11MM, 10/12MM, 5/12 1 187 TROCAR, 10/15MM 1 189 TROCAR, 12MM R0012 1 250 TROCAR, 5MM LONG/SHORT 1 214 TROCAR, 5MM R0005 1 214 TROCAR, HASSAN BLUNT 1 250 TROCAR, OPTIVIEW 1 408 TRPL LUMEN G/W SPHINCTRTME 1 175 TRU-CUT BIOPSY NEEDLE 1 56 TRUNK-IPSI LATERAL LEG 1 13,896.00 T-TUBE 16 FR 1 15 TUBE 2 TUBE CLAMP LRG EXT FIX 1 870 TUBE CONNECTING 1 42 TUBE EMG ENDOTRACHEAL 1 498 TUBE ENTERAL FEEDING 14FR 1 12 TUBE FEEDING INFANT 8FR 1 2 TUBE GASTRO FEEDING 16-20FR 1 33 TUBE LAVAGE (EASI-LAV) 34FR 1 99 TUBE REC RED RUBBER 1 9 TUBE TEFLON STERILE 1 554 TUBE TRACH 7.0 CUFFED LONG 1 160 TUBE TRACH 8.0 CUFFED LONG 1 150 TUBE TRACH PROTEX W CONNECT 8.0MM 1 413 TUBE TRACHEOSTOMY SHILEY 6.DCT 1 64 TUBE TRACHEOSTOMY SZ33 W/CUFF 1 61 TUBE TRACHEOSTOMY SZ39 W/CUFF 1 69 TUBE VNUS INFILT PUMP 1 21 TUBE, ARMSTRONG VENT 1 31 TUBE, BIPOLAR IRRIGATION 1 47 TUBE, FLUROPLASTIC VENT 7MM 1 37 TUBE, GASTROTOMY 1 107 TUBE, GOOD T-TUBE VNT XOMED 1 56 TUBE, SHEPARD GROMMET VENT 1 21 TUBE, TRACHEOSTOMY 1 104 TUBES, VENTILATOR EAR 1 52 TUBING ARTHROSCOPY 1 102 TUBING FOR POWER PUMP LT 1 125 TUBING SET VGFI 1 208 TUBING THERM INSUFF 1 61 TUBING TUNA THERAPY SYSTEM 1 42 TUBING, EXTENSION-SET 1 15 TUBING, FILTER INSUFFLATOR 1 25 TUNNELER FOR OPEN-ENDED CATHS 1 93 TURTLENECK COLLAR L 3.25" 1 89 TWIST DRILL 4.3X180MM CALIB CR 1 189 TWIST DRILL BIT 1 385 TWIST DRILL, 1.6X58MM WKLG 26M 1 94 TWISTER L 600UM 1 1,170.00 ULTRACISION HARMNIC SCLPL 14CM 1 745 UMBILICAL CATHETER SIZE 3.5FR 1 33 UMBILICAL CATHETER SIZE 5.OFR 1 29 UNIVERSAL BLOCK TRAY 1 98 UNIVERSAL CLIP APPLIER 1 147 UNIVERSAL GAMMA PROBE COVER 1 19 URETHRAL CATHETER TRAY BARD 1 12 USE OF ENDO RM 0-30 MIN 1 1,125.00 UTERINE MANIPULATOR/INJECTOR 1 129 V.A.C. GRANUFOAM DRESSING-LRG 1 108 V.A.C. GRANUFOAM DRESSING-MED 1 89 V.A.C. GRANUFOAM DRESSING-SML 1 68 V.A.C. VERSAFOAM 10X15 1 21 VAC CANISTER-LARGE 1 129 VAC COLL CTR 1MCC 1A8504 1 6 VAC DELIVERY SYS W / PALM PUMP 1 43 VACCUMM TREPHINE 1 146 VACUUM TREPHINE 7.25MM 1 120 VACUUM TUBING 7/8" 1 19 VALVE CONTROL BURR HOLE 1 921 VALVE DELTA 1 1,832.00 VALVE GLAUCOMA 1 1,077.00 VALVE, NEURO RESERVOIR 1 6,450.00 VALVULOTOME 1 905 VASCULAR ACCESS SYS TRACKER 1 827 VASTACK NEEDLE 1 11 VEIN STRIPPERS 1 56 VENT TUBE REUTER-BOBBIN 1 120 VERSAPORT PLUS KIT 1 100 VESSEL CLOSURE SYS LARGE 1 785 VIPERSLIDE LUBRICAN 20ML VIAL 1 156 VISCERA RETAINER MEDIUM 1 40 VISIONBLUE .06% 1 59 VITRECTOMY ANT.SETERIOR 1 629 V-LINK LUER DEVICE W CATH 1 85 V-LOC 180, 18" GS-21 NEEDLE 1 55 V-LOC 180, 18" V-20 NEEDLE 1 55 V-LOC 90, 6" GS-21 NEEDLE 1 46 VOLUMETRIC PUMP 1 37 VORTX-35 PUSHABLE COIL 5 MM X 4.5MM 1 133 VULCAN TAC S ANGLED 1 406 WAND ENT COBLATION II 1 422 WAND PLASMA 1 404 WANDS TURBOVAC 90 1 461 WASHER-CANCELLOUS 1 135 WEDGE PRESSURE BALLOON CATH. 1 81 WEDGENOSE 8X25MMX4DEG 1 8,332.00 WELCH ALLYN WA09500 24V BULB 1 553 WILSON PENILE IMPLANTATION SYS 1 234 WIRE 1.6MM SLEEVE 1 228 WIRE 2.0 1 110 WIRE COIL CERCLAGE 1 125 WIRE POST 1 453 WIRE SCISSORS 1 102 WIRE SCISSORS 1 152 WIRE, K, 3X285 1 125 WIRE, SPADE-POINT REDUCTION 1 10 WIRE1.6MM 5MM TROCAR 150MM 1 187 WOUND DRAIN COLLECT 3"W/ACCESS 1 23 WRAP FOAM 1 10 WRENCH 1 83 WRENCH BULLET 1 181 WRENCH FOR DISTRACTOR SCRW 1 211 WRENCH STRYKER 1 674 WRIST SPLINT 6IN RIGHT SMALL 1 10 WRIST/ANKLE RESTRAINT 1 24 XEMPLIFI DBM GEL 1 CC 1 224 XEROFORM 5X9 1 9 XPANDR ROTTERDAM PALATAL 1 3,021.00 XRAY CASSETTE COVER (ORTHO) 1 33 Y TYPE ADMIN SET W/SIDE ARM 1 20 Y TYPE TUR IRRIG SET 1 33 ,,Hydromorphone HCl-Sodium Chloride 0.9% IV Soln 20 MG/100ML 100 $42.80 Abacavir Sulfate Soln 20 MG/ML (Base Equiv) 15 $17.28 Abacavir Sulfate Soln 20 MG/ML (Base Equiv) 15 $17.28 Abacavir Sulfate Tab 300 MG (Base Equiv) 1 $36.31 Abacavir Sulfate Tab 300 MG (Base Equiv) 1 $35.58 Abacavir Sulfate Tab 300 MG (Base Equiv) 1 $37.24 Abacavir Sulfate Tab 300 MG (Base Equiv) 1 $33.22 Abacavir Sulfate Tab 300 MG (Base Equiv) 1 $24.12 Abacavir Sulfate-Lamivudine Tab 600-300 MG 1 $167.92 Abacavir Sulfate-Lamivudine-Zidovudine Tab 300-150-300 MG 1 $104.63 Abacavir-Dolutegravir-Lamivudine Tab 600-50-300 MG 1 $364.68 Abciximab IV Soln 2 MG/ML 5 $4,731.64 Abiraterone Acetate Tab 250 MG 4 $1,330.18 Acamprosate Calcium Tab Delayed Release 333 MG 1 $4.39 Acetaminophen IV Soln 10 MG/ML 100 $150.00 Acetaminophen IV Soln 10 MG/ML 100 $150.00 Acetaminophen Liquid 160 MG/5ML 118 $3.30 Acetaminophen Liquid 160 MG/5ML 473 $15.14 Acetaminophen Soln 100 MG/ML 30 $2.00 Acetaminophen Soln 100 MG/ML 15 $2.00 Acetaminophen Soln 100 MG/ML 15 $2.00 Acetaminophen Soln 100 MG/ML 30 $2.00 Acetaminophen Soln 160 MG/5ML 5 $2.00 Acetaminophen Soln 160 MG/5ML 10.15 $2.68 Acetaminophen Soln 160 MG/5ML 20.3 $2.76 Acetaminophen Suppos 120 MG 1 $2.00 Acetaminophen Suppos 325 MG 0.369230769 $2.00 Acetaminophen Suppos 650 MG 0.092307692 $2.00 Acetaminophen Suppos 650 MG 0.092307692 $2.00 Acetaminophen Suppos 80 MG 1.5 $222.00 Acetaminophen Suppos 80 MG 1.5 $4.45 Acetaminophen Tab 325 MG 1 $2.00 Acetaminophen Tab 325 MG 1 $2.00 Acetaminophen Tab 325 MG 1 $2.00 Acetaminophen w/ Codeine Tab 300-30 MG 1 $2.00 Acetaminophen w/ Codeine Tab 300-30 MG 1 $2.00 Acetazolamide Cap ER 12HR 500 MG 1 $19.58 Acetazolamide Cap ER 12HR 500 MG 1 $35.35 Acetazolamide Sodium For Inj 500 MG 1 $77.76 Acetazolamide Sodium For Inj 500 MG 1 $79.48 Acetazolamide Tab 250 MG 1 $13.18 Acetazolamide Tab 250 MG 1 $16.75 Acetazolamide Tab 250 MG 1 $9.13 Acetic Acid Irrigation Soln 0.25% 1000 $24.00 Acetic Acid Soln 5% 500 $68.00 Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) 0.25 $88.03 Acetylcysteine Inhal Soln 10% 30 $36.48 Acetylcysteine Inhal Soln 10% 2 $9.35 Acetylcysteine Inhal Soln 10% 10 $52.40 Acetylcysteine Inhal Soln 20% 3 $3.76 Acetylcysteine Inhal Soln 20% 3 $23.34 Acetylcysteine Inhal Soln 20% 3 $14.70 Acetylcysteine Inhal Soln 20% 3 $2.60 Acetylcysteine Inhal Soln 20% 3 $2.72 Acetylcysteine Inj 200 MG/ML 30 $773.76 Acetylcysteine Inj 200 MG/ML 30 $411.24 Acitretin Cap 10 MG 1 $164.24 Acitretin Cap 25 MG 0.4 $80.98 Aclidinium Bromide Aerosol Powd Breath Activated 400 MCG/ACT 1 $546.64 Acyclovir Cap 200 MG 1 $2.00 Acyclovir Oint 5% 30 $5,159.76 Acyclovir Susp 200 MG/5ML 473 $923.30 Acyclovir Susp 200 MG/5ML 60 $117.12 Acyclovir Tab 400 MG 1 $2.00 Acyclovir Tab 400 MG 1 $2.00 Acyclovir Tab 800 MG 1 $2.00 Acyclovir Tab 800 MG 1 $2.00 Adefovir Dipivoxil Tab 10 MG 1 $176.33 Adenosine IV Soln 12 MG/4ML 2 $40.92 Adenosine IV Soln 12 MG/4ML 2 $130.46 Adenosine IV Soln 6 MG/2ML 2 $22.94 Adenosine IV Soln 6 MG/2ML 2 $137.57 Ado-Trastuzumab Emtansine For IV Soln 100 MG 1 $11,951.64 Agalsidase beta For IV Soln 5 MG 1 $3,368.00 Albumin, Human Inj 25% 50 $193.20 Albumin, Human Inj 25% 50 $193.20 Albumin, Human Inj 25% 50 $215.00 Albumin, Human Inj 5% 250 $173.00 Albumin, Human Inj 5% 250 $170.00 Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) 18 $200.95 Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) 8 $80.10 Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) 6.7 $304.72 Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) 3 $2.00 Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) 3 $2.00 Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) 3 $2.00 Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML) 20 $59.04 Albuterol Sulfate Syrup 2 MG/5ML 473 $134.33 Albuterol Sulfate Syrup 2 MG/5ML 60 $17.04 Albuterol Sulfate Tab 4 MG 0.5 $8.96 Aldesleukin For IV Soln 22000000 Unit 1 $15,225.24 Alendronate Sodium Tab 10 MG 0.5 $2.00 Alendronate Sodium Tab 5 MG 2 $2.00 Alendronate Sodium Tab 70 MG 1 $3.76 Allopurinol Tab 100 MG 1 $2.00 Allopurinol Tab 100 MG 1 $2.00 Allopurinol Tab 100 MG 1 $2.00 Allopurinol Tab 100 MG 1 $2.00 Allopurinol Tab 300 MG 1 $3.77 Allopurinol Tab 300 MG 1 $2.27 Alprazolam Tab 0.25 MG 1 $2.00 Alprazolam Tab 0.5 MG 0.5 $2.00 Alprazolam Tab 0.5 MG 0.5 $2.00 Alprazolam Tab 1 MG 0.25 $2.00 Alprazolam Tab 1 MG 0.25 $2.00 Alprostadil Inj 500 MCG/ML 1 $443.22 Alteplase For Inj 100 MG 1 $32,899.28 Alteplase For Inj 2 MG 1 $572.20 Alteplase For Inj 50 MG 1 $16,449.64 Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML 30 $3.72 Aluminum Hydroxide Gel Susp 320 MG/5ML 30 $2.00 Aluminum Sulfate & Calcium Acetate Powd Pack 1 $2.82 Amantadine HCl Cap 100 MG 1 $4.95 Amantadine HCl Cap 100 MG 1 $5.94 Amantadine HCl Syrup 50 MG/5ML 10 $5.44 Ambrisentan Tab 10 MG 0.5 $647.88 Ambrisentan Tab 5 MG 1 $14.20 Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML) 2 $45.10 Amino Acid Electrolyte w/Cal Infusion 4.25% in D10W 2000 $304.00 Amino Acid Electrolyte w/Cal Infusion 5% in D15W 2000 $320.00 Amino Acid Electrolyte w/Cal Infusion 5% in D20W 2000 $96.00 Amino Acid Infusion 10% 500 $136.00 Amino Acid Infusion 20% 2000 $152.00 Amino Acid Infusion 5% in D20W 2000 $272.00 Aminocaproic Acid Inj 250 MG/ML 20 $22.32 Aminocaproic Acid Tab 500 MG 1 $74.72 Aminophylline Inj 25 MG/ML 2 $2.38 Aminophylline Inj 25 MG/ML 2 $8.25 Amiodarone HCl in Dextrose 4.14% IV Soln 360 MG/200ML 55.55555556 $45.11 Amiodarone HCl in Dextrose 4.21% IV Soln 150 MG/100ML 100 $122.40 Amiodarone HCl Inj 150 MG/3ML (50 MG/ML) 3 $3.26 Amiodarone HCl Inj 150 MG/3ML (50 MG/ML) 3 $4.15 Amiodarone HCl Inj 150 MG/3ML (50 MG/ML) 10 $10.88 Amiodarone HCl Inj 150 MG/3ML (50 MG/ML) 10 $13.84 Amiodarone HCl Inj 450 MG/9ML (50 MG/ML) 3 $7.90 Amiodarone HCl Tab 200 MG 0.5 $2.00 Amiodarone HCl Tab 200 MG 0.5 $3.43 Amiodarone HCl Tab 200 MG 0.5 $2.00 Amiodarone HCl Tab 200 MG 0.5 $2.11 Amiodarone HCl Tab 200 MG 0.5 $2.00 Amiodarone HCl Tab 200 MG 0.5 $2.00 Amitriptyline HCl Tab 10 MG 1 $2.00 Amitriptyline HCl Tab 10 MG 1 $2.00 Amitriptyline HCl Tab 25 MG 0.4 $2.00 Amitriptyline HCl Tab 25 MG 0.4 $2.00 Amitriptyline HCl Tab 50 MG 0.2 $2.00 Amlodipine Besylate Tab 10 MG (Base Equivalent) 0.25 $2.00 Amlodipine Besylate Tab 10 MG (Base Equivalent) 0.25 $2.00 Amlodipine Besylate Tab 10 MG (Base Equivalent) 0.25 $2.00 Amlodipine Besylate Tab 2.5 MG (Base Equivalent) 1 $2.00 Amlodipine Besylate Tab 5 MG (Base Equivalent) 0.5 $2.00 Amlodipine Besylate Tab 5 MG (Base Equivalent) 0.5 $2.00 Amlodipine Besylate-Olmesartan Medoxomil Tab 5-40 MG 1 $41.08 Amoxicillin & K Clavulanate For Susp 125-31.25 MG/5ML 75 $1,560.90 Amoxicillin & K Clavulanate For Susp 200-28.5 MG/5ML 50 $23.00 Amoxicillin & K Clavulanate For Susp 250-62.5 MG/5ML 100 $3,120.80 Amoxicillin & K Clavulanate For Susp 250-62.5 MG/5ML 75 $236.40 Amoxicillin & K Clavulanate For Susp 250-62.5 MG/5ML 100 $317.60 Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML 100 $80.80 Amoxicillin & K Clavulanate Tab 250-125 MG 1 $12.04 Amoxicillin & K Clavulanate Tab 500-125 MG 1 $64.03 Amoxicillin & K Clavulanate Tab 500-125 MG 1 $3.09 Amoxicillin & K Clavulanate Tab 875-125 MG 1 $2.00 Amoxicillin & K Clavulanate Tab 875-125 MG 1 $5.61 Amoxicillin & K Clavulanate Tab 875-125 MG 1 $4.05 Amoxicillin & K Clavulanate Tab 875-125 MG 1 $4.11 Amoxicillin (Trihydrate) Cap 250 MG 1 $2.00 Amoxicillin (Trihydrate) Cap 500 MG 0.5 $2.00 Amoxicillin (Trihydrate) Cap 500 MG 0.5 $2.00 Amoxicillin (Trihydrate) For Susp 125 MG/5ML 80 $6.08 Amoxicillin (Trihydrate) For Susp 250 MG/5ML 80 $8.32 Amoxicillin (Trihydrate) For Susp 250 MG/5ML 80 $11.84 Amoxicillin (Trihydrate) For Susp 400 MG/5ML 75 $26.70 Amphetamine-Dextroamphetamine Cap ER 24HR 20 MG 0.25 $4.69 Amphetamine-Dextroamphetamine Cap ER 24HR 5 MG 1 $18.75 Amphetamine-Dextroamphetamine Tab 5 MG 1 $2.00 Amphotericin B For Inj 50 MG 1 $139.04 Amphotericin B Liposome IV For Susp 50 MG 1 $923.92 Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM 1 $18.98 Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM 1 $28.31 Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM 1 $37.62 Ampicillin Sodium For Inj 1 GM 1 $8.36 Ampicillin Sodium For Inj 1 GM 1 $8.60 Ampicillin Sodium For Inj 125 MG 1 $15.30 Ampicillin Sodium For Inj 2 GM 1 $13.01 Ampicillin Sodium For Inj 250 MG 1 $3.74 Ampicillin Sodium For Inj 250 MG 1 $4.02 Ampicillin Sodium For Inj 500 MG 1 $4.34 Anagrelide HCl Cap 0.5 MG 1 $3.02 Anastrozole Tab 1 MG 0.5 $2.00 Anastrozole Tab 1 MG 0.5 $2.00 Anastrozole Tab 1 MG 0.5 $20.78 Anastrozole Tab 1 MG 0.5 $4.18 Angiotensin II Acetate IV Soln 2.5 MG/ML (Base Equivalent) 1 $6,000.00 Anidulafungin For IV Soln 100 MG 1 $271.24 Anti-Thymocyte Globulin For IV Soln 25 MG (Lymphocyte IG) 1 $3,193.20 Apixaban Tab 2.5 MG 1 $26.11 Apixaban Tab 5 MG 0.5 $13.06 Apraclonidine HCl Ophth Soln 1% (Base Equivalent) 1 $103.66 Aprepitant Capsule 125 MG 1 $1,187.51 Aprepitant Capsule 40 MG 1 $373.49 Aprepitant Capsule Therapy Pack 80 & 125 MG 1 $964.96 Argatroban in Sodium Chloride 0.9% IV Soln 125 MG/125ML 125 $2,121.50 Argatroban Inj 250 MG/2.5ML (Concentrate For IV Infusion) 2.5 $5,020.20 Aripiprazole IM For ER Susp Prefilled Syringe 400 MG 1 $8,098.92 Aripiprazole Lauroxil IM ER Susp Prefilled Syr 1064 MG/3.9ML 3.9 $11,017.00 Aripiprazole Lauroxil IM ER Susp Prefilled Syr 441 MG/1.6ML 1.6 $4,566.28 Aripiprazole Lauroxil IM ER Susp Prefilled Syr 662 MG/2.4ML 2.4 $6,854.56 Aripiprazole Lauroxil IM ER Susp Prefilled Syr 882 MG/3.2ML 3.2 $9,132.48 Aripiprazole Oral Solution 1 MG/ML 150 $3,238.80 Aripiprazole Oral Solution 1 MG/ML 60 $1,295.52 Aripiprazole Tab 10 MG 0.2 $22.23 Aripiprazole Tab 10 MG 0.2 $22.73 Aripiprazole Tab 15 MG 0.133333333 $15.15 Aripiprazole Tab 2 MG 1 $111.15 Aripiprazole Tab 20 MG 0.1 $16.07 Aripiprazole Tab 30 MG 0.166666667 $26.79 Aripiprazole Tab 5 MG 0.4 $44.46 Aripiprazole Tab 5 MG 0.4 $45.47 Arsenic Trioxide Inj 10 MG/10ML (1 MG/ML) 10 $2,594.00 Artificial Tear Ophth Ointment 3.5 $40.24 Ascorbic Acid Inj 500 MG/ML 1 $8.68 Ascorbic Acid Syrup 500 MG/5ML 2.5 $2.00 Ascorbic Acid Tab 250 MG 1 $2.00 Ascorbic Acid Tab 500 MG 0.5 $2.00 Asenapine Maleate SL Tab 5 MG (Base Equiv) 1 $64.09 Aspirin Chew Tab 81 MG 1 $2.00 Aspirin Chew Tab 81 MG 1 $2.00 Aspirin Suppos 300 MG 1 $4.95 Aspirin Tab 325 MG 1 $2.00 Aspirin Tab Delayed Release 325 MG 0.249230769 $2.00 Aspirin Tab Delayed Release 81 MG 1 $2.00 Aspirin Tab Delayed Release 81 MG 1 $2.00 Aspirin Tab Delayed Release 81 MG 1 $2.00 Aspirin-Dipyridamole Cap ER 12HR 25-200 MG 1 $32.53 Atazanavir Sulfate Cap 150 MG (Base Equiv) 0.666666667 $63.41 Atazanavir Sulfate Cap 200 MG (Base Equiv) 0.5 $47.56 Atazanavir Sulfate Cap 300 MG (Base Equiv) 1 $188.42 Atazanavir Sulfate-Cobicistat Tab 300-150 MG (Base Equiv) 1 $208.71 Atenolol & Chlorthalidone Tab 50-25 MG 1 $2.00 Atenolol Tab 100 MG 0.125 $2.00 Atenolol Tab 25 MG 0.5 $2.00 Atenolol Tab 25 MG 0.5 $2.00 Atenolol Tab 50 MG 0.25 $2.00 Atenolol Tab 50 MG 0.25 $2.00 Atenolol Tab 50 MG 0.25 $2.00 Atezolizumab IV Soln 1200 MG/20ML 20 $35,522.16 Atomoxetine HCl Cap 18 MG (Base Equiv) 0.555555556 $27.37 Atomoxetine HCl Cap 25 MG (Base Equiv) 0.4 $19.71 Atomoxetine HCl Cap 40 MG (Base Equiv) 0.25 $5.01 Atomoxetine HCl Cap 60 MG (Base Equiv) 0.666666667 $35.69 Atorvastatin Calcium Tab 10 MG (Base Equivalent) 1 $2.00 Atorvastatin Calcium Tab 10 MG (Base Equivalent) 1 $2.00 Atorvastatin Calcium Tab 10 MG (Base Equivalent) 1 $39.18 Atorvastatin Calcium Tab 20 MG (Base Equivalent) 0.5 $2.00 Atorvastatin Calcium Tab 20 MG (Base Equivalent) 0.5 $27.94 Atorvastatin Calcium Tab 40 MG (Base Equivalent) 0.25 $13.97 Atorvastatin Calcium Tab 40 MG (Base Equivalent) 0.25 $2.00 Atorvastatin Calcium Tab 40 MG (Base Equivalent) 0.25 $13.31 Atorvastatin Calcium Tab 80 MG (Base Equivalent) 1 $55.89 Atorvastatin Calcium Tab 80 MG (Base Equivalent) 1 $2.00 Atorvastatin Calcium Tab 80 MG (Base Equivalent) 1 $2.00 Atorvastatin Calcium Tab 80 MG (Base Equivalent) 1 $57.14 Atovaquone Susp 750 MG/5ML 5 $123.94 Atovaquone-Proguanil HCl Tab 250-100 MG 1 $25.67 Atracurium Besylate Preservative Free (PF) IV Soln 50 MG/5ML 5 $22.88 Atropine Sulfate Inj 1 MG/ML 1 $41.80 Atropine Sulfate Ophth Oint 1% 3.5 $45.60 Atropine Sulfate Ophth Soln 1% 2 $94.04 Atropine Sulfate Soln Prefill Syr 0.5 MG/5ML (0.1 MG/ML) 5 $30.58 Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML) 5 $16.56 Avelumab Soln for IV Infusion 200 MG/10ML (20 MG/ML) 10 $6,197.84 Azacitidine For Inj 100 MG 1 $878.52 Azathioprine Tab 50 MG 0.5 $55.96 Azathioprine Tab 50 MG 0.5 $2.00 Azithromycin For Susp 100 MG/5ML 15 $68.82 Azithromycin For Susp 200 MG/5ML 15 $67.74 Azithromycin IV For Soln 500 MG 1 $27.74 Azithromycin IV For Soln 500 MG 1 $22.06 Azithromycin Powd Pack for Susp 1 GM 1 $64.00 Azithromycin Tab 250 MG 1 $8.78 Azithromycin Tab 250 MG 1 $6.64 Azithromycin Tab 250 MG 1 $6.00 Azithromycin Tab 600 MG 1 $25.63 Azithromycin Tab 600 MG 1 $25.53 Azithromycin Tab 600 MG 1 $19.07 Aztreonam For Inj 1 GM 1 $108.41 Aztreonam For Inj 1 GM 1 $123.14 Aztreonam For Inj 2 GM 1 $216.83 Bacitracin Intramuscular For Soln 50000 Unit 0.5 $12.66 Bacitracin Intramuscular For Soln 50000 Unit 0.5 $12.76 Bacitracin Oint 500 Unit/GM 1 $2.00 Bacitracin Ophth Oint 500 Unit/GM 3.5 $311.77 Bacitracin Zinc Oint 500 Unit/GM 1 $2.00 Bacitracin-Polymyxin B Ophth Oint 3.5 $52.00 Baclofen Tab 10 MG 0.5 $2.00 Baclofen Tab 10 MG 0.5 $2.00 Baclofen Tab 10 MG 0.5 $2.00 Balsalazide Disodium Cap 750 MG 3 $11.03 Barium Sulfate For Susp 96% 176 $15.49 Barium Sulfate For Susp Enema Kit 96% 454 $81.72 Barium Sulfate Oral/Rectal Susp 2.1% 450 $18.00 Basiliximab For IV Soln 20 MG 1 $13,399.72 B-Complex w/ C & Folic Acid Cap 1 MG 1 $2.00 B-Complex w/ C & Folic Acid Tab 0.8 MG 1 $2.00 B-Complex w/ C & Folic Acid Tab 1 MG 1 $2.00 Beclomethasone Diprop Inhal Aero Soln 80 MCG/ACT (100/Valve) 8.7 $801.27 Belladonna Alkaloids & Opium Suppos 16.2-30 MG 1 $82.30 Belladonna Alkaloids & Opium Suppos 16.2-60 MG 0.5 $50.02 Benazepril HCl Tab 10 MG 0.5 $2.00 Benazepril HCl Tab 20 MG 0.25 $2.00 Benazepril HCl Tab 5 MG 1 $2.00 Bendamustine HCl For IV Soln 100 MG 1 $8,400.00 Bendamustine HCl For IV Soln 25 MG 1 $2,100.00 Bendamustine HCl IV Soln 100 MG/4ML (25 MG/ML) 4 $8,225.12 Bendamustine HCl IV Soln 45 MG/0.5ML (90 MG/ML) 0.5 $1,290.04 Benzocaine-Menthol Aerosol 20-0.5% 56 $17.92 Benzoin Compound Tincture 60 $24.24 Benztropine Mesylate Inj 1 MG/ML 0.5 $48.60 Benztropine Mesylate Inj 1 MG/ML 0.5 $38.69 Benztropine Mesylate Tab 0.5 MG 1 $2.15 Benztropine Mesylate Tab 0.5 MG 1 $2.00 Benztropine Mesylate Tab 1 MG 0.5 $2.00 Benztropine Mesylate Tab 1 MG 0.5 $2.00 Benztropine Mesylate Tab 1 MG 0.5 $2.00 Benztropine Mesylate Tab 1 MG 0.5 $2.00 Benztropine Mesylate Tab 2 MG 0.25 $2.00 Benzylpenicilloyl Polylysine Inj 0.25 ML 0.05 $96.00 Beractant in NaCl 0.9% Intratracheal Susp 25 MG/ML 4 $1,431.81 Beractant in NaCl 0.9% Intratracheal Susp 25 MG/ML 8 $2,534.21 Betamethasone Dipropionate Augmented Lotion 0.05% 30 $199.92 Betamethasone Dipropionate Cream 0.05% 45 $181.80 Betamethasone Dipropionate Oint 0.05% 15 $150.00 Betamethasone Dipropionate Oint 0.05% 45 $302.04 Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML 5 $170.32 Betaxolol HCl Ophth Soln 0.5% 10 $255.92 Betaxolol HCl Ophth Soln 0.5% 15 $554.94 Betaxolol HCl Ophth Susp 0.25% 10 $1,160.88 Betaxolol HCl Ophth Susp 0.25% 15 $1,741.20 Bethanechol Chloride Tab 10 MG 0.5 $2.00 Bethanechol Chloride Tab 25 MG 0.2 $2.00 Bethanechol Chloride Tab 5 MG 1 $2.00 Bevacizumab IV Soln 100 MG/4ML (For Infusion) 4 $3,187.76 Bevacizumab IV Soln 400 MG/16ML (For Infusion) 16 $12,751.04 Bicalutamide Tab 50 MG 1 $3.38 Bicalutamide Tab 50 MG 1 $2.65 Bicalutamide Tab 50 MG 1 $2.00 Bictegravir-Emtricitabine-Tenofovir AF Tab 50-200-25 MG 1 $382.94 Bimatoprost Ophth Soln 0.01% 2.5 $672.48 Bimatoprost Ophth Soln 0.01% 5 $1,344.40 Bimatoprost Ophth Soln 0.03% 2.5 $409.53 Bimatoprost Soln 0.03% 5 $614.08 Bisacodyl Suppos 10 MG 1 $2.00 Bisacodyl Tab Delayed Release 5 MG 1 $2.00 Bisacodyl Tab Delayed Release 5 MG 1 $2.00 Bisacodyl Tab Delayed Release 5 MG 1 $2.00 Bismuth Subgallate Powder 100 $90.00 Bismuth Subsalicylate Susp 262 MG/15ML 60 $2.00 Bismuth Subsalicylate Susp 262 MG/15ML 236 $93.46 Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv) 1 $2,002.73 Bleomycin Sulfate For Inj 15 Unit 1 $180.28 Bleomycin Sulfate For Inj 30 Unit 0.5 $167.22 Bortezomib For Inj 3.5 MG 1 $6,412.00 Brentuximab Vedotin For IV Soln 50 MG 1 $29,500.00 Brimonidine Tartrate Ophth Soln 0.1% 5 $546.12 Brimonidine Tartrate Ophth Soln 0.15% 5 $435.16 Brimonidine Tartrate Ophth Soln 0.15% 5 $582.20 Brimonidine Tartrate Ophth Soln 0.15% 10 $1,164.16 Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2-0.5% 5 $602.00 Brinzolamide Ophth Susp 1% 10 $1,067.48 Brinzolamide Ophth Susp 1% 15 $1,600.98 Brinzolamide-Brimonidine Tartrate Ophth Susp 1-0.2% 8 $563.33 Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent) 1 $9.58 Budesonide Delayed Release Particles Cap 3 MG 1 $54.56 Budesonide Inhalation Susp 0.25 MG/2ML 2 $27.31 Budesonide Inhalation Susp 0.5 MG/2ML 2 $32.14 Budesonide-Formoterol Fumarate Dihyd Aerosol 160-4.5 MCG/ACT 10.2 $1,223.18 Budesonide-Formoterol Fumarate Dihyd Aerosol 160-4.5 MCG/ACT 6 $831.19 Budesonide-Formoterol Fumarate Dihyd Aerosol 80-4.5 MCG/ACT 10.2 $1,070.10 Budesonide-Formoterol Fumarate Dihyd Aerosol 80-4.5 MCG/ACT 6.9 $722.57 Bumetanide Inj 0.25 MG/ML 2 $2.35 Bumetanide Inj 0.25 MG/ML 2 $2.00 Bumetanide Inj 0.25 MG/ML 2 $2.01 Bumetanide Inj 0.25 MG/ML 2 $3.63 Bumetanide Inj 0.25 MG/ML 2 $4.62 Bupivacaine 0.75% in Dextrose Inj 8.25% 1 $7.62 Bupivacaine HCl Inj 0.25% 5 $2.12 Bupivacaine HCl Inj 0.5% 5 $4.14 Bupivacaine HCl Preservative Free (PF) Inj 0.25% 5 $2.00 Bupivacaine HCl Preservative Free (PF) Inj 0.25% 5 $9.66 Bupivacaine HCl Preservative Free (PF) Inj 0.5% 5 $2.00 Bupivacaine HCl Preservative Free (PF) Inj 0.5% 5 $3.88 Bupivacaine HCl Preservative Free (PF) Inj 0.75% 5 $3.62 Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 5 $2.00 Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 5 $4.56 Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF) 5 $9.00 Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 5 $2.16 Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF) 5 $2.78 Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF) 5 $5.10 Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF) 5 $5.10 Buprenorphine HCl-Naloxone HCl SL Film 12-3 MG (Base Equiv) 1 $56.49 Buprenorphine HCl-Naloxone HCl SL Film 2-0.5 MG (Base Equiv) 1 $15.76 Buprenorphine HCl-Naloxone HCl SL Film 2-0.5 MG (Base Equiv) 1 $17.00 Buprenorphine HCl-Naloxone HCl SL Film 4-1 MG (Base Equiv) 1 $30.46 Buprenorphine HCl-Naloxone HCl SL Film 4-1 MG (Base Equiv) 1 $28.24 Buprenorphine HCl-Naloxone HCl SL Film 8-2 MG (Base Equiv) 1 $28.25 Buprenorphine HCl-Naloxone HCl SL Film 8-2 MG (Base Equiv) 1 $30.46 Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv) 1 $16.89 Bupropion HCl Tab 75 MG 1 $2.88 Bupropion HCl Tab ER 12HR 100 MG 1 $2.00 Bupropion HCl Tab ER 24HR 150 MG 1 $12.02 Bupropion HCl Tab ER 24HR 300 MG 0.5 $3.54 Bupropion HCl Tab ER 24HR 300 MG 0.5 $3.56 Buspirone HCl Tab 10 MG 0.5 $2.00 Buspirone HCl Tab 5 MG 1 $2.00 Buspirone HCl Tab 5 MG 1 $2.00 Busulfan Inj 6 MG/ML 10 $3,900.00 Butamben-Tetracaine-Benzocaine Aerosol Spray 2-2-14% 56 $503.78 Cabazitaxel Inj 60 MG/1.5ML (For IV Infusion) 1.5 $2.00 Cabergoline Tab 0.5 MG 0.5 $21.02 Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv) 3 $56.84 Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv) 3 $106.24 Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv) 3 $60.12 Caffeine Citrate Oral Soln 60 MG/3ML (10 MG/ML Base Equiv) 3 $79.48 Calamine-Zinc Oxide Lotion 177 $6.37 Calamine-Zinc Oxide Lotion 118 $41.06 Calcitonin (Salmon) Inj 200 Unit/ML 2 $8,727.48 Calcitonin (Salmon) Nasal Soln 200 Unit/ACT 0.09 $2.00 Calcitonin (Salmon) Nasal Soln 200 Unit/ACT 0.09 $6.76 Calcitriol Cap 0.25 MCG 1 $2.00 Calcitriol Oral Soln 1 MCG/ML 15 $368.16 Calcitriol Oral Soln 1 MCG/ML 15 $715.98 Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca) 1 $2.78 Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca) 1 $4.60 Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca) 1 $3.77 Calcium Carbonate (Antacid) Susp 1250 MG/5ML 5 $3.28 Calcium Carbonate Tab 1250 MG (500 MG Elemental Ca) 1 $2.00 Calcium Carbonate Tab 1250 MG (500 MG Elemental Ca) 1 $2.00 Calcium Carbonate-Vitamin D Tab 500 MG-200 Unit 1 $2.00 Calcium Chloride Inj 10% 5 $11.58 Calcium Chloride Inj 10% 5 $15.72 Calcium Chloride Inj 10% 5 $2.00 Calcium Citrate Tab 250 MG 1 $2.00 Calcium Glubionate Syrup 1.8 GM/5ML 60 $6.72 Calcium Glubionate Syrup 1.8 GM/5ML 473 $52.98 Calcium Gluconate Inj 10% 5 $14.86 Calcium Gluconate Inj 10% 5 $2.00 Calcium Gluconate Inj 10% 5 $14.86 Calcium Gluconate Inj 10% 5 $14.86 Candesartan Cilexetil Tab 4 MG 1 $13.58 Candesartan Cilexetil Tab 8 MG 0.5 $6.79 Cangrelor Tetrasodium For IV Soln 50 MG 1 $2,862.68 Cangrelor Tetrasodium For IV Soln 50 MG 1 $2,775.69 Cangrelor Tetrasodium For IV Soln 50 MG 1 $2,862.68 Capecitabine Tab 500 MG 3 $528.67 Capecitabine Tab 500 MG 3 $391.15 Capecitabine Tab 500 MG 3 $376.10 Capreomycin Sulfate For Inj 1 GM 1 $909.24 Captopril Tab 12.5 MG 0.5 $2.00 Captopril Tab 12.5 MG 0.5 $2.68 Captopril Tab 12.5 MG 0.5 $2.49 Captopril Tab 25 MG 0.25 $2.00 Captopril Tab 25 MG 0.25 $2.00 Captopril Tab 50 MG 0.125 $2.00 Carbamazepine Chew Tab 100 MG 1 $2.00 Carbamazepine Chew Tab 100 MG 1 $2.00 Carbamazepine Susp 100 MG/5ML 10 $12.68 Carbamazepine Susp 100 MG/5ML 10 $14.48 Carbamazepine Tab 200 MG 1 $2.08 Carbamazepine Tab 200 MG 1 $2.93 Carbamazepine Tab 200 MG 1 $4.87 Carbamide Peroxide 6.5% Otic Soln 15 $4.62 Carbidopa & Levodopa Tab 10-100 MG 0.5 $2.00 Carbidopa & Levodopa Tab 25-100 MG 0.5 $2.00 Carbidopa & Levodopa Tab 25-100 MG 0.5 $2.00 Carbidopa & Levodopa Tab 25-100 MG 0.5 $2.00 Carbidopa & Levodopa Tab 25-250 MG 1 $3.18 Carbidopa & Levodopa Tab 25-250 MG 1 $2.00 Carbidopa & Levodopa Tab ER 25-100 MG 1 $2.16 Carbidopa & Levodopa Tab ER 25-100 MG 1 $2.00 Carbidopa & Levodopa Tab ER 50-200 MG 1 $4.39 Carbidopa & Levodopa Tab ER 50-200 MG 1 $2.78 Carbidopa-Levodopa-Entacapone Tabs 37.5-150-200 MG 1 $8.13 Carbomer Gel Base 100 $41.60 Carboplatin IV Soln 150 MG/15ML 15 $83.04 Carboplatin IV Soln 150 MG/15ML 15 $67.38 Carboplatin IV Soln 450 MG/45ML 45 $187.56 Carboplatin IV Soln 450 MG/45ML 45 $259.92 Carboplatin IV Soln 50 MG/5ML 5 $27.68 Carboprost Tromethamine IM Soln 250 MCG/ML 1 $1,325.00 Carfilzomib For Inj 60 MG 1 $9,016.16 Carmustine For Inj 100 MG 1 $15,330.04 Carvedilol Tab 12.5 MG 0.25 $2.00 Carvedilol Tab 12.5 MG 0.25 $2.00 Carvedilol Tab 12.5 MG 0.25 $2.00 Carvedilol Tab 12.5 MG 0.25 $2.00 Carvedilol Tab 25 MG 0.125 $2.00 Carvedilol Tab 25 MG 0.125 $2.00 Carvedilol Tab 25 MG 0.125 $2.00 Carvedilol Tab 3.125 MG 1 $2.00 Carvedilol Tab 3.125 MG 1 $2.00 Carvedilol Tab 3.125 MG 1 $2.00 Carvedilol Tab 6.25 MG 0.5 $2.00 Carvedilol Tab 6.25 MG 0.5 $2.00 Carvedilol Tab 6.25 MG 0.5 $2.00 Carvedilol Tab 6.25 MG 0.5 $2.00 Carvedilol Tab 6.25 MG 0.5 $2.00 Caspofungin Acetate For IV Soln 50 MG 1 $1,262.48 Caspofungin Acetate For IV Soln 70 MG 1 $1,311.72 Castor Oil 59 $11.80 Castor Oil 30 $6.00 Cefazolin Sodium For Inj 1 GM 1 $3.45 Cefazolin Sodium For Inj 1 GM 1 $5.46 Cefazolin Sodium For Inj 1 GM 1 $21.22 Cefazolin Sodium For Inj 1 GM 1 $4.00 Cefazolin Sodium For Inj 1 GM 1 $7.92 Cefazolin Sodium For Inj 1 GM 1 $4.09 Cefazolin Sodium For Inj 1 GM 1 $5.43 Cefazolin Sodium For Inj 1 GM 1 $7.76 Cefazolin Sodium For Inj 500 MG 1 $5.27 Cefazolin Sodium for IV Soln 1 GM and Dextrose 4% (50 ML) 1 $22.88 Cefazolin Sodium for IV Soln 2 GM and Dextrose 3% (50 ML) 1 $34.32 Cefazolin Sodium-Dextrose IV Solution 1 GM/50ML-4% 50 $17.40 Cefepime HCl For Inj 1 GM 1 $27.18 Cefepime HCl For Inj 2 GM 1 $59.24 Cefotaxime Sodium For Inj 1 GM 1 $5.98 Cefotaxime Sodium For Inj 2 GM 1 $12.55 Cefotaxime Sodium For Inj 500 MG 1 $4.01 Cefotaxime Sodium in D5W IV Soln 1 GM/50ML 50 $100.00 Cefotetan Disodium For Inj 2 GM 1 $187.73 Cefoxitin Sodium For IV Soln 1 GM 1 $13.14 Cefoxitin Sodium For IV Soln 2 GM 1 $47.81 Cefpodoxime Proxetil For Susp 100 MG/5ML 100 $500.80 Cefpodoxime Proxetil For Susp 100 MG/5ML 50 $263.20 Cefpodoxime Proxetil Tab 100 MG 1 $26.95 Cefpodoxime Proxetil Tab 200 MG 0.5 $10.30 Cefpodoxime Proxetil Tab 200 MG 0.5 $10.30 Cefprozil For Susp 250 MG/5ML 75 $110.70 Ceftaroline Fosamil for IV Soln 400 MG 1 $583.24 Ceftaroline Fosamil for IV Soln 400 MG 1 $655.91 Ceftaroline Fosamil for IV Soln 600 MG 1 $655.91 Ceftazidime For Inj 1 GM 1 $15.65 Ceftazidime For Inj 1 GM 1 $14.44 Ceftazidime For Inj 1 GM 1 $2.00 Ceftazidime For Inj 2 GM 1 $2.00 Ceftazidime For Inj 2 GM 1 $32.38 Ceftazidime For Inj 500 MG 1 $20.19 Ceftazidime-Avibactam Sodium For IV Soln 2.5 GM (2-0.5 GM) 1 $1,143.73 Ceftriaxone Sodium For Inj 1 GM 1 $14.85 Ceftriaxone Sodium For Inj 1 GM 1 $5.18 Ceftriaxone Sodium For Inj 2 GM 1 $10.32 Ceftriaxone Sodium For Inj 250 MG 0.5 $2.00 Ceftriaxone Sodium For Inj 250 MG 0.5 $2.97 Ceftriaxone Sodium For Inj 250 MG 0.5 $3.55 Ceftriaxone Sodium For Inj 250 MG 0.5 $2.00 Ceftriaxone Sodium For Inj 500 MG 1 $4.09 Ceftriaxone Sodium For Inj 500 MG 1 $3.44 Ceftriaxone Sodium For Inj 500 MG 1 $4.00 Ceftriaxone Sodium For Inj 500 MG 1 $5.98 Ceftriaxone Sodium for IV Soln 1 GM and Dextrose 3.74% 50 ML 1 $43.36 Ceftriaxone Sodium for IV Soln 2 GM and Dextrose 2.22% 50 ML 1 $68.15 Cefuroxime Axetil For Susp 125 MG/5ML 100 $555.20 Cefuroxime Axetil For Susp 250 MG/5ML 50 $416.40 Cefuroxime Sodium For Inj 750 MG 1 $7.59 Celecoxib Cap 100 MG 1 $27.48 Celecoxib Cap 200 MG 0.5 $22.54 Cephalexin Cap 250 MG 1 $2.00 Cephalexin Cap 500 MG 0.5 $2.00 Cephalexin Cap 500 MG 0.5 $2.00 Cephalexin For Susp 125 MG/5ML 100 $58.80 Cephalexin For Susp 250 MG/5ML 100 $60.00 Cetuximab IV Soln 100 MG/50ML (2 MG/ML) 50 $2,365.40 Cetuximab IV Soln 200 MG/100ML (2 MG/ML) 100 $4,730.80 Charcoal Activated Liq 240 $93.12 Charcoal Activated Liq 120 $67.20 Charcoal Activated Liq 120 $52.80 Chloramphenicol Sodium Succinate For IV Inj 1 GM 1 $145.50 Chlordiazepoxide HCl Cap 25 MG 1 $2.02 Chlorhexidine Gluconate Soln 0.12% 15 $3.36 Chlorhexidine Gluconate Soln 0.12% 15 $2.52 Chloroprocaine HCl Inj 2% 30 $69.12 Chloroprocaine HCl Preservative Free (PF) Inj 3% 20 $83.60 Chloroquine Phosphate Tab 250 MG 1 $4.89 Chloroquine Phosphate Tab 500 MG 0.5 $13.60 Chlorpromazine HCl Inj 25 MG/ML 1 $87.16 Chlorpromazine HCl Tab 10 MG 1 $14.64 Chlorpromazine HCl Tab 100 MG 0.1 $2.02 Chlorpromazine HCl Tab 100 MG 0.1 $5.51 Chlorpromazine HCl Tab 100 MG 0.1 $4.91 Chlorpromazine HCl Tab 200 MG 0.05 $2.93 Chlorpromazine HCl Tab 25 MG 0.4 $3.83 Chlorpromazine HCl Tab 25 MG 0.4 $8.45 Chlorpromazine HCl Tab 50 MG 0.2 $2.79 Chlorpromazine HCl Tab 50 MG 0.2 $6.11 Chlorthalidone Tab 25 MG 1 $7.08 Chlorthalidone Tab 50 MG 0.5 $2.98 Cholestyramine Light Powder Packets 4 GM 1 $7.36 Cholestyramine Light Powder Packets 4 GM 1 $7.84 Ciclopirox Solution 8% 6.6 $214.13 Cidofovir IV Inj 75 MG/ML 5 $3,552.00 Cilostazol Tab 100 MG 0.5 $2.00 Cilostazol Tab 100 MG 0.5 $2.00 Cilostazol Tab 50 MG 1 $2.00 Cilostazol Tab 50 MG 1 $2.15 Cilostazol Tab 50 MG 1 $2.00 Cilostazol Tab 50 MG 1 $2.00 Cinacalcet HCl Tab 30 MG (Base Equiv) 1 $100.52 Cinacalcet HCl Tab 30 MG (Base Equiv) 1 $96.61 Cinacalcet HCl Tab 60 MG (Base Equiv) 0.5 $100.53 Ciprofloxacin 200 MG/100ML in D5W 100 $8.80 Ciprofloxacin 200 MG/100ML in D5W 100 $8.40 Ciprofloxacin 400 MG/200ML in D5W 200 $11.20 Ciprofloxacin For Oral Susp 250 MG/5ML (5%) (5 GM/100ML) 100 $464.40 Ciprofloxacin HCl Ophth Soln 0.3% 2.5 $33.80 Ciprofloxacin HCl Ophth Soln 0.3% 2.5 $34.36 Ciprofloxacin HCl Tab 250 MG (Base Equiv) 1 $2.00 Ciprofloxacin HCl Tab 500 MG (Base Equiv) 1 $2.00 Ciprofloxacin HCl Tab 500 MG (Base Equiv) 1 $2.00 Ciprofloxacin HCl Tab 750 MG (Base Equiv) 0.133333333 $2.00 Cisatracurium Besylate (PF) IV Soln 10 MG/5ML (2 MG/ML) 5 $51.22 Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML) 20 $551.76 Cisatracurium Besylate (PF) IV Soln 200 MG/20ML (10 MG/ML) 20 $1,110.32 Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML) 10 $86.00 Cisplatin Inj 100 MG/100ML (1 MG/ML) 100 $144.80 Cisplatin Inj 100 MG/100ML (1 MG/ML) 100 $134.80 Cisplatin Inj 50 MG/50ML (1 MG/ML) 50 $68.00 Cisplatin Inj 50 MG/50ML (1 MG/ML) 50 $73.00 Citalopram Hydrobromide Tab 10 MG (Base Equiv) 1 $2.00 Citalopram Hydrobromide Tab 10 MG (Base Equiv) 1 $2.00 Citalopram Hydrobromide Tab 20 MG (Base Equiv) 0.5 $2.00 Citalopram Hydrobromide Tab 20 MG (Base Equiv) 0.5 $2.00 Cladribine IV Soln 10 MG/10ML (1 MG/ML) 10 $1,596.24 Clarithromycin For Susp 125 MG/5ML 100 $258.80 Clarithromycin For Susp 125 MG/5ML 50 $139.80 Clarithromycin For Susp 250 MG/5ML 50 $204.60 Clarithromycin Tab 250 MG 1 $3.74 Clarithromycin Tab 500 MG 0.5 $6.91 Clevidipine IV Emulsion 25 MG/50ML 50 $248.20 Clindamycin HCl Cap 150 MG 1 $2.00 Clindamycin HCl Cap 150 MG 1 $2.51 Clindamycin HCl Cap 150 MG 1 $2.00 Clindamycin HCl Cap 150 MG 1 $2.82 Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv) 100 $122.00 Clindamycin Phosphate Gel 1% 60 $383.76 Clindamycin Phosphate in D5W IV Soln 300 MG/50ML 50 $42.60 Clindamycin Phosphate in D5W IV Soln 300 MG/50ML 50 $43.60 Clindamycin Phosphate in D5W IV Soln 600 MG/50ML 50 $69.80 Clindamycin Phosphate in D5W IV Soln 600 MG/50ML 50 $66.60 Clindamycin Phosphate in D5W IV Soln 900 MG/50ML 50 $81.40 Clindamycin Phosphate in D5W IV Soln 900 MG/50ML 50 $53.40 Clindamycin Phosphate Inj 300 MG/2ML 2 $6.54 Clindamycin Phosphate Inj 300 MG/2ML 2 $9.15 Clindamycin Phosphate Inj 600 MG/4ML 4 $8.93 Clindamycin Phosphate Inj 600 MG/4ML 4 $10.83 Clindamycin Phosphate Inj 600 MG/4ML 4 $11.09 Clindamycin Phosphate Inj 600 MG/4ML 4 $9.60 Clindamycin Phosphate Inj 900 MG/6ML 6 $15.55 Clindamycin Phosphate Inj 900 MG/6ML 6 $12.82 Clindamycin Phosphate Lotion 1% 60 $292.32 Clindamycin Phosphate Lotion 1% 60 $247.20 Clindamycin Phosphate Soln 1% 60 $127.20 Clindamycin Phosphate Vaginal Cream 2% 40 $227.04 Clobazam Suspension 2.5 MG/ML 120 $3,595.68 Clobazam Tab 10 MG 1 $68.43 Clobetasol Propionate Cream 0.05% 15 $160.56 Clobetasol Propionate Cream 0.05% 30 $326.76 Clobetasol Propionate Cream 0.05% 60 $566.88 Clobetasol Propionate Cream 0.05% 45 $644.94 Clobetasol Propionate Cream 0.05% 60 $769.44 Clobetasol Propionate Cream 0.05% 45 $481.32 Clobetasol Propionate Emollient Base Cream 0.05% 30 $275.64 Clobetasol Propionate Gel 0.05% 15 $198.18 Clobetasol Propionate Gel 0.05% 60 $552.24 Clobetasol Propionate Gel 0.05% 30 $276.12 Clobetasol Propionate Gel 0.05% 15 $274.44 Clobetasol Propionate Lotion 0.05% 59 $884.53 Clobetasol Propionate Oint 0.05% 15 $226.74 Clobetasol Propionate Oint 0.05% 30 $492.84 Clobetasol Propionate Oint 0.05% 45 $845.10 Clobetasol Propionate Oint 0.05% 15 $298.14 Clobetasol Propionate Soln 0.05% 25 $196.30 Clomipramine HCl Cap 25 MG 1 $16.08 Clomipramine HCl Cap 25 MG 1 $17.10 Clomipramine HCl Cap 50 MG 1 $17.62 Clomipramine HCl Cap 50 MG 1 $17.17 Clomipramine HCl Cap 75 MG 1 $17.77 Clonazepam Tab 0.5 MG 0.5 $2.00 Clonazepam Tab 0.5 MG 0.5 $2.00 Clonazepam Tab 0.5 MG 0.5 $2.00 Clonazepam Tab 0.5 MG 0.5 $2.00 Clonazepam Tab 1 MG 0.25 $2.00 Clonazepam Tab 1 MG 0.25 $2.00 Clonazepam Tab 1 MG 0.25 $2.00 Clonazepam Tab 2 MG 0.125 $2.00 Clonazepam Tab 2 MG 0.125 $2.00 Clonidine HCl Tab 0.1 MG 1 $2.00 Clonidine HCl Tab 0.1 MG 1 $2.00 Clonidine HCl Tab 0.1 MG 1 $2.00 Clonidine HCl Tab 0.1 MG 1 $2.00 Clonidine HCl Tab 0.2 MG 0.5 $419.38 Clonidine HCl Tab 0.2 MG 0.5 $2.00 Clonidine HCl Tab 0.2 MG 0.5 $2.00 Clonidine HCl Tab 0.2 MG 0.5 $2.00 Clonidine HCl Tab 0.3 MG 0.333333333 $2.00 Clonidine HCl Tab 0.3 MG 0.333333333 $2.00 Clonidine HCl Tab 0.3 MG 0.333333333 $2.00 Clonidine TD Patch Weekly 0.1 MG/24HR 1 $68.24 Clonidine TD Patch Weekly 0.1 MG/24HR 1 $89.48 Clonidine TD Patch Weekly 0.2 MG/24HR 1 $107.07 Clonidine TD Patch Weekly 0.2 MG/24HR 1 $149.71 Clonidine TD Patch Weekly 0.3 MG/24HR 1 $159.45 Clonidine TD Patch Weekly 0.3 MG/24HR 1 $226.50 Clopidogrel Bisulfate Tab 300 MG (Base Equiv) 1 $70.89 Clopidogrel Bisulfate Tab 75 MG (Base Equiv) 1 $2.00 Clopidogrel Bisulfate Tab 75 MG (Base Equiv) 1 $2.00 Clopidogrel Bisulfate Tab 75 MG (Base Equiv) 1 $2.00 Clopidogrel Bisulfate Tab 75 MG (Base Equiv) 1 $24.10 Clopidogrel Bisulfate Tab 75 MG (Base Equiv) 1 $24.10 Clotrimazole Cream 1% 30 $12.60 Clotrimazole Troche 10 MG 1 $13.74 Clotrimazole Troche 10 MG 1 $3.27 Clotrimazole Troche 10 MG 1 $2.98 Clotrimazole w/ Betamethasone Lotion 1-0.05% 30 $312.96 Clozapine Tab 100 MG 0.25 $2.00 Clozapine Tab 25 MG 1 $2.00 Coagulation Fact Xa (Recomb) Inact-zhzo For IV Soln 100 MG 1 $2.00 Cocaine HCl Soln 4% 1 $171.51 Codeine Sulfate Tab 15 MG 1 $2.69 Codeine Sulfate Tab 30 MG 0.5 $2.00 Colchicine Tab 0.6 MG 1 $25.34 Colchicine Tab 0.6 MG 1 $35.32 Colistimethate Sod For Inj 150 MG (Colistin Base Activity) 1 $51.36 Collagenase Oint 250 Unit/GM 30 $782.76 Collagenase Oint 250 Unit/GM 30 $843.96 Collodion Flexible 100 $54.40 Copper IUD 1 $2,353.44 Cortisone Acetate Tab 25 MG 1 $9.54 Cosyntropin For Inj 0.25 MG 1 $398.44 Cyanocobalamin Inj 1000 MCG/ML 1 $26.95 Cyanocobalamin Inj 1000 MCG/ML 1 $25.80 Cyanocobalamin Tab 1000 MCG 1 $2.00 Cyanocobalamin Tab 1000 MCG 1 $28.64 Cyclobenzaprine HCl Tab 5 MG 1 $2.00 Cyclopentolate HCl Ophth Soln 1% 2 $46.24 Cyclopentolate HCl Ophth Soln 1% 2 $31.00 Cyclopentolate HCl Ophth Soln 2% 2 $130.24 Cyclopentolate w/ Phenylephrine Ophth Soln 0.2-1% 2 $104.04 Cyclopentolate w/ Phenylephrine Ophth Soln 0.2-1% 5 $182.68 Cyclophosphamide Cap 25 MG 1 $37.45 Cyclophosphamide Cap 50 MG 1 $68.72 Cyclophosphamide For Inj 1 GM 1 $2,738.00 Cyclophosphamide For Inj 500 MG 1 $1,369.00 Cyclosporine (Ophth) Emulsion 0.05% 1 $31.74 Cyclosporine Cap 100 MG 1 $49.28 Cyclosporine Cap 25 MG 1 $13.18 Cyclosporine IV Soln 50 MG/ML 5 $148.46 Cyclosporine IV Soln 50 MG/ML 5 $205.08 Cyclosporine Modified Cap 100 MG 0.25 $3.01 Cyclosporine Modified Cap 25 MG 1 $4.11 Cyclosporine Modified Cap 25 MG 1 $7.19 Cyclosporine Modified Cap 25 MG 1 $4.04 Cyproheptadine HCl Tab 4 MG 1 $2.51 Cyproheptadine HCl Tab 4 MG 1 $2.44 Cysteine HCl Inj 50 MG/ML 10 $30.12 Cysteine HCl Inj 50 MG/ML 10 $30.12 Cysteine HCl Inj 50 MG/ML 10 $30.12 Cytarabine Inj PF 100 MG/ML 20 $68.56 Cytarabine Inj PF 20 MG/ML 5 $18.14 Cytarabine Inj PF 20 MG/ML 5 $22.66 Cytarabine Liposome Inj 50 MG/5ML 5 $11,856.00 Dabigatran Etexilate Mesylate Cap 150 MG (Etexilate Base Eq) 60 $1,194.24 Dabigatran Etexilate Mesylate Cap 75 MG (Etexilate Base Eq) 1 $19.90 Dabigatran Etexilate Mesylate Cap 75 MG (Etexilate Base Eq) 1 $19.90 Dacarbazine For Inj 200 MG 1 $44.82 Dactinomycin For Inj 0.5 MG 1 $6,757.84 Dakin's Solution 0.125% (Quarter Strength) 473 $39.73 Dakin's Solution 0.125% (Quarter Strength) 473 $32.16 Dakin's Solution 0.125% (Quarter Strength) 473 $39.73 Dakin's Solution 0.125% (Quarter Strength) 473 $32.16 Dakin's Solution 0.25% (Half Strength) 473 $9.46 Dakin's Solution 0.25% (Half Strength) 473 $32.16 Dakin's Solution 0.25% (Half Strength) 473 $9.46 Dakin's Solution 0.25% (Half Strength) 473 $32.16 Dakin's Solution 0.25% (Half Strength) 473 $9.46 Dakin's Solution 0.25% (Half Strength) 473 $32.16 Dakin's Solution 0.5% 473 $45.41 Dakin's Solution 0.5% 473 $39.73 Dalbavancin HCl For IV Soln 500 MG (Base Equivalent) 3 $11,215.20 Dantrolene Sodium For IV Soln 20 MG 1 $338.43 Dantrolene Sodium For IV Susp 250 MG 1 $10,324.84 Dapagliflozin Propanediol Tab 5 MG (Base Equivalent) 1 $57.89 Dapsone Tab 100 MG 0.25 $2.62 Daptomycin For IV Soln 500 MG 1 $1,665.40 Daratumumab IV Soln 100 MG/5ML 5 $2,039.36 Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML 0.5 $3,018.60 Darbepoetin Alfa Soln Prefilled Syringe 150 MCG/0.3ML 0.3 $4,644.00 Darbepoetin Alfa Soln Prefilled Syringe 200 MCG/0.4ML 0.4 $6,192.00 Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42m 0.42 $774.00 Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML 0.42 $774.00 Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML 0.4 $1,238.40 Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML 0.3 $1,857.60 Darunavir Ethanolate Susp 100 MG/ML (Base Equiv) 6 $105.36 Darunavir Ethanolate Tab 600 MG (Base Equiv) 1 $102.74 Darunavir Ethanolate Tab 800 MG (Base Equiv) 1 $205.48 Darunavir-Cobic-Emtricitab-Tenofov AF Tab 800-150-200-10 MG 1 $452.66 Darunavir-Cobicistat Tab 800-150 MG 1 $234.86 Dasatinib Tab 70 MG 1 $2.00 Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv) 4 $439.78 Decitabine For Inj 50 MG 1 $1,682.28 Decitabine For Inj 50 MG 1 $5,069.76 Deferasirox Tab For Oral Susp 500 MG 1 $625.58 Deferoxamine Mesylate For Inj 2 GM 1 $117.07 Deferoxamine Mesylate For Inj 2 GM 1 $117.07 Deferoxamine Mesylate For Inj 500 MG 1 $34.94 Delavirdine Mesylate Tab 100 MG 4 $18.90 Delavirdine Mesylate Tab 200 MG 2 $19.28 Denosumab Inj 120 MG/1.7ML 1.7 $8,288.84 Denosumab Inj 60 MG/ML 1 $4,734.20 Desipramine HCl Tab 10 MG 2.5 $8.46 Desipramine HCl Tab 25 MG 1 $4.06 Desipramine HCl Tab 50 MG 0.5 $3.83 Desmopressin Acetate Inj 4 MCG/ML 0.25 $66.90 Desmopressin Acetate Inj 4 MCG/ML 0.25 $66.90 Desmopressin Acetate Nasal Spray Soln 0.01% (Refrigerated) 5 $653.88 Desonide Cream 0.05% 60 $806.40 Desonide Cream 0.05% 15 $163.38 Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv) 1 $44.39 Desvenlafaxine Tab ER 24HR 50 MG 1 $12.14 Desvenlafaxine Tab ER 24HR 50 MG 1 $22.71 Dexamethasone Sodium Phosphate Inj 10 MG/ML 1 $4.12 Dexamethasone Sodium Phosphate Inj 10 MG/ML 1 $4.04 Dexamethasone Sodium Phosphate Inj 10 MG/ML 1 $4.12 Dexamethasone Sodium Phosphate Inj 10 MG/ML 1 $4.04 Dexamethasone Sodium Phosphate Inj 100 MG/10ML 10 $40.40 Dexamethasone