Procedure Code Description Revenue Code Charge 61413012 ADJUSTMENT M/S PEDS 113 3,251.00 61413021 ADJUST TELM/PULM/NURO/ORT 113 6,653.00 61713103 ADJ M/S PEDS 113 3,251.00 61716119 M/S PEDS - PRIVATE 113 3,626.00 61801013 ADJ M/S PEDS 113 3,251.00 61802019 ADJ BMT ACUTE 113 6,653.00 62067021 M/S PEDS - PRIVATE 113 3,626.00 62093001 M/S PEDS - PRIVATE 113 3,626.00 62093011 ADJ M/S PEDS 113 3,251.00 62093013 ADJ TELEM/PULM/TRACH/NURO 113 6,653.00 62123001 M/S PEDS - PRIVATE 113 3,626.00 62123011 ADJ M/S PEDS 113 3,251.00 62133003 M/S PEDS - PRIVATE 113 3,626.00 62133013 ADJ M/S PEDS 113 3,251.00 62153003 M/S PEDS - PRIVATE 113 3,626.00 62153013 ADJ M/S PEDS 113 3,251.00 62153015 ADJ TELEM/PULM/TRACH/NURO 113 6,653.00 62183003 M/S PEDS - PRIVATE 113 3,626.00 62183013 ADJ M/S PEDS 113 3,251.00 62183017 ADJ TELEM/PULM/TRAC/NURO 113 6,653.00 62211003 M/S PEDS - PRIVATE 113 3,626.00 62211015 ADJ M/S PEDS 113 3,251.00 62212001 MS/PEDS - BMT HIP 113 6,160.00 62212011 ADJ BMT-ACUTE CARE 113 6,653.00 62213001 M/S PEDS HEMONC 113 3,626.00 62213011 ADJ M/S HEM ONC 113 6,653.00 62214015 ADJ M/S CARDIAC MONITORNG 113 6,653.00 62243003 M/S PEDS - PRIVATE 113 3,626.00 62243011 ADJ TELEM/PULM/TRAC/NURO 113 6,653.00 62243013 ADJ M/S PEDS 113 3,251.00 62253003 M/S PEDS - PRIVATE 113 3,626.00 62253011 ADJ TELM/PULM/NURO/OBS 113 6,653.00 62253013 ADJ M/S PEDS 113 3,251.00 62263003 M/S PEDS - PRIVATE 113 3,626.00 62263011 ADJ TELEM/PULM/TRAC/NURO 113 6,653.00 62263013 ADJ M/S PEDS 113 3,251.00 72309250 M/S PEDS - PRIVATE 113 3,626.00 72309252 ADJ EDA ACUTE 113 3,251.00 72319250 M/S PEDS - PRIVATE 113 3,626.00 61419990 BEHAV - PRIVATE 114 2,330.00 62128001 M/S REHAB - PRIVATE 118 3,626.00 62063001 M/S PEDS - SEMI-PRIVATE 123 3,294.00 62063011 ADJ M/S PEDS 123 3,251.00 62063013 ADJ TELEM/PULM/TRAC/NURO 123 6,653.00 61418002 BEHAV - SEMI-PRIVATE 124 2,255.00 61418009 ADJ BIOBEHAV 124 2,436.00 61412011 ADJ REHAB 128 3,251.00 62128011 ADJ ACUTE REHAB 128 3,251.00 61716120 M/S PEDS - 5+ BEDS 153 3,010.00 70276135 M/S PEDS - 5+ BEDS 153 3,010.00 61712010 NICU LVL II - CONTINUING 172 3,924.00 61712059 ADJ NICU LEV 2 172 4,238.00 62067015 ADJ NICU LEV 2 172 4,238.00 62093111 ADJ NICU LEV 2 172 4,238.00 62153111 ADJ NICU LEV 2 172 4,238.00 62183111 ADJ NICU LEV 2 172 4,238.00 62263111 ADJ NICU LEV 2 172 4,238.00 61712012 NICU LEV III - INTERMED 173 6,160.00 61712089 ADJ NICU LEV 3 173 6,653.00 62067016 ADJ NICU LEV 3 173 6,653.00 62067019 NICU LEV III - INTERMED 173 6,160.00 62093113 ADJ NICU LEV 3 173 6,653.00 62153113 ADJ NICU LEV 3 173 6,653.00 62183113 ADJ NICU LEV 3 173 6,653.00 62263113 ADJ NICU LEV 3 173 6,653.00 61712014 NICU LVL IV - INTENSIVE 174 8,276.00 61712069 ADJ NICU LEV 4 174 8,939.00 62067017 ADJ NICU LEV 4 174 8,940.00 62093115 ADJ NICU LEV 4 174 8,940.00 62153115 ADJ NICU LEV 4 174 8,940.00 62183115 ADJ NICU LEV 4 174 8,940.00 62263115 ADJ NICU LEV 4 174 8,940.00 61717002 ICU 203 8,276.00 61717019 ADJ ICU 203 8,940.00 62093107 ICU 203 8,276.00 62093117 ADJ ICU 203 8,940.00 62153001 ICU 203 8,276.00 62153011 ADJ ICU 203 8,940.00 62183001 ICU 203 8,276.00 62183011 ADJ ICU 203 8,940.00 62243117 ADJ ICU 203 8,940.00 71480139 ADJ O/S ICU-SJ 203 5,411.00 61418217 ADJ INTENSIVE BIOBEHAV 204 2,821.00 61719991 ICU - TRAUMA 208 12,414.00 62097007 ICU - TRAUMA 208 12,414.00 62159990 ICU - TRAUMA 208 12,414.00 62189990 ICU - TRAUMA 208 12,414.00 72320025 ICU - TRAUMA 208 12,414.00 70855007 EVENT RECORD/INTERP 222 90.00 70855009 EVENT RECORD W/OXI INTERP 222 90.00 61419999 SITTER per 1 HR 239 53.00 61719999 SITTER per 1 HR 239 53.00 62069999 SITTER per 1 HR 239 53.00 62099999 SITTER per 1 HR 239 53.00 62129999 SITTER per 1 HR 239 53.00 62139999 SITTER per 1 HR 239 53.00 62159999 SITTER per 1 HR 239 53.00 62189999 SITTER per 1 HR 239 53.00 62219999 SITTER per 1 HR 239 53.00 62249999 SITTER per 1 HR 239 53.00 62259999 SITTER per 1 HR 239 53.00 62269999 SITTER per 1 HR 239 53.00 72309999 SITTER per 1 HR 239 53.00 72319999 SITTER per 1 HR 239 53.00 71701002 ACETAMINPHN 160MG/5ML LIQ 250 8.84 71701003 Acetaminophen 160 mg/5 mE 250 8.19 71701044 ALBENDAZOLE 200MG TAB 250 667.65 71701048 LEVOFLOXCN 25MG/ML PO 250 7.90 71701051 Riluzole 50 mg tab 250 225.80 71701061 MEDROXYPROGEST ACE 5MG TB 250 3.18 71701090 AMINOCPROIC 250MG PO 250 69.79 71701095 AMIODARONE 200MG TB 250 5.15 71701101 PROCHLORPRAZINE 5MG TB 250 4.85 71701102 PROMETHAZINE 12.5MG TB 250 5.30 71701121 CO-Q10 60MG CP 250 3.74 71701131 APIXABAN 5MG TAB 250 9.48 71701173 CREON 24000U CP 250 37.54 71701204 AMOX/CLAV 1000MG XR TAB 250 40.00 71701206 CREON 6000U CP 250 9.47 71701231 CREON 12000U CP 250 18.85 71701234 Epi 0.025%-Lidocaine 0.75 250 141.70 71701251 AMOXICLLN 250MG CP 250 4.69 71701252 MALARONE 250/100MG TAB 250 41.00 71701256 ATENOLOL 12.5 MG DOSE 250 5.30 71701294 BACLOFEN 5MG DOSE 250 5.32 71701337 BROMOCRIPTINE 2.5MG TB 250 26.94 71701385 CA CARB 500MG CHW TB 250 3.26 71701396 LEUCOVORIN CALCM 15MG TAB 250 72.04 71701446 Eslicarbazepine 400 mg Tb 250 209.00 71701524 CETIRIZINE 5MG DOSE 250 15.67 71701624 CLONIDINE 0.05MG DOSE 250 5.26 71701637 CLOZAPINE 100MG TB 250 5.31 71701694 DESMOPRESSIN 0.05MG DOSE 250 9.55 71701732 TETRACYCLINE 250MG CP 250 47.70 71701738 LANSOPRAZL 15MG SOLUTB 250 96.74 71701739 LANSOPRAZOLE 30MG SOLUTB 250 98.25 71701745 DIPHENHYDRMN 25MG CP 250 4.34 71701756 LORATADINE 10MG REDITB 250 5.30 71701801 NAPROXEN 375MG EC TB 250 7.28 71701834 MELATONN 3MG TB 250 3.71 71701858 LEVOFLOXACN 500MG TB 250 114.18 71701887 NA PHOS 93MG PO 250 10.72 71701898 MIRTAZAPINE 15MG TB 250 14.00 71701909 BETHANECHOL CHL 10MG TB 250 9.07 71701931 PRAVASTATIN 20MG TB 250 15.77 71701949 CITALOPRAM 10MG TB 250 14.77 71701954 ALENDRONATE 70MG TB 250 124.03 71701956 NADOLOL 20MG TB 250 23.18 71701960 GLYCOPYRROLATE 1MG TB 250 11.15 71701961 GLYCOPYRROLATE ORAL 1ML 250 7.90 71701969 GUANFACINE 0.5MG DOSE 250 5.30 71701977 HALOPERIDOL 5MG TAB 250 6.36 71701986 PRAZOSIN 1MG CP 250 11.36 71701996 METHIMAZOLE 10MG TB 250 4.91 71701997 EVEROLIMUS 0.25 MG TAB 250 50.26 71702014 HYDROCORTSONE 2.5MG DOSE 250 5.30 71702024 HYDROXYUREA 300MG CAP 250 15.27 71702035 HYDROXYZINE 10MG TB 250 3.45 71702040 HYDROXYZINE 25MG TB 250 4.14 71702041 FLUCONAZOLE 200MG TB 250 264.11 71702042 FLUCONAZOLE 150MG TAB 250 84.77 71702060 IBUPROFEN 100MG/5ML PO 250 1.96 71702063 Ibuprofen 100 mg/5 mL DyE 250 5.17 71702071 VERAPAMIL 120MG SR CP 250 31.00 71702105 ISONIAZID 300MG TB 250 7.61 71702107 VERAPAMIL 80MG TB 250 5.00 71702124 Isavuconazonium 186 mg Ce 250 596.50 71702132 Ivermectin 3mg Tablet 250 33.25 71702153 FLORASTOR ES 250MG CP 250 5.81 71702174 LEVOTHYRXINE 12.5MCGDOSE 250 5.26 71702194 LEVOTHYRXINE 62.5MCGDOSE 250 5.30 71702228 LISINOPRIL 1MG/ML SOLN 250 22.07 71702263 DISOPYRAMIDE 10MG/ML PO 250 1.32 71702296 OMEGA 3 ACID 1000MG 250 22.10 71702322 MECLIZINE 25MG TAB 250 5.30 71702331 MEGSTRL ACET 625MG/5ML PO 250 100.85 71702680 ONDANSETRON 0.8MG/ML PO 250 31.97 71702682 ONDANSETRN 2MG/2.5ML PO 250 15.10 71702700 OXCARBAZEPINE 150MG TB 250 9.28 71702705 OXCARBAZEPINE 300MG TB 250 16.50 71702750 PAROXETINE 10MG/5ML PO 250 11.65 71702755 PAROXETINE 20MG TB 250 16.96 71702770 PENICILLIN 50MG/ML VK PO 250 2.21 71702785 PEPPERMINT OIL 30ML 250 29.54 71702802 PHENAZOPYRIDN 10MG/ML PO 250 1.24 71702865 POLY-VI-SOL CHW TB 250 5.02 71702870 MVI PED 1ML PO 250 2.01 71702872 MULTIVIT W/FLUORIDE LIQ 250 4.23 71702875 POLY-VI-SOL+FE 1ML PO 250 2.06 71702885 POT CIT/CITRIC ACID 1ML P 250 1.20 71702985 PROMETHAZINE 1.25MG/ML PO 250 1.47 71702995 PROMETHAZNE 25MG TB 250 5.30 71703084 RANITIDINE 75MG DOSE 250 2.11 71703131 LURASIDONE 20MG 250 271.68 71703132 LURASIDONE 40MG 250 265.43 71703184 SERTRALINE 12.5MG DOSE 250 5.28 71703193 Succroferric Oxyhydroxidt 250 86.92 71703194 SEVELAMER 800MG PKT 250 114.52 71703198 SEVELAMER CARB 2400MG PKT 250 121.18 71703199 SEVELAMER CARB 800MG TB 250 58.12 71703277 SOD POLYSTYRENE SULF 15G 250 41.00 71703287 LEVONORGESTREL 1.5MG TAB 250 221.56 71703339 SULFAMETH/TMP SS 1/2 TAB 250 5.09 71703442 TOPIRAMATE 25MG SPRNKL CP 250 17.22 71703475 TRIHEXYPHENIDYL 5MG TAB 250 4.30 71703485 URSODIOL 300MG CP 250 51.70 71703488 VALGANCICLOVIR 50MG/ML PO 250 62.77 71703490 VALPROIC ACID 250MG CP 250 6.92 71703495 VALPROIC ACD 50MG/ML PO 250 1.77 71703499 VENLAFAXINE 37.5MG TAB 250 12.72 71703556 WARFARIN NA 5MG TB 250 4.93 71703559 WARFARIN 0.5MG DOSE 250 5.30 71703575 ZOLPIDEM 5MG TB 250 28.30 71703580 ZONISAMIDE 100MG CP 250 11.08 71703590 CIPRO 250MG/5ML PO 250 8.20 71703596 DOXYCYCLINE CA 10MG/ML SR 250 7.62 71703598 NITAZOXANIDE 20MG/ML ORAL 250 3.12 71703599 NITAZOXANIDE 500MG TAB 250 679.99 71703601 DEXTROMETHORPHAN POLSTIRX 250 0.77 71703634 Oseltamivir 30 mg/5 mL 250 13.85 71703718 DEKAS ESSENTIAL CAP 250 3.59 71703719 DEKAS ESSENT ORAL SOL 250 8.61 71703722 DEKAS PLUS CHEWABLE TAB 250 4.87 71703723 DEKAS PLUS ORAL SOL 250 9.19 71703724 DEKAS PLUS SOFTGEL CAP 250 5.02 71703732 ARIPIPRAZOLE 2.5MG DOSE 250 86.23 71703789 ESCITALOPRAM 5MG DOSE 250 25.01 71703865 DULOXETINE 20MG CP 250 47.36 71703866 DULOXETINE 30MG CP 250 35.31 71703900 BALSALAZIDE 750MG TB 250 7.39 71703905 BUDESONIDE 35MG EC CP 250 113.18 71703910 NACL 1GM TB 250 2.39 71703930 RIFAXIMIN 200MG TB 250 122.91 71703936 POSACONAZOLE 40MG/ML PO 250 84.54 71703937 POSACONAZOLE 100MG TAB 250 419.58 71703940 CA CIT +VIT D TB 250 7.26 71703942 VIT D3 2000U TB 250 4.07 71703945 GRISEOFULVN MCRO 25MG/ML 250 3.12 71703953 Deferasirox 90 mg Tab 250 243.00 71703954 Deferasirox 360 mg Tab 250 970.90 71703955 KALETRA 80MG/ML PO 250 27.26 71703960 BOSENTAN 62.5MG TB 250 298.95 71703970 ETHOSUXIMIDE 50MG/ML PO 250 3.12 71703975 LUBIPROSTONE 24MCG GELCP 250 40.28 71703990 ONDANSETRON 4MG ODT TB 250 82.36 71703995 ONDANSETRON 8MG ODT TB 250 28.66 71704000 SILDENAFIL CIT 20MG TB 250 261.29 71704005 CHOLECALCIFEROL 400U/ML 250 5.97 71704007 CHOLECALCIFEROL 50K U-WAF 250 17.64 71704085 LEVOFLOXACN 250MG TB 250 99.65 71704087 MEMANTINE 5MG TB 250 49.82 71704100 ALISKIREN FUMAT 150MG TB 250 40.28 71704105 CINACALCET 30MG TAB 250 195.06 71704140 CARBIDOPA/LEVODOPA 10-100 250 6.36 71704142 CARBIDOPA/LEVDOPA 25-100 250 5.30 71704161 Perampanel 10mg Tab 250 186.00 71704162 Perampanel 0.5 mg/mL Orap 250 77.00 71704171 GuanFACINE 2mg ER Tab 250 63.11 71704177 TETRABENAZINE 12.5MG TAB 250 474.08 71705076 CLONAZEPAM 1MG TB 250 9.01 71705077 CLONAZEPAM 0.125 MG ODT 250 9.88 71705078 CLONAZEPAM 0.5MG ODT 250 10.12 71705141 METHYLPHENIDATE ER SUSP 250 36.05 71705682 HYDROCD/APAP 7.5-325/15ML 250 19.88 71705686 MODAFINIL 200MG TB 250 214.16 71705690 M-PHENIDATE 10MG TOP PTCH 250 73.69 71705700 OXYCONTIN 40MG SR TB 250 79.52 71705705 CLONAZEPAM 0.25MG TB 250 8.24 71705713 LISDEXAMFETAMINE 10MG CAP 250 64.97 71705720 LISDEXAMFETAMN DIM 50MG C 250 64.00 71705741 CLOBAZAM 5MG/2ML ORAL SYR 250 104.15 71706000 PRIVIGEN 10% 5GM ORAL 250 4,018.54 71706001 GAMMAGARD 10% 5GM ORAL 250 3,694.00 71706010 GAMMAGARD 10% 1GM ORAL 250 1,175.34 71706543 Tedizolid 200 mg tab 250 2,200.77 71710045 AMNOCAP ACD 250MG/ML 20ML 250 5.83 71710155 ATROPINE 1MG/10ML INJ 250 0.85 71710180 BACITRACN 50,000U INJ 250 79.80 71710245 BUMETANIDE 1MG/4ML INJ 250 17.20 71710250 BUMETANIDE 2.5MG/10ML VL 250 29.29 71710265 BUPIVACNE 0.5% 30MM VL 250 13.54 71710270 BUPIVACN 0.5% +EPI 30ML V 250 18.41 71710279 BUPIV.25% EPI 1:200K 10ML 250 8.56 71710280 BUPIVACN 0.25% +EPI 10ML 250 14.38 71710305 CAFF +NA BENZ 500MG INJ 250 130.42 71710320 CA CHL 1GM 10ML SYR 250 47.99 71710391 CefTAZidime 0.5 mg/mL + 250 36.00 71710397 CefTAZidime-Avibactam 2gm 250 643.83 71710470 CISATRACURIUM 10MG/5ML IN 250 108.53 71710480 CLINDAMYCN 600MG INJ 250 16.32 71710527 L-CYSTEINE 50MG/ML 10ML 250 153.74 71710546 BUPIVACN 0.5% +EPI 10ML V 250 16.93 71710580 D50% 50ML VL 250 17.80 71710616 TETANOUS-DIPHTH 2U/0.5ML 250 172.85 71710715 EPHEDRINE 50MG/1ML INJ 250 339.25 71710720 EPINEPHRN 1MG/ML 30ML VL 250 0.70 71710781 CLINDAMYCN 600MG/50ML IVP 250 36.17 71710795 ETHACRYNATE NA 50MG INJ 250 27,506.41 71710800 ETHANOL SML IV 250 701.20 71710805 ETOMIDATE 2MG/ML VL 250 4.75 71710840 FAMOTIDINE 20MG/2ML INJ 250 28.87 71710846 Ferumoxytol 510 mg Inj 250 82.83 71710917 Gentamicin Bladder IrrigS 250 30.00 71710930 GLYCOPYRRLTE 0.2MG 1ML 250 68.74 71710931 GLYCOPYRRLTE 0.2MG/ML 2ML 250 55.00 71711135 INDOMETHACN 1MG/1ML VL 250 3,829.80 71711151 NOVOLOG 1000U/10ML INJ 250 10.51 71711161 INSLN DETEMIR 300U/3ML IN 250 8.05 71711162 NOVOLOG 300U/3ML INJ 250 11.69 71711200 ISOPROTERENOL 0.2MG/ML IN 250 9,498.17 71711205 KETAMINE 100MG/ML 5ML VL 250 111.07 71711250 LIDOCAINE 1% +EPI 30ML IN 250 37.10 71711252 LIDOCAINE 1% +EPI 30ML IN 250 73.49 71711255 LIDOCN 2%+EPI 30ML INJ 250 26.50 71711270 LIDOCN 1% 2OMG/2ML INJ 250 7.06 71711275 LIDOCN 1% 300MG/30ML INJ 250 19.00 71711285 LIDOCN 2% 200MG/10ML INJ 250 28.43 71711290 LIDOCAINE 2% 10ML GEL 250 42.37 71711295 LIDOCN 2% 400MG/20ML INJ 250 0.67 71711311 LIDOCAINE JELLY 2% 30 ML 250 95.46 71711323 Mepivacaine 1% (skin tes) 250 31.41 71711324 Mepivacaine 1% 1:100 (sk) 250 9.67 71711325 LIDOCAINE+EPI 0.5% 50ML I 250 21.08 71711359 MENINGCOCAL VAC GRPB 0.5M 250 1,164.21 71711387 METHYLENE BLUE 50MG/10ML 250 1,339.75 71711417 METOPROLOL 5MG/5ML INJ 250 12.26 71711460 MYCOPHENLT 500MG INJ 250 913.47 71711520 NICARDIPINE 25MG/10ML AMP 250 147.37 71711535 NITROPRUSSIDE 50MG INJ 250 2,755.49 71711540 NOREPINEPHRNE 1MG/ML 4ML 250 140.13 71711646 PHENYLEPHRINE 20mcq/ML NS 250 33.25 71711647 PHENYLEPHRINE 1MG/10ML NS 250 15.27 71711651 PHYSOSTIGMINE SALI 1MG/ML 250 269.27 71711717 Tetracaine 1% 1:100 Skin 250 8.77 71711718 Lidocaine 1% 1:100 skin t 250 3.75 71711727 Potassium chloride 10 mEj 250 4.74 71711800 PROTONIX 40MG VL 250 36.95 71711830 ROCURONIUM 50MG/5ML INJ 250 29.46 71711842 SILDENAFIL 10MG/12.5ML 250 1,309.61 71711870 NA BICARB 4.2% 5MEQ SYR 250 75.24 71711871 NA BICARB 4.2% 5ML VIAL 250 129.64 71711880 NACL 0.9% PF 10% INJ 250 6.23 71711885 NACL 4MEQ/ML PER 1ML INJ 250 2.01 71711903 HYALURONT 7.7MG/0.55ML IN 250 855.29 71711905 NA PHOS 3MMOL/ML 50ML 250 9.57 71711940 SMZ/TMP 160MG INJ 250 17.97 71712030 TUBERCULN PPD 0.1ML INJ 250 48.95 71712065 VASOPRESSIN 20U/1ML INJ 250 31.31 71712100 H2O 50ML INJ MDV 250 7.42 71712191 H2O 10ML STRL INJ 250 8.48 71712310 QUINIDN GLUC 80MG/ML 10ML 250 54.67 71712390 ANAKINRA 100MG/0.67ML SYR 250 953.64 71712400 LIDOCAINE 1% J-TP S0.2ML 250 50.58 71712415 PROCHLRPRZN EDI 5MG/ML 2M 250 133.41 71712430 MIOSTAT OPH SOL 1.5ML 250 241.59 71712481 EPI PEN 0.3MG 250 734.30 71712506 Treprostinil 10 mg/mL Inj 250 382.67 71712510 METHOXSALEN XTS 20MCG/ML 250 377.49 71712535 Posaconazole 300mg/16.7mL 250 3,724.36 71713190 Isavuconazonium 372mg INJ 250 5.46 71715036 HYDROmorphone CADD 0.2 m) 250 16.00 71715042 Ketamine 50mg/5 mL syrine 250 29.94 71715133 Morphine 10 mg/mL 100 mL 250 6.68 71715159 Ropivacaine 150 mg/30 mL) 250 1.36 71715165 SUFENTANL 250MCG/5ML AMP 250 560.22 71719978 Vancomycin 5mg/mL + Hepaj 250 72.00 71720087 SOD CHLORID 0.9% 25ML MIN 250 50.17 71722306 Fluconazole 400 mg/ 200 S 250 28.27 71722588 Magnesium Chloride 200 mj 250 7.77 71722751 NICARDPNE 200MCG/ML 200ML 250 1,369.53 71723080 RANITIDINE 2.5MG/ML NEO M 250 35.91 71725015 ARGININE 30GM/300ML INJ 250 226.18 71725051 D10W 250ML 250 31.77 71725164 Heparin 1 unit/mL in NS 250 152.56 71725167 Heparin 1 Unit/mL NS 50mL 250 33.45 71725178 FATS 20% 250 ML 250 250.79 71725179 Lipid Emulsion 20% 500 250 2.16 71725181 Lipid Emulson 20% 250 250 3.28 71725211 PLASMALYTE-A 7.4PH 1L 250 83.52 71725216 PLASMALYTE-A 7.4 500mL 250 87.72 71725241 NS BASE DILUENT 250 31.65 71725268 Heparin 2 Unit(s)/mL in 250 32.09 71725275 METHYLPHENIDATE 10MG CAP 250 22.58 71725280 PRISMASATE BAG 5L 250 179.06 71725561 DIANEAL PD LO CA 2L 250 181.52 71725590 DEXMDTMDNG 4MCG/ML 50ML 250 8.89 71725591 DEXMEDETDINE 400MCG/100ML 250 796.58 71725592 DEXMEDETOMIDINE 200 MCG 250 0.58 71725593 DEXMETOMIDINE 400MCG/100 250 0.55 71730010 ACETYLCYSTN 1GM/10ML INJ 250 74.57 71730050 ALBUTEROL MDI INH 250 343.49 71730052 ALBUTEROL 18GR INHALER 250 0.01 71730053 ALBUTERL INH 8G 250 0.01 71730054 ALBUTEROL 8GM INHALER CHG 250 144.87 71730066 ALBUTEROL 2.5NG/3ML 250 1.91 71730069 BECLOMETHSN 40MCG/PUFF 12 250 1,039.10 71730092 DDAVP 10MCG/ML 5ML SOL 250 585.33 71730206 BUDESONIDE 180MCG FLEXHAL 250 1,418.38 71730207 BUDESONIDE 90MCG FLXHLR 250 1,076.71 71730235 NACL 3% 15ML SVN 250 5.35 71730240 IMITREX 5MG NSL SPRY 250 371.53 71730245 AZELASTINE 137MCG SPRY 250 630.98 71730250 NACL 7% 4ML PF SVN 250 5.34 71730255 BUDESND/FRMTRL 80/4.5MCG 250 1,297.47 71730260 BUDESND/FRMTRL 160/4.5MCG 250 1,626.34 71730265 COLISTIMETHATE 150MG SVN 250 191.79 71730274 CROMOLYN 100MG/5ML PO 250 39.18 71730290 ILOPRPST 10 MCG/mL INH SN 250 476.42 71740005 APAP 325MG SUPP 250 5.21 71740033 AQUAPHOR 454GM TOP OINT 250 60.51 71740043 SURGICEL 1X2 250 350.05 71740166 ZN OXIDE 25% 60GM PSTE 250 33.25 71740168 ERYTHRMYCN 0.5% OPH OINT 250 62.31 71740185 EMLA 5GM TOP CR 250 59.98 71740202 ETHYL CHL 103.5ML SPRY 250 298.95 71740234 AQUAPHOR 50GM TOP OINT 250 24.28 71740235 GENTAMICN 0.1% 15GM TOP C 250 298.41 71740243 Glycerin Ped Supp 12's 250 0.79 71740264 HYDROCORTISONE 1% 1.5GM 250 2.11 71740324 MESALAMINE 1GM SUPP 250 199.62 71740352 CALMOSEPTN 113GM TOP OINT 250 27.42 71740355 CALMOSPETINE OINT 3.5GM 250 4.06 71740450 SCOPOLAMINE 1.5MG PTCH 250 128.94 71740512 THROMBIN RECMB 5000U VL 250 616.92 71740517 THROMBIN RECMB 20000U 250 2,468.39 71740562 BAKOTA FREE BABYBALM OINT 250 15.80 71740573 Zinc Oxide 40% Paste 250 29.00 71740592 CHLORHEXDINE MWASH 473ML 250 63.29 71740601 Hydrocortisone 2.5% Ointm 250 66.87 71740650 TERBINAFINE 1% 24GM TOP C 250 36.62 71740675 FLUOCNLN OIL 0.01% 118.28 250 1,630.56 71740695 CLINDAMYCN PHOS 1% 60GM T 250 1,498.72 71740700 ORTHO EVRA 150/20 PTCH 250 290.47 71740701 CRITIC-AID 20% PSTE 250 647.23 71740705 MICONAZL 2% 57GM OINT 250 49.00 71740710 TRIAD 71GM PSTE 250 94.01 71740717 WHITE PETROLEUM 1.75 JAR 250 15.75 71740719 WHITE PETROLEUM 1.75 JAR 250 7.00 71740720 DOSCUSATE 283MG ENEMA 250 13.79 71740730 MAFENIDE 8.5% 464GM CRM 250 2,847.00 71740750 Tazarotene 0.1% Cream 60M 250 4,436.00 71750031 BETAMETHSN DPR 0.05% 45GM 250 638.07 71750042 Ciprofloxacin 0.3% OpthaL 250 826.00 71750062 SILVER DRSG 4X4 ACTIOCAT 250 95.00 71750091 ganciclovir ophthalmic 0M 250 2,057.00 71750171 PHENYLEPH 2.5% 15ML 250 645.95 71750234 TETRACAINE 0. 250 66.31 71750315 DOVE BDYWSH 250 26.55 71750320 MOXIFLOXCN 0.5% 3ML OPH 250 1,076.31 71750325 LIDOCAINE 4% TOP CR 250 59.76 71750360 VISIONBLUE 0.06% 0.5ML PF 250 240.44 71750370 LEECH MEDICINAL 250 108.11 71750385 SANTYL OINT 15GM 250 1,486.64 71750395 PREDNISLN ACET 1% 5ML OPH 250 331.72 71750400 PILOCARPINE 1% 15ML OPH S 250 585.37 71750425 CARBOXYMETHCELLULOSE.4ML 250 2.13 71755010 AFRIN NASAL S 250 15.00 71755030 BACITRACIN OP 250 21.80 71755058 COLLODIAN FLE 250 66.00 71755096 FLOXIN 0.3% O 250 317.00 71755098 FLUOR-I-STRIP 250 1.97 71755146 MAXITROL OPTH 250 39.92 71755148 MAXITROL OPTH 250 39.93 71755154 MINERAL OIL 2 250 25.95 71755170 PHENYLEPHRINE 250 23.00 71755188 SILVER NITRAT 250 1.67 71755204 TOBRADEX OPTH 250 428.00 71755206 TOBRADEX OPTH 250 1,121.00 71755208 TRIPLE ANTIBI 250 201.00 71755214 VASOCIDIN OTI 250 90.00 71755242 COCAINE 4% SO 250 14.00 71755268 HEALON GV 14M 250 430.00 71755269 ATROPINE 1% E 250 16.00 71755270 VIGAMOX 0.5% 250 276.00 71755271 MIOCHOL-E KIT 250 253.00 71760113 PYRAZINAMIDE 100MG/ML O/S 250 0.08 71760123 RIFAMPIN 25MG/ML O/S 250 0.09 71760133 SULFASALAZINE 100MG/ML OS 250 0.05 71760143 TOPIRAMATE 6MG/ML O/S 250 0.19 71760144 ALDACTAZIDE 5MG/ML O/S 250 1.82 71760153 ACETAZOLAMIDE 25MG/ML O/S 250 3.26 71760163 AMITRIPTYLINE 1MG/ML SUSP 250 0.80 71760183 FLECAINIDE 20MG/ML O/S 250 2.73 71760191 BACLOFEN 5MG/ML SUSP 250 1.30 71760193 HYDROXYUREA 100MG/ML O/S 250 20.55 71760216 CLONAZEPAM 0.5MG/5ML SYRG 250 5.02 71760308 LET GEL 4/0.05/0.5%;3ML 250 27.07 71760312 LIDOCAINE 1% BUFF-3ML 250 25.32 71760376 Bupivacaine 0.25% - EpinD 250 15.79 71760381 INV Flovent HFA 44 mcg/pr 250 0.01 71760404 NACL 1TSP GRNLS 250 5.16 71760414 Sotalol 5 mg/mL Oral Soln 250 11.00 71760850 Acitretin 2 mg/mL Oral Sp 250 43.79 71761313 LIDOCAINE 1% BUF SOLN 5ML 250 26.98 71762025 ISRADIPINE 1MG/ML PO 250 5.55 71762066 VANCOMYCIN 50MG/ML LIQ 250 0.09 71762132 NIFEDIPINE 4ML/ML SUSP PO 250 0.63 71762185 DIAZEPAM 10MG RCTL GEL 250 2,050.69 71762190 DIAZEPAM 2.5MG RCTL GEL 250 1,887.81 71762200 HYDRXYCHLRQN 25MG/ML PO 250 3.07 71762210 VALACYCLOVR 50MG/ML 5ML P 250 6.17 71762225 GI COCKTAIL 50ML PO 250 24.42 71762247 BUFF LIDO 1% W/EPI 1:100K 250 5.20 71762250 TADALAFIL 5MG/ML ORALSUSP 250 142.83 71762255 VERAPAMIL 50MG/ML ORAL 250 16.36 71762265 CLONIDINE 10MCG/ML ORAL 250 6.33 71762275 DANTROLENE 5MG/ML SUSP 250 1.95 71762280 RIFAXIMIN 20MG/ML SUSP 250 5.65 71764060 PHENOL 5% IN SW 10ML 250 313.00 71765066 OXALIPLTN 50MG/10ML INJ 250 3.98 71765120 PERAMIVIR 6MG/ML STDY IVP 250 121.58 71770033 CYCLOPHOSPHAMD 10MG/ML PO 250 116.91 71772104 DASATINIB 50MG TAB 250 1,606.57 71772106 DASATINIB 20MG TAB 250 809.09 71773205 OCRELIZUMAB 300MG/10ML 250 262.49 71775156 Protein C Human 1 Unit () 250 12.72 71780007 VALINE POWDER 1000MG 250 0.01 71780009 ISOLEUCINE POWDER 1000MG 250 0.01 71780015 NA PHNYLCT/BNZTE 5GM INJ 250 287,768.71 71782000 Ruxolitinib 5mg Tablet 250 1,336.40 71783004 NF PREGABALIN 25MG CAP 250 41.50 71783006 PREGABALIN 300MG CAP 250 42.41 71783025 NF NIACIN VIT 83 100MG TB 250 4.46 71783050 ALUM CHL 20% 35ML TPCL 250 51.94 71785006 DEXAMETHASONE 4MG/ML INHA 250 2.19 71785100 DEFLUX GEL 250 15,216.11 71799997 RESEARCH DISPENSING FEE 250 0.01 71799998 SRX-N/C MISC 250 0.01 71860040 INO GAS / HOURLY CHARGE 250 939.00 72819003 DIP/TET (DT) <7YR (SL) 250 0.01 72819115 MENCOCCAL GRP B 0.5ML VFC 250 0.01 72840036 PREADMIN IVIG/ENCOUNTER 250 225.00 72880045 IPRATROPIUM BROM UD 250 10.00 72971039 PATIENT PROVIDED MEDS 250 0.01 73120045 IPRATROPIUM BROM UD 250 10.00 71701005 APAP 80MG TB 251 1.12 71701015 APAP 325MG TB 251 2.87 71701020 APAP 500MG TB 251 4.53 71701060 ALLOPURINOL 100MG TB 251 2.98 71701085 AMILORIDE 5MG TB 251 8.94 71701100 AMITRIPTYLINE 10MG TB 251 2.78 71701120 AMLODIPINE BESYL 2.5MG TB 251 4.33 71701125 AMLODIPINE BESYL 5MG TB 251 20.97 71701135 AMOXICL/CLAV 25MG/ML PO 251 42.07 71701155 AMOXICILLIN 50MG/ML PO 251 1.99 71701172 AMOXICLLN 500MG CP 251 4.03 71701175 AMOXICLLN/CLAV 500MG TB 251 23.22 71701260 ATENOLOL 50MG TB 251 7.30 71701265 ATORVASTATN 10MG TB 251 59.64 71701270 ATOVAQUONE 150MG/ML PO 251 54.22 71701281 AZITHROMYCIN 1GM PKT 251 175.98 71701305 BENZTROPINE 0.5MG TB 251 7.39 71701316 BIOTIN 300MCG TB 251 0.26 71701320 VIT B COMPLX +C TB 251 5.30 71701330 BISACODYL 5MG TB 251 1.92 71701335 BISMTH SUBSAL 527MG/30ML 251 0.11 71701340 BUMETANIDE 0.5MG TB 251 7.35 71701345 BUMETANIDE 1MG TB 251 6.48 71701350 BUPROPION 75MG TB 251 4.83 71701378 KETOGEN CALC 500MG+ VIT D 251 4.61 71701381 CAFFEINE 200MG TAB 251 5.11 71701382 CAFFEINE CIT 60MG/3ML PO 251 9.46 71701420 CARBAMAZEPNE 100MG TB 251 6.68 71701425 CARBAMAZEPNE 200MG TB 251 10.34 71701444 CARVEDILOL 6.25MG TB 251 12.53 71701470 CEFIXIME 20MG/ML PO 251 26.82 71701490 CEFUROXIME 50MG/ML PO 251 13.68 71701500 CEPHALEXIN 250MG CP 251 4.23 71701516 CEPHALEXN 250MG/5ML PO 251 2.48 71701530 CETIRIZINE HCL 1MG/ML PO 251 1.69 71701531 CETIRIZINE 5MG/ML CUP 251 18.00 71701535 CHARCOAL 25GM/120ML TUBE 251 477.20 71701556 CHLORPROMAZINE 25MG TABLT 251 58.02 71701560 CHOLESTYRAMINE 4G PWDR 251 21.16 71701565 CIPRO 250MG TB 251 33.37 71701570 CIPRO 500MG TB 251 31.53 71701575 CITALOPRAM 20MG TB 251 16.31 71701590 CLARITHROMYCIN 50MG/ML PO 251 11.13 71701615 CLINDAMYCIN 15MG/ML PO 251 3.68 71701620 CLOMIPRAMINE 25MG TB 251 69.94 71701625 CLONIDINE 0.1MG TB 251 4.64 71701630 CLONIDINE 0.2MG TB 251 5.22 71701635 CLONIDINE 0.3MG TB 251 5.05 71701640 CULTURELLE L/GG GCFU CP 251 5.07 71701645 CYANOCOBALAMN 100MCG TB 251 2.50 71701655 CYCLOBENZAPRINE 10MG TB 251 6.37 71701680 CYPROHEPTADINE 4MG TB 251 7.21 71701695 DESMOPRESSN 0.1MG TB 251 18.34 71701725 DIGOXIN 50MCG/ML PO 251 10.88 71701726 DILTIAZEM 60MG SR TB 251 19.61 71701760 DIVALPROEX 250MG DR TB 251 11.50 71701765 DOCUSATE 100MG CP 251 5.11 71701773 DOXEPIN 25MG CP 251 5.30 71701775 DOCUSATE 50MG CP 251 4.87 71701782 DOCUSATE 100MG/10MLPO 251 10.38 71701785 ANTISPASMODIC 1ML ELXR PO 251 20.12 71701790 ENALAPRIL 2.5MG TB 251 7.15 71701791 ENALAPRIL 10MG TB 251 8.36 71701792 ENALAPRIL 1MG/ML SUSP ORL 251 18.72 71701796 ERGOCALCIFEROL 50K U/CAP 251 10.60 71701820 ERYTHROMYCN 250MG TB 251 71.47 71701840 ETHAMBUTOL 100MG TB 251 6.80 71701845 ETHAMBUTOL 400MG TB 251 9.54 71701872 FEXOFENDINE 30MG TB 251 5.85 71701895 FLUCONAZOLE 100MG TB 251 144.14 71701900 FLUDROCORTISONE 0.1MG TB 251 5.29 71701905 FLUOXETINE 10MG CP 251 14.80 71701910 FLUOXETINE 20MG/5ML PO 251 4.75 71701920 FOLIC ACID 1MG TB 251 5.27 71701925 FUROSEMIDE 20 MG TB 251 5.06 71701940 GABAPENTIN 100MG CP 251 3.95 71701945 GABAPENTIN 300MG CP 251 8.46 71701948 METFORMIN 500MG TB 251 4.69 71701951 GLUCOSE 5GM CHW TB 251 1.38 71701953 GLUTOSE 15GM GEL TUBE 251 9.49 71701965 GUAIFENISIN 5ML UD PO 251 4.85 71701966 DIABETIC TUSSIN-DM 1ML 251 0.24 71701970 GUANFACINE 1MG TB 251 6.29 71701985 HALOPERIDL 0.5MG TB 251 5.11 71701990 HALOPERIDL 1MG TB 251 4.90 71701995 HYDRALAZINE 10MG TB 251 1.95 71702000 HYDRALAZINE 25MG TB 251 4.77 71702005 HYDROCHLROTHIAZD 25MG TB 251 4.28 71702010 HYDROCORTISONE 10MG TB 251 4.99 71702025 HYDROXYUREA 500MG CP 251 11.92 71702030 HYDROXYZINE 10MG/5ML PO 251 1.76 71702031 HYDROXYZINE 10MG/5ML PO 251 0.30 71702050 HYOSCYMNE S04 0.125MG SL 251 5.30 71702061 IBUPROFEN 100MG CHEW 251 1.89 71702065 IBUPROFN 200MG TB 251 2.84 71702085 IMIPRAMINE 25MG TB 251 5.30 71702090 INDOMETHACN 25MG CP 251 5.30 71702115 ISRADIPINE 2.5MG CP 251 8.41 71702120 ISRADIPINE 5MG CP 251 12.50 71702125 ITRACONAZOLE 100MG CP 251 108.47 71702146 LABETALOL 100MG TB 251 3.49 71702161 LAMIVUDINE 10MG/ML PO 251 2.74 71702165 LAMOTRIGINE 100MG CP 251 3.44 71702170 LAMOTRIGINE 25MG TB 251 19.24 71702185 LEVOTHYROXN 88MCG TB 251 5.28 71702190 LEVOTHYROXN 100MCG TB 251 5.25 71702210 LIDOCAINE VISC 100ML PO 251 1.38 71702215 LINEZOLID 100MG/5ML PO 251 32.25 71702217 LINEZOLID 600MG TAB 251 1,006.44 71702220 LISINOPRIL 2.5MG TB 251 5.20 71702225 LISINOPRIL 5MG TB 251 5.25 71702230 LISINOPRIL 10MG TB 251 5.92 71702235 LITHIUM CARB 300MG TB 251 4.77 71702236 LITHIUM CARB 300MG CP 251 4.65 71702240 LITHIUM CARB 450MG ER TB 251 5.28 71702245 LITHIUM 60MG/ML PO 251 2.01 71702250 LITHIUM CARB 300MG ER TB 251 3.73 71702255 LOPERAMIDE 2MG CP 251 5.30 71702260 LOPERAMIDE 0.2MG/ML PO 251 1.84 71702265 LORATADINE 10MG/5ML SYRP 251 1.98 71702270 LORATADINE 10MG TB 251 5.30 71702275 LORAZEPM 0.5MG TB 251 4.52 71702280 LORAZEPM 1MG TB 251 4.60 71702281 LOSARTAN 25MG TB 251 10.33 71702330 MEGSTRL 40MG/ML 30ML PO 251 5.09 71702335 MEGSTRL 40MG TB 251 3.93 71702340 MERCPTOPURINE 50MG TB 251 49.49 71702345 MESALAMINE 400MG EC TB 251 21.48 71702395 METOCLOPRAMIDE 1MG/ML PO 251 6.49 71702410 METOLAZONE 2.5MG TB 251 20.14 71702420 METRONIDAZOLE 250MG TB 251 4.29 71702435 MOM 30ML PO 251 10.58 71702460 MINOXIDIL 2.5MG TB 251 10.31 71702470 MIRTAZAPINE 15MG TB 251 16.71 71702475 MONTELUKAST 4MG CHW TB 251 34.75 71702480 MONTELUKAST 5MG CHW TB 251 25.10 71702485 MONTELUKAST 10MG TB 251 33.60 71702495 MVI +MNRL CHW TB 251 5.30 71702536 NAPROXEN 25MG/ML PO 251 1.31 71702537 NAPROXEN 500MG TB 251 8.37 71702555 NEOMYCN SULF 500MG TB 251 8.36 71702560 NEPHROCP CP 251 5.30 71702565 NEPHROVITE TB 251 5.30 71702595 NIFEDIPINE 30MG SR TB 251 8.32 71702600 NIFEDIPINE 60MG SR TB 251 14.50 71702610 NIFEREX-150 CP 251 8.39 71702615 NITROFURANTN 25MG CP 251 75.43 71702620 NITROFURANTOIN 5MG/ML PO 251 18.88 71702625 NTG 0.4MG SL 25 TBS 251 6.66 71702630 NORTRIPTYLINE 10MG CP 251 3.87 71702650 ZYPREXA ZYDIS 5MG TB 251 87.64 71702710 OXYBUTYNIN 5MG/5ML PO 251 3.32 71702715 OXYBUTYNIN 5MG TB 251 5.24 71702717 OGESTREL TB 251 10.60 71702754 PAXIL 10MG TB 251 4.59 71702760 PEG LAVAGE 4L RECON SOL 251 144.44 71702780 PCN VK 500MG TB 251 5.30 71702800 PHENAZOPYRIDN 100MG TB 251 16.42 71702892 POT CHLORIDE 1.3mEq/mL PO 251 5.12 71702900 POT CHL 20MEQ CR TB 251 4.67 71702910 PRAZOSIN 2MG CP 251 15.29 71702961 PRENATAL VITAMIN TB 251 5.30 71702980 PROGLYCEM 50MG PO 251 31.57 71703000 PROPRANOLOL 4MG/ML PO 251 3.55 71703005 PROPRANOLOL 10MG TB 251 3.63 71703007 PROPRANOLOL 40MG TAB 251 6.67 71703055 PYRIDOXINE 100MG TB 251 4.16 71703070 QUETIAPINE 100MGTB 251 39.29 71703081 RANTIDINE 75MG/5ML ORAL 251 20.12 71703125 RISPERIDONE 0.25MG TB 251 24.18 71703130 RISPERIDONE 1MG TB 251 27.37 71703140 ROBITUSSIN DM 5ML SYRP 251 10.00 71703175 SENNA TB 251 4.40 71703178 SUMATRIPTAN 25MG TB 251 159.33 71703180 SERTRALINE 100MG TB 251 4.54 71703181 SERTRALINE LIQ 20MG/ML 251 6.65 71703190 SERTRALINE 50MG TB 251 5.02 71703200 SIMETHICONE 2GM/30ML PO 251 5.11 71703210 SIMETHICONE 80MG TB 251 5.14 71703245 NA BICARB 8.4% 50ML SYR 251 70.72 71703250 NA BICARB 650MG TB 251 2.60 71703273 NA CIT/CIT ACID 1ML PO 251 0.98 71703275 NA PLYSTYRN SULF 15GM PO 251 645.81 71703276 SOD POLYSTYRENE PWDR 1GM 251 2.29 71703290 SOTALOL 80MG TB 251 4.80 71703325 SUCRALFATE GM/10ML PO 251 3.27 71703330 SUCRALFATE 1GM TB 251 5.15 71703340 SMZ/TMP 80MG TB 251 4.95 71703345 SMZ/TMP 160MG TB 251 5.02 71703350 TMP/SMX 8MG PO 251 2.80 71703360 LEVOTHROID 75MCG TB 251 8.44 71703405 MVI THERAPEUTIC PO 251 0.42 71703465 TRAZODONE HCL 50MG TB 251 4.18 71703486 VALGANCICLOVIR 450MG TB 251 920.63 71703487 VALACYCLOVIR 500MG CP 251 27.09 71703502 VENLAFAXINE 75MG