Description Price #3 GLIDESCOPE DISPOSAL BLADE $96.00 #4

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Description Price #3 GLIDESCOPE DISPOSAL BLADE $96.00 #4 GLIDESCOPE DISPOSAL BLADE $167.00 .ALLERGEN BASIC FOOD $13.00 .ASH FIBROSURE $77.00 .ASH FIBROSURE $77.00 .ASH FIBROSURE $77.00 .ASH FIBROSURE $77.00 .ASH FIBROSURE $77.00 .ASH FIBROSURE $77.00 .ASH FIBROSURE $77.00 .ASH FIBROSURE $77.00 .ASH FIBROSURE $77.00 .ASH FIBROSURE $77.00 .AUTO IMMUNE PROFILE $29.00 .AUTO IMMUNE PROFILE $29.00 .BB FFP THAWING FEE $35.00 .BB IRRADIATION FEE $177.00 .BB POOLING FEE $71.00 .BETA-2 TRANSFERRIN $296.00 .CALCIUM /CREAT RATIO $38.00 .CBC W/AUTO DIFF $123.00 .CBC W/MAN DIF $143.00 .CD20 $260.00 .CLL PROFILE FISH $317.00 .CLL PROFILE FISH $317.00 .CLL PROFILE FISH $317.00 .COOMBS, DIRECT NB $72.00 .CRP $102.00 .CULTURE ACID FAST $103.00 .DIFF $57.00 .FSH & LH $112.00 .HANTA VIRUS ANTIBODIES $451.00 .HCV FIBROSURE $47.00 .HCV FIBROSURE $47.00 .HCV FIBROSURE $47.00 .HCV FIBROSURE $47.00 .HCV FIBROSURE $47.00 .HCV QUANTASURE $884.00 .HEP C VIRUS FIBROSURE $49.00 .HEP C VIRUS FIBROSURE $49.00 .HEP C VIRUS FIBROSURE $49.00 .HEP C VIRUS FIBROSURE $49.00 .HEP C VIRUS FIBROSURE $49.00 .HEP C VIRUS FIBROSURE $49.00 .HEPATITIS B e ANTIGEN $98.00 .HEPATITIS B VIRUS DNA REAL TIME $648.00 .HEPATITIS C VIRUS GENOTYPING NON $468.00 .HEPATITIS PROFILE VIII $28.00 .HEPATITIS PROFILE VIII $28.00 .HEPATITIS PROFILE VIII $28.00 .HEPATITIS PROFILE VIII $28.00 Description Price .HEPATITIS PROFILE VIII $28.00 .HERPES SIMPLEX VIRUS 1/2 IGG $208.00 .HERPES SIMPLEX VIRUS 2 IGG $72.00 .HERPES SIMPLEX VIRUS 2 IGM $177.00 .HERPES SIMPLEX VIRUS TYPES 1/2 DNA PCR $150.00 .HF A1C 2017 $13.00 .HF TSH $15.00 .IBD PROFILE $51.00 .IBD PROFILE $51.00 .IMMCYTOCH/AB $328.00 .INHERITEST CARRIER SCREEN $153.00 .INHERITEST CARRIER SCREEN $153.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE RISK ANALYSIS $17.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .KIDNEY STONE TEST $19.00 .LUPUS ANTICOAGULANT/CARDIOLIPIN $99.00 .LUPUS ANTICOAGULANT/CARDIOLIPIN $99.00 .LUPUS ANTICOAGULANT/CARDIOLIPIN $99.00 .LUPUS ANTICOAGULANT/CARDIOLIPIN $99.00 .LUPUS ANTICOAGULANT/CARDIOLIPIN $99.00 .LUPUS ANTICOAGULANT/CARDIOLIPIN $99.00 .LUPUS ANTICOAGULAT/CARDIOLIPIN $99.00 .MACROPROLACTIN $115.00 .NASH FIBROSURE $78.00 .NASH FIBROSURE $78.00 .NASH FIBROSURE $78.00 .NASH FIBROSURE $78.00 Description Price .NASH FIBROSURE $78.00 .NASH FIBROSURE $78.00 .NASH FIBROSURE $78.00 .NASH FIBROSURE $78.00 .OCCULT BLOOD STOOL X3 DIAGNOSTIC $71.00 .OCCULT BLOOD STOOL X3 SCREENING $71.00 .PAP & HPV REFLEX 16 TO 18 $125.00 .PAP W/CT/NG/HR/HPV REFLEX 16 & 18 $65.00 .PAP W/CT/NG/HR/HPV REFLEX 16 & 18 $65.00 .PAP W/CT/NG/HR/HPV REFLEX 16 & 18 $65.00 .PAP W/CT/NG/TV/HSV/HR/HPV REFLEX16 & 18 $308.00 .PAP W/CT/NG/TV/HSV/HR/HPV REFLEX16 & 18 $308.00 .PAP W/CT/NG/TV/HSV/HR/HPV REFLEX16 & 18 $308.00 .PAP W/CT/NG/TV/HSV/HR/HPV REFLEX16 & 18 $308.00 .PAP W/CT/NG/TV/HSV/HR/HPV REFLEX16 & 18 $308.00 .PATH GROSS AND MICRO $180.00 .PATH PRIMARY DX $230.00 .PATH-BONE MARROW PATH EXAM $259.00 .PNEUMONITIS PROFILE $63.00 .PNEUMONITIS PROFILE $63.00 .PNEUMONITIS PROFILE 3 $63.00 .PRE EMPLOYMENT SENDOUT $21.00 .PRE EMPLOYMENT SENDOUT $21.00 .PRE EMPLOYMENT SENDOUT $21.00 .PROTEIN ELEC SERUM $31.00 .PROTEIN ELECTROPHORESIS $33.00 .PROTEIN ELECTROPHORESIS SERUM $37.00 .PROTEIN ELECTROPHORESIS INTERPRETATION $37.00 .PTH-DO NOT USE $62.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .REPRODUCTIVE HEALTH THROMBOPHILIA PROFI $220.00 .RH-NB $87.00 .RSV $87.00 .STREP A RAPID SCREEN $81.00 .THYROID PEROXIDASE ANTIBODY $90.00 .THYROID PROFILE W/ TSH $26.00 .THYROID PROFILE W/ TSH $26.00 .TORCH ANTIBODIES $26.00 .TORCH ANTIBODIES $26.00 Description Price .TORCH ANTIBODIES $26.00 .TORCH ANTIBODIES $26.00 .TOTAL PROTEIN $69.00 0.9% HOSPIRA SODIUM CHLORIDE: 500ML $36.00 0.9% HOSPIRA SODIUM CHLORIDE: 250ML $36.00 0.9% SODIUM CHLORIDE 100ML $19.00 0.9% SODIUM CHLORIDE AVIVA- 500ML $30.00 0.9% SODIUM CHLORIDE PLUS BAG 100ML $23.00 0.9% SODIUM CHLORIDE: 1000ML $17.00 0.9% SODIUM CHLORIDE: 250ML $16.00 0.9% SODIUM CHLORIDE: 500ML $11.00 1.1 K WIRE $180.00 1.7 CANNULATED DRILL BIT $797.00 1/3 TUBULAR - PLATE 7 HOLE 81MM $496.00 1/3 TUBULAR - PLATE 8 HOLE 93MM $459.00 1/3 TUBULAR - PLATE SIX HOLE 69MM $513.00 10 MM INZII RETRIEVAL BAG PK/10 $413.00 11-DEOXYCORTISOL $135.00 11mm.TROCARS(ETHICON)B11LT $264.00 12mm.BLUNT TIP TROCAR(ETHICON)H12LP BX/6 $323.00 12mm.ENDOPATH XCEL TROCAR BLADELESS $300.00 12mm.VISUALIZATION TROCAR(ETHICON) BX/6 $251.00 17-ALPHA HYDROXYPROGESTERONE $282.00 17-HYDROXYCORTICOSTEROIDS, URINE $74.00 17-KETOGENIC STEROIDS; 24 HOUR URINE $110.00 17-KETOSTEROIDS; 24 HOUR URINE $151.00 17-OH PROGESTERONE SERUM $288.00 2.4 NEUTRAL ASSEMBLY IFS IMPLANT $1,995.00 2.5 GUIDE WIRE $180.00 2.8MM GUIDE WIRE, 350MM $252.00 20 SUPER KNEE SPLINT LG $53.00 20 SUPER KNEE SPLINT MED $53.00 20 SUPER KNEE SPLINT SM $118.00 20 SUPER KNEE SPLINT XL $53.00 24FR REPL G-TUBE, STRAIGHT $275.00 3% SODIUM CHLORIDE FOR INHALATION 4ML $1.00 3.5 CORTEX SELF-TAPPING SCREW 22MM $143.00 3.5 MM CORTEX SCREW, SELF TAPPING $143.00 3.5 MM CORTEX SCREW,14MM SELF TAPING $143.00 3.5 MM CORTEX SCREW,20MM SELF TAPING $135.00 3.5 RESECTOR FULL RADIUS BX/6 $247.00 3.5LOCKING SCREW/W STARDRIVE RECESS 45MM $451.00 3.5MM CORTEX SCREW 18MM SELF TAPING $144.00 3.5MM CORTEX SCREW, SELF TAPPING $79.00 3.5MM CORTEX SCREW, SELF TAPPING 20MM $143.00 3/4 DISP.45cm CURVED SCISSORS $410.00 3/4 DISP.45cm CURVED SCISSORS BX/10 $405.00 3D RENDER W/O POSTPROCESS $346.00 3D RENDERING W/POSTPROCESS $412.00 4.0 CANCELLOUS SCREW 14MM $119.00 4.0 CANCELLOUS SCREW FT 10MM $119.00 Description Price 4.0 CANCELLOUS SCREW FT 12MM $119.00 4.0 CANCELLOUS SCREW PT 12MM $77.00 4.0 CANCELLOUS SCREW PT 35MM $77.00 4.2 RESECTOR FULL RADIUS BX/6 $247.00 5 FR KRATON H/S CATH SET $175.00 5 X 30MM LOCK SCREW $513.00 5% DEXTROSE INJECTION 500ML $18.00 5.5cm BILATERAL/ W/ AIRWAY (RAPID RHINO) $374.00 5.5cm RAPID -PAC (RAPID RHINO ANTERIOR) $171.00 5.5cm RAPID RHINO ANTERIOR $176.00 5.5cm.RAPID RHINO ANTERIOR BILATERAL $253.00 50-S RF PROBE 3.5mm $462.00 5-HIAA 24 HOUR URINE $107.00 5MM X 100MM TROCAR (PROGRESSIVE) $156.00 5MM X 70MM PALM BLUNT TROCAR $129.00 5mm.TROCAR(ETHICON)B5LT BX/6 $200.00 5mm.x150 ENDOPATH XCEL TROCAR $295.00 6.5MM CANNULATED SCREW 75MM $666.00 6.5mm CANNULATED SCREW 85MM $666.00 6.5mm CANNULATED SCREW 90MM $666.00 7.5cm ANT/ POSTERIOR (RAPID RHINO) $186.00 7.5cm ANT/POSTERIOR BILATERAL (RAPID RHI $374.00 7.5cm RAPID RHINO ANTERIOR /POSTERIOR $253.00 7MM WASHER $168.00 ABBOCATH 14 GA $18.00 ABBOCATH 18 X 1 1/4 $21.00 ABBOCATH 20 $18.00 ABBOCATH 22 GA 1 $12.00 ABBPCATJ 16 X 1 14 $18.00 ABD HYSTERECTOMY W/COLPO $2,079.00 ABD HYSTERECTOMY W/COLPO $2,079.00 ABD SERIES W/PA CHEST ROUTINE $516.00 ABDOMEN 1 VIEW $140.00 ABDOMEN 1V $171.00 ABDOMEN W MULTIPLE VIEWS $381.00 ABDOMINAL PARACENTESIS W/IMAGING GUIDANC $265.00 ABDOMINAL PARACENTESIS W/OUT IMAGING $423.00 ABDOMINAL PARACENTESIS W/OUT IMAGING $423.00 ABILIFY (ARIPIPRAZOLE) 10MG TABLET $49.00 ABLASION WAND- STRYKER $490.00 ABRAXANE 100MG VIAL (PACLITAXEL) $2,695.00 ABSORBATACK 5MM BX/6 $940.00 ACADVL-VLCAD SEQUENCING $1,910.00 ACAPELLA VIBRARTORY PEP SYSTEM CHOICE $218.00 ACCESS PORT NEEDLE 20GX51mm(2 ) $21.00 ACCESSORY KIT- INTERSTIM $625.00 ACCOLATE (ZAFIRLUKAST) TABLET 20MG $6.00 ACCUNEB (ALBUTEROL) 0.21 MG-3ML UD $10.00 ACCUNEB (ALBUTEROL) 0.42/3 ML UD $10.00 ACE 4 WRAP ELAST BANDAGE STERILE CS/20 $6.00 ACE 6 WRAP ELAST BANDAGE STERILE CS/20 $34.00 Description Price ACE WRAP 2 $9.00 ACE WRAP 3 $7.00 ACE WRAP 4 $6.00 ACE WRAP 6 $8.00 ACEBUTOLOL 200 MG CAPSULE (SECTRAL) $11.00 ACEON (PERINDORPRIL ERIMUNE) 4MG TABLET $7.00 ACETADOTE IV 6G/30ML (ACETYLCYSTEINE) $834.00 ACETAMINOPHEN / SALICYLATES $132.00 ACETAMINOPHEN 120 MG RECT SUPP (TYLENOL) $6.00 ACETAMINOPHEN 325 MG RECT SUPP (TYLENOL) $7.00 ACETAMINOPHEN 325 MG TAB (TYLENOL) $1.00 ACETAMINOPHEN 500 MG TABLET $1.00 ACETAMINOPHEN 500 MG/15ML (TYLENOL) $8.00 ACETAMINOPHEN 650 MG RECT SUPP (TYLENOL) $7.00 ACETAMINOPHEN 80 MG TABLET (TYLENOL JR) $4.00 ACETAMINOPHEN 80 MG/0.8ML 15ML (TYLENOL) $6.00 ACETAMINOPHEN ELIX 160MG/5ML (TYLENOL) $1.00 ACETAMINOPHEN WITH CODEINE 300/30MG TAB $11.00 ACETAMINOPHEN/CODEINE ELIX 120/12MG/5ML $12.00 ACETAZOLAMIDE 250 MG TABLET (DIAMOX) $9.00 ACETAZOLAMIDE 500 MG VIAL (DIAMOX) $168.00 ACETIC ACID (GLACIAL ACETIC ACID) 99% SO $10.00 ACETIC ACID IRR SOLN 0.25% 1,000 ML $72.00 ACETIC ACID OTIC SOLN 2% 15 ML $20.00 ACETONE (ACETONE CP) 4 OZ. BOTTLE $17.00 ACETONE SERUM $102.00 ACETONE URINE $85.00 ACETYLCHOLINE RECEPTOR BLOCKING AB $163.00 ACETYLCHOLINE RECEPTOR MODULATING AB $163.00 ACETYLCYSTEINE 20% 200MG/ML 10ML $70.00 ACETYLCYSTEINE 20% 200MG/ML 4ML $18.00 ACETYLCYSTEINE 200MG/ML 30ML (MUCOMYST) $30.00 ACID FAST SMEAR & CULTURE W/REFLEX $200.00 ACID PHOSPHATASE $57.00 ACIPHEX (RABEPRAZOLE) 20MG TABLET $21.00 ACP PLATE BOARD 219MM $407.00 ACP PLATE BOARD 255MM $515.00 ACROMIO CLAVICULAR JOINTS $239.00 ACRYSOF IQ TORIC IOL (ASTIGMATISM)SN6AT3 $458.00 ACRYSOF TORIC IOL (ASTIGMATISM)SN60T3 $458.00 ACTH $151.00 ACTH (CORTICOTROPIN) 40 UNITS $119.00 ACTHIB $42.74 ACTHIB $42.74 ACTHIB (HAEMOPH B POLYSAC CONJ-TET)10MCG $45.00 ACTHREL 100MCG (CORTICORELIN OVINE) $2,558.00 ACTIQ (FENTANYL) 200MCG LOLLIPOP $81.00 ACTIVASE (ALTEPLASE) 100MG INJ $16,125.00 ACTIVASE (ALTEPLASE) 2MG/2ML CATH FLUSH $478.00 ACTIVASE 50MG INJ 10ML/10MG SYRINGE $2,373.00 ACTIVATED PROT.C RESISTANCE $182.00 Description Price ACTONEL (RISEDRONATE) 35MG WEEKLY TABLET $87.00 ACUTE BURN TRAY $80.00 ACYCLOVIR 200 MG CAPSULE (ZOVIRAX) $7.00 ACYCLOVIR 5% OINT 15G (ZOVIRAX) $245.00 ACYCLOVIR 500 MG VIAL (ZOVIRAX) $51.00 ACYCLOVIR SUSP 200MG/5ML 2 OZ (ZOVIRAX) $63.00 ACYLCARNITINE PROFILE QUANT - PLASMA $366.00 ADACEL $53.15 ADACEL $56.00 ADACEL $56.00 ADACEL (DIPHT/PERTUSS(ACELL)/TET) VACCIN $55.00 ADAPT BARRIER RINGS $12.00 ADAPTER NEBULIZER $26.00 ADAPTER WITH HOSE NEBULIZER $57.00 ADDITIONAL MARKER EACH BY FLOW $85.00 ADENOSINE 6MG/2ML VIAL (ADENOCARD) $41.00 ADENOVIRUS DIRECT DETECTION $92.00 ADHESIVE SPRAY $69.00 ADMIN FLU VACCINE $16.00 ADMIN PNEUMONIA VACCINE $16.00 ADMINISTRATION OF HEPATITIS B VACCINE $13.00 ADMIXTURE FEE * C H E M O T H E R A P Y* $21.00 ADMIXTURE FEE * COMPOUNDED L V P * $24.00 ADMIXTURE FEE * L V P NONCOMPOUNDED*** $24.00 ADMIXTURE FEE * T P N * *T P N * $44.00 ADSON SM $16.00 ADULT CIRCUIT SINGLE LIMB $127.00 ADULT MULTIVENT MASK $8.00 ADULT TRACK MASK $12.00 ADVAIR(FLUTICASONE/SALMETROL) 100/50 DIS $159.00 ADVAIR(FLUTICASONE/SALMETROL) 250/50 DIS $159.00 ADVAIR(FLUTICASONE/SALMETROL) 500/50 DIS $256.00 AEM 3/4 DISP.CRVD 35cm SHORT SCISSORS $404.00 AERO CHAMBER PED MASK $85.00 AERO ECLIPSE $38.00 AEROCHAMBER (DRUG DELIVERY SYSTEM) INH $94.00 AEROCHAMBER (SPACE DELIV. SYSTEM) KIT $94.00 AEROCHAMBER W/FLOW SIGNAL $37.00 AEROCHAMBER WITH FLOW SIGNAL $61.00 AEROCHAMBER WITH FLOW SIGNAL $61.00 AEROSEL EFFUSION BAG $9.00 AEROSOL CONT. 1ST HOUR $151.00 AEROSOL CONT. ADDL. HOUR $72.00 AEROSOL TREATMENT $69.00 AEROSOL TREATMENT INITIAL (NMT) $69.00 AFB ID BY DNA PROBE $229.00 AFP SERUM SPINA BIFIDA $106.00 AFP TETRA $108.00 AFP TUMOR MARKER $108.00 AFP WITH AFP-L3% $378.00 AGGRASTAT (TIROFIF HCL/NACL 0.9-500 ML $1,653.00 Description Price AGGRENOX (DIPYRIDAMOLE/ASPIRIN) 200/25 $38.00 AHTO SUCT IRR TUBE SET $218.00 AIR ANKLE SPLINT ADULT $134.00 AIR GEL SPLINT $55.00 AIRLOCK DRILL BIT 2.0 $481.00 AIRWAY LMA #1 $46.00 AIRWAY LMA #2 $46.00 AIRWAY LMA #3 $55.00 AIRWAY LMA #4 $76.00 AIRWAY LMA #5 $75.00 AIRWAY NASOPHARYGEAL 14FR. $13.00 AIRWAY NASOPHARYGEAL 18FR. $13.00 AK-SPORE-HC OPTH OINT(POLY/NEO/HC)O.O. $22.00 ALBUMIN $83.00 ALBUMIN 25% (HUMAN ALBUMIN) IV 50 ML $605.00 ALBUMIN 5% (HUMAN ALBUMIN) IV 50 ML $366.00 ALBUMIN BODY FLUID $89.00 ALBUTEROL E.R. 4 MG TABLET (PROVENTIL) $6.00 ALBUTEROL 0.083% 2.5MG/3ML INH SOLN 3ML $6.00 ALBUTEROL 0.5% INH SOLN (VENTOLIN) $83.00 ALBUTEROL CONC 0.5% 5MG/ML BOTTLE 20ML $32.00 ALBUTEROL CONCENTRATED 0.5% 2.5MG/0.5ML $7.00 ALBUTEROL INHALER 17 GM (PROVENTIL) $85.00 ALBUTEROL SYRUP 2MG/5ML 2 OZ $5.00 ALBUTEROL/IPRATROPIUM 2.5/0.5MG (DUONEB) $8.00 ALCOHOL $117.00 ALCOHOL DEHYDRATED (ETHYL ALCOLHOL) 98% $44.00 ALCOHOL ISOPROPYL 1 PT $6.00 ALCOHOL ISOPROPYL(ISOPROPYLALC) 1 GAL $40.00 ALCON SHORT CUT $156.00 ALCON TORIC $458.00 ALCON TORIC (ASTIGMATISM) $458.00 ALCON TORIC (PRESBYOPIA) $458.00 ALDOLASE $99.00 ALDOSTERONE 24 HOUR URINE $107.00 ALDOSTERONE SERUM $107.00 ALENDRONATE WEEKLY 35MG TABLET (FOSAMAX) $33.00 ALEXIS C SECTION- LG $402.00 ALEXIS C SECTION- LG $402.00 ALEXIS O WOUND PROTECTOR-MD $286.00 ALEXIS O WOUND PROTECTOR-MD $286.00 ALEXIS O WOUND PROTECTOR-SM $286.00 ALEXIS O WOUND PROTECTOR-SM $286.00 ALIMTA 100MG VIAL (PEMETREXED) $1,300.00 ALIMTA 500MG VIAL (PEMETREXED) $5,642.00 ALKA SELTZER (ASPIRIN/SODIUM BICAR) TAB $4.00 ALKALINE PHOSPHATASE ISOENYMES $81.00 ALL ALCON ACRYLIC IOL'S $58.00 ALLERGEN BASIC FOOD $13.00 ALLERGEN PANEL FOOD-BERRY $60.00 ALLERGEN PANEL FOOD-FRUIT $61.00 Description Price ALLERGEN PROFILE PERENNIAL ALLERGEN $212.00 ALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 ALLERGEN PROFILE ZONE 11 $11.00 ALLERGEN PROFILE ZONE 11 - INTERFACED $11.00 ALLERGEN PROFILE ZONE II $11.00 ALLERGENS ZONE II $60.00 ALLERGY INJ MULT $41.00 ALLERGY INJ MULT $43.00 ALLERGY INJ;SING $25.00 ALLERGY INJ;SING $26.00 ALLERGY INJECTION MULTIPLE $41.00 ALLERGY INJECTION SINGLE $25.00 ALLERGY SHOT MULTIPLE $43.00 ALLERGY SHOT SINGLE $26.00 ALLERGY SHOT SINGLE $26.00 ALLOPURINOL 100 MG TABLET (ZYLOPRIM) $6.00 ALMOTRIPTAN 12.5MG TABLET (AXERT) $92.00 ALP $81.00 ALP BONE SPECIFIC $81.00 ALPHA 1 ANTITRYPSIN $86.00 ALPHA 2 ANTIPLASMIN $170.00 ALPHA 2 MACROGOBULIN QUANT $94.00 ALPHA PGH $205.00 ALPHA SUBUNIT FREE $167.00 ALPRAZolam 0.25MG TABLET (XANAX) $11.00 ALPRAZOLAM 1MG TABLET (XANAX) $11.00 ALPRAZOLAM 1MG/1ML INTENSOL ORAL SOLN $138.00 ALT $77.00 ALUMINUM $71.00 ALUMINUM HYDROXIDE 4 OZ BOT (AMPHOGEL) $10.00 AM ACP PLATE 5 HOLE 48MM $231.00 AMANTADINE 100 MG CAPSULE (SYMMETREL) $7.00 AMANTADINE 50MG/5ML SYRUP (SYMMETREL) $8.00 AMERGE (NAPATRIPTAN) 2.5 MG TABLET $66.00 AMIDATE 2MG/ML 10ML VIAL (ETOMIDATE) $82.00 AMIKACIN PEAK $72.00 AMIKACIN TROUGH $72.00 AMILORIDE HCL 5 MG TABLET (MIDAMOR) $13.00 AMINO ACID PROFILE QUNATITATIVE PLASMA $369.00 AMINO ACID SCREEN RANDOM URINE $361.00 AMINOCAPROLIC ACID 5 GM VIAL $57.00 AMINOPHYLLIN 500MG $17.00 AMINOSYN 7% 500 ML $110.00 AMINOSYN 7.0 500 ML PLAIN $57.00 AMINOSYN 7.0% KIT $34.00 AMIODARONE 150MG VIAL (CORDARONE) $31.00 AMIODARONE 200 MG TABLET (CORDARONE) $6.00 AMITIZA (LUBIPROSTONE) 24MCG CAPSULE $15.00 AMITRIPTYLINE $94.00 AMITRIPTYLINE 10MG TABLET (ELAVIL) $6.00 AMITRIPTYLINE 25 MG TABLET (ELAVIL) $6.00 Description Price AMLODI/BENAZP 5/10MG CAPSULE (LOTREL) $10.00 AMLODI/BENAZP 5/20 MG CAPSULE (LOTREL) $10.00 AMLODIPINE BESYLATE 5MG TABLET (NORVASC) $6.00 AMLODIPINE/BENAZP 10/20 CAPSULE (LOTREL) $15.00 AMMONIA $107.00 AMMONIA INHALANT $6.00 AMNICOT $22.00 AMNIHOOK $13.00 AMNIOCENTESIS $311.00 AMNIOCENTESIS DIAGNOSTIC $233.00 AMNIOCENTESIS DIAGNOSTIC $233.00 AMNIOTIC MEMBRANNE $801.00 AMNISURE $214.00 AMNISURE ROM TEST $214.00 AMO TECNIS ZA9003 IOL $58.00 AMO TECNIS ZCB00 IOL $58.00 AMOX/CLAV 600/42.9MG/5ML (AUGMENTIN ES) $25.00 AMOXAPINE 50 MG TABLET $8.00 AMOXIC/POT CLAV 125 MG 5ML (AUGMENTIN) $101.00 AMOXIC/POT CLAV 200 MG/5ML (AUGMENTIN) $39.00 AMOXIC/POT CLAV 400 MG/5ML (AUGMENTIN) $112.00 AMOXICILLIN 250 MG CAPSULE $4.00 AMOXICILLIN 250MG CHEWABLE TABLET $5.00 AMOXICILLIN 400MG/5ML ORAL SUSPENSION $39.00 AMOXICILLIN 400MG/5ML SUSPENSION $11.00 AMOXICILLIN 500 MG CAPSULE $6.00 AMOXICILLIN 500MG/CLAVULANATE 125MG $6.00 AMOXICILLIN SUSP 125MG/5ML $10.00 AMOXICILLIN SUSP 250MG/5ML $10.00 AMOXICILLIN/CLAVULAN 250MG (AUGMENTIN) $11.00 AMOXICILLIN/CLAVULAN 250MG/5ML (AUGMENT) $121.00 AMOXICILLIN/CLAVULAN 875 MG(AUGMENTIN) $9.00 AMPHOTERICIN B CONVENTIONAL 50MG V $116.00 AMPICILLIN 1 GM VIAL $46.00 AMPICILLIN 125 MG/5ML SUSPENSION $16.00 AMPICILLIN 2 GM VIAL (OMNIPEN) $45.00 AMPICILLIN 250MG VIAL $34.00 AMPICILLIN 250MG/5ML SUSPENSION $21.00 AMPICILLIN 500 MG CAPSULE $4.00 AMPICILLIN 500MG VIAL $31.00 AMPICILLIN/SULBACTAM 1.5GM (UNASYN) $52.00 AMPICILLIN/SULBACTAM 3 GM VIAL (UNASYN) $79.00 AMPUTATION $998.00 AMPUTATION ABOVE THE KNEE $1,935.00 AMPUTATION LEG;TIBIA/ FIBULA $1,377.00 AMPUTATION LEG;TIBIA/FIBU $1,377.00 AMPUTATION OF THE TOE $759.00 AMPUTATION OF TOE $806.00 AMPUTATION THRU METATARSAL $1,102.00 AMPUTE FNG/THUMB W/DIRECT CLOSURE $1,384.00 AMPUTE FNG/THUMB W/DIRECT CLOSURE $1,384.00 Description Price AMPUTE THIGH W/SECONDARY CLOSURE $1,241.00 AMPUTE THIGH W/SECONDARY CLOSURE $1,241.00 AMPUTE THIGH;REAMPUTATION $1,796.00 AMPUTE THIGH;REAMPUTATION $1,796.00 AMPUTE THIGH;SECOND CLOSE;SCAR REVISION $1,442.00 AMPUTE THIGH;SECOND CLOSE;SCAR REVISION $1,442.00 AMVISC PLUS 0.5CC $342.00 AMYLASE $89.00 ANA $117.00 ANA WITH REFLEX $84.00 ANAEROBIC ID 182345 $151.00 ANAL DILATION EXAM UNDER ANESTHESIA $404.00 ANAL DILATION EXAM UNDER ANESTHESIA $404.00 ANAL FISSURE TREATMENT $349.00 ANAL FISTULOTOMY $1,138.00 ANAL/URINARY MUSCLE STUDY $166.00 ANAL/URINARY MUSCLE STUDY $166.00 ANALYZE NEUROSTIM COMPLEX $100.00 ANALYZE NEUROSTIM COMPLEX $284.00 ANALYZE NEUROSTIM COMPLEX $285.00 ANAYZE 20-25 CELLS $304.00 ANCA $25.00 ANCA $25.00 ANCA ANTIBODIES $26.00 ANCHOR 4.5 INSITE FT TI $665.00 ANCHOR PITON (EXPLANT) 3.5 $895.00 ANCHORING DEVICE PIC $33.00 ANCHOR-SUTURE- MORPHIX $1,675.00 ANDROSTENEDIONE $156.00 ANECTINE FLO PACK $8.00 ANESTHESIA ADM 01/15 MIN $434.00 ANESTHESIA ADM 106 TO 120 MI $1,517.00 ANESTHESIA ADM 121 TO 135 MIN $1,671.00 ANESTHESIA ADM 136 TO 150 MIN $1,826.00 ANESTHESIA ADM 151 TO 165 MIN $1,981.00 ANESTHESIA ADM 16 TO 30 $593.00 ANESTHESIA ADM 166 TO 180 MIN $2,132.00 ANESTHESIA ADM 181 TO 195 MIN $2,280.00 ANESTHESIA ADM 196 TO 210 MIN $2,439.00 ANESTHESIA ADM 211 TO 225 MIN $2,599.00 ANESTHESIA ADM 226 TO 240 MIN $2,749.00 ANESTHESIA ADM 241 TO 255 MIN $2,905.00 ANESTHESIA ADM 256 TO 270 MIN $3,063.00 ANESTHESIA ADM 271 TO 285 MIN $3,212.00 ANESTHESIA ADM 286 TO 300 MIN $3,369.00 ANESTHESIA ADM 31 TO 45 MIN $745.00 ANESTHESIA ADM 46 TO 60 MIN $897.00 ANESTHESIA ADM 61 TO 75 MIN $1,055.00 ANESTHESIA ADM 76 TO 90 MIN $1,209.00 ANESTHESIA ADM 91 TO 105 MIN $1,361.00 ANESTHESIA AGENT /ANY $117.00 Description Price ANESTHESIA EXTENSION SET $17.00 ANESTHESIA EXTENSION SET $18.00 ANESTHESIA TECHNICAL $654.00 ANESTHETIC/ANECTINE/CC $8.00 ANESTHETIC\FLOUTHANE/CC $8.00 ANGICATH 16 $21.00 ANGIOTENSIN CONVERTING ENZYME $62.00 ANKLE ARTHROGRAPHY LT $238.00 ANKLE ARTHROGRAPHY RT $238.00 ANKLE LT 2V $232.00 ANKLE LT 3V $324.00 ANKLE LT ROUTINE 4V $324.00 ANKLE RT 2V $232.00 ANKLE RT 3V $324.00 ANKLE RT ROUTINE 4V $324.00 ANKLE STRAPING $149.00 ANOSCOPE DISP.(SANISCOPE) $6.00 ANOSCOPY AND DILATION $1,825.00 ANOSCOPY FOR REMOVAL OF F B $344.00 ANOSCOPY INITIAL $86.00 ANOSCOPY/DX/W OR W/O $85.00 ANOSCOPY/DX/W OR W/O $141.00 ANOSCOPY/DX/W OR W/O $141.00 ANTABUSE 250MG TABLET (DISULFIRAM) $15.00 ANTENNA- INTERSTIM $405.00 ANTEPARTUM CARE ONLY 4-6 VISITS $666.00 ANTEPARTUM CARE ONLY 4-6 VISITS $666.00 ANTEPARTUM CARE ONLY 7+ VISITS $1,166.00 ANTEPARTUM CARE ONLY 7+ VISITS $1,166.00 ANTERIOR VITRECTOMY PACK $352.00 ANTI CARDIOLIPIN IGA,IGG,IGM $151.00 ANTI CARDIOLIPIN IGG $151.00 ANTI CARDIOLIPIN IGM $151.00 ANTI DNA SINGLE STRANDED IGG $65.00 ANTI MULLERIAN HORMONE $196.00 ANTI SMITH $71.00 ANTI SSA $94.00 ANTI SSB $98.00 ANTIADRENAL ANTIBODIES, QUANT $114.00 ANTICENTROMERE B ANTIBODIES $98.00 ANTICENTROMERE B ANTIBODY $151.00 ANTICHROMATIN ANTIBODY $98.00 ANTIDIURETIC HORMONE $132.00 ANTIFOG AGENT $37.00 ANTIGLOMERULAR BASEMENT MEMBRANE ABS $185.00 ANTI-HU ANTIBODIES $207.00 ANTIMULLERIAN HORMONE $189.00 ANTIPANCREATIC ISLET CELLS $130.00 ANTIPHOSPHOLIIPID SYNDORME PANEL (D) $145.00 ANTIPOSPHTIDYLERINE IGG $145.00 ANTIPOSPHTIDYLERINE IGM $145.00 Description Price ANTIPYRINE & BENZOCAINE OTIC SOLN 10 ML $17.00 ANTISCLERODERMA 70 ANTIBODY $98.00 ANTITHROMBIN III, ACTIVITY $252.00 ANTITHROMBIN III, ANTIGEN $160.00 ANTITHYROGLOBULIN ANTIBODY $80.00 ANTI-THYROID $74.00 ANTIVENIN (ANTIVENT.CROTALIDAE POLY)VIAL $693.00 ANTIVENIN BLACK WIDOW (LACTRODECTUS MAC) $232.00 ANTI-YO ANTIBODIES $93.00 ANTIZOL (FOMEPIZOLE) 1G/ML 1.5ML VIAL $4,454.00 ANTPARIETAL CELL ANTIBODIES $189.00 ANZEMET 100MG TAB(DOLASETRON MESYLATE) $382.00 ANZEMET 12.5MG/0.5ML (DOLASETRON MESYL) $130.00 ANZEMET 50MG TAB (DOLASETRON MESYLATE) $145.00 APOE $457.00 APOLIPOPROTEIN A 1 $68.00 APOLIPOPROTEIN B $68.00 APPENDECTOMY $1,236.00 APPENDECTOMY $1,236.00 APPENDECTOMY $1,282.00 APPENDECTOMY RUPTURE W/ABC/ GEN PERITONI $1,282.00 APPENDECTOMY;DONE @ TIME OF OTHER PROC $151.00 APPLICATION CAST/ELBOW $41.00 APPLICATION CAST/SHOULDER $41.00 APPLICATION LONG LEG CAST $49.00 APPLICATION LONG LEG SPLINT $49.00 APPLICATION SPLINT $29.00 APPLICATION SPLINT/SHOULDER $49.00 APPLICATON SPLINT/FINGER $22.00 APPLICATON SPLINT/FINGER $71.00 APPLY STRAPPING UNNA BOOT $108.00 APPLY UNIPLANE EXTERNAL FIXATION SYSTEM $1,438.00 APPY DONE AT TIME OF ANOTHER PROCEDURE $151.00 APTT 1:1 NP MIXING STUDING $241.00 APTT 1:1 SALINE MIXING STUDING $241.00 APTT-LUPUS ANTICOAGULANT $184.00 AQUAPHOR OINTMENT (PETROLATUM) 10G $14.00 AQUILEX INFLOW TUBING $411.00 AQUILEX KIT CANN TUBING SOCK $51.00 AQUILEX Y OUTFLOW TUBING $96.00 AQUINOX HIGH FLOW HUMID SYSTEM $141.00 ARAMINE (METARAMINOL) 1% VIAL $87.00 ARANESP (DARBEPOETIN) 100MCG SDV $2,851.00 ARANESP (DARBEPOETIN) 100MCG SDV $2,851.00 ARANESP (DARBEPOETIN) 150MCG PFS $2,264.00 ARANESP (DARBEPOETIN) 150MCG PFS $2,264.00 ARANESP (DARBEPOETIN) 200MCG PFS $3,002.00 ARANESP (DARBEPOETIN) 200MCG PFS $3,002.00 ARANESP (DARBEPOETIN) 300MCG PFS $3,670.00 ARANESP (DARBEPOETIN) 300MCG PFS $3,670.00 ARANESP (DARBEPOETIN) 40MCG VIAL $1,123.00 Description Price ARANESP (DARBEPOETIN) 40MCG VIAL $1,123.00 ARANESP (DARBEPOETIN) 500MCG PFS: NON C $7,441.00 ARANESP (DARBEPOETIN) 500MCG PFS:CHEMO $7,441.00 ARANESP (DARBEPOETIN) 60MCG SYRINGE $1,498.00 ARANESP (DARBEPOETIN) 60MCG SYRINGE $1,498.00 ARANESP 25MCG PFS (DARBEPOETIN) $720.00 ARANESP 60 MCG $1,375.00 ARIMIDEX (ANASTROZOLE) 1MG TABLET $93.00 ARIPIPRAZOLE 10MG (ABILIFY) TABLET $177.00 ARM SLING UNIVERSAL $61.00 ARM SLING CLINIC EX LG $13.00 ARM SLING CLINIC LARGE $13.00 ARM SLING CLINIC MEDIUM $13.00 ARM SLING CLINIC SMALL $13.00 ARM SLING CLINIC X-SMALL $13.00 ARM SLING CLINIC XX-SMALL $13.00 ARM SLING UNIVERSAL $49.00 ARSENIC BLOOD $93.00 ARSENIC URINE $89.00 ARTERIAL BLOOD GAS $303.00 ARTERIAL LINE PLACEMENT $848.00 ARTERIAL PUNCTURE $47.00 ARTERIAL PUNCTUR-RT $47.00 ARTERY; ABDOMEN $2,987.00 ARTHRO W/MENISCUS MEDIAL/LATERAL;SHAVING $1,075.00 ARTHRO W/MENISCUS MEDIAL/LATERAL;SHAVING $1,075.00 ARTHRO/ASPIR/ INJ; MAJOR JT/BURSA $104.00 ARTHROCENTESIS INTERM JOINT $102.00 ARTHROCENTESIS MAJOR JOINT $151.00 ARTHROCENTESIS SMALL JOINT $123.00 ARTHROGRAPHY HIP RT OR LT $699.00 ARTHROGRAPHY INJECTION PROCEDURE ELBOW $168.00 ARTHROGRAPHY INJECTION PROCEDURE WRIST $207.00 ARTHROGRAPHY SHOULDER $253.00 ARTHROGRAPHY SHOULDER INJECTION $144.00 ARTHROGRAPHY WRIST LT $242.00 ARTHROGRAPHY WRIST RT $242.00 ARTHROSCOPIC SHAVER BLADES 3.5MM $385.00 ARTHROSCOPIC SHAVER BLADES 3.5MM SMALL J $205.00 ARTHROSCOPY PACK $248.00 ARTHROSCOPY TUBING SET $242.00 ARTHROSCOPY W/MENISCE $1,129.00 ARTHROSCOPY W/MENISCE $1,129.00 ARTHROSCOPY W/SYNOVECTOMY MAJOR 2/MORE $1,749.00 ARTHROSCOPY W/SYNOVECTOMY MAJOR 2/MORE $1,749.00 ARTHROSCOPY-ABRASION $1,077.00 ARTHROSCOPY-ABRASION $1,077.00 ARTHROSCOPY-SYNVECTOMY $907.00 ARTHROSCOPY-SYNVECTOMY $907.00 ARTHROTEC 50 (DICLOFENAC/MISOPROSTOL) $10.00 ARTHROTEC 75 (DICLOFENAC/MISOPROSTOL) $10.00 Description Price ARTHROTOMY METATARSOPHALANGEAL JOINT $784.00 ARTHROTOMY, KNEE, W/ESPLORATION, DRAIN $1,615.00 ARTHROTOMY;DRAIN/REMOVE FB $666.00 ARTIFICIAL TEARS OPHTH DROPS $9.00 AS 11MM TROCAR $465.00 AS 12MM TROCAR $463.00 ASCORBIC ACID (VITAMIN C) 500MG TABLET $6.00 ASMANEX 220MCG INHALER (MOMETASONE) $209.00 ASPERGILLUS FLAVUS ANTIBOY $34.00 ASPERGILLUS FUMIGATUS ANTIBOY $37.00 ASPERGILLUS NIGER ANTIBOY $36.00 ASPIRA PLEURAL DRAINAGE-KIT $254.00 ASPIRA PLEURAL DRAINAGE-STARTER $1,346.00 ASPIRA PLEURAL DRESSING KIT $119.00 ASPIRA PLEURAL VALVE REPAIR KIT $183.00 ASPIRATE ADDTL BREAST CYST $48.00 ASPIRATE ADDTL BREAST CYST $48.00 ASPIRATE EACH ADDITIONAL BREAST CYST $9.00 ASPIRATION AND INJECTION FOR BONE CYST $383.00 ASPIRATION AND INJECTION FOR BONE CYST $383.00 ASPIRATION BREAST CYST $194.00 ASPIRATION BREAST CYST $194.00 ASPIRATION NEEDLE 16 GA $108.00 ASPIRATION OF BLADDER BY NEEDLE $120.00 ASPIRATION OF BLADDER BY NEEDLE $188.00 ASPIRATION OF BLADDER BY NEEDLE $188.00 ASPIRATION WITHOUT GUIDE $238.00 ASPIRATION/BL $631.00 ASPIRATION/BLADDER/CAT $387.00 ASPIRATION/BLADDER/INS $631.00 ASPIRATOR NASEL BBG 4.5 $13.00 ASPIRIN (ASA) 300 MG RECTAL SUPP $11.00 ASPIRIN (ASA) 81 MG CHEWABLE TABLET $1.00 ASPIRIN (ASA) 81 MG ENTERIC COATED TABS $1.00 ASPIRIN 120 MG RECTAL SUPP $4.00 ASPIRIN 600 MG RECTAL SUPP $4.00 ASPIRIN BUFFERED 325 MG TABLET $4.00 ASPIRIN ENTERIC COATED 325 MG TABLET $1.00 ASPIRIN/APAP/CAFFEINE TABLET (EXCEDRIN) $1.00 ASPIRIN/BUFFERS 325 MG TABLET $4.00 ASPIRIN/CAFFEINE 400 MG TABLET (ANACIN) $4.00 ASSAY OF ETHYLENE GLYCOL $94.00 ASSESS HLTH/BEHAVE, INIT $58.00 ASSESS HLTH/BEHAVE, INIT $58.00 ASSESS HLTH/BEHAVE, SUBSEQ $57.00 ASSESS HLTH/BEHAVE, SUBSEQ $57.00 AST $76.00 ASTHMA ACTION PLAN $40.00 ATACAND (CANDESARTAN CILEXETIL) 16 MG $14.00 ATACAND 4MG (CANDESARTAN CILEXETIL) TAB $8.00 ATENOLOL 25 MG TABLET (TENORMIN) $6.00 Description Price ATENOLOL 50 MG TABLET (TENORMIN) $6.00 ATENOLOL 5MG IV AMP (TENORMIN) $42.00 ATHROCENTESIS, ASPIRATION, OR INJECTION $687.00 ATIVAN (LORAZEPAM) 2MG TUBEX $98.00 ATORVASTATIN CAL 10 MG TAB (LIPITOR) $7.00 ATORVASTATIN CAL 40 MG TAB (LIPITOR) $7.00 ATRACURIUM 100 MG VIAL (TRACRIUM) $299.00 ATROPHINE-TX $17.00 ATROPINE 0.5% ABBOJ. SYRINGE $78.00 ATROPINE 1MG ABBOJ. SYRINGE $25.00 ATROPINE 1MG VIAL $27.00 ATROPINE SULFATE 1% OPHT SOLN $33.00 ATROVENT HFA(IPRATROPIUM) 200 DOSE INHAL $314.00 ATS CANISTER W/GEL $247.00 ATTACH BLADDER/URETHRA $1,030.00 ATTACHMENT PADS $3.00 ATTAPULGITE 2 OZ BOTTLE (DONNAGEL) $9.00 ATTENTION CURRENT STATUS-CHGN $1.00 ATTENTION CURRENT STATUS-CIGN $1.00 ATTENTION CURRENT STATUS-CJGN $1.00 ATTENTION CURRENT STATUS-CKGN $1.00 ATTENTION CURRENT STATUS-CLGN $1.00 ATTENTION CURRENT STATUS-CMGN $1.00 ATTENTION CURRENT STATUS-CNGN $1.00 ATTENTION DISCHARGE STATUS-CHGN $1.00 ATTENTION DISCHARGE STATUS-CIGN $1.00 ATTENTION DISCHARGE STATUS-CJGN $1.00 ATTENTION DISCHARGE STATUS-CKGN $1.00 ATTENTION DISCHARGE STATUS-CLGN $1.00 ATTENTION DISCHARGE STATUS-CMGN $1.00 ATTENTION DISCHARGE STATUS-CNGN $1.00 ATTENTION GOAL STATUS-CHGN $1.00 ATTENTION GOAL STATUS-CIGN $1.00 ATTENTION GOAL STATUS-CJGN $1.00 ATTENTION GOAL STATUS-CKGN $1.00 ATTENTION GOAL STATUS-CLGN $1.00 ATTENTION GOAL STATUS-CMGN $1.00 ATTENTION GOAL STATUS-CNGN $1.00 AUGMENTIN XR (AMOX/CLAV) 1000/62.5MG $14.00 AUTO COMP WIDEBONE PLATE $376.00 AUTO COMPBONE PLTE 4MMX15 $374.00 AUTO IMMUNE PROFILE $29.00 AUTOCOMP BONE PLTE 4MMX13 $291.00 AUXILLARY LYMPH ADENECTOMY; COMPLETE $1,833.00 AV FUSE, UPPER ARM, BASILIC $1,824.00 AV FUSE, UPPER ARM, BASILIC $1,824.00 AVALIDE (IRBESARTAN/HCTZ)300/12.5 TAB $12.00 AVANDIA (ROSIGLITAZONE MAL) 4 MG TABLET $24.00 AVELOX (MOXIFLOXACIN) 400MG/250ML NS RTU $250.00 AVELOX 400MG TABLET (MOXIFLOXACIN) $49.00 AVODART (DUTASTERIDE) 0.5MG CAPSULE $33.00 Description Price AVULSION NAIL,PART/COMP;SING $181.00 AVULSION NAIL,PART/COMP;SING $189.00 AVULSION NAIL,PART/COMP;SING $189.00 AVULSION NAIL;EA ADDTL $72.00 AVULSION NAIL;EA ADDTL $72.00 AYR (SOD CHL) NASAL MIST 50ML $12.00 AYR (SOD CHL/ALOE VERA) NASAL GEL 0.5OZ $15.00 AZACITIDINE 100MG VIAL (VIDAZA) $2,311.00 AZATHIOPRINE 50 MG TAB (IMURAN) $6.00 AZELASTINE NASAL SPRAY (ASTELIN) $120.00 AZITHROMYCIN 100 MG/5ML 15ML (ZITHROMAX) $35.00 AZITHROMYCIN 200 MG/5ML 30ML (ZITHROMAX) $31.00 AZITHROMYCIN 250 MG TABLET (ZITHROMAX) $8.00 AZITHROMYCIN 500 MG VIAL $41.00 AZITHROMYCIN IVPB 500 MG/NS 250ML $128.00 AZOPT OPTH SUSP 1% 10ML (BRINZOLAMIDE) $190.00 AZTREONAM 1 GM VIAL (AZACTAM) $171.00 B&L AKREOS AO60 & M160 IOL'S $58.00 B&L L 161 - AOR IOL $37.00 B.A.T.H WRIST SPLINT LT MEDIUM $47.00 B.A.T.H WRIST SPLINT LT EX LG $47.00 B.A.T.H WRIST SPLINT LT LARGE $47.00 B.A.T.H WRIST SPLINT LT SMALL $47.00 B.A.T.H WRIST SPLINT RT EX LG $47.00 B.A.T.H WRIST SPLINT RT LARGE $47.00 B.A.T.H WRIST SPLINT RT MEDIUM $47.00 B.A.T.H WRIST SPLINT RT SMALL $47.00 B.A.T.H WRIST SPLINT RT X SM $47.00 BACITRACIN (BACITRACIN ZINC) U/D OINT $6.00 BACITRACIN 50000U VIAL $44.00 BACITRACIN 500UGM OINT $10.00 BACITRACIN/POLYMYCIN PWD (POLYSPORIN) $41.00 BACK BELT- LARGE $94.00 BACK BELT- MEDIUM $99.00 BACK SUPPORT- XXXLARGE $36.00 BACLOFEN 10 MG TABLET (LIORESAL) $6.00 BACTERIA FILTER $8.00 BACTERIA FILTER $17.00 BAG BALM (HYDROXYQUINOL SULF/PET LAN) $27.00 BAG CLAMP $18.00 BAG COLOSTOMY BELT $44.00 BAG DECANTER $8.00 BAG PUC COLLECTOR STERILE $10.00 BAG STOMA DRAIN 1 IN $17.00 BAKRI POSTPARTUM BALLOON $568.00 BALLARD TRACH CARE 14FR CATHETER $42.00 BANDAGE 2 CONFORM $6.00 BANDAGE 3 CONFORM $7.00 BANDAGE 4 CONFORM $7.00 BANDAGE GAUZE 2 SUPRA FORM STERILE $3.00 BANDAGE GAUZE 3 SUPRA FORM STERILE $6.00 Description Price BANDAGE HIGH COMPRESSION SUREPRESS $51.00 BANDAGE PLASTER 2 INCH $31.00 BANDAGE PLASTER 3 INCH $31.00 BANDAGE PLASTER 4 INCH $51.00 BANDAGE PLASTER 6 INCH $61.00 BAR STRAIGHT SM MINI PENNING $718.00 BARD BUTTON TUBE 1.7CM 24 FR $421.00 BARIUM ENEMA ROUTINE W/AIR CONTRAST $524.00 BARIUM ENEMA SINGLE CONTRAST $434.00 BARTHOLINS GLAND ABCESS I & D $348.00 BARTONELLA ANTIBODY $113.00 BASIC SOLUTION SET $25.00 BASIC SOLUTION SET W/1 LUER VALVE $23.00 BATH BENCH $104.00 BATH BENCH W/ BACK $52.00 BAYCOL (CERIVASTATIN SOD) 0.3 MG TAB $10.00 BAYCOL (CERVISTATIN SOD) 0.4 MG TAB $10.00 BAYGAM NR (IMMUN GLOBULIN GAMMA (1 GG)T $545.00 BB ABO $108.00 BB ABO-NB $87.00 BB ABSORPTION $457.00 BB ADDITIONAL PANELS $205.00 BB ANTIBODY IDENTIFICATION $585.00 BB ANTIBODY SCREEN $136.00 BB ANTIBODY TITER $308.00 BB ANTIGEN SCREEN $351.00 BB ANTIGEN TYPE, PATIENT $140.00 BB COOMBS, DIRECT $75.00 BB CROSSMATCH IMMED SPIN $100.00 BB CROSSMATCH MAJOR OR MINOR $164.00 BB CRYOPRECIPITATE $847.00 BB DEGLYCERIZED LP RBC $575.00 BB DEGLYC-FROZ RBC $2,242.00 BB ELUTION (RBC ANTIBODY) $145.00 BB ELUTION (RBC ANTIBODY) $321.00 BB FETAL SCREEN $66.00 BB FFP $279.00 BB GLYCINE ACID TREATMENT $468.00 BB NEUTRALIZATION $216.00 BB PLATELETS (PLA) LEUKOREDUCED $1,219.00 BB PLATELETS (PLP) LEUKOREDUCED SPLIT PK $1,061.00 BB PLT FILTER (PX8) $352.00 BB PRETREATMENT $384.00 BB RBC - PRE-FILTERED $486.00 BB RBC - PRE-FILTERED IRRADIATED $567.00 BB RBC PEDI UNIT $262.00 BB RBC REJUVENATION $146.00 BB RH $108.00 BB RH PHENOTYPE $196.00 BB TRANSFER PAK $85.00 BBTAK- ARTHREX $396.00 Description Price BCG LIVE INSTRAVESICAL $630.00 BCR ABL1 CML/ALL by PCR QUANTITATIVE $170.00 BCR ABL1 MINOR BREAK POINT QUALITATIVE $170.00 BCR-ABL $304.00 BCR-ABL1 KINASE DOMAIN MUTATION ANALYSIS $832.00 BECLOMETHASONE INHALER 17 GM (VANCERIL) $164.00 BECONASE AQ NASAL (BECLOMETHASONE).042% $199.00 BELLADONNA ALK/PB 5 ML ELIXIR (DONNATAL) $19.00 BELMONT 3 SPIKE BAG SET $484.00 BELT CONT PELVIC 5M S SRP $76.00 BELT CONT PELVIC MED S SR $56.00 BELT PELVIC D STRAP 30 34 $85.00 BELT PELVIC D STRAP 34 38 $85.00 BELT PELVIC S STRAP 34 38 $58.00 BELT PELVIC TRAC 24 X 16 $53.00 BELT RIB ELAS MEN LARGE $31.00 BELT RIB ELAS MEN MED $31.00 BELT RIB ELAS WOMEN LARGE $31.00 BELT RIB ELAS WOMEN MED $31.00 BELT RIB ELASTIC 48 54 $31.00 BENADRYL (DIPHENHYD) 50 MG VIAL $36.00 BENAZEPRIL 10 MG TABLET (LOTENSIN) $6.00 BENEFIBER CHEWABLE TABLET $4.00 BENEFIBER POWDER $5.00 BENICAR (OLMESARTAN) 20MG TABLET $12.00 BENLYSTA (BELIMUMAB) 120MG VIAL $2,044.00 BENLYSTA (BELIMUMAB) 400MG VIAL $3,578.00 BENZOIN (BENZOIN TR) 2 OZ $16.00 BENZOIN CMPD TINCT 2 OZ $12.00 BENZONATATE 100 MG CAPSULE (TESSALON) $7.00 BENZTROPINE 1 MG TABLET (COGENTIN) $6.00 BETA 2 TRANSFERRIN $369.00 BETA HCG SEND OUT $145.00 BETA HYDROXY BUTYRATE $232.00 BETA-2 GLYCOPROTEIN 1 IGA $151.00 BETA-2 GLYCOPROTEIN 1 IGG $151.00 BETA-2 GLYCOPROTEIN 1 IGM $151.00 BETA-2 MICROGLOBULIN SERUM $78.00 BETADINE OPHTH SOLN 5% (POVIDONE IODINE) $20.00 BETAGAN 0.5% (LEVOBUNOLOL) OPTH SOLN 2ML $48.00 BETAMETHASONE SOD PHOS&ACETATE 30MG/5ML $44.00 BETAXOLOL .5% 5 ML OPHT SOLN (BETOPTIC) $101.00 BETAXOLOL 10 MG TABLET (KERLONE) $6.00 BETHANECHOL 10 MG TABLET (URECHOLINE) $6.00 BETHANECHOL 25 MG TABLET (URECHOLINE) $5.00 BETHANECHOL 5 MG TABLET (URECHOLINE) $5.00 BETHANECHOL 5 MG VIAL (URECHOLINE) $51.00 BETOPTIC(BETAXOLOL) 0.25% 2.5ML OP SOLN $52.00 BEVACIZUMAB 100MG VIAL (AVASTIN) $2,786.00 BEVACIZUMAB 400MG VIAL (AVASTIN) $5,522.00 BICALUTAMIDE 50MG TABLET (CASODEX) $540.00 Description Price BICARB $71.00 BICILLIN CR (PEN G/PROC G BEN) 1,200,000 $79.00 BICILLIN CR (PENIC G PROC/PEN G BEN)600 $52.00 BICILLIN LA (BENZATHINE) 1.0 MIL U $93.00 BICILLIN LA (PENIC G BENZ) 600,000 TBX $226.00 BICILLIN LA 1.2MU SYR (PENICIL G BEN) $473.00 BIFURCATED ARTGRAFT 19-9 $578.00 BILAT OOPHRORECTOMY $1,230.00 BILE ACIDS $188.00 BILI-MASK $32.00 BILIRUBIN DIRECT $87.00 BILIRUBIN TOTAL $72.00 BILIRUBIN TOTAL TRANSCUT $12.00 BIMALLEOLAR ANKLE FRACTURE W/MAN $984.00 BIMALLEOLAR ANKLE FX W/MANIPULATION $962.00 BIMALLEOLAR ANKLE TX $1,094.00 BINDER ABDOMINAL 12 L $81.00 BINDER ABDOMINAL 12 M $81.00 BINDER ABDOMINAL 12 S $81.00 BINDER ABDOMINAL 12 XL $71.00 BINDER ABDOMINAL 12 XXL $86.00 BINDER ABDOMINAL 14 L $75.00 BINDER ABDOMINAL 14 M $74.00 BINDER ABDOMINAL 14 S $86.00 BINDER ABDOMINAL 14 XL $73.00 BIO PELVIS/HIP TISSUE;DEEP $1,660.00 BIO VULVA PERINEIUM $179.00 BIO VULVA PERINEIUM $179.00 BIO VULVA PERINEIUM $187.00 BIOBAG 200 (LARVAE) $750.00 BIOBAG 50 (LARVAE) $730.00 BIOPATCH $45.00 BIOPSY NEEDLE 14 GAX15CM $163.00 BIOPSY NEEDLE 14GA 3 $118.00 BIOPSY NEEDLE COAXLE 13G x 5 1/2 $115.00 BIOPSY OF ANORECTAL WALL ANAL APPROACH $719.00 BIOPSY OF BOWEL $267.00 BIOPSY OF LIVER NEEDLE PERCUTANEOUS $232.00 BIOPSY OF SKIN LESION $114.00 BIOPSY OF SKIN; EA SEPA $11.00 BIOPSY OF SKIN; EA SEPA $48.00 BIOPSY OF SKIN; EA SEPA $48.00 BIOPSY OF SKIN; SING $162.00 BIOPSY OF SKIN; SING $162.00 BIOPSY OF SKIN;SINGLE $62.00 BIOPSY SOFT TISSUE BACK/FLANK SUPERFICI $386.00 BIOPSY SOFT TISSUE OF NECK OR THORAX $370.00 BIOPSY/BREAST/OPEN INC $177.00 BIOPSY/BREAST/OPEN INC $546.00 BIOPSY/BREAST/OPEN INC $546.00 BIOPSY/SING OR MULP $132.00 Description Price BIOPSY/VAGINAL MUCOSA $165.00 BIOPSY/VAGINAL MUCOSA $165.00 BIOPSY/VAGINAL MUCOSA $172.00 BIOTINIDASE $307.00 BIPAP/CPAP $144.00 BIPOLARPACING CATH KIT SF $147.00 BIRTHING ROOM PACK $102.00 BISACODYL 10MG RECTAL SUPP (DULCOLAX) $6.00 BISACODYL 5 MG TABLET (DULCOLAX) $6.00 BISMUTH SUBSALICYLATE TAB (PEPTO-BISMOL) $6.00 BISOPROLOL FUM/HCTZ 2.5MG TABLET (ZIAC) $7.00 BISOPROLOL FUM/HCTZ 5.0 MG TABLET (ZIAC) $7.00 BISOPROLOL/HCTZ 10MG TABET (ZIAC) $9.00 BIVONA UN-TRAKE $458.00 BK VIRUS BY PCR SERUM $791.00 BK VIRUS BY PCR URINE $791.00 BLADDER CATH INSERT $171.00 BLADDER CATH INSERT $185.00 BLADE 715 $67.00 BLADE 762 B $179.00 BLADE MICRO S $46.00 BLADE SAW 31 X 9 MM $153.00 BLADE SAW THIN OFFSET 13.3X0.38X42.0MM $153.00 BLADE SURGICAL 3.2 $84.00 BLADE SURGICAL 5.1 $84.00 BLADE, SAGITTAL 9 1/2 X 25 1/2 $110.00 BLADE,MICRO 9.5X25.5X.4 $165.00 BLADE,OSCILLATOR 19.5X95X1.27 $137.00 BLADES 6900 $54.00 BLADES KERATOME $187.00 BLANKET- FULL BODY- MISTRAL AIR $43.00 BLANKET- PEDIATRIC UNDERBODY MISTRAL AIR $85.00 BLANKET THERAPEUTIC 64 X25 WARMING $62.00 BLANKET- UPPER BODY- MISTRAL AIR $43.00 BLASTOMYCOSIS AB $206.00 BLDDER IRRIG,SIMPL,LAVAGE &/INSTILLATION $241.00 BLDDER IRRIG,SIMPL,LAVAGE&/INSTILLATION $127.00 BLDDER IRRIG,SIMPL,LAVAGE&/INSTILLATION $241.00 BLEEDING DIATHESIS W/ NORMAL PTT/PT $304.00 BLEEDING DIATHESIS W/ NORMAL PTT/PT $304.00 BLEEDING DIATHESIS W/ NORMAL PTT/PT $304.00 BLEEDING DIATHESIS W/ NORMAL PTT/PT $304.00 BLEEDING DIATHESIS W/ NORMAL PTT/PT $304.00 BLEEDING DIATHESIS W/ NORMAL PTT/PT $304.00 BLEEDING DIATHESIS W/ NORMAL PTT/PT $304.00 BLEEDING DIATHESIS W/ NORMAL PTT/PT $304.00 BLEEDING DIATHESIS W/NORMAL PTT/PT $304.00 BLEEDING DIATHESIS W/NORMAL PTT/PT $304.00 BLEEDING DIATHESIS W/NORMAL PTT/PT $304.00 BLEEDING TIME $90.00 BLEOMYCIN SULF 30 UNITS $303.00 Description Price BLOOD ADMIN SECONDARY SET $8.00 BLOOD GAS CAPILLARY $171.00 BLOOD SET 78 $18.00 BLOOD SET COLLECTION $12.00 BLOOD SET Y TYPE $43.00 BLOOD WARMER SET $83.00 BLOOD WARMING SET $89.00 BLOOD Y TYPE SET $35.00 BLUE CARTRIDGE 45MM RELOAD $462.00 BLUEBLOC BITE BLOCK $12.00 BMP $134.00 BNP, PRO $276.00 BODY FLUID $64.00 BODY FLUID CELL COUNT (W/DIFF IF INDIC) $99.00 BODY FLUID CRYSTALS $72.00 BODY FLUID GLUCOSE $82.00 BODY FLUID PROTEIN $98.00 BODY POSITION CURRENT STATUS-CHGO $1.00 BODY POSITION CURRENT STATUS-CHGP $1.00 BODY POSITION CURRENT STATUS-CIGO $1.00 BODY POSITION CURRENT STATUS-CIGP $1.00 BODY POSITION CURRENT STATUS-CJGO $1.00 BODY POSITION CURRENT STATUS-CJGP $1.00 BODY POSITION CURRENT STATUS-CKGO $1.00 BODY POSITION CURRENT STATUS-CKGP $1.00 BODY POSITION CURRENT STATUS-CLGO $1.00 BODY POSITION CURRENT STATUS-CLGP $1.00 BODY POSITION CURRENT STATUS-CMGO $1.00 BODY POSITION CURRENT STATUS-CMGP $1.00 BODY POSITION CURRENT STATUS-CNGO $1.00 BODY POSITION CURRENT STATUS-CNGP $1.00 BODY POSITION DISCHARGE STATUS-CHGO $1.00 BODY POSITION DISCHARGE STATUS-CHGP $1.00 BODY POSITION DISCHARGE STATUS-CIGO $1.00 BODY POSITION DISCHARGE STATUS-CIGP $1.00 BODY POSITION DISCHARGE STATUS-CJGO $1.00 BODY POSITION DISCHARGE STATUS-CJGP $1.00 BODY POSITION DISCHARGE STATUS-CKGO $1.00 BODY POSITION DISCHARGE STATUS-CKGP $1.00 BODY POSITION DISCHARGE STATUS-CLGO $1.00 BODY POSITION DISCHARGE STATUS-CLGP $1.00 BODY POSITION DISCHARGE STATUS-CMGO $1.00 BODY POSITION DISCHARGE STATUS-CMGP $1.00 BODY POSITION DISCHARGE STATUS-CNGO $1.00 BODY POSITION DISCHARGE STATUS-CNGP $1.00 BODY POSITION GOAL STATUS-CHGO $1.00 BODY POSITION GOAL STATUS-CHGP $1.00 BODY POSITION GOAL STATUS-CIGO $1.00 BODY POSITION GOAL STATUS-CIGP $1.00 BODY POSITION GOAL STATUS-CJGO $1.00 BODY POSITION GOAL STATUS-CJGP $1.00 Description Price BODY POSITION GOAL STATUS-CKGO $1.00 BODY POSITION GOAL STATUS-CKGP $1.00 BODY POSITION GOAL STATUS-CLGO $1.00 BODY POSITION GOAL STATUS-CLGP $1.00 BODY POSITION GOAL STATUS-CMGO $1.00 BODY POSITION GOAL STATUS-CMGP $1.00 BODY POSITION GOAL STATUS-CNGO $1.00 BODY POSITION GOAL STATUS-CNGP $1.00 BODY SECTION RADIOGRAPHY $335.00 BONE AGE STUDIES X RAY $164.00 BONE GRAFT TIB/FIB $1,354.00 BONE GRAFT TIB/FIB $1,354.00 BONE LENGTH