KNOX COMMUNITY HOSPITAL VALID JANUARY 1, 2020

CHARGE DESCRIPTION CHARGE AMOUNT - BALLOON CATHETER FOX PLUS 5.0X60X135 $ 360.00 HIP DRAPE W/ POUCH C $ 67.80 INJECT FOR SPINE DISK X-RAY $ 576.00 MINI TREK OTW 1.5X12MM $ 672.00 MINI TREK OTW 1.5X20MM $ 520.00 MINI TREK OTW 1.5X6MM $ 672.00 MINI TREK OTW 1.5X8MM $ 672.00 MINI TREK OTW 2X12MM $ 520.00 MINI TREK OTW 2X15MM $ 672.00 MINI TREK OTW 2X8MM $ 672.00 N BLOCK INJ SCIATIC SNG $ 1,627.07 NJX INTERLAMINAR CRV/THRC $ 1,912.10 NON STRESS TEST $ 409.63 PROQUAD VACCINE $ 480.69 REVISE/REMOVE NEURORECEIVER $ 7,059.73 TREK OTW 2.25X12MM $ 560.00 TREK OTW 2.25X15MM $ 520.00 TREK OTW 2.25X30MM $ 560.00 TREK OTW 2.5 X 15MM $ 520.00 TREK OTW 2.5 X 20MM $ 520.00 TREK OTW 2.5X30MM $ 560.00 TREK OTW 2.5X8MM $ 672.00 TREK OTW 2.75 X 12MM $ 520.00 TREK OTW 2.75 X 15MM $ 520.00 TREK OTW 2.75X30MM $ 520.00 TREK OTW 3.25X12MM $ 672.00 TREK OTW 3.25X15MM $ 672.00 TREK OTW 3.25X30MM $ 672.00 TREK OTW 3.5X20MM $ 672.00 TREK OTW 3.5X30MM $ 520.00 TREK OTW 3.5X8MM $ 672.00 TREK OTW 3.75X12MM $ 560.00 TREK OTW 3.75X30MM $ 672.00 TREK OTW 3X15MM $ 520.00 TREK OTW 3X20MM $ 520.00 TREK OTW 3X30MM $ 560.00 TREK OTW 3X8MM $ 560.00 TREK OTW 4.5X15MM $ 520.00 TREK OTW 4X12MM $ 520.00 TREK OTW 4X15MM $ 520.00 TREK OTW 4X20MM $ 520.00 TREK OTW 4X30MM $ 672.00 TREK OTW 4X8MM $ 672.00 TREK OTW 5X15MM $ 672.00 CHARGE DESCRIPTION CHARGE AMOUNT REMOVE SGLE TOE PHALNGE EA $ 363.04 REMOVE SGLE TOE PHALNGE EA $ 3,438.80 REMOVE SGLE TOE PHALNGE EA $ 3,801.84 #1 LPT ANGLED GREAT TOE $ 3,125.00 #3 TIBIAL COMPONENT (ZIMMER) $ 5,076.00 **PD & P INITIAL $ 268.98 ..DISP HOOD MED INFANT $ 59.00 ..OXISENSOR NEO/ADULT $ 62.40 ..TEE $ 2,445.19 .014 180 CM PROWATER FLEX GUIDEWIRE $ 340.00 .014 X 300CM HT ADVANC $ 65.60 .014 X 300CM HT ADVANCE $ 65.60 .014 X 300CM VIPERWIRE $ 600.00 .062 GUIDE WIRE TROCAR TIP $ 86.00 .3.2MM GUIDE PIN $ 270.00 .ACTINOMYCES AB $ 48.41 .ADDITIONAL SPECIMEN (GTT) $ 49.98 .AMINO ACIDS;QUANT $ 108.15 .BB ABO $ 122.05 .BB ANTIBODY ELUTION EA $ 464.65 .BB ANTIGEN TYPING ARC $ 387.76 .BB ANTIGEN TYPING KCH $ 323.13 .BB ANTIGLOBIN TECHNIQUE $ 354.80 .BB ARC IMMEDIATE SPIN $ 230.90 .BB ARC IRRADIATED COMPONENT $ 101.57 .BB ARC PLATELETS $ 291.00 .BB AUTOLOGOUS R C CHARGE $ 293.00 .BB CORD DAT $ 140.04 .BB CRYOPREC RC CHARGE $ 65.00 .BB FFP THAWING EACH UNIT $ 457.00 .BB FRESH FROZEN PLASMA $ 210.66 .BB IMMEDIATE SPIN $ 70.96 .BB INCUBATION $ 175.48 .BB PLATELET MIX & POOL $ 216.92 .BB PLATELET PHERERSIS (LR) $ 1,634.68 .BB PLATLETS LEUKOREDUCED $ 306.94 .BB PLATLETS PHERESIS LR IRR $ 280.11 .BB PRBC DEGLYCE $ 599.46 .BB RBC LR CMV NEG IRR $ 989.83 .BB RED BLOOD CELLS LEUKOREDU $ 700.32 .BB RH TYPE $ 61.95 .BB WASHED PACKED CELLS $ 657.55 .BLASTOMYCES ANTIBODY $ 197.53 .CARBOXYHEMOGLOBIN $ 95.00 .CHLORIDE OTHER SOURCE $ 70.04 .CULTURE AFB ID $ 92.70 CHARGE DESCRIPTION CHARGE AMOUNT .CULTURE ANAEROBIC ID $ 107.73 .CULTURE FUNGI ID MOLD $ 133.84 .CULTURE FUNGI ID YEAST $ 91.32 .CULTURE FUNGUS (SKIN NAIL) $ 95.28 .CULTURE FUNGUS OTHER $ 119.48 .CULTURE STOOL ADDIT PATHOGENS $ 71.01 .CULTURE STOOL ISO SAL SHIG $ 141.04 .CULTURE TYPING IMMUNO $ 104.03 .DIPTHERIA ANTIBODIES $ 181.54 .EB VIRAL CAPSID VCA $ 103.88 .EHRLICHIA $ 236.90 .FLOW CYTOMETRY $ 567.46 .FLOW CYTOMETRY EACH ADDITIONAL $ 100.45 .FLOW CYTOMETRY INTERPRETATION $ 150.38 .FUNGUS AB NOT SPECIFIED $ 200.26 .GAMMA GLOBULIN EACH $ 84.96 .HEP. B CORE AB IGM $ 95.84 .HETEROPHILE ANTIBODY $ 52.53 .HIGH RESOLUTION STUDY $ 335.78 .IEP OTHER FLUID $ 279.62 .IMMUNE COMPLEXES $ 97.85 .IMMUNOELECTROPHORESIS $ 70.02 .IMMUNOFIXATION ELECTROPHORESIS $ 202.98 .INFECTIOUS AGENT BY NA $ 290.46 .ISOENZYMES $ 103.00 .KAROTYPES AND BANDING $ 374.11 .LATEX TYPING $ 30.60 .LYMPHOCYTE TRANSFORMATION $ 206.00 .MATURATION INDEX $ 19.57 .METH HEMOGLOBIN $ 47.50 .MM DUCTOGRAM INJECTION $ 354.91 .NEPHELOMETRY $ 226.03 .O2 SATURATION $ 47.50 .PROTOZOA $ 108.15 .PTT FRACTION $ 460.35 .RSV AG DFA $ 66.95 .RSV AG EIA $ 66.95 .SENSITIVITY $ 82.00 .SENSITIVITY ONE DRUG $ 149.25 .SUGARS MULTI QUALITITIVE $ 166.86 .TETANUS ANTIBODIES $ 199.82 .THIN PREP IN FLUID $ 90.44 .TISSUE CULTURE $ 463.00 .UA DIPSTICK CHARGE ONLY $ 50.98 .URINALYSIS COMPLETE $ 55.00 .URINE COLLECTION TIMED VOLUME $ 22.20 CHARGE DESCRIPTION CHARGE AMOUNT .WEST NILE AB $ 94.76 .WEST NILE AB IgM $ 94.76 0.45% SOD CHL W/ 20MEQ KCL 1000ML $ 7.37 0.9% SODIUM CHLORIDE AVIVA 500ML $ 45.27 0296 DUAL COIL 64CM RELIANCE $ 11,058.00 1 D10 LRG DXTEND MBLOCK HUM $ 5,988.50 1 D10 STD DXTEND MBLOCK HUM $ 5,988.50 1 PROFUNDUS TENDON REPAIR $ 1,835.68 1 REPR/SUTR LEG EXTENSOR TENDON $ 899.25 1' REPR/SUTR LEG FLEXOR TENDON $ 881.00 1.0MM DRILL BIT MINI-QUICK CON $ 126.36 1.2 X 5 GUDIE PIN SCREW $ 452.00 1.25MM X 145CM MICROCROWN $ 6,790.00 1.3MM DRIVER BIT $ 144.40 1.4 WIRE WRIGHT MEDICAL $ 80.00 1.5 LG 300MM GLENO GUIDE PIN $ 238.44 1.5MM DRILL BIT $ 630.00 1.5MM DRILL BIT MINI-QUICK CON $ 126.36 1.5MM DRIVER BIT $ 129.96 1.5MM LOCK PLATE STRAIGHT $ 1,330.00 1.5MM LOCK PLATE T-SHAPE $ 1,330.00 1.5MM LOCK PLATE T-SHAPE SMALL $ 1,190.00 1.6 WIRE WRIGHT MEDICAL $ 80.00 1.6MM TIP K WIRE (DEPUY) $ 100.72 1.6MM KIRSCHNER WIRE TROCAR POINT 150MM $ 72.72 1.6MM X 6IN K-WIRE HALF BAY PT $ 92.40 1.8MM DRILL BIT WITH DEPTH MARK/QC/110MM $ 597.00 1.8MM KIRSCHNER WIRE W/ TROCAR POINT 150 $ 336.60 10 X 79/83 TIBIAL BEARING $ 2,537.50 10% D - WATER IV SOLN 500 ML $ 67.90 10CM ELECTRODES $ 270.00 10CM10MM EXPOSED TIP GAUGE CURVED NEEDLE $ 72.00 10MM/130 DEG TI CANN TFNA 340 MM LEFT $ 5,857.50 10X 63/67 TIBIAL BEARING $ 2,537.50 10X71/75 TIBIAL BERARING VANGRD $ 2,537.50 11-DESOXYCORTISOL $ 116.39 11FRX15CM TRI-FLOW DIALYSIS FULL TRAY $ 356.00 11FRX20CM TRI-FLOW DIALYSIS FULL TRAY $ 356.00 12 LEAD EKG; GLOBAL $ 41.05 12 LEAD EKG; INT REP $ 21.15 12 LEAD EKG; TRACING ONLY $ 19.88 12.7 X 85 VHS LAG SCREW W/ COMP SCREW $ 1,188.00 12/14 ARTICUL 40MM M SPC +1.5 $ 2,500.00 12/14 ARTICUL 40MM M SPEC +12 $ 2,500.00 12MM PC STEM GLOBAL ADVANTAGE $ 5,791.06 12X71/75 TIBIAL BEARING VANGRD $ 3,416.00 CHARGE DESCRIPTION CHARGE AMOUNT 13 X 145 ECHO FEMORAL $ 6,192.50 14 FR 30CM INTRODUCER $ 204.00 14FRX15CM SLXTEMP DIALYSIS FULL TRAY $ 860.00 14FRX20CM SLXTEMP DIALYSIS FULL TRAY $ 688.00 14MM 2.0 CORTEX SCREW TAPPING $ 144.40 14MM x 130mm HUMERAL STEM $ 11,606.40 15.5F X 32CM T-3 CT MAX BARRIER LUMEN $ 876.00 150 CM GUIDEWIRE $ 53.40 15CM ELECTRODES $ 270.00 15CM EXPOSED TIP 20 GAUGE CURVED NEEDLE $ 72.00 15MM ARTICULAR COMP TOE2 2.5MM $ 5,272.00 17-OH PREGNENOLONE $ 162.74 17-OH PROGESTERONE $ 208.06 19.0 TORIC LENS SN6AT4 $ 1,732.50 1999/46 LV LEAD $ 2,012.50 2 REPR TORN COLLAT ANKLE LIGAM $ 1,605.93 2 SUTURE ABD WALL FOR EVISCERATION $ 2,059.78 2,4MM LOCK SCREW SLF-TPNG W STARDRIVE 10 $ 536.20 2. 5MM METAGLENE GUIDE PIN $ 238.44 2.0 DRILL(SMART TOE) $ 1,064.00 2.0/2.5MM DRIVER BIT $ 144.40 2.0DRILL BIT $ 659.68 2.0MM LCP PLATE 6 HOLES / 45MM $ 1,007.00 2.0MM LCP T-PLATE 2 HOLES HEAD/HOLES $ 1,782.20 2.0MM LCP Y-PLATE 3 HOLES HEAD / 7 HOLES $ 1,782.20 2.0MM X 100MM DRILL BIT $ 350.60 2.0mm x5" QUICK RELEASE DRILL $ 432.00 2.4 MM LOCKING SCREW SLF-TPNG STAR 16MM $ 468.00 2.4MM / 1.8MM DOUBLE DRILL SLEEVE $ 1,604.00 2.4MM CORTEX SCREW SLF-TPNG T8 STAR 10MM $ 223.20 2.4MM CORTEX SCREW SLF-TPNG T8 STAR 12MM $ 225.00 2.4MM CORTEX SCREW SLF-TPNG T8 STAR 14MM $ 225.00 2.4MM CORTEX SCREW SLF-TPNG T8 STAR 16MM $ 225.00 2.4MM CORTEX SCREW SLF-TPNG T8 STAR 18MM $ 225.00 2.4MM CORTEX SCREW SLF-TPNG T9 STAR 20MM $ 250.28 2.4MM DRILL BIT/QC/100MM $ 720.00 2.4MM LOCKING SCRE SLF-TPNG STAR 22MM $ 468.00 2.4MM LOCKING SCRE SLF-TPNG STAR 24MM $ 471.60 2.4MM LOCKING SCREW SLF-TPNG STAR 18MM $ 468.00 2.4MM LOCKING SCREW SLF-TPNG STAR 20MM $ 536.20 2.4MM LOCKING SCREW SLF-TPNG W STAR 14MM $ 468.00 2.4MM LOCKING SCREW SLF-TPNG W STARD 12M $ 468.00 2.4MM LOCKING SCREW SLF-TPNG W/ STARDRIV $ 520.60 2.4MM TI VA-LCP 2-CLM VLR DST RADIUS PL $ 3,389.40 2.5 LG 120MM DRILL BIT $ 289.44 2.5 MM DRILL BIT ZIMMER $ 1,200.00 CHARGE DESCRIPTION CHARGE AMOUNT 2.5 SET IMPELLA $ 50,000.00 2.5MM BREAKAWAY GUIDE PIN APG $ 772.00 2.5MM DRILL BIT $ 370.40 2.5MM DRILL BIT MINI-QUICK CON $ 126.36 2.5MM LOCK PLATE STRAIGHT $ 1,584.00 2.5MM LOCK PLATE T-SHAPE $ 1,584.00 2.5MM LOCK PLATE Y-SHAPE $ 1,584.00 2.5MM PIN ZIMMER $ 672.00 2.5MM X 200MM DRILL TIP GUIDE WIRE $ 259.48 2.7MM / 2.0MM DOUBLE DRILL SLEEVE $ 1,314.80 2.7MM CALIB DRILL BIT $ 402.88 2.7MM CORTEX SCREW SLF-TPNG T8 STAR 12MM $ 151.20 2.7MM CORTEX SCREW SLF-TPNG T8 STAR 14MM $ 153.00 2.7MM CORTEX SCREW SLF-TPNG T8 STAR 16MM $ 170.20 2.7MM CORTEX SCREW SLF-TPNG T8 STAR 18MM $ 170.20 2.7MM CORTEX SCREW SLF-TPNG T8 STAR 20MM $ 170.20 2.7MM CORTEX SCREW SLF-TPNG T8 STAR 22MM $ 151.20 2.7MM CORTEX SCREW SLF-TPNG T8 STAR 26MM $ 151.20 2.7MM CORTICAL SCREW FT 10MM $ 161.12 2.7MM CORTICAL SCREW FT 14MM $ 153.08 2.7MM CORTICAL SCREW FT 46MM $ 153.08 2.7MM CORTICAL SCREW FT 50MM $ 153.08 2.7MM LCP L-PLATE OBLIQUE LEFT 2H HEAD $ 1,618.80 2.7MM LCP L-PLATE OBLIQUE RIGHT 2H HEAD $ 1,618.80 2.7MM LCP L-PLATE RIGHT 2H HEAD/3H SHAFT $ 1,618.80 2.7MM LCP T- PLATE 2 HOLES HEAD/3 HOLES $ 2,596.83 2.7MM X 14MM CORTICAL SCREW $ 324.00 2.7MM X 26MM $ 643.20 2.8MM X 5" QUICK RELEASE DRILL $ 340.00 2.9 X 70MM CANN DRILL $ 805.76 2-0 30CM STRATAFIX SPIRAL PDS PLUS VIO $ 92.48 20 MINUTE HEART CHECK $ 20.00 20.0 FR/20CM DILATOR COONS TPAER $ 100.80 22.5CM SKIMMER ANGLE TIP BLADE $ 1,702.60 24 HR URINE 17-OH CORTICOSTEROIDS $ 133.00 24 HR URINE CITRATE $ 240.70 24 HR URINE CREATININE CLEARANCE/CREAT $ 130.25 24 HR URINE HYDROXYPROLINE $ 82.40 24 HR URINE OXALATES $ 163.50 24 HR URINE UREA CLEARANCE $ 80.50 28MM DIA COCR MOD HD STD NK $ 3,090.50 2D TTE W OR W/O FOL W/CON FU $ 912.68 2MM PIN $ 518.32 3 PEG STANDARD 34 PATELLA SERIES $ 1,862.00 3 PEG STANDARD PATELLA 21 A SERIES $ 1,862.00 3.2MM DRILL BIT $ 496.80 CHARGE DESCRIPTION CHARGE AMOUNT 3.2MM DRILL BIT $ 496.80 3.2MM X 12" TROCAR TIP GUIDEPIN (ZIMMER) $ 68.88 3.2MM X 145MM Q.C DRILL BIT $ 179.20 3.2MM X 230MM CALIBRATED GUIDE PIN $ 534.80 3.2MM X 30MM DRILL BIT BIOMET $ 348.00 3.5 MM LOW PROFILE CORT 12 MM $ 170.40 3.5 MM LOW PROFILE CORT 14 MM $ 170.40 3.5 MM LOW PROFILE CORT 16 MM $ 170.40 3.5 MM LOW PROFILE CORT 18 MM $ 170.40 3.5 MM LOW PROFILE CORT 32 MM $ 170.40 3.5 MM LOW PROFILE CORT 34 MM $ 170.40 3.5 MM LOW PROFILE CORT 38 MM $ 151.32 3.5 MM LOW PROFILE CORT 48 MM $ 170.40 3.5 MM LOW PROFILE CORT 50 MM $ 170.40 3.5 MM LOW PROFILE CORT 60 MM $ 170.40 3.5 MM LOW PROFILE CORT 65 MM $ 151.32 3.5 MM x 12MM CORTICAL SCREW $ 264.00 3.5 MM X 16MM LOCKING SCREW $ 404.00 3.5 X 70MM DRILL TWIST SCP $ 402.88 3.5ML CORTICAL SCREW SMALL HEX 18MM $ 81.20 3.5MM CORT LOCK SCREW 10MM $ 323.80 3.5MM CORT LOCK SCREW 12MM $ 323.80 3.5MM CORT LOCK SCREW 14MM $ 323.80 3.5MM CORT LOCK SCREW 16MM $ 323.80 3.5MM CORT LOCK SCREW 18MM $ 323.80 3.5MM CORT LOCK SCREW 20MM $ 323.80 3.5MM CORT LOCK SCREW 22MM $ 323.80 3.5MM CORT LOCK SCREW 24MM $ 323.80 3.5MM CORT LOCK SCREW 26MM $ 323.80 3.5MM CORT LOCK SCREW 28MM $ 323.80 3.5MM CORT LOCK SCREW 30MM $ 323.80 3.5MM CORT LOCK SCREW 32MM $ 323.80 3.5MM CORT LOCK SCREW 34MM $ 323.80 3.5MM CORT LOCK SCREW 36MM $ 323.80 3.5MM CORT LOCK SCREW 38MM $ 323.80 3.5MM CORT LOCK SCREW 42MM $ 323.80 3.5MM CORT LOCK SCREW 44MM $ 323.80 3.5MM CORT LOCK SCREW 46MM $ 323.80 3.5MM CORT LOCK SCREW 50MM $ 323.80 3.5MM CORT LOCK SCREW 54MM $ 323.80 3.5MM CORT LOCK SCREW 56MM $ 323.80 3.5MM CORT LOCK SCREW 60MM $ 323.80 3.5MM CORT LOCK SCREW 65MM $ 323.80 3.5MM CORT LOCK SCREW 70MM $ 323.80 3.5MM HEX BUTTON TIV SINGLE $ 274.40 3.5MM ULS ONE THIRD TUBULAR PLT 7H 94MM $ 534.80 CHARGE DESCRIPTION CHARGE AMOUNT 3.5MM ULS ONETHIRD TUBULAR PLT 10H 133MM $ 574.00 3.5MM X 10.0 LOCKING CORTICAL SCREW $ 404.00 3.5MM X 10.0MM CORTICAL SCREW $ 264.00 3.5MM X 12.0MM LOCKING CORTICAL $ 432.00 3.5MM X 14.0MM CORTICAL SCREW $ 264.00 3.5MM X 14.0MM CORTICAL SCREW $ 432.00 3.5MM X 16.0MM CORTICAL SCREW $ 264.00 3.5MM X 5" QUICK RELEASE DRILL $ 432.00 3.5MM X70MM CORT TAP $ 838.24 3.8MM CANNULATED DRILL $ 1,299.60 3.8MM DRILL BIT $ 536.40 3-0 15CM STRATAFIX SPIRAL PDS PLUS VIO $ 108.72 30MMX 4.5MM CORTICAL SCREW $ 92.40 32 MM X 4.5MM LOCK SCREW $ 330.36 32MM X 4.5MM CORTICAL SCREW $ 92.40 34MM X 4.5MM LOCK SCREW $ 330.36 36 MM COCR MODULAR HEAD STD $ 3,090.50 36MM 10 DEG S724 EPOLY Y RLC $ 5,510.00 36MM GLENOSPHERE $ 3,143.40 36MM MODULAR HEAD $ 3,090.50 38 X 3MM DXTEND STAND PE CUP $ 3,197.25 38 x 6MM DXTEND STAND PE CUP $ 3,197.25 38MM DXTEND GLENOSPHERE STD $ 3,425.63 38MM X 4.5MM LOCK SCREW $ 330.36 4 HOLE RIGHT LCP MEDICAL DISTAL TIBIO $ 3,773.88 4.0 CANN CANCEL LAG 12MM $ 413.48 4.0 CANN CANCEL LAG 28MM $ 413.48 4.0 CANN CANCEL LAG 32MM $ 413.48 4.0 CANN CANCEL LAG 36MM $ 413.48 4.0 CANN CANCEL LAG 40MM $ 413.48 4.0 CANN CANCEL LAG 42MM $ 413.48 4.0 CANN CANCEL LAG 44MM $ 413.48 4.0 CANN CANCEL LAG 46MM $ 413.48 4.0 CANN CANCEL LAG 48MM $ 413.48 4.0 CANN CANCEL LAG 50MM $ 413.48 4.0 CANN CANCEL LAG 55MM $ 413.48 4.0 CANN CANCEL LAG 60MM $ 413.48 4.0MM CANC LOCK SCREW 10MM $ 323.80 4.0MM CANC LOCK SCREW 12MM $ 323.80 4.0MM CANC LOCK SCREW 14MM $ 323.80 4.0MM CANC LOCK SCREW 16MM $ 323.80 4.0MM CANC LOCK SCREW 18MM $ 323.80 4.0MM CANC LOCK SCREW 22MM $ 323.80 4.0MM CANC LOCK SCREW 24MM $ 323.80 4.0MM CANC LOCK SCREW 26MM $ 323.80 4.0MM CANC LOCK SCREW 28MM $ 323.80 CHARGE DESCRIPTION CHARGE AMOUNT 4.0MM CANC LOCK SCREW 30MM $ 323.80 4.0MM CANC LOCK SCREW 32MM $ 323.80 4.0MM CANN SCR/LG THRD/20MM $ 588.00 4.0MM CANN SCR/LONG THRD/24MM $ 874.36 4.0MM CANN SCR/LONG THRD/30MM $ 786.00 4.0MM CANN SCR/LONG THRD/34MM $ 848.88 4.0MM CANN SCR/LONG THRD/38MM $ 900.60 4.0MM CANN SCR/LONG THRD/40MM $ 786.00 4.0MM CANN SCR/LONG THRD/44MM $ 847.40 4.0MM CANN SCR/LONG THRD/48MM $ 672.00 4.0MM CANN SCR/SHRT THRD/24MM $ 637.00 4.0MM CANN SCR/SHRT THRD/30MM $ 860.40 4.0MM CANN SCR/SHRT THRD/34MM $ 655.03 4.0MM CANN SCR/SHRT THRD/38MM $ 860.40 4.0MM CANN SCR/SHRT THRD/40MM $ 741.48 4.0MM CANN SCR/SHRT THRD/44MM $ 900.60 4.0MM CANN SCR/SHRT THRD/50MM $ 900.60 4.0MM CANN SCR5/LONG THRD/36MM $ 900.60 4.0MM CANN SCRE/LONG THRD/50MM $ 874.36 4.0MM CANN SCW/SHRT THRD/36MM $ 741.48 4.0MM CANN TIP $ 1,072.16 4.5 MM CORITCAL SCREW SELF TAP LARGE HEX $ 72.80 4.5 X 18MM DXTEND NO LOCK SCREW $ 304.52 4.5 X 24MM DXTEND LOCK SCREW $ 507.52 4.5 X 36MM DXTEND LOCK SCREW $ 507.52 4.5 X 42MM DXTEND LOCK SCREW $ 507.52 4.5 x36 INVERSE/REVERSE SCREW $ 379.16 4.5MM CORITICAL TAP $ 1,490.40 4.5MM CORTICAL SCREW LG HEX 44MM $ 72.80 4.5MM CORTICAL SCREW, LARGE HEXX 42MM $ 72.80 4.5MM DRILL BIT $ 421.20 4.5MM NCB DRILL OVERSZD HOLE FOR 5.0 NC $ 700.80 4.5MM NON-LOCK TAP $ 964.96 4.5MM X 38MM CORTICAL SCREW HEX $ 72.80 4.5MM X 40MM CORTICAL SCREW HEX $ 72.80 407652 LEAD NOVUS CAPSUREFIX $ 1,520.00 407658 LEAD NOVUS CAPSUREFIX $ 1,520.00 4092-52 LEAD CAPSURE $ 1,755.00 40MM EPOLY SZ25 $ 5,510.00 40MM SCREW $ 340.88 40MM X 4,5MM LOCK SCREW $ 330.36 40MM X 4,5MM LOCK SCREW $ 330.36 44 CRONSSLINK ANCHOR PG GLENOID $ 4,026.00 4592-45 LEAD CAPSURE $ 1,755.00 4592-53 LEAD NOVUS CAPSURE $ 1,520.00 45CM DEXTRUS IS-1 BI POSITIVE FIX RA/RV $ 2,037.00 CHARGE DESCRIPTION CHARGE AMOUNT 45MM X 4.5MM LOCK SCREW $ 330.36 48 HOLTER MONITOR SCANNING $ 430.36 5 FR MULTI PURPOSE GUIDE CATHETER $ 168.60 5 FR SAPIEN PICC TRIPLE TRAY $ 1,072.80 5% D - 0.45% SALINE IV SOLN 1000 ML $ 73.55 5% D - 0.45% SALINE KCI 20 MEQ IV SOLN $ 7.36 5% D - LACTATED RINGERS IV SOLN 1000 ML $ 73.57 5% D - LACTATED RINGERS IV SOLN 500 ML $ 67.90 5% D - WATER AVIVA IV SOLN 250 ML $ 61.50 5% D - WATER IV SOLN 100 ML $ 61.49 5% D - WATER IV SOLN 1000 ML $ 73.52 5% D - WATER IV SOLN 250 ML $ 61.50 5% D - WATER IV SOLN 50 ML $ 61.49 5% D - WATER IV SOLN 500 ML $ 67.87 5% D-0.9% SALINE IV SOLN 1000 ML $ 36.77 5.0MM X 38MM SLF-TAP LOCK SCREW $ 596.60 5.0MM X 42MM LOCK SCREW SLF- TAP $ 596.60 5.0MM X 75MM CANN. LOCK SCREW $ 817.00 5.0MM X 80MM CANN. LOCK SCREW $ 817.00 5.0MMX 70MM CANN. LOCK SCREW $ 817.00 5092-58 LEAD BIP SILICONE VENT $ 1,520.00 53CM DEXTRUS IS-1 BI POSITIVE FIX RA/RV $ 2,037.00 56MM HEMI SHEL RNGLC SOLID $ 2,575.00 58 CM LEAD 694758 SPRINT US $ 9,400.00 5867-3M STERILE CAP $ 100.00 5873W WRENCH KIT $ 180.00 5-FU INJ 500 MG $ 5.68 5-HIAA $ 109.29 5TH FL OBS HR CDU MONITORED COMM $ 73.15 5TH FL OBS MONITORED MCD $ 1,755.60 5TH FL OBS SAME DAY MONITORED MCD $ 1,750.00 5TH FLOOR OBS ICU MCD $ 1,797.73 5TH FLOOR OBS SAME DAY ICU MCD $ 1,760.62 6.5 X 20MM LOW PROFILE SCREW $ 688.00 6.5 X 40 SLF-TAP BONE SCREW ZIMMER $ 440.00 6-0 PROLENE BLUE 4 X 30 BV - 1 DOUBLE AR $ 154.80 60 RT FEMORAL VANGUARD CR ILOK $ 5,820.00 6056 PINCH AND FIX GLBL TOOL $ 100.00 60MM LENGTH CANNULATED 4.5MM LAG SCREW $ 470.04 62.5 FEMORAL RT VAN PS OPEN $ 5,820.00 65 LT FEMORAL CR ILOK $ 5,820.00 65MM X 5.5MM POLY LOCK SCREW $ 398.56 66 RT FEMORAL CR ILOK $ 5,820.00 6947M55 LEAD $ 6,000.00 6F CONVEY RBL 3.5 GUIDE CATH $ 188.12 6H PLATE VHS VARIABLE ANGLE $ 1,732.50 CHARGE DESCRIPTION CHARGE AMOUNT 6MM GLENOID CANN DRILL $ 1,680.00 6MM X36mm POLY LINE $ 2,659.80 6TH CDU DIRECT OBS NON-MONITORED $ 1,201.73 6TH CDU OBS/DAY NON-MONITORED MCD $ 1,701.18 6TH CDU OBS/HR NON MONITORED $ 67.34 6TH CDU OBS/HR NON-MONITORED COM/SEL $ 70.88 6TH CDU SAME DAY - NON-MONITORED MCD $ 1,152.91 7.0MM CANNULATED SCREW 16MM THD 100MM $ 786.80 7.0MM CANNULATED SCREW 16MM THD 105MM $ 786.80 7.0MM CANNULATED SCREW 16MM THD 110MM $ 786.80 7.0MM CANNULATED SCREW 16MM THD 85MM $ 786.80 7.0MM CANNULATED SCREW 16MM THD 90MM $ 786.80 7.0MM CANNULATED SCREW 16MM THD 95MM $ 786.80 7.0MM CANNULATED SCREW 32MM THD 85MM $ 786.80 7.0MM CANNULATED SCREWW32MM THD 95MM $ 786.80 7.0MM X 8.5MM X 16MM THREAD (ZIMMER) $ 786.80 7.0MM X 80MM X16MM THREAD (ZIMMER) $ 786.80 7.3MM X 75MM CANN. LOCK SCREW $ 1,208.40 70,MM X 8.0MM CANN LOCK SCREW $ 660.24 70MM X 5.5MM FT POLY LOCK SCREW $ 398.56 71MM CC I BEAM TRAY $ 3,012.50 75MM CC I BEAM TRAY $ 3,012.50 79MM CC IBEAM TRAY $ 3,012.50 8 HOLE STR LEFT CLAVICLE PLATE $ 2,547.50 9 HOLE FEMORAL PLATE RIGHT $ 2,506.23 9 X 30MM BC IF SCREW VENTED $ 1,688.00 9.5MM X 18MM TAPER POST MTP $ 1,585.50 9MM DXTENT HUMERAL SPACER $ 2,537.50 9X30MM BC IF SCREW VENTED $ 1,688.00 A AND D OINT 60 GM $ 9.04 A1C $ 73.35 A1C ARIEL HEALTH $ 5.25 AB ID EACH SELECTED REAGENT CELL $ 365.28 ABD AORTOGRAM W BILATERAL RUNOFF $ 232.95 ABD PARACENTESIS W/IMAGING $ 1,618.00 ABD PARACENTESIS W/IMAGING $ 274.68 ABDOMEN-ACUTE SERIES $ 475.07 ABDOMEN-FLAT $ 290.02 ABDOMEN-FLAT & UPRIGHT $ 366.30 ABDOMEN-KUB DONE PORTABLE $ 290.02 ABDOMINAL AORTAGRAM S & I $ 8,655.97 ABDOMINAL AORTOGRAM $ 329.93 ABILIFY 2MG TABLETS $ 5.37 ABILIFY TAB 15 MG $ 90.20 ABILIFY TAB 5 MG $ 5.37 ABLATE INF TURBINATE SUPERF $ 325.80 CHARGE DESCRIPTION CHARGE AMOUNT ABLATE INF TURBINATE SUPERF $ 425.92 ABRAXANE INJ 100 MG $ 30.83 AC JOINTS ACROMIAL-CLAVICULAR $ 587.80 ACAPELLA DH GREEN $ 148.12 ACCESS 6082-45 STYLET KIT 45CM $ 160.00 ACCESS STYLET KIT 52CM $ 160.00 ACCESSORY DRILL KIT $ 1,200.00 ACCLARENT AERA WITH VENT CAP EUT TUBE $ 4,190.85 ACCUPRIL TAB 10 MG $ 3.75 ACETABULAR LLINER +4 19 DEGREE $ 5,529.75 ACETABULAR SHELL SECTOR 60MM $ 5,905.13 ACETADOTE 20% INJ 30 ML $ 15.75 ACETIC ACID 0.25% IRRIGATION SOLN 1000ML $ 73.55 ACETONE QUANTITATIVE $ 164.00 ACID PHOSPHATASE $ 47.38 ACIST CONTRAST RESERVOIR $ 85.60 ACIST HAND CONTROLLER $ 83.20 ACIST ISOLATION MANIFOLD $ 65.20 ACL GUIDEWIRE 1.5 $ 108.24 ACL PIN 2.7 $ 325.24 ACL PLUG BONE TUNNEL $ 69.16 ACL RETRIEVER SUTURE 013593 $ 110.08 ACL TIGHTROPE RT $ 1,750.00 ACL WIRE GUIDE DRILL TIP 2.4 014396 $ 182.28 ACNE CRYOTHERAPY $ 41.76 ACNE CRYOTHERAPY $ 63.52 ACNE CRYOTHERAPY $ 105.27 ACNE SURGERY MILIA CYSTS $ 75.39 ACNE SURGERY MILIA CYSTS $ 229.39 ACNE SURGERY MILIA CYSTS $ 304.77 ACNE TONER $ 32.00 ACNE TREATMENT LOTION $ 51.00 ACOUSTIC IMMITTANCE TESTING $ 206.00 ACOUSTIC REFLEX TESTING $ 53.00 ACROMIOPL/ACROMIONECT PARTIAL $ 1,518.03 ACT ARTIC E1 HIP BRG 28 X 40MM $ 5,670.00 ACTEMRA INJ 20 MG/ML (TOCILIZUMAB) $ 12.64 ACTEMRA INJ 20 MG/ML (TOCILIZUMAB) $ 17.55 ACTH $ 223.56 ACTIVASE CATHFLO INJ 2 MG $ 349.39 ACTIVASE INJ 100 MG $ 198.06 ACTIVASE INJ 100 MG $ 198.06 ACTIVASE INJ 50MG $ 198.11 ACTIVASE INJ 50MG $ 198.11 ACTIVATED CLOTTING TIME $ 59.00 ACTIVE FMS W/ INTREPID ULTRA SLEEVES $ 348.00 CHARGE DESCRIPTION CHARGE AMOUNT ACTIVE TIP CURVE UP 22G X 50MM $ 58.00 ACTONEL TAB 35 MG $ 252.47 ACTOS TAB 15 MG $ 1.40 ACUITY X4 SPIRAL S LVA QUAD ELECTRODE IS $ 5,637.50 ACUTE HEPATIC PANEL $ 81.40 ACYLCARNITINE $ 175.10 ADACEL INJ 0.5 ML $ 97.01 ADAPT SPEECH GEN DEVICE $ 145.00 ADAPTER - FEMORAL HEAD +8MM UNIPOLAR $ 640.00 ADAPTER - FEMORAL HEAD .0MM UNIPOLAR $ 640.00 ADAPTER - FEMORAL HEAD 4MM UNIPOLAR $ 640.00 ADAPTER FEMORAL HEAD UNIPOLAR $ 640.00 ADAPTER TAPER 0MM NECK TYPE 1 TPR SLV $ 1,092.00 ADAPTER TAPER 6MM NECK $ 1,092.00 ADAPTER TAPER ENDO II $ 524.00 ADAPTER TAPER ENDO II INSERT - 6 $ 524.00 ADAPTER TAPER ENDO II INSERT +3 $ 524.00 ADAPTER TAPER ENDO II INSERT -3 $ 524.00 ADAPTER Y GATEWAY PLUS $ 90.80 ADAPTOR 45 DEG AS B/F $ 3,000.00 ADAPTOR 48 DEG AS B/F $ 3,000.00 ADAPTOR WIRELESS CELL USB $ 1,575.00 ADDED SKIN LESIONS INJECTION MORE THAN 7 $ 63.28 ADDED SKIN LESIONS INJECTION MORE THAN 7 $ 229.39 ADDED SKIN LESIONS INJECTION MORE THAN 7 $ 292.67 ADD'L 2ND/3RD ORDER CATH PLACEMENT $ 607.00 ADDRL1 ADAPTA DR $ 7,000.00 ADDRO ADAPTA DR $ 7,000.00 ADDRS1 ADAPTA DR $ 7,000.00 ADENOCARD INJ 6 MG $ 9.88 ADENOID CURRETE SIZE 4 $ 96.08 ADENOIDECTOMY 2; AGE 12 OR OVER $ 593.40 ADENOIDECTOMY; AGE 12 OR OVER $ 549.05 ADENOSCAN INJECTION DIAGNOSTIC $ 6.83 ADENOVIRUS AB QUANTITATIVE $ 50.47 ADH (VASOPRESSIN) $ 117.42 ADL ACTIVITIES-HOME TRNG CA-EA 15 MIN $ 130.46 ADL ACTIVITIES-HOME TRNG CA-EA 15 MIN $ 130.46 ADMIN FLU VIRUS VACCINE $ 52.77 ADMIN FLU VIRUS VACCINE $ 55.55 ADMIN FLU VIRUS VACCINE $ 55.55 ADMIN FLU VIRUS VACCINE $ 52.77 ADMIN FLU VIRUS VACCINE $ 52.77 ADMIN FLU VIRUS VACCINE $ 52.77 ADMIN FLU VIRUS VACCINE $ 52.77 ADMIN FLU VIRUS VACCINE $ 5.00 CHARGE DESCRIPTION CHARGE AMOUNT ADMIN FLU VIRUS VACCINE $ 55.55 ADMIN HEPATITIS B VACCINE $ 32.14 ADMIN PNEUMONIA VACCINE $ 55.55 ADMIN PNEUMONIA VACCINE $ 55.55 ADMIN PNEUMONIA VACCINE $ 55.55 ADMIN PNEUMONIA VACCINE $ 52.77 ADMIN PNEUMONIA VACCINE $ 55.55 ADMIN PNEUMONIA VACCINE $ 55.55 ADMIN PNEUMONIA VACCINE $ 15.00 ADMINISTRATION OF IMMUNIZATION $ 149.18 ADMINISTRATION OF IMMUNIZATION $ 149.18 ADMINISTRATION OF VACCINE $ 149.18 ADRIAMYCIN INJ 10 MG $ 14.74 ADULT PASSIVE CIRCUIT HEATED WIRE $ 156.00 ADV POST TIBIAL TENDON W EXC NAVICLR BON $ 1,203.00 ADVANIX PANCREATIC STENT $ 300.00 ADVANTIO DR IS-1 $ 9,797.00 ADVANTIO SR IS-1 $ 8,600.00 ADVIL TAB 200 MG $ 1.20 ADVNCD CARE PLAN 30 MIN $ 193.70 ADVNCD CARE PLAN 30 MIN $ 91.34 ADVNCD CARE PLAN 30 MIN $ 102.36 ADVNCD CARE PLAN 30 MIN $ 193.70 ADVNCD CARE PLAN 30 MIN $ 193.70 ADVNCD CARE PLAN ADDL 30 MIN $ 147.74 ADVNCD CARE PLAN ADDL 30 MIN $ 73.79 AEROBIKA OPEP - OSCILLATING POSITIVE $ 182.28 AEROECLIPSE II OMBRA TABLETOP COMPRESSOR $ 359.96 AERONEB SOLO $ 162.60 AFB CULTURE $ 135.87 AFRIN NASAL SPRAY 0.05% 15 ML $ 5.89 AFTER HOURS DRUG TESTING $ 40.00 AFTER HOURS OHC $ 40.00 AFTER HOURS TESTING $ 40.00 AFX BIFURICATED MAIN BODY $ 28,998.00 AFX INTRODUCER SYSTEM $ 1,746.50 AG SCREEN WITH PT SERUM PER UNIT $ 257.50 AIRE PLUS W/NEBULIZER WITH TEE ADAPT 7FT $ 209.28 AIRWAY INHALATION TREATMENT $ 22.79 AIRWAY INHALATION TREATMENT $ 210.70 AIRWAY INHALATION TREATMENT $ 233.49 AIRWAY LMA-IGEL SIZE 3 $ 53.32 AIRWAY LMA-IGEL SIZE 4 $ 53.32 AIRWAY LMA-IGEL SIZE 5 $ 53.32 AKSM - LITHOTRIPSY TREATMENT $ 4,519.02 ALBUMIN $ 38.10 CHARGE DESCRIPTION CHARGE AMOUNT ALBUMIN 25 % INJ (AlbuRX) 50 ML $ 415.00 ALBUMIN INJ 25%100 ML $ 411.32 ALBUTEROL HFA 1 DOSE $ 6.00 ALBUTEROL SULFATE SOLN 5MG/ML 1 DOSE $ 5.00 ALDACTAZIDE TAB $ 4.69 ALDACTONE TAB 25 MG $ 1.50 ALDOLASE $ 76.36 ALDOSTERONE $ 238.45 ALGRFT PUTTY DBM 5CC $ 3,067.50 ALGRFT PUTTY DBM 6CC $ 3,067.50 ALIMTA INJ 100MG $ 157.43 ALIMTA INJ 100MG $ 155.76 A-LINE PLACEMENT $ 405.00 ALKALINE ASSAY PHOSPHATOSE $ 37.00 ALKALINE PHOS ISO $ 93.73 ALKALINE PHOSPHATASE $ 37.00 ALKALOIDS NOS $ 111.24 ALLERGEN SPECIFIC IgE SCREEN $ 66.95 ALLERGEN SPECIFIC IgG $ 41.20 ALLODERM - PER SQ CM $ 20,836.00 ALLOGRAFT - SEMI T $ 3,071.25 ALLOGRAFT - ST TIS 20+ CM ANT TIB TNDN $ 3,792.50 ALLOGRAFT 15MM CHONDROFIX $ 7,760.00 ALLOGRAFT 2X3 MESH $ 2,875.00 ALLOGRAFT 3X3.5 MESH $ 3,062.50 ALLOGRAFT 4X4.5 MESH $ 3,375.00 ALLOGRAFT CELLENTRA ADV 10CC $ 6,578.00 ALLOGRAFT CELLENTRA ADV 5CC $ 5,560.00 ALLOGRAFT SKIN MESHED 25-49SQ $ 644.00 ALLOGRAFT STRUT FEMORAL 200MM - FROZEN $ 3,482.50 ALLOMATRIX BONE PUTTY 10CC $ 3,262.50 ALLOMATRIX BONE PUTTY 5CC $ 3,062.50 ALLOWGRAFT DERMAL MATRIX 9 X 15CM $ 7,760.00 ALPHA 1 ACID GLYCOPROTEIN $ 196.73 ALPHA 1 ANTITRYPSIN $ 108.21 ALPHA 1 ANTITRYPSIN PHENOTYPE $ 117.42 ALPHA 2 ANTIPLASMIN $ 108.15 ALPHA FETOPROTEIN, SERUM $ 110.21 ALPHAGAN-P OPHTH SOL 0.1% 5 ML $ 475.68 ALPHAGAN-P OPHTH SOLN 0.15% 5 ML $ 503.74 ALPHAGAN-P OPHTH Soln 0.2% 5 ML $ 45.10 ALT ALANINE AMINO SGPT $ 43.00 ALTACE CAP 2.5 MG $ 1.53 ALTACE CAP 5 MG $ 1.53 ALTRUA 40 DDDR IS $ 8,590.00 ALTRUA 40 DDDR IS-1 $ 9,090.00 CHARGE DESCRIPTION CHARGE AMOUNT ALTRUA 40 SSIR IS-1 $ 7,500.00 ALTRX +4 10D 32IDX480D $ 3,325.00 ALTRX +4 10D 32IDX500D $ 3,325.00 ALTRX +4 10D 36 IDX 52 OD $ 3,325.00 ALTRX +4 10D 36IDX 54OD $ 3,325.00 ALTRX +4 10d 401d X 56od $ 2,750.00 ALTRX +4 10D 40ID X 62OD $ 2,750.00 ALTRX +4 10D 40ID X 64OD $ 2,750.00 ALTRX +4 10D 44ID X 62OD $ 3,570.00 ALUMI-HAND LARGE $ 121.00 ALUMINUM LEVEL $ 142.14 ALYS SMPL SP/PN NPGT W PRGRM $ 82.44 AMARYL TAB 2 MG $ 1.43 AMBIEN TAB 5 MG $ 6.35 AMERICAINE SPRAY 20% 60 GM $ 15.00 AMIDATE INJ 40 MG $ 137.89 AMIKACIN $ 141.11 AMINO ACID QUANT SINGLE $ 257.78 AMINO ACIDS QUANT $ 568.56 AMINOPHYLLINE INJ 250 MG $ 25.75 AMITIZA CAP 24 MCG $ 19.56 AMITIZA CAP 8 MCG $ 19.56 AMMONIA $ 125.00 AMMONIA INHALER $ 2.29 AMOXICILLIN CAP 500 MG $ 1.52 AMOXICILLIN SUSP 50 MG/ML 100 ML $ 12.16 AMOXICILLIN SUSP 80 MG/ML 50ML $ 10.66 AMPICILLIN 2G INJ $ 12.68 AMPICILLIN INJ 1 GM $ 18.42 AMPICILLIN INJ 250 MG $ 24.84 AMPUTATE FING/TH SGL; W DIR CLOSE $ 1,579.28 AMPUTATE FING/TH SGL; W LOC ADV FLAP $ 1,564.65 AMPUTATE FOOT; MIDTARSAL $ 1,349.45 AMPUTATE FOOT; TRANSMETATARSAL $ 1,841.83 AMPUTATE METATARSAL W TOE SINGLE $ 1,080.70 AMPUTATE THIGH-FEMUR ANY LEVEL $ 1,616.76 AMPUTATE TOE; IP JOINT $ 926.00 AMPUTATE TOE; MTP JOINT $ 987.78 AMPUTATELEG THRU TIBIA AND FIBULA $ 2,324.48 AMYLASE $ 80.85 ANA SCREEN $ 139.80 ANABOLIC STEROID 1 OR 2 $ 157.59 ANALGESICS NON-OPIOID 1 OR 2 $ 150.32 ANALYZE NEUROSTIM COMPLEX $ 288.15 ANALYZE NEUROSTIM COMPLEX $ 104.83 ANALYZE NEUROSTIM NO PROG $ 261.03 CHARGE DESCRIPTION CHARGE AMOUNT ANALYZE NEUROSTIM SIMPLE $ 288.15 ANATOMIC FIB LOCK LEFT 6H $ 2,236.57 ANCHOR - 4.75 DBL LOAD SWIVELOCK $ 1,668.00 ANCHOR - SUTURE 2.9 X 12.5MM $ 1,600.00 ANCHOR 48 CRONSSLINK PG GLENOID $ 3,375.00 ANCHOR KIT SOFT SHORT RIGID SZ 1 $ 1,439.92 ANCHOR LINK QUATTRO 2.9MM $ 1,200.00 ANCHOR LINK QUATTRO 4.5MM $ 1,320.00 ANCHOR LINK QUATTRO 4.5MM SP $ 1,348.00 ANCHOR LINK QUATTRO 5.5MM $ 1,320.00 ANCHOR SUT DBL LOAD BROADBAND 4.5MM $ 1,392.40 ANCHOR SUT DBL LOAD NON SLIDING 4.5MM $ 1,416.00 ANCHOR SUTURE QUATTRO X 5.5MM $ 1,200.00 ANCHOR SYNDESMOSIS REPAIR IMPLANT SYS SS $ 5,340.00 ANDROSTANE DIOL GLUCURONIDE $ 80.34 ANDROSTENEDIONE $ 283.94 ANECTINE INJ 200 MG $ 9.63 ANES LWR INTST NDSC NOS $ 90.00 ANES LWR INTST SCR COLSC $ 90.00 ANES UPR GI NDSC PX ERCP $ 90.00 ANES UPR GI NDSC PX NOS $ 90.00 ANES UPR LWR GI NDSC PX $ 90.00 ANES/ANALG CS DELIVER ADD-ON $ 90.00 ANESTH ABDO WALL SURG LOWER ANT NOS $ 90.00 ANESTH ABDO WALL SURG UPPER ANT NOS $ 90.00 ANESTH ABDOMINAL WALL SURG LOWER POST $ 90.00 ANESTH ABDOMINAL WALL SURG UPPER POST $ 90.00 ANESTH ACHILLES TENDON SURG $ 90.00 ANESTH ANKLE/FT ARTHROSCOPY $ 90.00 ANESTH ANORECTAL SURGERY $ 90.00 ANESTH BLADDER SURGERY $ 90.00 ANESTH BLADDER TUMOR SURG $ 90.00 ANESTH BLEPHAROPLASTY $ 90.00 ANESTH BLOOD VESSEL REPAIR $ 90.00 ANESTH BONE ASPIRATE/BX $ 90.00 ANESTH CARDIOVERTER/DEFIB $ 90.00 ANESTH CAT OR MRI SCAN $ 90.00 ANESTH CHEST PROCEDURE $ 90.00 ANESTH CHEST SURGERY $ 90.00 ANESTH CORRECT HEART RHYTHM $ 90.00 ANESTH CS DELIVERY $ 90.00 ANESTH EAR EXAM $ 90.00 ANESTH EAR SURGERY $ 90.00 ANESTH ELBOW AREA SURGERY $ 90.00 ANESTH EXT SPINE CORD SURGERY $ 90.00 ANESTH EYE EXAM $ 90.00 CHARGE DESCRIPTION CHARGE AMOUNT ANESTH FAT LAYER REMOVAL $ 90.00 ANESTH GENITALIA SURGERY $ 90.00 ANESTH HEAD/NECK/PTRUNK $ 90.00 ANESTH HIP ARTHROPLASTY $ 90.00 ANESTH HIP JOINT SURGERY $ 90.00 ANESTH HUMERAL LESION SURG $ 90.00 ANESTH HUMERUS REPAIR $ 90.00 ANESTH HUMERUS SURGERY $ 90.00 ANESTH HYSTERECTOMY $ 90.00 ANESTH HYSTEROSCOPE/GRAPH $ 90.00 ANESTH INC/MISSED AB PROC $ 90.00 ANESTH KIDNEY STONE DESTR WO H2O BATH $ 90.00 ANESTH KNEE AREA SURGERY $ 90.00 ANESTH KNEE AREA SURGERY LOWER $ 90.00 ANESTH KNEE AREA SURGERY UPPER $ 90.00 ANESTH KNEE ARTHROPLASTY $ 90.00 ANESTH KNEE JOINT SURGERY $ 90.00 ANESTH LARYNX/TRACH < 1 YR $ 90.00 ANESTH LENS SURGERY $ 90.00 ANESTH LOWER ARM PROCEDURE $ 90.00 ANESTH LOWER ARM SURGERY $ 90.00 ANESTH LOWER ARM SURGERY NOS $ 90.00 ANESTH LOWER LEG BONE SURG $ 90.00 ANESTH LOWER LEG PROCEDURE $ 90.00 ANESTH LOWER LEG SURGERY NOS $ 90.00 ANESTH LUMBAR SPINE CORD SURGERY $ 90.00 ANESTH LWR ARM ARTERY SURG $ 90.00 ANESTH N BLOCK/INJ PRONE $ 90.00 ANESTH N BLOCK/INJ PRONE $ 146.73 ANESTH NECK ORGAN 1YR/> $ 90.00 ANESTH NECK VESSEL SURG SIMPLE LIGATION $ 90.00 ANESTH NERVE BLOCK/INJ $ 90.00 ANESTH NOSE/SINUS SURGERY NOS $ 90.00 ANESTH PACEMAKER INSERTION $ 90.00 ANESTH PELVIS SURGERY BONY $ 90.00 ANESTH PERC IMG TX SP PROC $ 90.00 ANESTH PROCEDURE ON FEMUR $ 90.00 ANESTH PROCEDURE ON MOUTH $ 90.00 ANESTH PROCEDURES ON EYE $ 90.00 ANESTH RADICAL LEG SURGERY $ 90.00 ANESTH REMOVAL OF PROSTATE RESECTION $ 90.00 ANESTH REMOVAL OF VULVA $ 90.00 ANESTH REPAIR OF CERVIX $ 90.00 ANESTH REPAIR OF HERNIA $ 90.00 ANESTH REPAIR OF HERNIA LOWER NOS $ 360.00 ANESTH REPAIR OF HERNIA UPPER NOS $ 90.00 CHARGE DESCRIPTION CHARGE AMOUNT ANESTH REPAIR OF HERNIA VA $ 90.00 ANESTH SALIVARY GLAND $ 90.00 ANESTH SHOULDER PROCEDURE $ 90.00 ANESTH SHOULDER REPLACEMENT $ 90.00 ANESTH SKIN EXT/PER/ATRUNK $ 90.00 ANESTH STONE REMOVAL $ 90.00 ANESTH SURG LOWER ABDOMEN $ 90.00 ANESTH SURG ON VAG/URETHRAL $ 90.00 ANESTH SURG UPPER ABDOMEN $ 90.00 ANESTH SURGERY OF ABDOMEN $ 90.00 ANESTH SURGERY OF BREAST RADICAL $ 90.00 ANESTH SURGERY OF BREAST RECONSTRUCT $ 90.00 ANESTH SURGERY OF FEMUR $ 90.00 ANESTH SURGERY OF SHOULDER $ 90.00 ANESTH SURGERY OF SHOULDER NOS $ 90.00 ANESTH SURGERY OF SHOULDER NOS $ 90.00 ANESTH TESTIS SUSPENSION $ 90.00 ANESTH TUBAL LIGATION $ 90.00 ANESTH TYMPANOTOMY $ 90.00 ANESTH UPPER ARM SURGERY $ 90.00 ANESTH UPPER LEG SURGERY $ 90.00 ANESTH UPPR ARM PROCEDURE $ 90.00 ANESTH UPPR ARM TENDON SURG OPEN $ 90.00 ANESTH VAGINAL HYSTERECTOMY $ 90.00 ANESTH VAGINAL PROCEDURES $ 90.00 ANESTH VASCULAR ACCESS $ 90.00 ANESTH VASCULAR SHUNT SURG $ 90.00 ANESTH VASECTOMY $ 90.00 ANESTH/ANALG VAG DELIVERY $ 450.00 ANESTHESIA 1ST HR $ 144.84 ANGIO BIL EXT $ 6,935.62 ANGIO SEAL VIP 6FR $ 900.00 ANGIO UNI EXT LT $ 7,157.74 ANGIO UNI EXT RT $ 7,157.74 ANGIOGR EA ADDTL VESSEL $ 205.20 ANGIOGRAM THRU EXISTING CATH FOLLOW UP $ 2,960.12 ANGIOGRAM VESICAL S&I $ 6,208.78 ANGIOGRAPHY EA ADD'L VESSEL $ 1,579.54 ANGIOMAX INJ 250 MG $ 17.59 ANGIOSEAL 6FR STS $ 735.00 ANGIOSEAL 8FR VIP $ 948.00 ANGIOTENSION CONVERTING ENZYME $ 111.45 ANKLE FIX TI PLT LG RT $ 4,250.00 ANKLE LT COMPLETE $ 375.75 ANKLE LT COMPLETE - PORTABLE $ 375.75 ANKLE RT COMPLETE $ 375.75 CHARGE DESCRIPTION CHARGE AMOUNT ANKLE RT COMPLETE - PORTABLE $ 375.75 ANKLE SYNDESMOSIS SYS TI $ 2,442.48 ANNUAL DEPRESSION SCREENING, 15 MINUTES $ 12.32 ANNUAL DEPRESSION SCREENING, 15 MINUTES $ 32.80 ANNUAL DEPRESSION SCREENING, 15 MINUTES $ 45.12 ANOSCOPY W REM MULTI TUMORS H BX $ 192.80 ANOSCOPY; W BX SINGLE/MULTI $ 192.10 ANSEL O FLEXOR $ 277.40 ANTACID/ ANTIGAS TAB (MAG,ALUM, SIMETH) $ 1.07 ANTENNA $ 320.00 ANTEPARTUM CARE ONLY 7 OR GREATER VISITS $ 1,591.00 ANTEPARTUM CARE ONLY; 4-6 VISITS $ 905.60 ANTERIOR COLPORRHAPHY $ 1,468.58 ANTERIOR VESICOURETHROPEXY; SIMPLE $ 1,659.33 ANTI 68 KD PROTEIN $ 654.05 ANTI DNA SINGLE STRAND IgG $ 123.32 ANTI DNASE ANTIBODY $ 120.95 ANTI MUSK $ 1,315.00 ANTI NATIVE DNA AB DOUBLE STRANDED $ 112.25 ANTI PANCREATIC ISLET CELLS $ 156.02 ANTI PHOSPHATIDYLSERINE IgG IgM & IgA $ 79.01 ANTI SCA $ 117.73 ANTI THROMBIN 3 ANTIGENIC $ 166.64 ANTI THROMBIN 3 FUNCTIONAL $ 191.08 ANTIBODY ID, BACTERIUM , NES $ 89.61 ANTIBODY TO HLA CLASS I AND CLASS II $ 268.57 ANTIBODY TO HLA HIGH DEF CLASS I $ 451.44 ANTIBODY TO HLA HIGH DEF CLASS II $ 409.64 ANTIBODY, VIRUS, NOS $ 237.16 ANTICOAG MGMT PT WARFARIN $ 23.62 ANTIDEPRESSANT NOT SPECIFIED $ 30.90 ANTIDEPRESSANT TRICYCLIC 1/2 $ 74.53 ANTIDEPRESSANTS CLASS 1 OR 2 $ 239.48 ANTIEPILEPTICS NOS 1-3 $ 146.26 ANTIPSYCHOTICS NOS 1-3 $ 225.57 ANTIVERT TAB 12.5 MG $ 2.80 ANTIVERT TAB 25 MG $ 1.57 ANUSOL-HC SUPP 25 MG $ 35.62 AORTOGRAPHY ABD + LETR $ 11,777.38 AORTOGRAPHY INJECTION $ 1,359.22 APLIGRAF PER SQ CM $ 58.86 APLY BONE FIX DEVICE GREATER THAN1 PLANE $ 2,799.43 APOLIPOPROTEIN $ 68.62 APP OF SKIN ETC ADDTL 100 SQ CM $ 527.00 APP OF SKIN ETC FIRST 100 SQ CM $ 3,246.63 APP OF SKIN SUB ADDTL 100 SQ CM $ 903.00 CHARGE DESCRIPTION CHARGE AMOUNT APP OF SKIN SUB ADDTL 25 SQ CM $ 373.56 APP OF SKIN SUB ADDTL 25 SQ CM $ 373.56 APP OF SKIN SUB FIRST 100 SQ CM $ 4,065.45 APP OF SKIN SUB FIRST 25 SQ CM $ 4,518.57 APP OF SKIN SUB TO FIRST 25 SQ CM $ 3,360.73 APP TOPICAL FLUORIDE VARNISH $ 144.93 APPENDECTOMY: $ 1,631.98 APPLICATOR SURGICEL ENDOSCOPIC $ 71.60 APPLIER LIGACLIP MULT 20 CLIPS ENDOSCOP $ 302.00 APPLY BONE FIXATION DEVICE 1 PLANE $ 1,494.35 APPLY CYLINDER CAST $ 219.35 APPLY LONG ARM CAST $ 88.11 APPLY LONG ARM CAST $ 286.98 APPLY LONG ARM CAST $ 375.09 APPLY LONG ARM SPLINT $ 76.87 APPLY LONG ARM SPLINT $ 162.70 APPLY LONG ARM SPLINT $ 239.56 APPLY LONG LEG CAST BRACE $ 261.40 APPLY LONG LEG SPLINT $ 65.35 APPLY LONG LEG SPLINT $ 175.01 APPLY LONG LEG SPLINT $ 240.36 APPLY LONG LEG SPLINT $ 98.03 APPLY LONG LEG SPLINT $ 262.52 APPLY LONG LEG SPLINT $ 360.54 APPLY LONG LEG SPLINT $ 360.54 APPLY MULTLAY COMPRS LWR LEG $ 70.68 APPLY RIGID LEG CAST $ 792.11 APPLY RIGID TOTAL CONTACT LEG CAST $ 134.77 APPLY RIGID TOTAL CONTACT LEG CAST $ 286.98 APPLY RIGID TOTAL CONTACT LEG CAST $ 421.75 APPLY SH LEG CAST $ 548.25 APPLY SH LEG CAST $ 77.42 APPLY SH LEG CAST $ 286.98 APPLY SH LEG CAST $ 364.39 APPLY SHORT ARM CAST $ 80.34 APPLY SHORT ARM CAST $ 286.98 APPLY SHORT ARM CAST $ 367.32 APPLY SHORT ARM SPLINT DYNAMIC $ 62.69 APPLY SHORT ARM SPLINT DYNAMIC $ 138.42 APPLY SHORT ARM SPLINT DYNAMIC $ 201.11 APPLY SHORT ARM SPLINT STATIC $ 54.48 APPLY SHORT ARM SPLINT STATIC $ 138.42 APPLY SHORT ARM SPLINT STATIC $ 189.90 APPLY SHORT LEG SPLINT $ 124.18 APPLY SHOULDER SPICA $ 310.00 APPY; DONE FOR INDICAT PURPOSE AT TIME $ 215.43 CHARGE DESCRIPTION CHARGE AMOUNT APPY; FOR RUPT APPENDIX W PERITONITIS $ 2,224.05 APRESOLINE INJ 20 MG $ 67.95 APRESOLINE TAB 10 MG $ 1.58 APRESOLINE TAB 25 MG $ 1.72 AQUA MEPHYTON INJ 10 MG $ 22.71 AQUA MEPHYTON OB INJ 1 MG $ 111.25 AQUATIC THERAPY WITH EXERCISES -15 MINS $ 127.56 ARCOMXL RLC 10 DEG 28MM SZ22 $ 2,625.00 ARCOS 12 X 210MM +0 CALC STD $ 27,420.00 ARCUS 16 X 13 STAPLE KIT STERILE $ 3,220.00 ARCUS SIZING TEMPLATE KIT STERILE $ 352.00 AREDIA INJ 30 MG $ 94.56 ARGATROBAN 250 MG INJ (NON-ESRD) $ 9.22 ARICEPT TAB 5 MG $ 1.41 ARISTA AH 1 GRAM $ 353.00 ARISTA AH 3 GRAM $ 700.00 ARISTA FLEXITIP APPLICATOR XL $ 79.20 ARIXTRA 7.5MG/0.6ML $ 33.26 ARIXTRA INJ 2.5 MG $ 24.37 ARMADA 14 BALLOON 4.0MM X 40MM(150CC) $ 820.00 ARMADA 14 BALOON 3.0MM X 40MM $ 820.00 ARSENIC $ 130.69 Arterial Blood Gas by Meter $ 215.00 ARTERIAL CATH - SAMPLE/MONITOR/TRANSFUSE $ 112.93 ARTERIAL CATH - SAMPLING MONITOR-CUTDOWN $ 269.28 ARTERIAL LINE INSERT $ 405.00 ARTERY BYPASS GRAFT AORTOFEMORAL $ 4,483.88 ARTERY BYPASS GRAFT CAR-SUBCLAV $ 2,609.38 ARTERY X-RAYS ABDOMEN $ 145.00 ARTHRITIS SERIES $ 318.86 ARTHROCENTESIS, ASPIRATION AND/OR INJ $ 602.40 ARTHROCENTESIS/ARTHROGRAM $ 598.23 ARTHROD IP JOINT W AUTOGRAFT $ 1,406.58 ARTHROD MCP JOINT W AUTOGRAFT $ 1,551.16 ARTHROD MCP JOINT W/WO FIXATION $ 1,338.78 ARTHROD MT OR TMT MULTI/TRANSV $ 1,841.48 ARTHRODESIS GREAT TOE; IP JOINT $ 827.83 ARTHRODESIS GREAT TOE; MTP JOINT $ 1,393.00 ARTHRODESIS MT OR TME; SGL JOINT $ 1,558.88 ARTHROGRAM - LEFT WRIST $ 707.04 ARTHROGRAM - RIGHT WRIST $ 707.04 ARTHROGRAM HP INJECT $ 1,063.10 ARTHROGRAM KN INJECT $ 1,063.10 ARTHROGRAM-LT ELBOW $ 880.37 ARTHROGRAM-LT KNEE $ 1,673.78 ARTHROGRAM-LT SHOULDER $ 1,293.16 CHARGE DESCRIPTION CHARGE AMOUNT ARTHROGRAM-RT ELBOW $ 880.37 ARTHROGRAM-RT KNEE $ 1,673.78 ARTHROGRAM-RT SHOULDER $ 1,293.16 ARTHROPL GHJ HEMIARTHROPLASTY $ 3,014.58 ARTHROPL GHJ TOT SHLDR REPL $ 3,665.78 ARTHROPL KNEE CP; MEDIAL LAT $ 2,917.85 ARTHROSC ANKLE; EXC OSCHON DEFECT $ 1,679.33 ARTHROSC KNEE W MEN REPAIR-MED/LAT $ 1,690.92 ARTHROSC KNEE W MEN REP-MED&LAT $ 1,400.56 ARTHROSC KNEE; FOR INF/LAVAGE/DR $ 1,285.40 ARTHROSC; ANT CRUCIATE LIG REP/AUGM $ 2,470.78 ARTHROSCOPIC KNEE HOLDER $ 56.32 ARTHROSCOPY ANKLE P SYNOVECTOMY $ 1,160.95 ARTHROSCOPY ANKLE; EXT DEBRIDEM $ 1,409.98 ARTHROSCOPY ANKLE; SMPL DEBRID $ 1,257.00 ARTHROSCOPY BICEPS TENODESIS $ 1,822.52 ARTHROSCOPY KNEE LIM SYNOVECTOMY $ 1,236.82 ARTHROSCOPY KNEE; ABRAS ARTHROPL $ 1,656.50 ARTHROSCOPY KNEE; DEBRID/SHV AC $ 1,552.03 ARTHROSCOPY KNEE; REM LOOSE OR FB $ 1,339.80 ARTHROSCOPY SHLDR; DEBRID EXTENS $ 1,441.00 ARTHROSCOPY SHLDR; DEBRID LIMITED $ 1,415.43 ARTHROSCOPY SHLDR; W LYSIS OF ADH $ 1,344.00 ARTHROSCOPY SHLDR; W REM FB/LB $ 1,459.43 ARTHROSCOPY WRIST; W RLS TRNSV CARP LIG $ 1,113.00 ARTHROT KNEE W EXPL/BX/REM FB $ 1,178.27 ARTHROT KNEE W MENISC MED OR LAT $ 1,284.20 ARTHROT KNEE W SYNOV ANT AND POS $ 1,528.30 ARTHROT KNEE W SYNOV; ANT/POST $ 1,706.25 ARTHROTOMY GHJ FOR INFECTION $ 1,790.45 ARTHROTOMY HIP W DRAINAGE $ 2,200.00 ARTHROTOMY W OP MENISCUS REPAIR $ 1,593.83 ARTHROWAND 50 DEGREE COVAC $ 913.72 ARTHRS AID TIBIAL FX PROX UNICONDYLAR $ 1,958.78 ARTICULAR SURFACE - 14MM $ 2,500.00 ARTICULAR SURFACE - PERSONA $ 3,000.00 ARTICULECE M HEAD 36MM +1.5 $ 1,925.00 ARTICULEZE M HEAD 36MM + 8.5 $ 1,925.00 ARTICULEZE M HEAD 36MM +5 $ 1,925.00 ARTIFICIAL INSEMINATION; INTRA-CERVICAL $ 120.00 ARTIFICIAL INSEMINATION; INTRA-UTERINE $ 146.25 ASCOPE 3 5.0/2.2 $ 1,078.36 ASCOPE 3 LARGE 5.8MM OUTER DIAMETER $ 1,244.00 ASCOPE 3 SLIM 3.8/1.2MM OUTER DIAMETER $ 1,078.36 ASCORBIC ACID TAB 500 MG $ 1.10 ASO ANTIBODY SCREEN $ 60.56 CHARGE DESCRIPTION CHARGE AMOUNT ASPA GENE ANALYSIS $ 309.00 ASPERGILLUS ANTIBODY $ 145.04 ASPIRATE PLEURA W/ IMAGING $ 1,995.95 ASPIRATE PLEURA W/ IMAGING $ 284.20 ASPIRATE PLEURA W/ IMAGING $ 1,066.50 ASPIRATE PLEURA W/O IMAGING $ 228.85 ASPIRATE/INJ GANGLION CYST $ 55.02 ASPIRATE/INJ GANGLION CYST $ 300.30 ASPIRATE/INJ GANGLION CYST $ 355.32 ASPIRATE/INSERT RENAL CYST/PELVIS NEEDLE $ 2,340.80 ASPIRIN SUPP 300 MG $ 4.50 ASPIRIN TAB 325 MG $ 1.02 ASPIRIN TAB 81 MG $ 1.15 ASSESSMENT OF APHASIA PER HOUR $ 334.39 AST TRANSFERASE SGOT $ 42.00 ASU - PCU R&B $ 1,457.86 ASU R&B $ 963.67 ATARAX TAB 10 MG $ 1.24 Atherectomy abdominal aorta $ 15,764.58 Atherectomy brachiocephalic trunk & bra $ 15,764.58 Atherectomy iliac artery(each vessel) $ 34,247.75 Atherectomy renal artery $ 15,764.58 Atherectomy visceral artery(each vessel $ 6,352.00 ATIVAN INJ 2 MG $ 23.28 ATIVAN INJ 2MG $ 13.36 ATIVAN INTENSOL SOLN 2 MG 1 ML $ 4.16 ATIVAN TAB 0.5 MG $ 1.21 ATIVAN TAB 1 MG $ 1.24 ATROPINE INJ 0.4 MG $ 1.04 ATROPINE INJ 1 MG $ 0.60 ATROPINE OPHTH SOLN 1% 5 ML $ 154.96 ATROPINE SYRINGE 1 MG 10 ML $ 0.51 ATROVENT INHALER TREATMENT $ 6.00 ATT E/N/E/L; D 10 SQ CM $ 1,677.48 ATT E/N/E/L; D 10.1-30 $ 2,076.03 ATT F/C/M/N/A/G/H/F; 10 SQ CM $ 1,574.00 ATT S/A/L D 10.1-30 SQ CM $ 1,428.10 ATTENDANCE AT DELIVERY $ 186.95 AUDIOLOGICAL EVALUAT $ 469.68 AUDIOLOGICAL EVALUATION $ 75.16 AUDIT/DAST 15-30 MIN $ 73.62 AUDITORS EVOKED RESPONSE LTD $ 207.43 AUDITORY EP - COMPREHENSIVE $ 53.36 AUDITORY EVOKED RESPONSE AUDIOMETRY $ 583.74 AUGMENT FEM BLOCK 65MMX5MM $ 3,177.50 AUGMENT TIB UNIV 67MM X 10MM $ 2,895.00 CHARGE DESCRIPTION CHARGE AMOUNT AUGMENTIN LIQUID 80 MG/ML 50 ML $ 33.40 AUGMENTIN TAB 500 MG $ 5.23 AUGMENTIN TAB 875 MG $ 5.86 AUGMT BLOCK DISTAL NXGN PRECT SZC 5MM $ 3,297.00 AUGMT BLOCK NXGN DIST ONLY SZC 20MM $ 3,093.75 AURAL REHABILITATION $ 258.15 AUTOM URINALYSIS WO MICRO $ 8.00 AUTOSUTURE PURSE STRING 65 $ 800.32 AV FUSE UPPR ARM BASILIC $ 1,504.32 AV ACCESS W/ANGIO $ 4,023.90 AV ACCESS W/ANGIO W/PTA $ 12,220.98 AV ACCESS W/ANGIO W/STENT $ 24,443.58 AV ANASTOMOSIS OPEN DIRECT ANY SITE $ 1,364.58 AVAPS FIRST DAY $ 453.80 AVAPS SUBSEQUENT DAY $ 453.80 AVASTIN INJ 100 MG $ 179.81 AVASTIN INJ 100 MG $ 179.81 AVULSION OF NAIL PLATE 1ST NAIL $ 209.00 AVULSION OF NAIL PLATE EACH ADDITIONAL $ 81.00 AXILLARY LYMPHADENECTOMY; COMPLETE $ 2,221.55 AYR NASAL SOLN 0.65% 50 ML $ 3.31 AYR SALINE NASAL GEL 22ML $ 14.11 AZACTAM 1 GRAM INJECTION $ 122.00 AZULFIDINE TAB 500 MG $ 1.56 B12 $ 109.65 BABYGRAM $ 292.18 BABYGRAM PORTABLE $ 292.18 BACID CAP 500 UNIT $ 1.10 BACITRACIN INJ 50 000 UNIT $ 50.50 BACITRACIN OINT 28.4 GM $ 14.26 BACITRACIN OINT PACKETTE 0.9GM $ 1.40 BACITRACIN OPHTH OINT 3.5 GM $ 297.10 BACK SCHOOL $ 119.00 BACT CULTURE - URINE QUAN COUNT $ 47.89 BACTERIAL ANTIGEN TEST $ 121.54 BACTISURE WOUND LAVAGE $ 1,750.00 BACTRIM DS TAB $ 1.79 BACTRIM INJ 10 ML $ 71.43 BACTRIM SUSP 200/40MG 20ML $ 12.85 BACTRIM SUSPENSION 100 ML $ 14.00 BACTROBAN OINT 2% 22 GM $ 97.75 BAG 1000CC DRAINAGE $ 73.32 BAG- ADULT VENTLAB SIZE 4/5 $ 57.20 BAG DRAINAGE PERI VAC PERICARDIAL $ 66.68 BAG HYPERINFLATION $ 79.76 BAG TISSUE RETRIEVAL $ 162.96 CHARGE DESCRIPTION CHARGE AMOUNT BAG TISSUE RETRIEVAL 17CM NYL PLMR $ 168.00 BALL ARTICUL/EZE 32 +1 GR $ 1,925.00 BALL NOSE GUIDE WIRE 3.0MM X 80CM $ 401.80 BALLOON DORADO 8MM X20MM X135CM $ 900.00 BALLOON 10MM X 39MM X 80CM OMNI OTW $ 3,237.50 BALLOON 12 FR X 6CM URETERAL CATHETER $ 1,002.20 BALLOON 22MM X 2.25 MM INTEGRITY $ 2,625.00 BALLOON 4.0MM X 100MM X 135CM MUSTANG $ 860.00 BALLOON 4.0MM X 150MM X 135CM MUSTANG $ 860.00 BALLOON 4.0MM X 200MM X 135CM MUSTANG $ 1,060.00 BALLOON 5.0MM X 100MM X 135CM MUSTANG $ 860.00 BALLOON 5.0MM X 150MM X 135CM MUSTANG $ 860.00 BALLOON 5.0MM X 200MM X 135CM MUSTANG $ 1,060.00 BALLOON 5.0MM X 40MM X 135CM MUSTANG $ 860.00 BALLOON 6.0MM X 100MM X 135CM MUSTANG $ 860.00 BALLOON 6.0MM X 12MM X 80CM OMNILINK $ 2,775.00 BALLOON 6.0MM X 150MM X 135CM MUSTANG $ 1,060.00 BALLOON 6.0MM X 16MM X 80CM OMNILINK $ 2,887.50 BALLOON 6.0MM X 19MM X 80CM OMNILINK $ 2,537.50 BALLOON 6.0MM X 200MM X 135CM MUSTANG $ 1,060.00 BALLOON 6.0MM X 29MM X 80CM OMNILINK $ 2,537.50 BALLOON 6.0MM X 39MM X 80CM OMNILINK $ 2,537.50 BALLOON 6.0MM X 40MM X 135CM MUSTANG $ 860.00 BALLOON 6.0MM X 40MM X 75CM MUSTANG $ 860.00 BALLOON 6.0MM X 59MM X 135CM OMNILINK $ 2,537.50 BALLOON 6.0MM X 59MM X 80CM OMNILINK $ 2,537.50 BALLOON 6MM X 19MM X 135CM OMNILINK $ 2,537.50 BALLOON 6MM X 20MM X135CM MUSTANG $ 860.00 BALLOON 6MM X 40MM X 75CM MUSTANG $ 860.00 BALLOON 6MM X 70MM X 75CM MUSTANG $ 752.50 BALLOON 7.0MM X 16MM X 80CM OMNILINK $ 3,237.50 BALLOON 7.0MM X 19MM X 80CM OMNILINK $ 2,537.50 BALLOON 7.0MM X 29MM X 80CM OMNILINK $ 2,537.50 BALLOON 7.0MM X 39MM X 80CM OMNILINK $ 2,537.50 BALLOON 7.0MM X 59MM X 80CM OMNILINK $ 2,800.00 BALLOON 7MM X 16MM X 135CM OMNILINK $ 3,237.50 BALLOON 7MM X 19MM X 135CM OMNILINK $ 2,537.50 BALLOON 7MM X 20MM X 135CM MUSTANG $ 860.00 BALLOON 7MM X 40MM X 75CM MUSTANG $ 860.00 BALLOON 7MM X 6CM $ 546.00 BALLOON 8.0MM X 19MM X 135CM OMNILINK $ 2,887.50 BALLOON 8.0MM X 19MM X 80CM OMNILINK $ 3,237.50 BALLOON 8.0MM X 29MM X 80CM OMNILINK $ 2,537.50 BALLOON 8.0MM X 39MM X 80CM OMNILINK $ 2,537.50 BALLOON 8.0MM X 59MM X 80CM OMNILINK $ 2,537.50 BALLOON 8MM X 20MM X 135CM MUSTANG $ 860.00 CHARGE DESCRIPTION CHARGE AMOUNT BALLOON 8MM X 6CM $ 620.00 BALLOON 9.00MM X 59MM X 80CM OMNI OTW $ 3,237.50 BALLOON 9.0MM X 19MM X 80CM OMNILINK OTW $ 2,887.50 BALLOON ARMADA 12.0 X 20 X 80 $ 480.00 BALLOON ARMADA 6 X 200 X 135 $ 960.00 BALLOON BARKI POSTPARTUM WITH RAPID INST $ 996.00 BALLOON CATH ARMADA 18* 5.0 X 100 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.0 X 120 X 150 $ 900.00 BALLOON CATH ARMADA 18* 5.0 X 150 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.0 X 180 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.0 X 200 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.0 X 60 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.0 X 80 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.5 X 100 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.5 X 120 X 150 $ 900.00 BALLOON CATH ARMADA 18* 5.5 X 150 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.5 X 180 X 150 $ 900.00 BALLOON CATH ARMADA 18* 5.5 X 20 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.5 X 200 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.5 X 40 X 150 $ 900.00 BALLOON CATH ARMADA 18* 5.5 X 60 X 150 $ 740.00 BALLOON CATH ARMADA 18* 5.5 X 80 X 150 $ 900.00 BALLOON CATH ARMADA 18* 6.0 X 100 X 150 $ 740.00 BALLOON CATH ARMADA 18* 6.0 X 120 X 150 $ 740.00 BALLOON CATH ARMADA 18* 6.0 X 150 X 150 $ 740.00 BALLOON CATH ARMADA 18* 6.0 X 180 X 150 $ 900.00 BALLOON CATH ARMADA 18* 6.0 X 20 X 150 $ 740.00 BALLOON CATH ARMADA 18* 6.0 X 200 X 150 $ 740.00 BALLOON CATH ARMADA 18* 6.0 X 40 X 150 $ 740.00 BALLOON CATH ARMADA 18* 6.0 X 60 X 150 $ 900.00 BALLOON CATH ARMADA 18* 6.0 X 80 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 2.0 X 100 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 2.0 X 120 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 2.0 X 150 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 2.0 X 180 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 2.0 X 20 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 2.0 X 200 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 2.0 X 40 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 2.0 X 60 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 2.0 X 80 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 2.5 X 100 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 2.5 X 120 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 2.5 X 150 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 2.5 X 180 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 2.5 X 20 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 2.5 X 200 X 150 $ 740.00 CHARGE DESCRIPTION CHARGE AMOUNT BALLOON CATH ARMANDA 18* 2.5 X 40 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 2.5 X 60 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 2.5 X 80 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 3.0 X 100 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 3.0 X 120 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 3.0 X 150 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 3.0 X 180 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 3.0 X 20 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 3.0 X 200 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 3.0 X 40 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 3.0 X 60 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 3.0 X 80 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 4.0 X 100 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 4.0 X 120 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 4.0 X 150 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 4.0 X 180 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 4.0 X 20 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 4.0 X 200 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 4.0 X 40 X 150 $ 900.00 BALLOON CATH ARMANDA 18* 4.0 X 60 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 4.0 X 80 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 5.0 X 20 X 150 $ 740.00 BALLOON CATH ARMANDA 18* 5.0 X 40 X 150 $ 740.00 BALLOON CATHERER ARMADA 7 X 20 X 80 $ 360.00 BALLOON CATHETER 6225 ATTAIN CLARITY $ 500.00 BALLOON CATHETER ARMADA 1.5X120X150 $ 1,220.00 BALLOON CATHETER ARMADA 10 X 20 X 80 $ 360.00 BALLOON CATHETER ARMADA 10 X 40 X 80 $ 480.00 BALLOON CATHETER ARMADA 10 X 60 X 80 $ 460.00 BALLOON CATHETER ARMADA 10X40X80 $ 360.00 BALLOON CATHETER ARMADA 2.0x120x150 $ 900.00 BALLOON CATHETER ARMADA 2.0X200X150 $ 900.00 BALLOON CATHETER ARMADA 2.0X20X150 $ 760.00 BALLOON CATHETER ARMADA 2.0X40X150 $ 820.00 BALLOON CATHETER ARMADA 2.0X80X150 $ 1,220.00 BALLOON CATHETER ARMADA 2.5 X 40 X 150 $ 1,220.00 BALLOON CATHETER ARMADA 2.5X200X150 $ 900.00 BALLOON CATHETER ARMADA 2.5X20X150 $ 820.00 BALLOON CATHETER ARMADA 2.5X80X150 $ 940.00 BALLOON CATHETER ARMADA 3.0 X 20 X 80 $ 360.00 BALLOON CATHETER ARMADA 3.0X120X150 $ 1,220.00 BALLOON CATHETER ARMADA 3.0X200X150 $ 1,220.00 BALLOON CATHETER ARMADA 3.0X80X150 $ 1,220.00 BALLOON CATHETER ARMADA 4.0 X 100 X 80 $ 460.00 BALLOON CATHETER ARMADA 4.0 X 20 X 135 $ 360.00 BALLOON CATHETER ARMADA 4.0X120X150 $ 900.00 CHARGE DESCRIPTION CHARGE AMOUNT BALLOON CATHETER ARMADA 4.0X200X15 $ 900.00 BALLOON CATHETER ARMADA 4.0X80X150 $ 1,220.00 BALLOON CATHETER ARMADA 4MM X 40 X 80 $ 480.00 BALLOON CATHETER ARMADA 4X120X135 $ 360.00 BALLOON CATHETER ARMADA 4X150X135 $ 460.00 BALLOON CATHETER ARMADA 4X200X135 $ 460.00 BALLOON CATHETER ARMADA 4X60X135 $ 480.00 BALLOON CATHETER ARMADA 4X80X135 $ 360.00 BALLOON CATHETER ARMADA 5.0 X 100 X 80 $ 460.00 BALLOON CATHETER ARMADA 5.0 X 60 X 80 $ 460.00 BALLOON CATHETER ARMADA 5MM X 20 X 80 $ 480.00 BALLOON CATHETER ARMADA 5MM X 40 X 80 $ 480.00 BALLOON CATHETER ARMADA 5MM X 80 X 80 $ 360.00 BALLOON CATHETER ARMADA 5X150X135 $ 460.00 BALLOON CATHETER ARMADA 5X150X80 $ 600.00 BALLOON CATHETER ARMADA 5X200X135 $ 960.00 BALLOON CATHETER ARMADA 5X200X80 $ 600.00 BALLOON CATHETER ARMADA 5X250X135 $ 960.00 BALLOON CATHETER ARMADA 6 X 100 X 80 $ 360.00 BALLOON CATHETER ARMADA 6 X 20 X 80 $ 480.00 BALLOON CATHETER ARMADA 6 X 40 X 80 $ 360.00 BALLOON CATHETER ARMADA 6 X 60 X 80 $ 480.00 BALLOON CATHETER ARMADA 6X150X135 $ 600.00 BALLOON CATHETER ARMADA 6X150X80 $ 600.00 BALLOON CATHETER ARMADA 6X200X80 $ 960.00 BALLOON CATHETER ARMADA 6X250X135 $ 460.00 BALLOON CATHETER ARMADA 7 X 60 X 80 $ 480.00 BALLOON CATHETER ARMADA 7 X 80 X 80 $ 480.00 BALLOON CATHETER ARMADA 7MM X 80 X 40 $ 480.00 BALLOON CATHETER ARMADA 7X150X135 $ 460.00 BALLOON CATHETER ARMADA 7X150X80 $ 600.00 BALLOON CATHETER ARMADA 7X200X135 $ 460.00 BALLOON CATHETER ARMADA 8 X 20 X 135 $ 480.00 BALLOON CATHETER ARMADA 8MM X 20 X 80 $ 360.00 BALLOON CATHETER ARMADA 8MM X 40 X 80 $ 360.00 BALLOON CATHETER ARMADA 8MM X 60 X 80 $ 480.00 BALLOON CATHETER ARMADA 8MM X80 X 80 $ 480.00 BALLOON CATHETER ARMADA 9.0 X 20 X 80 $ 480.00 BALLOON CATHETER ARMADA 9MM X 40 X 80 $ 360.00 BALLOON CATHETER ARMADA 9MM X 60 X 80 $ 480.00 BALLOON CATHETER ARMADA 9MM X 80 X 80 $ 360.00 BALLOON CATHETER ARMADA 9X20X135 $ 480.00 BALLOON CATHETER ARMANDA 2.5 X 200 X 150 $ 1,220.00 BALLOON CATHETER ARMANDA 6.0 X 80 X 80 $ 480.00 BALLOON CATHETER FOX PLUS 10X20X135 $ 360.00 BALLOON CATHETER FOX PLUS 10X40X135 $ 480.00 CHARGE DESCRIPTION CHARGE AMOUNT BALLOON CATHETER FOX PLUS 12X20X135 $ 480.00 BALLOON CATHETER FOX PLUS 12x40x130 $ 360.00 BALLOON CATHETER FOX PLUS 4.0X120X135 $ 480.00 BALLOON CATHETER FOX PLUS 4.0X20X135 $ 480.00 BALLOON CATHETER FOX PLUS 5.0MM X 20MM $ 480.00 BALLOON CATHETER FOX PLUS 5X100X135 $ 360.00 BALLOON CATHETER FOX PLUS 5X40X135 $ 480.00 BALLOON CATHETER FOX PLUS 5X80X135 $ 480.00 BALLOON CATHETER FOX PLUS 6X100X135 $ 480.00 BALLOON CATHETER FOX PLUS 6X80X135 $ 480.00 BALLOON CATHETER FOX PLUS 7X20X135 $ 480.00 BALLOON CATHETER FOX PLUS 7X40X135 $ 360.00 BALLOON CATHETER FOX PLUS 7X60X135 $ 480.00 BALLOON CERVICAL RIPENING $ 158.00 BALLOON DORADO 120CM 6MM X 10CM $ 780.00 BALLOON DORADO 120CM 6MM X 4CM $ 780.00 BALLOON DORADO 120CM 7MM X 10CM $ 780.00 BALLOON DORADO 120CM 7MM X 4CM $ 780.00 BALLOON DORADO 6MM X20MM X135CM $ 880.00 BALLOON DORADO 7MM X20MM X135CM $ 900.00 BALLOON DORADO 80CM 10MM X 2CM $ 780.00 BALLOON DORADO 80CM 10MM X 4CM $ 780.00 BALLOON DORADO 80CM 5MM X 2CM $ 780.00 BALLOON DORADO 80CM 5MM X 4CM $ 780.00 BALLOON DORADO 80CM 5MM X 6CM $ 780.00 BALLOON DORADO 80CM 6MM X 10CM $ 780.00 BALLOON DORADO 80CM 6MM X 2CM $ 780.00 BALLOON DORADO 80CM 6MM X 4CM $ 780.00 BALLOON DORADO 80CM 6MM X 6CM $ 780.00 BALLOON DORADO 80CM 7MM X 2CM $ 780.00 BALLOON DORADO 80CM 7MM X 4CM $ 780.00 BALLOON DORADO 80CM 7MM X 6CM $ 780.00 BALLOON DORADO 80CM 7MM X 8CM $ 780.00 BALLOON DORADO 80CM 8MM X 10CM $ 780.00 BALLOON DORADO 80CM 8MM X 2CM $ 780.00 BALLOON DORADO 80CM 8MM X 4CM $ 780.00 BALLOON DORADO 80CM 8MM X 6CM $ 780.00 BALLOON DORADO 80CM 8MM X 8CM $ 780.00 BALLOON ENDO CUF ULTSND LTX DISP $ 66.24 BALLOON ENDO CUFF RADIAL BLN DISP $ 63.56 BALLOON FORMULA 135-8-20 $ 2,975.00 BALLOON MINI TREK OTW 1.20MM X 12MM $ 520.00 BALLOON MINI TREK OTW 1.20MM X 15MM $ 672.00 BALLOON MINI TREK OTW 1.20MM X 20MM $ 520.00 BALLOON MINI TREK OTW 1.20MM X 6MM $ 672.00 BALLOON MINI TREK OTW 1.20MM X 8MM $ 672.00 CHARGE DESCRIPTION CHARGE AMOUNT BALLOON MINI TREK OTW 1.50MM X 12MM $ 672.00 BALLOON MINI TREK OTW 1.50MM X 6MM $ 672.00 BALLOON MINI TREK OTW 1.50MM X 8MM $ 672.00 BALLOON MINI TREK OTW 2.0MM X 15MM $ 520.00 BALLOON MINI TREK OTW 2.0MM X 20MM $ 520.00 BALLOON MINI TREK RX 1.20 X 15MM $ 520.00 BALLOON MINI TREK RX 1.20 X 20MM $ 672.00 BALLOON MINI TREK RX 1.5 X 20MM $ 520.00 BALLOON NC TREK RX 2.75MM X 15 MM $ 520.00 BALLOON NC TREK RX 2.75MM X 20MM $ 560.00 BALLOON NC TREK RX 30MM X 20MM $ 520.00 BALLOON NC TREK RX 4.0 X 20 $ 520.00 BALLOON OCCLUDER $ 599.00 BALLOON OPTA 12MM X 4CM $ 416.00 BALLOON OPTA 4MM X 2CM $ 620.00 BALLOON OPTA PRO 4MM $ 620.00 BALLOON OPTA PRO 5MM X 4CM $ 620.00 BALLOON OPTA PRO 6MM X 10CM $ 620.00 BALLOON OPTA PRO 6MM X 4CM 110CM $ 620.00 BALLOON OPTA PRO 7X10 110CM $ 620.00 BALLOON OPTA PRO 8MM X 2CM $ 620.00 BALLOON OPTA PRO4 4X110CM $ 620.00 BALLOON OPTA PRO4 6X110CM $ 620.00 BALLOON OPTA PRO5 10X110CM $ 620.00 BALLOON OPTA PRO6 4X80CM $ 546.00 BALLOON OPTA PRO7 4X80CM $ 620.00 BALLOON OPTA PRO8 4X80CM $ 620.00 BALLOON OPTA-PRO 7MM X 10CM $ 620.00 BALLOON POWERFLEX 7MM X 4CM 80CM $ 620.00 BALLOON POWERFLEX PLUS 10X2 $ 686.00 BALLOON POWERFLEX PLUS 10X4 $ 686.00 BALLOON POWERFLEX PLUS 12X2 $ 686.00 BALLOON POWERFLEX PLUS 12X4 $ 686.00 BALLOON POWERFLEX PLUS 4X10 $ 686.00 BALLOON POWERFLEX PLUS 4X4 $ 686.00 BALLOON POWERFLEX PLUS 5X10 $ 686.00 BALLOON POWERFLEX PLUS 5X2 $ 686.00 BALLOON POWERFLEX PLUS 5X4 $ 686.00 BALLOON POWERFLEX PLUS 6X2 $ 686.00 BALLOON POWERFLEX PLUS 6X4 $ 686.00 BALLOON POWERFLEX PLUS 7X2 $ 686.00 BALLOON POWERFLEX PLUS 7X4 $ 686.00 BALLOON POWERFLEX PLUS 8X2 $ 686.00 BALLOON POWERFLEX PLUS 8X4 $ 686.00 BALLOON POWERFLEX PLUS 9X2 $ 686.00 BALLOON POWERFLEX PLUS 9X4 $ 686.00 CHARGE DESCRIPTION CHARGE AMOUNT BALLOON PTA 8MM X 2CM $ 620.00 BALLOON SYMENETRY 4MM X 10CM $ 1,215.00 BALLOON SYMENETRY 4MM X 4CM $ 1,215.00 BALLOON ULTRASCORE 4MMX100MM 130CM $ 2,362.00 BALLOON ULTRASCORE 4MMX150MM 130CM $ 2,362.00 BALLOON ULTRASCORE 4MMX20MM 130CM $ 2,362.00 BALLOON ULTRASCORE 4MMX40MM 130CM $ 2,362.00 BALLOON ULTRASCORE 4MMX80MM 130CM $ 2,362.00 BALLOON ULTRASCORE 5MMX100MM 130CM $ 2,362.00 BALLOON ULTRASCORE 5MMX150MM 130CM $ 2,362.00 BALLOON ULTRASCORE 5MMX20MM 130CM $ 2,362.00 BALLOON ULTRASCORE 5MMX40MM 130CM $ 2,362.00 BALLOON ULTRASCORE 5MMX80MM 130CM $ 2,362.00 BALLOON ULTRASCORE 6MMX100MM 130CM $ 2,362.00 BALLOON ULTRASCORE 6MMX150MM 130CM $ 2,362.00 BALLOON ULTRASCORE 6MMX20MM 130CM $ 2,362.00 BALLOON ULTRASCORE 6MMX40MM 130CM $ 2,362.00 BALLOON ULTRASCORE 7MMX20MM 130CM $ 2,362.00 BALLOON ULTRASCORE 7MMX40MM 130CM $ 2,362.00 BALLOON ULTRASCORE 7MMX60MM 130CM $ 2,362.00 BALLOON ULTRASCORE 8MMX20MM 130CM $ 2,362.00 BALLOON ULTRASCORE 8MMX40MM 130CM $ 2,362.00 BALLOON ULTRASCORE 8MMX60MM 130CM $ 2,362.00 BALLOON VIATRAC 4.5X15X135 $ 840.00 BALLOON VIATRAC 4.5X20X135 $ 840.00 BALLOON VIATRAC 5.5X15X135 $ 840.00 BALLOON VIATRAC 5.5X20X135 $ 840.00 BALLOON VIATRAC 5X15X135 $ 840.00 BALLOON VIATRAC 5X20X135 $ 840.00 BALLOON VIATRAC 6.5X15X135 $ 840.00 BALLOON VIATRAC 6.5X20X135 $ 840.00 BALLOON VIATRAC 6X20X135 $ 840.00 BALLOON VIATRAC 7X15X135 $ 840.00 BALLOON VIATRAC 7X20X135 $ 840.00 BALO ANGIOP CTR DIALYSIS SEG $ 303.80 BALOON 2.5X40MMX155CM OTW $ 3,412.50 BALOON CATHETER FOX PLUS 4.0 X 40 X 135 $ 360.00 BALOON MINI TREK RX 1.50 X 12MM $ 560.00 BALOON VIATRAC 6X15X135 $ 840.00 BAND - CLEARCHEST (LG) 40" - 50" $ 296.00 BAND - CLEARCHEST (MED) 28" - 38" $ 296.00 BAND - CLEARCHEST (SM) 16" - 26" $ 296.00 BAND - CLEARCHEST (XL) 52" - 60" $ 296.00 BAND BLU RST L4 PRF LTX THRBND 50YDX6IN $ 305.96 BAND GRN RST L3 PRF LTX THRBND 50YDX5IN $ 273.92 BAND RED RST L2 PRF LTX THRBND 50YDX5IN $ 249.40 CHARGE DESCRIPTION CHARGE AMOUNT BAND TR LONG $ 132.00 BAND TR REGULAR $ 132.00 BAR - MODULAR TIBIAL LOCKING $ 620.00 BAR GLASS FIBER 11MM X 200MM $ 798.00 BAR GLASS FIBER 11MM X 400MM $ 1,022.00 BARIUM ENEMA $ 1,155.71 BARIUM ENEMA W/AIR $ 1,368.95 BARIUM SULFATE E-Z-DISK 700 MG TABLET $ 7.94 BARRIER INTERCEED ABSORBABLE 36X4 $ 928.20 BARTONELLA $ 65.92 BARTONELLA AMPLIFIED PROBE TECHNIQUE $ 592.25 BASE PLACE REVERSE SHOULDER $ 4,836.00 BASEPALTE COMP RVRS 25MM W/ ADAPTER $ 5,125.00 BASEPLATE - UNIVERAL GLENOID, SMALL $ 3,985.00 BASEPLATE SIZE 3 LEFT TIBIAL POROUS COAT $ 3,500.00 BASEPLATE SIZE 3, 4 OR 5 LEFT 9MM $ 2,500.00 BASIC METABOLIC PANEL $ 116.28 Basic Vestibular Evaluation $ 556.20 BASIC VESTIBULAR EVALUATION $ 158.00 BASKET 2.4FR TRICEP GRASPING FORCEP $ 714.88 BASKET 3FR STONE 115CM HELICAL 4 WIRE $ 501.20 BASKET 3FR TRICEP NON RETRACTING FORCEP $ 817.00 BASKET DAKOTA $ 1,152.00 BASKET RX 2.0CM TRAPEZOID $ 1,020.00 BASKET RX 2.5CM TRAPEZOID $ 1,020.00 BASKET RX 3.0CM TRAPEZOID $ 1,020.00 BASKET SEQURA HEMI STONE 3FR $ 855.00 BASKET STONE RETR ZEROTIP $ 679.00 BASKET ZERO TIP AIRWAY RETRI 1.0MM 120CM $ 984.00 BB ANTIBODY IDENTIFICATION $ 397.84 BB ANTIBODY SCREEN $ 142.21 BB ANTIBODY TITER $ 193.76 BB DAT $ 140.04 BB FMH $ 124.36 BB FMH SCREEN $ 18.81 BB PHLEBOTOMY THERAPY $ 332.12 BB RHO-GAM $ 239.92 BCG - TICE 50 MG BLADDER INSTILLATION $ 8.63 BCR/ABL1 MAJOR BREAKPOINT H $ 712.00 BCR/ABL1 MAJOR BREAKPOINT L $ 712.00 BCR/ABL1 MINOR BREAKPOINT H $ 806.12 BCR/ABL1 MINOR BREAKPOINT L $ 481.00 BCR/ABL1 OTHER BREAKPOINT H $ 2,218.00 BEARING - 10MM TIBIAL $ 5,426.00 BEARING - HUMERAL 44MM -36MM $ 2,782.50 BEARING - HUMERAL E1 44-36 STD $ 5,000.00 CHARGE DESCRIPTION CHARGE AMOUNT BEARING - TIBIAL 10MM $ 5,426.00 BEARING - TIBIAL 10MM VANGUARD $ 5,426.00 BEARING - TIBIAL 10MM X 71/75MM VANGUARD $ 5,542.00 BEARING - TIBIAL 10MM X 79/83MM VANGUARD $ 5,558.00 BEARING - TIBIAL 11 X 79/83 VANGUARD $ 5,927.50 BEARING - TIBIAL 11MM X 71/75MM VANGUARD $ 5,542.00 BEARING - TIBIAL 12MM X 71/75MM VANGUARD $ 5,542.00 BEARING - TIBIAL 12MM X 71/75MM VANGUARD $ 5,558.00 BEARING - TIBIAL 12MM X 79/83MM $ 5,426.00 BEARING - TIBIAL 12MM X 79/83MM VANGUARD $ 5,558.00 BEARING - TIBIAL 13MM X 71/75MM VANGUARD $ 5,542.00 BEARING - TIBIAL 14MM X 63/67MM VANGUARD $ 5,558.00 BEARING - TIBIAL 14MM X 71/75MM VANGUARD $ 5,542.00 BEARING - TIBIAL 14MM X 71/75MM VANGUARD $ 5,558.00 BEARING - TIBIAL 16MM X 71/75MM VANGUARD $ 5,542.00 BEARING - TIBIAL 16MM X 71/75MM VANGUARD $ 5,558.00 BEARING - TIBIAL 18MM X 71/75MM VANGUARD $ 5,542.00 BEARING - TIBIAL 18MM X 71/75MM VNGD PS $ 5,558.00 BEARING - TIBIAL CR BRG 87/91 X12 $ 5,426.00 BEARING - TIBIAL VANGUARD 10MM X 79/83MM $ 2,537.50 BEARING - TIBIAL VANGUARD E1 87/91X10 $ 5,542.00 BEARING 12X 63/67 TIBIAL $ 2,537.50 BEARING ACT ARTIC E1 HIP 28 X 44MM $ 5,670.00 BEARING ACT ARTIC E1 HIP 28 X 46MM $ 5,670.00 BEARING ACT ARTIC E1 HIP 28 X 50MM $ 5,670.00 BEARING ANATOMIC MEN XL RIGHT 3MM THICK $ 3,220.00 BEARING ANATOMIC OXF XL LEFT SZ 5 PMA $ 3,220.00 BEARING ANATOMIC OXF XL RIGHT SZ 5 PMA $ 3,220.00 BEARING E1 VANGUARD TIBIAL 12MMX63/67MM $ 5,542.00 BEARING FIX 10MM CR ASF L 3-11 (PERSONA) $ 2,975.00 BEARING FIX 12MM LEFT $ 2,500.00 BEARING FIX CR RIGHT 10MM-PERSONA $ 2,975.00 BEARING FIX PS RIGHT 12MM ART (PERSONA) $ 2,500.00 BEARING FIX RIGHT 10MM PS (PERSONA) $ 2,500.00 BEARING FIXED CR RIGHT 10MM (PERSONA) $ 2,500.00 BEARING FIXED PS RIGHT 10MM (PERSONA) $ 2,500.00 BEARING FIXED PS RIGHT H 10MM (PERSONA) $ 2,500.00 BEARING FIXED RIGHT 11MM PS (PERSONA) $ 2,500.00 BEARING FIXED RIGHT 12MM HEIGHT (PERSONA $ 2,500.00 BEARING FIXED RIGHT 12MM PS (PERSONA) $ 2,500.00 BEARING FIXED RIGHT 13MM HEIGHT PERSONA $ 2,500.00 BEARING FIXED RIGHT 14MM PS (PERSONA) $ 2,500.00 BEARING HMRL 36MM +3 VITE $ 5,000.00 BEARING HMRL 36MM STD VITE $ 5,000.00 BEARING KNEE PHASE 3 X -TRA SM RIGHT 4MM $ 3,375.00 BEARING OXFORD MED RIGHT 3MM THICK $ 3,220.00 CHARGE DESCRIPTION CHARGE AMOUNT BEARING OXFORD MED RIGHT 4MM THICK $ 3,220.00 BEARING- TIBIAL VANGUARD $ 5,542.00 BEARING- TIBIAL VANGUARD 11 X 63/67 $ 5,645.00 BEARING XS LEFT 3MM ANATOMIC ARCOM $ 3,097.50 BEARING-HUMERAL E1 44-36 STD+3 $ 5,000.00 BEARING-TIBIAL VANGUARD E1 87/91X12 $ 5,542.00 BEHAV CHNG SMOKING 3-10 MIN $ 16.03 BEHAV CHNG SMOKING 3-10 MIN $ 32.80 BEHAV CHNG SMOKING 3-10 MIN $ 48.83 BEHAV CHNG SMOKING GREATER THAN 10 MIN $ 32.80 BEHAV CHNG SMOKING GREATER THAN 10 MIN $ 33.44 BEHAV CHNG SMOKING GREATER THAN 10 MIN $ 66.24 BEHAVRAL QUALIT ANALYS VOICE $ 261.71 BELLADONNA & OPIUM SUPP 60 MG $ 113.05 BENADRYL CAP 25 MG $ 1.10 BENADRYL CREAM 30 GM $ 10.51 BENADRYL INJ 50 MG $ 22.31 BENADRYL LIQ 12.5 MG 5 ML $ 5.15 BENADRYL LIQUID 1 OZ $ 1.72 BENDEKA (BENDAMUSTINE) INJ $ 55.86 BENLYSTA INJECTION (BELIMUMAB) 10 MG $ 98.52 BENTYL CAP 10 MG $ 1.60 BENTYL INJ 20 MG 2 ML $ 383.22 BENZODIAZEPINES 1-12 $ 57.68 BETA 2 GLYCOPROTEIN I Ab $ 106.09 BETA 2 MICROGLOBULIN $ 130.39 BETA HEXOSAMINIDASE $ 46.35 BETADINE OINT 10% 30 GM $ 5.20 BETAMETHASONE CREAM 0.1% 15 GM $ 68.14 BETAPACE TAB 80 MG $ 1.84 BEXSERO 0.5 ML PFS VACCINE $ 360.00 BG LOCKING SCREW 2.5 X 9 MM $ 744.00 BICILLIN CR INJ 1 200 000 UNITS $ 47.87 BICILLIN CR INJ 900/300M UNITS $ 47.87 BICILLIN LA INJ 1 200 000 UNITS $ 59.85 BICILLIN LA INJ 600 000 UNITS $ 69.81 BICITRA SOLN 30 ML $ 10.12 BILAT INJ FORAMEN EPIDURAL ADD-ON $ 1,792.50 BILAT INJ FORAMEN EPIDURAL ADD-ON $ 1,907.66 BILAT INJ FORAMEN EPIDURAL C/T $ 3,880.91 BILAT INJ FORAMEN EPIDURAL L/S $ 3,004.92 BILAT INJ PARAVERT F JNT C/T 1 LEV $ 3,240.65 BILAT INJ PARAVERT F JNT C/T 2 LEV $ 3,240.65 BILAT INJ PARAVERT F JNT C/T 3 LEV $ 2,992.67 BILAT INJ PARAVERT F JNT L/S 1 LEV $ 3,195.00 BILAT INJ PARAVERT F JNT L/S 2 LEV $ 2,768.51 CHARGE DESCRIPTION CHARGE AMOUNT BILAT N BLOCK INJ OCCIPITAL $ 1,107.45 BILAT N BLOCK INJ SCIATIC SNG $ 2,440.61 BILAT N BLOCK OTHER PERIPHERAL $ 1,850.34 BILAT NJ PARAVERT F JNT L/S 3 LEV $ 2,664.87 BILE ACID TEST $ 105.34 BILI NEONATAL (<14 DAYS OLD) $ 36.73 BILIARY ENDO PERQ DX W/SPECI $ 635.34 BILIRUBIN DIRECT $ 45.99 BILIRUBIN DIRECT ARIEL HEALTH $ 3.50 BILIRUBIN TOTAL $ 36.73 BILIRUBIN TOTAL TRANSCU $ 12.20 BINDER $ 25.00 BINOCULAR MICROSCOPY $ 23.70 BIO DRIVE MICRO CANN $ 770.00 BIO FREEZE $ 12.00 BIOCOMP-TENO SWIVELOCK 4.75 X 15 VE5 $ 1,925.00 BIOCOMP-TEVOD SCRW W/DISP DRV 5.5X15 $ 1,925.00 BIOCUE STD KIT DOMESTIC $ 6,380.00 BIOMET CC I-BEAM TRAY 67MM $ 3,012.50 BIOMET ILOK PRI TIB TRAY $ 5,547.50 BIOMET ILOK PRI TIB TRAY 67MM $ 5,547.50 BIOMETRIC TESTING $ 45.00 BIOMETRICS ESCREEN $ 15.00 BIOPSY BONE EXCISIONAL HUMERUS ISHIUM $ 2,426.00 BIOPSY BREAST NON PALPABLE LESION LT $ 4,275.60 BIOPSY BREAST NON PALPABLE LESION RT $ 4,275.60 BIOPSY DEVICE EVIVA $ 869.20 BIOPSY DEVICE FINE NDL 19GA $ 1,820.00 BIOPSY INTRANASAL $ 87.11 BIOPSY INTRANASAL $ 1,662.83 BIOPSY INTRANASAL $ 1,749.94 BIOPSY OF ANORECTAL WALL ANAL APPROACH $ 390.04 BIOPSY OF ANORECTAL WALL ANAL APPROACH $ 3,034.95 BIOPSY OF ANORECTAL WALL ANAL APPROACH $ 3,424.99 BIOPSY OF BREAST-LT $ 2,112.90 BIOPSY OF BREAST-RT $ 2,112.90 BIOPSY OF CERVIX $ 97.55 BIOPSY OF CERVIX $ 865.63 BIOPSY OF CERVIX $ 963.18 BIOPSY OF FLOOR OF MOUTH $ 116.56 BIOPSY OF FLOOR OF MOUTH $ 1,607.61 BIOPSY OF FLOOR OF MOUTH $ 1,724.16 BIOPSY OF LIP $ 95.99 BIOPSY OF LIP $ 232.05 BIOPSY OF LIP $ 328.04 BIOPSY OF TONGUE; ANTERIOR 2/3 $ 138.98 CHARGE DESCRIPTION CHARGE AMOUNT BIOPSY OF TONGUE; ANTERIOR 2/3 $ 575.41 BIOPSY OF TONGUE; ANTERIOR 2/3 $ 714.39 BIOPSY OF TONGUE; POSTERIOR 1/3 $ 278.55 BIOPSY OF VULVA/PERINEUM 1 LESION $ 78.66 BIOPSY OF VULVA/PERINEUM 1 LESION $ 358.49 BIOPSY OF VULVA/PERINEUM 1 LESION $ 437.15 BIOPSY OROPHARYNX $ 143.36 BIOPSY OROPHARYNX $ 2,806.95 BIOPSY OROPHARYNX $ 2,950.31 BIOPSY SALIVARY GLAND INCISIONAL $ 450.24 BIOPSY THYROID PERCUTANEOUS NEEDLE CORE $ 255.53 BIOPSY VESTIBULE OF MOUTH $ 266.30 BIOSPY BREAST NON-PALPABLE LESION $ 4,275.60 BIOTRONIX MONITORING $ 1,255.29 BIPAP FIRST DAY $ 453.80 BIPAP SUBSEQUENT DAY $ 453.80 BIPASS DISP NITINOL SINGLE $ 500.00 BIPASS PLASTIC NITINOL DISP X1 $ 425.00 BIPOLAR HIP REPLACEMENT $ 3,006.13 BIT 2.0 DRILL BIT PROXIMAL $ 322.40 BIT 2.0 DRILL MEDICAL & DISTAL $ 536.00 BIT 2.9MM DRILL $ 370.40 BIT CANN DRIVER HEX 1.5MM AO $ 1,280.00 BIT DRILL 2.0 $ 312.64 BIT DRILL 2.0MM 310 21 $ 324.00 BIT DRILL 2.0MM CANN SQC $ 1,196.00 BIT DRILL 2.5MM 180MM 310.23 $ 324.00 BIT DRILL 2.5MM 310 25 $ 289.48 BIT DRILL 2.7MM CANNULATED 310 67 $ 1,779.00 BIT DRILL 3.2MM 195MM 310.29 $ 543.08 BIT DRILL 3.2MM 310.31 $ 285.00 BIT DRILL 3.2MM CANNULATED $ 1,750.46 BIT DRILL 3.5MM 310.35 $ 306.00 BIT DRILL 3.5MM CANNULATED 310 68 $ 1,681.16 BIT DRILL 4.5 CANNULATED 310 69 $ 1,584.45 BIT DRILL 4.5MM 310.44 $ 295.20 BIT DRILL DISP 1/4 $ 131.32 BIT DRILL NCB 2.5MM L24 $ 364.00 BIT DRILL NCB 4.3MM L24 $ 364.00 BLADDER IRRIGATION $ 655.08 BLADDER IRRIGATION $ 655.08 BLADDER IRRIGATION $ 655.08 BLADDER IRRIGATION $ 655.08 BLADDER IRRIGATION $ 655.08 BLADE $ 102.20 BLADE $ 115.64 CHARGE DESCRIPTION CHARGE AMOUNT BLADE 2296-3-225 $ 99.84 BLADE - INCISION 24FR $ 257.72 BLADE - SKIMMER MICROLARYNGEAL 2.9MM $ 1,621.17 BLADE - SKIMMER MICROLARYNGEAL 2.9MMX27 $ 1,626.10 BLADE 11.0 MM HELICAL 105MM - STERILE $ 2,443.77 BLADE 11.0 MM TI HELICAL 90MM - STERILE $ 2,443.77 BLADE 11.0 MM TI HELICAL 95MM-STERILE $ 2,262.75 BLADE 11.0 MM TI HELICAL 10MM - STERILE $ 2,060.80 BLADE 11.0 MM TI HELITCAL 100MM STERILE $ 2,443.77 BLADE 11.0MM HELICAL TI 120MM - STERILE $ 2,443.77 BLADE 13CM ROTATABLE FUSION $ 1,103.60 BLADE 2108 109 $ 77.44 BLADE 4.0MM ROTATE TRICUT SINUS $ 702.64 BLADE 4.5MM TRIVEX SYS DISP $ 582.68 BLADE 5.5MM TRIVEX SYS DISP $ 582.68 BLADE ASSEMBLY DISP $ 860.00 BLADE CLIPPER SPECIALTY $ 56.00 BLADE ENDOTRAC DISP $ 1,256.00 BLADE EXPLANT FULL LNG 50MM $ 2,625.00 BLADE EXPLANT TRUNCATED 50MM $ 2,625.00 BLADE HDEAVY DUTY UNICOMP $ 102.72 BLADE INFERIOR TURBINATE 2.0 $ 849.52 BLADE INFERIOR TURBINATE 2.9MM $ 911.92 BLADE LARYNGOSCOPE MILLER 00 DISP $ 4.16 BLADE LARYNGOSCOPE MILLER SZ 0 DISP $ 4.16 BLADE LARYNGOSCOPE MILLER SZ 1 DISP $ 4.16 BLADE MED/NAR $ 99.48 BLADE MED/NAR $ 99.84 BLADE MED/NAR $ 99.84 BLADE MEDIUM 18.5MM X 9 $ 99.84 BLADE MRI LONG OSTEO NONSTERILE 10MM $ 760.00 BLADE MRI SHORT OSTEO NONSTERILE 10MM $ 760.00 BLADE MRI SHORT OSTEO NONSTERILE 12MM $ 688.00 BLADE MRI SHORT OSTEO NONSTERILE 20MM $ 620.00 BLADE MRI SHORT OSTEO NONSTERILE 8MM $ 760.00 BLADE PATELLA REAMER W/PILOT DRILL 35 $ 480.00 BLADE PATELLA REAMER W/PILOT DRILL 41 $ 480.00 BLADE PATELLA REAMER W/PILOT HOLE 35MM $ 800.00 BLADE PLASMA 3OS $ 999.18 BLADE RECIPROCATING DOUBLE SIDE $ 98.32 BLADE RECIPROCATING OFFSET 6.0MM $ 98.32 BLADE SAG FOR BIOMET $ 77.44 BLADE SAGITAL $ 221.12 BLADE SAGITAL DUAL CUT 11X1.27X90MM $ 166.28 BLADE SHORT NARROW $ 99.48 BLADE SHORT/NAR $ 109.20 CHARGE DESCRIPTION CHARGE AMOUNT BLADE SINUS RAD 12 4MM $ 739.68 BLADE SINUS RAD 40 4MM $ 665.92 BLADE SINUS RAD 60 4MM $ 670.52 BLADE TI HELICAL 11.0MM X 85MM $ 2,517.10 BLADE TYMPANOPLASTY 60 DEGREE $ 56.08 BLADE TYMPANOPLASTY NARROW SHAFT $ 56.08 BLADE-ACL $ 102.20 BLADES $ 99.84 BLEEDING TIME $ 74.20 BLENOXANE INJ 15 UNITS $ 116.85 BLEPHAROPL UL W EXC SKIN $ 1,069.44 BLEPHAROPLASTY LOWER $ 1,800.00 BLEPHAROPLASTY U EYLID $ 765.74 BLEPHAROPLASTY UPPER $ 1,800.00 BLOOD ALCOHOL $ 28.60 BLOOD COLLECTION PICC $ 228.01 BLOOD COLLECTION VAD $ 645.53 BLOOD COLLECTION VAD $ 645.53 BLOOD DRAW FROM PICC $ 190.01 BLOOD PATCH $ 2,030.42 BLOOD PATCH $ 2,030.42 BLOOD PATCH $ 2,030.42 BLOOD PATCH $ 2,030.42 BLOOD PRESSURE $ 10.00 BLOOD SET Y TYPE $ 14.03 BLOOD TRANSFUSION ADMINISTRATION $ 952.28 BLOOD TRANSFUSION SERVICE $ 952.28 BLOOD TRANSFUSION SERVICE $ 952.28 BLOOD TRANSFUSION SERVICE $ 793.57 BLOOD TRANSFUSION SERVICE $ 793.57 BLOOD TRANSFUSION SERVICE $ 952.28 BLOOD TRANSFUSION SERVICE $ 952.28 BLOOD TRANSFUSION SERVICE $ 952.28 BLOOD TRANSFUSION SERVICE $ 952.28 BLOOD TRANSFUSION SERVICE $ 952.28 BLOOD TRANSFUSION SERVICE $ 952.28 BMI $ 5.00 BMT 360 2.5MM OFFSET ADAPTER $ 3,115.00 BMT 360 TIB 5.0 OFFSET ADAPTER $ 3,115.00 BMT 360 TIB AUG 59 X 5MM $ 2,895.00 BMT 360 TIB AUG 83 X 10MM $ 2,895.00 BMT 360 TIB LG CRUCIATE WING $ 2,856.00 BMT 360 TIB SM CRUCIATE WING $ 2,723.00 BMT 360 TIB TRAY 59MM $ 5,800.00 BMT 360 TIB TRAY 63MM $ 5,800.00 BMT 360 TIB TRAY 67MM $ 5,800.00 CHARGE DESCRIPTION CHARGE AMOUNT BMT 360 TIB TRAY 71MM $ 5,800.00 BMT 360 TIB TRAY 79MM $ 5,800.00 BMT 360 TIB TRAY 83MM $ 5,800.00 BMT SPLINED KNEE STM V2 12 X 40 $ 6,280.00 BMT SPLINED KNEE STM V2 14 X 40 $ 5,800.00 BMT SPLINED KNEE STM V2 17 X 80 $ 3,982.50 BMT SPLINED KNEE STM V2 21 X 120 $ 5,980.00 BODY - GLBL UNITE ANT 128 SZ 12 $ 2,880.00 BODY - GLBL UNITE ANT 135 SZ 12 $ 2,880.00 BODY FLUID ALBUMIN $ 91.89 BODY FLUID CRYSTAL I $ 103.05 BODY FLUID PH $ 50.09 BODY FLUID RF $ 70.17 BODY FLUID SPECIFIC GRAVITY $ 23.51 BOLT EXTRACTION 3.5MM $ 952.00 BOLT EXTRACTION 4.5MM $ 952.00 BOLT EXTRACTION 6.5MM $ 763.20 BOLT MALLORY HEAD TROCHANTER $ 2,299.50 BONE AGE $ 137.50 BONE BIOPSY OPEN DEEP $ 891.98 BONE BIOPSY OPEN SUPERFICIAL $ 383.83 BONE BX EXCISIONAL ILIUM STERNUM SPINO $ 2,232.00 BONE CEMENT REFOBACIN R 1 X 40 US $ 600.00 BONE FENESTRATION PERFORATOR $ 708.00 BONE GFT FEM HEAD NECK IT OR ST $ 2,362.78 BONE GRAFT SUB AUGMENT 3CC $ 6,990.00 BONE GRAFT SUBSTITUTE INJ 10CC $ 7,500.00 BONE MARROW ASPIRATE & BIOPSY MCR ONLY $ 3,457.91 BONE MARROW ASPIRATE & BIOPSY MCR ONLY $ 3,309.00 BONE MARROW ASPIRATION $ 1,726.44 BONE MARROW BIOPSY $ 3,309.00 BONE MARROW BIOPSY $ 3,309.00 BONE MARROW BIOPSY $ 3,309.00 BONE MARROW BIOPSY $ 3,386.13 BONE MARROW BIOPSY $ 3,309.00 BONE MARROW BIOPSY $ 3,309.00 BONE MARROW SMEAR INTERPRETATION $ 567.46 BONE SCREW 6.5 X 20 SELF TAP $ 440.00 BOOSTRIX INJ 0.5ML $ 87.53 BOOT POSITIONER (BLUE FOOT PILLOW) $ 52.28 BOOT PREVALON W/ WEDGE $ 147.24 BOOTH SET UP AND TEAR DOWN $ 100.00 BORDETELLA Ab $ 80.90 BOTOX $ 14.00 BOTOX COSMETIC INJ 1 UNIT $ 14.00 BOTOX INJ 1 UNIT $ 12.00 CHARGE DESCRIPTION CHARGE AMOUNT BOTOX INJ 1 UNIT $ 12.00 BOWEL DISORDERS EVALUATION R/O CASCADE $ 190.00 BOY SCOUT PHYSICAL $ 30.00 BP/BMI $ 15.00 BPG AORTOBIFEMORAL $ 3,554.42 BPR $ 28.00 BRA LG SURGICAL $ 153.76 BRA MD SURGICAL $ 147.56 BRA QUEEN SURGICAL $ 215.92 BRA SM SURGICAL $ 139.12 BRA SUPER QUEEN SURGICAL $ 253.88 BRA SURGICAL $ 120.40 BRA XL SURGICAL $ 172.64 BRA XS SURGICAL $ 139.12 BRA XXL SURGICAL $ 181.84 BRACE ANKLE UNIVERSAL $ 50.00 BRACE PATELLA LG HORSESHOE $ 106.56 BRACE PATELLA MEDIUM HORSESHOE $ 118.40 BRACE PATELLA XLG HORSESHOE $ 118.40 BRACE PELVIC MEDIUM LEFT $ 673.75 BRACE PELVIC MEDIUM RIGHT $ 770.00 BRACE PELVIC SMALL LEFT $ 673.75 BRACE PELVIC SMALL RIGHT $ 673.75 BRACE UNIVERSAL LEG - LONG $ 690.64 BRACE UNIVERSAL MEDIUM LEG $ 620.00 BRACE UNIVERSAL SHORT LEG $ 620.00 BRAF $ 632.38 BRAF GENE ANALYSIS V600E VARIANTS $ 632.38 BRAVO MONITOR $ 1,250.62 BRCA1, BRCA2 GENE ANALYSIS $ 2,253.00 BREAST RECONST W TISS EXP $ 3,489.00 BREAST RECONSTRUCT W OTHR $ 2,825.30 BREATH ALCOHOL DISA $ 25.00 BREATH ALCOHOL ESCREEN $ 25.00 BREATH ALCOHOL INSUFFICEINT BREATH $ 15.00 BREATH ALCOHOL OHC $ 25.00 BREATH ALCOHOL PIPELINE TEST $ 25.00 BREATH ALCOHOL POST ACCIDENT $ 25.00 BREATH ALCOHOL R/S $ 25.00 BREATH ALCOHOL SCREEN $ 25.00 BRETHINE INJ 1 MG $ 28.00 BREVIBLOC INJ 100 MG $ 74.71 BRIDION (SUGAMMADEX) 100 MG/ML SDV $ 455.13 BRIEF EMOTIONAL/BEHAV ASSMT $ 13.25 BRILINTA TAB 90 MG $ 19.60 BRILINTA TABLET 60 MG $ 19.71 CHARGE DESCRIPTION CHARGE AMOUNT BRNCHSC W/THER ASPIR 1ST $ 372.68 BRONCHOSCOPY W/BIOPSY(S) $ 397.58 BRONCHOSCOPY W/TUMOR EXCISE $ 639.45 BRONCHOSCOPY/LUNG BX EACH $ 448.90 BRONCHOSCOPY/NEEDLE BX EACH $ 491.00 BRONCHOSPASM - PRE POST BD $ 36.00 BRUCELLA ANTIBODY $ 24.72 BRUSH - CYTOLOGY $ 57.20 BRUSH - CYTOLOGY 2MM X 10MM $ 51.16 BRUSH - CYTOLOGY 3MM X 10MM $ 51.16 BRUSH BIOPSY $ 422.40 BRUSH COMBO CATH RX CYTOLOGY BF 2.1 $ 412.00 BRUSH MIRCOBIOLOGY $ 69.44 BSS OPHTH SOLN 15ML $ 47.17 BSS PLUS OPHTH SOLN 500 ML $ 357.63 BULB IRRIGATION PATHFINDER PLUS $ 148.00 BUMEX INJ 1 MG $ 19.45 BUMEX INJ 2.5 MG $ 32.50 BUMEX TAB 1 MG $ 3.25 BUN $ 39.00 BUN $ 20.25 BUN (UREA NITROGEN) $ 20.05 BUNION SHIELD/TOE STRAIGHTNER $ 8.00 BUPRENEX INJ 0.3 MG $ 22.28 Buprenorphine and Metabolite $ 120.00 BURR PEAR 6.1 $ 153.32 BURR ROUND $ 132.16 BURR ROUND 3.20MM $ 149.24 BURR ROUND 4.0MM 12 FLUTE $ 148.00 BURR SIDE CUTTING 2.0 X 5 X 55MM $ 138.48 BUSHING COMPR AUG REAM GD $ 520.00 BUSPAR TAB 10 MG $ 1.21 BUSPAR TAB 5 MG $ 1.30 BUTTON GASTROSTOMY 28FR X 4.3CM $ 396.00 BUTTON HF RES OVAL 24FR 12-30 DEG $ 1,669.92 BUTTON HF-RESECTION 12 & 30 DEGREE W/ CA $ 1,729.00 BUTTON NCB CABLE $ 630.00 BUTTON REPLACEMENT GASTRO 24F X 4.4CM $ 396.00 BUTTON REPLACEMENT GASTRO 24FRX1.2CM $ 396.00 BUTTON REPLACEMENT GASTRO 24FX3.4CM $ 396.00 BUTTON REPLACEMENT GASTROSTOMY $ 396.00 BUTTON TUBE COLLAR ULTRASIL SHEENY $ 73.32 BWC EX EMPLOYEE 40.00 $ 40.00 BWC EZ SUPERVIOSR 65.00 X1 $ 65.00 BWC REFRESHER EMPLOYEE 45.00 $ 40.00 BWC REFRESHER SUP 75.00 X3 $ 225.00 CHARGE DESCRIPTION CHARGE AMOUNT BX BREAST 1ST LESION STRTCTC $ 427.70 BX BREAST 1ST LESION US IMAG $ 209.09 BX BREAST 1ST LESION US IMAG $ 1,607.61 BX BREAST 1ST LESION US IMAG $ 1,816.70 BX BREAST 1ST LESION US IMAG $ 1,816.70 BX BREAST ADD LESION STRTCTC $ 216.03 BX BREAST ADD LESION US IMAG $ 201.00 BX BREAST PERCUT W/O IMAGE $ 2,021.91 BX DONE W/COLPOSCOPY ADD-ON $ 103.10 BX EXTERNAL EAR $ 63.75 BX EXTERNAL EAR $ 267.98 BX EXTERNAL EAR $ 331.73 BX NASOPHARYNX VISIBLE LESION SIMPLE $ 224.88 BX OF LIVER WEDGE $ 2,135.40 BX SKIN SQ/MM EA ADDTL $ 149.56 BX SKIN SQ/MM SGL $ 762.93 BX VAGINAL MUCOSA EXTENSIVE $ 271.84 BX VAGINAL MUCOSA SIMPLE $ 87.50 BX VAGINAL MUCOSA SIMPLE $ 725.45 BX VAGINAL MUCOSA; SIMPLE $ 812.96 BX VULVA OR PERINEUM EA ADDTL LESION $ 25.06 BX VULVA OR PERINEUM EA ADDTL LESION $ 38.99 BX VULVA OR PERINEUM; EA ADDTL LESION $ 64.05 BYP GRAFT NON VEIN FEM-POP $ 2,234.82 BYP GRAFT NOT VEIN AXILL-POPLITEAL $ 2,710.00 BYP GRAFT NOT VEIN FEM-FEM $ 17,558.28 BYP GRAFT NOT VEIN FEM-FEM $ 2,237.22 BYP GRAFT W VEIN FEM-ANT TIB POST TIB $ 3,436.92 BYPASS GRAFT W VEIN FEMERAL-FEMERAL $ 2,526.98 BYPASS GRAFT W VEIN FEM-POPLITEAL $ 2,876.98 BYSTOLIC TAB 5 MG $ 15.02 C DIFF BY PCR $ 240.50 C PEPTIDE $ 129.82 C REP S/A/L 1.1-2.5CM $ 305.83 C REP S/A/L 1.1-2.5CM $ 627.76 C REP S/A/L 1.1-2.5CM $ 933.58 C REP S/A/L EA ADD 5 CM OR LESS $ 259.98 C REP TRUNK 1.1-2.5 CM $ 627.76 C REP TRUNK 1.1-2.5 CM $ 894.71 C REP TRUNK 1.1-2.5CM $ 266.96 C REP TRUNK EA ADDTL 5 CM $ 237.44 C REP TRUNK; 2.6-7.5CM $ 854.85 C REP TRUNK; EA ADDL 5CM/< $ 2,706.64 C TX PATELLAR DISLOCATION WO ANESTH $ 279.37 C TX PATELLAR DISLOCATION WO ANESTH $ 279.37 C TX PATELLAR DISLOCATION WO ANESTH $ 429.82 CHARGE DESCRIPTION CHARGE AMOUNT C TX PATELLAR DISLOCATION; WO ANEST $ 532.00 C0 DIFFUSE CAPACITY $ 129.50 C3 NEPHRITIC FACTOR $ 113.64 CA 125 $ 147.29 CA 15 3 (27.29) $ 142.14 CA 19 9 $ 134.93 CA SCRNING PELV & BRST EXAM $ 35.85 CA SCRNING PELV & BRST EXAM $ 91.34 CA SCRNING PELV & BRST EXAM $ 127.19 CA-125 ON-SITE 35.00/EACH $ 35.00 CABLE AND LEAD SYSTEM 3 LEAD DISP $ 65.00 CABLE BIPOLAR $ 301.76 CABLE COCR W/TI CRIMP $ 1,719.38 CABLE EXTENSION 8' $ 126.00 CABLE MEDTRONIC SURG. $ 300.00 CABLE SS WITH CRIMP $ 1,909.71 CABLE TEST STIMULATION MEDTRONIC $ 320.00 CABLE TESTING MEDTRONIC INC $ 160.00 CABLE-READY CABLE ASSY COCR 1.8MM $ 1,240.40 CABLE-READY CABLE CTR COCR 1.8MMX635M $ 893.20 CADMIUM $ 73.13 CAFFEINE SODIUM BENZOATE INJ 500 MG $ 88.75 CALAN INJ 5 MG $ 140.23 CALAN TAB 40 MG $ 1.46 CALAN-SR TAB 180 MG $ 1.97 CALAN-SR TAB 240 MG $ 1.93 CALCANEUS REMOVAL $ 1,036.23 CALCITONIN $ 151.62 CALCITRIOL CAP 0.25 MCG $ 1.81 CALCIUM $ 39.00 CALCIUM CHLORIDE INJ 10% 10 ML $ 40.56 CALCIUM GLUCONATE INJ 10% 10 ML $ 33.31 CALCIUM, URINE $ 66.20 CALCIUM-D TAB 600 MG $ 1.15 CALIBRATED GUIDE PIN 3.2MM X 230 MM $ 534.80 CALORIC VSTBLR TEST W REC $ 63.20 CALORIC VSTBLR TEST W/ REC 2 IRRIGATIONS $ 341.30 CALORIC VSTBLR TEST W/ REC 2 IRRIGATIONS $ 31.60 CALORIC VSTBLR TEST W/ REC 4 IRRIGATIONS $ 341.30 CALPROTECTIN STOOL $ 418.19 CAMPTOSAR INJ 40MG/2ML $ 20.50 CANALITH REPOSITIONING PROC $ 177.04 CANALITH REPOSITIONING PROC $ 94.23 CANALITH REPOSITIONING PROCEDURE $ 177.04 CANALITH REPOSITIONING PROCEDURE $ 177.04 CANCELLOUS BONE SCREW 6.5MM X25mm $ 537.88 CHARGE DESCRIPTION CHARGE AMOUNT CANDIDA SPECIES AMPLIFIED PROBE TECHNIQU $ 154.27 CANISTER MAX SUCT W/TUBING AND FILTER $ 1,440.00 CANISTER MAX SUCT W/TUBING AND FILTER $ 1,440.00 CANISTER PREVENA (DISPOSABLE WOUND VAC) $ 92.20 CANISTER VAC INFO VAC W/GEL $ 107.84 CANN AQUALOC 7X75MM $ 146.20 CANN DRILL 4.8 X 200MM W/ZH STE $ 984.00 CANN DRILL 4.8 X 300 MM W/ZH STE $ 1,014.00 CANN MEASRG DVC F/3.5 CANN SCR $ 528.00 CANN RF 15CM 10MM 20GA COSMAN YELLOW $ 72.00 CANN SCREW 6.5MMX60MMX16MM $ 1,125.00 CANN SCREW 6.5MMX70MMX16MM $ 1,125.00 CANN TAP F/4.0MM CANN SCREWS $ 1,593.38 CANN+ HEX SCREWDRIVER SHAFT $ 1,077.30 CANNABINOID SYNTHETIC 7/MORE $ 119.48 CANNABINOIDS NATURAL $ 54.11 CANNULA - TWIST IN (ARTHREX) $ 100.00 CANNULA 5-4-3 $ 180.00 CANNULA ARTHREX PASSPORT BUTTON $ 184.00 CANNULA DRI - LOK FULL THREAD 6.5MMX75MM $ 62.96 CANNULA FAST-FIX 360 KPSC & SLOTTE $ 507.52 CANNULA SHARP CURVED INSLTD RF 20G/10TIP $ 58.00 CANNULA TPRD TIP 5.5FT $ 284.00 CANNULATED SHORT THREAD SCREW 3.5X28MM $ 996.00 CAPILLARY BLOOD DRAW $ 18.20 CAPNOLINE MONITOR ADULT 2 $ 59.68 CAPNOLINE SMART PLUS O2, ORAL/NASAL $ 53.72 CAPOTEN TAB 25 MG $ 5.45 CAPSULE BRAVO PH $ 1,032.00 CAPSULE BRAVO PH FGS0635 $ 1,053.60 CAPSULORRHAPHY; BANKART $ 2,502.08 CAPSULOTOMY; IP JNT SGL EA JOINT $ 632.23 CARAFATE COMPOUNDED SUSPENSION $ 5.00 CARAFATE TAB 1 GM $ 1.81 CARBAMAZEPINE $ 125.00 CARD PACEMAKER CRT-P VIVA $ 13,734.00 CARDENE IN SOD CHLORIDE 20 MG/200 ML PB $ 467.43 CARDENE INJ 25 MG $ 136.00 CARDIAC MONITOR CONFIRM RX DM3500 $ 9,800.00 CARDIAC RESYNCHRONIZATION DEVICE $ 13,295.96 CARDIOLIPIN (PHOSPHOLIPID) Ab $ 137.15 CARDIOLOGY LIPID SCREEN $ 27.17 CARDIOMEMS PA SENSOR AND DELIVERY SYS $ 5,445.00 CARDIOVASCULAR STRESS TEST $ 172.63 CARDIOVASCULAR STRESS TEST $ 55.53 CARDIOVERSION $ 2,526.86 CHARGE DESCRIPTION CHARGE AMOUNT CARDIOVERSION EXTERNAL $ 3,307.35 CARDIOVERSION EXTERNAL $ 3,307.35 CARDIOVERSION EXTERNAL $ 3,307.35 CARDIOVERSION EXTERNAL $ 3,307.35 CARDIOVERSION EXTERNAL $ 2,526.86 CARDIOVERSION EXTERNAL OUTPT ASU $ 2,526.86 CARDIOVERSION EXTERNAL OUTPT ER $ 3,307.35 CARDIOVERSION ELECTRIC EXT $ 275.20 CARDIZEM CD CAP 120 MG $ 3.32 CARDIZEM CD CAP 180 MG $ 2.17 CARDIZEM CD CAP 240 MG $ 4.98 CARDIZEM CD CAP 300 MG $ 6.31 CARDIZEM INJ 25 mg $ 19.54 CARDIZEM INJ 50 MG $ 24.27 CARDIZEM TAB 30 MG $ 1.44 CARDIZEM TAB 60 MG $ 1.70 CARDURA TAB 1 MG $ 2.28 CARDURA TAB 4 MG $ 3.59 C-ARM $ 860.25 CARNITINE TOTAL AND FREE $ 98.88 CAROTENE $ 70.43 CAROTID ARTERY SHUNT $ 200.60 CAROTID DUPLEX SCAN; BILAT $ 80.50 CAROTID DUPLEX SCAN; BILAT $ 308.46 CAROTID-DUPLEX COMPLETE BILATERAL $ 1,019.02 CAROTID-DUPLEX UNILATERAL OR LIMITED $ 672.49 CARPAL TUNNEL TX INJ $ 606.70 CARPAL TUNNEL TX INJ $ 116.36 CARTRIDGE CURVTEK LARGE $ 1,880.20 CASPOFUNGIN 50 MG INJ $ 102.03 CASPOFUNGIN 70 MG INJ $ 79.46 CAST - 3" WITH NO BOOT $ 393.32 CAST - 4" WITH NO BOOT $ 393.32 CAST COVERED STENT .035 5mmX22mmX80cm $ 5,030.00 CAST COVERED STENT .035 6mmX22mmX80cm $ 5,030.00 CAST COVERED STENT .035 7mmX22mmX80cm $ 5,030.00 CAST COVERED STENT .035 7mmX38mmX80cm $ 5,030.00 CAST REMOVAL ADULT $ 46.00 CATAPRES TAB 0.1 MG $ 1.31 CATAPRES TTS PATCH 0.1 MG $ 80.49 CATAPRESS-TTS PATCH 0.2 MG $ 134.84 CATECHOLAMINES - BLOOD $ 214.12 CATECHOLAMINES FRACTIONATED $ 209.49 CATH - FG APEX OTW 2.00MM X 12MM $ 460.00 CATH - FG APEX OTW 2.00MM X 8MM $ 460.00 CATH - FG APEX OTW 2.25MM X 12MM $ 460.00 CHARGE DESCRIPTION CHARGE AMOUNT CATH - FG APEX OTW 2.25MM X 8MM $ 460.00 CATH - FG APEX OTW 2.50MM X 12MM $ 460.00 CATH - FG APEX OTW 2.50MM X 8MM $ 460.00 CATH - FG APEX OTW 2.75MM X 12MM $ 460.00 CATH - FG APEX OTW 2.75MM X 8MM $ 460.00 CATH - FG APEX OTW 3.00MM X 12MM $ 460.00 CATH - FG APEX OTW 3.00MM X 8MM $ 460.00 CATH - FG APEX OTW 3.25MM X 12MM $ 460.00 CATH - FG APEX OTW 3.25MM X 8MM $ 460.00 CATH - FG APEX OTW 3.50MM X 12MM $ 460.00 CATH - FG APEX OTW 3.50MM X 8MM $ 460.00 CATH - FG APEX OTW 3.75MM X 12MM $ 460.00 CATH - FG APEX OTW 3.75MM X 8MM $ 460.00 CATH - FG APEX OTW 4.00MM X 12MM $ 460.00 CATH - FG APEX OTW 4.00MM X 8MM $ 460.00 CATH - FG APEX OTW 4.50MM X 12MM $ 460.00 CATH - FG APEX OTW 4.50MM X 8MM $ 460.00 CATH - FG APEX OTW 5.00MM X 12MM $ 460.00 CATH - FG APEX OTW 5.00MM X 8MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 2.00MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 2.00MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 2.25MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 2.50MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 2.75MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 3.25MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 3.50MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 3.75MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 4.00MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 4.50MM $ 460.00 CATH - NC QUANTUM APEX MR 15MM X 5.00MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 2.00MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 2.25MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 2.50MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 2.75MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 3.00MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 3.25MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 3.50MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 3.75MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 4.00MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 4.50MM $ 460.00 CATH - NC QUANTUM APEX MR 20MM X 5.00MM $ 460.00 CATH - NC QUANTUM APEX MR 30MM X 2.00MM $ 460.00 CATH - NC QUANTUM APEX MR 30MM X 2.25MM $ 460.00 CATH - NC QUANTUM APEX MR 30MM X 2.50MM $ 460.00 CATH - NC QUANTUM APEX MR 30MM X 2.75MM $ 460.00 CATH - NC QUANTUM APEX MR 30MM X 3.00MM $ 460.00 CHARGE DESCRIPTION CHARGE AMOUNT CATH - NC QUANTUM APEX MR 30MM X 3.25MM $ 460.00 CATH - NC QUANTUM APEX MR 30MM X 3.50MM $ 460.00 CATH - NC QUANTUM APEX MR 30MM X 3.75MM $ 460.00 CATH - NC QUANTUM APEX MR 30MM X 4.