TB 251 13.57 71703504 VENLAFAXINE 75MG XR CP 251 25.44 71703505 VIT A 10,000U CP 251 4.30 71703550 WARFARIN NA 2MG TB 251 4.81 71703555 WARFARIN NA 2.5MG TB 251 5.30 71703560 WARFARIN NA 1MG TB 251 5.91 71703561 WELLBUTRIN 100MG SR TB 251 10.13 71703562 WELLBUTRIN 150MG SR TB 251 5.09 71703570 ZINC 220MG CP 251 4.74 71703595 DOXYCYCLINE 100MG TB 251 33.64 71703620 VERAPAMIL HCL 40MG TB 251 5.30 71703690 MVI THERA TB 251 5.22 71703720 MVI +MNRL CHW TB 251 5.30 71703785 VIT C 500MG CHW TB 251 4.80 71703835 NYSTATIN 100,000U/ML PO 251 9.40 71703850 BUPROPION 100MG TB 251 7.10 71703870 DOXEPIN 10MG/ML PO 251 5.83 71703880 CO-Q10 30ML LQ 251 3.70 71703890 PROBENECID 500MG TB 251 6.87 71703931 RIFAXIMIN 550MG TAB 251 233.22 71703951 DEFERASIROX 125MG TB 251 250.59 71703976 LACOSAMIDE 100MG TB 251 40.28 71704001 TADALAFIL 20MG TAB 251 444.54 71704006 KETOGEN VITAMIN D-3 DROPS 251 9.92 71704115 ACET/BUTALB/CAFF TB 251 10.60 71704125 SELENIUM 50MCG TAB 251 2.88 71704150 TAMSULOSIN 0.4MG CAP 251 25.43 71705025 B&O 30MG SUPP 251 166.45 71705045 CLONAZEPAM 0.5MG TB 251 5.35 71705055 CLORAZEPATE 3.75MG TB 251 23.91 71705060 COCAINE 4% 4ML TOP SOL 251 1,346.45 71705072 METHYLPHENIDATE 27MG TB 251 49.38 71705075 CONCERTA 36MG TB 251 61.92 71705085 DEXTROAMPHET 5MG SA CP 251 24.24 71705090 DIAZEPAM 2MG TB 251 3.32 71705095 DIAZEPAM 5MG TB 251 3.86 71705096 DIAZEPAM 5MG/5ML PO 251 28.50 71705110 FENTANYL 50MCG TOP PTCH 251 220.32 71705115 FENTANYL 75MCG TOP PTCH 251 293.63 71705121 NORCO 5/325MG TB 251 5.18 71705122 NORCO 7.5/325MG TB 251 5.30 71705126 LORAZEPM INTNSL 2MG/ML PO 251 9.92 71705127 NORCO 10/325MG TB 251 7.42 71705130 METHADONE 5MG/5ML PO 251 10.08 71705131 METHADONE 5MG TB 251 4.56 71705135 METHYLPHENIDATE 10MG TB 251 3.86 71705140 METHYLPHENIDATE 5MG TB 251 5.13 71705146 MIDAZOLM 5MG/2.5ML SYRP 251 38.26 71705147 MIDAZOLAM 10MG/5ML CUP 251 44.00 71705151 MS04 0.5MG PO 251 10.51 71705155 MS04 15MG SR TB 251 11.31 71705160 MS04 30MG SR TB 251 20.89 71705170 OXYCODONE 5MG TB 251 4.57 71705175 OXYCODONE HCL 10MG SR TB 251 24.93 71705230 HYDROMORPHN 2MG TB 251 5.05 71705270 METHADONE 2.5MG/2.5ML PO 251 2.92 71705660 DEXMETHYPHEN 5MG XR CP 251 47.62 71705670 DEXMETHYLPHEN 5MG TB 251 6.25 71705740 CLOBAZAM 10MG TB 251 120.01 71710266 BUPIVACAINE 0.5% MPF 10ML 251 31.13 71710607 LEVOTHYRXN 200MCG/10ML IN 251 759.58 71711245 LEVOCARNTNE 100MG/ML PO 251 3.34 71711253 LIDO/EPI 1:100000 20ML 251 13.75 71711277 LIDOCAINE 1% 20ML VL 251 0.53 71711310 LIDOCAINE JELLY 2% 5 ML 251 47.46 71711321 LIDOCN 2% 100MG/5ML SYR 251 23.07 71711322 LIDOCN-MPF 1% 50MG/5ML IN 251 2.24 71711716 TETRACAINE 1% 2ML AMP 251 247.22 71712255 DILTIAZEM 5MG/ML VL 251 16.89 71712505 TRANEXAMIC ACID 100MG/ML 251 221.31 71715105 MSO4 10MG/5ML PO 251 11.52 71715151 MSO4 15MG IR TB 251 5.30 71721850 AZTREONM 20MG/ML 50ML IV 251 2,104.13 71722076 D10 +HEP 0.5U/ML 500ML IV 251 30.61 71722081 D10 +LYTS+HEP 0.5U/ML 500 251 152.45 71722082 D10%+AA5.5%+HEP 2.5U/ML 251 30.11 71722215 EPINEPHRINE 16 MCG/ML PED 251 3.76 71722394 HYDROCRT NASCC 1MG/ML 100 251 33.93 71722805 NOREPINEPHRINE 16 MCG/ML 251 31.21 71725020 BLNCD SALT 500ML OPH IRR 251 537.45 71725177 INTRALIPID 20% 500ML 251 272.55 71725282 PRISMASATE BGK4/2.5 5LBAG 251 179.49 71725283 PRISMASOL BGK 025 5L BAG 251 208.39 71730000 ACETYLCYSTN 400MG/4ML INJ 251 90.09 71730021 ACETYLCYSTN 20% 30ML 251 35.73 71730058 AMMONIA AROMATIC AMP 251 5.30 71730060 BECLOMTHSN AQ 25GM INH 251 1,982.21 71730110 FLUTICASONE 220MCG MDI IN 251 2,439.48 71730115 FLUTICASONE 44MCG MDI INH 251 1,181.16 71730285 PORACTANT ALFA 1.5ML 251 2,779.67 71730286 PORACTANT ALFA 3ML 251 6,840.94 71740002 APAP 80MG SUPP 251 5.10 71740025 ANUSOL 30GM RCTL OINT 251 1,278.05 71740026 ANUSOL +HC 2.5% 30GM TOP 251 844.95 71740032 DERMAPHOR 118GM OINT 251 19.08 71740035 AVEENO COLLOIDL OATML PKT 251 5.00 71740040 AVITENE 1GM TOP PWDR 251 798.93 71740045 BACITRACN 500U/GM 28.35GM 251 1.76 71740046 BACITRACIN OINTMENT 0.9 251 6.26 71740060 BENZOCAINE 20% TOP SPRY 251 36.04 71740064 ORAJEL BABY 9.9GM TOP GEL 251 22.73 71740067 BETAMETH 0.01% 15GM TOP C 251 169.62 71740070 BISACODYL RECT SUPP 10 MG 251 5.30 71740080 CALAMINE 120ML TOP LTN 251 21.86 71740085 CEPACOL LOZNG EA PO 251 5.19 71740105 CHLORASEPTIC LIQ SPRY 251 15.58 71740125 CLONIDINE 0.1MG/DAY PTCH 251 179.66 71740130 CLONIDINE 0.2MG/DAT PTCH 251 340.02 71740135 CLOTRIMAZOLE 10MG TROCHE 251 10.52 71740140 CLOTRIMAZOLE 1% 15GM TOPR 251 55.74 71740150 CLOTRIMAZOLE 45GM VAG CR 251 43.46 71740155 CLOTRIMZL BETM 15GM TOP C 251 175.68 71740170 DIPHENHYDRAMN 2% TOP CR 251 26.39 71740186 EPINPHRN 1:1000 30ML NSLS 251 801.44 71740195 ESTROGNCL CNJ 42.5GM VAG 251 2,184.92 71740200 EUCERIN 120GM TOP CR 251 27.29 71740210 FLEET ENEMA ADLT 251 10.30 71740215 FLEET ENEMA CHLD 251 6.19 71740236 GENTIAN VIOLET 1% TOP SOL 251 25.44 71740240 GLYCERIN SUPP 251 4.23 71740242 GLYCERIN SUPP ADLT 251 5.30 71740250 GLYCERIN 1ML LQ USP 251 0.48 71740255 HYDROCRT ACET 25MG SUPP 251 123.00 71740256 HYDROCRT ACET PRMXN FOAM 251 459.00 71740260 HYDROCRT 0.5% 30GM TOP CR 251 28.79 71740265 HYDROCRT 1% 30GM TOP CR 251 25.28 71740266 HYDROCRT 1% TOP OINT 251 23.06 71740267 HYDROCRT 0.5% 28GM TOP OI 251 25.48 71740305 LIDOCAINE 5% 35GM TOP OIN 251 717.22 71740320 LINDANE 1% 60ML SHMPOO 251 779.00 71740330 MICONAZOLE 2% 30GM TOP CR 251 23.05 71740340 MINERAL OIL STER 2ML PO 251 82.79 71740350 MUPIROCIN 2% 22GM OINT 251 514.68 71740360 NEOMYCN/PLY/BCT 15GM TOP 251 32.51 71740365 NEOMYCN/PLY/BCT PK TOP 251 1.97 71740366 NITRO 2% 1 251 229.99 71740375 NYSTATIN 15GM TOP CR 251 104.66 71740376 NYSTATIN 30GM TOP OINT 251 105.44 71740380 NYSTATIN T 15GM TOP PWDR 251 165.59 71740381 NYSTATN/TRIAM 0.1% 15GM T 251 637.00 71740395 PERMETHRN 0.5% 60GM TOP C 251 734.82 71740400 POLYSPORIN 3.5GM OPH OINT 251 154.90 71740405 POLYSPORIN 15GM TOP OINT 251 46.71 71740410 POVIDN IODN 30GM TOP OINT 251 19.64 71740430 PROMETHAZINE 12.5MG SUPP 251 107.07 71740455 SELENIUM SULF 118ML TOP L 251 123.00 71740465 SILVER NITRATE STICK EA 251 4.43 71740475 SILVER SULFADZN 1% 400GM 251 391.69 71740480 SILVER SULFDZN 50GM TOP C 251 90.40 71740527 TRIAMCINLN 0.1% 80GM TOP 251 77.69 71740560 VIT A&D 60GM TOP OUNT 251 19.64 71740570 ZN OXIDE 60GM TOP OINT 251 30.45 71740595 NICOTINE 7MG PTCH 251 13.78 71740596 NICOTINE 14MG PTCH 251 13.78 71740597 NICOTINE 21MG PTCH 251 13.00 71740600 HYDROCRT 2.5% TOP OINT 251 29.46 71740716 OINT WHITE PETROLTM 368GM 251 25.27 71750010 ATROPINE 1% 5ML OPH SOL 251 191.16 71750015 BACITRACN 3.5GM OPH OINT 251 675.50 71750030 CARBAMD PEROX 15ML OTIC S 251 10.41 71750055 CYCLOPENTLT 15ML OPH SOL 251 461.28 71750060 CYCLOPENTLT 1% 2ML OPH SO 251 97.76 71750065 CYCLOPENTLT PHNYL 2ML OPH 251 189.50 71750070 DEXAMETHSN 0.1% 5ML OPH 251 152.30 71750075 DORZOLAMIDE 5ML OPH SOL 251 389.72 71750080 ERYTHROMYCN 3.5GM OPH OIN 251 115.11 71750085 FLUORESCEIN OPH STRIP 251 151.61 71750088 FLURBIPRFN 0.03% 2.5ML OP 251 52.42 71750090 GENTAMICN 3.5GM OPH OINT 251 118.89 71750095 GENTAMICN 5ML OPH SOL 251 115.85 71750110 MAXITROL 3.5GM OPH OINT 251 118.90 71750165 OXYMETAZOLN 30ML NSL SPRY 251 17.89 71750200 PREDNISL NA PHOS 10ML OPH 251 206.71 71750210 PROPARACN 0.5% 15ML OPH 251 262.97 71750215 NACL 30ML NSL SOL 251 13.58 71750216 SALINE NASAL GEL 22ML 251 9.55 71750225 SULFACETMD 10% 15ML OPH 251 369.40 71750230 SULFACETMD PRED 5ML OPH 251 112.87 71750240 TOBRADEX3.5GM OPH OINT 251 1,421.01 71750245 TOBRADEX 1% 2.5ML OPH SOL 251 542.67 71750250 TOBRAMYCN 0.3% 3.5GM OPH 251 1,465.93 71750295 PHENYLEPHRN 10% 5ML OPH 251 107.14 71750305 ACETIC ACID 2% 15ML OTIC 251 228.00 71750391 LIDOCAINE 3.5% OPHTH 1ML 251 159.36 71755126 LIDOCAINE 1% 251 18.00 71755130 LIDOCAINE 2% 251 45.00 71760006 DAKINS 1/2 STRNGTH 1L 251 72.18 71760007 DAKINS 1/4 STRNGTH 1L 251 72.04 71760050 EPSOM SALT 16 OZ GRNLS 251 65.61 71760160 ALLOPURINOL 20MG/ML PO 251 3.84 71760165 AMILORIDE 1MG/ML PO 251 7.70 71760170 AMIODARONE 5MG/ML PO 251 2.92 71760182 ATENOLOL 2MG/ML PO 251 15.82 71760185 AZATHIOPRINE 50MG PO 251 15.82 71760195 BETHANECHOL 1MG/ML PO 251 6.15 71760200 BIOTIN 5MG/ML PO 251 141.72 71760205 CPTOPRIL 1MG/ML PO 251 11.93 71760210 CHOLESTYAMN 5% 30GM TOP O 251 15.77 71760281 HYDRALAZINE 4MG/ML PO 251 8.39 71760282 ISONIAZID 10 MG/ML SYRP 251 5.27 71760295 LABETALOL 10MG/ML 1ML PO 251 3.96 71760305 LANSOPRZL 3MG/ML 1ML PO 251 3.79 71760311 LIDOCAINE 1% 33ML BUFFRD 251 12.49 71760315 MG OXIDE 160MG PO 251 6.74 71760320 METOLAZONE 1MG PO 251 7.65 71760325 METRONIDAZL 50MG PO 251 3.29 71760335 MINOXIDIL 1MG PO 251 6.14 71760345 PED 123 120ML MTHWSH 251 42.92 71760360 PYRIDOXN HCL 1MG PO 251 0.56 71760365 RIBOFLAVIN 10MG PO 251 2.05 71760385 SANDELLS OINT 30GM TPCL 251 74.49 71760395 NA BICARB 1MEQ/ML 1ML PO 251 1.79 71760400 NACL 2MEQ PO 251 3.16 71760406 KETOGENIC LITE SALT 251 5.30 71760410 SPIRONOLACTN 10MG PO 251 1.11 71760425 TACROLIMUS 0.5MG/ML PO 251 18.69 71760430 THIAMINE 10MG/ML 1ML PO 251 4.12 71760435 THIOGUANIN 20MG/ML 1ML PO 251 96.12 71760440 URSODIOL 60MG/ML 1ML PO 251 7.32 71760450 MAGIC MTHWSH 120ML PO 251 11.04 71760470 HYDROCRT 2MG/ML PO 251 7.71 71760635 METOPROLOL 10MG/ML SUSP 251 11.01 71760640 CLOPIDROGREL 5MG/ML SUSP 251 5.81 71762020 ZINC SULFATE 2.3MG/ML ORL 251 5.68 71762095 DILTIAZEM 12MG/ML PO 251 7.91 71762155 QUINIDINE SO4 10MG/ML PO 251 1.32 71762175 MGSO4 50% 25,000 INJ 251 2.51 71762230 POTASSIUM IOD 0.15ML SYR 251 10.17 71762231 POTASSIUM IOD 0.25ML SYR 251 14.28 71762245 BOSENTAN SUSP 6MG/ML 251 38.85 71764056 ZONISAMIDE 10MG/ML SUSP 251 1.52 71765025 ASA 20MG SUPP 251 13.88 71770111 KYTRIL 1MG TB 251 356.65 71789975 0.9% SOD CHLORIDE 5ML NEB 251 5.31 73165019 GENTIAN VIOLET 1% TOP SOL 251 38.00 71701025 ACETAZOLAMDE 250MG TB 252 24.54 71701030 ACYCLOVIR 200MG CP 252 6.25 71701035 ACYCLOVIR 40MG/ML PO 252 5.85 71701040 ACYCLOVIR 400MG TB 252 12.45 71701045 ALBUTEROL 0.4MG/ML PO 252 6.41 71701065 ALLOPURINOL 300MG TB 252 5.31 71701075 AMANTADINE 100MG CP 252 20.10 71701080 AMANTADINE 10MG/ML PO 252 1.41 71701105 AMITRIPTYLINE 25MG TB 252 4.29 71701116 RUFINAMIDE 400MG TAB 252 137.03 71701117 RUFINAMIDE 40MG/ML LIQ 252 20.33 71701170 AMOXICLLN 250MG CHW 252 4.62 71701176 AMOXICLLN/CLAV 875MG TB 252 30.35 71701200 AMOXICL/CLAV 80MG/ML PO 252 4.40 71701205 AMOXICLLN/CLAV 250MG TB 252 36.04 71701207 CREON 3000U CP 252 8.32 71701236 ZENPEP 10000U CP 252 18.64 71701237 ZENPEP 20000U CP 252 37.65 71701238 ZENPEP 15000U CP 252 27.09 71701240 ASA 325MG EC TB 252 5.30 71701245 ASA 325MG TB 252 4.40 71701250 ASA 81MG CHW TB 252 4.77 71701255 ATENOLOL 25MG TB 252 5.30 71701280 AZITHROMYCN 250MG TB 252 26.70 71701285 AZITHROMYCIN 20MG/ML PO 252 15.48 71701290 AZITHROMYCIN 40MG/ML PO 252 26.04 71701295 BACLOFEN 10MG TB 252 15.20 71701353 BUPROPION XL 150MG TAB 252 29.27 71701360 BUSPIRONE 5MG TB 252 4.95 71701365 CALCITRIOL 1MCG/ML PO 252 39.82 71701370 CALCITRIOL 0.25MCG CP 252 7.45 71701375 CA ACET 667MG CP 252 8.68 71701376 TUMS 500MG CHW TB 252 2.55 71701380 CA CARB 100MG ELEM/ML PO 252 5.40 71701383 CITRACAL 950MG TB 252 4.34 71701410 CARBAMAZAPINE 20MG/ML PO 252 1.54 71701443 CARVEDILOL 3.125 TB 252 12.79 71701495 CEFUROXIME 250MG TB 252 30.88 71701525 CETIRIZINE 10MG TB 252 15.72 71701538 CHLORASEPTIC LOZNG EA PO 252 5.18 71701545 CHLOROTHIAZIDE 50MG/ML PO 252 4.64 71701550 CHLOROTHIAZID 250MG TB 252 4.59 71701595 CLARITHRMYCN 250MG TB 252 34.99 71701605 CLINDAMYCN 150MG CP 252 4.52 71701675 CYPROHEPTADINE 2MG/5ML PO 252 2.40 71701686 DAPSONE 100MG TB 252 19.08 71701730 LANOXIN 0.125MG TB 252 10.23 71701736 LANSOPOAZOLE 15MG DR CP 252 35.66 71701737 LANSOPRAZOLE 30MG DR CP 252 34.79 71701742 DIPHENHYDRMN 12.5MG/5MLPO 252 15.51 71701750 DIVALPROEX 125MG SPRNKL C 252 9.64 71701755 DIVALPROEX 125MG DR TB 252 6.10 71701761 DEPAKOTE 500MG DR TB 252 20.02 71701795 ERGOCALCIFERL 8000U/ML PO 252 10.59 71701810 ERYTHROMYCIN 40MG/ML PO 252 26.87 71701815 ERYTHROMYCIN 80MG/ML PO 252 53.78 71701825 ERYTHROMYCN 400MG TB 252 70.24 71701833 MELATONIN LQ 1MG/ML 252 3.39 71701836 PREMARIN 0.9MG TB 252 34.75 71701859 FAMOTIDINE 8MG/ML PO 252 22.46 71701860 FAMOTIDINE 20MG TB 252 14.80 71701861 FELBAMATE 400MG TB 252 35.08 71701862 FELBAMATE 120MG/ML PO 252 16.32 71701875 FERROUS SULF 15MG ELEM/ML 252 1.42 71701880 FERROUS SULF 325MG TB 252 4.92 71701890 FLUCONAZOLE 40MG/ML PO 252 20.12 71701915 FLUVOXAMINE 50MG TB 252 15.88 71701930 FUROSEMIDE 40 MG TB 252 5.28 71701935 FUROSEMIDE 10MG/ML PO 252 9.58 71701942 GABAPENTIN 50MG/ML PO 252 8.27 71701947 GLIPIZIDE 5MG TB 252 5.00 71701975 HALOPERIDL 2MG/ML PO 252 10.59 71702015 HYDROCORTISONE 5MG TB 252 6.37 71702020 HYDROXYCHLROQUIN 200MG TB 252 26.07 71702023 HYDROXYUREA 200MG CAP 252 15.92 71702045 HYOSCYMNE S04 0.125MG PO 252 14.99 71702070 IBUPROFN 400MG TB 252 4.58 71702072 VERAPAMIL ER 180MG TAB 252 11.13 71702075 IBUPROFN 600MG TB 252 5.28 71702130 ITRACONAZOLE 10MG/ML PO 252 14.25 71702135 KETOROLAC 10MG TB 252 13.71 71702145 K-PHOS NEUTRAL 250MG TB 252 3.68 71702150 LACTASE ENZYM 3000U TB 252 4.73 71702152 LACTINEX PKT 252 12.71 71702155 LACTULOSE 10GM/15ML PO 252 1.89 71702166 LAMOTRIGINE 5MG CHW TB 252 18.65 71702171 LEVETIRACETM 250 MG TB 252 7.68 71702172 LEVETIRACETM 500MG TB 252 4.91 71702175 LEVGOTHYROXN 25MCG TB 252 4.52 71702180 LEVOTHYROXN 50MCG TB 252 5.30 71702195 LEVOTHYROXN 112MCG TB 252 6.51 71702200 LEVOTHYROXN 125MCG TB 252 8.20 71702300 MAG CITRATE 240ML PO 252 7.39 71702302 MAALOX 30ML PO 252 16.39 71702305 MG OXIDE 400MG TB 252 3.25 71702310 MG CHL 64MG EC TB 252 4.92 71702312 MG +PROTEIN TB 252 2.46 71702315 MAGONATE 200MG PO 252 1.86 71702344 MESALAMINE 250MG CR CP 252 20.40 71702400 METOCLOPRAMIDE 5MG TB 252 5.52 71702426 MEXILETINE 150MG CP 252 15.90 71702510 MYCOPHENLT 200MG/ML PO 252 41.95 71702515 MYCOPHENLT 250MG CP 252 23.84 71702575 NEUTRA PHOS 250MG/PHT PWD 252 4.48 71702590 NIFEDIPINE 10MG CP 252 7.56 71702621 NITRIFURATOIN 100MG TB 252 42.40 71702635 NORTRIPTYLINE 25MG CP 252 9.32 71702645 OLANAZIPINE 2.5MG TB 252 67.50 71702718 LO/OVRAL TB 252 7.23 71702762 MIRALAX 17G PWDR PKT 252 16.83 71702775 PCN VK 250MG TB 252 5.30 71702814 PHENYTOIN 50MG CHW TB 252 7.36 71702820 PHENYTOIN 25MG/ML PO 252 4.90 71702835 PHYTONADIONE 5MG TB 252 431.26 71702895 POT CHL 10MEQ CR TB 252 9.56 71703025 PSEUDOEPHEDRINE 30MG TB 252 3.09 71703040 PSYLLIUM MX PKT 252 3.17 71703045 PYRAZINAMIDE 500MG TB 252 16.49 71703050 PYRIDOSTIGMINE 60MG TB 252 9.47 71703060 PYRIDOXINE 25MG TB 252 4.29 71703075 QUETIAPINE 25MG TB 252 22.81 71703080 RANITIDINE 15MG/ML PO 252 5.20 71703085 RANITIDINE 150MG TB 252 5.28 71703090 RIFABUTIN 150MG CP 252 96.47 71703095 RIFAMPIN 150MG CP 252 12.10 71703110 RISPERIDONE 0.5MG TB 252 26.35 71703115 RISPERIDONE 1MG/ML PO 252 15.23 71703170 SENNA LQ PO 252 0.44 71703176 SENOKOT-S TB 252 3.95 71703185 SERTRALINE 25MG TB 252 4.14 71703255 NA BICARB 1TSP PWD 252 331.96 71703271 NA PHENYLBUTYRT 1GM PWDR 252 7.47 71703272 NA PHENYLBUTYRT 50OMG TB 252 122.14 71703280 SORBITOL 70% 1ML PO 252 0.40 71703295 SPIRONOLACTONE 25MG TB 252 3.49 71703305 SPIRONOLACTN/HCTZ 25MG TB 252 8.62 71703331 TOOT SWEET(SURCOSE 24%)VL 252 4.13 71703410 THIAMINE 100MG TB 252 4.95 71703435 TIZANIDINE 4MG TB 252 9.55 71703440 TOPIRAMATE 15MG SPRNKL CP 252 14.67 71703445 TOPIRAMATE 100MG TB 252 34.94 71703450 TOPIRAMATE 25MG TB 252 13.85 71703455 TRAMADOL 50MG TB 252 5.09 71703470 TRIHEXYPHENIDYL 2MG TB 252 2.14 71703500 VENLAFAXINE 25MG TB 252 12.72 71703515 VIT ADC GTTS 252 1.44 71703516 VIT B-2 100MG TB 252 5.03 71703530 VIT C 250MG TB 252 5.29 71703535 VIT E 100U CP 252 3.52 71703540 VIT E 400U CP 252 3.74 71703545 VIT E 50U PO 252 8.95 71703584 VORICONAZOLE 50MG TB 252 71.22 71703585 VORICONAZOLE 200MG TB 252 713.57 71703587 VORICONAZOLE 40MG/ML PO 252 76.48 71703600 DEXTROMETHORPHN 1.5MG SYR 252 0.73 71703625 NALTREXONE 50MG TB 252 26.33 71703630 OSELTAMIVIR 12MG/ML PO 252 14.44 71703631 OSELTAMIVIR 75MG CP 252 90.79 71703635 BETAINE HCL 1GM PWDR 252 10.39 71703638 ATOMOXETINE 10MG CP 252 82.58 71703640 ATOMOXETINE 18MG CP 252 81.63 71703645 ATOMOXETINE 25MG CP 252 85.27 71703650 ATOMOXETINE 40MG CP 252 51.04 71703655 ATOMOXETINE 60MG CP 252 92.46 71703660 COLCHICINE 0.6MG TB 252 51.52 71703670 OXCARBAZEPINE 60MG/ML PO 252 2.26 71703675 AMOXCL/CLAV 120MG/ML PO 252 4.05 71703680 DIALYVITE +C+FA 1MG TB 252 4.97 71703685 DIALYVITE +C +ZN 800MG TB 252 5.30 71703695 PROPRANOLOL 60MG LA CP 252 13.78 71703710 PANCREAZE 4200U CP 252 7.73 71703712 PANCREAZE 16800U CP 252 29.33 71703713 PANCREAZE 21000U CP 252 35.20 71703715 FEXOFENADINE 180MG TB 252 5.30 71703726 ARIPIPRAZOLE 1MG/ML SOLN 252 57.73 71703728 ARIPIPRAZOLE 2MG TB 252 182.80 71703730 ARIPIPRAZOLE 15MG TB 252 181.32 71703731 ARIPIPRAZOLE 5MG TB 252 179.19 71703735 CARBATROL 200MG SR CP 252 11.26 71703737 CARBATROL 100MG ER CP 252 10.60 71703770 OLANZAPINE 10MG TB 252 124.11 71703780 DEPAKOTE 250MG ER TB 252 14.75 71703790 ESCITALOPRAM 10MG TB 252 26.23 71703795 RISPERIDONE 0.5MG M-TB 252 28.47 71703796 RISPERIDONE 1MG M-TB 252 33.77 71703800 CLOPIDOGREL 75MG TB 252 41.14 71703805 CEFDINIR 125MG/5ML PO 252 5.17 71703810 CEFDINIR 300MG CP 252 31.46 71703825 LEVETIRACETM 100MG/ML PO 252 4.26 71703840 ZONISAMIDE 25MG CP 252 4.48 71703845 DEPAKOTE 500MG ER TB 252 24.68 71703855 CITALOPRAM 10MG/5ML PO 252 5.59 71703867 DULOXETINE 60MG CP 252 36.04 71703895 CELEBREX 100MG CP 252 26.59 71703952 DEFERASIROX 500MG TAB 252 1,002.40 71704015 AMBRISENTAN 5MG TAB 252 1,510.52 71704145 NIMODIPINE 3MG/ML SUSP OR 252 25.33 71705010 ALPRAZOLAM 0.25MG TB 252 4.70 71705015 AMPHET/DXTROAMP 5MG TB 252 10.47 71705019 ADDERALL 5MG XR CP 252 37.03 71705020 AMPHET/DXTROAMP 10MG TB 252 10.40 71705022 ADDERALL 10MG XR TB 252 46.67 71705050 CLONAZEPAM 1MG TB 252 6.80 71705056 CLORAZEPATE 7.5MG TAB 252 28.99 71705070 CONCERTA 18MG TB 252 37.98 71705105 FENTANYL 25MCG TOP PTCH 252 117.04 71705180 OXYCODONE HCL 20MG SR TB 252 46.65 71705185 OXYCODON/APAP 5/325MG TB 252 8.37 71705200 PHENOBARB 20MG/5ML PO 252 7.54 71705206 PHENOBARBITAL 97.2MG TAB 252 14.05 71705211 PHENOBARBITAL 32.4MG TAB 252 3.30 71705245 OXYCODONE 1MG/ML 5ML PO 252 10.49 71705265 DRONABINOL 2.5MG CP 252 36.13 71705685 MODAFINIL 100MG TB 252 159.94 71705714 LISDEXAMFETAMINE 20MG CP 252 65.39 71705730 LACOSAMIDE 10MG/ML LQ 252 44.66 71705735 LACOSAMIDE 50MG TB 252 58.83 71705736 LACOSAMIDE 100MG TAB 252 91.14 71710256 BUPIVICAINE 0.25% 10ML PF 252 11.64 71711071 HYALURONIDASE HUM 150U/ML 252 11.71 71711081 HYDROCORT 20MG/ML 5ML IT 252 40.10 71711902 PROVISC 0.85 ML SYR 252 1,172.37 71712105 ZIDOVUDINE 50MG/5ML PO 252 1.54 71712106 ZIPRASIDONE 20MG CP 252 50.53 71712195 DEXMEDETOMDN 200MCG/2ML 252 338.41 71712210 INDOCYANINE GRN 25MG VL 252 597.61 71712315 SOTRADECOL 3% 3ML INJ 252 554.61 71723347 CUSTODIOL HTK 1000ML 252 1,024.06 71723348 CUSTODIAL HTK 500ML 252 495.04 71725012 ANTICOAG CIT DEX 1L IV 252 636.57 71725175 FAT 20GM/100ML INJ 252 221.62 71725200 METRONIDZL 500MG/100ML IN 252 25.43 71725281 PRISMASOL 5L BAG 252 209.59 71725520 DIANEAL PD-2 +D1.5 3L 252 226.45 71725525 DIANEAL PD-2 +D2.5 3L 252 233.30 71725530 DIANEAL PD-2 +D4.25 3L 252 253.70 71725535 DIANEAL PD +D1.5 LO CA 6L 252 214.03 71725540 DIANEAL PD +D2.5 LO CA 6L 252 217.45 71725545 DIANEAL PD +D4.25 LO CA 6 252 217.61 71725576 ESMOLOL 20MG/ML DS BAG 252 3,091.64 71730005 ACETYLCYSTN 800MG/4ML INJ 252 128.66 71730049 PRO-AIR 8.5GM INH 252 388.00 71730090 DESMOPRSSN 0.1MG 5ML NSL 252 1,488.22 71730100 EPINEPHRN RCMC 0.5ML SVN 252 11.42 71730102 ADVAIR 250/50 DISKUS INH 252 961.52 71730103 ADVAIR 500/50 DISKUS INH 252 1,579.79 71730104 ADVAIR 50/100 DISKUS INH 252 968.16 71730105 FLUTICASN 110MCG/PUFF 120 252 1,580.97 71730120 FLUTICASONE 16GM NSL SPRY 252 511.25 71730124 FORMOTEROL 12MCG CP 252 28.00 71730126 ATROVENT HFA 12.9GM INH 252 2,377.81 71730200 NASONEX 17GM NSL SPRY 252 1,533.76 71730220 BECLOMTHSN 80MCG/PUFF 120 252 1,400.76 71740000 APAP 120MG SUPP 252 4.41 71740010 APAP 650MG SUPP 252 3.89 71740015 ACYCLOVR 5% 15GM TOP OINT 252 8,417.70 71740020 ANBESOL 9ML DNTL LQ 252 38.00 71740042 SURGICEL 6X9 252 97.53 71740066 BENZOYL PEROX 5% 42.5GM G 252 35.03 71740132 CLONIDINE 0.3MG/DAY PTCH 252 454.84 71740220 FLEET MNRL OIL 133ML ENEM 252 8.52 71740232 GELFOAM 12-7MM SPONGE 252 62.55 71740237 GENTAMICN 0.1% 15 GM TOP 252 298.28 71740241 FLEET 4ML BABYLAX ENEMA 252 33.37 71740270 HYDROCRT 2.5% TOP LTN 252 305.00 71740275 HYDROCRT 2.5% TOP CR 252 526.92 71740285 KETOCONZL 2% 15GM TOP CR 252 797.42 71740290 LANOLIN PURE 40GM TOP OIN 252 13.00 71740310 LIDOCN 2GM/50ML INJ 252 390.63 71740322 MALTHION 0.5% 59ML LTN 252 1,777.32 71740326 METHACHOLN ENEMA PWDR 252 150.00 71740351 MUPIROCIN 15GM TOP CR 252 875.17 71740371 PERMETRN 1% 60ML CR RNSE 252 60.39 71740445 SALIVA SUBSTITUTE 120ML P 252 33.76 71740520 TRIAMCINOL 0.025% 15GM TP 252 26.71 71740525 TRIAMCINOL 0.1% 15GM TPCL 252 35.87 71740530 TRIAMCNL/NYST 15GM CRM 252 637.00 71740555 VASELINE TOP JELLY 5 GM 252 4.69 71740575 TACROLMS 0.03% 30GM TOP 252 1,565.62 71740580 PIMECROLMS 1% 30GM TOP CR 252 57.85 71740590 BIOTENE MTHWSH 240ML BTL 252 31.75 71740605 LIDODERM 5% PTCH 252 56.87 71740615 SELSUN BLUE 1% SHAMPOO 252 27.33 71740625 TEMOVATE 0.05% 15GM TOP O 252 1,554.44 71740630 LIDEX 0.05% 15GM TOP OINT 252 416.60 71740635 TACROLMS 0.1% 30GM TOP 252 1,657.99 71740640 ASA 300MG SUPP 252 9.59 71740645 PAIN EASE SPRAY 252 239.56 71740655 BENZOYL PERX 10% 227GM 252 81.00 71740660 LIDOCN/TETRA PATCH 252 115.37 71750005 ARTIFICL TEARS 15ML OPH 252 33.74 71750020 BALNCD SALT 15ML OPH 252 56.69 71750036 CIPRO 0.3% 2.5ML OPH SOL 252 152.94 71750037 CIPRO +HC 10ML OTIC 252 1,915.23 71750038 CIPRO DEX 7.5ML OTIC 252 1,440.05 71750040 CIPRO 0.3% 3.5GM OPH OINT 252 1,465.93 71750050 CORTISPORN 10ML OTIC 252 176.00 71750100 LACRI-LUBE NP OPH OINT 252 3.45 71750109 LITTLE NOSES DECONG 15ML 252 22.77 71750120 MURO 15ML OPH SOL 252 89.17 71750140 NEO/POLY/DEX 5ML OPH SOL 252 119.51 71750160 OPHALMIC 30ML IRR SOL 252 123.13 71750180 PHENYLEPHRN 1% 30ML NSL 252 32.06 71750185 PHENYLEPHRN 0.25% 15ML NS 252 26.96 71750190 PHENYLEPHRN 0.5% 15ML NSL 252 22.00 71750195 POLYTRIM 10ML OPH SOL 252 104.36 71750197 PILOCARPINE 2% 15ML OPH 252 574.00 71750236 TIMOLOL 0.5% 5ML OPH 252 101.51 71750255 TOBRAMYCN 0.3% 5ML OPH 252 205.93 71750261 TRIFLURIDINE 1% 7.5ML OPH 252 2,256.75 71750267 TROPICAMIDE 1% 15ML OPH 252 285.33 71750270 TROPICAMIDE 1% 2ML OPH 252 5.31 71750285 MIOCHOL-E KIT 252 1,183.17 71750290 OCUFLOX 0.3% 5ML OPH 252 126.70 71750310 VISINE ALLRGY REL 15ML OP 252 11.50 71750335 LATANOPROST 2.5ML OPH 252 564.41 71750345 PATANOL 5ML OPH 252 296.16 71750350 COSOPT 10ML OPH SOL 252 202.65 71750420 HYPROMELLOSE 0.3% OPTHGEL 252 49.45 71760176 AMLODIPINE BESYL 1MG/ML P 252 7.65 71760206 CARVEDILOL 0.5MG/ML PO 252 8.16 71762080 LAMOTRIGINE 1MG/ML PO 252 0.70 71762085 LOSARTAN 2.5MG/ML PO 252 2.61 71762125 CIDOFOVR 5MG/ML 75ML TOP 252 13.47 71762170 SILDENAFIL 2.5MG/ML PO 252 307.31 71762240 METHIMAZOLE 3MG/ML ORAL P 252 13.77 71765203 INV IDURSULFASE 20MG IT 252 75.00 71775155 PROTEIN C HUMAN 1 IU 252 9.48 71783005 PREGABALIN 50MG CAP 252 46.37 70924480 ISOVUE 370-100ML-WASTE 254 9.00 70924481 VISIPAQ 320 50ML-WASTE 254 7.00 70963330 ISOVU M200-10ML-WASTE 254 9.00 70969333 ISOVU M300-15ML-WASTE 254 8.00 70969334 ISOVU 300-50ML-WASTE 254 9.00 70969335 ISOVU 300-100ML-WASTE 254 9.00 70969336 ISOVU 300-150ML-WASTE 254 9.00 70969337 VISIPAQ 320 50ML-WASTE 254 7.00 70969338 ISOVU 370-50ML-WASTE 254 8.00 70969339 ISOVU 370-75ML-WASTE 254 8.00 70969340 ISOVU 370-100ML-WASTE 254 8.00 70969424 DOTAREM 10MLVL-PER 0.1ML 254 6.00 70969425 DOTAREM 15ML VL PER 0.1ML 254 6.00 70969426 DOTAREM 10ML WASTE per.1 254 6.00 70969427 DOTAREM 15ML WASTE per.1 254 6.00 71419333 ISOVU 370-75ML-WASTE 254 8.00 71419334 VISIPAQ 320 50ML-WASTE 254 6.00 71419335 ISOVU 300-61%50ML-WASTE 254 8.00 71419336 ISOVU 300-61%100ML-WASTE 254 8.00 71419337 ISOVU 300-61%150ML-WASTE 254 8.00 71419338 ISOVU 370-50ML-WASTE 254 8.00 71419339 ISOVU 370-100ML-WASTE 254 8.00 71419340 ISOVUE M200-10ML-WASTE 254 8.00 71616509 DOTAREM 10ML VL PER 0.1ML 254 6.00 71616510 DOTAREM 15ML VL PER 0.1ML 254 6.00 71616511 DOTAREM 10ML WASTE per.1 254 6.00 71616512 DOTAREM 15ML WASTE per.1 254 6.00 71616513 MAGNEVIST 10ML-WASTE 254 27.00 71616514 GADOX(EOVIST) 10ML-WASTE 254 110.00 71702416 METOPROLOL 50MG TB 254 4.88 71750084 FLUORESCEIN STRIP EA 254 4.62 37023899 CYSTO CONRAY2 250ML 17% 255 3.00 70123899 CYSTO CONRAY2 250ML 17% 255 3.00 70960601 CYSTOGRAF 300ML PER VL 255 632.00 70960606 GASTROGRAF 120ML PER VL 255 819.00 71403000 GASTROGRAF 120ML PER VL 255 819.00 71403001 CYSTOGRAF 300ML PER VL 255 632.00 71419000 LUMASON PER 1ML 255 228.00 71419330 GASTROGRAF 120ML PER VL 255 819.00 71619415 NM KINEVAC 255 569.00 71711884 NACL 0.9% 10ML FLSH 258 4.13 71720030 D5 100ML 258 31.83 71720035 D5 50ML 258 59.29 71720080 NACL 0.9% 100ML IV 258 31.82 71720085 NACL 0.9% 50ML IV 258 26.72 71725025 D10 0.9%NS 1L 258 572.93 71725030 D5 0.9%NACL +KCL 20MEQ 1L 258 100.64 71725031 D5 0.9%NACL +KCL 40MEQ 1L 258 101.87 71725050 D10W 500ML 258 33.47 71725052 D10 0.45%NS 1L 258 56.81 71725055 D10W 1L 258 58.03 71725065 D5 0.9%NS 1L 258 15.83 71725080 D5W 250ML 258 55.93 71725085 D5W 500ML 258 31.54 71725100 D5 0.2%NS 1L 258 71.80 71725105 D5 0.45%NS 1L 258 31.59 71725106 D5 0.45%NACL +KCL 30MEQ 1 258 119.47 71725116 D5 0.45%NACL +KCL 20MEQ 1 258 31.20 71725117 D5 0.45%NACL+KCL 40MEQ 1L 258 119.91 71725118 D5 0.2$NACL +KCL 20MEQ 1L 258 54.42 71725130 D5 LR 1L 258 59.05 71725135 D5W 1L 258 36.69 71725145 D70% 1ML 258 131.71 71725180 RINGERS LACTATE 1L 258 34.40 71725205 NTG 50MG/250ML INJ 258 63.62 71725214 NACL 0.225% 1L IV SOLN 258 31.54 71725220 NACL 0.45% 1L 258 36.73 71725225 NACL 0.9% 250ML 258 31.47 71725230 NACL 0.9% 500ML 258 31.50 71725240 NACL 0.9% 1L 258 39.41 71725245 NACL 3% 500ML 258 0.37 71725246 NACL 0.45% +KCL20MEQ 1L 258 4.37 71725255 H2O 1L STRL INJ 258 31.64 71725500 TPN NEONATAL 258 1,864.17 71725505 TPN PEDIATRIC 258 2,169.16 71725510 TPN ADOLESCENT 258 2,783.75 71725515 TPN ADULT 258 3,110.20 71725550 NACL 0.9% +KCL 20MEQ 1L 258 13.67 71725555 DIANEAL PD +D1.5 LO CA 2L 258 157.10 71725560 DIANEAL PD +D2.5 LO CA 2L 258 181.52 71725565 D5 0.45%NACL +KCL 10MEQ 1 258 101.10 71755228 LR 500ML 258 27.34 71755237 NS 0.9% 1L 258 12.00 37010105 IV INF HYDRAT ADDL HR 260 284.00 37010107 IV INF EA ADDL HR 260 284.00 37010108 IV INF EA ADDL DRUG 260 317.00 60416779 INJ SQ/IM 260 245.00 61413006 IV INF 1ST HR 260 853.00 61413007 IV INF EA ADDL HR 260 284.00 61413008 INJ SQ/IM 260 245.00 61413009 INJ IV PUSH INIT DRUG 260 338.00 61413020 IV INF ADDL SEQ DRUG/1HR 260 317.00 61415053 INJ IV PUSH EA ADDL DRUG 260 313.00 61416100 IV INF HYDRAT 31-60 260 569.00 61416101 IV INF HYDRAT ADDL HR 260 284.00 61436105 IVP INJ ADDL SAME DRUG 260 313.00 61710912 IV INFUS CONCURRENT 260 313.00 61713006 IV INF 1ST HR 260 853.00 61713007 IV INF EA ADDL HR 260 284.00 61713008 INJ SQ/IM 260 245.00 61713009 INJ IV PUSH INIT DRUG 260 338.00 61713012 SQ INF INITIAL UP TO 1 HR 260 1,531.00 61713013 SQ INF EA ADDL HR 260 164.00 61713020 IV INF ADDL SEQ DRUG/1HR 260 317.00 61715061 INJ IV PUSH EA ADDL DRUG 260 313.00 61716100 IV INF HYDRATE 31-60 MIN 260 569.00 61716101 IV INF HYDRAT ADDL HR 260 284.00 61716105 INJ IV PUSH AD SAME DRUG 260 313.00 61796369 SQ INF INITIAL UP TO 1 HR 260 1,531.00 61796370 SQ INF EA ADDL HR 260 164.00 61801084 IV INF 1ST HR 260 853.00 61801088 IV INF EA ADDL HR 260 284.00 61803020 IV INF ADDL SEQ DRUG/1HR 260 317.00 61803108 INJ SQ/IM 260 245.00 61803109 INJ IV PUSH INIT DRUG 260 338.00 61805061 INJ IV PUSH EA ADDL DRUG 260 313.00 61806100 IV INF HYDRATE 31-60 MIN 260 569.00 61806101 IV INF HYDRAT ADDL HR 260 284.00 61806105 INJ IV PUSH AD SAME DRUG 260 313.00 62063006 IV INF 1ST HR 260 853.00 62063007 IV INF EA ADDL HR 260 284.00 62063008 INJ SQ/IM 260 245.00 62063009 INJ IV PUSH INIT DRUG 260 338.00 62063020 IV INF ADDL SEQ DRUG/1HR 260 317.00 62063021 IV INFUS CONCURRENT 260 313.00 62065061 INJ IV PUSH EA ADDL DRUG 260 313.00 62066100 IV INF HYDRATE 1ST HOUR 260 569.00 62066101 IV INF HYDRAT ADDL HR 260 284.00 62066105 INJ IV PUSH AD SAME DRUG 260 313.00 62091086 IV INFUS CONCURRENT 260 313.00 62093006 IV INF 1ST HR 260 853.00 62093007 IV INF EA ADDL HR 260 284.00 62093008 INJ SQ/IM 260 245.00 62093009 INJ IV PUSH INIT DRUG 260 338.00 62093010 INJ IV PUSH EA ADDL DRUG 260 313.00 62093020 IV INF ADDL SEQ DRUG/1HR 260 317.00 62096100 IV INF HYDRATE 31-60 MIN 260 569.00 62096101 IV INF HYDRAT ADDL HR 260 284.00 62096105 INJ IV PUSH AD SAME DRUG 260 313.00 62123006 IV INF 1ST HR 260 853.00 62123007 IV INF EA ADDL HR 260 284.00 62123008 INJ SQ/IM 260 245.00 62123009 INJ IV PUSH INIT DRUG 260 338.00 62123020 IV INF ADDL SEQ DRUG/1HR 260 317.00 62125061 INJ IV PUSH EA ADDL DRUG 260 313.00 62126100 IV INF HYDRATE 31-60 MIN 260 569.00 62126101 IV INF HYDRAT ADDL HR 260 284.00 62126105 INJ IV PUSH AD SAME DRUG 260 313.00 62131086 IV INF 1ST HR 260 853.00 62131087 IV INF EA ADDL HR 260 284.00 62131088 IV INF ADDL SEQ DRUG/1HR 260 317.00 62131089 IV INFUS CONCURRENT 260 313.00 62131090 IV INF HYDRATE 31-60 MIN 260 569.00 62131091 IV INF HYDRAT ADDL HR 260 284.00 62131092 INJ SQ/IM 260 245.00 62131093 INJ IV PUSH INIT DRUG 260 338.00 62131094 INJ IV PUSH EA ADDL DRUG 260 313.00 62131095 INJ IV PUSH AD SAME DRUG 260 313.00 62153006 IV INF 1ST HR 260 853.00 62153007 IV INF EA ADDL HR 260 284.00 62153008 INJ SQ/IM 260 245.00 62153009 INJ IV PUSH INIT DRUG 260 338.00 62153010 INJ IV PUSH EA ADDL DRUG 260 313.00 62153020 IV INF ADDL SEQ DRUG/1HR 