Sodium Phosphate Inj 20 MG/5ML 5 $3.04 Dexamethasone Sodium Phosphate Inj 20 MG/5ML 5 $19.70 Dexamethasone Sodium Phosphate Inj 4 MG/ML 1 $2.67 Dexamethasone Sodium Phosphate Inj 4 MG/ML 1 $3.44 Dexamethasone Sodium Phosphate Inj 4 MG/ML 1 $8.15 Dexamethasone Sodium Phosphate Ophth Soln 0.1% 5 $172.76 Dexamethasone Tab 0.5 MG 1 $2.00 Dexamethasone Tab 0.75 MG 0.666666667 $2.00 Dexamethasone Tab 1 MG 0.5 $2.00 Dexamethasone Tab 1 MG 0.5 $2.00 Dexamethasone Tab 1.5 MG 0.333333333 $2.00 Dexamethasone Tab 2 MG 0.25 $2.00 Dexamethasone Tab 2 MG 0.25 $2.00 Dexamethasone Tab 4 MG 0.125 $2.00 Dexamethasone Tab 4 MG 0.125 $2.00 Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML 100 $304.80 Dexmedetomidine HCl Inj 200 MCG/2ML (For IV Infusion) 2 $152.30 Dexmedetomidine HCl Inj 200 MCG/2ML (For IV Infusion) 2 $54.98 Dexmedetomidine HCl Inj 200 MCG/2ML (For IV Infusion) 2 $115.78 Dexrazoxane For Inj 250 MG 1 $1,015.00 Dexrazoxane For Inj 500 MG 1 $1,570.12 Dextran 40 Inj 10% in D5W 500 $98.00 Dextran 40 Inj 10% in Saline 500 $102.00 Dextran 70-Hypromellose (PF) Ophth Soln 0.1-0.3% 1 $2.00 Dextran 70-Hypromellose (PF) Ophth Soln 0.1-0.3% 1 $2.00 Dextran 70-Hypromellose (PF) Ophth Soln 0.1-0.3% 1 $2.00 Dextran 70-Hypromellose Ophth Soln 0.1-0.3% 15 $11.10 Dextromethorphan HBr-Quinidine Sulfate Cap 20-10 MG 1 $68.41 Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML 10 $2.00 Dextromethorphan-Guaifenesin Liquid 10-100 MG/5ML 10 $2.00 Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML 5 $2.00 Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML 5 $2.00 Dextrose 5% in Lactated Ringers 250 $2.00 Dextrose 5% in Lactated Ringers 1000 $16.00 Dextrose 5% in Lactated Ringers 1000 $16.00 Dextrose 5% w/ Sodium Chloride 0.3% 1000 $24.00 Dextrose 5% w/ Sodium Chloride 0.33% 1000 $8.00 Dextrose 5% w/ Sodium Chloride 0.33% 500 $4.00 Dextrose 5% w/ Sodium Chloride 0.45% 1000 $4.00 Dextrose 5% w/ Sodium Chloride 0.45% 1000 $4.00 Dextrose 5% w/ Sodium Chloride 0.9% 500 $2.00 Dextrose 5% w/ Sodium Chloride 0.9% 1000 $4.00 Dextrose Inj 10% 250 $2.00 Dextrose Inj 10% 500 $32.00 Dextrose Inj 10% 1000 $4.00 Dextrose Inj 10% 250 $2.00 Dextrose Inj 10% 500 $32.00 Dextrose Inj 10% 250 $2.00 Dextrose Inj 25% 10 $28.52 Dextrose Inj 5% 250 $26.00 Dextrose Inj 5% 1000 $8.00 Dextrose Inj 5% 500 $14.00 Dextrose Inj 5% 250 $10.00 Dextrose Inj 5% 150 $2.40 Dextrose Inj 5% 250 $2.00 Dextrose Inj 5% 500 $2.00 Dextrose Inj 5% 1000 $16.00 Dextrose Inj 5% 25 $2.00 Dextrose Inj 5% 50 $2.00 Dextrose Inj 5% 100 $8.80 Dextrose Inj 5% 50 $2.00 Dextrose Inj 5% 100 $9.60 Dextrose Inj 5% 50 $19.80 Dextrose Inj 5% 100 $7.60 Dextrose Inj 5% 500 $26.00 Dextrose Inj 5% 1000 $24.00 Dextrose Inj 5% 100 $8.00 Dextrose Inj 5% 250 $26.00 Dextrose Inj 5% 50 $8.40 Dextrose Inj 5% 25 $8.50 Dextrose Inj 5% 50 $8.00 Dextrose Inj 5% 250 $26.00 Dextrose Inj 5% 150 $25.80 Dextrose Inj 5% 100 $8.00 Dextrose Inj 5% 500 $22.00 Dextrose Inj 5% 250 $16.00 Dextrose Inj 5% 50 $6.20 Dextrose Inj 5% 100 $6.40 Dextrose Inj 5% 500 $14.00 Dextrose Inj 5% 250 $10.00 Dextrose Inj 5% 500 $14.00 Dextrose Inj 5% 150 $2.40 Dextrose Inj 5% 250 $2.00 Dextrose Inj 5% 500 $2.00 Dextrose Inj 5% 1000 $16.00 Dextrose Inj 5% 25 $2.00 Dextrose Inj 5% 50 $2.00 Dextrose Inj 5% 100 $8.80 Dextrose Inj 5% 50 $2.00 Dextrose Inj 5% 100 $2.00 Dextrose Inj 5% 50 $9.80 Dextrose Inj 5% 100 $9.60 Dextrose Inj 5% 50 $19.80 Dextrose Inj 5% 100 $7.60 Dextrose Inj 5% 250 $26.00 Dextrose Inj 50% 50 $9.20 Dextrose Inj 50% 50 $29.40 Dextrose Inj 50% 50 $27.20 Dextrose Inj 70% 2000 $64.00 Diatrizoate Meglumine & Sodium Oral Soln 66-10% 30 $66.00 Diatrizoate Meglumine & Sodium Oral Soln 66-10% 30 $77.16 Diazepam Inj 5 MG/ML 2 $64.47 Diazepam Tab 10 MG 0.2 $2.00 Diazepam Tab 2 MG 1 $2.00 Diazepam Tab 2 MG 1 $2.00 Diazepam Tab 5 MG 0.4 $2.00 Diazepam Tab 5 MG 0.4 $2.00 Diazoxide Susp 50 MG/ML 30 $1,106.16 Diclofenac Sodium Gel 1% 100 $202.00 Diclofenac Sodium Ophth Soln 0.1% 2.5 $27.52 Dicloxacillin Sodium Cap 250 MG 1 $2.00 Dicloxacillin Sodium Cap 500 MG 0.5 $2.00 Dicyclomine HCl Cap 10 MG 1 $2.00 Dicyclomine HCl Oral Soln 10 MG/5ML 10 $12.00 Dicyclomine HCl Tab 20 MG 1 $2.00 Dicyclomine HCl Tab 20 MG 1 $2.00 Didanosine Delayed Release Capsule 125 MG 1 $17.55 Didanosine Delayed Release Capsule 200 MG 0.625 $17.55 Didanosine Delayed Release Capsule 250 MG 0.5 $10.83 Didanosine Delayed Release Capsule 250 MG 0.5 $17.89 Didanosine Delayed Release Capsule 400 MG 0.3125 $10.25 Didanosine Delayed Release Capsule 400 MG 0.3125 $17.46 Didanosine For Soln 2 GM 100 $216.00 Didanosine For Soln 4 GM 200 $472.00 Digoxin Immune Fab For Inj 40 MG 1 $13,604.04 Digoxin Inj 0.25 MG/ML 0.5 $4.06 Digoxin Oral Soln 0.05 MG/ML 2.5 $21.81 Digoxin Tab 125 MCG (0.125 MG) 1 $5.29 Digoxin Tab 125 MCG (0.125 MG) 1 $3.78 Digoxin Tab 125 MCG (0.125 MG) 1 $3.09 Digoxin Tab 250 MCG (0.25 MG) 1 $3.78 Digoxin Tab 250 MCG (0.25 MG) 1 $2.99 Digoxin Tab 250 MCG (0.25 MG) 1 $2.79 Dihydroergotamine Mesylate Inj 1 MG/ML 0.5 $207.73 Diltiazem HCl Coated Beads Cap ER 24HR 120 MG 1 $2.00 Diltiazem HCl Coated Beads Cap ER 24HR 180 MG 0.666666667 $2.00 Diltiazem HCl Coated Beads Cap ER 24HR 240 MG 0.5 $5.10 Diltiazem HCl Coated Beads Cap ER 24HR 300 MG 0.4 $2.63 Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML) 25 $15.20 Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML) 25 $23.40 Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML) 5 $7.28 Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML) 5 $6.18 Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML) 5 $8.78 Diltiazem HCl Tab 30 MG 1 $2.00 Diltiazem HCl Tab 30 MG 1 $2.00 Diltiazem HCl Tab 60 MG 0.5 $2.00 Diltiazem HCl Tab 60 MG 0.5 $2.00 Diltiazem HCl Tab 90 MG 0.333333333 $2.00 Dimethyl Sulfoxide Soln 50% 50 $2,410.60 Dinoprostone Vaginal Inserts 10 MG 1 $1,287.64 Dinoprostone Vaginal Suppos 20 MG 1 $2.00 Diph, Acellular Pert & Tet Tox Inj 25 LF-58 MCG-10 LF/0.5ML 0.5 $90.50 Diph-Ac Per-Tet Tox Ad-PolioV-Haemoph B Poly Vac For IM Susp 1 $321.00 Diphenhydramine HCl Cap 25 MG 1 $2.00 Diphenhydramine HCl Cap 25 MG 1 $2.00 Diphenhydramine HCl Cap 50 MG 0.5 $2.00 Diphenhydramine HCl Elixir 12.5 MG/5ML 5 $3.06 Diphenhydramine HCl Elixir 12.5 MG/5ML 10 $3.32 Diphenhydramine HCl Inj 50 MG/ML 1 $3.19 Diphenhydramine HCl Inj 50 MG/ML 1 $2.70 Diphenhydramine HCl Liquid 12.5 MG/5ML 118 $3.30 Diphenoxylate w/ Atropine Tab 2.5-0.025 MG 1 $2.00 Diphenoxylate w/ Atropine Tab 2.5-0.025 MG 1 $2.00 Diph-Tetanus Tox Ad-Acell Pert & Polio Virus, IPV Vac Inj 0.5 $189.15 Diph-Tetanus Tox Ad-Acell Pert & Polio Virus, IPV Vac Inj 0.5 $188.45 Diph-Tetanus Tox-Acell Pert-Hepatitis B-Polio IPV Vac Inj 0.5 $288.65 Diphtheria-Tetanus Tox Adsorbed (DT) IM Inj 25-5 Unit/0.5ML 0.5 $189.36 Dipyridamole IV Soln 5 MG/ML 10 $72.52 Dipyridamole Tab 25 MG 1 $2.00 Dipyridamole Tab 50 MG 0.5 $2.00 Disulfiram Tab 250 MG 1 $10.80 Divalproex Sodium Cap Delayed Release Sprinkle 125 MG 1 $3.09 Divalproex Sodium Cap Delayed Release Sprinkle 125 MG 1 $6.42 Divalproex Sodium Tab Delayed Release 125 MG 1 $2.00 Divalproex Sodium Tab Delayed Release 125 MG 1 $6.64 Divalproex Sodium Tab Delayed Release 250 MG 0.5 $4.00 Divalproex Sodium Tab Delayed Release 250 MG 0.5 $6.52 Divalproex Sodium Tab Delayed Release 500 MG 0.25 $2.00 Divalproex Sodium Tab Delayed Release 500 MG 0.25 $2.00 Divalproex Sodium Tab ER 24 HR 250 MG 1 $5.36 Divalproex Sodium Tab ER 24 HR 500 MG 0.5 $2.00 Divalproex Sodium Tab ER 24 HR 500 MG 0.5 $11.01 Dobutamine HCl Inj 12.5 MG/ML 20 $18.96 Dobutamine HCl Inj 12.5 MG/ML 20 $18.96 Dobutamine Inj 1 MG/ML in D5W 250 $31.00 Dobutamine Inj 1 MG/ML in D5W 250 $15.00 Dobutamine Inj 1 MG/ML in D5W 250 $31.00 Dobutamine Inj 1 MG/ML in D5W 250 $15.00 Dobutamine Inj 2 MG/ML in D5W 250 $46.00 Dobutamine Inj 2 MG/ML in D5W 250 $24.00 Dobutamine Inj 4 MG/ML in D5W 250 $28.00 Docetaxel For Inj Conc 20 MG/ML 1 $366.72 Docetaxel For Inj Conc 20 MG/ML 1 $151.44 Docetaxel For Inj Conc 80 MG/4ML (20 MG/ML) 4 $1,463.60 Docusate Sodium Cap 100 MG 1 $2.00 Docusate Sodium Cap 100 MG 1 $2.00 Docusate Sodium Cap 100 MG 1 $2.00 Docusate Sodium Cap 100 MG 1 $2.00 Docusate Sodium Liquid 150 MG/15ML 5 $2.00 Dofetilide Cap 125 MCG (0.125 MG) 1 $41.57 Dolasetron Mesylate IV Inj 20 MG/ML 5 $580.00 Dolutegravir Sodium Tab 50 MG (Base Equiv) 1 $215.49 Donepezil Hydrochloride Tab 10 MG 0.5 $2.00 Donepezil Hydrochloride Tab 23 MG 1 $56.38 Donepezil Hydrochloride Tab 5 MG 1 $2.00 Donepezil Hydrochloride Tab 5 MG 1 $2.00 Donepezil Hydrochloride Tab 5 MG 1 $2.00 Donepezil Hydrochloride Tab 5 MG 1 $2.00 Dopamine HCl Inj 40 MG/ML 5 $9.06 Dopamine HCl Inj 80 MG/ML 5 $12.22 Dopamine Inj 0.8 MG/ML in D5W 250 $37.00 Dopamine Inj 0.8 MG/ML in D5W 500 $12.00 Dopamine Inj 1.6 MG/ML in D5W 250 $45.00 Dopamine Inj 1.6 MG/ML in D5W 500 $24.00 Dopamine Inj 3.2 MG/ML in D5W 250 $63.00 Dornase Alfa Inhal Soln 1 MG/ML 2.5 $429.61 Dorzolamide HCl Ophth Soln 2% 10 $81.56 Dorzolamide HCl-Timolol Maleate Ophth Soln 22.3-6.8 MG/ML 10 $131.96 Doxazosin Mesylate Tab 1 MG 1 $2.54 Doxazosin Mesylate Tab 1 MG 1 $4.16 Doxazosin Mesylate Tab 1 MG 1 $2.58 Doxazosin Mesylate Tab 1 MG 1 $11.61 Doxazosin Mesylate Tab 2 MG 0.5 $2.08 Doxazosin Mesylate Tab 2 MG 0.5 $8.71 Doxazosin Mesylate Tab 2 MG 0.5 $4.93 Doxazosin Mesylate Tab 4 MG 0.25 $2.00 Doxazosin Mesylate Tab 4 MG 0.25 $3.04 Doxepin HCl Cap 10 MG 1 $2.00 Doxorubicin HCl Inj 2 MG/ML 5 $31.76 Doxorubicin HCl Inj 2 MG/ML 5 $41.48 Doxorubicin HCl Liposomal Inj (For IV Infusion) 2 MG/ML 10 $4,577.92 Doxycycline Hyclate Cap 50 MG 1 $2.07 Doxycycline Hyclate For Inj 100 MG 1 $117.90 Doxycycline Hyclate Tab 100 MG,Doxycycline Hyclate Cap 100 MG 1 $12.20 Doxycycline Hyclate Tab 100 MG,Doxycycline Hyclate Cap 100 MG 1 $10.44 Doxycycline Hyclate Tab 100 MG,Doxycycline Hyclate Cap 100 MG 1 $6.14 Doxycycline Hyclate Tab 100 MG,Doxycycline Hyclate Cap 100 MG 1 $6.82 Doxycycline Hyclate Tab 100 MG,Doxycycline Hyclate Cap 100 MG 1 $9.22 Doxycycline Hyclate Tab 100 MG,Doxycycline Hyclate Cap 100 MG 1 $13.26 Doxycycline Monohydrate For Susp 25 MG/5ML 60 $153.84 Dronabinol Cap 2.5 MG 1 $15.54 Dronedarone HCl Tab 400 MG (Base Equivalent) 1 $39.29 Droperidol Inj 2.5 MG/ML 2 $25.42 Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq) 1 $26.62 Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq) 0.666666667 $18.52 Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq) 0.666666667 $18.52 Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq) 0.333333333 $10.18 Durvalumab Soln for IV Infusion 120 MG/2.4ML (50 MG/ML) 2.4 $3,364.72 Dutasteride Cap 0.5 MG 1 $23.97 Echothiophate Iodide Ophth For Soln 0.125% 5 $354.68 Econazole Nitrate Cream 1% 30 $190.20 Econazole Nitrate Cream 1% 85 $495.04 Eculizumab IV Soln 300 MG/30ML (10 MG/ML) (For Infusion) 60 $52,183.92 Edrophonium Chloride Inj 10 MG/ML 0.1 $2.02 Efavirenz Cap 200 MG 1 $39.29 Efavirenz Cap 200 MG 1 $42.49 Efavirenz Tab 600 MG 1 $127.48 Efavirenz-Emtricitabine-Tenofovir DF Tab 600-200-300 MG 1 $354.13 Elbasvir-Grazoprevir Tab 50-100 MG 1 $973.44 Eletriptan Hydrobromide Tab 20 MG (Base Equivalent) 1 $232.82 Eletriptan Hydrobromide Tab 40 MG (Base Equivalent) 0.5 $116.41 Eletriptan Hydrobromide Tab 40 MG (Base Equivalent) 0.5 $116.41 Elotuzumab For IV Soln 300 MG 1 $7,428.52 Elvitegrav-Cobic-Emtricitab-Tenofov AF Tab 150-150-200-10 MG 1 $382.94 Elvitegrav-Cobic-Emtricitab-TenofovDF Tab 150-150-200-300 MG 1 $401.70 Emtricitabine Caps 200 MG 1 $69.75 Emtricitabine Soln 10 MG/ML 6 $17.45 Emtricitabine-Rilpivirine-Tenofovir AF Tab 200-25-25 MG 1 $348.50 Emtricitabine-Rilpivirine-Tenofovir AF Tab 200-25-25 MG 1 $298.96 Emtricitabine-Rilpivirine-Tenofovir DF Tab 200-25-300 MG 1 $348.50 Emtricitabine-Tenofovir Alafenamide Fumarate Tab 200-25 MG 1 $217.85 Emtricitabine-Tenofovir Disoproxil Fumarate Tab 200-300 MG 1 $217.85 Enalapril Maleate Tab 10 MG 0.25 $2.00 Enalapril Maleate Tab 10 MG 0.25 $2.00 Enalapril Maleate Tab 2.5 MG 1 $2.00 Enalapril Maleate Tab 2.5 MG 1 $2.00 Enalapril Maleate Tab 2.5 MG 1 $2.00 Enalapril Maleate Tab 2.5 MG 1 $2.00 Enalapril Maleate Tab 20 MG 0.125 $2.00 Enalapril Maleate Tab 20 MG 0.125 $2.00 Enalapril Maleate Tab 5 MG 0.5 $2.00 Enalapril Maleate Tab 5 MG 0.5 $2.00 Enalapril Maleate Tab 5 MG 0.5 $2.00 Enalapril Maleate Tab 5 MG 0.5 $2.00 Enalaprilat IV Inj 1.25 MG/ML 1 $9.76 Enalaprilat IV Inj 1.25 MG/ML 1 $10.93 Enfuvirtide For Inj 90 MG 1 $233.06 Enoxaparin Sodium Inj 100 MG/ML 1 $273.89 Enoxaparin Sodium Inj 100 MG/ML 1 $309.49 Enoxaparin Sodium Inj 120 MG/0.8ML 0.8 $294.86 Enoxaparin Sodium Inj 120 MG/0.8ML 0.8 $371.51 Enoxaparin Sodium Inj 150 MG/ML 1 $464.40 Enoxaparin Sodium Inj 30 MG/0.3ML 0.3 $74.33 Enoxaparin Sodium Inj 30 MG/0.3ML 0.3 $92.74 Enoxaparin Sodium Inj 40 MG/0.4ML 0.4 $24.00 Enoxaparin Sodium Inj 40 MG/0.4ML 0.4 $58.84 Enoxaparin Sodium Inj 40 MG/0.4ML 0.4 $118.94 Enoxaparin Sodium Inj 40 MG/0.4ML 0.4 $38.74 Enoxaparin Sodium Inj 40 MG/0.4ML 0.4 $123.65 Enoxaparin Sodium Inj 60 MG/0.6ML 0.6 $185.70 Enoxaparin Sodium Inj 80 MG/0.8ML 0.8 $197.63 Enoxaparin Sodium Inj 80 MG/0.8ML 0.8 $247.60 Entacapone Tab 200 MG 1 $28.83 Entecavir Tab 0.5 MG 1 $171.03 Enzalutamide Cap 40 MG 4 $2.00 Ephedrine Sulfate Inj 50 MG/ML 0.1 $2.00 Ephedrine Sulfate Inj 50 MG/ML 0.1 $14.89 Epinastine HCl Ophth Soln 0.05% 1 $182.51 Epinephrine Inj 1 MG/ML (1:1000) 1 $55.93 Epinephrine PF Inj 1 MG/ML 1 $2.00 Epinephrine PF Inj 1 MG/ML 1 $5.68 Epinephrine PF Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML) 10 $16.84 Epinephrine PF Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML) 10 $29.28 Epinephrine PF Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML) 10 $15.72 Epirubicin HCl IV Soln 50 MG/25ML (2 MG/ML) 25 $156.00 Eplerenone Tab 25 MG 1 $33.24 Epoetin Alfa Inj 10000 Unit/ML 1 $646.62 Epoetin Alfa Inj 10000 Unit/ML 1 $1,003.16 Epoetin Alfa Inj 10000 Unit/ML 1 $1,003.16 Epoetin Alfa Inj 2000 Unit/ML 0.5 $64.66 Epoetin Alfa Inj 2000 Unit/ML 0.5 $100.33 Epoetin Alfa Inj 2000 Unit/ML 0.5 $64.66 Epoetin Alfa Inj 2000 Unit/ML 0.5 $100.33 Epoetin Alfa Inj 2000 Unit/ML 1 $200.65 Epoetin Alfa Inj 20000 Unit/ML 1 $2,006.28 Epoetin Alfa Inj 20000 Unit/ML 1 $1,293.24 Epoetin Alfa Inj 3000 Unit/ML 1 $198.96 Epoetin Alfa Inj 3000 Unit/ML 1 $300.96 Epoetin Alfa Inj 4000 Unit/ML 1 $258.65 Epoetin Alfa Inj 4000 Unit/ML 1 $401.27 Epoetin Alfa Inj 40000 Unit/ML 0.1 $401.26 Epoprostenol Sodium For Inj 1.5 MG 1 $156.48 Eptifibatide IV Soln 20 MG/10ML (2 MG/ML) 10 $649.88 Eptifibatide IV Soln 75 MG/100ML (0.75 MG/ML) 100 $2,034.00 Ergocalciferol Cap 50000 Unit 1 $7.67 Ergocalciferol Cap 50000 Unit 100 $8.00 Ergocalciferol Cap 50000 Unit 1 $2.00 Ergocalciferol Cap 50000 Unit 100 $8.00 Ergocalciferol Soln 8000 Unit/ML 60 $237.36 Eribulin Mesylate Inj 1 MG/2ML (0.5 MG/ML) 2 $4,464.00 Erlotinib HCl Tab 100 MG (Base Equivalent) 1 $971.36 Erlotinib HCl Tab 150 MG (Base Equivalent) 0.666666667 $732.46 Ertapenem Sodium For Inj 1 GM (Base Equivalent) 1 $480.98 Erythromycin Ethylsuccinate For Susp 200 MG/5ML 100 $1,406.40 Erythromycin Ethylsuccinate For Susp 400 MG/5ML 100 $2,473.60 Erythromycin Lactobionate For Inj 500 MG 0.25 $67.45 Erythromycin Lactobionate For Inj 500 MG 0.25 $69.01 Erythromycin Ophth Oint 5 MG/GM 1 $24.77 Erythromycin Ophth Oint 5 MG/GM 1 $16.44 Erythromycin Ophth Oint 5 MG/GM 1 $14.15 Erythromycin Soln 2% 60 $125.28 Erythromycin Tab 250 MG 1 $43.38 Erythromycin Tab Delayed Release 250 MG 1 $27.51 Escitalopram Oxalate Soln 5 MG/5ML (Base Equiv) 240 $1,585.92 Escitalopram Oxalate Soln 5 MG/5ML (Base Equiv) 60 $396.48 Escitalopram Oxalate Tab 10 MG (Base Equiv) 0.5 $16.68 Escitalopram Oxalate Tab 10 MG (Base Equiv) 0.5 $19.59 Escitalopram Oxalate Tab 10 MG (Base Equiv) 0.5 $212.76 Escitalopram Oxalate Tab 10 MG (Base Equiv) 0.5 $2.00 Escitalopram Oxalate Tab 10 MG (Base Equiv) 0.5 $2.00 Escitalopram Oxalate Tab 20 MG (Base Equiv) 0.25 $8.75 Escitalopram Oxalate Tab 20 MG (Base Equiv) 0.25 $10.22 Escitalopram Oxalate Tab 20 MG (Base Equiv) 0.25 $226.35 Escitalopram Oxalate Tab 5 MG (Base Equiv) 1 $37.46 Escitalopram Oxalate Tab 5 MG (Base Equiv) 1 $2.00 Eslicarbazepine Acetate Tab 400 MG 1 $114.36 Eslicarbazepine Acetate Tab 800 MG 1 $114.36 Esmolol HCl Inj 100 MG/10ML 10 $16.44 Esmolol HCl Inj 100 MG/10ML 10 $16.44 Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML 100 $1,883.60 Esmolol HCl-Sodium Chloride IV Soln 2500 MG/250ML 250 $1,748.00 Esomeprazole Magnesium Cap Delayed Release 20 MG (Base Eq) 1 $31.27 Esomeprazole Magnesium Cap Delayed Release 20 MG (Base Eq) 1 $31.27 Esomeprazole Magnesium Cap Delayed Release 40 MG (Base Eq) 0.5 $15.63 Esomeprazole Magnesium Cap Delayed Release 40 MG (Base Eq) 0.5 $15.63 Esomeprazole Magnesium Cap Delayed Release 40 MG (Base Eq) 0.5 $15.98 Esomeprazole Magnesium For Delayed Release Susp Packet 10 MG 1 $33.77 Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv) 1 $166.92 Estradiol Tab 1 MG 0.5 $2.00 Estradiol TD Patch Weekly 0.1 MG/24HR 1 $92.82 Estradiol Vaginal Cream 0.1 MG/GM 2 $55.39 Estradiol Vaginal Tab 10 MCG 1 $79.52 Estrogens, Conjugated For Inj 25 MG 1 $1,109.56 Estrogens, Conjugated Tab 0.3 MG 1 $20.02 Estrogens, Conjugated Tab 0.625 MG 1 $20.02 Estrogens, Conjugated Tab 1.25 MG 0.24 $4.80 Estrogens, Conjugated Vaginal Cream 0.625 MG/GM 30 $1,329.96 Etelcalcetide HCl IV Solution 5 MG/ML (Base Equiv) 0.5 $327.00 Ethacrynate Sodium For Inj 50 MG 1 $18,746.80 Ethacrynic Acid Tab 25 MG 1 $91.38 Ethambutol HCl Tab 100 MG 8 $9.44 Ethambutol HCl Tab 400 MG 2 $3.37 Ethambutol HCl Tab 400 MG 2 $3.96 Ethyl Chloride Aerosol Spray 103.5 $113.02 Etidronate Disodium Tab 200 MG 1 $9.24 Etomidate IV Soln 2 MG/ML 20 $22.80 Etomidate IV Soln 2 MG/ML 10 $10.80 Etomidate IV Soln 2 MG/ML 10 $12.84 Etonogestrel Subdermal Implant 68 MG 1 $3,086.08 Etoposide Cap 50 MG 1 $281.61 Etoposide Inj 1 GM/50ML (20 MG/ML) 50 $351.20 Etoposide Inj 100 MG/5ML (20 MG/ML) 5 $24.78 Etoposide Phosphate IV For Inj 100 MG (Base Equivalent) 1 $549.68 Etravirine Tab 100 MG 2 $82.50 Exemestane Tab 25 MG 1 $28.31 Ezetimibe Tab 10 MG 1 $36.38 Ezetimibe Tab 10 MG 1 $36.38 Ezetimibe Tab 10 MG 1 $36.40 Ezetimibe Tab 10 MG 1 $42.99 Famotidine in NaCl 0.9% IV Soln 20 MG/50ML 50 $17.80 Famotidine Inj 20 MG/2ML 2 $2.61 Famotidine Tab 20 MG 1 $2.00 Famotidine Tab 20 MG 1 $2.00 Famotidine Tab 20 MG 1 $2.00 Famotidine Tab 40 MG 0.25 $2.00 Famotidine Tab 40 MG 0.25 $2.00 Fat Emulsion IV Soln 20% 500 $134.00 Febuxostat Tab 40 MG 1 $39.93 Fenofibrate Tab 145 MG 0.331034483 $2.00 Fenofibrate Tab 48 MG 1 $2.16 Fenofibrate Tab 48 MG 1 $4.09 Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative2 $4.56 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative5 $6.84 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative2 $5.55 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative5 $7.94 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate20 Preservative$28.80 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate20 Preservative$20.00 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative2 $4.56 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative5 $6.84 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative2 $5.55 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative5 $7.94 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate20 Preservative$28.80 Free (PF) Inj 250 MCG,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG Fentanyl Citrate-NaCl PF 0.9% IV Soln 2 MG/100ML (20 MCG/ML) 100 $3,745.60 Fentanyl Citrate-NaCl PF 0.9% IV Soln 2 MG/100ML (20 MCG/ML) 100 $3,745.60 Fentanyl Citrate-NaCl PF 0.9% IV Soln 2 MG/100ML (20 MCG/ML) 100 $3,745.60 Fentanyl TD Patch 72HR 100 MCG/HR 1 $105.22 Fentanyl TD Patch 72HR 100 MCG/HR 1 $46.89 Fentanyl TD Patch 72HR 25 MCG/HR 1 $19.35 Fentanyl TD Patch 72HR 25 MCG/HR 1 $17.46 Fentanyl TD Patch 72HR 50 MCG/HR 1 $27.79 Fentanyl TD Patch 72HR 75 MCG/HR 1 $38.05 Ferric Carboxymaltose IV Soln 750 MG/15ML (Fe Equivalent) 15 $3,711.24 Ferric Subsulfate Soln 259 MG/GM 8 $53.09 Ferrous Sulfate Elixir 220 MG/5ML (44 MG/5ML Elemental Fe) 473 $13.24 Ferrous Sulfate Soln 75 MG/ML (15 MG/ML Elemental Fe) 50 $17.00 Ferrous Sulfate Soln 75 MG/ML (15 MG/ML Elemental Fe) 50 $17.00 Ferrous Sulfate Syrup 300 MG/5ML (60 MG/5ML Elemental Fe) 5 $2.00 Ferrous Sulfate Tab 325 MG (65 MG Elemental Fe) 1 $2.00 Ferrous Sulfate Tab EC 324 MG (65 MG Fe Equivalent) 1 $2.00 Fibrin Sealant Component Kit 5 ML 5 $300.00 Filgrastim Inj 300 MCG/ML 1 $1,227.85 Filgrastim Soln Prefilled Syringe 300 MCG/0.5ML 0.5 $1,258.28 Filgrastim Soln Prefilled Syringe 300 MCG/0.5ML 0.5 $1,301.45 Filgrastim Soln Prefilled Syringe 