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 2.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 2.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 2.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 2.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 3.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 3.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 3.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 3.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 4.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 4.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 12MM X 5.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 2.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 2.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 2.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 2.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 3.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 3.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 3.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 3.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 4.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 4.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 15MM X 5.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 2.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 2.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 2.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 2.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 3.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 3.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 3.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 3.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 4.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 4.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 20MM X 5.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 30MM X 2.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 30MM X 2.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 30MM X 2.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 30MM X 2.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 30MM X 3.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 30MM X 3.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 30MM X 3.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 30MM X 3.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 30MM X 4.00MM $ 460.00 CHARGE DESCRIPTION CHARGE AMOUNT CATH - NC QUANTUM APEX OTW 6MM X 2.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 6MM X 2.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 6MM X 2.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 6MM X 2.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 6MM X 3.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 6MM X 3.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 6MM X 3.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 6MM X 3.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 6MM X 4.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 6MM X 4.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 6MM X 5.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 2.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 2.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 2.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 2.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 3.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 3.25MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 3.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 3.75MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 4.00MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 4.50MM $ 460.00 CATH - NC QUANTUM APEX OTW 8MM X 5.00MM $ 460.00 CATH ADH CLOT 4FX80CM $ 795.80 CATH ANGIO 5FX X 110 RADT4 $ 154.00 CATH ASPIRATION 50CM W/ ASPIRATION TUB $ 2,670.00 CATH ASPIRATION 6FR $ 4,675.00 CATH ATHERECTOMY SYS 2.2MMX130CM PHOENIX $ 5,400.00 CATH BALLOON 2.5MM X 16MM NC STORMER $ 665.00 CATH BALLOON EVERCROSS 10.0X20 $ 680.00 CATH BALLOON EVERCROSS 10.0X40 $ 680.00 CATH BALLOON EVERCROSS 10.0X60 $ 680.00 CATH BALLOON EVERCROSS 12.0X20 $ 680.00 CATH BALLOON EVERCROSS 12.0X40 $ 680.00 CATH BALLOON EVERCROSS 4.0X20 $ 680.00 CATH BALLOON EVERCROSS 4.0X40 $ 680.00 CATH BALLOON EVERCROSS 4.0X60 $ 680.00 CATH BALLOON EVERCROSS 4.0X80 $ 680.00 CATH BALLOON EVERCROSS 5.0X100 $ 680.00 CATH BALLOON EVERCROSS 5.0X120 $ 680.00 CATH BALLOON EVERCROSS 5.0X150 $ 900.00 CATH BALLOON EVERCROSS 5.0X20 $ 680.00 CATH BALLOON EVERCROSS 5.0X40 $ 680.00 CATH BALLOON EVERCROSS 5.0X60 $ 680.00 CATH BALLOON EVERCROSS 5.0X80 $ 680.00 CATH BALLOON EVERCROSS 6.0X100 $ 680.00 CATH BALLOON EVERCROSS 6.0X120 $ 680.00 CHARGE DESCRIPTION CHARGE AMOUNT CATH BALLOON EVERCROSS 6.0X150 $ 900.00 CATH BALLOON EVERCROSS 6.0X20 $ 680.00 CATH BALLOON EVERCROSS 6.0X200 $ 900.00 CATH BALLOON EVERCROSS 6.0X40 $ 680.00 CATH BALLOON EVERCROSS 6.0X60 $ 680.00 CATH BALLOON EVERCROSS 6.0X80 $ 680.00 CATH BALLOON EVERCROSS 7.0X100 $ 595.00 CATH BALLOON EVERCROSS 7.0X120 $ 680.00 CATH BALLOON EVERCROSS 7.0X150 $ 900.00 CATH BALLOON EVERCROSS 7.0X20 $ 680.00 CATH BALLOON EVERCROSS 7.0X200 $ 900.00 CATH BALLOON EVERCROSS 7.0X40 $ 680.00 CATH BALLOON EVERCROSS 7.0X60 $ 680.00 CATH BALLOON EVERCROSS 7.0X80 $ 680.00 CATH BALLOON EVERCROSS 8.0X20 $ 680.00 CATH BALLOON EVERCROSS 8.0X40 $ 595.00 CATH BALLOON EVERCROSS 8.0X60 $ 680.00 CATH BALLOON EVERCROSS 8.0X80 $ 680.00 CATH BALLOON EVERCROSS 9.0X20 $ 680.00 CATH BALLOON EVERCROSS 9.0X40 $ 680.00 CATH BALLOON EVERCROSS 9.0X60 $ 680.00 CATH BALLOON EVERCROSS OTW PTA 5X200X135 $ 900.00 CATH BALLOON NANOCROSS 2.5X120X150 $ 1,360.00 CATH BALLOON NANOCROSS 2.5X150X150 $ 1,760.00 CATH BALLOON NANOCROSS 2.5X210X150 $ 1,760.00 CATH BALLOON NANOCROSS 2.5X40X150 $ 1,190.00 CATH BALLOON NANOCROSS 2.5X80X150 $ 1,360.00 CATH BALLOON NANOCROSS 2X120X150 $ 1,360.00 CATH BALLOON NANOCROSS 2X150X150 $ 1,760.00 CATH BALLOON NANOCROSS 2X210X150 $ 1,760.00 CATH BALLOON NANOCROSS 2X40X150 $ 1,360.00 CATH BALLOON NANOCROSS 2X80X150 $ 1,360.00 CATH BALLOON NANOCROSS 3.5X120X150 $ 1,360.00 CATH BALLOON NANOCROSS 3.5X150X150 $ 1,760.00 CATH BALLOON NANOCROSS 3.5X210X150 $ 1,760.00 CATH BALLOON NANOCROSS 3.5X40X150 $ 1,360.00 CATH BALLOON NANOCROSS 3.5X80X150 $ 1,360.00 CATH BALLOON NANOCROSS 3X120X150 $ 1,360.00 CATH BALLOON NANOCROSS 3X150X150 $ 1,760.00 CATH BALLOON NANOCROSS 3X210X150 $ 1,760.00 CATH BALLOON NANOCROSS 3X40X150 $ 1,360.00 CATH BALLOON NANOCROSS 3X80X150 $ 1,360.00 CATH BALLOON NANOCROSS 4X120X150 $ 1,360.00 CATH BALLOON NANOCROSS 4X150X150 $ 1,760.00 CATH BALLOON NANOCROSS 4X210X150 $ 1,760.00 CATH BALLOON NANOCROSS 4X40X150 $ 1,360.00 CHARGE DESCRIPTION CHARGE AMOUNT CATH BALLOON NANOCROSS 4X80X150 $ 1,360.00 CATH BALLOON NANOCROSS 5X120X150 $ 1,360.00 CATH BALLOON NANOCROSS 5X200X150 $ 1,360.00 CATH BALLOON NANOCROSS 5X60X150 $ 1,360.00 CATH BALLOON NANOCROSS 5X80X150 $ 1,360.00 CATH BALLOON NANOCROSS 6X120X150 $ 1,360.00 CATH BALLOON NANOCROSS 6X200X150 $ 1,360.00 CATH BALLOON NANOCROSS 6X60X150 $ 1,360.00 CATH BALLOON NANOCROSS 6X80X150 $ 1,360.00 CATH BALLOON OTW NC STORM 2.50 X 11 $ 760.00 CATH BALLOON OTW NC STORM 2.50 X 16 $ 760.00 CATH BALLOON OTW NC STORM 2.50 X 21 $ 760.00 CATH BALLOON OTW NC STORM 3.00 X 11 $ 760.00 CATH BALLOON OTW NC STORM 3.00 X 16 $ 760.00 CATH BALLOON OTW NC STORM 3.00 X 21 $ 760.00 CATH BALLOON OTW NC STORM 3.50 X 11 $ 760.00 CATH BALLOON OTW NC STORM 3.50 X 16 $ 760.00 CATH BALLOON OTW NC STORM 3.50 X 21 $ 760.00 CATH BALLOON OTW NC STORM 4.00 X 11 $ 760.00 CATH BALLOON OTW NC STORM 4.00 X 16 $ 760.00 CATH BALLOON OTW NC STORM 4.00 X 21 $ 2,031.25 CATH BLN CHOLANGIOGRAPHY 4FR 2LUM $ 1,589.81 CATH BLN CUTTING MR 2.00X10MM WOLVERINE $ 2,660.00 CATH BLN CUTTING MR 2.50X10MM WOLVERINE $ 2,660.00 CATH BLN CUTTING MR 3.00X10MM WOLVERINE $ 2,660.00 CATH BLN CUTTING MR 3.50X10MM WOLVERINE $ 2,660.00 CATH BLN CUTTING MR 4.00X10MM WOLVERINE $ 2,660.00 CATH BLN DIL 6-8X8X180 CRE F/G $ 688.00 CATH BLN DIL 8-10X12X180 CRE F/G $ 688.00 CATH BLN DIL 8-12X15X180 CRE F/G $ 688.00 CATH BLN DIL 8-15X18X180 CRE F/G $ 688.00 CATH BLN DIL 8-18X20X180 CRE F/G $ 688.00 CATH BLN DIL 8-8X10X180 CRE F/G $ 688.00 CATH BLN DIL RX 10MM X4 X180CM HURRICANE $ 916.00 CATH BLN DIL RX 1MM X2 X180CM HURRICANE $ 916.00 CATH BLN DIL RX 4MM X4 X180CM HURRICANE $ 916.00 CATH BLN DIL RX 6MM X4 X180CM HURRICANE $ 916.00 CATH BLN DIL RX 8MM X4 X180CM HURRICANE $ 916.00 CATH BLN DIL WG 10-12X240 CRE $ 797.60 CATH BLN DIL WG 12-15X240 $ 797.60 CATH BLN DIL WG 15-18X240 $ 797.60 CATH BLN DIL WG 6-8X240 CRE $ 797.60 CATH BLN DIL WG 8-10X240 CRE $ 797.60 CATH BLN STENT GRAFT RELIANT $ 1,780.00 CATH ELECTROHEMO 7FRX300 5BX $ 478.40 CATH ELECTROHEMO INJ 7FR X 210 $ 791.20 CHARGE DESCRIPTION CHARGE AMOUNT CATH EMBOLECTOMY 1LUM 3FX40CM $ 248.00 CATH EMBOLECTOMY 1LUM 3FX80CM $ 120.00 CATH EMBOLECTOMY 1LUM 4FX40CM $ 396.00 CATH EMBOLECTOMY 1LUM 4FX80CM $ 120.00 CATH EMBOLECTOMY 1LUM 5FX80CM $ 120.00 CATH EMBOLECTOMY 1LUM 6FX80CM $ 120.00 CATH EMBOLECTOMY FOGARTY 2FR X 60 $ 266.16 CATH EMBOLECTOMY FOGARTY 3FR X 40 $ 128.16 CATH EMBOLECTOMY FOGARTY 4FR X 80CM $ 131.36 CATH EMBOLECTOMY FOGARTY 6FR X 80 $ 128.16 CATH EMBOLECTOMY OTW 5.5FX80CM $ 396.00 CATH- FG APEX FLEX MR 1.50MM X 8MM $ 460.00 CATH- FG APEX MR 2.00MM X 8MM $ 460.00 CATH FOGARTY ADHERENT CLOT 5/8 $ 795.80 CATH FOGARTY ADHERENT CLOT 6/10 $ 696.33 CATH GD ANGL TIP .014X150CM $ 2,887.50 CATH GD EXT 6FRX150CM TELESCOPE $ 1,520.00 CATH GD EXT 7FRX150CM TELESCOPE $ 1,520.00 CATH GD STRT TIP .014X135CM $ 2,537.50 CATH GUIDE 6FR VSTA BRITE TIP 125CM MPA1 $ 604.80 CATH GUIDE 8F AL 1.5 ST $ 176.00 CATH GUIDE 8F AL 2 ST $ 193.60 CATH GUIDE 8FR AL1.5-SH 100CM $ 193.60 CATH GUIDE 8FR AL1-SH 100CM $ 193.60 CATH GUIDE 8FR AL2-SH 100CM $ 193.60 CATH GUIDE 8FR HSTICK SH 100CM $ 193.60 CATH GUIDE 8FR JL4 100CM $ 168.60 CATH GUIDE 8FR JR4 100CM $ 176.00 CATH GUIDE 8FR JR4 100CM $ 193.60 CATH GUIDE 8FR MPA1 100CM $ 193.60 CATH GUIDE 8FR XB 3.5 100CM $ 193.60 CATH GUIDE 8FR XB4 100CM $ 193.60 CATH GUIDE 8FR XBLAD 3.5 100CM $ 193.60 CATH GUIDE 8FR XBLAD4 100CM $ 193.60 CATH HAWKONE LX DIRECTIONAL ATHERECTOMY $ 6,690.00 CATH IN.PACT ADMRL 6F 6X60X130 DRG CTD $ 3,725.00 CATH INFUSION 5FR X 135CM UNIFUSE 10CM $ 660.00 CATH INFUSION 5FR X 135CM UNIFUSE 20CM $ 660.00 CATH INFUSION 5FR X 135CM UNIFUSE 40CM $ 660.00 CATH INFUSION 5FR X 135CM UNIFUSE 50CM $ 660.00 CATH INFUSION 5FR X 135CM UNIFUSE 5CM $ 660.00 CATH INFUSION CRAIG-MCNAMARA 100CM $ 360.00 CATH INFUSION CRAIG-MCNAMARA 135CM $ 560.00 CATH INFUSION UNIFUSE 30CM $ 660.00 CATH INTRAVASC US VISIONS PV.014P RX 150 $ 2,537.50 CATH JEJUNOSTOMY BAKER 16F $ 1,412.44 CHARGE DESCRIPTION CHARGE AMOUNT CATH LAB ICU R&B $ 2,242.79 CATH LAB PCU R&B $ 1,747.96 CATH LAB PCU R&B $ 963.67 CATH MICRO PROGREAT 2.4FR 130CM $ 1,320.00 CATH- NC QUANTUM APEX MR 12MM X 2.00MM $ 460.00 CATH- NC QUANTUM APEX MR 12MM X 2.50MM $ 460.00 CATH- NC QUANTUM APEX MR 12MM X 3.50MM $ 460.00 CATH- NC QUANTUM APEX MR 8MM X 3.50MM $ 460.00 CATH OCCL FOGARTY 3FR X 40CM $ 140.92 CATH OF UMBILICAL VEIN FOR DX $ 108.64 CATH OPTA PRO PTA BALLOON 9MMX2CM $ 620.00 CATH PLACE - 1ST ORDER LOWER BODY $ 1,684.54 CATH PLACE - 1ST ORDER THORAC/BRACHIO $ 1,361.64 CATH PLACE - 2ND ORDER LOWER BODY $ 1,596.00 CATH PLACE - 2ND ORDER THORAC/BRACHIO $ 1,429.00 CATH PLACE - 3RD ORDER LOWER BODY $ 1,851.74 CATH PLACE - 3RD ORDER THORAC/BRACHIO $ 1,544.00 CATH PTA 14MM X 4 X 110CM $ 1,176.00 CATH PTA 14MM X 6 X 110CM $ 1,176.00 CATH PTA 16MM X 4 X 110CM $ 1,176.00 CATH PTA 18MM X 4 X 110CM $ 1,876.00 CATH PTC DCB OTW 5X120MMX135CM $ 3,487.50 CATH PTCA MR 2.75 X 15MM NC EMERGE $ 740.00 CATH RADIAL ARTERY KIT $ 130.80 CATH RADIAL ARTERY KIT W/20GA NOL $ 88.00 CATH SARATOGA SUMP 34FR 20 $ 58.00 CATH SET MULTIUMEN 7FR X 16CM $ 406.08 CATH SINUS DIL SYS 6X20MM $ 3,772.50 CATH SPLIT III 14F X 28CM $ 1,320.00 CATH SUPRAPUBIC FADER TIP 14FR $ 191.84 CATH THROMB GRAFT 5F X 50CM $ 1,296.56 CATH THROMB GRAFT 6F X 50CM $ 1,296.56 CATH VENOUS THROMBO 10FR $ 203.52 CATH VIABAHN ENDOPROS 11X79X80CM $ 7,500.00 CATH WRLY VEIN SLCT VER 5FR 75CM $ 368.00 CATHETER - 14MM X 4MM X 75CM ATLAS $ 1,200.00 CATHETER - 5FR 24CM SG THERMAL DILUTION $ 400.00 CATHETER - FOGARTY IRRIGATION 4F $ 286.84 CATHETER - FOGARTY IRRIGATION 6F $ 286.84 CATHETER - INFUSION 12CM X 106CM $ 5,590.00 CATHETER - INFUSION 18CM X 106CM $ 5,590.00 CATHETER - INFUSION 24CM X 106CM $ 5,590.00 CATHETER - INFUSION 30CM X 135CM $ 5,590.00 CATHETER - INFUSION 40CM X 135CM $ 5,590.00 CATHETER - INFUSION 50CM X 135CM $ 5,590.00 CATHETER - INFUSION THROMB 12CMX135CM $ 5,590.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER QMAV MON 8MM X 2.75 $ 860.00 CATHETER QMAV MON 8MM X3.00MM $ 860.00 CATHETER 1.5 x 20 x 150 ARMADA BALL $ 820.00 CATHETER 1.5MM X 15MM MINI TREK $ 520.00 CATHETER 150CM QUICK CROSS .014 $ 3,010.00 CATHETER 150CM QUICK CROSS .018 $ 580.00 CATHETER 150CM QUICK CROSS .035 $ 2,537.50 CATHETER 2.0MM MINI TREK $ 520.00 CATHETER 2.0MM X 15MM MINI TREK $ 520.00 CATHETER 2.0MM X 20MM MINI TREK $ 520.00 CATHETER 2.0MM X 30MM MINI TREK $ 520.00 CATHETER 2.50MM X 12MM NC TREK $ 672.00 CATHETER 2.50MM X 12MM TREK $ 520.00 CATHETER 2.50MM X 15MM NC TREK $ 520.00 CATHETER 2.50MM X 15MM TREK $ 520.00 CATHETER 2.50MM X 20MM NC TREK $ 520.00 CATHETER 2.50MM X 20MM TREK $ 520.00 CATHETER 2.50MM X 30MM TREK $ 520.00 CATHETER 2.50MM X 8MM NC TREK $ 520.00 CATHETER 2.5MM X 12MM RX SPRINTER $ 760.00 CATHETER 2.5MM X 15MM RX SPRINTER $ 760.00 CATHETER 2.5MM X 21MM RX SPRINTER $ 760.00 CATHETER 2.5MM X 8MM TREK $ 672.00 CATHETER 2.75 X 12MM NC TREK OTW $ 520.00 CATHETER 2.75MM X 12MM RX SPRINTER $ 760.00 CATHETER 2.75MM X 15MM NC TREK $ 672.00 CATHETER 2.75MM X 15MM RX SPRINTER $ 760.00 CATHETER 2.75MM X 15MM TREK $ 520.00 CATHETER 2.75MM X 20MM $ 560.00 CATHETER 2.75MM X 20MM NC TREK $ 672.00 CATHETER 2.75MM X 20MM TREK $ 560.00 CATHETER 2.75MM X 21MM RX SPRINTER $ 760.00 CATHETER 2.75MM X 30MM TREK $ 560.00 CATHETER 2.75MM X 8MM NC TREK $ 560.00 CATHETER 3.00MM X 12MM NC TREK $ 520.00 CATHETER 3.00MM X 15MM NC TREK $ 520.00 CATHETER 3.00MM X 20MM NC TREK $ 520.00 CATHETER 3.00MM X 30MM RAPID TREK $ 560.00 CATHETER 3.00MM X 8MM NC TREK $ 672.00 CATHETER 3.0MM X 12MM RX SPRINTER $ 760.00 CATHETER 3.0MM X 15MM RAPID TREK $ 520.00 CATHETER 3.0MM X 15MM RX SPRINTER $ 760.00 CATHETER 3.0MM X 20MM RAPID TREK $ 520.00 CATHETER 3.0MM X 20MM RAPID TREK $ 672.00 CATHETER 3.0MM X 21MM RX SPRINTER $ 760.00 CATHETER 3.0MM X 6MM RX SPRINTER $ 760.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER 3.25MM X 12MM RX SPRINTER $ 760.00 CATHETER 3.25MM X 15MM NC TREK $ 672.00 CATHETER 3.25MM X 15MM RX SPRINTER $ 760.00 CATHETER 3.25MM X 20MM NC TREK $ 672.00 CATHETER 3.25MM X 21MM RX SPRINTER $ 760.00 CATHETER 3.50MM X 12MM NC TREK $ 520.00 CATHETER 3.50MM X 15MM NC TREK $ 520.00 CATHETER 3.50MM X 20MM NC TREK $ 520.00 CATHETER 3.50MM X 30MM RAPID TREK $ 520.00 CATHETER 3.50MM X 8MM NC TREK $ 520.00 CATHETER 3.50MM X 8MM RAPID TREK $ 560.00 CATHETER 3.50MM X 9MM RX SPRINTER $ 760.00 CATHETER 3.5MM X 104CM TURBOHAWK $ 6,390.00 CATHETER 3.5MM X 12MM RAPID TREK $ 520.00 CATHETER 3.5MM X 12MM RX SPRINTER $ 760.00 CATHETER 3.5MM X 15MM RAPID TREK $ 520.00 CATHETER 3.5MM X 15MM RX SPRINTER $ 760.00 CATHETER 3.5MM X 20MM RAPID TREK $ 520.00 CATHETER 3.5MM X 21MM RX SPRINTER $ 760.00 CATHETER 3.5MM X104CM 7FR TURBOHAWK $ 6,390.00 CATHETER 3.75 MM X 12 MM NC TREK $ 560.00 CATHETER 3.75MM X 12MM RX SPRINTER $ 760.00 CATHETER 3.75MM X 15MM NC TREK $ 672.00 CATHETER 3.75MM X 15MM RX SPRINTER $ 760.00 CATHETER 3.75MM X 15MM TREK 145CM $ 560.00 CATHETER 3.75MM X 20MM NC TREK $ 672.00 CATHETER 3.75MM X 20MM TREK 145CM $ 520.00 CATHETER 3.75MM X 21MM RX SPRINTER $ 760.00 CATHETER 3.75MM X 6MM RX SPRINTER $ 760.00 CATHETER 3F PRUITT OCCLUSION $ 1,116.00 CATHETER 4.0MM X 12MM NC TREK $ 520.00 CATHETER 4.0MM X 12MM RX SPRINTER $ 760.00 CATHETER 4.0MM X 15MM NC TREK $ 672.00 CATHETER 4.0MM X 15MM RAPID TREK $ 520.00 CATHETER 4.0MM X 15MM RX SPRINTER $ 760.00 CATHETER 4.0MM X 20MM NC TREK $ 520.00 CATHETER 4.0MM X 21MM RX SPRINTER $ 760.00 CATHETER 4.0MM X 6MM RX SPRINTER $ 760.00 CATHETER 4.5MM X 15MM NC TREK $ 672.00 CATHETER 4.5MM X 15MM RX SPRINTER $ 760.00 CATHETER 4.5MM X 15MM TREK 145CM $ 560.00 CATHETER 40CCIAB PUMP TUBING $ 68.40 CATHETER 4F PRUITT OCCLUSION $ 1,116.00 CATHETER 5.00MM X 15MM TREK $ 672.00 CATHETER 5.0MM X 15MM NC TREK $ 520.00 CATHETER 5.0MM X 15MM RX SPRINTER $ 760.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER 5F PRUITT OCCLUSION $ 1,116.00 CATHETER 5FR X 80CM SOS1OMNI $ 60.00 CATHETER 5FR X 80CM SOS2OMNI $ 60.00 CATHETER 6215 VENOGRAM 6FR 10MMX80CM $ 500.00 CATHETER 6248V-130P ATTAIN COMMAND $ 1,212.00 CATHETER 6250V-50S ATTAIN COMMAND $ 1,388.00 CATHETER 6250V-90 ATTAIN SELECT II $ 1,212.00 CATHETER 6250V-90S ATTAIN SELECT II $ 1,212.00 CATHETER 6250V-AM ATTAIN COMMAND $ 1,388.00 CATHETER 6250V-EH ATTAIN COMMAND $ 1,388.00 CATHETER 6250V-MB2 ATTAIN COMMAND $ 1,388.00 CATHETER 6250V-MB2X ATTAIN COMMAND $ 1,388.00 CATHETER 6250V-MP ATTAIN COMMAND $ 1,388.00 CATHETER 6250V-MPX ATTAIN COMMAND $ 1,388.00 CATHETER 6F PRONTO LP $ 710.76 CATHETER 6FR DUAL PORT PIGTAIL $ 588.00 CATHETER 6FR EBU 3.75 GUIDING $ 200.00 CATHETER 6FR RBU 3.5 GUIDING $ 200.00 CATHETER 6FR RBU GUIDING $ 200.00 CATHETER 6FR X B4.5 GUIDE $ 168.60 CATHETER 7.0 X 2.0X 90CM OTW PERIPH $ 2,660.00 CATHETER 7.5FR IABP 30CC BALLOON PUMP $ 2,187.50 CATHETER 7.5FR IABP 40CC BALLOON PUMP $ 1,953.00 CATHETER 8.0 X 2.0X 90CM OTW PERIPH $ 2,660.00 CATHETER AMPHIRION BALLOON 1.5X20X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 2.5X120X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 2.5X80X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 2X120X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 2X40X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 2X80X150 $ 1,120.00 CATHETER AMPHIRION BALLOON 3.5X120X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 3.5X40X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 3.5X80X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 3X120X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 3X40X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 3X80X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 4X120X150 $ 1,208.00 CATHETER AMPHIRION BALLOON 4X40X150 $ 1,498.00 CATHETER AMPHIRION BALLOON 4X80X150 $ 1,498.00 CATHETER ANGIOJET DVX $ 3,030.00 CATHETER ANGIOJET XMI $ 3,350.00 CATHETER ANGIOJET XPEEDIOR $ 2,630.00 CATHETER ANGIOSCULPT OTW PTA 2.0X10MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTA 2.0X20MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTA 2.5X20MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTA 3.0X20MM $ 3,062.50 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER ANGIOSCULPT OTW PTA 3.5X20MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTA 4.0X40MM $ 3,412.50 CATHETER ANGIOSCULPT OTW PTA 5.0X40MM $ 3,412.50 CATHETER ANGIOSCULPT OTW PTA 6.0 X 40MM $ 2,687.50 CATHETER ANGIOSCULPT OTW PTCA 2.0X10MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 2.0X15MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 2.0X20MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 2.5X10MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 2.5X15MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 2.5X20MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 3.0X10MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 3.0X15MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 3.0X20MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 3.5X10MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 3.5X15MM $ 3,062.50 CATHETER ANGIOSCULPT OTW PTCA 3.5X20MM $ 3,062.50 CATHETER ARMADA 6X20X135 $ 360.00 CATHETER ATB 4MM X 2CM BALLOON $ 580.00 CATHETER ATB 5MM X 4CM BALLOON $ 580.00 CATHETER ATHRCM 145CM 1.5MM DIAMONDBACK $ 6,790.00 CATHETER AVIATOR 4MM X 1.5CM $ 1,380.00 CATHETER AVIATOR 4MM X 20MM PTA $ 1,380.00 CATHETER AVIATOR 6MM X 20MM PTA $ 1,380.00 CATHETER AVIATOR 6X20 PTA DURALYN $ 1,380.00 CATHETER AVIATOR 7MM X 20MM PTA BALLOON $ 1,321.00 CATHETER AVIATOR BALLOON 5MMX20MM $ 1,380.00 CATHETER AVIATOR BALLOON 6MMX20MM $ 1,380.00 CATHETER BALLOON 4.0MM X 20MM $ 3,412.50 CATHETER BALLOON 4MM X 60MM $ 1,950.00 CATHETER BALLOON 5.0 X 100MM FOX SV $ 1,340.00 CATHETER BALLOON 5.0 X 120MM FOX SV $ 1,172.50 CATHETER BALLOON 5.0 X 80MM FOX SV $ 1,172.50 CATHETER BALLOON 5.0MM X 20MM $ 3,412.50 CATHETER BALLOON 5MM X 2CM CUTTING $ 2,660.00 CATHETER BALLOON 5MM X 60MM $ 1,950.00 CATHETER BALLOON 6.0 X 100MM FOX SV $ 1,172.50 CATHETER BALLOON 6.0 X 80MM FOX SV $ 1,172.50 CATHETER BALLOON 6FR 90CM $ 180.00 CATHETER BALLOON 6MM X 2CM CUTTING $ 2,712.50 CATHETER BALLOON 6MM X 60MM $ 1,950.00 CATHETER BALLOON 6X120X150 FOX SV $ 1,172.50 CATHETER BALLOON ADMIRAL 03X020X080 $ 560.00 CATHETER BALLOON ADMIRAL 04X080X130 $ 560.00 CATHETER BALLOON ADMIRAL 04X120X130 $ 560.00 CATHETER BALLOON ADMIRAL 05X020X130 $ 560.00 CATHETER BALLOON ADMIRAL 05X040X130 $ 560.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER BALLOON ADMIRAL 05X060X130 $ 560.00 CATHETER BALLOON ADMIRAL 05X080X130 $ 560.00 CATHETER BALLOON ADMIRAL 05X120X130 $ 560.00 CATHETER BALLOON ADMIRAL 06X020X080 $ 560.00 CATHETER BALLOON ADMIRAL 06X020X130 $ 560.00 CATHETER BALLOON ADMIRAL 06X040X080 $ 560.00 CATHETER BALLOON ADMIRAL 06X040X130 $ 560.00 CATHETER BALLOON ADMIRAL 06X080X080 $ 560.00 CATHETER BALLOON ADMIRAL 06X080X130 $ 560.00 CATHETER BALLOON ADMIRAL 06X120X130 $ 560.00 CATHETER BALLOON ADMIRAL 07X020X080 $ 560.00 CATHETER BALLOON ADMIRAL 07X020X130 $ 560.00 CATHETER BALLOON ADMIRAL 07X040X080 $ 560.00 CATHETER BALLOON ADMIRAL 07X040X130 $ 560.00 CATHETER BALLOON ADMIRAL 07X060X130 $ 560.00 CATHETER BALLOON ADMIRAL 07X080X130 $ 560.00 CATHETER BALLOON ADMIRAL 08X020X080 $ 560.00 CATHETER BALLOON ADMIRAL 08X020X130 $ 560.00 CATHETER BALLOON ADMIRAL 08X040X080 $ 560.00 CATHETER BALLOON ADMIRAL 08X040X130 $ 560.00 CATHETER BALLOON ADMIRAL 08X060X130 $ 560.00 CATHETER BALLOON ADMIRAL 08X080X130 $ 560.00 CATHETER BALLOON ADMIRAL 09X020X080 $ 560.00 CATHETER BALLOON ADMIRAL 09X020X130 $ 560.00 CATHETER BALLOON ADMIRAL 09X040X080 $ 560.00 CATHETER BALLOON ADMIRAL 09X040X130 $ 560.00 CATHETER BALLOON ADMIRAL 10X020X080 $ 560.00 CATHETER BALLOON ADMIRAL 10X020X130 $ 560.00 CATHETER BALLOON ADMIRAL 10X040X080 $ 560.00 CATHETER BALLOON ADMIRAL 10X040X130 $ 560.00 CATHETER BALLOON ADMIRAL 12X020X080 $ 560.00 CATHETER BALLOON ADMIRAL 12X020X130 $ 560.00 CATHETER BALLOON ADMIRAL 12X040X080 $ 560.00 CATHETER BALLOON ADMIRIAL 03X040X130 $ 560.00 CATHETER BALLOON ADMIRIAL 03X120X130 $ 560.00 CATHETER BALLOON ADMIRIAL 04X020X130 $ 560.00 CATHETER BALLOON ADMIRIAL 04X040X130 $ 560.00 CATHETER BALLOON ADMIRIAL 04X060X130 $ 560.00 CATHETER BALLOON APEX OTW 2.0 X 12 $ 796.00 CATHETER BALLOON APEX OTW 2.0 X 15 $ 460.00 CATHETER BALLOON APEX OTW 2.0 X 20 $ 460.00 CATHETER BALLOON APEX OTW 2.0 X 30 $ 740.00 CATHETER BALLOON APEX OTW 2.0 X 8 $ 860.00 CATHETER BALLOON APEX OTW 2.25 X 12 $ 860.00 CATHETER BALLOON APEX OTW 2.25 X 15 $ 860.00 CATHETER BALLOON APEX OTW 2.25 X 20 $ 860.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER BALLOON APEX OTW 2.25 X 8 $ 860.00 CATHETER BALLOON APEX OTW 2.50 X 12 $ 460.00 CATHETER BALLOON APEX OTW 2.50 X 15 $ 460.00 CATHETER BALLOON APEX OTW 2.50 X 20 $ 460.00 CATHETER BALLOON APEX OTW 2.50 X 30 $ 460.00 CATHETER BALLOON APEX OTW 2.50 X 40 $ 460.00 CATHETER BALLOON APEX OTW 2.50 X 8 $ 796.00 CATHETER BALLOON APEX OTW 3.0 X 12 $ 860.00 CATHETER BALLOON APEX OTW 3.0 X 15 $ 460.00 CATHETER BALLOON APEX OTW 3.0 X 20 $ 460.00 CATHETER BALLOON APEX OTW 3.0 X 30 $ 460.00 CATHETER BALLOON APEX OTW 3.0 X 40 $ 460.00 CATHETER BALLOON APEX OTW 3.0 X 8 $ 740.00 CATHETER BALLOON APEX OTW 3.5 X 12 $ 740.00 CATHETER BALLOON APEX OTW 3.5 X 30 $ 740.00 CATHETER BALLOON APEX OTW 3.50 X 15 $ 740.00 CATHETER BALLOON APEX OTW 3.50 X 20 $ 460.00 CATHETER BALLOON APEX OTW 4.0 X 15 $ 860.00 CATHETER BALLOON APEX OTW 4.0 X 20 $ 460.00 CATHETER BALLOON APEX OTW 4.0 X 30 $ 460.00 CATHETER BALLOON APEX OTW 4.5 X 15 $ 860.00 CATHETER BALLOON APEX OTW 4.50 X 20 $ 860.00 CATHETER BALLOON APEX OTW 5.0 X 15 $ 860.00 CATHETER BALLOON APEX OTW 5.0 X 20 $ 740.00 CATHETER BALLOON APEX OTW FLEX 1.5 X 12 $ 860.00 CATHETER BALLOON APEX OTW FLEX 1.5 X 15 $ 460.00 CATHETER BALLOON APEX OTW FLEX 1.5 X 20 $ 460.00 CATHETER BALLOON APEX OTW FLEX 1.5X8 $ 860.00 CATHETER BALLOON APEX OTW PUSH 1.5 X 12 $ 860.00 CATHETER BALLOON APEX OTW PUSH 1.5 X 15 $ 460.00 CATHETER BALLOON APEX OTW PUSH 1.5 X 20 $ 740.00 CATHETER BALLOON APEX OTW PUSH 1.5X8 $ 860.00 CATHETER BALLOON CRE 10-11-12 $ 812.00 CATHETER BALLOON CRE 12-13.5-15 $ 812.00 CATHETER BALLOON CRE 8-9-10 $ 812.00 CATHETER BALLOON OPTA PRO 2X80CM $ 620.00 CATHETER BALLOON OPTAPRO 10MM X 4CM $ 620.00 CATHETER BALLOON OPTI PLAST 9MMX4CM $ 592.00 CATHETER BALLOON QMAVERICK 5.0X15 $ 796.00 CATHETER BALLOON QMAVERICK OTW 2.5X15 $ 796.00 CATHETER BALLOON QMAVERICK OTW 2.5X20 $ 796.00 CATHETER BALLOON QMAVERICK OTW 2.5X8 $ 796.00 CATHETER BALLOON QMAVERICK OTW 2.75X15 $ 796.00 CATHETER BALLOON QMAVERICK OTW 3.0X15 $ 796.00 CATHETER BALLOON QMAVERICK OTW 3.0X20 $ 796.00 CATHETER BALLOON QMAVERICK OTW 3.0X8 $ 796.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER BALLOON QMAVERICK OTW 3.25X15 $ 791.00 CATHETER BALLOON QMAVERICK OTW 3.25X15 $ 796.00 CATHETER BALLOON QMAVERICK OTW 3.5X15 $ 796.00 CATHETER BALLOON QMAVERICK OTW 3.5X20 $ 860.00 CATHETER BALLOON QMAVERICK OTW 3.5X8 $ 860.00 CATHETER BALLOON QMAVERICK OTW 4.0X15 $ 860.00 CATHETER BALLOON QMAVERICK OTW 4.0X20 $ 860.00 CATHETER BALLOON QMAVERICK OTW 4.0X8 $ 796.00 CATHETER BALLOON QMAVERICK OTW 4.5X15 $ 1,000.00 CATHETER BALLOON QMAVERICK OTW 4.5X20 $ 1,000.00 CATHETER BALLOON QMAVERICK OTW 4.5X8 $ 1,120.00 CATHETER BALLOON SAVVY 4MM X 4CM $ 1,104.00 CATHETER BALLOON STERLING 80CM 5MMX20MM $ 1,278.00 CATHETER BALLOON SUBMARINE 2.5X120X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 2.5X40X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 2X120X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 2X20X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 2X60X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 3.5X40X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 3X120X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 3X40X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 4.5X40X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 4X120X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 4X20X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 4X80X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 5X120X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 5X20X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 5X40X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 5X60X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 5X80X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 6X120X130 $ 1,015.00 CATHETER BALLOON SUBMARINE 6X80X130 $ 1,015.00 CATHETER BALLOON UROMAX 18FR X 6CM $ 1,002.20 CATHETER BALLOON UROMAX 20 18FR 6CM $ 868.00 CATHETER BILIARY URINARY DRAINAGE 10FR $ 335.60 CATHETER CARSON ZEROTIP BALLOON $ 1,098.80 CATHETER CHOLANGIOCATHGRAPHY DISPOSABLE $ 185.32 CATHETER CHOLANGIOGRAPHY $ 111.92 CATHETER CLOSURE FAST $ 2,625.00 CATHETER CUTTING 4.0 MM X 1.5MM FLEXTOME $ 2,400.00 CATHETER CUTTING BALLOON 5MM X 2CM $ 2,800.00 CATHETER CUTTING BALLOON 6MM X 2CM $ 2,660.00 CATHETER CUTTING BALLOON 7MMX2CMX90CM $ 2,712.50 CATHETER CUTTING BALLOON 8MMX2CM $ 2,660.00 CATHETER CUTTING BALLOON OTW 2.25X10MM $ 2,800.00 CATHETER CUTTING BALLOON OTW 2.5X10MM $ 2,660.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER CUTTING BALLOON OTW 2.75X10MM $ 2,712.50 CATHETER CUTTING BALLOON OTW 2X10MM $ 2,716.00 CATHETER CUTTING BALLOON OTW 3.0X10MM $ 2,712.50 CATHETER CUTTING BALLOON OTW 3.25X10MM $ 2,800.00 CATHETER CUTTING BALLOON OTW 3.5X10MM $ 2,712.50 CATHETER CUTTING BALLOON OTW 3.75X10MM $ 2,800.00 CATHETER CUTTING BALLOON OTW 4.0X10MM $ 2,712.50 CATHETER CV 5FR 55CM 3 PICC PROVENA $ 1,112.80 CATHETER DIALYSIS 14FR 32CM $ 1,260.00 CATHETER DIALYSIS RELIANCE XK 19CM $ 931.20 CATHETER DIALYSIS RELIANCE XK 23CM $ 931.20 CATHETER DIALYSIS RELIANCE XK 27CM $ 931.20 CATHETER DIALYSIS RELIANCE XK 31CM $ 931.20 CATHETER DIALYSIS RELIANCE XK 35CM $ 931.20 CATHETER DIALYSIS RELIANCE XK 42CM $ 931.20 CATHETER DIALYSIS RELIANCE XK 50CM $ 931.20 CATHETER DIVER $ 1,645.00 CATHETER DT 3X4X135 $ 763.00 CATHETER EAGLE EYE GOLD CORONARY IMAGING $ 2,502.50 CATHETER EXPORT MANUAL ASPIRATION $ 1,925.00 CATHETER EXT GD GUIDEZILLA 5FR $ 188.12 CATHETER EXT GD GUIDEZILLA 6FR 25CM $ 1,400.00 CATHETER FETCH ASPIRATION $ 1,300.00 CATHETER FINECROSS MG 130CM $ 1,750.00 CATHETER FOGARTY ARTERIAL 80CM SZ3 $ 128.16 CATHETER FOGARTY ARTERIAL 80CM SZ5 $ 128.16 CATHETER FOLLOWER PHILLIPS 10FR $ 71.08 CATHETER FOLLOWER PHILLIPS 12FR $ 71.08 CATHETER FOLLOWER PHILLIPS 16FR $ 78.36 CATHETER FOLLOWER PHILLIPS 18FR $ 78.36 CATHETER FOLLOWER PHILLIPS 20FR $ 78.36 CATHETER FOLLOWER PHILLIPS 22FR $ 71.08 CATHETER FOLLOWER PHILLIPS 8FR $ 78.36 CATHETER FOX PLUS 5X120X135 $ 480.00 CATHETER FOX PLUS 6 X 120 $ 480.00 CATHETER FOX PLUS 6X120X135 $ 480.00 CATHETER FOX PLUS 6X40X135 $ 600.00 CATHETER FOX PLUS 6X60X135 $ 480.00 CATHETER FOX PLUS 7X120X135 $ 360.00 CATHETER FOX PLUS 7X40X135 $ 480.00 CATHETER FOX PLUS 8X20X135 $ 480.00 CATHETER FOX PLUS 8X40X135 $ 360.00 CATHETER FOX PLUS 9X40X135 $ 480.00 CATHETER FOX SV 2.5X120X150 $ 1,340.00 CATHETER FOX SV 2.5X60X150CM $ 940.00 CATHETER FOX SV 2X120X150 $ 1,172.50 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER FOX SV 2X40X150 $ 822.50 CATHETER FOX SV 2X60X150CM $ 822.50 CATHETER FOX SV 2X80X150 $ 1,172.50 CATHETER FOX SV 3X100X150CM $ 1,340.00 CATHETER FOX SV 3X120X150 $ 1,340.00 CATHETER FOX SV 3X60X150CM $ 940.00 CATHETER FOX SV 4X100X150CM $ 1,172.50 CATHETER FOX SV 4X30X150 $ 940.00 CATHETER FOX SV 4X40X150 $ 940.00 CATHETER FOX SV 5X40X150 $ 940.00 CATHETER FOX SV 5X60X150 $ 822.50 CATHETER GD 6250V-MPR ATTAIN COMMAND $ 1,388.00 CATHETER GD AL 1 5FR BRITE TIP $ 176.00 CATHETER GUIDE 5 FR AMPLATZ CORONARY $ 176.00 CATHETER GUIDE 5 FR HOCKEY STICK LBT $ 176.00 CATHETER GUIDE 5 FR JL 4 $ 176.00 CATHETER GUIDE 5 FR X B4 $ 176.00 CATHETER GUIDE 6FR 3DRC VB $ 176.00 CATHETER GUIDE 6FR AL.75 VB $ 193.60 CATHETER GUIDE 6FR AL1 SH VB $ 193.60 CATHETER GUIDE 6FR AL1 VB $ 168.60 CATHETER GUIDE 6FR AL2 VB $ 168.60 CATHETER GUIDE 6FR AR1 SH VB $ 193.60 CATHETER GUIDE 6FR AR1 VB $ 168.60 CATHETER GUIDE 6FR AR2 VB $ 168.60 CATHETER GUIDE 6FR H-STICK SH VB $ 193.60 CATHETER GUIDE 6FR H-STICK VB $ 168.60 CATHETER GUIDE 6FR IM VB $ 168.60 CATHETER GUIDE 6FR IM VB-1 VB $ 176.00 CATHETER GUIDE 6FR JL3 VB $ 168.60 CATHETER GUIDE 6FR JL3.5 SH VB $ 193.60 CATHETER GUIDE 6FR JL3.5 VB $ 168.60 CATHETER GUIDE 6FR JL4 SH VB $ 193.60 CATHETER GUIDE 6FR JL4 VB $ 168.60 CATHETER GUIDE 6FR JL5 VB $ 168.60 CATHETER GUIDE 6FR JL6 VB $ 168.60 CATHETER GUIDE 6FR JR3.5 SH VB $ 193.60 CATHETER GUIDE 6FR JR3.5 VB $ 168.60 CATHETER GUIDE 6FR JR4 SH VB $ 168.60 CATHETER GUIDE 6FR JR4 VB $ 168.60 CATHETER GUIDE 6FR JR5 VB $ 176.00 CATHETER GUIDE 6FR LCB VB $ 168.60 CATHETER GUIDE 6FR MPA1 SH VB $ 193.60 CATHETER GUIDE 6FR MPA1 VB $ 168.60 CATHETER GUIDE 6FR MPB1 VB $ 193.60 CATHETER GUIDE 6FR RCB VB $ 193.60 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER GUIDE 6FR XB3 VB $ 168.60 CATHETER GUIDE 6FR XB3.5 SH VB $ 193.60 CATHETER GUIDE 6FR XB3.5 VB $ 168.60 CATHETER GUIDE 6FR XB4 SH VB $ 193.60 CATHETER GUIDE 6FR XB4 VB $ 168.60 CATHETER GUIDE 6FR XBLAD3.0 SH VB $ 193.60 CATHETER GUIDE 6FR XBLAD3.0 VB $ 168.60 CATHETER GUIDE 6FR XBLAD3.5 VB $ 168.60 CATHETER GUIDE 6FR XBLAD4 VB $ 168.60 CATHETER GUIDE 6FR XBLAD4.0 SH VB $ 193.60 CATHETER GUIDE 6FR XBRCA VB $ 176.00 CATHETER GUIDE 7FR AL1 VB $ 193.60 CATHETER GUIDE 7FR AR1 VB $ 193.60 CATHETER GUIDE 7FR HSTICK VB $ 168.60 CATHETER GUIDE 7FR IM 90CM VB $ 168.60 CATHETER GUIDE 7FR JL3 VB $ 193.60 CATHETER GUIDE 7FR JL3.5 SH VB $ 193.60 CATHETER GUIDE 7FR JL3.5 VB $ 193.60 CATHETER GUIDE 7FR JL4 SH VB $ 193.60 CATHETER GUIDE 7FR JL4 VB $ 168.60 CATHETER GUIDE 7FR JL5 SH VB $ 193.60 CATHETER GUIDE 7FR JL5 VB $ 193.60 CATHETER GUIDE 7FR JR3.5 SH VB $ 193.60 CATHETER GUIDE 7FR JR3.5 VB $ 193.60 CATHETER GUIDE 7FR JR4 SH VB $ 193.60 CATHETER GUIDE 7FR JR4 VB $ 193.60 CATHETER GUIDE 7FR JR5 VB $ 193.60 CATHETER GUIDE 7FR LCB VB $ 193.60 CATHETER GUIDE 7FR MPA1 VB $ 193.60 CATHETER GUIDE 7FR MPB1 VB $ 193.60 CATHETER GUIDE 7FR RCB VB $ 193.60 CATHETER GUIDE 7FR XB3 VB $ 193.60 CATHETER GUIDE 7FR XB3.5 SH VB $ 193.60 CATHETER GUIDE 7FR XB3.5 VB $ 193.60 CATHETER GUIDE 7FR XB4 VB $ 193.60 CATHETER GUIDE 7FR XBLAD3.5 VB $ 193.60 CATHETER GUIDE 7FR XBLAD4 VB $ 168.60 CATHETER GUIDE XBLADE 5FR 3.5 CURVE $ 176.00 CATHETER GUIDELINER 3F $ 1,580.00 CATHETER GUIDELINER 6F $ 1,528.00 CATHETER GUIDELINER 8F $ 1,588.00 CATHETER GUIDING VISTA BRITE TIP 8F $ 176.00 CATHETER HYDROPHILIC 110CM 2.8FR $ 1,756.00 CATHETER HYDROPHILIC 135CM 2.8FR $ 1,756.00 CATHETER IABP 50CC $ 1,925.00 CATHETER IABP KIT $ 2,364.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER IM 6FR 55CM BRITE TIP GUIDE $ 220.80 CATHETER IMAGER II $ 71.00 CATHETER IMPELLA $ 50,000.00 CATHETER INFINITI MULTI 6F 3D JL4 PIG145 $ 105.00 CATHETER INFINITI MULTIPAC JL4 $ 105.00 CATHETER INFLATION SINUS BALLOON $ 298.20 CATHETER JB2 GLIDE 5FR $ 213.40 CATHETER JR 4LBT 5F BRITE TIP GUIDE $ 168.60 CATHETER JR4 6FR 55CM BRITE TIP GUIDE $ 220.80 CATHETER KOALA PRESSURE $ 86.56 CATHETER MAVERICK RX 2.0MM X 15MM $ 901.00 CATHETER MAVERICK RX 2.5MM X 15MM $ 796.00 CATHETER MAVERICK RX 3.0MM X 15MM $ 946.00 CATHETER MIRAFLEX MICRO 18 135CM $ 1,560.00 CATHETER MIRAFLEX MICRO 18 150CM $ 1,560.00 CATHETER MP GLIDE 5FR $ 202.60 CATHETER NC TREK 2.5MM X 12MM RX $ 520.00 CATHETER NC TREK 2.5MM X 15MM RX $ 520.00 CATHETER NC TREK 3.00MM X 8MM RX $ 672.00 CATHETER OCCL BLN AORTIC PRUITT 12FR $ 1,756.00 CATHETER OPTA PRO 10MM X 2CM PTA BALLOON $ 620.00 CATHETER OPTA PRO 10MM X 4CM PTA BALLOON $ 564.00 CATHETER OPTA PRO 6MM X 6CM $ 620.00 CATHETER OPTA PRO 7MM X 2CM PTA BALLOON $ 620.00 CATHETER OPTA PRO 7MM X 4CM $ 620.00 CATHETER OTW 2.5 X 100MM ANGIOSCULPT $ 2,875.00 CATHETER OTW 3.0 X 100MM ANGIOSCULPT $ 2,875.00 CATHETER OTW 3.5 X 100MM ANGIOSCULPT $ 2,875.00 CATHETER OTW MERLIN 2.50X10 $ 941.00 CATHETER OTW MERLIN 2.50X15 $ 896.00 CATHETER OTW MERLIN 2.75X10 $ 941.00 CATHETER OTW MERLIN 2.75X15 $ 896.00 CATHETER OTW MERLIN 3.00X10 $ 941.00 CATHETER OTW MERLIN 3.00X15 $ 896.00 CATHETER OTW MERLIN 3.25X10 $ 941.00 CATHETER OTW MERLIN 3.25X15 $ 941.00 CATHETER OTW MERLIN 3.50X10 $ 941.00 CATHETER OTW MERLIN 3.50X15 $ 896.00 CATHETER OTW MERLIN 3.75X10 $ 941.00 CATHETER OTW MERLIN 3.75X15 $ 896.00 CATHETER OTW MERLIN 4.00X15 $ 896.00 CATHETER OTW MERLIN 4.25X15 $ 896.00 CATHETER OTW MERLIN 4.50X15 $ 896.00 CATHETER OTW VOYAGER 1.5 X 15 $ 896.00 CATHETER OTW VOYAGER 2.0 X 12 $ 896.00 CATHETER OTW VOYAGER 2.0 X 15 $ 896.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER OTW VOYAGER 2.5 X 15 $ 941.00 CATHETER OTW VOYAGER 2.5 X 20 $ 896.00 CATHETER OTW VOYAGER 3.0 X 15 $ 896.00 CATHETER OTW VOYAGER 3.0 X 20 $ 896.00 CATHETER OTW VOYAGER 3.00 X 12 $ 896.00 CATHETER OTW VOYAGER 3.5 X 15 $ 896.00 CATHETER OTW VOYAGER 4.0 X 15 $ 896.00 CATHETER OUTBACK LTD RE-ENTRY $ 4,891.25 CATHETER PH PROBE DISPOSABLE $ 232.00 CATHETER PIG MB20 5FR 110CM $ 272.00 CATHETER PIONEER $ 5,800.00 CATHETER POLLACK OPEN END FLEXI TIP $ 55.48 CATHETER PRIMEWIRE FFR 300CC $ 2,362.50 CATHETER PRONTO V3 EXTRACTION $ 1,609.00 CATHETER PTA 3.0MM X 20MM X 137CM ANGIOS $ 2,625.00 CATHETER PTA 3.5MM X 20MM X 137CM ANGIOS $ 2,625.00 CATHETER QUANTUM MAVERICK MONORAIL3.25X8 $ 796.00 CATHETER QUICK CROSS .018X150 $ 552.00 CATHETER QUICK CROSS .035X135 $ 552.00 CATHETER QUICK CROSS .035X150 $ 552.00 CATHETER QUICK CROSS ANGLED 135CM $ 660.00 CATHETER QUICKCAT $ 1,400.00 CATHETER RDC 6FR 55CM BRITE TIP GUIDE $ 220.80 CATHETER REVOLUTION $ 2,310.00 CATHETER RUSCH 24FR 2WAY 30CC $ 71.60 CATHETER RUSCH 3 WAY 22FR 30CC $ 84.52 CATHETER RUSCH 3WAY 24FR 30CC $ 82.44 CATHETER RX PTCA 2.0 X 10MM ANGIOSCULPT $ 2,800.00 CATHETER RX PTCA 2.0 X 10MM ANGIOSCULPT $ 2,625.00 CATHETER RX PTCA 2.0 X 15MM ANGIOSCULPT $ 3,062.50 CATHETER RX PTCA 2.5 X 10MM ANGIOSCULPT $ 2,625.00 CATHETER RX PTCA 2.5 X 15MM ANGIOSCULPT $ 3,062.50 CATHETER RX PTCA 2.5 X 15MM ANGIOSCULPT $ 2,800.00 CATHETER RX PTCA 3.0 X 10MM ANGIOSCULPT $ 2,625.00 CATHETER RX PTCA 3.0 X 10MM ANGIOSCULPT $ 3,062.50 CATHETER RX PTCA 3.0 X 15MM ANGIOSCULPT $ 2,625.00 CATHETER RX PTCA 3.0 X 15MM ANGIOSCULPT $ 3,062.50 CATHETER RX PTCA 3.5 X 10MM ANGIOSCULP $ 3,062.50 CATHETER RX PTCA 3.5 X 10MM ANGIOSCULPT $ 2,625.00 CATHETER RX PTCA 3.5 X 15MM ANGIOSCULPT $ 3,062.50 CATHETER SACKS SINGLE STEP $ 291.64 CATHETER SILICONE BALLOON HSG $ 120.00 CATHETER SILVER HAWK DS $ 5,490.00 CATHETER SILVER HAWK PERIPHERAL LS $ 1,933.75 CATHETER SILVER HAWK PERIPHERAL LS- M $ 5,790.00 CATHETER SILVER HAWK PERIPHERAL LS-M $ 5,490.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER SILVER HAWK PERIPHERAL LX-M $ 5,490.00 CATHETER SILVER HAWK PERIPHERAL MS $ 5,490.00 CATHETER SILVER HAWK PERIPHERAL MS $ 5,790.00 CATHETER SILVER HAWK PERIPHERAL MS-M $ 5,490.00 CATHETER SILVER HAWK PERIPHERAL SS $ 5,490.00 CATHETER SILVER HAWK PERIPHERAL SS $ 5,790.00 CATHETER SILVER HAWK PERIPHERAL SXL $ 5,490.00 CATHETER SINUS BALLOON 5MM X 16MM $ 2,733.50 CATHETER SPLIT DIALYSIS 24CM TIP19 $ 1,260.00 CATHETER SPLIT DIALYSIS 28CM 23TIP $ 1,260.00 CATHETER SPRINTER OTW 1.25 X 10 $ 760.00 CATHETER SPRINTER OTW 1.25 X 15 $ 720.00 CATHETER SPRINTER OTW 1.25 X 20 $ 760.00 CATHETER SPRINTER OTW 1.25 X 6 $ 760.00 CATHETER SPRINTER OTW 1.5 X 10 $ 760.00 CATHETER SPRINTER OTW 1.5 X 12 $ 760.00 CATHETER SPRINTER OTW 1.5 X 15 $ 760.00 CATHETER SPRINTER OTW 1.5 X 6 $ 760.00 CATHETER SPRINTER OTW 2.0 X 10 $ 760.00 CATHETER SPRINTER OTW 2.0 X 12 $ 760.00 CATHETER SPRINTER OTW 2.0 X 15 $ 760.00 CATHETER SPRINTER OTW 2.0 X 6 $ 760.00 CATHETER SPRINTER OTW 2.5 X 10 $ 760.00 CATHETER SPRINTER OTW 2.5 X 12 $ 760.00 CATHETER SPRINTER OTW 2.5 X 15 $ 760.00 CATHETER SPRINTER OTW 3.0 X 10 $ 760.00 CATHETER SPRINTER OTW 3.0 X 15 $ 760.00 CATHETER SPRINTER OTW 3.5 X 10 $ 760.00 CATHETER SPRINTER OTW 4.0 X 10 $ 760.00 CATHETER STERLING BALLOON 5MMX40MM $ 1,278.00 CATHETER STERLING BALLOON 80CM 4MMX20 $ 1,133.00 CATHETER S-TIP THERMO FOR FEM 7F $ 200.00 CATHETER STRAIGHT GLIDE 5FR $ 205.60 CATHETER SUPRAPUBIC STAMEY PERCUTA $ 184.32 CATHETER SYMMETRY 3X4X90 $ 1,215.00 CATHETER SYMMETRY 4X2X90 $ 1,388.00 CATHETER SYMMETRY 5X2X90 $ 1,388.00 CATHETER SYMMETRY 6X2X90 $ 1,356.00 CATHETER TEMPO 5FR 100CM SIDEWINDER 3 $ 67.20 CATHETER TEMPO AQUA 4FR 100CM $ 199.80 CATHETER TEMPO AQUA 5FR 100CM $ 199.80 CATHETER TEMPO DIAGNOSTIC H1 $ 59.80 CATHETER TEMPO DIAGNOSTIC SIM2 $ 59.80 CATHETER TEMPO JB2 $ 59.80 CATHETER TEMPO SIM 1 5.0FR $ 59.80 CATHETER THERMODILUTION 7 FR $ 149.16 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER TORNUS 2.1FR $ 2,572.50 CATHETER TORNUS 2.6FR $ 2,572.50 CATHETER TRACH 5FR 2.0MM $ 52.16 CATHETER TRACH 5FR 3.0MM $ 67.28 CATHETER TRACH 5FR 3.5MM $ 59.88 CATHETER TRAILBLAZER .035 X 150CM $ 167.44 CATHETER TRAILBLAZER .035 X90CM $ 613.00 CATHETER TREK 2.0MM X 20MM $ 672.00 CATHETER TREK 2.5MM X 20MM $ 672.00 CATHETER TREK 2.5MM X 8MM RX $ 520.00 CATHETER TREK 3.0MM X 12MM RX $ 520.00 CATHETER TREK 3.0MM X 15MM RX $ 520.00 CATHETER TREK 3.25MM X 12MM RX $ 672.00 CATHETER TREK 3.25MM X 15MM RX $ 520.00 CATHETER TREK 3.25MM X 15MM RX $ 672.00 CATHETER TREK 3.25MM X 20MM RX $ 672.00 CATHETER TREK 3.5MM X 12MM RX $ 520.00 CATHETER TREK 3.5MM X 15MM RX $ 520.00 CATHETER TREK 3.5MM X 20MM RX $ 520.00 CATHETER TREK 3.5MM X 8MM RX $ 672.00 CATHETER TREK 3.5MM X 8MM RX $ 672.00 CATHETER TREK 3.75MM X 12MM RX $ 672.00 CATHETER TREK 3.75MM X 15MM RX $ 520.00 CATHETER TREK 4.0MM X 12MM RX $ 520.00 CATHETER TREK 4.0MM X 12MM RX $ 672.00 CATHETER TREK 4.0MM X 15MM RX $ 560.00 CATHETER TREK 4.0MM X 20MM RX $ 560.00 CATHETER TREK 4.0MM X 8MM RX $ 672.00 CATHETER TREK 4.5MM X 12MM RX $ 560.00 CATHETER TREK 4.5MM X 15MM RX $ 672.00 CATHETER TREK 5.0MM X 12MM RX $ 672.00 CATHETER TREK 5.0MM X 15MM RX $ 520.00 CATHETER TROCAR PUNCH 16FR 10 $ 62.80 CATHETER TROCAR PUNCH 20FR 20 $ 62.80 CATHETER TROCAR PUNCH 24FR 16 $ 62.80 CATHETER TROCAR PUNCH 28FR 16 $ 57.64 CATHETER TROCAR PUNCH 32FR 16 $ 62.80 CATHETER TWIN PASS DUAL ACCESS $ 1,396.00 CATHETER ULTRA THIN 4X2X135 $ 798.00 CATHETER ULTRA THIN 4X4X135 $ 798.00 CATHETER ULTRA THIN 5X4X135 $ 798.00 CATHETER ULTRA THIN BALLOON 9MM X 4CM $ 720.00 CATHETER ULTRA THIN SDS 5X6X90 $ 753.00 CATHETER ULTRA THIN SDS 6X4X135 $ 798.00 CATHETER ULTRA THIN SDS 6X6X75 $ 718.00 CATHETER ULTRA THIN SDS 6X8X135 $ 682.00 CHARGE DESCRIPTION CHARGE AMOUNT CATHETER ULTRA THIN SDS 7X4X135 $ 798.00 CATHETER ULTRA THIN SDS 7X4X75 $ 753.00 CATHETER ULTRA THIN SDS 7X8X135 $ 798.00 CATHETER ULTRA THIN SDS 8X3 $ 763.00 CATHETER ULTRA THIN SDS 8X4X75 $ 753.00 CATHETER VAN SONNENBERG SUMP $ 398.48 CATHETER VENTURE WIRE CONTROL $ 2,113.00 CATHETER VERT .038 125CM $ 64.00 CATHETER VIABAHN 11X29X135CM $ 7,140.00 CATHETER VIABAHN 6X79X135CM $ 7,140.00 CATHETER VIABAHN 7X29X135CM $ 7,500.00 CATHETER VIABAHN 7X39X135CM $ 6,838.00 CATHETER VIABAHN 7X39X135CM $ 7,140.00 CATHETER VIABAHN 8X29X135CM $ 6,672.00 CATHETER VIABAHN 8X39X135CM $ 6,838.00 CATHETER VIABAHN 8X59X135CM $ 6,838.00 CATHETER VIABAHN 8X79X135CM $ 7,140.00 CATHETER VIABAHN 9X5X120 $ 5,540.00 CATHETER VISION PV0.018 $ 2,432.50 CATHETER VISIONS PV8.2 $ 2,800.00 CATHETER XB 5FR 3.5LBT BRITE TIP GUIDE $ 168.60 CATHETER XXL BALLOON 14MM X 4CM 7FR $ 1,040.00 CATHETER 2.0MM X 15MM NC TREK $ 520.00 CATHETER, VIABAHN 10X5X120 $ 5,540.00 CATH-FG APEX FLEX MR 1.50MM X 12MM $ 460.00 CATH-FG APEX FLEX MR 1.50MM X 15MM $ 460.00 CATH-FG APEX FLEX MR 1.50MM X 20MM $ 460.00 CATH-FG APEX FLEX OTW 1.50MM X 12MM $ 460.00 CATH-FG APEX FLEX OTW 1.50MM X 15MM $ 460.00 CATH-FG APEX FLEX OTW 1.50MM X 20MM $ 460.00 CATH-FG APEX FLEX OTW 1.50MM X 8MM $ 460.00 CATH-FG APEX MR 2.00MM X 12MM $ 460.00 CATH-FG APEX MR 2.00MM X 15MM $ 460.00 CATH-FG APEX MR 2.00MM X 20MM $ 460.00 CATH-FG APEX MR 2.00MM X 30MM $ 460.00 CATH-FG APEX MR 2.00MM X 40MM $ 460.00 CATH-FG APEX MR 2.25MM X 12MM $ 460.00 CATH-FG APEX MR 2.25MM X 15MM $ 460.00 CATH-FG APEX MR 2.25MM X 20MM $ 460.00 CATH-FG APEX MR 2.25MM X 8MM $ 460.00 CATH-FG APEX MR 2.2MM X 30MM $ 460.00 CATH-FG APEX MR 2.50MM X 12MM $ 460.00 CATH-FG APEX MR 2.50MM X 15MM $ 460.00 CATH-FG APEX MR 2.50MM X 20MM $ 460.00 CATH-FG APEX MR 2.50MM X 30MM $ 460.00 CATH-FG APEX MR 2.50MM X 40MM $ 460.00 CHARGE DESCRIPTION CHARGE AMOUNT CATH-FG APEX MR 2.50MM X 8MM $ 460.00 CATH-FG APEX MR 2.75MM X 12MM $ 460.00 CATH-FG APEX MR 2.75MM X 15MM $ 460.00 CATH-FG APEX MR 2.75MM X 20MM $ 460.00 CATH-FG APEX MR 2.75MM X 30MM $ 460.00 CATH-FG APEX MR 2.75MM X 8MM $ 460.00 CATH-FG APEX MR 3.00MM X 12MM $ 460.00 CATH-FG APEX MR 3.00MM X 15MM $ 460.00 CATH-FG APEX MR 3.00MM X 20MM $ 460.00 CATH-FG APEX MR 3.00MM X 30MM $ 460.00 CATH-FG APEX MR 3.00MM X 40MM $ 460.00 CATH-FG APEX MR 3.00MM X 8MM $ 460.00 CATH-FG APEX MR 3.25MM X 12MM $ 460.00 CATH-FG APEX MR 3.25MM X 15MM $ 460.00 CATH-FG APEX MR 3.25MM X 20MM $ 460.00 CATH-FG APEX MR 3.25MM X 30MM $ 460.00 CATH-FG APEX MR 3.25MM X 8MM $ 460.00 CATH-FG APEX MR 3.50MM X 12MM $ 460.00 CATH-FG APEX MR 3.50MM X 15MM $ 460.00 CATH-FG APEX MR 3.50MM X 20MM $ 460.00 CATH-FG APEX MR 3.50MM X 30MM $ 460.00 CATH-FG APEX MR 3.50MM X 40MM $ 460.00 CATH-FG APEX MR 3.50MM X 8MM $ 460.00 CATH-FG APEX MR 3.75MM X 12MM $ 460.00 CATH-FG APEX MR 3.75MM X 15MM $ 460.00 CATH-FG APEX MR 3.75MM X 20MM $ 460.00 CATH-FG APEX MR 3.75MM X 30MM $ 460.00 CATH-FG APEX MR 3.75MM X 8MM $ 460.00 CATH-FG APEX MR 4.00MM X 12MM $ 460.00 CATH-FG APEX MR 4.00MM X 15MM $ 460.00 CATH-FG APEX MR 4.00MM X 20MM $ 460.00 CATH-FG APEX MR 4.00MM X 30MM $ 460.00 CATH-FG APEX MR 4.00MM X 40MM $ 460.00 CATH-FG APEX MR 4.00MM X 8MM $ 460.00 CATH-FG APEX MR 4.50MM X 12MM $ 460.00 CATH-FG APEX MR 4.50MM X 15MM $ 460.00 CATH-FG APEX MR 4.50MM X 20MM $ 460.00 CATH-FG APEX MR 4.50MM X 8MM $ 460.00 CATH-FG APEX MR 5.00MM X 12MM $ 460.00 CATH-FG APEX MR 5.00MM X 15MM $ 460.00 CATH-FG APEX MR 5.00MM X 20MM $ 460.00 CATH-FG APEX MR 5.00MM X 8MM $ 460.00 CATH-FG APEX OTW 2.00MM X 20MM $ 460.00 CATH-FG APEX OTW 2.00MM X 30MM $ 460.00 CATH-FG APEX OTW 2.00MM X 40MM $ 460.00 CATH-FG APEX OTW 2.25MM X 15MM $ 460.00 CHARGE DESCRIPTION CHARGE AMOUNT CATH-FG APEX OTW 2.25MM X 20MM $ 460.00 CATH-FG APEX OTW 2.25MM X 30MM $ 460.00 CATH-FG APEX OTW 2.50MM X 15MM $ 460.00 CATH-FG APEX OTW 2.50MM X 20MM $ 460.00 CATH-FG APEX OTW 2.50MM X 30MM $ 460.00 CATH-FG APEX OTW 2.50MM X 40MM $ 460.00 CATH-FG APEX OTW 2.75MM X 15MM $ 460.00 CATH-FG APEX OTW 2.75MM X 20MM $ 460.00 CATH-FG APEX OTW 2.75MM X 30MM $ 460.00 CATH-FG APEX OTW 3.00MM X 15MM $ 460.00 CATH-FG APEX OTW 3.00MM X 20MM $ 460.00 CATH-FG APEX OTW 3.00MM X 30MM $ 460.00 CATH-FG APEX OTW 3.00MM X 40MM $ 460.00 CATH-FG APEX OTW 3.25MM X 15MM $ 460.00 CATH-FG APEX OTW 3.25MM X 20MM $ 460.00 CATH-FG APEX OTW 3.25MM X 30MM $ 460.00 CATH-FG APEX OTW 3.50MM X 15MM $ 460.00 CATH-FG APEX OTW 3.50MM X 20MM $ 460.00 CATH-FG APEX OTW 3.50MM X 30MM $ 460.00 CATH-FG APEX OTW 3.50MM X 40MM $ 460.00 CATH-FG APEX OTW 3.75MM X 15MM $ 460.00 CATH-FG APEX OTW 3.75MM X 20MM $ 460.00 CATH-FG APEX OTW 4.00MM X 15MM $ 460.00 CATH-FG APEX OTW 4.00MM X 20MM $ 460.00 CATH-FG APEX OTW 4.00MM X 30MM $ 460.00 CATH-FG APEX OTW 4.00MM X 40MM $ 460.00 CATH-FG APEX OTW 4.50MM X 15MM $ 460.00 CATH-FG APEX OTW 4.50MM X 20MM $ 460.00 CATH-FG APEX OTW 5.00MM X 15MM $ 460.00 CATH-FG APEX OTW 5.00MM X 20MM $ 460.00 CATH-FG APEX PUSH MR 1.50MM X 12MM $ 460.00 CATH-FG APEX PUSH MR 1.50MM X 15MM $ 460.00 CATH-FG APEX PUSH MR 1.50MM X 20MM $ 460.00 CATH-FG APEX PUSH MR 1.50MM X 8MM $ 460.00 CATH-FG APEX PUSH OTW 1.50MM X 12MM $ 460.00 CATH-FG APEX PUSH OTW 1.50MM X 15MM $ 460.00 CATH-FG APEX PUSH OTW 1.50MM X 20MM $ 460.00 CATH-FG APEX PUSH OTW 1.50MM X 8MM $ 460.00 CAUTERIZATION CHEMICAL $ 199.06 CAUTERY OF CERVIX; CRYOCAUTERY $ 168.60 CAUTERY OF CERVIX; CRYOCAUTERY $ 358.49 CAUTERY OF CERVIX; CRYOCAUTERY $ 527.09 CAUTERY OF CERVIX; ELECTRO/THERMAL $ 285.88 CBC BLOOD COUNT/DIFF $ 25.00 CBC WITH DIFFERENTIAL $ 81.60 CBC WITH DIFFERENTIAL ARIEL HEALTH $ 5.00 CHARGE DESCRIPTION CHARGE AMOUNT CC/MS H $ 119.44 CC/MS L $ 119.44 CC/MS M $ 119.44 CD4 COUNT $ 175.49 CDIFF CONFIRMATION MOLECULAR $ 85.90 CEA $ 141.72 CEA $ 78.80 CEFEPIME PB SOLN 1 GM $ 67.26 CEFEPIME PB SOLN 2 GM $ 51.65 CEFTIN TAB 250 MG $ 6.51 CELEBREX 200 MG CAPSULE $ 6.98 CELESTONE INJ 6 MG $ 54.50 CELL COUNT FLUID WITH DIFF $ 219.80 CELL COUNT, BODY FLUID WITH DIFFERENTIAL $ 253.84 CELL SAVER - COMPLETE CATH LAB $ 1,000.00 CELL SAVER - COMPLETE OR $ 1,000.00 CELL SAVER COMPLETE ADDL 1/4 HR CATH LAB $ 60.00 CELL SAVER COMPLETE ADDL 1/4 HR OR $ 60.00 CELL SAVER STANDBY CATH LAB $ 800.00 CELL SAVER STANDBY OR $ 800.00 CELLULAR FUNCTION ASSAY $ 685.98 CEMENT BONE R 1X40 $ 200.00 CEMENT BOWL SMART MIX TOWER $ 308.44 CEMENT BOWLS $ 155.04 CEMENT BOWL-SMART MIX TOWER (SUB) $ 472.72 CEMENT INJECTION RESTRICTOR $ 73.40 CEMENT RESTRICTOR BIOSTOP G 10MM $ 436.00 CEMENT RESTRICTOR THACKERY $ 1,596.00 CEMENT SIMPLEX HV US $ 231.64 CEMENT SIMPLEX HV W/ GENTAMICIN US $ 658.84 CENTRAL LINE INSERTION $ 1,451.31 CENTRAL LINE PLACEMENT $ 3,012.03 CENTRAL LINE PLACEMENT $ 3,012.03 CENTRAL LINE PLACEMENT $ 3,012.03 CENTRAL VENOUS LINE INSERTION $ 2,137.56 CENTRALIZER 11MM COCR INTEGRAL $ 3,712.50 CENTRALIZER 13MM COCR $ 3,712.50 CENTRALIZER 15MM IMPACT AWNSER $ 824.00 CENTRALIZER COCR INTEGRAL 17MM $ 3,712.50 CENTRALIZER DISTAL 12MM $ 824.00 CENTRALIZER DISTAL 13MM PMMA $ 824.00 CENTRALIZER DISTAL INTEGRAL 11MM $ 824.00 CENTRALIZER DISTAL INTEGRAL 9MM $ 824.00 CEPACOL LOZENGE $ 1.27 CEPHALIN FLOCULATION TEST $ 40.00 CER BIOLOXD MOD HD 28MM +3 NK $ 2,937.50 CHARGE DESCRIPTION CHARGE AMOUNT CER OPTION TYPE 1 TPR SLEVE +3 $ 1,092.00 CER OPTION TYPE 1 TPR SLEVE -6 $ 1,092.00 CERAMENT BONE VOID FILLER 5CC $ 3,712.50 CERATOPIC REPLEN CREAM $ 57.00 CERCLAGE CERVIX PREGNANT; VAGINAL $ 386.65 CEREBYX INJ 2 ML $ 7.47 CERULOPLASMIN $ 89.56 CERUMEN REMOVAL $ 150.00 CERV COLP LEEP W BX $ 209.81 CERV COLP LEEP W BX $ 2,711.11 CERV COLP LEEP W BX $ 2,920.92 CERV COLP W EC CURETT $ 133.45 CERV COLP W EC CURETT $ 358.49 CERV COLP W EC CURETT $ 491.93 CERVIC COLP W CERVIX BX $ 143.51 CERVIC COLP W CERVIX BX $ 358.49 CERVIC COLP W CERVIX BX $ 502.00 CERVICAL 2 OR 3 VIEWS $ 472.35 CERVICAL LATERAL PORTABLE $ 472.35 CERVICAL LYMPHADENECTOMY- MOD RAD $ 3,622.70 CERVICAL RIPENING BALLOON $ 291.00 CERVICAL RIPPENING BALLOON W/STYLET $ 172.00 CERVICAL W/FLEX&EXT $ 754.29 CERVICAL W/OBLIQUES $ 754.29 CERVICECTOMY AMPUTATION $ 700.22 CERVICOTHORACIC JUNCTION $ 522.59 CERVIDIL VAG INSERT 10 MG $ 1,186.97 CESAREAN DELIVERY ONLY; $ 2,329.63 CESAREAN DELIVERY ONLY; INCL PP $ 3,204.98 CESSJ THERAPY CATH REMOVAL $ 315.32 CETACAINE SPRAY 1 DOSE $ 6.00 CETACAINE SPRAY 5GM (single patient use) $ 158.56 CFTR GENE ANALYSIS COMMON VARIANTS $ 380.07 CFTR GENE ANALYSIS FULL GENE SEQUENCE $ 650.00 CHAMBER MONAGHAN LARGE W/MASK $ 60.88 CHAMBER MONAGHAN SMALL W/MASK $ 52.52 CHANGE GASTROSTOMY TUBE $ 579.48 CHANGE GASTROSTOMY TUBE $ 120.00 CHANGE G-TUBE TO G-J PERC $ 425.43 CHANGE OF CYSTOSTOMY TUBE SIMPLE $ 579.48 CHANGE OF CYSTOSTOMY TUBE SIMPLE $ 579.48 CHANGE OF CYSTOSTOMY TUBE; SIMPLE $ 68.71 CHANGE OF CYSTOSTOMY TUBE; SIMPLE $ 280.85 CHANGE OF CYSTOSTOMY TUBE; SIMPLE $ 349.56 CHANGE OF WINDPIPE AIRWAY $ 708.20 CHANGE OF WINDPIPE AIRWAY $ 360.46 CHARGE DESCRIPTION CHARGE AMOUNT CHANGE STENT VIA TRANSURETH $ 610.05 CHANTIX CAP 1 MG $ 23.18 CHAPSTICK 4 GM $ 4.00 CHARCOAL 25 GM/120 ML LIQUID $ 41.08 CHARGER KIT $ 2,100.00 CHEM CAUT GRANULATION TISS $ 199.06 CHEM CAUT OF GRANLTJ TISSUE $ 48.15 CHEM CAUT OF GRANLTJ TISSUE $ 199.06 CHEM CAUT OF GRANLTJ TISSUE $ 247.21 CHEMO - PROLONGED INFUSION $ 735.97 CHEMO ADM SUBC/IM HORMONAL $ 263.88 CHEMO ADM SUBC/IM NON HORMONAL $ 507.29 CHEMO ADMN HORMON ANTINEOPL SQ/IM $ 58.64 CHEMO ANTI-NEOPL SQ/IM $ 189.30 CHEMO INF EACH ADD'L HR $ 627.17 CHEMO INF EACH ADD'L HR $ 627.17 CHEMO INF INITIAL SUBST/DRUG $ 1,034.19 CHEMO INF INITIAL SUBST/DRUG $ 1,034.19 CHEMO IV PUSH INITIAL SUBST/DRUG $ 588.69 CHEMODENERV 1 EXTREM 5 OR MORE MUS $ 155.70 CHEMODENERV 1 EXTREM 5 OR MORE MUS $ 778.45 CHEMODENERV 1 EXTREM 5 OR MORE MUS $ 934.15 CHEMODENERV 1 EXTREMITY 1-4 $ 142.03 CHEMODENERV 1 EXTREMITY 1-4 $ 778.45 CHEMODENERV 1 EXTREMITY 1-4 $ 920.48 CHEMODENERV MUSC MIGRAINE $ 645.75 CHEMODENERV MUSC MIGRAINE $ 164.23 CHEMODENERV MUSC MIGRAINE $ 318.11 CHEMODENERV MUSC MIGRAINE $ 482.34 CHEMODENERV MUSC NECK DYSTON $ 607.60 CHEMODENERV MUSC NECK DYSTON $ 144.99 CHEMODENERV MUSC NECK DYSTON $ 318.11 CHEMODENERV MUSC NECK DYSTON $ 463.10 CHEMODENERV MUSCLE LARYNX EMG $ 143.33 CHEMODENERV MUSCLE LARYNX EMG $ 706.39 CHEMODENERV MUSCLE LARYNX EMG $ 849.72 CHEMODENERV SALIV GLANDS $ 133.07 CHEMODENERV SALIV GLANDS $ 318.11 CHEMODENERV SALIV GLANDS $ 451.18 CHEMODENERV TRUNK MUSC 1-5 $ 1,541.95 CHEST - REPEAT ORDER SAME DAY $ 292.18 CHEST & LATERAL OR 2 VIEWS $ 335.72 CHEST 2 FOR LYNX STUDY $ 335.72 CHEST AP - PORTABLE $ 292.18 CHEST PA $ 292.18 CHEST PA/LAT & LORDOTIC $ 408.00 CHARGE DESCRIPTION CHARGE AMOUNT CHEST PA/LAT & OBLIQUES $ 229.90 CHEST POST PROCEDURE TO VERIFY PLACEMENT $ 292.18 CHEST TUBE INSERTION $ 4,070.58 CHEST TUBE INSERTION $ 4,070.58 CHEST TUBE INSERTION $ 4,023.90 CHEST TUBE INSERTION $ 3,895.29 CHEST TUBE INSERTION $ 4,023.90 CHEST TUBE INSERTION $ 4,070.58 CHEST TUBE INSERTION W/ CONFIRMATION $ 4,070.58 CHEST TUBE INSERTION W/ CONFIRMATION $ 4,070.58 CHEST TUBE INSERTION W/ CONFIRMATION $ 4,070.58 CHEST TUBE INSERTION W/ CONFIRMATION $ 3,895.29 CHEST TUBE INSERTION W/ CONFIRMATION $ 3,895.29 CHEST TUBE INSERTION W/ CONFIRMATION $ 3,895.29 CHEST TUBE INSERTION W/ CONFIRMATION $ 4,070.58 CHEST WITH 4 OR GREATER VIEWS $ 229.90 CHEST X-RAY B-READ ONLY $ 155.00 CHEST XRAY PA ONLY $ 124.00 CHEST XRAY PA/LAT $ 184.00 CHEST XRAY PA/LAT SELF $ 159.00 CHEST-DECUBITUS $ 292.18 CHEST-LATERAL ONLY $ 292.18 CHEST-LORDOTIC ONLY $ 292.18 CHEST-OBLIQUES ONLY $ 335.72 CHLAMYDIA ANTIBODIES IgG $ 110.21 CHLAMYDIA NUCLEIC ACID AMP (NAA) $ 146.30 CHLAMYDIA PNEUMONIAE AB PANEL IgM $ 6,026.00 CHLAMYDIA VAGINALIS $ 57.68 CHLORASEPTIC SPRAY 1.5% 6 OZ $ 7.81 CHLORIDE $ 33.73 CHLORIDE, URINE $ 52.55 CHOICE PT EXTRA SUPPORT 182CM $ 306.40 CHOL. T-TUBE $ 4,366.44 CHOLE W/CHOLANGIO; INTRAOP XR SUP/INTR $ 668.29 CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY $ 2,293.00 CHOLECYSTECTOMY; $ 2,712.05 CHOLESTEROL $ 52.22 CHOLESTEROL $ 15.00 CHOLESTEROL/GLUCOSE 30.00 $ 30.00 CHOLINESTERASE SERUM $ 79.31 CHONDROFIX OC GRAFT 11MM $ 7,740.00 CHONDROFIX OC GRAFT 15MM $ 8,560.00 CHONDROFIX OC GRAFT 7MM $ 5,592.00 CHONDROFIX OC GRAFT 9MM $ 7,280.00 CHRNC CARE MGMT SVC 30 MIN $ 163.24 CHROMIUM $ 115.59 CHARGE DESCRIPTION CHARGE AMOUNT CHROMOGRANIN A $ 198.20 CHROMOSOME ANALYSIS 15-20 CELL $ 374.11 CHROMOSOME ANALYSIS KARYOTYPING W/G-BAND $ 948.66 CHROMOTUBATION OF OVIDUCT $ 192.15 CHROMOTUBATION OF OVIDUCT $ 272.14 CHRON CARE MGMT SRVC 20 MIN $ 41.50 CHRON CARE MGMT SRVC 20 MIN $ 91.62 CHRON CARE MGMT SRVC 20 MIN $ 133.12 CHRONULAC LIQUID 20GM 30 ML $ 4.15 CILOXAN OPHTH SOLN 0.3% 2.5 ML $ 42.76 CIPRO TAB 500 MG $ 1.09 CIPRODEX OTIC SUSP 0.3-0.1% $ 690.18 CIRCLE VENTRIO ST HERNIA PATCH 11.4 CM $ 2,257.50 CIRCUIT - PATIENT HIGH FLOW HELIOX $ 348.00 CIRCUIT - PATIENT LOW FLOW HELIOX $ 348.00 CIRCUIT PATIENT HIGH FLOW $ 348.00 CIRCUIT PATIENT LOW FLOW $ 356.00 CIRCUM 28 DAYS OR OLDER $ 498.15 CIRCUMCISION $ 287.38 CIRCUMCISION NEONATE LESS THAN = 28 DAYS $ 364.35 CIRCUMCISION W/REGIONL BLOCK $ 252.00 CISATRACURIUM INJ (NIMBEX) 5ML $ 73.00 CISTERNAL/LATERAL CERVICAL PUNCTURE $ 684.48 CITRATE OF MAGNESIA LIQUID 10 OZ $ 6.32 CKMB $ 127.72 CL LAC MOUTH VESTIB MORE THAN 2.5CM $ 450.28 CL TX "MALLET FINGER" $ 2,173.00 CL TX "NURSEMAID ELBOW" W MANIP $ 100.45 CL TX "NURSEMAID ELBOW" W MANIP $ 259.78 CL TX "NURSEMAID ELBOW" W MANIP $ 360.23 CL TX ACLAV DISLOC; WO MANIP $ 259.78 CL TX ACLAV DISLOC; WO MANIP $ 290.58 CL TX ACLAV DISLOC; WO MANIP $ 550.36 CL TX ANKLE DISLOCATION WO ANEST $ 849.79 CL TX ART FX MCP/IP JNT; WO MAN $ 259.78 CL TX ART FX MCP/IP JNT; WO MAN $ 274.31 CL TX ART FX MCP/IP JNT; WO MAN $ 534.09 CL TX ARTFX MCP/IP JNT; W MANIP $ 429.51 CL TX ARTFX MCP/IP JNT; W MANIP $ 1,582.65 CL TX ARTFX MCP/IP JNT; W MANIP $ 2,012.15 CL TX C HUMERUS FX W MANIP $ 649.12 CL TX C HUMERUS FX W MANIP $ 1,707.34 CL TX C HUMERUS FX W MANIP $ 2,356.46 CL TX C HUMERUS FX WO MANIP $ 259.78 CL TX C HUMERUS FX WO MANIP $ 388.77 CL TX C HUMERUS FX WO MANIP $ 648.54 CHARGE DESCRIPTION CHARGE AMOUNT CL TX CALCANEAL FX; W MANIP $ 259.78 CL TX CALCANEAL FX; W MANIP $ 457.11 CL TX CALCANEAL FX; W MANIP $ 716.89 CL TX CALCANEAL FX; WO MANIP $ 259.78 CL TX CALCANEAL FX; WO MANIP $ 290.23 CL TX CALCANEAL FX; WO MANIP $ 550.00 CL TX CARPAL SCAPHOID FX; WO MANIP $ 259.78 CL TX CARPAL SCAPHOID FX; WO MANIP $ 354.42 CL TX CARPAL SCAPHOID FX; WO MANIP $ 614.20 CL TX CARPL SCAPHOID FX W MANIP $ 558.53 CL TX CARPL SCAPHOID FX W MANIP $ 1,582.65 CL TX CARPL SCAPHOID FX W MANIP $ 2,141.18 CL TX CLAVICULAR FX; WO MANIP $ 259.78 CL TX CLAVICULAR FX; WO MANIP $ 282.19 CL TX CLAVICULAR FX; WO MANIP $ 541.97 CL TX CMC DISL W M EA $ 734.39 CL TX D FEM FX WO MANIP $ 279.37 CL TX D FEM FX WO MANIP $ 636.06 CL TX D FEM FX WO MANIP $ 915.43 CL TX D PHAL FX FGR/THMB; WO MANIP $ 233.79 CL TX D PHAL FX FGR/THMB; WO MANIP $ 259.78 CL TX D PHAL FX FGR/THMB; WO MANIP $ 493.57 CL TX D PHAL FX FGRR/THMB W MANIP $ 259.78 CL TX D PHAL FX FGRR/THMB; W MANIP $ 259.78 CL TX D PHAL FX FGRR/THMB; W MANIP $ 348.96 CL TX D PHAL FX FGRR/THMB; W MANIP $ 608.74 CL TX DISTL FIB FX W MANIP $ 493.25 CL TX DISTL FIB FX W MANIP $ 640.66 CL TX DISTL FIB FX W MANIP $ 259.78 CL TX DISTL FIB FX W MANIP $ 259.78 CL TX DISTL FIB FX W MANIP $ 492.53 CL TX DSTL FIB FX WO MANIP $ 259.78 CL TX DSTL FIB FX WO MANIP $ 363.97 CL TX DSTL FIB FX WO MANIP $ 623.75 CL TX DSTL RADIOULNAR DISLOC W MANIP $ 496.30 CL TX EC HUMERUS FX W MANIP $ 3,343.65 CL TX EC HUMERUS FX WO MANIP $ 292.62 CL TX EC HUMERUS FX WO MANIP $ 369.72 CL TX EC HUMERUS FX WO MANIP $ 662.34 CL TX FEMUR FX OR EPIPHYS SEP $ 889.43 CL TX FEMUR FX OR EPIPHYS SEP $ 1,707.34 CL TX FEMUR FX OR EPIPHYS SEP $ 2,596.78 CL TX FX GT PHALANX(S); W MANIP $ 190.94 CL TX FX GT PHALANX(S); W MANIP $ 259.78 CL TX FX GT PHALANX(S); W MANIP $ 450.72 CL TX FX GT PHALANX(S); WO MANIP $ 159.22 CHARGE DESCRIPTION CHARGE AMOUNT CL TX FX GT PHALANX(S); WO MANIP $ 259.78 CL TX FX GT PHALANX(S); WO MANIP $ 419.00 CL TX FX PHALANX/PHALANG; W MANIP $ 181.82 CL TX FX PHALANX/PHALANG; W MANIP $ 259.78 CL TX FX PHALANX/PHALANG; W MANIP $ 441.60 CL TX FX PHALNX/PHALANG WO MANIP $ 152.71 CL TX FX PHALNX/PHALANG WO MANIP $ 259.78 CL TX FX PHALNX/PHALANG WO MANIP $ 412.49 CL TX FX PLALANX PHALAN W MANIP $ 527.53 CL TX GR TUBEROSITY FX WO MANIP $ 279.37 CL TX GR TUBEROSITY FX WO MANIP $ 325.98 CL TX GR TUBEROSITY FX; WO MANIP $ 605.35 CL TX GTR TROCHNTRC FX WO MANIP $ 259.78 CL TX GTR TROCHNTRC FX WO MANIP $ 498.52 CL TX GTR TROCHNTRC FX WO MANIP $ 758.30 CL TX HUMERUS FX W MANIP $ 3,343.65 CL TX HUMERUS FX W MANIP $ 1,088.00 CL TX HUMERUS FX WO MANIP $ 259.78 CL TX HUMERUS FX WO MANIP $ 416.20 CL TX HUMERUS FX WO MANIP $ 675.97 CL TX IP JNT D W MANIP ; WO ANESTH $ 279.37 CL TX IP JNT D W MANIP ; WO ANESTH $ 326.04 CL TX IP JNT D W MANIP ; WO ANESTH $ 605.41 CL TX IP JOINT DISL WO ANESTH $ 355.76 CL TX IP JOINT DISL; W ANESTH $ 329.18 CL TX IP JOINT DISL; WO ANESTH $ 532.00 CL TX IP JT D W MANIP W ANESTH $ 734.39 CL TX IP JT D W MANIP W ANESTH $ 308.46 CL TX IP JT D W MANIP W ANESTH $ 441.44 CL TX IP JT D W MANIP W ANESTH $ 749.91 CL TX KNEE DISL; W ANESTHESIA $ 3,023.58 CL TX KNEE DISL; W ANESTHESIA $ 1,552.63 CL TX KNEE DISL; WO ANESTH $ 496.30 CL TX MC FX SGL; W MANIP $ 259.78 CL TX MC FX SGL; W MANIP $ 373.19 CL TX MC FX SGL; W MANIP $ 632.97 CL TX MC FX SGL; WO MANIP EA BONE $ 259.78 CL TX MC FX SGL; WO MANIP EA BONE $ 351.36 CL TX MC FX SGL; WO MANIP EA BONE $ 611.14 CL TX MCP DISLOC SGL W MANIP $ 603.54 CL TX MCP DISLOC W/MANIP & ANESTH $ 2,000.41 CL TX MEDIAL ANKLE FX $ 279.37 CL TX MEDIAL ANKLE FX $ 387.54 CL TX MEDIAL ANKLE FX $ 666.91 CL TX METATARSAL FX W MANIP $ 274.31 CL TX METATARSAL FX W MANIP $ 291.23 CHARGE DESCRIPTION CHARGE AMOUNT CL TX METATARSAL FX; WO MANIP $ 259.78 CL TX METATARSAL FX; WO MANIP $ 260.13 CL TX METATARSAL FX; WO MANIP $ 519.91 CL TX MONTEGGIA ELB FX W MANIP $ 3,343.65 CL TX MONTEGGIA ELB FX W MANIP $ 715.64 CL TX MONTEGGIA ELB FX W MANIP $ 1,100.98 CL TX MONTEGGIA ELB FX W MANIP $ 1,707.34 CL TX MTP JNT DISLOC WO ANESTH $ 142.42 CL TX MTP JNT DISLOC WO ANESTH $ 279.37 CL TX MTP JNT DISLOC WO ANESTH $ 421.79 CL TX OF ACETABULUM X(S) WO MAN $ 1,308.65 CL TX OF NASAL BONE FX; W STABILIZ $ 331.45 CL TX OF NASAL BONE FX; WO STABILIZ $ 370.60 CL TX OF RADIAL SHAFT FX WO MANIP $ 292.62 CL TX OF RADIAL SHAFT FX WO MANIP $ 319.45 CL TX OF RADIAL SHAFT FX WO MANIP $ 612.07 CL TX PHAL SHAFT FX; WO MANIP $ 233.69 CL TX PHAL SHAFT FX; WO MANIP $ 259.78 CL TX PHAL SHAFT FX; WO MANIP $ 493.47 CL TX PHALANG SHFT FX; W MANIP $ 292.62 CL TX PHALANG SHFT FX; W MANIP $ 387.97 CL TX PHALANG SHFT FX; W MANIP $ 680.59 CL TX POST ANKLE FX W/MNPJ $ 3,343.65 CL TX POST HIP DISLOC WO ANESTH $ 529.95 CL TX POSTOP HIP DISLOC W ANESTH $ 1,163.54 CL TX PROX FEM FX WO MANIP $ 292.62 CL TX PROX FEM FX WO MANIP $ 610.64 CL TX PROX FEM FX WO MANIP $ 903.25 CL TX PROX FIB/SHAFT FX W MANIP $ 3,374.85 CL TX PROX FIB/SHAFT FX W MANIP $ 509.37 CL TX PROX FIB/SHAFT FX W MANIP $ 1,707.34 CL TX PROX FIB/SHAFT FX W MANIP $ 2,216.71 CL TX PROX FIB/SHAFT FX WO MANIP $ 259.78 CL TX PROX FIB/SHAFT FX WO MANIP $ 355.08 CL TX PROX FIB/SHAFT FX WO MANIP $ 614.86 CL TX PROX HUMERAL FX; W MANIP $ 543.66 CL TX PROX HUMERAL FX; W MANIP $ 1,754.92 CL TX PROX HUMERAL FX; W MANIP $ 2,298.58 CL TX PROX HUMERAL FX; WO MANIP $ 259.78 CL TX PROX HUMERAL FX; WO MANIP $ 391.14 CL TX PROX HUMERAL FX; WO MANIP $ 650.92 CL TX PROX TIB FIB JNT DISL WO ANESTH $ 532.00 CL TX PROX TIBIAL FX WO MANIP $ 259.78 CL TX PROX TIBIAL FX WO MANIP $ 356.97 CL TX PROX TIBIAL FX WO MANIP $ 616.75 CL TX RADIAL ULNA FX W MANIP $ 596.54 CHARGE DESCRIPTION CHARGE AMOUNT CL TX RADIAL ULNA FX W MANIP $ 1,707.34 CL TX RADIAL ULNA FX W MANIP $ 2,303.89 CL TX RADIAL ULNAR SHFT FX; WO MANIP $ 616.13 CL TX RADIAL & ULNA FX W MANIP $ 1,707.34 CL TX RADIAL FX, W MANIP $ 1,788.43 CL TX RADIAL HD/NECK FX W MANIP $ 790.90 CL TX RADIAL HD/NECK FX; WO MANIP $ 259.78 CL TX RADIAL HD/NECK FX; WO MANIP $ 305.02 CL TX RADIAL HD/NECK FX; WO MANIP $ 564.80 CL TX RADIAL SHFT FX W MANIP $ 1,120.88 CL TX SC TC FEMUR FX WO MANIP $ 292.62 CL TX SC TC FEMUR FX WO MANIP $ 645.11 CL TX SC TC FEMUR FX WO MANIP $ 937.73 CL TX SC/TC FEMUR FX W MANIP $ 3,023.58 CL TX SC/TC HUMERUS FX WO MANIPL $ 259.78 CL TX SC/TC HUMERUS FX WO MANIPL $ 440.32 CL TX SC/TC HUMERUS FX WO MANIPL $ 700.10 CL TX SC/TX HUMERUS SHFT FX W MANIP $ 733.25 CL TX SC/TX HUMERUS SHFT FX W MANIP $ 1,582.65 CL TX SC/TX HUMERUS SHFT FX W MANIP $ 2,315.90 CL TX SC/TX HUMERUS SHFT FX W MANP $ 3,023.58 CL TX SCAPULAR FX; W MANP $ 3,343.65 CL TX SCAPULAR FX; WO MANIP $ 259.78 CL TX SCAPULAR FX; WO MANIP $ 304.53 CL TX SCAPULAR FX; WO MANIP $ 564.30 CL TX SCLAV DISLOC WO MANIP $ 299.94 CL TX SCLAV DISLOC WO MANIP $ 1,707.34 CL TX SCLAV DISLOC WO MANIP $ 2,007.28 CL TX SHDR DISLOC W NK FX W MANIP $ 3,313.68 CL TX SHLDR DISL W MANI; WO ANESTH $ 710.60 CL TX SHLDR DISL W MANIP; W ANESTH $ 993.50 CL TX SHLDR DISLOC FX GT; W MAN $ 975.10 CL TX STERNUM FX $ 352.90 CL TX TALUS FX W MANIP $ 3,374.85 CL TX TALUS FX; WO MANIP $ 259.78 CL TX TALUS FX; WO MANIP $ 267.01 CL TX TALUS FX; WO MANIP $ 526.79 CL TX TIB SHFT FX W MANIP $ 3,313.68 CL TX TIB SHFT FX W MANIP $ 636.55 CL TX TIB SHFT FX W MANIP $ 1,582.65 CL TX TIB SHFT FX W MANIP $ 2,219.19 CL TX TIB SHFT FX WO MANIP $ 259.78 CL TX TIB SHFT FX WO MANIP $ 405.74 CL TX TIB SHFT FX WO MANIP $ 665.52 CL TX TMT JNT DISL W ANES $ 583.50 CL TX TMT JNT DISL W ANESTHESIA $ 583.50 CHARGE DESCRIPTION CHARGE AMOUNT CL TX TRAUMA HIP DISLOC W ANESTH $ 3,023.58 CL TX TRIMALL ANKLE FX; WO MANIP $ 592.00 CL TX ULNAR SHAFT FX WO MANIP $ 292.62 CL TX ULNAR SHAFT FX WO MANIP $ 302.50 CL TX ULNAR SHAFT FX WO MANIP $ 595.11 CL TX ULNAR SHFT FX W MANIP $ 1,111.60 CL TX VERTEBRAL BODY FX WO MANIP $ 259.78 CL TX VERTEBRAL BODY FX WO MANIP $ 368.63 CL TX VERTEBRAL BODY FX WO MANIP $ 628.41 CL TX WB DSTL TIB FX W MANIP $ 1,234.18 CL TX WB DSTL TIB WO MANIP $ 259.78 CL TX WB DSTL TIB WO MANIP $ 389.94 CL TX WB DSTL TIB WO MANIP $ 649.71 CLAMP BAR TO PIN XTRAFIT LARGE BLUE 3D $ 2,070.25 CLAMP BAR XTRAFIT LARGE BLUE 45MM PIN $ 3,316.25 CLAMP BAR XTRAFIT LARGE BLUE PIN 3D $ 2,070.25 CLAMP INCONTINENCE REGULAR $ 81.00 CLARITIN TAB 10 MG $ 1.87 CLARUS ANTIFUNGAL CREAM $ 21.00 CLARUS ANTIFUNGAL SOLUTION $ 35.00 CLARUS ANTIMICROBIAL SHOE SHIELD $ 15.00 CLAVICLE LT $ 442.30 CLAVICLE RT $ 442.30 CLAVICULECTOMY; PARTIAL $ 1,453.18 CLAW II 2 HOLE 15MM $ 4,537.50 CLAW II 2 HOLE 20MM $ 4,537.50 CLEAR OUTER EAR CANAL $ 271.82 CLEOCIN CAP 150 MG $ 2.32 CLEOCIN INJ 300 MG $ 21.30 CLEOCIN VAGINAL CREAM 2% $ 261.64 CLIN VISIT LEVEL II ESTABLISHED $ 150.00 CLINDAMYCIN / SOD CHLORIDE PB 600MG/50ML $ 63.06 CLINDAMYCIN / SOD CHLORIDE PB 900MG/50ML $ 73.73 CLINIC VISIT LEVEL 1 $ 83.00 CLINIC VISIT LEVEL I $ 140.00 CLINIC VISIT LEVEL I $ 120.00 CLINIC VISIT LEVEL I ESTABLISHED $ 120.00 CLINIC VISIT LEVEL II $ 160.00 CLINIC VISIT LEVEL II $ 150.00 CLINIC VISIT LEVEL II $ 86.43 CLINIC VISIT LEVEL III $ 180.00 CLINIC VISIT LEVEL III $ 170.00 CLINIC VISIT LEVEL III $ 175.00 CLINIC VISIT LEVEL III ESTABLISHED $ 170.00 CLINIC VISIT LEVEL IV $ 200.00 CLINIC VISIT LEVEL IV $ 190.00 CHARGE DESCRIPTION CHARGE AMOUNT CLINIC VISIT LEVEL IV $ 163.80 CLINIC VISIT LEVEL IV ESTABLISHED $ 190.00 CLINIC VISIT LEVEL V $ 543.00 CLINIC VISIT LEVEL V $ 210.00 CLINIC VISIT LEVEL V $ 240.00 CLINIC VISIT LEVEL V ESTABLISHED $ 210.00 CLINIMIX 5/20 100ML $ 25.00 CLINIMIX E 4.25/10 100 ML $ 25.00 CLINIMIX E 4.25/5 100 ML $ 25.00 CLINIMIX E 5/20 100 ML $ 25.00 CLIP APPLIER - LARGE $ 161.04 CLIP APPLIER - MEDIUM $ 171.24 CLIP APPLIER - SMALL $ 170.48 CLIP APPLIER LIGAMAX 5MM $ 509.28 CLIP ENDOSCOPIC HEMOSTASIS 235CM $ 876.00 CLIP FIX DEVICE LOWER GI $ 232.00 CLIP FIX DEVICE UPPER GI $ 680.00 CLIP IPRISM VIEW STABILIZER DISP $ 240.00 CLIP MAMMOMARK 8MR $ 323.00 CLIP MICROMARK 11G $ 299.00 CLIP WECK HEM-O-LOK AUTO ENDO 5M $ 421.60 CLIP-FILSHIE $ 358.32 CLOSE CYSTOSTOMY $ 1,182.43 CLOSE ENTEROSTOMY LG/SM INTESTINE $ 2,206.58 CLOSE ENTEROSTOMY LG/SM INTESTINE $ 966.00 CLOSE ENTEROSTOMY; W RESECT ANASTOM $ 2,587.63 CLOSE ENTEROSTOMY; W RESECT CR ANAST $ 4,088.23 CLOSED TREATMENT OF METATARSAL FRACTURE; $ 565.54 CLOSED TX OF ULNAR STYLOID FX $ 735.00 CLOSED TX OF ULNAR STYLOID FX $ 735.00 CLOSED TX PATELLAR FX WO MANIP $ 259.78 CLOSED TX PATELLAR FX WO MANIP $ 375.84 CLOSED TX PATELLAR FX WO MANIP $ 635.62 CLOSED TX ULNAR FRACTURE PROXIMAL END W $ 530.93 CLOSED TX ULNAR FRACTURE PROXIMAL END W $ 1,582.65 CLOSED TX ULNAR FRACTURE PROXIMAL END W $ 2,113.58 CLOSED TX ULNAR FRACTURE PROXIMAL END WO $ 259.78 CLOSED TX ULNAR FRACTURE PROXIMAL END WO $ 334.30 CLOSED TX ULNAR FRACTURE PROXIMAL END WO $ 594.07 CLOSTRIDIUM DIFFICILE STOOL $ 156.00 CLOSURE - SKIN PRINEO DERMABOND $ 275.40 CLOSURE FAST CATHETER 7F X 100CM $ 2,625.00 CLOSURE FAST CATHETER 7F X 60CM $ 2,625.00 CLOSURE FAST PROCEDURE PACK $ 358.00 CLOSURE OF GASTROSTOMY SURGICAL $ 1,801.70 CLOSURE OF SPLIT WOUND $ 1,071.68 CHARGE DESCRIPTION CHARGE AMOUNT CLOTTING, FACTOR X $ 364.19 CLOZAPINE $ 149.92 CLSD TX PELVIC RING FX $ 298.45 CLTX BIMALLEOLAR ANKLE FRACT W MNP $ 3,000.37 CLTX BIMALLEOLAR ANKLE FRACT W MNP $ 542.83 CLTX BIMALLEOLAR ANKLE FRACT W MNP $ 1,582.65 CLTX BIMALLEOLAR ANKLE FRACT W MNP $ 2,125.47 CLTX BIMALLEOLAR ANKLE FRACT WO MNP $ 259.78 CLTX BIMALLEOLAR ANKLE FRACT WO MNP $ 381.73 CLTX BIMALLEOLAR ANKLE FRACT WO MNP $ 641.51 CLTX CARPL BONE FX W MNP EA BONE $ 533.33 CLTX CARPL BONE FX W MNP EA BONE $ 1,582.65 CLTX CARPL BONE FX W MNP EA BONE $ 2,115.97 CLTX CARPL BONE FX WO MNP EA BONE $ 259.78 CLTX CARPL BONE FX WO MNP EA BONE $ 358.51 CLTX CARPL BONE FX WO MNP EA BONE $ 618.29 CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP $ 259.78 CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP $ 393.94 CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP $ 653.72 CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP $ 389.67 CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP $ 590.91 CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP $ 980.58 CLTX DSTL RDL FX/EPIPHYSL SEP W MNP $ 654.51 CLTX DSTL RDL FX/EPIPHYSL SEP W MNP $ 1,582.65 CLTX DSTL RDL FX/EPIPHYSL SEP W MNP $ 2,237.16 CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W $ 1,142.78 CLTX MED ANKLE FX W/MNPJ $ 3,388.10 CLTX MED ANKLE FX W/MNPJ $ 550.20 CLTX MED ANKLE FX W/MNPJ $ 1,582.65 CLTX MED ANKLE FX W/MNPJ $ 2,132.85 CLTX POST ANKLE FX $ 259.78 CLTX POST ANKLE FX $ 359.80 CLTX POST ANKLE FX $ 619.58 CLTX POST ANKLE FX W/MNPJ $ 876.82 CMBN ANT PST COLPRHY $ 1,892.23 CMBN AP COLPRHY W/NTRCL RPR $ 2,126.58 CMNT BONE VOID FLR 10CC $ 5,940.00 CMP ARIEL HEALTH $ 5.00 CMPLX RPR F/C/C/M/N/AX/G/H/F $ 627.76 CMV IgG $ 131.58 CMV IgM $ 151.78 CMV QUALITATIVE BY PCR $ 271.12 CMV QUANTITATIVE BY PCR $ 341.96 CNTRL POST EPISTAX INIT $ 268.98 CNTRL POST EPISTAX INIT $ 303.90 CNTRL POST EPISTAX INIT $ 130.03 CHARGE DESCRIPTION CHARGE AMOUNT CNTRL POST EPISTAX INIT $ 137.94 CNTRL POST EPISTAX INIT $ 267.97 CO2 CONTENT $ 36.00 COAGULATION/FIBRINOLYSIS ACTIVITY $ 168.00 COAPTITE $ 1,120.00 COCAINE SOLN 4% 4 ML $ 25.33 COCCIDIOIDES ANTIBODIES $ 105.45 COCCYX $ 424.77 COCHLEAR IMPLT F/UP EXAM 7 > $ 341.30 COCR FEM HD 40MM TP 1 +6MM $ 4,675.00 COCR FEM HD 40MM TP 1 -3MM $ 4,675.00 COCR FEM HD 40MM TP 1 STD $ 4,825.00 COCR FEM HD 40MM TP 1-6MM $ 4,225.00 COCR FEM HD 40MM TYPE 1 +6MM $ 4,550.00 COCR FEM HG 40MM TP 1 +3MM $ 4,825.00 COCR THD TIP 3.2MM X 460MM $ 525.00 COENZYME Q10 100MG $ 1.97 COGENTIN INJ 2 MG $ 140.00 COGENTIN TAB 1 MG $ 1.48 COGNATIVE PERFORMANCE TESTING $ 292.00 COGNITIVE PERFORMANCE TESTING $ 277.40 COIL 7F X 60CM CLOSURE FAST $ 2,625.00 COIL DUAL 59CM RELIANCE $ 11,058.00 COIL MICRO EMBOLIZATION HILAL 2.0 CM $ 136.52 COIL MICRO EMBOLIZATION HILAL 3.0 CM $ 136.52 COIL PERIPH VASC DETACH 4MMX13CM $ 3,062.50 COIL PERIPH VASC DETACH 5MMX16CM $ 3,062.50 COIL RELIANCE 4-SITE ACTIVE FIX SIN 59CM $ 10,506.00 COIL RELIANCE 4-SITE ACTIVE FIX SIN 64CM $ 11,058.00 COIL TORNADO EMBOLIZATION 3MM-2MM $ 314.00 COIL TORNADO EMBOLIZATION 4MM-2MM $ 314.00 COIL TORNADO EMBOLIZATION 5MM-2MM $ 314.00 COLACE CAP 100 MG $ 1.05 COLACE ORAL LIQUID 50MG/5ML 10ML $ 2.74 COLCHICINE TAB 0.6 MG $ 21.80 COLD AGGULTININS $ 76.66 COLECTOMY P; W COLOPROCTOST COLONOST $ 5,393.05 COLECTOMY P; W COLOPROCTOSTOMY $ 4,226.03 COLECTOMY PART; W SL CECOSTOM/OSTOMY $ 4,645.08 COLECTOMY PARTIAL; (HARTMANN TYPE) $ 4,239.13 COLECTOMY PARTIAL; (HARTMANN TYPE) $ 1,863.00 COLECTOMY PARTIAL; W ANASTOMOSIS $ 3,416.98 COLECTOMY TOT ABD; W ILEOST/ILEOPROCT $ 4,749.50 COLLAGEN CROSS LINKS $ 191.88 COLLAGEN TREATMENT SYRINGE $ 1,274.40 COLLARLESS POUROUS STEM 13MM X 145MM $ 6,192.50 CHARGE DESCRIPTION CHARGE AMOUNT COLLECTION ATTEMPT ESCREEN $ 10.00 COLONOSCOPY / POLYPECTOMY $ 409.34 COLONOSCOPY AND BIOPSY $ 412.26 COLONOSCOPY STOMA; W REM BY SNARE $ 582.70 COLONOSCOPY SUBMUCOUS NJX $ 412.26 COLONOSCOPY THRU STOMA SPX $ 403.43 COLONOSCOPY THRU STOMA W BX $ 443.65 COLONOSCOPY W/ BAND LIGATION $ 484.12 COLONOSCOPY W/BALLOON DILAT $ 546.43 COLONOSCOPY W/CONTROL BLEED $ 668.43 COLONOSCOPY W/DECOMPRESSION $ 653.38 COLONOSCOPY W/FB REMOVAL $ 492.02 COLONOSCOPY W/INJECTION $ 445.38 COLONOSCOPY W/LESION REMOVAL $ 469.80 COLONOSCOPY W/LESION REMOVAL $ 523.62 COLONOSCOPY W/RESECTION $ 625.00 COLONOSCOPY W/RESECTION $ 684.80 COLOR BLINDNESS $ 10.00 COLOSTOMY $ 3,056.18 COLOTOMY -EXPLORE BX FB REM $ 2,499.73 COLP CERVIX W BX & CURETT $ 174.95 COLP CERVIX W BX & CURETT $ 358.49 COLP CERVIX W BX & CURETT $ 533.44 COLPOCLEISIS (LE FORT TYPE) $ 1,256.30 COLPOPERINEORRHAPHY $ 1,480.00 COLPOPEXY INTRAPERITONEAL $ 1,704.13 COLPORRHAPHY $ 692.00 COLPOSCOPY OF CERVIX $ 119.52 COLPOSCOPY OF CERVIX $ 197.87 COLPOSCOPY OF CERVIX $ 317.40 COLPOSCOPY OF VAGINA $ 120.16 COLPOSCOPY OF VAGINA $ 358.49 COLPOSCOPY OF VAGINA $ 478.65 COLPOSCOPY OF VULVA $ 112.81 COLPOSCOPY OF VULVA $ 197.87 COLPOSCOPY OF VULVA $ 310.69 COLPOTOMY; WITH EXPLORATION $ 465.20 COLYTE LIQUID 4 LITER $ 58.51 COMMUNICATOR CONNECTIVITY $ 796.00 COMMUNICATOR PATIENT HANDSET KIT $ 4,875.00 COMMUNITY INTEGRATION TRAINING -15 MINS $ 75.71 COMP 12MM ARTICULAR 1.5MM X 2.5MM OFFSET $ 5,510.00 COMP FEM CEMENTED PS STD SZ 7 RT $ 5,000.00 COMP FEM FLX PRECOAT SZ RT $ 6,000.00 COMP NEXGEN FEM FLEX PRECOAT SZ E LT $ 6,000.00 COMP PRIMARY STEM 7MM MINI $ 7,600.00 CHARGE DESCRIPTION CHARGE AMOUNT COMPAZINE - ONCOLOGY TAB 10 MG $ 1.20 COMPAZINE INJ 10 MG $ 37.72 COMPAZINE TAB 10 MG $ 3.43 COMPL EXC 1ST METATRSL HEAD $ 814.40 COMPL EXC 5TH METATRSL HEAD $ 1,056.93 COMPL EXC OTHR METATRSL HEAD $ 781.23 COMPLEMENT ANTIGEN $ 109.99 COMPLEMENT TOTAL CH50 $ 182.41 COMPLEMENT, FUNCTIONAL ACTIVITY $ 160.78 COMPLEX CYSTOMETROGRAM $ 173.52 COMPLEX CYSTOMETROGRAM $ 338.82 COMPLEX UROFLOWMETRY $ 16.92 COMPLEX UROFLOWMETRY $ 13.92 COMPONENT - MODULAR HEAD 28MM $ 3,090.50 COMPR AUG 2.7 DRILL W/ STOP $ 1,000.00 COMPR AUG BSPLT W ADP LG $ 7,400.00 COMPREHENSIVE METABOLIC $ 30.00 COMPREHENSIVE METABOLIC PANEL $ 173.40 COMPRESSION SCREW 3/4IN $ 226.80 COMPUTERIZED DYNAMIC POSTUROGRAPHY $ 366.00 CONCENTRATION FOR INFECTIOUS AGENTS $ 64.40 CONCURRENT INFUSION $ 255.50 CONCURRENT INFUSION $ 255.50 CONCURRENT INFUSION $ 255.50 CONCURRENT INFUSION (2 DRUGS/1 LINE) $ 161.76 CONCURRENT INFUSION (2 DRUGS/1 LINE) $ 255.50 COND PLAY AUDIOMETRY $ 209.00 CONIZATION OF CERVIX COLD KNIFE LASER $ 682.40 CONIZATION OF CERVIX LEEP $ 312.31 CONIZATION OF CERVIX LEEP $ 2,711.11 CONIZATION OF CERVIX LEEP $ 3,023.42 CONNECTOR - URETERAL CATHETER G-U TEK $ 80.00 CONRAY INJ 60% 50 ML $ 55.00 CONSRTM ANN.ADM.FEE-5 $ 20.00 CONSRTM.ANN.ADM.FEE 26-50 $ 50.00 CONSRTM.ANN.ADM.FEE 51+ $ 75.00 CONSRTM.ANN.ADM.FEE 6-25 $ 25.00 CONSULT $ 50.00 CONSULTATION 15 MIN $ 78.00 CONSULTATION AND REPORT $ 402.00 CONSULTATION AND REPORT $ 402.00 CONT GLUC MNTR ANALYSIS IR $ 89.73 CONT GLUC MNTR PHYS/QHP EQP $ 245.25 CONTAINER SPECIMEN PATHPROOF $ 53.32 CONTINUOUS PULSE OX $ 47.00 CONTPULSEOXNIGHTTEST $ 403.40 CHARGE DESCRIPTION CHARGE AMOUNT CONTRAST BATH APPLICATION -15 MINS $ 49.20 CONTROL NASAL HEMORRH