260 317.00 62156100 IV INF HYDRATE 31-60 MIN 260 569.00 62156101 IV INF HYDRAT ADDL HR 260 284.00 62156105 INJ IV PUSH AD SAME DRUG 260 313.00 62156106 THER/DIAG CONCURRENT INF 260 313.00 62183006 IV INF 1ST HR 260 853.00 62183007 IV INF EA ADDL HR 260 284.00 62183008 INJ SQ/IM 260 245.00 62183009 INJ IV PUSH INIT DRUG 260 338.00 62183010 INJ IV PUSH EA ADDL DRUG 260 313.00 62183020 IV INF ADDL SEQ DRUG/1HR 260 317.00 62186100 IV INF HYDRATE 31-60 MIN 260 569.00 62186101 IV INF HYDRAT ADDL HR 260 284.00 62186105 INJ IV PUSH AD SAME DRUG 260 313.00 62188021 IV INFUS CONCURRENT 260 313.00 62211084 IV INF 1ST HR 260 853.00 62211088 IV INF EA ADDL HR 260 284.00 62213020 IV INF ADDL SEQ DRUG/1HR 260 317.00 62213108 INJ SQ/IM 260 245.00 62213109 INJ IV PUSH INIT DRUG 260 338.00 62215061 INJ IV PUSH EA ADDL DRUG 260 313.00 62216100 IV INF HYDRATE 31-60 MIN 260 569.00 62216101 IV INF HYDRAT ADDL HR 260 284.00 62216105 INJ IV PUSH AD SAME DRUG 260 313.00 62216106 IV INFUS CONCURRENT 260 313.00 62216109 SQ INF INITIAL UP TO 1 HR 260 1,531.00 62216110 SQ INF EA ADDL HR 260 164.00 62243006 IV INF 1ST HR 260 853.00 62243007 IV INF EA ADDL HR 260 284.00 62243008 INJ SQ/IM 260 245.00 62243009 INJ IV PUSH INIT DRUG 260 338.00 62243010 IV INFUS CONCURRENT 260 313.00 62243020 IV INF ADDL SEQ DRUG/1HR 260 317.00 62245061 INJ IV PUSH EA ADDL DRUG 260 313.00 62246100 IV INF HYDRATE 31-60 MIN 260 569.00 62246101 IV INF HYDRAT ADDL HR 260 284.00 62246105 INJ IV PUSH AD SAME DRUG 260 313.00 62253006 IV INF 1ST HR 260 853.00 62253007 IV INF EA ADDT'L HR 260 284.00 62253008 INJ SQ/IM 260 245.00 62253009 INJ IV PUSH INIT DRUG 260 338.00 62253020 IV INF ADDL SEQ DRUG/1HR 260 317.00 62253023 CONCURRENT INFUSION 260 313.00 62255061 INJ IV PUSH EA ADDL DRUG 260 313.00 62256100 IV INF HYDRATE 31-60MIN 260 569.00 62256101 IV INF HYDRATE ADDL HR 260 284.00 62256105 INJ IV PUSH ADDL SAMEDRUG 260 313.00 62263006 IV INFUS 1ST HR 260 853.00 62263007 IV INFUSION EA ADDL HR 260 284.00 62265079 IV INFUS CONCURRENT 260 313.00 62265080 IV INF 1ST HR 260 853.00 62265081 INF EA ADDL HR 260 284.00 62265082 INJ SQ/IM 260 245.00 62265083 INJ IV PUSH INIT DRUG 260 338.00 62265084 INJ IV PUSH EA ADDL DRUG 260 313.00 62265085 IV INF ADDL SEQ DRUG/1HR 260 317.00 62265086 IV INF HYDRATE 31-60 MIN 260 569.00 62265087 IV INF HYDRAT ADDL HR 260 284.00 62265088 INJ IV PUSH AD SAME DRUG 260 313.00 62267007 IV PUSH EA ADDL 260 313.00 62267008 HYDRATE IV INFUSN ADD-ON 260 284.00 70100104 IV INF HYDRATE 31-60 MIN 260 569.00 70100105 IV INF HYDRAT ADDL HR 260 284.00 70100106 IV INF 1ST HR 260 853.00 70100107 IV INF EA ADDL HR 260 284.00 70100108 IV INF EA ADDL DRUG 260 317.00 70100109 INJ SQ/IM 260 245.00 70100110 INJ IV PUSH INIT DRUG 260 338.00 70100111 INJ IV PUSH EA ADDL DRUG 260 313.00 70100125 INJ IV PUSH AD SAME DRUG 260 313.00 70276101 IV INF 1ST HR 260 853.00 70276102 IV INF EA ADDL HR 260 284.00 70276105 IV INFUS CONCURRENT 260 313.00 70950002 INJ IV PUSH AD SAME DRUG 260 313.00 70950003 INJ IV PUSH INIT DRUG 260 338.00 70951249 IV INF 1ST HR 260 853.00 70951308 INJ IV PUSH EA ADDL DRUG 260 313.00 71466551 IV INF 1ST HR 260 853.00 71496365 IV INF 1ST HR 260 853.00 71870042 IV INF HYDRATE 31-60 MIN 260 569.00 71870044 IV INF HYDRAT ADDL HR 260 284.00 71870046 IV INF 1ST HR 260 853.00 71870048 IV INF EA ADDL HR 260 284.00 71870050 IV INF EA ADDL DRUG 260 317.00 71870052 IV INFUS CONCURRENT 260 313.00 71910005 INJ SQ/IM 260 245.00 71910006 INJ IV PUSH INIT DRUG 260 338.00 71910042 IV INF HYDRATE 31-60 MIN 260 569.00 71910044 IV INF HYDRAT ADDL HR 260 284.00 71910046 IV INF 1ST HR 260 853.00 71910048 IV INF EA ADDL HR 260 284.00 71910050 IV INF EA ADDL DRUG 260 317.00 71910052 IV INFUS CONCURRENT 260 313.00 71920017 IV INF 1ST HR 260 853.00 71920018 IV INF EA ADDL HR 260 284.00 71920019 INJ SQ/IM 260 245.00 71920020 INJ IV PUSH INIT DRUG 260 338.00 71920032 IV INF HYDRATE 31-60 MIN 260 569.00 71920033 IV INF HYDRAT ADDL HR 260 284.00 71920034 IV INF EA ADDL DRUG 260 317.00 71920035 INJ IV PUSH EA ADDL DRUG 260 313.00 71920041 INJ IV PUSH AD SAME DRUG 260 313.00 71920042 IV INFUS CONCURRENT 260 313.00 71940104 IV INF HYDRATE 31-60 MIN 260 569.00 71940105 IV INF HYDRAT ADDL HR 260 284.00 71940106 IV INF 1ST HR 260 853.00 71940107 IV INF EA ADDL HR 260 284.00 71940108 IV INF EA ADDL DRUG 260 317.00 71940109 INJ SQ/IM 260 245.00 71940110 INJ IV PUSH INIT DRUG 260 338.00 71940111 INJ IV PUSH EA ADDL DRUG 260 313.00 71940125 INJ IV PUSH AD SAME DRUG 260 313.00 72021084 IV INF 1ST HR 260 853.00 72021088 IV INF EA ADDL HR 260 284.00 72023020 IV INF ADDL SEQ DRUG/1HR 260 317.00 72023108 INJ SQ/IM 260 245.00 72023109 INJ IV PUSH INIT DRUG 260 338.00 72025061 INJ IV PUSH EA ADDL DRUG 260 313.00 72026105 INJ IV PUSH AD SAME DRUG 260 313.00 72300861 INJ IV PUSH AD SAME DRUG 260 313.00 72300908 IV INF EA ADDL HR 260 284.00 72300909 IV INF HYDRATE 31-60 MIN 260 569.00 72300910 IV INF HYDRAT ADDL HR 260 284.00 72300911 IV INF EA ADDL DRUG 260 317.00 72300912 IV INFUS CONCURRENT 260 313.00 72300913 INJ IV PUSH EA ADDL DRUG 260 313.00 72300926 INJ SQ/IM 260 245.00 72300932 INJ IV PUSH INIT DRUG 260 338.00 72304356 IV INF 1ST HR 260 853.00 72310861 INJ IV PUSH AD SAME DRUG 260 313.00 72310908 IV INF EA ADDL HR 260 284.00 72310909 IV INF HYDRATE 31-60 MIN 260 569.00 72310910 IV INF HYDRAT ADDL HR 260 284.00 72310911 IV INF EA ADDL DRUG 260 317.00 72310912 IV INFUS CONCURRENT 260 313.00 72310913 INJ IV PUSH EA ADDL DRUG 260 313.00 72310926 INJ SQ/IM 260 245.00 72310932 INJ IV PUSH INIT DRUG 260 338.00 72314356 IV INF 1ST HR 260 853.00 72700040 IV INF HYDRATE 31-60 MIN 260 569.00 72700042 IV INF 1ST HR 260 853.00 72700043 IV INF EA ADDL HR 260 284.00 72700044 IV INF EA ADDL DRUG 260 317.00 72700045 INJ SQ/IM 260 245.00 72700046 INJ IV PUSH INIT DRUG 260 338.00 72700047 INJ IV PUSH EA ADDL DRUG 260 313.00 72700091 INJ IV PUSH AD SAME DRUG 260 313.00 72810097 INJ SQ/IM 260 245.00 72820029 INJ SQ/IM 260 245.00 72820102 INJ IV PUSH INIT DRUG 260 338.00 72820110 IV INFUSION 1ST HOUR 260 853.00 72820111 IV INFUSION EA ADDT'L HR 260 284.00 72820112 IV INFUS EA ADDTL NEWDRUG 260 317.00 72820113 IV PUSH EA ADDTL SEQ DRUG 260 313.00 72820114 IV PUSH EA ADDTL NEW DRUG 260 313.00 72830040 INJ SQ/IM 260 245.00 72840030 IV INFUS CONCURRENT 260 313.00 72840031 IV INF HYDRAT ADDL HR 260 284.00 72840032 IV INF HYDRATE 31-60 MIN 260 569.00 72840033 IV INF EA ADDL DRUG 260 317.00 72840035 IV INF 1ST HR 260 853.00 72840058 INJ IV PUSH AD SAME DRUG 260 313.00 72840059 INJ IV PUSH EA ADDL DRUG 260 313.00 72840060 INJ IV PUSH INIT DRUG 260 338.00 72840061 INJ SQ/IM 260 245.00 72840062 IV INF EA ADDL HR 260 284.00 72850045 INJ SQ/IM 260 245.00 72850046 INJ IV PUSH INIT DRUG 260 338.00 72850047 INJ IV PUSH EA ADDL DRUG 260 313.00 72850091 INJ IV PUSH AD SAME DRUG 260 313.00 72860912 IV INFUS CONCURRENT 260 313.00 72863002 IV INF HYDRATE 31-60 MIN 260 569.00 72863004 IV INF HYDRAT ADDL HR 260 284.00 72863006 IV INF 1ST HR 260 853.00 72863007 IV INF EA ADDL HR 260 284.00 72863008 INJ SQ/IM 260 245.00 72863009 INJ IV PUSH INIT DRUG 260 338.00 72863020 IV INF EA ADDL DRUG/1 HR 260 317.00 72865061 INJ IV PUSH EA ADDL DRUG 260 313.00 72866105 INJ IV PUSH AD SAME DRUG 260 313.00 72880047 INJ SQ/IM 260 245.00 72970045 INJ SQ/IM 260 245.00 73110050 INJ SQ/IM 260 245.00 73120047 INJ SQ/IM 260 245.00 73160134 INJ SQ/IM 260 245.00 73200050 INJ SQ/IM 260 245.00 74200722 INJ SQ/IM 260 245.00 37022500 BRUSH ENDO CYTO CELEBRITY 270 57.00 37035713 FROCEP BX DISP OLYMPIC 270 248.00 70136763 BUTTON MINI ONE 2.3CM 14R 270 581.00 70140018 RGDLOOP ADJ ACL KIT 270 3,754.00 70140076 CRUCIATE PIN DEPTH GAUGE 270 3,238.00 70140077 CRUCIATE SUTURE PASSER 270 1,131.00 70140078 RESTOR DRLPT PIN W/ EYELT 270 1,914.00 70140079 BAYONT POINT PIN W/ EYELT 270 2,043.00 70435934 EPIDURTAL TRAY CATH 19G 270 228.00 70969989 SUPPLY N/C 270 0.01 71224081 DRAPE FLOURO SHEET 270 21.00 71870039 SYR W/WO NDL EA 270 7.00 71900039 SYR W/WO NDL EA 270 7.00 71910039 SYR W/WO NDL EA 270 7.00 72419473 PERFORATOR DISP HUDS 14MM 270 1,451.00 72434944 DRESSING FOAM AG 3.5X6 270 192.00 72435425 KIT REVISN SUTRLES PUMP 270 1,024.00 72435439 DRILL SOLID 2.4MM 270 1,434.00 72435445 BURR ROUND DIAMOND MED 270 140.00 72435713 FORCEP BX DISP ALLIG JAW 270 248.00 72435913 SPONGE OVAL-506 9250.5 270 421.00 72435969 SHIELD EYE SM GREEN 270 246.00 72436038 TRACKER INSTRMNT ENT 270 984.00 72436139 DRILL BIT CANN 2.7 270 1,769.00 72436370 OXYGENATOR INSPIRE 6 270 1,781.00 72436375 TURBINATOR 270 1,673.00 72436551 DBS EXTENSION 270 3,982.00 72436552 PATIENT PROGRAMMER 270 5,119.00 72436553 PROGRAMMER ANTENNA 270 546.00 72439425 HOVERMAT 34 SINGLE 270 535.00 72440150 CONNECTOR T-SHAPE 270 5,146.00 74214901 SHUNT CAF LUMBOPRTNL TTUB 270 4,016.00 75017705 MONITOR PRESSURE CPMS-250 270 291.00 75018402 SOL DLYS ULTRABAG 1.5% 2L 270 29.00 75018406 SOL DLYS ULTRABAG 2.5% 2L 270 29.00 75035724 SENSOR FLOTRAC EDWARDS LF 270 1,991.00 75039425 HOVERMAT 34 SINGLE 270 535.00 75040141 NUTRISQUEEZE BOTTLE 8OZ 270 109.00 75040142 NUTRISQUEEZE BOTTLE 16OZ 270 119.00 75040149 SET AUTOTRANSFUSION AT1 270 3,834.00 75040150 CONNECTOR T-SHAPE 270 5,146.00 37025105 WRAP PEDI SM 271 283.00 37025106 WRAP PEDI MED 271 283.00 37025107 WRAP PEDI LG 271 283.00 37025108 WRAP PEDI XLG 271 301.00 37030724 POSITIONR STAR SLV SM 271 683.00 70125105 WRAP PEDI SM 271 283.00 70125106 WRAP PEDI MED 271 283.00 70125107 WRAP PEDI LG 271 283.00 70125108 WRAP PEDI XLG 271 301.00 70130661 WRAP PEDI PLUS MED 271 283.00 70130662 WRAP PEDI PLUS LG 271 283.00 70130663 WRAP PEDI PLUS XLG 271 301.00 70130664 WRAP PEDI PLUS SM 271 283.00 70130724 POSITIONR STAR SLV SM 271 683.00 70432017 SENSOR SOMA PEDS DISP 271 1,161.00 71801329 OXYGEN - SIMPLE (SUBSEQUE 271 390.00 71801347 TRACH COLLAR/HOOD EXCHG 271 181.00 71801361 HEATED HUMID O2 1ST DAY 271 899.00 71801362 HEATED HUMID 02 SUBSQ DAY 271 564.00 71801369 HOME VENT CIRCUIT EXCHANG 271 359.00 71831104 HYPERINFLATION BAGS 271 127.00 71831197 AEROCHAMBER SPACERS 271 163.00 71839804 PN841 SMALL CHILD SMALL 271 443.00 71839805 PN841 SMALL CHILD MED SE 271 443.00 71839806 PN841 SMALL CHILD LARGE 271 443.00 71840054 MASK XL PERFORMANCE EE 271 394.00 71860002 SPCR/MASK INIT & EXCH 271 171.00 71860018 MECH VENT CIRCUIT EXCHANG 271 304.00 71860061 OXYGEN - SIMPLE (INITIAL) 271 399.00 71860062 TRACH COLLAR/HOOD 1ST DAY 271 689.00 71860063 TRACH COLLAR/OXYH SYS SUB 271 512.00 71860116 NAVA SENSOR 271 1,290.00 72327859 SET NASAL CAPNOLINE H 02 271 122.00 72410196 BAG AMBU ADLT W/02 RESERV 271 155.00 72410661 SLEEVE KNEE SCD 271 229.00 72410662 SLEEVE THIGH LG 271 436.00 72410663 SLEEVE THIGH REG 271 361.00 72415004 SPLNT NASAL DOYLE AIRWAY 271 301.00 72415509 CAST 2 271 29.00 72416215 BAG AMBU INFNT W/O2 RESER 271 150.00 72416216 BAG AMBU PED W/O2 RESER 271 155.00 72417990 PAD ELCTRD MULTI PED 271 208.00 72422568 PILLOW HIP ABDCTN SM 18X 271 165.00 72422976 ACAPELLA LOW RANGE 271 351.00 72422977 ACAPELLA HIGH RANGE 271 441.00 72423287 PAD DEFIB R2 ADLT 271 159.00 72424455 BLNKT HYPR/HYPOTHRM 24X87 271 157.00 72424620 SUSPENSORY SM W/LEG STRAP 271 97.00 72425105 WRAP PEDI SM 271 283.00 72425106 WRAP PEDI MED 271 283.00 72425107 WRAP PEDI LG 271 283.00 72425108 WRAP PEDI XLG 271 301.00 72425622 SNSR PED BIS MONITOR 271 228.00 72425623 SNSR ADULT QUATRO MONITOR 271 182.00 72425927 WRAP PEDI NEWBORN 271 219.00 72430149 CNNSTR WNDVAC 500ML W/O G 271 284.00 72431338 HALO CLSD BACK GLASS SM 271 5,005.00 72431339 HALO CLSD BACK GLASS STND 271 5,005.00 72431340 HALO VEST XS 271 4,550.00 72431341 HALO VEST SM 271 4,550.00 72431344 TRAY HALO COMPONENT RESLV 271 3,555.00 74125105 WRAP PEDI SMALL 271 283.00 74141025 ACCESSORY TIER I 271 268.00 74141026 ACCESSORY TIER II 271 416.00 74141029 ACCESSORY TIER III 271 478.00 74141071 EAR MOLD EA 271 82.00 74141091 ALD RECEIVER TIER I 271 910.00 74141095 ALD RECEIVER TIER II 271 1,195.00 74141115 ALD TRANSMITTER TIER III 271 1,365.00 74141215 MUSICIAN EAR PLUGS/EACH 271 82.00 74141270 EAR IMPRESSION EA 271 57.00 74143021 H/A DIGITAL BTE BIN II 271 2,298.00 74143022 H/A DIGITAL BTE MON II 271 2,275.00 74143023 H/A DIGITAL ITE BIN II 271 2,298.00 74143027 H/A DIGITAL CIC BIN II 271 2,298.00 74143031 H/A DIGITAL BTE BIN III 271 3,345.00 74143032 H/A DIGITAL BTE MON III 271 2,275.00 74143033 H/A DIGITAL ITE BIN III 271 3,345.00 74143036 H/A DIGITAL ITC MON III 271 1,673.00 74143041 H/A DIGITAL BTE BIN IV 271 4,391.00 74143042 H/A DIGITAL BTE MON IV 271 2,275.00 75024620 SUPPORT SCROTAL SM W/STRS 271 97.00 75025106 WRAP PEDI MED 271 328.00 37010011 BAG AUTOTRANS ATRIUM 272 263.00 37010828 BIT DRILL 2.5MM 310.25 272 572.00 37010832 BIT DRILL 3.5MM 310.35 272 606.00 37010837 DRILL BIT 310.63 5.0 CANC 272 2,432.00 37010838 BIT DRILL 310.65 3.2 CANC 272 2,417.00 37010839 BIT DRILL 310.67 2.7 CANN 272 2,457.00 37010840 BIT DRL 310.68 3.5 CAN QC 272 2,457.00 37010880 BLADE FULL RADIUS 2.9MM 272 416.00 37012739 ENDO PEANUTS 5MM 272 180.00 37014826 ENDOSHEAR MINI 5MM 272 473.00 37015480 STIMULATOR NERVE VARI STM 272 428.00 37015509 CAST 2 272 29.00 37015510 CAST 3IN BLUE FIBERGLASS 272 29.00 37015627 TUBE FEEDING 6F 272 99.00 37017416 SPONGE GELFOAM 100 272 376.00 37017741 NDL BX BONE MARROW PEDS 272 137.00 37017833 NDL INSUFFLATION 14G/100 272 153.00 37017942 PACK CYSTOSCOPY BASIC 272 165.00 37018819 TIP NDL MICRO BOVIE 272 415.00 37019198 SLV RADIALLY EXPNDBL 12MM 272 375.00 37019199 SLV RADIALLY EXPNDBL 5MM 272 455.00 37019756 SUT BONE WAX W31G 272 400.00 37020014 ENDOLOOP O-PDS 272 335.00 37021791 SNARE POLYPECTOMY MICRO 272 228.00 37021792 SNARE POLYPECTOMY STANDAR 272 228.00 37021793 SNARE POLYPECTOMY PED 272 228.00 37022498 FORCEP BX RADIAL EDGE 272 455.00 37022655 SET CRAWFOD LACRMAL W/SUT 272 512.00 37022658 SET RTLNG INTBTN S1.1450 272 519.00 37023060 COBLATOR ULTRA 45 272 1,331.00 37024691 NDL DEFLUX 272 349.00 37025581 SUT MONO PDS II 7-0-24LZ 272 143.00 37025708 CUFF 12 TOURNQT DISP DPS 272 196.00 37025745 CUFF 8 272 176.00 37025746 CUFF 18 272 218.00 37025747 CUFF 24 272 243.00 37025748 CUFF 30 272 285.00 37025815 SUT PLAIN GUT 6-0 TG140-8 272 228.00 37026265 PILLCAM CAPSULE CAMERA 272 2,765.00 37027367 RICHARDS MODIFIED T-TUBE 272 154.00 37027653 SPLINT ORTHOGLASS 2X15 272 325.00 37027654 SPLINT ORTHOGLASS 3X15 272 342.00 37027655 SPLINT ORTHOGLASS 4X15 272 410.00 37027886 SYR IMBIBE 30CC 272 1,598.00 37028091 APLLICATOR COTTON TIP 272 378.00 37028290 DEVICE INFLATION 6667 272 506.00 37028865 CUFF 34 272 279.00 37029385 BIT DRL 2.8MM X 165MM 272 819.00 37029639 TUBE FDNG 6FX36 272 395.00 37030579 SUT 5-0 ETHBND XTRA CCS 272 155.00 37030583 KIT RAP-PAC CRUCIATE ACCE 272 1,408.00 37030653 BLADE CUTTER 3.5MM 272 416.00 37030691 PROBE ELECTHRML VULCAN TS 272 1,792.00 37030703 PROBE E-FLX TAC-S W/CABL 272 2,936.00 37030720 FIBERWIRE FIBRSTCK #2 12 272 419.00 37030721 SUT LASSO 45DEG RT CRVD 272 956.00 37030722 SUT LASSO 45DEG LT CRVD 272 956.00 37030942 FORCEP BX ORNGE RADL JAW 272 57.00 37030994 1IT DRL CANN 4.5 7207315 272 741.00 37030995 TUBING FLOSTDY PUMP STRKR 272 469.00 37031263 CUFF 8 272 159.00 37031264 CUFF 12 272 179.00 37031265 CUFF 18 272 201.00 37031266 CUFF 24 272 226.00 37031267 CUFF 30 272 243.00 37031268 CUFF 34 272 263.00 37031269 CUFF 42 272 283.00 37031454 CANNULA CLRTRAC 7MMX72MM 272 255.00 37031463 BIT DRIL 2.0 X 140 QWK CP 272 1,698.00 37031967 SUT TICRN 2-0 30 DBL ARM 272 303.00 37032185 SUT ETHBND #5 TIES GRN 272 203.00 37032223 WAND TRBOVAC 90 ICW 272 1,562.00 37032929 NET POLYP RETRVL ROTH 272 643.00 37033388 BUTTN MINI BALLN 14FX2.0 272 615.00 37033795 ADHES SKIN DERMABOND PEN 272 165.00 37033934 NDL CARR LOCK INJ 272 416.00 37033937 CAPSULE BRAVO DELIVRY SYS 272 1,741.00 37033941 ELTRD DFBR ADLT 5.75X3.7 272 123.00 37033955 SPONGE GEL SURGIFOAM 100 272 254.00 37034127 SLEEVE STAR LARGE 272 683.00 37034306 SLEEVE FOOT DVT-SM,MED,LG 272 165.00 37034746 BLADE CUTTER 3.5MM 272 744.00 37034838 CANN SLOT & FASTFIX 360 272 161.00 37034839 SYS DLVRY FSTFIX & CVDNDL 272 2,418.00 37035229 DRILL BIT 2.0MM 272 478.00 37035230 DRILL BIT 2.8MM 272 710.00 37035435 SUTR CINCH SOFT TISSUE 272 567.00 37035436 ENDOBUTON DIRCT W/SUT 7MM 272 1,929.00 37035718 KIT ENDOPACK 272 291.00 37036416 ACCU-PASS SUT SHUTTLE 70* 272 819.00 37036417 ENDOBTTN DIRECT W/SUT 6MM 272 1,877.00 37036420 ULTRABRAID#2 WHT 38LG SNL 272 165.00 37036421 ULTRABRAID#2 COBRD 38LG 272 165.00 37036719 KIT ARTHRO DISP 3.5 PUSH 272 1,195.00 37037380 COBLATOR PROCISE MAX WAND 272 1,792.00 37037570 TIBIAL ANTER TEND LFNT 272 5,972.00 37037740 ADHES SKIN LIQUID BAND 272 122.00 37037769 PIN BEATH PASS 2.4MM 272 848.00 37037802 BLADE PLASMA PEAK TNA 272 1,598.00 37037822 TIP PEAK SUCTION COAGLATN 272 342.00 37037966 SPIN PLUS KIT-SINUS 272 7,764.00 37038124 Pack Minor Ortho - SDC 272 433.00 37038344 IRRIGATOR HYDRO W/SUC/IRR 272 426.00 37038354 SYSTEM SINUS DILAT 6FR 272 7,366.00 37038355 PACK NASAL HEMOST XEROGEL 272 1,024.00 37038380 AMBIENT COVAC 50 IFS 272 2,594.00 37038492 PACK ABD ENDOSCOPIC 272 359.00 37038493 Pack Arthroscopy 272 450.00 37038494 Pack Basic Cysto 272 222.00 37038495 Pack Basic 272 302.00 37038501 Pack Eye 272 217.00 37038505 Pack Mini ENT Proc SetUp 272 433.00 37038506 Pack Minor Ortho 272 433.00 37038511 Pack Minor Ortho - SDC 272 433.00 37038613 WIRE GUIDE SCRW 1.2MM 272 341.00 37038614 OSTEARAPTOR 2.9 W/UB 272 1,959.00 37038976 STENT LACRIFLOW 272 1,263.00 37039235 SABER 30 3M 30 272 1,578.00 37039590 DRAPE ZEISS MICROSCOPE 272 152.00 37039612 KIT BONE MARROW 16X2 ASP 272 205.00 37039613 NDL JAMSHDI SNRE 11G 4IN 272 294.00 37050053 BIT DRILL QC/GOLD 110 SYN 272 451.00 61700492 CDI 500 ART.SHUNT SENSOR 272 888.00 61710000 ADAPTR Y TRACHCARE NEO 6 272 113.00 61710001 ADAPTR Y TRACHCARE NEO 8 272 113.00 61711237 CANNUL ART 10F BIOMED 272 1,372.00 61711262 CANNUL FMRL BIOMED 15F 272 1,823.00 61711291 CANNULA VENOUS 10FR 1/4IN 272 1,195.00 61713192 KIT CANNUL VNS 21F PEDS 272 1,823.00 61713230 KIT PERC INTRO 12F 272 576.00 61715627 TUBE FDNG 6F 272 99.00 61720093 COBE REVOLUTN PMPHD 272 1,932.00 61720103 CATH VENOVENS 13-32F DL 272 3,527.00 61720109 KIT ELITE VASCULAR ACCESS 272 990.00 61720490 KIT INITIAL SUPPLY ECMO 272 5,175.00 61720493 ECMO SUBQ DAY SUPPLY KIT 272 2,588.00 61727701 SHIELD XRAY GENITAL NEWB 272 120.00 61728434 OXYGENATOR QUADROX ADLT 272 4,550.00 61729214 CANN FEM VENS 1PC 15F-21F 272 1,823.00 61732515 CANN ART EOPA 18-24FR 272 311.00 61733864 SENSOR TEMP DISP SURESEN 272 91.00 61734087 CATH 5F UMBILICAL SNGL 272 108.00 61734129 CATH 3.5F UMBILICAL SNGL 272 108.00 61737834 CANULA ADLT ART NXGN 1535 272 1,747.00 61737840 CANN ADLT/PED ART/VEN1782 272 2,028.00 61737856 KIT VEN NXGN INSERT 272 541.00 61738010 OXYGENATOR QUADROX PEDS 272 7,900.00 61738236 CARDIOHELP CIRCUIT 272 54,862.00 61739489 CARDIO HELP PACK 3/8 272 541.00 61750138 CATHS BI-CAVAL DUAL LUMEN 272 9,356.00 61755000 SET DILATION ECMO 272 819.00 61825285 SET AUTO PBSC SHARPS PROT 272 1,127.00 61825659 SET WHITE BLOOD CELL 272 1,058.00 62110001 ADAPTER Y TRACHCARE NEON 272 113.00 62110251 CATH IV ANGIO 14GX5.25IN 272 112.00 62110705 BABY WIRE .012IN 18CM 272 137.00 62112144 CATH THORACIC SIL 16F W/ 272 120.00 62115624 TUBE FEEDING 5F 272 111.00 62115627 TUBE FEEDING 6F 272 99.00 62118875 TRAY TRACH CARE 10F NEO/ 272 126.00 62118876 TRAY TRACH CARE 12F NEO/ 272 126.00 62127718 CANNULA BLUNT PLASTIC 272 114.00 62133941 ELTRD DFBR ADLT 5.75X3.7 272 123.00 62134302 SLEEVE CALF SMALL DVT 272 124.00 62210000 ADAPTER Y TRACHCARE NEONR 272 113.00 62215627 TUBE FEEDING 6F 272 99.00 62310000 ADAPTER Y TRACHCARE NEONT 272 113.00 62310001 ADAPTER Y TRACHCARE NEON 272 113.00 62310705 BABY WIRE .012IN 18CM 272 137.00 62315624 TUBE FEEDING 5F 272 111.00 62315627 TUBE FEEDING 6F 272 99.00 62318875 TRAY TRACH CARE 10F NEO/ 272 126.00 62318876 TRAY TRACH CARE 12F NEO/ 272 126.00 62333864 SENSOR TEMP DISP SURESEN 272 91.00 62333941 ELTRD DFBR ADLT 5.75X3.7 272 123.00 62337823 SET ADMIN TRIF 60" 20 DR 272 101.00 62415627 TUBE FEEDING 6F 272 99.00 70110159 TUBE TRACH PED 3.5 272 288.00 70110160 TUBE TRACH PED 4.0 272 288.00 70110161 TUBE TRACH PED 4.5 272 288.00 70110360 HEMOSTAT ABSORB 1/2X2 272 211.00 70110361 HEMOSTAT ABSORB 2X14 SURG 272 371.00 70110362 HEMOSTAT ABSORB 4X8 SURG 272 432.00 70110678 ADHES DERMABOND 272 165.00 70110823 BIT DRILL 310.16 1.5/110Q 272 523.00 70110826 BIT DRILL CANN 2.0X150 NS 272 2,469.00 70110827 BIT DRILL 310.23 2.5/180Q 272 666.00 70110832 BIT DRILL 310.35 3.5X110 272 606.00 70110835 BIT DRL 310.48 4.5/195 QC 272 863.00 70110837 DRILL BIT 310.63 5.0 CANC 272 2,432.00 70110838 BIT DRILL 310.65 3.2 CANC 272 2,417.00 70110839 BIT DRILL 310.67 2.7 CANN 272 2,457.00 70110841 BIT DRL 310.69 4.5 CANNUL 272 2,649.00 70110842 BIT DRL 315.28 2.7/125 QC 272 855.00 70110844 BIT DRL315.31 3.2/145/120 272 677.00 70110880 BLADE FULL RADIUS 2.9MM 272 416.00 70110982 BLADE SKMMR ANG TIP 4.0MM 272 1,968.00 70110996 BLADE TRICUT 4MM STRT 272 1,072.00 70111597 CATH BLN 12-4/5.8/75CM 272 1,775.00 70111795 CATH FOLEY 16F 30CC 3W 272 144.00 70112428 CLIP ENDO11 MED/LG 10MM 272 558.00 70112632 DRN BLAKE 7MM FLAT FULL 272 382.00 70112668 DRN VENTRICULAR EXT 272 675.00 70112742 ENDOCLOSE 272 427.00 70114047 BLADE RAD 60DEG 4.0MM CVD 272 1,106.00 70115480 STIMULATOR NERVE VARI STM 272 428.00 70115638 TUBE FDNG GASTRIC 18F 1.2 272 896.00 70115640 TUBE FDNG GASTRIC 18F 1.7 272 896.00 70115641 TUBE FDNG GASTRIC 18F 2.4 272 896.00 70115642 TUBE FDNG GASTRIC 18F 3.4 272 895.00 70115644 TUBE FDNG GASTRIC 24F 1.7 272 896.00 70115645 TUBE FDNG GASTRIC 24F 2.4 272 896.00 70115646 TUBE FDNG GASTRIC 24F 3.4 272 921.00 70115650 TUBE FDNG MICKEY 14 1.2 272 615.00 70115651 TUBE FDNG MICKEY 16 1.7 272 587.00 70115652 TUBE FDNG MICKEY 18 1.2 272 587.00 70115653 TUBE FDG MICKEY 18 1.7 272 587.00 70115654 TUBE FDNG MICKEY 18 2.3 272 587.00 70115655 TUBE FDNG MICKEY 24 1.7 272 587.00 70115656 TUBE FDNG MICKEY 24 2.3 272 587.00 70115657 TUBE FDNG MICKEY 24 2.7 272 587.00 70115659 TUBE FDG 1 STEP 18 1.7 272 1,311.00 70115660 TUBE FDNG FRED MILLER 8F 272 333.00 70115693 TUBE TRACH 2.5 NEO NO CUF 272 379.00 70115695 TUBE TRACH 5.0 PED NO CUF 272 451.00 70115712 TUBE TRACH NEO 3.0 272 288.00 70115713 TUBE TRACH NEO 3.5 272 288.00 70115714 TUBE TRACH 5.5 PED SHILEY 272 288.00 70115899 WASH THREAD 219.89 272 1,005.00 70116098 WIRE KIRS 292.25 2.5/150 272 644.00 70116099 WIRE KIRS 292.26 2.5/285 272 804.00 70116100 WIRE KIRS 292.39 1.8/400 272 1,706.00 70116101 WIRE KIRS 292.40 2.0/350 272 549.00 70116102 WIRE KIRS 292.41 2.0/400 272 1,706.00 70117833 NDL INSUFFLATION 14G/100 272 153.00 70118819 TIP NDL MICRO BOVIE 272 415.00 70118927 TUBE EDT LASER II 4.0MM 272 1,086.00 70119198 SLV RADIALLY EXPNDBL 12MM 272 375.00 70119199 SLV RADIALLY EXPNDBL 5MM 272 455.00 70119359 KNIFE MVR 20GA 272 160.00 70119756 SUT BONE WAX W31G 272 427.00 70120297 SUT VIC 4-0 SH CR J77D 272 872.00 70120371 SYS SAPS SNGL ACT PUMPING 272 418.00 70122653 KNIFE SLIT SATIN 2.75M 272 186.00 70122658 SET RTLNG INTBTN S1.1450 272 519.00 70123059 BLADE MVR 19GA 272 185.00 70123060 COBLATOR ULTRA 45 272 1,331.00 70123136 POUCH ENDO 272 544.00 70123166 BLAD SKIMR SUBGLOTIC 3.5 272 1,911.00 70123167 BLADE TRICUT 3.5MM 272 1,058.00 70123168 BLADE TRICUT 2.9MM 272 1,058.00 70123281 BLADE LARYNGEAL SKIMR 3.5 272 1,951.00 70123696 PACK VITREORETINAL 272 2,221.00 70123968 WAND EVAC 70 XTRA 272 1,434.00 70123969 WAND HUMMINGBIRD 45DEG 272 1,331.00 70124400 TUBE T ACTIVENT GOODE SIL 272 156.00 70124691 NDL DEFLUX 272 349.00 70124725 TUBE FDNG MICKEY 14F 1.0 272 615.00 70124726 TUBE FDNG MICKEY 14F 1.5 272 587.00 70124727 TUBE FDNG MICKEY 14F 1.7 272 587.00 70124728 TUBE FDNG MICKEY 14F 2.0 272 587.00 70125216 BUR ANSPACH DIAM 2 272 458.00 70125217 BUR ANSPACH DIAM 1 S-1D 272 458.00 70125258 BUR DIAM BALL 3M S-3DC 272 458.00 70125425 REFRACTOR IRIS 272 601.00 70125569 BLADE MICRO ENT SPEAR 272 146.00 70125581 SUT MONO PDS II 7-0 24L Z 272 143.00 70125738 ADHES SKIN DERMABOND PRO 272 235.00 70125809 TUBE FDNG MICKEY 18 2.5 272 546.00 70125988 KIT BILATERAL DCP 2M 272 3,152.00 70126277 ELCTRD 180*CRV COAG P 272 922.00 70126278 ELCTRD HOOK WOLF 272 854.00 70126377 TUBE FDNG MICKEY 24/2.0 272 587.00 70126378 TUBE FDNG MICKEY 18 2.0 272 587.00 70126500 TUBE TRACH 3.5 PED NO CUF 272 379.00 70126508 TUBE FDG MICKEY 18 1.5 272 587.00 70126526 TUBE FDG MIC TJ 18 2.0 45 272 1,734.00 70126562 TUBE FDG MIC TJ 18 2.5 45 272 1,734.00 70126563 TUBE FDG MICKEY 18 2.7 45 272 1,734.00 70126585 TAP 4.5MM 175/140 272 1,868.00 70126673 NDL VERRES 14GA X 70MM 272 153.00 70126674 TROCAR NON BLDED 5X70MM 272 420.00 70127327 TUBE TRACH 3.0 NEO BIV TT 272 1,267.00 70127417 BLADE SPEAR ANGLD SHFT 272 172.00 70127499 BLADE 2.9M INFERIOR TURB 272 1,409.00 70127511 THERMASPLINT SM SNGL 272 142.00 70127512 THERMASPLINT MED SNGL 272 142.00 70127652 THERMASPLINT NASAL LG 272 143.00 70127653 SPLINT ORTHOGLASS 2X15 272 370.00 70127654 SPLINT ORTHOGLASS 3X15 272 370.00 70127655 SPLINT ORTHOGLASS 4X15 272 370.00 70127892 SCISSOR CVD STBSMS F 23GV 272 1,195.00 70128079 BLLN NUTRIPORT 14F 1.7CM 272 546.00 70128091 APPLICATOR COTTON TIP 272 378.00 70128290 DEVICE INFLATION 6667 272 506.00 70128292 TROCAR VERSA ST 12MX70CM 272 383.00 70128969 BIT DRL 4.3MM 310.431 272 763.00 70128982 BIT DRL BIOMET 4.8 X 180 272 915.00 70129024 TUBE FDG MIC TJ 16 1.0 22 272 1,734.00 70129025 TUBE FDG MIC TJ 16 1.2 30 272 1,734.00 70129026 TUBE FDG MIC GJ 16 1.5 45 272 1,734.00 70129027 TUBE FDG MIC GJ 16 1.7 45 272 1,734.00 70129028 TUBE FDG MIC GJ 16 2.0 45 272 1,734.00 70129029 TUBE FDG MIC GJ 16 2.3 45 272 1,734.00 70129030 TUBE FDG MIC GJ 16 2.5 45 272 1,734.00 70129031 TUBE FDG MIC GJ 16 2.7 45 272 1,734.00 70129032 TUBE FDG MIC GJ 16 3.0 45 272 1,734.00 70129033 TUBE FDG MIC GJ 16 3.5 45 272 1,734.00 70129034 TUBE FDG MIC GJ 18 2.3 45 272 1,734.00 70129035 TUBE FDG MIC GJ 22 2.0 45 272 1,734.00 70129036 TUBE FDG MIC GJ 22 2.5 45 272 1,734.00 70129037 TUBE FDG MIC GJ 22 3.5 45 272 1,734.00 70129054 TUBE FDG MIC G-BUT 14 2.5 272 587.00 70129055 TUBE FDG MIC G-BUT 16 1.5 272 587.00 70129056 TUBE FDG MIC G-BUT 16 2.0 272 587.00 70129057 TUBE FDG MIC G-BUT 16 2.3 272 587.00 70129058 TUBE FDG MIC G-BUT 16 2.5 272 587.00 70129059 TUBE FDG MIC G-BUT 16 2.7 272 587.00 70129060 TUBE FDG MIC G-BUT 16 3.0 272 587.00 70129061 TUBE FDG MIC G-BUT 16 3.5 272 587.00 70129063 TUBE FDG MIC G 14FR 272 262.00 70129064 TUBE FDG MIC G 16FR 272 262.00 70129065 TUBE FDG MIC G 18FR 272 262.00 70129066 TUBE FDG MIC G 20FR 272 262.00 70129067 TUBE FDG MIC G 22FR 272 262.00 70129068 TUBE FDG MIC G 24FR 272 262.00 70129373 BIT DRL 4.1MM 03.010.061 272 1,494.00 70129374 BIT DRL 4.1MM 03.010.104 272 1,052.00 70129385 BIT DRL 2.8MM X 165MM 272 819.00 70129408 BUTTN MINI-ONE 24FX2.4CM 272 901.00 70129619 WAND PROCISE XP EIC8872- 272 1,536.00 70129630 APPLIER ENDO CLIP 5MM 272 1,157.00 70129639 TUBE FDNG 6FX36 272 395.00 70129697 CATH RPR KIT 3F 1 LUMEN 272 626.00 70129698 CATH RPR KIT 4F 1 LUMEN 272 626.00 70129701 CATH RPR KIT 9F 2 LUMEN 272 626.00 70129775 DRSG WND VAC GRANUFM LG 272 393.00 70129851 BIT DRILL QC 2.0/125 272 434.00 70129852 TAP 4.0/110MM F/CAN SCRW 272 841.00 70129877 TEMPLATE BENDNG 329.87 272 353.00 70130113 HEMOSTAT INSTAT 2X4 1962 272 514.00 70130445 TUBE FDG MICKEY 18 3.0 45 272 1,734.00 70130500 PUSHER KNOT SUTURE CUTTER 272 827.00 70130579 SUT 5-0 ETHBND XTRA CCS 272 155.00 70130582 FIBERWIRE 2 38 272 169.00 70130583 KIT RAP-PAC CRUCIATE ACCE 272 1,408.00 70130621 BALLN INFLATN DEV RELIEVA 272 611.00 70130653 BLADE CUTTER 3.5MM 272 416.00 70130655 BLADE CUTTER 5.5MM 272 416.00 70130691 PROBE ELECTHRML VULCAN TS 272 1,792.00 70130692 NDL ARTHROSCOPIC XL 272 512.00 70130693 GUIDE WIRE 1.2 S&N 272 342.00 70130702 CHISEL LIGAMNT VULCAN E-F 272 2,829.00 70130703 PROBE E-FLX TAC-S W/CABL 272 2,936.00 70130705 PACK HIP-PAC ARTHRO DISP 272 1,893.00 70130707 BLADE SHAVER INCISOR 4.5M 272 441.00 70130708 BLADE ABRADER 4.0MM 272 575.00 70130710 PAD SUPINE PERIONEAL 272 570.00 70130720 FIBERWIRE FIBRSTCK #2 12 272 419.00 70130721 SUT LASSO 45DEG RT CRVD 272 956.00 70130722 SUT LASSO 45DEG LT CRVD 272 956.00 70130772 PROBE G-PROBE LASER HANDP 272 1,434.00 70130778 CATH IRRIG RELIEVA VORTEX 272 1,024.00 70130910 CATH SUCTION 6FR DISP 272 212.00 70130983 KITT PICC GROSH 5F/55CM 272 1,365.00 70130994 BIT DRL CANN 4.5 7207315 272 741.00 70130995 TUBING FLOSTDY PUMP STRKR 272 469.00 70131263 CUFF 8 272 159.00 70131264 CUFF 12 272 179.00 70131265 CUFF 18 272 201.00 70131266 CUFF 24 272 226.00 70131267 CUFF 30 272 243.00 70131268 CUFF 34 272 263.00 70131269 CUFF 42 272 283.00 70131302 BLADE SKIMMR 22CMX2.9MM 272 2,281.00 70131426 NASOPORE 4CM STANDARD 272 779.00 70131427 NASOPORE 4CM FIRM 272 976.00 70131428 NASOPORE 8CM STANDARD 272 1,297.00 70131429 NASOPORE 8CM FIRM 272 1,461.00 70131431 BIT DRILL SHRT 2.7/MM W/Q 272 592.00 70131454 CANNULA CLRTRAC 7MMX72MM 272 255.00 70131535 NASOPORE 8CM EX-FIRM 272 1,027.00 70131541 RING MALYUGIN 7MM 272 854.00 70131548 CANN HIP CLEAR-TRAC 7X110 272 267.00 70131560 IRRGTR SUCT STRYKE FLOW 272 355.00 70131967 SUT TICRN 2-0 30 DBL ARM 272 303.00 70132185 SUT ETHBND #5 TIES GRN 272 203.00 70132190 TUBE CONNECTING 14FX30M 272 156.00 70132216 TISSEEL FRZN FIBRIN 2ML 272 634.00 70132272 BUR CHOANAL ATRSIA HS 4MM 272 1,652.00 70132287 BUR ABRADER 4.0 272 455.00 70132290 SLEEVE IRRIG ANT VITR COX 272 410.00 70132310 TUBE FDNG 14FX2.0CM BLLN 272 546.00 70132338 BUTTN MNIONE BLLN 14FX1.7 272 615.00 70132343 BLADE MVR STRAIGHT 20GA 272 163.00 70132344 FIBERLOOP 4-0 20 272 264.00 70132574 WIRE KIRS .6X70 292.06 272 558.00 70132575 WIRE KIRS 3.0X150 292.3 272 644.00 70132576 WIRE KIRS TRCR END.6X70 272 672.00 70132577 WIRE KIRS TRCR END.8X70 272 672.00 70132580 TAP 1.5X50MM CRTX SCRW 272 716.00 70132583 TAP 4.5X130M CRTX SCRW 272 852.00 70132585 TAP 4.0/147MM SCRW 311.6 272 3,106.00 70132637 BIT DRILL 2.5MM 01-1050-0 272 860.00 70132829 BLADE SLIT KNIFE SNGL BVL 272 233.00 70132931 FIBERWIRE 2-0 T-13 18 272 187.00 70132959 TIP NDL MICRO TUNGSTEN 2 272 337.00 70132961 DRSG NASAL SINU-FOAM INJ 272 455.00 70133050 BIT DRILL 310.36 3.5/95QC 272 527.00 70133064 BIT DRILL 1.5X96 QK CPL N 272 1,075.00 70133091 TOOL GORE SMTHR CRUCL 7.9 272 1,850.00 70133388 BUTTN MINI BALLN 14FX2.0 272 615.00 70133445 EXTRCTR STONE 1.7F 272 1,458.00 70133678 ELCTRD WIRE EZ CLEAN 33CM 272 351.00 70133795 ADHES SKIN DERMABOND PEN 272 165.00 70133883 NDL TRANS ORALGEL 1.0 272 1,946.00 70134306 SLEEVE FOOT DVT-SM,MED,LG 272 165.00 70134536 TREPHINE VACUUM 6.5 272 485.00 70134537 TREPHINE VACUUM 7.0 272 485.00 70134538 TREPHINE VACCUM 7.5 272 485.00 70134539 PUNCH CORNEAL 6.0 272 471.00 70134540 PUNCH CORNEAL 6.5 272 471.00 70134541 PUNCH CORNEAL 7.0 272 471.00 70134542 TREPHINE VACUUM 7.75 272 485.00 70134543 TREPHINE VACUUM 8.0 272 485.00 70134544 PUNCH CORNEAL 9.0 272 471.00 70134545 PUNCH CORNEAL 8.0 272 471.00 70134546 PUNCH CORNEAL 8.5 272 471.00 70134699 ENT CEPS MICROLINE FORCEP 272 1,331.00 70134746 BLADE CUTTER 3.5MM 272 744.00 70134838 CANN SLOT & FASTFIX 360 272 161.00 70134839 SYS DLVRY FSTFIX & CVDNDL 272 2,418.00 70135047 KNOT PUSHER SUT CUTER 2-0 272 983.00 70135132 PACK CATARACT 272 392.00 70135229 DRILL BIT 2.0MM 272 478.00 70135230 DRILL BIT 2.8MM 272 710.00 70135239 DRILL MINI ACUTRAK LONG 272 1,482.00 70135241 DRILL BIT FAST 1.1MM 272 383.00 70135242 BIT DRIVER 1.5MM 272 383.00 70135243 K-WIRE 6IN TROCR PT .035 272 383.00 70135286 KNIFE SLIT CLEAR CUT 272 446.00 70135435 SUT CINCH SOFT TISSUE #5 272 567.00 70135436 ENDOBUTON DIRCT W/SUT 7MM 272 1,929.00 70135439 DRILL SOLID 2.4MM 272 1,434.00 70135716 STENT SFT 6FX22-32 LGTH 272 558.00 70135717 STENT SFT 8FX22-32 LGTH 272 558.00 70135977 CATH BLN MSTG 8M/40CM/135 272 1,792.00 70135988 CATH BLN MUST 9MX40CMX40 272 1,792.00 70135995 CATH BLN MUST 6M/30CM/135 272 1,792.00 70135996 CATH BLN MUST 6MX30CMX40 272 1,792.00 70135997 CATH BLN MUST 8MX40CMX40 272 1,792.00 70135998 CATH BLN MUST 9M/40CM/40 272 1,792.00 70136196 TREPHINE VACUUM 8.25 272 485.00 70136207 PACK TOT+ VITRECTOMY 20GA 272 2,645.00 70136307 AO 3.2MM CANN DRILL 272 1,760.00 70136323 5MM NAIL END CAP 272 2,128.00 70136369 BLADE 2MM INFERIOR TURBNT 272 1,525.00 70136373 SINUS GUIDE CATH F-70 272 1,820.00 70136374 SINUS IRR CATH VRTX-2 272 1,058.00 70136416 ACCU-PASS SUT SHUTTLE 70* 272 819.00 70136417 ENDOBTTN DIRECT W/SUT 6MM 272 1,877.00 70136418 OSTEARAPTOR 2.3 W/1UB WHT 272 1,764.00 70136419 OSTEARAPTOR 2.3W/UB BLUE 272 1,764.00 70136420 ULTRABRAID#2 WHT 38LG SNL 272 165.00 70136421 ULTRABRAID#2 COBRD 38LG 272 165.00 70136555 BURR ACROMONIZER 4.0MM 272 353.00 70136568 ENDOBUTTON W/SUT 8MM 272 1,877.00 70136723 CATH COUNSIL TIP 6FR 272 189.00 70136724 CATH COUNSIL TIP 8FR 272 189.00 70136735 VITRECTOMY PACK 25G 272 2,947.00 70136736 VITRECTOMY PACK 23G 272 2,833.00 70136737 VITRECTOMY PACK 20G 272 2,958.00 70136739 FILTER VAPOR CLEAN 272 785.00 70136775 SOFT PACK CATARACT 272 359.00 70136795 SYSTM SPIN BLLN SINUS5X16 272 6,670.00 70136832 KIT SINPLSTY 5M BLN GUIDE 272 7,764.00 70137088 GVL 0 STAT 272 211.00 70137089 GVL 1 STAT 272 211.00 70137090 LARYNGOSCOPE GLDSCP GVL 2 272 196.00 70137091 GVL 3 STAT 272 196.00 70137092 LARYNGOSCOPE GLDSCP GVL 4 272 196.00 70137380 COBLATOR PROCISE MAX WAND 272 1,792.00 70137385 VITRECTOMY PK 20G W/O BSS 272 2,679.00 70137386 VITRECTOMY PK 23G W/O BSS 272 2,679.00 70137387 VITRECTOMY PK 25G W/O BSS 272 2,679.00 70137513 PUNCH CORNEAL 7.5 272 473.00 70137519 FRONTALIS SUSP SET 272 364.00 70137570 TIBIAL ANTER TEND LFNT 272 5,972.00 70137590 CATH DUAL LUMEN 10FX50CM 272 347.00 70137632 SUT NYLON 10-0 BLK 12 272 273.00 70137667 WAND REFLEX ULTRA PTR 272 1,673.00 70137739 ENDOBUTTON CL PAC 272 1,929.00 70137740 ADHES SKIN LIQUID BAND 272 122.00 70137768 KIT ENDO ULTR CL PAC 1.2 272 1,929.00 70137769 PIN BEATH PASS 2.4MM 272 848.00 70137881 NDL INJ CYSTO 272 451.00 70137884 FORCEP 25GA 705.13P 272 1,145.00 70137890 KNIFE CRESC OPTH 272 223.00 70137966 SPIN PLUS KIT-SINUS 272 7,764.00 70138058 PENCIL SMOLE EVAC 272 256.00 70138091 GVL 2 STAT 272 211.00 70138092 GVL 4 STAT 272 165.00 70138124 Pack Minor Ortho - SDC 272 433.00 70138160 KIT DISP SHOULDER Q-FIX 272 1,703.00 70138184 WAND PROCISE LW 272 3,697.00 70138185 WAND PROCISE MLW 272 3,697.00 70138262 GVL 2.5 STAT 272 211.00 70138330 TIP PAHACO RND 30 DEGREE 272 419.00 70138354 SYSTEM SINUS DILAT 6FR 272 7,366.00 70138355 PACK NASAL HEMOST XEROGEL 272 1,024.00 70138379 BURR ACROMIONIZER 5.5MM 272 529.00 70138380 AMBIENT COVAC 50 IFS 272 2,594.00 70138493 Pack Arthroscopy 272 450.00 70138494 Pack Basic Cysto 272 222.00 70138495 Pack Basic 272 302.00 70138501 Pack Eye 272 217.00 70138506 Pack Minor Ortho 272 433.00 70138511 Pack Minor Ortho - SDC 272 433.00 70138613 WIRE GUIDE SCRW 1.2MM 272 341.00 70138614 OSTEARAPTOR 2.9 W/UB 272 1,959.00 70138683 BURR ABRADER 4.0MM 272 817.00 70138686 810 SET 272 408.00 70138976 STENT LACRIFLOW 272 1,263.00 70139235 SABER 30 3M 30 272 1,578.00 70139569 BUTTN NON BALLOON 18FX1.2 272 1,003.00 70139570 BUTTN NON BALLOON 18FX1.7 272 1,003.00 70139571 BUTTN NON BALLOON 18F X 4 272 1,003.00 70139572 BUTTN NON BALLOON 18FX3.4 272 1,003.00 70139573 BUTTN NON BALLOON 18FX4.4 272 1,003.00 70139574 BUTTN NON BALLOON 24FX1.2 272 1,003.00 70139575 BUTTN NON BALLOON 24FX1.7 272 1,003.00 70139576 BUTTN NON BALLOON 24FX3.4 272 1,003.00 70139577 BUTTN NON BALLOON 24FX4.4 272 1,003.00 70139578 BUTTN NON BALLOON 24FX5.4 272 1,003.00 70139579 BUTTN NON BALLOON 28FX1.5 272 1,003.00 70139580 BUTTN NON BALLOON 28FX2.8 272 1,003.00 70139581 BUTTN NON BALLOON 28F X 3 272 1,003.00 70139658 LINER ALV KNEE POS 272 161.00 70139659 SILVER BULLET SM BLD 272 1,644.00 70139692 BLADE 4.5MM INCSR PLATINM 272 497.00 70139910 PSSR ACCU-PASS SUTURE 272 1,873.00 70139911 INCISOR PLUS 4.5MM ELT 272 651.00 70139913 KIT HIP DISP F/1.8MM Q-FX 272 1,703.00 70139922 HIP VAC AMBIENT 50 IFS 272 2,698.00 70139945 SUT ORTHOCORD 272 259.00 70139946 BLADE 4.5 INCOSOR ELITE 272 810.00 70139947 KIT ACL DISPOSABLE 272 3,692.00 70140009 CANNULA 5.5 THREADED 272 355.00 70140010 CANNULA 7.5MM THREADED 272 355.00 70140011 SUTURE SHUTTLE 45D LT 272 1,907.00 70140012 SUTURE SHUTTLE 45D RT 272 1,907.00 70140020 CHIA PREPASSER 272 1,137.00 70140021 2-0 ORTHOCORD MENISC NDL 272 967.00 70140022 VAPR COOLPULSE 90D 272 2,221.00 70140074 DISTALRIB CANNULA 5.5MM 272 337.00 70140075 CANNULA THREADED 8.5 MM 272 337.00 70140126 PAD HIP FOOT 272 568.00 70150053 BIT DRILL QC/GOLD 110 SYN 272 451.00 70150140 BRACE KNEE POST ARTHRO 272 328.00 70239361 TUBE FEEDING MICKEY 12 X5 272 594.00 70239364 TUBE FEEDING MICKEY 12X 5 272 594.00 70411085 TUBE BRONCH 28F LT 272 452.00 70411361 CATH AIRWAY XCHNG 14F 272 404.00 70411363 CATH AIRWAY XCHNG 8F 272 404.00 70411610 CATH BRONCHO 28F LT 272 594.00 70412770 CATH FEM ART 4F 12CM 272 299.00 70413193 KIT CATH DL 8/16 272 319.00 70415569 TRAY CONTINUOUS CAUDAL PE 272 231.00 70415627 TUBE FEEDING 6F 272 99.00 70417705 SET PRSS MNTR PED PE 2.5Y 272 450.00 70417711 CATH RAD ART 3FR 5CM 272 260.00 70418244 SET CAP/DIAPHRAM 766896 272 297.00 70418899 TUBE ET REINFRCD CUFF 7.0 272 179.00 70419617 SET DRN PNEUMO C-PPD-850 272 550.00 70421777 TUBE ENDO BRONCH 35-39 LT 272 349.00 70421779 TUBE ENDO BRONCH 37 LEFT 272 860.00 70421939 CATH SWAN PEDIATRIC 5F 7 272 1,421.00 70421940 CATH SWAN ADLT 7F 110C 272 419.00 70422207 WIRE ST .015 50CM 272 155.00 70422250 TUBE UNIVENT PED 3.5 272 860.00 70422258 CATH 3F 8CM 272 152.00 70423207 SET MELKER CRCTHYRTMY 3.5 272 932.00 70423208 SET INTUBATION 11.0 272 754.00 70424092 SET EPIDURAL W/STYLET 20A 272 407.00 70425173 CATH RAD ART 2.5X5CM 272 260.00 70426364 SENSOR SOMA ADULT-SM 272 717.00 70426365 SENSOR SOMA PED 272 1,048.00 70427631 TRAY PED EPID ANESTH 20GA 272 362.00 70427668 SET ARNDT ENDOBRONCH 7.05 272 997.00 70429208 TRACH QUICK 4.0 272 1,231.00 70429209 TRACH QUICK 2.0 272 1,231.00 70429602 TUBE ET 3.5 CUFF REINF 272 195.00 70429603 TUBE ET 4.0 CUFF REINF 272 195.00 70429604 TUBE ET 4.5 CUFF REINF 272 195.00 70429605 TUBE ET 5.0 CUFF REINF 272 195.00 70429606 TUBE ET 5.5 CUFF REINF CR 272 195.00 70430035 CATH OXIMETRY TLX5.5MM 272 2,014.00 70430496 SENSOR SOMA CERBRL INFNT 272 1,331.00 70430497 SENSOR SOMA SOMATIC INFNT 272 1,397.00 70432664 BLCKR ARNDT ENDOBRNCH SPH 272 1,132.00 70436703 CATH CV DL 5FR 15CM 272 512.00 70436812 SET ADMIN DIAL X2 BURETRL 272 626.00 70437088 LARYNGOSCOPE GLDSCP GVL 0 272 196.00 70437089 LARYNGOSCOPE GLDSCP GVL 1 272 211.00 70437090 LARYNGOSCOPE GLDSCP GVL 2 272 196.00 70437091 LARYNGOSCOPE GLDSCP GVL 3 272 196.00 70437092 LARYNGOSCOPE GLDSCP GVL 4 272 196.00 70437283 SET ADMIN TRIF 60" 20DR 272 101.00 70437823 SET ADMIN TRIF 60" 20 DR 272 101.00 70438262 GVL 2.5 STAT 272 211.00 70438350 BLOCKER ARNDT ENDOBRNCH 7 272 1,212.00 70438352 NDL EPIDURAL 17GA X 4 1/2 272 234.00 70439628 Tray Contin Epidural 19g 272 212.00 70439641 SET CONTIPLEX ECHO18 X2 272 403.00 70439642 SET CONTIPLEX ECHO 18 X 4 272 422.00 70439848 BLADE C-MAC MILLER #0 272 166.00 70439849 BLADE C-MAC MILLER #1 272 166.00 70439850 LARNGOSCOPE MAC #3 272 138.00 70439851 LARNGOSCOPE MAC #4 272 138.00 70439852 LARYNGOSCOPE D- BLADE 272 138.00 70440063 NDL ECHOGNIC 20G X 4 3/4 272 146.00 70440064 NDL ECHOGENIC 21G X 4 272 146.00 70440066 NDL NON-STIM 20G X 4 3/4 272 141.00 70440067 NDL NON-STIM 21G X 4 272 141.00 70450039 TUBE ET CUFF REINF CRVD H 272 195.00 70450067 CATH OXIMETRY 2 272 2,014.00 70915627 TUBE FDNG 6F 272 99.00 70924627 DIL 20F W/COON TAPER 272 152.00 70924628 DIL 22F W/COON TAPER 272 152.00 70928995 CATH ACCESS PORT KIT 272 200.00 70933941 ELTRD DFBR ADLT 5.75X3.7 272 123.00 70934553 PLASMABLADE 4.0 HANDPIECE 272 1,849.00 70934647 GJ TUBE 18FR 3.5CMX45CM 272 1,838.00 70934669 SAFIRE BLU ABL MED SWEEP 272 5,969.00 70934704 GJTUBE 14FR X 1.2CM X30CM 272 2,275.00 70934705 GJTUBE 14FR X 1.5CM X45CM 272 2,275.00 70934706 GJTUBE 14FR X 1.7CM X45CM 272 2,275.00 70934707 GJTUBE 14FR X 2CM X 45CM 272 2,275.00 70934708 GJTUBE 14FR X 2.5CM X45CM 272 2,275.00 70934709 GJTUBE 14FR X 3CM X 45CM 272 2,275.00 70935957 ADAPTER TRIVALVE DBL PLAY 272 139.00 70935958 SNARE MINI ENSNARE 2-4MM 272 3,754.00 70935959 SNARE MINI ENSNARE 4-8MM 272 3,754.00 70935960 SNARE MINI ENSNARE 6-10MM 272 2,048.00 70935961 SNARE MINI ENSNARE 27-45M 272 2,048.00 70935981 CATH MICRO MAGIC 1.2FX120 272 4,124.00 70935982 CATH MICRO MAGIC 1.5FX121 272 3,754.00 70936076 HANDLE COIL DETACHMENT 272 1,707.00 70936077 CATH PXSLM DLVRY 025 STR 272 5,290.00 70936078 CATH PXSLM DLVRY 025-45 272 5,290.00 70936079 CATH PXSLM DLVRY 025-90 272 5,290.00 70936080 CATH PXSLM DLVRY 025-130 272 5,290.00 70937283 SET ADMIN TRIF 60" 20 DR 272 101.00 70937740 ADHESIVE SKIN LIQUIBAND 272 122.00 70937823 SET ADMIN TRIF 60" 20 DR 272 101.00 70938255 CATH CENTRAL 6FR 272 1,274.00 70938496 Pack Biopsy 272 416.00 70938503 Pack Interventional 272 433.00 70938607 DUAL SHEATH SNARE RETR KT 272 2,901.00 70938608 DENALI IVC FEMORAL KIT 272 5,375.00 70939735 SWIPER SPONGES 272 2,009.00 70939736 SWASHER TOWEL-Blue 272 2,812.00 70939741 Stopcock 1 WAY HIGH PRES 272 906.00 70939742 Stopcock 3 WAY LOW PRESS 272 1,144.00 70939743 BRAUN TUOHY W/ GUIDEWIRE 272 1,051.00 70939744 CADENCE SYRINGE 272 2,675.00 70939756 4F X 100CM TEMPO CATHETE 272 191.00 70939762 .014 SYNCHRO 2 STANDARD E 272 3,408.00 70939764 SHEATH 5FR SLENDER 272 1,873.00 70939765 DESTINATION SHEATH 7F X 5 272 558.00 70939766 DESTINATION SHEATH 8F X 5 272 558.00 70939862 SCEPTER XC 4MM X 11MM 272 4,724.00 70939865 6F X 90CM ENVOY GUIDECATR 272 2,650.00 70939908 4F NITINOL MICROPUNCTURET 272 170.00 70939970 OSTEO-SITE 11G X 10CM 272 358.00 70939971 OSTEO-SITE 11G X 15CM 272 358.00 70939972 OSTEO-SITE 13G X 10CM 272 358.00 70939973 OSTEO-SITE 13G X 15CM 272 358.00 70939974 OSTEO-SITE 15G X 10CM 272 358.00 70939975 OSTEO-SITE 15G X 15CM 272 358.00 70939976 GEL-BLOCK PLEDGETS .021 272 484.00 70939980 HEADWAY DUO MICROCATH 16M 272 3,698.00 70939981 TREVO XP 3X20MM 272 30,788.00 70939982 8F X 85CM FLOWGATE BALLON 272 4,987.00 70940139 GUIDEWIRE ANG .035 X 260M 272 327.00 70940140 GUIDEWIRE HYBRID.007 ANGP 272 3,692.00 70940144 IMPRESS ANGIOGRAPH CATH 272 355.00 71132959 TIP NDL MICRO TUNGSTEN 2 272 337.00 71221926 CATH GLIDE STR 4FR 100 272 1,434.00 71224624 DIL 14F W/COON TAPER 272 86.00 71224625 DIL 16F W/COON TAPER 272 81.00 71224626 DIL 18F W/COON TAPER 272 86.00 71224627 DIL 20F W/COON TAPER 272 152.00 71224628 DIL 22F W/COON TAPER 272 152.00 71225387 DIL 9F 20CM .038 272 59.00 71226110 CATH NEPHRO 10FX24CM 272 600.00 71234449 CATHETER JB1 4FX125CM 272 579.00 71234480 MICROACC INTRODCR 3.5 5CM 272 146.00 71234493 MICROACC INTRODCR 4FR 5CM 272 146.00 71234494 MICROACC INTRODCR 5FR 5CM 272 146.00 71234495 MICROACC INTRODCR 6FR 5CM 272 146.00 71237823 SET ADMIN TRIF 60" 20 DR 272 101.00 71239615 SUTURE T-FASTENER SET 272 781.00 71239616 INTRODUCER PEEL-AWAY 20F 272 332.00 71415624 TUBE FDNG 5F 272 111.00 71427701 SHIELD XRAY GENITAL NEWB 272 120.00 71702095 IODINE STRNG SSKI 30ML PO 272 10.59 71711881 NACL 0.9% 20ML VL 272 8.48 71725000 ACETIC ACID IRR 250 ML 272 37.11 71725209 NACL 500ML IRR 272 23.98 71725235 NACL 1L IRR 272 60.43 71725260 H2O 1L STRL IRR 272 28.50 71740036 MICROFIB COLLAGEN 70X35MM 272 1,325.86 71750089 Fluorescein 0.6mg strip 272 5.00 71755240 IRRIG WATER 1 272 29.00 71785101 DEFLUX NEEDLE 272 430.00 71826364 SENSOR SOMA ADULT-SM CREB 272 683.00 71826365 SENSOR SOMA PED CERB/BODY 272 1,127.00 71830497 SENSOR INFNT CEREB SOMATC 272 1,320.00 71832017 SENSOR SOMA PEDS DISP 272 1,161.00 71834500 BAG RESERVOIR PEDIATRIC R 272 117.00 71834503 BAG RESERVOIR ADULT SPUR 272 116.00 71860034 HELIOX TO MASK (1ST DAY) 272 539.00 71860035 HELIOX TO MASK (SUBSEQUEN 272 539.00 71860036 HELIOX TO VENTILATOR (1ST 272 652.00 71860037 HELIOX TO VENTILATOR (SUB 272 652.00 71860046 PEAK FLOWMETER MSRMNT (IN 272 111.00 72025285 SET AUTO PBSC SHARPS PROT 272 1,127.00 72025659 SET WHITE BLOOD CELL 272 1,058.00 72036352 KIT PHOTOPHERSIS SUPPLY 272 6,769.00 72037985 SPECTRA OPTIA KIT 272 1,297.00 72310668 TRAY LAC STR SNAGFEE 272 98.00 72337740 ADHESIVE SKIN LIQUIBAND 272 122.00 72337823 SET ADMIN TRIF 60" 20 DR 272 101.00 72338881 CATH ER-REBOA 272 7,389.00 72338882 KIT CATH INTODUCER 272 953.00 72410002 APPLIER LIGACLIP MLT MD M 272 410.00 72410003 APPLIER LIGACLIP MLT ML M 272 410.00 72410006 APPLIER LIGACLIP ROTATE E 272 546.00 72410011 BAG AUTOTRANS ATRIUM 272 263.00 72410017 CANNULA TRACH DFEN SZ6 272 362.00 72410024 CATH FOLEY COUDE 14F 5CC 272 176.00 72410040 CATH FOLEY TEF 18F 30CC3W 272 140.00 72410057 CATH THORACIC TROCAR 20F 272 133.00 72410058 CATH THORACIC TROCAR 28F 272 140.00 72410082 KIT BONE MARROW 16X2 ASP 272 291.00 72410083 KIT PERC INTR 9F AK09903S 272 247.00 72410149 TUBE CANNULA TRACH SZ 6 272 339.00 72410156 TUBE TRACH 4 DCT 272 339.00 72410157 TUBE TRACH 8 DCT 272 339.00 72410158 TUBE TRACH PED 3.0 272 288.00 72410159 TUBE TRACH PED 3.5 272 288.00 72410160 TUBE TRACH PED 4.0 272 288.00 72410161 TUBE TRACH PED 4.5 272 288.00 72410162 TUBE TRACH PED 5.0 272 288.00 72410251 CATH IV ANGIO 14GX5.25IN 272 112.00 72410360 HEMOSTAT ABSORB 1/2X2 272 211.00 72410361 HEMOSTAT ABSORB 2X14 SURG 272 371.00 72410362 HEMOSTAT ABSORB 4X8 SURG 272 432.00 72410643 CATH UMBILICAL 5F DL 272 277.00 72410678 ADHES DERMABOND 272 165.00 72410693 APPLIER CLIP RANEY CG8901 272 360.00 72410696 APPLIER ENDO CLIP 5MM 272 1,006.00 72410713 BAG DRAIN EDMS BECKER 700 272 341.00 72410823 BIT DRILL 310.16 1.5/110 272 523.00 72410826 BIT DRILL CANN 2.0X150 NS 272 2,469.00 72410827 BIT DRILL 310.23 2.5/180Q 272 666.00 72410828 BIT DRILL 310.25 2.5X110 272 572.00 72410829 BIT DRL 310.26 2.7/100 QC 272 465.00 72410830 BIT DRL 310.31 3.2/145 QC 272 471.00 72410831 BIT DRL 310.32 3.2/130 NQ 272 449.00 72410832 BIT DRILL 310.35 3.5X110 272 606.00 72410835 BIT DRL 310.48 4.5/195 QC 272 863.00 72410837 BIT DRILL 310.63 5.0 CANC 272 2,432.00 72410838 BIT DRILL 310.65 3.2 CANC 272 2,417.00 72410839 BIT DRL 310.67 2.7CAN QC 272 2,457.00 72410840 BIT DRL 310.68 3.5 CAN QC 272 2,457.00 72410841 BIT DRL 310.69 4.5 CANNUL 272 2,649.00 72410842 BIT DRL 315.28 2.7/125 QC 272 855.00 72410843 BIT DRL 315.29 3.2/195 QC 272 904.00 72410844 BIT DRL315.31 3.2/145/120 272 677.00 72410846 BIT DRL 315.48 4.5/195 272 860.00 72410847 BIT DRL 315.92 2.5/230 QC 272 1,482.00 72410848 BIT DRILL 3.2/230/NS 272 1,451.00 72410876 BLADE DERMATOME ZIMM 272 259.00 72410880 BLADE FULL RADIUS 2.9MM 272 415.00 72410894 BLADE RAD 4.0MM 40 DEG 272 1,072.00 72410982 BLADE SKMMR ANG TIP 4.0MM 272 1,968.00 72410996 BLADE TRICUT 4MM STRT 272 1,072.00 72410998 DRN BLAKE 10F RND 272 357.00 72411090 BUR 1.1MM WIRE PASS DRIL 272 171.00 72411186 BURR MATCHHEAD 3MMX14CM 272 891.00 72411187 BUR RND KM-AM8U 272 743.00 72411227 CANNULA ART 10F PED 272 165.00 72411235 CANNULA ART 8F PED 1 272 165.00 72411237 CANNULA ART 10F BIOMED 272 1,372.00 72411238 CANNULA ART 8F BIOMED 272 1,372.00 72411251 CANNULA CARDIOPLEIA RTRO 272 642.00 72411256 CANNULA CORONARY UNIV SOF 272 192.00 72411262 BIOMED FEMRL CANNULA 15FR 272 1,576.00 72411263 BIOMED FEMRL CANNULA 17FR 272 1,576.00 72411265 CANNULA ART/FEMR 21FR 272 1,574.00 72411277 CANNULA RCAP GUNDRY PED 1 272 584.00 72411291 CANNULA VENOUS 10FR 1/4IN 272 1,195.00 72411292 CANNUL VNS PED 12F .25IN 272 1,229.00 72411293 CANN VENOUS PEDS 14F 1/4 272 1,372.00 72411314 CANN VENOUS 20FR FLX DUAL 272 292.00 72411319 CANNULA VENOUS RTRN OPEN 272 247.00 72411320 CANNULA VENOUS RTRN SNGL 272 215.00 72411348 BLADE CARRIER MESHER 8in 272 228.00 72411359 CATH 8FX18CM PED SIL 272 1,229.00 72411362 CATH AIRWAY XCHNG 19F 272 404.00 72411364 CATH AIRWY PEDS EXC7CM 11 272 404.00 72411597 CATH BLN 12-4/5.8/75CM 272 1,775.00 72411753 CATH ELCTR HEMOSTS 7FR 272 1,456.00 72411795 CATH FOLEY 16F 30CC 3W 272 144.00 72411808 CATH FOLEY SIL 18F 5CC 3W 272 151.00 72411821 CATH FOLEY TEF 28F 5CC 2W 272 378.00 72411823 CATH FOLEY TEF 20F 30CC3W 272 674.00 72411964 CATH KIT ALGOLINE 272 1,946.00 72411969 CATH LMBR EDM OPN TIP80 272 1,315.00 72411971 CATH MALECOT 10F 272 180.00 72411972 CATH MALECOT 12F 272 180.00 72411973 CATH MALECOT 14F 272 180.00 72411974 CATH MALECOT 16F 272 180.00 72411975 CATH MALECOT 18F 272 180.00 72411978 CATH MALECOT 20F 272 180.00 72411979 CATH MALECOT 22F 272 180.00 72411980 CATH MALECOT 24F 272 113.00 72411981 CATH MALECOT 26F 272 180.00 72411983 CATH MALECOT 30F 272 180.00 72412017 CATH PEZZER SM HEAD 16F 272 188.00 72412018 CATH PEZZER SM HEAD 18F 272 204.00 72412022 CATH PEZZER SM HEAD 26F 272 283.00 72412144 CATH THORACIC SIL 16F W/C 272 120.00 72412145 CATH THORACIC SIL 20F W/C 272 120.00 72412146 CATH THORACIC SIL 24F W/C 272 120.00 72412147 CATH THORACIC SIL 28F W/C 272 120.00 72412149 CATH THORACIC SIL 32F W/C 272 120.00 72412150 CATH THORACIC SIL 36F W/C 272 120.00 72412154 CATH THORACIC TROCAR 12F 272 133.00 72412222 CATH VENOUS RETURN OPENRT 272 247.00 72412257 CANNULA VENT 13FR RT ANGL 272 145.00 72412427 CLIP APPLIER ALLPORT 5MM 272 3,913.00 72412428 CLIP ENDO II MED/LG 10MM 272 558.00 72412433 CLIP LIGATNG TIT LG LT0 272 148.00 72412443 BULLDOG STR 1/4 FORCE 6MM 272 171.00 72412445 APPLIER CLIP MED W/30 TII 272 392.00 72412446 CLIP SURGICLIP APPLIER M- 272 392.00 72412447 CLIP SURGICLIP APPLIER S- 272 454.00 72412502 CONNECTOR CATH 3-WAY CAF 272 1,363.00 72412503 CONNECTOR CATH RT ANGLE 272 408.00 72412504 CONNECTOR CATH STRAIGHT 272 408.00 72412541 CUTTER ENDOPATH ETS VASC 272 3,545.00 72412550 CUTTER PROX 55MM BLUE TL 272 691.00 72412551 CUTTER PROX 75MM BLUE TL 272 1,033.00 72412560 CARRIER SK GRAFT 1.5-18X3 272 227.00 72412565 DEVICE SUTURING ENDOS 272 1,013.00 72412574 SET SHEATH AMPLATZ 272 1,830.00 72412592 DISSECTOR ENDOPATH 5DCD 272 470.00 72412593 DISSECTOR ENDOPATH BTD05 272 391.00 72412631 DRN BLAKE FLAT 10MM 272 382.00 72412632 DRN BLAKE 7MM FLAT FULL 272 382.00 72412652 DRN RD HUB BLAKE 19F 272 202.00 72412668 DRN VENTRICULAR EXT 272 675.00 72412670 DRN TROCAR BLAKE 19F 272 402.00 72412672 BAG COLLECTION EDS 272 255.00 72412677 DRSG BIOBRANE 10X15 272 1,335.00 72412739 ENDO PEANUT 5MM 272 180.00 72412742 ENDOCLOSE 272 427.00 72412744 ENDOSHEARS 5MM 272 403.00 72412745 ENDOSTICH DEVICE 10MM 173 272 699.00 72412770 CATH FEM ART 4F 12CM 272 299.00 72412814 GELFILM 1X2 272 494.00 72412815 GELFILM 4X5 272 3,043.00 72413050 GUIDE SUT GABBAY-FRATE 272 150.00 72413152 INTRO PEEL AWAY 12F 272 358.00 72413192 CANNULA VEN/FEMR 21 FR 272 1,574.00 72413199 KIT CATH STAMY 10F 081010 272 330.00 72413209 KIT CRANIAL BARD ACCESS 272 1,765.00 72413240 KIT LMBR DRN EDM OPN TIP 272 1,493.00 72413242 KIT MICROINTRDCR 3.5 UNIV 272 399.00 72413243 KIT MICROINTRDCR 4.5 UNIV 272 399.00 72413244 KIT MICROINTRDCR 5.5 UNIV 272 399.00 72413253 KIT PCI 6FR W/FEATHER DIL 272 147.00 72413257 KIT PERC INTRO 7F 0601170 272 352.00 72413268 KIT RPR HICKMAN 9F 060170 272 997.00 72413269 KIT RPR HICKMAN PED 06016 272 847.00 72413932 POUCH ENDOCATCH 10MM DISP 272 942.00 72413933 POUCH ENDOCATCH II 15MM D 272 713.00 72413987 CUTTER ENDO VASC TR35W RE 272 709.00 72413993 RESRVR CARDIO W/ FILTER 272 1,311.00 72413996 RESRVR CAF OMAYA 1.5 272 1,838.00 72414005 RESRVR VENT RICKHAM LG9.5 272 1,813.00 72414047 BLADE RAD 60DEG 4.0MM CVD 272 1,106.00 72414084 SCISSOR ENDOPATH CVR 5MM 272 2,395.00 72414826 ENDOSHEAR MINI 5MM 272 473.00 72415033 RELOAD STAPL FLEX 45X1MM 272 802.00 72415045 STAPL PROX CTTR TCR55 272 370.00 72415046 CUTTER PROX BLUE RELOAD T 272 552.00 72415051 CUT LINEAR RELOAD TVR55 272 410.00 72415059 STAPLER RELOAD 30MM 272 353.00 72415061 RELOAD LINEAR 60MM 272 450.00 72415063 STAPLER RELOAD 30 WHITE 272 364.00 72415077 RELOAD ENDO STRT 45-2.5 272 584.00 72415107 STAPLR SKIN 35 REG PRR35 272 239.00 72415108 STAPLR SKIN 35 WIDE PRW35 272 400.00 72415109 STAPLR PROX TX RLD BLUE 272 663.00 72415112 STAPL ENDOPATH CTTR ETSW 272 672.00 72415130 STAPLR SKIN 35MM PRR35 272 400.00 72415256 COTTON LEUNG BILARY STENT 272 478.00 72415480 STIMULATOR NERVE VARI STM 272 428.00 72415510 CAST 3IN BLUE FIBERGLASS 272 29.00 72415593 TROCAR ENDOPATH 5MM 355LD 272 416.00 72415594 TROCAR ENDOPATH 5MM 35NLT 272 436.00 72415599 CATH TROCAR FLEX 15MM FP5 272 840.00 72415611 TUBE CHEST THAL-QUICK 10F 272 684.00 72415613 TUBE CHEST THAL-QUICK 16F 272 668.00 72415614 TUBE CHEST THAL-QUICK 18F 272 684.00 72415615 TUBE CHEST THAL-QUICK 20F 272 643.00 72415616 TUBE CHEST THAL-QUICK 24F 272 636.00 72415627 TUBE FDG 6F 272 99.00 72415628 TUBE FDNG 6F WGHTD 272 138.00 72415629 TUBE FDG 8F 272 163.00 72415631 TUBE FDNG 8F 43 272 145.00 72415638 TUBE FDNG GASTRIC 18F 1.2 272 896.00 72415640 TUBE FDNG GASTRIC 18F 1.7 272 896.00 72415641 TUBE FDNG GASTRIC 18F 2.4 272 896.00 72415642 TUBE FDNG GASTRIC 18F 3.4 272 895.00 72415644 TUBE FDNG GASTRIC 24F 1.7 272 896.00 72415645 TUBE FDNG GASTRIC 24F 2.4 272 896.00 72415646 TUBE FDNG GASTRIC 24F 3.4 272 921.00 72415650 TUBE FDNG MICKEY 14 1.2 272 615.00 72415651 TUBE FDNG MICKEY 16 1.7 272 587.00 72415652 TUBE FDNG MICKEY 18 1.2 272 587.00 72415653 TUBE FDG MIC-KEY 18/1.7 272 587.00 72415654 TUBE FDNG MICKEY 18 2.3 272 587.00 72415655 TUBE FDNG MICKEY 24 1.7 272 587.00 72415656 TUBE FDNG MICKEY 24 2.3 272 587.00 72415657 TUBE FDNG MICKEY 24 2.7 272 587.00 72415659 TUBE FDNG 1 STEP 18 1.7 272 1,311.00 72415660 TUBE FDNG FRED MILLER 8F 272 333.00 72415686 TUBE TRACH 5 SCT 272 260.00 72415687 TUBE TRACH #6 SCT 272 260.00 72415693 TUBE TRACH 2.5 NEO NO CUF 272 379.00 72415695 TUBE TRACH 5.0 PED NO CUF 272 451.00 72415697 TUBE TRACH #7 SCT 272 260.00 72415712 TUBE TRACH NEO 3.0 272 288.00 72415713 TUBE TRACH NEO 3.5 272 288.00 72415714 TUBE TRACH 5.5 PED SHILEY 272 288.00 72415715 TUBE TRACH UNCF FEN 4CFN 272 394.00 72415899 WASH THREAD 219.89 272 1,005.00 72416095 WIRE KRSCHNR 292.12 1.251 272 418.00 72416098 WIRE KIRS 292.25 2.5/150 272 644.00 72416099 WIRE KIRS 292.26 2.5/285 272 804.00 72416100 WIRE KIRS 292.39 1.8/400 272 1,706.00 72416101 WIRE KIRS 292.40 2.0/350 272 549.00 72416102 WIRE KIRS 292.41 2.0/400 272 1,706.00 72416238 SILO BAG VENT SIZE 5 272 1,735.00 72416609 CLAMP MULTIPIN 393.002 272 2,567.00 72417067 ELCTRD ENDO MICRO W/CABLE 272 2,560.00 72417081 ELCTRD LAP SPATULA TIP 0 272 442.00 72417146 FILM SEPRA BIORESORBABLE 272 1,638.00 72417416 SPONGE GELFOAM 100 272 376.00 72417419 HEMOSTAT INSTAT 3X4 1983 272 416.00 72417585 LIGHT SURG FLEXI-LUM DISP 272 273.00 72417741 NDL BX BONE MARROW PEDS 272 156.00 72417833 NDL INSUFFLATION 14G/100 272 153.00 72417848 NDL INSUFLATION 120MM 272 155.00 72417856 KIT GDE NDL 18GA SAFERITE 272 163.00 72417915 PACK ABDOMINAL ENDO 272 352.00 72417918 PACK ANGIOGRAPH 272 415.00 72417938 PACK CRANI 272 777.00 72417942 PACK CYSTOSCOPY BASIC 272 165.00 72417952 PACK FEMORAL PED DRAPE 272 177.00 72417964 PACK OPEN HEART DRAPE ACC 272 139.00 72417967 PACK PEDIATRIC 272 385.00 72418141 LAP SAC 8 X 5 054100 272 429.00 72418298 SET INTRO MICROPUNCT 4F 272 266.00 72418648 SUCT YANK VITAL VUE 12FR 272 979.00 72418652 SWAB CALCIFYBR TYPE I ST 272 226.00 72418696 SYR ASSY 60CC 272 1,120.00 72418819 TIP NDL MICRO BOVIE 272 415.00 72418860 PACK ENT MINOR 272 299.00 72418865 PACK NEURO SHUNT 272 355.00 72419024 TUBE STD T 11MM 272 1,092.00 72419197 SLV RADIALLY EXPNDBL 11MM 272 399.00 72419199 SLV RADIALLY EXPNDBL 5MM 272 455.00 72419220 CATH UMBILICAL 3.5F DL 272 310.00 72419221 CATH UMBILICAL 3.5F DL 272 261.00 72419222 CATH UMBILICL 5F DL 272 273.00 72419247 CONNECT STEPDWN W/TBG 5CM 272 486.00 72419284 FORCEP BIPOLR DISSCT 5MM 272 1,673.00 72419345 HANDPCE SELECT TUBING KIT 272 228.00 72419359 BLADE BEAVER 376630 20G 272 162.00 72419367 LEAD PACING BIPOLAR TEMP 272 421.00 72419527 PROBE SUCT IRRIGATION 5MM 272 1,070.00 72419566 RETRACTOR HOOK 1/2INARC 272 248.00 72419570 RETCTR RNG PLSTC30.6/19.2 272 443.00 72419575 RETREIVER SUT HEWSON 272 400.00 72419617 SET DRN PNEUMO C-PPD-850 272 550.00 72419634 SET INTRO 9F 272 455.00 72419636 SET INTRO MICROPUNCT 5F 272 328.00 72419640 SET CRAWFORD LACRIMAL 272 492.00 72419644 SET IRR TBG MALIS BIPOLAR 272 375.00 72419646 SET MULTI PERFUSION 15in 272 142.00 72419678 SET TRANSFR MNCP EXTLF PD 272 359.00 72419684 SET DRN URI-CATH 5F 272 215.00 72419720 SPHINCT HUIBREGTSF KNIFE 272 901.00 72419727 SPNG BICOL COLAGEN 3X4 ST 272 455.00 72419753 SUT GORE CV-6 6M02B 30 272 181.00 72419756 SUT BONE WAX W31G 272 427.00 72419791 SUT VIC 0 ENDOLOOP EJG 272 670.00 72419877 SUT ETHLN 9-0 2829G 272 156.00 72419885 SUT GORE CV-4/PH-17 4N08B 272 396.00 72419931 SUT MERSILENE 5M BP-1RS21 272 278.00 72420011 SUT PDS 7-0 BV175-6 24 D8 272 852.00 72420014 ENDOLOOP 0-PDS 272 148.00 72420075 SUT PRO 5.0 M8710 272 171.00 72420081 SUT PRO 5-0 BV-1 970H 272 172.00 72420083 SUT PRO 5-0 RB-1 M8556 272 171.00 72420084 SUT PRO 5-0 C-1 18 M8717 272 164.00 72420085 SUT PRO 5-0C-1 36 M8720 272 209.00 72420086 SUT PRO 5-0 C-1 24 M8725 272 189.00 72420095 SUT PRO 6-0 CC-1 M8707 272 186.00 72420097 SUT PRO 6-0 C-1 M8718 272 163.00 72420098 SUT PRO 6-0 BV M8776 272 353.00 72420099 SUT PRO 6-0 BV-1 M8805 272 353.00 72420104 SUT PRO 7-0 BV-1 M8701 272 247.00 72420105 SUT PRO 7-0 BV-1 M8702 272 353.00 72420107 SUT PRO 7-0 C-1 M8706 272 256.00 72420108 SUT PRO 7-0 BV-175-M8735 272 353.00 72420173 SUT STERNAL WIRE #5 M653G 272 1,083.00 72420178 SUT STEEL 1 V-37 M660G 272 139.00 72420235 SUT VICRYL 2-0 170057 272 170.00 72420297 SUT VIC 4-0 SH CR J77D 272 872.00 72420304 SUT VIC 5-0 P-3 J500G 272 358.00 72420353 SYS BAG EDMS BECKR DRN 272 1,075.00 72420371 SYS SAPS SNGL ACT PUMPING 272 418.00 72420403 TROCAR DISP SPLIT 272 1,376.00 72420455 GRAFT SKIN CARRIER 16 272 289.00 72420501 TUNNLR PLASTIC BARD 272 283.00 72420559 CANNULA RCAP 6FR 272 2,032.00 72420560 CANNULA VENOUS 20FR 272 308.00 72420847 CANNULA VENOUS 18FR 272 308.00 72421638 BUR 4.0 ROUND 272 363.00 72421650 CATH KIT 16F LATEX FREE 272 151.00 72421656 CLIP APPLIER ETHICON DISP 272 1,075.00 72421675 FISHOOKS 272 1,566.00 72421736 PLUREVAC PED / INFANT 272 491.00 72421740 RETRACTOR LONESTAR PEDS 272 421.00 72421748 STAPLR GIA 55 BLUE RELOA 272 370.00 72421757 TENDON PASSER HEWSON 272 378.00 72421765 TUBING CELL SAVER 272 176.00 72421766 TUBING SUMP 16FR 272 1,931.00 72421777 TUBE ENDO BRONCH 35 LEFT 272 349.00 72421779 TUBE ENDO BRONCH 37 LEFT 272 860.00 72421788 FORCEP BX EGD RADIAL JAW 272 1,161.00 72421789 FORCEP BX GASTRO RAD JAW 272 383.00 72421790 FORCEP BX COLON RADIAL JA 272 1,161.00 72421791 SNARE POLYPECTOMY MICRO 272 228.00 72421792 SNARE POLYPECTOMY STANDAR 272 228.00 72421793 SNARE POLYPECTOMY PED 272 228.00 72421796 LIGATOR MULTI BAND SIX SH 272 1,297.00 72421797 INFLATION SYSTEM HAND MEC 272 2,475.00 72421800 NET RETRIVAL ROTH FB 272 649.00 72421801 NET RETRIVAL ROTH ROTATAB 272 533.00 72421802 BUTTN GASTRO 1 STEP 18FR 272 1,311.00 72421806 BUTTN GASTRO TUBE 18F 1 272 645.00 72421807 BUTTN GASTRO TUBE 18F 1 272 600.00 72421808 BUTTN GASTRO TUBE 18F 2 272 717.00 72422203 CATH FAST SR3 W/ TIP 8FR 272 1,047.00 72422207 WIRE ST .015 50CM 272 155.00 72422261 CATH 14F 272 215.00 72422276 CATH 3F X24 272 260.00 72422321 LONESTAR STAYS 5MM BLACK 272 314.00 72422329 NDL SCLEROTHERAPY INTE 272 363.00 72422340 CATH KIT HEMODIALYSIS DBL 272 793.00 72422342 BLADE PADGETTE 272 2,048.00 72422345 