Faith Regional Health Services List of Charges Note: Any Items with an '*' Do Not Have a Fixed Charge. the Charge Is Manually A

Faith Regional Health Services List of Charges

Note: Any items with an '*' do not have a fixed charge. The charge is manually adjusted for patient-specific items.

Charge# Pricing Transparency Description 2019 Price 17517 NEWBORN NURSERY $ 821.00 22004 INTENSIVE CARE ROOM 3,456.00 25304 PEDIATRICS INTERMEDIATE (LEVEL 2) 1,931.00 27516 NEWBORN INTERMEDIATE 1,931.00 32011 INTENSIVE CARE STEP DOWN ROOM 2,279.00 34819 MEDICAL SURGICAL ROOM 1,500.00 35311 WOMEN'S SURGERY 1,500.00 36509 BEHAVORIAL HEALTH ROOM 2,224.00 37515 NEWBORN INTENSIVE CARE (NICU) 2,673.00 38000 ACUTE REHAB INTERRUPTED STAY * 42010 MEDICAL SURGICAL ROOM 1,500.00 45310 PEDIATRICS LEVEL 1 1,500.00 46425 PROGRESSIVE PSYCH ROOM 2,224.00 46524 BEHAVORIAL HEALTH ROOM 2,224.00 48009 ACUTE REHAB PRIVATE ROOM 1,662.00 55004 POST-PARTUM 1,532.00 56424 PROGRESSIVE PSYCH ROOM 2,224.00 56523 BEHAVORIAL HEALTH ROOM 2,224.00 99002 RM AMS SAME DAY SURG BED * 101394 CAR SEAT TESTING 60MIN. 101.00 101410 CAR SEAT TESTING +30 101.00 105510 OBSERVATION INTENSIVE CARE DIRECT ADMIT 621.00 105528 OBSERVATION INTENSIVE CARE FIRST 6 HOURS 1,252.00 105536 OBSERVATION INTENSIVE CARE HOURS 7 THROUGH 12 124.00 105544 OBSERVATION INTENSIVE CARE HOURS 13 THROUGH 18 62.00 105551 OBSERVATION INTENSIVE CARE HOURS 19 THROUGH 24 62.00 OBSERVATION INTENSIVE CARE OVER 24 HOURS (PER HOUR 105569 62.00 CHARGE) 105577 OBSERVATION MEDICAL SURGICAL DIRECT ADMIT 621.00 105585 OBSERVATION MEDICAL SURGICAL FIRST 6 HOURS 1,252.00 105593 OBSERVATION MEDICAL SURGICAL HOURS 7 THROUGH 12 124.00 105601 OBSERVATION MEDICAL SURGICAL HOURS 13 THROUGH 18 62.00 105619 OBSERVATION MEDICAL SURGICAL HOURS 19 THROUGH 24 62.00 OBSERVATION MEDICAL SURGICAL OVER 24 HOURS (PER HOUR 105627 62.00 CHARGE) 105635 OB OBSERVATION DIRECT ADMIN. 621.00 105643 OB OBSERVATION 1 THRU 6HRS. 1,252.00 105650 OB OBSERVATION 7 THRU 12HRS. 124.00 105668 OB OBSERVATION 13 THRU 18HRS. 62.00 105676 OB OBSERVATION 19 THRU 24HRS. 62.00 105684 OB OBSERVATION >24HRS. 62.00 105692 PEDS OBSERVATION DIRECT ADMIN. 621.00 105700 PEDS OBSERVATION 1 THRU 6HRS. 1,252.00 105718 PEDS OBSERVATION 7 THRU 12HRS. 124.00 105726 PEDS OBSERVATION 13 THRU 18HRS. 62.00 105734 PEDS OBSERVATION 19 THRU 24HRS. 62.00 105742 PEDS OBSERVATION >24HRS. 62.00 105759 CDU OBSERVATIONDIRECT ADMISSION 621.00 105767 CDU OBSERVATION HOURS 1 THRU 6 1,252.00 105775 CDU OBSERVATION HOURS 7 THRU 12 124.00 105783 CDU OBSERVATION HOURS 13 THRU 18 62.00 105791 CDU OBSERVATION HOURS 19 THRU 24 62.00 105809 CDU OBSERVATION HOURS OVER 24 62.00 200022 OR MINOR PROCEDURE/LVL 1 476.00 200030 OR ARCH BARS 159.00 200048 OR ARTHROSCOPE 766.00 200063 OR BRONCHOSCOPE 1,085.00 200071 OR CAST SAW 131.00 200097 OR COLONSCOPE 1,085.00 200147 OR CYSTOSCOPE FLEXIBLE 789.00 200212 OR ERCP 1,094.00 200329 OR FLEX VIDEO URETEROSCOP 1,850.00 200337 OR FORCEP 168.00 200345 OR GASTROSCOPE 1,032.00 200352 OR HALL/STRYKER DRILL/SAW 864.00 200360 OR HYSTERSCOPE RIGID 746.00 200394 OR PURPLE LAPAROSCOPE 30 746.00 200402 OR LARYNGOSCOPE RIGID 834.00 200451 OR LASER/CO2/KTP 1,465.00 200485 OR MICROSCOPE 473.00 200535 OR OPERATING ROOM LEVEL 2 32.00 200543 OR OPERATING ROOM LEVEL 3 35.00 200550 OR OPERATING ROOM LEVEL 4 38.00 200568 OR OPERATING ROOM LEVEL 5 53.00 200618 OR PRINTER PICTURES 90.00 200642 OR SAVARY GILLIARD 419.00 200667 OR SIGMOIDOSCOPE RIGID 725.00 200675 OR SINUSCOPE 617.00 200725 OR ULTRASONIC DOPPLER 46.00 200741 OR VIDEO IMAGING 1,267.00 200774 OR SPINAL PUNCTURE LUMBAR 675.00 200808 OR OPERATING ROOM LEVEL 6 56.00 200824 OR HEART/LUNG MACHINE ON 2,014.00 200873 OR HEART/LUNG MACHINE OFF 1,018.00 200972 OR COMBINE ROLL STERILIZE 86.00 200980 OR AUTOLOGOUS CELL SAVER 622.00 201152 OR STORZ 30 DEGREE SCOPE 794.00 201160 OR STORZ 70 DEGREE SCOPE 794.00 201194 OR STORZ 0 DEGREE SCOP/LE 617.00 201202 OR 11 FR PEDS CYSTO 30 DE 617.00 201228 OR URETEROSCOPE DUR 8 1,772.00 201244 OR 6.9 FR SEMI RIGID URET 1,981.00 201251 OR 10 FR SEMI RIGID URETE 1,772.00 201293 OR LAPAROSCOPE 10MM 30 DE 617.00 201319 OR LAPAROSCOPE 10MM 0 DEG 712.00 201327 OR LAPAROSCOPE 5MM 0 DEGR 794.00 201343 OR LAPAROSCOPE 5MM 0 DEG 794.00 201350 OR LAPAROSCOPE 5MM 30 DEG 794.00 201368 OR LAPAROSCOPE 5MM 30 DEG 794.00 201426 OR LAPAROSCOPE VEIN HARVE 794.00 201558 OR EMG <5 SITES + ABDOMEN 125.00 201574 OR NEEDLE EMG 2 LIMBS 245.00 201640 OR BILATERAL CRANIAL NERV 245.00 201731 OR XR ABDOMEN COMPLETE SU 535.00 201749 OR XR UROGRAPHY RETROGRAD 1,547.00 201806 OR WRIST NERVE BLOCK 675.00 201814 OR SUPRACLAVICULAR 675.00 201822 OR INFRACLAVICULAR NRV BL 675.00 201848 OR INTERSCALENE 675.00 201855 OR MEDIAN NERVE BLOCK 675.00 201863 OR POPLITEAL NERVE BLOCK 675.00 201871 OR N BLOCK CONT INFUSE B 1,276.00 201889 OR IONM IN OPERATING ROOM 403.00 201897 OR FEMORAL NERVE BLOCK SG 675.00 201905 OR SCIATIC NERVE BLOCK SG 1,276.00 202002 OR SOMATOSENSORY TESTING 827.00 202028 OR BRONCHOSCOPE 180 OLYMP 1,464.00 202036 OR BRONCHOSCOPE 180 OLYMP 1,464.00 202044 OR ENDOSCOPE PENTAX CURVE 1,464.00 202051 OR ENDOSCOPE US PENTAX 1,464.00 202069 OR EBUS ULTRASOUND PROBE 341.00 202077 OR OLYMPUS 180 COLONOSCOP 1,421.00 202085 OR US GUIDANCE FOR VASCUL 803.00 202119 OR USE OF MINI-C ARM W/I * 202127 OR TCEMEP UPPER & LOWER L 1,050.00 202135 OR TAP BLOCK BILATERAL 1,654.00 202143 OR TAP BLOCK SINGLE 1,433.00 202150 OR ADULT PERCUTANEOUS W/F 1,989.00 202168 OR ADULT OPEN 1,989.00 202184 OR INITIATION VENO-VENO 8,448.00 202192 OR INITIATION VENO-ART 8,448.00 202200 OR DAILY MANAGEMENT VENO- 1,133.00 202226 OR ULTRASONIC GUIDANCE IN 709.00 300053 RR POST ANES CARE LVL I I 22.00 300079 RR POST ANES CARE LVL I 16.00 300111 RR PACU MONITOR 117.00 400010 SU EST PT CARE LEVEL I 152.00 400051 SU POST PROCEDURE CARE/RO 137.00 400069 SU PRE-PROCEDURE CARE/ROO 378.00 400143 SU LUMBAR PUNCTURE DIAGNO 675.00 400325 SU INJ EPI BLOOD PATCH 1,276.00 400473 SU SEDATION 5YRS+ INITIAL 245.00 400630 SU SIJ ANESTH/STERIOD INJ 1,276.00 500017 DL CERVICAL RIPENING 325.00 500025 DL CIRCUMSION 477.00 500033 DL DELIVERY VAGINAL 1,566.00 500041 DL EPIDURAL PER 30 MINS 66.00 500066 DL INDUCTION PER 30 MINS 123.00 500074 DL LABOR TIME PER 30 MINS 92.00 500082 DL MGSO4 ADMIN PER 30 MIN 126.00 500090 DL PITOCIN AUGMENTATION/3 122.00 500116 DL PP RECOVERY PER 30 MIN 143.00 500124 DL CERVIDIL PER 30 MIN 62.00 500132 DL NON STRESS TEST - FETA 287.00 500157 DL ANTEPARTUM MANI EXTERN 2,993.00 500173 DL LACTATION CONSULT PER 38.00 500348 DL HEARING SCREEN EOE LTD 152.00 700021 AN ANSETHESIA VENT 249.00 700070 AN EPIDURAL SETUP 418.00 700104 AN MASK GENERAL ANESTHESI 636.00 700120 AN IV SED MAC TIVA 205.00 700138 AN NITROUS OXIDE/AIR 54.00 700161 AN SPINAL SETUP 624.00 700203 AN ETT GENERAL ANESTHESIA 684.00 700211 AN LMA GENERAL ANESTHESIA 684.00 700229 AN ORAL RAE GENERAL ANEST 727.00 700237 AN NASAL RAE GENERAL ANES 638.00 700245 AN LABOR EPIDURAL SETUP 395.00 700344 AN SUPRANE PER 30' 232.00 700351 AN ULTANE PER 30' 232.00 700369 AN FORANE PER 30' 232.00 700377 AN US GUIDED NEEDLE PLACE 1,905.00 700385 AN GENERAL ANESTHESIA NO 585.00 700401 AN ADDUCTOR CANAL BLOCK 406.00 700419 AN OTHER PERIPHERAL NERVE 992.00 700427 AN SINGLE INJ PEC REGIONA 900.00 700435 AN MULTIPLE INJ PEC REGIO 1,134.00 900118 XR GALLBLADDER 2,027.00 900126 XR GALLBLADDER 2,002.00 900134 XR SMALL INTESTINE WITH TUBE 1,667.00 900167 XR FLUOROSCOPY UP TO 1 HR 636.00 900175 XR FLUOROSCOPY > 1 HOUR 2,138.00 900209 XR STOMACH TUBE PLACEMENT 1,585.00 900282 XR CONTRAST IN UTERUS AND OVARIES 690.00 900316 XR INTRODUCE GI TUBE 864.00 900670 XR SURGICAL PROCEDURE * 900746 XR KIDNEYS WITH CONTRAST 1,473.00 900753 XR KIDNEYS WITH CONTRAST 1,010.00 900761 XR BLADDER EMPTYING STUDY 738.00 900852 XR EYE FOREIGN BODY 245.00 900860 XR FACIAL BONES 3 VIEWS 410.00 900878 XR JAW 410.00 900886 XR NASAL BONES 3+ VIEWS 325.00 900902 XR EYE 366.00 900910 XR SOFT TISSUE NECK 282.00 900928 XR SKULL <4 VWS 325.00 900944 XR ABDOMEN COMPLETE SUPIN 509.00 900977 XR AC JOINTS BILATERAL 287.00 900993 XR ANKLE COMPLETE 325.00 901009 XR ANKLE 2 VW 245.00 901017 XR ANKLE COMP 3 VW/EA BIL 489.00 901025 XR ANKLE 2 VW BILATERAL 428.00 901041 XR C-SPINE 4+ VIEWS 501.00 901058 XR C-SPINE COMPLETE 549.00 901066 XR C-SPINE 2-3 VIEWS 366.00 901074 XR HEEL 245.00 901140 XR CHOLANGIOGRAPHY OPERAT 683.00 901165 XR COLLARBONE 277.00 901173 XR COLON AIR CONTRAST BAR 1,852.00 901181 XR COLON BARIUM ENEMA 1,331.00 901199 XR ELBOW MIN 3 VW 325.00 901207 XR ELBOW WITH CONTRAST 763.00 901215 XR ELBOW 2 VW 277.00 901223 XR ELBOW MIN 3 VW BILATER 489.00 901231 XR ELBOW 2 VW BILATERAL 428.00 901264 XR ESOPHAGUS 549.00 901272 XR FOOT COMPLETE BILATERA 489.00 901280 XR FOOT 2 VW BILATERAL 428.00 901306 XR FEMUR 2 VW BILAT 428.00 901314 XR FINGER 2+ VIEWS 245.00 901330 XR FOOT COMPLETE 306.00 901348 XR FOOT 2 VW 245.00 901355 XR FOREARM 2 VW 245.00 901363 XR FOREARM 2 VW BILATERAL 428.00 901371 XR HAND MIN 3 VW 306.00 901389 XR HAND 2 VW 306.00 901397 XR HAND MIN 3 VW BILATERA 489.00 901405 XR HAND 2 VW BILATERAL 489.00 901413 XR HIP WITH CONTRAST 616.00 901421 XR HUMERUS 2 VIEWS 306.00 901439 XR CONTRAST IN UTERUS AND OVARIES 428.00 901470 XR CONTRAST INJECTED INTO BLADDER 428.00 901496 XR INJECTION ELBOW WITH CONTRAST 366.00 901512 XR INJECTION HIP WITH CONTRAST 366.00 901520 XR INJECTION KNEE WITH CONTRAST 366.00 901546 XR INJECTION SHOULDER WITH CONTRAST 366.00 901579 XR INJECTION WRIST WITH CONTRAST 366.00 901587 XR INJECTION KNEE WITH CONTRAST 642.00 901595 XR KNEE COMPLETE 4+VW 397.00 901603 XR KNEE 1 OR 2 VW 306.00 901611 XR KNEE 3 VW 306.00 901629 XR KNEE COMPLETE 4+VW BIL 585.00 901637 XR KNEE 1 OR 2 VW BILATER 458.00 901645 XR KNEE 3 VW BILATERAL 458.00 901652 XR LOW BACK 549.00 901660 XR LOW BACK 428.00 901678 XR LOW BACK 592.00 901710 XR PELVIS COMPLETE MIN 3 366.00 901728 XR PELVIS 1 OR 2 VIEWS 306.00 901769 XR RIBS BILAT MIN 4 VWS W 549.00 901777 XR RIBS BILATERAL 3 VIEWS 428.00 901785 XR RIBS UNILATERAL 2 VIEW 306.00 901793 XR SACRUM COCCYX 2 VIEWS 306.00 901819 XR SCAPULA COMPLETE 306.00 901835 XR SHOULDER WITH CONTRAST 824.00 901843 XR SHOULDER MIN 2 VW 336.00 901850 XR SHOULDER MIN 2 VW BILA 518.00 901868 XR SHOULDER SGL VW BILATE 489.00 901876 XR PELVIS JOINTS 306.00 901884 XR SPINE SINGLE VIEW 306.00 901892 XR SINUS PARANASAL < 3 VI 245.00 901900 XR SINUS PARANASAL 3+ VIE 428.00 901926 XR SKULL COMPLETE 4+ VIEW 489.00 901942 XR SMALL BOWEL MULTIPLE V 635.00 901959 XR STERNUM 2+ VIEWS 336.00 901967 XR STERNOCLAVICAL JOINT 3 306.00 901975 XR UPPER BACK 366.00 901983 XR UPPER BACK 428.00 902015 XR TIB/FIB 2 VW BILATERAL 489.00 902023 XR TIB/FIB 2 VW 306.00 902031 XR TMJS BILATERAL 397.00 902049 XR TOE 2+ VIEWS 245.00 902056 XR STOMACH AND INTESTINE WITH CONTRAST 1,036.00 902064 XR STOMACH WITH CONTRAST 773.00 902072 XR WRIST WITH CONTRAST 672.00 902080 XR WRIST MIN 3 VW 306.00 902098 XR WRIST 2 VW 245.00 902106 XR WRIST MIN 3 VW BILATER 489.00 902114 XR WRIST 2 VW BILATERAL 428.00 902148 XR UPPER BACK WITH CONTRAST 1,340.00 902163 XR UPPER GI W KUB 731.00 902296 XR SHOULDER SGL VW 245.00 902320 XR SWALLOW FUNCTION ESOPH 549.00 902361 XR RIBS UNILAT MIN 3 VWS 428.00 902429 XR TIBIA FIBULA 2 VW INFA 215.00 902445 XR FACIAL < 3 VIEWS 277.00 902452 XR EXAM MASTOIDS < 3 VIEW 410.00 902460 XR INJECTION HIP WITH CONTRAST 1,217.00 902544 XR INJ ANESTH AGENT CERVI 1,462.00 902551 XR INJ ANESTH AGENT ADD'L 1,217.00 902569 XR INJ ANESTH AGENT LUMBA 1,462.00 902577 XR INJ ANESTH AGENT ADD'L 609.00 902627 XR DRAIN INJ JOINT BURSA 367.00 902635 XR MASTOIDS COMPLETE MIN 306.00 902742 XR SPINAL PUNCTURE LUMBAR 731.00 902775 XR INJ LOOPOGRAM 428.00 902825 XR OR EXTREMITY ARTERIOGR 4,668.00 902841 XR SPINE THORACOLUMBAR 2 366.00 902890 XR DRAIN INJ MINOR JOINT 349.00 903138 XR SACROILIAC JNT <3VIEW 245.00 903211 XR BLADDER WITH CONTRAST 609.00 903229 XR AORTOGRAPHY ABDOMINAL 4,668.00 903237 XR INDIUM IN 111 PER 5MCI 4,867.00 903518 XR INJ CONTRAST EVAL CVAD 367.00 903542 XR BONE AGE 245.00 903559 XR BONE LENGTH 366.00 903567 XR FLUORO INJ IN OR 609.00 903575 XR BONES OF THE BODY 489.00 903583 XR BONES OF THE BODY 731.00 903591 XR FLUORO GUIDANCE FOR SP 609.00 903609 XR FLUORO GUIDANCE FOR VE 882.00 903625 XR LIMITED BONES OF THE BODY 489.00 903666 XR CHEST FOR FLUID 879.00 903674 XR CHEST TUBE INSERTATION 1,054.00 903682 XR GI TUBE PERCUTANEOUS 1,837.00 903732 XR IV PUSH SGL/INIT RX 232.00 904003 XR CHECK PATENCY 49465 GA 428.00 904458 XR EPIDURAGRAPHY 914.00 904474 XR CHEST TUBE INSERT W/DR 1,054.00 904482 XR BONE MARROW ASPIRATION 1,163.00 904490 XR BONE MARROW BX W/FLUOR 1,163.00 904508 XR BONE MARROW ASPIR & BX 579.00 904516 XR PERCUT DRAIN LIVER LES 2,308.00 904524 XR PELVIC ABSCESS DRAIN T 1,432.00 904557 XR BONE LENGTH SMITH/NEPH 366.00 904565 XR INJ MYELOGRAM LUMBAR 1,112.00 904573 XR INJ MYELOGRAM CERVICAL 1,112.00 904581 XR INJ MYELOGRAM 2 OR MOR 1,112.00 904599 XR INJ MYELOGRAM THORASIC 1,112.00 904607 XR FLUORO SURGERY * 904664 XR ENTIRE SPINE 2-3 VW AP 550.00 904672 XR FEMUR BILATERAL 2VW 414.00 904680 XR HIP BILAT 2VW 414.00 904698 XR FEMUR 2 VIEW 297.00 904706 XR CHOLANGIO EXST CATH 562.00 904714 XR HIP UNILATERAL 2-3 VIE 373.00 904722 XR INJ DRAINAGE CATH 562.00 904730 XR ENTIRE SPINE 1 VIEW 414.00 904748 XR SCOLIOSIS ENTIRE SPINE 414.00 904755 XR SCOLIOSIS ENTIRE SPINE 550.00 904763 XR HIP UNILATERAL 1 VIEW 314.00 904771 XR HIP BILAT W/PELVIS MIN 905.00 904789 XR URETERAL CATH/STENT 2,153.00 904797 XR ENDO CATH PANCREATIC D 2,002.00 904805 XR HIP UNI 1 VW WITH PELV 314.00 904813 XR HIP UNI 2-3 VW WITH PE 373.00 904821 XR INSERT PLEURA CATH W/O 1,188.00 904839 XR INJ INTRALAMINAR LUMB/ 1,340.00 904847 XR MOD SEDATION OTH PHYS 336.00 904854 XR INJ INTRALAMINAR CRV/T 1,340.00 904862 XR MOD SEDATION OTH PHYS 336.00 904870 XR MOD SEDATION <5 YR 336.00 904888 XR MOD SEDATION EA 15 MIN 336.00 904896 XR MOD SEDATION >5 YR 336.00 904904 XR CHEST SGL VW FRONT NO * 904912 XR INJ INTERLAM LUMBAR/SA 1,340.00 904920 XR ABDOMEN AP WITH OBLIQU 348.00 904938 XR CHEST 2 VW PA/LAT 291.00 904946 XR CHEST 1 VIEW IN DEPART 263.00 904953 XR CHEST 2 VIEWS WITH API 315.00 904961 XR ABDOMEN 1 VIEW 273.00 904979 XR ABDOMEN 2 VIEWS FLAT/U 320.00 904987 XR CHEST 2 VIEWS WITH OBL 335.00 904995 XR ABDOMEN 1 VW SITZMARK 312.00 905000 XR ABCESS/ASP ABD NO IMAG 1,115.00 905026 XR INJ SACROILIAC JOINT 1,112.00 1000025 US THYROID NDL CORE BIOPS 914.00 1000033 US ABDOMINAL COMPLETE 914.00 1000041 US ABDOMINAL LIMITED ORGA 731.00 1000082 US CHEST 518.00 1000090 US OR PROSTATE VOLUME STU 672.00 1000108 US OR TRANSRECTAL 609.00 1000124 US FETAL BIO PROFILE 642.00 1000132 US FETAL BIO WO NONS 532.00 1000181 US GUIDED NDL PLACEMENT B 1,814.00 1000199 US HEAD/BRAIN 1,002.00 1000215 US PELVIC COMPLETE 763.00 1000223 US PELVIC LIMITED 813.00 1000264 US PROSTATE BIOPSY 1,924.00 1000272 US KIDNEY LIMITED 642.00 1000280 US SCROTUM & CONTENTS 731.00 1000298 US SOFT TISSUE HEAD/NECK 642.00 1000322 US TRANSVAGINAL 609.00 1000330 US OB PREG COMPLETE >14WK 672.00 1000348 US OB PREGNANCY LIMITED 428.00 1000355 US OB PREG FOLLOWUP EA/FE 810.00 1000371 US INFANT HIPS DYNAMIC 76 1,205.00 1000389 US INFANT HIPS STATIC 768 810.00 1000397 US KIDNEY COMPLETE 853.00 1000405 US FINE NEEDLE ASPIRATION 747.00 1000439 US ABCESS DRAINAGE 1,382.00 1000447 US CYST ASPIRATION BREAST 747.00 1000470 US OB FIRST TRIMESTER SIN 609.00 1000488 US OB FIRST TRIMESTER ADD 366.00 1000496 US OB >1ST TRIMESTER SGL 609.00 1000504 US OB DTL FETAL SGL ANATO 756.00 1000512 US OB DTL FETAL ANATOMIC 1,320.00 1000520 US OB TRANSVAGINAL 549.00 1000546 US LIVER BIOPSY NEEDLE 1,400.00 1000579 US CYST ASPIRATION BREAST 306.00 1000587 US CYST ASPIRATION 336.00 1000603 US GUIDANCE FOR VASCULAR 765.00 1000629 US DUPLEX SCAN ABD/PELV C 1,096.00 1000637 US DUPLEX SCAN ABD/PELV L 710.00 1000660 US REMOVE FLUID IN CHEST 879.00 1000678 US ASPIR/INJ THYROID CYST 747.00 1000686 US SPINAL CANAL 489.00 1000694 US BIOPSY LYMPH NODE SUPE 1,273.00 1000702 US BLADDER SCAN 99.00 1000710 US ARM NON VASC LIMITED 1,346.00 1000728 US ARM NON VASC COMP 2,082.00 1000736 US LEG NON VASC COMP 2,082.00 1000744 US LEG NON VASC LIMITED 1,346.00 1001015 US SUPERF SFT TISS BX THI 1,871.00 1001023 US REMOVE FLUID IN ABDOMEN 879.00 1001049 US BIOPSY SUBQ OR SKIN LE 495.00 1001056 US ST BX HIP/PELVIS SUPER 1,522.00 1001064 US MUSCLE BX PERC NDL 1,273.00 1001072 US PERC BX ABD OR RETRO M 1,400.00 1001080 US TRANSPLANT KIDNEY W/DO 793.00 1001098 US LIVER LESION DRAIN PER 2,308.00 1001106 US BREAST BIOPSY 1ST LESI 2,434.00 1001114 US BREAST BIOPSY EA ADD L 870.00 1001122 US BREAST GUIDED WIRE/CLI 1,392.00 1001130 US BREAST GUIDED WIRE/CLI 435.00 1001148 US DRAIN PERITONEAL ABSCE 2,308.00 1001155 US BREAST COMPLETE 549.00 1001163 US BREAST LIMITED 428.00 1001171 US BIOPSY SOFT TISSUE NEC 2,240.00 1001197 US CATH INSERT PLEURA W I 928.00 1001205 US ABDOMINAL AORTA SCREENING 534.00 1001213 US BIOPSY VULVA/PERINEUM 1,450.00 1001221 US SOFT TISSUE LOC DEVICE 1,040.00 1001239 US SOFT TISSUE LOC DEVICE 435.00 1200021 MA INJ MAMMARY DUCTOGRAM 366.00 1200146 MA SURGICAL SPECIMEN 634.00 1201482 MA DUCTOGRAM SINGLE 577.00 1201540 MA DUCTOGRAM MULTIPLE 731.00 1201607 MA STEREO BIOPSY 1ST LESI 2,434.00 1201615 MA STEREO BIOPSY EA ADD L 870.00 1201623 MA STEREO GUIDED WIRE/CLI 1,392.00 1201631 MA STEREO GUIDED WIRE/CLI 435.00 1201649 MA MAMMO GUIDED WIRE/CLIP 1,392.00 1201656 MA MAMMO GUIDED WIRE/CLIP 435.00 1201664 MA BREAST W/BIOPSY INCLUD 2,909.00 1201672 MA BREAST W/BIOPSY INCLUD 870.00 1201706 MA SPECIALIZED MAMMO BOTH BREASTS 3D 700.00 1201714 MA SPECIALIZED MAMMO OF ONE BREAST 3D 592.00 1201722 MA ANNUAL MAMMO 3D IN ADDITION TO 2D 207.00 1201730 MA ANNUAL MAMMO 2D 407.00 1201748 MA SPECIALIZED MAMMO BOTH BREASTS 493.00 1201755 MA SPECIALIZED MAMMO OF ONE BREAST 385.00 1201763 MA SPECIALIZED MAMMO 3D IN ADDITION TO 2D 207.00 1201771 MA SPECIALIZED MAMMO 3D IN ADDITION TO 2D 207.00 1400027 PET SKULL BASE TO MID THI 7,122.00 1400076 PET WHOLEBODY 15,786.00 1400274 PET FDG/DOSE UPTO 45MCI 1,212.00 1400282 PET LIMITED 15,786.00 1400290 PET SKULL BASE TO MID THI 7,122.00 1400308 PET SKULL BASE TO MID THI 7,122.00 1600105 PLACEMENT OF NON-TUNNELED CENTRAL VENOUS CATHETER 2,716.00 1600113 SELECTIVE ARTERY ABOVE THE DIAPHRAGM 1,788.00 1600121 SELECTIVE ARTERY ABOVE THE DIAPHRAGM 1,894.00 1600139 SELECTIVE ARTERY BELOW THE DIAPHRAGM 1,534.00 1600147 BILATERAL LOWER EXTREMITY 4,901.00 1600196 CATHETER PLACEMENT IN THE AORTA 1,463.00 1600238 THORACIC AORTAGRAM 4,901.00 1600303 VENOGRAM OF THE INFERIOR VENA CAVA 467.00 1600337 AORTAGRAM WITH BILATERAL RUN-OFF 4,209.00 1600345 ABDOMINAL AORTAGRAM 4,901.00 1600469 INTRODUCTION OF CATHETER IN THE EXTREMITY ARTERY 1,024.00 1600493 UNILATERAL EXTREMITY ARTERIOGRAM 4,901.00 1600550 ANGIOGRAM OF ADDITIONAL VESSEL 1,378.00 1601046 VENOUS INJECTION 2,310.00 1601103 BILATERAL EXTREMITY ARTERIOGRAM 1,675.00 1601723 CATHETER INTRODUCTION IN THE VENOUS SYSTEM 1,477.00 SELECTIVE CATHETER PLACEMENT IN AN ARTERY BELOW THE 1601731 2,111.00 DIAPHRAGM 1601749 SELECTIVE CATHETER PLACEMENT IN THE VENOUS SYSTEM 1,337.00 1601756 UNILATERAL VENOGRAM OF AN EXTREMITY 3,602.00 1601814 3RD ORDER SELECTIVE ARTERY 2,690.00 1601822 ADDITIONAL 2ND ARTERY SELECTIVE 2,050.00 1601855 3RD ORDER VESSEL BELOW DIAPHRAGM 2,690.00 1601905 LEFT & RIGHT SELECTIVE PULMONARY ARTERY 3,045.00 1601947 FLUORO GUIDANCE 668.00 1601954 THROMBIN INJECTION FOR PSEUDOANEURYSM 1,086.00 1602036 PERIPHERALLY INSERTED CENTRAL CATHETER PLACEMENT 2,219.00 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS 1602044 4,795.00 CATHETER 1602069 2ND ORDER SELECTIVE ARTER 2,195.00 1602077 CATHETER REPAIR 1,625.00 1602085 REMOVAL OF TUNNELED CENTRAL CATHETER 1,727.00 1602135 ULTRASOUND UTILIZED FOR GUIDANCE 803.00 1602143 CONTRAST INJECTION OF CENTRAL VENOUS DEVICE 385.00 1602200 FLUORO GUIDED NEEDLE PLACMENT 1,062.00 1602226 FLUORO GUIDED NEEDLE PLACMENT IN VEIN 1,009.00 1602259 INTRAVASCULAR ULTRASOUND INITIAL VESSEL 4,870.00 1602267 INTRAVASCULAR ULTRASOUND ADDITIONAL VESSEL 3,113.00 1602275 DECLOT OF VASCULAR DEVICE 674.00 1602325 INSERTION OF CHEST TUBE 1,107.00 1602341 UNILATERAL RENAL ANGIOGRAM 6,317.00 1602374 BILATERAL RENAL ANGIOGRAM 6,083.00 1602382 INFERIOR VENA-CAVA FILTER PLACEMENT 9,198.00 1602408 SUPERIOR VENA CAVA VENOGRAM 2,210.00 1602416 SUPERFICIAL FEMORAL ARTERY STENTING FROM CONTRALATERAL 25,732.00 TIBIAL PERONEAL ARTERY REVASCULARIZATION WITH 1602424 24,507.00 ATHETERECTOMY 1602432 ILIAC REVASCULARIZTION WITH STENT 14,036.00 1602457 ILIAC REVASCULARIZTION ADDITIONAL 9,613.00 1602465 FEMORAL POPLITEAL REVASCULARIZATION WITH A STENT 28,131.00 1602473 THROMBOLYSIS 5,975.00 1602507 ARTERIAL THROMBECTOMY 6,720.00 1602515 REMOVAL/RETRIEVAL OF VENA CAVA DEVICE 573.00 BALLOON ANGIOPLASTY REVASCULARIZATION OF THE TIBIAL 1602523 11,118.00 PERONEAL ARTERY BALLOON ANGIOPLASTY REVASCULARIZATION OF THE FEMORAL 1602531 10,809.00 POPLITEAL ART. 1602572 ILIAV REVASCULARIZATION WITH A STENT 20,608.00 1602580 TIBIAL PERONEAL ARTERY REVASCULARIZATION 9,155.00 1602598 TIBIAL PERONEAL ARTERY REVASCULARIZATION WITH A STENT 34,125.00

1602614 FEMORAL POPLITEAL REVASCULARIZATION WITH ATHERECTOMY 17,345.00 1602622 THROMBECTOMY, PRIMARY ARTERY,ADDITIONAL VESSEL 6,720.00 1602705 FEMORAL ARTERY CUTDOWN 6,683.00 1602770 PLACEMENT OF CATHETER IN THE THORACIC AORTA 4,901.00 1602846 REMOVAL OF INTRAVASCULAR FOREIGN OBJECT 5,903.00 1602853 THROMBOLYSIS EXTREMITY 4,410.00 1602887 THROMBOLYSIS CATHETER REMOVAL 3,660.00 1602903 TIBIAL PERONEAL REVASCULARIZATION WITH ATHERECTOMY 20,118.00 1602911 ILIAC ARTERY REVASCULARIZATION 13,388.00 1602929 NON-SELECTIVE CATHETER PLACEMENT 116.00 1602937 ILIAC THROMBECTOMY 20,058.00 1602945 RENAL STENT PLACEMENT 19,407.00 1602952 ADDITIONAL RENAL STENT PLACEMENT 19,407.00 1602960 VENOUS STENTING 20,184.00 1602978 ADDITIONAL VENOUS STENTING 20,184.00 1603000 VASCULAR EMBOLIZATION 19,442.00 1603018 ARTERIAL EMBOLIZATION 19,442.00 1603034 VASCULAR EMBOLIZATION 19,442.00 1603083 REPAIR BLOOD VESSEL 1,271.00 1603117 THROMBOENDARTERECTOMY 15,468.00 1603133 THROMBOENDARTERECTOMY 15,468.00 1603919 PLACEMENT OF RENAL CATHETER 2,918.00 1603927 ARTERIAL LINE INSERTION 385.00 1603935 THROMBECTOMY NON CORONARY 2,536.00 1603943 OTHER CARDIAC SURGERY PROCEDURES 16,410.00 1603950 VENIPUNCTURE CUTDOWN 445.00 1603968 ENDOVASCUALR REPAIR OF THE ILIO-ILIAC ARTERY 9,546.00 1603976 ENDOVASCULAR REPAIR OF THE AORTA ENDOGRAFT 12,101.00 1603984 ENDOVASCULAR PROSTHESIS EXTENSION PLACEMENT 11,970.00 1603992 ENDOVASCULAR MAIN BODY PROSTHESIS PLACEMENT 7,245.00 1604008 ENDOVASCULAR MAIN BODY PROSTHESIS PLACEMENT 6,720.00 ENDOVASCULAR REPAIR OF THE ABDOMINAL AORTA AND/OR ILIAC 1604016 13,794.00 ARTERIES ENDOVASCULAR REPAIR OF THE ABDOMINAL AORTA AND/OR ILIAC 1604024 8,496.00 ARTERIES ENDOVASCULAR MAIN BODY PROSTHESIS WITH EXTENSION 1604032 9,111.00 PLACEMENT ENDOVASCULAR REPAIR OF THE ABDOMINAL AORTA AND/OR ILIAC 1604040 12,744.00 ARTERIES 1604057 ENDOVASCULAR REPAIR OF THE ABDOMINAL AORTA 6,752.00 1604065 ENDOVASCULAR INSERTION OF LARGE SHEATH 1,733.00 ENDOVASCULAR REPAIR OF THE ABDOMINAL AORTA AND/OR ILIAC 1604073 10,161.00 ARTERIES 1604081 REPLACE NON-TUNNELED CENTRAL VENOUS CATHETER 1,659.00 1604099 BRACHIAL CUTDOWN 6,683.00 1604107 REPAIR/REVISION OF ARTERY/VEIN 9,259.00 1604115 SELECTIVE BILATERAL PULMONARY ARTERIES 4,796.00 1604123 THROMBOENDARTERECTOMY 15,468.00 1604131 THORACIC ENDOGRAFT 15,468.00 1604149 THROMBOENDARTERECTOMY 15,468.00 1604156 ENDOVASCULAR ANCHOR/SCREW PLACEMENT 5,250.00 1604206 CYSTO WITH URETERAL STRICTURE TREATMENT 4,974.00 1800093 INSERTION OF TEMPORARY PACEMAKER 7,148.00 1800143 INSERTION OF SWAN GANZ CATHETER 3,256.00 1800168 INSTERTION OF INTRA-AORTIC BALLOON PUMP 4,314.00 1800192 PERICARDIOCENTESIS 1,857.00 1800523 CARDIAC BIOPSY 4,209.00 1800531 CARDIOVERSION 1,412.00 1800556 PRESSURE WIRE 4,584.00 1800564 PRESSURE WIRE ADDITIONAL 3,113.00 1800671 PLACEMENT OF OCCLUSIVE DEVICE 516.00 1800689 PLACEMENT OF NON-TUNNELED CENTRAL VENOUS CATHETER 2,716.00 1800960 REPOSITION OF PACEMAKER OR DEFIBRILLATOR 4,880.00 1801687 RIGHT HEART CATHETERIZATION 11,576.00 1801703 RIGHT/LEFT HEART CATHETERIZATION WITH LEFT VENTRICLE 19,300.00 1801711 CORONARY ARTERY ANGIOGRAM 13,095.00 1801729 CORONARY ARTERY ANGIOGRAM WITH GRAFTS 17,082.00 1801737 RIGHT HEART WITH CORONARY ARTERY ANGIOGRAM 21,077.00 1801745 RIGHT HEART WITH CORONARY ARTERY ANGIOGRAM WITH GRAFTS 23,109.00

1801752 LEFT HEART CATHETERIZATION, CORONARY ANGIO, LEFT VENTRICLE 18,442.00 LEFT HEART CATHETERIZATION, CORONARY ANGIO, LEFT VENTRICLE 1801760 21,495.00 WITH GRAFTS RIGHT/LEFT HEART CATHETERIZATION CORONARIES WITH LEFT 1801778 21,077.00 VENTRICLE RIGHT/LEFT HEART CATHETERIZATION, CORONARIES, GRAFTS & 1801786 21,533.00 LEFT VENTRICLE 1801869 AORTAGRAM 946.00 1801877 PULMONARY ANGIOGRAM 2,671.00 1801893 BLUE ALERT/CPR 1,169.00 1801901 PERICARDIOCENTESIS WITH TUBE PLACED 2,924.00 1801919 ANGIOPLASTY OF CORONARY ARTERY 13,126.00 PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY- 1801927 8,660.00 ADDITIONAL BRANCH PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY WITH 1801935 16,018.00 ATHERECTOMY 1801950 STENT PLACEMENT WITH ANGIOPLASTY 17,056.00 1801968 DRUG ELUDING STENT PLACEMENT-SINGLE VESSEL 17,056.00 1801976 ADDITIONAL STENT PLACEMENT 17,056.00 1801984 ADDITIONAL DRUG ELUDING STENT PLACEMENT 17,056.00 1801992 STENT PLACEMENT WITH ATHETERECTOMY 21,221.00 1802008 DRUG ELUDING STENT WITH ATHETERECTOMY 21,221.00 PERCUTANEOUS CORONARY INTERVENTION TO SAPHENOUS VEIN 1802032 17,056.00 GRAFT 1802040 DRUG ELUDING STENT THRU CORONARY ARTERY BYPASS GRAFT 17,056.00

1802065 DRUG ELUDING STENT THRU CORONARY ARTERY BYPASS GRAFT 17,056.00

1802073 ACUTE MYOCARDIAL INFARCTION WITH CORONARY INTERVENTION 20,580.00

1802081 ACUTE MYOCARDIAL INFARCTION WITH DRUG ELUDING STENT 20,580.00 PERCUTANEOUS CORONARY INTERVENTION OF CHRONIC TOTAL 1802099 17,056.00 OCCLUSION 1802107 DRUG ELUDING STENT PLACEMENT OT CHRONIC TOTAL OCCLUSION 17,056.00 1802149 FEMORAL POPLITEAL BYPASS GRAFT-SIDE PROCEDURE 4,003.00 1802230 RIGHT HEART CATH DRUG STUDY 1,481.00 1802297 NEPHROSTOMY TUBE EXCHANGE 948.00 1802305 PLACEMENT OF NEPHROSTOMY TUBE 2,723.00 1802347 INSERTION OF VENTRICULAR ASSIST DEVICE 3,627.00 1802438 FEMORAL POPLITEAL BYPASS 17,211.00 1802446 INCISION PROCEDURE OF THE LEG 5,670.00 1802453 ARTERY BYPASS GRAFT 20,160.00 1802461 IN-SITU VEIN BYPASS 24,108.00 1802487 FISTULA DECLOT 22,230.00 1802495 BALLOON ANGIOPLASTY OF THE FISTULA 11,000.00 1802503 FISTULAGRAM 1,560.00 1802545 THROMBECTOMYOF THE FEMORAL/POPLITEAL W/ INCISION 10,710.00 1802552 FISTULAGRAM WITH BALLOON ANGIOPLASTY 11,000.00 1802560 FISTULAGRAM WITH SUBCLAVIAN/SVC STENTING 11,000.00 1802578 VENOUS PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY 11,000.00 1802586 FISTULAGRAM WITH STENT PLACEMENT 22,230.00 1802594 FISTULAGRAM WITH ANGIOPLASTY OF THE SUBCLAVIAN/SVC 11,000.00 VENOUS PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY 1802602 11,000.00 ADDITIONAL 1802610 FISTULAGRAM WITH EMBOLIZATION 11,000.00 1802628 MECHANICAL DECLOTTING OF FISTULA 11,000.00 1802636 MECHANICAL DECLOTTING OF FISTULA WITH ANGIOJET DEVICE 33,696.00 1802644 UNILATERAL PULMONARY ANGIOGRAM 5,460.00 1802651 MODERATE SEDATION 353.00 1802677 MODERATE SEDATION 353.00 1802719 TISSUE CULTURED AUTOGRAFT 2,532.00 1802727 FISTULA REPAIR WITH VEIN GRAFT 7,560.00 1802735 MUSCLE FLAP OF LOWER EXTREMITY 4,230.00 1802743 THROMBECTOMY OF TIBIAL/PERONEAL WITH INCISION 6,628.00 1802750 DECOMPRESSION FACIOTOMY OF THE LEG 4,325.00 1802768 SUBSTITUTE SKIN GRAFTS 4,230.00 1802776 SUBSTITUTE SKIN GRAFTS 4,230.00 1802784 TISSUE CULTURED AUTOGRAFT 2,659.00 1802792 WOUND CARE MANAGEMENT 520.00 1802818 VEIN BYPASS GRAFT PROCEDURE 24,983.00 1802826 CC RECHANNEL OF ARTERY DE 15,470.00 1802834 CC RECHANNEL OF ARTERY PO 47,187.00 1802842 IN-SITU VEIN BYPASS 55,127.00 1802859 REPAIR OF A BLOOD VESSEL 4,187.00 PERIPHERAL CANNULATION OF EXTRACORPOREAL MEMBRANE 1802867 21,391.00 OXYGENATION 1802875 INITIATION OF EXTRACORPOREAL MEMBRANE OXYGENATION 8,448.00 1802883 REVISION OF INFECTED GRAFT 9,296.00 1802891 BYPASS GRAFT PROCEDURES OTHER THAN VEIN. 15,750.00 1802909 CAROTID STENT 14,884.00 1802917 WOUND CARE MANAGEMENT 271.00 1900018 INSERT/REPLACE PERMANENT PACER 13,231.00 1900042 INSERTION OF DUAL LEAD PERMANENT PACEMAKER 16,326.00 1900075 UPGRADE FROM A SINGLE TO DUAL PACEMAKER 17,143.00 1900091 INSERT SINGLE LEAD 9,803.00 INSERTION OF SINGLE LEAD IMPLANTABLE CARDIOVERTER- 1900109 10,293.00 DEFIBRILLATOR 1900158 UPGRADE LEFT VENTRICULAR LEAD 19,949.00 1900166 PLACEMENT OF LEFT VENTRICULAR LEAD 19,529.00 1900182 REMOVAL OF PERMANENT PACEMAKER 4,199.00 1900190 REMOVE PACEMAKER ELECTRODE SINGLE 5,249.00 1900208 REMOVE PACEMAKER ELECTRODE DUAL 5,249.00 IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR GENERATOR 1900224 4,409.00 CHANGE/REMOVAL 1900232 REMOVAL OF EXISTING TRANSVENOUS LEAD 4,607.00 1900240 INSERT/REPOSITION LEAD 51,675.00 1900257 INPLANTABLE LOOP RECORDER 10,567.00 1900265 REMOVAL OF LOOP RECORDER 3,478.00 1900281 BUNDLE OF HIS RECORDING 3,276.00 1900299 INTRA-ATRIAL RECORDING 3,276.00 1900307 RIGHT VENTRICULAR RECORDING 2,730.00 1900323 INTRA-ATRIAL PACING 3,276.00 1900331 INTRA-VENTRICULAR PACING 4,913.00 1900349 3D MAPPING 8,028.00 1900380 COMPREHENSIVE EP EVALUATION WITH ARRHYTHMIA 21,867.00 COMPREHENSIVE EVALUATION W/ LEFT ATRIAL PACE/RECORD 1900398 8,705.00 FROM CS/LA 1900414 PACING AFTER DRUG INFUSION 5,144.00 1900448 EVALUATION OF DEFIBRILLATION LEADS WITH GENERATOR CHANGE 3,078.00 1900463 ATRIAOVENTRICULAR NODE ABLATION 17,212.00 1900505 INTRACARDIAC ECHOCARDIOGRAM 4,923.00 1900570 REMOVE/REPLACE SINGLE PACEMAKER GENERATOR 13,742.00 REMOVE/REPLACE IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR 1900588 42,714.00 GENERATOR REMOVE/REPLACE IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR 1900596 44,957.00 GENERATOR 1900604 REMOVE/REPLACE DUAL GENERATOR PACEMAKER 14,244.00 REMOVE/REPLACE IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR 1900612 40,950.00 SINGLE UPGRADE FROM PERMANENT PACEMAKER TO BI-VEVTRICULAR 1900620 14,431.00 PACEMAKER 1900646 ABLATION OF SUPERVENTRICULAR TACHYCARDIA 24,945.00 VENTRICUALR TACHYCARDIA/PREMATURE VENTRICULAR 1900653 24,945.00 CONTRACTION ABLATION 1900661 ABLATION OF ADDITIONAL ARRHYTHMIA 8,610.00 1900679 ATRIAL FIBRILLATION ABLATION 24,945.00 1900711 INCISION AND DRAINAGE OF HEMATOMA/FLUID 2,072.00 1900729 TRANSEPTAL PUNCTURE 14,153.00 1900737 DEBRIDMENT OF TISSUE 1,100.00 1900778 SINUS OR JUGULAR VENOGRAPHY 2,310.00 1900786 PERIPHERAL INTRAVASCULAR ULTRASOUND 1,923.00 1900794 PERIPHERAL INTRAVASCULAR ULTRASOUND ADDITIONAL 468.00 1900976 ADDITIONAL VESSEL BELOW DIAPHRAGM 2,869.00 1901206 CAROTID STENT PLACEMENT WITHOUT DISTAL PROTECTION 17,640.00 1901297 ABDOMINAL AND BILATERAL ILIOFEMORAL ANGIOGRAM 9,164.00 1901628 IMPLANTABLE PRESSURE SENSOR-CARDIOMEMS 68,135.00 1901636 REMOVAL OF PACEMAKER GENERATOR 4,199.00 2000016 MRA ABDOMEN W/WO CONTRAST 2,434.00 2000024 MRA CHEST W/WO CONTRAST 3,964.00 2000057 