480 MCG/0.8ML (600 MCG/ML) 0.8 $2,003.83 Filgrastim Soln Prefilled Syringe 480 MCG/0.8ML (600 MCG/ML) 0.8 $2,072.56 Filgrastim-sndz Soln Prefilled Syringe 300 MCG/0.5ML 0.5 $784.92 Filgrastim-sndz Soln Prefilled Syringe 300 MCG/0.5ML 0.5 $784.10 Filgrastim-sndz Soln Prefilled Syringe 480 MCG/0.8ML 0.8 $1,249.96 Filgrastim-sndz Soln Prefilled Syringe 480 MCG/0.8ML 0.8 $1,248.64 Finasteride Tab 5 MG 1 $17.61 Finasteride Tab 5 MG 1 $3.80 Finasteride Tab 5 MG 1 $2.00 Finasteride Tab 5 MG 1 $2.00 Finasteride Tab 5 MG 1 $3.80 Finasteride Tab 5 MG 1 $2.62 Flecainide Acetate Tab 100 MG 1 $5.65 Flecainide Acetate Tab 50 MG 1 $2.98 Fluconazole For Susp 10 MG/ML 35 $90.58 Fluconazole For Susp 10 mg/mL 20 $51.76 Fluconazole For Susp 40 MG/ML 35 $329.00 Fluconazole in NaCL 0.9% Inj 200 mg/100 mL 1 $2.00 Fluconazole in NaCl 0.9% Inj 200 MG/100ML 100 $20.40 Fluconazole in NaCl 0.9% Inj 200 MG/100ML 100 $33.60 Fluconazole in NaCl 0.9% Inj 400 MG/200ML 200 $13.60 Fluconazole in NaCl 0.9% Inj 400 MG/200ML 200 $52.00 Fluconazole Tab 100 MG 0.5 $3.25 Fluconazole Tab 100 MG 0.5 $2.32 Fluconazole Tab 100 MG 0.5 $2.00 Fluconazole Tab 200 MG 0.25 $2.67 Fluconazole Tab 200 MG 0.25 $2.67 Fluconazole Tab 50 MG 1 $4.15 Flucytosine Cap 250 MG 1 $169.12 Flucytosine Cap 500 MG 2 $2.00 Fludarabine Phosphate Inj 25 MG/ML 2 $281.32 Fludarabine Phosphate Inj 25 MG/ML 2 $281.32 Fludrocortisone Acetate Tab 0.1 MG 0.5 $2.00 Fludrocortisone Acetate Tab 0.1 MG 0.5 $2.00 Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML) 2 $4.62 Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML) 2 $4.62 Flunisolide Nasal Soln 25 MCG/ACT (0.025%) 25 $150.50 Fluocinolone Acetonide Cream 0.01% 60 $425.76 Fluocinolone Acetonide Cream 0.025% 15 $93.24 Fluocinolone Acetonide Oint 0.025% 15 $99.90 Fluocinolone Acetonide Oint 0.025% 60 $299.76 Fluocinolone Acetonide Shampoo 0.01% 120 $1,452.48 Fluocinolone Acetonide Soln 0.01% 60 $78.48 Fluocinonide Cream 0.05% 15 $93.48 Fluocinonide Emulsified Base Cream 0.05% 60 $422.88 Fluocinonide Oint 0.05% 30 $304.80 Fluocinonide Oint 0.05% 60 $609.60 Fluocinonide Soln 0.05% 20 $154.64 Fluorescein Sodium IV Soln 10% 5 $174.14 Fluorescein Sodium IV Soln 10% 5 $110.92 Fluorescein Sodium Ophth Strips 1 MG 1 $2.00 Fluorometholone Ophth Susp 0.1% 5 $341.00 Fluorometholone Ophth Susp 0.1% 15 $708.54 Fluorouracil IV Soln 2.5 GM/50ML (50 MG/ML) 50 $63.80 Fluorouracil IV Soln 5 GM/100ML (50 MG/ML) 100 $122.40 Fluorouracil IV Soln 5 GM/100ML (50 MG/ML) 100 $96.00 Fluorouracil IV Soln 500 MG/10ML (50 MG/ML) 10 $19.80 Fluorouracil IV Soln 500 MG/10ML (50 MG/ML) 10 $11.16 Fluoxetine HCl Cap 10 MG 1 $2.00 Fluoxetine HCl Cap 20 MG 0.5 $2.00 Fluoxetine HCl Cap 40 MG 0.25 $2.00 Fluoxetine HCl Solution 20 MG/5ML 2.5 $9.60 Fluoxetine HCl Solution 20 MG/5ML 120 $48.00 Fluoxetine HCl Solution 20 MG/5ML 5 $19.20 Fluoxetine HCl Solution 20 MG/5ML 120 $25.92 Fluphenazine Decanoate Inj 25 MG/ML 0.5 $37.75 Fluphenazine HCl Elixir 2.5 MG/5ML 60 $80.88 Fluphenazine HCl Inj 2.5 MG/ML 0.5 $34.19 Fluphenazine HCl Oral Conc 5 MG/ML 2 $6.22 Fluphenazine HCl Tab 1 MG 1 $2.00 Fluphenazine HCl Tab 10 MG 0.1 $2.00 Fluphenazine HCl Tab 10 MG 0.1 $2.00 Fluphenazine HCl Tab 2.5 MG 0.4 $2.00 Fluphenazine HCl Tab 5 MG 0.2 $2.00 Flurbiprofen Sodium Ophth Soln 0.03% 2.5 $149.88 Flurbiprofen Sodium Ophth Soln 0.03% 2.5 $17.84 Flurbiprofen Sodium Ophth Soln 0.03% 2.5 $18.00 Flutamide Cap 125 MG 1 $8.37 Fluticasone Furoate Nasal Susp 27.5 MCG/SPRAY 10 $721.04 Fluticasone Furoate-Vilanterol Aero Powd BA 100-25 MCG/INH 0.01 $2.00 Fluticasone Furoate-Vilanterol Aero Powd BA 200-25 MCG/INH 1 $17.54 Fluticasone Propionate HFA Inhal Aer 220 MCG/ACT (250/Valve) 12 $1,412.74 Fluticasone Propionate Nasal Susp 50 MCG/ACT 16 $107.33 Fluticasone-Salmeterol Aer Powder BA 100-50 MCG/DOSE 1 $40.52 Fluticasone-Salmeterol Aer Powder BA 250-50 MCG/DOSE 1 $40.52 Fluticasone-Salmeterol Aer Powder BA 500-50 MCG/DOSE 1 $66.04 Fluvoxamine Maleate Tab 100 MG 1 $2.00 Fluvoxamine Maleate Tab 50 MG 0.5 $2.00 Folic Acid Inj 5 MG/ML 0.2 $3.45 Folic Acid Tab 1 MG 1 $2.00 Folic Acid Tab 1 MG 1 $2.00 Folic Acid Tab 1 MG 1 $2.00 Folic Acid Tab 1 MG 1 $2.00 Folic Acid Tab 1 MG 1 $2.00 Fomepizole Inj 1 GM/ML (For IV Infusion) 1.5 $4,094.92 Fomepizole Inj 1 GM/ML (For IV Infusion) 1.5 $4,094.92 Fondaparinux Sodium Subcutaneous Inj 10 MG/0.8ML 0.8 $215.27 Fondaparinux Sodium Subcutaneous Inj 2.5 MG/0.5ML 0.5 $298.32 Fondaparinux Sodium Subcutaneous Inj 2.5 MG/0.5ML 0.5 $298.32 Fondaparinux Sodium Subcutaneous Inj 5 MG/0.4ML 0.4 $177.46 Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML 0.6 $177.70 Fosamprenavir Calcium Susp 50 MG/ML (Base Equiv) 14 $43.06 Fosamprenavir Calcium Tab 700 MG (Base Equiv) 1 $75.31 Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq) 1 $1,120.72 Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML) 250.002 $1,767.01 Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent) 1 $303.40 Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv) 2 $17.90 Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv) 10 $183.44 Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv) 10 $84.08 Fulvestrant Inj 250 MG/5ML 10 $7,450.56 Furosemide Inj 10 MG/ML 2 $15.38 Furosemide Inj 10 MG/ML 4 $10.77 Furosemide Inj 10 MG/ML 10 $11.44 Furosemide Inj 10 MG/ML 4 $13.49 Furosemide Inj 10 MG/ML 10 $77.00 Furosemide Inj 10 MG/ML 10 $11.44 Furosemide Inj 10 MG/ML 10 $21.48 Furosemide Inj 10 MG/ML 10 $8.60 Furosemide Inj 10 MG/ML 10 $61.00 Furosemide Inj 10 MG/ML 10 $12.36 Furosemide Inj 10 MG/ML 10 $26.92 Furosemide Inj 10 MG/ML 10 $10.80 Furosemide Inj 10 MG/ML 10 $11.44 Furosemide Inj 10 MG/ML 10 $77.00 Furosemide Oral Soln 10 MG/ML 4 $2.00 Furosemide Oral Soln 8 MG/ML 2.5 $2.00 Furosemide Tab 20 MG 0.5 $2.00 Furosemide Tab 20 MG 0.5 $2.00 Furosemide Tab 20 MG 0.5 $2.00 Furosemide Tab 20 MG 0.5 $2.00 Furosemide Tab 20 MG 0.5 $2.00 Furosemide Tab 40 MG 0.25 $2.00 Furosemide Tab 40 MG 0.25 $2.00 Furosemide Tab 40 MG 0.25 $2.00 Furosemide Tab 40 MG 0.25 $2.00 Furosemide Tab 40 MG 0.25 $2.00 Furosemide Tab 40 MG 0.25 $2.00 Furosemide Tab 40 MG 0.25 $2.00 Furosemide Tab 80 MG 0.125 $2.00 Furosemide Tab 80 MG 0.125 $2.00 Furosemide Tab 80 MG 0.125 $2.00 Furosemide Tab 80 MG 0.125 $2.00 Gabapentin Cap 100 MG 1 $2.00 Gabapentin Cap 100 MG 1 $2.00 Gabapentin Cap 100 MG 1 $2.00 Gabapentin Cap 100 MG 1 $7.94 Gabapentin Cap 300 MG 0.333333333 $2.00 Gabapentin Cap 300 MG 0.333333333 $2.00 Gabapentin Cap 300 MG 0.333333333 $7.40 Gabapentin Cap 400 MG 0.25 $2.00 Gabapentin Cap 400 MG 0.25 $2.00 Gabapentin Oral Soln 250 MG/5ML 120 $151.20 Gabapentin Oral Soln 250 MG/5ML 473 $595.98 Gabapentin Tab 600 MG 1 $7.30 Gabapentin Tab 600 MG 1 $2.72 Gabapentin Tab 800 MG 0.75 $25.18 Gabapentin Tab 800 MG 0.75 $2.25 Gadobenate Dimeglumine IV Soln 529 MG/ML 10 $111.76 Gadobenate Dimeglumine IV Soln 529 MG/ML 10 $111.80 Gadodiamide IV Soln 287 MG/ML 10 $212.56 Gadoteridol IV Soln 279.3 MG/ML (0.5 MMOL/ML) 10 $100.56 Gadoteridol IV Soln 279.3 MG/ML (0.5 MMOL/ML) 20 $201.12 Gadoversetamide Inj 330.9 MG/ML (0.5 MMOL/ML) 10 $120.00 Galantamine Hydrobromide Cap ER 24HR 16 MG 1 $16.62 Galantamine Hydrobromide Oral Soln 4 MG/ML 100 $1,120.00 Galantamine Hydrobromide Tab 12 MG 0.333333333 $2.83 Galantamine Hydrobromide Tab 12 MG 0.333333333 $4.14 Galantamine Hydrobromide Tab 4 MG 1 $8.12 Galantamine Hydrobromide Tab 4 MG 1 $12.41 Galantamine Hydrobromide Tab 4 MG 1 $10.90 Galantamine Hydrobromide Tab 8 MG 0.5 $2.78 Galantamine Hydrobromide Tab 8 MG 0.5 $6.21 Gallium Citrate Ga 67 IV Soln 2 mCi/ML 1 $188.80 Ganciclovir Ophth Gel 0.15% 5 $1,238.84 Ganciclovir Sodium For Inj 500 MG 1 $363.60 Gelatin Absorbable Sponge 100 CM 1 $122.05 Gelatin Absorbable Sponge 12-7 MM 1 $25.23 Gelatin Absorbable Sponge Size 100 1 $141.03 Gelatin Absorbable Sponge Size 100 1 $122.05 Gemcitabine HCl Inj 1 GM/26.3ML (38 MG/ML) (Base Equiv) 26.3 $161.80 Gemcitabine HCl Inj 200 MG/5.26ML (38 MG/ML) (Base Equiv) 5.26 $32.36 Gemfibrozil Tab 600 MG 1 $2.00 Gemfibrozil Tab 600 MG 1 $2.00 Gentamicin in Saline Inj 0.8 MG/ML 100 $12.80 Gentamicin in Saline Inj 1 MG/ML 100 $6.80 Gentamicin in Saline Inj 1.2 MG/ML 50 $11.80 Gentamicin in Saline Inj 1.2 MG/ML 50 $3.60 Gentamicin in Saline Inj 1.2 MG/ML 50 $3.60 Gentamicin Sulfate Inj 10 MG/ML 2 $14.66 Gentamicin Sulfate Inj 40 MG/ML 2 $5.12 Gentamicin Sulfate Inj 40 MG/ML 2 $7.57 Gentamicin Sulfate Oint 0.1% 30 $428.04 Gentamicin Sulfate Ophth Oint 0.3% 3.5 $105.99 Gentamicin Sulfate Ophth Soln 0.3% 5 $76.68 Gentamicin Sulfate Ophth Soln 0.3% 5 $174.24 Gentamicin Sulfate Ophth Soln 0.3% 15 $242.94 Gentamicin Sulfate Ophth Soln 0.3% 5 $51.32 Gentian Violet Soln 1% 59 $21.71 Glatiramer Acetate Soln Prefilled Syringe 20 MG/ML 1 $924.82 Glatiramer Acetate Soln Prefilled Syringe 40 MG/ML 1 $1,895.40 Glatiramer Acetate Soln Prefilled Syringe 40 MG/ML 1 $1,855.55 Glimepiride Tab 1 MG 1 $2.00 Glimepiride Tab 1 MG 1 $2.00 Glimepiride Tab 1 MG 1 $4.97 Glimepiride Tab 2 MG 0.5 $2.00 Glimepiride Tab 2 MG 0.5 $2.00 Glimepiride Tab 4 MG 0.25 $2.00 Glimepiride Tab 4 MG 0.25 $2.00 Glipizide Tab 10 MG 0.5 $2.00 Glipizide Tab 5 MG 1 $2.00 Glipizide Tab ER 24HR 10 MG 0.25 $2.00 Glipizide Tab ER 24HR 2.5 MG 1 $2.00 Glipizide Tab ER 24HR 2.5 MG 1 $2.71 Glipizide Tab ER 24HR 2.5 MG 1 $3.26 Glipizide Tab ER 24HR 5 MG 0.5 $2.00 Glipizide Tab ER 24HR 5 MG 0.5 $2.00 Glipizide Tab ER 24HR 5 MG 0.5 $2.00 Glucagon HCl (rDNA) Diagnostic For Inj 1 MG (Base Equiv) 1 $636.64 Glucagon HCl (rDNA) Diagnostic For Inj 1 MG (Base Equiv) 1 $556.08 Glucagon HCl (rDNA) For Inj 1 MG (Base Equiv) 0.5 $507.42 Glucose (Tolerance Test) Liquid 300 $4.80 Glucose Gel 77.4% 31 $16.24 Glucose Gel 77.4% 31 $16.24 Glyburide Tab 2.5 MG 0.5 $2.00 Glyburide Tab 2.5 MG 0.5 $2.00 Glyburide Tab 2.5 MG 0.5 $2.00 Glyburide Tab 5 MG 0.25 $2.00 Glyburide Tab 5 MG 0.25 $2.00 Glycerin Suppos 1.2 GM 1 $2.00 Glycerin Suppos 2.1 GM 1 $2.00 Glycopyrrolate Inj 0.2 MG/ML 0.5 $21.36 Glycopyrrolate Inj 0.2 MG/ML 0.5 $21.36 Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML) 0.5 $21.36 Goserelin Acetate Implant 3.6 MG 1 $2,420.00 Granisetron HCl Inj 0.1 MG/ML 1 $12.10 Granisetron HCl Inj 1 MG/ML 1 $21.56 Granisetron HCl Inj 4 MG/4ML (1 MG/ML) 4 $45.70 Granisetron HCl Tab 1 MG 1 $27.33 Granisetron HCl Tab 1 MG 1 $9.43 Griseofulvin Microsize Susp 125 MG/5ML 120 $123.84 Guaifenesin Liquid 100 MG/5ML 5 $10.30 Guaifenesin Liquid 100 MG/5ML 5 $10.30 Guaifenesin Syrup 100 MG/5ML 118 $2.83 Guanfacine HCl Tab 1 MG 1 $2.00 Guanfacine HCl Tab 2 MG 0.5 $2.00 Guanfacine HCl Tab ER 24HR 1 MG (Base Equiv) 1 $36.32 Guanfacine HCl Tab ER 24HR 2 MG (Base Equiv) 1 $36.32 Haemophilus B Polysac Conj-Hepatitis B (Recomb) Vac IM Susp 0.5 $2.00 Haemophilus B Polysaccharide Conj Vac IM Susp 7.5 MCG/0.5 ML 0.5 $98.26 Haemophilus B Polysaccharide Conjugate Vac For Inj 10 MCG 1 $91.32 Haemophilus B Polysaccharide Conjugate Vac For Inj 10 MCG 1 $39.64 Haemophilus B Polysaccharide Conjugate Vaccine For Inj 1 $107.06 Haloperidol Decanoate IM Soln 100 MG/ML 1 $150.58 Haloperidol Decanoate IM Soln 100 MG/ML 1 $148.00 Haloperidol Decanoate IM Soln 100 MG/ML 1 $148.03 Haloperidol Decanoate IM Soln 50 MG/ML 0.5 $40.37 Haloperidol Decanoate IM Soln 50 MG/ML 0.5 $41.27 Haloperidol Lactate Inj 5 MG/ML 0.1 $2.00 Haloperidol Lactate Inj 5 MG/ML 0.1 $0.35 Haloperidol Lactate Inj 5 MG/ML 0.1 $3.08 Haloperidol Lactate Oral Conc 2 MG/ML 1 $2.00 Haloperidol Tab 0.5 MG 1 $2.00 Haloperidol Tab 0.5 MG 1 $2.00 Haloperidol Tab 0.5 MG 1 $2.00 Haloperidol Tab 1 MG 1 $2.00 Haloperidol Tab 1 MG 1 $2.00 Haloperidol Tab 10 MG 0.1 $2.00 Haloperidol Tab 10 MG 0.1 $2.00 Haloperidol Tab 10 MG 0.1 $2.00 Haloperidol Tab 10 MG 0.1 $2.00 Haloperidol Tab 10 MG 0.1 $2.00 Haloperidol Tab 2 MG 0.5 $2.00 Haloperidol Tab 2 MG 0.5 $2.00 Haloperidol Tab 5 MG 0.2 $2.00 Haloperidol Tab 5 MG 0.2 $2.00 Haloperidol Tab 5 MG 0.2 $2.00 Haloperidol Tab 5 MG 0.2 $2.00 Haloperidol Tab 5 MG 0.2 $2.00 Haloperidol Tab 5 MG 0.2 $2.00 Heparin Sodium (Porcine) 100 Unit/ML in D5W 250 $31.00 Heparin Sodium (Porcine) 100 Unit/ML in D5W 250 $34.00 Heparin Sodium (Porcine) 100 Unit/ML in D5W 250 $34.00 Heparin Sodium (Porcine) Inj 1000 Unit/ML 1 $4.11 Heparin Sodium (Porcine) Inj 1000 Unit/ML 1 $2.00 Heparin Sodium (Porcine) Inj 1000 Unit/ML 1 $5.16 Heparin Sodium (Porcine) Inj 1000 Unit/ML 1 $2.00 Heparin Sodium (Porcine) Inj 1000 Unit/ML 1 $6.21 Heparin Sodium (Porcine) Inj 1000 Unit/ML 10 $6.88 Heparin Sodium (Porcine) Inj 1000 Unit/ML 10 $9.28 Heparin Sodium (Porcine) Inj 5000 Unit/ML 1 $3.24 Heparin Sodium (Porcine) Inj 5000 Unit/ML 1 $5.10 Heparin Sodium (Porcine) Inj 5000 Unit/ML 1 $13.76 Heparin Sodium (Porcine) Inj 5000 Unit/ML 1 $3.52 Heparin Sodium (Porcine) Inj 5000 Unit/ML 1 $7.10 Heparin Sodium (Porcine) Lock Flush IV Soln 10 Unit/ML 1 $2.00 Heparin Sodium (Porcine) Lock Flush IV Soln 10 Unit/ML 1 $2.00 Heparin Sodium (Porcine) Lock Flush IV Soln 10 Unit/ML 1 $2.00 Heparin Sodium (Porcine) Lock Flush IV Soln 10 Unit/ML 1 $2.00 Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML 1 $2.00 Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML 1 $2.00 Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML 1 $10.47 Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML 1 $2.00 Hepatitis A (Inact)-Hep B (Recomb) Vac Inj 720-20 ELU-MCG/ML 1 $374.82 Hepatitis A (Inact)-Hep B (Recomb) Vac Inj 720-20 ELU-MCG/ML 1 $364.24 Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML 1 $250.79 Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML 1 $243.69 Hepatitis A Vaccine Inj Susp 25 Unit/0.5ML 0.5 $122.28 Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML 0.5 $122.12 Hepatitis B Immune Globulin (Human) IM Inj Soln 3 $1,945.68 Hepatitis B Vaccine (Recombinant) Susp 10 MCG/0.5ML 0.5 $88.14 Hepatitis B Vaccine (Recombinant) Susp 10 MCG/0.5ML 0.5 $86.37 Hepatitis B Vaccine (Recombinant) Susp 10 MCG/ML 0.5 $114.53 Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML 1 $214.22 Hetastarch in Lactated Electrolyte Inj 6% 500 $244.00 Hetastarch in Sodium Chloride Inj 6-0.9% 500 $82.00 Homatropine HBr Ophth Soln 5% 5 $70.64 Human Papillomavirus (HPV) 9-Valent Recomb Vac IM Susp 0.5 $811.85 Human Papillomavirus (HPV) 9-Valent Recomb Vac IM Susp 0.5 $679.32 Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr 0.5 $811.85 Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr 0.5 $685.10 Hyaluronidase Human Inj 150 Unit/ML 1 $206.65 Hydralazine HCl Inj 20 MG/ML 1 $44.82 Hydralazine HCl Tab 10 MG 1 $2.00 Hydralazine HCl Tab 10 MG 1 $2.00 Hydralazine HCl Tab 25 MG 0.4 $2.00 Hydralazine HCl Tab 25 MG 0.4 $2.00 Hydralazine HCl Tab 25 MG 0.4 $2.00 Hydralazine HCl Tab 25 MG 0.4 $2.00 Hydralazine HCl Tab 50 MG 0.2 $2.00 Hydralazine HCl Tab 50 MG 0.2 $2.00 Hydralazine HCl Tab 50 MG 0.2 $2.00 Hydralazine HCl Tab 50 MG 0.2 $2.00 Hydrochlorothiazide Cap 12.5 MG 1 $2.00 Hydrochlorothiazide Cap 12.5 MG 1 $2.00 Hydrochlorothiazide Tab 12.5 mg 1 $2.00 Hydrochlorothiazide Tab 25 MG 1 $2.00 Hydrochlorothiazide Tab 25 MG 1 $2.00 Hydrochlorothiazide Tab 50 MG 0.5 $2.00 Hydrocortisone Acetate Suppos 25 MG 1 $43.95 Hydrocortisone Cream 1% 28.35 $15.65 Hydrocortisone Cream 2.5% 30 $11.64 Hydrocortisone Enema 100 MG/60ML 60 $18.72 Hydrocortisone Oint 1% 28.35 $20.19 Hydrocortisone Oint 1% 28.35 $15.99 Hydrocortisone Oint 2.5% 20 $8.64 Hydrocortisone Rectal Cream 2.5% 30 $260.04 Hydrocortisone Sodium Succinate For Inj 100 MG 0.5 $3.82 Hydrocortisone Sodium Succinate PF For Inj 100 MG 0.5 $25.00 Hydrocortisone Sodium Succinate PF For Inj 250 MG 0.5 $46.34 Hydrocortisone Sodium Succinate PF For Inj 250 MG 0.5 $46.43 Hydrocortisone Tab 10 MG 0.5 $2.00 Hydrocortisone Tab 5 MG 0.5 $2.00 Hydrocortisone Valerate Cream 0.2% 15 $244.50 Hydrocortisone Valerate Cream 0.2% 60 $452.88 Hydromorphone HCl Inj 2 MG/ML 0.25 $2.00 Hydromorphone HCl Inj 2 MG/ML 0.25 $2.00 hydromorphone hcl inj 2 mg/ml,,Hydromorphone HCl-Sodium Chloride 0.9%100 IV Soln$42.80 20 MG/100ML hydromorphone hcl inj 2 mg/ml,,Hydromorphone HCl-Sodium Chloride 0.9%100 IV Soln$42.80 20 MG/100ML Hydromorphone HCl Tab 2 MG 1 $2.00 Hydromorphone HCl Tab 4 MG 0.5 $2.00 Hydromorphone HCl-Sodium Chloride 0.9% IV Soln 20 MG/100ML 100 $42.80 Hydromorphone HCl-Sodium Chloride 0.9% IV Soln 20 MG/100ML 100 $42.80 Hydromorphone HCl-Sodium Chloride 0.9% IV Soln 20 MG/100ML 100 $42.80 Hydrophilic Ointment 113 $9.94 Hydroxocobalamin (Antidote) For IV Soln 5 GM 1 $3,193.24 Hydroxychloroquine Sulfate Tab 200 MG 1 $11.12 Hydroxyethyl Starch 6% in Sodium Chloride 0.9% IV Soln 500 $262.00 Hydroxyurea Cap 500 MG 1 $3.31 Hydroxyurea Cap 500 MG 1 $2.06 Hydroxyzine HCl IM Soln 50 MG/ML 1 $44.33 Hydroxyzine HCl IM Soln 50 MG/ML 2 $51.34 Hydroxyzine HCl Syrup 10 MG/5ML 60 $10.08 Hydroxyzine HCl Syrup 10 MG/5ML 5 $2.00 Hydroxyzine HCl Syrup 10 MG/5ML 473 $79.46 Hydroxyzine HCl Tab 10 MG 1 $2.00 Hydroxyzine HCl Tab 25 MG 0.4 $2.00 Hydroxyzine HCl Tab 25 MG 0.4 $2.00 Hydroxyzine HCl Tab 25 MG 0.4 $2.00 Hydroxyzine HCl Tab 50 MG 0.2 $2.00 Hydroxyzine HCl Tab 50 MG 0.2 $2.00 Ibandronate Sodium IV Soln 3 MG/3ML (Base Equivalent) 3 $1,971.64 Ibuprofen Susp 100 MG/5ML 5 $2.72 Ibuprofen Susp 100 MG/5ML 5 $2.48 Ibuprofen Tab 400 MG 0.5 $2.00 Ibuprofen Tab 400 MG 0.5 $2.00 Ibuprofen Tab 400 MG 0.5 $2.00 Ibuprofen Tab 600 MG 0.333333333 $2.00 Ibutilide Fumarate Inj 1 MG/10ML 10 $921.88 Ibutilide Fumarate Inj 1 MG/10ML 10 $901.72 Ibutilide Fumarate Inj 1 MG/10ML 10 $1,690.56 Idarubicin HCl IV Inj 5 MG/5ML (1 MG/ML) 5 $233.60 Idarucizumab IV Soln 2.5 GM/50ML 100 $13,930.00 Ifosfamide IV Inj 1 GM/20ML (50 MG/ML) 20 $135.20 Imatinib Mesylate Tab 100 MG (Base Equivalent) 1 $365.19 Imatinib Mesylate Tab 400 MG (Base Equivalent) 1 $1,288.25 Imipenem-Cilastatin Intravenous For Soln 250 MG 1 $47.82 Imipenem-Cilastatin Intravenous For Soln 250 MG 1 $46.69 Imipenem-Cilastatin Intravenous For Soln 500 MG 1 $122.06 Imipenem-Cilastatin Intravenous For Soln 500 MG 1 $36.03 Imipenem-Cilastatin Intravenous For Soln 500 MG 1 $95.51 Imipenem-Cilastatin Intravenous For Soln 500 MG 1 $93.42 Imipramine HCl Tab 10 MG 1 $2.00 Imipramine HCl Tab 25 MG 0.4 $2.00 Imipramine HCl Tab 50 MG 0.2 $2.00 Imiquimod Cream 5% 1 $22.04 Imiquimod Cream 5% 1 $16.44 Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML 100 $3,738.80 Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML 200 $7,477.60 Indinavir Sulfate Cap 200 MG 2 $9.90 Indinavir Sulfate Cap 400 MG 1 $9.90 Indomethacin Cap 25 MG 1 $2.00 Indomethacin Cap 25 MG 1 $2.00 Indomethacin Cap 50 MG 0.5 $2.00 Indomethacin Sodium IV For Soln 1 MG 1 $1,977.36 Indomethacin Suppos 50 MG 1 $317.76 Infliximab For IV Inj 100 MG 1 $4,904.84 Influenza Vac Recomb HA Quad PF Soln Pref Syr 0.5 ML 0.5 $175.67 Influenza Virus Vac Recombinant Hemagglutinin (HA) PF Inj 0.5 $131.00 Influenza Virus Vac Recombinant Hemagglutinin (HA) PF Inj 0.5 $131.00 Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML 0.5 $175.67 Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML 0.5 $178.52 Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.25 ML 0.25 $66.56 Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.25 ML 0.25 $66.15 Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.5ML 0.5 $66.54 Influenza Virus Vac Split Quadrivalent Susp Pref Syr 0.5ML 0.5 $66.15 Influenza Virus Vaccine Split Preservative Free Inj 0.25 $36.00 Influenza Virus Vaccine Split Quadrivalent IM Inj 0.5 $61.52 Influenza Virus Vaccine Split Quadrivalent Inj 0.5 ML 0.5 $66.15 Influenza Virus Vaccine Split Quadrivalent Inj 0.5 ML 0.5 $66.56 Insulin Detemir Inj 100 Unit/ML 10 $282.04 Insulin Glargine Inj 100 Unit/ML 0.1 $10.02 Insulin Lispro (Human) Inj 100 Unit/ML 0 $7.50 Insulin Lispro (Human) Inj 100 Unit/ML 0.01 $7.76 Insulin Lispro (Human) Inj 100 Unit/ML 0.02 $8.01 Insulin Lispro Inj 100 Unit/ML 0.02 $8.01 Insulin NPH (Human) (Isophane) Inj 100 Unit/ML 0.1 $8.88 Insulin NPH (Human) (Isophane) Inj 100 Unit/ML 0.1 $8.92 Insulin NPH (Human) (Isophane) Inj 100 Unit/ML 0.1 $8.82 Insulin NPH Isophane & Regular Human Inj 100 Unit/ML (70-30) 0.1 $8.82 Insulin Regular (Human) Inj 100 Unit/ML 0.02 $7.76 Insulin Regular (Human) Inj 100 Unit/ML 0.02 $7.76 Insulin Regular (Human) Inj 100 Unit/ML 0 $7.50 Insulin Regular (Human) Inj 100 Unit/ML 0 $7.50 Insulin Regular (Human) Inj 100 Unit/ML 0.01 $7.63 Insulin Regular (Human) Inj 100 Unit/ML 0.01 $7.63 Insulin Regular (Human) Inj 100 Unit/ML 0.02 $7.76 Insulin Regular (Human) Inj 100 Unit/ML 0.02 $7.76 Interferon Alfa-2B For Inj 18000000 Unit 1 $2,157.24 Interferon Alfa-2B Inj 10000000 Unit/ML 1 $1,205.35 Interferon Alfa-2B Inj 6000000 Unit/ML 