NDL BONE MRRW BX 8X6 272 283.00 72422363 PLEDGET 1/8X1/8X1/16W705 272 652.00 72422365 SUT PLN 5-0 P-3 686G 272 160.00 72422385 SUT ETHBND 0 TIES X306H 272 361.00 72422419 SUT PRO 4-0 RB-1 M857 272 151.00 72422431 SUT PCNG WRE BIPLR 6495 272 450.00 72422476 STEEL SURGICAL 4-0 539G 272 713.00 72422498 FORCEP BX RADIAL EDGE 272 455.00 72422503 STAPLER CIRC STEALTH 21MM 272 1,934.00 72422504 STAPLER CIRC STEALTH 25MM 272 1,934.00 72422505 STAPLER CIRC STEALTH 29MM 272 1,934.00 72422507 BLADE CARRIER MESHER 272 335.00 72422508 RETRACTOR RING 26.5 X 113 272 443.00 72422513 KIT MICRO SENSR VENT CATH 272 2,844.00 72422537 SUT MRSILNE 5-0 RD-1 740G 272 667.00 72422564 TIP MICRO SELECT 1529066 272 1,750.00 72422565 TUBING SELECTOR 1517089 272 2,046.00 72422633 KIT CHOLANGIOGRAM 272 458.00 72422639 BLADE SAW RECIP 27MM 272 574.00 72422640 BLADE SAW 5100-137-233S1 272 574.00 72422643 BUR RND FLUNTED 5.0M 272 992.00 72422644 BUR RND FLUTED 6.0M 272 992.00 72422645 ERASER 23GS 22-1266 272 324.00 72422648 KNIFE PCKT BLD 60* 2.25MM 272 244.00 72422653 KNIFE SLIT SATIN 2.75M 272 186.00 72422655 SET CRAWFRD LACRML W/SUT 272 512.00 72422658 SET RTLNG INTBTN S1.1450 272 519.00 72422659 SET RTLNG INTBTN PVP 272 546.00 72422680 BUR TAPER 2.3 KM-B1 272 670.00 72422681 BUR RND 5.0 KM-AM35U 272 424.00 72422682 BUR STRGHT 1.1 KM-C1 272 567.00 72422683 BLADE SAG LONG STR 2108 272 176.00 72422684 BUR TAPER 1.5 KM-B5 272 618.00 72422695 BURR BALL 5MM 272 777.00 72422696 BURN BALL 6MM 272 842.00 72422697 BUR ACORN 9.1 KM-M1U 272 715.00 72422698 SET CATH CRICOTHYROT 6MM 272 888.00 72422784 PACK PED EXTREM 272 369.00 72422818 CATH BROVIAC 4.2FR W/SURE 272 1,474.00 72422858 BG SILO VNT WAL DFCT 10CM 272 2,028.00 72422860 SOLO BAG VNT SZ 7.5,10,15 272 2,332.00 72422880 PROBE AND HANDLE NIM 272 651.00 72422901 CNNLA/DLTR 12MM VS111012 272 361.00 72422903 SLEEVE RADIALLY EXP 5-12M 272 592.00 72423023 SET QUICK PRESSURE MONITR 272 597.00 72423049 KIT PRESSURE MONITOR ICP 272 169.00 72423056 KIT BASIC MICRO SENSR ICP 272 1,790.00 72423057 HANDECE INTERPULSE STRY 272 344.00 72423059 BLADE MVR 19GA 272 185.00 72423060 COBLATOR ULTRA 45 272 1,331.00 72423061 TRACH T-TUBE 6FR 272 1,058.00 72423062 TRACH T-TUBE 7FR 272 1,058.00 72423063 TRACH T-TUBE 8FR 272 1,058.00 72423064 TRACH T-TUBE 9FR 272 1,058.00 72423079 SUT ETHBND 2-0 V-5 272 382.00 72423092 CNNLA SNGL STG 24FR 272 269.00 72423096 BUR ELITE 4.0 272 992.00 72423099 BUR HELICOIL RASP 272 889.00 72423107 RESRVR RICKHAM 6MM 272 1,137.00 72423108 RESRVR RICKHAM SALMON 272 1,789.00 72423113 CANNULA VENOUS 16FR 272 269.00 72423114 CANNULA VENOUS 14 FR 272 269.00 72423115 CANNULA VENOUS 272 269.00 72423123 RESERVOIR NEONATAL 272 1,752.00 72423124 RESERVOIR NEONATAL CSF 272 1,808.00 72423125 SHUNT DELTA SM 1.0 272 5,471.00 72423136 POUCH ENDO 272 544.00 72423143 SUT GORE CV-7 7M02B 30IN 272 154.00 72423146 ELCTRD ENT 12.5MM 82- 272 673.00 72423152 RETAINER NOSTRIL 1 272 1,121.00 72423154 RETAINER NOSTRIL 4 272 1,121.00 72423155 RETAINER NOSTRIL 3 272 1,121.00 72423156 RETAINER NOSTRIL 2 272 1,121.00 72423157 RETAINER NOSTRIL 7 272 1,121.00 72423158 RETAINER NOSTRIL 6 272 1,121.00 72423159 RETAINER NOSTRIL 5 272 1,121.00 72423160 RETAINER NOSTRIL 10 272 1,121.00 72423161 RETAINER NOSTRIL 9 272 1,121.00 72423162 RETAINER NOSTRIL 8 272 1,121.00 72423163 RETAINER NOSTRIL 11 272 1,114.00 72423164 BLADE RAD 40 1883507 272 792.00 72423165 BLADE RAD 60 18-83516 272 1,536.00 72423166 BLADE SKMMR SUBGLTTC 3.5 272 1,911.00 72423167 BLADE TRICUT 3.5MM 272 1,058.00 72423168 BLADE TRI-CUT 2.9MM ENT 272 1,058.00 72423171 BUR SKIMMER ANG TIP 272 1,911.00 72423183 SHTING SILASTIC.050 8X6 272 649.00 72423195 PUNCH AORTIC 2.7MM 272 287.00 72423281 BLADE LARYNGEAL SHIMMER 272 1,951.00 72423283 TUBING IRRIG 272 194.00 72423312 EXTRCTR STONE NCIRC 2.2X5 272 1,119.00 72423549 CANNULA ART 12F BIO-MED 272 1,372.00 72423550 CANNULA ART 14F BIO-MED 272 1,372.00 72423554 CANNULA VENOUS 17F PEDS 272 1,576.00 72423696 PACK VITREORETINAL 272 2,221.00 72423697 TUBING VFI ALCON 272 458.00 72423699 TUBING VENTED GFI ALCON 272 683.00 72423700 OIL SIL ES5000 272 2,270.00 72423703 PACK FRAGMATOME ALCON 272 416.00 72423705 PROBE DIATHERMIA 23GA 272 264.00 72423709 PACK CATARACT ALCON 272 1,252.00 72423710 PROBE ANTERIOR VITRECTOMY 272 1,086.00 72423779 CANNULA VENT 10FR RT ANGL 272 145.00 72423864 CATH PED CAVH ST 5F 272 587.00 72423865 CATH SWAN NCK CURL 38.9CM 272 752.00 72423867 CATH SWAN NCK CURL 43CM 272 849.00 72423868 CATH SWAN NCK CURL 59CM 272 789.00 72423870 CATH PED MONCRIEF POPOVIC 272 1,578.00 72423880 SUT VIC 0 CT-1 UNDYED 272 138.00 72423968 WAND EVAC 70DEG 272 1,434.00 72423969 WAND HUMMINGBIRD 45DEG 272 1,331.00 72424003 BLADE SAW GIGLI 272 192.00 72424238 DRN UNIT CHEST ATRIUM 272 264.00 72424282 TRAY EPIDURAL ANES CONT 272 301.00 72424400 TUBE ULTRASIL T SILICONE 272 156.00 72424403 MARKER PASSIVE 960-987 272 160.00 72424493 CANNULA ART 6F NON-VENT 272 423.00 72424618 SET DIL C-JCDS-100 272 560.00 72424623 CATH PACNG 5F BIPLR (PAC) 272 703.00 72424671 CATH MALECOT 10F SIL 272 300.00 72424672 CATH MALECOT 12F SIL 272 284.00 72424673 CATH MALECOT 14F SIL 272 300.00 72424674 CATH MALECOT 16F SIL 272 300.00 72424675 CATH MALECOT 18F SIL 272 300.00 72424676 CATH MALECOT 20F SIL 272 263.00 72424677 CATH MALECOT 22F SIL 272 284.00 72424689 TROCAR 2/3MM 65CM LONG 23 272 945.00 72424691 NDL DEFLUX 272 349.00 72424725 TUBE FDNG MICKEY 14F 1.0 272 615.00 72424726 TUBE FDNG MICKEY 14F 1.5 272 587.00 72424727 TUBE FDNG MICKEY 14F 1.7 272 587.00 72424728 TUBE FDNG MICKEY 14F 2.0 272 587.00 72424729 TUBE TRACH 3.0 PED BIVONA 272 423.00 72424730 TUBE TRACH 3.5 NOE BIV TT 272 1,267.00 72424731 TUBE TRACH 3.0 PED BIV AI 272 1,420.00 72424732 TUBE TRACH 3.5 PED BIV AI 272 1,420.00 72424735 TUBE TRACH 3.5 PED BIV TT 272 1,321.00 72424736 TUBE TRACH 4.0 PEDS BIV T 272 1,393.00 72424737 TUBE TRACH 4.5 PEDS BIV T 272 1,420.00 72424738 TUBE TRACH 5.0 PEDS BIV T 272 1,420.00 72424739 TUBE TRACH 5.5 PEDS BIV T 272 1,393.00 72424743 TUBE TRACH SHILEY 4.0 NEO 272 288.00 72424744 TUBE TRACH SHILEY 4.5 PDC 272 390.00 72424745 TUBE TRACH SHILEY 5.0 PDC 272 390.00 72424746 TUBE TRACH SHILEY 5.0 PDL 272 288.00 72424747 TUBE TRACH SHILEY 5.5 PDL 272 288.00 72424748 TUBE TRACH SHILEY 5.5 PDC 272 390.00 72424749 TUBE TRACH SHILEY 6 DCFS 272 322.00 72424925 BASKET ZEROTIP 0.8 272 1,707.00 72424990 SHUNT CYLN VALVE 82-3115 272 12,698.00 72425096 CATH TORCON NB 5FX.038X10 272 169.00 72425209 CLAMP MULTIPIN 390.004 272 3,174.00 72425215 BUR ANSPACH DIAM 3 S-3D 272 458.00 72425216 BUR ANSPACH DIAM 2 S-2D 272 458.00 72425217 BUR ANSPACH DIAM 1 S-1D 272 458.00 72425218 BUR ANSPACH S-5B 272 458.00 72425257 BUR DIAM BALL 5M S-5D 272 458.00 72425258 BUR DIAM BALL 3M S-3DC 272 458.00 72425259 BUR COARSE 4M S-4DX 272 458.00 72425260 BUR FLUTED 4M S-4B 272 471.00 72425261 BUR FLUTED 6M S-6B 272 471.00 72425263 BUR DIAM BALL 2M S-2SD 272 458.00 72425265 SET DILATION 240-100 272 1,263.00 72425322 DRN BLAKE 15F RND 272 222.00 72425323 SEALANT FLO SEAL HEMOSTAC 272 1,229.00 72425336 DRN BLAKE 19 272 214.00 72425341 SET INTRO 8F 272 352.00 72425349 CATH TPN 5F C-TPN-5.00-65 272 1,096.00 72425425 RETRACTOR IRIS 272 601.00 72425431 TROCAR 10/11MM W/STAB SLV 272 394.00 72425435 CABLE ATLAS DBL W/CRIMP 1 272 2,030.00 72425437 TROCAR 2/3MM 100MM 272 363.00 72425494 DRSG NASAL INJ MEROGEL 272 649.00 72425566 KIT HEMOSEAL 5ML 272 2,843.00 72425569 BLADE MICRO ENT SPEAR 272 146.00 72425581 SUT MONO PDS II 7-0 24LZ 272 143.00 72425621 CUTTER PROX VASC TIT 55MM 272 733.00 72425627 TBNG CATH CONCTR 8CM27756 272 403.00 72425633 ELCTRD PACING 4F BARD 272 1,127.00 72425672 TUBE TRACH 4.0 PDC 272 390.00 72425708 CUFF 12 272 196.00 72425722 KIT NAVIGUS SHEATH 973-8 272 5,404.00 72425738 ADHES SKIN DERMABOND PRO 272 235.00 72425739 CANNULA VENOUS 18FR 272 269.00 72425741 DRN BLAKE 24F RND HUBS 272 330.00 72425745 CUFF 8 272 176.00 72425746 CUFF 18 272 218.00 72425747 CUFF 24 272 243.00 72425748 CUFF 30 272 306.00 72425749 CANNULA ART 16F PED 272 423.00 72425768 TUBE FDNG MICKEY 18 2.5 272 587.00 72425775 KIT LIVINE SUCTION IRRIG 272 319.00 72425790 CANNULA FEMRL BIOMED 19FR 272 1,570.00 72425809 TUBE TRACH SHILEY 4.5 NEO 272 288.00 72425815 SUT PLAIN GUT 6-0 TG140-8 272 245.00 72425816 KIT INLET CLOSURE 272 789.00 72425871 HOOK L DISP LAPRSCPC 13.5 272 442.00 72425876 CATH ON-Q IFLOW PAIN PUMP 272 1,263.00 72425902 BUR DIAM BALL 1MM 272 430.00 72425916 GAS PERFLUORON EYE CASES 272 2,486.00 72425971 CANNULA ART 12F 272 423.00 72425972 CANNULA ART 14F 272 423.00 72425976 TUBE TRACH 2.5 NEO CUST 272 1,092.00 72426038 TUBE TRACH SHILEY 4 DCFS 272 403.00 72426081 CATH DATASCOPE #34 272 5,347.00 72426082 CATH DATASCOPE #40 272 5,347.00 72426089 TUBE EAR V-T GROM C-FLEX 272 139.00 72426121 TUBE TRACH 4.5 NEO CUST 272 990.00 72426125 PUNCH AORTIC 4.5 272 287.00 72426168 KIT RPR ASH SPLT CATH 272 546.00 72426185 ELCTRD CTTNG LOOP INF 272 854.00 72426186 ELCTRD CTTNG LOOP PED 272 914.00 72426188 SUT TEMP PACING WIRE 2-0 272 178.00 72426231 CATH BLN 5MX4CMX120CM BLU 272 1,718.00 72426233 CATH BLN 7MX4CMX120CM BLU 272 1,718.00 72426265 PILLCAM CAPSULE CAMERA 272 2,765.00 72426274 ELCTRD CTTNG LOOP 16F 272 904.00 72426277 ELCTRD 180*CRV COAG P 272 922.00 72426278 ELCTRD HOOK WOLF 272 854.00 72426279 ELCTRD HOOK INFANT 272 854.00 72426280 ELCTRD 180*CRV COAG I 272 443.00 72426292 KIT CO-SEAL SPRAY ACCESS 272 428.00 72426359 BIT DRILL 2.0M.85MM 272 371.00 72426361 BUR DIAM 2M COARSE XTND 272 430.00 72426362 BUR DIAM 1.5MM XTND 272 430.00 72426370 KIT DURASEAL POLYMAR 272 3,129.00 72426377 TUBE FDNG MICKEY 24/2.0 272 587.00 72426378 TUBE FDNG MICKEY 18 2.0 272 587.00 72426388 ERASER P ASPIRATOR 20GA 272 419.00 72426398 CATH CURL PD 15.3 39CM 272 559.00 72426403 TRAY PICC INSRTN TRISTATE 272 335.00 72426414 TIP POWERED T&A XPS 272 872.00 72426421 CATH BACTISL BARIU VENOU 272 1,877.00 72426422 CATH BACTISL PERITONEAL 272 1,877.00 72426427 TUBE TRACH BIVONA 3.0 NEO 272 1,420.00 72426464 KIT CATH BACTISEAL SRIP 272 3,113.00 72426469 LINER PANTALOON SZ 2 272 710.00 72426470 LINER PANTALOON SZ 4 272 710.00 72426490 TUBE FDNG MIC TJ 18/1.7/4 272 1,734.00 72426493 WIRE KIRS 292.08 8X70M 272 558.00 72426499 TUBE TRACH 4.0 NEO NO CUF 272 379.00 72426500 TUBE TRACH 3.5 PED NO CUF 272 379.00 72426501 TUBE TRACH 4.O PED NO CUF 272 379.00 72426502 TUBE TRACH 4.5 PED NO CUF 272 379.00 72426503 TUBE TRACH 5.5 PED NO CUF 272 379.00 72426508 TUBE FDG MICKEY 18 1.5 272 587.00 72426514 KIT PED STND 20F PSH 6821 272 478.00 72426518 TROCAR BLDLESS 5MM 272 875.00 72426526 TUBE FDG MIC TJ 18 2.0 45 272 1,734.00 72426562 TUBE FDG MIC TJ 18 2.5 45 272 1,734.00 72426563 TUBE FDG MICKEY 18 2.7 45 272 1,734.00 72426567 TUBE CATH CNTOUR 8CM 272 376.00 72426585 TAP 4.5MM 175/140 272 1,868.00 72426587 TAP 3.5MM 175/140 272 1,579.00 72426595 TROCAR NON BLDED 5X100MM 272 875.00 72426597 TROCAR NON BLDED 12X100M 272 1,157.00 72426615 KIT ON-Q CATH SOAKER EXP 272 1,065.00 72426633 BUR DIAM 4MM 272 765.00 72426640 CORD BIPOLR IRRGTNG STRKR 272 256.00 72426647 TUNNELER CYBERONICS 272 2,024.00 72426653 BUR BALL 5MMX14CM 272 834.00 72426656 FORCEP BSKT RETRIEVL 1.9 272 1,724.00 72426664 TRAY FOLEY W/TEMP PROBE 272 292.00 72426672 TROCAR NON BLDED 11X17MM 272 375.00 72426673 NDL VERRES 14GAX70MM 272 153.00 72426674 TROCAR NON BLDED 5X70MM 272 420.00 72426689 PACK BIOM FOR EYE CASES 272 498.00 72427326 TUBE TRACH BIVONA 3.5 NEO 272 451.00 72427327 TUBE TRACH 3.0 NEO BIV TT 272 1,267.00 72427390 CATH URET OPN END 4.8/70 272 437.00 72427489 MILL BONE DISP BM200 272 1,499.00 72427493 DEVICE CAPSULE DELIVERY 272 1,058.00 72427494 SHEARS 5MM CRVD COAG HAR 272 2,509.00 72427499 BLADE 2.9MM INFER TURBINT 272 1,409.00 72427504 CATH CYSTO 8F 272 444.00 72427509 CATH PERITONEAL 120CM 272 945.00 72427535 SUT ETHBND 2-0 V-7 36 272 449.00 72427554 TUBE ET 6.0MM 272 1,700.00 72427555 TUBE ET 7.0MM 272 1,700.00 72427556 APPLIER CLIP 5MM LIGAMAX 272 967.00 72427571 STRAIGHT TIP 272 447.00 72427585 HANDLE SUCT IRRIG PENCILP 272 1,020.00 72427586 ELCTRD HOOK 5MM 272 534.00 72427587 SET IRRIG PULSED W SPIKE 272 321.00 72427621 BUR DIAM 4MM ANSPACH 272 458.00 72427638 CORD BIPOLAR IRRIG DISP 272 288.00 72427648 BUR DIAM 3MM 14CM 272 856.00 72427656 SET EASYSPRAY FOR TISSEEL 272 347.00 72427657 TBNG PERFSN 6FT EXT 272 230.00 72427658 SET NERVE BLOCK 18G 272 273.00 72427716 SUT PRO 8-0 BV130-5 272 353.00 72427789 SET CATH URO DYNAMIC 272 540.00 72427833 STAPLR SKIN 35MM MULTIFI 272 177.00 72427834 STAPLR SKIN 35 WIDE MULE 272 177.00 72427835 TROCAR 2/3MM MINI STEP W/ 272 358.00 72427836 STAPL 60-3.8 SNGL USE 272 425.00 72427837 RELOAD LINEAR CUTTER 60-2 272 345.00 72427838 RELOAD LINEAR CUTTER 80-3 272 466.00 72427839 CLAMP ENDO CLINCH II 5MM 272 491.00 72427840 POUCH ENDO CATCH GOLD 10M 272 511.00 72427841 RELOAD ROTIC ENDO 30-2.5 272 890.00 72427842 STAPLR RELOAD 30-3.5 272 360.00 72427843 STAPLR LINEAR RELOAD 5 272 558.00 72427844 STAPLR LINEAR RELOAD 6 272 597.00 72427845 STAPLR LINEAR RELOAD 7 272 623.00 72427846 STAPLR LINEAR RELOAD 8 272 893.00 72427847 STAPLR ENDO UNIV 12MM 272 636.00 72427850 TROCAR VRSAPRT V2 5MM 272 343.00 72427851 NDL INSUFFLAT SHORT 272 153.00 72427852 TROCR SHRT 5M CANN/DLATR 272 615.00 72427853 TROCAR 5MM X 100MM W/ EXP 272 691.00 72427854 ADHES BIOGLUE 5ML 272 2,952.00 72427855 SUT TEVDEK 5-0 AT-6 272 546.00 72427872 RELOAD 45M LONG 3.5 272 1,016.00 72427873 RELOAD 60M LONG 3.5 272 1,429.00 72427876 TK5 TI-KNOT DEVICE 272 1,024.00 72427877 TK5 TI-KNOT DEV SQICK LOA 272 319.00 72427885 NDL BONE MARROW 8X6 272 758.00 72427886 SYR IMBIBE 30CC 272 1,598.00 72427890 PACK VITRECTOMY 23GA 272 2,839.00 72427891 FORCEP ILM DISP 272 976.00 72427892 SCISSOR CVD STBSMS F 23GV 272 1,195.00 72427893 NDL 23GA VITRECTOMY SFT P 272 219.00 72427895 BATTERY PACK KLS MARTIN 272 506.00 72427898 DRILL TWST SONCWLD 1.6X40 272 819.00 72427902 DRILL TWST W/NOTCH 1.1X50 272 717.00 72427937 K-WIRE 1.6MM X 150MM 272 292.00 72427938 DRILL BIT CANN 8-PLT 3.2Q 272 956.00 72428002 BONE CEMENT MIX KIT OPIVA 272 1,331.00 72428091 APPLICATOR COTTON TIP 272 378.00 72428108 NDL BONE MARROW 8 X 15CM 272 1,072.00 72428114 WIRE 1.2MMX35CM PEARL TIP 272 402.00 72428289 CAUTERY BIPOLAR 23GA 272 471.00 72428290 DEVICE INFLATN ENCORE 26 272 506.00 72428292 TROCAR VERSA ST 12MMX70CM 272 383.00 72428293 SUT VIC UNDYED 6-0 BV-1 272 179.00 72428425 STAPLR ENDO GIA ROTIC 45- 272 1,016.00 72428438 ADAPTER CHAIT CECOSTOMY 272 186.00 72428524 BUR ANSPACH S-3B 272 471.00 72428526 SPRAYER COSEAL DISP 272 410.00 72428597 SUT ENDO STITCH 2-0 17303 272 170.00 72428600 CANNULA VEN/FEMR 15FR 272 1,574.00 72428601 Cannula Biomedicus 25FR 272 1,642.00 72428641 STENT SIPS 4.7 G32774 272 560.00 72428786 DRL TWST SNICWLD 1.6MMX50 272 785.00 72428804 NDL KIT BX #19 NEURO 272 1,325.00 72428836 GLUE TRUFIL LIQUID 272 9,138.00 72428856 STAPLR RELOAD TA3035L 272 330.00 72428865 CUFF 34 272 268.00 72428911 STAPL ENDO GIA 60 2.5 ST 272 876.00 72428912 STAPL ENDO GIA 60 3.5 SU 272 858.00 72428920 KIT PULL PEG 18F X 3.4 272 1,263.00 72428969 BIT DRILL 4.3MM 310.431 272 763.00 72428982 BIT DRL BIOMET 4.8X180 272 915.00 72429024 TUBE FDG MIC TJ 16 1.0 22 272 1,734.00 72429025 TUBE FDG MIC GJ 16 1.2 30 272 1,734.00 72429026 TUBE FDG MIC GJ 16 1.5 45 272 1,734.00 72429027 TUBE FDG MIC GJ 16 1.7 45 272 1,734.00 72429028 TUBE FDG MIC GJ 16 2.0 45 272 1,734.00 72429029 TUBE FDG MIC GJ 16 2.3 45 272 1,734.00 72429030 TUBE FDG MIC GJ 16 2.5 45 272 1,734.00 72429031 TUBE FDG MIC GJ 16 2.7 45 272 1,734.00 72429032 TUBE FDG MIC GJ 16 3.0 45 272 1,734.00 72429033 TUBE FDG MIC GJ 16 3.5 45 272 1,734.00 72429034 TUBE FDG MIC GJ 18 2.3 45 272 1,734.00 72429035 TUBE FDG MIC GJ 22 2.0 45 272 1,734.00 72429036 TUBE FDG MIC GJ 22 2.5 45 272 1,734.00 72429037 TUBE FDG MIC GJ 22 3.5 45 272 1,734.00 72429053 TUBE FDG MIC G-BUT 14 2.3 272 587.00 72429054 TUBE FDG MIC G-BUT 14 2.5 272 587.00 72429055 TUBE FDG MIC G-BUT 16 1.5 272 587.00 72429056 TUBE FDG MIC G-BUT 16 2.0 272 587.00 72429057 TUBE FDG MIC G-BUT 16 2.3 272 587.00 72429058 TUBE FDG MIC G-BUT 16 2.5 272 587.00 72429059 TUBE FDG MIC G-BUT 16 2.7 272 587.00 72429060 TUBE FDG MIC G-BUT 16 3.0 272 587.00 72429061 TUBE FDG MIC G-BUT 16 3.5 272 587.00 72429063 TUBE FDG MIC G 14FR 272 262.00 72429064 TUBE FDG MIC G 16FR 272 262.00 72429065 TUBE FDG MIC G 18FR 272 262.00 72429066 TUBE FDG MIC G 20FR 272 262.00 72429067 TUBE FDG MIC G 22FR 272 262.00 72429068 TUBE FDG MIC G 24FR 272 262.00 72429210 STAPLR RELOAD GIA 30M 2.5 272 573.00 72429214 CANNULA FEMORAL 15FR 272 1,500.00 72429328 STYLET PNCH TOOL 272 328.00 72429330 STYLET BALLTP 58CM BL 272 328.00 72429332 STYLET BALLTP 58CM GR 272 328.00 72429351 KIT WRENCH 5873W 272 390.00 72429353 KIT LEAD END CAP 5867-3M 272 217.00 72429358 MEDICAL ADHESIVE 272 219.00 72429359 KIT LEAD SPLICE 5867-5 272 410.00 72429367 SNARE ROTH NET PLAT 4X5.5 272 819.00 72429373 BIT DRL 4.2MM 03.010.061 272 1,494.00 72429374 BIT DRL 4.2MM 03.010.104 272 1,052.00 72429375 END CAP TIT 0MM 04.003.00 272 1,284.00 72429378 CATH RPR KIT 5F DL 272 574.00 72429385 BIT DRILL 2.8MMX165MM 272 819.00 72429396 CATH PH 2-CH 10CM SPACE 272 396.00 72429439 ELCTRD 4DISK 3.0M LEAD 272 478.00 72429440 NDL SUBDRML 27GX12MM TWIS 272 410.00 72429448 KNIFE MVR 23G 45DEG ANGL 272 162.00 72429449 KIT TUMOR NON-INV 272 3,413.00 72429450 KIT SHUNT NON-INV 272 3,413.00 72429463 HANDPCE 3 272 523.00 72429482 POINTER TRACER 272 2,844.00 72429487 RETAINER 20GAX3.5MM ACM 272 260.00 72429592 DRILL TWST 1.1X50 5 STP 272 765.00 72429630 APPLIER ENDO CLIP 5MM 272 1,181.00 72429639 TUBE FDNG 6FX36 272 395.00 72429678 BLADE SAW 8X20 272 610.00 72429679 BLADE SAW 10X25 272 610.00 72429680 BLADE SAW 14X25 272 610.00 72429697 CATH RPR KIT 3F 1 LUMEN 272 626.00 72429698 CATH RPR KIT 4F 1-LUMEN 272 626.00 72429701 CATH RPR KIT 9F 2 LUMEN 272 626.00 72429741 KIT EXAM MORIA ROP DISP 272 228.00 72429751 BIT DRILL 4.0 LONG 272 1,495.00 72429752 BIT DRILL 4.0 SHORT 272 1,086.00 72429758 TAP 3.5MM 311.32 272 841.00 72429771 DRSG WND VAC WHITEFM LG 272 433.00 72429772 CANISTR WND VAC 500ML GEL 272 332.00 72429773 DRSG WND VAC GRANUFM SM 272 366.00 72429774 DRSG WND VAC GRANUFM MED 272 393.00 72429775 DRSG WND VAC GRANUFM LG 272 393.00 72429851 BIT DRILL QC 2.0/125 272 434.00 72429852 TAP 4.0/110MM F/CAN SCRW 272 841.00 72429877 TEMPLATE BENDNG 329.87 272 353.00 72429922 TUBING RAPID INFUSER 272 378.00 72429931 TROCAR 5M VRSPRT BLD W/FX 272 336.00 72429932 HANDPIECE FORCEP LIG 6.5 272 1,725.00 72429987 REEMER FLEX 9 24390 272 1,379.00 72429988 BIT DRILL 3.5 LNG 24315 272 772.00 72429989 BIT DRILL 3.5 SHRT 24355 272 683.00 72430036 KIT PLEURAGUIDE CHEST TUB 272 395.00 72430057 WIRE SNGL 5000 23 272 854.00 72430063 EXTRCTR TP SCRW 2 2.5 272 669.00 72430064 EXTRCTR TP SCRW 2.5 4 272 669.00 72430065 EXTRCTR TP SCRW 3.5 5 272 669.00 72430066 EXTRCTR TP SCRW 4.5 6 272 669.00 72430067 EXTRCTR TP SCRW 5.5 7 272 669.00 72430068 EXTRCTR TP SCRW 7 8 272 669.00 72430069 EXTRCTR TP SCRW 2 2.5 272 656.00 72430070 EXTRCTR TP SCRW 2.5 3.5 272 656.00 72430071 EXTRCTR TP SCRW 3.5 4.5 272 656.00 72430072 EXTRCTR TP SCRW 4.5 5.5 272 656.00 72430073 EXTRCTR TP SCRW 5.5 6.5 272 656.00 72430074 EXTRCTR TP SCRW 6 7 272 656.00 72430102 CPSLE PIL CAM SM BWL SB2 272 2,765.00 72430113 HEMOSTAT INSTAT 2X4 1962 272 514.00 72430115 SET DILATR 8-10 260-120 272 410.00 72430139 BUR RND PED 2.9 272 234.00 72430150 DRSG WND VAC W/SILVER 272 524.00 72430166 CLIP RESOLUTION 2.8X235 272 1,215.00 72430201 WIRE DBL 500 022 272 854.00 72430445 TUBE FDG MICKEY 18 3.0 45 272 1,734.00 72430474 KIT GRAFT DEL SYSTEM 272 1,877.00 72430483 DRILL OSSTAPLE S-240QD 272 765.00 72430496 SENSOR SOMA CERBRL INFNT 272 1,331.00 72430497 SENSOR SOMA SOMATIC INFNT 272 1,397.00 72430573 WRENCH ALLEN 5MM 272 922.00 72430582 FIBERWIRE 2 38 272 169.00 72430616 NDL JAMSHIDI BONE MRRW 13 272 147.00 72430618 VERSAPORT BLDLESS STD 5MX 272 461.00 72430619 VERSAPORT BLDLESS STD 12X 272 461.00 72430621 BALLN INFLATN DEV RELIEVA 272 611.00 72430624 SYSTEM RELIEVA LUMA SINUS 272 2,587.00 72430653 BLADE CUTTER 3.5MM 272 415.00 72430706 CANNULA/DIL 2/3MM MIN-STP 272 350.00 72430707 BLADE SHAVER INCISOR 4.5M 272 441.00 72430739 STPLR RELOAD GIA 30M 3.5T 272 573.00 72430759 ELECTRODE STRIP 2-CONTCT 272 792.00 72430768 BIT DRILL 3.2MMX28MM 272 436.00 72430769 BIT DRILL 4.0MMX128MM 272 436.00 72430770 BIT DRILL 2.8MMX128MM 272 436.00 72430772 PROBE G-PROBE LASER HANDP 272 1,434.00 72430775 WIRE K 150MM 272 273.00 72430778 CATH IRRIG RELIEVA VORTEX 272 1,024.00 72430815 BIT DRILL 4.8MM 272 1,168.00 72430830 LIGASURE ATLAS 20CM 272 2,133.00 72430831 LIGASURE 5 SEALER/DIVIDER 272 2,667.00 72430852 BURR M-2 ACORN 9MM 9AC75 272 743.00 72430910 CATH SUCTION 6FR DISP 272 212.00 72430933 SLEVE MINRAIL M225 272 180.00 72430934 T-WRENCH 13570 272 512.00 72430936 WIRE K 81 272 319.00 72430938 SCOPE NEUROPEN DISPOSABLE 272 1,045.00 72430941 GUN CLIP CG8900 272 375.00 72430969 ROD GUIDE REAMG 2.5X950 272 750.00 72430976 END CAP TIT 10MM 272 1,468.00 72430977 BIT DRILL QK CPLG 3.2X330 272 1,577.00 72430978 BIT DRILL NDL PNT 3.2X145 272 1,127.00 72430983 KIT PICC GROSH 5F/55CM 272 1,365.00 72430988 COBE REVO.C.PUMP 272 881.00 72430994 BIT DRL CANN 4.5 7207315 272 857.00 72430995 TUBING FLOSTDY PUMP STRKR 272 469.00 72431001 TAP 4.5 180/110 272 1,060.00 72431005 CATH PEELAWAY 14FR 272 748.00 72431017 REAMER CANN 9.0 272 1,877.00 72431109 WAND PLASMA RFLX ULT 272 1,536.00 72431110 SILO BAG VENT SIZE 4,6 272 1,991.00 72431111 SIL BAG VENT SIZE 3 272 1,894.00 72431127 NDL COAX BIOPINC 18GX10M 272 351.00 72431139 SCALPEL HARMNC W/ERG HNDL 272 2,743.00 72431140 APPLICATOR FLOSEAL 272 385.00 72431167 VERSAPORT BLDLSS 5M SHORT 272 451.00 72431214 STAPLE ENDO GIA SHRT 12MM 272 573.00 72431238 STAPLE SNGL EXPEDIUM 272 455.00 72431248 SEALER BIPOLAR 2.3 AQUAMA 272 3,100.00 72431288 REAMER CANN 10MM 272 1,973.00 72431289 DISSECTR ENDO ROTIC 5MM 272 587.00 72431290 FIBERWIRE FIBERSTCK #5 272 328.00 72431291 CANN SILS PORT F 5MM-12MM 272 2,674.00 72431292 SHEAR ENDO ROTIC 5MM 1742 272 587.00 72431302 BLADE SKIMMR 22CMX2.9MM 272 2,281.00 72431349 CATH SUCTN 4F DISP 272 212.00 72431351 SHEARS ENDO ROTIC MINI 5M 272 587.00 72431370 CATH BLN SINUS RELVA SOLO 272 4,669.00 72431371 CATH BLN SINUS RELVA SIDE 272 451.00 72431426 NASOPORE 4CM STANDARD 272 779.00 72431427 NASOPORE 4CM FIRM 272 976.00 72431428 NASOPORE 8CM STANDARD 272 1,297.00 72431429 NASOPORE 8CM FIRM 272 1,461.00 72431431 BIT DRILL SHRT 2.7MM W/QC 272 592.00 72431455 BAG SILO VNT WAL DFCT 6CM 272 1,843.00 72431463 BIT DRIL 2.0 X 140 QWK CP 272 1,825.00 72431474 DRN 4M FLAT TLS 272 273.00 72431498 PACK VITRECTOMY 25GA 272 2,839.00 72431499 FORCEP TIP GRIESHABER 25+ 272 1,072.00 72431500 NDL 25G SOFTTIP FOR VITRE 272 219.00 72431501 PROBE LASER 25G 272 1,149.00 72431503 CATH LICOX DL BOLT 272 4,237.00 72431515 CATH ANO-RECTL DIRECTNL 272 410.00 72431528 PROBE LASER CAUTRY 25G 272 471.00 72431529 CANNULA MC2X 29F 272 321.00 72431544 SPLNT NASAL MED 272 430.00 72431559 GRASPER MINI-LAP 272 1,195.00 72431560 IRRIGTR SUCT STRYKE FLOW 272 355.00 72431561 GDWR DRMTOME 44 .035X260 272 2,645.00 72431562 GDWR DRMTOME 44 .035X450 272 2,645.00 72431563 GDWR JAGTOME 39 .025X260 272 2,560.00 72431564 GDWR JAGTOME 39 .025X450 272 2,560.00 72431565 NDL KNIFE RX 272 1,331.00 72431566 CATH BLN RETRVL EXT9-12MM 272 1,058.00 72431567 CTH BLN RETRVL EXT12-15MM 272 1,058.00 72431568 CTH BLN RETRVL EXT15-18MM 272 1,058.00 72431570 BKST RETRVL TRAPZD 2.0CM 272 1,769.00 72431572 BSKT RETRVL TRAPZD 3.0CM 272 1,769.00 72431578 BRUSH CYTOLOGY 272 967.00 72431600 INST LIGASURE IMPACT 272 4,095.00 72431601 LIGASURE LAP V 37CM 272 2,667.00 72431616 BURR LP HL CVR 1.5 SM 272 1,112.00 72431617 BURR LP HL CVR 1.5 LG 272 1,116.00 72431621 BLDE SCRW DRVR CROSS 1.5 272 785.00 72431623 BIT DRL 310.66 4.5 CAN QC 272 2,417.00 72431629 PROBE MONOPOLAR 272 475.00 72431630 PROBE LASER 23GA 272 1,293.00 72431631 SOLUTION CORNEA COAT 272 163.00 72431633 PILLOW ABDUCTION SMALL 272 214.00 72431634 CONECTR T PRGRMBLE VALVE 272 1,123.00 72431678 STAPLER EEA 28MM 272 1,980.00 72431785 BIT DRILL QC 2.8X165 NS 272 1,487.00 72431896 CATH UMB 3.5FR 1-LUMEN 272 152.00 72431967 SUT TICRN 2-0 30 DBL ARM 272 303.00 72432110 TROCR VERSASTP CAN/DIL 15 272 423.00 72432177 BATTERY CFS STERILE 272 182.00 72432179 FORCEP TIP ISOCOOL 0.5MM 272 1,952.00 72432190 TUBE CONN 14FX30CM 272 156.00 72432205 STEALTH SZ 2 45MM A0C02 272 175.00 72432206 SUT LOOP PLYORB 0 21 VIOL 272 172.00 72432207 STAPLR RELOAD GIA 60 2.5 272 1,460.00 72432210 PROBE LASR ANGLD 20G 45DG 272 1,252.00 72432215 SUT ETHLN 10-0 BLK MONO 272 175.00 72432216 TISSEEL FRZN FIBRIN 2ML 272 634.00 72432218 TISSEEL FRZN FIBRIN 10ML 272 2,926.00 72432219 TRCR LNG 5MM VERSASTEP 272 420.00 72432220 TRCR LNG 12 MM VERSASTEP 272 375.00 72432221 NDL INSF LNG 14G 150MM VS 272 153.00 72432223 WAND TRBOVAC 90 ICW 272 1,679.00 72432227 PACK RECTAL BX 272 649.00 72432247 CUTTER AGGRESVE + 4.0MM 272 438.00 72432260 PLEGET SMALL SOFT D6405 272 221.00 72432271 SHEET SILICONE 0.25MM ENT 272 155.00 72432272 BUR CHOANAL ATRSIA HS 4MM 272 1,652.00 72432273 NIM ELECTRODE 8MM 272 1,724.00 72432287 BUR ABRADR 4.O 272 455.00 72432293 DRILL TWST 1.1X50 W/NOTCH 272 881.00 72432312 SCISSOR REVOLUTN 25G 272 1,229.00 72432321 CARRIER SKIN GRFT 8X4 PVC 272 297.00 72432323 TIP PASSIVE CATH INTRODCR 272 2,332.00 72432338 TUBE FEED MINI 1.7CM-14FR 272 581.00 72432343 BLADE MVR STRT 20G 272 163.00 72432344 FIBERLOOP 4-0 20 272 264.00 72432345 SUT PRO 7-0 BV175-6 272 658.00 72432374 TUNNLR W/2 SHTHS 16GX12 272 364.00 72432398 LIGASURE BLNT TIP 5MMx37M 272 2,958.00 72432439 PNCH AORTIC 5.2 DISP 272 378.00 72432470 BTTRY DISP ST CRNL SCRDVR 272 189.00 72432512 SUT PRO 6-0 24 272 353.00 72432525 CANNULA FEMRL VENOUS 19FR 272 2,207.00 72432574 WIRE KIRS .6X70 292.06 272 558.00 72432575 WIRE KIRS 3.0X150 292.3 272 644.00 72432576 WIRE KIRS TRCR END.6X70 272 672.00 72432577 WIRE KIRS TRCR END.8X70 272 672.00 72432580 TAP 1.5X50MM CRTX SCRW 272 716.00 72432583 TAP 4.5X130M CRTX SCRW 272 852.00 72432585 TAP 4.0/147MM SCRW 311.6 272 3,106.00 72432590 3-4 MM CAP END TIT NAILS 272 636.00 72432606 HANDLE SHORT GIA 272 672.00 72432631 SYS RELIEVA SNTRY LUMA SS 272 2,928.00 72432637 BIT DRILL 2.5MM 01-1050-0 272 860.00 72432642 KIT CATH EXPAN ONQ 5 272 1,906.00 72432654 WIRE SENSOR .035X150 ANG 272 437.00 72432663 BALLN MANOMTRY ANORCTL 272 512.00 72432669 SHEATH CATH MANOSHIELD 272 228.00 72432689 IMMOBILIZER KNEE 3-PAN 2 272 122.00 72432694 IMMOBILIZER KNEE SUPER SM 272 95.00 72432695 IMMOBILIZER KNEE SUPER M 272 95.00 72432696 IMMOBILIZER KNEE SUPER LG 272 95.00 72432768 LIGASURE SEALER/DIVDR SM 272 2,503.00 72432798 SYSTM RAPD REFILL CONT IN 272 210.00 72432828 BUR BALL FLUTED 5.0 272 578.00 72432829 BLADE SLIT KNIFE SNGL BVL 272 232.00 72432874 MANIFOLD 4 PORT 272 174.00 72432931 FIBERWIRE 2-0 T-13 18" 272 187.00 72432940 CANN VENOUS 20F 67320 272 263.00 72432959 TIP NDL MICRO TUNGSTEN 2 272 337.00 72432988 SHEATH TUNNLR 12 272 321.00 72432989 SHEATH TUNNLR 8 272 321.00 72433004 BIT DRILL 4.3MM X 221MM 272 1,555.00 72433016 KIT CATH 10 272 755.00 72433034 FORCEP BIPOLR SPETZ 8 272 301.00 72433043 BUR RND CYL CARBIDE 3.2MM 272 310.00 72433044 SUT TVDK 5-0 BRD 2N 30X4 272 182.00 72433050 BIT DRILL 310.36 3.5/95QC 272 527.00 72433073 CANN RETRO PLY BLN STY 14 272 647.00 72433146 CANNULA 14F COATED BIO-ME 272 1,707.00 72433153 SYSTEM 25G VALVED ENTRY 272 683.00 72433160 BUR DMND WHL 99MM/3.16MM 272 359.00 72433177 TIP ASP CUSA SHEAR 272 3,934.00 72433270 FILTER ARTERL INFNT D131 272 1,499.00 72433271 KIT BONE MARROW COLLECT 272 1,700.00 72433388 BUTTON MINI ONE 2CM 14FR 272 615.00 72433593 CARDIOPLEGIA PK PEDS 272 376.00 72433595 CATH UMBIL 5F SL 272 147.00 72433652 SUT ETHILON 10-0 BVH100 272 164.00 72433663 FIXATN ABSORBATACK 30 5MM 272 2,556.00 72433665 DRN EXT VENTR 272 1,147.00 72433678 ELCTRD LWIRE EZCLEAN 33CM 272 351.00 72433681 NDL TRANS-ORAL 16GX25CM 272 444.00 72433685 LIGHT SYS NONRFID ACCURUS 272 840.00 72433690 BIT DRILL 2.0MM MTP 272 581.00 72433691 BIT DRILL 2.5MM MTP 272 581.00 72433747 SMART ADULT PACK 272 4,044.00 72433748 PEDS/SMALL ADULT PACK 272 2,628.00 72433749 TUBING PACK INFANT 272 2,588.00 72433750 NEONATAL CPB PACK 272 5,512.00 72433752 D 100 OXYGENATOR 272 2,315.00 72433753 130 FILTER 272 738.00 72433754 D 101 KIDS 272 2,315.00 72433755 EOS 905 272 2,048.00 72433768 SCRW DRVR SHAFT CANNL 3.5 272 1,782.00 72433795 ADHES SKIN DERMABOND PEN 272 165.00 72433874 PORT 7.5 DUAL LUMN PETITE 272 4,158.00 72433882 KNIFE MICRO SICKLE SHAPE 272 884.00 72433883 NDL TRANS ORAL GEL 1.0 272 1,946.00 72433933 CONCENTRATOR HEMO PEDS 272 182.00 72433937 CAPSULE BRAVO DELVRY SYS 272 1,741.00 72433941 ELTRD DFBR ADLT 5.75X3.7 272 123.00 72433955 SPONGE GEL SURGIFOAM 100 272 254.00 72433960 BIT DRILL 2.5MM 95MM GOLD 272 581.00 72433983 ELCTRD 1 CHNL LARYNX 6-7 272 717.00 72433990 ELCTRD 1 CHNL LARYNX 7.5 272 717.00 72433993 TIP ASP CUSA EXT CVD 272 3,342.00 72433994 BATTERY PACK SNGL USE 272 1,467.00 72433995 PICK GRIESHABER 25G/45DEG 272 392.00 72433996 TUBE EXT CDI 3/8X3/8X6IN 272 574.00 72434002 KNIFE 272 598.00 72434003 TUBE CUSA 36KHZ MANIFOLD 272 1,832.00 72434004 WRENCH TORQUE 36KHZ 272 461.00 72434038 KNIFE MVR 25G 272 237.00 72434040 SET 3 SPIKE UNIV INF BAG 272 760.00 72434041 RESERVOIR INF LG 3L VOL 272 656.00 72434042 DSG QUIKCLOT 4X4 STRL 272 182.00 72434047 NDL TFE SHEATHED 18GX25CM 272 339.00 72434049 SET ENTRY MINI-PERC 272 1,027.00 72434074 PROBE LASER 