MRA HEAD W/O CONTRAST 2,678.00 2000065 MRA NECK W/CONTRAST 2,678.00 2000073 MRA NECK W/WO CONTRAST 6,416.00 2000081 MRA NECK W/O CONTRAST 2,434.00 2000099 MRA UPPER EXT W/WO CONTST 4,146.00 2000115 MRI ABDOMEN W/O CONTRAST 2,434.00 2000123 MRI ABDOMEN W/WO CONTRAST 3,165.00 2000131 MRI BRAIN W/CONTRAST 2,739.00 2000149 MRI BRAIN W/WO CONTRAST 3,650.00 2000156 MRI BRAIN W/O CONTRAST 2,921.00 2000172 MRI CHEST W/WO CONTRAST 5,867.00 2000180 MRI CHEST W/O CONTRAST 4,216.00 2000198 MRI FACE/NECK W/WO CONTRA 3,165.00 2000206 MRI LOW EXT JOINT W/CONTR 2,678.00 2000214 MRI LOW EXT JT W/O CONTRA 2,434.00 2000222 MRI LOW EXT JT W/WO CONTR 3,041.00 2000230 MRI LOW EXT NONJT W/CONTR 2,678.00 2000248 MRI LOW EXT NONJT W/O CON 2,191.00 2000255 MRI LOW EXT NONJT W/WO CO 2,921.00 2000263 MRI ORBIT/FACE/NECK W/O C 2,434.00 2000271 MRI ORBIT/FACE/NECK W/CON 2,434.00 2000289 MRI PELVIS W/CONTRAST 2,921.00 2000297 MRI PELVIS W & WO CONTRAS 3,165.00 2000305 MRI PELVIS W/O CONTRAST 2,434.00 2000313 MRI SPINE CERV W/CONTRAST 2,434.00 2000321 MRI SPINE CERV W/O CONTRA 2,678.00 2000339 MRI SPINE CERV W/WO CONTR 3,408.00 2000347 MRI SPINE LUMBAR W/CONTRA 2,678.00 2000354 MRI SPINE LUMBAR W/WO CON 3,408.00 2000362 MRI SPINE LUMBAR W/O CONT 2,678.00 2000370 MRI SPINE THOR W/CONTRAST 2,434.00 2000388 MRI SPINE THOR W/O CONTRA 2,678.00 2000396 MRI SPINE THOR W/WO CONTR 3,408.00 2000404 MRI JAW 2,191.00 2000412 MRI UP EXT ANY JT W/CONTR 2,434.00 2000420 MRI UP EXT ANY JT W/O CON 2,191.00 2000438 MRI UP EXT ANY JT W/WO CO 3,041.00 2000446 MRI UP EXT NONJT W/CONTRA 2,896.00 2000453 MRI UP EXT NONJT W/O CONT 2,191.00 2000461 MRI UP EXT NONJT W/WO CON 3,041.00 2000479 MRI BRAIN 1 ADD'L SEQUENC 4,740.00 2000651 MRI CUSTOM FIT IMPLANT LO 2,434.00 2000669 MRA ABDOMEN WITHOUT CONTR 1,750.00 2000677 MRA ABDOMEN W/WO CONTRAST 2,318.00 2000685 MRA ABDOMEN WITH CONTRAST 1,750.00 2000701 MRI BREAST UNI WO CONTRAS 2,040.00 2000719 MRI BREAST UNI W/WO CONTR 3,098.00 2000727 MRI BREAST BIL W/WO CONTR 3,510.00 2000735 MRI BREAST UNI W CONTRAST 2,040.00 2000743 MRI BREAST BIL W CONTRAST 3,176.00 2000750 MRI BREAST BIL WO CONTRAS 3,176.00 2000768 MRI BREAST BIOPSY INITIAL 2,909.00 2000776 MRI BREAST BIOPSY EACH AD 870.00 2000792 MRI 3D RENDERING W/INTERP 428.00 2000818 MRA LOWER EXTREM WO CONTR 1,750.00 2000826 MRA LOWER EXTREM W/WO CON 1,750.00 2400018 NM ACUTE GI BLEED 78278 3,229.00 2400026 NM BONE JT IMAGE LTD AREA 1,217.00 2400034 NM BONE JT IMAGE TOMO (SP 2,191.00 2400042 NM BONE JT IMAGE WHOLE BO 1,826.00 2400067 NM BOWEL IMAGING MECKEL 7 3,240.00 2400091 NM MUGA SCAN CARDIAC BLD 1,826.00 2400109 NM IMAGING OF THE HEART 609.00 2400133 NM TUMOR IMAGING 245.00 2400141 NM STOMACH IMAGING 2,191.00 2400166 NM THYROID SCAN 172.00 2400174 NM ALTERNATE THYROID SCAN 89.00 2400182 NM KIDNEY FLOW NO RX 7870 1,217.00 2400190 NM KIDNEY FLOW W RX MULTI 2,434.00 2400208 NM LIVER IMAGING SPECT 78 2,191.00 2400224 NM WHOLE BODY TUMOR IMAGING 2,434.00 2400232 NM SPECIFIC TUMOR IMAGING 1,462.00 2400240 NM LOCAL TUMOR MULTIPLE 7 2,201.00 2400257 NM LOCAL TUMOR TOMO (SPEC 2,434.00 2400265 NM LOCAL TUMOR WHOLEBODY 2,434.00 2400281 NM LYMPHATICS IMAGING SEN 1,948.00 2400323 NM BONE JT 3PHASE LTD 2,191.00 2400406 NM PARATHYROID IMAGING 78 2,191.00 2400414 NM BLOOD FLOW TO THE LUNGS IMAGING 1,462.00 2400430 NM TC99M PER MCI 8.00 2400497 NM TC99M MDP PER 30 MCI 184.00 2400562 NM I-123 UPTAKE/SCAN THYR 2,257.00 2400588 NM I-131 WHOLE BODY 78018 2,434.00 2400596 NM THYROID IMAGING 78013 1,977.00 2400638 NM TL-201 PER MCI 73.00 2400646 NM XENON 133 PER 10 MCI 666.00 2400711 NM I-131 WHOLE BODY (DX) 50.00 2400737 NM LIVER SPLEEN IMAGING S 1,217.00 2400745 NM KIDNEY FLOW W RX 78708 758.00 2400752 NM RADIORX THERAPY ORAL A 1,217.00 2400760 NM OCTREO SCAN SPECT 2,434.00 2400778 NM OCTREO SCAN WHOLEBODY 2,434.00 2400836 NM TC99M CHOLECTEC/DOSE U 245.00 2400844 NM TC99M MAA/DOSE UPTO 10 184.00 2400851 NM TC99M MAG3/DOSE UPTO 1 906.00 2400877 NM TC99M SC/DOSE UPTO 20M 306.00 2400885 NM TC99M ULTRATAG/DOSE UP 366.00 2400927 NM WHITE BLOOD CELL SCAN 7,299.00 2400943 NM HEART WALL MOTION (SPE 5,561.00 2400950 NM HEART WALLMOTION(SPECT 4,172.00 2400968 NM BLOOD FLOW TO THE LUNGS IMAGING 3,480.00 2400992 NM HEPATOBIL IMAGE W/PHAR 4,958.00 2401008 NM HEPATOBIL IMAGE W/O GB 3,617.00 2401024 NM CVI HRT WALL MOTION (S 5,561.00 2401032 NM RA TRACER ID SENTINAL 574.00 2401040 NM TC99 TILMONCEPT/PER DO 914.00 2401057 NM HEART MUSCLE SCAN 5,561.00 2600013 CT ABCESS DRAINAGE 1,382.00 2600021 CT ABDOMEN W/ORAL/IV CONT 1,826.00 2600039 CT ABDOMEN W/WO ORAL/IV C 2,191.00 2600047 CT ABDOMEN W/O IV CONTRAS 1,462.00 2600054 CT UP EXT W/CONTRAST 1,826.00 2600062 CT UP EXT W/WO CONTRAST 2,191.00 2600070 CT UP EXT W/O CONTRAST 1,462.00 2600088 CT BONE BIOPSY DEEP 2,199.00 2600096 CT BONE BIOPSY SUPERFICIA 1,163.00 2600104 CT CERVICAL SPINE W/CONTR 1,826.00 2600112 CT CERVICAL SPINE W/O CON 1,462.00 2600120 CT CERVICAL SPINE W/WO CO 2,191.00 2600138 CT CHEST W/CONTRAST 1,826.00 2600146 CT CHEST W/O CONTRAST 1,462.00 2600153 CT CHEST W/WO CONTRAST 2,191.00 2600179 CT EAR/EYE W/CONTRAST 1,826.00 2600187 CT EAR/EYE W/O CONTRAST 1,462.00 2600195 CT EAR/EYE W/WO CONTRAST 2,191.00 2600237 CT HEAD/BRAIN W/CONTRAST 1,826.00 2600245 CT HEAD/BRAIN W/O CONTRAS 1,462.00 2600252 CT HEAD/BRAIN W/WO CONTRA 2,191.00 2600260 CT INJ MYELOGRAM 609.00 2600278 CT LOW EXT W/WO CONTRAST 2,191.00 2600286 CT LOW EXT W/CONTAST 1,826.00 2600294 CT LOW EXT W/O CONTRAST 1,462.00 2600302 CT LTD FOLLOWUP 793.00 2600310 CT LUMBAR SPINE W/CONTRAS 1,826.00 2600328 CT LUMBAR SPINE W/O CONTR 1,462.00 2600336 CT LUMBAR SPINE W/WO CONT 2,191.00 2600344 CT FACIAL WITH CONTRAST 1,826.00 2600351 CT FACIAL 1,462.00 2600369 CT FACIAL WITH AND WITHOUT CONTRAST 2,191.00 2600377 CT PELVIS W/O CONTRAST 1,462.00 2600385 CT PELVIS W/WO CONTRAST 2,191.00 2600393 CT PELVIS W/CONTRAST 1,826.00 2600401 CT SOFT TISSUE NECK W/CON 1,826.00 2600419 CT SOFT TISSUE NECK W/O C 1,462.00 2600427 CT SOFT TISSUE NECK W/WO 2,191.00 2600435 CT SURGICAL PROCEDURE * 2600443 CT THORACIC SPINE W/CONTR 1,826.00 2600450 CT THORACIC SPINE W/O CON 1,462.00 2600492 CT MUSCLE BIOPSY DEEP 3,348.00 2600518 CT LUNG BIOPSY PERCUTANEO 1,400.00 2600526 CT LIVER BIOPSY NEEDLE 1,400.00 2600534 CT ANGIO HEAD (COW) WITH 2,896.00 2600542 CT ANGIO HEAD (COW) WITH/ 3,041.00 2600559 CT ANGIO NECK WITH CPT 2,896.00 2600567 CT ANGIO NECK WITH/WITHOU 3,041.00 2600575 CT ANGIO CHEST WITH CPT 2,896.00 2600583 CT ANGIO CHEST WITH/WITHO 3,041.00 2600591 CT ANGIO PELVIS WITH CONT 2,896.00 2600609 CT ANGIO PELVIS WITH/WITH 3,041.00 2600617 CT ANGIO UPPER EXTREMITY 2,896.00 2600625 CT ANGIO UPPER EXTREMITY 3,041.00 2600633 CT ANGIO LOW EXT WITH 2,896.00 2600641 CT ANGIO LOWER EXTREMITY 3,041.00 2600658 CT ANGIO ABDOMEN WITH CPT 2,896.00 2600666 CT ANGIO ABDOMEN WITH & W 3,041.00 2600674 CT ANGIO ABD/PELVIS W/RUN 3,041.00 2600690 CT ANGIO ABD/PELVIS W RUN 2,896.00 2600765 CT 3D W/O WORKSTATION 428.00 2600773 CT 3D W/WORKSTATION 458.00 2600781 CT GUIDED NEEDLE PLACEMEN 1,826.00 2600831 CT RENAL BIOPSY PERQ 1,374.00 2600849 CT PERC N BX,ABD OR RETRO 1,374.00 2600856 CT PERCUTANEOUS CHOLECYST 4,057.00 2600864 CT ABD/PEL W/O IV CONTRAS 3,476.00 2600872 CT ABD/PEL WITH ORAL/IV C 5,135.00 2600880 CT ABD/PEL W/WO ORAL/IV C 6,953.00 2600898 CT FINE NEEDLE ASPIRATION 747.00 2600914 CT ASPIRATE/INJ GANGLION 381.00 2600922 CT BX BACK/FLANK; SUPERF 1,163.00 2600930 CT BX PLEURA;PERCUTANEOUS 1,374.00 2600963 CT CHEST TUBE INSERT W/DR 928.00 2600971 CT ASPIRATION-ABSC HEMAT 336.00 2600989 CT DRAINAGE CATHETER EXCH 2,367.00 2600997 CT DISC ASPIRA/BIOPSY 747.00 2601003 CT THYROID BIOPSY 747.00 2601029 CT MUSCLE BX;PERC NDL 1,273.00 2601037 CT BIOSPY SUBQ TISS OR SK 495.00 2601045 CT FLUID REMOVAL FROM CHEST 879.00 2601052 CT ST BX;HIP/PELVIS SUPER 1,522.00 2601060 CT ABDOMEN W/O CONTRAST O 1,392.00 2601078 CT SPECIALIZED ABDOMINAL IMAGING 1,392.00 2601086 CT ABD/PEL W/O CONTRAST O 3,476.00 2601094 CT BIOPSY LYMPH NODE SUPE 1,273.00 2601102 CT BX PANCREAS W/CT GUIDA 1,392.00 2601110 CT ASPIRATION RENAL/CYST 1,822.00 2601128 CT BONE MARROW ASPIR & BX 579.00 2601136 CT BONE MARROW BX W/CT GU 1,163.00 2601144 CT BONE MARROW ASPIRATION 1,163.00 2601169 CT ANGIO ABDOMEN/PELVIS W 2,896.00 2601177 CT HEAD/BRAIN W/O STROKE 1,462.00 2601185 CT APPENDICEAL ABSCESS DR 2,308.00 2601193 CT LIVER LESION DRAIN PER 2,308.00 2601201 CT DRAINAGE SOFT TISSUE P 2,308.00 2601219 CT ANGIO ABDOMEN/PELVIS W 2,896.00 2601227 CT CHEST LOW DOSE SCREENI 303.00 2601235 CT HRT W/O CONTRAST W/CA 490.00 2601243 CT HRT ANGIO W/3D IMAGE 2,296.00 2601250 CT HRT W/3D IMAGE 2,550.00 2601276 CT ABD/PEL ENTEROGRAPHY W 3,903.00 2601284 CT ABD/PEL ENTEROGRAPHT W 3,476.00 2601300 CT CUSTOM FIT IMPLANT LOW 1,418.00 2601318 CT ABDOMEN/PEL W IV ONLY 5,135.00 2601326 CT CUSTOM FIT IMPLANT UPP 1,462.00 2601334 CT NEPHROSTOMY CATH PLACE 2,531.00 2601342 CT CHEST LOW DOSE SCREEN 303.00 2601359 CT CHEST W/O DIAGNOSTIC S 1,462.00 2601367 CT HEMIC/LYMPHATIC SYS UN 1,400.00 2601383 CT SOFT TISSUE LOCAL 1ST 1,040.00 2601391 CT SOFT TISSUE BIOPSY NEC 2,240.00 2800019 LIMITED ECHO COLOR DOPPLER 506.00 2800027 PULSE WAVE DOPPLER 518.00 2800035 LIMITED PULSE WAVE DOPPLER 317.00 2800050 FULL TRANSESOPHAGEAL ECHO 2,099.00 2800076 LIMITED TRANSTHORACIC ECHO 783.00 2800100 TRANSESOPHAGEAL ECHO IN OPERATING ROOM 1,758.00 2800191 FULL TRANSTHORACIC ECHO 2,269.00 2800258 DOBUTAMINE/STRESS ECHO 1,755.00 3000015 FISTULA ULTRASOUND EVALUATION 721.00 3000064 FULL CAROTID DUPLEX ULTRASOUND 1,619.00 3000072 UNILATERAL CAROTID DUPLEX ULTRASOUND 819.00 3000080 UNILATERAL UPPER EXT DUPLEX OF ARTERY 1,153.00 3000098 BILATERAL UPPER EXT DUPLEX OF ARTERY 1,602.00 3000106 BILATERAL ARTERIAL DOPPLER 979.00 3000114 BILATERAL ANKLE/BRACHIAL INDEX 663.00 3000130 BILATERAL ARTERIAL DUPLEX 1,469.00 3000148 UNILATERAL ARTERIAL DUPLEX 1,066.00 3000197 BILATERAL VEIN DUPLEX 1,528.00 3000205 UNILATERAL VEIN DUPLEX 1,066.00 3000254 VU INJ PERCUTANEOUS TX EX 753.00 3000270 ULTASOUND GUIDENCE FOR NEEDLE PLACEMENT 803.00 3000288 BILATERAL ANKLE/BRACHIAL INDEX WITH EXERCISE 1,220.00 3000296 VENOUS ABLATION FOR 1ST VEIN 5,533.00 3000304 VENOUS ABLATION FOR 2ND VEIN 3,868.00 3000312 STAB PHLEBECTOMY 10-20 STABS 4,199.00 3000320 STAB PHLEBECTOMY OVER 20 STABS 4,199.00 3000338 STAB PHLEBECTOMY UNDER 10 STABS 2,536.00 3000361 ULTASOUND GUIDENCE FOR NEEDLE PLACEMENT 1,905.00 3000379 BILATERAL VEIN MAPPING UPPER EXTREMITIES 1,528.00 3000387 UNILATERAL VEIN MAPPING UPPER EXTREMITIES 1,066.00 3000395 BILATERAL UPPER VEIN DUPLEX 1,528.00 3000403 BILATERAL VEIN MAPPING LOWER EXTREMITIES 1,528.00 3000411 MULTIPLE LEVEL TRANSCUTANEOUS OXYGEN MONITOR 979.00 3000429 SINGLE LEVEL TRANSCUTANEOUS OXYGEN MONTIOR 663.00 3000437 SINGLE LEVEL SCLEROTHERAPY VEIN PROCEDURE 391.00 3000445 MULTIPLE LEVEL SCLEROTHERAPY VEIN PROCEDURE 391.00 3000452 VENASEAL ABLATION OF LOWER EXTREMITIE VEIN 7,837.00 3200011 CALCULATIONS FOR RADIATION TREATMENTS 671.00 3200243 IODINE-131 PILL OR CAPSULE 94.00 3200250 IODINE-131 LIQUID SOLUTION 27.00 3200292 PORTAL FILM IMAGES 419.00 3200300 SPECIAL CALCULATIONS 679.00 3200318 SPECIAL PHYSICS CONSULT 1,381.00 3200326 PHYSICS REVIEW OF RADIATION TREATMENTS/CHART/PLAN 775.00 SUPERVISION, HANDLING & LOADING OF BRACHYTHERAPY 3200490 * SOURCES 3200524 3 DIMENSIONAL COMPUTER PLANNING 5,965.00 3200532 SET UP OF FIELDS VIA COMPUTER-COMPLEX 4,498.00 3200540 SET UP OF FIELDS VIA COMPUTER-INTERMEDIATE 2,878.00 3200557 VERIFICATION OF SETUP ON TREATMENT TABLE 1,253.00 3200565 SPECIAL TREATMENT COMPUTER PLAN 1,473.00 3200573 SPECIAL TREATMENT PROCEDURE 3,263.00 3200581 RO STRONTIUM-89 2,803.00 3200607 TREATMENT DEVICES/BLOCKING COMPLEX 1,296.00 3200623 TREATMENT DEVICES/BLOCKING INTERMEDIATE 725.00 3200631 TREATMENT DEVICES/BLOCKING SIMPLE 517.00 3200698 ESTABLISHED PATIENT-LEVEL 1 152.00 3200748 NEW PATIENT-LEVEL 1(LESS TIME) 129.00 3200755 RO NP LVL 2 207.00 3200763 RO NP LVL 3 287.00 3200771 RO NP LVL 4 339.00 3200789 NEW PATIENT-LEVEL 5(MORE TIME) 543.00 3200797 RO EP LEVEL II 179.00 3200805 RO EP LEVEL III 216.00 3200813 RO EP LEVEL IV 255.00 3200821 NEW PATIENT-LEVEL 5(MORE TIME) 343.00 3200847 INTENSITY MODULATED RADIATION THERAPY TREATMENT PLAN 18,758.00 3200854 RO RADIORX THERAPY ORAL A 1,755.00 3200862 RO RADIORX THERAPY IV ADM 1,026.00 3200888 CT GUIDANCE FOR RADIATION TREATMENT FIELDS 1,387.00 3200896 RO IMAGE FUSION 237.00 MULTILEAF COLLIMATION BLOCKING FOR INTENSITY MODULATED 3200961 3,383.00 RADIATION TREATMENTS 3200979 DAILY CAT SCAN ON TREATMENT MACHINE 1,532.00 3200987 RO NC ISODOSE PLAN COMPLE * 3200995 RO NC PORT FILM * 3201001 RO NC CT GUIDANCE FOR RT * 3201019 RO NC SPECIAL DOSIMETRY * 3201027 RO NC BASIC DOSIMETRY CAL * 3201035 RO NC SIMULATOR COMPLEX * 3201043 RO NC SPECIAL PHYSICS CON * 3201068 VOLUMETRIC MODULATED ARC THERAPY TREATMENT PLAN 18,758.00 MULTILEAF COLLIMATION BLOCKING FOR VOLUMETRIC 3201076 3,383.00 MODULATED ARC THERAPY TREATMENTS 3201092 INITIAL SET UP CT/MAPPING SIMPLE 2,638.00 3201100 INTIAL SET UP CT/MAPPING INTERMEDIATE 2,878.00 3201118 INITIAL SET UP CT/MAPPING COMPLEX 4,498.00 3201126 STEREOTACTIC BODY RADIATION THERAPY PLAN 14,924.00 3201134 RO RESPIRATORY MOTION MGM 3,314.00 3201142 COMPUTER TREATMENT PLAN-SIMPLE 2,265.00 3201159 COMPUTER TREATMEN PLAN-COMPLEX 2,310.00 INTENSITY MODULATED RADIATION THERAPY DAILYTREATMENT 3201191 3,675.00 SIMPLE(BREASTS & PROSTATES) INTENSITY MODULATED RADIATION THERAPY DAILYTREATMENT 3201209 3,749.00 COMPLEX(ALL OTHER SITES) VOLUMETRIC MODULATED ARC THERAPY DAILY TREATMENT 3201217 3,675.00 SIMPLE(BREASTS & PROSTATES) VOLUMETRIC MODULATED ARC THERAPY DAILY TREATMENT 3201225 3,749.00 COMPLEX(ALL OTHER SITES) 3201233 CT GUIDANCE FOR RADIATION TREATMENT FIELDS 447.00 3201241 DAILY RADIATION TREATMENT-SIMPLE 2,081.00 3201258 DAILY RADIATION TREATMENT-INTERMEDIATE 2,102.00 3201266 DAILY RADIATION TREATMENT-COMPLEX 2,123.00 3201274 RO BIS XTRACELL FLUID ANA 235.00 3300142 OBSERVATION IV HYDRATION SUBSEQUENT 166.00 3300209 IV PUSH SINGLE 244.00 3300498 INTENSIVE CARE CARDIOVERSION 1,412.00 3300506 STEP DOWN CARDIOVERSION 1,412.00 3300522 THERAPUETIC HYPOTHERMA 1,074.00 3300530 BRONCHOSCOPIES * 3340205 IV PUSH SINGLE INITIAL 244.00 3361045 POST PROCEDURE CARE 137.00 3361052 PRE-PRECEDURE CARE 378.00 3361060 POST ANESTHIA CARE 13.00 3361078 POST ANESTHIA CARE 22.00 3361086 PEDIATRIC POST-PROCEDURE 137.00 3361094 PEDIATRIC PRE-PROCEDURE 378.00 3361136 OB PRE-PROCEDURE 378.00 3361169 POST PROCEDURE CARE 137.00 3361177 PRE-PRECEDURE CARE 378.00 3361185 POST ANESTHIA CARE 12.00 3361193 POST ANESTHIA CARE 21.00 3361219 RECOVERY IN INTENSIVE CARE 22.00 3361227 POST PROCEDURE CARE 137.00 3361235 PRE-PRECEDURE CARE 378.00 3400017 ABO BLOOD TYPE 75.00 3400280 ALBUMIN,FLUID 76.00 3400298 ALBUMIN,SERUM 61.00 3400512 AMMONIA 169.00 3400546 AMYLASE,FLUID 127.00 3400553 AMYLASE 127.00 3400801 ANTIBODY IDENTIFICATION 252.00 3400876 ANTIBODY SCREEN,MODIFIED 138.00 3400884 ANTIBODY SCREEN 141.00 3401338 BMP 166.00 3401387 BETA LACTAMASE 47.00 3401403 BILIRUBIN,DIRECT 58.00 3401411 BILIRUBIN,TOTAL 48.00 3401460 ARTERIAL BLOOD GAS 294.00 3401486 RBC ANTIGENS 113.00 3401494 RH BLOOD TYPE 71.00 3401585 BUN,FLUID 44.00 3401619 CRP (C REACTIVE PROTEIN) 98.00 3401726 CALCIUM 53.00 3401734 IONIZED CALCIUM 143.00 3401742 CALCIUM, 24 HOUR URINE 71.00 3401775 CARBON DIOXIDE (CO2) 44.00 3401783 CARBON MONOXIDE 129.00 3401791 CARDIO (HS) CRP 123.00 3401874 CBC WITH DIFF 113.00 3401882 CBC WITHOUT DIFF 92.00 3401916 CEA 211.00 3401932 CELL COUNT,FLUID 105.00 3402153 CHLORIDE 37.00 3402195 CHLORIDE,URINE 71.00 3402203 CHOLESTEROL 56.00 3402492 BLOOD COLLECTION CHARGE 40.00 3402575 CMP 189.00 3402773 DAT (DIRECT COOMBS),IGG 81.00 3402849 CPK 105.00 3402864 CKMB 193.00 3402906 CREATININE CLEARANCE 147.00 3402914 CREATININE 48.00 3402922 CREATININE, TIMED URINE 69.00 3402930 CREATININE,RANDOM URINE 69.00 3402948 CROSMATCH 181.00 3402971 SHIGA TOXIN 1 110.00 3402997 CRYPTOSPORIDIUM ANTIGEN,STOOL 99.00 3403011 CELL COUNT WITH DIFF,FLUID 140.00 3403052 ANAEROBIC CULTURE 188.00 3403078 BLOOD CULTURE 216.00 3403086 CATH TIP CULTURE 160.00 3403110 EAR CULTURE 160.00 3403151 KOH (FUNGUS) PREP 66.00 3403185 GENITAL CULTURE 160.00 3403227 ORGANISM IDENTIFICATION 86.00 3403243 SCREENING CULTURE 92.00 3403250 THROAT CULTURE 160.00 3403268 URINE CULTURE,CATH 110.00 3403276 URINE CULTURE,VOID 110.00 3403284 SUPERFICIAL WOUND CULTURE 160.00 3403318 BONE MARROW CULTURE 160.00 3403581 MANUAL DIFFERENTIAL 47.00 3403607 DIGOXIN 146.00 3403623 DILANTIN (PHENYTOIN) TOTAL 157.00 3403763 ELECTROLYTE PANEL 104.00 3403821 EOSINOPHIL SMEAR 70.00 3403862 ESTRADIOL 199.00 3404019 STOOL WBC 69.00 3404043 FERRITIN 165.00 3404050 FETAL FIBRONECTIN 592.00 3404068 FETAL SCREEN 103.00 3404241 FOLIC ACID (FOLATE) 137.00 3404274 T4,FREE 125.00 3404282 FSH 166.00 3404456 GENTAMYCIN,TROUGH 171.00 3404464 GENTAMICIN,PEAK/KINETIC 171.00 3404472 GGT 77.00 3404480 GIARDIA ANTIGEN,STOOL 105.00 3404514 BEDSIDE GLUCOSE (ACCUCHECK) 41.00 3404522 GLUCOSE,FLUID 83.00 3404530 GLUCOSE,BLOOD 44.00 3404548 GLUCOSE,SPINAL FLUID 83.00 3404555 GLUCOSE, TOLERANCE 47.00 3404563 GLUCOSE TOLERANCE 152.00 3404597 GLYCOSYLATED HEMOGLOBIN (A1c) 110.00 3404621 GROUP B STREP CULTURE 107.00 3404738 HDL CHOLESTEROL 81.00 3404803 HEMATOCRIT 44.00 3404837 HEMOGLOBIN 44.00 3405271 HEPATIC FUNCTION PANEL 147.00 3405560 FIBRINOGEN 123.00 3405743 ANAEROBIC ORGANISIM ID 103.00 3406295 MONO 95.00 3406378 IRON 77.00 3406386 IRON BINDING 104.00 3406501 LACTIC ACID (LACTATE) 143.00 3406568 LDH 65.00 3406576 LDH,FLUID 65.00 3406683 LIPID PANEL 147.00 3406691 LITHIUM 95.00 3406758 LH 152.00 3406873 MAGNESIUM (MG) 88.00 3406980 METHEMOGLOBIN 69.00 3407020 ANTIBIOTIC SUSCEPTIBILITY 110.00 3407608 OSMOLALITY 99.00 3407699 OANDP,DIRECT EXAM 120.00 3407707 OANDP, STAIN 470.00 3407715 O2 SATURATION 105.00 3407830 PTT 110.00 3407855 PSA,SCREENING 148.00 3407889 PH & PCO2 269.00 3407897 PH ONLY 110.00 3407939 PHENOBARBITOL 152.00 3407962 ALK PHOS 48.00 3407988 PHOSPHORUS 60.00 3408051 PLATELET COUNT 70.00 3408093 BLOOD PRODUCT POOLING CHARGE 227.00 3408192 POTASSIUM,BLOOD 53.00 3408200 POTASSIUM, URINE 69.00 3408242 SERUM PREGNANCY TEST 137.00 3408291 PROGESTERONE 161.00 3408457 PROTEIN,SPINAL FLUID 86.00 3408465 PROTEIN, FLUID 86.00 3408507 PROTEIN,URIEN 74.00 3408531 PROTIME (INR) 69.00 3408564 PSA,TOTAL 148.00 3408689 REDUCING SUBSTANCE,STOOL 75.00 3409844 RENAL FUNCTION PANEL 183.00 3409919 RETIC 68.00 3409992 ROTAVIRUS,STOOL 157.00 3410107 ESR 62.00 3410149 SEMEN ANALYSIS,FERTILITY 206.00 3410156 SEMEN ANALYSIS, POST VAS 100.00 3410164 ANTIBIOTIC DISK SENSITIVITY 98.00 3410180 SYPHILIS (RPR) 66.00 3410263 AST (SGOT) 53.00 3410271 ALT (SGPT) 54.00 3410297 GRAM STAIN 73.00 3410339 SODIUM,BLOOD 42.00 3410362 SODIUM,URINE 71.00 3410438 BLOOD PRODUCT SPLITTING CHARGE 117.00 3410511 STREP A THROAT CULTURE 92.00 3410883 TEGRETOL 172.00 3410925 THAW FROZEN BLOOD PRODUCT 118.00 3410933 THEOPHYLLINE 152.00 3410974 CULTURE,FLUID 160.00 3411030 T4,TOTAL 91.00 3411337 TRIGLYCERIDES 62.00 3411360 TROPONIN I 208.00 3411378 TSH 164.00 3411428 SEROTYPING 53.00 3411493 RAPID UREASE 85.00 3411501 BUN 44.00 3411519 BUN,URINE 74.00 3411527 URIC ACID 58.00 3411535 URIC ACID,URINE 55.00 3411584 AMYLASE,RANDOM URINE 105.00 3411600 MEASUREMENT OF URINE 36.00 3411618 URINE MICROSCOPIC EXAM 44.00 3411626 PHOSPHORUS,URINE 69.00 3411675 VALPROIC ACID (DEPAKOTE) 148.00 3411683 VANCOMYCIN,KINETIC 184.00 3411691 VANCOMYCIN,PEAK 184.00 3411709 VANCOMYCIN,TROUGH 184.00 3411865 VITAMIN B12 138.00 3411931 WBC COUNT 50.00 3411949 WET MOUNT EXAM 66.00 3411964 YEAST IDENTIFICIATION 104.00 3412087 SALMONELLA/SHIGELLA CULTURE 129.00 3412111 HCG,QUANT 166.00 3412277 OCCULT BLOOD, NOT STOOL 59.00 3413473 TOBRAMYCIN 166.00 3413655 BNP 275.00 3414810 GLUCOSE,URINE 79.00 3415429 CAPILLARY BLOOD COLLECTION 28.00 3415775 TB SKIN TEST 68.00 3416492 ARTERIAL BLOOD COLLECTION 86.00 3417011 ACETONE 69.00 3417144 MAGNESIUM,URINE 85.00 3417268 OCCULT BLOOD,SCREEN 49.00 3417375 WBC WITH DIFFERENTIAL 69.00 3417391 CULTURE,TRANSFUSION REACTION 160.00 3417409 CREATININE,FLUID 59.00 3417425 RH PHENOTYPING 134.00 3417532 URINE PREGNANCY TEST 101.00 3417631 TISSUE GRINDING CHARGE 62.00 3417649 COOMBS (DAT) COMP IGG & C3 81.00 3417698 CULTURE,CSF 160.00 3417706 CULTURE,SPUTUM 160.00 3417714 CULTURE,NASAL 151.00 3417755 CULTURE,WOUND 160.00 3417797 OSMOLALITY,URINE 101.00 3417888 LIPASE 123.00 3417912 D-DIMER 190.00 3417946 HEMOGLOBIN,FLUID 42.00 3417953 HEMATOCRIT,FLUID 43.00 3419017 CORTISOL 167.00 3419033 SHIGA TOXIN 2,STOOL 110.00 3419041 PLATELET FUNCTION ADP 161.00 3419058 PLATELET FUNCTION EPI 161.00 3419074 UA WITHOUT MICRO 50.00 3419082 UA WITH MICRO 77.00 3419090 TRANSCUTANEOUS BILIRUBIN 71.00 3419116 IGM 109.00 3419124 IGG 109.00 3419132 IGA 109.00 3419140 RHEUMATOID FACTOR 88.00 3419157 PREALBUMIN 127.00 3419165 RUPTURE OF MEMEBRANES 199.00 3419173 C DIFF,PCR 304.00 3419199 IGE 117.00 3419223 MRSA SCREEN 59.00 3419231 CA 2729 193.00 3441391 TSH W/REFLEX TO T4,FREE 166.00 3442084 STOOL OCCULT BLOOD 44.00 3442142 TOBRAMYCIN,TROUGH 166.00 3442159 ANTI XA 227.00 3442167 ANTIGEN SCREEN X1 129.00 3442175 ANTIGEN SCREEN X2 165.00 3442183 ANTIGEN SCREEN X3 249.00 3442233 AHG CROSSMATCH 217.00 3442258 PROTEIN,SERUM 41.00 3442274 CAMPYLOBACTER ANTIGEN,STOOL 110.00 3442290 MICROALBUMIN,RANDON URINE 92.00 3442308 MICROALBUMIN,TIMED URINE 92.00 3442324 LEGIONELLA ANTIGEN,URINE 119.00 3442332 LACTATE,LACTIC ACID 147.00 3442340 MRSA ID,DNA 304.00 3442357 STAPH AUREAU ID,DNA 304.00 3442365 CHLAMYDIA DNA 304.00 3442373 GONORRHEA DNA 304.00 3442399 STAPH AUREAUS,DNA 304.00 3442407 INFLUENZA,DNA 625.00 3442415 MRSA,DNA 304.00 3442423 STREP PNEUMO ANTIGEN,URINE 151.00 3442431 STREP PNEUMO ANTIGEN,CSF 151.00 3442449 SALICYLATE 161.00 3442456 ACT,ACTIVATED CLOTTING TIEM 139.00 3442464 FUNGUS CULTURE 212.00 3491065 ACT,ACTIVATED CLOTTING TIEM 86.00 3491131 FUNGUS CULTURE 179.00 3491149 FLUID CONCENTRATION CHARGE 56.00 3491156 ACID FAST SMEAR 88.00 3491164 CRYPTOCOCCAL ANTIGEN SCREEN 110.00 3491172 ACID FAST/TB SMEAR 190.00 3491180 FUNGUS CULTURE 129.00 3491198 T3,TOTAL 137.00 3491206 TE,FREE 152.00 3491214 HOMOCYSTEINE 190.00 3491222 BLOOD DRAW FROM PICC LINE 150.00 3491230 FUNGUS BLOOD CULTURE 179.00 3491248 PROCALCITONIN 257.00 3491289 ACETAMINOPHEN 249.00 3491297 BLOOD ALCOHOL 190.00 3491305 HIV 1/2 ANTIGEN/ANTIBODY 145.00 3491313 RESPIRATORY CHLAMYDIA DNA 304.00 3491321 RESPIRATORY MYCOPLASMA DNA 304.00 3491339 B PERTUSSIS DNA 304.00 3491347 RESPIRATORY VIRAL PANEL 3,057.00 3491354 VITAMIN D 221.00 3491362 INFLUENZA & RSV DNA 942.00 3491370 GROUP A STREP DNA 257.00 3491388 H PYLORI ANTIGEN,STOOL 101.00 3491396 BMP WITH IONIZED CALCIUM 166.00 3500204 DNA PROBE * 3500212 NEWBORN SCREEN 124.00 3500220 NEWBORN SCREEN 64.00 3500238 NEWBORN SCREEN 62.00 3500246 NEWBORN SCREEN 96.00 3500253 NEWBORN SCREEN 48.00 3500303 HEPATITIS B SURFACE ANTIGEN 83.00 3500345 PTH 304.00 3500378 ANA W/REFLEX 110.00 3500410 HEPATITIS C ANTIBODY 110.00 3500428 HEPATITIS B SURFACE ANTIBODY 83.00 3500451 CA 125 154.00 3500485 CA 19-9 154.00 3500493 SERUM PROTEIN ELECTROPHORESIS 83.00 3500527 KIDNEY STONE ANALYSIS 150.00 3500543 HEPATITIS PANEL ANALYSIS 331.00 3500568 WEST NILE IGM ANTIBODY 127.00 3500592 IMMUNOSASSAY * 3500634 ALLERGY * 3500659 PROTEIN,TOTAL 55.00 3500675 COXSACKIE A 77.00 3500683 COXSACKIE B 77.00 3500733 URINE METANEPHRINES 132.00 3500774 TACROLIMUS 110.00 3500790 HEPATITIS B CORE ANTIBODY 110.00 3500808 PROLACTIN 144.00 3500873 INSULIN 110.00 3500881 RUBELLA 110.00 3500923 HIV 1 DNA 625.00 3500949 HAPTOGLOBIN 100.00 3500998 LEAD 110.00 3501004 ALDOLASE 79.00 3501020 SERUM IMMUNOFIXATION 166.00 3501079 ASO 68.00 3501087 LYME DISEASE ANTIBODY 166.00 3501137 ACETYLCHOLINE RECEPTOR AB 146.00 3501152 AFP 132.00 3501160 BETA 2 MICROGLOBULIN 132.00 3501178 PARVOVIRUS 110.00 3501210 PERTUSSIS * 3501228 PROTEIN,URINE 55.00 3501236 REF LAB FUNGAL IDENTIFICATION 83.00 3501244 ERYTHROPOEITIN 131.00 3501269 LUPUS PANEL 44.00 3501285 WEST NILE ANTIBODY,IGM 139.00 3501293 ANTIBODY SCREEN ANALYSIS 76.00 3501301 LUPUS PANEL 66.00 3501319 KARYOTYPES * 3501343 C4,COMPLEMEMT 110.00 3501368 PROTEIN S,FREE 223.00 3501426 C3,COMPLEMENT 110.00 3501483 THYROID PEROXIDASE 110.00 3501491 KLEIHAUER BETKE ANALYSIS 137.00 3501509 PROTEIN C ANALYSIS 122.00 3501517 CMV ANTIBODY,IGG 110.00 3501533 ALPHA 1 ANTITRYPSIN 110.00 3501541 AT3 100.00 3501558 MYOGLOBIN,URINE 132.00 3501566 MYOGLOGIN,SERUM 110.00 3501582 CMV ANTIBODY,IGM 132.00 3501632 5-HIAA 92.00 3501640 ANTI-PHOSPHOLIPID ANTIBODY 193.00 3501681 TISSUE CULTURE * 3501723 DHEAS 132.00 3501731 COMPLEMENT TOTAL ANALYSIS 122.00 3501764 REF LAB URINE DRUG SCREEN 83.00 3501848 FTA ABS,SYPHILIS CONFIRMATION 74.00 3501855 CERUPLASMIN 100.00 3501889 INTERPHASE IN SITU HYBRIDIZATION * 3501905 VITAMIN D,125 283.00 3501939 ANTIBODY ELUTION 175.00 3501947 REF LAB ANTIBODY IDENTIF 296.00 3501970 TESTOSTERONE,FREE 193.00 3502002 FACTOR 8 100.00 3502051 EBV PANEL 71.00 3502077 17-OHP,HYDROXYPROGESTERONE 170.00 3502085 GASTRIN 88.00 3502143 HEAVY METAL PANEL,URINE 122.00 3502150 IGG SUBCLASS 60.00 3502176 HEAVY METAL PANEL,URINE 100.00 3502192 HEAVY METAL PANEL,URINE 88.00 3502218 TRANSFERRIN 110.00 3502267 PROTEIN C ANTIGEN 136.00 3502283 RENIN 166.00 3502291 ACTH 287.00 3502341 ACE (ANTIOTENSIN CONV ENZ) 122.00 3502424 TRILEPTAL 139.00 3502515 VIRUS ISOLATION ANALYSIS 336.00 3502531 DS DNA 94.00 3502630 SOMATOMEDIN C ANALYSIS 166.00 3502663 HEPATITS B CORE,IGM 63.00 3502671 VITAMIN B1 167.00 3502697 ALK PHOS ISOENZYMES 189.00 3502739 TOXOPLAMSA IGM 132.00 3502812 CYCLOSPORIN 149.00 3502838 VARICELLA ZOSTER ANALYSIS 90.00 3502853 ANTIPLATELET AB ANALYSIS 197.00 3502861 HEAVY METAL PANEL,BLOOD 118.00 3502895 ALK PHOS ISOENZYMES 91.00 3502929 HEPATITIS A ANTIBODY,TOTAL 100.00 3503109 HISTOPLASMA AG ANALYSIS * 3503141 SCL-70,SCLERODERMA AB 136.00 3503422 ALDOSTERONE 299.00 3503471 CORTISOL,FRACTIONATED URINE 120.00 3503596 C PEPTIDE 154.00 3503638 TOXOPLASMA ANTIBODY 132.00 3503646 CA 15-3 154.00 3503653 HERPES ANTIBODY 70.00 3503737 FELBAMATE 115.00 3503885 RUBEOLA (MEASLES) 100.00 3503901 FACTOR IX 100.00 3503927 VDRL,SYPHILIS CONFIRMATION 83.00 3503992 ANTITHROMBIN 3,ANTIGEN 148.00 3504016 JO1 ANTIBODY 142.00 3504206 HEAVY METAL PANEL,BLOOD 118.00 3504255 ESTROGEN FRACTIONATED 239.00 3504305 RBC FOLATE 136.00 3504313 IGG SUBCLASS 69.00 3504552 PSA,TOTAL & FREE 144.00 3504578 PSA,TOTAL & FREE 144.00 3504727 FACTOR V 182.00 3504735 LUPUS PANEL 195.00 3504750 FACTOR X 100.00 3504867 BETA 2 GLYCOPROTEIN 188.00 3504909 ANA REFLEX 94.00 3505062 HEPATITS A ANTIBODY,IGM 110.00 3505120 TSI * 3505179 REF LAB ANTIGEN TYPING 79.00 3505492 CATECHOLAMINES,URINE 166.00 3505633 URINE PROTEIN ELECTROPHRESIS 132.00 3505658 TESTOSTERONE,TOTAL 221.00 3505732 CMV IGG 132.00 3505740 CMV IGM 132.00 3505757 EBV PANEL 71.00 3505849 NEWBORN SCREEN 85.00 3505856 NEWBORN SCREEN 145.00 3505948 THYROGLOBULIN ANTIBODY 80.00 3505955 HERPES SIMPLEX ANALYSIS 304.00 3505963 LA MT INTRINSIC FACTOR AB * 3505989 LA MT FREE T4 * 3506029 LA MT INHIBIN A * 3506078 LA MT SPECTROPHOT NOS 70.00 3506169 LA MT FACTOR VIII VW FACT * 3506219 LA MT CELLS ABS CD4 CD8 105.00 3506276 LA MT IMMUNOASSAY QT NOS 62.00 3506292 LA MT CARNITINE 56.00 3506342 LA MT VIRAL ANTIBODY NOS * 3506375 BL CRYOPRECIPITATE EACH * 3506391 BL RBC LEUKOREDUCED EA * 3506441 BL PRODUCT TRANSFUSION UP 142.00 3506458 BL RBC IRR LEUKO * 3506474 BL RBC IRR LEUKO CMV NEG 131.00 3506482 BL PLATELETS IRR LEUKO CM 267.00 3506581 BL FRESH FROZEN PLASMA EA * 3506631 BL FRESH FROZEN PLASMA, E 100.00 3506805 BL PLATELETS PHERESIS, LE 110.00 3506839 BL PLATELETS PHERESIS, IR 110.00 3506920 BL PRODUCT TRANSFUSION UP 248.00 3507126 BL PRODUCT TRANSFUSION UP 455.00 3507191 BL PRODUCT TRANSFUSION UP 121.00 3507399 BL PRODUCT TRANSFUSION OV 142.00 3507431 HIT ANTIBODY 181.00 3507498 URINE IMMUNOFIXATION 215.00 3507662 REF LAB ORGANISM IDENTIF. 61.00 3507670 REF LAB YEAST IDENTIF 78.00 3507696 REF LAB ANTIBODY SCREEN 76.00 3507704 REF LAB ANTIBODY SCREEN 71.00 3507712 REF LAB ANTIBODY ID 281.00 3507720 REF LAB COOMS 71.00 3507738 REF LAB COOMS IGG 90.00 3507746 REF LAB COOMS C3D 90.00 3507753 REF LAB ANTIGEN SCREEN 1 79.00 3507761 REF LAB ANTIGEN SCREEN 2 110.00 3507779 REF LAB ANTIGEN SCREEN 3 143.00 3507787 REF LAB ANTIGEN SCREEN 4 167.00 3507795 REF LAB ANTIGEN SCREEN 5 208.00 3507803 REF LAB ANTIGEN SCREEN 1 139.00 3507811 REF LAB ANTIGEN SCREEN 2 230.00 3507829 REF LAB ANTIGEN SCREEN 3 322.00 3507837 REF LAB ANTIGEN SCREEN 4 414.00 3507886 REF LAB AHG CROSSMATCH 218.00 3508025 RNP 137.00 3508074 SMOOTH MUSCLE ANALYSIS 105.00 3508082 FAT FECES ANALYSIS 157.00 3508116 MITOCHONDRIAL ANTIBODY 95.00 3508132 PROTEINASE 3 99.00 3508165 MYLOPEROXIDASE (MP3) 250.00 3508223 HEPATITIS C QUANT,PCR 331.00 3508330 SEROTONIN RELEASE ASSAY 426.00 3509072 HISTOPLASMA ANTIGEN,URINE 185.00 3510096 ANA SCREEN 122.00 3510260 GLIADIN IGG 149.00 3510278 RETICULIN ANTIBODY 110.00 3510286 GLIADIN IGA 149.00 3510302 TISSUE TRANSGLUTAMINASE (TTG) 110.00 3510369 SYNOVIAL FLUID CRYSTALS 69.00 3510567 LUPUS PANEL 132.00 3510575 LUPUS PANEL 86.00 3510583 LUPUS PANEL 132.00 3510591 LUPUS PANEL 66.00 3510609 LUPUS PANEL 86.00 3510690 FACTOR 5 LEIDEN 118.00 3510724 REF LAB E TEST 50.00 3510773 BCRABL * 3510815 YEAST SUSCEP 105.00 3511003 BCRABL * 3511151 VMA,VANILLYMANDELIC ACID URINE 122.00 3519204 ACID FAST SUSCEPTIBILITY 143.00 3519253 COMPLEX IDENTIFICATION 64.00 3519261 ACID FAST IDENTIFICATION * 3519360 REF LAB IDENTIFICATION 56.00 3519683 REF LAB ORGANISM IDENTIF. 