STUDIES $179.00 BONE MARROW $748.00 BONE MARROW ASPIRATE ONLY $139.00 BONE PLATE SELF COMP 32MM $214.00 BONE PLATE SELF COMP 40MM $218.00 BONE SCREWS STEEL $89.00 BONE SCREWS TITANIUM $193.00 BONE STUDY COMPLETE $242.00 BONE STUDY LIMITED $165.00 BONIVA (IBANDRONATE SOD) 3MG/3ML KIT340B $313.01 BOOSTRIX (DIPHTH/PERTUSS(ACELL)TET) $63.00 BOOT DECUBITUS ULCER $130.00 BORDETELLA PARAPERTUSIS PCR $165.00 BOUGIE INTRODUCER $53.00 BOVIE HAND CONTROL SWITCH $35.00 BOWEL DISORDER CASCADE $468.00 BP CUFF DISP- ADULT $35.00 BP CUFF DISP- ADULT LG $40.00 BP CUFF DISP- ADULT LG LONG $46.00 BP CUFF DISP- ADULT SMALL $35.00 BP CUFF DISP- CHILD $31.00 BRACE KNEE MD HINGED $219.00 BRAF MUTATION $255.00 BREAST PAD $13.00 BREAST PUMP KIT $176.00 BREAST SHIELD 16MM $36.00 BREAST SHIELD 20MM $36.00 BREAST SHIELD 24MM $36.00 BREAST TISSUE (005T)MARKER 14G $417.00 BREAST TISSUE COIL MARKER 14G $385.00 BREAST TISSUE S MARKER 14G $385.00 BREAST TISSUE V MARKER 14G $385.00 BREATHING CIRCUIT ADULT ANESTHESIA $68.00 BREATHING CIRCUIT PEDS $48.00 BRETYLLIUM 500 MG / 250 D5W (2MG/ML) $68.00 BREYTOL (BRETYLIUM) : 500MG/10ML VIAL $112.00 BRIMONIDINE TARTRATE OPTH SOLUTION 0.15% $298.00 BROMOCRIPTINE 2.5MG TABLET (PARLODEL) $10.00 BROMOCRIPTINE 5 MG TABLET (PARLODEL) $14.00 Description Price BRONCHODILATION;PRE&POST $112.00 BRONCHOSCOPY $673.00 BROVANA 15MCG/2ML INH (ARFORMOTEROL) $20.00 BRUCELLA ABORTUS IGG $89.00 BRUCELLA ABORTUS IGM $89.00 BRUSH CYTOLOGY W/SHEATH $78.00 BSS HT SOLN 15ML $32.00 BSS PLUS IRRIG SOLN $85.00 BUCKWAY CURETTE SIZE 0 $61.00 BUMETANIDE 0.25MG/ML 10ML VIAL $19.00 BUMETANIDE 0.25MG/ML 2ML VIAL (BUMEX) $20.00 BUMETANIDE 1 MG TABLET (BUMEX) $6.00 BUMEX (BUTETANIDE) : 0.5 MG DO NOT USE $33.00 BUN $71.00 BUNNY BOOT PAD $75.00 BUNNY FRAME $91.00 BUNNY LINER $91.00 BUPIVACAINE 0.25% VIAL (MARCAINE) 10ML $18.00 BUPIVACAINE 0.25% VIAL (MARCAINE) 30ML $26.00 BUPIVACAINE 0.25% W/ EPI VIAL 30ML $27.00 BUPIVACAINE 0.5% 30 ML VIAL (MARCAINE) $20.00 BUPIVACAINE 0.5% 50ML VIAL (SENSORCAINE) $23.00 BUPIVACAINE 0.5% PF 550ML IN ON-Q PUMP $522.00 BUPIVACAINE 0.5% VIAL 10ML (MARCAINE) $17.00 BUPIVACAINE 0.5% VIAL 30ML (MARCAINE) $23.00 BUPIVACAINE 0.5% W/ EPI VIAL 30ML $34.00 BUPIVACAINE 0.75% 10ML VIAL (MARCAINE) $23.00 BUPIVACAINE MPF 0.25% (MARCAINE) 30ML $21.00 BUPIVACAINE/DEXTR AMP(MARCAINE SPINAL) $22.00 BUPIVACAINE/EPI 0.25% 10ML(MARCAINE/EPI) $85.00 BUPIVACAINE/EPI 0.5% 10ML (MARCAINE/EPI) $29.00 BUPRENORPHINE $156.00 BUPRENORPHINE 0.3 MG AMP $20.00 BUPROPION 75 MG TABLET (WELLBUTRIN) $8.00 BUPROPION HCL SR 150MG TABLET (12H TAB) $7.00 BUPROPION XL 150MG TAB (WELLBUTRIN XL) $9.00 BURETROL W/BALL VALVE DRIP $45.00 BURN DEBRIDE/DRESSING LG $576.00 BURN INITIAL TREATMENT $104.00 BURR ROUND 2.0MM $310.00 BURR ROUND SMALL 1.5MM $310.00 BUSPIRONE 5 MG TABLET (BUSPAR) $6.00 BUTALBITAL/CAFF/ACET TAB (FIORICET) $6.00 BUTALBITAL/CAFF/ACET TABLET (ESGIC PLUS) $7.00 BUTORPHANOL (STADOL) 2 MG VIAL $33.00 BUTORPHANOL 1 MG VIAL (STADOL) $18.00 BUTORPHANOL NASAL SPRAY (STADOL) 10MG/ML $211.00 BUTTERFLY 16 ST $7.00 BUTTERFLY 19 $9.00 BUTTERFLY 19 SHORT TUBE $18.00 BUTTERFLY 19GA. $8.00 Description Price BUTTERFLY 25 $18.00 BUTTON SWITCH PENCIL $71.00 BX LIVER NDLE/DONE W/OTHER MAJ PROC $176.00 BX LIVER NDLE/DONE W/OTHER MAJ PROC $176.00 BX OF LIVER WEDGE $2,011.00 BX OF LIVER WEDGE $2,011.00 BX OF SUBMANDIBULAR GLAND $512.00 BX/EXC LYMPH NODE(S);DEEP $1,191.00 BX/EXC LYMPH NODE(S);DEEP $1,191.00 BX/EXC LYMPH NODE(S);SUPERFICIA $296.00 BX/EXC LYMPH NODE(S);SUPERFICIA $296.00 BX/EXC LYMPH NODE;CERV W/EXC FAT $771.00 BX/EXC LYMPH NODE;CERV W/EXC FAT $771.00 BYETTA 250MCG/ML 2.4ML (EXENATIDE) PEN $504.00 BYSTOLIC 10MG TABLET (NEBIVOLOL) $22.00 BYSTOLIC 2.5MG TABLET (NEBIVOLOL) $22.00 BYSTOLIC 5MG TABLET (NEBIVOLOL) $10.00 C SECTION PACK $471.00 C1 ESTERASE INHIBITOR ASSAY $180.00 C1Q COMPLEMENT $177.00 C3 $87.00 CADD PAIN PUMP ADMIN SET $57.00 CADMIUM BLOOD $177.00 CAFFEINE $263.00 CAFFEINE 200MG TABLETS $6.00 CAFFEINE/SOD BENZ SDPF 250/ML $56.00 CALADRYL (CALAMINE/PRAMOXINE) 6 0Z $19.00 CALAMINE LOTION 6OZ $7.00 CALCANEAL FX $1,137.00 CALCIFEROL (VITAMIN D) 8 MU /DROPPER $16.00 CALCIFEROL 50 MCG CAPSULE $11.00 CALCITONIN $78.00 CALCITONIN 400 IU/2ML VIAL (MIACALCIN) $531.00 CALCITRIOL 0.25 MCG CAP (ROCALTROL) $6.00 CALCIUM $70.00 CALCIUM /CREAT RATIO $38.00 CALCIUM 600MG WITH D TAB (CALTRATE W/ D) $1.00 CALCIUM ACETATE (PHOSLO) 667 MG CAPSULE $8.00 CALCIUM CARBONATE 500MG TABLET (TUMS) $6.00 CALCIUM CARBONATE 600MG TABLET(CALTRATE) $6.00 CALCIUM CARBONATE E.X. 750 MG TAB (TUMS) $4.00 CALCIUM CHLORIDE 10% SYRINGE $40.00 CALCIUM GLUCONATE 10% 1 GM VIAL $16.00 CALCIUM GLUCONATE 1GM/NS 50ML PREMIX $31.00 CALCIUM IONIZED $99.00 CALCIUM URINE 24 $51.00 CALF GARMENT UP TO 17 $81.00 CALF GARMENT UP TO 23 LG $120.00 CALIBRATED GUIDE PIN $29.00 CALMOSEPTINE OINTMENT UD PACKET $1.00 CALMOSEPTINE TUBE(THYM/MENTHOL/GLY/CALA) $13.00 Description Price CALPROTECTIN $434.00 CALRETICULIN MUTATION ANALYSIS $1,089.00 CAMPHO-PHENIQUE (CAMPHOR/PHENOL) GEL $19.00 CANCER ANTIGEN 125 $142.00 CANCER ANTIGEN 15-3 $142.00 CANCER ANTIGEN 19-9 $118.00 CANCER ANTIGEN 27.29 $142.00 CANCIDAS 50MG VIAL (CASPOFUNGIN ACETATE) $1,698.00 CANDIDA ANTIBODY, QUALITATIVE $271.00 CANDIDA ANTIGEN $158.00 CANE ORTHO $191.00 CANE TIPS $17.00 CANISTER 3000CC LINER $14.00 CANISTER LINER 1200CC $12.00 CANNABINOID CONFIRMATION URINE $263.00 CANNISTER LINER W/FILTER $13.00 CANNULA ADULT $7.00 CANNULA ADULT $8.00 CANNULA BIOPSY ENDOMETRIAL(FIRM FLEX) $25.00 CANNULA DIVIDED ADULT O2/CO2 $12.00 CANNULA INFANT $16.00 CANNULA PED $14.00 CANNULA PED $25.00 CANNULA SET 6X 25 LONGTERM $533.00 CANNULATED DRILL BIT 2.7 $820.00 CANNULATED DRILL BIT 3.2MM $825.00 CANNULATED SCREW 4.0 26MM $544.00 CANNULATED SCREW 4.0 28MM $544.00 CANNULATED SCREW 4.0 32MM $544.00 CANNULATED SCREW 4.0 40MM $560.00 CANNULATED SCREW 4.0 42MM $544.00 CANNULATED SCREW 4.0 44MM $560.00 CANNULATED SCREW 4.5MM $560.00 CANNULATED SHORT SCREW 3.2 X18 MM $635.00 CANNULATED SHORT SCREW 3.2 X 16 MM $635.00 CANOPY LG $61.00 CANOPY SM $38.00 CAPILLARY DRAW $25.00 CAPIO SYSTEM STANDARD 12MM X 32C $664.00 CAPSAICIN CREAM 0.025% 60GM $15.00 CAPTOPRIL 12.5 MG TABLET $6.00 CAPTOPRIL 25MG TABLET (CAPOTEN) $5.00 CARBAMAZEPINE 100 MG TABLET (TEGRETOL) $6.00 CARBAMAZEPINE 200MG TABLET (TEGRETOL) $6.00 CARBAMAZEPINE SUSP 100MG/5ML (TEGRETOL) $2.00 CARBAMAZEPINE XR 200MG TABLET (TEGRETOL) $7.00 CARBAMIDE PEROXIDE 15ML $25.00 CARBAMIDE PEROXIDE EAR DROPS (DEBROX) $8.00 CARBIDOPA/LEVOD 10/100MG TABLET(SINEMET) $6.00 CARBIDOPA/LEVOD 25/250MG TABLET(SINEMET) $7.00 CARBIDOPA/LEVOD CR25/100 TABLET(SINEMET) $10.00 Description Price CARBIDOPA/LEVODOPA 25/100MG TAB(SINEMET) $6.00 CARBIDOPA/LEVODOPA/ENTACAP 25/100/200MG $20.00 CARBOPLATIN 150 MG VIAL (PARAPLATIN) $121.00 CARBOPLATIN 450 MG VIAL $448.00 CARBOPLATIN 50 MG VIAL $96.00 CARBOPLATIN 600 MG VIAL $309.00 CARBOXYHEMOGLOBIN $297.00 CARD VAS STR W/PHY SUPERVISION $59.00 CARDIAC REHAB WITH MONITORING $35.00 CARDIOPULMONARY RESUS 15 MIN $670.00 CARDIOPULMONARY RESUSC PER HOUR $906.00 CARDIOVAS STRESS TEST $59.00 CARDIOVAS STRESS TEST $59.00 CARDIOVASCULAR STRESS TEST $474.00 CARDIOVASCULAR STRESS TEST $59.00 CARDIOVASCULAR STRESS TEST W/ SUP AND IN $474.00 CARDIOVASCULAR STRESS TEST W/ SUP AND IN $474.00 CARDIOVERSION $880.00 CARDIOVERSION $379.00 CARDURA (DOXAZOSIN : 4 MG DO NOT USE $7.00 CARIMUNE NF 12G (IMMUNE GLOBULIN) $1,747.00 CARIMUNE NF 6GM (IMMUNE GLOBULIN) $1,076.00 CARIOPULMONARY RESUSCITATION (CODE BLUE) $876.00 CARISOPRODOL 350 MG TAB (SOMA) $6.00 C-ARM PROCEDURE $220.00 C-ARM PROCEDURE FOR PORT $294.00 CARMEX (ALUM/SAL ACID/MENTH/CAMPH) OINT $15.00 CARNITINE TOTAL & FREE $115.00 CARNITOR 200MG/ML 5ML (LEVOCARNITINE) $1,095.00 CAROTENE $66.00 CARPAL FX $1,026.00 CARRY CURRENT STATUS-CHGO $1.00 CARRY CURRENT STATUS-CHGP $1.00 CARRY CURRENT STATUS-CIGO $1.00 CARRY CURRENT STATUS-CIGP $1.00 CARRY CURRENT STATUS-CJGO $1.00 CARRY CURRENT STATUS-CJGP $1.00 CARRY CURRENT STATUS-CKGO $1.00 CARRY CURRENT STATUS-CKGP $1.00 CARRY CURRENT STATUS-CLGO $1.00 CARRY CURRENT STATUS-CLGP $1.00 CARRY CURRENT STATUS-CMGO $1.00 CARRY CURRENT STATUS-CMGP $1.00 CARRY CURRENT STATUS-CNGO $1.00 CARRY CURRENT STATUS-CNGP $1.00 CARRY DISCHARGE STATUS $1.00 CARRY DISCHARGE STATUS-CHGO $1.00 CARRY DISCHARGE STATUS-CHGP $1.00 CARRY DISCHARGE STATUS-CIGO $1.00 CARRY DISCHARGE STATUS-CIGP $1.00 CARRY DISCHARGE STATUS-CJGO $1.00 Description Price CARRY DISCHARGE STATUS-CJGP $1.00 CARRY DISCHARGE STATUS-CKGO $1.00 CARRY DISCHARGE STATUS-CKGP $1.00 CARRY DISCHARGE STATUS-CLGO $1.00 CARRY DISCHARGE STATUS-CLGP $1.00 CARRY DISCHARGE STATUS-CMGO $1.00 CARRY DISCHARGE STATUS-CMGP $1.00 CARRY DISCHARGE STATUS-CNGO $1.00 CARRY DISCHARGE STATUS-CNGP $1.00 CARRY GOAL STATUS-CHGO $1.00 CARRY GOAL STATUS-CHGP $1.00 CARRY GOAL STATUS-CIGO $1.00 CARRY GOAL STATUS-CIGP $1.00 CARRY GOAL STATUS-CJGO $1.00 CARRY GOAL STATUS-CJGP $1.00 CARRY GOAL STATUS-CKGO $1.00 CARRY GOAL STATUS-CKGP $1.00 CARRY GOAL STATUS-CLGO $1.00 CARRY GOAL STATUS-CLGP $1.00 CARRY GOAL STATUS-CMGO $1.00 CARRY GOAL STATUS-CMGP $1.00 CARRY GOAL STATUS-CNGO $1.00 CARRY GOAL STATUS-CNGP $1.00 CARSEAT/BED TESTING 60 MIN $125.00 CARSEAT/BED TESTING ADDL 30 MIN $125.00 CARTEOLOL HCL 1% OPTH SOLN 5ML (OCUPRES) $19.00 CARVEDILOL 3.125 MG TABLET $6.00 CARVEDILOL TABLET 12.5MG (COREG) $6.00 CASCARA SAGRADA AROMATIC $5.00 CAST PADDING SPEC 4 $9.50 CAST RM METAL ARM SPLINT $33.00 CAST RM METAL HAND SPLINT $28.00 CAST RM METAL LEG SPLINT $33.00 CAST RM METAL TOE SPLINT $24.00 CAST RM WALKING HEEL $43.00 CAST SUPPLY FIB $106.00 CAST SUPPLY LONG $106.00 CAST SUPPLY LONG ARM $101.00 CAST SUPPLY LONG ARM $106.00 CAST SUPPLY SHORT ARM $106.00 CAST SUPPLY SHORT ARM $106.00 CAST SUPPLY SHORT LEG $106.00 CAST SUPPLY SHORT LEG $106.00 CAST SUPPLY SHORT LEG $106.00 CASTOR OIL 2 OZ $8.00 CATAPRES (CLONIDINE) TTS 0.3MG/DAY PATCH $102.00 CATARACT RECOVERY ROOM $467.00 CATARACT SURG ROOM $2,184.00 CATECHOLAMINE FRACTIONATED 24 HR URINE $81.00 CATECHOLAMINE FRACTIONATED RANDOM URINE $81.00 CATECHOLAMINE FRACTIONATED, PLASMA $81.00 Description Price CATH & INTRO SALINE/CONTRACT SIS/HSG $321.00 CATH & INTRO SALINE/CONTRACT SIS/HSG $321.00 CATH 18X1 1/4 IV $16.00 CATH 20X1 IV $16.00 CATH 22 IV $17.00 CATH 22G IV ANGIOCATH $30.00 CATH 24G IV ANGIOCATH $30.00 CATH ALL PURPOSE 12FR $7.00 CATH ALL PURPOSE 14FR $7.00 CATH ALL PURPOSE 16FR $7.00 CATH ALL PURPOSE 8FR $7.00 CATH ANGIOCATH 16G $28.00 CATH DIALYSIS PERITONEAL $326.00 CATH FOL 2 WAY 22FR 30CC $31.00 CATH FOLEY 12 FR 5CC $38.00 CATH FOLEY SILASTIC 20FRX5CC $38.00 CATH IRRIGATION TRAY $14.00 CATH IV 20GA.X1 BD INSYTE AUTOGUARD $13.00 CATH KIT INFANT & PEDIATRIC $14.00 CATH N GLOVE 14 FR $6.00 CATH N GLOVE 18 FR LATEX FREE $11.00 CATH OLIVE TIP 4FR $222.00 CATH OLIVE TIP 5FR $213.00 CATH OXYGEN 14 FR $53.00 CATH PLUG $5.00 CATH SUCTION 10 FR $8.00 CATH SUCTION 14 FR $8.00 CATH SUCTION 8 FR $8.00 CATH SUCTION INFANT 5/6FR $8.00 CATH TRAY 14FR. $14.00 CATH TRAY ADD A FOLEY $28.00 CATH TRAY ADD A FOLEY $83.00 CATH UMB ARTE $132.00 CATH UMBIL VE $343.00 CATH WHISTLE TIP 4FR $222.00 CATH WHISTLE TIP 8FR $222.00 CATH/NEEDLE INSYTE 24GA. 0.56 $16.00 CATHERTER TWIN-CATH 18/20 $68.00 CATHETER $7.00 CATHETER 2.5X3.25 NEEDLE $233.00 CATHETER 28FR THORACIC $35.00 CATHETER 36FR THORACIC $39.00 CATHETER 5 X 6 NEEDLE $233.00 CATHETER 7.5 x 8 NEEDLE $444.00 CATHETER ADAPTER $7.00 CATHETER BIPOLAR 4 FR $315.00 CATHETER CARE KIT $8.00 CATHETER COUDE FOLEY 14FR 5CC 2WAY $66.00 CATHETER COUDE FOLEY 20FR 5CC 2WAY $93.00 CATHETER COUDE FOLEY 22FR 5CC 2WAY $102.00 CATHETER COUDE TIP 18FR.5cc. $54.00 Description Price CATHETER DRAW $41.00 CATHETER EXTENSION SET 0.6 $21.00 CATHETER FOLEY 12FR.5CC 2/WAY latex free $29.00 CATHETER FOLEY 16FR 30CC 2WAY LF $55.00 CATHETER FOLEY 16FR.5CC LATEX FREE $28.00 CATHETER FOLEY 18FR 5CC 2WAY $53.00 CATHETER FOLEY 18FR.30CC 3WAY $53.00 CATHETER FOLEY 5CC 14FR LATEX FREE $24.00 CATHETER FOLEY 8FR 3CC LATEX FREE $24.00 CATHETER FOLEY PEDS 10 FR 3CC LATEX FREE $21.00 CATHETER FOLEY PEDS 8FR 3CC $77.00 CATHETER GROSHONG 8 FR X 19 $539.00 CATHETER IV ANGIOCATH 14GA 1.75 $10.00 CATHETER LEG STRAP $10.00 CATHETER MALE EXTERNAL LARGE $10.00 CATHETER MALE EXTERNAL MEDIUM $23.00 CATHETER MULTI LUMEN $160.00 CATHETER NASAL $130.00 CATHETER PEZZER 24FR. $99.00 CATHETER PEZZER 32FR. $64.00 CATHETER SIMPLE (FOLEY) $136.00 CATHETER STABILIZATION DEVICE $41.00 CATHETER STABILIZATION DEVICE $65.00 CATHETER STRAIGHT $178.00 CATHETER SUBCLAVIAN $61.00 CATHETER THORACIC 32 FR TROCAR $66.00 CATHETER THORACIC 36 FR $53.00 CATHETER TROCAR 16 FR $93.00 CATHETER TROCAR 24 FR $163.00 CATHETER TROCAR 28 FR THRORACIC $47.00 CATHETER TWIN-CATH 20/22 $68.00 CATHETER ULTRA SEAL SONOHYSTEROGRAPHY $88.00 CATHETER UTERINE BALLOON $1,526.00 CATHETER WORD BARTHOLIN 10F $52.00 CATHFLO ACTIVASE (ALTEPLASE) 2 MG $515.00 CATH-SECURE $16.00 CAUTERY HOTSY TOTSY $82.00 CAUTERY OF CERVIX ELECT OR THERMAL $279.00 CAUTERY OF CERVIX ELECT. OR THERMAL $279.00 CD20 $286.00 CD8 $85.00 CEA $143.00 CEDAX (CEFTIBUTEN) 90MG/5ML 60ML $157.00 CEFACLOR 125MG/5ML SUSP (CECLOR) $50.00 CEFACLOR 250 MG CAPSULE (CECLOR) $13.00 CEFACLOR 250MG/5ML SUSP (CECLOR) $82.00 CEFACLOR CD 500 MG TAB (CECLOR) $16.00 CEFADROXIL (VELSOSEF) 500 MG CAPS $15.00 CEFADROXIL 500 MG CAPSULE (DURICEF) $20.00 CEFAZOLIN 1GM/DEXTROSE 5% 50ML *DUPLEX $20.00 CEFAZOLIN 2GM/DEXTROSE 5% 50ML *DUPLEX* $35.00 Description Price CEFAZOLIN 500 MG VIAL (KEFZOL) $36.00 CEFAZOLIN 500 MG VIAL (KEFZOL) $33.00 CEFAZOLIN INJ 1 GM VIAL (KEFZOL,ANCEF) $28.00 CEFDINIR 125MG/5ML SUSPENSION 60ML $36.00 CEFDINIR 300MG CAPSULE (OMNICEF) $12.00 CEFEPIME 1GM VIAL (MAXIPIME) $49.00 CEFEPIME 2 GM VIAL (MAXIPIME) $73.00 CEFIXIME 400 MG TABLET (SUPRAX) $40.00 CEFOBID IVPB 1GM/NS+ 100ML ** $110.00 CEFOPERAZONE 1 GM VIAL (CEFOBID) $110.00 CEFOPERAZONE 2 GM VIAL (CEFOBID) $197.00 CEFOTAXIME 1 GM VIAL (CLAFORAN) $40.00 CEFOTAXIME 2 GM VIAL (CLAFORAN) $135.00 CEFOTAXIME 500 MG VIAL (CLAFORAN) $34.00 CEFOTAXIME IVPB 1GM/NS+ 100ML ** $139.00 CEFOTAXIME IVPB 2GM/NS+ 100ML ** $139.00 CEFOTAXIME PER GM $48.00 CEFOTETAN 1GM VIAL $86.00 CEFOTETAN 1GM/NS 100ML $86.00 CEFOTETAN 2 GM VIAL $146.00 CEFOTETAN 2GM/50ML DEXTROSE *DUPLEX $123.00 CEFOTETAN DISOD 1 GM VIAL (CEFOTAN) $63.00 CeFOXitin :1 GM VIAL (MEFOXIN) $92.00 CEFOXITIN 1GM/50ML D5W DUPLEX $72.00 CeFOXitin 2 GM VIAL (MEFOXIN) $113.00 CEFOXITIN 2GM/D5W 50ML DUPLEX $117.00 CeFOXitin 2GM/NS+100ML IVPB (MEFOXIN) $152.00 CEFPODOXIME 100 MG/5ML SUSP (VANTIN) $304.00 CEFPODOXIME PROXETIL 100 MG TAB (VANTIN) $4.00 CEFPODOXIME PROXETIL 200 MG TAB (VANTIN) $6.00 CEFPROZIL 250MG/5ML SUSPENSION (CEFZIL) $209.00 CEFPROZIL 500MG TABLET (CEFZIL) $46.00 CEFTAZIDIME 1 GM VIAL (FORTAZ) $55.00 CEFTIBUTEN 400 MG CAPSULE (CEDAX) $9.00 CefTRIAXone 1GM/D5% 50ML *DUPLEX $39.00 CefTRIAXone 250 MG VIAL (ROCEPHIN) $29.00 CefTRIAXone 500 MG VIAL (ROCEPHIN) $30.00 CefTRIAXone: 1 GM VIAL (ROCEPHIN) $32.00 CefTRIAXone: 2 GM VIAL (ROCEPHIN) $42.00 CEFUROXIME 1.5 GM VIAL (ZINACEF) $95.00 CEFUROXIME 1.5GM/NS+ 100ML (ZINACEF) $100.00 CEFUROXIME 125 MG/5ML SUSPENSION(CEFTIN) $79.00 CEFUROXIME 250 MG TABLET (CEFTIN) $7.00 CEFUROXIME 250 MG/5ML SUSPENSION(CEFTIN) $115.00 CEFUROXIME 750MG VIAL (ZINACEF) $60.00 CEFUROXIME 750MG/NS+ 100ML (ZINACEF) $70.00 CeleBREX (CELECOXIB) 100 MG CAPSULE $20.00 CELESTONE (BETAMETHASONE) 3MG/ML 5ML $107.00 CELESTONE INJ 4 MG $16.00 CELESTONE SOLUSPAN $50.00 CELL CULTURE FOR CHROSOME ANALYSIS $92.00 Description Price CENTRAL CATH < 5 $71.00 CENTRAL CATH >5 YRSA $218.00 CENTRAL CATH >5 YRSA $218.00 CENTRAL CATH >5 YRSA $227.00 CENTRUM (MULTIVITAMIN/MULTMINERAL)TABLET $4.00 CEPACOL (CETYLPYRIDINIUM) LOZENGES $1.00 CEPHALEXIN 125MG/5ML SUSP 100ML (KEFLEX) $21.00 CEPHALEXIN 250 MG CAPSULE (KEFLEX) $6.00 CEPHALEXIN 250MG/5ML SUSP 100ML (KEFLEX) $21.00 CEPHALEXIN 500 MG CAPSULE (KEFLEX) $6.00 CERCLAGE OF CERVIX $558.00 CERCLAGE OF CERVIX $558.00 CERCLAGE OF CERVIX $668.00 CERTA VITE (VITAMINS&MINERAL) 2OZ $15.00 CERULOPLASMIN $61.00 CERVICAL COLLAR $154.00 CERVICAL PUDENDAL INJ SET $18.00 CERVICAL SPINE TRAUMA 3V $208.00 CERVICAL SUPPORT 4 1/4 $219.00 CERVICAL SUPPORT LG 3 1/4 $225.00 CERVICAL SUPPORT LG 4 1/4 $169.00 CERVICAL SUPPORT MED 3 1/4 $169.00 CERVICAL SUPPORT MED 4 1/4 $169.00 CERVICAL SUPPORT SMALL 3 1/4 $105.00 CERVIDIL (DINOPROSTONE) 10 MG VAG SUPP $636.00 CERVIX BIO;SING/MULT $279.00 CERVIX BIO;SING/MULT $279.00 CERVIX BIO;SING/MULT $291.00 CETACAINE (TETRAC/BENCOC/BUTAMB) SPRAY $7.00 CETIRIZINE 10MG TABLET (ZYRTEC) $6.00 CETIRIZINE HCL 5MG/5ML SYRUP (ZYRTEC) $5.00 CETIRIZINE HCL 5MG/5ML SYRUP (ZYRTEC) $10.00 CHAIR CUSHION SOFCARE $67.00 CHANGE GASTROSTOMY TUBE $151.00 CHANGE OF CYSTOSTOMY TUBE; SIMPLE $108.00 CHANGE OF WINDPIPE AIRWAY $4.00 CHANGE OF WINDPIPE AIRWAY $87.00 CHANGE OF WINDPIPE AIRWAY $87.00 CHANTIX 1MG (VARENICLINE) TABLET $30.00 CHARCOAL IN AQUEOUS BASE 50GM/240ML $29.00 CHARCOAL LIQ (CHARCOAL/SORBITOL) 25 GM $30.00 CHARCOAL LIQ AQUEOUS BASE 25 GM $58.00 CHEMICAL CAUT GRANULATION TISSUE $63.00 CHEMICAL CAUT GRANULATION TISSUE $119.00 CHEMICAL CAUT GRANULATION TISSUE $119.00 CHEMO EXTEND IV INFUSION W/PUMP $655.00 CHEMO INFUSION 1ST HR $539.00 CHEMO INFUSION EA ADDL HR $121.00 CHEMO IV INFUSION EA SEQUENTIAL $233.00 CHEMO IV PUSH EA ADDL INJECTION $152.00 CHEMO IV PUSH,INITIAL DRUG $338.00 Description Price CHEMO PROLONG INFUSE W/PUMP $697.00 CHEMO, ANTI-NEOPL, SQ/IM $152.00 CHEMO,HORMON ANTINEOPL SQ/IM $88.00 CHEMOTHERAPY UNSPECIFIED $82.00 CHERATUSSIN AC SYR 10MG-100MG/5ML BTL $11.00 CHEST AP/PA SINGLE VIEW $161.00 CHEST MULT VIEWS-MIN 4V $278.00 CHEST PA LAT - 2V $289.00 CHEST PA LAT - 2V $301.00 CHEST3V W/APICAL LORDOTIC $146.00 CHIROPRACT MANIPULAT TX 1-2 SPINAL REGIO $55.00 CHIROPRACT MANIPULAT TX 3-4 SPINAL REGIO $84.00 CHIROPRACT MANIPULAT TX 5 SPINAL REGIONS $113.00 CHIROPRACT MANJ TX EXTRA SPINAL 1/>REGIO $57.00 CHLAMYDIA PCR $125.00 CHLAMYDIA AMPLIFICATION $121.00 CHLAMYDIA PSITTACI ANTIBODY IGG $187.00 CHLAMYDIA PSITTACI ANTIBODY IGM $107.00 CHLAMYDIA TRACHOMATIS IGM $107.00 CHLORAL HYDRATE 324 MG RS $48.00 CHLORAL HYDRATE 500MG $5.00 CHLORAL HYDRATE 648 MG RS $17.00 CHLORAMPHENICOL 1GM VIAL $22.00 CHLORASEPTIC (PHENOL/NAPHENOLATE) LOZENG $4.00 CHLORASEPTIC (PHENOL/NAPHENOLATE) SPRAY $5.00 CHLORDIAZEPOXIDE 10 MG CAPSULE (LIBRIUM) $4.00 CHLORDIAZEPOXIDE 25 MG CAPSULE (LIBRIUM) $6.00 CHLORHEXIDINE GLUC SOLN 4OZ (HIBICLENS) $20.00 CHLORIDE $67.00 CHLORIDE URINE $59.00 CHLORIDE,BODY FLUID $65.00 CHLOROPROCAINE 3 % SOLN (NESACAINE-MDF) $123.00 CHLOROTHIAZIDE 500 MG IV (DIURIL) $55.00 CHLOROTHIAZIDE 500 MG TABLET (DIURIL) $4.00 CHLOROXAZONE 500 MG TAB (PARAFON FORTE) $4.00 CHLORPH/PSEUDO 8/120MG (DECONAMINE SR) $5.00 CHLORPHENIRAMIN 4MG TAB (CHLOR-TRIMETON) $4.00 CHLORPHENIRAMINE 8MG TAB(CHLOR-TRIMETON) $11.00 CHLORPROMAZINE 100MG TABLET $20.00 ChlorproMAZINE 25 MG AMP (THORAZINE) $135.00 ChlorproMAZINE 25 MG TABLET (THORAZINE) $4.00 ChlorPROPAMIDE 250 MG TABLET (DIABINESE) $4.00 CHLOR-TRIMETON (CHLORPHENIRAMINE) 2 OZ $14.00 CHLORZINE 80 GRAMS $21.00 CHOLANGIOGRAM CATH $133.00 CHOLANGIOGRAPH CATH 4FR $61.00 CHOLECT LAPARSCPY W/EXPLO COMMON DUCT $2,048.00 CHOLECT LAPARSCPY W/EXPLO COMMON DUCT $2,048.00 CHOLECYSTECT W/CHOLANGIOGRAPH $1,458.00 CHOLECYSTECT W/CHOLANGIOGRAPH $1,458.00 CHOLECYSTECTOMY $2,239.00 Description Price CHOLECYSTECTOMY $2,239.00 CHOLECYSTOGRAM $207.00 CHOLESTEROL $71.00 CHOLESTYRAMINE POWDER (QUESTRAN) PCKT $12.00 CHOLINESTERASE $87.00 CHOMOSOME ANALYSIS EACH KARYOTYPE $105.00 CHORIONIC GONADOTROPIN BETA SUB UNIT $259.00 CHROMIUM PLASMA $77.00 CHROMOGRANIN A $457.00 CHROMOTUBATION OVIDUCT W/MATERIALS $208.00 CHROMOTUBATION OVIDUCT W/MATERIALS $208.00 CHRONIC LYMPHOCYTIC LEUKEMIA (FISH) $317.00 CICLOPIROX OLAMINE 1% CREAM 15G (LOPROX) $57.00 CILOSTAZOL 100MG TABLETS (PLETAL) $9.00 CILOSTAZOL 50MG TABLET $7.00 CIMETIDINE 300 MG TABLET (TAGAMET) $4.00 CIMETIDINE 400 MG TABLET (TAGAMET) $6.00 CIMETIDINE SYRUP 300 MG/5ML (TAGAMET) $59.00 CIMZIA 2X200MG SYRINGES (CERTOLIZUMAB) $3,735.00 CIPRO (CIPROFLOX) 400MG/D5W 200ML PREMIX $204.00 CIPRO (CIPROFLOXACIN) 250MG/5ML ORAL SUS $221.00 CIPRODEX OTIC SUSP 0.3%-0.1% $310.00 CIPROFLOXACIN 0.3% OPTH SOLN $44.00 CIPROFLOXACIN 200MG/100ML D5W PREMIX $33.00 CIPROFLOXACIN 400MG VIAL (CIPRO) $36.00 CIPROFLOXACIN 400MG/200ML D5W PREMIX $21.00 CIPROFLOXACIN HCL 250 MG TAB (CIPRO) $6.00 CIPROFLOXIN OTIC SOLN 10ML (CIPRO HC) $160.00 CIRCUMCISION PROCEDURE $233.00 CIRCUMCISION SET $24.00 CIRCUMCISION WITH SET $185.00 CIRCUMCISION/SURGICAL $329.00 CIRCUMCISION/SURGICAL $329.00 CIRCUMCISION/UNDER 28 DAYS $581.00 CISPLANTIN 100MG VIAL $1,121.00 CISPLATIN 200MG VIAL $163.00 CISPLATIN AQ 100MG VIAL $13.50 CISPLATIN AQ 50MG VIAL $205.00 CITALOPRAM 20 MG TABLET (CeleXA) $6.00 CITRIC ACID, 24 HOUR URINE $99.00 CK $132.00 CK TOTAL $45.00 CK-MB $94.00 CLARINEX (DESLORATIDINE) 5MG TABLET $11.00 CLARITHROMYCIN (BIAXIN) 500 MG TABLET $30.00 CLARITHROMYCIN 125MG/5ML SUSP $106.00 CLARITHROMYCIN 250 MG TABLET (BIAXIN) $19.00 CLARITHROMYCIN 250 MG/5ML SUSPENSION $153.00 CLARITHROMYCIN ER 500 MG TAB (BIAXIN XL) $24.00 CLARITIN D (LORATADINE/PSEUDOPHED) 12HR $10.00 CLARITIN D (LORATADINE/PSEUDOPHED) 24HR $14.00 Description Price CLAVICLE BRACE INFANT $47.00 CLAVICLE BRACE LARGE $61.00 CLAVICLE BRACE MED $42.00 CLAVICLE BRACE SMALL $48.00 CLAVICLE SPLINT EX LARGE $35.00 CLAVICLE SPLINT EX SMALL $35.00 CLAVICLE XRAY $284.00 CLAVICULAR FX $352.00 CLAVICULECTOMY;PARTIAL $983.00 CLAVICULECTOMY;PARTIAL $983.00 CLEANING ENEMA SET $11.00 CLEANSING DOUCHE $8.00 CLEAR UNIVERSAL EYE SHIELD $8.00 CLEARVIEW UTERINE MANIPULATOR $402.00 CLEOCIN (CLINDAMYCIN) 600MG/NS+100ML $112.00 CLEOCIN (CLINDAMYCIN) 75 MG/5ML SUSP $88.00 CLINDAMYCIN 150MG CAPSULE (CLEOCIN) $7.00 CLINDAMYCIN 600 MG VIAL (CLEOCIN) $51.00 CLINDAMYCIN 900 MG VIAL (CLEOCIN) $24.00 CLINDAMYCIN PHOSPHATE 300MG (CLEOCIN) $112.00 CLINIMIX E 4.25/10 (AMINO ACID/ELEC/DEX) $667.00 CLINIMIX E 4.25/5 (AMINO ACID/ELEC/DEX) $293.00 CLINIMIX E 5/20 (AMINO ACID/ELEC/DEX) $288.00 CLOBAZAM $225.00 CLOBETASOL PROPIONATE OINT 0.05% 30GM $45.00 CLONAZEPAM 0.5 MG TABLET (KLONIPIN) $6.00 CLONAZEPAM 2MG TABLET $6.00 CLONIDINE 0.1MG/DAY TTS PATCH (CATAPRES) $27.00 CLONIDINE 0.2MG/DAY TTS PATCH (CATAPRES) $42.00 CLONIDINE HCL 0.1 MG TAB (CATAPRES) $4.00 CLONIDINE HCL 0.1 MG TAB (CATAPRES) $6.00 CLOPIDOGREL BISULFATE 75 MG (PLAVIX) $6.00 CLORAZEPATE 7.5 MG TABLET (TRANXENE) $10.00 CLOS TX FEM FX DIST END W/O MANIP $70.00 CLOS TX FEM FX DIST END W/O MANIP $883.00 CLOS TX FEM FX DIST END W/O MANIP $883.00 CLOS TX MED MALLEOUS X W/MANIP $64.00 CLOS TX MED MALLEOUS X W/MANIP $827.00 CLOS TX MED MALLEOUS X W/MANIP $827.00 CLOS TX RADIAL & ULNA FX; NO MANIP $77.00 CLOS TX RADIAL & ULNA FX; NO MANIP $410.00 CLOS TX RADIAL & ULNA FX; NO MANIP $410.00 CLOS TX RADIAL & ULNA FX;W/MANIP $883.00 CLOS TX RADIAL & ULNA FX;W/MANIP $883.00 CLOS TX RADIAL & ULNA FX;W/MANIP $919.00 CLOS TX RADIAL HEAD SUBLUX CHILD $75.00 CLOS TX RADIAL HEAD SUBLUX CHILD $214.00 CLOS TX RADIAL HEAD SUBLUX CHILD $214.00 CLOS TX TIBAL FX PROX W/O MANIP $64.00 CLOS TX TIBAL FX PROX W/O MANIP $648.00 CLOS TX TIBAL FX PROX W/O MANIP $648.00 Description Price CLOS TX ULNAR STYLOID FX $522.00 CLOS TX ULNAR STYLOID FX $522.00 CLOSED SUPRACONDYLAR FX W/O MANIP $518.00 CLOSED TREATEMENT ANKLE DISLC ANESTHESIA $1,195.00 CLOSED TREATMENT DISLOCATION TOE ANESTH $316.00 CLOSED TX ARTICULAR FX;W/O MANIP $463.00 CLOSED TX ARTICULAR FX;W/O MANIP $463.00 CLOSED TX BIMALLEOLAR ANKLE $1,127.00 CLOSED TX BIMALLEOLAR ANKLE $1,127.00 CLOSED TX CARPAL BN FX W/MANIP EA BN $182.00 CLOSED TX CARPAL BN FX W/MANIP EA BN $924.00 CLOSED TX CARPAL BN FX W/MANIP EA BN $924.00 CLOSED TX CARPAL BN FX W/O MANIP EA BN $671.00 CLOSED TX CARPAL BN FX W/O MANIP EA BN $671.00 CLOSED TX CARPAL SCAPHOID NO MANIPULATIO $95.00 CLOSED TX CARPAL SCAPHOID W/O MANIP $561.00 CLOSED TX CARPAL SCAPHOID W/O MANIP $561.00 CLOSED TX CLAVICULAR FX W/O MANIP $338.00 CLOSED TX CLAVICULAR FX W/O MANIP $338.00 CLOSED TX DIST FIBR FX NO MANIPULATION $77.00 CLOSED TX DIST FIBR FX W/MANIP $1,167.00 CLOSED TX DIST FIBR FX W/MANIP $1,167.00 CLOSED TX DIST FIBR FX W/O MANIP $601.00 CLOSED TX DIST FIBR FX W/O MANIP $601.00 CLOSED TX DISTAL PHALANGEAL FX/MANIP $747.00 CLOSED TX DISTAL PHALANGEAL FX/MANIP $747.00 CLOSED TX DISTAL PHALANGEAL FX/NO MANIP $33.00 CLOSED TX DISTAL PHALANGEAL FX/NO MANIP $340.00 CLOSED TX DISTAL PHALANGEAL FX/NO MANIP $340.00 CLOSED TX DISTAL RADIAL FX NO MANIPULATO $77.00 CLOSED TX DISTAL RADIAL FX W/MANIP $1,095.00 CLOSED TX DISTAL RADIAL FX W/MANIP $1,095.00 CLOSED TX DISTAL RADIAL FX W/MANIP $1,445.00 CLOSED TX DISTAL RADIAL FX W/O MANIP $555.00 CLOSED TX DISTAL RADIAL FX W/O MANIP $555.00 CLOSED TX ELBOW DISLOCAT;ANESTH $776.00 CLOSED TX ELBOW DISLOCAT;ANESTH $776.00 CLOSED TX ELBOW DISLOCAT;ANESTH $808.00 CLOSED TX FEMUR FX W/MANIP $1,833.00 CLOSED TX FEMUR FX W/MANIP $1,933.00 CLOSED TX FX ARTIC DIST TIB W/O ANESTH $494.00 CLOSED TX FX ARTIC DIST TIB W/O ANESTH $494.00 CLOSED TX FX ARTIC DIST TIB W/SKELETAL $1,121.00 CLOSED TX FX ARTIC DIST TIB W/SKELETAL T $1,140.00 CLOSED TX FX ARTIC DIST TIB W/SKELETAL T $1,292.00 CLOSED TX FX ARTIC DIST TIB W/SKELETAL T $1,292.00 CLOSED TX FX GT TOE PHALANX W/O MANIP $218.00 CLOSED TX FX GT TOE PHALANX W/O MANIP $218.00 CLOSED TX FX PHLNX EX GT TOE/NO MANIP $44.00 CLOSED TX HUM CONDYLAR FX/NO MANIP $539.00 CLOSED TX HUM CONDYLAR FX/NO MANIP $539.00 Description Price CLOSED TX HUM CONDYLAR FX/NO MANIPULATIO $75.00 CLOSED TX HUM EPICOND FX W/MANIP $47.00 CLOSED TX HUM EPICOND FX W/MANIP $872.00 CLOSED TX HUM EPICOND FX W/MANIP $872.00 CLOSED TX HUM EPICOND FX W/O MANIP $91.00 CLOSED TX HUM EPICOND FX W/O MANIP $490.00 CLOSED TX HUM EPICOND FX W/O MANIP $490.00 CLOSED TX HUMERAL FX W/MANIP $1,111.00 CLOSED TX HUMERAL FX W/O MANIP $511.00 CLOSED TX HUMERAL FX W/O MANIP $511.00 CLOSED TX HUMERAL SHAFT FX;W/O MANIP $733.00 CLOSED TX HUMERAL SHAFT FX;W/O MANIP $733.00 CLOSED TX KNEE DISLOCATION W/ ANESTHESIA $1,511.00 CLOSED TX MC FX 1/WITHOUT MANIP EA BN $66.00 CLOSED TX MC FX SINGLE/W MANIP EA BN $65.00 CLOSED TX MED MALLEOUS FX W/O MANIP $883.00 CLOSED TX MED MALLEOUS FX W/O MANIP $883.00 CLOSED TX MED MALLEOUS X W/MANIP $987.00 CLOSED TX MT FX W/O MANIP $420.00 CLOSED TX MT FX W/O MANIP $420.00 CLOSED TX MT FX WITHOUT MANIP EACH $20.00 CLOSED TX OF KNEE DISLOCATION W/O ANEST $1,129.00 CLOSED TX OF RADIAL HEAD/NECK FX NO MANI $71.00 CLOSED TX PATELLAR FX W/O MANIP $437.00 CLOSED TX PATELLAR FX W/O MANIP $437.00 CLOSED TX PATELLAR FX WITHOUT MANIP $76.00 CLOSED TX PELVIC RING FX DISLOCATION $1,684.00 CLOSED TX PELVIC RING FX DISLOCATION $1,684.00 CLOSED TX PELVIC RING FX W/O MANIP $1,153.00 CLOSED TX PHALANGEAL FX W/MANIP $812.00 CLOSED TX PHALANGEAL FX W/MANIP $812.00 CLOSED TX PHALANGEAL FX W/MANIP EACH $123.00 CLOSED TX PHALANGEAL FX W/O MANIP $299.00 CLOSED TX PHALANGEAL FX W/O MANIP $299.00 CLOSED TX PHALANGEAL FX/NO MANIP EACH $50.00 CLOSED TX PROX FIB/SHAFT FX NO MANIP $67.00 CLOSED TX PROX FIB/SHAFT FX NO MANIP $490.00 CLOSED TX PROX FIB/SHAFT FX NO MANIP $490.00 CLOSED TX RADIAL HD/NCK FX W/O MANI $424.00 CLOSED TX RADIAL HD/NCK FX W/O MANI $424.00 CLOSED TX RADIAL SHAFT FX NO MANIP $408.00 CLOSED TX RADIAL SHAFT FX NO MANIP $408.00 CLOSED TX SHOULDER DISC/W MANIP W ANEST $627.00 CLOSED TX SHOULDER DISC/W MANIP W ANEST $627.00 CLOSED TX SHOULDER DISC/W MANIP W ANEST $653.00 CLOSED TX SHOULDER DISC/W MANIP W ANEST $653.00 CLOSED TX SHOULDER DISLOCATION W/MANIP $504.00 CLOSED TX SHOULDER DISLOCATION W/MANIP $504.00 CLOSED TX SUPERCOND HUM FX NO MANIP $588.00 CLOSED TX SUPERCOND HUM FX NO MANIP $588.00 CLOSED TX SUPERCOND HUM FX NO MANIPULATI $77.00 Description Price CLOSED TX TIBIAL SHAFT FX W W/O MANIP $725.00 CLOSED TX TIBIAL SHAFT FX W W/O MANIP $725.00 CLOSED TX ULNAR FX PROX END NO MANIP $475.00 CLOSED TX ULNAR FX PROX END NO MANIP $475.00 CLOSED TX ULNAR FX PROX END NO MANIPULAT $71.00 CLOSED TX ULNAR SHAFT FX NO MANIP $430.00 CLOSED TX ULNAR SHAFT FX NO MANIP $430.00 CLOSED TX ULNAR SHAFT FX NO MANIPULATION $92.00 CLOSTRIDIA DIFFICILE $158.00 CLOSURE ENTEROSTOMY, LG/SM INTESTINE $1,772.00 CLOSURE ENTEROSTOMY, LG/SM INTESTINE $1,772.00 CLOSURE LACERATION MOUTH OVER 2.5 $585.00 CLOSURE LACERATION MOUTH UNDER 2 $344.00 CLOTRIMAZOLE 1% CREAM 30G (LOTRIMIN) $8.00 CLOTRIMAZOLE 1% VAG CREA (GYNE-LOTRIMIN) $71.00 CLOTRIMAZOLE 1% VAGINAL CREAM $15.00 CLOTRIMAZOLE 500 MG VAG INS (MYCELEX-G) $71.00 CLOTRIMAZOLE TROCHE 10 MG (MYCELEX) $9.00 CLOTRIMAZOLE VAG INSERTS (GYNE-LOTRIMIN) $73.00 CLOTRIMAZOLE/BETAMETH 45G CR (LOTRISONE) $263.00 CLOTRIMAZOLE/BETAMETHA 15GM CREAM $47.00 CLSD TX PELVIC RING FX W/O MANIP W/ANEST $728.00 CLSD TX PELVIC RING FX W/O MANIPULATION $291.00 CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA $747.00 CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TR $1,189.00 CMBND ANTEROPOST COLPORRHAPHY W/ ENTEROC $1,290.00 CMBND ANTEROPOST COLPORRHAPHY W/ ENTEROC $1,290.00 CMP $248.00 CMPLX REP EYE, NOSE, EAR, LIP, 2.6-7.5CM $936.00 CMPLX REP EYE, NOSE, EAR, LIP, 2.6-7.5CM $936.00 CMPT AID DETECT MD INTEPRE DX MAMMON $6.00 CMPT AID DETECT MD INTEPRE DX MAMMON $6.00 CMV DNA, QUAL PCR $549.00 CNTRL NASL HEMOR PACKS&/CAUT;INIT $194.00 CNTRL NASL HEMOR PACKS&/CAUT;INIT $381.00 CNTRL NASL HEMOR PACKS&/CAUT;INIT $381.00 CNTRL NASL HEMORR ANT SMPL ANY METH $74.00 CNTRL NASL HEMORR ANT SMPL ANY METH $171.00 CNTRL NASL HEMORR ANT SMPL ANY METH $171.00 CO 2 DECTECTOR ADULT $86.00 CO 2 DECTECTOR PEDIATRIC $55.00 CO2 $71.00 COAGULATOR HANDSWITCHING 10FR/CH-6 $54.00 COATED NEEDLE ELECTRODE EXTENSION $33.00 COBALT PLASMA $135.00 COBAN STERILE 3 $35.00 COCAINE TOP SOLN 4% $130.00 COCCIDIODES ANTIBODY CF $91.00 COCCYGEAL FX; CLOSED TX $259.00 CODEINE SULFATE 30MG TABLET $5.00 COFLEX AFD STERILE 4 LF $17.00 Description Price COLCHICINE 0.6 MG TAB $6.00 COLCRYS 0.6MG TABLET (COLCHICINE) $33.00 COLD AGGLUTININS $58.00 COLECTOMY W/ILEOSTOMY $4,232.00 COLECTOMY/PAR $2,559.00 COLLAGEN BINDING ASSAY $203.00 COLLAR CER FM XLG $44.00 COLLAR CERVICAL UNIVERSAL $27.00 COLLAR CLAVICLE INFANT $31.00 COLLAR JOBST VERTEBRACE RG $107.00 COLLAR MED 5 1/4 $174.00 COLLAR PHIL LGE 5 1/4 $185.00 COLLAR THOM MD $33.00 COLLECTION 6ft TUBING SET $39.00 COLLECTION CANISTER SYSTEM SAFE TOUCH $96.00 COLONOSCOPY FLX W/ABLATION OF POLYP(S) $1,849.00 COLONOSCOPY STOMA W/ RMVL TUM POLYP SNAR $1,447.00 COLONOSCOPY THROUGH STOMA, W/BIOPSY SING $1,391.00 COLONOSCOPY THROUGH STOMA, WITH REMOVAL $1,391.00 COLONOSCOPY THRU STOMA; W/BX 1 MX $675.00 COLONOSCOPY THRU STOMA; W/BX 1 MX $675.00 COLONOSCOPY, FLEX, PROXIMAL $1,391.00 COLONOSCOPY, WITH BIOPSY, SINGLE OR MULT $1,572.00 COLONOSCOPY, WITH REMOVAL OF TUMOR $1,391.00 COLONOSCOPY,THROUGH STOMA, W/W-O COLLECT $1,391.00 COLONOSCOPY/EGD KIT $47.00 COLONOSCOPY/FLEX W ABL LESIONS $958.00 COLONOSCOPY/FLEX W ABL LESIONS $958.00 COLONOSCOPY/REM TUMOR $462.00 COLONOSCOPY/REM TUMOR $462.00 COLONOSCOPY/REM TUMOR BY HOT FORCEPS $481.00 COLONOSCOPY/STOMA/DX/W $629.00 COLONOSCOPY/STOMA/DX/W $629.00 COLONOSCOPY;BIO;SINGLE $924.00 COLONOSCOPY;BIO;SINGLE $924.00 COLONOSCOPY;DX/W OR W/O $430.00 COLONOSCOPY;DX/W OR W/O $430.00 COLONOSCOPY;REMOVAL TUMOR $1,045.00 COLONOSCOPY;REMOVAL TUMOR $1,045.00 COLOP BIOPSY $349.00 COLORECTAL SCRN;HIGH RISK $530.00 COLOSTOMY IIOSTOMY POST OP 1 3/4 $135.00 COLOSTOMY REVISION $1,495.00 COLOSTOMY SKIN LEVEL CECOSTOMY $2,521.00 COLOSTOMY SKIN LEVEL CECOSTOMY $2,521.00 COLPOPEXY ABDOMINAL APPROACH $2,257.00 COLPOPEXY VAGINAL EXTRAPERITONEAL APPRO $1,190.00 COLPOPEXY VAGINAL INTRAPERITONEAL APPROA $1,642.00 COLPOPEXY VAGINAL INTRAPERITONEAL APPROA $1,642.00 COLPORRHAPHY $735.00 COLPORRHAPHY $735.00 Description Price COLPORRHAPHY/ANTERIOR $716.00 COLPORRHAPHY/ANTERIOR $716.00 COLPORRHAPHY/COMBINED $963.00 COLPORRHAPHY/COMBINED $963.00 COLPORRHAPHY/POSTERIOR $667.00 COLPORRHAPHY/POSTERIOR $667.00 COLPOSCOPY CERVIX $42.00 COLPOSCOPY CERVIX VAG ELTRD CONIZATION $4,321.00 COLPOSCOPY CERVIX VAG ELTRD CONIZATION $4,321.00 COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERI $4,321.00 COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERI $4,321.00 COLPOSCOPY CERVIX;UPPER/ADJACENT $231.00 COLPOSCOPY CERVIX;UPPER/ADJACENT $231.00 COLPOSCOPY CERVIX;UPPER/ADJACENT $241.00 COLPOSCOPY VAGINA;W/BIO VAGINA/CERVIX $309.00 COLPOSCOPY VAGINA;W/BIO VAGINA/CERVIX $309.00 COLPOSCOPY W/BIO $335.00 COLPOSCOPY W/BIO $335.00 COLPOSCOPY/WITH BIOPSY $34.00 COMBIGAN OPTH SOLN 0.2%-0.5% (BRIM/TIMI) $138.00 COMBIVENT (IPATROPIUM/ALBUTEROL)RESPIMAT $316.00 COMFOT FORM WRIST RT SMALL $47.00 COMMODES $171.00 COMP HIM SCREW 2 150 $534.00 COMP HIP SCREW 3 135 $600.00 COMP HIP SCREW 3 140 $630.00 COMP HIP SCREW 4 140 $630.00 COMP HIP SCREW 4 145 $613.00 COMP HIP SCREW 4 150 $532.00 COMP HIP SCREW 5 145 $613.00 COMP HIP SCREW 5 150 $578.00 COMP PLAT 135 4 $613.00 COMP PLATE 135 5 $600.00 COMP PLATE 150 6 $532.00 COMP SCREW 135 INCH $621.00 COMP SCREW 19MM $130.00 COMP SCREW 28.5 $139.00 COMPARTMENT PRESSURE $218.00 COMPARTMENT PRESSURE $225.00 COMPAZINE 10 MG $26.00 COMPLEMENT C. ESTREASE INHIBITER $106.00 COMPLEMENT C2 $177.00 COMPLEMENT C3 $180.00 COMPLEMENT C4 $180.00 COMPLEMENT TOTAL (CH50) $111.00 COMPLES REPAIR, EA ADD 5CM $372.00 COMPLETE NATAL DHA (PRENATAL VITAMIN) $7.00 COMPLEX III 1 $208.00 COMPLEX III 1.1 CM TO 2.5 CM $208.00 COMPLEX III 1.1 CM TO 2.5 CM $217.00 COMPLEX III 1.1 CM TO 2.5 CM $1,445.00 Description Price COMPLEX REPAI $637.00 COMPLEX REPAIR I 1.1 CM TO 2.5 CM $628.00 COMPLEX REPAIR I 2.6 CM TO 7.5 CM $614.00 COMPLEX REPAIR I 2.6 CM TO 7.5 CM $1,445.00 COMPLEX REPAIR II 1.1 CM TO 2.5 CM $1,205.00 COMPLEX REPAIR II 2.6 CM TO 7.5 CM $637.00 COMPLEX REPAIR II 2.6 CM TO 7.5 CM $1,923.00 COMPLEX REPAIR III 2.6 CM TO 7.5 CM $2,401.00 COMPLEX REPAIR IV 1.1 CM TO 2.5 CM $1,923.00 COMPLEX REPAIR IV 2.6 CM TO 7.5 CM $2,884.00 COMPLEX REPAIR OF FOREHEAD/CHEEK/CHIN/NE $607.00 COMPLEX REPAIR, EA ADD 5 CM $628.00 COMPLEX REPAIR, EA ADD 5CM $325.00 COMPLEX REPAIR, TO 2.6 - 7.5 CM $1,077.00 COMPOSITE FINGER LOOP $156.00 COMPR FT SCRW 2.5 12MM $747.00 COMPRESS BONE PLATE 4.5MM $416.00 COMPRESS BONE PLATE 4MM $349.00 COMPRESS BONE PLTE 4.5X16 $526.00 COMPRESS COLD FLEX $24.00 COMPRESSION HIP SCREW 3 $533.00 COMPRESSION HIP SCREW 4 $533.00 COMPRESSION PLATE 6 HOLE $376.00 COMPRESSION PLATE -ZIMMER $517.00 COMPRESSION SCREW $46.00 COMVAX (HAEMOPHILUS B CONJUGATE) $233.00 CONE HAND POLYFORM $59.00 CONE TUBE IRRIG SET $226.00 CONFERENCE CLINICS PER HR $33.00 CONIVAPTAN 20MG/D5% 100ML (VAPRISOL) $2,721.00 CONIZATION CERVIX;LOOP $606.00 CONIZATION CERVIX;LOOP $606.00 CONIZATION/CERVIX/COL $574.00 CONIZATION/CERVIX/COL $574.00 CONNECTORS HYPERTHERMIA $133.00 CONRAY 43 $59.00 CONSTRUCTION AV FISTULA $890.00 CONSULT LEVEL 1 OV $31.00 CONSULT LEVEL 1 OV $130.00 CONSULT LEVEL 1 OV $136.00 CONSULT LEVEL 2 OV $64.00 CONSULT LEVEL 2 OV $154.00 CONSULT LEVEL 2 OV $161.00 CONSULT LEVEL 3 OV $54.00 CONSULT LEVEL 3 OV $209.00 CONSULT LEVEL 3 OV $218.00 CONT POST NASAL HEMORR PACKS SUBS $962.00 CONTAINER EMPTY 1000 $18.00 CONTAINER EVACUATED 1000ML $44.00 CONTAINER EVACUATED 500ML $21.00 CONTIGIN IMPLANT TRMT SYR KIT $940.00 Description Price CONTINGEN IMPLANT SKIN TEST KIT $231.00 CONTINUOUS EPIDURAL ANEST. TRAY $108.00 CONTOUR MOLDED BACK SUPPO $135.00 CONTROL ANTERIOR NASAL HEMORR COMPL $298.00 CONTROL ANTERIOR NASAL HEMORR SIMP $178.00 CONTROL OROPHARYNG HEMORAGE SIMPLE $302.00 CONTROL OROPHARYNG HEMORAGE SIMPLE $302.00 CONTROL POSTERIOR NASAL HEMORR PACK $627.00 COPPER $71.00 COPPER-SERUM/PLASMA $72.00 CORACOACROMIAL LIGAME $1,308.00 CORACOACROMIAL LIGAME $1,308.00 CORD TRACTION $31.00 COREG (CARVEDILOL) 25MG TAB $10.00 CORLOPAM (FENOLDOPAM) 10MG AMP $678.00 CORNEA&/SCLERA PERFORATING NO UVEAL TISS $1,346.00 CORNEA&/SCLERA PERFORATING NO UVEAL TISS $1,346.00 CORRA TUBING $11.00 CORTISOL $96.00 CORTISOL FREE SERUM WITH CBG $96.00 CORTISOL FREE URINE $57.00 CORTISOL LC/MS $96.00 CORTISOL SALIVARY THREE $96.00 CORTISONE ACET 25MG TABLET $4.00 CORTISONE URINE $88.00 CORTROSYN .25 MG IM $59.00 CORVERT (IBUTILIDE) 1MG/10ML VIAL $672.00 COSOPT OPTH SOLN (DORZOL/TIMOL) 2-0.5% $207.00 COSTOMY BAGS TO 1 3/4IN BARRIER AND 2 1/ $11.00 COSYNTROPIN 0.25 MG VIAL (CORTROSYN) $504.00 COTININE $68.00 COUMADIN (WARFARIN) 10MG TABLET $6.00 COUMADIN (WARFARIN) 1MG TABLET $6.00 COUMADIN (WARFARIN) 2.5MG TABLET $6.00 COUMADIN (WARFARIN) 2MG TABLET $6.00 COUMADIN (WARFARIN) 5MG TABLET $6.00 COUMADIN (WARFRIN) 5MG VIAL $82.00 COUNT 10 - 15 CELLS FOR CHROMOSOMES $142.00 COUNT 5 CELLS FOR CHROMOSOMES $2,002.00 COUNTERSINK 2.0 HEADLESS $530.00 COUNTERSINK 2.5X2.7 HEADED $550.00 COUNTERSINK 3.2 $565.00 COUNTERSINK-2.5HCS $565.00 COVERS ARM X-RAY $102.00 CP SLORR ANT W/CORACOI PRC TRNSF $1,900.00 CP SLORR ANT W/CORACOI PRC TRNSF $1,900.00 CPAP CANNULAS $61.00 C-PEPTIDE SERUM $73.00 CPK $68.00 CPK ISOENZYMES ELECTROPHORESIS $138.00 CPPB DEVICE $27.00 Description Price CPT (ADD'L) $58.00 CPT INITIAL $89.00 CRAINI/CRANIOT W/EXC FB FROM BRAIN $2,892.00 CRASH CART FEE *********** $85.00 CRAWFORD LACRIMAL INTUBATION SET $404.00 CRE WIRE GUIDED BALLOON 18-19-20 $624.00 CREAM BARRIER CARRINGTON ZINC TUBE $15.00 CREATININE $67.00 CREATININE 24HR URINE $99.00 CREATININE CLEARANCE $61.00 CREATININE FOR REFERENCE LAB $77.00 CREATININE URINE $99.00 CREON 24000U DELAYED RELEASE CAPSULE $30.00 CRICOTHYROTOMY $1,298.00 CRITICAL CARE E&M 1ST 30-74 MINUTES $760.00 CRITICAL CARE E&M EA ADD 30 MINUTES $439.00 CRITICAL CARE E&M EACH ADD 30 MINUTES $439.00 CRITICAL CARE FIRST HOUR $791.00 CRITICAL CARE, EA ADDL 30 MIN $245.00 CRNA SERVICES $1,877.00 CROFAB 1G (ANTIVENIN CROTALIDAIE) VIAL $4,442.00 CROSS FLOW INFLOW CASSETTE TUBING $264.00 CROUP TENT ADDITIONAL DAY $59.00 CROUP TENT INITIAL SETUP $175.00 CRP CAL $127.00 CRP, HIGH SENSITIVE $86.00 CRUTCHES ADULT MEDIUM 5'1-5'9 DME $62.00 CRUTCHES ADULT XL TALL 5'10-6'6 $25.00 CRUTCHES YOUTH 4'6-5'2 $25.00 CRYOCAUTERY/INITIAL $29.00 CRYOCAUTERY/INITIAL $268.00 CRYOCAUTERY/INITIAL $268.00 CRYOCAUTERY/INITIAL $279.00 CRYOGLOBULINS QUALITATIVE $100.00 CRYOSURGERY PENIS LESION(S) $260.00 CRYOTHERAPY FOR ACNE $2.00 CRYOTHERAPY FOR ACNE $81.00 CRYOTHERAPY FOR ACNE $81.00 CRYPTOCOCCUS ANTIGEN CSF $77.00 CRYPTOSPORIDIUM DIRECT DETECTION $71.00 CRYSTALENS AO $936.00 CRYSTALENS HD 500 $1,118.00 CRYSTALS SYNOVIAL FLUID $71.00 CSF CELL CT W/DIFF $91.00 CSF CHLORIDE $65.00 CSF GLUCOSE $84.00 CSF IgG INDEX $83.00 CSF PROTEIN $69.00 CT ABD/PELVIS W & WO CONTRAST $3,373.00 CT ABD/PELVIS W/CONTRAST $3,296.00 CT ABD/PELVIS W/O CONTRAST $2,898.00 Description Price CT ABDOMEN W & W/O CONTRAST $2,210.00 