25GA ANGLED 272 1,318.00 72434076 CDI VENOUS CUVETTES 1/4 272 273.00 72434124 OXYGENATOR .1-1.5LPM FLOW 272 3,051.00 72434145 K-WIRE MEASURE 2.8 272 1,131.00 72434225 TROCAR W/ ANCHOR 5-12MM 272 353.00 72434226 CANNUL FMRL VNS BICAVAL 272 1,267.00 72434275 CANNULA BIOMEDICUS 21FR 272 2,115.00 72434283 KIT DURASEAL 3ML 20-6320 272 10,750.00 72434291 OXYGENATOR 1.5-4.0 272 2,560.00 72434302 SLEEVE CALF SMALL DVT 272 124.00 72434306 SLEEVE FOOT DVT-SM-MED-LG 272 165.00 72434450 HEMOCONCENTRATOR PEDS 272 615.00 72434451 SET BOWL 55 DIDECO 272 600.00 72434452 SET BOWL 125 DIDECO 272 600.00 72434453 SET BOWL 225 DIDECO 272 600.00 72434454 QUADROX I NEONATAL 272 1,792.00 72434455 QUADROX I PEDIATRIC 272 1,792.00 72434459 RX 15 W 272 2,543.00 72434518 FORCEP, MAXI-GRIP 23GA 272 1,039.00 72434520 CATH RETRO CARDIOPLEGIA 1 272 683.00 72434522 CABLE DOPPLER EXT COOK 272 608.00 72434523 PROBE DOPPLER STND CUFF 272 3,038.00 72434524 X-COATED PED/SM ADULT PK 272 2,230.00 72434525 X-COATED NEONAT PACK 272 2,184.00 72434529 TROCR OPTCL BLDLSS 5MM ST 272 277.00 72434530 TROCR OPTCL BLDLSS 5MM SH 272 277.00 72434536 TREPHINE VACUUM 6.5 272 485.00 72434537 TREPHINE VACUUM 7.0 272 485.00 72434538 TREPHINE VACUUM 7.5 272 485.00 72434539 PUNCH CORNEAL 6.0 272 471.00 72434540 PUNCH CORNEAL 6.5 272 471.00 72434541 PUNCH CORNEAL 7.0 272 471.00 72434542 TREPHINE VACUUM 7.75 272 485.00 72434543 TREPHINE VACUUM 8.0 272 485.00 72434544 PUNCH CORNEAL 9.0 272 471.00 72434545 PUNCH CORNEAL 8.0 272 471.00 72434546 PUNCH CORNEAL 8.5 272 471.00 72434553 PLASMABLADE 4.0 HANDPIECE 272 1,849.00 72434555 SYSTEM 7FR TLS DRAIN 272 273.00 72434667 BATTERY PAK FOR DRIVER 272 581.00 72434697 BULLDOG DISP MINI ANG RED 272 140.00 72434698 RETRACTOR WOUND SMALL 272 383.00 72434699 ENT CEPS MICROLINE FORCEP 272 1,331.00 72434702 OCUCOAT 1 ML 272 182.00 72434703 FORCEP BIPOL STRKR 1.0 272 2,753.00 72434711 BLADE SAW 27/70/1.2 272 410.00 72434718 SEALER TISSUE LAPRO 5MM 272 2,616.00 72434719 TUBING PACK 272 967.00 72434743 KIT CATH ACCSSRY 1 272 512.00 72434744 KIT CATH ACCSSRY 2 272 649.00 72434746 BLADE CUTTER 3.5MM 272 744.00 72434786 MONOPOLAR ELCTRODE 272 835.00 72434818 OXYGENATOR PEDS W/RESERVR 272 3,766.00 72434819 KIT VASCULAR ACCESS 272 758.00 72434820 ELECTRODE FLX/MONO COAG 272 874.00 72434823 KIT CONDUCER COATED 272 1,024.00 72434824 CATH NEPH 10FR/19.5CM CAN 272 499.00 72434838 CANN SLOT & FASTFIX 360 272 161.00 72434839 SYS DLVRY FSTFIX & CVDNDL 272 2,418.00 72434843 ELLIP SHRT 37X49MM 800LB 272 20,663.00 72434850 SUCTION SCINTIL LGHTD TIP 272 609.00 72434852 STRIP MSTRGRF 24CC TOTAL 272 7,619.00 72434853 STRIP MSTR GRF 12CC TOTAL 272 4,014.00 72434860 SCRAPER EYE TANO 25GA 272 878.00 72434887 DRSG OPTIFOAM AG 3.5X10 272 246.00 72434902 ROD GUIDE BALL TIP 2.7MM 272 1,650.00 72434903 THREAD TIP GDE PIN 3.2MM 272 1,309.00 72434904 REAMER RIGID 9.5MM 272 2,133.00 72434905 NAIL PEDI LT XL 10MX30MM 272 2,423.00 72434918 WIRE COCR DOUBLE 272 594.00 72434922 BOLT REDUCTION 5X35 272 3,003.00 72434923 BOLT REDUCTION 5X40 272 3,003.00 72434943 DRSG FOAM AG 3.5X10 272 217.00 72435016 CINCH MENISCAL 272 1,866.00 72435046 CINCH MENISCAL 272 1,866.00 72435047 KNOT PUSHER SUT CUTER 2-0 272 983.00 72435052 DRSG AQUALCEL AG 3.5X12 272 362.00 72435055 PUTTY CRANIOS 5CC 272 6,237.00 72435057 CATH 12FR COPWE NEPHR 272 501.00 72435058 CATH 14FR COPE NEPHR 272 501.00 72435059 BONE GRAFT EXTDR & SUB 272 10,481.00 72435132 PACK CATARACT 272 392.00 72435163 TEMPLATE ORBITAL FLR 25MM 272 1,929.00 72435164 ORBITAL FLR RX25MM 6MMPRO 272 4,147.00 72435168 SEALER BIPOLAR AQUAMTY-6 272 2,702.00 72435175 CROSSLINK 25MM 272 4,448.00 72435176 CANNULA VENOUS 32/40MM 272 252.00 72435192 CUBE RANCHO W/POST 1HOLE 272 1,645.00 72435193 CUBE RANCHO W/POST 2 HOLE 272 1,850.00 72435194 CUBE RANCHO 3 HOLE 272 2,028.00 72435195 SLEEVE CENTERING 6MM 272 1,263.00 72435196 SLEEVE CENTERING 5MM 272 1,263.00 72435197 WIRE BAY PT CORT 370MM 272 626.00 72435198 TIN 5X30MM SHORT HALF PIN 272 1,809.00 72435199 STRUT FAST FIX X-SHORT 272 6,391.00 72435200 STRUT FASTFIX FOR TSF SHT 272 6,391.00 72435201 STRUT FASTFIX FOR TSF MED 272 6,391.00 72435202 STRUT FASTFIX ID BANDS 272 2,907.00 72435204 CANNULA W/FIX BOLT 272 444.00 72435205 STEPDRILL 3.8MM SHIRT 272 2,799.00 72435206 DRILL 4.8MM SHORT 272 2,799.00 72435207 CAP HALF PIN 6MM 272 328.00 72435214 CAP PROTECTIVE BLACK 5MM 272 328.00 72435229 DRILL BIT 2.0MM 272 478.00 72435230 DRILL BIT 2.8MM 272 710.00 72435239 DRILL MINI ACUTRAK LONG 272 1,482.00 72435241 DRILL BIT FAST 1.1MM 272 383.00 72435242 BIT DRIVER 1.5MM 272 383.00 72435243 K-WIRE 6 272 383.00 72435260 DRILL TWST NOTCH 1.5X50MM 272 1,004.00 72435263 DRILL TWST NOTCH 1.5X50MM 272 1,004.00 72435269 CLAMP SONICWELD BONE MESH 272 3,072.00 72435270 DRILL TWST SONICWELD STOP 272 970.00 72435286 KNIFE SLIT CLEAR CUT 272 446.00 72435289 STRIP CORTICAL 1X6 272 2,240.00 72435290 WIRE BENTSON 272 171.00 72435291 CATHETER KUMPE 272 575.00 72435386 K-WIRE 1.6X150MM SMOOTH 272 297.00 72435387 PEDS ART FILTER CAPIOX 272 540.00 72435388 AV/ALF LOOP SUPP PACK 272 1,140.00 72435395 CATH BLLN RETR 9/12MM 272 990.00 72435397 SUT PROLENE 6-0 BV-1VISI 272 362.00 72435398 SUT PROLENE 7-0 BV-1VISI 272 362.00 72435400 ADULT ART FILTER CAPIOX 272 540.00 72435426 STRIP CORTICAL 1X2 272 1,350.00 72435427 STRIP CORTICAL 1X8 272 2,969.00 72435428 GRID AURAGEN 64 272 8,404.00 72435435 SUTR CINCH SOFT TISS#5 272 567.00 72435436 ENDOBUTTON DIR W/SUTR 7MM 272 1,929.00 72435448 TEMPLATE LK STR 20H 2-2.3 272 465.00 72435457 CATH DUAL URET ACCS 10FR 272 347.00 72435471 FORCEP BIPOL STRKR 0.5 272 2,753.00 72435473 DRILLBIT LG CALIB 3.2MM 272 1,420.00 72435474 DRILLBIT SHORT 3.2MM 272 1,386.00 72435475 TUBE EXCHG TISS PRO 5.0MM 272 1,925.00 72435492 STAPLER ECHELON 45 340M 272 1,866.00 72435493 STAPLER RELOAD 60 3.5 BLU 272 814.00 72435494 STAPLER RELOAD 45 2.5 WHT 272 814.00 72435498 CUTTER FULL RADIUS 2.5MM 272 213.00 72435499 BUR ROUND 2.0MM 272 285.00 72435500 CANNULA SEAL 5MM SHORT 272 291.00 72435501 CANNULA SEAL 5MM 272 291.00 72435502 CANNULA SEAL 5-12MM 272 370.00 72435503 CANNULA OPT 5MM STANDARD 272 353.00 72435504 CANNULA OPT 12MM 272 435.00 72435506 DRAPE STEREOTACTIC 272 418.00 72435507 CUTTER ECH ARTIC 45X280MM 272 1,866.00 72435508 CUTTER ECH STR 45X280MM 272 1,252.00 72435509 CUTTER ECH STR 45X340MM 272 1,252.00 72435510 CUTTER ECH STR 45X440MM 272 1,832.00 72435511 CUTTER RELD ECHGOLD 45MM 272 814.00 72435512 STAPLER RELOAD 45 2.0 272 814.00 72435513 CUTTER RELD ECHGRN 45MM 272 814.00 72435514 CUTTER ECH ARTIC 45X440MM 272 1,866.00 72435517 CUTTER ECH ARTIC 60X280MM 272 1,729.00 72435518 STAPLER ECHELON 60X340MM 272 1,729.00 72435519 CUTTER ECH ARTIC 60X440MM 272 1,729.00 72435520 CUTTER ECH STR 60X280MM 272 1,462.00 72435521 CUTTER ECH STR 60X340MM 272 1,462.00 72435522 CUTTER ECH STR 60X440MM 272 1,741.00 72435523 STAPLER RELOAD 60 3.5 BLU 272 888.00 72435524 CUTTER RELD ECHGOLD 60MM 272 888.00 72435525 CUTTER RELD ECHGRAY 60MM 272 888.00 72435526 CUTTER RELD ECHGREEN 60MM 272 888.00 72435527 STAPLER RELOAD 60 2.5 WHT 272 888.00 72435528 CUTER STR WHT RELD 35X340 272 1,121.00 72435529 STAPLER CURVED 33X18MM 272 1,673.00 72435533 CUTER STR BLU RELD 35X340 272 1,121.00 72435534 CUTER ART BLU RELD 35X340 272 1,565.00 72435535 CUTTER RELOAD BLUE 35MM 272 660.00 72435570 SHAFT PROVISIONAL REDUCT 272 874.00 72435571 SLEEVE REDUCTION 272 2,947.00 72435572 DRILL BIT LONG 3.5MM 272 1,420.00 72435574 TUBE EXCHANGE 272 1,925.00 72435580 DRILL BIT 3.2MM 272 942.00 72435589 CAP END 10MM 272 2,247.00 72435595 DRILL BIT LG CALIBR 2.5MM 272 1,420.00 72435602 FEMORTAL HEAD 32MM+0MM 272 5,478.00 72435603 HIP STEM 127 NECK ANGLE 272 11,825.00 72435605 SHELL HEMIS 50MM D 272 6,570.00 72435607 DRILL LONG MICRO ACUTRAK2 272 1,482.00 72435609 TFCC MINDER DISP SUT SYST 272 888.00 72435614 ENDCAP TI W/STARDRV W/EXT 272 1,297.00 72435625 GUIDEPIN 2.4MM 272 1,270.00 72435642 DRILL BIT CALIBRTD 3.5MM 272 1,386.00 72435650 CEMENT BONE W/O GENT 272 1,001.00 72435651 BONE GRAFT EXT & SUB 5.5M 272 6,285.00 72435654 HOOK PEDICLE 12MM WB 272 4,550.00 72435657 CROSSLINK SFX F5 272 5,574.00 72435664 STAPLER ILS 33MM INTRALUM 272 1,974.00 72435665 TUBE EAR PAPRLLA W/O NOTC 272 157.00 72435666 TORSO BODY SOCK SMALL 272 194.00 72435667 DRILL CANN 7.3 X 300MM 272 2,935.00 72435718 KIT ENDOPACK 272 291.00 72435721 APPLICATR DUPLOSPRAY 20CM 272 473.00 72435722 APPLICATR DUPLOSPRAY 30CM 272 473.00 72435726 SPHERES 5PER PKG 8801002 272 655.00 72435905 ENDO LINEAR CUTT FLX 45 272 1,604.00 72435906 RELOAD FLX 45X1.5MM BLUE 272 802.00 72435907 SLV 12MM NON-OPTCL W/FIX 272 2,042.00 72435908 SLV SHRT 5MM BLDLES W/FIX 272 444.00 72435909 CANN BLADE 5MM W/FIXATION 272 450.00 72435914 MONITR PRBE DBL HOOK ELEC 272 990.00 72435964 SPICA SKINZ SZ 2 272 785.00 72435966 OSTEOSURGE 300 SYRG 10CC 272 7,263.00 72435967 OSTEOSURGE 300 SYRG 5CC 272 5,460.00 72435968 OSTEOSURGE 300 SYRG 2.5CC 272 3,549.00 72435977 CATH BLN MSTG 8M/40CM/135 272 1,792.00 72435995 CATH BLN MUST 6M/30CM/135 272 1,792.00 72435996 CATH BLN MUST 6M/30CM/140 272 1,792.00 72435997 CATH BLN MUST 8M/40CM/40 272 1,792.00 72435998 CATH BLN MUST 9M/40CM/40 272 1,792.00 72436031 SUT PORLENE 6-0BV-1 M8709 272 336.00 72436032 CATH SUCTION FLEX 28160SE 272 1,019.00 72436033 ELECTR RGD SEMI 28161SF/4 272 2,125.00 72436039 TRACKER PT ENT 272 1,257.00 72436098 STRUT FSTFX FX195-311MM 272 5,785.00 72436100 OXYGENATOR QUADROX ID 272 4,440.00 72436138 TUBE T SAFETY 13MM 272 1,188.00 72436140 TUBE T SAFETY 14MM 272 1,188.00 72436141 TUBE T SAFETY 15MM 272 1,188.00 72436142 TUBE T SAFETY 16MM 272 1,188.00 72436143 NEEDLE PASSIVE BX 2.2 272 3,555.00 72436144 KIT TRAJECTORY EXT SYSTEM 272 4,676.00 72436145 SOCK PT TORSO 18X8 SLEEVE 272 156.00 72436146 SUTURE BOLT 272 683.00 72436148 VENOUS CANN 10FR RT ANGLE 272 156.00 72436156 DRILL BIT 2.7MM PEANUT CN 272 2,007.00 72436196 TREPHINE VACUUM 8.25 272 485.00 72436199 BLADE RAD 4MM 272 1,764.00 72436200 BLADE QUADCUT 4.3X13CM 272 1,798.00 72436201 BLADE QUADCUT 3.4X13CM 272 1,798.00 72436203 EGIA 30MM ARTICULTNG VASC 272 2,071.00 72436204 EGIA 45MM ARTICULTNG VASC 272 2,327.00 72436205 HANDLE STANDRD GIA 272 1,889.00 72436206 HANDLE SHORT GIA 272 672.00 72436208 SHUNT ASCITES DENVER 272 8,958.00 72436209 TUBE CONNECT DENVER SHUNT 272 451.00 72436211 KIT SHUNT SKULL MOUNTED 272 4,152.00 72436212 KIT TUMOR SKULL MOUNTED 272 4,152.00 72436305 2.9MM CANN DRILL BIT 272 1,805.00 72436306 3.5 HEX SCRWDRVR-AO CANN 272 2,084.00 72436307 AO 3.2M CANN DRILL 272 1,760.00 72436308 3.5 DRILL BIT 272 958.00 72436309 3.5 HEX SCRWDRVR-W/SLVE 272 2,766.00 72436311 3.2 DRILL BIT CALIBRATED 272 1,183.00 72436312 2.5MM THREAD DRILL GUIDE 272 1,370.00 72436313 2.9MM SHORT DRILL 272 1,312.00 72436314 OBTURATOR 272 1,260.00 72436315 7.5 REAMER HEAD 272 2,790.00 72436316 8 REAMER HEAD 272 2,790.00 72436317 8.5 REAMER HEAD 272 2,790.00 72436318 9 REAMER HEAD 272 2,790.00 72436319 TROCHAR SCALPEL 272 2,022.00 72436320 ARMORLINK 6.5MM 272 4,298.00 72436321 SHIELDLOC 6.5MM 272 3,815.00 72436322 0 MM NAIL END CAP 272 2,128.00 72436323 5 MM NAIL END CAP 272 2,128.00 72436349 ACL DISPOSE KIT 272 4,105.00 72436366 FM WAND TIP 2MM DISECT 272 1,502.00 72436367 FM WAND TIP 5MM DISECT 272 1,502.00 72436369 BLADE 2MM INFERIOR TURBNT 272 1,525.00 72436371 RETRACTOR WND ALEX X-SM 272 319.00 72436372 FM WAND HANDPC 272 1,195.00 72436373 SINUS GUIDE CATH F-70 272 1,820.00 72436374 SINUS IRR CATH VRTX-2 272 1,058.00 72436387 MICKEY 14FR X 2.3CM FEED 272 615.00 72436388 MICKEY 14FR X 2.7 FEED 272 615.00 72436535 SHUNT STRATA ASSEMBLY SM 272 15,084.00 72436540 CORMATRIX 7X10\ 272 5,546.00 72436541 SPICA SKINZ SZ4 272 874.00 72436542 SPICA SKINZ SZ6 272 970.00 72436543 SPICA SKINZ SZ 8 272 970.00 72436544 BIO EYE CONFORMER PERF 20 272 5,460.00 72436545 BIO EYE CONFORMER PERF 18 272 5,261.00 72436550 ACTIVA PC NEUROSTIMULATOR 272 68,478.00 72436554 TUNNELER 272 854.00 72436556 TROCAR THORACOPORT 5.5MM 272 4,152.00 72436637 SYRINGE IMBIBE 10cc 272 956.00 72436638 SYRINGE IMBIBE 20cc 272 1,274.00 72436654 DRAPE MICRO PENTERO 272 251.00 72436655 BIOGLUE 10ML 272 4,983.00 72436656 MT-20M MINI-TOME 272 1,161.00 72436657 MT-25 MINI-TOME 272 1,161.00 72436658 MSB-2X4 5FR MEM WIRE BSKT 272 1,877.00 72436659 BLADE CARTLGE MENEZES 272 1,081.00 72436660 BLADE CARTLG CHISEL MENZE 272 1,081.00 72436661 GOUGE CARTLG YAMADA 2MM 272 1,081.00 72436662 GOUGE CARTLG YAMADA 3.5MM 272 1,081.00 72436663 GOUGE CARTLG MENZ V-SH3.5 272 1,081.00 72436664 GOUGE CARTLG YAMADA 4MM 272 1,081.00 72436665 CARVING BLOCK SILICONE 272 802.00 72436666 FORCEP 25GA ASYMTRCL TIP 272 1,041.00 72436667 EGIA RELOAD 60MM 272 2,042.00 72436668 PUNCH AORTIC 4.0MM 272 308.00 72436699 FORCEP BIPOL IRRIG 0.5 272 1,855.00 72436703 CATH CV DL 5FR 15CM 272 512.00 72436708 TROCAR LAPMINI GELPNT 10M 272 2,162.00 72436709 CANNULA ARTERIAL 2.6MM 272 243.00 72436711 STAPLER END/END 31MM 272 4,422.00 72436712 CANNULA ARTERIAL 3MM 272 243.00 72436722 WIRE PACING TEMP 272 355.00 72436723 CATH COUNSIL TIP 6FR 272 189.00 72436724 CATH COUNSIL TIP 8FR 272 189.00 72436725 CATH COUNSIL TIP 10FR 272 189.00 72436735 VITRECTOMY PACK 25G 272 2,947.00 72436738 FILTER VAPOR CLEAN 272 785.00 72436749 TRACH NEONATAL CUFFLS 2.5 272 387.00 72436754 TUBE FEED MCKY 3.0CM-14FR 272 581.00 72436755 TUBE FEED MCKY 3.5CM-14FR 272 581.00 72436756 TUBE FEED MIN-1 1CM-12FR 272 581.00 72436757 TUBE FEED MINI 1.2CM-12FR 272 581.00 72436758 TUBE FEED MINI 1.5CM-12FR 272 581.00 72436759 TUBE FEED MINI 1.2CM-14FR 272 581.00 72436760 TUBE FEED MINI 1.5CM-14FR 272 581.00 72436763 BUTTON MINI ONE 2.3CM 14F 272 581.00 72436764 BUTTON MINI ONE 2.5CM 14F 272 581.00 72436765 TUBE FEED MINI 2.7CM-14FR 272 581.00 72436778 FIBERLOOP #2 COATED 272 512.00 72436779 FIBERLOOP #2-NON-COATED 272 342.00 72436780 BUR BALL 4MM 14BA40 272 891.00 72436783 OXYGENATOR W/HVR RES INT 272 2,137.00 72436784 NEONATAL TABLE PACK 272 598.00 72436786 HURRICANE RX 272 1,656.00 72436795 SYSTM SPIN BLLN SINUS5X16 272 6,670.00 72436799 DEVICE SPEC RAPTOR GRASP 272 901.00 72436805 RELOAD FLEX 45 ART MEDCVD 272 2,446.00 72436806 RELOAD FLEX 45 ART MEDSTR 272 1,985.00 72436814 KIT CRANIAL BARD 82-6612 272 1,838.00 72436832 KIT SINPLSTY 5M BLN GUIDE 272 7,764.00 72436833 KIT SINPLSTY 6M BLN GUIDE 272 7,764.00 72436834 BLN SINPLSTY 5M FRNTGUID 272 6,670.00 72436835 BLN SINPLSTY 6M FRNTGUID 272 6,670.00 72436836 BLN SINPLSTY 6M MAXLGUID 272 6,670.00 72436837 SPINCTEROTOME ULTRA TAPER 272 1,263.00 72436838 CATH RETRVL BLN 5F 11MM 272 999.00 72436840 CATH 3WY 24F COUVEL/HEMA 272 228.00 72436841 CATH 3WY 22F COUVEL/HEMA 272 228.00 72436842 CATH 3WY 20F COUVEL/HEMA 272 228.00 72436904 KIT COR-KNOT 272 12.00 72436905 RELOAD COR-KNOT 272 12.00 72436906 OXYGENATOR INSPIRE 6 272 1,604.00 72436908 SHIELD CORNEAL PEDS DISP 272 228.00 72436909 SHIELD CORNEAL SM DISP 272 228.00 72436910 SHIELD CORNEAL MED DISP 272 228.00 72436911 SHIELD CORNEAL LG DISP 272 228.00 72436922 PERICARIUM PHOTOFIC 6X8 272 4,550.00 72436938 DRAPE MICROSCOPE ZEISS 272 171.00 72437066 STPL BN 21M ROSTRAL 272 4,550.00 72437067 STPL BN 21M CAUDAL 272 4,550.00 72437068 STPL BN 15M HZN LGC SPNE 272 3,891.00 72437076 CNCT ROD CL5.5 CL6.35 272 4,550.00 72437087 KIT BLOWER/MISTER 272 455.00 72437194 BIT DRL 355MM 5MM DISP 272 774.00 72437206 GDE NRV 3CM 1.5M NRGN PR 272 774.00 72437207 DRSG BIO 5X4CM BVN CLGN 272 21,350.00 72437208 KIT PRSS MNTR INTRCRAN 272 774.00 72437229 BIT DRL 50M 1.1M STL NTC 272 1,747.00 72437230 BIT DRL 50M 1.1M STP J 272 1,781.00 72437231 DRL TWST 50M 1.1M SS NTCH 272 2,048.00 72437243 BURR HOLE CONTOUR 12MM 272 1,047.00 72437297 ELTRD BLT 4 CNTCT STRNG D 272 1,734.00 72437298 CONATACT STRIP 02-035 272 1,707.00 72437306 GRAFT SFT TIS 200MM 272 4,266.00 72437376 MISONIX IRIGATIN TUBESET 272 387.00 72437377 MISONIX BN SCAPEL 20MM 272 2,150.00 72437378 BI-CAVAL CANNULA 272 1,843.00 72437380 COBLATOR PROCISE MAX WAND 272 1,792.00 72437381 SPYBITE FORCEPS 272 2,839.00 72437393 TRAY STRL INST TRULK 272 5,597.00 72437394 TRAY STRL XTRN SPRT TRLK 272 4,897.00 72437395 TRAY STRL FX ELMT TRULK 272 4,897.00 72437396 TRAY STRL HNG TRULK 272 5,597.00 72437397 STRUT CASE TRULK HEX-V1.4 272 4,653.00 72437398 RING CASE TRULK HEX-V1.4 272 6,581.00 72437400 ULTRA SHORT STRUT TRULK 272 4,550.00 72437401 ROD DSTRCT 70M TRULK+LNR 272 2,639.00 72437402 STRUT DSTRCT 150M TRULK+ 272 2,935.00 72437403 ROD DSTRCT 200M TRULK+LNR 272 3,231.00 72437404 STRUT XTRNFX 99-122M HX 272 4,550.00 72437405 KIT XTRFX -HX STRUT DRCT 272 899.00 72437406 KIT XTRFX -HX STRUT CLIP 272 899.00 72437407 STRUT XTRNFX 114-184M HX 272 4,550.00 72437408 STRUT XTRNFX 158-318M HX 272 4,550.00 72437409 DSTRCT 70M LNR TRULK SRG 272 2,344.00 72437410 NUT DSTRCT 10M TRULK+SQ 272 427.00 72437411 NUT XTRNFX 10M HX XTD HD 272 342.00 72437414 HNGE XTRFX 100M TRULK+IN 272 2,224.00 72437415 HNGE XTRFX 100M TRULK+O 272 3,441.00 72437417 BRACKET ASMBLY TL+SWIVEL 272 990.00 72437420 DRVR STRG HX TRULK HD1/8 272 1,138.00 72437421 DRVR 90D HX TRULK HD 1/8 272 319.00 72437422 DRVR HX TRULK+HD AO 272 598.00 72437426 WSHR XTRNFX TRULK SLT 272 347.00 72437427 PIN HLF 180M 4M TRULK QK 272 928.00 72437428 PIN HLF 180M 5M TRULK QK 272 928.00 72437429 PIN HLF 180M 6M TRULK QK 272 928.00 72437434 WSHR XTRNFX TRULK CONE 272 433.00 72437435 BOLT XTRNFX TRULK WRE FX 272 598.00 72437436 BOLT XTRNFX TRULK+UNV 272 814.00 72437437 WRNCH SRG 10M CMB XTR SY 272 239.00 72437438 WRNCH SRG 10M XTRNFX SYS 272 359.00 72437439 POST XTRNFX TRULK+1 HL 272 928.00 72437440 POST XTRNFX TRULK+2 HL 272 1,019.00 72437441 POST XTRNFX TRULK+3 HL 272 1,058.00 72437442 POST XTRNFX TRULK+4 HL 272 1,087.00 72437443 POST XTRNFX TRULK+5 HL 272 1,115.00 72437444 SPCR XTRNFX 15M TRULK+ 272 609.00 72437445 SPCR XTRNFX 30M TRULK 272 666.00 72437446 WIRE FX1.8M TRLKBYNT STP 272 1,149.00 72437447 WIRE FX1.8M TRLK BYNT 272 768.00 72437448 WRNCH SRG 10M TUBE XTRF 272 239.00 72437449 PLIERS SRG NDLNS TRULK 272 802.00 72437450 WRNCH SRG T HLF PIN QKCT 272 1,866.00 72437451 DRVR 4.5N-M TRQ 1/8 TIP 272 1,849.00 72437452 SUPRT DSTCT 70-80M CNCT 272 1,866.00 72437457 ARCH XTRNFX 90M TRULK LT 272 4,101.00 72437458 ARCH XTRNFX 120M TRULK + 272 4,101.00 72437466 HINGE XTRNFX TRULK UNV 272 2,133.00 72437467 RNG XTRFX 140M TRULK+ 272 5,074.00 72437468 RNG XTRFX 160M TRLK + 272 5,438.00 72437469 RNG XTRNFX 180M TRULOK+ 272 4,175.00 72437470 RNG XTRFX 160M TRLK.5 272 4,579.00 72437471 RNG XTRFX 140M TRULK+.5 272 2,639.00 72437472 RNG XTRFX 160M TRLK+.5 272 2,935.00 72437473 RNG XTRNFX 180M TRULOK+.5 272 3,060.00 72437475 RNG XTRFX 140M TRULK+5/8 272 3,203.00 72437476 RNG XTRFX 160M TRLK 5/8 272 3,521.00 72437477 RNG XTRNFX 180M 5/8 272 3,652.00 72437478 RNG XTRNFX 200M TRULK+ 272 3,953.00 72437485 RNG XTRNFX 140M TL-HX FL 272 5,256.00 72437486 RNG XTRFX 160M TL-HX FL 272 5,256.00 72437487 RNG XTRNFX 180M TL-HX FL 272 5,256.00 72437488 RNG XTRNFX 200M TL-HX FL 272 5,256.00 72437489 F-RING ASMBLY 120M TL HX 272 5,256.00 72437490 F-RING ASMBLY 100M TRLK 272 5,256.00 72437491 RNG ASMBLY 5/8 120M TLHX 272 4,204.00 72437492 RNG ASMBLY 5/8 100M TLHX 272 4,204.00 72437493 RNG ASMBLY 5/8 140M TLHX 272 4,204.00 72437494 RNG ASMBLY 5/8 160M TLHX 272 4,204.00 72437495 RNG ASMBLY 5/8 180M TLHX 272 4,204.00 72437496 RNG ASMBLY 5/8 200M TLHX 272 4,204.00 72437497 RNG ASMBLY 3/8 100M TLHX 272 4,004.00 72437498 RNG ASMBLY 3/8 120M TLHX 272 4,004.00 72437499 RNG ASMBLY 3/8 140M TLHX 272 4,004.00 72437500 RNG ASMBLY 3/8 160M TLHX 272 4,004.00 72437501 RNG ASMBLY 3/8 180M TLHX 272 4,004.00 72437502 RNG ASMBLY 3/8 200M TLHX 272 4,004.00 72437507 PUMP MOOG 100ML 272 1,718.00 72437514 HEMOCONCENTRATOR JR 272 819.00 72437516 ENDOSCRUB SHEATH 30 DEG 272 376.00 72437517 ENDOSCRUB SHEATH 0 DEG 272 416.00 72437519 FRONTALIS SUSP SET 272 364.00 72437562 BALLOON DILAT HURICANE 6M 272 1,656.00 72437570 TIBIAL ANTER TEND LFNT 272 5,972.00 72437590 CATH DUAL LUMEN 10FX50CM 272 347.00 72437641 DEVICE GRASP MINI RAPTOR 272 922.00 72437656 RELOAD STAPLE 30M CVD TIP 272 2,760.00 72437667 WAND REFLEX ULTRA PTR 272 1,673.00 72437706 CANNISTER .3 NO SOLIDFIER 272 275.00 72437707 TUBEING SINGLE SMALL 272 339.00 72437708 VFC PAK CONSTELLATION 272 560.00 72437709 PROBE STR LASER CONSTELL 272 485.00 72437710 PROBE 25GA DIATHERMY GRES 272 349.00 72437711 PROBE LASER FLEX 25G RFID 272 1,536.00 72437712 VITRECTOMY PK20GA CONSTLL 272 635.00 72437713 VITRECTOMY PK23GA CONSTLL 272 658.00 72437714 VITRECTOMY PK25GA CONSTLL 272 658.00 72437740 ADHES SKIN LIQUID BAND 272 122.00 72437741 PUMP ON-Q 400ML 272 1,877.00 72437742 PUMP ON-Q 270ML 272 859.00 72437746 ELECTRODE ECOG 6 DEPTH 272 2,423.00 72437748 CONTACT STRIP 06-051 272 2,133.00 72437749 CONTACT STRIP 08-053 272 2,531.00 72437750 CONTACT STRIP 08-077 272 2,531.00 72437751 CONTACT STRIP 16-066 272 3,100.00 72437752 CONTACT STRIP 32-060 272 3,982.00 72437753 CONTACT STRIP 64-114 272 5,157.00 72437754 CONTACT STRIP 64-121 272 5,157.00 72437755 CONTACT STRIP 32-088 272 3,982.00 72437769 PIN BEATH PASS 2.4M 272 848.00 72437770 KIT CATH ON-Q 7.5 272 840.00 72437771 TUNNELER ON-Q 17GAX10 272 251.00 72437783 DRESSG PREVENA CUSTOM 272 2,008.00 72437784 SCISSOR CVD TIP 25GA 272 1,442.00 72437785 CONSTELL PNEUMATIC HANDPC 272 697.00 72437789 KIT ENDO KNTLES TITAN 272 5,005.00 72437797 ILLUMINATOR CHANDLR CNSTL 272 797.00 72437801 KIT SLEEVE CAPSURE ANCHOR 272 255.00 72437802 BLADE PLASMA PEAK TNA 272 1,598.00 72437805 SEAL LIGSUR MRYLND 37C 5M 272 2,736.00 72437806 DEVICE LIGSUR MRYLND OPEN 272 2,736.00 72437812 APPLIER CLIP 9.0.133650 272 445.00 72437813 APPLIER CLIP 9.75 134044 272 445.00 72437814 SHIELD COLLAGEN CORNEAL 272 268.00 72437818 STAPLER 21MM 272 1,968.00 72437819 STAPLER 25MM 272 1,968.00 72437820 STAPLER 33MM 272 1,968.00 72437821 CLIP APPLIR MED/11.5W/20C 272 393.00 72437822 TIP PEAK SUCTION COAGLATN 272 342.00 72437830 25GA SOFT TIP 272 228.00 72437831 25GA LASER STR PROBE 272 1,303.00 72437832 NERVE GRAFT 1-2MX70M 272 15,129.00 72437834 CANULA ADLT ART NXGN 15F 272 1,747.00 72437835 CANULA ADLT ART NXGN 17F 272 1,747.00 72437836 CANULA ADLT ART NXGN 19F 272 1,747.00 72437837 CANULA ADLT ART NXGN 21F 272 1,747.00 72437838 CANULA ADLT ART NXGN 23F 272 1,747.00 72437839 CANULA ADLT ART NXGN 25F 272 1,747.00 72437840 CANULA ADLT VEN NXGN 15F 272 2,028.00 72437841 CANULA ADLT VEN NXGN 17F 272 2,028.00 72437842 CANULA ADLT VEN NXGN 19F 272 2,028.00 72437843 CANULA ADLT VEN NXGN 21F 272 2,028.00 72437844 CANULA ADLT VEN NXGN 23F 272 2,028.00 72437845 CANULA ADLT VEN NXGN 25F 272 2,028.00 72437846 CANULA ADLT VEN NXGN 27F 272 2,028.00 72437847 CANULA ADLT VEN NXGN 29F 272 2,028.00 72437848 CANULA PED ART NXGN 8F 272 2,028.00 72437849 CANULA PED ART NXGN 10F 272 2,028.00 72437850 CANULA PED ART NXGN 12F 272 2,028.00 72437851 CANULA PED ART NXGN 14F 272 2,028.00 72437852 CANULA PED VEN NXGN 8F 272 2,028.00 72437853 CANULA PED VEN NXGN 10F 272 2,028.00 72437854 CANULA PED VEN NXGN 12F 272 2,028.00 72437855 CANULA PED VEN NXGN 14F 272 2,028.00 72437856 KIT VEN NXGN INSERT 272 541.00 72437857 KIT ART NXGN INSERT 272 541.00 72437858 KIT PEDS NXGN INSERT 272 541.00 72437876 NAIL FEMRL IM 8MX34CM LT 272 9,604.00 72437877 CANN ART 6FR 2.OM 272 250.00 72437878 NDL JAMSHDI SNRE 11G 4IN 272 294.00 72437879 NDL JAMSHDI SNRE 13G 2IN 272 341.00 72437881 NDL INJ CYSTO 272 451.00 72437883 EXTRCTR ADAP BULLT TIP 272 3,129.00 72437884 FORCEP 25GA 705.13P 272 1,145.00 72437890 KNIFE CRESC OPTH 272 223.00 72437891 STENT SILICONE DRAIN 272 454.00 72437929 BASKET NGAGE LITHO 272 1,337.00 72437930 ORGANIZE INST STER ADHESV 272 234.00 72437953 CONTACT STRIP 04-035 272 1,735.00 72437954 CONTACT STRIP 06-036 272 2,020.00 72437955 DRILL 12MM 272 444.00 72437956 DRILL 14MM 272 444.00 72437957 DRILL 16MM 272 444.00 72437958 ROD CoCR CONTUR 5.5X300M 272 1,707.00 72437959 ROD CoCR CONTOUR 5.5X400M 272 1,707.00 72437960 ROC CoCR CONTOUR 5.5X500M 272 1,707.00 72437961 ROD CoCR CONTOUR 5.5X600M 272 1,707.00 72437966 SPIN PLUS KIT-SINUS 272 7,764.00 72438007 LOCKING CAPS 272 512.00 72438039 HOOK LAMINAR 5.5X8.0MM 272 1,849.00 72438040 HOOK LAMINAR 5.5X9.5MM 272 1,849.00 72438041 HOOK LAMINAR 7.0X8.0MM 272 1,849.00 72438042 HOOK LAMINAR 7.0X9.5MM 272 1,849.00 72438043 HOOK PEDICLE 7.5X8.0MM 272 1,849.00 72438044 HOOK PEDICLE 7.5X9.5MM 272 1,849.00 72438045 HOOK PEDICLE 9.0X8.0MM 272 1,849.00 72438046 HOOK PEDICLE9.0X9.5MM 272 1,849.00 72438058 PENCIL SMOKE EVAC 272 256.00 72438114 Pack Cataract 272 359.00 72438119 Pack Spine A&B 272 888.00 72438120 PACK MINOR ORTHO 272 433.00 72438129 NDL INCISING FASCIAL 272 273.00 72438131 PROBE CRYOFLEX 10CM 272 11,944.00 72438132 DEVICEW ABLATION 272 11,944.00 72438176 RESERVOIR 3000ML WEST 272 2,742.00 72438184 WAND PRECISE LW 272 3,697.00 72438185 WAND PROCISE MLW 272 3,697.00 72438207 FEED TUBE MICKEY 14FR 4CM 272 615.00 72438208 FEED TUBE MICKEY 14FR 5CM 272 615.00 72438211 NDL ELECTRODE MAGNFINE 2 272 143.00 72438212 STRIP CORTICAL 100X10MM 272 11,848.00 72438239 WARMER FLEX SCOPE 272 376.00 72438240 ENDO CATCH 5MM 272 797.00 72438255 CATH CENTRAL 6FR 272 1,274.00 72438258 BIO EYE CONF PERF 22 272 5,460.00 72438260 KIT SIGMOIDSCOPE DISP/BLB 272 416.00 72438264 CANNULA SHUNTPEN 272 2,844.00 72438284 TREPHINE VACUUM 8.5 272 506.00 72438285 TREPHINE VACUUM 8.75 272 506.00 72438286 TREPHINE VACUUM 9 272 506.00 72438287 SCRAPPER 25GA 272 976.00 72438288 DRAPE MICROSCOPE 3598 272 146.00 72438290 SUT CV-0 THX-26 272 245.00 72438296 KIT CAROTID SHUNT 8FR 272 200.00 72438297 DEVICE OCCUL MALLEABLE 272 677.00 72438298 STENT BROCHIAL BS-0613S 272 1,923.00 72438299 BALL ELECTRODE 11770T 272 490.00 72438301 NDL BONE HARVST 11G 5.5in 272 362.00 72438320 GEL ETCHING DENTAL 272 237.00 72438321 TROCAR VERSAPORT SHORT 272 346.00 72438322 TROCAR MINI STEP 5MM 272 370.00 72438323 TROCAR 12MM CNULA/DLTR 272 609.00 72438324 SPRAY ADHERUS 272 3,299.00 72438329 CATH BACTISEAL ENDOSCOPIC 272 1,934.00 72438331 TUBE BLAKEMORE 12FR 272 1,303.00 72438332 TUBE BLAKEMORE 16FR 272 1,303.00 72438333 TUBE BLAKEMORE 20FR 272 1,303.00 72438344 IRRIGATOR HYDRO-SURG W/SR 272 426.00 72438349 BAG STAND ALONE DRAIN 272 342.00 72438354 SYSTEM SINUS DILAT 6FR 272 7,366.00 72438355 PACK NASAL HEMOST XEROGEL 272 1,024.00 72438373 TRAP LINE BUBBLE ADULT 272 455.00 72438377 CROSSLINK 32MM 272 4,550.00 72438378 HEMOCONCENTRATOR DHF0.2 272 455.00 72438381 REAMER ENTRY STEP 7.5/9.5 272 2,020.00 72438426 CONNECTOR ICP LUER 272 336.00 72438471 RESVR NEO W-RT ANG CAT 272 2,133.00 72438472 RESVR VENTRICLR 12MM 272 2,133.00 72438492 Pack ABD Endoscopic 272 359.00 72438493 Pack Arthroscopy 272 450.00 72438494 Pack Basic Cysto 272 222.00 72438495 Pack Basic 272 302.00 72438496 Pack Biopsy 272 416.00 72438497 Pack Cardiac Cath Lab 272 376.00 72438498 Pack Crani A&B 272 1,081.00 72438500 Tray EP 272 444.00 72438501 Pack Eye 272 217.00 72438502 Pack Hand 272 399.00 72438503 Pack Interventional 272 433.00 72438504 Pack Major Ortho 272 1,121.00 72438505 Pack Mini ENT Proc SetUp 272 433.00 72438506 Pack Minor Ortho 272 433.00 72438507 Pack Neuro Shunt 272 655.00 72438508 Pack Pediatric Open Hrt 272 1,286.00 72438509 Pack Pediatric 272 336.00 72438510 Pack Spine A&B 272 888.00 72438520 HOOK TRANSVRS XIA SS 272 1,991.00 72438521 HOOK TRANSVRS XIA SS 272 1,195.00 72438522 HOOK PED SM XIA SS 272 1,991.00 72438531 BLOCKERS 272 455.00 72438534 PUTTY DBM GEL 5CC 272 2,901.00 72438600 PACK CATARACT SOFT CONSTL 272 355.00 72438613 WIRE GUIDE SCRW 1.2MM 272 341.00 72438614 OSTEARAPTOR 2.9 W/UB 272 1,959.00 72438615 DRAIN EXTRNL LIMITOR 272 1,753.00 72438616 SUTR ANCHOR BIOCOMP 272 1,849.00 72438617 KIT INSTR DISP SUTR-TAK 272 990.00 72438618 KIT KNOT STNLESS STEEL 272 5,005.00 72438625 KIT DISP CORKSCRW 4.5M 272 1,195.00 72438626 DISTRACTR MAN MAGNET 272 2,844.00 72438627 ROD MAGEC 5.5MX70M 272 69,672.00 72438628 LIGHTMAT ULTRA ILLUM 272 468.00 72438629 BULLDOG DISP BLUE 272 173.00 72438630 FIBERLOOP 0.22IN' 272 455.00 72438644 PUTTY DBM GEL 1CC 272 1,195.00 72438645 PUTTY DBM GEL 10CC 272 5,119.00 72438664 BULLDOG DISP WHITE 272 173.00 72438689 BLLN NEPROSTOMY 24FR 272 1,641.00 72438690 BLLN NEPROSTOMY 30 FR 272 1,641.00 72438696 WIRE SENSR .035X150CM STR 272 437.00 72438710 PAD QUIKCLOT TRAMA 12X12 272 524.00 72438737 REAMER HEAD 9.5MM 272 2,791.00 72438738 REAMER HEAD 10MM 272 2,791.00 72438739 REAMER HEAD 10.5MM 272 2,791.00 72438740 REAMER HEAD 11MM 272 2,791.00 72438741 REAMER HEAD 11.5MM 272 2,791.00 72438742 REAMER HEAD 12MM 272 2,791.00 72438831 DRILL BONE HIGH 3.2X200M 272 1,243.00 72438832 SUT CARDIONYL 5-0 10MM 272 390.00 72438876 TUBING CLEARVIS NEURO 272 210.00 72438877 CORMATRIX 7X10 TYKE 272 5,157.00 72438878 RESCUE NET 3.0 CM 272 581.00 72438881 CATH ER-REBOA 272 7,944.00 72438882 KIT CATH INTODUCER 272 1,024.00 72438883 KIT MICROSENSR MRI COMPAT 272 3,854.00 72438900 GUID WIRE THRD 3.2M DRL 272 1,370.00 72438919 DRILL CANN 3.5MM 272 1,806.00 72438976 STENT LCRML LACRIFLOW 272 1,263.00 72438978 CONFORMER LG LUCITE 272 319.00 72438979 CONFORMER MED LUCITE 272 319.00 72438980 CONFORMER SM LUCITE 272 319.00 72438981 CRANIO SCULPT BONE 5CC 272 4,793.00 72438982 CRANIO SCULPT BONE 10CC 272 9,411.00 72438990 TEMPLT ORBITL FLR 30M 272 1,929.00 72438993 CVR BURRHOLE LOW PROF 272 1,257.00 72439001 CVR BURR CONTOUR 272 676.00 72439002 DRILL TWIST 1.9X70M 272 595.00 72439003 DRILL TWIST 1.5X115 272 595.00 72439007 DRILL TWIST 1.9X115M 272 595.00 72439020 TEMPL FOR 20 HOLE PLT 272 405.00 72439082 DRILL GUIDE THRD 2.5M 272 1,294.00 72439083 K-WIRE VISULASE 272 219.00 72439084 NUROKIT VISULSE 400-T10 272 55,719.00 72439085 NUROKIT VISULSE 400-T03 272 55,719.00 72439096 BURR T12 MIS T12MH30T 272 912.00 72439097 BURR T14 MIS T14MH30T 272 1,020.00 72439128 OXYGENATOR W/HVR RES 272 1,991.00 72439139 STENT DBL J 6FRX12CM 272 851.00 72439140 SONOTRODE STDRD STR 272 1,511.00 72439141 SONOTRODE STDRD ANG 272 1,625.00 72439142 SONOTRODE SMOOTH STR 272 1,625.00 72439143 SONOTRODE SMOOTH ANG 272 1,625.00 72439144 SONOTRODE II STDRD STR 272 1,984.00 72439145 SONOTRODE II STDRD STERL 272 2,133.00 72439156 PRESSURE MONITOR KIT 272 444.00 72439219 FORCEP DISP 7 272 1,722.00 72439220 SET TUBING CLEARVISION 272 210.00 72439221 DRL 1.1X50M 7M W NOTCH 272 1,578.00 72439222 DRL 1.9X50M W NOTCH 272 595.00 72439229 CONST 25G ARTIC LASR PRBE 272 1,502.00 72439237 BAR STABILIZER 272 595.00 72439238 SUT TI-CRON 2-0 CV-305 272 481.00 72439361 TUBE FEEDING MICKY 12X2.5 272 595.00 72439364 TUBE FEEDING MICKY 12X3.5 272 595.00 72439513 SEAL VESL JUST RT 3MM 272 3,982.00 72439514 STAPLE 5M JUST RT 272 3,982.00 72439515 RELOADS 25M JUST RT 272 1,991.00 72439517 DRAPE C-ARMOUR 272 365.00 72439518 PLT ORB FLR TRI 30MM 272 3,846.00 72439519 CATH CONECTR 8598A 272 2,048.00 72439520 CATH CONECTR 8596SC 272 2,276.00 72439521 CATH CONECTR 8785 272 1,366.00 72439523 DRAPE ELEKTA 154116 272 696.00 72439582 GELPORT LAPARASCOPIC 272 2,987.00 72439583 STRIP TRICORTAL 60MM FN 272 8,307.00 72439585 CATH RIGHT ANGLE MEDTR 272 1,089.00 72439586 PROBE ULTRASOUND 272 3,660.00 72439587 PROBE PNEUMATIC 272 1,919.00 72439588 STONE CATCHER 272 633.00 72439589 BLADE PLATE INF 3 HOLE 272 4,916.00 72439590 DRAPE ZEISS MICROSCOPE 272 152.00 72439607 OPTI-CIDE 3 272 569.00 72439636 SUT TI-CRON 2-0 CV331 272 795.00 72439643 CATH BLN XXL 14MMX4CMX75M 272 1,775.00 72439644 CATH BLN XXL 16MMX4CMX75M 272 1,777.00 72439645 CATH SHEATH 11/13 X 36CM 272 1,269.00 72439646 CATH SHEATH 11/13 X 28CM 272 1,269.00 72439647 SCOPE DISP UROLOGY 272 5,972.00 72439659 SILVER BULLET SM BLD 272 1,644.00 72439661 CUSA CLARITY 36 CVD SHEAP 272 4,500.00 72439662 CUSA CLARITY 36 CVD MICRP 272 4,760.00 72439663 CUSA CLARITY WRENCH 272 740.00 72439664 CUSA CLARITY TUBING SET 272 2,645.00 72439667 TOTAL PLUS VIT 25GA CONST 272 3,800.00 72439691 PLATE BIOBRIDGE RESORB 1M 272 4,380.00 72439693 LYOPLANT 2X2 272 1,806.00 72439694 LYOPLANT 1X3 272 1,806.00 72439708 DRILL W STOP 30CM KIT 2. 