86.00 3520020 ZINC 98.00 3520038 THYROXINE BINDING GLOBULIN 162.00 3520046 FUNGITELL 242.00 3520053 MUSK ANTIBODY 1,303.00 3520079 KAPPA LAMBDA FREE LIGHT CHAINS 125.00 3520087 PROTHROMIN GENE MUTATATION 246.00 3520160 LDL CHOLESTEROL,DIRECT 85.00 3520251 B PARAPERTUSSIS DNA 276.00 3520269 B PERTUSSIS DNA 276.00 3520301 T3 UPTAKE 76.00 3520335 LEVETIRACETAM (KEPPRA) 130.00 3520350 CENTROMERE ANTIBODY 117.00 3520368 LAMOTRIGINE 104.00 3520384 CLOZAPINE 137.00 3520517 ENDOMYSIAL ANTIBODY 126.00 3520814 NEWBORN SCREEN 132.00 3521218 GRAM STAIN 58.00 3521424 CELIAC PANEL 73.00 3521465 ANA REFLEX 53.00 3521473 ANA REFLEX 53.00 3521481 ANA REFLEX 53.00 3521499 ANA REFLEX 53.00 3521507 ANA REFLEX 53.00 3521515 ANA REFLEX 53.00 3521523 ANA REFLEX 53.00 3521531 ANA REFLEX 53.00 3521549 ANA REFLEX 53.00 3521556 ANA REFLEX 53.00 3521572 ORGANISM IDENTIFICATION 86.00 3521598 SMOOTH MUSCLE ANTIBODY 63.00 3521622 URINE DRUG SCREEN 80.00 3521630 NOROVIRUS 331.00 3521655 REGION 9 ALLERGY PANEL 17.00 3521663 1GE ALLERGENS 117.00 3521671 EBV DNA 176.00 3521697 BLASTOMYCES AB 73.00 3521705 CMV DNA 176.00 3521713 HISTOPLASMA AB,SERUM 36.00 3521721 COCCIDIODES AB,SERUM 76.00 3521754 THYROGLOBULIN ANTIBODY,TUMOR MARKER 61.00 3521762 PARIETAL CELL ANTIBODY 84.00 3521770 INTRINSIC FACTOR BLOCKING AB 77.00 3521788 ESTROGEN,FRACTIONATED 98.00 3521796 PNH PANEL 84.00 3521804 IGD 78.00 3521929 REVERSE T3 83.00 3521937 VITAMIN B6 82.00 3521945 ALPHA 1 ANTIRYPSIN PHENOTYPE 48.00 3521952 ALPHA 1 ANTIRYPSIN PHENOTYPE 48.00 3522273 C TELOPEPTIDE 147.00 3522281 CHROMIUM 121.00 3522299 H PYLORI (UBT) BREATH 404.00 3522307 BILE ACIDS GLOBULIN 120.00 3522315 TESTOSTERONE PANEL 34.00 3522588 SERINE PROTEASE 3 70.00 3522596 HEAVY METAL PANEL,BLOOD 85.00 3522604 TPMT 142.00 3522612 INHIBIN A 109.00 3522620 HEAVY METAL PANEL,BLOOD ARSENIC 77.00 3522638 HEAVY METAL PANEL,BLOOD CADMIUM 111.00 3522646 HISTOPLASMA ANTIGEN,SERUM 110.00 3522653 HEAVY METAL PANEL,BLOOD MERCURY 113.00 3522661 ENTEROVIRUS 245.00 3522679 NEUTROPHIL CYTOPLASMIC AB 84.00 3522802 CHROMOGRANIN A 145.00 3522810 MTHR 215.00 3522828 HEPATITIS C GENOTYPE 1,798.00 3522836 ZONISAMIDE 99.00 3522844 GALACTOMANNAN 147.00 3522851 NICOTINE SCREEN,SERUM 74.00 3522869 MATERNAL QUAD SCREEN * 3591005 PATHOLOGY STAIN 359.00 3591013 PATHOLOGY STAIN 348.00 3591021 PATHOLOGY STAIN 497.00 3591039 PATHOLOGY EXAM 166.00 3591047 PATHOLOGY STAIN 271.00 3591054 PATHOLOGY EXAM 64.00 3591062 PATHOLOGY STAIN 497.00 3591070 PATHOLOGY STAIN 497.00 3591088 PATHOLOGY STAIN 497.00 3591096 PATHOLOGY EXAM 249.00 3591104 PATHOLOGY EXAM 85.00 3591112 PATHOLOGY EXAM 1,039.00 3591120 PATHOLOGY EXAM 117.00 3591138 PATHOLOGY EXAM 166.00 3591146 PATHOLOGY EXAM 186.00 3591153 PATHOLOGY EXAM 68.00 3591161 PATHOLOGY EXAM 386.00 3591179 PATHOLOGY EXAM 1,467.00 3591195 PATHOLOGY EXAM 276.00 3591237 PATHOLOGY EXAM 230.00 3591260 PATHOLOGY STAIN 232.00 3591278 PATHOLOGY STAIN 95.00 3591294 PATHOLOGY EXAM 210.00 3591302 PATHOLOGY EXAM 2,354.00 3591310 PATHOLOGY EXAM 65.00 3600111 BL CRYOPRECIPITATE EACH 127.00 3600202 BL RBC LEUKOREDUCED EA 434.00 3600244 BL PRODUCT TRANSFUSION UP 649.00 3600269 BL RBC IRR LEUKO 539.00 3600277 BL RBC IRR LEUKO CMV NEG 569.00 3600293 BL PLATELETS IRR LEUKO CM 1,352.00 3600319 BL FRESH FROZEN PLASMA EA 128.00 3600368 BL FRESH FROZEN PLASMA, E 136.00 3600376 BL PLATELETS PHERESIS, LE 995.00 3600384 BL PLATELETS PHERESIS, IR 1,053.00 3600392 BL PRODUCT TRANSFUSION UP 1,299.00 3600400 BL PRODUCT TRANSFUSION UP 974.00 3600418 BL PRODUCT TRANSFUSION UP 512.00 3600426 BL PRODUCT TRANSFUSION OV 1,623.00 3800042 IV D10W 1000ML. 139.00 3800067 IV D10W 500ML. 101.00 3800083 IV D5 ADVANTAGE 50ML. 70.00 3800117 IV D5 PF 100ML 70.00 3800125 IV D5 PF 50 ML 70.00 3800174 IV D5 1/2 W/10 KCL 1L 139.00 3800182 IV D5 1/2 W/KCL20MEQ 139.00 3800208 IV D5 1/2NS PER 500ML 139.00 3800240 IV D5 1/4 W/KCL 20MEQ 139.00 3800265 IV D5 1/4 1000ML. 139.00 3800281 IV D5 1/4 500ML 139.00 3800315 IV D5LR 1000ML 139.00 3800323 IV D5LR 500ML 101.00 3800349 IV D5S W/20 KCL 1000ML 139.00 3800364 IV D5NS PER 1000ML 139.00 3800380 IV D5W PER 1000ML 139.00 3800398 IV D5W PER 500ML 101.00 3800406 IV D5W PER 500ML 101.00 3800414 IV LR PER 1000ML 139.00 3800448 IV NORMAL SALINE INJ PER 139.00 3800463 IV NS ADVANTAGE 100ML. 70.00 3800471 IV NS ADVANTAGE 50ML. 70.00 3800489 IV NS PF 100ML 70.00 3800497 IV NS PF 50ML 70.00 3800505 IV NS W/20 KCL 1000ML. 139.00 3800521 IV NS 150ML. 70.00 3800539 IV NORMAL SALINE INJ PER 101.00 3800547 IV NORMAL SALINE INJ PER 101.00 3800562 IV WATER F/INJECT. 1000 139.00 3800570 IV 0.45% NACL 1L 139.00 3800604 IV SOL NORMOSOL R 1000ML 139.00 3800661 IV SOD CHLOR .45% W KCL 2 139.00 3800687 IV NS PER 250ML 101.00 3800711 IV 0.9% SODIUM CHLORIDE 1 70.00 4000030 NEBULIZER - DAILY, INITIAL TREATMENT 186.00 4000048 NEBULIZER - DAILY, SUBSEQUENT TREATMENT 186.00 4000097 DIAGNOSTIC- METHACHOLINE CHALLENGE WITH PFT 1,529.00 4000238 INTUBATION 747.00 4000246 EZPAP - DAILY, INITIAL TREATMENT 186.00 4000253 EZPAP - DAILY, SUBSEQUENT TREATMENT 186.00 4000279 INHALER - DAILY, INITIAL TREATMENT 186.00 4000287 INHALER - DAILY, SUBSEQUENT TREATMENT 186.00 4000303 OXYGEN CHECK * 4000311 OVERNIGHT OXYGEN STUDY 454.00 4000402 DIAGNOSTIC - PFT, PRE/POST 734.00 4000410 DIAGNOSTIC - FLOW VOLUME LOOP 242.00 4000824 OXYGEN CHECK WHILE WALKING * 4001038 MANUAL CHEST PERCUSSION - 1ST TREATMENT 226.00 4001046 MANUAL CHEST PERCUSSION - DAILY, SUBSEQUENT TREATMENT 138.00 4001137 DIAGNOSTIC - METHACHOLINE CHALLENGE - NO PFT 602.00 4001145 CPX - CARDIOPULMONARY EXERCISE TEST 1,642.00 4001152 INVASIVE VENTILATOR - 1ST DAY 1,452.00 4001160 INVASIVE VENTILATOR - SUBSEQUENT DAY 1,925.00 4001186 NON-INVASIVE VENTILATOR - 1ST DAY 1,452.00 4001194 NON-INVASIVE VENTILATOR - SUBSEQUENT DAY 743.00 4001202 INFANT INVASIVE VENTILATOR - 1ST DAY 1,452.00 4001210 INFANT INVASIVE VENTILATOR - SUBSEQUENT DAY 743.00 4001228 INFANT NON-INVASIVE VENTILATOR - 1ST DAY 1,452.00 4001236 INFANT NON-INVASIVE VENTILATOR - SUBSEQUENT DAY 743.00 4001269 CONTINUOUS OXYGEN MONITORING * 4001277 NEBULIZER - CONTINOUS, 1ST HR 454.00 4001285 NEBULIZER - CONTINOUS, PER HOUR 424.00 4067468 DIAGNOSTIC - VITAL CAPACITY TESTING 176.00 4067484 DIAGNOSTIC - SPIROMETRY 341.00 4067492 DIAGNOSTIC - PFT, RESISTENCE 688.00 4067500 DIAGNOSTIC - PFT, DLCO 449.00 4067518 END TIDAL CAPNOGRAPHY MONITORING - DAILY 465.00 4067534 DIAGNOSTIC - 6MIN WALK * 4067575 RT ATTENDANCE AT INFANT DELIVERY 294.00 4067583 ARTERIAL BLOOD GAS * 4067591 CALORIMETRY TESTING 110.00 4067609 CPAP THERAPY, DAILY 886.00 4067617 MECHANICAL CHEST PERCUSSION 274.00 4067625 DIAGNOSTIC - EXERCISED INDUCED ASTHMA 481.00 4067633 DIAGNOSTIC - 6MIN WALK WITHOUT PFT 461.00 4300026 PT AQUATIC THERAPY 15 MIN 134.00 4300042 PT COLD PACK * 4300091 PT ELECT STIM ATT 15 MIN 98.00 4300109 PT ELECT STIM UNATT 86.00 4300125 PT PHYSICAL PERFORMANCE T 128.00 4300133 PT GAIT TRAINING 15 MIN 107.00 4300141 PT GROUP THERAPY 131.00 4300158 PT HOME VISIT PT 15 MIN 118.00 4300190 PT IONTOPHORESIS 15 MIN 126.00 4300208 PT MANUAL THERAPY 15 MIN 125.00 4300224 PT NEURMUSCULAR REED 15 M 120.00 4300232 PT INITIAL ORTHO ENCOUNTE 148.00 4300281 PT INITIAL PROS ENCOUNTER 125.00 4300349 PT THERAPEUTIC ACT 15 MIN 113.00 4300356 PT THERAPY EXERCISE 15 MI 113.00 4300364 PT TRACTION BUCKS SKIN 121.00 4300380 PT TRACTION MECHANICAL 78.00 4300422 PT ULTRASOUND 15 MIN 99.00 4300448 PT WHEELCHAIR MGT 15 MIN 125.00 4300463 PT WORK HARDENING ADDL 60 106.00 4300471 PT WORK HARDENING INTL 12 295.00 4300489 PT HOT PACK * 4300513 PT COMM/WORK REINTEGRATIO 120.00 4300737 PT OHF W/TRAPEZE 104.00 4300786 PT FLUIDOTHERAPY 87.00 4300794 PT ADDL SERVICE PROCEDURE * 4300810 PT MAINTENANCE II 75.00 4300836 PT CANALITH REPOSITIONING 105.00 4300844 PT 15 MIN PHYSICAL THERAP 118.00 4300893 PT MANUAL THERAPY 15 MIN 125.00 4300901 PT IONTOPHORESIS 15 MIN 126.00 4300919 PT WHEELCHAIR MANAGEMENT 125.00 4300927 PT ESTIM UNATTENDED 86.00 4300950 PT AQUATIC THERAPY 15 MIN 134.00 4300968 PT COMMUNITY WORK REENTRY 120.00 4301008 PT THERAPEUTIC ACTIVITY 1 113.00 4301016 PT BIOFEED BACK TRAINING 115.00 4301065 PT FLUIDOTHERAPY 87.00 4301107 PT TRACTION MECHANICAL 78.00 4301149 PT ULTRASOUND 15 MIN 99.00 4301156 PT BIOFEED BACK PERINEAL 171.00 4301172 PT INITIAL ORTHO ENCOUNTE 148.00 4301180 PT INITIAL PROS ENCOUNTER 125.00 4301230 PT NEURO MUSCULAR RE-ED 1 120.00 4301263 PT GAIT TRAINING 15 MIN 107.00 4301289 PT ESTIM ATTENDED 15 MIN 98.00 4301305 PT CANALITH REPOSITIONING 105.00 4301313 PT THERAPEUTIC EXERCISE 1 113.00 4301321 PT PHYSICAL PERFORM TEST 128.00 4302592 PT BIS XTRACELL FLUID ANA 235.00 4302600 PT EVAL MODERATE COMPLEXI 245.00 4302618 PT EVAL LOW COMPLEXITY 205.00 4302626 PT EVAL HIGH COMPLEXITY 341.00 4302634 PT RE-EVAL 164.00 4302642 PT EVAL HIGH COMPLEXITY E 341.00 4302659 PT RE-EVAL KX 164.00 4302667 PT EVAL MOD COMPLEXITY EV 245.00 4302675 PT EVAL LOW COMPLEXITY KX 205.00 4400016 OT ADL TRAINING 15 MIN 104.00 4400032 OT HOT PACK * 4400040 OT AQUATIC THERAPY 15 MIN 134.00 4400057 OT COLD PACK * 4400065 OT COMM/WORK REINTEGRATIO 120.00 4400081 OT ELE STIM ATTEND 15 MIN 98.00 4400123 OT HOME VISIT 15 MIN 118.00 4400180 OT NEURMUSCLAR REED 15 MI 120.00 4400222 OT INITIAL ORTHO ENCOUNTE 148.00 4400248 OT PARAFFIN BATH 61.00 4400255 OT INITIAL PROS ENCOUNTER 125.00 4400271 OT THERAPEUTIC ACT 15 MIN 113.00 4400297 OT THERAPEUTIC EXER 15 MI 113.00 4400313 OT ULTRASOUND 15 MIN 99.00 4400321 OT WHEELCHAIR MGT 15 MIN 125.00 4400347 OT WORK HARDENING ADDL 60 106.00 4400354 OT WORK HARDENING INTL 12 295.00 4400388 OT JOB SITE EVALUATION PE 84.00 4400396 OT ELECT STIM UNATTENDED 86.00 4400404 OT IONTOPHORESIS 15 MIN 126.00 4400453 OT MANUAL THERAPY 15 MIN 125.00 4400461 OT ELECT STIM FOR WOUNDS 85.00 4400495 OT NON-SELECT DEBRIDEMENT 161.00 4400503 OT NON-SELECT DEBRID ONLY 152.00 4400511 OT EST PT VISIT LVL I 121.00 4401014 OT FLUIDOTHERAPY 87.00 4401022 OT WOUNDCARE <20CM SURFAC 281.00 4401030 OT WOUNDCARE >20CM SURFAC 346.00 4401048 OT SPLINT ARM LONG 196.00 4401055 OT SPLINT ARM SHORT STATI 196.00 4401063 OT SPLINT ARM SHORT DYNAM 196.00 4401071 OT SPLINT FINGER STATIC 129.00 4401089 OT SPLINT FINGER DYNAMIC 139.00 4401097 OT STRAPPING ELBOW/WRIST 149.00 4401105 OT STRAPPING HAND/FINGER 144.00 4401139 OT ADDL SERVICE PROCEDURE * 4401147 OT CAST FINGER 196.00 4401162 OT CUSTOM EO NO JOINT SOF 588.00 4401170 OT CUSTOM EWHO NO JOINTS 1,438.00 4401188 OT CUSTOM HFO NO JOINTS S 548.00 4401196 OT CUSTOM HO NO JOINTS SF 548.00 4401204 OT CUSTOM HFO JOINTS DYNA 651.00 4401212 OT CUSTOM FO NO JOINTS SF 433.00 4401220 OT WRIST HAND FINGER ORTH 696.00 4401238 OT SO CAP DESIGN W/O JNTS 588.00 4401246 OT 15 MIN OCCUPATIONAL AS 125.00 4401253 OT WHFO W/JOINT(S) CUSTOM 921.00 4401261 OT COGNITIVE SKILLS 141.00 4401279 OT MANUAL THERAPY 15 MIN 125.00 4401287 OT VESOPNUEMATIC DEVICE 108.00 4401303 OT SPLINT ARM SHORT STATI 196.00 4401311 OT SPLINT ARM LONG 196.00 4401329 OT ULTRASOUND 15 MIN 99.00 4401337 OT RE-EVALUATION 168.00 4401345 OT INITIAL PROS ENCOUNTER 125.00 4401352 OT COMMUNITY/WORK RE-ENTR 120.00 4401360 OT WOUNDCARE SURFACE <=20 281.00 4401378 OT WOUNDCARE SERVICE >20C 346.00 4401386 OT NON-SELECTIVE DEBRIDEM 161.00 4401394 OT STRAPPING HAND/FINGER 144.00 4401410 OT AQUATIC THERAPY 15 MIN 134.00 4401451 OT WHEELCHAIR MANAGEMENT 125.00 4401477 OT IONTOPHORESIS 15 MIN 126.00 4401485 OT PARAFFIN BATH 61.00 4401501 OT SPLINT ARM SHORT DYNAM 196.00 4401519 OT NEURO MUSCULAR RE-ED 1 120.00 4401527 OT SPLINT FINGER STATIC 129.00 4401543 OT INITIAL ORTHO ENCOUNTE 148.00 4401550 OT THERAPEUTIC ACTIVITY 1 113.00 4401576 OT ADL TRAINING 15 MIN 104.00 4401584 OT THERAPEUTIC EXERCISE 1 113.00 4401592 OT ESTIM UNATTENDED 86.00 4401600 OT FLUIDOTHERAPY 87.00 4401618 OT BIOFEED BACK TRAINING 115.00 4401634 OT NON-SELECTIVE DEBRIDE 152.00 4401642 OT E-STIM ATTENDED 15 MIN 98.00 4401659 OT SPLINT FINGER DYNAMIC 139.00 4402913 OT BIS XTRACELL FLUID ANA 235.00 4402947 OT EVAL MODERATE COMPLEXI 245.00 4402954 OT EVAL LOW COMPLEXITY 205.00 4402962 OT EVAL HIGH COMPLEXITY 341.00 4402970 OT RE-EVAL 164.00 4402988 OT HIGH COMPLEXITY EVAL K 341.00 4402996 OT RE-EVALUATION KX 164.00 4403002 OT LOW COMPLEXITY EVAL KX 205.00 4403010 OT MOD COMPLEXITY EVAL KX 245.00 4403028 OT CMS COGNITIVE SKILLS 1 141.00 4403036 OT CMS COG SKILLS 15' 141.00 4500021 ST SPEECH/AAC DEVICE TRAI 230.00 4500047 ST APHASIA EVALUATION 60 319.00 4500054 ST COMMUNITY/WORK REINTEG 120.00 4500062 ST DEVELOPMENT TEST EXTEN 285.00 4500070 ST DEVELOPMENT TEST LTD 187.00 4500096 ST HOME VISIT 15 MIN 118.00 4500104 ST HEARING SCREEN AOE 179.00 4500112 ST SPEECH/LANGUAGE MAINTE 91.00 4500138 ST SPEECH THERAPY FULL 363.00 4500161 ST SWALLOW EVALUATION 365.00 4500179 ST SWALLOW MAINTENANCE 91.00 4500187 ST SWALLOW THERAPY FULL 357.00 4500195 ST SWALLOW EVALUATION MBS 564.00 4500203 ST VOICE PROSTHESIS EVAL 323.00 4500211 ST NEUROBEHAVIORAL EVAL 6 390.00 4500237 ST SPEECH THERAPY LIMITED 272.00 4500245 ST SWALLOW THERAPY LIMITE 272.00 4500252 ST FIBEROPTIC VID/CINE SW 584.00 4500278 ST EST PT VISIT LVL I 118.00 4500286 ST ADDL SERVICE PROCEDURE * 4500302 ST AAC EVAL FIRST HOUR 323.00 4500310 ST AAC EVAL ADDITIONAL 30 103.00 4500328 ST AAC TRAIN/MODIFICATION 208.00 4500336 ST SPEECH GENERATING DEVI 712.00 4500344 ST AAC TRAIN/MODIFICATION 208.00 4500351 ST COMMUNITY/WORK REENTRY 120.00 4500369 ST NEUROBEHAVIORAL EVAL W 390.00 4500377 ST VOICE PROSTHESIS EVAL 323.00 4500385 ST SPEECH THERAPY LIMITED 272.00 4500401 ST FIBEROPTIC VID/CINE SW 584.00 4500419 ST SPEECH THERAPY FULL >3 363.00 4500427 ST SGD PROGRAM/SPEECH DEV 230.00 4500435 ST SPEECH GENERATING DEVI 712.00 4500443 ST AAC EVAL ADDITIONAL 30 103.00 4500450 ST SWALLOW THERAPY LIMITE 272.00 4500468 ST SWALLOW THERAPY FULL > 357.00 4500476 ST DEVELOPMENT OF COGNITI 112.00 4500484 ST DEVELOPMENTAL TESTING 187.00 4500492 ST SWALLOW EVALUATION BED 365.00 4500500 ST GROUP THERAPY MEMBER 116.00 4500518 ST DEVELOPMENTAL TESTING 285.00 4500526 ST APAHSIA EVAL AND REPOR 319.00 4500534 ST AAC EVAL 1ST HOUR 323.00 4502225 ST EVAL OF SPEECH FLUENCY 233.00 4502233 ST EVAL SPEECH SOUND PROD 190.00 4502241 ST SPEECH SOUND LANG COMP 392.00 4502258 ST BEHAVRAL QUALIT ANALYS 196.00 4502266 ST COGNITIVE TEST BY HC P 232.00 4502274 ST EVAL OF SPEECH FLUENCY 233.00 4502282 ST EVAL SPEECH SOUND PROD 190.00 4502290 ST SPEECH SOUND LANG COMP 392.00 4502308 ST BEHAVRAL QUALIT ANALYS 196.00 4502316 ST SPEECH SOUND LANG COMP 392.00 4502324 ST SWALLOW EVALUATION MBS 564.00 4502332 ST SPEECH GENERATING DEVI 346.00 4502340 ST SPEECH SOUND LANG COM 283.00 4502357 ST COG SKILLS 15' 141.00 4502365 ST COG SKILLS 15' 141.00 4502373 ST CMS COG SKILLS 15' 141.00 4600011 BASIC METOBOLIC PANEL 166.00 4600029 COMP METABOLIC PANEL 189.00 4600037 GLUCOSE TOL 3 SPEC 152.00 4600045 GLUCOSE TOL EA ADD 47.00 4600052 GLYCOSYLATED HEMOGLOBIN 110.00 4600060 LIPID PANEL 147.00 4600078 SEDIMENTATION RATE 62.00 4600086 DIFFERENTIAL-MANUAL 47.00 4600094 HEMOGRAM W/PLATELETS 92.00 4600102 HEMATOCRIT ANY METHOD 44.00 4600110 HEMOGLOBIN ANY METHOD 44.00 4600128 CBC (HEM.PROG.5-PANEL) 113.00 4600136 PROTHROMBIN TIME (PTT) 69.00 4600144 COLLECTION OF BLOOD 40.00 4600169 URINE MICROSCOPIC 42.00 4600177 URINE ANALYSIS AUTO W/O MICRO 50.00 4600300 COLLECT OF BLOOD CAPILLARY 28.00 4600318 URINE ANALYSIS W/MICRO 77.00 4700027 EKG ROUTINE 356.00 4700068 EKG WITH MAGNET 356.00 4800017 HM EVENT HOOKUP RECORD 380.00 4800033 HM HOLTER HOOKUP RECORD 532.00 4800041 HM HOLTER SCAN ANALYSIS 994.00 4800074 HM HOLTER SCAN EXTENDED 994.00 4900023 EEG > 60 MIN 1,520.00 4900031 EEG 20-40' RECORDING 1,013.00 4900049 EEG AWAKE AND ASLEEP 999.00 4900056 EEG 41-60' RECORDING 1,045.00 5000021 ES CARDIO STRESS 176.00 5000039 EMG WITH 1 LIMB WITH PARASPINALS 483.00 5000047 EMG WITH 2 LIMBS WITH PARASPINALS 647.00 5000054 EMG WITH 3 LIMBS WITH PARASPINALS 755.00 5000062 EMG WITH 4 LIMBS WITH PARASPINALS 818.00 5000096 EMG NEUROMUSCULAR JUNCTION 336.00 5000112 EMG CRANIAL NERVE UNILATERAL 351.00 5000120 EMG CRANIAL NERVE BILATERAL 276.00 5000153 EMG NO-EXTREMITY 251.00 5000161 EMG WITH 5 OR MORE MUSCLES 457.00 5000179 EMG WITH 1-4 MUSCLES 457.00 5000187 EMG NERVE CONDUCTION WITH BLINK REFLEX 242.00 5000195 EMG WITH MOTOR & SENSORY NERVE CONDUCTION 11-12 2,762.00 5000203 EMG WITH MOTOR & SENSORY NERVE CONDUCTION 9-10 2,342.00 EMG WITH MOTOR & SENSORY NERVE CONDUCTION 13 OR 5000211 3,425.00 GREATER 5000229 EMG WITH MOTOR & SENSORY NERVE CONDUCTION 7-8 2,019.00 5000237 EMG WITH MOTOR & SENSORY NERVE CONDUCTION 3-4 1,011.00 5000245 EMG WITH MOTOR & SENSORY NERVE CONDUCTION 1-2 448.00 5000252 EMG WITH MOTOR & SENSORY NERVE CONDUCTION 5-6 1,514.00 5100011 ES CARDIO STRESS 1,333.00 5100029 ES TILT TABLE 2,790.00 5100037 ES LEXISCAN 1,192.00 5100383 ES CARDIOVERSION 1,412.00 5100391 ES PM DEVICE PROGR EVAL D 131.00 5100409 ES THER/PROPH/DIAG INJ IV 244.00 5100417 ES MOD SED SAME PHYS/QHP 353.00 5100425 ES MOD SED SAME PHYS/QHP 353.00 5300017 MULTIPLE SLEEP LATENCY TEST (MSLT) 2,671.00 5300025 ROUTINE SLEEP STUDY 4,576.00 5300033 SLEEP STUDY WITH CPAP TITRATION 5,177.00 5300066 ROUTINE SLEEP STUDY (LESS THAN 6 HOURS) 3,605.00 5300074 SLEEP STUDY WITH CPAP TITRATION (LESS THAN 6 HOURS) 4,078.00 5300108 HOME SLEEP STUDY 478.00 5399993 CPAP INITIATION AND MANAGEMENT 642.00 5400015 TCH PT COLD PACK * 5400023 TCH PT ELECT STIM UNATTEN 86.00 5400049 TCH PT GAIT TRAINING 15 M 107.00 5400056 TCH PT IONTOPHORESIS 15 M 126.00 5400064 TCH PT MANUAL THERAPY 15 125.00 5400072 TCH PT NEURMUSCULAR REED 120.00 5400098 TCH PT THERAPEUTIC ACT 15 126.00 5400106 TCH PT THERAPY EXERCISE 1 113.00 5400114 TCH PT TRACTION MECHANICA 78.00 5400122 TCH PT ULTRASOUND 15 MIN 99.00 5400130 TCH PT HOT PACK * 5400148 TCH PT ADDL SERVICE PROCE * 5400155 TCH PT MAINTENANCE II 75.00 5400171 TCH PT THERAPEUTIC ACTIVI 126.00 5400205 TCH PT ULTRASOUND 15 MIN 99.00 5400213 TCH PT NEURO MUSCULAR RE- 120.00 5400221 TCH PT GAIT TRAINING 15 M 107.00 5400239 TCH PT THERAPEUTIC EXERCI 113.00 5400551 TCH PT ELECT STIM UNATTEN 86.00 5400569 TCH PT HIGH COMPLEXITY EV 257.00 5400577 TCH PT HIGH COMPLEXITY EV 257.00 5400585 TCH PT RE-EVALUATION KX 164.00 5400593 TCH PT MOD COMPLEXITY EVA 257.00 5400601 TCH PT RE-EVALUATION 164.00 5400619 TCH PT LOW COMPLEXITY EVA 257.00 5400627 TCH PT MOD COMPLEXITY EVA 257.00 5400635 TCH PT LOW COMPLEXITY EVA 257.00 5500004 MATERIAL SUPPLY ARTHRO SLEEVE 398.00 5500103 MATERIAL SUPPLY ABD BINDER 810 104.00 5500111 MATERIAL SUPPLY ABDUCTION PILLOW, LG 92.00 5500152 MATERIAL SUPPLY ACCUGRID #302 69.00 5500236 MATERIAL SUPPLY ACE BANDAGE 6"DBLE. 47.00 5500269 MATERIAL SUPPLY ACL TRANSTIBIAL KIT 858.00 5500400 MATERIAL SUPPLY SHEATH ADVANTI PLUS 89.00 5500475 MATERIAL SUPPLY NM AIR C. MASK 132-692 47.00 5500533 MATERIAL SUPPLY AIRWAY NASOPH 340080 53.00 5500640 MATERIAL SUPPLY ALUMI-HAND IMMOBILIZER 148.00 5500657 MATERIAL SUPPLY AMBU BAG ADULT 55.00 5500707 MATERIAL SUPPLY ANESTHESTHIA CIRCUIT P 78.00 5500814 MATERIAL SUPPLY SYRINGE ANGIO 50.00 5500815 MATERIAL SUPPLY SYRINGE GLASS 5CC W/LU 34.00 5500822 MATERIAL SUPPLY ANGIO/CATH LAB PACK 636.00 5500863 MATERIAL SUPPLY ANTI-FOG KIT 70.00 5500947 MATERIAL SUPPLY AQUACEL ROPE 1/2X18 34.00 5501010 MATERIAL SUPPLY ARM IMMOBIL 3511-14 * 5501028 MATERIAL SUPPLY ARM IMMOBIL 79-84048 * 5501036 MATERIAL SUPPLY ARM IMMOBIL 3511-12 * 5501069 MATERIAL SUPPLY ARM SLING IMM 351614 66.00 5501150 MATERIAL SUPPLY ART. EMBOL. CATH. 268.00 5501184 MATERIAL SUPPLY ARTERIAL WRIST SUPP 44.00 5501192 MATERIAL SUPPLY ARTHOGRAM TR. #8501 118.00 5501234 MATERIAL SUPPLY ARTHRO PACK 88108 371.00 5501242 MATERIAL SUPPLY ARTHRO PACK 88481 501.00 5501259 MATERIAL SUPPLY ARTHRO PUMP TUBING 371.00 5501267 MATERIAL SUPPLY ARTHRO WAND 842.00 5501457 MATERIAL SUPPLY BAIR FULL BDY 40034 PE 84.00 5501465 MATERIAL SUPPLY BAIR FULL BDY 40034 AD 36.00 5501473 MATERIAL SUPPLY BAIR LOWER #42534 44.00 5501481 MATERIAL SUPPLY BAIR UPPER #402234 49.00 5501671 MATERIAL SUPPLY SYRINGE BASIX IN4125 237.00 5501846 MATERIAL SUPPLY BILE BAG 50.00 5502018 MATERIAL SUPPLY NEEDLE BIOPSY 18G 149.00 5502042 MATERIAL SUPPLY BIS SENSORS 103.00 5502043 MATERIAL SUPPLY BIOSURE PK 9X25MM 1,128.00 5502044 MATERIAL SUPPLY BIOSURE PK 11X25MM 1,128.00 5502045 MATERIAL SUPPLY BIOSURE PK 10X25MM 1,128.00 5502083 MATERIAL SUPPLY BLADE DERMATOME #69 290.00 5502133 MATERIAL SUPPLY BLADE STRYKER 22963105 205.00 5502190 MATERIAL SUPPLY BLADE SAG 2108-150 328.00 5502208 MATERIAL SUPPLY BLADE STRYKER 22963125 206.00 5502307 MATERIAL SUPPLY BODY SPLIT SHEET 89 109.00 5502315 MATERIAL SUPPLY BONE CEMENT 522.00 5502331 MATERIAL SUPPLY BONE DRI-WICK 130631 277.00 5502364 MATERIAL SUPPLY BONE MARROW TRAY 107.00 5502365 MATERIAL SUPPLY BONE FILLER DBX 400145 1,291.00 5502604 MATERIAL SUPPLY BRACE KNEE 50X - 16" * 5502638 MATERIAL SUPPLY BRACE KNEE 50X - 19" * 5502646 MATERIAL SUPPLY BRACE KNEE 50X - 22" * 5502703 MATERIAL SUPPLY DRAPE BRACHIAL D2224 43.00 5502711 MATERIAL SUPPLY BREAST PUMP 67093S 168.00 5502737 MATERIAL SUPPLY BREAST IMPLANT * 5502885 MATERIAL SUPPLY BUR STRYK 16072103 58.00 5503024 MATERIAL SUPPLY DRAPE C-ARM 890016 38.00 5503057 MATERIAL SUPPLY C-SECTION PAK FRCS71 593.00 5503081 MATERIAL SUPPLY CANCELLOUS BONE CHIP 2,275.00 5503347 MATERIAL SUPPLY CAST LONG ARM ADULT 179.00 5503354 MATERIAL SUPPLY CAST LONG ARM CHILD 166.00 5503362 MATERIAL SUPPLY CAST LONG LEG ADULT 262.00 5503370 MATERIAL SUPPLY CAST LONG LEG CHILD 227.00 5503388 MATERIAL SUPPLY CAST SHORT ARM ADULT 164.00 5503396 MATERIAL SUPPLY CAST SHORT ARM CHILD 129.00 5503412 MATERIAL SUPPLY CAST SHORT LEG ADULT 229.00 5503420 MATERIAL SUPPLY CAST SHORT LEG CHILD 205.00 5503677 MATERIAL SUPPLY CATH CHOLANGIOGRAM 286.00 5503701 MATERIAL SUPPLY CATH COUDE 14FR 5CC 102.00 5503735 MATERIAL SUPPLY CATH COUDE 16FR 5CC 70.00 5503743 MATERIAL SUPPLY CATH COUDE 18FR 30CC 66.00 5503750 MATERIAL SUPPLY CATH COUDE 18FR 5CC 82.00 5503768 MATERIAL SUPPLY CATH COUDE 20FR 5CC 74.00 5503784 MATERIAL SUPPLY CATH COUDE 24FR 30CC 73.00 5503792 MATERIAL SUPPLY CATH EMBOLECTOMY 3FR 428.00 5503800 MATERIAL SUPPLY CATH FOLEY 10FR 3CC 62.00 5503818 MATERIAL SUPPLY CATH FOLEY 12FR 2CC 62.00 5503834 MATERIAL SUPPLY CATH FOLEY 14FR 5CC 53.00 5503842 MATERIAL SUPPLY CATH FOLEY 16FR 30CC 70.00 5503859 MATERIAL SUPPLY CATH FOLEY 16FR 5CC 53.00 5503867 MATERIAL SUPPLY CATH FOLEY 18FR 30CC 70.00 5503875 MATERIAL SUPPLY CATH FOLEY 18FR 5CC 50.00 5503883 MATERIAL SUPPLY CATH FOLEY 20FR 30CC 56.00 5503891 MATERIAL SUPPLY CATH FOLEY 20FR 5CC 62.00 5503909 MATERIAL SUPPLY CATH FOLEY 22FR 30CC 53.00 5503917 MATERIAL SUPPLY CATH FOLEY 22FR 5CC 62.00 5503925 MATERIAL SUPPLY CATH FOLEY 24FR 30CC 54.00 5503933 MATERIAL SUPPLY CATH FOLEY 24FR 5CC 62.00 5503941 MATERIAL SUPPLY CATH FOLEY 26FR 5CC 62.00 5503958 MATERIAL SUPPLY CATH FOLEY 28FR 30CC 53.00 5503966 MATERIAL SUPPLY CATH FOLEY 28FR 5CC 50.00 5503974 MATERIAL SUPPLY CATH FOLEY 8FR 3CC 66.00 5504170 MATERIAL SUPPLY CATH TRAY 16FR 95.00 5504220 MATERIAL SUPPLY CATH 3-WAY 16FR 30CC 76.00 5504221 MATERIAL SUPPLY CATH VENASEAL 4,345.00 5504238 MATERIAL SUPPLY CATH 3-WAY 18FR 30CC 82.00 5504253 MATERIAL SUPPLY CATH 3-WAY 20FR 30CC 78.00 5504261 MATERIAL SUPPLY CATH 3-WAY 20FR 5CC 76.00 5504279 MATERIAL SUPPLY CATH 3-WAY 22FR 30CC 68.00 5504287 MATERIAL SUPPLY CATH 3-WAY 22FR 5CC 78.00 5504295 MATERIAL SUPPLY CATH 3-WAY 24FR 30CC 78.00 5504303 MATERIAL SUPPLY CATH 3-WAY 24FR 5CC 74.00 5504360 MATERIAL SUPPLY CATH COUNCIL 85.00 5504436 MATERIAL SUPPLY CATH SILICONE 6FR 5CC 100.00 5504534 MATERIAL SUPPLY TIGHTROPE ABS IMPLANT 880.00 5504535 MATERIAL SUPPLY CAUTERY 304.00 5504543 MATERIAL SUPPLY CAUTERY HI-TEMP AA01 75.00 5504544 MATERIAL SUPPLY CATHETER EPIDURAL 41.00 5504567 MATERIAL SUPPLY IRRIGATION TUBING SIT- 43.00 5504568 MATERIAL SUPPLY IRRIGATION SET CDIS 845.00 5504576 MATERIAL SUPPLY CEMENT MIXER 505.00 5504642 MATERIAL SUPPLY CHEST DRAINAGE SYSTEM 181.00 5504774 MATERIAL SUPPLY CLIP APPLIER MCM20 356.00 5504808 MATERIAL SUPPLY CLOSE WOUND SUC 436 42.00 5505052 MATERIAL SUPPLY SPLINT COCK-UP 799 SER * 5505094 MATERIAL SUPPLY CODMAN PATTIES 69.00 5505136 MATERIAL SUPPLY COLD KNIFE 27068K/6 797.00 5505185 MATERIAL SUPPLY COLLAR CERVI 3013-XX * 5505250 MATERIAL SUPPLY COLLAR PHIL 1034-03 * 5505276 MATERIAL SUPPLY COLLAR STIFNECK 113XXX 98.00 5505375 MATERIAL SUPPLY CONCHA COLUMN 385-70 80.00 5505391 MATERIAL SUPPLY CONE TIP CATH 8FR 78.00 5505516 MATERIAL SUPPLY CORETAINER #301 102.00 5505599 MATERIAL SUPPLY CRITKIT SP4572 169.00 5505656 MATERIAL SUPPLY CRUTCHES YOUTH * 5505896 MATERIAL SUPPLY CYSTO PACK 118.00 5505904 MATERIAL SUPPLY CYSTOLOGY BRUSH 76.00 5506027 MATERIAL SUPPLY ADHES TISSUE DERMABOND 189.00 5506035 MATERIAL SUPPLY DERMACARRIER 2195-40 211.00 5506036 MATERIAL SUPPLY DERMACLOSE CONTINUOUS 2,675.00 5506050 MATERIAL SUPPLY DERMATOME 257.00 5506068 MATERIAL SUPPLY DERMATOME CUTTING HEAD 166.00 5506167 MATERIAL SUPPLY DILAMEZINSERT DM1-11 137.00 5506282 MATERIAL SUPPLY PASTE DOME 3" BANDAGE 76.00 5506324 MATERIAL SUPPLY DRAIN BAG DEPOT 49.00 5506381 MATERIAL SUPPLY DRAIN 19FR 58.00 5506399 MATERIAL SUPPLY DRAIN FLAT SIL 7037 47.00 5506415 MATERIAL SUPPLY DRAIN ROUND SIL #7072 47.00 5506416 MATERIAL SUPPLY DRAIN PVC 1/8 WITH TOC 54.00 5506464 MATERIAL SUPPLY DRAINBAG W/HOSE 92.00 5506480 MATERIAL SUPPLY DRAINBAG 2000CC 55.00 5506522 MATERIAL SUPPLY DRAPE IOBAN 6648 81.00 5506555 MATERIAL SUPPLY DRAPE MICROSCOPE M 162.00 5506589 MATERIAL SUPPLY DRAPE STERI 6617 229.00 5506597 MATERIAL SUPPLY DRAPE STERI 1014 92.00 5506613 MATERIAL SUPPLY DRAPE ZEISS MICROSCOPE 112.00 5506654 MATERIAL SUPPLY DRAPE IOBAN 6650 77.00 5506662 MATERIAL SUPPLY DRAPE IOBAN 6651 76.00 5506696 MATERIAL SUPPLY DRAPE STERI 1015 76.00 5506795 MATERIAL SUPPLY DRAPE VI 9" 127.00 5506886 MATERIAL SUPPLY DRESSING DUODERM* 6X7 45.00 5507058 MATERIAL SUPPLY EAR TUBE, GROMMMET 73.00 5507074 MATERIAL SUPPLY EASY CAP CO2 MONITOR 122.00 5507173 MATERIAL SUPPLY ELECTRODE ZOLL 365.00 5507181 MATERIAL SUPPLY CATH EMBOLECTOMY 4F 466.00 5507231 MATERIAL SUPPLY ENDO CUTTER THIC ATG 1,421.00 5507249 MATERIAL SUPPLY STAPLER ENDO CUTTER 1,472.00 5507314 MATERIAL SUPPLY ENDOLOOP EL10G 82.00 5507355 MATERIAL SUPPLY ENDOSCOPIC LIGATOR 484.00 5507363 MATERIAL SUPPLY FIBER ENDOSTAT* .6MMX1 1,630.00 5507587 MATERIAL SUPPLY ENTERAL FEED TUBE 8F 47.00 5507637 MATERIAL SUPPLY EPIDURAL TRAY 157.00 5507645 MATERIAL SUPPLY EPIDURAL TRAY 332251 92.00 5507652 MATERIAL SUPPLY CANNULA ERCP 4341 340.00 5507744 MATERIAL SUPPLY ESOPHAGEAL DIL FIXD/WI 1,180.00 5507777 MATERIAL SUPPLY BLADE ESSN SHAVER 3.5M 440.00 5507934 MATERIAL SUPPLY EVACUATOR #7074 55.00 5508221 MATERIAL SUPPLY FACIAL BAND 84.00 5508247 MATERIAL SUPPLY FALOPE RINGS SET OF 2 487.00 5508288 MATERIAL SUPPLY FEEDING TUBE W/BUTTON 64.00 5508338 MATERIAL SUPPLY FEMO STOP SYSTEM 606.00 5508353 MATERIAL SUPPLY FEMORAL PRESURIZER 69.00 5508445 MATERIAL SUPPLY FLEXIBLE CANNULA 4.5 54.00 5508446 MATERIAL SUPPLY FELXIBLE OSTEOTOME 12X 1,523.00 5508452 MATERIAL SUPPLY FLOW METER 78.00 5508551 MATERIAL SUPPLY FORCEP BRONCIO PUL 252.00 5508684 MATERIAL SUPPLY BUTTON DEVICE GASTRIC 71.00 5508687 MATERIAL SUPPLY GUIDEWIRE LAUREATE 150 181.00 5508688 MATERIAL SUPPLY GELPORT 1,679.00 5508690 MATERIAL SUPPLY OSCILLATING PEP DEVICE 272.00 5508691 MATERIAL SUPPLY NEEDLE PERCUTANEOUS 41.00 5508693 MATERIAL SUPPLY WIREGUIDE BILIARY BALL 1,233.00 5508700 MATERIAL SUPPLY GASTRIC LAVAGE W/BA 365.00 5508701 MATERIAL SUPPLY FULGURATING CORD DISPO 55.00 5508702 MATERIAL SUPPLY RADIOFREQUENCY CANNULA 388.00 5508703 MATERIAL SUPPLY ZERO TIP AIRWAY RETRIE 1,190.00 5508704 MATERIAL SUPPLY LAP INTRODUCER KIT FOR 1,118.00 5508705 MATERIAL SUPPLY AORTIC PUNCH CLEAN CUT 118.00 5508817 MATERIAL SUPPLY GELFOAM 100 187.00 5508866 MATERIAL SUPPLY STAPLE RELOAD 1,638.00 5508924 MATERIAL SUPPLY GIGLI BLADE 2808-02 104.00 5508981 MATERIAL SUPPLY GLIDEWIRE 46-308 035 309.00 5509245 MATERIAL SUPPLY GLYCINE 3L 42.00 5509260 MATERIAL SUPPLY AMPLATZ SNARE KIT GN15 1,430.00 5509278 MATERIAL SUPPLY AMPLATZ SNARE KIT GN20 1,430.00 5509351 MATERIAL SUPPLY M GRASPER DEVICE RAPTOR 749.00 5509443 MATERIAL SUPPLY GUIDE PIN AR-1250L 206.00 5509500 MATERIAL SUPPLY GUIDEWIRE AMPL 64010 206.00 5509567 MATERIAL SUPPLY GUIDEWIRE TSCF351453 71.00 5509617 MATERIAL SUPPLY GUIDEWIRE 29BX 226.00 5509658 MATERIAL SUPPLY GUIDEWIRE 46 616.00 5509781 MATERIAL SUPPLY GELFOAM PLUS KIT 758.00 5509807 MATERIAL SUPPLY NEBULIZER HEART HI FLO 108.00 5509823 MATERIAL SUPPLY HEIMLICK CHEST VALVE 182.00 5509864 MATERIAL SUPPLY HEMORRHOID LIGATOR 59.00 5509906 MATERIAL SUPPLY HERNIA PLUG LARGE 1,463.00 5509914 MATERIAL SUPPLY HERNIA PLUG MEDIUM 1,577.00 5509963 MATERIAL SUPPLY PULSAVAC KIT 5150-475 226.00 5510102 MATERIAL SUPPLY BLANKET HYPOTHERMIA HO 81.00 5510110 MATERIAL SUPPLY HYSTER PACK FRHY73 309.00 5510151 MATERIAL SUPPLY SCD FOOT CUFF/PAD (SEQ 441.00 5510227 MATERIAL SUPPLY BLADE INDIANATOME RD20 1,294.00 5510250 MATERIAL SUPPLY AMBUBAG INFANT 107.00 5510318 MATERIAL SUPPLY INFLATION DEVICE BIL 439.00 5510458 MATERIAL SUPPLY INSUFFLATION TUBING 49.00 5510607 MATERIAL SUPPLY INTRAUTERINE KIT 400 232.00 5510722 MATERIAL SUPPLY SHEATH INTRO 285.00 5510805 MATERIAL SUPPLY ISOLATION NEUTROPEN 254.00 5510813 MATERIAL SUPPLY ISOLATION AIRBORNE 358.00 5510821 MATERIAL SUPPLY ISOLATION CONTACT 329.00 5510839 MATERIAL SUPPLY ISOLATION DROPLET 329.00 5510995 MATERIAL SUPPLY JAMSHIDI NEEDLE 213.00 5511118 MATERIAL SUPPLY K-WIRES 98.00 5511340 MATERIAL SUPPLY LACERATION TRAY 41.00 5511365 MATERIAL SUPPLY LAP ASSIST PAK FRLA690 173.00 5511381 MATERIAL SUPPLY LAP CHOLE DRP 89223 125.00 5511407 MATERIAL SUPPLY LAP CHOLE PK FRLC651 476.00 5511431 MATERIAL SUPPLY LAP PACK OB7010 498.00 5511472 MATERIAL SUPPLY LAP/PELVIS PK 89224 117.00 5511530 MATERIAL SUPPLY LEG BAG STRAPS 43.00 5511613 MATERIAL SUPPLY BLOOD/FLUID WARM SET H 236.00 5511712 MATERIAL SUPPLY LIGA CLIP LT300 34.00 5511738 MATERIAL SUPPLY LIGA CLIP APP MCL20 447.00 5511746 MATERIAL SUPPLY LIGATOR M/B #MBL-6 1,601.00 5511761 MATERIAL SUPPLY LINEAR CUTTER TLC 75 1,003.00 5511779 MATERIAL SUPPLY LINEAR CUTTER TLC 55 764.00 5511787 MATERIAL SUPPLY LINEAR RELOAD TCR 75 603.00 5511795 MATERIAL SUPPLY LINEAR RELOAD TL 90 712.00 5511803 MATERIAL SUPPLY STAPLER RELOAD TLH60 670.00 5511811 MATERIAL SUPPLY DRAPE LING VAG 10657 389.00 5511837 MATERIAL SUPPLY LITHO PACK #88531 76.00 5511910 MATERIAL SUPPLY LOWER EXTREM. #88471 365.00 5511944 MATERIAL SUPPLY LUIKI TUBE 43.00 5511969 MATERIAL SUPPLY LUMBAR TRAY, ADULT 77.00 5511977 MATERIAL SUPPLY LUMBAR TRAY, PED/INFAN 77.00 5512132 MATERIAL SUPPLY MCGUIRE PADS 187.00 5512165 MATERIAL SUPPLY MEDICAL SUPPLIES * 5512173 MATERIAL SUPPLY MEDIDUCT MT 63 44.00 5512181 MATERIAL SUPPLY MEDIFLOW LENS MT100 121.00 5512207 MATERIAL SUPPLY TAPE 4" ROLL *MEDIPORE 48.00 5512215 MATERIAL SUPPLY TAPE 6"/ROLL *MEDIPORE 85.00 5512306 MATERIAL SUPPLY FEEDING TUBE EXT 12" M 107.00 5512311 MATERIAL SUPPLY MICROCLIP GEM2431 56.00 5512312 MATERIAL SUPPLY SUPERFINE MICROCLIP GE 62.00 5512314 MATERIAL SUPPLY MICRO BORE 72" & PUMP 48.00 5512322 MATERIAL SUPPLY MICRO SOLUST 1142402 69.00 5512389 MATERIAL SUPPLY MICROPUNCTURE SET 501 134.00 5512454 MATERIAL SUPPLY NEEDLE MITTY POLLACK 236.00 5512470 MATERIAL SUPPLY MONOPTY BIOPSY 14G 16C 188.00 5512595 MATERIAL SUPPLY MULTI FLO DELIVERY SET 99.00 5512637 MATERIAL SUPPLY MYELOGRAM TRAY 107.00 5512678 MATERIAL SUPPLY NASAL CANNULA 02/CO2 88.00 5512702 MATERIAL SUPPLY NASAL RAE TUBE 7.5 33.00 5512710 MATERIAL SUPPLY NASAL RAE TUBE 6.0 33.00 5512728 MATERIAL SUPPLY NASAL RAE TUBE 7.0 56.00 5512835 MATERIAL SUPPLY NEEDLE FRANSEEN LUNG E 184.00 5512843 MATERIAL SUPPLY NEEDLE GUIDE LNGC 14 41.00 5512926 MATERIAL SUPPLY NEEDLE HAWKINS FLEXSTR 187.00 5512959 MATERIAL SUPPLY NEEDLE ASPIRATION 125.00 5512967 MATERIAL SUPPLY NEEDLE CHIBA 70.00 5512975 MATERIAL SUPPLY NEEDLE ECHO-TIP 81.00 5513007 MATERIAL SUPPLY NEEDLE SPIN/EPI SET 76.00 5513163 MATERIAL SUPPLY NIBP/OXIMETRY/EKG 224.00 5513718 MATERIAL SUPPLY OPHTHALMIC BURR 42.00 5513924 MATERIAL SUPPLY ORTHOPAT SUCTION SE 102.00 5514047 MATERIAL SUPPLY OXISENSOR PEDS 61.00 5514138 MATERIAL SUPPLY OXYHOOD INFANT-RT 76.00 5514146 MATERIAL SUPPLY OXISENSOR ADULT 61.00 5514153 MATERIAL SUPPLY OXISENSOR INFANT 77.00 5514187 MATERIAL SUPPLY LEAD PACEMKR OTHR THN * 5514211 MATERIAL SUPPLY PACING CABLE S101-97 70.00 5514245 MATERIAL SUPPLY PACK LAP T-SHT 89221 82.00 5514252 MATERIAL SUPPLY PACK BASIC STERILE SUR 58.00 5514336 MATERIAL SUPPLY PALL BLOOD FIL SQ40S 92.00 5514351 MATERIAL SUPPLY PALM PERCUSSOR 55-40 66.00 5514443 MATERIAL SUPPLY AMBUBAG PEDS 7334 105.00 5514468 MATERIAL SUPPLY PED PUMP SET 102.00 