CT ABDOMEN W/O CONTRAST $1,514.00 CT ABDOMEN WITH CONTRAST $2,047.00 CT ANGIOGRAPHY CHEST $592.00 CT CERVICAL SPINE W & W/O CONTRAST $1,740.00 CT CERVICAL SPINE W/O CONTRAST $1,588.00 CT CERVICAL SPINE WITH CONTRAST $702.00 CT CHEST W & W/O CONTRAST $1,848.00 CT CHEST W/O CONTRAST $1,248.00 CT CHEST WITH CONTRAST $2,051.00 CT EXTREMITY LOWER W & W/O CONTRAST $1,848.00 CT EXTREMITY LOWER W/CONTRAST $1,526.00 CT EXTREMITY LOWER W/O CONTRAST $1,810.00 CT EXTREMITY UPPER W & W/O CONTRAST $1,606.00 CT EXTREMITY UPPER W/O CONTRAST $1,810.00 CT EXTREMITY UPPER WITH CONTRAST $1,606.00 CT GUIDED NEEDLE BIOPSY $1,227.00 CT HEAD W & W/O CONTRAST $2,210.00 CT HEAD W/O CONTRAST $1,660.00 CT HEAD WITH CONTRAST $1,922.00 CT LIMITED/LOCALIZED STUDY $535.00 CT LUMBAR SPINE W & W/O CONTRAST $1,526.00 CT LUMBAR SPINE W/O CONTRAST $1,810.00 CT LUMBAR SPINE WITH CONTRAST $1,606.00 CT MAXILLO FACIAL AREA W & W/O CONTRAST $1,848.00 CT MAXILLO FACIAL AREA W/O CONTRAST $1,810.00 CT MAXILLO FACIAL AREA WITH CONTRAST $1,922.00 CT ORBIT/IAC/SELL/PF WITH CONTRAST $1,606.00 CT ORBIT/IAC/SELLA/PF W & W/O CONTRAST $1,848.00 CT ORBIT/IAC/SELLA/PF W/O CONTRAST $1,315.00 CT PELVIC WITH CONTRAST $1,848.00 CT PELVIS W & W/O CONTRAST $1,810.00 CT PELVIS W/O CONTRAST $1,810.00 CT SOFT TISSUE NECK W & W/O CONTRAST $1,606.00 CT SOFT TISSUE NECK W/O CONTRAST $1,315.00 CT SOFT TISSUE NECK WITH CONTRAST $1,848.00 CT THORACIC SPINE W & W/O CONTRAST $1,606.00 CT THORACIC SPINE W/O CONTRAST $1,494.00 CT THORACIC SPINE WITH CONTRAST $1,606.00 CT UROGRAPHY $2,898.00 CTA ABD/PELVIS W/CONTRAST $814.00 CTA ABDOMEN/AORTA $1,419.00 CTA AORTA AND BLT ILIOFEMORAL(LE RUNOFF) $1,395.00 CTA CHEST W OR W W/O CONTRAST $2,210.00 CTA HEAD W AND W/O CONTRAST $1,606.00 CTA LOWER EXTREM WANDW/O CONTRAST $1,606.00 CTA NECK/CAROTIDS $1,567.00 CTA UPPER EXTRM WANDW/O CONTRAST $955.00 C-TELOPEPTIDE SERUM $0.01 C-TELOPEPTIDE SERUM $257.00 CU WRIST BRACE LG LT $81.00 Description Price CU WRIST BRACE LG RT $81.00 CU WRIST BRACE MED LT $81.00 CU WRIST BRACE MED RT $81.00 CU WRIST BRACE SM LT $81.00 CU WRIST BRACE SM RT $81.00 CU WRIST BRACE XLG LT $81.00 CU WRIST BRACE XLG RT $81.00 CUFF&COLLAR SMALL SLING $51.00 CUFFLESS TRACH TUBE $290.00 CUFFLESS TRACH TUBE 8 CFN $290.00 CULDOCENTESIS $188.00 CULTURE AEROBIC $134.00 CULTURE ANAEROBIC 008904 $66.00 CULTURE BLOOD $145.00 CULTURE BODY FLUID $137.00 CULTURE CSF $137.00 CULTURE DIPHTHERIA $104.00 CULTURE EYE $131.00 CULTURE FUNGUS - OTHER $66.00 CULTURE FUNGUS 008482 $69.00 CULTURE FUNGUS BLOOD $56.00 CULTURE GC 008128 $109.00 CULTURE GENITAL 008334 $137.00 CULTURE MRSA $131.00 CULTURE MYCOPLASMA/UREAPLASMA $197.00 CULTURE NASOPHARYNGEAL $128.00 CULTURE SPUTUM $137.00 CULTURE STOOL $102.00 CULTURE STOOL FOR CAMPYLOBACTER $34.00 CULTURE STOOL VIBRIO 182311 $107.00 CULTURE STOOL YERSINIA 182410 $107.00 CULTURE STOOL-E. COLI ANTIGEN $34.00 CULTURE STOOL-E. COLI ANTIGEN $36.00 CULTURE STOOL-SALMONELLA & SHEGELA $34.00 CULTURE STREP SCREEN - THROAT $109.00 CULTURE THROAT $137.00 CULTURE URINE $87.00 CULTURE VIRAL 008573 $95.00 CULTURE WOUND $137.00 CULTURE-INFECTION CONTROL $134.00 CURETTAGE POSTPARTUM $456.00 CURETTAGE POSTPARTUM $456.00 CURETTE 2mm.DERMAL DISP(MILTEX) $11.00 CURETTE 4mm.DERMAL DISP(MILTEX) $10.82 CURVED ELECTRODE $203.00 CUT DOWN TRAY $47.00 CUT DOWN TRAY $63.00 CUTDOWN, < 1YR $236.00 CUTDOWN, >1 YR $175.00 CUTTER LINEAR TITANIUM 75MM $437.00 CV/GROSHONG CATH REPAIR $447.00 Description Price CYANOCOBALAMIN 1000MCG TABLET (VIT B-12) $6.00 CYANOCOBALAMIN 1000MCG/1ML (VIT B-12) $30.00 CYANOKIT 5GM (HYDROXOCOBALAMIN) $4,300.00 CYCLIC CITRULLINATED PEPTIDE AB $308.00 CYCLOBENZAPRINE 10 MG TAB (FLEXERIL) $6.00 CYCLOGYL (CYCLOPENTOLATE) 1% OPHT SOLN $70.00 CYCLOGYL OPTH SOLN 1% (CYCLOPENTOLATE) $10.00 CYCLOPHOSHAMIDE TABLET 50 MG (CYTOXAN) $26.00 CYCLOPHOSPHAMIDE 1GM (CYTOXAN) $3,174.00 CYCLOPHOSPHAMIDE 2GM (CYTOXAN LYPH) $3,174.00 CYCLOPHOSPHAMIDE 500 MG (CYTOXAN) $1,612.00 CYCLOSPORINE $84.00 CYCLOSPORINE 25MG CAPSULE $7.00 CYPROHEPTADINE 4MG TABLET (PERIACTIN) $15.00 CYRAMZA 100MG/10ML (RAMUCIRUMAB) VIAL $2,345.00 CYRAMZA 500MG/50ML (RAMUCIRUMAB) VIAL $8,975.00 CYSTATIN C $149.00 CYSTECTOMY/OVARY $1,265.00 CYSTIC FIBROSIS GENE $320.00 CYSTINE URINE 24 $188.00 CYSTO PACK $162.00 CYSTOGRAM X RAY $243.00 CYSTOMETROGRAM/UPP/VOIDING $813.00 CYSTOMETROGRAM/UPP/VOIDING $813.00 CYSTOMETROGRAM/VOIDING $752.00 CYSTOMETROGRAM/VOIDING $752.00 CYSTORRHAPY;SIMP $1,871.00 CYSTORRHAPY;SIMP $1,871.00 CYSTOSCOPY $301.00 CYSTOSTOMY, CYSTOTMY W/ DRAINAGE $722.00 CYSTOURESTHROSCOPY/MALE $673.00 CYSTOURESTHROSCOPY/MALE $673.00 CYSTOURETHROSCOPY $526.00 CYSTOURETHROSCOPY $526.00 CYTARABINE 100 MG VIAL $179.00 CYTARABINE 1000 MG VIAL (CYTOSAR-U) $112.00 CYTARABINE 500 MG VIAL $299.00 CYTOCHROME P450 2 C19 GENOTYPE $144.00 CYTOLOGY BODY FLUID $279.00 CYTOLOGY FINE NEEDLE ASPIRATION $342.00 CYTOLOGY SPUTUM $211.00 CYTOMEGALOVIRUS IGG $106.00 CYTOMEGALOVIRUS IGM $106.00 CYTOPATHOLOGY-CELLULAR ENHANCE $308.00 D&C;DIAG/THERAPEUTIC $467.00 D&C;DIAG/THERAPEUTIC $467.00 D. RAMP SERVICES $45.00 D10% WATER 1000ML $18.00 D5 NS WITH 20 MEQ KCL 1000ML $38.00 D5% INJECTION 500 $21.00 D5% LACTATED RINGERS : 1000ML $15.00 Description Price D5% NORMAL SALINE : 1000ML $18.00 D5% WATER : 250ML ADD-V $14.00 D5% WATER 100 $34.00 D5% WATER 100 ML $8.00 D5% WATER 1000 $57.00 D5% WATER 250ML $15.00 D5% WATER 50 $32.00 D5% WATER 500ML $18.00 D5% WATER 50ML $19.00 D5%/0.45% SODIUM CHLORIDE: 1000ML $12.00 D5%+0.2% SODIUM CHLORIDE 1000ML $18.00 DACARBAZINE 200MG/20ML VIAL $101.00 DACOGEN 50MG (DECITABINE) VIAL $3,511.00 DACRIOSE (SODIUM/POT/SOD CL) OPHT SOLN $21.00 DALIRESP (ROFLUMILAST) 500MCG TABLET $51.00 DANTROLENE 20MG VIAL (DANTRIUM) $1,579.00 DANTROLENE 25 MG CAPSULE (DANTRIUM) $11.00 DAPSONE 100MG TABLET $12.00 DARAPRIM (PYRIMETHAMINE) 25 MG TAB $6.00 DAUNORUBICIN 5MG/ML 4ML VIAL $1,247.00 DAYPRO (OXAPROZIN) 600 MG TABLET $9.00 D-DIMER $214.00 DEBRIDE SKIN;SUBCUT $659.00 DEBRIDE SKIN;SUBCUT $659.00 DEBRIDEMENT FOR OVER 10% EACH $34.00 DEBRIDEMENT INFECTED SKIN $643.00 DEBRIDEMENT NAIL ANY METHOD 1-5 $54.00 DEBRIDEMENT NAIL ANY METHOD 1-5 $54.00 DEBRIDEMENT NAIL ANY METHOD ONE TO FIVE $16.00 DEBRIDEMENT NAIL;6 OR MORE $95.00 DEBRIDEMENT NAIL;6 OR MORE $95.00 DEBRIDEMENT OF BONE 20 SQ CM/< $550.00 DEBRIDEMENT OF BONE 20 SQ CM/< $550.00 DEBRIDEMENT OF SKIN UP TO 10% $140.00 DEBRIDEMENT OPEN WOUND 20 SQ CM/< $59.00 DEBRIDEMENT OPEN WOUND 20 SQ CM/< $87.00 DEBRIDEMENT PARTIAL $356.00 DEBRIDEMENT PARTIAL $356.00 DEBRIDEMENT SKIN BONE AT FX SITE $1,020.00 DEBRIDEMENT SKIN PARTIAL THICKNESS $23.00 DEBRIDEMENT SKIN PARTIAL THICKNESS $73.00 DEBRIDEMENT SKIN PARTIAL THICKNESS $73.00 DEBRIDEMENT SKIN SUBCUTANEOUS $38.00 DEBRIDEMENT SKIN, INFECTED SKIN $71.00 DEBRIDEMENT SKIN, SUBQ NECRO INFECTION $1,646.00 DEBRIDEMENT SKIN, SUBQ NECRO INFECTION $1,646.00 DEBRIDEMENT SKIN/SUBCU $152.00 DEBRIDEMENT SKIN/SUBCU $152.00 DECADRON (DEXAMETHASONE) : 4 MG DONT USE $59.00 DECLOTTING OF VAD BY THROMBOLYTIC AGENT $124.00 DECOMPRESSION UNSPECIFIED NERVE $869.00 Description Price DEEP MUSCLE BIOPSY $486.00 DEFEROXAMINE 500MG VIAL $79.00 DEFIB PAD ADULT $385.00 DEFIB PAD PEDS $304.00 DEHYDROEPIANDROSTERONE $102.00 DELESTROGEN (ESTRADIOL VAL) 10 MG/ML $299.00 DELESTROGEN (ESTRADIOL VAL) 20 MG/ML $268.00 DELESTROGEN UP TO 40 M $68.00 DELIVERY C SECTION/;/POSTPARTUM $2,050.00 DELIVERY C SECTION;DELIVERY ONLY $1,730.00 DELIVERY C SECTION;DELIVERY ONLY $1,730.00 DELIVERY C SECTION;GLOBAL $3,970.00 DELIVERY C SECTION;GLOBAL $3,970.00 DELIVERY C SECTION;W/POST PARTUM $2,050.00 DELIVERY OF PLACENTA $430.00 DELIVERY OF PLACENTA $431.00 DELIVERY VAG ONLY W/WO FORCEPS $1,525.00 DELIVERY VAGI $1,466.00 DELIVERY VAGINAL GLOBAL $3,502.00 DEMADEX (TORSEMIDE) 20 MG AMPULE $44.00 DEMECLOCYCLINE 150MG TABLET (DECLOMYCIN) $22.00 DEMECLOCYCLINE 300MG TABLET $50.00 DEMECLOCYCLINE 300MG TABLET (DECLOMYCIN) $39.00 DEMECLOCYCLINE TABLET 150MG $16.00 DEMEROL (MEPERIDINE) 25MG TUBEX $20.00 DEMEROL (MEPERIDINE) 50MG TUBEX $21.00 DEMEROL (MEPERIDINE) 75MG TUBEX $18.00 DEMEROL (MEPERIDINE)100MG TUBEX $20.00 DEMO&/EVAL PAT $31.00 DEOXYCORTICOSTERONE $196.00 DEPAKENE $72.00 DEPAKOTE DR(DIVALPROEX SODIUM) 250MG TAB $6.00 DEPAKOTE ER (DIVALPROEX SOD) 250 MG TAB $7.00 DEPAKOTE ER (DIVALPROEX SOD) 500 MG TAB $13.00 DEPO ESTRADIOL $110.00 DEPO TESTOSTERONE UP TO 100 MG $24.00 DEPO TESTOSTERONE UP TO 200 MG $60.00 DEPO-MEDROL 40MG $13.00 DEPO-PROVERA (MEDOXYPROG) DO NOT USE $110.00 DEPO-PROVERA (MEDROXYPROGESTER) 400 MG $527.00 DEPO-PROVERA CONTR (MEDROXYPROG) 150 MG $216.00 DEPO-TESTOSTERONE (TESTOSTERONE) 200MG $57.00 DERM AUTOGRAFT, FACE/NECK/HF/G $1,663.00 DERM AUTOGRAFT, FACE/NECK/HF/G $1,663.00 DERMA BOND ETHICON $120.00 DERMABOND WOUND ADHESION $160.00 DERMACARRIERS II SKIN GRAFT(1.5 to 1) $380.00 DERMACARRIERS II SKIN GRAFT(3 to1) $126.00 DERMATAPE $61.00 DERMATONE BLADE STERILE $171.00 DERMATONE/MESHER $89.00 Description Price DERMOPLAST (BENZOCAI/BENZETHON) SPRAY $20.00 DES Y CARBOXY PROTHROMBIN (DCP) $146.00 DESIPRAMINE 25 MG TABLET (NORPRAMIN) $6.00 DESMOPRESSIN 40MCG IV (DDAVP) $622.00 DESMOPRESSIN ACETATE NASAL SPRAY (DDAVP) $197.00 DESONIDE 0.05% CREAM 15G $29.00 DESONIDE 0.05% LOTION 118ML $249.00 DESOXIMETASONE 0.05% GEL (TOPICORT) $79.00 DESOXIMETASONE 0.25% CREAM (TOPICORT) $92.00 DESOXIMETASONE LP CREAM (TOPICORT) $68.00 DEST BEN LES/FI $124.00 DEST BEN LES/FI $124.00 DEST BEN LES;2-14 EA $10.00 DEST BEN LES;2-14 EA $22.00 DEST BEN LES;2-14 EA $22.00 DEST BEN LES;2-14 EA $23.00 DEST BEN LES;2-14 EA $23.00 DEST BENIGN LESIONS $159.00 DEST EYELID LESION $314.00 DEST EYELID LESION $314.00 DEST HEMORRHOIDS;INTERNAL $922.00 DEST LESIONS;VULVA;SMPL $332.00 DEST LESIONS;VULVA;SMPL $332.00 DEST LESIONS;VULVA;SMPL $332.00 DEST MAL LES FACE EARS .6-1.0 CM $58.00 DEST MAL LES FACE EARS LESS THAN .5 CM $57.00 DEST MAL LES FACE/EARS/EYE/NOSE .5CM $182.00 DEST MAL LES FACE/EARS/EYE/NOSE 1.1-2CM $336.00 DEST MAL LES FACE/EARS/EYE/NOSE 1.1-2CM $336.00 DEST MAL/LES FACE/EARS/EYE/NOSE .5CM $182.00 DEST MAL/LES FACE/EARS/EYE/NOSE .6-1CM $249.00 DEST MAL/LES FACE/EARS/EYE/NOSE .6-1CM $249.00 DEST MAL/LES SCLP/HND/FT/GNT .5CM $208.00 DEST MAL/LES SCLP/HND/FT/GNT .5CM $208.00 DEST MAL/LES SCLP/HND/FT/GNT .6 -1CM $279.00 DEST MAL/LES SCLP/HND/FT/GNT .6-1CM $279.00 DEST MAL/LES TRUNK/ARMS/LEGS .5CM $151.00 DEST MAL/LES TRUNK/ARMS/LEGS .5CM $151.00 DEST MALG LES TRUNK LESS THAN .5 CM $44.00 DEST MALIG LES SCALP NECK ECT .5 CM OR L $60.00 DEST WARTS;15/MORE $177.00 DEST WARTS;15/MORE $177.00 DEST WARTS;ANY OR LESIONS $108.00 DEST WARTS;ANY OR LESIONS $178.00 DEST WARTS;ANY OR LESIONS $178.00 DESTRUCT B9 LESION 1-14 $160.00 DESTRUCTION BEN LES/2- $4.00 DESTRUCTION BEN LES/FI $30.00 DESTRUCTION BENIGN LESIONS UP TO 14 $164.00 DESTRUCTION PREMALIGNANT LESION: 1ST LES $129.00 DESTRUCTION VAG LESION(S);SIMP $260.00 Description Price DESTRUCTION VAG LESION(S);SIMP $260.00 DESTRUCTION WARTS/ANY $61.00 DESTRUCTION WARTS/ANY $64.00 DESTRUCTOF WARTS $160.00 DETROL (TOLTERODINE TARTRATE) LA 4 MG $10.00 DEXAMET/NEOMY/POLY OPTH OINT (MAXITROL) $9.00 DEXAMETH/NEO/POLY OPTH SUSP (DEXACIDIN) $27.00 DEXAMETHASONE $628.00 DEXAMETHASONE 0.05% OPHT OINT (DECADRON) $33.00 DEXAMETHASONE 0.1% OPHT SOLN (DECADRON) $83.00 DEXAMETHASONE 0.5MG/5ML ELIX (DECADRON) $8.00 DEXAMETHASONE 0.75MG TABLET (DECADRON) $6.00 DEXAMETHASONE 10MG VIAL*CHEMO (DECADRON) $32.00 DEXAMETHASONE 10MG/ML VIAL (DECADRON) $32.00 DEXAMETHASONE 1MG TABLET (DECADRON) $7.00 DEXAMETHASONE 4 MG/ML 5ML MDV (DECADRON) $30.00 DEXAMETHASONE 4MG SDV (DECADRON) $45.00 DEXAMETHASONE 4MG SDV (DECADRON)*CHEMO $14.00 DEXAMETHASONE 4MG TABLET (DECADRON) $6.00 DEXAMETHASONE 4MG/ML 1 ML SDV (DECADRON) $14.00 DEXON II VICRYL $180.00 DEXPANTHENOL 250 MG VIAL (ILOPAN) $46.00 DEXT WATER 5% ADY Q 100 $32.00 DEXT.5%IN.SSTB SALINE1000 $32.00 DEXTRAIN 6% VD 5W 500CC $103.00 DEXTRAN 40% (DEXTRAN40%/NACL) 10% IV SOL $576.00 DEXTRAN 500 $121.00 DEXTRAN 70% (DEXTRAN70/NACL) 6% IV SOLN $258.00 DEXTROMETHOPHAN 30MG GELCAP (DEXALONE) $5.00 DEXTROSE 10% 500ML FILL IN 1000ML $11.00 DEXTROSE 5% 100ML MIN BAG $21.00 DEXTROSE 5% 500ML AVIVA $55.00 DEXTROSE 5% WATER 1000ML $15.00 DEXTROSE 50% (DEXTROSE) 500 ML FILL LITE $227.00 DEXTROSE 50% SYRINGE 25G/50ML $49.00 DHEA-S $67.00 DHS/DCS ONE STEP LAG SCREW 130MM $607.00 DIABETIC TRAINING PER 30 MIN $59.00 DIAL A FLO $38.00 DIASORB (ATTAPULGITE) 2 OZ BOTTLE $17.00 DIATX (FOLIC ACID/VIT B COMPLEX)TABLET $4.00 DIATX ZN (FOLIC ACID/VIT B COMP/ZN) TAB $4.00 DIAZEPAM 10 MG SYRINGE (VALIUM) $89.00 DIAZEPAM 5 MG TABLET (VALIUM) $6.00 DIAZEPAM 5MG/ML 10ML (VALIUM) $145.00 DIAZEPAM RECTAL KIT 10MG $499.00 DIBUCAINE 30 GM OINT $10.00 DICLOFENAC 100 XR TABLET (VOLTAREN) $16.00 DICLOFENAC 25 MG TABLET (VOLTAREN) $4.00 DICLOFENAC 50 MG TABLET (CATAFLAM) $10.00 DICLOFENAC 75MG DR TABLET (VOLTAREN) $7.00 Description Price DICLOFENAC OPHT SOL 0.1% 2.5ML (VOTAREN) $49.00 DICLOFENAC SODIUM 1% GEL $96.00 DICLOFENAC SODIUM OPTH SOLN 0.1% $9.00 DICLOXACILLIN 250 MG CAPSULE (PATHOCIL) $4.00 DICYCLOMINE 10 MG CAPSULE (BENTYL) $6.00 DICYCLOMINE 10MG/ML 2ML AMP (BENTYL) $167.00 DICYCLOMINE 20 MG TABLET (BENTYL) $4.00 DICYCLOMINE SYRUP 10MG/5ML 2OZ $20.00 DIDANOSINE 200 MG TABLET (VIDEX) $25.00 DIFFUSING CAPACITY CO $411.00 DIFUNISAL 500 MG TABLET (DOLOBID) $7.00 DIGITAL NERVE BLOCK $121.00 DIGOXIN $108.00 DIGOXIN 0.05MG/ML ELIXIR 60 ML (LANOXIN) $69.00 DIGOXIN 0.125 MG TABLET (LANOXIN) $21.00 DIGOXIN 0.25MG TABLET (LANOXIN) $4.00 DIGOXIN IMMUNE FAB 40 MG (DIGIBIND) $7,147.00 DIGOXIN INJ 0.5 MG AMPULE (LANOXIN) $37.00 DIHYDROERGOTAMINE 1 MG AMP (D.H.E. 45) $65.00 DIHYDROTESTOSTERONE $97.00 DILANTIN $123.00 DILANTIN, FREE $178.00 DILATION OF CERVICAL CANAL $109.00 DILTIAZEM 100MG/D5 100ML PREMIX BAG $83.00 DILTIAZEM 25 MG VIAL (CARDIZEM) $24.00 DILTIAZEM 50 MG VIAL (CARDIZEM) $52.00 DILTIAZEM CD HCL 120MG CAP (CARDIZEM CD) $10.00 DILTIAZEM CD HCL 300MG CAP (CARDIZEM CD) $9.00 DILTIAZEM DRIP 125MG/NS 125ML $388.00 DILTIAZEM HCL 120MG CAPSULE(CARDIZEM SR) $10.00 DILTIAZEM HCL 30 MG TABLET (CARDIZEM) $4.00 DILTIAZEM HCL 60 MG TABLET (CARDIZEM) $6.00 DILTIAZEM HCL 90MG CAPSULE (CARDIZEM SR) $8.00 DILTIAZEM HCL CD 180MG CAP (CARDIZEM CD) $11.00 DILTIAZEM HCL CD 240MG CAP (CARDIZEM CD) $4.00 DILUTE PROTHROMBIN TIME $80.00 DILUTE RUSSELS VIPER VENOM RATIO $192.00 DILUTE RUSSELS VIPER VENOM TIME $188.00 DIMENHYDRINATE 50 MG TAB $5.00 DIMETAPP (BROMPH/PPA) 12/75MG TAB $4.00 DIMETAPP (PHENYLPROP/BPM) 2 OZ $14.00 DIMETHYL SULFOXIDE 50% 50ML SDV $802.00 DIMETHYLACETAMIDE EXP PANEL $99.00 DINACLICK- ADULT 2T $12.00 DINACLICK- ADULT 2T LG $13.00 DINACLICK- ADULT 2T LONG $13.00 DIOPTER LENS 30.0 $844.00 DIOVAN HCTZ (VALSARTAN/HCTZ) 160/12.5MG $10.00 DIOVAN HCTZ (VALSARTAN/HCTZ) 80/12.5 MG $10.00 DIPHENHYDRAMINE 12.5MG/5ML ELIXIR $8.00 DIPHENHYDRAMINE 25 MG CAPSULE (BENADRYL) $6.00 Description Price DIPHENHYDRAMINE 50 MG VIAL *CHEMO* $15.00 DIPHENHYDRAMINE 50MG VIAL (BENADRYL) $15.00 DIPHENHYDRAMINE CREAM 2% $8.00 DIPHENOXY/ATROP 2.5/0.025MG TAB(LOMOTIL) $11.00 DIPHENOXYLATE/ATROPINE 2 OZ (LOMOTIL) $68.00 DIPHENYDRAMINE 50 MG CAPSULE (BENADRYL) $4.00 DIPHTHERIA ANTIBODY $41.00 DIPYRIDAMOLE 25 MG TAB (PERSANTINE) $6.00 DIPYRIDAMOLE 50 MG TABLET (PERSANTINE) $4.00 DIPYRIDAMOLE 50 MG VIAL (PERSANATINE) $554.00 DIPYRIDAMOLE 75 MG TABLET (PERSANTINE) $6.00 DISCHARGE NUR $133.00 DISCHARGE NURSING FACILITY $105.00 DISCREPENCY PAD MED $90.00 DISCREPENCY PAD SM $90.00 DISOPYRAMIDE 100 MG CAPSULE (NORPACE) $4.00 DISOPYRAMIDE 150 MG CAPSULE (NORPACE) $10.00 DISP BUCK WAX CURRENT 1 $61.00 DISP INJECTION NEEDLE $133.00 DISP IPPB SYSTEM $26.00 DISP VOLUME RESP SYSTEM $65.00 DISPOSABLE AEM CORD $74.00 DISPOSABLE LIGHT HANDLE COVER $37.00 DISPOSABLE SHEATH 45CM $94.00 DISPOSA-FILTER $47.00 DISULFIRAM 250MG TABLET (ANTABUSE) $8.00 DIVALPROEX SODIUM 125 MG SPRI (DEPAKOTE) $9.00 DNA ANTIBODY DOUBLE STRANDED $62.00 DNA FLOW CYTOM-TISSUE $147.00 DoBUTAMine 250 MG VIAL (DOBUTREX) $52.00 DOBUTAMINE 250MG/250 D5W (1,000 MCG/ML) $144.00 DOCETAXEL 160MG/8ML $1,225.00 DOCETAXEL 20MG/2ML SDV $652.00 DOCETAXEL 80MG/4ML $1,747.00 DOCTOR DIRECTED EMS ADV LIFE SUPP $357.00 DOCUSATE 100MG/10ML SYRUP UD (COLACE) $8.00 DOCUSATE CAL 240MG CAPSULE (SURFAK) $4.00 DOCUSATE SOD 100MG CAPSULES (COLACE) $6.00 DOMEBORO (ALUM.SULF/CAL.ACET) PACKETS $5.00 DOMICIL/HOME VISIT EST. PAT. $432.00 DOMICIL/HOME VISIT EST. PT. $471.00 DONEPEZIL HCL 5 MG TABLET (ARICEPT) $20.00 DONEPEZIL HCL 10 MG TABLET (ARICEPT) $6.00 DONNATAL (PHEN/HYOSCY/SCOP) EXTENTAB $8.00 DONNATAL (PHEN/HYOSCY/SCOP) TAB $4.00 DOPAmine 400 MG VIAL $121.00 DOPAMINE 400 MG/250 ML D5W (1,600MCG/ML) $122.00 DOPAmine 400MG/250ML D5W RTU $47.00 DOPRAM (DOXAPRAM) 20MG/ML $144.00 DORZOLAMIDE HCL OPHTH SOLN 2% 10ML $42.00 DOT PHYSICAL (INCLUDES COST OF UA) $170.00 Description Price DOUBLE STRANDED DNA ANTIBODY $63.00 DOVONEX (CALCIPROTRIENE) CRM 0.005% 60GM $356.00 DOWC WEEKLY TESTING $39.00 DOXAZOSIN 2 MG TABLET (CARDURA) $9.00 DOXAZOSIN 4 MG TABLET (CARDURA) $5.00 DOXEPIN 10 MG CAP (SINEQUAN) $6.00 DOXEPIN 100MG CAPSULE (SINEQUAN) $8.00 DOXEPIN 25 MG CAPSULE (SINEQUAN) $6.00 DOXIDAN (PHENOLPHTA/DOCUS.CALC) TAB $4.00 DOXIL 2MG/ML 10ML VIAL (DOXORUBICIN LIP) $2,548.00 DOXIL 2MG/ML 25ML VIAL (DOXORUBICIN LIP) $5,601.00 DOXORUBICIN 10 MG VIAL (ADRIAMYCIN) $259.00 DOXORUBICIN 150MG MDV (ADRIAMYCIN) $17.00 DOXORUBICIN 20 MG VIAL (ADRIAMYCIN) $108.00 DOXORUBICIN 200 MG (ADRIAMYCIN) $278.00 DOXORUBICIN 50 MG (ADRIAMYCIN) $285.00 DOXYCYCLINE 100 MG VIAL (VIBRAMYCIN) $117.00 DOXYCYCLINE MONOHYDRATE 100 MG TABLET $6.00 DOXYLAMINE SUCCINATE 25MG TABLET $2.00 DR/ER PLASTIC SET $24.00 DR/ER/SUTURE/6 INSTR PAKS $21.00 DRAIN 19 ROUND JP $130.00 DRAIN ABDOMINAL ABSCESS $1,892.00 DRAIN ABDOMINAL ABSCESS $1,892.00 DRAIN ABDOMINAL ABSCESS $3,365.00 DRAIN APP ABSCESS, OPEN $1,338.00 DRAIN APP ABSCESS, OPEN $1,338.00 DRAIN APP. ABSCESS $409.00 DRAIN BAG FOLEY 14FR.TRAY LF $35.00 DRAIN BAG FOLEY 16FR.TRAY LF $35.00 DRAIN BAG FOLEY 18FR.TRAY LF $35.00 DRAIN EXT EAR ABSCESS OR HEMATOMA SIMPLE $452.00 DRAIN EXT EAR ABSCESS;SMPL $466.00 DRAIN EXT EAR ABSCESS;SMPL $466.00 DRAIN EXT EAR ABSCESS;SMPL $452.00 DRAIN FALLOPIAN TUBE CYST $1,628.00 DRAIN FINGER ABSCESS;SIMPLE $796.00 DRAIN FINGER ABSCESS;SIMPLE $796.00 DRAIN FINGER ABSCESS;SIMPLE $772.00 DRAIN RETROPERITONEAL ABSCESS;OPEN $2,333.00 DRAIN RETROPERITONEAL ABSCESS;OPEN $2,333.00 DRAIN SPONGE 4x4 $3.00 DRAIN WOUND ROUND 19FR 1/4 $44.00 DRAIN/INJECT JOINT/BURSA $97.00 DRAIN/INJECTJOINT/BURSA $116.00 DRAINABLE OVAL POUCH $62.00 DRAINABLE POUCH 1 PIECE $8.00 DRAINABLE POUCH 2 W/FILTER & WAFER $18.00 DRAINABLE POUCH CLAMP $17.00 DRAINABLE POUCH W/FILTER & WAFER $7.00 DRAINAGE PERIRENAL/RENAL ABSCESS OPEN $2,481.00 Description Price DRAINAGE BAG(CLOSED) $41.00 DRAINAGE MOUTH ROOF LESION $496.00 DRAINAGE MOUTH ROOF LESION $496.00 DRAINAGE MOUTH ROOF LESION $496.00 DRAINAGE OF SCROTUM ABSCESS $394.00 DRAINAGE OF SCROTUM ABSCESS $513.00 DRAINAGE OF SKIN ABSCESS $355.00 DRAPE - STERI $14.00 DRAPE ABDOMINAL W/POUCHES $40.00 DRAPE C-ARM $102.00 DRAPE EXTREMITY $40.00 DRAPE INCISE 23X33- IOBAN $66.00 DRAPE INCISE 24X14 IOBAN $36.00 DRAPE LAP CHOLE $40.00 DRAPE LAPAROTOMY $35.00 DRAPE LAVH TIBURON CS/8 $75.00 DRAPE LEGGINGS SURGICAL 48X31IN $214.00 DRAPE MICROBAN ADHESIVE 36 X 2 $93.00 DRAPE TRANSVERSE LAPAROTOMY $34.00 DRESS/DEBRID SMALL $199.00 DRESS/DEBRIDEMENT LARGE W/O ANESTH $452.00 DRESS/DEBRIDEMENT MEDIUM W/O ANESTH $227.00 DRESSING 5X9 NON ADHERING $10.00 DRESSING ADAPTIC 3X3 NON ADHERING $6.00 DRESSING DERMAGRAN 4X4 HYDROPHILIC $32.00 DRESSING KALTOSTAT 10X20 $41.00 DRESSING POLYMEM MEMBRANE 5X5 $38.00 DRESSING TRAY $11.00 DRILL 2.3 $565.00 DRILL BIT 2.0MM $458.00 DRILL BIT 2.0MM CMP CAL $520.00 DRILL BIT 2.4 SOLID $550.00 DRILL BIT 2.5MM $458.00 DRILL BIT 2.5MM CALIBRATED $410.00 DRILL BIT 4.0 MM $450.00 DRILL BIT- CANNULATED- 2.0MM $565.00 DRILL BIT, QUICK COUPLING 2.5MM $406.00 DRILL PROFILE $475.00 DRILL- SINGLE USE- MORPHIX $1,075.00 DRILL, CANNULATED, 1.7X110 $530.00 DROPERIDOL 2.5 MG AMPULE (INAPSINE) $47.00 DROPERIDOL 5MG AMPULE (INAPSINE) $16.00 DRUG SCREEN URINE $208.00 DRUGS OF ABUSE 10 DRUG WHOLE BLOOD $206.00 DRUGS OF ABUSE 11 DRUGS SERUM $134.00 DRUGS SCREEN 16 DRUGS $228.00 DRYTEX ROCKET SOCK LG LEFT $57.00 DRYTEX ROCKET SOCK LG RIGHT $57.00 DRYTEX ROCKET SOCK MED LEFT $57.00 DRYTEX ROCKET SOCK SM LEFT $57.00 DSG &/DEBRID INIT/SUBSQT;W/O ANES SM $50.00 Description Price DSG &/DEBRID INIT/SUBSQT;W/O ANES SM $169.00 DSG &/DEBRID INIT/SUBSQT;W/O ANES SM $169.00 DTP <7YRS $19.00 DTP <7YRS $19.00 DULOXETINE DR 30MG CAPSULE (CYMBALTA) $53.00 DUO DERM 8X12 CGF $74.20 DUO DERM CGF 4 X 4 $14.00 DUO DERM CGF 6 X 6 $35.00 DUO DERM THIN 4 X 4 $10.00 DUO DERM X THIN 6 X 6 $21.00 DUO THERM HEATING K PAD 18X24 $27.00 DUO THERM HEATING K PAD 25 X64 $66.00 DUONEB(ALBUTEROL/IPRATROPIUM) 0.5-3MG UD $11.00 DUOVISC (CHONDROITIN/SOD HYALURONA) KIT $658.00 DVLPMNTL SCREENING W/INTERPRETATION REPO $27.00 DVLPMNTL SCREENING W/INTERPRETATION REPO $30.00 DVLPMNTL TESTING;EXTENDED $244.00 DVRAN NARROW RIGHT $1,122.00 DX LARYNGOSCOPY EXCL NB $613.00 DX LARYNGOSCOPY EXCL NB $613.00 DXA SCAN $322.00 DXA SCAN-SINGLE SITE $110.00 DYNACIRC (ISRADIPINE) 2.5 MG CAP $5.00 DYNACIRC CR (ISRADIPINE) 5 MG TABLET $11.00 E Z PRN SET 219A $11.00 E Z PRN SET 239A $11.00 E. HISTOLYTICA $167.00 E2 SET PRN G 21 $8.00 EAR COUPLERS $61.00 EAR IRRIGATION $92.00 EAR SPECULA 6 MM $47.00 EAR SPECULA ADULT 7 MM $34.00 EAR SPECULA CHILD 2.5 MM $34.00 EAR SPECULA CHILD 4 MM $47.00 EAR SPECULUM DISP. CHILD 3MM $35.00 EAR SPEULUM DISP ADULT 5MM $48.00 EAR SUCTION NEEDLE 14 GA $59.00 EAR SUCTION NEEDLE 16 GA $59.00 EAR SUCTION NEEDLE 18 GA $59.00 EAR VENT TUBE, PAPARELLA 1.14 MM $179.00 EBV ACUTE PROFILE $191.00 ECG;I&R ONLY CMPNT INIT PREV PE $23.00 ECHELON FLEX 45 ENDOSCOPIC LINEAR CUTTER $583.43 ECHINOCOCCUS ANTIBODY $371.00 ECONAZOLE NITRATE OINT 1% (SPECTAZOLE) $50.00 EDECRIN (ETHACRYNIC ACID) 25 MG TAB $4.00 EFFEXOR (VENLAFAXINE) 75 MG XR CAPS $10.00 EGD W/DIALATION OF ESOPHAGUS $390.00 EGD;ABLATION OF LESION $655.00 EGG BUR 4.0MM $150.00 EKG $142.00 Description Price EKG INTERP. AND REPORT ONLY $20.00 EKG MONITORING VEST $56.00 EKG READ ONLY $19.00 EKG VEST $30.00 ELBOW ARTHROGRAPHY LT $220.00 ELBOW ARTHROGRAPHY RT $220.00 ELBOW CAST $169.00 ELBOW CAST $169.00 ELBOW LT 2V $248.00 ELBOW LT ROUTINE 4V $250.00 ELBOW RT 2V $248.00 ELBOW RT ROUTINE 4V $250.00 ELECTRO CAUTERY OF CERVIX $93.00 ELECTRO UROFLOWMETRY FIRST $38.00 ELECTRO UROFLOWMETRY FIRST $38.00 ELECTRODE $28.00 ELECTRODES 10 MM LOOP LEEP $112.00 ELECTRODES 15 MM LOOP LEEP $102.00 ELECTRODES 20 MM LOOP LEEP $112.00 ELECTRODES 5 MM BALL LEEP $112.00 ELECTRODES INFANT REM POLYHESIVE II $36.57 ELECTRODES NEEDLE POINT TIP $12.00 ELECTROLYTES $126.00 ELIGARD 30MG KIT (LEUPROLIDE) $2,463.00 ELIQUIS 2.5MG TABLET (APIXABAN) $34.00 ELIXOPHYLLIN (THEOPHYLLIN ANHYD) 2 OZ $46.00 ELLENCE (EPIRUBICIN) 50MG/25ML VIAL $228.00 EMEND (FOSAPREPITANT) 150MG VIAL $1,146.00 EMERG SRVC OUT OF OFFICE;DISRUPTS SCHD $63.00 EMERGENCY RM LEVEL 2 $211.00 EMERGENCY RM LEVEL 3 $386.00 EMERGENCY RM LEVEL 4 $396.00 EMERGENCY RM LEVEL 5 $591.00 ENA SCREEN (B) $20.00 ENALAPRIL MAL 10 MG TABLET (VASOTEC) $6.00 ENALAPRIL MAL 2.5 MG TABLET (VASOTEC) $6.00 ENALAPRIL MAL 5 MG TABLET (VASOTEC) $8.00 ENALAPRIL/HCTZ 10/25MG TAB (VASERETIC) $8.00 ENALAPRILAT (VASOTEC) 1.25MG/1ML VIAL $9.00 ENALAPRILAT 1.25MG/ML 2ML $16.00 ENAOSCOPIC LINEAR CUTTER $872.00 ENDO CHOLANGIOPANCREATOGRAPH $788.00 ENDO POUCH-GENICON $363.00 ENDO RETRIEVER (SPECIMEN RETRIEVAL BAG) $285.00 ENDO STAPLER 28MM $1,125.00 ENDO TUBE HOLDER $32.00 ENDOCERVICAL CURETTE $28.00 ENDOCERVICAL CURRETTE $25.00 ENDOCERVICAL CURRETTE $185.00 ENDOCERVICAL CURRETTE $185.00 ENDOCUFF- PURPLE $138.00 Description Price ENDOGATOR- CONNECTOR KIT $48.00 ENDOGATOR TUBING $131.00 ENDOMETRIAL ABLATION THERM W/O SCOPE $401.00 ENDOMETRIAL ABLATION THERM W/O SCOPE $401.00 ENDOMETRIAL ABLATION, THERMAL, W/O $156.00 ENDOMETRIAL SAMPLING $44.00 ENDOMETRIAL SAMPLING $234.00 ENDOMETRIAL SAMPLING $234.00 ENDOMETRIAL SAMPLING $244.00 ENDOMYSIAL ANTIBODY IGA $218.00 ENDOPATH ETS-FLEX 45 $515.00 ENDOSCOPIC DISSECTOR $44.00 ENDOSCOPIC MANIPULATOR 5MM $524.00 ENDOSCOPY/ESOPHAGUS/WI $506.00 ENDOSCOPY/ESOPHAGUS/WI $506.00 ENDOSCOPY/LARYNX/WITH $141.00 ENDOSCOPY/LARYNX/WITH $226.00 ENDOSCOPY/LARYNX/WITH $361.00 ENDOSCOPY/UPPER GI W/R $326.00 ENDOSCOPY/UPPER GI W/R $326.00 ENDOSCOPY/UPPER GI/DIA $493.00 ENDOSCOPY/UPPER GI/DIA $493.00 ENDOSCOPY/UPPER GI/WIT $677.00 ENDOSCOPY/UPPER GI/WIT $677.00 ENDOTRACHEAL INTUBATION $476.00 ENEMA MINERAL OIL(ORANGE TIP) $7.00 ENEMA SALINE FLEET(BLUE TIP) $7.00 ENFAMIL HUMAN MILK PCKT FORTFT $14.00 ENGERIX-B PED (HEPATITIS B)10MCG/0.5ML $131.00 ENGERIX-B (HEPATITIS B) 10MCG/0.5ML $25.00 ENLON PLUS(EDROPHONIUM/ATROPINE)MDV 10MG $62.00 ENOXAPARIN (LOVENOX) 30 MG SYRINGE $45.00 ENOXAPARIN (LOVENOX) 40 MG SYRINGE $41.00 ENOXAPARIN (LOVENOX) 60 MG SYRINGE $81.00 ENOXAPARIN (LOVENOX) 80 MG SYRINGE $104.00 ENOXAPARIN 100 MG SYRINGE (LOVENOX) $128.00 ENOXAPARIN 150 MG SYRINGE (LOVENOX) $529.00 ENTER SM INTE $3,269.00 ENTERECTOMY SM INTESTINE;SNGL RESECT $3,269.00 ENTERIC COATED ASA 500 MG TAB $4.00 ENTEROVIRUS PCR $567.00 ENTEX LA (GUIAFENSIN/PPA) LA TABS $4.00 ENTYVIO 300MG VIAL (VEDOLIZUMAB) $9,688.00 EOSINOPHIL STAIN $58.00 EOSINOPHIL URINE $71.00 EpheDRINE 50 MG AMPULE $21.00 EPIDRM AGRFT FACE/NCK/HND/FT/GNT 1ST 100 $1,800.00 EPIDRM AGRFT FACE/NCK/HND/FT/GNT 1ST 100 $1,800.00 EPIDURAL TRAY SST 18G3.5 S/L1T5082 $170.00 EpiNEPHrine 0.1MG/ML 10ML SYR 1:10,000 $44.00 EpiNEPHrine 1MG/ML 1ML VIAL (1:1000) $21.00 Description Price EPIRUBICIN 200MG/100ML (ELLENCE) $2,147.00 EPLERENONE 25MG TABLET (INSPRA) $18.00 EPOGEN FOR ESRD (EPOETIN ALFA) 10,000U $578.00 EPOGEN FOR ESRD (EPOETIN ALFA) 4,000U $274.00 EPOGEN FOR ESRD (EPOETIN ALFA) 40,000U $1,066.00 EPSOM SALT (MAGNESIUM SULF) GRAN 4 LB $8.00 EPSTEIN BARR VIRUS $191.00 EPSTEIN BARR VIRUS NUC ANTIGEN Ab IgG $107.00 EPSTEIN BARR VIRUS VCA IgG/IgM $128.00 ER PHYSICIAN LEVEL 5 $636.00 ER PHYSICIAN LEVEL 1 $111.00 ER PHYSICIAN LEVEL 2 $190.00 ER PHYSICIAN LEVEL 3 $285.00 ER PHYSICIAN LEVEL 4 $426.00 ER VISIT E & M HIGH-SEVER SIG THREAT $249.00 ER VISIT LEVEL ONE $44.00 ER/PR $206.00 ERBEFLO CLEVERCAP $156.00 ERBITUX 100MG (CETUXIMAB) VIAL $2,245.00 ERBITUX 200MG (CETUXIMAB) VIAL $4,439.00 ER-PAK IBUPROFEN CHILD SYRUP 100MG/5ML $28.00 ER-PAK (NEO/POLY/POLMIX) OPTH OINT $31.00 ER-PAK ACETAMINOPHEN EL 160MG/5ML $28.00 ER-PAK ACETAMINOPHEN/COD 300/30MG TAB#4 $11.00 ER-PAK AMOXICILLIN 125MG/5ML ORAL SUSP $10.00 ER-PAK AMOXICILLIN 250MG/5ML SUSPENSION $10.00 ER-PAK AMOXICILLIN 500MG CAPSULES #4 $9.00 ER-PAK AMOXICILLIN/CLAVUL 875MG TABS # 2 $20.00 ER-PAK AMOXICILLIN/CLAVULANATE 250MG # 4 $43.00 ER-PAK AUGMENTIN 125MG/5ML ORAL SUSP $101.00 ER-PAK AUGMENTIN 250MG/5ML SUSPENSION $138.00 ER-PAK AZITHROMYCIN 100MG/5ML ORAL SUSP $35.00 ER-PAK CEFACLOR 125MG/5ML $50.00 ER-PAK CEFACLOR 250MG/5ML (CECLOR) $82.00 ER-PAK CEFALCOR 250MG #4 $47.00 ER-PAK CEPHALEXIN 125MG/5ML SUSPENSION $19.00 ER-PAK CEPHALEXIN 250MG/5ML SUSPENSION $21.00 ER-PAK CHARCOAL/SORBITOL 25GM $29.00 ER-PAK CIPROFLOXACIN 250MG TABLETS #4 $10.00 ER-PAK CLARITHROMYCIN 500MG #2 $36.00 ER-PAK CYCLOBENZAPRINE 10MG TABLETS #4 $10.00 ER-PAK DIAZEPAM 5MG #4 $7.80 ER-PAK DIPHENHYDRAMINE 25MG #4 $10.00 ER-PAK DIPHENHYRADMINE 12.5MG/5ML $28.00 ER-PAK DIPHENOXYLATE ATROP 2.5MG #4 $10.00 ER-PAK ERYTHROMYCIN 200MG/5ML SUSPENSION $112.00 ER-PAK ERYTHROMYCIN 250MG TAB #4 $10.00 ER-PAK ERYTHROMYCIN/SULFISOXAZOLE 250MG $54.00 ER-PAK GENTAMYCIN 0.3% OPHTH OINTMENT $28.00 ER-PAK GENTAMYCIN 0.3% OPHTH SOLUTION $41.00 ER-PAK GUAIFENSIN/COD 30ML SYRUP $12.00 Description Price ER-PAK HYDROCODONE/APAP 5/325MG TAB #4 $13.00 ER-PAK HYDROCODONE/APAP 5/500MG #4 $10.00 ER-PAK HYDROCODONE/APAP 7.5/325MG TAB #4 $20.00 ER-PAK HYDROCODONE/APAP ES 7.5/750MG #4 $7.80 ER-PAK IBUPROFEN 400MG #4 $10.00 ER-PAK IBUPROFEN 600MG TABLETS #4 $6.00 ER-PAK METRONIDAZOLE 250 MG TABLET #4 $6.00 ER-PAK NEO/POLY/BACT HC OPTH OINT $16.00 ER-PAK NEO/POLY/HYDROCORT OPTH $159.00 ER-PAK NEOMYC/PLOYMYX/HYDCRT 1%OTIC SUSP $50.00 ER-PAK NEOMYC/POLYMYX/HYDRCRT SUSP $79.00 ER-PAK OXYCODONE 5MG TABLETS #4 $6.00 ER-PAK OXYCODONE/APAP 5/325MG TABLETS #4 $8.00 ER-PAK PENICILLIN V POT 250MG #4 $10.00 ER-PAK PHENAZOPYRIDINE 100MG #4 $10.00 ER-PAK PHENYLEPHRINE 0.25% SPRAY $20.00 ER-PAK POLY/NEO/GRAMICID OPTH SOLN $51.00 ER-PAK PROMETHAZINE 25MG TABLETS #4 $14.00 ER-PAK PROPOXY NAP/APAP 100 #4 $10.00 ER-PAK SILVADENE 400G (SILVER SULFA 1%) $94.00 ER-PAK SILVADENE 50G (SILVER SULFA 1%)EA $25.00 ER-PAK SILVER SULFADIAZINE 400GM JAR $49.00 ER-PAK SILVER SULFADIAZINE 50GM JAR $28.00 ER-PAK SMP/TMX 800/160MG TABLETS #4 $11.00 ER-PAK SOD SULFACETAMDIE 10% OPTH OINT $47.00 ER-PAK SULFACETAMIDE SOD 10% OPTH SOLN $118.00 ER-PAK ZITHROMAX 200 MG/5ML ORAL SUSP $31.00 ERYTHROMYCIN 250 MG CAPSULE (ERYC) $4.00 ERYTHROMYCIN 250 MG TABLET (ERY-TAB) $11.00 ERYTHROMYCIN 500 MG ADD-VANTAGE $48.00 ERYTHROMYCIN 500 MG VIAL (ERYTHROCIN) $295.00 ERYTHROMYCIN OPTHALMIC OINTMENT 1GM $27.00 ERYTHROMYCIN/ETHYLSUS 200MG/5ML SUSP $11.00 ERYTHROPOIETIN $92.00 ESCITALOPRAM (LEXAPRO)10MG TAB $26.00 ESMARK BANDAGE 3 STERILE OR $15.00 ESMARK BANDAGE 4 STERILE OR $20.00 ESMOLOL 10MG/ML 10ML VIAL $30.00 ESMOLOL 2500MG/250ML NS RTU $822.00 ESOPHAGEAL STETHOSCOPE 12 $27.00 ESOPHAGEAL STETHOSCOPE 18 W/TEMP PROBE $53.00 ESOPHAGEAL STETHOSCOPE 24 $27.00 ESOPHAGOSCOPY DX SEP PROCEDURE $395.00 ESOPHAGOSCOPY DX SEP PROCEDURE $395.00 ESOPHAGOSCOPY ENDOSCOPY $319.00 ESOPHAGOSCOPY ENDOSCOPY $319.00 ESOPHAGRAM/BA SWALLOW $277.00 ESSENTIAL KIT- ENDOGATOR $102.00 ESTABLISHED PATIENT LEVEL 2 OV $100.00 ESTABLISHED PATIENT LEVEL 2 OV $104.00 ESTABLISHED PATIENT LEVEL 3 OV $124.00 Description Price ESTABLISHED PATIENT LEVEL 3 OV $129.00 ESTABLISHED PATIENT LEVEL 4 OV $108.00 ESTABLISHED PATIENT LEVEL 4 OV $179.00 ESTABLISHED PATIENT LEVEL 4 OV $187.00 ESTABLISHED PATIENT LEVEL 5 OV $108.00 ESTABLISHED PATIENT LEVEL 5 OV $225.00 ESTABLISHED PATIENT LEVEL 5 OV $234.00 ESTRADERM (ESTRADIOL) 0.1MG PATCH $16.00 ESTRADIOL $100.00 ESTRADIOL 0.05 PATCH (ESTRADERM) $14.00 ESTRADIOL 0.5MG TABLET (ESTRACE) $5.00 ESTRADIOL 2MG TABLET (ESTRACE) $5.00 ESTRADIOL TAB 1MG $6.00 ESTRADIOL VAG CREAM 42.5GM (ESTRACE) $316.00 ESTRATAB HS ESTROGEN/METHYLTESTOS TAB $10.00 ESTRATEST TAB $11.00 ESTRIOL $161.00 ESTROGEN 0.075MG PATCH (CLIMARA) $43.00 ESTROGEN 3.9 MG PATCH (CLIMARA) $14.00 ESTROGENS $205.00 ESTROGENS, FRACTIONATED $172.00 ESTRONE $115.00 ESTROPIPATE 1.25MG (ORTHO-EST) $4.00 ESTROPIPATE 1.5MG TABLET (OGEN) $5.00 ETHACRYNATE 50MG VIAL (EDECRIN SODIUM) $123.00 ETHAMBUTOL HCL 400 MG TAB (MYAMBUTOL) $7.80 ETHOSUXIMIDE $60.00 ETHRANE ANESTHETIC PER CC $8.00 ETHYL CHLORIDE SPRAY $62.00 ETHYOL (AMIFOSTINE) 500 MG VIAL $887.00 ETODOLAC 300 MG CAPSULE (LODINE) $9.00 ETODOLAC 400MG TABLET (LODINE) $10.00 ETOMIDATE 40 MG VIAL $135.00 ETOPOSIDE 100 MG VIAL (VEPESIDE) $54.00 ETOPOSIDE 50 MG CAPSULE (VEPESID) $180.00 ETOPOSIDE 500 MG VIAL (VEPESIDE) $52.00 EUGLOBULIN CLOT LYSIS $224.00 EVAC 70 XTRA $567.00 EVACUATE MOLE OF UTERUS $1,053.00 EVACUATION OF SUBUNGUAL HEMATOMA $140.00 EVENT RECORDER $985.00 EVENT RECORDER SCAN ANALYSIS $736.00 EVEROLIMUS $263.00 EVISTA (RALOXIFENE HCL) 60 MG TAB $49.00 EXAM PELVIC;ANEST $253.00 EXAM PELVIC;ANEST $253.00 EXC ABD LES SC > 3 CM $1,021.00 EXC BEN LES FACE/EAR/EYES/NOSE $62.00 EXC BEN LES FACE/EAR/EYES/NOSE 0.6-1.0CM $58.00 EXC BEN LES FACE/EAR/EYES/NOSE 0.6-1.0CM $253.00 EXC BEN LES FACE/EAR/EYES/NOSE 0.6-1.0CM $253.00 Description Price EXC BEN LES FACE/EAR/EYES/NOSE 0.6-1.0CM $264.00 EXC BEN LES FACE/EAR/EYES/NOSE 0.6-1.0CM $264.00 EXC BEN LES FACE/EAR/EYES/NOSE 1.1-2.0CM $67.00 EXC BEN LES FACE/EAR/EYES/NOSE 1.1-2.0CM $340.00 EXC BEN LES FACE/EAR/EYES/NOSE 1.1-2.0CM $340.00 EXC BEN LES FACE/EAR/EYES/NOSE 2.1-3.0CM $78.00 EXC BEN LES FACE/EAR/EYES/NOSE 2.1-3.0CM $345.00 EXC BEN LES FACE/EAR/EYES/NOSE 2.1-3.0CM $363.00 EXC BEN LES FACE/EAR/EYES/NOSE 4CM & MOR $780.00 EXC BEN LES FACE/EAR/EYES/NOSE 4CM & MOR $780.00 EXC BEN LES FACE/EAR/EYES/NOSE<.5CM $256.00 EXC BEN LES FACE/EAR/EYES/NOSE<.5CM $256.00 EXC BEN LES SCALP HND FT GENT/ $60.00 EXC BEN LES SCALP/NECK $77.00 EXC BEN LES SCLP HND FT GNT 3.1-4.0 CM $86.00 EXC BEN LES SCLP/HAND/FT GNT 1.1-2.0 CM $66.00 EXC BEN LES SCLP/HN/ FT/GNT/NEC <.5CM $191.00 EXC BEN LES SCLP/HND/FT/GNT/NEC .6-1CM $108.00 EXC BEN LES SCLP/HND/FT/GNT/NEC .6-1CM $280.00 EXC BEN LES SCLP/HND/FT/GNT/NEC .6-1CM $280.00 EXC BEN LES SCLP/HND/FT/GNT/NEC <.5CM $191.00 EXC BEN LES SCLP/HND/FT/GNT/NEC 1.1-2CM $304.00 EXC BEN LES SCLP/HND/FT/GNT/NEC 1.1-2CM $312.00 EXC BEN LES SCLP/HND/FT/GNT/NEC 1.1-2CM $312.00 EXC BEN LES SCLP/HND/FT/GNT/NEC 2.1-3CM $325.00 EXC BEN LES SCLP/HND/FT/GNT/NEC 2.1-3CM $325.00 EXC BEN LES SCLP/HND/FT/GNT/NEC 3.1-4CM $350.00 EXC BEN LES SCLP/HND/FT/GNT/NEC 3.1-4CM $350.00 EXC BEN LES SCLP/HND/FT/GNT/NEC OVER 4CM $738.00 EXC BEN LES SCLP/HND/FT/GNT/NEC OVER 4CM $738.00 EXC BEN LES SCLP/HND/FT/GNT/NEC OVER 4CM $738.00 EXC BEN LES SCLP/HND/FT/GNT/NECK .6-1.0 $68.00 EXC BEN LES/TRUNK-ARM/LEG 5CM $76.00 EXC BEN LES/TRUNK-ARM/LEG 5CM $176.00 EXC BEN LES/TRUNK-ARM/LEG 5CM $226.00 EXC BEN LES/TRUNK-ARM/LEG 5CM $226.00 EXC BEN LES/TRUNK-ARM-LEG 0.6-1.0 CM $76.00 EXC BEN LES/TRUNK-ARM-LEG 0.6-1.0 CM $260.00 EXC BEN LES/TRUNK-ARM-LEG 0.6-1.0 CM $260.00 EXC BEN LES/TRUNK-ARM-LEG 1.1-2.0 CM $107.00 EXC BEN LES/TRUNK-ARM-LEG 1.1-2.0 CM $391.00 EXC BEN LES/TRUNK-ARM-LEG 1.1-2.0 CM $391.00 EXC BEN LES/TRUNK-ARM-LEG 1.1-2.0 CM $407.00 EXC BEN LES/TRUNK-ARM-LEG 2.1-3.0 CM $74.00 EXC BEN LES/TRUNK-ARM-LEG 2.1-3.0 CM $337.00 EXC BEN LES/TRUNK-ARM-LEG 2.1-3.0 CM $337.00 EXC BEN LES/TRUNK-ARM-LEG 2.1-3.0 CM $351.00 EXC BEN LES/TRUNK-ARM-LEG 3.1-4.0 CM $89.00 EXC BEN LES/TRUNK-ARM-LEG 3.1-4.0 CM $335.00 EXC BEN LES/TRUNK-ARM-LEG 4.0 CM $97.00 EXC BEN LES/TRUNK-ARM-LEG 4.0 CM $418.00 Description Price EXC BEN LES/TRUNK-ARM-LEG 4.0 CM $418.00 EXC BONE CYST/BEN TUMOR FEMUR $1,392.00 EXC BREAST CYST TUMR LES OPEN M/F1 $721.00 EXC BREAST CYST TUMR LES OPEN M/F1 $721.00 EXC BREAST LE $892.00 EXC BREAST LES;ID'D BY PREOP $892.00 EXC FACE B9 INC. MARG 3.1 TO 4.0 CM $515.00 EXC FACE-MM MALIG MARG 2,1-3 $529.00 EXC FOREARM LESS SC 3 CM/> $1,027.00 EXC GAGLION CYST $555.00 EXC GAGLION CYST $555.00 EXC H-F-NK-SPB9 & MARG 0.5< $186.00 EXC HYDROCELE;UNI $912.00 EXC HYDROCELE;UNI $912.00 EXC LES SPERMATIC CORD $887.00 EXC LES SPERMATIC CORD $887.00 EXC LES TEND/SHETH/JNT/HND/FING $596.00 EXC LES TEND/SHETH/JNT/HND/FING $596.00 EXC MAL LES SCLP/HND/FT/GNT 3.1-4.CM $663.00 EXC MAL LES SCLP/HND/FT/GNT 3.1-4.CM $663.00 EXC MAL LES TRNK/ARMS/LEGS 4.0CM & MORE $871.00 EXC MAL LES TRNK/ARMS/LEGS 4.0CM & MORE $871.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE >4.0 $156.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE >4.0 $834.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE >4.0 $834.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 0.6-1.0 $64.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 0.6-1.0 $303.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 0.6-1.0 $303.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 1.1-2.0 $116.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 1.1-2CM $396.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 1.1-2CM $396.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 2.1-3.0 $125.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 2.1-3.0 $458.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 2.1-3.0 $458.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 3.1-4.0 $153.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 3.1-4.0 $613.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE 3.1-4.0 $613.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE<.5CM $107.