272 5,521.00 72439771 RETAINER NASAL 13 272 1,114.00 72439773 SPHERE 9.0 CURVE 18.0D PO 272 450.00 72439774 CORNEA WHOLE GLYCERO PLUS 272 1,839.00 72439775 ADHESIVE HISTOACRYL SKIN 272 317.00 72439779 PROBE CRYOBLATION 272 9,528.00 72439789 ADAPTER UROLOK 272 216.00 72439798 RETAINER NASAL 12 272 1,114.00 72439800 PACK VITRECT SOFT MAIN SG 272 363.00 72439801 CRANIOPLAST 272 4,345.00 72439802 PERF TUBING 1/4 X 3/8 X 4 272 2,641.00 72439803 SUT GORE CV-8 272 263.00 72439843 CANNULA VEN FEM 17FR 272 2,204.00 72439885 BLADE FULL RADIUS 2.0 272 542.00 72439890 SSEP CONN CABLE 8 DEPTH 272 1,485.00 72439893 FORCEP BIPOLAR INSERT 45 272 1,762.00 72439894 TREPHINE VACUUM 6.0 272 504.00 72439895 PUNCH CORNEA DONOR 6.5 272 449.00 72439915 CORNEA TREPHINE 4.00 272 409.00 72439916 CORNEA TREPHINE 5.00 272 409.00 72439917 CORNEA TREPHINE 5.50 272 409.00 72439918 CORNEA TREPHINE 9.25 272 406.00 72439919 CORNEA TRPHINE 9.50 272 407.00 72439920 CORNEA TREPHINE 10.00 272 408.00 72439921 CORNEA TREPHINE 10.50 272 407.00 72439922 CORNEA TREPHINE 11.00 272 408.00 72439923 CORNEA TREPHINE 11.50 272 407.00 72439924 CORNEA TREPHINE 12.00 272 427.00 72439925 CORNEA TREPHINE 13.00 272 427.00 72439926 CORNEA TREPHINE 14.00 272 429.00 72439996 SUCTN ENT DISP 9FR STLTH 272 1,955.00 72439998 TUNNELER FLUID 8 IN 272 409.00 72440002 POST INSULATED BRAINLAB 272 264.00 72440004 BURR TRANSNASAL3CM COURSE 272 1,744.00 72440005 BURR TRANSNASAL FLUTED 272 1,744.00 72440006 TUBING STRAIGHT SHOT 272 1,052.00 72440046 ALLODERM 2X4 272 3,994.00 72440047 NEEDLE BIOPSY NAVIGATED 272 2,130.00 72440101 TRNIQUET DISP 1.50 DELFI 272 360.00 72440102 TRNIQUET DISP 2.25 DELFI 272 360.00 72440103 TRNIQUET DISP 3.00 DELFI 272 360.00 72440104 TRNIQUET DISP 3.50 DELFI 272 360.00 72440116 KIT CATSPLUS START 272 919.00 72440122 CATH NEPHR COPE N/L 10FR 272 1,169.00 72440123 CATH NEPHR COPE N/L 12FR 272 1,345.00 72440124 CATH NEPHR COPE N/L 14FR 272 1,345.00 72450021 STYLET PACER MEDTRONIC 272 328.00 72450038 DRILL TWIST 1.1MM DIA KLS 272 765.00 72450043 BLADE SAW 532 SERIES SYNT 272 610.00 72450044 BLADE SAW SAGITTAL 90.0 272 208.00 72450053 BIT DRILL QC/GOLD 110 SYN 272 451.00 72450068 REAMER FLEXIBLE BIOMET 272 1,379.00 72450071 EXTRCTR TIP FOR REG SCRWS 272 669.00 72450072 EXTRCTR TIP RECS HED SCRW 272 656.00 72450103 KIT SYMPHONY II FS-60 DIS 272 2,844.00 72450104 MANIFOLD GRAFT DEL SYSTEM 272 1,400.00 72450132 WIRE SPINAL DEPUY 272 854.00 72510668 TRAY LACERATION STR SNAG 272 98.00 72715627 TUBE FEEDING 6F 272 99.00 72812789 FORCEP BPSY RDL JW 2.2/2 272 375.00 72815627 TUBE FEEDING 6F 272 99.00 72818453 SOL IV RING LACT 1000ML 272 217.00 72825673 SET DISP CIRCUMCISION 272 122.00 72836733 KIT GI COMPLIANCE 272 811.00 72839595 CONNECTR FEEDNG TUBE AMT 272 98.00 72840082 KIT BONE MARROW 16X2 ASP 272 221.00 72840412 NDL BX BONE MRRW 11G X 10 272 140.00 72847741 NDL BX BONE MRRW 13G X 9 272 140.00 72910668 TRAY LACERATION STR SNAG 272 98.00 72937740 ADHESIVE SKIN LIQUIBAND 272 122.00 73115624 TUBE FEEDING 5F 272 111.00 73115627 TUBE FEEDING 6F 272 99.00 73115631 TUBE FEEDING 8F 43IN WGH 272 115.00 73137740 ADHESIVE SKIN LIQUIBAND 272 122.00 73315627 TUBE FEEDING 6F 272 99.00 74110159 TUBE TRACH PED 3.5 272 288.00 74110763 BLN TRIPLE LUMEN RETRIVA 272 785.00 74110894 BLADE RAD 4.0MM 40 DEG 272 1,072.00 74110996 BLADE TRICUT 4MM STRT 272 1,072.00 74111752 CATH ELCTRO HEMOSTS 7FR 272 1,456.00 74112041 CATHETER PUSHER PC-7 272 382.00 74112815 GELFILM 4X5 272 3,043.00 74114047 BLADE RAD 60DEG 4.0MM CVD 272 1,106.00 74115624 TUBE FEEDING 5F 272 111.00 74115627 TUBE FEEDING 6F 272 99.00 74115659 TUBE FDNG 1 STEP 18 1.7 272 1,311.00 74115681 TUBE GASTRO REPLC 20F 272 540.00 74115713 TUBE TRACH NEO 3.5 272 288.00 74115995 WIRE GUID JAG .035 272 925.00 74116393 MINI CYSTO BRUSHES 272 279.00 74117582 LIGATOR MULTIBD 6-SHTR 272 1,980.00 74118696 SYR ASSY 60CC 272 1,120.00 74119521 PROBE ONE CHANNEL DISP 272 415.00 74119652 SET OASIS ONE ACTION 10F 272 484.00 74119720 SPHINCT HUIBREGTSF KNIFE 272 901.00 74121789 FORCEP BX GASTRO RAD JAW 272 383.00 74121791 SNARE POLYPECTOMY MICRO 272 228.00 74121792 SNARE POLYPECTOMY STANDAR 272 228.00 74121793 SNARE POLYPECTOMY PED 272 228.00 74121796 LIGATOR MULTI BAND SIX SH 272 1,297.00 74121797 INFLATION SYSTEM HAND MEC 272 2,475.00 74121800 NET RETRIVAL ROTH FOREIGN 272 649.00 74121801 NET RETRIVAL ROTH ROTATAB 272 533.00 74121802 BUTTN GASTRO 1 STEP 18FR 272 1,311.00 74121808 BUTTN GASTRO TUBE 18F 2 272 717.00 74122329 NDL SCLEROTHERAPY INTE 272 363.00 74122580 BUTTN GAST TUBE 24FX3.4CM 272 645.00 74123060 COBLATOR ULTRA 45 272 1,331.00 74123146 ELCTRD ENT 12.5M 82 272 672.00 74123167 BLADE TRICUT 3.5MM 272 1,058.00 74123968 WAND EVAC 70 XTRA 272 1,434.00 74124326 PAPILLOTOME .035 272 922.00 74124925 BASKET ZEROTIP 0.8 272 1,707.00 74125106 WRAP PEDI MEDIUM 272 328.00 74125215 BUR ANSPACH DIAM 3 S-3D 272 458.00 74125216 BUR ANSPACH DIAM 2 S-2D 272 458.00 74125217 BUR ANSPACH DIAM 1 S-1D 272 458.00 74125218 BUR ANSPACH S-5B 272 458.00 74125257 BUR DIAM BALL 5M S-5D 272 458.00 74125258 BUR DIAM BALL 3M S-3DC 272 458.00 74125259 BUR COARSE 4M S-4DX 272 458.00 74125260 BUR FLUTED 4M S-4B 272 471.00 74125261 BUR FLUTED 6M S-6B 272 471.00 74125276 TRI-TOME TRI-25 272 1,272.00 74125318 CANNULA ERCP ULTRA TPR 272 390.00 74125413 PROBE BRAVO PH 272 1,536.00 74125704 GUIDEWIRE STIFF .018X450M 272 837.00 74125775 KIT LIVING SUCTION RING 272 319.00 74126265 PILLCAM CAPSULE CAMERA 272 2,765.00 74126361 BUR DIAM 2M COARSE XTND 272 430.00 74126362 BUR DIAM 1.5MM XTND 272 430.00 74126514 KIT PEG STD 20FR PUSH 272 478.00 74127493 DEVICE CAPSULE DELIVERY 272 1,058.00 74127499 BLADE 2.9M INFERIOR TURB 272 1,409.00 74127621 BUR DIAM 4MM ANSPACH 272 458.00 74128290 DEVICE INFLATION 6667 272 506.00 74128524 BUR ANSPACH S-3B 272 471.00 74128920 KIT PULL PEG 18F X 3.4 272 1,263.00 74130166 CLIP RESOLUTION 2.8X235 272 1,215.00 74130553 BASKET FALCON RETRV 272 728.00 74130621 BALLN INFLATN DEV RELIEVA 272 611.00 74130942 FORCEP BX ORNGE RADL JAW 272 57.00 74131561 GDWR DRMTOME 44 .035X260 272 2,645.00 74131563 GDWR JAGTOME 39 .025X260 272 2,560.00 74131565 NDL KNIFE RX 272 1,331.00 74131566 CATH BLN RETRVL EXT9-12MM 272 1,058.00 74131567 CTH BLN RETRVL EXT12-15MM 272 1,058.00 74131568 CTH BLN RETRVL EXT15-18MM 272 1,058.00 74131570 BSKT RETRVL TRAPZD 2.0CM 272 1,769.00 74131572 BSKT RETRVL TRAPZD 3.0CM 272 1,769.00 74131573 CATH HURRICANE BLLN 4X4 272 1,809.00 74131574 CATH HURRICANE BLLN 6X4 272 1,809.00 74131575 CATH HURRICANE BLLN 8X4 272 1,809.00 74131578 BRUSH CYTOLOGY 272 900.00 74132227 PACK RETAL BX 272 649.00 74132508 BASKET WILSON-COOK MINI 272 1,400.00 74132663 BALLN MANOMETRY ANORCTL 272 512.00 74132669 SHEATH CATH MANOSHIELD 272 228.00 74132798 SYSTM RAPD REFILL CONT IN 272 209.00 74133095 VERSAFLEX 2 PH 272 1,001.00 74133883 NDL TRANS ORAL GEL 1.0 272 1,945.00 74133934 NDL CARR LOCK INJ 272 416.00 74134703 FORCEP BIPOL STRKR 1.0 272 2,753.00 74135713 FORCEP BX DISP OLYMPIC 272 248.00 74136369 BLADE 2MM INFERIOR TURBNT 272 1,525.00 74136374 SINUS IRR CATH VRTX-2 272 1,058.00 74136656 MT-20M MINI-TOME 272 1,161.00 74136733 KIT GI COMPLIANCE 272 811.00 74136738 ROTH NET FORIGN BODY MINI 272 785.00 74136786 HURRICANE RX 272 1,656.00 74136799 DEVICE SPEC RAPTOR GROUP 272 901.00 74137562 BALLOON DILAT HURICANE 6M 272 1,656.00 74137641 DEVICE GRASP MINI RAPTOR 272 922.00 74137802 BLADE PLASMA PEAK TNA 272 1,597.00 74137812 APPLIER CLIP 9.0.133650 272 445.00 74137813 APPLIER CLIP 9.75 134044 272 445.00 74137822 TIP PEAK SUCTION COAGLATN 272 341.00 74137878 NDL JAMSHDI SNRE 11G 4IN 272 294.00 74137879 NDL JAMSHDI SNRE 13G 2IN 272 341.00 74138114 Pack Cataract 272 359.00 74138144 WIRE NOVAGOLD .018X480CM 272 1,383.00 74138146 BASKET WIRE MEMORY SOFT 272 1,877.00 74138147 BASKET WIRE MEMORY 8 272 1,877.00 74138157 FILTER 3 PORT SMOKE EVAC 272 1,883.00 74138159 CLIP RESOLUTION 272 1,633.00 74138184 WAND PRECISE LW 272 3,697.00 74138185 WAND PROCISE MLW 272 3,697.00 74138279 IMPL FECAL TRNSPLNT SPEC 272 2,190.00 74138280 PILLCAM SB 3 CAPSULE 272 2,787.00 74138331 TUBE BLAKEMORE 12FR 272 1,303.00 74138332 TUBE BLAKEMORE 16FR 272 1,303.00 74138333 TUBE BLAKEMORE 20FR 272 1,303.00 74138355 PACK NASAL HEMOST XEROGEL 272 1,024.00 74138505 Pack Mini ENT Proc SetUp 272 433.00 74138878 RESCUE NET 3.0 CM 272 581.00 74138880 RAT TOOTH 272 424.00 74139590 DRAPE ZEISS MICROSCOPE 272 152.00 74226512 CATH ANORECTAL 4CH CIRC 272 2,133.00 74239582 GELPORT LAPAROSSCOPIC 272 2,987.00 74239583 STRIP TRICORTICAL 60MM FN 272 8,307.00 74239585 CATH RIGHT ANGLE MEDTR 272 1,089.00 74239586 PROBE ULTRASOUND 272 3,660.00 74239587 PROBE PNEUMATIC 272 1,919.00 74239588 STONE CATCHER 272 633.00 74239589 BLADE PLATE INF 3 HOLE 272 4,916.00 74239590 DRAPE ZEISS MICROSCOPE 272 152.00 74239661 CUSA CLARITY 36 CVD SHEAP 272 4,500.00 75010000 ADAPTR Y TRACHCARE NEO 6 272 113.00 75010001 ADAPTR Y TRACHCARE NEO 8 272 113.00 75010251 CATH IV ANGIO 14GX5.25IN 272 112.00 75011760 FOGERDY EMBO CATH 4FR 272 922.00 75011980 CATH MALECOT 24F 272 113.00 75012789 FORCEP BPSY RDL JW 2.2 272 375.00 75015361 TUBE FEEDING 8F 43IN WGH 272 115.00 75015624 TUBE FDNG 5F 272 111.00 75015627 TUBE FDNG 6F 272 99.00 75015628 TUBE FDNG 6F WGHTD 272 123.00 75015631 TUBE FDNG 8F 43 272 115.00 75015650 TUBE FDNG MICKEY 14 1.2 272 600.00 75016983 DRAPE WARM UNIT DISP STER 272 337.00 75018453 SOL IV RING LACT 1000ML 272 217.00 75018875 TRAY TRACH 10F NEO/PED Y 272 126.00 75018876 TRAY TRACH 12F NEO/PED Y 272 126.00 75019341 KIT RPR BROV 7F WHT LEG 272 807.00 75020403 TROCAR DISP SPLIT 272 1,479.00 75023023 SET QUICK PRESSURE MONITR 272 597.00 75024618 SET DIL C-JCDS-100 272 560.00 75025673 SET CIRCUMCISN DISP 272 122.00 75025959 MANIFOLD APD DRAIN 272 18.00 75026153 KIT RPR BROVIAC 7F EXT SE 272 870.00 75027701 SHIELD XRAY GENITAL NEWB 272 120.00 75027718 CANNULA BLUNT PLASTIC 272 114.00 75027834 STAPLER SKIN 35W MULTIFIR 272 150.00 75027859 SET NASAL CAPNOLINE H 02 272 122.00 75027874 FILTER PRISMA PRE DILTN H 272 1,331.00 75028995 CATH ACCESS PORT KIT 272 228.00 75031206 DSG QKCLOT XR DETECT 4X4 272 427.00 75031503 CATH LICOX DL BOLT 272 4,237.00 75032689 IMMOBILIZER KNEE 3-PAN 2 272 122.00 75032694 IMMOBILIZER KNEE SUPER SM 272 95.00 75032695 IMMOBILIZER KNEE SUPER M 272 95.00 75032696 IMMOBILIZER KNEE SUPER LG 272 95.00 75033795 ADHES SKIN DERMABOND PEN 272 165.00 75033864 SENSOR TEMP DISP SURESEN 272 91.00 75033941 ELTRD DFBR ADLT 5.75X3.7 272 123.00 75034302 SLEEVE CALF SMALL DVT 272 124.00 75034500 BAG RESERVOIR PEDIATRIC R 272 117.00 75034503 BAG RESERVOIR ADULT SPUR 272 116.00 75034647 GJ TUBE 18FR 3.5CMX45CM 272 1,838.00 75034704 GJTUBE 14FR X 1.2CM X30CM 272 2,275.00 75034705 GJTUBE 14FR X 1.5CM X45CM 272 2,275.00 75034706 GJTUBE 14FR X 1.7CM X45CM 272 2,275.00 75034707 GJTUBE 14FR X 2CM X 45CM 272 2,275.00 75034708 GJTUBE 14FR X 2.5CM X45CM 272 2,275.00 75034709 GJTUBE 14FR X 3CM X 45CM 272 2,275.00 75035052 DRSG AQUACEL 3.5 X 12 272 362.00 75035132 PACK CATARACT 272 392.00 75035491 VELOCITY NAVX ELECT KIT 272 4,161.00 75035618 TRACH BIVONA 4.0 TTS 272 1,269.00 75035619 TRACH BIVONA 3.5 TTS 272 1,269.00 75035957 ADAPTER TRIVALVE DBL PLAY 272 139.00 75035958 SNARE MINI ENSNARE 2-4MM 272 3,754.00 75035959 SNARE MINI ENSNARE 4-8MM 272 3,754.00 75035960 SNARE MINI ENSNARE 6-10MM 272 2,048.00 75035961 SNARE MINI ENSNARE 27-45M 272 2,048.00 75035981 CATH MICRO MAGIC 1.2FX120 272 4,124.00 75035982 CATH MICRO MAGIC 1.5FX121 272 3,754.00 75036733 KIT GI COMPLIANCE 272 811.00 75036749 TRACH NEONATE CUFFLES 2.5 272 387.00 75036813 PICC SET 2.6X50 DBL LUMEN 272 715.00 75037095 ELECTRDE ADLT ZOLL 1STEP 272 453.00 75037096 ELECTRODE PED ZOLL 1STEP 272 453.00 75037740 ADHES SKIN LIQUID BAND 272 122.00 75037741 ONQ PAIN PUMP 400ML 272 1,923.00 75037742 ONQ PAIN PUMP 270ML 272 1,923.00 75037823 SET ADMIN TRIF 60" 20 DR 272 101.00 75037927 CABLE EXT DISP BLUE 272 342.00 75037928 CABLE EXT DISP WHITE 272 342.00 75037944 BRIDLE, MICRO 6FR 272 717.00 75037945 BRIDLE, MICRO 8FR 272 717.00 75038124 Pack Minor Ortho - SDC 272 433.00 75038207 FEED TUBE MICKEY 14FR 4CM 272 615.00 75038253 BRIDLE MICRO 5 FR 272 717.00 75038607 DUAL SHEATH SNARE RETR KT 272 2,901.00 75038608 DENALI IVC FEMORAL KIT 272 5,375.00 75038609 DENALI IVC JUGULAR KIT 272 5,375.00 75038615 DRAIN EXTRNAL LIMITOR 272 1,753.00 75038883 KIT MICROSENSR MRI COMPAT 272 4,044.00 75039496 TRAY PNEUMOTHOR WAYNE14FR 272 1,221.00 75039560 RETRACTOR RADIALUX 272 1,613.00 75039595 CONNECTR FEEDNG TUBE AMT 272 98.00 75039616 INTRODUCER PEEL-AWAY 20F 272 331.00 75039626 Relizorb cartridge 272 344.00 75039628 Tray Contin Epidural 19g 272 212.00 75039655 CATH PED PIGTAIL 4F X 65 272 180.00 75039711 ELECTRODE PRO-PADZ RADIOT 272 405.00 75039712 ELECTRODE PEDI-PADZ SOL 272 291.00 75039713 ELECTRODE PEDI-PADZ RADIT 272 368.00 75039737 125 CM TUBING SOLUTION ST 272 954.00 75039741 Stopcock 1 WAY HIGH PRES 272 906.00 75039742 Stopcock 3 WAY LOW PRESS 272 1,144.00 75039744 CADENCE SYRINGE 272 2,675.00 75039762 .014 SYNCHRO 2 STANDARD E 272 3,408.00 75039764 SHEATH 5FR SLENDER 272 1,873.00 75039765 DESTINATION SHEATH 7F X 5 272 558.00 75039766 DESTINATION SHEATH 8F X 5 272 558.00 75039817 4F X 100CM .035 HH1 CATH 272 136.00 75039821 4F 100CM .038 JB1 CATH 272 173.00 75039823 5F X 130CM .038 JB1 CATH 272 674.00 75039824 4F X 100CM .035 SW1 CATH 272 136.00 75039839 3F X 65CM .025 PIGTAIL CH 272 236.00 75039853 ELECTRODE ONESTEP PEDS 272 484.00 75039862 SCEPTER XC 4MM X 11MM 272 4,724.00 75039863 HEADWAY DUO MICROCATH 156 272 3,698.00 75039865 6F X 90CM ENVOY GUIDECATR 272 2,650.00 75039908 4F NITINOL MICROPUNCTURET 272 170.00 75039941 tube trach 4.5 ped flxtn 272 1,330.00 75039965 PEDS DEFIB PAD RADIOTRANS 272 477.00 75039966 ADULT DEFIB PAD RADIOTRN 272 545.00 75039970 OSTEO-SITE 11G X 10CM 272 358.00 75039971 OSTEO-SITE 11G X 15CM 272 358.00 75039972 OSTEO-SITE 13G X 10CM 272 358.00 75039973 OSTEO-SITE 13G X 15CM 272 358.00 75039974 OSTEO-SITE 15G X 10CM 272 358.00 75039975 OSTEO-SITE 15G X 15CM 272 358.00 75039976 GEL-BLOCK PLEDGETS .021 272 484.00 75039980 HEADWAY DUO MICROCATH 16M 272 3,698.00 75039981 TREVO XP 3X20MM 272 30,788.00 75039982 8F X 85CM FLOWGATE BALLON 272 4,987.00 75039992 TUBE TRACH 4.0 PED FLEXTN 272 533.00 75039993 TUBE TRACH 4.5 PED FLEXTN 272 549.00 75039994 TUBE TRACH 6 PLC SHILEY 272 373.00 75040126 PAD HIP FOOT 272 568.00 75040136 DRAPE INCISE LG 3M 272 636.00 75040139 GUIDEWIRE ANG .035X260CM 272 327.00 75040144 IMPRESS ANGIOGRAPH CATH 272 355.00 75040146 VERIFY ULTRASONIC INDICAT 272 148.00 75040147 DURAHOLDER 300 272 988.00 75040148 NEEDLE NON-STIM 22GAX31/8 272 2,003.00 75040151 SYRINGE LOR 5ML LUER SLIP 272 1,262.00 75040152 SHAVE BLADE 2.0MM FULLRAD 272 1,839.00 79715627 TUBE FEEDING 6F 272 99.00 37024690 SYR COLLAGEN 1ML DEFLUX 274 4,161.00 70124690 SYR COLLAGEN 1ML DEFLUX 274 10,801.00 72410077 IMMOB KNEE TRIPNL 274 159.00 72413110 IMMOB KNEE TRIPNL DR22 274 184.00 72415864 VALVE TRAC SPEAK PASSY-MU 274 463.00 72424716 SPLNT THUMB SPICA RT M/L 274 157.00 72425601 VALVE SPEAKNG PASSY-MUIR 274 430.00 72429928 CLLR MIAMI J 2 TO 6YR 274 387.00 72430515 CLLR MIAMI J PED 6-12YRS 274 387.00 72430516 CLLR MIAMI J ADULT LARGE 274 387.00 72430517 CLLR MIAMI J ADULT MED 274 387.00 72430518 CLLR MIAMI J ADULT SMALL 274 387.00 72430519 CLLR MIAMI J-PED 0-6MOS 274 387.00 72430520 CLLR MIAMI J-PED 6MO-2YR 274 387.00 72430521 CLLR MIAMI J-PED 2YR-6YR 274 387.00 72432697 PILLOW HIP ABDCTN 18 274 190.00 72432698 PILLOW HIP ABDCTN 23 274 220.00 72435256 IMPLANT KNEE RS AXLE 274 2,583.00 72435257 IMPLANT KNEE FEMORAL HEAD 274 5,415.00 72435258 IMPLANT KNEE FEM BUSHING 274 2,384.00 72435273 ROD RUSH SMALL 2.5CM 274 592.00 72435274 ROD RUSH MED-SM 11.4CM 274 592.00 72437943 PLATE BLADE 3 HOLE 274 4,914.00 74141278 AUD OSSEOINT DEV EXTERN 274 6,968.00 75015864 VALVE TRAC SPEAK PASSY-MU 274 380.00 75035723 PELVIC BINDER 274 1,468.00 72429178 PCMKR 2-CH ADAPTA ADDR01 275 25,859.00 72429181 PCMKR 2-CH ADAPTA ADDRS1 275 24,053.00 72429182 PCMKR 2-CH VERSA VEDR01 275 23,072.00 72429186 PCMKR 1-CH ADAPTA ADSR01 275 19,887.00 72429188 PCMKR 1-CH ADAPTA ADSR06 275 19,887.00 72431304 PCMKR 2CH RR CH W ATP 275 20,524.00 72434136 PACEMKR 2-CHMBR C4TR01 275 32,195.00 72437258 PCMKR CRD ADVISA DR MRI 275 2,986.00 72437259 PCMKR CRD 7.5M 45.4X52.3 275 4,266.00 70128351 LENS AL MA30AC DIOP +12.0 276 847.00 70128352 LENS AL MA30AC DIOP +13.0 276 847.00 70128353 LENS AL MA30AC DIOP +14.0 276 847.00 70128355 LENS AL MA30AC DIOP +16.0 276 847.00 70128356 LENS AL MA30AC DIOP +17.0 276 847.00 70128357 LENS AL MA30AC DIOP +18.0 276 847.00 70128358 LENS AL MA30AC DIOP +19.0 276 847.00 70128359 LENS AL MA30AC DIOP +19.5 276 847.00 70128360 LENS AL MA30AC DIOP +20.0 276 847.00 70128361 LENS AL MA30AC DIOP +20.5 276 847.00 70128362 LENS AL MA30AC DIOP +21.0 276 847.00 70128363 LENS AL MA30AC DIOP +21.5 276 847.00 70128364 LENS AL MA30AC DIOP +22.0 276 847.00 70128365 LENS AL MA30AC DIOP +22.5 276 847.00 70128366 LENS AL MA30AC DIOP +23.0 276 847.00 70128367 LENS AL MA30AC DIOP +23.5 276 847.00 70128368 LENS AL MA30AC DIOP +24.0 276 847.00 70128369 LENS AL MA30AC DIOP +24.5 276 847.00 70128370 LENS AL MA30AC DIOP +25.0 276 847.00 70128371 LENS AL MA30AC DIOP +25.5 276 847.00 70128372 LENS AL MA30AC DIOP +26.0 276 847.00 70128373 LENS AL MA30AC DIOP +26.5 276 847.00 70128374 LENS AL MA30AC DIOP +27.0 276 847.00 70128375 LENS AL MA30AC DIOP +27.5 276 847.00 70128376 LENS AL MA30AC DIOP +28.0 276 847.00 70128377 LENS AL MA30AC DIOP +28.5 276 847.00 70128378 LENS AL MA30AC DIOP +29.0 276 847.00 70128379 LENS AL MA30AC DIOP +29.5 276 847.00 70128380 LENS AL MA30AC DIOP +30.0 276 847.00 70128383 LENS AL MA60AC DIOP +10.0 276 847.00 70128385 LENS AL SA60AT DIOP +10.0 276 915.00 70128386 LENS AL SA60AT DIOP +11.0 276 915.00 70128387 LENS AL SA60AT DIOP +12.0 276 915.00 70128388 LENS AL SA60AT DIOP +13.0 276 915.00 70128389 LENS AL SA60AT DIOP +14.0 276 915.00 70128390 LENS AL SA60AT DIOP +15.0 276 915.00 70128391 LENS AL SA60AT DIOP +16.0 276 915.00 70128392 LENS AL SA60AT DIOP +17.0 276 915.00 70128393 LENS AL SA60AT DIOP +18.0 276 915.00 70128394 LENS AL SA60AT DIOP +19.0 276 915.00 70128395 LENS AL SA60AT DIOP +20.0 276 915.00 70128396 LENS AL SA60AT DIOP +21.0 276 915.00 70128397 LENS AL SA60AT DIOP +22.0 276 915.00 70128398 LENS AL SA60AT DIOP +23.0 276 915.00 70128399 LENS AL SA60AT DIOP +24.0 276 915.00 70128400 LENS AL SA60AT DIOP +25.0 276 915.00 70128401 LENS AL SA60AT DIOP +26.0 276 915.00 70128402 LENS AL SA60AT DIOP +27.0 276 915.00 70128403 LENS AL SA60AT DIOP +28.0 276 915.00 70128404 LENS AL SA60AT DIOP +29.0 276 915.00 70128405 LENS AL SA60AT DIOP +30.0 276 915.00 70128406 LENS AL SA60AT DIOP +31.0 276 915.00 70128407 LENS AL SA60AT DIOP +32.0 276 915.00 70128408 LENS AL SA60AT DIOP +33.0 276 915.00 70128409 LENS AL SA60AT DIOP +34.0 276 915.00 70128410 LENS AL SA60AT DIOP +35.0 276 915.00 70129103 LENS AL SA60AT DIOP +11.5 276 915.00 70129104 LENS AL SA60AT DIOP +12.5 276 915.00 70129105 LENS AL SA60AT DIOP +13.5 276 915.00 70129107 LENS AL SA60AT DIOP +15.5 276 915.00 70129108 LENS AL SA60AT DIOP +16.5 276 915.00 70129109 LENS AL SA60AT DIOP +17.5 276 915.00 70129110 LENS AL SA60AT DIOP +18.5 276 915.00 70129111 LENS AL SA60AT DIOP +19.5 276 915.00 70129112 LENS AL SA60AT DIOP +20.5 276 915.00 70129113 LENS AL SA60AT DIOP +21.5 276 915.00 70129114 LENS AL SA60AT DIOP +22.5 276 915.00 70129115 LENS AL SA60AT DIOP +23.5 276 915.00 70129116 LENS AL SA60AT DIOP +24.5 276 915.00 70129117 LENS AL SA60AT DIOP +25.5 276 915.00 70129118 LENS AL SA60AT DIOP +26.5 276 915.00 70129119 LENS AL SA60AT DIOP +27.5 276 915.00 70129120 LENS AL SA60AT DIOP +28.5 276 915.00 70129121 LENS AL SA60AT DIOP +29.5 276 915.00 70129122 LENS AL SA60AT DIOP +36.0 276 915.00 70129123 LENS AL SA60AT DIOP +37.0 276 915.00 70129124 LENS AL SA60AT DIOP +38.0 276 915.00 70129125 LENS AL SA60AT DIOP +39.0 276 915.00 70129126 LENS AL SA60AT DIOP +40.0 276 915.00 70129127 LENS AL MA60AC DIOP +10.5 276 915.00 70129128 LENS AL MA60AC DIOP +11.0 276 915.00 70129129 LENS AL MA60AC DIOP +11.5 276 915.00 70129130 LENS AL MA60AC DIOP +12.0 276 915.00 70129131 LENS AL MA60AC DIOP +12.5 276 915.00 70129132 LENS AL MA60AC DIOP +13.0 276 915.00 70129133 LENS AL MA60AC DIOP +13.5 276 915.00 70129134 LENS AL MA60AC DIOP +14.0 276 915.00 70129135 LENS AL MA60AC DIOP +14.5 276 915.00 70129137 LENS AL MA60AC DIOP +15.5 276 915.00 70129138 LENS AL MA60AC DIOP +16.0 276 915.00 70129139 LENS AL MA60AC DIOP +16.5 276 915.00 70129140 LENS AL MA60AC DIOP +17.0 276 915.00 70129141 LENS AL MA60AC DIOP +17.5 276 915.00 70129142 LENS AL MA60AC DIOP +18.0 276 915.00 70129143 LENS AL MA60AC DIOP +18.5 276 915.00 70129144 LENS AL MA60AC DIOP +19.0 276 915.00 70129145 LENS AL MA60AC DIOP +19.5 276 915.00 70129146 LENS AL MA60AC DIOP +20.0 276 915.00 70129147 LENS AL MA60AC DIOP +20.5 276 915.00 70129148 LENS AL MA60AC DIOP +21.0 276 915.00 70129149 LENS AL MA60AC DIOP +21.5 276 915.00 70129150 LENS AL MA60AC DIOP +22.0 276 915.00 70129151 LENS AL MA60AC DIOP +22.5 276 915.00 70129152 LENS AL MA60AC DIOP +23.0 276 915.00 70129153 LENS AL MA60AC DIOP +23.5 276 915.00 70129154 LENS AL MA60AC DIOP +24.0 276 915.00 70129155 LENS AL MA60AC DIOP +24.5 276 915.00 70129156 LENS AL MA60AC DIOP +25.0 276 915.00 70129157 LENS AL MA60AC DIOP +25.5 276 915.00 70129158 LENS AL MA60AC DIOP +26.0 276 915.00 70129159 LENS AL MA60AC DIOP +26.5 276 915.00 70129161 LENS AL MA60AC DIOP +27.5 276 915.00 70129162 LENS AL MA60AC DIOP +28.0 276 915.00 70129163 LENS AL MA60AC DIOP +28.5 276 915.00 70129164 LENS AL MA60AC DIOP +29.0 276 915.00 70129165 LENS AL MA60AC DIOP +29.5 276 915.00 70129166 LENS AL MA60AC DIOP +30.0 276 915.00 70129167 LENS AL MA30AC DIOP +10.0 276 847.00 70129168 LENS AL MA30AC DIOP +10.5 276 847.00 70129169 LENS AL MA30AC DIOP +11.0 276 847.00 70129170 LENS AL MA30AC DIOP +11.5 276 847.00 70129171 LENS AL MA30AC DIOP +12.5 276 847.00 70129172 LENS AL MA30AC DIOP +13.5 276 847.00 70129173 LENS AL MA30AC DIOP +14.5 276 847.00 70129174 LENS AL MA30AC DIOP +15.5 276 847.00 70129175 LENS AL MA30AC DIOP +16.5 276 847.00 70129176 LENS AL MA30AC DIOP +17.5 276 847.00 70129177 LENS AL MA30AC DIOP+18 276 847.00 70150001 LENS OCULAR MA60AC 276 847.00 71226160 LENS AL MA60AC DIOP +27.0 276 804.00 72428351 LENS AL MA30AC DIOP +12.0 276 847.00 72428352 LENS AL MA30AC DIOP +13.0 276 847.00 72428353 LENS AL MA30AC DIOP +14.0 276 847.00 72428354 LENS AL MA30AC DIOP +15.0 276 847.00 72428355 LENS AL MA30AC DIOP +16.0 276 847.00 72428356 LENS AL MA30AC DIOP +17.0 276 847.00 72428357 LENS AL MA30AC DIOP +18.0 276 847.00 72428358 LENS AL MA30AC DIOP +19.0 276 847.00 72428359 LENS AL MA30AC DIOP +19.5 276 847.00 72428360 LENS AL MA30AC DIOP +20.0 276 847.00 72428361 LENS AL MA30AC DIOP +20.5 276 847.00 72428362 LENS AL MA30AC DIOP +21.0 276 847.00 72428363 LENS AL MA30AC DIOP +21.5 276 847.00 72428364 LENS AL MA30AC DIOP +22.0 276 847.00 72428365 LENS AL MA30AC DIOP +22.5 276 847.00 72428366 LENS AL MA30AC DIOP +23.0 276 847.00 72428367 LENS AL MA30AC DIOP +23.5 276 847.00 72428368 LENS AL MA30AC DIOP +24.0 276 847.00 72428369 LENS AL MA30AC DIOP +24.5 276 847.00 72428370 LENS AL MA30AC DIOP +25.0 276 847.00 72428371 LENS AL MA30AC DIOP +25.5 276 847.00 72428372 LENS AL MA30AC DIOP +26.0 276 847.00 72428373 LENS AL MA30AC DIOP +26.5 276 847.00 72428374 LENS AL MA30AC DIOP +27.0 276 847.00 72428375 LENS AL MA30AC DIOP +27.5 276 847.00 72428376 LENS AL MA30AC DIOP +28.0 276 847.00 72428377 LENS AL MA30AC DIOP +28.5 276 847.00 72428378 LENS AL MA30AC DIOP +29.0 276 847.00 72428379 LENS AL MA30AC DIOP +29.5 276 847.00 72428380 LENS AL MA30AC DIOP +30.0 276 847.00 72428383 LENS AL MA60AC DIOP +10.0 276 847.00 72428385 LENS AL SA60AT DIOP +10.0 276 915.00 72428386 LENS AL SA60AT DIOP +11.0 276 915.00 72428387 LENS AL SA60AT DIOP +12.0 276 915.00 72428388 LENS AL SA60AT DIOP +13.0 276 915.00 72428389 LENS AL SA60AT DIOP +14.0 276 915.00 72428390 LENS AL SA60AT DIOP +15.0 276 915.00 72428391 LENS AL SA60AT DIOP +16.0 276 915.00 72428392 LENS AL SA60AT DIOP +17.0 276 915.00 72428393 LENS AL SA60AT DIOP +18.0 276 915.00 72428394 LENS AL SA60AT DIOP +19.0 276 915.00 72428395 LENS AL SA60AT DIOP +20.0 276 915.00 72428396 LENS AL SA60AT DIOP +21.0 276 915.00 72428397 LENS AL SA60AT DIOP +22.0 276 915.00 72428398 LENS AL SA60AT DIOP +23.0 276 915.00 72428399 LENS AL SA60AT DIOP +24.0 276 915.00 72428400 LENS AL SA60AT DIOP +25.0 276 915.00 72428401 LENS AL SA60AT DIOP +26.0 276 915.00 72428402 LENS AL SA60AT DIOP +27.0 276 915.00 72428403 LENS AL SA60AT DIOP +28.0 276 915.00 72428404 LENS AL SA60AT DIOP +29.0 276 915.00 72428405 LENS AL SA60AT DIOP +30.0 276 915.00 72428406 LENS AL SA60AT DIOP +31.0 276 915.00 72428407 LENS AL SA60AT DIOP +32.0 276 915.00 72428408 LENS AL SA60AT DIOP +33.0 276 915.00 72428409 LENS AL SA60AT DIOP +34.0 276 915.00 72428410 LENS AL SA60AT DIOP +35.0 276 915.00 72429104 LENS AL SA60AT DIOP +12.5 276 915.00 72429105 LENS AL SA60AT DIOP +13.5 276 915.00 72429107 LENS AL SA60AT DIOP +15.5 276 915.00 72429108 LENS AL SA60AT DIOP +16.5 276 915.00 72429109 LENS AL SA60AT DIOP +17.5 276 915.00 72429112 LENS AL SA60AT DIOP +20.5 276 915.00 72429114 LENS AL SA60AT DIOP +22.5 276 915.00 72429115 LENS AL SA60AT DIOP +23.5 276 915.00 72429116 LENS AL SA60AT DIOP +24.5 276 915.00 72429117 LENS AL SA60AT DIOP +25.5 276 915.00 72429118 LENS AL SA60AT DIOP +26.5 276 915.00 72429119 LENS AL SA60AT DIOP +27.5 276 915.00 72429121 LENS AL SA60AT DIOP +29.5 276 915.00 72429123 LENS AL SA60AT DIOP +37.0 276 915.00 72429124 LENS AL SA60AT DIOP +38.0 276 915.00 72429125 LENS AL SA60AT DIOP +39.0 276 915.00 72429126 LENS AL SA60AT DIOP +40.0 276 915.00 72429127 LENS AL MA60AC DIOP +10.5 276 915.00 72429129 LENS AL MA60AC DIOP +11.5 276 915.00 72429130 LENS AL MA60AC DIOP +12.0 276 915.00 72429131 LENS AL MA60AC DIOP +12.5 276 915.00 72429132 LENS AL MA60AC DIOP +13.0 276 915.00 72429133 LENS AL MA60AC DIOP +13.5 276 915.00 72429134 LENS AL MA60AC DIOP +14.0 276 915.00 72429135 LENS AL MA60AC DIOP +14.5 276 915.00 72429177 LENS AL MA30AC DIOP+18 276 847.00 72439847 LENS CONTACT SUPERVIEW HC 276 481.00 37012324 BONE CANC CHIP 15CC 278 1,720.00 37013348 NAIL ELASTIC 475.920 2.0/ 278 1,723.00 37013349 NAIL ELASTIC 475.925 2.50 278 1,906.00 37013858 PLATE TIT 441.37 7H/85TBL 278 553.00 37013882 PLTE TUB 1/3 8H 241.38 9 278 461.00 37013916 PORT REG 6.8FR R#060220 278 1,866.00 37014205 SCRW CA 206.016 4.0/16 F 278 192.00 37014305 SCRW CA 205.018 3.5/18/6 278 1,379.00 37014306 SCRW CA 205.022 3.5/22/7 278 1,379.00 37014307 SCRW CA 205.026 3.5/26/8 278 1,379.00 37014308 SCRW CA 205.028 3.5/28/9 278 1,379.00 37014309 SCRW CA 205.030 3.5/30/10 278 1,379.00 37014310 SCRW CA 205.032 3.5/32/11 278 1,379.00 37014311 SCRW CA 205.034 3.5/34/11 278 1,379.00 37014312 SCRW CA 205.036 3.5/36/12 278 1,379.00 37014313 SCRW CA 205.038 3.5/38/12 278 1,379.00 37014314 SCRW CA 205.040 3.5/40/13 278 1,379.00 37014315 SCRW CA 205.044 3.5/44/14 278 1,379.00 37014316 SCRW CA 205.046 3.5/46/15 278 1,379.00 37014320 SCRW CA 205.220 3.5 278 1,379.00 37014321 SCRW CA 205.226 3.5/26 F 278 1,379.00 37014322 SCRW CA 205.232 3.5/32 F 278 1,379.00 37014326 SCRW CA 207.612 4.0/12 ST 278 1,181.00 37014327 SCRW CA 207.614 4.0/14 ST 278 1,243.00 37014328 SCRW CA 207.616 4.0/16 ST 278 1,454.00 37014329 SCRW CA 207.618 4.0/18 ST 278 1,181.00 37014330 SCRW CA 207.620 4.0/20 ST 278 1,345.00 37014331 SCRW CA 207.622 4.0/22 ST 278 1,345.00 37014332 SCRW CA 207.624 4.0/24 ST 278 1,345.00 37014333 SCRW CA 207.626 4.0/26 S 278 1,181.00 37014334 SCRW CA 207.628 4.0/28 S 278 1,181.00 37014335 SCRW CA 207.630 4.0/30 S 278 1,181.00 37014336 SCRW CA 207.632 4.0/32 S 278 1,454.00 37014337 SCRW CA 207.634 4.0/34 S 278 1,454.00 37014338 SCRW CA 207.636 4.0/36 S 278 1,454.00 37014339 SCRW CA 207.638 4.0/38 S 278 1,454.00 37014340 SCRW CA 207.640 4/40 ST 278 1,454.00 37014341 SCRW CA 207.642 4/42 ST 278 1,454.00 37014342 SCRW CA 207.644 4.0/44 S 278 1,454.00 37014343 SCRW CA 207.646 4.0/46 S 278 1,454.00 37014344 SCRW CA 207.650 4.0/50 S 278 1,454.00 37014345 SCRW CA 207.716 4.0/16 278 1,181.00 37014348 SCRW CA 207.722 4.0/22 278 1,038.00 37014349 SCRW CA 207.724 4.0/24 278 874.00 37014350 SCRW CA 207.726 4.0/26 278 1,181.00 37014351 SCRW CA 207.728 4.0/28 278 1,181.00 37014352 SCRW CA 207.730 4.0/30 278 1,181.00 37014353 SCRW CA 207.732 4.0/32 278 1,181.00 37014354 SCRW CA 207.734 4.0/34 278 1,379.00 37014355 SCRW CA 207.736 4.0/36 278 1,345.00 37014356 SCRW CA 207.738 4/38 278 1,181.00 37014357 SCRW CA 207.740 4.0/40 278 1,454.00 37014359 SCRW CA 207.746 4.0/46 278 1,345.00 37014360 SCRW CA 207.748 4.0/48 278 1,181.00 37014361 SCRW CA 207.750 4.0/50 278 1,242.00 37014392 SCRW CA 208.905 7.3/105 278 1,218.00 37014393 SCRW CA 208.910 7.3/110 278 1,368.00 37014394 SCRW CA 208.915 7.3/115 278 1,368.00 37014395 SCRW CA 208.920 7.3/120 278 1,368.00 37014440 SCRW CA 214.544 4.5/44/15 278 1,254.00 37014442 SCRW CA 214.548 4.5/48 PT 278 1,393.00 37014444 SCRW CA 214.552 4.5/52 278 1,393.00 37014446 SCRW CA 214.556 4.5/56/19 278 1,393.00 37014447 SCRW CA 214.560 4.5/60/20 278 1,254.00 37014521 SCRW CTX 204.812 3.5/12 S 278 202.00 37014522 SCRW CTX 204.814 3.5/14 S 278 202.00 37014523 SCRW CTX 204.816 3.5/16 S 278 202.00 37014524 SCRW CTX 204.818 3.5/18 S 278 202.00 37014525 SCRW CTX 204.820 3.5/20 S 278 202.00 37014526 SCRW CTX 204.822 3.5/22 S 278 202.00 37014687 SCREW 3.5MM TIT CTX 12MM 278 223.00 37014688 SCREW 3.5MM TIT CTX 14MM 278 223.00 37014689 SCREW 3.5MM TIT CTX 16MM 278 223.00 37015891 WASHER 10.0 219.91 278 246.00 37015892 WASHER 13.0 219.99 LG 278 253.00 37015893 WASHER 7.0 219.98 SM 278 242.00 37015923 WIRE GUID 292.62 1.25 TH 278 276.00 37015927 WIRE GUID 292.68 2.8 THR 278 400.00 37015929 WIRE GUID 292.72 1.6/150T 278 312.00 37025585 TUTOPLAST 03X12CM 68028 278 2,702.00 37026369 IMPL TUTOPLAST SCLERA.5 278 1,809.00 37026417 MONOKA SELF THRDNG WIDE M 278 628.00 37026617 SCRW CA 205.024 3.5 278 1,181.00 37027381 TUBE CRAWFORD 278 424.00 37027382 P-TOSE UP 2MM 278 173.00 37027406 TUBE EAR ARMSTRONG 278 128.00 37027570 SET STENT CFX 3.7F/8-20CM 278 676.00 37027614 IMPL TUTOPLAST .3X18 278 2,986.00 37028414 FOAM FLOW VITOSS 10CC 278 5,972.00 37028558 SCRW CA 205.016 3.5/16/6 278 1,318.00 37028559 SCRW CA 205.020 3.5/20/7 278 1,379.00 37028560 SCRW CA 205.042 3.5/42/14 278 1,379.00 37028561 SCRW CA 205.048 3.5/48/15 278 1,379.00 37028562 SCRW CA 205.050 3.5/50/16 278 1,379.00 37028564 SCRW CA 205.212 3.5/12 F 278 1,212.00 37028570 SCRW CA 205.234 3.5/34 F 278 1,212.00 37028572 SCRW CA 205.242 3.5/42 F 278 1,212.00 37028699 SCRW CA 207.648 4.0/48 S 278 1,379.00 37028700 SCRW CA 207.744 4.0/44 278 1,454.00 37028709 SCRW CA 207.672 4.0/72 S 278 1,038.00 37028710 SCRW CA 207.752 4.0/52 278 1,379.00 37029380 SCRW LCKNG 20MMX3.5MM 278 874.00 37029794 SCRW CRTX 202.834 2.7X34 278 189.00 37029804 SCRW LCK W RDRV 3.5X16 278 806.00 37029817 PLATE 6H 223.561 3.5/85 L 278 1,877.00 37029835 PLT TUB 1/3 W/COLL89 93 278 1,195.00 37029845 PLATE RECON 6H 3.5/84 LCP 278 2,770.00 37029850 WIRE KIRSC 5MM-THRD TP 1. 