5514542 MATERIAL SUPPLY PEG KIT 24FR 367.00 5514543 MATERIAL SUPPLY PEEL AWAY SHIELD 218.00 5514559 MATERIAL SUPPLY GUIDEWIRE PEG SYSTEM 0 830.00 5514575 MATERIAL SUPPLY PENILE PROSTHESES * 5514682 MATERIAL SUPPLY PERC INTRO KIT 9FR 199.00 5514765 MATERIAL SUPPLY PERICARDIOCENTES KIT P 481.00 5514773 MATERIAL SUPPLY PERITONEAL CATH 9FR PI 169.00 5514781 MATERIAL SUPPLY PERITONEAL LAVAGE KIT 139.00 5514963 MATERIAL SUPPLY PNEUMOTHORAX KIT AK 607.00 5514989 MATERIAL SUPPLY COLD THERAPY UNIT FIRS 426.00 5515028 MATERIAL SUPPLY PAD NON-ADHESIVE POLYM 69.00 5515242 MATERIAL SUPPLY PREP-TRAY SURGICAL 47.00 5515275 MATERIAL SUPPLY PRIMARY IV KIT VCUG 56.00 5515283 MATERIAL SUPPLY PRIM PLUM ST 1930612 74.00 5515333 MATERIAL SUPPLY PROBE LITHOTRIP E5F 1,661.00 5515408 MATERIAL SUPPLY PROLENE MESH PM-L 1,484.00 5515473 MATERIAL SUPPLY PROVIDER PUMP SET 66.00 5515499 MATERIAL SUPPLY PROXIMATE 55 AX55B 1,372.00 5515622 MATERIAL SUPPLY RAD ARTERY CATH KIT 60.00 5515770 MATERIAL SUPPLY RELOAD LINEAR TR45G 804.00 5515788 MATERIAL SUPPLY STAPLER RELOAD TR45W 737.00 5515853 MATERIAL SUPPLY RESTING HAND ORTHO 283.00 5515937 MATERIAL SUPPLY ROLLER BALL ELEC 3MM 615.00 5515986 MATERIAL SUPPLY SHEATH SAFE SU7/SU9 201.00 5516026 MATERIAL SUPPLY SAFEDRAW TRANSDUCER 113.00 5516182 MATERIAL SUPPLY SLEEVE SCD (SEQUENTIAL 52.00 5516398 MATERIAL SUPPLY SHEATH INTRO 8FR 15733 220.00 5516430 MATERIAL SUPPLY SHEATH PIGTAIL 4FR 122.00 5516497 MATERIAL SUPPLY SHEET, FENES. #89261 70.00 5516521 MATERIAL SUPPLY SHILEY TRACH 4DCT 332.00 5516539 MATERIAL SUPPLY SHILEY TRACH 6FEN 382.00 5516547 MATERIAL SUPPLY SHILEY TRACH 8CFS 286.00 5516554 MATERIAL SUPPLY SHILEY TRACH 8LPC 384.00 5516703 MATERIAL SUPPLY CATH SILICONE 70.00 5516729 MATERIAL SUPPLY SINGLE DOSE EPIDURAL 123.00 5516737 MATERIAL SUPPLY SINGLE TRANSDUCER 53.00 5516844 MATERIAL SUPPLY STAPLES SKIN PMR35 36.00 5516877 MATERIAL SUPPLY STAPLER SKIN VHA7535 75.00 5516885 MATERIAL SUPPLY SKIN TEMP PRB LA005 53.00 5517008 MATERIAL SUPPLY SNARE ASSEMBLY OVAL 152.00 5517107 MATERIAL SUPPLY SOFTJAW INSERT 33MM 126.00 5517115 MATERIAL SUPPLY SOFTJAW INSERT 61MM 126.00 5517172 MATERIAL SUPPLY SP STERILE TOWELS 38.00 5517214 MATERIAL SUPPLY SPECIALTY IMPLANT * 5517362 MATERIAL SUPPLY SPINAL TRAY W/BLOCK 88.00 5517396 MATERIAL SUPPLY SPLINT FOREARM CHILD 122.00 5517438 MATERIAL SUPPLY SPLINT FOREARM ADULT 157.00 5517453 MATERIAL SUPPLY SPLINT LEG ADULT 230.00 5517461 MATERIAL SUPPLY SPLINT LEG CHILD 203.00 5517479 MATERIAL SUPPLY SPLINT SHORT LEG ADULT 227.00 5517487 MATERIAL SUPPLY SPLINT UNIVERSAL LT * 5517495 MATERIAL SUPPLY SPLINT UNIVERSAL RT 104.00 5517669 MATERIAL SUPPLY SPROTTE 22G X 4 3/4' 107.00 5517776 MATERIAL SUPPLY STAPLER CDH 25 1,695.00 5517792 MATERIAL SUPPLY STAPLER CRVD CDH29 1,499.00 5517818 MATERIAL SUPPLY STAPLER TITAN CDH33 1,514.00 5517834 MATERIAL SUPPLY STARTER SNS 38.00 5517842 MATERIAL SUPPLY STAT-PADZ #8900-4003 99.00 5517966 MATERIAL SUPPLY DRAPE STERI 1051 41.00 5518063 MATERIAL SUPPLY STOCKINET IMPERVIOUS O * 5518303 MATERIAL SUPPLY PASTE STOMA 66.00 5518451 MATERIAL SUPPLY BLADE STRYKER 22963104 204.00 5518469 MATERIAL SUPPLY BLADE STRYKER 2296 194.00 5518535 MATERIAL SUPPLY SUCTION COAG 050-030 47.00 5518618 MATERIAL SUPPLY SUPP NURSING SYSTEM 145.00 5518667 MATERIAL SUPPLY SURG-I-LOOP, MINI 48.00 5518675 MATERIAL SUPPLY SURGINEEDLE 172016 238.00 5518709 MATERIAL SUPPLY SURGICAL STAYS 378.00 5518717 MATERIAL SUPPLY SURGICEL 1/2X2 176.00 5518725 MATERIAL SUPPLY SURGICEL 2X3 277.00 5518733 MATERIAL SUPPLY SURGICEL 4X8 571.00 5518766 MATERIAL SUPPLY SURGINEEDLE 120MM 233.00 5518840 MATERIAL SUPPLY SUTURE, ETHIBOND CX22 85.00 5519012 MATERIAL SUPPLY SUTURE RETRIEVER 241.00 5519020 MATERIAL SUPPLY SUTURE, CHROMIC SG14T 69.00 5519087 MATERIAL SUPPLY SUTURE MONOCRYL 4-0OCR 36.00 5519186 MATERIAL SUPPLY SUTURE, C016T 70.00 5519236 MATERIAL SUPPLY SUTURE, SILK CO13D 59.00 5519269 MATERIAL SUPPLY SUTURE, ETHIBOND CX21D 86.00 5519277 MATERIAL SUPPLY SUTURE, ETHIBOND CX26D 83.00 5519384 MATERIAL SUPPLY SUTURE, VICRYL J111H 78.00 5519491 MATERIAL SUPPLY SUTURE, VICRYL J269H 70.00 5519764 MATERIAL SUPPLY SUTURE, VICRYL J507G 48.00 5519848 MATERIAL SUPPLY SUTURE, VICRYL J650G 115.00 5519889 MATERIAL SUPPLY SUTURE, VICRYL J910T 70.00 5519988 MATERIAL SUPPLY SUTURE, VICRYL JJ41G 77.00 5519996 MATERIAL SUPPLY SUTURE, VICRYL JJ42G 71.00 5520135 MATERIAL SUPPLY SUTURE, MB66G 112.00 5520531 MATERIAL SUPPLY SUTURE, PDS Z496G 35.00 5520606 MATERIAL SUPPLY SUTURE, 1654-G CHROM 47.00 5520705 MATERIAL SUPPLY SUTURE, 3027-79 T-CR 38.00 5520952 MATERIAL SUPPLY SUTURE, CHROMIC 687G 39.00 5521018 MATERIAL SUPPLY SUTURE, CHROMIC 790G 74.00 5521026 MATERIAL SUPPLY SUTURE, CHROMIC 792G 82.00 5521414 MATERIAL SUPPLY ADAPTER SWIVEL 85.00 5521505 MATERIAL SUPPLY T TUBE #240072 150.00 5521513 MATERIAL SUPPLY T TUBE DEAVER 38.00 5521521 MATERIAL SUPPLY T TUBE MODIF #245704 115.00 5521679 MATERIAL SUPPLY COAXIAL BONE NEEDLE 11 763.00 5521687 MATERIAL SUPPLY TEMNO BIOPSY CT 2015 447.00 5521711 MATERIAL SUPPLY TEMNO BIOPSY CT 1811 238.00 5521729 MATERIAL SUPPLY TEMNO BIOPSY CT 1815 254.00 5521737 MATERIAL SUPPLY TEMNO BIOPSY CT 2011 256.00 5521752 MATERIAL SUPPLY CATH TEMP SENSING 129.00 5521778 MATERIAL SUPPLY TEMP PACING LEAD 657.00 5521927 MATERIAL SUPPLY THORACENTESIS TRAY 231.00 5521935 MATERIAL SUPPLY CATH THORACIC 36FR 38.00 5521950 MATERIAL SUPPLY THORACOSTOMY TRAY 102.00 5521976 MATERIAL SUPPLY CATH THORACIC 28FR 38.00 5521992 MATERIAL SUPPLY CATH THORACIC 32FR 36.00 5522115 MATERIAL SUPPLY TORQUE DEVICE TD01 35.00 5522123 MATERIAL SUPPLY HIP COMPONENT IMPLANTA * 5522124 MATERIAL SUPPLY CHEST COMPONENT * 5522131 MATERIAL SUPPLY HIP PACK FRTH630 622.00 5522149 MATERIAL SUPPLY KNEE COMPONENT * 5522156 MATERIAL SUPPLY KNEE PACK FRTK62 611.00 5522164 MATERIAL SUPPLY SHOULDER COMPONENT * 5522180 MATERIAL SUPPLY TOURNIQUET 24" DUAL 242.00 5522198 MATERIAL SUPPLY TOURNIQUET 18" DUAL 208.00 5522206 MATERIAL SUPPLY TOURNIQUET 34" SINGLE 179.00 5522214 MATERIAL SUPPLY TOURNIQUET 42" SINGLE 190.00 5522222 MATERIAL SUPPLY TOURNIQUET 12" SINGLE 120.00 5522230 MATERIAL SUPPLY TOURNIQUET 18" SINGLE 137.00 5522248 MATERIAL SUPPLY TOURNIQUET 24" SINGLE 151.00 5522263 MATERIAL SUPPLY TRACH CARE CLOSED SYST 127.00 5522321 MATERIAL SUPPLY TRANS LAP PK FRTL67 421.00 5522339 MATERIAL SUPPLY TRANS LAP SHT 89281 115.00 5522362 MATERIAL SUPPLY TRANSDUCER COVER 49.00 5522388 MATERIAL SUPPLY TRANSDUCER TRIFUCATED 160.00 5522503 MATERIAL SUPPLY TROCAR CATH KIT 20FR 227.00 5522529 MATERIAL SUPPLY TROCAR CATH KIT 32FR 95.00 5522545 MATERIAL SUPPLY TROCAR SLEEVE 129.00 5522636 MATERIAL SUPPLY TROCAR 5MMX100MM 141.00 5522644 MATERIAL SUPPLY TROCAR DUAL KII 172.00 5522669 MATERIAL SUPPLY TROCAR BLUNT 12MM 193.00 5522826 MATERIAL SUPPLY TUR-Y IRR ST 6543-01 56.00 5522834 MATERIAL SUPPLY TUR-Y SET W/POUCH 68.00 5522891 MATERIAL SUPPLY DRAPE UB 89414 55.00 5522917 MATERIAL SUPPLY U-BAR PACK #88331 168.00 5522966 MATERIAL SUPPLY CATH UMBILICAL 3.5 99.00 5522974 MATERIAL SUPPLY CATH UMBILICAL 5FR 94.00 5523022 MATERIAL SUPPLY UNIVERSAL CATH TRAY 91.00 5523071 MATERIAL SUPPLY STENT URET 5001960 1,202.00 5523162 MATERIAL SUPPLY URINE METER 50.00 5523170 MATERIAL SUPPLY URINE METER TRAY 892 125.00 5523261 MATERIAL SUPPLY VAC GEL CANISTERS 500M 249.00 5523279 MATERIAL SUPPLY VAC PUMP DAILY 351.00 5523329 MATERIAL SUPPLY VALVE HEMOSTASIS 152 112.00 5523485 MATERIAL SUPPLY VENA CAVA FILTER G3450 3,151.00 5523527 MATERIAL SUPPLY PACK VERT LAP FRVL61 416.00 5523543 MATERIAL SUPPLY VESSEL DILATOR 12639 100.00 5523568 MATERIAL SUPPLY VESSEL DILATOR 14FR 60.00 5523774 MATERIAL SUPPLY NEEDLE BIOPSY WANG 299.00 5523808 MATERIAL SUPPLY WATER IRRIGATION 3L 34.00 5523949 MATERIAL SUPPLY GUIDEWIRE TSCF251453 85.00 5523964 MATERIAL SUPPLY GUIDEWIRE AMPLATZ G034 143.00 5524573 MATERIAL SUPPLY TIGHTROPE ABS BUTTON R 1,023.00 5524574 MATERIAL SUPPLY CAUTERY NEEDLE EZ CLEA 41.00 5524699 MATERIAL SUPPLY ABD BINDER SMALL * 5524830 MATERIAL SUPPLY CATH FOLEY 30FR 5CC 16 50.00 5524848 MATERIAL SUPPLY CATH TEMP FOLEY 16FR 1 223.00 5524863 MATERIAL SUPPLY CATH COUNCIL 22FR 5CC 125.00 5524871 MATERIAL SUPPLY CATH COUNCIL 16FR 5CC 125.00 5524885 MATERIAL SUPPLY EUPHORA NC BALLOON 549.00 5524887 MATERIAL SUPPLY EUPHORA BALLOON SC 610.00 5524889 MATERIAL SUPPLY CATH BALLOON 420-XXXXX 1,423.00 5524954 MATERIAL SUPPLY CATH COUDE 20FR 30CC 70.00 5525159 MATERIAL SUPPLY CONCHA SMART COLUMN 81.00 5525373 MATERIAL SUPPLY ELECTRODE PEDIATRIC 122.00 5525464 MATERIAL SUPPLY GUIDEWIRE AMPLATZ 80CM 149.00 5525522 MATERIAL SUPPLY FEEDING TUBE FRED MILL 301.00 5525548 MATERIAL SUPPLY MOUTHPIECE HI FLOW ACA 308.00 5525720 MATERIAL SUPPLY EZ PAP DEVICE W MOUSE 162.00 5525738 MATERIAL SUPPLY SCALPEL HARMONIC SC14C 1,586.00 5525928 MATERIAL SUPPLY CATH ANGIO 6FR MULTI P 203.00 5526025 MATERIAL SUPPLY LETZ LOOP ELECTRODE DL 99.00 5526033 MATERIAL SUPPLY LETZ LOOP ELECTRODE DL 99.00 5526058 MATERIAL SUPPLY Y PORT CONNECTOR 836 35.00 5526066 MATERIAL SUPPLY CATH 6FR ARMOND 533648 118.00 5526108 MATERIAL SUPPLY STAPLER PROTACK 2,054.00 5526124 MATERIAL SUPPLY SHILEY TRACH 8FEN 464.00 5526256 MATERIAL SUPPLY TAMPONADE *RHINO ROCKE 75.00 5526421 MATERIAL SUPPLY ANGIO CUSTOM KIT INT71 326.00 5526454 MATERIAL SUPPLY AMPLATZ MICR SNARE KIT 2,099.00 5526470 MATERIAL SUPPLY AMPLATZ MICR SNARE KIT 2,099.00 5526471 MATERIAL SUPPLY INDY OTW VASCULAR RETR 1,508.00 5526520 MATERIAL SUPPLY CLOSURE S SYSTEM PRECL 1,352.00 5526587 MATERIAL SUPPLY HEMOSTASIS VALVE MAP22 100.00 5526736 MATERIAL SUPPLY GUIDEWIRE ACS 22359M 553.00 5526751 MATERIAL SUPPLY BLOOD/FLUID WARM SET S 71.00 5526769 MATERIAL SUPPLY PROBE COVER 3787 117.00 5526777 MATERIAL SUPPLY PLEURX PLEURAL CATH KI 1,839.00 5526819 MATERIAL SUPPLY SUTURE, PLAIN 1915G 38.00 5526827 MATERIAL SUPPLY ENDO CLIP APPLIER 1766 1,388.00 5528039 MATERIAL SUPPLY DRAPE BILAT EXTREMITY 225.00 5528302 MATERIAL SUPPLY BIPAP VENT CIRCUIT 73- 46.00 5528419 MATERIAL SUPPLY GUIDEWIRE 6676-41 129.00 5528435 MATERIAL SUPPLY GASTROSTOMY MIC-G TUBE 316.00 5528443 MATERIAL SUPPLY NEEDLE HAWKINS FLEXSTR 212.00 5528815 MATERIAL SUPPLY SHEATH GUIDE 7FR 401-7 254.00 5528922 MATERIAL SUPPLY SURG-I-LOOP PLUS 1001- 123.00 5529235 MATERIAL SUPPLY CANNULA RETROGRADE 15F 577.00 5529243 MATERIAL SUPPLY CANNULA AORTIC ROOT 7F 140.00 5529268 MATERIAL SUPPLY SUCTION TUBE 6FR 10052 104.00 5529375 MATERIAL SUPPLY SHILEY TRACH TUBE 6DCT 349.00 5529474 MATERIAL SUPPLY CATH CARDIAC CONT OUTP 1,600.00 5529532 MATERIAL SUPPLY TEMP CARDIAC PACING WI 87.00 5529557 MATERIAL SUPPLY SHILEY TRACH TUBE 6LPC 361.00 5529706 MATERIAL SUPPLY GUIDEWIRE ROSEN #80592 140.00 5529714 MATERIAL SUPPLY CATH BALLOON & PUMP IA 2,872.00 5529748 MATERIAL SUPPLY LIGA CLIP SM LT102 61.00 5529763 MATERIAL SUPPLY LIGA CLIP MED LT202 74.00 5529789 MATERIAL SUPPLY LIGA CLIP LG LT400 47.00 5529821 MATERIAL SUPPLY SUTURE ORGANIZER GFS-1 186.00 5529961 MATERIAL SUPPLY THERAPEP SYS W/MOUTHPI 199.00 5529979 MATERIAL SUPPLY MANOMETER DISPO 301555 76.00 5530233 MATERIAL SUPPLY VASCU GUARD PATCH VG-0 951.00 5530464 MATERIAL SUPPLY PROBE BIOVASCULAR 45CM 270.00 5530498 MATERIAL SUPPLY STERNUM BLADE 29897101 162.00 5530514 MATERIAL SUPPLY MAC TWO LUMEN CVA KIT 470.00 5530647 MATERIAL SUPPLY U-CLIP S18LF 10030 190.00 5530894 MATERIAL SUPPLY ART PERC INSERTION KIT 404.00 5531041 MATERIAL SUPPLY ATF 40 FAST START KIT 439.00 5531058 MATERIAL SUPPLY CARDIOTOMY RESERVIOR 9 426.00 5531066 MATERIAL SUPPLY ASPIRATION LINES 91084 122.00 5531157 MATERIAL SUPPLY HEMOCONENTRATOR W TUBI 374.00 5531199 MATERIAL SUPPLY TUBING CONNECTOR 60050 113.00 5531223 MATERIAL SUPPLY PACK PERFUSION OFF PUM 1,966.00 5531298 MATERIAL SUPPLY CANNULA VESSEL VSL009W 46.00 5531439 MATERIAL SUPPLY CUVETTE ACT JACT 81.00 5531447 MATERIAL SUPPLY PHRENIC NERVE PAD 3800 101.00 5531462 MATERIAL SUPPLY CANNULA VEN 2STAGE 324 229.00 5531504 MATERIAL SUPPLY CONNECTOR 1/4 X 1/4 60 90.00 5531512 MATERIAL SUPPLY CONNECTOR 3/8 X 1/2 60 66.00 5531520 MATERIAL SUPPLY 1/2 X 1/2 CONNECTOR 66.00 5531553 MATERIAL SUPPLY CONNECTOR 1/4 X 3/8 60 85.00 5531561 MATERIAL SUPPLY CONNECTOR 3/8 X 1/2 85.00 5531595 MATERIAL SUPPLY CONNECTOR Y 3/8 60020 63.00 5531603 MATERIAL SUPPLY CONNECTOR Y 1/2 78.00 5531611 MATERIAL SUPPLY CONNECTOR Y 1/2 X 3/8 68.00 5531785 MATERIAL SUPPLY PACER FLOW DIRECTED 5F 533.00 5531918 MATERIAL SUPPLY TRANSDUCER COVER SURG 113.00 5531983 MATERIAL SUPPLY NEEDLE GUIDE 20-22GA L 149.00 5532007 MATERIAL SUPPLY ELECTRODE PROPADZ 8900 258.00 5532148 MATERIAL SUPPLY THORACIC VENT TRAY TV1 1,323.00 5532221 MATERIAL SUPPLY CATH EMBLOECTOMY/FOGAR 318.00 5532346 MATERIAL SUPPLY DRAIN ROUND BLAKE SILI 318.00 5532387 MATERIAL SUPPLY ELECTRODE IONTO 35.00 5532437 MATERIAL SUPPLY SUTURE, PROLENE M8755H 127.00 5532551 MATERIAL SUPPLY SUTURE, ETHILON 3460T 35.00 5532619 MATERIAL SUPPLY CATH THERMODILUTION 7F 787.00 5532692 MATERIAL SUPPLY CATH PERFORMA DIAG 752 44.00 5532700 MATERIAL SUPPLY CATH PERFORMA DIAG JR4 44.00 5532718 MATERIAL SUPPLY CATH PERFORMA DIAG JL5 44.00 5532767 MATERIAL SUPPLY BLOWER MISTER 416.00 5532858 MATERIAL SUPPLY SUTURE, PXX52 536.00 5532882 MATERIAL SUPPLY HOOD T4 400-800 126.00 5532890 MATERIAL SUPPLY DRAPE STERI PREP 1000N 232.00 5532924 MATERIAL SUPPLY NEEDLE ONE STEP CATHET 91.00 5532932 MATERIAL SUPPLY CATH PERFORMA 5FR IM 7 56.00 5533005 MATERIAL SUPPLY CATH PERFORMA 5FR ALI 106.00 5533021 MATERIAL SUPPLY VAC DRSSING KIT TRAC S 241.00 5533039 MATERIAL SUPPLY VAC DRSSING KIT TRAC S 283.00 5533047 MATERIAL SUPPLY VAC DRSSING KIT TRAC L 350.00 5533104 MATERIAL SUPPLY ELECTRODE LIGASURE LS3 1,295.00 5533146 MATERIAL SUPPLY SEALER LIGASURE 10MM L 1,876.00 5533278 MATERIAL SUPPLY FACEMASK W HEADGEAR MD 179.00 5533294 MATERIAL SUPPLY NASAL MASK SM W STRAP 82.00 5533435 MATERIAL SUPPLY ENDOPOUCH RETREIVER PO 585.00 5533443 MATERIAL SUPPLY STAPLER LINEAR 30X3.5M 599.00 5533450 MATERIAL SUPPLY STAPLER LINEAR 30MM VA 595.00 5533468 MATERIAL SUPPLY STAPLES LINEAR RELOAD 349.00 5533666 MATERIAL SUPPLY BLANKET CARDIAC HEART 193.00 5533667 MATERIAL SUPPLY CARDIAC BLANKET MISTRA 168.00 5533757 MATERIAL SUPPLY GRAFT VASC HEMASHIELD 2,153.00 5533898 MATERIAL SUPPLY CATH OPEN TIP 144.00 5533906 MATERIAL SUPPLY ANGIOSEAL 6FR 610130 1,489.00 5533914 MATERIAL SUPPLY ANGIOSEAL 8FR 610108 1,526.00 5533922 MATERIAL SUPPLY ENDOSTITCH SUTURE DEVI 1,532.00 5534037 MATERIAL SUPPLY PNEUMOTHORAX SET G0330 885.00 5534078 MATERIAL SUPPLY DILATOR 6F HYDROPHILIC 71.00 5534086 MATERIAL SUPPLY DILATOR 8F HYDROPHILIC 52.00 5534102 MATERIAL SUPPLY DILATOR 10F HYDROPHILI 71.00 5534110 MATERIAL SUPPLY DILATOR 14F HYDROPHILI 58.00 5534128 MATERIAL SUPPLY DILATOR 12F HYDROPHILI 58.00 5534235 MATERIAL SUPPLY DRAIN DAWSON MUELLER 8 547.00 5534243 MATERIAL SUPPLY DRAIN DAWSON MUELLER 1 439.00 5534334 MATERIAL SUPPLY INTRO SET DENNY G11566 405.00 5534508 MATERIAL SUPPLY BLADE TOMCAT CUTTER 27 497.00 5534516 MATERIAL SUPPLY VAC DRESSING WHITE FOA 42.00 5534532 MATERIAL SUPPLY FILTERLINE NASAL CANN 80.00 5534540 MATERIAL SUPPLY GUIDEWIRE ACS 22339 443.00 5534565 MATERIAL SUPPLY BLADE AGGRESSIVE 4.0 2 353.00 5534573 MATERIAL SUPPLY BUR BARREL 4.0 375941 353.00 5534706 MATERIAL SUPPLY NEEDLE TEFLON STIMA 10 75.00 5534707 MATERIAL SUPPLY NEEDLE SPRTTE SPINAL 1 128.00 5534763 MATERIAL SUPPLY DILATOR NOTTINGHAM 6-1 843.00 5534854 MATERIAL SUPPLY SUTURE, M8709 362.00 5534953 MATERIAL SUPPLY SUTURE, PROLENE 8709H 68.00 5535083 MATERIAL SUPPLY GUIDEWIRE STRAIGHT TIP 50.00 5535117 MATERIAL SUPPLY CATH ANGIO 5FR MULTI P 165.00 5535133 MATERIAL SUPPLY TROCAR BLUNT TIP 12MM 595.00 5535141 MATERIAL SUPPLY GUIDEWIRE BENSTON 9910 102.00 5535158 MATERIAL SUPPLY CATH CONTRALATERAL 5FR 137.00 5535166 MATERIAL SUPPLY RETRIEVAL BASKET 50024 1,439.00 5535265 MATERIAL SUPPLY INFUSION CATH SING LUM 74.00 5535349 MATERIAL SUPPLY CATH PERFORMA 48.00 5535455 MATERIAL SUPPLY CIRCUIT, HEATED WIRE # 62.00 5535562 MATERIAL SUPPLY CATH GUIDE 6FR IM 6671 359.00 5535604 MATERIAL SUPPLY NEEDLE STIMUPLEX 22X2 69.00 5535695 MATERIAL SUPPLY BLADE AGGRESSIVE 3.5 2 496.00 5536123 MATERIAL SUPPLY MDI SPACER 36.00 5536313 MATERIAL SUPPLY PASSY SPEAKING VALVE P 686.00 5536412 MATERIAL SUPPLY KNEE PACK BILAT FRBK74 784.00 5536511 MATERIAL SUPPLY STENT EXPAND VELOCITY 3,467.00 5536552 MATERIAL SUPPLY CATH MULTI B2 5FR 7533 48.00 5536792 MATERIAL SUPPLY CANNULA TWIST IN AR XX 123.00 5536891 MATERIAL SUPPLY PATCH SYVEK 3X3 299.00 5536982 MATERIAL SUPPLY SOLUTION WARMER ORS300 245.00 5536990 MATERIAL SUPPLY SOLUTION WARMER ORS320 264.00 5536991 MATERIAL SUPPLY SOLN SODIUM CHLORIDE I 27.00 5537097 MATERIAL SUPPLY DRAINAGE CATHETER IRRI 60.00 5537196 MATERIAL SUPPLY CANAL BRUSH 210-4 75.00 5537253 MATERIAL SUPPLY SUTURE, 539-G MONO STE 48.00 5537428 MATERIAL SUPPLY INSUFLATOR TUBING HIFL 84.00 5537592 MATERIAL SUPPLY TRANSFER SLIDE C9265-3 66.00 5537766 MATERIAL SUPPLY CATH PERFORMA 5FR AL2 102.00 5537790 MATERIAL SUPPLY BUR STRYK ROUND 160861 370.00 5537832 MATERIAL SUPPLY FACEMASK W HEADGEAR LG 134.00 5537923 MATERIAL SUPPLY NASAL MASK LRG W STRAP 82.00 5537998 MATERIAL SUPPLY FELT PTFE 1X6 007976 231.00 5538202 MATERIAL SUPPLY CATH EMBOLECTOMY SYNTE 494.00 5538244 MATERIAL SUPPLY PACK CABG PC48CGFRB 1,847.00 5538245 MATERIAL SUPPLY PACK PAIN 63.00 5538509 MATERIAL SUPPLY DBX PUTTY 10CC 038100 2,169.00 5538517 MATERIAL SUPPLY BIOGLUE CARTRIDGE BG35 2,684.00 5538699 MATERIAL SUPPLY PEEP VALVE VP701 38.00 5538939 MATERIAL SUPPLY STENT ZILVER ZIBLS-10- 3,255.00 5538962 MATERIAL SUPPLY SUCTION SYSTEM WATERBU 194.00 5539028 MATERIAL SUPPLY WALLSTENT RX BILIARY E 4,717.00 5539101 MATERIAL SUPPLY CANNULA ERCP STANDARD 365.00 5539200 MATERIAL SUPPLY STENT URET 4.5FR 50019 1,066.00 5539259 MATERIAL SUPPLY BONE CEMENT W/TOBRAMYC 1,630.00 5539267 MATERIAL SUPPLY BILIARY LOCKING DEVICE 59.00 5539275 MATERIAL SUPPLY APPLICATOR CHLORAPREP 43.00 5539291 MATERIAL SUPPLY POWER PORT ACCESS KIT 35.00 5539382 MATERIAL SUPPLY PARACENTESIS PROCD TRA 245.00 5539390 MATERIAL SUPPLY SYRINGE INFLATION MONA 353.00 5539507 MATERIAL SUPPLY TROCAR CATH 16FR 106.00 5539655 MATERIAL SUPPLY SYRINGE SPOT PRE-FILL 169.00 5540067 MATERIAL SUPPLY NEEDLE RADIAL JAW 4LC 333.00 5540109 MATERIAL SUPPLY NEEDLE HUBER SAFETY 20 37.00 5540257 MATERIAL SUPPLY NEEDLE EMG ELECTRODE 53.00 5540372 MATERIAL SUPPLY STENT URET 8.5FR 50019 1,202.00 5540596 MATERIAL SUPPLY INTRODUCTER SET FLEXOR 378.00 5540828 MATERIAL SUPPLY DIFFUSER FILTER #AD 174.00 5540844 MATERIAL SUPPLY BUR STRYK 1607235 323.00 5540851 MATERIAL SUPPLY CANNULA SPHINCT AUTOTO 1,318.00 5540943 MATERIAL SUPPLY PEJ KIT 20FR 6520 1,012.00 5541057 MATERIAL SUPPLY SUTURE, ETHIBOND MX69 78.00 5541099 MATERIAL SUPPLY CANNULA 30012 56.00 5541164 MATERIAL SUPPLY CANNULA DLP 24009 157.00 5541198 MATERIAL SUPPLY TOURNIQUET KIT SET 790 38.00 5541396 MATERIAL SUPPLY SNAREWIRE POLYPECTOMY 197.00 5541529 MATERIAL SUPPLY OXEPA 1000ML 95.00 5541669 MATERIAL SUPPLY BLADE SAW RECIPRO 5100 409.00 5541677 MATERIAL SUPPLY BLADE SAW RECIPRO 5100 291.00 5541990 MATERIAL SUPPLY ENDOBRONCHIAL TUBE 37F 461.00 5542022 MATERIAL SUPPLY ARTERIAL CATH KIT 18GA 163.00 5542063 MATERIAL SUPPLY GRAFT VASC HWDVS2615 1 1,929.00 5542089 MATERIAL SUPPLY GRAFT VASC HWDVS3015 1 1,929.00 5542097 MATERIAL SUPPLY GRAFT VASC HWDVS3215 1 1,846.00 5542105 MATERIAL SUPPLY GRAFT VASC HWDVS3415 1 1,837.00 5542261 MATERIAL SUPPLY SYRINGE GAUGE ASSEMBLY 211.00 5542337 MATERIAL SUPPLY SUTURE, VICRYL ER 38.00 5542360 MATERIAL SUPPLY SUTURE, PROLENE ER 37.00 5542428 MATERIAL SUPPLY BLADE SAW RECIPRO 5100 393.00 5542659 MATERIAL SUPPLY CYTOLOGY BRUSH #4500 615.00 5542733 MATERIAL SUPPLY VEST JOBST SURGICAL 11 390.00 5542758 MATERIAL SUPPLY SPONGE KITTNER DUAL TI 138.00 5542881 MATERIAL SUPPLY PLUMEAWAY SMK EVAC SYS 136.00 5543004 MATERIAL SUPPLY BUTTON DEVICE BARD* 24 1,449.00 5543046 MATERIAL SUPPLY MESH PRE-SHAPED LARGE 335.00 5543053 MATERIAL SUPPLY SUTURE, ETHIBOND MX563 75.00 5543061 MATERIAL SUPPLY SUTURE, PXX77 512.00 5543095 MATERIAL SUPPLY SUTURE, VICRYL J775D 78.00 5543137 MATERIAL SUPPLY BILLARY BALLOON STENT 662.00 5543202 MATERIAL SUPPLY SUCTION IRRIGATOR 2500 461.00 5543210 MATERIAL SUPPLY BUR BARREL HALLOW 5.5 415.00 5543228 MATERIAL SUPPLY CATH UMBILICAL 3.5 DUA 225.00 5543236 MATERIAL SUPPLY GUIDEWIRE GLIDER 35BX 373.00 5543251 MATERIAL SUPPLY STONE BASKET SURLOK 57 951.00 5543376 MATERIAL SUPPLY SUTURE, MERSILENE D921 525.00 5543426 MATERIAL SUPPLY RETRIEVAL BALLOON EXTR 893.00 5543707 MATERIAL SUPPLY PACK PERFUSION ON PUMP 4,904.00 5543970 MATERIAL SUPPLY SENSOR NEONATAL 77.00 5544507 MATERIAL SUPPLY SUTURE, VICRYL J774D 84.00 5544655 MATERIAL SUPPLY STENT BILIARY SYSTEM 4 662.00 5544656 MATERIAL SUPPLY STENT ICAST 22MM 5,942.00 5544657 MATERIAL SUPPLY STENT ICAST 16MM 5,694.00 5544663 MATERIAL SUPPLY PROBE CATH GOLD 10FR 6 1,316.00 5544671 MATERIAL SUPPLY PROBE CATH GOLD 7FR 60 1,381.00 5544697 MATERIAL SUPPLY MESH PROLENE 3X6 PMH 722.00 5544903 MATERIAL SUPPLY SHEARS COAGULATING 5MM 2,446.00 5544945 MATERIAL SUPPLY FILTERWIRE EX 300CM 30 4,002.00 5544960 MATERIAL SUPPLY ESOPHAGEAL DIL FIXD/WI 1,527.00 5545066 MATERIAL SUPPLY SNARE STANDARD/MINI OV 179.00 5545181 MATERIAL SUPPLY VACUUM DEL SYSTEM 1005 237.00 5546494 MATERIAL SUPPLY SLEEVE KNEE SCD LRG 54 74.00 5547187 MATERIAL SUPPLY SHUNT INTRACORONARY 31 532.00 5547203 MATERIAL SUPPLY US BIOPSY TRAY CORE CM 74.00 5547310 MATERIAL SUPPLY MEMBRANE SEPRAFILM*5X6 1,548.00 5547534 MATERIAL SUPPLY BLOOD PACK SET EMPTY 4 49.00 5547542 MATERIAL SUPPLY DRESSING AQUACEL AG EX 69.00 5547609 MATERIAL SUPPLY GUIDEWIRE JAGWIRE HYDR 1,094.00 5547617 MATERIAL SUPPLY CLIP RESOLUTION 235CC 864.00 5547625 MATERIAL SUPPLY TALC STERILE 5GM 1390 608.00 5547724 MATERIAL SUPPLY MARKER MARGINMAP BREAS 77.00 5547732 MATERIAL SUPPLY CT BIOPSY TRAY CUSTOM 52.00 5547757 MATERIAL SUPPLY GLOVE RADIATION STERIL 203.00 5547856 MATERIAL SUPPLY SPINE COMPONENT * 5547989 MATERIAL SUPPLY LIGHT GUIDE HOLMIUM 20 1,541.00 5548003 MATERIAL SUPPLY LIGHT GUIDE HOLMIUM 10 2,415.00 5548011 MATERIAL SUPPLY INLET CLOSURE CTI512N 678.00 5548029 MATERIAL SUPPLY DRAPE C-ARM MINIVIEW E 54.00 5548037 MATERIAL SUPPLY BIOPSY SYSTEM EASY COR 400.00 5548076 MATERIAL SUPPLY AORTIC PERFUSION CANNU 262.00 5548078 MATERIAL SUPPLY AORTIC PUNCH RCL40 123.00 5548110 MATERIAL SUPPLY CUTTER CARBIDE 006510U 69.00 5548128 MATERIAL SUPPLY SHEATH INTRO 5F7F 100.00 5548193 MATERIAL SUPPLY INFUSION CATH CRAGG-MC 573.00 5548201 MATERIAL SUPPLY BUR ROUND FLUTED 5820 869.00 5548235 MATERIAL SUPPLY BINDER BREAST 157.00 5548268 MATERIAL SUPPLY TROCAR W/SLEEVE CTR173 193.00 5548334 MATERIAL SUPPLY SUTURE, VICRYL J773D 84.00 5548367 MATERIAL SUPPLY CANNULA SLEEVE 5MM 56.00 5548391 MATERIAL SUPPLY STAPLER CURVED CS40B/C 2,112.00 5548409 MATERIAL SUPPLY STAPLES RELOAD CR40B/C 1,385.00 5548417 MATERIAL SUPPLY BILI LIGHT UPTO 3 BANK 154.00 5548425 MATERIAL SUPPLY GUIDEWIRE NITREX 180CM 622.00 5548441 MATERIAL SUPPLY COLLAR CERVICAL ASPEN * 5548524 MATERIAL SUPPLY CARDIAC RECORDER IMPLA * 5548599 MATERIAL SUPPLY DEFIB SINGLE CHAMBER * 5548607 MATERIAL SUPPLY DEFIB DUAL CHAMBER * 5548615 MATERIAL SUPPLY DRAIN FIXATION DEVICE 71.00 5548649 MATERIAL SUPPLY SCISSOR ENDOCUT 296.00 5548672 MATERIAL SUPPLY PACEMKR RATE RESPONSIV * 5548673 MATERIAL SUPPLY SYSTEM PACEMAKER ADVIS 13,317.00 5548698 MATERIAL SUPPLY ATTENDS BRIEFS PKG 53.00 5548706 MATERIAL SUPPLY PACEMKR RATE RESPONSIV * 5548722 MATERIAL SUPPLY CATH BALLOON WIREGUIDE 1,586.00 5548748 MATERIAL SUPPLY SHEATH INTRO 7FR 50.00 5548821 MATERIAL SUPPLY GOWN AIR-FILLED 68.00 5548888 MATERIAL SUPPLY GUIDEWIRE ASAHI PROWAT 556.00 5548904 MATERIAL SUPPLY DEFIB OTHR THN SGL/DUA * 5548920 MATERIAL SUPPLY CATH THORACIC ANGLED 56.00 5548979 MATERIAL SUPPLY CATH BALLOON VOYAGER 1 778.00 5548995 MATERIAL SUPPLY STENT MINIVISION COBAL 3,179.00 5549027 MATERIAL SUPPLY ESOPHAGEAL DIL WIREGUI 1,526.00 5549050 MATERIAL SUPPLY CATH PULM ARTERY THERM 2,116.00 5549076 MATERIAL SUPPLY CATH PERFORMA 6FR 750X 75.00 5549100 MATERIAL SUPPLY ROTH RETRIEVAL FB NET 638.00 5549209 MATERIAL SUPPLY GUIDEWIRE ASAHI GRND S 622.00 5549217 MATERIAL SUPPLY GUIDEWIRE ASAHI CONFIA 647.00 5549274 MATERIAL SUPPLY SLEEVE TRACTION STAR C 484.00 5549282 MATERIAL SUPPLY TEMNO BIOPSY 20GA 6CM 296.00 5549332 MATERIAL SUPPLY CATH GUIDE 6FR VISTA B 365.00 5549340 MATERIAL SUPPLY STENT MULTI LINK VISIO 1,750.00 5549415 MATERIAL SUPPLY ARTHRO TURBOVAC SUPER 1,415.00 5549431 MATERIAL SUPPLY SUTURE, FIBERWIRE W/TA 107.00 5549456 MATERIAL SUPPLY SLING FOR LIFT DISPOSA 203.00 5549464 MATERIAL SUPPLY HEAD REST FRAME SOFT T 99.00 5549506 MATERIAL SUPPLY DRAPE SHEET CARDIOVAS 134.00 5549597 MATERIAL SUPPLY SUTURE, ORTHORCORD W/O 181.00 5549605 MATERIAL SUPPLY SUTURE, STERNOTOMY 2 W 56.00 5549688 MATERIAL SUPPLY AORTOTOMY CUT SYSTEM 224.00 5549704 MATERIAL SUPPLY BRACE SHOULDER SLINGSH 437.00 5549910 MATERIAL SUPPLY GUIDEWIRE COONS 152.00 5549951 MATERIAL SUPPLY ORAL ENDOTRACH TUBE AT 78.00 5550033 MATERIAL SUPPLY SUCTION CATH CLOSED TR 55.00 5550082 MATERIAL SUPPLY GUIDEWIRE HYDROPHILIC 334.00 5550090 MATERIAL SUPPLY SLING SHOULDER CUFF/CO 78.00 5550116 MATERIAL SUPPLY SHEATH INTRO CHECK-FLO 270.00 5550249 MATERIAL SUPPLY GLOVE EDEMA SHOULDER L * 5550264 MATERIAL SUPPLY SHEATH W/HEMO VLV/PORT 381.00 5550272 MATERIAL SUPPLY SHEATH W/HEMO VLV/PORT 579.00 5550314 MATERIAL SUPPLY ENDOBRONCHIAL BLOCKER 997.00 5550315 MATERIAL SUPPLY ENDOBUTTON CL ULTRA PA 1,289.00 5550397 MATERIAL SUPPLY OSTEOTOME (CHISEL) FLE 1,524.00 5550405 MATERIAL SUPPLY PROBE SUCTION SERFAS* 741.00 5550413 MATERIAL SUPPLY LASERFIBER W/GREENLIGH 3,553.00 5550436 MATERIAL SUPPLY CATH BALLOON WOLVERINE 2,036.00 5550462 MATERIAL SUPPLY PACK IMAGING SYS SPY*( 1,917.00 5550504 MATERIAL SUPPLY SUTURE RETRIEVER *HEWS 741.00 5550581 MATERIAL SUPPLY SURESTEP TRAY BARDEX I 120.00 5550582 MATERIAL SUPPLY TRAY CATH LUBRISIL URI 136.00 5550583 MATERIAL SUPPLY TRAY SURESTEP BARDEX I 176.00 5550584 MATERIAL SUPPLY TRAY CATH URINE MTR CO 159.00 5550585 MATERIAL SUPPLY TRAY PLUS UM S/FSD NO 75.00 5550586 MATERIAL SUPPLY EXTERNAL CATHETER FEMA 38.00 5550587 MATERIAL SUPPLY CATH TRAY W/TEMP SENSE 187.00 5550588 MATERIAL SUPPLY CATH TRAY W/TEMP SENSE 174.00 5550595 MATERIAL SUPPLY CATH CENTRL LINE QUADL 543.00 5550660 MATERIAL SUPPLY BLADE DISSECTOR DIEGO* 654.00 5550678 MATERIAL SUPPLY TUBE SET SUCTION DIEGO 115.00 5550751 MATERIAL SUPPLY NEEDLE BLUNT DISP HAWK 242.00 5550942 MATERIAL SUPPLY MESH PROCEED* OVAL 6X8 3,688.00 5550975 MATERIAL SUPPLY GUIDEWIRE NITREX 300CM 719.00 5551056 MATERIAL SUPPLY SUTURE INSERT OCTOBASE 353.00 5551080 MATERIAL SUPPLY BLANKET PEDIATRIC WARM 99.00 5551130 MATERIAL SUPPLY GUIDEWIRE HITORQUE STE 556.00 5551163 MATERIAL SUPPLY NEBULIZER AEROECLIPSE* 34.00 5551171 MATERIAL SUPPLY STAPLER RELOAD, LINEAR 804.00 5551197 MATERIAL SUPPLY V.A.C. CANISTER W/GEL 213.00 5551205 MATERIAL SUPPLY STAPLER ECHELON 60 END 1,508.00 5551213 MATERIAL SUPPLY RELOAD ENDOPATH 60 823.00 5551221 MATERIAL SUPPLY DRAIN RESOLVE-MERIT 8F 423.00 5551239 MATERIAL SUPPLY DRAIN FIXATION DEVICE 91.00 5551288 MATERIAL SUPPLY CATH DUAL ACCESS TWIN- 1,453.00 5551312 MATERIAL SUPPLY CANNULA NASAL/ORAL PRO 17.00 5551320 MATERIAL SUPPLY CATH THERMODILUTION FE 384.00 5551346 MATERIAL SUPPLY SHEATH INTRO PRELUDE* 117.00 5551353 MATERIAL SUPPLY ENSEAL X1 LARGE JAW 2,246.00 5551379 MATERIAL SUPPLY STENT MULTI-LINK ULTRA 2,794.00 5551452 MATERIAL SUPPLY PLEURX DRAIN KIT W/VAC 365.00 5551460 MATERIAL SUPPLY NEEDLE SCORPION 806.00 5551478 MATERIAL SUPPLY ANCHOR BIO-PUSHLOCK 1,783.00 5551486 MATERIAL SUPPLY ANCHOR BIO-CORKSCREW 1,574.00 5551569 MATERIAL SUPPLY STENT JOSTENT GRAFTMAS 6,410.00 5551619 MATERIAL SUPPLY CATH HEMOSTAR W/BIOBLO 1,612.00 5551734 MATERIAL SUPPLY NEEDLE ECHOGENIC TEMNO 330.00 5551759 MATERIAL SUPPLY PROBE RECTAL/ESOPH DIS 36.00 5551809 MATERIAL SUPPLY CLOTH 2%GLUCONATE CHLO 46.00 5551841 MATERIAL SUPPLY SPINE PACK FRSP500XX 686.00 5551908 MATERIAL SUPPLY SCREW INTERFERENCE BIO 790.00 5552013 MATERIAL SUPPLY CATH IVUS IMAGING *EAG 2,636.00 5552120 MATERIAL SUPPLY VISCERA ABDOMINAL RETA 179.00 5552179 MATERIAL SUPPLY KIT CIRCUIT PNEUPAC *P 117.00 5552211 MATERIAL SUPPLY SUTURE LASSO ARTHREX* 806.00 5552229 MATERIAL SUPPLY MESH PARIETEX* RECT 6X 2,407.00 5552252 MATERIAL SUPPLY CATH VENTURE WIRE CONT 2,078.00 5552328 MATERIAL SUPPLY SUTURE, FIBERWIRE #2 F 290.00 5552377 MATERIAL SUPPLY GRAFT VASC PROPATEN* 6 7,011.00 5552385 MATERIAL SUPPLY ELECTRODE MONOPOLAR PN 815.00 5552393 MATERIAL SUPPLY ELECTRODE MONOPOLAR VA 1,199.00 5552419 MATERIAL SUPPLY MESH PARIETEX* ROUND 3 2,065.00 5552468 MATERIAL SUPPLY CATH REPAIR KIT BARD* 749.00 5552492 MATERIAL SUPPLY MONITOR PACING SLEEVE 99.00 5552500 MATERIAL SUPPLY NEEDLE BONE ACCESS 11G 252.00 5552502 MATERIAL SUPPLY NEEDLE BONE MARROW IL 47.00 5552526 MATERIAL SUPPLY CATH BAKRI POSTPARTUM 1,255.00 5552559 MATERIAL SUPPLY NEEDLE STIMUPLEX 20X6 81.00 5552567 MATERIAL SUPPLY NEEDLE HUBER POWERLOC 43.00 5552575 MATERIAL SUPPLY CURETTE BONE OR1201 83.00 5552666 MATERIAL SUPPLY BLADE GLIDESCOPE* 104.00 5552690 MATERIAL SUPPLY VEST DISP FOR AIRWAY D 455.00 5552757 MATERIAL SUPPLY DRESSING WOUND VEIL 6 43.00 5552765 MATERIAL SUPPLY GUIDEWIRE 3.2MM SYNTHE 569.00 5552799 MATERIAL SUPPLY WRIST COMPONENT * 5552807 MATERIAL SUPPLY ANKLE COMPONENT * 5552815 MATERIAL SUPPLY TUBING PRIMARY HI-PRES 97.00 5552849 MATERIAL SUPPLY US CELERO MARKER 481.00 5552872 MATERIAL SUPPLY TUBING BLOOD/FLUID D-3 584.00 5552898 MATERIAL SUPPLY ELECTRODE URETHRAL BUG 476.00 5552948 MATERIAL SUPPLY PLATELET GEL SETUP KIT 1,759.00 5552963 MATERIAL SUPPLY CATH THROMBOS EXTRACTI 1,582.00 5552971 MATERIAL SUPPLY INTRA ABD PRESSURE MON 480.00 5552989 MATERIAL SUPPLY BANDAGE HEMOSTATIC *D- 252.00 5553011 MATERIAL SUPPLY 3-WAY T-EXTENSION SET 53.00 5553094 MATERIAL SUPPLY PORT VENOUS POWERPORT* 1,509.00 5553136 MATERIAL SUPPLY CATH VENA CAVA RETRIEV 1,534.00 5553151 MATERIAL SUPPLY NEEDLE INTRAOSSEOUS SE 622.00 5553169 MATERIAL SUPPLY SLEEVE CATH REPOSITION 53.00 5553227 MATERIAL SUPPLY CATH SECUREMENT DEVICE 91.00 5553235 MATERIAL SUPPLY GUIDEWIRE HI-TORQUE *W 487.00 5553276 MATERIAL SUPPLY TRACH TUBE BIVONA 7-9F 607.00 5553277 MATERIAL SUPPLY TRACH TUBE SHILEY 3.5, 125.00 5553326 MATERIAL SUPPLY DEVICE RAPID RHINO EPI 216.00 5553334 MATERIAL SUPPLY DEVICE POSTERIOR/ANTER 181.00 5553351 MATERIAL SUPPLY DES RESOLUTE ONYX 2.0 2,835.00 5553353 MATERIAL SUPPLY DES RESOLUTE ONYX STEN 2,658.00 5553357 MATERIAL SUPPLY DES RESOLUTE ONYX XLV 2,835.00 5553359 MATERIAL SUPPLY STENT CORONARY *XIENCE 2,752.00 5553375 MATERIAL SUPPLY CATH DYNAMIC QUAD 6FR 1,990.00 5553466 MATERIAL SUPPLY CREAM ANTIFUNGAL 5OZ 43.00 5553474 MATERIAL SUPPLY SUTURE, QUILL PDO 157.00 5553490 MATERIAL SUPPLY INFUSION SYSTEM ON-Q-C 2,229.00 5553516 MATERIAL SUPPLY KIT MAXIMAL BARRIER PR 148.00 5553540 MATERIAL SUPPLY CATH DUAL LUMEN LANGST 827.00 5553565 MATERIAL SUPPLY HEMOSTACE* MPH 929.00 5553581 MATERIAL SUPPLY SHEATH URET NAVIGATOR 944.00 5553607 MATERIAL SUPPLY CANNULA BIO-MEDICUS 1,352.00 5553615 MATERIAL SUPPLY SPRAY FILM SKIN BARRIE 25.00 5553623 MATERIAL SUPPLY GUIDEWIRE *SMARTWIRE P 1,977.00 5553656 MATERIAL SUPPLY KIT FECAL MGT *FLEXI S 1,307.00 5553664 MATERIAL SUPPLY SET CON'T NERVE BLOCK 621.00 5553680 MATERIAL SUPPLY SUTURE, FIBERWIRE #5 231.00 5553698 MATERIAL SUPPLY SEALER *AQUAMANTYS BIP 1,901.00 5553722 MATERIAL SUPPLY TAPE 4" *MEDIPORE (HH 3.00 5553730 MATERIAL SUPPLY LEAD LEFT VENT/CORONAR * 5553755 MATERIAL SUPPLY NEBULIZER MINI HEART L 74.00 5553763 MATERIAL SUPPLY COVER US TRANDUCER CIV 47.00 5553854 MATERIAL SUPPLY GUIDEWIRE AMPLATZ* HEA 153.00 5553862 MATERIAL SUPPLY FEEDING TUBE COMPRESSI 82.00 5553863 MATERIAL SUPPLY FEEDING TUBE NG DOBBHO 60.00 5553888 MATERIAL SUPPLY CAUTERY SUCTION 59.00 5553896 MATERIAL SUPPLY CV CATH KIT QUAD-LUMEN 736.00 5553901 MATERIAL SUPPLY BIOCOMPOSITE SCREW 1,124.00 5553904 MATERIAL SUPPLY CAUTERY PENCIL 44.00 5553922 MATERIAL SUPPLY FIBERLOOP WITH FIBERTA 598.00 5553937 MATERIAL SUPPLY FLIPCUTTER II SHORT 1,270.00 5553946 MATERIAL SUPPLY CV CATH MULTI-LUMEN W 644.00 5553948 MATERIAL SUPPLY TIGHTROPE ABS BUTTON 8 684.00 5553954 MATERIAL SUPPLY REAMER LOW PROFILE 932.00 5553962 MATERIAL SUPPLY AMNIOFIX GRAFT 2X6 1,950.00 5553978 MATERIAL SUPPLY DRILL TIP GUIDE PIN 3. 