ANT COMPLEX $ 198.93 CONTROL NASAL HEMORRH ANT SIMPLE $ 74.45 CONTROL NASAL HEMORRH ANT SIMPLE $ 130.03 CONTROL NASAL HEMORRH ANT SIMPLE $ 204.48 CONTROL NASAL HEMORRH ANT SIMPLE $ 111.68 CONTROL NASAL HEMORRH ANT SIMPLE $ 195.04 CONTROL NASAL HEMORRH ANT SIMPLE $ 306.72 CONTROL OF NOSEBLEED $ 407.86 CONTROL OF NOSEBLEED $ 268.98 CONTROL OROPHARYNG HEMMORRH COMPLICATED $ 831.54 CONTROL OROPHARYNG HEMMORRH SIMPLE $ 1,089.70 CONTROL OROPHARYNG HEMMORRH SIMPLE $ 335.76 CONTROL OROPHARYNGEAL HEMORRH; REQ SURG $ 1,285.18 CONTROL SMART 6MM X 60MM $ 3,126.00 CONV TO TOT HIP ARTHROPL $ 3,960.00 CONVERT PERC GT TO JT $ 389.54 COPELAND MB SZ 6 RESURF HD $ 8,558.00 COPELAND MB SZ7 RESURF HD $ 8,112.00 COPPER $ 88.53 CORD DISPOSABLE ACTIVE DISPOSABLE $ 57.60 CORD MONOPOLAR ENDOSCOPIC 10' $ 76.00 CORDARONE INJ 150 MG $ 3.80 CORDARONE TAB 200 MG $ 2.11 COREG TAB 25 MG $ 1.18 COREG TAB 3.125 MG $ 1.48 COREG TAB 6.25 MG $ 1.48 CORONARIES & BYPASS GRAFTS $ 11,967.13 CORONARIES & BYPASSS GRAFTS & RHC $ 13,944.14 CORONARIES & RHC $ 12,332.69 CORONARIES + LHC (+/- LT VENOGRAM) $ 12,687.54 CORONARIES + LHC (+/- LT VGRAM + BYPASS $ 13,655.93 CORONARIES + LHC (+/- LT VGRAM) + RHC $ 12,809.96 CORONARIES + LHC (+/- LT VGRAM)+RHC+BY $ 16,580.32 CORONARY ANGIOS ONLY $ 10,353.88 CORONARY ART/GRFT ANGIO SI $ 2,353.93 CORONARY ARTERY ANGIO SI $ 2,011.18 Coronary Thrombectomy Addtl $ 5,596.45 CORRECT CLIP $ 128.00 CORRECTION HALLUX VALGUS $ 1,217.35 CORRECTION HALLUX VALGUS $ 1,290.25 CORRECTION HALLUX VALGUS $ 1,504.48 CORRECTION HALLUX VALGUS $ 1,244.33 CORRECTION HALLUX VALGUS $ 1,457.23 CORRJ HALUX RIGDUS W/IMPLT $ 1,191.85 CORRJ HALUX RIGDUS W/O IMPLT $ 2,713.00 CHARGE DESCRIPTION CHARGE AMOUNT CORTEX SCREW $ 85.48 CORTICAL BONE SCREW 5.0MM X 38MM $ 546.00 CORTICAL SCREW 3.5 X 10MM $ 103.96 CORTICAL SCREW 3.5 X 12MM $ 103.96 CORTICAL SCREW 3.5 X 14MM $ 103.96 CORTICAL SCREW 3.5 X 16MM $ 103.96 CORTICAL SCREW 3.5 X 18MM $ 103.96 CORTICAL SCREW 3.5 X 20MM $ 103.96 CORTICAL SCREW 3.5 X 22MM $ 103.96 CORTICAL SCREW 3.5 X 24MM $ 103.96 CORTICAL SCREW 3.5 X 26MM $ 103.96 CORTICAL SCREW 3.5 X 28MM $ 103.96 CORTICAL SCREW 3.5 X 30MM $ 172.20 CORTICAL SCREW 3.5 X 32MM $ 172.20 CORTICAL SCREW 3.5 X 34MM $ 172.20 CORTICAL SCREW 3.5 X 36MM $ 172.20 CORTICAL SCREW 3.5 X 40MM $ 172.20 CORTICAL SCREW 3.5 X 42MM $ 172.20 CORTICAL SCREW 3.5 X 44MM $ 172.20 CORTICAL SCREW 3.5 X 48MM $ 172.20 CORTICAL SCREW 3.5 X 50MM $ 172.20 CORTICAL SCREW 3.5 X 55MM $ 172.20 CORTICAL SCREW 3.5 X 60MM $ 172.20 CORTICAL SCREW 3.5 X 65MM $ 172.20 CORTICAL SCREW 3.5 X 70MM $ 181.28 CORTISOL, FREE $ 136.09 CORTISOL, TOTAL $ 123.00 CORTISPORIN OTIC SUSP 10 ML $ 245.09 CORTROSYN INJ 0.25 MG $ 489.61 COSMETIC CONSULT $ 50.00 COSMETIC CONSULT $ 50.00 COSMETIC SEPTO-RHINOPLASTY $ 3,500.00 COUMADIN TAB 1 MG $ 7.19 COUMADIN TAB 2 MG $ 7.45 COUMADIN TAB 2.5 MG $ 7.66 COUMADIN TAB 3 MG $ 7.68 COUMADIN TAB 5 MG $ 7.94 COUNT 5 CELLS, 1 KARYOTYPE, WITH BANDING $ 391.40 COUNTERSINK 2.5MM HEADED $ 708.00 COUNTERSINK 2.5MM HEADLESS $ 708.00 COUNTERSINK 3.0MM HEADLESS $ 708.00 COUNTERSINK 3.0MM HEADLESS $ 708.00 COUNTERSINK 3.5MM HEADLESS $ 708.00 COUNTERSINK 3.5MM HEADLESS $ 708.00 COUNTERSINK 4.0/4.5MM HEADED $ 900.00 COUNTERSINK 4.0MM HEADLESS $ 708.00 CHARGE DESCRIPTION CHARGE AMOUNT COUNTERSINK 7.0MM HEADLESS $ 900.00 COUNTERSINK FOR 2.7MM CORTEX SCREWS $ 672.60 COUNTERSINK FOR SCREWS 02.7/3.5MM AO FIT $ 582.32 COVER - C - ARMOR DRAPE $ 120.00 COVER FOOT IMPAD $ 226.88 COVER FOOT IMPAD - LARGE $ 112.80 COVER PROBE 12IN ULTRASOUND $ 3,500.00 COXIELLA BURNETII ANTIBODIES $ 32.96 COZAAR TAB 50 MG $ 1.27 CPK $ 72.00 CPR $ 830.53 CPR $ 830.53 CPR $ 830.53 CPR $ 1,484.96 CPR $ 1,484.96 CPR $ 1,484.96 CPR $ 455.49 CPR $ 40.00 CPR $ 830.53 CPR $ 830.53 CPR $ 1,484.96 CPR $ 659.00 CPR $ 830.53 CPR $ 1,484.96 CPR -W/CRASH CART $ 1,484.96 CPR-1 YR OLDER - NO CRASH CART $ 830.53 CRE WIREGUIDED ESOPHAGEAL COLONIC BALLOO $ 1,156.00 C-REACTIVE PROTEIN $ 66.00 CREATE AV FISTULA NOT AUTOGENOUS GRAFT $ 1,370.10 CREATE AV FISTULA, AUTOGENOUS GRAFT $ 1,629.20 CREATINE $ 43.26 CREATININE $ 45.00 CREATININE OTHER SOURCE $ 58.08 CREATININE SERUM $ 21.15 CREP E/N/E/L 2.6-7.5CM $ 453.26 CREP E/N/E/L 2.6-7.5CM $ 627.76 CREP E/N/E/L 2.6-7.5CM $ 1,081.02 CREP E/N/E/L; 1.1-2.5CM $ 374.00 CREP E/N/E/L; 1.1-2.5CM $ 627.76 CREP E/N/E/L; 1.1-2.5CM $ 1,001.75 CREP F/G/H/F 1-2.5CM $ 408.30 CREP F/G/H/F 1-2.5CM $ 493.22 CREP F/G/H/F 1-2.5CM $ 901.52 CREP F/G/H/F; 1-2.5CM $ 408.30 CREP F/G/H/F; 2.6-7.5CM $ 409.46 CREP F/G/H/F; 2.6-7.5CM $ 627.76 CHARGE DESCRIPTION CHARGE AMOUNT CREP F/G/H/F; 2.6-7.5CM $ 1,037.22 CREP H/A/G/EXTR EA ADD 5 CM/< $ 349.70 CREP S/A/L; 2.6 - 7.5CM $ 634.66 CREP S/A/L; 2.6-7.5CM $ 348.84 CREP S/A/L; 2.6-7.5CM $ 634.66 CREP S/A/L; 2.6-7.5CM $ 983.50 CREP TRUNK 2.6-7.5CM $ 329.02 CREP TRUNK 2.6-7.5CM $ 634.66 CREP TRUNK 2.6-7.5CM $ 963.68 CREW TI-DOUBLE LEAD CORT 5.0 X 32MM $ 972.16 CRITICAL CARE EA ADT'L 30 MIN $ 279.18 CRITICAL CARE EA ADT'L 30 MIN $ 279.18 CRITICAL CARE EA ADT'L 30 MIN $ 279.18 CRITICAL CARE EA ADT'L 30 MIN $ 279.18 CRITICAL CARE EA ADT'L 30 MIN $ 279.18 CRITICAL CARE EA ADT'L 30 MIN $ 279.18 CRITICAL CARE EA ADT'L 30 MINUTES $ 279.18 CRITICAL CARE 1ST HOUR $ 2,152.25 CRITICAL CARE 1ST HOUR $ 289.41 CRITICAL CARE 1ST HOUR $ 893.32 CRITICAL CARE 1ST HOUR $ 1,182.73 CRITICAL CARE ADDL 30 MIN $ 279.18 CRITICAL CARE FIRST HOUR $ 1,182.75 CRITICAL CARE FIRST HOUR $ 1,182.75 CRITICAL CARE FIRST HOUR $ 1,182.75 CRITICAL CARE FIRST HOUR $ 1,182.75 CRITICAL CARE FIRST HOUR $ 1,182.75 CRITICAL CARE FIRST HOUR $ 1,182.75 CROSS IT 300XT $ 328.00 CRP HIGH SENS. CARDIAC $ 102.16 CRT-D AMPLIA MRI IS4/DF-1 $ 39,200.00 CRTD AMPLIA MRI QUAD DF4 DTMB1QQ $ 39,600.00 CRT-D CLARIA MRI IS-1/DF-1 $ 38,208.00 CRT-D CLARIA MRI IS4/DF4 DTMA1D4 $ 34,387.20 CRT-D CLARIA MRI IS4/DF4 DTMA1QQ $ 38,208.00 CRTD DTMB1D1 AMPLIA MIR US DFI $ 39,600.00 CRTD DTMB1D4 AMPLIA MRI US DFI $ 39,200.00 CRT-D UNIFY ASSURA $ 39,034.00 CRT-P PERCEPTA QUADRIIPOLAR $ 18,170.00 CRT-P QUADRA ALLURE MP $ 16,990.00 CRT-P SERENA BIPOLAR $ 13,734.00 CRT-P VALITUDE $ 11,894.00 CRYOFIBRINOGEN $ 84.97 CRYOGLOBULIN SERUM $ 98.42 CRYPTOCOCCUS ANTIGEN $ 134.60 CRYPTOSPORIDIA AG $ 98.22 CHARGE DESCRIPTION CHARGE AMOUNT CRYSTALENS AO 20.0 $ 3,325.00 CRYSTALENS AO 24.0 $ 3,325.00 CSF HIV $ 546.93 CSF OLIGOCLONAL BANDS $ 194.98 CT ABD & PEL W/O CONTRAST $ 2,692.82 CT ABD & PEL WITH CONTRAST $ 3,048.47 CT ABD/ PEL W/O & W CONTRAST $ 2,768.76 CT ABDOMEN W/CONTRAST $ 1,958.81 CT ABDOMEN W/O & W/CON $ 2,170.14 CT ABDOMEN W/O ONLY $ 1,792.74 CT ASPIRATION $ 3,225.93 CT BIOPSY $ 498.47 CT BIOPSY GUIDANCE $ 3,225.93 CT BONE DENSITOMETRY $ 697.63 CT CATH INTO RENPELV $ 2,446.14 CT CERV SPINE W/CONTRAST $ 1,634.29 CT CERV SPINE W/O & W/CONT $ 2,707.00 CT CERV SPINE W/O ONLY $ 1,620.49 CT CHEST HIGH RESOLUTION $ 1,599.88 CT CHEST W/CONTRAST $ 1,926.10 CT CHEST W/O & W/CONT $ 1,927.97 CT CHEST W/O ONLY $ 1,599.88 CT COLONOGRAPHY DX $ 589.50 CT CTA ABD AORTA W/RUNOFF $ 2,200.64 CT CTA ABDOMEN $ 2,317.96 CT CTA ABDOMEN & PELVIS $ 2,748.01 CT CTA CHEST $ 2,044.93 CT CTA HEAD $ 1,985.98 CT CTA LOW EXTREMITY $ 1,942.59 CT CTA NECK $ 2,082.33 CT CTA UPP EXTREMITY $ 2,324.71 CT CYSTOGRAPHY $ 198.55 CT DORSAL W/CONTRAST $ 615.30 CT DORSAL W/O & W/CONT $ 1,955.00 CT DORSAL W/O ONLY $ 1,020.21 CT DRAINAGE & INJECTION $ 687.61 CT ENTEROGRAPHY $ 3,048.47 CT FACIAL W/CONTRAST $ 1,652.29 CT FACIAL W/O & W/CONT $ 2,045.91 CT FACIAL W/O ONLY $ 1,496.00 CT HEAD W/CONTRAST $ 1,368.64 CT HEAD W/O & W/CONT $ 1,823.25 CT HEAD W/O ONLY $ 1,396.89 CT IAC W/CONTRAST $ 1,680.17 CT IAC W/O & W/CONT $ 1,881.88 CT IAC W/O ONLY $ 1,456.70 CHARGE DESCRIPTION CHARGE AMOUNT CT LIMITED FOLLOW-UP $ 1,441.58 CT LOW DOSE LUNG DIAGNOSTIC $ 1,599.88 CT LOW DOSE LUNG SCREENING $ 1,157.52 CT LOW EXT W CONT LT $ 1,626.20 CT LOW EXT W CONT RT $ 1,626.20 CT LOW EXT W&WO LT $ 1,149.48 CT LOW EXT W&WO RT $ 1,961.06 CT LOW EXT W/O ONLY LT $ 1,477.30 CT LOW EXT W/O ONLY RT $ 1,477.30 CT LUMBAR W/CONTRAST $ 2,000.32 CT LUMBAR W/O & W/CONT $ 2,261.17 CT LUMBAR W/O ONLY $ 1,409.51 CT ORBITS W/CONTRAST $ 1,680.17 CT ORBITS W/O & W/CONTR $ 1,881.88 CT ORBITS W/O ONLY $ 1,456.70 CT PELVIS W/CONTRAST $ 1,969.48 CT PELVIS W/O & W/CONTR $ 2,021.00 CT PELVIS W/O CONTRAST $ 1,694.51 CT PELVIS W/O ONLY $ 1,472.63 CT PELVIS; WO CONTR $ 1,472.63 CT RECONTRUCTION $ 793.65 CT SCANOGRAM $ 1,010.00 CT SCOUT VIEW ONLY $ 1,679.93 CT SELLA TUR W/CONTRAST $ 1,680.17 CT SELLA W/O & W/CONT $ 1,881.88 CT SELLA W/O ONLY $ 1,456.70 CT SIG TKA GDE/MDL SET 03-08 $ 3,510.00 CT SINUSES W/CONT $ 1,652.29 CT SINUSES W/O & W/CONT $ 2,045.91 CT SINUSES W/O CONT $ 1,496.00 CT SOFT TIS NECK W/CONT $ 1,729.75 CT SOFT TISSUE NECK W/O $ 1,601.55 CT SOFTISNECK W/O & W/CONT $ 1,975.43 CT UPP EXT W&W/O LT $ 998.07 CT UPP EXT W&W/O RT $ 998.07 CT UPP EXT W/CONT LT $ 1,588.90 CT UPP EXT W/CONT RT $ 1,588.90 CT UPP EXT W/O ONLY LT $ 1,504.00 CT UPP EXT W/O ONLY RT $ 1,504.00 CT UROGRAM CT $ 2,768.76 CT VENOGRAM $ 2,200.64 CTRL POST EPISTAX SQ $ 177.42 CTRL POST EPISTAX SQ $ 230.22 CTRL POST EPISTAX SQ $ 407.64 CUBICIN INJ 500 MG $ 4.04 CUBICIN INJ 500 MG $ 2.01 CHARGE DESCRIPTION CHARGE AMOUNT CUFF TOURN DUAL HOSE SING BLA BROWN 34X4 $ 90.44 CUFF TOURN DUAL HOSE SING BLAD RED 18X4 $ 70.28 CUFF TOURN DUAL HOSE SING MAROON 42X4 $ 89.92 CUFF TOURNIQUET 12 ATS W/PLC DISPOSABLE $ 58.72 CUFF TOURNIQUET 24 ATS W/PLC DISPOSABLE $ 72.68 CUFF TOURNIQUET 30 ATS W/PLC DISPOSABLE $ 77.60 CUFF TOURNIQUET DPDB 18 ATS W/PLC $ 129.88 CUFF TOURNIQUET DPDB 18 ATS W/PLC $ 903.00 CULTURE ANAEROBIC $ 158.53 CULTURE BLOOD $ 148.00 CULTURE CHLAMYDIA $ 102.65 CULTURE CSF $ 120.07 CULTURE PATH ORG PRESUMPTIVE SCREENING $ 69.27 CULTURE ROUTINE $ 120.07 CULTURE SPUTUM $ 120.07 CULTURE THROAT $ 120.07 CULTURE URINE $ 92.74 CULTURE UROGENITAL $ 120.07 CUP - 39/NEUTRAL CAP COATED, UNIV REVERS $ 4,117.50 CUP ACETABULAR 28MM X 56MM $ 3,570.00 CUP PE STAND D38 + 9MM $ 3,197.25 CUP VACUUM MITY VAC W/ TUBING & FILTER $ 140.64 CUP WASHER $ 326.04 CURET/CAUTERY ANAL FISSURE; SUBSEQUENT $ 288.70 CURETTAGE POSTPARTUM $ 438.05 CURVTEK XLG CARTRIDGE $ 1,880.20 CUSHION SOF-CARE CHAIR 18 X 19 $ 64.80 CUTTER - 7.5MM FLIP $ 1,627.50 CUTTER - 7.5MM FLIP II SHORT $ 1,627.50 CUTTER - 8.5MM FLIP II $ 1,627.50 CUTTER - 8.5MM FLIP II SHORT $ 1,627.50 CUTTER - 8MM FLIP II $ 1,627.50 CUTTER - 9.0MM FLIP $ 1,627.50 CUTTER - 9MM FLIP II SHORT $ 1,627.50 CUTTER- 10MM FLIP II SHORT $ 1,627.50 CUTTER 45MM LINEAR $ 760.16 CUTTER- 7.0MM FLIP II SHORT $ 1,627.50 CUTTER DISPOSABLE PATELLA 27MM $ 1,407.00 CUTTER KNOT PUSHER SUTURE $ 716.00 CUTTER LINEAR RELOAD FOR TWW35 $ 447.24 CUTTTER-8.5MM FLIP II SHORT $ 1,627.50 CVC LINE PLACEMENT $ 2,137.56 CVC PLACEMENT W/ CONFIRMATION $ 2,137.56 CVC PLACEMENT W/ CONFIRMATION $ 2,137.56 CVC PLACEMENT W/ CONFIRMATION $ 2,045.51 CVC PLACEMENT W/ CONFIRMATION $ 2,137.56 CHARGE DESCRIPTION CHARGE AMOUNT CVC PLACEMENT W/ CONFIRMATION $ 2,045.51 CVC PLACEMENT W/ CONFIRMATION $ 2,045.51 CVC PLACEMENT W/ CONFIRMATION $ 2,045.51 CVC PLACEMENT W/ CONFIRMATION $ 2,045.51 CVSLR STRESS TEST; INT REP $ 36.98 CVSLR STRESS TEST; TRACING $ 80.13 CYANIDE $ 150.38 CYCLIC CITR PEP IgG/IgA $ 136.88 CYCLOGYL OPHTH SOLN 1% 2 ML $ 36.85 CYCLOSPORINE SPECIFIC 2 HR PEAK $ 159.87 CYMBALTA CAP 20 MG $ 22.87 CYMBALTA CAP 30 MG $ 25.54 CYP2C19 GENE ANALYSIS $ 412.00 CYP2D6 GENE ANALYSIS $ 566.50 CYRAMZA (RAMUCIRUMAB) INJECTION 5 MG $ 129.73 CYRAMZA (RAMUCIRUMAB) INJECTION 5 MG $ 129.42 CYST W INS OF INDWELLING URETER STENT $ 206.21 CYST W INS OF INDWELLING URETER STENT $ 3,305.33 CYST W INS OF INDWELLING URETER STENT $ 3,511.53 CYSTATIN C $ 99.55 CYSTECTOMY PART COMPLICATED $ 2,577.80 CYSTIC FIBROSIS SCREEN $ 425.39 CYSTO W BIOPSY OR LES FULG $ 1,066.98 CYSTO W DIL OF BLADDER; GEN ANESTH $ 536.95 CYSTO W DIL OF URETHRAL STRICTURE $ 201.18 CYSTO W DIL OF URETHRAL STRICTURE $ 2,138.06 CYSTO W DIL OF URETHRAL STRICTURE $ 2,339.23 CYSTO W DIR VISION INT URETHROTOMY $ 675.45 CYSTO W FULG BLADDR TUMOR(S); 0.5-2.0CM $ 628.63 CYSTO W FULG BLADDR TUMOR(S); 2.0-5.0CM $ 736.98 CYSTO W FULG OF MINOR LESIONS LESS 0.5CM $ 271.65 CYSTO W FULG OF MINOR LESIONS LESS 0.5CM $ 2,138.06 CYSTO W FULG OF MINOR LESIONS LESS 0.5CM $ 2,409.71 CYSTO W FULGERATION OF TRIGONE $ 450.88 CYSTO W FULGERTN LG BLADDER TUMOR(S) $ 1,001.70 CYSTO W LITHOTRIPSY $ 1,001.70 CYSTO W MANIP WO REM OF CALCULUS $ 540.00 CYSTO W MULTI OBSTR CLOT REM $ 733.68 CYSTO W REM F/STNT URETH/BLD COMPL $ 559.58 CYSTO W REM FB/STNT URETH/BLDR SIMPLE $ 4,162.35 CYSTO W REM FB/STNT URETH/BLDR; SIMPLE $ 200.59 CYSTO W REM FB/STNT URETH/BLDR; SIMPLE $ 2,138.06 CYSTO W REM FB/STNT URETH/BLDR; SIMPLE $ 2,338.65 CYSTO W STONE MANIP OR REM $ 906.40 CYSTO W STONE MANIP OR REM $ 1,916.00 CYSTO W U W URETERAL STRICTURE TX $ 945.20 CHARGE DESCRIPTION CHARGE AMOUNT CYSTO W URETER STRICTURE TX $ 725.50 CYSTO W URETEROSCOPY W RENAL STRICTURE T $ 1,199.00 CYSTO/URETERO W/LITHOTRIPSY $ 1,046.00 CYSTO/URETERO W/LITHOTRIPSY $ 1,569.00 CYSTO-CONRAY INJ 17.2% 250ML $ 125.00 CYSTOGRAM $ 1,144.05 CYSTOGRAM PORTABLE $ 1,144.05 CYSTOGRAM VOIDING $ 945.73 CYSTOMETROGRAM W/VP&UP $ 256.66 CYSTOMETROGRAM W/VP&UP $ 404.84 Cystorethroscopy $ 1,372.93 CYSTOSCOPY $ 5,235.30 CYSTOSCOPY AND TREATMENT $ 4,254.00 CYSTOSCOPY CHEMODENERVATION $ 431.08 CYSTOSCOPY W/BIOPSY(S) $ 360.85 CYSTOSTOMY CYSTOTOMY W DRAINAGE $ 729.93 CYSTOSTOMY TUBE CHANGE SIMPLE $ 579.48 CYSTOURETHROSCOPY $ 1,372.93 CYSTOURETHROSCOPY $ 108.78 CYSTOURETHROSCOPY $ 714.27 CYSTOURETHROSCOPY $ 823.06 CYSTOURETHROSCOPY AND TREATMENT $ 4,254.00 CYSTOURETHROSCOPY AND TREATMENT $ 4,254.00 CYSTOURETHROSCOPY WITH URETERAL CATH $ 338.33 CYSTOURETHROSCOPY WITH URETERAL CATH $ 513.12 CYTOGENETICS INTERPRETATION & REPORT L $ 218.23 CYTOGENETICS INTERPRETATION & REPORT H $ 218.23 CYTOGENOMIC MICROARRAY ANLALYSIS; SNP $ 2,132.10 CYTOLOGY URINE $ 300.00 CYTOLOGY URINE BY FISH $ 300.00 CYTOMEGALOVIRUS QUANTIFICATION $ 341.96 CYTOPATH SELECTIVE CELLULAR ENHANCEMENT $ 249.93 CYTOPATHOLOGY FLUIDS $ 76.73 CYTOPATHOLOGY FNA EVALUATION $ 222.85 CYTOPATHOLOGY, CONCENTRATION TECH SMEAR $ 234.67 CYTOTEC TABLET 200 MCG $ 3.25 CYTOXAN 500 MG INJ $ 165.81 D DIMER $ 137.00 D314VRM ICD PROTECTA $ 33,440.00 D5/ 0.2% SOD CHLOR W/ 20MEQ KCL 1000ML $ 7.36 D5/ 0.45% W/ 40MEQ KCL 1000ML $ 3.68 D5/0.9 SOD CHLOR W/ 20MEQ KCL 1000ML $ 7.35 DACARBAZINE INJ 200 MG $ 39.46 DACRIOSE OPHTH SOLN 120ML $ 14.95 DAILY PHYSICAL DEFENSE $ 44.00 DALMANE CAP 15 MG $ 2.50 CHARGE DESCRIPTION CHARGE AMOUNT DANTRIUM CAP 25 MG $ 3.43 DAPTACEL (DTaP) PED INJ 0.5 ML $ 138.66 DARZALEX (DARATUMUMAB) INJECTION $ 119.69 DBM PLUS 10CC STAGRAFT $ 3,467.50 DC DIAGNOSTIC OR THERAP NOT OB $ 544.03 DEB BONE 20 SQ CM LESS THAN $ 2,084.63 DEB BONE 20 SQ CM/LESS THAN $ 300.44 DEB BONE 20 SQ CM/LESS THAN $ 1,784.19 DEB BONE ADD-ON = LESS THAN 20 SQ CM $ 252.10 DEB MUSC/FASCIA 20 SQ CM/LESS THAN $ 203.88 DEB MUSC/FASCIA 20 SQ CM/LESS THAN $ 589.03 DEB MUSC/FASCIA 20 SQ CM/LESS THAN $ 792.91 DEB MUSC/FASCIA ADD-ON = / LESS 20 SQ CM $ 142.83 DEB SKIN BONE AT FX SITE $ 1,075.40 DEB SUBQ TISSUE 20 SQ CM OR LESS $ 380.41 DEB SUBQ TISSUE 20 SQ CM/< $ 380.41 DEB SUBQ TISSUE 20 SQ CM/< $ 763.00 DEB SUBQ TISSUE 20 SQ CM/< $ 763.00 DEB SUBQ TISSUE 20 SQ CM/LESS THAN $ 80.81 DEB SUBQ TISSUE 20 SQ CM/LESS THAN $ 380.41 DEB SUBQ TISSUE 20 SQ CM/LESS THAN $ 461.21 DEB SUBQ TISSUE ADD-ON <20 SQ CM $ 710.53 DEB SUBQ TISSUE ADD-ON = / LESS 20 SQ CM $ 67.10 DEBR EXZ/INF SKIN; 10% BS $ 72.55 DEBR NECROTIZ ST - GENITALS PERINEUM $ 1,473.60 DEBR NECROTIZ STISS - ABD WALL $ 2,000.10 DEBRID SQ TISSUE FIRST 20 SQ CM $ 576.58 DEBRIDE MASTOIDECTOMY CAVITY SIMPL $ 66.81 DEBRIDE MASTOIDECTOMY CAVITY SIMPL $ 199.06 DEBRIDE MASTOIDECTOMY CAVITY SIMPL $ 265.86 DEBRIDE NAIL 1-5 $ 68.35 DEBRIDE NAIL 1-5 $ 19.34 DEBRIDE NAIL 1-5 $ 70.92 DEBRIDE NAIL 1-5 $ 90.26 DEBRIDE NAIL 6 OR MORE $ 80.00 DEBRIDE NAIL 6 OR MORE $ 32.73 DEBRIDE NAIL 6 OR MORE $ 70.92 DEBRIDE NAIL 6 OR MORE $ 103.65 DEBRIDE SKIN AT FX SITE $ 714.45 DEBRIDE SKIN MUSC AT FX SITE $ 760.85 Debridement SQ - each addt'l 20 sq cm $ 604.58 DEBRIDEMENT BONE EACH ADDL 20 SQ CM $ 268.83 DEBRIDEMENT MUSCLE OF FASCIA EACH ADDL $ 309.32 DEBRIDEMENT OF NAILS (6) ANY METHOD $ 80.00 DEBRIDEMENT OF NAILS 1 TO 5 $ 120.80 DEBRIDEMENT OF NAILS 6 OR MORE $ 157.50 CHARGE DESCRIPTION CHARGE AMOUNT Debridement Subcutaneous and Muscle $ 1,097.93 Debridement Subcutaneous Muscle & Bone $ 1,537.20 DEBROX OTIC SOLN 6.5% 15 ML $ 12.16 DECADRON 10MG/ML INJ $ 1.52 DECADRON INJ 10 MG $ 3.53 DECADRON INJ 4 MG $ 3.38 DECADRON TAB 2 MG $ 2.85 DECADRON TAB 4 MG $ 4.01 DECALCIFICATION PROC $ 91.39 DECLOT DIALYSIS CATH W/THROMBOLYTIC $ 553.01 DECLOT PICC OR CVC W/THROMBOLYTIC $ 763.75 DECLOT PICC OR CVC W/THROMBOLYTIC $ 763.75 DECLOT PICC or CVC with thrombolytic $ 270.90 DECLOT PICC/VAD THROMBOLYTIC $ 763.75 DECOMPRESS PLANTAR DIGITAL NERVE $ 543.38 DECOMPRESS UNSPECIFIED NERVE(S) $ 711.84 DEEP DISSECT FOOT INF; MULTI AREAS $ 1,400.73 DEEP DISSECT FOOT INF; SGL BURSA SP $ 794.70 DEEP FB REM - FOREARM/WRIST $ 1,025.13 DEEP ID - UA/ELBOW $ 543.05 DEEP ID ABSC - FARM/WRIST $ 1,294.85 DEEP ID THIGH/KNEE $ 1,257.75 DEEP INC FOOT W OP BONE CORTEX $ 1,442.43 DEEP INC LEG/ANKLE $ 1,517.55 DEEP INC W OBC ELBOW $ 1,011.62 DEEP INC W OP BONE; KNEE/FEMUR $ 1,594.08 DEEP REM FB FROM UA/ELBOW $ 818.00 DEEP ST BX UA OR ELBOW $ 831.12 DEEP TRANSF/TRANSPL SGL LLEG TENDON $ 1,734.30 DEFIB - VIVA XT US IS1/DF1 $ 36,000.00 DEFIB CARD ANG THK 12MM CD1411-36Q $ 31,526.00 DEFIB CD2357-40C FORTIFY ASSURA $ 35,890.00 DEFIB CD2357-40Q FORTIFY ASSURA $ 35,890.00 DEFIB DYNAGEN EL VR AICD $ 35,640.00 DEFIB ELLIPSE DR ICD U PR $ 35,890.00 DEFIB INOGEN EL DR DF4 $ 36,680.00 DEFIB INOGEN EL ICD DF4-VR $ 33,386.00 DEFIB INOGEN EL ICD IS-1/DF-1 VR $ 38,114.00 DEFIB INOGEN EL ICD IS-1/DF-1 VR $ 34,650.00 DEFIB LEAD 7122/60 ST JUDE $ 8,000.00 DEFIB LEAD 7122-65 ST JUDE $ 8,000.00 DEFIBRILLATOR - EVERA S VR DR4 SINGLE CH $ 22,600.00 DEFINITY INJ 2ML $ 207.25 DELIVERY OF PLACENTA $ 230.00 DELIVERY ROOM $ 1,286.29 DELIVERY ROOM - SPECIAL $ 1,112.72 CHARGE DESCRIPTION CHARGE AMOUNT DEMADEX TAB 20 MG $ 1.64 DEMADEX TAB 5 MG $ 1.42 DEMONSTRATE USE HOME INR MON $ 336.53 DENTAL NERVE BLOCK $ 514.00 DEPACON INJ 500 MG $ 26.20 DEPAKENE SYRUP 250MG/5ML 5ML $ 2.86 DEPAKOTE ER TAB 500MG $ 18.67 DEPAKOTE ER TABL 250 MG $ 5.30 DEPO MEDROL INJ 40 MG $ 49.10 DEPO MEDROL INJ 80 MG $ 92.53 DEPO PROVERA INJ 150MG $ 2.51 DEPO-MEDROL INJ 20MG $ 39.75 DEPO-TESTOSTERONE INJECTION 200 MG $ 0.50 DERMA CARRIER MESH 1.5 TO 1 $ 83.92 DERMA CARRIER MESH 3 TO 1 $ 83.92 DERMABOND ADHESIVE SKIN PROPEN DPP6 $ 63.72 DERMAGRAFT (HUMAN FIBROBLAST DERIVE $ 2,937.50 DERMAL REPAIR $ 118.00 DESITIN OINT 40% $ 15.39 DESMOPRESSIN INJ 4 MCG $ 14.07 DEST LESION(S) PENIS SIMPLE CRYO $ 142.38 DEST LESION(S) PENIS SIMPLE CRYO $ 229.39 DEST LESION(S) PENIS SIMPLE CRYO $ 371.76 DESTR CUT VASC LES 10 SQ CM/LESS THAN $ 687.70 DESTR CUT VASC LES 10 SQ CM/LESS THAN $ 762.92 DESTR CUT VASC LES 10 SQ CM/LESS THAN $ 1,450.62 DESTR CV LES 10 - 50 SQCM $ 869.92 DESTR CV LES 10 - 50 SQCM $ 1,190.37 DESTR CV LES GREATER THAN 50 SQ CM $ 1,320.92 DESTR CV LES GREATER THAN 50 SQ CM $ 1,585.00 DESTR LESION(S) PENIS SIMPLE; ELECTROD $ 120.52 DESTR LESION(S) PENIS SIMPLE; ELECTROD $ 1,856.10 DESTR LESION(S) PENIS SIMPLE; ELECTROD $ 1,976.62 DESTR LESION(S) PENIS SIMPLE; SURG EXC $ 328.65 DESTR LESIONS PENIS SIMPLE LASER $ 238.87 DESTR M LES S/N/H/F/G 0.5 CM/< $ 128.17 DESTR M LES S/N/H/F/G 0.5 CM/< $ 229.39 DESTR M LES S/N/H/F/G 0.5 CM/< $ 229.39 DESTR MLES F/E/E/N/L/MM > 4CM $ 365.00 DESTR MLES F/E/E/N/L/MM > 4CM $ 615.56 DESTR MLES F/E/E/N/L/MM > 4CM $ 980.56 DESTR MLES F/E/E/N/L/MM 0.5/LESS THAN $ 117.49 DESTR MLES F/E/E/N/L/MM 0.5/LESS THAN $ 219.64 DESTR MLES F/E/E/N/L/MM 0.5/LESS THAN $ 337.13 DESTR MLES F/E/E/N/L/MM 0.6-1CM $ 160.04 DESTR MLES F/E/E/N/L/MM 0.6-1CM $ 400.39 CHARGE DESCRIPTION CHARGE AMOUNT DESTR MLES F/E/E/N/L/MM 0.6-1CM $ 560.43 DESTR MLES F/E/E/N/L/MM 1.1-2CM $ 185.51 DESTR MLES F/E/E/N/L/MM 1.1-2CM $ 400.39 DESTR MLES F/E/E/N/L/MM 1.1-2CM $ 585.90 DESTR MLES F/E/E/N/L/MM 2.1-3CM $ 232.47 DESTR MLES F/E/E/N/L/MM 2.1-3CM $ 400.39 DESTR MLES F/E/E/N/L/MM 2.1-3CM $ 632.85 DESTR MLES F/E/E/N/L/MM 3.1-4CM $ 270.78 DESTR MLES F/E/E/N/L/MM 3.1-4CM $ 615.56 DESTR MLES F/E/E/N/L/MM 3.1-4CM $ 886.34 DESTR MLES LS/N/H/F/G > 4.0 C $ 273.13 DESTR MLES LS/N/H/F/G > 4.0 C $ 400.39 DESTR MLES LS/N/H/F/G > 4.0 C $ 673.52 DESTR MLES S/N/H/F/G 0.6 - 1 $ 141.79 DESTR MLES S/N/H/F/G 0.6 - 1 $ 229.39 DESTR MLES S/N/H/F/G 0.6 - 1 $ 371.18 DESTR MLES S/N/H/F/G 1.1-2.0 $ 164.10 DESTR MLES S/N/H/F/G 1.1-2.0 $ 229.39 DESTR MLES S/N/H/F/G 1.1-2.0 $ 393.48 DESTR MLES S/N/H/F/G 2.1-3.0 $ 185.98 DESTR MLES S/N/H/F/G 2.1-3.0 $ 400.39 DESTR MLES S/N/H/F/G 2.1-3.0 $ 586.37 DESTR MLES S/N/H/F/G 3.1-4.0 $ 228.36 DESTR MLES S/N/H/F/G 3.1-4.0 $ 400.39 DESTR MLES S/N/H/F/G 3.1-4.0 $ 628.75 DESTR MLES T/A/L > 4.0 CM $ 208.33 DESTR MLES T/A/L > 4.0 CM $ 400.39 DESTR MLES T/A/L > 4.0 CM $ 608.71 DESTR MLES T/A/L 0.5 CM/< $ 91.52 DESTR MLES T/A/L 0.5 CM/< $ 229.39 DESTR MLES T/A/L 0.5 CM/< $ 320.91 DESTR MLES T/A/L 0.6-1.0 CM $ 116.29 DESTR MLES T/A/L 0.6-1.0 CM $ 229.39 DESTR MLES T/A/L 0.6-1.0 CM $ 345.67 DESTR MLES T/A/L 1.1-2.0 CM $ 149.06 DESTR MLES T/A/L 1.1-2.0 CM $ 229.39 DESTR MLES T/A/L 1.1-2.0 CM $ 378.44 DESTR MLES T/A/L 2.1-3.0 CM $ 165.46 DESTR MLES T/A/L 2.1-3.0 CM $ 229.39 DESTR MLES T/A/L 2.1-3.0 CM $ 394.85 DESTR MLES T/A/L 3.1-4.0 CM $ 176.41 DESTR MLES T/A/L 3.1-4.0 CM $ 400.39 DESTR MLES T/A/L 3.1-4.0 CM $ 576.80 DESTR PENIS LESION(S) $ 431.15 DESTR W NEUROLYT TRIGEM NRV RAD GUIDE $ 644.89 DESTR W NEUROLYT TRIGEM NRV RAD GUIDE $ 2,093.65 CHARGE DESCRIPTION CHARGE AMOUNT DESTR W NEUROLYT TRIGEM NRV RAD GUIDE $ 2,738.54 DESTR W NEUROLYTIC; OTHER PERIPH NRV $ 230.33 DESTR W NEUROLYTIC; OTHER PERIPH NRV $ 614.89 DESTROY ANAL LESION SIMPLE; CRYOSURGERY $ 186.59 DESTROY ANAL LESION SIMPLE; CRYOSURGERY $ 199.06 DESTROY ANAL LESION SIMPLE; CRYOSURGERY $ 385.65 DESTROY ANAL LESION SIMPLE; SURG EXC $ 339.80 DESTROY ANAL LESION(S) EXTENSIVE $ 458.58 DESTROY C/TH FACET JNT ADDL $ 2,147.38 DESTROY CERV/THOR FACET JNT $ 4,241.53 DESTROY L/S FACET JNT ADDL $ 3,001.82 DESTROY LESION PALATE OR UVULA $ 291.04 DESTROY LESION(S) VULVA; EXTENSIVE $ 259.73 DESTROY LESION(S) VULVA; EXTENSIVE $ 3,256.10 DESTROY LESION(S) VULVA; EXTENSIVE $ 3,515.82 DESTROY LUMB/SAC FACET JNT $ 4,241.53 DESTROY NERVE FACE MUSCLE $ 910.05 DESTROY NERVE FACE MUSCLE $ 151.29 DESTROY NERVE FACE MUSCLE $ 318.11 DESTROY NERVE FACE MUSCLE $ 469.40 DESTROY PREMAL LESIONS 15/> $ 128.56 DESTROY PREMAL LESIONS 15/> $ 408.30 DESTROY PREMAL LESIONS 15/> $ 536.86 DESTROY VAG LESIONS COMPLEX $ 230.24 DESTROY VAG LESIONS COMPLEX $ 3,069.65 DESTROY VAG LESIONS COMPLEX $ 3,299.89 DESTROY VAGINAL LESION(S); SIMPLE $ 125.49 DESTROY VAGINAL LESION(S); SIMPLE $ 2,711.11 DESTROY VAGINAL LESION(S); SIMPLE $ 2,836.60 DESTROY VULVA LESIONS SIMP $ 147.29 DESTROY VULVA LESIONS SIMP $ 1,856.10 DESTROY VULVA LESIONS SIMP $ 2,003.39 DESTRUCT B9 LESION 1-14 $ 88.92 DESTRUCT B9 LESION 1-14 $ 199.06 DESTRUCT B9 LESION 1-14 $ 287.98 DESTRUCT LESION 15 OR MORE $ 337.23 DESTRUCT PREMALG LES 2-14 $ 6.00 DESTRUCT PREMALG LES 2-14 $ 41.00 DESTRUCT PREMALG LES 2-14 $ 47.00 DESTRUCT PREMALG LESION $ 67.50 DESTRUCT PREMALG LESION $ 199.06 DESTRUCT PREMALG LESION $ 266.55 DESYREL TAB 150 MG $ 2.08 DESYREL TAB 50MG $ 1.20 DETERGENT PHISOHEX 5 OZ $ 101.92 DEV INTERROG REMOTE 1/2/MLT $ 134.68 CHARGE DESCRIPTION CHARGE AMOUNT DEVELOPMENTAL SCREEN WITH SCORE $ 43.11 DEVELOPMENTAL SCREENING AND SCORING $ 171.00 DEVELOPMENTAL TESTING 1 HR $ 302.00 DEVICE - FAST FIX CURVED NEEDLE $ 1,645.28 DEVICE BIOPSY EVIVA $ 869.20 DEVICE DISTAL PROTECTION FILTERWIRE 300 $ 3,205.13 DEVICE ENCORE INFLATION 20CC $ 280.00 DEVICE ENDO SWITCH 10MM SUTURING $ 1,593.92 DEVICE INFLATION $ 142.52 DEVICE OPEN OPTIFIX $ 1,720.00 DEVICE RETRIEVAL RESCUE NET $ 340.00 DEVICE SECURESTRAP $ 2,041.41 DEVICE SECURESTRAP OPEN` $ 1,910.90 DEVICE TI KNOT DISPOSABLE $ 780.00 DEXA BONE DENSITY OF THE WRIST $ 568.35 DEXA-BONE DENSITY $ 745.91 DEXTROSE INJ 50% 50 ML $ 46.86 DEXTROSE IV 10% in Water 250 ML $ 61.50 DF LEG ANT/LAT & P COMPARTM $ 984.00 DFWP EMPLOYEES $ 40.00 DFWP REFRESHER FOR EMPLOYEES $ 40.00 DFWP REFRESHER FOR SUPERVISOR $ 60.00 DFWP SUPERVISORS $ 60.00 DHEA $ 171.25 DHEA SULFATE $ 227.53 DIAB SHOE FOR DENSITY INSERT $ 88.47 DIABETA TAB 2.5 MG $ 1.43 DIABETA TAB 5 MG $ 2.08 DIAG MAMMO BIL INCLUDES CAD $ 160.85 DIAG MAMMO UNIL INCLUDES CAD $ 127.20 DIAGNOSTIC ANOSCOPY SPX $ 53.57 DIAGNOSTIC ANOSCOPY SPX $ 130.03 DIAGNOSTIC ANOSCOPY SPX $ 183.60 DIAGNOSTIC COLONOSCOPY $ 380.00 DIAGNOSTIC LARYNGOSCOPY $ 86.15 DIAGNOSTIC LARYNGOSCOPY $ 190.06 DIAGNOSTIC LARYNGOSCOPY $ 276.21 DIAGNOSTIC SIGMOIDOSCOPY $ 142.58 DIALYSIS ONE EVALUATION $ 210.67 DIALYSIS TRAINING INCOMPLETE $ 100.00 DIAMONDBACK 360 1.25MM MICRO CROWN OAS $ 6,790.00 DIAMONDBACK 360 1.25MM SOLID CROWN OAS $ 6,790.00 DIAMONDBACK CC LT 1.5MM 145CM $ 5,790.00 DIAMONDBACK CC LT 2.0MM 145CM $ 6,190.00 DIAMOX INJ 500 MG $ 177.46 DIAMOX TAB 250 MG $ 7.92 CHARGE DESCRIPTION CHARGE AMOUNT DIAPHRAGM FLUOROSCOPY $ 953.81 DICLOFENAC SODIUM (DR) 75 MG TABLET $ 2.26 DIFFERENTIAL AUTO ADS OF SERUM EA $ 119.48 DIFFUSING CAPACITY $ 274.19 DIFLUCAN PB SOLN 200 MG 100 ML $ 98.97 DIFLUCAN PB SOLN 400MG/200ML $ 54.32 DIFLUCAN TAB 100 MG $ 6.23 DIFLUCAN TAB 150 MG $ 9.40 DIGIBIND INJ 40 MG $ 8,192.75 DIGITAL MAMO SCREENING $ 230.86 DIGOXIN $ 112.54 DIHYDROTESTOSTERONE $ 65.00 DIL URETH STRICT SOUND; MALE INITIAL $ 84.63 DIL URETH STRICT SOUND; MALE INITIAL $ 280.85 DIL URETH STRICT SOUND; MALE INITIAL $ 365.48 DILANTIN CAP 100 MG $ 5.26 DILANTIN INJ 100 MG $ 7.84 DILANTIN INJ 250 MG $ 3.63 DILANTIN SUSP 100MG/4ML 4ML $ 20.20 DILATE CERVICAL CANAL INSTRUMENTAL $ 115.00 DILATE ESOPH UNGUIDED SND/BOUG $ 161.42 DILATE FEMALE URETHRA GEN ANESTHESIA $ 158.28 DILATE FEMALE URETHRA; FOLLOW-UP $ 103.40 DILATE FEMALE URETHRA; INITIAL $ 55.02 DILATE FEMALE URETHRA; INITIAL $ 165.23 DILATE FEMALE URETHRA; INITIAL $ 220.25 DILATE FOR STRICTURE/OBSTR $ 70.45 DILATOR - CERVICAL DISPOSABLE $ 141.84 DILATOR 20MM X 60FR ESOPHAGEAL BALLOON $ 296.00 DILATOR AMPLATZ RENAL 26FR $ 164.00 DILATOR AMPLATZ RENAL 28FR $ 164.00 DILATOR AMPLATZ RENAL 30FR $ 164.00 DILATOR COAXIAL 8/10 $ 209.00 DILATOR CRE 18-20MM $ 600.00 DILATOR PYLORIC/COLONIC BALLOON 12MM $ 336.00 DILATOR PYLORIC/COLONIC BALLOON 15MM $ 336.00 DILATOR PYLORIC/COLONIC BALLOON 18MM $ 336.00 DILATOR VAG SILICONE SZ 2 BLUE $ 114.16 DILATOR VAG SILICONE SZ 3 PINK $ 140.04 DILATOR VAG SILICONE SZ 4 GREEN $ 162.60 DILATOR VAG SILICONE SZ 5 YELLOW $ 185.20 DILATOR VAG SILICONE SZ 6 ORANGE $ 207.20 DILAUDID 0.5 MG INJ $ 22.15 DILAUDID 1 MG/ML INJ $ 17.25 DILAUDID INJ 2 MG $ 22.32 DILAUDID TAB 2 MG $ 6.67 CHARGE DESCRIPTION CHARGE AMOUNT DIOVAN TAB 80 MG $ 24.41 DIPRIVAN EMULSION INJ 1% 20 ML $ 1.61 DIPRIVAN EMULSION INJ 10MG/ML 10ML $ 2.35 DIPRIVAN EMULSION PB SOLN 1 GM $ 1.45 DIRECT ADMIT OBS CARE CHF/CP/ASTHMA $ 1,141.64 DIRECT ADMIT OBS CDU MONITORED $ 1,141.64 DIRECT OBS CARE $ 1,141.64 DIRECT OBSERVATION DRUG SCREEN $ 10.00 DISABILITY EXAMINATION NON-BWC $ 200.00 DISCOGRAPHY CERV/THOR SPINE $ 3,999.53 DISP ADULT ACTIVE CIRCUIT $ 102.00 DISP PROC TRAY BIOPSY $ 55.80 DISPOSABLE DRILL/PIN SET $ 193.20 DIST HUM LAT LT 11H 103MM $ 2,553.88 DIST HUM LAT LT 7H 64MM $ 2,537.64 DIST HUM LAT LT 9H 85MM $ 2,394.00 DIST HUM LAT RT 7H 64MM $ 2,817.50 DIST HUM LAT RT 9H 85MM $ 2,537.64 DIST HUM MED LT 10H 97MM $ 2,394.00 DIST HUM MED LT 10H 97MM $ 2,537.64 DIST HUM MED LT 9H 88MM $ 2,537.64 DIST HUM POSTLAT LT 11H 94MM $ 2,696.26 DIST HUM POSTLAT LT 17H 147MM $ 2,825.55 DIST HUM POSTLAT LT 21H 210MM $ 4,166.25 DIST HUM POSTLAT LT 9H 74MM $ 2,696.26 DIST HUM POSTLAT LT 9H 74MM $ 2,543.63 DIST REVAS LIGATION HEMO $ 2,352.48 DISTAL CENTRALIZER 13MM $ 380.00 DISTAL CENTRALIZER 14MM $ 380.00 DISTAL GRADUATED DRILL, LONG4.3 $ 520.00 DITROPAN SYRUP 1MG/ML 5ML $ 2.00 DITROPAN XL TAB 5 MG $ 4.32 DIVERTICULECTOMY; CERVICAL $ 1,964.55 DIVERTICULECTOMY; CERVICAL $ 912.50 DLT TS CER HD 12/14 40MM +12 $ 3,500.00 DLT TS CER HD 12/14 40MM +8.5 $ 3,500.00 DLT TS CER HD 12/14 40MM+5.0 $ 3,500.00 DLYD PLMT XTN PROSTH 1ST VSL $ 1,646.48 DM TRN IND/GROUP - PER 30 MIN (A) $ 63.26 DM TRN IND/GROUP - PER 30 MIN (B) $ 63.26 DM TRN IND/GROUP - PER 30 MIN (C) $ 63.26 DM TRN/INDIV PER 30 MIN (EDUCATOR) $ 83.50 DOBUTAMINE 250MG IV SOLN 250 ML $ 96.63 DOBUTAMINE IN D-5-W IV SOLN 1 GM 250 ML $ 30.69 DOME HOLE PLUG $ 384.00 DOMICIL R HOME VISIT NEW PAT $ 435.32 CHARGE DESCRIPTION CHARGE AMOUNT DOMICIL/R-HOME VISIT EST PAT $ 148.85 DOMICIL/R-HOME VISIT EST PAT $ 234.90 DOMICIL/R-HOME VISIT EST PAT $ 335.80 DOMICIL/R-HOME VISIT NEW PAT $ 136.85 DOMICIL/R-HOME VISIT NEW PAT $ 199.48 DOMICIL/R-HOME VISIT NEW PAT $ 346.15 DOPAMINE IN D-5-W IV SOLN 400 MG 250 ML $ 6.48 DOPPLER ARTERIAL $ 618.03 DOPPLER ARTERIAL W/ STRESS $ 764.03 DOPPLER COLOR FLOW $ 6.36 DOPPLER COLOR FLOW $ 42.26 DOPPLER ECHO LIMITED/ F-UP $ 254.52 DOPPLER ECHO; COMPLETE $ 36.66 DOPPLER ECHO; COMPLETE $ 67.34 DOPPLER ECHO; LIMITED/F-UP $ 14.82 DOPPLER ECHO; LIMITED/F-UP $ 37.64 DOSIMETRY SPECIAL $ 793.10 DOT BREATH ALCOHOL RANDOM $ 25.00 DOT DRUG SCREEN FOLLOW UP $ 47.00 DOT DRUG SCREEN POST ACCIDENT $ 47.00 DOT DRUG SCREEN PRE HIRE $ 47.00 DOT DRUG SCREEN RANDOM $ 47.00 DOT DRUG SCREEN RTW $ 47.00 DOT PHYSICALS MULTI STEP/NOT COMP IN VIS $ 55.00 DOXIL INJ 10 MG $ 1,095.13 DOXYCYCLINE MONOHYDRATE $ 3.52 DR ABSC/HEMATOMA NASAL INT $ 149.99 DR ABSC/HEMATOMA NASAL INT $ 230.22 DR ABSC/HEMATOMA NASAL INT $ 380.21 DR ABSC/HEMATOMA NASAL SEPTUM $ 288.38 DR EXT EAR ABSCESS/HEMATOMA COMPLIC $ 3,386.13 DR EXT EAR ABSCESS/HEMATOMA SIMPLE $ 359.82 DR EXT EAR ABSCESS/HEMATOMA SIMPLE $ 359.82 DR EXT EAR ABSCESS/HEMATOMA; COMPLIC $ 385.03 DR LN ABSCESS/INFECTION SIMPLE $ 402.64 DR REVIEW CHARGE $ 79.31 DR TENDON SHEATH 1 DIG AND/PALM $ 1,072.05 DR TYPING $ 379.04 DRAIN BL W/CATH INSERTION $ 367.43 DRAIN EXTERNAL EAR LESION $ 1,235.82 DRAIN FINGER ABSC; COMPLETED $ 3,386.13 DRAIN FINGER ABSC; COMPLICATED $ 457.98 DRAIN FINGER ABSC; SIMPLE $ 405.23 DRAIN FINGER ABSC; SIMPLE $ 338.88 DRAIN HEIMLICH CHEST VALVE $ 117.40 DRAIN THIGH/KNEE LESION $ 3,853.10 CHARGE DESCRIPTION CHARGE AMOUNT DRAIN/INJ INTER JOINT/BURSA W/O US $ 925.31 DRAIN/INJ INTER JOINT/BURSA W/O US $ 49.32 DRAIN/INJ INTER JOINT/BURSA W/O US $ 300.30 DRAIN/INJ INTER JOINT/BURSA W/O US $ 349.62 DRAIN/INJ INTER JOINT/BURSA W/O US $ 73.98 DRAIN/INJ INTER JOINT/BURSA W/O US $ 450.45 DRAIN/INJ INTER JOINT/BURSA W/O US $ 524.43 DRAIN/INJ INTER JOINT/BURSA W/O US $ 925.31 DRAIN/INJ INTER JOINT/BURSA W/US $ 1,467.98 DRAIN/INJ INTER JOINT/BURSA W/US $ 134.70 DRAIN/INJ JOINT/BURSA W/O US $ 1,409.25 DRAIN/INJ JOINT/BURSA W/O US $ 645.75 DRAIN/INJ JOINT/BURSA W/O US $ 1,409.25 DRAIN/INJ JOINT/BURSA W/US $ 606.70 DRAIN/INJ JOINT/BURSA W/US $ 300.30 DRAIN/INJ MAJOR JOINT/BURSA W/O US $ 654.35 DRAIN/INJ MAJOR JOINT/BURSA W/O US $ 60.65 DRAIN/INJ MAJOR JOINT/BURSA W/O US $ 300.30 DRAIN/INJ MAJOR JOINT/BURSA W/O US $ 360.95 DRAIN/INJ MAJOR JOINT/BURSA W/O US $ 90.97 DRAIN/INJ MAJOR JOINT/BURSA W/O US $ 450.45 DRAIN/INJ MAJOR JOINT/BURSA W/O US $ 541.42 DRAIN/INJ MAJOR JOINT/BURSA W/US $ 80.42 DRAIN/INJ MAJOR JOINT/BURSA W/US $ 300.30 DRAIN/INJ MAJOR JOINT/BURSA W/US $ 380.72 DRAIN/INJ MAJOR JOINT/BURSA W/US $ 120.63 DRAIN/INJ MAJOR JOINT/BURSA W/US $ 450.45 DRAIN/INJ MAJOR JOINT/BURSA W/US $ 571.08 DRAIN/INJ SMALL JOINT/BURSA W/O US $ 602.40 DRAIN/INJ SMALL JOINT/BURSA W/O US $ 46.63 DRAIN/INJ SMALL JOINT/BURSA W/O US $ 300.30 DRAIN/INJ SMALL JOINT/BURSA W/O US $ 346.93 DRAIN/INJ SMALL JOINT/BURSA W/O US $ 69.95 DRAIN/INJ SMALL JOINT/BURSA W/O US $ 450.45 DRAIN/INJ SMALL JOINT/BURSA W/O US $ 520.40 DRAIN/INJECT JOINT BURSA W/O US $ 300.30 DRAIN/INJECT JOINT/BURSA $ 1,409.25 DRAIN/INJECT JOINT/BURSA $ 300.30 DRAIN/INJECT JOINT/BURSA $ 1,409.25 DRAIN/INJECT JOINT/BURSA W/O US $ 925.31 DRAINAGE ABDOM ABSCESS OPEN $ 4,045.08 DRAINAGE CATH UNDER XR $ 293.50 DRAINAGE OF ABSCESS OF PALATE UVULA $ 615.76 DRAINAGE OF GLAND ABSESS $ 688.35 DRAINAGE OF GUM LESION $ 488.30 DRAINAGE OF PALM BURSAS $ 1,225.30 CHARGE DESCRIPTION CHARGE AMOUNT DRAINAGE OF PILONIDAL CYST $ 863.50 DRAINAGE OF SCROTUM ABSCESS $ 1,998.38 DRAINAGE OF SKIN ABSCESS $ 199.06 DRAINAGE OF SKIN ABSCESS $ 586.37 DRAPE ARTHRO W/POUCH 9414 $ 56.76 DRAPE INCISE IOBAN II ANTIMCRBL 60X85CM $ 73.56 DRAPE SKIRTED $ 170.84 DREAMWIRE F/G .35/STND 260CM STR $ 1,320.00 DRESS/DEBRID P - THICK BURN S $ 309.00 DRESS/DEBRID P-THICK BURN M $ 431.05 DRESS/DEBRID P-THICK BURN M $ 279.98 DRESS/DEBRID P-THICK BURN S $ 370.80 DRESS/DEBRID P-THICK BURN S $ 70.55 DRESS/DEBRID P-THICK BURN S $ 199.06 DRESS/DEBRID P-THICK BURN S $ 269.61 DRESSING AG AQUACEL SURGICAL 3.5 X 12IN $ 141.20 DRESSING AG AQUALCEL SURGICAL 3.5X13.75 $ 128.84 DRESSING DUODERM SCD -DEL TO OSTOMY $ 55.00 DRESSING NASAL FOAM BIORESORB STD 8CM $ 1,050.60 DRESSING OPTIFOAM AG POSTOPSTRIP 3.5X10 $ 73.88 DRESSING PROMOGRAN 19 $ 82.48 DRESSING SAFE GUARD PRESSURE $ 236.00 DRESSING TRAC MED. BLACK FOAM $ 130.24 DRESSING WOUND VOLTAC 10CM SINGLE LAYER $ 160.00 DRESSING WOUND VOLTAC 10X10CM $ 140.00 DRESSING WOUND VOLTAC 7.5CM SINGLE LAYER $ 90.00 DRESSING WOUND VOLTAC ROUND 5CM/10CM $ 58.00 DRESSING WOUND VOLTAC ROUND 5CM/6CM $ 50.00 DRESSING WOUND VOLTAC ROUND 5CM/7.5CM $ 54.00 DRILL - 10MM CANNULATED $ 1,116.00 DRILL - 2.55MM CANN $ 824.00 DRILL - 2.55MM SOLID $ 676.00 DRILL - 4MM CANNULATED $ 1,116.00 DRILL - 5.5MM CANNULATED $ 1,116.00 DRILL - 7.5MM CANNULATED $ 1,116.00 DRILL - 7MM CANNULATED $ 1,116.00 DRILL - 8.5MM CANNULATED $ 1,116.00 DRILL - 8MM CANNULATED $ 1,116.00 DRILL - CAN 2.45 $ 824.00 DRILL - DISTAL GRADUATED SHORT 4.3MM $ 481.00 DRILL - MEASURING SLEEVE 4.3MM $ 603.20 DRILL - Q/C CANNULATED 2.3MM $ 1,316.00 DRILL - Q/C CANNULATED 5.0MM $ 1,422.40 DRILL - QUICK RELEASE 1/8 IN (2PK) $ 380.00 DRILL - SOLID 2.45 $ 676.00 DRILL 1.3 X 100MM SOLID AO $ 708.00 CHARGE DESCRIPTION CHARGE AMOUNT DRILL 1.6 X 110MM SOLID AO $ 708.00 DRILL 1.7 X 120MM SOLID AO $ 708.00 DRILL 2.0 X 120MM CANN AO $ 708.00 DRILL 2.0MM STD $ 837.20 DRILL 2.0MM X 122MM WL50MM AO SHAFT $ 635.68 DRILL 2.3 X 120MM CANN AO $ 708.00 DRILL 2.3MM QUICK RELEASE SURGIBIT $ 448.00 DRILL 2.4 X 140MM SOLID AO $ 708.00 DRILL 2.55MM $ 676.00 DRILL 2.55MM CANNULATED $ 824.00 DRILL 2.6 X 122MM WL70MM AOSHAFT $ 648.40 DRILL 2.6 X 130MM SOLID AO $ 708.00 DRILL 2.65MM $ 1,060.00 DRILL 2.65MM CANNULATED $ 824.00 DRILL 2.8 X 150MM CANN CONNECTION $ 900.00 DRILL 2.8MM QUICK RELEASE SURGIBIT $ 656.00 DRILL 3.0MM X 5" QUICK RELEASE SURGIBIT $ 416.00 DRILL 3.5MM CANN $ 708.00 DRILL 4.3MM DISTAL $ 481.00 DRILL 4.6 X 220 MM CANN AO $ 900.00 DRILL 9MM CANNULATED $ 1,116.00 DRILL ANCHOR 2.9 $ 520.00 DRILL BIT - 1.8MM X 45MM $ 596.40 DRILL BIT - 2.5MM AO $ 1,000.00 DRILL BIT - 2.7MM AO $ 1,000.00 DRILL BIT - 23.5MM AO $ 932.00 DRILL BIT - 3.2MM $ 992.00 DRILL BIT - 3.2MM X 145MM $ 752.00 DRILL BIT - BIODRIE 1.9MM CANN $ 864.00 DRILL BIT - BIODRIVE 1.6MM CANN $ 616.00 DRILL BIT - BIODRIVE 1.6MM CANN ST $ 1,080.00 DRILL BIT - CANN 2.4MM W/AO STE $ 885.00 DRILL BIT - CANN 3.5MM W/AO STE $ 945.00 DRILL BIT 1.1MM DIAMETER $ 236.00 DRILL BIT 1.5 310.15 $ 331.68 DRILL BIT 1.5MM $ 156.00 DRILL BIT- 2.0 $ 297.00 DRILL BIT 2.0 WRIGHT MEDICA $ 1,128.00 DRILL BIT 2.0MM CALIBRATED $ 380.00 DRILL BIT 2.0MM CANN $ 600.00 DRILL BIT 2.0MM DIAMETER $ 223.20 DRILL BIT 2.2MM CANN $ 600.00 DRILL BIT 2.2MM NS $ 332.00 DRILL BIT 2.5MM (DEPUY) $ 1,200.00 DRILL BIT 2.5MM 100MM $ 364.80 DRILL BIT 2.5MM CALIBRATED $ 340.00 CHARGE DESCRIPTION CHARGE AMOUNT DRILL BIT 2.5MM CALIBRATED QC 250MM/95MM $ 540.64 DRILL BIT 2.5MM X 180MM Q/C $ 358.40 DRILL BIT 2.7MM / 125MM $ 462.00 DRILL BIT 2.8MM $ 360.00 DRILL BIT 2.8MM $ 556.84 DRILL BIT 2.8MM PERCUTANEOUS 200MM/100MM $ 693.00 DRILL BIT 2.9MM $ 697.44 DRILL BIT 2.9MM NS $ 320.00 DRILL BIT 2.9MM SHORT NS $ 429.60 DRILL BIT 201MM X 40MM RINGLOC WUICK CON $ 348.00 DRILL BIT 27MM X 100MM $ 381.68 DRILL BIT 3.2MM CALIB $ 1,120.00 DRILL BIT 3.2MM X 5.5 QUICK RELEASE $ 462.00 DRILL BIT 3.2MMX20MM RNGLC ACET $ 348.00 DRILL BIT 3.8MM $ 697.44 DRILL BIT 3.8MM 6IN NS $ 588.08 DRILL BIT 4.0MM THREE-FLUTED QC/195MM $ 588.00 DRILL BIT 4.2MM 3-FLUTED QC NEEDLE P 145 $ 873.00 DRILL BIT 4.2MM THREE-FLUTED QC/330MM/10 $ 951.00 DRILL BIT 4.3MM X 180M $ 492.00 DRILL BIT 4.5MM CANNUALTED $ 1,584.45 DRILL BIT 5.0 CANNULATED QUICK CONNECT $ 1,422.40 DRILL BIT 5.5MM CANNULATED $ 954.00 DRILL BIT AO 2.0X135MM $ 643.32 DRILL BIT AO 2.6X135MM $ 643.32 DRILL BIT AO SM 4.2X300MM $ 814.32 DRILL BIT CANN AO 2.0 X 65MM NS $ 600.00 DRILL BIT CLAW II 2.0MM $ 644.00 DRILL BIT CLAW II 2.8MM $ 644.00 DRILL BIT FAST 2.0MM $ 267.88 DRILL BIT FAST 4.0MM LONG $ 272.92 DRILL BIT FAST 4.0MM SHORT $ 272.92 DRILL BIT FAST 4.0MM STEP $ 272.92 DRILL BIT FLIPCUTTER III $ 2,075.00 DRILL BIT NCB 4.3MM X 145MM $ 397.60 DRILL BIT OC2MM CALIBRATED $ 597.00 DRILL BIT OVER 2.7X122M $ 643.32 DRILL BIT Q-C 2.0MM DIA 100MM $ 238.00 DRILL BIT Q-C 2.5MM DIA 110MM $ 238.00 DRILL BIT Q-C 2.7MM DIA 100MM $ 238.00 DRILL BIT Q-C 3.2MM DIA 145MM $ 238.00 DRILL BIT Q-C 3.5MM DIA 110MM $ 238.00 DRILL BIT SHORT 2.8MM $ 267.88 DRILL BIT SHORT 4.0MM $ 287.28 DRILL BIT SOLID TWIST 2.9MM $ 370.40 DRILL BIT TI MINI 1.1MM $ 197.60 CHARGE DESCRIPTION CHARGE AMOUNT DRILL CANN 2.3MM $ 500.00 DRILL CANN 7MM X 200MM $ 984.00 DRILL CANN PROFILE 2.5MM $ 1,520.00 DRILL CANN PROFILE 3.4MM $ 1,440.00 DRILL CANN PROFILE 4.0MM $ 1,520.00 DRILL CANNULATED 5.0MM $ 1,048.80 DRILL CANNULATED 5.5MM $ 1,048.80 DRILL HAMMERTOE 2.75MM X 70MM CANN TRC $ 708.00 DRILL HEAD 3.0 AO NS $ 680.00 DRILL LAG SCREW $ 3,195.50 DRILL MAX VPC CANN 1.8MM $ 1,520.00 DRILL MDI SIZE 3-4 $ 1,806.00 DRILL PIN HEADLESS TROCAR $ 1,368.00 DRILL Q/C CANN 2.7MM $ 1,332.80 DRILL QUICK RELEASE 2.0MM SURGIBIT $ 608.00 DRILL SPEED GUIDE AO DIA 2.6MM L30MM $ 689.04 DRILL STD 2.0MM $ 837.20 DRILL STD 2.7MM $ 515.20 DRILL TIP PIN 2.4MM $ 128.00 DRILL TWIST 4.3MM CROWE POINT $ 572.00 DRILL TWIST SCP 3.5 X 70MM $ 402.88 DRILL TWIST SCP 4.0 X 70MM $ 402.88 DRILL XTRAFIT BLUE 3.2MM $ 490.00 DRILL XTRAFIT ORANGE 4.0MM LONG $ 532.00 DRILL, CALIBRATED 4.3MM X 320MM $ 648.00 DRILL, CALIBRATED 4.3MM X 365MM $ 1,216.00 DRIVE - 2.7MM X 16MM LOCK SCREW $ 388.60 DRIVE - 2.7MM X 26MM LOCK SCREW $ 388.60 DRIVE - SCREW LOCK SQUARE 2.7MM X 24MM $ 388.60 DRIVER 2MM SET SCREW HEX $ 312.00 DRIVER MDTP MINI QK CONNECT $ 204.80 DRIVER T15 STICK FIT HEXALOBE $ 1,092.00 DRSG & DEBRID BURN PARTIAL THICK <5% $ 370.80 DRSG AND/OR DEBRID BURN PARIAL THICK >10 $ 783.78 DRSG AND/OR DEBRID BURN PARIALTHICK 5-10 $ 471.82 DRUG NOT OTHERWISE SPECIFIED $ 150.38 DRUG NOT OTHERWISE SPECIFIED $ 336.00 DRUG NOT OTHERWISE SPECIFIED 4 TO 6 $ 160.68 DRUG QUANT NOT SPECIFIED $ 150.38 DRUG SCREEN (HAIR) SELF PAY $ 78.00 DRUG SCREEN AMPHETAMINES 1/2 $ 57.68 DRUG SCREEN ANNUAL NON DOT $ 41.00 DRUG SCREEN CLASS LIST A (HIGH COST) $ 350.00 DRUG SCREEN COLLECT/FIRST LAB $ 22.00 DRUG SCREEN COLLECTION $ 22.00 DRUG SCREEN COLLECTION ATTEMPT $ 15.00 CHARGE DESCRIPTION CHARGE AMOUNT DRUG SCREEN COLLECTION MEDTOX $ 22.00 DRUG SCREEN COLLECTION OHC $ 22.00 DRUG SCREEN DISA $ 22.00 DRUG SCREEN ESCREEN $ 22.00 DRUG SCREEN FTP $ 163.00 DRUG SCREEN HAIR (PSYCHEMEDICS) $ 22.00 DRUG SCREEN HAIR ACTION TOTAL $ 22.00 DRUG SCREEN INSTANT $ 41.00 DRUG SCREEN MEDTOX/OHC 80586 $ 22.00 DRUG SCREEN NON DOT W/NICOTINE $ 55.00 DRUG SCREEN NON/DOT F/UP $ 41.00 DRUG SCREEN P/A $ 41.00 DRUG SCREEN P/A (JELDWEN) $ 18.00 DRUG SCREEN POTEMKIN $ 41.00 DRUG SCREEN PRE HIRE $ 41.00 DRUG SCREEN PRE-HIRE JELDWEN $ 18.00 DRUG SCREEN PRSMPTV 1 CLASS $ 123.60 DRUG SCREEN QUANT ALCOHOLS $ 124.36 DRUG SCREEN R/S $ 41.00 DRUG SCREEN RANDOM (JELDWEN) $ 18.00 DRUG SCREEN RANDOM NON -DOT $ 41.00 DRUG SCREEN RTW $ 41.00 DRUG SCREEN RTW (JELDWEN) $ 18.00 DRUG SCREEN VERTICAL SCREEN $ 22.00 DRUG SCREENING BARBITURATES $ 83.43 DRUG SCREENING COCAINE $ 41.30 DRUG SCREENING METHADONE $ 57.68 DRUG SCREENING OXYCODONE $ 41.30 DRUG SCREENING PROPOXYPHENE $ 16.22 DRUG SCREEN-NICOTENE ONLY $ 25.00 DRUG SKELETAL MUSCLE RELAXANTS $ 183.34 DRUG TEST PRSMV CHEM ANLYZR $ 123.60 DRUG TEST PRSMV CHEM ANLYZR $ 204.00 DRUG TEST PRSMV DIR OPT OBS $ 33.65 DRUG TEST PRSMV INSTRMNT $ 130.57 DRVVT DIL RUSSELL VIPER VENOM $ 80.34 DT INJ ADULT 0.5ML $ 56.21 DULCOLAX SUPP 10 MG $ 1.57 DULCOLAX TAB 5 MG $ 1.04 DUOVISC OPHTH SOLN 0.5 ML $ 454.46 DUOVISC OPHTH SOLN 3%/1% soln $ 265.00 DUOVISC OPHTH SOLN XL 0.85 ML $ 264.76 DUP ARTERIAL BIL COMP LE $ 1,154.56 DUP ARTERIAL COMP BIL UE $ 991.97 DUP ARTERIAL UNIL LIMITED LE $ 732.80 DUP ARTERIAL UNIL LIMITED UE $ 909.22 CHARGE DESCRIPTION CHARGE AMOUNT DUP VENOUS COMP BIL $ 1,023.47 DUP VENOUS LIMIT UNILAT $ 791.77 DUPLEX A IVC IL/BPG COMPL $ 99.95 DUPLEX A IVC IL/BPG COMPL $ 361.15 DUPLEX A IVC IL/BPG UNIL/LIM $ 49.64 DUPLEX A IVC IL/BPG UNIL/LIM $ 178.52 DUPLEX ARTERIAL FLOW COMPL $ 1,230.36 DUPLEX ARTERIAL FLOW- LIMITED $ 831.43 DUPLEX ARTERIAL FLOW; COMPL $ 116.50 DUPLEX ARTERIAL FLOW; COMPL $ 424.72 DUPLEX ARTERIAL FLOW; LIMITED $ 79.70 DUPLEX ARTERIAL FLOW; LIMITED $ 235.76 DUPLEX EXT VEINS; BILAT $ 69.26 DUPLEX EXT VEINS; BILAT $ 305.82 DUPLEX EXT VEINS; UNIL/LIMIT $ 45.20 DUPLEX EXT VEINS; UNIL/LIMIT $ 184.92 DUPLEX HEMODIALYSIS ACCESS $ 660.87 DUPLEX HEMODIALYSIS ACCESS $ 49.72 DUPLEX HEMODIALYSIS ACCESS $ 210.08 DUPLEX LE ART/BPG; BILAT $ 79.84 DUPLEX LE ART/BPG; BILAT $ 417.46 DUPLEX LE ART/BPG; UNIL/LIMIT $ 48.86 DUPLEX LE ART/BPG; UNIL/LIMIT $ 242.44 DUPLEX SCAN OF AORTA/ILIAC $ 1,242.66 DUPLEX UE ART/BPG; BILAT $ 59.30 DUPLEX UE ART/BPG; UNIL/LIMIT $ 49.52 DUPLEX UE ART/BPG; UNIL/LIMIT $ 198.80 DURACLIP REPOSITIONABLE HEMOSTASIS CLIP $ 460.00 DURAGESIC 12 MCG (FENTANYL) PATCH $ 70.97 DURAGESIC PATCH 100 MCG $ 87.23 DURAGESIC PATCH 25 MCG $ 24.27 DURAGESIC PATCH 50 MCG $ 45.20 DURAGESIC PATCH 75 MCG $ 55.49 DURAMORPH INJ 10 MG $ 90.93 DURATA ST PKG/STER 7120/65 (US COM) $ 8,000.00 DUREZOL 0.05% OPHTH SOLUTION $ 523.16 DURVALUMAB (IMFINZI) JW MODIFIER $ 165.08 DVR - LOCK NARROW MINI R $ 2,604.00 DVR - LOCK NARROW R $ 2,604.00 DVR EPAKLOCK PLT R $ 4,438.75 DVR LOCK LONG R $ 3,167.50 DVR LOCK MEDIUM L $ 2,933.00 DVR LOCK MEDIUM R $ 2,933.00 DVR LOCK MINI L $ 2,604.00 DVR LOCK MINI RT $ 2,604.00 DVR LOCK NARROW L $ 2,604.00 CHARGE DESCRIPTION CHARGE AMOUNT DVR LOCK NARROW MINI NS $ 2,604.00 DVR LOCK STANDARD L $ 2,604.00 DVR LOCK STANDARD R $ 2,604.00 DVR LOCK WIDE L $ 2,604.00 DVR LOCK WIDE R $ 2,604.00 DVR PLATE SET $ 120.60 DX BONE MARROW BIOPSIES $ 1,699.63 DX BONE MARROW BX & AS AS $ 3,970.80 DX BONE MARROW BX & ASPIR $ 1,854.58 DX BRONCHOSCOPE/BRUSH $ 268.96 DX BRONCHOSCOPE/LAVAGE $ 3,956.49 DX BRONCHOSCOPE/LAVAGE $ 344.15 DX BRONCHOSCOPE/WASH $ 2,254.17 DX BRONCHOSCOPE/WASH $ 2,705.00 DX BRONCHOSCOPE/WASH $ 2,705.00 DX BRONCHOSCOPE/WASH $ 173.59 DX BRONCHOSCOPE/WASH $ 1,650.73 DX BRONCHOSCOPE/WASH $ 1,824.32 DX CYSTO W URETER/PYEL $ 815.00 DX CYSTO W URETER/PYEL $ 1,222.50 DX FIBERTAK SUTURE ANCHOR #1 FW NDLS $ 2,128.00 DX KNEE ARTHROSCOPY $ 1,018.23 DX LARYNGOSCOPY EXCL NB $ 2,202.00 DX MAMMO INCL CAD BI $ 705.96 DX MAMMO INCL CAD UNI $ 261.25 DX MAMMO INCL CAD UNI $ 261.25 DX MAMMO INCL CAD UNI LT $ 665.53 DX MAMMO INCL CAD UNI RT $ 665.53 DX NASAL ENDOSCOPY $ 84.33 DX NASAL ENDOSCOPY $ 190.06 DX NASAL ENDOSCOPY $ 274.39 DX-PH PROBE - LONG $ 380.00 DX-PH PROBE, REGULAR $ 380.00 DXTEND METAGLENE $ 3,299.70 DXTEND METAGLENE $ 3,750.00 DXTEND MODULAR HUM STEM D16 HA $ 3,298.75 DXTEND RETENT PE CUP D38 +6MM $ 3,197.25 DYNAGEN EL VR DF4 $ 32,520.00 E HISTOLYTICA ANTIGEN STOOL $ 254.41 E1 VANGUARD CR LIP TIB BRG 10X79/83 $ 5,426.00 E1 VANGUARD CR LIP TIB BRG 11X79/83 $ 5,426.00 E1 VANGUARD CR LIP TIB BRG 12X79/83 $ 5,426.00 E1 VANGUARD CRL TIB BRG 14X79/83 $ 5,426.00 E1 VANGUARD PS TIB BRG 63/67X11 $ 5,542.00 E1 VANGUARD PS TIB BRG 63/67X13 $ 5,542.00 E1 VANGUARD PS TIB BRG 63/67X14 $ 5,542.00 CHARGE DESCRIPTION CHARGE AMOUNT E1 VANGUARD PS TIB BRG 79/83X11 $ 5,542.00 E1 VANGUARD PS TIB BRG 79/83X12 $ 5,542.00 E1 VANGUARD PS TIB BRG 79/83X13 $ 8,500.00 E1 VANGUARD PS TIB BRG 79/83X14 $ 5,542.00 E1 VANGUARD PS TIB BRG 79/83X14 $ 5,542.00 E1 VNGD PS TIB BRG 63/67X16 $ 5,542.00 E140 ICD ENERGEN DF4 $ 31,040.00 E143 ICDE ENERGEN IS-1/DR-1-DR $ 33,950.00 E143 ICDE ENERGEN IS-1/DR-1-DR $ 2,037.00 EACH 1/2 HR PORTION $ 74.72 EACH SEPARATE ADDITIONAL EVAL $ 174.09 EAR MOLD $ 78.00 EARMOLD /INSERT (NON DISPOSABLE) $ 66.00 EBV EARLY ANTIGEN IgG $ 75.45 EBV NUCLEAR ANTIGEN IgG $ 95.47 EBV NUCLEAR ANTIGEN IgM $ 95.47 ECG MONIT/REPRT UP TO 48 HRS $ 217.12 ECG MONIT/REPRT UP TO 48 HRS $ 66.78 ECG UP TO 48 HRS RECORDING $ 496.45 ECG UP TO 48 HRS SCANNING ANALYSIS REP $ 430.36 ECG/REVIEW INTERPRET ONLY $ 63.48 ECHELON FLEX 45 POWERED PLUS $ 1,238.64 ECHO P-WAVE C-WAVE W/SPEC $ 436.91 ECHO TRANSTHORACIC COMP FOLLOW-UP LTD $ 1,176.19 ECHO TRANSTHORACIC COMPLETE $ 1,871.17 ECHO COLOR FLOW W/MAP $ 295.73 ECHO DURING STRESS $ 1,184.52 ECHO GUIDE FOR BIOPSY $ 758.27 ECHO GUIDE FOR BIOPSY $ 758.27 ECHO POR FMLR LAT NC 10 X 130 $ 6,192.50 ECHO PRO FMRL RED NC 13 X 145 $ 5,118.00 ECHO TRANSESOPHAGEAL COMPLETE $ 219.64 ECHO TRANSESOPHAGEAL COMPLETE $ 259.94 ECHO W/CONTRAST DURING STRESS $ 1,679.53 ECONOPRED PLUS OPHTH SOLN 1% 5 ML $ 133.75 ECOTRIN TAB 325 MG $ 1.03 ECOTRIN TAB 81 MG $ 1.11 ECRP DUCT STENT PLACEMENT $ 953.84 ED - ICU R&B $ 1,954.72 ED - PCU R&B $ 1,457.86 ED R&B $ 963.67 EECP PER TREATMENT $ 348.00 EEG $ 1,280.99 EEG AWAKE AND ASLEEP $ 115.90 EEG AWAKE AND ASLEEP $ 569.94 EEG AWAKE AND DROWSY $ 115.90 CHARGE DESCRIPTION CHARGE AMOUNT EEG AWAKE AND DROWSY $ 569.94 EEG COMA OR SLEEP ONLY $ 116.56 EEG COMA OR SLEEP ONLY $ 610.92 EEG OVER 1 HR $ 174.24 EFFEXOR TAB 37.5 MG $ 1.99 EFFEXOR XR CAP 37.5MG $ 2.25 EFFEXOR XR CAP 75 MG $ 1.93 EFFIENT TABLET 10 MG $ 46.90 EGD BIOPSY SINGLE/MULTIPLE $ 184.80 EGD BIOPSY SINGLE/MULTIPLE $ 284.02 EGD BIOPSY SINGLE/MULTIPLE $ 909.73 EGD CAUTERY TUMOR POLYP $ 439.38 EGD CONTROL BLEEDING ANY $ 517.98 EGD DIAGNOSTIC BRUSH WASH $ 315.85 EGD DILATE STRICTURE $ 453.40 EGD ENDO MUCOSAL RESECTION $ 555.88 EGD ENDOSCOPIC STENT PLACE $ 449.36 EGD LESION ABLATION $ 461.48 EGD PLACE GASTROSTOMY TUBE $ 516.23 EGD REMOVE FOREIGN BODY $ 457.53 EGD REMOVE LESION SNARE $ 506.65 EGD TUBE/CATH INSERTION $ 292.74 EGD US EXAM DUODENUM/JEJUNUM $ 464.90 EGD US FINE NEEDLE BX ASPIR $ 540.32 EGD US FINE NEEDLE BX/ASPIR $ 478.36 EGD VARICES LIGATION $ 503.72 EGFR $ 1,425.29 EGFR GENE ANALYSIS $ 1,596.13 EKG $ 78.00 EKG 2 - RASA - 831002 - FACILITY READ $ 189.00 EKG 2 -MCKINLEY-949700-FACILITY READ $ 179.55 EKG 2 -PALA-005800-FACILITY READ $ 179.55 EKG 2 -PATEL-005900-FACILITY READ $ 179.55 EKG 2 -TERCIUS 874297-FACILITY READ $ 179.55 EKG1 MCKINLEY-949700 - PROF READING $ 33.90 EKG1 PALA-005800 - PROF READING $ 33.90 EKG1 PATEL-005900 - PROF READING $ 33.90 EKG1 RASA - 831002 - FACILITY READ $ 179.55 EKG1 RASA - 831002 - PROF READING $ 33.90 EKG1 TERCIUS 874297 - PROF READING $ 33.90 EKG2 MCKINLEY 949700 - PROF READING $ 33.90 EKG2 PALA 005800 - PROF READING $ 33.90 EKG2 PATEL 005900 - PROF READING $ 33.90 EKG2 RASA 831002 - PROF READING $ 33.90 EKG2 TERCIUS 874297 - PROF READING $ 33.90 EKG-MCKINLEY-949700-FACILITY READ $ 179.55 CHARGE DESCRIPTION CHARGE AMOUNT EKG-PALA-005800-FACILITY READ $ 179.55 EKG-PATEL-005900-FACILITY READ $ 179.55 EKG-TERCIUS 874297-FACILITY READ $ 179.55 ELAVIL 100 MG TABLET $ 4.43 ELAVIL TAB 10 MG $ 1.43 ELAVIL TAB 25 MG $ 1.86 ELBOW JOINT EXPLORATION $ 992.02 ELBOW LT $ 356.25 ELBOW LT - PORTABLE $ 356.25 ELBOW RT $ 356.25 ELBOW RT - PORTABLE $ 356.25 ELBOW W/OBLIQUES LT $ 418.54 ELBOW W/OBLIQUES RT $ 418.54 ELEC STIM APPL UNATT GREAT EQ 1 AREAS $ 73.13 ELEC STIM APPL UNATT GREAT EQ 1 AREAS $ 73.13 ELEC STIM OTHER THAN WOUND MEDICARE $ 53.72 ELECTOCOCHLEOGRAPHY $ 446.22 ELECTR BONE STIM; IV $ 451.33 ELECTRICAL STIMULATION (MANUAL) EA 15 MI $ 81.11 ELECTRODE - ABL NOVASURE $ 2,575.45 ELECTRODE 2 CHANNEL PAIRED SET $ 345.92 ELECTRODE 4 CHANNEL PAIRED $ 497.52 ELECTRODE CUTTING LOOP 24F $ 238.60 ELECTRODE CUTTING LOOP 24FR $ 285.00 ELECTRODE CUTTING LOOP 26F $ 246.00 ELECTRODE DISP 14XM $ 270.00 ELECTRODE L HOOK 27CM $ 98.28 ELECTRODE QUIK COMBO ADULT $ 102.08 ELECTRODE QUIK COMBO PED1 $ 102.08 ELECTROLYTE PANEL $ 78.00 ELECTRON MICROSCOPY, DIAGNOSTIC $ 2,052.06 ELECTRONIC ANALYSIS OF CARDIOVERTER/DEFI $ 137.00 ELECTROPHORECTIC FRACTION, OTHER SOURCE $ 144.70 ELECTROPHORESIS HGB $ 101.66 ELECTROPHORESIS PROTEIN $ 135.31 ELEVIEW5 $ 324.00 ELIMITE 5% CREAM 60 Gm $ 298.00 ELIQUIS TABLET 5 MG $ 22.95 ELITEK INJ 1.5MG $ 648.80 ELOXATIN INJ 50 MG $ 1.17 EM1 $ 294.85 EM2 $ 429.29 EM3 $ 667.58 EM4 $ 1,013.06 EM5 $ 1,476.20 EMBOLECTOMY FEMPOP AORTOIL BY LEG INC $ 2,113.42 CHARGE DESCRIPTION CHARGE AMOUNT EMBOLIZE/OCCLUDE ARTERY $ 19,047.50 EMBOSHIELD NAV6 $ 3,875.00 EMBOSHIELD NAV6 2.5-4.8MM 5.0MM 190CM $ 3,875.00 EMEND (APREPITANT) 40 MG CAP $ 202.89 EMEND INJ 150 MG $ 5.05 EMERG DIALYSIS ESRD PT $ 1,578.93 EMERGENCY DEPT VISIT $ 53.20 EMERGENCY DEPT VISIT $ 103.78 EMG ANAL/URETHR SPHINCT NOT NEEDLE $ 76.16 EMG ANAL/URETHR SPHINCT NOT NEEDLE $ 59.48 EMG CRAN NERV - UNILAT $ 84.92 EMG CRAN NERV - UNILAT $ 110.98 EMLA CREAM 5 GM $ 25.78 EN SHARE ENDOVASCULAR SNARE SYSTEM $ 1,760.00 ENALAPRILAT INJECTION 1.25 MG/ML $ 28.00 ENBREL PFS 50 MG/ML $ 775.00 ENCEPHALITIS CALIFORNIA $ 99.91 ENCEPHALITIS ST LOUIS IgM $ 69.01 ENCEPHALITIS W EQUINE IgG $ 69.01 END CAP 40 TIBIAL $ 761.60 END CAP TI FOR TIBIAL NAIL -EX T40 GRAY $ 761.60 ENDARTERECTOMY W GRAFT PATCH, COM FEM $ 7,204.04 ENDEAVOR OTW 2.50 X 14MM $ 5,241.10 ENDEAVOR OTW 2.50 X 24MM $ 3,800.00 ENDEAVOR OTW 2.50 X 30MM $ 3,800.00 ENDEAVOR OTW 2.5MM X 18MM $ 3,800.00 ENDEAVOR OTW 3.0 X 12MM $ 3,800.00 ENDEAVOR OTW 3.0 X 15MM $ 3,800.00 ENDEAVOR OTW 3.0 X 18MM $ 3,800.00 ENDEAVOR OTW 3.0 X 24MM $ 3,800.00 ENDEAVOR OTW 3.0 X 30MM $ 3,800.00 ENDEAVOR OTW 3.0 X 9MM $ 3,800.00 ENDEAVOR OTW 3.5 X 12MM $ 3,800.00 ENDEAVOR OTW 3.5 X 15MM $ 3,800.00 ENDEAVOR OTW 3.5 X 18MM $ 3,800.00 ENDEAVOR OTW 3.5 X 24MM $ 3,800.00 ENDEAVOR OTW 3.5 X 30MM $ 3,800.00 ENDEAVOR OTW 3.5 X 9MM $ 3,800.00 ENDO FEMORAL HEAD 43MM 12/14 $ 1,750.00 ENDO INJ OF IMPLANT MATERIAL $ 512.30 ENDOCERVICAL CURETTAGE $ 226.38 ENDOGRAFT AAA REPAIR FENEST W 2 VISCER $ 13,569.53 ENDOLUMINL IVUS OCT C 1ST $ 244.83 ENDOMETRIAL BX WO CERVICAL DILATION $ 378.03 ENDOMETRIAL BX WO CERVICAL DILATION $ 113.15 ENDOMETRIAL BX WO CERVICAL DILATION $ 197.87 CHARGE DESCRIPTION CHARGE AMOUNT ENDOMETRIAL BX WO CERVICAL DILATION $ 311.03 ENDOPOUCH RETRIEVER BAG 10MM $ 202.28 ENDOPROS 7X15MMX120CM $ 8,590.00 ENDOPROSTHESIS 5X10X120 GORE VIABAHN $ 5,990.00 ENDOPROSTHESIS 5X15X120 GORE VIABAHN $ 6,990.00 ENDOPROSTHESIS 5X5X120 GORE VIABAHN $ 5,130.00 ENDOPROSTHESIS 6MM X 25CM GORE VIABAHN $ 12,790.00 ENDOPROSTHESIS 6X 5X 120 GORE VIABAHN $ 6,874.00 ENDOPROSTHESIS 6X10X120 GORE VIABAHN $ 7,320.00 ENDOPROSTHESIS 6X15X120 GORE VIABAHN $ 8,180.00 ENDOPROSTHESIS 6X5X120 GORE VIABAHN $ 5,540.00 ENDOPROSTHESIS 7X10X120 GORE VIABAHN $ 6,390.00 ENDOPROSTHESIS 7X15X120 GORE VIABAHN $ 7,728.00 ENDOPROSTHESIS 7X5X120 GORE VIABAHN $ 5,130.00 ENDOPROSTHESIS 8X10X120 GORE VIABAHN $ 5,990.00 ENDOPROSTHESIS 8X15X120 GORE VIABAHN $ 6,990.00 ENDOPROSTHESIS 8X5X120 GORE VIABAHN $ 5,130.00 ENDOPROTHESIS 5MM X 10CM X 120CM VIABAHN $ 6,704.00 ENDOPROTHESIS 5MM X 15CM X 120CM VIABAHN $ 7,790.00 ENDOPROTHESIS 5MM X 5CM X 120CM VIABAHN $ 6,190.00 ENDOPROTHESIS 6MM X 1CM X 120CM VIABAHN $ 7,340.00 ENDOPROTHESIS 6MM X 2.CM X 120CM VIABAHN $ 6,710.00 ENDOPROTHESIS 7MM X 5CM X 120CM VIABAHN $ 5,884.00 ENDOSCOPIC PLANTAR FASCIOTOMY $ 987.00 ENDOSCOPIC US EXAM ESOPH $ 402.28 ENDOSCOPY SWALLOW TEST FEES $ 577.32 ENDOVASC REPAIR THORACIC AORTA $ 5,060.99 ENDOVASC VISC AORTA 1 GRAFT $ 3,424.65 ENDOVASC VISC AORTA 2 GRAFT $ 3,595.88 ENDOVENOUS RF 1ST VEIN $ 3,812.44 ENDOVENOUS RF 1ST VEIN $ 719.93 ENDOVENOUS RF VEIN ADD-ON $ 4,780.22 ENSEAL X1 LARGE JAW TISSUE SEALER $ 1,778.56 ENTEROLYSIS $ 2,790.20 ENTEROVIRUS Ab $ 42.04 ENTEROVIRUS AMPLIFIED PROBE TECHNIQUE $ 179.22 ENTRESTO TABLET 49-51 MG $ 26.05 ENTYVIO INJ (VEDOLIZUMAB) $ 44.07 ENV SUNSCREEN SPF 50 $ 44.00 ENVELOPE IPG IMPLANT LRG ABSORBABLE $ 3,132.50 ENVIRONMENTAL SUNSCREEN $ 40.00 ENZYNE ACTIVITY, NES $ 312.09 EO ID ABSC/CYS -FOM; SUBLING $ 851.33 EOSINOPHIL COUNT NASAL SMEAR $ 24.72 EP EVAL CD; W GENERATOR TEST $ 801.58 EPHEDRINE INJ 50 MG $ 201.25 CHARGE DESCRIPTION CHARGE AMOUNT EPINEPHRINE INJ 1 MG 1 ML $ 1.95 EPINEPHRINE INJ 1 MG/ML 30 ML $ 0.93 EPINEPHRINE NASAL SOLN 1:1000 30 ML $ 627.43 EPINEPHRINE SYRINGE 1 MG 10 ML $ 3.07 EPIPHYSIS SZ 1 CEMENTLESS MOD CENTERED $ 5,077.26 EPIPHYSIS SZ 1 LEFT MOD CEMENTLESS ECC $ 5,077.26 EPISIOTOMY OR VAGINAL REPAIR $ 4,482.34 EPISIOTOMY OR VAGINAL REPAIR $ 376.98 EPISTAT NASAL CATHETER $ 287.68 E-PLOY LINER 40MM SZ 25 $ 5,510.00 E-PLOY LINER 40MM SZ 25 $ 5,510.00 EPOGEN INJ 10 000 UNIT $ 58.38 EPOGEN INJ 20,000 UNITS $ 59.90 EPOGEN INJ 40 000 UNITS $ 59.71 EPP (ERYTHROCYTE PROTOPORPHYRIN $ 111.24 ERCP $ 1,253.84 ERCP REMOVE FORGN BODY DUCT $ 776.32 ERCP STENT EXCHANGE W/DILATE $ 993.26 ERCP W BX SINGLE MULTIPLE $ 684.96 ERCP W SPHINCTER/PAPILLOTOMY $ 735.38 ERCP W/SPECIMEN COLLECTION $ 664.30 ERYTHROMYCIN BASE DR 250 MG CAPSULE $ 19.40 ERYTHROMYCIN OPHTH OINT 1 GM $ 25.51 ERYTHROPOIETIN $ 139.05 ESOPH EGD DILATION LESS THAN 30 MM $ 204.93 ESOPH EGD DILATION LESS THAN 30 MM $ 315.02 ESOPH EGD DILATION LESS THAN 30 MM $ 1,735.28 ESOPH GE REFLUX TEST; NASAL PH CATH $ 1,044.00 ESOPH IMPED FUNCTION TEST $ 386.53 ESOPHAGEAL MANOMETRY $ 1,305.12 ESOPHAGOSCOP ULTRASOUND EXAM $ 326.18 ESOPHAGOSCOPY BALLOON LESS THAN 30MM $ 240.44 ESOPHAGOSCOPY FLEX BIOPSY $ 264.15 ESOPHAGOSCOPY FLEXIBLE BRUSH $ 221.98 ESOPHAGOSCOPY RIGID TRNSO $ 1,371.38 ESOPHAGOSCOPY RIGID TRNSO DX $ 388.70 ESOPHAGOSCP RIG TRNSO BIOPSY $ 341.84 ESOPHAGOSCP RIG TRNSO INJECT $ 424.20 ESOPHAGRAM $ 687.81 ESOPHAGRAM FOR LYNX $ 707.01 ESOPHAGUS MOTILITY STUDY $ 165.00 ESOPHOGRAM UGI SM BOWEL $ 2,368.08 ESRD HOME PT SERV P MO 20+ $ 588.33 ESRD SERV 1 VISIT P MO 20+ $ 454.93 ESRD SERV P DAY 20+ $ 19.28 ESRD SRV 2-3 VSTS P MO 20+ $ 590.05 CHARGE DESCRIPTION CHARGE AMOUNT ESRD SRV 4 VISITS P MO 20+ $ 702.05 ESSURE PERMANENT BIRTH CONTROL SYSTEM $ 4,625.00 ESTABLISHED LACTATION CONSULT $ 120.00 ESTABLISHED PT LEVEL 1 OUTPT CARE $ 120.00 ESTABLISHED PT LEVEL 2 OUTPT CARE $ 150.00 ESTRACE TAB 1 MG $ 1.52 ESTRADIOL (E2) $ 179.61 ESTRIOL (E3) $ 202.16 ESTROGEN $ 182.31 ESTRONE (E1) $ 226.09 ETCO $ 34.49 ETHICON END SURGERY EC45 $ 666.32 ETHICON END SURGERY EC60 $ 713.00 ETHOSUXIMIDE $ 77.25 ETHYL CHLORIDE SPRAY 103.5 ML $ 1.00 ETHYLENE GLYCOL $ 80.34 ETOPOPHOS INJ $ 36.71 EV3 EVERFLEX STENT $ 3,412.50 EV3 EVERFLEX STENT 6MMX200MM 120CM $ 5,590.00 EVAC RPR A-BIILIAC NDGFT $ 3,516.64 EVAC RPR A-BIILIAC NDGFT $ 3,143.52 EVAC SU HEMATOMA $ 182.00 EVAC SU HEMATOMA $ 80.58 EVACUATOR URO VAC BLADDER $ 98.24 EVAL AUD FUNCJ 1ST HOUR $ 341.30 EVAL AUD FUNCJ EA ADDL 15 $ 170.65 EVAL CENT AUD PROCESS + 15 MIN $ 30.00 EVAL FOR SCRIPT NONSPEECH GEN AAC DEVICE $ 312.00 EVAL OF CENTRAL AUDITORY PROCESS - 1 HR $ 341.30 EVAL OF ORAL/PHAR SWALLOW FUNCTION $ 376.20 EVAL SPCH GEN DEVICE EA ADDL 30 MIN $ 152.00 EVAL SPEECH GEN DEV 1 HR $ 377.60 EVAL/FIT PROSTHETIC DEVICE $ 325.00 EVALUATE PT USE OF INHALER $ 31.78 EVALUATE SPEECH PRODUCTION $ 239.40 EVALUATION OF CERVICOVAGINAL FLUID $ 311.76 EVALUATION OF SPEECH FLUENCY $ 289.47 EVALUATION OF WHEEZING $ 146.75 EVALUATION OF WHEEZING $ 1,783.50 EVARREST US 2X4 $ 2,712.50 EVASC RPR A-AO NDGFT $ 3,142.60 EVASC RPR ILIO-ILIAC NDGFT $ 4,568.74 EVENT MONITORING HOOK UP $ 298.28 EVEROLIMUS $ 193.27 EVICEL 5ML KIT $ 1,600.69 EVICEL LAP ASA $ 233.16 CHARGE DESCRIPTION CHARGE AMOUNT EVISTA 60 MG TABLET $ 7.93 EVOKED AUDITORY TEST LIMITED $ 447.86 EVOKED AUDITORY TEST LIMITED $ 36.52 EVOKED AUDITORY TST COMPLETE $ 577.34 EVOKED AUDITORY TST COMPLETE $ 57.56 EX ARM/ELBOW TUM DEEP 5 CM/> $ 1,742.53 EXAM AND SELECTION OF ARCHIVAL TISSUE $ 47.03 EXAM/BIOPSY OF VAG W/SCOPE $ 161.82 EXAM/BIOPSY OF VAG W/SCOPE $ 865.63 EXAM/BIOPSY OF VAG W/SCOPE $ 1,027.46 EXC 1 WRIST GANGLION $ 790.95 EXC ABD LES SC 3 CM/GREATER THAN $ 1,105.10 EXC ABD LES SC LESS THAN 3 CM $ 826.63 EXC ABD TUM 5 CM OR LESS $ 3,044.73 EXC ABDL TUM DEEP 5 CM> $ 1,344.18 EXC ABDL TUM DEEP LESS THAN 5 CM $ 1,420.38 EXC ARM/ELBOW LES SC 3 CM/ GREATER THAN $ 1,019.88 EXC ARM/ELBOW LES SC LESS THAN 3 CM $ 427.44 EXC ARM/ELBOW LES SC LESS THAN 3 CM $ 1,788.15 EXC ARM/ELBOW LES SC LESS THAN 3 CM $ 2,215.59 EXC BACK LES SC 3 CM/GREATER THAN $ 1,182.85 EXC BACK LES SC LESS THAN 3CM $ 474.14 EXC BACK LES SC LESS THAN 3CM $ 1,787.50 EXC BACK LES SC LESS THAN 3CM $ 2,261.00 EXC BACK TUM DEEP 5 CM/GREATER THAN $ 1,859.00 EXC BACK TUM DEEP LESS THAN 5 CM $ 1,333.08 EXC BC/BT FOOT PHALANGE $ 576.66 EXC BLES S/N/EX G 0.5CM/LESS THAN $ 104.48 EXC BLES S/N/EX G 0.5CM/LESS THAN $ 1,607.61 EXC BLES S/N/EX G 0.5CM/LESS THAN $ 1,712.09 EXC BLES S/N/EX G GREATER THAN 4.0CM $ 359.65 EXC BLES S/N/EX G GREATER THAN 4.0CM $ 3,091.78 EXC BLES S/N/EX G GREATER THAN 4.0CM $ 3,451.42 EXC BLES S/N/EX G; 0.5CM/< $ 2,931.60 EXC BLES S/N/EX G; 0.6-1.0CM $ 141.71 EXC BLES S/N/EX G; 0.6-1.0CM $ 700.84 EXC BLES S/N/EX G; 0.6-1.0CM $ 842.56 EXC BLES S/N/EX G; 1.1-2.0CM $ 175.83 EXC BLES S/N/EX G; 1.1-2.0CM $ 1,607.61 EXC BLES S/N/EX G; 1.1-2.0CM $ 1,783.43 EXC BLES S/N/EX G; 2.1-3.0CM $ 202.01 EXC BLES S/N/EX G; 2.1-3.0CM $ 1,607.61 EXC BLES S/N/EX G; 2.1-3.0CM $ 1,809.61 EXC BLES S/N/EX G; 3.1-4.0CM $ 232.77 EXC BLES S/N/EX G; 3.1-4.0CM $ 1,607.61 EXC BLES S/N/EX G; 3.1-4.0CM $ 1,840.37 CHARGE DESCRIPTION CHARGE AMOUNT EXC BN CYST TUMOR RADIUS ULNA $ 989.72 EXC BN CYST/TUMOR CARPAL BONES $ 886.46 EXC BONE FACIAL BONE(S) $ 954.90 EXC BRANCH CLFT CYST BELOW SQ TISS/PHRYN $ 1,094.36 EXC BRANCH CLFT CYST CONFINED SKN/SQ TIS $ 565.26 EXC BREAST LES BY N LOC; SGL $ 1,151.95 EXC CAROTID BODY TUMOR WO EXC CAROT ART $ 2,802.96 EXC CYST/GANGLION - TOES $ 669.78 EXC CYST/TUMOR FINGER PHALANX $ 879.32 EXC CYST/TUMOR MCP $ 1,115.58 EXC EXT EAR; PARTIAL SIMPLE REPAIR $ 791.65 EXC EYELID LESION WO CLOSE/SMPL REPAIR $ 389.08 EXC EYELID LESION WO CLOSE/SMPL REPAIR $ 1,521.00 EXC F/E/E/N/L MAL+MRG 0.5CMLESS THAN $ 311.55 EXC F/E/E/N/L MAL+MRG 0.6-1 $ 389.30 EXC F/E/E/N/L MAL+MRG 1.1-2 $ 238.85 EXC F/E/E/N/L MAL+MRG 1.1-2 $ 700.84 EXC F/E/E/N/L MAL+MRG 1.1-2 $ 939.69 EXC F/E/E/N/L MAL+MRG 2.1-3 $ 299.99 EXC F/E/E/N/L MAL+MRG 2.1-3 $ 1,607.61 EXC F/E/E/N/L MAL+MRG 2.1-3 $ 1,907.59 EXC F/E/E/N/L MAL+MRG 3.1-4 $ 372.44 EXC F/E/E/N/L MAL+MRG 3.1-4 $ 1,788.15 EXC F/E/E/N/L MAL+MRG 3.1-4 $ 2,160.59 EXC F/E/E/N/L MAL+MRG GREATER THAN 4 CM $ 516.93 EXC F/E/E/N/L MAL+MRG GREATER THAN 4 CM $ 3,022.33 EXC F/E/E/N/L MAL+MRG GREATER THAN 4 CM $ 3,539.26 EXC FACE LES SBQ 2 CM/GREATER THAN $ 845.70 EXC FACE LES SC LESS THAN 2 CM $ 332.70 EXC FACE LES SC LESS THAN 2 CM $ 1,607.61 EXC FACE LES SC LESS THAN 2 CM $ 1,940.30 EXC FACE TUM DEEP 2 CM/GREATER THAN $ 1,304.05 EXC FACE-MM B9+MARG > 4 CM $ 422.68 EXC FACE-MM B9+MARG > 4 CM $ 3,091.78 EXC FACE-MM B9+MARG > 4 CM $ 3,514.46 EXC FACE-MM B9+MARG 0.5CM/LESS THAN $ 131.64 EXC FACE-MM B9+MARG 0.5CM/LESS THAN $ 700.84 EXC FACE-MM B9+MARG 0.5CM/LESS THAN $ 832.48 EXC FACE-MM B9+MARG 0.6-1 CM $ 168.64 EXC FACE-MM B9+MARG 0.6-1 CM $ 700.84 EXC FACE-MM B9+MARG 0.6-1 CM $ 869.48 EXC FACE-MM B9+MARG 1.1-2 CM $ 186.51 EXC FACE-MM B9+MARG 1.1-2 CM $ 700.84 EXC FACE-MM B9+MARG 1.1-2 CM $ 887.35 EXC FACE-MM B9+MARG 2.1-3 CM $ 229.44 EXC FACE-MM B9+MARG 2.1-3 CM $ 1,607.61 CHARGE DESCRIPTION CHARGE AMOUNT EXC FACE-MM B9+MARG 2.1-3 CM $ 1,837.04 EXC FACE-MM B9+MARG 3.1-4 CM $ 293.83 EXC FACE-MM B9+MARG 3.1-4 CM $ 1,607.61 EXC FACE-MM B9+MARG 3.1-4 CM $ 1,901.43 EXC FEMUR BN CYST TUMOR W ALLOGRAFT $ 1,484.04 EXC FEMUR BONE CYST/TUMOR $ 1,207.88 EXC FOOT CYST/GANGLION $ 768.75 EXC FOOT/TOE TUM DEEP LESS THAN 1.5 CM $ 872.28 EXC FOOT/TOE TUM DEP 1.5CM/GREATER THAN $ 1,143.13 EXC FOOT/TOE TUM SC 1.5 CM/GREATER THAN $ 869.70 EXC FOOT/TOE TUM SC LESS THAN1.5 CM $ 657.10 EXC FOREARM LES SC 3 CM OR GREATER $ 851.64 EXC FOREARM LES SC LESS THAN 3 CM $ 787.75 EXC FOREARM TUM DEEP 3 CM/GREATER THAN $ 1,331.33 EXC FOREARM TUM DEEP LESS THAN 3 CM $ 1,290.93 EXC H/F/NK/SP AML +MARG 0.5 OR LESS $ 157.35 EXC H/F/NK/SP AML +MARG 0.5 OR LESS $ 1,788.15 EXC H/F/NK/SP AML +MARG 0.5 OR LESS $ 1,945.50 EXC HAND LES SC 1.5 CM/GREATER THAN $ 1,041.23 EXC HAND LES SC LESS THAN 1.5 CM $ 825.18 EXC HAND TUM DEEP 1.5 CM/GREATER THAN $ 1,366.70 EXC HAND TUM DEEP LESS THAN 1.5 CM $ 1,312.05 EXC H-F-NK-SP B9+MARG 0.5/< $ 2,931.60 EXC HIDRAD AXIL; S/I REP $ 632.15 EXC HIDRAD ING; S/I REP $ 602.63 EXC HIDRAD UMBIL; S/I REP $ 701.45 EXC HIP PELVIS LES SC 3 CM OR GREATER $ 614.94 EXC HIP PELVIS LES SC 3 CM OR GREATER $ 3,091.78 EXC HIP PELVIS LES SC 3 CM OR GREATER $ 3,706.72 EXC HIP/PELV TUM DEEP 5 CM/GREATER THAN $ 1,875.98 EXC HIP/PELVIS LES SC LESS THAN 3 CM $ 903.68 EXC INTERDIG MORTON NEUROMA EA SGL $ 911.45 EXC LEG/ANKLE LES SC 3 CM OR GREATER $ 830.96 EXC LEG/ANKLE TUM LESS THAN 3 CM $ 769.28 EXC LES MOUTH VESTIBULE W SIMPLE REPAIR $ 491.13 EXC LES MOUTH VESTIBULE WO REPAIR $ 164.07 EXC LES MOUTH VESTIBULE WO REPAIR $ 2,825.80 EXC LES MOUTH VESTIBULE WO REPAIR $ 2,989.87 EXC LES TUMOR DENTOALVEOLAR WO REPAIR $ 243.22 EXC LESION MENISCUS/CAPSULE $ 1,052.20 EXC LESION PALATE UVULA; WO CLOSURE $ 345.63 EXC MECKELS DIVERTICULUM OR OPM DUCT $ 1,935.30 EXC NECK LES SC 3 CM/GREATE THAN $ 1,122.13 EXC NECK LES SC LESS THAN 3 CM $ 760.52 EXC NECK LES SC LESS THAN 3 CM $ 1,016.35 EXC NECK LES SC LESS THAN 3 CM $ 1,776.87 CHARGE DESCRIPTION CHARGE AMOUNT EXC NECK TUM DEEP 5 CM/GREATER THAN $ 1,838.83 EXC NECK TUM DEEP LESS THAN 5 CM $ 1,317.38 EXC PAROTID TUM/GLAND; LL WO NRV DISECT $ 1,549.25 EXC PAROTID TUMOR/GLAND; TOT W DISSECT $ 2,956.20 EXC PILONID CYST; EXTENS $ 1,091.33 EXC PILONID CYST; SMPL $ 462.53 EXC PILONID CYT; COMPL $ 1,433.60 EXC RECT TUM TRANSANAL PART $ 1,510.08 EXC RECURRENT WRIST GANGLION $ 958.75 EXC S P ULCER PREP FOR FLAP $ 1,795.64 EXC S/N/H/F/G MAL +MRG 0.6-1 $ 195.00 EXC S/N/H/F/G MAL +MRG 0.6-1 $ 753.14 EXC S/N/H/F/G MAL +MRG 0.6-1 $ 948.14 EXC S/N/H/F/G MAL+MRG 1.1-2 $ 222.42 EXC S/N/H/F/G MAL+MRG 1.1-2 $ 700.84 EXC S/N/H/F/G MAL+MRG 1.1-2 $ 923.26 EXC S/N/H/F/G MAL+MRG 2.1-3 $ 276.74 EXC S/N/H/F/G MAL+MRG 2.1-3 $ 1,607.61 EXC S/N/H/F/G MAL+MRG 2.1-3 $ 1,884.35 EXC S/N/H/F/G MAL+MRG 3.1-4 $ 313.90 EXC S/N/H/F/G MAL+MRG 3.1-4 $ 1,752.44 EXC S/N/H/F/G MAL+MRG 3.1-4 $ 2,066.34 EXC S/N/H/F/G MAL+MRG OVER 4 CM $ 384.70 EXC S/N/H/F/G MAL+MRG OVER 4 CM $ 3,022.33 EXC S/N/H/F/G MAL+MRG OVER 4 CM $ 3,407.03 EXC SHOULDER LES SC 3 CM/GREATER THAN $ 1,054.10 EXC SHOULDER LES SC LESS THAN 3CM $ 424.36 EXC SHOULDER LES SC LESS THAN 3CM $ 1,788.15 EXC SHOULDER LES SC LESS THAN 3CM $ 2,212.51 EXC SHOULDER TUM DEEP 5 CM OR GREATER $ 1,396.14 EXC SHOULDER TUM DEEP LESS THAN 5CM $ 1,085.58 EXC SKIN ABD $ 2,941.25 EXC SKIN ABD ADD-ON $ 1,470.63 EXC SPERMATOCELE W/WO EPIDIDIMECTOMY $ 813.20 EXC ST LESION EXT AUDITORY CANAL $ 602.53 EXC TENDON SHTH LESION LEG/ANKLE $ 907.68 EXC THIGH KNEE LES SC 3 CM OR GREATER $ 840.84 EXC THIGH/KNEE TUM DEEP LESS THAN 5CM $ 1,248.60 EXC THIGH/KNEE TUM DEP 5CM/GREATER THAN $ 1,893.70 EXC THYROGLOSSAL DUCT CYST/SINUS $ 1,088.38 EXC TIB/FIB BONE CYST/TUMOR $ 1,161.32 EXC TIB/FIB CYST/TUMOR W ALLOGRAFT $ 1,535.72 EXC TNDN SHTH LES HND/FING $ 823.35 EXC TONGUE LESION W CL; ANT 2/3 $ 628.00 EXC TONGUE LESION W CL; POST 1/3 $ 697.18 EXC TR-EXT B9+MARG GREATER THAN 4.0 CM $ 1,929.29 CHARGE DESCRIPTION CHARGE AMOUNT EXC TR-EXT B9+MARG 0.5CM/LESS THAN $ 104.14 EXC TR-EXT B9+MARG 0.5CM/LESS THAN $ 753.14 EXC TR-EXT B9+MARG 0.5CM/LESS THAN $ 857.29 EXC TR-EXT B9+MARG 0.6-1 CM $ 134.21 EXC TR-EXT B9+MARG 0.6-1 CM $ 408.30 EXC TR-EXT B9+MARG 0.6-1 CM $ 542.52 EXC TR-EXT B9+MARG 1.1-2 CM $ 147.93 EXC TR-EXT B9+MARG 1.1-2 CM $ 753.14 EXC TR-EXT B9+MARG 1.1-2 CM $ 901.07 EXC TR-EXT B9+MARG 2.1-3CM $ 190.39 EXC TR-EXT B9+MARG 2.1-3CM $ 700.84 EXC TR-EXT B9+MARG 2.1-3CM $ 891.23 EXC TR-EXT B9+MARG 3.1-4 CM $ 209.74 EXC TR-EXT B9+MARG 3.1-4 CM $ 1,607.61 EXC TR-EXT B9+MARG 3.1-4 CM $ 1,817.35 EXC TR-EXT B9+MARG GREATER THAN 4.0 CM $ 321.69 EXC TR-EXT B9+MARG GREATER THAN 4.0 CM $ 1,607.61 EXC TR-EXT MAL+MARG 0.5 LESS THAN CM $ 154.95 EXC TR-EXT MAL+MARG 0.5 LESS THAN CM $ 700.84 EXC TR-EXT MAL+MARG 0.5 LESS THAN CM $ 855.79 EXC TR-EXT MAL+MARG 0.6-1 CM $ 192.96 EXC TR-EXT MAL+MARG 0.6-1 CM $ 700.84 EXC TR-EXT MAL+MARG 0.6-1 CM $ 893.80 EXC TR-EXT MAL+MARG 1.1-2 CM $ 212.15 EXC TR-EXT MAL+MARG 1.1-2 CM $ 408.30 EXC TR-EXT MAL+MARG 1.1-2 CM $ 620.45 EXC TR-EXT MAL+MARG 2.1-3 CM $ 1,504.85 EXC TR-EXT MAL+MARG 2.1-3 CM $ 255.24 EXC TR-EXT MAL+MARG 2.1-3 CM $ 700.84 EXC TR-EXT MAL+MARG 2.1-3 CM $ 956.09 EXC TR-EXT MAL+MARG 3.1-4 CM $ 280.92 EXC TR-EXT MAL+MARG 3.1-4 CM $ 700.84 EXC TR-EXT MAL+MARG 3.1-4 CM $ 981.76 EXC TR-EXT MAL+MARG GREATER THAN 4 CM $ 420.20 EXC TR-EXT MAL+MARG GREATER THAN 4 CM $ 1,788.15 EXC TR-EXT MAL+MARG GREATER THAN 4 CM $ 2,208.35 EXC VARICOCEL OR LIG SPERM VEIN; ABD $ 1,089.85 EXCISE ANAL EXT TAG/PAPILLA $ 154.26 EXCISE ANAL EXT TAG/PAPILLA $ 1,140.88 EXCISE ANAL EXT TAG/PAPILLA $ 1,295.14 EXCISE HYDROCELE OF SPERM CORD UNIL $ 797.80 EXCISE HYDROCELE; BILATERAL $ 1,291.33 EXCISE HYDROCELE; UNILATERAL $ 854.65 EXCISE LESION OF SRERMATIC CORD $ 916.54 EXCISE OLECRANON BURSA $ 865.25 EXCISE OR DESTROY LINGUAL TONSIL $ 1,162.32 CHARGE DESCRIPTION CHARGE AMOUNT EXCISE OR DESTROY PHARYNX LESION $ 208.75 EXCISE OR DESTROY PHARYNX LESION $ 2,858.78 EXCISE OR DESTROY PHARYNX LESION $ 3,067.53 EXCISE TONGUE LESION WO CLOSURE $ 259.98 EXCISE VAGINAL SEPTUM $ 379.00 EXCISION BENIGN LESION 0.5 CM OR LESS $ 1,042.91 EXCISION DEBRIDEMENT WOUND $ 118.09 EXCISION DEBRIDEMENT WOUND $ 112.86 EXCISION DEBRIDEMENT WOUND $ 124.15 EXCISION LESION OF FLOOR OF MOUTH $ 545.08 EXCISION NASAL POLYP(S) SIMPLE $ 255.46 EXCISION OF LINGUAL FRENUM (FRENECTOMY) $ 186.55 EXCISION OF LINGUAL FRENUM (FRENECTOMY) $ 1,479.50 EXCISION OF LINGUAL FRENUM (FRENECTOMY) $ 1,666.05 EXCISION OF NAIL FOLD TOE $ 788.23 EXCISION OF NAIL PARTIAL OR COMPLETE $ 401.00 EXCISION OF SUBMANDIBULARGLAND $ 1,021.88 EXCISION OF TONSIL TAGS $ 460.43 EXCISION PREPATELLAR BURSA $ 919.75 EXCISIONAL DEBRIDEMENT $ 114.95 EXHALED CARBON DIOXIDE TEST $ 282.15 EXPANDER TISSUE $ 3,496.50 EXPANDER TISSUE 450CC MED HEIGHT $ 2,887.50 EXPANDER TISSUE 550CC MED HEIGHT $ 2,950.00 EXPANDER TISSUE 550CC MED HEIGHT $ 4,250.00 EXPAREL (1.3%) 266 MG INJ $ 5.37 EXPAREL 1.3% (133 MG/10 ML) INJ $ 5.92 EXPDR BREAST TISS SMTH UHP W/TABS 455CC $ 4,080.00 EXPDR BREAST TISS UHP $ 4,080.00 EXPL KNEE W DRAIN/REM FB $ 1,825.80 EXPL LAPAROTOMY EXPL CELIOTOMY $ 1,953.70 EXPL POSTOP HEMOR THROMB INF ABDOMEN $ 2,443.50 EXPL POSTOP HEMOR THROMB INF NECK $ 1,464.66 EXPL POSTOP HEMOR/THROMB/ING EXTREMITY $ 1,724.68 EXPL W DR/REM FB IP FOOT JNT $ 739.00 EXPL W DR/REM FB - MTP FOOT JOINT $ 806.50 EXPL/REM FB CMC JOINT $ 789.65 EXPL/REM FB FROM HIP $ 1,947.04 EXPL/TX RADIOCARPAL/MIDCARPAL JNT $ 1,297.00 EXPLOR/TREAT ANKLE JOINT $ 902.06 EXPLORE CAROTID ARTERY $ 1,149.10 EXPLORE RETROPERITONEAL AREA W/WO BX $ 2,373.78 EXPLORE WOUND EXTREMITY $ 1,236.54 EXPRESSBRAID SINGLE BLUE WHITE $ 235.64 EXT CEPHALIC VERSION $ 5,788.58 EXT CEPHALIC VERSION $ 207.94 CHARGE DESCRIPTION CHARGE AMOUNT EXT ECG RECORDING $ 217.12 EXT ECG RECORDING $ 108.56 EXT ECG RECORDING $ 325.68 EXT ECG REVIEW AND INTERP $ 133.56 EXT OV-EST $ 50.00 EXTENDED OFFICE VISIT $ 83.58 EXTENSOR TENDON REPAIR EACH $ 1,388.33 EXTERNAL EKG MONITORING 48 HRS - 21 DAYS $ 135.73 EXTRACT 3 LUM BLN 12-15MM 200CM PRO RX $ 580.00 EXTRACTABLE NUCLEAR Ag $ 132.81 EXTRACTOR 3.5MM SCREW $ 763.20 EXTRACTOR 4.5MM SCREW $ 763.20 EXTRACTOR -KATZ FOREIGN BODY $ 165.80 EXTRACTOR PRO RX 9-12MM $ 568.00 EXTREM VENOGRAM INJ $ 4,424.94 EXTREM VENOGRAM INJ $ 123.83 EXTREMITY ANGIO - BILAT $ 472.78 EXTREMITY ANGIO - UNIL $ 416.73 EXTREMITY BILATERAL ANGIO $ 9,991.89 EXTREMITY UNILATERAL ANGIO S&I $ 9,746.26 EYE ANESTHESIA SOLUTION $ 20.00 EYE TRAY $ 66.00 FACE SHIELD - STERILE $ 60.00 FACIAL BONES COMPLET $ 609.91 FACTOR II ACTIVITY $ 253.38 FACTOR IX ACTIVITY $ 304.40 FACTOR V (LEIDEN) $ 257.50 FACTOR V ACTIVITY $ 299.40 FACTOR VII ACTIVITY $ 130.81 FACTOR VIII ACTIVITY $ 230.34 FACTOR VIII INHIBITOR $ 260.59 FACTOR XI ACTIVITY $ 300.44 FACTOR XII ACTIVITY-HAEGMAN $ 88.58 FACTOR XIII ACTIVITY $ 85.49 FAMILY PSYTX W/O PT 50 MIN $ 211.18 FAMILY PSYTX W/PT 50 MIN $ 211.18 FAMVIR TAB 500 MG $ 10.69 FASCIECTOMY PALM ONLY $ 1,343.00 FASLODEX INJ 500 MG $ 200.90 FAST 1.1MM DRILLBIT MINIQUICK $ 126.36 FAST 2.0MM DRILLBIT MINIQUICK $ 126.36 FASTING GLUCOSE $ 18.00 FBP WO NON-STRESS $ 78.92 FBP WO NON-STRESS $ 95.14 FDP $ 206.93 FEBRILE AGGLUTININS $ 24.72 CHARGE DESCRIPTION CHARGE AMOUNT FECAL FAT QUALITATIVE $ 57.75 FECAL MUSCLE FIBERS QUAL $ 14.77 FECAL WBC $ 147.50 FEEDER HABERMAN $ 60.16 FEEDER SOFT $ 66.32 FELT PTFE POLYESTER 2.5 X 2.5 GRAFT $ 58.40 FEM PSN CR CMT CCR STD SZ10 L $ 5,000.00 FEM/POPL REVAS W/ATHER $ 1,567.75 FEM/POPL REVAS W/TLA $ 1,150.10 FEM/POPL REVASC STNT ATHER $ 1,885.00 FEM/POPL REVASC W/STENT $ 1,352.33 FEMORAL - 62.5MM LEFT VANGUARD $ 5,820.00 FEMORAL - 72.5 RT VAMGIARD $ 5,820.00 FEMORAL - VANGUARD 67.5MM LFT $ 5,820.00 FEMORAL & SCIATIC EA ADD 1/2 HR PORTION $ 61.13 FEMORAL 11MM 150MM ECHO HIP $ 6,192.50 FEMORAL 13MM 150MM ECHO HIP $ 6,192.50 FEMORAL 14MM ECHO HIP STD $ 6,192.50 FEMORAL 62.5 CR ILOK VANGUARD - LT $ 5,820.00 FEMORAL 65MM KNEE CEMENT MOLD $ 4,582.50 FEMORAL 70MM RIGHT $ 5,820.00 FEMORAL 75 RT VANGUARD $ 5,820.00 FEMORAL 75MM KNEE CEMENT MOLD $ 4,582.50 FEMORAL CEMENT TWIN PEGGED LG PMA $ 6,156.00 FEMORAL CEMENT TWIN PEGGED XL PMA $ 6,156.00 FEMORAL CENTRALIZER 15 X 155M DIA 12.0MM $ 3,712.50 FEMORAL COM SZ G LPS-FLEX LEFT $ 6,000.00 FEMORAL COM SZ G LPS-FLEX RIGHT $ 6,000.00 FEMORAL CR COMP CEMENT SZ 2 RT $ 4,875.00 FEMORAL CR-FLEX SIZE D RIGHT COMPONET $ 6,000.00 FEMORAL CRUICIATE RETAINING SZ # 2 CR LE $ 4,875.00 FEMORAL EA ADD 1/2 HR PORTION $ 67.93 FEMORAL ECHO FX 11MM STD $ 3,712.50 FEMORAL ECHO FX 9MM STD $ 3,712.50 FEMORAL ECHO POR NC 11 X 135 $ 6,192.50 FEMORAL ECHO POR RED LAT NC 17X165 $ 6,192.50 FEMORAL ECHO POR RED NC 14 X 150 $ 5,955.00 FEMORAL ECHO POR RED NC 15 X 155 $ 5,955.00 FEMORAL ECHO POR RED NC LAT 10X130 $ 6,192.50 FEMORAL ECHO POROUS 10 X 130 $ 6,192.50 FEMORAL GENDER PFJ CEMENT SIZE 3-LT $ 8,000.00 FEMORAL HEAD 12/14 COCR 36MM - 3.5 $ 2,537.50 FEMORAL HEAD 12/14 TAPER ARTICUL 40MM $ 2,500.00 FEMORAL HEAD 36MM 12/14 TAPER +1.5 $ 2,499.00 FEMORAL HEAD 40MM +1.5 $ 3,500.00 FEMORAL HEAD 40MM +8.5 $ 3,825.00 CHARGE DESCRIPTION CHARGE AMOUNT FEMORAL INTE CENTRA LAT 15MM X 155MM $ 3,712.50 FEMORAL N BLOCK SGL $ 1,850.34 FEMORAL NEXGEN CR-FLX SIZE F LEFT $ 6,000.00 FEMORAL NEXGEN LPS-FLEX PRECOAT SZ F-LT $ 6,000.00 FEMORAL NEXGEN LPS-FLEX PRECOAT SZ H-RT $ 6,000.00 FEMORAL NEXGEN SIZE H-LT $ 6,000.00 FEMORAL PEG VANGUARD $ 1,240.00 FEMORAL POST LUG CEMENTED SIZE 4 RIGHT $ 4,335.00 FEMORAL POST NARROW SIZE 5N RIGHT CEMENT $ 5,100.00 FEMORAL PSN CR SMT CCR NRW SZ8 R $ 5,000.00 FEMORAL SIZE 4 LEFT GSM POUROUS COATED $ 5,800.00 FEMORAL STEM SIZE 6 150MM $ 5,610.00 FEMORAL STEM SIZE 7 155MM $ 5,300.00 FEMORAL SUMMIT POR TAPER SIZE 4 STD OFF $ 5,300.00 FEMORAL TAPERLOC 133 PPS TYPE 1 HO 12.0 $ 6,192.50 FEMORAL TAPERLOC FP 8X133MM TYPE 1 $ 6,192.50 FEMORAL TAPERLOC POR 10 X 140 $ 6,192.50 FEMORAL TAPERLOC POR 10X140MM TP 1 SZ10 $ 6,192.50 FEMORAL TAPERLOC POR 11 X 142 $ 6,192.50 FEMORAL TAPERLOC POR 12.5X145 $ 6,192.50 FEMORAL TAPERLOC POR 15X115MM TYPE 1 $ 6,192.50 FEMORAL TAPERLOC POR 8X136MM TYPE 1 $ 6,192.50 FEMORAL TAPERLOC POR 9X133MM TYPE 1 SZ11 $ 6,192.50 FEMORAL TAPERLOC POR 9X137 $ 6,192.50 FEMORAL TAPERLOC POR 9X137MM TYPE1 $ 6,192.50 FEMORAL TAPERLOC PPS 10X140MM TYPE 1 $ 6,192.50 FEMORAL TAPERLOC PPS 11X133MM TYPE 1 $ 6,192.50 FEMORAL TAPERLOC PPS 15X150MM TYPE 1 $ 6,192.50 FEMORAL TAPERLOC PPS TYPE 1 HO 13.0 $ 6,192.50 FEMORAL TPRLC 133 TYPE 1 PPS SO 13.0 $ 6,192.50 FEMORAL TPRLC 133 TYPE 1 PPS SO 14.0 $ 6,192.50 FEMORAL TPRLC 133 TYPE 1 PPS SO 15.0 $ 6,192.50 FEMORAL TPRLC 133 TYPE 1 PPS SO 16.0 $ 6,192.50 FEMORAL TPRLC 133 TYPE 1 PPS SO 17X154MM $ 6,192.50 FEMORAL TPRLC 133 TYPE 1 PPS SO 18.0 $ 6,192.50 FEMORAL TPRLC POR 12X144MM TYPE 1 SZ12 $ 6,192.50 FEMORAL VAN PS OPEN IINTL RT 67.5 $ 5,820.00 FEMORAL VAN PS OPEN INTL-LT 72.5 $ 5,820.00 FEMORAL VAN PS OPEN INTL-LT 75 $ 5,820.00 FEMORAL- VANGUARD 57.5MM $ 5,820.00 FEMORAL VANGUARD PS OPEN INTL LEFT 70MM $ 5,820.00 FEMORAL VANGUARD PS OPEN LEFT 60MM $ 5,820.00 FEMORAL X-SMALL CEMENT TWIN PEGGED $ 5,920.00 FEMOSTOP PLUS $ 360.00 Fempop art unil stent&atherectomy+/-PTA $ 32,724.00 Fempop artery(s)unilat ather(+/-PTA) $ 17,043.44 CHARGE DESCRIPTION CHARGE AMOUNT Fempop artery(s)unilat PTA $ 12,220.98 Fempop artery(s)unilat stent (+/- PTA) $ 24,443.58 FEMUR - PERSONA $ 5,000.00 FEMUR CEMENT CR RIGHT SZ 7 (PERSONA) $ 6,500.00 FEMUR CEMENT NARROW RIGHT SZ 10(PERSONA) $ 6,500.00 FEMUR CEMENT NARROW RIGHT SZ 7 (PERSONA) $ 3,250.00 FEMUR CEMENT PS RIGHT SZ 9 (PERSONA) $ 6,500.00 FEMUR CEMENT RIGHT SZ 5CR STANDARD $ 5,000.00 FEMUR CEMENT RIGHT SZ 6 PS (PERSONA) $ 6,500.00 FEMUR CEMENTED CR NARROW LEFT SIZE 8 $ 6,500.00 FEMUR CEMENTED PS NARROW LEFT SIZE 7 $ 6,500.00 FEMUR CR NARROW LEFT SZ-7 - PERSONA $ 5,000.00 FEMUR LT 1 VIEW ONLY $ 152.00 FEMUR LT 2 OR MORE VIEWS $ 349.86 FEMUR PS NARROW RIGHT SIZE 8 (PERSONA $ 6,500.00 FEMUR RIGHT SZ 9 CR STANDARD (PERSONA) $ 6,500.00 FEMUR RIGHT SZ F CEMENT CR (PERSONA) $ 6,500.00 FEMUR RT 1 VIEW ONLY $ 152.00 FEMUR RT 2 OR MORE VIEWS $ 349.86 FENTANYL 50MCG/ML 50 ML FOR DRIPS $ 6.80 FENTANYL INJ 100 MCG $ 16.57 FERRITIN $ 108.00 FERRITIN $ 20.00 FERROUS SULFATE LIQ 300 MG 5 ML $ 8.52 FERROUS SULFATE TAB 325 MG $ 1.04 FETAL CHRMOML ANEUPLOIDY $ 996.01 FETAL FIBRONECTIN $ 474.83 FETAL LUNG MATURITY LBD $ 107.64 FETAL MONITOR $ 385.61 FETAL NON-STRESS TEST $ 113.00 FFA ATROVENT SOLN 0.02% 2.5 ML $ 1.63 FFA DUONEB 2.5-0.5MG UD $ 1.90 FFA MUCOMYST SOLN 800 MG 4 ML $ 15.00 FFA PROVENTIL SOLN 0.083% 3 ML $ 1.57 FFA SALINE SOLN 0.9% 3 ML $ 1.30 FFA VAPONEPHRINE SOLN 2.25% 0.5 ML $ 4.60 FIBER PATHASSIST LIGHT $ 1,000.00 FIBERCON TAB 625 MG $ 1.21 FIBERLINK $ 316.00 FIBERLOOP $ 200.00 FIBERTAPE $ 1,200.00 FIBERWIRE - #2 FIBERSTICK $ 286.00 FIBERWIRE 26-FIBERSNARE #2 $ 600.00 FIBRINOGEN $ 97.00 FIBULA ANATOMIC LOCK LEFT 3H $ 1,892.87 FIBULA ANATOMIC LOCK LEFT 4H $ 1,941.21 CHARGE DESCRIPTION CHARGE AMOUNT FIBULA COMP LOCK PLATE 6H $ 850.00 FIBULA COMP LOCK PLATE 8H $ 897.60 FILTER - VENACAVA CELECT PLATINUM $ 2,875.00 FILTER CELCET VENA CAVA $ 2,875.00 FILTER IVC CELECT $ 2,500.00 FILTER IVC CELECT $ 2,500.00 FILTER IVC FEMORAL $ 2,625.00 FILTER IVC JUGULAR $ 2,750.00 FILTER OPTEASE IVC $ 3,740.00 FILTER SPIDE FX 4MM $ 3,328.50 FILTER SPIDE FX 5MM $ 3,328.50 FILTER SPIDE FX 6MM $ 3,062.50 FILTER SYSTEM TULIP UNISET IVC $ 2,625.00 FILTER TULIP IVC JUGULAR $ 3,465.00 FILTER TULIP VENA CAVA $ 3,308.38 FILTER VENACAVA SET $ 900.00 FILTER, LAPAROSCOPIC PLUME $ 83.84 FILTERLINE H SET $ 52.20 FINE NEEDLE ASPIRATION $ 622.16 FINE NEEDLE ASPIRATION W/ IMAGE $ 297.83 FINE NEEDLE ASPIRATION W/O IMAGING GUIDF $ 759.45 FINELINE II BIPOLAR AJ IS-1 RA 45CM $ 2,037.00 FINELINE II STEROX BIPOLAR AJ IS-1 $ 2,037.00 FIORICET TAB $ 4.37 FIRLTER SMOKE EVACUATOR $ 54.12 FIRMAGON 240 MG KIT $ 5.62 FIRMAGON INJ 80 MG $ 4.69 FIRST AIDE $ 40.00 FIRVANQ 50 MG/ML ORAL (VANCOMYCIN) 2.5ML $ 17.77 FISH-PROBE $ 303.55 FISTULOGRAM $ 3,164.02 FIT OR INSERT PESSARY $ 60.94 FIT OR INSERT PESSARY $ 197.87 FIT OR INSERT PESSARY $ 258.82 FIT TESTING QUALITATIVE $ 45.00 FIT TESTING QUANTITATIVE $ 45.00 FIXATION COMPONENT DF-P $ 3,171.00 FLAGYL PB SOLN 500 MG 100 ML $ 25.31 FLAGYL TAB 250 MG $ 2.21 FLEET ADULT ENEMA $ 3.37 FLEET OIL ENEMA $ 6.19 FLEET PEDIATRIC ENEMA $ 4.75 FLEX SIGM CANCER SCREENING $ 142.58 FLEX TENDON REP ZONE 2 EACH $ 1,965.80 FLEXERIL TAB 10 MG $ 1.24 FLOMAX CAP 0.4 MG $ 1.83 CHARGE DESCRIPTION CHARGE AMOUNT FLONASE NASAL SPRAY 50 MCG 16 GM $ 67.00 FLORINEF TAB 0.1 MG $ 2.65 FLORO 1 HOUR $ 860.25 FLOVENT INHALER 110 MCG 12 GM $ 200.00 FLOVENT INHALER TREATMENT $ 5.00 FLOW CYTOMETRY EACH EQUALS 16 $ 1,075.20 FLOW CYTOMETRY FIRST MARKER $ 67.20 FLOW CYTOMETRY INTERP 9 TO 15 MARKERS $ 117.04 FLOW CYTOMETRY; CELL CYCLE/DNA ANALYSIS $ 567.46 FLOW VOLUME LOOP $ 95.73 FLOXIN OTIC 0.3% 5 ML $ 51.25 FLU $ 201.88 FLU VACCINATION $ 30.00 FLU VACCINE 0.25ML(PED FLUZONEQUAD)19-20 $ 30.00 FLU VACCINE 0.25ML(PEDFLUZONE QUAD)18-19 $ 30.00 FLU VACCINE 0.5ML PFS(FLUZONE QUAD)18-19 $ 30.17 FLU VACCINE 0.5ML PFS(FLUZONE QUAD)19-20 $ 30.01 FLUID ASPIRATION $ 475.48 FLUOESCENT NONINFECTIOUS Ab SCREEN $ 162.80 FLUORESCEIN 10% INJ 5ML (SURGERY) $ 168.46 FLUORESCEINE OPHTH STRIP 1 MG $ 1.45 FLUORESCENT NONINFECTIOUS Ab TITER $ 129.78 FLUORO FOR INTERSTIM PROC $ 953.81 FLUORO GUIDE SPINAL PUNCTURE $ 1,081.44 FLUOROGUIDE FOR VEIN DEVICE $ 199.58 FLUOROSCOPY $ 953.81 FLUOROSCOPY LESS THAN 1 HR PHYS/QHP $ 112.93 FLURO GUIDE CVA DEVICE PLACEMENT $ 1,692.54 FLURO GUIDE NEEDLE PLACEMENT $ 1,107.66 FLUROGUIDE FOR SPINE INJECT $ 1,081.44 FLUROSCOPY FOR UROLOGY IN OR $ 1,151.47 FLUZONE (MDV) QUAD 0.5ML 2018-19 $ 30.00 FNA BX W/O IMGGDB EA ADDL $ 88.10 FNA EXPECT 22G $ 780.00 FNA W/IMAGE $ 165.68 FNA W/O IMAGE $ 175.08 FNA WO IMAGE $ 726.75 FNB ACQUIRE 22G $ 1,580.00 FOLATE ERYTHROCYTES $ 133.90 FOLATES $ 106.00 FOLLOW-UP ANGIOGRA[HY $ 181.64 FOLLOW-UP CONSULT DIET $ 47.96 FOLLOW-UP VISIT $ 120.00 FOLLOW-UP VISIT - MEDICARE ONLY $ 120.00 FOLVITE INJ 5 MG $ 30.30 FOLVITE TAB 1 MG $ 1.42 CHARGE DESCRIPTION CHARGE AMOUNT FOOT INS UCB TYPE $ 376.94 FOOT LT COMPLETE $ 451.04 FOOT RT COMPLETE $ 451.04 FOOT STRAP ANKEL DSTRCTR STRL (6) $ 125.32 FORAMEN NEEDLE $ 160.00 FORCE FIBER SZ 2 36IN BLUE $ 84.00 FORCEP - DISP BIOPSY SWING JAW $ 130.00 FORCEP BIOPSY 2.0MM RADICAL JAW 4 $ 136.00 FORCEP BIOPSY DISPOSABLE $ 248.00 FORCEP DISP BX OVAL CUP $ 328.00 FORCEP GRASPING RESCUE COMBO ALLIG $ 340.00 FORCEP HOT BIOPSY BARD DISPOSABLE $ 119.80 FORCEP NON-RETRACTING 3FR GRASPER $ 440.00 FORCEP RADIAL JAW LC $ 117.76 FORCEP SING USE BIOPSY 2.2MM 100CM 2.8MM $ 116.00 FORCEP VASCULAR RETRIVAL $ 1,004.24 FORCEPS DISPOSABLE $ 88.60 FORCEPS ENDO NDL 240CM 2.8MM RJ 4 JMB $ 128.00 FORCEPS- ENDOJAW ALLIGATOR FENESTRATED $ 88.60 FORCEPS JUMBO NDL 240CM RJ 4 $ 73.00 FORCEPS RADIAL - HOT $ 67.00 FORCEPS RADIAL JAW - COLD $ 115.00 FORCEPS RADIAL JAW - HOT $ 180.00 FORCEPS SIN USE BIO W/ NEEDLE 1.8MM 100C $ 136.00 FORCEPS SING USE BIOPSY 1.8MM 100CM 2.MM $ 136.00 FOREARM DECOMPRESSN FAXSCIOTOMY $ 1,827.63 FOREARM LT $ 344.67 FOREARM RT $ 344.67 FORESKIN MANIPULATION $ 76.99 FORESKIN MANIPULATION $ 280.85 FORESKIN MANIPULATION $ 357.84 FORTEC LASER STANDBY $ 376.59 FORTEC LASER USE $ 2,259.51 Fox Balloon 10.0 mm x 20 mm (135 cm $ 480.00 FRAGILE X SYNDROME DNA $ 389.34 FRANCISELLA TULARENSIS Ab $ 131.84 FREE AND TOTAL CORTISOL $ 173.04 FREE DILANTIN $ 96.88 FREE T3 $ 129.00 FREE T4 $ 102.62 FREE T4 BY DIALYSIS/MS $ 102.62 FREE TESTOSTERONE $ 177.40 FREE VALPROIC ACID $ 56.00 FROZEN SECTION EA. A $ 169.64 FROZEN SECTION SGLE $ 419.36 FRUCTOSAMINE $ 196.73 CHARGE DESCRIPTION CHARGE AMOUNT FSH $ 131.84 FT 8.0MM CANNULATED LOCKING 25MM $ 660.24 FTA ABS SYPHILIS CONFIR $ 111.13 FUNGAL ANTIBODIES CANDIDA $ 169.00 FUSION OF WRIST JOINT WO GRAFT $ 1,461.00 G WIRE G30506 STIFF SHAFT TIP UNI 260CM $ 172.00 G WIRE G56177 STIFF SHAFT TIP UNI 180CM $ 172.00 G6PD $ 126.57 G7 10 DEG E1 LINER 32MM C $ 5,590.00 G7 10 DEG E1 LINER 36MM F $ 5,590.00 G7 10 DEG E1 LINER 36MM G $ 5,590.00 G7 10 DEG LINER E1 32MM E $ 5,590.00 G7 APICAL HOLE PLUG $ 592.00 G7 DUAL MOBILITY LINER 40MM D $ 7,680.00 G7 HI WALL ACROMXL LINER 36MM F $ 2,625.00 G7 HI WALL ACROMXL LINER 36MM H $ 2,625.00 G7 HI WALL ACROMXL LINER 40MM F $ 2,625.00 G7 HI WALL ACROMXL LINER 40MM G $ 2,625.00 G7 PPS LTD ACET SHELL 48C $ 2,575.00 G7 PPS LTD ACET SHELL 50D $ 5,590.00 G7 PPS LTD ACET SHELL 52E $ 5,590.00 G7 PPS LTD ACET SHELL 62H $ 2,575.00 G7 SHELL OSSEOTI MULTIHOLE 54MM SZ F $ 13,520.00 G7 TAMP 17 4 PH SS $ 2,625.00 GABAPENTIN $ 144.20 GABAPENTIN, NON-BLOOD $ 189.52 GAIT AND STAIR THERAPEUTIC TRNG-15 MINS $ 103.44 GAIT AND STAIR THERAPEUTIC TRNG-15 MINS $ 103.44 GALACTOSE 1 PHOSPHATE QUANT $ 193.64 GALECTIN-3 $ 231.75 GALT MOLECULAR PATH LEVEL 7 $ 1,802.09 GAMASTAN (GAMMA GLOBULIN )1mL $ 98.42 GAMMA GLOBULIN EACH SUBCLASS $ 86.53 GARAMYCIN INJ 20 MG $ 110.92 GARAMYCIN INJ 40 MG/ML $ 24.21 GARAMYCIN INJ 80 MG $ 29.54 GARAMYCIN OPHTH OINT 0.3% 3.5 GM $ 86.05 GARAMYCIN OPHTH SOLN 0.3% 5 ML $ 47.50 GARDASIL 9 INJ 0.5 ML $ 487.75 GARMENT FOOT $ 98.44 GARMENT THIGH GREEN LARGE $ 77.92 GARMENT THIGH GREEN MEDIUM $ 67.52 GARMENT THIGH GREEN XLRG $ 130.04 GASTRECTOMY P DIST W GASTRODUODENOST $ 2,965.08 GASTRIN $ 129.11 GASTROCNEMIUS RECESSION $ 1,129.63 CHARGE DESCRIPTION CHARGE AMOUNT GASTROESOPH REFLUX W NASAL PH $ 449.40 GASTROGRAPHIN INJ 370 MG/ML 120 ML $ 200.56 GASTROGRAPHIN INJ 370 MG/ML 30 ML $ 70.24 GASTROJEJUNOSTOMY; WO VAGOTOMY $ 3,419.68 GASTRORRHAPHY SUTURE PERF DUOD/GASTRIC $ 3,461.85 GASTROSTOMY OP; WO GASTRIC TUBE CREATE $ 1,771.08 GDE PIN DRL TIP 2.8 X 300MM STE $ 135.00 GEL RADIESSEVOICE $ 2,012.50 GEL-ONE 30 MG/3 ML SYRINGE $ 1,134.86 GEMZAR INJ 200 MG $ 25.68 GENDER PFJ MILL BURR, STANDARD $ 840.00 GENE SEQ: CARDIO FAMILIAL ARRHYTHMIA PRO $ 2,450.00 GENERATOR NIVO AEROSOL $ 189.72 GENERATOR NIVO AEROSOL $ 203.32 GENERATOR REMOVAL $ 11,125.20 GENERATOR REPLACEMENT PULSE DUAL $ 23,183.50 GENERATOR REPLACEMENT PULSE SINGLE $ 7,698.00 GENOTYPE BY NUCLEIC ACID $ 524.35 GENTAMICIN $ 140.10 GEODON 20 MG CAPSULE $ 2.50 GEODON CAP 40 MG $ 2.50 GEODON INJ 20MG $ 116.78 G-ESOPH REFLUX W MUCOSAL PH $ 208.00 GGT $ 64.05 GGT $ 18.00 GI COCKTAIL 50ML $ 28.40 GIARDIA AG $ 94.40 GIGLI SAW BLADES 510MM STERILE $ 85.28 GLENOID BASE SM HYBRID 4MM $ 4,345.00 GLENOSPHERE - 36MM $ 3,000.00 GLENOSPHERE - UNIVERSAL REVERS 39 $ 4,725.00 GLENOSPHERE HUM BEARING +3 36MM COMP $ 3,000.00 GLIDE SHEET 35 X 55 NO STRAPS (TAP) $ 125.00 GLIDE WIRE STRAIGHT STIFF SHAFT $ 204.00 GLIDECATH $ 213.40 GLIDECATH 100CM 4FR $ 203.00 GLIDECATH 100CM 5FR $ 212.00 GLIDECATH 100CM 5FR ANGLED $ 202.60 GLIDECATH 65CM 5FR ANGLED $ 205.60 GLIDESCOPE GVL 1 STAT $ 83.60 GLIDESCOPE GVL 2 STAT $ 83.60 GLIDESCOPE GVL 3 STAT $ 62.72 GLIDESCOPE GVL 4 STAT $ 62.72 GLIDESCOPE S3 LO PRO $ 152.00 GLIDESCOPE S4 LO PRO $ 156.80 GLIDESHEATH 5 FR 25CM (SHEATH ONLY) $ 212.00 CHARGE DESCRIPTION CHARGE AMOUNT GLIDESHEATH KIT 5FR 25CM $ 317.60 GLIDESHEATH KIT 6 FR 25 CM $ 317.60 GLIDESHEATH KIT 6FR 25CM $ 212.00 GLIDESHEATH SLENDER 6FR $ 220.00 GLIDEWIRE .018X 180 (GOLD) $ 527.00 GLIDEWIRE .025 150CM $ 150.88 GLIDEWIRE .035 150CM $ 192.28 GLIDEWIRE .035 X 260 AMPLATZ SUPER STIFF $ 172.00 GLIDEWIRE 0.025 X 150CM X 3CM STRAIGHT $ 150.88 GLIDEWIRE 0.025X .74MM X 15CM $ 146.36 GLIDEWIRE ANGELED STIFF SHAFT 150CM $ 205.00 GLIDEWIRE ANGLED .035 180CM STANDARD $ 193.80 GLIDEWIRE ANGLED .035 180CM $ 164.60 GLIDEWIRE ANGLED .035 260CM $ 184.00 GLIDEWIRE ANGLED .035 260CM TIP ANGLED $ 777.00 GLIDEWIRE ANGLED SS .035 260CM $ 206.60 GLIDEWIRE ANGLED STIFF 180CM $ 217.60 GLIDEWIRE GOLD .018 180CM $ 500.00 GLIDEWIRE STRAIGHT SS .035 260CM $ 206.60 GLOBAL ADVANTAGE HUM HD 44X15 $ 2,967.30 GLOBAL UNITE FX RSA EPI SZ1 L $ 5,838.84 GLOBAL UNITE STD STEM SZ 10 $ 4,821.25 GLOVE - RAD SIZE 8 (PAIN CLINIC) $ 121.00 GLOVE SURGICAL ORTHO RAD $ 211.40 GLUCAGON INJ 1 MG $ 782.20 GLUCAGON LEVEL $ 257.40 GLUCOPHAGE TAB 500 MG $ 1.19 GLUCOPHAGE TAB 850 MG $ 1.22 GLUCOSE $ 40.50 GLUCOSE BY METER $ 31.18 GLUCOSE CHALLENGE $ 54.22 GLUCOSE SCREENING $ 40.00 GLUCOSE, BODY FLUID $ 58.00 GLUCOSE; BLD BY MONITOR DEVICE $ 9.00 GLUCOSE; BLD BY MONITOR DEVICE $ 9.00 GLUCOTROL XL TAB 5 MG $ 1.49 GLUTATHIONE $ 123.60 GLYCERIN SUPP ADULT $ 1.27 GLYCERIN SUPP PED $ 2.49 GLYCOLIC PEEL $ 60.00 GONIO PRISM $ 114.00 GONIOTAIRE 2.5% OPHTH DROPS 15 ML $ 60.25 GONORRHEA NUCLEIC ACID AMP (NAA) $ 129.78 GOWN ADULT BAIR PAWS $ 61.28 GOWN ADULT XLG BAIR PAWS $ 76.04 GRACILIS TENDON FZ ASP $ 2,600.00 CHARGE DESCRIPTION CHARGE AMOUNT GRAFT - STRATTICE(TISSUE RCPT) PER SQ CM $ 8,782.00 GRAFT 15CM X 25CM XENMATRX AB $ 18,150.00 GRAFT ACL $ 6,352.00 GRAFT BUFYRCATED DARCIB 16 X 8 $ 2,625.00 GRAFT ENDOVASC AAA PROX BODY 2 INT $ 22,660.00 GRAFT GRACILIS TENDON $ 2,812.50 GRAFT PROPATEN VASCULAR 6 X 60 SWST $ 4,395.00 GRAFT SOFT TISSUE 1.5X1.5CM $ 1,575.00 GRAFT SOFT TISSUE 2.5X2.5CM $ 3,325.00 GRAFT SOFT TISSUE 4X2 CM NUSHIELD MEM $ 3,325.00 GRAFT SOFT TISSUE 4X3 CM NUSHIELD MEM $ 3,437.50 GRAFT SOFT TISSUE 6X6 CM NUSHIELD $ 5,562.50 GRAFT SOFT TISSUE NUSHIELD 1.6CM DISC $ 1,580.00 GRAFT ST TIS 8-14CMX13-30 HEMI PATELLA $ 5,698.00 GRAFT SYNTHETIC TISSUE 6 X 4 CM $ 4,375.00 GRAFT SYNTHETIC TISSUE 6X4 NUSHIELD $ 4,375.00 GRAFT VASC BYPASS 6MMX80CM $ 4,770.00 GRAFT VASC BYPASS 6MMX90CM $ 5,325.00 GRAFT VASC STRETCH TWB 14X50 $ 2,937.50 GRAFT VASC STRETCH TWB 18X50 $ 3,892.50 GRAFT VASCULAR 45CM 4-7MM STD PROPATEN $ 3,575.00 GRAFT VASCULAR PROPATEN 50CM 6MM $ 5,142.50 GRAFT VASCULAR PROPATEN 50CM 8MM $ 5,142.50 GRAFT VASCULAR PROPATEN 6MM X 70CM $ 5,152.00 GRAFT VASCULAR PROPATEN 80CM 8MM $ 5,800.00 GRAFTJACKET NOW THICK 4 X 8CM $ 6,944.00 GRAFTJACKET NOW THIN 2 X 4CM $ 3,187.50 GRAFTMASTER- 3.5MM X 16 RX $ 5,987.50 GRAFTMASTER- 3.5MM X 19 RX $ 5,987.50 GRANIX INJ 300 MCG $ 1.89 GRASPER ATRAUMATIC 5X35CM $ 264.00 GRASPER ENDO 5MM BABCOCK $ 252.20 GRAVITY NEEDLE DRIVER $ 1,528.00 GREAT TOE LPT ANGLED SIZE #1 $ 3,125.00 GREAT TOE LPT REGULAR SIZE # 0 $ 4,247.50 GREAT TOE LPT REGULAR SIZE # 1 $ 4,247.50 GREAT TOE LPT REGULAR SIZE # 2 $ 4,247.50 GREAT TOE LPT REGULAR SIZE # 3 $ 3,125.00 GROSHONG CATHETER 8FR $ 696.00 GROUNDING PADS $ 60.00 GSF FLX POR FM/POR TIB/PRLNG SUR/TM $ 1,355.00 GST BLACK RELOAD 45MM 6 ROW $ 555.56 GST BLACK RELOAD 60MM 6 ROW $ 615.76 GST BLUE RELOAD 45MM 6 ROW $ 555.56 GST GOLD RELOAD 45MM 6 ROW $ 555.56 GST GOLD RELOAD 60MM 6 ROW $ 615.76 CHARGE DESCRIPTION CHARGE AMOUNT GST GREEN RELOAD 45MM 6 ROW $ 555.56 GST GREEN RELOAD 60MM 6 ROW $ 615.76 GST WHITE RELOAD 45MM 6 ROW $ 555.56 GTT 1ST 3 SPECIMENS $ 121.00 GUIDE CATH IM 6FR 90CM $ 193.60 GUIDE CATHETER JL 4.5 6FR 100CM $ 168.60 GUIDE CATHETER SINUS 2.2MM $ 1,250.00 GUIDE CATHETER SINUS F-70C 70 DEGREE $ 1,480.00 GUIDE CATHETER SINUS M-110 110 DEGREE $ 1,480.00 GUIDE CATHETER SINUS S-0 0 DEGREE $ 1,480.00 GUIDE LAPIDUS 3HOLE STD NO ARM COMP PLAT $ 3,675.00 GUIDE LAPIDUS 3HOLE STD NOARM LT CMP PLT $ 3,675.00 GUIDE NERV DESTR NEEDLE EMG $ 40.02 GUIDE NERV DESTR NEEDLE EMG $ 106.42 GUIDE PATIENT SPECIFIC CUTTING TRI LEFT $ 2,550.00 GUIDE PIN - 1.25MM X 6IN PART THD TROCAR $ 336.00 GUIDE PIN - 3.2MM X 12IN PART THD TROCAR $ 344.40 GUIDE PIN 1.25MM X 6IN SMOOTH TROCAR $ 226.80 GUIDE PIN 1.6MM X 6 IN PARTIAL THREAD $ 65.56 GUIDE PIN 2.4MM W/SUTURE $ 272.00 GUIDE PIN 2MM BAYONET PT $ 277.20 GUIDE PIN 3.2MM CALIBRATED $ 270.00 GUIDE PIN 3.2MM X 12 IN PARTIAL THREAD $ 68.88 GUIDE PIN 3.2MM X 12IN SMOOTH SHAFT DRIL $ 322.00 GUIDE PIN 3.2MM X 12IN SMOOTH SHAFT TROC $ 322.00 GUIDE PIN SHORT THREAD 3.2MM X 14 SNGL $ 490.20 GUIDE PIN THREADED TIP 2.5MM X 9 $ 242.00 GUIDE SHEATH ANSEL 1 $ 406.00 GUIDE WIDE - UNIVERSAL GLENOID 2.8 $ 720.00 GUIDE WIRE - RUNTHROUGH NS $ 400.00 GUIDE WIRE 1.1 MM NITINOL (14") $ 204.00 GUIDE WIRE 1.6MM X 150MM DRILL TIP $ 201.60 GUIDE WIRE 100CM BALL NOSE $ 401.80 GUIDE WIRE 3.2X230MM 3PK $ 121.60 GUIDE WIRE ASTATO 30 0.018 300CM $ 2,625.00 GUIDE WIRE CORSAIR 135CM $ 2,782.50 GUIDE WIRE NITINOL 2.0MM $ 84.00 GUIDE WIRE NOSE 2.0MM BALL $ 644.40 GUIDE WIRE STANDARD STERIABLE .014 180CM $ 88.00 GUIDE WIRE THREADED 1.25MM $ 87.20 GUIDE WIRE VERRATA 185CM JTIP $ 2,397.50 GUIDE WIRE VERRATA 185CM STRAIGHT $ 2,257.50 GUIDE WIRE VERRATA 300CM STRAIGHT $ 2,257.50 GUIDEPIN - TIGHTROPE ACL $ 500.00 GUIDES BRIGHT TIP HOCKEY $ 193.60 GUIDEWIRE - 900.721 $ 128.04 CHARGE DESCRIPTION CHARGE AMOUNT GUIDEWIRE - HI-TORQUE .014" X 300CM $ 340.00 GUIDEWIRE .014 300CM BWM UNIVERSAL $ 328.00 GUIDEWIRE .014 X 300CM SION $ 540.00 GUIDEWIRE .018 40CM COPE MANDRIL $ 117.04 GUIDEWIRE .038 X 260 STRT $ 374.00 GUIDEWIRE 0.014 X 10 X 300 $ 260.00 GUIDEWIRE 0.018IN 260CM $ 3,125.00 GUIDEWIRE 0.45X6 $ 52.00 GUIDEWIRE 0.59X5 $ 76.00 GUIDEWIRE 1.1MM CSS $ 164.00 GUIDEWIRE 1.2MM X12 $ 131.04 GUIDEWIRE 1.6 X 150MM $ 400.00 GUIDEWIRE 2.0MM THREADED $ 165.60 GUIDEWIRE 2.0MM X 9"ST $ 80.00 GUIDEWIRE 2.2MM X 28IN $ 604.20 GUIDEWIRE 3.2MM 400MM $ 384.00 GUIDEWIRE 6X .035 X260CM $ 66.00 GUIDEWIRE- ACUITY WHISPER VIEW EDS CS-J $ 376.00 GUIDEWIRE AINGER MED 300CM .014 $ 320.00 GUIDEWIRE AMPLATZ EXTRA STIFF .035 X 180 $ 81.00 GUIDEWIRE AMPLATZ EXTRA STIFF .035 X 260 $ 81.00 GUIDEWIRE AMPLATZ EXTRA STIFF .35' 300CM $ 81.00 GUIDEWIRE AMPLATZ SUPER STIFF .035 X 180 $ 141.36 GUIDEWIRE AMPLATZ X-STIFF .035 260CM $ 81.00 GUIDEWIRE ASAHI CONFIANZA .014 30CM $ 540.00 GUIDEWIRE ASAHI CONFIANZA PRO 12 $ 520.00 GUIDEWIRE ASAHI SOFT 300CM .014 $ 328.00 GUIDEWIRE ASTATO XS 20 300 CM $ 600.00 GUIDEWIRE ATW .014 300CM $ 287.00 GUIDEWIRE BALANCE 300CM .014 $ 328.00 GUIDEWIRE BALL NOSE 3.0MM X 28 $ 604.20 GUIDEWIRE BEAD TIP 2.6MM X 80CM $ 360.00 GUIDEWIRE BEAD TIP SCREW 3.0 X 98CM $ 668.00 GUIDEWIRE BENSTON .035 X 145CM $ 56.00 GUIDEWIRE BENTSON .018 180CM $ 58.00 GUIDEWIRE BMW .014 X 190CM J TIP $ 328.00 GUIDEWIRE BMW .014 X 190CM STRAIGHT $ 328.00 GUIDEWIRE BMW 300CM .014 $ 328.00 GUIDEWIRE BMW UNIVERSAL II 0.14 300CM $ 328.00 GUIDEWIRE CATH EXCH SAFE-T-J ROSEN $ 58.00 GUIDEWIRE CHOICE FLOPPY 300CM .014 $ 332.00 GUIDEWIRE CHOICE INTERMEDIATE 300CM .014 $ 332.00 GUIDEWIRE CHOICE PT SUPORT 300CM .014 $ 307.12 GUIDEWIRE COUGAR XT .014 300CM $ 580.00 GUIDEWIRE COUGAR XT190 CM $ 580.00 GUIDEWIRE DREAMETOME 44-20MM PRELOADED $ 1,560.00 CHARGE DESCRIPTION CHARGE AMOUNT GUIDEWIRE EXTRA STIFF DBL CURVE EX $ 458.40 GUIDEWIRE EZ GLIDER .025 STRAIGHT $ 100.40 GUIDEWIRE FIXED CORE .025" 260CM $ 75.44 GUIDEWIRE HI TORQUE SUPRA CORE .035X300 $ 260.00 GUIDEWIRE HYDRA JAGWIRE $ 672.00 GUIDEWIRE HYDROSTEER .035 X 260CM $ 148.00 GUIDEWIRE HYDROSTEER .05X180 $ 124.00 GUIDEWIRE IRON MAN 300CM .014 $ 340.00 GUIDEWIRE JAD HINI STRT SS .025 X 260 $ 374.00 GUIDEWIRE JINDO .035 X 180CM STRAIGHT $ 342.00 GUIDEWIRE JINDO 300CM $ 396.00 GUIDEWIRE LINDERQUIST CRVD 260CM $ 483.20 GUIDEWIRE LOC 115CM .035 $ 177.20 GUIDEWIRE LUGE 300CM .014 $ 332.00 GUIDEWIRE MAGIC TORQUE 260CM $ 204.68 GUIDEWIRE ORTHO 1.4X150MM $ 648.40 GUIDEWIRE PERSUADER 9 .014 300CM $ 344.00 GUIDEWIRE PILOT 50 300CM .014 $ 328.00 GUIDEWIRE PLAT PLUS .014 X 300CM $ 307.12 GUIDEWIRE PLATIUM PLUS .018 X 180CM $ 274.04 GUIDEWIRE PLATIUM PLUS .018 X 260CM $ 321.96 GUIDEWIRE PROWATER ASAHI .014 X 180CM $ 300.00 GUIDEWIRE PROWATER FLEX 300CM .014 $ 300.00 GUIDEWIRE PTFE .025 X 150 FLEX COATED $ 50.20 GUIDEWIRE SST ROADRUNNER $ 238.00 GUIDEWIRE STARTER .035 150CM STRAIGHT T $ 50.64 GUIDEWIRE STORQ .035 X 300CM STRAIGHT $ 304.00 GUIDEWIRE STRAIGHT .025 PTFE 3 CM FLEX T $ 50.88 GUIDEWIRE STRAIGHT 150CM $ 204.00 GUIDEWIRE STRAIGHT SENSOR DUAL FLEX .035 $ 168.60 GUIDEWIRE STRIAGHT EXTRA SUPPORT .014 $ 356.00 GUIDEWIRE STRT 0.014IN 190CM $ 340.00 GUIDEWIRE STRT 0.014IN 300CM $ 340.00 GUIDEWIRE SUPERSTIFF 0.035X500 TPR $ 431.20 GUIDEWIRE TAD II 145CM .035 -.018 $ 288.00 GUIDEWIRE TRANSEND .010 $ 1,662.50 GUIDEWIRE TRANSEND .010 $ 1,662.50 GUIDEWIRE TSTF 0.018 $ 380.00 GUIDEWIRE VASC 260CM .035IN TPR TAD $ 384.00 GUIDEWIRE WHISPER ES 190CM .014 $ 340.00 GUIDEWIRE WHISPER MS 190CM .014 $ 340.00 GUIDEWIRE WHISPER MS 300CM .014 $ 340.00 GUIDEWIRE, LAG SCREW 3.2MM X 460M $ 440.00 GWIRE 16 180X10 FATHOM $ 1,118.88 GWIRE G30492 ANGLED TIP UNIGLIDE 260CM $ 140.00 GWIRE G56174 ANGLED TIP UNIGLIDE 180CM $ 140.00 CHARGE DESCRIPTION CHARGE AMOUNT GWIRE OLIVE STBLZR .045 X 2.5IN $ 584.00 GWIRE TRACH 0.035 185 CM STRT SUPER MAXX $ 480.00 GYNE LOTRIMIN VAG CREAM 1% 45 GM $ 13.15 H PYLORI ANTIGEN STOOL $ 166.15 H PYLORI BREATH TEST $ 266.68 HABITROL PATCH 14 MG $ 6.33 HABITROL PATCH 21 MG $ 7.30 HAIR REDCUTION ENTIRE BACK $ 300.00 HAIR REDUCTION ARMS LOWER $ 85.00 HAIR REDUCTION ARMS WHOLE $ 125.00 HAIR REDUCTION BELLY $ 85.00 HAIR REDUCTION BIKINI $ 95.00 HAIR REDUCTION BRAZILIAN $ 200.00 HAIR REDUCTION CHIN $ 85.00 HAIR REDUCTION LIP $ 75.00 HAIR REDUCTION LOWER BACK $ 200.00 HAIR REDUCTION LOWER LEGS $ 125.00 HAIR REDUCTION NECK BACK $ 125.00 HAIR REDUCTION NECK FRONT $ 125.00 HAIR REDUCTION SIDE BURNS $ 85.00 HAIR REDUCTION THIGHS $ 150.00 HAIR REDUCTION UNDER ARMS $ 85.00 HAIR REDUCTION UPPER BACK $ 200.00 HAIR REDUCTION-TOES $ 50.00 HALDOL (HALOPERIDOL) $ 109.18 HALDOL CONC 2MG/ML 5ML $ 10.38 HALDOL INJ 5 MG $ 46.00 HALDOL TAB 0.5 MG $ 1.87 HALDOL TAB 1 MG $ 2.23 HALDOL TAB 5 MG $ 1.88 HALFMATT 34IN SINGLE PT USE $ 280.00 HAMMER TOE PRO-TOE LARGE 10 DEGREE $ 1,662.50 HAMMERTOE OP ONE TOE $ 944.03 HAND HELD NEBULIZER $ 439.25 HAND LT 1-5 DIGITS $ 413.96 HAND LT COMPLETE $ 432.30 HAND RT COMPLETE $ 432.30 HANDLE GUIDE CATHETER SINUS $ 220.00 HANDLING & PHLEBOTOMY $ 32.32 HANDPIECE ATEC $ 820.00 HANDPIECE INTERPULSE $ 111.32 HANDPIECE INTERPULSE #0210118100 (SUB) $ 119.88 HANDPIECE INTERPULSE (SUB) $ 93.72 HAPTOGLOBIN $ 103.00 HARMONIC ACE PLUS 7 W ADV HEMOSTASIS $ 1,726.28 HARVEST FEMOROPOPLITEAL VEIN 1 SEGMENT $ 714.90 CHARGE DESCRIPTION CHARGE AMOUNT HAVRIX 720 ELU/0.5ML VACCINE $ 72.00 HBCAB ANTIBODY $ 25.00 HBCAG ANTIGEN $ 25.00 HBEAG ANTIGEN $ 25.00 HBIG INJECTION $ 25.00 HBO Each 30 Minutes $ 718.33 HBSAB ANTIBODY $ 25.00 HBSAG ANTIGEN $ 25.00 HC FLU A OR B $ 114.40 HCG SERUM QUANT $ 135.00 HCG; QUAL $ 50.00 HEAD - 28MM MODULAR $ 3,090.50 HEAD - ENDO II 43MM $ 1,729.00 HEAD - ENDO II 44MM $ 1,729.00 HEAD - ENDO II MOD SZ 50 $ 1,729.00 HEAD - FEMORAL 32MM ARTICUL/EZE $ 1,925.00 HEAD - FEMORAL 42MM UNIPOLAR $ 1,750.00 HEAD - FEMORAL 44MM UNIPOLAR $ 1,750.00 HEAD - FEMORAL 45MM UNIPOLAR $ 1,750.00 HEAD - FEMORAL 47MM UNIPOLAR $ 1,750.00 HEAD - FEMORAL 49MM UNIPOLAR $ 1,750.00 HEAD - FEMORAL 500MM UNIPOLAR $ 1,750.00 HEAD - FEMORAL 51MM UNIPOLAR $ 1,750.00 HEAD - FEMORAL 52MM UNIPOLAR $ 1,750.00 HEAD - FEMORAL 53MM UNIPOLAR $ 1,750.00 HEAD - GLOBAL UNITE 48X21 STD $ 3,355.00 HEAD - GLOBAL UNITE 56 X 18 ECC $ 3,355.00 HEAD - OPTION CERAMIC 28MM BIOLOXD $ 2,937.50 HEAD - OPTION CERAMIC 32MM BIOLOXD $ 2,937.50 HEAD - OPTION CERAMIC 40 16/18 TAPER $ 2,937.50 HEAD - UNIPOLAR FEMORAL 56MM $ 1,750.00 HEAD 28MM COCR MOD +6MM NO SKIRT $ 3,090.50 HEAD 28MM DIA COCR HD +3MM NK $ 3,090.50 HEAD 36MM COCR MODULAR - 6MM $ 3,090.50 HEAD 45MM ENDO II $ 1,729.00 HEAD 47MM ENDO II $ 1,729.00 HEAD 49MM ENDO II $ 1,729.00 HEAD 51MM ENDO II $ 1,729.00 HEAD 52MM ENDO II $ 1,729.00 HEAD 53MM ENDO II $ 1,729.00 HEAD 58MM ENDO II $ 1,729.00 HEAD ACR ARTIC ARCOM XL 28 X 46MM $ 4,492.50 HEAD AS PRESS-FIT HUMERAL 10.5 X 110MM $ 6,600.00 HEAD AS PRESS-FIT HUMERAL 14 X 110MM $ 6,600.00 HEAD BR HUMERAL 21MM X 52MM $ 3,500.00 HEAD COPELAND HUMERAL RSRF SIZE 2 $ 7,280.00 CHARGE DESCRIPTION CHARGE AMOUNT HEAD COPELAND MB/HA SIZE 4 $ 9,036.00 HEAD DELTA CER 12/14 32MM +9 $ 3,000.00 HEAD DELTA CER 12/14 36MM + 12 $ 3,825.00 HEAD DELTA CER 12/14 36MM +5 $ 3,000.00 HEAD DELTA CER 12/14 36MM +8.5 $ 3,000.00 HEAD DELTA TS CER 12/14 36MM +1.5 $ 3,500.00 HEAD DELTA TS CER 12/14 36MM +12 $ 3,825.00 HEAD DELTA TS CER 12/14 36MM +5.0 $ 3,500.00 HEAD EXPLOR 10X20MM IMPLANT $ 3,657.50 HEAD EXPLOR 12X22MM IMPLANT $ 5,055.00 HEAD EXPLOR 18X20MM IMPLANT $ 5,055.00 HEAD FEM BALL 32 +13 BLK ARTICULEZE $ 1,925.00 HEAD FEM MOD BALL 54MM OD CATHCART $ 1,575.00 HEAD FEMORAL 12/14 ARTICUL 40MM M SPEC-2 $ 3,480.00 HEAD FEMORAL 40MM 12/14 TAPER OFFSET $ 2,500.00 HEAD FEMORAL 41MM UNIPOLAR $ 1,750.00 HEAD- FEMORAL 44MM $ 3,480.00 HEAD FEMORAL 48MM UNIPOLAR $ 1,750.00 HEAD- FEMORAL 54MM UNIPOLAR $ 1,750.00 HEAD- FEMORAL 55MM UNIPOLAR $ 1,750.00 HEAD FEMORAL 58MM UNIPOLAR $ 1,750.00 HEAD FEMORAL ARTOCUL/EZE 32 + 5 $ 1,925.00 HEAD FEMORAL ARTOCUL/EZE 36MM +12 $ 1,925.00 HEAD FEMORAL ENDO 50MM DIA 12/14 TAPER $ 1,750.00 HEAD FEMORAL M-SPEC METAL 36MM -2 $ 2,499.00 HEAD FEMORAL TAPER 12/14 + 1.5 $ 3,825.00 HEAD HUM 50 24 52 MM $ 3,000.00 HEAD HUMERAL BF 18MM X 46MM $ 3,500.00 HEAD HUMERAL BF 27KMM X 52MM $ 3,500.00 HEAD IMPLANT LESSER METATARSAL SZ2 $ 9,656.00 HEAD MOD 32MM PLUS 3MM NECK $ 3,090.50 HEAD MOD 32MM PLUS 6MM NECK $ 3,090.50 HEAD MOD ENDO II SZ 42 $ 1,729.00 HEAD MOD ENDO II SZ 46 $ 1,729.00 HEAD MOD ENDO II SZ 48 $ 1,729.00 HEAD MOD ENDO II SZ 56 $ 1,729.00 HEAD MODULAR 32MM $ 3,090.50 HEAD MODULAR 36MM PLUS 6MM $ 3,090.50 HEAD MODULAR COMPONENT 32MM $ 3,090.50 HEAD MODULAR COMPONET 32MM DIAMETER $ 3,090.50 HEAD MODULAR EPI SIZE 1 EDD RIGHT $ 5,077.26 HEAD MODULAR HUM STEM D10 $ 3,298.75 HEAD MODULAR SELEX/MAGNUM 40MM +3 $ 3,852.50 HEAD VERA-DIAL 42X18X46 HUMERAL $ 4,710.00 HEADED SCREW 2.5MM X 32MM $ 580.00 HEADED SCREW 2.5MM X 34MM $ 580.00 CHARGE DESCRIPTION CHARGE AMOUNT HEADED SCREW 3.0MM X 14MM $ 600.00 HEAD-FEMORAL 43MM $ 1,750.00 HEAD-FEMORAL 46MM UNIPOLAR $ 1,750.00 HEAD-HUMERAL 52MM X 21MM $ 3,355.00 HEAD-OPTION CERAMIC 36MM BIOLOXD $ 2,937.50 HEARING - SCREENING $ 81.00 HEARING AID CHECK $ 66.00 HEARING AID EVALUAT $ 183.00 HEARING TEST $ 20.00 Heart Fit KCH Emp - 3 mon $ 60.00 HEAVY METAL QUANT $ 257.50 HECTOROL (DOXERCALCIFEROL) 2 MCG/ML INJ $ 12.39 HEEL CUP $ 7.00 HEEL CUP PAIR $ 12.00 HEEL LIFT $ 15.00 HEEL WEDGE ADJUSTABLE $ 24.00 HELICOBACTER PYLORI Ab $ 126.97 HELIOX $ 936.96 HELIOX K 80/20 $ 780.36 HELMINTH Ab $ 85.34 HEMABATE INJ 250MCG $ 1,604.94 HEMAGRAM (HGM/HCT) $ 15.00 HEMATOCRIT $ 32.00 HEMI RNGLC SOLID SHL 54MM $ 2,575.00 HEMODIALYSIS ONE EVALUATION $ 3,923.11 HEMODIALYSIS ONE EVALUATION $ 181.78 HEMOGLOBIN $ 32.00 HEMOGLOBIN A1C $ 30.05 HEMOGLOBIN F $ 122.33 HEMOGRAM $ 67.00 HEMOSTAT RADIAL R-BAND 24CM REGULAR $ 78.00 HEMOSTAT RADIAL R-BAND 29CM EX LONG $ 78.00 HEP A IGM ANTIBODY $ 107.81 HEP A TOTAL ANTIBODY $ 95.81 HEP B CORE AB $ 96.48 HEP B DNA QUANT BY PCR $ 313.64 HEP B SURFACE Ab (POST VACCINE) $ 97.13 HEP B SURFACE AG $ 67.08 HEP Be ANTIBODY $ 93.01 HEP Be ANTIGEN $ 92.70 HEP C AB $ 110.22 HEP C CONFIRMATORY TEST $ 170.98 HEP C RNA GENOTYPE $ 641.69 HEP C RNA QUAL BY PCR $ 301.32 HEP DELTA $ 87.55 HEPARIN 5000 UNITS/0.5ML SQ $ 4.58 CHARGE DESCRIPTION CHARGE AMOUNT HEPARIN ASSAY ANTI-Xa $ 201.72 HEPARIN FLUSH INJ 100 UNITS/ML 5 ML $ 0.29 HEPARIN FLUSH INJ 100 UNITS/ML 5ML VIAL $ 0.38 HEPARIN IN 0.45NS IV SOLN 25M UNIT 500ML $ 2.72 HEPARIN IN D-5-W IV SOLN 25M UNIT 500 ML $ 2.72 HEPARIN in NS IV SOLN 2 UNITS/ ML 500 ML $ 67.90 HEPARIN IN NS IV SOLN 2000 UNITS 1000 ML $ 36.78 HEPARIN INJ 1000 UNIT $ 27.42 HEPARIN INJ 1000 UNIT 10 ML $ 4.27 HEPARIN INJ 5000 UNIT $ 3.56 HEPATIC FUNCTION $ 42.90 HEPATIC FUNCTION PANEL $ 112.00 HEPATIC FUNCTION PANEL $ 39.00 HEPATITIS (ACUTE) PANEL $ 306.94 HEPATITIS A ANTIBODY $ 25.00 HEPATITIS A VACCINATION $ 100.00 HEPATITIS ACUTE PANEL $ 84.00 HEPATITIS B 20 MCG/ML PFS(ENGERIX) $ 130.36 HEPATITIS B SURFACE ANTBODY $ 35.25 HEPATITIS B VACCINE $ 58.00 HEPATITIS B VACCINE ADULT INJ 10 MCG $ 136.06 HEPATITIS C ANTIBODY $ 25.00 HEPATITIS C QUANTIFICATION $ 487.83 HEPATITIS C TITER $ 18.67 HEPATITIS C VIRUS (HCV) FIBROSURE $ 151.81 HERCEPTIN INJ(TRASTUZUMAB) 10MG $ 220.15 HERCEPTIN INJ(TRASTUZUMAB) 10MG $ 275.55 HEREDITARY HEMOCHROMATOSIS DNA ANALYSIS $ 563.07 HERNIA REPAIR W/MESH $ 685.83 HERPES SIMPLEX, NON-SPECIFIC $ 125.01 HERPES SIMPLEX, TYPE 1 $ 88.99 HERPES SIMPLEX, TYPE 2 $ 98.35 HERPES TYPE 6 DNA BY PCR $ 416.12 HEXA GENE ANALYSIS $ 182.31 HF LOOP 24FR .35 WIRE 12 DEG $ 237.96 HF ROLLER 24-28FR 12/30 DEG $ 237.96 HFN 125 DEG 11MM X 180MM $ 3,087.50 HFN 125 DEG 9MM X 180MM $ 3,087.50 HFN 130 DEG 9MM X 180MM $ 3,087.50 HFN LH 125 DEG 11MM X 260MM $ 4,387.50 HFN RH 130 11MM X 360MM $ 4,387.50 HFN RH 130 DEG 11MM X 320MM $ 4,387.50 HFN RH 130 DEG 11MM X 400MM $ 4,387.50 HFN RH 130 DEG 9MM X 380MM $ 4,387.50 HIBERIX VACCINE INJ (PED) $ 22.54 HIGH SENSITIVITY CRP CARDIAC $ 30.00 CHARGE DESCRIPTION CHARGE AMOUNT HIMAX 20 X 20 STAPLES $ 2,450.00 HINGE NEXGEN ROTATING FEMORAL C-RT $ 18,075.00 HINGE NXGN ROTATING ARTCLR SFCE C 20MM $ 4,950.00 HINGE NXGN ROTATING NONMOD TIB PLT SZ 3 $ 8,970.00 HIP ARTHROGRAM LT $ 684.51 HIP ARTHROGRAM RT $ 1,091.88 HIP ARTHROGRAPHY INJ WO ANESTH $ 141.52 HIP BILATERAL 3 OR 4 VIEWS $ 826.15 HIP BILATERAL 5 OR GREATER VIEWS $ 2,139.13 HIP BILATERAL W OR W/O PELVIS $ 911.77 HIP DISTAL CENTRALIZER 12MM VERSYS $ 380.00 HIP FRACTURE NAIL 130' 13MM X 180MM $ 3,087.50 HIP FRACTURE NAIL LAG SCREW 10.5 $ 1,706.25 HIP LT 2 OR 3 VIEWS $ 491.75 HIP LT 2 OR 3 VIEWS PORTABLE $ 183.92 HIP LT 4 OR MORE VIEW $ 940.51 HIP LT 4 OR MORE VIEWS PORTABLE $ 251.70 HIP LT UNILATERAL W OR W/O PELVIS $ 474.67 HIP RT 2 OR 3 VIEWS $ 491.75 HIP RT 2 OR 3 VIEWS PORTABLE $ 491.75 HIP RT 4 OR MORE VIEWS $ 940.51 HIP RT 4 OR MORE VIEWS PORTABLE $ 940.51 HIP RT UNILATERAL W OR W/O PELVIS $ 474.67 HISTAMINE DETERMINATION $ 188.49 HISTOPLASMA AB PANEL $ 110.21 HISTOPLASMA AB QUANT $ 136.88 HIV CONFIRMATION $ 110.32 HIV DETECTION BY NA $ 265.74 HIV LAB $ 72.25 HIV-1 AND HIV-2 $ 113.60 HIV-1 RNA QUANT PCR $ 612.03 HLA A SPECIFIC $ 534.28 HLA B27 $ 223.20 HLA CLASS 1 TYPING, LR; COMPLETE $ 439.68 HLA CLASS 1 TYPING, LR; COMPLETE $ 439.68 HLA CLASS I TYPING HR ONE ALLELE $ 451.14 HLA CLASS II TYPING, HIGH RESOLUTION $ 456.96 HLA DR 4 $ 231.75 HLA TYPING ABC MULTIPLE ANTIGENS $ 371.60 HMG CO A REDUCTASE Ab $ 140.00 HOLDER SECURE EASY ENDOTRACHEAL TUBE $ 59.00 HOLE RNGLC LTD FIN SHL SZ26 64MM $ 2,575.00 HOLE RNGLC LTD FIN SHL SZ48 $ 2,575.00 HOLE RNGLC LTD FIN SHL SZ52 $ 2,575.00 HOLE RNGLC LTD FIN SHL SZ56 $ 2,575.00 HOLE RNGLC LTD FIN SHL SZ58 $ 2,575.00 CHARGE DESCRIPTION CHARGE AMOUNT HOLLOW MILL 4.2MM $ 932.40 HOLLOW MILL 4.2MM DIA $ 932.40 HOLTER MONITOR RECORDING $ 471.63 HOLTER MONITOR SCANNING $ 430.36 HOME VISIT EST PATIENT $ 136.78 HOME VISIT EST PATIENT $ 208.95 HOME VISIT EST PATIENT $ 285.00 HOME VISIT EST PATIENT $ 443.93 HOME VISIT NEW PATIENT $ 158.50 HOME VISIT NEW PATIENT $ 361.42 HOMOCYSTEIN $ 23.00 HOMOCYSTEINE $ 203.21 HOMOGENIZATION FOR CULTURE TISSUE $ 38.00 HOOD FLYTE PEELAWAY $ 139.84 HOOK - 3.5MM CLAVICLE 4H $ 2,768.85 HOOK 3.5MM LCP CLAVICLE PL 4H 18MM $ 2,768.85 HOSE DISPOSABLE CHEST VEST $ 64.00 HOSP DC DAY MANAGEMENT 30 MIN/LESS (MD) $ 181.10 HOSP DC DAY MANG GREATER THAN30 MIN (MD) $ 266.85 HOSPICE CARE SUPERV 30MIN OR MORE $ 211.98 HOSPITAL DISCHARGE 30 MINS OR LESS $ 181.10 HOSPITAL DISCHARGE 30 MINS OR LESS $ 181.00 HOSPITAL DISCHARGE 30 MINS OR LESS $ 181.10 HOSPITAL DISCHARGE 30 MINS OR LESS $ 181.10 HOSPITAL DISCHARGE 30 MINS OR LESS $ 181.00 HOSPITAL DISCHARGE 30 MINS OR LESS $ 181.10 HOSPITAL DISCHARGE 30 MINS OR MORE $ 266.85 HOSPITAL DISCHARGE 30 MINS OR MORE $ 266.85 HOSPITAL DISCHARGE 30 MINS OR MORE $ 266.85 HOSPITAL DISCHARGE 30 MINS OR MORE $ 266.85 HOSPITAL DISCHARGE 30 MINS OR MORE $ 266.85 HOSPITAL DISCHARGE 30 MINS OR MORE $ 266.85 HOVERMATT 34IN SINGLE PT USE $ 316.00 HPV HIGH-RISK TYPES $ 159.16 HPV TYPES 16 & 18 ONLY $ 117.94 HSG CATHETER SET 5F $ 123.32 HSG CLEARVUE TRAY $ 97.60 HSV by NA $ 300.30 HT MUSCLE IMAGE SPECT MULT $ 158.68 HT MUSCLE IMAGE SPECT MULT $ 769.56 HT MUSCLE IMAGE SPECT SING $ 134.74 HT MUSCLE IMAGE SPECT SING $ 533.06 HUMALOG 75/25 INJ 1 DOSE $ 10.00 HUMALOG INJ 1 DOSE $ 10.00 HUMAN EPIDIDYMIS PROTEIN 4 $ 252.35 HUMAN ERYTHROCYTE ANTIGEN GENE ANAL $ 880.87 CHARGE DESCRIPTION CHARGE AMOUNT HUMAN GROWTH HORMONE $ 178.98 HUMERAL AS FX HEAD RT 44 $ 4,250.00 HUMERAL AS FX STEM 12 - 130 $ 9,504.00 HUMERAL BEARING 44MM-36MM STD +3 COMP $ 2,782.50 HUMERAL BF HEAD 21MM X 46MM $ 3,500.00 HUMERAL BF HEAD 24MM X 52MM $ 3,500.00 HUMERAL CEMENT MBLOC EPI 1 D8 STD $ 7,400.00 HUMERAL HEAD 52MM X 21MM ADVANTAGE $ 2,967.30 HUMERAL INSERT - M/39 +3 FOR 39 CUP $ 3,374.00 HUMERAL STANDARD PE CUP DIA 38 +3 $ 5,077.26 HUMERAL STEM DXTEND MOD D 14 HA $ 3,298.75 HUMERAL UNIVERSAL NAIL 9MM X 260MM $ 3,423.42 HUMERAL UNIVERSAL NAIL 9MM X 280MM $ 3,423.42 HUMERUS LT $ 329.18 HUMERUS RT $ 329.18 HUMIBID LA TAB 600 MG $ 2.17 HUMIRA 40 MG/0.8 ML INJECTION $ 1,350.00 HUMULIN N INJ 1 DOSE $ 10.00 HUMULIN R U500 KWIKPEN 3 ML $ 650.98 HURRICAINE SPRAY $ 86.50 HVA HEMOSTASIS VALVE $ 100.00 HYDREA CAP 500 MG $ 2.68 HYDRO LEMAITRE VALVULOTOME 1.5MM $ 5,497.50 HYDROCORTISONE CREAM 1% 30 GM $ 13.02 HYDROCORTISONE TAB 10MG $ 2.50 HYDRODIURIL TAB 25 MG $ 1.01 HYGROTON 50MG TAB $ 4.57 HYLENEX INJ 150 UNITS / ML $ 1.76 HYPERBARIC OXYGEN THERAPY $ 276.95 HYPERSENSITIVITY PNEUMONITIS $ 51.50 HYSTEROGR/SIS CONTR/SALINE INJ $ 140.00 HYSTEROSCOPY BILAT STERILIZATION $ 1,065.70 HYSTEROSCOPY DIAGNOSTIC $ 382.98 HYSTEROSCOPY FLUDISAFE TUBING (SUB) $ 160.00 HYSTEROSCOPY FLUIDSAFE TUBING $ 368.92 HYSTEROSCOPY; W BX ENDOM OR POLYPECT $ 304.54 HYSTEROSCOPY; W BX ENDOM OR POLYPECT $ 2,711.11 HYSTEROSCOPY; W BX ENDOM OR POLYPECT $ 3,015.65 HYSTEROSCOPY; W ENDOMETRIAL ABLATION $ 323.78 HYSTEROSCOPY; W ENDOMETRIAL ABLATION $ 4,954.11 HYSTEROSCOPY; W ENDOMETRIAL ABLATION $ 5,277.88 HYSTEROSCOPY; W LYSIS INTRAUT ADHESIONS $ 725.75 HYSTEROSCOPY; W REM IMPACTED FB $ 561.88 HYSTEROSCOPY; W REM LEIOMYOMATA $ 905.53 HYTRIN CAP 1 MG $ 1.71 HYTRIN CAP 5 MG $ 1.87 CHARGE DESCRIPTION CHARGE AMOUNT I D ABSCESS SIMPLE $ 199.06 I D SHLDR; DEEP ABSC $ 643.08 I & D Abscess Complex WD $ 183.00 I & D EPIDIDYMIS TESTIS/SCROTAL SP $ 535.00 I & D OF BARTHOLIN'S GLAND ABSCESS $ 117.05 I & D OF BARTHOLIN'S GLAND ABSCESS $ 197.87 I & D OF BARTHOLIN'S GLAND ABSCESS $ 314.93 I & D OF VULVA OR PERINEAL ABSCESS $ 138.75 I & D OF VULVA OR PERINEAL ABSCESS $ 358.49 I & D OF VULVA OR PERINEAL ABSCESS $ 497.24 I & D OF VULVA/PERINEUM $ 667.85 I D OF HEMATOMA SEROMA OR FLUID COLLE $ 1,995.94 I&D ABSC SMPL OR SGL $ 199.06 I&D ABSC, SMPL OR SGL $ 456.34 I&D ABSC/CYST TONGUE FOM; LINGUAL $ 145.59 I&D ABSC/CYST TONGUE FOM; LINGUAL $ 597.83 I&D ABSC/CYST TONGUE FOM; LINGUAL $ 743.42 I&D ABSC; COMPL OR MULTI $ 231.30 I&D ABSC; COMPL OR MULTI $ 380.41 I&D ABSC; COMPL OR MULTI $ 611.70 I&D ABSC; SMPL OR SGL $ 125.01 I&D ABSC; SMPL OR SGL $ 199.06 I&D ABSC; SMPL OR SGL $ 324.06 I&D ABSCESS; PERITONSILLAR $ 502.38 I&D HEMATOMA/FLUID $ 3,880.75 I&D HEMATOMA/FLUID $ 1,995.94 I&D HEMATOMA/FLUID $ 152.87 I&D HEMATOMA/FLUID $ 235.18 I&D HEMATOMA/FLUID $ 1,607.61 I&D OF SUBMUCOSAL ABSCESS RECTUM $ 2,477.33 I&D OF SUBMUCOSAL ABSCESS RECTUM $ 322.46 I&D PERIANAL ABSCESS $ 1,686.20 I&D PILONID CYS SMPL $ 1,432.13 I&D WOUND - LEVEL 2 $ 1,245.64 I&D WOUND - LEVEL 3 $ 1,915.49 I&D WOUND- LEV 1 $ 116.00 I&D WOUND-LEVEL 2 $ 1,245.73 I&D WOUND-LEVEL 3 $ 1,915.49 I&D; PERIRECTAL OR ISHIAL ABSCESS $ 3,284.75 I-131 CAPS DX 1mCi $ 78.00 IA, QUAL, MULTIPLE STEP H $ 139.17 IA, QUAL, MULTIPLE STEP L $ 139.17 ICD CRT PROTECTA CRT-D US MR D334TRG $ 38,000.00 ICD CRT-D QUADRA ASSURA $ 48,930.00 ICD CRT-D QUADRA ASSURA CD3369-40Q $ 48,930.00 ICD D314VRG PROTECTA XT $ 33,440.00 CHARGE DESCRIPTION CHARGE AMOUNT ICD DEVICE EVAL W/ITERATIVE ADJ $ 295.87 ICD Dual w/reprogramming-In clinic $ 290.79 ICD ELLIPSE DRICD U US (ST JUDE) $ 37,000.00 ICD ENERGEN E142 $ 34,435.00 ICD FORTIFY ASSURA CD2257-40 $ 33,670.00 ICD FORTIFY ASSURA VR ICD U PR $ 32,500.00 ICD FORTIFY ASSURA VR Q $ 31,526.00 ICD FORTIFY ASSURA VR US $ 31,526.00 ICD HV GENERATOR CD3357-40C $ 39,034.00 ICD INERGEN CRT-D IS $ 44,135.00 ICD INERGEN VR DF 1 $ 30,555.00 ICD Interg only-Single/Dual/Multi $ 162.75 ICD Multi in Clinic w/ changes $ 325.03 ICD PROTECTA D314DRG $ 27,000.00 ICD Single w/reprogramming-in clinic $ 226.13 ICD TESTING AFTER IMPLANT $ 5,535.18 ICD TESTING DURING IMPLANT $ 2,547.00 ICD-D314TRG PROTECTA XT $ 47,020.00 ICD-DR DDBB1D4 EVERA XT IS1/DF4 US $ 28,000.00 ICD-DR DDBC3D1 EVERA S US 1S1/FD1 $ 27,000.00 ICD-DR EVERA MRI XT US IS1/DF1 $ 28,224.00 ICD-DR EVERA MRI XT US IS1/DF4 DDMB1D4 $ 29,400.00 ICD-DR EVERA XT US IS1/DF1 $ 27,200.00 ICD-PROTECTA DR US $ 41,760.00 ICD-VR EVERA XT MRI DF4 US $ 27,200.00 ICD-VR EVERA XT US IS1/DF1 $ 27,200.00 ICD-VR VISIA AF MRI US DF1 $ 27,200.00 ICD-VR VISIA AF MRI US DF4 $ 27,200.00 ICM DEVICE EVAL - PRO $ 59.15 ICU - REGULAR R&B $ 963.67 ICU - PCU R&B $ 1,747.96 ICU R&B $ 2,343.72 ICU RECOVERY 1ST HR $ 327.00 ICU RECOVERY ADL 1/2 HR $ 164.00 ICUT ALLERGY TEST DRUG/BUG $ 1.37 ICUT ALLERGY TEST DRUG/BUG $ 70.92 ICUT ALLERGY TEST DRUG/BUG $ 72.28 ID ABSCESS; PERITONSILLAR $ 334.60 ID CPLX POSTOP WND INF $ 444.53 ID DEEP ABSC SFT TISS NK/THOR $ 796.83 ID DEEP SUPRALEVATOR PELVIRECTAL ABSC $ 1,450.83 ID LEG/ANKLE DEEP ABSC/HEMATOMA $ 967.18 ID PELV/HIP JNT ABSC; DEEP $ 1,561.20 ID PELV/HIP JNT; INF BURSA $ 1,308.88 ID PILONID CYS; SMPL $ 253.18 ID; ISCHIORECTAL $ 1,192.78 CHARGE DESCRIPTION CHARGE AMOUNT ID; PERIANAL ABSCESS $ 243.00 ID; PERIRECTAL OR ISCHIAL ABSCESS $ 1,038.50 IFR EACH ADDITIONAL VESSESL - ADD ON $ 2,134.12 IFR, PRESSURE DERIVED CORONARY FLOW $ 4,325.66 I-GEL SUPRAGLOTTIC AIRWAY SIZE 1 $ 97.96 I-GEL SUPRAGLOTTIC AIRWAY SIZE 1.5 $ 97.96 I-GEL SUPRAGLOTTIC AIRWAY SIZE 2 $ 97.96 I-GEL SUPRAGLOTTIC AIRWAY SIZE 2.5 $ 97.96 I-GEL SUPRAGLOTTIC AIRWAY SIZE 3 $ 97.96 I-GEL SUPRAGLOTTIC AIRWAY SIZE 4 $ 97.96 I-GEL SUPRAGLOTTIC AIRWAY SIZE 5 $ 97.96 IGF BINDING PROTEIN 1 (SOMATOMEDIN-C) $ 216.52 IGH $ 1,318.86 IH BRONCH CHALLENGE W HISTAMINE $ 61.62 IINITIAL INFUSION - HYDRATION $ 420.62 ILEOSTOMY/JEJUNOSTOMY $ 2,658.10 ILIAC ART ANGIO CARDIAC CATH $ 31.00 ILIAC REVASC $ 1,039.65 ILIAC REVASC ADD-ON $ 387.18 ILIAC REVASC W/STENT $ 1,282.35 ILIAC REVASC W/STENT $ 1,963.50 ILIAC REVASC W/STENT ADD-ON $ 561.00 Iliac vessel addt'l PTA $ 9,838.72 Iliac Vessel addtl stent (+/- PTA) $ 9,494.91 Iliac vessel initial PTA $ 11,640.00 Iliac vessel stent (+/- PTA) $ 16,473.99 ILLIUM TRICORTICAL BLOCK 12MM $ 3,202.50 ILLUMINIZE PEEL $ 125.00 ILLUMINIZE PEEL $ 125.00 ILR DEVICE EVAL PROGR $ 52.76 ILR DEVICE EVAL PROGR $ 30.44 ILR DEVICE INTERROGAT REMOTE $ 53.48 ILR DEVICE INTERROGATE $ 79.68 IM ADMIN 1ST/ONLY COMPONENT $ 49.07 IM ADMIN EACH ADDL COMPONENT $ 30.90 IM INJ OF ANTIBIOTIC $ 161.03 IM INJ OF ANTIBIOTIC $ 161.03 IM INJ OF ANTIBIOTIC $ 161.03 IM/SQ Injection $ 191.46 IM/SUBCU INJECTION $ 191.46 IM/SUBCU INJECTION $ 191.46 IMAGE CATH FLUID PERI/RETRO $ 504.65 IMDUR TAB 30 MG $ 2.19 IMDUR TAB 60 MG $ 2.30 IMFINIZI (DURVALUMAB) INJECTION $ 165.84 IMITREX INJ 6 MG $ 285.94 CHARGE DESCRIPTION CHARGE AMOUNT IMMUNE GLOBULIN (IVIG) INJ GAMMAGARD 10% $ 153.17 IMMUNE GLOBULIN (IVIG) INJ GAMUNEX-C 10% $ 75.00 IMMUNE GLOBULIN (IVIG) INJ OCTAGAM 10 % $ 170.44 IMMUNE GLOBULIN(IVIG) INJ PRIVIGEN $ 127.79 IMMUNE GLOBULIN(IVIG) INJ PRIVIGEN 10GM $ 156.63 IMMUNIZATION ADM; EA ADDTL VACCINE $ 30.90 IMMUNIZATION ADMIN 1 ORAL VACCINE $ 49.23 IMMUNIZATION ADMIN 1 ORAL VACCINE ADD'TL $ 30.90 IMMUNIZATION ADMIN 1 VACCINE $ 149.18 IMMUNIZATION ADMIN 1 VACCINE $ 55.07 IMMUNIZATION ADMIN EACH ADD $ 72.80 IMMUNOASSAY FOR ANAL OTHER QUANT RIA $ 192.61 IMMUNOASSAY NOS $ 121.56 IMMUNOASSAY QUANT NES H $ 242.44 IMMUNOASSAY QUANT NES L $ 242.44 IMMUNOASSAY QUANT RIA H $ 279.31 IMMUNOASSAY QUANT RIA L $ 279.31 IMMUNOGLOBULIN E $ 105.15 IMMUNOHISTO ANTIBODY SLIDE $ 266.00 IMMUNOHISTO ANTIBODY SLIDE $ 274.43 IMMUNOPEROXIDASE TISSUE EACH $ 257.45 IMMUNOTHERAPY 2+ INJECTIONS $ 30.00 IMODIUM CAP 2 MG $ 3.18 IMOVAX INJ 2.5 UNIT $ 1,613.58 IMPACT INTEGRAL 14MM $ 824.00 IMPEDANCE $ 618.53 IMPELLA PURGE CASSETTES $ 800.00 IMPLANT - LARGE CAN - HAMMER TOE $ 3,241.00 IMPLANT - MEDIUM CAN - HAMMER TOE $ 3,241.00 IMPLANT - MEDIUM CAN - HAMMER TOE $ 3,241.00 IMPLANT - SMALL CAN - HAMMER TOE $ 3,241.00 IMPLANT - TOE FLEX HINGE $ 3,325.00 IMPLANT - TOE FLEXIBLE HINGE SZ 1S $ 3,325.00 IMPLANT - TOE FLX HINGE SIZE 5 $ 3,325.00 IMPLANT 10MM CARTIVA $ 6,800.00 IMPLANT 8MM CARTIVA $ 6,800.00 IMPLANT FLEXIBLE HINGE TOE $ 3,325.00 IMPLANT FLEXIBLE HINGE TOE $ 3,325.00 IMPLANT FLEXIBLE HINGE TOE G4260002 $ 3,325.00 IMPLANT FLEXIBLE HINGE TOE SZ 0 $ 3,325.00 IMPLANT HAMMERTUBE 2.75MM 0 CANN $ 2,842.50 IMPLANT HAMMERTUBE 3.5MM 0 CANN $ 2,842.00 IMPLANT KIT - 10 X 10 MM FUSE FORCE $ 2,625.00 IMPLANT LARGE CANNULATED $ 3,241.00 IMPLANT LMH SIZE 1 $ 9,656.00 IMPLANT LMH SIZE 2 $ 9,656.00 CHARGE DESCRIPTION CHARGE AMOUNT IMPLANT LMH SIZE 3 $ 9,656.00 IMPLANT NEUROELECTRODES $ 14,658.63 IMPLANT NEUROELECTRODES $ 614.80 IMPLANT NEUROELECTRODES $ 1,497.57 IMPLANT NEUROELECTRODES $ 1,685.45 IMPLANT OF CARDIAC EVENT RECORDER $ 18,851.95 IMPLANT SPINAL CANAL CATH $ 11,193.53 IMPLANT SPINE INFUSION PUMP $ 39,388.65 IMPLANT SYS BIO COMP ACHILLES SPD W/JUMP $ 5,700.00 IMPLANT SYSTEM - CPR MINI SCORPION DX $ 3,912.50 IMPLANT SYSTEM BIO COMP ACHILLES SPEED $ 6,215.00 IMPLANT SYSTEM CMC MINI TIGHTROPE 1.1MM $ 3,132.50 IMPLANT SYSTEM SPEEDBRIDGE W/ BIO SWIVE $ 5,086.00 IMPLANT TISSUE EXPANDER $ 2,872.50 IMPLANT WITH INSERTER MINI TIGHTROPE $ 3,027.50 IMPLANTABLE LOOP RECORDER $ 9,690.00 Implantable loop recorder interrogation $ 129.37 IMRT PLANNING $ 12,296.89 IMRT Planning $ 1,195.55 IMRT TREATMENT DELIVERY COMPLEX $ 2,645.81 IMRT TREATMENT DELIVERY SIMPLE $ 3,095.48 IMURAN TAB 50 MG $ 2.00 IN.PACT ADMIRAL 0.035" 4MM X 40MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X 60MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X 80MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X120MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X120MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X150MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X150MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X200MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X200MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X250MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X250MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X40MMX 130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X60MMX 130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 4MM X80MMX 130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X 40MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X 40MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X 60MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X 60MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X 80MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X 80MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X120MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X120MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X150MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X150MM X130CM $ 3,000.00 CHARGE DESCRIPTION CHARGE AMOUNT IN.PACT ADMIRAL 0.035" 5MM X200MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X200MM X130CM $ 5,612.50 IN.PACT ADMIRAL 0.035" 5MM X250MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 5MM X250MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X 40MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X 40MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X 60MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X 80MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X 80MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X120MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X120MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X150MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X150MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X200MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X200MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X250MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 6MM X250MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 7MM X 40MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 7MM X 40MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 7MM X 60MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 7MM X 60MM X130CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 7MM X 80MM X 80CM $ 3,000.00 IN.PACT ADMIRAL 0.035" 7MM X 80MM X130CM $ 3,000.00 INC & REM FB SQ COMPL $ 240.12 INC & REM FB SQ COMPL $ 1,752.44 INC & REM FB SQ; SMPL $ 132.77 INC & REM FB SQ; SMPL $ 380.41 INC & REM FB SQ; SMPL $ 513.18 INC ACHILLES TENDON W GEN ANESTH $ 701.63 INC ANKLEW EXPL - INFECTION /REM FB $ 1,623.43 INC DEEP W OP BONE CORTEX PELV $ 2,396.88 INCAL BX SKIN EA SEP/ADDL $ 65.14 INCAL BX SKIN SINGLE LES $ 79.26 INCAL BX SKIN SINGLE LES $ 408.30 INCAL BX SKIN SINGLE LES $ 487.57 INCAL BX SKN EA SEP ADDL $ 392.60 INCAL BX SKN SINGLE LES $ 785.20 INCISE BONE CORTEX SHOULDER $ 1,564.00 INCISE FOOT/TOE FASCIA $ 587.08 INCISE INNER EAR $ 161.98 INCISE INNER EAR $ 1,479.63 INCISE INNER EAR $ 1,641.61 INCISE THROMBOSED HEMORRHOID EXT $ 579.48 INCISE THROMBOSED HEMORRHOID EXT $ 138.80 INCISE THROMBOSED HEMORRHOID EXT $ 280.85 INCISE THROMBOSED HEMORRHOID EXT $ 419.65 CHARGE DESCRIPTION CHARGE AMOUNT INCISION OF LABIAL FRENUM (FRENOTOMY) $ 43.55 INCISION OF LABIAL FRENUM (FRENOTOMY) $ 575.41 INCISION OF LABIAL FRENUM (FRENOTOMY) $ 618.96 INCISION OF LINGUAL FRENUM (FRENOTOMY) $ 3,328.73 INCISION OF LINGUAL FRENUM (FRENOTOMY) $ 138.01 INCISION OF LINGUAL FRENUM (FRENOTOMY) $ 1,350.12 INCISION OF LINGUAL FRENUM (FRENOTOMY) $ 1,488.12 INCISION OF TENDON & MUSCLE $ 13,972.35 INCISION OF TENDON SHEATH $ 829.88 INCISION OF WINDPIPE $ 1,724.08 INCUBATION WITH INHIBITORS PER ALIQ $ 193.76 INDERAL LA CAP 60 MG $ 6.05 INDERAL LA CAP 80 MG $ 4.83 INDERAL TAB 10 MG $ 1.48 INDERAL TAB 40 MG $ 1.76 INDOCIN CAP 25 MG $ 1.60 INDOMETHACIN 50 MG SUPPOSITORY $ 409.00 INF BURSA I&D - UA/ELBOW $ 350.60 INFANRIX VACCINE INJ 0.5ML $ 50.35 INFECTIOUS AGENT BY NA NOS AMP PROBE TEC $ 173.60 INFECTIOUS AGENT ENZYMATIC ACTIVITY $ 44.94 INFECTIOUS AGENT, IA, NOS $ 114.59 INFECTIOUS AGENT, IA, NOS $ 114.59 INFECTIOUS AGENT, NA, NOS, AMP PROBE H $ 309.30 INFECTIOUS AGENT, NA, NOS, AMP PROBE L $ 309.30 INFECTIOUS AGENT, NA, NOS, QUANT $ 470.20 INFECTIOUS GOUT PHENOTYPE $ 399.64 INFLAMASE FORTE OPHTH SOLN 1% 10ML $ 159.13 INFLATION UNIT $ 2,850.00 INFLATOR BALLOON PTA $ 172.00 INFLATOR PTA $ 156.00 INFLUENZA A AND B RT PCR $ 268.74 INFLUENZA A/B AG IA $ 40.00 INFLUENZA A/B AG IA $ 40.00 INFLUENZA B IgG $ 141.57 INFLUENZA IA W DO $ 10.00 INFLUENZA IA W DO $ 10.00 INFLUENZA VIRUS $ 96.82 INFLUENZA VIRUS by NA $ 81.63 INFUSION - EACH ADDITIONAL HOUR $ 127.90 INFUSION - EACH ADDITIONAL HOUR $ 127.90 INFUSION - EACH ADDTL HOUR $ 127.90 INFUSION - HYDRATION - EACH ADDTL HR $ 208.60 INFUSION HYDRATION - EACH ADDITIONAL HOU $ 208.60 INFUSION HYDRATION - EACH ADDITIONAL HOU $ 208.60 INFUSOR PRESSURE 1000ML $ 51.96 CHARGE DESCRIPTION CHARGE AMOUNT INFUVITE INJ 10ML $ 28.40 INGEST CHALLENGE INI 120 MIN $ 98.45 INGEST CHALLENGE INI 120 MIN $ 591.85 INGEST CHALLENGE INI 120 MIN $ 690.30 INHIBIN A $ 188.18 INIT DAY HOSP NEONATE CARE LESSTHAN=28D $ 697.00 INIT NB EM PER DAY HOSP $ 125.00 INIT PM E/M NEW PAT 1-4 YRS $ 242.00 INIT PM E/M NEW PAT 65+ YRS $ 334.00 INIT PM E/M NEW PAT INF LESS THAN 1 YR $ 230.00 INIT PREVENTIVE EXAM, NEW BENEFICIARY $ 138.59 INIT PREVENTIVE EXAM, NEW BENEFICIARY $ 164.55 INIT PREVENTIVE EXAM, NEW BENEFICIARY $ 303.15 INIT PREVNT EXAM SCREEN EKG W INTR RPT $ 41.05 INITIAL HOSPITAL CARE $ 252.00 INITIAL HOSPITAL CARE $ 340.55 INITIAL HOSPITAL CARE $ 504.85 INITIAL HOSPITAL CARE $ 252.00 INITIAL HOSPITAL CARE $ 340.55 INITIAL HOSPITAL CARE $ 504.85 INITIAL HOSPITAL CARE $ 252.00 INITIAL HOSPITAL CARE $ 340.55 INITIAL HOSPITAL CARE $ 504.85 INITIAL HOSPITAL CARE $ 252.00 INITIAL HOSPITAL CARE $ 340.55 INITIAL HOSPITAL CARE $ 446.00 INITIAL HOSPITAL CARE $ 504.85 INITIAL HOSPITAL CARE $ 252.00 INITIAL HOSPITAL CARE $ 340.55 INITIAL HOSPITAL CARE $ 504.85 INITIAL HOSPITAL CARE $ 252.70 INITIAL HOSPITAL CARE $ 340.55 INITIAL HOSPITAL CARE $ 504.85 INITIAL HOSPITAL CARE $ 252.00 INITIAL HOSPITAL CARE $ 340.55 INITIAL HOSPITAL CARE $ 504.85 INITIAL INFUSION $ 435.53 INITIAL INFUSION $ 420.57 INITIAL INFUSION - FIRST HOUR $ 435.53 INITIAL INFUSION - UP TO 60 MIN $ 435.53 INITIAL INTRAVENOUS INFUSION $ 435.53 INITIAL INTRAVENOUS INFUSION $ 435.53 INITIAL INTRAVENOUS INFUSION $ 420.57 INITIAL INTRAVENOUS INFUSION $ 435.53 INITIAL IV HYDRATION $ 420.62 INITIAL IV HYDRATION $ 420.62 CHARGE DESCRIPTION CHARGE AMOUNT INITIAL IV HYDRATION $ 420.62 INITIAL IV HYDRATION $ 350.00 INITIAL IV HYDRATION $ 420.62 Initial IV Infusion (16 min-1 hr) $ 420.57 INITIAL IV PUSH $ 478.05 INITIAL IV PUSH $ 478.05 INITIAL IV PUSH $ 478.05 INITIAL IV PUSH $ 478.05 Initial IV Push $ 286.62 INITIAL IV PUSH $ 286.62 INITIAL IV PUSH $ 478.05 INITIAL IV PUSH MED $ 478.05 INITIAL IVP MED $ 478.05 INITIAL LACTATION CONSULT $ 140.00 INITIAL LEVEL 1 OUTPT CARE $ 140.00 INITIAL LEVEL 2 OUTPATIENT CARE $ 160.00 INITIAL OBS PER DAY SEVERE SEVERITY ICU $ 1,797.73 INITIAL OBSERVATION CARE $ 249.18 INITIAL OBSERVATION CARE $ 338.68 INITIAL OBSERVATION CARE $ 463.53 INITIAL OBSERVATION CARE $ 249.18 INITIAL OBSERVATION CARE $ 338.68 INITIAL OBSERVATION CARE $ 463.53 INITIAL OBSERVATION CARE $ 249.18 INITIAL OBSERVATION CARE $ 338.68 INITIAL OBSERVATION CARE $ 463.53 INITIAL OBSERVATION CARE $ 249.18 INITIAL OBSERVATION CARE $ 338.68 INITIAL OBSERVATION CARE $ 463.53 INITIAL OBSERVATION CARE $ 249.18 INITIAL OBSERVATION CARE $ 338.68 INITIAL OBSERVATION CARE $ 463.53 INITIAL OBSERVATION CARE $ 249.18 INITIAL OBSERVATION CARE $ 338.68 INITIAL OBSERVATION CARE $ 463.50 INITIAL OBSERVATION CARE $ 249.18 INITIAL OBSERVATION CARE $ 338.68 INITIAL OBSERVATION CARE $ 463.53 INITIAL TREATMENT OF BURN (S) $ 327.92 INITITAL INFUSION - HYDRATION - FIRST HR $ 420.62 INJ ANESTH GREATER OCCIPITAL NERVE $ 70.64 INJ ANESTH GREATER OCCIPITAL NERVE $ 321.72 INJ ANESTH GREATER OCCIPITAL NERVE $ 392.37 INJ ANESTH; OTHR PERIPHERAL NRV/BRANCH $ 1,850.34 INJ ANESTH; OTHR PERIPHERAL NRV/BRANCH $ 1,850.34 INJ CORPORA CAVERNOSA W PHARM AGENTS $ 185.70 CHARGE DESCRIPTION CHARGE AMOUNT INJ EPIDURAL BLOOD OR CLOT PATCH $ 1,541.95 INJ EPIDURAL BLOOD OR CLOT PATCH $ 1,541.95 INJ EPIDURAL BLOOD OR CLOT PATCH $ 2,032.31 INJ EPIDURAL BLOOD OR CLOT PATCH $ 286.60 INJ FOR SACROILIAC JT ANESTH $ 1,802.89 INJ FOR SACROILIAC JT ANESTH $ 2,602.00 INJ FORAMEN EPIDURAL ADD-ON $ 1,195.00 INJ FORAMEN EPIDURAL ADD-ON $ 1,271.77 INJ FORAMEN EPIDURAL C/T $ 2,587.27 INJ FORAMEN EPIDURAL L/S $ 2,003.28 INJ PARAVERT F JNT C/T 1 LEV $ 2,351.58 INJ PARAVERT F JNT C/T 2 LEV $ 2,160.43 INJ PARAVERT F JNT C/T 3 LEV $ 1,995.11 INJ PARAVERT F JNT L/S 1 LEV $ 2,130.00 INJ PARAVERT F JNT L/S 2 LEV $ 1,845.67 INJ PARAVERT F JNT L/S 3 LEV $ 1,776.58 INJ PROC - SHDLR ARTH/ENCHN CT/MRI SH AR $ 537.58 INJ PROC PERCUTNEOUS TMT OF EXT PSEUDO $ 918.80 INJ SGL TENDON SHTH OR LIGAMENT $ 51.78 INJ SGL TENDON SHTH OR LIGAMENT $ 300.30 INJ SGL TENDON SHTH OR LIGAMENT $ 352.08 INJ SGL TENDON SHTH OR LIGAMENT $ 77.67 INJ SGL TENDON SHTH OR LIGAMENT $ 450.45 INJ SGL TENDON SHTH OR LIGAMENT $ 528.12 INJ TENDON ORIGIN/INSERT $ 56.03 INJ TENDON ORIGIN/INSERT $ 300.30 INJ TENDON ORIGIN/INSERT $ 356.33 INJ TENDON ORIGIN/INSERTION $ 606.70 INJ TENDON SHEATH/LIGAMENT $ 606.70 INJ TRIGGER POINT 1/2 MUSCL $ 645.75 INJ TRIGGER POINT 1/2 MUSCL $ 49.63 INJ TRIGGER POINT 1/2 MUSCL $ 300.30 INJ TRIGGER POINT 1/2 MUSCL $ 349.93 INJECT EPIDURAL PATCH $ 2,032.31 INJECT FOR CHOL T-TUBE $ 4,366.44 INJECT FOR CYSTOGRAM/VOID URETHROGRAM $ 1,180.64 INJECT FOR PYELOGRAPHY $ 848.34 INJECT FOR SACROILIAC JOINT $ 1,676.94 INJECT FOR SPINE DISK X-RAY $ 204.00 INJECT PULM ART HRT CATH $ 121.17 INJECT SACROILIAC JOINT $ 210.08 INJECT SINUS TRACT DIAGNOSTIC $ 1,060.49 INJECT SPINE CERV/THORACIC $ 1,867.00 INJECT SPINE LUMBAR/SACRAL $ 1,750.38 INJECT SUPRVLV AORTOGRAPHY $ 135.25 INJECT TRIGGER POINTS 3/> $ 645.75 CHARGE DESCRIPTION CHARGE AMOUNT INJECT TRIGGER POINTS 3/GREATER THAN $ 56.46 INJECT TRIGGER POINTS 3/GREATER THAN $ 312.35 INJECT TRIGGER POINTS 3/GREATER THAN $ 368.81 INJECT TRIGGER POINTS 3/GREATER THAN $ 84.69 INJECT TRIGGER POINTS 3/GREATER THAN $ 468.53 INJECTAFER INJ 50MG/ML 15ML $ 3.18 INJECTION FOR FISTULOGRAM $ 3,164.02 INJECTION FOR SIALOGRAPHY $ 52.25 INJECTION FOR TRANSHEPATIC CHOLEANGIO $ 4,366.44 INJECTION INTO SKIN LESIONS =<7 $ 432.55 INJECTION INTO SKIN LESIONS =LESS THAN7 $ 40.94 INJECTION INTO SKIN LESIONS =LESS THAN7 $ 199.06 INJECTION INTO SKIN LESIONS =LESS THAN7 $ 239.99 Injection of Blood Patch $ 2,030.42 Injection Procedure Cardiac Cath; pulmon $ 3,298.00 INJECTION SQ/IM $ 161.18 INJECTION TREATMENT OF NERVE $ 1,874.98 INJECTION TREATMENT OF NERVE $ 1,874.98 INJECTION TREATMENT OF NERVE $ 2,003.28 INJECTOR - FORCE MAX $ 102.00 INOGEN X4 CRT-D IS-1/DF4/IS4 $ 49,500.00 INPATIENT CONSULTATION $ 121.00 INPATIENT CONSULTATION $ 188.00 INPATIENT CONSULTATION $ 184.00 INPATIENT CONSULTATION $ 409.00 INPATIENT CONSULTATION $ 499.00 INPATIENT CONSULTATION $ 121.00 INPATIENT CONSULTATION $ 188.00 INPATIENT CONSULTATION $ 184.00 INPATIENT CONSULTATION $ 409.00 INPATIENT CONSULTATION $ 499.00 INPATIENT CONSULTATION $ 121.00 INPATIENT CONSULTATION $ 188.00 INPATIENT CONSULTATION $ 184.00 INPATIENT CONSULTATION $ 409.00 INPATIENT CONSULTATION $ 499.00 INPATIENT CONSULTATION $ 121.00 INPATIENT CONSULTATION $ 188.00 INPATIENT CONSULTATION $ 184.00 INPATIENT CONSULTATION $ 409.00 INPATIENT CONSULTATION $ 499.00 INPATIENT CONSULTATION $ 121.00 INPATIENT CONSULTATION $ 188.00 INPATIENT CONSULTATION $ 184.00 INPATIENT CONSULTATION $ 409.00 INPATIENT CONSULTATION $ 499.00 CHARGE DESCRIPTION CHARGE AMOUNT INPATIENT CONSULTATION $ 121.00 INPATIENT CONSULTATION $ 188.00 INPATIENT CONSULTATION $ 284.00 INPATIENT CONSULTATION $ 409.00 INPATIENT CONSULTATION $ 499.00 INS BLADDER CATH COMPLEX $ 102.08 INS BLADDER CATH COMPLEX $ 165.23 INS BLADDER CATH COMPLEX $ 267.31 INS BLADDER CATH COMPLEX $ 384.50 INS CANNULA HEMODIAL AV REVISION $ 277.92 INS CATH ABD/L-EXT ART 1ST $ 612.85 INS CATH ABD/L-EXT ART 2ND $ 656.65 INS CATH ABD/L-EXT ART 3RD $ 780.35 INS CATH ABD/L-EXT ART ADDL $ 730.44 INS CATH REN ART 1ST BILAT $ 929.38 INS CATH REN ART 1ST UNILAT $ 669.73 INS CATH REN ART 2ND+ BILAT $ 853.04 INS ENDOVAS VENA CAVA FILTER $ 8,608.88 INS ENDOVAS VENA CAVA FILTR $ 577.15 INS IA PERC BALLOON $ 667.88 INS NASAL SEPTAL PROSTH (BUTTON) $ 304.20 INS NON TUNNEL CV CATH 5 YRS/GREATER THA $ 247.40 INS NON-TUNNEL CV CATH 5YRS/> $ 247.40 INS NON-TUNNEL CV CATH 5YRS/> $ 247.40 INS NON-TUNNEL CV CATH 5YRS/> $ 247.40 INS NON-TUNNEL CV CATH 5YRS/> $ 247.40 INS NON-TUNNEL CV CATH 5YRS/> $ 247.40 INS PICC DEVICE W PORT 5 YRS/GREAT THAN $ 786.65 INS SWAN GANZ BEDSIDE $ 3,305.00 INS SWAN GANZ BEDSIDE $ 284.60 INS TEMP BLADDER CATH $ 34.37 INS TEMP BLADDER CATH $ 34.37 INS TEMP BLADDER CATH $ 130.03 INS TEMP BLADDER CATH $ 164.40 Ins trans electrode or ICD sing $ 20,400.18 INS TUNNELED CV CATH AGE 5 YRS OR OLDER $ 664.60 INS TUNNELED CV CATH AGE 5 YRS OR OLDER $ 664.60 INS TUNNELED CV CATH AGE 5 YRS OR OLDER $ 664.60 INS TUNNELED CV CATH AGE 5 YRS OR OLDER $ 664.60 INS TUNNELED CV CATH AGE 5 YRS OR OLDER $ 664.60 INS TUNNELED CV CATH AGE 5/> $ 5,376.72 INS TUNNELED CV CATH AGE 5/> $ 5,145.19 INS TUNNELED CV CATH AGE 5/GREATER THAN $ 664.60 INS TUNNELED CV CATH AGE 5/GREATER THAN $ 1,060.50 INS TUNNELED CVAD W PORT AGE 5 YRS/GREAT $ 446.59 INS TUNNELED CVAD W PORT AGE 5 YRS/GREAT $ 3,068.78 CHARGE DESCRIPTION CHARGE AMOUNT INS TUNNELED CVAD W PORT AGE 5 YRS/GREAT $ 3,515.37 Inse/rep lead sing/dual ICD $ 62,003.93 INSERT BLADDER CATHETER $ 145.64 INSERT BLADDER CATHETER $ 282.37 INSERT BLADDER CATHETER $ 282.37 INSERT BLADDER CATHETER $ 282.37 INSERT BLADDER CATHETER $ 282.37 INSERT BLADDER CATHETER $ 282.37 INSERT BLADDER CATHETER $ 328.95 INSERT BLADDER CATHETER $ 33.94 INSERT BLADDER CATHETER $ 130.03 INSERT BLADDER CATHETER $ 163.97 INSERT BLADDER CATHETER $ 145.64 INSERT CATH PLEURA W/ IMAGE $ 3,284.50 INSERT CATH PLEURA W/ IMAGE $ 3,284.50 INSERT CATH PLEURA W/ IMAGE $ 387.68 INSERT CATH PLEURA W/O IMAGE $ 3,424.47 INSERT CATH PLEURA W/O IMAGE $ 312.98 INSERT CATH PLEURA W/O IMAGE $ 3,424.47 INSERT CLAMP FOGARTY DISPOSABLE 61MM $ 52.68 INSERT DRUG IMPLANT $ 109.81 INSERT DRUG IMPLANT $ 130.03 INSERT DRUG IMPLANT $ 239.84 INSERT ELECTRD/PM CATH SNGL $ 422.50 Insert epicardial lead;endo $ 4,289.47 INSERT FOAM PRONEVIEW $ 80.00 INSERT GAST LAVAGE REGUIRING MD $ 373.22 INSERT HEART PM VENTRICULAR $ 1,225.45 INSERT IUD $ 40.74 INSERT IUD $ 61.10 INSERT IUD $ 101.84 INSERT MESH/PELVIC FLR ADDON $ 642.60 INSERT NON-TUNNEL CV CATH $ 2,045.51 INSERT NON-TUNNEL CV CATH LESS THAN5 YRS $ 221.10 INSERT PACING CARDIO-DEFIB PULSE GEN $ 54,825.08 INSERT PACING CARDIO-DEFIB PULSE GEN $ 31,162.21 INSERT PACING LEAD AND CONNECT $ 25,290.83 INSERT PLEURAL CATH $ 529.73 Insert single/dual pacing ICD generator $ 27,578.00 INSERT TEMP BLADDER CATH $ 315.01 INSERT TEMP BLADDER CATH $ 315.01 INSERT TEMP BLADDER CATH $ 241.45 INSERT TEMP BLADDER CATH $ 315.01 INSERT TEMP BLADDER CATH $ 241.45 INSERT TEMP BLADDER CATH $ 315.01 INSERT TEMP BLADDER CATH $ 241.45 CHARGE DESCRIPTION CHARGE AMOUNT INSERT TEMP BLADDER CATH $ 315.01 INSERT TEMP BLADDER CATH $ 231.05 INSERT TEMP BLADDER CATH $ 315.01 INSERT TIB 63/67MM X 18MM $ 5,558.00 INSERT TIB PS 11MM VE R 6-9 EF $ 3,000.00 INSERT TUN IP CATH PERC $ 519.60 INSERT TUN IP CATH W/PORT $ 1,023.08 INSERT TUNNELED CV 2X CATH WO SQ PORT $ 5,862.80 INSERT TUNNELED CV 2X CATH WO SQ PT $ 685.46 INSERT VAD ARTERY ACCESS $ 1,095.80 INSERT/PLACE HEART CATHETER $ 3,966.00 INSERTION CATHETER ARTERY $ 405.00 INSERTION FOLEY CATH COMPLICATED $ 454.12 INSERTION OF CHEST TUBE $ 401.35 INSERTION OF IMPELLA 2.5 W CARD CATH $ 8,415.14 INSERTION OF IMPELLA 2.5 W CARD CATH $ 8,793.82 INSERTION OF IMPELLA 2.5 W/O CARD CATH $ 15,009.00 INSERTION OF MIDLINE - POWERGLIDE $ 2,573.76 INSERTION OF MIDLINE - TRADITIONAL $ 2,573.76 INSERTION OF PICC NONTUN W/O PORT PEDIAT $ 1,325.28 INSERTION OF PICC/NON TUN W/O PORT ADULT $ 2,573.76 INSERTION OF TROCAR TUBE AND OR CHEST TU $ 4,023.90 INSERTION PACEMAKER PULSE GEN $ 37,848.55 INSERTION TEMPORARY TRANSVENOUS PACEMAKE $ 11,055.72 INSERTION TEMPORARY TRANSVENOUS PACEMAKE $ 11,055.72 INSJ SUBQ CAR RHYTHM MNTR $ 182.62 INSJ/RPLCMT DEFIB W/LEAD(S) $ 2,336.28 INSRT HEART PM ATRIAL VENT $ 1,327.68 INSRT/REDO PN/GASTR STIMUL $ 404.53 INSRT/REDO SPINE N GENERATOR $ 67,900.33 INSTA GLUCOSE SOLN 40% 37.5 GM $ 10.48 INSTRUMENT 20G BIOPSY 16MM $ 208.00 INSTRUMENT BIOPSY DISP 18 X 20 $ 113.96 INSTRUMENT TRACKER EM ENT $ 543.60 INSUFLOW $ 258.92 INSULIN $ 94.76 INSULIN ANTIBODIES $ 147.14 INT OBS PER DAY FETAL/REG MONITOR OB $ 1,701.18 INT OBS PER DAY HIBP/SRVBLD/PLCPREV OB $ 1,797.73 INT OBS PER DAY LOW SEVERITY 6TH MEDICAL $ 1,701.18 INT OBS PER DAY MILD BLEED/UTI OB $ 1,755.60 INTEGRILIN INJ 2 MG/ML 10 ML $ 171.25 INTEGRILIN PB SOLN 200 MG 100 ML $ 146.50 INTEGRITY RX BMS 4.0MM X 9MM $ 2,625.00 INTERPHALANG TOE JNT EXC EA SGL $ 667.98 INTERROG DEVICE EVAL HEART $ 74.66 CHARGE DESCRIPTION CHARGE AMOUNT INTERROG DEVICE EVAL HEART $ 31.76 INTERSCALENE EA ADD 1/2 HR PORTION $ 61.13 INTERSTIM - REVISION KIT $ 1,160.00 INTERSTIM - SCREWDRIVER $ 220.00 INTERSTIM TEST STIM KIT $ 1,680.00 INTERSTIM TEST STIMULATION LEAD $ 65.68 INTESTINAL STRICTUROPLASTY FOR OBSTRUCT $ 2,738.28 INTMD RPR FACE/MM >30.0 CM $ 507.53 INTMD RPR FACE/MM 12.6-20 CM $ 605.50 INTMD RPR FACE/MM 2.5 CM/< $ 199.06 INTMD RPR FACE/MM 2.6-5.0 CM $ 408.30 INTMD RPR FACE/MM 20.1-30.0 $ 507.53 INTMD RPR FACE/MM 5.1-7.5 CM $ 756.00 INTMD RPR FACE/MM 7.6-12.5CM $ 507.53 INTMD RPR N-HF/GENIT 2.5CM/< $ 380.41 INTMD RPR N-HF/GENIT 2.6-7.5 $ 380.41 INTMD RPR N-HF/GENIT12.6-20 $ 507.53 INTMD RPR N-HF/GENIT20.1-30 $ 507.53 INTMD RPR N-HF/GENIT7.6-12.5 $ 503.85 INTMD RPR S/A/T/EXT 12.6-20 $ 772.00 INTMD RPR S/A/T/EXT 2.5 CM/< $ 380.41 INTMD RPR S/A/T/EXT 2.6-7.5 $ 380.41 INTMD RPR S/TR/EXT 7.6-12.5 $ 721.94 INTMD RPR X/A/T/EXT 20.1-30 $ 1,226.13 INTMD WND REPAIR FACE/MM =LESS TH 2.5 CM $ 199.06 INTMD WND REPAIR FACE/MM =LESS TH 2.5 CM $ 421.55 INTMD WND REPAIR FACE/MM =LESS THA2.5 CM $ 222.50 INTMD WND REPAIR FACE/MM 2.6-5.0 CM $ 264.23 INTMD WND REPAIR FACE/MM 2.6-5.0 CM $ 408.30 INTMD WND REPAIR FACE/MM 2.6-5.0 CM $ 672.53 INTMD WND REPAIR FACE/MM 5.1-7.5 CM $ 283.21 INTMD WND REPAIR FACE/MM 5.1-7.5 CM $ 408.30 INTMD WND REPAIR FACE/MM 5.1-7.5 CM $ 691.51 INTMD WND REPAIR FACE/MM 7.6-12.5CM $ 289.42 INTMD WND REPAIR FACE/MM 7.6-12.5CM $ 408.30 INTMD WND REPAIR FACE/MM 7.6-12.5CM $ 697.72 INTMD WND REPAIR N-HF/GENIT $ 260.14 INTMD WND REPAIR N-HF/GENIT $ 380.41 INTMD WND REPAIR N-HF/GENIT $ 640.55 INTMD WND REPAIR N-HF/GENIT $ 279.42 INTMD WND REPAIR N-HF/GENIT $ 627.76 INTMD WND REPAIR N-HF/GENIT $ 907.18 INTMD WND REPAIR N-HF/GENIT =LESS 2.5 CM $ 195.22 INTMD WND REPAIR N-HF/GENIT =LESS 2.5 CM $ 380.41 INTMD WND REPAIR N-HF/GENIT =LESS 2.5 CM $ 575.63 INTMD WND REPAIR S/A/T/EXT $ 198.26 CHARGE DESCRIPTION CHARGE AMOUNT INTMD WND REPAIR S/A/T/EXT $ 380.41 INTMD WND REPAIR S/A/T/EXT $ 578.67 INTMD WND REPAIR S/A/T/EXT $ 252.07 INTMD WND REPAIR S/A/T/EXT $ 380.41 INTMD WND REPAIR S/A/T/EXT $ 632.48 INTMD WND REPAIR S/A/T/EXT $ 312.91 INTMD WND REPAIR S/A/T/EXT $ 408.30 INTMD WND REPAIR S/A/T/EXT $ 721.21 INTMD WND REPAIR S/A/T/EXT $ 365.47 INTMD WND REPAIR S/A/T/EXT $ 627.76 INTMD WND REPAIR S/A/T/EXT $ 993.23 INTMD WND REPAIR S/TR/EXT 30.0+ CM $ 427.71 INTMD WND REPAIR S/TR/EXT 30.0+ CM $ 2,013.65 INTMD WND REPAIR S/TR/EXT 30.0+ CM $ 2,441.36 INTMD WND REPAIR S/TR/EXT 7.6-12.5 CM $ 269.50 INTMD WND REPAIR S/TR/EXT 7.6-12.5 CM $ 408.30 INTMD WND REPAIR S/TR/EXT 7.6-12.5 CM $ 677.81 INTR. CATH EXTREMITY ARTERY $ 473.00 INTRAABDOMINAL PRESSURE TEST $ 81.82 INTRAABDOMINAL PRESSURE TEST $ 137.32 Intra-aortic baloon pump perc $ 2,906.58 Intracoronary Thrombolysis $ 4,278.00 INTRALIPID IV SOLN 20% 250 ML $ 61.49 INTRAVASCULAR DOPPLER VELOCITY ADD-ON $ 2,246.44 Intravascular Doppler Velocity and/or $ 4,325.66 INTRAVASCULAR US $ 437.58 INTRAVENOUS INFUSION - CONCURRENT $ 161.76 INTRAVENOUS INFUSION - CONCURRENT $ 255.50 INTRAVENOUS INFUSION - CONCURRENT $ 161.76 INTRAVENOUS INFUSION - CONCURRENT $ 161.76 INTRAVENOUS INFUSION - EACH ADD HOUR $ 114.00 INTRAVENOUS INFUSION - EACH ADD HOUR $ 127.90 INTRAVENOUS INFUSION - EACH ADD HOUR $ 127.90 INTRAVENOUS INFUSION - EACH ADD HOUR $ 114.00 INTRAVENOUS INFUSION - EACH ADD HOUR $ 127.90 INTRAVENOUS INFUSION - SEQ - NEW DRUG $ 251.03 INTRAVENOUS INFUSION - SEQ - NEW DRUG $ 251.03 INTRAVENOUS INFUSION - SEQ - NEW DRUG $ 181.52 INTRAVENOUS INFUSION - SEQ - NEW DRUG $ 251.03 INTRINSIC FACTOR AB $ 83.38 INTRO CATH DIALYSIS CIRCUIT $ 345.62 INTRO CATH DIALYSIS CIRCUIT $ 493.96 INTRO CATH IVC/SVC $ 1,795.00 INTRO CATH LT. COM. W/ RT. COM $ 598.00 INTRO CATH RIGHT HRT/MN PULM ARTERY $ 508.00 INTRO CATH VEIN 1ST ORDER $ 1,972.62 CHARGE DESCRIPTION CHARGE AMOUNT INTRO CATHETER AORTA $ 1,365.82 INTRO NDL ICATH UPR/LXTR ART $ 232.98 INTRO SET FLEXOR 6FR CHECK-FLO 30CM $ 154.00 INTRO SET FLEXOR 7FR CHECK-FLO 30CM $ 154.00 INTRO SHEATH 13CM $ 260.00 INTRO SHEATH 9FR 23CM $ 1,168.00 INTRO SYS CSG BRAID LV 9FR 50CM $ 1,180.00 INTROD SYS RENAL 5.5FR 62CM $ 1,400.00 INTRODIALYSIS CIRCUIT W THROMBECTOMY $ 12,383.40 INTRODUCER SAFESHEATH 11FR $ 208.00 INTRODUCER 10FR VASCOR $ 140.00 INTRODUCER 6FR 30CM RCFW 6.0-35-25 $ 140.00 INTRODUCER 6FR HEMOSTASIS $ 64.80 INTRODUCER 7FR PEEL AWAY W/SIDE PORT $ 260.00 INTRODUCER 7FR VIP PLUS $ 300.00 INTRODUCER 8FR ANSEL 1 FLEXOR $ 228.00 INTRODUCER 8FR VASCOR $ 140.00 INTRODUCER 8FR x 13cm SAFESHEATH $ 208.00 INTRODUCER 9FR PEEL AWAY W/SIDE PORT $ 260.00 INTRODUCER 9FR VIP PLU S $ 300.00 INTRODUCER FLEXOR 6FR $ 168.00 INTRODUCER FLEXOR 6FR CHECK-FLO 40CM $ 217.60 INTRODUCER FLEXOR 6FR CONTRALATERAL $ 304.00 INTRODUCER FLEXOR 7FR $ 182.00 INTRODUCER FLEXOR 7FR CONTRALATERAL $ 217.60 INTRODUCER FLEXOR SHEATH 6FR 55CM $ 159.60 INTRODUCER INTUBATING FROVA $ 350.60 INTRODUCER MAXIMUM 7FR X 23CM $ 76.00 INTRODUCER MAXIMUM 8FR X 23CM $ 76.00 INTRODUCER MAXIUM 5FR 23CM $ 76.00 INTRODUCER NAVI FLEX CONTROLATERAL 6FR $ 280.00 INTRODUCER NAVI FLEX CONTROLATERAL 8FR $ 280.00 INTRODUCER ONE STEP 18FR $ 314.88 INTRODUCER PEEL APART 8FR PERCUTANEOUS $ 568.00 INTRODUCER PERFORMER MICRO 5.0 $ 134.00 INTRODUCER PERFORMER MICRO 6.0 $ 134.00 INTRODUCER SHTH 7FR 40CM 4CM RADPQ DIL G $ 96.00 INTRODUCER VISTABRITE TIP 8FR $ 268.00 INTRODUCER, MICRO SET 7 FR $ 122.00 INTRUMENT 20G BIOPSY 10MM $ 208.00 INTRUMENT 20G BIOPSY 20MM $ 208.00 INTRVASC US NONCORONARY 1ST $ 2,576.84 INTRVASC US NONCORONARY ADDL $ 397.56 INTUBATION $ 625.10 INTUBATION $ 502.38 INTUBATION $ 502.38 CHARGE DESCRIPTION CHARGE AMOUNT INTUBATION $ 502.38 INTUBATION $ 625.10 INTUBATION $ 502.38 INTUBATION $ 502.38 INTUBATION $ 625.10 INTUBATION $ 625.10 INTUBATION $ 502.38 INTUBATION $ 502.38 INTUBATION $ 502.38 INTUBATION ET EMERGENT $ 360.25 INTUBATION ET EMERGENT $ 502.38 INTUBATION ET EMERGENT $ 360.25 INTUBATION ET EMERGENT $ 502.38 INTUBATION ET EMERGENT $ 360.25 INTUBATION ET EMERGENT $ 360.25 INVANZ INJ 1 GM $ 296.99 INVOKANA 100 MG TABLET $ 49.77 IO MAP OF SENT LYMPH NODE $ 352.65 IO MAP OF SENT LYMPH NODE $ 510.00 IODINE $ 210.85 IOL ACRYSOF PANOPTIX TRIFOCAL DIOPT 22.0 $ 3,482.50 IOL ACRYSOF PANOPTIX TRIFOCAL DIOPT 22.5 $ 3,482.50 IOL ACRYSOF PANOPTIX TRIFOCAL DIOPT 23.0 $ 3,482.50 IONIZED CALCIUM $ 108.56 IONTOPHORESIS APPLICATION- 15 MIN CA $ 81.00 IP INITIAL CARE L2 $ 304.00 IP SUB CONSULT 2 $ 66.88 IP SUB CONSULT 3 $ 91.96 IPG A2DR01 ADVISA DR MRI USA MR $ 8,800.00 IPG KIT $ 42,650.00 IPG RVDR01 REVO MRI SURESCAN US MKT IS-1 $ 8,500.00 IPG SEDR01 SENSIA DR IS-1 US $ 5,000.00 IPOL (POLIO) VACCINE INJ 0.5ML $ 73.75 IR ABD ANEURYSM REPAIR $ 3,111.18 IRON $ 58.00 IRON BINDING CAPACITY $ 68.00 IRRIG DRUG DELIVERY DEVICE $ 51.26 IRRIGATE CORPORA CAVERNOSA FOR PRIAPISM $ 340.58 IRRIGATION IMPLANTED VAD $ 134.00 IRRIGATION IMPLANTED VAD $ 134.00 IRRIGATION IMPLANTED VAD $ 134.00 IRRIGATION IMPLANTED VAD $ 134.00 IRRIGATOR LAPSCP 33CM 5MM HDRSRG + $ 156.00 ISENTRESS TABLET 400 MG $ 76.72 I-SERIES COILED PD CATHETER 57.5CM $ 428.00 I-SERIES COILED PD CATHETER 60CM $ 428.00 CHARGE DESCRIPTION CHARGE AMOUNT I-SERIES COILED PD CATHETER 63CM $ 428.00 ISORDIL TAB 10MG $ 3.60 ISORDIL TAB 20MG $ 3.86 ISOVUE - 250 51% INJ 50ML $ 29.52 ISOVUE - 370 76% INJ 50 ML $ 100.65 ISOVUE 300 100ML $ 75.00 ISOVUE 300 50ML $ 46.00 ISOVUE 370 100ML $ 100.00 ISOVUE 370 150ML $ 118.00 ISOVUE 370 50ML $ 48.00 ISOVUE 370 INJ 150ML $ 355.98 ISOVUE 370 INJ 75 ML $ 93.16 ISOVUE-250 51% 100 ML $ 44.63 ISOVUE-300 INJ 100 ML $ 132.16 ISOVUE-300 INJ 50 ML $ 163.23 ISOVUE-370 76% INJ 125ml $ 61.99 ISOVUE-370 INJ 100ML $ 193.04 ISOVUE-370 INJ 1ML $ 1.37 ISOVUE-M 300 INJ 15 ML $ 37.13 ISTENT SYS TABECULAR MICRO-BYPASS $ 5,312.50 IUP SYSTEM WITH MECONIUM PORT $ 120.00 IV DOPPLER; EA ADDTL VESSEL $ 197.10 IV DOPPLER; INITIAL VESSEL $ 244.83 IV HYDRATION - EACH ADD HOUR $ 208.60 IV HYDRATION - EACH ADD HOUR $ 208.60 IV HYDRATION - EACH ADD HOUR $ 145.82 IV HYDRATION - EACH ADD HOUR $ 208.60 IV INF CHEMO EACH SEQUENTIAL $ 542.82 IV INF HYDRATION EACH ADD'L HR $ 208.60 IV INF THERA/PROPH/DIAG ADD'L HR $ 127.90 IV INF THERA/PROPH/DIAG INITIAL HR $ 435.53 IV Inf-Seq-New Drug $ 181.52 IV Infusion (ea addt'l hour) $ 114.00 IV INFUSION HYDRATION FIRST HR $ 420.62 IV INFUSION SEQUENTIAL THER/PRO $ 251.03 IV PUSH $ 286.62 IV PUSH - SEQUENTIAL - DIFFERENT DRUG $ 184.72 IV PUSH - SEQUENTIAL - DIFFERENT DRUG $ 234.84 IV PUSH - SEQUENTIAL - NEW DRUG $ 234.84 IV PUSH - SEQUENTIAL - NEW DRUG $ 234.84 IV PUSH - SEQUENTIAL - NEW DRUG $ 184.72 IV PUSH - SEQUENTIAL - NEW DRUG $ 234.84 IV PUSH - SEQUENTIAL - SAME DRUG $ 133.00 IV PUSH - SEQUENTIAL - SAME DRUG $ 133.00 IV PUSH - SEQUENTIAL - SAME DRUG $ 133.00 IV PUSH - SEQUENTIAL - SAME DRUG $ 133.00 CHARGE DESCRIPTION CHARGE AMOUNT IV PUSH - SEQUENTIAL - SAME DRUG $ 133.00 IV PUSH - SEQUENTIAL - SAME DRUG $ 133.00 IV PUSH CHEMO EACH ADD'L $ 498.49 IV PUSH INITIAL SUBSTANCE/DRUG $ 478.05 IV PUSH INITIAL SUBST/DRUG $ 161.03 IV PUSH INITIAL SUBST/DRUG $ 190.41 IV Push-Seq-New $ 184.72 IV Push-Seq-Same $ 133.00 IV THROMBOLYTIC INFUSION CORONARY $ 642.00 IVC FILTER $ 2,925.00 IVC VENOGRAPHY RAD S&1 $ 3,034.68 IVP (INTRAVENOUS PYELOGRAM $ 1,627.19 IVP DIURETIC $ 440.00 IVP HYPERTENSIVE $ 628.02 IVP SEQUENTIAL NEW DRUG $ 234.84 IVUS Addt'l vessel $ 4,825.25 IVUS Initial Vessel $ 6,050.88 IVUS OF NON CORONARY ARTERY $ 2,500.00 IXEMPRA INJ 15 MG $ 199.89 JAGTOME RX 39-20-260-025 $ 1,196.00 JAK2 V617F MUTATION $ 213.21 JANUVIA TAB 100 MG $ 45.73 JC VIRUS $ 77.25 JGRKNT SHORT RIGID SZ2 IMP DRL $ 1,439.92 JOINT DEVICE (IMPLANTABLE) $ 3,000.00 JUGGERKNOT 1.4MM SHORT DISP SET $ 1,016.60 JUGGERKNOT 1.4MM SHRT W/NDLS $ 956.24 JUGGERKNOT 2.9 ANCHOR $ 1,007.24 JUGGERKNOT 2.9 DRILL BIT SHORT $ 327.24 JUGGERKNOT 2.9 W/ CUTTING ND $ 1,196.44 JUGGERKNOT 2.9 W/ TAPERED NDLS $ 1,196.44 JUGGERKNOT 2.9MM $ 1,169.60 JUGGERNOT 1.4MM DIS KIT $ 982.60 JUGGERNOT SINGLE 1.4MM 1 #1 MB $ 956.24 JUGGERNOT SINGLE 2.9 KIT $ 938.40 JUVERDERM FACIAL FILLER $ 350.00 K WIRE $ 72.00 K WIRE 0.9 X 150MM BLUNT TROCAR $ 88.00 K WIRE 1.1 X 150MM BLUNT TROCAR $ 88.00 K WIRE 1.1MM X 102MM $ 164.00 K WIRE 1.4 X 150MM BLUNT TROCAR $ 88.00 K WIRE COCR 0.9 X 95MM $ 200.00 K WIRE COCR 1.4 X 105MM $ 160.00 K WIRE COCR 1.4 X 127MM $ 200.00 KADCYLA INJ 100MG $ 67.50 KAYEXALATE SUSP 15 GM 60 ML $ 28.00 CHARGE DESCRIPTION CHARGE AMOUNT KCENTRA (HUMAN PROTHROMBIN COMPLEX) INJ $ 3.00 KEFLEX CAP 250 MG $ 1.40 KEFLEX CAP 500 MG $ 1.78 KEFLEX LIQ 50 MG/ML 100 ML $ 70.00 KEFZOL 2 GRAMS IN DEXTROSE PB $ 12.91 KEFZOL INJ 1 GM $ 9.97 KEFZOL INJ 500 MG $ 50.06 KEFZOL PB SOLN 1 GM 50 ML $ 18.96 KELMAN 30 DEGREE $ 206.32 KENALOG INJ $ 13.03 KENGREAL 50 MG/10 ML VIAL $ 11.45 KENYON CBC $ 80.00 KEPPRA INJ 500MG 5 ML $ 4.97 KEPPRA SOLN 100 MG/ML 1 OZ $ 67.00 KEPPRA TAB 500 MG $ 2.49 KERA 42 CREAM $ 35.00 KERA HC CREAM $ 21.00 KERA NAIL GEL $ 29.00 KETAMINE INJ 100MG/ML 5 ML $ 46.86 KETONE-BLOOD $ 48.00 KETOROLAC EYE DROPS 0.4% 5ML $ 168.22 KEYTRUDA 25 MG/ML INJ 4 ML $ 101.65 KINEVAC INJ 5 MCG $ 385.39 KINRIX 0.5 ML VACCINE $ 110.07 KIRSCHNER - 1.6MM WIRE $ 74.08 KIT - ARTHREX QUICKSET 16CC $ 5,984.00 KIT - CIRCUIT BIPAP NPPV $ 128.24 KIT - DISP BIO TENODESIS SCREW $ 1,116.00 KIT - PLEURX CATHETER KIT $ 1,984.57 KIT - PLEURX HOME PATIENT 1000ML $ 1,125.80 KIT REPAIR FOR ASH CATH $ 240.00 KIT REPAIR FOR ASH CATH (SUB) $ 240.00 KIT- 2.9MM SHORT PUSHLOCK $ 700.00 KIT 6 FR 16CM GLIDESHEATH SLENDER $ 375.00 KIT ACU-SINCH $ 2,602.50 KIT ANGIO $ 169.20 KIT- ARTHREX QUICKSET $ 3,850.00 KIT BALLOON UROMAX 24F X 4CM $ 1,002.20 KIT BIO-SUTURETAK DISP W/ METAL SPEAR $ 916.00 KIT BLADE - TIBIAL ACL W/SAW $ 1,288.00 KIT CATH $ 113.00 KIT COMPLETE KNEE ACCUFIL BONE 5CC $ 7,000.00 KIT CUSTOM MANIFOLD RT. HANDED $ 132.00 KIT CUSTOM TUBING $ 82.92 KIT DELTOID W/TIGHROPE SCR4.75-6.25X15MM $ 5,586.00 KIT DISPOSABLE FOR DX FIBERTAK $ 1,572.00 CHARGE DESCRIPTION CHARGE AMOUNT KIT ENDO UPHOLD SYS MESH SUPPORT ANT APC $ 4,437.50 KIT FEMORAL BONE CEMENT PREP $ 442.28 KIT FEMORAL PREP (STRYKER) $ 329.52 KIT GENE ANALYSIS D816 VARIANT $ 674.03 KIT IMPLANTABLE LEAD REPAIR $ 360.00 KIT INFLATION PTA $ 161.00 KIT INTRODUCER INTERSTIM $ 1,120.00 KIT JEJUNDSTOMY COMPAT $ 77.60 KIT KING AIRWAR (RED) ADULT SZ 4 $ 211.96 KIT KING AIRWAY (GREEN) PED SZ 2 $ 211.96 KIT KING AIRWAY (ORANGE) PED SZ 2.5 $ 211.96 KIT KING AIRWAY (PURPLE) ADULT SZ 5 $ 211.96 KIT KING AIRWAY (YELLOW) ADULT SZ 3 $ 211.96 KIT MANIFOLD - CUSTOM $ 107.68 KIT MANIFOLD LEFT ORIENTED $ 94.64 KIT MANIFOLD RIGHT ORIENTED $ 107.32 KIT MST 4.5FR $ 134.00 KIT MST 5FR $ 170.12 KIT MST 6FR $ 162.00 KIT NEBULIZER ADULT $ 163.00 KIT NEEDLE GUIDE 20 GA $ 68.00 KIT NEEDLE GUIDE 21 GA $ 80.80 KIT NEEDLE GUIDE 21" W/96" PROBE COVER $ 103.16 KIT NEPHROMAX W/INFLATOR $ 1,066.00 KIT NOVASURE UT ABL ENDMTRL $ 2,173.24 KIT PEDI QUICK TRACH $ 540.00 KIT PEG PONSKY PULL W/SNARE 20FR $ 270.00 KIT- PERCUTANEOUS INSERTION 2.9MM $ 880.00 KIT PERCUTANEOUS SHEATH INTRODUCER $ 227.60 KIT PERICARDIOCENTESIS 8.3F $ 480.00 KIT- PLEURX CATHETER ACCESS $ 50.00 KIT PLEURX DRAINAGE 500 ML $ 236.00 KIT PLEURX PERITONEAL CATHETER INSERTION $ 1,984.57 KIT POWERGLIDE PRO 18G 10CM BASIC $ 240.00 KIT POWERGLIDE PRO 18G 10CM FULL $ 384.00 KIT POWERGLIDE PRO 18G 8CM BASIC $ 240.00 KIT POWERGLIDE PRO 18G 8CM FULL $ 384.00 KIT POWERGLIDE PRO 20G 8CM BASIC $ 240.00 KIT POWERGLIDE PRO 20G 8CM FULL $ 384.00 KIT PREVENA (DISPOSABLE WOUND VAC) $ 1,544.40 KIT PRO-TOE VO INSTRUMENT $ 600.00 KIT PSTN WLSN PRNVW CSHN BS DRP TRNSV $ 125.24 KIT PV $ 75.48 KIT REPAIR INTERNALBRACE LIGAMENT $ 3,840.00 KIT- SAFE-T CENTESIS 6FR $ 186.76 KIT SHOULDER STABILIZATION $ 202.12 CHARGE DESCRIPTION CHARGE AMOUNT KIT STYLET 45CM $ 189.00 KIT STYLET 52CM $ 168.00 KIT STYLET 58CM STR ACESS $ 128.00 KIT STYLET ACCESS 52CM $ 160.00 KIT STYLET ACCESS 58CM $ 160.00 KIT STYLET ACCESS 609153 J SHAPED $ 160.00 KIT STYLET ACCESS 65CM $ 128.00 KIT STYLET STR EXTD TPR 609355 $ 160.00 KIT SURGIFLO HEMOSTATIC MATIRX $ 637.44 KIT SURGIFLO HEMOSTATIC MATRIX (SUB) $ 431.52 KIT TRANSDUCER SPECIAL PROCEDURE CUSTOM $ 79.00 KIT TUMESCENT INFILTRATION $ 64.04 KIT URETERAL STENT 6FR 22CM $ 550.00 KIT URETERAL STENT 6FR 24CM $ 550.00 KIT URETERAL STENT 6FR 26CM $ 550.00 KIT UROMAX $ 917.00 KIT VTC NEPHROSTOMY SYSTEM $ 654.76 KIT-0.9MM MICROSMOOTH ULTRA INFUSION $ 75.20 KITNER LAPAROSOPIC 5MM $ 69.40 KIWI OMNICUP $ 96.60 KLONOPIN TAB 0.5 MG $ 1.12 KLONOPIN TAB 1 MG $ 1.32 KLOR-CON TAB 25 MEQ $ 3.85 KNEE ARTHROSCOPY W LAT RLS $ 1,305.33 KNEE ARTHROSCOPY/SURGERY $ 1,572.00 KNEE ARTHROSCOPY/SURGERY $ 1,462.00 KNEE ARTHROSCOPY/SURGERY 2+ COMPART $ 1,485.00 KNEE LT $ 363.47 KNEE LT - PORTABLE $ 363.47 KNEE LT W/OBLIQUES $ 575.00 KNEE RT $ 363.47 KNEE RT - PORTABLE $ 363.47 KNEE RT W/OBLIQUES $ 575.00 KNEES BILATERAL STANDING PA $ 981.24 KNIFE 2.75 DUAL BEVEL SLIT ALCON $ 64.00 KNIFE COLD HALF MOON BLADE $ 430.08 KNIFE COLD STRAIGHT BLADE $ 430.08 KNIFE GRAFT #11 PARALLEL $ 264.40 KNIFE GRAFT 10MM ACL $ 888.00 KNIFE MYRINGOTOMY DISPOSABLE $ 70.68 KNIFE SLIT 2.6 $ 95.80 KOH FOR FUNGI/PARASITES/MITES $ 11.88 KOOL KIT $ 1,040.00 K-PHOS NEUTRAL 250 MG TAB $ 3.03 KRAS $ 895.21 KT-V.A.C. VIA 5PK $ 1,874.25 CHARGE DESCRIPTION CHARGE AMOUNT K-WIRE - BIODRIVE 0.8X120MM SNGL $ 200.00 K-WIRE - BIODRIVE 0.8X120MM ST SNGL $ 144.00 KWIRE .028X6 DBL TRO NS $ 71.48 K-WIRE .035 X 6 DBL TRO NS $ 71.48 KWIRE .045X6 DBL TRO NS $ 71.48 KWIRE .062X6 DBL TRO NS $ 68.00 K-WIRE 0.9 X 150 MM $ 120.00 K-WIRE 0.9 X 70MM NS $ 200.00 K-WIRE 1.2 X 150MM $ 80.00 K-WIRE 1.25X150MM TROC PT $ 411.00 K-WIRE 1.6 X 150MM DBL ENDED TROCAR SM $ 96.00 KWIRE 1.6MM SS $ 55.60 KWIRE 2.0MM $ 72.80 KWIRE 2.0MM SS $ 115.52 K-WIRE 2.5MM DARCO HEADED $ 120.00 KWIRE 2.5MM X 150MM $ 120.00 KWIRE DBL END TROCAR TIP SMOOTH .9X150MM $ 96.00 K-WIRE DIAM .062 X 3IN $ 92.00 KWIRE SDL END TRCR TIP SMTH 0.9 X 150MM $ 96.00 KWIRE SDL END TRCR TIP SMTH 1.2 X 100MM $ 96.00 KWIRE SDL END TRCR TIP SMTH 1.6 X 150MM $ 96.00 KWIRE SDL END TRCR TIP SMTH 2.0 X 150MM $ 96.00 KWIRE SDL END TRCR TIP THRD 1.6 X 150MM $ 96.00 KWIRE SGL END TRCR TIP SMOOTH 1.4X100MM $ 96.00 KWIRE SGL END TROCAR TIP SMOOTH 1.X150MM $ 96.00 KWIRE SGL END TROCAR TIP SMTH 1.1X100MM $ 96.00 KWIRE SGL END TROCAR TIP SMTH 1.1X150MM $ 96.00 KWIRE SGL END TROCAR TIP SMTH 2.3X230MM $ 96.00 KWIRE TEMP FIX 1.4X150MM $ 96.00 KWIRE TEMP FIX 3.2X450MM STRL $ 561.44 K-WIRE TRC THRD SNGL 1.8X200MM $ 570.00 KWIRE TROCAR POINT $ 111.36 K-WIRE W/ TROCAR 3.2 X 320MM $ 374.00 K-WIRE W/ TROCAR 5PK 1.8X200MM $ 411.00 K-WIRE-1.25X150MM THD TROC SNG $ 480.00 KWIRES TROCAR POINT 1 END 1.6MM X 150MM $ 268.80 KWIRES TROCAR POINT 1 END 2.0MM X 150MM $ 268.80 KYBELLA $ 900.00 KYPROLIS (CARFILZOMIB) INJECTION $ 84.69 KYPROLIS (CARFILZOMIB) INJECTION $ 86.88 KYTRIL INJ 1 MG $ 10.00 KYTRIL TAB 1 MG (ONCOLOGY) $ 55.80 L COLECTOMY/COLOPROCTOSTOMY $ 4,642.65 L HRT ART/GRFT ANGIO $ 2,887.00 L HRT ARTERY/VENTRICLE ANGIO $ 2,618.00 L VENTRIC PACING LEAD ADD-ON $ 25,534.22 CHARGE DESCRIPTION CHARGE AMOUNT L VENTRIC PACING LEAD ADD-ON $ 1,144.60 LABRAL TAPE $ 280.00 LABRALTAP - 1.5MM WHITE $ 280.00 LACERATION SET $ 65.00 LACRI-LUBE OPHTH OINT 3.5 GM $ 10.30 LACTATE $ 111.00 LACTATED RINGERS IV SOLN 1000 ML $ 73.55 LACTATED RINGERS IV SOLN 500 ML $ 67.90 LAG SCR 12.70 X 50MM STANDARD THREAD $ 3,260.95 LAG SCR 12.7D X 90MM STANDARD THREAD $ 1,044.40 LAG SCR 12.7DX100MM STANDARD THREAD $ 1,044.40 LAG SCR 12.7DX105MM STANDARD THREAD $ 1,044.40 LAG SCR 12.7DX105MM STANDARD THREAD $ 1,044.40 LAG SCR 12.7DX115MM STANDARD THREAD $ 1,044.40 LAG SCR 12.7DX75MM STANDARD THREAD $ 1,044.40 LAG SCR 12.7DX80MM STANDARD THREAD $ 1,044.40 LAG SCR 12.7DX85MM STANDARD THREAD $ 1,044.40 LAG SCR 12.7DX90MM STANDARD THREAD $ 1,044.40 LAG SCR 12.7DX95MM STANDARD THREAD $ 1,044.40 LAMICTAL TAB 100 MG $ 1.21 LAMICTAL TAB 25 MG $ 1.26 LAMOTRIGINE $ 137.03 LANOXIN ELIXIR 60 ML $ 421.00 LANOXIN INJ 0.5 MG $ 36.91 LANOXIN TAB 0.125 MG $ 4.56 LANOXIN TAB 0.25 MG $ 5.04 LANTUS INSULIN INJ 1 DOSE $ 9.95 LAP BAND AP LRG W/RPEZ $ 7,550.00 LAP BAND AP STD W/RPEZ $ 7,550.00 LAP CLOSE ENTEROSTOMY $ 3,414.98 LAP CLOSE ENTEROSTOMY $ 1,707.49 LAP COLOSTOMY $ 3,109.43 LAP ENTEROLYSIS $ 2,339.15 LAP ESOPHAGOGASTRIC FUNDOPLASTY $ 2,465.00 LAP ESOPHAGOGASTRIC FUNDOPLASTY $ 1,232.50 LAP GASTRIC BYPASS ROUX-EN-Y $ 1,770.05 LAP GASTRIC BYPASS/ROUX-EN-Y $ 3,540.10 LAP INC HERN RECUR COMP $ 3,356.75 LAP INC HERN REPAIR COMP $ 2,620.25 LAP INC HERNIA REPAIR $ 2,146.80 LAP INC HERNIA REPAIR RECUR $ 2,330.53 LAP ING HERNIA REPAIR INIT $ 1,081.85 LAP ING HERNIA REPAIR INIT $ 1,429.50 LAP ING HERNIA REPAIR INIT $ 477.00 LAP ING HERNIA REPAIR RECUR $ 1,403.38 LAP ING HERNIA REPAIR RECUR $ 625.00 CHARGE DESCRIPTION CHARGE AMOUNT LAP MOBIL SPLENIC FL ADD-ON $ 483.20 LAP MYOTOMY HELLER $ 3,287.43 LAP MYOTOMY HELLER $ 1,636.00 LAP P COLECTOMY W REM ILEUM $ 3,408.78 LAP PARAESOPH HER RPR W/MESH $ 4,430.60 LAP PARAESOPHAG HERN REPAIR $ 3,938.28 LAP PARTIAL COLECTOMY $ 3,921.35 LAP PROGRIP SELF FIXATING MESH 15X10CM $ 1,637.75 LAP SLEEVE GASTRECTOMY $ 2,290.90 LAP TX ECT PREG; W SALPINGECT OR OOPHOR $ 1,886.43 LAP TX ECT PREG; WO SALPINGECT OR OOPHOR $ 1,873.78 LAP VENT/ABD HERN PROC COMP $ 2,352.53 LAP VENT/ABD HERN PROC COMP $ 1,058.64 LAP VENT/ABD HERNIA REPAIR $ 1,886.10 LAP W DESTRUCTION OF OVIDUCTS $ 898.10 LAP W EXC/DESTR OVARY PELVIC V LESIONS $ 1,767.03 LAP W OCCLUSION OF OVIDUCTS W DEVICE $ 896.35 LAP; ABD PERIT OMENTUM W ASP CYST $ 936.48 LAP; ABD PERIT OMENTUM W BX $ 873.38 LAP; CHOLECYSTECTOMY W CHOLANGIOGR $ 1,812.85 LAP; DX ABDOMEN PERITONEUM OMENTUM $ 824.95 LAP; SLING OP FOR STRESS INCONTINENCE $ 2,115.70 LAP; W REM ADNEXAL STRUCTURES $ 1,539.00 LAP; W REM ADNEXAL STRUCTURES $ 2,309.00 LAPARO-ASST VAG HYSTERECTOMY =LESS250 GM $ 1,745.08 LAPAROSCOPIC MYOMECTOMY =LESS250 GM $ 2,243.70 LAPAROSCOPY SURGICAL SPLENECTOMY $ 2,672.05 LAPAROSCOPY; APPENDECTOMY $ 1,327.00 LAPAROSCOPY; CHOLECYSTECOMY $ 1,656.00 LAPAROSCOPY; W LYSIS OF ADHESIONS $ 1,674.65 LAPARO-VAG HYST INCL T/O = LESS 250 GM $ 2,455.50 LAPARO-VAG HYST INCL T/O =LESS 250 GM $ 1,152.00 LAPIDUS NAIL GDE PIN/DRL 2.75MM X 200MM $ 708.00 LAPIDUS NAIL GUIDE PIN 2.3MM X 230MM $ 156.00 LAPIDUS NAIL LEFT 40MM $ 4,275.00 LAPIDUS NAIL REAMER 5.5MM CANN $ 900.00 LAPIDUS WEDGE 10 X 10MM $ 4,312.50 LAPRO-VAG HYST W/T/O COMPL LESS 250 GM $ 3,086.75 LAPS ABLTJ UTERINE FIBROIDS $ 2,013.78 LAPS ESOPHGL SPHNCTR AGMNTJ $ 1,648.95 LARGSC W/RMVL FOREIGN BDY(S) $ 898.88 LARYNGOSCOPE W/VC INJ $ 574.08 LARYNGOSCOPY $ 806.59 LARYNGOSCOPY $ 1,189.94 LARYNGOSCOPY FLEX FIBEROPTIC DIAGNOSTIC $ 806.59 LARYNGOSCOPY FLEX FIBEROPTIC DIAGNOSTIC $ 806.59 CHARGE DESCRIPTION CHARGE AMOUNT LARYNGOSCOPY FLEX FIBEROPTIC DIAGNOSTIC $ 806.59 LARYNGOSCOPY FLEX FIBEROPTIC DIAGNOSTIC $ 1,189.94 LARYNGOSCOPY TELESCOPIC $ 154.71 LARYNGOSCOPY TELESCOPIC $ 470.50 LARYNGOSCOPY TELESCOPIC $ 625.21 LARYNGOSCOPY W/BIOPSY $ 474.63 LARYNGOSCOPY W/BX OP SCOPE $ 526.55 LARYNGOSCOPY W/EXC OF TUMOR $ 604.08 LARYNGOVIDEOENDOSTROBOSCOPY $ 443.36 LARYNSCOP W/TUMR EXC + SCOPE $ 659.53 LASER ABLTN EXT VEIN 1ST VEIN $ 570.78 LASER GENESIS CHEST $ 200.00 LASER GENESIS FACE $ 125.00 LASER GENESIS HANDS $ 100.00 LASER GENESIS NECK $ 150.00 LASER GENESIS RECTAL AREA $ 75.00 LASER VAPORIZATION OF PROSTATE $ 1,752.78 LASIX INJ 100 MG $ 7.18 LASIX INJ 20 MG $ 28.54 LASIX INJ 40 MG $ 11.50 LASIX SOLN 2 OZ $ 21.22 LASIX TAB 20 MG $ 1.20 LASIX TAB 40 MG $ 1.57 LATISSE NO TAX $ 160.00 LAURELS STAT DRAWS $ 30.00 LCL SURG WND/DEH EXTENS $ 2,003.25 LCL SURG WND/DEH EXTENS $ 3,921.08 LCP VOLAR COL DIST RAD 8H HEAD/3H RT $ 2,932.13 LCP VOLAR COL DIST RAD PL 8H HEAD/3H LT $ 2,932.13 LCP VOLAR COL DIST RAD PL 8H HEAD/4H LT $ 3,156.30 LCP VOLAR COL DIST RAD PL 9H HEAD/3H RT $ 3,359.55 LCP VOLAR COL DIST RAD PL 9H HEAD/4H RT $ 2,254.50 LDH $ 57.47 LDH ISOENZYMES $ 127.21 LDL DIRECT $ 70.04 LEAD $ 103.09 LEAD 1688TC/46 TENDRIL SDXLEADS US $ 1,837.50 LEAD 1944/46 ISOFLEX $ 2,100.00 LEAD 1948/52 ISOFLEX $ 2,100.00 LEAD 1948-58 ISOFLEX $ 2,100.00 LEAD 1999/52 LV $ 2,012.50 LEAD 407645 CAPSUREFIX $ 1,520.00 LEAD 4092-52 SP NOVUS $ 1,520.00 LEAD 4092-52 SP NOVUS $ 1,520.00 LEAD 429878 ATTAIN PERFORM $ 6,000.00 LEAD 429888 ATTAIN PERFORM $ 6,000.00 CHARGE DESCRIPTION CHARGE AMOUNT LEAD 439888 ATTAIN PERFORMA $ 6,000.00 LEAD 459888 ATTAIN PERFORMA $ 6,000.00 LEAD 5076-42 CAPSURE $ 1,520.00 LEAD 5076-45 CAPSURE (PACEMAKER) $ 1,520.00 LEAD 5076-58 CAPSURE $ 1,520.00 LEAD 5086MR158 US MARKET EN-58CM $ 2,187.50 LEAD 5086MRI45 US MARKET EN -45CM $ 2,187.50 LEAD 5086MRI52 US MARKET EN -52CM $ 2,187.50 LEAD 5092-52 BIP SILICONE VENT STERIOD $ 1,520.00 LEAD 5568 - 53 $ 1,520.00 LEAD 5568-45 US ACTIVE BI SILICONE J $ 1,520.00 LEAD AICD SNGL PASS 59CM $ 9,894.00 LEAD BLUE PERC 1058 $ 1,750.00 LEAD CAP $ 80.00 LEAD CAPSURE SP 4092-58CM MEDTRONIC $ 2,562.50 LEAD INTRO KIT $ 1,120.00 LEAD LEFT HEART PACING 86CM $ 7,000.00 LEAD N300 ANCHOR KIT $ 500.00 LEAD PACEMAKER 2088TC/46 $ 2,012.50 LEAD PACEMAKER 2088TC/58 $ 2,012.50 LEAD PACEMAKER 407452 CAPSURE SENSE $ 1,520.00 LEAD PACEMAKER 407458 CAPSURE SENSE $ 1,520.00 LEAD PACING MRI ACTIVE 45CM $ 2,037.00 LEAD PACING MRI ACTIVE 52CM $ 2,037.00 LEAD PACING MRI ACTIVE 59CM $ 2,037.00 LEAD PACING MRI INGEVITY IS-1 PASSIVE $ 2,975.00 LEAD PANEL (LEAD BLOOD AND ZPP) $ 55.00 LEAD PCNG 59CM ENDOTAK RELIANCE SG $ 10,670.00 LEAD PCNG 7122Q-52 ST JUDE 52CM $ 8,000.00 LEAD PCNG 7122Q-58 ST JUDE 58CM 11MM $ 8,000.00 LEAD PCNG 7122Q-65 ST JUDE 65CM 11MM $ 8,000.00 LEAD QUAD ATTAIN STABILITY MRI 88CM $ 5,540.00 LEAD SPRINT DF4 62CM ACTIVE SC $ 6,000.00 LEAD SPRINT QUATTRO 55CM ACTIVE SC $ 6,000.00 LEAD TENDRIL BRADY MRI 46CM IS-1 $ 2,100.00 LEAD TENDRIL BRADY MRI 52CM IS-1 $ 2,100.00 LEAD TENDRIL BRADY MRI 58CM IS-1 $ 2,100.00 LEAD6947M62 $ 6,000.00 LEGIONELLA AB $ 103.00 LEGIONELLA DFA $ 114.33 LENGTH/SHORT TENDON LEG/ANKLE; SGL $ 1,158.63 LENGTHEN EXTENSOR TENDON $ 1,197.64 LENS - INTRAOCULAR SN60WF 10.5 PRELOADED $ 560.00 LENS - INTRAOCULAR SN60WF 17.5 PRELOADED $ 560.00 LENS - INTRAOCULAR SN60WF 17.5 PRELOADED $ 560.00 LENS INTRAOCULAR AR40E $ 520.00 CHARGE DESCRIPTION CHARGE AMOUNT LENS INTRAOCULAR AR40E 10.0 $ 520.00 LENS INTRAOCULAR AR40E 10.5 $ 520.00 LENS INTRAOCULAR AR40E 11.0 $ 520.00 LENS INTRAOCULAR AR40E 11.5 $ 520.00 LENS INTRAOCULAR AR40E 12.0 $ 520.00 LENS INTRAOCULAR AR40E 12.5 $ 520.00 LENS INTRAOCULAR AR40E 13.0 $ 520.00 LENS INTRAOCULAR AR40E 13.5 $ 520.00 LENS INTRAOCULAR AR40E 14.0 $ 520.00 LENS INTRAOCULAR AR40E 14.5 $ 520.00 LENS INTRAOCULAR AR40E 15.0 $ 520.00 LENS INTRAOCULAR AR40E 15.5 $ 520.00 LENS INTRAOCULAR AR40E 16.0 $ 520.00 LENS INTRAOCULAR AR40E 16.5 $ 520.00 LENS INTRAOCULAR AR40E 17.0 $ 520.00 LENS INTRAOCULAR AR40E 17.5 $ 520.00 LENS INTRAOCULAR AR40E 18.0 $ 520.00 LENS INTRAOCULAR AR40E 18.5 $ 520.00 LENS INTRAOCULAR AR40E 19.0 $ 520.00 LENS INTRAOCULAR AR40E 19.5 $ 520.00 LENS INTRAOCULAR AR40E 20.0 $ 520.00 LENS INTRAOCULAR AR40E 20.5 $ 520.00 LENS INTRAOCULAR AR40E 21.0 $ 520.00 LENS INTRAOCULAR AR40E 21.5 $ 520.00 LENS INTRAOCULAR AR40E 22.0 $ 520.00 LENS INTRAOCULAR AR40E 22.5 $ 520.00 LENS INTRAOCULAR AR40E 23.0 $ 520.00 LENS INTRAOCULAR AR40E 23.5 $ 520.00 LENS INTRAOCULAR AR40E 24.0 $ 520.00 LENS INTRAOCULAR AR40E 24.5 $ 520.00 LENS INTRAOCULAR AR40E 25.0 $ 520.00 LENS INTRAOCULAR AR40E 25.5 $ 520.00 LENS INTRAOCULAR AR40E 26.0 $ 520.00 LENS INTRAOCULAR AR40E 26.5 $ 520.00 LENS INTRAOCULAR