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE<.5CM $274.00 EXC MAL/LES FACE/EARS/EYLDS/NOSE<.5CM $274.00 EXC MAL/LES SCALP/HAND/FOOT/GNT ,0.5 $113.00 EXC MAL/LES SCALP/HAND/FOOT/GNT ,0.6-1.0 $100.00 EXC MAL/LES SCALP/HAND/FOOT/GNT ,1.1-2.0 $108.00 EXC MAL/LES SCLP/HND/FT/GNT 0.6-1.CM $308.00 EXC MAL/LES SCLP/HND/FT/GNT 0.6-1.CM $308.00 EXC MAL/LES SCLP/HND/FT/GNT 1.1-2.CM $332.00 EXC MAL/LES SCLP/HND/FT/GNT 1.1-2.CM $332.00 EXC MAL/LES SCLP/HND/FT/GNT 2.1-3.CM $552.00 EXC MAL/LES SCLP/HND/FT/GNT 2.1-3.CM $552.00 EXC MAL/LES SCLP/HND/FT/GNT;0.5CM $260.00 EXC MAL/LES SCLP/HND/FT/GNT;0.5CM $260.00 Description Price EXC MAL/LES TRNK/ARMS/LEGS 1.1-2.0 $108.00 EXC MAL/LES TRNK/ARMS/LEGS 1.1-2.0 $378.00 EXC MAL/LES TRNK/ARMS/LEGS 1.1-2.0 $378.00 EXC MAL/LES TRNK/ARMS/LEGS 2.1-3.0 $119.00 EXC MAL/LES TRNK/ARMS/LEGS 2.1-3.0 $346.00 EXC MAL/LES TRNK/ARMS/LEGS 2.1-3.0 $346.00 EXC MAL/LES TRNK/ARMS/LEGS 3.1-4.0CM $136.00 EXC MAL/LES TRNK/ARMS/LEGS 3.1-4.0CM $461.00 EXC MAL/LES TRNK/ARMS/LEGS 3.1-4.0CM $461.00 EXC MAL/LESTRUNK-ARM/LEGS <0.5 $115.00 EXC MAL/LESTRUNK-ARM/LEGS <0.5 $270.00 EXC MAL/LESTRUNK-ARM/LEGS <0.5 $270.00 EXC NAIL;PARTIAL $331.00 EXC NAIL;PARTIAL $331.00 EXC OF CARCINOID TUMOR IN RECTUM $1,456.00 EXC OF EXTERNAL HEMORRHOID TAGS/MULT PAP $522.00 EXC OF EXTERNAL HEMORRHOID TAGS/MULT PAP $522.00 EXC OF LIPOMA OF FACE $633.00 EXC PILONIDAL CYST $1,247.00 EXC PILONIDIAL CYST;EXT $379.00 EXC PILONIDIAL CYST;EXT $492.00 EXC PILONIDIAL CYST;EXT $492.00 EXC PILONIDIAL CYST;EXT SIMPLE $379.00 EXC RESECTION TUMOR;SOFT TISS $1,664.00 EXC RESECTION TUMOR;SOFT TISS $1,664.00 EXC SKIN OF NAIL FOLD $173.00 EXC SKIN OF NAIL FOLD $173.00 EXC THIGH/KNEE LES SC<3CM $717.00 EXC TR-EXT B9+MARG 0,6-1CM $234.00 EXC TR-EXT MLG T MARG 0,6-1CM $341.00 EXC TUMOR/SOFT TISSUE $704.00 EXC TUMOR/SOFT TISSUE $704.00 EXC TUMOR/SOFT TISSUE $771.00 EXC TUMOR/SOFT TISSUE $771.00 EXC TUMOR:THI $950.00 EXC TUMOR:THIGH/KNEE;SUBCUT,DEEP $950.00 EXC VAG CYST/TUMOR $438.00 EXC VAG CYST/TUMOR $438.00 EXC, ABD. TUM 5cm $2,637.00 EXC. ABD. LES. SC<3CM $783.00 EXC. ABD. LES. SC<3CM LIPOMAS $802.00 EXC. BACK TUM. DEEP =5CM $1,685.00 EXC. LEG/ ANKLE TUM DEEP 5TCM $1,559.00 EXC. NECK LES SC 3FCM $1,039.00 EXC. NECK LESION $1,021.00 EXC. OF THROMB. HEMORR. EXT. $447.00 EXC. TR-EXT MLG & MARG 0.6-1 CM $340.00 EXC/BIO LYMPH $538.00 EXC/CURETTAGE BONE CYST/BENIGN TUMOR $1,218.00 EXC/CURETTAGE BONE CYST/BENIGN TUMOR $1,218.00 EXC/SOFT TISSUE TUMOR $291.00 Description Price EXC/SOFT TISSUE TUMOR $291.00 EXC/SOFT TISSUE TUMOR;SHOULDER $1,268.00 EXC/SOFT TISSUE TUMOR;SHOULDER $1,268.00 EXC/UNROOFING CYST KIDNEY $1,575.00 EXCHANGE TRANSFUSION SETG $31.00 EXCISE EXCESSIVE SKIN TISSUE $1,153.00 EXCISE EXCESSIVE SKIN TISSUE $1,153.00 EXCISE EXCESSIVE SKIN TISSUE LEG $1,812.00 EXCISE INTESTINE LESION(S) $1,728.00 EXCISE INTESTINE LESION(S) $1,728.00 EXCISION ABD WALL TUMOR SUBFASCIAL $649.00 EXCISION ABD WALL TUMOR SUBFASCIAL $649.00 EXCISION BARTHOLINS GLAND OR CYST $433.00 EXCISION HND/FNGR SOFT TISS SUBCUT $1,661.00 EXCISION HND/FNGR SOFT TISS SUBCUT $1,661.00 EXCISION MAL. LESION W/MARGINS, SCALP ET $601.00 EXCISION NAIL/PARTIAL $29.00 EXCISION NASAL POLYP(S) SIMPLE $309.00 EXCISION OF ANAL LESION $484.00 EXCISION OF ANAL LESION $484.00 EXCISION OF ANAL LESION $484.00 EXCISION OF GANGLION, WRIST, RECURRENT $708.00 EXCISION OF GANGLION, WRIST, RECURRENT $841.00 EXCISION OF INFECTED GRAFT; EXTREMITY $1,195.00 EXCISION OF LIPOMA 3 CM OR GREATER $1,021.00 EXCISION OF LIPOMA UPPER ARM $962.00 EXCISION OF LYMPH NODE $552.00 EXCISION OF LYMPH NODE $552.00 EXCISION OF NAIL NAIL MATRIX PARTIAL/COM $746.00 EXCISION PARATUBAL CYST $1,801.00 EXCISION SKIN SUBQ TISSUE ABDOMINAL PANN $2,539.00 EXCISION SKIN W/SUBQ TISSUE, ABDOMINAL P $2,539.00 EXCISION SKIN W/SUBQ TISSUE, ABDOMINAL P $2,539.00 EXCISION, EXCESSIVE SKIN/SUBC. TISSUE $1,051.00 EXCISION, OLECRANON BURSA $725.00 EXCISIONAL BIOPSY OF LYMPH NODE $739.00 EXCISIONAL BIOPSY OF LYMPH NODE $739.00 EXCISON OR BIOPSY/LYMPH $112.00 EXE. FACE-MM B9 T MARG 0.5FLUOXETINE $263.00 FLUOXETINE (PROZAC) 20 MG CAP $6.00 FLUOXETINE 10 MG CAPSULE (PROZAC) $7.00 FLUOXETINE 90MG WEEKLY (PROZAC) $110.00 FLUOXETINE ORAL SOLN 20MG/5ML (PROZAC) $21.00 FLUPHENAZINE DECON 25 MG (PROLIXIN) $574.00 FLUPHENAZINE HCL 2.5MG TAB (PROLIXIN) $7.00 FLURAZEPAM 15 MG CAPSULE (DALMANE) $4.00 FLURAZEPAM 30 MG CAPSULE (DALMANE) $4.00 FLURBIPROFEN 100MG TABLET $9.00 FLURBIPROFEN OPTH 0.03% (OCUFEN) 2.5 ML $14.00 FLURO-ETHYL (ETHY CL/C2CCL2F4 AEORSAL $71.00 FLUTICASONE 0.05% 50 MCG (FLONASE) $19.00 FLUTICASONE 220MCG INHALER (FLOVENT) $179.00 FLUTICASONE CR 0.05% 15GM (CUTIVATE) $91.00 FLUVASTATIN 80 MG TABLET (LESCOL XL) $13.00 FLUVIRIN (4+) FLU VACCINE $15.00 FLUVOXAMINE 50 MG TAB (LUVOX) $13.00 FLUZONE $17.55 FLUZONE $17.55 FLUZONE $19.00 FLUZONE (INFLUENZA VIRUS VAC) 02-03 $29.00 FLUZONE (INFLUENZA VIRUS VACCINE) $25.00 FLUZONE 45MCG/0.5ML (FLU VACCINE) 07-08 $21.00 FLUZONE HIGH-DOSE (INFLUENZA VIRUS VAC) $45.00 FLUZONE PEDIATRIC (6-36MO) FLU VAC PFS $31.00 FOAM THERAPY ROLLS- 36X4 $52.00 FOGARTY ARTERIAL CATHETER 3F $362.00 FOGARTY ARTERIAL CATHETER 4F $337.00 FOGARTY ARTERIAL CATHETER 5F $416.00 FOLATE $98.00 FOLBEE PLUS (DIATX)(FOL ACID/VIT B/VITC) $7.00 FOLEY CATHETER 16FR 30CC $42.00 FOLEY CATHETER 18FR 30CC 2WAY $38.00 FOLEY CATHETER 20FR 30CC 3WAY $107.00 FOLEY CATHETER 22FR 30CC 3WAY $20.00 FOLEY CATHETER 24FR 30CC 3WAY $67.00 FOLEY CATHETER 26FR 30CC 2WAY $13.00 FOLIC ACID 1 MG TAB (FOLVITE) $6.00 FOLIC ACID 5 MG /ML VIAL $39.00 Description Price FOLIC ACID-RBC $25.00 FOLIC ACID-RBC HGB $24.00 FOLTX (CYANOCOBAL/FA/DOXINE) TABLET $5.00 FOOT LT 2V $237.00 FOOT LT ROUTINE 3V $305.00 FOOT RT 2V $237.00 FOOT RT ROUTINE 3V $305.00 FORANE (ISOFLURANE) 100 ML BOTTLE $565.00 FORCEP DISPSOSABLE $107.00 FOREARM LT 2V $282.00 FOREARM RT 2V $282.00 FORESKIN MANI $139.00 FORESKIN MANIP $139.00 FORTICAL (CALCITONIN) NASAL SPRAY 3.7ML $114.00 FOSAMAX (ALENDRONATE) 10 MG TAB $19.00 FOSAMAX (ALENDRONATE) 5 MG TAB $13.00 FOSINOPRIL 10 MG TABLET (MONOPRIL) $7.00 FOSPHENYTOIN 100MG/2ML VIAL (CeREByx) $39.00 FOSPHENYTOIN 500MG/10ML VIAL (CeREByx) $90.00 FOSRENOL (LANTHANUM CARB) 500MG CHEW TAB $12.00 FRACTURE CLAVICLE $309.00 FRACTURE DISTAL PHALANX $274.00 FRACTURE NASAL BONES $247.00 FRAGILE X SYNDROME $288.00 FREE KAPPA LIGHT CHAIN $215.00 FREE LAMDA LIGHT CHAIN $60.00 FRIGITRONICS PROBE PACK $775.00 FRUCTOSAMINE $114.00 FS-30 CERVICAL CUP $505.00 FS-35 CERVICAL CUP $505.00 FS-40 CERVICAL CUP $505.00 FSH $114.00 FSH & LH $112.00 FULL GRAFT/NOSE-EARS-EYLDS $121.00 FULL GRAFT/NOSE-EARS-EYLDS $1,414.00 FULL GRAFT/NOSE-EARS-EYLDS $1,414.00 FUNGAL SEROLO $156.00 FUNGAL SEROLOGY C $34.00 FUNGIZONE (AMPHOTERICIN B) 50 MG VIAL $137.00 FURACIN (NITROFURAZONE)SOLUBLE DRESSING $60.00 FUROSEMIDE 10 MG/ML ORAL SOLN (LASIX) $22.00 FUROSEMIDE 20 MG TABLET (LASIX) $6.00 FUROSEMIDE 40 MG TAB (LASIX) $6.00 FUROSEMIDE 80 MG TABLET (LASIX) $6.00 FUROSEMIDE INJ 100MG/10ML VIAL (LASIX) $20.00 FUROSEMIDE INJ 20 MG/2 ML VIAL (LASIX) $22.00 FUROSEMIDE INJ 40MG/4ML VIAL (LASIX) $14.00 FX CARE/CLAVICLE/CLOS $25.00 FX CARE/PROXIMAL HUME $69.00 FX CARE/RADIAL SHAFT $61.00 FX GREAT TOE W/MANIP $649.00 Description Price FX GREAT TOE W/O MANIP $243.00 FX TOE;CLOSED TX W/MANIP;EACH $615.00 FX TOE;CLOSED TX W/O MANIP;EACH $233.00 FX TOE;CLOSED TX W/O MANIP;EACH $274.00 FX TOE;CLOSED TX W/O MANIP;EACH $243.00 GABAPENTIN $194.00 GABAPENTIN 100 MG CAPS (NEURONTIN) $6.00 GABAPENTIN 300 MG CAPS (NEURONTIN) $6.00 GABAPENTIN 400 MG CAPS (NEURONTIN) $6.00 GALANTAMINE 4MG TABLET (RAZADYNE) $15.00 GAMEDAY ANKLE BRACE-LG $24.00 GAMEDAY ANKLE BRACE-MED $24.00 GAMEDAY ANKLE BRACE-SM $24.00 GAMEDAY ANKLE BRACE-XLG $24.00 GAMMA GLUTAMYL TRANSPEPTIDASE $107.00 GAMMAGARD 10GM (HUMAN IMMUNE GLOBULIN) $2,140.00 GAMMAGARD 2.5GM (HUMAN IMM GLOBULIN) $1,050.00 GAMMAGARD 20GM (HUMAN IMMUNE GLOBULIN) $3,600.00 GAMMAGARD 30GM (HUMAN IMMUNE GLOBULIN) $5,000.00 GAMMAGARD 5GM (HUMAN IMMUNE GLOBULIN) $1,095.00 GAMMAGARD SD 10GM(HUMAN IMMUNE GLOBULIN) $2,556.00 GAMMAR IV (IMMUNE GLOBULIN HUMAN) 10GM $1,354.00 GAMMAR IV (IMMUNE GLOBULIN HUMAN) 5GM $772.00 GAMUNEX (IMMUNE GLOBULIN) 10% 1 GRAM $412.00 GAMUNEX C (IMMUNE GLOBULIN) 10% 1GRAMS $446.00 GAMUNEX C (IMMUNE GLOBULIN) 10% 2.5GRAMS $906.00 GAMUNEX C (IMMUNE GLOBULIN) 10% 20GRAMS $3,459.00 GAMUNEX C (IMMUNE GLOBULIN) 10% 40GRAMS $6,960.00 GAMUNEX C (IMMUNE GLOBULIN) 10% 5GRAMS $1,754.00 GAMUNEX C(IMMUNE GLOBULIN) 10% 10GRAMS $4,403.00 GARDASIL $223.00 GARDASIL (HUMAN PAPILLOMAVIRUS VACCINE) $222.00 GASTRIC BUTTON KIT 24FR X 2.4CM $424.00 GASTRIC LAVAGE EASI-LAV 34FR N/S DISP CH $220.00 GASTRIN $52.00 GASTROROMY DEVICE BUTTON 24FR $451.00 GASTROSCOPY $346.00 GASTROSTOMY OPEN W/O CONST GASTRIC TUBE $1,668.00 GASTROSTOMY TUBE 18 FR $344.00 GASTROSTOMY TUBE CHANGE $282.00 GASTROSTOMY TUBE CHANGE $282.00 GASTROSTOMY TUBE CHANGE $282.00 GATOR CUTTER $298.00 GAUZE 4X4 10 SPONGES $5.00 GAUZE 4X4 10 SPONGES $5.00 GAUZE 4X4 10 SPONGES $5.00 GAUZE 4X4 10 SPONGES $5.00 GAUZE 4X4 2'SPONGE STERILE $5.00 GAUZE FINE MESH $8.00 GAVISCON (ALUMINUM HYDRO/MAG) TABLET $4.00 GAZYVA 1000MG VIAL (OBINUTUZUMAB) $908.00 Description Price GC AMPLIFICATION $121.00 GD1A ANTIBODY TEST $151.00 GELFOAM SG SZ 12-7 $62.00 GELFOAM SG SZ 4 6X2 $74.00 GELPORT 120MM $705.00 GEMCITABINE 2GM VIAL (GEMZAR) $264.00 GEMFIBROZIL 600 MG TABLET (LOPID) $6.00 GEMZAR (GEMCITABINE HCL) 1 GM $3,243.00 GEMZAR (GEMCITABINE HCL) 200 MG $760.00 GENAC TABLETS (ACTIFED) $4.00 GENE MUTATION ANALYSIS, EXON 9 $2,281.00 GENETIC SCREENING $116.00 GENTAMICIN 20 MG VIAL $36.00 GENTAMICIN 80 MG VIAL $30.00 GENTAMICIN 80MG/NS 100ML PREMIX $19.00 GENTAMICIN OINT 0.1% 15 GM (GARAMYCIN) $7.00 GENTAMICIN OPHT OINT 0.3% 3.5 GM $28.00 GENTAMICIN OPTH SOLN 0.3% $14.00 GENTAMICIN PEAK CONVENTIONAL DOSE $160.00 GENTAMICIN PEAK ONCE DAILY $163.00 GENTAMICIN TROUGH CONVENTIONAL DOSE $160.00 GENTAMICIN TROUGH ONCE DAILY $163.00 GEOCILLIN (CARBENICILLIN) 382 MG TABLET $11.00 GEODON 20MG CAPSULE (ZIPRASIDONE) $28.00 GEVRABON (MVI/MIN/W IRON) 2 OZ BOTTLE $8.00 GI PROFILE PCR $1,579.00 GIGLI SAW 20 $20.00 GII QUICKANCHOR PLUS $649.00 GLIADIN IgA $189.00 GLIADIN IgG $189.00 GLIADIN IgG ANTIBODY $181.00 GLIMPERIDE 2 MG TABLET (AMARYL) $5.00 GliPIZIDE 5 MG TABLET (GLUCOTROL) $6.00 GliPIZIDE XL 2.5MG TABLET (GLUCOTROL) $8.00 GliPIZIDE XL 5MG TABLET (GLUCOTROL) $7.00 GLOVE ISOTONER THERAPEUTIC $103.00 GLUCAGEN RDNA KIT (GLUCAGON) $248.00 GLUCAGON 1MG KIT $474.00 GLUCAGON PLASMA $68.00 GLUCOSE 2HR-PP $109.00 GLUCOSE 4GM TABLET $14.00 GLUCOSE FINGER STICK $68.00 GLUCOSE RANDOM $70.00 GLUCOSE TOLERANCE 2 HR $89.00 GLUCOSE TOLERANCE 3 HR $213.00 GLUCOSE TOLERANCE 5 HOUR $140.00 GLUCOSE TOLERANCE OB $213.00 GLUCOSE URINE $83.00 GLUCOVANCE (GLYBURIDE\METFOR) 1.25/250MG $7.00 GLUCOVANCE (GLYBURIDE\METFORMIN) 2.5/500 $6.00 GLUTAMIC ACID DECARBOXYLATE AUTO AB $163.00 Description Price GLYBURIDE 2.5 MG TABLET (DIABETA) $4.00 GLYBURIDE 3 MG TABLET (GLYNASE PRESTAB) $4.00 GLYBURIDE 5 MG TABLET (DIABETA) $7.00 GLYCERIN (GLYCERIN) INFANT RECTAL SUPP $4.00 GLYCERIN (GLYCERIN) PED RECTAL SUPP $6.00 GLYCERIN (GLYCERIN) PEDIATRIAC REC SUP $4.00 GLYCERIN ADULT SUPP $4.00 GLYCERIN SOLUTION 4 OZ $13.00 GLYCOPYRROLATE 0.2MG/ML VIAL (ROBINUL) $21.00 GOLD PROBE 7F $630.00 GOLYTELY (ELECTROLYTE SOLN/PEG'S) 1 GAL $39.00 GOMCO SUCTION MACH $17.00 GONADOTROPOIN CHRONIC 5MU $48.00 GONORRHEA BY PCR $125.00 GRAFT/COMPOSITE/INC CL $1,324.00 GRAFT/COMPOSITE/INC CL $1,324.00 GRAM STAIN $93.00 GRANISETRON 1 MG TABLET (KYTRIL) $28.00 GRANISETRON 1MG INJ (KYTRIL) $162.00 GRANUL-DERM (TRYPSIN/BALSM PERU/CASTER) $78.00 GRANULEX (TRYPSIN/BALSM PERU/CASTOR) SPR $52.00 GREEN RELOAD FOR ECHELON 45 $442.00 GREY RELOAD FOR ECHELON 45 $442.00 GROUP B STREP 24 HOUR $136.00 GROUP B STREP RAPID $136.00 GROUP SPEECH TX $180.00 GROWTH HORMONE $65.00 GUAIFEN/HYDROCOD 100/5MG 2 OZ (HYCOTUSS) $46.00 GUAIFEN/PSEUDO/HYCOD ELIX (DURATUSS HD) $24.00 GUAIFENESIN 200MG/10ML UD (ROBITUSSIN) $8.00 GUAIFENESIN 600 MG TABLET (MUCINEX) $6.00 GUAIFENESIN AC (ROBITUSSIN/COD PHOS)10ML $5.00 GUAIFENESIN/CODEINE 100/10MG 5ML $11.00 GUAIFENESIN-DM SYRUP 100MG-10MG/5ML $5.00 GUAIFENESIN-DM SYRUP 200MG-20MG/10ML $8.00 GUAIFENSIN 300MG CAP (HUMIBID SPRINKLE) $4.00 GUAIFENSIN/PHENYLEPH TAB (DURATUSS GP) $8.00 GUANFACINE 1 MG TABLET (TENEX) $8.00 GUARDIAN CANISTER LINER $98.00 GUIDE PIN 230 X 2.4 $419.00 GUIDE PIN TEMPLATE $285.00 GUIDE WIRE .86 TROCAR TIP $176.00 GUIDE WIRE W/TROCAR TIP $132.00 GYN PACK $46.00 GYNECARE TVT EXACT CONTINENCE SYSTEM $1,375.00 H PYLORI AG STOOL $146.00 H PYLORI AG TISSUE $63.00 H PYLORI BREATH TEST $228.00 H PYLORI IGA $115.00 H PYLORI IgG Serum/In-House $117.00 HAEMOPHILUS INFLUENZA AB IGG $258.00 Description Price HALAVEN 1MG/2ML (ERIBULIN) VIAL 340B $653.65 HALDOL $104.00 HALF SET PUMP TUBING $62.00 HALF SHEET $7.00 HALL DRILL REAMER $74.00 HALOPERIDOL 1MG TABLET (HALDOL) $7.00 HALOPERIDOL 2MG TABLET (HALDOL) $10.00 HALOPERIDOL 50MG AMP (HALDOL DECONATE) $170.00 HALOPERIDOL 5MG TAB (HALDOL) $7.00 HALOPERIDOL 5MG VIAL (HALDOL) $15.00 HAND EXERCISER HELPER $112.00 HAND LT 2V $232.00 HAND LT ROUTINE 3V $305.00 HAND RT 2V $232.00 HAND RT ROUTINE 3V $305.00 HAND SMALL RIGHT $107.00 HANDLE SPONGE HOURGLASS 17 $7.00 HANTA VIRUS ANTIBODIES $451.00 HANTA VIRUS IGG $159.00 HANTA VIRUS IGM $159.00 HAPTOGLOBIN $68.00 HAVRIX PEDIATRIC (HEP A) 720EL U/0.5ML $55.00 HBS AB EMP $63.00 HBS AB REF LAB $63.00 HCG SERUM QUANT $151.00 HCT - SPUN - NB $49.00 HCT,SPUN $50.00 HCV QUANT PCR, RNA-GRAPHICAL $250.00 HDL $111.00 HEAD HALTER UNIVERSAL $38.00 HEALON (SODIUM HYLAURONATE) 0.55 ML $421.00 HEALTH FAIR PSA $19.00 HEARING TEST IN & OUT PATIENT $134.00 HEART CONTINUES NEBULIZER $40.00 HEART DISEASE/STROKE RISK (C) $153.00 HEAVY JEWETT NAIL 2 3/4 $544.00 HEEL SNUGGLER (INFANT) $7.00 HEEL XRAY LT MIN 2V $250.00 HEEL XRAY RT MIN 2V $250.00 HEINZ BODY $23.00 HEMABATE (CARBOPROST TROMETH) 250 MCG $819.00 HEMATOCRIT $35.00 HEMCON BANDAGE PRO 4X4 BLOOD STOPPER $215.00 HEMI ARM SLING CUFF SMALL LEFT $77.00 HEMIARTHROPLASTY,HIP,PARTIAL $2,589.00 HEMMORHOIDS BIOPSY $149.00 HEMOCHROMATOSIS DNA $49.00 HEMODEALYSIS CATHETER KIT $604.00 HEMODIALYSIS 14.5 19 cm CATHETER KIT $605.00 HEMODIALYSIS 14.5 23cm CATHETER KIT $634.00 HEMODIALYSIS, ONE EVALUATION $305.00 Description Price HEMOGLOBIN $42.00 HEMOGLOBIN A1C $84.00 HEMOGLOBIN ELECTRO CASCADE $127.00 HEMOGLOBIN ELECTROPHORESIS $127.00 HEMOGLOBIN, UNSTABLE $127.00 HEMOGLOBINOPATHY PROFILE W/ALPHA THALASS $23.00 HEM-O-LOCK 5mm. $452.00 HEM-O-LOK POLYMER LIGATE CLIP XL $255.75 HEMORRHOIDAL OINTMENT 57GM $11.00 HEMORRHOIDECTOMY;EXT,COMP $1,049.00 HEMORRHOIDECTOMY;EXT,COMP $1,049.00 HEMORRHOIDECTOMY;INT/EXT $683.00 HEMORRHOIDECTOMY;INT/EXT $1,366.00 HEMORRHOIDOPEXY BY STAPLING $913.00 HEMORRHOIDOPEXY BY STAPLING $913.00 HEMORROIDECTOMY/SIMPLE $63.00 HEMORROIDECTOMY/SIMPLE $381.00 HEMORROIDECTOMY/SIMPLE $381.00 HEMOSTAT ABSORBABLE 4X8 $496.00 HEP A IGM 006734 $65.00 HEP A TOTAL 006726 $124.00 HEP B CORE AB TOTAL 006718 $35.00 HEP B CORE AB, IGM 016881 $93.00 HEP B HIB VACCINE $106.00 HEP B HIB VACCINE $106.00 HEP B SURFACE AB 006395 $67.00 HEP B SURFACE ANTIGEN $122.00 HEP C AB / RFLX TO QUAL NAA 144045 $96.00 HEP C ANTIBODY 140659 $81.00 HEP C FIBROSURE 550123 $47.00 HEP C GENOTYPE NON REFLEX 550475 $257.00 HEP C QUANT PCR / RFLX GENOSURE 550072 $350.00 HEP C QUANT PCR 550080 $884.00 HEP C QUANT RNA PCR 550090 $212.00 HEP C RNA QUAL / RFLX TO QUANT 550840 $317.00 HEP C RNA QUAL NAA/RFLX GENOTYPE 550825 $317.00 HEP PANEL, ACUTE 322744 $138.00 HEP PROFILE VI 058545 $28.00 HEP PROFILE VIII 255505 $28.00 HEPARIN (HEPARIN SOD) 1,000 UNITS/ML $24.00 HEPARIN (HEPARIN SOD) 100UNIT/1 ML VIAL $17.00 HEPARIN (HEPARIN SOD) 20,000 VIAL $46.00 HEPARIN (HEPARIN SOD) 5,000 U/ML MDV $30.00 HEPARIN (HEPARIN SOD) 5,000 UNIT VIAL $17.00 HEPARIN 100UNITS/ML 5ML PREFILL SYRINGE $1.00 HEPARIN 50,000 UN/500ML D5W(100 UNIT/ML) $132.00 HEPARIN 50,000 UN/500ML NS (100 UNIT/ML) $132.00 HEPARIN ANTI XA $104.00 HEPARIN FLUSH 10UNITS/ML 10ML LOC FLUSH* $18.00 HEPARIN INDUCED AB ASSAY $133.00 HEPARIN LOCK FLUSH 10U/1ML SDV $18.00 Description Price HEPARIN SOD 25000UNITS/D5W 250ML BAG $43.00 HEPARINIZED VENOUS CATH SHUNT $627.00 HEPATIC FUNCTION PANEL $224.00 HEPATITIS B CORE IgM $40.00 HEPATITIS B VACCINE $343.00 HEPATITIS C RIBA $78.00 HEPATITIS D ANTIGEN $117.00 HER 2 NEU $335.00 HERPES 1&2 IGM 165180 $213.00 HERPES CULTURE & TYPING 008250 $110.00 HERPES SIMPLEX VIRUS 1/2 DNA PCR 138651 $150.00 HERPES VIRUS 6 IgG $97.00 HESPAN 6% (HETASTARCH/NACL) IV 500 ML $75.00 HEXAGONAL PHOSPHOILIPID $151.00 HF CHEM, CBC, A1C 2019 $26.00 HF PSA 2019 $11.00 HGB ELECTRO $79.00 HIB-PEDVAX $54.00 HIB-PEDVAX $54.00 HIGH FLOW CANNULA 25FT. $54.00 HIP 1 VIEW /W PELVIS LT $159.00 HIP 1 VIEW /W PELVIS RT $159.00 HIP PLATE 130 4 5 $762.00 HIP PLATE 135 4 5 $762.00 HIP PLATE 135 5 5 $762.00 HIP PLATE 135 6 5 $762.00 HIP PLATE 140 4 5 $762.00 HIP PLATE 140 5 5 $762.00 HIP PLATE 145 @ $762.00 HIP PLATE 150 4 5 $762.00 HIP SCREW PLATE 5 140 $532.00 HIP SCREW PLATE 5 SLOT 130 $854.00 HIP SCREW PLATE 6 135 $532.00 HIP SCREW PLATE 6 140 $905.00 HIP SCREW PLATE 6 145 $529.00 HIP W/PELVIS 2-3 VIEW LT $163.00 HIP W/PELVIS 2-3 VIEW RT $163.00 HIP W/PELVIS MINIMUM 4 VIEW LT $259.00 HIP W/PELVIS MINIMUM 4 VIEW RT $259.00 HIPS BILAT W/PELVIS 2 VIEW $253.00 HIPS BILAT W/PELVIS 3-4 VIEW $260.00 HIPS BILAT W/PELVIS 5 VIEW $468.00 HISMANAL (ASTEMIZOLE) $9.00 HISTAMINE $221.00 HISTONE ANTIBODIES $80.00 HISTOPLASMA AB $156.00 HISTOPLASMA AB (B) $150.00 HISTOPLASMA ANTIGEN URINE $723.00 HISTOPLASMIN (HISTOPLASMIN DILUTED) VIAL $20.00 HISTORY& EXAM NB $153.00 HIV 1 DNA DIRECT PROBE TECHNIQUE $65.00 Description Price HIV 2 DNA DIRECT PROBE TECHNIQUE $65.00 HIV QUANITATIVE PCR $815.00 HIV-1 ANTIBODY W/CONFIRM. BY MULTISPOT $130.00 HIV-1 QUAL RNA $628.00 HIV-1 QUANTITAIVE BY PCR $815.00 HIV-2 ANTIBODY W/CONFIRM.BY MULTISPOT $89.00 HIV-2 QPCR $225.00 HIV-RAPID $124.00 HIV-RNA QUANTITATIVE PCR $799.00 HLA A, B, C PROFILE $2,516.00 HLA-B 27 DISEASE ASSOCIATION $260.00 HOLTER MONITOR RECORDING $762.00 HOLTER MONITOR SCAN ANALYSIS $289.00 HOMATROPINE HYDROBROMIDE OPHT 5% SOLN $13.00 HOME VISIT, LOW-MOD $206.00 HOME VISIT, LOW-MOD $255.00 HOME VISIT, LOW-MOD $255.00 HOME VISIT, MINOR $86.00 HOME VISIT, MOD-HIGH $266.00 HOME VISIT, MOD-HIGH $315.00 HOME VISIT, MOD-HIGH $315.00 HOME VISIT, UNSTABLE/SIGNIFICANT $387.00 HOME VISIT,MINOR $206.00 HOMOCYSTEINE $279.00 HOMOCYSTEINE URINE $281.00 HOMOVANYLLIC ACID $217.00 HOOK BLADE 5MMX32CM $162.00 HORMONE REPLACEMENT THERAPY PELLE FEMALE $567.00 HORMONE REPLACEMENT THERAPY PELLET MALE $1,141.00 HOSP DISCHARGE 30 MIN OR MORE $203.00 HOT LINE BLOOD WARMER $83.00 HOYA IOL $58.00 HPV BY PCR $121.00 H-PYLORI IgM $73.00 H-PYLORI PANEL $110.00 HSG CATHETER 5 fr. 29cm $168.00 HSG CATHETER 7 fr. 29cm $168.00 HTLV I & II $159.00 HTLV I/II $130.00 HUMAN HERPES 6 VIRUS IGM $159.00 HUMAN IMMUNODEFICIENCY VIRUS $94.00 HUMAN IMMUNODEFICIENCY VIRUS 1 GENOTYPE $1,268.00 HUMERUS LT 2V $284.00 HUMERUS RT 2V $284.00 HUMIDIFIER 340 ML $7.00 HUMIDIFIER 350cc.HIGH FLOW 6-15LPM $22.00 HUMIDIFIER DISPOSABLE 20/CA $65.00 HUMIDIFIER FOR ROOM $47.00 HUMIDVENT I $11.00 HUMIRA 40MG/0.8ML (ADALIMUMAB) PFS $3,664.00 HURRICAINE (BENZOCAINE) 20% SPRAY $76.00 Description Price HURRICAINE ONE SPRAY 20% (BENZOCAINE) $43.00 HYALGAN (HYALURONATE SODIUM) 20 MG/2ML $506.00 HYALGAN FOR INJECTION 2 CC $253.00 HYDERGINE (ERGOLOID MESYLATES)1MG TABLET $6.00 HydRALAZINE 10 MG TABLET (APRESOLINE) $6.00 HydRALAZINE 20 MG VIAL (APRESOLINE) $29.00 HydRALAZINE 25 MG TABLET (APRESOLINE) $6.00 HYDRALAZINE 50MG TABLET $6.00 HYDRATION 1ST HR $147.00 HYDRATION, MINIMUM OF 31 MIN $74.00 HYDROCHLOROTHIAZIDE 25MG TABLET $6.00 HYDROCOD/APAP ELIX 7.5/500/15 (LORTAB) $5.00 HYDROCOD/CHLOR E/R SUSP 4OZ (TUSSIONEX) $234.00 HYDROCODONE $219.00 HYDROCODONE & APAP 5/325MG TABLET(NORCO) $11.00 HYDROCODONE & APAP 7.5/325MG TAB (NORCO) $11.00 HYDROCODONE/APAP 10/650 TABLET (LORCET) $6.00 HYDROCODONE/APAP 2.5/108MG/5ML UD $16.00 HYDROCODONE/APAP 5/500MG TAB (VICODIN) $4.00 HYDROCODONE/APAP 7.5/650 (LORCET PLUS) $4.00 HYDROCODONE/APAP 7.5/750MG TAB (VICODIN) $4.00 HYDROCORTISONE (HYDROCORTISONE) PWD 100 $15.00 HYDROCORTISONE 0.5% CREAM $8.00 HYDROCORTISONE 0.5% CREAM $11.00 HYDROCORTISONE 1% OINTMENT 30GM $10.00 HYDROCORTISONE 2.5% CREAM 30GM $11.00 HYDROCORTISONE 2.5%CR (PROCTOCREAM-HC) $154.00 HYDROCORTISONE 25MG RECTAL SUPPOSITORY $10.00 HYDROCORTISONE 5MG TABLET (CORTEF) $7.00 HYDROCORTISONE CREAM 1% $8.00 HYDROGEL WOUND DRESSING $25.00 HYDROGEN PEROXIDE 8OZ $7.00 HYDROMORPHONE 0.5MG/0.5ML SYRINGE $12.00 HYDROMORPHONE 1MG/ML AMPULE (DILAUDID) $16.00 HYDROmorPHONE 2MG TAB (DILAUDID) $11.00 HYDROmorPHONE 2MG/1ML VIAL (DILAUDID) $25.00 HYDROMORPHONE HCL TAB 4MG $11.00 HYDROXYCHLOROQUINE (PLAQUENIL)200MGTAB $6.00 HYDROXYUREA 500 MG CAPSULE (HYDREA) $10.00 HydrOXYzine 10 MG TABLET (ATARAX) $4.00 hydrOXYzine 50MG/ML 1ML VIAL (VISTARIL) $27.00 HydrOXYzine HCL 25 MG TABLET (ATARAX) $6.00 HydrOXYzine HCL 50MG/1ML VIAL (VISTARIL) $33.00 HYDROXYZINE HCL 50MG/ML MDV (VISTARIL) $16.00 HYOSCYAMINE 0.125MG SL (SYMAX) $4.00 HYOSCYAMINE 0.125MG SL TABLET (LEVSIN) $5.00 HYOSCYAMINE 0.125MG SL TABLET (LEVSIN) $7.00 HYOSCYAMINE 0.375MG TABLET (LEVBID SR) $8.00 HYPERAB (RABIES IMMUNE GLOBULIN) $490.00 HYPERHEP B S/D (HEP B IMM GLOB) 220IU $684.00 HYPERLYTE R (MULTI-ELECTROLYTE CONC) $27.00 Description Price HYPERSENSITIVITY PNEUMONITIS PROFILE $234.00 HYPERTENSIVE PYELOGRAM $472.00 HYPERTET (TETANUS IMMUNE GLOB) 250 UNIT $399.00 HYSEPT 0.5% SOLUTION $30.00 HYSTERECT VAGINAL $1,673.00 HYSTERECT VAGINAL $1,673.00 HYSTERECT VAGINAL W/TUBE REMOVAL $1,641.00 HYSTERECT VAGINAL W/TUBE REMOVAL $1,641.00 HYSTEROSALPINGOGRAM $492.00 HYSTEROSALPINGOGRAPHY RAD S&I $149.00 HYSTEROSALPINGOGRAPHY RAD S&I $149.00 HYSTEROSC SURG;W/ENDOMETRIAL ABLA $643.00 HYSTEROSC SURG;W/ENDOMETRIAL ABLA $4,264.00 HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDU $455.00 HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDU $455.00 HYSTEROSCOPY REMOVAL LEIOMYOMATA $934.00 HYSTEROSCOPY REMOVAL LEIOMYOMATA $934.00 HYSTEROSCOPY STERILIZATION $1,984.00 HYSTEROSCOPY STERILIZATION $1,984.00 HYSTEROSCOPY, DIAGNOSTIC $89.00 HYSTEROSCOPY,SURGICAL W/BIOPSY W/WO D/C $153.00 HYSTEROSCOPY,W THERMOABLATION $231.00 HYSTEROSCOPY/SURGICAL $593.00 HYSTEROSCOPY/SURGICAL $593.00 I & D $355.00 I & D ABCESS PERITONSILLAR $440.00 I & D ABSCESS $104.00 I & D ABSCESS CYST HEMATOMA SIMPLE $210.00 I & D BARTHOLINS GLAND CYST $209.00 I & D DENTAL ABCESS $458.00 I & D DENTAL ABCESS $466.00 I & D DENTAL ABCESS $466.00 I & D HEMATOMA SIMPLE $236.00 I & D ISCHIORECTAL ABSCESS $601.00 I & D OF SUBCUTANEOUS ABSCESS $232.00 I & D PILONIDAL CYST COMPLICATED $656.00 I & D PILONIDAL CYST COMPLICATED $656.00 I & D THROMBOSED EXT HEMORRHOID $227.00 I&D ABCESS CO $341.00 I&D BARTHOLINS GLSND ABSCESS $259.00 I&D BELOW FASCIA W/WO TENDON,FT SINGLE $1,101.00 I&D BELOW FASCIA W/WO TENDON,FT SINGLE $1,101.00 I&D DP ABSC B $1,351.00 I&D DP ABSC BURSA/HEMAT THIGH/KNEE $1,351.00 I&D FOOT $1,144.00 I&D FOOT $1,144.00 I&D ISCHIOREC $683.00 I&D OF HEMATOMA $34.00 I&D OF HEMATOMA $226.00 I&D OF HEMATOMA $226.00 I&D OF VULVA OR PERINEAL ABSCESS $14.00 Description Price I&D PILONIDAL CYST COMPLEX $704.00 I&D PILONIDAL CYST SIMPLE $176.00 I&D PILONIDAL CYST; SIMPLE $184.00 I&D PILONIDAL CYST; SIMPLE $398.00 I&D PILONIDAL CYST; SIMPLE $398.00 I&D SHLDR ABSCESS/HEMA $458.00 I&D SUBCUT ABSCESS $196.00 I&D SUBCUT ABSCESS $223.00 I&D SUBCUT ABSCESS $232.00 I&D SUBMUCOSA $485.00 I&D SUBMUCOSAL ABCESS;RECTUM $485.00 I&D VULVA/PERINEAL ABSCESS $187.00 I&D VULVA/PERINEAL ABSCESS $187.00 I&D VULVA/PERINEAL ABSCESS $195.00 I&D;COMPLEX,POSTOP WOUND $510.00 I&D;COMPLEX,POSTOP WOUND $510.00 I&R FB,SUBCUT TISS;COMP $415.00 I&R FB,SUBCUT TISS;COMP $415.00 I&R FB,SUBCUT TISS;COMP $432.00 I&R FB,SUBCUT TISS;SIMP $273.00 I&R FB,SUBCUT TISS;SIMP $273.00 I&R FB,SUBCUT TISS;SIMP $284.00 IA2 AUTOANTIBODIES $177.00 IBANDRONATE SOD 3MG/3ML KIT (BONIVA) $1,265.00 IBD PROFILE $520.00 IB-STAT SPRAY (HYOSCYAMINE) 0.125MG/ML $8.00 IBUPROFEN (MOTRIN) 800MG TABLET $6.00 IBUPROFEN 100MG/5ML SUSPENSION 118ML $13.00 IBUPROFEN 200 MG TABLET $6.00 IBUPROFEN 200MG/10ML SUSPENSION UD $4.00 IBUPROFEN 400 MG TABLET (MOTRIN) $6.00 IBUPROFEN 50 MG TAB (CHEWABLE) (MOTRIN) $4.00 IBUPROFEN 600 MG TABLET (MOTRIN) $6.00 IBUPROFEN CHILD SYRUP 100MG/5ML (MOTRIN) $8.00 ICU/CCU NURSING CARE $405.00 ICY HOT (METYLSAL/METHOL) CREAM TUBE $12.00 ID & SENSITIVITY SEND OUT $534.00 IFE & PE RANDOM URINE $63.00 IFE & PE SERUM $61.00 IFS 2.0 DRILL $552.00 IFS SCREW 2.4MM $1,995.00 IgA $61.00 IGE $68.00 IgG $61.00 IgG SUBCLASS 1 $28.00 IgG SUBCLASS 2 $28.00 IgG SUBCLASS 3 $28.00 IgG SUBCLASS 4 $28.00 IgM $61.00 ILEOSTOMY OR JEJUNOSTOMY NON TUBE $2,505.00 IMIPENEM/CILASTATIN 250 MG IV VIAL $69.00 Description Price IMIPENEM/CILASTATIN 500MG/NS 100ML $189.00 IMIPENEM/CILASTATIN VIAL :500 MG IV $192.00 IMIPRAMINE 50MG TABLET $6.00 IMITREX (SUMATRIPTAN SUCCIANTE) 6MG $285.00 IMITREX (SUMATRIPTAN) NASAL SPAY 20 MG $565.00 IMMOB SHOU XLG $58.00 IMMOB SHOULD XLARGE $41.00 IMMOBIL SHOUL VELP DRS MD $28.00 IMMOBIL SHOUL VELP DRS SM $28.00 IMMOBILIZER ARM SMALL $35.00 IMMOBILIZER SHOULDER LARGE $41.00 IMMOBILIZER SHOULDER MEDIUM MEN $34.00 IMMUNO ELECTROPHORESIS URINE $24.00 IMMUNOASSY QUANITATIVE NOT SPECIFIC $205.00 IMMUNOELECTROPHORESIS (IPEP) D $16.00 IMMUNOELECTROPHORESIS PROCEDURE $58.00 IMMUNOFIXATION $27.00 IMMUNOGLOBULIN G (SUBCLASSES 1-4) $61.00 IMMUNOTHERAPY INJECTIONS $43.00 IMOGAM 2ML (RABIES IMMUN GLOB) 150IU/ML $1,357.00 IMOVAX (RABIES VAC/HUM DIP) $343.65 IMOVAX (RABIES VAC/HUM DIP) $397.00 IMPERI STOCKINETTE . $21.00 IMPLANT INTRAOCULAR LENS $508.00 IMPLANT NEUROELECTRODES $791.00 IMPLANT NEUROELECTRODES $791.00 IMPLANT NEUROELECTRODES $871.00 IMPLANT NEUROELECTRODES $871.00 IMV MANIFOLD $41.00 INC IMPLT NEUROSTIMULATOR ELTRD ARRAY $1,608.00 INC IMPLT NEUROSTIMULATOR ELTRD ARRAY $1,608.00 INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL $14,938.00 INCENTIVE SPIROMETER $15.00 INCISE SOFT TISSUE ABSCESS COMPLEX $1,546.00 INCISION & DRAINAGE OR A $169.00 INCISION & REMOVAL FBSUBQTISS;SMPL $86.00 INCISION OF WINDPIPE $1,491.00 INCISION OF WINDPIPE $1,491.00 INCISION THROMBOSED EXT HEMORRHOID $444.00 INCISION THROMBOSED EXT HEMORRHOID $444.00 INCISION THROMBOSED EXT HEMORRHOID $430.00 INDAPAMIDE 2.5 MG TABLET (LOZOL) $6.00 INDIA INK PREP $62.00 INDIGO CARMINE 0.8% 5ML AMPULE $34.00 INDINAVIR 400 MG CAPSULE (CRIXIVAN) $14.00 INDOMETHACIN 25 MG CAPSULE (INDOCIN) $6.00 INDOMETHACIN 50MG RECT SUPP (INDOCIN) $10.00 INDOMETHACIN 75 MG CAPSULE (INDOCIN SR) $10.00 INDUCED ABORTION W/WO CERVICAL DILATION $974.00 INDUCED ABORTION W/WO CERVICAL DILATION $974.00 INFANRIX (DIPHTH/PERTUSS(ACELL)/TET) SDV $36.00 Description Price INFANT 02 CANNULA $36.00 INFANT CIRCUIT BUBBLE CPAP SYSTEM $401.00 INFANT DONNETT MED $70.00 INFANT NASAL CANNULAE ASSEMBLY (INCA) $144.00 INFANT OX 1 PROBE $135.00 INFANT OXY HOOD ADDL DAY $137.00 INFANT OXY HOOD FIRST DAY $49.00 INFANT OXYGEN MASK $13.00 INFANT OXYGEN SENSOR $74.00 INFANT RESPIRATOR SYSTEM $83.00 INFED (IRON DEXTRAN COMPLEX) 100MG VIAL $204.00 INFED (IRON DEXTRAN) 100 MG VIAL $167.00 INFLECTRA (INFLIXIMAB) 100MG VIAL $122.00 INFLUENZA A & B $152.00 INFLUENZA A ANTIBODY $38.00 INFLUENZA A,H, N, VACCINE $26.00 INFLUENZA B ANTIBODY $38.00 INFLUENZA VAC 36 MONTHS AND OLDER $15.00 INFLUENZA VAC 36 MONTHS AND OLDER $15.00 INFLUENZA VAC PRES FREE 36MO+ $21.00 INFLUENZA VIRUS VACCINE 2000-2001 FORM $15.00 INFUSABLE PRESSURE INFUSOR $114.00 INFUSION KIT LOCAL $793.00 INFUSION PUMP TUBING $95.00 INFUSION, 1ST HOUR $284.00 INFUSION, EA ADDTL HR $101.00 INFUSION, NON-CHEMO ADDL HR SEQUENTIAL $61.00 INFUSION, SEQUENTIAL $121.00 INFUSION,CONCURRENT $60.00 INFUVITE (MULTIVITAMINS) VIAL $49.00 INHALER/AEROSOL INSTRICT $93.00 INHERITEST CARRIER SCREEN $153.00 INHIBIN A $73.00 INIT PREV MED E&M NEW PT; 40-64 YRS $230.00 INIT PREV MED E&M NEW PT; 40-64 YRS $240.00 INIT PREV PE; NEW BENEFICIARY $243.00 INIT PREV PE; NEW BENEFICIARY $243.00 INIT PREV PHYSICAL EXAM $226.00 INITIAL HOSPITAL CARE H&P $239.00 INITIAL INPT CONSULT MINOR 20 MIN $68.00 INITIAL OBS HIGH SEVERITY $323.00 INITIAL OBS LOW SEVERITY $168.00 INITIAL OBS MODERATE SEVERITY $349.00 INJ CYSTOGRAM $483.00 INJ FISTULOGRAM $318.00 INJ FORAMEN EPIDURAL ADD-ON $379.00 INJ FORAMEN EPIDURAL ADD-ON $379.00 INJ FORAMEN EPIDURAL ADD-ON $397.00 INJ FORAMEN EPIDURAL ADD-ON $397.00 INJ FORAMEN EPIDURAL C/T $832.00 INJ FORAMEN EPIDURAL C/T $832.00 Description Price INJ FORAMEN EPIDURAL L/S $840.00 INJ FORAMEN EPIDURAL L/S $840.00 INJ INTERMEDIATE JOINT $98.00 INJ INTERMEDIATE JOINT $98.00 INJ METYCAINE $41.00 INJ RISPERIDONE 0.5MG $793.00 INJ SING TENDON/LIGAMENT $121.00 INJ SING TENDON/LIGAMENT $121.00 INJ SMALL JOINT $109.00 INJ SMALL JOINT $109.00 INJ TRIGGER POINT 1/2 MUSCLE $428.00 INJ TX NERVE $608.00 INJ TX NERVE $608.00 INJ URETHROCYSTOGRAM $293.00 INJ/SINGLE MULTI TRIGGER PT 1OR 2 MUSCLE $69.00 INJ/SINGLE MULTI TRIGGER PT 1OR 2 MUSCLE $115.00 INJ/SINGLE MULTI TRIGGER PT 1OR 2 MUSCLE $133.00 INJ/SINGLE TRIGGER POINT $44.00 INJ/SINGLE TRIGGER POINT $110.00 INJ/SINGLE TRIGGER POINT $110.00 INJECT ANES AGENT OTH PERIPH NERV $210.00 INJECT EPIDURAL PATCH $421.00 INJECT EPIDURAL PATCH $476.00 INJECT INTERLAMINAR CRV/THRC $399.00 INJECT SPINE L/S (CD) $555.00 INJECT SPINE L/S (CD) $555.00 INJECTAFER 750MG/15ML VIAL $2,264.00 INJECTION CONTRAST ABCESSOGRAM $354.00 INJECTION MAJOR JOINT $38.00 INJECTION MAJOR JOINT $145.00 INJECTION MAJOR JOINT $151.00 INJECTION PROCEDURE FOR MYELOGRAM $207.00 INJECTION SQ/IM NON-CHEMO $25.00 INJECTION SQ/IM NON-CHEMO $31.00 INJECTION SQ/IM NON-CHEMO $47.00 INJECTION SQ/IM-NON CHEMO $33.00 INJECTION/INTERMEDIATE JOINT $28.00 INJECTION/SINGLE TENDO $33.00 INJECTION/SMALL JOINT $22.00 INLINE ADAPTER CAPNOGRAPHY(ETCO2) $40.00 INNOHEP (TINZAPARINE) 20MUML MDV $582.00 INS TUNNELED CRT VAD W/SUBQ PUMP $916.00 INSERT BLADDER CATH $238.00 INSERT BLADDER CATHETER $128.00 INSERT CATH PLEURA W/O IMAGING GUIDANCE $301.00 INSERT CATH URINARY BLADDER SIMPLE $148.00 INSERT CENTRAL VENOUS ACCESS W/SQ PORT $2,548.00 INSERT CERVICAL CAP $235.00 INSERT CERVICAL CAP $235.00 INSERT INDWELLING TUNNELED PLEURAL CATH $543.00 INSERT MESH PROSTH PELVIC FLOOR DEFECT $404.00 Description Price INSERT MESH PROSTH PELVIC FLOOR DEFECT $404.00 INSERT PICC C $843.00 INSERT PICC W/O PORT/PUMP >5YRS $849.00 INSERT TUN IP CATH W/PORT $1,061.00 INSERT TUN IP CATH W/PORT $1,061.00 INSERT TUNNELED CATHETER PERCUTANEOUS $529.00 INSERTA PIN 035X2INCH $65.00 INSERTION CATHETER, ARTERY $251.00 INSERTION CENTRAL VENOUS CATH W/O PORT $223.00 INSERTION NON BIODEGRADABLE DRUG IMPLANT $191.00 INSERTION NON BIODEGRADABLE DRUG IMPLANT $191.00 INSERTION OF CHEST TUBE $421.00 INSERTION OF CHEST TUBE $421.00 INSERTION OF IUD $74.00 INSERTION OF IUD $281.00 INSERTION OF IUD $281.00 INSERTION OF TEMPORARY PACEMAKER $856.00 INSERTION OF TUNNELED IP CATH $548.00 INSERTION/CEN $2,756.00 INSERTION/CENTRAL VENOUS $2,450.00 INSERTION/CENTRAL VENOUS $2,756.00 INSORB STAPLER $272.00 INSPIREASE (DRUG DELIVERY SYSTEM) KIT $94.00 INSPIREASE BAG $11.00 INSPIREASE UNIT $60.00 INSPRA (EPLERENONE) 25MG TABLET $20.00 INSRT TUNNL CVC NO PORT/PUMP 5 Y/> $1,691.00 INSRT TUNNL CVC NO PORT/PUMP 5 Y/> $1,759.00 INSRT/REDO SPINE N GENERATOR $1,013.00 INSRT/REDO SPINE N GENERATOR $1,013.00 INSRT/RPLCMT PERIPHERAL/GASTRIC NPGR $490.00 INSRT/RPLCMT PERIPHERAL/GASTRIC NPGR $490.00 INSRT/RPLCMT PERIPHERAL/GASTRIC NPGR $46,290.00 INSTINCT ENDO HEMOCLIP $505.00 INSTRUMENT KIT-SINGLE USE $754.00 INSUFFLATION NEEDLE 14G $83.00 INSUFFLATION TUBING W/FILTER $46.00 INSULATED BOVIE BLADE (ELECTRODE) $28.00 INSULIN 70/30 (70HN/30HR) U-100 10 ML $9.00 INSULIN AND C PEPTIDE LEVEL $69.00 INSULIN ANTIBODY $307.00 INSULIN APIDRA (GLULISINE) 100 UNITS/ML $39.00 INSULIN DRIP 100UN/1000ML NS(0.1UN/ML) $60.00 INSULIN GROWTH FACTOR 1 $94.00 INSULIN HUMALOG (LISPRO) INJ $11.00 INSULIN HUMALOG MIX (NPL/LISPRO) INJ $40.00 INSULIN HUMULIN L HUMULIN ZINC) 10 ML $9.00 INSULIN HUMULIN N U-100 10 ML $9.00 INSULIN HUMULIN U U-100 10 ML $9.00 INSULIN LENTE U-100 10ML $9.00 INSULIN LEVEL $69.00 Description Price INSULIN LEVEMIR 100U/1ML VIAL (DETEMIR) $46.00 INSULIN LIKE GROWTH FACTOR $352.00 INSULIN NOVOLIN R 100UNITS/ML $20.00 INSULIN NOVOLOG 100U/1ML VIAL (ASPART) $26.00 INSULIN PER FIVE UNITS $9.00 INTAL INHALATION SOLN (CROMOLYN) 20 MG $6.00 INTAL INHALER (CROMOLYN SOD) 112 800 MCG $135.00 INTAL INHALER (CROMOLYN SOD) 200 14.2GM $120.00 INTER REPAIR I 12.6-20CM $689.00 INTER REPAIR I 12.6-20CM $537.00 INTER REPAIR I 12.6-20CM $689.00 INTER REPAIR I 2.6-7.5CM $539.00 INTER REPAIR I 2.6-7.5CM $539.00 INTER REPAIR I 2.6-7.5CM $523.00 INTER REPAIR I 20.1-30CM $1,539.00 INTER REPAIR I 7.6-12.5CM $529.00 INTER REPAIR I OVER 30 CM $1,783.00 INTER REPAIR II 12.6-20CM $673.00 INTER REPAIR II 2.6-7.5CM $482.00 INTER REPAIR II 20.1-30CM $1,684.00 INTER REPAIR II 7.6-12.5CM $601.00 INTER REPAIR II OVER 30 CM $1,923.00 INTER REPAIR II UP TO 2.5 CM $385.00 INTER REPAIR II UP TO 2.5 CM $385.00 INTER REPAIR III 12.6 CM TO 20 CM $772.00 INTER REPAIR III 2.6 CM TO 5.0 CM $583.00 INTER REPAIR III 2.6 CM TO 5.0 CM $583.00 INTER REPAIR III 2.6 CM TO 5.0 CM $529.00 INTER REPAIR III 20.1 CM TO 30 CM $2,210.00 INTER REPAIR III 5.1 CM TO 7.5 CM $628.00 INTER REPAIR III 7.6 CM TO 12.5 CM $701.00 INTER REPAIR III OVER 30 CM $2,499.00 INTER REPAIR III UP TO 2.5CM $524.00 INTER REPAIR III UP TO 2.5CM $524.00 INTER REPAIR III UP TO 2.5CM $454.00 INTERFERON A 3 MU VIAL (INTRON A) $189.00 INTERFERON A 5 MU VIAL (INTRON A) $355.00 INTERLEUKIN - 2 RECEPTOR $390.00 INTERM OPTHALMOLOGIC EXAM $274.00 INTERMEDIATE REPAIR I UP TO 2.5 CM $310.00 INTERNAL NERVE REVISION $421.00 INTERNAL NERVE REVISION $421.00 INTERPHASE IN SITU HYBRIDIZATION $304.00 INTERPRETATION AND REPORT. GENETICS $304.00 INTESTINAL STRICTUROPLASTY $1,402.00 INTMD WND REPAIR S/TR/EXT $371.00 INTMD WOUND REPAIR S/TR/EXT $453.00 INTRAABDOMINAL PRESSURE TEST $268.00 INTRAABDOMINAL PRESSURE TEST $268.00 INTRACATH 16 GA $25.00 INTRACATH 16 GA $26.00 Description Price INTRACATH 19 GA $26.00 INTRACRANIAL COMPLETE STUDY $435.00 INTRALIPID 20% 250ML (FAT EMULSION) $73.00 INTRAOSSEOUS INFUSION $122.00 INTRAOSSEOUS INFUSION NEEDLES $260.00 INTRAVENOUS CHOLANGIOGRAM $798.00 INTRINSIC FACTOR AB $178.00 INTRO, GASTRO-INTESTINAL TUBE $60.00 INTRODUCER 5 FR $580.00 INTRON A (INTERFERON ALFA) 18MILL IU INJ $944.00 INTRON A 10 MMU (INTERFERON ALFA 2B) $588.00 INTRRACATH 19 GA $24.00 INTUBATION, ENDOTRACHEAL EMERGENCY PROC $472.00 INVANZ (ERTAPENEM SOD) 1GM $247.00 INVANZ: 1GM (ERTAPENEM) VIAL $223.00 IODINE $89.00 IODINE STRONG (POT.IOD/IODINE) 14 ML $76.00 IODOFORM PACKING STRIP 1 1/4X5 $17.00 IODOFORM PACKING STRIP 1/2 X5yds $28.00 IODOFORM PACKING STRIP 1in x 5 yd $14.00 IODOFORM PACKING STRIP 2X5 $28.00 IPECAC EMESIS W OBS $271.00 IPOL $44.75 IPOL $44.75 IPOL (POLIOMYELEITIS VAC. KILLED) VIAL $47.00 IPRATROPIUM INHALANT SOL 0.02%(ATROVENT) $6.00 IPRATROPIUM NASAL SPRAY 0.3% (ATROVENT) $100.00 IPRATROPIUM NASAL SPRAY 0.6% (ATROVENT) $97.00 IRBESARTAN (AVAPRO) 150 MG TABLET $9.00 IRINOTECAN (CAMPTOSAR) 100 MG VIAL $694.00 IRINOTECAN (CAMPTOSAR) 100 MG VIAL $1,304.00 IRINOTECAN (CAMPTOSAR) 40 MG VIAL $235.00 IRINOTECAN (CAMPTOSAR) 40 MG VIAL $791.00 IRON 24 HR URINE $204.00 IRON DEXTRAN COMPLEX 100 MG VIAL (INFED) $190.00 IRON SERUM $87.00 IRRIG VAD $71.00 IRRIGATION ADMINISTRATION SET W/FILTER $21.00 ISENTRESS (RALTEGRAVIR) 400MG TABLET $117.00 ISOETHARINE INHAL SOLN 0.25% 2 ML VIAL $6.00 ISONIAZID (INH) 100 MG TAB $4.00 ISOOFORANE/CC $8.00 ISOPROTERENOL 0.2 ML AMPS (ISUPREL) $51.00 ISOPROTERENOL 1:5000 SOLN 5ML (ISUPREL) $123.00 ISOPTO CARBACHOL 3% OPHT SOLN $98.00 ISOSORBIDE 40 MG TABLET (SORBITRATE) $4.00 ISOSORBIDE 5 MG TABLET (SORBITRATE) $5.00 ISOSORBIDE DINITRATE 10 MG TABLET $11.00 ISOSORBIDE ER 60 MG TAB (IMDUR ER) $9.00 ISOSORBIDE MONONITRATE 20 MG TAB (ISMO) $6.00 ISOSORBIDE MONONITRATE 30MG TAB(IMDUR ER $8.00 Description Price ISOVUE M 200 20ML BOTTLES $87.00 ISOVUE M 300 15ML BOTTLES $87.00 ISTAT BMP $134.00 ISTAT BUN/CREATININE $71.00 ISTAT H & H $35.00 ITRACONAZOLE 100 MG CAP (SPORANOX) $10.00 IUD INSERTION KIT $168.00 IUD SUPPLY (PARAGARD) $684.00 IUD SUPPLY MIRENA BRAND ONLY $1,684.00 IUD TRAY $17.00 IUD TRAY $76.00 IV CATH 16 X 2 $11.00 IV CONSCIOUS SEDIATION 1ST 30 MIN $93.00 IV CONSCIOUS SEDIATION EA ADDTL 15 MIN $47.00 IV KIT INCLUDES INSERTION $52.00 IV LOOP CONNECTOR $14.00 IV PUMP TUBING $53.00 IV PUMP TUBING $86.00 IV PUSH, EA NEW DRUG $108.00 IV PUSH, EA SAME DRUG $43.00 IV PUSH, INITIAL $68.00 IV PUSH, INITIAL $176.00 IVEX-2 FILTERSET $24.00 IVEZ 2 FILTERSET $26.00 IVP W/TOMOS ROUTINE $667.00 IVP-INTRAVENOUS PYELOGRAM $425.00 IVY BLEEDING TIME $88.00 IXEMPRA (IXABEPILONE) 15MG KIT $4,324.00 IXEMPRA (IXABEPILONE) 45MG KIT $5,749.00 JABCZENSKI DUCTOGRAM CANNULA 30GA $171.00 JACKSON PRATT 100CC BULB RESERVOIR $27.00 JACKSON PRATT KIT $205.00 JAK2 MUTATION ANALYSIS QUAL REFLEX EXAM $520.00 JAK2 MUTATION ANALYSIS QUALITATIVE $489.00 JAK2 MUTATION ANALYSIS QUANTITATIVE $1,019.00 JAMSHIDI TRAY BONE MARROW BIOPSY $134.00 JELCO 20 X 1 $10.00 JELCO IV CATH 18 X 1 1/4 $18.00 JELCO IV CATH 18 X 1 3/4 $22.00 JET VENTILATION CATHETER $423.00 JEVTANA 60MG (CABAZITAXEL) VIAL $14,260.00 JEWETT NAIL 2 1/2 X 5 $549.00 JEWETT NAIL 3 1/4 X 5 $544.00 JEWETT NAIL 3 3/4 X 5 $544.00 JEWETT NAIL 3 X 5 $544.00 JEWETT NAIL 3.5 X 5 $544.00 JEWETT NAIL 4 X 5 $544.00 JEWETT NAIL 4.5 X 5 $555.00 JO-1 ANTIBODIES $195.00 K WIRE 1.25 $182.00 K WIRE 1.6MM $267.00 Description Price K WIRE CAP $78.00 K WIRE.062 $57.00 KALETRA 200/50MG (LOPINAVIR/RITONAVIR) $50.00 KALTOSTAT PACKING $25.00 KANGAROO PUMP SET $21.00 KAOPECTATE (BISMUTH SUBSALICYLATE) 3 OZ $10.00 KARAYA GUM POWDER 4OZ $87.00 KARAYA PASTE $51.00 KCI CANIST 500ML $153.00 KCI GRANUFOAM- SILVER LG $341.00 KCI GRANUFOAM- SILVER MED $286.00 KCI GRANUFOAM- SILVER SMALL $231.00 KCI VAC GRANUFORM DRESSING LG $256.00 KCI VAC GRANUFORM DRESSING MD $222.00 KCI VAC GRANUFORM DRESSING SM $169.00 KCI WND VAC - NEG PRESS WOUND TX, >50CM $158.00 KENALOG (TRIAMCINALONE ACET) 0.1% LOTION $187.00 KENALOG (TRIAMCINOLONE) INJ 40 MG VIAL $75.00 KENALOG (TRIAMCINOLONE) INJ 40MG/ML -MDV $59.00 KENALOG INJ 40 MG VIAL $31.00 KEPPRA $268.00 KERLIX 3.4 $9.00 KERLIX 4 1/2 $9.00 KERODEX (HYDROPHILIC CREAM) 51 DRY $21.00 KETAMINE 500MG/10ML VIAL (KETALAR) $29.00 KETO DIASTIX $91.00 KETOCONAZOL 2% CREAM 30 GM (NIZORAL) $123.00 KETOCONAZOLE 2% CREAM 15 GM (NIZORAL) $75.00 KETOCONAZOLE 2% SHAMPOO 4OZ (NIZORAL) $37.00 KETOCONAZOLE 200 MG TAB (NIZORAL) $7.00 KETOROLAC 15 MG VIAL (TORADOL) $16.00 KETOROLAC 30 MG VIAL (TORADOL) $14.00 KETOROLAC 60 MG VIAL (TORADOL) $15.00 KEYTRUDA (PEMBROLIZUMAB) 25MG/ML 4ML $7,832.00 KIDNEY SHAPE BALLOON $694.00 KIDNEY STONE RISK ANALYSIS $17.00 KIDNEY STONE TEST $19.00 KINEVAC $219.00 KINEVAC (SINCALIDE) SDV 5MCG $623.00 KING LT-D AIRWAY KIT 3 $77.00 KING LT-D AIRWAY KIT 4 $77.00 KING LT-D AIRWAY KIT 5 $77.00 KINRIX $84.00 KINRIX (DIPHTH/TET/PERTUS)0.5ML VACCINE $80.00 KIRSCHNER WIRE 035 $30.00 KIRSCHNER WIRE 045 $29.00 KIRSCHNER WIRES $43.00 KIRSNR WIRE TYPE E 065 $30.00 KIWI VACUUM DELIVERY SYSTEM $146.00 KLEIHAUER-BETKE $127.00 KLONOPIN $164.00 Description Price KLOR-CON (POTASSIUM CHL) 20 MEQ DONT USE $4.00 KLOR-CON PACKET (POTASSIUM CHL) 20 MEQ $36.00 KNEE ARTHROGRAPHY LT $262.00 KNEE ARTHROGRAPHY RT $262.00 KNEE ARTHROSCOPY/SURGERY $1,828.00 KNEE ARTHROSCOPY/SURGERY $1,828.00 KNEE ARTHROSCOPY/SURGERY $2,196.00 KNEE ARTHROSCOPY/SURGERY $2,196.00 KNEE IMMOBILIZER 20 XLG $48.00 KNEE IMMOBILIZER 20 XXLG $48.00 KNEE LT 1-2V $232.00 KNEE LT 3V $290.00 KNEE LT 5V W SUNRISE/TUNNEL $426.00 KNEE LT ROUTINE 4V $426.00 KNEE RT 1-2V $232.00 KNEE RT 3V $290.00 KNEE RT 5V W SUNRISE/TUNNEL $426.00 KNEE RT ROUTINE 4V $426.00 KNEE SHRINKER $321.00 KNEE SUPP 1/4 SLV LG BLK FITS 14.5 -16 $24.00 KNEE SUPP STABILIZER MEDIUM $57.00 KNEE SUPP W/ STAB PAT-LG $57.00 KNEE SUPP W/ STAB PAT-XLG $57.00 KNEES BILAT AP STANDING $256.00 KNIFE CAUTRY $31.00 KNOWLES PIN 5/32 X 3 1/2 $174.00 KNOWLES PIN 5/32 X 3 1/4 $174.00 KOALA INTRAUTERINE PRESSURE SYSTEM $233.00 KOH PREP $196.00 K-PAD HEATING $8.00 K-PHOS ORIGINAL(POT ACID PHOS) 500MG TAB $7.00 KRAVENEDONK PIN 11 1/2 LG $187.00 K-TAB SA (POTASSIUM CL) 10 MEQ TAB $4.00 KUB-KIDNEYS URETERS & BLADDER $196.00 KUMAR CATHETERS $194.00 K-WIRE .062- DEPUY $99.00 K-WIRE .8ML $94.00 K-WIRE 10 PK $75.00 K-WIRE 186-02-79 $220.00 K-WIRE 186-52 0.035 K WIRE X 3 $186.00 K-WIRE 186-62 0.045 K WIRE $186.00 KWIRE DBL TROCAR TIP SMOOTH 0.9X150MM $193.00 K-WIRE SINGLE TOCAR 0.9 $172.00 KWIRE-W/ETCH 1.1 $172.00 KWIRE-W/ETCH 2.4 NEUTRAL $1,995.00 K-Y LUBRICATING(CHLORHEX GL/GLYC/HE-CE) $16.00 KYPROLIS 60MG (CARFILZOMIB) VIAL $3,945.00 L & DL. LEG/ANKLE JT, DEEP ABSCESS/HEMAT $839.00 L L ADAPTER $22.00 L L MALE ADATER SHORT $8.00 L L NEPHROSTOMY SET $580.00 Description Price L.L. ADAPTER $22.00 LAB ABDOMEN PERITONEUM W/BIO $816.00 LAB ABDOMEN PERITONEUM W/BIO $875.00 LABETALOL 100 MG TABLET (TRANDATE) $7.00 LABETALOL 100MG/20 ML VIAL (TRANDATE) $35.00 LABETALOL 100MG/20ML VIAL (NORMODYNE) $350.00 LABETALOL 20 MG SYRINGE (NORMODYNE) $35.00 LAC-HYDRIN (AMMONIUM LACT) 12% LOTION $129.00 LAC-HYDRIN (AMMONIUM LACT) 5% LOTION $21.00 