234.00 5553986 MATERIAL SUPPLY TIGHTROPE ABS BUTTON R 1,071.00 5553994 MATERIAL SUPPLY TIGHTROPE BUTTON EXTEN 1,075.00 5554001 MATERIAL SUPPLY RETRACTOR ELASTIC MOBI 405.00 5554018 MATERIAL SUPPLY ACL TIGHTROPE RT 1,367.00 5554026 MATERIAL SUPPLY IMPLANT SYSTEM AR-1588 2,517.00 5554027 MATERIAL SUPPLY RETRACTOR ELASTIC MOBU 276.00 5554035 MATERIAL SUPPLY CATH BALLOON TREK 1012 980.00 5554084 MATERIAL SUPPLY PACK CATH LAB PACEMAKE 724.00 5554183 MATERIAL SUPPLY TRAY POWER PICC TRIPLE 1,504.00 5554191 MATERIAL SUPPLY CANNULA INNER 7.0 XLTI 41.00 5554209 MATERIAL SUPPLY BALLOON POSTPARTUM BAK 1,318.00 5554258 MATERIAL SUPPLY DRESSING MEPILEX 4X12 41.00 5554308 MATERIAL SUPPLY GRAFT VASCULAR HT08708 7,896.00 5554316 MATERIAL SUPPLY GRAFT VASCULAR H470045 3,381.00 5554324 MATERIAL SUPPLY GRAFT VASCULAR HT07608 7,301.00 5554340 MATERIAL SUPPLY DRESSING MEPITEL 3X4 35.00 5554357 MATERIAL SUPPLY CANNULA FEMORAL ARTERI 754.00 5554365 MATERIAL SUPPLY DRESSING MEPILEX 4X8 35.00 5554399 MATERIAL SUPPLY VEST SURGI LATEX FREE 592.00 5554472 MATERIAL SUPPLY SUTURE PLAIN 53T 42.00 5554498 MATERIAL SUPPLY LEAD CARDIO DEFIB ENDO * 5554506 MATERIAL SUPPLY SUTURE FIBER LOOP #2 290.00 5554514 MATERIAL SUPPLY ELECTRODE FULGURATING 650.00 5554522 MATERIAL SUPPLY ELECTRODE FULGURATING B 514.00 5554548 MATERIAL SUPPLY SUTURE ANCHOR BIO-TAK 1,595.00 5554571 MATERIAL SUPPLY CATH SHEATH SECUREMENT 118.00 5554589 MATERIAL SUPPLY SUTURE QUILL PDO 2 180.00 5554639 MATERIAL SUPPLY GUIDE WIRE BMW 190CM/3 487.00 5554654 MATERIAL SUPPLY GUIDEWIRE ZINGER 180 795.00 5554670 MATERIAL SUPPLY CATH ACUNAV ICE 10F 7,869.00 5554688 MATERIAL SUPPLY PNEUMOSTAT CHEST DRAIN 237.00 5554712 MATERIAL SUPPLY INTRODUCER SWARTZ 8.5F 1,266.00 5554720 MATERIAL SUPPLY CATH OCTAPOLAR EP-XT 6 1,990.00 5554738 MATERIAL SUPPLY CABLE EP-XT 589.00 5554746 MATERIAL SUPPLY SHEATH INTRODUCER ADVA 62.00 5554753 MATERIAL SUPPLY PATCHES NAVX 2,939.00 5554779 MATERIAL SUPPLY CATH SUPREME QUAD 951.00 5554837 MATERIAL SUPPLY CATH DUO-DECA LIVEWIRE 2,953.00 5554852 MATERIAL SUPPLY CATH OCTAPOLAR W/REDEL 1,917.00 5554860 MATERIAL SUPPLY STENT WALL FLEX 10X60 7,378.00 5554878 MATERIAL SUPPLY TUBING COOL PATH 66.00 5554985 MATERIAL SUPPLY INTRODUCER FAST CATH 6 91.00 5554993 MATERIAL SUPPLY COVER ACCU NAV PROBE 50.00 5555008 MATERIAL SUPPLY CABLE ELECTROPHYSIO TH 321.00 5555024 MATERIAL SUPPLY INTRODUCER SWARTZ SLO/ 951.00 5555040 MATERIAL SUPPLY DRESSING MEPILEX AG 55.00 5555057 MATERIAL SUPPLY DRESSING MEPILEX FOAM 52.00 5555081 MATERIAL SUPPLY HEARTSTRING SEAL DEVIC 1,758.00 5555115 MATERIAL SUPPLY NEEDLE TRANSESEPTAL 1,266.00 5555131 MATERIAL SUPPLY CANNULA VENOUS SINGLE 212.00 5555164 MATERIAL SUPPLY COVER PROBE VENOUS 66.00 5555172 MATERIAL SUPPLY KIT MICRO PUNCTURE 5F 169.00 5555214 MATERIAL SUPPLY CLOSURE FAST CATHETER 2,834.00 5555222 MATERIAL SUPPLY INFILTRATION TUBING SE 76.00 5555248 MATERIAL SUPPLY DRESSING MEPILEX BORDE 47.00 5555255 MATERIAL SUPPLY NEEDLE TEMNO EVOLUTION 347.00 5555289 MATERIAL SUPPLY TRAY CIAGLIA BLUE RHIN 1,474.00 5555354 MATERIAL SUPPLY ACROBAT SUV VAC STABIL 4,175.00 5555370 MATERIAL SUPPLY HYDROPHILIC WIRE 0.89M 257.00 5555420 MATERIAL SUPPLY MICRO INTRODUCER SET 7 169.00 5555446 MATERIAL SUPPLY FLET PTFE 4.8 X 9.5 179.00 5555453 MATERIAL SUPPLY SPHINCTEROTOME DREAMTO 1,967.00 5555511 MATERIAL SUPPLY TRAY CONTIPLEX STIM 18 505.00 5555529 MATERIAL SUPPLY FOGARTY SOFTJAW INSERT 121.00 5555537 MATERIAL SUPPLY NEEDLE CAUTERY TIP ELE 35.00 5555552 MATERIAL SUPPLY PERICARDIAL DIP SUMP 182.00 5555560 MATERIAL SUPPLY NEEDLE TEMNO EVOL BIOP 553.00 5555578 MATERIAL SUPPLY COOL POINT TUBING SET 458.00 5555594 MATERIAL SUPPLY CATH URETHERAL OPEN TI 77.00 5555636 MATERIAL SUPPLY SUTURE STERNAL WIRE #5 105.00 5555719 MATERIAL SUPPLY CANNULA SOF-FLOW AORTI 353.00 5555743 MATERIAL SUPPLY ORAL CLEANSING & SUCTI 104.00 5555776 MATERIAL SUPPLY DRESSING FOAM SIL BORD 70.00 5555784 MATERIAL SUPPLY DRESSING MEPILEX SACRU 46.00 5555859 MATERIAL SUPPLY STAPLER ENDO 12MM LONG 1,388.00 5555875 MATERIAL SUPPLY DRESSING STATLOCK 112.00 5555883 MATERIAL SUPPLY STENT WALLFEX 10X40 7,378.00 5555909 MATERIAL SUPPLY PACING CABLE 4051A 128.00 5555933 MATERIAL SUPPLY PACK VEIN CLOSURE 558.00 5555941 MATERIAL SUPPLY LIQUID SKIN PROTECTANT 38.00 5555958 MATERIAL SUPPLY INTRODUCER 1-STEP SUPR 487.00 5555974 MATERIAL SUPPLY SOLO REPOSHEET 233.00 5555982 MATERIAL SUPPLY SLING SOLO HIGHBACK XL 437.00 5555991 MATERIAL SUPPLY HYDRA SCT-350-10 54.00 5556055 MATERIAL SUPPLY ELECTRODE RESUSCITATIO 441.00 5556105 MATERIAL SUPPLY SUTURE VICRYL J741D 85.00 5556113 MATERIAL SUPPLY BLADE CAUTERY TIP 35.00 5556139 MATERIAL SUPPLY KIT PATIENT JACKSON TA 290.00 5556162 MATERIAL SUPPLY BUR DISSECTING 835.00 5556170 MATERIAL SUPPLY CABLE 1-PIN REDEL 1,338.00 5556188 MATERIAL SUPPLY CABLE QUAD BLACK/BLUE 151.00 5556212 MATERIAL SUPPLY ELECTRODE RESUSCITATIO 338.00 5556238 MATERIAL SUPPLY DEVICE STATLOCK ARTERI 35.00 5556279 MATERIAL SUPPLY CATH TEMPO 5FR 100CM 115.00 5556287 MATERIAL SUPPLY CATH PIGTAIL 5FR 100CM 569.00 5556402 MATERIAL SUPPLY NEEDLE BONE DELIVERY 296.00 5556436 MATERIAL SUPPLY DELIVERY SYSTEM 7-10FR 553.00 5556451 MATERIAL SUPPLY STENT BILIARY 7FR-10FR 373.00 5556467 MATERIAL SUPPLY WOUND DRESSING HYDROFE 34.00 5556469 MATERIAL SUPPLY WOUND DRAINAGE KIT 10F 108.00 5556485 MATERIAL SUPPLY BLADE BONE MILL 1,877.00 5556568 MATERIAL SUPPLY VAC SENSA T.R.A.C. PAD 120.00 5556600 MATERIAL SUPPLY GUIDE WIRE EXTENSION D 526.00 5556618 MATERIAL SUPPLY BIOPSY FORCEP 1333-40 186.00 5556626 MATERIAL SUPPLY TR BAND XXRF06 252.00 5556634 MATERIAL SUPPLY CATH CORONARY TIGER/JA 353.00 5556659 MATERIAL SUPPLY BUR PRECISION ROUND 58 1,641.00 5556675 MATERIAL SUPPLY SNARE OVAL ROTATABLE 1 252.00 5556683 MATERIAL SUPPLY NEEDLE INTERJECT 2.3MM 68.00 5556691 MATERIAL SUPPLY MARKER 5 DUAL TISSUE R 504.00 5556709 MATERIAL SUPPLY SLING HARNESS MEDIUM 143.00 5556717 MATERIAL SUPPLY SLING HARNESS LARGE 174.00 5556725 MATERIAL SUPPLY SLING DISPO W/HEAD SUP 287.00 5556741 MATERIAL SUPPLY EXACTO COLD SNARE 141.00 5556758 MATERIAL SUPPLY TALON GRASPING DEVICE 784.00 5556790 MATERIAL SUPPLY SUPPORT STABILIZING AN 78.00 5556840 MATERIAL SUPPLY FIAPC SIDEFIRE PROBE E 1,225.00 5556865 MATERIAL SUPPLY CATH GUIDE LINER 5571 1,823.00 5556881 MATERIAL SUPPLY FIAPC PROBE STRAIGHT E 1,220.00 5556915 MATERIAL SUPPLY ADHESIVE SKIN DERMAFLE 82.00 5556964 MATERIAL SUPPLY SUTURE #2 FIBERWIRE 121.00 5556972 MATERIAL SUPPLY DRAIN BLAKE FLAT 7MM/1 343.00 5556980 MATERIAL SUPPLY DRAPE EXTREMITY 38.00 5556981 MATERIAL SUPPLY DRAPE ARMOUR 105.00 5556998 MATERIAL SUPPLY SUTURE MONOCRYL PLUS M 37.00 5557004 MATERIAL SUPPLY VAC DRESSG KIT TRAC X- 603.00 5557012 MATERIAL SUPPLY GUARDIAN HEMOSTASIS VA 226.00 5557038 MATERIAL SUPPLY MYNX CADENCE DEVICE 1,008.00 5557046 MATERIAL SUPPLY SUTURE ETHIBOND 2898G 128.00 5557053 MATERIAL SUPPLY SUTURE ETHIBOND 2819G 104.00 5557061 MATERIAL SUPPLY SUTURE ETHIBOND 2822G 102.00 5557079 MATERIAL SUPPLY SUTURE ETHIBOND 2897G 117.00 5557087 MATERIAL SUPPLY SUTURE ETHIBOND 2892G 173.00 5557095 MATERIAL SUPPLY DEFIB PAD TZ100 148.00 5557103 MATERIAL SUPPLY TRUE BLUE MOCRO MATERI 75.00 5557129 MATERIAL SUPPLY TOURNIQUET 8" SINGLE 106.00 5557152 MATERIAL SUPPLY ENDO TRACH TUBE INTROD 42.00 5557178 MATERIAL SUPPLY DRESSING PROMOGRAN 48.00 5557186 MATERIAL SUPPLY PADZ CPR-D 693.00 5557202 MATERIAL SUPPLY BRIEF FITULTRA XXL 84.00 5557203 MATERIAL SUPPLY AZUR PERIPHERAL COIL 0 2,009.00 5557210 MATERIAL SUPPLY BRIEF FITULTRA XL 58.00 5557236 MATERIAL SUPPLY MESH PARIETEX 15X10 1,819.00 5576780 MATERIAL SUPPLY ARTHRO PROBE KIT 1,066.00 5579156 MATERIAL SUPPLY TISSEEL SEALANT FROZEN 1,230.00 5579172 MATERIAL SUPPLY BURR ROUND 3MM/4MM 565.00 5579180 MATERIAL SUPPLY CIRCUIT HEATED PEDS 97.00 5579198 MATERIAL SUPPLY CHEST DRAINAGE SYSTEM 296.00 5579206 MATERIAL SUPPLY CATH CONNECT 3-6FR 42.00 5579214 MATERIAL SUPPLY BAG BELLY 1000ML 117.00 5579222 MATERIAL SUPPLY ANCHOR FIBERLINK #2 321.00 5579230 MATERIAL SUPPLY DRAIN ROUND SUCTION 10 55.00 5579248 MATERIAL SUPPLY ANCHOR PUSHLOCK KIT 1,007.00 5579255 MATERIAL SUPPLY FILTERLINE SET M1921A 81.00 5579263 MATERIAL SUPPLY GUIDE WIRE ASAHI FIEDL 740.00 5579289 MATERIAL SUPPLY BIOFREEZE GEL ROLL-ON 36.00 5579297 MATERIAL SUPPLY TRAY CENTRAL LINE CHAN 66.00 5579305 MATERIAL SUPPLY GUIDEWIRE INQWIRE 150C 77.00 5579313 MATERIAL SUPPLY GUIDEWIRE INQWIRE 260C 81.00 5579347 MATERIAL SUPPLY CARDIOPLEGIA SET CDS00 90.00 5579362 MATERIAL SUPPLY SENSOR CEREBRAL TISSUE 634.00 5579388 MATERIAL SUPPLY STENT XIENCE PRIME 4,975.00 5579396 MATERIAL SUPPLY SHEATH NAVIGATOR 46CM 796.00 5579404 MATERIAL SUPPLY V.A.C. GRANUFOAM SILVE 456.00 5579412 MATERIAL SUPPLY CANNULA VENOUS 3-STAGE 264.00 5579438 MATERIAL SUPPLY SUTURE MONCRYL 5-0 36.00 5579446 MATERIAL SUPPLY BILIARY CB PRELOAD SYS 818.00 5579453 MATERIAL SUPPLY SUPER-TRAX NEEDLE BRUS 351.00 5579487 MATERIAL SUPPLY SUPER-TRAX BIOPSY FORC 483.00 5579495 MATERIAL SUPPLY SUPER-TRAX CYTOLOGY BR 143.00 5579586 MATERIAL SUPPLY CATHETER ASPIRATION 1,727.00 5579602 MATERIAL SUPPLY CLOSURE FAST CATH 7FR- 2,835.00 5579636 MATERIAL SUPPLY ENSEAL TISSUE SEALER 2,238.00 5579637 MATERIAL SUPPLY ENDOVIVE SAFETY PEG KI 493.00 5579644 MATERIAL SUPPLY STAPLE RELOAD 45 748.00 5579669 MATERIAL SUPPLY STAPLER CUTTER EC45A 1,737.00 5579677 MATERIAL SUPPLY STAPLER LINEAR CUTTERL 2,128.00 5579719 MATERIAL SUPPLY DRESSING PRISMA MATRIX 55.00 5579727 MATERIAL SUPPLY NERVE BLOCK SET 18GA 305.00 5579735 MATERIAL SUPPLY CATH POWER TRIALYSIS S 1,007.00 5579743 MATERIAL SUPPLY CATH MICRO SUPERCROSS 2,211.00 5579750 MATERIAL SUPPLY GUIDEWIRE ASAHI FEIDLE 487.00 5579776 MATERIAL SUPPLY CANNJULA VENOUS DUAL S 271.00 5579800 MATERIAL SUPPLY CANNULA VENT LEFT 245.00 5579826 MATERIAL SUPPLY CANNULA AORTIC EZC21A 307.00 5579827 MATERIAL SUPPLY BILICAL CALIBRATION TI 27.00 5579828 MATERIAL SUPPLY SUTURE TAPE AR-7500 186.00 5579834 MATERIAL SUPPLY VESSEL CLAMP LARGE 241.00 5579842 MATERIAL SUPPLY VESSEL CLAMP MEDIUM 226.00 5579859 MATERIAL SUPPLY PROGEL SPRAY TIP 543.00 5579867 MATERIAL SUPPLY PROGEL PLEURAL SEALANT 2,716.00 5579925 MATERIAL SUPPLY SURGICAL BRA XLG 260.00 5579941 MATERIAL SUPPLY SURGICAL BRA LARGE 231.00 5579958 MATERIAL SUPPLY TRAY SINGLE NERVE BLOC 169.00 5579966 MATERIAL SUPPLY GARMENT ABDOMINAL SM 164.00 5580006 MATERIAL SUPPLY SURGICAL BRA M/S 225.00 5580014 MATERIAL SUPPLY PLEURX DRAINAGE LINE S 104.00 5580030 MATERIAL SUPPLY PLEURX VALVE CAP 34.00 5580048 MATERIAL SUPPLY PLEURX DRAINAGE STARTE 1,570.00 5580063 MATERIAL SUPPLY GUIDE WIRE VERSACORE 3 1,066.00 5580071 MATERIAL SUPPLY GUIDE WIRE VERSACORE 1 629.00 5580139 MATERIAL SUPPLY GELFOAM GELTIN POWDER 347.00 5580147 MATERIAL SUPPLY SUTURE PROLENE PLEDGET 347.00 5580154 MATERIAL SUPPLY GRAFT ALLODERM READY T 12,376.00 5580156 MATERIAL SUPPLY SUTURE ANCHOR SWIVELOC 1,700.00 5580196 MATERIAL SUPPLY EDGE PROCEDURE KIT 3,147.00 5580204 MATERIAL SUPPLY SUCTION WAND TIP 6F 148.00 5580238 MATERIAL SUPPLY V PATCH MESH 1,830.00 5580246 MATERIAL SUPPLY GEL SILVASORB SILVER 38.00 5580253 MATERIAL SUPPLY PLEURX DRAIN 500CC BTL 172.00 5580261 MATERIAL SUPPLY GARMENT COMPRESSION 353.00 5580295 MATERIAL SUPPLY PROBE PROCISE MAX 1,293.00 5580303 MATERIAL SUPPLY INTERCOOL SURFACE PAD 1,901.00 5580329 MATERIAL SUPPLY NERVE BLOCK SET 6" 187.00 5580337 MATERIAL SUPPLY NERVE BLOCK SET 2" 143.00 5580345 MATERIAL SUPPLY INNERCOOL THIGH PAD 1,121.00 5580378 MATERIAL SUPPLY SEALANT FLOSEAL 10ML 1 1,582.00 5580386 MATERIAL SUPPLY CYSTO INJECTION NEEDLE 131.00 5580436 MATERIAL SUPPLY SURGICEL FIBRILLAR 2X4 906.00 5580451 MATERIAL SUPPLY DRESSING AFM AG 56.00 5580519 MATERIAL SUPPLY MASK PRE VENT HEADGEAR 38.00 5580535 MATERIAL SUPPLY SHEATH PERFORMER INTRO 669.00 5580543 MATERIAL SUPPLY SHEATH DRY SEAL SDV142 1,694.00 5580550 MATERIAL SUPPLY SUTURE PLAIN 6-0 1916G 38.00 5580584 MATERIAL SUPPLY CODMAN PATTIES 1/4 X 1 94.00 5580592 MATERIAL SUPPLY CATH CENTROS-FLO 15F 1,408.00 5580626 MATERIAL SUPPLY CIRCUIT & CONCHA COLUM 78.00 5580627 MATERIAL SUPPLY CHECKPOINT STIMULATOR 1,639.00 5580628 MATERIAL SUPPLY CONNECTOR 1/2X3/8X1/2 85.00 5580675 MATERIAL SUPPLY CIRCUIT DUAL HEATED NE 48.00 5580709 MATERIAL SUPPLY STERNAL WIRE 564.00 5580733 MATERIAL SUPPLY BANDAGE HIGH COMPRESSI 68.00 5580741 MATERIAL SUPPLY DRESSING SINUS FOAM RR 431.00 5580758 MATERIAL SUPPLY DRESSING MEPILEX 20X20 71.00 5580766 MATERIAL SUPPLY TORNADO EMBOLIZATION C 589.00 5580774 MATERIAL SUPPLY LIGASURE SEALER 1,588.00 5580775 MATERIAL SUPPLY LIGASURE SEALER MARYLA 1,516.00 5580782 MATERIAL SUPPLY AMPLATZER VASCULAR PLU 2,659.00 5580808 MATERIAL SUPPLY MULTI PERFUSION SET 191.00 5580899 MATERIAL SUPPLY ULTRA TRI-LAYER MATRIX 71.00 5580907 MATERIAL SUPPLY NASAL SPLINT, BREATH E 129.00 5580915 MATERIAL SUPPLY KNIFE MYRINGOTOMY 74.00 5580923 MATERIAL SUPPLY PROBE CARDIO CRYOFLEX 1,789.00 5580956 MATERIAL SUPPLY TEMNO BIOPSY 18GA 6CM 285.00 5580964 MATERIAL SUPPLY GUIDEWIRE HYROPHILIC 206.00 5581004 MATERIAL SUPPLY ANCHOR/SCREW BN/NB TIS 290.00 5581038 MATERIAL SUPPLY KIT SPEEDRIDGE 6,667.00 5581053 MATERIAL SUPPLY SUTURE ANCHOR SWIVELOC 1,900.00 5581061 MATERIAL SUPPLY REAMER PILOTED 1,179.00 5581095 MATERIAL SUPPLY BALLOON DISECTOR SBT/O 1,657.00 5581103 MATERIAL SUPPLY MESH SURGICAL 13.5CM 629.00 5581111 MATERIAL SUPPLY ENDO CLINCH 5MM 1,124.00 5581129 MATERIAL SUPPLY TROCAR VISIPORT 710.00 5581145 MATERIAL SUPPLY CANNULA DILATOR VERAST 717.00 5581152 MATERIAL SUPPLY MESH PARIETEX ROUND 12 1,928.00 5581160 MATERIAL SUPPLY MESH HERNIA RECTANGLE 1,684.00 5581186 MATERIAL SUPPLY TRAY DRAINAGE SAFE-T-C 84.00 5581210 MATERIAL SUPPLY GLIDEWIRE ADVANTAGE 26 1,323.00 5581228 MATERIAL SUPPLY CATH NAVICROSS 1,245.00 5581236 MATERIAL SUPPLY SHEATH DESTINATION 646.00 5581251 MATERIAL SUPPLY JOINT CUTTER SMALL 330.00 5581277 MATERIAL SUPPLY ANCHOR SWIEVEL LOCK 1,783.00 5581285 MATERIAL SUPPLY SHUNT CAROTID FLEXCEL 604.00 5581335 MATERIAL SUPPLY GUIDEWIRE VIPER WIRE 865.00 5581343 MATERIAL SUPPLY SUCTION DRAINAGE SET A 36.00 5581350 MATERIAL SUPPLY SUTURE SUPRAMID 3-0 80.00 5581368 MATERIAL SUPPLY SUTURE SUPRAMID 4-0 80.00 5581384 MATERIAL SUPPLY STEALTH GUIDEWIRE 9,540.00 5581392 MATERIAL SUPPLY V-PATCH MESH SMALL 1,935.00 5581400 MATERIAL SUPPLY VIPER SLIDE LUBRICANT 514.00 5581418 MATERIAL SUPPLY HEMOSTATIC POWDER 521.00 5581426 MATERIAL SUPPLY NEEDLE BONE BIOPSY/ASP 151.00 5581442 MATERIAL SUPPLY BUR ROUND DIAMOND 5820 903.00 5581459 MATERIAL SUPPLY NEEDLE GUIDE 9GA 66.00 5581467 MATERIAL SUPPLY CANNULA CORONARY OSTIA 318.00 5581483 MATERIAL SUPPLY CLIPPER BLADE NEURO 53.00 5581491 MATERIAL SUPPLY TRANSFER DRESSING MEPI 43.00 5581517 MATERIAL SUPPLY PANTS X-LARGE YOUTH 54.00 5581558 MATERIAL SUPPLY DRESSING DRAWTEX HYDRO 46.00 5581574 MATERIAL SUPPLY MYOSURE SEAL SET 66.00 5581582 MATERIAL SUPPLY MYOSURE XL TISSUE REMO 3,781.00 5581608 MATERIAL SUPPLY NOVASURE SURESOUND NS2 3,429.00 5581624 MATERIAL SUPPLY MYOSURE TISSUE REMOVAL 3,859.00 5581632 MATERIAL SUPPLY SNARE CAPTIFLEX OVAL 104.00 5581640 MATERIAL SUPPLY AQUILEX INFLOW TUBE 634.00 5581657 MATERIAL SUPPLY NOVASURE CO2 CARTRIDGE 73.00 5581665 MATERIAL SUPPLY AQUILEX OUTLOW TUBE 129.00 5581673 MATERIAL SUPPLY HUMIDIFICATION COMFORT 176.00 5581681 MATERIAL SUPPLY SHEARS CURVED HARMONIC 2,073.00 5581707 MATERIAL SUPPLY ENDO STITCH SUTURE 343.00 5581715 MATERIAL SUPPLY SUTURE PROLENE 3-0 855 8.00 5581723 MATERIAL SUPPLY MOSAIC C-QUR 15CMX20.3 2,678.00 5581731 MATERIAL SUPPLY MOSAIC C-QUR 9CM ROUND 1,619.00 5581749 MATERIAL SUPPLY MOSAIC C-QUR 25.4CM X 1,825.00 5581780 MATERIAL SUPPLY GRAFTJACKET TISSUE MAT 4,256.00 5581798 MATERIAL SUPPLY GRAFTJACKET TISSUE MAT 8,510.00 5581806 MATERIAL SUPPLY CATH POWER PICC SOLO 3 1,378.00 5581814 MATERIAL SUPPLY SUTURE ETHBOND 2881G 201.00 5581830 MATERIAL SUPPLY ELECTRODE IONTO STAT 42.00 5581848 MATERIAL SUPPLY GLIDEWIRE HYDROPHILIC 413.00 5581863 MATERIAL SUPPLY GUIDEWIRE LUGE 190CM 449.00 5581913 MATERIAL SUPPLY STENT COVERED ICAST 59 6,885.00 5581921 MATERIAL SUPPLY CATH POWER PICC SOLO 5 1,537.00 5581939 MATERIAL SUPPLY DRAINAGE VACUUM BTL 10 237.00 5581947 MATERIAL SUPPLY SUTURE ETHIBOND EXCEL 270.00 5581954 MATERIAL SUPPLY SUCTION DRAINAGE SYSTE 204.00 5581970 MATERIAL SUPPLY CATH USHER SUPPORT 2,087.00 5581971 MATERIAL SUPPLY BERENSTEIN 5F IMPRESS 60.00 5581988 MATERIAL SUPPLY CATH ARTHERECTOMY CROS 8,994.00 5582002 MATERIAL SUPPLY COR KNOT HANDLE 1,877.00 5582010 MATERIAL SUPPLY QUICK LOAD SUTURE 257.00 5582051 MATERIAL SUPPLY SUTURE PLAIN 1632G 49.00 5582069 MATERIAL SUPPLY SUTURE PROLENE D9933/D 291.00 5582085 MATERIAL SUPPLY GUIDEWIRE LUNDERQUIST 609.00 5582135 MATERIAL SUPPLY LUMBAR DRAINAGE CATH K 1,220.00 5582143 MATERIAL SUPPLY EXTERNAL DRAINAGE SYST 1,168.00 5582168 MATERIAL SUPPLY GUIDE CATH CONCIERGE 223.00 5582218 MATERIAL SUPPLY ANGIOSCULPT BALLOON CA 3,148.00 5582234 MATERIAL SUPPLY CIRCUIT PULMONARY FUNC 74.00 5582242 MATERIAL SUPPLY CATH POWERGLIDE MIDLIN 507.00 5582259 MATERIAL SUPPLY NEEDLE HUBER SAFETY 20 58.00 5582267 MATERIAL SUPPLY MYO/LEAD CABLE 100.00 5582283 MATERIAL SUPPLY BRIEF FITULTRA LARGE 49.00 5582291 MATERIAL SUPPLY EVACUATED BOTTLE EMPTY 55.00 5582317 MATERIAL SUPPLY GUIDEWIRE ARROW ADVANC 62.00 5582325 MATERIAL SUPPLY PACEMAKER RESYNCHRONIZ 1.00 5582341 MATERIAL SUPPLY BRIEFS ULTRAFIT MEDIUM 37.00 5582382 MATERIAL SUPPLY SHEATH FLEXCATH 5,421.00 5582390 MATERIAL SUPPLY CANNULA MULTI-STAGE BI 1,812.00 5582408 MATERIAL SUPPLY CATH ACHIEVE MAPPING 4,107.00 5582424 MATERIAL SUPPLY CATH ARTIC CRYOABLATIO 18,475.00 5582457 MATERIAL SUPPLY CABLE ACHIEVE STERILE 1,385.00 5582465 MATERIAL SUPPLY DRAPE FLUID WARMER ORS 218.00 5582473 MATERIAL SUPPLY VAC VERALINK CASSETTE 297.00 5582481 MATERIAL SUPPLY GRAFT VASCULAR PROPATE 2,709.00 5582499 MATERIAL SUPPLY VAC DRESSING VERAFLO-M 347.00 5582507 MATERIAL SUPPLY SUTURE GORTEX 6M02A 161.00 5582515 MATERIAL SUPPLY SUTURE GORTEX 5N02A 152.00 5582531 MATERIAL SUPPLY PACK OXGENATOR TUBING 5,476.00 5582549 MATERIAL SUPPLY KIT RETRACTION 20MRK 792.00 5582556 MATERIAL SUPPLY CABLE ELECTRICAL UMBIL 1,191.00 5582564 MATERIAL SUPPLY CABLE COAXIAL UMBILICA 790.00 5582572 MATERIAL SUPPLY NEBULIZER KIT AERONEB 418.00 5582606 MATERIAL SUPPLY LOCATOR NERVE STIMULAT 196.00 5582614 MATERIAL SUPPLY SURGICAL SPILL MAT 48.00 5582622 MATERIAL SUPPLY AQUACELL AG ROPE 3/4 X 81.00 5582648 MATERIAL SUPPLY AQUACELL AG XTRA HYDRO 38.00 5582655 MATERIAL SUPPLY JEJUNAL FEEDING TUBE 833.00 5582663 MATERIAL SUPPLY DRAPE RADBARRIER 269.00 5582697 MATERIAL SUPPLY STONE BASKET 1.9FR 1,023.00 5582705 MATERIAL SUPPLY GLIDESCOPE SIZE 2 118.00 5582762 MATERIAL SUPPLY CYTOLOGY BRUSH 149R 55.00 5582770 MATERIAL SUPPLY ULTRA TRI-LAYER MATRIX 52.00 5582788 MATERIAL SUPPLY ULTRA TRI-LAYER MATRIX 68.00 5582804 MATERIAL SUPPLY PRIMATRIX DERMAL SCAFF 169.00 5582820 MATERIAL SUPPLY EPIFIX SKIN SUBSTITUTE 888.00 5582838 MATERIAL SUPPLY CYTOLOGY BRUSH/NEEDLE 637.00 5582903 MATERIAL SUPPLY SUTURE MONODERN YA-201 127.00 5582911 MATERIAL SUPPLY SUTURE MONODERN YA-203 184.00 5582945 MATERIAL SUPPLY SUTURE PLAIN 1828H 36.00 5582978 MATERIAL SUPPLY KIT CAST OFF LOAD CUTI 484.00 5582986 MATERIAL SUPPLY INFUSOR BAG 500CC 53.00 5582994 MATERIAL SUPPLY INFUSOR BAG 1 LITER 59.00 5583000 MATERIAL SUPPLY VITAMESH 6X13 494.00 5583018 MATERIAL SUPPLY ATOMIZER MADGIC W/3ML 48.00 5583026 MATERIAL SUPPLY NEEDLE MULTIFIRE SCORP 943.00 5583034 MATERIAL SUPPLY ACCUPAP MOUTHPIECE 7FT 113.00 5583091 MATERIAL SUPPLY BRONCHOSCOPE ADAPTER 406.00 5583117 MATERIAL SUPPLY CYTOLOGY BRUSH 10MM 670.00 5583125 MATERIAL SUPPLY MIDLINE DRESSING CHANG 73.00 5583133 MATERIAL SUPPLY WIRELESS PROBE COVER 73.00 5583141 MATERIAL SUPPLY SUTURE CHROMIC 5-0 P-3 34.00 5583174 MATERIAL SUPPLY SUTURE PLAIN GUT 5-0 P 34.00 5583216 MATERIAL SUPPLY STONE RETRIEVAL DEVICE 1,385.00 5583224 MATERIAL SUPPLY AQUAPLAST NASAL SPLINT 108.00 5583232 MATERIAL SUPPLY CANNULA PASSPORT BUTTO 214.00 5583257 MATERIAL SUPPLY MAIN PUMP TUBING AR-64 315.00 5583265 MATERIAL SUPPLY HF LOOP ELECTRODE WA22 2,040.00 5583273 MATERIAL SUPPLY PLASMA BUTTON 1,616.00 5583299 MATERIAL SUPPLY NEPHROSTOMY SET 8F 721.00 5583307 MATERIAL SUPPLY NEO-TEE T-PIECE RESUSC 106.00 5583315 MATERIAL SUPPLY T-PIECE RESUSCIATOR (N 64.00 5583331 MATERIAL SUPPLY BIOPSY NEEDLE PETITE E 1,198.00 5583356 MATERIAL SUPPLY DRILL BIT 4" 161.00 5583364 MATERIAL SUPPLY TROCAR PIN 1/8" 161.00 5583372 MATERIAL SUPPLY CARPEL TUNNEL BLADE 1,145.00 5583406 MATERIAL SUPPLY BIOPSY MARKER TRIMARK 475.00 5586425 MATERIAL SUPPLY BIOPSY NEEDLE STND EVI 1,198.00 5586433 MATERIAL SUPPLY BIOPSY MARKER SMARK EV 502.00 5586458 MATERIAL SUPPLY TURNPIKE CATHETER 5642 1,719.00 5586463 MATERIAL SUPPLY MAGSEED IMPLANT 1,594.00 5586465 MATERIAL SUPPLY CATH DRUG COATED BLN P 2,835.00 5586466 MATERIAL SUPPLY CATH ABLATION FLEXABIL 5,921.00 5586467 MATERIAL SUPPLY CATH VISIONS .014 IVUS 1,942.00 5586468 MATERIAL SUPPLY CATH DRUG COATED BLN P 3,544.00 5586479 MATERIAL SUPPLY CATH DRUG COATED BALLO 3,899.00 5586508 MATERIAL SUPPLY SPROTTE NEEDLE 22 GUAG 75.00 5586516 MATERIAL SUPPLY BLADE BONE CUTTER 7220 516.00 5586524 MATERIAL SUPPLY SUTURE ETHBOND X805H 56.00 5586532 MATERIAL SUPPLY BUR STONE CUTTER 516.00 5586540 MATERIAL SUPPLY ULTRATINE FOREHEAD DEV 1,328.00 5586607 MATERIAL SUPPLY PEAK PLASMA DEVICE 1,850.00 5586615 MATERIAL SUPPLY SMOKE EVAC FILTER 84.00 5586623 MATERIAL SUPPLY CELLERATE 1,358.00 5586631 MATERIAL SUPPLY CATH DILATION DORADO 895.00 5586649 MATERIAL SUPPLY DRAPE FEMORAL AD2235 137.00 5586656 MATERIAL SUPPLY CORONARY VIPER WIRE 1,039.00 5586672 MATERIAL SUPPLY HEAD 5X5CM CELLUTOME E 1,289.00 5586706 MATERIAL SUPPLY EARPHONE FLEXICOUPLER 71.00 5586722 MATERIAL SUPPLY RADIAL AIR BAND SGR26 107.00 5586730 MATERIAL SUPPLY STENT DOUBLE PIGTAIL 356.00 5586748 MATERIAL SUPPLY SPHINCTEROTOME JAGTOME 1,415.00 5586755 MATERIAL SUPPLY SUTURE INSERTION KIT 1,039.00 5586763 MATERIAL SUPPLY NEEDLE ASPIRATION SLIM 265.00 5586797 MATERIAL SUPPLY SCOPE BALLOON KIT 86.00 5586805 MATERIAL SUPPLY MINI-ONE BALLOON BUTTO 573.00 5586813 MATERIAL SUPPLY BALLOON SCOPE TIP 86.00 5586821 MATERIAL SUPPLY CHANNEL WATER TUBE MAJ 87.00 5586839 MATERIAL SUPPLY DRAIN ROUND W/NEEDLE 59.00 5586847 MATERIAL SUPPLY BLADE BONE 7206010 CUT 368.00 5586854 MATERIAL SUPPLY SMOKE EVACUATOR PUREVI 153.00 5586862 MATERIAL SUPPLY BLADE STRAIGHT SHAVER 331.00 5586870 MATERIAL SUPPLY CAPTIVATOR EMR DEVICE 1,373.00 5586912 MATERIAL SUPPLY MINI STICK KIT 5FR 99.00 5586953 MATERIAL SUPPLY SPY ELITE KIT LC3001 2,303.00 5586961 MATERIAL SUPPLY BANATROL PLUS * 5586979 MATERIAL SUPPLY CATH IN PACT ADMIRIAL 3,986.00 5587001 MATERIAL SUPPLY HEXOGONAL SNARE 92.00 5587027 MATERIAL SUPPLY PANCREATIC STENT PUSHE 311.00 5587035 MATERIAL SUPPLY DRESSING PREVENA PEEL 2,091.00 5587036 MATERIAL SUPPLY 3 SPIKE DISPOSABLE 658.00 5587037 MATERIAL SUPPLY PATIENT LINE EXTENTION 74.00 5587043 MATERIAL SUPPLY ENDOMYCARDIAL FORCEP 775.00 5587068 MATERIAL SUPPLY GLIDECATH ANGLED CG507 292.00 5587076 MATERIAL SUPPLY GLIDEWIRE 180CM GS3508 277.00 5587084 MATERIAL SUPPLY OMNI CATHETER 92.00 5587092 MATERIAL SUPPLY NEEDLE ASPIRATION EBUS 594.00 5587093 MATERIAL SUPPLY NEEDLE EPIDURAL 18G X 34.00 5587095 MATERIAL SUPPLY BREATHCALL CORD SINGLE 116.00 5587097 MATERIAL SUPPLY BREATHCALL CORD SINGLE 607.00 5587100 MATERIAL SUPPLY PEG SYSTEM JAGWIRE 260 538.00 5587118 MATERIAL SUPPLY GUIDEWIRE ULTRA TRACK 270.00 5587134 MATERIAL SUPPLY STENT VIABAHN GRAFT 9M 8,076.00 5587142 MATERIAL SUPPLY FIBERWIRE SUTURE AR-72 126.00 5587159 MATERIAL SUPPLY CATH QUICK CROSS 822.00 5587183 MATERIAL SUPPLY CATH ADMIRAL IN.PACT 4 3,604.00 5587191 MATERIAL SUPPLY CATH EVERCROSS BALLOON 858.00 5587209 MATERIAL SUPPLY CATH NANOCROSS BALLOON 1,421.00 5587217 MATERIAL SUPPLY CATH PERIPHERAL TURBOH 8,418.00 5587233 MATERIAL SUPPLY CODA BALLOON CATHETER 1,754.00 5587308 MATERIAL SUPPLY SHUNT CAROTID PRUITT 2,059.00 5587316 MATERIAL SUPPLY STENT EVERFLEX 120MM 2,644.00 5587324 MATERIAL SUPPLY CATH EMBOLECTOMY OVERW 504.00 5587332 MATERIAL SUPPLY STENT EVERFLEX 20MM-80 2,476.00 5587340 MATERIAL SUPPLY STENT EVERFLEX 200X120 6,195.00 5587357 MATERIAL SUPPLY GRAFT BALLOON CATHETER 1,969.00 5587365 MATERIAL SUPPLY CONTRALATERAL EXCLUDER 11,018.00 5587373 MATERIAL SUPPLY DRYSEAL SHEATH 12FR 1,252.00 5587381 MATERIAL SUPPLY STENT BALLOON PARAMOUN 1,863.00 5587399 MATERIAL SUPPLY MICRO CATHETER 1,936.00 5587423 MATERIAL SUPPLY GUIDE SPRING WIRE AW-0 61.00 5587449 MATERIAL SUPPLY STENT FLUENCY GRAFT 5,559.00 5587456 MATERIAL SUPPLY ULTRA CART MANIFOLD 64.00 5587472 MATERIAL SUPPLY CATH DILATATION ATLAS 1,188.00 5587480 MATERIAL SUPPLY SUTURE PROLENE M8754 265.00 5587506 MATERIAL SUPPLY SUTURE #2 POLYBLEND 131.00 5587514 MATERIAL SUPPLY INTRODUCER SHEATH PREC 188.00 5587522 MATERIAL SUPPLY INTRODUCER SHEATH PREC 188.00 5587530 MATERIAL SUPPLY BALLOON ENTERAL FEED T 202.00 5587548 MATERIAL SUPPLY GLIDESHEATH SLENDER 6F 316.00 5587555 MATERIAL SUPPLY TIGER TAPE 7" 289.00 5587563 MATERIAL SUPPLY SUCTION TUBING 1540 54.00 5587571 MATERIAL SUPPLY SUCTION LINER L0020 55.00 5587589 MATERIAL SUPPLY AIR/WATER SUCTION VALV 43.00 5587597 MATERIAL SUPPLY FILTER F006 101.00 5587613 MATERIAL SUPPLY SUTURE PROLENE 5.0 53.00 5587621 MATERIAL SUPPLY BRONCHOSCOPE BALLOON 146.00 5587639 MATERIAL SUPPLY CANISTER PREVENA 45ML 140.00 5587647 MATERIAL SUPPLY HEEL PROTECT ELEV WAFF 145.00 5587654 MATERIAL SUPPLY SUTURE PROLENE 5.0 M82 105.00 5587662 MATERIAL SUPPLY KNOT PUSHER/CUTTER 693.00 5587670 MATERIAL SUPPLY STENT ICAST 38CM 6,580.00 5587688 MATERIAL SUPPLY FAST-FIX 360 CURVED 1,821.00 5587696 MATERIAL SUPPLY SHEATH INTRODUCER RSB7 190.00 5587704 MATERIAL SUPPLY STENT PANCREATIC ADVAN 573.00 5587712 MATERIAL SUPPLY VAPOR-CLEAN FILTER 430.00 5587720 MATERIAL SUPPLY STENT PERIPHERAL PRB F 2,476.00 5587738 MATERIAL SUPPLY MATTRESS OVERLAY WAFFL 161.00 5587746 MATERIAL SUPPLY SHEATH INTRODUCER FAST 328.00 5587753 MATERIAL SUPPLY DRAPE FISTULA SPD108 234.00 5587761 MATERIAL SUPPLY CATH PERIPHERAL HAWKON 8,803.00 5587778 MATERIAL SUPPLY ENDOSCOPY KIT 89.00 5587787 MATERIAL SUPPLY THERASKIN 2.5X5.1CM 1 217.00 5587795 MATERIAL SUPPLY EMBOLIC DEVICE SPIDER 3,565.00 5587796 MATERIAL SUPPLY FILTER WIRE 2.25-5.5 1 3,013.00 5587803 MATERIAL SUPPLY PATCH VASCULAR 1X14 1,394.00 5587811 MATERIAL SUPPLY PATCH VASCULAR 10X16 1,824.00 5587829 MATERIAL SUPPLY PATCH VASCULAR 2X9 1,447.00 5587837 MATERIAL SUPPLY G-TUBE ANCHOR 589.00 5587845 MATERIAL SUPPLY ULTRATINE FOREHEAD IMP 1,517.00 5587852 MATERIAL SUPPLY PANNUS RETENTION SYS 258.00 5587860 MATERIAL SUPPLY CARDIOMEMS PA SENSOR 55,815.00 5587878 MATERIAL SUPPLY KIT MEDIVATOR TUBING 152.00 5587886 MATERIAL SUPPLY SUTURE SWIVELOCK 7MM X 1,839.00 5587894 MATERIAL SUPPLY REAMER PILOTED 7.5MM 1,061.00 5587902 MATERIAL SUPPLY CATH SET DRAINAGE PIGT 578.00 5587910 MATERIAL SUPPLY CATH SET DRAINAGE PIGT 502.00 5587924 MATERIAL SUPPLY HELI-FIX GUIDE AAA END 4,160.00 5587926 MATERIAL SUPPLY HELI-FIX APPLIER & END 11,222.00 5587928 MATERIAL SUPPLY ENDO CARRY-ON PROCEDUR 81.00 5587936 MATERIAL SUPPLY TUBING AIR CAP 100160P 49.00 5587944 MATERIAL SUPPLY PROBE COVER WIRELESS C 108.00 5587969 MATERIAL SUPPLY AZUR DETACH CONTROLLER 865.00 5587977 MATERIAL SUPPLY AZUR PERIPHERAL COIL 2,791.00 5587985 MATERIAL SUPPLY STAPLER SEPTAL 791.00 5587993 MATERIAL SUPPLY CATH SOLENT OMNI 4,907.00 5588009 MATERIAL SUPPLY CATH OUTBACK RE-ENTRY 5,256.00 5588017 MATERIAL SUPPLY CATH SOLENT PROXI 4,651.00 5588025 MATERIAL SUPPLY IMPELLA AIC PUMP 63,877.00 5588033 MATERIAL SUPPLY CATHETER RIM 298.00 5588034 MATERIAL SUPPLY CATHETER MULTIACCESS W 73.00 5588058 MATERIAL SUPPLY POWER Y-SPIKE PULSE KI 195.00 5588066 MATERIAL SUPPLY IMPELLA PURGE CASSETTE 1,033.00 5588074 MATERIAL SUPPLY IMPELLA CONNECTOR CABL 1,422.00 5588082 MATERIAL SUPPLY CLIP RESOLUTION 360 1,132.00 5588090 MATERIAL SUPPLY NEEDLE SCORPION KNEE A 960.00 5588108 MATERIAL SUPPLY PROGREAT COAXIAL SET 1,507.00 5588124 MATERIAL SUPPLY CATH SIDEWINDER 126.00 5588140 MATERIAL SUPPLY SPYSCOPE ACCESS SYSTEM 7,027.00 5588157 MATERIAL SUPPLY CATH DILATATION ULTRAV 568.00 5588165 MATERIAL SUPPLY PICO NPWT DRESSING 1,191.00 5588173 MATERIAL SUPPLY SUPRAGLOTTIC AIRWAY KI * 5588181 MATERIAL SUPPLY PEDAL ACCESS KIT 4F 396.00 5588207 MATERIAL SUPPLY SINGLE USE BOUGIE TRAC 35.00 5588215 MATERIAL SUPPLY GUIDEWIRE RUNTHROUGH N 459.00 5588223 MATERIAL SUPPLY GUIDEWIRE CONNECT 518.00 5588231 MATERIAL SUPPLY VALVULOTOME DEVICE 5,006.00 5588247 MATERIAL SUPPLY PREVENA PEEL&PLACE 35C 1,567.00 5588249 MATERIAL SUPPLY PREVENA CUSTOM SYSTEM 1,551.00 5588256 MATERIAL SUPPLY BLADE TENDON STRIPPER 904.00 5588272 MATERIAL SUPPLY GUIDECATH IKARI 403.00 5588280 MATERIAL SUPPLY BLADE PLANTAR 3054 614.00 5588298 MATERIAL SUPPLY NEEDLE GUIDE ENDO EV8- 75.00 5588306 MATERIAL SUPPLY CATH NANOCROSS BALLOON 1,850.00 5588314 MATERIAL SUPPLY STENT EVERFLEX 100MM 2,867.00 5588322 MATERIAL SUPPLY CATH EVERCROSS 150-200 1,121.00 5588363 MATERIAL SUPPLY THERASKIN 2.5X2.5CM 1 423.00 5588371 MATERIAL SUPPLY THERASKIN 5.1X7.6CM 10 84.00 5588389 MATERIAL SUPPLY CO2 DETECTOR END TIDAL 77.00 5588397 MATERIAL SUPPLY MICROVASCULAR CLAMP 373.00 5588405 MATERIAL SUPPLY FORCEPS MORAY MICRO 2,012.00 5588421 MATERIAL SUPPLY NEEDLE ACQUIRE ENDOSCO 1,670.00 5588439 MATERIAL SUPPLY SHEARS HARMONIC FOCUS 2,376.00 5588447 MATERIAL SUPPLY CYTOLOGY BRUSH TIPPED 399.00 5588454 MATERIAL SUPPLY CATH TURBOHAWK SXC 8,419.00 5588462 MATERIAL SUPPLY TIGHTROPE REPAIR KIT 2,475.00 5588470 MATERIAL SUPPLY SUTURE NUROLON C527D 54.00 5588488 MATERIAL SUPPLY CHORD-X LOOP/SUTURE 2,051.00 5588496 MATERIAL SUPPLY PEAK PLASMA NEEDLE TIP 1,334.00 5588504 MATERIAL SUPPLY CATH IN PACT ADMIRAL 1 4,243.00 5588520 MATERIAL SUPPLY DRESSING TRITEC SILVER 48.00 5588538 MATERIAL SUPPLY TRIMANO BEACH CHAIR KI 418.00 5588546 MATERIAL SUPPLY DRESSING CHG TEGADERM 33.00 5588553 MATERIAL SUPPLY ENDOSCOPIC APPLICATOR 350.00 5588561 MATERIAL SUPPLY ROTAGLIDE LUBRICANT 496.00 5588579 MATERIAL SUPPLY CATHETER STINGRAY LP 4,927.00 5588587 MATERIAL SUPPLY ROTAWIRE GUIDEWIRE 803.00 5588595 MATERIAL SUPPLY GUIDEWIRE STINGRAY 1,743.00 5588603 