AR40E 27.0 $ 520.00 LENS INTRAOCULAR AR40E 27.5 $ 520.00 LENS INTRAOCULAR AR40E 28.0 $ 520.00 LENS INTRAOCULAR AR40E 28.5 $ 520.00 LENS INTRAOCULAR AR40E 29.0 $ 520.00 LENS INTRAOCULAR AR40E 29.5 $ 520.00 LENS INTRAOCULAR AR40E 30.0 $ 520.00 LENS INTRAOCULAR AR40E 6.0 $ 520.00 LENS INTRAOCULAR AR40E 6.5 $ 520.00 LENS INTRAOCULAR AR40E 7.0 $ 520.00 LENS INTRAOCULAR AR40E 7.5 $ 520.00 LENS INTRAOCULAR AR40E 8.0 $ 520.00 CHARGE DESCRIPTION CHARGE AMOUNT LENS INTRAOCULAR AR40E 8.5 $ 520.00 LENS INTRAOCULAR AR40E 9.0 $ 520.00 LENS INTRAOCULAR AR40E 9.5 $ 520.00 LENS INTRAOCULAR MTA3U0 10.0 $ 340.00 LENS INTRAOCULAR MTA3U0 10.5 $ 340.00 LENS INTRAOCULAR MTA3U0 11.0 $ 340.00 LENS INTRAOCULAR MTA3U0 11.5 $ 340.00 LENS INTRAOCULAR MTA3U0 12.0 $ 340.00 LENS INTRAOCULAR MTA3U0 12.5 $ 340.00 LENS INTRAOCULAR MTA3U0 13.0 $ 340.00 LENS INTRAOCULAR MTA3U0 13.5 $ 340.00 LENS INTRAOCULAR MTA3U0 14.0 $ 340.00 LENS INTRAOCULAR MTA3U0 14.5 $ 340.00 LENS INTRAOCULAR MTA3U0 15.0 $ 340.00 LENS INTRAOCULAR MTA3U0 15.5 $ 340.00 LENS INTRAOCULAR MTA3U0 16.0 $ 340.00 LENS INTRAOCULAR MTA3U0 16.5 $ 340.00 LENS INTRAOCULAR MTA3U0 17.0 $ 340.00 LENS INTRAOCULAR MTA3U0 17.5 $ 340.00 LENS INTRAOCULAR MTA3U0 18.0 $ 340.00 LENS INTRAOCULAR MTA3U0 18.5 $ 340.00 LENS INTRAOCULAR MTA3U0 19.0 $ 340.00 LENS INTRAOCULAR MTA3U0 19.5 $ 340.00 LENS INTRAOCULAR MTA3U0 20.0 $ 340.00 LENS INTRAOCULAR MTA3U0 20.5 $ 340.00 LENS INTRAOCULAR MTA3U0 21.0 $ 340.00 LENS INTRAOCULAR MTA3U0 21.5 $ 340.00 LENS INTRAOCULAR MTA3U0 22.0 $ 340.00 LENS INTRAOCULAR MTA3U0 22.5 $ 340.00 LENS INTRAOCULAR MTA3U0 23.0 $ 340.00 LENS INTRAOCULAR MTA3U0 23.5 $ 340.00 LENS INTRAOCULAR MTA3U0 24.0 $ 340.00 LENS INTRAOCULAR MTA3U0 24.5 $ 340.00 LENS INTRAOCULAR MTA3U0 25.0 $ 340.00 LENS INTRAOCULAR MTA3U0 25.5 $ 536.00 LENS INTRAOCULAR MTA3U0 26.0 $ 340.00 LENS INTRAOCULAR MTA3U0 26.5 $ 340.00 LENS INTRAOCULAR MTA3U0 27.0 $ 340.00 LENS INTRAOCULAR MTA3U0 27.5 $ 340.00 LENS INTRAOCULAR MTA3U0 28.0 $ 340.00 LENS INTRAOCULAR MTA3U0 28.5 $ 340.00 LENS INTRAOCULAR MTA3U0 29.0 $ 340.00 LENS INTRAOCULAR MTA3U0 30.0 $ 340.00 LENS INTRAOCULAR MTA3U0 5.0 $ 340.00 LENS INTRAOCULAR MTA3U0 5.5 $ 340.00 LENS INTRAOCULAR MTA3U0 6.0 $ 340.00 CHARGE DESCRIPTION CHARGE AMOUNT LENS INTRAOCULAR MTA3U0 6.5 $ 340.00 LENS INTRAOCULAR MTA3U0 7.0 $ 340.00 LENS INTRAOCULAR MTA3U0 7.5 $ 340.00 LENS INTRAOCULAR MTA3U0 8.0 $ 340.00 LENS INTRAOCULAR MTA3U0 8.5 $ 340.00 LENS INTRAOCULAR MTA3U0 9.0 $ 340.00 LENS INTRAOCULAR MTA3U0 9.5 $ 340.00 LENS INTRAOCULAR MTA4U0 10.0 $ 340.00 LENS INTRAOCULAR MTA4U0 10.5 $ 340.00 LENS INTRAOCULAR MTA4U0 11.0 $ 340.00 LENS INTRAOCULAR MTA4U0 11.5 $ 340.00 LENS INTRAOCULAR MTA4U0 12.0 $ 340.00 LENS INTRAOCULAR MTA4U0 12.5 $ 340.00 LENS INTRAOCULAR MTA4U0 13.0 $ 340.00 LENS INTRAOCULAR MTA4U0 13.5 $ 340.00 LENS INTRAOCULAR MTA4U0 14.0 $ 340.00 LENS INTRAOCULAR MTA4U0 14.5 $ 340.00 LENS INTRAOCULAR MTA4U0 15.0 $ 340.00 LENS INTRAOCULAR MTA4U0 15.5 $ 340.00 LENS INTRAOCULAR MTA4U0 16.0 $ 340.00 LENS INTRAOCULAR MTA4U0 16.5 $ 340.00 LENS INTRAOCULAR MTA4U0 17.0 $ 340.00 LENS INTRAOCULAR MTA4U0 17.5 $ 340.00 LENS INTRAOCULAR MTA4U0 18.0 $ 340.00 LENS INTRAOCULAR MTA4U0 18.5 $ 340.00 LENS INTRAOCULAR MTA4U0 19.0 $ 340.00 LENS INTRAOCULAR MTA4U0 19.5 $ 340.00 LENS INTRAOCULAR MTA4U0 20.0 $ 340.00 LENS INTRAOCULAR MTA4U0 20.5 $ 340.00 LENS INTRAOCULAR MTA4U0 21.0 $ 340.00 LENS INTRAOCULAR MTA4U0 21.5 $ 340.00 LENS INTRAOCULAR MTA4U0 22.0 $ 340.00 LENS INTRAOCULAR MTA4U0 22.5 $ 340.00 LENS INTRAOCULAR MTA4U0 23.0 $ 340.00 LENS INTRAOCULAR MTA4U0 23.5 $ 340.00 LENS INTRAOCULAR MTA4U0 24.0 $ 340.00 LENS INTRAOCULAR MTA4U0 24.5 $ 340.00 LENS INTRAOCULAR MTA4U0 25.0 $ 340.00 LENS INTRAOCULAR MTA4U0 25.5 $ 340.00 LENS INTRAOCULAR MTA4U0 26.0 $ 340.00 LENS INTRAOCULAR MTA4U0 26.5 $ 340.00 LENS INTRAOCULAR MTA4U0 27.0 $ 340.00 LENS INTRAOCULAR MTA4U0 27.5 $ 340.00 LENS INTRAOCULAR MTA4U0 28.0 $ 340.00 LENS INTRAOCULAR MTA4U0 28.5 $ 340.00 LENS INTRAOCULAR MTA4U0 29.0 $ 340.00 CHARGE DESCRIPTION CHARGE AMOUNT LENS INTRAOCULAR MTA4U0 30.0 $ 536.00 LENS INTRAOCULAR MTA4U0 5.0 $ 340.00 LENS INTRAOCULAR MTA4U0 5.5 $ 340.00 LENS INTRAOCULAR MTA4U0 6.0 $ 340.00 LENS INTRAOCULAR MTA4U0 6.5 $ 340.00 LENS INTRAOCULAR MTA4U0 7.0 $ 340.00 LENS INTRAOCULAR MTA4U0 7.5 $ 340.00 LENS INTRAOCULAR MTA4U0 8.0 $ 340.00 LENS INTRAOCULAR MTA4U0 8.5 $ 340.00 LENS INTRAOCULAR MTA4U0 9.0 $ 340.00 LENS INTRAOCULAR MTA4U0 9.5 $ 340.00 LENS INTRAOCULAR MTA5U0 10.0 $ 340.00 LENS INTRAOCULAR MTA5U0 10.5 $ 340.00 LENS INTRAOCULAR MTA5U0 11.0 $ 340.00 LENS INTRAOCULAR MTA5U0 11.5 $ 340.00 LENS INTRAOCULAR MTA5U0 12.0 $ 340.00 LENS INTRAOCULAR MTA5U0 12.5 $ 340.00 LENS INTRAOCULAR MTA5U0 13.0 $ 340.00 LENS INTRAOCULAR MTA5U0 13.5 $ 340.00 LENS INTRAOCULAR MTA5U0 14.0 $ 340.00 LENS INTRAOCULAR MTA5U0 14.5 $ 340.00 LENS INTRAOCULAR MTA5U0 15.0 $ 340.00 LENS INTRAOCULAR MTA5U0 15.5 $ 340.00 LENS INTRAOCULAR MTA5U0 16.0 $ 340.00 LENS INTRAOCULAR MTA5U0 16.5 $ 340.00 LENS INTRAOCULAR MTA5U0 17.0 $ 340.00 LENS INTRAOCULAR MTA5U0 17.5 $ 340.00 LENS INTRAOCULAR MTA5U0 18.0 $ 340.00 LENS INTRAOCULAR MTA5U0 18.5 $ 340.00 LENS INTRAOCULAR MTA5U0 19.0 $ 340.00 LENS INTRAOCULAR MTA5U0 19.5 $ 340.00 LENS INTRAOCULAR MTA5U0 20.0 $ 340.00 LENS INTRAOCULAR MTA5U0 20.5 $ 340.00 LENS INTRAOCULAR MTA5U0 21.0 $ 340.00 LENS INTRAOCULAR MTA5U0 21.5 $ 340.00 LENS INTRAOCULAR MTA5U0 22.0 $ 340.00 LENS INTRAOCULAR MTA5U0 22.5 $ 340.00 LENS INTRAOCULAR MTA5U0 23.0 $ 340.00 LENS INTRAOCULAR MTA5U0 23.5 $ 340.00 LENS INTRAOCULAR MTA5U0 24.0 $ 340.00 LENS INTRAOCULAR MTA5U0 24.5 $ 340.00 LENS INTRAOCULAR MTA5U0 25.0 $ 340.00 LENS INTRAOCULAR MTA5U0 25.5 $ 340.00 LENS INTRAOCULAR MTA5U0 26.0 $ 340.00 LENS INTRAOCULAR MTA5U0 26.5 $ 340.00 LENS INTRAOCULAR MTA5U0 27.0 $ 340.00 CHARGE DESCRIPTION CHARGE AMOUNT LENS INTRAOCULAR MTA5U0 27.5 $ 340.00 LENS INTRAOCULAR MTA5U0 28.0 $ 340.00 LENS INTRAOCULAR MTA5U0 28.5 $ 340.00 LENS INTRAOCULAR MTA5U0 29.0 $ 340.00 LENS INTRAOCULAR MTA5U0 30.0 $ 340.00 LENS INTRAOCULAR MTA5U0 5.0 $ 340.00 LENS INTRAOCULAR MTA5U0 5.5 $ 340.00 LENS INTRAOCULAR MTA5U0 6.0 $ 340.00 LENS INTRAOCULAR MTA5U0 6.5 $ 340.00 LENS INTRAOCULAR MTA5U0 7.0 $ 340.00 LENS INTRAOCULAR MTA5U0 7.5 $ 340.00 LENS INTRAOCULAR MTA5U0 8.0 $ 340.00 LENS INTRAOCULAR MTA5U0 8.5 $ 340.00 LENS INTRAOCULAR MTA5U0 9.0 $ 340.00 LENS INTRAOCULAR MTA5U0 9.5 $ 340.00 LENS INTRAOCULAR RESTOR IQ SV25T0 19.5 $ 3,132.50 LENS INTRAOCULAR RESTOR IQ SV25T0 21.0 $ 3,132.50 LENS INTRAOCULAR SA60AT $ 600.00 LENS INTRAOCULAR SN6 WF 6.0 $ 536.00 LENS INTRAOCULAR SN60AT 31.0 $ 596.00 LENS INTRAOCULAR SN60WF $ 536.00 LENS INTRAOCULAR SN60WF 10.0 $ 536.00 LENS INTRAOCULAR SN60WF 10.5 $ 536.00 LENS INTRAOCULAR SN60WF 11.0 $ 536.00 LENS INTRAOCULAR SN60WF 11.5 $ 536.00 LENS INTRAOCULAR SN60WF 11.5 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 12.0 $ 536.00 LENS INTRAOCULAR SN60WF 12.5 $ 536.00 LENS INTRAOCULAR SN60WF 13.0 $ 536.00 LENS INTRAOCULAR SN60WF 13.5 $ 536.00 LENS INTRAOCULAR SN60WF 14.0 $ 536.00 LENS INTRAOCULAR SN60WF 14.5 $ 536.00 LENS INTRAOCULAR SN60WF 15.0 $ 536.00 LENS INTRAOCULAR SN60WF 15.5 $ 536.00 LENS INTRAOCULAR SN60WF 16.0 $ 536.00 LENS INTRAOCULAR SN60WF 16.5 $ 536.00 LENS INTRAOCULAR SN60WF 17.0 $ 536.00 LENS INTRAOCULAR SN60WF 17.0 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 17.5 $ 536.00 LENS INTRAOCULAR SN60WF 18.0 $ 536.00 LENS INTRAOCULAR SN60WF 18.0 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 18.5 $ 536.00 LENS INTRAOCULAR SN60WF 18.5 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 19.0 $ 536.00 LENS INTRAOCULAR SN60WF 19.0 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 19.5 $ 536.00 CHARGE DESCRIPTION CHARGE AMOUNT LENS INTRAOCULAR SN60WF 19.5 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 20.0 $ 536.00 LENS INTRAOCULAR SN60WF 20.0 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 20.5 $ 536.00 LENS INTRAOCULAR SN60WF 20.5 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 21.0 $ 536.00 LENS INTRAOCULAR SN60WF 21.0 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 21.5 $ 536.00 LENS INTRAOCULAR SN60WF 21.5 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 22.0 $ 536.00 LENS INTRAOCULAR SN60WF 22.0 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 22.5 $ 536.00 LENS INTRAOCULAR SN60WF 23.0 $ 536.00 LENS INTRAOCULAR SN60WF 23.0 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 23.5 $ 536.00 LENS INTRAOCULAR SN60WF 23.5 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 24.0 $ 536.00 LENS INTRAOCULAR SN60WF 24.0 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 24.5 $ 536.00 LENS INTRAOCULAR SN60WF 25.0 $ 536.00 LENS INTRAOCULAR SN60WF 25.5 $ 536.00 LENS INTRAOCULAR SN60WF 26.0 $ 536.00 LENS INTRAOCULAR SN60WF 26.5 $ 536.00 LENS INTRAOCULAR SN60WF 27.0 $ 536.00 LENS INTRAOCULAR SN60WF 27.5 $ 536.00 LENS INTRAOCULAR SN60WF 28.0 $ 536.00 LENS INTRAOCULAR SN60WF 28.5 $ 536.00 LENS INTRAOCULAR SN60WF 29.0 $ 536.00 LENS INTRAOCULAR SN60WF 29.5 $ 536.00 LENS INTRAOCULAR SN60WF 30.0 $ 536.00 LENS INTRAOCULAR SN60WF 6.0 PRELOADED $ 560.00 LENS INTRAOCULAR SN60WF 7.0 $ 536.00 LENS INTRAOCULAR SN60WF 7.5 $ 536.00 LENS INTRAOCULAR SN60WF 8.0 $ 536.00 LENS INTRAOCULAR SN60WF 8.5 $ 536.00 LENS INTRAOCULAR SN60WF 9.0 $ 536.00 LENS INTRAOCULAR SN60WF 9.5 $ 536.00 LENS- IOL ACRYSOF IQ RESTOR SV25T0 22.0 $ 3,132.50 LENS RESTOR $ 2,685.00 LENS RESTOR SN6AD1 20.0 $ 3,132.50 LENS SN60AT 30.0 $ 596.00 LENS SN60AT 32.0 $ 596.00 LENS SN6AT3 17.5 TORIC $ 1,732.50 LENS SOFT SA60WF 19.5 $ 536.00 LENS TORIC ASPHERIC IOL ZCT150 5.0 $ 1,732.50 LENS TORIC SN6A6T3 23.0 $ 1,732.50 CHARGE DESCRIPTION CHARGE AMOUNT LENS TORIC SN6A73 6.0 $ 1,652.00 LENS TORIC SN6AT3 $ 1,652.00 LENS TORIC SN6AT3 10.5 $ 1,732.50 LENS TORIC SN6AT3 12.0 $ 1,732.50 LENS TORIC SN6AT3 13.0 $ 1,732.50 LENS TORIC SN6AT3 14.0 $ 1,732.50 LENS TORIC SN6AT3 15.5 $ 1,652.00 LENS TORIC SN6AT3 16.0 $ 1,732.50 LENS TORIC SN6AT3 17.0 $ 1,652.00 LENS TORIC SN6AT3 18.0 $ 1,732.50 LENS TORIC SN6AT3 18.5 $ 1,732.50 LENS TORIC SN6AT3 19.0 $ 1,732.50 LENS TORIC SN6AT3 19.5 $ 1,732.50 LENS TORIC SN6AT3 20.0 $ 1,732.50 LENS TORIC SN6AT3 20.5 $ 1,732.50 LENS TORIC SN6AT3 21.0 $ 1,652.00 LENS TORIC SN6AT3 21.5 $ 1,732.50 LENS TORIC SN6AT3 21.5 $ 1,732.50 LENS TORIC SN6AT3 22.0 $ 1,652.00 LENS TORIC SN6AT3 22.5 $ 1,732.50 LENS TORIC SN6AT3 23.5 $ 1,732.50 LENS TORIC SN6AT3 24.0 $ 1,652.00 LENS TORIC SN6AT3 26.0 $ 1,732.50 LENS TORIC SN6AT3 26.5 $ 1,732.50 LENS TORIC SN6AT3 27.5 $ 1,732.50 LENS TORIC SN6AT4 11.0 $ 1,732.50 LENS TORIC SN6AT4 13.0 $ 1,732.50 LENS TORIC SN6AT4 14.5 $ 1,732.50 LENS TORIC SN6AT4 15.0 $ 1,652.00 LENS TORIC SN6AT4 15.5D $ 1,732.50 LENS TORIC SN6AT4 16.0 $ 1,732.50 LENS TORIC SN6AT4 16.5 $ 1,732.50 LENS TORIC SN6AT4 17.0 $ 1,732.50 LENS TORIC SN6AT4 18.0 $ 1,732.50 LENS TORIC SN6AT4 18.5 $ 1,652.00 LENS TORIC SN6AT4 19.5 $ 1,732.50 LENS TORIC SN6AT4 20.0 D $ 1,652.00 LENS TORIC SN6AT4 20.5D $ 1,732.50 LENS TORIC SN6AT4 21.0 $ 1,732.50 LENS TORIC SN6AT4 21.5D $ 1,732.50 LENS TORIC SN6AT4 23.0 $ 1,652.00 LENS TORIC SN6AT4 23.5 $ 1,732.50 LENS TORIC SN6AT4 24.0 $ 1,732.50 LENS TORIC SN6AT4 25.0 $ 1,732.50 LENS TORIC SN6AT4 26.0 $ 1,732.50 LENS TORIC SN6AT5 13.0 $ 1,652.00 CHARGE DESCRIPTION CHARGE AMOUNT LENS TORIC SN6AT5 13.5 $ 1,732.50 LENS TORIC SN6AT5 16.0 $ 1,732.50 LENS TORIC SN6AT5 16.5 $ 1,732.50 LENS TORIC SN6AT5 17.0 $ 1,652.00 LENS TORIC SN6AT5 17.5 $ 1,732.50 LENS TORIC SN6AT5 18.0 $ 1,732.50 LENS TORIC SN6AT5 18.5 $ 1,732.50 LENS TORIC SN6AT5 19.0 $ 1,652.00 LENS TORIC SN6AT5 19.5 $ 1,732.50 LENS TORIC SN6AT5 20.0 $ 1,652.00 LENS TORIC SN6AT5 20.5 $ 1,652.00 LENS TORIC SN6AT5 21.0 $ 1,732.50 LENS TORIC SN6AT5 23.0 $ 1,732.50 LENS TORIC SN6AT5 23.5 $ 1,732.50 LENS TORIC SN6AT5 24.5 $ 1,732.50 LENS TORIC SN6AT5 6.0 $ 1,732.50 LENS TORIC SN6AT6 11.5 $ 1,652.00 LENS TORIC SN6AT6 13.5 $ 1,732.50 LENS TORIC SN6AT6 14.0 $ 1,732.50 LENS TORIC SN6AT6 14.5 $ 1,652.00 LENS TORIC SN6AT6 17.5 $ 1,732.50 LENS TORIC SN6AT6 20.0 $ 1,732.50 LENS TORIC SN6AT6 21.0 $ 1,732.50 LENS TORIC SN6AT6 22.5 $ 1,732.50 LENS TORIC SN6AT6 23.0 $ 1,732.50 LENS TORIC SN6AT7 11.5 $ 1,732.50 LENS TORIC SN6AT7 16.0 $ 1,652.00 LENS TORIC SN6AT7 18.0 $ 1,732.50 LENS TORIC SN6AT7 19.0 $ 1,732.50 LENS TORIC SN6AT7 20.5 $ 1,652.00 LENS TORIC SN6AT7 6.0 $ 1,652.00 LENS TORIC SN6AT8 14.0 $ 1,652.00 LENS TORIC SN6AT8 17.0 $ 1,732.50 LENS TORIC SN6AT9 12.5 $ 1,732.50 LENS TORIC SN6AT9 17.0 $ 1,732.50 LENS TORIC SN6AT9 17.5 $ 1,732.50 LENS TORIC SN6AT9 18.0D $ 1,732.50 LENS TORIC SN6AT9 19.0 $ 1,732.50 LENS TORIC SN6AT9 21.0 $ 1,732.50 LENS TORIC SN6AT9 23.0 $ 1,732.50 LENS TORIC SN6AT9 6.0 $ 1,652.00 LENS-INTAOCULAR SN60WF 14.5 PRELOADED $ 560.00 LENS-INTAOCULAR SN60WF 15.0 PRELOADED $ 560.00 LENS-INTAOCULAR SN60WF 16.0 PRELOADED $ 560.00 LENS-INTAOCULAR SN60WF 16.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 10.0 PRELOADED $ 560.00 CHARGE DESCRIPTION CHARGE AMOUNT LENS-INTRAOCULAR SN60WF 11.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 12.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 13.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 13.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 14.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 14.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 15.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 22.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 24.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 25.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 25.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 26.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 26.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 27.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 27.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 28.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 30.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 7.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 7.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 8.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 8.5 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 9.0 PRELOADED $ 560.00 LENS-INTRAOCULAR SN60WF 9.5 PRELOADED $ 560.00 LEPTOSPIRA AB IgM $ 82.40 LESI $ 1,750.38 LESI $ 1,750.38 LESI $ 741.00 LET TOPICAL SOLUTION $ 20.00 LETROZOLE 2.5 MG TABLET $ 2.10 LEUCINE AMINOPEPTIDASE $ 101.97 LEUCOVORIN INJ 50 MG $ 27.50 LEUKOCYTE Ab $ 269.56 LEUKOCYTE Ab $ 269.56 LEUKOCYTE ALK PHOS $ 85.39 LEUKOCYTE HISTAMINE RELEASE TEST $ 154.50 LEUKOTRIENE E4 $ 170.00 Lev 1 - New $ 140.00 LEV 1 I&D WOUND $ 252.89 LEV 6 INITIAL - BRAVO & EGD (COMPLETE) $ 1,757.40 LEV 6 INITIAL - BRAVO ONLY (COMPLETE) $ 1,174.58 Lev II - New $ 160.00 LEV II ENDO - UPPER AIRWAY $ 174.00 Lev III - New $ 180.00 Lev IV - New $ 200.00 Lev V - New $ 543.00 LEVAQUIN PB SOLN 250 MG 50 ML $ 34.13 CHARGE DESCRIPTION CHARGE AMOUNT LEVAQUIN PB SOLN 500 MG 100 ML $ 35.63 LEVAQUIN PB SOLN 750 MG 150 ML $ 24.50 LEVAQUIN TAB 250 MG $ 1.66 LEVAQUIN TAB 500 MG $ 1.73 LEVEL 1 - EACH ADDITIONAL MINUTE $ 22.99 LEVEL 1 - EST PATIENT $ 120.00 Level 1 - ESTABLISHED PATIENT $ 120.00 Level 1 - Established Patient $ 120.00 LEVEL 1 - ESTABLISHED PATIENT- 6TH FLOOR $ 120.00 LEVEL 1 - NEW PATIENT $ 140.00 Level 1 - New Patient $ 140.00 Level 2 - Est Patient $ 150.00 Level 2 - Established Patient $ 150.00 Level 2 - New Patient $ 160.00 Level 3 - Established Patient $ 170.00 Level 3 - New Patient $ 180.00 Level 4 - Established $ 190.00 Level 4 - New Patient $ 200.00 Level 5 - Established Patient $ 210.00 Level 5 - New Patient $ 543.00 Level I - Established $ 120.00 LEVEL I PULMONARY TREATMENT $ 379.75 Level II - Established $ 150.00 Level III - Established $ 170.00 LEVEL III ENDOSCOPY UPPER AIRWAY APC 73 $ 2,905.53 Level IV - Established $ 190.00 Level V - Established $ 210.00 LEVEMIR INSULIN INJ 1 DOSE $ 10.00 LEVETIRACETAM $ 131.84 LEVOFLOXACIN 750 MG CAPSULE $ 3.40 LEVOPHED INJ 4 MG $ 101.04 LEVSIN 0.125 MG SUBLINGUAL TABLET $ 1.73 LEVSIN DROPS 15 ML $ 59.47 LEVSIN INJ 0.5 MG $ 139.12 LEXAPRO TAB 10 MG $ 1.75 LEXISCAN INJ PFS 0.4MG/5ML $ 275.83 LFT. 8HOLE MD PLATE CLAVICLE $ 2,547.50 LHC (+/- LT VGRAM) $ 4,220.12 LHC + RHC (+/- LT VENOGRAM) $ 9,506.23 LIBRIUM 5 MG CAPSULE $ 1.29 LIBRIUM CAP 10 MG $ 1.22 LIBRIUM CAP 25 MG $ 1.25 LIBTAYO (CEMIPLIMAB) 50 MG/ML $ 65.76 LIDOCAINE $ 87.55 LIDOCAINE 5% OINTMENT $ 191.75 LIDOCAINE EPI 1:100MU INJ 1% 20 ML $ 19.59 CHARGE DESCRIPTION CHARGE AMOUNT LIDOCAINE EPI 1:100MU INJ 2% 20 ML $ 23.46 LIDOCAINE EPI 1:200 MDV 0.5% 50 ML $ 25.57 LIDOCAINE EPI 1:200MU MPF INJ 1% 30 ML $ 55.81 LIDOCAINE EPI 1:200MU MPF INJ 2% 20 ML $ 30.34 LIDOCAINE IN D-5-W IV SOLN 2 GM 500 ML $ 0.34 LIDOCAINE INJ 1% 20 ML $ 5.26 LIDOCAINE INJ 2% 10 ML $ 10.49 LIDOCAINE INJ 2% 20 ML $ 7.27 LIDOCAINE INJ 4% 5 ML $ 29.49 LIDOCAINE IV SYRINGE 100 MG $ 2.39 LIDOCAINE JELLY 2% 30ML $ 179.30 LIDOCAINE JELLY 2% 5 ML $ 17.89 LIDOCAINE MPF (OB) INJ 1% 30 ML $ 56.13 LIDOCAINE MPF INJ 0.5% 50 ML $ 66.66 LIDOCAINE MPF INJ 1% 5 ML $ 20.89 LIDOCAINE PATCH 5% $ 54.31 LIDOCAINE TOPICAL SOLN 4% 50 ML $ 107.56 LIDOCAINE UROLOGIC JELLY 2% 10 ML $ 20.14 LIDOCAINE VISCOUS SUSP 2% 20 ML $ 2.80 LIDOSTAT CREAM $ 30.00 LIFT TEST $ 22.00 LIGACLIP APPLIER W/ MECH STOP 7 1/2 MED $ 329.84 LIGACLIP APPLIER W/ MECH STOP 7 1/2 SM $ 329.84 LIGAMENT AUGM KNEE; EXTRA-ARTIC $ 1,772.13 LIGAMENT AUGM KNEE; INTRA-ARTICULAR $ 2,799.83 LIGASURE ADVANCE $ 2,322.00 LIGASURE SEALER $ 1,750.00 LIGATE FALLOPIAN TUBE W CESARIAN SECTION $ 192.10 LIGATE/DIVIDE/EXCISE VEIN 1 LEG $ 521.56 LIGATE/STRIP LONG LEG VEIN $ 1,211.38 LIGATION OR BIOPSY TEMPORAL ARTERY $ 520.33 LIGATION/BAND ANGIOACCESS AV FISTULA $ 762.22 LIGATOR MULTIPLE BND 2/BX $ 840.00 LINER - EPOLY 32MM SZ22 $ 5,510.00 LINER +3 HIWALL LINER E POLY 40MM SZ 25 $ 5,510.00 LINER 28MM ACETABULAR $ 5,510.00 LINER 32MM X 10DEG ACETABULAR $ 2,625.00 LINER ACET 10DEG FC ARCOM XL 36MM SZ F $ 2,625.00 LINER ACETABULAR 10 DEGREE 40MM 58MM $ 2,750.00 LINER- ACETABULAR 36MM $ 5,510.00 LINER CONTIN LONGEVITY ELEVATED KK 36X56 $ 3,125.00 LINER DISPOSABLE KNEE HOLDER $ 57.36 LINER E1 RINGLOC ACE E POLY 40MM SZ 24 $ 5,510.00 LINER- EPOLY 36MM $ 5,510.00 LINER E-POLY 40MM SIZE 26 10DEG LNR $ 5,510.00 LINER G7 10 DEG E1 40MM F $ 5,590.00 CHARGE DESCRIPTION CHARGE AMOUNT LINER G7 10 DEG E1 40MM G $ 5,590.00 LINER G7 DUAL MOBILITY 44MM G $ 7,680.00 LINER G7 DUAL MOBILITY 46MM G $ 7,680.00 LINER G7 DUAL MOBILITY 50MM G $ 7,440.00 LINER G7 HIGH WALL E1 36M $ 5,590.00 LINER G7 HIGH WALL E1 36M F $ 5,590.00 LINER G7 HIGH WALL E1 36M G $ 5,590.00 LINER G7 HIGH WALL E1 36M SIZE D $ 5,590.00 LINER G7 HIGH WALL E1 36MM H $ 5,590.00 LINER G7 HIGH WALL E1 40MM F $ 5,590.00 LINER G7 HIGH WALL E1 40MM G $ 5,590.00 LINER G7 HIGH WALL E1 40MM H $ 5,590.00 LINER RINGLOC 36MM 10 DEGREE SIZE 10 $ 2,625.00 LINER RINGLOC ACETABULAR 36MM,SZ 24 $ 2,625.00 LINER RINGLOC ACETABULAR 40MM, SZ 25 $ 2,625.00 LINER RINGLOC ARCOMXL HW 32MM, SZ 23 $ 2,625.00 LINER RINGLOC ARCOMXL MROM 36MM,SZ 24 $ 2,625.00 LINER-ACETABULAR 36MM SZ 26 10DEG $ 5,510.00 LINWE E1 RINGLOC ACETABULAR SX 32MM $ 5,510.00 LINX SIZE 13 $ 11,000.00 LINX SIZE 14 $ 11,000.00 LINX SIZE 15 $ 11,000.00 LINX SIZE 16 $ 11,000.00 LINX SIZE 17 $ 11,000.00 LINX SIZING TOOL $ 600.00 LINZESS CAPSULE 145MCG $ 42.08 LIORESAL TAB 10 MG $ 1.90 LIPASE $ 90.00 LIPID ELECTROPHORESIS $ 87.55 LIPID PANEL $ 113.00 LIPID PANEL ARIEL HEALTH $ 5.00 LIPID PROFILE $ 65.60 LIPID PROFILE SCREEN $ 35.00 LIPIDS TOTAL QUANT 72 HR STOOL $ 211.45 LIPITOR 10 MG TABLET $ 1.74 LIPITOR 20 MG TABLET $ 1.91 LIPITOR 40 MG TABLET $ 2.47 LIPITOR 80 MG TABLET $ 1.90 LIPO BLD FRACT QUANT VAP $ 96.82 LIPOPROTEIN (a) $ 107.19 LITHIUM CARBONATE TAB 300 MG $ 1.62 LITHIUM LEVEL $ 69.00 LITHOLAPAXY IN BLADREM FRAG LESS 2.5CM $ 888.70 LITHOLAPAXY IN BLADREM FRAG LESS 2.5CM $ 1,211.35 LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $ 749.22 LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $ 4,529.21 CHARGE DESCRIPTION CHARGE AMOUNT LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $ 5,278.43 LMH REAMER $ 2,373.00 LOCK SCREW 1.5X08MM $ 202.16 LOCK SCREW 1.5X09MM $ 202.16 LOCK SCREW 1.5X10MM $ 202.16 LOCK SCREW 1.5X11MM $ 202.16 LOCK SCREW 1.5X12MM $ 202.16 LOCK SCREW 1.5X13MM $ 202.16 LOCK SCREW 1.5X14MM $ 202.16 LOCK SCREW 1.5X15MM $ 202.16 LOCK SCREW 1.5X16MM $ 202.16 LOCK SCREW 1.5X18MM $ 202.16 LOCK SCREW 1.5X20MM $ 202.16 LOCKING DIST TIB MEDIAL LT 12H $ 3,024.40 LOCKING DIST TIB MEDIAL LT 6H $ 2,963.03 LOCKING DIST TIB MEDIAL RT 12H $ 3,024.40 LOMOTIL TAB 2.5 MG $ 2.23 LOOP EP PACK 129 $ 68.44 LOOP HF 23 DEG LARGE $ 3,485.65 LOOP RECORDER INTER UP TO 30 DAYS-REMO $ 151.68 LOOP RECORDER EVAL/PROG IN PERSON $ 92.65 LOOP RECORDER INTER IN PERSON $ 102.66 Loop recorder interrogation with changes $ 67.92 LOOP TUNGSTEN SQUARE 10 X 8 MM $ 51.92 LOOPOGRAM $ 1,773.21 LOPID TAB 600 MG $ 1.76 LOPRESSOR INJ 5 MG $ 14.73 LOPRESSOR TAB 25 MG $ 1.10 LOPRESSOR TAB 50 MG $ 1.33 LORTAB LIQUID 5-217MG/10ML $ 21.04 LOTENSIN TAB 10 MG $ 1.30 LOTRIMIN CREAM 1% 15 GM $ 4.69 LOTRISONE CREAM 15 GM $ 51.58 LOVENOX INJ 100 MG $ 38.26 LOVENOX INJ 120MG $ 20.63 LOVENOX INJ 150MG $ 37.93 LOVENOX INJ 30 MG $ 40.55 LOVENOX INJ 40 MG $ 35.96 LOVENOX INJ 60 MG $ 38.68 LOVENOX INJ 80 MG $ 38.50 LOW PROF PLATE, 8-HOLE SM LOFT $ 2,602.50 LOW PROFILE SEL-TAPPING $ 688.00 LOWER EXTREMITY INFANT $ 235.13 LPS - FLEX SIZE E F 14MM $ 3,942.00 LPS -FLEX FEMORAL COMP SZ E $ 6,000.00 LPS-FLEX FEMORAL SIZE G $ 6,000.00 CHARGE DESCRIPTION CHARGE AMOUNT LPS-FLEX FIXED PROLONG ART SUR 3-4,14MM $ 2,500.00 LPS-FLEX GSF OPTION FEMORAL SIZE F-LT $ 6,000.00 LPS-FLEX GSF OPTION FEMORAL, SIZE C-LT $ 6,000.00 LPS-FLEX GSF OPTION FEMORAL, SIZE C-RT $ 6,000.00 LPS-FLEX GSF OPTION FEMORAL, SIZE D-LT $ 6,000.00 LPS-FLEX GSF OPTION FEMORAL, SIZE D-RT $ 6,000.00 LPS-FLEX GSF OPTION FEMORAL, SIZE D-RT $ 6,000.00 LPS-FLEX GSF OPTION FEMORAL, SIZE E-LT $ 6,000.00 LPS-FLEX GSF OPTION FEMORAL, SIZE E-RT $ 6,000.00 LPS-FLEX GSF OPTION FEMORAL, SIZE F-RT $ 6,000.00 LPS-FLEX GSF OPTION FEMORAL, SIZE G-LT $ 6,000.00 LPS-FLEX GSF OPTION FEMORAL, SIZE G-RT $ 6,000.00 LPS-FLEX SIZE G H 12MM $ 2,500.00 LPT ANGLED GREAT TOE SZ 2 $ 3,125.00 LT 1ST DIGIT OF FOOT $ 434.30 LT 1ST DIGIT OF HAND $ 413.96 LT 2ND DIGIT OF FOOT $ 434.30 LT 2ND DIGIT OF HAND $ 413.96 LT 3RD DIGIT OF FOOT $ 434.30 LT 3RD DIGIT OF HAND $ 413.96 LT 4TH DIGIT OF FOOT $ 434.30 LT 4TH DIGIT OF HAND $ 413.96 LT 5TH DIGIT OF FOOT $ 434.30 LT 5TH DIGIT OF HAND $ 413.96 LTA II ANESTHESIA KIT 4% $ 112.29 LUGOLS SOLUTION 14 ML $ 76.00 LUMBAR EPIDURAL STEROID INJECTION $ 774.35 LUMBAR PUNCTURE $ 886.67 LUMBAR PUNCTURE $ 886.67 LUMBAR PUNCTURE $ 886.67 LUMBAR PUNCTURE $ 886.67 LUMBAR PUNCTURE $ 886.67 LUMBAR PUNCTURE $ 926.57 LUMBAR PUNCTURE DIAGNOSTIC $ 926.57 LUMBAR SPINE 2 OR 3 VIEWS $ 504.79 LUMBAR W/FLEXION & EXT $ 807.64 LUMBAR W/OBLIQUES $ 736.58 LUNG BIOPSY $ 1,107.66 LUPRON 45 MG $ 758.33 LUPRON DEPOT INJ 22.5 MG $ 910.00 LUPRON DEPOT INJ 30 MG $ 403.48 LUTEINIZING RELEASING FACTOR $ 294.43 LUTENIZING HORMONE $ 127.84 LUVOX 100 MG TABLET $ 2.76 LWR XTR VASC STDY BILAT $ 49.52 LWR XTR VASC STDY BILAT $ 273.46 CHARGE DESCRIPTION CHARGE AMOUNT LYME ANTIBODIES $ 124.24 LYME DISEASE BY PCR $ 300.31 LYME WESTERN BLOT $ 145.69 LYRICA CAP 50 MG $ 26.51 LYRICA CAP 75 MG $ 26.47 LYSE CHEST FIBRIN INIT DAY $ 1,555.45 LYSE CHEST FIBRIN INIT DAY $ 174.15 LYSE CHEST FIBRIN SUBQ DAY $ 1,555.45 LYSE CHEST FIBRIN SUBQ DAY $ 156.53 LYSIS INTRANASAL SYNECHIA $ 328.20 LYSIS PENIL CIRCUMCIS ADHES $ 504.75 LYSOZYME SERUM $ 209.18 LYTERA $ 119.00 M/PHMTRC ALYS ISHQUANT/SEMIQ $ 661.68 MACER RX WEB GEL $ 29.00 MACROBID CAP 100 MG $ 8.69 MAG OXIDE TAB 400 MG $ 1.15 MAG SULF IN WATER IV SOLN 40 GM 1000 ML $ 0.92 MAG SULFATE INJ 500 MG $ 10.70 MAGIC MOUTHWASH $ 12.00 MAGIC TORQUE .035 X 180 $ 204.68 MAGNESIUM $ 67.00 MAGNESIUM $ 30.64 MAINTENANCE IV PORT $ 249.00 MAINTENANCE IV PORT $ 249.00 MALARIA ANTIBODY $ 208.99 MAMMOGRAM GUIDE TO PLACE DEV 1ST SITE $ 1,312.18 MAMMOGRAM GUIDE TO PLACE DEV-EA ADD SITE $ 856.64 MAMMOGRAM SCREENING WITH CAD UNI LT $ 259.63 MAMMOGRAM SCREENING WITH CAD UNI RT $ 259.63 MAMMOGRAM STERE BX ALL INCLUSIVE EA ADDT $ 1,676.26 MAMMOGRAM STERE BX ALL INCLUSIVE-1ST SIT $ 5,563.61 MAMMOGRAM STEREO PLACEMENT OF DEVICE ONL $ 2,038.44 MAMMOGRAM STEREO PLACEMENT OF DEVICE ONL $ 122.70 MAMMOGRAM TOMOSYNTHESIS BREAST $ 50.25 MAMMOGRAM TOMOSYNTHESIS BREAST BILATERAL $ 64.50 MAMMOGRAM TOMOSYNTHESIS BREAST UNILATERA $ 64.50 MANDIBLE COMPLETE $ 613.35 MANGANESE $ 147.68 MANIFOLD STRYKER $ 55.68 MANIP ELBOW W ANESTH $ 1,020.85 MANIP FING JNT W AN EA $ 650.42 MANIP SHLDR JOINT UNDER ANESTH $ 489.53 MANIPUJECTOR - KRONNER $ 113.32 MANIPULATE ANKLE UNDER GEN ANESTH $ 435.25 MANIPULATE KNEE JNT UNDER ANESTH $ 373.58 CHARGE DESCRIPTION CHARGE AMOUNT MANIPULATE WRIST W ANESTH $ 817.22 MANIPULATORS UTERINE VCARE PLUS $ 300.00 MANNITOL IV SOLN 20% 500 ML $ 257.86 MANUAL DIFFERENTIAL $ 92.36 MANUAL THERAPY 1/> REGIONS $ 131.68 MANUAL THERAPY MOBS TX- 15 MINS $ 110.84 MANUAL THERAPY MOBS TX- 15 MINS $ 110.84 MARCAINE EPI INJ 0.5% 10 ML $ 37.04 MARCAINE INJ 0.25% 10 ML $ 17.23 MARCAINE INJ 0.5% 10 ML $ 27.37 MARCAINE INJ 0.5% 30 ML $ 28.05 MARCAINE INJ 0.5% 50 ML $ 32.73 MARCAINE-DEXTROSE SPINAL INJ 0.75% 2 ML $ 30.12 MARGIN MARKER STANDARD 6 COLOR $ 593.60 MARINOL GELCAP 2.5MG $ 24.89 MARKER FIDU $ 584.00 MARKER HYDROMARK 13G $ 284.20 MARKER HYDROMARK 15G COIL 1 TITANIUM $ 385.68 MARKER HYDROMARK 15G COIL 4 TITANIUM $ 284.20 MARKER HYDROMARK BIOPSY SITE ID T1 $ 292.60 MARKER HYDROMARK BIOPSY SITE ID T3 $ 292.60 MARKER HYDROMARK BIOPSY SITE IDENTIFIER $ 320.00 MARKER MAMMOMARK 11G $ 299.00 MARKER MAMMOMARK 8G $ 299.00 MARKER TITANIUM BIOPSY SECURMARK 13CM $ 268.96 MARKER TITANIUM BIOPSY SITE 2S-10 $ 246.00 MARKER TITANIUM BIOPSY SITE 2S-13 $ 246.00 MARSUPIALIZATION BARTHOLINS GLAND CYST $ 450.20 MARSUPIALIZATION CYST OR LIVER ABSCESS $ 2,867.90 MARSUPIALIZE SUBLINGUAL SALIVARY CYST $ 504.28 MASK FACE LARGE HEADGEAR AF541 $ 98.48 MASK FACE MEDIUM HEADGEAR AF541 $ 98.48 MASK FACE SMALL HEADGEAR AF541 $ 98.48 MASK FACE XL HEADGEAR AF541 $ 99.60 MASK FULL FACE LARGE SEAL FLEXIFIT $ 67.80 MASK FULL FACE MEDIUM SEAL FLEXIFIT $ 67.80 MASK FULL FACE SMALL SEAL FLEXIFIT $ 79.20 MASK HEAD GREEN S TYPE 3.2MM $ 122.40 MASK MEDIUM AF541 ENTRAINMENT ELBOW LEAK $ 102.92 MASK TYPE-S DISPOSABLE HEAD $ 120.00 MASK-GREEN IMRT HEAD&SHOULDER S-TYPE $ 316.80 MASK-IMRT HEAD & SHOULDER 3.2MM S-TYPE $ 295.20 MASS & TANDEM MS, QUANT NES $ 210.85 MAST MOD RAD $ 3,014.28 MAST SIMPLE COMPLETE $ 2,420.20 MAST SIMPLE COMPLETE $ 3,153.00 CHARGE DESCRIPTION CHARGE AMOUNT MASTER HIP HINGE EXTRA LONG $ 1,155.84 MASTOID COMPLETE $ 198.55 MASTOPEXY $ 1,924.15 MASTOPEXY $ 2,652.00 MASTOTOMY W EXPL DEEP $ 764.08 MATTRESS GEL 10X16 $ 86.32 MATURATION INDEX THIN PREP $ 19.57 MAX BARRIER TRAY 15.5F X32CM T-3 $ 860.00 MAX VPC CANN DRILL 2.4MM $ 1,440.00 MAX VPC CANN DRILL 3.2MM $ 1,520.00 MAXALT TAB 10 MG $ 17.68 MAXALT TAB 5 MG $ 4.69 MAXBRD#2 MO-6-NDL 2PK $ 288.00 MAXILLA COMPLETE $ 609.91 MAXITROL OPHTH OINT 3.5 GM $ 55.00 MAXZIDE-25 TAB $ 1.82 MAXZIDE-75 TAB $ 3.14 MDI IMPLANT SIZE 4 $ 7,672.00 MEASLES/MUMPS/RUBELLA INJ $ 164.77 MECH TRACT APPL CERV GREAT EQ 1 AREA $ 84.10 MECH TRACT APPL PELVIC GREAT EQ 1 AREA $ 59.76 MECHANICAL CHEST WALL OSCILL $ 375.78 MECHANICAL CHEST WALL OSCILL(PER SESSION $ 453.80 MED NUTR TX INITIAL PER 15 MIN $ 62.43 MED UNIT ICU R&B $ 2,343.72 MEDICAID CRITICAL CARE 30-74 MIN $ 1,412.63 MEDICAID CRITICAL CARE 30-74 MIN $ 1,476.20 MEDICAL FIT FOR DUTY $ 75.00 MEDICAL FLOOR R&B $ 963.67 MEDICAL PROFESSIONAL DRUG SCREEN $ 70.00 MEDICAL RECORDS $ 50.00 MEDICAL UNIT - PCU R&B $ 1,747.96 MEDICARE ONLY - E/M LEV 1 EST $ 120.00 MEDICARE ONLY - E/M LEV 1 EST $ 120.00 MEDICARE ONLY - E/M LEV 1 EST $ 120.00 MEDICARE ONLY - E/M LEVEL 1 EST $ 120.00 MEDICARE ONLY - E/M LEVEL 1 EST $ 120.00 MEDICARE ONLY - E/M LEVEL 1 EST $ 120.00 MEDICARE ONLY - E/M LEVEL 1 NEW $ 140.00 MEDICARE ONLY - E/M LEVEL 1 NEW $ 140.00 MEDICARE ONLY - E/M LEVEL 1 NEW $ 140.00 MEDICARE ONLY - E/M LEVEL 2 EST $ 150.00 MEDICARE ONLY - E/M LEVEL 2 EST $ 150.00 MEDICARE ONLY - E/M LEVEL 2 EST $ 150.00 MEDICARE ONLY - E/M LEVEL 2 NEW $ 160.00 MEDICARE ONLY - E/M LEVEL 2 NEW $ 160.00 CHARGE DESCRIPTION CHARGE AMOUNT MEDICARE ONLY - E/M LEVEL 2 NEW $ 160.00 MEDICARE ONLY - E/M LEVEL 3 EST $ 170.00 MEDICARE ONLY - E/M LEVEL 3 EST $ 170.00 MEDICARE ONLY - E/M LEVEL 3 EST $ 170.00 MEDICARE ONLY - E/M LEVEL 3 NEW $ 180.00 MEDICARE ONLY - E/M LEVEL 3 NEW $ 180.00 MEDICARE ONLY - E/M LEVEL 3 NEW $ 180.00 MEDICARE ONLY - E/M LEVEL 4 EST $ 190.00 MEDICARE ONLY - E/M LEVEL 4 EST $ 144.00 MEDICARE ONLY - E/M LEVEL 4 EST $ 190.00 MEDICARE ONLY - E/M LEVEL 4 NEW $ 172.00 MEDICARE ONLY - E/M LEVEL 4 NEW $ 172.00 MEDICARE ONLY - E/M LEVEL 4 NEW $ 200.00 MEDICARE ONLY - E/M LEVEL 5 EST $ 210.00 MEDICARE ONLY - E/M LEVEL 5 EST $ 120.00 MEDICARE ONLY - E/M LEVEL 5 EST $ 210.00 MEDICARE ONLY - E/M LEVEL 5 NEW $ 543.00 MEDICARE ONLY - E/M LEVEL 5 NEW $ 543.00 MEDICARE ONLY - E/M LEVEL 5NEW $ 543.00 MEDIFLATOR II 25 ATM $ 190.00 MEDROL TAB 4 MG $ 10.18 MEDTRONIC INC $ 160.00 MEFOXIN INJ 1 GM $ 38.71 MEFOXIN INJ 2 GM $ 36.19 MEGACE LIQUID 40 MG/ML 10 ML $ 12.88 MEGACE TAB 40 MG $ 1.70 MELATONIN 3MG $ 1.20 MEMBRANE MONITOR 3X2NUSHIELD ORTHO $ 2,625.00 MEMBRANE MONITOR 4X4CM NUSHIELD ORTHO $ 3,187.50 MENACTRA INJ 4 MCG/0.5 ML VACCINE $ 269.92 MENISCAL CINCH $ 1,632.00 MEPERIDINE INJ 25 MG $ 36.78 MEPERIDINE INJ 50 MG $ 37.68 MEPERIDINE INJ 75 MG $ 35.92 MEPERIDINE TAB 50 MG $ 3.28 MEPHYTON TAB 5 MG $ 177.28 MERCURY BLOOD $ 119.76 MERREM 1000MG $ 10.50 MERREM 500 MG $ 12.00 MESH - PHASIX ST 11CM ROUND $ 5,075.00 MESH - PHASIX ST 15X20CM $ 10,230.00 MESH - PHASIX ST 7X10CM $ 4,375.00 MESH - TVT LASER CUT $ 2,593.50 MESH 10" X 13" GORTEX $ 5,282.00 MESH 12 X 12 VICRYL WOVEN $ 2,408.53 MESH 15 X 15 VICRYL WOVEN $ 1,248.48 CHARGE DESCRIPTION CHARGE AMOUNT MESH 3D MAX 5X3 MEDIUM LEFT $ 564.00 MESH 3D MAX 5X3 MEDIUM RIGHT $ 564.00 MESH 3D MAX 6X4 LARGE LEFT $ 1,094.00 MESH 3D MAX 6X4 LARGE RIGHT $ 600.00 MESH 3D MAX 7X5 XLG LEFT $ 760.00 MESH 3D MAX 7X5 XLG RIGHT $ 760.00 MESH ALLOMAX 2X4 $ 720.00 MESH ALLOMAX 5.12 X 5.91 $ 12,392.00 MESH ALLOMAX 5X8 $ 3,150.00 MESH CQUR 5X5 EDGE SQUARE $ 1,660.00 MESH ECHO 4 X 6" $ 1,860.60 MESH ECHO 6" CIRCLE $ 2,887.50 MESH HERNIA PATCH MIDLINE 15.5X25.7CM $ 4,426.25 MESH HERNIA PATCH SM OVAL 8X12CM $ 2,012.85 MESH HERNIA RECTANGLE 10 X15 CM $ 6,975.00 MESH PHASIX HERNIA 15CM X 20CM $ 10,000.00 MESH PHASIX HERNIA 8 X 10IN $ 13,200.00 MESH PHYSIO COMPOSITE 10 X 15 $ 1,577.64 MESH PHYSIO COMPOSITE 15 X 20 $ 2,507.12 MESH PHYSIO COMPOSITE 20 X 25 $ 2,900.10 MESH PROLENE 12 X12 PML $ 380.40 MESH PROLOOP 8.9CM 3.5IN $ 674.00 MESH ULTRA PRO 3.6IN $ 259.32 MESH ULTRAPRO 15 X 15 CM $ 334.44 MESH VENTRALEX 6.4CM X 6.4CM $ 1,627.50 MESH VENTRALEX LARGE $ 2,100.00 MESH VENTRALEX SMALL $ 1,560.00 MESH VENTRALIGHT ST 6 X 8 $ 2,633.75 MESH VENTRALIGHT ST 6IN 15.2CM $ 2,012.50 MESH VENTRALIGHT ST SEPRA $ 1,526.40 MESH VENTRALT ELLIPTICAL 10X8 $ 3,332.50 MESH VENTRALT ST 4.5 CIRCLE $ 1,700.00 MESH VENTRALT W/ ECHO 6X8 $ 2,506.25 MESH VENTRALT W/ECHO 8X10001 $ 4,332.50 MESH WITH POSITIONING SYSTEM $ 2,030.00 METAGLENE CEMENTLESS LONG PEG +10MM $ 5,052.13 METAL OFFSET GUIDE DISP $ 320.00 METAMUCIL INSTANT MIX PKT 3.4 GM $ 2.11 METANEPHRINES $ 249.26 METASTATIC SER COMPL $ 1,329.01 METERED DOSE INHALER $ 453.80 METHACHOLINE 100 MG Nebulizer Diagnostic $ 6.25 METHADONE TAB 10 MG $ 7.40 METHERGINE INJ 0.2 MG $ 121.15 METHERGINE TAB 0.2 MG $ 145.06 METHOTREXATE LPF INJ 50 MG $ 12.56 CHARGE DESCRIPTION CHARGE AMOUNT METHOTREXATE TAB 2.5 MG $ 8.06 METHYLENE BLUE INJ 1% 10 ML $ 8.15 METHYLMALONIC ACID $ 213.43 METHYLPHENIDATE $ 41.20 METROGEL VAGINAL GEL 0.75% 70 GM $ 367.81 MEXITIL CAP 150 MG CAP $ 4.88 MICRO INTRODUCER SHEATH SET 7F, 7CM $ 122.00 MICROCATHETER CANTATA DUO 2.5 SUPERS. $ 1,640.00 MICROCROWN 1.50MM X 145CM STEALTH $ 6,790.00 MICRO-K CAP 10 MEQ $ 3.52 MICROPUNCTURE SET 4FR $ 207.20 MICROPUNCTURE SET 5FR $ 106.64 MICROSATELLITE INSTABILITY ANALYSIS $ 1,270.81 MICROSOMAL Ab $ 133.90 MIDDLE EAR EXPL - POSTAUR/EAR CANAL INC $ 1,667.38 MIDLINE TRADITIONAL POWER $ 532.00 MIDODRINE TAB 2.5 MG $ 3.23 MIDODRINE TABLET 10 MG $ 13.54 MIGII KNEE SLG TAP BONE STR SCREW $ 280.00 MILK OF MAGNESIA 400MG/5ML 30ML SOLN $ 2.00 MILRINONE 10 MG INJECTION $ 95.00 MILRINONE IN D5W PB 40MG/200ML $ 19.19 MINERAL OIL LIGHT STERILE LIQ 10 ML $ 1.00 MINERAL OIL LIQUID 30 ML $ 2.00 MINI SHORT THREAD SCREW 2.5 X 12MM $ 840.00 MINI SHORT THREAD SCREW 2.5 X 12MM $ 840.00 MINI SHORT THREAD SCREW 2.5 X 15MM $ 840.00 MINI TIGHT ROPE REPAIR $ 2,625.00 MINI TREK OTW 1.5X15MM $ 520.00 MINIPRESS CAP 1 MG $ 5.53 MIOCHOL-E OPHTH SOLN 1:100 2 ML $ 292.99 MIRALAX PKT 17 GM $ 6.05 MIRALAX POWDER 255 GM $ 17.35 MIRAPEX TAB 0.25 MG $ 1.44 MIRAPEX TAB 1 MG $ 1.48 MISCELLANEOUS SMEAR CYTOLOGY $ 66.95 MISOPROSTOL (CYTOTEC) TABLET 100MCG $ 2.99 MITY VAC OB VACUUM DELIVERY KIT $ 141.56 MLH1 GENE ANALYSIS PROMOTER METHYLATION $ 1,231.95 MM BREAST BIOPSY $ 567.00 MM BREAST SPECIMEN RADIOGRAPH $ 649.22 MM DIG MAMM-BILATERAL(DX) $ 705.96 MM DIG MAMM-SCREENING $ 259.63 MM DIG MAMM-SINGLE(DX) $ 665.53 MM DIGITAL MAMM BILATERAL FOR KOMEN $ 483.60 MM DIGITAL MAMM SAME DAY BILATERAL $ 287.38 CHARGE DESCRIPTION CHARGE AMOUNT MM DIGITAL MAMM SAME DAY SINGLE $ 261.25 MM DIGITAL MAMM SCREENING FOR KOMEN $ 230.86 MM DIGITAL MAMM-SINGLE (DX) FOR KOMEN $ 261.25 MM DUCTOGRAM-SINGLE $ 280.00 MM MAMM-DIG-SCREEN-UNILATERAL $ 259.63 MMR TITER $ 35.00 MMR VACCINE $ 80.00 MNT GROUP INST PER 30MIN SESSION $ 75.00 MOBIC TAB 7.5 MG $ 1.12 MOD SED OTH PHYS/QHP 15 MIN, 5/>YRS $ 278.38 MOD SED OTHER PHYS/QHP EA 15 MINUTES $ 269.61 MOD SED OTHER PHYS/QHP EA 15 MINUTES $ 269.61 MOD SED SAME PHYS/QHP <5 YRS INIT $ 198.89 MOD SED SAME PHYS/QHP 5/>YRS INT 15 MIN $ 278.38 MOD SED SAME PHYS/QHP 5/>YRS-INIT 15 MIN $ 278.38 MOD SED SAME PHYS/QHP 5/>YRS-INIT 15 MIN $ 306.47 MOD SED SAME PHYS/QHP 5/>YRS-INIT 15 MIN $ 278.38 MOD SED SAME PHYS/QHP 5/>YRS-INIT 15 MIN $ 278.38 MOD SED SAME PHYS/QHP 5/>YRS-INIT 15 MIN $ 278.38 MOD SED SAME PHYS/QHP 5/GREATER THAN YRS $ 31.83 MOD SED SAME PHYS/QHP EA $ 25.68 MOD SED SAME PHYS/QHP EA ADD'L 15 MIN $ 269.61 MOD SED SAME PHYS/QHP EA ADD'L 15 MIN $ 33.44 MOD SED SAME PHYS/QHP EA ADD'L 15 MIN $ 269.61 MOD SED SAME PHYS/QHP YOUNGER THAN 5 YRS $ 50.90 MOD SEDAT ENDO SERVICE >5YRS $ 14.10 MODERATE (CONSCIOUS) SEDATION 1ST 30 MIN $ 61.13 MODERATE (CONSCIOUS) SEDATION 1ST 30 MIN $ 61.13 MODERATE (CONSCIOUS) SEDATION 1ST 30 MIN $ 61.13 MODERATE (CONSCIOUS) SEDATION EA ADDL 15 $ 33.44 MODERATE (CONSCIOUS) SEDATION EA ADDL 15 $ 33.44 MODERATE (CONSCIOUS) SEDATION EA ADDL 15 $ 30.31 MODERATE (CONSCIOUS) SEDATION EA ADDL 15 $ 33.44 MODERATE (CONSCIOUS) SEDATION EA ADDL 15 $ 269.61 MODIFIED BA SWALLOW $ 738.92 MODULAR CATHCART BALL 43MM OD $ 1,785.00 MODULAR CATHCART BALL 46MM OD $ 1,785.00 MODULAR CATHCART BALL 50MM OD $ 1,575.00 MODULAR CATHCART BALL 50MM OD $ 4,017.50 MODULAR CATHCART BALL 56MM OD $ 1,575.00 MODULAR DXTEND EPI 2 ECC LEFT HA $ 5,077.26 MODULAR EPIPHYSE SANS CIMENT SZ 2 $ 5,077.26 MODULAR HEAD- 36MM $ 3,090.50 MODULAR HEAD COMPONANT 36MM $ 3,090.50 MODULAR INSERT 2.5MM OFFSET-02 $ 5,457.50 MODULE BAG VALVE MASK P/Y/W/B/O/G $ 114.00 CHARGE DESCRIPTION CHARGE AMOUNT MODULE BAG VALVE MASK PINK/RED $ 98.40 MODULE INTRAOSSEOUS BLUE $ 168.00 MODULE INTRAOSSEOUS GREEN $ 168.00 MODULE INTRAOSSEOUS ORANGE $ 168.00 MODULE INTRAOSSEOUS PINK/RED $ 168.00 MODULE INTRAOSSEOUS PURPLE $ 168.00 MODULE INTRAOSSEOUS WHITE $ 168.00 MODULE INTRAOSSEOUS YELLOW $ 168.00 MODULE INTUBATION BLUE $ 150.00 MODULE INTUBATION GREEN $ 150.00 MODULE INTUBATION ORANGE $ 150.00 MODULE INTUBATION PINK/RED $ 150.00 MODULE INTUBATION PURPLE $ 150.00 MODULE INTUBATION WHITE $ 150.00 MODULE INTUBATION YELLOW $ 150.00 MODULE IV DELIVERY BLUE $ 134.00 MODULE IV DELIVERY GREEN $ 134.00 MODULE IV DELIVERY ORANGE $ 134.00 MODULE IV DELIVERY PINK/RED $ 134.00 MODULE IV DELIVERY PURPLE $ 134.00 MODULE IV DELIVERY WHITE $ 134.00 MODULE IV DELIVERY YELLOW $ 134.00 MODULE OXYGEN DELIVERY PINK/RED $ 62.00 MOLD 80MM TIBIAL KNEE CEMENT $ 3,045.00 MOLECULAR CYTOGENETICS, DNA PROBE H $ 166.18 MOLECULAR CYTOGENETICS, DNA PROBE L $ 166.18 MOLECULAR CYTOGENETICS, INTERPHASE H $ 575.20 MOLECULAR CYTOGENETICS, INTERPHASE L $ 167.95 MOLECULAR PATHOLOGY LEVEL 2 $ 164.78 MOLECULAR PATHOLOGY LEVEL 4 SMEAR $ 706.92 MOLECULAR PATHOLOGY LEVEL 5 $ 1,425.29 MOLECULAR TYPE EACH ANTIGEN $ 24.00 MOLECULARE PATHOLOGY INTERPRETATION $ 54.60 MONISTAT DERM CREAM 2% 15 GM $ 6.10 MONITOR - DM2100 CONFIRM MRI $ 6,000.00 MONITOR REVEAL DX INSERTABLE LOOP RECORD $ 7,390.00 MONITORED EXERCISE $ 246.87 MONITORED EXERCISE - 37 AND BEYOND $ 246.87 MONO SCREEN $ 95.60 MONOKA SELF THREADING 4MM $ 122.68 MONOKA SELF THREADING PVP FAYET BERNARD $ 146.68 MONOPRIL TAB 10 MG $ 2.74 MONSEL'S (FERRIC SUBSULFATE) PASTE 8 ML $ 54.35 MORGAN LENS MEDIFLOW $ 92.68 MORPHINE INJ 10 MG $ 18.46 MORPHINE INJ 2 MG $ 18.46 CHARGE DESCRIPTION CHARGE AMOUNT MORPHINE INJ 4 MG $ 18.46 MORPHINE IR 15 MG TABLET $ 7.73 MORPHOMETRIC ANALYSIS $ 506.72 MORPHOMETRIC ANALYSIS TUMOR $ 985.78 MORPHOMETRIC ANALYSIS TUMOR $ 896.01 MOTION FLUORO EVAL OF SWALLOW $ 385.24 MOTOR/SENS NRVE CONDUCT TEST $ 5.64 MOTOR/SENS NRVE CONDUCT TEST $ 130.78 MOTRIN SUSP 20 MG/ML 4 OZ $ 8.37 MOTRIN TAB 400 MG $ 1.38 MOTRIN TAB 600 MG $ 1.39 MR MRA ABDOMEN $ 1,647.00 MR MRA CHEST $ 1,830.00 MR MRA HEAD W/CONTRAST $ 1,830.00 MR MRA HEAD W/O & W/C $ 2,621.00 MR MRA HEAD W/O CONT $ 2,268.00 MR MRA LOWER EXT $ 588.00 MR MRA NECK W/CONTRAST $ 1,729.58 MR MRA NECK W/O & W/C $ 2,752.00 MR MRA NECK W/O CONT $ 2,271.62 MR MRA PELVIS $ 1,830.00 MR MRA SPINAL CANAL $ 1,830.00 MR MRA UPP EXT $ 1,830.00 MR MRI UPPER EXT W/CONTRAST - LT $ 3,132.91 MR MRI UPPER EXT W/CONTRAST - RT $ 3,132.91 MR MRI ABDOMEN $ 2,709.97 MR MRI ABDOMEN W/CONTRAST $ 2,630.50 MR MRI ABDOMEN W/O & W CONTRAST $ 3,533.00 MR MRI BRAIN W/CONT $ 3,557.84 MR MRI BRAIN W/O $ 2,332.78 MR MRI BRAIN W/O&W/C $ 3,157.00 MR MRI CERV W/C $ 2,262.14 MR MRI CERVICAL W/O $ 2,618.00 MR MRI CERVICAL W/O& W/C $ 2,712.59 MR MRI CHEST $ 2,435.62 MR MRI CHEST W/CONTRAST $ 2,388.00 MR MRI CHEST W/O & W CONTRAST $ 3,232.00 MR MRI FACE NECK ORBIT W/O & W CONTRAST $ 3,077.98 MR MRI FACE NECK/ORBIT W/O CONTRAST $ 2,362.00 MR MRI JOINT LOWER EXT - W/ & W/O LT $ 3,230.00 MR MRI JOINT LOWER EXT - W/ & W/O RT $ 3,230.00 MR MRI JOINT LOWER EXT - W/CONTRAST - LT $ 2,426.40 MR MRI JOINT LOWER EXT - W/CONTRAST - RT $ 2,426.40 MR MRI JOINT UPPER EXT - W/CONTRAST - LT $ 2,852.48 MR MRI JOINT UPPER EXT - W/CONTRAST - RT $ 2,466.00 MR MRI JOINT UPPER EXT - W/O & WITH - LT $ 1,851.43 CHARGE DESCRIPTION CHARGE AMOUNT MR MRI JOINT UPPER EXT - W/O & WITH - RT $ 1,851.43 MR MRI LIMITED EXTREMITY $ 3,463.37 MR MRI LO EXT JNT LT $ 2,460.02 MR MRI LO EXT JNT RT $ 2,460.02 MR MRI LO EXT NO JT LT W/O $ 3,463.37 MR MRI LO EXT NO JT RT W/O $ 3,463.37 MR MRI LOWER EXT - W/CONTRAST - LT $ 2,001.29 MR MRI LOWER EXT - W/CONTRAST - RT $ 1,667.00 MR MRI LOWER EXT W & W/O CONTRAST - LT $ 3,463.37 MR MRI LOWER EXT W & W/O CONTRAST - RT $ 3,463.37 MR MRI LUMBAR W/C $ 2,528.90 MR MRI LUMBAR W/O $ 2,755.20 MR MRI LUMBAR W/O&W/C $ 3,661.75 MR MRI PELVIS W/O & W CONTRAST $ 3,159.00 MR MRI PELVIS W/O CONTRAST $ 2,639.87 MR MRI PELVIS WITH CONTRAST $ 2,096.00 MR MRI THORACIC W/C $ 2,255.40 MR MRI THORACIC W/O $ 2,832.75 MR MRI THORACIC W/O&W/C $ 3,989.00 MR MRI TMJ $ 1,793.18 MR MRI UPEXT JNT LT W/O $ 2,465.00 MR MRI UPEXT JNT RT W/O $ 2,465.00 MR MRI UPP EXT NO JT LT W/O $ 2,698.26 MR MRI UPP EXT NO JT RT W/O $ 2,698.26 MR MRI UPPER EXT W/O & W/CONTRAST - LT $ 2,698.26 MR MRI UPPER EXT W/O & W/CONTRAST - RT $ 2,698.26 MRCP $ 2,709.97 MRI IAC $ 3,157.00 MRI LT UPPER EXTREMITY W/ CONTRAST $ 2,466.00 MRI PITUITARY $ 3,157.00 MRI RT UPPER EXTREMITY W/ CONTRAST $ 2,466.00 MRSA AMPLIFIED PROBE TECHNIQUE $ 276.62 MS CONTIN TAB 15 MG $ 9.28 MS CONTIN TAB 30 MG $ 11.09 MT MULTIPL FOR CAVUS FOOT $ 2,245.90 MT SHORTEN NOT 1ST MT $ 943.45 MTHFR $ 312.31 MTP JNT CAPSULOTOMY EA SGL JNT $ 836.20 MUCOMYST SOLN 20% 30 ML $ 63.52 MUCOMYST SOLN 20% 4 ML $ 37.00 MUGA; SGL W WM & EF $ 96.62 MUGA; SGL W WM & EF $ 352.76 MULT DEN INSERT DIR CARV/CAM $ 89.12 MULT DEN INSERT DIR CARV/CAM $ 108.90 MULTI DEN INSERT CUSTOM MOLD EA $ 53.86 MULTI LAYER VENOUS WOUND COMP SYS $ 109.73 CHARGE DESCRIPTION CHARGE AMOUNT MULTI LINK MINI VISION RX STENT 2.5 X 2 $ 2,275.00 MULTIHANCE 529 MG/ML 10 ML SDV $ 271.72 MULTIHANCE 529 MG/ML 15 ML INJ $ 26.20 MULTIHANCE 529 MG/ML 20 ML INJ $ 24.15 MULTIHANCE 529 MG/ML 5 ML SDV $ 143.43 MULTIPLE SLEEP LATENCY TEST $ 2,941.44 MULTIPOLAR BIPOLAR CUP SHELL 58MM $ 2,503.90 MUMPS Ab $ 170.47 MUMPS TITER 1GG $ 81.35 MUSC TEST DONE W/N TEST COMP $ 92.54 MUSC TEST DONE W/N TEST COMP $ 84.50 MUSC TST DONE W/N TST NONEXT $ 76.46 MUSC TST DONE W/N TST NONEXT $ 79.88 MUSC TST DONE W/NERV TST LIM $ 37.88 MUSC TST DONE W/NERV TST LIM $ 75.26 MUSCLE BX; DEEP $ 394.83 MUSCLE TEST 1 LIMB $ 103.70 MUSCLE TEST 1 LIMB $ 133.44 MUSCLE TEST 2 LIMBS $ 165.58 MUSCLE TEST 2 LIMBS $ 171.72 MUSCLE TEST 3 LIMBS $ 199.92 MUSCLE TEST 3 LIMBS $ 229.82 MUSCLE TEST 4 LIMBS $ 213.30 MUSCLE TEST 4 LIMBS $ 266.80 MUSCLE TEST HEMIDIAPHRAGM $ 134.56 MUSCLE TEST HEMIDIAPHRAGM $ 126.16 MUSCLE TEST LARYNX $ 167.74 MUSCLE TEST LARYNX $ 118.24 MUSCLE TEST NONPARASPINAL 1 EXTREMITY $ 39.98 MUSCLE TEST NONPARASPINAL 1 EXTREMITY $ 140.70 MUSK ANTIBODY TEST $ 1,265.00 MUTAMYCIN INJ 5 MG $ 552.36 MVASI INJ 100 MG (BIOSIMILAR) $ 152.92 MYCELEX TROCHE LOZENGE 10 MG $ 4.43 MYCOLOG CREAM 15 GM $ 63.85 MYCOLOG OINT 15 GM $ 150.70 MYCOPHENOLIC ACID AND METABOLITE $ 127.62 MYCOPLASMA Ab $ 139.57 MYCOPLASMA CULTURE $ 114.20 MYCOSTATIN CREAM 15 GM $ 27.16 MYCOSTATIN POWDER 15 GM $ 59.20 MYDRIACYL OPHTH SOLN 1% 3 ML $ 31.60 MYELOGRAM $ 1,277.49 MYLANTA GAS TAB 80 MG $ 1.25 MYLANTA II SUSP 1 OZ $ 1.00 MYLANTA SUSP 1 OZ $ 2.00 CHARGE DESCRIPTION CHARGE AMOUNT MYLICON DROPS 67 MG/ML 30 ML $ 6.58 MYNX M5 VASCULAR CLOSURE DEVICE $ 885.80 MYNX VASCULAR CLOSURE DEVICE 6F/7F $ 885.80 MYOCARDIAL STRAIN IMAGING $ 150.00 MYOCRD CONTRAST PRFUJ ECHO $ 87.00 MYOGLOBIN $ 146.47 MYOMECTOMY ABDOM METHOD 1-4 MYOMAS $ 1,838.30 MYOMECTOMY VAG METHOD 1-4 MYOMAS $ 1,362.10 MYOSURE DISPOSABLE DEVICE $ 3,272.50 MYRINGOPLASTY $ 1,190.00 MYRINGOPLASTY $ 1,634.37 MYRINGOTOM INCL ASP/EUSTACH INFLAT $ 361.98 MYRINGOTOMY $ 151.71 MYRINGOTOMY $ 264.71 MYRINGOTOMY $ 416.42 MYSOLINE TAB 250 MG $ 3.03 MYSOLINE TAB 50 MG $ 1.26 N BLOCK INJ CELIAC PELUS $ 2,003.28 N BLOCK INJ COMMON DIGIT $ 173.30 N BLOCK INJ FEM SINGLE $ 1,467.98 N BLOCK INJ ILIO-ING/HYPOGI $ 1,541.95 N BLOCK INJ INTERCOST MLT $ 2,003.28 N BLOCK INJ INTERCOST SNG $ 1,541.95 N BLOCK INJ OCCIPITAL $ 738.30 N BLOCK INJ PLANTAR DIGIT $ 774.90 N BLOCK INJ PLANTAR DIGIT $ 606.70 N BLOCK INJ PUDENDAL $ 1,874.98 N BLOCK INJ SUPRASCAPULAR $ 1,541.95 N BLOCK INJ TRIGEMINAL $ 606.70 N BLOCK OTHER PERIPHERAL $ 1,850.34 N BLOCK SGL SCIATIC NRV $ 1,850.34 N BLOCK SPENOPALATINE GANGL $ 606.70 N BLOCK STELLATE GANGLION $ 2,003.28 N EMG SFE QUAN $ 309.58 N EMG SFE QUAN $ 79.30 N EMG THORACIC MUSCLES NOT T1/T12 $ 39.98 N EMG THORACIC MUSCLES NOT T1/T12 $ 138.06 N118 COGNIS IS (BSI $ 43,650.00 NAIL - 12MM / 130 DEG. FIXATION $ 4,078.00 NAIL - 5.0MM W/STARDRIVE 50MM $ 812.80 NAIL - 9MM TI TIBIAL $ 3,344.00 NAIL - HIP FRACTURE RT 13MM X 360MM $ 4,387.50 NAIL - TIBIAL 10.5MMX320MM $ 4,278.75 NAIL 10MM TI CANN TIBIAL W/PROX 360MM $ 3,344.00 NAIL 10MM/130 DEG TI CANN TRICH FIX 380M $ 5,119.20 NAIL 11MM TAN FEM 400MM/RT LAT ENTRY STR $ 4,031.25 CHARGE DESCRIPTION CHARGE AMOUNT NAIL 12MM/130 DEG TI CANN TRICH FIX 170M $ 3,651.08 NAIL 12MM/135 DEG TI CANN TRICH FIX 170M $ 3,380.63 NAIL 13MM TI FEM 340MM/LT LAT ENTRY RECO $ 4,484.38 NAIL 13MM TI FEM 380MM/RT LAT ENTRY STRL $ 4,618.90 NAIL 13MM TI FEM 400MM/RT LAT ENTRY STRL $ 4,618.90 NAIL 2.7X18MM STRAIGHT TENFUSE ALLOGRAFT $ 3,447.50 NAIL FEM LONG 10X360MM 130D RT STRL $ 5,857.00 NAIL FEM LONG 12X380MM 130D LT STRL $ 5,857.50 NAIL FEM RETRO 12MM X 280MM $ 5,043.75 NAIL FEM RETRO 12MM X 340MM $ 5,043.75 NAIL FEM RT 125DEG 13X180MM $ 3,087.50 NAIL FEM SHORT 11X170MM 130D STRL $ 4,179.38 NAIL FEM SHORT 12X170MM 130D STRL $ 4,179.38 NAIL FIXATION 10MM/130 170MM DEG TI CANN $ 3,760.60 NAIL FIXATION 11MM/130 170MM DEG TI CANN $ 3,380.63 NAIL FIXATION 320MM - 130 DEGREE $ 4,078.00 NAIL HF LEFT 130 DEGREE 11MM X 360MM $ 4,387.50 NAIL HF LEFT 130 DEGREE 11MM X 380MM $ 4,387.50 NAIL HF LEFT 130 DEGREE 9MM X 360MM $ 4,387.50 NAIL HF LH 130 DEGREE 11MM X 400MM $ 4,387.50 NAIL HF LT 130 DEGREE 11MM X 420MM $ 4,387.50 NAIL HG LH 130 DEGREE 13MM X 400MM $ 4,387.50 NAIL HIP FRACTURE 130' 13MM X 340MM $ 4,387.50 NAIL HIP FRACTURE 130' 13MM X 420MM $ 4,387.50 NAIL HUMERAL UNIVAERSAL 7X240MM $ 3,423.42 NAIL HUMERAL UNIVERSAL 7 X 260MM $ 3,423.42 NAIL HUMERAL UNIVERSAL 8 X 240MM $ 3,423.42 NAIL INSTRUMENT KIT TEN FUSE - STERILE $ 1,060.00 NAIL LEFT 130 DEGREE 11MM X 260MM $ 4,387.50 NAIL LH LEFT 130 DEGREE 11MM X 340MM $ 4,387.50 NAIL POLISH $ 18.00 NAIL- RH 9MM X 360MM 130DEG $ 4,387.50 NAIL- RT HIP 9MM X 340MM $ 4,387.50 NAIL TRCRFIX 11MM/130DEG TI CANN 340MMLT $ 4,449.38 NAIL TRCRFIX 11MM/130DEG TI CANN 360MMLT $ 4,449.38 NAIL TROCHR TITANIUM 125 180MM $ 3,913.50 NAIL UNIVERSAL HUM 8X260MM $ 3,423.42 NAIL UNIVERSAL HUM 9 X 220MM $ 3,423.42 NAIL UNIVERSAL HUM 9X240MM $ 3,423.42 NAIL UNIVSERAL HUM 8 X 220MM $ 3,423.42 NAIL, ANKLE LOCKING 10 X 180MM $ 5,446.50 NAIL, ANKLE LOCKING 11 X180MM $ 6,882.00 NALTREXONE HCL TABLET 12.5 MG $ 3.60 NALTREXONE HCL TABLET 25 MG $ 3.60 NAMENDA XR 28 MG CAPSULE $ 46.62 NAMENDA XR 7 MG CAPSULE $ 47.08 CHARGE DESCRIPTION CHARGE AMOUNT NAPROSYN TAB 250 MG $ 1.22 NAPROSYN TAB 375 MG $ 1.31 NAPROSYN TAB 500 MG $ 1.36 NARCAN INJ 0.4 MG $ 81.24 NARCAN INJ 2 MG $ 79.25 NAROPIN 0.2% 10ML $ 1.59 NAROPIN INJ 0.2% 100 ML $ 0.96 NAROPIN INJ 5 MG/ML 30ML $ 0.72 NASAL ALAR SPO2 ADULT/PEDIATRIC SINGLE $ 76.00 NASAL ENDO W BLD CNTRL $ 3,486.64 NASAL ENDO W BLD CNTRL $ 3,486.64 NASAL ENDO W BLD CNTRL $ 216.92 NASAL ENDO W BLD CNTRL $ 1,650.73 NASAL ENDO W BLD CNTRL $ 1,867.65 NASAL ENDO W BLD CNTRL $ 325.38 NASAL ENDO W BLD CNTRL $ 2,476.09 NASAL ENDO W BLD CNTRL $ 2,801.47 NASAL ENDO W MA; W REM TISS MS $ 669.13 NASAL ENDO W MA; W REM TISS MS $ 1,150.50 NASAL ENDO W MAXILL ANTROSTOMY $ 453.48 NASAL ENDO W MAXILL ANTROSTOMY $ 712.50 NASAL ENDO; W BX POLYPECT/DEBRIDE $ 207.31 NASAL ENDO; W BX POLYPECT/DEBRIDE $ 1,650.73 NASAL ENDO; W BX POLYPECT/DEBRIDE $ 1,858.04 NASAL ENDO; W BX POLYPECT/DEBRIDE $ 310.97 NASAL ENDO; W BX POLYPECT/DEBRIDE $ 2,476.09 NASAL ENDO; W BX POLYPECT/DEBRIDE $ 2,787.06 NASAL ENDO; W CONCHA BULLA RESECT $ 397.10 NASAL ENDO; W CONCHA BULLA RESECT $ 573.00 NASAL ENDO; W REM T SPHEN SINUS $ 589.90 NASAL ENDO; W REM T SPHEN SINUS $ 973.50 NASAL ENDOSCOPY DX $ 347.58 NASAL SEPTAL BUTTON $ 521.88 NASAL/SINUS ENDO W SPENOIDOTOMY; $ 507.13 NASAL/SINUS ENDO W SPENOIDOTOMY; $ 838.50 NASAL/SINUS ENDOSCOPY SURG $ 3,486.64 NASOPHARYNGOSCOPY W ENDOSCOPE $ 48.45 NASOPHARYNGOSCOPY W ENDOSCOPE $ 190.06 NASOPHARYNGOSCOPY W ENDOSCOPE $ 238.51 NATRIURETIC PEPTIDE $ 204.00 NATURAL KILLER CELL ANTIGEN $ 150.38 NATURAL KNEE GSF NP FLEX FEM SIZE 1-RT $ 9,948.40 N-AUTOM URINALYS WO MICRO $ 12.00 NAVELBINE INJ 10 MG $ 50.00 NAVICULAR LT $ 304.65 NAVICULAR RT $ 283.85 CHARGE DESCRIPTION CHARGE AMOUNT NB RESUSCITATION $ 364.23 NCB CORT SCREW 5.0 X 40MM SELF TAP $ 568.40 NCB CORT SCREW 5.0 X 44MM SELF TAP $ 568.40 NCB CORT SCREW 5.0 X 46MM SELF TAP $ 568.40 NCB CORT SCREW 5.0MMx32MM SELF TAP $ 568.40 NCB CORT SCREW 5.0MMx34MM SELF TAP $ 568.40 NCB CORT SCREW 5.0MMx36MM SELF TAP $ 568.40 NCB CORT SCREW 5.0MMX38MM SELF TAP $ 568.40 NCB CORT SCREW 5.0x30MM SELF TAP $ 568.40 NCB CURVED FEMUR SHAFT PL10,210MM $ 526.40 NCB CURVED FEMUR SHAFT PL10,210MM $ 1,923.25 NCB DRILL BIT 3.3MM X 195MM $ 473.20 NCB DRILL BIT 4.3MMx195MM $ 431.20 NCB PP DIST FEM PLATE L L 278MM $ 3,158.75 NCB PP DIST FEM PLATE R L 278MM $ 3,158.75 NCB PP DIST FEM PLATE R, L 238MM STERILE $ 2,983.75 NCB PP PROX FEM PLATE LL 285MM $ 3,158.75 NCB PP PROX FEM PLATE RL 285MM $ 3,158.75 NCB SCREW HOLE INSERT $ 252.00 NCM DF DRILL BIT 4.3MMx300mm $ 462.00 NEBULIZER MINIHEART LOW FLOW $ 56.92 NEBULIZER PERCUSSIVE $ 281.20 NEBULIZER REUSABLE COMPRESSOR 115V $ 120.00 NECK LIFT $ 3,500.00 NECROPSY GROSS & MICRO STILLBORN $ 2,518.45 NEEDLE - MULTIFIRE SCORPION $ 680.00 NEEDLE 22GA STLF STRAIGHT ENT $ 338.12 NEEDLE BIOPSY 21GA X 10CM SELF ASPIRATE $ 174.08 NEEDLE BIOPSY CORE MN1820 $ 103.20 NEEDLE BIOPSY CORE MN1825 $ 99.60 NEEDLE BIOPSY LYMPH NODE $ 496.38 NEEDLE BIOPSY PERCUCUT 21G X 10CM $ 140.00 NEEDLE BIOPSY PERCUCUT N115 21G X 15CM $ 153.32 NEEDLE BIOPSY PERCUCUT N815 18X15 $ 153.32 NEEDLE BIOPSY PERCUCUT NV115 21X15 $ 197.96 NEEDLE BIOPSY PERCUCUT NV815 18X15 $ 191.48 NEEDLE BX LIVER PERCUTANEOUS $ 181.82 NEEDLE BX LIVER; AT MAJOR OP $ 267.83 NEEDLE BX LIVER; PRECUTANEOUS $ 3,209.46 NEEDLE CHIBA 18G X 15 $ 55.12 NEEDLE CHIBA 20G X 15 $ 55.12 NEEDLE CHIBA 21G X 15 $ 55.12 NEEDLE CONTRAST 2.3MM 25G $ 116.00 NEEDLE CURVED EPIDURAL $ 300.00 NEEDLE EMG CRANIAL NRV BILAT $ 126.28 NEEDLE EMG CRANIAL NRV BILAT $ 135.42 CHARGE DESCRIPTION CHARGE AMOUNT NEEDLE- ENDO 4MM 27 GA (BOTOX PROCEDURE) $ 230.00 NEEDLE ENDO 8CM 25GA ASP $ 780.00 NEEDLE EZ-IO ADULT $ 543.20 NEEDLE EZ-IO BARIATRIC $ 543.20 NEEDLE EZ-IO PEDIATRIC $ 543.20 NEEDLE FAST-FIX 360 REVERSE CURVED $ 1,645.28 NEEDLE INJECTION LABORIE INJETAK $ 328.00 NEEDLE INTRO 18GA X 21CM $ 131.04 NEEDLE KOPANS HOOK 5CM $ 111.12 NEEDLE KOPANS HOOK 7CM $ 111.12 NEEDLE KOPANS HOOK 9CM $ 106.00 NEEDLE LOCALIZATION BY XRAY $ 1,151.47 NEEDLE LOCALIZATION BY XRAY $ 224.78 NEEDLE PERCUTANEOUS(RADIESSE) $ 140.00 NEEDLE QUATTRO SUTURE PASSER $ 640.00 NEEDLE QUICK - CORE BIOPSY $ 192.68 NEEDLE RFA 10CM $ 58.00 NEEDLE RFA 15CM $ 58.00 NEEDLE RIGID 21 GA $ 150.48 NEEDLE SPROTTE 22GX43/4 $ 56.00 NEEDLE SPROTTE SPINAL 24G X 4 3/4 $ 56.00 NEEDLE TAPERS CURVED 26MM 1/2 CIRCLE X/L $ 110.00 NEEDLE TEMNO BIOPSY 18G 15CM $ 265.52 NEEDLE TEMNO BIOPSY 18G 6CM $ 153.72 NEEDLE TEMNO BIOPSY 20G 15CM $ 307.08 NEEDLE TEMNO BIOPSY 20G 6CM $ 212.84 NEEDLE TRANSBRONCHIAL ASPIRATION $ 312.80 NEEDLE TRU CUT BIOPSY 4 1/2 $ 113.36 NEEDLE TRU CUT BIOPSY 6 $ 58.00 NEG PRESS WND TX LESS =50 SQ CM $ 69.00 NEG PRESS WND TX(NPWT) W/MECH DEVICE <50 $ 788.23 NEG PRESS WND TX(NPWT) W/MECH DEVICE >50 $ 788.23 NEG PRESS WOUND TX LESS =50 CM $ 65.35 Neg pressure wound therapy 50 cm or less $ 677.48 Neg pressure wound therapy 50 cm or less $ 677.48 NEGATIVE PRESSURE WOUND THERAPY >50CM $ 788.23 Negative Pressure Wound Therapy >50cm $ 788.23 NEO SYNEPHRINE INJ 10 MG $ 37.00 NEO SYNEPHRINE OPHTH SOLN 2.5% 2 ML $ 98.50 NEOMYCIN TAB 500 MG $ 5.07 NEOSPORIN OINT 15 GM $ 11.96 NEOSPORIN OINT PACKETTE 0.9 GM $ 1.58 NEOSPORIN OPHTH OINT 3.75 GM $ 137.71 NEO-SYNEPHRINE NASAL SPRAY 0.25% 15ML $ 10.51 NEO-SYNEPHRINE NASAL SPRAY 0.5% 15ML $ 10.51 NEPHROCAPS CAP $ 2.41 CHARGE DESCRIPTION CHARGE AMOUNT NEPHROSTOGRAM $ 1,773.21 NEPHROSTOMY $ 2,446.14 NEPHROSTOMY/PYELOSTOMY TUBE CHANGE $ 3,225.50 NERVE BLOCK LUMBAR/THORACIC $ 2,003.28 NERVE BLOCK, BRACHIAL PLEXUS $ 2,003.28 NERVE BLOCK, FEMORAL $ 1,850.34 NERVE BLOCK, SCIATIC $ 1,850.34 NEULASTA DELIVERY KIT 6MG $ 6,150.00 NEULASTA INJ 6 MG $ 6,150.00 NEUPOGEN 300 MCG/0.5 ML $ 2.52 NEURONTIN CAP 100 MG $ 1.35 NEURONTIN CAP 300 MG $ 1.42 NEURONTIN CAP 400 MG $ 1.40 NEUROPLASTY MAJ PERIPH NRV ARM/LEG NOS $ 1,085.00 NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL $ 1,275.57 NEUROPLASTY NERVE OR HAND OR FOOT $ 641.30 NEUROPLASTY; MEDIAN NERVE AT CARP TUNNEL $ 549.95 NEUROPLASTY; MEDIAN NERVE AT CARP TUNNEL $ 850.38 NEUROPLASTY; MEDIAN NERVE AT CARP TUNNEL $ 2,032.45 NEUROPLASTY; ULNAR NERVE AT ELBOW $ 1,472.00 NEUROPLASTY; ULNAR NERVE AT WRIST $ 994.55 NEUROSTIMULATOR $ 23,360.00 NEUROSTIMULATOR EXTERNAL $ 1,600.00 NEURX TF TABLETS $ 40.00 NEWBORN CPR $ 1,085.35 NEWBORN CPR NO CRASH CART USED $ 1,085.35 NEWBORN CPR-ED ONLY-CHG BY MATERIALS $ 1,085.35 NEX SC KIT 3.5MID 3.2 PROX STERILE $ 2,502.50 NEX SC KIT 4.5MID 3.2 PROX STERILE $ 2,502.50 NEXGEN 7 DEG FULL WEDGE TIB AUG SZ 6 $ 3,297.00 NEXGEN AC ART SURF 1-10/BLUE, 12MM $ 2,625.00 NEXGEN- ARTICULAR SURFACE $ 2,500.00 NEXGEN DIST PRECOAT AGMT BLK SIZE G 5MM $ 11,556.00 NEXGEN LCCK ART SURF CD 3-4/YELLOW 10MM $ 4,800.00 NEXGEN LCCK ART SURF CD 3-4/YELLOW 12MM $ 4,726.00 NEXGEN LCCK ART SURF CD 3-4/YELLOW 17MM $ 4,800.00 NEXGEN LCCK ART SURF EF 3-4/STRYELL 12MM $ 4,800.00 NEXGEN LCCK ART SURF EF 3-4/STRYELL 14MM $ 4,800.00 NEXGEN LCCK ART SURF EF 3-4/STRYELL 17MM $ 4,800.00 NEXGEN LCCK ART SURF EF 5-6/GREEN 10MM $ 4,800.00 NEXGEN LCCK ART SURF EF 5-6/GREEN 12MM $ 4,800.00 NEXGEN LCCK ART SURF EF 5-6/GREEN 14MM $ 4,800.00 NEXGEN LCCK ART SURF EF 5-6/GREEN 17MM $ 4,800.00 NEXGEN LCCK ART SURF G 5-6/STR GR 14MM $ 4,800.00 NEXGEN LCCK ART SURF G 5-6/STR GR 17MM $ 4,800.00 NEXGEN LCCK ART SURF G 5-6/STR GR 20MM $ 4,800.00 CHARGE DESCRIPTION CHARGE AMOUNT NEXGEN LCCK ART SURF G 7-10/BLUE 12MM $ 4,800.00 NEXGEN LCCK ART SURF G 7-10/BLUE 14MM $ 4,800.00 NEXGEN LCCK ART SURF G 7-10/BLUE 17MM $ 4,800.00 NEXGEN LCCK FEMORAL SIZE D-RT $ 11,556.00 NEXGEN LCCK FEMORAL SIZE E-LT $ 11,556.00 NEXGEN LCCK FEMORAL SIZE E-RT $ 11,556.00 NEXGEN LCCK FEMORAL SIZE F-LT $ 11,556.00 NEXGEN LCCK FEMORAL SIZE F-RT $ 11,556.00 NEXGEN LCCK FEMORAL SIZE G-LT $ 11,556.00 NEXGEN LCCK FEMORAL SIZE G-RT $ 11,556.00 NEXGEN LCCK FEMORAL SZ C-RT $ 11,556.00 NEXGEN LPS FLEX TIVANIUM FEM SIZE E LT $ 5,000.00 NEXGEN LPS FLEX TIVANIUM FEM SIZE F LT $ 5,000.00 NEXGEN LPSFLEX OPTION FEMORAL,SIZE F-LT $ 6,000.00 NEXGEN LPSFLEX OPTION FEMORAL,SIZE F-RT $ 6,000.00 NEXGEN LPSFLEX OPTION FEMORAL,SIZE G-LT $ 6,000.00 NEXGEN LPSFLEX OPTION FEMORAL,SIZE G-RT $ 6,000.00 NEXGEN LPSFLEX PRO ART SUR 7-10,17MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR CD 1-2,10MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR CD 1-2,12MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR CD 1-2,14MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR CD 1-2,17MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR CD 3-4,10MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR CD 3-4,12MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR CD 3-4,14MM $ 3,942.00 NEXGEN LPSFLEX PRO ART SUR CD 3-4,17MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR EF 3-4,10MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR EF 3-4,12MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR EF 3-4,14MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR EF 3-4,17MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR EF 3-4,20MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR EF 5-6,10MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR EF 5-6,12MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR EF 5-6,14MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR EF 5-6,17MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR EF 7-10,10MM $ 3,942.00 NEXGEN LPSFLEX PRO ART SUR GH 5-6,10MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR GH 5-6,12MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR GH 5-6,14MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR GH 5-6,17MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR GH 7-10,10MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR GH 7-10,12MM $ 2,500.00 NEXGEN LPSFLEX PRO ART SUR GH 7-10,14MM $ 2,500.00 NEXGEN LPS-FLEX PROLONG SZ E 1-2, 10MM $ 2,500.00 NEXGEN LPS-FLEX TIVANIUM FEM SIZE E-LT $ 5,000.00 NEXGEN LPS-FLEX TIVANIUM FEM SIZE E-RT $ 5,000.00 CHARGE DESCRIPTION CHARGE AMOUNT NEXGEN LPS-FLEX TIVANIUM FEM SIZE G-RT $ 5,000.00 NEXGEN PRECOAT AGMT BLK POST SIZE E 5MM $ 3,297.00 NEXGEN PRECOAT STEMMED TIBIAL PLATE,SZ 2 $ 3,000.00 NEXGEN PRECOAT STEMMED TIBIAL PLATE,SZ 3 $ 3,000.00 NEXGEN PRECOAT STEMMED TIBIAL PLATE,SZ 4 $ 3,000.00 NEXGEN PRECOAT STEMMED TIBIAL PLATE,SZ 5 $ 3,000.00 NEXGEN PRECOAT STEMMED TIBIAL PLATE,SZ 6 $ 3,000.00 NEXGEN PRECOAT STEMMED TIBIAL PLATE,SZ 7 $ 3,000.00 NEXGEN PRECOAT STEMMED TIBIAL PLATE,SZ 8 $ 3,000.00 NEXGEN PRECOST AGMT BLK POST SIZE F 5MM $ 3,297.00 NEXGEN PROLONG ALL-POLLY PATELLA 32MM $ 2,275.00 NEXGEN PROLONG ALL-POLY PATELLA, 29MM $ 2,275.00 NEXGEN PROLONG ALL-POLY PATELLA, 32MM $ 2,275.00 NEXGEN PROLONG ALL-POLY PATELLA, 35MM $ 2,275.00 NEXGEN PROLONG ALL-POLY PATELLA, 38MM $ 2,275.00 NEXGEN PROLONG ALL-POLY PATELLA, 41MM $ 2,275.00 NEXGEN STRAIGHT STEM EXT 11MM DIAX145MM $ 2,670.00 NEXGEN STRAIGHT STEM EXT 12MMX145MM $ 2,670.00 NEXGEN STRAIGHT STEM EXT 13 MM DIAX145MM $ 2,670.00 NEXGEN STRAIGHT STEM EXT 14MM DIAX145MM $ 2,670.00 NEXGEN STRAIGHT STEM EXT 15MM DIAX145MM $ 2,670.00 NEXGEN STRAIGHT STEM EXT 15MM DIAX75MM $ 2,670.00 NEXGEN STRAIGHT STEM EXT 16MM DIAX145MM $ 2,670.00 NEXGEN TAPER PLUG $ 1,750.00 NEXGEN TIBIAL AUGMENT BLK,5MM,SZ 5 $ 3,297.00 NEXGEN TIBIAL AUGMENT BLOCK, 5MM, SIZE 3 $ 3,297.00 NEXGEN TIBIAL AUGMENT BLOCK, 5MM, SIZE4 $ 3,297.00 NEXGENLPS-FLEX PROLONGART SUR CD3-4 12MM $ 2,500.00 NEXGENPRECOAT STEMMED TIBIAL PLATE SZ 3 $ 3,000.00 NEXTERONE in DEXTROSE 360 MG/200 ML $ 18.14 NEXTRA 3.5MID 3.2 PROX STERILE $ 2,297.75 NIACIN SR CAP 250 MG $ 1.24 NICKEL LEVEL $ 166.86 NICOTINE GUM 4 MG $ 1.86 NIFEREX-150 FORTE CAP $ 1.38 NIMBEX INJ 20 MG $ 133.75 NIPRIDE INJ 50 MG $ 224.83 NITRIC OXIDE EXPIRED GAS DETERMINATION $ 104.00 NITROGLYCERIN IN D-5-W IV SOLN 250 ML $ 96.99 NITROGLYCERIN INJ 50 MG $ 68.50 NITROGLYCERIN OINTMENT 2% 1 GRAM PACKET $ 7.60 NITROLINGUAL INHALER 1 DOSE $ 100.00 NITROSTAT TAB 0.4 MG $ 4.74 NIX CREME 1% 60 ML $ 26.20 NIZORAL CREAM 2% 15 GM $ 75.16 NJX INTERLAMINAR CRV/THRC $ 1,541.95 CHARGE DESCRIPTION CHARGE AMOUNT NJX INTERLAMINAR LMBR/SAC $ 2,855.20 NJX INTERLAMINAR LMBR/SAC $ 1,541.95 NJX INTERLAMINAR LMBR/SAC $ 2,003.28 NK FLEX PATIENT SPECIFIC PIN GUIDE $ 2,800.00 NK FLX PRLNG CONF ART SURF SIZE 1/2 RT $ 4,196.50 NKII NP STEM TIBIAL BASEPLATE RT SIZE 2 $ 4,680.00 NM AERO/VENT $ 95.00 NM BONE MARROW LIMITED AREA $ 1,914.77 NM BONE MARROW MULTI AREAS $ 653.80 NM BONE MARROW WHOLE BODY $ 1,428.00 NM BONE SCAN - LIMITED $ 1,852.97 NM BONE SCAN - WHOLE BODY $ 1,713.68 NM BONE SCAN- 3 PHASE $ 1,896.05 NM BONE SPECT $ 2,129.09 NM BRAIN PERFUSION STUDY $ 761.28 NM CARDIOLITE 40 mCi $ 244.34 NM CARDIOLITE STRESS TEST $ 4,252.57 NM CERETEC 25 mCi $ 7,155.36 NM CERETEC WBC SPECT - ABSCESS $ 3,421.19 NM CERETEC WBC SPECT - TUMOR $ 2,188.84 NM CERETEC WBC SPOTS - ABSCESS $ 2,553.48 NM CERETEC WBC SPOTS - TUMOR $ 795.00 NM CERETEC WBC WHOLE BODY - ABSCESS $ 1,428.00 NM CERETEC WBC WHOLE BODY - TUMOR $ 2,374.41 NM CHOLETEC 15 mCi $ 152.94 NM CISTERNOGRAPHY $ 1,310.48 NM CISTERNOGRAPHY - LEAK DETECTION $ 1,803.90 NM CISTERNOGRAPHY SPECT $ 1,803.90 NM DMSA 10 mCi $ 369.00 NM DTPA (IV) 25 mCi $ 189.88 NM DTPA AERO 75 mCi $ 295.21 NM GALLIUM 1 mCi $ 296.00 NM GALLIUM SPECT - ABSCESS $ 3,421.19 NM GALLIUM SPECT - TUMOR $ 2,188.84 NM GALLIUM SPOTS - TUMOR $ 795.00 NM GALLIUM SPOTS-ABSCESS $ 1,803.90 NM GALLIUM WHOLE BODY - ABSCESS $ 2,911.10 NM GALLIUM WHOLE BODY - TUMOR $ 2,374.41 NM GASTROESOPHAGEAL REFLUX $ 832.00 NM GI BLEEDING SCAN $ 2,020.20 NM GI EMPTYING $ 1,942.09 NM HEPATOBILIARY W GBEF $ 3,187.11 NM HEPATOBILIARY W/O GBEF $ 2,128.55 NM I-123 CAPS 100 uCi $ 142.46 NM I123 THYROID W WHOLE BODY MET SURVEY $ 2,374.46 NM I-131 CAPS TX 1 mCi $ 68.60 CHARGE DESCRIPTION CHARGE AMOUNT NM I-131 MIBG 0.5 mCi $ 4,124.00 NM I-131 THYROID WHOLE BODY MET SURVEY $ 2,374.46 NM In111 DTPA 0.5 mCi $ 3,793.58 NM In-111 OXY 0.5 mCi $ 2,918.00 NM In-111 PENTETREOTIDE 6 mCi $ 10,211.43 NM In-111 PROSTASCINT 10 McI $ 5,580.00 NM INDIUM WBC SPECT - ABSCESS $ 3,421.19 NM INDIUM WBC SPECT - TUMOR $ 2,188.84 NM INDIUM WBC SPOTS - ABSCESS $ 2,553.48 NM INDIUM WBC SPOTS - TUMOR $ 795.00 NM INDIUM WBC WHOLE BODY - ABSCESS $ 2,911.10 NM INDIUM WBC WHOLE BODY - TUMOR $ 2,374.41 NM LIVER SPECT $ 931.00 NM LIVER SPLEEN $ 1,475.65 NM LUNG (PERFUSION) $ 1,272.00 NM LUNG (VENTILATION) $ 723.00 NM LUNG QUANTITATIVE $ 1,632.82 NM LUNG VQ $ 1,878.58 NM LYMPHATIC IMAGING $ 1,450.89 NM LYMPHOSEEK 0.5 mCi $ 168.00 NM MAA 10 mCi $ 313.20 NM MAG3 15 mCi $ 550.40 NM MDP 30 mCi $ 122.81 NM MECKEL'S DIVERTICULUM $ 1,506.00 NM MUGA SCAN $ 2,884.96 NM MYOCARDIAL INFARCT $ 1,175.00 NM MYOCARDIAL INFARCTION SPECT $ 1,803.90 NM MYOCARDIAL PERFUSION - STRESS ONLY $ 2,712.58 NM MYOCARDIAL PERFUSION - REST ONLY $ 2,888.25 NM OCTREOSCAN - WHOLE BODY 2+ DAYS $ 1,815.00 NM OCTREOSCAN SPECT $ 2,188.84 NM PARATHYROID PLANAR IMAGING $ 1,232.95 NM PARATHYROID SPECT $ 2,188.84 NM PERTECHNETATE 1 mCi $ 125.38 NM PROSTASCINT - IN111 CAPROMAB =<10 MCI $ 5,580.00 NM PYP 25 mCi $ 62.00 NM QUANTITATIVE WITH VENTILATION $ 591.00 NM RENAL HISTOGRAM - W/O PHARM. $ 1,617.55 NM RENAL HISTOGRAM - WITH PHARM $ 1,879.21 NM RENAL MORPHOLOGY $ 777.50 NM RENAL SPECT $ 770.00 NM SENTINEL NODE INJ ONLY $ 1,274.10 NM SULFUR COLLOID 20 mCi $ 221.80 NM TESTICULAR SCAN $ 614.00 NM THALLIUM 1 mCi $ 338.00 NM THALLIUM STRESS TEST $ 3,850.29 CHARGE DESCRIPTION CHARGE AMOUNT NM THALLIUM-REST ONLY $ 2,712.58 NM THALLIUM-STRESS ONLY $ 2,712.58 NM THYROID THERAPY $ 1,837.41 NM ULTRATAG 30 mCi $ 392.46 NMP 22 $ 140.08 NMR LIPOSCIENCE $ 123.47 NOLVADEX TAB 10 MG $ 2.44 NON DOT CONSORTIUM $ 20.00 NON FORMULARY DRUG $ 24.02 NON FORMULARY RT DRUG $ 0.60 NON INV UP/LOW EXT ARTERY $ 559.46 NON LOCK SCREW 1.3X08MM $ 197.60 NON LOCK SCREW 1.3X11MM $ 187.72 NON LOCK SCREW 1.3X13MM $ 187.72 NON LOCK SCREW 1.3X14MM $ 187.72 NON LOCK SCREW 1.3X15MM $ 187.72 NON LOCK SCREW 1.5X08MM $ 212.80 NON LOCK SCREW 1.5X09MM $ 202.16 NON LOCK SCREW 1.5X10MM $ 202.16 NON LOCK SCREW 1.5X11MM $ 202.16 NON LOCK SCREW 1.5X12MM $ 202.16 NON LOCK SCREW 1.5X13MM $ 202.16 NON LOCK SCREW 1.5X14MM $ 202.16 NON LOCK SCREW 1.5X15MM $ 202.16 NON LOCK SCREW 1.5X16MM $ 202.16 NON SELECTIVE CATH PLACEMENT $ 6,222.00 NON STRESS TEST CS $ 409.63 NON-INVASIVE CARBOXYHEMOGLOBIN $ 33.40 NON-OB TRANSVAG US $ 69.74 NON-OB TRANSVAG US $ 164.46 NONSELECTIVE CATH - AORTA $ 360.43 NONSELECTIVE CATH SUP/INF VENA CAVA $ 281.58 Non-selective iliac with heart cath $ 2,344.00 NORCO 325MG TAB $ 5.37 NORCO 7.5/325 MG TAB $ 7.54 NORCO TAB 10/325 $ 6.80 NORCURON INJ 10 MG $ 38.35 NORFLEX INJ 60 MG $ 81.37 NORMAL SALINE IRRIGATION 250ML $ 61.50 NORMAL SALINE IRRIGATION SOLN 1000 ML $ 73.55 NORMAL SALINE IRRIGATION SOLN 1500 ML $ 73.55 NORMAL SALINE IRRIGATION SOLN 3000 ML $ 73.55 NORMAL SALINE IRRIGATION SOLN 500 ML $ 67.90 NORMODYNE TAB 100 MG $ 2.36 NORMODYNE TAB 200 MG $ 2.91 NORVASC TAB 5 MG $ 1.24 CHARGE DESCRIPTION CHARGE AMOUNT NOSE $ 486.59 NOVOLIN 70/30 INJ 1 DOSE $ 10.00 NOVOLIN-R INJ 1 DOSE $ 10.00 NRV CNDJ TST 11-12 STUDIES $ 319.28 NRV CNDJ TST 11-12 STUDIES $ 193.52 NRV CNDJ TST 13 OR GRTR STUDIES $ 378.28 NRV CNDJ TST 13 OR GRTR STUDIES $ 213.98 NRV CNDJ TST 3-4 STUDIES $ 135.28 NRV CNDJ TST 3-4 STUDIES $ 110.32 NRV CNDJ TST 5-6 STUDIES $ 161.26 NRV CNDJ TST 5-6 STUDIES $ 131.44 NRV CNDJ TST 7-8 STUDIES $ 215.28 NRV CNDJ TST 7-8 STUDIES $ 170.40 NRV CNDJ TST 9-10 STUDIES $ 268.56 NRV CNDJ TST 9-10 STUDIES $ 192.20 NRW PROF CLAVICLE PLATE 6 HOLE RT $ 3,367.00 NSL/SINS NDSC FRNT TISS RMVL $ 953.48 NSL/SINS NDSC FRNT TISS RMVL $ 1,842.00 NSL/SINS NDSC SPHN TISS RMVL $ 960.02 NSL/SINS NDSC SPHN TISS RMVL $ 1,777.95 NSL/SINS NDSC TOT W/SPHENDT $ 906.46 NSL/SINS NDSC TOT W/SPHENDT $ 1,676.92 NSL/SINS NDSC TOTAL $ 1,016.38 NSL/SINS NDSC TOTAL $ 1,884.30 NSL/SINS NDSC W SINS DILAT $ 518.10 NSL/SINS NDSC W SINS DILAT $ 777.15 NSL/SINS NDSC W/PRTL ETHMDCT $ 613.60 NSL/SINS NDSC W/PRTL ETHMDCT $ 984.00 NSL/SINS NDSC W/TOT ETHMDCT $ 816.15 NSL/SINS NDSC W/TOT ETHMDCT $ 1,461.00 NTG INTRACORONARY INJ 50 MCG $ 25.00 NUBAIN INJ 10 MG $ 26.29 NUCLEAR RX IV ADMIN $ 1,443.78 NUCLEOTIDASE -5- $ 78.09 NURSE PRESENTATION $ 50.00 NURSERY ICU R&B $ 1,589.00 NURSERY ISOLATION R&B $ 1,173.93 NURSERY R&B $ 1,178.40 NURSING FAC CARE SUBSEQ $ 110.05 NURSING FAC CARE SUBSEQ $ 171.05 NURSING FAC CARE SUBSEQ $ 226.20 NURSING FAC CARE SUBSEQ $ 336.55 NURSING FACILITY CARE INIT $ 226.05 NURSING FACILITY CARE INIT $ 323.28 NURSING FACILITY CARE INIT $ 413.90 NVR CNDJ TST 1-2 STUDIES $ 107.30 CHARGE DESCRIPTION CHARGE AMOUNT NVR CNDJ TST 1-2 STUDIES $ 82.60 NXGN FLUTED STM EXT 15MM X 175MM 130MM $ 2,550.00 NXGN STR. STEM EXT 7MM X 100MM $ 2,670.00 NXGN STR. STEM EXT. $ 2,670.00 NYSTATIN SUSP 500 000 UNIT 5 ML $ 4.15 Oasis Application(First 100 Sq cm) $ 776.00 OB US DETAILED SNGL FETUS $ 350.92 OB US DETAILED SNGL FETUS $ 195.46 OB US DETAILED SNGL FETUS $ 155.46 OB US FOLLOW-UP PER FETUS $ 88.06 OB US FOLLOW-UP PER FETUS $ 135.42 OB US GREATER THAN = 14 WKS ADDL FETUS $ 100.72 OB US GREATER THAN = 14 WKS ADDL FETUS $ 81.20 OB US GREATER THAN = 14 WKS SNGL FETUS $ 122.13 OB US GREATER THAN = 14 WKS SNGL FETUS $ 126.80 OB US GREATER THAN = 14 WKS SNGL FETUS $ 216.30 OB US LESS THAN 14 WKS ADDL FETUS $ 85.22 OB US LESS THAN 14 WKS ADDL FETUS $ 42.26 OB US LESS THAN 14 WKS SINGLE FETUS $ 100.04 OB US LESS THAN 14 WKS SINGLE FETUS $ 138.72 OB US LIMITED 1+ FETUS(S) $ 65.54 OB US LIMITED 1+ FETUS(S) $ 97.78 OBS ADM DIS SAME DAY HIGH SEVERITY $ 1,684.80 OBS ADM/DIS CDU MONITORED MCD $ 1,317.64 OBS ADM/DIS SAME DAY FETAL/REG MONIT OB $ 1,152.91 OBS ADM/DIS SAME DAY LOW SEVERITY 6THMED $ 1,152.91 OBS ADMIT/DISC SAME DAY SEVERE SEV ICU $ 1,684.80 OBS ADMT/DIS SAME DAY MILD BLED/UTI OB $ 1,317.64 OBS PER DAY CDU MONITORED MCD $ 1,755.60 OBS PER HOUR $ 67.34 OBS PER HR MEDICARE CDU MONITORED $ 69.49 OBS SERVICES PER HOUR ICU $ 71.16 OBS/HR CDU MONITORED $ 73.15 OBS/HR CDU MONITORED $ 73.15 OBSER LEVEL 1/HRLY 6TH MEDICAL $ 70.88 OBSER LEVEL 1/HRLY OB $ 70.88 OBSERV LEVEL 3/HRLY ICU $ 74.91 OBSERV/HOSP SAME DATE $ 331.85 OBSERV/HOSP SAME DATE $ 421.35 OBSERV/HOSP SAME DATE $ 543.70 OBSERV/HOSP SAME DATE $ 331.85 OBSERV/HOSP SAME DATE $ 421.35 OBSERV/HOSP SAME DATE $ 543.70 OBSERV/HOSP SAME DATE $ 331.85 OBSERV/HOSP SAME DATE $ 421.35 OBSERV/HOSP SAME DATE $ 543.70 CHARGE DESCRIPTION CHARGE AMOUNT OBSERV/HOSP SAME DATE $ 331.85 OBSERV/HOSP SAME DATE $ 421.35 OBSERV/HOSP SAME DATE $ 543.70 OBSERV/HOSP SAME DATE $ 331.85 OBSERV/HOSP SAME DATE $ 421.35 OBSERV/HOSP SAME DATE $ 543.70 OBSERV/HOSP SAME DATE $ 331.85 OBSERV/HOSP SAME DATE $ 421.35 OBSERV/HOSP SAME DATE $ 543.70 OBSERV/HOSP SAME DATE $ 331.85 OBSERV/HOSP SAME DATE $ 421.35 OBSERV/HOSP SAME DATE $ 543.70 OBSERVATION CARE DISCHARGE $ 181.00 OBSERVATION CARE DISCHARGE $ 181.00 OBSERVATION CARE DISCHARGE $ 181.00 OBSERVATION CARE DISCHARGE $ 181.00 OBSERVATION CARE DISCHARGE $ 181.00 OBSERVATION CARE DISCHARGE $ 181.10 OBSERVATION CARE DISCHARGE $ 181.00 OBSTETRICS R&B $ 963.67 OBTAINING SCREEN PAP SMEAR $ 16.41 OBTAINING SCREEN PAP SMEAR $ 25.64 OBTAINING SCREEN PAP SMEAR $ 42.04 OBTURATOR SYSTEM TVT $ 2,559.00 OCC HEALTH ASSESSMENT KCH $ 50.00 OCCULT BLOOD BY FECAL HGB $ 119.50 OCCULT BLOOD FECES $ 22.00 OCCULT BLOOD -GASTRIC $ 40.00 OCCULT BLOOD, OTHER SOURCE $ 34.70 OCCULT BLOOD, OTHER SOURCE $ 34.70 OCREVUS 300MG INJ $ 81.25 OFFICE - OUTPATIENT VISIT EST $ 90.00 OFFICE - OUTPATIENT VISIT EST $ 198.00 OFFICE - OUTPATIENT VISIT EST $ 282.00 OFFICE - OUTPATIENT VISIT EST $ 90.00 OFFICE - OUTPATIENT VISIT EST $ 198.00 OFFICE - OUTPATIENT VISIT EST $ 282.00 OFFICE - OUTPATIENT VISIT EST $ 90.00 OFFICE - OUTPATIENT VISIT EST $ 198.00 OFFICE - OUTPATIENT VISIT EST $ 282.00 OFFICE - OUTPATIENT VISIT EST $ 90.00 OFFICE - OUTPATIENT VISIT EST $ 198.00 OFFICE - OUTPATIENT VISIT EST $ 282.00 OFFICE - OUTPATIENT VISIT EST $ 90.00 OFFICE - OUTPATIENT VISIT EST $ 198.00 OFFICE - OUTPATIENT VISIT EST $ 282.00 CHARGE DESCRIPTION CHARGE AMOUNT OFFICE - OUTPATIENT VISIT EST $ 90.00 OFFICE - OUTPATIENT VISIT EST $ 198.00 OFFICE - OUTPATIENT VISIT EST $ 282.00 OFFICE - OUTPATIENT VISIT NEW $ 96.00 OFFICE - OUTPATIENT VISIT NEW $ 213.00 OFFICE - OUTPATIENT VISIT NEW $ 325.00 OFFICE - OUTPATIENT VISIT NEW $ 425.00 OFFICE - OUTPATIENT VISIT NEW $ 130.00 OFFICE - OUTPATIENT VISIT NEW $ 96.00 OFFICE - OUTPATIENT VISIT NEW $ 213.00 OFFICE - OUTPATIENT VISIT NEW $ 325.00 OFFICE - OUTPATIENT VISIT NEW $ 425.00 OFFICE - OUTPATIENT VISIT NEW $ 130.00 OFFICE - OUTPATIENT VISIT NEW $ 96.00 OFFICE - OUTPATIENT VISIT NEW $ 213.00 OFFICE - OUTPATIENT VISIT NEW $ 325.00 OFFICE - OUTPATIENT VISIT NEW $ 425.00 OFFICE - OUTPATIENT VISIT NEW $ 130.00 OFFICE - OUTPATIENT VISIT NEW $ 96.00 OFFICE - OUTPATIENT VISIT NEW $ 213.00 OFFICE - OUTPATIENT VISIT NEW $ 325.00 OFFICE - OUTPATIENT VISIT NEW $ 425.00 OFFICE - OUTPATIENT VISIT NEW $ 130.00 OFFICE - OUTPATIENT VISIT NEW $ 96.00 OFFICE - OUTPATIENT VISIT NEW $ 213.00 OFFICE - OUTPATIENT VISIT NEW $ 325.00 OFFICE - OUTPATIENT VISIT NEW $ 425.00 OFFICE - OUTPATIENT VISIT NEW $ 130.00 OFFICE - OUTPATIENT VISIT NEW $ 96.00 OFFICE - OUTPATIENT VISIT NEW $ 213.00 OFFICE - OUTPATIENT VISIT NEW $ 325.00 OFFICE - OUTPATIENT VISIT NEW $ 425.00 OFFICE - OUTPATIENT VISIT NEW $ 130.00 OFFICE CONSULTATION $ 122.00 OFFICE CONSULTATION $ 228.00 OFFICE CONSULTATION $ 313.00 OFFICE CONSULTATION $ 464.00 OFFICE CONSULTATION $ 610.00 OFFICE CONSULTATION $ 122.00 OFFICE CONSULTATION $ 228.00 OFFICE CONSULTATION $ 313.00 OFFICE CONSULTATION $ 464.00 OFFICE CONSULTATION $ 610.00 OFFICE CONSULTATION $ 122.00 OFFICE CONSULTATION $ 228.00 OFFICE CONSULTATION $ 313.00 CHARGE DESCRIPTION CHARGE AMOUNT OFFICE CONSULTATION $ 464.00 OFFICE CONSULTATION $ 610.00 OFFICE CONSULTATION $ 122.00 OFFICE CONSULTATION $ 228.00 OFFICE CONSULTATION $ 313.00 OFFICE CONSULTATION $ 464.00 OFFICE CONSULTATION $ 610.00 OFFICE CONSULTATION $ 122.00 OFFICE CONSULTATION $ 228.00 OFFICE CONSULTATION $ 313.00 OFFICE CONSULTATION $ 464.00 OFFICE CONSULTATION $ 610.00 OFFICE CONSULTATION $ 53.00 OFFICE CONSULTATION $ 69.00 OFFICE CONSULTATION $ 122.00 OFFICE CONSULTATION $ 99.00 OFFICE CONSULTATION $ 129.00 OFFICE CONSULTATION $ 228.00 OFFICE CONSULTATION $ 136.00 OFFICE CONSULTATION $ 177.00 OFFICE CONSULTATION $ 313.00 OFFICE CONSULTATION $ 200.00 OFFICE CONSULTATION $ 264.00 OFFICE CONSULTATION $ 464.00 OFFICE CONSULTATION $ 247.00 OFFICE CONSULTATION $ 363.00 OFFICE CONSULTATION $ 610.00 OFFICE ENGERIX-B PED VACCINE 0.5 ML $ 51.60 OFFICE OUTPATIENT VISIT NEW $ 160.00 OFFICE- OUTPATIENT VISIT NEW $ 142.00 OFFICE- OUTPATIENT VISIT NEW $ 142.00 OFFICE- OUTPATIENT VISIT NEW $ 142.00 OFFICE- OUTPATIENT VISIT NEW $ 142.00 OFFICE- OUTPATIENT VISIT NEW $ 142.00 OFFICE- OUTPATIENT VISIT NEW $ 142.00 OFFICE/OUTPATIENT VISIT EST $ 26.00 OFFICE/OUTPATIENT VISIT EST $ 39.00 OFFICE/OUTPATIENT VISIT EST $ 61.75 OFFICE/OUTPATIENT VISIT EST $ 61.75 OFFICE/OUTPATIENT VISIT EST $ 65.00 OFFICE/OUTPATIENT VISIT EST $ 123.50 OFFICE/OUTPATIENT VISIT EST $ 36.00 OFFICE/OUTPATIENT VISIT EST $ 54.00 OFFICE/OUTPATIENT VISIT EST $ 71.50 OFFICE/OUTPATIENT VISIT EST $ 71.50 OFFICE/OUTPATIENT VISIT EST $ 90.00 CHARGE DESCRIPTION CHARGE AMOUNT OFFICE/OUTPATIENT VISIT EST $ 143.00 OFFICE/OUTPATIENT VISIT EST $ 52.00 OFFICE/OUTPATIENT VISIT EST $ 78.00 OFFICE/OUTPATIENT VISIT EST $ 79.62 OFFICE/OUTPATIENT VISIT EST $ 79.63 OFFICE/OUTPATIENT VISIT EST $ 130.00 OFFICE/OUTPATIENT VISIT EST $ 159.25 OFFICE/OUTPATIENT VISIT EST $ 79.20 OFFICE/OUTPATIENT VISIT EST $ 99.00 OFFICE/OUTPATIENT VISIT EST $ 99.00 OFFICE/OUTPATIENT VISIT EST $ 118.80 OFFICE/OUTPATIENT VISIT EST $ 198.00 OFFICE/OUTPATIENT VISIT EST $ 198.00 OFFICE/OUTPATIENT VISIT EST $ 112.80 OFFICE/OUTPATIENT VISIT EST $ 141.00 OFFICE/OUTPATIENT VISIT EST $ 141.00 OFFICE/OUTPATIENT VISIT EST $ 169.20 OFFICE/OUTPATIENT VISIT EST $ 282.00 OFFICE/OUTPATIENT VISIT EST $ 282.00 OFFICE/OUTPATIENT VISIT EST $ 120.00 OFFICE/OUTPATIENT VISIT EST $ 150.00 OFFICE/OUTPATIENT VISIT EST $ 170.00 OFFICE/OUTPATIENT VISIT EST $ 190.00 OFFICE/OUTPATIENT VISIT EST $ 210.00 OFFICE/OUTPATIENT VISIT NEW $ 269.50 OFFICE/OUTPATIENT VISIT NEW $ 38.40 OFFICE/OUTPATIENT VISIT NEW $ 57.60 OFFICE/OUTPATIENT VISIT NEW $ 63.70 OFFICE/OUTPATIENT VISIT NEW $ 63.70 OFFICE/OUTPATIENT VISIT NEW $ 96.00 OFFICE/OUTPATIENT VISIT NEW $ 127.40 OFFICE/OUTPATIENT VISIT NEW $ 56.80 OFFICE/OUTPATIENT VISIT NEW $ 78.65 OFFICE/OUTPATIENT VISIT NEW $ 78.65 OFFICE/OUTPATIENT VISIT NEW $ 85.20 OFFICE/OUTPATIENT VISIT NEW $ 142.00 OFFICE/OUTPATIENT VISIT NEW $ 157.30 OFFICE/OUTPATIENT VISIT NEW $ 85.20 OFFICE/OUTPATIENT VISIT NEW $ 106.50 OFFICE/OUTPATIENT VISIT NEW $ 106.50 OFFICE/OUTPATIENT VISIT NEW $ 127.80 OFFICE/OUTPATIENT VISIT NEW $ 213.00 OFFICE/OUTPATIENT VISIT NEW $ 213.00 OFFICE/OUTPATIENT VISIT NEW $ 130.00 OFFICE/OUTPATIENT VISIT NEW $ 162.50 OFFICE/OUTPATIENT VISIT NEW $ 162.50 CHARGE DESCRIPTION CHARGE AMOUNT OFFICE/OUTPATIENT VISIT NEW $ 195.00 OFFICE/OUTPATIENT VISIT NEW $ 325.00 OFFICE/OUTPATIENT VISIT NEW $ 325.00 OFFICE/OUTPATIENT VISIT NEW $ 170.00 OFFICE/OUTPATIENT VISIT NEW $ 212.50 OFFICE/OUTPATIENT VISIT NEW $ 212.50 OFFICE/OUTPATIENT VISIT NEW $ 255.00 OFFICE/OUTPATIENT VISIT NEW $ 425.00 OFFICE/OUTPATIENT VISIT NEW $ 425.00 OFFICE/OUTPATIENT VISIT NEW $ 140.00 OFFICE/OUTPATIENT VISIT NEW $ 160.00 OFFICE/OUTPATIENT VISIT NEW $ 180.00 OFFICE/OUTPATIENT VISIT NEW $ 200.00 OFFICE/OUTPATIENT VISIT NEW $ 543.00 OFIRMEV 10MG/ML 100ML $ 2.01 OGEN DUAL STRAIGHT CATHODES $ 20,160.00 OMIDRIA 1-0.3% 4 ML VIAL $ 556.75 OMNILINK VASCULAR BALLOON STENT10MM $ 2,887.50 OMNIOPAQUE 350MG/ML INJ 75 ML $ 275.00 ONCOLOGY OVARIAN $ 535.00 ONCOTYPE DX BREAST $ 7,746.00 ONCOVIN INJ 2 MG $ 14.52 ONE STEP REAMER 11.5MM $ 2,359.88 ONESNARE 10MM 120CM 4F $ 985.80 ON-SITE BLOODBORNE PATHOGENS $ 75.00 ON-SITE NURSING PER HR $ 75.00 ON-SITE PRESENTATION/PHYSICIAN $ 200.00 ON-SITE TESTING $ 50.00 OOPHORECTOMY PARTIAL OR TOTAL UNILAT $ 1,313.30 OP AV FUSE UPPR ARM CEPHALIC $ 1,426.36 OP EST PT - CLINIC 1 $ 120.00 OP EST PT - CLINIC 1 $ 150.00 OP EST PT - CLINIC 3 $ 170.00 OP EST PT - CLINIC 4 $ 190.00 OP EST PT - CLINIC 5 $ 210.00 OP INC FOOT/TOE EXTENSOR TENDON $ 339.04 OP INC FOOT/TOE EXTENSOR TENDON $ 1,754.92 OP INC FOOT/TOE EXTENSOR TENDON $ 2,093.96 OP NEW PT CLINIC 1 $ 140.00 OP NEW PT CLINIC 2 $ 160.00 OP NEW PT CLINIC 3 $ 180.00 OP NEW PT CLINIC 4 $ 200.00 OP NEW PT CLINIC 5 $ 543.00 OP PERC TX TIB SHAFT FX BY IM IMPL $ 2,009.66 OP REVISN TENDON - ELB TO SHLDR $ 1,164.73 OP TX ACLAV DISLOC ACUTE/CHRONIC $ 1,401.38 CHARGE DESCRIPTION CHARGE AMOUNT OP TX ACLAV DISLOC W GRAFT $ 1,631.65 OP TX DSTL RADIOULNAR DISLOCATION $ 1,433.00 OP TX FEM SFT FX W INS IM IMPL $ 3,363.05 OP TX HUMERUS SHFT FX W PLATE SCREWS $ 2,190.52 OP TX PA ELBOW FX/DISLOC W IMPL $ 2,195.76 OP TX PATEL FX W IF /REP $ 1,879.40 OP TX ULNAR STYL FX $ 1,241.82 OPDIVO INJECTION (NIVOLUMAB) $ 56.91 OPDIVO INJECTION (NIVOLUMAB) $ 61.28 OPEN - INCIS BREAST BX $ 2,553.55 OPEN ANKLE JNT FUSION $ 2,582.43 OPEN BX OR EXC LN; SUPERFICIAL $ 640.98 OPEN BX OR EXC LN; SUPERFICIAL $ 850.99 OPEN BX/EXC LN; AXILLARY NODE(S) $ 1,101.68 OPEN BX/EXC LN; AXILLARY NODE(S) $ 1,428.00 OPEN BX/EXC LN; DEEP CERV NODE(S) $ 1,055.13 OPEN OSTEOCHONDRAL KNEE ALLOGRAFT $ 3,428.33 OPEN PROX HUMERAL FRACT PROSTH REPLC $ 2,494.20 OPEN REPAIR ROTATOR CUFF $ 1,644.78 OPEN REVISE AV FIST W THROMBECT $ 1,664.02 OPEN TX ARTICULAR FRACT MCP/IP JOINT EA $ 1,850.57 OPEN TX BIMALLEOLAR ANKLE FRACTURE $ 1,925.83 OPEN TX CARPAL BONE FRACT OTH/THN SCAPHO $ 1,418.38 OPEN TX CARPAL SCAPHOID NAVICULAR FRACT $ 1,793.55 OPEN TX CARPOMETACARPAL DISLC NOT THUMB $ 1,429.88 OPEN TX CARPOMETACARPAL FRACTURE DISLC T $ 1,556.55 OPEN TX DISTAL FIBULAR FRACT LAT MALLEOL $ 1,621.65 OPEN TX DISTAL PHALANG FRACT EA $ 1,025.00 OPEN TX FEMORAL FRACT DISTAL MED/LAT CON $ 2,432.55 OPEN TX FEMORAL SUPRACONDYLAR FRACT W XT $ 3,128.35 OPEN TX FEMORAL SUPRACONDYLAR FRACT WO X $ 2,381.00 OPEN TX FRACTURE DISTAL TIBIA FIBULA $ 3,286.13 OPEN TX FRACTURE DISTAL TIBIA ONLY $ 2,743.30 OPEN TX PHALANG SHAFT FRACT PROX/MIDDLE $ 1,480.08 OPEN TX PROXIMAL HUMERAL FRACTURE $ 2,212.83 OPEN TX RADIAL ULNAR SHAFT FX FIXJ RADI $ 2,249.05 OPEN TX RADIAL HEAD/NECK FRACTURE $ 1,625.78 OPEN TX RADIAL HEAD/NECK FRACTURE PROSTH $ 1,464.88 OPEN TX RADIAL SHAFT FRACTURE $ 1,530.00 OPEN TX TIBIAL FRACT PROX UNICONDYLAR $ 2,255.20 OPEN TX TIBIAL FX PROXIM; BICONDYLAR $ 2,988.55 OPEN TX TRIMALLEOLAR ANKLE FX W FIX PST $ 2,426.28 OPEN TX TRIMALLEOLAR ANKLE FX WO FIX PST $ 2,138.18 OPEN TX ULNAR FRACTURE PROXIMAL END $ 1,627.73 OPEN/PERQ PLACE STENT 1ST $ 1,152.10 OPEN/PERQ PLACE STENT 1ST INITIAL ARTERY $ 24,443.58 CHARGE DESCRIPTION CHARGE AMOUNT OPEN/PERQ PLACE STENT EA ADD $ 552.05 OPEN/PERQ PLACE STENT EACH ADD ARTERY $ 7,625.00 OPEN/PERQ PLACE STENT EACH ADD VEIN $ 10,211.65 OPEN/PERQ PLACE STENT SAME $ 625.44 OPEN/PERQ PLACE STENT SAME INITIAL VEIN $ 24,443.58 OPHTHETIC OPHTH SOLN 0.5% 15 ML $ 106.30 OPIATES 1 OR MORE $ 55.62 OPIODS & OPIATE ANALOGS 1/2 $ 24.72 OPITVOL ICD EVAL $ 56.60 OPN FEM ART EXPOS $ 427.30 OPTI FLEX SOFTGOODS $ 79.96 OPTOKINETIC NYSTAGMUS TEST W/BIDIRECTION $ 156.00 OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLY $ 1,553.93 OPTX MEDIAL ANKLE FX $ 1,512.60 OR LEVEL 1 - INITIAL 15 MIN-ENDO $ 1,807.85 OR LEVEL 2 - EACH ADDITIONAL MINUTE $ 43.89 OR LEVEL 2 - INITIAL 15 MINUTES $ 3,229.05 OR LEVEL 3 - EACH ADDITIONAL MINUTE $ 57.48 OR LEVEL 3 - INITIAL 15 MINUTES $ 4,561.43 OR LEVEL 4 - EACH ADDITIONAL MINUTE $ 67.93 OR LEVEL 4 - INITIAL 15 MINUTES $ 5,891.71 ORAJEL GEL 20% 7.5ML $ 8.00 ORAL GALLBLADDER $ 379.08 ORBITS $ 448.19 ORCHIECTOM RADICAL - ING APPR $ 1,023.68 ORCHIECTOMY SIMPLE $ 826.38 ORCHIOPEXY INGUINAL APPROACH $ 1,210.78 ORENCIA VIAL 250 MG $ 99.45 ORGANIC ACID QUALITATIVE URINE $ 522.21 ORTH ENCOUNTER MANAGEMENT SUBSEQUENT-15M $ 138.00 OS CALCIS - LEFT $ 426.03 OS CALCIS - RIGHT $ 426.03 OSCILLATING TRACKING TEST W/RECORDING $ 154.00 OSHA RESPIRATOR QUESTIONNAIRE/REVIEW $ 35.00 OSMOLALITY SERUM $ 74.00 OSTEOCALCIN $ 326.15 OSTEOCHONDR ALLGRF KNEE W SCOPE $ 3,218.18 OSTEOPATH MANJ 1-2 REGIONS $ 60.75 OSTEOPATH MANJ 3-4 REGIONS $ 114.95 OSTEOPATH MANJ 5-6 REGIONS $ 60.75 OSTEOPATHIC MANIPULATION 1-2 BODY