1 $730.82 Interferon Beta-1a Soln Pref Syr 22 MCG/0.5ML (12MU/ML) 0.5 $2,366.01 Iodine Solution Strong 5% (Lugol's) 14 $121.97 Iodixanol Inj 320 MG/ML 50 $209.80 Iohexol Inj 180 MG/ML 10 $149.72 Iohexol Inj 180 MG/ML 20 $167.28 Iopamidol Inj 61% 15 $163.80 Iopamidol IV Soln 61% 50 $86.00 Iopamidol IV Soln 61% 50 $81.60 Iopamidol IV Soln 76% 50 $86.00 Iothalamate Meglumine Inj 17.2% 250 $96.00 Iothalamate Meglumine Inj 60% 50 $49.00 Ioversol Inj 51% (240 MG/ML Iodine) 50 $61.80 Ioversol Inj 64% (300 MG/ML Iodine) 100 $137.20 Ioversol Inj 64% (300 MG/ML Iodine) 100 $139.60 Ioversol Inj 68% (320 MG/ML Iodine) 50 $97.60 Ipilimumab Soln for IV Infusion 50 MG/10ML (5 MG/ML) 10 $28,694.88 Ipratropium Bromide HFA Inhal Aerosol 17 MCG/ACT 12.9 $1,343.41 Ipratropium Bromide Inhal Soln 0.02% 2.5 $2.00 Ipratropium Bromide Inhal Soln 0.02% 2.5 $2.00 Ipratropium Bromide Inhal Soln 0.02% 2.5 $2.00 Ipratropium-Albuterol Inhal Aerosol Soln 20-100 MCG/ACT 4 $1,155.84 Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML 3 $2.00 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) 5 $116.44 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) 5 $339.68 Irinotecan HCl Inj 100 MG/5ML (20 MG/ML) 5 $53.64 Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 2 $50.68 Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 2 $40.28 Irinotecan HCl Inj 40 MG/2ML (20 MG/ML) 2 $84.52 Irinotecan HCl Liposome IV Inj 43 MG/10ML (4.3 MG/ML) 10 $7,124.00 Iron Dextran Inj 50 MG/ML (Elemental Iron) 0.5 $24.79 Iron Sucrose Inj 20 MG/ML (Fe Equiv) 5 $179.44 Isoflurane Inhal Soln 250 $101.00 Isoflurane Inhal Soln 100 $86.80 Isoflurane Inhal Soln 250 $209.00 Isoniazid Syrup 50 MG/5ML 60 $138.48 Isoniazid Syrup 50 MG/5ML 473 $1,091.68 Isoniazid Tab 100 MG 1 $2.00 Isoniazid Tab 300 MG 0.333333333 $2.00 Isoniazid Tab 300 MG 0.333333333 $2.00 Isoniazid Tab 300 MG 0.333333333 $2.00 Isoproterenol HCl Inj 0.2 MG/ML 0.1 $136.84 Isosorbide Dinitrate Tab 10 MG 0.5 $2.00 Isosorbide Dinitrate Tab 10 MG 0.5 $2.00 Isosorbide Dinitrate Tab 20 MG 0.25 $2.00 Isosorbide Dinitrate Tab 20 MG 0.25 $2.00 Isosorbide Dinitrate Tab 20 MG 0.25 $2.00 Isosorbide Dinitrate Tab 20 MG 0.25 $2.00 Isosorbide Dinitrate Tab 20 MG 0.25 $2.00 Isosorbide Dinitrate Tab 5 MG 1 $2.06 Isosorbide Mononitrate Tab 10 MG 1 $2.00 Isosorbide Mononitrate Tab 20 MG 0.5 $2.00 Isosorbide Mononitrate Tab ER 24HR 120 MG 0.25 $2.00 Isosorbide Mononitrate Tab ER 24HR 30 MG 1 $2.00 Isosorbide Mononitrate Tab ER 24HR 30 MG 1 $2.62 Isosorbide Mononitrate Tab ER 24HR 30 MG 1 $2.02 Isosorbide Mononitrate Tab ER 24HR 60 MG 0.5 $2.00 Isosorbide Mononitrate Tab ER 24HR 60 MG 0.5 $2.00 Isosorbide Mononitrate Tab ER 24HR 60 MG 0.5 $2.00 Isosulfan Blue Subcutaneous Soln 1% 0.5 $330.57 Itraconazole Cap 100 MG 1 $19.53 Itraconazole Cap 100 MG 1 $98.89 Itraconazole Oral Soln 10 MG/ML 150 $1,204.20 Ivabradine HCl Tab 5 MG (Base Equiv) 0.5 $13.38 Ivermectin Tab 3 MG 1 $17.39 Ixabepilone For IV Infusion 15 MG 1 $4,677.00 KCl 10 MEQ/L (0.075%) in Dextrose 5% & NaCl 0.45% Inj 1000 $8.00 KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.2% Inj 1000 $4.00 KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.33% Inj 1000 $8.00 KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.45% Inj 1000 $8.00 KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.45% Inj 1000 $4.00 KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.9% Inj 1000 $32.00 KCl 20 MEQ/L (0.15%) in NaCl 0.45% Inj 1000 $4.00 KCl 20 MEQ/L (0.15%) in NaCl 0.9% Inj 1000 $4.00 KCl 30 MEQ/L (0.224%) in Dextrose 5% & NaCl 0.45% Inj 1000 $8.00 KCl 40 MEQ/L (0.3%) in Dextrose 5% & NaCl 0.45% Inj 1000 $32.00 KCl 40 MEQ/L (0.3%) in NaCl 0.9% Inj 1000 $12.00 Ketamine HCl Inj 10 MG/ML 20 $67.28 Ketamine HCl Inj 10 MG/ML 20 $56.08 Ketamine HCl Inj 10 MG/ML 20 $68.80 Ketamine HCl Inj 50 MG/ML 0.1 $2.00 Ketoconazole Cream 2% 60 $579.60 Ketoconazole Shampoo 2% 120 $54.24 Ketoconazole Tab 200 MG 1 $5.78 Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML) 2 $10.43 Ketorolac Tromethamine Inj 15 MG/ML 1 $9.61 Ketorolac Tromethamine Inj 15 MG/ML 1 $9.14 Ketorolac Tromethamine Inj 15 MG/ML 1 $14.30 Ketorolac Tromethamine Inj 30 MG/ML 1 $17.68 Ketorolac Tromethamine Inj 30 MG/ML 1 $19.07 Ketorolac Tromethamine Ophth Soln 0.5% 5 $184.56 Ketorolac Tromethamine Ophth Soln 0.5% 3 $38.36 Ketorolac Tromethamine Ophth Soln 0.5% 3 $39.36 Labetalol HCl IV Soln 5 MG/ML 2 $9.20 Labetalol HCl IV Soln 5 MG/ML 2 $2.00 Labetalol HCl Tab 100 MG 1 $2.00 Labetalol HCl Tab 100 MG 1 $2.05 Labetalol HCl Tab 100 MG 1 $2.00 Labetalol HCl Tab 100 MG 1 $2.00 Labetalol HCl Tab 100 MG 1 $2.00 Labetalol HCl Tab 100 MG 1 $2.00 Labetalol HCl Tab 200 MG 0.5 $2.00 Labetalol HCl Tab 200 MG 0.5 $2.00 Labetalol HCl Tab 200 MG 0.5 $2.00 Labetalol HCl Tab 200 MG 0.5 $20.81 Labetalol HCl Tab 200 MG 0.5 $2.00 Labetalol HCl Tab 200 MG 0.5 $2.00 Labetalol HCl Tab 200 MG 0.5 $2.00 Labetalol HCl Tab 300 MG 0.333333333 $2.00 Labetalol HCl Tab 300 MG 0.333333333 $2.00 Labetalol HCl Tab 300 MG 0.333333333 $2.00 Labetalol HCl Tab 300 MG 0.333333333 $2.00 Lacosamide IV Inj 200 MG/20ML (10 MG/ML) 5 $66.06 Lacosamide Tab 100 MG 0.5 $25.17 Lacosamide Tab 50 MG 1 $35.42 Lactated Ringer's Solution 500 $2.00 Lactated Ringer's Solution 1000 $4.00 Lactated Ringer's Solution 250 $4.00 Lactated Ringer's Solution 500 $2.00 Lactated Ringer's Solution 1000 $4.00 Lactic Acid (Ammonium Lactate) Cream 12% 140 $47.04 Lactic Acid (Ammonium Lactate) Lotion 12% 226 $12.66 Lactic Acid (Ammonium Lactate) Lotion 12% 227 $36.32 Lactobacillus Rhamnosus (GG) Cap 1 $2.04 Lactose Monohydrate Powder 500 $42.00 Lactulose (Encephalopathy) Solution 10 GM/15ML 300 $18.00 Lactulose Solution 10 GM/15ML 15 $2.00 Lactulose Solution 10 GM/15ML 15 $2.00 Lactulose Solution 10 GM/15ML 15 $2.00 Lactulose Solution 10 GM/15ML 15 $2.00 Lactulose Solution 10 GM/15ML 15 $2.00 Lactulose Solution 10 GM/15ML 15 $2.34 Lactulose Solution 10 GM/15ML 15 $2.00 Lactulose Solution 10 GM/15ML 15 $2.00 Lamivudine Oral Soln 10 MG/ML 15 $26.46 Lamivudine Tab 100 MG (HBV),Lamivudine Tab 100 MG (HBV) 1 $29.73 Lamivudine Tab 150 MG 0.666666667 $18.02 Lamivudine Tab 150 MG 0.666666667 $16.08 Lamivudine Tab 150 MG 0.666666667 $19.11 Lamivudine Tab 150 MG 0.666666667 $19.11 Lamivudine Tab 300 MG 0.333333333 $18.02 Lamivudine Tab 300 MG 0.333333333 $15.41 Lamivudine-Zidovudine Tab 150-300 MG 1 $58.59 Lamivudine-Zidovudine Tab 150-300 MG 1 $57.36 Lamivudine-Zidovudine Tab 150-300 MG 1 $23.95 Lamivudine-Zidovudine Tab 150-300 MG 1 $15.70 Lamotrigine Tab 100 MG 0.25 $13.24 Lamotrigine Tab 100 MG 0.25 $2.00 Lamotrigine Tab 150 MG 0.166666667 $2.00 Lamotrigine Tab 150 MG 0.166666667 $2.00 Lamotrigine Tab 200 MG 0.125 $2.00 Lamotrigine Tab 25 MG 1 $2.00 Lamotrigine Tab 25 MG 1 $2.00 Lamotrigine Tab 25 MG 1 $2.00 Lansoprazole Cap Delayed Release 30 MG 0.5 $3.53 Lansoprazole Cap Delayed Release 30 MG 0.5 $5.90 Latanoprost Ophth Soln 0.005% 2.5 $46.32 Latanoprost Ophth Soln 0.005% 2.5 $34.28 Latanoprost Ophth Soln 0.005% 2.5 $24.60 Latanoprost Ophth Soln 0.005% 2.5 $47.59 Latanoprost Ophth Soln 0.005% 2.5 $59.96 Ledipasvir-Sofosbuvir Tab 90-400 MG 1 $2.00 Letrozole Tab 2.5 MG 1 $2.00 Letrozole Tab 2.5 MG 1 $2.00 Leucovorin Calcium For Inj 100 MG 1 $27.52 Leucovorin Calcium For Inj 350 MG 1 $66.56 Leucovorin Calcium For Inj 350 MG 1 $67.96 Leucovorin Calcium For Inj 350 MG 1 $63.56 Leucovorin Calcium For Inj 50 MG 1 $22.00 Leucovorin Calcium Tab 5 MG 1 $6.28 Leucovorin Calcium Tab 5 MG 1 $5.56 Leucovorin Calcium Tab 5 MG 1 $6.81 Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG 1 $16,364.40 Leuprolide Acetate (4 Month) For Inj Kit 30 MG 1 $21,819.24 Leuprolide Acetate For Inj Kit 3.75 MG 1 $4,577.48 Leuprolide Acetate For Inj Kit 7.5 MG 1 $5,454.80 Leuprolide Acetate For Inj Pediatric Kit 7.5 MG 1 $5,506.72 Levalbuterol HCl Soln Nebu 0.31 MG/3ML (Base Equiv) 3 $33.02 Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv) 1.5 $5.86 Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv) 3 $5.34 Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv) 3 $21.34 Levetiracetam in Sodium Chloride IV Soln 500 MG/100ML 100 $70.80 Levetiracetam Inj 500 MG/5ML (100 MG/ML) 5 $18.96 Levetiracetam Inj 500 MG/5ML (100 MG/ML) 5 $9.54 Levetiracetam Inj 500 MG/5ML (100 MG/ML) 5 $14.66 Levetiracetam Inj 500 MG/5ML (100 MG/ML) 5 $13.46 Levetiracetam Oral Soln 100 MG/ML 5 $6.14 Levetiracetam Oral Soln 100 MG/ML 5 $21.02 Levetiracetam Oral Soln 100 MG/ML 5 $6.48 Levetiracetam Tab 250 MG 1 $24.06 Levetiracetam Tab 250 MG 1 $3.43 Levetiracetam Tab 250 MG 1 $2.00 Levetiracetam Tab 250 MG 1 $2.00 Levetiracetam Tab 500 MG 0.5 $2.00 Levetiracetam Tab 500 MG 0.5 $2.00 Levetiracetam Tab 500 MG 0.5 $2.00 Levetiracetam Tab 500 MG 0.5 $2.00 Levetiracetam Tab 500 MG 0.5 $2.00 Levetiracetam Tab 500 MG 0.5 $2.00 Levetiracetam Tab 750 MG 0.333333333 $2.00 Levetiracetam Tab ER 24HR 750 MG 0.666666667 $26.69 Levocarnitine Inj 200 MG/ML 5 $123.82 Levocarnitine Oral Soln 1 GM/10ML (10%) 118 $148.21 Levofloxacin in D5W IV Soln 250 MG/50ML 50 $9.60 Levofloxacin in D5W IV Soln 500 MG/100ML 100 $28.80 Levofloxacin in D5W IV Soln 750 MG/150ML 150 $28.80 Levofloxacin Oral Soln 25 MG/ML 100 $558.40 Levofloxacin Tab 250 MG 1 $2.00 Levofloxacin Tab 500 MG 0.5 $2.00 Levofloxacin Tab 750 MG 0.333333333 $2.00 Levoleucovorin Calcium For IV Inj 50 MG (Base Equiv) 1 $200.00 Levonorgestrel Releasing IUD 14 MCG/DAY (13.5 MG Total) 1 $3,027.48 Levonorgestrel Releasing IUD 19.5 MCG/DAY (52 MG Total) 1 $2,737.52 Levonorgestrel Releasing IUD 20 MCG/DAY (52 MG Total) 1 $3,433.32 Levonorgestrel Tab 1.5 MG 1 $141.72 Levothyroxine Sodium For IV Inj 100 MCG 0.25 $98.66 Levothyroxine Sodium For IV Inj 200 MCG 0.125 $98.67 Levothyroxine Sodium Tab 100 MCG 1 $2.00 Levothyroxine Sodium Tab 100 MCG 1 $4.53 Levothyroxine Sodium Tab 100 MCG 1 $4.41 Levothyroxine Sodium Tab 112 MCG 0.892857143 $3.94 Levothyroxine Sodium Tab 112 MCG 0.892857143 $2.00 Levothyroxine Sodium Tab 125 MCG 1 $4.50 Levothyroxine Sodium Tab 137 MCG 0.729927007 $3.22 Levothyroxine Sodium Tab 150 MCG 0.666666667 $2.99 Levothyroxine Sodium Tab 150 MCG 0.666666667 $2.94 Levothyroxine Sodium Tab 200 MCG 0.5 $2.26 Levothyroxine Sodium Tab 25 MCG 1 $2.00 Levothyroxine Sodium Tab 25 MCG 1 $2.00 Levothyroxine Sodium Tab 25 MCG 1 $4.41 Levothyroxine Sodium Tab 50 MCG 0.5 $2.24 Levothyroxine Sodium Tab 50 MCG 0.5 $2.21 Levothyroxine Sodium Tab 75 MCG 0.333333333 $2.00 Levothyroxine Sodium Tab 88 MCG 0.284090909 $2.00 Lidocaine & Tetracaine w/ Epineph Kit (Compounding Kit) 4 $6.90 Lidocaine HCl Gel 2% 20 $37.68 Lidocaine HCl Gel 2% 5 $12.10 Lidocaine HCl Gel 2% 30 $72.00 Lidocaine HCl IV Inj 10 MG/ML 5 $30.32 Lidocaine HCl IV Inj 20 MG/ML 5 $10.98 Lidocaine HCl IV Inj 20 MG/ML 5 $11.42 Lidocaine HCl IV Inj 20 MG/ML 5 $10.16 Lidocaine HCl Local Inj 1% 1 $2.00 Lidocaine HCl Local Inj 1% 1 $2.00 Lidocaine HCl Local Inj 2% 20 $6.96 Lidocaine HCl Local Inj 2% 50 $12.60 Lidocaine HCl Local Inj 2% 2 $9.68 Lidocaine HCl Local Preservative Free (PF) Inj 1% 1 $2.00 Lidocaine HCl Local Preservative Free (PF) Inj 1% 1 $2.53 Lidocaine HCl Local Preservative Free (PF) Inj 1% 1 $3.80 Lidocaine HCl Local Preservative Free (PF) Inj 1.5% 20 $30.16 Lidocaine HCl Local Preservative Free (PF) Inj 1.5% 20 $44.56 Lidocaine HCl Local Preservative Free (PF) Inj 1.5% 10 $24.80 Lidocaine HCl Local Preservative Free (PF) Inj 2% 5 $10.62 Lidocaine HCl Soln 4% 50 $163.40 Lidocaine HCl Viscous Soln 2% 15 $2.00 Lidocaine Inj 1% w/ Epinephrine-1:100000 1 $2.00 Lidocaine Inj 1% w/ Epinephrine-1:200000 1 $2.00 Lidocaine Inj 1.5% w/ Epinephrine-1:200000 1 $2.00 Lidocaine Inj 1.5% w/ Epinephrine-1:200000 1 $2.00 Lidocaine Inj 2% w/ Epinephrine-1:100000 1 $2.00 Lidocaine IV Infusion in D5W Inj 4 MG/ML 500 $30.00 Lidocaine IV Infusion in D5W Inj 4 MG/ML 500 $22.00 Lidocaine IV Infusion in D5W Inj 8 MG/ML 250 $28.00 Lidocaine Oint 5% 35.44 $852.40 Lidocaine Patch 5% 1 $59.07 Lidocaine Patch 5% 1 $9.73 Lidocaine Patch 5% 1 $59.07 Lidocaine-Prilocaine Cream 2.5-2.5% 5 $32.84 Lidocaine-Prilocaine Cream 2.5-2.5% 5 $19.42 Lidocaine-Prilocaine Cream 2.5-2.5% 30 $113.76 Linagliptin Tab 5 MG 1 $40.00 Linezolid For Susp 100 MG/5ML 150 $4,990.80 Linezolid For Susp 100 MG/5ML 150 $4,990.80 Linezolid IV Soln 200 MG/100ML (2 MG/ML) 100 $229.20 Linezolid IV Soln 600 MG/300ML (2 MG/ML) 300 $306.00 Linezolid Tab 600 MG 1 $16.44 Linezolid Tab 600 MG 1 $16.44 Lisdexamfetamine Dimesylate Cap 20 MG 1 $36.76 Lisdexamfetamine Dimesylate Cap 30 MG 0.666666667 $24.51 Lisinopril Tab 10 MG 0.25 $2.00 Lithium Carbonate Tab 300 MG 1 $2.00 Lithium Carbonate Tab ER 300 MG 1 $2.00 Lithium Carbonate Tab ER 450 MG 0.666666667 $2.00 Lithium Carbonate Tab ER 450 MG 0.666666667 $2.00 Lithium Carbonate Tab ER 450 MG 0.666666667 $2.00 Lithium Oral Solution 8 mEq/5ML 5 $4.48 Lithium Oral Solution 8 mEq/5ML 5 $4.48 Lithium Oral Solution 8 mEq/5ML 5 $4.78 Lithium Oral Solution 8 mEq/5ML 5 $6.44 Loperamide HCl Cap 2 MG 1 $2.76 Loperamide HCl Cap 2 MG 1 $2.00 Loperamide HCl Cap 2 MG 1 $2.00 Loperamide HCl Cap 2 MG 1 $2.32 Lopinavir-Ritonavir Soln 400-100 MG/5ML (80-20 MG/ML) 160 $1,996.80 Lopinavir-Ritonavir Tab 100-25 MG 2 $33.29 Lopinavir-Ritonavir Tab 200-50 MG 1 $33.28 Loratadine Tab 10 MG 0.5 $2.00 Lorazepam Conc 2 MG/ML 1 $2.60 Lorazepam Inj 2 MG/ML 0.25 $4.06 Lorazepam Inj 2 MG/ML 0.25 $2.00 Lorazepam Inj 2 MG/ML 0.25 $2.00 Lorazepam Inj 2 MG/ML 0.25 $2.00 Lorazepam Inj 2 MG/ML 0.25 $2.00 Lorazepam Inj 2 MG/ML 0.25 $2.00 Lorazepam Inj 2 MG/ML 0.25 $2.00 Lorazepam Inj 4 MG/ML 10 $43.92 Lorazepam Tab 0.5 MG 1 $2.00 Lorazepam Tab 1 MG 1 $2.00 Lorazepam Tab 1 MG 1 $2.00 Lorazepam Tab 2 MG 0.25 $2.00 Lorazepam Tab 2 MG 0.25 $2.00 Lorazepam Tab 2 MG 0.25 $2.00 Lorazepam Tab 2 MG 1 $2.00 Lorazepam Tab 2 MG 1 $2.00 Lorazepam Tab 2 MG 1 $2.00 Losartan Potassium Tab 100 MG 0.25 $2.00 Losartan Potassium Tab 100 MG 0.25 $2.00 Losartan Potassium Tab 100 MG 0.25 $2.00 Losartan Potassium Tab 25 MG 1 $2.00 Losartan Potassium Tab 25 MG 1 $2.00 Losartan Potassium Tab 50 MG 0.5 $2.00 Losartan Potassium Tab 50 MG 0.5 $2.00 Lubiprostone Cap 8 MCG 1 $23.12 Lubricant Gels - Gel 56.7 $7.03 Lubricant Gels - Gel 5 $2.00 Lurasidone HCl Tab 40 MG 1 $152.45 Lurasidone HCl Tab 60 MG 1 $117.45 Lurasidone HCl Tab 80 MG 0.5 $76.23 Mafenide Acetate Cream 85 MG/GM 56.7 $194.82 Magnesium Citrate Soln 148 $3.55 Magnesium Citrate Soln 148 $3.55 Magnesium Hydroxide Susp 400 MG/5ML 30 $3.00 Magnesium Oxide Tab 400 MG 0.5 $2.00 Magnesium Oxide Tab 400 MG 0.5 $2.00 Magnesium Oxide Tab 400 MG (241.3 MG Elemental Mg) 1 $2.00 Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML 100 $26.80 Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML 100 $24.80 Magnesium Sulfate Inj 50% 2 $5.75 Magnesium Sulfate Inj 50% 2 $5.87 Magnesium Sulfate Inj 50% 2 $2.00 Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML) 100 $26.40 Mannitol IV Soln 20% 500 $38.00 Mannitol IV Soln 25% 50 $8.00 Mannitol IV Soln 25% 50 $13.80 Maraviroc Tab 150 MG 1 $98.21 Maraviroc Tab 300 MG 60 $5,892.48 Measles, Mumps & Rubella Virus Vaccines For Inj 1 $281.12 Measles-Mumps-Rubella-Varicella Virus Vaccines For Inj 1 $17.91 Mechlorethamine HCl For Inj 10 MG 1 $1,238.83 Meclizine HCl Tab 12.5 MG 1 $2.00 Meclizine HCl Tab 12.5 MG 1 $2.00 Meclizine HCl Tab 12.5 MG 1 $2.84 Meclizine HCl Tab 12.5 MG 1 $2.00 Meclizine HCl Tab 25 MG 1 $3.42 Meclizine HCl Tab 25 MG 1 $2.00 Medroxyprogesterone Acetate IM Susp 150 MG/ML 1 $272.00 Medroxyprogesterone Acetate IM Susp 150 MG/ML 1 $317.43 Medroxyprogesterone Acetate IM Susp 150 MG/ML 1 $608.76 Medroxyprogesterone Acetate IM Susp 400 MG/ML 1 $805.73 Medroxyprogesterone Acetate Tab 10 MG 0.25 $2.00 Medroxyprogesterone Acetate Tab 10 MG 0.25 $2.00 Medroxyprogesterone Acetate Tab 2.5 MG 1 $2.00 Medroxyprogesterone Acetate Tab 5 MG 0.5 $2.00 Mefloquine HCl Tab 250 MG 1 $30.32 Megestrol Acetate Susp 40 MG/ML 5 $2.00 Megestrol Acetate Susp 40 MG/ML 5 $6.20 Megestrol Acetate Tab 40 MG 0.5 $2.00 Megestrol Acetate Tab 40 MG 0.5 $2.00 Melatonin Tab 1 MG 1 $2.00 Melphalan HCl For Inj 50 MG (Base Equiv) 1 $6,408.08 Memantine HCl Tab 10 MG 0.5 $13.86 Memantine HCl Tab 10 MG 0.5 $13.85 Memantine HCl Tab 5 MG 1 $23.74 Memantine HCl Tab 5 MG 1 $27.71 Memantine HCl Tab 5 MG 1 $27.71 Meningococcal (A, C, Y, and W-135) Conjugate Vaccine Inj 0.5 $400.17 Meningococcal (A, C, Y, and W-135) Oligo Conj Vac For Inj 1 $457.97 Meningococcal Vaccine A, C, Y, and W-135 Inj 1 $459.84 Menthol Gel 2% 99.2 $15.48 Meropenem IV For Soln 1 GM 0.5 $128.12 Meropenem IV For Soln 1 GM 0.5 $2.00 Meropenem IV For Soln 500 MG 1 $128.25 Meropenem-Vaborbactam For IV Soln 2 GM (1-1 GM) 1 $616.83 Mesalamine Cap DR 400 MG 1 $11.34 Mesalamine Cap ER 250 MG 1 $11.35 Mesalamine Cap ER 500 MG 1 $22.70 Mesalamine Enema 4 GM 60 $42.72 Mesalamine Enema 4 GM 60 $34.08 Mesalamine Enema 4 GM 60 $47.52 Mesalamine Enema 4 GM 60 $42.72 Mesalamine Suppos 1000 MG 0.5 $66.11 Mesna Inj 100 MG/ML 10 $25.56 Mesna Inj 100 MG/ML 10 $247.80 Metformin HCl Oral Soln 500 MG/5ML 118 $587.17 Metformin HCl Tab 500 MG 1 $259.96 Metformin HCl Tab 500 MG 1 $2.00 Metformin HCl Tab 500 MG 1 $2.00 Metformin HCl Tab 500 MG 1 $2.00 Metformin HCl Tab 500 MG 1 $2.00 Metformin HCl Tab 850 MG 0.588235294 $2.00 Metformin HCl Tab ER 24HR 500 MG 1 $2.00 Metformin HCl Tab ER 24HR Osmotic 500 MG 1 $18.70 Methadone HCl Conc 10 MG/ML 0.25 $3.33 Methadone HCl Conc 10 MG/ML 0.25 $2.00 Methadone HCl Conc 10 MG/ML 0.25 $3.33 Methadone HCl Conc 10 MG/ML 1 $13.30 Methadone HCl Conc 10 MG/ML 5 $2.00 Methadone HCl Conc 10 MG/ML 0.25 $2.00 Methadone HCl Conc 10 MG/ML 1 $2.00 Methadone HCl Inj 10 MG/ML 20 $1,454.16 Methadone HCl Tab 10 MG 0.5 $2.00 Methadone HCl Tab 5 MG 1 $2.00 Methazolamide Tab 50 MG 0.5 $11.84 Methimazole Tab 10 MG 0.5 $2.00 Methimazole Tab 10 MG 0.5 $2.00 Methimazole Tab 5 MG 1 $2.00 Methimazole Tab 5 MG 1 $2.00 Methocarbamol Inj 1000 MG/10ML 5 $111.72 Methocarbamol Inj 1000 MG/10ML 5 $60.52 Methocarbamol Inj 1000 MG/10ML 5 $98.18 Methocarbamol Inj 1000 MG/10ML 5 $96.04 Methocarbamol Inj 1000 MG/10ML 5 $58.84 Methocarbamol Tab 500 MG 1 $2.00 Methocarbamol Tab 500 MG 1 $2.00 Methocarbamol Tab 500 MG 1 $2.00 Methocarbamol Tab 750 MG 0.666666667 $2.00 Methocarbamol Tab 750 MG 0.666666667 $2.00 Methohexital Sodium For Inj 500 MG 1 $247.76 Methotrexate Sodium For Inj 1 GM 1 $237.68 Methotrexate Sodium Inj 50 MG/2ML (25 MG/ML),Methotrexate Sodium Inj2 250 MG/10ML$25.98 (25 MG/ML) Methotrexate Sodium Inj 50 MG/2ML (25 MG/ML),Methotrexate Sodium Inj2 250 MG/10ML$10.38 (25 MG/ML) Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML) 2 $14.53 Methotrexate Sodium Tab 2.5 MG (Base Equiv) 1 $14.26 Methyldopa Tab 250 MG 1 $2.00 Methyldopate HCl Inj 250 MG/5ML 5 $149.54 Methylene Blue Inj 1% 10 $805.40 Methylergonovine Maleate Inj 0.2 MG/ML 1 $81.23 Methylergonovine Maleate Inj 0.2 MG/ML 1 $26.20 Methylergonovine Maleate Tab 0.2 MG 1 $268.76 Methylphenidate HCl Cap ER 20 MG (CD) 0.5 $14.47 Methylphenidate HCl Tab 5 MG 1 $2.00 Methylphenidate HCl Tab ER Osmotic Release (OSM) 18 MG 1 $25.19 Methylphenidate HCl Tab ER Osmotic Release (OSM) 27 MG 1 $39.90 Methylprednisolone Acetate Inj Susp 40 MG/ML 0.5 $17.12 Methylprednisolone Acetate Inj Susp 40 MG/ML 0.5 $17.14 Methylprednisolone Acetate Inj Susp 40 MG/ML 0.5 $17.14 Methylprednisolone Acetate Inj Susp 40 MG/ML 0.5 $19.66 Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv) 1 $127.84 Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv) 1 $156.40 Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv) 0.48 $20.87 Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv) 0.48 $17.38 Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv) 0.48 $14.52 Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv) 0.5 $11.23 Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv) 0.5 $9.38 Methylprednisolone Sod Succ For Inj 500 MG (Base Equiv) 1 $86.24 Methylprednisolone Tab 4 MG 0.5 $5.72 Methylprednisolone Tab 4 MG 0.5 $2.00 Metoclopramide HCl Inj 5 MG/ML (Base Equivalent) 2 $4.07 Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv) 10 $5.32 Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv) 10 $13.88 Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv) 10 $13.88 Metoclopramide HCl Tab 10 MG (Base Equivalent) 0.5 $2.00 Metoclopramide HCl Tab 10 MG (Base Equivalent) 0.5 $2.00 Metoclopramide HCl Tab 5 MG (Base Equivalent) 1 $2.00 Metoclopramide HCl Tab 5 MG (Base Equivalent) 1 $2.00 Metolazone Tab 10 MG 0.25 $2.08 Metolazone Tab 2.5 MG 1 $10.13 Metolazone Tab 2.5 MG 1 $10.40 Metolazone Tab 5 MG 0.5 $5.76 Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv) 0.25 $2.00 Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv) 0.25 $2.00 Metoprolol Succinate Tab ER 24HR 200 MG (Tartrate Equiv) 0.125 $2.00 Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv) 1 $3.60 Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv) 0.5 $2.28 Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv) 0.5 $2.00 Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv) 0.5 $2.00 Metoprolol Tartrate IV Soln 5 MG/5ML 2.5 $2.00 Metoprolol Tartrate IV Soln 5 MG/5ML 2.5 $2.00 Metoprolol Tartrate Tab 100 MG 0.25 $2.00 Metoprolol Tartrate Tab 100 MG 0.25 $2.00 Metoprolol Tartrate Tab 25 MG 1 $2.00 Metoprolol Tartrate Tab 25 MG 1 $2.00 Metoprolol Tartrate Tab 50 MG 0.5 $2.00 Metoprolol Tartrate Tab 50 MG 0.5 $2.00 Metoprolol Tartrate Tab 50 MG 0.5 $2.00 Metoprolol Tartrate Tab 50 MG 0.5 $2.00 Metoprolol Tartrate Tab 50 MG 0.5 $2.00 Metoprolol Tartrate Tab 50 MG 0.5 $2.00 Metronidazole Cream 0.75% 45 $504.90 Metronidazole Gel 0.75% 45 $666.90 Metronidazole Gel 1% 60 $1,407.36 Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML 100 $2.40 Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML 100 $6.80 Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML 100 $2.40 Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML 100 $7.60 Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML 100 $6.80 Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML 100 $2.40 Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML 100 $7.60 Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML 100 $6.80 Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML 100 $2.40 Metronidazole in NaCl 0.79% IV Soln 500 MG/100ML 100 $7.60 Metronidazole IV Soln 5 MG/ML 100 $19.20 metronidazole tab 250 mg 1 $2.00 Metronidazole Tab 250 MG 1 $2.00 Metronidazole Tab 250 MG 1 $2.00 Metronidazole Tab 250 MG 1 $2.00 Metronidazole Tab 500 MG 0.5 $2.00 Metronidazole Tab 500 MG 0.5 $2.00 Metronidazole Vaginal Gel 0.75% 70 $287.56 Metronidazole Vaginal Gel 0.75% 70 $1,024.24 Mexiletine HCl Cap 150 MG 1 $4.48 Mexiletine HCl Cap 200 MG 0.75 $3.01 Micafungin Sodium For IV Soln 100 MG 0.5 $349.54 Micafungin Sodium For IV Soln 50 MG 1 $349.56 Miconazole Nitrate Cream 2% 28 $9.41 Miconazole Nitrate Cream 2% 30 $12.00 Miconazole Nitrate Vaginal Suppos 100 MG 1 $2.78 Microfibrillar Collagen Hemostat Powder 1 $416.67 Microfibrillar Collagen Hemostat Powder 1 $836.67 Midazolam HCl Inj 10 MG/2ML (Base Equivalent) 2 $4.42 Midazolam HCl Inj 10 MG/2ML (Base Equivalent) 2 $20.22 Midazolam HCl Inj 10 MG/2ML (Base Equivalent) 0.1 $2.00 Midazolam HCl Inj 10 MG/2ML (Base Equivalent) 0.1 $2.00 Midazolam HCl Inj 2 MG/2ML (Base Equivalent) 0.5 $2.00 Midazolam HCl Inj 2 MG/2ML (Base Equivalent) 0.5 $2.00 Midazolam HCl Inj 2 MG/2ML (Base Equivalent) 0.5 $2.00 Midazolam HCl Inj 2 MG/2ML (Base Equivalent) 0.5 $2.00 Midazolam HCl Inj 2 MG/2ML (Base Equivalent) 0.5 $2.00 Midazolam HCl Inj 2 MG/2ML (Base Equivalent) 0.5 $2.00 Midazolam HCl Inj 25 MG/5ML (Base Equivalent) 0.4 $4.25 Midazolam HCl Inj 50 MG/10ML (Base Equivalent) 0.5 $2.00 Midazolam HCl Inj 50 MG/10ML (Base Equivalent) 0.5 $2.40 Midazolam HCl Inj 50 MG/10ML (Base Equivalent) 0.5 $8.54 Midazolam HCl Syrup 2 MG/ML (Base Equivalent) 5 $38.48 Midodrine HCl Tab 10 MG 0.25 $2.00 Midodrine HCl Tab 2.5 MG 1 $2.22 Midodrine HCl Tab 5 MG 0.5 $8.87 Midodrine HCl Tab 5 MG 0.5 $2.00 Midodrine HCl Tab 5 MG 0.5 $5.76 Midodrine HCl Tab 5 MG 0.5 $2.00 Midostaurin Cap 25 MG 2 $751.71 Mifepristone Tab 300 MG 1 $1,832.00 Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML 100 $58.80 Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML 100 $45.20 Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent) 10 $18.12 Mineral Oil 15 $2.00 Mineral Oil Light (Bulk) 10 $51.96 Minocycline HCl Cap 50 MG 1 $2.00 Minocycline HCl IV For Soln 100 MG 1 $562.06 Minoxidil Tab 10 MG 0.25 $2.00 Minoxidil Tab 2.5 MG 1 $2.00 Minoxidil Tab 2.5 MG 1 $2.00 Minoxidil Tab 2.5 MG 1 $2.00 Mirtazapine Tab 15 MG 0.5 $2.00 Mirtazapine Tab 15 MG 0.5 $2.00 Mirtazapine Tab 15 MG 0.5 $2.00 Mirtazapine Tab 15 MG 0.5 $2.00 Mirtazapine Tab 30 MG 0.25 $2.00 Mirtazapine Tab 30 MG 0.25 $2.00 Mirtazapine Tab 30 MG 0.25 $2.00 Misc. Devices 1 $23.00 Misoprostol Tab 100 MCG 0.25 $3.71 Misoprostol Tab 200 MCG 1 $21.62 Misoprostol Tab 25 MCG 25 $371.10 Misoprostol Tab 25 MCG 25 $371.10 Mitomycin For IV Soln 20 MG 0.5 $747.88 Mitomycin For IV Soln 40 MG 0.25 $757.78 Mitomycin For IV Soln 5 MG 2 $1,149.52 Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML) 10 $475.92 Modafinil Tab 100 MG 1 $16.68 Mometasone Furoate Inhal Powd 110 MCG/INH (Breath Activated) 1 $663.16 Mometasone Furoate Inhal Powd 220 MCG/INH (Breath Activated) 1 $1,204.12 Mometasone Furoate Nasal Susp 50 MCG/ACT 17 $939.96 Montelukast Sodium Chew Tab 4 MG (Base Equiv) 1 $28.45 Montelukast Sodium Chew Tab 5 MG (Base Equiv) 1 $27.44 Montelukast Sodium Tab 10 MG (Base Equiv) 1 $28.45 Montelukast Sodium Tab 10 MG (Base Equiv) 1 $3.50 Montelukast Sodium Tab 10 MG (Base Equiv) 1 $2.34 Montelukast Sodium Tab 10 MG (Base Equiv) 1 $9.45 Morphine Sulfate Inj 10 MG/ML 1 $3.78 Morphine Sulfate Inj 10 MG/ML 1 $8.09 Morphine Sulfate Inj 5 MG/ML 0.2 $2.00 Morphine Sulfate Inj PF 1 MG/ML 1 $2.49 Morphine Sulfate Inj PF 1 MG/ML 1 $4.38 Morphine Sulfate Inj PF 1 MG/ML 1 $6.41 Morphine Sulfate IV Soln 1 MG/ML 100 $315.20 Morphine Sulfate IV Soln 1 MG/ML 100 $315.20 Morphine Sulfate IV Soln 1 MG/ML 100 $315.20 Morphine Sulfate IV Soln 1 MG/ML 100 $315.20 Morphine Sulfate IV Soln 1 MG/ML 100 $315.20 Morphine Sulfate IV Soln PF 10 MG/ML 1 $3.78 Morphine Sulfate IV Soln PF 4 MG/ML 0.5 $2.00 Morphine Sulfate IV Soln PF 4 MG/ML 0.5 $3.48 Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML) 1 $8.34 Morphine Sulfate Tab 15 MG 1 $2.83 Morphine Sulfate Tab ER 15 MG 1 $3.35 Morphine Sulfate Tab ER 30 MG 0.5 $2.09 Moxifloxacin HCl 400 MG/250ML in Sodium Chloride 0.8% Inj 250 $195.00 Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv) 3 $614.08 Moxifloxacin HCl Tab 400 MG (Base Equiv) 1 $116.37 Multiple Vitamin Cap 1 $2.00 Multiple Vitamin Inj 10 $7.48 Multiple Vitamin Inj 10 $7.48 Multiple Vitamin Tab 1 $2.00 Multiple Vitamins w/ Minerals Tab 1 $2.00 Mupirocin Oint 2% 22 $178.55 Mupirocin Oint 2% 22 $21.74 Mycophenolate Mofetil Cap 250 MG 1 $2.38 Mycophenolate Mofetil For Oral Susp 200 MG/ML 160 $5,162.24 Mycophenolate Mofetil Tab 500 MG 1 $2.60 Mycophenolate Mofetil Tab 500 MG 1 $2.76 Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv) 1 $18.18 Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv) 0.5 $19.45 Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv) 0.5 $14.54 Na Chondroitin Sulfate-Na Hyaluronate Ophth Soln 40-30 MG/ML 0.5 $564.08 Na Chondroitin Sulfate-Na Hyaluronate Ophth Soln 40-30 MG/ML 0.75 $741.20 Na Hyaluron & Na Hyaluron-Na Chondroit Sul Op Kit 0.4-0.35ML 0.35 $345.89 Na Hyaluron & Na Hyaluron-Na Chondroit Sul Op Kit 0.55-0.5ML 0.5 $373.39 Nadolol Tab 20 MG 1 $13.72 Nadolol Tab 20 MG 1 $19.60 Nadolol Tab 40 MG 0.5 $7.94 Nadolol Tab 40 MG 0.5 $11.44 Nadolol Tab 40 MG 0.5 $8.35 Nafcillin Sodium For Inj 1 GM 1 $18.92 Nafcillin Sodium For Inj 2 GM 1 $107.96 Nafcillin Sodium in Dextrose Inj 1 GM/50ML 50 $946.20 Naloxone HCl Inj 0.4 MG/ML 1 $57.42 Naloxone HCl Inj 0.4 MG/ML 1 $44.02 Naloxone HCl Soln Prefilled Syringe 2 MG/2ML 2 $123.37 Naloxone HCl Soln Prefilled Syringe 2 MG/2ML 2 $123.37 Naloxone HCl Soln Prefilled Syringe 2 MG/2ML 2 $123.37 Naloxone HCl Soln Prefilled Syringe 2 MG/2ML 2 $123.37 Naltrexone For IM Extended Release Susp 380 MG 1 $4,893.56 Naltrexone HCl Tab 50 MG 0.5 $4.18 Naphazoline HCl Ophth Soln 0.1% 15 $12.42 Naproxen Tab 250 MG 1 $2.00 Naproxen Tab 250 MG 1 $2.00 Naproxen Tab 375 MG 0.666666667 $2.00 Naproxen Tab 500 MG 0.5 $2.00 Natamycin Ophth Susp 5% 15 $1,230.54 Nateglinide Tab 120 MG 0.5 $3.36 Nateglinide Tab 60 MG 1 $13.45 Nebivolol HCl Tab 20 MG (Base Equivalent) 0.125 $2.04 Nebivolol HCl Tab 5 MG (Base Equivalent) 100 $1,661.20 Necitumumab IV Soln 800 MG/50ML (16 MG/ML) 50 $16,979.40 Nelfinavir Mesylate Tab 250 MG 3 $47.35 Nelfinavir Mesylate Tab 625 MG 2 $78.91 Neomycin Sulfate Tab 500 MG 1 $2.90 Neomycin Sulfate Tab 500 MG 1 $5.46 Neomycin Sulfate Tab 500 MG 1 $3.67 Neomycin-Polymy-Gramicid Op Sol 1.75-10000-0.025MG-UNT-MG/ML 10 $129.08 Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1% 3.5 $58.11 Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1% 3.5 $53.96 Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1% 5 $40.36 Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1% 5 $422.56 Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1% 5 $40.36 Neomycin-Polymyxin-HC Otic Soln 1% 10 $249.00 Neomycin-Polymyxin-HC Otic Soln 1% 10 $152.44 Neomycin-Polymyxin-HC Otic Susp 3.5 MG/ML-10000 Unit/ML-1% 10 $116.44 Neostigmine Methylsulfate Inj 0.5 MG/ML (1:2000) 1 $37.36 Nepafenac Ophth Susp 0.1% 3 $957.96 Nesiritide For Inj 1.5 MG 1 $3,957.12 Nevirapine Tab 200 MG 1 $55.56 Nevirapine Tab 200 MG 1 $55.56 Niacin Tab 100 MG 1 $2.00 Niacin Tab 500 MG 0.5 $2.00 Niacin Tab ER 500 MG (Antihyperlipidemic) 1 $19.73 Nicardipine HCl IV Soln 2.5 MG/ML 10 $15.60 Nicardipine HCl IV Soln 2.5 MG/ML 10 $77.00 Nicardipine HCl IV Soln 20 MG/200ML in Dextrose 4.8% 200 $380.00 Nicardipine HCl IV Soln 20 MG/200ML in Sodium Chloride 0.86% 200 $2.00 Nicardipine HCl IV Soln 40 MG/200ML in Sodium Chloride 0.83% 200 $760.00 Nicotine Polacrilex Gum 4 MG 0.5 $2.00 Nicotine TD Patch 24HR 14 MG/24HR 1 $6.85 Nicotine TD Patch 24HR 21 MG/24HR 1 $4.14 Nicotine TD Patch 24HR 7 MG/24HR 1 $4.92 Nifedipine Tab ER 24HR 60 MG 0.5 $2.00 Nifedipine Tab ER 24HR Osmotic Release 30 MG 1 $3.11 Nifedipine Tab ER 24HR Osmotic Release 30 MG 1 $3.18 Nifedipine Tab ER 24HR Osmotic Release 60 MG 0.5 $2.91 Nifedipine Tab ER 24HR Osmotic Release 60 MG 0.5 $2.74 Nifedipine Tab ER 24HR Osmotic Release 90 MG 0.333333333 $3.53 Nifedipine Tab ER 24HR Osmotic Release 90 MG 0.333333333 $2.39 Nifedipine Tab ER 24HR Osmotic Release 90 MG 0.333333333 $3.06 Nifedipine Tab ER 24HR Osmotic Release 90 MG 0.333333333 $2.00 Nifedipine Tab ER 24HR Osmotic Release 90 MG 0.333333333 $2.24 Nimodipine Cap 30 MG 1 $29.62 Nimodipine Cap 30 MG 1 $15.80 Nitrofurantoin Macrocrystalline Cap 100 MG 0.5 $3.17 Nitrofurantoin Macrocrystalline Cap 100 MG 0.5 $5.16 Nitrofurantoin Macrocrystalline Cap 50 MG 1 $3.84 Nitrofurantoin Macrocrystalline Cap 50 MG 1 $7.95 Nitrofurantoin Macrocrystalline Cap 50 MG 1 $8.79 Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG 1 $13.18 Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG 1 $14.65 Nitrofurantoin Susp 25 MG/5ML 230 $4,537.44 Nitrofurantoin Susp 25 MG/5ML 120 $2,367.36 Nitroglycerin IV Soln 100 MCG/ML in D5W 0.5 $2.00 Nitroglycerin IV Soln 200 MCG/ML in D5W 250 $18.00 Nitroglycerin IV Soln 5 MG/ML 10 $33.96 Nitroglycerin Oint 2% 0.5 $4.12 Nitroglycerin Oint 2% 60 $254.64 Nitroglycerin SL Tab 0.4 MG 1 $2.80 Nitroglycerin SL Tab 0.4 MG 1 $4.66 Nitroglycerin TD Patch 24HR 0.1 MG/HR 1 $2.37 Nitroglycerin TD Patch 24HR 0.2 MG/HR 1 $2.00 Nitroglycerin TD Patch 24HR 0.2 MG/HR 1 $2.60 Nitroglycerin TD Patch 24HR 0.3 MG/HR 1 $21.23 Nitroglycerin TD Patch 24HR 0.3 MG/HR 1 $21.23 Nitroglycerin TD Patch 24HR 0.4 MG/HR 1 $2.12 Nitroprusside Sodium IV Soln 25 MG/ML 2 $3,366.72 Nivolumab IV Soln 100 MG/10ML 10 $10,488.32 Nivolumab IV Soln 40 MG/4ML 4 $4,195.33 Norepinephrine Bitartrate IV Soln 1 MG/ML 8 $146.69 Norepinephrine Bitartrate IV Soln 1 MG/ML 8 $148.32 Norepinephrine Bitartrate IV Soln 1 MG/ML 8 $61.47 Norepinephrine-NaCl IV Solution 16 MG/250ML-0.9% 250 $302.00 Norethindrone Acetate Tab 5 MG 0.5 $2.46 Norethindrone Acetate Tab 5 MG 0.5 $3.36 Nortriptyline HCl Cap 10 MG 1 $2.00 Nortriptyline HCl Cap 25 MG 0.4 $2.00 Nortriptyline HCl Cap 50 MG 0.2 $2.00 Nystatin Cream 100000 Unit/GM 30 $33.72 Nystatin Oint 100000 Unit/GM 15 $50.04 Nystatin Oint 100000 Unit/GM 30 $78.84 Nystatin Susp 100000 Unit/ML 5 $3.86 Nystatin Susp 100000 Unit/ML 5 $5.12 Nystatin Susp 100000 Unit/ML 5 $3.44 Nystatin Tab 500000 Unit 1 $2.70 Nystatin Tab 500000 Unit 1 $3.64 Nystatin Topical Powder 100000 Unit/GM 15 $52.32 Nystatin Topical Powder 100000 Unit/GM 15 $39.96 Nystatin Topical Powder 100000 Unit/GM 15 $109.26 Nystatin Topical Powder 100000 Unit/GM 15 $52.32 Nystatin Topical Powder 100000 Unit/GM 15 $39.96 Nystatin Topical Powder 100000 Unit/GM 15 $109.26 Octreotide Acetate For IM Inj Kit 10 MG 1 $10,211.52 Octreotide Acetate For IM Inj Kit 10 MG 1 $10,211.52 Octreotide Acetate For IM Inj Kit 20 MG 1 $13,378.88 Octreotide Acetate For IM Inj Kit 20 MG 1 $13,378.88 Octreotide Acetate For IM Inj Kit 30 MG 1 $20,033.88 Octreotide Acetate For IM Inj Kit 30 MG 1 $20,033.88 Octreotide Acetate Inj 100 MCG/ML (0.1 MG/ML) 0.5 $18.56 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) 1 $185.72 Octreotide Acetate Inj 500 MCG/ML (0.5 MG/ML) 1 $192.38 Ofatumumab Conc For IV Infusion 100 MG/5ML 5 $1,931.30 Ofatumumab Conc For IV Infusion 100 MG/5ML 5 $2,218.06 Ofatumumab Conc For IV Infusion 100 MG/5ML 5 $1,989.24 Ofatumumab Conc For IV Infusion 1000 MG/50ML 50 $22,180.60 Ofloxacin Ophth Soln 0.3% 5 $1,221.40 Ofloxacin Ophth Soln 0.3% 5 $40.20 Ofloxacin Otic Soln 0.3% 5 $337.72 Olanzapine For IM Inj 10 MG 0.25 $29.06 Olanzapine Orally Disintegrating Tab 10 MG 0.5 $3.22 Olanzapine Orally Disintegrating Tab 10 MG 0.5 $14.25 Olanzapine Orally Disintegrating Tab 20 MG 0.25 $38.81 Olanzapine Tab 10 MG 0.5 $37.89 Olanzapine Tab 10 MG 0.5 $2.00 Olanzapine Tab 15 MG 0.333333333 $2.00 Olanzapine Tab 2.5 MG 1 $42.60 Olanzapine Tab 2.5 MG 1 $2.00 Olanzapine Tab 2.5 MG 1 $39.63 Olanzapine Tab 20 MG 0.25 $37.89 Olanzapine Tab 20 MG 0.25 $35.24 Olanzapine Tab 5 MG 1 $50.28 Olanzapine Tab 5 MG 1 $2.00 Olanzapine Tab 7.5 MG 1 $56.92 Olanzapine Tab 7.5 MG 1 $2.00 Olmesartan Medoxomil Tab 40 MG 0.125 $4.53 Olopatadine HCl Ophth Soln 0.1% (Base Equivalent) 5 $1,024.92 Olopatadine HCl Ophth Soln 0.2% (Base Equivalent) 2.5 $658.24 Omalizumab For Inj 150 MG 1 $4,338.64 Omega-3-acid Ethyl Esters Cap 1 GM 1 $14.84 Omeprazole Cap Delayed Release 10 MG 1 $2.38 Omeprazole Cap Delayed Release 10 MG 1 $6.52 Omeprazole Cap Delayed Release 20 MG 1 $2.00 Omeprazole Cap Delayed Release 20 MG 1 $2.41 Omeprazole Cap Delayed Release 20 MG 1 $2.00 Omeprazole Cap Delayed Release 20 MG 1 $2.00 Omeprazole Cap Delayed Release 40 MG 0.5 $2.00 Omeprazole Cap Delayed Release 40 MG 0.5 $2.00 Omeprazole Cap Delayed Release 40 MG 0.5 $2.00 Omeprazole Cap Delayed Release 40 MG 0.5 $2.00 Omeprazole Cap Delayed Release 40 MG 0.5 $2.00 OnabotulinumtoxinA For Inj 100 Unit 1 $2,404.00 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 1 $2.00 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 1 $2.09 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 1 $2.48 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 1 $2.00 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 1 $2.00 Ondansetron HCl Inj 4 MG/2ML (2 MG/ML) 1 $2.00 Ondansetron HCl Tab 4 MG 1 $2.00 Ondansetron HCl Tab 4 MG 1 $2.00 Ondansetron HCl Tab 4 MG 1 $3.29 Ondansetron HCl Tab 4 MG 1 $2.00 Ondansetron HCl Tab 8 MG 0.5 $2.64 Ondansetron HCl Tab 8 MG 0.5 $2.00 Ondansetron Orally Disintegrating Tab 4 MG 1 $5.20 Ophthalmic Irrigation Solution - Intraocular 15 $30.90 Ophthalmic Irrigation Solution - Intraocular 15 $30.90 Oral Electrolyte Solution 1000 $5.72 Oral Electrolyte Solution 1000 $20.00 Oritavancin Diphosphate For IV Soln 400 MG (Base Equivalent) 3 $10,418.76 Oritavancin Diphosphate For IV Soln 400 MG (Base Equivalent) 3 $10,731.32 Oseltamivir Phosphate Cap 30 MG (Base Equiv) 1 $52.09 Oseltamivir Phosphate Cap 75 MG (Base Equiv) 1 $56.78 Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv) 60 $555.84 Oxacillin Sodium For Inj 10 GM (Base Equivalent) 1 $398.99 Oxacillin Sodium For Inj 2 GM (Base Equivalent) 1 $59.65 Oxaliplatin IV Soln 100 MG/20ML 20 $288.24 Oxaliplatin IV Soln 50 MG/10ML 10 $165.40 Oxaliplatin IV Soln 50 MG/10ML 10 $3,822.00 Oxandrolone Tab 2.5 MG 1 $14.04 Oxcarbazepine Susp 300 MG/5ML (60 MG/ML) 5 $25.56 Oxcarbazepine Tab 150 MG 1 $2.00 Oxcarbazepine Tab 150 MG 1 $2.00 Oxcarbazepine Tab 150 MG 1 $437.15 Oxcarbazepine Tab 300 MG 0.5 $2.00 Oxcarbazepine Tab 300 MG 0.5 $13.75 Oxcarbazepine Tab 300 MG 0.5 $15.39 Oxcarbazepine Tab 600 MG 0.25 $2.00 Oxcarbazepine Tab 600 MG 0.25 $12.63 Oxidized Cellulose Pads 1 $265.60 Oxidized Cellulose Pads 1 $398.21 Oxidized Cellulose Pads 1 $452.49 Oxidized Cellulose Pads 1 $478.15 Oxidized Cellulose Pads 1 $732.89 Oxidized Cellulose Pads 1 $916.11 Oxybutynin Chloride Syrup 5 MG/5ML 2.5 $2.00 Oxybutynin Chloride Syrup 5 MG/5ML 473 $32.16 Oxybutynin Chloride Syrup 5 MG/5ML 120 $8.16 Oxybutynin Chloride Tab 5 MG 0.5 $2.00 Oxybutynin Chloride Tab 5 MG 0.5 $2.00 Oxybutynin Chloride Tab 5 MG 0.5 $2.00 Oxybutynin Chloride Tab 5 MG 0.5 $2.00 Oxybutynin Chloride Tab 5 MG 0.5 $3.52 Oxycodone HCl Cap 5 MG 1 $7.40 Oxycodone HCl Conc 100 MG/5ML (20 MG/ML) 1 $13.98 Oxycodone HCl Tab 10 MG 1 $2.43 Oxycodone HCl Tab 5 MG 1 $2.00 Oxycodone HCl Tab 5 MG 1 $2.00 Oxycodone HCl Tab ER 12HR Deter 10 MG 1 $14.11 Oxycodone HCl Tab ER 12HR Deter 20 MG 0.5 $13.14 Oxycodone HCl Tab ER 12HR Deter 40 MG 0.25 $11.25 Oxycodone w/ Acetaminophen Tab 5-325 MG 1 $2.00 Oxymorphone HCl Tab 10 MG 0.5 $11.49 Oxymorphone HCl Tab 5 MG 1 $12.65 Oxymorphone HCl Tab 5 MG 1 $8.40 Oxymorphone HCl Tab ER 12HR 10 MG 0.5 $5.03 Oxymorphone HCl Tab ER 12HR 5 MG 1 $5.15 Oxymorphone HCl Tab ER 12HR 5 MG 1 $5.20 Oxytocin Inj 10 Unit/ML 0.5 $3.14 Oxytocin Inj 10 Unit/ML 0.5 $2.75 Oxytocin Inj 10 Unit/ML 0.5 $2.00 Oxytocin-Lactated Ringers IV Soln 20 Unit/1000ML 1000 $34.44 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/ML) 20 $110.00 Paclitaxel IV Conc 100 MG/16.7ML (6 MG/ML) 20 $190.08 Paclitaxel IV Conc 30 MG/5ML (6 MG/ML) 5 $28.84 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 50 $230.80 Paclitaxel IV Conc 300 MG/50ML (6 MG/ML) 50 $154.60 Paclitaxel Protein-Bound Particles For IV Susp 100 MG 1 $5,192.48 Paliperidone Palmitate IM Extended-Release Susp 156 MG/ML 1 $6,235.04 Paliperidone Palmitate IM Extend-Release Susp 819 MG/2.625ML 2.625 $28,056.96 Paliperidone Tab ER 24HR 3 MG 0.5 $69.02 Paliperidone Tab ER 24HR 6 MG 0.25 $34.51 Paliperidone Tab ER 24HR 9 MG 0.166666667 $34.51 Palivizumab IM Soln 100 MG/ML 1 $10,576.76 Palivizumab IM Soln 50 MG/0.5ML 0.5 $5,601.24 Pamidronate Disodium IV Soln 3 MG/ML 10 $50.68 Pamidronate Disodium IV Soln 3 MG/ML 10 $51.24 Pancrelipase (Lip-Prot-Amyl) DR Cap 10500-35500-61500 Unit 1 $11.23 Pancrelipase (Lip-Prot-Amyl) DR Cap 4200-14200-24600 Unit 1 $4.49 Pancrelipase (Lip-Prot-Amyl) DR Cap 5000-17000-24000 Unit 1 $5.79 Pancuronium Bromide Inj 1 MG/ML 10 $17.44 Pancuronium Bromide Inj 1 MG/ML 10 $9.92 Panitumumab IV Soln 100 MG/5ML 5 $4,631.00 Panitumumab IV Soln 400 MG/20ML 20 $18,524.08 Pantoprazole Sodium EC Tab 20 MG (Base Equiv) 1 $2.00 Pantoprazole Sodium EC Tab 20 MG (Base Equiv) 1 $2.00 Pantoprazole Sodium EC Tab 40 MG (Base Equiv) 0.5 $2.00 Pantoprazole Sodium EC Tab 40 MG (Base Equiv) 0.5 $2.00 Pantoprazole Sodium For Delayed Release Susp Packet 40 MG 1 $41.84 Pantoprazole Sodium For IV Soln 40 MG (Base Equiv) 1 $19.11 Papaverine HCl Inj 30 MG/ML 2 $113.24 Paricalcitol Cap 2 MCG 0.5 $48.64 Paricalcitol IV Soln 2 MCG/ML 0.5 $11.33 Paricalcitol IV Soln 5 MCG/ML 1.8 $101.94 Paromomycin Sulfate Cap 250 MG 2 $24.76 Paroxetine HCl Oral Susp 10 MG/5ML (Base Equiv) 120 $575.52 Paroxetine HCl Oral Susp 10 MG/5ML (Base Equiv) 250 $1,199.00 Paroxetine HCl Tab 10 MG 1 $3.39 Paroxetine HCl Tab 10 MG 1 $2.00 Paroxetine HCl Tab 20 MG 0.5 $2.00 Paroxetine HCl Tab 20 MG 0.5 $2.00 Paroxetine HCl Tab 20 MG 0.5 $2.00 Paroxetine HCl Tab 30 MG 0.333333333 $2.00 Paroxetine HCl Tab 40 MG 0.25 $2.00 Patiromer Sorbitex Calcium For Susp Packet 8.4 GM (Base Eq) 1 $119.00 Pediatric Multiple Vitamin Liq 5 $2.00 Pediatric Multiple Vitamin w/ C Soln 35 MG/ML 1 $2.00 Pediatric Multiple Vitamin w/ Minerals & C Drops 45 MG/ML 60 $88.56 Pediatric Multiple Vitamins For IV Soln 1 $32.90 Pediatric Multiple Vitamins w/ Iron Drops 10 MG/ML 50 $17.40 PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 236 GM 4000 $32.00 PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 236 GM 4000 $64.00 Pegaspargase Inj 750 Unit/ML 5 $2.00 Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML 0.6 $24,301.12 Pegfilgrastim Soln Prefilled Syringe Kit 6 MG/0.6ML 0.6 $24,301.12 Peginterferon alfa-2a Inj 180 MCG/0.5ML 0.5 $3,983.81 Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML) 4 $18,877.60 Pemetrexed Disodium For IV Soln 