MATERIAL SUPPLY NEURAGEN NERVE GUIDE 3,678.00 5588611 MATERIAL SUPPLY ROTABLATOR ROTALINK+ 2,965.00 5588629 MATERIAL SUPPLY CATHETER CROSSBOSS 3,549.00 5588631 MATERIAL SUPPLY HALO 90 RFA FOCAL CATH 3,808.00 5588645 MATERIAL SUPPLY SAM PELVIC SLING 441.00 5588652 MATERIAL SUPPLY CHAIR ALARM PAD SINGLE 84.00 5588660 MATERIAL SUPPLY STIMULAN KIT 10CC 3,598.00 5588678 MATERIAL SUPPLY STIMULAN KIT 5CC 2,606.00 5588686 MATERIAL SUPPLY BAIR HUGGER ADULT UNDE 92.00 5588694 MATERIAL SUPPLY ULTRA TRI-LAYER MATRIX 52.00 5588702 MATERIAL SUPPLY ULTRA TRI-LAYER MATRIX 68.00 5588736 MATERIAL SUPPLY FINGER COMPONENT * 5588744 MATERIAL SUPPLY HEART COMPONENT * 5588751 MATERIAL SUPPLY FEMUR COMPONENT * 5588769 MATERIAL SUPPLY HAND COMPONENT * 5588785 MATERIAL SUPPLY FOOT COMPONENT * 5588786 MATERIAL SUPPLY FACIAL MUSCLE COMPONEN * 5588793 MATERIAL SUPPLY TIB/FIB COMPONENT * 5588801 MATERIAL SUPPLY ABDOMEN COMPONENT * 5588819 MATERIAL SUPPLY RADIAL COMPONENT * 5588827 MATERIAL SUPPLY ELBOW COMPONENT * 5588835 MATERIAL SUPPLY 2.9 PERCUTANEOUS KIT 1,051.00 5588843 MATERIAL SUPPLY CATH 6F TIGER 122.00 5588850 MATERIAL SUPPLY REVOLVE SYSTEM 1,518.00 5588868 MATERIAL SUPPLY SCALP COMPONENT 134.00 5588876 MATERIAL SUPPLY SHEATH DIALYSIS 1,381.00 5588884 MATERIAL SUPPLY PHOTONGUIDE, WIDE/FLAT 1,428.00 5588892 MATERIAL SUPPLY FLEXIBLE PLATE ABSORB 653.00 5588900 MATERIAL SUPPLY TRAILBLAZER SUPPORT CA 4,578.00 5588926 MATERIAL SUPPLY LEAD AICD ENDO SINGLE 60.00 5588934 MATERIAL SUPPLY SOLYX SLING 1,634.00 5588935 MATERIAL SUPPLY COTTON ROLL 1LB STERIL 1,621.00 5588936 MATERIAL SUPPLY SOLOPATH RE-COLLAPSIBL 835.00 5588942 MATERIAL SUPPLY EQUIPMENT RENTAL SURGE * 5588959 MATERIAL SUPPLY 25 GUAGE FNB NEEDLE 1,621.00 5588967 MATERIAL SUPPLY KNIFE,ACL GRAFT 232110 835.00 5588975 MATERIAL SUPPLY SHUNT INTRACORNARY 1.7 1,621.00 5588991 MATERIAL SUPPLY PERCUTANEOUS SHEATH IN 164.00 5589007 MATERIAL SUPPLY 20 GUAGE SUCTION NEEDL 57.00 5589015 MATERIAL SUPPLY PHOTONSABER Y TAPER TI 1,381.00 5589023 MATERIAL SUPPLY COUPLER, 4.0MM VEIN, O 1,544.00 5589031 MATERIAL SUPPLY COUPLER, 1.5MM VEIN BL 1,621.00 5589049 MATERIAL SUPPLY COUPLER, 2.0MM VEIN, G 1,621.00 5589056 MATERIAL SUPPLY COUPLER, 3.0MM VEIN, G 1,544.00 5589064 MATERIAL SUPPLY COUPLER, 1.0MM VEIN, G 1,544.00 5589080 MATERIAL SUPPLY COUPLER, 2.5MM VEIN, R 1,544.00 5589098 MATERIAL SUPPLY SHEATH 5F 70CM G13091 347.00 5589114 MATERIAL SUPPLY CATH 6F AVX 1,969.00 5589122 MATERIAL SUPPLY COR-KNOT MINI COMBO KI 1,969.00 5589130 MATERIAL SUPPLY INQUIRY CABLE 1,130.00 5589148 MATERIAL SUPPLY INQUIRY DBL LOOP CATH 3,969.00 5589155 MATERIAL SUPPLY INQUIRY EP CATH D08702 2,729.00 5589163 MATERIAL SUPPLY LEG COMPONENT * 5589164 MATERIAL SUPPLY ORTHOSIS SPINE 1,535.00 5589171 MATERIAL SUPPLY MULTIFIX 5.5 KIT 1,364.00 5589189 MATERIAL SUPPLY MRIDIUM IV TUBING 87.00 5589197 MATERIAL SUPPLY STENT PROTEGE 2,785.00 5589205 MATERIAL SUPPLY MISTRAL AIR BLNKT FULL 39.00 5589213 MATERIAL SUPPLY BLANKET WARM UPPER/LOW 39.00 5589221 MATERIAL SUPPLY DRESSING CO-FLEX COMP 46.00 5589225 MATERIAL SUPPLY DRESSING CO-FLEX COMP 48.00 5589239 MATERIAL SUPPLY SERTERA SPRING LOAD CO 391.00 5589247 MATERIAL SUPPLY EXTREMITY REAMER SYS T 1,828.00 5589270 MATERIAL SUPPLY 19 GUAGE FNB NEEDLE 1,548.00 5589288 MATERIAL SUPPLY STENT VIABAHN GRAFT XM 8,323.00 5589296 MATERIAL SUPPLY STENT VIABAHN XMM X 15 10,147.00 5589304 MATERIAL SUPPLY STENT VIABAHN XMM X 10 9,105.00 5589312 MATERIAL SUPPLY STENT VIABAHN XMM X 25 16,670.00 5589320 MATERIAL SUPPLY STENT VIABAHN 9(10)MM 8,857.00 5589338 MATERIAL SUPPLY STENT LIFESTREAM 58MM 6,202.00 5589346 MATERIAL SUPPLY STENT LIFESTREAM 26MM 5,831.00 5589353 MATERIAL SUPPLY STENT LIFESTREAM 37MM 6,079.00 5589361 MATERIAL SUPPLY RADIAL SHEATH 24CM 249.00 5589387 MATERIAL SUPPLY RADIAL COMPRESSION DEV 140.00 5589395 MATERIAL SUPPLY SHEATH 8F 23CM PINNACL 138.00 5589403 MATERIAL SUPPLY ARM COMPONENT * 5589429 MATERIAL SUPPLY STENT VISI-PRO 1,898.00 5589437 MATERIAL SUPPLY TRAILBLAZER ANGLED SUP 835.00 5589445 MATERIAL SUPPLY PROBE EHL 1.9F 375CM 1,760.00 5589452 MATERIAL SUPPLY RAM CANNULA 63.00 5589460 MATERIAL SUPPLY MEPITEL ONE 4X7.2 49.00 5589478 MATERIAL SUPPLY FAXITRON WEDGE SURG SP 478.00 5589494 MATERIAL SUPPLY GUIDEWIRE RUNTHROUGH H 551.00 5589502 MATERIAL SUPPLY BED ALARM PAD SINGLE U 96.00 5589528 MATERIAL SUPPLY PROBE COVER U/S 28.00 5589536 MATERIAL SUPPLY SUTURE PDS II 0 POP OF 90.00 5589544 MATERIAL SUPPLY SUTURE PDS II 2-0 POP 87.00 5589551 MATERIAL SUPPLY ANCHOR CORKSCREW AR-19 1,430.00 5589569 MATERIAL SUPPLY VEIN HARVEST PACK 480.00 5589585 MATERIAL SUPPLY PIN BALLS JURGAN LARGE 33.00 5589586 MATERIAL SUPPLY PIN BALLS JURGAN W0062 35.00 5589593 MATERIAL SUPPLY FLYTE STERI-SHEILD SUR 153.00 5589601 MATERIAL SUPPLY MANIFOLD NEPTUNE 81.00 5589619 MATERIAL SUPPLY ARS FOR NEEDLE DECOMPR 90.00 5589627 MATERIAL SUPPLY ARS FOR NEEDLE DECOMPR 58.00 5589635 MATERIAL SUPPLY EVITA XL EXP VALVE 95.00 5589643 MATERIAL SUPPLY SKIN PROBE DISP 66.00 5589650 MATERIAL SUPPLY BREATHING CIRCUIT INFA 57.00 5589668 MATERIAL SUPPLY BLANKET WARM UNDERBODY 101.00 5589676 MATERIAL SUPPLY PNEUMOTACH NEONATAL 106.00 5589700 MATERIAL SUPPLY MENISCAL ROOT REPAIR K 2,798.00 5589718 MATERIAL SUPPLY COBLATION WAND WEREWOL 1,190.00 5589726 MATERIAL SUPPLY YASERGIL CLIP 19MM 1,480.00 5589734 MATERIAL SUPPLY YASERGIL CLIP 17MM 1,554.00 5589742 MATERIAL SUPPLY YASERGIL CLIP 24.4MM 1,480.00 5589759 MATERIAL SUPPLY STIFF MICROPUNCTURE SE 106.00 5589767 MATERIAL SUPPLY MANDIBLE COMPONENT * 5589775 MATERIAL SUPPLY GELFOAM JMI KIT 417.00 5589783 MATERIAL SUPPLY ORBITAL COMPONENT * 5589791 MATERIAL SUPPLY NASAL IMPLANT 8,505.00 5589890 MATERIAL SUPPLY CIRCUIT CONCHASMART AD 136.00 5589908 MATERIAL SUPPLY PIN BALLS JURGAN W332 35.00 5589916 MATERIAL SUPPLY CATH CHOCOLATE PTA BAL 2,531.00 5589924 MATERIAL SUPPLY FOAM BUCKS TRACTION 44.00 5589932 MATERIAL SUPPLY ISOLATION CHEMO 358.00 5589940 MATERIAL SUPPLY FEEDING TUBE DOBBHOFF 188.00 5589957 MATERIAL SUPPLY SONOTAP NEEDLE 21GX110 79.00 5589965 MATERIAL SUPPLY GUIDEWIRE WIGGLE WIRE 391.00 5589973 MATERIAL SUPPLY GUIDECATH WISEGUIDE 252.00 5589981 MATERIAL SUPPLY CATH CHOCO PTA BALLOON 2,391.00 5589999 MATERIAL SUPPLY SLEEVE SCD KNEE LENGTH 118.00 5590005 MATERIAL SUPPLY NEBULIZER MINIHEART HI 31.00 5590013 MATERIAL SUPPLY RAPID RHINO EPISTAXIS 397.00 5590021 MATERIAL SUPPLY 9.5 REAMER 1,029.00 5590625 MATERIAL SUPPLY ARM IMMOBIL 3519-10 * 5590708 MATERIAL SUPPLY GUIDEWIRE VENOUS ABLAT 85.00 5591136 MATERIAL SUPPLY BINDER ABDOM 411 * 5591227 MATERIAL SUPPLY BLADE HALL 5052-255 109.00 5591276 MATERIAL SUPPLY BLADE STRYKER 2108318 245.00 5591607 MATERIAL SUPPLY BREAST SHIELD NRSDRI 55.00 5591763 MATERIAL SUPPLY CANNULA ETCO 2 69.00 5592266 MATERIAL SUPPLY ULTRA INSERTS 66MM 146.00 5592316 MATERIAL SUPPLY CATH OLIVE TIP 463.00 5592365 MATERIAL SUPPLY CLAMP MUSCLE 241.00 5592464 MATERIAL SUPPLY COLLAR, PHIL 1034-01 * 5592613 MATERIAL SUPPLY CORNEAL PROTECTORS 46.00 5592720 MATERIAL SUPPLY CUTTING LOOP STORZ 622.00 5592811 MATERIAL SUPPLY DELIVERY PM PK 88831 115.00 5592977 MATERIAL SUPPLY DRAIN J-VAC #2185 349.00 5593017 MATERIAL SUPPLY DRAIN BLAKE ROUND 255.00 5593025 MATERIAL SUPPLY DRAIN 19 W/TR 254028 377.00 5593066 MATERIAL SUPPLY DRAINBAG CONNECT 3-6 69.00 5593108 MATERIAL SUPPLY DRAPE MAGNETIC 44.00 5593215 MATERIAL SUPPLY DRILL BIT 1608-2-47 323.00 5593256 MATERIAL SUPPLY DUAL SPIKE ADAPTER 137.00 5593298 MATERIAL SUPPLY NEEDLE EZ CLEAN 013 36.00 5593454 MATERIAL SUPPLY ENDOPATH BABCOCK 10MM 516.00 5593504 MATERIAL SUPPLY VASCULAR PACK 741.00 5593546 MATERIAL SUPPLY ESOPHAGEAL DIL FIXD/WI 1,180.00 5593694 MATERIAL SUPPLY FAST-PATCH ELECTRODE 105.00 5593819 MATERIAL SUPPLY FINGER TRAP STERILE 161.00 5593843 MATERIAL SUPPLY FLEXI-SEAL COLLECTOR 41.00 5594247 MATERIAL SUPPLY HIDE A PORT EXT TUBE 43.00 5594452 MATERIAL SUPPLY INSUFF & ACESS NEED 213.00 5594536 MATERIAL SUPPLY INTRO 504-611K 107.00 5595327 MATERIAL SUPPLY CUTTING WHEEL MC254 1,052.00 5595863 MATERIAL SUPPLY OXYSENSOR, PED D-20 106.00 5596390 MATERIAL SUPPLY FORCEP RADIAL JAW #153 269.00 5596408 MATERIAL SUPPLY FORCEP RADIAL JAW W/ND 129.00 5596473 MATERIAL SUPPLY MS RECTAL TUBE 22FR 50.00 5596762 MATERIAL SUPPLY SHILEY TRACH 8DCT 311.00 5597323 MATERIAL SUPPLY STAPLES SKIN 3926 406.00 5597497 MATERIAL SUPPLY STONE BASKET 25-606 1,439.00 5597638 MATERIAL SUPPLY SUCTION POLY TRP 334 54.00 5598313 MATERIAL SUPPLY SUTURE, PLAIN 1735G 109.00 5598388 MATERIAL SUPPLY EN SNARE SYSTEM 120CM 1,727.00 5598578 MATERIAL SUPPLY SUTURE, 832-H 59.00 5598651 MATERIAL SUPPLY SUTURE, PROLENE 8800H 49.00 5598719 MATERIAL SUPPLY SUTURE, PROLENE 9706H 69.00 5598842 MATERIAL SUPPLY TEMNO BIOPSY CT1820 267.00 5598859 MATERIAL SUPPLY PROBE TEMP NURSERY 55.00 5598883 MATERIAL SUPPLY CATH LASSO CIR MAP 3,078.00 5599113 MATERIAL SUPPLY TOE IMPLANT * 5599634 MATERIAL SUPPLY UTERINE MAN INJ. 4.5 174.00 5599733 MATERIAL SUPPLY VEIN HARVEST SYSTEM 2,407.00 5599790 MATERIAL SUPPLY VENTILATOR CIRC 1627 78.00 5599873 MATERIAL SUPPLY VOICE PROSTHESIS 503.00 5599972 MATERIAL SUPPLY CABLE QUAD RED/GREY 129.00 5700059 O2 OXYGEN INITIAL 481.00 5700075 O2 OXYGEN SUBSEQUENT 481.00 5700083 O2 HIGH HUMIDITY OXYGEN I 524.00 5700091 O2 HIGH HUMIDITY O2 SUBS 524.00 5700109 O2 OXYHOOD INITIAL 524.00 5700125 O2 HELIUM TX INITIAL 281.00 5700133 O2 HELIUM TX SUBS HR 131.00 5900006 RX FIORICET TAB * 5900022 RX NIFEDIPINE 10MG CAP * 5900030 RX MORPHINE SULF 15MG TAB * 5900071 RX ACID GONE CHEW TAB * 5900089 RX AMPHETAMINE 10MG TAB * 5900097 RX SPIRONOLACTONE 25MG * 5900105 RX ALKA-SELTZER GOLD TAB * 5900154 RX GLIMEPIRIDE 2MG TAB * 5900162 RX AGGRENOX 200MG/25MG CA * 5900170 RX ZOLPIDEM 5MG TAB (AMBI * 5900188 RX ZOLPIDEM 10MG TAB (AMB * 5900196 RX AMOXICILLIN 250MG CAP * 5900204 RX AMOXICILLIN 500MG CAP * 5900212 RX FENTANYL PER 100MCG * 5900253 RX NITROGLYCERIN .2MG/HR * 5900261 RX MECLIZINE 12.5MG TAB * 5900287 RX NITROGLYCERIN .6MG/HR * 5900303 RX HYDRALAZINE 25MG TAB * 5900311 RX DONEPEZIL 5MG TAB * 5900329 RX MESALAMINE 400MG ER * 5900345 RX ASCRIPTIN TAB * 5900360 RX ATENOLOL 25MG TAB * 5900378 RX ATENOLOL 50MG TAB * 5900386 RX AUGMENTIN 500MG TAB * 5900410 RX MONTELUKAST CHEW 5MG T * 5900436 RX OXYCODONE 20MG/30 ML * 5900451 RX ORA-SWEET SYP * 5900477 RX DIPHENHYD 25MG CAP (BE * 5900485 RX DIPHENHYD 50MG CAP (BE * 5900493 RX SOD BICARBINATE 650MG * 5900501 RX DICYCLOMINE 20MG TAB * 5900519 RX BENZONATATE 100MG CAP * 5900527 RX BENZTROPINE 1MG TAB * 5900535 RX SOTALOL HCL 80MG TAB * 5900550 RX CLARITHROMYCIN 500MG T * 5900568 RX BISACODYL 5MG EC TAB * 5900576 RX BUMETANIDE 1MG TAB ( * 5900584 RX BUSPIRONE HCL 15MG TAB * 5900592 RX BUSPIRONE HCL 5MG TAB * 5900626 RX VERAPAMIL 180MG ER TAB * 5900634 RX VERAPAMIL 240MG ER TAB * 5900642 RX VERAPAMIL 120MG TAB * 5900667 RX FELODIPINE 5MG TAB * 5900709 RX SUCRALFATE 1GM TAB * 5900717 RX DILTIAZEM 60MG TAB * 5900725 RX DILTIAZEM ER 120MG CAP * 5900733 RX DILTIAZEM CD 180MG CAP * 5900741 RX DILTIAZEM CD 240MG CAP * 5900758 RX BICALUTAMIDE 50MG TAB * 5900766 RX CLONIDINE 1 PATCH (C * 5900774 RX CLONIDINE 2 PATCH(CA * 5900790 RX CLONIDINE 3 PATCH (C * 5900816 RX CELECOXIB 100MG CAP (C * 5900824 RX CELECOXIB 200MG CAP (C * 5900832 RX CEPACOL LOZENGE * 5900865 RX CIPROFLOXACIN 750MG * 5900881 RX LORATADINE 10MG TAB * 5900907 RX CLINDAMYCIN 150MG CAP * 5900915 RX ESTRADIOL .1MG PATCH * 5900923 RX ESTRADIOL .05MG PATCH * 5900949 RX CLONIDINE 0.1MG TAB * 5900956 RX CLOZAPINE 25MG TAB * 5900972 RX DOCUSATE SOD 100MG CAP * 5900998 RX GEMFIBROZIL 600MG TAB * 5901004 RX DICLOFENAC EC 75MG TAB * 5901012 RX COLCHICINE 0.6MG TAB * 5901020 RX HALOPERIDOL 2MG TAB * 5901038 RX COLESTIPOL 1GM TAB * 5901079 RX PROCHLORPERAZINE 25M * 5901103 RX PROCHLORPERAZINE PER 5 * 5901111 RX AMIODARONE 200MG TAB * 5901129 RX CARVEDILOL 6.25MG TAB * 5901137 RX WARFARIN 2.5MG TAB (CO * 5901145 RX WARFARIN 2MG TAB (COUM * 5901152 RX WARFARIN 3MG TAB (COUM * 5901178 RX WARFARIN 5MG TAB (COUM * 5901186 RX WARFARIN 6MG TAB (COUM * 5901194 RX WARFARIN 7.5MG TAB (CO * 5901210 RX CYCLOPHOSPHAMIDE TAB P * 5901228 RX CYCLOPHOSPHAMIDE TAB P * 5901251 RX DESMOPRESSIN .1MG TAB * 5901269 RX DECADRON TAB PER 0.25 * 5901277 RX TORSEMIDE 20MG TAB * 5901293 RX DIVALPROEX ER 500MG TA * 5901301 RX DIVALPROEX SPR 125MG T * 5901327 RX DIVALPROEX 250MG ER TA * 5901335 RX DIVALPROEX 500MG ER TA * 5901350 RX TRAZODONE 50MG TAB * 5901368 RX TOLTERODINE 2MG TAB * 5901376 RX FLUCONAZOLE 100MG TAB * 5901384 RX FLUCONAZOLE 150MG TAB * 5901392 RX PHENYTOIN PER 50MG (10 * 5901426 RX PHENYTOIN PER 50MG (CH * 5901434 RX VALSARTAN 80MG CAP * 5901442 RX OXYBUTYNIN 5MG XL TAB * 5901509 RX DYAZIDE 37.5MG/25MG TA * 5901525 RX DICLOXACILLIN 250MG CA * 5901558 RX VENLAFAXINE 37.5MG XR * 5901566 RX VENLAFAXINE 75MG CAP * 5901590 RX AMITRIPTYLINE 25MG TAB * 5901608 RX AMITRIPTYLINE 50MG T * 5901616 RX ERY-TAB 250MG ER TAB * 5901640 RX LITHIUM CARB 450MG TAB * 5901657 RX RALOXIFENE 60MG TAB * 5901699 RX FERROUS SULFATE 300MG * 5901707 RX CALCIUM POLY 625MG TAB * 5901723 RX METRONIDAZOLE 500MG TA * 5901731 RX CYCLOBENZAPRINE 10MG T * 5901749 RX CEFZIL 250MG TAB * 5901780 RX ALENDRONATE 70MG TAB * 5901814 RX GLIPIZIDE 10MG TAB ( * 5901830 RX METFORMIN 500MG TAB(GL * 5901855 RX GLIPIZIDE XL 5MG TAB * 5901863 RX GLIPIZIDE XL 10MG TAB * 5901921 RX GUAIFENESIN 600MG LA T * 5901947 RX MYESTROL 40MG TAB * 5901954 RX TRIAZOLAM 0.125MG TAB * 5901962 RX HALOPERIDOL 1MG TAB * 5901970 RX HALOPERIDOL 5MG TAB * 5901988 RX HYDROCHLOROTHIAZIDE 25 * 5901996 RX PAROXETINE 30MG TAB (P * 5902002 RX HYDROCHLOROTHIAZIDE 50 * 5902010 RX HYDROCORTISONE 20MG TA * 5902028 RX HYDROCORTISONE 10MG TA * 5902036 RX TERAZOSIN 5MG CAP * 5902069 RX ISOSORB MONO 30MG ER T * 5902077 RX ISOSORB MONO 60MG TAB * 5902085 RX SUMATRIPTAN 50MG TAB * 5902093 RX LOPERAMIDE 2MG CAP ( * 5902119 RX PROPRANOLOL 10MG TAB * 5902127 RX PROPRANOLOL 20MG TAB * 5902135 RX PROPRANOLOL 40MG TAB * 5902143 RX PROPRANOLOL 60MG TAB * 5902150 RX INDOMETHACIN 25MG CAP * 5902176 RX ISOSORB DIN 20MG TAB * 5902184 RX POT CHLORIDE 20M TAB * 5902192 RX CEPHALEXIN 250MG CAP * 5902218 RX CEPHALEXIN 500MG CAP * 5902226 RX CLONAZEPAM 0.5MG TAB * 5902234 RX CLONAZEPAM 1MG TAB * 5902242 RX LAMOTRIGINE 25MG TAB * 5902259 RX TERBINAFINE 250MG TAB * 5902275 RX DIGOXIN 0.125MG TAB * 5902283 RX DIGOXIN 0.25MG TAB * 5902291 RX FUROSEMIDE 20MG TAB * 5902309 RX FUROSEMIDE 40MG TAB * 5902317 RX FUROSEMIDE 80MG TAB * 5902325 RX CHLORAMBUCIL 2MG TAB * 5902341 RX LEVOFLOXACIN 500MG TAB * 5902358 RX LEVOTHYROX .137MG TAB * 5902374 RX CHLORDIAZEPOXIDE 10MG * 5902382 RX CHLORDIAZEPOXIDE 25MG * 5902390 RX LIMBITROL 12.5MG/5MG T * 5902408 RX ATORVASTATIN 10MG TAB * 5902416 RX ATORVASTATIN 20MG TAB * 5902424 RX LITHIUM CARB 300MG CAP * 5902457 RX ETODOLAC 400MG XL TAB * 5902465 RX LOMOTIL 2.5MG TAB * 5902473 RX METOPROLOL 50MG TAB RR * 5902481 RX METOPROLOL 100MG TB * 5902499 RX LORAZEPAM 0.5MG TAB * 5902507 RX LORAZEPAM 1MG TAB * 5902515 RX LORAZEPAM 2MG TAB * 5902523 RX LIDODERM 5% PATCH * 5902556 RX NITROFURANT 100MG CAP * 5902564 RX MAG OXIDE 400MG TAB * 5902598 RX FOLIC ACID 1MG TAB * 5902630 RX THIORIDAZINE 25MG TAB * 5902648 RX PHYTONADIONE 5MG/5ML * 5902655 RX IMPRAMINE 10MG TAB * 5902663 RX METHYLERGONOVINE .2MG * 5902697 RX POT CHLORIDE 10MEQ C * 5902705 RX POT CHLORIDE 8MEQ CAP * 5902713 RX AMILORIDE 5MG TAB (M * 5902721 RX MINOCYCLINE 100MG CAP * 5902739 RX PRAMIPEXOLE 0.25MG T * 5902762 RX IBUPROFEN 400MG TAB * 5902788 RX IBUPROFEN 200MG TAB * 5902796 RX IBUPROFEN 600MG TAB * 5902804 RX IBUPROFEN 800MG TAB * 5902846 RX NADOLOL 20MG TAB * 5902853 RX NALTREXONE 50MG TAB * 5902903 RX NEOMYCIN 500MG TAB * 5902911 RX GABAPENTIN 100MG CAP * 5902929 RX GABAPENTIN 300MG CAP * 5902937 RX GABAPENTIN 400MG CAP * 5902952 RX NICOTINE 7MG/DAY PATCH * 5902960 RX NICOTINE 14MG/DAY PATC * 5902978 RX NICOTINE 21MG/DAY PATC * 5902994 RX NITROGLYCERIN .4MG (25 * 5903018 RX NITROGLYCERIN .1MG/HR * 5903026 RX NITROGLYCERIN .4MG/HR * 5903042 RX TAMOXIFEN 20MG TAB * 5903075 RX AMLODIPINE 10MG TAB * 5903083 RX AMLODIPINE 2.5MG TAB * 5903091 RX AMLODIPINE 5MG TAB * 5903117 RX OPTI-GEN OCUVITE TAB * 5903158 RX BROMOCRIPTINE 5MG CAP * 5903166 RX PAROXETINE 20MG TAB (P * 5903174 RX PENICILLN VK 250MG T * 5903182 RX PENICILLN VK 500MG T * 5903190 RX MESALAMINE 250MG CR * 5903208 RX FAMOTIDINE 20MG TAB * 5903216 RX CYPROHEPTADINE 4MG TAB * 5903232 RX PROMETHAZINE 12.5MG * 5903265 RX PROMETHAZINE TAB PER 2 * 5903273 RX CALCIUM ACET 667MG TAB * 5903281 RX HYDROXYCHLOROQUINE 200 * 5903299 RX CLOPIDOGREL 75MG TAB * 5903349 RX VANLIS 200MG TAB * 5903356 RX REPAGLINDE 1MG TAB ( * 5903380 RX PREDNISONE TAB PER 1MG * 5903398 RX PREDNISONE PER 1MG (10 * 5903414 RX PREDNISONE PER 1 MG (2 * 5903489 RX PRENATAL PLUS TAB * 5903513 RX OMEPRAZOLE 20MG CAP * 5903521 RX LISINOPRIL 10MG TAB * 5903539 RX LISINOPRIL 5MG TAB * 5903562 RX NIFEDIPINE-XL 30MG TAB * 5903570 RX FINASTERIDE 5MG TAB * 5903596 RX ALBUTEROL 2MG TAB * 5903612 RX FLUOXETINE 10MG CAP * 5903620 RX FLUOXETINE 20MG CAP * 5903638 RX MERCAPTOPURINE 50MG TA * 5903646 RX PHENAZOPYRIDINE 100M * 5903661 RX QUINIDINE SULF 300MG * 5903695 RX METOCLOPRAMIDE 10MG * 5903703 RX METOCLOPRAMIDE 5MG T * 5903711 RX NABUMETONE 750MG TAB * 5903737 RX MIRTAZAPINE 15MG TAB * 5903745 RX TEMAZEPAM 15MG CAP * 5903752 RX RIFAMPIN 300MG CAP ( * 5903760 RX RISPERIDONE .25MG TAB * 5903778 RX RISPERIDONE 1MG TAB (R * 5903786 RX RISPERIDONE 3MG TAB(RI * 5903810 RX PROPAFENONE 150MG TA * 5903836 RX SENNA CONC. 8.6MG TA * 5903844 RX SENNA-S TAB (SENOKOT * 5903877 RX QUETIAPINE 100MG TAB ( * 5903901 RX SIMETHICONE 80MG CHE * 5903927 RX SINEMET 10MG/100MG T * 5903935 RX SINEMET 25MG/100MG T * 5903943 RX MONTELUKAST 10MG TAB * 5903968 RX CARISOPRODOL 350MG TAB * 5904024 RX PSEUDOEPHED 30MG TAB * 5904065 RX LEVOTHYROX .025MG TAB * 5904073 RX LEVOTHYROX 0.05MG TAB * 5904081 RX LEVOTHYROX .075MG TAB * 5904099 RX LEVOTHYROX .112MG TAB * 5904107 RX LEVOTHYROX .125MG TAB * 5904115 RX LEVOTHYROX .15MG TAB * 5904123 RX LEVOTHYROX .175MG TAB * 5904131 RX LEVOTHYROX 0.1MG TAB * 5904149 RX LEVOTHYROX 0.2MG TAB * 5904164 RX OSELTAMIVIR 75MG CAP * 5904172 RX CARBAMAZEPINE 200MG TA * 5904214 RX THERAPEUTIC MULTIVIT T * 5904230 RX THERMOTABS * 5904248 RX CHLORPROMAZINE 10MG * 5904255 RX CHLORPROMAZINE 25MG TA * 5904271 RX THYROID 60MG TAB * 5904347 RX IMIPRAMINE 50MG TAB * 5904354 RX TOPIRAMATE 100MG TAB * 5904362 RX TOPIRAMATE 25MG TAB * 5904370 RX METOPROLOL 50MG TB (TO * 5904388 RX KETOROLAC 10MG TAB * 5904396 RX SCOPOLAMINE 1.5MG PA * 5904412 RX PENTOXIPHYLLINE 400MG * 5904420 RX PERPHENAZINE 2MG TAB A * 5904438 RX OXCARBAZEP 150MG TAB * 5904446 RX OXCARBAZEP 300MG TAB * 5904453 RX TRAMADOL 50MG TAB (ULT * 5904479 RX CALCIUM CARB 500MG CHE * 5904487 RX DIGOXIN IVIG 40MG/ML * 5904495 RX APAP/TYL 650MG/20.3ML * 5904503 RX APAP/TYL 500MG TAB * 5904511 RX APAP/TYL 80MG CHEW * 5904537 RX APAP/TYL 120MG SUPP * 5904545 RX APAP/TYL 325MG SUPP * 5904552 RX APAP/TYL 650MG SUPP * 5904560 RX APAP/TYL 160MG/5ML LQ * 5904586 RX NITROGLYCERIN ER 6.5MG * 5904594 RX TYLENOL #3 300MG/30MG * 5904636 RX MULTIVIT LIQUID * 5904651 RX HYDROCORTISONE 25MG SU * 5904677 RX ASPIRIN 81MG CHEW TAB * 5904685 RX ASPIRIN 325MG EC TAB * 5904693 RX ASPIRIN 600MG SUPP * 5904701 RX ASPIRIN 325MG TAB * 5904727 RX SUCRALFATE 1GM/5ML S * 5904784 RX DINOPROSTONE 10MG VAG * 5904792 RX METHYLCELLULOSE POWDER * 5904818 RX DOCUSATE SOD 150MG CAP * 5904867 RX VALPRIOC ACID 250MG/5M * 5904883 RX PHENYTOIN PER 50MG (SU * 5904917 RX TYLENOL SUSP PER DOSE * 5904925 RX WELCHOL 625MG TAB * 5904966 RX FERROUS SULF 220MG/5ML * 5904974 RX GLYCERIN 1.5GM SUPP * 5904990 RX GUAIFENESIN 100MG/5ML * 5905005 RX GUAIFENESIN DM 100MG 1 * 5905021 RX HALOPERIDOL 2MG/ML C * 5905047 RX CEFEPIME INJ PER 500MG * 5905054 RX LOPERAMIDE 1MG/5ML L * 5905088 RX LACTOBACILLIS CHEW TAB * 5905104 RX LACTULOSE 20GM/30ML SY * 5905120 RX MINERAL 55% OIL * 5905138 RX LITHIUM CITRATE 8MEQ S * 5905146 RX LOMOTIL LIQUID 60ML * 5905187 RX MCT OIL * 5905195 RX MEGESTROL ACET 40ML/ML * 5905203 RX METAMUCIL ORANGE POW * 5905229 RX MINERAL OIL HEAVY * 5905237 RX POLEYTHYLENE POWDER * 5905260 RX NICORETTE 2MG GUM * 5905294 RX CYPROHEPTADINE 2MG/5MG * 5905310 RX CHLORHEX GLU 0.12% 30M * 5905328 RX PROMETHAZINE SYP * 5905336 RX PHENOBARBITAL 20MG/5ML * 5905344 RX BISMUTH SUBSALICY SUSP * 5905369 RX POT CHLORIDE LIQUID PO * 5905377 RX PREDNISOLONE ODT PER 5 * 5905393 RX PROMETH/COD 6.25/10 * 5905401 RX PROMETH/PHENY SYP(PH * 5905450 RX FLUNISOLIDE INH (AER * 5905476 RX IPRATROPIUM INHALER * 5905518 RX COMBIVENT INHALER * 5905526 RX FLUTICASONE 0.05% SP * 5905534 RX FLUTICASONE INHALER * 5905542 RX FLUTICASONE INHALER * 5905559 RX FLUTICASONE INHALER * 5905591 RX TRIAMCINOLONE 16.5G(NA * 5905716 RX SILVER NITRATE APP. * 5905724 RX SULFACETAMIDE 10% OP * 5905765 RX SULFACETAMIDE 10% OP * 5905799 RX TETRACAINE 0.5% OP SOL * 5905807 RX TIMOLOL MAL 0.5% OP SO * 5905815 RX TIMOLOL MAL 0.25% OP S * 5905864 RX TOLNAFTATE 1% CREAM * 5905872 RX MORPHINE IR 30MG TAB * 5905880 RX TOBRADEX OPHTH SUSP * 5905898 RX TOBRAMYCIN 0.3% OPHT * 5905906 RX TOBRAMYCIN 0.3% OP O * 5905914 RX TOLNAFTATE 1% POWDER * 5905930 RX TRIAMCINOLONE 0.1% P * 5905948 RX TRIAMCINOLONE 0.025% * 5905955 RX TRIAMCINOLON 0.1% CREA * 5905963 RX TRIAMCINOLON 0.5% CREA * 5906011 RX TRIPLE ANTIBIOTIC OINT * 5906029 RX TRIPLE ANTIBIOTIC OINT * 5906045 RX VITAMIN A D OINTMENT * 5906094 RX KETOROLAC 0.5% OP SO * 5906128 RX OXYMETAZOLINE 0.05% * 5906136 RX PROPARACAINE 0.5% OP * 5906144 RX BRIMONIDINE 0.2% OP SO * 5906169 RX ANALGESIC BALM OINTM * 5906227 RX REMINYL 4MG TAB * 5906243 RX AYR NASAL MIST 0.65% * 5906250 RX BACITRACIN OP OINT 3.5 * 5906268 RX BACITRACIN ZINC 500U/G * 5906276 RX BACITRACIN ZINC 500U/G * 5906284 RX MUPIROCIN 2% CREAM ( * 5906292 RX MUPIROCIN 2% OINT (B * 5906318 RX ZINC OXIDE (BALMEX) * 5906359 RX DIPHENHYD 1% CREAM (BE * 5906383 RX DANTROLENE 20MG INJ (D * 5906425 RX BETADINE 10% OINT * 5906474 RX BETAXOLOL-S 0.25% OP S * 5906573 RX CARMEX LIP BALM * 5906607 RX CETACAINE SPRAY * 5906623 RX CHLORASEPTIC CHERRY * 5906631 RX CIPROFLOXACIN .3% OPT * 5906649 RX CIPROFLOXACIN HC OTIC * 5906656 RX PRAZOSEN 1MG CAP * 5906706 RX CORTISPORIN OINT 15G * 5906714 RX CORTISPORIN OP SUSP * 5906722 RX CORTISPORIN OTIC SUS * 5906748 RX COSOPT OP SOL * 5906755 RX CYCLOPENTOLATE 1% OP S * 5906763 RX CYCLOMYDRIL OP SOL * 5906771 RX DESMOPRESSIN 0.01% N * 5906789 RX EXELON 1.5MG CAP * 5906797 RX DEXAMETHASONE .1% OP S * 5906805 RX DEEP SEA 0.65% NS * 5906813 RX DERMOPLAST 20% AEROSOL * 5906821 RX DESONIDE .05% LOTION 5 * 5906839 RX DESONIDE .05% CREAM 60 * 5906847 RX ZINC OXIDE/COD LIVER O * 5906854 RX BETAMETHASONE 0.5% C * 5906870 RX PERMETHRIN 5% CR (EL * 5906888 RX MOMETASONE 0.1% CREAM * 5906896 RX KIT EMLA TEGADER * 5906904 RX MAGNESIUM SULF * 5906912 RX ERYTHROMYCIN OP OINT * 5906920 RX ETHYL CHLORIDE TOP A * 5906946 RX EYE WASH SOL 120MLS * 5906953 RX OFLOXACIN .3% OTIC * 5906979 RX FLUOR-I-STRI 9MG OP TE * 5906987 RX FLUOR-OP 0.1% OP SUS * 5907001 RX GENTAMICIN 0.1% OINT * 5907019 RX GENTAMICIN 0.3% OP O * 5907027 RX GENTAMICIN 0.3% OP S * 5907035 RX ARTIFICIAL TEARS OP SO * 5907043 RX PROMPT RELIEF HEMORR * 5907050 RX CHLORHEXIDINE 4% LIQ * 5907068 RX BENZOCAINE 20% SPRAY * 5907076 RX HYDROCERIN CREAM 120 * 5907084 RX HYDROCORTISONE 0.5% CR * 5907100 RX HYDROCORTISONE 1% CREA * 5907118 RX HYDROCORTISONE 2.5% CR * 5907159 RX ARTIF. TEARS 0.5% OP S * 5907175 RX AMLACTIN 12% LOTION * 5907191 RX LACRI-LUBE OINT 3.5G * 5907209 RX FLUOCINONIDE 0.05% OIN * 5907217 RX FLUOCINONIDE 0.05% OIN * 5907233 RX THROUDAZINE 10MG TAB * 5907282 RX CLOTRIMAZOLE 1% CREAM * 5907290 RX LOTRISONE CREAM * 5907324 RX MAXITROL 0.1% OP OIN * 5907365 RX DECADRON TAB PER 0.25M * 5907373 RX SOD CHLORIDE 5% OP O * 5907381 RX MYCOLOG-II CREAM * 5907399 RX TROPICAMIDE 0.5% OP SO * 5907407 RX TROPICAMIDE 1% OP SOLU * 5907415 RX NEO/BACI/POLY B OP OIN * 5907431 RX PROCARDIA XL 60MG TAB * 5907449 RX NEO/POLY/GRAM D OP SOL * 5907464 RX PHENYLEPHRINE .5% (REG * 5907472 RX PHENYLEPHRINE 2.5% EYE * 5907498 RX PHENYLEPHRINE .25% (MI * 5907514 RX NITROGLYC 2% OINT * 5907522 RX NITROGLYCERINE 0.4 MG * 5907548 RX DIBUCAINE 1% OINT * 5907555 RX NYSTATIN 100,000U CR * 5907571 RX NYSTOP 100,000U POWD * 5907597 RX OFLOXACIN .3% OP SO * 5907605 RX BACITRACIN POLYMYCIN 3 * 5907613 RX BAC/POLY/NEO/HC OP OPT * 5907654 RX PETROLATUM GEL * 5907696 RX PILOCARPINE 2% OP SO * 5907720 RX TRIMETHOPRIM POLYMYX O * 5907738 RX PREDNISOLONE 1% OP S * 5907761 RX PREPARATION H CREAM * 5907795 RX PROCTOFOAM H/C 1% AE * 5907803 RX RITALIN 5MG TAB (METHY * 5907811 RX OXYCODONE 5MG TAB (R * 5907829 RX B&O 16-A SUPPRETTE SUP * 5907837 RX FENTANYL PATCH 100MCG/ * 5907845 RX FENTANYL PATCH 25MCG/H * 5907852 RX FENTANYL PATCH 50MCG/H * 5907860 RX FENTANYL PATCH 75MCG/H * 5907894 RX METHADONE 5MG TAB * 5907902 RX MORPHINE SR 30MG TAB * 5907910 RX OXYCODONE 10MG CR TB * 5907928 RX OXYCODONE 20MG CR TB * 5907936 RX OXYCO/APAP 5/325MG T * 5907951 RX AMOXICILLIN 125MG/5ML * 5907977 RX AMOXICILLIN 250MG/5ML * 5908009 RX AUGMENTIN 250MG/5ML SU * 5908058 RX CLARITHROM 250MG/5ML 5 * 5908090 RX CEFPROZIL 125MG/5ML SU * 5908108 RX CEFPROZIL 250MG/5ML SU * 5908116 RX CLINDAMYCIN 75MG/5ML S * 5908124 RX FLUCONAZOLE SUSP 10MG * 5908173 RX ERYTHROMYCIN 400MG/5ML * 5908199 RX CEPHALEXIN 250MG/5ML S * 5908207 RX PERSANTINE 25MG TAB * 5908215 RX ACTIDOSE/SORB 50GM LQ * 5908249 RX TRUSOPT OPHTH SOLN * 5908256 RX ACTIDOSE CHARCOAL ACTI * 5908280 RX AMPICILLIN 500MG CAP * 5908322 RX GENATON SUSP (GAVISC * 5908330 RX GOLYTELY SOLUTION * 5908355 RX LIDOCAINE VISC 2% U. * 5908363 RX LIDOCAINE VISC 2% SO * 5908397 RX MAG CITRATE LEMON SO * 5908405 RX SIMETHICONE 40MG/0.6 * 5908439 RX IPRATROPIUM 0.03% NS * 5908447 RX IPRATROPIUM 0.06% NS * 5908470 RX CROMOLYN SOD INJ PER 1 * 5908488 RX IPRATROPIUM INHAL SOL * 5908512 RX BUDESONIDE RESP 0.5MG/ * 5908538 RX CLOMIPRAMINE 25MG CAP * 5908553 RX PYRIDOSTIGMINE 60MG TA * 5908561 RX HYDROXYZINE 10MG/5ML * 5908579 RX BISACODYL 10MG SUPP * 5908595 RX DALLERGY SYRUP * 5908611 RX IODINE STRONG SOLN ( * 5908629 RX RITALIN 10MG TAB (METH * 5908637 RX PREVALITE 4GM PDR PK * 5908645 RX ALBUTEROL 2MG/5ML SYRU * 5908652 RX METOCLOPRAMIDE 5MG/5 * 5908660 RX ZIDOVUDINE 10MG/ML S * 5908702 RX SYMMETREL 50MG/5ML S * 5908710 RX CARBAMAZEPINE 100MG/5M * 5908744 RX OXAPROZIN 600MG TAB (D * 5908785 RX EXCEDRIN TAB * 5908793 RX VITAMIN D 50000IU CAP * 5908835 RX DICLOFENAC 50MG EC TAB * 5908850 RX BUPROPION 150MG SR TAB * 5908876 RX ALPRAZOLAM .25MG TAB * 5908884 RX ALPRAZOLAM .5MG TAB * 5908900 RX METOLAZONE 5MG TAB * 5908918 RX ZIAC 10MG/6.25MG TAB * 5908926 RX ZINC SULFATE 220MG CAP * 5908934 RX AZITHROM 250MG TAB (Z * 5908975 RX SIMVASTATIN 20MG TAB * 5908983 RX THEOPHYLLINE 400MG CR * 5908991 RX BETHANECHOL 25MG TAB * 5909007 RX MAG OXIDE 140MG CAP * 5909015 RX URSODIOL 300MG CAP * 5909023 RX VALACYCLOVIR 500MG TAB * 5909049 RX ENALAPRIL 5MG TAB (VAS * 5909064 RX ENALAPRIL 10MG TAB (VA * 5909072 RX ENALAPRIL 2.5MG TAB (V * 5909098 RX VERAPAMIL PM 200MG CAP * 5909148 RX HYDROXYZINE 10MG TAB * 5909155 RX HYDROXYZINE 25MG TAB A * 5909171 RX VITAMIN B1 100MG TAB * 5909197 RX ONDANSETRON 4MG TAB (Z * 5909205 RX SERTRALINE 50MG TAB * 5909213 RX SERTRALINE 100MG TAB * 5909239 RX ACYCLOVIR 800MG TAB * 5909247 RX ACYCLOVIR 400MG TAB * 5909254 RX ALLOPURIN 300MG TAB * 5909262 RX OLANZAPINE 5MG TAB * 5909270 RX CETIRIZINE 5MG/5ML SYP * 5909288 RX HYDREA 500MG CAP * 5909296 RX LIDOCAINE 4% TOP 50ML * 5909304 RX METRONIDAZOLE 0.75% GE * 5909312 RX CALCITONIN 200IU/A SPR * 5909338 RX MICONAZOLE CREAM 2% * 5909346 RX CLOBETASOL 0.05% SOL * 5909361 RX THERMAZENE 1% CREAM * 5909379 RX THERMAZENE 1% CREAM * 5909387 RX DICLOFENAC 0.1% OP SOL * 5909395 RX DICLOFENAC 0.1% OP SOL * 5909403 RX ACETASOL-HC OTIC SOL 1 * 5909411 RX LIDOCAINE 5% OINT * 5909429 RX LIDOCAINE 2% GEL 30GM * 5909445 RX ZINC OXIDE 20% OINTMEN * 5909494 RX ACYCLOVIR 5% CREAM * 5909544 RX ATROPINE INJ PER 0.01M * 5909585 RX BACITRACIN 50000U INJ * 5909601 RX BSS OP SOLN * 5909619 RX CALCIUM CARB 650MG TAB * 5909635 RX CHLOROTHIAZIDE INJ PER * 5909817 RX DIGOXIN 0.25MG/ML INJ * 5909833 RX FUROSEMIDE INJ PER 20M * 5909841 RX FUROSEMIDE INJ PER 20M * 5909858 RX FUROSEMIDE 10MG/ML SOL * 5909866 RX LIDOCAINE 4% NEB * 5909874 RX LIDOCAINE 2% GEL 10GM * 5909882 RX HYDROCO/APAP ELIXER * 5909890 RX MAALOX PLUS SUSP * 5909908 RX METHOTREXATE 25MG/ML I * 5909924 RX MIACALCIN 200IU/ML INJ * 5909940 RX MIVACURIUM CHLOR 2MG I * 5909957 RX MILK OF MAGNESIA SUS * 5909965 RX ACETY/MUCOMYST 20% SOL * 5909999 RX PHENYLEPHRINE UPTO 1ML * 5910005 RX NITROGLYCERIN 5MG/ML I * 5910013 RX NYSTATIN 100000U SUS * 5910039 RX PAPAVERINE PER 60MG * 5910070 RX MEPIVACAINE 1.5% INJ P * 5910088 RX POLYMYXIN B 500000U * 5910096 RX POTASSIUM PER 2MEQ * 5910104 RX POT PHOSPHATE 3MM/ML * 5910179 RX SOD ACETATE 2MEQ/ML * 5910187 RX SOD BICARBONATE 4% INJ * 5910203 RX SOD BICARBONATE 4.2% * 5910211 RX SOD BICARBONATE 8.4% 1 * 5910229 RX SOD CHLORIDE 4MEQ/ML * 5910237 RX BUTORPHANOL PER 1MG * 5910252 RX DESFLURANE INH (SUPR * 5910278 RX SEVOFLURANE SOLN (UL * 5910294 RX ASCORBIC ACID 500MG/ML * 5910302 RX ZEBETA 5MG TAB * 5910310 RX VECURONIUM 10MG INJ * 5910336 RX HYDROXYZINE INJ UPTO 2 * 5910351 RX CYANCOBOLAMIN INJ PER * 5910369 RX PHYTONADIONE INJ PER 1 * 5910377 RX PHYTONADIONE INJ PER 1 * 5910427 RX LIDOCAINE/EPI 2% INJ * 5910435 RX LIDOCAINE-MPF 1% INJ * 5910484 RX LIDOCAINE-MPF 2% INJ * 5910492 RX LIDOCAINE-MPF/EPI 1. * 5910518 RX PARICALCITOL PER 1MCG * 5910526 RX ROCURONIUM 10MG/ML INJ * 5910534 RX ONDANSETRON INJ PER 1M * 5910542 RX ONDANSETRON PER 1MG * 5910583 RX ADENOSINE INJ PER 6MG * 5910591 RX EPINEPHRINE INJ PER 0. * 5910609 RX EPINEPHRINE 1:1000 TOP * 5910625 RX ETOMIDATE 2MG/ML INJ * 5910666 RX HYDRALAZINE INJ PER 20 * 5910716 RX ATROPINE INJ PER 0.01M * 5910724 RX DIMERCAPROL INJ PER 10 * 5910740 RX TETANUS IVIG INJ PER 2 * 5910757 RX DIPHENHYDRAMINE INJ PE * 5910773 RX DICYCLOMINE INJ PER 20 * 5910815 RX TERBUTALINE INJ PER 1M * 5910831 RX ESMOLOL 250MG/M INJ( * 5910849 RX ESMOLOL 10MG/ML INJ * 5910856 RX METHOHEXITAL 500MG INJ * 5910872 RX BUMETANIDE 0.25MG/ML I * 5910880 RX BUMETANIDE 0.25MG/ML I * 5910898 RX BUMETANIDE 0.25MG/ML I * 5910914 RX CALCIUM CHLORIDE 10% I * 5910922 RX CALCIUM GLUC 10% PER 1 * 5910930 RX CALCITRIOL INJ PER 0.1 * 5910955 RX BETAMETHASONE REPOS PE * 5910971 RX BENZTROPINE INJ PER 1M * 5910997 RX PROCHLORPERAZINE 10MG/ * 5911003 RX PREDNISONE PER 1 MG (1 * 5911011 RX COSYNTROPIN INJ PER 0. * 5911029 RX IBUTILIDE FUMARATE INJ * 5911037 RX DIHYDROERGOTAMINE INJ * 5911045 RX DESMOPRESSIN PER 1MCG * 5911060 RX DEXAMETHAZONE PER 1MG * 5911078 RX DEXAMETHASONE INJ PER * 5911102 RX VALPROIC ACID 100MG/ML * 5911110 RX DEPOMEDROL 80MG/ML INJ * 5911151 RX DEFEROXAMINE PER 500MG * 5911177 RX DEXTRAN 40%/D5W PER 50 * 5911193 RX DEXTROSE 50% INJ * 5911201 RX DEXTROSE 25% INJ * 5911219 RX ACETAZOLAMIDE INJ PER * 5911227 RX INDIGO CARMINE 8MG/ML * 5911243 RX DILTIAZEM 5MG/ML INJ 5 * 5911276 RX EDROPHONIUM/ATROPINE I * 5911284 RX EPINEPHRINE INJ PER 0. * 5911300 RX FOLIC ACID 5MG/ML INJ * 5911318 RX GLUCOGON KIT PER 