REGION $ 31.10 OSTEOPATHIC MANIPULATION 1-2 BODY REGION $ 32.01 OSTEOPATHIC MANIPULATION 1-2 BODY REGION $ 63.10 OSTEOPATHIC MANIPULATION 3-4 BODY REGION $ 89.80 OSTEOPATHIC MANIPULATION TX (1-2 REGION) $ 31.80 OSTEOTOMY MIDT BONE $ 1,218.96 CHARGE DESCRIPTION CHARGE AMOUNT OSTEOTOMY ULNA $ 1,303.80 OSTEOTOMY; CALCANEUS $ 1,630.18 OT APPLICATION OF FINGER SPLINT-STATIC $ 126.24 OT AQUATIC THERAPY WITH EXERCISES-15 MIN $ 132.19 OT COMM REINTEGRATION TRAINING-15 MIN $ 75.71 OT CONTRAST BATH APPLICATION- 15 MIN $ 49.20 OT ELEC STIM OTHER THAN WOUND MEDICARE $ 71.26 OT ELECTRICAL STIM APPL U GRT EQ 1 AREA $ 65.51 OT EVAL HIGH COMPLEX 60 MIN $ 291.59 OT EVAL LOW COMPLEX 30 MIN $ 248.28 OT EVAL MOD COMPLEX 45 MIN $ 257.53 OT GROUP THERAPEUTIC PROCEDURES $ 79.00 OT IONTOPHORESIS APPLICATION-15 MIN CA $ 81.00 OT MANUAL THER MOBS TX -15 MIN $ 110.84 OT MANUAL THER MOBS TX -15 MIN $ 110.84 OT NEUROMUSCULAR REEDUCATION-15 MIN $ 114.71 OT NEUROMUSCULAR REEDUCATION-15 MIN $ 114.71 OT OH ENCOUNTER MANAGEMENT SUBSEQUENT15M $ 138.00 OT ORTH MGMT/TRNG ENCOUNTER INITIAL- 15M $ 112.43 OT PARAFFIN BATH APPL GREAT EQ AREA S $ 94.87 OT PHYSICAL PERF TEST OR MEASUREMENT 15M $ 93.52 OT PROSTHETIC TRNG INITIAL ENCOUNTER 15M $ 93.30 OT RE-EVALUATION $ 171.72 OT SELF CARE HOME MGMT TRNG-15 MIN CA $ 130.46 OT SELF CARE HOME MGMT TRNG-15 MIN CA $ 130.46 OT SENSORY INTEGRATIVE TECHNIQUES 15M $ 90.39 OT THER ACTIVITIES DIRECT 15 M $ 122.58 OT THER ACTIVITIES DIRECT 15 M $ 122.58 OT THER EXERCISES ROM STRENGTH END 15M $ 120.32 OT THER EXERCISES ROM STRENGTH END 15M $ 120.32 OT- THERAPEUTIC INTERVENTION COG. FUNC $ 82.00 OT- THERAPEUTIC INTERVENTION COG. FUNC $ 82.00 OT THERAPEUTIC MASSAGE- 15 MIN $ 56.00 OT ULTRASOUND APPLICATION 15 M $ 56.68 OT ULTRASOUND APPLICATION 15 M $ 56.68 OT VASOPNEU APPL DEV GREAT EQ 1 AREA $ 102.60 OT VISUALSPATIAL EVAL 1HR $ 373.22 OT-1 PATIENTS SELF MANAGEMENT ED-30MIN $ 44.00 OT-2-4 PATIENTS SELF MANAGEMENT ED-30MIN $ 38.00 OT-5-8 PATIENTS SELF MANAGEMENT ED-30MIN $ 33.00 OTHER IDENT BACTERIAL $ 74.01 OTOLARYNGOLOGIC EXAM W ANESTH $ 190.62 OTSC SYSTEM SET 11/6T 165CM $ 1,752.00 OTSC SYSTEM SET 14/6T - 220CM $ 2,135.00 OUTPATIENT VISIT HIGH EST $ 120.00 OUTPATIENT VISIT LOW-MOD EST $ 120.00 CHARGE DESCRIPTION CHARGE AMOUNT OUTPATIENT VISIT LOW-MOD EST PC $ 88.88 OUTPATIENT VISIT MINOR EST $ 120.00 OUTPATIENT VISIT MINOR EST PC $ 50.50 OUTPATIENT VISIT MOD EST $ 120.00 OUTPATIENT VISIT MOD EST PC $ 123.22 OUTPATIENT VISIT MOD NEW PC $ 224.22 OUTPATIENT VISIT MOD-HIGH EST $ 120.00 OUTPATIENT VISIT MOD-HIGH EST PC $ 190.89 OUTPATIENT VISIT MOD-HIGH NEW PC $ 317.14 OUTSIDE FILM READING $ 30.00 OVA & PARASITES - REF LAB $ 85.49 OVAL MEDIUM VENTRIO ST HERNIA 11CMX14CM $ 2,972.55 OVARIAN CYCECTOMY UNILATERAL OR BILAT $ 1,504.96 OVERDRILL 2.7 DIA FOR LAGGING SCREWS $ 635.68 OVERDRILL 3.5DIA FOR LAG SCREWS $ 635.68 OXCARBAZEPINE $ 128.94 OXF ANAT BRG RT LG SIZE 5 PMA $ 3,220.00 OXF TWIN-PEG CEMENTED FEM MED $ 6,156.00 OXF TWIN-PEG CEMENTED FEM SM PMA $ 6,156.00 OXFORD ANATOMIC BRG LT LG 4MM THICK $ 3,220.00 OXFORD ANATOMIC BRG LT LG SIZE 3 PMA $ 3,220.00 OXFORD ANATOMIC BRG LT MED SIZE 3 $ 3,220.00 OXFORD ANATOMIC BRG LT MED SIZE 4 PMA $ 3,220.00 OXFORD ANATOMIC BRG LT SM SIZE 8 PMA $ 3,220.00 OXFORD PARTIAL KNEE CEMENTED STRYK 3PK $ 1,802.50 OXFORD SAWBLADE STRYKER CMNTD 3PK $ 3,129.00 OXFORD UNI TIB TRAY SZ D LM PMA $ 4,740.00 OXFORD UNI TIB TRAY SZ D RM PMA $ 4,740.00 OXFORD UNI TIB TRAY SZB LM $ 4,740.00 OXISENSOR ADULT $ 40.00 OXYCODNE SOLN 5MG/5ML $ 24.00 OXYCODONE 10 MG/0.5 ML ORAL SYRINGE $ 7.50 OXYCODONE TAB 15 MG $ 8.39 OXYCODONE TAB 5 MG $ 7.82 OXYCONTIN TAB 10 MG $ 15.67 OXYCONTIN TAB 20 MG $ 35.74 OXYCONTIN TAB 40 MG $ 52.96 OXYGEN PER HOUR $ 7.00 OXYTOCIN CHALL TEST $ 340.00 OXYTOCIN CHALL TEST $ 340.00 P COLECTOMY W REM ILIUM $ 3,162.20 P.T.A. OF FEMORAL-POPLITEAL PROCEDURE $ 3,687.00 P.T.A. OF TIBIOPERONEAL $ 3,579.00 P28 K-WIRE $ 96.00 P28 K-WIRE 1.4 X 150MM DOUBLE TROCAR $ 96.00 PACEMAKER - RF CR LV ASSURITY $ 9,898.00 CHARGE DESCRIPTION CHARGE AMOUNT PACEMAKER - RF DR LV ASSURITY $ 11,564.00 PACEMAKER 1688TC/52 TENDRIL SDXLEADS $ 1,925.00 PACEMAKER 1688TC/58 TENDRIL SDXLEADS $ 1,750.00 PACEMAKER A3SR01 ADVISA SR $ 6,800.00 PACEMAKER ACCOLADE MRI SR $ 10,284.00 PACEMAKER ADSRO1 ADAPTA $ 5,000.00 PACEMAKER ALTRUA 60 DDDR $ 9,500.00 PACEMAKER ALTRUA DUAL S603 $ 9,000.00 PACEMAKER ALTRUA SINGLE $ 8,000.00 PACEMAKER ASSURITY MRI DC $ 12,578.00 PACEMAKER ASSURITY MRI SC $ 10,912.00 PACEMAKER AZURE XT DR $ 9,200.00 PACEMAKER AZURE XT SR MRI $ 6,800.00 PACEMAKER AZURE XT SR MRI W1SR01 $ 6,912.00 PACEMAKER CARDIAC THK6MM 57X59MM $ 13,050.00 PACEMAKER CHECK TELEPHONIC $ 173.86 PACEMAKER DR VEDRO1 $ 6,050.00 PACEMAKER ENDURITY DR LV $ 11,210.00 PACEMAKER ENDURITY SR LV $ 8,100.00 PACEMAKER ESSENTIO DR IS-1 $ 11,384.00 PACEMAKER ESSENTIO DR MRI $ 12,374.00 PACEMAKER ESSENTIO MRI SR L110 $ 9,444.00 PACEMAKER ESSENTIO SR IS-1 $ 9,306.00 PACEMAKER EVIA DR-T W/GSM HM $ 7,000.00 PACEMAKER IMPLANT ATRIAL $ 10,505.50 PACEMAKER IMPLANT DUAL ATRIAL/VENT $ 19,574.05 PACEMAKER IMPLANT SINGLE VENTRICULAR $ 16,782.48 PACEMAKER INTRODUCTER $ 192.00 PACEMAKER LEAD 2088TC/52 $ 2,012.50 PACEMAKER LEAD DEXTRUS 4137 $ 2,037.00 PACEMAKER MICRA W/DEL SYS $ 20,148.94 PACEMAKER PM1110 ACCENT SRPACEMAKER U $ 7,800.00 PACEMAKER PM1210 ACCENT SR $ 8,100.00 PACEMAKER PM2110 ACCENT DRPACMAKER $ 9,200.00 PACEMAKER SENSIA SESR01 $ 5,810.00 PACEMAKER SINGLE CHAMBER W/DELIVERY SYS $ 21,500.00 PACEMAKER TEMPORARY $ 11,180.38 PACER CK W/O REPROG SGL $ 121.00 PACER CK W/O REPROG-ALL $ 136.47 PACER CK W/REPROG SGLE $ 204.78 PACER W/REPROG DUAL $ 212.10 PACING ELCTRODE 7FR $ 412.00 PACING ELECTRODE 5FR W/BALLOON $ 460.00 PACK ANTERIOR INFINITY $ 451.20 PACK CATH LAB CUSTOM $ 172.96 PACK CATH LAB CUSTOM $ 173.92 CHARGE DESCRIPTION CHARGE AMOUNT PACK CATH LAB CUSTOM (SUB) $ 145.84 PACK CUSTOM HIP $ 1,399.36 PACK CUSTOM KNEE $ 1,340.92 PACK OPHTHALMIC (CUSTOM) (SUB) $ 630.36 PACK OPTHALMIC (CUSTOM) $ 630.36 PACK OPTHALMIC CUSTOM KOHLER'S $ 761.04 PACK OPTHALMIC CUSTOM REEDER $ 480.32 PACK OPTHALMIC CUSTOM WEBER $ 505.72 PACK PACEMAKER CATH LAB CUSTOM $ 171.56 PACK TX2 PROCEDURE $ 2,957.50 PACKING DOYLE MEROCEL NASAL $ 52.44 PACKING MEROCEL POPE EPISTAXIS 10CM $ 67.44 PACKING MEROGEL NASAL $ 316.68 PAD CHITO SEAL HEMOSTASIS $ 140.00 PAD MATRESS DISP 8283 REPL $ 51.44 PAD REHAB EXCEEDING 36 SESSIONS $ 139.75 PAD REHAB PER SESSION $ 203.94 PAD RFA GROUNDING $ 130.00 PAD SENSOR CHAIR ALARM 8309EL REPL $ 51.44 PADS $1 AND UNDER $ 0.25 PALATOPHARYNGOPLASTY $ 1,738.85 PALM RELEASE W EA ADDTL DIGIT $ 694.58 PALM W SGL DIGIT RELEASE $ 2,076.83 PAMELOR CAP 10 MG $ 1.58 PAMELOR CAP 25 MG $ 1.80 PANCREASE CAP 4500 UNIT $ 5.00 PANCREATIC ELASTASE STOOL $ 280.66 PARAFFIN BATH APPL GREAT OR EQUAL 1 AREA $ 74.40 PARAPLATIN INJ 50 MG $ 23.56 PARATHYROID IMAGING WITH SPECT $ 3,591.48 PARATHYROID INJECTION FOR ADENOMA $ 767.24 PARATHYROIDECTOMY OR EXPL PARATHYROID(S) $ 2,430.33 PARATHYROIDECTOMY/EXPL; RE-EXPLORATION $ 3,250.70 PARE BENIGN LES SGL $ 199.06 PARE BENIGN LES; SGL $ 21.18 PARE BENIGN LES; SGL $ 199.06 PARE BENIGN LES; SGL $ 220.23 Paring of Corn/Callus >4Lesions $ 253.40 Paring of Corn/Callus 2-4 Lesions $ 199.06 PAROTID GLAND $ 240.00 PAROVIRUS Ab $ 160.11 PART EXC BONE FEMUR PROX TIBIA $ 1,945.00 PART EXC OLECRANON PROCESS BONE $ 1,548.93 PARTIAL EXC BONE; PROX HUMERUS $ 1,822.03 PARTIAL EXC MCP BONE $ 1,131.00 PARTIAL EXC OF RADIUS BONE $ 1,160.60 CHARGE DESCRIPTION CHARGE AMOUNT PARTIAL EXC PHALANX TOE BONE $ 824.48 PARTIAL HYMENECTOMY OR REVISION $ 435.00 PARTIAL MASTECTOMY $ 1,643.43 PARTIAL REM FOOT PLANTAR FASCIA $ 892.10 PARTIAL REMOVAL OF FIBULA $ 1,601.20 PARTIAL THYROID LOBECTOMY UNILATERAL; $ 1,773.28 PARTL EXC ANKLE OR HEEL BONE $ 1,242.80 PARTL EXC TRSL/MTARSL BONE $ 1,101.45 PASTE DBX DBM 1.0CC - STERILE $ 828.00 PASTE TUBE MEDIHONEY HYDROCOLLOID 1.5OZ $ 55.00 PATCH 2.5 CM X 15.0 CM X 0.5 MM $ 1,588.00 PATCH BIOLOGIC BOVINE 0.8CM X 8 $ 824.00 PATCH BIOLOGIC BOVINE 1CM X 10 $ 1,080.00 PATCH CV 0.5 X 0.8 X 7.5 $ 1,244.00 PATCH CV ACUSEAL 0.5 X 1 X 9 $ 1,244.00 PATCH PEEL STICK NOVII DISP $ 155.80 PATCH PERICARDIAL BOVINE $ 1,540.00 PATCH SURG 5 X 7IN HERNIA VENTRIO ST $ 2,687.50 PATCH SURG 8 X 10IN HERNIA VENTRIO ST $ 4,334.50 PATCH SURG 9.7 X 7.7IN HERNIA VENTRIO ST $ 3,762.50 PATELA REAMER BLDE W/PILOT HOLE SZ 29 $ 800.00 PATELA REAMER BLDE W/PILOT HOLE SZ 38 $ 480.00 PATELLA - PERSONA 38MM $ 2,275.00 PATELLA A STANDARD 34MM X 8.5MM $ 2,537.50 PATELLA ALL POLY 29M CEMENTED 8.0MM THIC $ 2,275.00 PATELLA ALL POLY 35MM 9.0MM (PERSONA) $ 2,275.00 PATELLA ALL POLY CEMENT 32MM (PERSONA) $ 2,275.00 PATELLA ALL POLY VE CEMENTED 32MM $ 2,625.00 PATELLA LT $ 575.00 PATELLA MEDIALIZED DOME 35MM CEMENTED $ 2,100.00 PATELLA NEXGEN ALL-POLY 29MM $ 1,575.00 PATELLA NEXGEN ALL-POLY 32MM $ 1,575.00 PATELLA NEXGEN ALL-POLY 32MM $ 1,575.00 PATELLA NEXGEN ALL-POLY 38MM $ 1,575.00 PATELLA OVAL DOME 3-PEG 38MM SIGMA $ 1,785.00 PATELLA REAMER BLADE WITH PILOT HOLE- 32 $ 480.00 PATELLA RT $ 575.00 PATELLA SERIES A STD 37 3 PEG $ 1,862.00 PATELLA SIZE 35MM THICKNESS 10MM $ 2,975.00 PATELLA SYMMETRIC SIZE S27MM 8MM $ 2,275.00 PATELLA TRIATHLON SYM DIA S27MM 8M $ 1,575.00 PATIENT MONITOR - MYCARELINK $ 2,111.90 PATIENT PROGRAMMER $ 2,975.00 PATIENT REMOTE KIT $ 1,575.00 PATIENT TRACKER EM ENT $ 694.80 PATIENT TRACKER, NON-INVASIVE $ 668.80 CHARGE DESCRIPTION CHARGE AMOUNT PAXIL TAB 10 MG $ 1.37 PAXIL TAB 20 MG $ 1.97 PCA DEMEROL INJ 500 MG $ 12.50 PCA DILAUDID INJ 10 MG $ 25.00 PCA MORPHINE 1 MG/ML 30 ML $ 19.00 PCU - ICU R&B $ 2,343.72 PCU - REGULAR R&B $ 963.67 PCU R&B $ 1,747.96 PD&P SUBSEQUENTRAPHY $ 268.98 PEDIARIX VACCINE INJ 0.5ML $ 167.84 PEDVAX-HIB VACCINE INJ 0.5 ML $ 124.66 PEG ANTI ROTATION 3.5MM X 24MM $ 900.00 PEG FULL THREAD 2.5 X 26MM $ 295.48 PEG FULL THREAD 2.5X10MM $ 211.20 PEG FULL THREAD 2.5X12MM $ 211.20 PEG FULL THREAD 2.5X13MM $ 268.80 PEG FULL THREAD 2.5X14MM $ 242.60 PEG FULL THREAD 2.5X15MM $ 268.80 PEG FULL THREAD 2.5X16MM $ 229.84 PEG FULL THREAD 2.5X18MM $ 229.84 PEG SCREW 2.5X11MM $ 268.80 PEG SCREW 2.5X12MM $ 255.36 PEG SCREW 2.5X18MM $ 255.36 PEG STANDARD 4.0 X 40.0MM $ 274.40 PEG THREAD MULTIDIR 2.5X10MM $ 398.92 PEG THREADED 3.5MM X 18MM $ 744.00 PEG THREADED 3.5MM X 22MM $ 744.00 PEG THREADED 4.0 X 30.0 MM $ 333.20 PEG THREADED 4.0 X 35.0 MM $ 333.20 PEG THREADED 4.0 X 37.5MM $ 333.20 PEG THREADED 4.0 X 40.0MM $ 333.20 PEG THREADED 4.0 X 45.0 MM $ 333.20 PEG THREADED 4.0 X 50 MM $ 333.20 PEG THREADED 4.0 X 55. MM $ 333.20 PELVIC ANGIO S&I $ 6,397.01 PELVIC ANGIOGRAM $ 382.50 PELVIC EXAMINATION $ 268.33 PELVIMETRY $ 165.00 PELVIS $ 326.39 PELVIS COMP. -3 VIEW $ 521.08 PELVIS PORTABLE $ 326.39 PEN VEE K SOLN 50 MG/ML 100 ML $ 25.54 PEN VEE K TAB 250 MG $ 2.65 PENCIL - BIPOLAR 23G FINE TIP ST $ 80.00 PENCIL RIGHT ANGLE HOOK ARTHROSCOPIC $ 74.68 PENICILLIN INJ 5 MILLION UNIT $ 8.00 CHARGE DESCRIPTION CHARGE AMOUNT PENTACEL VACCINE INJ $ 207.88 PEPCID INJ 20 MG $ 14.05 PEPCID SUSP 8 MG/ML 50 ML $ 425.65 PEPCID TAB 20 MG $ 1.26 PEPTO-BISMOL LIQUID 1 OZ $ 2.00 PER PM REEVAL EST PAT 65+ YR $ 267.00 PER PM REEVAL EST PAT INF LESS THAN 1 YR $ 179.00 PERC BX OR EXC LN; SUPERFICIAL $ 1,503.00 PERC FIX FEM PROX NK FX $ 2,280.88 PERC NDL CORE BRST BX WO GUID $ 92.82 PERC NDL CORE BRST BX WO GUID $ 1,607.61 PERC NDL CORE BRST BX WO GUID $ 1,700.43 PERC SK FIX IP JNT DISL W MANIP $ 316.46 PERC SK FIX METATARSAL FX W MANIP $ 751.00 PERC SK FIX TMT JNT DISL W MANIP $ 779.36 PERC SK FIX UNST PHAL SHFT FX PR/MID PH $ 1,159.25 PERC SK FIXATION MC FX; EA BONE $ 1,175.15 PERC TRANSHEP PORTAGRAM $ 1,699.13 PERCOCET TAB 10-325 MG $ 9.32 PERCOCET TAB 5-325 MG $ 7.62 PERCUT ALLERGY SKIN TESTS $ 14.00 PERCUTANEOUS BREAST BX W/ DEVICE $ 862.13 PERCUTANEOUS BREAST BX W/ DEVICE $ 883.03 PERICARDIOCENTESIS $ 1,474.35 PERINEOPLASTY REPAIR PERINEUM NONOB $ 644.48 Peri-procedural device eval for ICD $ 97.77 Peri-Procedural device eval for pacemake $ 68.76 PERI-PX DEVICE EVAL & PRGR $ 46.40 PERI-PX DEVICE EVAL & PRGR $ 27.80 PERI-PX PACEMAKER DEVICE EVL $ 30.24 PERI-PX PACEMAKER DEVICE EVL $ 27.80 PERITONEAL LAVAGE $ 221.50 PERJETA INJ 420 MG $ 27.24 PEROXIDE SOLN 3% 8 OZ $ 1.00 PERPHENAZINE TABLET 2 MG $ 5.19 PERQ ACCESS & CLSR FEM ART $ 264.72 PERQ ACCESS & CLSR FEM ART 12FR OR > $ 361.87 PERQ DEV BREAST 1ST US IMAG $ 220.38 PERQ DEV BREAST ADD US IMAG $ 110.23 PERQ DEV SOFT TISS 1ST IMAG $ 225.85 PERQ DEV SOFT TISS 1ST IMAG $ 338.77 PERQ DEV SOFT TISS ADD IMAG $ 108.43 PERQ STENT CHEST VERT ART $ 1,535.00 PERQ STENT/CHEST VERT ART INITIAL VESSEL $ 10,925.48 PERQ&IC ALLG TEST DRUGS/BIOL $ 9.61 PERQ&IC ALLG TEST DRUGS/BIOL $ 41.76 CHARGE DESCRIPTION CHARGE AMOUNT PERQ&IC ALLG TEST DRUGS/BIOL $ 51.36 PET CARDIAC METABOLISM $ 1,640.00 PET CARDIAC PERFUSION $ 7,690.00 PET CARDIAC PERFUSION (REST OR STRESS) $ 7,665.00 PET/CT BRAIN METABOL-TUMOR SEIZURE DEMEN $ 7,605.00 PET/CT Fluorodeoxyglucose-upto 45 mCi $ 1,133.65 PET/CT FOR TUMOR IMAG LIM AREA PRI $ 5,052.23 PET/CT FOR TUMOR IMAG LIM AREA SEC $ 5,052.23 PET/CT SKULL BASE TO MID THIGH PRI $ 7,274.14 PET/CT SKULL BASE TO MID THIGH SEC $ 7,274.14 PET/CT WHOLE BODY HEAD TO TOE SEC $ 8,145.85 PET/CT WHOLE BODYHEAD TO TOE PRI $ 8,145.85 PFT SCREEN $ 425.00 PFT STUDY $ 729.28 PH BLOOD $ 86.74 PH3 SIGNATURE KNEE SET $ 3,510.00 PHASE II NON-MONITORED SESSION $ 302.92 PHASE III CARDIAC REHAB EMPLOY/PROMO $ 174.98 PHASE III CARDIAC REHAB PER MONTH $ 43.00 PHASE III CARDIAC REHAB PER MONTH EMPLOY $ 174.98 PHASE III DAILY CHARGE $ 11.00 PHASE III EMPOLYEE SPOUSAL FEE $ 25.00 PHASE III SPOUSAL FEE $ 32.00 PHENCYCLIDINE (PCP) $ 45.32 PHENERGAN CODEINE SYRUP UD 5ML $ 1.41 PHENERGAN INJ 25 MG $ 18.33 PHENERGAN SUPP 25 MG $ 30.24 PHENERGAN TAB 25 MG $ 2.24 PHENOBARBITAL $ 106.09 PHENOBARBITAL INJ 130 MG $ 257.25 PHENOBARBITAL TAB 60 MG $ 3.03 PHENYLALANINE $ 159.65 PHENYTOIN $ 116.00 PHONOPHORE ULTRASOUND APPLICATION 15M CA $ 87.78 PHOSLO TAB 667 MG $ 2.71 PHOSPHOLIPID NEUTRALIZATION HEXAGONAL $ 349.25 PHOSPHOROUS, URINE $ 68.51 PHOSPHORUS $ 48.00 PHOSPHORUS $ 19.58 PHOTOTHERAPY $ 71.06 PHOTOTHERAPY $ 82.48 PHOTOTHERAPY $ 82.48 PHYS CERTIFICATION HHA PT $ 130.85 PHYS RECERTIFICATION HHA PT $ 100.98 PHYSICAL - AVIATION $ 125.00 PHYSICAL DRUG SCREEN (DOT) $ 130.00 CHARGE DESCRIPTION CHARGE AMOUNT PHYSICAL DRUG SCREEN (NON DOT) $ 75.00 PHYSICAL - ESCREEN $ 60.00 PHYSICAL - RESPIRATOR $ 75.00 PHYSICAL - T8 SCHOOL BUS $ 55.00 PHYSICAL DIVER $ 90.00 PHYSICAL DOT $ 100.00 PHYSICAL ESCREEN $ 60.00 PHYSICAL PERF TEST OR MEASUREMENT 15M $ 93.52 PHYSICAL PRE-HIRE $ 50.00 PHYSICAL RACE CAR DRIVER $ 90.00 PHYSICAL RECOND GROUP $ 125.00 PHYSICAL RECOND IND $ 140.00 PHYSICAL SPORTS $ 30.00 PHYSICAL WORK PERMIT $ 30.00 PHYSICAL-RETURN TO WORK $ 50.00 PHYSICALS - LPN STUDENTS $ 50.00 PHYSICALS - STNA STUDENTS $ 50.00 PHYSICALS YEARLY PERIODIC $ 50.00 PHYSICIAL CAMP $ 30.00 PICC PLACEMENT WITH CONFIRMATION $ 2,144.80 PICTURE SELECT AUDIOMETRY $ 82.48 PILLOW ABDUCTION MEDIUM $ 97.20 PILOT 200 $ 340.00 PIN 9" ACCESS 3.2MM THD STEINMANN $ 528.00 PIN CMC DISL EA JNT $ 1,101.00 PIN KNOWLES 1 1/4 $ 380.80 PIN KNOWLES 2 $ 231.08 PIN KNOWLES 2 1/4 $ 417.20 PIN KNOWLES SZ 2 3/4 281 02 02 $ 231.08 PIN KNOWLES SZ 3 1/2 281 02 05 $ 417.20 PIN KNOWLES SZ 3 1/4 281 02 04 $ 417.20 PIN KNOWLES SZ 3 281 02 03 $ 231.08 PIN KNOWLES SZ 3 3/4 281 02 06 $ 417.20 PIN KNOWLES SZ 4 1/2 281 02 09 $ 231.08 PIN KNOWLES SZ 4 1/4 281 02 08 $ 231.08 PIN KNOWLES SZ 4 281 02 07 $ 417.20 PIN KNOWLES SZ 4 3/4 281 02 10 $ 417.20 PIN KNOWLES SZ 5 281 02 11 $ 417.20 PIN NITINOL ORIENTATION SGL ENDED TROCAR $ 492.00 PIN SCHANZ TEMP FIX 4.0MM SNGL USE $ 444.00 PIN STEINMAN $ 60.80 PIN STEINMAN 2MM X 9" CANN 6 THREAD $ 295.64 PIN STEINMANN 3/32 X 9 STER STYLE 5 $ 176.00 PIN TEMP FIXATION 1.1MM $ 388.00 PIN TEMPFIX SMALL $ 388.00 PIN ULNAR STYLOID FX $ 1,200.53 CHARGE DESCRIPTION CHARGE AMOUNT PIN W/ SCREW THD 4.0 AO 140.14.140 $ 520.00 PIN WORM PREP $ 26.88 PIN XTRAFIT 4X100X20MM LARGE BLUE $ 546.00 PIN XTRAFIT 5X200X45MM LARGE ORANGE $ 602.00 PIN XTRAFIT 5X200X65MM ORANGE $ 602.00 PIN XTRAFIT TRANSFIXING LRG 5X275MM BLK $ 742.00 PINN SECTOR W/ GRIPTION 64MM $ 3,250.00 PINN SECTOR W/ GRIPTON 50MM $ 3,250.00 PINN SECTOR W/ GRIPTON 52MM $ 3,250.00 PINN SECTOR W/ GRIPTON 54MM $ 3,250.00 PINN SECTOR W/GRIPTON 48MM $ 3,250.00 PINNACLE BONE SCREWS 6.5MM X 25MM $ 550.00 PINNACLE GRIPTON SHELL 60MM $ 3,250.00 PINNACLE GRIPTON SHELL 62MM $ 3,250.00 PINNACLE LINER 10 DEGREE 40MM $ 2,750.00 PINNACLE MP-CCV $ 309.00 PINS DISP FLUTED HEADLESS 3.2MM 89MM $ 1,761.38 PIP TENFUSE 2.7 X 18MM $ 3,447.50 PITOCIN 20 UNITS IN LR 1000ml $ 30.00 PITOCIN INJ 10 UNIT $ 16.71 PKU $ 159.65 PLA1 PLATELET Ag GENOTYPING PLA2 $ 435.69 PLAC $ 162.74 PLACE CATH CAROTID/INOM ART $ 807.65 PLACE CATH CAROTID/INOM ART $ 1,199.10 PLACE CATH SUBCLAVIAN ART $ 805.48 PLACE CATH THORACIC AORTA $ 414.08 PLACE CATH VERTEBRAL ART $ 907.35 PLACE CATHETER IN VEIN $ 1,972.62 PLACE DRUG ELUT STENT W/ - W/O ANGIO ADD $ 7,088.18 PLACE DRUG ELUTING STENT W/ OR W/O ANGIO $ 18,945.85 PLACE RT DEVICE/MARKER PROS $ 132.77 PLACE RT DEVICE/MARKER PROS $ 1,386.11 PLACE RT DEVICE/MARKER PROS $ 1,518.88 PLACE STENT W/ OR W/O ANGIO EACH ADD $ 18,448.08 PLACE STENT W/ OR W/O ANGIOPLASTY SINGLE $ 16,230.36 PLACEMENT CLOSURE DEVICE $ 463.00 PLACEMENT OF CVC $ 3,012.03 PLACEMENT OF ILIAC EXT GRAFT $ 1,750.00 PLAN B ONE STEP TAB 1.5 MG $ 61.00 PLAQUENIL TAB 200 MG $ 2.64 PLASMA BLADE 3. OS $ 1,141.92 PLASMA FREE HGB $ 32.96 PLASMINOGEN ACTIVITY $ 130.81 PLASTIC REP UTERINE CERVIX VAGINAL $ 752.50 PLATE - 3.5MM TIBIA PROXIMAL $ 3,663.75 CHARGE DESCRIPTION CHARGE AMOUNT PLATE - 6 HOLE (02.124.205) $ 3,744.00 PLATE - 9 HOLE LEFT FEMORAL $ 2,506.23 PLATE - DVR CROSSLOCK EPACK 22MM X 51MM $ 4,438.75 PLATE - J CLAVICLE 8 HOLE $ 3,461.50 PLATE - LFT 3 HOLE STANDARD $ 2,817.50 PLATE - LOW PROF CLAVICLE 10 HOLE R $ 2,547.50 PLATE - PROX HUMERAL 4H LT $ 5,575.00 PLATE - PROX HUMERAL 6H LT $ 5,402.50 PLATE - PROXIMAL HUMERAL 2H RT $ 5,145.00 PLATE - PROXIMAL HUMERAL 4H RT $ 5,575.00 PLATE - PROXIMAL HUMERAL 6H RT $ 5,575.00 PLATE - PROXIMAL HUMERAL RIGHT 10 HOLE $ 5,402.50 PLATE - TI LCP WRIST 04.110.150 $ 4,225.50 PLATE - TIBIAL I - BEAM $ 3,012.50 PLATE 100 TUBULAR 10HOLE $ 235.64 PLATE 100 TUBULAR 12 HOLE $ 235.64 PLATE 100 TUBULAR 5 HOLE $ 187.00 PLATE 100 TUBULAR 6 HOLE $ 211.20 PLATE 100 TUBULAR 7 HOLE $ 213.40 PLATE 100 TUBULAR 8 HOLE $ 213.40 PLATE 11 HOLE TIBIA 3.5MM RIGHT $ 3,960.00 PLATE 13 HOLE DISTAL CLAVICLE 2.3MM $ 2,547.50 PLATE 14.5CM 5 HOLE LT PROX PERIART HUM $ 4,345.65 PLATE 3.55 LCO 8 HOLES $ 1,347.84 PLATE 3.5MM CLAVICLE LCP HOOK 4H $ 2,768.85 PLATE 3.5MM LCP 14 HOLES $ 2,252.25 PLATE 3.5MM LCP 5 HOLES $ 1,242.00 PLATE 3.5MM LCP 8 HOLES $ 1,365.00 PLATE 3.5MM LCP 9 HOLES $ 1,512.00 PLATE 3.5MM LCP POSTERMEDIAL PROX TIBIA $ 2,761.53 PLATE 3.5MM LCP PRO TIBIA 6HOLE 107MM R $ 3,744.00 PLATE 3.5MM LCP PROXIMAL HUMERUS 3H/90MM $ 3,811.88 PLATE 3.5MM LCP PROXIMAL HUMERUS 5H/114M $ 4,095.00 PLATE 3.5MM LCP RECONSTRUCTION 6 HOLES $ 1,748.25 PLATE 3.5MM LOCK COM 10 HOLE $ 954.00 PLATE 3.5MM LOCK COM 12 HOLE $ 1,069.20 PLATE 3.5MM LOCK COM 6 HOLE $ 802.80 PLATE 3.5MM LOCK COM 7 HOLE $ 842.40 PLATE 3.5MM LOCK COM 9 HOLE $ 878.40 PLATE 3.5MM PROX SM SS 8H 147MM LT $ 5,048.58 PLATE 3.5MM ULS DUAL COMP 8H 105MM $ 1,108.80 PLATE 3.5MM ULS DUAL COMP 8H 107MM $ 557.20 PLATE 3.5MM VA-LCP PROX TIBIA SM $ 4,309.15 PLATE 3.5MM VA-LCP PROX TIBIA SM 4H 87MM $ 3,830.63 PLATE 3.5MM VA-LCP TIBIA SM 4H 87MM RT $ 4,389.00 PLATE 3.5MMLCP MED PROX TIBIA 10H R 171 $ 3,825.00 CHARGE DESCRIPTION CHARGE AMOUNT PLATE 4 HOLE TUBULAR 442.04 $ 352.80 PLATE 4.5MM 6 HOLE 1C-DCP NARROW $ 854.32 PLATE 4.5MM 6 HOLE LCDCP BROAD $ 1,047.60 PLATE 4.5MM VA-LCP CURVED 6-HOLE 159MM R $ 4,297.50 PLATE 4.5MM X 260MM 8 HOLE $ 4,101.63 PLATE 40MM SS 2.7MM SCR MOD MINI FRAG $ 1,656.00 PLATE 49MM SS 2.7MM SCR MOD MINI FRAG $ 1,656.00 PLATE 5 DEGREE RT FUSION MTP $ 4,220.00 PLATE 5 HOLE (SYNTHES) $ 1,018.80 PLATE 5TH MET HOOK COMP 5 HOLE LEFT $ 3,420.00 PLATE 6 HOLE LATERAL ANTERIOR CLAVICLE $ 2,547.50 PLATE 6 HOLE NRW PROF CLAVICLE LT $ 2,602.50 PLATE 6 HOLE TUBULAR 442.06 $ 403.20 PLATE 7 HOLE 3.5 LC-DCP $ 640.80 PLATE 8 HOLE 4.5MM LC-DCP $ 854.32 PLATE 8 HOLE 3.5MM LOCKING ACP $ 878.40 PLATE 8 HOLE CLAVICLE LG RT $ 3,612.50 PLATE 8 HOLE MEDIAL ANTERIOR CLAVICLE $ 3,461.50 PLATE 88MM 7 HL DCRS CRVTR MDSHFT VARIAX $ 3,098.40 PLATE 8-HOLE 4.5MM $ 1,108.80 PLATE 9 HOLE $ 2,816.10 PLATE ACU-LOC 2 VDR PROX PLT STD L $ 2,607.50 PLATE CLAV SUP MIDSHAFT RT 7H 88MM $ 3,098.40 PLATE CNTOR 116X11X3.7MM SS 3.5MM $ 3,757.50 PLATE COMPRESSION FUSION $ 2,394.00 PLATE CON 1.5MM RIGHT 5 HOLE $ 745.20 PLATE DCP 12HOLE 4.5 BROAD 226 12 $ 770.00 PLATE DIST CLVCL 2.3MM 16H RT $ 3,997.50 PLATE DIST LAT FIB LOCK 4H 80MM LT $ 1,930.60 PLATE DIST LAT FIB LOCK 4H 80MM RT $ 1,930.60 PLATE DIST LAT FIB LOCK 6H 106MM LT $ 2,072.70 PLATE DIST TIBIAL ANTLAT LEFT NARROW 6H $ 2,963.03 PLATE DISTAL CLAVICLE 22 DEG RIGHT $ 2,751.00 PLATE DISTAL CLAVICLE 3.5MM 9 HOLE RT $ 2,602.50 PLATE- DISTAL LAT FIB LCKG 8H 132MM LT $ 2,214.80 PLATE DISTAL LATERAL FIB LOCK 6H 106MMRT $ 2,072.70 PLATE DISTAL TIBIA LOCKING MEDIAL LT 9H $ 3,003.30 PLATE DISTAL TIBIA LOCKING MEDIAL RT 9H $ 3,003.30 PLATE EXPLOR RAD RIM LEFT STD $ 2,905.00 PLATE FEMORAL 6 HOLE LEFT $ 2,506.23 PLATE FEMORAL 6 HOLE RIGHT $ 2,506.23 PLATE FEMORAL 9 HOLE LEFT $ 2,506.23 PLATE FIB LAT DIST 2.7MM 4H 92MM LT $ 3,380.58 PLATE FIBULA COMP 10 HOLE $ 431.84 PLATE FIBULA COMP 7 HOLE $ 409.24 PLATE FIBULA COMP 8 HOLE $ 409.24 CHARGE DESCRIPTION CHARGE AMOUNT PLATE FIXED CRUCIATE TIBIAL 67MM $ 3,012.50 PLATE HOOK 6 HOLE 16MM RIGHT $ 3,496.35 PLATE INTERLOK CRUCIATE CC 79MM $ 3,012.50 PLATE LATERAL WALL LEFT LRG $ 3,547.50 PLATE LCP 2.7MM/3.5MM 103MM $ 2,537.54 PLATE LCP 2.7MM/3.5MM 4 HOLE LEFT 86MM $ 2,178.75 PLATE LCP 2.7MM/3.5MM 4 HOLE RIGHT 86MM $ 2,178.75 PLATE LCP 2.7MM/3.5MM 5 HOLE LEFT 99MM $ 2,207.63 PLATE LCP 2.7MM/3.5MM 5 HOLE RIGHT 99MM $ 2,529.45 PLATE LCP 2.7MM/3.5MM 9 HOLE LEFT 151MM $ 2,574.18 PLATE LCP 2.7MM/3.5MM 9 HOLE RIGHT 151MM $ 2,574.18 PLATE LCP WRIST - STANDARD $ 4,225.50 PLATE LISFRANC DUAL RAY TMT LT SM $ 4,342.50 PLATE LOCKING CALCANEUS SM LT $ 2,394.00 PLATE LOW PROF CLAVICLE 10-HOLE LEFT $ 3,461.50 PLATE LOW PROF CLAVICLE 8 HOLE LG LEFT $ 3,612.50 PLATE LOW PROF CLAVICLE 8- HOLE LG RIGHT $ 3,612.50 PLATE LOW PROF CLAVICLE 8 HOLE SM RT $ 2,547.50 PLATE LOW PROF CLAVICLE 8 HOLE STR RT $ 2,547.50 PLATE LOW PROF CLAVICLE 8-HOLE MD RT $ 3,612.50 PLATE MALLORY HEAD TROCH 45-55MM $ 2,016.00 PLATE MEDICAL LOCKING 8 - HOLE, 88MM $ 3,318.00 PLATE META LARGE 5 HOLE $ 888.56 PLATE META LARGE 7 HOLE $ 958.68 PLATE META SMALL 9 HOLE $ 1,008.04 PLATE MINI 2.0 ST. 443.19 $ 1,047.60 PLATE MTP 0 DEG MEDIUM LEFT $ 3,547.50 PLATE NCB DISTAL FEM RT 13H 324MM $ 3,071.25 PLATE NRW PROF CLAVICLE 8 HOLE LG LEFT $ 2,547.50 PLATE OCLECRANON 17H 154MM $ 2,553.88 PLATE OLECRANON 10H 79MM $ 2,842.88 PLATE OLECRANON 13H 104MM $ 2,394.00 PLATE OLECRANON 5-HOLE RIGHT 90CM $ 3,300.50 PLATE OLECRANON EXTENDED 5-HOLE LT $ 3,395.00 PLATE OLECRANON LT 17H 154MM $ 3,260.25 PLATE OLECRANON STANDARD 3-HOLE LT $ 3,300.50 PLATE POST DISTAL HUM 5 HOLE RT, 78MM $ 3,367.00 PLATE PROF CLAVICLE 8-HOLE STR LEFT $ 2,547.50 PLATE- PROX HUM HI LT 3H 80MM $ 6,225.00 PLATE- PROX HUM HI LT 4H 90MM $ 5,160.00 PLATE- PROX HUM HI LT 7H 140MM $ 6,260.00 PLATE PROX HUM HI RT 4H 90MM $ 5,360.00 PLATE PROX HUM HI RT 7H 140MM $ 5,085.00 PLATE- PROX HUM LO LT 3H 73MM $ 5,240.00 PLATE- PROX HUM LO RT 3H 73MM $ 5,240.00 PLATE- PROX HUM LO RT 4H 83MM $ 5,200.00 CHARGE DESCRIPTION CHARGE AMOUNT PLATE PROX TIB LCK RT 7H ST $ 2,556.58 PLATE PROX TIB LOCK LT 11H STD $ 2,607.20 PLATE PROX TIB LOCK LT 3H LG $ 3,332.91 PLATE PROX TIB LOCK LT 5H STD $ 2,531.25 PLATE PROX TIB LOCK LT 9H ST $ 2,581.88 PLATE PROX TIB LOCK RT 11H STD $ 2,607.20 PLATE PROX TIB LOCK RT 5H LG $ 2,531.25 PLATE PROX TIB LOCK RT 5H ST $ 2,531.25 PLATE PROX ULNAR LK 5H RT $ 2,315.25 PLATE QUARTER-TUBULAR W/COLLAR 5H/41MM $ 382.32 PLATE S3 SHOULDER 3 HOLE LEFT $ 3,151.12 PLATE S3 SHOULDER 3 HOLE RIGHT $ 2,835.98 PLATE S3 SHOULDER 4 HOLE LEFT $ 2,835.98 PLATE SEMITUBULAR 4 HOLE 71X12X1MM $ 343.44 PLATE SMALL FUSION 2.4/2.7MM VA-LCP $ 3,465.00 PLATE SMALL RIM $ 2,744.30 PLATE STD 140 DEG DHS BARREL 4HOLE 78MM $ 2,044.88 PLATE STRAIGHT 8 HOLE $ 3,139.50 PLATE SUP DEC 6 HOLE BRIDGE LEFT $ 3,710.85 PLATE SUP DEC 8 HOLE BRIDGE RIGHT $ 3,121.98 PLATE SUP DEC 8 HOLE LEFT $ 3,443.43 PLATE SUP INCREASED 8 HOLE BRIDGE RIGHT $ 3,710.85 PLATE SUPERIOR LATERAL 5 HOLE LEFT $ 3,375.90 PLATE SUPERIOR LATERAL 5 HOLE RIGHT $ 3,375.90 PLATE TAP FOR 3.5MM SCREW $ 1,000.00 PLATE TIBIAL W/ LOCKING B CC I-BEAM 83MM $ 3,012.50 PLATE TIBULAR W/COLLAR 7 HOLE $ 730.80 PLATE VERSA FIX II STD TUBE 135D X 4 HOL $ 1,604.40 PLATE VERSA-FX II STD TUBE 130D X 5 HOLE $ 1,604.40 PLATE VERSA-FX II STD TUBE 135D X10 HOLE $ 1,839.95 PLATE VERSA-FX II STD TUBE 140D X 5 HOLE $ 1,604.40 PLATE VERSA-FX II STD TUBE 140D X 6 HOLE $ 1,604.40 PLATE VERSA-FX II STD TUBE 145D X 5 HOLE $ 1,604.40 PLATE VERSA-FX LL STD TUBE 135D X 5 HOLE $ 1,604.40 PLATE VHS 12 HOLE $ 3,167.50 PLATE VHS 2 HOLE $ 3,045.00 PLATE VHS 8 HOLE $ 2,387.00 PLATE VHS VAR ANGLE 4 HOLE 88MM $ 1,732.50 PLATE,PRIMARY TIBIAL W/LOCKING BAR $ 5,547.50 PLATELET Ab $ 384.67 PLATELET Ab $ 239.27 PLATELET AGGREGATION EACH AGENT $ 278.46 PLATELET ANTIBODY $ 239.27 PLATELET COUNT $ 68.00 PLATELET NEUTRALIZATION $ 198.79 PLATELET PHERESIS LR IRR $ 1,913.27 CHARGE DESCRIPTION CHARGE AMOUNT PLATE-STEM TIB NEXGEN PRECOAT SZ $ 3,000.00 PLATINOL AQ INJ 10 MG $ 13.12 PLATINUM $ 257.50 PLAVIX TAB 300MG $ 47.07 PLAVIX TAB 75 MG $ 1.71 PLETAL TAB 100 MG $ 2.09 PLMT XTN PROSTH EVASC RPR $ 668.06 PLT CLAV SUP MIDSHAFT RT 6H 99MM $ 3,785.08 PLT PHER IR CMV NEG IRR $ 930.09 PLTE 2.7/3.5MM VAL ANT DIST TIB 6HOL RT $ 3,971.25 PLUG 6725 US PORT CONNECTOR $ 400.00 PLUG FEM INTRAMEDULLARY 2XLG $ 676.00 PLUG INTRAMEDULLARY XL $ 632.00 PLUG MESH PROLOOP LARGE $ 686.40 PLUG MESH PROLOOP MEDIUM $ 678.40 PLUG MESH PROLOOP XLRG $ 798.80 PLUG PIN $ 320.00 PLUG- PREFIX LG/XL $ 530.40 PM DEVICE EVAL IN PERSON $ 42.98 PM DEVICE EVAL IN PERSON $ 31.76 PM DEVICE INTERROGATE REMOTE $ 76.60 PM DEVICE PROGR EVAL DUAL $ 106.00 PM DEVICE PROGR EVAL MULTI $ 247.98 PM DEVICE PROGR EVAL SNGL $ 88.00 PM DEVICE PROGRAM EVAL MULTI $ 85.82 PM DEVICE PROGRAM EVAL MULTI $ 37.70 PM PHONE R-STRIP DEVICE EVAL $ 129.00 PM/ICD REMOTE TECH SERV $ 61.98 PM2210 ACCENT DR (ST JUDE) $ 9,016.00 P-MASTECTOMY W/LN REMOVAL $ 1,982.00 PNEUMOVAX INJ 0.5 ML $ 229.40 POC .UA DIPSTICK CHARGE ONLY $ 50.98 POC OCCULT BLOOD -GASTRIC $ 40.00 POC OCCULT BLOOD SCREEN $ 41.02 POC PREGNANCY TEST $ 94.20 POLYPECTOMY SNARE MED $ 136.80 POLYSOMNOGRAM STUDY $ 4,018.22 POLYSOMNOGRAM TITRAT $ 4,292.31 POLYSPORIN OINT 28.4 GM $ 24.60 POROUS COATED RINGLOCK 58MM $ 2,575.00 POROUS STEM 16MM X 160MM $ 5,118.00 POROUS STEM 16MM X 160MM $ 6,192.50 PORPHOBILINOGEN, URINE $ 79.31 PORPHRYINS - STOOL $ 200.85 PORPHYRINS, URINE $ 119.76 PORT POWER 8FR $ 1,032.00 CHARGE DESCRIPTION CHARGE AMOUNT PORTAL SKID $ 258.00 PORTOGRAM $ 453.28 POSITIONAL NYSTAGMUS MIN 4 POS $ 69.85 POSITIONAL NYSTAGMUS TEST $ 352.00 POST 7.0MM TAPER $ 1,744.00 POSTERIOR COLPORRHAPHY REP RECTOCELE $ 1,474.50 POSTPARTUM CARE ONLY $ 73.28 POSTPARTUM CARE ONLY $ 182.66 POSTPARTUM CARE ONLY $ 255.94 POSTPARTUM CARE VISIT $ 50.00 POT CHLORIDE INJ 2 MEQ $ 10.93 POTASSIUM $ 43.84 POTASSIUM ACETATE INJ 40 MEQ $ 25.30 POTASSIUM CHLORIDE LIQ 20MEQ/15ML 15ML $ 10.26 POTASSIUM PHOSPHATE INJ 15 MMOL $ 12.67 POTASSIUM, URINE $ 54.00 POWDER TRIPLE HELIX COLLAGEN $ 91.80 POWER STEPS $ 40.00 POWERED 60 ECHELON + 440MM SHAFT $ 1,456.56 POWERFLEX 12ATM X 10MM X 80CM PTA OTW $ 564.00 POWERFLEX 7MM X 20MM X 80CM PTA OTW $ 564.00 POWERFLEX 8ATM X 12MM X 80CM PTA OTW $ 564.00 POWERFLEX 8MM X 20MM X 80CM PTA OTW $ 564.00 POWERFLEX 8MM X 30MM X 80CM PTA OTW $ 564.00 POWERFLEX 8MM X 40MM X 80CM PTA OTW $ 564.00 POWERFLEX 9MM X 20MM X 80CM PTA OTW $ 564.00 POWERFLEX 9MM X 30MM X 80CM PTA OTW $ 564.00 POWERFLEX PRO 6CM 8MM 80 $ 564.00 POWERFLEX PRO 8CM 6MM 80 $ 564.00 POWERPICC PROVENA SOLO 5FR TRIPLE LUMEN $ 1,232.80 POWERPICC SOLO 4FR SINGLE LUMEN $ 1,008.80 PPD 2 STEP $ 20.00 PPD SKIN TEST $ 10.00 PPPS INITIAL VISIT $ 421.33 PPPS SUBSEQ VISIT $ 285.18 PRADAXA 150 MG CAPSULE $ 22.45 PRADAXA 75 MG CAPSULE $ 22.30 PRE RX RBCS WITH CHEMICALS DRUGS $ 152.51 PREALBUMIN $ 100.80 PRECEDEX 200 MCG/2 ML SDV $ 76.60 PRECEDEX IN NS 400MCG/100ML $ 370.00 PRED FORTE 1% OPHTH SUSP 15 ML $ 50.00 PREDATOR SC LT 1.25MM 145CM $ 6,790.00 PREDATOR SC LT 1.5MM 145CM $ 6,790.00 PREDATOR SC LT 1.75MM 145CM $ 6,190.00 PREDATOR SC LT 2.00MM 145CM $ 6,790.00 CHARGE DESCRIPTION CHARGE AMOUNT PREDATOR SC LT 2.25MM 145CM $ 6,190.00 PREDNISONE TAB 1 MG $ 1.61 PREDNISONE TAB 10 MG $ 1.64 PREDNISONE TAB 20 MG $ 1.68 PREDNISONE TAB 5 MG $ 1.60 PREG URINE QUAL $ 94.20 PREGNENOLONE $ 69.01 PRELONE SYRUP 3 MG/ML 20ML $ 11.00 PREMARIN TAB 0.625 MG $ 17.58 PREMARIN VAGINAL CREAM 42.5 GM $ 1,121.68 PRENATAL VITAMINS TAB $ 1.13 PREPARATION H OINT 0.25% 30 GM $ 22.37 PREPJ& ALLERGEN IMMUNOTHERAPY 1/MLT ANTI $ 21.00 PREPJ& ALLERGEN IMMUNOTHERAPY 1/MLT ANTI $ 21.00 PREV VISIT EST AGE 12-17 $ 216.00 PREV VISIT EST AGE 1-4 $ 197.00 PREV VISIT EST AGE 18-39 $ 218.00 PREV VISIT EST AGE 40-64 $ 241.00 PREV VISIT EST AGE 5-11 $ 200.00 PREV VISIT NEW AGE 12-17 $ 250.00 PREV VISIT NEW AGE 18-39 $ 263.00 PREV VISIT NEW AGE 40-64 $ 310.00 PREV VISIT NEW AGE 5-11 $ 245.00 PREVACID SOLUTAB 15 MG $ 42.51 PREVENA INCISION MANAGEMENT 13CM PEEL $ 1,544.40 PREVENTIVE COUNSELING INDIV; 15 MIN $ 200.00 PREVENTIVE COUNSELING INDIV; 30 MIN $ 200.00 PREVENTIVE COUNSELING INDIV; 45 MIN $ 250.00 PREVNAR 13 INJ 0.5ML $ 419.85 PRGMRG EVAL IMPLANTABLE DFB $ 115.40 PRGMRG EVAL IMPLANTABLE DFB $ 37.70 PRGRMG EVAL IMPLANTABLE DFB $ 85.16 PRGRMG EVAL IMPLANTABLE DFB $ 34.40 PRGRMG EVAL IMPLANTABLE DFB $ 125.96 PRGRMG EVAL IMPLANTABLE DFB $ 41.00 PRIM PERC TRANSL MECH THROMB NON COR $ 4,074.35 PRIMARY PERC TRANSLUMINAL MECH TROMB $ 7,970.20 PRIMARY REPAIR RUPT ACHILLES TENDON $ 1,641.33 PRIMARY REPR RUPT ACHILLES TNDN W GRFT $ 1,699.80 PRIMAXIN INJ 500 MG $ 80.97 PRIMIDONE $ 110.42 PRINIVIL TAB 10MG $ 1.14 PRINIVIL TAB 20 MG $ 1.38 PRINIVIL TAB 5 MG $ 1.10 PRO ALLERG IMT $ 20.70 PRO TOE VO 1.1MM K WIRE $ 120.00 CHARGE DESCRIPTION CHARGE AMOUNT PROBE - CENTURION ULTRAVET 23GA $ 720.00 PROBE 1.0MM PNEUMATIC DISPOSABLE $ 794.68 PROBE 11 GA EX $ 709.00 PROBE 11G BLADED MAMMOTOME ST $ 741.00 PROBE 8G BLADED MAMMOTOME ST $ 804.00 PROBE 8G MAMMOTOME EX W/TUBING SET $ 756.00 PROBE EHL 3.3-2.3 FR $ 2,150.75 PROBE EHL 9FR $ 1,800.75 PROBE FLEX APC 2.3MMX6.9FR FIAPC $ 340.00 PROBE FLEX APC 2.3MMX6.9FR FIAPC $ 855.80 PROBE INCREMENTING PRASS $ 664.84 PROBE KIDNEY EH LITHO 3.3-105CM STERILE $ 143.20 PROBE ULTRASOUND 10G MAMMOTOME REVOLVE $ 718.20 PROBE VACUUM SET $ 66.00 PROBE-COMFORTEC Z/PH 18CMX6X2 6.4FR $ 400.00 PROCAINAMIDE & NAPA $ 114.33 PROCALCITONIN $ 398.21 PROCARDIA CAP 10 MG $ 3.56 PROCARDIA XL TAB 30 MG $ 3.37 PROCEDURE PACK - PLEURX $ 108.00 PROCRIT INJ 10 000 UNITS (DIALYSIS) $ 5.52 PROCRIT INJ 20,000 UNITS (DIALYSIS) $ 5.00 PROCTECTOMY; P RESECT RECTUM TRANSABD $ 2,449.00 PROCTOSIGMOIDOSCOPY RIGID DX $ 98.80 PROGESTERONE $ 121.54 PROGLIDE PERCLOSE 6FR $ 796.00 PROGR MODIFY NON SPCH GEN DEVICE $ 208.00 PROGRAMMING DEVICE EVALUATION (IN-PER) $ 80.00 PROINSULIN $ 155.53 PROLACTIN $ 151.41 PROLARYN PLUS $ 2,187.50 PROLIA INJ 60MG/ML $ 45.55 PROLONG CLINCL STAFF SVC $ 18.54 PROLONG CLINCL STAFF SVC ADD $ 8.58 PROLONG E&M/PSYCTX SERV O/P $ 303.40 PROLONG E&M/PSYCTX SERV O/P $ 213.00 PROLONG SERVICE W/O CONTACT $ 222.14 PROLONGED SERVICE INPATIENT $ 229.05 PROLONGED SERVICE INPATIENT $ 229.88 PROLONGED SERVICE INPATIENT $ 229.05 PROLONGED SERVICE INPATIENT $ 229.88 PROLONGED SERVICE INPATIENT $ 229.05 PROLONGED SERVICE INPATIENT $ 229.88 PROLONGED SERVICE INPATIENT $ 229.05 PROLONGED SERVICE INPATIENT $ 229.88 PROLONGED SERVICE INPATIENT $ 229.05 CHARGE DESCRIPTION CHARGE AMOUNT PROLONGED SERVICE INPATIENT $ 229.88 PROLONGED SERVICE INPATIENT $ 229.05 PROLONGED SERVICE INPATIENT $ 229.88 PROLONGED SERVICE INPATIENT $ 229.05 PROLONGED SERVICE INPATIENT $ 229.88 PROMETHAZINE HCL 12.5 MG ORAL $ 25.00 PROPEL 23MM $ 3,307.50 PROPEL CONTOUR $ 3,307.50 PROPEL MINI $ 3,307.50 PROPOFOL 50ML VIAL $ 1.48 PROSCAR TAB 5 MG $ 1.54 PROSTAGLANDIN $ 268.00 PROSTAPHLIN INJ 1 GM $ 16.89 PROSTATE BIOPSY $ 627.00 PROSTATE BIOPSY $ 595.65 PROSTATE CA SCREENING; DIGITAL RECTAL $ 21.98 PROSTATE CAPIO RP $ 904.05 PROSTATE CAPIO RP SUTURE $ 677.60 PROSTATE NEEDLE PUNCH BX $ 173.47 PROSTATE NEEDLE PUNCH BX $ 2,138.06 PROSTATE NEEDLE PUNCH BX $ 2,311.53 PROSTATIC ACID PHOSPHATASE $ 97.85 PROSTH REPL TRAPEZIUM BONE $ 1,802.43 PROSTH TO REP IR/ILIAC AA $ 2,276.53 PROSTH TRNG INITIAL ENCOUNTER 15 M $ 93.30 PROSTIGMIN INJ 1 MG $ 9.13 PROTAMINE SULFATE INJ 50 MG $ 13.06 PROTECTOR AIRKAIR HEEL-DEL TO OSTOMY $ 128.00 PROTECTOR HEAL XL PREVALON W/ WEDGE $ 367.84 PROTEIN C ANTIGENIC $ 262.37 PROTEIN C FUNCTIONAL $ 262.61 PROTEIN C RESISTANCE (ACTIVATED) $ 154.76 PROTEIN S ANTIGENIC $ 215.52 PROTEIN S FUNCTIONAL $ 184.62 PROTEIN TOTAL SERUM $ 35.86 PROTEIN WB W/INTERP $ 1,866.36 PROTHROMBIN GENE ANALYSIS/FACTOR II $ 255.86 PROTHROMBIN TIME (PT) $ 48.00 PROTHROMBIN TIME; $ 30.00 PRO-TOE HAMMERTOE SMALL $ 1,655.50 PRO-TOE VO 2.0 X 13MM 10DG $ 1,655.50 PRO-TOE VO 2.4 X 16MM 10 DG $ 1,655.50 PROTONIX INJ 40 MG $ 32.50 PROTONIX SUSPENSION 40 MG $ 46.04 PROTONIX TAB 40 MG $ 1.86 PROVALE CUP 10CC $ 219.00 CHARGE DESCRIPTION CHARGE AMOUNT PROVALE CUP 5CC $ 219.00 PROVAYBLUE 0.5% AMP 50MG/10ML $ 12.00 PROVENTIL INHALER 18 GM $ 45.00 PROVERA TAB 5 MG $ 1.64 PROWLER MICROCATH 2.3F/1.9F $ 238.00 PROWLER MICROCATH 2.3F/1.9F $ 2,954.00 PROWLER MICROCATH 2.3F/1.9F $ 238.00 PROXIMAL - SZ 14 X 135 DEG $ 2,880.00 PROXIMAL - SZ. 14 X 128 DEG. $ 2,880.00 PROZAC CAP 10 MG $ 1.26 PROZAC CAP 20 MG $ 1.39 PRP I/HERN INIT BLOCK 5+ YR $ 1,482.83 PRP I/HERN INIT REDUC 5+ YR $ 1,314.45 PRP I/HERN INIT REDUC 5+ YR $ 1,729.50 PRQ CARD REVASC MI 1 VSL $ 1,707.38 PRQ CARD STENT W/ANGIO 1 VSL $ 1,535.00 PRQ CARD STENT W/ANGIO ADDL $ 767.50 PRQ CARDIAC ANGIO ADDL ART $ 690.40 PRQ CARDIAC ANGIOPLAST 1 ART $ 1,367.98 PRQ CORONARY MECH THROMBECT $ 455.48 PRQ REVASC BYP GRAFT 1 VSL $ 1,520.20 PRQ SKEL FIXATION CARP/MTCRPL FX DISLC T $ 946.56 PRTL EXC 5TH METATRSL HEAD $ 722.98 PRTL REM FOOT BONE MTRSL HD 1-5 EA $ 1,071.60 PSA (DIAGNOSTIC) $ 123.00 PSA (SCREEN) $ 123.00 PSA COMPLEXED $ 26.78 PSA FREE $ 105.56 PSA LAB TEST $ 35.00 PSA SCREEN - MEDICARE $ 123.00 PSA SCREENING $ 63.00 PSA ULTRA SENSITIVE $ 123.00 PSN ASF CR 11MM VE L 3-11EF $ 3,000.00 PT $ 48.00 PT 1 PATIENT SELF MANAGEMENTTRAINING 30M $ 44.00 PT 2-4 PATIENT SELFMANAGEMENT TRAIN 30M $ 38.00 PT 5-8 PATIENTS SELFMANAGEMENT TRAIN 30M $ 33.00 PT EVAL HIGH COMPLEX 45 MIN $ 285.51 PT EVAL LOW COMPLEX 20 MIN $ 252.10 PT EVAL MOD COMPLEX 30 MIN $ 268.95 PT GROUP THERAPEUTIC PROCEDURES $ 79.00 PT NEUROMUSCULAR REEDUCATION 15M $ 114.71 PT NEUROMUSCULAR REEDUCATION 15M $ 114.71 PT ORTH MGMT TRNG INITIAL ENCOUNTER 15M $ 112.43 PT RE-EVALUATION $ 170.83 PT SENSORY INTEGRATIVE TECHNIQUES-15M $ 90.39 CHARGE DESCRIPTION CHARGE AMOUNT PT THER ACTIVITIES DIRECT 15M $ 122.58 PT THER ACTIVITIES DIRECT 15M $ 122.58 PT THER EXERCISES ROM STRENGTH END 15M $ 120.32 PT THER EXERCISES ROM STRENGTH END 15M $ 120.32 PT ULTRASOUND APPLICATION 15M $ 56.68 PT ULTRASOUND APPLICATION 15M $ 56.68 PT WHEELCHAIR MANAGEMENT TRAINING 15 MIN $ 130.21 PTCA EACH ADDITIONAL BRANCH $ 6,466.15 PTCA SINGLE MAJOR CORONARY ARTERY $ 8,747.34 PT-FOCUSED HLTH RISK ASSMT $ 50.22 PTH INTACT $ 214.00 PTH RELATED PEPTIDE $ 167.43 PTT $ 76.00 PULM FUNCT TEST OSCILLOMETRY $ 447.86 PULM FUNCTION TEST BY GAS $ 30.00 PULMICORT RESPULES SOLUTION 0.25 MG 2 ML $ 27.58 PULMONARY ANGIOGRAM BILATERAL SELECTIVE $ 4,517.36 PULMONARY ANGIOGRAM NON-SELECTIVE $ 1,357.00 PULMONARY ANGIOGRAM UNILAT SELECTIVE $ 2,681.00 PULMONARY BILAT SELECTIVE ANGIOGR $ 212.63 PULMONARY REHAB $ 595.92 PULMONARY SERVICE/PROCEDURE $ 147.00 PULMONARY STRESS TEST/SIMPLE $ 83.88 PULMONARY STRESS TESTING $ 453.86 PULMONARY STRESS TESTING (EG, 6-MINUTE W $ 45.92 PULMONARY STRESS TESTING (EG, 6-MINUTE W $ 21.20 PULSE OX SINGLE $ 99.99 PUMP BREAST SINGLE MANUAL $ 77.68 PUNCH BX SKIN EA SEP ADDL $ 54.62 PUNCH BX SKIN EA SEP ADDL $ 220.57 PUNCH BX SKIN SINGLE LESION $ 229.39 PUNCH BX SKIN SINGLE LESION $ 65.12 PUNCH BX SKIN SINGLE LESION $ 229.39 PUNCH BX SKIN SINGLE LESION $ 294.50 PUNCH BX SKIN SINGLE LESION $ 229.39 PUNCT ASP - ABSC HEMAT CYST $ 122.67 PUNCT ASP - ABSC HEMAT CYST $ 380.41 PUNCT ASP - ABSC HEMAT CYST $ 503.07 PUNCT ASP BRST CYST - EA ADDTL $ 54.70 PUNCT ASP BRST CYST - INITIAL $ 111.13 PUNCT ASP HYDROCELE TUNICA VAGINALIS $ 215.05 PUNCTURE ASP ABSC HEMAT CYST $ 380.41 PUNCTURE ASPIRATION $ 134.32 PUNCTURE ASPIRATION OF ABSCESS $ 548.41 PUNCTURE DRAINAGE OF LESION $ 380.41 PURAPLY AM (2X2) 4SQ CM $ 2,450.00 CHARGE DESCRIPTION CHARGE AMOUNT PURAPLY AM (2X4) 8SQ CM $ 3,150.00 PURAPLY AM (5X5) 25SQ CM $ 5,200.00 PURAPLY AM (6X9) 54SQ CM $ 12,096.00 PURAPLY AM (8X16) 128SQCM $ 28,160.00 PURAPLY AM 1.6CM $ 1,575.00 PUTTY ALLOMATRIX INECTABLE 1CC $ 1,040.00 PUTTY ALLOMATRIX INECTABLE 5CC $ 2,782.50 PUTTY DBM 1CC STAGRAFT $ 844.00 PUTTY DBM 2CC STAGRAFT $ 1,408.00 PUTTY DBM 2CC STAGRAFT $ 1,816.50 PUTTY DBM 5CC STAGRAFT $ 3,143.00 PUTTY DBM 5CC STARGRAFT $ 2,558.50 PUTTY NORIAN DRILLABLE FAST SET 5CC STRL $ 3,466.88 PYRIDIUM TAB 95 MG $ 2.50 PYRIDOXINE TAB 50 MG $ 1.07 PYRUVATE $ 23.69 PYRUVATE KINASE/ERYTHROCYTES $ 95.79 Q.C. DRILL BIT 3.2MM DIA X 145MM $ 179.20 Q/C CANNULATED DRILL 5.0MM $ 1,422.40 QUAD LV LEAD W/ S CURVE FIX 75CM $ 7,000.00 QUAD LV LEAD W/ S CURVE FIX 86CM $ 6,650.00 QUADRA ALLURE MP RF CRT-P $ 16,140.50 QUADRICEPSPLASTY $ 1,480.40 QUANTIFERON $ 198.00 QUANTIFERON GOLD TB TEST $ 263.00 QUANTITATION OF DRUG NOS $ 391.00 QUESTRAN LIGHT PACKETTE 4 GM $ 7.16 QUINIDINE $ 94.76 R HRT CORONARY ARTERY ANGIO $ 2,547.53 RA TRACER ID OF SENTINL NODE $ 98.45 RA TRACER ID OF SENTINL NODE $ 141.00 RABIES GLOBULIN IMOGAM INJ 300 UNIT HT $ 853.50 RABIES GLOBULIN IMOGAM INJ 300 UNIT HT $ 853.50 RABIES IMMUNE GLOBULIN(HyperRAB) 300UNIT $ 798.89 RACEMAKER PM3222 CARD THK6MM 59X55MM $ 11,590.00 RAD EXC WRIST BURSA/FARM TEND SHTH $ 1,512.80 RAD EXC WRIST/FARM EXTENSORS $ 1,491.53 RAD RESECT ABD TUMOR 5 CM/ OR GREATER $ 2,701.14 RADIAL HD ARTHROPLSTY W IMPLANT $ 1,698.13 RADIAL JAW LARGE 2.8 MM FORCEP $ 316.00 RADICAL REMOV FOOT PLANTAR FASCIA $ 1,020.83 RADIUM RA223 DICHLORIDE THER $ 251.17 RANDOM URINE HISTOPLASMA ANTIGEN $ 227.21 RANDOM URINE HVA $ 59.74 RANDOM URINE KETONE $ 44.91 RANDOM URINE LEGIONELLA ANTIGEN $ 150.81 CHARGE DESCRIPTION CHARGE AMOUNT RANDOM URINE ORGANIC ACID QUANTITATIVE $ 71.07 RANDOM URINE THC QUANTITATIVE $ 76.00 RANEXA TAB 500 MG $ 19.30 RAPAMYCIN $ 258.38 RAPE KIT $ 65.00 RAPID RHINO 5.5 CM ANTERIOR $ 148.40 RAPID RHINO 7.5 CM POSTERIOR $ 151.60 RAPID STREP SCREEN $ 68.72 RAPID TRANSIT MICROCATH 150-50-1 $ 2,999.50 RAPID TRANSIT MICROCATH 150-50-1 $ 2,288.00 RARE UNCOMMON PHENO UNIT $ 350.00 RASP LARGE TEAR CROSS CUT 5100-037-114 $ 340.40 RASP SMALL TEAR CROSS CUT 5100-037-113 $ 340.40 RAST EACH $ 36.33 RBC $ 57.92 RBC OSMOTIC FRAGILITY $ 188.49 REAMER - LOW PROFILE $ 780.00 REAMER - LOW PROFILE $ 780.00 REAMER - LOW PROFILE 8.0MM $ 780.00 REAMER CANN HEAD LOW PRFL 11MM $ 1,116.00 REAMER DEPTH SZ 2.7MM- STERILE $ 580.00 REAMER LOW PROFILE $ 1,116.00 REAMER LOW PROFILE $ 1,116.00 REAMER LOW PROFILE $ 1,116.00 REAMER LOW PROFILE $ 1,116.00 REASONABLE SUSPICION TRAINING-EMPLOYEE $ 40.00 REASONABLE SUSPICION TRAINING-SUPERVISOR $ 60.00 REC RM OB EA 30 MIN $ 75.24 REC ROOM OB 1ST HR $ 158.63 RECHANNEL OF ARTERY CAROTID/VERTEB/SUBCL $ 2,334.22 RECHANNEL OF ARTERY COMMON FEMORAL $ 1,686.16 RECHANNEL OF ARTERY SUPER FEMORAL $ 2,306.92 RECLAIM ASSEMBLY TENSILE BAR $ 404.00 RECLAIM DISTAL TAPERED 17X140 $ 8,190.60 RECLAIM PRX BDY CONE 20x85 $ 9,796.60 RECLAST IV SOLN 5MG/100ML $ 488.72 RECON NAIL-EX 11MM TI LAT FEM 340MM RT $ 4,353.75 RECONSTR MCP JNT COL LIGAM W GRAFT $ 1,781.00 RECONSTR QUAD/HAMSTRING MSCL RUPT $ 2,068.48 RECONSTR RC AVULSION CHRONIC $ 2,257.00 RECONSTRUCT INFRAPATEELAR TENDON $ 1,599.88 RECORDER - LOOP $ 9,690.00 RECORDER LOOP IMPLANTABLE $ 11,222.96 RECORDER REVEAL PLUS IMPLANTABLE $ 7,690.00 RECOVERY RM-1ST HOUR $ 504.52 RECOVERY ROOM - EA 30 MIN PORTION $ 246.25 CHARGE DESCRIPTION CHARGE AMOUNT REDNESS RELIEF CALM $ 80.00 REDO ENDOVAS VENA CAVA FILTER $ 3,953.00 REDUCE VOLVULUS INTUSSUSCEPTION $ 2,376.45 REFILL & MAINTENANCE OF PORT PUMP $ 250.80 REFILLING & MAINTENANCE OF PORT PUMP $ 250.80 REFILLING & MAINTENANCE OF PORTABLE PUMP $ 250.80 REFILLING & MAINTENANCE OF PORTABLE PUMP $ 250.80 REFILLING & MAINTENANCE OF PORTABLE PUMP $ 250.80 REFILLING AND MAINTENANCE OF PORT PUMP $ 300.96 REFURBISHED ORTHOTIC $ 59.00 REGEN/RNGLC+ MULTI 64MM SZ 26 $ 6,594.00 REGLAN INJ 10 MG $ 15.00 REGLAN ORAL SOL 1MG/ML 10ML $ 17.20 REGLAN TAB 10 MG $ 1.69 REHAB FIT FOR DUTY $ 75.00 REINFORCE THIGH $ 2,827.45 REINSERT RUPTRD BIC/TRIC TENDON $ 1,938.50 REJUV COMBO $ 200.00 REJUV COMBO $ 200.00 REJUV PEEL $ 180.00 RELEASE DRILL COPELAND QWK $ 880.00 RELEASE EXTENSOR TENDON HAND/FINGER $ 1,099.14 RELEASE FLEXOR TENDON PALM FINGER $ 1,228.82 RELEASE SGL TIB FIB ANKLE FLEXOR $ 1,063.10 RELISTOR INJ 12 MG $ 4.23 RELOAD BLUE $ 608.76 RELOAD ENDOPATH 45MM BLUE $ 412.36 RELOAD ENDOPATH 45MM WHITE $ 412.24 RELOAD TK-5 $ 168.00 RELOAD WHITE $ 534.00 RELOCATE POCKET FOR DEFIB $ 831.44 RELOCATION POCKET ICD $ 3,921.08 RELOCATION POCKET PACEMAKER $ 3,926.00 RELOCATION POCKET PACEMAKER $ 852.97 REM DEEP FB OF FOOT $ 781.95 REM DEEP FB THIGH OR KNEE $ 991.05 REM ENDOVAS VENA CAVA FILTER $ 901.78 REM EXT FIX SYS W ANESTH $ 437.83 REM EXT FIX SYS W ANESTH $ 1,723.11 REM EXT FIX SYS W ANESTH $ 2,160.94 REM FB CONJUNCTIVA SUPERFICIAL $ 56.99 REM FB CONJUNCTIVA SUPERFICIAL $ 134.08 REM FB CONJUNCTIVA; SUPERFICAL $ 342.99 REM FB CORNEAL W SLIT LAMP $ 103.16 REM FB EXT AUDITORY CANAL; W ANESTH $ 245.53 REM FB EXT AUDITORY CANAL; W ANESTH $ 338.00 CHARGE DESCRIPTION CHARGE AMOUNT REM FB EXT AUDITORY CANAL; WO ANESTH $ 61.33 REM FB EXT AUDITORY CANAL; WO ANESTH $ 130.03 REM FB EXT AUDITORY CANAL; WO ANESTH $ 191.36 REM FB EXT AUDITORY CANAL; WO ANESTH $ 92.00 REM FB EXT AUDITORY CANAL; WO ANESTH $ 195.04 REM FB EXT AUDITORY CANAL; WO ANESTH $ 287.04 REM FB EXT EYE; CORNEAL WO SLIT LAMP $ 55.02 REM FB EXT EYE; CORNEAL WO SLIT LAMP $ 429.01 REM FB EXT EYE; CORNEAL WO SLIT LAMP $ 484.03 REM FB FOOT; SQ $ 335.00 REM FB INTRANASAL; OFFICE $ 256.85 REM FB MUSCLE; DEEP $ 618.95 REM FB MUSCLE; SMPL $ 364.53 REM FB PELVIS OR HIP; DEEP $ 1,529.80 REM IMPL CONTRACEP CAPS $ 123.23 REM IMPL CONTRACEP CAPS $ 744.71 REM IMPL CONTRACEP CAPS $ 867.93 REM IMPL; DEEP $ 1,056.75 REM IMPLANT FROM FINGER OR HAND $ 759.00 REM I-NASAL LES INT APPR $ 654.36 REM IT/MT FOOT JNT LINING EA $ 468.88 REM IT/MT FOOT JNT LINING EA $ 3,438.80 REM IT/MT FOOT JNT LINING EA $ 3,907.68 REM MAMMARY IMPL MATERIAL $ 1,262.22 REM SKIN TAGS <=15 LESIONS $ 414.72 REM SKIN TAGS LESS THAN =15 LESIONS $ 293.24 REM SKIN TAGS LESS THAN=15 LESIONS $ 94.19 REM SKIN TAGS LESS THAN=15 LESIONS $ 199.06 REM SUTURE W ANES OS $ 92.30 REM TOT KNEE PROSTH METHYLMETH $ 2,416.86 REM TUNNELED CVAD W PORT/PUMP $ 250.77 REM TUNNELED CVAD W PORT/PUMP $ 889.37 REM TUNNELED CVAD W PORT/PUMP $ 1,140.14 REM VENTIL TUBE UNDER ANESTH $ 151.73 REMERON TAB 15 MG $ 1.89 REMICADE INJ 100 MG $ 263.26 REMIFENTANIL (ULTIVA) 1 MG INJ $ 285.81 REMOTE MNTR WRLS P-ART PRS SNR $ 75.16 Remote Pacer/ICD single dual/multi $ 104.78 REMOTE PT 30 DAY ECG REV/REPORT $ 313.98 REMOVABLE IMPLANTABLE LOOP RECORDER $ 1,504.85 REMOVAL IMPACTED CERUMEN $ 320.93 REMOVAL OF ADENOIDS 1 LESS THAN12 YRS $ 508.83 REMOVAL OF ADENOIDS 2 LESS THAN12 YRS $ 471.90 REMOVAL OF ANAL FISSURE $ 808.65 REMOVAL OF BREAST LESION 1+ $ 1,037.33 CHARGE DESCRIPTION CHARGE AMOUNT REMOVAL OF BREAST LESION 1+ $ 4,177.50 REMOVAL OF FORIEGN BODY FOOT SUBCU $ 1,235.36 REMOVAL OF HEMORRHOID CLOT $ 224.54 REMOVAL OF KNEECAP $ 1,299.06 REMOVAL OF NAIL BED $ 401.00 REMOVAL OF NAIL BED $ 380.41 REMOVAL OF NAIL BED $ 131.51 REMOVAL OF NAIL BED $ 380.41 REMOVAL OF NAIL BED $ 511.91 REMOVAL OF NAIL PLATE $ 199.06 REMOVAL OF PM GENERATOR $ 595.00 REMOVAL OF SPERM DUCT(S) $ 4,370.30 REMOVAL OF STOMACH PARTIAL $ 230.84 REMOVAL OF SUPPORT IMPLANT $ 362.95 REMOVAL OF TONSIS LESS THAN 12 YRS $ 516.02 REMOVAL PACEMAKER ELECTRODE $ 3,931.00 REMOVAL PERM PACEMAKER - DUAL $ 21,511.45 REMOVAL PERM PACEMAKER PULSE GEN $ 20,213.39 REMOVAL PERM PCMKR PULSE GEN WITH $ 29,419.53 REMOVAL TUNNELED CV CATH $ 4,649.92 REMOVAL TUNNELED CV CATH W/OUT SUBCUTANE $ 2,050.29 REMOVE ANAL FIST COMPLEX $ 1,176.68 REMOVE ANAL FIST INTER $ 1,035.38 REMOVE ANAL FIST SUBQ $ 791.00 REMOVE DRUG IMPLANT $ 131.27 REMOVE DRUG IMPLANT $ 342.69 REMOVE DRUG IMPLANT $ 473.97 REMOVE ENDOVAS VENA CAVA FILTER $ 5,681.68 REMOVE EXT HEM GROUPS 2+ $ 790.33 REMOVE EYELID FOREIGN BODY $ 599.08 REMOVE FECAL IMPACTION OR FB $ 2,477.33 REMOVE FOREIGN BODY $ 380.41 REMOVE FOREIGN BODY ADBOMEN $ 2,176.58 REMOVE FOREIGN BODY FROM EYE $ 810.83 REMOVE FOREIGN BODY FROM EYE $ 460.90 REMOVE FULL ARM OR LEG CAST $ 572.92 REMOVE FULL ARM OR LEG CAST $ 114.73 REMOVE GROIN LYMPH NODES $ 1,707.18 REMOVE HEEL SPUR $ 721.84 REMOVE IMPACTED EAR WAX UNI $ 354.80 REMOVE IMPACTED EAR WAX UNI $ 320.93 REMOVE IMPACTED EAR WAX UNI $ 88.13 REMOVE IMPACTED EAR WAX UNI $ 88.13 REMOVE IMPACTED EAR WAX UNI $ 88.13 REMOVE IMPACTED EAR WAX UNI $ 88.13 REMOVE IMPACTED EAR WAX UNI $ 88.13 CHARGE DESCRIPTION CHARGE AMOUNT REMOVE IMPACTED EAR WAX UNI $ 354.80 REMOVE IMPACTED EAR WAX UNI $ 88.13 REMOVE IMPACTED EAR WAX UNI $ 132.19 REMOVE IMPACTED EAR WAX UNI $ 43.00 REMOVE IMPACTED EAR WAX UNI $ 70.92 REMOVE IMPACTED EAR WAX UNI $ 113.92 REMOVE IMPACTED EAR WAX UNI $ 354.80 REMOVE IN/EX HEM 2+ GRPS W/FIST $ 1,110.84 REMOVE IN/EX HEM GROUPS 2+ $ 1,195.75 REMOVE IN/EX HEM GRP FISS $ 850.70 REMOVE IN/EX HEM GRP W/FITSU $ 936.08 REMOVE INT/EXT HEM 1 GROUP $ 887.43 REMOVE IUD $ 401.75 REMOVE IUD $ 87.95 REMOVE IUD $ 358.49 REMOVE IUD $ 446.43 REMOVE MESH FROM ABD WALL $ 703.23 REMOVE METATARSAL $ 1,105.05 REMOVE NASAL FOREIGN BODY $ 268.98 REMOVE PACING CARDIO-DEFIB PULSE GEN $ 43,134.26 REMOVE PACING CARDIO-DEFIB PULSE GEN $ 48,502.12 REMOVE PACING CARDIO-DEFIB PULSE GEN $ 63,918.21 REMOVE PILONIDAL CYST SIMPLE $ 4,821.20 REMOVE PROSTATE REGROWTH $ 1,011.98 REMOVE PULSE GENERATOR $ 435.32 REMOVE SKIN TAGS ADD-ON = LESS10 LESIONS $ 42.93 REMOVE SPINAL CANAL CATHETER $ 3,999.53 REMOVE SPINE ELTRD PERQ ARAY $ 3,999.53 REMOVE SPINE INFUSION DEVICE $ 11,193.53 REMOVE TNL CV CATH $ 179.65 REMOVE TNL CV CATH $ 889.37 REMOVE TNL CV CATH $ 1,069.02 REMOVE TONSILS AND ADENOIDS LESS 12 YRS $ 662.00 REMOVE TUNNELED IP CATH $ 965.08 REMOVE W INS DRUG IMPLANT $ 234.05 REMOVE W INS DRUG IMPLANT $ 342.69 REMOVE W INS DRUG IMPLANT $ 576.75 REMOVEREPLACE PM GEN SINGL $ 858.40 REMVREPLC PM GEN DUAL LEAD $ 898.95 REMVREPLC PM GEN MULT LEADS $ 950.95 RENAL ANGIOGRAM W/ CARD CATH/COR ANGIO $ 6,514.25 RENAL ASPIRATION $ 884.54 RENAL PANEL $ 125.00 RENAL PANEL $ 40.00 RENIN $ 166.27 RENVELA 800 MG TAB $ 6.54 CHARGE DESCRIPTION CHARGE AMOUNT REOPEN RECENT LAPAROTOMY $ 2,661.23 REOPERATION CAROTID ADD-ON $ 329.98 REP RECONSTR FINGER VP IP JNT $ 1,853.78 REP ANEURYSM AXILL-BRACHIAL ART OD $ 2,058.38 REP ANEURYSM ILIAC ART $ 2,854.74 REP ANEURYSM POPLITEAL ARTERY RUPTURE $ 2,883.36 REP ANEUYSM POPLIT ART $ 2,547.74 REP ET HAND; WO FG EA TENDON $ 1,363.80 REP FLXR TENDON NOT ZONE 2 WO GRFT EA $ 1,719.95 REP INIT FEM HERNIA REDUCABLE; INCARCE $ 1,599.53 REP INIT INCI/ VENTRAL HERNIA; REDUCIBLE $ 1,871.08 REP LAC TONGUE FLR MOUTH GRT THAN 2.6 $ 418.16 REP LACERAT 2.5 CM/< FLR-MOUTH/ANT 213 $ 257.85 REP MCP/IP JNT COLLAT LIGAMENT $ 1,595.25 REP NU/MU TIBIA WO GRAFT $ 1,753.92 REP NU/MU; METATARSAL $ 1,446.00 REP NU/MU; TARSAL BONES $ 1,528.53 REP RECURRENT INCISI HERNIA; INCARCERATE $ 2,383.38 REP RECURRENT INCISI HERNIA; INCARCERATE $ 1,191.69 REP RECURRENT ING HERNIA ANY AGE; INCARC $ 1,816.08 REP SHLDR SLAP LES $ 2,598.83 REP T/M EXTENSOR FA/W ; 1 EA $ 1,216.80 REP TENDN/MSCL - FARM.WRIST $ 1,565.55 REPAIR A.V. FISTULA EXTREMITY $ 6,684.88 REPAIR BLD VESSEL DIRECT; INTRA-ABDOM $ 3,750.35 REPAIR BLOOD VESSEL DIRECT UPR EXTREM $ 1,600.66 REPAIR CVA CATHETER $ 71.34 REPAIR ELBOW DEB/ATTCH OPEN $ 1,646.78 REPAIR ELBOW PERC $ 1,041.60 REPAIR ELBOW W/DEB OPEN $ 1,039.98 REPAIR ENTEROCELE VAGINAL $ 1,195.55 REPAIR EPIGASTRIC HERNIA REDUCIBLE $ 847.90 REPAIR FIBULA NONUNION $ 1,931.78 REPAIR HUMERUS MALUNION WO GRAFT $ 2,119.26 REPAIR INGUINAL HERNIA SLIDING ANY AGE $ 1,275.00 REPAIR INITIAL INCISIONAL HERNIA; INCARC $ 2,362.30 REPAIR KIT $ 320.00 REPAIR KNEECAP TENDON $ 1,473.50 REPAIR LEAD PACE-DEFIB ONE $ 3,931.00 REPAIR MALLET FINGER; WO GRAFT $ 1,281.58 REPAIR NAIL BED $ 282.65 REPAIR NASAL STENOSIS $ 2,374.55 REPAIR NONUNION CARPAL NAVICULAR BONE $ 1,922.10 REPAIR OF DIGIT NERVE 1 $ 1,542.00 REPAIR OF NAIL BED $ 878.71 REPAIR OF PICC NON-TUNNELED $ 1,450.65 CHARGE DESCRIPTION CHARGE AMOUNT REPAIR OF RECTOCELE $ 1,731.70 REPAIR RECTUM/REMOVE SIGMOID $ 2,967.08 REPAIR RECURRENT INC HERNIA; REDUCIBLE $ 1,946.88 REPAIR RECURRENT INGUINAL HERNIA ANY AG $ 1,600.05 REPAIR RECURRENT INGUINAL HERNIA ANY AG $ 2,118.00 REPAIR SPIGELIAN HERNIA $ 1,447.98 REPAIR TARSOMETATARSAL JOINT DISLOCATION $ 2,005.98 REPAIR TOE DISLOCATION $ 1,208.08 REPAIR UA/ELBOW TENDON/MUSCLE $ 1,630.00 REPLACE TUNNELED CV CATH $ 4,761.71 REPLACE TUNNELED CV CATH $ 1,441.60 REPLACEMENT COMPLETE PICC $ 2,466.62 REPOSIT CVC W FLUORO $ 125.06 REPOSIT' EXISTING IMPLANTED LOOP RECORD $ 1,855.49 REPOSITION PACING-DEFIB LEAD $ 3,754.69 REPOSITION PACING-DEFIB LEAD $ 790.13 REPOSITION VENTRIC LEAD $ 1,015.88 Repositioning of prev implanted trans pa $ 6,836.58 REPR ELBOW LAT LIGMNT W/TISS $ 1,758.13 REPR FOOT EXTENSOR TENDON EA $ 730.00 REPR FOOT FLEXOR TENDON EA $ 807.73 REPR SUTR LEG FLEXOR TENDON $ 946.42 REPR TORN COLLATERAL KNEE LIGAM $ 1,682.83 REPROGRAM COCHLEAR IMPLT 7 > $ 341.30 REPTILASE TEST $ 213.21 REQUIP TAB 0.25MG $ 2.50 REQUIP TAB 1 MG $ 1.90 RESECT HD OF TOE PHALANX $ 659.88 RESECT INFERIOR TURBINATE $ 448.45 RESECT INFERIOR TURBINATE $ 1,386.00 RESECT NECK TUMOR 5 CM/> $ 3,386.00 RESECT PHALANGL BS SGL TOE EA $ 620.63 RESECT SM INTEST; EA ADDTL RESECTION $ 621.28 RESECT SM INTEST; SGL RESECT ANAST $ 3,120.53 RESECT SM INTEST; SGL RESECT & ANAST $ 1,370.00 RESECTION SCROTUM $ 995.40 RESET DISLOCATED JAW $ 934.29 RESP CLEARANCE EMP HEALTH ONLY $ 30.00 RESPIRATOR PHYSICAL $ 75.00 RESPIRATORY SYNCYTIAL VIRUS $ 94.00 RESPIRATORY VIRUS 12-25 TARGETS $ 562.93 RESPIRATORY VIRUS 3-5 TARGETS $ 258.00 RESTORIL CAP 15 mg $ 1.33 RESTRAINT - UNIVERSAL HEAD $ 92.00 RESUSCITATOR ADULT $ 71.84 RET ONCOGENE, GENE SEQUENCE $ 735.04 CHARGE DESCRIPTION CHARGE AMOUNT RETACRIT INJ 1000 UNITS (10,000/ML) $ 25.32 RETICULATED PLATELET ASSAY $ 76.29 RETICULOCYTE COUNT $ 50.60 RETICULOCYTE IMMATURE FRACTION $ 52.68 RETINOL COMPLEX $ 88.00 RETRACTOR ALEXIS XXSML $ 208.00 RETRACTOR FLEXIBLE IRIS $ 330.00 RETRACTOR LG ALEXIS O $ 292.00 RETRACTOR LONE STAR RING $ 252.68 RETRACTOR MED ALEXIS O $ 208.00 RETROGRADE PYELOGRAM $ 46.38 RETROGRADE PYELOGRAM $ 1,240.04 RETROGRADE PYELOGRAM PORTABLE $ 1,240.04 RETRO-URETHROGRAM $ 945.73 REV TOT KNEE ARTHROPL FEM TIB COMPON $ 4,434.83 REV TOT KNEE ARTHROPL; FEM TIB COMPON $ 4,434.83 REVASCULARIZATION GRAFT VESSEL EACH ADD $ 18,130.00 REVASCULARIZATION GRAFT VESSEL EACH ADD $ 11,416.00 REVASCULARIZATION OF ACUTE TOTAL/SUB OCC $ 15,277.00 REVASCULARIZATION OF ACUTE TOTAL/SUB OCC $ 18,284.94 REVASCULARIZATION OF CHRON TOTAL OCC ADD $ 11,416.00 REVASCULARIZATION OF CHRON TOTAL OCC ADD $ 21,760.15 REVASCULARIZATION OF CHRONIC TOTAL OCC $ 24,620.73 REVASCULARIZATION OF CHRONIC TOTAL OCC $ 20,195.00 REVASCULARIZATION OF GRAFT VESSEL $ 14,311.00 REVASCULARIZATION OF GRAFT VESSEL $ 17,862.47 REVERSE FRACTURE EPIPHYSIS CENTER $ 5,838.84 REVISE AV FISTULA - GRAFT $ 10,941.30 REVISE AV FISTULA - GRAFT $ 1,554.80 REVISE COLOSTOMY SIMPLE $ 1,260.76 REVISE COLOSTOMY W REP PC HERNIA $ 2,409.04 REVISE COLOSTOMY; COMPLICATED $ 2,351.38 REVISE FINGER/TOE NERVE 1-2 $ 1,242.83 REVISE GRAFT W/NONAUTO GRAFT $ 2,472.78 REVISE ILEOSTOMY SIMPLE $ 1,200.18 REVISE SPINE ELTRD PERQ ARAY $ 14,658.63 REVISE TOTAL HIP ARTROPL BOTH COMP $ 3,872.34 REVISE/REPLACE KNEE JOINT 1 COMPONENT $ 3,540.68 REVOLVE PROBE - ULTRASOUND 8G MAMMOTOME $ 755.48 RH PHENOTYPING COMPLETE $ 188.49 RHC ONLY $ 10,120.72 RHC, IMPL PRESSURE SENSOR W/ANGIO $ 70,360.73 RHEUMATOID FACTOR $ 59.00 RHINOPL 1' COMPLETE EXT PARTS $ 2,421.18 RHO IG HUMAN FULL DOSE IM $ 140.00 RHYTIDECTOMY (FACELIFT) $ 5,000.00 CHARGE DESCRIPTION CHARGE AMOUNT RIBS LT UNIL W/CXR $ 510.52 RIBS LT UNILATERAL $ 476.06 RIBS RT UNIL W/CXR $ 510.52 RIBS RT UNILATERAL $ 476.06 RIBS-BILATERAL $ 512.91 RIBS-BILATERAL W/CXR $ 530.23 RICKETTSIA Ab $ 173.04 RIGHT HEART CATH $ 1,729.93 RIMACTANE CAP 300 MG $ 4.79 RING - REPLACEMENT RINGLOC+ SZ24 $ 632.00 RING - REPLACEMENT RINGLOC+SZ23 $ 5,942.50 RING FALLOPE BANDS $ 183.32 RING LOCKING ACETABULAR SZ 23 CP TITANIU $ 496.00 RING MALYUGIN 6.25MM $ 532.68 RING MALYUGIN 7.0 MM $ 532.68 RING TENSION 10MM REFORM CAPSULAR $ 284.00 RING TENSION 11MM REFORM CAPSULAR $ 284.00 RING TENSION 12MM REFORM CAPSULAR $ 284.00 RINGLOC ACETABULAR LINER 36MM SZ 24HW $ 5,510.00 RINGLOC ACETABULAR SHELL 54MM SZ 24 $ 2,575.00 RINGLOC BI POLAR 28 X 44MM $ 3,570.00 RINGLOC BI-POLAR 28 X 41MM $ 3,570.00 RINGLOC BI-POLAR 28 X 48MM $ 3,570.00 RINGLOC BI-POLAR 28 X 49MM $ 3,570.00 RINGLOC BI-POLAR 28 X 51MM $ 3,570.00 RINGLOC BI-POLAR 28 X 52MM $ 3,570.00 RINGLOC BI-POLAR 28 X 53MM $ 3,570.00 RINGLOC BI-POLAR 28 X 54MM $ 3,570.00 RINGLOC BI-POLAR 28X42MM $ 3,570.00 RINGLOC BI-POLAR 28X43MM $ 3,570.00 RINGLOC BI-POLAR 28X45MM $ 3,570.00 RINGLOC BI-POLAR 28X46MM $ 3,570.00 RINGLOC BI-POLAR 28X47MM $ 3,570.00 RINGLOC BI-POLAR 28X50MM $ 3,570.00 RINLOC ACETABULAR LINER 32MM / 10 DEGREE $ 2,625.00 RISPERDAL TAB 0.25 MG $ 1.31 RISPERDAL TAB 1 MG $ 2.58 RISTOCETIN COFACTOR $ 399.61 RITALIN TAB 10 MG $ 3.81 RITUXAN INJ 10 MG $ 216.39 RITUXAN INJ 10 MG $ 218.82 RIVASTIGMINE 1.5MG CAPS $ 11.18 RL HRT ART/GRAFT/VENTRICLE ANGIO $ 3,318.00 RL HRT ART/VENTRICLE ANGIO $ 2,901.20 RLC LEUKOREDUCED IRRADIATED $ 311.06 RMVL RPLCMT DFB GEN 2 LEAD $ 987.60 CHARGE DESCRIPTION CHARGE AMOUNT RMVL RPLCMT DFB GEN MLT LD $ 1,028.80 RMVL DEVITAL TIS 20 CM/< $ 722.40 RMVL ESOPHGL SPHNCTR DEV $ 1,578.35 RMVL REPLC PULSE GEN 1 LEAD $ 946.15 RMVL SUBQ CAR RHYTHM MNTR $ 179.08 RNGLC SOLID HEMI SHL 46MM $ 2,575.00 RNGLC SOLID HEMI SHL 48MM $ 2,575.00 ROBAXIN TAB 500 MG $ 1.39 ROBAXIN TAB 750MG $ 1.50 ROBINUL INJ 0.2 MG $ 68.50 ROBINUL TAB 1 MG $ 3.65 ROBITUSSIN AC 100MG-10MG/5ML 10ML $ 2.95 ROBITUSSIN AC SYRUP 1 OZ $ 2.50 ROBITUSSIN DM SYRUP 10 ML $ 7.42 ROBITUSSIN EXPT 10 ML $ 2.65 ROCEPHIN INJ 1 GM $ 8.14 ROCEPHIN INJ 250 MG $ 18.38 ROCEPHIN INJ 500 MG $ 9.64 ROCEPHIN PB SOLN 1 GM 50 ML $ 20.10 ROCEPHIN PB SOLN 2 GM 50 ML $ 20.78 ROD 3.0MM REAMING 950MM W/ STRAIGHT TIP $ 748.44 ROD W/ BALL TIP 2.5MM REAMING/950MM $ 459.00 ROLL LUMBAR ORIGINAL MCKENZIE $ 64.16 ROMAZICON INJ 0.5 MG $ 39.25 ROMIDEPSIN INJECTION (ISTODAX) $ 724.70 ROMIDEPSIN INJECTION (ISTODAX) $ 724.70 ROTARIX VACCINE w/DILUENT for ORAL SUSP $ 267.21 ROTATBALE FUSION RAD 12 $ 1,146.32 ROTATEQ VACCINE SUSPENSON 2 ML $ 186.08 ROTATOR CUFF REP ARTHROSCOPY $ 2,642.83 ROTAVIRUS $ 116.00 ROUTINE OB CARE $ 5,245.73 ROUTINE OB CARE INCL AP C-SECT PP $ 5,822.30 ROUTINE VENIPUNCTURE $ 32.32 ROUTINE VENIPUNCTURE $ 18.00 ROXANOL 10MG/0.5ML $ 8.00 ROXANOL 2.5MG/0.125ML $ 2.00 ROXANOL 5MG/ 0.25ML $ 4.00 RPEZ APPLIER $ 800.00 RPLC GTUBE NO REVJ TRC $ 579.48 RPLC GTUBE NO REVJ TRC $ 77.22 RPR F/E/E/N/L/M 2.5 CM/< $ 219.64 RPR F/E/E/N/L/M 2.6-5.0 CM $ 219.64 RPR F/E/E/N/L/M 5.1-7.5 CM $ 461.13 RPR F/E/E/N/L/M 7.6-12.5 CM $ 534.78 RPR S/N/A/GEN/TRK 20.1-30.0CM $ 463.81 CHARGE DESCRIPTION CHARGE AMOUNT RPR S/N/A/GEN/TRK12.6-20.0CM $ 409.98 RPR S/N/AX/GEN/TRK 7.6-12.5 CM $ 419.33 RPR S/N/AX/GEN/TRNK 2.5CM $ 423.48 RPR S/N/AX/GEN/TRNK 2.5CM/< $ 423.48 RPR S/N/AX/GEN/TRNK 2.6-7.5CM $ 379.32 RPR UMBIL HERN BLOCK 5+ YR $ 1,199.98 RPR UMBIL HERN REDUC 5+ YR $ 1,122.68 RPR UMBIL HERN REDUC LESS THAN 5 YR $ 699.88 RSV $ 137.00 RT 1ST DIGIT OF FOOT $ 434.30 RT 1ST DIGIT OF HAND $ 413.96 RT 2ND DIGIT OF FOOT $ 434.30 RT 2ND DIGIT OF HAND $ 413.96 RT 3RD DIGIT OF FOOT $ 434.30 RT 3RD DIGIT OF HAND $ 413.96 RT 4TH DIGIT OF FOOT $ 434.30 RT 4TH DIGIT OF HAND $ 413.96 RT 5TH DIGIT OF FOOT $ 434.30 RT 5TH DIGIT OF HAND $ 413.96 RT DOSIMETRY BASIC $ 2,272.81 RT HEMIBODY SPECIAL $ 5,063.27 RT IP CONS BASIC-TECH $ 70.02 RT IP CONS COMPLEX-TECH $ 147.35 RT IP CONS COMPREHENSIVE-TECH $ 268.57 RT IP CONS INTERMED-TECH $ 104.50 RT IP CONS SIMPLE-TECH $ 144.21 RT ISODOSE PLAN COMPLEX $ 6,630.89 RT ISODOSE PLAN SIMPLE $ 590.10 RT LIN ACC COMPLEX $ 1,311.42 RT LIN ACC INTERMEDIATE $ 573.00 RT LIN ACC SIMPLE $ 1,560.45 RT MED PHYSICS CONTINUING FINAL-TECH $ 1,147.21 RT MEDICAL PHYSICS CONTINUING-TECH $ 1,474.45 RT OP CON INTERMED-TECH $ 146.00 RT OP CONS BASIC-TECH $ 135.00 RT OP CONS COMPLEX-TECH $ 264.00 RT OP CONS COMPREHENSIVE-TECH $ 370.00 RT OP CONS SIMPLE-TECH $ 193.00 RT PORT FILM(S) $ 530.51 RT SIMULATION 3-D $ 5,198.95 RT SIMULATION COMPLEX $ 4,250.54 RT SIMULATION INTERMEDIATE $ 484.61 RT SIMULATION SIMPLE $ 1,683.03 RT TREATMENT DEVICE COMPLEX-TECH $ 1,230.49 RT TREATMENT DEVICE INTERMEDIATE-TECH $ 309.00 RT TREATMENT DEVICE SIMPLE-TECH $ 873.12 CHARGE DESCRIPTION CHARGE AMOUNT RUBELLA Ab $ 80.00 RUBELLA VACCINE $ 25.00 RUBEOLA Ab $ 127.62 RX CL ELBOW DISLOC WO ANESTH $ 259.78 RX CL ELBOW DISLOC WO ANESTH $ 429.18 RX CL ELBOW DISLOC WO ANESTH $ 688.96 RYTHMOL TAB 150 MG $ 2.26 RYTHMOL TAB 225 MG $ 2.52 S MARK CELERO 2S $ 268.96 S MARK EVIVA 2S $ 268.96 S&I SENT CHEST VERT ART $ 767.50 S&I STENT/CHEST VERT ART ADDL VESSEL $ 6,395.10 S22G X 50MM SONOPLEX II FACET $ 58.00 SACROSPINOUS LIGAM FIX FOR PROLAPSE $ 1,238.00 SACRUM $ 424.77 SACRUM & COCCYX $ 748.20 SACRUM & COCCYX $ 424.77 SAFESHEATH PLI KIT SSL9 9FR 23CM $ 1,168.00 SAGITAL BLADE $ 157.44 SALINE INFUSED SONOHYSTEROGRAM $ 287.28 SALINE INFUSED SONOHYSTEROGRAM $ 73.94 SALINE INFUSED SONOHYSTEROGRAM $ 155.88 SALINOCAINE $ 15.00 SALIVA SUBSTITUTE LIQUID 45 ML $ 14.41 SALMONELLA ANTIBODIES $ 46.35 SALPINGOGRAM $ 1,669.63 SALPINGO-OOPHOR COML/PART UNIL OR BIL $ 1,840.78 SALPINGO-OOPHOR COML/PART UNIL OR BIL $ 849.00 SAME DAY NB DISCHARGE $ 276.15 SAMSCA 15 MG TABLET $ 1,351.38 SANDOSTATIN INJ 100 MCG $ 11.62 SANDOSTATIN LAR INJ 30 MG $ 473.97 SANTYL OINTMENT $ 712.00 SAPHENOUS VEIN 40-49CM SV102 $ 13,700.00 SAPHENOUS VEIN 80-100CM SV106 $ 16,900.00 SAWBLADE OXFORD UNICONDYLAR KNEE $ 1,802.50 SBSQ NB EM PER DAY HOSP $ 104.05 SCALPAL-HARMONIC + 7 (HARH36) $ 1,634.88 SCALPEL 94MM STLF SICKLE KNIFE $ 231.16 SCAN PROC CRANIAL EXTRA $ 441.10 SCANOGRAM $ 404.00 SCAPEL 94MM STLF FLAP KNIFE $ 192.40 SCAPEL 94MM STLF SHARP KNIFE $ 192.40 SCAPEL 94MM STLF VASCULAR KNIFE $ 231.16 SCAPULA LT $ 404.70 SCAPULA RT $ 404.70 CHARGE DESCRIPTION CHARGE AMOUNT SCIATIC EA ADD 1/2 HR PORTION $ 61.13 SCISSORS CURVED W/ UNIPOLAR CAUTERY 5MM $ 206.68 SCLERA - TUTOPLAST .6 X 1.0CM $ 1,300.00 SCOLIOSIS SERIES $ 630.92 SCOPE REM VC LESION W FLAPS $ 730.14 SCR 2.7MM CORT SM HEX 18MM $ 72.80 SCR 3.0MM CANN 1/3 THD 44MM $ 576.80 SCR FEM NAIL TI 100MM STRL $ 2,664.38 SCR FEM NAIL TI 105MM STRL $ 2,664.38 SCR MAMMO BI INCL CAD $ 389.45 SCREEN DIGITAL BREAST TOMO BIL $ 53.11 SCREEN MAMMO BIL INCLUDES CAD $ 129.34 SCREENING PURE TONE AIR ONLY $ 81.00 SCREW - 10MMX28MM INTERFERENCE $ 1,344.00 SCREW - 2.4MM X 12MM LOCKING $ 378.00 SCREW - 2.4MM X 13MM LOCKING $ 378.00 SCREW - 2.4MM X 14MM NON-LOCKING $ 257.60 SCREW - 2.4MM X 16MM LOCKING $ 378.00 SCREW - 2.4MM X 18MM LOCKING $ 378.00 SCREW - 2.4MM X 20MM LOCKING $ 378.00 SCREW - 2.4MM X 22MM LOCKING $ 378.00 SCREW - 2.7MM W/STARDRIVE 14MM (402.214) $ 489.60 SCREW - 2.7MM W/STARDRIVE 16MM (402.876) $ 234.00 SCREW - 2.7MM W/STARDRIVE 22MM (402.222) $ 489.60 SCREW - 2.7MM W/STARDRIVE 24MM (402.224) $ 489.60 SCREW - 2.7MM X 22MM MULTIDIRECTIONAL $ 643.20 SCREW - 2.7MM X 29MM $ 588.00 SCREW - 3.5 HEX 4.75 X 20MM $ 688.00 SCREW - 3.5 HEX 4.75 X 30MM $ 688.00 SCREW - 3.5 X 20 MM LOCKING $ 840.00 SCREW - 3.5 X 22 MM LOCKING $ 840.00 SCREW - 3.5 X 22 MM NON-LOCKING $ 680.00 SCREW - 3.5 X 24 MM LOCKING $ 840.00 SCREW - 3.5 X 24 MM NON-LOCKING $ 680.00 SCREW - 3.5 X 26 MM LOCKING $ 840.00 SCREW - 3.5 X 26 MM NON-LOCKING $ 644.00 SCREW - 3.5 X 28 MM LOCKING $ 840.00 SCREW - 3.5 X 28 MM NON-LOCKING $ 680.00 SCREW - 3.5 X 30 MM LOCKING $ 644.00 SCREW - 3.5 X 30 MM LOCKING $ 840.00 SCREW - 3.5 X 32 MM LOCKING $ 840.00 SCREW - 3.5 X 32 MM NON-LOCKING $ 680.00 SCREW - 3.5 X 34 MM LOCKING $ 840.00 SCREW - 3.5 X 34 MM NON-LOCKING $ 612.00 SCREW - 3.5 X 36 MM NON-LOCKING $ 644.00 SCREW - 3.5 X 36MM LOCKING $ 840.00 CHARGE DESCRIPTION CHARGE AMOUNT SCREW - 3.5 X 40 MM LOCKING $ 804.00 SCREW - 3.5 X 42 MM LOCKING $ 840.00 SCREW - 3.5 X 44 MM LOCKING $ 840.00 SCREW - 3.5 X 48 MM LOCKING $ 840.00 SCREW - 3.5 X 52 MM LOCKING $ 840.00 SCREW - 3.5MM W/STARDRIVE (04.200.022) $ 103.48 SCREW - 3.5MM W/STARDRIVE 22MM (412.107) $ 514.80 SCREW - 3.5MM W/STARDRIVE 26MM (412.109) $ 514.80 SCREW - 4.0MM TI LOCK W STARDRIVE 48MM $ 812.80 SCREW - 5.5MM X 75MM NON- LOCK $ 179.56 SCREW - 6.5MM REVERSE SHOULDER $ 400.00 SCREW - 90DEG LOCK 3.8 X 32MM $ 333.20 SCREW - 90DEG LOCK 3.8 X 32MM $ 2,430.84 SCREW - BIOCOMPOSITE INTER $ 1,344.00 SCREW - BIOCOMPOSITE INTER -FERENCE $ 1,344.00 SCREW - BIODRIVE MICRO BONE 2 X 14 $ 1,780.00 SCREW - BIODRIVE MICRO BONE 2.3 X 24 $ 1,645.00 SCREW - BIODRIVE MICRO BONE 2.3 X 26 $ 1,645.00 SCREW - BIODRIVE MICRO BONE 2.3 X 28 $ 1,100.00 SCREW - BIODRIVE MICRO BONE 2.3X12 $ 1,100.00 SCREW - BIODRIVE MICRO BONE 2.3X14 $ 1,780.00 SCREW - BIODRIVE MICRO BONE 2.3X16 $ 1,645.00 SCREW - BIODRIVE MICRO BONE 2.3X18 $ 1,645.00 SCREW - BIODRIVE MICRO BONE 2.3X20 $ 1,648.00 SCREW - BIODRIVE MICRO BONE 2.3X22 $ 1,645.00 SCREW - CANN 6.5MM X 100MM X 16MM $ 1,125.00 SCREW - CANN 6.5MM X 35MM X 16MM $ 1,125.00 SCREW - CANN 6.5MM X 40MM X 16MM $ 1,125.00 SCREW - CANN 6.5MM X 45MM X 16MM $ 1,125.00 SCREW - CANN 6.5MM X 55MM X 16MM $ 1,125.00 SCREW - CANN 6.5MM X 65MM X 16MM $ 1,125.00 SCREW - CANN 6.5MM X 80MM X 16MM $ 1,125.00 SCREW - CANN 6.5MM X 90MM X 16MM $ 1,125.00 SCREW - CANN 6.5MMX105MMX16MM $ 1,125.00 SCREW - CANN 6.5MMX115MMX16MM $ 1,125.00 SCREW - CANN 6.5MMX95MMX16MM $ 1,125.00 SCREW - CANN PARTIAL THD 5.0X 40MM $ 735.00 SCREW - CANN PARTIAL THD 5.0X30MM $ 735.00 SCREW - CANN PARTIAL THD 5.0X32MM $ 735.00 SCREW - CANN PARTIAL THD 5.0X36MM $ 735.00 SCREW - CANN PARTIAL THD 5.0X38MM $ 735.00 SCREW - CANN PARTIAL THRD 4.0 X 36MM $ 675.00 SCREW - CANN PARTIAL THRD 4.0 X 40MM $ 675.00 SCREW - CANN PARTIAL THRD 4.0 X 46MM $ 675.00 SCREW - CANN PARTIAL THRD 4.0 X 50MM $ 675.00 SCREW - CANN PARTIAL THRD 4.0 X 55MM $ 675.00 CHARGE DESCRIPTION CHARGE AMOUNT SCREW - CANN PARTIAL THRD 5.0X 55MM $ 735.00 SCREW - CANN PARTIAL THRD 5.0X50MM $ 735.00 SCREW - CANN PARTIAL THRD 5.0X60MM $ 735.00 SCREW - CANN PARTIAL THRD 5.0X75MM $ 735.00 SCREW - CANN THD 8.0MMX100MMX16MM $ 1,164.00 SCREW - CENTRAL 15MM, UNIV GLENOID $ 612.00 SCREW - CORTICAL 5.0MM X 42MM $ 546.00 SCREW - HEADED 33MM $ 288.00 SCREW - HIP 90MM $ 780.00 SCREW - LOCK 2.7MM X 28MM $ 352.00 SCREW - LP NON LOCK 2.7MM X 22MM $ 176.00 SCREW - LP NON LOCK 2.7MM X 24MM $ 176.00 SCREW - MD 2.7MM X 24MM $ 588.00 SCREW - NON LOCK 2.7MM X 12MM $ 176.00 SCREW - NON LOCK 2.7MM X 16MM $ 176.00 SCREW - PERIPHERAL LOCKING, UNIV GLENOID $ 432.00 SCREW - SELF TAP 3.5MM X 65MM STARDRIVE $ 603.00 SCREW - TENODESIS PEEK 5.5 X 10MM $ 1,632.00 SCREW - TENODESIS PEEK 5.5 X 12MM $ 1,632.00 SCREW - TI LOCKING 5 X 46MM FOR IM NAILS $ 988.20 SCREW - UNI HEADED 48MM $ 460.00 SCREW 1.5MM CORTICAL FT 10MM $ 145.00 SCREW 1.5MM CORTICAL FT 12MM $ 153.08 SCREW 10MM $ 471.60 SCREW 10MM SM PARTIAL CANN 205 010 $ 817.20 SCREW 10X20 BIOSURE $ 820.00 SCREW 10X25 BIOSURE $ 820.00 SCREW 10X30 BIOSURE $ 820.00 SCREW 10X35 BIOSURE $ 820.00 SCREW 11.0MM TI TROCR FIX NAIL 100MM STR $ 1,984.50 SCREW 11.0MM TI TROCR FIX NAIL 105MM STR $ 1,984.50 SCREW 11.0MM TI TROCR FIX NAIL 110MM STR $ 1,984.50 SCREW 11.0MM TI TROCR FIX NAIL 80MM STRL $ 1,984.50 SCREW 11.0MM TI TROCR FIX NAIL 90MM STRL $ 1,984.50 SCREW 11.0MM TI TROCR FIX NAIL 95MM STRL $ 1,984.50 SCREW 11X25 BIOSURE $ 820.00 SCREW 11X30 BIOSURE $ 820.00 SCREW 11X35 BIOSURE $ 820.00 SCREW 12MM $ 146.68 SCREW 12MM $ 146.68 SCREW 12MM 4.0 FULL THREAD CANCELLO $ 84.60 SCREW 12X35 BIOSURE $ 820.00 SCREW 14MM 3.5 CORTEX 204 014 $ 80.08 SCREW 14MM 4..0 FULL THREAD CANCELLO $ 77.56 SCREW 16MM 4.0 FULL THREAD CANCELLO $ 84.60 SCREW 18MM $ 146.68 CHARGE DESCRIPTION CHARGE AMOUNT SCREW 18MM 4.0 FULL THREAD CANCELLO $ 79.88 SCREW 18MM 4.5MM CORTEX 214 018 $ 56.00 SCREW 2.0 X 10MM CORTEX $ 146.68 SCREW 2.0 X 11MM CORTEX $ 146.68 SCREW 2.0 X 16MM CORTEX $ 146.68 SCREW 2.0MM TITANIUM CORTEX 8MM $ 126.00 SCREW 2.4 X 16MM NON-LOCKING $ 289.60 SCREW 2.4 X 18MM LOCKING $ 488.84 SCREW 2.4 X 20MM LOCKING $ 488.84 SCREW 2.4MM TI VA LOCKING STARDRIVE 14MM $ 543.60 SCREW 2.4MM TI VA LOCKING STARDRIVE 16MM $ 543.60 SCREW 2.4MM TI VA LOCKING STARDRIVE 20MM $ 543.60 SCREW 2.4MM X 20MM NON-LOCKING $ 289.60 SCREW 2.5MM X 24MM AUTOFIX $ 1,144.00 SCREW 2.7 LOCKING 10MM $ 474.00 SCREW 2.7 LOCKING 12MM $ 474.00 SCREW 2.7 LOCKING 14MM $ 474.00 SCREW 2.7 LOCKING 16MM $ 474.00 SCREW 2.7 LOCKING 18MM $ 474.00 SCREW 2.7 LOCKING 22MM $ 489.60 SCREW 2.7 LOCKING 24MM $ 489.60 SCREW 2.7 LOCKING 26MM $ 489.60 SCREW 2.7MM CORT SELF TAP SM HEX 50MM $ 72.80 SCREW 2.7MM CORT SELFTAP SM HEX 10MM $ 72.80 SCREW 2.7MM CORT SELFTAP SM HEX 14MM $ 72.80 SCREW 2.7MM CORT SELFTAP SM HEX 16MM $ 72.80 SCREW 2.7MM CORT SLF TAP 30MM $ 131.24 SCREW 2.7MM CORT SLF TAP 34MM $ 131.24 SCREW 2.7MM LOCKING 26MM $ 344.40 SCREW 2.7MM LOCKING W/ T8 STAR 12MM $ 653.12 SCREW 2.7MM LOCKING W/ T8 STAR 14MM $ 653.12 SCREW 2.7MM LOCKING W/ T8 STAR 16MM $ 653.12 SCREW 2.7MM META SLFTAP T8 STRDRV 36MM $ 183.00 SCREW 2.7MM META SLFTAP T8 STRDRV 40MM $ 183.00 SCREW 2.7MM META SLFTAP T8 STRDRV 42MM $ 183.00 SCREW 2.7MM META SLFTAP T8 STRDRV 44MM $ 183.00 SCREW 2.7MM TI CORTEX 12MM $ 130.40 SCREW 2.7MM TI CORTEX 14MM $ 138.36 SCREW 2.7MM TI CORTEX 14MM $ 150.32 SCREW 2.7MM TI CORTEX 16MM $ 138.36 SCREW 2.7MM TI CORTEX 6MM $ 138.36 SCREW 2.7MM TI CORTEX 8MM $ 130.40 SCREW 2.7MM TI CORTEX SLF-TPING W/T8 14M $ 234.00 SCREW 2.7MM VA SLFTAP T8 STRDRV 34MM $ 570.00 SCREW 2.7MM VA SLFTAP T8 STRDRV 42MM $ 570.00 SCREW 2.7MM VA SLFTAP T8 STRDRV 44MM $ 570.00 CHARGE DESCRIPTION CHARGE AMOUNT SCREW 2.7MM X 10MM CORTEX SELF-TAPPING $ 145.96 SCREW 2.7MM X 12MM CORTEX SELF-TAPPING $ 145.96 SCREW 2.7MM X 14MM CORTEX SELF-TAPPING $ 150.32 SCREW 2.7MM X 14MM LOCKING HEXALOBE $ 480.00 SCREW 2.7MM X 16.0 LOCKING CORTICAL $ 264.00 SCREW 2.7MM X 16MM CORTEX SELF-TAPPING $ 150.32 SCREW 2.7MM X 18MM CORTEX SELF-TAPPING $ 144.00 SCREW 2.7MM X 20.00 CORTICAL $ 324.00 SCREW 2.7MM X 20MM $ 643.20 SCREW 2.7MM X 20MM $ 643.20 SCREW 2.7MM X 20MM NON-LOCKING HEXALOBE $ 296.00 SCREW- 3.0 X 16MM CANN $ 832.00 SCREW- 3.0 X 18MM CANN $ 832.00 SCREW 3.0MM CANNULATED 26MM THD 1/2 $ 576.80 SCREW 3.0MM X 10MM LOCKING HEXALOBE $ 512.00 SCREW 3.0MM X 10MM NONLOCKING HEXALOBE $ 304.00 SCREW 3.0MM X 12MM LOCKING HEXALOBE $ 512.00 SCREW 3.0MM X 16MM NON-LOCKING HEXALOBE $ 296.00 SCREW 3.0MM X 8MM LOCKING HEXALOBE $ 360.00 SCREW 3.5 CORT SELF TAP SM HEX 26MM $ 81.20 SCREW 3.5 CORTEX SELF-TAPPING 55MM $ 102.60 SCREW 3.5 SHAFT 204.216 $ 77.76 SCREW 3.5 SHAFT 204.218 $ 93.60 SCREW 3.5 SHAFT 204.220 $ 80.08 SCREW 3.5 SHAFT 204.220 $ 80.08 SCREW 3.5 SHAFT 204.222 $ 93.60 SCREW 3.5 SHAFT 204.224 $ 93.60 SCREW 3.5 SHAFT 204.228 $ 92.12 SCREW 3.5 SHAFT 204.232 $ 77.76 SCREW 3.5 X 30MM CANN CORT BONE $ 451.44 SCREW 3.5,, TI CORTEX SF TAPING 14MM $ 102.60 SCREW 3.5,, TI CORTEX SF TAPING 22MM $ 102.60 SCREW 3.5,, TI CORTEX SF TAPING 22MM $ 102.60 SCREW 3.5,, TI CORTEX SF TAPW STARDRIVE $ 514.80 SCREW 3.5,, TI CORTEX SF TAPW STARDRIVE $ 514.80 SCREW 3.5ML CORTICAL SLFTP SM HEX 20MM $ 81.20 SCREW 3.5ML CORTICAL SLFTP SM HEX 22MM $ 81.20 SCREW 3.5MM BN 48MM LCP SS T15 212.120 $ 557.32 SCREW 3.5MM CORT LOCK 40MM $ 323.80 SCREW 3.5MM CORT SELF TAP SM HEX 14MM $ 81.20 SCREW 3.5MM CORT SELF TAP SM HEX 16MM $ 81.20 SCREW 3.5MM CORT STERILE 22MM $ 96.00 SCREW 3.5MM CORT STERILE 24MM $ 96.00 SCREW 3.5MM CORT STERILE 26MM $ 96.00 SCREW 3.5MM CORT STERILE 28MM $ 96.00 SCREW 3.5MM CORT STERILE 30MM $ 120.40 CHARGE DESCRIPTION CHARGE AMOUNT SCREW 3.5MM CORT STERILE 32MM $ 120.40 SCREW 3.5MM CORTEX SELF TAPPING 32MM $ 84.72 SCREW 3.5MM CORTEX SELF-TAPPIN 24MM $ 84.72 SCREW 3.5MM CORTEX SELF-TAPPING 10MM $ 91.52 SCREW 3.5MM CORTEX SELF-TAPPING 12MM $ 84.72 SCREW 3.5MM CORTEX SELF-TAPPING 14MM $ 84.72 SCREW 3.5MM CORTEX SELF-TAPPING 16MM $ 84.72 SCREW 3.5MM CORTEX SELF-TAPPING 18MM $ 94.28 SCREW 3.5MM CORTEX SELF-TAPPING 20MM $ 84.72 SCREW 3.5MM CORTEX SELF-TAPPING 22MM $ 91.52 SCREW 3.5MM CORTEX SELF-TAPPING 26MM $ 94.28 SCREW 3.5MM CORTEX SELF-TAPPING 28MM $ 84.72 SCREW 3.5MM CORTEX SELF-TAPPING 30MM $ 84.72 SCREW 3.5MM CORTEX SELF-TAPPING 36MM $ 84.72 SCREW 3.5MM CORTEX SELF-TAPPING 38MM $ 102.60 SCREW 3.5MM CORTEX SELF-TAPPING 40MM $ 102.60 SCREW 3.5MM CORTEX SELF-TAPPING 45MM $ 91.52 SCREW 3.5MM CORTICAL LOCK 75MM $ 353.96 SCREW 3.5MM CORTICAL LOCK 80MM $ 353.96 SCREW 3.5MM CORTICAL LOCK 85MM $ 353.96 SCREW 3.5MM CORTICAL LOCK 90MM $ 353.96 SCREW 3.5MM LOCK 2.7 X 12MM $ 319.20 SCREW 3.5MM LOCK SF-TAP STAR 212.114 $ 557.32 SCREW 3.5MM LOCKING 2.77MM HEAD 22MM $ 319.20 SCREW 3.5MM LOCKING SELF-TPNG STARDIVE $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG STARDRIVE $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG STARDRIVE $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDR $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/ STARDRI $ 514.80 SCREW 3.5MM LOCKING SELF-TPNG W/STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/STARDRI $ 501.00 SCREW 3.5MM LOCKING SELF-TPNG W/STARDRI $ 514.80 SCREW 3.5MM LOCKING SELF-TPNG W/STARDRIV $ 509.20 SCREW 3.5MM LOCKING W/ 2.7MM HEAD 10MM $ 319.20 SCREW 3.5MM LOCKING W/ 2.7MM HEAD 12MM $ 319.20 CHARGE DESCRIPTION CHARGE AMOUNT SCREW 3.5MM LOCKING W/ 2.7MM HEAD 14MM $ 319.20 SCREW 3.5MM LOCKING W/ 2.7MM HEAD 16MM $ 319.20 SCREW 3.5MM LOCKING W/ STAR RECESS 42MM $ 574.04 SCREW 3.5MM LOCKING W/ STARDRIVE RE 65MM $ 608.40 SCREW 3.5MM LOCKING W/ STARDRIVE RE 70MM $ 608.40 SCREW 3.5MM LOCKING W/ STARDRIVE RE 80MM $ 608.40 SCREW 3.5MM LOCKING W/ STARDRIVE RE 85MM $ 608.40 SCREW 3.5MM LOCKING W/ STARDRIVE RE 90MM $ 608.40 SCREW 3.5MM LOW PRO CORT 75MM $ 151.32 SCREW 3.5MM LOW PRO CORT 80MM $ 151.32 SCREW 3.5MM MULTIDIRECT 12MM $ 606.00 SCREW 3.5MM MULTIDIRECT 14MM $ 606.00 SCREW 3.5MM MULTIDIRECT 16MM $ 606.00 SCREW 3.5MM MULTIDIRECT 18MM $ 606.00 SCREW 3.5MM MULTIDIRECT 20MM $ 614.08 SCREW 3.5MM MULTIDIRECT 24MM $ 606.00 SCREW 3.5MM MULTIDIRECT 28MM $ 606.00 SCREW 3.5MM MULTIDIRECT 30MM $ 545.40 SCREW 3.5MM MULTIDIRECT 32MM $ 545.40 SCREW 3.5MM MULTIDIRECT 34MM $ 606.00 SCREW 3.5MM MULTIDIRECT 36MM $ 606.00 SCREW 3.5MM MULTIDIRECT 38MM $ 606.00 SCREW 3.5MM MULTIDIRECT 40MM $ 606.00 SCREW 3.5MM MULTIDIRECT 44MM $ 606.00 SCREW 3.5MM MULTIDIRECT 48MM $ 614.08 SCREW 3.5MM MULTIDIRECT 50MM $ 606.00 SCREW 3.5MM MULTIDIRECT 55MM $ 545.40 SCREW 3.5MM MULTIDIRECT 60MM $ 545.40 SCREW 3.5MM MULTIDIRECT 65MM $ 545.40 SCREW 3.5MM MULTIDIRECT 70MM $ 545.40 SCREW 3.5MM MULTIDIRECT 75MM $ 545.40 SCREW 3.5MM MULTIDRIECT 22MM $ 606.00 SCREW 3.5MM SELF-TAPPING 34MM $ 84.72 SCREW 3.5MM VA SELF TAP STRDRV 46MM $ 690.88 SCREW 3.5MM VA SELF TAP STRDRV 54MM $ 690.88 SCREW 3.5MM VA SELF TAP STRDRV 56MM $ 603.00 SCREW 3.5MM VARIABLE ANGLE LKG 36MM $ 690.88 SCREW 3.5MM VARIABLE ANGLE LKG 40MM $ 603.00 SCREW 3.5MM VARIABLE ANGLE LKG 42MM $ 603.00 SCREW 3.5MM VARIABLE ANGLE LKG 44MM $ 603.00 SCREW 3.5MM VARIABLE ANGLE LKG 60MM $ 603.00 SCREW 3.5MM VARIABLE ANGLE LKG 80MM $ 690.88 SCREW 3.5MM VARIABLE ANGLE LKG 85MM $ 603.00 SCREW 3.5MM VARIABLE ANGLE LOCKING 32MM $ 603.00 SCREW 3.5MM VARIABLE ANGLE LOCKING 75MM $ 603.00 SCREW 3.5mm VARIABLE ANGLR LOCKING 70MM $ 603.00 CHARGE DESCRIPTION CHARGE AMOUNT SCREW 3.5MM X 10MM LOCKING HEXALOBE $ 476.00 SCREW 3.5MM X 12MM LOCKING HEXALOB $ 476.00 SCREW 3.5MM X 14MM LOCKING HEXALOBE $ 600.00 SCREW 3.5MM X 14MM NON-LCOKING HEXALOBE $ 360.00 SCREW 3.5MM X 18.0MM CORTICAL $ 264.00 SCREW 3.5MM X 18MM CORTICAL LOCK $ 404.00 SCREW 3.5MM X 18MM CORTICAL LOCK $ 404.00 SCREW 3.5MM X 20.0MM CORTICAL $ 264.00 SCREW 3.5MM X 24MM HEXALOBE NON-LOCK $ 312.00 SCREW 3.5MM X 26MM HEXALOBE LOCKING $ 480.00 SCREW 3.5MM X 30MM LOCKING HEXALOBE $ 480.00 SCREW 3.5MM X 38MM LOCKING HEXALOBE $ 480.00 SCREW 3.5MM X 50MM HEXALOBE LOCKING $ 296.00 SCREW 3.5MM X 8MM LOCKING HEXALOBE $ 512.00 SCREW 3.7MM X 50MM LOCK CANNULATED $ 792.00 SCREW 3.7MM X 56MM LOCK CANNULATED $ 792.00 SCREW 3.7MM X 58MM LOCK CANNULATED $ 792.00 SCREW 3.7MM X 65MM CONICAL CANNULATED $ 694.80 SCREW 3.7MM X 65MM LOCK CANNULATED $ 792.00 SCREW 30MM 4.5MM CORTEX 214 030 $ 72.56 SCREW 34MM SM PARTIAL CANN 205 034 $ 816.48 SCREW 38MM SM FULL CANNU 205 238 $ 839.16 SCREW 38MM SM PARTIAL CANN 205 038 $ 816.48 SCREW 4.0 CANNULATED $ 874.36 SCREW 4.0 CANNULATED $ 900.60 SCREW 4.0 CANNULATED LG/THREAD 46MM $ 874.36 SCREW 4.0 CANNULATED SHORT THREAD $ 860.40 SCREW 4.0 CANNULATED SHORT THREAD $ 860.40 SCREW 4.0 CANNULATED SHORT THREAD $ 860.40 SCREW 4.0 CANNULATED SHORT THREAD $ 900.60 SCREW 4.0MM CANC LOCK 34MM $ 323.80 SCREW 4.0MM CANC LOCK 36MM $ 323.80 SCREW 4.0MM CANC LOCK 38MM $ 323.80 SCREW 4.0MM CANC LOCK 42MM $ 323.80 SCREW 4.0MM CANC LOCK 44MM $ 323.80 SCREW 4.0MM CANC LOCK 48MM $ 323.80 SCREW 4.0MM CANC LOCK 50MM $ 323.80 SCREW 4.0MM CANC LOCK 55MM $ 323.80 SCREW 4.0MM CANC LOCK SCREW 46MM $ 323.80 SCREW 4.0MM CANC LOCK SCREW 65MM $ 353.96 SCREW 4.0MM CANC LOCK SCREW 70MM $ 353.96 SCREW 4.0MM CANC LOCK SCREW 75MM $ 353.96 SCREW 4.0MM CANC LOCK SCREW 80MM $ 323.80 SCREW 4.0MM CANN 1/2 THD 36MM $ 635.60 SCREW 4.0MM CANN 1/3 THD 38MM $ 635.60 SCREW 4.0MM CANN 1/3 THD 40MM $ 635.60 CHARGE DESCRIPTION CHARGE AMOUNT SCREW 4.0MM CANN PARTIAL 1/3 THD 55MM $ 635.60 SCREW 4.0MM CANN PARTIAL THD 44MM $ 604.80 SCREW 4.0MM CANN PARTIAL THD 55MM $ 604.80 SCREW 4.0MM TI CANC BONE FULLY THREAD 18 $ 84.60 SCREW 4.0MM W/STARDRIVE 30MM $ 812.80 SCREW 4.0MM W/STARDRIVE 32MM $ 812.80 SCREW 4.5 LOCKING CORTICAL 30MM $ 330.36 SCREW 4.5 LOCKING CORTICAL 34MM $ 330.36 SCREW 4.5 LOCKING CORTICAL 50MM $ 330.36 SCREW 4.5 LOCKING SHAFT 26MM $ 330.36 SCREW 4.5 LOCKING SHAFT 28MM $ 330.36 SCREW 4.5 LOCKING SHAFT 36MM $ 330.36 SCREW 4.5 X 34MM CORTICAL $ 92.40 SCREW 4.5 X 36MM CORTICAL $ 92.40 SCREW 4.5 X 38MM CORITCAL FT $ 92.40 SCREW 4.5 X 40MM CORTICAL FT $ 92.40 SCREW 4.5 X 42MM CORTICAL FT $ 124.20 SCREW 4.5 X 44MM CORTICAL FT $ 124.20 SCREW 4.5 X 46MM COTRICAL FT $ 124.20 SCREW 4.5 X 50MM CORTICAL FT $ 124.20 SCREW 4.5MM 28MM SHAFT $ 75.88 SCREW 4.5MM 34MM SHAFT $ 75.88 SCREW 4.5MM CANN FULL THREAD 36MM $ 874.80 SCREW 4.5MM CANN FULL THREAD 46MM $ 874.80 SCREW 4.5MM CORTEX SCREW SELF TAPPING $ 92.32 SCREW 4.5MM CORTEX SELF-TAPPING 52MM $ 92.32 SCREW 4.5MM CORTEX SELF-TAPPING 54MM $ 99.00 SCREW 4.5MM CORTEX SELF-TPNG 38MM $ 85.48 SCREW 4.5MM CORTICAL SELF TAP 34MM LG $ 72.80 SCREW 4.5MM CORTICAL SELF TAP 36MM LG $ 72.80 SCREW 4.5MM CORTICAL SELF TAP 38MM LG $ 72.80 SCREW 4.5MM CORTICAL SF-TAP LG HEX 58MM $ 72.80 SCREW 4.5MM CORTICOL SF-TAP LARGE HEX 48 $ 72.80 SCREW 4.5MM X 32MM SELF TAP $ 97.84 SCREW 4.5MM X 40MM SELF TAP $ 85.48 SCREW 4.5MM X 42MM CORTICAL HEX $ 72.80 SCREW 4.5MM X 44MM SELF TAP $ 92.32 SCREW 4.8MM CANC NONSTRL 38MM $ 312.84 SCREW 4.8MM CANC NONTRL 34MM $ 312.84 SCREW 4.8MM CANC NONTRL 40MM $ 312.84 SCREW 4.8MM CANC NONTRL 48MM $ 312.84 SCREW 4.8MM CANC NONTRL 52MM $ 312.84 SCREW 4.8MM CANC STERILE 30MM $ 362.08 SCREW 4.8MM CANC STERILE 34MM $ 362.08 SCREW 4.8MM CANC STERILE 40MM $ 362.08 SCREW 4.8MM CANC STERILE 42MM $ 362.08 CHARGE DESCRIPTION CHARGE AMOUNT SCREW 4.8MM CANC STERILE 44MM $ 362.08 SCREW 4.8MM CANC STERILE 50MM $ 362.08 SCREW 4.8MM CANC STERILE 50MM $ 362.08 SCREW 4.8MM CANC STERILE 54MM $ 362.08 SCREW 4.8MM CANC STERILE 56MM $ 362.08 SCREW 40MM 4.0 FULL THREAD CANCELLO $ 79.88 SCREW 40MM CANNULATED 2.4MM $ 860.40 SCREW 40MM SM FULL CANNU 205 240 $ 817.20 SCREW 40MM SM PARTIAL CANN 205 040 $ 840.96 SCREW 42MM SM PARTIAL CANN 205 042 $ 816.48 SCREW 44MM SM FULL CANNU 205 244 $ 864.32 SCREW 44MM SM PARTIAL CANN 205 044 $ 866.20 SCREW 45MM 4.0 FULL THREAD CANCELLO $ 77.56 SCREW 46MM CORTICAL SCREW $ 72.80 SCREW 46MM SM FULL CANNU 205 246 $ 864.32 SCREW 46MM SM PARTIAL CANN 205 046 $ 840.96 SCREW 48MM SM FULL CANNU 205 248 $ 640.00 SCREW 4MM CANC LAG 16MM $ 100.88 SCREW 4MM CANC LAG 22MM $ 100.88 SCREW 4MM CANC LAG 30MM $ 100.88 SCREW 4MM CANC LAG 50MM $ 106.20 SCREW 5.0 LCK 37.5MM FT $ 840.00 SCREW 5.0MM CANNULATED VA LOCKING 45MM $ 990.00 SCREW 5.0MM CANNULATED VA LOCKING 65MM $ 990.00 SCREW 5.0MM CANNULATED VA LOCKING 70MM $ 990.00 SCREW 5.0MM CANNULATED VA LOCKING 75MM $ 1,069.20 SCREW 5.0MM CANNULATED VA LOCKING 80M $ 990.00 SCREW 5.0MM CANNULATED VA LOCKING 85M $ 990.00 SCREW 5.0MM CANNULATED VA LOCKING 90M $ 990.00 SCREW 5.0MM LOCKING W/T25 STARDRIVE 38MM $ 897.00 SCREW 5.0MM PERIPROSTHETIC LOCKING 12MM $ 1,067.04 SCREW 5.0MM PERIPROSTHETIC LOKING 18MM $ 1,104.84 SCREW 5.0MM TI LOCKING SCREW W/ T25 32MM $ 968.76 SCREW 5.0MM TI LOCKING SCREW W/ T25 48MM $ 897.00 SCREW 5.0MM TI LOCKING W/ T25 STARDRIVE $ 897.00 SCREW 5.0MM TI LOCKING W/T25 28MM STAR D $ 812.80 SCREW 5.0MM TI LOCKING W/T25 36MM STAR $ 