LACOSAMIDE $263.00 LACRI-LUBE OPTH (LANOLIN/MIN OIL/PET)OIT $8.00 LACRIMAL INTUBATION SET $393.00 LACTASE TABLET 9MU (LACTAID) $6.00 LACTATE $94.00 LACTATED RINGERS 1000ML $17.00 LACTATED RINGERS 500ML $21.00 LACTATED RINGERS IRRIG 3000 $41.00 LACTOBACILLUS TABLET (LACTINEX,FLORANEX) $6.00 LACTULOSE 20G/30ML SOLUTION (CHRONULAC) $14.00 LAG SCREW 100MM S $626.00 LAG SCREW 105 MM $605.00 LAG SCREW 105MM S $605.00 LAG SCREW 110 MM R $577.00 LAG SCREW 110MM S $623.00 LAG SCREW 3 1/2 $648.00 LAG SCREW 3 1/2 X 1 1/8TH $593.00 LAG SCREW 3 1/4 $605.00 LAG SCREW 3 3/4 3/4 $317.00 LAG SCREW 3 3/4 LENGTH $604.00 LAG SCREW 3 INCH $541.00 LAG SCREW 3/4 2 1/2 $298.00 LAG SCREW 3/4 2 3/4 $529.00 LAG SCREW 3/4 3 1/2 $524.00 LAG SCREW 3/4 3 1/4 $586.00 LAG SCREW 3/4 3 3/4 $604.00 LAG SCREW 3/4 4 $362.00 LAG SCREW 3/4 4 1/2 $604.00 LAG SCREW 4 3/4 X 4 3/4 $362.00 LAG SCREW 4 1/2 X 1 1/8 $389.00 LAG SCREW 4 1/2 X 3/4 $389.00 LAG SCREW 4 1/4 1 1/8 $389.00 LAG SCREW 4 3/4 1 1/8 $362.00 LAG SCREW 5 1 1/8 $364.00 LAG SCREW 5 3/4 $362.00 LAG SCREW REGULAR 2 $291.00 LAG SCREW REGULAR 3 $291.00 LAMICTAL $268.00 LAMICTAL (LAMOTRIGINE) 100 MG TABS $6.00 LAMIVUDINE 150 MG TABLETS (EPIVIR) $48.00 LAMOTRIGINE (LAMICTAL) 25 MG TAB $11.00 LANGUAGE COMP CURRENT STATUS-CHGN $1.00 Description Price LANGUAGE COMP CURRENT STATUS-CIGN $1.00 LANGUAGE COMP CURRENT STATUS-CJGN $1.00 LANGUAGE COMP CURRENT STATUS-CKGN $1.00 LANGUAGE COMP CURRENT STATUS-CLGN $1.00 LANGUAGE COMP CURRENT STATUS-CMGN $1.00 LANGUAGE COMP CURRENT STATUS-CNGN $1.00 LANGUAGE COMP DISCHARGE STATUS-CHGN $1.00 LANGUAGE COMP DISCHARGE STATUS-CIGN $1.00 LANGUAGE COMP DISCHARGE STATUS-CJGN $1.00 LANGUAGE COMP DISCHARGE STATUS-CKGN $1.00 LANGUAGE COMP DISCHARGE STATUS-CLGN $1.00 LANGUAGE COMP DISCHARGE STATUS-CMGN $1.00 LANGUAGE COMP DISCHARGE STATUS-CNGN $1.00 LANGUAGE COMPREHENSION GOAL STATUS-CHGN $1.00 LANGUAGE COMPREHENSION GOAL STATUS-CIGN $1.00 LANGUAGE COMPREHENSION GOAL STATUS-CJGN $1.00 LANGUAGE COMPREHENSION GOAL STATUS-CKGN $1.00 LANGUAGE COMPREHENSION GOAL STATUS-CLGN $1.00 LANGUAGE COMPREHENSION GOAL STATUS-CMGN $1.00 LANGUAGE COMPREHENSION GOAL STATUS-CNGN $1.00 LANGUAGE EXPR DISCHARGE STATUS-CHGN $1.00 LANGUAGE EXPR DISCHARGE STATUS-CIGN $1.00 LANGUAGE EXPR DISCHARGE STATUS-CJGN $1.00 LANGUAGE EXPR DISCHARGE STATUS-CKGN $1.00 LANGUAGE EXPR DISCHARGE STATUS-CLGN $1.00 LANGUAGE EXPR DISCHARGE STATUS-CMGN $1.00 LANGUAGE EXPR DISCHARGE STATUS-CNGN $1.00 LANGUAGE EXPRESSION CURRENT STATUS-CHGN $1.00 LANGUAGE EXPRESSION CURRENT STATUS-CIGN $1.00 LANGUAGE EXPRESSION CURRENT STATUS-CJGN $1.00 LANGUAGE EXPRESSION CURRENT STATUS-CKGN $1.00 LANGUAGE EXPRESSION CURRENT STATUS-CLGN $1.00 LANGUAGE EXPRESSION CURRENT STATUS-CMGN $1.00 LANGUAGE EXPRESSION CURRENT STATUS-CNGN $1.00 LANGUAGE EXPRESSION GOAL STATUS-CHGN $1.00 LANGUAGE EXPRESSION GOAL STATUS-CIGN $1.00 LANGUAGE EXPRESSION GOAL STATUS-CJGN $1.00 LANGUAGE EXPRESSION GOAL STATUS-CKGN $1.00 LANGUAGE EXPRESSION GOAL STATUS-CLGN $1.00 LANGUAGE EXPRESSION GOAL STATUS-CMGN $1.00 LANGUAGE EXPRESSION GOAL STATUS-CNGN $1.00 LANOLIN/MIN OIL/PET OPTH UD (LACRI-LUBE) $14.00 LANOLIN/MIN.OIL LOTION 8 OZ (KERI) $20.00 LANREOTIDE(SOMATULINE DEPOT) 120MG/0.5ML $11,066.00 LAP ABLTJ UTERINE FIBROIDS W/INTRAOP US $1,615.00 LAP ABLTJ UTERINE FIBROIDS W/INTRAOP US $1,615.00 LAP BAND ADJUSTMENT $174.00 LAP DIAPHRAGMATIC HERNIA REPAIR $4,223.00 LAP INCISONAL REP W/MESH $1,385.00 LAP INCISONAL REP W/MESH $1,385.00 LAP INGUINAL MESH $750.00 Description Price LAP MYOMECTOMY EXC 1-4 MYOMAS 250 GM/< $1,920.00 LAP MYOMECTOMY EXC 1-4 MYOMAS 250 GM/< $1,920.00 LAP REPAIR INCISIONAL HERNIA REDUCIBLE $1,861.00 LAP SPONGE 18 X 36 $17.00 LAP SPONGES 18 X 18 $11.00 LAP SUPRACERVICAL HYSTERECTOMY 250 GM/< $1,521.00 LAP SUPRACERVICAL HYSTERECTOMY 250 GM/< $1,521.00 LAP SUPRACRV HYSTERECT 250 GM/< RMVL $1,737.00 LAP SUPRACRV HYSTERECT 250 GM/< RMVL $1,737.00 LAP SURG REPAIR INITI INGUINAL HERNIA $1,014.00 LAP SURG;W/FULG/EXCIS LES-OVARY $1,264.00 LAP SURG;W/FULG/EXCIS LES-OVARY $1,264.00 LAP TOT HYSTERECT >250 G W/TUBE/OVAR $2,580.00 LAP TOT HYSTERECT >250 G W/TUBE/OVAR $2,580.00 LAP TOTAL HYSTERECT 250 GM/< W/RMVL T/O $2,043.00 LAP TOTAL HYSTERECT 250 GM/< W/RMVL T/O $2,043.00 LAP TOTAL HYSTERECT UTERUS >250 GM $2,164.00 LAP TOTAL HYSTERECT UTERUS >250 GM $2,164.00 LAP VENT/ABD HERNIA REPAIR $1,728.00 LAP VENT/ABD HERNIA REPAIR $1,728.00 LAP W TOTAL HYSTERECTOMY UTERUS 250 GM/< $1,348.00 LAP W TOTAL HYSTERECTOMY UTERUS 250 GM/< $1,348.00 LAP. VENT. INCISION HERNIA REPAIR W/MESH $1,184.00 LAPAR MECKEL DIVERTICULECTOMY $1,760.00 LAPARO HERNIA REPAIR INIT $922.00 LAPARO HERNIA REPAIR RECUR $875.00 LAPARO HERNIA REPAIR RECUR $875.00 LAPARO PARTIAL COLECTOMY $3,697.00 LAPARO SLING OPERATION FOR STRESS INCONT $2,017.00 LAPARO SLING OPERATION FOR STRESS INCONT $2,017.00 LAPARO W/LYSIS;OCCLUSION OVIDUCTS $604.00 LAPARO W/LYSIS;OCCLUSION OVIDUCTS $604.00 LAPAROSCOPIC CHOLANGIOGRAPHY CATH $134.00 LAPAROSCOPIC WIRE L HOOK 33CM $180.00 LAPAROSCOPY APPENDECTOMY $1,064.00 LAPAROSCOPY APPENDECTOMY $1,409.00 LAPAROSCOPY COLPOPEXY SUSPEN VAG APEX $2,353.00 LAPAROSCOPY DX;W OR W/O $660.00 LAPAROSCOPY DX;W OR W/O $660.00 LAPAROSCOPY PACK $67.00 LAPAROSCOPY PROCEDURE $1,628.00 LAPAROSCOPY PROCEDURE $1,628.00 LAPAROSCOPY W/LYSIS OF ADHESIONS $1,615.00 LAPAROSCOPY W/LYSIS OF ADHESIONS $1,615.00 LAPAROSCOPY W/VAG HYSTERECTOMY $2,187.00 LAPAROSCOPY, REMOVE ADNEXA $1,556.00 LAPAROSCOPY, REMOVE ADNEXA $1,556.00 LAPAROSCOPY/SURG/URETHR $1,375.00 LAPAROSCOPY/SURG/URETHR $1,375.00 LAPAROSCOPY;ENTEROLYSIS $2,146.00 LAPAROSCOPY;ENTEROLYSIS $2,146.00 Description Price LAPAROSHIELD- FILTRATION SYSTEM $110.00 LAPAROTOMY/EXPLORATORY $1,275.00 LAPAROTOMY/EXPLORATORY $1,275.00 LAPARO-VAG HYST INCL T/O $2,762.00 LAPARO-VAG HYST INCL T/O $2,762.00 LAPARSCPY SURG CHOLECT W/CHOLANGIO $1,248.00 LAPARSCPY SURG CHOLECT W/CHOLANGIO $1,248.00 LAPARSCPY SURG; W/ASPIR CAVITY/CYST $626.00 LAPARSCPY SURG; W/ASPIR CAVITY/CYST $626.00 LAPARSCPY SURGICAL; W/FULG OVIDUCTS $248.00 LAPARSCPY SURGICAL; W/FULG OVIDUCTS $636.00 LAPARSCPY SURGICAL; W/FULG OVIDUCTS $636.00 LAPROSCOPIC INCISIONAL HERNIA REP 1-4 YR $2,090.00 LAPROSCOPIC INCISIONAL HERNIA REP 1-4 YR $2,090.00 LAPROSCOPIC INCISIONAL HERNIA REP W/MESH $850.00 LAPROSCOPIC VENT INCISION HERNIA REPARI $1,692.00 LAPROSCOPIC VENT INCISION HERNIA REPARI $1,692.00 LAPS TX ECTOPIC PREG W/SALPING/OOPHORECT $1,833.00 LARGETEAR CROSS CUT RASP $412.00 LARYNGOSCOPE BLADE MAC # CHILD $44.00 LARYNGOSCOPE BLADE MAC # INFANT $44.00 LARYNGOSCOPE BLADE MAC #2 $44.00 LARYNGOSCOPE BLADE MAC #3 $44.00 LARYNGOSCOPE BLADE MAC #4 $44.00 LARYNGOSCOPE BLADE MILLER #0 $44.00 LARYNGOSCOPE BLADE MILLER #1 $44.00 LARYNGOSCOPE BLADE MILLER #2 $44.00 LARYNGOSCOPE BLADE MILLER #3 $44.00 LARYNGOSCOPE BLADE MILLER #4 $44.00 LARYNGOSCOPE SIZE 3 MACGRATH $156.00 LARYNGOSCOPE SIZE 4 MACGRATH $156.00 LASER SURGERY YAG $1,100.00 LATANOPROST OPTH SOLN 0.005% (XALATAN) $36.00 LDH $92.00 LDH BODY FLUID $92.00 LDL $74.00 LDS 15W STAPLES $123.00 LDS 6W STAPLES $109.00 LEAD 28 $3,880.00 LEAD CARE - REFLEX CONFIRMATION $75.00 LEAD INTRODUCER- INTERSTIM $605.00 LEAD PLASMA (ADULT) $52.00 LEAD PLASMA (PEDIATRIC) $54.00 LEAD- TEST- INTERSTIM $220.00 LEAD URINE $52.00 LEEP LOOP ELECTRODE EXCISION $108.00 LEFLUNOMIDE 10 MG TABLET $43.00 LEFLUNOMIDE 20 MG TABLET (ARAVA) $46.00 LEG SCREW 1 1/8 X 4 $343.00 LEGAL SPECIMEN COLLECTION $22.00 LEGIONELLA AG URINE $224.00 Description Price LEGIONELLA PNEUMOPHILA ANTIBODY $80.00 LENS, AMOTECNIS Z9002 IOL $37.00 LESCOL (FLUVASTATIN) 20 MG CAP $9.00 LEUCOVORIN 350 MG VIAL $121.00 LEUCOVORIN 100MG VIAL $95.00 LEUCOVORIN 200MG VIAL $125.00 LEUCOVORIN 350 MG $67.00 LEUCOVORIN 50 MG $21.00 LEUCOVORIN 500 MG VIAL $83.00 LEUCOVORIN CALC 5 MG TAB $10.00 LEUKOCYTE ALKALINE PHOSPHATASE $76.00 LEUKOCYTE ALKPHOS STAIN $75.00 LEVALBUTEROL (XOPENEX) 1.25MG U/D $36.00 LEVAQUIN (LEVOFLOXACIN) 250 MG TAB $6.00 LEVAQUIN (LEVOFLOXACIN) 750 MG INJ $321.00 LEVAQUIN IV 250 MG PREMIX (LEVOFLOXACIN) $40.00 LEVAQUIN IV 500MG VIAL (LEVOFLOXACIN) $208.00 LEVAQUIN IV 750MG PREMIX (LEVOFLOXACIN) $91.00 LEVEL 1 BOARDER $2,098.00 LEVEL 1 DELIVERY $2,306.00 LEVEL 1 LABOR $1,731.00 LEVEL 1 NEWBORN $1,244.00 LEVEL 2 BOARDER $1,857.00 LEVEL 2 DELIVERY $2,921.00 LEVEL 2 LABOR $2,192.00 LEVEL 2 NEWBORN $2,222.00 LEVEL 3 DELIVERY $3,536.00 LEVEL 3 LABOR $2,652.00 LEVEL 3 NEWBORN $1,920.00 LEVEMIR FLEXPEN (INSUL DETEMIR) 100U/1ML $158.00 LEVETIRACETAM 100MG/ML ORAL SOL 5MLDOSE $8.00 LEVETIRACETAM 250MG TABLET (KEPPRA) $6.00 LEVETIRACETAM 500MG/5ML VIAL (KEPPRA) $112.00 LEVETIRACETAM/NS 100ML $110.00 LEVIN TUBE 14 FR $22.00 LEVIN TUBE 16FR $8.00 LEVIN TUBE 18FR $8.00 LEVINE TUBE 12 FR $8.00 LEVOFLOXACIN 500 MG TABLET (LEVAQUIN) $7.00 LEVOFLOXACIN IV 500 MG PREMIX (LEVAQUIN) $45.00 LEVOTHYROXINE (SYNTHROID) 500MCG INJ $10.00 LEVOTHYROXINE 100 MCG TAB (SYNTHROID) $6.00 LEVOTHYROXINE 100MCG VIAL (SYNTHROID) $537.00 LEVOTHYROXINE 112 MCG TAB (SYNTHROID) $4.00 LEVOTHYROXINE 125MCG TABLET (SYNTHROID) $7.00 LEVOTHYROXINE 175 MCG TAB (SYNTHROID) $4.00 LEVOTHYROXINE 25 MCG TABLET (SYNTHROID) $6.00 LEVOTHYROXINE 50 MCG TABLET (SYNTHROID) $7.00 LEVOTHYROXINE 75 MCG TABLET (SYNTHROID) $7.00 LEVOTHYROXINE 88 MCG TABLET (SYNTHROID) $6.00 LG HINGED KNEE BRACE $219.00 Description Price LG LAP VENTRAL MESH $2,975.00 LG MED SACRO BELT $98.00 LG OPEN TOE HEEL BOOT $59.00 LG WOMENS SHOULDER IMOBL $126.00 LIBRIUM (CHLORDIAZEPOXIDE) 100 MG AMPS $42.00 LIDOCAIN/PRILOCAINE CREAM 2.5% (EMLA) $14.00 LIDOCAINE $70.00 LIDOCAINE (LIDODERM) 5% PATCH $32.00 LIDOCAINE 0.5%MPF 50 ML VIAL (XYLOCAINE) $26.00 LIDOCAINE 1 GM/250 D5W (4MG/ML) $43.00 LIDOCAINE 1% (50MG) SYRINGE $68.00 LIDOCAINE 1% (XYLOCAINE) 20ML BOTTLE $17.00 LIDOCAINE 1% MPF 2ML AMPULE (XYLOCAINE) $16.00 LIDOCAINE 2 GM/250 D5W (8MG/ML) $40.00 LIDOCAINE 2% (100MG) SYRINGE $28.00 LIDOCAINE 2% (XYLOCAINE) MDV $24.00 LIDOCAINE 2% MPF 5ML AMPULE (XYLOCAINE) $27.00 LIDOCAINE 2% MPF AMPULES (XYLOCAINE) $11.00 LIDOCAINE 2%/EPI-MPF 20ML SDV $71.00 LIDOCAINE 4% AMPULES 5ML $33.00 LIDOCAINE 5% DEXTROSE AMPULE (XYLOCAINE) $46.00 LIDOCAINE 5% OINTMENT (XYLOCAINE) $68.00 LIDOCAINE JELLY 2% 30ML (XYLOCAINE) $20.00 LIDOCAINE JELLY 2% 5ML TUBE (XYLOCAINE) $10.00 LIDOCAINE TOPICAL 4% SOLUTION $12.00 LIDOCAINE TOPICAL SOLUTION 4% 160MG/4ML $126.00 LIDOCAINE VISCOUS 2% 15ML $7.00 LIDOCAINE VISCOUS 2% 100ML (XYLOCAINE) $101.00 LIDOCAINE/EPI 1% (XYLOCAIN/EPI) 20ML MDV $18.00 LIDOCAINE/EPI 2% (XYLOCAIN/EPI)20ML MDV $23.00 LIFE SAVER KIT $55.00 LIG INTRL HEMORRHOIDS; SINGLE PRO $58.00 LIG INTRL HEMORRHOIDS; SINGLE PRO $358.00 LIG INTRL HEMORRHOIDS; SINGLE PRO $358.00 LIG RECONSTRUCT KNEE INTRA ARTICLE $1,835.00 LIG RECONSTRUCT KNEE INTRA ARTICLE $1,835.00 LIGAMAX 5mm. $458.00 LIGASURE LAP $819.00 LIGASURE LAPAROSCOPIC SEALER/DIVIDER $889.00 LIGASURE OPEN BX/6 $1,133.00 LIGASURE SMALL $796.00 LIGATION INTERNAL HEMORRHOIDS $691.00 LIGATION INTERNAL HEMORRHOIDS $691.00 LIGATION, MAJOR ARTERY; ABDOMEN $2,987.00 LIGATION, MAJOR ARTERY; EXTREMITY $907.00 LIGATION/BIOPSY/TEMP $468.00 LINDANE LOTION 60 ML (KWELL) $19.00 LINDANE SHAMPOO 60 ML (KWELL) $22.00 LINER CANISTER SUCTION $13.00 LINEZOLID 600MG/300ML IV RTU (ZYVOX) $625.00 LINT ROLLER REFILL $23.00 Description Price LIPASE $92.00 LIPID ASSOCIATED SIALIC ACID $75.00 LIPID PANEL $117.00 LIPOPROFILE $68.00 LIPOPROTEIN a $253.00 LIPOPROTEIN ELECTROPHORESIS $63.00 LIPOSYN 500 $76.00 LISINOPRIL 10 MG TAB (PRINIVIL) $6.00 LISINOPRIL 20 MG TAB (PRINIVIL) $6.00 LISINOPRIL 5 MG TABLET (PRINIVIL) $6.00 LISTERIA ANTIBODY $164.00 LITHIUM $110.00 LITHIUM CARBONATE 300 MG TABLET $6.00 LITHIUM CARBONATE ER 450 MG TABLET $4.00 LIVER BX $234.00 LIVER KIDNEY MICOSOMAL ANTIBODIES $88.00 L-LYSINE 500MG TABLET $4.00 LNG T TUBE SILCONE 12MM $117.00 LODINE XL 500MG $10.00 LONG ARM CAST $182.00 LONG ARM CAST $182.00 LONG ARM SPLINT $173.00 LONG ARM SPLINT $173.00 LONG ARM SPLINT $123.00 LONG LEG CAST $226.00 LONG LEG CAST $226.00 LONG LEG SPLINT $129.00 LONG LEG SPLINT $129.00 LONG LEG SPLINT $156.00 LOOP-LOCK COCKUP SPLINT LT,SM $46.00 LOPERAMIDE 1MG/5ML (IMODIUM) $14.00 LOPERAMIDE 2 MG CAPSULE (IMODIUM) $6.00 LOPRO SCRW 3.5 MMX 18MM $411.00 LOPRO SCRW 3.5 MMX 20MM $411.00 LOPRO SCRW 3.5 MMX 26MM $411.00 LOPRO SCRW 4.0MM 16MM $411.00 LOPRO SCRW 4.0MM 32MM $411.00 LORABID (LORACEF) 250 MG/5ML SUSP $120.00 LORACARBEF 100 MG SUSP (LORABID) $72.00 LORACARBEF 200 MG CAP (LORABID) $17.00 LORATADINE 10MG/10ML SYRUP (CLARITIN) $93.00 LORAZEPAM 0.5 MG TABLETS (ATIVAN) $11.00 LORAZEPAM 1MG TABLET (ATIVAN) $11.00 LORAZepam 2 MG VIAL (ATIVAN) $23.00 LORAZEPAM 2MG/1ML ORAL CONCENTRATE $60.00 LOSARTAN POT/HCTZ 50-12.5MG TAB (HYZAAR) $6.00 LOSARTAN POTASSIUM 25MG TABLET (COZAAR) $7.00 LOSARTAN POTASSIUM 50 MG TABLET (COZAAR) $8.00 LOTRISONE (CLOTRIMAZOLE/BETAMETHA)LOTION $95.00 LOVASTATIN 20 MG TABLET (MEVACOR) $13.00 LOVENOX (ENOXAPARIN) 60 MG SYRINGE $184.00 Description Price LOVENOX (ENOXAPARIN) 100 MG SYRINGE $306.00 LOVENOX (ENOXAPARIN) 120MG SYRINGE $246.00 LOVENOX DOSE (MLWH) $299.00 LRG FROG FINGER SPLINT $24.00 L-S RATIO W/PG $52.00 LTA 360 KIT $67.00 LUKEN TUBE $32.00 LUMBAR TAP DIAGNOSTIC $224.00 LUMIGAN (BIMATOPROST) 0.01% OPTH SOLN $121.00 LUNELLE .5 ML $50.00 LUNESTA 2MG TABLET (ESZOPICLONE) $40.00 LUPRON DEPO KIT $1,071.00 LUPRON DEPOT (LEUPROLIDE) 3.75 MG KIT $1,020.00 LUPRON DEPOT KIT(LEUPROLIDE) 11.25 MG $1,691.00 LUPRON DEPOT KIT(LEUPROLIDE) 22.5 MG $3,860.00 LUPRON DEPOT KIT(LEUPROLIDE) 30 MG KIT $7,794.00 LUPRON DEPOT KIT(LEUPROLIDE) 7.5 MG $2,703.00 LUPRON DEPOT KIT(LEUPROLIDE) 7.5 MG KI $1,188.00 LUPUS ANTICOAGUAN/PHOSPHOLIPIS AB (4) $76.00 LUPUS ANTICOAGULAN/PHOSPHOLIPID AB (B) $76.00 LUPUS ANTICOAGULAN/PHOSPHOLIPID AB (D) $76.00 LUPUS ANTICOAGULANT $85.00 LUPUS ANTICOAGULANT/CARDIOLIPIN $99.00 LUPUS ANTICOAGULATION $256.00 LUTEINIZING HORMONE $114.00 LYME DISEASE IGG $83.00 LYME DISEASE IGM $81.00 LYNC 2.3 MM DRILL BIT $484.00 LYNC, M-O $1,758.00 LYRICA 50MG CAPSULE (PREGABALIN) $25.00 LYRICA 75MG CAPSULE (PREGABALIN) $25.00 LYSIS OF ADHESIONS $1,519.00 LYSIS OF ADHESIONS $1,519.00 LYSIS OF LABIAL ADHESIONS $270.00 LYSIS OF LABIAL ADHESIONS $270.00 LYSOSOMAL ENZYME SCREEN $87.00 MA60AC IOL ALCON $156.00 MACROPROLACTIN $115.00 MAG-AL PLUS 200/200/20MG(MAG/ALUM/SIMET) $1.00 MAG-AL PLUS ES 400/400/40MG/5ML 30ML $1.00 MAGNA-DRAPE $68.00 MAGNESIA CITRATE (CITRATE MAG) 10 OZ SOL $13.00 MAGNESIUM $74.00 MAGNESIUM GLUCONATE(MAG.GLUFC)500MG TAB $4.00 MAGNESIUM OXIDE (MAGNESIUM) 400 MG TAB $6.00 MAGNESIUM RBC $74.00 MAGNESIUM SULF 4G/100ML ST WATER **OB** $46.00 MAGNESIUM SULF/ST WATER 20GM/500ML**OB** $40.00 MAGNESIUM SULFATE (MAG SULF)50% 10 GM $26.00 MAGNESIUM SULFATE (MAG.SULF) 50% 25GM $39.00 MAGNESIUM SULFATE 1G/100ML D5W PREMIX $45.00 Description Price MAGNESIUM SULFATE 1G/100ML NS $55.00 MAGNESIUM SULFATE 2G/100ML NS $80.00 MAGNESIUM SULFATE 2G/50ML $43.00 MAGNESIUM SULFATE 50 % VIAL 5 GM $26.00 MAGNESIUM SULFATE 50% 1G/2ML $30.00 MAGNESIUM SULFATE 50% 5GM SYRINGE $26.00 MAGNESIUM URINE $71.00 MALARIA SMEAR $63.00 MAMMO GUID NEEDLE PLC BRST/EAR/RS&I $51.00 MAMMO GUID NEEDLE PLC BRST/EAR/RS&I $51.00 MAMMOL BREAST CREAM $18.00 MAMMOL BREAST CREAM $51.00 MANDIBLE COMPLETE-MIN 4V $205.00 MANDIBULAR FRACTURE $1,178.00 MANGANESE PLASMA $88.00 MANIFOLD EXTENSION SET $68.00 MANIP FNG JNT;ANESTH EA JNT $521.00 MANIP FNG JNT;ANESTH;EA JNT $521.00 MANNITOL (MANNITOL 25%) 12.5 GM VIAL $32.00 MANNITOL20% 500ML (OSMITROL ) $64.00 MANUAL SCREENING LIQUID-BASED PAP $57.00 MARCAINE/EPI (BUPIVACAINE/EPINEPH) 0.75% $49.00 MARINOL (DRONABINOL) 2.5MG CAPSULE $28.00 MARLIX MESH 10X14 26X26 $529.00 MARSHAL MARCH $1,157.00 MARSUPIAL BARTHOLIN GLAND $327.00 MARSUPIAL BARTHOLIN GLAND $327.00 MASIMO DISPOSIBLE EAR PROBE $120.00 MASK 02 PED $13.00 MASK ADULT $5.00 MASK ADULT 02 $8.00 MASK ADULT AEROSOL $8.00 MASK AEROSOL ADULT DO NOT USE $8.00 MASK AEROSOL PED $8.00 MASK BIPAP LARGE $150.00 MASK BIPAP MEDIUM $150.00 MASK BIPAP SMAILL $150.00 MASK CPAP HARNESS ADULT $41.00 MASK FACE INFANT $14.00 MASK ISOLATION $29.00 MASK JEMSDALE ADULT O2/CO2 $40.00 MASK MULTIVENT PEDS $20.00 MASK NON REBREATH $7.00 MASK NON REBREATH $26.00 MASK PEDIATRIC NON REBREATHER $21.00 MASK PEDS AEROSOL $8.00 MASK PEDS OXYGEN $11.00 MASK PERFORMANCE BIPAP LARGE $164.00 MASK PERFORMANCE BIPAP MEDIUM $164.00 MASK PERFORMANCE PIPAP SMALL $164.00 MASK RE BREATHING $13.00 Description Price MASK REBREATHER $12.00 MASK VENTURI $33.00 MASK, CUSH, SM, SZ 0, NEONATE $9.00 MAST, SIMPLE, COMP. $2,141.00 MASTECTOMY FOR GYNECOMASTIA $872.00 MASTECTOMY PARTIAL $1,548.00 MASTECTOMY SIMPLE $1,030.00 MASTECTOMY SIMPLE COMPLETE $1,072.00 MASTECTOMY, MOD. RADICAL, INC AUX LYNPH $2,375.00 MASTECTOMY, MOD. RADICAL, INC AUX LYNPH $2,375.00 MASTISOL 15ML BOTTLE UNIT $60.00 MASTISOL LIQUID ADHESIVE 2/3ML $12.00 MASTOID MIN 3V/SIDE $362.00 MASTOTOMY/INCISION OF BREAST LESION $961.00 MASTOTOMY/INCISION OF BREAST LESION $961.00 MATTRESS CUSHION SOFCARE $165.00 MATULANE (PROCARBAZINE) 50 MG. CAPS $6.00 MAXAIRE (PIRBUTEROL) AUTOHALER 400 INHAL $119.00 MAXCORE 14GA NEEDLE $308.00 MAXCORE 16GA NEEDLE $308.00 MAXCORE 18GA NEEDLE $308.00 MAXORB EXTRA AG+(SILVER)4X4.75 $37.00 MD OPEN TOE HEEL BOOT $59.00 MECHOL $132.00 MECLIZINE 25 MG TABLET (ANTIVERT) $10.00 MECLOFENAMATE 50 MG CAP $10.00 MECONIUM ASPIRATOR $31.00 MECONIUM DRUG SCREEN $416.00 MED FROG FINGER SPLINT $24.00 MEDI FLOW LENS $242.00 MEDICAL NUTRITION THERAPY GROUP $82.00 MEDICAL NUTRITION TX PER 15 MIN $37.00 MEDICAL SERVICES AFTER HRS $30.00 MEDI-DRAW FEE $22.00 MEDI-FLOW LENS $102.00 MEDIHONEY DRESSING MEDHNY CALCM ALGT $29.31 MEDIHONEY GEL IN TUBE 1.5 OZ $72.00 MEDIHONEY HYDROGEL 4.3 X 4.3 $33.00 MEDIHONEY HYDROGEL GEL 2.4 X 2.4 $26.00 MEDIPORE +PAD 15X15 $8.00 MEDIPORE +PAD 2X2 3/4 $4.00 MEDIPORE +PAD 3.5X4 $4.00 MEDIPORE +PAD 3.5X8 $7.00 MEDROXYPROGESTERONE 10MG TABLET(PROVERA) $10.00 MEDROXYPROGESTERONE 150MG (DEPO-PROVERA) $81.00 MEDROXYPROGESTERONE 2.5 MG TAB (PROVERA) $6.00 MEGESTROL ORAL SUSP 40MG/1ML 10ML $10.00 MEGESTROL (MEGACE) 20 MG TABS $7.00 MELLARIL $58.00 MELLARIL (THIORIDAZINE CONC) 30MG/ML $80.00 MELOXICAM 7.5 MG TABLET (MOBIC) $6.00 Description Price MEMANTINE (NAMENDA) 10MG TABLET $34.00 MEMANTINE XR 7MG CAPSULE (NAMENDA) $70.00 MEMORY CURRENT STATUS-CHGN $1.00 MEMORY CURRENT STATUS-CIGN $1.00 MEMORY CURRENT STATUS-CJGN $1.00 MEMORY CURRENT STATUS-CKGN $1.00 MEMORY CURRENT STATUS-CLGN $1.00 MEMORY CURRENT STATUS-CMGN $1.00 MEMORY CURRENT STATUS-CNGN $1.00 MEMORY DISCHARGE STATUS-CHGN $1.00 MEMORY DISCHARGE STATUS-CIGN $1.00 MEMORY DISCHARGE STATUS-CJGN $1.00 MEMORY DISCHARGE STATUS-CKGN $1.00 MEMORY DISCHARGE STATUS-CLGN $1.00 MEMORY DISCHARGE STATUS-CMGN $1.00 MEMORY DISCHARGE STATUS-CNGN $1.00 MEMORY GOAL STATUS-CHGN $1.00 MEMORY GOAL STATUS-CIGN $1.00 MEMORY GOAL STATUS-CJGN $1.00 MEMORY GOAL STATUS-CKGN $1.00 MEMORY GOAL STATUS-CLGN $1.00 MEMORY GOAL STATUS-CMGN $1.00 MEMORY GOAL STATUS-CNGN $1.00 MENACTRA (MENINGOC ACY) VACCINE $192.00 MENACTRA/MENVEO $178.54 MENOMUNE $111.00 MENOMUNE $191.01 MENOMUNE 0.05MG(MENINGOCOCCAL VACC) $195.00 MENVEO (MENINGOCOCCAL) VACCINE SDV $157.00 MEPHOBARBITO $90.00 MEPHYTON (PHYTONADIONE) 5MG TABLET $74.00 MEPILEX 4X4 10X10 DRESSING $26.00 MEPILEX BORDER LITE 7.5 X 7.5 3 X 3 $7.00 MEPILEX BORDER LITE 7.5 X 7.5 6X6 $7.00 MEPIVACAINE 1% VIAL (POLOCAINE) $62.00 MEPIVACAINE 1.5% VIAL (POLOCAINE) $75.00 MERCURY LEVEL $145.00 MERCURY LEVEL URINE $55.00 MEROPENEM 1G VIAL (MERREM) $192.00 MEROPENEM 1GM/NS 50ML *DUPLEX* $103.00 MEROPENEM 500MG VIAL (MERREM) $58.00 MERSELENE 10-0 $173.00 MESH ELLIPSE ECHO $2,578.00 MESH ELLIPSE ECHO $2,578.00 MESH LG LEFT 3D MAX 4 X6 $553.00 MESH LG RIGHT 3D MAX 4 X6 $553.00 MESH MED LEFT 3D MAX 3 X5 $539.00 MESH MED RIGHT 3D MAX 3 X5 $539.00 MESH PARIETEX 9CM $665.00 MESH- SELF FIX PROGRIP $925.00 MESH VENTRALIGHT 11.4CM CIRCLE $905.00 Description Price MESH VENTRALIGHT 15X20CM ELIPSE $1,385.00 MESH VENTRALIGHT 20X25CM $2,846.00 MESNA 1G/10ML VIAL $18.00 METACARPAL FX W/MANIP $501.00 METACARPAL FX W/MANIP $527.00 METACARPAL FX W/MANIP $1,152.00 METACARPAL FX W/O MANIP $424.00 METACARPAL FX W/O MANIP $455.00 METACARPAL FX W/O MANIP $474.00 METACARPEL SPLINT PAD LG LEFT $15.00 METACARPEL SPLINT PAD LG RIGHT $15.00 METACARPEL SPLINT PAD MD LEFT $15.00 METACARPEL SPLINT PAD MD RIGHT $15.00 METACARPEL SPLINT PAD SM LEFT $15.00 METACARPEL SPLINT PAD SM RIGHT $15.00 METAMUCIL (PSYLLIUM FIBER) PACKETS $6.00 METANEPHRINES 24-HOUR URINE $142.00 METANEPHRINES PLASMA $363.00 METANEPHRINES RANDOM URINE $74.00 METAPROTERANOL 10MG TABLET (ALUPENT) $4.00 METAPROTERENOL 10MG/5ML 2 OZ $10.00 METAPROTERENOL 200/INH NEB 650MCG $109.00 METAPROTERENOL INHAL SOLN 5% $79.00 METATARSAL FX $437.00 MetFORmin 500 MG TAB (GLUCOPHAGE) $6.00 MetFORmin 850 MG TABS (GLUCOPHAGE) $8.00 METHANOL $66.00 METHIMAZOLE 10MG TABLET (TAPAZOLE) $4.00 METHIMAZOLE 5MG TAB (TAPAZOLE) $6.00 METHOCARBAMOL 500MG TABLET (ROBAXIN) $6.00 METHOCARBAMOL 750 MG TABLET (ROBAXIN) $6.00 METHOTREXATE $95.00 METHOTREXATE 2.5 MG TAB $10.00 METHOTREXATE 50 MG VIAL $65.00 METHOTREXATE SODIUM $50.00 METHYLDOPA 250 MG TABLET $6.00 METHYLDOPA/HCTZ 250/25 TABLET (ALDORIL) $4.00 METHYLDOPA/HCTZ 250MG/15 TABLET $4.00 METHYLDOPATE 250MG/5ML VIAL $57.00 METHYLENE BLUE 1% 10ML SINGLE DOSE VIAL $102.00 METHYLERGONOVINE 0.2 MG TAB (METHERGINE) $101.00 METHYLERGONOVINE 0.2MG (METHERGINE) $28.00 METHYLMALONIC ACID SERUM $137.00 METHYLMALONIC ACID URINE $134.00 METHYLPHENIDATE 5MG TABLET (RITALIN) $4.00 METHYLPREDNISOLONE (SOLU-MEDROL): 125MG $32.00 METHYLPREDNISOLONE 1GM (SOLU-MEDROL) $120.00 METHYLPREDNISOLONE 40MG (DEPO-MEDROL) $11.00 METHYLPREDNISOLONE 4MG TABLET (MEDROL) $11.00 METHYLPREDNISOLONE 500MG (SOLU-MEDROL) $86.00 METHYLPREDNISOLONE 80MG (DEPO-MEDROL) $71.00 Description Price METHYLTETRAHYDROFOLATE REDUCRTASE $45.00 METHYLTETRAHYDROFOLATE REDUCTASE $47.00 METOCLOPRAMIDE 1 MG/ML 2 0Z (REGLAN) $15.00 METOCLOPRAMIDE 10 MG TAB (REGLAN) $6.00 METOCLOPRAMIDE 10MG/2ML INJ (REGLAN) $18.00 METOCLOPRAMIDE 5 MG TABLET (REGLAN) $4.00 METOLAZONE 2.5 MG TABLET (ZAROXOLYN) $8.00 METOLAZONE 5MG TABLET (ZAROXOLYN) $8.00 METOPROLOL 25 MG TABLET (LOPRESSOR) $6.00 METOPROLOL 50 MG TABLET (LOPRESSOR) $6.00 METOPROLOL 5MG/5ML VIAL (LOPRESSOR) $18.00 METOPROLOL SUCC XL 100 MG TABLET $16.00 METOPROLOL SUCC XL 25MG TAB (TOPROL XL) $10.00 METRONIDAZOLE 0.75% VAG 70G GEL $57.00 MetroNIDAZOLE 250 MG TAB (FLAGYL) $8.00 MetroNIDAZOLE 500MG PREMIX (FLAGYL) $16.00 MEXILETINE 150 MG CAP $8.00 MIACALCIN (CALCITONIN) NASAL 2 ML VIAL $165.00 MICAFUNGIN (MYCAMINE) 100MG VIAL $420.00 MICONAZOLE 100 MG VAG SUPP (MONISTAT-7) $64.00 MICONAZOLE CREAM C APPLIC (MONISTAT-7) $13.00 MICONAZOLE NITRATE CREAM 2% $13.00 MICRO EXTENSION SET 1.2MIC $19.00 MICRO OSCILLATOR BLADE $111.00 MICRO OSCILLATOR BLADE 10 X 35 X 0.4MM $36.00 MICRO SAGITTAL BLADE 10X18.5X0.4mm FINE $68.00 MICRO SURG SCALPEL 15 $17.00 MICRO SURG SCALPEL 32 MM $179.00 MICROALBUMIN 24 HOUR $74.00 MICROALBUMIN URINE $74.00 MICRODRIP $8.00 MICROSCOPIC EXAM PARASITE $119.00 MICROSOMAL ANTIBODY $88.00 MICROSURG SCAPEL 715 $17.00 MICROSURG SCAPEL 762B $46.00 MICRO-VOLUME 36 IV EXTENSION SET $16.00 MIDAZOLAM 1 MG/ML 2ML VIAL (VERSED) $11.00 MIDAZOLAM 10 MG /2 ML VIAL (VERSED) $15.00 MIDAZOLAM 2 MG/ML SYRUP 1ML (VERSED) $2.00 MIDAZOLAM 2 MG/ML SYRUP 5ML (VERSED) $20.00 MIDAZOLAM 50MG/10ML *USE FOR DRIP ONLY* $35.00 MIDAZOLAM 5MG/ML 1ML VIAL (VERSED) $12.00 MIDODRINE 5MG TABLET (PROAMATINE) $9.00 MIGRANAL NASAL (DIHYDROERGOTAMINE MES)NS $219.00 MILITARY TOURNIQUET $174.00 MILK OF MAGNESIA (MAG HYDROX) 30ML $7.00 MILK OF MAGNESIA (MAG HYOX) MOM TAB $4.00 MILNACIPRAN 25MG TABLET (SAVELLA) $24.00 MINERAL OIL (MINERAL OIL) 16 OZ HEAVY $11.00 MINERAL OIL (MINERAL OIL) 6 OZ $10.00 MINERAL OIL LIGHT TOPICAL 25ML $10.00 Description Price MINERAL OIL/PET CREAM 4 OZ (EUCERIN) $16.00 MINOR PACK $212.00 MINOR SET $24.00 MINOXIDIL 10MG TABLET (LONITEN) $7.00 MINOXIDIL 2.5MG TABLET (LONITEN) $6.00 MIOCHOL W/STERI-TA SOLN 1:100 $109.00 MIOSTAT (CARBACHOL) 0.01% 1.5 ML SOLN $144.00 MIRAPEX 0.125MG (PRAMIPEXOLE) TABLET $12.00 MIRENA INTRAUTERINE (LEVONORGESTREL) $1,060.00 MIRTAZAPINE 15MG TABLET (REMERON) $6.00 MISOPROSTOL 100 MCG TABLET (CYTOTEC) $27.00 MITOCHONDRIAL AB $193.00 MITOMYCIN (MITOMYCIN) 5 MG SDV $439.00 MITOXANTRONE 20MG VIAL (NOVANTRONE) $1,535.00 MIVACRON (MIVACURIUM) 20MG/10ML VIAL $79.00 MM 2D DIAG MAMM-BLT $248.00 MM 2D DIAG MAMM-UNILAT LT $273.00 MM 2D DIAG MAMM-UNILAT RT $273.00 MM 2D POST CLIP PLCMNT-LT $273.00 MM 2D POST CLIP PLCMNT-RT $273.00 MM 2D SCREENING MAMM BLT W/CAD $248.00 MM 3D DIAG MAMM UNILAT-LT $273.00 MM 3D DIAG MAMM UNILAT-RT $273.00 MM 3D DIAG MAMM-BLT $347.00 MM 3D SCREENING BLT $347.00 MM CAN SHRT THREAD SCREW 2.5X11MM $675.00 MM CAN SHRT THREAD SCREW 2.5X14MM $675.00 MM CCW SCREENING MAMM $248.00 MM DIAG DIGITAL BREAST TOMOSYNTHESIS $248.00 MMR II VACCINE (MEASLES,MUMPS,RUBELLA) $91.00 MMR PROFILE $24.00 MMR-II $87.31 MMR-II $87.31 MOBILITY CURRENT STATUS-CHGO $1.00 MOBILITY CURRENT STATUS-CHGP $1.00 MOBILITY CURRENT STATUS-CIGO $1.00 MOBILITY CURRENT STATUS-CIGP $1.00 MOBILITY CURRENT STATUS-CJGO $1.00 MOBILITY CURRENT STATUS-CJGP $1.00 MOBILITY CURRENT STATUS-CKGO $1.00 MOBILITY CURRENT STATUS-CKGP $1.00 MOBILITY CURRENT STATUS-CLGO $1.00 MOBILITY CURRENT STATUS-CLGP $1.00 MOBILITY CURRENT STATUS-CMGO $1.00 MOBILITY CURRENT STATUS-CMGP $1.00 MOBILITY CURRENT STATUS-CNGO $1.00 MOBILITY CURRENT STATUS-CNGP $1.00 MOBILITY DISCHARGE STATUS-CHGO $1.00 MOBILITY DISCHARGE STATUS-CHGP $1.00 MOBILITY DISCHARGE STATUS-CIGO $1.00 MOBILITY DISCHARGE STATUS-CIGP $1.00 Description Price MOBILITY DISCHARGE STATUS-CJGO $1.00 MOBILITY DISCHARGE STATUS-CJGP $1.00 MOBILITY DISCHARGE STATUS-CKGO $1.00 MOBILITY DISCHARGE STATUS-CKGP $1.00 MOBILITY DISCHARGE STATUS-CLGO $1.00 MOBILITY DISCHARGE STATUS-CLGP $1.00 MOBILITY DISCHARGE STATUS-CMGO $1.00 MOBILITY DISCHARGE STATUS-CMGP $1.00 MOBILITY DISCHARGE STATUS-CNGO $1.00 MOBILITY DISCHARGE STATUS-CNGP $1.00 MOBILITY GOAL STATUS-CHGO $1.00 MOBILITY GOAL STATUS-CHGP $1.00 MOBILITY GOAL STATUS-CIGO $1.00 MOBILITY GOAL STATUS-CIGP $1.00 MOBILITY GOAL STATUS-CJGO $1.00 MOBILITY GOAL STATUS-CJGP $1.00 MOBILITY GOAL STATUS-CKGO $1.00 MOBILITY GOAL STATUS-CKGP $1.00 MOBILITY GOAL STATUS-CLGO $1.00 MOBILITY GOAL STATUS-CLGP $1.00 MOBILITY GOAL STATUS-CMGO $1.00 MOBILITY GOAL STATUS-CMGP $1.00 MOBILITY GOAL STATUS-CNGO $1.00 MOBILITY GOAL STATUS-CNGP $1.00 MODAFINIL 100MG TABLET (PROVIGIL) $17.00 MODULAR CATHCART BALL 60MM OD $750.00 MODURETIC (AMILORIDE/HCTZ) 5/50 MG TAB $5.00 MOEXIPRIL HCL 15 MG TAB (UNIVASC) $4.00 MOISTURE TRAP $43.00 MOMETASONE 0.1% OINT 15G (ELOCON) $13.00 MOMETASONE TWISTHALER 110MCG (ASMANEX) $186.00 MONARC SF HAMMOCK $1,674.00 MONITOR VENOUS PRESSURE $63.00 MONITORING KIT $96.00 MONO TEST $106.00 MONSEL'S PASTE (FERRIC SUBSULFATE) $45.00 MONTELUKAST (SINGULAIR) 5 MG TAB $10.00 MONTELUKAST SOD (SINGULAIR) 10MG TABLET $8.00 MONTGOMERY STRAP $11.00 MONUROL (FOSFOMYCIN TRMETHAMINE) 3GM PKT $161.00 MOORE PROSETHESI 44MM $1,106.00 MOORE PROSHESIS 45MM $1,063.00 MOORE PROST 42 MM $1,106.00 MOORE PROST 44 MM' $1,063.00 MOORE PROSTHESIS 1 5/8 $1,106.00 MOORE PROSTHESIS 1.5 $1,106.00 MOORE PROSTHESIS 41 124 MM $1,106.00 MOORE PROSTHESIS 41MM $1,106.00 MOORE PROSTHESIS 43MM $1,063.00 MOORE PROSTHESIS 45MM $1,063.00 MOORE PROSTHESIS 47MM $1,063.00 Description Price MOORE PROSTHESIS 47MM $1,106.00 MOORE PROSTHESIS 48MM 1 7/8 $1,106.00 MOORE PROSTHESIS 49MM 15/16 $1,106.00 MOORE PROSTHESIS 51MM $1,106.00 MOORE PROSTHESIS 54 MM $1,106.00 MOORE PROSTHESIS 54MM $1,106.00 MOORE PROSTHESIS 55MM $1,106.00 MOORE PROSTHESIS 6 INCH $1,106.00 MOORE PROTHESIS 46MM $1,106.00 MORPHINE $268.00 MORPHINE 150MG/30ML PCA CARTRIDGE $110.00 MORphine 30MG/30ML PCA CARTRIDGE $46.00 MORPHINE 0.5MG/ML 10ML AMP (DURAMORPH) $70.00 MORphine 10 MG TUBEX $19.00 MORPHINE 15MGML 20ML MDV $70.00 MORPHINE 1MG/ML 10 ML AMP (ASTRAMORPH) $72.00 MORPHINE 20MG/ML ORAL SOLN 30ML $42.00 MORphine 2MG TUBEX $18.00 MORphine 4MG TUBEX $18.00 MORphine CONC 10MG/0.5ML ORAL SOLN SYR $16.00 MORphine ER 15 MG TABLET (MS CONTIN) $11.00 MORphine ER 30 MG TABLET (MS CONTIN) $12.00 MORphine IMMEDIATE RELEASE 30MG TABLETS $5.00 MORPHINE ORAL SOLN 20MG/1ML 30ML $60.00 MORphine PF 10MG/10 ML AMP (ASTRAMORPH) $25.00 MORPHINE PF 1MG/ML 10ML AMP (DURAMORPH) $12.00 MORphine PF 5MG/10 ML AMP (ASTRAMORPH) $77.00 MORPhine SULF 15MG IMMEDIATE RELEASE TAB $11.00 MORphine SULF CONCEN 5MG/0.25ML ORAL SOL $9.00 MORphine SULF CONCENT 20MG/ML ORAL SOLN $11.00 MORRHUATE (SODIUM MORRHUATE) 5% VIAL $201.00 MOSS GASTROSTOMY TUBE 18 FR $766.00 MOTION FLUOROSCOPY/SWALLOW SP $191.00 MOTOR SPEECH CURRENT STATUS-CHGN $1.00 MOTOR SPEECH CURRENT STATUS-CIGN $1.00 MOTOR SPEECH CURRENT STATUS-CJGN $1.00 MOTOR SPEECH CURRENT STATUS-CKGN $1.00 MOTOR SPEECH CURRENT STATUS-CLGN $1.00 MOTOR SPEECH CURRENT STATUS-CMGN $1.00 MOTOR SPEECH CURRENT STATUS-CNGN $1.00 MOTOR SPEECH DISCHARGE STATUS-CHGN $1.00 MOTOR SPEECH DISCHARGE STATUS-CIGN $1.00 MOTOR SPEECH DISCHARGE STATUS-CJGN $1.00 MOTOR SPEECH DISCHARGE STATUS-CKGN $1.00 MOTOR SPEECH DISCHARGE STATUS-CLGN $1.00 MOTOR SPEECH DISCHARGE STATUS-CMGN $1.00 MOTOR SPEECH DISCHARGE STATUS-CNGN $1.00 MOTOR SPEECH GOAL STATUS-CHGN $1.00 MOTOR SPEECH GOAL STATUS-CIGN $1.00 MOTOR SPEECH GOAL STATUS-CJGN $1.00 MOTOR SPEECH GOAL STATUS-CKGN $1.00 Description Price MOTOR SPEECH GOAL STATUS-CLGN $1.00 MOTOR SPEECH GOAL STATUS-CMGN $1.00 MOTOR SPEECH GOAL STATUS-CNGN $1.00 MOVANTIK (NALOXEGOL) 12.5MG TABLET $65.00 MOXIFLOXACIN OPTH SOLN 0.5%3ML (VIGAMOX) $94.00 MPL MUTATION ANALYSIS $1,070.00 MRA ABD W/ & W/O CONTRAST $1,474.00 MRA ABD W/O CONTRAST $1,474.00 MRA CHEST W OR W/O CONTRAST $1,915.00 MRA HEAD W&W/O CONTRAST $3,440.00 MRA HEAD W/CONTRAST $2,753.00 MRA HEAD W/O CONTRAST $2,348.00 MRA LOWER EXT W/O CONTRAST LT $1,477.00 MRA LOWER EXT W/O CONTRAST RT $1,477.00 MRA LOWER EXT WITH CONTRAST LT $1,477.00 MRA LOWER EXT WITH CONTRAST RT $1,477.00 MRA NECK/CAROTIDS W OR W/O CONTRAST $2,133.00 MRA NECK/CAROTIDS W/O CONTRAST $1,841.00 MRA NECK/CAROTIDS WITH CONTRAST $1,952.00 MRA PELVIS W OR W/O CONTRAST $1,273.00 MRA SPINAL CANAL W OR W/O CONTRAST $2,302.00 MRA UPPER EXTR W/ & W/O CONTRAST LT $1,684.00 MRA UPPER EXTR W/ &W/O CONTRAST RT $1,684.00 MRI ABD W & W/O CONTRAST $2,746.00 MRI ABD W/O CONTRAST $1,376.00 MRI ABD WITH CONTRAST $1,599.00 MRI BONE MARROW $1,841.00 MRI BRAIN W & W/O CONTRAST $2,991.00 MRI BRAIN W/O CONTRAST $2,355.00 MRI BRAIN WITH CONTRAST $1,987.00 MRI C SPINE W & W/O CONTRAST $2,991.00 MRI C SPINE W/O CONTRAST $1,666.00 MRI C SPINE WITH CONTRAST $2,363.00 MRI CHEST W/O & W CONTRAST $1,374.00 MRI CHEST W/O CONTRAST $1,485.00 MRI CHEST W/O CONTRAST $1,749.00 MRI L SPINE W & W/O CONTRAST $2,462.00 MRI L SPINE W/O CONTRAST $2,304.00 MRI L SPINE WITH CONTRAST $1,987.00 MRI LOWER EXT JOINT W/ & W/O CONTRAST LT $2,028.00 MRI LOWER EXT JOINT W/ & W/O CONTRAST RT $2,028.00 MRI LOWER EXT JOINT W/CONTRAST LT $1,752.00 MRI LOWER EXT JOINT W/CONTRAST LT $1,976.00 MRI LOWER EXT JOINT W/CONTRAST RT $1,976.00 MRI LOWER EXT JOINT W/O LT $2,240.00 MRI LOWER EXT JOINT W/O RT $2,240.00 MRI LOWER EXT NON JOINT W & W/O LT $1,752.00 MRI LOWER EXT NON JOINT W & W/O RT $2,016.00 MRI LOWER EXTR NON JOINT W/CONTRAST LT $1,684.00 MRI LOWER EXTR NON JOINT W/CONTRAST RT $1,684.00 MRI LOWER EXTR NON JOINT W/O CONTRAST LT $1,200.00 Description Price MRI LOWER EXTR NON JOINT W/O CONTRAST RT $1,200.00 MRI NECK ORBIT FACE W & W/O CONTRAST $2,117.00 MRI NECK ORBIT FACE W/CONTRAST $1,064.00 MRI NECK ORBIT FACE W/O $1,841.00 MRI PELVIS FETUS $957.00 MRI PELVIS FETUS ADDL GEST $525.00 MRI PELVIS W & W/O CONTRAST $2,272.00 MRI PELVIS W/O CONTRAST $2,188.00 MRI PELVIS WITH CONTRAST $1,969.00 MRI T SPINE W & W/O CONTRAST $2,462.00 MRI T SPINE W/O CONTRAST $2,355.00 MRI T SPINE WITH CONTRAST $2,091.00 MRI UPPER EXT JOINT W & W/O LT $2,161.00 MRI UPPER EXT JOINT W & W/O RT $2,161.00 MRI UPPER EXT JOINT W/CONTRAST LT $2,204.00 MRI UPPER EXT JOINT W/CONTRAST RT $2,204.00 MRI UPPER EXT JOINT W/O CONTRAST LT $1,779.00 MRI UPPER EXT JOINT W/O CONTRAST RT $1,851.00 MRI UPPER EXT NON JOINT W & W/O LT $1,975.00 MRI UPPER EXT NON JOINT W & W/O RT $1,936.00 MRI UPPER EXT NON JOINT W/ CONTRAST LT $1,490.00 MRI UPPER EXT NON JOINT W/ CONTRAST RT $1,490.00 MRI UPPER EXT NON JOINT W/O CONTRAST LT $2,028.00 MRI UPPER EXT NON JOINT W/O CONTRAST RT $1,880.00 MRSA NASAL SWAB BY PCR $158.00 MRSA/MSSA - WOUND BY PCR $228.00 MUCIN CLOT TEST $36.00 MUCUS 10FR TRAP $38.00 MUCUS 6FR TRAP $28.00 MUCUS 8FR TRAP $28.00 MULTI BOOT REGULAR $396.00 MULTI-LENGHT SILHOUETTE 6FRX22-30CM $520.00 MULTIPLE VIT DROPS (POLY-VI-SOL) $13.00 MULTITRACE-5 (TRACE METALS) 1 ML VIAL $43.00 MULTIVITAMIN ORAL LIQUID 5ML $8.00 MULTIVITAMIN W/ MINERALS TAB (OCUVITE) $6.00 MULTIVITAMIN W/MINERAL TAB (THERAGRAN M) $1.00 MUMPS IGG AB $65.00 MUMPS IGM AB $65.00 MUMPS SKIN TEST (MUMPS ANTIGEN) 10 TEST $25.00 MUPIROCIN OINTMENT 22GRAMS (BACTROBAN) $109.00 MUPIROCIN TOP CREAM 15 GM (BACTROBAN) $130.00 MUPIROCIN TOP OINT 30 GM (BACTROBAN) $90.00 MUSHROOM CUP VAC $209.00 MUSTARGEN (MECHLORETHAMINE) 10 MG VIAL $79.00 MVI PED PAK (MULTIVITAMINS) VIAL $70.00 MX60 ENVISTA POSTERIOR CHAMBER IOL B&L $68.00 MYCOBACTERIUM DETECTION $167.00 MYCOPHENYLATE $263.00 MYCOPLASMA PNEUMONIA ANTIBODIES IGG IGM $47.00 MYELOGRAM CERVICAL $1,398.00 Description Price MYELOGRAM LUMBAR $1,398.00 MYELOGRAM THORACIC $1,398.00 MYELOPEROXIDASE ANTIBODY $94.00 MYFORTIC 180MG DR TABLET (MYCOPHENOLIC) $33.00 MYLANTA (CALCIUM CARB/MAG CARB) GELCAP $4.00 MYOGLOBIN $84.00 MYOGLOBIN URINE $86.00 MYOMECTOMY EXC OF FIBRIOD TUMOR UTERUS $1,311.00 MYOMECTOMY VAG METHOD $1,311.00 MYOMECTOMY, E $1,563.00 MYOSURE DISPOSABLE DEVICE $1,150.00 MYRINGOTOMY KNIFE DISP $74.00 N BLOCK INJ, CELIAC PELUS $519.00 N BLOCK INJ, CELIAC PELUS $519.00 N BLOCK INJ, ILIO-ING/HYPOGI $296.00 N BLOCK INJ, ILIO-ING/HYPOGI $296.00 N BLOCK INJ, INTERCOST, MLT $667.00 N BLOCK INJ, INTERCOST, MLT $667.00 N BLOCK INJ, INTERCOST, SNG $435.00 N BLOCK INJ, INTERCOST, SNG $435.00 N BLOCK INJ, OCCIPITAL $240.00 N BLOCK INJ, OCCIPITAL $240.00 N BLOCK, LUMBAR/THORACIC $557.00 N BLOCK, LUMBAR/THORACIC $557.00 N BLOCK, STELLATE GANGLION $402.00 N BLOCK, STELLATE GANGLION $402.00 NABUMETONE 500 MG TABLET (RELAFEN) $7.00 NABUMETONE 750 MG TABLET (RELAFEN) $10.00 NADOLOL 40MG TABLET (CORGARD) $7.00 NAFCILLIN 1 GM VIAL (NAFCIL) $59.00 NAFCILLIN 2 GM VIAL $222.00 NAFCILLIN 250 MG CAP $9.00 NAIL/AVULSION OF NAIL SIMPLE 1 $42.00 NALBUPHINE 100 MG VIAL (NUBAIN) $142.00 NALOXONE 0.4 MG/ML 1ML (NARCAN) $65.00 NALOXONE HCL INJECTION 2MG/2ML $111.00 NAPHCON EYE (NAPHAZOLINE) DROPS 15 ML $59.00 NAPHCON-A OPHT (NAPHAZOLINE/ANTAZOLINE) $41.00 NAPROXEN 250 MG TABLET (NAPROSYN) $6.00 NAPROXEN 275 MG TAB $4.00 NAPROXEN 375 MG TABLET (NAPROSYN) $4.00 NAPROXEN 500MG TABLET $6.00 NAPROXYN 220MG GELCAP (ALEVE) $5.00 NARCAN (NALOXONE) 0.02 MG AMP $55.00 NARCAN (NALOXONE) 1 MG MDV $435.00 NAROPIN (ROPIVACAINE) 0.2% 200ML VIAL $391.00 NAROPIN 0.2% (2MG/ML)/100ML(ROPIVACAINE) $233.00 NAROPIN 0.5% 5MG/ML 30ML (ROPIVACAINE) $27.00 NAROPIN 1% 20ML AMP (ROPIVACAINE) $68.00 NARROW ACP PLATE $245.00 NARROW ACP PLATE 8 HOLE $228.00 Description Price NAS SIN ENDO SURG W/BIO POLY $569.00 NAS SIN ENDO SURG W/BIO POLY $569.00 NASACORT (TRIAMCINOLONE) NASAL INHALER $128.00 NASAL BONES ROUTINE MIN 3V $234.00 NASAL C02 SAMPLING $140.00 NASAL CANNULA EAR CUSHION $4.00 NASAL MASK LG $62.00 NASAL MASK MED $62.00 NASAL SPLINT $28.00 NASAL TIP LITTLE SUCKERS $14.00 NASAL TRACH TUBE 5.5 $31.00 NASAL TRACH TUBE 7.0 $31.00 NASAL TRACH TUBE 7.5 $31.00 NASALCROM NASAL SOLN (CROMOLYN) 4% $213.00 NASH FIBROSURE $78.00 NASONEX (MOMETASONE) SPRAY 50MCG $230.00 NASOPHARYGEAL AIRWAY 20FR. $41.00 NASOPHARYGEAL AIRWAY 22FR. $41.00 NASOPHARYGEAL AIRWAY 24FR. $41.00 NASOPHARYGEAL AIRWAY 26FR. $41.00 NASOPHARYGEAL AIRWAY 28FR. $18.00 NASOPHARYGEAL AIRWAY 30FR. $41.00 NASOPHARYGEAL AIRWAY 32FR. $41.00 NASOPHARYGEAL AIRWAY 34FR. $41.00 NASOPHARYGEAL AIRWAY 36FR. $18.00 NASOTRACHEAL ASPIRATION CLEARANCE AIRWAY $131.00 NATRECOR (NESIRITIDE) 1.5MG VIAL $2,312.00 NAVICULAR FX $1,026.00 NCS 4.6 DRILL $460.00 NEBULIZER AEROMIST $150.00 NEBULIZER T HAND $5.00 NEBUPENT (PENTAMIDINE) 300MG VIAL INHAL $257.00 NECC PAK $18.00 NEEDLE A $238.00 NEEDLE BIO ANY SITE $756.00 NEEDLE JAMSHIDI BONE MARROW BIOPSY $141.00 NEEDLE MAGNETIC COUNTER $24.00 NEFAZODONE HCL 100 MG TABLET (SERZONE) $9.00 NEO HINGED KNEE SUPP 2XLG $46.00 NEO HINGED KNEE SUPP 3XLG $46.00 NEO HINGED KNEE SUPP LG $46.00 NEO HINGED KNEE SUPP MED $46.00 NEO HINGED KNEE SUPP SMALL $46.00 NEO HINGED KNEE SUPP XLG $46.00 NEO KNIFE 11 $33.00 NEO/BACIT/POLYMX OPTH OINT (NEOSPORIN) $90.00 NEO/POLY/BACT OPHT OINT (NEOTRICIN HC) $16.00 NEO/POLY/GRAMICID OPTH SOLN (NEOSPORIN) $114.00 NEO/POLY/HC 10ML OTIC SOLN (CORTISPORIN) $50.00 NEO/POLY/POLMIX OPTH OINT (NEOSPORIN) $31.00 NEOM/POLYMIX/HC OTIC SOLN (NEOSPORIN) $43.00 Description Price NEOM/POLYMIX/HC OTIC SUSP (NEOSPORIN) $79.00 NEOMY/BACIT/POLY 15 GM OINT (NEOSPORIN) $14.00 NEOMYC/POLYM/HC 10ML OTIC SUSP (CORTISP) $79.00 NEOMYCIN SULFATE 500 MG TABLET $4.00 NEOMYCIN/BACITRACIN/POLMIXIN OINT PACKET $6.00 NEONATAL TIP (TRUSIGNAL SPO20 $87.00 NEOSTIGMINE 10MG VIAL (PROSTIGMIN) $352.00 NEOSTIGMINE 1MG/ML 3ML SYR (PROSTIGMIN) $213.00 NEO-SYNEPHRINE (PHENYLEPHRINE) 0.5% SPR $20.00 NEOTECH N204 LITTLE SUCKER $11.00 NEOTECH N205 LITTLE SUCKER $11.00 NEOTECH SUCTION CADDY $10.00 NEPHROSTOMY SET 14 FR $583.00 NEPHRO-VITE (B & C COMPLEX) TABLET $6.00 NERVE FOAM POSITIONER W STRAP $14.00 NEULASTA 6MG/0.6ML SYR (PEGFILGRASTIM) $8,291.00 NEULASTA 6MG/0.6ML ONPRO (PEGFILGRASTIM) $9,218.00 NEULASTA(PEGFILGRASTIM)6MG/0.6ML 340B $6,311.00 NEUMEGA (OPRELVEKIN) 5 MG VIAL $696.00 NEUPOGEN (FILGRASTIM) 300 MCG VIAL $679.00 NEUPOGEN (FILGRASTIM) 480 MCG VIAL $1,202.00 NEUPOGEN 300 MC $650.00 NEUPOGEN 480 MC $776.00 NEURON SPECIFIC ENOLASE $99.00 NEUROPLASTY MEDIUM CARPAL TUNNEL $706.00 NEUROPLASTY MEDIUM CARPAL TUNNEL $706.00 NEUROPLASTY/ULNAR NERVE AT WRIST $694.00 NEUROPLASTY/ULNAR NERVE AT WRIST $694.00 NEUROSTIMULATOR $11,775.00 NEURP MAJOR PRPH NRV ARM/LEG OPN OTH $1,209.00 NEW PATIENT LEVEL 1 OV $44.00 NEW PATIENT LEVEL 1 OV $130.00 NEW PATIENT LEVEL 1 OV $136.00 NEW PATIENT LEVEL 2 OV $44.00 NEW PATIENT LEVEL 2 OV $154.00 NEW PATIENT LEVEL 2 OV $161.00 NEW PATIENT LEVEL 3 OV $44.00 NEW PATIENT LEVEL 3 OV $209.00 NEW PATIENT LEVEL 3 OV $218.00 NEW PATIENT LEVEL 4 OV $44.00 NEW PATIENT LEVEL 4 OV $255.00 NEW PATIENT LEVEL 4 OV $266.00 NEW PATIENT LEVEL 5 OV $44.00 NEW PATIENT LEVEL 5 OV $285.00 NEW PATIENT LEVEL 5 OV $297.00 NEW PT NHOME VISIT DETAILED HIGH COMPLEX $376.00 NEW PT NHOME VISIT DETAILED MOD COMPLEX $294.00 NEW SKIN (FLEX COLLOID) SPRAY 1 OZ $19.00 NEXIS CANNULATED DRILL BIT 3.2 $520.00 NEXIS COMPRESS SCREW $735.00 NEXIS COMPRESS SCREW 2.3MMX10MM $736.00 Description Price NEXIS COMPRESS SCREW 2.3MMX12MM $736.00 NEXIS COMPRESS SCREW 2.3MMX14MM $736.00 NEXIS COMPRESS SCREW 2.3MMX16MM $736.00 NEXIS COMPRESS SCREW 2.3MMX18MM $736.00 NEXIS COMPRESS SCREW 2.3MMX28MM $736.00 NEXIS COMPRESS SCREW 2.9MMX34MM $736.00 NEXIS COMPRESS SCREW 4MMX30MM $918.00 NEXIS COMPRESS SCREW 4MMX40MM $629.00 NEXIS LOCKING SCREW 3MMX20MM $554.00 NEXIS LOCKING SCREW 3MMX22MM $447.00 NEXIS NON LOCKING SCREW 3MMX22MM $448.00 NEXIS NON LOCKING SCREW 3MMX24MM $448.00 NEXIS NON LOCKING SCREW 3MMX28MM $448.00 NEXIS REAMER 2.75 $520.00 NEXIS REAMER 3.7 $520.00 NEXIUM (ESOMEPRAZOLE SOD) I.V. 40MG $107.00 NEXIUM (ESOMEPRAZOLE) 20MG CAP $22.00 NEXIUM 5MG DR ORAL SUSP (ESOMEPRAZOLE) $57.00 NEXPLANON (ETONOGESTREL IMPLANT) 68MG $994.00 NH DISCHARGE MGMT <30 MIN $188.00 NH DISCHARGE MGMT>30 MIN $139.00 NH, EST, COMPREHENSIVE $75.00 NH, EST, MOD $211.00 NH, EST, STRAIGHT FORWARD $104.00 NH, NEW, HIGH COMPLEXITY $236.00 NH, NEW, LOW COMPLEXITY $145.00 NH, NEW, MOD COMPLEXITY $193.00 NIACIN (VITAMIN B-3) 100MG TAB $5.00 NIACIN (VITAMIN B-3) 50 MG TAB $4.00 NIACIN T.R.