1MG * 5911326 RX HALOPERIDOL LACTATE IN * 5911334 RX HALOPERIDOL DECANOATE * 5911367 RX HEPARIN INJ PER 1000U * 5911391 RX HEPARIN SOD PORCINE IN * 5911409 RX HEPARIN SOD PORCINE IN * 5911417 RX HEPARIN SOD INJ PER 10 * 5911425 RX HEPARIN SOD PF INJ PER * 5911441 RX SUMATRIPTAN PER 6MG * 5911458 RX VACC RABIES * 5911474 RX PROPRANOLOL INJ PER 1M * 5911482 RX INTERFERON INJ PER 1MU * 5911490 RX ISOPROTERENOL 0.2MG/ML * 5911508 RX TRIAMCINOLONE INJ PER * 5911524 RX FUROSEMIDE PER 20MG * 5911532 RX LIDOCAINE/EPI 1% INJ * 5911540 RX LIDOCAINE/EPI 2% INJ * 5911573 RX LIDOCAINE 1% INJ 20ML * 5911581 RX LIDOCAINE 2% 20ML INJ * 5911599 RX LIDOCAINE 2% INJ * 5911607 RX LIDOCAINE 50MG/5ML * 5911631 RX LIDOCAINE 0.5% INJ * 5911649 RX LIDOCAINE 1% INJ 30ML * 5911656 RX METOPROLOL 1MG/ML INJ * 5911664 RX ENOXAPARIN PER 10MG * 5911672 RX ENOXAPARIN PER 10MG * 5911680 RX ENOXAPARIN PER 10MG * 5911698 RX ENOXAPARIN PER 10MG * 5911706 RX ENOXAPARIN PER 10MG * 5911714 RX MVI-12 INJ * 5911722 RX MAGNESIUM SULFATE 50% * 5911730 RX MAGNESIUM SULFATE 50% * 5911748 RX MORPHINE 100MG SR TABS * 5911755 RX MANNITOL 25% INJ 50ML * 5911763 RX BUPIVACAINE 0.5% INJ 3 * 5911771 RX BUPIVACAINE 0.25% INJ * 5911789 RX BUPIVACAINE 0.25% INJ * 5911797 RX BUPIVACAINE 0.5% INJ 1 * 5911813 RX BUPIVACAINE 0.75% INJ * 5911821 RX BUPIVACAINE SPINAL INJ * 5911839 RX BUPIVACINE/EPI 0.5% IN * 5911847 RX METHYLERGONOVINE PER 0 * 5911854 RX VACC MMR * 5911888 RX MARINOL CAP PER 2.5MG * 5911896 RX MULTITRACE-4 INJ 10M * 5911904 RX NALOXONE INJ PER 1MG * 5911920 CHLOROPROCAINE MFP 3% INJ * 5911953 RX FILGRASTIM INJ PER 1 M * 5911961 RX FILGRASTIM INJ PER 1 M * 5912019 RX FAMOTIDINE 20MG/2ML IN * 5912027 RX PROMETHAZINE 25MG/ML I * 5912043 RX PHENOBARBITAL 65MG/ML * 5912050 RX PHYSOSTIGMINE 1MG/ML * 5912068 RX OXYTOCIN INJ PER 10U * 5912076 RX VASOPRESSIN 20U/ML INJ * 5912084 RX MEPIVACAINE 2% INJ PER * 5912100 RX SUFENTANIL 50MCG/ML * 5912126 RX VACC DIPTH TETANUS OVE * 5912134 RX THIAMINE 100MG/ML INJ * 5912142 RX CHLORPROMAZINE INJ PER * 5912175 RX THYROTROPIN ALFA INJ P * 5912191 RX KETOROLAC INJ PER 15MG * 5912209 RX KETOROLAC INJ PER 15MG * 5912217 RX KETOROLAC INJ 15MG * 5912225 RX ARTANE 2MG TAB * 5912241 RX LABETALOL 5MG/ML INJ * 5912258 RX TUBERSOL 5U/0.1M INJ * 5912274 RX DIAZEPAM INJ PER 5MG * 5912290 RX ENALAPRILAT 1.25MG/ML * 5912308 RX VERAPAMIL 2.5MG/ML INJ * 5912316 RX DOXYCYCLINE 100MG INJ * 5912324 RX MEPIVACAINE 1% MPF PER * 5912340 RX ESTROGEN CONJ 25MG INJ * 5912357 RX PROCAINAMIDE INJ UTPO * 5912373 RX NEOSTIGMINE INJ UPTO 0 * 5912399 RX PROTAMINE SULFATE INJ * 5912407 RX PRALIDXIME 1GM INJ * 5912415 RX SUCCINYLCHOLINE INJ PE * 5912423 RX VACC HEP B 3DOSE PEDIA * 5912449 RX VACC HEP B 3DOSE ESRD/ * 5912456 RX METOCLOPRAMIDE INJ PER * 5912530 RX FLUMAZENIL 0.1ML/ML IN * 5912548 RX CYCLOSPORINE PER 250MG * 5912555 RX OCTREOTIDE INJ PER 2MC * 5912563 RX SENSORCAINE-MPF/EP I * 5912589 RX BRINZOLAMIDE 1% DRPS 5 * 5912621 RX SOD PHOSPHAT 3MM/ML * 5912647 RX SYRPALTA SYP * 5912662 RX HYDROCORTISONE 100MG I * 5912670 RX METHYLPRED SUCC INJ PE * 5912688 RX METHYLPRED INJ UPTO 40 * 5912696 RX METHYLPRED INJ PER 125 * 5912720 RX AZITHROMYCIN 200MG/15M * 5912738 RX AZITHROMYCIN 200MG/22. * 5912746 RX CEFPODOXIME 100MG/5M S * 5912753 RX DOXYCYCLINE 25MG/5ML I * 5912761 RX SULFATRIM 200MG/40ML * 5912779 RX LATANOPROST 0.005% SOL * 5912795 RX RANITIDINE 15MG/ML S * 5912803 RX CEFUROXIME SOD INJ PER * 5912829 RX DIAZEPAM 5MG/ML CONCEN * 5912837 RX DIAZEPAM 5MG TAB * 5912852 RX MIDAZOLAM SUSP PER DOS * 5912886 RX SOD POLY SULFONATE 15G * 5912910 RX AZTREONAM 1G INJ (AZAC * 5912928 RX SMZ-TMP 400-80 INJ * 5912969 RX TOBRAMYCIN SULFATE INJ * 5912977 RX UNASYN 1.5G INJ * 5912985 RX UNASYN INJ PER 1500 MG * 5912993 RX VANCOMYCIN PER 500MG * 5913017 RX VANCOMYCIN 500MG INJ * 5913025 RX FOSPHENYTOIN 50MG/ML I * 5913041 RX CEFOTAXIME INJ PER 100 * 5913058 RX CEFOTAXIME INJ PER 100 * 5913066 RX CLINDAMYCIN 900MG INJ * 5913074 RX CLINDAMYCIN 600MCG INJ * 5913082 RX AMIODARONE INJ PER 30M * 5913108 RX NAFCILLIN 1G INJ * 5913116 RX NAFCILLIN 2G INJ * 5913132 RX NITROPRUSSIDE INJ * 5913173 RX PENICILLIN GK INJ UPTO * 5913181 RX PIPERACIL/TAZO 1.125GM * 5913207 RX CEFEPIME INJ PER 500MG * 5913231 RX CEFTAZIDIME INJ PER 50 * 5913249 RX CEFTAZIDIME PER 500MG * 5913272 RX GENTAMICIN UPTO 80MG ( * 5913280 RX GENTAMICIN UPTO 80MG ( * 5913306 RX HYSKON 100ML SOL * 5913322 RX KETAMINE 50MG/ML INJ * 5913330 RX NMRX SINCALIDE 5MCG IN * 5913363 RX PROPOFOL PER 10MG (20M * 5913371 RX PROPOFOL PER 10MG (50M * 5913389 RX DOBUTAMINE 12.5MG/ML I * 5913397 RX DOPAMINE PER 40MG * 5913405 RX DOXAPRAM 20MG/ML INJ * 5913421 RX EPHEDRINE 50MG/ML INJ * 5913439 RX ERYTHROMYCIN INJ PER 5 * 5913447 RX ERYTHROMYCIN 500MG ADV * 5913454 RX ADENOSINE INJ PER 10MG * 5913462 RX AMINOPHYLLINE INJ PER * 5913488 RX AMPICILLIN SOD INJ PER * 5913496 RX AMPICILLIN INJ PER 500 * 5913504 RX AMPICILLIN 250MG INJ * 5913512 RX AMPICILLIN 500GM INJ * 5913520 RX CEFAZOLIN INJ PER 500 * 5913553 RX CEFAZOLIN SOD INJ PER * 5913561 RX FOMEPIZOLE PER 15MG * 5913579 RX PAMIDRONATE INJ PER 30 * 5913611 RX AZITHROMYCIN 500MG INJ * 5913637 RX PIPERACIL/TAZO PER 1.1 * 5913645 RX PIPERACIL /TAZO PER 1. * 5913652 RX ACYCLOVIR SOD INJ PER * 5913660 RX IMIPENEM/CILASTATIN 25 * 5913678 RX PRIMAXIN INJ PER 250MG * 5913686 RX ZIDOVUDINE INJ PER 10M * 5913702 RX CEFTRIAXONE PER 250MG * 5913751 RX CEFTRIAXONE INJ PER 25 * 5913769 RX CEFTRIAXONE INJ PER 25 * 5913777 RX EPOETIN ALFA INJ PER 1 * 5913819 RX CORTISONE 25MG TAB * 5913850 RX DEXTROSE 70% * 5913868 RX COCAINE HCL 4% SOL * 5913900 RX PROVIGIL 200MG TAB * 5913942 RX COZAAR 25MG TAB * 5913967 RX PALIVIZUMAB 100MG INJ( * 5914056 RX NITROGLYCERIN 50MG D5W * 5914072 RX LEVAQUIN INJ PER 250MG * 5914080 RX LIDOCAINE 4MG/ML D5W * 5914114 RX MAGNESIUM SULFATE 4% I * 5914130 RX FELDENE 20MG CAP * 5914155 RX METRONIDAZOLE 500MG IN * 5914189 RX HEPARIN SOD 1/2NS INJ * 5914197 RX HETASTARCH 6% 500ML IN * 5914205 RX SOD CHLORIDE 3% INJ PE * 5914213 RX CALFACTANT 35MG/ML 6ML * 5914221 RX NAPROXEN 500MG TAB * 5914239 RX DIFLUCAN INJ PER 200MG * 5914247 RX DILTIAZEM 5MG/ML INJ * 5914254 RX DOBUTAMINE INJ PER 125 * 5914262 RX DOPAMINE PER 40MG (BAG * 5914270 RX ALTEPLASE INJ PER 1MG * 5914288 RX ALTEPLASE INJ PER 1MG * 5914304 RX ALBUMIN 25% SOL PER 12 * 5914353 RX CEFAZOLIN ADV PER 500M * 5914361 RX MILRINONE INJ PER 5MG * 5914387 RX MIDAZOLAM INJ PER 1MG * 5914395 RX MIDAZOLAM INJ PER 1MG * 5914429 RX MORPHINE 0.5MG/ML INJ * 5914437 RX MORPHINE INJ PER 10MG * 5914445 RX MORPHINE 4MG/ML CPJ IN * 5914452 RX MORPHINE PCA INJ PER 1 * 5914486 RX FENTANYL CITRATE/PF IN * 5914494 RX ALPROSTADIL PER 1.25MC * 5914528 RX DEMEROL INJ PER 100MG * 5914577 RX HYDROMORPHONE 2MG/ML I * 5914601 RX MORPHINE .5MG/ML INJ 1 * 5914627 RX PACLITAXEL INJ PER 30M * 5914635 RX PACLITAXEL 30MG INJ 5M * 5914668 RX MESNA INJ PER 200MG * 5914676 RX DOXORUBICIN 10MG INJ * 5914684 RX DOXORUBICIN INJ PER 10 * 5914692 RX VINCRISTINE 1MG/ML INJ * 5914700 RX FLUDARABINE 50MG INJ * 5914718 RX ETOPOSIDE INJ PER 10MG * 5914734 RX LEUCOVORIN 50MG INJ * 5914759 RX CYTARABINE INJ PER 100 * 5914767 RX GANCICLOVIR 500MG INJ * 5914775 RX AMINOCAPROIC 250MG/ML * 5914783 RX TOPOTECAN PER 0.1 MG * 5914890 RX SOD CHLORIDE 0.9% NEB * 5914981 RX APAP/TYL 325MG TAB * 5915012 RX AMMONIA INHALANTS 0.33 * 5915103 RX ADENOSINE PER 6MG * 5915137 RX SLOW MAG TABLET * 5915145 RX GEMCITABINE INJ PER 20 * 5915236 RX CYCLOPHOSPHAMIDE INJ P * 5915251 RX RENAGEL 800MG TAB * 5915285 RX ZIPRASIDONE 20MG CAP(G * 5915319 RX CARB/LEVO 25-250MG TAB * 5915392 RX URECHOLINE 10MG TAB * 5915475 RX PENICILLIN-G BENZATHIN * 5915483 RX ENT TRAY * 5915509 RX POT ACETATE 2MEQ/ML IN * 5915517 RX NALTREXONE ORAL 1MG/ * 5915525 RX MYSOLINE 50MG TAB * 5915533 RX VACC PNEUMOCOCCAL * 5915541 RX DEPOMEDROL INJ PER 40M * 5915582 RX ATENOLOL 100MG TAB * 5915632 RX APAP/COD 300/30MG 12.5 * 5915673 RX NITROGLYCERIN 200MCG I * 5915681 RX TIMOLOL 10MG TAB * 5915699 RX RABIES IMMUN GLOB 150U * 5915723 RX PRIMIDONE 250MG TAB * 5915772 RX LEVOPHED INJ * 5915814 RX DOXEPIN 10MG TAB * 5915871 RX VACC ADMIN FEE * 5915905 RX BLEPHAMIDE OP SUS 1 DR * 5915947 RX LEUPROLIDE INJ PER 3.7 * 5915954 RX VACC ADMIN FEE FLU * 5915988 RX NICARDIPINE 100MCG/ML * 5916002 RX MORPHINE SULF 15MG TAB * 5916010 RX LORAZEPAM 2MG/ML CON ( * 5916036 RX VACC ADMIN FEE PNEUMOC * 5916051 RX PROPOFOL PER 10MG (100 * 5916077 RX ULTRAVATE .05% OINT 15 * 5916200 RX LAT TOPICAL SOL * 5916218 RX DAKIN'S SOLUTION * 5916242 RX ARIMIDEX 1MG TAB * 5916259 RX DOCETAXEL INJ PER 1MG * 5916267 RX FLU VACC 6 MO TO 64 YR * 5916283 RX BICILLIN CR INJ PER 10 * 5916382 RX NESIRITIDE INJ PER 0.1 * 5916408 RX DILTIAZEM SR 90MG TAB * 5916416 RX ENOXAPARIN PER 10MG * 5916432 RX MORPHINE SR 60MG TAB * 5916457 RX HEPATITIS B IMMUNE GLO * 5916499 RX RACEPINEPHRINE NEB UD * 5916531 RX HEPARIN PER 1000 IU (1 * 5916572 RX AMPHOTERICIN B LIPOSOM * 5916598 RX FONDAPARINUX SOD INJ P * 5916630 RX HIPREX 1GM TAB * 5916655 RX ERYTHROMYCIN 500MG TAB * 5916663 RX THEOPHYLLINE 300MG ER * 5916671 RX ALBUTEROL SULFATE NEB * 5916689 RX CARVEDILOL 25MG TAB (C * 5916770 RX MAXITROL OPTH SOL * 5916788 RX STRATTERA 60MG CAP * 5916796 RX BICITRA SOLUTION * 5916804 RX REFRESH DROPS UD * 5916812 RX DISULFIRAM 250MG TAB * 5916820 RX AMOXICILLIN 400MG/5ML * 5916853 RX NICARDIPINE 25MG/10ML * 5916895 RX GLIMEPIRIDE 4MG TAB * 5916937 RX DIPHENHYD 10/15 LIQ (B * 5917026 RX DEFINITY INJ PER 1ML * 5917083 RX GLIMEPIRIDE 1MG TAB * 5917091 RX NEOSPORIN PLUS CREAM U * 5917141 RX NEURONTIN 600MG TAB * 5917166 RX METROVAG GEL .75% GEL * 5917208 RX HEPARIN PER 1000 IU (N * 5917232 RX DANTRIUM 100MG TAB * 5917265 RX SECTRAL 200MG TAB * 5917281 RX INFLIXIMAB INJ PER 10M * 5917307 RX MISOPROSTOL 200MCG TAB * 5917323 RX ZEBETA 10MG TAB * 5917349 RX BEVACIZUMAB INJ PER 10 * 5917356 RX ZIAC 2.5/6.5 TAB * 5917372 RX ALBUMIN 5% PER 12.5GM * 5917380 RX ACETAZ/DIOMOX 250MG CA * 5917414 RX NAMENDA 10MG * 5917422 RX PALONOSTERON INJ PER 2 * 5917430 RX TRAZADONE 100MG TAB * 5917489 RX DILTIAZEM 60MG SR CAP * 5917539 RX POTASSIUM CHLOR INJ PE * 5917562 RX ROCURONIUM 10MG/ML 5ML * 5917596 RX DESMOPRESSIN .2MG TAB * 5917604 RX STRATTERA 40MG CAP * 5917620 RX MAGNESIUM PER 500MG * 5917695 RX CRESTOR 10MG TABLET * 5917711 RX THEO 24 300MG C CAP * 5917729 RX NOVOLIN R INSULIN * 5917778 RX CRESTOR 20MG TABLET * 5917786 RX SPIRIVA TIOTROPIUM INH * 5917802 RX ROPINIROLE .5MG TAB (R * 5917828 RX ZYVOX PER 200MG * 5917844 RX ZIPRASIDONE INJ PER 10 * 5917869 RX LEVOFLOXACIN 750MG TAB * 5917877 RX METOLAZONE 2.5 MG TAB * 5917893 RX PROCANBID 1GM TAB * 5917927 RX PHOSPHENYTOIN 50MG/ML * 5917935 RX ACTONEL 35MG TAB * 5917943 RX ZONEGRAN 100MG TAB * 5918040 RX POTASSIUM CHL INJ PER * 5918057 RX OLANZAPINE 10MG INJ (Z * 5918065 RX MIDODRINE 5MG TAB * 5918081 RX INSULIN ASPART PER 5 U * 5918131 RX ZIPRASIDONE 40MG CAP(G * 5918149 RX ENOXAPARIN PER 10MG * 5918172 RX ALTEPLASE INJ PER 1MG * 5918214 RX CLINDAMYCIN 1% LOTION * 5918230 RX LIPITOR 40MG TAB * 5918263 RX DIGOXIN 50MCG/ML DROPS * 5918271 RX ZYVOX 600MG TAB * 5918313 RX ACETY/MUCOMYST 20% SOL * 5918321 RX LEXAPRO 20MG TAB * 5918339 RX ULTRAVATE CREAM 50GM * 5918388 RX HALOPERIDOL .5MG TAB * 5918446 RX DOXAZOSIN 8MG TAB * 5918479 RX TRIAMCINOLONE .05% OIN * 5918487 RX BLEPH 10 EYE DROPS 5ML * 5918495 RX BUPROPION XL 300MG TAB * 5918552 RX HYDROCORTISONE INJ PER * 5918560 RX VACC HEP A HAVRIX * 5918578 RX ZETIA 10MG TAB * 5918594 RX RISPERIDONE MICROSPHER * 5918651 RX OLANZAPINE 5MG TAB * 5918669 RX DARBEPOETIN ALFA PER 1 * 5918677 RX ENTOCORT EC CAP * 5918685 RX CANCIDAS INJ PER 5MG * 5918693 RX ZIPRASIDONE 60MG CAP(G * 5918701 RX DOXAZOSIN 1MG TAB * 5918735 RX AMOXICILLIN 875MG TAB * 5918776 RX EXELON 3MG CAP * 5918792 RX PROPYLTHIOURACIL 50MG * 5918842 RX PIPERACIL/TAZO 1.125GM * 5918867 RX ATROPINE SULFATE OPTH * 5918875 RX METOPROLOL 25MG TAB * 5918883 RX ZYPREXA 10MG TAB * 5918891 RX CLEOCIN 2% VAG CREAM 4 * 5918925 RX CIPRODEX 7.5ML BOTTLE * 5918966 RX SECREFLO ACETATE INJ P * 5918974 RX ERYTHROMYCIN OPTH OINT * 5919014 RX STRATTERA 25MG CAP * 5919055 RX INSULIN ASPART PEN PER * 5919089 RX LIDO/EPI DENTAL 2% 1:1 * 5919097 RX TRICHLOROACETIC ACID S * 5919139 RX INSULIN ASP/NPH 70/30 * 5919154 RX PEGFILGRASTIM INJ PER * 5919162 RX INDOMETHACIN 50MG SUPP * 5919188 RX DETROL LA 2MG TAB * 5919196 RX OLANZAPINE 7.5MG TAB * 5919238 RX ARIPIPRAZOLE 5MG TAB ( * 5919261 RX NAPHCON A OP SOL * 5919329 RX CARVEDILOL 12.5MG TAB * 5919337 RX TETRACAINE 1% INJ 2ML * 5919345 RX LUMIGAN EYE DROPS 2.5M * 5919360 RX ARTHROTEC 75MG/200MCG * 5919386 RX DIFLUCAN INJ PER 200MG * 5919436 RX FENOFIBRATE 160MG TAB * 5919444 RX THAM 30MEQ INJ * 5919451 RX PULMICORT INH 200MCG * 5919469 RX AMITRIPTYLINE 10MG TAB * 5919477 RX AMIKACIN SULFATE INJ P * 5919550 RX TRASYLOL 10000KIU/200M * 5919600 RX CARVEDILOL 3.125MG TAB * 5919675 RX ALPRAZOLAM 1MG TAB * 5919683 RX HYDROCO/APAP 5-325MG C * 5919709 RX FLUPHENAZINE 25MG/ML D * 5919717 RX LEVAFLOXACIN/D5W PER 2 * 5919758 RX MOBIC 15MG TAB * 5919808 RX BUT/ASA/CAFF CAPSULE * 5919816 RX RITUXAN 100MG/10MG INJ * 5919832 RX MONUROL PKT * 5919840 RX CISPALTIN INJ PER 10MG * 5919899 RX ESCITALOPRAM 10MG TAB * 5919907 RX RITUXAN INJ PER 100MG * 5919931 RX QUETIAPINE 300MG TAB ( * 5919956 RX FACTOR 7-A PER 1MCG * 5920012 RX DARBEPOETIN ALFA PER 1 * 5920020 RX SKELAXIN 800 MG TAB * 5920079 RX HYOSCYAMINE .375SR TAB * 5920095 RX COLLAGENASE 15G OINT(S * 5920103 RX HYDROCO/APAP 10-325MG * 5920111 RX DULOXETINE 30MG CAP (C * 5920129 RX POT CITRATE 10MEQ TAB * 5920137 RX RIFAXIMIN 200MG TAB (X * 5920145 RX BAYGAM PER 1CC * 5920178 RX FOSAMAX 35MG TAB * 5920202 RX CARBOPLATIN INJ PER 50 * 5920228 RX PARAPLATIN 50MG INJ * 5920244 RX PINK BISMUTH 262MG CHE * 5920251 RX LAT (LIDOCAINE/ADRENAL * 5920269 RX DAPSONE 25MG TAB * 5920277 RX LAMICTAL 100MG TAB * 5920285 RX MAGIC MOUTHWASH 119 ML * 5920301 RX CLINDAMYCIN 900/50ML D * 5920319 RX MISC * 5920343 RX VICKS VAPORUB OINT 50G * 5920368 RX MANNITOL 20% INJ * 5920418 RX LABETOLOL 100MG TAB * 5920426 RX AUGMENTIN ES 600MG/ML * 5920434 RX ANBESOL 10% COOL MINT * 5920467 RX TRAVATAN .004% OPHTH S * 5920483 RX RELPAX 20MG TAB (ELETR * 5920491 RX THROMBIN 5000U INJ * 5920558 RX PERFUSION BAG #1 * 5920566 RX DULOXETINE 60MG CAP (C * 5920574 RX ALLOPURINOL 100MG TAB * 5920582 RX DARBEPOETIN ALFA PER 1 * 5920608 RX BOTOX INJ PER 100 UNIT * 5920632 RX PERFUSION BAG 2 * 5920640 RX ZOLPIDEM CR 6.25MG TAB * 5920657 RX PALIPERIDONE 3MG TAB(I * 5920665 RX DARBEPOETIN PER 1MCG ( * 5920681 RX PHENYLEPHRINE .125% NS * 5920699 RX DULOXETINE 20MG CAP (C * 5920749 RX HEPARIN PER 1000 IU (O * 5920756 RX DARBEPOETIN PER 1MCG ( * 5920764 RX ARIPIPRAZOLE 2MG TAB(A * 5920772 RX MORPHINE SULFATE INJ P * 5920798 RX KEPPRA 500MG TAB * 5920814 RX PALIVIZUMAB 50MG INJ(S * 5920822 RX OXYTOCIN RNGR INJ PER * 5920830 RX TOBRAMYCIN UPTO 80MG ( * 5920848 RX DARBEPOETIN PER 1MCG ( * 5920889 RX ZOLEDRONIC ACID PER 1M * 5920897 RX CHLORPROMAZINE 100MG T * 5920905 RX VARENICLINE .5MG TAB(C * 5920913 RX OXYTOCIN D5W LR INJ PE * 5920921 RX VERAPAMIL 80MG TAB(CAL * 5920962 RX CIPROFLOXACIN .3% OPT * 5920970 RX MURO 128 5% OP SOL * 5920996 RX HYALURONIDASE 150MG/ML * 5921044 RX NIACIN ER 500MG TAB (N * 5921085 RX RAMELTEON 8MG TAB(ROZE * 5921093 RX MAGNESIUM/NS INJ PER 5 * 5921119 RX EFFEXOR XR 150MG TAB * 5921135 RX AZELASTINE NS 137MCG ( * 5921143 RX OLOPATADINE .1% OPT SO * 5921150 RX DAPTOMYCIN INJ PER 1MG * 5921168 RX COLLODION FLEXIBLE LIQ * 5921176 RX DETEMIR FLEX PEN PER 5 * 5921200 RX MYCOPHENOLATE PER 250M * 5921218 RX STROKE KIT (ACTIVASE/L * 5921234 RX VACC TDAP >7YRS OLD * 5921267 RX AMIODARONE INJ PER 30M * 5921283 RX PALIPERIDONE 6MG ER TA * 5921317 RX CYCLOSPORINE PER 25MG * 5921333 RX ENALAPRIL 20MG TAB (VA * 5921341 RX VICOPROFEN TAB * 5921358 RX BUTAL/APAP/CAFF/COD CA * 5921366 RX MIDAZOLAM IN D5W PER 1 * 5921374 RX HEPARIN 5000U/1000ML N * 5921390 RX DESVENLAFAXINE ER 50MG * 5921408 RX METHADONE 10MG TAB (DO * 5921416 RX LETROZOLE 2.5MG TAB (F * 5921432 RX ROPIVACAINE 0.5% INJ P * 5921457 RX HYDROMORPHONE PCA UPTO * 5921465 RX CEFAZOLIN INJ PER 500M * 5921473 RX NS W/KCL PER 2 MEQ (40 * 5921499 RX DANAZOL 200MG CAP (DAN * 5921515 RX ONDANSETRON 8MG TAB (Z * 5921556 RX PREGABALIN 75MG CAP(LY * 5921564 RX HEPARIN SOD 5000U/.5ML * 5921572 RX NITROGLYCERIN 2% OINT * 5921606 RX SLOW FE 160MG TAB * 5921614 RX DUTASTERIDE .5MG CAP(A * 5921630 RX FENTANYL/ROPIV/NS INJ * 5921655 RX OXYBUTYNIN 3.9/24 PATC * 5921663 RX HYDROMORPHONE 1MG/ML I * 5921697 RX EPOETIN ALFA INJ PER 1 * 5921739 RX ONDANSETRON 4MG ODT TA * 5921770 RX DOFETILIDE 125MCG CAP * 5921788 RX CYCOLGYL .5% OPT SOL * 5921804 RX TEMOZOLOMIDE PER 5MG * 5921812 RX HALOPERIDOL 10MG TAB(H * 5921853 RX MEROPENEM INJ PER 100M * 5921861 RX LEUPROLIDE INJ PER 7.5 * 5921887 RX FONDAPARINUX INJ PER 0 * 5921895 RX TEMOZOLOMIDE PER 5MG * 5921903 RX DILTIAZEM ADV 100MG IN * 5921929 RX ETHAMBUTAL 400MG TAB * 5921952 RX INVANZ INJ PER 500MG * 5922018 RX MORPHINE SULF 25MG/ML * 5922034 RX ACAMP/CAMPRAL 333MG TB * 5922059 RX BIVALIRUDIN INJ PER 1M * 5922067 RX TIGECYCLINE INJ PER 1M * 5922075 RX VINBLASTINE INJ PER 1M * 5922091 RX ONDANSETRON 8MG ODT TA * 5922117 RX PANTOPRAZOLE SUSP 40 M * 5922125 RX FENOFIBRATE 145MG TAB * 5922141 RX TOBRADEX OPHTH OINT * 5922158 RX ZIPRASIDONE 80MG CAP(G * 5922174 RX DARBEPOETIN ESRD INJ P * 5922208 RX DICLOFENAC EPOLAMINE 1 * 5922257 RX HYDROCHLOROTHIAZIDE 12 * 5922265 RX DARBEPOETIN ESRD INJ P * 5922273 RX MEGESTROL ACET 625MG/5 * 5922281 RX LEVETIRACETAM PER 50MG * 5922356 RX DARBEPOETIN ESRD INJ P * 5922364 RX METHIMAZOLE 10MG TAB(T * 5922372 RX NITRAZOXANIDE 500MG TA * 5922414 RX CYCLOPENTOLATE 2% OPTH * 5922448 RX DARBEPOETIN PER 1MCG ( * 5922455 RX FENTANYL PATCH 12MCG/H * 5922471 RX FACTOR 8 INJ PER 1 UNI * 5922521 RX DILTIAZEM 120MG TAB(CA * 5922554 RX PRECEDEX 100MCG/ML * 5922596 RX ROPINIROLE 1MG TAB (RE * 5922604 RX CARBAMAZINE 100MG XR C * 5922646 RX IRINOTECAN PER 20MG * 5922653 RX NATALIZUMAB INJ PER 1M * 5922703 RX HYDROMORPHONE 4MG TAB * 5922711 RX BUPROPION XL 150MG TAB * 5922737 RX LORAZEPAM 20MG/10ML IN * 5922745 RX REGADENOSON PER 0.1MG * 5922752 RX NITROGLYCERIN .8MG/HR * 5922786 RX CYTARABINE 100MG INJ * 5922794 RX OLANZEPINE 2.5MG TAB * 5922810 RX CALCIUM GLUCONATE PER * 5922836 RX AMINOSYN-II 10% INJ SO * 5922869 RX PULMICORT .25MCG/2ML N * 5922877 RX LEUPROLIDE INJ PER 7.5 * 5922893 RX FACTOR 8 INJ PER 1 UNI * 5922901 RX QUETIAPINE 200MG TAB X * 5922943 RX ONCASPAR 750 IU/ML INJ * 5922968 RX EPHEDRINE 5MG/ML 10ML * 5923016 RX CHLOROTHIAZIDE 500MG T * 5923032 RX FENOFIBRATE 48MG TAB ( * 5923057 RX SUCCINYLYCHOLINE INJ P * 5923065 RX TEMAZEPAM 30MG CAP(RES * 5923081 RX QUETIAPINE 400MG TAB X * 5923099 RX FLECAINIDE 100MG TAB * 5923107 RX PROGRAF 1MG TAB * 5923123 RX ORPHENADRINE 60MG/2ML * 5923131 RX OXYBUTYNIN 10MG XL TAB * 5923149 RX PHENYLEPHRINE UPTO 1ML * 5923180 RX BUPIVICAINE/EPI .25% I * 5923214 RX ORPHENADRINE 100MG ER * 5923230 RX TRIPTORELIN PAM INJ PE * 5923263 RX DOXYCYCLINE 100MG CAP * 5923271 RX CLOPIDOGREL BISULFATE * 5923289 RX CALCIUM GLUCONATE 10ML * 5923297 RX DEXTROMETHORAPHAN ER 3 * 5923305 RX ARGATROBAN INJ PER 5MG * 5923313 RX RISPERIDONE MICROSPHER * 5923339 RX DEPAKOTE ER 250MG TAB * 5923362 RX DARBEPOETIN PER 1MCG ( * 5923412 RX REMERON 30MG TAB * 5923420 RX BUTORPHANOL 10MG/ML NA * 5923446 RX VARENICLINE 1MG TAB(CH * 5923461 RX LIDOCAINE 4% LTA KIT * 5923479 RX MOXIFLOXACIN .5% OPT S * 5923487 RX HYDROCORTISONE 1% OINT * 5923503 RX PROGESTERONE 50MG/ML I * 5923511 RX MORPHINE SULF 5MG/.25M * 5923529 RX ACETYLCYSTEINE INJ PER * 5923537 RX QUETIAPINE 300MG TAB X * 5923602 RX LEUPROLIDE 30MG INJ PE * 5923636 RX PSEUDOEPHEDRINE 120MG/ * 5923644 RX STERILE AEROSOL TALC P * 5923677 RX CINACALCET 30MG TAB (S * 5923693 RX EPOETIN ESRD INJ PER 1 * 5923727 RX HYDROXOCOBALAMIN INJ(C * 5923743 RX MINOCYCLINE 50MG CAP * 5923776 RX ROPIVACAINE 1% INJ PER * 5923784 RX EPOETIN ESRD INJ PER 1 * 5923792 RX SITAGLIPTIN 50MG TB(JA * 5923800 RX ZOLEDRONIC ACID PER 1M * 5923826 RX ARIPIPRAZOLE 10MG TAB * 5923834 RX HYDROCO/APAP 2.5-108MG * 5923867 RX MIRTAZAPINE 15MG OD TA * 5923883 RX SITAGLIPTON 100MG TB(J * 5923917 RX ISONIAZID 300MG TAB * 5923925 RX IBUPROFEN 100MG/5ML CU * 5923933 RX PREGABALIN 50MG CAP (L * 5923941 RX ROPIVACAINE 0.2% INJ P * 5923958 RX ALBUTEROL SULFATE NEB * 5923966 RX ALBUTEROL 90MCG(VENTOL * 5923974 RX CLINDAMYCIN 600MG/50ML * 5923990 RX CIDOFOVIR 75MG/ML 5ML * 5924006 RX BENZTROPINE 2MG TAB(CO * 5924014 RX METHACHOLINE INHAL PER * 5924113 RX PREGABALIN 100MG CAP ( * 5924121 RX NAROPIN 0.2%/NS 150ML * 5924139 RX TRIAMCINOLON .1% OINT * 5924170 RX VACC MMRV (VARIVAX) * 5924196 RX NYSTATIN/TRIA ACET OIN * 5924204 RX PREGABALIN 25MG CAP (L * 5924212 RX CISATRACURIUM 2MG/ML I * 5924220 RX AMBIEN CR 12.5MG TAB * 5924238 RX BUPRENOPHINE SL 8MG TA * 5924253 RX IBANDRONATE PER MG(BON * 5924261 RX CALCIUM GLUCONATE PER * 5924295 RX TELITHROMYCIN 400MG TA * 5924303 RX CLORAZEPATE 3.75MG TAB * 5924311 RX ABATACEP/ORENCIA PER 1 * 5924329 RX NALTREXONE MICRO INJ P * 5924337 RX DESIPRAMINE 10MG TB(NO * 5924352 RX VITAMIN D3 TAB * 5924360 RX AGALSIDASE BETA INJ PE * 5924386 RX VORICONAZOLE INJ PER 1 * 5924402 RX MORPHINE CR 60MG CAP(A * 5924410 RX SERTALINE 60ML BOTTLE( * 5924436 RX TRASTUZUMAB INJ PER 10 * 5924444 RX PHENYLEPH/PYRIL 5ML SU * 5924451 RX PENTAMIDINE 300MG INHA * 5924477 RX FLUCONAZOLE INJ PER 20 * 5924907 RX SOD CHLORIDE NASAL GEL * 5924915 RX KIT CHEST PAIN * 5924923 RX FENTANYL PCA(1500MCG/3 * 5924956 RX PHENYLEPHRINE 1% SPRAY * 5924964 RX LEUCOVORIN PER 50MG (L * 5924980 RX SOD CHLOR BICARB NS KI * 5924998 RX TETRACAINE 2% SOL 30ML * 5925003 RX PANITUMUMAB INJ PER 10 * 5925011 RX CLONAZEPAM 60ML * 5925029 RX MICONAZOLE BARRIER OIN * 5925037 RX PIOGLITAZONE 15MG TAB( * 5925045 RX PANITUMUMAB INJ PER 10 * 5925052 RX TRANEXAMIC ACID * 5925060 RX RISPERIDONE 2MG SOL-TA * 5925078 RX PIOGLITAZONE 30MG TAB( * 5925086 RX EPOPROSTENOL .5MG (FLO * 5925094 RX LUBRIDERM LOTION * 5925102 RX KIT MALIGNANT HYPERTHE * 5925110 RX PIOGLITAZONE 45MG TAB( * 5925128 RX DOFETILIDE 500MCG CAP( * 5925136 RX ZANAMIVIR 5MG DISKHALE * 5925144 RX BORTEZOMIB PER 0.1MG * 5925151 RX HEPATITIS B VACCINE * 5925169 RX CYCLOSPORINE .5% EMULS * 5925177 RX PHENYLEPHRINE IN NS PE * 5925185 RX RISPERIDONE M .5MG TAB * 5925201 RX MICAFUNGIN PER 1MG * 5925219 RX METOPRLOL 12.5MG * 5925227 RX LEVOCARNITINE 100MG/ML * 5925235 RX BISOPROLOL 2.5MG * 5925243 RX LEVETIRACETAM 100MG/ML * 5925250 RX PRAMIPEXOLE * 5925276 RX TENECTEPLASE 1MG * 5925284 RX LACTULOSE ENEMA 300ML/ * 5925300 RX ACETYLCYSTEINE 600MG C * 5925334 RX NORTRIPTYLINE 10MG * 5925342 RX OXALIPLATIN INJ PER 0. * 5925359 RX OCTREOTIDE PER 1MG * 5925367 RX METHYLPRED INJ UPTO 12 * 5925375 RX BUDESONIDE/FORMOTEROL * 5925383 RX BENZOCAINE 10% ORAL GE * 5925391 RX BUDESONIDE/FORMOTEROL * 5925409 RX BETAMET VALERATE 0.1% * 5925417 RX DARBEPOETIN ESRD/DIALY * 5925425 RX AA 4.25% D25W W/CAL-LY * 5925433 RX QUETIAPINE FUMARATE 50 * 5925441 RX AA 5% D20W W/CAL-CYTES * 5925458 RX VANCOMYCIN IN D5W PER * 5925466 RX AA 4.25% D5W W/CALLYTE * 5925482 RX CARBIDOPA (STALEVO) 25 * 5925508 RX SODUIM CHLOR 3% FOR NE * 5925516 RX AZITHROMYCIN ADV 500MG * 5925524 RX VANCOMYCIN 25MG/5ML OR * 5925532 RX CEFTRIAXONE INJ PER 25 * 5925557 RX DOCOSANOL 10% CREAM * 5925581 RX DIMETHYLSULFOXIDE PER * 5925599 RX INSULIN ASPART PER 5 U * 5925615 RX THEOPHYLLINE ANHYDROUS * 5925623 RX BUPRENORPHINE/NALOXONE * 5925631 RX PYRAZINAMIDE 500MG TAB * 5925656 RX PANCRELIPASE DR 5000 U * 5925664 RX BUPRENOPHINE/NALOXONE * 5925680 RX LIDOCAINE 1%/EPI 1:100 * 5925706 RX NOREPINEPHRINE 16MCG/M * 5925714 RX FLUOCINONIDE 0.05% TOP * 5925722 RX POVIDONE - IODINE OINT * 5925748 RX LORAZEPAM INJ * 5925755 RX ALBUTEROL NON-COMP UNI * 5925763 RX PENTAMIDINE ISETHIONAT * 5925789 RX SUMATRIPTAN IMITREX GS * 5925797 RX HEPARIN LOCK FLUSH INJ * 5925805 RX SODIUM BICARB 8.4% VIA * 5925813 RX PREGABALIN 300MG CAP * 5925839 RX LIPOSYN III INJECTION * 5925847 RX ATROPINE PED INJ ER 0. * 5925854 RX BUDESONIDE NEB PER 0.5 * 5925896 RX PALIPERIDONE INJ PER 1 * 5925912 RX PALIPERIDONE INJ PER 1 * 5925920 RX RIVASTIGMINE 4.6MG * 5925938 RX LORATADINE/P-EPHED 5/1 * 5925946 RX CETUXIMAB PER 10MG * 5925953 RX OMALIZUMAB INJ PER 5MG * 5925961 RX AZACITIDINE INJ PER 1 * 5925979 RX LIDOCAINE PF 10MG/ML 2 * 5925987 RX PEMETREXED DISODIUM IN * 5925995 RX DENTAL BOX KIT * 5926019 RX PALIPERIDONE INJ PER 1 * 5926027 RX IFOSFAMIDE INJ PER 1GM * 5927207 RX METHYLDOPA 250MG TAB * 5927215 RX CHOLRD/CLIDINUM 5/12.5 * 5927223 RX NORTRIPTYLINE 25MG CAP * 5927272 RX FLUROXAMINE 50MG TAB * 5927280 RX COMTAN 200MG TAB * 5927306 RX VERAPAMIL SR 120MG TAB * 5927330 RX SINEMET CR 25MG TAB * 5927348 RX DOXAZOSEN 2MG TAB * 5927363 RX IRON SUCROSE INJ PER 1 * 5927371 RX NIFEDIPINE XL 90MG TAB * 5927389 RX SELSILINE 5MG CAP * 5927413 RX SULFASALAZINE 500MG TA * 5927470 RX SYNTHROID .088MG TAB * 5927488 RX SMZ/TMP DS TAB * 5927496 RX TERAZASIN 1MG TAB * 5927504 RX MISOPROSTOL 100MCG TAB * 5927546 RX TEMOSATE .05% CR * 5927553 RX DOXEPIN 25MG CAP * 5927603 RX GLUCOTROL XL 25MG TAB * 5927611 RX TALC 5G POWDER * 5927629 RX SINEMET CR 50/200MG TA * 5927652 RX BACLOFEN 10MG TAB * 5927660 RX AMANTADINE 100MG CAP * 5927678 RX DANTRIUM 100G CAP * 5927686 RX ZANAFLEX 4MG TAB * 5927736 RX FLORINEF .1MG TAB * 5927769 RX GLUTOSE GEL TUBE * 5927793 RX SALSALATE 750MG * 5927819 RX HYGROTON 25MG TAB * 5927835 RX IMMUNE GLOBULIN INJ PE * 5927843 RX SPRINOLACTONE 50MG * 5927868 RX DIPIVEFRIN 0.1% OPHTH * 5927876 RX FOLIC 400MCG * 5927892 RX IMMUNE GLOBULIN (IVIG) * 5927900 RX MOBIC 7.5MG TAB * 5927918 RX ALEVE 220MG TAB * 5927926 RX SMZ/TMP SS 400-800MG T * 5927934 RX MELATONIN 3MG TAB * 5927975 RX OXYBUTININ 5MG TAB (DI * 5927983 RX METHOTREXATE 2.5MG TAB * 5928007 RX SSKI LIQ 1GM/ML * 5928023 RX OPTISON INJ PER 1ML * 5928031 RX PROLIXIN 5MG TAB * 5928056 RX PROBEN/COLCH 500/.5 TA * 5928064 RX PEPCID AC 10MG TAB * 5928072 RX GLYBURIDE 5MG TAB * 5928080 RX GLIPIZIDE 5MG TAB * 5928098 RX FLOMAX .4MG CAP * 5928106 RX COUMADIN 4MG TAB * 5928114 RX METHOCARBAM 500MG TAB * 5928122 RX TERBUTALINE 5MG TAB * 5928148 RX DETROL LA 4MG CAP * 5928155 RX CELECOXIB 200MG CAP (C * 5928189 RX AUGMENTIN 875MG TAB * 5928197 RX DICYCLOMINE 10MG CAP * 5928205 RX TERBUTALISE 2.5MG TAB * 5928239 RX FLUOROURACIL 50MG/ML I * 5928254 RX HYDRALAZINE 10MG TAB * 5928288 RX FERRIC SUBSULFATE SOLN * 5928304 RX HEMABATE 250MCG INJ * 5928312 RX NITROGLYCERIN .03MG/HR * 5928346 RX DOXAZOSIN 4MG TAB * 5928353 RX CARDIZEM CD 300MG CAP * 5928361 RX CLARITIN-D 24HR TAB * 5928395 RX AZATHIOPRINE 50MG TAB * 5928403 RX PRINIVIL 20MG * 5928411 RX NEPHROCAPS * 5928429 RX DILAUDID 2MG TAB * 5928437 RX COMBIVIR ORAL * 5928452 RX LAMISIL CREAM * 5928478 RX NAPROXEN 375 MG TAB * 5928494 RX METOPROLOL XL 100MG TA * 5928510 RX METOPROLOL XL 25MG TAB * 5928577 RX LITHIUM SR 300MG TAB ( * 5928619 RX PROBENECID 500MG TB (B * 5928635 RX RIFAMPIN INJ * 5928643 RX CAFFEINE 200MG TAB (VI * 5928650 RX WARFARIN 10MG TAB (COU * 5928882 RX AZITHROMYCIN 100/5ML S * 5928999 RX STERILE WATER INJ PER * 5929245 RX PROMETHAZINE 25MG SUPP * 5929252 RX PROPRANOLOL LA 60MG-IN * 5929393 RX KIT EYE DROP TRAY * 5929401 RX BABY EYE KITS * 5929419 RX MINOXIDIL 10MG TAB * 5929427 RX CALCITRIOL .25MCG CAP * 5929435 RX UROQID #2 TAB * 5929468 RX QUETIAPINE 25MG TAB (S * 5929476 RX BROMOCRIPTINE 2.5MG TA * 5929484 RX WITCH HAZEL-GLYCERIN T * 5929492 RX CLOTRIMAZ 10MG TROCHE( * 5929500 RX PAROXETINE 10MG TAB (P * 5929526 RX APAP/COD 120MG/12MG 5M * 5929534 RX PANTOPRAZOLE 40MG TB ( * 5929542 RX WARFARIN 1MG TAB (COUM * 5929567 RX PENICILLIN GK INJ UPTO * 5929575 RX PHENOBARB 30MG TAB * 5929583 RX TAMOXIFEN 10MG TAB (NO * 5929625 RX ISOSORB DIN 10MG TAB ( * 5929633 RX DICYCLOMINE 10/5ML SYP * 5929641 RX DIPHENHYD 12.5/5M ELX * 5929666 RX DIAZEPAM 2MG TAB * 5929674 RX DILTIAZEM 30MG TAB (CA * 5929682 RX CITALOPRAM 20MG TAB (C * 5929690 RX CARBEMAZEP CHW 100MG ( * 5929708 RX CARBAMAZEP XRTAB 200MG * 5929716 RX CARBAMAZEP XR-TAB 100M * 5929732 RX ASPIRIN 300MG SUPP * 5929757 RX ALBUMIN 5% PER 12.5GM * 5929773 RX ALBUTEROL NEB PER 1MG * 5929781 RX TERAZOSIN 2MG CAP (HYT * 5929799 RX PANTOPRAZOLE 40MG INJ * 5929807 RX IPRATROPIUM/ALBUT NEB * 5929823 RX ACETY/MUCOMYST NEB * 5929831 RX KENALOG NEB TX (TRIAMC * 5929849 RX ATROPINE NEB PER 0.01M * 5929872 RX CARBAMIDE PEROX OTIC ( * 5929880 RX ASPIRIN 81MG EC TAB * 5929948 RX CLOZAPINE 100MG TAB (C * 5929971 RX DEXAMETHASON .5/5ML SO * 5930003 RX ALGLUCOSIDASE ALFA PER * 5930011 RX ISOVUE 300 PER ML (50M * 5930029 RX ISOVUE 370 PER ML (75M * 5930037 RX ISOVUE 370 PER ML (100 * 5930045 RX ISOVUE 370 PER ML (200 * 5930052 RX ISOVUE-M 200 PER ML (2 * 5930060 RX ISOVUE-M 300 PER ML (1 * 5930078 RX GASTROGRAFIN PER ML (1 * 5930086 RX GASTROGRAFIN PER ML (3 * 5930094 RX CYSTOGRAFIN 18% PER ML * 5930102 RX CYSTOGRAFIN 30% PER ML * 5930110 RX SINOGRAFIN 38% PER ML * 5930128 RX MULTIHANCE PER ML (10M * 5930136 RX MULTIHANCE PER ML (15M * 5930144 RX MULTIHANCE PER ML (20M * 5930151 RX FLORAJEN 3 PER CAPSULE * 5930169 RX ISOVUE 300 ORAL USE PE * 5930177 RX ISOVUE 250 PER ML (50M * 5930185 RX GASTROGRAFIN 120ML ENE * 5930193 RX ADMIN FEE FOR IM RHO * 5930201 RX ADMIN FEE FOR IV RHO * 5930219 RX INFLUENZA VACCINE HIGH * 5930227 RX ISOVUE 370 PER ML (50M * 5930235 RX SODIUM CITRATE 4% INJ * 5930243 RX CIMZIA 400MG LYOPH INJ * 5930250 RX SAPHRIS 10MG TAB * 5930268 RX VACC HEP B 4DOSE ESRD/ * 5930276 RX FISH OIL 500MG CAPSULE * 5930284 RX SAPHRIS 5MG TAB * 5930292 RX EXELON 9.5MG PATCH * 5930318 RX PROLIA (DENOSUMALO) IN * 5930342 RX MENINGOCOCCAL POLY DIP * 5930359 RX HAEMOPHILUS B CONJ VAC * 5930367 RX VOLUVEN 6% 500ML * 5930375 RX ZYVOX 100MG/ML SUSPENS * 5930383 RX PROPRANOLOL 1MG/ML SUS * 5930409 RX BENZOCAINE 20% PER DOS * 5930425 RX ADMIN FEE FOR HEPATITI * 5930433 RX DRONEDARONE 400MG TABL * 5930441 RX DABIGATRAN ETEXILATE 1 * 5930458 RX CLINDAMYCIN 300MG INJ * 5930482 RX CAFFEINE CITRATE INJ P * 5930490 RX DACARBAZINE INJ PER 10 * 5930508 RX BLEOMYCIN INJ PER 15 U * 5930516 RX FOSAPREPITANT DIMEGLUM * 5930524 RX ORA PLUS * 5930532 RX SILDENIFIL CITRATE 50M * 5930540 RX METHYLENE BLUE 0.5% 1M * 5930565 RX NEXTERONE 150MG INJ * 5930573 RX SIMETHICONE 333MG/5ML * 5930599 RX ALBUTEROL 90MCG(PROAIR * 5930607 RX GI COCKTAIL * 5930615 RX OSELTAMIVIR 6MG/ML 60M * 5930623 RX PHENYLEPHRINE INJ PER * 5930631 RX LIDOCAINE 5% GEL * 5930649 RX LATUDA 20MG TAB * 5930656 RX XARELTO 10MG TAB * 5930664 RX XARELTO 15MG TAB * 5930672 RX XARELTO 20MG TAB * 5930680 RX PHENYLEPHRINE 100MG/10 * 5930698 RX LEVOTHYROXINE 100MCG I * 5930706 RX DACOGEN IV PER 1MG * 5930714 RX TEMSIROLIMUS PER 1MG * 5930730 RX OCTREOTIDE PER 1MG (30 * 5930748 RX CARBOPLATIN PER 50MG ( * 5930755 RX OMNIPAQUE 300 PER 1ML * 5930763 RX PRADAXA 75MG TAB * 5930771 RX PALIPERIDONE INJ PER 1 * 5930797 RX ORENCIA 125MG SYRINGE * 5930805 RX TREANDA PER 1 MG (100M * 5930821 RX NALBUPHINE INJ PER 10M * 5930839 RX REVATIO 20MG * 5930847 RX CALCIUM CHLORIDE 1GM/N * 5930854 RX CONIVAPTAN 20MG DSW 10 * 5930862 RX RANOLAZINE 500MG TAB * 5930870 RX