897.00 SCREW 5.0MM VARIABLE ANGLE LOCKING 32MM $ 762.04 SCREW 5.0MM VARIABLE ANGLE LOCKING 34MM $ 729.00 SCREW 5.0MM VARIABLE ANGLE LOCKING 36MM $ 729.00 SCREW 5.0MM VARIABLE ANGLE LOCKING 40MM $ 729.00 SCREW 5.0MM VARIABLE ANGLE LOCKING 44MM $ 729.00 SCREW 5.0MM VARIABLE ANGLE LOCKING 55MM $ 787.32 SCREW 5.0MM X 34MM TI LOCKING $ 897.00 SCREW 5.0MM X 54MM TI LOCKING $ 812.80 SCREW 5.0MM X 56MM TI LOCKING $ 1,027.76 CHARGE DESCRIPTION CHARGE AMOUNT SCREW 5.0MM X 68MM TI LOCKING $ 812.80 SCREW 5.0MM X 85MM LOCK SCREW $ 817.00 SCREW 5.0MMX62MM X 62MM TI LOCKING $ 758.16 SCREW 5.5MM POLYAXIAL $ 398.56 SCREW 5.5MM POLYAXIAL FT 25MM $ 398.56 SCREW 5.5MM POLYAXIAL FT 75MM $ 398.56 SCREW 5.5MM POLYAXIAL FT 80MM $ 398.56 SCREW 5.5MM POLYAXIAL FT 85MM $ 398.56 SCREW 5.5MM POLYAZIAL FT 50MM $ 398.56 SCREW 5.OMM X 32MM LOCK SCREW $ 596.60 SCREW 50MM 4.0 FULL THREAD CANCELLO $ 75.32 SCREW 50MM SM FULL CANNU 205 250 $ 864.32 SCREW 50MM SM PARTIAL CANN 205 050 $ 840.96 SCREW 6.5MM TI RECON W/ T25 STRDRV $ 814.28 SCREW 6.5MM TI RECON W/ T25 STRDRV 100MM $ 1,062.12 SCREW 6.5MM TI RECON W/ T25 STRDRV 105MM $ 1,062.12 SCREW 6.5MM TI RECON W/ T25 STRDRV 110MM $ 1,062.12 SCREW 6.5MM TI RECON W/ T25 STRDRV 115MM $ 1,062.12 SCREW 6.5X20MM REVERSE SHL COMP CNTRL $ 400.00 SCREW 60MM 4.0 FULL THREAD CANCELLO $ 77.56 SCREW 6X20 BIOSURE $ 820.00 SCREW 6X25 BIOSURE $ 820.00 SCREW 7 X 20MM BC VENTED IF $ 1,688.00 SCREW 7 X 30MM BC VENTED IF $ 1,688.00 SCREW 7.0MM CANNULATED 16MM THD 100MM $ 786.80 SCREW 7.0MM CANNULATED 16MM THD 90MM $ 786.80 SCREW 7.0MM CANNULATED 16MM THD 95MM $ 786.80 SCREW 70MM LG CANNULATED 208 070 $ 1,148.40 SCREW 75MM LG CANNULATED 208 075 $ 1,148.40 SCREW 7MMX20MM SHEATHED CANNULATED $ 460.00 SCREW 7MMX25MM SHEATHED CANNULATED $ 460.00 SCREW 7X20 BIOSURE $ 852.80 SCREW 7X25 BIOSURE $ 852.80 SCREW 7X30 BIOSURE $ 820.00 SCREW 8 X 20MM BC VENTED IF $ 1,688.00 SCREW 8 X 30MM BC VENTED IF $ 1,688.00 SCREW 8.0M CANN LOCKING FT 75MM $ 660.24 SCREW 8.0MM CANN LOCKING FT 35MM $ 660.24 SCREW 8.0MM CANN LOCKING FT 50MM $ 660.24 SCREW 8.0MM CANN LOCKING FT 85MM $ 660.24 SCREW 85MM LG CANNULATED 208 085 $ 1,148.40 SCREW 8MM $ 471.60 SCREW 8MMX20MM SHEATHED CANNULATED $ 460.00 SCREW 8MMX25MM SHEATHED CANNULATED $ 460.00 SCREW 8X20 BIOSURE $ 852.80 SCREW 8X25 BIOSURE $ 852.80 CHARGE DESCRIPTION CHARGE AMOUNT SCREW 8X30 BIOSURE $ 820.00 SCREW 8X35 BIOSURE $ 820.00 SCREW 9 X 20MM BC VENTED IF $ 1,688.00 SCREW 90 DEG LOCKING 3.8 X 20MM $ 333.20 SCREW 90 DEG LOCKING 3.8 X 24MM $ 333.20 SCREW 90 DEG LOCKING 3.8 X 26MM $ 333.20 SCREW 90 DEG LOCKING 3.8 X 28MM $ 339.16 SCREW 90 DEG LOCKING 3.8 X 30MM $ 339.16 SCREW 9X20 BIOSURE $ 820.00 SCREW 9X25 BIOSURE $ 820.00 SCREW 9X30 BIOSURE $ 820.00 SCREW 9X35 BIOSURE $ 820.00 SCREW AUTOFIX 2.5MM X 18MM $ 1,024.00 SCREW- BG LOCKING 2.0 X 10MM $ 744.00 SCREW- BG LOCKING 2.0 X 11MM $ 744.00 SCREW- BG LOCKING 2.0 X 12MM $ 744.00 SCREW- BG LOCKING 2.5 X 11MM $ 744.00 SCREW- BG LOCKING 2.5 X 17MM $ 744.00 SCREW- BG NON-LOCKING 2.0 X 10MM $ 576.00 SCREW- BG NON-LOCKING 2.5 X 10MM $ 576.00 SCREW- BG NON-LOCKING 2.5 X 30MM $ 576.00 SCREW- BG NON-LOCKING 3.5 X 10MM $ 576.00 SCREW- BG NON-LOCKING 3.5 X 12MM $ 576.00 SCREW- BG NON-LOCKING 3.5 X 16MM $ 576.00 SCREW BIO COMP INTER DISP SHEATH 10 X 23 $ 1,344.00 SCREW BIO COMP INTER DISP SHEATH 9 X 23 $ 1,344.00 SCREW BIODRIVE MICRO BONE 3.0 X 24 $ 1,780.00 SCREW BIODRIVE MICRO BONE 3.0 X 28 $ 1,780.00 SCREW BIODRIVE MICRO BONE 3.0 X 32 $ 1,504.00 SCREW BONE 6.5 X 35 SELF-TAP $ 440.00 SCREW BONE CORTICAL 24MM $ 95.32 SCREW BONE CORTICAL 26MM $ 95.32 SCREW BONE CORTICAL 28MM $ 95.32 SCREW BONE CORTICAL 28MM $ 95.32 SCREW BONE CORTICAL 34MM $ 95.32 SCREW BONE CORTICAL 46MM $ 95.32 SCREW BONE T10 2.7 X 14MM $ 371.28 SCREW BONE T10 2.7 X 16MM $ 324.36 SCREW BONE T10 2.7 X 18MM $ 371.28 SCREW BONE T10 2.7 X 20MM $ 318.00 SCREW BONE T10 3.5 X 12MM $ 324.36 SCREW BONE T10 3.5 X 14MM $ 318.00 SCREW BONE T10 3.5 X 18MM $ 318.00 SCREW BONE T10 FULL THRD 3.5MM L16MM $ 482.00 SCREW CANC 4.8MM X 38MM $ 362.08 SCREW CANC FTH 4.0 X 12MM $ 139.72 CHARGE DESCRIPTION CHARGE AMOUNT SCREW CANC FTH 4.0 X 14MM $ 139.72 SCREW CANC FTH 4.0 X 16MM $ 139.72 SCREW CANC FTH 4.0 X 18MM $ 139.72 SCREW CANC FTH 4.0 X 20MM $ 139.72 SCREW CANC FTH 4.0 X 22MM $ 139.72 SCREW CANC FTH 4.0 X 55MM $ 139.72 SCREW CANC STERILE 4.8MM 46MM $ 362.08 SCREW CANCELLOUS 4.8MM X 36MM $ 362.08 SCREW CANCELLOUS 4.8MM X 48M $ 362.08 SCREW CANN 2.5 X 18MM $ 780.00 SCREW CANN 3.0MM 1/2 THD 18MM $ 576.80 SCREW CANN 3.0MM 1/2 THD 40MM $ 576.80 SCREW CANN 3.0MM 1/2 THD 50MM $ 576.80 SCREW CANN 3.0MM 1/3 THD 40MM $ 576.80 SCREW CANN 4.5MM 1/3 THD 66MM $ 652.40 SCREW CANN 7.0MM 16MM THD 55MM $ 786.80 SCREW CANN CANC 6.5 X 50MM $ 660.24 SCREW CANN CANC 6.5 X 55MM $ 660.24 SCREW CANN CANC 6.5X85MM $ 660.24 SCREW CANN CANC 6.5X90MM $ 660.24 SCREW CANN CANC 8.0X90MM 24NS $ 684.68 SCREW CANN CANC 8.0X95MM 24NS $ 684.68 SCREW CANN CANC LAG RED HEAD 4.0X50MM $ 391.24 SCREW CANN CANC LAG RED HEAD 4.0X55MM $ 391.24 SCREW CANN FULL THD 4.0 X 26MM $ 645.00 SCREW CANN FULL THD 4.0 X 36MM $ 645.00 SCREW CANN FULL THD 6.5 X 40MM $ 1,125.00 SCREW CANN SHORT PRECISION JMF SHORT THD $ 2,467.50 SCREW CANNUALTED LAG 4.5MM 20MM THREAD $ 470.04 SCREW CANNULATED SHORT THREAD 3.5X40MM $ 996.00 SCREW CENTRAL 6.5X35MM COMP RVS STERILE $ 680.00 SCREW CENTRAL 6.5X45MM COMP RVS STERILE $ 680.00 SCREW COMPR AUG REAM GD $ 520.00 SCREW COMPRESSION 3/4IN $ 226.80 SCREW CORITCAL 2.7MM X 16.0MM $ 324.00 SCREW CORITCAL 2.7MM X 18.0MM $ 252.00 SCREW CORT 4.5MM 38MM NON STERILE $ 108.00 SCREW CORT 4.5MM 40MM NON STERILE $ 108.00 SCREW CORT 4.5MM 42MM NON STERILE $ 108.00 SCREW CORT 4.5MM 44MM NON STERILE $ 108.00 SCREW CORT 4.5MM 46MM NON STERILE $ 108.00 SCREW CORT 4.5MM 48MM NON STERILE $ 140.00 SCREW CORT 4.5MM 50MM NON STERILE $ 156.00 SCREW CORT 4.5MM 52MM NON STERILE $ 140.00 SCREW CORT 4.5MM NON-STERILE 24MM $ 164.00 SCREW CORT 4.5MM NON-STERILE 26MM $ 140.00 CHARGE DESCRIPTION CHARGE AMOUNT SCREW CORT 4.5MM NON-STERILE 30MM $ 140.00 SCREW CORT 4.5MM NON-STERILE 32MM $ 108.00 SCREW CORT 4.5MM NON-STERILE 34MM $ 108.00 SCREW CORT 4.5MM NON-STERILE 36MM $ 108.00 SCREW CORT 4.5MM S/T 14MM $ 200.00 SCREW CORT 4.5MM S/T 20MM $ 200.00 SCREW CORT 4.5MM X 38MM STERILE $ 140.00 SCREW CORT 4.5MM X 40MM STERILE $ 140.00 SCREW CORT 4.5MM X 42MM STERILE $ 140.00 SCREW CORT 4.5MM X 44MM STERILE $ 140.00 SCREW CORTEX 2.0 401.010 $ 131.48 SCREW CORTEX 2.0 401.012 $ 131.48 SCREW CORTEX 2.0 401.014 $ 126.00 SCREW CORTEX 2.0 401.16 $ 126.00 SCREW CORTEX 2.0 401.018 $ 180.00 SCREW CORTEX 2.7 402.010 $ 134.32 SCREW CORTEX 2.7 402.016 $ 150.32 SCREW CORTICAL 13MM $ 213.40 SCREW CORTICAL 15MM $ 213.40 SCREW CORTICAL 2.7MM X 12.0MM $ 324.00 SCREW CORTICAL 2.7MM X 22.0MM $ 272.00 SCREW CORTICAL 2.7MM X 24.0MM $ 252.00 SCREW CORTICAL 2.7MM X 26.0MM $ 264.00 SCREW CORTICAL 3.5 X 12MM $ 213.40 SCREW CORTICAL 3.5MM X 8.0MM $ 264.00 SCREW CORTICAL 3.5X10MM $ 213.40 SCREW CORTICAL 3.5X14MM $ 213.40 SCREW CORTICAL 36MM $ 95.32 SCREW- CORTICAL 4.5 X 26MM FT $ 92.40 SCREW- CORTICAL 4.5 X 28MM $ 92.40 SCREW- CORTICAL 4.5 X 30MM $ 92.40 SCREW- CORTICAL 4.5 X 48MM $ 124.20 SCREW CORTICAL 4.5MM 26MM STERILE $ 140.00 SCREW CORTICAL 4.5MM 36MM STERILE $ 140.00 SCREW CORTICAL 4.5MM X 32MM $ 95.32 SCREW- CORTICAL 5.0MM X 44MM $ 546.00 SCREW CORTICAL BONE 38MM $ 95.32 SCREW CORTICAL BONE 5.0MM 40MM $ 546.00 SCREW CORTICAL BONE 5.0MM X 30MM $ 546.00 SCREW CORTICAL BONE 5.0MM X 32MM $ 546.00 SCREW CORTICAL BONE 5.0MM X 34MM $ 546.00 SCREW CORTICAL BONE 5.0MM X 36MM $ 546.00 SCREW CORTICAL BONE 5.0MM X 46MM $ 546.00 SCREW CORTICAL BONE 5.0MM X 48MM $ 546.00 SCREW CORTICAL BONE 5.0MM X 50MM $ 546.00 SCREW CORTICAL BONE 5.0MM X 56MM $ 546.00 CHARGE DESCRIPTION CHARGE AMOUNT SCREW CORTICAL LOCKKING 16MM $ 976.00 SCREW CORTICAL LOCKKING 22MM $ 976.00 SCREW CRTX SELF TAP STRDRV 14MM $ 165.00 SCREW CRTX SELF TAP STRDRV 16MM $ 165.00 SCREW DARCO 4.0X 40MM SHORT $ 612.00 SCREW DARCO 4.0X46MM SHORT $ 1,160.00 SCREW DARCO 4.0X50MM SHORT $ 1,160.00 SCREW DHS/DCS 36MM COMP STERILE $ 370.48 SCREW DHS/DCS LAG 12.7MM THRD 100MMSTER $ 1,563.00 SCREW DRILL A/R $ 832.00 SCREW DRILL BIT 2.7MM PERIPHERAL $ 964.00 SCREW DRILL BIT 3.2MM $ 756.00 SCREW DXTEND LOCK D4.5 X 30MM $ 507.52 SCREW EXPLOR 6X24MM IMPL STEM $ 5,990.00 SCREW EXPLOR 7X26MM IMPL STEM $ 5,990.00 SCREW EXPLOR 8X28MM IMPL STEM $ 4,335.00 SCREW EXPLOR IMPLANT LOCKING $ 620.00 SCREW FEM NAIL TI 90MM STRL $ 2,664.38 SCREW FIXED LOCKING 3.5 HEX 4.75X15MM $ 400.00 SCREW FIXED LOCKING 3.5 HEX 4.75X20MM $ 400.00 SCREW FIXED LOCKING 3.5 HEX 4.75X20MM $ 400.00 SCREW FIXED LOCKING 3.5 HEX 4.75X25MM $ 400.00 SCREW FIXED LOCKING 3.5 HEX 4.75X35MM $ 400.00 SCREW FULL THRD T10 2.7X16MM $ 482.00 SCREW FULL THREAD 9X28MM $ 1,344.00 SCREW HDLS CMPN 3.0 X 30NS $ 1,680.00 SCREW HEADLESS 3.0MM X 36MM $ 840.00 SCREW HEADLESS CANN TI 3.0X14MM $ 840.00 SCREW HEADLESS CANN TI 3.0X16MM $ 840.00 SCREW HEADLESS SHORT THREAD 2.5X12MM $ 996.00 SCREW HEADLESS ST 3.0 X 12MM $ 996.00 SCREW HEADLESS ST 3.0 X 14MM $ 996.00 SCREW HEADLESS ST 3.0 X 16MM $ 996.00 SCREW HEADLESS ST 3.0 X 26MM $ 996.00 SCREW HEADLESS ST 3.5 X 42MM $ 996.00 SCREW HERBERT/ WHIPPLE CANN BONE 18MM $ 1,601.60 SCREW HEXALOBE NON-LOCK 3.0MM X 14MM $ 296.00 SCREW HEXALOBE NON-LOCK 3.5MM X 12MM $ 360.00 SCREW HEXALOBE NON-LOCK 3.5MMX10MM $ 284.00 SCREW HFN A/R 50MM $ 780.00 SCREW HFN A/R 65MM $ 780.00 SCREW HFN A/R 70MM $ 780.00 SCREW HFN A/R 75MM $ 780.00 SCREW HFN A/R 80MM $ 780.00 SCREW HFN LAG 10.5MM X 100MM $ 1,706.25 SCREW HFN LAG 10.5MM X 105MM $ 1,706.25 CHARGE DESCRIPTION CHARGE AMOUNT SCREW HFN LAG 10.5MM X 110MM $ 1,706.25 SCREW HFN LAG 10.5MM X 115MM $ 1,706.25 SCREW HFN LAG 10.5MM X 80MM $ 1,706.25 SCREW HFN LAG 10.5MM X 85MM $ 1,706.25 SCREW HFN LAG 10.5MM X 90MM $ 3,087.50 SCREW- HIP 85MM $ 780.00 SCREW- HIP 95MM HFN A/R $ 780.00 SCREW HIP FRACTURE NAIL LAG 10.5MMX95MM $ 1,706.25 SCREW INT BIO COMP SHTH 8 X 23MM $ 1,344.00 SCREW INTERFACE 9MM L 25MM FULL THD $ 1,556.00 SCREW INTERFERENCE 7X23MM $ 1,344.00 SCREW INTERFERENCE 833 L 20MM RND HEAD $ 1,556.00 SCREW LAG U-BLADE SET TI 10.5X90MM $ 3,133.20 SCREW LAG VHS SCR 12.7 X 110 W/ COMP $ 1,188.00 SCREW LKG 3.5MM X 18MM W/ 2.7MM HEAD $ 319.20 SCREW LKG 3.5MM X 20MM W/ 2.7MM HEAD $ 319.21 SCREW LKG 3.5MM X 50MM W/ 2.7MM HEAD $ 319.20 SCREW LO PRO LOCK SS 2.7 X 10MM $ 660.00 SCREW LO PRO LOCK SS 2.7 X 12MM $ 660.00 SCREW LO PRO LOCK SS 2.7 X 14MM $ 660.00 SCREW LO PRO TM SS 3.5 X 14MM CORT $ 200.00 SCREW LO PRO TM SS 3.5 X 16MM CORT $ 200.00 SCREW LOCK 3.5X12MM $ 885.92 SCREW LOCK 3.5X14MM $ 885.92 SCREW LOCK 3.5X16MM $ 885.92 SCREW LOCK SQUARE 2.7M X 11MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 10MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 12MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 13MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 14MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 15MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 16MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 18MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 20MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 22MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 24MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 24MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 26MM $ 352.00 SCREW LOCK SQUARE 2.7MM X 8MM $ 352.00 SCREW- LOCKING 2.0 X 20MM $ 508.00 SCREW- LOCKING 2.0 X 22MM $ 508.00 SCREW- LOCKING 2.0 X 26MM $ 508.00 SCREW- LOCKING 2.0 X 28MM $ 508.00 SCREW LOCKING 2.7 X 12 $ 976.00 SCREW LOCKING 2.7 X 16 $ 976.00 SCREW LOCKING 2.7 X 22 $ 976.00 CHARGE DESCRIPTION CHARGE AMOUNT SCREW LOCKING 2.7MM 10MM $ 344.40 SCREW LOCKING 2.7MM 10MM $ 344.40 SCREW LOCKING 2.7MM 12MM $ 334.40 SCREW LOCKING 2.7MM 12MM $ 344.40 SCREW LOCKING 2.7MM 14MM $ 344.40 SCREW LOCKING 2.7MM 16MM $ 344.40 SCREW LOCKING 2.7MM 16MM $ 344.40 SCREW LOCKING 2.7MM 18MM $ 344.40 SCREW LOCKING 2.7MM 20MM $ 344.40 SCREW LOCKING 2.7MM HEAD 14MM $ 319.20 SCREW LOCKING 2.7MM HEAD 16MM $ 319.20 SCREW LOCKING 5.0MM W/T25 STARDRIVE $ 812.80 SCREW LOCKING 5.0MM X 42MM STARDRIVE $ 897.00 SCREW LOCKING 5.0MM X 44MM STARDRIVE $ 897.00 SCREW LOCKING 5.0MM X 60MM STARDRIVE T25 $ 702.00 SCREW LOCKING CORT 3.5 X 14MM $ 976.00 SCREW LOCKING CORT 3.5 X 16MM $ 976.00 SCREW LOCKING CORT 3.5 X 18MM $ 976.00 SCREW LOCKING CORT 3.5 X 22MM $ 976.00 SCREW LOCKING CORT 3.5 X 24MM $ 976.00 SCREW LOCKING CORTICAL 2.3MM X 12MM $ 368.00 SCREW LOCKING CORTICAL 2.3MM X 14MM $ 368.00 SCREW LOCKING CORTICAL 2.3MM X 16MM $ 432.00 SCREW LOCKING CORTICAL 2.3MM X 18MM $ 432.00 SCREW LOCKING CORTICAL 2.3MM X 20MM $ 432.00 SCREW LOCKING CORTICAL 2.3MM X 24MM $ 356.00 SCREW LOCKING HD 2.7 X 14MM $ 976.00 SCREW LOCKING HEXALOBE 2.7MM X 16MM $ 480.00 SCREW LOCKING HEXALOBE 2.7MM X 18MM $ 480.00 SCREW LOCKING HEXALOBE 2.7MM X 20MM $ 480.00 SCREW LOCKING HEXALOBE 2.7MM X 24MM $ 484.00 SCREW LOCKING HEXALOBE 2.7MM X 26MM $ 484.00 SCREW LOCKING HEXALOBE 2.7MMX22MM $ 484.00 SCREW LOCKING HEXALOBE 2.7MMX28MM $ 484.00 SCREW LOCKING HEXALOBE 2.7MMX45MM $ 480.00 SCREW LOCKING HEXALOBE 3.0MM X 40MM $ 484.00 SCREW LOCKING HEXALOBE 3.5MM X 16MM $ 600.00 SCREW LOCKING HEXALOBE 3.5MM X 18MM $ 600.00 SCREW LOCKING HEXALOBE 3.5MM X 20MM $ 484.00 SCREW LOCKING HEXALOBE 3.5MM X 22MM $ 600.00 SCREW LOCKING HEXALOBE 3.5MM X 24MM $ 484.00 SCREW LOCKING HEXALOBE 3.5MM X 40MM $ 484.00 SCREW LOCKING T10 3.5 X 10MM $ 628.32 SCREW LOCKING T10 3.5 X 12MM $ 628.32 SCREW LOCKING T10 3.5 X 14MM $ 628.32 SCREW LOCKING T10 3.5 X 16MM $ 628.32 CHARGE DESCRIPTION CHARGE AMOUNT SCREW LOCKING T10 3.5 X 18MM $ 616.00 SCREW LOCKING T10 3.5 X 8MM $ 616.00 SCREW LOW PRO CORT 2.7 X 12 $ 508.00 SCREW LOW PRO CORT 2.7 X 16 $ 508.00 SCREW LOW PRO CORT 3.5 X 18 $ 516.00 SCREW LOW PROFILE 6.5 X 25MM $ 688.00 SCREW LOW PROFILE 6.5X30MM $ 688.00 SCREW LP NON LOCK 2.7MM X 13MM $ 176.00 SCREW LP NON LOCK 2.7MM X 14MM $ 176.00 SCREW LP NON LOCK 2.7MM X 15MM $ 176.00 SCREW LP NON LOCK 2.7MM X 18MM $ 176.00 SCREW MD 2.7 MM X 15MM $ 588.00 SCREW MD 2.7MM X 10MM $ 588.00 SCREW MD 2.7MM X 12MM $ 588.00 SCREW MD 2.7MM X 13MM $ 588.00 SCREW MD 2.7MM X 14MM $ 588.00 SCREW MD 2.7MM X 16MM $ 588.00 SCREW MD 2.7MM X 20MM $ 588.00 SCREW MD 2.7MM X 22MM $ 588.00 SCREW MD 2.7MM X 26MM $ 588.00 SCREW MD 2.7MM X 28MM $ 588.00 SCREW MINIMONSTER CANN SHRT THD 2.0X20MM $ 840.00 SCREW MINIMONSTER CANN SHRT THD 2.5X14MM $ 996.00 SCREW MINIMONSTER CANN SHRT THD 2.5X15MM $ 996.00 SCREW MINIMONSTER CANN SHRT THD 2.5X16MM $ 996.00 SCREW MINIMONSTER CANN SHRT THD 2.5X17MM $ 996.00 SCREW MINIMONSTER CANN SHRT THD 2.5X20MM $ 996.00 SCREW MINIMONSTER CANN SHRT THD 3.0X14MM $ 840.00 SCREW MINIMONSTER CANN SHRT THD 3.0X16MM $ 840.00 SCREW MINIMONSTER CANN SHRT THD 3.0X20MM $ 1,400.00 SCREW MINIMONSTER CANN SHRT THD 3.0X22MM $ 1,400.00 SCREW MINIMONSTER CANN SHRT THD 3.0X24MM $ 1,400.00 SCREW MINIMONSTER CANN SHRT THD 3.0X28MM $ 840.00 SCREW MINIMONSTER CANN SHRT THD 3.5X32MM $ 996.00 SCREW MINIMONSTER CANN SHRT THD 4.0X30MM $ 948.00 SCREW MINIMONSTER CANN SHRT THD 4.0X32MM $ 1,092.00 SCREW MINIMONSTER CANN SHRT THD 4.0X36MM $ 1,092.00 SCREW MINIMONSTER CANN SHRT THD 4.0X38MM $ 948.00 SCREW MINIMONSTER CANN SHRT THD 4.0X38MM $ 1,092.00 SCREW MINIMONSTER CANN SHRT THD 4.0X42MM $ 948.00 SCREW MINIMONSTER CANN SHRT THD 4.0X42MM $ 1,092.00 SCREW MINIMONSTER CANN SHRT THD 4.0X44MM $ 1,092.00 SCREW MINIMONSTER CANN SHRT THD 4.0X48MM $ 1,092.00 SCREW MINIMONSTER CANN SHRT THD 4.0X50MM $ 1,092.00 SCREW MINIMONSTER CANN SHRT THD 4.0X55MM $ 948.00 SCREW MIS HEADED 33MM $ 480.00 CHARGE DESCRIPTION CHARGE AMOUNT SCREW MIS HEADED 48MM $ 480.00 SCREW MNSTR BT BRK OFF 1/2THD 2.0 X 11MM $ 932.00 SCREW MNSTR BT BRK OFF 1/2THD 2.0 X 12MM $ 933.60 SCREW MNSTR BT BRK OFF 1/2THD 2.0 X 13MM $ 932.00 SCREW MNSTR BT BRK OFF 1/2THD 2.0 X 14MM $ 932.00 SCREW- MONSTER CANN SHRT THRD 7.0 X 60MM $ 2,719.50 SCREW- MONSTER CANN SHRT THRD 7.0 X 65MM $ 2,719.50 SCREW- MONSTER CANN SHRT THRD 7.0 X 74MM $ 2,719.50 SCREW- MONSTER CANN SHRT THRD 7.0 X 86MM $ 2,719.50 SCREW- MONSTER CANN SHRT THRD 7.0 X 88MM $ 2,719.50 SCREW NCB CANC 5.0 X 60MM SELF-TAPPING $ 490.00 SCREW NCB CANC 5.0 X 65MM SELF-TAPPING $ 490.00 SCREW NCB CANC 5.0 X 70MM SELF-TAPPING $ 490.00 SCREW NCB CANC 5.0 X 75MM SELF-TAPPING $ 490.00 SCREW NCB CANC 5.0 X 80MM SELF-TAPPING $ 490.00 SCREW NCB CANC 5.0 X 85MM SELF-TAPPING $ 490.00 SCREW NCB CORT 5.0 X 38MM SELF-TAPPING $ 568.40 SCREW NCB CORT 5.0 X 42MM SELF TAP $ 568.40 SCREW NCB CORT 5.0 X 50MM SELF-TAPPING $ 568.40 SCREW NCB CORT 5.0 X 55MM SELF-TAPPING $ 568.40 SCREW NCB CORT 5.0 X 60MM SELF-TAPPING $ 568.40 SCREW NCB CORT 5.0 X 65MM SELF-TAPPING $ 568.40 SCREW NCB CORT 5.0 X 70MM SELF-TAPPING $ 568.40 SCREW NCB CORT 5.0 X 75MM SELF-TAPPING $ 568.40 SCREW NCB CORT 5.0 X 80MM SELF-TAPPING $ 568.40 SCREW NON LOCKING 2.7 X 14 $ 508.00 SCREW- NONLOCKING 2.0 X 20MM $ 508.00 SCREW- NONLOCKING 2.0 X 26MM $ 508.00 SCREW- NONLOCKING 2.0 X 28MM $ 508.00 SCREW NONLOCKING HEXALOBE 3.5MM X 16MM $ 360.00 SCREW NONLOCKING HEXALOBE 3.5MM X 18MM $ 360.00 SCREW NONLOCKING HEXALOBE 3.5MM X 20MM $ 360.00 SCREW NONLOCKING HEXALOBE 3.5MM X 22MM $ 304.00 SCREW NONLOCKING HEXALOBE 3.5MM X 26MM $ 312.00 SCREW PERI 3.5MM X 20MM W/ 2.7MM HEAD $ 117.60 SCREW PERI 3.5MM X 26MM W/ 2.7MM HEAD $ 117.60 SCREW PERI 3.5MM X 28MM W/ 2.7MM HEAD $ 117.60 SCREW PERI 3.5MM X 30MM W/ 2.7MM HEAD $ 117.60 SCREW PERI 3.5MM X 44MM W/ 2.7MM HEAD $ 117.60 SCREW PERI 3.5X12MM W/ 2.7MM HD SELFTAP $ 117.60 SCREW PERI 3.5X14MM W/ 2.7MM HD SELFTAP $ 117.60 SCREW PERI 3.5X16MM W/ 2.7MM HD SELF TAP $ 117.60 SCREW PERI 3.5X18MM W/ 2.7MM HD SELF TAP $ 117.60 SCREW PERI 3.5X22MM W/ 2.7MM HD SELF TAP $ 117.60 SCREW PERI 3.5X24MM W/ 2.7MM HD SELF TAP $ 117.60 SCREW PERI CONICAL 2.7MM X 12MM $ 179.20 CHARGE DESCRIPTION CHARGE AMOUNT SCREW PERI CONICAL 2.7MM X 14MM $ 179.20 SCREW PERI LOCKING 3.5MM X 12MM $ 347.20 SCREW PERI LOCKING 3.5MM X 16MM $ 347.20 SCREW PERI LOCKING 3.5MM X 20MM $ 347.20 SCREW PERI LOCKING 3.5MM X 22MM $ 347.20 SCREW PERI LOCKING 3.5MM X 14MM $ 347.20 SCREW PERI LOCKING 3.5MM X 16MM $ 347.20 SCREW PIN CAN BONE 6.5MM X 20MM $ 550.00 SCREW PINN CAN BNE 6.5MMX20MM $ 550.00 SCREW PSN 2.5MM FEMALE 25MM (PERSONA) $ 300.00 SCREW PSN 2.5MM FEMALE 48MM (PERSONA) $ 200.00 SCREW QUATTRO BOLT TENO 5 X 10MM $ 1,380.00 SCREW QUICKFIX 2 X 13MM $ 1,372.00 SCREW QUICKFIX 3.0 X 13 MM $ 1,372.00 SCREW- R3CON NON-LOCKING 3.5 X 14MM $ 576.00 SCREW- RECON PLATE LOCKING 3.5 X 14MM $ 744.00 SCREW- RECON PLATE LOCKING 3.5 X 16MM $ 744.00 SCREW- RECON PLATE LOCKING 3.5 X 18MM $ 744.00 SCREW- RECON PLATE LOCKING 3.5 X 20MM $ 576.00 SCREW- RECON PLATE LOCKING 3.5 X 20MM $ 744.00 SCREW- RECON PLATE LOCKING 3.5 X 22MM $ 744.00 SCREW- RECON PLATE LOCKING 3.5 X 24MM $ 744.00 SCREW- RECON PLATE LOCKING 3.5 X 26MM $ 744.00 SCREW- RECON PLATE LOCKING 3.5 X 28MM $ 744.00 SCREW- RECON PLATE LOCKING 3.5 X 28MM $ 744.00 SCREW- RECON PLATE NONLOCKING 3.5 X 34MM $ 576.00 SCREW- RECON PLT NONLOCKING 3.5 X 18MM $ 576.00 SCREW SELF TAP BONE 6.5 X 20 $ 440.00 SCREW SELF TAP BONE 6.5 X 25 $ 440.00 SCREW SELF TAP BONE 4.5 X35 $ 525.60 SCREW SELF TAP BONE 6.5X30 $ 440.00 SCREW SHORT THREAD HEADLESS 3.5 X 50MM $ 996.00 SCREW SNAP OFF 2.0MM X 11MM $ 832.00 SCREW SNAP OFF 2.0MM X 12MM $ 832.00 SCREW SNAP OFF 2.0MM X 14MM $ 832.00 SCREW T115 LP CORT 3.5 X 26MM NS $ 440.00 SCREW T115 LP CORT 3.5 X 28MM NS $ 440.00 SCREW T115 LP CORT 3.5 X 30MM NS $ 284.00 SCREW T115 LP CORT 3.5 X 32MM NS $ 284.00 SCREW T115 LP CORT 3.5 X 36MM NS $ 284.00 SCREW T115 LP CORT 3.5 X 46MM NS $ 856.00 SCREW T115 LP CORT 3.5 X 48MM NS $ 284.00 SCREW T115 LP MD 3.5 X 30MM NS $ 856.00 SCREW T115 LP MD 3.5 X 50MM NS $ 856.00 SCREW T15 MD 3.5 X 22MM NS $ 1,320.00 SCREW T15 MD 3.5 X 28MM NS $ 1,320.00 CHARGE DESCRIPTION CHARGE AMOUNT SCREW T15 MD 3.5 X 38MM NS $ 1,320.00 SCREW TENO PEEK 5.5X8MM $ 1,632.00 SCREW TENODESIS 6.25X15MM W/DISP DRIVER $ 2,026.50 SCREW TI-DOUBLE LEAD CORT 5.0 X 30MM $ 911.04 SCREW TI-DOUBLE LEAD CORT 5.0 X 32MM $ 911.04 SCREW TI-DOUBLE LEAD CORT 5.0 X 34MM $ 911.04 SCREW TI-DOUBLE LEAD CORT 5.0 X 36MM $ 911.04 SCREW TI-DOUBLE LEAD CORT 5.0 X 36MM $ 972.16 SCREW TI-DOUBLE LEAD CORT 5.0 X 38MM $ 911.04 SCREW TI-DOUBLE LEAD CORT 5.0 X 44MM $ 972.16 SCREW TI-DOUBLE LEAD CORT 5.0 X 46MM $ 911.04 SCREW TI-DOUBLE LEAD CORT 5.0 X 46MM $ 972.16 SCREW TI-DOUBLE LEAD CORT 5MM X 60M $ 911.04 SCREW TI-DOUBLE LEAD CORT 5MMX24MM $ 911.04 SCREW TI-DOUBLE LEAD CORTICAL5MM X 75M $ 1,104.00 SCREW VARIABLE ANGLE LOCKING 14MM $ 670.76 SCREW VARIABLE ANGLE LOCKING 18MM $ 670.76 SCREW VARIABLE ANGLE LOCKING 20MM $ 670.76 SCREW VARIABLE ANGLE LOCKING 22MM $ 670.76 SCREW VARIABLE ANGLE LOCKING 24MM $ 670.76 SCREW VARIABLE ANGLE LOCKING 28MM $ 670.76 SCREW VARIABLE ANGLE LOCKING 30MM $ 603.00 SCREW VARIABLE ANGLE LOCKING 34MM $ 603.00 SCREW VHS LAG 100MM $ 1,188.00 SCREW VHS LAG 12.7MM X 90MM $ 1,188.00 SCREW VHS LAG 12.7MM X 95MM $ 1,188.00 SCREW VHS LAG 12.7MMX75MM W/COMPSCR $ 1,743.00 SCREW VPC 2.5 X 10MM $ 2,100.00 SCREW VPC 2.5 X 11MM $ 2,100.00 SCREW VPC 2.5 X 13MM $ 2,100.00 SCREW VPC 2.5 X 16MM $ 2,205.00 SCREW VPC 2.5 X 18MM $ 2,205.00 SCREW VPC 2.5 X 22MM $ 2,030.00 SCREW VPC 2.5 X 24MM $ 2,100.00 SCREW VPC 2.5 X 26MM $ 2,100.00 SCREW VPC 2.5 X 26MM $ 2,100.00 SCREW VPC 2.5 X 30MM $ 2,100.00 SCREW VPC 2.5 X 9MM $ 2,100.00 SCREW VPC 4.0 X 24MM $ 2,205.00 SCREW VPC 4.0 X 26MM $ 2,205.00 SCREW VPC 4.0 X 32MM $ 2,100.00 SCREW VPC 4.0 X 34MM $ 2,205.00 SCREW, 7.3MM CANNULATED LOCKING $ 1,208.40 SCREW, CANNULATED LOCKING 30MM $ 817.00 SCREW, IT-DOUBLE LEAD CORTICAL 5MM X 50M $ 911.04 SCREW, IT-DOUBLE LEAD CORTICAL 5MM X 70M $ 911.04 CHARGE DESCRIPTION CHARGE AMOUNT SCREW, LOCKING, SELF TAPPING 14MM $ 596.60 SCREW, LOCKING, SELF TAPPING 36MM $ 596.60 SCREW, PINN CAN BONE 6.5MMX15MM $ 550.00 SCREW, TI-DOUBLE LEAD CORTICAL 5MM X 22M $ 1,104.00 SCREW, TI-DOUBLE LEAD CORTICAL 5MM X 28M $ 911.04 SCREW, TI-DOUBLE LEAD CORTICAL 5MMX110MM $ 1,104.00 SCREW, TI-SOUBLE LEAD CORTICAL 5MM X 42M $ 911.04 SCREW,CANNULATED LOCKING 0.5MM $ 817.00 SCREW,CORTEX SELF TAPPING 4.5 $ 92.32 SCREW-3.5 HEX 4.75 X 35MM $ 688.00 SCREW-6.5X25MM REVERSE SHOULDER $ 400.00 SCREW-LOCK 2.7MMX30MM $ 352.00 SCREW-NON LOCK 2.7MM X 20MM $ 176.00 SCRN COLONOSCOPY ON HI RISK PT $ 476.13 SCRN COLONOSCOPY PT NOT HI RISK $ 477.03 SCROTAL EXPLORATION $ 782.84 SEALANT RESURE OCULAR $ 480.00 SEALER - ENSEAL G2 TISSUE 25CM CRVED $ 1,484.96 SEC PERC TRANS THROM OTH THAN CORONARY A $ 3,084.11 SECON PERC TRANS THROMBECT $ 4,289.47 Secondary percutaneous transluminal thro $ 3,084.11 SECONDRY REPR RUPT ACHILLES TENDON $ 1,772.18 SECTOR, PINN W/GRIPTON 56MM $ 3,250.00 SECURESTRAP DEVICES ETHICON $ 1,698.16 SED RATE $ 22.06 SEDIMENTATION RATE $ 53.65 SEL CATH PLACE LT PULM ARTERY $ 2,698.00 SEL CATH PLACE RT PULMONARY ARTERY $ 2,698.00 SELECT CATH ART - BRACH-CEPH 1ST ORDER $ 1,919.70 SELECT CATH ART - BRACH-CEPH 2ND ORDER $ 2,088.32 SELECT CATH ART - BRACH-CEPH 3RD ORDER $ 671.62 SELECT CATH PLACE L/R PULM ARTERY $ 508.00 SELECT CATH PLACE SEGMENT/SUBSG PULM ART $ 508.00 SELECT CATH PLACE VEN SYS 1ST ORD BRANCH $ 508.00 SELECTED DEBRIDEMENT 20 SQ CM OR LESS $ 722.40 Selected Debridement 20 sq cm or less $ 722.40 Selected Debridement ea addt'l sq cm $ 231.22 SELECTIVE CATH PLCMT - FIRST ORDER - MAI $ 6,047.45 SELECTIVE CATH PLCMT - FIRST ORDER - MAI $ 6,332.63 SELECTIVE CATH VEIN 2ND ORDER FAMILY $ 356.82 SELECTIVE CATHETER PLACEMENT $ 5,185.00 SELECTIVE CATHETER PLACEMENT COMMON $ 13,014.05 SELECTIVE CATHETER PLACEMENT COMMON BIL $ 28,322.76 SELECTIVE CATHETER PLACEMENT EACH $ 1,500.00 SELECTIVE CATHETER PLACEMENT INTERNA $ 14,771.00 SELECTIVE CATHETER PLACEMENT SUB-CL $ 6,836.58 CHARGE DESCRIPTION CHARGE AMOUNT SELECTIVE CATHETER PLACEMENT VERTEBR $ 20,461.98 SELENIUM $ 187.17 SELEX MAGNUM MODULAR HEAD 40MM HEAD $ 4,007.50 SELEX MAGNUM MODULAR HEAD 4933 $ 3,338.00 SELEX MAGNUM MODULAR HEAD 4933 $ 4,007.50 SELLA TURCICA $ 135.00 SEMINAL FLUID SPERM COUNT $ 80.00 SEMINAL SCREEN $ 143.17 SENOKOT-S TAB $ 1.13 SENSIPAR TABLET 30 MG $ 81.67 SENSOR – ACOUSTIC RESPIRATION (RAS-125C) $ 145.96 SENSOR DUAL FLEX ANGLED .035 WIRE $ 173.84 SENSOR DUEL FLEX STRAIGHT .038 150CM $ 210.68 SENSOR - LNCS E1, SINGLE PATIENT $ 80.00 SENSOR ACOUSTIC RESPIRATION $ 120.00 SENSOR BIS $ 67.00 SENSOR M-MNCS EAR AHD $ 80.00 SENSOR NONADHESIVE SOFTCARE NEONATAL WT $ 88.00 SENSORINEURAL ACUITY LEVEL $ 118.44 SENSORY INTEGRATION 15 MIN $ 90.39 SEPARATION BY DENSITY GRADIENT $ 193.76 SEPARATOR 6 - .055IN $ 2,637.50 SEPARATOR 8 - .068IN $ 4,637.50 SEPTAL BUTTON AJUSTABLE 2-PART $ 1,222.24 SEPTOPLASTY OR SUBMUCOUS RESECT $ 1,314.00 SEQUENTIAL INFUSION - NEW DRUG $ 251.03 SEQUENTIAL INFUSION - NEW DRUG $ 251.03 SEQUENTIAL IV INFUSION - DIFFERENT $ 181.52 SEQUENTIAL IV INFUSION - DIFFERENT $ 251.03 SEQUENTIAL IV PUSH - NEW DRUG $ 234.84 SEQUENTIAL IV PUSH - NEW DRUG $ 234.84 SEQUENTIAL IV PUSH - SAME DRUG $ 133.00 SEQUENTIAL IV PUSH - SAME DRUG $ 133.00 SERIES A PAT THN 25 3 PEG $ 1,862.00 SERIES A PAT THN 28 3 PEG $ 1,862.00 SERIES A PAT THN 31 3 PEG $ 1,862.00 SERIES A PAT THN 34 3 PEG $ 1,862.00 SERIES A PAT THN 37 X 8.6 3 PEG $ 1,862.00 SERIES A PAT W/WR STD 37 1 PEG $ 1,862.00 SEROQUEL TAB 100 MG $ 2.41 SEROQUEL TAB 25 MG $ 1.87 SEROTONIN $ 128.55 SERUM SCREENING FOR CYTOTOXIC $ 341.56 SERVICE KIT - MEDTRONIC $ 180.00 SESAMOIDECTOMY FIRST TOE $ 652.14 SET - PLEURX LOCK DRAINAGE LINE $ 64.00 CHARGE DESCRIPTION CHARGE AMOUNT SET AMPLATZ SHEET DILATION $ 800.96 SET BICANALICULUS INTUBATION PVP RITLENG $ 320.00 SET CATHETER FLEXIMA REG DRAINAGE 10.3FR $ 327.08 SET CHEST DRAINAGE $ 162.84 SET ENDOVASCULAR DILATOR $ 556.00 SET ENDOVASCULAR DILATOR 1618 $ 740.00 SET ENT 22GA STLF CURVED ENT $ 338.12 SET FEMORAL ARTERY PRESSURE MONITORING $ 128.24 SET GRAVITY PLANTAR IMPLANT $ 3,402.00 SET INSTRUMENT 10MM SGL USE $ 1,000.00 SET INSTRUMENT 8MM SGL USE $ 1,000.00 SET INTRO 45CM 4FR 21GA MCSTK .018IN NTN $ 84.00 SET INTRODUCER ARROW-FLEX 5 FR X 11 CM $ 84.00 SET INTRODUCER ARROW-FLEX 6 FR X 11 CM $ 84.00 SET INTRODUCER ARROW-FLEX 6 FR X 24 CM $ 207.00 SET INTRODUCER ARROW-FLEX 7 FR X 11 CM $ 84.00 SET INTRODUCER ARROW-FLEX 7 FR X 24 CM $ 180.00 SET INTRODUCER ARROW-FLEX 8 FR X 11 CM $ 84.00 SET INTRODUCER ARROW-FLEX 8 FR X 24 CM $ 180.00 SET INTRODUCER FLEXOR CHECK-FLO 8FR 55CM $ 159.60 SET INTRODUCER MICROPUNCTURE - 5FR $ 128.00 SET INTRODUCER SP TUBE (COOK) $ 378.24 SET NEEDLE MARDIS II 21GA $ 265.44 SET RABINOV SIALOGRAPHY 27GA $ 232.00 SET SCREW 90 DEG LOCKING $ 212.80 SET SHEATH URETERAL ACCESS $ 429.52 SET SIG GLEN CT GD BONE MODEL $ 2,500.00 SET VASCUALR DILATOR $ 324.12 SEX HORMONE BINDING GLOBULIN $ 153.41 SFT TISS BX - NECK/THORAX $ 203.24 SFT TISS BX - NECK/THORAX $ 1,788.15 SFT TISS BX - NECK/THORAX $ 1,991.39 SGL NBI BRACHIAL PLEXUS $ 830.61 SGL NBI BRACHIAL PLEXUS $ 917.10 SGL NBI BRACHIAL PLEXUS $ 1,874.98 SGL NBI BRACHIAL PLEXUS $ 2,003.28 SGOT (AST) $ 42.00 SGPT (ALT) $ 42.99 SHAFT 204.236 $ 70.00 SHAFT HERBERT/ WHIPPLE CANN STEP DRILL $ 831.60 SHAVE LES F/E/N/L 0.5CM/LESS THAN $ 62.35 SHAVE LES F/E/N/L 0.5CM/LESS THAN $ 199.06 SHAVE LES F/E/N/L 0.5CM/LESS THAN $ 261.40 SHAVE LES F/E/N/L 0.6-1.0CM $ 85.67 SHAVE LES F/E/N/L 0.6-1.0CM $ 229.39 SHAVE LES F/E/N/L 1 1-2.0 CM $ 101.65 CHARGE DESCRIPTION CHARGE AMOUNT SHAVE LES F/E/N/L 1 1-2.0 CM $ 408.30 SHAVE LES F/E/N/L 1 1-2.0 CM $ 509.95 SHAVE LES F/E/N/L OVER 2.0CM $ 131.73 SHAVE LES F/E/N/L OVER 2.0CM $ 408.30 SHAVE LES F/E/N/L OVER 2.0CM $ 540.03 SHAVE LES F/E/N/L; 0.6-1.0CM $ 315.06 SHAVE LES S N F G 0.6-1.0CM $ 68.20 SHAVE LES S N H F G 0.6-1.0CM $ 229.39 SHAVE LES S/N/H/F/G 0.5CM/LESS THAN $ 51.47 SHAVE LES S/N/H/F/G 0.5CM/LESS THAN $ 199.06 SHAVE LES S/N/H/F/G 0.5CM/LESS THAN $ 250.52 SHAVE LES S/N/H/F/G OVER 2.0CM $ 98.24 SHAVE LES S/N/H/F/G OVER 2.0CM $ 408.30 SHAVE LES S/N/H/F/G OVER 2.0CM $ 506.55 SHAVE LES S/N/H/F/G; 0.6-1.0CM $ 297.58 SHAVE LES S/N/H/F/G; 1.1-2.0CM $ 87.78 SHAVE LES S/N/H/F/G; 1.1-2.0CM $ 229.39 SHAVE LES S/N/H/F/G; 1.1-2.0CM $ 317.16 SHAVE LES T/A/L 0.5CM/LESS THAN $ 46.44 SHAVE LES T/A/L 0.5CM/LESS THAN $ 199.06 SHAVE LES T/A/L 0.5CM/LESS THAN $ 245.49 SHAVE LES T/A/L GREATER THAN 2.0CM $ 97.11 SHAVE LES T/A/L GREATER THAN 2.0CM $ 408.30 SHAVE LES T/A/L GREATER THAN 2.0CM $ 505.41 SHAVE LES T/A/L; 0.6-1.0CM $ 70.08 SHAVE LES T/A/L; 0.6-1.0CM $ 199.06 SHAVE LES T/A/L; 0.6-1.0CM $ 269.14 SHAVE LES T/A/L; 1.1-2.0CM $ 82.80 SHAVE LES T/A/L; 1.1-2.0CM $ 199.06 SHAVE LES T/A/L; 1.1-2.0CM $ 281.85 SHAVER BLADE AGG PLUS BLUE/LT BLUE 5.0MM $ 148.00 SHAVER BLADE AGGRES PLUS RED/BLUE 4.0MM $ 148.00 SHAVER BLADE AGGRES PLUS YELL/BLUE 3.5MM $ 148.00 SHAVER BUR BARREL 12 FLUTE BLUE/BLUE 5.0 $ 148.00 SHEAR HAR36 HARMONIC HD 1000I SHAFT $ 1,871.52 SHEAR HARHD20 HARMONIC HD 20CM SHAFT $ 1,643.56 SHEARS HAR23 HARMONIC $ 1,257.80 SHEARS HARMONIC FOCUS CURVE W/ TORQUE 9C $ 1,553.16 SHEATH 4.0MM 0 DEGREE ENDOSCRUB $ 224.64 SHEATH 4.0MM 30DEG ENDOSCRUB $ 198.00 SHEATH 4.0MM 70 DEG ENDOSCRUB $ 192.44 SHEATH 5FR 90CM .038IN RAABE $ 205.20 SHEATH 5FR X 45CM ANSEL $ 192.00 SHEATH 6F HS 45CM $ 192.00 SHEATH 6F MP 45CM $ 182.00 SHEATH 7FR PEEL AWAY VASCOR $ 140.00 CHARGE DESCRIPTION CHARGE AMOUNT SHEATH 8FR PEEL AWAY VASCOR $ 140.00 SHEATH 9FR PEEL AWAY VASCOR $ 140.00 SHEATH AMPLATZ RENAL 30FR $ 147.56 SHEATH AMPLATZ RENAL 32FR $ 147.56 SHEATH AMPLATZ RENAL 34FR $ 147.56 SHEATH AVANTI 7FR $ 117.00 SHEATH BRITE TIP 23CM 6FR $ 117.00 SHEATH BRITE TIP 7FR 90CM $ 180.00 SHEATH BRITE TIP 90CM $ 155.00 SHEATH FR X 55CM RAAB $ 159.60 SHEATH GD FLEXOR HIGH-FLEX ANSEL $ 236.00 SHEATH INTRODUCER 6FR 23CM $ 137.00 SHEATH PINNACLE 7FR 45CM $ 309.00 SHEATH PINNACLE H. STICK $ 309.00 SHEATH PINNACLE RDC-CCV 45CM $ 309.00 SHEATH RAABE FLEXOR 6FR 90CM $ 205.20 SHEATH RAABE FLEXOR 7FR 90CM $ 234.00 SHEATH SENSH 12FR 28CM $ 600.00 SHEATH SENSH 14FR $ 800.00 SHEATH SENSH 16FR $ 800.00 SHEATH SENSH 18FR $ 800.00 SHEATH SET URET 11-13FR X 46 $ 460.56 SHEATH SET URET 13-15FRX46 $ 460.56 SHEATH SET URETERAL ACCESS 36CM $ 460.56 SHEATH STANDARD 7F ORANGE CAP 13CM $ 137.64 SHEATH STANDARD 9F BLACK CAP 13CM $ 137.64 SHEATH VASCULAR TUNNELER $ 224.32 SHEATH XLNG RENAL 30FR X 20CM $ 220.00 SHEATH/INTRO 7FR ANSEL 1 45CM FLEXOR $ 224.00 SHELL - 48MM ACETABULAR HEMI $ 2,575.00 SHELL - 52MM ACETABULAR HEMI $ 2,575.00 SHELL - 64MM ACETABULAR HEMI SZ 26 $ 2,575.00 SHELL - FULL HEMI SLD/APX RLOC46 $ 2,575.00 SHELL - FULL HEMI SLD/APX RLOC50 $ 2,575.00 SHELL - FULL HEMI SLD/APX RLOC54 $ 2,575.00 SHELL - FULL HEMI SLD/APX RLOC56 $ 2,575.00 SHELL - FULL HEMI SLD/APX RLOC58 $ 2,575.00 SHELL 50MM ACETABULAR HEMI $ 2,575.00 SHELL ACETABULAR (BIOMET) $ 2,575.00 SHELL ACETABULAR SECTOR 58MM $ 3,250.00 SHELL CONTINUUM UNI - HOLE 56KK $ 4,375.00 SHELL G7 PPS LTD ACET 50D $ 2,575.00 SHELL G7 PPS LTD ACET 52E $ 2,575.00 SHELL G7 PPS LTD ACET 54F $ 2,575.00 SHELL G7 PPS LTD ACET 56G $ 2,575.00 SHELL G7 PPS LTD ACET 58G $ 2,575.00 CHARGE DESCRIPTION CHARGE AMOUNT SHELL G7 PPS LTD ACET 60G $ 2,575.00 SHELL G7 PPS LTD ACET 64H $ 2,575.00 SHELL HEMISPHERICAL ACETABULAR 60MM S25 $ 2,575.00 SHELL RINGLOC 60MM SIZE 25 $ 2,575.00 SHINGRIX VACCINE 50 MCG/0.5 ML $ 324.45 SHLDR CAPSULOR ARTHROSC $ 2,661.58 SHORT REAMER HEAD $ 1,363.60 SHORT THREAD SCREW HEADED 3. 5 X 30MM $ 840.00 SHORT THREAD SCREW HEADED 3.5 X 40MM $ 840.00 SHOULDER ARTHROSCOPY/SURGERY $ 447.08 SHOULDER LT COMPLETE $ 457.44 SHOULDER LT COMPLETE - PORTABLE $ 457.44 SHOULDER MUMFORD PROC $ 1,662.53 SHOULDER ONE VIEW LT $ 290.84 SHOULDER ONE VIEW RT $ 290.84 SHOULDER RT COMPLETE $ 457.44 SHOULDER RT COMPLETE - PORTABLE $ 457.44 SHUNT CAROTID ENDARTERECTOMY EXT 3X4MM 1 $ 1,772.00 SHUNT CAROTID ENDARTERECTOMY SEG 3.5X5MM $ 1,914.50 SHUNTOGRAM $ 1,217.00 SI JOINTS COMPLETE $ 780.38 SIALOGRAM $ 777.48 SICKLE CELL TEST $ 114.33 SIGMOIDOSCOPE W/SUBMUC INJ $ 87.92 SIGMOIDOSCOPE W/SUBMUC INJ $ 922.97 SIGMOIDOSCOPE W/SUBMUC INJ $ 1,010.89 SIGMOIDOSCOPY POLYPECTOMY $ 240.43 SIGMOIDOSCOPY FLEX W BX $ 183.03 SIGMOIDOSCOPY FOR BLEEDING $ 301.73 SIGMOIDOSCOPY W REM T/P/LES BY SNARE $ 309.78 SIGNAL-AVERAGED EKG $ 103.00 SIGNATURE KNEE PKA GDE/MDL SET XSM PH3 $ 3,097.50 SIGNATURE M PKA GDE/MDL SET LGE-PH3 $ 3,510.00 SIGNATURE M PKA GDE/MDL SET SML-PH3 $ 3,510.00 SIGNATURE M PKA GDE/MDL SET XLG-PH3 $ 3,510.00 SIGNATURE TKA GDE/MDL 04-05 $ 3,510.00 SIGNATURE TKA GDE/MDL 04-05 $ 3,510.00 SIGNATURE TKA GDE/MDL 04-08 $ 3,510.00 SILICONE KIT $ 240.00 SILVADENE CREAM 1% 50 GM $ 37.75 SILVER NITRATE STICK 75% $ 1.84 SIMPLE BLADDER IRRIGATE LAVAGE/INSTILL $ 40.34 SIMPLE BLADDER IRRIGATE LAVAGE/INSTILL $ 280.85 SIMPLE BLADDER IRRIGATE LAVAGE/INSTILL $ 321.19 SINEMET TAB 10-100 $ 2.20 SINEMET TAB 25-100 $ 2.09 CHARGE DESCRIPTION CHARGE AMOUNT SINEMET TAB 25-250 $ 1.74 SINEQUAN CAP 25 MG $ 3.11 SINGULAIR TAB 10 MG $ 2.09 SINUS ENDO W/BALLOON DIL FRONTAL SINUS $ 452.58 SINUS ENDO W/BALLOON DIL FRONTAL SINUS $ 757.50 SINUS ENDO W/BALLOON DIL MAX SINUS $ 613.50 SINUS ENDO W/BALLOON DIL SPHENOID SINUS $ 290.46 SINUS ENDO W/BALLOON DIL SPHENOID SINUS $ 605.00 SINUSES ONE VIEW $ 336.48 SINUSES COMPLETE $ 647.83 SINUSOIDAL VERTICAL AXIS ROTATING TEST $ 142.00 SINUSOTOMY MAXILLARY; INTRANASAL $ 1,134.75 SITZMARKS CAPS $ 56.80 SK FULL GRT SCLP/ARM/LEG=LESS 20 SQ CM $ 1,379.00 SKELETAL MUSCLE RELAXANT 3 OR MORE $ 187.00 SKIN FULL GRFT FACE/GENIT/HF =< 20 SQ CM $ 1,572.66 SKIN POLISHER $ 38.00 SKIN SUB GRAFT F/N/HF/G ADDL $ 51.62 SKIN SUB GRAFT FACE/NK/HF/G $ 242.05 SKIN SUB GRAFT T/A/L ADD-ON $ 44.95 SKIN SUB GRAFT TRNK/ARM/LEG $ 213.43 SKIN SUB GRFT T/ARM/LG CHILD $ 516.58 SKIN TEST TB INTRADERMAL $ 46.09 SKIN TEST TB INTRADERMAL $ 46.09 Skin Test TB intradermal $ 46.09 SKIN TEST,TB, INTRADERMAL $ 46.09 SKIN TEST; HISTOPLASMOSIS $ 14.93 SKIN TEST; TB ID $ 19.05 SKN SPLT A-GRFT FAC/NCK/HF/G 100 SQ CM/1 $ 1,740.70 SKN SUB GRFT T/A/L CHILD ADD $ 117.08 SKULL <4 VIEWS $ 335.75 SKULL COMPLETE $ 563.91 SKULL-AP & LAT. ONLY $ 335.75 SLCTV WND DEBRIDEM 20 CM OR LESS $ 722.40 SLCTV WND DEBRIDEM 20 CM OR LESS THAN $ 31.25 SLCTV WND DEBRIDEM 20 CM OR LESS THAN $ 199.06 SLCTV WND DEBRIDEM 20 CM OR LESS THAN $ 230.31 SLCTV WND DEBRIDEM ADDL 20 CM/< $ 243.39 SLCTV WND DEBRIDEM ADDL 20 CM/LESS THAN $ 28.28 SLEEP STUDY - UNATTENDED $ 455.55 SLEEVE 11GA MAMMOTOME $ 60.00 SLEEVE 8GA MAMMOTOME $ 60.00 SLEEVE MSRNG DRILL 100MM $ 704.00 SLEEVE SIZING $ 100.00 SLEEVE SMALL SCD THIGH $ 152.00 SLEEVES ACTIVE FMS 0.9MM CENTURION $ 348.00 CHARGE DESCRIPTION CHARGE AMOUNT SLING - BLADDER SUSPENSION 2.7MM $ 2,759.02 SLING - OBTRYX $ 3,301.06 SLING MINIARC PRESCISE SINGLE - INCISION $ 3,112.50 SLING OP FOR STRESS INCONTINENCE $ 1,785.20 SLING PELVIC LARGE 36-60 INCH $ 347.96 SLING PELVIC MEDIUM 32-50 INCH $ 347.96 SLING SOLYX WITH GRAFT $ 2,675.13 SLING ULTRA III ARM LARGE $ 172.80 SLING ULTRA III ARM MEDIUM $ 172.80 SLING ULTRA III ARM XLARGE $ 172.80 SLING/SWATHE SMALL $ 56.16 SLIT LAMP $ 10.00 SLIT PREPUCE DORSAL OR LAT NOT NEWBORN $ 182.25 SLIT PREPUCE DORSAL OR LAT NOT NEWBORN $ 2,164.42 SLITTER 6230UNI UNIVERSAL II $ 140.00 SLITTER ADJ 6232ADJ $ 140.00 SLS-EPS PERIPH NRV; LWR LIMBS $ 67.00 SM FRAG LOCKING PLATE HF STR $ 1,786.40 SMALL BOWEL $ 1,647.21 SMALL BOWEL ENDOSCOPY $ 294.52 SMART TOE $ 3,197.50 SMART TOE $ 3,197.50 SMART TOE 16MM 0 DEGREE ANGLE $ 2,985.00 SMART TOE II 15MM NEUTRAL $ 2,639.25 SMARTWIRE II $ 2,362.50 SMEAR $ 51.21 SMEAR - INFECTIOUS WET MOUNT $ 15.00 SMEAR COMPLEX SPECIAL STAIN $ 73.13 SMEAR FLUOR AND/OR ACID FAST, FUNGI $ 100.08 SMEAR, GRAM OR GIEMSA STAIN $ 62.27 SMEAR, SPECIAL STAIN $ 73.94 SMEAR, WET MOUNT $ 83.36 SMOKE EVAC - PENCIL COATED ROCKER $ 93.88 SNARE 2.8CM 240CM 25MM ROUNDED STIFF $ 60.00 SNARE 4MM GOOSENECK $ 2,082.50 SNARE 7MM GOOSENECK $ 2,082.50 SNARE BIPOLAR $ 283.60 SNARE MICRO ELITE 4MM $ 4,737.50 SNARE MIN-MICR PROFILE XSMALL 10BX $ 77.28 SNARE MIN-MICR SMALL SENSAT OVAL 5BX $ 66.24 SNARE MIN-MICR XSMALL OVAL 10BX $ 55.20 SNARE OVAL 13MM $ 71.76 SNARE OVAL 20MM $ 194.00 SNARE POLYPECTOMY 10MM ROUND STIFF $ 68.00 SNARE ROUND STIFF 10MM LOOP $ 60.00 SNARE ULTRA LG COLONOSCOPE 23CM $ 728.00 CHARGE DESCRIPTION CHARGE AMOUNT SNRPN/UBE3A GENE $ 980.40 SOD BICARBONATE INJ 8.4% 50 ML VIAL $ 53.61 SOD BICARBONATE TAB 650 MG $ 1.17 SOD CHLORIDE (BACTERIOSTATIC) INJ 20 ML $ 4.00 SOD CHLORIDE (PLAIN) 0.9% INJ 50 ML $ 1.00 SOD CHLORIDE (PLAIN) INJ 0.9 % 10 ML $ 12.63 SOD CHLORIDE (PLAIN) INJ 0.9% 20 ML $ 0.50 SOD CHLORIDE 0.45% IV SOLN 1000 ML $ 73.55 SOD CHLORIDE 0.9% IV SOLN 100 ML $ 61.50 SOD CHLORIDE 0.9% IV SOLN 1000 ML $ 73.54 SOD CHLORIDE 0.9% IV SOLN 250 ML $ 61.48 SOD CHLORIDE 0.9% IV SOLN 250ML AVIVA $ 61.50 SOD CHLORIDE 0.9% IV SOLN 50 ML $ 61.50 SOD CHLORIDE 0.9% IV SOLN 500 ML $ 67.90 SOD CHLORIDE 0.9% KCL 20 MEQ 1000 ML $ 7.35 SOD CHLORIDE 3% IV SOLN 500 ML $ 0.14 SOD CHLORIDE FLUSH INJ 0.9% 2 ML $ 0.50 SOD CHLORIDE INJ 0.9% FLUSH 10ML $ 0.75 SOD CHLORIDE INJ 50 MEQ $ 15.54 SODIUM ACETATE INJ 40 MEQ $ 24.18 SODIUM BICARBONATE INJ 4.2% 10 ML $ 58.65 SODIUM BICARBONATE INJ 8.4% 50 ML $ 57.52 SODIUM CHLORIDE TAB 1 GM $ 1.24 SODIUM OTHER SOURCE $ 200.85 SODIUM PHOSPHATE INJ 15 MMOL $ 79.35 SODIUM, SERUM, PLASMA OR WHOLE BLOOD $ 39.12 SODIUM, URINE $ 53.25 SOFT TISSUE NECK AP & LATERAL $ 311.62 SOFTGOOD ARTROMOT $ 85.00 SOFTGOODS DANNENGER $ 116.00 SOLAR GENESIS CHEST $ 200.00 SOLAR GENESIS FACE $ 125.00 SOLAR GENESIS HANDS $ 100.00 SOLAR GENESIS LOWER ARMS $ 150.00 SOLAR GENESIS LOWER LEGS $ 225.00 SOLAR GENESIS NECK $ 125.00 SOLAR GENESIS THIGHS $ 275.00 SOLAR GENESIS UPPER ARMS $ 200.00 SOLAR GENESIS UPPER BACK $ 200.00 SOLAR SPOT $ 50.00 SOLID DRIVER HEX 1.5MM AO $ 1,080.00 SOLID DRIVER HEX 2.5MM AO $ 1,160.00 SOLID TISSUE CULTURE BIOPSY $ 327.24 SOLIRIS 10 MG/ML INJ 30 ML $ 489.39 SOLU CORTEF INJ 100 MG $ 54.73 SOLU CORTEF INJ 250 MG $ 40.60 CHARGE DESCRIPTION CHARGE AMOUNT SOLU MEDROL INJ 1 GM $ 24.72 SOLU MEDROL INJ 125 MG $ 53.61 SOLU MEDROL INJ 40 MG $ 37.08 SOLUBLE TRANSFERRIN RECEPTOR $ 135.82 SOMATOSTATIN $ 256.47 SONEX HL (6 CARTRIDGES) $ 345.32 SPACER - 39+6MM, UNIVERSAL REVERS $ 1,100.00 SPACER TAPERED ARTICUL/EZE +0 $ 800.00 SPATULA $ 98.28 SPECIAL ANESTHESIA SERVICE <1 OR >70 YRS $ 30.00 SPECIAL HEARING TEST ESCREEN $ 23.00 SPECIAL RADIATION TREATMENT $ 2,569.85 SPECIAL STAINS GR I $ 192.00 SPECIAL STAINS GR II $ 195.29 SPECTROPHOTOMETRY ANALYTE NOS $ 22.00 SPEECH AUDIOM THRESHOLD $ 45.00 SPEECH RECEPTION THRESHOLD $ 82.48 SPEECH SOUND LANG COMPREHEN $ 389.75 SPEECH THRESHOLD AUDIOMETRY $ 82.48 SPEECH TREATMENT GROUP $ 121.85 SPEECH TREATMENT INDIVIDUAL $ 262.79 SPEEDGRAFT $ 5,812.50 SPERM ANTIBODIES $ 155.53 SPERM WASHING - ARTIFICIAL INSEMINATION $ 30.85 SPHINCTEROTOMY ANAL DIV OF SPHINCTER $ 403.40 SPIDEFX 3MM FILTER $ 3,328.50 SPIDEFX 7MM FILTER $ 3,062.50 SPIDER VEIN 1001-1250 PULSES $ 450.00 SPIDER VEIN 101-250 PULSES $ 150.00 SPIDER VEIN 1251-1500 PULSES $ 525.00 SPIDER VEIN 1501-1750 PULSES $ 600.00 SPIDER VEIN 1751-2000 PULSES $ 675.00 SPIDER VEIN 251-500 PULSES $ 225.00 SPIDER VEIN 501-750 PULSES $ 300.00 SPIDER VEIN 751-1000 PULSES $ 375.00 SPIDER VEINS 100 PULSES $ 100.00 SPIN/BRAIN PUMP REFIL & MAIN $ 706.95 SPINE SINGLE VIEW $ 303.22 SPIRIVA INHALER KIT $ 251.61 SPIROMETRY $ 40.00 SPIROMETRY $ 85.60 SPIROX LATERA SYSTEM $ 3,000.00 SPL AVULSE NP; EA ADDTL $ 45.18 SPL AVULSE NP; SGL $ 72.64 SPL AVULSE NP; SGL $ 199.06 SPL AVULSE NP; SGL $ 271.70 CHARGE DESCRIPTION CHARGE AMOUNT SPLENECTOMY; TOTAL $ 2,548.00 SPLINT AQUAPLAST PS NASAL ADHESIVE $ 191.56 SPLINT DORSAL CARPAL TUNNEL LARGE/LEFT $ 100.00 SPLINT DORSAL CARPAL TUNNEL SMALL/RIGHT $ 76.00 SPLINT DORSAL CARPAL TUNNEL XLARGE/LEFT $ 76.00 SPLINT DORSAL CARPAL TUNNEL XLARGE/RIGHT $ 76.00 SPLINT NASAL $ 121.04 SPLINT NASAL LARGE $ 98.64 SPLINT NASAL MEDIUM $ 98.64 SPLINT NASAL SMALL $ 97.88 SPONGE GELATIN SZ 50 $ 51.28 SPONGE GELATINE SZ 100 $ 75.96 SPONTANEOUS NYSTAGMUS TEST W/RECORDING $ 180.00 SPORT SCHOOL CAMP PHYSICAL $ 30.00 SPOT $ 138.00 SPRAVATO UD SPRAY 56MG (28 MGx2) $ 1,771.00 SPRAVATO UD SPRAY 84 MG (28 MG x 3) $ 2,656.00 SPUTUM INDUCTION SUBSEQUENT TX $ 269.61 SQ HORMONE PELLET IMPL $ 74.30 SQ HORMONE PELLET IMPL $ 342.69 SQ HORMONE PELLET IMPL $ 416.99 SQ REM OF SINGLE/DUAL CHAMB PAC CARD $ 4,301.61 SQ/IM INJECTION $ 191.46 SREP F/E/N/L/MM; 2.5CM/< $ 72.54 SREP F/E/N/L/MM; 2.5CM/< $ 219.64 SREP F/E/N/L/MM; 2.5CM/< $ 292.18 SREP F/E/N/L/MM; 2.6-5.0CM $ 76.67 SREP F/E/N/L/MM; 2.6-5.0CM $ 219.64 SREP F/E/N/L/MM; 2.6-5.0CM $ 296.31 SREP F/E/N/L/MM; 5.1-7.5CM $ 98.96 SREP F/E/N/L/MM; 5.1-7.5CM $ 229.39 SREP F/E/N/L/MM; 5.1-7.5CM $ 328.34 SREP F/E/N/L/MM; 7.6-12.5CM $ 124.24 SREP F/E/N/L/MM; 7.6-12.5CM $ 219.64 SREP F/E/N/L/MM; 7.6-12.5CM $ 343.88 SREP S/N/A/G/TR/E 2.5CM/LESS THAN $ 111.95 SREP S/N/A/G/TR/E; >30CM $ 736.45 SREP S/N/A/G/TR/E; 7.6-12.5CM $ 96.07 SREP S/N/A/G/TR/E; 7.6-12.5CM $ 219.64 SREP S/N/A/G/TR/E; 7.6-12.5CM $ 315.71 SREPS/N/A/G/TR/E; 2.6-7.5CM $ 148.35 ST BX U ARM/ELB; SUPERF $ 415.40 ST PIN 1/8X9 BAY SINGLE $ 80.00 ST PROBE-10G, 12CM MAMMOTOME REVOLVE PRO $ 755.48 ST PROBE-8G, 12CM MAMMOTOME REVOLVE $ 805.88 STAB PHELB XTR 10-20 $ 6,126.63 CHARGE DESCRIPTION CHARGE AMOUNT STAB PHLEB VEINS XTR 10-20 $ 1,142.83 STABILIZER BP 300CM .014 $ 287.00 STABILIZER PLUS 300CM .014 $ 287.00 STABILIZER XSXS 300CM .014J $ 287.00 STADOL INJ (butorphanol) 1 MG $ 27.96 STANDARD OVAL 27MM SIZE 25 $ 128.00 STANDARD OVAL 27MM SIZE 25 $ 136.80 STAPLE - 10 X 10 FUSE FORCE $ 2,625.00 STAPLE - 8 X 8 FUSE FORCE $ 2,625.00 STAPLE - 8 X 8 FUSE FORCE $ 2,625.00 STAPLE NIT 10X10MM ANGLE $ 3,292.50 STAPLE NITINOL 18 X 16 $ 3,117.50 STAPLER CIRCULAR 25MM CDH25 $ 798.20 STAPLER CIRCULAR 29MM CDH29 $ 808.08 STAPLER CIRCULAR 33MM CDH33 $ 949.12 STAPLER CURVED 3.5MM CUTTER $ 1,346.40 STAPLER CURVED 4.7MM CUTTER $ 1,346.40 STAPLER ECHELON 60 $ 1,487.92 STAPLER ENDO CIRC STEALTH 29MM $ 839.32 STAPLER ENDO ETS-FLEX 35MM $ 860.72 STAPLER LINEAR $ 550.56 STAPLER LINEAR CUTTER GIA 55MM $ 338.76 STAPLER LINEAR CUTTER GIA 75 $ 446.40 STAPLER LINEAR TA 30 GREEN 4.8 $ 310.88 STAPLER LINEAR TA 60 BLUE 3.5 $ 321.52 STAPLER LINEAR TA 60 GREEN 4.8 $ 307.32 STAPLER RELOAD 3.5MM CURVED CUTTER $ 695.96 STAPLER RELOAD 4.7MM CURVED CUTTER $ 737.04 STAPLER RELOAD GIA 75 $ 238.04 STAPLER RELOAD GIA55 $ 180.28 STAPLER RELOAD TA 30 BLUE 3.5 $ 149.24 STAPLER RELOAD TA 30 GREEN 4.8 $ 149.24 STAPLER RELOAD TA 30 RED 2.5 $ 153.44 STAPLER RELOAD TA 60 BLUE 3.5 $ 160.76 STAPLER RELOAD TA 60 GREEN 4.8 $ 160.76 STAPLER RELOAD TA 90 $ 175.20 STAPLER SKIN PROXIMATE $ 70.80 STAPLER TITANIUM TA 90 $ 353.92 STAPLER VASCULAR TA 30 RED 2.5 $ 343.72 STAPLES 18 X 16 FIXATION SYSTEM $ 3,117.50 STARCLOSE CLOSURE $ 860.00 STEINMANN PIN COMP REV SHOULDER 9 IN $ 768.00 STEM - 10MM X 13MM $ 6,192.50 STEM - 115MM X 155MM PROXIMAL $ 6,192.50 STEM - 12MM X 140MM PROXIMAL $ 6,192.50 STEM - 13MM X 83MM LONG $ 7,600.00 CHARGE DESCRIPTION CHARGE AMOUNT STEM - BMT GB KNEE 14X40 $ 3,982.50 STEM - BMT GB KNEE 18X40 $ 3,982.50 STEM - BMT SPLINED V2 KNEE 11X40 $ 5,980.00 STEM - BMT SPLINED V2 KNEE 12 X 80 $ 5,980.00 STEM - BMT SPLINED V2 KNEE 14 X 80 $ 3,982.50 STEM - BMT SPLINED V2 KNEE 15 X 80 $ 3,982.50 STEM - BMT SPLINED V2 KNEE 16 X 80 $ 3,982.50 STEM - BMT SPLINED V2 KNEE 18 X 80 $ 6,600.00 STEM - BMT SPLINED V2 KNEE 19 X 80 $ 5,980.00 STEM - BMT SPLINED V2 KNEE 21 X 80 $ 5,980.00 STEM - BMT V2 KNEE 10X40 $ 6,600.00 STEM - BMT V2 KNEE 15X40 $ 5,980.00 STEM - BMT V2 KNEE 16X40 $ 6,600.00 STEM - GLOBAL AP PC 14MM $ 6,980.00 STEM - S12 X 120MM $ 4,821.25 STEM - S14 X 129MM $ 4,821.25 STEM - SZ 10 CAP COATED UNIV REVERS $ 5,590.00 STEM 11MM X 135MM (BIOMET) $ 6,192.50 STEM BIOMET SMOOTH KNEE 14 X 40 $ 3,982.50 STEM BMT SMOOTH KNEE 12 X 80 $ 3,982.50 STEM BMT SMOOTH KNEE 20 X 80 $ 3,982.50 STEM BMT SPLINED KNEE 14X80 $ 3,982.50 STEM CEMENTED HUM 12X110 W/REMOVED HEAD $ 6,000.00 STEM CEMENTLESS MODULAR HUMERAL DIA 12 $ 3,298.75 STEM COLLARLESS POROUS $ 6,192.50 STEM COLLARLESS POUROUS 14MMX150MM $ 6,192.50 STEM COLLARLESS POUROUS STEM $ 6,192.50 STEM COMP PRIMARY 10MM STD $ 8,162.00 STEM COMP PRIMARY 11MM MINI $ 9,302.00 STEM COMP PRIMARY 11MM STD $ 8,162.00 STEM COMP PRIMARY 13MM STD $ 8,162.00 STEM COMP PRIMARY 16MM MINI $ 9,302.00 STEM COMP PRIMARY 16MM STD $ 8,162.00 STEM COMP PRIMARY 7MM STD $ 7,600.00 STEM COMP PRIMARY 8MM MINI $ 7,600.00 STEM COMP PRIMARY 9MM MINI $ 7,600.00 STEM COMP PRIMARY 9MM STD $ 8,162.00 STEM ECHO POR FMRL LAT NC 11 X 135MM $ 6,192.50 STEM ECHO POROUS 14MM X 150MM FMRL LAT $ 6,192.50 STEM ECHO POROUS 16MM X 160MM FULL BI-ME $ 6,192.50 STEM FEM 10.5 CENTRALIZER $ 406.00 STEM FEM CEM SZ5 STD SUMMIT $ 4,500.00 STEM FEM RPP LAT 130DG 11MM $ 6,192.50 STEM FEMORAL 12/14 TAPER SIZE 14 135MM $ 3,250.00 STEM FEMORAL POR SIZE 23 TAPERED HI OFF $ 5,300.00 STEM FEMORAL SIZE 5 12/14 TAPER STD 145M $ 5,300.00 CHARGE DESCRIPTION CHARGE AMOUNT STEM FEMORAL SIZE 8 160MM TAPERED $ 5,300.00 STEM HUM CEM W/ REMOVABLE HEAD 14 X 110 $ 6,000.00 STEM HUM FRAC COMPR PPS 6MM $ 7,800.00 STEM HUM STD 12 MM $ 7,600.00 STEM HUMERAL 10-130 $ 7,800.00 STEM HUMERAL CEMENT W/ REMOVE HEAD 9X110 $ 6,000.00 STEM POR ECHO 12MM X 140MM COLLARLESS $ 6,192.50 STEM POROUS 12MM X 140MM ECHO BI-METRIC $ 6,192.50 STEM POROUS 13MM X 145MM ECHO BI-METRIC $ 6,192.50 STEM POROUS 17MM X 165MM $ 6,192.50 STEM POROUS 19MM X 175MM $ 6,192.50 STEM PRIMARY COMP 14MM MINI $ 9,302.00 STEM STANDARD SIZE 14 153MM $ 5,791.06 STEM VERSYS ADVOCATE CEMENTED 17X150 $ 5,200.00 STEM,MODULAR TIBIAL COMPONENT 40MM $ 2,593.50 STENGER TEST, SPEEECH $ 666.54 STENT - 10MM X 37MM X 135CM VISI PRO $ 3,202.50 STENT - ALAR NASAL VALVE $ 1,280.00 STENT - GRAFTMASTER 2.80MM X 16MM RX $ 5,987.50 STENT - GRAFTMASTER 2.80MM X 26MM RX $ 5,987.50 STENT - GRAFTMASTER- 4.0MM X 16MM RX $ 5,987.50 STENT - GRAFTMASTER- 4.0MM X 19MM RX $ 5,987.50 STENT LIFESTREAM 10MMX38MM 135CM LENGTH $ 6,000.00 STENT LIFESTREAM 12MMX38MM 135CM LENGTH $ 6,000.00 STENT LIFESTREAM 5MMX37MM 135CM LENGTH $ 5,600.00 STENT LIFESTREAM 6MMX16MM 135CM LENGTH $ 6,000.00 STENT LIFESTREAM 6MMX26MM 135CM LENGTH $ 6,000.00 STENT LIFESTREAM 6MMX37MM 135CM LENGTH $ 5,600.00 STENT LIFESTREAM 6MMX58MM 135CM LENGTH $ 6,000.00 STENT LIFESTREAM 7MMX26MM 135CM LENGTH $ 6,000.00 STENT LIFESTREAM 7MMX37MM 135CM LENGTH $ 6,000.00 STENT LIFESTREAM 7MMX58MM 135CM LENGTH $ 5,600.00 STENT LIFESTREAM 8MMX26MM 135CM LENGTH $ 6,000.00 STENT LIFESTREAM 8MMX37MM 135CM LENGTH $ 6,000.00 STENT LIFESTREAM 9MMX38MM 135CM LENGTH $ 6,000.00 STENT LIFESTREAM 9MMX58MM 135CM LENGTH $ 5,600.00 STENT - OTW XIENCE ALPINE 2.25 X 08 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.25 X 12 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.25 X 15 $ 3,250.00 STENT - OTW XIENCE ALPINE 2.25 X 18 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.25 X 23 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.25 X 28 $ 3,250.00 STENT - OTW XIENCE ALPINE 2.5 X 08 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.5 X 12 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.5 X 15 $ 3,250.00 STENT - OTW XIENCE ALPINE 2.5 X 18 $ 2,750.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT - OTW XIENCE ALPINE 2.5 X 23 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.5 X 28 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.5 X 33 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.5 X 38 $ 2,750.00 STENT - OTW XIENCE ALPINE 2.75 X 08 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.75 X 12 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.75 X 15 $ 3,250.00 STENT - OTW XIENCE ALPINE 2.75 X 18 $ 2,750.00 STENT - OTW XIENCE ALPINE 2.75 X 23 $ 2,750.00 STENT - OTW XIENCE ALPINE 2.75 X 28 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.75 X 33 $ 3,375.00 STENT - OTW XIENCE ALPINE 2.75 X 38 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.0 X 08 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.0 X 12 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.0 X 15 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.0 X 18 $ 3,250.00 STENT - OTW XIENCE ALPINE 3.0 X 23 $ 3,250.00 STENT - OTW XIENCE ALPINE 3.0 X 28 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.0 X 33 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.0 X 38 $ 3,250.00 STENT - OTW XIENCE ALPINE 3.25 X 08 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.25 X 12 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.25 X 15 $ 3,250.00 STENT - OTW XIENCE ALPINE 3.25 X 18 $ 3,250.00 STENT - OTW XIENCE ALPINE 3.25 X 23 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.25 X 28 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.25 X 33 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.25 X 38 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.50 X 08 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.50 X 12 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.50 X 15 $ 3,250.00 STENT - OTW XIENCE ALPINE 3.50 X 18 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.50 X 23 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.50 X 28 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.50 X 33 $ 3,375.00 STENT - OTW XIENCE ALPINE 3.50 X 38 $ 3,250.00 STENT - OTW XIENCE ALPINE 4.0 X 08 $ 3,375.00 STENT - OTW XIENCE ALPINE 4.0 X 12 $ 3,375.00 STENT - OTW XIENCE ALPINE 4.0 X 15 $ 3,375.00 STENT - OTW XIENCE ALPINE 4.0 X 18 $ 2,750.00 STENT - OTW XIENCE ALPINE 4.0 X 23 $ 3,375.00 STENT - OTW XIENCE ALPINE 4.0 X 28 $ 3,375.00 STENT - OTW XIENCE ALPINE 4.0 X 33 $ 3,375.00 STENT - OTW XIENCE ALPINE 4.0 X 38 $ 3,375.00 STENT - SUPERA 4.5MM X 100MM 6FR $ 3,062.50 STENT - SUPERA 4.5MM X 20MM 6FR $ 3,875.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT - SUPERA 4.5MM X 30MM 6FR $ 3,875.00 STENT - SUPERA 4.5MM X 40MM 6FR $ 3,875.00 STENT - SUPERA 4.5MM X 60MM 6FR $ 3,875.00 STENT - SUPERA 4.5MM X 80MM 6FR $ 3,875.00 STENT - SUPERA 5.0MM X 100MM 6FR $ 3,062.50 STENT - SUPERA 5.0MM X 120MM 6FR $ 3,062.50 STENT - SUPERA 5.0MM X 20MM 6FR $ 3,062.50 STENT - SUPERA 5.0MM X 30MM 6FR $ 3,875.00 STENT - SUPERA 5.0MM X 40MM 6FR $ 3,062.50 STENT - SUPERA 5.0MM X 60MM 6FR $ 3,062.50 STENT - SUPERA 5.0MM X 80MM 6FR $ 3,875.00 STENT - SUPERA 5.5MM X 20MM 6FR $ 3,875.00 STENT - SUPERA 5.5MM X 30MM 6FR $ 3,875.00 STENT - SUPERA 5.5MM X 40MM 6FR $ 3,875.00 STENT - SUPERA 5.5MM X 80MM 6FR $ 3,062.50 STENT - SUPERA 6.5MM X 100MM 6FR $ 3,875.00 STENT - SUPERA 6.5MM X 100MM 6FR $ 3,875.00 STENT - SUPERA 6.5MM X 120MM 6FR $ 3,062.50 STENT - SUPERA 6.5MM X 120MM 6FR $ 3,062.50 STENT - SUPERA 6.5MM X 120MM 6FR $ 3,875.00 STENT - SUPERA 6.5MM X 150MM 6FR $ 3,062.50 STENT - SUPERA 6.5MM X 20MM 6FR $ 3,875.00 STENT - SUPERA 6.5MM X 20MM 6FR $ 3,875.00 STENT - SUPERA 6.5MM X 30MM 6FR $ 3,875.00 STENT - SUPERA 6.5MM X 30MM 6FR $ 3,875.00 STENT - SUPERA 6.5MM X 40MM 6FR $ 3,062.50 STENT - SUPERA 6.5MM X 40MM 6FR $ 3,875.00 STENT - SUPERA 6.5MM X 60MM 6FR $ 3,062.50 STENT - SUPERA 6.5MM X 80MM 6FR $ 3,062.50 STENT - SUPERA 6.5MM X 80MM 6FR $ 3,062.50 STENT - TRABECULAR MICRO-BYPASS $ 5,312.50 STENT - VIABAHN 6MM X 15MM $ 8,590.00 STENT - ZILVER RX 0.35 X 125CM $ 4,487.50 STENT - ZILVER RX 0.35 X 60MM $ 3,737.50 STENT 08MM X 60MM SUPERA $ 4,237.50 STENT 1.20MM 15,MM X 145CM MINI TREK $ 672.00 STENT 10 X 60 WALL FLEX BILIARY RX $ 5,987.50 STENT 10 X 80 WALL FLEX BILIARY RX $ 5,987.50 STENT 10MM X 19 X 135CM OMNILINK BALLOON $ 2,887.50 STENT 10MM X 29 X 135CM OMNILINK BALLOON $ 2,537.50 STENT 10MM X 40MM X 135CM ABSOLUTE OTW $ 2,500.00 STENT 10MM X 59 X 135CM OMNILINK BALLOON $ 2,887.50 STENT 10MM X 60MM X 135CM ABSOLUTE OTW $ 2,500.00 STENT 14MM X 2.5MM INTEGRITY $ 2,625.00 STENT 2.25MM X 12MM INTEGRITY RX $ 2,625.00 STENT 2.25MM X 12MM RESOLUTE OTW $ 3,237.50 CHARGE DESCRIPTION CHARGE AMOUNT STENT 2.25MM X 12MM RESOLUTE RX $ 3,737.50 STENT 2.25MM X 12MM XIENCE XPEDITION RX $ 3,625.00 STENT 2.25MM X 12MMXPEDITION OTW $ 3,375.00 STENT 2.25MM X 14MM INTEGRITY RX $ 2,625.00 STENT 2.25MM X 15MM RESOLUTE OTW $ 3,237.50 STENT 2.25MM X 15MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.25MM X 15MM XPEDITION OTW $ 3,375.00 STENT 2.25MM X 18MM INTEGRITY RX $ 2,625.00 STENT 2.25MM X 18MM RESOLUTE OTW $ 3,237.50 STENT 2.25MM X 18MM RESOLUTEVINT RX $ 3,237.50 STENT 2.25MM X 18MM XIENCE XPEDITION RX $ 3,625.00 STENT 2.25MM X 18MM XPEDITION OTW $ 3,375.00 STENT 2.25MM X 22MM RESOLUTE OTW $ 3,237.50 STENT 2.25MM X 22MM RESOLUTE RX $ 4,250.00 STENT 2.25MM X 23MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.25MM X 23MM XPEDITION OTW $ 3,375.00 STENT 2.25MM X 26MM INTEGRITY RX $ 2,625.00 STENT 2.25MM X 26MM RESOLUTE OTW $ 3,237.50 STENT 2.25MM X 26MM RESOLUTE RX $ 3,737.50 STENT 2.25MM X 28MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.25MM X 28MM XPEDITION OTW $ 3,375.00 STENT 2.25MM X 30MM RESOLUTE OTW $ 3,237.50 STENT 2.25MM X 30MM RESOLUTE RX $ 3,737.50 STENT 2.25MM X 34MM RESOLUTE OTW $ 3,237.50 STENT 2.25MM X 38MM RESOLUTE OTW $ 3,237.50 STENT 2.25MM X 8MM INTEGRITY RX $ 2,625.00 STENT 2.25MM X 8MM RESOLUTE OTW $ 3,237.50 STENT 2.25MM X 8MM RESOLUTE RX $ 4,250.00 STENT 2.25MM X 8MM XIENCE XPEDITION R $ 3,625.00 STENT 2.25MM X 8MMXPEDITION OTW $ 3,625.00 STENT 2.25MMX14MM RESOLUTEVINT RX $ 3,737.50 STENT 2.50MM 18MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.50MM X 12MM RESOLUTE OTW $ 3,237.50 STENT 2.50MM X 12MM RESOLUTE RX $ 4,250.00 STENT 2.50MM X 12MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.50MM X 12MM XPEDITION OTW $ 3,375.00 STENT 2.50MM X 14MM RESOLUTE RX $ 3,737.50 STENT 2.50MM X 15MM RESOLUTE OTW $ 3,237.50 STENT 2.50MM X 15MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.50MM X 15MM XPEDITION OTW $ 3,375.00 STENT 2.50MM X 18MM RESOLUTE OTW $ 3,237.50 STENT 2.50MM X 18MM RESOLUTE RX $ 3,737.50 STENT 2.50MM X 18MM XPEDITION OTW $ 3,375.00 STENT 2.50MM X 22MM RESOLUTE OTW $ 3,237.50 STENT 2.50MM X 22MM RESOLUTE RX $ 4,250.00 STENT 2.50MM X 23MM XIENCE XPEDITION RX $ 3,625.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT 2.50MM X 23MM XPEDITION OTW $ 3,375.00 STENT 2.50MM X 26MM RESOLUTE OTW $ 3,237.50 STENT 2.50MM X 26MM RESOLUTE RX $ 3,237.50 STENT 2.50MM X 28MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.50MM X 28MM XPEDITION OTW $ 3,375.00 STENT 2.50MM X 30MM RESOLUTE OTW $ 3,237.50 STENT 2.50MM X 30MM RESOLUTE RX $ 4,250.00 STENT 2.50MM X 33MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.50MM X 33MM XPEDITION OTW $ 3,375.00 STENT 2.50MM X 34MM RESOLUTE OTW $ 3,237.50 STENT 2.50MM X 38MM RESOLUTE OTW $ 3,237.50 STENT 2.50MM X 38MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.50MM X 38MM XPEDITION OTW $ 3,375.00 STENT 2.50MM X 8MM RESOLUTE OTW $ 3,237.50 STENT 2.50MM X 8MM RESOLUTE RX $ 4,250.00 STENT 2.50MM X 8MM XIENCE XPEDITION RX $ 3,625.00 STENT 2.50MM X 8MM XPEDITION OTW $ 3,375.00 STENT 2.5MM X 12MM INTEGRITY RX $ 2,625.00 STENT 2.5MM X 18MM INTEGRITY RX $ 2,625.00 STENT 2.5MM X 22MM INTEGRITY RX BMS $ 2,625.00 STENT 2.5MM X 23MM MINI VISION $ 2,450.00 STENT 2.5MM X 26MM INTEGRITY RX $ 2,625.00 STENT 2.5MM X12MM RAPID XIENCE $ 3,625.00 STENT 2.5MM X15MM RAPID XIENCE $ 3,625.00 STENT 2.5MM X18MM RAPID XIENCE $ 3,625.00 STENT 2.5MM X23MM RAPID XIENCE $ 3,625.00 STENT 2.5MM X28MM RAPID XIENCE $ 3,625.00 STENT 2.5MM X8MM RAPID XIENCE $ 3,625.00 STENT 2.75 X 18 OTW XPEDITION $ 3,375.00 STENT 2.75 X 22MM RESOLUTE RX $ 3,350.00 STENT 2.75MM X 12MM INTEGRITY RX $ 2,625.00 STENT 2.75MM X 12MM RESOLUTE OTW $ 3,237.50 STENT 2.75MM X 12MM RESOLUTE RX $ 4,250.00 STENT 2.75MM X 12MM XIENCE XPESITION XR $ 3,625.00 STENT 2.75MM X 12MM XPEDITION OTW $ 2,700.00 STENT 2.75MM X 14MM INTEGRITY RX $ 2,625.00 STENT 2.75MM X 14MM RESOLUTE RX $ 4,250.00 STENT 2.75MM X 15MM RESOLUTE OTW $ 3,237.50 STENT 2.75MM X 15MM XIENCE XPEDITION RX $ 3,625.00 STENT 2.75MM X 15MM XPEDITION OTW $ 3,375.00 STENT 2.75MM X 18MM INTEGRITY RX $ 2,625.00 STENT 2.75MM X 18MM RESOLUTE OTW $ 3,237.50 STENT 2.75MM X 18MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.75MM X 22MM INTEGRITY RX $ 2,625.00 STENT 2.75MM X 22MM RESOLUTE OTW $ 3,237.50 STENT 2.75MM X 22MM RESOLUTE RX $ 4,250.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT 2.75MM X 23 MM XIENCE XPEDITION R $ 3,625.00 STENT 2.75MM X 23MM RX VISION $ 2,450.00 STENT 2.75MM X 23MM XPEDITION OTW $ 3,375.00 STENT 2.75MM X 26MM RESOLUTE OTW $ 3,237.50 STENT 2.75MM X 26MM RESOLUTE RX $ 4,250.00 STENT 2.75MM X 28MM RX VISION $ 2,100.00 STENT 2.75MM X 28MM XPEDITION OTW $ 3,375.00 STENT 2.75MM X 30MM RESOLUTE OTW $ 3,237.50 STENT 2.75MM X 30MM RESOLUTE RX $ 4,250.00 STENT 2.75MM X 33MM XIENCE XPEDITION RX $ 3,812.50 STENT 2.75MM X 33MM XPEDITION OTW $ 3,375.00 STENT 2.75MM X 34MM RESOLUTE OTW $ 3,237.50 STENT 2.75MM X 38MM RESOLUTE OTW $ 3,237.50 STENT 2.75MM X 38MM XIENCE XPEDITION RX $ 3,375.00 STENT 2.75MM X 38MM XPEDITION OTW $ 3,375.00 STENT 2.75MM X 8MM INTEGRITY RX $ 2,625.00 STENT 2.75MM X 8MM RESOLUTE OTW $ 3,237.50 STENT 2.75MM X 8MM RESOLUTE RX $ 4,250.00 STENT 2.75MM X 8MM XIENCE XPEDITION RX $ 3,625.00 STENT 2.75MM X12MM RAPID XIENCE $ 3,625.00 STENT 2.75MM X15MM RAPID XIENCE $ 3,625.00 STENT 2.75MM X18MM RAPID XIENCE $ 3,625.00 STENT 2.75MM X23MM RAPID XIENCE $ 3,875.00 STENT 2.75MM X28MM RAPID XIENCE $ 3,625.00 STENT 2.75MM X8MM RAPID XIENCE $ 3,625.00 STENT 2.75MMX18MMRESOLUTE INT RX $ 4,250.00 STENT 26MM X 2.75MM INTEGRITY RX $ 2,625.00 STENT 3.00MM X 12MM RESOLUTE OTW $ 3,237.50 STENT 3.00MM X 12MM XIENCE XPEDITION RX $ 3,625.00 STENT 3.00MM X 12MM XPEDITION OTW $ 3,375.00 STENT 3.00MM X 15MM RESOLUTE OTW $ 3,237.50 STENT 3.00MM X 15MM XIENCE XPEDITION RX $ 3,375.00 STENT 3.00MM X 15MM XPEDITION OTW $ 3,375.00 STENT 3.00MM X 18MM RESOLUTE OTW $ 3,237.50 STENT 3.00MM X 18MM XIENCE XPEDITION RX $ 3,375.00 STENT 3.00MM X 18MM XPEDITION OTW $ 3,375.00 STENT 3.00MM X 22MM RESOLUTE OTW $ 3,237.50 STENT 3.00MM X 23MM XIENCE XPEDITION R $ 3,375.00 STENT 3.00MM X 23MM XPEDITION OTW $ 3,375.00 STENT 3.00MM X 26MM RESOLUTE OTW $ 3,237.50 STENT 3.00MM X 28MM XIENCE XPEDITION RX $ 3,375.00 STENT 3.00MM X 28MM XPEDITION OTW $ 3,375.00 STENT 3.00MM X 30MM RESOLUTE OTW $ 3,237.50 STENT 3.00MM X 33MM XIENCE XPEDITION RX $ 3,375.00 STENT 3.00MM X 33MM XPEDITION OTW $ 3,812.50 STENT 3.00MM X 34MM RESOLUTE OTW $ 3,237.50 CHARGE DESCRIPTION CHARGE AMOUNT STENT 3.00MM X 38MM RESOLUTE OTW $ 3,237.50 STENT 3.00MM X 38MM XIENCE XPEDITION RX $ 3,812.50 STENT 3.00MM X 38MM XPEDITION OTW $ 3,375.00 STENT 3.00MM X 8MM RESOLUTE OTW $ 3,237.50 STENT 3.00MM X 8MM XIENCE XPEDITION RX $ 3,625.00 STENT 3.00MM X 8MM XPEDITION OTW $ 3,625.00 STENT 3.0MM X 12MM INTEGRITY RX $ 2,625.00 STENT 3.0MM X 12MM RAPID XIENCE $ 3,625.00 STENT 3.0MM X 12MM RESOLUTE RX $ 3,737.50 STENT 3.0MM X 12MM RX VISION $ 2,450.00 STENT 3.0MM X 15MM INTEGRITY RX $ 2,625.00 STENT 3.0MM X 15MM RAPID XIENCE $ 3,625.00 STENT 3.0MM X 15MM RESOLUTE RX $ 4,250.00 STENT 3.0MM X 15MM RX VISION $ 2,275.00 STENT 3.0MM X 18MM INTEGRITY RX BMS $ 2,625.00 STENT 3.0MM X 18MM RAPID XIENCE $ 3,625.00 STENT 3.0MM X 18MM RESOLUTE RX $ 3,737.50 STENT 3.0MM X 18MM RX VISION $ 2,275.00 STENT 3.0MM X 22MM INTEGRITY RX BMS $ 2,625.00 STENT 3.0MM X 22MM RESOLUTE RX $ 4,250.00 STENT 3.0MM X 23MM RAPID XIENCE $ 3,625.00 STENT 3.0MM X 23MM RX VISION $ 2,450.00 STENT 3.0MM X 26MM INTEGRITY RX BMS $ 2,625.00 STENT 3.0MM X 26MM RESOLUTE RX $ 4,250.00 STENT 3.0MM X 28MM RAPID XIENCE $ 3,625.00 STENT 3.0MM X 28MM RX VISION $ 2,450.00 STENT 3.0MM X 30MM RESOLUTE RX $ 3,737.50 STENT 3.0MM X 34MM RESOLUTE OTW $ 4,187.50 STENT 3.0MM X 34MM RESOLUTE RX $ 4,187.50 STENT 3.0MM X 38MM RESOLUTE OTW $ 3,237.50 STENT 3.0MM X 38MM RESOLUTE RX $ 4,187.50 STENT 3.0MM X 8MM RAPID XIENCE $ 3,625.00 STENT 3.0MM X 8MM RX VISION $ 2,450.00 STENT 3.0MM X 9MM INTEGRITY RX $ 2,625.00 STENT 3.0MM X 9MM RESOLUTE RX $ 4,250.00 STENT 3.25MM X 12MM XIENCE XPEDITION RX $ 3,625.00 STENT 3.25MM X 12MM XPEDITION OTW $ 3,625.00 STENT 3.25MM X 15MM XIENCE XPEDITION XR $ 3,625.00 STENT 3.25MM X 15MM XPEDITION OTW $ 3,625.00 STENT 3.25MM X 18MM XIENCE XPEDITION RX $ 3,625.00 STENT 3.25MM X 23MM XIENCE XPEDITION RX $ 3,625.00 STENT 3.25MM X 23MM XPEDITION OTW $ 3,625.00 STENT 3.25MM X 28MM XIENCE XPEDITION RX $ 3,625.00 STENT 3.25MM X 33MM XIENCE XPEDITION RX $ 3,812.50 STENT 3.25MM X 33MM XPEDITION OTW $ 3,812.50 STENT 3.25MM X 38MM XIENCE XPEDITION RX $ 3,812.50 CHARGE DESCRIPTION CHARGE AMOUNT STENT 3.25MM X8MM XIENCE XPEDITION RX $ 3,625.00 STENT 3.5 MM X 38MM RESOLUTE RX $ 3,737.50 STENT 3.5.0MM X 12MM RAPID XIENCE $ 3,625.00 STENT 3.5.0MM X 15MM RAPID XIENCE $ 3,625.00 STENT 3.5.0MM X 18MM RAPID XIENCE $ 3,625.00 STENT 3.5.0MM X 23MM RAPID XIENCE $ 3,625.00 STENT 3.5.0MM X 28MM RAPID XIENCE $ 3,625.00 STENT 3.5.0MM X 8MM RAPID XIENCE $ 3,625.00 STENT 3.50MM 12MM XIENCE XPEDITION RX $ 3,625.00 STENT 3.50MM 8MM XIENCE XPEDITION RX $ 3,625.00 STENT 3.50MM X 12MM RESOLUTE OTW $ 3,237.50 STENT 3.50MM X 12MM XPEDITION OTW $ 3,375.00 STENT 3.50MM X 15MM INTEGRITY $ 3,737.50 STENT 3.50MM X 15MM RESOLUTE OTW $ 3,237.50 STENT 3.50MM X 15MM XIENCE XPEDITION RX $ 3,375.00 STENT 3.50MM X 15MM XPEDITION OTW $ 3,375.00 STENT 3.50MM X 18MM RESOLUTE OTW $ 3,237.50 STENT 3.50MM X 18MM XIENCE XPEDITION RX $ 3,375.00 STENT 3.50MM X 18MM XPEDITION OTW $ 3,375.00 STENT 3.50MM X 22MM RESOLUTE OTW $ 3,237.50 STENT 3.50MM X 23MM XIENCE XPEDITION RX $ 3,375.00 STENT 3.50MM X 23MM XPEDITION OTW $ 3,375.00 STENT 3.50MM X 26MM RESOLUTE OTW $ 3,237.50 STENT 3.50MM X 28MM XIENCE XPEDITION RX $ 3,625.00 STENT 3.50MM X 28MM XPEDITION OTW $ 3,625.00 STENT 3.50MM X 30MM RESOLUTE OTW $ 3,237.50 STENT 3.50MM X 33MM XIENCE XPEDITION RX $ 3,812.50 STENT 3.50MM X 33MM XPEDITION OTW $ 3,375.00 STENT 3.50MM X 33MM XPEDITION OTW $ 3,375.00 STENT 3.50MM X 34MM RESOLUTE OTW $ 3,237.50 STENT 3.50MM X 38MM RESOLUTE OTW $ 3,237.50 STENT 3.50MM X 38MM XIENCE XPEDITION RX $ 3,375.00 STENT 3.50MM X 8MM RESOLUTE OTW $ 3,237.50 STENT 3.5MM X 12MM INTEGRITY RX $ 2,625.00 STENT 3.5MM X 12MM RESOLUTE RX $ 4,250.00 STENT 3.5MM X 12MM RX VISION $ 2,450.00 STENT 3.5MM X 15MM INTEGRITY RX $ 2,625.00 STENT 3.5MM X 15MM RESOLUTE RX $ 3,737.50 STENT 3.5MM X 15MM RX VISION $ 2,450.00 STENT 3.5MM X 18MM INTEGRITY RX $ 2,625.00 STENT 3.5MM X 18MM RESOLUTE RX $ 4,250.00 STENT 3.5MM X 18MM RX VISION $ 2,100.00 STENT 3.5MM X 22MM INTEGRITY RX $ 2,625.00 STENT 3.5MM X 22MM RESOLUTE RX $ 4,187.50 STENT 3.5MM X 23MM RX VISION $ 2,100.00 STENT 3.5MM X 26MM INTEGRITY RX $ 2,625.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT 3.5MM X 26MM RESOLUTE RX $ 3,737.50 STENT 3.5MM X 28MM RX VISION $ 2,275.00 STENT 3.5MM X 30MM INTEGRITY RX $ 2,625.00 STENT 3.5MM X 30MM RESOLUTE RX $ 3,737.50 STENT 3.5MM X 34 MM RESOLUTE RX $ 4,187.50 STENT 3.5MM X 34MM RESOLUTE OTW $ 4,187.50 STENT 3.5MM X 38MM RESOLUTE OTW $ 4,187.50 STENT 3.5MM X 38MM XIENCE PRIME $ 3,812.50 STENT 3.5MM X 8MM RX VISION $ 2,450.00 STENT 3.5MM X 9MM INTEGRITY RX $ 2,625.00 STENT 3.5MM X 9MM RESOLUTE RX $ 4,250.00 STENT 30MM X3MM INTEGRITY RX $ 2,625.00 STENT 4.0.0MM X 12MM RAPID XIENCE $ 3,625.00 STENT 4.0.0MM X 15MM RAPID XIENCE $ 3,625.00 STENT 4.0.0MM X 18MM RAPID XIENCE $ 3,625.00 STENT 4.0.0MM X 23MM RAPID XIENCE $ 3,625.00 STENT 4.0.0MM X 28MM RAPID XIENCE $ 3,625.00 STENT 4.0.0MM X 8MM RAPID XIENCE $ 3,625.00 STENT 4.00MM X 12MM RESOLUTE OTW $ 3,237.50 STENT 4.00MM X 12MM XIENCE XPEDITION RX $ 3,625.00 STENT 4.00MM X 12MM XPEDITION OTW $ 3,625.00 STENT 4.00MM X 15MM INTEGRITY $ 3,400.00 STENT 4.00MM X 15MM RESOLUTE OTW $ 3,237.50 STENT 4.00MM X 15MM XIENCE XPEDITION RX $ 3,625.00 STENT 4.00MM X 15MM XPEDITION OTW $ 3,625.00 STENT 4.00MM X 18MM RESOLUTE OTW $ 3,237.50 STENT 4.00MM X 18MM XIENCE XPEDITION RX $ 3,625.00 STENT 4.00MM X 18MM XPEDITION OTW $ 3,625.00 STENT 4.00MM X 22MM RESOLUTE OTW $ 3,237.50 STENT 4.00MM X 23MM XIENCE XPEDITION RX $ 3,375.00 STENT 4.00MM X 23MM XPEDITION OTW $ 3,625.00 STENT 4.00MM X 26MM RESOLUTE OTW $ 3,237.50 STENT 4.00MM X 28MM XIENCE XPEDITION RX $ 3,625.00 STENT 4.00MM X 30MM RESOLUTE OTW $ 3,237.50 STENT 4.00MM X 33MM XIENCE XPEDITION RX $ 3,812.50 STENT 4.00MM X 34MM RESOLUTE OTW $ 3,237.50 STENT 4.00MM X 38MM RESOLUTE OTW $ 3,237.50 STENT 4.00MM X 38MM XIENCE XPEDITION RX $ 2,700.00 STENT 4.00MM X 8MM RESOLUTE OTW $ 3,237.50 STENT 4.00MM X 8MM XIENCE XPEDITION RX $ 3,375.00 STENT 4.0MM X 12MM INTEGRITY RX $ 2,625.00 STENT 4.0MM X 12MM RESOLUTE RX $ 4,250.00 STENT 4.0MM X 12MM RX VISION $ 2,450.00 STENT 4.0MM X 15MM INTEGRITY RX $ 2,625.00 STENT 4.0MM X 15MM RESOLUTE RX $ 4,250.00 STENT 4.0MM X 15MM RX VISION $ 2,450.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT 4.0MM X 18MM INTEGRITY RX $ 2,625.00 STENT 4.0MM X 18MM RESOLUTE RX $ 3,737.50 STENT 4.0MM X 18MM RX VISION $ 2,450.00 STENT 4.0MM X 22MM INTEGRITY RX $ 2,625.00 STENT 4.0MM X 22MM RESOLUTE RX $ 4,250.00 STENT 4.0MM X 23MM RX VISION $ 2,450.00 STENT 4.0MM X 26MM INTEGRITY RX $ 2,625.00 STENT 4.0MM X 26MM RESOLUTE RX $ 3,737.50 STENT 4.0MM X 28MM RX VISION $ 2,100.00 STENT 4.0MM X 30MM INTEGRITY RX $ 2,625.00 STENT 4.0MM X 30MM RESOLUTE RX $ 4,250.00 STENT 4.0MM X 34MM RESOLUTE OTW $ 4,187.50 STENT 4.0MM X 34MM RESOLUTE RX $ 4,187.50 STENT 4.0MM X 38MM RESOLUTE OTW $ 4,187.50 STENT 4.0MM X 38MM RESOLUTE RX $ 4,187.50 STENT 4.0MM X 8MM RX VISION $ 2,450.00 STENT 4.0MM X 9MM RESOLUTE RX $ 4,250.00 STENT 4.8FR CONTOUR VARIABLE LENGTH $ 401.76 STENT 5 MM X 20MMX 135CM ABSOLUTE PRO $ 3,237.50 STENT 5 X 40 X 120 SUPERA $ 3,875.00 STENT 5MM X 100MM X 80CM ABSOLUTE $ 3,237.50 STENT 5MM X 20MM X 80CM ABSOLUTE $ 3,237.50 STENT 5MM X 40MM X 80CM ABSOLUTE $ 3,237.50 STENT 5MM X 60MM X 135CM ABSOLUTE PRO $ 3,237.50 STENT 5MM X 60MM X 80CM ABSOLUTE $ 3,237.50 STENT 5MM X 80MM X 135CM ABSOLUTE PRO $ 3,237.50 STENT 5MMX 100MM X 135CM ABSOLUTE PRO $ 3,237.50 STENT 5MMX30MMX135CM ABSOLUTE PRO $ 3,237.50 STENT 5X40X120 SUPERA-90000029 $ 3,100.00 STENT 6.0 X 100 X 135CM ABSOLUTE PRO $ 1,925.00 STENT 6.0MM X 100MM X 80CM ABSOLUTE PRO $ 2,000.00 STENT 6.0MM X 20MM X 80CM ABSOLUTE PRO $ 3,237.50 STENT 6.0MM X 30MM X 80CM ABSOLUTE PRO $ 3,237.50 STENT 6.0MM X 40MM X 80CM ABSOLUTE PRO $ 3,237.50 STENT 6.0MM X 60MM X 80CM ABSOLUTE PRO $ 2,775.00 STENT 6.0MM X 80MM X 80CM ABSOLUTE PRO $ 2,775.00 STENT 6FR CONTOUR 26CM $ 647.92 STENT 6MM X 12 X 135MM OMNILINK $ 2,887.50 STENT 6MM X 16 X 135CM OMNILINK BALLOON $ 2,887.50 STENT 6MM X 29 X 135CM OMNILINK BALLOON $ 2,537.50 STENT 6MM X 30MM X 135CM ABSOLUTE OTW $ 2,500.00 STENT 6MM X 39 X 135CM OMNILINK BALLOON $ 2,537.50 STENT 6MM X 40MM X 135CM ABSOLUTE OTW $ 1,925.00 STENT 6MM X 60MM X 135CM ABSOLUTE OTW $ 1,925.00 STENT 6MM X 80MM X 135CM ABSOLUTE OTW $ 1,925.00 STENT 7 FR CONTOUR VL $ 416.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT 7.0MM X 100MM X 135CM OTW ABSOLUTE $ 1,925.00 STENT 7.0MM X 100MM X 80CM ABSOLUTE PRO $ 2,500.00 STENT 7.0MM X 20MM X 80CM ABSOLUTE PRO $ 3,237.50 STENT 7.0MM X 30MM X 80MM ABSOLUTE PRO $ 3,237.50 STENT 7.0MM X 40MM X 80CM ABSOLUTE PRO $ 3,237.50 STENT 7.0MM X 60MM X 80CM ABSOLUTE PRO $ 2,475.00 STENT 7.0MM X 80MM X 80CM ABSOLUTE PRO $ 3,237.50 STENT 7MM X 200MM X 120CM EVERFLEX $ 5,590.00 STENT 7MM X 29 X 135CM OMNILINK BALLOON $ 2,887.50 STENT 7MM X 38MM 120CM ICAST 7FR $ 5,150.00 STENT 7MM X 39 X 135CM OMNILINK BALLOON $ 2,887.50 STENT 7MM X 40MM X 135CM ABSOLUTE OTW $ 1,925.00 STENT 7MM X 59 X 135CM OMNILINK BALLOON $ 3,237.50 STENT 7MM X 60MM X 135CM ABSOLUTE OTW $ 3,237.50 STENT 7MM X 80MM X 135CM ABSOLUTE OTW $ 1,925.00 STENT 8.00MM X 60MM X 80CM ABSOLUTE PRO $ 2,775.00 STENT 8.0MM X 100MM X 80CM ABSOLUTE PRO $ 2,500.00 STENT 8.0MM X 80MM X 80CM ABSOLUTE PRO $ 2,475.00 STENT 8MM X 29 X 135CM OMNILINK BALLOON $ 2,537.50 STENT 8MM X 39 X 135CM OMNILINK BALLOON $ 2,887.50 STENT 8MM X 40MM X 135CM ABSOLUTE OTW $ 1,925.00 STENT 8MM X 58MM 120CM ICAST 7FR $ 5,150.00 STENT 8MM X 59 X 135CM OMNILINK BALLOON $ 2,537.50 STENT 8MM X 60MM X 135CM ABSOLUTE OTW $ 2,500.00 STENT 8MM X 80MM X 135CM ABSOLUTE OTW $ 2,500.00 STENT 9.0MM X 60MM X 80CM ABSOLUTE PRO $ 3,237.50 STENT 9MM X 19 X 135CM OMNILINK BALLOON $ 3,237.50 STENT 9MM X 29 X 135CM OMNILINK BALLOON $ 2,537.50 STENT 9MM X 39 X 135CM OMNILINK BALLOON $ 2,537.50 STENT 9MM X 40MM X 135CM ABSOLUTE OTW $ 3,237.50 STENT 9MM X 59 X 135CM OMNILINK BALLOON $ 3,237.50 STENT 9MM X 60MM X 135CM ABSOLUTE OTW $ 2,500.00 STENT ABSOLUTE 10X40X80 $ 3,237.50 STENT ABSOLUTE 8X40X80 $ 2,775.00 STENT ABSOLUTE 9X60X80 $ 3,237.50 STENT ABSOLUTE PRO 6MM X 20MM X 135CM $ 1,925.00 STENT ABSOLUTE PRO 7MM X 20MM X 135CM $ 1,925.00 STENT ABSOLUTE PRO 8MM X 100MM X 135CM $ 1,925.00 STENT ABSOLUTE PRO 8MM X 20MM X 135CM $ 1,925.00 STENT BIL DBL PIG 10FR X 10CM $ 208.00 STENT BIL DBL PIG 10FR X 5CM $ 208.00 STENT BIL DBL PIG 10FR X 7CM $ 208.00 STENT BIL DBL PIG 10FR X 9CM $ 208.00 STENT BIL DBL PIG 7FR X 5CM $ 208.00 STENT BIL DBL PIG 7FR X 7CM $ 208.00 STENT BIL DUO 10FR X 5CM ADVANIX RX $ 516.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT BIL DUO 10X7 ADVANIX RX $ 516.00 STENT BIL DUO 7FR X 5CM ADVANIX RX $ 516.00 STENT BIL DUO 7FR X 7CM ADVANIX RX $ 516.00 STENT BIL DUO 7FR X 9CM ADVANIX RX $ 516.00 STENT BIL RX FULL CVR 10X60MM $ 6,000.00 STENT BILIARY SM PMTD 5.0X15X90CM $ 2,000.00 STENT BILIARY SM PMTD 5.0X19X90CM $ 2,567.00 STENT BILIARY SM PMTD 6.0X14X90CM $ 2,000.00 STENT BILIARY SM PMTD 7.0X15X90CM $ 2,567.00 STENT BILIARY SM PMTD 7.0X19X90CM $ 2,567.00 STENT CENTER BEND SGL 10 X 5 $ 208.00 STENT CENTER BEND SGL 10 X 7 $ 208.00 STENT CENTER BEND SGL 7 X 5 $ 208.00 STENT CENTER BEND SGL 7 X 7 $ 208.00 STENT COLON DUO 22 X 27 X 12 X 135 $ 6,237.50 STENT COLON DUO 22X27X9X135 $ 6,237.50 STENT CONTOUR 6.0 X 22 FR $ 647.92 STENT CONTOUR 6X24 $ 647.92 STENT COR 12MM 2MM MINI VISION $ 2,100.00 STENT COR 13MM 4.5MM XCELON $ 2,100.00 STENT COR 13MM 5MM XCELON $ 2,100.00 STENT COR 15MM 2MM MINI VISION $ 2,275.00 STENT COR 18MM 2MM MINI VISION $ 2,275.00 STENT COR 18MM 4.5MM XCELON $ 2,100.00 STENT COR 18MM 5MM XCELON $ 2,100.00 STENT COR 23MM 2MM MINI VISION $ 2,275.00 STENT COR 28MM 2MM MINI VISION $ 2,275.00 STENT COR 28MM 4.5MM XCELON $ 2,100.00 STENT COR 28MM 5MM XCELON $ 2,100.00 STENT COR 8MM 2MM MINI VISION $ 2,275.00 STENT COR RX 2.5X2.5X19MM STRT $ 3,250.00 STENT CYPHER 2.25MM X 18MM $ 3,990.00 STENT CYPHER 2.25MM X 23MM $ 3,990.00 STENT CYPHER 2.75MM X 18MM $ 5,000.00 STENT CYPHER 2.75MM X 23MM $ 3,390.00 STENT CYPHER 2.75MM X 33MM $ 4,237.50 STENT CYPHER RX 2.75MM X 13MM $ 4,100.00 STENT CYPHER RX 3.0MM X 18MM $ 3,560.00 STENT CYPHER RX 3.5MM X 18MM $ 3,390.00 STENT CYPHER RX 3.5MM X 28MM $ 3,390.00 STENT CYPHER RX 3.5MM X 28MM $ 3,990.00 STENT ENDEAVOR SPRINT OTW 2.5 X 8MM $ 3,990.00 STENT ENDEAVOR SPRINT OTW 2.50 X 12MM $ 3,800.00 STENT ENDEAVOR SPRINT OTW 2.50 X 14MM $ 3,800.00 STENT ENDEAVOR SPRINT OTW 2.50 X 24MM $ 5,241.10 STENT ENDEAVOR SPRINT OTW 2.50 X 30MM $ 5,241.10 CHARGE DESCRIPTION CHARGE AMOUNT STENT ENDEAVOR SPRINT OTW 2.5MM X 18MM $ 3,990.00 STENT ENDEAVOR SPRINT OTW 3.0 X 12MM $ 5,241.10 STENT ENDEAVOR SPRINT OTW 3.0 X 15MM $ 5,241.10 STENT ENDEAVOR SPRINT OTW 3.0 X 18MM $ 5,241.10 STENT ENDEAVOR SPRINT OTW 3.0 X 24MM $ 3,990.00 STENT ENDEAVOR SPRINT OTW 3.0 X 30MM $ 3,990.00 STENT ENDEAVOR SPRINT OTW 3.0 X 9MM $ 3,800.00 STENT ENDEAVOR SPRINT OTW 3.5 X 12MM $ 3,990.00 STENT ENDEAVOR SPRINT OTW 3.5 X 15MM $ 3,990.00 STENT ENDEAVOR SPRINT OTW 3.5 X 18MM $ 3,990.00 STENT ENDEAVOR SPRINT OTW 3.5 X 24MM $ 3,990.00 STENT ENDEAVOR SPRINT OTW 3.5 X 30MM $ 5,241.10 STENT ENDEAVOR SPRINT OTW 3.5 X 9MM $ 3,800.00 STENT ENDO PROS 10 X 10MM X 120CM $ 7,504.00 STENT ENDO PROS 10 X 15MM X 120CM $ 8,384.00 STENT ENDO PROS 10 X 5MM X 120CM $ 6,510.00 STENT ENDO PROS 6 X 25MM X 120CM $ 13,774.00 STENT ENDO PROS 7 X 25MM X 120CM $ 13,440.00 STENT ENDO PROS 8 X 5MM X 120CM $ 7,340.00 STENT ENDO PROS 8 X 5MM X 120CM $ 13,440.00 STENT- ENDOPROS 6X10MMX120CM $ 7,504.00 STENT- ENDOPROS 5X5MMX120CM 6FR $ 8,380.00 STENT ENDURANT II GRAFT SYSTEM BIFUR $ 19,950.00 STENT ENDURANT II GRAFT SYSTEM LIMB $ 9,950.00 STENT ESOPH 12X100MM 16F 64CM ALIMAXX ES $ 5,750.00 STENT ESOPH 14X100MM 16F 64CM ALIMAXX ES $ 5,750.00 STENT ESOPH CV 18 X 10 WALL FLEX PART CO $ 5,500.00 STENT ESOPH CV 18 X 12 $ 5,625.00 STENT ESOPH CV 18 X 123CM $ 5,625.00 STENT ESOPH CV 18 X 15 $ 5,625.00 STENT FORMULA 418 6MM X 20MM X 80CM $ 2,975.00 STENT FORMULA 5MM X 16MM $ 2,975.00 STENT FORMULA 6MM X 20MM $ 2,975.00 STENT FORMULA 8MM X 30MM $ 2,975.00 STENT GENESIS 4MM X 12MM $ 2,108.00 STENT GENESIS 4MM X 15MM $ 2,635.00 STENT GENESIS 4MM X 18MM $ 2,635.00 STENT GENESIS 4MMX15MM $ 2,635.00 STENT GENESIS 5.5MM X 15MM $ 2,635.00 STENT GENESIS 5MM X 12MM $ 2,635.00 STENT GENESIS 5MM X 15MM $ 2,635.00 STENT GENESIS 5MM X 15MM 135CM $ 3,503.13 STENT GENESIS 5MM X 18MM $ 2,635.00 STENT GENESIS 6MM X 12MM $ 2,803.00 STENT GENESIS 6MM X 15MM $ 2,803.00 STENT GENESIS 6MM X 18MM $ 2,635.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT GENESIS 6MM X 18MM $ 3,339.00 STENT GENESIS 7MM X 18MM $ 2,328.00 STENT GENESIS 7MM X 29MM $ 2,287.00 STENT GENESIS 7MM X 29MM $ 3,339.00 STENT GENESIS 7MM X 39MM $ 2,651.00 STENT GENESIS 7MM X 39MM $ 2,651.00 STENT GENESIS 8 X 39 $ 2,651.00 STENT GENESIS 8MM X 29MM $ 2,100.00 STENT GRAFT ABD ILLIAC EXT 22X22X45MM $ 10,998.00 STENT GRAFT ANEURX AAADVANTAGE $ 5,000.00 STENT GRAFT BIFUR 28X14X103MM $ 19,950.00 STENT GRAFT BIFUR 28X80X20X40MM $ 28,998.00 STENT GRAFT BIFUR 32X14X103MM $ 19,950.00 STENT GRAFT CONLAT 16X10X124MM $ 9,950.00 STENT GRAFT CONLAT 16X13X156MM $ 12,800.00 STENT GRAFT CONLAT 16X16X124MM $ 9,850.00 STENT GRAFT CONLAT 16X20X124MM $ 9,950.00 STENT GRAFT ENDOVASC AAA BIFRCTD ZENITH $ 18,484.00 STENT GRAFT ENDOVASC AAA BIFUR 25X80X20X $ 28,998.00 STENT GRAFT ENDOVASC AAA ILIAC LEG SPIRA $ 7,530.00 STENT GRAFT ILIAC 24X24X82MM $ 9,850.00 STENT GRAFT INFRA 28X28X75MM $ 10,998.00 STENT HERCULINK 4.0X12X135 $ 2,625.00 STENT HERCULINK 4.0X15X135 $ 2,625.00 STENT HERCULINK 4.5X15X135 $ 2,625.00 STENT HERCULINK 5.0X12X135 $ 2,625.00 STENT HERCULINK 5.0X15X135 $ 2,625.00 STENT HERCULINK 5.0X18X135 $ 2,625.00 STENT HERCULINK 5.5X12X135 $ 2,625.00 STENT HERCULINK 5.5X15X135 $ 2,625.00 STENT HERCULINK 5.5X18X135 $ 2,782.50 STENT HERCULINK 6.0X12X135 $ 2,625.00 STENT HERCULINK 6.0X15X135 $ 2,625.00 STENT HERCULINK 6.0X18X135 $ 2,782.50 STENT HERCULINK 6.5X12X135 $ 2,625.00 STENT HERCULINK 6.5X15X135 $ 2,625.00 STENT HERCULINK 6.5X18X135 $ 2,625.00 STENT HERCULINK 7X15X135 $ 2,625.00 STENT HERCULINK 7X18X135 $ 2,782.50 STENT I CAST 10MM X 38MM X 120CM COVERED $ 5,150.00 STENT I CAST 10MM X 38MM X 80CM COVERED $ 5,150.00 STENT I CAST 5MM X 16MM X 120CM COVERED $ 6,025.00 STENT I CAST 5MM X 16MM X 80CM COVERED $ 4,820.00 STENT I CAST 5MM X 22MM X 120CM COVERED $ 6,189.48 STENT I CAST 6MM X 16MM X 120CM COVERED $ 6,025.00 STENT I CAST 6MM X 38MM X 120CM COVERED $ 5,150.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT I CAST 8MM X 59MM X 80CM $ 5,550.00 STENT ICAST 6MM X 22MM 120CM $ 5,030.00 STENT ICAST 7MM X 22MM X 120CM $ 5,030.00 STENT ICAST 7MM X 59MM 120CM $ 5,550.00 STENT ICAST 7MM X 59MM X 120CM $ 5,550.00 STENT ICAST 8MM X 38MM 120CM $ 5,150.00 STENT ICAST 9MM X 59MM X 120CM $ 5,550.00 STENT IDEV 5.5MM X 100MM 120CM SUPERA $ 3,062.50 STENT IDEV 5.5MM X 120MM 120CM SUPERA $ 3,875.00 STENT IDEV 5.5MM X 60MM 120CM SUPERA $ 3,062.50 STENT IDEV 5.5MM X 80MM 120CM SUPERA $ 3,100.00 STENT IDEV 5FR X 150MM $ 3,062.50 STENT IDEV 6FR X 150MM $ 4,237.50 STENT INTEGRITY 2.25 X 12 $ 2,625.00 STENT INTEGRITY 2.25 X 14 $ 2,625.00 STENT INTEGRITY 2.25 X 18 $ 2,625.00 STENT INTEGRITY 2.25 X 22 $ 2,625.00 STENT INTEGRITY 2.25 X 26 $ 2,625.00 STENT INTEGRITY 2.25 X 8 $ 2,625.00 STENT INTEGRITY 2.5 X 12 $ 2,625.00 STENT INTEGRITY 2.5 X 14 $ 2,625.00 STENT INTEGRITY 2.5 X 18 $ 2,625.00 STENT INTEGRITY 2.5 X 22 $ 2,625.00 STENT INTEGRITY 2.5 X 26 $ 2,625.00 STENT INTEGRITY 2.5 X 8 $ 2,625.00 STENT INTEGRITY 2.75 X 12 $ 2,625.00 STENT INTEGRITY 2.75 X 14 $ 2,625.00 STENT INTEGRITY 2.75 X 18 $ 2,625.00 STENT INTEGRITY 2.75 X 22 $ 2,625.00 STENT INTEGRITY 2.75 X 26 $ 2,625.00 STENT INTEGRITY 2.75 X 8 $ 2,625.00 STENT INTEGRITY 3.0 X 12 $ 2,625.00 STENT INTEGRITY 3.0 X 15 $ 2,625.00 STENT INTEGRITY 3.0 X 18 $ 2,625.00 STENT INTEGRITY 3.0 X 22 $ 2,625.00 STENT INTEGRITY 3.0 X 26 $ 2,625.00 STENT INTEGRITY 3.0 X 30 $ 2,625.00 STENT INTEGRITY 3.0 X 9 $ 2,625.00 STENT INTEGRITY 3.5 X 12 $ 2,625.00 STENT INTEGRITY 3.5 X 15 $ 2,625.00 STENT INTEGRITY 3.5 X 18 $ 2,625.00 STENT INTEGRITY 3.5 X 22 $ 2,625.00 STENT INTEGRITY 3.5 X 26 $ 2,625.00 STENT INTEGRITY 3.5 X 30 $ 2,625.00 STENT INTEGRITY 3.5 X 9 $ 2,625.00 STENT INTEGRITY 4.0 X 12 $ 2,625.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT INTEGRITY 4.0 X 15 $ 2,625.00 STENT INTEGRITY 4.0 X 18 $ 2,625.00 STENT INTEGRITY 4.0 X 22 $ 2,625.00 STENT INTEGRITY 4.0 X 26 $ 2,625.00 STENT INTEGRITY 4.0 X 30 $ 2,625.00 STENT INTEGRITY 4.0 X 9 $ 2,291.25 STENT INTEGRITY OTW 2 $ 3,737.50 STENT ION 2.75 X 20 $ 4,250.00 STENT ION 2.75 X 28 $ 4,250.00 STENT ION 3.5 X 12 $ 4,250.00 STENT JO GRAFTMASTER 3.0X12MM $ 5,987.50 STENT JO GRAFTMASTER 3.0X19MM $ 5,987.50 STENT JO GRAFTMASTER 3.0X26MM $ 5,987.50 STENT JO GRAFTMASTER 3.5X16MM $ 5,987.50 STENT JO GRAFTMASTER 3.5X26MM $ 5,987.50 STENT JO GRAFTMASTER 4.0X12MM $ 5,987.50 STENT JO GRAFTMASTER 4.5X19MM $ 5,987.50 STENT KWART RETRO-INJECT $ 395.76 STENT MICRO GLAUCOMA HYDRUS F00022 $ 4,500.00 STENT MINI TREK OTW 1.20X20MM $ 672.00 STENT MINI VISION 2.00 X 12 $ 2,275.00 STENT MINI VISION 2.00 X 15 $ 2,450.00 STENT MINI VISION 2.00 X 18 $ 2,450.00 STENT MINI VISION 2.00 X 23 $ 2,450.00 STENT MINI VISION 2.00 X 28 $ 2,450.00 STENT MINI VISION 2.25 X 08 $ 2,450.00 STENT MINI VISION 2.25 X 12 $ 2,450.00 STENT MINI VISION 2.25 X 15 $ 2,450.00 STENT MINI VISION 2.25 X 18 $ 2,450.00 STENT MINI VISION 2.25 X 23 $ 2,450.00 STENT MINI VISION 2.25 X 28 $ 2,450.00 STENT MINI VISION 2.5 X 12 $ 2,275.00 STENT MINI VISION 2.5 X 15 $ 2,275.00 STENT MINI VISION 2.5 X 15 CORONARY $ 2,450.00 STENT MINI VISION 2.5 X 18 $ 2,275.00 STENT MINI VISION 2.5 X 23 $ 2,985.00 STENT MINI VISION 2.5MM X 12MM CORONARY $ 2,450.00 STENT MINI VISION 2.5MM X 18 CORONARY $ 2,450.00 STENT OMNILINK 10X38X135 $ 2,100.00 STENT OMNILINK 10X58X135 $ 2,100.00 STENT OMNILINK 7X28X135 $ 2,100.00 STENT OMNILINK 7X38X135 $ 2,100.00 STENT OMNILINK 8X28X135 $ 2,100.00 STENT OMNILINK 8X38X135 $ 2,100.00 STENT OMNILINK 8X58X135 $ 2,100.00 STENT OMNILINK 9X38X135 $ 2,100.