100 MG (Base Equiv) 1 $2,638.44 Pemetrexed Disodium For IV Soln 500 MG (Base Equiv) 1 $13,192.16 Penicillamine Cap 250 MG 0.5 $2.00 Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML 2 $468.94 Penicillin G Benzathine Intramuscular Susp 1200000 Unit/2ML 2 $588.28 Penicillin G Benzathine Intramuscular Susp 2400000 Unit/4ML 4 $1,205.49 Penicillin G Benzathine Intramuscular Susp 600000 Unit/ML 1 $339.63 Penicillin G Potassium For Inj 20000000 Unit 1 $489.44 Penicillin G Potassium For Inj 20000000 Unit 1 $189.08 Penicillin G Potassium For Inj 5000000 Unit 1 $47.30 Penicillin G Procaine Intramuscular Susp 600000 Unit/ML 1 $124.10 Penicillin G Procaine Intramuscular Susp 600000 Unit/ML 1 $103.31 Penicillin V Potassium For Soln 250 MG/5ML 100 $20.80 Penicillin V Potassium For Soln 250 MG/5ML 200 $32.00 Penicillin V Potassium Tab 250 MG 1 $2.00 Penicillin V Potassium Tab 250 MG 1 $2.00 Penicillin V Potassium Tab 500 MG 0.5 $2.00 Pentamidine Isethionate For Soln 300 MG 1 $623.86 Pentobarbital Sodium Inj 50 MG/ML 20 $4,524.24 Pentostatin For Inj 10 MG 1 $7,983.92 Pentoxifylline Tab ER 400 MG 1 $2.00 Pentoxifylline Tab ER 400 MG 1 $2.00 Perampanel Tab 2 MG 1 $56.32 Perampanel Tab 6 MG 0.333333333 $37.26 Perflutren Lipid Microsphere IV Susp 6.52 MG/ML (1.1 MG/ML) 2 $357.74 Permethrin Cream 5% 60 $257.52 Permethrin Cream 5% 60 $369.60 Permethrin Creme Rinse 1% 59 $296.89 Perphenazine Tab 4 MG 0.5 $2.72 Perphenazine Tab 8 MG 0.25 $2.00 Pertuzumab Soln for IV Infusion 420 MG/14ML (30 MG/ML) 14 $20,050.24 Petrolatum-Zinc Oxide Oint 49-15% 113 $28.48 Phenazopyridine HCl Tab 100 MG 1 $5.93 Phenobarbital Elixir 20 MG/5ML 5 $3.16 Phenobarbital Sodium Inj 130 MG/ML 1 $140.42 Phenobarbital Sodium Inj 130 MG/ML 1 $178.56 Phenobarbital Sodium Inj 65 MG/ML 1 $54.12 Phenobarbital Sodium Inj 65 MG/ML 1 $68.80 Phenobarbital Tab 30 MG 0.5 $2.00 Phenobarbital Tab 32.4 MG 0.5 $2.00 Phenoxybenzamine HCl Cap 10 MG 1 $2.00 Phenylephrine HCl Inj 10 MG/ML 5 $8.64 Phenylephrine HCl Inj 10 MG/ML 5 $8.64 Phenylephrine HCl Inj 10 MG/ML 1 $18.36 Phenylephrine HCl Nasal Soln 0.25% 15 $13.44 Phenylephrine HCl Nasal Soln 0.5% 15 $13.44 Phenylephrine HCl Nasal Soln 1% 15 $15.06 Phenylephrine HCl Ophth Soln 10% 5 $152.72 Phenylephrine HCl Ophth Soln 2.5% 2 $124.20 Phenylephrine HCl Ophth Soln 2.5% 2 $45.86 Phenylephrine-Cocoa Butter Suppos 0.25-88.44% 1 $2.19 Phenytoin Chew Tab 50 MG 1 $4.33 Phenytoin Chew Tab 50 MG 1 $6.14 Phenytoin Sodium Extended Cap 100 MG 1 $4.62 Phenytoin Sodium Extended Cap 100 MG 1 $5.10 Phenytoin Sodium Extended Cap 100 MG 1 $2.57 Phenytoin Sodium Extended Cap 100 MG 1 $2.72 Phenytoin Sodium Inj 50 MG/ML 5 $5.20 Phenytoin Sodium Inj 50 MG/ML 5 $6.44 Phenytoin Susp 125 MG/5ML 4 $7.90 Phenytoin Susp 125 MG/5ML 4 $23.92 Physostigmine Salicylate Inj 1 MG/ML 0.5 $36.58 Phytonadione Inj 1 MG/0.5ML (2 MG/ML) 0.5 $14.52 Phytonadione Inj 1 MG/0.5ML (2 MG/ML) 0.5 $14.52 Phytonadione Inj 10 MG/ML 0.2 $31.47 Phytonadione Inj 10 MG/ML 0.1 $15.74 Phytonadione Tab 5 MG 0.5 $109.83 Pilocarpine HCl Ophth Soln 1% 15 $347.82 Pilocarpine HCl Ophth Soln 1% 15 $372.18 Pilocarpine HCl Ophth Soln 2% 15 $380.70 Pilocarpine HCl Ophth Soln 4% 15 $398.88 Pioglitazone HCl Tab 15 MG (Base Equiv) 1 $5.55 Pioglitazone HCl Tab 15 MG (Base Equiv) 1 $48.07 Pioglitazone HCl Tab 30 MG (Base Equiv) 0.5 $36.72 Pioglitazone HCl Tab 30 MG (Base Equiv) 0.5 $37.00 Pioglitazone HCl Tab 30 MG (Base Equiv) 0.5 $36.72 Pioglitazone HCl Tab 45 MG (Base Equiv) 0.333333333 $5.55 Pioglitazone HCl Tab 45 MG (Base Equiv) 0.333333333 $5.98 Pioglitazone HCl Tab 45 MG (Base Equiv) 0.333333333 $26.75 Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM) 1 $34.28 Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM) 1 $40.13 Piperacillin Sod-Tazobactam Sod For Inj 2.25 GM (2-0.25 GM) 1 $22.84 Piperacillin Sod-Tazobactam Sod For Inj 2.25 GM (2-0.25 GM) 1 $26.76 Piperacillin Sod-Tazobactam Sod For Inj 2.25 GM (2-0.25 GM) 1 $22.84 Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM) 1 $45.68 Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM) 1 $53.51 Piperacillin Sod-Tazobactam Sod in Dex IV Sol 3-0.375GM/50ML 50 $9.20 Piperacillin Sod-Tazobactam Sod in Dex IV Soln 2-0.25GM/50ML 50 $61.00 Pneumococcal 13-Valent Conjugate Vaccine Inj 0.5 $629.04 Pneumococcal 13-Valent Conjugate Vaccine Inj 0.5 $673.29 Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML 0.5 $374.53 Pneumococcal Vaccine Polyvalent Inj 25 MCG/0.5ML 0.5 $374.53 Podofilox Soln 0.5% 3.5 $288.55 Podophyllum Resin Powder 5 $96.00 Podophyllum Resin Powder 25 $245.20 Podophyllum Resin Soln 25% 15 $366.36 Poliovirus Vaccine, IPV Injection 0.5 $110.18 Poliovirus Vaccine, IPV Injection 0.5 $110.54 Polyethylene Glycol 3350 Oral Packet 1 $2.00 Polyethylene Glycol 3350 Oral Powder 119 $1,284.25 Polymyxin B Sulfate For Inj 500000 Unit 1000 $38,636.00 Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1% 10 $27.12 Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1% 10 $27.56 Pomalidomide Cap 4 MG 1 $2.00 Posaconazole Susp 40 MG/ML 105 $5,126.52 Potassium & Sodium Phosphates Powder Pack 280-160-250 MG 1 $2.00 Potassium Acetate Inj 2 mEq/ML 20 $16.24 Potassium Chloride 20 MEQ/L (0.15%) in Dextrose 5% Inj 1000 $8.00 Potassium Chloride 20 MEQ/L (0.15%) in Dextrose 5% Inj 1000 $36.00 Potassium Chloride Inj 10 mEq/100ML 100 $10.80 Potassium Chloride Inj 10 mEq/100ML 100 $13.60 Potassium Chloride Inj 10 mEq/50ML 50 $12.20 Potassium Chloride Inj 10 mEq/50ML 50 $13.20 Potassium Chloride Inj 2 mEq/ML 20 $15.44 Potassium Chloride Inj 2 mEq/ML 20 $6.64 Potassium Chloride Inj 20 mEq/100ML 100 $10.00 Potassium Chloride Inj 20 mEq/100ML 100 $2.00 Potassium Chloride Inj 20 mEq/50ML 50 $10.60 Potassium Chloride Inj 20 mEq/50ML 50 $2.00 Potassium Chloride Microencapsulated Crys ER Tab 10 mEq 1 $2.22 Potassium Chloride Microencapsulated Crys ER Tab 20 mEq 0.5 $2.00 Potassium Chloride Powder Packet 20 mEq 1 $3.05 Potassium Chloride Tab ER 8 mEq (600 MG) 1 $2.00 Potassium Citrate Tab ER 10 MEQ (1080 MG) 0.5 $3.98 Potassium Iodide Oral Soln 1 GM/ML 1 $2.00 Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K) 5 $54.86 Povidone-Iodine Oint 10% 1 $2.00 Povidone-Iodine Ophth Soln 5% 1 $2.00 Povidone-Iodine Soln 10% 118 $5.19 Pralatrexate IV Inj 20 MG/ML 1 $21,364.84 Pralidoxime Chloride For IV Soln 1 GM 1 $280.38 Pramipexole Dihydrochloride Tab 0.125 MG 1 $24.30 Pramipexole Dihydrochloride Tab 0.125 MG 1 $2.00 Pramipexole Dihydrochloride Tab 0.125 MG 1 $2.00 Pramipexole Dihydrochloride Tab 0.25 MG 0.5 $12.15 Pramipexole Dihydrochloride Tab 0.5 MG 0.25 $2.00 Pramoxine-HC Cream 1-1% 28.4 $692.85 Pramoxine-HC Oint 1-1% 28.4 $562.09 Prasugrel HCl Tab 10 MG (Base Equiv) 0.5 $24.88 Prasugrel HCl Tab 10 MG (Base Equiv) 0.5 $28.60 Prasugrel HCl Tab 10 MG (Base Equiv) 3 $149.29 Prasugrel HCl Tab 10 MG (Base Equiv) 3 $171.59 Prasugrel HCl Tab 5 MG (Base Equiv) 1 $49.76 Prasugrel HCl Tab 5 MG (Base Equiv) 1 $57.20 Pravastatin Sodium Tab 10 MG 1 $2.00 Pravastatin Sodium Tab 10 MG 1 $2.56 Pravastatin Sodium Tab 20 MG 0.5 $2.00 Pravastatin Sodium Tab 20 MG 0.5 $2.00 Pravastatin Sodium Tab 20 MG 0.5 $2.00 Pravastatin Sodium Tab 20 MG 0.5 $2.00 Pravastatin Sodium Tab 40 MG 0.25 $2.00 Pravastatin Sodium Tab 40 MG 0.25 $2.00 Pravastatin Sodium Tab 40 MG 0.25 $2.00 Pravastatin Sodium Tab 80 MG 0.125 $2.00 Pravastatin Sodium Tab 80 MG 0.125 $2.00 Pravastatin Sodium Tab 80 MG 0.125 $2.00 Prazosin HCL 0 $2.00 Prazosin HCl Cap 1 MG 1 $4.94 Prazosin HCl Cap 5 MG 0.2 $2.66 Prednisolone Acetate Ophth Susp 0.12% 5 $518.48 Prednisolone Acetate Ophth Susp 0.12% 10 $1,037.00 Prednisolone Acetate Ophth Susp 1% 5 $156.16 Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv) 60 $12.96 Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv) 5 $2.00 Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv) 15 $5.22 Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv) 15 $6.00 Prednisone Oral Soln 5 MG/5ML 5 $4.40 Prednisone Tab 1 MG 1 $2.00 Prednisone Tab 10 MG 0.25 $2.00 Prednisone Tab 10 MG 0.25 $2.00 Prednisone Tab 10 MG 0.25 $2.00 Prednisone Tab 2.5 MG 0.4 $2.00 Prednisone Tab 20 MG 0.125 $2.00 Prednisone Tab 20 MG 0.125 $2.00 Prednisone Tab 20 MG 0.125 $2.00 Prednisone Tab 20 MG 0.125 $2.00 Prednisone Tab 20 MG 0.125 $2.00 Prednisone Tab 5 MG 0.5 $2.00 Prednisone Tab 50 MG 0.05 $2.00 Pregabalin Cap 100 MG 0.25 $7.64 Pregabalin Cap 25 MG 1 $27.78 Pregabalin Cap 50 MG 0.5 $15.28 Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.8 MG 1 $2.00 Prenatal Vit w/ Fe Fumarate-FA Tab 27-1 MG 1 $2.00 Prenatal Vit w/ Fe Fumarate-FA Tab 28-0.8 MG 1 $2.00 Primaquine Phosphate Tab 26.3 MG (15 MG Base) 1 $6.30 Primidone Tab 250 MG 0.2 $2.00 Primidone Tab 50 MG 1 $2.00 Probenecid Tab 500 MG 1 $3.72 Procainamide HCl Inj 100 MG/ML 10 $259.36 Procainamide HCl Inj 500 MG/ML 2 $241.04 Prochlorperazine Maleate Tab 10 MG (Base Equivalent) 0.5 $2.00 Prochlorperazine Maleate Tab 10 MG (Base Equivalent) 0.5 $2.00 Prochlorperazine Maleate Tab 5 MG (Base Equivalent) 1 $2.00 Prochlorperazine Suppos 25 MG 1 $34.85 Prochlorperazine Suppos 25 MG 1 $25.61 Promethazine HCl Inj 25 MG/ML 1 $3.18 Promethazine HCl Inj 25 MG/ML 1 $6.22 Promethazine HCl Inj 50 MG/ML 0.5 $6.47 Promethazine w/ Codeine Syrup 6.25-10 MG/5ML 118 $12.27 Propafenone HCl Tab 150 MG 1 $2.06 Proparacaine HCl Ophth Soln 0.5% 15 $167.40 Proparacaine HCl Ophth Soln 0.5% 15 $140.34 Proparacaine HCl Ophth Soln 0.5% 15 $171.18 Proparacaine HCl Ophth Soln 0.5% 15 $93.54 Propofol IV Emul 1000 MG/100ML (10 MG/ML),Propofol IV Emul 200 MG/20ML100 (10$33.60 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 100 MG/10ML (10 MG/ML) Propofol IV Emul 1000 MG/100ML (10 MG/ML),Propofol IV Emul 200 MG/20ML100 (10$98.00 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 100 MG/10ML (10 MG/ML) Propofol IV Emul 1000 MG/100ML (10 MG/ML),Propofol IV Emul 200 MG/20ML100 (10$78.40 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 100 MG/10ML (10 MG/ML) Propofol IV Emul 200 MG/20ML (10 MG/ML) 2 $2.00 Propranolol HCl Cap ER 24HR 120 MG 0.5 $47.51 Propranolol HCl Cap ER 24HR 120 MG 0.5 $4.48 Propranolol HCl Cap ER 24HR 160 MG 0.375 $37.19 Propranolol HCl Cap ER 24HR 160 MG 0.375 $4.21 Propranolol HCl Inj 1 MG/ML 1 $13.42 Propranolol HCl Oral Soln 20 MG/5ML 5 $2.00 Propranolol HCl Oral Soln 40 MG/5ML 60 $30.96 Propranolol HCl Oral Soln 40 MG/5ML 2.5 $2.00 Propranolol HCl Tab 10 MG 1 $2.00 Propranolol HCl Tab 20 MG 0.5 $2.00 Propranolol HCl Tab 20 MG 0.5 $2.00 Propranolol HCl Tab 20 MG 0.5 $2.00 Propranolol HCl Tab 40 MG 0.25 $2.00 Propylthiouracil Tab 50 MG 1 $2.42 Protamine Sulfate Inj 10 MG/ML 5 $45.80 Prothrombin Complex Conc Human For Inj Kit 1000 Unit 1 $7,192.80 Prothrombin Complex Conc Human For Inj Kit 500 Unit 1 $3,317.76 Pseudoephedrine HCl Tab 30 MG 1 $2.00 Psyllium Powder Packet 100% 1 $2.00 Psyllium Powder Packet 100% 1 $2.00 Pyrazinamide Tab 500 MG 3 $37.68 Pyrazinamide Tab 500 MG 3 $77.94 Pyridostigmine Bromide Syrup 60 MG/5ML 473 $4,309.98 Pyridostigmine Bromide Syrup 60 MG/5ML 120 $1,093.44 Pyridostigmine Bromide Tab 60 MG 0.5 $2.08 Pyridostigmine Bromide Tab ER 180 MG 1 $102.14 Pyridoxine HCl Inj 100 MG/ML 0.5 $28.39 Pyridoxine HCl Tab 50 MG 0.5 $2.00 Pyridoxine HCl Tab 50 MG 0.5 $2.00 Pyridoxine HCl Tab 50 MG 0.5 $2.00 Pyridoxine HCl Tab 50 MG 0.5 $2.00 Quetiapine Fumarate Tab 100 MG 1 $24.92 Quetiapine Fumarate Tab 100 MG 1 $2.00 Quetiapine Fumarate Tab 100 MG 1 $2.62 Quetiapine Fumarate Tab 200 MG 1 $6.11 Quetiapine Fumarate Tab 25 MG 1 $14.52 Quetiapine Fumarate Tab 25 MG 1 $2.00 Quetiapine Fumarate Tab 25 MG 1 $2.00 Quetiapine Fumarate Tab 25 MG 1 $2.00 Quetiapine Fumarate Tab 300 MG 1 $63.03 Quetiapine Fumarate Tab 300 MG 1 $61.65 Quetiapine Fumarate Tab 300 MG 1 $63.03 Quetiapine Fumarate Tab 400 MG 1 $5.08 Quetiapine Fumarate Tab ER 24HR 150 MG 0.333333333 $18.38 Quetiapine Fumarate Tab ER 24HR 200 MG 0.25 $15.49 Quetiapine Fumarate Tab ER 24HR 200 MG 0.25 $15.17 Quetiapine Fumarate Tab ER 24HR 300 MG 0.166666667 $13.54 Quetiapine Fumarate Tab ER 24HR 300 MG 0.166666667 $13.26 Quetiapine Fumarate Tab ER 24HR 400 MG 0.125 $11.94 Quetiapine Fumarate Tab ER 24HR 400 MG 0.125 $11.69 Quetiapine Fumarate Tab ER 24HR 50 MG 1 $31.36 Quinapril HCl Tab 10 MG 0.5 $2.00 Quinapril HCl Tab 10 MG 0.5 $9.05 Quinapril HCl Tab 20 MG 0.25 $2.00 Quinapril HCl Tab 20 MG 0.25 $4.53 Quinapril HCl Tab 40 MG 0.125 $2.00 Quinapril HCl Tab 5 MG 1 $2.45 Quinapril HCl Tab 5 MG 1 $18.10 Quinapril HCl Tab 5 MG 1 $18.11 Quinidine Gluconate Inj 80 MG/ML 10 $67.16 Quinidine Sulfate Tab 200 MG 1 $2.00 Quinine Sulfate Cap 324 MG 1 $21.60 Quinupristin-Dalfopristin for Inj 500 MG (150-350 MG) 1 $1,550.52 Quinupristin-Dalfopristin for Inj 500 MG (150-350 MG) 1 $1,516.59 Rabies Immune Globulin (Human) Inj 300 Unit/2ML (150 Unt/ML) 2 $2,766.80 Rabies Immune Globulin (Human) Inj 300 Unit/ML 1 $2,766.80 Rabies Vaccine, PCEC For Inj 1 $1,158.36 Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent) 1 $6.54 Raloxifene HCl Tab 60 MG 1 $25.20 Raltegravir Potassium Packet For Susp 100 MG (Base Equiv) 1 $24.38 Raltegravir Potassium Tab 400 MG (Base Equiv) 1 $97.50 Ramelteon Tab 8 MG 1 $47.07 Ramipril Cap 10 MG 0.125 $2.00 Ramipril Cap 10 MG 0.125 $2.00 Ramucirumab IV Soln 100 MG/10ML (For Infusion) 10 $4,438.80 Ramucirumab IV Soln 500 MG/50ML (For Infusion) 50 $22,194.00 Ranitidine HCl Inj 50 MG/2ML (25 MG/ML) 2 $11.30 Ranitidine HCl Syrup 15 MG/ML 1 $2.00 Ranitidine HCl Syrup 15 MG/ML (75 MG/5ML) 473 $66.22 Ranitidine HCl Tab 150 MG 1 $2.00 Ranitidine HCl Tab 150 MG 1 $2.00 Ranitidine HCl Tab 150 MG 1 $2.00 Ranolazine Tab ER 12HR 500 MG 1 $22.24 Rasburicase For IV Soln 7.5 MG 1 $15,473.64 Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML) 5 $908.28 Remifentanil HCl For IV Soln 2 MG 1 $453.67 Remifentanil HCl For IV Soln 2 MG 1 $446.53 Remifentanil HCl For IV Soln 5 MG 1 $965.28 Repaglinide Tab 0.5 MG 1 $23.91 Repaglinide Tab 1 MG 0.5 $11.96 Repaglinide Tab 2 MG 0.25 $5.98 Reteplase For IV Soln Kit 2 x 10.4 Unit (18.1 MG) 0.961538462 $15,961.35 Rho D Immune Globulin (Human) Inj 1500 Unit/1.3ML 1.3 $1,493.28 Rho D Immune Globulin (Human) Inj 5000 Unit/4.4ML 4.4 $4,976.88 Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG) 1 $472.00 Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG) 1 $472.00 Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG) 1 $472.00 Rho D Immune Globulin Sol Pref Syr 1500 Unt/2ML (300MCG/2ML) 2 $302.84 Ribavirin Cap 200 MG 1 $12.55 Ribavirin For Inhal Soln 6 GM 0.333333333 $2.00 Ribavirin Tab 600 MG 1 $153.34 Rifabutin Cap 150 MG 1 $118.65 Rifampin Cap 150 MG 1 $7.77 Rifampin Cap 300 MG 1 $4.28 Rifampin Cap 300 MG 1 $7.95 Rifampin Cap 300 MG 1 $3.30 Rifampin For Inj 600 MG 1 $682.44 Rifaximin Tab 200 MG 1 $64.87 Rifaximin Tab 550 MG 1 $136.77 Rifaximin Tab 550 MG 1 $136.77 Rilpivirine HCl Tab 25 MG (Base Equivalent) 1 $135.61 Risedronate Sodium Tab 35 MG 1 $303.79 Risedronate Sodium Tab 35 MG 1 $303.79 Risperidone Microspheres For Inj 12.5 MG 1 $847.68 Risperidone Microspheres For Inj 25 MG 1 $1,695.20 Risperidone Microspheres For Inj 37.5 MG 1 $2,542.92 Risperidone Microspheres For Inj 50 MG 1 $3,390.64 Risperidone Orally Disintegrating Tab 2 MG 0.5 $5.78 Risperidone Soln 1 MG/ML 30 $114.72 Risperidone Tab 0.25 MG 1 $3.65 Risperidone Tab 0.25 MG 1 $2.00 Risperidone Tab 0.25 MG 1 $2.00 Risperidone Tab 0.5 MG 1 $3.16 Risperidone Tab 0.5 MG 1 $2.00 Risperidone Tab 0.5 MG 1 $2.00 Risperidone Tab 0.5 MG 1 $2.00 Risperidone Tab 1 MG 0.5 $2.00 Risperidone Tab 1 MG 0.5 $2.27 Risperidone Tab 1 MG 0.5 $2.00 Risperidone Tab 2 MG 0.25 $2.00 Risperidone Tab 3 MG 0.166666667 $2.00 Risperidone Tab 4 MG 0.125 $2.00 Ritonavir Cap 100 MG 2 $65.46 Ritonavir Oral Soln 80 MG/ML 120 $2,752.32 Ritonavir Oral Soln 80 MG/ML 240 $5,616.96 Ritonavir Tab 100 MG 1 $33.43 Rituximab IV Soln 100 MG/10ML 10 $3,758.08 Rivaroxaban Tab 10 MG 1 $52.22 Rivaroxaban Tab 15 MG 1 $52.22 Rivaroxaban Tab 20 MG 1 $52.22 Rivastigmine TD Patch 24HR 4.6 MG/24HR 1 $80.65 Rivastigmine TD Patch 24HR 9.5 MG/24HR 1 $80.65 Rivastigmine TD Patch 24HR 9.5 MG/24HR 1 $43.17 Rocuronium Bromide IV Soln 100 MG/10ML (10 MG/ML) 10 $18.36 Rocuronium Bromide IV Soln 100 MG/10ML (10 MG/ML) 10 $26.00 Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML) 5 $32.52 Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML) 5 $21.98 Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML) 5 $17.94 Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML) 5 $17.98 Romiplostim For Inj 500 MCG 1 $14,435.60 Ropinirole Hydrochloride Tab 0.25 MG 1 $2.00 Ropinirole Hydrochloride Tab 0.25 MG 1 $2.00 Ropinirole Hydrochloride Tab 0.5 MG 0.5 $10.50 Ropinirole Hydrochloride Tab 0.5 MG 0.5 $2.00 Ropivacaine HCl Inj 10 MG/ML 15 $63.60 Ropivacaine HCl Inj 10 MG/ML 15 $63.60 Ropivacaine HCl Inj 2 MG/ML 5 $9.04 Ropivacaine HCl Inj 2 MG/ML 5 $7.60 Ropivacaine HCl Inj 2 MG/ML 5 $7.60 Ropivacaine HCl Inj 5 MG/ML 15 $40.56 Ropivacaine HCl Inj 5 MG/ML 15 $2.00 Ropivacaine HCl Inj 5 MG/ML 15 $40.56 Ropivacaine HCl Inj 5 MG/ML 15 $34.08 Ropivacaine HCl Inj 7.5 MG/ML 15 $52.98 Rosuvastatin Calcium Tab 10 MG 0.5 $16.60 Rosuvastatin Calcium Tab 20 MG 0.25 $8.30 Rosuvastatin Calcium Tab 40 MG 0.125 $4.06 Rosuvastatin Calcium Tab 5 MG 1 $32.51 Rotavirus Vaccine, Live For Oral Susp 1 $439.27 Sacubitril-Valsartan Tab 24-26 MG 1 $28.86 Sacubitril-Valsartan Tab 49-51 MG 1 $28.86 Sacubitril-Valsartan Tab 97-103 MG 1 $28.86 Salicylic Acid Gel 6% 100 $191.60 Saline Nasal Spray 0.65% 45 $10.80 Saline Nasal Spray 0.65% 44 $4.40 Saquinavir Mesylate Cap 200 MG 5 $84.50 Saquinavir Mesylate Tab 500 MG 2 $78.11 Scopolamine TD Patch 72HR 1 MG/3DAYS 1 $81.40 Selegiline HCl Tab 5 MG 1 $11.85 Selegiline TD Patch 24HR 6 MG/24HR 1 $205.56 Selenium Sulfide Lotion 2.5% 120 $26.88 Selenium Sulfide Shampoo 2.25% 180 $607.68 Sennosides Tab 8.6 MG 1 $2.00 Sennosides Tab 8.6 MG 1 $2.00 Sennosides Tab 8.6 MG 1 $2.00 Sertraline HCl Tab 100 MG 0.25 $2.00 Sertraline HCl Tab 100 MG 0.25 $2.00 Sertraline HCl Tab 100 MG 0.25 $2.00 Sertraline HCl Tab 25 MG 1 $2.00 Sertraline HCl Tab 25 MG 1 $2.00 Sertraline HCl Tab 50 MG 0.5 $2.00 Sertraline HCl Tab 50 MG 0.5 $2.00 Sertraline HCl Tab 50 MG 0.5 $2.00 Sevelamer Carbonate Packet 0.8 GM 1 $64.72 Sevelamer Carbonate Packet 2.4 GM 0.333333333 $21.57 Sevelamer Carbonate Packet 2.4 GM 0.333333333 $21.10 Sevelamer Carbonate Tab 800 MG 1 $21.10 Sevelamer Carbonate Tab 800 MG 1 $26.97 Sevoflurane Inhal Soln 250 $493.00 Sevoflurane Inhal Soln 250 $411.00 Sevoflurane Inhal Soln 250 $594.00 Sildenafil Citrate IV Soln 10 MG/12.5ML (Base Equivalent) 12.5 $704.30 Sildenafil Citrate Tab 20 MG 1 $3.75 Sildenafil Citrate Tab 25 MG 1 $251.78 Silver Nitrate-Potassium Nitrate Applicator 75-25% 1 $2.00 Silver Sulfadiazine Cream 1% 50 $32.20 Silver Sulfadiazine Cream 1% 400 $140.80 Silver Sulfadiazine Cream 1% 50 $47.40 Silver Sulfadiazine Cream 1% 50 $33.80 Silver-Carboxymethylcellulose Sodium Dressing 4"X5" 1 $63.16 Simethicone Chew Tab 80 MG 1 $2.00 Simethicone Chew Tab 80 MG 1 $2.00 Simethicone Susp 40 MG/0.6ML 30 $6.96 Simvastatin Tab 10 MG 0.5 $8.64 Simvastatin Tab 10 MG 0.5 $2.00 Simvastatin Tab 10 MG 0.5 $2.00 Simvastatin Tab 10 MG 0.5 $2.00 Simvastatin Tab 10 MG 0.5 $2.00 Simvastatin Tab 20 MG 0.25 $2.00 Simvastatin Tab 20 MG 0.25 $2.00 Simvastatin Tab 20 MG 0.25 $2.00 Simvastatin Tab 20 MG 0.25 $2.00 Simvastatin Tab 40 MG 0.125 $2.00 Simvastatin Tab 40 MG 0.125 $2.00 Simvastatin Tab 40 MG 0.125 $2.00 Simvastatin Tab 40 MG 0.125 $2.00 Simvastatin Tab 40 MG 0.125 $2.00 Simvastatin Tab 40 MG 0.125 $2.00 Simvastatin Tab 5 MG 1 $2.00 Simvastatin Tab 80 MG 0.0625 $2.00 Sincalide For Inj 5 MCG 1 $378.21 Sipuleucel-T Suspension for IV Infusion 250 $2.00 Sirolimus Tab 1 MG 1 $109.31 Sitagliptin Phosphate Tab 100 MG (Base Equiv) 0.25 $13.38 Sitagliptin Phosphate Tab 100 MG (Base Equiv) 0.25 $13.38 Sitagliptin Phosphate Tab 25 MG (Base Equiv) 1 $53.54 Sitagliptin Phosphate Tab 25 MG (Base Equiv) 1 $46.29 Sitagliptin Phosphate Tab 50 MG (Base Equiv) 0.5 $26.77 Sitagliptin Phosphate Tab 50 MG (Base Equiv) 0.5 $26.77 Sitagliptin Phosphate Tab 50 MG (Base Equiv) 0.5 $23.15 Skin Protectants Misc - Misc 1 $2.00 Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq) 5 $118.88 Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq) 5 $47.30 Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq) 5 $118.88 Sodium Acetate Inj 2 mEq/ML 20 $13.28 Sodium Bicarbonate Inj 4.2% 10 $38.68 Sodium Bicarbonate Inj 4.2% 5 $9.54 Sodium Bicarbonate Inj 7.5% 50 $54.00 Sodium Bicarbonate Inj 8.4% 50 $35.20 Sodium Bicarbonate Inj 8.4% 10 $48.40 