AUGMENTIN SUSP 400MG 5 * 5930888 RX CABAZITAXEL (JEVTANA)I * 5930896 RX DENOSUMAB 1MG INJ * 5930904 RX FULVESTRANT 25MG INJ * 5930912 RX GOSERLIN PER 3.6MG (10 * 5930920 RX PREDNISOLONE SYRUP PER * 5930987 RX ONDANSETRON ORAL SOLUT * 5931019 RX ISOSULFAN BLUE INJ 1% * 5931027 RX RASBURICASE PER 0.5MG * 5931035 RX NITROGLYCERIN SL 0.4MG * 5931043 RX ACETAMINOPHEN INJ 1000 * 5931050 RX TICAGRELOR 90MG TAB * 5931068 RX DEXRAZOXANE INJ PER 25 * 5931076 RX ABHR GEL * 5931118 RX DOXYCYCLINE 50MG * 5931126 RX CEFTAROLINE FOSAMIL PE * 5931134 RX DAKIN'S SOLUTION HALF * 5931167 RX ISOVUE 370 PER ML (125 * 5931175 RX OMEPRAZOLE SUSPENSION * 5931183 RX LUPRON DEPOT PER 7.5MG * 5931209 RX MITOMYCIN PER 5MG * 5931217 RX ISOVUE 300 PER 1ML * 5931225 RX CUROSURF 240MG INJ * 5931233 RX PACLITAXEL PROTEIN BOU * 5931241 RX MENINGOCOC VAC A-C-Y-W * 5931266 RX MULTIVITAMIN PEDIATRIC * 5931308 RX VASHE WOUND THERAPY * 5931316 RX MINERALS, INJ (ADDAMEL * 5931324 RX ISOVUE 300 PER ML (30 * 5931340 RX VINORELBINE PER 10MG * 5931357 RX PROTHROMBIN COMPLEX (H * 5931365 RX IV ECULIZUMAB PER 10MG * 5931373 RX GLYCOPYROLATE 0.4MG/2M * 5931381 RX GOSERLIN PER 3.6MG (3. * 5931399 RX ANTITHROMBIN III PER 1 * 5931407 RX CEFAZOLIN PER 500MG (3 * 5931415 RX PHOS/SODIUM/POTASSIUM * 5931423 RX CALCIUM CITRATE + D3 * 5931431 RX TOCILIZUMAB PER 1MG * 5931449 RX LABETALOL INJ * 5931456 RX HYDROCODONE/APAP 7.5/3 * 5931464 RX HEPARIN PER 1000 IU (O * 5931472 RX ROFLUMILAST 500 MCG TA * 5931480 RX ARIPIPRAZOLE IM ER PER * 5931514 RX APIXABAN 5MG TAB * 5931530 RX AZTREONAM PER 2 GM * 5931548 RX FERRIC CARBOXYMALTOSE * 5931613 RX TOCILIZUMAB PER 1MG (S * 5931621 RX DEGARELIX INJ PER 1MG * 5931639 RX VORICONAZOLE 200MG CAP * 5931647 RX NALOXONE INTRANASAL PE * 5931654 RX KETAMINE INTRANASAL * 5931662 RX HEPTATIS B IMMUNE GLOB * 5931670 RX THEOPHYLLINE ORAL SOLU * 5931688 RX CARFILZOMIB PER 1MG * 5931696 RX BUPIVACAINE LIPOSOME/P * 5931704 RX LIDOCAINE 1% INJ 20ML * 5931712 RX PROMETHAZINE 25MG/ML I * 5931738 RX OSELTAMIVIR 30MG * 5931746 RX METRONIDAZOLE SUSPENSI * 5931753 RX ADO-TRASTUZUMAB EMTANS * 5931761 RX ROMIPLOSTIM PER 10MCG * 5931779 RX MINERAL INJ * 5931787 RX CLONIDINE PER 1MG * 5931795 RX AZTREONAM PER 500MG (V * 5931803 RX PULMOZYME PER 1MG * 5931811 RX LUBIPROSTONE 24MCG CAP * 5931829 RX VACC PNEUMONOCCAL(PREV * 5931837 RX BIOTENE DRY MOUTH RINS * 5931845 RX EPIRUBICIN 50MG INJECT * 5931860 RX IMMUNE GLOBULIN (IVIG) * 5931878 RX DIPRIVAN PER 10MG * 5931886 RX TIROFIBAN PER 0.25MG * 5931894 RX FERUMOXYTOL INJ PER 1M * 5931902 RX FERUMOXYTOL INJ PER 1M * 5931910 RX VEDOLIZUMAB PER 1MG * 5931928 RX NIVOLUMAB PER 1MG * 5931936 RX LINACLOTIDE 145MG CAPS * 5931944 RX POLIOMYELITIS VACCINE * 5931951 RX IDARUCIZUMB INJ * 5931969 RX MIDAZOLAM INJ PER 50MG * 5931977 RX LOSARTAN POTASSIUM 100 * 5931993 RX HYDROMORPHONE UP TO 4M * 5932009 RX DEXAMETHASONE PF TO 1 * 5932017 RX SACUBITRIL/VALSARTAN T * 5932025 RX APREPITANT 80MG CAP * 5932033 RX POLIDOCANOL INJ * 5932066 RX SUGAMMADEX 200MG/2ML I * 5932082 RX KETAMINE 50MG/5ML-NS * 5932090 RX CIPROFLOXACIN 6% * 5932108 RX METHYLNALTREXONE * 5932116 RX METHYLNAL TREXONE BROM * 5932124 RX USTEKINUMAB 90MG/1ML S * 5932132 RX USTEKINUMAB 45MG/0.5ML * 5932140 RX USTEKINUMAB 130MG/26ML * 5932157 RX RAMUCIRUMAB 500MG/50ML * 5932173 RX MEPOLIZUMAB 100MG * 5932181 RX LACOSAMIDE PER 1MG * 5932199 RX RESLIZUMAB 100MG * 5932207 RX HYDROMORPHONE 0.5MG * 5932215 RX DOCETAXEL 1MG * 5932223 RX FLUOR-OP 0.1% OINT * 5932231 RX TIMOLOL MAL 0.5% GFS * 5932249 RX ACETIC ACID 2% OTIC SO * 5932256 RX NITRA TEST PAPER * 5932264 RX GLYCERIN SUPP 2G * 5932272 RX ACYCLOVIR PER 5MG(1000 * 5932280 RX DANTROLENE 250MG * 5932298 RX PFIZERPEN 5MU * 5932306 RX LORAZEPAM ORAL ER PTS * 5932314 RX MORPHINE 5MG/ML CPJ IN * 5932322 RX PHENYLPHRINE 20MG/250M * 5932330 RX OXYTOCIN 30U/500 NS PE * 5932348 RX PHENTOLAMINE 5MG INJ * 5932355 RX SODIUM CHLORIDE 1GM TA * 5932363 RX GLYCOPYRROLATE 1MG TAB * 5932371 RX MEPERIDINE 50MG INJ * 5932389 RX PREGNYL PER 1000 UNITS * 5932397 RX OCRELIZUMAB PER 1MG * 5932405 RX AA 4.25% D25W W/CAL-LY * 5932421 RX RIFAXIMIN 550MG * 5932439 RX SODIUM THIOSULFATE 25% * 5932447 RX PYRIDOXINE 100MG INJ * 5932454 RX BEZLOTOXUMAB PER 100MG * 5932462 RX SOD NITRITE/SOD THIOSU * 5932470 RX HALOPERIDOL 50MG * 5932488 RX TIMOLOL MAL 0.25% OP G * 5932496 RX CEFTRIAXONE PER 250MG * 5932512 RX OSELTAMIVIR SUSP PER M * 5932520 RX DTAP VACC * 5932538 RX ACETIC ACID IRR * 5932546 RX PEPPERMINT OIL SOLN * 5932553 RX MORPHINE SULFATE 10MG * 5932561 RX LIDOCAINE 2% MPF 10MG * 5932579 RX RANITIDINE INJ PER 25M * 5932587 RX CANGRELOR 50MG VIAL * 5932595 RX BUPIVACAINE LIPOSOME/P * 5932603 RX INFLECTRA PER 100MG * 5932611 RX SIMPONI ARIA 50MG/4 ML * 5932629 RX CEFAZOLIN 2G/100ML PER * 5932637 RX DURVALUMAB PER 10MG IN * 5932645 RX COMBIGAN 5ML OPTH SOL * 5932652 RX TOLVAPTAN 15MG TAB * 5932660 RX BENRALIZUMAB PER 1MG I * 5932678 RX PEMBROLIZUMAB PER 1MG INJ * 5932686 RX ALVIMOPA 12MG CAP * 5932694 RX LIDOCAINE 1% INJ PER 10MG 5ML * 5932702 RX KKETAMINE HCL 500MG/10ML * 5932728 RX ACETAMINOPHEN ER 650MG TAB * 5999990 RX RHO IMMUNE GLOB PER 10 * 6000053 RD HOSPITAL DIALYSIS 1,151.00 6000129 RD IP CRRT W/1 MD EVAL 1,083.00 6000137 RD IP CRRT W/MULTI MD EVA 1,488.00 6000160 RD EMERG DIALYSIS ESRD PT 1,162.00 6200018 LI LITHOTRIPSY EXT SHOCK 11,457.00 6400014 OUTPATIENT INITIAL EVAL & FIRST DAY OF EXERCISE 308.00 6400063 AFTER INITIAL EVAL, EACH TELEMETRY SESSION OF OUTPATIENT CR 308.00 6400105 CR INPATIENT INITIAL EVAL & EXERCISE 308.00 6400113 AFTER INITIAL EVAL, EACH SESSION OF INPATIENT CR 308.00 6400345 NON-TELEMETRY SESSION OF OUTPATIENT CR 308.00 6402713 SMOKING CESSATION COUNSELING 69.00 6402721 SMOKING CESSATION COUNSELING 69.00 6402739 OUTPATIENT PAD SESSION OF CR 95.00 6500011 OUTPATIENT PR INITIAL EVAL 308.00 6500037 PR INPATIENT VISIT 143.00 6500243 PULMONARY REHAB W/EXER 308.00 6500268 PR OUTPATIENT EXERCISE SESSION 110.00 DEBRIDEMENT (EG. HIGH PRESSURE WATERJET W/WO SUCTION, SHARP SELECTIVE DEBRIDEMENT WITH 7400005 932.00 SCISSORS/SCALPEL/FORCEPS)INCLUDING TOPICAL APPLICATION(S), TOTAL WOUND SURFACE AREA; 1ST 20 SQCM OR LESS

DEBRIDE (HIGH PRESSURE WATERJET W/WO SUCTION, SHARP SELECTIVE DEBRIDEMENT WITH 7400013 315.00 SCISSORS/SCALPEL/FORCEPS)INCLUDING TOPICAL APPLICATION(S), EACH ADDITIONAL 20 SQCM, OR PART THEREOF DEBRIDEMENT; SUB-Q TISSUE (INCLUDES EPIDERMIS AND DERMIS, 7400021 1,226.00 IF PERFORMED), FIRST 20 SQCM OR LESS EXCISIONAL DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES 7400039 EPIDERMIS AND DERMIS, IF PERFORMED); EACH ADDITIONAL 20 602.00 SQCM, OR PART THEREOF DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, 7400047 1,862.00 DERMIS, & SUB Q, IF PERFORMED), 1ST 20 SQCM OR LESS

EXCISIONAL DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES 7400054 EPIDERMIS, DERMIS, & SUBCUTANEOUS TISSUE IF PERFORMED); 931.00 EACH ADDITIONAL 20 SQCM, OR PART THEREOF

DEBRIDEMENT; BONE (INCLUDES EPIDERMIS, DERMIS, SUBQ TISSUE, 7400062 5,079.00 MUSCLE AND/OR FASCIA, IF PERFORMED) 1ST 20 SQCM OR LESS

EXCISIONAL DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, 7400070 SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); 2,540.00 EACH ADDITIONAL 20 SQCM, OR PART THEREOF DRESSINGS AND/OR DEBRIDEMENT OF BURNS, INITIAL OR 7400088 634.00 SUBSEQUENT; WITHOUT ANESTHESIA; SMALL DRESSINGS AND/OR DEBRIDEMENT OF BURNS, INITIAL OR 7400096 634.00 SUBSEQUENT; WITHOUT ANESTHESIA; MEDIUM DRESSINGS AND/OR DEBRIDEMENT OF BURNS, INITIAL OR 7400104 1,226.00 SUBSEQUENT; WITHOUT ANESTHESIA; LARGE 7400120 NEW PATIENT LEVEL 1 LIMITED ASSESSMENT 262.00 7400138 NEW PATIENT LEVEL 2 LOW TO MODERATE ASSESSMENT 341.00 7400146 NEW PATIENT LEVEL 3, MODERATE ASSESSMENT 449.00 7400153 NEW PATIENT LEVEL 4, MODERATE TO HIGH ASSESSMENT 594.00 7400161 NEW PATIENT LEVEL 5, HIGH ASSESSMENT 813.00 7400179 ESTABLISHED PATIENT LEVEL 1, LIMITED ASSESSMENT 263.00 7400187 ESTABLISHED PATIENT LEVEL 2, LOW TO MODERATE ASSESSMENT 341.00 7400195 ESTABLISHED PATIENT LEVEL 3, MODERATE ASSESSMENT 341.00 7400203 ESTABLISHED PATIENT LEVEL 4, MODERATE TO HIGH ASSESSMENT 449.00 7400211 ESTABLISHED PATIENT LEVEL 5, HIGH ASSESSMENT 594.00 7400260 I & D ABSCESS; SIMPLE/SINGLE 629.00 7400278 I & D ABSCESS; COMPLICATED OR MULTIPLE 1,202.00 7400286 INCISION & REMOVAL OF FOREIGN BODY 1,226.00 7400294 I & D HEMATOMA, SEROMA, OR FLUID COLLECTION 5,079.00 7400302 PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA OR CYST 1,202.00 7400336 BIOPSY OF SKIN, SUB-Q, MUCUS MEMBRANE; SINGLE LESION 1,202.00 7400344 BIOPSY OF SKIN; ADDTL/SEPARATE LESION 602.00 7400369 APPLICATION OF RIGID TOTAL CONTACT LEG CAST 968.00 7400377 NEGATIVE PRESSURE WOUND TX, 50 SQ CM OR LESS 629.00 7400385 NEGATIVE PRESSURE WOUND TX, MORE THAN 50 SQ CM 1,202.00 7400393 UNNA BOOT 556.00 7400401 BILATERAL UNNA BOOT 772.00 APPLICATION OF MULTI-LAYER VENOUS WOUND COMPRESSION 7400419 556.00 SYSTEM, BELOW KNEE APPLICATION OF MULTI-LAYER VENOUS WOUND COMPRESSION 7400427 772.00 SYSTEM, BELOW KNEE BILATERAL LEGS 7400468 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE 634.00 EXCISION NAIL & NAIL MATRIX, PARTIAL OR COMPLETE- 7400476 1,640.00 PERMANENT REMOVAL NON-SELECTIVE DEBRIDEMENT, W/O ANESTHESIA,(WET-TO-DRY 7400559 634.00 DRESING, ENZYMATIC DEBRIDERS)PER SESSION 7400567 WC NEW PATIENT LEVEL 1 W/ 262.00 7400575 WC NEW PATIENT LEVEL 2 W/ 305.00 7400583 WC NEW PATIENT LEVEL 3 W/ 424.00 7400609 WC NEW PATIENT LEVEL 5 W/ 616.00 7400617 WC ESTABLISHED PT LVL 1 W 208.00 7400625 WC ESTABLISHED PT LVL 2 W 255.00 7400633 WC ESTABLISHED PT LVL 3 W 298.00 7400641 WC ESTABLISHED PT LVL 4 W 334.00 7400658 WC ESTABLISHED PT LVL 5 W 501.00 APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, 7400666 TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQCM 6,094.00 OR LESS WOUND SURFACE AREA EACH ADDITIONAL 25 SQCM WOUND SURFACE AREA, OR PART 7400674 1,543.00 THEREOF-LOCATION OF TRUNK, ARMS, LEGS APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 7400682 10,231.00 SQCM; FIRST 100 SQ CM WOUND SURFACE AREA, OR 1% OF BODY AREA INFANTS/CHILDREN EACH ADDITIONAL 100 SQ CM WOUND SURFACE AREA, OR PART THEREOF, OR EACH ADDITIONAL 1% OF BODY AREA OF INFANTS 7400690 5,116.00 AND CHILDREN, OR PART THEREOF-LOCATION OF TRUNK, ARMS,AND/OR LEGS APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, MOUTH,NECK, EARS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE 7400708 6,094.00 DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; 1ST 25 SQ CM OR LESS EACH ADDITIONAL 25 SQCM WOUND SURFACE AREA, OR PART 7400716 THEREOF-LOCATION TO FACE, SCALP, MOUTH, NECK, EARS, 1,543.00 GENITALIA, HANDS,FEET, AND/OR MULTIPLE DIGITS APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, NECK, EARS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL 7400724 6,094.00 WOUND SURFACE AREA > THAN OR = TO 100 SQ CM; 1ST 100 SQ CM EACH ADDITIONAL 100 SQ CM WOUND SURFACE AREA, OR PART THEREOF-LOCATION 7400732 1,543.00 FACE,SCALP,NECK,EARS,GENITALIA,HANDS,FEET, AND/OR MULTIPLE DIGITS 7400773 I & D, COMPLEX, POST OPERATIVE WOUND INFECTION 7,083.00 7400781 BIOPSY, BONE, EXCISIONAL; SUPERFICIAL 7,900.00 7400823 MEDICARE OFFICE VISIT CODE 438.00 7400914 - HBOT, FULL BODY CHAMBER, 30MIN 475.00 NEGATIVE PRESSURE WOUND VAC, UTILIZING DISPOSABLE, NON- 7400922 DURABLE DME, PER SESSION TOTAL WOUND SURFACE AREA LESS 1,202.00 THAN OR = TO 50 SQ CM NEGATIVE PRESSURE WOUND VAC, UTILIZING DISPOSABLE, NON- 7400930 DURABLE DME, PER SESSION TOTAL WOUND SURFACE AREA 1,202.00 GREATER THAN 50 SQ CM EPIDERMAL AUTOGRAFT TO TRUNK, ARMS, LEGS; 1RST 100 SQ CM 7400948 5,863.00 OR LESS EPIDERMAL AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; 7400955 6,095.00 FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN 7600059 TREATMENT LEVEL 1 152.00 7600067 TREATMENT LEVEL 2 179.00 7600075 TREATMENT LEVEL3 289.00 7600109 INITIAL VACCINE GIVEN 92.00 7600117 ADDITIONAL VACCINES GIVEN 71.00 7600182 POST-OP/RECOVERY TIME 137.00 7600190 THERAPUTIC PHLEBOTOMY 229.00 7600265 INITIAL CHEMOTHERAPY MEDICATION INFUSION 682.00 7600273 ADDITIONAL CHEMOTHERAPY MEDICATION INFUSION 544.00 7600299 FLUSHING OF VENOUS ACCESS DEVICE 154.00 7600356 SPINAL/LUMBAR PUNCTURE 675.00 7600364 FOLEY CATHETERIZATION 188.00 7600372 SUPRAPUBIC CATHETERIZATION 424.00 7600380 STRAIGHT CATHETERIZATION 188.00 7600430 BLADDER IRRIGATION 404.00 7600489 BLADDER SCAN 160.00 7600554 INJECTION SQ OR IM 163.00 7600562 INITIAL IV PUSH MEDICATION 244.00 7600570 INITIAL IV FLUIDS 386.00 7600588 ADDITIONAL IV FLUIDS 166.00 7600596 INITIAL IV INFUSION 411.00 7600604 ADDITIONAL IV INFUSION SAME MEDICATION 188.00 7600612 IV INFUSION DIFFERENT MEDICATION 333.00 7600620 CONCURRENT INFUSION OF TWO MEDICATIONS OR MORE 104.00 7600638 IV PUSH DIFFERENT MEDICATION 202.00 7600646 IV PUSH OF SAME MEDICATION 125.00 7600653 DECLOTTING VASCULAR DEVICE 479.00 7600661 INITIAL IV PUSH OF CHEMOTHERAPY MEDICAITON 340.00 7600679 IV PUSH OF DIFFERENT CHEMOTHERAPY MEDICATION 165.00 7600687 IV INFUSION OF CHEMOTHERAPY MEDICATION ADDITIONAL HOURS 410.00 CONCURRENT INFUSION OF TWO OR MORE CHEMOTHERAPY 7600703 97.00 MEDICATIONS 7600711 ANTINEOPLASTIC CHEMOTHERAPY MEDICATION GIVEN SQ OR IM 204.00 7600729 PRE PROCEDURE * 7601719 WOUND VAC GREATER THAN 50SQCM 643.00 7601735 WOUND VAC LESS THAN 50SQCM 271.00 7601883 CIRCUMCISION 3,491.00 7601891 HORMONAL CHEMOTHERAPY MEDICATION GIVEN SQ OR IM 152.00 7601925 ABDOMINAL PARCENTESIS 1,171.00 7601958 GASTROTOMY BUTTON/TUBE CHANGE 478.00 7601974 THORANCENTESIS 879.00 7602014 BLOOD DRAW FROM PORT 154.00 7602022 INITIATING CHEMOTHERAPY MEDICATION PUMP 594.00 7602071 BLOOD DRAW FROM CENTRAL LINE/PICC/DIALYSIS CATHETER 150.00 7602089 INTRATHECAL CHEMOTHERAPY 497.00 7700032 ER SPLINT FINGER STATIC 129.00 7700057 ER SPLINT ARM SHORT STATIC 196.00 7700081 ER CAST ARM SHORT 392.00 7700115 ER SPLINT ARM LONG 196.00 7700123 ER SPLINT LEG LONG 216.00 7700149 ER SPLINT LEG SHORT 196.00 7700180 ER AVULSION FINGER NAIL 255.00 7700198 ER CPR ACUTE FLOORS 1,228.00 7700206 ER CRIT CARE INIT 30-74' 2,347.00 7700214 ER CPR ER DEPT ONLY 1,228.00 7700222 ER CARDIOVERSION ELECTIVE EXTERNAL 1,412.00 7700248 ER CATHETERIZATION SIMP 188.00 7700263 ER FRACTURE TREATMENT TOES W/MANINPULATION 333.00 ER DISLOCATION TREATMENT INTERPHALANX JOINT 7700271 478.00 W/MANIPULATION 7700313 ER CONTROL NOSEBLEED ANTERIOR 204.00 7700321 ER CONTROL NOSEBLEED POSTERIOR 204.00 7700339 ER CRIT CARE INIT 30-74' 2,347.00 7700404 ER I&D VULVA ABSCESS 463.00 7700412 ER DRESS/DEBR INITITAL/SUBSEQUENT W/ 281.00 7700438 ER INTUBATION 747.00 7700446 ER TXMT LEVEL II EST 179.00 7700479 ER TXMT LEVEL III EST 207.00 7700495 ER VISIT LVL I 230.00 7700503 ER VISIT LVL I 230.00 7700511 ER VISIT LVL II 411.00 7700529 ER VISIT LVL II 411.00 7700537 ER VISIT LVL III 675.00 7700545 ER VISIT LVL III 675.00 7700552 ER VISIT LVL IV 810.00 7700560 ER VISIT LVL IV 810.00 7700578 ER VISIT LVL V 1,223.00 7700586 ER VISIT LVL V 1,223.00 7700602 ER EVACUATION NAILBED HEMATOMA 117.00 7700610 ER FRACTURE TREATMENT OF FINGER W/MANIPULATION 333.00 7700644 ER I&D ABSCESS SIMPLE 100 334.00 7700669 ER IMMUNIZE ADMIN 1 VACCINE 92.00 7700685 ER REMOVAL IMPACTED CERUMEN 104.00 7700693 ER INCISION AND DRAINAGE OF PILONIDAL CYST 290.00 7700701 ER INCISE & REMOVAL FOREIGN BODY SIMPLE PROCEDURE 524.00 7700719 ER INCISION THROMBOSED HEMORRHOID 404.00 7700792 ER INJECTION WITH ANESTHESIA TO FACIAL NERVE 501.00 ER ASPIRAITON AND/OR INJECTION INTERMEDIATE JOINT OR 7700818 453.00 BURSA 7700842 ER DISLOCATION TREATMENT NURSEMAID ELBOW 333.00 ER DISLOCATION TREATMENT PATELLA/ KNEECAP W/O 7700859 277.00 MANIPULATION 7700867 ER OXIMETRY MULTIPLE/CONTINUOUS * 7700875 ER OXIMETRY SINGLE USE * 7700883 ER ASPIRATION ABSCESS HEMATOMA OR CYST 353.00 7700891 ER TREATMENT DISLOCATED ELBOW 333.00 ER REMOVAL FOREIGN BODY EXTERNAL EYE CORNEAL WITH OUT 7700917 154.00 SLIT LAMP ER REMOVAL FOREIGN BODY EXTERNAL EYE CONJUNTIVA 7700925 154.00 SUPERFICIAL 7700933 ER REMOVAL FOREIGN BODY INTRANASAL 251.00 ER REMOVAL FOREIGN BODY EXTERNAL EYE CORNEAL WITH SLIT 7700941 154.00 LAMP 7700958 ER REMOVAL FOREIGN BODY EAR W/O ANESTHESIA 104.00 7700990 ER REPAIR INTERMEDIATE WOUNDS <2.5CM 521.00 7701006 ER REPAIR WOUNDS EXTREMITY <2.5CM 380.00 7701014 ER REPAIR WOUNDS FACE <2.5CM 521.00 7701055 ER REPAIR WOUNDS FACE 2.6-5CM 521.00 7701063 ER REPAIR WOUNDS INTERMEDIATE 2.6-7.5CM 521.00 7701071 ER REPAIR WOUND INTERMEDIATE TO EXTREMITY 2.6-7.5 CM 521.00 7701097 ER REPAIR WOUNDS INTERMEDIATE 20.1-30.0CM 780.00 7701113 ER RPR LAYER FACE 5.1-7.5 521.00 7701121 ER REPAIR WOUND INTERMEDIATE FACE 7.6-12. 380.00 7701139 ER REPAIR WOUND INTERMEDIATE 7.6-12.5CM 521.00 7701154 ER REPAIR WOUND SIMPLE >30.0CM 333.00 7701162 ER REPAIR WOUND SIMPLE FACE >30.0CM 496.00 7701170 ER REPAIR WOUND SIMPLE FACE <2.5CM 248.00 7701188 ER REPAIR WOUND SIMPLE <2.5CM 262.00 7701196 ER REPAIR WOUND SIMPLE 12.6-20CM 292.00 7701212 ER REPAIR WOULD SIMPLE FACE 2.6-5.0 255.00 7701220 ER REPAIR WOUND SIMPLE 2.6-7.5CM 263.00 7701238 ER REPAIR WOUND SIMPLE 20.1-30.0CM 380.00 7701253 ER REPAIR WOUND SIMPLE FACE 5.1-7.5 263.00 7701261 ER REPAIR WOUND SIMPLE 7.6-12.5CM 278.00 7701279 ER REPAIR WOUND SIMPLE FACE 7.6-12. 278.00 7701311 ER DISLOCATION TREATMENT SHOULDER W/O ANESTHESIA 333.00 7701337 ER SPINAL PUNCTURE 708.00 7701345 ER INJECTION OF TRIGGER POINT 1-2 MUSCLE 385.00 7701352 ER FRACTURE TREATMENT FINGER EACH W/MANIPULATION 516.00 7701360 ER TREATMENT DISLOCATION PATELLA W/ANESTHSIA 2,138.00 ER DISLOCATION TREATMENT INTER PHALANX JOINT W/O 7701386 277.00 ANESTHESIA ER FRACTURE TREATMENT RADIUS & ULNA SHAFT W/O 7701410 277.00 MANIPULATION ER DISLOCATION TREATMENT INTERPHALANX JOINT 7701428 2,056.00 W/MANIPULATION 7701444 ER TREATMENT OF TEMPORAL MANDIBULAR JOINT DISLOCATION 207.00 7701493 ER INTRODUCTION OF NEEDLE/CATHETER INTO VEIN 116.00 7701519 ER FRACTURE TREATMENT PHALANGEAL W/MANIPULATION 333.00 7701550 ER FRACTURE TREATMENT DISTAL RADIUS W/MANIPUTLATION 855.00 7701576 ER INCISION &DRAINAGE OF RECTAL ABSCESS 2,702.00 7701626 ER DISLOCATION TREATMENT ANKLE W/O ANENSTHSIA 333.00 7701642 ER DISLOCATION TREATMENT OF HIP W/O ANESTHESIA 333.00 7701675 ER ASPIRATION DRAINAGE AND/OR INJECTION MAJOR JOINT BURSA 562.00 7701683 ER DRAINAGE OF GUM LESION 305.00 7701691 ER DIAGNOSTIC LARYNGOSCOPY 281.00 7701741 ER EXPLORATION WOUND EXTREMITY 1,608.00 7701774 ER INJECTION FACIAL NERVE 64402 378.00 7701790 ER NONTUNNEL CENTRAL VENOUS CATH >5YR 2,716.00 7701816 ER FRACTURE TREATMENT OF TIBIAL W/MANINPUTALTION 2,384.00 7701840 ER REPAIR WOUND COMPLEX 1.1-2.5CM 521.00 7701881 ER EXCISION WEDGE OF TOE NAIL 162.00 7701899 ER INSERTION OF PICC W/O IMAGING >5Y 2,219.00 7701931 ER REPAIR COMPLEX EYELID 2.6-7.5CM 1 810.00 7701964 ER BLADDER IRRIGATION SIMPLE 404.00 7701980 ER REPAIR COMPLEX WOUND 2.5-7.5CM 810.00 7701998 ER REPAIR WOUND COMPLEX FOREHEAD EACH ADD 5 CM/< 1,047.00 7702053 ER FRACTURE TREATMENT RADIUS & ULNA W/ MANIPULATION 823.00 7702061 ER DISLOC TX HIP ARTHRO W 333.00 7702103 ER INJECTION TRIGGER POINT 3+ MUSCLE 385.00 ER FRACTURE TREATMENT OF TRIAMALLEOLAR ANKLE 7702137 855.00 W/MANIPULATION 7702160 ER INJECTION EPIDURAL BLOOD PATCH 1,276.00 7702178 ER WINDOWING OF CAST 188.00 7702194 ER DEBRIDEMENT OF SKIN & SUBCUTANEOUS TISSUE 524.00 7702202 ER REMOVAL OF ARM/LEG CAST 197.00 7702327 ER REPAIR WOUND MOUTH/TONGUE 2.5CM 184.00 7702335 ER INCISION AND DRAINAGE OF PERIANAL ABCESS 906.00 7702343 ER COMPLEX REPAIR WOUND 2.6CM - 7.5CM 780.00 7702376 ER COMPLEX REPAIR WOUND EACH ADDITIONAL 5CM 998.00 7702426 ER CLOSED TREATMENT HUMERAL FRACTURE W/MANIPULATION 333.00 7702442 ER CONTROL NOSEBLEED ANTERIOR 192.00 7702509 ER CHANGE GASTROSTOMY TUBE 478.00 7702517 ER INCISION &DRAINAGE HEMATOMA SEROMA OR FLUID 2,072.00 ER INJECTION ANESTHSIA COSTRAL CHONDRAL/OR OTHER 7702525 675.00 PERIPHERAL NERVE BRANCH 7702558 ER REPAIR COMPLEX WOUND EACH ADDITIONAL 5CM 229.00 7702574 ER CLOSURE OF LACERATION OF MOUTH >2.5 CM 1,037.00 7702608 ER DISLOCATION TREATMENT OF KNEE W/O ANESTHESIA 333.00 ER CLOSED REDUCTION OF DISLOCATED SHOULDER WITH 7702624 1,510.00 FRACTURE WITH MANIPULATION 7702657 ER BRONCHOSCOPY RIGID OR FLEXIBLE 1,725.00 7702707 ER MEASURE POST VOIDING URINE RESIDUAL WITH ULTRASOUND 104.00 7702715 ER INCISION AND DRAINAGE OF BARTHOLIN GLAND ABCESS 257.00 ER STRAIGHT CATHETERIZATION OF NON-INDWELLING BLADDER 7702756 188.00 CATHETER ER CLOSED TREATMENT OF DISLOCATION SHOULDER WITH 7702772 333.00 MANIPULATION ER CLOSED FRACTURE TREATMENT OF HAND JOINT WITH 7702814 333.00 MANIPULATION 7702947 ER TREATMENT LEVEL I ESTABLISHED PATIENT 147.00 7703010 ER REPAIR COMPLEX WOUND OF EYELID NOSE 810.00 7703036 ER INCISION AND DRAINAGE OF SCROTAL WALL ABSCESS 1,531.00 ER REPAIR OF LIP WOUND FULL THICKNESS GREATER THAN HALF 7703127 1,039.00 VERTICAL HEIGHT COMPLEX 7703192 ER VENIPUNCTURE AGE>3 COMPLEX 127.00 ER CLOSED TREATMENT DISTAL FINGER OR THUMB FRACTURE WITH 7703242 278.00 OUT MANIPULATION 7703267 ER FRACTURE TREATMENT ANKLE WITH MANIPULATION 855.00 ER REPAIR OF LIP WOUND FULL THICKNESS VERMILION BOARDER 7703374 1,349.00 ONLY ER CLOSED FRACTURE TREATMENT OF DISTAL FIBULA WITH 7703382 380.00 MANIPULATION 7703473 ER CHANGE CYSTOSTOMY TUBE 581.00 7703481 ER INCISION AND DRAINAGE OF PERITONSILAR ABSCESS 498.00 7703499 ER IMMUNIZATION ADMINISTRATION OF 1 VACCINE 92.00 7703622 ER PLACEMENT OF NEEDLE IN BONE FOR INFUSION 255.00 ER DISLOCATION TREATMENT OF HAND JOINT WITH OUT 7703705 316.00 ANESTHESIA 7703747 ER MODERATE SEDATION 5YRS AGE OR MORE INITIAL 30 MINUTES 245.00 ER TREAMENT AND IRRIGATION OF VENOUS ACCESS DEVICE FOR 7703911 154.00 DRUG DELIVERY 7704018 ER CYSTOURETHROSCOPY * 7704075 ER REMOVAL OF FOREIGN BODY IN FOOT SUBCUTANEOUS 1,221.00 7704083 ER ARTHROTOMY FINGER JOIN 2,439.00 7704117 ER VAGINAL PACKING NONOBSTETRIC 415.00 ER CLOSED TREATMENT OF ULNAR FRACTURE WITH 7704133 333.00 MANIPULATION ER ARTERIAL CATHETERIZATION FOR SAMPLING MONITORING OR 7704166 385.00 TRANSFUSION ER REPAIR LIP WOUND FULL THICKNESS UP TO HALF VERTICAL 7704232 1,037.00 HEIGHT 7704257 ER TRAUMA TEAM ACTIVATION 1,883.00 7704323 ER INSERTION CHEST TUBE 1,107.00 ER FORESKIN MANIPULATION REMOVAL OF ADHESIONS AND 7704380 * STRETCHING 7704471 ER IV FLUID HYDRATION INITIAL HR 404.00 7704489 ER IV FLUID HYDRATION EACH SUBSEQUENT HOUR 166.00 7704497 ER IV INFUSION SPECIFIC SUBSTANCE OR DRUG INITIAL HOUR 411.00 ER IV INFUSION SPECIFIC SUBSTANCE OR DRUG EACH ADDITIONAL 7704505 188.00 HOUR 7704513 ER IV SEQUENTIAL NEW DRUG SUBSTANCE INITIAL HR 333.00 ER IV INFUSION CONCURRENT ADMINISTRATION OF DRUG SPECIFIC 7704521 104.00 SUBSTANCE ER TREATMENT IV INFUSION HYDRATION INITIAL 31 MINUTES TO 1 7704539 404.00 HOUR 7704547 ER TREATMENT IV INFUSION HYDRATION EACH ADDITONAL HOUR 166.00 7704554 ER TXMT IV INFUSION INIT 411.00 7704562 ER TXMT IV INFUSION EA AD 188.00 7704596 ER IV PUSH INJECTION OF OF A NEW SUBSTANCE DRUG 202.00 7704604 ER INJECTION INTRAMUSCULAR OR SUBCUTANEOUS 163.00 7704612 ER IV PUSH SGL/INIT RX 244.00 7704620 ER TXMT INJ IM/SUBQ 163.00 7704638 ER TXMT IV PUSH SGL/INIT 244.00 7704646 ER TXMT IV PUSH SEQ/NEW R 202.00 7704653 ER IV PUSH INJECTION OF SAME DRUG SUBSTANCE ADDITIONAL 125.00 7704695 ER FINE NEEDLE ASPIRATION BIOPSY 281.00 7704711 ER TX GASTRO INTUB W/ASP 188.00 ER MODERATE SEDATION BY OTHER QUALIFIED HEALTH CARE 7704869 353.00 PROFESSIONAL AGE 5YR + INTIAL 15 MIN. ER MODERATE SEDATION BY OTHER QUALIFIED HEALTHCARE 7704877 353.00 PROFESSIONAL EACH ADDITONAL 15 MIN. ER MODERATE SEDATION SAME PHYSICIAN AGE 5YR + INITITAL 15 7704885 353.00 MIN. ER MODERATE SEDATION SAME PHYSICIAN AGE < 5YRS INITIAL 15 7704901 353.00 MIN. ER MODERATE SEDATION SAME PHYSICIAN EACH ADDITIONAL 15 7704919 353.00 MIN. ER REMOVAL FOREIGN BODY UPPER ARM OR ELBOW 7704927 2,090.00 SUBCUTANEOUS 7704935 ER MUSCLE BIOPSY SUPERFICIAL 520.00 7704943 ER MANIPULATION FINGER JOINT WITH ANESTHSIA EACH JOINT 2,280.00 7704950 ER REMOVAL OF FOREIGN BODY MUSCLE; SIMPLE 2,276.00 7704968 ER INSERTION OF INDWELLING BLADDER CATHETER COMPLEX 230.00 7770100 ER CHEMICAL CAUTERIZATION OF GRANULATION TISSUE 281.00 7770126 ER INCISION AND DRAINAGE OF ABSCESS COMPLEX OR MULTIPLE 334.00 7770225 ER REPAIR OF NAILBED 582.00 ER DRESSING AND/OR DEBRIDEMENT PARTIAL THICKNESS BURNS 7770233 268.00 >10% ER PLACEMENT OF G-TUBE PERCUTANEOUS UNDER FLUOROCOPIC 7770241 2,567.00 GUIDANCE 7770282 ER DRAINAGE ABSCESS CYST HEMATOMA MOUTH SIMPLE 305.00 7770357 ER ABDOMINAL PARACENTESIS WITH IMAGING 923.00 7770464 ER THORACENTESIS NEEDLE OR CATHETER WITHOUT IMAGING 879.00 7770498 ER REMOVAL OF FB MUSCLE; DEEP 3,417.00 ER WOUND PREPARATION HEAD FACE HAND FEET GENITALIA 1ST 7770571 810.00 100SQ/CM 7770613 ER RHINOPLASTY, CARTILAGE AND /OR ELEVATION OF NASAL TIP 3,503.00 7770639 ER NEG PRESSURE WOUND THERAPY >50 SQCM WOUND VAC 611.00 7770720 ER UNLISTED PROCEDURE NOSE 238.00 7770852 ER MEDICAL SCREENING EXAM * 7770878 ER REPLACEMENT DUODENAL/JEJUNOSTOMY TUBE 873.00 7770886 ER REMOVE IMPACTED EAR WAX 102.00 7770902 ER ADJACENT TISSUE TRANSFER EYE, NOSE, EAR, LIPS <= 10SQCM 2,549.00

7770910 ER INSERT CATHETER PLEURA FOR DRAINAGE WITHOUT IMAGING 2,183.00 7770928 ER EXCISION &REPAIR OF EYELID; TO1/4 LID MARGIN 3,018.00 ER ADJACENT TISSUE TRANSFER HEAD, FACE HAND FEET GENITALIA 7770936 2,532.00 10SQ CM OR LESS 7770944 ER INSERTION TUNNELED PLEURAL CATHETER WITH CUFF 5,078.00 ER DECOMPRESSION FASCIOTOMY FOREARM WRIST 7770951 4,325.00 FLEXOR&EXTENSOR CMPARTMENT 7770969 ER EXPLORATION PENETRATING WOUND; ABD/FLANK/BACK 2,648.00 7770977 ER CL TX WB DSTL FIB FX W 2,280.00 7770985 ER BRONCHOSCOPY WITH FOREIGN BODY REMOVAL 2,236.00 7770993 ER CL TX SHLDR DISL W MAN 2,279.00 7771009 ER NEGATIVE PRESSURE WOUND THERAPY <=5 SQ CM 271.00 7771017 ER REMOVE LUNG CATHETER 1,034.00 ER REMOVAL IMPLANTED PATIENT ACTIVATED CARDIAC EVENT 7771025 967.00 RECORDER 7800568 CHILD ADVOCACY TREATMENT ROOM 76.00 7800592 CHILD ADVOCACY NEW PATIENT LEVEL 3 VISIT 278.00 7800642 CHILD ADVOCACY ESTABLISHED PATIENT LEVEL 3 210.00 7800691 CHILD ADVOCACY NEW PATIENT LEVEL 3 VISIT 278.00 7800717 CHILD ADVOCACY NEW PATIENT LEVEL 5 VISIT 527.00 7800741 CHILD ADVOCACY ESTABLISHED PATIENT LEVEL 3 210.00 7800766 CHILD ADVOCACY ESTABLISHED PATIENT LEVEL 5 334.00 7800774 CHILD ADVOCACY EXAMINATION CHILD 64.00 7800782 COLPOSCOPY VAGINA 725.00 7800808 CHILD ADVOCACY FORENSIC HAIR AND NAIL TESTING 105.00 7801780 DIAGNOSTIC ANOSCOPY SPECIAL 725.00 7801798 CHILD ADVOCACY DRUG TEST SPECIMEN COLLECTION 63.00 7801806 CHILD ADVOCACY DRUG TEST LAB CONFIRMATION 110.00 7801814 CHILD ADVOCACY INSUFFICIENT HAIR AND NAIL TESTING] 17.00 8000044 HOME HEALTH AIDE VISIT 176.00 8000457 HOME HEALTH SOCIAL WORK VISIT 391.00 8088932 HOME HEALTH RN VISIT 336.00 8099954 HOME HEALTH OCCUPATIONAL THERAPY 15 MIN 118.00 8099970 HOME HEALTH SPEECH THERAPY 15 MIN 118.00 8099996 HOME HEALTH PHYSICAL THERAPY 15 MIN 118.00 8200032 HOSPICE AIDE VISIT 176.00 8200065 HOSPICE SOCIAL WORK VISIT 391.00 8200107 HOSPICE SERVICE IN HOME 299.00 8200115 HOSPICE SERVICE IN ASSISTED LIVING 299.00 8200123 HOSPICE SERVICE NURSING HOME 299.00 8200131 HOSPICE SERVICE SKILLED NURSING 299.00 8200149 HOSPICE SERVICE INPATIENT 299.00 8200180 HOSPICE PHYSICAL THERAPY 15 MIN 122.00 8200230 HOSPICE OCCUPATIONAL THERAPY 15 MIN 122.00 8200248 HOSPICE SPEECH THERAPY 15 MIN 122.00 8200305 HOSPICE RN VISIT POST MORTEM 336.00 8200313 HOSPICE SOCIAL WORK VIST POST MORTEM 391.00 8200354 HOSPICE RN VIST 336.00 8200388 HOSPICE AMBULANCE TRANSPORT 660.00 8400012 PERSONAL TOUCH AIDE VISIT 34.00 8400053 PERSONAL TOUCH NURSE VIST 75.00 9200015 XR CERVICAL MYELOGRAP 1,084.00 9200031 XR EYE FOREIGN BODY 245.00 9200049 XR FACIAL BONES 3 VIE 410.00 9200056 XR MANDIBLE 4+ VIEWS 410.00 9200064 XR NASAL BONES 3+ VIE 325.00 9200072 XR SOFT TISSUE NECK 282.00 9200080 XR SKULL <4 VIEWS 325.00 9200098 XR ABDOMEN COMPLETE S 489.00 9200114 XR AC JOINTS BILATERA 287.00 9200122 XR ANKLE COMPLETE 325.00 9200130 XR ANKLE COMP 3 VW/EA 489.00 9200148 XR ANKLE 2 VW BILATER 428.00 9200155 XR C-SPINE 4+ VIEWS 501.00 9200163 XR C-SPINE COMPLETE 549.00 9200171 XR C-SPINE 2-3 VIEWS 366.00 9200189 XR CALCANEUS 2+ VIEWS 245.00 9200239 XR CLAVICLE COMPLETE 277.00 9200247 XR ELBOW MIN 3 VW 325.00 9200254 XR ELBOW 2 VIEWS 277.00 9200262 XR ELBOW MIN 3 VW BIL 489.00 9200270 XR ELBOW 2 VW BILATER 428.00 9200288 XR FOOT COMPLETE BILA 489.00 9200296 XR FOOT 2 VW BILATERA 428.00 9200304 XR FINGER 2+ VIEWS 245.00 9200312 XR FOOT COMPLETE 306.00 9200320 XR FOOT 2 VIEWS 245.00 9200338 XR FOREARM 2 VIEWS 245.00 9200346 XR FOREARM 2 VIEWS BI 428.00 9200353 XR HAND MIN 3 VW 306.00 9200361 XR HAND MIN 3 VW BILA 489.00 9200379 XR HAND 2 VW BILATERA 489.00 9200387 XR HUMERUS 2 VIEWS 306.00 9200395 XR KNEE COMPLETE 4+ V 397.00 9200403 XR KNEE 1 OR 2 VIEWS 306.00 9200411 XR KNEE 3 VW 306.00 9200429 XR KNEE COMPLETE 4+VW 585.00 9200437 XR KNEE 1 OR 2 VW BIL 458.00 9200445 XR KNEE 3 VW BILATERA 458.00 9200452 XR L SPINE 4+ VIEWS 549.00 9200460 XR L SPINE 2-3 VIEWS 428.00 9200478 XR L SPINE COMPLETE 592.00 9200486 XR PELVIS 1 OR 2 VIEW 306.00 9200494 XR RIBS BILAT MIN 4 V 549.00 9200502 XR RIBS BILATERAL 3 V 428.00 9200510 XR RIBS UNILATERAL 2 306.00 9200528 XR SACRUM COCCYX 2 VI 306.00 9200536 XR SCAPULA COMPLETE 306.00 9200544 XR SHOULDER MIN 2 VW 336.00 9200551 XR SHOULDER MIN 2 VW 518.00 9200569 XR SHOULDER SGL VW BI 489.00 9200577 XR SI JOINTS 3+ VIEWS 306.00 9200585 XR SPINE SINGLE VIEW 306.00 9200593 XR SKULL COMPLETE 4+ 489.00 9200601 XR STERNUM 2+ VIEWS 336.00 9200619 XR STERNOCLAVICAL JOI 306.00 9200627 XR T SPINE 2 VIEWS 366.00 9200635 XR T SPINE 3 VIEWS 428.00 9200643 XR TIB/FIB 2 VW BILAT 489.00 9200650 XR TIB/FIB 2 VIEWS 306.00 9200668 XR TMJS BILATERAL 397.00 9200676 XR TOE 2+ VIEWS 245.00 9200684 XR WRIST MIN 3 VIEWS 306.00 9200692 XR WRIST MIN 3 VW BIL 489.00 9200700 XR WRIST 2 VW BILATER 428.00 9200718 XR SHOULDER SGL VW 245.00 9200726 XR RIBS UNILAT MIN 3 428.00 9200734 XR FACIAL <3 VIEWS 277.00 9200742 XR EXAM MASTOIDS <3 V 410.00 9200759 XR MASTOIDS COMPLETE 306.00 9200775 XR SPINE THORACOLUMBA 366.00 9200783 XR SACROILIAC JNT <3 245.00 9200791 XR BONE AGE 245.00 9200809 XR BONE LENGTH 366.00 9200817 XR OSSEOUS SURVEY COM 731.00 9200825 XR PARAVERT F JNT C/T 1,462.00 9200841 XR DXA BONE DENSITY A 430.00 9200858 XR DXA BONE DENSITY/P 193.00 9200866 XR ENTIRE SPINE 2-3 V 452.00 9200874 XR FEMUR BILATERAL 2V 414.00 9200882 XR HIP BILATERAL 2 VI 414.00 9200890 XR FEMUR 2 VIEW 297.00 9200908 XR HIP UNILATERAL 2-3 297.00 9200916 XR HIP UNILATERAL 1 V 238.00 9200924 XR HIP BILATERAL W/PE 905.00 9200932 XR HIP UNI 2-3 VW W/P 373.00 9200940 XR HIP UNI 1 VW W/PEL 314.00 9200957 XR CHEST 2 VW PA/LAT 291.00 9200965 XR ABDOMEN 2 VW 320.00 9200973 XR CHEST 1 VW 263.00 9200981 XR ABDOMEN 1 VW 273.00 9200999 XR CHEST 2 VW WITH AP 315.00 9201005 XR CHEST 2 VW WITH OB 335.00 9201013 XR ABDOMEN AP WITH OB 348.00 9602921 MEDICAL ALERT MONTHLY FEE 34.00 9602939 MEDICAL ALERT INSTALLATION FEE 35.00 9602947 MEDICAL ALERT REPLACEMENT ACTIVATOR 63.00 9602954 MEDICAL ALERT ADDITIONAL ACTIVATOR EACH 6.00 9610189 MEDICAL ALERT FALL DETECTOR MONTH CHG 10.00 9610197 MEDICAL ALERT MONTH CHG 40.00