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT OTW DES 13 X 2.5 $ 3,800.00 STENT OTW DES 13 X 3.0 $ 3,990.00 STENT OTW DES 13 X 3.5 $ 3,800.00 STENT OTW DES 18 X 2.5 $ 3,990.00 STENT OTW DES 18 X 3.0 $ 3,990.00 STENT OTW DES 18 X 3.5 $ 3,800.00 STENT OTW DES 23 X 2.5 $ 4,100.00 STENT OTW DES 23 X 3.0 $ 3,990.00 STENT OTW DES 23 X 3.5 $ 4,305.00 STENT OTW DES 28 X 2.5 $ 3,990.00 STENT OTW DES 28 X 3.0 $ 4,305.00 STENT OTW DES 28 X 3.5 $ 3,800.00 STENT OTW DES 33 X 3.0 $ 3,990.00 STENT OTW DES 33 X 3.5 $ 3,800.00 STENT OTW DES 8 X 2.5 $ 3,800.00 STENT OTW DES 8 X 3.0 $ 4,500.00 STENT OTW DES 8 X 3.5 $ 3,800.00 STENT OTW DRIVER 3.0 X 12 $ 3,071.00 STENT OTW DRIVER 3.0 X 15 $ 2,220.00 STENT OTW DRIVER 3.0 X 18 $ 3,071.00 STENT OTW DRIVER 3.0 X 24 $ 2,925.00 STENT OTW DRIVER 3.0 X 30 $ 3,071.00 STENT OTW DRIVER 3.0 X 9 $ 2,220.00 STENT OTW DRIVER 3.5 X 12 $ 2,925.00 STENT OTW DRIVER 3.5 X 15 $ 2,220.00 STENT OTW DRIVER 3.5 X 18 $ 2,331.00 STENT OTW DRIVER 3.5 X 24 $ 2,220.00 STENT OTW DRIVER 3.5 X 30 $ 2,925.00 STENT OTW DRIVER 3.5 X 9 $ 2,220.00 STENT OTW DRIVER 4.0 X 12 $ 2,925.00 STENT OTW DRIVER 4.0 X 15 $ 2,220.00 STENT OTW DRIVER 4.0 X 18 $ 2,925.00 STENT OTW DRIVER 4.0 X 24 $ 2,220.00 STENT OTW DRIVER 4.0 X 30 $ 3,071.00 STENT OTW DRIVER 4.0 X 9 $ 2,220.00 STENT OTW MICRO DRIVER 2.25 X 12 $ 2,420.00 STENT OTW MICRO DRIVER 2.25 X 14 $ 2,420.00 STENT OTW MICRO DRIVER 2.25 X 18 $ 2,420.00 STENT OTW MICRO DRIVER 2.25 X 24 $ 2,420.00 STENT OTW MICRO DRIVER 2.25 X 8 $ 2,420.00 STENT OTW MICRO DRIVER 2.50 X 12 $ 2,541.00 STENT OTW MICRO DRIVER 2.50 X 14 $ 2,420.00 STENT OTW MICRO DRIVER 2.50 X 18 $ 2,925.00 STENT OTW MICRO DRIVER 2.50 X 24 $ 2,541.00 STENT OTW MICRO DRIVER 2.50 X 8 $ 2,420.00 STENT OTW MICRO DRIVER 2.75 X 12 $ 2,420.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT OTW MICRO DRIVER 2.75 X 14 $ 2,420.00 STENT OTW MICRO DRIVER 2.75 X 18 $ 2,420.00 STENT OTW MICRO DRIVER 2.75 X 24 $ 2,420.00 STENT OTW MICRO DRIVER 2.75 X 8 $ 2,420.00 STENT OTW ML MINI VISION 2.5 X 08MM $ 2,450.00 STENT OTW ML MINI VISION 2.5 X 12 MM $ 2,450.00 STENT OTW ML MINI VISION 2.5 X 15 MM $ 2,450.00 STENT OTW ML MINI VISION 2.5 X 18 MM $ 2,450.00 STENT OTW ML MINI VISION 2.5 X 23 MM $ 2,450.00 STENT OTW ML MINI VISION 2.5 X 28 MM $ 2,450.00 STENT PALMAZ BLUE 5MM X 15MM $ 2,635.00 STENT PALMAZ BLUE 6MM X 15MM $ 2,635.00 STENT PALMAZ BLUE 6MM X 18MM $ 2,635.00 STENT PANCREATIC ADVANTIX 5FR 10CM $ 300.00 STENT PANCREATIC ADVANTIX 5FR 11CM $ 300.00 STENT PANCREATIC STRT W/O BARB 4FRX5CM $ 300.00 STENT PANCREATIC STRT W/O BARB 5FRX5CM $ 300.00 STENT PARAMOUNT 6/5FR 5X21X80 $ 2,493.00 STENT PERCUFLEX PLUS 26CM X 6 FR $ 422.92 STENT PERCUFLEX PLUS 4.5 X 22 FR $ 647.92 STENT PERIPH DE OTW 6 X 100MM X 125CM $ 4,487.50 STENT PERIPH DE OTW 6 X 120MM X 125CM $ 4,987.50 STENT PERIPH DE OTW 6 X 140MM X 125CM $ 5,987.50 STENT PERIPH DE OTW 6 X 40MM X 125CM $ 2,937.50 STENT PERIPH DE OTW 6 X 80MM X 125CM $ 4,487.50 STENT PERIPH DE OTW 8 X 60MM X 125CM $ 3,737.50 STENT PLACEMT ANTE CAROTID INTRATHORACIC $ 13,148.00 STENT PRIMIUS GPS 10X37X120 $ 2,470.00 STENT PRIMIUS GPS 8X27X120 $ 2,200.00 STENT PRIMIUS GPS 9X17X120 $ 2,200.00 STENT PRIMUS GPS 10X27X120 $ 2,200.00 STENT PROTEGE EVERFLEX 5X100 120CM $ 3,312.50 STENT PROTEGE EVERFLEX 5X120 120CM $ 3,425.00 STENT PROTEGE EVERFLEX 5X20 120CM $ 3,412.50 STENT PROTEGE EVERFLEX 5X40 120CM $ 3,412.50 STENT PROTEGE EVERFLEX 5X60 120CM $ 3,412.50 STENT PROTEGE EVERFLEX 6FR 5X20X80 $ 2,625.00 STENT PROTEGE EVERFLEX 6FR 5X60X80 $ 2,625.00 STENT PROTEGE EVERFLEX 6FR 6X40X80 $ 2,625.00 STENT PROTEGE EVERFLEX 6X100 120CM $ 3,312.50 STENT PROTEGE EVERFLEX 6X120 120CM $ 3,425.00 STENT PROTEGE EVERFLEX 6X150 120CM $ 3,675.00 STENT PROTEGE EVERFLEX 6X30 120CM $ 3,412.50 STENT PROTEGE EVERFLEX 6X40 120CM $ 3,412.50 STENT PROTEGE EVERFLEX 6X60 120CM $ 3,412.50 STENT PROTEGE EVERFLEX 6X80 120CM $ 3,243.82 CHARGE DESCRIPTION CHARGE AMOUNT STENT PROTEGE EVERFLEX 7X100 120CM $ 3,243.82 STENT PROTEGE EVERFLEX 7X120 120CM $ 3,425.00 STENT PROTEGE EVERFLEX 7X150 120CM $ 3,243.82 STENT PROTEGE EVERFLEX 7X40 120CM $ 3,412.50 STENT PROTEGE EVERFLEX 7X60 120CM $ 3,412.50 STENT PROTEGE EVERFLEX 7X80 120CM $ 3,412.50 STENT PROTEGE EVERFLEX 8X100 120CM $ 2,600.00 STENT PROTEGE EVERFLEX 8X150 120CM $ 3,000.00 STENT PROTEGE EVERFLEX 8X40 120CM $ 2,090.00 STENT PROTEGE EVERFLEX 8X60 120CM $ 3,412.50 STENT PROTEGE EVERFLEX 8X80 120CM $ 3,412.50 STENT PROTEGE GPS 8X40 80CM $ 2,090.00 STENT PROTEGE GPS 8X60 80CM $ 2,090.00 STENT PROTEGE GPS 10X40 80CM $ 2,090.00 STENT PROTEGE GPS 10X40 80CM $ 3,243.82 STENT PROTEGE GPS 10X60 80CM $ 2,090.00 STENT PROTEGE GPS 10X60 80CM $ 2,090.00 STENT PROTEGE GPS 12X40 120CM $ 2,625.00 STENT PROTEGE GPS 12X40 80CM $ 2,090.00 STENT PROTEGE GPS 12X60 120CM $ 2,625.00 STENT PROTEGE GPS 12X60 80CM $ 2,090.00 STENT PROTEGE GPS 14X40 120CM $ 2,625.00 STENT PROTEGE GPS 14X60 120CM $ 2,625.00 STENT PROTEGE GPS 9X40 120CM $ 2,625.00 STENT PROTEGE GPS 9X40 80CM $ 2,090.00 STENT PROTEGE GPS 9X60 120CM $ 2,625.00 STENT PROTEGE GPS 9X60 80CM $ 2,090.00 STENT RACER 5MM X 12MM $ 2,400.00 STENT RESOL INTEGRITY OTW $ 3,737.50 STENT RESOL INTEGRITY OTW $ 4,187.50 STENT RESOL INTEGRITY OTW 2.25 X 12MM $ 4,187.50 STENT RESOL INTEGRITY OTW 2.25 X 14MM $ 3,737.50 STENT RESOL INTEGRITY OTW 2.25 X 22MM $ 4,187.50 STENT RESOL INTEGRITY OTW 2.25 X 30MM $ 3,737.50 STENT RESOL INTEGRITY OTW 2.25 X 8MM $ 4,187.50 STENT RESOL INTEGRITY OTW 2.5 X 12MM $ 3,170.00 STENT RESOL INTEGRITY OTW 2.5 X 14MM $ 4,187.50 STENT RESOL INTEGRITY OTW 2.5 X 18MM $ 3,737.50 STENT RESOL INTEGRITY OTW 2.5 X 22MM $ 3,737.50 STENT RESOL INTEGRITY OTW 2.5 X 30MM $ 3,737.50 STENT RESOL INTEGRITY OTW 2.5 X 8MM $ 4,250.00 STENT RESOL INTEGRITY OTW 2.75 X 12MM $ 4,187.50 STENT RESOL INTEGRITY OTW 2.75 X 14MM $ 4,187.50 STENT RESOL INTEGRITY OTW 2.75 X 18MM $ 3,737.50 STENT RESOL INTEGRITY OTW 2.75 X 22MM $ 3,737.50 STENT RESOL INTEGRITY OTW 2.75 X 26MM $ 3,737.50 CHARGE DESCRIPTION CHARGE AMOUNT STENT RESOL INTEGRITY OTW 2.75 X 30MM $ 4,187.50 STENT RESOL INTEGRITY OTW 2.75 X 8MM $ 3,737.50 STENT RESOL INTEGRITY OTW 3.0 X 12MM $ 4,187.50 STENT RESOL INTEGRITY OTW 3.0 X 15MM $ 3,737.50 STENT RESOL INTEGRITY OTW 3.0 X 18MM $ 3,237.50 STENT RESOL INTEGRITY OTW 3.0 X 22MM $ 4,187.50 STENT RESOL INTEGRITY OTW 3.0 X 30MM $ 3,737.50 STENT RESOL INTEGRITY OTW 3.0 X 8MM $ 4,187.50 STENT RESOL INTEGRITY OTW 3.0 X 9MM $ 4,187.50 STENT RESOL INTEGRITY OTW 3.06X26MM $ 3,737.50 STENT RESOL INTEGRITY OTW 3.5 X 12MM $ 4,187.50 STENT RESOL INTEGRITY OTW 3.5 X 14MM $ 4,187.50 STENT RESOL INTEGRITY OTW 3.5 X 18MM $ 3,737.50 STENT RESOL INTEGRITY OTW 3.5 X 22MM $ 3,737.50 STENT RESOL INTEGRITY OTW 3.5 X 30MM $ 4,250.00 STENT RESOL INTEGRITY OTW 3.5 X 9MM $ 4,250.00 STENT RESOL INTEGRITY OTW 3.5X26MM $ 3,737.50 STENT RESOL INTEGRITY OTW 4.0 X 12MM $ 4,250.00 STENT RESOL INTEGRITY OTW 4.0 X 15MM $ 4,187.50 STENT RESOL INTEGRITY OTW 4.0 X 18MM $ 3,737.50 STENT RESOL INTEGRITY OTW 4.0 X 22MM $ 4,250.00 STENT RESOL INTEGRITY OTW 4.0 X 26MM $ 4,187.50 STENT RESOL INTEGRITY OTW 4.0 X 30MM $ 4,187.50 STENT RESOL INTEGRITY OTW 4.0 X 9MM $ 4,250.00 STENT RESOLUTE ONYX 2.00 X 08 $ 2,500.00 STENT RESOLUTE ONYX 2.00 X 08 UX $ 2,500.00 STENT RESOLUTE ONYX 2.00 X 12 $ 2,500.00 STENT RESOLUTE ONYX 2.00 X 12 UX $ 2,500.00 STENT RESOLUTE ONYX 2.00 X 15 $ 2,500.00 STENT RESOLUTE ONYX 2.00 X 15 UX $ 2,500.00 STENT RESOLUTE ONYX 2.00 X 18 $ 2,500.00 STENT RESOLUTE ONYX 2.00 X 18 UX $ 3,425.00 STENT RESOLUTE ONYX 2.00 X 22 $ 3,425.00 STENT RESOLUTE ONYX 2.00 X 22 UX $ 2,500.00 STENT RESOLUTE ONYX 2.00 X 26 $ 3,425.00 STENT RESOLUTE ONYX 2.00 X 26 UX $ 2,500.00 STENT RESOLUTE ONYX 2.00 X 30 $ 3,425.00 STENT RESOLUTE ONYX 2.00 X 30 UX $ 2,500.00 STENT RESOLUTE ONYX 2.25X08 UX $ 3,237.50 STENT RESOLUTE ONYX 2.25X12 UX $ 6,900.00 STENT RESOLUTE ONYX 2.25X15 UX $ 3,237.50 STENT RESOLUTE ONYX 2.25X18 UX $ 3,237.50 STENT RESOLUTE ONYX 2.25X22 UX $ 3,237.50 STENT RESOLUTE ONYX 2.25X26 UX $ 6,900.00 STENT RESOLUTE ONYX 2.25X30 UX $ 6,900.00 STENT RESOLUTE ONYX 2.25X34 UX $ 6,900.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT RESOLUTE ONYX 2.25X38 UX $ 6,900.00 STENT RESOLUTE ONYX 2.5X08 UX $ 3,237.50 STENT RESOLUTE ONYX 2.5X12 UX $ 3,237.50 STENT RESOLUTE ONYX 2.5X15 UX $ 3,237.50 STENT RESOLUTE ONYX 2.5X18 UX $ 3,237.50 STENT RESOLUTE ONYX 2.5X22 UX $ 3,237.50 STENT RESOLUTE ONYX 2.5X26 UX $ 3,237.50 STENT RESOLUTE ONYX 2.5X30 UX $ 3,237.50 STENT RESOLUTE ONYX 2.5X34 UX $ 3,237.50 STENT RESOLUTE ONYX 2.5X38 UX $ 3,237.50 STENT RESOLUTE ONYX 2.75X08 UX $ 3,237.50 STENT RESOLUTE ONYX 2.75X12 UX $ 3,237.50 STENT RESOLUTE ONYX 2.75X15 UX $ 3,237.50 STENT RESOLUTE ONYX 2.75X18 UX $ 3,237.50 STENT RESOLUTE ONYX 2.75X22 UX $ 3,237.50 STENT RESOLUTE ONYX 2.75X26 UX $ 6,900.00 STENT RESOLUTE ONYX 2.75X30 UX $ 6,900.00 STENT RESOLUTE ONYX 2.75X34 UX $ 6,900.00 STENT RESOLUTE ONYX 2.75X38 UX $ 3,237.50 STENT RESOLUTE ONYX 3.0X08 UX $ 6,900.00 STENT RESOLUTE ONYX 3.0X12 UX $ 3,237.50 STENT RESOLUTE ONYX 3.0X15 UX $ 3,237.50 STENT RESOLUTE ONYX 3.0X18 UX $ 3,237.50 STENT RESOLUTE ONYX 3.0X22 UX $ 3,237.50 STENT RESOLUTE ONYX 3.0X26 UX $ 3,237.50 STENT RESOLUTE ONYX 3.0X30 UX $ 3,237.50 STENT RESOLUTE ONYX 3.0X34 UX $ 3,237.50 STENT RESOLUTE ONYX 3.0X38 UX $ 3,237.50 STENT RESOLUTE ONYX 3.5X08 UX $ 6,900.00 STENT RESOLUTE ONYX 3.5X12 UX $ 6,900.00 STENT RESOLUTE ONYX 3.5X15 UX $ 3,237.50 STENT RESOLUTE ONYX 3.5X18 UX $ 3,237.50 STENT RESOLUTE ONYX 3.5X22 UX $ 3,237.50 STENT RESOLUTE ONYX 3.5X26 UX $ 6,900.00 STENT RESOLUTE ONYX 3.5X30 UX $ 3,237.50 STENT RESOLUTE ONYX 3.5X34 UX $ 3,237.50 STENT RESOLUTE ONYX 3.5X38 UX $ 3,237.50 STENT RESOLUTE ONYX 4.0X08 UX $ 6,900.00 STENT RESOLUTE ONYX 4.0X12 UX $ 6,900.00 STENT RESOLUTE ONYX 4.0X15 UX $ 6,900.00 STENT RESOLUTE ONYX 4.0X18 UX $ 6,900.00 STENT RESOLUTE ONYX 4.0X22 UX $ 6,900.00 STENT RESOLUTE ONYX 4.0X26 UX $ 6,900.00 STENT RESOLUTE ONYX 4.0X30 UX $ 6,900.00 STENT RESOLUTE ONYX 4.0X34 UX $ 6,900.00 STENT RESOLUTE ONYX 4.0X38 UX $ 6,900.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT RESOLUTE ONYX 4.5X12 UX $ 3,425.00 STENT RESOLUTE ONYX 4.5X15 UX $ 3,425.00 STENT RESOLUTE ONYX 4.5X18 UX $ 3,425.00 STENT RESOLUTE ONYX 4.5X22 UX $ 3,425.00 STENT RESOLUTE ONYX 4.5X26 UX $ 6,900.00 STENT RESOLUTE ONYX 4.5X30 UX $ 6,900.00 STENT RESOLUTE ONYX 5.0X12 UX $ 6,900.00 STENT RESOLUTE ONYX 5.0X15 UX $ 6,900.00 STENT RESOLUTE ONYX 5.0X18 UX $ 6,900.00 STENT RESOLUTE ONYX 5.0X22 UX $ 6,900.00 STENT RESOLUTE ONYX 5.0X26 UX $ 6,900.00 STENT RESOLUTE ONYX 5.0X30 UX $ 6,900.00 STENT RX VISION 2.75MM X 15 CORONARY $ 2,100.00 STENT RX VISION 2.75MM X 18 CORONARY $ 2,450.00 STENT- RX XIENCE ALPINE 2.25 X 08 $ 3,375.00 STENT- RX XIENCE ALPINE 2.25 X 12 $ 2,750.00 STENT- RX XIENCE ALPINE 2.25 X 15 $ 3,250.00 STENT- RX XIENCE ALPINE 2.25 X 18 $ 3,375.00 STENT- RX XIENCE ALPINE 2.25 X 23 $ 3,375.00 STENT- RX XIENCE ALPINE 2.25 X 28 $ 3,375.00 STENT- RX XIENCE ALPINE 2.5 X 08 $ 3,375.00 STENT- RX XIENCE ALPINE 2.5 X 12 $ 3,375.00 STENT- RX XIENCE ALPINE 2.5 X 15 $ 3,250.00 STENT- RX XIENCE ALPINE 2.5 X 18 $ 3,250.00 STENT- RX XIENCE ALPINE 2.5 X 23 $ 3,250.00 STENT- RX XIENCE ALPINE 2.5 X 28 $ 3,375.00 STENT- RX XIENCE ALPINE 2.5 X 33 $ 3,250.00 STENT- RX XIENCE ALPINE 2.5 X 38 $ 3,375.00 STENT- RX XIENCE ALPINE 2.75 X 08 $ 3,375.00 STENT- RX XIENCE ALPINE 2.75 X 12 $ 3,375.00 STENT- RX XIENCE ALPINE 2.75 X 15 $ 3,250.00 STENT- RX XIENCE ALPINE 2.75 X 18 $ 3,250.00 STENT- RX XIENCE ALPINE 2.75 X 23 $ 3,250.00 STENT- RX XIENCE ALPINE 2.75 X 28 $ 3,250.00 STENT- RX XIENCE ALPINE 2.75 X 33 $ 3,375.00 STENT- RX XIENCE ALPINE 2.75 X 38 $ 3,250.00 STENT- RX XIENCE ALPINE 3.0 X 08 $ 3,375.00 STENT- RX XIENCE ALPINE 3.0 X 12 $ 3,250.00 STENT- RX XIENCE ALPINE 3.0 X 15 $ 3,250.00 STENT- RX XIENCE ALPINE 3.0 X 18 $ 3,250.00 STENT- RX XIENCE ALPINE 3.0 X 23 $ 3,250.00 STENT- RX XIENCE ALPINE 3.0 X 28 $ 3,250.00 STENT- RX XIENCE ALPINE 3.0 X 33 $ 3,250.00 STENT- RX XIENCE ALPINE 3.0 X 38 $ 3,375.00 STENT- RX XIENCE ALPINE 3.25 X 08 $ 3,375.00 STENT- RX XIENCE ALPINE 3.25 X 12 $ 3,375.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT- RX XIENCE ALPINE 3.25 X 15 $ 3,375.00 STENT- RX XIENCE ALPINE 3.25 X 18 $ 3,375.00 STENT- RX XIENCE ALPINE 3.25 X 23 $ 3,375.00 STENT- RX XIENCE ALPINE 3.25 X 28 $ 3,375.00 STENT- RX XIENCE ALPINE 3.25 X 33 $ 3,375.00 STENT- RX XIENCE ALPINE 3.25 X 38 $ 3,375.00 STENT- RX XIENCE ALPINE 3.50 X 08 $ 3,375.00 STENT- RX XIENCE ALPINE 3.50 X 12 $ 3,375.00 STENT- RX XIENCE ALPINE 3.50 X 15 $ 3,250.00 STENT- RX XIENCE ALPINE 3.50 X 18 $ 3,250.00 STENT- RX XIENCE ALPINE 3.50 X 23 $ 3,250.00 STENT- RX XIENCE ALPINE 3.50 X 28 $ 3,250.00 STENT- RX XIENCE ALPINE 3.50 X 33 $ 3,250.00 STENT- RX XIENCE ALPINE 3.50 X 38 $ 3,375.00 STENT- RX XIENCE ALPINE 4.0 X 08 $ 3,375.00 STENT- RX XIENCE ALPINE 4.0 X 12 $ 3,375.00 STENT- RX XIENCE ALPINE 4.0 X 15 $ 3,250.00 STENT- RX XIENCE ALPINE 4.0 X 18 $ 3,375.00 STENT- RX XIENCE ALPINE 4.0 X 23 $ 3,375.00 STENT- RX XIENCE ALPINE 4.0 X 28 $ 3,375.00 STENT- RX XIENCE ALPINE 4.0 X 33 $ 3,375.00 STENT- RX XIENCE ALPINE 4.0 X 38 $ 3,375.00 STENT SENTINOL 6MM X 80MM 135 $ 2,751.00 STENT SENTINOL 6X20X75 $ 2,567.00 STENT SENTINOL 6X60X135 $ 2,751.00 STENT SINGLE-J URINARY DIVERSION $ 760.32 STENT SMART 6MM X 100MM $ 3,528.00 STENT SMART 6MM X 120MM $ 4,741.00 STENT SMART 6MM X 30MM $ 2,180.00 STENT SMART 6MM X 40MM $ 2,180.00 STENT SMART 7MM X 120MM $ 4,741.00 STENT SMART 7MM X 30MM $ 2,180.00 STENT SMART 8MM X 120MM $ 4,741.00 STENT SMART CONTROL 6 X 100 $ 2,450.00 STENT SMART CONTROL 6MM X 80MM 120CM $ 3,753.00 STENT SMART CONTROL 7 X 100 $ 3,943.00 STENT SMART CONTROL 7 X 20 $ 2,822.00 STENT SMART CONTROL 7 X 40 80CM $ 3,126.00 STENT SMART CONTROL 7 X 60 $ 2,180.00 STENT SMART CONTROL 7 X 80 $ 3,358.00 STENT SMART CONTROL 8 X 100 $ 3,943.00 STENT SMART CONTROL 8 X 20 $ 2,822.00 STENT SMART CONTROL 8 X 60 $ 3,126.00 STENT SMART CONTROL 8 X 80 $ 3,753.00 STENT SMART CONTROL 8MM X 60MM $ 3,906.88 STENT SUPERA 4.5 X 120 X 120 $ 3,625.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT SUPERA 5 X 40 $ 4,237.50 STENT SUPERA 5 X 80 $ 4,237.50 STENT SUPERA 6 X 40 $ 4,237.50 STENT SUPERA 6 X 80 $ 4,237.50 STENT SYSTEM ULTRAFLEX COVERED ESOPHAGEL $ 4,300.00 STENT TAXUS LIBERTE ATOM 2.25 X 12 $ 5,241.10 STENT TAXUS LIBERTE ATOM 2.25 X 16 $ 5,241.10 STENT TAXUS LIBERTE ATOM 2.25 X 20 $ 4,300.00 STENT TAXUS LIBERTE ATOM 2.25 X 24 $ 4,515.00 STENT TAXUS LIBERTE ATOM 2.25 X 28 $ 4,300.00 STENT TAXUS LIBERTE ATOM 2.25 X 32 $ 3,400.00 STENT TAXUS LIBERTE ATOM 2.25 X 8 $ 4,300.00 STENT TAXUS LIBERTE LONG OTW 2.75X38MM $ 3,400.00 STENT TAXUS LIBERTE LONG OTW 3.00X38MM $ 6,100.00 STENT TAXUS LIBERTE LONG OTW 3.50X38MM $ 3,400.00 STENT TAXUS LIBERTE LONG OTW 4.00X38MM $ 6,100.00 STENT ULTRA OTW 4.5X13MM $ 2,100.00 STENT ULTRA OTW 4.5X18MM $ 2,100.00 STENT ULTRA OTW 5.0X13MM $ 2,100.00 STENT ULTRA OTW 5.0X18MM $ 2,100.00 STENT URETERAL COUNTOUR 6 FR X 22-30CM $ 647.92 STENT URETERAL INLAY ML 4.7FR $ 376.00 STENT URETERAL INLAY ML 6FR $ 376.00 STENT URETERAL PERCUFLEX PLUS 6FR X 26CM $ 436.00 STENT VASC 10MM 58MM 135CM BLN XPND LOPR $ 5,600.00 STENT VASC 8MM 58MM 135CM BLN XPND LOPR $ 5,600.00 STENT VASC CVRD 8X80MMX80CM FLARED $ 5,900.00 STENT- VIABAHN 5MM X 150MM $ 8,380.00 STENT VIABAHN 6 X 5MMX 120CM GORE $ 7,046.00 STENT VIABAHN 6 X 7.5MMX 120CM GORE $ 7,520.00 STENT- VIABAHN 6MM X 10MM $ 6,790.00 STENT VIABAHN BALLOON 6MM X 15MM $ 5,652.00 STENT VIABAHN BALLOON 6MM X 19MM $ 5,652.00 STENT- VIABAHN ENDOPROS 5X10MMX120CM $ 7,708.00 STENT VISI PRO 10X27X135 $ 2,475.00 STENT VISI PRO 10X37X135 $ 2,475.00 STENT VISI PRO 5MMX17MM $ 3,202.50 STENT VISI PRO 5X17X135 $ 2,475.00 STENT VISI PRO 5X27X135 $ 2,599.00 STENT VISI PRO 5X27X75 $ 2,200.00 STENT VISI PRO 5X37X135 $ 2,475.00 STENT VISI PRO 6X17X135 $ 3,202.50 STENT VISI PRO 6X17X75 $ 2,200.00 STENT VISI PRO 6X27X135 $ 2,887.50 STENT VISI PRO 6X27X75 $ 2,200.00 STENT VISI PRO 6X37X135 $ 3,243.82 CHARGE DESCRIPTION CHARGE AMOUNT STENT VISI PRO 6X57X135 $ 2,475.00 STENT VISI PRO 7 X 37 X 80 $ 3,202.50 STENT VISI PRO 7X12X75 $ 2,310.00 STENT VISI PRO 7X27X135 $ 3,202.50 STENT VISI PRO 7X27X75 $ 3,202.50 STENT VISI PRO 7X37X135 $ 3,202.50 STENT VISI PRO 7X37X75 $ 2,470.00 STENT VISI PRO 7X57X135 $ 3,202.50 STENT VISI PRO 8X27X135 $ 3,202.50 STENT VISI PRO 8X27X75 $ 2,200.00 STENT VISI PRO 8X37X135 $ 2,745.00 STENT VISI PRO 8X37X75 $ 3,202.50 STENT VISI PRO 8X57X135 $ 3,202.50 STENT VISI PRO 8X57X75 $ 2,470.00 STENT VISI PRO 9X17X135 $ 2,475.00 STENT VISI PRO 9X37X135 $ 3,243.82 STENT VISI PRO 9X37X75 $ 2,470.00 STENT VISI PRO 9X57X135 $ 2,475.00 STENT VISI PRO 9X57X75 $ 2,470.00 STENT VISION 2.75 X 12 $ 2,450.00 STENT VISION 2.75 X 15 $ 2,450.00 STENT VISION 2.75 X 18 $ 2,450.00 STENT VISION 2.75 X 23 $ 2,450.00 STENT VISION 2.75 X 28 $ 2,450.00 STENT VISION 2.75 X 8 $ 2,450.00 STENT VISION 3.0 X 12 $ 2,450.00 STENT VISION 3.0 X 15 $ 2,275.00 STENT VISION 3.0 X 18 $ 2,450.00 STENT VISION 3.0 X 23 $ 2,275.00 STENT VISION 3.0 X 28 $ 2,100.00 STENT VISION 3.0 X 8 $ 2,450.00 STENT VISION 3.5 X 12 $ 2,100.00 STENT VISION 3.5 X 15 $ 2,450.00 STENT VISION 3.5 X 18 $ 2,450.00 STENT VISION 3.5 X 23 $ 2,450.00 STENT VISION 3.5 X 28 $ 2,450.00 STENT VISION 3.5 X 8 $ 2,450.00 STENT VISION 4.0 x 08 $ 2,450.00 STENT VISION 4.0 x 12 $ 2,450.00 STENT VISION 4.0 x 15 $ 2,275.00 STENT VISION 4.0 x 18 $ 2,450.00 STENT VISION 4.0 x 23 $ 2,275.00 STENT VISION PRO 5X12X75 $ 2,310.00 STENT WALLGRAFT 7MM X 50MM $ 3,900.00 STENT XIENCE NANO 2.25MM X 08MM $ 3,625.00 STENT XIENCE NANO 2.25MM X 12MM $ 3,625.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT XIENCE NANO 2.25MM X 15MM $ 3,625.00 STENT XIENCE NANO 2.25MM X 18MM $ 3,625.00 STENT XIENCE NANO 2.25MM X 23MM $ 3,625.00 STENT XIENCE NANO 2.25MM X 28MM $ 3,625.00 STENT XIENCE OTW 2.5X12MM $ 3,625.00 STENT XIENCE OTW 2.5X15MM $ 3,625.00 STENT XIENCE OTW 2.5X18MM $ 3,625.00 STENT XIENCE OTW 2.5X23MM $ 3,625.00 STENT XIENCE OTW 2.5X28MM $ 3,625.00 STENT XIENCE OTW 2.5X8MM $ 3,625.00 STENT XIENCE OTW 2.75X12MM $ 3,625.00 STENT XIENCE OTW 2.75X15MM $ 3,625.00 STENT XIENCE OTW 2.75X18MM $ 3,625.00 STENT XIENCE OTW 2.75X23MM $ 3,625.00 STENT XIENCE OTW 2.75X28MM $ 3,625.00 STENT XIENCE OTW 2.75X8MM $ 3,625.00 STENT XIENCE OTW 3.0X18MM $ 3,625.00 STENT XIENCE OTW 3.5X12MM $ 3,625.00 STENT XIENCE OTW 3.5X15MM $ 3,625.00 STENT XIENCE OTW 3.5X18MM $ 3,625.00 STENT XIENCE OTW 3.5X23MM $ 3,625.00 STENT XIENCE OTW 3.5X28MM $ 3,625.00 STENT XIENCE OTW 3.5X8MM $ 3,625.00 STENT XIENCE OTW 3X12MM $ 3,625.00 STENT XIENCE OTW 3X15MM $ 3,625.00 STENT XIENCE OTW 3X23MM $ 3,625.00 STENT XIENCE OTW 3X28MM $ 3,625.00 STENT XIENCE OTW 3X8MM $ 3,625.00 STENT XIENCE OTW 4X12MM $ 3,625.00 STENT XIENCE OTW 4X15MM $ 3,625.00 STENT XIENCE OTW 4X18MM $ 3,625.00 STENT XIENCE OTW 4X23MM $ 3,625.00 STENT XIENCE OTW 4X28MM $ 3,625.00 STENT XIENCE OTW 4X8MM $ 3,625.00 STENT XIENCE PRIME 2.5 X 38 $ 3,812.50 STENT XIENCE PRIME 2.75 x 38 $ 3,812.50 STENT XIENCE PRIME 3.0 X 33 $ 3,812.50 STENT XIENCE PRIME 3.0 X 38 $ 3,812.50 STENT XIENCE SIERRA EVEROL 2.25 MM X 8MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.25 MMX12MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.25 MMX15MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.25 MMX18MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.25 MMX23MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.25 MMX28MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.25 MMX33MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.25 MMX38MM $ 2,750.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT XIENCE SIERRA EVEROL 2.50MM X 12MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.50MM X 15MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.50MM X 18MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.50MM X 23MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.50MM X 28MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.50MM X 33MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.50MM X 38MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.50MM X 8MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.75MM X 12MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.75MM X 15MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.75MM X 18MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.75MM X 23MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.75MM X 28MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.75MM X 33MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.75MM X 38MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 2.75MM X 8MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.00MM X 12MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.00MM X 15MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.00MM X 18MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.00MM X 23MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.00MM X 28MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.00MM X 33MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.00MM X 38MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.00MM X 8MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.25MM X 12MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.25MM X 15MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.25MM X 18MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.25MM X 23MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.25MM X 28MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.25MM X 33MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.25MM X 38MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.25MM X 8MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.50MM X 12MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.50MM X 15MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.50MM X 18MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.50MM X 23MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.50MM X 28MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.50MM X 33MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.50MM X 38MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 3.50MM X 8MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 4.00MM X 12MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 4.00MM X 15MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 4.00MM X 18MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 4.00MM X 23MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 4.00MM X 28MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 4.00MM X 33MM $ 2,750.00 CHARGE DESCRIPTION CHARGE AMOUNT STENT XIENCE SIERRA EVEROL 4.00MM X 38MM $ 2,750.00 STENT XIENCE SIERRA EVEROL 4.00MM X 8MM $ 2,750.00 STENT XPERT 3X30X135 $ 3,000.00 STENT XPERT 3X40X135 $ 3,687.50 STENT XPERT 4X40X135 $ 3,687.50 STENT XPERT 4X60X135 $ 4,000.00 STENT XPERT 5X40X120 $ 4,000.00 STENT XPERT 5X60X120 $ 3,000.00 STENT ZILVER 125-8.0 -80 $ 3,325.00 STENT ZILVER 6MM X 40MM $ 3,325.00 STENT ZILVER PTX 35 DRUG ELUTING 6 X 40 $ 2,937.50 STENT ZILVER PTX 35 DRUG ELUTING 6 X 80 $ 4,487.50 STENT ZILVER PTX 35 DRUG ELUTING 7 X 70 $ 4,487.50 STENT ZILVER PTX 6MM X 80MM $ 5,190.00 STENT2.75MM X 28MM XIENCE XPEDITION RX $ 3,375.00 STEP DRI MATS - STRYKER (SUB) $ 50.32 STEREOISOMER ANALYSIS $ 38.11 STERNAL ASP NEEDLE $ 41.00 STERNO-CLAVICULAR JNT $ 1,138.15 STERNUM $ 597.29 STIMULAN RAPIDCURE 10CC $ 3,750.00 STIMULATOR VARI STIM $ 207.16 STOCKING KNEE SMALL SHORT $ 59.40 STONE ANALYSIS $ 130.81 STONE BASKET 0 TIP NITINOL 1.9FR 120CM $ 1,040.84 STONE BASKET GEMINI 3FR X 120CM $ 904.05 STONE BASKET RETR. 0 TIP $ 713.80 STOOL CULTURE INFECTIOUS AGENT 12-25 $ 700.47 STOOL CULTURE INFECTIOUS AGENT BY NA $ 624.47 STOOL CULTURE INFECTIOUS AGENT BY NA $ 624.47 STOOL FOR REDUCING SUBSTANCE $ 166.86 STOOL LACTOFERRIN $ 156.56 STRAIGHT CATH FOR URINE SPECIMEN $ 188.17 STRAIGHT STAPLE ASSEMBLY 10MM X 10MM $ 3,292.50 STRAIGHT STAPLE ASSEMBLY 15MM X 15MM $ 3,892.50 STRAIGHT STAPLE ASSEMBLY 18MM X 18MM $ 3,892.50 STRAIGHT STAPLE ASSEMBLY 20MM X 20MM $ 3,892.50 STRAIGHT STAPLE ASSEMBLY 8 X 8 MM $ 3,292.50 STRAP ANKLE OR FOOT $ 23.96 STRAP ANKLE OR FOOT $ 162.70 STRAP ANKLE OR FOOT $ 186.65 STRAP CHIN DELUXE HEADGEAR $ 216.00 STRAPPING OF TOES $ 29.25 STRATAFIX O SYMMETRIC PDS PLUS VIOLET 45 $ 81.00 STREP $ 93.00 STREP A ASSAY W/OPTIC $ 35.00 CHARGE DESCRIPTION CHARGE AMOUNT STREPTOCUCCUS, GROUP A AMP PROBE TECH $ 93.00 STREPTOLYSIN $ 96.41 Stress Echo Combined $ 1,188.03 STRESS TEST $ 929.37 STRESS TEST $ 165.00 STRESS TEST PHYSICIAN COMP $ 172.50 STRESS TTE ONLY $ 142.40 STRESS TTE ONLY $ 255.64 STYLET EXTD TAPER BALL 6094-52 $ 160.00 STYLET KIT DRAPED BLUNT 52CM $ 160.00 STYLET KIT GRY EXT-TAPER BALLTIP 14X58CM $ 160.00 STYLET KIT WHITE KNOB J 45CM 6052-45 $ 160.00 STYLET VASC 6FRX12CM CLOSURE R $ 2,327.50 SUBCU / IM INJECTION $ 191.46 SUBCU / IM INJECTION $ 191.46 SUBCU / IM INJECTION $ 161.03 SUBCU / IM INJECTION $ 161.03 SUBCU / IM INJECTION $ 191.46 SUBCU / IM INJECTION $ 191.46 SUBCU / IM INJECTION $ 191.46 SUBCU / IM INJECTION $ 161.03 SUBCU/IM INJECTION $ 161.03 SUBSEQUENT HOSPITAL CARE $ 97.75 SUBSEQUENT HOSPITAL CARE $ 259.50 SUBSEQUENT HOSPITAL CARE $ 97.75 SUBSEQUENT HOSPITAL CARE $ 259.50 SUBSEQUENT HOSPITAL CARE $ 97.75 SUBSEQUENT HOSPITAL CARE $ 259.50 SUBSEQUENT HOSPITAL CARE $ 97.75 SUBSEQUENT HOSPITAL CARE $ 259.50 SUBSEQUENT HOSPITAL CARE $ 97.75 SUBSEQUENT HOSPITAL CARE $ 259.50 SUBSEQUENT HOSPITAL CARE $ 97.75 SUBSEQUENT HOSPITAL CARE $ 181.18 SUBSEQUENT HOSPITAL CARE $ 259.50 SUBSEQUENT HOSPITAL CARE $ 97.75 SUBSEQUENT HOSPITAL CARE $ 259.50 SUBSEQUENT HOSPTIAL CARE $ 181.18 SUBSEQUENT HOSPTIAL CARE $ 181.18 SUBSEQUENT HOSPTIAL CARE $ 181.18 SUBSEQUENT HOSPTIAL CARE $ 181.18 SUBSEQUENT HOSPTIAL CARE $ 181.18 SUBSEQUENT HOSPTIAL CARE $ 181.18 SUBSEQUENT OBSERVATION CARE $ 99.40 SUBSEQUENT OBSERVATION CARE $ 181.93 SUBSEQUENT OBSERVATION CARE $ 261.08 CHARGE DESCRIPTION CHARGE AMOUNT SUBSEQUENT OBSERVATION CARE $ 99.40 SUBSEQUENT OBSERVATION CARE $ 181.93 SUBSEQUENT OBSERVATION CARE $ 261.08 SUBSEQUENT OBSERVATION CARE $ 99.40 SUBSEQUENT OBSERVATION CARE $ 181.93 SUBSEQUENT OBSERVATION CARE $ 261.08 SUBSEQUENT OBSERVATION CARE $ 99.40 SUBSEQUENT OBSERVATION CARE $ 181.93 SUBSEQUENT OBSERVATION CARE $ 261.08 SUBSEQUENT OBSERVATION CARE $ 99.40 SUBSEQUENT OBSERVATION CARE $ 181.93 SUBSEQUENT OBSERVATION CARE $ 261.08 SUBSEQUENT OBSERVATION CARE $ 99.40 SUBSEQUENT OBSERVATION CARE $ 181.93 SUBSEQUENT OBSERVATION CARE $ 261.08 SUBSEQUENT OBSERVATION CARE $ 99.40 SUBSEQUENT OBSERVATION CARE $ 181.93 SUBSEQUENT OBSERVATION CARE $ 261.08 SUBTALAR ARTHRODESIS $ 1,949.13 SUBTOTAL ABD HYSTERECTOMY $ 2,395.60 SUBUTEX SL TAB 2MG $ 8.45 SUCROSE 24% LIQUID 2 ML $ 4.30 SUCTION / IRRIGATOR 2 $ 198.04 SUCTION Q-CARE SYSTEM $ 103.96 SUCTION Q-CARE SYSTEM (SUB) $ 63.28 SUDAFED TAB 30 MG $ 1.06 SULAMYD OPHTH SOLN 10% 15 ML $ 147.25 SULFATE URINE $ 49.85 SUMMIT FOR TAPER SZ5 STD OFF $ 5,300.00 SUMMIT FOR TAPER SZ6 STD OFF $ 5,300.00 SUMMIT POR TAPER SZ5 HI OFF $ 5,300.00 SUMMIT POR TAPER SZ7 STD OFF $ 5,300.00 SUMMIT POR TAPER SZ8 STD OFF $ 5,300.00 SUPER CABLES 510K $ 1,792.00 SUPERSELECTIVE CATH PLCMT -ONE OR MORE S $ 4,241.43 SUPRACLAVICULAR EA ADD 1/2 HR PORTION $ 74.72 SUPRANE ANESTHETIC 1 ML $ 2.50 SUPRAPUBIC CATH CHANGE $ 2,455.05 SUPRAPUBIC INSERT SE $ 77.00 SUPREP BOWEL PREP $ 288.36 SURF NEXGEN CR FLEX PROLONG C-H/3,4 10 M $ 2,500.00 SURG DX EXAM ANORECTAL $ 271.83 SURG PATH LEVEL 1 $ 107.90 SURG PATH LEVEL 2 $ 229.58 SURG PATH LEVEL 3 PL $ 273.30 SURG PATH LEVEL 4 $ 445.08 CHARGE DESCRIPTION CHARGE AMOUNT SURG PATH LEVEL 5 $ 373.54 SURG PATH LEVEL 6 $ 569.46 SURG TX INCOMPL ABORTION $ 742.70 SURG TX MISSED ABORT; 1ST TRIMESTER $ 889.35 SURGICAL - ICU R&B $ 2,343.72 SURGICAL - PCU R&B $ 1,672.69 SURGICAL FLOOR R&B $ 963.67 SURGICAL SERIES SM BOWEL W/ GASTROGRAFIN $ 1,647.21 SURGICEL 2 X 14 $ 338.28 SURGICEL 2 X 3 $ 127.68 SURGICEL 4 X 8 $ 232.92 SURGICEL POWDER 3.0 $ 708.00 SURGICEL SNOW ABS 2X4 $ 374.00 SURGILAV PLUS HANDPIECE $ 141.00 SURGITIE LIGATING LOOP $ 200.00 SURGITIE LOOP $ 300.00 SUSCEPTIBILITY STUDIES $ 542.30 SUSCEPTIBILITY STUDIES, PER AGENT $ 104.43 SUTURE - ENDO STITCHW/POLYSORB $ 555.73 SUTURE 1 NERVE; HAND/FOOT COMMON SENSORY $ 1,855.00 SUTURE 2-0 STRATAFIX SYMMETRIC PDS PLUS $ 113.20 SUTURE 3-0 STRATAFIX SYMMETRIC PDS PLUS $ 103.24 SUTURE A CV-6 30IN TTC-12 $ 112.00 SUTURE ANCH - 4.75MMX19.1MM SWIVELOCK $ 2,002.00 SUTURE ANCH - 4.75MMX19.1MM SWIVELOCK C $ 1,645.00 SUTURE ANCH BIOC SWIVE 4.75 X 19.1MM $ 1,645.00 SUTURE ANCH BIOC SWVLK SP 4.75X24.5MM $ 2,100.00 SUTURE ANCHOR - 4.5 X 28MM $ 1,660.00 SUTURE ANCHOR - 5.5 X 14.7MM $ 1,300.00 SUTURE- ANCHOR BIOCOMP 5.5 X 24.5MM $ 1,680.00 SUTURE ANCHOR BIO-COMPOSITE SUTURETAK $ 1,603.00 SUTURE B CV-6 30IN TTC-9 $ 298.68 SUTURE BLADDER WOUND INJURY; SIMPLE $ 1,889.90 SUTURE CHROMIC SZ 6-0 18 790G $ 50.68 SUTURE ENDOKNOT SZ 0 42 $ 102.88 SUTURE ENDOKNOT SZ 0 VICRYL $ 102.88 SUTURE ETH GUT SZ 2-0 36" 943H $ 363.12 SUTURE ETHIBOND #5 $ 58.16 SUTURE- LASSO 90 DEG. STRGHT $ 800.00 SUTURE LI FOR WND INJ; W COLOSTOMY $ 3,321.38 SUTURE LI FOR WND INJ; WO COLOSTOMY $ 2,698.98 SUTURE LIGAMENT ANKLE; COLLATERAL $ 1,188.30 SUTURE MAXBRAID $ 87.84 SUTURE MERSILENE SZ 5MM RS21 $ 110.00 SUTURE NYLON SZ 10-0 $ 50.76 SUTURE OR REPAIR TESTICULAR INJURY $ 1,026.30 CHARGE DESCRIPTION CHARGE AMOUNT SUTURE PDS SZ O 18 Z740D $ 56.04 SUTURE PROLENE -/0 4X30IN BLUE RB-2 $ 66.88 SUTURE PROLENE 5-0 BLUE $ 62.88 SUTURE PROLENE 6/0 4X30IN BLUE BV CV 75C $ 153.80 SUTURE PROLENE 7-0 $ 157.32 SUTURE PROLENE 7-0 4X30IN BLUE BV-1 $ 152.96 SUTURE PROLENE 7-0 BLUE 4 X 24 BV DOUBLE $ 153.60 SUTURE QUAD/HAMSTRING MSCL RUPT $ 1,424.20 SUTURE REMOVAL $ 15.91 SUTURE SI FOR ULCER WND INJ; MULT PERF $ 4,136.25 SUTURE SI FOR ULCER WND INJ; SGL PERF $ 3,604.38 SUTURE STRATAFIX 30CM CT-1 TAPER NEEDLE $ 93.68 SUTURE STRATAFIX 4-0 45CM SPIRAL CLOSURE $ 110.28 SUTURE STRATAFIX 48MM $ 80.36 SUTURE STRATAFIX PDS PLUS 18IN $ 84.48 SUTURE STRATAFIX PDS PLUS 2-0 23CM CT-2 $ 100.16 SUTURE STRATAFIX SPIRAL 3.0 $ 87.64 SUTURE STRATAFIX SYMMETRIC PDS CT - 1 $ 94.24 SUTURE VICRYL 2-0 D SPECIAL $ 334.20 SUTURE-ANCHOR BIOCOMP 5.5 X 19.1MM $ 1,600.00 SUTURELASSO - LEFT CURVE 45 DEG. $ 560.00 SUTURELASSO - RIGHT CURVE 45 DEGREE $ 560.00 SUTURETAPE 1.3MM W/ TAILS WHITE/BLUE $ 140.00 SUTURETAPE CORKSCREW FT 5.5MM BC $ 1,420.00 SYMBICORT 160/4.5 1 DOSE $ 12.72 SYMBICORT 80/4.5 1 DOSE $ 11.18 SYMBICORT INH 160/4.5 mcg $ 155.00 SYMBICORT INH 80/4.5 MCG $ 135.00 SYNOVECTOMY MCP JNT EA DIGIT $ 1,237.00 SYNOVECTOMY OF ELBOW $ 1,534.58 SYNOVECTOMY TENDON SHTH RADICAL $ 1,272.80 SYNOVECTOMY WRIST JOINT $ 1,195.73 SYNTHROID INJ 100MCG $ 485.11 SYNTHROID TAB 0.025 MG $ 4.67 SYNTHROID TAB 0.05 MG $ 4.68 SYNTHROID TAB 0.075 MG $ 4.67 SYNTHROID TAB 0.088 MG $ 4.66 SYNTHROID TAB 0.1 MG $ 4.69 SYNTHROID TAB 0.125 MG $ 4.68 SYNVISC 2ML $ 60.91 SYNVISC-ONE SYRINGE 6 ML $ 60.73 SYPHILIS TEST QUANTITATIVE $ 100.08 SYPHILIS TEST, QUAL $ 48.00 SYRINGE ALLIANCE INFLATION $ 116.80 SYSTEM ANTIERIOR ELEVATE $ 4,792.33 SYSTEM BRSTBIO 10 GA 12 CHAMBER $ 216.00 CHARGE DESCRIPTION CHARGE AMOUNT SYSTEM BRSTBIO 8 GA 12 CHAMBER $ 216.00 SYSTEM CARTER-THOMASON II PORT CLOSURE $ 399.20 SYSTEM DELIVERY 10FR RX $ 316.00 SYSTEM DELIVERY 7FR RX $ 316.00 SYSTEM ELEVATE POSTERIOR $ 4,071.75 SYSTEM EN SNARE 7FR $ 1,264.80 SYSTEM ILLUMINATION SINUS 100CM $ 1,501.50 SYSTEM IMPLANT DELIVERY - BICEPS REPAIR $ 2,975.00 SYSTEM INJECTOR TRANSURETHRAL $ 90.00 SYSTEM PERMANENT FIXATION CAPSURE $ 1,120.00 SYSTEM PERMANENT FIXATION CAPSURE 15 $ 1,000.00 SYSTEM- PLEURX CATHETER 1000ML $ 248.24 SYSTEM PUMPING DOUBLE $ 119.92 SYSTEM REMOVAL EASY OUT $ 1,148.00 SYSTEM SUCTION DRAINAGE $ 124.00 SYSTEM SUPPLEMENTAL NURSING $ 116.44 SYSTEM TLSO OTHS THOR LUMBOSAC SPINAL $ 3,542.68 SYSTEM TRANSHEPATIC BILIARY 06MM X 120MM $ 4,237.50 SYSTEM TRAXI PANNICULUS RETRACTION $ 239.80 SYSTEM TUNNELPRO $ 1,785.00 SZ50 LTD HOLE FIN SHL $ 2,575.00 T A; AGE 12 OR MORE $ 743.93 T CELLS TOTAL COUNT $ 200.85 T PLATE 8 HOLE $ 3,139.50 T PLATE MID FOOT FUSION LT $ 3,505.00 T15 DRIVER SHORT $ 1,638.00 T3 REVERSE $ 219.12 T3 TOTAL (TRIIODOTHYRONINE) $ 99.91 T3 UPTAKE $ 115.01 T4 $ 67.18 T4 $ 25.30 T4 & T8 CELLS RATIO PROFILE $ 170.98 TACK PLATE $ 160.00 TACROLIMIS (PROGRAF) $ 174.83 TAKE-DOWN SPLEN FLEXURE W P COLECTOMY $ 311.95 TAMBOCOR 100 MG TABLET $ 3.81 TAMIFLU CAP 30 MG $ 29.08 TAMIFLU CAP 75 MG $ 46.56 TAMIFLU ORAL SUSPENSON 6MG/ML 1ML $ 38.97 TANGNTL BX SKIN EA SEP ADDL $ 220.57 TANGNTL BX SKIN EA SEP/ADDL $ 46.22 TANGNTL BX SKIN SINGLE LES $ 51.91 TANGNTL BX SKIN SINGLE LES $ 229.39 TANGNTL BX SKIN SINGLE LES $ 281.29 TANGNTL BX SKIN SINGLE LES $ 229.39 TAP 2.0 311.19 $ 450.28 CHARGE DESCRIPTION CHARGE AMOUNT TAP 2.7 311.26 $ 529.32 TAP 3.5MM LOCK CORTICAL $ 838.24 TAP 4.0MM CANN $ 900.00 TAP BLOCK UNIL BY INJECTION $ 1,573.40 TAP CANC S-CP 4.0 X 70MM $ 904.00 TAP CANNULATED 311 39 $ 1,771.49 TAP Q/C CANN 3.0MM $ 1,641.60 TAP Q-C FOR 4.5MM SCREWS 125MM $ 375.20 TAP SCREW 3.5MM LOCKING QC $ 694.40 TAP SYSTEM $ 445.08 TAPAZOLE TAB 5 MG $ 1.85 TAPE GLOW -N- TELL $ 111.92 TAPER - 135MM SZ 3 $ 5,610.00 TAPER - SUMMIT POR SZ 2 STD OFF $ 5,610.00 TAPER ASSEM - GLOBAL AP 135 DEG $ 600.00 TAPER MALLORY HEAD CALCAR FEMORAL $ 20,678.00 TAPER VERSA-DIAL/COMP TI STD $ 800.00 TAPER, SUMMIT POR SZ 2 HI OFF $ 5,300.00 TAPER, SUMMIT POR SZ 4 HI OFF $ 5,300.00 TAPER, SUMMIT POR SZ 6 HI OFF $ 5,300.00 TAPERED SPACER ARTICUL/EZE -3 $ 800.00 TAPERED SPACER ARTICUL/EZE+10 $ 797.00 TAPERLOC 133 PPS 14X148MM TYPE 1 $ 6,192.50 TAPERLOC 133 TYPE 1 PPS HO 16 X 152MM $ 6,192.50 TAPERLOC 133 TYPE 1 PPS HO 17.0 $ 6,192.50 TAPERLOC FEM 133 FP TYPE1 PPS SO 7.0 $ 6,192.50 TAPERLOC FEM REDUCED DISTAL 12.5X145MM $ 6,192.50 TAPERLOC POR FMRL 7.5X135 $ 6,192.50 TAPERLOC POR RED/DIST 13.5 X 147 $ 6,192.50 TAPERLOC POR RED/DIST 15.0 X 150 $ 6,192.50 TAPERLOC POR RED/LAT 13.5 X 147 $ 6,192.50 TAPERLOC PPS 18X156MM TYPE 1 HO $ 6,192.50 TAPS 311.32 $ 462.00 TAPS 311.34 $ 486.00 TAPS 311.34 4.0MM 110MM $ 462.00 TAPS 4.5 311.46 $ 536.20 TAPS 4.5MM 311.48 $ 666.84 TARGETED GENOMIC ANALYSIS PANEL $ 2,499.64 TARGETED PANEL HEMATOLYMPHOID NEOPLASM $ 1,532.00 TAXOL INJ 6 MG/ML 5 ML $ 1.14 TAXOTERE INJ 20 MG $ 65.01 TB SKIN TEST INJ 0.1 ML $ 46.04 TBIA 5 DEGREE LEFT SZ D STEMMED CEMENTED $ 3,875.00 TBUSHING EXCHANGE COMPONENT, MEDIUM $ 8,484.00 TCAT IMPL WRLS P-ART PRS SNR $ 672.58 TD $ 38.00 CHARGE DESCRIPTION CHARGE AMOUNT TDAP $ 48.00 TEARS NATURALE OPHTH SOLN 0.5% 15ML $ 7.25 TECENTRIQ (ATEZOLIZUMAB) 60MG/ML 20 ML $ 89.79 TEFLARO 600 MG INJ $ 14.20 TEGRETOL TAB 200 MG $ 4.84 TEICHOIC ACID ANTIBODY $ 136.99 TELE MED STERILE GRASPING FORCEP $ 220.00 TEMNO EVOLUTION 18G X 11CM W/ INTRO $ 264.12 TEMNO EVOLUTION 18G X 15CM W/ INTRO $ 201.92 TEMNO EVOLUTION 20G X 11CM W/ INTRO $ 264.44 TEMNO EVOLUTION 20G X 15CM W/ INTRO $ 221.56 TEMNO EVOLUTION 20G X 20CM W/ INTRO $ 221.56 TEMP TRANSCUTANEOUS PACER $ 808.20 TENDON SHEATH INCISION $ 396.41 TENDON SHEATH INCISION $ 1,582.65 TENDON SHEATH INCISION $ 1,979.06 TENO SCRW BIOCOMP $ 1,725.50 TENODESIS LG TENDON OF BICEPS $ 1,857.30 TENORMIN TAB 25 MG $ 1.52 TENORMIN TAB 50 MG $ 1.27 TENOTOMY OP FLEXOR TOE SINGLE $ 483.66 TENOTOMY OP FLEXOR TOE SINGLE $ 3,343.65 TENOTOMY OP FLEXOR; FT SGL/MULTI $ 708.10 TENOTOMY SQ TOE; SINGLE $ 495.00 TESSALON PERLES CAP 100 MG $ 6.84 TESTOPEL 75 MG Pellet each $ 232.36 TESTOSTERONE $ 143.00 TESTOSTERONE PELLET 75 MG $ 215.96 TETANUS HUMAN INJ 250 UNITS $ 1,161.43 TETRACAINE OPHTH SOLN 0.5% 2 ML $ 25.90 THEOPHYLLINE $ 121.54 THER FX NASAL INF TURBINATE $ 296.75 THER FX NASAL INF TURBINATE $ 399.00 THER IVNTJ 1ST 15 MIN $ 57.23 THER IVNTJ EA ADDL 15 MIN $ 57.23 THER/PROPH/DIAG INJ SC/IM $ 50.00 THER/PROPH/DIAG IV INF INIT = LESS 1 HR $ 171.90 THERA NAIL TABLETS $ 20.00 THERABAND 50 YD BOX, SILVER $ 402.00 THERABAND RESISTANCE TUBING, GREEN $ 163.56 THERABAND YELLOW 50 YRD $ 205.88 THERAGRAN HEMATINIC TAB $ 1.14 THERAGRAN TAB $ 1.05 THERAGRAN-M TAB $ 1.14 THERAPEUTIC MASSAGE- 15 MINS $ 56.00 THERASKIN 1IN X 1IN TISSUE RECEIPT $ 554.00 CHARGE DESCRIPTION CHARGE AMOUNT THERASKIN 3IN X 6IN (TISSUE RECEIPT) $ 6,590.00 THERASKIN PER SQ CM - 2IN X 3IN $ 124.20 THERASKIN PER SQ CM - 1IN X 2IN $ 284.92 THIAMINE INJ 200 MG $ 27.39 THIAMINE TAB 100 MG $ 1.08 THIGH SUPPORT DISPOSABLE PAD FERKEL $ 280.00 THIN OST BLADE CURVED END 12MM $ 464.00 THIN PREP $ 186.74 THORACENTESIS $ 560.21 THORACENTESIS $ 452.49 THORACENTESIS $ 536.09 THORACIC GRAFT REPAIR DISTAL EXTENSION $ 2,711.37 THORACIC AORTA GRAFT PROXIMAL EXTENSION $ 3,150.38 THORACIC AORTOGRAM W SERIALOGRAPHY $ 257.36 THORACIC AORTOGRAPHY $ 6,397.01 THORACIC ENDOVASCULAR GRAFT PROX 36/209 $ 31,930.00 THORACIC ENDOVASCULAR GRAFT PROXIMAL $ 31,930.00 THORACIC SPINE (DORSAL) 3 VIEWS $ 531.88 THORACIC SPINE W/OBLIQUES (DORSAL) $ 637.06 THORAZINE INJ 50 MG $ 128.31 THORAZINE TAB 25 MG $ 15.74 THREADED GUIDE PIN 3.2MMX444MM $ 537.00 THRMBC NFS DIALYSIS CIRCUIT $ 19,814.74 THRMBC/NFS DIALYSIS CIRCUIT $ 31,876.40 THRMBCTMY AVF DIALYSIS GRAFT $ 1,267.40 THROMBIN POWDER 5000 UNIT $ 216.31 THROMBIN TIME $ 109.36 THROMBLYTIC ART/VEN THERAPY $ 479.60 THROMBOLYSIS TRANS CATH INF ANY METHOD $ 12,350.14 THROMBOLYTIC ART THERAPY $ 984.50 THROMBOLYTIC VENOUS THERAPY $ 869.78 THROMBOPLASTIN INHIBITION TISSUE $ 81.37 THROMBOPLASTIN TIME, PARTIAL (PTT) $ 75.52 THYROGLOBULIN ANTIBODY $ 115.36 THYROGLOBULIN QUANTITATIVE $ 154.94 THYROID BINDING GLOBULIN $ 122.96 THYROID IMAGING WITH BLOOD $ 945.25 THYROID STIMULATING IMMUNOGLOBULIN $ 433.80 THYROID TAB 60MG $ 3.43 THYROID UPTAKE $ 908.13 THYROID UPTAKE & SCAN $ 1,712.79 THYROIDECTOMY AFTER PREV REM PART THYR $ 2,745.35 THYROIDECTOMY FOR MALIG; W LIMIT DISSECT $ 3,321.65 THYROIDECTOMY TOTAL OR COMPLETE $ 2,308.38 TI LOCKING SCREW 40 X 20 MM10 $ 480.00 TI LOCKING SCREW 40 X 26 MM10 $ 480.00 CHARGE DESCRIPTION CHARGE AMOUNT TI LOCKING SCREW 40 X 30 MM10 $ 480.00 TI LOCKING SCREW 40 X 38 MM10 $ 480.00 TI LOCKING SCREW 40 X 40 MM10 $ 480.00 TI LOCKING SCREW 40 X 44 MM10 $ 480.00 TI LOCKING SCREW STD 40 X 40 MM10 $ 360.00 TI LOCKING SCREW STD 40 X 46 MM10 $ 360.00 TIAGABINE $ 75.19 TIB AUGMT BLOCK NEXGEN 10MM SZ 6 $ 3,075.00 TIB AUGMT BLOCK NEXGEN 5MM SZ 2 $ 3,297.00 TIB AUGMT BLOCK NEXGEN 5MM SZ 2 $ 3,297.00 TIB AUGMT BLOCK NEXGEN 5MM SZ 7 $ 3,297.00 TIB/FIB LT (LEG) $ 344.79 TIB/FIB RT (LEG) $ 344.79 TIB/PER REVASC ADD-ON $ 522.48 TIB/PER REVASC STENT & ATHER $ 1,963.82 TIB/PER REVASC W/ATHER $ 1,459.88 TIB/PER REVASC W/STENT $ 1,808.45 TIB/PER REVASC W/TLA $ 1,408.60 Tib/per unil ea addtl ves stent&ather(+/ $ 4,899.00 Tib/per unil ea addtl vess ather(+/- PTA $ 10,517.00 Tib/per unil ea addtl vess(+/-PTA) $ 9,345.00 Tib/per unil eaaddtlvess PTA $ 11,366.69 Tib/per unil init ves stent&ather(+/-PTA $ 27,270.00 Tib/per unil init ves stent(+/- PTA) $ 22,090.26 Tib/per unilat init vess ather(+/-PTA) $ 21,501.71 Tib/per unilat init vess PTA $ 13,233.00 TIBIA 5 DEGREE CEMENT RIGHT SZ E (PERSON $ 3,250.00 TIBIA CEMENTED 5 DEGREE L SZ E (PERSONA) $ 3,875.00 TIBIA NAT 5 DEG RIGHT SIZE D (PERSONA) $ 6,500.00 TIBIA NAT 5 DEGREE SZ G RIGHT (PERSONA) $ 3,875.00 TIBIA NAT RIGHT R 5 DEGREE SZ (PERSONA) $ 3,875.00 TIBIA NATURAL CEMENT 5 D SZ H (PERSONA) $ 3,250.00 TIBIA STEMMED 5 DEGREE LEFT SZ F- PERSON $ 3,250.00 TIBIAL 10MM TI CANNULATED 345MM STERILE $ 3,930.53 TIBIAL 12MM TI CANNULATED 330MM STERILE $ 3,344.00 TIBIAL 75MM KNEE CEMENT MOLD $ 2,912.00 TIBIAL BASE FIXED BEARING SIZE 5 CEMENT $ 3,575.00 TIBIAL BEARING - VNGD SSK PS 10X71/75 $ 6,197.50 TIBIAL BEARING - VNGD SSK PS 12X71/75 $ 6,197.50 TIBIAL BEARING - VNGD SSK PS 12X71/75 $ 6,280.00 TIBIAL BEARING - VNGD SSK PS S 10X63/67 $ 6,197.50 TIBIAL BEARING INSET SIZE 2 9MM $ 3,000.00 TIBIAL INSERT FIX BEAR POST STAB S5 10MM $ 3,575.00 TIBIAL INSERT FIXED BEARING SIZE 4 10MM $ 3,003.00 TIBIAL NAIL 10.5MM X 410MM $ 4,278.75 TIBIAL NAIL 9.0MM X 340MM $ 4,278.75 CHARGE DESCRIPTION CHARGE AMOUNT TIBIAL STEMMED SIZE 7 $ 3,000.00 TIBIAL UNIVERSAL BASEPLATE $ 3,625.00 TIGERLOOP $ 200.00 TIGERTAPE $ 286.00 TIGERWIRE - #2 TIGERSTICK $ 286.00 TIGHTROPE - ACL RT W/ DEPLOYING SUTURE $ 1,851.50 TIGHTROPE - BTB $ 1,700.00 TIKOSYN 0.125 MG CAPSULE $ 32.18 TILT TABLE STUDY $ 2,019.33 TILT TABLE TESTING $ 389.53 TILT TABLE TESTING $ 187.42 TILT TABLE TESTING $ 121.16 TIMOPTIC OPHTH SOLN 0.25% 5 ML $ 14.58 TIMOPTIC OPHTH SOLN 0.5% 5 ML $ 22.44 TINED LEAD $ 7,110.00 TINES LEAD 33 $ 7,110.00 TINNITUS ASSESSMENT $ 139.00 TIP - EVICEL 35 CM APPLICATOR $ 139.12 TIP LAPAROSCOPIC TISSEEL $ 236.52 TIP SOLIDLOK HEX 3.5MM $ 189.52 TISSEEL 10ML FROZEN $ 1,678.92 TISSUE - WHOLE BTB $ 9,540.00 TISSUE BTB WHOLE W/ QUAD $ 9,540.00 TISSUE CULTURE BONE MARROW BLOOD $ 380.17 TISSUE CULTURE BONE MARROW $ 544.28 TISSUE FIBULA SHAFT 100MM, DIA 12-13MM $ 3,080.00 TISSUE GRAFTS OTHER $ 1,052.00 TISSUE IN SITU HYBRIDIZATION REPORT $ 303.55 TISSUE MATRIX 16CMX20CM XCM BIOLOGIC $ 20,110.00 TISSUE REINFORCEMENT 6 X 9CM $ 7,540.00 TISSUE SEALER 5MM DIA 45CM STRAIGHT JAW $ 1,843.91 TITAN FOREHEAD $ 300.00 TITAN FULL FACE $ 700.00 TITAN JAW LINE $ 450.00 TITAN NECK $ 600.00 TITANIUM LUER ADAPTER (MALE-FEMALE) $ 80.00 TKA GDE/MDL SET 03-08 $ 3,510.00 TM JOINT BILATARAL $ 522.83 TM JOINT LT UNILATERAL $ 821.30 TM JOINT RT UNILATERAL $ 821.30 TNS CERAMIDE CREAM $ 63.00 TOBRAMYCIN $ 142.66 TOBRAMYCIN 40MG/ML INJ BULK VIAL $ 21.60 TOBREX OPHTH SOLN 0.3% 5 ML $ 47.50 TOE CREST/GEL DIGITAL CAPS $ 8.00 TOFRANIL TAB 25 MG $ 1.72 CHARGE DESCRIPTION CHARGE AMOUNT TOMOGRAM SERIES $ 178.11 TONSIL FIRE (LIDOCAINE 4%) $ 104.47 TONSILLECTOMY; AGE 12 OR MORE $ 620.65 TOPAMAX $ 205.02 TOPAMAX TAB 100 MG $ 1.35 TOPAMAX TAB 25 MG $ 1.61 TOPROL XL TAB 25 MG $ 3.92 TOPROL XL TAB 50 MG $ 3.25 TORADOL INJ 15 MG $ 26.85 TORADOL INJ 15 MG/ML 2 ML $ 16.25 TORADOL TAB 10 MG $ 4.24 TORIC LENS SN6AT3 16.5 $ 1,652.00 TORIC LENS SN6AT3 17.5 $ 1,732.50 TORIC LENS SN6AT3 18.0 $ 1,732.50 TORIC LENS SN6AT4 22.0 $ 1,732.50 TORIC LENS SN6AT6 19.5 $ 1,732.50 TORIC LENS SN6AT7 17.5 $ 1,732.50 TORIC LENS SN6AT7 25.0 $ 1,732.50 TOT KNEE ARTHROPLASTY $ 3,414.93 TOT KNEE ARTHROPLASTY $ 5,446.50 TOTAL ABDOMINAL HYSTERECTOMY $ 2,539.75 TOTAL ABDOMINAL HYSTERECTOMY $ 1,172.00 TOTAL CHOLESTEROL $ 21.00 TOTAL EOSINOPHIL COUNT $ 29.26 TOTAL HIP ARTHROPL $ 3,418.30 TOTAL PROTEIN, OTHER SOURCE $ 65.00 TOTAL PROTEIN, URINE $ 52.75 TOTAL THYROID LOBECTOMY UNIL; W CSL $ 2,331.15 TOTAL THYROID LOBECTOMY UNILATERAL; $ 1,765.10 TOUCH PREP $ 82.52 Tox Assure Component $ 54.32 TOXIN OR ANTITOXIN ASSAY TISSUE CULTURE $ 109.59 TOXOPLASMOSIS ANTIBODY IgG $ 99.65 TOXOPLASMOSIS ANTIBODY IgM $ 138.30 TOXOPLASMOSIS ANTIBODY IgM $ 138.30 T-PLATE LCP W/ COLLAR 8 HOLES $ 807.60 T-PLATE LCP W/ CPLLAR 7 HOLES $ 690.00 T-PLATE LCP W/COLLAR 10 HOLES $ 807.60 T-PLATE LCP W/COLLAR 5 HOLES $ 716.40 TPMT GENE ANALYSIS $ 300.00 TPMT THIOPURINE METHYLTRANSFERASE $ 280.00 TRACE ELEMENTS INJ 1 ML $ 66.25 TRACH QUICK 4MM $ 629.12 TRACH QUICK 4MM (CRICOTHYROTOMY) $ 884.72 TRACH QUICK ADULT $ 557.00 TRACHEOSTOMA REV SIMPLE WO FL ROTATE $ 870.50 CHARGE DESCRIPTION CHARGE AMOUNT TRACHEOSTOMA REV SIMPLE WO ROTATE $ 5,355.05 TRACHEOSTOMY PLANNED $ 815.65 TRACHEOTOMY-TUBES $ 135.00 TRANDATE INJ 100 MG 20 ML $ 25.26 TRANEXAMIC ACID 100MG/ML 10ML $ 122.99 TRANS CARE MGMT 14 DAY DISCH $ 138.59 TRANS CARE MGMT 14 DAY DISCH $ 142.62 TRANS CARE MGMT 14 DAY DISCH $ 281.22 TRANS CARE MGMT 7 DAY DISCH $ 138.59 TRANS CARE MGMT 7 DAY DISCH $ 207.08 TRANS CARE MGMT 7 DAY DISCH $ 345.67 TRANSCATH INSERT/REPLACE LEADLESS PACER $ 39,322.88 TRANSCATHETER RETRIEVAL PERCUTANEOUS $ 6,524.56 TRANSCATHETER THERAPY EMBOLIZATION $ 7,795.90 TRANSCATHETER THERAPY ARTERIAL $ 4,547.21 TRANSCATHETER THERAPY ARTERIAL OR $ 5,923.80 TRANSCATHETER THERAPY VENOUS INFUSION $ 12,350.14 TRANSCATHETER THERAPY VENOUS INFUSION $ 3,268.61 TRANSCRANIAL DOPPLER COMPLETE $ 574.88 TRANSCRANIAL DOPPLER LIMITED $ 398.00 TRANSDERM NITRO PATCH 0.2 MG $ 2.29 TRANSDERM NITRO PATCH 0.4 MG $ 2.52 TRANSDERM SCOPE PATCH 1.5 MG $ 64.89 TRANSDUCER CDXPRESS SINGLE $ 72.00 TRANSDUCER DUAL COBE $ 193.72 TRANSECT OR AVULSE OTHER SPINAL NERVE $ 1,131.12 TRANSEND 300CM .014 EXTRA SUPPORT $ 1,580.00 TRANSEND 300CM .014 FLOPPY WIRE $ 1,837.50 TRANSESOPHAGEAL ECHO $ 1,977.99 TRANSFER SYS OATS W/INSTR $ 2,770.00 TRANSFERRIN $ 92.70 TRANSFUSION BLOOD SERVICE $ 952.28 TRANSFUSION REACTION WORKUP $ 190.00 TRANSHEPATIC CHOL $ 4,366.44 TRANSMITTER PACEMAKER MONITOR HOME USE $ 1,200.00 TRANSRECTAL US $ 67.64 TRANSRECTAL US $ 118.24 TRANSUR ELECTR RESECTION OF PROSTATE $ 1,855.35 TRANSVAGINAL OB US $ 76.10 TRANSVAGINAL OB US $ 111.64 TRAVATAN Z Ophth Soln 0.004% 2.5 ML $ 552.61 TRAVEL FLAT RATE $ 7.20 TRAVEL PER MILE $ 17.32 TRAY - WAYNE PNEUMOTHORAX $ 698.68 TRAY 15CM 13FR POWER DIALYSIS $ 764.40 TRAY 24CM 13FR POWER DIALYSIS $ 764.40 CHARGE DESCRIPTION CHARGE AMOUNT TRAY BIOMET CC CRUCIATE 75MM $ 3,012.50 TRAY BIOMET ILOK STEM TIB 79MM $ 5,800.00 TRAY BIOMET ILOK STEM TIB 83MM $ 5,800.00 TRAY CATH SET 14F X 28CM SPLIT $ 1,540.00 TRAY CC 1-BEAM 91MM $ 3,012.50 TRAY CC I-BEAM 87MM $ 3,012.50 TRAY COMP RVS +5MM CO 44MM $ 4,750.00 TRAY DUAL SOLO PICC 5FR $ 935.60 TRAY EPIDURAL CONTINUOUS $ 88.68 TRAY EPIDURAL CONTINUOUS (SUB) $ 92.72 TRAY FOLEY 16FR $ 54.44 TRAY FOLEY 16FR SURE STEP (SUB) $ 71.72 TRAY HMRL +3 +5 $ 4,750.00 TRAY HMRL STD PLUS 5 $ 4,750.00 TRAY HUMERAL 44MM W/ LOCK RING CONP REVR $ 4,750.00 TRAY HUMERAL MINI 40MM 0 DEG $ 4,750.00 TRAY INTORDUCER PERC TRACH 8FR $ 1,706.53 TRAY INTRODUCER PERC TRACH 6FR $ 1,706.53 TRAY LAZARUS NELSON PERITONEAL $ 88.92 TRAY MYLOGRAM $ 69.76 TRAY OXFORD PART KNEE SZ A RIGHT TIBIAL $ 4,740.00 TRAY OXFORD UNI TIB SZ C RM PMA $ 4,740.00 TRAY OXFORD UNI TIB SZA LM/RL PMA $ 4,740.00 TRAY OXFORD UNI TIB TSZ C LM $ 4,557.50 TRAY OXFORD UNI TIBIAL SZ B $ 4,557.50 TRAY SINGLE SOLO PICC 4FR $ 888.80 TRAY SIZE AA LEFT MEDIAL TIBIAL $ 4,557.50 TRAY SPINAL ANESTHESIA $ 52.00 TRAY SUPRA PUBIC 12FR CATH $ 240.00 TRAY THAL-QUICK TEST TUBE 12FR $ 656.00 TRAY THAL-QUICK TEST TUBE 14FR $ 656.00 TRAY THORA/PARA SAFE -T (COSTELLO) $ 188.64 TRAY THORACENTESIS DISP $ 175.16 TRAY TIBIAL FIXED BEARING MOD COCR 4 $ 3,060.00 TRAY TIBIAL ILOK STEM 63MM $ 5,800.00 TRAY TIBIAL ILOK STEM 67MM $ 5,800.00 TRAY TIBIAL ILOK STEM 75MM $ 5,800.00 TRAY TIBIAL SZ F RIGHT MEDIAL $ 4,740.00 TRAY TRACH CARE TIP SMALL SIZE $ 58.88 TRAY TRACH TIP DIRECTIONAL $ 58.92 TRAY TRACHEOSTOMY INSERTION SKYLAR $ 200.00 TRAY URETHRAL UROLOGIST $ 561.24 TRAY UVC DISPOSABLE $ 176.00 TRB $ 724.77 TRB GENE T CELL BETA $ 724.77 TRB GENE T CELL GAMMA $ 724.77 CHARGE DESCRIPTION CHARGE AMOUNT TREAT BIG TOE FRACTURE $ 997.30 TREAT CLAVICLE DISLOCATION $ 532.00 TREAT CLAVICLE FRACTURE $ 1,795.55 TREAT DISLOCATION/FRACTURE $ 1,797.00 TREAT ELBOW DISLOCATION $ 1,707.34 TREAT FINGER DISLOCATION $ 589.23 TREAT FINGER DISLOCATION $ 1,355.42 TREAT FINGER FRACTURE EACH $ 517.00 TREAT FRACTURE OF RADIUS $ 1,621.20 TREAT FRACTURE OF ULNA $ 1,545.90 TREAT FRACTURE RADIUS & ULNA $ 1,345.22 TREAT FRACTURE RADIUS/ULNA $ 1,582.65 TREAT FX DISTAL RADIAL $ 1,648.23 TREAT FX RAD EXTRA-ARTICUL $ 1,463.00 TREAT FX RAD INTRA-ARTICUL; 2 FRAGS $ 2,056.10 TREAT FX RADIAL 3+ FRAG $ 2,616.08 TREAT HEEL FRACTURE $ 2,801.18 TREAT HIP DISLOCATION $ 2,565.00 TREAT HUMERUS CONDYLAR FRACTURE $ 2,087.70 TREAT HUMERUS EPICONDYLAR FRACTURE $ 1,698.00 TREAT HUMERUS FRACTURE W EXTN $ 2,083.96 TREAT HUMERUS FRACTURE W EXTN $ 3,693.00 TREAT HUMERUS FRACTURE WO EXTN $ 2,090.00 TREAT KNEECAP DISLOCATION $ 532.00 TREAT KNUCKLE DISLOCATION $ 508.20 TREAT LOWER LEG FRACTURE $ 1,645.19 TREAT LOWER LEG JOINT $ 1,729.30 TREAT METACARPAL FRACTURE $ 493.45 TREAT METACARPAL FRACTURE $ 1,429.13 TREAT METATARSAL FRACTURE $ 1,350.23 TREAT PLEURODESIS W/AGENT $ 1,699.13 TREAT PLEURODESIS W/AGENT $ 199.10 TREAT SHOULDER DISLOCATION $ 629.85 TREAT SHOULDER DISLOCATION $ 3,058.05 TREAT TOE FRACTURE $ 800.42 TREATMENT ANKLE FRACTURE $ 1,742.88 TREATMENT ELBOW DISLOCATION $ 733.83 TREATMENT ELBOW DISLOCATION $ 532.00 TREATMENT OF ANKLE FRACTURE $ 493.25 TREATMENT OF BLADDER LESION $ 556.93 TREATMENT OF BLADDER LESION $ 68.55 TREATMENT OF BLADDER LESION $ 280.85 TREATMENT OF BLADDER LESION $ 349.40 TREATMENT OF FIBULA FRACTURE $ 2,741.13 TREATMENT OF TIBIA FRACTURE $ 2,231.68 TREATMENT TOE DISLOCATION $ 353.00 CHARGE DESCRIPTION CHARGE AMOUNT TREK OTW 2.5X12MM $ 520.00 TREK OTW 2X30MM $ 672.00 TREK OTW 3.5X12MM $ 560.00 TREK OTW 3.5X15MM $ 520.00 TREK OTW 3.75X15MM $ 672.00 TREK OTW 3X12MM $ 520.00 TRENTAL TAB 400 MG $ 1.66 TREPHINE 3.0MM $ 1,052.00 TREPHINE 4.5MM $ 842.40 TREPHINE 6.5MM $ 842.40 TRIAL LEAD KIT $ 3,150.00 TRIAMCINOLONE CREAM 0.1% 15 GM $ 14.95 TRICEPS 3 PRONG BASKET $ 684.04 TRICHOMONAS NAA $ 233.63 TRICOR TAB 145 MG $ 3.79 TRICOR TAB 48 MG $ 5.50 TRICYCLIC & CYCLICALS 6/MORE $ 20.60 TRIESENCE OPTH INJ SUSP 40MG/ML 1ML $ 17.17 TRIGLYCERIDES $ 48.60 TRILEPTAL TAB 300 MG $ 2.88 TRIM DYSTROPHIC NAIL ANY NUMBER $ 10.15 TRIM DYSTROPHIC NAIL ANY NUMBER $ 72.67 TRIM DYSTROPHIC NAIL ANY NUMBER $ 82.82 TRIM ND NAILS $ 10.14 TRIM ND NAILS $ 70.92 TRIM ND NAILS $ 81.06 TRIM SKIN LESION $ 199.06 TRIM SKIN LESION 2 TO 4 $ 204.80 TRIM SKIN LESIONS 2 TO 4 $ 29.97 TRIM SKIN LESIONS 2 TO 4 $ 199.06 TRIM SKIN LESIONS 2 TO 4 $ 229.02 TRIM SKIN LESIONS OVER 4 $ 39.21 TRIM SKIN LESIONS OVER 4 $ 229.39 TRIM SKIN LESIONS OVER 4 $ 268.59 TRIMETHOPRIM TAB 100 MG $ 1.92 TRLUML BALO ANGIOP 1ST ART $ 897.60 TRLUML BALO ANGIOP 1ST ART EXCEPT LEGS $ 9,857.80 TRLUML BALO ANGIOP 1ST VEIN $ 6,535.20 TRLUML BALO ANGIOP 1ST VEIN $ 613.62 TRLUML BALO ANGIOP ADDL ART EXCEPT LEGS $ 1,840.00 TRLUML BALO ANGIOP ADDL VEIN $ 383.03 TRLUML BALO ANGIOP ADDL VEIN $ 299.36 TROCAR 10/12MM HYSON BLUNT TIP $ 121.52 TROCAR 10MM BLUNT TIP $ 2,169.13 TROCAR 10MM BLUNT TIP (2) $ 3,118.12 TROCAR 12MM DILATING TIP XLONG $ 207.08 CHARGE DESCRIPTION CHARGE AMOUNT TROCAR 5-12MM DILATING TIP W/SLEEVE $ 178.52 TROCAR 8MM 100MM BLADELESS $ 157.28 TROCAR BLADELESS W/ STAB SLEEVE 12 X 100 $ 121.52 TROCAR BLADELESS W/ STAB SLEEVE 5 X 100 $ 134.88 TROCAR BLADELESS W/ STAB SLEEVE 5 X 75 $ 121.52 TROCAR CANN STAB SLEEVE XCEL 5DX75L $ 78.52 TROCAR CANNULA STAB SLEEVE XCEL 5 X 100 $ 78.76 TROCAR DILATING TIP 12MM 150MM LENGTH $ 190.20 TROCAR ENDO CLOSE $ 93.72 TROCAR ENDOPATH XCEL BLADELESS 150MM $ 153.88 TROCAR ENDOPATH XCEL BLADELESS 15MM $ 393.32 TROCAR XL 12MM BLADELESS $ 207.08 TROPONIN I $ 146.00 TRSLUM BAL ANGPLSTY BRACH EA $ 9,395.00 TRUSOPT OPHTH SOLN 2% 10 ML $ 102.97 TRUVADA 200 MG-300 MG TABLET $ 170.60 TRYPSIN STOOL QUALITATIVE $ 103.00 TRYTON 2.5/3.0 MM X19 MM CORONARY STENT $ 3,250.00 TRYTON 2.5/3.5 MM X19 MM CORONARY STENT $ 3,250.00 TRYTON 3.0/3.5 MM X15 MM CORONARY STENT $ 3,250.00 TRYTON 3.5/4.0 MM X15 MM CORONARY STENT $ 3,250.00 TSH 3RD GENERATION $ 121.00 TTE CONG ABN; LIMITED/F-UP $ 382.25 TTE F-UP OR LMTD $ 51.50 TTE F-UP OR LMTD $ 149.94 TTE W DOPPLER COMPLETE $ 254.98 TTE W OR W/O FOL W/CON FU $ 2,139.15 TTE W OR W/O FOL W/CON STRESS $ 1,729.38 TTE W OR WO FOL WCON DOPPLER $ 1,020.64 TTE W/ OR W/O FOL W/CON DOPPLER $ 2,353.06 TTE W/DOPPLER COMPLETE $ 146.60 TTR FULL GENE SEQUENCE $ 1,425.29 TUBE - FLOSTEADY $ 192.12 TUBE - TRACH 7.0 XLT DISTAL EXT CUFFED $ 228.80 TUBE - TRACH 7.0 XLT PROXIMAL EXT CUFFED $ 228.80 TUBE - TRACH 8.0 XLT DISTAL EXT CUFFED $ 223.20 TUBE 20FR SIL MED MIC GASTRO FEEDING $ 85.40 TUBE COLLAR BUTTON VENT $ 70.08 TUBE ENDOTRACHEAL 6.0MM NIM $ 1,256.80 TUBE ENDOTRACHEAL 7.0MM NIM $ 1,256.40 TUBE ENDOTRACHEAL 8.0MM NIM $ 1,256.80 TUBE ENDOTRACHEAL 9.0MM NIM $ 1,316.00 TUBE EXCHANGE HUMERAL NAIL $ 805.60 TUBE FEEDING GASTROSTOMY 24FR $ 119.72 TUBE FEEDING GASTROSTOMY MIC 20FR 7-10ML $ 85.32 TUBE FEEDING MIC 18 FR GASTROSTOMY $ 119.72 CHARGE DESCRIPTION CHARGE AMOUNT TUBE FEEDING MIC 22F GASTRO $ 84.36 TUBE FEEDING MIC 28F GASTRO $ 111.00 TUBE FEEDING MIC-KEY 16FR 1.5CM $ 350.00 TUBE FEEDING MIC-KEY 18FR 3.0CM $ 350.00 TUBE FEEDING MIC-KEY 20FR 1.5CM $ 357.12 TUBE FEEDING MIC-KEY 20FR 1.7CM $ 350.00 TUBE FEEDING MIC-KEY 20FR 2.5CM $ 350.00 TUBE FEEDING MIC-KEY 20FR 3.0CM $ 350.00 TUBE FEEDING MIC-KEY 20FR 3.5CM $ 356.00 TUBE FEEDING MIC-KEY 20FR 4.0CM $ 357.12 TUBE FOAM $ 2.00 TUBE G FEEDING MIC KEY 20FR 1.2 $ 356.00 TUBE G FEEDING MIC KEY 20FR 2.0 $ 356.00 TUBE G FEEDING MIC KEY 20FR 2.3 $ 350.00 TUBE GASTRO 20FR PULL KIT $ 608.00 TUBE GASTRO ENTERIC 24FR $ 636.00 TUBE HI LO EVAC 6.0MM $ 57.76 TUBE HI LO EVAC 6.5MM $ 57.76 TUBE HI LO EVAC 7.0MM $ 57.76 TUBE HI LO EVAC 7.5MM $ 54.32 TUBE HI LO EVAC 8.0MM $ 54.32 TUBE HI LO EVAC 8.5MM $ 59.20 TUBE INTRODUCER TRACH GUIDE 15FR $ 363.20 TUBE KING AIRWAY SZ 0 TRANSPARENT $ 199.96 TUBE KING AIRWAY SZ 1 WHITE $ 199.96 TUBE LARYNGECTOMY 10/27 STD $ 617.96 TUBE MICROCUFF ENDOTRACHEAL 3.0MM $ 60.00 TUBE MICROCUFF ENDOTRACHEAL 3.5MM $ 60.00 TUBE MICROCUFF ENDOTRACHEAL 4.0MM $ 60.00 TUBE MICROCUFF ENDOTRACHEAL 4.5MM $ 60.00 TUBE MICROCUFF ENDOTRACHEAL 5.0MM $ 60.00 TUBE MICROCUFF ENDOTRACHEAL 5.5MM $ 60.00 TUBE TRACH 4.0 CUFFED INNER CANNULA $ 121.88 TUBE TRACH 4.0 UNCUFFED FENESTRATED $ 112.04 TUBE TRACH 4.0 UNCUFFED INNERCANNULA $ 106.48 TUBE TRACH 6.0 CUFFED INNER CANNULA $ 111.56 TUBE TRACH 6.0 PROXIMAL EXT CUFFED $ 223.20 TUBE TRACH 6.0 PROXIMAL EXT UNCUFFED $ 223.20 TUBE TRACH 6.0 UNCUFFED FENESTRATED $ 112.04 TUBE TRACH 6.0 UNCUFFED INNERCANNULA $ 106.48 TUBE TRACH 6.0 UNCUFFED PVC INNERCANNULA $ 121.24 TUBE TRACH 8.0 CUFFED FENESTRATED PVC $ 123.72 TUBE TRACH 8.0 CUFFED INNER CANNULA $ 111.48 TUBE TRACH 8.0 PROXIMAL EXT CUFFED $ 228.80 TUBE TRACH 8.0 UNCUFFED FENESTRATED $ 112.04 TUBE TRACHEOSTOMY 6.0 XLT DISTAL EXT CUF $ 213.60 CHARGE DESCRIPTION CHARGE AMOUNT TUBE TRANSGAS-JEJU 22FR 45CM $ 852.00 TUBE TRI FUNNEL REPLACEMENT GASTRO $ 93.60 TUBE VENT GOODE EAR SILICONE $ 92.32 TUBE VENT GOODE MODIFIELD $ 116.72 TUBE-LAP BAND CALIBRATION $ 500.00 TUBES 10 INFLOW $ 380.00 TUBING - SMART CAPNOLINE PLUS O2 $ 55.00 TUBING 10' W/WAND $ 76.92 TUBING ASPIR INDIGO LG LM $ 1,740.00 TUBING INSUFFLATOR PRIMFLO STERILE $ 56.32 TUBING IRRIGATION WARMER $ 166.36 TUBING IRRIGATION WARMER (SUB) $ 124.64 TUBING RAPID INFUSOR (BIFURCATED) $ 243.64 TUBING TRIVEX SYSTEM ILLUMINATOR $ 144.00 TUBING TUMESCENT PUMP $ 60.00 TUBING XPS $ 111.40 TUCKS PADS 40'S $ 6.97 TUMS TAB 500 MG $ 1.08 TUNNELER TENSOR TRANSOS AWL PUSHER DISP $ 1,627.50 TURBOVAC SUPER 90 $ 1,072.64 TWISTER POLYP RETRIEVAL 22MM $ 340.00 TWISTER POLYP RETRIEVAL 25MM $ 361.00 TX CL ELBOW DISLOC W ANESTH $ 610.36 TX CL ELBOW DISLOC W ANESTH $ 1,707.34 TX CL ELBOW DISLOC W ANESTH $ 2,317.71 TX HUMERUS SH FX W IMLANT $ 2,152.50 TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMP $ 3,095.60 TX INTER/PR/SUBTRCHNTRIC FEM FX SCREW IM $ 3,095.60 TX S WND DEHIS W PACK $ 179.62 TX S WND DEHIS W PACK $ 408.30 TX S WND DEHIS W PACK $ 587.93 TX S WND DEHISC SMPL $ 1,124.85 TX S WND DEHISC; SMPL $ 1,124.85 TX S WND DEHISC; SMPL $ 1,226.13 TX S WND DEHISC; SMPL $ 244.19 TX S WND DEHISC; SMPL $ 589.03 TX S WND DEHISC; SMPL $ 833.22 TX SPONTAN HIP DISLOC W ANEST $ 1,642.00 TX SWALLOW DYSFUNTION $ 257.53 TX TARSAL BONE FX ; WO MANIPU $ 244.17 TX TARSAL BONE FX ; WO MANIPU $ 259.78 TX TARSAL BONE FX ; WO MANIPU $ 503.95 TYGACIL INJ 50 MG $ 14.39 TYLENOL 325MG $ 1.10 TYLENOL COD ELIXIR 12.5 ML $ 3.00 TYLENOL SUPP 120 MG $ 2.31 CHARGE DESCRIPTION CHARGE AMOUNT TYLENOL SUPP 325 MG $ 3.06 TYLENOL SUPP 650 MG $ 2.14 TYLENOL SUSP (BTL) 4 OZ $ 15.49 TYLENOL SUSP 10 ML $ 6.46 TYLENOL TAB 500 MG $ 1.16 TYLENOL W/CODEINE TAB 30 MG $ 7.06 TYMPANIC MEMBRANE REPAIR $ 718.50 TYMPANIC MEMBRANE REPAIR $ 1,015.32 TYMPANOMETRY $ 97.85 TYMPANOMETRY $ 29.68 TYMPANOMETRY & REFLEX THRESHOLD $ 308.40 TYMPANOPL WO MASTOID INIT/REV; WO OCR $ 2,144.83 TYMPANOPL WO MASTOID INIT/REV; WO OCR $ 2,917.50 TYMPANOSTOMY GEN ANESTHESIA $ 390.35 TYMPANOSTOMY GEN ANESTHESIA $ 551.47 TYMPANOSTOMY LOCAL; UNILATERAL $ 167.54 TYMPANOSTOMY LOCAL; UNILATERAL $ 575.41 TYMPANOSTOMY LOCAL; UNILATERAL $ 742.95 TYMPANOSTOMY LOCAL; UNILATERAL $ 251.32 TYMPANOSTOMY LOCAL; UNILATERAL $ 863.11 TYMPANOSTOMY LOCAL; UNILATERAL $ 1,114.43 TYSABRI (Natalizumab) INJECTION $ 14.16 UDENYCA INJ 6 MG $ 358.33 UGI W/AIR & KUB $ 1,557.68 UGI W/AIR W/SMALL BOWEL $ 2,368.08 UGI W/SMALL BOWEL $ 3,459.01 UGI WITH KUB $ 770.17 ULTANE ANESTHETIC 1 ML $ 2.00 ULTRA SHEER MOIST $ 53.00 ULTRAM TAB 50 MG $ 1.23 ULTRASOUND BIOPHS PROFILE MULTIPLE FET $ 510.88 ULTRASOUND BIOPHYSICIAL PROFILE $ 510.88 ULTRASOUND BREAST BIOPSY ALL INCLUSIVE 1 $ 3,214.63 ULTRASOUND BREAST BIOPSY ALL INCLUSIVE E $ 673.62 ULTRASOUND BREAST DEVICE PLACEMENT 1ST S $ 920.00 ULTRASOUND BREAST DEVICE PLACEMENT ONLY- $ 715.50 UMBILICAL ARTERY ECHO $ 117.20 UMBILICAL ARTERY ECHO $ 64.30 UMBILICAL ARTERY ECHO $ 52.90 UNASYN INJ 1.5 GM $ 32.51 UNASYN INJ 3 GM $ 24.85 UNIL FEM ART EXP FOR PROSTH $ 5,981.16 UNIV NAIL ENTRY REAMER 9.4 MM $ 1,078.00 UNIVERSAL BLOCK TRAYS $ 77.04 UNLISTED ALLERGY/CLINICAL IMMUNOL $ 86.53 UNLISTED CHEMISTRY PROCEDURE H $ 106.42 CHARGE DESCRIPTION CHARGE AMOUNT UNLISTED CHEMISTRY PROCEDURE L $ 109.18 UNLISTED ENT PROCED/SERVICE $ 208.00 UNLISTED FFR ADD'NL VESSEL W/O HEARTCATH $ 5,167.53 UNLISTED FFR W/O HEARTCATH $ 5,167.53 UNLISTED IMMUNOLOGY PROCEDURE $ 352.26 UNLISTED JNT ARTHROSC $ 1,855.80 UNLISTED LAPAROSCOPY ABD PERIT OMENT $ 368.00 UNLISTED LAPAROSCOPY HERNIA PROCEDURE $ 1,081.85 UNLISTED LAPAROSCOPY OVIDUCT OVARY $ 1,164.46 UNLISTED LAPAROSCOPY STOMACH $ 4,500.40 UNLISTED MICROBIOLOGY PROCEDURE $ 174.07 UNLISTED MOLECULAR PATHOLOGY PROCECURE $ 573.00 UNLISTED MOLECULAR PATHOLOGY PROCECURE $ 573.00 UNLISTED MULTIANALYTE ASSAY $ 1,228.28 UNLISTED PROC SKIN MM & SQ TISS $ 170.26 UNLISTED PROCEDURE VASCULAR SURGERY $ 2,544.37 UNLISTED PROCEDURE ABD PERITONEUM $ 1,858.75 UNLISTED PROCEDURE ACCESSORY SINUSES $ 561.77 UNLISTED PROCEDURE FEMALE GENITAL SYS $ 284.00 UNLISTED PROCEDURE FEMUR OR KNEE $ 537.25 UNLISTED PROCEDURE FOOT OR TOES $ 529.20 UNLISTED PROCEDURE LARYNX $ 357.62 UNLISTED PROCEDURE MIDDLE EAR $ 291.22 UNLISTED PROCEDURE NERVOUS SYSTEM $ 645.75 UNLISTED PROCEDURE NOSE $ 486.64 UNLISTED PROCEDURE PHARYNX ADENOIDS $ 502.38 UNLISTED PROCEDURE PHARYNX ADENOIDS $ 238.51 UNLISTED PROCEDURE, NOSE $ 442.73 UNLISTED PROCEDURE, NOSE $ 442.73 UNLISTED PX SMALL INTESTINE $ 449.36 UNLISTED TRANSCATH WIRELESS PULM ART $ 22,500.00 UNLISTED TRANSFUSION MEDICINE PROCEDURE $ 180.74 UNLISTED VASC PROCEDURE $ 2,474.16 UNNA BOOT APPLICATION OF $ 1,160.24 UNNA BOOT APPLICATION - BILATERAL $ 1,740.36 UNNA BOOT STRAPPING $ 73.15 UNSUPERVISED PHYSICAL CONDITIONING $ 90.00 UPPER EXTREMITY INFANT $ 515.19 UPPER GI WITH ESOPHAGRAM $ 1,557.68 UPPR GI SCOPE W/SUBMUC INJ $ 419.00 UPR/L XTREMITY ART 2 LEVELS $ 25.46 UPR/L XTREMITY ART 2 LEVELS $ 142.02 UPR/LXTR ART STDY 3+ LVLS $ 44.60 UPR/LXTR ART STDY 3+ LVLS $ 215.36 UREA NITROGEN, URINE $ 67.00 URECHOLINE TAB 10 MG $ 2.31 CHARGE DESCRIPTION CHARGE AMOUNT URECHOLINE TAB 25 MG $ 2.52 URETERAL ACCESS SHEATH SET 11/13FX36CM $ 749.60 URETERAL ACCESS SHEATH SET F 28CM $ 749.60 URETHOGRAM-RETRO $ 1,474.36 URIC ACID $ 48.50 URIC ACID $ 22.06 URIC ACID, OTHER SOURCE $ 59.84 URINALYSIS COLLECTION $ 22.25 URINALYSIS QUALITATIVE EXCEPT IMMUNOASSA $ 21.63 URINALYSIS; QUAL NOT IA $ 8.00 URINE DELTA ALA $ 170.98 URINE HEAVY METAL (RANDOM OR 24 HR) $ 184.37 URINE MICROALBUMIN QUANTITATIVE $ 81.51 URINE MICROSCOPIC $ 27.17 URINE OSMOLALITY (RANDOM OR 24 HR) $ 73.13 URINE PREGNANCY VISUAL COLOR $ 18.00 UROCATCHER 2 W/GRAVITY HOSE $ 58.44 UROMAX ULTRA 5.8 $ 1,316.72 US ABDOMEN COMPLETE $ 1,053.65 US ABDOMEN LIMITED $ 687.00 US ABDOMEN RETROPERITONEAL $ 755.00 US AMNIOCENTESIS $ 400.05 US AORTA $ 755.00 US ASPIRATION $ 316.01 US AXILLA $ 421.71 US AXILLA - PORTABLE $ 670.00 US AXILLA LEFT $ 421.71 US AXILLA RIGHT $ 421.71 US BIOPSY $ 609.24 US BRAIN - PEDIATRIC $ 286.00 US BREAST $ 87.05 US BREAST UNILATERAL $ 539.87 US BREAST UNILATERAL - PORTABLE $ 539.87 US BREAST UNILATERAL LEFT $ 563.56 US BREAST UNILATERAL LT WITH AXILLA $ 650.70 US BREAST UNILATERAL RIGHT $ 563.56 US BREAST UNILATERAL RT WITH AXILLA $ 650.70 US CHEST $ 503.57 US COMPL JOINT R-T W/IMG $ 243.53 US EXAM ABDO BACK WALL LIM $ 57.80 US EXAM ABDO BACK WALL LIM $ 54.86 US EXAM ABDOM COMPLETE $ 81.02 US EXAM ABDOM COMPLETE $ 154.56 US EXAM BREAST(S) $ 103.09 US EXAM PELVIC COMPLETE $ 264.70 US EXAM PELVIC COMPLETE $ 86.35 CHARGE DESCRIPTION CHARGE AMOUNT US EXAM PELVIC COMPLETE $ 178.35 US EXAM PELVIC LIMITED $ 50.06 US EXAM PELVIC LIMITED $ 44.30 US EXTREMITY $ 475.86 US FETAL - 1ST TRIMESTER $ 821.96 US FETAL - 2ND OR 3RD TRIMESTER $ 906.74 US FETAL - 2ND OR 3RD TRIMESTER $ 1,807.13 US FETAL - F/U;COMPARE PREVIOUS ABN FIND $ 877.57 US FETAL 1ST TRIMESTER FOR NUCH TRANS $ 1,054.58 US FETAL 2 OR 3RD TRIM/EACH ADD'T/PORTAB $ 663.36 US FETAL 2 OR 3RD TRIMESTER - EACH ADD'T $ 663.36 US FETAL LIMITED $ 852.17 US FETAL-1ST TRIM/NUCAH TRAN- EA ADDTL $ 187.00 US FETAL-1ST TRIMESTER EACH ADDITIONAL $ 406.18 US GROIN COMPLETE $ 421.71 US GROIN LIMITED $ 421.71 US GUIDE INTRAOP $ 736.25 US GUIDE INTRAOP $ 128.06 US GUIDE VASCULAR ACCESS $ 612.40 US GUIDE VASCULAR ACCESS $ 75.85 US GUIDED COMP PSEUDOANEURSYM $ 760.70 US GUIDED COMPRESSION REPAIR $ 246.20 US GUIDED COMPRESSION REPAIR $ 409.50 US GUIDED NEEDLE PLACEMENT $ 64.94 US GUIDED NEEDLE PLACEMENT $ 51.56 US GUIDED PERICARDIOCENTESIS $ 82.83 US HYSTEROSALPINGOGRAPHY $ 1,708.18 US INFERIOR VENA CAVA $ 1,018.41 US KNEE $ 475.86 US LIMITED BREAST UNILATERAL $ 84.80 US LIVER $ 687.00 US NECK $ 687.32 US PANCREAS $ 687.00 US PARACENTESIS $ 553.01 US PARATHYROID $ 687.32 US PELVIS $ 786.40 US PELVIS WITH TRANSVAGINAL VIEWS $ 786.40 US PENIS $ 1,302.90 US PLEURX DRAINAGE PLACEMENT $ 687.61 US PROSTATE $ 776.78 US PROSTATE - PORTABLE $ 773.50 US PV RESIDUAL URINE $ 90.27 US RENAL $ 755.00 US RT UPPER QUADRANT $ 687.00 US SALINE INFUSION SONOHYSTEROGRAPHY $ 1,708.18 US SCROTUM $ 670.00 CHARGE DESCRIPTION CHARGE AMOUNT US SPLEEN $ 687.00 US THORACENTESIS $ 2,179.63 US THYROID $ 687.32 US TRANSVAGINAL NON-OB $ 723.80 US TRANSVAGINAL OB $ 702.70 US ULTRASOUND GALLBLADDER $ 687.00 US URINARY BLADDER $ 543.33 US URINE CAPACITY MEASURE $ 135.73 US URINE CAPACITY MEASURE $ 135.73 US URINE CAPACITY MEASURE $ 238.26 US URINE CAPACITY MEASURE $ 238.26 US URINE CAPACITY MEASURE $ 135.73 US URINE CAPACITY MEASURE $ 238.26 US URINE CAPACITY MEASURE $ 228.00 USE OF VERTICAL ELECTRODES IN ALL TESTS $ 152.00 UVULECTOMY EXCISION OF UVULA $ 306.54 V92 CELLULAR BONE MATRIX 1.0CC $ 2,310.00 V92 CELLULAR BONE MATRIX 2.5CC $ 3,750.00 VAG HYST INCLUDING T/O = LESS THAN250 GM $ 2,277.33 VAG HYST W/ENTEROCELE RPR = LESS 250 GM $ 2,183.00 VAGINAL DELIVERY ONLY $ 1,932.00 VAGINAL DELIVERY ONLY; INCL PP $ 2,639.50 VAGINAL HYSTERECTOMY =LESS THAN 250 GM $ 2,042.75 VAGINAL SUPPORT SYSTEM WITH CAPIO SLIM $ 4,437.50 VAGINECTOMY W P REM OF VAG WALL $ 1,013.70 VALIUM INJ 10 MG $ 66.54 VALIUM TAB 2 MG $ 1.19 VALIUM TAB 5 MG $ 1.23 VALPROIC ACID $ 122.00 VALVE - PASSY-MUIR TRACH & VENT AQUA $ 346.88 VALVE - PASSY-MUIR TRACH & VENT PURPLE $ 390.00 VALVE HEMOSTASIS WITH GUIDEWIRE $ 50.60 VANCOMYCIN $ 139.75 VANCOMYCIN CAP 125 MG $ 38.50 VANCOMYCIN IN 0.9%NS PB SOLN 1GRAM/200ML $ 25.00 VANCOMYCIN INJ 1 GM $ 43.26 VANCOMYCIN INJ 500 MG $ 51.18 VANGRD CR LIP TIB BRG 10 X 71/75 $ 2,537.50 VANGRD CR TIB BRG 12X71/75 $ 2,537.50 VANGUARD 14MM X 71/175MM TIBIAL $ 2,116.00 VANGUARD 14MM X 71/175MM TIBIAL $ 5,558.00 VANGUARD ANT STBLZD BRG 10 X 83 $ 3,416.00 VANGUARD CR ILOK FEM -LT 60 $ 5,820.00 VANGUARD CR ILOK FEM-LT 67.5 $ 5,820.00 VANGUARD CR ILOK FEM-LT 70 $ 5,820.00 VANGUARD CR ILOK FEM-LT 75 $ 5,820.00 CHARGE DESCRIPTION CHARGE AMOUNT VANGUARD CR ILOK FEM-LT 80 $ 5,820.00 VANGUARD CR ILOK FEM-RT 57.5 $ 5,820.00 VANGUARD CR ILOK FEM-RT 62.5 $ 5,820.00 VANGUARD CR ILOK FEM-RT 67.5 $ 5,820.00 VANGUARD CR ILOK FEM-RT 70 $ 5,820.00 VANGUARD CR ILOK FEM-RT 72.5 $ 5,820.00 VANGUARD CR ILOK FEM-RT 75 $ 5,820.00 VANGUARD CR INTLK FEM 55MM RT $ 5,820.00 VANGUARD CR LIP TIB BRG 10 X 79/83 $ 2,537.50 VANGUARD CR LIP TIB BRG 10X79/83 $ 3,416.00 VANGUARD CR LIP TIB BRG 10X87/91 $ 2,537.50 VANGUARD CR LIP TIB BRG 12X63/67 $ 2,537.50 VANGUARD CR LIP TIB BRG 12X71/75 $ 2,537.50 VANGUARD CR LIP TIB BRG 12X79/83 $ 2,645.00 VANGUARD CR LIP TIB BRG 12X87/91 $ 2,537.50 VANGUARD CR LIP TIB BRG 14X79/83 $ 2,537.50 VANGUARD CR TIB BRG 10X71/75 $ 2,537.50 VANGUARD CR TIB BRG 10X87/91 $ 2,537.50 VANGUARD CR TIB BRNG 11X71/75 $ 2,537.50 VANGUARD CR TIB BRNG 11X71/75 $ 5,375.00 VANGUARD CR TIB BRNG 11X79/83 $ 5,375.00 VANGUARD CR TIBIAL BEARING 14X79/83 $ 2,537.50 VANGUARD CR-LIPPED TIB BEARING 10X63/67 $ 2,537.50 VANGUARD CR-LIPPED TIB BEARING 12X79/83 $ 2,537.50 VANGUARD CUSTOM CL FEMORAL LEFT $ 21,492.00 VANGUARD CUSTOM PS FEMORAL CEM RIGHT $ 21,492.00 VANGUARD CUSTOM TITNIUM CR FEMORAL $ 21,480.00 VANGUARD D CR LIP TIB BRG 12MM X 79/83MM $ 2,537.50 VANGUARD DIST FEM AUG 65 X 5 LL/ LM $ 3,177.50 VANGUARD DIST FEM AUG 65 X 5 RL/ LM $ 3,177.50 VANGUARD E1 CR TIB BRG 12MM X 71/75MM $ 5,426.00 VANGUARD E1 CR TIB BRG 63/67X10 $ 5,426.00 VANGUARD E1 CR TIB BRG 63/67X11 $ 8,340.00 VANGUARD E1 CR TIB BRG 63/67X12 $ 5,426.00 VANGUARD E1 CR TIB BRG 63/67X14 $ 2,537.50 VANGUARD E1 CR TIB BRG 71/75X10 $ 5,426.00 VANGUARD E1 CR TIB BRG 71/75X11 $ 5,426.00 VANGUARD E1 CR TIB BRG 79/83X10 $ 5,426.00 VANGUARD E1 CR TIB BRG 79/83X11 $ 8,340.00 VANGUARD E1 CR TIB BRG 79/83X14 $ 5,426.00 VANGUARD E1 CRL TIB BRG 71/75X11 $ 5,426.00 VANGUARD E1 CRL TIB BRG 71/75X12 $ 5,426.00 VANGUARD E1 CRL TIB BRG 71/75X14 $ 5,426.00 VANGUARD E1 PS TIB BRG 63/67 X10 $ 5,542.00 VANGUARD E1 PS+ TIB BRG 63/67X10 $ 5,558.00 VANGUARD E1 PS+ TIB BRG 63/67X12 $ 11,116.00 CHARGE DESCRIPTION CHARGE AMOUNT VANGUARD E1 PS+ TIB BRG 63/67X12 $ 5,558.00 VANGUARD E1 PS+ TIB BRG 63/67X16 $ 5,558.00 VANGUARD E1 PS+ TIB BRG 71/75X10 $ 5,558.00 VANGUARD E1 PS+ TIB BRG 71/75X10 $ 5,558.00 VANGUARD E1 PS+ TIB BRG 79/83X18 $ 5,558.00 VANGUARD FEM PEGS SET 2 $ 5,542.00 VANGUARD FEMORAL 57.5MM RIGHT-INTERLOCK $ 5,820.00 VANGUARD FEMORAL 60MM R INTERLOCK $ 5,820.00 VANGUARD FEMORAL 60MM R INTERLOCK $ 6,064.00 VANGUARD POST FEM AUG 65 X 5 LL/ LM $ 3,177.50 VANGUARD POST FEM AUG 65 X 5 RL/ LM $ 3,177.50 VANGUARD PS + TIB BRG 10X79/83 $ 3,416.00 VANGUARD PS + TIB BRG 14 X 63 / 67 $ 2,645.00 VANGUARD PS OPEN FEM-LT 65 $ 5,820.00 VANGUARD PS OPEN INTL FEM-LT $ 5,820.00 VANGUARD PS OPEN INTL FEM-LT 55 $ 5,820.00 VANGUARD PS TIB BRG 10X71/75MM $ 2,537.50 VANGUARD PS TIB BRG 10X87/91MM $ 2,537.50 VANGUARD PS TIB BRG 12X71/75MM $ 2,537.50 VANGUARD PS TIB BRNG 11X63/67 $ 2,537.50 VANGUARD PS TIB BRNG 11X71X75 $ 6,225.00 VANGUARD SSK 360 L FEM 60MM $ 15,164.00 VANGUARD SSK 360 L FEM 65MM $ 15,164.00 VANGUARD SSK 360 L FEM 75MM $ 15,164.00 VANGUARD SSK 360 PS TIB BRG 12X59 $ 6,197.50 VANGUARD SSK 360 R FEM 62.5 $ 6,280.00 VANGUARD SSK 360 R FEM 62.5 $ 15,164.00 VANGUARD SSK 360 R FEM 65MM $ 15,164.00 VANGUARD SSK PS TIB BRG 10 X79/83 $ 6,197.50 VANGUARD SSK PS TIB BRG 16 X 79/83 $ 6,197.50 VANGUARD SSK PSC INTLK FMRL 60 RT $ 15,164.00 VANGUARD SSK PSC TIB BRG 10 X 79/83 $ 6,197.50 VANGUARD SSK PSC TIB BRG 16 X 79/83 $ 6,197.50 VANGUARD SSK PSC TIB BRG 18 X 36/67 $ 6,197.50 VANGUARD SSK PSC TIB BRG S 14 X 63/67 $ 6,197.50 VANGUARD TI FEM CR 60MM LT $ 21,700.00 VANGUARD TI FEM CR 65MM LT $ 20,228.00 VANGUARD TI FEM CR 70MM LT $ 20,840.00 VANGUARD TI FEM PS 57.5MM LT $ 23,060.00 VANGUARD TI FEM PS 57.5MM RT $ 23,060.00 VANGUARD TI FEM PS 60MM LT $ 23,060.00 VANGUARD TI FEM PS 60MM RT $ 2,852.50 VANGUARD TI FEM PS 67.5MM LEFT $ 22,820.00 VANGUARD TI FEM PS 67.5MM RIGHT $ 22,820.00 VANGUARD TI FEM SSK 60MM LT $ 28,140.00 VANGUARD TI FEM SSK 65MM RT $ 29,860.00 CHARGE DESCRIPTION CHARGE AMOUNT VANGUARD TIB BEARING 12MMX63/67MM PS PLU $ 2,537.50 VAQTA INJ 50 UNITS (HEP A) ADULT $ 155.11 VARICELLA TITER $ 25.00 VARICELLA VACCINE $ 130.00 VARICELLA-ZOSTER Ab $ 111.49 VARIVAX VACCINE 0.5 ML (LIVE) $ 293.81 VASC EMBOLIZE/OCCLUDE ARTERY $ 988.40 VASC EMBOLIZE/OCCLUDE VENOUS $ 914.02 VASCURE FOR VASCULAR REPAIR 5 PACK $ 1,396.00 VASECTOMY UNIL OR BILAT $ 297.43 VASECTOMY UNIL OR BILAT $ 2,138.06 VASECTOMY UNIL OR BILAT $ 2,435.49 VASELINE OINT $ 7.42 VASOACTIVE INTESTINAL POLYPEPTIDE (VIP) $ 275.01 VASOPRESSIN INJ 20 UNIT $ 790.51 VASOSEAL ELITE $ 753.00 VASOSEAL ES $ 846.00 VASOTEC INJ 2.5 MG $ 23.10 VASOTEC TAB 10 MG $ 2.50 VASOTEC TAB 5 MG $ 2.42 VELBAN INJ 10 MG $ 10.19 VELCADE INJ 3.5 MG $ 105.17 VELCADE INJ 3.5 MG $ 103.58 VELTASSA PACKET 8.4 GRAMS $ 83.08 VENIPUNCTURE CHGD IN ADD TO LAB ORDERED $ 10.00 VENOFER INJ 100 MG $ 2.26 VENOGRAM BILATERAL $ 4,338.70 VENOGRAM EXTREMITY UNILATERAL $ 212.84 VENOGRAM INJECT $ 4,424.94 VENOGRAM IVC W SERIALOGRAPHY $ 112.62 VENOGRAM IVC W SERIALOGRAPHY $ 146.46 VENOGRAM LT $ 4,093.86 VENOGRAM RT $ 6,243.35 VENOGRAPHY BILATERAL EXTREMITY RADIO $ 4,338.70 VENOGRAPHY UNILATERAL EXTREMITY RADIO $ 4,093.86 VENOGRAPHY EXTREMITY; BILATERAL $ 325.63 VENOGRAPHY SVC S&I $ 1,655.50 VENOUS MECH THROMBECTOMY $ 807.32 VENOUS SELECTIVE CATH PLACE 2ND OR MORE $ 2,604.14 VENOUS THROMBOSIS IMAGING, VENOGRAM; UNI $ 1,803.90 VENT FIRST DAY $ 1,145.98 VEPESID INJ 100 MG $ 2.60 VERSA GRAFT $ 3,225.00 VERSA-DIAL HEAD HUM 46X21X50MM $ 3,000.00 VERSA-DIAL HEAD HUM 50X21X57MM $ 3,000.00 VERSED INJ 2 MG $ 7.07 CHARGE DESCRIPTION CHARGE AMOUNT VERSED INJ 5 MG $ 2.94 VERSED INJ 5 MG 5 ML $ 2.90 VERSED SYRUP 2 MG 1 ML $ 8.20 VERSYS CEM LD/FX $ 3,250.00 VERSYS CEM LD/FX SZ 12 X125MM $ 3,250.00 VERSYS CEM LD/FX SZ 12X125MM $ 3,250.00 VERSYS CEM/REV/CALCAR 13/15X10MM $ 1,729.00 VERSYS CEM/REVCALCAR 13X170MM $ 10,348.00 VERSYS DISTAL CENTRALIZER $ 380.00 VERSYS DISTAL CENTRALIZER 11MM $ 380.00 VERSYS DISTAL CENTRALIZER 15MM $ 380.00 VERSYS DISTAL CENTRALIZER 9MM $ 380.00 VERSYS FM MC CLR 14X140MM STD BOD STD NK $ 6,600.00 VERSYS FM MC CLR 17X160MM STD BODY/NECK $ 6,600.00 VERSYS FM MC CLR 18X160MM STD BODY/NECK $ 6,600.00 VERSYS LD/FX STEM PRESS FIT SZ 12 $ 3,250.00 VERSYS LD/FX STEM PRESS FIT SZ 13 $ 3,250.00 VERSYS LD/FX STEM PRESS FIT SZ 14 $ 3,250.00 VERSYS PRESS FIT LD/FX SZ 15X140MM $ 3,250.00 VERSYS PRESS FIT LD/FX SZ 15X140MM $ 3,250.00 VERSYS PRESS FIT LD/FX SZ 16X145MM $ 3,250.00 VERYS CEM LD/FX SZ 14X135MM $ 3,250.00 VERYS CEM LD/FX SZ 16X145MM $ 3,250.00 VIBRAMYCIN INJ 100 MG $ 26.26 VIDAZA INJ 100 MG $ 13.22 VIGAMOX 0.5% OPHTH SOLN $ 506.46 VIPERSLIDE 20ML $ 67.20 VIPERWIRE ADVANCED .017 D 335CM $ 600.00 VIRUS ISOLATION IMMUNO STAIN $ 112.27 VIRUS ISOLATION, EGG/SMALL ANIMAL $ 155.53 VIRUS ISOLATION, ID BY NON-IMMUNOFLUOR $ 176.13 VIRUS ISOLATION, TISSUE CULTURE $ 254.51 Visceral Duplex Complete $ 1,230.36 VISCERAL DUPLEX LIMITED $ 831.43 VISCO-GEL LITTLE TOEBIDDY $ 3.00 VISCO-GEL RIBBED DIGITAL TUBES $ 7.50 VISCOSITY SERUM $ 98.55 VISI PRO B $ 2,470.00 VISI PRO B $ 2,805.00 VISINE OPHTH SOLN 0.05% 15 ML $ 10.66 VISION BLUE OPHTH SOLN 0.06% 0.5 ML $ 152.65 VISION/TITMUS ESCREEN $ 22.00 VISIONIST IS-1/ LV-1 $ 17,748.00 VISIPAQUE 320/100ML $ 524.64 VISIPAQUE 320/50 ML $ 262.40 VISIPAQUE 320mg/ml 100ml $ 472.78 CHARGE DESCRIPTION CHARGE AMOUNT VISIPAQUE 320mg/ml 50ml $ 241.48 VISIT OP ESTAB LEVEL 1-TECH $ 120.00 VISIT OP ESTAB LEVEL 2-TECH $ 150.00 VISIT OP ESTAB LEVEL 3-TECH $ 170.00 VISIT OP ESTAB LEVEL 4-TECH $ 190.00 VISIT OP ESTAB LEVEL 5-TECH $ 210.00 VISIT OP NEW LEVEL 1-TECH $ 140.00 VISIT OP NEW LEVEL 2-TECH $ 160.00 VISIT OP NEW LEVEL 3-TECH $ 180.00 VISIT OP NEW LEVEL 4-TECH $ 200.00 VISIT OP NEW LEVEL 5-TECH $ 543.00 VISTARIL CAP 25 MG $ 1.36 VISTARIL INJ 50 MG $ 53.06 VISUAL ACUITY SCREEN (TITMUS) $ 15.00 VISUAL ACUITY SCREEN BILAT - QUAN $ 10.00 VISUAL AUDIOMETRY - VRA $ 188.47 VITALIZE PEEL $ 130.00 VITAMIN A RETINOL $ 97.85 VITAMIN B1 THIAMINE $ 196.44 VITAMIN B12 1000 MCG TAB $ 1.10 VITAMIN B-12 INJ 1000 MCG $ 41.46 VITAMIN B12 UNSAT BIND CAP $ 120.24 VITAMIN B2 RIBOFLAVIN $ 238.19 VITAMIN B6 $ 176.43 VITAMIN C (ABSORBIC ACID) $ 53.56 VITAMIN C+E $ 97.00 VITAMIN D 1 25 HYDROXY $ 209.09 VITAMIN D 25 HYDROXY $ 157.75 VITAMIN D2 (ERGOCALCIFEROL) 50,000 UNITS $ 2.09 VITAMIN D3 TABS 1000 UNITS $ 1.05 VITAMIN E CAP 400 IU $ 1.13 VITAMIN E SERUM $ 138.20 VITAMIN K1 $ 306.43 VITAMIN, NOS $ 192.78 VL SMOKE EVAC PENCIL $ 113.80 VMA, URINE $ 132.87 VOL VENT SUBSEQUENT $ 812.36 VOLATILES $ 148.32 VOLBELLA $ 400.00 VOLLURE $ 700.00 VOLUMA FACIAL FILLER INJECTIONS $ 800.00 VOLUMEN 0.1% SUSPENSION 450 ML $ 18.73 VON WILLEBRAND AG MULTIMERIC $ 255.18 VON WILLEBRAND ANTIGEN $ 172.46 VPC SCREW 3.4 X 20MM $ 2,030.00 VPC SCREW 3.4 X 24MM $ 2,100.00 CHARGE DESCRIPTION CHARGE AMOUNT VPC SCREW 3.4 X 28MM $ 2,030.00 VPC SCREW 3.4 X 30MM $ 2,030.00 VPC SCREW 3.4 X 34MM $ 2,100.00 VRA $ 90.96 VULVA COLPOSC W BX $ 150.35 VULVA COLPOSC W BX $ 358.49 VULVA COLPOSC W BX $ 508.83 VULVECTOMY SIMPLE; PARTIAL $ 1,301.90 WALLSTENT 24MM X 45 MM $ 3,376.76 WAND T&A PROCISE XP $ 1,112.00 WAND TURBINATE REFLEX ULTRA 45 $ 996.00 WASHER - 3.0MM CANN SCREWS $ 123.20 WASHER 13.0MM 219 99 $ 111.12 WASHER FLAT 4.0MM $ 192.00 WASHER FLAT 5.0MM $ 192.00 WASHER FOR 3.0MM CANNULATED SCREWS $ 123.20 WASHER FOR 3.5MM, 4.0MM CANN SCREWS $ 123.20 WASHER FOR 5.5MM THRU 7.5MM CANN SCRW $ 123.20 WASHER SMALL 219 98 $ 101.24 WASHER TH 3.0MM CANN SCR $ 552.00 WATER FOR INJECTION (PLAIN) 20 ML $ 2.50 WATER FOR IRRIGATION 250ML $ 61.50 WATER FOR IRRIGATION UROMATIC 1000 ML $ 73.55 WAVEGUIDE RETRACTOR NAR FLAT $ 1,060.00 WAVEGUIDE RETRACTOR WIDE FLAT $ 1,060.00 WBC $ 48.13 WEDGE EXC NAIL FOLD $ 120.12 WEDGE EXC NAIL FOLD $ 404.04 WEDGE EXC NAIL FOLD $ 404.04 WEDGE LAPIDUS 5 X 5MM $ 4,312.50 WEDGE LAPIDUS 8MM $ 4,312.50 WEDGES 30 DEG FOAM 11 X 5 X 16 (TAP) $ 124.68 WELLBUTRIN SR 100MG $ 2.94 WELLBUTRIN SR TAB 150 MG $ 2.35 WELLNESS THERAPEUTIC MASSAGE- 15 MINS $ 56.00 WET MOUNTS $ 54.62 WIRE 1.25MM TI KIRSCHNER 150MM $ 421.20 WIRE 125MM GUIDE THREADED $ 118.48 WIRE ALPS COMPRESSION LONG $ 126.00 WIRE ALPS COMPRESSION MED $ 126.00 WIRE CROSS IT 100XT .014 190CM STRAIGHT $ 328.00 WIRE CROSS IT 100XT .014 300CM ANGLED $ 328.00 WIRE CROSS IT 100XT .014 300CM STRAIGHT $ 328.00 WIRE CROSS-IT 100XT .014 190CM $ 328.00 WIRE GLADIUS 300CM 0.014 $ 660.00 WIRE GUIDE HERBERT/ WHIPPLE 1MM $ 397.60 CHARGE DESCRIPTION CHARGE AMOUNT WIRE GUIDE THRD 2.5MM SPADE PT 230MM $ 193.48 WIRE INFUSION PROSTREAM 145CM $ 780.00 WIRE INFUSION PROSTREAM 175CM $ 780.00 WIRE LAPIDUS NAIL TRGT GDE OLV THRD 1.8 $ 420.00 WIRE OLIVE SMOOTH 1.3MM $ 384.00 WIRE OLIVE SMOOTH 1.4MM $ 384.00 WIRE PROSTREAM MSH $ 682.50 WIRE ROAD RUNNER .035 260CM $ 124.00 WIRE SET GRAFT PASSING $ 872.00 WIRE STABILIZER .014 X 180CM $ 287.00 WIRE THRUWAY 190CM .018 $ 386.68 WIRE WIGGLE .014 300CM $ 328.00 WIRE ZIP .025 X 150CM STIFF $ 213.16 WIRE ZIP .035 X 150CM STIFF SHAFT $ 280.08 WIRES VASCULAR JINDO $ 369.60 WORK CONDITIONING 15 MIN $ 13.88 WORK PHYSICAL $ 25.00 WORM I D $ 56.00 WOUND CLOSURE BY ADHESIVE $ 120.70 WOUND CLOSURE BY ADHESIVE $ 105.00 WOUND MATRIX - MATRISTEM MULTILAYER $ 2,499.00 WOUND PREP TRK/ARM/LEG 100 SQ CM/1% BA $ 571.25 WOUND(S) CARE NON-SELECTIVE $ 431.05 WRAP COLD THERAPY LARGE $ 199.44 WRAP COLD THERAPY MEDIUM $ 135.56 WRAP COLD THERAPY SHOULDER $ 303.72 WRAP COLD THERAPY X LARGE $ 255.20 WRIST LT COMPLETE $ 449.86 WRIST LT COMPLETE - PORTABLE $ 449.86 WRIST LT W/NAVICULAR $ 449.86 WRIST RT COMPLETE $ 449.86 WRIST RT COMPLETE - PORTABLE $ 449.86 WRIST RT W/NAVICULAR $ 449.86 WRIST SYNOVECTOMY- 1 COMPARTM $ 755.20 X LINK HIMO HUM CUP 38 +9 $ 3,197.25 XALATAN OPHTH SOLN 0.005% 2.5 ML $ 33.10 XANAX TAB 0.25 MG $ 1.20 XANAX TAB 0.5 MG $ 1.15 XARELTO 15 MG TABLET $ 45.25 XARELTO 2.5 MG TABLET $ 23.31 XARELTO 20 MG TABLET $ 45.26 XARELTO TAB 10MG $ 45.08 XGEVA 120 MG / 1.7 ML $ 42.59 X-RAY EXAM OF ANKLE 2 VIEWS $ 21.07 X-RAY EXAM OF ANKLE 2 VIEWS $ 94.50 X-RAY EXAM OF ANKLE 2 VIEWS $ 49.60 CHARGE DESCRIPTION CHARGE AMOUNT X-RAY EXAM OF ANKLE 3+ VIEWS $ 74.88 X-RAY EXAM OF ANKLE 3+ VIEWS $ 21.97 X-RAY EXAM OF ANKLE 3+ VIEWS $ 52.90 X-RAY EXAM OF FOOT 2 VIEWS $ 15.54 X-RAY EXAM OF FOOT 2 VIEWS $ 29.13 X-RAY EXAM OF FOOT 2 VIEWS $ 107.50 X-RAY EXAM OF FOOT 2 VIEWS $ 34.40 X-RAY EXAM OF FOOT 3+ VIEWS $ 16.92 X-RAY EXAM OF FOOT 3+ VIEWS $ 25.38 X-RAY EXAM OF FOOT 3+ VIEWS $ 58.53 X-RAY EXAM OF FOOT 3+ VIEWS $ 39.02 X-RAY EXAM OF FOOT; 2 VIEWS $ 62.42 X-RAY EXAM OF FOOT; 2 VIEWS $ 91.84 X-RAY EXAM OF HEEL 2+ VIEWS $ 19.73 X-RAY EXAM OF KNEE 3 $ 582.74 X-RAY EXAM OF RIBS 2 VIEWS UNILAT $ 65.56 X-RAY EXAM OF RIBS 2 VIEWS UNILAT $ 22.54 X-RAY EXAM OF RIBS 2 VIEWS UNILAT $ 43.02 X-RAY EXAM OF TOE(S) 2+ VIEWS $ 67.15 X-RAY EXAM OR WRIST 3+ VIEW $ 69.22 X-RAY EXAM OR WRIST 3+ VIEW $ 17.60 X-RAY EXAM OR WRIST 3+ VIEW $ 51.62 X-RAY EXAM SURGICAL SPECIMEN $ 40.98 X-RAY OF LOWER SPINE DISK $ 3,999.53 YERVOY INJ 5MG/ML 10ML $ 328.96 YERVOY INJ 5MG/ML 10ML $ 330.22 ZANAFLEX 4MG TAB $ 1.61 ZAROXOLYN TAB 2.5 MG $ 9.21 ZAROXOLYN TAB 5 MG $ 10.33 ZARXIO 300 MCG/0.5 ML INJ $ 2.08 ZEMURON INJ 50 MG $ 25.95 ZETIA TAB 10 MG $ 35.50 ZINC $ 82.15 ZINC SULFATE CAP 220 MG $ 1.07 ZIPTIGHT ANKLE SYN SYS-SS $ 2,442.48 ZIPWIRE STIFF 260CM $ 217.60 ZITHROMAX INJ 500 MG $ 48.44 ZITHROMAX LIQUID 40 MG/ML 15 ML $ 79.48 ZITHROMAX TAB 250 MG $ 8.50 ZOFRAN INJ 4 MG $ 5.03 ZOFRAN ODT 4 MG $ 2.84 ZOFRAN TAB 4 MG $ 2.57 ZOLADEX INJ 3.6 MG $ 1,387.29 ZOLOFT TAB 50 MG $ 1.55 ZOMETA INJ 4 MG $ 365.93 ZONISAMIDE $ 124.58 CHARGE DESCRIPTION CHARGE AMOUNT ZOSTAVAX $ 502.02 ZOSTRIX CREAM 0.025% 60 GM $ 21.85 ZOSYN 2.25G INJ $ 22.96 ZOSYN 4.5GRAMS INJ $ 19.20 ZOSYN INJ 3.375 GRAMS $ 20.82 ZOSYN PB 4.5GM 100ML $ 31.88 ZOSYN PB SOLN 3.375 GM 50 ML $ 35.00 ZOVIRAX CAP 200 MG $ 1.37 ZOVIRAX INJ 500 MG $ 1.00 ZYGOMA COMPLETE $ 570.96 ZYLOPRIM TAB 100 MG $ 2.24 ZYLOPRIM TAB 300 MG $ 3.21 ZYPREXA TAB 5 MG $ 2.50 Zyvox PB Soln 600mg/300ml $ 91.65 ZYVOX TAB 600 MG $ 423.14

*PHARMACEUTICAL AND SUPPLY CHARGES ARE SUBJECT TO CHANGE BASED ON COST.