(VITAMIN B-3) 250 MG CAP $4.00 NIACIN T.R.(VITAMIN B-3) 500 MG TAB $6.00 NIASPAN ER 500MG (NIACIN) TABLETS $29.00 NICARDIPINE 25MG/240ML NS $73.00 NICARDIPINE HCL 20MG CAPSULE $4.00 NICORETTE NICOTINE POLARILEX 4MG GUM $6.00 NICOTINE 14 MG PATCH (NICODERM CQ) $11.00 NICOTINE 15 MG PATCH (NICOTROL) $21.00 NICOTINE CQ 21 MG PATCH (NICODERM) $11.00 NICOTINE CQ 7 MG PATCH (NICODERM) $17.00 NIFEDIPINE 10 MG CAPSULE (PROCARDIA) $12.00 NIFEDIPINE ER 30 MG TABLET (PROCARDIA) $11.00 NIFEDIPINE XL 60 MG TABLET (PROCARDIA) $14.00 NIFEREX-150(POLYSAC.IRON COMPLEX) CAP $4.00 NIGHT SPLINT SMALL $75.00 NILANDRON (NILUTAMIDE) 50 MG TABS $15.00 NIMBEX (CISATRACURIUM) 2 MG/ML VIAL $276.00 NIMODIPINE 30MG CAPSULE $63.00 NISOLDIPINE 10 MG TABLET (SULAR) $6.00 NITHIODOTE (CYANIDE ANTIDOTE KIT) $2,337.00 NITRO BLUE TETRAZOL $258.00 NITRO DRIP 50MG/250ML D5W* (200MCG/ML) $61.00 Description Price NITRO DRIP 50MG/250ML N.S. (200MCG/ML) $61.00 NITRO IV PUMP SET OL $83.00 NITRO PREMIX DRIP 50MG/250ML D5W RTU $34.00 NITROFURANTOIN 100 MG CAP (MACRODANTIN) $9.00 NITROFURANTOIN 50 MG CAP (MACRODANTIN) $5.00 NITROFURANTOIN MAC 100MG CAP (MACROBID) $19.00 NITROGLYCERIN (NITROGLYC) 0.2 MG/H PATCH $10.00 NITROGLYCERIN 0.1 MG/H PATCH $7.00 NITROGLYCERIN 0.2 MG/H PATCH $7.00 NITROGLYCERIN 0.3 MG/H PATCH $10.00 NITROGLYCERIN 0.4 MG/H PATCH $7.00 NITROGLYCERIN 0.6 MG/H PATCH $9.00 NITROGLYCERIN 2% OINT 60 GM TUBE $68.00 NITROGLYCERIN 2% OINT UD $11.00 NITROGLYCERIN 50 MG VIAL $31.00 NITROGLYCERIN E.R. 6.5 MG CAPSULE $4.00 NITROGLYCERIN E.R.(NTG) 2.5 MG CAP $4.00 NITROGLYCERIN E.R.(NTG) 9 MG CAP $4.00 NITROGLYCERIN SET $31.00 NITROPRESS (NITROPRUSSIDE) 50 MG VIAL $325.00 NITROSTAT S.L. 0.4MG TABLET $8.00 NIX COMPLETE LICE TREATMENT (PERMETHRIN) $44.00 NIZATIDINE 150MG CAPSULE $10.00 NJX INTERLAMINAR LMBR SAC $1,272.00 NM 01-201 PER MCI $91.00 NM ADENOSINE $912.00 NM AMINO PAGLINE $912.00 NM BONE SCAN 3 PHASE $1,239.00 NM BONE SCAN EXTREMITY ONLY - LEFT $558.00 NM BONE SCAN EXTREMITY ONLY - RIGHT $558.00 NM BONE SCAN LIMITED AREA $558.00 NM BONE SCAN WHOLE BODY $978.00 NM CARDIAC SPECT STRESS ONLY $975.00 NM CARDIAC SPECT STRESS REST $1,214.00 NM GA-67 PER MCI $71.00 NM GALLIUM 67 SCAN-TUMOR $1,517.00 NM GASTRIC EMPTYING SM BWL COLON TRANSIT $1,111.00 NM GASTRIC EMPTYING STUDY $844.00 NM GASTRIC EMPTYING W/SM BOWEL TRANSIT $936.00 NM H I D A SCAN DELAYS $1,013.00 NM H I D A SCAN NORMAL $848.00 NM H I D A WITH EJECTION $1,110.00 NM I 131 TX-PER CAP 1-6 MCI $126.00 NM I-123 PER CAPSULE $104.00 NM I-131 PER CAPSULE $113.00 NM ISOTOPE CHG CARDIAC THAUUM $83.00 NM ISOTOPE CHG SESTAMIBI $327.00 NM ISOTOPE CHG-NORMAL $124.00 NM KINEVAC INJ 5MCG $394.00 NM LIVER SPLEEN SCAN $825.00 NM LUNG VENT/PERF QUANTITATIVE $1,008.00 Description Price NM MECKELS SCAN $993.00 NM MUGA- MULTI VIEWS $1,002.00 NM NUCLEAR CYSTO GRAM $770.00 NM NUCLEAR VOIDING CYSTOGRAM $835.00 NM PARATHYROID NUC SCAN $619.00 NM PERSANTINE $978.00 NM PULMONARY PERFUSION IMAGING $569.00 NM RENAL FLO SCAN $946.00 NM RENAL FLOW/FUNCTION W/DRUG $779.00 NM RENAL FLOW/FUNCTION W/O DRUG $588.00 NM RENAL SPECT $803.00 NM SALIVARY GLAND FUNCTION $593.00 NM SALIVARY GLAND NUC SCAN $614.00 NM SALIVARY GLAND W FLOW $701.00 NM SPECT BONE SCAN $836.00 NM STRESS TEST MONITORING $94.00 NM STRESS TEST-TRACING ONLY $64.00 NM T1-201 PER MCI $103.00 NM TC 99 M HDP PER VIAL $121.00 NM TC 99 M MAG 3 PER VIAL $212.00 NM TC 99 M HEPATOLITE PER VIAL $186.00 NM TC 99 M LABELED RBC'S PER TEST $164.00 NM TC 99 M MEDRONATE DOSE $99.00 NM TC 99 M SESTAMIBI DOSE $266.00 NM TC 99 M SULFUR COLLOID PER VIAL $87.00 NM TC 99M - CHOLETEC PER VIAL $193.00 NM TC 99M - DTPA PER VIAL $77.00 NM TC 99M - MAA -PER VIAL $77.00 NM TC 99M MEBROFENIN $107.00 NM TECHNETIUM SCAN FOR GI TR $851.00 NM TUMOR LOCALIZATION LIMITED $619.00 NM VENT AND PERFUSION LUNG SCAN $1,008.00 NM VENTILATION LUNG SCAN $717.00 NMR LIPOPROFILE $213.00 NO FILTER CONTINU FLO $22.00 NO FILTER CONTINU-FLO 2 LUER VALVES 113 $31.00 NO FILTER CONTINU-FLO 3 LUER VALVES 110 $21.00 NON BIODEGRADABLE DRUG REINSER REMOVAL $399.00 NON DEHP EXT SET 0.22 MICRON $23.00 NON GEL PAD $31.00 NON STRESS TEST $101.00 NON VENTED TUR SET $28.00 NOREPINEPHRINE INJ 4 MG VIAL (LEVOPHED) $86.00 NOREPINEPHRINE LEVEL $98.00 NORFLEX 60 MG $28.00 NORFLOXACIN 400 MG TABLET (NOROXIN) $15.00 NORGESTIMATE/ETHINTL ESTRA 0.25MG/35MCG $8.00 NORMAL SALINE (HYPERTONIC) 3% $14.00 NORMAL SALINE : 250ML ADD-V $14.00 NORMAL SALINE 0.45%: 1000ML $18.00 NORMAL SALINE 1000ML W/20MEQ KCL $31.00 Description Price NORMAL SALINE ADV 100 $33.00 NORMAL SALINE: 50ML $15.00 NOROVIRUS DETECTION REAL TIME PCR $260.00 NORPACE $95.00 NORPORT POWER PORT $545.00 NORTRIPTYLINE 25 MG CAP (PAMELOR) $6.00 NORTRIPTYLINE 50 MG CAPSULE (PAMELOR) $10.00 NOVA KWIRE .9 $156.00 NOVA KWIRE .9 $156.00 NOVA KWIRE 1.4 $156.00 NOVA KWIRE 1.6 $201.00 NOVA NEXIS 1.75 DRILL BIT $484.00 NOVA NEXIS 2.75 REAMER $520.00 NOVA NEXIS 2.9 18MM $736.00 NOVA NEXIS 2.9MM L20MM SCREW $735.00 NOVASURE DEVICE $1,355.00 NOVOLIN 70/30 INNOLET (NPH/REG) 100U/ML $89.00 NOVOLIN 70/30 UNITS/ML (NPH/REG) VIAL $11.00 NOVOLIN N INNOLET (INSULIN NPH) 100U/ML $89.00 NOVOLIN N INSULIN 100U/ML $11.00 NOVOLIN R INNOLET (INSULIN REG) 100U/ML $89.00 NOVOLOG FLEXPEN (INSULIN ASPART)100U/1ML $167.00 N-TELOPEPTIDE CROSS LINKS $127.00 NUBAIN 20 MG $42.00 NUCLEOTIDASE $67.00 NUPERCAINAL $29.00 NURSE VISIT $50.00 NURSE VISIT $50.00 NURSE VISIT $52.00 NURSE VISIT $52.00 NURSE VISIT $52.00 NURSING FACIL $188.00 NURSING FACILITY $194.00 NURSING FACILITY CARE, EST, LOW $160.00 NURSING HOME $119.00 NURSING HOME $139.00 NURSING HOME $167.00 NURSING HOME $185.00 NURSING HOME $226.00 NURSING HOME $272.00 NURSING HOME EST LEVEL ONE $72.00 NURSING HOME EST LEVEL TWO $119.00 NURSING HOME INITIAL $138.00 NURSING HOME INITIAL $184.00 NURSING HOME INITIAL $227.00 NYSTATIN 500,000U TABLET (MYCOSTATIN) $4.00 NYSTATIN SUSP 100,000U/1ML 5ML UD $6.00 NYSTATIN TOP OINT 15G (MYCOSTATIN) $25.00 NYSTATIN TOP POWDER 15 GM (MYCOSTATIN) $41.00 NYSTATIN/TRIAMCINAL 60 GM (MYCOLOG II) $128.00 NYSTATIN/TRIAMCINOLONE CR 15GM (MYCOLOG) $9.00 Description Price NYSTATIN/TRIAMCINOLONE OINT 15G(MYCOLOG) $8.00 O P SITE 5 1/2 X 10 $33.00 O P SITE 5.5 X 4 $22.00 OBSERVATION CARE DISC $132.00 OBSERVATION INPT CARE LEVEL THREE $474.00 OBSERVATION INPT CARE LEVEL TWO $392.00 OBSTETRIC PANEL $568.00 OCCLUDE FALLOPIAN TUBE(S) $763.00 OCCLUDE FALLOPIAN TUBE(S) $763.00 OCCULT BLOOD 1 SAMPLE $99.00 OCCULT BLOOD 3 SAMPLE $130.00 OCCULT BLOOD, OTHER SOURCE $58.00 OCREVUS 30MG/ML(OCRELIZUMAB) 300MG/10ML $24,425.00 OCTAGAM (IMMUNE GLOBULIN) 5% 10GRAMS $3,448.00 OCTAGAM 5% 10G (HUMAN IMMUNE GLOBULIN) $1,713.00 OCTAGAM 5% 5GM (HUMAN IMMUNE GLOBULIN) $1,024.00 OCTREOTIDE 1000MCG/ML 5ML (SANDOSTATIN) $5.00 OCTREOTIDE 1250MCG/250ML NS $2,106.00 OCTREOTIDE 50MCG/ML AMP (SANDOSTATIN) $26.00 OFFICE CONSULT LEVEL 4 $65.00 OFFICE CONSULT LEVEL 4 $255.00 OFFICE CONSULT LEVEL 4 $266.00 OFFICE CONSULT LEVEL 5 $74.00 OFFICE CONSULT LEVEL 5 $457.00 OFFICE EMERGENCY CARE $36.00 OFFICE VISIT/ OUT PATIENT EST $22.00 OFLOXACIN 200 MG TABLET (FLOXIN) $17.00 OFLOXACIN OPHTH SOLN 0.3% 5ML $9.00 OLANZAPINE $195.00 OLIGOCLONAL BANDING $135.00 OLIVE TIP CATH 8 FR $222.00 OMACOR (OMEGA-3 ACID ETHYL ESTER) 1G CAP $7.00 OMENTECTOMY/EPIPLOECTOMY $2,127.00 OMENTECTOMY/EPIPLOECTOMY $2,127.00 OMEPRAZOLE 20 MG CAPSULE (PRILOSEC) $6.00 ONDANSETRON 40MG/20ML VIAL (ZOFRAN) $22.00 ONDANSETRON 4MG TABLET (ZOFRAN) $7.00 ONDANSETRON 4MG/2ML VIAL (ZOFRAN) $13.00 ONDANSETRON 4MG/5ML 50ML VIAL (ZOFRAN) $576.00 ONDANSETRON 4MG/5ML ORAL SOLUTION $12.00 ONDANSETRON 8 MG TAB (ZOFRAN) $98.00 ONDANSETRON ODT 4 MG TAB (ZOFRAN) $9.00 ONE A DAY 50 PLUS (MULTI VIT/MINERALS) $5.00 ONE-THIRD TUBULAR LCP PLATES, W/COLLAR $492.00 OnQ 7.5 SOAKER LINES $444.00 ON-Q BUPIVACAINE 0.5% 550ML - PREFILLED $588.00 ON-Q C-BLOC W/SEL FLOW DUAL PUMP 600ML $796.00 ON-Q FIXED FLOW 2ML/HR PUMP 270ML $426.00 ON-Q FIXED FLOW 4ML/HR DUAL PUMP 400ML $242.00 OP SITE 14 CM X 25 CM $46.00 OPDIVO (NIVOLUMAB) 100MG/10ML VIAL $5,609.00 Description Price OPDIVO (NIVOLUMAB) 40MG/4ML VIAL $4,497.00 OPDIVO 240MG/24ML (NIVOLUMAB) VIAL $11,063.00 OPEN HEMORRHOIDECTOMY $331.00 OPEN INGUINAL MESH $700.00 OPEN INGUINAL MESH $750.00 OPEN TX AC DISLOC ACUTE/CHRONIC $986.00 OPEN TX AC DISLOC ACUTE/CHRONIC $986.00 OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION $1,728.00 OPEN TX BIMAL $1,610.00 OPEN TX BIMALLEOLAR ANKLE FX W/WO FIX $1,610.00 OPEN TX DISTA $1,006.00 OPEN TX DISTAL RADIAL FX W/WO FIX $1,412.00 OPEN TX DISTAL RADIUS INTRA-ARTIC FX W/F $1,993.00 OPEN TX DISTAL RADIUS INTRA-ARTIC FX W/F $1,993.00 OPEN TX DISTAL RADIUS W/FX 2 FRAGMENTS $1,720.00 OPEN TX DISTAL RADIUS W/FX 2 FRAGMENTS $1,720.00 OPEN TX DISTAL RADIUS W/FX 3/> FRA $2,519.00 OPEN TX DISTAL RADIUS W/FX 3/> FRAG $2,519.00 OPEN TX FEMUR $1,865.00 OPEN TX FEMUR $2,017.00 OPEN TX FEMUR FX PROX END FIX PROSTH $2,017.00 OPEN TX HUMERAL FX $1,911.00 OPEN TX HUMERAL FX $1,911.00 OPEN TX MC FX SNGL W W/O INTRL/EXTRL $1,076.00 OPEN TX MC FX SNGL W W/O INTRL/EXTRL $1,076.00 OPEN TX OF RA $1,340.00 OPEN TX OF RADIAL SHAFT FX W/WO FIX $1,605.00 OPEN TX PATELLAR FX W/FIX PATELLECT $1,327.00 OPEN TX PATELLAR FX W/FIX PATELLECT $1,327.00 OPEN TX TROCHANTERIC FX $1,697.00 OPEN TX TROCHANTERIC FX $1,697.00 OPEN TX ULNAR FX PROX END W/WO FIX $1,361.00 OPEN TX ULNAR FX PROX END W/WO FIX $1,361.00 OPEN TX ULNAR SHAFT FX W/WO FIX $1,200.00 OPEN TX ULNAR STYLOID FX $1,469.00 OPEN TX ULNAR STYLOID FX $1,469.00 OPERATING RM 01-15 MIN $881.00 OPERATING RM 106-120 MIN $3,134.00 OPERATING RM 121-135 MIN $4,200.00 OPERATING RM 136-150 MIN $4,596.00 OPERATING RM 151-165 MIN $4,986.00 OPERATING RM 16-30 MIN $1,220.00 OPERATING RM 166-180 MIN $4,494.00 OPERATING RM 181-195 MIN $4,140.00 OPERATING RM 196-210 MIN $3,497.00 OPERATING RM 211-225 MIN $4,503.00 OPERATING RM 226-240 MIN $5,043.00 OPERATING RM 241-255 MIN $5,057.00 OPERATING RM 256-270 MIN $5,607.00 OPERATING RM 271-285 MIN $6,772.00 OPERATING RM 286-300 MIN $6,180.00 Description Price OPERATING RM 31-45 MIN $1,556.00 OPERATING RM 46-60 MIN $2,247.00 OPERATING RM 61-75 MIN $2,647.00 OPERATING RM 76-90 MIN $3,038.00 OPERATING RM 91-105 MIN $3,419.00 OPERATING RM PER MIN AFTER 300 MIN $21.00 OPERATIVE CHOLANGIOGRAM $326.00 OPERATIVE UPPER GI ENDOSCOPY $488.00 OPERATIVE UPPER GI ENDOSCOPY $488.00 OPIATE/OXY CONFIRMATION $104.00 OPIUM TINCTURE USP $5.00 OPPENHEIMER WRIST BRACE MEDIUM $179.00 OPSITE 17 3/4X21 5/8 $63.00 OPSITE 5.5 X 4 $9.00 OPSITE DESSING 6X11 $28.00 OPSITE DRESSING 4 X 5 1/2 $7.00 OPTIFLOW JR INFANT CANNULA $260.00 OPTIFLOW JUNIOR TUBING KIT $289.00 OPTIRAY 320 (IOVERSOL) 320 $1,666.00 OPTP SILVER AXIS STANDARD ROLLER 36X3 $73.00 OR BONE WAX/AMP $13.00 OR CAUTERY TIP CLEANER $9.00 OR COMPRESSION LAG SCREW $194.00 OR INJECTION SITE $9.00 OR KERATOME BLADE $29.00 OR KIRCHNNER WIRE 045X9 $30.00 OR KIRCHNNER WIRE 062X9 $11.00 OR LOCAL PACK $32.00 OR LONG ARM CAST SYN $281.00 OR LONG LEG CAST SYN $315.00 OR MAJOR LAP PACK $35.00 OR MARLEX SUTURE $32.00 OR MINI BLADE $12.00 OR OPTIC PACK $160.00 OR PROCEEDURE 10 $167.00 OR SCLERATOME $29.00 OR SHORT ARM CAST SYN $213.00 OR SHORT LEG CAST SYN $213.00 OR SILVER CLIP $9.00 OR SMITH PETE CANN NAIL $150.00 OR STEINMAN PIN $270.00 OR SUT 751903 DEXON 70 $32.00 OR SUT NUROLON $32.00 OR SUTURE SURGILION $32.00 OR TWIST DRILL $48.00 ORAL SPEECH DEVICE EVAL $238.00 ORAL SUCTION MACHINE $17.00 ORBITS MIN 4V $197.00 ORCHIECTOMY/SIMPLE $580.00 ORCHIECTOMY/SIMPLE $580.00 ORENCIA 250MG VIAL (ABATACEPT) $1,084.00 Description Price ORGANIC ACID ANALYSIS URINE $274.00 ORGANISM ID URINE $119.00 ORGANISM IDENTIFICATION $135.00 ORGANISM SENSITIVITY $141.00 ORIMUNE (POLIOMYELEITIS VAC LIVE ORAL) $615.00 ORPHENADRINE 100MG TABLET (NORFLEX) $9.00 ORPHENADRINE 60 MG (NORFLEX) $79.00 ORTHO (APPLICATOR) INTRODUCER $17.00 ORTHO (DIAPHRAGM) 70 MM ALL-FLEX $105.00 ORTHO MINOR PACK $153.00 ORTHOTIC MGMT AND TRAINING $87.00 ORVAC REPLACEMENT BOTTLE $61.00 OSMOLALITY SERUM $44.00 OSMOLALITY URINE/24 HR $44.00 OSTEOCALCIN $142.00 OSTEOPATH MANIPULATIVE TX 1-2 BODY REGIO $58.00 OSTEOPATH MANIPULATIVE TX 3-4 BODY REGIO $87.00 OSTEOPATH MANIPULATIVE TX 5-6 BODY REGIO $115.00 OSTEOPATH MANIPULATIVE TX 7-8 BODY REGIO $143.00 OSTEOPATH MANIPULATIVE TX 9-10 BODY REGI $173.00 OSTEOSYNTHESIS PLATE $1,649.00 OSTOMY POUCH- SPECIAL ORDER $298.00 OT COMMUNITY/WORK REINTEG TRAINING $72.00 OT CONTRAST BATH/15 MIN $54.00 OT DEVELOPEMENT OF COGNITIVE SKILLS $68.00 OT DYNAMIC FINGER SPLINTING $72.00 OT DYNAMIC SHORT ARM SPLINT(FOREARM/HAND $120.00 OT E STIM UNATTENDED $52.00 OT ELEC STIM $56.00 OT E-STIM ATTENDED/15 MIN $63.00 OT EVALUATION $202.00 OT EVALUATION HIGH COMPLEXITY $202.00 OT EVALUATION LOW COMPLEXITY $202.00 OT EVALUATION MODERATE COMPLEXITY $202.00 OT GROUP OT $30.00 OT IONTOPHORESIS/15 MIN $63.00 OT MANUAL THERAPY/15 MIN $89.00 OT NEUROMUSCULAR REEDUCATION $86.00 OT ORTHC &/OR PROSTH MGMT&TRAIN SBSQ $115.00 OT ORTHOTIC MANAGEMENT INITIAL $91.00 OT PARAFFIN BATH $38.00 OT PHYSICAL PERFORMANCE TEST $78.00 OT PROSTHETIC MGMT INITIAL/15 MIN $78.00 OT RE EVALUATION $125.00 OT RE EVALUATION $125.00 OT SELF CARE/HOME MANAGEMENT ADL $83.00 OT STATIC FINGER SPLINT $48.00 OT STATIC SHORT ARM SPLINT $111.00 OT STRAPPING HAND OR FINGER $70.00 OT STRAPPING WRIST OR ELBOW $70.00 OT THERAPEUTIC ACTIVITY/15 MIN $72.00 Description Price OT THERAPEUTIC EX'S/15 MIN $71.00 OT ULTRASOUND/15 MIN $70.00 OT VASOPNEUMATIC DEVICE $59.00 OT WHEELCHAIR MANAGEMENT $73.00 OTHER >2.5 CM $311.00 OTHER 2.6-5.0 CM $285.00 OTHER LYSIS OF PERITONEAL ADHESIONS $2,307.00 OTHER LYSIS OF PERITONEAL ADHESIONS $2,307.00 OTHER OT CURRENT STATUS-CHGO $1.00 OTHER OT CURRENT STATUS-CIGO $1.00 OTHER OT CURRENT STATUS-CJGO $1.00 OTHER OT CURRENT STATUS-CKGO $1.00 OTHER OT CURRENT STATUS-CLGO $1.00 OTHER OT CURRENT STATUS-CMGO $1.00 OTHER OT CURRENT STATUS-CNGO $1.00 OTHER OT DISCHARGE STATUS-CHGO $1.00 OTHER OT DISCHARGE STATUS-CIGO $1.00 OTHER OT DISCHARGE STATUS-CJGO $1.00 OTHER OT DISCHARGE STATUS-CKGO $1.00 OTHER OT DISCHARGE STATUS-CLGO $1.00 OTHER OT DISCHARGE STATUS-CMGO $1.00 OTHER OT DISCHARGE STATUS-CNGO $1.00 OTHER OT GOAL STATUS-CHGO $1.00 OTHER OT GOAL STATUS-CIGO $1.00 OTHER OT GOAL STATUS-CJGO $1.00 OTHER OT GOAL STATUS-CKGO $1.00 OTHER OT GOAL STATUS-CLGO $1.00 OTHER OT GOAL STATUS-CMGO $1.00 OTHER OT GOAL STATUS-CNGO $1.00 OTHER PT CURRENT STATUS $1.00 OTHER PT CURRENT STATUS-CHGP $1.00 OTHER PT CURRENT STATUS-CIGP $1.00 OTHER PT CURRENT STATUS-CJGP $1.00 OTHER PT CURRENT STATUS-CKGP $1.00 OTHER PT CURRENT STATUS-CLGP $1.00 OTHER PT CURRENT STATUS-CMGP $1.00 OTHER PT CURRENT STATUS-CNGP $1.00 OTHER PT DISCHARGE STATUS-CHGP $1.00 OTHER PT DISCHARGE STATUS-CIGP $1.00 OTHER PT DISCHARGE STATUS-CJGP $1.00 OTHER PT DISCHARGE STATUS-CKGP $1.00 OTHER PT DISCHARGE STATUS-CLGP $1.00 OTHER PT DISCHARGE STATUS-CMGP $1.00 OTHER PT DISCHARGE STATUS-CNGP $1.00 OTHER PT GOAL STATUS-CHGP $1.00 OTHER PT GOAL STATUS-CIGP $1.00 OTHER PT GOAL STATUS-CJGP $1.00 OTHER PT GOAL STATUS-CKGP $1.00 OTHER PT GOAL STATUS-CLGP $1.00 OTHER PT GOAL STATUS-CMGP $1.00 OTHER PT GOAL STATUS-CNGP $1.00 Description Price OTHER SPEECH LANG CURRENT STATUS-CHGN $1.00 OTHER SPEECH LANG CURRENT STATUS-CIGN $1.00 OTHER SPEECH LANG CURRENT STATUS-CJGN $1.00 OTHER SPEECH LANG CURRENT STATUS-CKGN $1.00 OTHER SPEECH LANG CURRENT STATUS-CLGN $1.00 OTHER SPEECH LANG CURRENT STATUS-CMGN $1.00 OTHER SPEECH LANG CURRENT STATUS-CNGN $1.00 OTHER SPEECH LANG DISCHARGE STATUS-CHGN $1.00 OTHER SPEECH LANG DISCHARGE STATUS-CJGN $1.00 OTHER SPEECH LANG DISCHARGE STATUS-CKGN $1.00 OTHER SPEECH LANG DISCHARGE STATUS-CLGN $1.00 OTHER SPEECH LANG DISCHARGE STATUS-CMGN $1.00 OTHER SPEECH LANG DISCHARGE STATUS-CNGN $1.00 OTHER SPEECH LANG GOAL STATUS-CHGN $1.00 OTHER SPEECH LANG GOAL STATUS-CIGN $1.00 OTHER SPEECH LANG GOAL STATUS-CJGN $1.00 OTHER SPEECH LANG GOAL STATUS-CKGN $1.00 OTHER SPEECH LANG GOAL STATUS-CLGN $1.00 OTHER SPEECH LANG GOAL STATUS-CMGN $1.00 OTHER SPEECH LANG GOAL STATUS-CNGN $1.00 OTHER SPEECH LANGDISCHARGE STATUS-CIGN $1.00 OTHER SUB PT CURRENT STATUS-CHGP $1.00 OTHER SUB PT CURRENT STATUS-CIGP $1.00 OTHER SUB PT CURRENT STATUS-CJGP $1.00 OTHER SUB PT CURRENT STATUS-CNGP $1.00 OTHER SUB PT DISCHARGE STATUS-CHGP $1.00 OTHER SUB PT DISCHARGE STATUS-CIGP $1.00 OTHER SUB PT DISCHARGE STATUS-CKGP $1.00 OTHER SUB PT DISCHARGE STATUS-CLGP $1.00 OTHER SUB PT DISCHARGE STATUS-CNGP $1.00 OTHER SUB OT DISCHARGE STATUS-CHGO $1.00 OTHER SUB OT DISCHARGE STATUS-CIGO $1.00 OTHER SUB OT DISCHARGE STATUS-CJGO $1.00 OTHER SUB OT DISCHARGE STATUS-CKGO $1.00 OTHER SUB OT DISCHARGE STATUS-CLGO $1.00 OTHER SUB OT DISCHARGE STATUS-CMGO $1.00 OTHER SUB OT DISCHARGE STATUS-CNGO $1.00 OTHER SUB PT CURRENT STATUS-CKGP $1.00 OTHER SUB PT CURRENT STATUS-CLGP $1.00 OTHER SUB PT CURRENT STATUS-CMGP $1.00 OTHER SUB PT DISCHARGE STATUS-CJGP $1.00 OTHER SUB PT DISCHARGE STATUS-CMGP $1.00 OTHER SUBSEQUENT PT GOAL STATUS-CHGP $1.00 OTHER SUBSEQUENT PT GOAL STATUS-CIGP $1.00 OTHER SUBSEQUENT PT GOAL STATUS-CJGP $1.00 OTHER SUBSEQUENT PT GOAL STATUS-CKGP $1.00 OTHER SUBSEQUENT PT GOAL STATUS-CLGP $1.00 OTHER SUBSEQUENT PT GOAL STATUS-CMGP $1.00 OTHER SUBSEQUENT PT GOAL STATUS-CNGP $1.00 OTHER SUBSEQUENT OT CURRENT STATUS-CHGO $1.00 OTHER SUBSEQUENT OT CURRENT STATUS-CIGO $1.00 Description Price OTHER SUBSEQUENT OT CURRENT STATUS-CJGO $1.00 OTHER SUBSEQUENT OT CURRENT STATUS-CKGO $1.00 OTHER SUBSEQUENT OT CURRENT STATUS-CLGO $1.00 OTHER SUBSEQUENT OT CURRENT STATUS-CMGO $1.00 OTHER SUBSEQUENT OT CURRENT STATUS-CNGO $1.00 OTHER SUBSEQUENT OT GOAL STATUS-CHGO $1.00 OTHER SUBSEQUENT OT GOAL STATUS-CIGO $1.00 OTHER SUBSEQUENT OT GOAL STATUS-CJGO $1.00 OTHER SUBSEQUENT OT GOAL STATUS-CKGO $1.00 OTHER SUBSEQUENT OT GOAL STATUS-CLGO $1.00 OTHER SUBSEQUENT OT GOAL STATUS-CMGO $1.00 OTHER SUBSEQUENT OT GOAL STATUS-CNGO $1.00 OTRIVIN PED (XYLOMETAZOLINE).05% NASAL $30.00 OVA & PARASITE EXAMINATION $51.00 OVAL BELT 1 $67.00 OVAL OLYMPUS SNARE $119.00 OVARIAN CANCER MONITORING $288.00 OXACILLIN (OXACILL/NA) 500 MG CAPSULE $4.00 OXACILLIN 1 GM VIAL $45.00 OXACILLIN 2 GM VIAL $116.00 OXACILLIN 2GM/NS+ 100ML $66.00 OXALATE URINE $84.00 OXALIPLATIN 100MG/20ML VIAL (ELOXATIN) $334.00 OXALIPLATIN 200MG/40ML VIAL (ELOXATIN) $8,095.00 OXALIPLATIN 50MG/10ML (ELOXATIN) $190.00 OXAZEPAM 10 MG CAPSULE (SERAX) $6.00 OXAZEPAM 15 MG CAPSULE (SERAX) $8.00 OXCARBAZEPINE $95.00 OXCARBAZEPINE 150MG TABLET (TRILEPTAL) $6.00 OXIMETRY CHECK $75.00 OXIMETRY CK OVERNIGHT (CONT) $257.00 OXIMETRY NEONATAL-ADULT SENSOR GE $83.00 OXIMETRY STUDY FOR HOME O2 $187.00 OXISENSOR ADULT D25L $60.00 OXISENSOR ADULT MAX-A DISPOSABLE $51.00 OXISENSOR ADULT NASAL SENSOR $66.00 OXISENSOR NEO/NATAL N25 $66.00 OXISENSOR PEDS MAS1860 $55.00 OXYBUTYNIN 10MG ER TABLET (DITROPAN XL) $14.00 OXYBUTYNIN 3.9MG/24HR PATCH (OXYTROL) $54.00 OXYBUTYNIN 5 MG TABLET (DITROPAN) $6.00 OXYBUTYNIN XL 5MG TABLET (DITROPAN XL) $15.00 OXYCODONE $104.00 OXYCODONE 15MG IMMEDIATE RELEASE TABLET $11.00 OXYCODONE 5 MG IMMEDIATE RELEASE TABLET $11.00 OXYCODONE AND METABOLITE $152.00 OXYCODONE/APAP 5/325MG TABLET (PERCOCET) $11.00 OXYCODONE/ASA TABLET (PERCODAN) $6.00 OXYCONTIN CR (OXYCODONE) 10 MG TABLET $16.00 OXYCONTIN CR (OXYCODONE) 20 MG TABLET $21.00 OXYCONTIN CR (OXYCODONE) 40 MG TABLET $22.00 Description Price OXYFAST (OXYCODONE)ORAL SOL 20MG/ML 30ML $214.00 OXYGEN 10 LT/HR $23.00 OXYGEN 1-4 LT /HOUR $10.00 OXYGEN 5-9 LT/HOUR $18.00 OXYGEN TUBING $8.00 OXYGEN TUBING $10.00 OXYMETAZOLINE 0.05% NASAL SPRAY $7.00 OXYTOCIN 10 UNIT VIAL (PITOCIN) $11.00 OXYTOCIN 10UNITS/LR 1000ML PREMIX $61.00 OXYTOCIN 30 UNITS/LR 500ML PREMIX $52.00 OYSTER SHELL CALCIUM 250MG/D TAB (OSCAL) $4.00 OYSTER SHELL CALCIUM 500MG/D TAB (OSCAL) $5.00 PACEMAKER EVAL DUAL LEAD $145.00 PACEMAKER EVAL ICD DUAL LEAD $199.00 PACEMAKER EVAL ICD MULTI LEAD $221.00 PACEMAKER EVAL ICD SINGLE LEAD $185.00 PACEMAKER EVAL LOOP RECORDER $103.00 PACEMAKER EVAL MULTI LEAD $169.00 PACEMAKER EVAL SINGLE LEAD $118.00 PACEMAKER, EXTERNAL $34.00 PACIFIER NEBULIZER PEDI $29.00 PACING LEADS CARDIAC CATH BIPOLAR $536.00 PACK STERILE BASIN $8.00 PACK STERILE LINEN BURN $31.00 PACLITAXEL 100 MG VIAL (TAXOL) $1.00 PACLITAXEL 30 MG VIAL (TAXOL) $1.00 PACLITAXEL 300 MG MDV (TAXOL) $1.00 PAD ABD 8X 7.5 $5.00 PAD THERAPEUTIC 26 X18 WARMING $26.00 PALONOSETRON (ALOXI) 0.05MG/ML 5ML $220.00 PAMIDRONATE 30MG/VIAL (AREDIA) $250.00 pANCA $89.00 PANCREATITIS FULL GENE SEQUENCING $2,281.00 PANCRELIPASE CAP DR 5000U-17000U-27000U $11.00 PANCRELIPASE CAPS 4500U (PANCREASE EC) $4.00 PANNICULECTOMY $310.00 PAP & HPV REFLEX 16 & 18 $125.00 PAP SMEAR $71.00 PAP SMEAR COLLECTION $68.00 PAP W/CT/NG R $57.00 PAP W/CT/NG R $126.00 PAP W/CT/NG REFLEX HPV ASC-U $119.00 PAP W/CT/NG/HR-HPV REFLEX 16 & 18 $65.00 PAP W/CT/NG/TV/HSV/HR/HPV REFLEX16 & 18 $32.00 PAP W/HPV $119.00 PAP W/HPV CT NG $2.00 PAPAIN/UREA OINT 30 GM (ACCUZYME) $283.00 PAPAVERINE (PAPAVERINE) 300 MG VIAL $44.00 PAPIN/UREA OINT 30 GM (PANAFIL) $283.00 PAP-THIN PREP $103.00 PARAGARD T380A INTRAUTERINE DEVICE $857.00 Description Price PARANEOPLASTIC AUTO ANTIBODY PANEL $209.00 PARANEOPLASTIC AUTO ANTIBODY PANEL $218.00 PARASITE PANEL-STOOL $53.00 PARASITE SCREEN $83.00 PARATHYROID HORMONE WITH CA $70.00 PARATHYROID HORMONE-RELATED PEPTITDE $83.00 PARAVAGINAL DEFECT REPAIR/OPEN ABD APPRO $1,950.00 PARING/CUTTING BEN HYPERK LESION, SINGLE $55.00 PARING/CUTTING BEN HYPERK LESION, SINGLE $55.00 PARING/CUTTING BEN LES; 2-4 LES $30.00 PARING/CUTTING BEN LES; 2-4 LES $88.00 PARING/CUTTING BEN LES; 2-4 LES $88.00 PAROXETINE 20 MG TABLET (PAXIL) $6.00 PARTIAL AMPUTATION OF TOE $899.00 PARTIAL AMPUTATION OF TOE $899.00 PARTIAL COLECTOMY $2,934.00 PARTIAL EXCISION OF LIP $1,120.00 PARTIAL EXCISION OF LIP $1,120.00 PARTIAL REMOVAL OF FINGER BONE $1,068.00 PARTIAL REMOVAL OF RECTUM $1,385.00 PARTIAL REMOVAL OF TOE $1,164.00 PARTIAL THYROIDECTOMY $1,513.00 PARVO B19 IGM $96.00 PARVO-B19 ANTIBODY IGG $98.00 PATANOL (OLOPATIDINE) OPTH SOLN 0.1% 5ML $194.00 PATH EXTENSIVE-SURG,GROSS & MICROSCOPIC $290.00 PATH - FLOW CYTOMETRY BONE MARROW $229.00 PATH COMPUT ASSIST TECH $650.00 PATH STAIN $260.00 PATH-BONE MARROW ASPIRATION $139.00 PATH-BONE MARROW BIOPSY $316.00 PATHOLOGY - COMPLEX $682.00 PATHOLOGY - COMPREHENSIVE $930.00 PATHOLOGY - DECAL $88.00 PATHOLOGY - GROSS $98.00 PATHOLOGY STAIN $290.00 PATIENT PROGRAMMER $1,515.00 PATIENT TRANSPORT, EA ADD 30 MIN $400.00 PCA SET W/INJECTION $63.00 PEAK FLOW METER $61.00 PED TRACHEOSTOMY TUBE 3.5 CUFFLESS $226.00 PEDIACARE (D-METHORPH/P-EPHED/CPM) COUGH $23.00 PEDIARIX $117.69 PEDIARIX (HEP B/DTAP/POLIO) PREFILL SYR $118.00 PEDIATRIC URINE METER 5 FR FOLEY KIT $75.00 PEDIATRIC/ADULT AIRWAY ADAPTER $43.00 PEDIAZOLE (ERTHYOM/SULFISOX) 200 MG SUSP $54.00 PEDIOTIC OTIC (NEO/POLY) SUSP 7.5 ML $79.00 PEDS INTUBATING STYLET $26.00 PEDVAXHIB (HAEMOPH B POLYSAC CONJ) $38.00 PEEP VALUE DISPOSABLE $43.00 Description Price PEG SMOOTH 2.0 X 24MM $439.00 PEG SMOOTH 2.0MM 20MM $435.00 PEG SMOOTH 2.0MM X 14MM LONG $445.00 PEG TUBE PLACEMENT SMALL BOWEL ENDOSCOPY $617.00 PELVIC & BREAST $81.00 PELVIC TRACT KIT $191.00 PELVIC TRACTION BELT38 42 $85.00 PELVIC/BREAST EXAM $77.00 PELVIS W/HIP UNILATERAL 1 VIEW $159.00 PELVIS XRAY 1V OR 2V $205.00 PEN SURGICAL $2.50 PENCAN SPINAL TRAY 25GX3.5 W/INTRODUCER $81.00 PENCIL SMOKE EVACUATOR $174.00 PENICILLIN 125 MG/5ML SUSP 100ML $11.00 PENICILLIN 250 MG/5ML SUSPENSION 100ML $12.00 PENICILLIN G POT. (PENICILLIN G POT) 5MU $46.00 PENICILLIN G POT. (PENICILLIN G) 1MU $32.00 PENICILLIN V POT 250 MG TABLET $6.00 PENROSE DRAIN 1 X 8 $6.00 PENROSE DRAIN 1/4 X 12 $8.00 PENROSE DRAIN 1/4 X 18 $6.00 PENROSE DRAIN 1X12 $8.00 PENROSE DRAINS 1/2X12 $6.00 PENT 500 MG $31.00 PENT SY 250 $28.00 PENTACEL $141.00 PENTACEL VACCINE (DTAP/POLIO/HIB/TET) $135.00 PENTAMIDINE AEROSOL $249.00 PENTAMIDINE ISETHIONATE 300MG VIAL $458.00 PENTAZOCINE/APAP TABLET 25/650 (TALACEN) $6.00 PENTAZOCINE/NALONE TABLET (TALWIN NX) $7.00 PENTOBARBITAL 100 MG CAPSULE (NEMBUTAL) $5.00 PENTOSAN 100MG CAPSULE (ELMIRON) $11.00 PEPCID (FAMOTIDINE) 10 MG AC TABS $10.00 PEPTO-BISMOL LIQUID (BISMUTH SUBSAL) $6.00 PEPTO-BISMOL(BISMUTH SUBSAL) PINK 2 OZ $6.00 PERCISION MEDIUM/MEDIUM BLADE $153.00 PERCUT FIX METACARPAL FX $1,091.00 PERCUT FIX METACARPAL FX $1,091.00 PERCUT FIX THUMB FX W/MANIP $889.00 PERCUT FIX THUMB FX W/MANIP $889.00 PERCUTANEOUS INTRODUCER NEEDLE $93.00 PERDIEM (PSYLLIUM FIBER) BOTTLE $64.00 PERFIX PLUG EXTRA LARGE $598.00 PERI BOTTLE 8 OZ $2.50 PERIANAL ABSCESS I & D $431.00 PERIANAL ABSCESS I & D $431.00 PERICARDIOCENTESIS $793.00 PERI-COLACE (CASANTHRANOL & DOCUSATE SOD $4.00 PERIFIX 18ga.x4 3/4 TOUHY NEEDLE $38.00 PERIPHERAL SMEAR EXAM PATH INTERP REPORT $101.00 Description Price PERIPHERAL VASCULAR ARTERIAL PHYSIOLOGIC $257.00 PERITONEAL LAVAGE $195.00 PERITONEAL LAVAGE $265.00 PERITONEOCENTESIS ABD PARACENTESIS $380.00 PERITONEOCENTESIS;SUBSEQUENT $375.00 PERJETA (PERTUZUMAB) 420MG VIAL $8,201.00 PERMAFIX 30 BX/5 $826.00 PERMETHRIN 5% CREAM (ELIMITE) $120.00 PERTUSSIS ANTIBODIES IGG (SERUM) $116.00 PERTUSSIS BY PCR $271.00 PESSARY FITTING $268.00 PET-BRAIN METABOLIC EVAL $2,423.00 PET-CT ATTENUATION SKULL BASE MID THIGH $3,217.00 PET-CT IMAGING ATTENUATION LIMITED AREA $3,217.00 PET-CT IMAGING ATTENUATION WHOLE BODY $3,217.00 PET-FDG PER DOSE;TRACER $1,022.00 PET-MYOCARDIAL EVAL $2,423.00 PET-MYOCARDIAL PERF;MULT $2,423.00 PET-MYOCARDIAL PERF;SINGLE $2,423.00 PET-TUMOR LIMITED AREA $2,786.00 PET-TUMOR SKULL BASE TO THIGH $2,423.00 PET-TUMOR WHOLE BODY $2,423.00 PEZZER CATHETER 26 FR $80.00 PEZZER CATHETER 30 FR $64.00 PFT BASIC $252.00 PFT PRE/POST $397.00 PH $77.00 PH BODY FLUID $70.00 PH STOOL $70.00 PH URINE DIPSTIX $83.00 PHACO TUBE SET $258.00 PHALANGEAL TX W/MANIP $910.00 PHALANGEAL TX W/O MAN $311.00 PHARMACY MISC. TAB - F $60.00 PHARYNGOSCOPY $411.00 PHENAZOPYRIDINE 100 MG TAB (PYRIDIUM) $6.00 PHENEGRAN 25 MG $28.00 PHENOBARBITAL $92.00 PHENOBARBITAL (PHENOBARB) 130 MG TUBEX $39.00 PHENOBARBITAL (PHENOBARB) 15 MG TABS $4.00 PHENOBARBITAL (PHENOBARB) 20MG/5 ML $11.00 PHENOBARBITAL 32.4 MG TABLET $11.00 PHENOBARBITAL 60 MG TABLET $4.00 PHENOBARBITAL 65MG VIAL $88.00 PHENOL (CARBOLIC ACID) SOLUTION 480 ML $291.00 PHENOLPHTHALENE TABLET (CORRECTOL) $4.00 PHENTERMINE 37.5MG TABLET (ADIPEX) $8.00 PHENTOLAMINE 10 MG VIAL $506.00 PHENYLEPH/HCOD/CDM 5ML (HISTUSSIN HC) $5.00 PHENYLEPHRINE OPTH SOLN 2.5% $54.00 PHENYLEPHRINE 0.25% SPR (NEO-SYNEPHRINE) $13.00 Description Price PHENYLEPHRINE 10MG VIAL (NEO-SYNEPHRINE) $13.00 PHENYTOIN 250 MG VIAL (DILANTIN) $33.00 PHENYTOIN CHEW 50MG TABLET (DILANTIN) $7.00 PHENYTOIN E.R. 100MG CAPSULE (DILANTIN) $7.00 PHENYTOIN SUSP 125MG/5ML (DILANTIN) $8.00 PHIL COLLAR INFANT $118.00 PHIL COLLARS PEDS $118.00 PHILA COLLAR 5 1/4 SM $90.00 PHILLIPS CATH FOLLOWER 10 FR $76.00 PHILLIPS CATH FOLLOWER 12 FR $76.00 PHILLIPS CATH FOLLOWER 14 FR $76.00 PHILLIPS CATH FOLLOWER 16 FR $76.00 PHILLIPS CATH FOLLOWER 20 FR $76.00 PHILLIPS CATH FOLLOWER 22 FR $76.00 PHILLIPS CATH FOLLOWER 24 FR $76.00 PHILLIPS CATH FOLLOWER 26 FR $76.00 PHILLIPS CATH FOLLOWER 28 FR $76.00 PHILLIPS CATH FOLLOWER 30 FR $76.00 PHILLIPS CATH FOLLOWER 8 FR $76.00 PHISODERM (LANOLIN/PET) SOAP 9 OZ $28.00 PHISOHEX (HEXACHLOROPHENE) CLEANSER 1 GA $251.00 PHISOHEX (HEXACHLOROPHENE) CLEANSER 1 PT $68.00 PHISOHEX (HEXACHLOROPHENE) CLEANSER 5 OZ $68.00 PHLEBOTOMY $128.00 PHOSPHATIDYLGLYCEROL $52.00 PHOSPHATIDYLGLYCEROL $55.00 PHOSPHOLIPID NEUTRALIZATION $85.00 PHOSPHOLIPIDS SERUM $89.00 PHOSPHOROUS $76.00 PHOSPHORUS URINE $64.00 PHY SUPERVS PT NO HOME HLTH >30MIN $151.00 PHY SUPERVS PT NO HOME HLTH >30MIN $151.00 PHY SUPERVS PT NO HOME HLTH 15-29MIN $136.00 PHY SUPERVS PT NO HOME HLTH 15-29MIN $136.00 PHYSICAL PEFORMANCE/FCE W REPORT $75.00 PHYSICIAN STANDBY SERVICES $160.00 PHYSOTIGMINE 2MG AMP $73.00 PHYTONADIONE 1MG/0.5ML PFS (VITAMIN K) $41.00 PICC ACCESS FOR BLOOD SPECIMEN $61.00 PILOCARPINE 1% OPTH DROPS $13.00 PILOCARPINE 2% OPTH SOLN (PILOCAR) $68.00 PILOCARPINE 4% OPTH SOLN 15 ML $47.00 PILOCARPINE 5MG TABLET (SALAGEN) $10.00 PIN KNOWLES 1/8 X 3 3/4 $163.00 PIN KNOWLES 1/8 X 4 1/4 $163.00 PINCH GRAFT,SNGL/MULT <2CM $1,478.00 PINCH GRAFT,SNGL/MULT <2CM $1,478.00 PINDOLOL 5MG TABLET (VISKEN) $5.00 PINTRAC -15 SURGI MESH $1,852.00 PINWORM SMEAR $68.00 PIOGLITAZONE 15 MG TABLET (ACTOS) $8.00 Description Price PIP DART 2.5X30MM STRAIGHT $1,175.00 PIP DART 3X30MM 10 DEGREE $1,175.00 PIP DART PEEK STRAIGHT 3X30 $1,175.00 PIPERACILLIN/TAZOBACTAM 2.25GM/NS 100ML $86.00 PIPERACILLIN/TAZOBACTAM 3.375GM VIAL $54.00 PIROXICAM 20 MG CAPSULE (FELDENE) $15.00 PKU $180.00 PLACE CATHETER IN VEIN $288.00 PLACE CATHETER IN VEIN $288.00 PLACEMENT MESH IMPLANT $550.00 PLACEMENT MESH IMPLANT $550.00 PLACEMENT OF ON-Q PAIN PUMP $841.00 PLAIN PACKING STRIP 1 X 5yds $15.00 PLAIN PACKING STRIP 1/2INx5YDS $20.00 PLAIN PACKING STRIP 1/4 X 5YDS $10.00 PLAK-VAC $51.00 PLANTAR LAP PLATE $2,461.00 PLASMINOGEN ACTIVATOR INHIBITOR ACTIVITY $101.00 PLASMODIUM SPECIES, PCR $439.00 PLATE NARROW ACP 11 HOLE $291.00 PLATE NARROW ACP 7 HOLE $280.00 PLATE WIDE ACP 11MM $222.00 PLATE WIDE COMP 10 HOLE $426.00 PLATE WIDE COMP 11 HOLE $407.00 PLATELET ANTIBODY DIRECT $224.00 PLATELET COUNT $34.00 PLATELET FACTOR 4 $297.00 PLEUR-EVAC ADULT/PEDS $156.00 PML-RARA $84.00 PNEUMOCOCCAL IMMUNITY PANEL (7 SERO) (2) $41.00 PNEUMONIA PCV7 UNDER 5 YEARS $160.00 PNEUMOSURE HEAT FLOW $203.00 PNEUMOVAX (PNEUMOCOCCAL VACCINE) $87.00 PNEUMOVAX 23 $104.74 PNEUMOVAX 23 $104.74 PNEUMOVAX 23 (PNEUMONOCOCAL VAC) 23 $111.00 PODOUS BOOT RG $79.00 PODUS BOOT XL $172.37 PODUS LINER XL $139.62 POLIOVIRUS 1 2 3 ANTIBODY (2) $184.00 POLIOVIRUS IMMUNE STATUS ANTIBODY $483.00 POLLACK 4FR $71.00 POLLACK 5 FR $71.00 POLY ROTH NET (POLY-PAK) $557.00 POLY/NEO/HYDROC OPTH SUSP (CORTISPORIN) $159.00 POLYCITRA (CITRIC ACID/K-NA CITRATES) $5.00 POLYESTER 10X8 MESH PRIETEX COMPOSITE $1,439.00 POLYESTER 15X10cm 6 x 4 MESH PRIETEX $908.00 POLYESTER 20X30 MESH PRIETEX COMPOSITE $1,627.00 POLYETHYLENE GLY PWDR 238G(MIRALAX) $56.00 POLYETHYLENE GLYCOL PWDR 17GM (MIRALAX) $10.00 Description Price POLYP TRAP $90.00 POLYPEC SNARE & NET PACK $450.00 POLY-VI-SOL FE (MULTIPLE VIT/IRON) DROPS $13.00 PONSKY PULL FEEDING TUBE $360.00 POOLE SUCTION HANDLE $17.00 POPE BRACE MEDIUM $409.00 PORPHOBILINOGEN QUANTITATIVE 24HR URINE $58.00 PORPHOBILINOGEN, QUANT RANDOM URINE $43.00 PORPHYRINS 24 HOUR URINE $42.00 PORPHYRINS QUANTITATIVE URINE RANDOM $48.00 PORT ACCESS FOR BLOOD SPECIMEN $55.00 POSEY OX WRAP SENSOR $8.00 POSITIONER HEAD RING CUSHION 9 $7.00 POSITIONING KIT- PINK PAD $441.00 POST OP SHOE SOFT MEN XLG $9.00 POSTERIOR LEG SPLINT LG $335.00 POSTERIOR LEG SPLINT MED $183.00 POSTPARTUM CARE ONLY $292.00 POT 10 MEQ IN 5% DEXT & 0.2% SOD CHL INJ $20.00 POT 10 MEQ IN 5% DEXT & 0.45% SOD CHLO $18.00 POT 20 MEQ IN 0.45% SODIUM CHLORIDE $20.00 POT 20 MEQ IN 0.9% SODIUM CHLORIDE $20.00 POT 20 MEQ IN 5% DEXTROSE WATER INJ $19.00 POT 20 MEQ IN D5% 0.45 NS $19.00 POT 20 MEQ IN D5% NS $21.00 POT 40 MEQ IN 0.9% SODIUM CHLORIDE $36.00 POT 40 MEQ IN 5% DEXTROSE/0.45%NORM $24.00 POT CHLORIDE 10MEQ/100ML NS $57.00 POT CHLORIDE 10MEQ/100ML STERILE WATER $21.00 POT CHLORIDE 20MEQ/100ML NS $57.00 POT CHLORIDE 20MEQ/100ML STERILE WATER $18.00 POTASS BICAR/CA 25 MEQ EFF TAB (K-LYTE) $6.00 POTASS.BICAR/POT.CL/CA TAB (K-LYTE/CL) $7.00 POTASSIUM $69.00 POTASSIUM CHL 20% 40MEQ/15ML ORAL SOLN $5.00 POTASSIUM CHL 10MEQ ER TABLET $7.00 POTASSIUM CHL 20 MEQ TABLET(K-DUR) $7.00 POTASSIUM CHL 20 MEQ/15ML ORAL SOLN UD $4.00 POTASSIUM CHLORIDE 20 MEQ VIAL $31.00 POTASSIUM CHLORIDE (KCL 10 MEQ) VIAL $28.00 POTASSIUM CHLORIDE 30 MEQ VIAL $29.00 POTASSIUM CHLORIDE 40 MEQ VIAL $41.00 POTASSIUM PHOSPHATE (KPO4) 45 MM VIAL $30.00 POTASSIUM URINE $64.00 POUCH FLANGE DRAIN 4 $18.00 POUCH W/FLANGE 1 1/2 $18.00 POVIDONE IODINE OINTMENT 1OZ $8.00 POVIDONE-IOD DOUCHE (BETADINE) $14.00 POVIDONE-IODINE BOTTLE $9.00 POWER LOC 20GA X 3/4IN $41.00 POWERED VASCULAR STAPLER 35MM $548.00 Description Price PPH STAPLER $695.00 PR PHASE III $21.00 PRADAXA 150MG CAPSULE (DABIGATRAN) $30.00 PRADAXA 75MG CAPSULE (DABIGATRAN) $30.00 PRAMIPEXOLE 0.125MG TAB $6.00 PRAMIPEXOLE 0.25MG TABLET (MIRAPEX) $28.00 PRAMIPEXOLE 1.5MG TABLET (MIRAPEX) $6.00 PRAVASTATIN 20 MG TAB (PRAVACHOL) $6.00 PRAZOSIN 1 MG CAPSULE (MINIPRESS) $4.00 PRAZOSIN 2 MG CAPSULE (MINIPRESS) $4.00 PRAZOSIN 5 MG CAPSULE (MINIPRESS) $8.00 PRE EMPLOYMENT SENDOUT $21.00 PRE-ALBUMIN $89.00 PRECISION BLADE 5.5X0.51X25MM $153.00 PRECISION BLADE 9.0 X 0.51 X 31.0MM $153.00 PRECISION BLADE 9.0X0.64X25MM $153.00 PRED MILD OPTH SUSP 0.12% (PREDNISOLONE) $94.00 PREDNISOLONE 15 MG/5ML (PRELONE) $8.00 PREDNISOLONE SOD PHOS 5MG/5ML(PEDIAPRED) $5.00 PREDNISONE 1 MG TABLET $6.00 PREDNISONE 1 MG TABLET (ORASONE) $4.00 PREDNISONE 10 MG TABLET $6.00 PREDNISONE 20 MG $3.00 PREDNISONE 20 MG TABLET $6.00 PREDNISONE 5 MG TABS $6.00 PREDNISONE ORAL SOLUTION 5 MG/ 5 ML $23.00 PREFIL BOTTLE 300 $17.00 PREFIL BOTTLE 500 $18.00 PREFIL WITH ADAPTER 500 $31.00 PRE-FILTER $41.00 PRE-FILTER ADAPTER $13.00 PREGESTIMNUL FORMULA $31.00 PREGNANCY TEST SERUM $111.00 PREGNANCY TEST SERUM REFLEX BETA HCG $111.00 PREGNANCY TEST URINE $84.00 PREGNANCY TEST URINE $104.00 PREGNENOLONE $120.00 PREMARIN (CONJUG. ESTRO.) 0.3 MG TAB $4.00 PREMARIN (CONJUG. ESTRO.) 