Sodium Bicarbonate Tab 650 MG 0.5 $2.00 Sodium Bicarbonate Tab 650 MG 0.5 $2.00 Sodium Bicarbonate Tab 650 MG 0.5 $2.00 Sodium Chloride Flush IV Soln 0.9% 3 $2.00 Sodium Chloride Inj 0.45% 250 $26.00 Sodium Chloride Inj 0.45% 250 $12.00 Sodium Chloride Inj 0.45% 250 $26.00 Sodium Chloride Inj 0.45% 1000 $16.00 Sodium Chloride Inj 0.9% 10 $3.04 Sodium Chloride Inj 0.9% 10 $5.48 Sodium Chloride Inj 0.9% 10 $2.96 Sodium Chloride Inj 0.9% 3 $2.00 Sodium Chloride Inj 2.5 mEq/ML (14.6%) 20 $4.08 Sodium Chloride Inj 3% 500 $20.00 Sodium Chloride Inj 3% 500 $16.00 Sodium Chloride Inj 3% 500 $20.00 Sodium Chloride Inj 4 mEq/ML (23.4%) 0.25 $2.00 Sodium Chloride Inj 4 mEq/ML (23.4%) 30 $18.96 Sodium Chloride Irrigation Soln 0.9% 3000 $48.00 Sodium Chloride Irrigation Soln 0.9% 250 $12.00 Sodium Chloride Irrigation Soln 0.9% 500 $2.00 Sodium Chloride IV Soln 0.9% 250 $2.00 Sodium Chloride IV Soln 0.9% 250 $22.00 Sodium Chloride IV Soln 0.9% 1000 $8.00 Sodium Chloride IV Soln 0.9% 500 $14.00 Sodium Chloride IV Soln 0.9% 250 $10.00 Sodium Chloride IV Soln 0.9% 150 $2.00 Sodium Chloride IV Soln 0.9% 250 $2.00 Sodium Chloride IV Soln 0.9% 500 $2.00 Sodium Chloride IV Soln 0.9% 1000 $4.00 Sodium Chloride IV Soln 0.9% 25 $9.60 Sodium Chloride IV Soln 0.9% 50 $8.20 Sodium Chloride IV Soln 0.9% 100 $2.00 Sodium Chloride IV Soln 0.9% 50 $8.00 Sodium Chloride IV Soln 0.9% 100 $8.80 Sodium Chloride IV Soln 0.9% 50 $19.80 Sodium Chloride IV Soln 0.9% 100 $21.20 Sodium Chloride IV Soln 0.9% 250 $26.00 Sodium Chloride IV Soln 0.9% 250 $2.00 Sodium Chloride IV Soln 0.9% 500 $2.00 Sodium Chloride IV Soln 0.9% 1000 $4.00 Sodium Chloride IV Soln 0.9% 250 $22.00 Sodium Chloride IV Soln 0.9% 500 $14.00 Sodium Chloride IV Soln 0.9% 250 $10.00 Sodium Chloride IV Soln 0.9% 150 $2.00 Sodium Chloride IV Soln 0.9% 250 $2.00 Sodium Chloride IV Soln 0.9% 500 $2.00 Sodium Chloride IV Soln 0.9% 1000 $4.00 Sodium Chloride IV Soln 0.9% 25 $9.60 Sodium Chloride IV Soln 0.9% 50 $8.20 Sodium Chloride IV Soln 0.9% 100 $2.00 Sodium Chloride IV Soln 0.9% 50 $8.00 Sodium Chloride IV Soln 0.9% 100 $8.80 Sodium Chloride IV Soln 0.9% 50 $19.80 Sodium Chloride IV Soln 0.9% 100 $21.20 Sodium Chloride IV Soln 0.9% 250 $26.00 Sodium Chloride IV Soln 0.9% 1000 $12.00 Sodium Chloride IV Soln 0.9% 250 $22.00 Sodium Chloride IV Soln 0.9% 500 $14.00 Sodium Chloride IV Soln 0.9% 250 $10.00 Sodium Chloride IV Soln 0.9% 150 $2.00 Sodium Chloride IV Soln 0.9% 250 $2.00 Sodium Chloride IV Soln 0.9% 500 $2.00 Sodium Chloride IV Soln 0.9% 1000 $4.00 Sodium Chloride IV Soln 0.9% 25 $9.60 Sodium Chloride IV Soln 0.9% 50 $8.20 Sodium Chloride IV Soln 0.9% 100 $2.00 Sodium Chloride IV Soln 0.9% 50 $8.00 Sodium Chloride IV Soln 0.9% 100 $8.80 Sodium Chloride IV Soln 0.9% 50 $19.80 Sodium Chloride IV Soln 0.9% 100 $21.20 Sodium Chloride IV Soln 0.9% 250 $26.00 Sodium Chloride Soln Nebu 0.9% 3 $2.00 Sodium Chloride Soln Nebu 3% 4 $2.37 Sodium Chloride Soln Nebu 3% 4 $2.00 Sodium Chloride Soln Nebu 7% 4 $3.09 Sodium Chloride Soln Nebu 7% 4 $2.00 Sodium Chloride Tab 1 GM 1 $2.00 Sodium Chloride Tab 1 GM 1 $2.00 Sodium Citrate & Citric Acid Soln 500-334 MG/5ML 15 $3.60 Sodium Glycerophosphate IV Soln 1 MMole/ML 20 $48.64 Sodium Hyaluronate Intraocular Inj 10 MG/ML 0.4 $418.96 Sodium Hyaluronate Intraocular Inj 10 MG/ML 0.55 $531.76 Sodium Hyaluronate Intraocular Inj 10 MG/ML 0.85 $698.08 Sodium Phosphates - Enema 133 $7.20 Sodium Phosphates - Enema 133 $7.20 Sodium Phosphates - Enema 133 $4.26 Sodium Phosphates - Enema 133 $7.20 Sodium Phosphates - Enema 66 $5.28 Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na) 5 $13.74 Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na) 5 $54.86 Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na) 15 $54.66 Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na) 15 $87.84 Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na) 15 $128.34 Sodium Polystyrene Sulfonate Oral Susp 15 GM/60ML 60 $34.32 Sodium Polystyrene Sulfonate Oral Susp 15 GM/60ML 60 $34.32 Sodium Polystyrene Sulfonate Oral Susp 15 GM/60ML 60 $33.60 Sodium Tetradecyl Sulfate Inj 1% 0.5 $73.02 Sodium Tetradecyl Sulfate Inj 3% 0.5 $73.02 Sodium Thiosulfate Inj 25% 1 $7.12 Sofosbuvir Tab 400 MG 1 $2.00 Sofosbuvir-Velpatasvir Tab 400-100 MG 1 $2.00 Solifenacin Succinate Tab 10 MG 0.5 $20.03 Solifenacin Succinate Tab 5 MG 1 $36.80 Sorafenib Tosylate Tab 200 MG (Base Equivalent) 2 $2.00 Sotalol HCl (AFIB/AFL) Tab 120 MG 1 $3.80 Sotalol HCl Tab 80 MG 1 $9.40 Spironolactone Tab 25 mg 1 $2.00 spironolactone tab 25 mg 50 $26.60 Spironolactone Tab 25 MG 1 $2.00 Spironolactone Tab 25 MG 1 $2.00 Spironolactone Tab 25 MG 1 $2.00 Spironolactone Tab 25 MG 1 $2.00 Spironolactone Tab 50 MG 0.5 $2.00 Spironolactone Tab 50 MG 0.5 $2.00 Spironolactone Tab 50 MG 0.5 $2.00 Spironolactone Tab 50 MG 0.5 $2.00 Stavudine Cap 15 MG 1 $3.86 Stavudine Cap 20 MG 0.75 $2.98 Stavudine Cap 30 MG 0.5 $2.16 Stavudine Cap 30 MG 0.5 $14.71 Stavudine Cap 40 MG 0.375 $2.57 Stavudine Cap 40 MG 0.375 $2.00 Stavudine Cap 40 MG 0.375 $11.24 Streptomycin Sulfate For Inj 1 GM 1 $280.38 Streptozocin For Inj 1 GM 1 $1,321.12 Succinylcholine Chloride Inj 20 mg/mL 5 $35.20 Succinylcholine Chloride Inj 20 MG/ML 0.25 $2.00 Succinylcholine Chloride Inj 20 MG/ML 0.25 $2.30 Succinylcholine Chloride Inj 20 MG/ML 0.25 $2.30 Sucralfate Susp 1 GM/10ML 10 $29.76 Sucralfate Susp 1 GM/10ML 10 $24.16 Sucralfate Tab 1 GM 1 $13.26 Sucralfate Tab 1 GM 1 $2.00 Sucralfate Tab 1 GM 1 $2.00 Sucralfate Tab 1 GM 1 $2.00 Sugammadex Sodium IV 500 MG/5ML (Base Equivalent) 5 $650.48 Sulfacetamide Sodium Ophth Soln 10% 15 $110.52 Sulfacetamide Sodium-Prednisolone Ophth Susp 10-0.2% 5 $518.48 Sulfadiazine Tab 500 MG 1 $15.10 Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML 20 $86.08 Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML 20 $13.92 Sulfamethoxazole-Trimethoprim Tab 800-160 MG 1 $2.00 Sulfamethoxazole-Trimethoprim Tab 800-160 MG 1 $2.00 Sulfamethoxazole-Trimethoprim Tab 800-160 MG 1 $2.00 Sulfamethoxazole-Trimethoprim Tab 800-160 MG 1 $2.00 Sulfasalazine Tab 500 MG 1 $2.00 Sulfasalazine Tab Delayed Release 500 MG 1 $2.00 Sumatriptan Succinate Inj 6 MG/0.5ML 0.5 $16.45 Tacrolimus Cap 0.5 MG 1 $4.93 Tacrolimus Cap 1 MG 0.5 $4.18 Tacrolimus Cap 5 MG 0.1 $4.23 Tacrolimus Inj 5 MG/ML 1 $769.55 Tacrolimus Oint 0.1% 100 $2,949.60 Tacrolimus Oint 0.1% 30 $884.88 Tacrolimus Oint 0.1% 60 $1,769.76 Tadalafil Tab 20 MG (PAH) 0.5 $124.86 Tamoxifen Citrate Tab 10 MG (Base Equivalent) 1 $2.00 Tamoxifen Citrate Tab 20 MG (Base Equivalent) 0.5 $2.00 Tamoxifen Citrate Tab 20 MG (Base Equivalent) 0.5 $2.00 Tamoxifen Citrate Tab 20 MG (Base Equivalent) 0.5 $2.22 Tamsulosin HCl Cap 0.4 MG 1 $2.00 Tamsulosin HCl Cap 0.4 MG 1 $2.00 Tamsulosin HCl Cap 0.4 MG 1 $28.98 Tbo-Filgrastim Soln Prefilled Syringe 300 MCG/0.5ML 0.5 $805.36 Tbo-Filgrastim Soln Prefilled Syringe 480 MCG/0.8ML 0.8 $1,277.24 Temozolomide Cap 20 MG 1 $355.37 Temozolomide Cap 5 MG 1 $82.88 Temozolomide For IV Soln 100 MG 1 $3,912.12 Temsirolimus Soln For IV Infusion 25 MG/ML 1 $6,901.40 Tenecteplase For IV Soln Kit 50 MG 0.7 $15,339.80 Teniposide IV Soln 10 MG/ML 5 $9,983.80 Tenofovir Disoproxil Fumarate Oral Powder 40 MG/GM 60 $2,424.72 Tenofovir Disoproxil Fumarate Tab 300 MG 1 $148.23 Terazosin HCl Cap 1 MG (Base Equivalent) 1 $2.00 Terbinafine HCl Tab 250 MG 1 $2.00 Terbinafine HCl Tab 250 MG 1 $2.00 Terbinafine HCl Tab 250 MG 1 $2.00 Terbutaline Sulfate Inj 1 MG/ML 0.25 $16.80 Terconazole Vaginal Suppos 80 MG 1 $139.59 Teriparatide (Recombinant) Inj 600 MCG/2.4ML 0.08 $410.56 Testosterone Cypionate IM Inj in Oil 200 MG/ML 0.25 $6.67 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML 0.5 $150.31 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML 0.5 $131.91 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML 0.5 $134.52 Tetanus Immune Globulin (Human) Inj 250 Unit/ML 1 $1,733.08 Tetanus-Diphtheria Toxoids (Td) Inj 2-2 LF/0.5ML 0.5 $98.76 Tetanus-Diphtheria Toxoids (Td) Inj 2-2 LF/0.5ML 0.5 $70.86 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU 0.5 $106.87 Tetracaine HCl Ophth Soln 0.5% 5 $94.00 Tetracaine HCl Ophth Soln 0.5% 2 $35.12 Tetracycline HCl Cap 250 MG 1 $2.00 Thalidomide Cap 100 MG 0.5 $554.82 Thalidomide Cap 50 MG 1 $751.96 Thalidomide Cap 50 MG 1 $751.94 Thalidomide Cap 50 MG 1 $683.61 Thalidomide Cap 50 MG 1 $683.61 Theophylline Soln 80 MG/15ML 15 $32.10 Theophylline Soln 80 MG/15ML 473 $446.51 Theophylline Soln 80 MG/15ML 15 $32.10 Theophylline Tab ER 12HR 100 MG 1 $6.32 Theophylline Tab ER 12HR 200 MG 0.5 $2.00 Theophylline Tab ER 12HR 300 MG 0.333333333 $3.02 Theophylline Tab ER 24HR 400 MG 1 $4.67 Theophylline Tab ER 24HR 400 MG 1 $4.66 Theophylline Tab ER 24HR 400 MG 1 $2.70 Thiamine HCl Inj 100 MG/ML 0.5 $7.74 Thiamine HCl Inj 100 MG/ML 0.5 $9.29 Thiamine HCl Tab 100 MG 0.5 $2.00 Thiamine HCl Tab 100 MG 0.5 $2.00 Thiotepa For Inj 15 MG 1 $3,096.04 Thiotepa For Inj 15 MG 1 $2,164.52 Thiothixene Cap 10 MG 0.1 $2.00 Thiothixene Cap 10 MG 0.1 $2.00 Thiothixene Cap 5 MG 0.2 $2.23 Thrombin For Soln 20000 Unit 1 $1,005.20 Thrombin For Soln 5000 Unit 1 $254.88 Thyroid Tab 60 MG (1 Grain) 0.25 $2.00 Tiagabine HCl Tab 16 MG 0.125 $6.76 Ticagrelor Tab 60 MG 1 $21.99 Ticagrelor Tab 90 MG 1 $21.99 Ticagrelor Tab 90 MG 2 $43.98 Tigecycline For IV Soln 50 MG 1 $560.72 Timolol Maleate Ophth Soln 0.25% 5 $10.18 Timolol Maleate Ophth Soln 0.25% 5 $9.60 Timolol Maleate Ophth Soln 0.5% 5 $8.10 Timolol Maleate Ophth Soln 0.5% 5 $24.08 Timolol Maleate Ophth Soln 0.5% 5 $17.24 Timolol Ophth Soln 0.25% 5 $434.60 Tiotropium Bromide Monohydrate Inhal Cap 18 MCG (Base Equiv) 1 $44.60 Tiotropium Bromide Monohydrate Inhal Cap 18 MCG (Base Equiv) 1 $44.60 Tiotropium Bromide Monohydrate Inhal Cap 18 MCG (Base Equiv) 1 $52.99 Tipranavir Cap 250 MG 2 $102.59 Tirofiban HCl in NaCl 0.9% IV Soln 12.5 MG/250ML (Base Eq) 250 $1,936.00 Tizanidine HCl Cap 2 MG (Base Equivalent) 1 $10.23 Tizanidine HCl Tab 4 MG (Base Equivalent) 0.5 $4.53 Tizanidine HCl Tab 4 MG (Base Equivalent) 0.5 $2.00 Tizanidine HCl Tab 4 MG (Base Equivalent) 0.5 $4.53 Tobramycin Nebu Soln 300 MG/5ML 5 $489.86 Tobramycin Ophth Oint 0.3% 3.5 $801.36 Tobramycin Ophth Soln 0.3% 5 $39.28 Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv) 2 $12.60 Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv) 2 $6.35 Tobramycin-Dexamethasone Ophth Oint 0.3-0.1% 3.5 $804.85 Tobramycin-Dexamethasone Ophth Susp 0.3-0.1% 2.5 $164.44 Tobramycin-Dexamethasone Ophth Susp 0.3-0.1% 2.5 $296.00 Tocilizumab IV Inj 200 MG/10ML 10 $4,258.92 Tolterodine Tartrate Cap ER 24HR 2 MG 1 $45.95 Tolterodine Tartrate Cap ER 24HR 2 MG 1 $34.46 Tolterodine Tartrate Cap ER 24HR 4 MG 0.5 $22.97 Tolterodine Tartrate Cap ER 24HR 4 MG 0.5 $18.48 Tolvaptan Tab 15 MG 1 $1,717.32 Tolvaptan Tab 30 MG 0.5 $890.76 Topiramate Sprinkle Cap 15 MG 1 $2.88 Topiramate Sprinkle Cap 15 MG 1 $20.12 Topiramate Sprinkle Cap 15 MG 1 $2.77 Topiramate Tab 100 MG 0.25 $2.00 Topiramate Tab 100 MG 0.25 $2.00 Topiramate Tab 200 MG 0.125 $2.00 Topiramate Tab 25 MG 1 $2.00 Topiramate Tab 50 MG 0.5 $2.00 Topotecan HCl Inj 4 MG/4ML (Base Equiv) (For Infusion) 4 $381.41 Torsemide IV Soln 20 MG/2ML (10 MG/ML) 1 $13.65 Torsemide IV Soln 50 MG/5ML (10 MG/ML) 5 $39.32 Torsemide Tab 10 MG 1 $2.00 Torsemide Tab 10 MG 1 $2.00 Torsemide Tab 20 MG 0.5 $2.00 Torsemide Tab 5 MG 2 $2.00 Trace Min (Cr-Cu-Mn-Zn) Inj 0.01-1-0.5-5 MG/ML 1 $45.76 Trace Min (Cr-Cu-Mn-Zn) Inj 0.01-1-0.5-5 MG/ML 10 $157.64 Trace Min (Cr-Cu-Mn-Zn) Inj 0.85-100-25-1500 MCG/ML 2 $38.95 Trace Min (Cr-Cu-Mn-Zn) Inj 1-100-25-1000 MCG/ML 3 $40.85 Trace Min (Cu-F-I-Mn-Se-Zn) Inj 10 $50.88 Tramadol HCl Tab 50 MG 1 $2.00 Tramadol HCl Tab 50 MG 1 $2.00 Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML) 10 $184.00 Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML) 5 $92.00 Trastuzumab For IV Soln 150 MG 1 $6,233.68 Trastuzumab For IV Soln 440 MG 1 $16,246.28 Travoprost Ophth Soln 0.004% (Benzalkonium Free) (BAK Free) 2.5 $636.48 Trazodone HCl Tab 100 MG 0.5 $2.00 Trazodone HCl Tab 100 MG 0.5 $2.00 Trazodone HCl Tab 50 MG 0.5 $2.00 Tretinoin Cap 10 MG 1 $69.79 Tretinoin Cap 10 MG 1 $91.87 Tretinoin Cream 0.1% 20 $288.48 Triamcinolone Acetonide Cream 0.025% 15 $12.42 Triamcinolone Acetonide Cream 0.025% 80 $23.68 Triamcinolone Acetonide Cream 0.025% 15 $10.32 Triamcinolone Acetonide Cream 0.025% 80 $23.68 Triamcinolone Acetonide Cream 0.025% 80 $22.08 Triamcinolone Acetonide Cream 0.1% 80 $41.28 Triamcinolone Acetonide Cream 0.1% 80 $32.64 Triamcinolone Acetonide Cream 0.1% 80 $30.08 Triamcinolone Acetonide Cream 0.1% 15 $11.58 Triamcinolone Acetonide Dental Paste 0.1% 5 $322.32 Triamcinolone Acetonide Inj Susp 10 MG/ML 0.25 $2.26 Triamcinolone Acetonide Inj Susp 40 MG/ML 1 $35.00 Triamcinolone Acetonide Inj Susp 40 MG/ML 1 $35.52 Triamcinolone Acetonide Inj Susp 40 MG/ML 1 $26.53 Triamcinolone Acetonide Lotion 0.025% 60 $108.48 Triamcinolone Acetonide Oint 0.025% 80 $22.08 Triamcinolone Acetonide Oint 0.025% 15 $3.72 Triamcinolone Acetonide Oint 0.1% 80 $29.76 Triamcinolone Acetonide Oint 0.1% 80 $32.96 Triamcinolone Acetonide Oint 0.5% 15 $21.06 Triamterene Cap 50 MG 1 $36.62 Trichloroacetic Acid Liqd 80% 15 $224.34 Trifluoperazine HCl Tab 1 MG (Base Equivalent) 1 $4.25 Trifluoperazine HCl Tab 10 MG (Base Equivalent) 0.1 $2.00 Trifluoperazine HCl Tab 2 MG (Base Equivalent) 0.5 $3.08 Trifluoperazine HCl Tab 5 MG (Base Equivalent) 0.2 $2.00 Trifluridine Ophth Soln 1% 7.5 $493.44 Trifluridine Ophth Soln 1% 7.5 $339.87 Trifluridine Ophth Soln 1% 7.5 $1,425.12 Trihexyphenidyl HCl Tab 2 MG 1 $2.00 Trihexyphenidyl HCl Tab 5 MG 0.4 $2.00 Trihexyphenidyl HCl Tab 5 MG 0.4 $2.00 Trimethoprim Tab 100 MG 1 $2.00 Trimethoprim Tab 100 MG 1 $2.00 Triple Dye Swabs 1 $17.46 Tropicamide Ophth Soln 0.5% 15 $25.38 Tropicamide Ophth Soln 1% 15 $21.06 Tropicamide Ophth Soln 1% 15 $114.54 Tropicamide Ophth Soln 1% 3 $37.02 Tropicamide Ophth Soln 1% 3 $34.80 Trypan Blue Ophth Soln 0.06% 0.5 $2.00 Tuberculin PPD Inj 5 Unit/0.1ML 0.1 $33.21 Tuberculin PPD Inj 5 Unit/0.1ML 0.1 $25.75 Tuberculin PPD Inj 5 Unit/0.1ML 0.1 $26.04 Tuberculin PPD Inj 5 Unit/0.1ML 0.1 $20.28 Umeclidinium Br Aero Powd Breath Act 62.5 MCG/INH (Base Eq) 1 $36.68 Ursodiol Cap 300 MG 1 $19.86 Valacyclovir HCl Tab 500 MG 1 $5.02 Valacyclovir HCl Tab 500 MG 1 $14.76 Valacyclovir HCl Tab 500 MG 1 $10.81 Valacyclovir HCl Tab 500 MG 1 $24.29 Valganciclovir HCl Tab 450 MG (Base Equivalent) 1 $330.48 Valproate Sodium Inj 100 MG/ML 5 $18.70 Valproate Sodium Inj 100 MG/ML 5 $118.58 Valproate Sodium Inj 100 MG/ML 5 $25.00 Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv) 5 $2.00 Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv) 5 $2.08 Valsartan Tab 160 MG 0.25 $7.45 Valsartan Tab 320 MG 0.125 $4.71 Valsartan Tab 40 MG 1 $23.17 Valsartan Tab 40 MG 1 $19.92 Valsartan Tab 80 MG 0.5 $13.85 Valsartan Tab 80 MG 0.5 $11.91 Vancomycin HCl Cap 250 MG (Base Equivalent) 0.5 $30.68 Vancomycin HCl Cap 250 MG (Base Equivalent) 0.5 $130.42 Vancomycin HCl For IV Soln 1 GM (Base Equivalent) 0.5 $19.86 Vancomycin HCl For IV Soln 1 GM (Base Equivalent) 0.5 $20.48 Vancomycin HCl For IV Soln 1 GM (Base Equivalent) 0.5 $20.48 Vancomycin HCl For IV Soln 1 GM (Base Equivalent) 0.5 $7.33 Vancomycin HCl For IV Soln 500 MG (Base Equivalent) 1 $30.42 Vancomycin HCl For IV Soln 500 MG (Base Equivalent) 1 $26.13 Vancomycin HCl For IV Soln 500 MG (Base Equivalent) 0.25 $7.30 Vancomycin HCl For IV Soln 500 MG (Base Equivalent) 0.25 $2.85 Vancomycin HCl For IV Soln 500 MG (Base Equivalent) 0.25 $2.28 Vancomycin HCl For IV Soln 500 MG (Base Equivalent) 0.25 $6.68 Vancomycin HCl For IV Soln 500 MG (Base Equivalent) 0.25 $6.53 Vancomycin HCl For IV Soln 750 MG (Base Equivalent) 1 $35.65 Vancomycin HCl-Dextrose IV Soln 1 GM/200ML-5% 200 $207.20 Vancomycin HCl-Dextrose IV Soln 500 MG/100ML-5% 100 $103.60 Vancomycin HCl-Dextrose IV Soln 750 MG/150ML-5% 150 $2.00 Varicella Virus Vac Live For Subcutaneous Inj 1350 PFU/0.5ML 1 $430.69 Varicella Virus Vac Live For Subcutaneous Inj 1350 PFU/0.5ML 1 $517.19 Varicella-Zoster Immune Glob (Human) For IM Inj 125 Unit 1 $430.69 Varicella-Zoster Immune Glob (Human) For IM Inj 125 Unit 1 $430.69 Vasopressin IV Soln 20 Unit/ML (For IV Infusion) 0.25 $156.31 Vecuronium Bromide For Inj 10 MG 1 $24.88 Vecuronium Bromide For Inj 10 MG 1 $24.88 Vecuronium Bromide For Inj 20 MG 1 $48.88 Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent) 0.25 $2.00 Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent) 1 $46.96 Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent) 1 $2.00 Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent) 0.5 $26.31 Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent) 0.5 $2.00 Verapamil HCl IV Soln 2.5 MG/ML 0.5 $14.94 Verapamil HCl Tab 120 MG 0.333333333 $2.00 Verapamil HCl Tab 40 MG 1 $2.00 Verapamil HCl Tab 80 MG 1 $2.00 Verapamil HCl Tab ER 120 MG 1 $7.10 Verapamil HCl Tab ER 120 MG 1 $7.14 Verapamil HCl Tab ER 180 MG 0.666666667 $2.62 Verapamil HCl Tab ER 240 MG 0.5 $3.91 Vinblastine Sulfate Inj 1 MG/ML 10 $160.96 Vincristine Sulfate IV Soln 1 MG/ML 1 $20.88 Vinorelbine Tartrate Inj 10 MG/ML (Base Equiv) 1 $104.80 Vinorelbine Tartrate Inj 10 MG/ML (Base Equiv) 1 $117.00 Vinorelbine Tartrate Inj 50 MG/5ML (10 MG/ML) (Base Equiv) 5 $162.36 Vinorelbine Tartrate Inj 50 MG/5ML (10 MG/ML) (Base Equiv) 5 $331.52 Vitamin A Inj 50000 Unit/ML 0.2 $38.20 Vitamin E Cap 400 Unit 1 $2.00 Vitamin E Soln 15 Unit/0.3ML (50 Unit/ML) 30 $57.12 Vitamins A & D Oint 5 $2.00 Voriconazole For Inj 200 MG 1 $557.56 Voriconazole For Susp 40 MG/ML 75 $7,918.80 Voriconazole Tab 200 MG 0.5 $39.28 Voriconazole Tab 200 MG 0.5 $43.59 Voriconazole Tab 200 MG 0.5 $230.60 Voriconazole Tab 50 MG 1 $31.57 Warfarin Sodium Tab 1 MG 2 $4.67 Warfarin Sodium Tab 1 MG 2 $15.42 Warfarin Sodium Tab 1 MG 2 $15.42 Warfarin Sodium Tab 10 MG 0.2 $2.39 Warfarin Sodium Tab 2 MG 1 $8.04 Warfarin Sodium Tab 2.5 MG 0.8 $2.00 Warfarin Sodium Tab 2.5 MG 0.8 $2.00 Warfarin Sodium Tab 2.5 MG 0.8 $6.64 Warfarin Sodium Tab 3 MG 0.666666667 $2.00 Warfarin Sodium Tab 3 MG 0.666666667 $5.55 Warfarin Sodium Tab 3 MG 0.666666667 $5.55 Warfarin Sodium Tab 3 MG 0.666666667 $2.00 Warfarin Sodium Tab 4 MG 0.5 $2.00 Warfarin Sodium Tab 4 MG 0.5 $4.18 Warfarin Sodium Tab 4 MG 0.5 $4.18 Warfarin Sodium Tab 5 MG 0.4 $2.00 Warfarin Sodium Tab 5 MG 0.4 $2.00 Warfarin Sodium Tab 5 MG 0.4 $3.46 Warfarin Sodium Tab 5 MG 0.4 $3.46 Warfarin Sodium Tab 6 MG 0.333333333 $2.00 Warfarin Sodium Tab 6 MG 0.333333333 $3.71 Warfarin Sodium Tab 7.5 MG 0.266666667 $2.00 Warfarin Sodium Tab 7.5 MG 0.266666667 $3.07 Warfarin Sodium Tab 7.5 MG 0.266666667 $3.07 Water For Injection 20 $4.08 Water For Injection 10 $2.96 Water For Injection 50 $7.60 Water For Injection 20 $16.96 Water For Irrigation, Sterile Irrigation Soln 1000 $8.00 Water For Irrigation, Sterile Irrigation Soln 3000 $60.00 Water For Irrigation, Sterile Irrigation Soln 250 $13.00 Water For Irrigation, Sterile Irrigation Soln 500 $2.00 Water For Irrigation, Sterile Irrigation Soln 1000 $4.00 Water For IV Injection 2000 $24.00 Water For IV Injection 250 $16.00 Water For IV Injection 500 $8.00 Water For IV Injection 1000 $4.00 Water For IV Injection 2000 $24.00 White Petrolatum Ointment 5 $2.00 Wound Dressings - Gel 113 $2.00 Wound Dressings - Pads 1 $2.00 Wound Dressings - Pads 1 $2.00 Zidovudine Cap 100 MG 1 $4.06 Zidovudine Cap 100 MG 1 $9.27 Zidovudine IV Soln 10 MG/ML 20 $111.60 Zidovudine Syrup 10 MG/ML 20 $21.04 Zidovudine Syrup 10 MG/ML 10 $3.96 Zidovudine Syrup 10 MG/ML 10 $3.96 Zidovudine Tab 300 MG 1 $2.30 Zidovudine Tab 300 MG 1 $4.81 Zinc Oxide Oint 20% 28.35 $9.07 Zinc Sulfate Cap 220 MG (50 MG Elemental Zn) 1 $2.00 Zinc Sulfate Inj 1 MG/ML 10 $93.92 Zinc Sulfate Inj 5 MG/ML 5 $168.40 Ziprasidone HCl Cap 20 MG 1 $56.08 Ziprasidone HCl Cap 40 MG 0.5 $28.04 Ziprasidone HCl Cap 60 MG 0.333333333 $22.69 Ziprasidone HCl Cap 80 MG 0.25 $17.02 Ziprasidone Mesylate For Inj 20 MG (Base Equivalent) 0.5 $92.86 Ziv-Aflibercept IV Soln 100 MG/4ML (For Infusion) 4 $6,400.00 Ziv-Aflibercept IV Soln 200 MG/8ML (For Infusion) 8 $12,800.00 Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML 5 $3,448.60 Zoledronic Acid IV Soln 5 MG/100ML 100 $4,052.00 Zolmitriptan Nasal Spray 5 MG/Spray Unit 1 $275.33 Zolpidem Tartrate Tab 10 MG 0.5 $2.00 Zolpidem Tartrate Tab 5 MG 1 $2.00 Zolpidem Tartrate Tab 5 MG 1 $2.00 Zonisamide Cap 100 MG 0.25 $2.00 Zonisamide Cap 25 MG 1 $2.00 Zoster Vaccine Live For Subcutaneous Susp 19400 Unit/0.65ML 1 $863.42