0.625 MG TAB $25.00 PREMARIN (CONJUG.ESTROGEN) 25 MG VIAL $1,130.00 PREMARIN (ESTROGEN CONJUGATED) VAG CREAM $180.00 PREMEE FEED TUBE 5 FR $16.00 PREMEE FEED TUBE 8 FR $21.00 PREMPRO (ESTROGEN/MEDROXYPROGE)0.625/2.5 $6.00 PREOP PLACEMENT NEEDLE LOCALIZATION WIRE $284.00 PREPIDIL GEL (DINOPROSTONE) 0.5 MG GEL $649.00 PRESSURE LINE ADAPTOR $6.78 PRESSURE TRANSDUCER $135.00 PREV EST NEW PT LESS THAN 1 YEAR $114.00 PREV MED EST PAT AGES 40-64 YEARS $176.00 PREV MED EST PAT AGES 40-64 YEARS $184.00 Description Price PREV MED EST PT AGE 12-17 YEARS $155.00 PREV MED EST PT AGE 18-39 YEARS $168.00 PREV MED EST PT AGE 5-11 YEARS $127.00 PREV MED NEW PT AGE 12-17 YEARS $197.00 PREV MED NEW PT AGE 1-4 YEARS $114.00 PREV MED NEW PT AGE 1-4 YEARS $140.00 PREV MED NEW PT AGE 18-39 YEARS $224.00 PREV MED NEW PT AGE 5-11 YEARS $140.00 PREV MED NEW PT LESS THAN 1 YEAR $140.00 PREV VISIT EST PT AGES 65 AND UP $211.00 PREV VISIT EST PT AGES 65 AND UP $220.00 PREV VISIT NEW PT AGES 65 AND UP $270.00 PREV VISIT NEW PT AGES 65 AND UP $281.00 PREV, VISIT, NEW, AGE 18-39 $104.00 PREVACID (LANSOPRAZOLE) 15 MG CAP $19.00 PREVACID (LANSOPRAZOLE) 30 MG CAP $20.00 PREVACID IV (LANSOPRAZOLE) 30MG $121.00 PREVACID SOLUTAB (LANSOPRAZOLE) 15 MG $19.00 PREVACID SOLUTAB (LANSOPRAZOLE) 30 MG $19.00 PREVNAR 13 (PNEUMOCOCCAL VACCINE) $226.00 PRIMAXIN (IMIPENEM/CILASTIN) 500 MG IM $155.00 PRIMAXIN IM 500MG (IMIPENEM/CILASTATIN) $183.00 PRIMAXIN IVPB 500MG/D5W 100ML $184.00 PRIMIDONE $85.00 PRIMIDONE 250 MG TABLET (MYSOLINE) $6.00 PRIMIDONE 50 MG TABLET (MYSOLINE) $6.00 PR-INDIVIDUAL EXERCISE $28.00 PRISCOLINE (TOLZOLINE) 100 MG AMP $90.00 PRISTIQ ER 50MG TABLET (DESVENLAFAXINE) $48.00 PROBE RECTAL ESOPHAGEAL $150.00 PROBENECID 500 MG TABLET (BENEMID) $9.00 PROCAINAMIDE 1 GM VIAL $400.00 PROCAINAMIDE 500 MG CAPSULE $4.00 PROCALCITONIN $228.00 PROCANBID (PROCAINAMIDE) 500 MG E.R. $6.00 PROCEDURE TRAY $144.00 PROCEED 4.3 X 4.3 SMALL VENTRAL PATCH $635.00 PROCEED 6.4 X 6.4 VENTRAL PATCH $747.00 PROCEED MESH OVAL 10 X13 $3,155.00 PROCEED MESH OVAL 8 X10 $2,200.00 PROCHLORPERAZINE 10MG SUPP (COMPAZINE) $19.00 PROCHLORPERAZINE 10MG VIAL (COMPAZINE) $22.00 PROCHLORPERAZINE 25MG RS (COMPAZINE) $29.00 PROCHLORPERAZINE 5MG TABLET (COMPAZINE) $6.00 PROCHLORPERAZINE SPAN 15MG $10.00 PROCRIT 10,000U (EPOETIN ALFA) $461.00 PROCRIT 20,000U (EPOETIN ALFA) $743.00 PROCRIT 4,000U (EPOETIN ALFA) $492.00 PROCRIT 40,000U (EPOETIN ALFA) $1,922.00 PROCTOFOAM-HC (PRAMOXINE HCL/HYDCT) 10GM $107.00 PROCTOPEXY PE $1,870.00 Description Price PROGESTERONE $88.00 PROGESTERONE $161.00 PROGESTERONE IN OIL(PROGESTER) 500 MG $118.00 PROGRAF $130.00 PROGRAF (TACROLIMUS) 1MG CAP $15.00 PROHIBIT VACCINE (HAEOPHILUS B VACC) $523.00 PROINSULIN $109.00 PROLACTIN 1:10 $118.00 PROLACTIN 1:100 $142.00 PROLACTIN LEVEL $74.00 PROLENE MESH HERNIA $560.00 PROLENE MESH PHSM MEDIUM (HAT) $798.00 PROLENE MESH PMH LG 6X6 $493.00 PROLEUKIN (ALDESLEUKIN) 22MU/1.2ML $3,550.00 PROLIA 60MG/1ML SYRINGE (DENOSUMAB) $3,781.00 PROLONG PHY SVC, W/O DIR PAT CONTACT $400.00 PROLONG SERVICE W/O CONTACT $451.00 PROLONG SRVC OUTPT W/PT 1ST HOUR $111.00 PROLONG SRVC OUTPT-PT; EA 30 MIN $111.00 PROMETHAZINE 25 MG TABLET (PHENERGAN) $6.00 PROMETHAZINE 25 MG VIAL (PHENERGAN) $16.00 PROMETHAZINE 6.25MG/5 ML ORAL(PHENERGAN) $8.00 PROMETHAZINE SUPP 12.5MG (PHENERGAN) $23.00 PROMETHAZINE SUPP 25MG (PHENERGAN) $6.00 PROMETHAZINE SUPP 50MG (PHENERGAN) $19.00 PROMETRIUM (PROGESTERONE)100MG CAP $5.00 PROPAFENONE 150 MG TAB (RYTHMOL) $7.00 PROPAFENONE 150MG TABLET $6.00 PROPOFOL 1000MG/100ML VIAL (DIPRIVAN) $54.00 PROPOFOL 200MG/20ML VIAL (DIPRIVAN) $27.00 PROPOFOL 500MG/50ML VIAL (DIPRIVAN) $90.00 PROPOXYPHENE 65 MG CAPSULE (DARVON) $5.00 PROPOXYPHENE NAP/APAP 100/650 (DARVOCET) $5.00 PROPRANOLOL 1 MG AMPULE (INDERAL) $25.00 PROPRANOLOL 10 MG TABLET (INDERAL) $6.00 PROPRANOLOL 40 MG TABLET (INDERAL) $4.00 PROPRANOLOL 80MG TABLET $6.00 PROPULSID (CISAPRIDE) 10 MG TAB $6.00 PROPYLTHIOURACIL 50 MG TABS $4.00 PROQUAD $233.10 PROQUAD (MMR/VARICELLA) VACCINE $219.00 PROSTHESIS 10 MM $649.00 PROSTHESIS 8MM $649.00 PROSTIN E2 (DINOPROSTONE) 20 MG SUPP $526.00 PROSTIN VR PED (ALPROSTADIL) 500 MCG $263.00 PROTAMINE 50 MG VIAL $48.00 PROTEIN C ACTIVITY $107.00 PROTEIN C ANTIGEN $127.00 PROTEIN ELECTRO URINE 24 HOUR $177.00 PROTEIN ELECTRO URINE RANDOM $177.00 PROTEIN ELECTROPHORESIS INTERPRETATION $37.00 Description Price PROTEIN ELECTROPHORESIS SERUM $153.00 PROTEIN REFERENCE LAB $31.00 PROTEIN S ACTIVITY $117.00 PROTEIN S ANTIGEN $50.00 PROTEIN S FREE $52.00 PROTEIN URINE RANDOM $58.00 PROTEINASE 3 $89.00 PROTIME/INR $84.00 PROTONIX (PANTOPRAZOLE) 40 MG TABLET $29.00 PROTONIX DR ORAL SUSP 40MG (PANTOPRAZOLE $16.00 PROTONIX IV (PANTOPRAZOLE SODIUM) 40MG $38.00 PROTOPAM CHLORIDE (PRALIDOXIME) 1 GM $674.00 PROTOPORPHYRIN FRAC. ERYTH $85.00 PROTUSS EXPT (POTGUAIACOL/HYDRODO) $44.00 PROVE COVER KIT $49.00 PROVIGIL (MODAFINIL) 200MG TAB $64.00 PROVISC(SODIUM HYDAURONATE) 0.55 ML $555.00 PROXIMATE SKIN STAPLER 35 REGULAR $47.00 PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE/W $14,938.00 PR-STRENGTH ENDURANCE $26.00 PSA DIAGNOSTIC $165.00 PSA FREE $59.00 PSA SCREEN $165.00 PSA TOTAL $59.00 PSEUDOCHLOLINESTERASE $87.00 PSEUDOEPHED 120MG CAPLET (SUDAFED) $5.00 PSEUDOEPHEDRINE 30 MG TABLET (SUDAFED) $6.00 PSEUDOEPHEDRINE HCL 4 OZ (SUDAFED) $20.00 PSEUDOEPHEDRINE/CARBINOX DROPS (RONDEC) $113.00 PT COMMUNITY WORK REINTEG/15 MIN $72.00 PT CONTRAST BATH/15 MIN $56.00 PT DEBRIDEMENT <20 SQ CM $144.00 PT DEBRIDEMENT EA ADDTL >20 SQ CM $152.00 PT ELEC STIM NON ATTENDED $56.00 PT ELEC STIM UNATTENDED $56.00 PT E-STIM ATTENDED/15 MIN $63.00 PT EVALUATION HIGH COMPLEXITY $315.00 PT EVALUATION LOW COMPLEXITY $315.00 PT EVALUATION MODERATE COMPLEXITY $315.00 PT EVALUATION NEW $315.00 PT GAIT TRAIN/15 MIN $57.00 PT INIT SPIROM-30DAY;PHYS R&I ONLY $48.00 PT INIT SPIROM-30DAY;PHYS R&I ONLY $50.00 PT IONTOPHORESIS/15 MIN $88.00 PT MANUAL THERAPY/15 MIN $89.00 PT MECH TRACTION $88.00 PT NEG PRESS WOUND < 50 CM $184.00 PT NEG PRESS WOUND > 50 CM $114.00 PT NEUROMUSCULAR RE-ED/15 MIN $107.00 PT ORTHC &/OR PROSTH MGMT&TRAIN SBSQ $115.00 PT OUTPATIENT ASSESSMENT AND MANAGEMENT $266.00 Description Price PT PARRAFIN BATH $40.00 PT PROSTHETIC MGMT INITIAL /15 MIN $78.00 PT RE EVALUATION $151.00 PT RE-EVALUATION $151.00 PT SELF CARE MGMT TRAINING $83.00 PT THERAPEUTIC ACTIVITY/15 MIN $70.00 PT THERAPEUTIC EX/15 MIN $71.00 PT THERAPEUTIC EX'S GRP $56.00 PT ULTRASOUND/15 MIN $70.00 PT UNNA BOOT $104.00 PT VASOPNEUM DEV $83.00 PT WHEELCHAIR MGMT/15 MIN $73.00 PTH CA $30.00 PTH INTACT $62.00 PTH RELATED PROTEIN $87.00 PTT $84.00 PUDENDAL BLOCK TRAY $81.00 PULLEY- HAND $66.00 PULMICORT (BUDESONIDE) NEB AMP 0.25/2ML $50.00 PULMICORT (BUDESONIDE) NEB AMP 0.5MG/2ML $58.00 PULMICORT(BUDESONIDE) INHALER 90MCG $176.00 PULMONARY ASSIST CIRCUIT $67.00 PULMONARY REHAB GROUP EXERCISE $29.00 PULMONARY REHABILITATION $118.00 PULMONARY STRESS TESTING;SIMPLE $168.00 PULSE OXIMETER DISPOSABLE PROBE $67.00 PULSEWAVE IRRIGATION $202.00 PUNCT ASPIR OF ABS/HEMA/BULLA/CYST $218.00 PUNCTURE ASPIRATION OF BREAST/CYST $115.00 PUNCTURE PERITONEAL CAVITY $386.00 PYRAZINAMIDE 500 MG TAB $9.00 PYRIDOSTIGMINE 60 MG TAB (MESTINON) $8.00 PYRIDOXINE (VITAMIN B6) 100 MG/ML $49.00 PYRIDOXINE (VITAMIN B-6) 50 MG TAB $6.00 PYRUVIC ACID $136.00 Q FEVER IGG $68.00 QUANITATIVE RADIOIMMUNOASSAY $156.00 QUANT IHC $364.00 QUANTIFERON TB GOLD $243.00 QUETIAPINE $146.00 QUETIAPINE 100MG TABLET (SEROQUEL) $8.00 QUETIAPINE 25MG TABLET (SEROQUEL) $7.00 QUINAPRIL 10 MG TABLET (ACCUPRIL) $7.00 QUINIDINE $63.00 QUINIDINE GLUCONATE 10 ML VIAL $96.00 QUINIDINE GLUCONATE 324MG (QUINAGLUTE) $4.00 QUINIDINE SULFATE (QUINIDINE SULF) 300MG $6.00 QUINIDINE SULFATE(QUINID.SULF) 200 MG $4.00 QUININE SULFATE 200 MG CAPSULE $4.00 QUININE SULFATE 260MG TABLET $4.00 QVAR 40MCG INHALER (BECLOMETHASONE)7.3G $104.00 Description Price QVAR 80MCG INHALER (BECLOMETHASONE)7.3G $221.00 R T DRUG ALUPENT INHALER $22.00 R T DRUG BRONKOSOL $9.00 R T DRUG ISUPREL $9.00 RABIES VACCINE TITER $158.00 RACEPINEPHRINE 2.25% (S-2) $13.00 RADIAL HD/NECK FX $876.00 RADIAL SHAFT FX $921.00 RADIAL-ULNAR FX DISTAL COLLES TX $578.00 RAINBOW CAST SANDAL SMALL $33.00 RAISED TOILET SEAT $90.00 RALLY BAG $186.00 RAMIPRIL 10MG CAPSULE (ALTACE) $5.00 RAMIPRIL 2.5 MG CAPSULE (ALTACE) $6.00 RAMIPRIL 5 MG CAPSULE (ALTACE) $12.00 RANEXA 500MG ER TABLET (RANOLAZINE) $29.00 RANITIdine 150 MG TABLET (ZANTAC) $6.00 RANITIDINE 50 MG VIAL (ZANTAC) $26.00 RANITIDINE GRANULES 150 MG (ZANTAC) $4.00 RANITIdine SYRUP 15MG/ML (ZANTac) $10.00 RAPAMUNE $95.00 RAPID HIV TEST KIT CLEARVIEW $84.00 RAPID RHINO ANT/POST W/AIRWAY 7.5CM $192.00 RAPID RHINO ANTERIOR 4.5CM $171.00 RAPID RHINO LUMEN 5.5 CM $171.00 RAPID STREP $28.00 RAPID STREP $28.00 RAPLON (RAPACURONIUM BR) 100 MG VIAL $86.00 RAST PER ALLERGEN $61.00 RAST PER ALLERGEN CPT 86005 $51.00 RAYNER 570C $37.00 RAYTEC SPONGES 8X4 $8.00 RBC OSMOTIC FRAGILITY $327.00 RE-ASSESSMENT MED NUTR PER 15 MIN $29.00 REBOUND ANDLE STAB STRAP MD RT $129.00 RECIPIENT SET (COMPONENT) $22.00 RECOMBIVAX HB (HEPATITIS B) 40 ADULT $56.00 RECOMBIVAX HP-ADULT $55.09 RECOMBIVAX HP-PED $16.36 RECOMBIVAX HP-PED $16.36 RECOMBIVAX PEDHB(HEPATITIS B) 0.5ML DOSE $18.00 RECON CONTOURING BENIGN TUMOR CRANIAL BN $1,745.00 RECON CONTOURING BENIGN TUMOR CRANIAL BN $1,745.00 RECON KNEE INTRA&EXTRA-ARTICULAR $2,540.00 RECON KNEE INTRA&EXTRA-ARTICULAR $2,540.00 RECON POLYDAC $2,314.00 RECOVERY CHARGE 01 30 MIN $467.00 RECOVERY CHARGE 121 150 MIN $880.00 RECOVERY CHARGE 151 180 MIN $828.00 RECOVERY CHARGE 181 210 MIN $1,212.00 RECOVERY CHARGE 211 240 MIN $1,050.00 Description Price RECOVERY CHARGE 241 270 MIN $1,136.00 RECOVERY CHARGE 271 300 MIN $1,239.00 RECOVERY CHARGE 31 60 MIN $649.00 RECOVERY CHARGE 61 90 MIN $836.00 RECOVERY CHARGE 91 120 MIN $850.00 RED BLOOD COUNT $67.00 REDUCE DISLOCATION OF ELBOW $467.00 REDUCE DISLOCATION OF FINGER OR TOE $227.00 REDUCE DISLOCATION OF FINGER OR TOE $156.00 REDUCE DISLOCATION OF PATELLA $274.00 REDUCE DISLOCATION OF SHOULDER $448.00 REDUCING SUBSTANCES-FECES $44.00 REDUCTION OF RECTAL PROLAPSE $533.00 REF LAB URINE CREATININE $95.00 REFILLING/MAINTENANCE OF PORTALBE PUMP $392.00 REFLEX 45 $550.00 REGRANEX (BECAPLERMIN) GEL 15 GM $943.00 REGULAR BILE BAG $58.00 REGULAR VENA CAVA CLIP $245.00 REHABILITATION PHASE III $32.00 RELEASE CATHETER 16FR.TRAY $114.00 RELISTOR (METHYLNATREXONE) 12MG/0.6ML $768.00 RELOAD 45MM WHITE- THICK $400.00 RELOAD ENDO SCOPIC $913.00 RELPAX (ELETRIPTAN HYDROBROMIDE)40MG TAB $67.00 REMICADE (INFLIXIMAB) 100 MG SDV $225.00 REMOVAL OF ARM FOREIGN BODY $413.00 REMOVAL OF ARM FOREIGN BODY $413.00 REMOVAL FB DP THI REGION/KNEE AREA $1,067.00 REMOVAL FB DP THI REGION/KNEE AREA $1,067.00 REMOVAL FB EXT EYE; CONJUNCT SUP $74.00 REMOVAL FB EXT EYE; CONJUNCT SUP $94.00 REMOVAL FB EXT EYE; CONJUNCT SUP $94.00 REMOVAL FB INTRANASL; OFC TYPE PROC $108.00 REMOVAL FB INTRANASL; OFC TYPE PROC $193.00 REMOVAL FB INTRANASL; OFC TYPE PROC $389.00 REMOVAL FB INTRANASL; OFC TYPE PROC $389.00 REMOVAL FB VESTIBULE OF MOUNTH SIMPLE $326.00 REMOVAL FOOT LESION $847.00 REMOVAL FOOT LESION $908.00 REMOVAL FOREARM LESION SUBCU $914.00 REMOVAL FOREARM LESION SUBCU $914.00 REMOVAL FOREIGN BODY, INTRANASAL GEN ANE $426.00 REMOVAL GALLBLADDER $237.00 REMOVAL GALLBLADDER $2,297.00 REMOVAL IMPACT CERUMEN ONE/BOTH EARS $104.00 REMOVAL IMPACT CERUMEN ONE/BOTH EARS $118.00 REMOVAL IMPACT CERUMEN ONE/BOTH EARS $118.00 REMOVAL IMPACTED CERUMEN $75.00 REMOVAL IMPACTED CERUMEN $123.00 REMOVAL IMPLANT;DEEP $583.00 Description Price REMOVAL IMPLANT;DEEP $583.00 REMOVAL IMPLANT;SUPERFICIAL $898.00 REMOVAL IMPLANT;SUPERFICIAL $898.00 REMOVAL KNEE CARTILAGE $1,396.00 REMOVAL KNEE CARTILAGE $1,396.00 REMOVAL NON BIO DRUG DELIVERY IMPLANT $227.00 REMOVAL OF ANAL FISSURE $612.00 REMOVAL OF BILE DUCT STENT $1,120.00 REMOVAL OF CERCLAGE UNDER ANESTHESIA $327.00 REMOVAL OF CHEST WALL LESION $1,516.00 REMOVAL OF CHEST WALL LESION $1,516.00 REMOVAL OF CONTRACEPTIVE CAP $436.00 REMOVAL OF DEVITALIZED $64.00 REMOVAL OF FOOT FOREIGN BODY $309.00 REMOVAL OF IMPLANT MATERIAL $1,376.00 REMOVAL OF INPLANT/SUP SEP PROC $643.00 REMOVAL OF IUD $61.00 REMOVAL OF IUD $211.00 REMOVAL OF IUD $211.00 REMOVAL OF IUD $220.00 REMOVAL OF NAIL BEDL $395.00 REMOVAL OF PERITONEAL $491.00 REMOVAL OF PICC W/OUT SUB. PORT $870.00 REMOVAL OF PICC W/OUT SUB. PORT TECH. $870.00 REMOVAL OF SKIN TAG $20.00 REMOVAL OF SKIN TAG $124.00 REMOVAL OF SKIN TAG (1-15) $124.00 REMOVAL OF SKIN TAG (1-15) $163.00 REMOVAL OF SKIN TAG (EACH ADDTL 10) $28.00 REMOVAL OF SNG ANAL TAG $382.00 REMOVAL OF SNG ANAL TAG $382.00 REMOVAL OF SPLEEN TOTAL $2,301.00 REMOVAL OF TUNNELED INTRAPERITONEAL CATH $910.00 REMOVAL PELVIC LYMPH NODES $1,033.00 REMOVAL PROSTHETIC MATERIAL ABDOMINAL WA $617.00 REMOVAL PROSTHETIC MATERIAL ABDOMINAL WA $617.00 REMOVAL SWEAT GLAND LESION $600.00 REMOVAL TENDON LESION $1,232.00 REMOVAL TENDON LESION $1,232.00 REMOVAL VITREOUS ANTERIOR APPROACH $4,270.00 REMOVAL W/REINSERTION DRUG DELIVERY IMPL $399.00 REMOVAL/CENTR $371.00 REMOVAL/CENTRAL TUNNEL $459.00 REMOVAL/CENTRAL VENOUS $60.00 REMOVAL/CENTRAL VENOUS $114.00 REMOVAL/CENTRAL VENOUS $371.00 REMOVAL/GALLBLADDER/WI $1,699.00 REMOVAL/GALLBLADDER/WI $1,699.00 REMOVAL/REVISE SLING STRESS INCONTINENCE $1,032.00 REMOVAL/REVISE SLING STRESS INCONTINENCE $1,032.00 REMOVE CONJUNCTIVAL FOREIGN BODY $101.00 Description Price REMOVE CORNEAL FOREIGN BODY W/O LAM $156.00 REMOVE F B EXT EYE CORN W/LAMP $413.00 REMOVE F B EXT EYE EMBEDDED $243.00 REMOVE FB EXT AUDITORY CANAL $257.00 REMOVE FB FOOT;COMPLEX $1,099.00 REMOVE FB FOOT;COMPLICATED $1,113.00 REMOVE FB FT;DEEP $1,502.00 REMOVE FB FT;SUBCUT $448.00 REMOVE FB MUSCLE/TENDON;COMPLEX $1,563.00 REMOVE FB MUSCLE/TENDON;SIMP $333.00 REMOVE FB MUSCLE/TENDON;SIMP $333.00 REMOVE FB MUSCLE/TENDON;SIMP $317.00 REMOVE FB-EAR W/O ANESTH $247.00 REMOVE FB-EAR W/O ANESTH $247.00 REMOVE FECAL IMPACTION FOREIGN ANEST $542.00 REMOVE FECAL IMPACTION OR FOREIGN $188.00 REMOVE FECAL IMPACTION OR FOREIGN $542.00 REMOVE FOREIGN BODY PHARYNX $156.00 REMOVE INTRANASAL FOREIGN BODY $156.00 REMOVE LES NECK/CHEST $860.00 REMOVE LES NECK/CHEST $860.00 REMOVE OF SKIN TAGS, MULT. FIBRO TAGS $38.00 REMOVE SHOULDER BONE, PART $1,328.00 REMOVE SHOULDER BONE, PART $1,328.00 REMOVE SUTURES DIFF SURGEON UNDER ANESTH $111.00 RENAGEL (SEVELAMER) 400MG TABLET $17.00 RENAGEL (SEVELAMER) 800MG TABLET $10.00 RENAL FUNCTION PANEL $167.00 RENIN $73.00 RENIN ACTIVITY AND ALDOSTERONE $73.00 REP. CENT. VENOUS ACC. DEVICE W/SUB PORT $445.00 REP. CENT. VENOUS ACC. DEVICE W/SUB PORT $445.00 REPAIR BLOOD VESSEL LESION $1,829.00 REPAIR BOWEL FISTULA $1,801.00 REPAIR COMPLEX FACIAL&/FEET 5CM OR LESS $294.00 REPAIR DEFECT OF ARTERY $3,219.00 REPAIR ENTEROCELE ABD APPROACH SPX $1,055.00 REPAIR ENTEROCELE ABD APPROACH SPX $1,055.00 REPAIR EPIGAS $793.00 REPAIR EPIGASTRIC HERNIA $759.00 REPAIR EPIGASTRIC HERNIA $759.00 REPAIR EPIGASTRIC HERNIA $762.00 REPAIR ING HERNIA SLIDING ANY AGE $915.00 REPAIR ING HERNIA SLIDING ANY AGE $915.00 REPAIR INIT ING HERNIA >5 YR; INCARC $1,016.00 REPAIR INIT ING HERNIA >5 YR; INCARC $1,016.00 REPAIR INITIAL FEMORAL $1,038.00 REPAIR INITIAL FEMORAL HERNIA ANY AGE RE $872.00 REPAIR INITIAL INC/VENTRAL HERNIA $1,149.00 REPAIR INITIAL INC/VENTRAL HERNIA $1,149.00 REPAIR INITIAL INGUINAL $977.00 Description Price REPAIR INITIAL INGUINAL $977.00 REPAIR INTERMEDIATE 7.6-12.5 CM $529.00 REPAIR LACERATION TONGUE POSTERIOR 2/3 $508.00 REPAIR LACERATION TONGUE POSTERIOR 2/3 $508.00 REPAIR LACERATION/TONGUE $327.00 REPAIR LACERATION/TONGUE $327.00 REPAIR LACERATION/TONGUE W/O CLOUSURE $290.00 REPAIR MENISCUS KNEE $1,407.00 REPAIR MENISCUS KNEE $1,407.00 REPAIR OF BOWEL BULDGE $1,101.00 REPAIR OF DUODENAL ULCER $3,194.00 REPAIR OF NAIL BED $275.00 REPAIR OF PERINEUM PERINEOPLASTY NONOBST $618.00 REPAIR OF RECTOCELE $975.00 REPAIR OF TUNICA VAGINALIS HYDROCELE $930.00 REPAIR OF WOUND OR LESION $564.00 REPAIR OF WOUND OR LESION $635.00 REPAIR RECURRENT INGUINAL $1,055.00 REPAIR RECURRING HERNIA REDUCE $1,055.00 REPAIR UMBILICAL HERNIA $817.00 REPAIR UMBILICAL HERNIA $817.00 REPAIR UMBILICAL HERNIA $971.00 REPAIR UMBILICAL HERNIA $971.00 REPAIR,COMPLEX,TRUNK;EA ADDIT 5CM OR LES $165.00 REPAIR/SIMPLE/SCALP EC $81.00 REPLACEMENT DUAD/JEJ TUBE PERC $445.00 REPLCMNT PICVAD W/SUBCUT PORT $2,692.00 REPLCMNT PICVAD W/SUBCUT PORT $2,692.00 REPOSITION VENOUS CATHETER $350.00 REPR BLD VESSEL DIR; UPPER EXTREM $1,438.00 REPR CMPLX FORHEAD &/FT 2.6-7.5 CM $60.00 REPR CMPLX FORHEAD &/FT 2.6-7.5 CM $703.00 REPR CMPLX FORHEAD &/FT 2.6-7.5 CM $703.00 REPRODUCTIVE HEALTH THROMBOPHILIA PROFIL $220.00 REQUIP (ROPINIROLE HCL) 0.25MG TAB $8.00 REREMOVE WRIST TENDON LESION $708.00 REREPAIR VENTRL HERN, BLOCK $1,856.00 REREPAIR VENTRL HERN, BLOCK $1,856.00 REREPAIR VENTRL HERN;REDUCE $1,743.00 REREPAIR VENTRL HERN;REDUCE $1,743.00 REREPAIRING HERNIA, BLOCKED $1,556.00 REREPAIRING HERNIA, BLOCKED $1,556.00 RESP MUSCLE TRAINER $51.00 RESP THER PROC OTHER $76.00 RESPIRATORY FLOW VOLUME LOOP $74.00 RESPIRATORY VIRUS PROFILE, PCR (2) $460.00 RESTOR, RESOOM CR 5-0 OR $884.00 RESUCITATION BAG ADULT CPR $112.00 RESUCITATION BAG CHILD CPR $170.00 RESUCITATION BAG INFANT CPR $182.00 RETENTION SUTURE BOLSTER $12.00 Description Price RETICULOCYTE COUNT $68.00 RETROGRADE PYELOGRAM $283.00 RETROVIR (ZIDOVUDINE INF) 200 MG VIAL $113.00 RETURN CHECK FEE $32.00 RETURN ELECTRODE $25.00 REV/REMOVAL OF PERIPHERAL GASTRIC NPGR $592.00 REVERSE T3 SERUM $246.00 REVEX (NALMEFENE HCL) 100 MCG AMP $40.00 REVISE/REMOVE NEUROELECTRODE $455.00 REVISE/REMOVE NEUROELECTRODE $455.00 REVISE/REMOVE NEUROELECTRODE $6,996.00 REVISION AV FISTULA $1,335.00 REVISION AV FISTULA $1,335.00 REVISION OF MAJOR VEIN $1,522.00 REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GEN $900.00 RF FACTOR (ASSOCIATED CHARGE) $154.00 RHC CLINIC VISIT $20.00 RHC CLINIC VISIT $28.00 RHC CLINIC VISIT $33.00 RHC CLINIC VISIT $38.00 RHC CLINIC VISIT $48.00 RHC CLINIC VISIT $57.00 RHC CLINIC VISIT $62.00 RHC CLINIC VISIT $84.00 RHC CLINIC VISIT $91.00 RHC CLINIC VISIT $93.00 RHC CLINIC VISIT $104.00 RHC CLINIC VISIT $114.00 RHC CLINIC VISIT $114.00 RHC CLINIC VISIT $124.00 RHC CLINIC VISIT $127.00 RHC CLINIC VISIT $129.00 RHC CLINIC VISIT $132.00 RHC CLINIC VISIT $140.00 RHC CLINIC VISIT $140.00 RHC CLINIC VISIT $145.00 RHC CLINIC VISIT $155.00 RHC CLINIC VISIT $168.00 RHC CLINIC VISIT $168.00 RHC CLINIC VISIT $184.00 RHC CLINIC VISIT $187.00 RHC CLINIC VISIT $192.00 RHC CLINIC VISIT $197.00 RHC CLINIC VISIT $214.00 RHC CLINIC VISIT $214.00 RHC CLINIC VISIT $220.00 RHC CLINIC VISIT $222.00 RHC CLINIC VISIT $223.00 RHC CLINIC VISIT $224.00 RHC CLINIC VISIT $234.00 RHC CLINIC VISIT $234.00 Description Price RHC CLINIC VISIT $240.00 RHC CLINIC VISIT $254.00 RHC CLINIC VISIT $257.00 RHC CLINIC VISIT $262.00 RHC CLINIC VISIT $272.00 RHC CLINIC VISIT $275.00 RHC CLINIC VISIT $279.00 RHC CLINIC VISIT $281.00 RHC CLINIC VISIT $282.00 RHC CLINIC VISIT $345.00 RHC CLINIC VISIT $352.00 RHC CLINIC VISIT $364.00 RHC CLINIC VISIT $369.00 RHC CLINIC VISIT $405.00 RHC CLINIC VISIT $578.00 RHC ESTABLISHED PATIENT LEVEL 2 OV $100.00 RHC ESTABLISHED PATIENT LEVEL 3 OV $124.00 RHC ESTABLISHED PATIENT LEVEL 4 OV $187.00 RHC ESTABLISHED PATIENT LEVEL 5 OV $234.00 RHC NEW PATIENT LEVEL 1 OV $130.00 RHC NEW PATIENT LEVEL 2 OV $161.00 RHC NEW PATIENT LEVEL 3 OV $218.00 RHC NEW PATIENT LEVEL 4 OV $266.00 RHC NEW PATIENT LEVEL 5 OV $297.00 RHEUMATOID ARTHRITIS PANEL $154.00 RHEUMATOID FACTOR $108.00 RHEUMATOID TITER $114.00 RHINOCORT AQ (BUDESONIDE) NASAL SPRAY $308.00 RHO D IMMUNE GLOBULIN $184.00 RHOGAM ULT-FILTER SYRINGE $538.00 RHOPHYLAC 300MCG/2ML $83.00 RHYTHM ECG INTERP FROM STRIP $63.00 RHYTHM STRIP $93.00 RIBONUCLEOPROTEIN ANTIBODY $71.00 RIBS BILAT W/PA CHEST MIN 4V $520.00 RIBS BILATERAL W/O CHEST $357.00 RIBS LT W/O CHEST $402.00 RIBS LT W/PA CHEST MIN 3V $456.00 RIBS RT W/O CHEST $402.00 RIBS RT W/PA CHEST MIN 3V $456.00 RIFAMPIN 300 MG CAPSULE (RIFADIN) $11.00 RIFAMPIN 600MG VIAL $573.00 RIGHT WRIST SUPPORT SM $126.00 RiMANTADine 100MG TABLET (FLUMADINE) $12.00 RISPERDAL (RISPERIDONE) 2MG TABLET $24.00 RISPERDAL CONSTA 50MG KIT $2,215.00 RISPERDAL LEVEL $263.00 RISPERIDONE 0.25MG TABLET (RISPERDAL) $22.00 RISPERIDONE 1MG TAB (RISPERDAL) $7.00 RISTOCETIN COFACTOR- VW ACTIVITY $135.00 RITALIN $263.00 Description Price RITUXAN (RITUXIMAB) 100 MG VIAL $3,038.00 RITUXAN (RITUXIMAB) 500 MG VIAL $6,690.00 RMVL TUN CTR VAD W/SUBQ $459.00 ROBITUSSIN (GUAIFENESIN/D-METH) 4 OZ $14.00 ROCEPHIN 1 GRAM VIAL $218.00 ROCEPHIN 250 MG $51.00 ROCKER CAST BOOT M $27.00 ROCKER CAST BOOT S/M $27.00 ROCKER SWITCH PENCIL $71.00 ROCKY MOUNTAIN SPOTTED FEVER IGG $76.00 ROCKY MOUNTAIN SPOTTED FEVER IGM $58.00 ROCURONIUM 100MG/10ML (ZEMURON) $42.00 ROLLATOR, DELUXE BURG. 250 LBS $184.00 ROLYAN FABIFROM GAUNTLET $66.00 RONDEC DM (D-METHORP/P-EPHED/CARBIN) 30 $26.00 ROPINIROLE 0.5MG TABLET (REQUIP) $6.00 ROPINIROLE 1MG TABLET (REQUIP) $8.00 ROPINIROLE 2MG TABLET $10.00 ROPINIROLE HCL 2MG TAB (REQUIP) $14.00 ROPIVACAINE 10MG/ML 1% 20ML AMP $71.00 ROTATABLE SNARE $281.00 ROTATEQ (ROTAVIRUS VACCINE) $116.00 ROTATEQ/ROTARIX $173.00 ROTATOR POLYPECTOMY SNARE $203.00 ROTAVIRUS $51.00 ROTICULATOR 55-4.8 $1,044.00 ROTOLASE FIBER $1,325.00 ROUTINE FT CARE;RMVL/TRIM NAILS/CALLUSES $30.00 RPLCMNT/CATH ONLY/CENTRAL VENOUS W/SUBCU $1,317.00 RPLCMNT/CATH ONLY/CENTRAL VENOUS W/SUBCU $1,317.00 RPLCMNT/CENTRAL VENOUS W/SUBCUT PORT $1,906.00 RPR $73.00 RPR VENTRAL HERN INIT, BLOCK $1,836.00 RPR VENTRAL HERN INIT, BLOCK $1,836.00 RPR W/REFLEX TO QUANTITATIVE $54.00 RSV $127.00 RT ATRIAL CATH $266.00 RT. 2ND TOE DISARTICULATION AMPUTATION $759.00 RUBELLA $101.00 RUBELLA IGG $101.00 RUBELLA IGM $101.00 RUBEOLA IGG $73.00 RUBEOLA IGM $73.00 RUFINAMIDE $263.00 RUSSELS VIPER VENOM TIME $160.00 S2 6 CUFFLESS TRACH TUBE $282.00 SACRO BELT LGE LOOP LOCK $200.00 SACRO BELT X LRG 13 X 44 $130.00 SACRO LUMBAR SUPPORT $497.00 SACRO-ILIAC JNTS MIN 3V $254.00 SACRUM AND COCCYX-MIN 2V $234.00 Description Price SADDLE BLOCK TRAP $33.00 SALEM SUMP 10FR $14.00 SALEM SUMP 12FR $28.00 SALEM SUMP 14FR $12.00 SALEM SUMP 18FR. $7.00 SALEM SUMP 6 FR $79.00 SALICYLATES $117.00 SALINE $9.00 SALIVARY GLANDS XRAY $185.00 SALPINGECTOMY $2,093.00 SALPINGECTOMY $2,093.00 SALPINGO-OOPHORECTOMY $1,206.00 SALPINGO-OOPHORECTOMY $1,206.00 SALSALATE 500 MG TABLET (DISALCID) $6.00 SALSALATE 750 MG TABLET (DISALCID) $4.00 SAMPLING TUBING KIT $40.00 SANDOSTATIN LAR DEPOT (OCTREOTIDE) 20MG $3,303.00 SANDOSTATIN LAR DEPOT (OCTREOTIDE) 30MG $9,476.00 SANTYL (COLLAGENASE) OINT 30GM $229.00 SAT.SOL POTASSIUM IODIDE (SSKI) 30 ML $30.00 SAW BLADE 7.0X0.3 YAKEL $66.00 SAW BLADE 9.0X0.3 YAKEL $96.00 SCALPEL # 10 $5.00 SCALPEL # 11 $8.00 SCALPEL # 15 $8.00 SCALPEL # 20 $8.00 SCAPULA XRAY $290.00 SCAPULAR FX $913.00 SCAR REVISION $310.00 SCAR REVISION $310.00 SCAR REVISION $310.00 SCISSOR METZENBAUM INSRT 12MM $176.00 SCOLIOSIS SCREEN 1 VIEW AP ENTIRE SPINE $167.00 SCOPE KNEE DX W/WO SYN BX SEP PROC $718.00 SCOPE KNEE SURG DEBRIDE SHAVE CART $970.00 SCOPE KNEE SURG DEBRIDE SHAVE CART $970.00 SCOPE KNEE W/MENISCUS MEDIAL/LATERAL $1,155.00 SCOPE KNEE W/MENISCUS MEDIAL/LATERAL $1,155.00 SCREENING COLONSCOPY $461.00 SCREW 47-1162-22 COMPRESSION $279.00 SCREW 6.5 X 60MM $820.00 SCREW 6.5 X 65MM $820.00 SCREW 6.5 X 75MM $820.00 SCREW CANNULATED - ZMS $583.00 SCREW CANNULATED - ZMS $583.00 SCREW CANNULATED - ZMS $583.00 SCREW CANNULATED - ZMS $583.00 SCREW CANNULATED -ZMS $583.00 SCREW LAG R 75MM - ZIMMER $587.00 SCREW LAG R 80MM - ZIMMER $555.00 SCREW LAG R 85MM - ZIMMER $613.00 Description Price SCREW LAG R 90MM - ZIMMER $591.00 SCREW LAG R 95MM - ZIMMER $623.00 SCREW LAG S 70MM - ZIMMER $573.00 SCREW LAG S 75MM - ZIMMER $573.00 SCREW LAG S 80MM - ZIMMER $573.00 SCREW LAG S 85MM - ZIMMER $620.00 SCREW LAG S 90MM - ZIMMER $580.00 SCREW LAG S 95MM - ZIMMER $620.00 SCREW LOCKING 3.5MM 18MM $447.00 SCREW LOCKING 3.5MM 22MM $447.00 SCREW LOCKING 3.5MM 28MM $447.00 SCREW LOCKING 3.5MM 30MM $447.00 SCREW SNAP OFF 2M L 12MM $765.00 SCREW, CANLT SHT THREAD 2.0X18 HDLS $683.00 SCREW, CORTEX 3.5TI 12MM $144.00 SCREW, CORTEX 3.5TI 14MM $144.00 SCREW, CORTEX 3.5TI 16MM $144.00 SD CANNULATED SCREW- 2.5X114MM $635.00 SD CANNULATED SCREW- 2.5X12MM $635.00 SECONDARY CLOSURE OF SURG WOUND $1,939.00 SECONDARY MED SET $12.00 SECONDARY MED SET CLEARLINK $7.00 SECURE STRAP STAPLER $896.00 SECURE-A-PEN REPLACEMENT $57.72 SED RATE $97.00 SELEGILINE 5 MG CAPSULE (ELDEPRYL) $13.00 SELENIUM SERUM OR PLASMA $119.00 SELF CARE CURRENT STATUS-CHGO $1.00 SELF CARE CURRENT STATUS-CHGP $1.00 SELF CARE CURRENT STATUS-CIGO $1.00 SELF CARE CURRENT STATUS-CIGP $1.00 SELF CARE CURRENT STATUS-CJGO $1.00 SELF CARE CURRENT STATUS-CJGP $1.00 SELF CARE CURRENT STATUS-CKGO $1.00 SELF CARE CURRENT STATUS-CKGP $1.00 SELF CARE CURRENT STATUS-CLGO $1.00 SELF CARE CURRENT STATUS-CLGP $1.00 SELF CARE CURRENT STATUS-CMGO $1.00 SELF CARE CURRENT STATUS-CMGP $1.00 SELF CARE CURRENT STATUS-CNGO $1.00 SELF CARE CURRENT STATUS-CNGP $1.00 SELF CARE DISCHARGE STATUS-CHGO $1.00 SELF CARE DISCHARGE STATUS-CHGP $1.00 SELF CARE DISCHARGE STATUS-CIGO $1.00 SELF CARE DISCHARGE STATUS-CIGP $1.00 SELF CARE DISCHARGE STATUS-CJGO $1.00 SELF CARE DISCHARGE STATUS-CJGP $1.00 SELF CARE DISCHARGE STATUS-CKGO $1.00 SELF CARE DISCHARGE STATUS-CKGP $1.00 SELF CARE DISCHARGE STATUS-CLGO $1.00 SELF CARE DISCHARGE STATUS-CLGP $1.00 Description Price SELF CARE DISCHARGE STATUS-CMGO $1.00 SELF CARE DISCHARGE STATUS-CMGP $1.00 SELF CARE DISCHARGE STATUS-CNGO $1.00 SELF CARE DISCHARGE STATUS-CNGP $1.00 SELF CARE GOAL STATUS-CHGO $1.00 SELF CARE GOAL STATUS-CHGP $1.00 SELF CARE GOAL STATUS-CIGO $1.00 SELF CARE GOAL STATUS-CIGP $1.00 SELF CARE GOAL STATUS-CJGO $1.00 SELF CARE GOAL STATUS-CJGP $1.00 SELF CARE GOAL STATUS-CKGO $1.00 SELF CARE GOAL STATUS-CKGP $1.00 SELF CARE GOAL STATUS-CLGO $1.00 SELF CARE GOAL STATUS-CLGP $1.00 SELF CARE GOAL STATUS-CMGO $1.00 SELF CARE GOAL STATUS-CMGP $1.00 SELF CARE GOAL STATUS-CNGO $1.00 SELF CARE GOAL STATUS-CNGP $1.00 SELF MGMNT EDU & TRAINING 30MIN $56.00 SELF MGMNT EDU & TRAINING 30MIN $67.00 SELF SEAL CAP/GYNECOLOGY $48.51 SELLA TURCICA XRAY $151.00 SEMEN CHECK POST VAS $93.00 SEMI-TUBULAR PLATE ECT $194.00 SENNA 8.6MG TABLET (SENOKOT) $6.00 SENSOR LNCS NEO-3 NEONATAL/ADULT 3 FT $64.00 SEPRA-FILM PRECISION PACK 3X5 (sheets) $1,036.62 SEREVENT (SALMETEROL) DISKUS INHALER $165.00 SEROTONIN $202.00 SERTRALINE 50 MG TABLET (ZOLOFT) $6.00 SERVICE OUT OF OFFICE; PT REQUEST $46.00 SEX HORMONE BINDING GLOBULIN $78.00 SHAVE SKIN LESION 1 TRUNK/ARMS/LEGS 0.5< $193.00 SHAVING OF SKIN LESION $61.00 SHAVING SKIN LESION $66.00 SHAVING SKIN LESION $142.00 SHAVING SKIN LESION $199.00 SHAVING SKIN LESION $203.00 SHAVING SKIN LESION $203.00 SHAVING SKIN LESION $345.00 SHAVING SKIN LESION 0.6-1.0CM $77.00 SHEATH INTRODUCER 8.5 $227.00 SHEATH INTRODUCER KIT 6 F $177.00 SHEATH INTRODUCER KIT 8.5 FR $208.00 SHEPARD DRAIN TUBE 040 DT $80.00 SHILEY TRACH 6.0 $205.00 SHILEY TRACH 6.0 NON FINSTRATED $160.00 SHOE CAST LG CANVAS $27.00 SHOE POST OP FEMALE LARGE $27.00 SHOE POST OP FEMALE MEDIUM $27.00 SHOE POST OP FEMALE SMALL $27.00 Description Price SHOE POST OP MALE LARGE $27.00 SHOE POST OP MALE MEDIUM $27.00 SHOE POST OP MALE SMALL $27.00 SHORT ARM SPLINT $45.00 SHORT ARM SPLINT $130.00 SHORT ARM SPLINT $130.00 SHORT ARM SPLINT $104.00 SHORT LEG CAST $38.00 SHORT LEG CAST $171.00 SHORT LEG CAST $171.00 SHORT LEG SPLINT $115.00 SHORT LEG SPLINT $115.00 SHORT LEG SPLINT $123.00 SHORT LEG SPLINT PED $106.00 SHORT LEG WALKING CAST SYNTHETIC $210.00 SHORT NARR0W BLADE 11.5MMX5.5MM $153.00 SHOULDER ARTHROSCOPY/SURGERY $1,499.00 SHOULDER ARTHROSCOPY/SURGERY $1,499.00 SHOULDER IMMOB SMALL FEM $101.00 SHOULDER IMMOBILIZER $57.00 SHOULDER IMMOBILIZER- UNIVERSAL $20.00 SHOULDER LT 1V $179.00 SHOULDER LT 2V $297.00 SHOULDER LT ROUTINE 3V $297.00 SHOULDER RT 1V $179.00 SHOULDER RT 2V $297.00 SHOULDER RT ROUTINE 3V $297.00 SIALOGRAM W/CONTRAST $319.00 SICKLE CELL SCREEN $68.00 SIDE CUTTING BUR MED $122.00 SIGMOID COLON RESECTION W/COLOSTOMY $4,311.00 SIGMOID COLON RESECTION W/COLOSTOMY $4,311.00 SIGMOIDOSCOPY $346.00 SIGMOIDOSCOPY/DX W OR $210.00 SIGMOIDOSCOPY/DX W OR $210.00 SIGMOIDOSCOPY;DECOMPRESSION $285.00 SIGMOIDOSCOPY;DX BIOPSY $273.00 SIGMOIDOSCOPY;DX BIOPSY $273.00 SIGMOIDOSCOPY;REMOVAL $518.00 SIGMOIDOSCOPY;REMOVAL $518.00 SILOLGRAPHY SET 16 $61.00 SILVER NITRATE APPLICATORS $6.00 SILVER SULFADIAZINE 400 GM (SILVADENE) $49.00 SILVER SULFADIAZINE 50GM TUBE(SILVADENE) $39.00 SIMETHICONE 80 MG TABS $6.00 SIMETHICONE DROPS 30 ML (MYLICON) $9.00 SIMPL REPR FACE&/MUCOUS;2.6-5.0 CM $96.00 SIMPLE LACERATION REPAIR FACE <2.5 CM $97.00 SIMPLE REMOVAL OF EACH ADDTIONAL TOENAIL $17.00 SIMPLE REPAIR 20.CM TO 30.CM $1,285.00 SIMPLE REPAIR I 2.6 CM 7.5 CM $310.00 Description Price SIMPLE REPAIR I 2.6-7.5CM $274.00 SIMPLE REPAIR I 2.6-7.5CM $274.00 SIMPLE REPAIR I 20.1 CM TO 30 CM $1,247.00 SIMPLE REPAIR I 7.6 CM TO 12.5 CM $400.00 SIMPLE REPAIR I 7.6 CM TO 12.5 CM $400.00 SIMPLE REPAIR I 7.6 CM TO 12.5 CM $434.00 SIMPLE REPAIR I OVER 30 CM $1,445.00 SIMPLE REPAIR I UP TO 2.5 CM $311.00 SIMPLE REPAIR I UP TO 2.5CM $299.00 SIMPLE REPAIR I UP TO 2.5CM $299.00 SIMPLE REPAIR II 12.6-20CM $673.00 SIMPLE REPAIR II 2.6-5.0CM $108.00 SIMPLE REPAIR II 2.6-5.0CM $298.00 SIMPLE REPAIR II 2.6-5.0CM $298.00 SIMPLE REPAIR II 2.6-5.0CM $434.00 SIMPLE REPAIR II 20.1-30CM $1,347.00 SIMPLE REPAIR II 5.1-7.5CM $529.00 SIMPLE REPAIR II 7.6-12.5CM $628.00 SIMPLE REPAIR II OVER 30 CM $1,584.00 SIMPLE REPAIR II UP TO 2.5 CM $260.00 SIMPLE REPAIR II UP TO 2.5 CM $260.00 SIMPLE REPAIR II UP TO 2.5 CM $271.00 SIMPLE RREPAIR I 12.6 CM TO 20 CM $482.00 SIMPONI ARIA (GOLIMUMAB) 50MG/4ML VIAL $3,600.00 SIMVASTATIN 5 MG TAB (ZOCOR) $8.00 SINGLE TENDON ORGIN INSERTION $90.00 SINGLE TISSUE BIOPSY $158.00 SINUS 1V/2V $177.00 SINUS RINSE KIT (SODIUM CHLORIDE) $43.00 SINUS SERIES MIN 3V $447.00 SINUSES 5 VIEWS $447.00 SINUS-WATERS VIEW MIN 3V $167.00 SIOLO/HYSTSALP TRAY XRAY $47.00 SIOLOGRAPHY SET 12 $61.00 SIROLIMUS $80.00 SIROLIMUS 1MG TABLET (RAPAMUNE) $36.00 SIS;COLOR FLOW DOPPLER $203.00 SIS;COLOR FLOW DOPPLER $203.00 SITZ BATH $11.00 SKELETAL SURVEY COMPLETE $383.00 SKIN BARRIER 1 3/4 W FLANGE $28.00 SKIN BARRIER 4 X 4 $10.00 SKIN BARRIER 4X4 $17.00 SKIN BARRIER 8X8 $31.00 SKIN BARRIER CONVEX 11/2 SIZE 21/4 $12.00 SKIN BARRIER FLANGE 4 $38.00 SKIN BARRIER W/FLANGE 2 3/4 (NEW IMAGE $9.00 SKIN BARRIER W/FLANGE 4 $15.00 SKIN BIOPSY $158.00 SKIN FULL GRAFT $1,325.00 SKIN FULL GRAFT FACE/GENIT/HF $1,120.00 Description Price SKIN FULL GRAFT HAND $1,116.00 SKIN GRAFT BLADES STERILE $41.00 SKIN PREP TRAY $35.00 SKIN SKRIBE PENS $17.00 SKIN STAPLER 15 $58.00 SKIN STAPLER 35W $36.00 SKIN STAPLER MDS-5 $28.00 SKIN SUB GRAFT 25 SQ CM TO 100 SQ CM $3,891.00 SKIN TEMPERATURE PROBE DISPOSABLE $49.00 SKIN TEMPERATURE SENSOR $11.00 SKULL SERIES ROUTINE-MIN 4V $364.00 SKULL SERIES<4V $193.00 SKYLA IUD 13.5MG (LEVONORGESTREL) $980.00 SLEEP STUDY $2,646.00 SLEEP STUDY CHILD YOUNGER THAN 6 YEARS $2,646.00 SLEEP STUDY CPAP TITRATION $3,347.00 SLING OPEATION/STRESS INCONTINENCE $1,875.00 SLING OPEATION/STRESS INCONTINENCE $1,875.00 SLING OPERATION STRESS INCONTINENCE $1,875.00 SLO-MAG64 (MAGNESIUM CL) 64 MG TAB $6.00 SLO-PHYLLIN (THOPHY.ANHY) 80MG/15ML 2 OZ $16.00 SM FROG FINGER SPLINT $24.00 SM HINGED KNEE BRACE $219.00 SM OPEN CLIPPER $432.00 SM PLATE 2MM X 11 $242.00 SMALL BOWEL ANASTOMOSIS $1,591.00 SMALL BOWEL ENDOSCOPY $350.00 SMALL BOWEL ENDOSCOPY $350.00 SMALL BOWEL SERIES $314.00 SMALL KNEE SPLINT $208.00 SMALL PETELLA SPLINT $157.00 SMALL TEAR CROSS CUT RASP $412.00 SMALL TRACT SPLINT $139.00 SMOKE EVACUATOR $87.00 SMOKING & TOBACCO COUSELING 3-10 MIN $34.00 SMOOTH MUSCLE ANTIBODY $193.00 SN60WF IOL ALCON $156.00 SNP MICROARRAY-PEDIATRIC $2,002.00 SOD CITRATE/CITRIC ACID 30ML (BICITRA) $8.00 SOD/POT PHOS 250MG POWDER (NEUTRA-PHOS) $7.00 SODIUM $70.00 SODIUM BICARBONATE 4.2% INFANT SYRINGE $83.00 SODIUM BICARBONATE 650MG TABLET $6.00 SODIUM BICARBONATE 8.4% ADULT 50MEQ SYR $56.00 SODIUM BICARBONATE 8.4% PED SYRINGE $93.00 SODIUM BICARBONATE 8.4% VIAL 50MEQ/50ML $47.00 SODIUM CHL AVIVA 0.9% 500ML $48.00 SODIUM CHL IRR 1000 $14.00 SODIUM CHL IRR 500 $13.00 SODIUM CHL VIAFLO 0.9% 250ML $24.00 SODIUM CHLORIDE 0.65% NASAL SPRAY(OCEAN) $1.00 Description Price SODIUM CHLORIDE 0.9% 250ML IN GLASS $21.00 SODIUM CHLORIDE 0.9% 500ML AVIVA $55.00 SODIUM CHLORIDE 0.9% FLUSH 3ML IN 3ML $15.00 SODIUM CHLORIDE 0.9% FOR INHALATION 3ML $6.00 SODIUM CHLORIDE 0.9% INHALATION 3ML VIAL $5.00 SODIUM CHLORIDE 0.9% VIAL 20ML $17.00 SODIUM CHLORIDE 23.4% 30ML VIAL $57.00 SODIUM CHLORIDE 3% (HYPERTONIC) 500ML $20.00 SODIUM CHLORIDE 5% 500 $31.00 SODIUM CHLORIDE 9% 3000ML $41.00 SODIUM CHLORIDE BACT.(NACL/BACTERIOSTAT $27.00 SODIUM CHLORIDE IRR 250ML $9.00 SODIUM CHLORIDE IRRIG.1500 $15.00 SODIUM CHLORIDE/POT 452MG TAB(THERMOTAB) $6.00 SODIUM CIT/CITRIC ACID 30ML (BICITRA) $7.00 SODIUM CLOR IRRIG 2000CC $35.00 SODIUM FERRIC GLUCONATE 62.5MG VIAL $115.00 SODIUM PHOSPHATE 15MM/5ML SDV $5.00 SODIUM PHOSPHATE 20MM/20ML SDV $102.00 SODIUM PHOSPHATE 250MG TABLET $6.00 SODIUM POLYSTR/SORB 15G/60ML(KAYEXALATE) $45.00 SODIUM THIOSULFATE (SOD. THIOSUL) 12.5GM $129.00 SODIUM URINE $54.00 SOFT CAST 2 $60.00 SOFT TISSUE NECK 1V $194.00 SOFT TISSUE NECK ROUTINE $194.00 SOFT TOUCH HEAD POSITIONER $65.00 SOFTEC HD IOL $58.00 SOLUBLE LIVER ANTIGEN IGG $189.00 SOLU-CORTEF (HYDROCORTISONE) 1 GM VIAL $223.00 SOLU-CORTEF (HYDROCORTISONE) 100 MG $53.00 SOLU-CORTEF (HYDROCORTISONE) 5OO MG VIAL $181.00 SOLUCORTEF HYDROCOR $63.00 SOLUMEDROL INJECTION $16.00 SOLUMEDROL UP TO 40 MG $16.00 SOLUSET 100 $28.00 SOLUTION SET- DUOVENT-NONDEHP $30.00 SOLUTION SET- DUOVENT-NONDEHP $30.34 SOLUTION SET WITH DUO-VENT SPIKE $15.00 SOLUTION SET WITH VENT CAP INTERLINK $43.00 SOLYX SLING $1,691.00 SOTALOL HCL 80 MG TABLET (BETAPACE) $6.00 SPARINE (PROMETHAZINER) 100 MG VIAL $62.00 SPECIAL REPORT IME/REPROT W/ PT. EXAM $338.00 SPECIAL STAIN, ORGANISM $301.00 SPECIFIC GRAVITY $83.00 SPECTRACEF (CEFDITOREN) 200MG TABLETS $11.00 SPECTROPHOTOMETRY $196.00 SPEECH EVAL FOR RX FOR AAC DEVICE 1 HR $340.00 SPEECH THERAPY EVAL FLUENCY $297.00 SPEECH THERAPY EVAL SOUND PROD $245.00 Description Price SPEECH TREATEMENT FOR USE OF AAC DEVICE $294.00 SPEECH/HEARING THERAPY $141.00 SPHERICAL BURR $372.00 SPHINCTERECTOMY $345.00 SPHINCTERECTOMY/ANAL $345.00 SPINAL 20gx3.5 NEEDLE $18.00 SPINAL 22g x 1.50 NEEDLE $18.00 SPINAL 22g X 3.5 NEEDLE $39.00 SPINAL 25g x 3.5 WHITCARE NEEDLE $34.00 SPINAL NEEDLE WHITCARE 25Gx.5 $41.00 SPINAL NEEDLE 20g x .5 $18.00 SPINAL NEEDLE 22gX.5 $20.00 SPINAL NEEDLE 5 20 GAUGE $116.00 SPINAL NEEDLE 6 20 GAUGE $116.00 SPINAL NEEDLE PENCIL-PNT 22GX3 1/2 $39.00 SPINAL NEEDLE PENCIL-PNT 25GX3 1/2 $39.00 SPINAL PUNCTU $284.00 SPINAL PUNCTURE DIAGNOSTIC $284.00 SPINAL18gx3.5 NEEDLE $18.00 SPINE 1V $127.00 SPINE CERVICAL 2-3V $226.00 SPINE CERVICAL COMP W FLEX/EXT $582.00 SPINE CERVICAL MIN 4V $409.00 SPINE ENTIRE 2-3 VIEW $263.00 SPINE ENTIRE 4-5 VIEW $472.00 SPINE ENTIRE SCOLIOSIS MIN 6 VIEW $477.00 SPINE LUMB W/BENDING VIEWS - MIN 6 VIEWS $446.00 SPINE LUMBAR - 2 OR 3 VIEWS $348.00 SPINE LUMBOSACRAL-MIN 4V $538.00 SPINE SCOLIOSIS SCREENING 2V $195.00 SPINE THORACIC 2V $258.00 SPINE THORACIC 3V $296.00 SPIRAL ELECTRODE $56.00 SPIRAL ELECTRODES QUIK CONNECT $23.00 SPIRIVA 18MCG/CAPSULE HANDIHALER $106.00 SPIROMETRY $59.00 SPIRONOLACTONE 100MG TABLET (ALDACTONE) $6.00 SPIRONOLACTONE 25MG TABLET (ALDACTONE) $6.00 SPIRONOLACTONE 50MG TABLET (ALDACTONE) $4.00 SPIRONOLACTONE/HCTZ 25/25MG TABLET $4.00 SPIT HOOD $45.00 SPLASH CAP $28.00 SPLINT AC $107.00 SPLINT BASEBALL 2 13/16 IN $17.00 SPLINT CARPAL TUNNEL RT LG $126.00 SPLINT CARPAL TUNNEL RT MED $126.00 SPLINT CARPAL TUNNEL SM LEFT $123.00 SPLINT COLLER SMALL RIGHT $71.00 SPLINT COLLES INFANT LEFT $61.00 SPLINT COLLES INFANT RT $61.00 SPLINT COLLES LARGE LEFT $126.00 Description Price SPLINT COLLES LARGE RIGHT $107.00 SPLINT COLLES MEDIUM LEFT $58.00 SPLINT COLLES MEDIUM LEFT $126.00 SPLINT COLLES MEDIUM RIGHT $107.00 SPLINT COLLES MEDIUM RT $58.00 SPLINT COLLES SMALL LEFT $107.00 SPLINT FINGER 2 5/8 INCH $17.00 SPLINT FINGER LARGE $13.00 SPLINT FINGER MEDIUM $13.00 SPLINT FOREARM MEDIUM RT $38.00 SPLINT HAND LARGE LEFT $96.00 SPLINT HAND LARGE LEFT $107.00 SPLINT HAND LARGE RIGHT $110.00 SPLINT HAND MEDIUM LEFT $126.00 SPLINT HAND MEDIUM RIGHT $83.00 SPLINT HAND MEDIUM RIGHT $110.00 SPLINT HAND SMALL LEFT $91.00 SPLINT HAND SMALL LEFT $110.00 SPLINT LEFT PEDS X-SMALL $66.00 SPLINT LEG POSTERIOR FEMUR SMALL $335.00 SPLINT LEG POSTERIOR LARGE $322.00 SPLINT LEG POSTERIOR MEDIUM $322.00 SPLINT LEG POSTERIOR SMALL $322.00 SPLINT NASAL $24.00 SPLINT PETELLA LARGE $169.00 SPLINT PETELLA MEDIUM $157.00 SPLINT PLASTER 4 $31.00 SPLINT SHORT LEG $46.00 SPLINT TIBIA & FIBULA MED $135.00 SPLINT UNIVERSAL FOREARM LEFT $33.00 SPLINT UNIVERSAL FOREMAN RIG $113.00 SPLINT UTILITY 11 INCH $28.00 SPLINT WAISTBAND FINGER $61.00 SPLINT WRIST HAND $164.00 SPLINTS PLASTER 5 INCH $58.00 SPLIT GFT TRUNK 1ST 100 SQ CM <1% $1,531.00 SPLIT GFT TRUNK 1ST 100 SQ CM <1% $1,531.00 SPLIT GRAFT/FACE-OTHER $1,471.00 SPLIT GRAFT/FACE-OTHER $1,471.00 SPONGE PEANUT $5.13 SPONGES TONSIL $32.00 SPONGES TONSIL 7/8 MEDIUM DOUBLE STRONG $7.00 SPOT DYE $135.00 ST ASSESSMENT OF APHASIA $182.00 ST DEVELOPEMENT OF COGNITIVE SKILLS $68.00 ST EVAL BEHAVIORAL & QUAL ANAL OF VOICE $252.00 ST EVAL FOR RX AAC DEVICE ADDL 30 MIN $141.00 ST EVAL SOUND PROD W/LANG COMP & EXP $441.00 STAAR TORIC (ASTIGMATISM) $1,118.00 STAAR TORIC (PREBYOPOPIA) $1,118.00 STANDARD CANALITH REPOSITIONING PROCEDUR $120.00 Description Price STANDARDIZED COGNITIVE PERFORMANCE TEST $300.00 STAPHCILLIN (METHICILLIN) 1 GM VIAL $52.00 STAPLER CONTOUR CURVED CUTTER BLU $675.00 STAPLER LINEAR CUTTER 55 $414.00 STAPLER LINEAR RELOAD 60MM $429.00 STAPLER LINEAR RELOADABLE 30 $402.00 STAPLER LINEAR RELOADS 60 $519.00 STAPLER RELOAD 30 STANDARD $200.00 STAPLER RELOAD 60 STANDARD $200.00 STARR COLLAMER NONOFLES IOL'S $58.00 STATLOCK PICC DEVICE $28.00 STAVUDINE 40 MG TABLET (ZERIT) $24.00 STEINMAN PIN HOLDER $95.00 STERI SHUR 91/2 X100 $94.00 STERILE BASIN $6.00 STERILE SYRINGE SINGLE USE ALLIANCE II $212.00 STERILE TALC POWDER $261.00 STERILE WATER (WATER FOR INJECT) 50 ML $9.00 STERILE WATER 1000 ML BAG $122.00 STERILE WATER 1500 $21.00 STERILE WATER 250 $14.00 STERILE WATER 500 $14.00 STERILE WATER BACTERIOSTATIC 30 ML VIAL $17.00 STERILE WATER FOR INJ 20ML $18.00 STERILE WATER FOR INJ 50 ML VIAL $24.00 STERILE WATER IRRIG 2000CC $30.00 STERILS WATER FOR INHALATION $12.00 STERNOCLAVICULAR JNTS-MIN 3V $185.00 STERNUM XRAY MIN 2V $284.00 STEROID INJ HIP SI JOINT $400.00 STIF NECK COLLAR INFANT $57.00 STIF NECK COLLAR PEDS $57.00 STIF NECK COLLAR UNIVERSAL $82.00 STIFF GUIDE WIRE TYPE 0.035 X 80cm 3cm $369.00 STIFF NECK COLLAR UNIVERSAL $53.00 STIMUBLAST PUDDY $1,125.00 STIMULATOR EXTERNAL- INTERSTIM $725.00 STOCKING ANTI EMBOLISM KNEE MED REG $16.00 STOCKING ANTI EMBOLISM KNEE SMALL $16.00 STOCKING ANTI EMBOLISM KNEE XLG $16.00 STOCKING ANTI EMBOLISM KNEE XXLG $28.00 STOCKING ANTI EMBOLISM THIGH LG REG $28.00 STOCKING ANTI EMBOLISM THIGH MED $29.00 STOCKING ANTI EMBOLISM THIGH SMALL $29.00 STOCKING ANTI EMBOLISM THIGH XLG $38.00 STOCKING ANTI-EMBOLISM KNEE LARGE $16.00 STOMA BAG W/FLANGE 1 3/4 $33.00 STOMAHESIVE PASTE $14.00 STOMAHESIVE POWDER $13.00 STONE ANALYSIS $61.00 STONE RETRIEV W/ FIL TIP 11MM $375.00 Description Price STONE RETRIEV W/ FIL TIP 8MM $375.00 STONE RETRIEV W/O FIL TIP 11MM $319.00 STONE RETRIEV W/O FIL TIP 8MM $375.00 STOP COCK 4 WAY $21.00 STOP COCK 4 WAY $8.00 STOP COCK 4 WAY 20 EXIT $25.00 STRAP MCLEOD CLAVICLE LG $68.00 STRAPPING OF SHOULDER $101.00 STREP $115.00 STREPTASE (STREPTOKINASE) 1.5MMU VIAL $1,289.00 STREPTOCOCCUS PNEUMONIAE ANTIGEN $99.00 STREPTOZYME $102.00 STRESS TEST W/PMC TECH $1,079.00 STRESS TEST-TRACING ONLY $446.00 STRETCH A TRAY $24.00 STRIATIONAL ANTIBODIES $58.00 STRUCTURAL BALLOON TROCAR $569.00 STYLET 10FR.SATIN SLIP $21.00 STYLET 14FR.SATIN SLIP $14.00 STYLET 6FR.SATIN SLIP $20.00 SUBCLAVIAN CANNULAE $161.00 SUBCLAVIAN CATH 14 $65.00 SUBSEQ NHOME VISIT HX/EXAM $104.00 SUBSEQ NHOME VISIT HX/EXAM LOW COMP $160.00 SUBSEQ NHOME VISIT HX/EXAM MOD COMP $211.00 SUBSEQUENT HOSP CARE LEVEL ONE $76.00 SUBSEQUENT NURSING CARE $167.00 SUBSEQUENT NURSING HOME VISIT $272.00 SUBSEQUENT OBSERVATION CARE $94.00 SUBSEQUENT OBSERVATION CARE $172.00 SUBSQT IC-DA $72.00 SUBTOTAL/TOTAL HYSTERECTOMY C SECTION $1,164.00 SUCCINYLCHOLINE 200 MG VIAL (ANECTINE) $20.00 SUCRALFATE 1 GRAM TABLET (CARAFATE) $8.00 SUCRALFATE SUSP 1GM/10ML UD (CARAFATE) $26.00 SUCTION CANNULA CURETTE 9 FR $49.00 SUCTION CATH 10FR REPLOGLE $48.00 SUCTION CATH 6 FR REPLOGE $48.00 SUCTION CATH 8 FR REPLOGLE $48.00 SUCTION COAGULATION(BOVIE) FOOT $39.00 SUCTION KITY 6 1/2 $8.00 SUCTION RESEVVIOL 100 CC $11.00 SUDAFED COUGH(GUAIFENSEN/DM/P-EPHED) 2OZ $20.00 SUFENTA (SUFENTANIL)50MCG 2ML*DO NOT USE $155.00 SUFENTANIL (SULFENTANIL) 50 MCG 2ML AMP $213.00 SULFACETAMIDE 10% OPHT SOLN 15 ML $118.00 SULFACETAMIDE 10% OPTHALMIC OINTMENT $47.00 SULFADIAZINE 500MG TAB $6.00 SULFAMETH 200/40MG/5ML 5ML DOSE(SEPTRA) $8.00 SULFAMETH/TMP 800-160MG/10ML VIAL $85.00 SULFAMETHOX/TRIMETHOPRIM 800/160MG TAB $6.00 Description Price SULFAMETHOXAZOLE/TRIMETHOPRIM 400/80 TAB $4.00 SULFASALAZINE 500MG TABLET (AZULFIDINE) $6.00 SULINDAC 150 MG TABLET (CLINORIL) $6.00 SULINDAC 200 MG TABLET (CLINORIL) $7.00 SUMATRIPTAN 6 MG SDV (IMITREX) $103.00 SUMATRIPTAN 25 MG TAB (IMITREX) $9.00 SUMATRIPTAN TABLET 100MG (IMITREX) $7.00 SUPPLY/IMPLANTS $4,304.00 SUPPLY/IMPLANTS $4,434.00 SUPPORT ANKLE MALE MED LT $46.00 SUPPORT KNEE HINGED XLRG $282.00 SUPPORTER ATHLETIC LARGE $34.00 SUPPORTER ATHLETIC MED $34.00 SUPPORTER ATHLETIC SM $34.00 SUPPORTER ATHLETIC XLG $53.00 SUPRA PUBIC CATH KIT 10FR $317.00 SUPRACERVICAL ABCOMIN $1,543.00 SUPRACERVICAL ABCOMIN $1,543.00 SUPRACONDYLAR PLATE 10 $662.00 SUPRACONDYLAR PLATE 6 $583.00 SUPRACONDYLAR PLATE 8 $583.00 SUPRAPUBIC CATHETER 14 FR $315.00 SUPRAPUBIC INTRODUCER ONE STEP 16FR $404.00 SUPRAX (CEFIXIME) 100MG/5ML 50ML SUSP $162.00 SURE CLOSURE SKIN STRETCHING $860.00 SURFACAINE 1% $24.00 SURG STAPLES SM SHORT W/SPIKES $506.00 SURG TREATMENT ECTOPIC PREGNANCY $1,448.00 SURG TREATMENT ECTOPIC PREGNANCY $1,448.00 SURG TX OF EC $1,343.00 SURGI/COVER ULTRASOUND PROBE $96.00 SURGICAL BOOT/SHOE $174.00 SURGICAL LIGHT HANDLES $13.00 SURGICAL PATHOLOGY REVIEW-LEVELIV GROSS $273.00 SURGICAL SNOW $494.00 SURGICAL SUPPLIES $122.00 SURGICAL TRAY $67.00 SURGICAL TX ANAL FISTUAL;SUBCUT $950.00 SURGICEL-HEMOSTAT ABSORBABLE .5in x 2 $418.00 SURGIMESH 2X4 IN $611.00 SURGIMESH OPEN UMBILICAL $1,575.00 SURGIMESH OPEN VENTRAL $1,975.00 SURGIMESH WN 1/2 OVALE 6X13 CM $575.00 SURGIMESH WN 10X15 $725.00 SURGIMESH WN 14X15 $1,050.00 SURGIMESH XB 11X13 $3,275.00 SURGIMESH XB 26X22X14.6cm $3,075.00 SURGIMESH XB 30X30 $3,180.00 SURGIMESHXB 10 $1,500.00 SURGIMESHXB 15 $1,985.00 SURGIMESHXB 15-22 $2,975.00 Description Price SURGIMESHXB- 7 $1,175.00 SURGIPRO MESH UNDYED 3X5 $556.00 SURGSTAPLER EEA 28 $907.00 SURMONTIL (TRIMIPRAMINE) 25 MG CAP $6.00 SURROUND ELBOW W/ FLOAM, UNIV $42.00 SURVANTA (BERACTANT) 8 ML VIAL $3,029.00 SUS-PRINE (EPINEPHRINE) 1:200 AMP $47.00 SUTURE $30.00 SUTURE $48.00 SUTURE 2 STEEL $35.00 SUTURE 3-0 ETHILON $17.00 SUTURE 4 STEEL $35.00 SUTURE 4.0 ETHILON $17.00 SUTURE 4.0 VICRYL $21.00 SUTURE 6-0 ETHILON $17.00 SUTURE CHROMIC 2-0 UR6 $82.34 SUTURE CHROMIC EYE 50 $33.00 SUTURE CHROMIC EYE 60 $33.00 SUTURE CHROMIC GUT 2/0 27 UR $82.34 SUTURE EJ10G VICRYL ENDOSCOPIC SIZE 0 $196.00 SUTURE PACK $27.00 SUTURE PLAIN EYE 50 $33.00 SUTURE PLAIN EYE 60 $33.00 SUTURE PROLENE EYE 10 0 $139.00 SUTURE STEEL 2 $48.00 SUTURE VCP 310H VICRYL 4-0 $17.81 SUTURE VICRYL EYE 60 $33.00 SUTURE VICRYL EYE 70 $33.00 SUTURE, SMALL INTESTINE $3,066.00 SWALLOW CURRENT STATUS-CHGN $1.00 SWALLOW CURRENT STATUS-CIGN $1.00 SWALLOW CURRENT STATUS-CJGN $1.00 SWALLOW CURRENT STATUS-CKGN $1.00 SWALLOW CURRENT STATUS-CLGN $1.00 SWALLOW CURRENT STATUS-CMGN $1.00 SWALLOW CURRENT STATUS-CNGN $1.00 SWALLOW DISCHARGE STATUS-CHGN $1.00 SWALLOW DISCHARGE STATUS-CIGN $1.00 SWALLOW DISCHARGE STATUS-CJGN $1.00 SWALLOW DISCHARGE STATUS-CKGN $1.00 SWALLOW DISCHARGE STATUS-CLGN $1.00 SWALLOW DISCHARGE STATUS-CMGN $1.00 SWALLOW DISCHARGE STATUS-CNGN $1.00 SWALLOW GOAL STATUS-CHGN $1.00 SWALLOW GOAL STATUS-CIGN $1.00 SWALLOW GOAL STATUS-CJGN $1.00 SWALLOW GOAL STATUS-CKGN $1.00 SWALLOW GOAL STATUS-CLGN $1.00 SWALLOW GOAL STATUS-CMGN $1.00 SWALLOW GOAL STATUS-CNGN $1.00 SWALLOWING & ORAL FUNCTION EVALUATION $176.00 Description Price SWALLOWING FUNCTION W/VIDEO $217.00 SWALLOWING/ORAL TX $176.00 SYMBICORT 160/4.5 INHALER (BUDES/FORMOT) $174.00 SYNAGIS (PALIVIZUMAB) 100MG VIAL $11,709.00 SYNAGIS (PALIVIZUMAB) 50 MG VIAL $7,445.00 SYNAGIS (PALIVIZUMAB) 50MG VIAL $1,385.00 SYNERCID (QUINUPRISIN/DALFORPRISTINE) IV $558.00 SYNVISC (HYLAN G-F20) 2ML SYRINGE $1,795.00 SYNVISC INJECTION FOR 2 CC $623.00 SYNVISC ONE 8MG/1ML 6ML SYRINGE - BIL $1,818.00 SYNVISC ONE 8MG/1ML 6ML SYRINGE - LT $1,818.00 SYNVISC ONE 8MG/1ML 6ML SYRINGE -RT $1,818.00 SYRINGE 140 CC $31.00 SYRINGE 50CC BULB $4.00 SYRINGE CONTROL 20 CC $11.00 SYRINGES STELLANT CT $78.00 SYSTANE OPTH SOLUTION 0.4%-0.3% $6.00 T & B CELL QUANTITATION (C) $159.00 T TUBE 10 FR CATH $61.00 T TUBE 22 FR. $53.00 T TUBE 5 FR. $87.00 T TUBE 8FR $53.00 T TUBE DRAIN 12FR. $61.00 T TUBE DRAIN 14FR $101.00 T TUBING 10 FR $18.00 T U R IRRIGATION $31.00 T U R SYSTEM $51.00 T/ FLEX TUBE $5.00 T3 FREE $99.00 T3 UPTAKE $94.00 T3-TOTAL $68.00 T4 $92.00 T4 FREE $110.00 TA 30 48 STAPLES $230.00 TA 30 STAPLES 35 $230.00 TA 55 STAPLES 35 $350.00 TA 55 STAPLES 48 $251.00 TA 90 3.5 SUTURE $344.00 TACRINE HCL 10 MG CAP (COGNEX) $9.00 TAGAMET HB (CIMETADINE) 200 MG TABLET $4.00 TALUS FRACTURE $842.00 TALUS FRACTURE W/O MANIPULATION $434.00 TAMBOCOR (FLECAINIDE) 50 MG TAB $6.00 TAMIFLU (OSELTAMIVIR PHOSPH) 75 MG CAP $80.00 TAMIFLU (OSELTAMIVIR) 12MG/ML ORAL SUSP $184.00 TAMIFLU (OSELTAMIVIR) 6MG/ML ORAL SUSP $243.00 TAMOXIFEN 10 MG TABLET (NOLVADEX) $9.00 TAMSULOSIN HCL 0.4MG CAP (FLOMAX) $7.00 TAPE STRIPS $8.00 TARSAL FRACTURE $2,408.00 TASMAR (TOLCAPONE) 100 MG TABS $10.00 Description Price TAVIST (CLEMASTINE FUM) SYURP 2 OZ $66.00 TAVIST-1 (CLEMASTINE FUMAR) 1.34 MG TAB $4.00 TAVIST-D (PHENYLPROP/CLEMAST) TAB $4.00 TAXOL PUMP TUBING $62.00 TAXOTERE W DIL (DOCETAXEL) 20 MG VIAL $1,223.00 TAXOTERE W DIL (DOCETAXEL) 80 MG VIAL $3,117.00 TAZAROTENE 0.05% GEL 30GM (TAZORAC) $348.00 TAZORAC CREAM 0.1% 30GM (TAZAROTENE) $270.00 TCR 55 RELOADS $226.00 TCR 75 RELOADS $505.00 TECENTRIQ 60MG/ML 20ML (1200MG) SDV $128.00 TEFLARO 600MG (CEFTAROLINE FOSAMIL) VIAL $779.00 TEGADERM + PAD 3 1/2X6 $1.35 TEGADERM DRESSING W/LABEL 2 3/8 X 2 3/4 $7.00 TEGADERM FILM 4 X 4 3/4 $7.00 TEGADERM FILM 6X8IN $21.00 TEGASORB(USHAPE) HYDROCOLLOID DRESSING $54.00 TEGRETOL $101.00 TEGRETOL FREE $140.00 TEKTURNA 150MG TABLET (ALISKIREN) $28.00 TELEHEALTH ORIGINATING SITE FACILITY FEE $58.00 TELFA 2X3 NON-ADHERENT PAD $3.00 TELFA 2X3 OUCHLESS ADHESIVE PAD $5.00 TELFA 8X3 NON-ADHERENT DRESSING PAD $7.00 TEMAZEPAM 15MG CAPSULE (RESTORIL) $11.00 TEMNO BIOPSY NEEDLE 14GX11CM $305.00 TEMNO BIOPSY NEEDLE 16GX11CM $252.00 TEMNO BIOPSY NEEDLE 18GX11CM $262.00 TEMP DISPOSABLE PROBE $46.00 TEMPORAL ARTERY BIOPSY $653.00 TEMSIROLIMUS 25MG/ML KIT (TORISEL) $3,196.00 TENNIS ELBOW WRAP S/M $18.00 TENOLYSIS FLEXOR/EXT TENDON FOREARM/WRIS $1,855.00 TENOLYSIS FLEXOR/EXT TENDON FOREARM/WRIS $1,855.00 TENOLYSIS,FLEX;TEND/HN/FNG;EACH $1,897.00 TENOLYSIS,FLEX;TEND/HN/FNG;EACH $1,897.00 TENORETIC (ATENOL/CHLORTHAL) 50/25MG TAB $10.00 TERAZOSIN 1 MG CAPSULE (HYTRIN) $6.00 TERAZOSIN 5 MG CAPSULE (HYTRIN) $6.00 TERBINAFINE 250MG TABLET (LAMISIL) $6.00 TERBINAFINE CREAM 1% 15 GM $18.00 TERBUTALINE 1 MG $11.00 TERBUTALINE 1MG/1ML VIAL (BRETHINE) $19.00 TERCONAZOLE 3 VAG SUPP (TERAZOL) $27.00 TERCONAZOLE 7 VAG CREAM (TERAZOL) $128.00 TERCONAZOLE VAG CR 0.4% (TERAZOL) 45GM $25.00 TEST KIT- INTERSTIM $405.00 TESTICULAR PROSTHESIS LG $511.00 TESTICULAR PROSTHESIS MED $511.00 TESTICULAR PROSTHESIS SM $497.00 TESTOSTERONE FREE $59.00 Description Price TESTOSTERONE FREE & WEEKLY BOUND $122.00 TESTOSTERONE TOTAL $166.00 TETANUS ANTIBODY IGG $249.00 TETANUS ANTIBODY IGM $42.00 TETANUS DIPTH (TET/DIP.TOX) ADULT SDV $33.00 TETANUS DIPTH PED PED VIAL $39.00 TETANUS TOX ADSORB(TENTAN.TOXOID) $36.00 TETANUS TOXOID $17.00 TETRACAINE 0.5% O.S. $24.00 TETRACAINE 0.5% OPTH SOLN $14.00 TETRACAINE 1% AMP (PONTOCAINE) $52.00 TETRACAINE 2% TOP SOLN (PONTOCAINE) $142.00 TETRACYCLINE 250 MG CAP $6.00 TEVETEN (EPROSARTAN MSYL) 400MG TAB $8.00 TEVETEN (EPROSARTAN MSYL) 600MG TAB $10.00 T-GROMMET POPE BEV TUBES 1.14MMST $96.00 THEO-24 (THEOPHYLLIN ANHYDROUS) 200 MG $4.00 THEO-24 (THEOPHYLLIN ANHYDROUS) 300 MG $6.00 THEOPHYLLIN 400 MG CR TABS (UNIPHYL) $4.00 THEOPHYLLIN 50 MG CAPSULE (SLO-BID) $4.00 THEOPHYLLIN E.R. 300MG CAPSULE (SLO-BID) $4.00 THEOPHYLLINE $102.00 THEOPHYLLINE ANHYDROUS 100MG CAPSULE $13.00 THEOPHYLLINE E.R.100MG CAPSULE (SLO-BID) $4.00 THEOPHYLLINE E.R.200MG CAPSULE (SLO-BID) $4.00 THEOPHYLLINE S.R. 250MG TABLET(THEOLAIR) $4.00 THER INJECTION CARPAL TUNNEL $32.00 THER INJECTION CARPAL TUNNEL $156.00 THER INJECTION CARPAL TUNNEL $156.00 THER PUTTY GREEN 4OZ $22.00 THERACYS (BCG VACCINE) : 81 MG VIAL $629.00 THERAPEUTIC MVI TAB (THERAGRAN) $1.00 THERAPY PUTTY RED 4OZ $22.00 THERAPY PUTTY TAN 4 OZ $34.00 THERAPY PUTTY YELLOW 4OZ $22.00 THIAMINE (VIT B-1) 200MG/2ML VIAL $59.00 THIAMINE (VITAMIN B-1) 100 MG TAB $6.00 THIGH GARMENT DVT $251.00 THIOPURINE METHYLTRANSFERASE $263.00 THIORIDAZINE 10 MG TABLET (MELLARIL) $4.00 THIORIDAZINE 100 MG TABLET (MELLARIL) $5.00 THIOTHIXENE 2 MG CAP (NAVANE) $4.00 THORACENTESIS W IMAGING GUIDANCE $966.00 THORACENTESIS W/O IMAGING GUIDANCE $211.00 THORACENTESIS W/O IMAGING GUIDANCE $211.00 THORACENTESIS/PARACENTESIS TRAY $142.00 THREADED STEINMAN PIN 9 $163.00 THROMBIN AID $23.00 THROMBIN MIXING STUDY $256.00 THROMBIN TIME $97.00 THROMBINAR SPRAY (THROMBIN) 20MU KIT $388.00 Description Price THROMBIN-JMI PWD 5,000U TOPICAL VIAL $118.00 THROMBOLYSIS,CORONARY $215.00 THROMBOPLASTIN TIME, PARTIAL REF LAB $172.00 THUMB SPICA 8 EX LARGE LT $102.00 THUMB SPICA 8 EX LARGE RT $102.00 THUMB SPICA 8 LARGE LT $102.00 THUMB SPICA 8 LARGE RT $102.00 THUMB SPICA 8 MEDIUM LT $76.00 THUMB SPICA 8 MEDIUM RT $76.00 THUMB SPICA 8 SMALL LT $76.00 THUMB SPICA 8 SMALL RT $102.00 THUMB SPICA ORTH SMALL LEFT $61.00 THUMB SPLINT, LEFT, SMALL $66.00 THUMB SUPPORT LARGE LEFT $174.00 THYROGLOBULIN $61.00 THYROGLOBULIN COMP $84.00 THYROID 1 GR (60MG) TABLET $6.00 THYROID BINDING GLOBULIN $71.00 THYROID CASCADE PROFILE $120.00 THYROID PEROXIDASE ANTIBODY $90.00 THYROID PROFILE W/ TSH $26.00 THYROID STIMULATING IMMUNOGLOBULIN $136.00 THYROTROPIN RECEPTOR ANTIBODY $91.00 TI CRON/ETHIBOND $180.00 TIB/FIB LT 2V $364.00 TIB/FIB RT 2V $364.00 TIBIA BOLT THREAD 1 END $222.00 TIBIA BOLT THREAD 2 END $215.00 TIBIA BOLT WASHER 5/8 $34.00 TIBIA BOLT WASHER 7/16 $34.00 TIBIA FIBULA SPLINT MED $76.00 TIBIA FIBULA SPLINT SMALL $59.00 TIBIA FIBULA SPLINT YOUTH $61.00 TIBIA SHAFT TX (W/W/O) FIBULA $697.00 TIBIAL GUIDE WIRE $586.00 TICE BCG(BCG VACCINE)DSHP SDV 50MG $601.00 TICLOPIDINE 250 MG TABLET (TICLID) $4.00 TIGAN (TRIMETHOBENZAMIDE) 100 MG RECT SU $10.00 TIMENTIN (TICARCILIN/K CLAVULAN) 3.1 G $94.00 TIMOLOL OPHT .25% SOLN 5 ML (TIMOPTIC) $43.00 TIMOLOL OPHT 0.5% SOLN 5 ML (TIMOPTIC) $12.00 TIMOLOL XE OPHT.25% SOLN 2.5ML(TIMOPTIC) $67.00 TIMOPTIC XE OPTH 0.5%(TIMOLOL)SOLN 2.5ML $87.00 TIPS CRUTCH RUBBER LGE $31.00 TISSUE CULTURE NEOPLASTIC DISORDER BM/B $304.00 TISSUE GLUE $582.00 TISSUE TRANSFER 10 SQ CM OR LESS $1,373.00 TISSUE TRANSFER 10 SQ CM OR LESS $1,637.00 TISSUE TRANSFER 10 SQ CM OR LESS $1,637.00 TIZANIDINE 4MG TABLET (ZANAFLEX) $67.00 T-LYMPH HELPER-CD4 $255.00 Description Price T-LYMPH MARKERS + NK $255.00 T-LYMPH MARKERS +NK $255.00 T-LYMPH MARKERS +NK $255.00 TMJ'S BILATERAL $374.00 TNKASE (TENECTEPLASE) KIT 50MG $3,705.00 TOBI INH SOLN 300MG/5ML (TOBRAMYCIN) $223.00 TOBRADEX (TOBRA/DEXAMETH) OPTH SOLN 5ML $114.00 TOBRADEX (TOBRAM/DEXAMETH)OPTH OINT 3.5G $237.00 TOBRAMYCIN $145.00 TOBRAMYCIN 0.3% 2.5ML (TOBREX OPTH SUSP) $13.00 TOBRAMYCIN 40MG/ML VIAL $105.00 TOBRAMYCIN 80 MG VIAL (NEBCIN) $39.00 TOCILIZUMAB 200MG VIAL (ACTEMRA) $4,528.00 TOCILIZUMAB 400MG VIAL (ACTEMRA) $3,178.00 TOCILIZUMAB 80MG VIAL (ACTEMRA) $1,841.00 TOE SPREADER $8.00 TOE XRAY LT MIN 2V $233.00 TOE XRAY RT MIN 2V $233.00 TOES STRAPPING $137.00 TOLBUTAMIDE 500 MG TABLET (ORINASE) $4.00 TOLECTIN DS (TOLMETIN) 400 MG CAPSULE $8.00 TOLTERODINE TARTRATE 1MG (DETROL) $21.00 TOLTERODINE TARTRATE LA 2 MG (DETROL) $33.00 TONSIL SPONGES 1 1/4 $33.00 TONSILECTOMY UNDER AGE 12 $462.00 TONSILECTOMY AGE 12 AND ABOVE $453.00 TONSILECTOMY AGE 12 AND ABOVE $453.00 TopaMAX (TOPIRAMATE) 25 MG TABS $6.00 TOPAZ EZ IFS $857.00 TOPICAL FLUORIDE VARNISH THERAP APPLIC $16.00 TOPIRAMATE SERUM $142.00 TOPOTECAN 4MG VIAL $584.00 TORADOL PER 15 MG $17.00 TORCH ANTIBODIES (PRENATAL INFECT PANEL) $26.00 TORISEL 25MG/NS 250ML AVIVA $3,196.00 TORSEMIDE 10MG TABLET (DEMADEX) $6.00 TORSEMIDE 20 MG TABLET (DEMADEX) $6.00 TORSEMIDE 50 MG AMPULE (DEMADEX) $28.00 TOTAL ABD HYST S & O $2,077.00 TOTAL ABD HYST S & O $2,161.00 TOTAL PROTEIN $69.00 TOWEL 6/PK OR DISP ST BLUE STD $15.00 TOWEL OR 4/PK DSP ST BLUE STD $13.00 TOXOPLASMA GONDII PCR $474.00 TOXOPLASMA IGG $137.00 TOXOPLASMA IGM $137.00 T-PIECE NEONATAL PATIENT CIRCUIT KIT $100.00 TRACE ELEMENTS PEDIATRIC 3ML VIAL $18.00 TRACH 3.5MM TUBE $7.00 TRACH 7.0MM FLEX DIC UNCF $141.00 TRACH COLLAR ADULT $21.00 Description Price TRACH COLLAR PED $11.00 TRACH INTRODUCER PED10FR X 70CM (BOUGIE) $50.00 TRACH TRANSDU ADULT 15FR X 70CM (BOUGIE) $50.00 TRACH TUBE 2 MM $11.00 TRACH TUBE 2.5 $31.00 TRACH TUBE 3 MM UNCUFFED $17.00 TRACH TUBE 3.5MM CUFFED PREFORMED $31.00 TRACH TUBE 4 MM $21.00 TRACH TUBE 4.0MM CUFFED PREFORMED $31.00 TRACH TUBE 4.5 PEDS $11.00 TRACH TUBE 4.5 UNCUFFED $17.00 TRACH TUBE 4.5MM CUFFED PREFORMED $31.00 TRACH TUBE 4MM $7.00 TRACH TUBE 5.0 UNCUFFED $31.00 TRACH TUBE 5.0MM CUFFED PREFORMED $31.00 TRACH TUBE 5.5MM $31.00 TRACH TUBE 5.5MM CUFFED PREFORMED $31.00 TRACH TUBE 5MM $8.00 TRACH TUBE 6.0MM CUFFED PREFORMED $31.00 TRACH TUBE 6.5MM CUFFED PREFORMED $31.00 TRACH TUBE 6MM $14.00 TRACH TUBE 7.0MM CUFFED PREFORMED $31.00 TRACH TUBE 7.5MM CUFFED PREFORMED $31.00 TRACH TUBE 7.5mm HI-LO ORAL/NASAL $16.00 TRACH TUBE 7MM.HI-LO ORAL/NASAL $16.00 TRACH TUBE 8.0MM CUFFED PREFORMED $31.00 TRACH TUBE 8.5MM $14.00 TRACH TUBE 8MM.HI-LO ORAL/NASAL $16.00 TRACH TUBE 9mm HI-LO ORAL/NASAL $24.00 TRACH TUBE GR 7.0 IN CAN DIC $13.00 TRACH TUBE HOLDER $21.00 TRACH TUBE PED 6.5MM.HI-LO ORAL/NASAL $16.00 TRACH TUBE UNCUFFED 2.5MM $59.00 TRACHEOLIFE HME $11.65 TRACHEOSTOMY $228.00 TRACHEOSTOMY CLEANING TRAY $26.00 TRACHEOSTOMY TUBE $160.00 TRACHEOSTOMY TUBE 10.MM O.D 14.MM $176.00 TRACHEOSTOMY TUBE 8.0MM O.D.11.3MM $176.00 TRACTION SM BUCK $59.00 TRADJENTA 5MG TABLET (LINAGLIPTIN) $54.00 TRAMADOL $132.00 TraMADOL 50 MG TABLET (ULTRAM) $6.00 TraMADOL/APAP 37.5/325 TABLET (ULTRACET) $6.00 TRANDOLAPRIL 1 MG TABLET (MAVIK) $6.00 TRANEXAMIC ACID 1000MG/10ML VIAL $199.00 TRANS TRACHEAL O-2 SYSTEM $1,027.00 TRANSANAL EXCISION OF RECTAL POLYP $1,632.00 TRANSCERVICAL INTRAUT KIT $44.00 TRANSDERM-SCOP PATCH 1.5MG $63.00 TRANSFERRIN $84.00 Description Price TRANSFUSION OF BLOOD OR COMPONENTS $208.00 TRANSGLUTAMINASE IGA $193.00 TRANSGLUTAMINASE IGG $193.00 TRANSPORT CHAIR $227.00 TRANSURETHRAL DEL KIT $174.00 TRANXENE (CLORAZEPATE DIPOT) 3.75 MG $9.00 TRASTUZUMAB 150MG KIT (HERCEPTIN) $3,355.00 TRAVATAN Z (TRAVOPROST) OPTH SOLN 2.5ML $149.00 TRAVEL, ONE WAY $11.00 TRAY A&D ABSCESS3 $61.00 TRAY ACUTE BURN $96.00 TRAY ADULT LUMBAR $53.00 TRAY ASPIRATION $83.00 TRAY BONE MARROW $83.00 TRAY CHEST $76.00 TRAY DR DRESSING PACK $17.00 TRAY EAR $8.00 TRAY ER NASAL $21.00 TRAY LAVAGE $61.00 TRAY NASAL $61.00 TRAY ORAL OR MOUTH CARE $8.00 TRAY PACE MAKER $76.00 TRAY PAP SMEAR $38.00 TRAY PARACENTECIS $91.00 TRAY PED LUMBAR PUNCT WO $48.00 TRAY SUTURE $18.00 TRAY TRACH SET $91.00 TRAY VACINAL IRRIGATION $13.00 TRAY VENOUS CUT DOWN $59.00 TRAY WET SALINE $17.00 TRAZODONE $194.00 TRAZODONE 150MG TABLET $6.00 TraZODONE 50 MG TABLET (DESYREL) $6.00 TRB@GENE REARRANGE AMPLIFY $441.00 TREANDA 100MG VIAL (BENDAMUSTINE) $4,172.00 TREAT FINGER DISLOCATION $542.00 TREAT FRACTURE OF ULMA $511.00 TREAT METACARPAL FX $601.00 TREAT THIGH FRACTURE $980.00 TREATEMENT OF ANKLE FX W/MANIPULATION $1,039.00 TREATMENT OF ANKLE FRACTURE $630.00 TREATMENT RM 01-15 MIN $65.00 TREATMENT RM 106-120 MIN $513.00 TREATMENT RM 16-30 MIN $146.00 TREATMENT RM 31-45 MIN $194.00 TREATMENT RM 46-60 MIN $257.00 TREATMENT RM 61-75 MIN $321.00 TREATMENT RM 76-90 MIN $385.00 TREATMENT RM 91-105 MIN $450.00 TREATMENT RM PER MIN AFTER 120 MIN $12.00 TREATMENT ULNAR FRACTURE $572.00 Description Price TREPONEMA PALLIDUM FLOURESCENT ABS $66.00 TRG@GENE REARRANGEMENT ANALYSIS $441.00 TRIAMCINALONE ACET 0.1% CREAM 80GM $27.00 TRIAMCINOLONE (TRIAMCN.ACET) 0.025% CR $10.00 TRIAMCINOLONE 0.055MG/SPRAY NASAL INH $96.00 TRIAMCINOLONE ACET 0.025% CREAM 15G $10.00 TRIAMCINOLONE ACETONIDE OINT 0.1% 80G $30.00 TRIAMCINOLONE HP 0.5% OINTMENT $19.00 TRIAMCINOLONE LOTION 0.025% (KENALOG) $161.00 TRIAMTERE/HCTZ 37.5/25 MG TAB (MAXZIDE) $7.00 TRIAMTERENE/HCTZ 37.5/25MG CAPSULE $5.00 TRIAMTERENE/HCTZ 50/25 CAP $4.00 TRIAVIL (PERPHEN/AMIT) 2/25MG TAB $5.00 TRIAZOLAM 0.25 MG TABLET (HALCION) $6.00 TRICHLORACETIC ACID(TRICHLOR ACID) 30 GM $87.00 TRICHLORACETIC ACID(TRICHLOR ACID) 30 GM $87.00 TRICHOMONAS, NAA $145.00 TRICHROM STAIN FOR OVA AND PARASITES $97.00 TRICOR (FENOFIBRATE) 145MG TAB $613.00 TRICOR (FENOFIBRATE) 160MG TAB $14.00 TRICOR (FENOFIBRATE) 54MG TAB $8.00 TRICOR (FENOFIBRATE) 67MG CAP $14.00 TRIFLUOPERAZINE 10 MG TABLET (STELAZINE) $9.00 TRIFLUOPERAZINE 5 MG TABLET (STELAZINE) $8.00 TRIGLYCERIDES $173.00 TRIHEXYLPHENIDYL 2MG TABLET $4.00 TRI-IMMUNOL (DIPTH/PERTUSS/TETA VAC) VIA $681.00 TRILEPTAL $90.00 TRILEPTAL $257.00 TRIM DYSTROPHIC NAILS, ANY NUMBER $68.00 TRIM DYSTROPHIC NAILS, ANY NUMBER $68.00 TRIM NONDYSTROPIC NAILS ANY NUMBER $13.00 TRIM NONDYSTROPIC NAILS ANY NUMBER $28.00 TRIM NONDYSTROPIC NAILS ANY NUMBER $28.00 TRIMALLEOLAR ANKLE FX $1,128.00 TRIMETHOBENZAMIDE 250MG CAP (TIGAN) $6.00 TRIMETOBENZAMIDE 200 MG REC SUPP (TIGAN) $5.00 TRIMMING OF DYSTROPHIC NAILS, ANY NUMBER $75.00 TRIP NO MORE 8 X3 $26.00 TRIPEDIA/INFANRIX $37.00 TRIPEDIA/INFANRIX $37.00 TRIPLE ANTI-B OPHT (NEO/BACIT/POLYM)OINT $19.00 TROCAR 10MM X 150MM $169.00 TROCAR 12MM LG 512 X D $370.00 TROCAR 5MM X 75MM $293.00 TROCAR CLOSURE SUTURE GRASPER $132.00 TROCAR REDUCER 5MM $41.00 TROLAMINE SALICYLATE CREAM $9.00 TROPHAMINE (AMINO ACID 6%) IV SOL 500 ML $278.00 TROPICAMIDE (MYDRIACYL) 1% OPTH SOLN $29.00 TROPONIN T $156.00 Description Price TROVAN IV (ALATROFLOXACIN MESC) 200MG IV $186.00 TRU CUT BIOPSY NEEDLES 6 $115.00 TRUSOPT OPTH SOLN (DOROZOLAMIDE) 5ML $60.00 TRUVADA 200MG/300MG (EMTRICIT/TENOFOVIR) $261.00 TRYPAN BLUE OPTH SOLN 0.06% 2.25ML SYR $110.00 TRYPSIN $163.00 TRYPTASE $214.00 TSH $120.00 TSH W/ FREE T4 REFLEX $120.00 TUBAL LIGATION DURING POST PARTUM $685.00 TUBAL LIGATION DURING POST PARTUM $685.00 TUBAL LIGATION NOT POST PARTUM $713.00 TUBAL LIGATION NOT POST PARTUM $713.00 TUBAL LIGATION W/C SECTION $143.00 TUBAL LIGATION W/C SECTION $143.00 TUBE CONNECTING $6.00 TUBE ENDOTRACHEAL 9.5MMID $22.00 TUBE ESOPHAGEAL $583.00 TUBE FEEDING 10FR 42 INCH $8.00 TUBE FEEDING 8FR 15 INCH $11.00 TUBE GASTROSTOMY 22 FR $332.00 TUBE GASTROSTOMY 24 FR $332.00 TUBE HALFSET FOR PUMP $31.00 TUBE MILLER 16 FR $243.00 TUBE MILLER ABBOTT 14 $130.00 TUBE MILLER ABBOTT 18 $130.00 TUBE OXYGEN CONNECTIVE $8.00 TUBE POSITIONING W/FLUORO $70.00 TUBE SUCTION YANKAUR SET $47.00 TUBE T MODIFIER UTRASIL $199.00 TUBE THORACOSTOMY $455.00 TUBE THORACOSTOMY $455.00 TUBE THORACOSTOMY W/WATER SEAL $474.00 TUBERCULOSIS, INTRADERMAL $19.00 TUBERCULOSIS, INTRADERMAL $19.00 TUBETRACHEAL PED 5MM ID $17.00 TUBING 25 FT. $13.00 TUBO-CURARE (TUBOCURARINE) 3 MG/ML VIAL $31.00 TUBOCURARINE CHLORIDE INJ $8.00 TUBULAR PLATE 8 HOLE $527.00 TUCKS $31.00 TUMOR NECROSIS FACTOR ALPHA $180.00 TUNNELER DISPOSABLE 8 X17GA $166.00 TURY SET $47.00 TWINRIX (HEP A/ HEP B) VACCINE $153.00 TWIST DRILL 4.7MM $117.00 TWIST LOCK CABLE- INTERSTIM $300.00 TWO WAY AIRWAY LARGE $13.00 TX ANKLE FX $1,414.00 TX ANKLE FX $1,414.00 TX CLOSED ACROMIOCLAVICULAR DISLOC $448.00 Description Price TX CLOSED DIS FIBULAR FX LAT MALL $626.00 TX CLOSED EPICONDYLAR FX MED/LAT W/ $518.00 TX CLOSED HUMERAL FX W/O MANIP $532.00 TX CLOSED HUMERAL SHAFT FX W/O MANI $448.00 TX CLOSED IP JOINT DISLOC W/O ANES $344.00 TX CLOSED METACARPAL DISLOC W/O AN $309.00 TX CLOSED PATELLAR FX W/O MANIP $895.00 TX CLOSED RADIAL/ULNAR SHAFT FX W/O $999.00 TX CLOSED ULNAR FX PROXIMAL END $689.00 TX CLOSED ULNAR SHFT FX W/O MANIP $927.00 TX CLOSED ULNAR STYLOID FX $2,164.00 TX ECTOPIC PREGNANCY $1,675.00 TX ECTOPIC PREGNANCY $1,675.00 TX FEMORAL FX W W/O SCREWS $3,109.00 TX FEMORAL FX W W/O SCREWS $3,109.00 TX FEMORAL FX W/IMPLANT $1,958.00 TX FEMORAL FX W/IMPLANT $1,958.00 TX FX RADIUS & ULNA $1,283.00 TX FX RADIUS & ULNA $1,283.00 TX FX RADIUS/ULNA $1,808.00 TX FX RADIUS/ULNA $1,808.00 TX HIP DISLOCATION $1,410.00 TX HIP DISLOCATION $1,410.00 TX INCOMPLETE ABORTION $599.00 TX INCOMPLETE ABORTION $599.00 TX MISCARRIAGE $770.00 TX MISCARRIAGE $770.00 TX MISSED ABORTION $741.00 TX MISSED ABORTION $741.00 TX OF CLOSED ELBOW DISLOCATION W/O ANEST $467.00 TX RADIAL HEAT SUBLUXATION $689.00 TX SUPERFICIAL WOUND $427.00 TX SUPERFICIAL WOUND $427.00 TX TARSAL BONE FRACTURE W/O MANIP, EACH $59.00 TX TARSAL BONE FX W/O MANIP, EACH $443.00 TX TARSAL BONE FX W/O MANIP, EACH $476.00 TX THIGH FX $2,789.00 TX THIGH FX $2,789.00 TYLENOL JR. (ACETAMINOPHEN) 160MG TABLET $4.00 TYLOX (OXYCODONONE/APAP) CAPSULE $8.00 TYSABRI (NATALIZUMAB) 300MG/15ML VIAL $6,633.00 TZANK SMEAR $197.00 U/S GUIDE NEEDLE PLACE $726.00 UGI ENDO W/GASTRO TUBE $404.00 UGI ENDO W/GASTRO TUBE $404.00 UGI SERIES W SMALL BOWEL $955.00 UGI SERIES W/KUB $728.00 UGI SINGLE W/ SMALL BOWEL $428.00 UGI W/KUB SINGLE CONT $278.00 UGI W/O KUB $237.00 UGI W/O KUB SINGLE $263.00 Description Price ULORIC 40MG TABLET (FEBUXOSTAT) $40.00 ULTANE (SEVOFLURANE) 250 ML BOTTLE $858.00 ULTANE ANESTHETIC AGENT $8.00 UMBILECTOMY OMPHALECTOMY $899.00 UMBILECTOMY OMPHALECTOMY $899.00 UMBILICAL CATH 5f W/LUER LOCK $56.00 UMBILICAL CATH PACK $31.00 UMBILICAL CATH TRAY $80.00 UMBILICAL CATH UMBILICAL D/L 4f 40cm 10c $150.00 UMBILICAL CATH VESSEL 3.5FR $100.00 UMBILICAL VESSEL CATHETER KIT $276.00 UMBILI-CATH DUAL-LUMEN 3.5 $171.00 UNCOMPLICATED TX T M DISLOCATION $1,374.00 UNIPOLAR HEAD ADAPTER $497.00 UNISCOPE $17.00 UNIV 19 KNEE IMMOBILIZER $32.00 UNIV 24 KNEE IMMOBILIZER $87.00 UNIV CERVICLE KIT $117.00 UNIVERSAL ANESTHESIA SET $20.00 UNIVERSAL BINDER $117.00 UNIVERSAL BUCKS TRACTION $267.00 UNIVERSAL ELASTIC WRIST $164.00 UNIVERSAL FOAM COLLAR $12.00 UNIVERSAL RIB BELT FEMALE $30.00 UNIVERSAL RIB BELT MALE $28.00 UNLISTED LAPOROSCOPY PROCEDURE $1,233.00 UNLISTED LAPOROSCOPY PROCEDURE $1,233.00 UNLISTED PROCEDURE DENTOALVEOLAR STRUCTU $414.00 UNLISTED PROCEDURE OF ABDOMEN, PERTONEUM $1,580.00 UNLISTED PROCEDURE OF ABDOMEN, PERTONEUM $1,580.00 UNLISTED PROCEDURE ON FEM GEN ORGAN $1,877.00 UNLISTED PROCEDURE URINARY SYSTEM $75.00 UNLISTED THERAPEUTIC PHOPH/DX IV/IA NJX/ $82.00 UNNA BOOT $29.00 UNNA BOOT $112.00 UNNA BOOT $112.00 UNNA BOOT-CALAM/ZINC/OXYGEL/GLY $17.00 UPPER EXT INFANT 2 V $202.00 UPPER GI ENDO,ESOPHAGUS/STOMACH W/TRAN $349.00 UPPER GI ENDO,ESOPHAGUS/STOMACH W/TRAN $349.00 UPSYLON Y MESS $1,208.00 UREA NITROGEN URINE $69.00 UREAPLASMA UREALYTICUM CULTURE $75.00 URETEROURETEROSTOMY $2,589.00 URETEROURETEROSTOMY $2,589.00 URETHRAL FILIFORM W OLIVE TIP 3FR $51.00 URETHRAL FILIFORM W OLIVE TIP 4FR $51.00 URETHRAL FILIFORM W OLIVE TIP 6FR $51.00 URETHRAL FILIFORM W SPINAL TIP 3FR $60.00 URETHRAL FILIFORM W SPINAL TIP 4FR $60.00 URETHRAL FILIFORM W SPINAL TIP 6FR $60.00 Description Price URETHROCYSTOGRAM $178.00 URIC ACID $92.00 URIC ACID URINE 24 $68.00 URIMETER $112.00 URINALYSIS $70.00 URINALYSIS, CULTURE IF INDICATED $67.00 URINARY DRAINAGE BAG $93.00 URINARY DRAINAGE LEG BAG $14.00 URINE 24HR PROTEIN $63.00 URINE CREATININE REF LAB $55.00 URINE DIPSTICK ONLY $85.00 URINE DIPSTICK ONLY - OB ONLY $85.00 URINE DRAINAGE LEG BAG WITH EXT TUBING $18.00 URINE DRUG SCREEN SUBSTANCE ABUSE $208.00 URINE METER FOLEY TRAY 14 FR $144.00 URINE METER FOLEY TRAY 16 FR $120.00 URINE STRAINER $14.00 URO CATCHER BAG STERILE $90.00 UROCIT-K TAB (POT CITRATE) 1080MG $5.00 UROKINASE 5 MU VIAL $304.00 UROLOGICAL TRAY $21.00 UROSTOMY POUCH W/FLANGE $18.00 UROXATROL ER 10MG (ALFUZOSIN) TABLET $31.00 URSODIOL 300MG CAPSULE (ACTIGALL) $11.00 US HIP INFANT LIMITED W/O MANIPULATION $151.00 US HIP INFANT W/ MANIPULATION $151.00 US ABDOMEN LIMITED $595.00 US ABDOMEN ROUTINE $1,023.00 US ABI's $350.00 US ADDTL GEST.>14 WKS 1ST GEST $270.00 US ADDTL GEST<14 WKS EA $118.00 US AORTA $531.00 US BIOPSY NECK $2,463.00 US BLADDER $634.00 US BLADDER POST VOID $81.00 US BREAST BX ADDITIONAL LEASION $197.00 US BREAST BX W/CLIP PLACEMENT RT/LT $1,644.00 US BREAST CYST ASPIRATION $962.00 US BREAST CYST ASPIRATION ADD LEASION $52.00 US BREAST UNILATERAL COMPLETE LEFT $650.00 US BREAST UNILATERAL COMPLETE RIGHT $650.00 US BREAST UNILATERAL LIMITED LEFT $620.00 US BREAST UNILATERAL LIMITED RIGHT $620.00 US CAROTID LT $445.00 US CAROTID RT $445.00 US CAROTID-BILAT $985.00 US CHEST $477.00 US COMPL JOINT R-T W/IMG $545.00 US DUPLEX SCAN ABD ORGANS $858.00 US DUPLEX SCAN ABD ORGANS LIMITED $387.00 US DUPLEX SCAN ABD/PELVIC ORGANS COMPLET $718.00 Description Price US DUPLEX SCAN OF AORTA IVC ILIAC $718.00 US ECHO DOPPLER $340.00 US ECHO DOPPLER-COLOR FLOWMAP $282.00 US ECHO DOPPLER-LMTD STUDY $174.00 US ECHOCARDIOGRAM $675.00 US ECHOCARDIOGRAM 2D/M-MODE $687.00 US ECHOCARDIOGRAM-COMPLETE $1,247.00 US ECHOCARDIOGRAM-LMTD STUDY $1,186.00 US EXT A-V FISTULA $316.00 US EXT/AXILLA LIMITED LEFT $215.00 US EXT/AXILLA LIMITED RIGHT $215.00 US EXTR VEIN MAPPING BILAT $706.00 US EXTR VEIN MAPPING LT $627.00 US EXTR VEIN MAPPING RT $627.00 US EXTR VEN BLT $706.00 US EXTR VEN LT $627.00 US EXTR VEN RT $627.00 US EXTREMITIES BILAT-NONVASCULAR $556.00 US EXTREMITIES LT-NONVASCULAR $556.00 US EXTREMITIES RT-NONVASCULAR $556.00 US FETAL ANATOMICAL EVAL EA ADDTL GEST $270.00 US FETAL BIOPHY W/NST $471.00 US FETAL BIOPHY W/O NST $358.00 US FETAL HEART RECHECK $269.00 US FINE NEEDLE ASPIRATION GUIDAN $962.00 US GALLBLADDER $595.00 US GUID AMNIO IMAG S&I $38.00 US GUIDE VASCULAR ACCE $395.00 US GUIDED AMNIO $705.00 US HEAD $517.00 US HYSTERO CATHERIZATION $252.00 US HYSTEROSONOGRAPHY $620.00 US KIDNEYS $531.00 US LE ART BILAT $1,187.00 US LE ART LT $524.00 US LE ART RT $524.00 US LIMITED ANATOMIC SPECIFIC $146.00 US LIVER $584.00 US NEEDLE GUIDANCE PLACEMENT $771.00 US OB FETAL NUCHAL TRANSLUCENCY 1ST GEST $316.00 US OB FETAL NUCHAL TRANSLUCENCY ADD'L $196.00 US OB FOLLOW UP $871.00 US OB LIMITED $512.00 US OB TRANSVAGINAL $308.00 US OB W FETAL ANATOMY DETAIL $689.00 US OB<14WKS SINGLE GEST. $606.00 US OB>14WKS SINGLE GEST. $889.00 US PANCREAS $584.00 US PARACENTESIS - ABDOMINAL $530.00 US PELVIC EV $369.00 US PELVIS COMP $864.00 Description Price US PELVIS LIMITED $634.00 US PROSTATE $507.00 US RETROPEROTINEAL REAL TIME W/IMAGE $621.00 US SPINAL CANAL $519.00 US SPINE U/S INFANT $347.00 US SPLEEN $584.00 US ST HEAD/NECK/THYROID $803.00 US STRESS ECHO W/ CONTRAST $80.00 US STRESS ECHOCARDIOGRAM $831.00 US TESTICULAR ULTRASOUND $789.00 US THORACENTESIS $1,136.00 US THYROID $803.00 US UE ART BILAT $825.00 US UE ART LT $490.00 US UE ART RT $490.00 US ULTRASOUND TRANSRECTAL $445.00 US UMBILICAL ART DOPPLER $247.00 US UNLISTED PROCEDURE $215.00 US UPPER EXT DIALYSIS VEIN MAPPING $706.00 UTERINE EXPLORA CURETTE $51.00 UTERINE MANIPULATOR INJECTOR $125.00 UTERINE SUSPENSION W-W/O SHRTING RND/SAC $1,030.00 UTILITY RUBBER TIPS 1 IN $46.00 UTILITY RUBBER TIPS 5/8 $47.00 UTILITY RUBBER TIPS 7/8 $47.00 V LOC 6 ABSORB WOUND CLOSURE DEVICE $162.00 V LOC 9 ABSORB WOUND CLOSURE DEVICE $160.80 VAC ADMIN $21.68 VAC ADMIN $21.68 VAC ADMIN 1ST THROUGH 18 YRS OF AGE $23.00 VAC ADMIN EA ADDTL $21.68 VAC ADMIN EA ADDTL $21.68 VAC ADMIN EA ADDTL $23.00 VAC ADMIN EA ADDTL THROUGH 18 YRS OF AGE $23.00 VAC ADMIN ORAL/IN $12.00 VAC ADMIN ORAL/NAS $11.00 VACCINE ADM $23.00 VACCINE ADMIN 1ST $23.00 VACURETTE 10MM STRAIGHT $28.00 VACURETTE 11MM STRAIGHT $213.00 VACURETTE 12MM STRAIGHT $28.00 VACURETTE 8MM STRAIGHT $25.00 VACURETTE 9MM STRAIGHT $25.00 VACUUM BOTTLE- DENVER PLEURX $275.00 VAG CERVICAL RETRACTOR- LG $405.00 VAG DELIVER W $1,636.00 VAG HYST COMPLEX $2,523.00 VAG HYST COMPLEX $2,523.00 VAG HYST W/URINARY REPAIR $2,279.00 VAG HYST W/URINARY REPAIR $2,279.00 VAG HYST W/URO REPAIR;COMP $3,027.00 Description Price VAG HYST W/URO REPAIR;COMP $3,027.00 VAG HYSTERECTOMY >250 GM RPR ENTEROCELE $2,574.00 VAG HYSTERECTOMY >250 GM RPR ENTEROCELE $2,574.00 VAG HYSTERECTOMY 250 GM/< W/RPR ENTEROCE $1,870.00 VAG HYSTERECTOMY 250 GM/< W/RPR ENTEROCE $1,870.00 VAG-CERVICAL RETRACTOR-MED $408.00 VAGINAL COLPOCLEISIS $1,204.00 VAGINAL DELIVERY AFTER PREVIOUS CSECTION $2,808.00 VAGINAL DELIVERY GLOBAL $3,502.00 VAGINAL PACKING $22.00 VAGINAL SPECULUM LARGE $22.00 VALACYCLOVIR 1 GM TABS $14.00 VALPORIC ACID 250MG/5ML $6.00 VALPROATE SODIUM 100MG/ML 5ML SDV $28.00 VALPROIC ACID $75.00 VALPROIC ACID 250 MG CAPSULE (DEPAKENE) $6.00 VALSARTAN 40 MG TABLET (DIOVAN) $10.00 VALSARTAN 80 MG TABLET (DIOVAN) $23.00 VALTREX (VALACYCLOVIR) 500MG TABS $20.00 VANCERIL (BECLOMETHASONE) DS INHALER $110.00 VANCOMYCIN :750MG VIAL $47.00 VANCOMYCIN 125MG CAPSULE $43.00 VANCOMYCIN 250 MG CAPSULE (VANCOCIN) $57.00 VANCOMYCIN 500 MG VIAL $32.00 VANCOMYCIN PEAK $95.00 VANCOMYCIN RANDOM $95.00 VANCOMYCIN TROUGH $95.00 VANCOMYCIN: 1 GM VIAL $53.00 VAP (B) $166.00 VAQTA (HEPATITIS A VACCCINE) ADULT $92.00 VAQTA PED (HEPATITIS A) 25U/0.5ML $39.00 VAQTA-ADULT $85.70 VAQTA-PED $38.10 VAQTA-PED $38.10 VARICELLA ZOSTER IGG $119.00 VARICELLA ZOSTER IGM $119.00 VARICELLA ZOSTER VIRUS DNA PCR $230.00 VARIVAX $158.31 VARIVAX $158.31 VARIVAX (VARICELL VIRUS VAC) 0.5 VIAL $153.00 VARIZIG 125IU/1.2ML SDV $3,000.00 VAS SET $21.00 VASCULAR PROSTHESIS 6MM $1,259.00 VASCULAR RELOAD 35MM $570.00 VASCULAR RELOAD ECHELON FLEX 45 $437.00 VASCULOUR II PROSTH 16 X 8 $1,586.00 VASCULOUR II PROSTH 24 X 12 $977.00 VASCULOUR II PROSTH 9.5 $982.00 VASECTOMY $964.00 VASELINE 3/5 OZ $3.50 VASELINE GAUZE 1 X 8 $3.00 Description Price VASELINE GAUZE 1/2 X 72 $18.00 VASELINE GAUZE 3 X 9 $3.00 VASELINE GUAZE 3 X 36 $5.00 VASOACTIVE INTESTINAL POLYPEPTIDE $163.00 VASOPRESSIN 20 UNIT VIAL (PITRESSIN) $18.00 VCARE LG CERVICAL CUP(37MM) $430.00 VCARE MED CERVICAL CUP(34MM) $430.00 VDRL CSF $72.00 VECTIBIX (PANITUMUMAB) 100MG VIAL $4,004.00 VECTIBIX (PANITUMUMAB) 400MG VIAL $7,149.00 VECTRA DA $2,374.00 VECURONIUM 10 MG VIAL (NORCURON) $28.00 VEIN STRIPPER $76.00 VELCADE (BORTEZOMIB) 3.5MG VIAL $3,196.00 VENIPUNCTURE $22.00 VENIPUNCTURE COMPLEX 3 YRS > NON ROUTINE $81.00 VENIPUNCTURE CUTDOWN <1 Y/O $140.00 VENIPUNCTURE UNDER AGE 3 SCALP $210.00 VENIPUNCTURE, <1 $60.00 VENLAFAXINE 37.5 MG TAB (EFFEXOR) $6.00 VENLAFAXINE XR 37.5MG CAPS (EFFEXOR) $7.00 VENLAFAXINE XR 150MG CAP (EFFEXOR XR) $6.00 VENO PAK SECONDARY $17.00 VENOCATH 14 $13.00 VENOCATH 14 FR $13.00 VENOCATH 16 $8.00 VENOCATH 16 FR $11.00 VENOCATH 18 $17.00 VENOCATH 18 FR $18.00 VENOFER (IRON SUCROSE COMP) 20MG/ML 5ML $231.00 VENOUS BLOOD GAS $171.00 VENTED PACLITAXEL SET W/POLY $88.00 VENTED SPIKE ADAPTER $17.00 VENTED SPIKE ADAPTER DO NOT USE $10.00 VENTILATION A $136.00 VENTILATION ASST & MGMT; 1ST DAY $136.00 VENTILATOR EACH ADDL DAY $1,381.00 VENTILATOR INITIAL SET UP $2,038.00 VENTILATOR PER HOUR SUBSEQUENT $21.00 VENTOLIN HFA (ALBUTEROL) INHALER 8G $45.00 VENTRALEX ST HERNIA PATCH $713.00 VERAPAMIL 200 MG PM CAPS (VERELAN PM) $9.00 VERAPAMIL 40 MG TABLET (CALAN) $4.00 VERAPAMIL 5 MG AMPULE (CALAN) $43.00 VERAPAMIL 80 MG TABLET (CALAN) $6.00 VERAPAMIL PM 100MG (VERELAN) $10.00 VERAPAMIL SR 120 MG TABLET (CALAN) $6.00 VERAPAMIL SR 180 MG TABLET (CALAN) $6.00 VERAPAMIL SR 240 MG TABLET (CALAN) $6.00 VERESS NEEDLE $155.00 VERSED (MIDAZOLAM) 10 MG SYRINGE $136.00 Description Price VESCURA RETAINER MEDIUM $150.00 VESICARE (SOLIFENACIN SUCC) 5MG TABLET $50.00 VEST WRAP SIZE LG $402.00 VEST WRAP SIZE MEDIUM $402.00 VIAFLOW 800V $12.00 VIBRAMYCIN (DOXYCYCLINE) 25 MG/5ML SUSP $60.00 VICOPROFEN (HYDROCOD/IBUPRO) 7.5/200 TAB $5.00 VIDEX (DIDAN/NA CIT/MGOH2/AL SOD CAR)100 $7.00 VIGILON WOUND DRESSING $31.00 VIMPAT 10MG/ML ORAL SOLUTION $13.00 VINBLASTINE 10 MG VIAL (VELBAN) $108.00 VINCRISTINE 1 MG VIAL $71.00 VINCRISTINE 2 MG VIAL (ONCOVIN) $89.00 VINORELBINE 10MG/ML 5ML VIAL $215.00 VINORELBINE TART 10MG (NAVELBINE) $94.00 VINYL COCK UP WRIST BRACE LT LG $54.00 VINYL COCK UP WRIST BRACE LT SMALL $54.00 VINYL COCK UP WRIST BRACE LT XLG $54.00 VINYL COCK UP WRIST BRACE RT LG $54.00 VINYL COCK UP WRIST BRACE RT MED $54.00 VINYL COCK UP WRIST BRACE RT SMALL $54.00 VINYL COCK UP WRIST BRACE RT XLG $54.00 VINYL COCK UP WRIST BRACE LT MED $54.00 VIOXX (ROBECOXIB) 12.5 MG DONT USE $14.00 VIRAL CULTURE $77.00 VISCOAT (CHONDROITIN/SOD HYALURONA) 0.5 $486.00 VISCOELASTIC EXTRA VIS/DUO $136.00 VISCOSITY $48.00 VISIPAQUE 320MG/100ML (IODIXANOL) $816.00 VISTRIL HYDROXYZINE $16.00 VIT B12 UP TO 1000MCG $17.00 VIT. A& D (VITAMIN A&D) OINT 60 GM $10.00 VITAMIN A $65.00 VITAMIN B 12 $44.00 VITAMIN B COMPLEX (B COMPLEX/VIT C 500MG $4.00 VITAMIN B1 $99.00 VITAMIN B-12 (CYANOCOBALAMIN) 30ML VIAL $40.00 VITAMIN B-12 100MCG TAB (CYANOCOBALAMIN) $6.00 VITAMIN B2 $115.00 VITAMIN B3 $83.00 VITAMIN B5 $162.00 VITAMIN B6 $130.00 VITAMIN B7 $162.00 VITAMIN C $86.00 VITAMIN D 25-HYDROXY D2/D3 - INHOUSE $356.00 VITAMIN D 1,000 UNITS TABLET $5.00 VITAMIN D 400 I.U. TABLET $1.00 VITAMIN D 5000 UNITS CAPSULE $6.00 VITAMIN D CAP 50,000IU (ERGOCALCIFEROL) $6.00 VITAMIN E $82.00 VITAMIN E (TOCOPHERYL ACET) 100 I.U.CAP $4.00 Description Price VITAMIN E (TOCOPHERYL ACET) 1000 IU CAPS $4.00 VITAMIN E (VITAMIN E) 400 I.U. CAPS $1.00 VITAMIN E 400 I.U.CAP $4.00 VITAMIN E 50U/ML 30ML $60.00 VITAMIN K $49.00 VITAMIN K $260.00 VITAMIN K (PHYTONADIONE) 10 MG AMP $91.00 VITAMIN K 1 MG AMP $38.00 VIVACTIL (PROTRIPTYLINE) 10MG TAB $7.00 VIVITROL 380MG (NALTREXONE) INJ $8,694.00 VIVOTIF CAPSULE (TYPHOID VACCINE LIVE) $60.00 VMA 24 HOUR URINE $94.00 VMA RANDOM URINE $41.00 VOICE CURRENT STATUS-CHGN $1.00 VOICE CURRENT STATUS-CIGN $1.00 VOICE CURRENT STATUS-CJGN $1.00 VOICE CURRENT STATUS-CKGN $1.00 VOICE CURRENT STATUS-CLGN $1.00 VOICE CURRENT STATUS-CMGN $1.00 VOICE CURRENT STATUS-CNGN $1.00 VOICE DISCHARGE STATUS-CHGN $1.00 VOICE DISCHARGE STATUS-CIGN $1.00 VOICE DISCHARGE STATUS-CJGN $1.00 VOICE DISCHARGE STATUS-CKGN $1.00 VOICE DISCHARGE STATUS-CLGN $1.00 VOICE DISCHARGE STATUS-CMGN $1.00 VOICE DISCHARGE STATUS-CNGN $1.00 VOICE GOAL STATUS-CHGN $1.00 VOICE GOAL STATUS-CIGN $1.00 VOICE GOAL STATUS-CJGN $1.00 VOICE GOAL STATUS-CKGN $1.00 VOICE GOAL STATUS-CLGN $1.00 VOICE GOAL STATUS-CMGN $1.00 VOICE GOAL STATUS-CNGN $1.00 VOLUME $40.00 VON WILLEBRAND FACTOR ACTIVITY $141.00 VON WILLEBRAND FACTOR ANTIGEN $182.00 VONWILLEBRAND PROFILE (C) $125.00 VP (VENIPUNCTURE UNDER 3 YR $60.00 VULVECTOMY SIMPLE PARTIAL $1,254.00 WALK ER EQUALIZR SMALL $126.00 WALKER 2 BUTTON ADULT $77.00 WALKER 2 BUTTON JR $77.00 WALKER EQUALIZER EX LG $126.00 WALKER EQUALIZER LARGE BLK $126.00 WALKER EQUALIZER MEDIUM BLK $126.00 WALKER EQUALIZER XS $123.00 WALKER EX LG 5IN WHEELS $195.00 WALKER MEDIUM NEXTEP CONTOUR WITH AIR $311.00 WALKER, SIDE STEPPER, HEMI $81.00 WALKING BOOT NON-PNEUMATIC $208.00 Description Price WALKING BOOT PNEUMATIC $174.00 WALKING HEEL UNIVERSAL $24.00 WARFARIN 5MG INJ (COUMADIN) $108.00 WATER (STERILE WATER) 100 ML VIAL $6.00 WAX BONE NATURAL $28.00 WAX CURETTE SIZE 2 DISP $59.00 WBC STAIN $78.00 WEBRIL 4 STERILE $10.00 WEBRIL 4 STERILE $22.00 WEDGE EXCISION OF SKIN OF NAIL FOLD $73.00 WEST NILE VIRUS $154.00 WEST NILE VIRUS IGG $80.00 WEST NILE VIRUS, PCR $616.00 WESTERN EQUINE ENCEPHALTIS IGG $165.00 WESTERN EQUINE ENCEPHALTIS IGM $165.00 WET PREP $16.00 WET PREP $67.00 WET PREP-GENITAL $64.00 WET PREP-NON GENITAL $64.00 WET SALINE PAK $44.00 WHEELCHAIR- BARIATRIC $714.00 WHEELCHAIR- STANDARD $425.00 WHITE BLOOD COUNT $50.00 WINSTROL(STANOZOLOL) 2 MG TABS $4.00 WIRE PASS DRILL 1.5M9 (STYKER) $219.00 WITCH HAZEL PADS (TUCKS) $9.00 WND VAC - NEG PRESS WOUND TX, <50CM $158.00 WOUND DEBRIDE, DEEP $206.00 WOUND DEBRIDE, SUPERFICIAL $130.00 WOUND DRAIN COLL $56.00 WOUND DRAINAGE COLLECTION $30.00 WOUND DRAINAGE COLLECTOR 4X8 $52.00 WOUND PREP TRK/ARM/LEG $515.00 WRAP AROUND KNEE 1/8 MD $165.00 WRIST BRACE LG LEFT $51.00 WRIST BRACE LG RIGHT $51.00 WRIST BRACE MD LEFT $51.00 WRIST BRACE MD RIGHT $49.50 WRIST BRACE SM LEFT $49.50 WRIST BRACE SM RIGHT $49.50 WRIST BRACE XLG LT $53.00 WRIST BRACE XLG RT $23.00 WRIST BRACE XS LEFT $17.00 WRIST BRACE XS RIGHT $17.00 WRIST FIXATOR $3,162.00 WRIST LT 2V $165.00 WRIST LT 3V $312.00 WRIST LT ROUTINE 4V $312.00 WRIST RESTRAIN DISP $20.00 WRIST RT 2V $165.00 WRIST RT 3V $312.00 Description Price WRIST RT ROUTINE 4V $312.00 WRIST SPLINT $63.00 WRIST SPLINT REHAB $74.00 WRIST SUPPORT RIGHT X LRG $90.00 WRIST SUPPORT XSM LEFT $91.00 WRISTBAND DISPOSIBLE $32.00 WYCILLIN (PEN G) 2,400,000 UNIT TUBEX $78.00 WYCILLIN (PENIC G) 1,200,000 UNIT TUBE $50.00 WYCILLIN (PENIC G) 600,000 UNTS TUBEX $41.00 X - ISTAT BUN/CREATININE $67.00 X - ISTAT H & H $42.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XALLERGEN PROFILE PERENNIAL ALLERGEN $11.00 XANAX (ALPRAZOLAM) 0.5 MG DO NOT USE $6.00 XARELTO 10MG TABLET (RIVAROXABAN) $58.00 XARELTO 15MG TABLET (RIVAROXABAN) $58.00 XCEL BLADELESS TROCAR 12MM $242.00 XC-PEPTIDE $73.00 XEROFORM 1X8 DRESSING $8.00 XEROFORM 2X2 DRESSING $7.00 XEROFORM 5X9 DRESSING $4.00 XGEVA (DENOSUMAB) 120MG/1.7ML VIAL $3,781.00 XHEMOGLOBINOPATHY PROFILE /ALPHA THALASS $23.00 XHEMOGLOBINOPATHY PROFILE ALPHA THALASS $23.00 XHEMOGLOBINOPATHY PROFILE ALPHA THALASS $23.00 XHEMOGLOBINOPATHY PROFILE/ALPHA THALASS $23.00 XIFAXAN 200MG (RIFAXIMIN) TABLET $95.00 XIFAXAN 550MG (RIFAXIMIN) TABLET $151.00 XINHERITEST CARRIER SCREEN $153.00 XINHERITEST CARRIER SCREEN $153.00 XINHERITEST CARRIER SCREEN $153.00 XINHERITEST CARRIER SCREEN $153.00 XINHERITEST CARRIER SCREEN $153.00 XINHERITEST CARRIER SCREEN $153.00 XINHERITEST CARRIER SCREEN $153.00 XINHERITEST CARRIER SCREEN $153.00 Description Price XINHERITEST CARRIER SCREEN $153.00 XINHERITEST CARRIER SCREEN $153.00 XINHERITEST CARRIER SCREEN $153.00 XINHERITEST CARRIER SCREEN $153.00 XMMR PROFILE $24.00 XMMR PROFILE $24.00 XOLAIR (OMALIZUMAB) 150MG SDV $4,140.00 XOPENEX (LEVABUTEROL) 0.63MG/3ML UD $29.00 XOPENEX (LEVALBUTEROL) 0.31MG/3ML $36.00 XOPENEX HFA 45MCG INHALER (LEVALBUTEROL) $120.00 XPAP SMEAR CONVENTIONAL $51.00 XXXXXXXX UNIV NEO THUMB SUPPORT $16.00 XYLOCAINE (LIDOCAINE) : 1 GM VIAL $33.00 XYLOCAINE 2% MPF 5ML VIAL (LIDOCAINE) $10.00 XYLOCAINE/EPI (LIDOCAINE/EPI) 1.5% VIAL $40.00 XYLOMETAZOLINE 1% NASAL SPRAY (OTRIVIN) $27.00 Y TYPE BLOOD SOLUTION SET CLEARLINK $40.00 Y TYPE CATH EXT SET $31.00 YANKAUER SUCTION TUBE $2.00 YERVOY (IPILIMUMAB) 200MG VIAL $39,364.00 YERVOY (IPILIMUMAB) 50MG VIAL $11,481.00 Y-TYPE CATH EXTENSION $25.00 Z SUTURE SADDLE BAG $20.00 ZALEPLON 10MG CAPSULE (SONATA) $10.00 ZALEPLON 5MG CAPSULE (SONATA) $10.00 ZANAMIVIR DISKHALER PWD 5MG (RELENZA) $120.00 ZARXIO 480MCG/0.8ML SYRINGE $1,076.00 ZEBETA (BISOPROLOL FUM) 5 MG TAB $4.00 ZELNORM (TEGASEROD) 2MG TABLET $17.00 ZEMURON (ROCURONIUM) 50MG/5ML:10ML $49.00 ZETIA (EZETIMIBE) 10MG TAB $22.00 ZIDOVUDINE 10 MG/ML 4 OZ (RETROVIR) $97.00 ZIDOVUDINE 100 MG CAPSULE (RETROVIR) $10.00 ZIDOVUDINE 300 MG TABLET (RETROVIR) $28.00 ZIKA COMPREHENSIVE $439.00 ZINC - WHOLE BLOOD $99.00 ZINC (CHLORIDE) 1 MG/ML 10 ML VIAL $16.00 ZINC GLUCONATE 50 MG TABS $4.00 ZINC OXIDE (ZINC OXIDE) 20% OINT 30 GM $10.00 ZINC PROTOPORPHYRIN $111.00 ZINC SERUM OR PLASMA $99.00 ZOLADEX (GOSERELIN ACE) 10.8 MG $2,049.00 ZOLADEX (GOSERELIN ACE) 3.6 MG $1,563.00 ZOLEDRONIC ACID 4MG VIAL (ZOMETA) $2,942.00 ZOLEDRONIC ACID 5MG/100ML (RECLAST) $1,788.00 ZOLPIDEM 5 MG TABLET (AMBIEN) $11.00 ZOMIG-ZMT (ZOLMITRIPTAN) 2.5MG TAB $64.00 ZONALON (DOXEPIN CR) 5% 45GM CREAM $188.00 ZONEGRAN (ZONISAMIDE) 100MG CAPSULE $12.00 ZONISAMIDE $263.00 ZOSYN 2.25GM (PIPERCILLIN/TAZOBACTAM) $50.00 Description Price ZOSYN 3.375GM (PIPERCILLIN/TAZOBACTAM) $123.00 ZOSYN 4.5GM (PIPERCILLIN/TAZOBACTAM) $117.00 ZOSYN 4.5GM/ NS 100ML $137.00 ZYBAN SR (BUPROPION HCL) 150 MG TABS $9.00 ZYMAR (GATIFLOXACIN) 0.3% OPTH SOLN 5ML $299.00 ZYPREXA $104.00 ZyPREXA (OLANZAPINE) 5 MG TABS $7.00 ZYRTEC-D(PSUEDO-CETIRIZINE) 120/5 TAB $8.00 ZYVOX (LINEZOLID) 600MG TABLETS $372.00