278 1,079.00 37030690 MENISCAL MNDR OUTSIDE-IN 278 784.00 37030694 SCRW BIOSURE 8X25MM 278 1,604.00 37030696 SCRW BIOSURE 9X25MM 278 1,604.00 37030698 SCRW BIOSURE 10X25MM 278 1,604.00 37030711 ENDOBUTTON CL ULTRA 15MM 278 1,761.00 37030712 ENDOBUTTON CL ULTRA 20MM 278 1,761.00 37030713 ENDOBUTTON CL ULTRA 25MM 278 1,761.00 37030723 ANCHR PUSHLOCK 3.5X14 278 1,934.00 37030725 NAIL BONE SMRTNAIL 1.5X16 278 1,222.00 37030726 NAIL BONE SMRTNAIL 1.5X20 278 1,222.00 37030727 NAIL BONE SMRTNAIL 1.5X25 278 1,222.00 37030867 FLOSEAL 10ML 278 1,751.00 37031640 TENDON ANT TIBIALIS 278 7,108.00 37031641 TNDN SEMITNDNSUS >=26CM 278 5,435.00 37031642 TNDN SEMITNDNSUS <=26CM 278 5,435.00 37032016 ANCHR 4.5MM ULTRABRD TWX 278 2,041.00 37032226 NAIL ELSTC 475.915 1.5/30 278 1,635.00 37032239 BUTTON ENDOGRAFT 5.5X20 278 1,081.00 37032270 TUBE PAPARELLA MICRGL GRN 278 95.00 37032382 TUBE CLLRTT WIDE MONOCRWF 278 492.00 37032660 TENDON ANT TIBIALIS 278 9,555.00 37032894 SCRW CANN 6.5/16/55 HEXHD 278 1,615.00 37033090 SCRW BIOSURE HA 7X25MM 278 1,665.00 37033180 ANCHR 4.5MM TWNFX W/ NDLS 278 1,991.00 37033444 SCREW CANN 6.5X60MM 278 1,838.00 37033725 SCRW CANNUL 6.5/16/50 HEX 278 1,838.00 37035226 SCRW BIOSURE HA 6MMX20MM 278 1,720.00 37035993 GRAFT SEMI-TEND 6.5X200 278 5,478.00 37036036 NRW PROF CLAV PLAT 6H-LT 278 5,472.00 37036037 SCRW 3.5MX10M LONLCK HEX 278 533.00 37036604 VITOSS BONE MARO NDL 8G 278 1,070.00 37037102 SCRW BN 3.5M 12M ELB 278 506.00 37037103 SCRW BN 3.5M 14M ELB NLK 278 506.00 37037571 SEMI/TENDNSUS TEND LFNT 278 4,760.00 37038274 MANIFOLD 4 PORT 278 411.00 37038428 PLATE LCP 3.5 7 HOLE 278 2,048.00 37039230 BIOS REGENE SCRW 6MX20M 278 1,980.00 37039231 BIOS REGENE SCRW 7MX25M 278 1,980.00 37039232 BIOS REGENE SCRW 8MX25M 278 1,980.00 37039233 BIOS REGENE SCRW 9MX25M 278 3,148.00 37039234 BIOS REGENE SCRW 10MX25M 278 1,722.00 37039551 TUBE EAR ACTIVENT POPE 278 230.00 37039606 LACRIFLOW 278 1,263.00 37040080 SCR SFTSLK 8MM X 25MM 278 1,559.00 37040081 SCR SFTSLK 7MM X 25MM 278 1,559.00 37040099 SCREW BIOSURE REGEN 5X25 278 1,815.00 37040100 SCR SFTSLK 2.0 7MM X 20MM 278 1,128.00 61710705 WIRE GUID BABY .012 18CM 278 137.00 70111754 CATH EMBL FOGERTY 80CM 3F 278 435.00 70113317 MESH MRLX PLUG PERFIX MED 278 1,707.00 70113318 MESH MRLX PLUG PERFX CA/2 278 1,707.00 70113348 NAIL ELASTIC 475.920 2.0/ 278 1,906.00 70113349 NAIL ELASTIC 475.925 2.50 278 1,906.00 70113350 NAIL ELAST 475.930 3/440 278 1,906.00 70113352 NAIL ELAS 4.0X440MM TITAN 278 1,997.00 70113615 PLT BRD 226.06 4.5/103 D 278 1,617.00 70113616 PLT BRD 226.07 4.5/119 D 278 1,660.00 70113617 PLT BRD 226.08 4.5/135 D 278 2,015.00 70113618 PLT BRD 226.09 4.5/151 D 278 2,015.00 70113619 PLT BRD 226.10 4.5/167 D 278 2,015.00 70113620 PLT BRD 226.12 4.5/199 D 278 1,770.00 70113622 PLT BUTT 240.46 5/118 RT 278 4,223.00 70113623 PLT BUTT 240.47 7/149 RT 278 4,537.00 70113624 PLT BUTT 240.48 9/181 RT 278 4,842.00 70113625 PLT BUTT 240.56 5/118 LT 278 4,223.00 70113626 PLT BUTT 240.57 7/149 LT 278 4,537.00 70113627 PLT BUTT 240.58 9/181 LT 278 4,842.00 70113628 PLT BUTT 240.73 11/221 RT 278 5,278.00 70113629 PLT BUTT 240.92 CNDY LT 278 4,523.00 70113631 PLT CANCNL 241.61 60MM 278 3,154.00 70113633 PLT CANCNL 241.65 YPLT 278 3,217.00 70113637 PLT CLVR 3H 241.83 88 278 1,843.00 70113638 PLT CLVR 4H 241.84 104 278 1,971.00 70113639 PLT CLVR 241.85.5/120 278 2,562.00 70113640 PLT CLVR 241.86.6/136 278 2,781.00 70113644 PLT CNDY 237.20 50/204D 278 3,927.00 70113645 PLT CNDY 237.26 80/204D 278 3,927.00 70113647 PLT CNDY 237.72 60/124D 278 3,440.00 70113648 PLT CNDY 237.74 70/124D 278 3,440.00 70113649 PLT CNDY 237.92 60/156D 278 3,604.00 70113651 PLT CNDY 237.96 80/156D 278 3,604.00 70113667 PLT DCP 248.06.3.5/6/73 278 1,136.00 70113668 PLT DCP 248.07.3.5/7/87 278 1,180.00 70113669 PLT DCP 248.08.3.5/8/97 278 1,229.00 70113670 PLT DCP 248.10.3.5/10/ 278 1,317.00 70113671 PLT DCA 281.900 10/178 278 5,620.00 70113724 PLT NARW 224.02 4.5/39 278 1,065.00 70113725 PLT NARW 224.05 4.5/87 278 1,065.00 70113726 PLT NARW 224.06 4.5/103 278 1,213.00 70113727 PLT NARW 224.07 4.5/119 278 1,213.00 70113728 PLT NARW 224.09 4.5/151 278 1,213.00 70113729 PLT NARW 224.10 4.5/167 278 1,600.00 70113731 PLT OSTEO 239.55 75/120 278 3,358.00 70113733 PLT OSTEO 239.70 NS DEG 278 3,358.00 70113734 PLT OSTEO 239.72 NS DEG 278 3,358.00 70113740 PLT RCN 229.33 4.5/45 P 278 2,175.00 70113741 PLT RCN 229.34 4.5/61 P 278 2,266.00 70113742 PLT RCN 245.3.5/10/118 278 2,712.00 70113743 PLT RCN 245.02 3.5/12/42 278 2,972.00 70113748 PLT RCN 245.19 3.5/9/106 278 2,690.00 70113752 PLT RCN 245.34 3.5/14/ 278 3,472.00 70113771 PLT SEMI-TUB 222.05 5/8 278 595.00 70113772 PLTE STRT 223.56 6/77 LC 278 941.00 70113773 PLTE STRT 223.57 7/90 LC 278 990.00 70113774 PLTE STRT 223.58 8/103 L 278 1,140.00 70113775 PLTE STRT 223.59 9/116 L 278 1,099.00 70113776 PLT STRT 223.60 10/129 278 1,235.00 70113777 PLT STRT 223.62 12/155 278 1,431.00 70113793 PLT T 240.13 3H 68MM 278 2,021.00 70113794 PLT T 4H 84MM 240.14 278 1,784.00 70113795 PLTE T 241.13 SM RT ANG 278 874.00 70113796 PLT T 241.14 SM RT ANG 278 967.00 70113797 PLT T 241.15 SM RT ANG 278 1,071.00 70113798 PLT T 241.23 SM OBLIQ 278 1,606.00 70113799 PLTE T 241.24 SM OBLIQUE 278 1,345.00 70113800 PLT T 241.25 SM OBLIQ 278 1,748.00 70113812 PLT T-BUT 240.34 4/80 278 2,799.00 70113827 PLT TBL 241.005 3.5/4 LT 278 4,921.00 70113828 PLT TBL 241.006 3.5/6 RT 278 4,941.00 70113829 PLT TBL 241.007 3.5/6 LT 278 4,941.00 70113830 PLT TBL 241.008 3.5/8 RT 278 5,100.00 70113831 PLT TBL 241.009 3.5/8 LT 278 5,100.00 70113832 PLT TBL 241.010 3.5/10 RT 278 5,128.00 70113833 PLT TBL 241.011 3.5/10 LT 278 5,128.00 70113834 PLT TBL 241.012 3.5/12 RT 278 5,319.00 70113835 PLT TBL 241.013 3.5/12 LT 278 5,319.00 70113836 PLT TBL 241.014 3.5/14 RT 278 5,434.00 70113837 PLT TBL 241.015 3.5/14 LT 278 5,434.00 70113838 PLT TBL 241.016 3.5/16 RT 278 5,546.00 70113839 PLT TBL 241.017 3.5/16 LT 278 5,546.00 70113858 PLATE TIT 441.37 7H/85TBL 278 553.00 70113876 PLTE TUB 1/3 2H 241.32 2 278 390.00 70113877 PLTE TUB 1/3 3H 241.33 3 278 403.00 70113878 PLTE TUB 1/3 4H 241.34 4 278 443.00 70113879 PLTE TUB 1/3 5H 241.35 6 278 468.00 70113880 PLTE TUB 1/3 6H 241.36 7 278 442.00 70113881 PLTE TUB 1/3 7H 241.37 8 278 444.00 70113882 PLTE TUB 1/3 8H 241.38 9 278 461.00 70113883 PLTE TUB 1/3 10H 241.40 278 345.00 70113916 PORT REG 6.6FR R#060220 278 1,866.00 70113924 PORT LO PROF 6.6F 0602109 278 2,103.00 70114202 SCRW CA 206.010 4.0/10 F 278 146.00 70114203 SCRW CA 206.012 4.0/12 F 278 176.00 70114204 SCRW CA 206.014 4.0/14 F 278 192.00 70114205 SCRW CA 206.016 4.0/16 F 278 192.00 70114206 SCRW CA 206.018 4.0/18 F 278 146.00 70114207 SCRW CA 206.020 4.0/20 F 278 192.00 70114208 SCRW CA 206.022 4.0/22 F 278 192.00 70114209 SCRW CA 206.024 4.0/24 F 278 192.00 70114210 SCRW CA 206.026 4.0/26 F 278 176.00 70114211 SCRW CA 206.028 4.0/28 F 278 170.00 70114212 SCRW CA 206.030 4.0/30 F 278 140.00 70114213 SCRW CA 206.035 4.0/35 F 278 176.00 70114215 SCRW CA 206.040 4.0/40 F 278 176.00 70114216 SCRW CA 206.045 4.0/45 F 278 155.00 70114220 SCRW CA 207.010 4.0/10 P 278 192.00 70114221 SCRW CA 207.012 4.0/12 P 278 161.00 70114222 SCRW CA 207.014 4.0/14 P 278 161.00 70114223 SCRW CA 207.020 4.0/20 P 278 192.00 70114224 SCRW CA 207.022 4.0/22 P 278 161.00 70114225 SCRW CA 207.024 4.0/24 P 278 192.00 70114226 SCRW CA 207.026 4.0/26 P 278 161.00 70114227 SCRW CA 207.028 4.0/28 P 278 192.00 70114228 SCRW CA 207.030 4.0/30 P 278 192.00 70114229 SCRW CA 207.035 4.0/35 P 278 192.00 70114230 SCRW CA 207.040 4.0/40 P 278 144.00 70114231 SCRW CA 207.045 4.0/45 P 278 164.00 70114232 SCRW CA 207.050 4.0/50 P 278 192.00 70114248 SCRW CA 217.045 6.5/45 278 255.00 70114249 SCRW CA 217.050 6.5/50 278 303.00 70114251 SCRW CA 217.060 6.5/60 278 269.00 70114252 SCRW CA 217.065 6.58/65 278 276.00 70114253 SCRW CA 217.070 6.5/70 278 303.00 70114255 SCRW CA 217.080 6.5/80 278 330.00 70114261 SCRW CA 218.035 6.5/35 F 278 317.00 70114262 SCRW CA 218.040 6.5/40 F 278 360.00 70114302 SCRW CA 205.010 3.5/10/5 278 1,379.00 70114304 SCRW CA 205.014 3.5/14/5 278 1,379.00 70114305 SCRW CA 205.018 3.5/18/6 278 1,379.00 70114306 SCRW CA 205.022 3.5/22/7 278 1,379.00 70114307 SCRW CA 205.026 3.5/26/8 278 1,379.00 70114308 SCRW CA 205.028 3.5/28/9 278 1,379.00 70114309 SCRW CA 205.030 3.5/30/10 278 1,379.00 70114310 SCRW CA 205.032 3.5/32/11 278 1,379.00 70114311 SCRW CA 205.034 3.5/34/11 278 1,379.00 70114312 SCRW CA 205.036 3.5/36/12 278 1,379.00 70114313 SCRW CA 205.038 3.5/38/12 278 1,379.00 70114314 SCRW CA 205.040 3.5/40/13 278 1,379.00 70114315 SCRW CA 205.044 3.5/44/14 278 1,379.00 70114316 SCRW CA 205.046 3.5/46/15 278 1,379.00 70114320 SCRW CA 205.220 3.5 278 1,379.00 70114321 SCRW CA 205.226 3.5/26 F 278 1,379.00 70114322 SCRW CA 205.232 3.5/32 F 278 1,379.00 70114323 SCRW CA 205.236 3.5/36 F 278 1,379.00 70114324 SCRW CA 205.240 3.5/40 F 278 1,379.00 70114326 SCRW CA 207.612 4.0/12 ST 278 1,181.00 70114327 SCRW CA 207.614 4.0/14 ST 278 1,243.00 70114328 SCRW CA 207.616 4.0/16 ST 278 1,454.00 70114329 SCRW CA 207.618 4.0/18 ST 278 1,181.00 70114330 SCRW CA 207.620 4.0/20 ST 278 1,345.00 70114331 SCRW CA 207.622 4.0/22 ST 278 1,345.00 70114332 SCRW CA 207.624 4.0/24 ST 278 1,345.00 70114333 SCRW CA 207.626 4.0/26 S 278 1,181.00 70114334 SCRW CA 207.628 4.0/28 S 278 1,181.00 70114335 SCRW CA 207.630 4.0/30 S 278 1,181.00 70114336 SCRW CA 207.632 4.0/32 S 278 1,454.00 70114337 SCRW CA 207.634 4.0/34 S 278 1,454.00 70114338 SCRW CA 207.636 4.0/36 S 278 1,454.00 70114339 SCRW CA 207.638 4.0/38 S 278 1,454.00 70114340 SCRW CA 207.640 4/40 ST 278 1,454.00 70114341 SCRW CA 207.642 4/42 ST 278 1,454.00 70114342 SCRW CA 207.644 4.0/44 S 278 1,454.00 70114343 SCRW CA 207.646 4.0/46 S 278 1,181.00 70114344 SCRW CA 207.650 4.0/50 S 278 1,454.00 70114345 SCRW CA 207.716 4.0/16 278 1,181.00 70114346 SCRW CA 207.718 4.0/18 278 983.00 70114347 SCRW CA 207.720 4.0/20 278 1,181.00 70114348 SCRW CA 207.722 4.0/22 278 1,038.00 70114349 SCRW CA 207.724 4.0/24 278 874.00 70114350 SCRW CA 207.726 4.0/26 278 1,181.00 70114352 SCRW CA 207.730 4.0/30 278 1,181.00 70114353 SCRW CA 207.732 4.0/32 278 1,181.00 70114354 SCRW CA 207.734 4.0/34 278 1,379.00 70114355 SCRW CA 207.736 4.0/36 278 1,345.00 70114356 SCRW CA 207.738 4.0/38 278 1,181.00 70114357 SCRW CA 207.710 4.0/40 278 1,454.00 70114358 SCRW CA 207.742 4.0/42 278 1,181.00 70114359 SCRW CA 207.746 4.0/46 278 1,345.00 70114360 SCRW CA 207.748 4.0/48 278 1,181.00 70114361 SCRW CA 207.750 4.0/50 278 1,242.00 70114379 SCRW CA 208.840 7.3/40/16 278 1,618.00 70114381 SCRW CA 208.850 7.3/50/16 278 1,618.00 70114382 SCRW CA 208.855 7.3/55/16 278 1,891.00 70114383 SCRW CA 208.860 7.3/60/16 278 1,748.00 70114384 SCRW CA 208.865 7.3/65/16 278 1,679.00 70114385 SCRW CA 208.870 7.3/70/16 278 1,618.00 70114386 SCRW CA 208.875 7.3/75/16 278 1,891.00 70114387 SCRW CA 208.880 7.3/80/16 278 1,891.00 70114388 SCRW CA 208.885 7.3/85/16 278 1,891.00 70114392 SCRW CA 208.905 7.3/105 278 1,218.00 70114393 SCRW CA 208.910 7.3/110 278 1,368.00 70114394 SCRW CA 208.915 7.3/115 278 1,368.00 70114395 SCRW CA 208.920 7.3/120 278 1,368.00 70114412 SCRW CA 209.850 7.3/50/32 278 1,891.00 70114413 SCRW CA 209.855 7.3/55/32 278 1,816.00 70114414 SCRW CA 209.860 7.3/60/32 278 1,635.00 70114415 SCRW CA 209.865 7.3/65/32 278 1,816.00 70114416 SCRW CA 209.870 7.3/70/32 278 1,816.00 70114417 SCRW CA 209.875 7.3/75/32 278 1,891.00 70114418 SCRW CA 209.880 7.3/80/32 278 1,715.00 70114419 SCRW CA 209.885 7.3/85/32 278 1,635.00 70114420 SCRW CA 209.890 7.3/90/32 278 1,715.00 70114421 SCRW CA 209.895 7.3/95/32 278 1,679.00 70114422 SCRW CA 209.900 7.3/100 278 1,715.00 70114429 SCRW CA 209.950 7.3/150 278 1,557.00 70114430 SCRW CA 214.520 4.5/20 PT 278 1,263.00 70114431 SCRW CA 214.522 4.5/22 PT 278 1,475.00 70114432 SCRW CA 214.524 4.5/24 PT 278 1,475.00 70114433 SCRW CA 214.526 4.5/26 PT 278 1,475.00 70114434 SCRW CA 214.528 4.5/28 PT 278 1,263.00 70114435 SCRW CA 214.530 4.5/30 PT 278 1,365.00 70114436 SCRW CA 214.532 4.5/32/11 278 1,475.00 70114437 SCRW CA 214.534 4.5/34 PT 278 1,475.00 70114438 SCRW CA 214.540 4.5/40/13 278 1,475.00 70114439 SCRW CA 214.542 4.5/42/14 278 1,284.00 70114440 SCRW CA 214.544 4.5/44/15 278 1,254.00 70114441 SCRW CA 214.546 4.5/46/5 278 1,475.00 70114442 SCRW CA 214.548 4.5/48 PT 278 1,393.00 70114443 SCRW CA 214.550 4.5/50/16 278 1,254.00 70114444 SCRW CA 214.552 4.5/52 278 1,393.00 70114445 SCRW CA 214.554 4.5/54 PT 278 1,321.00 70114446 SCRW CA 214.556 4.5/56/19 278 1,393.00 70114447 SCRW CA 214.560 4.5/60/20 278 1,254.00 70114448 SCRW CA 214.564 4.5/64 278 1,475.00 70114449 SCRW CA 214.572 4.5/72/24 278 1,365.00 70114450 SCRW CA 214.720 4.5/20 F 278 1,475.00 70114451 SCRW CA 214.726 4.5/26 FT 278 1,086.00 70114452 SCRW CA 214.728 4.5/28 F 278 1,365.00 70114453 SCRW CA 214.730 4.5/30 F 278 1,284.00 70114454 SCRW CA 214.732 4.5/32 FT 278 1,263.00 70114455 SCRW CA 214.734 4.5/34 F 278 881.00 70114456 SCRW CA 214.738 4.5/38 F 278 1,393.00 70114457 SCRW CA 214.740 4.5/40 F 278 1,475.00 70114458 SCRW CA 214.742 4.5/42 278 1,263.00 70114459 SCRW CA 214.744 4.5/44 FT 278 1,086.00 70114460 SCRW CA 214.748 4.5/48 F 278 1,365.00 70114461 SCRW CA 214.756 4.5/56 F 278 1,284.00 70114463 SCRW CA 214.772 4.5/72 F 278 1,365.00 70114466 SCRW CANN 202.625 3/26/ 278 1,447.00 70114467 SCRW CANN 202.628 3/28 278 1,447.00 70114500 SCRW SRTX 201.818 2/18 ST 278 292.00 70114501 SCRW CRTX 201.820 2/20 ST 278 292.00 70114504 SCRW CRTX 202.810 2.7X10 278 189.00 70114505 SCRW CRTX 202.812 2.7X12 278 189.00 70114506 SCRW CRTX 202.814 2.7X14 278 189.00 70114507 SCRW CRTX 202.816 2.7X16 278 189.00 70114508 SCRW CRTX 202.818 2.7X18 278 189.00 70114509 SCRW CRTX 202.820 2.7X20 278 189.00 70114510 SCRW CRTX 202.822 2.7X22 278 189.00 70114511 SCRW CRTX 202.824 2.7X24 278 189.00 70114512 SCRW CRTX204.012 3.5/12H 278 148.00 70114513 SCRW CRTX204.014 3.5/14H 278 148.00 70114514 SCRW CRTX204.016 3.5/16H 278 148.00 70114515 SCRW CRTX204.018 3.5/18H 278 148.00 70114516 SCRW CRTX204.020 3.5/20H 278 148.00 70114517 SCRW CRTX204.022 3.5/25H 278 148.00 70114518 SCRW CRTX204.026 3.5/26H 278 148.00 70114519 SCRW CRTX204.028 3.5/28H 278 148.00 70114520 SCRW CTX 204.810 3.5/10 S 278 230.00 70114521 SCRW CTX 204.812 3.5/12 S 278 202.00 70114522 SCRW CTX 204.814 3.5/14 S 278 202.00 70114523 SCRW CTX 204.816 3.5/16 S 278 202.00 70114524 SCRW CTX 204.818 3.5/18 S 278 202.00 70114525 SCRW CTX 204.820 3.5/20 S 278 202.00 70114526 SCRW CTX 204.822 3.5/22 S 278 202.00 70114527 SCRW CTX 204.824 3.5/24 S 278 192.00 70114528 SCRW CTX 204.826 3.5/26 S 278 202.00 70114529 SCRW CTX 204.828 3.5/28 S 278 192.00 70114530 SCRW CTX 204.830 3.5/30 S 278 198.00 70114531 SCRW CTX 204.832 3.5/32 S 278 217.00 70114532 SCRW CTX 204.834 3.534 S 278 198.00 70114533 SCRW CTX 204.836 3.5/36 S 278 230.00 70114534 SCRW CTX 204.838 3.5/38 S 278 230.00 70114535 SCRW CTX 204.840 3.5/40 S 278 230.00 70114536 SCRW CTX 204.845 3.5/45 S 278 230.00 70114537 SCRW CTX 204.850 3.5/50 S 278 192.00 70114538 SCRW CRTX 204.855 3.5X55 278 194.00 70114539 SCRW CRTX 204.860 3.5X60 278 194.00 70114546 SCRW CRTX214.014 4.5/14H 278 159.00 70114547 SCRW CRTX214.030 4.5/32H 278 159.00 70114548 SCRW CRTX214.034 4.5/34H 278 159.00 70114552 SCRW CX 214.536 4.5/36/12 278 1,254.00 70114553 SCRW CX 214.538 4.5/38/13 278 1,168.00 70114554 SCRW CTX 214.814 4.5/14 S 278 223.00 70114555 SCRW CTX 214.816 4.5/16 S 278 205.00 70114556 SCRW CTX 214.818 4.5/18 S 278 205.00 70114557 SCRW CTX 214.820 4.5/20 S 278 191.00 70114558 SCRW CTX 214.822 4.5/22 S 278 223.00 70114559 SCRW CTX 214.824 4.5/24 S 278 223.00 70114560 SCRW CTX 214.826 4.5/26 S 278 208.00 70114561 SCRW CTX 214.828 4.5/28 S 278 223.00 70114562 SCRW CTX 214.830 4.5/30 S 278 223.00 70114563 SCRW CTX 214.834 4.5/34 S 278 223.00 70114564 SCRW CTX 214.834 4.5/34 S 278 208.00 70114565 SCRW CTX 214.836 4.5/386 278 208.00 70114566 SCRW CTX 214.838 4.5/38 S 278 223.00 70114567 SCRW CTX 214.840 4.5/40 S 278 208.00 70114568 SCRW CTX 214.842 4.5/42 S 278 223.00 70114569 SCRW CTX 214.844 4.5/44 S 278 223.00 70114570 SCRW CTX 214.846 4.5/46 S 278 203.00 70114571 SCRW CTX 214.848 4.5/48 S 278 205.00 70114572 SCRW CTX 214.850 4.5/50 S 278 171.00 70114573 SCRW CTX 214.852 4.5/52 S 278 189.00 70114574 SCRW CTX 214.854 4.5/54 S 278 223.00 70114575 SCRW CTX 214.856 4.5/56 S 278 171.00 70114576 SCRW CTX 214.858 4.5/58 S 278 171.00 70114577 SCRW CTX 214.860 4.5/60 S 278 187.00 70114578 SCRW CTX 214.862 4.5/62 278 171.00 70114579 SCRW CTX 214.864 4.5/64 S 278 187.00 70114580 SCRW CTX 214.866 4.5/66 278 171.00 70114581 SCRW CTX 214.868 4.5/68 S 278 160.00 70114582 SCRW CTX 214.870 4.5/70 S 278 205.00 70114687 SCREW 3.5MM TIT CTX 12MM 278 223.00 70114688 SCREW 3.5MM TIT CTX 14MM 278 223.00 70114689 SCREW 3.5MM TIT CTX 16MM 278 223.00 70114755 SCRW MA 215.045 4.5/45/22 278 248.00 70114756 SCRW MA 215.055 4.5/55/26 278 248.00 70114757 SCRW SHNZ 294.54 5.0/150 278 651.00 70114758 SCRW SHNZ 294.56 5.0/200 278 754.00 70114760 SCRW SHNZ 294.75 4.5/ 278 676.00 70114767 SCRW SHFT 204.216 3.5/16/ 278 210.00 70114768 SCRW SHFT 204.218 3.5/18/ 278 195.00 70115891 WASHER 10.0 219.91 278 246.00 70115892 WASHER 13.0 219.99 LG 278 253.00 70115893 WASHER 7.0 219.98 SM 278 242.00 70115923 WIRE GUID 292.62 1.25 TH 278 276.00 70115927 WIRE GUID 292.68 2.8 THR 278 400.00 70115929 WIRE GUID 292.72 1.6/150T 278 312.00 70115975 GDEWRE .035 ANGLD 630-102 278 794.00 70115990 GLIDEWIRE .025 STRAIGHT 278 419.00 70115991 WIRE GUID GLDWR STFL .03 278 336.00 70116040 WIRE GUID STRGHT .035 63 278 189.00 70125585 TUTOPLAST 03X12CM 68028 278 2,702.00 70126234 CATH BLN 8MX4CMX120CM BLU 278 1,718.00 70126369 IMPL TUTOPLAST SCLERA.5 278 1,809.00 70126417 MONOKA SELF THRDNG WIDE M 278 628.00 70126617 SCRW CA 205.024 3.5 278 1,181.00 70126655 BONE CHIP CANC 30CC 278 2,453.00 70127360 SET CATH CHAIT PED CECOST 278 715.00 70127365 DURAVENT TUBE 278 145.00 70127367 RICHARDS MODIFIED T-TUBE 278 154.00 70127381 TUBE CRAWFORD 278 424.00 70127382 P-TOSE UP 2MM 278 173.00 70127383 SELF-THREADING PVP MONOKA 278 669.00 70127406 TUBE EAR ARMSTRONG 278 128.00 70127409 NASAL SEPTAL SPLNT DOYLE 278 301.00 70127490 TUBE EAR PAPARELLA 24442 278 170.00 70127571 WIRE SENSR DUALFLX 150STR 278 1,412.00 70128291 CATH BLN 9MMX4CM BLUE MX 278 1,718.00 70128528 STENT DBL PIGTAIL 3FR 10C 278 763.00 70128529 STENT DBL PIGTAIL 3FR 8CM 278 763.00 70128558 SCRW CA 205.016 3.5/16/6 278 1,318.00 70128559 SCRW CA 205.020 3.5/20/7 278 1,379.00 70128560 SCRW CA 205.042 3.5/42/14 278 1,379.00 70128561 SCRW CA 205.048 3.5/48/15 278 1,379.00 70128562 SCRW CA 205.050 3.5/50/16 278 1,379.00 70128564 SCRW CA 205.212 3.5/12 F 278 1,212.00 70128565 SCRW CA 205.216 3.5/16 F 278 1,379.00 70128569 SCRW CA 205.230 3.5/30 F 278 1,379.00 70128570 SCRW CA 205.234 3.5/34 F 278 1,379.00 70128571 SCRW CA 205.238 3.5/38 F 278 1,379.00 70128572 SCRW CA 205.242 3.5/42 F 278 1,212.00 70128573 SCRW CA 205.244 3.5/44 F 278 1,379.00 70128575 SCRW CA 205.248 3.5/48 F 278 1,379.00 70128576 SCRW CA 205.250 3.5/50 F 278 1,379.00 70128660 SCRW CA 214.722 4.5/22 FT 278 1,475.00 70128661 SCRW CA 214.724 4.5/24 FT 278 1,372.00 70128662 SCRW CA 214.736 4.5/36 FT 278 1,475.00 70128663 SCRW CA 214.746 4.5/46 FT 278 1,393.00 70128664 SCRW CA 214.760 4.5/60 FT 278 1,284.00 70128665 SCRW CA 214.764 4.5/64 FT 278 1,475.00 70128680 SCRW SHFT 214.242 4.5/42 278 144.00 70128681 SCRW SHFT 214.244 4.5/44 278 144.00 70128682 SCRW SHFT 214.246 4.5/46 278 144.00 70128683 SCRW SHFT 214.248 4.5/48 278 144.00 70128684 SCRW SHFT 214.250 4.5/50 278 144.00 70128685 SCRW MA 215.025 4.5/25/12 278 248.00 70128686 SCRW MA 215.030 4.5/30/15 278 248.00 70128687 SCRW MA 215.035 4.5/35/18 278 248.00 70128688 SCRW MA 215.040 4.5/40/20 278 248.00 70128689 SCRW MA 215.050 4.5/50/24 278 248.00 70128690 SCRW MA 215.060 4.5/60/28 278 248.00 70128691 SCRW MA 215.065 4.5/65/30 278 248.00 70128692 SCRW MA 215.070 4.5/70/35 278 248.00 70128698 SCRW CA 218.025 6.5/25 F 278 360.00 70128699 SCRW CA 207.648 4.0/48 S 278 1,283.00 70128700 SCRW CA 207.744 4.0/44 278 1,454.00 70128702 SCRW CA 207.652 4.0/52 S 278 1,454.00 70128703 SCRW CA 207.654 4.0/54 S 278 1,454.00 70128704 SCRW CA 207.656 4.0/56 S 278 1,454.00 70128705 SCRW CA 207.658 4.0/58 S 278 1,454.00 70128706 SCRW CA 207.660 4.0/60 S 278 1,454.00 70128708 SCRW CA 207.668 4.0/68 S 278 1,353.00 70128709 SCRW CA 207.672 4.0/72 S 278 1,038.00 70128710 SCRW CA 207.752 4.0/52 278 1,193.00 70128711 SCRW CA 207.754 4.0/54 278 1,181.00 70128712 SCRW CA 207.756 4.0/56 278 1,454.00 70128713 SCRW CA 207.758 4.0/58 278 1,454.00 70128714 SCRW CA 207.760 4.0/60 278 1,454.00 70128716 SCRW CA 207.768 4.0/68 278 1,454.00 70128721 WIRE GUID ZEBRA 0.25 STT 278 374.00 70128724 SCRW CA 208.935 7.3/135 278 1,557.00 70128725 SCRW CA 208.940 7.3/140 278 1,557.00 70128726 SCRW CA 208.945 7.3/145 278 1,557.00 70128727 SCRW CA 208.950 7.3/150 278 1,557.00 70128733 SCRW CA 209.645 7.3/45 F 278 1,891.00 70128734 SCRW CA 209.650 7.3/50 F 278 1,891.00 70128735 SCRW CA 209.655 7.3/55 F 278 1,891.00 70128736 SCRW CA 209.655 7.3/55 F 278 1,891.00 70128737 SCRW CA 209.665 7.3/65 F 278 1,891.00 70128738 SCRW CA 209.670 7.3/70 F 278 1,891.00 70128739 SCRW CA 209.675 7.3/75 F 278 1,891.00 70128740 SCRW CA 209.680 7.3/80 F 278 1,891.00 70128741 SCRW CA 209.685 7.3/85 F 278 1,759.00 70128742 SCRW CA 209.690 7.3/90 F 278 1,891.00 70128743 SCRW CA 209.695 7.3/95 F 278 1,891.00 70128751 SCRW CA 209.845 7.3/45/32 278 1,557.00 70128752 SCRW CA 209.935 7.3/135 278 1,557.00 70128753 SCRW CA 209.940 7.3/140 278 1,557.00 70128754 SCRW CA 209.945 7.3/145 278 1,557.00 70128755 PLTE SEMI-TUB 222.04 4/7 278 369.00 70128756 PLT SEMI-TUB 222.06 6/1 278 634.00 70128757 PLT SEMI-TUB 222.07 7/1 278 677.00 70128758 PLT LC-DCP NRW4H4.5/7 278 1,240.00 70128759 PLT LC-DCP NRW5H4.5/8 278 1,240.00 70128760 PLT LC-DCP NRW7H4.5/1 278 1,398.00 70128761 PLT LC-DCP NRW8H4.5/1 278 1,398.00 70128762 PLT LC-DCP NRW9H4.5/1 278 1,398.00 70128763 PLT LC-DCP NRW 10H4.5/1 278 1,818.00 70128764 PLT LC-DCP NRW 11H4.5/ 278 1,818.00 70128765 PLT LC-DCP NRW 12H4.5/ 278 1,818.00 70128766 PLT BRD LC-DCP 6H 4.5/1 278 1,900.00 70128767 PLTE BRD LC-DCP 8H 4.5/1 278 1,557.00 70128768 PLT BRD LC-DCP 9H 4.5/1 278 1,907.00 70128769 PLT BRD LC-DCP 1OH 4.5/ 278 1,907.00 70128770 PLTE BRD LC-DCP 11H 4.5/ 278 1,591.00 70128771 PLT BRD LC-DCP 12H 4.5/ 278 2,048.00 70128772 PLT BRD LC-DCP 14H 4.5/ 278 2,048.00 70128773 PLT T 8H 148MM 240.18 278 2,885.00 70128774 PLT L-BUT 4H 85M LT AN 278 2,448.00 70128775 PLT L-BUT 4H 85M RT AN 278 2,448.00 70128777 SCRW CA 207.016 4.0/16 P 278 192.00 70128778 SCRW CA 207.018 4.0/18 P 278 192.00 70128941 PLTE STRT 3H 2.0/17 243.1 278 355.00 70128963 SCRW LCKNG 212.214 5/40ST 278 1,017.00 70128964 SCRW LCKNG 212.217 5/46ST 278 1,017.00 70128965 SCRW LCKNG 212.219 5/50ST 278 1,017.00 70128966 SCRW LCKNG 212.220 5/55ST 278 1,017.00 70128967 SCRW LCKNG 212.223 5/70ST 278 1,017.00 70129098 STENT DBL PIGTAIL 4.7X14C 278 655.00 70129376 TUB VNT TYTAN TIT 1056101 278 201.00 70129379 SCRW LCKNG 18X3.5 278 806.00 70129380 SCRW LCKNG 20X3.5 278 806.00 70129381 SCRW LCKNG 30MMX5MM 278 1,017.00 70129382 SCRW LCKNG 42MMX5MM 278 1,017.00 70129384 PLATE 5H 3.5MM X 72MM 278 1,758.00 70129386 DERMA MATRIX 2X4 010204 278 1,379.00 70129479 WEDGE 13-15 400405 278 4,624.00 70129649 SCRW LCKNG 3.5X26 278 806.00 70129790 SCRW CRTX 202.826 2.7X26 278 189.00 70129791 SCRW CRTX 202.828 2.7X28 278 189.00 70129793 SCRW CRTX 202.832 2.7X32 278 189.00 70129794 SCRW CRTX 202.834 2.7X34 278 189.00 70129795 SCRW CRTX 202.836 2.7X36 278 189.00 70129796 SCRW CRTX 202.838 2.7X38 278 189.00 70129797 SCRW CRTX 202.840 2.7X40 278 189.00 70129798 SCRW CRTX 202.845 2.7X45 278 189.00 70129799 SCRW CRTX 202.850 2.7X50 278 189.00 70129801 SCRW LCK W RDRV 3.5X10 278 806.00 70129802 SCRW LCK W RDRV 3.5X12 278 806.00 70129803 SCRW LCK W RDRV 3.5X14 278 806.00 70129804 SCRW LCK W RDRV 3.5X16 278 806.00 70129805 SCRW LCK W RDRV 3.5X22 278 806.00 70129806 SCRW LCK W RDRV 3.5X24 278 806.00 70129807 SCRW LCK W RDRV 3.5X28 278 806.00 70129808 SCRW LCK W RDRV 3.5X30 278 806.00 70129817 PLATE 6H 223.561 3.5/85 L 278 1,877.00 70129818 PLATE 8H 223.581 3.5/111 278 2,054.00 70129819 PLATE 9H 223.591 3.5/124 278 1,974.00 70129820 PLATE 10H 223.601 3.5/137 278 2,190.00 70129823 PLATE T 3H-HD 3H-SH 3.5/5 278 2,144.00 70129824 PLATE T 3H-HD 4H-SH 3.5/6 278 2,244.00 70129825 PLATE T 3H-HD 5H-SH 3.5/7 278 2,344.00 70129832 PLATE TUB 1/3 W/COLL5H 57 278 1,088.00 70129833 PLATE TUB 1/3 W/COLL6H 69 278 1,209.00 70129834 PLATE TUB 1/3 W/COLL 7H81 278 1,236.00 70129835 PLATE TUB 1/3 W/COLL89 93 278 1,195.00 70129836 PLATE TUB 1/3W/COLL10H 11 278 1,195.00 70130062 PLAT OSTEOTMY 90D 26X8 278 3,126.00 70130448 PLT TIB LCP 4H 4.5X82RT 278 6,043.00 70130449 PLT TIB LCP 4H 4.5X82LT 278 6,043.00 70130451 PLT TIB LCP 6H 4.5X118LT 278 6,116.00 70130587 TUBE EAR REUTER BOBBIN 1. 278 246.00 70130690 MENISCAL MNDR OUTSIDE-IN 278 784.00 70130694 SCRW BIOSURE 8X25MM 278 1,707.00 70130696 SCRW BIOSURE 9X25MM 278 1,707.00 70130697 SCRW BIOSURE 9X30MM 278 1,707.00 70130698 SCRW BIOSURE 10X25MM 278 1,604.00 70130699 SCRW BIOSURE 10X30MM 278 1,707.00 70130700 SCRW BIOSURE 11X25MM 278 1,707.00 70130701 SCRW BIOSURE 11X30MM 278 1,707.00 70130711 ENDOBUTTON CL ULTRA 15MM 278 1,761.00 70130712 ENDOBUTTON CL ULTRA 20MM 278 1,761.00 70130713 ENDOBUTTON CL ULTRA 25MM 278 1,761.00 70130716 ENDOBUTTON CL ULTRA 40MM 278 1,645.00 70130717 ENDOBUTTON CL ULTRA 45MM 278 1,645.00 70130723 ANCHR PUSHLOCK 3.5X14 278 1,934.00 70130725 NAIL BONE SMRTNAIL 1.5X16 278 1,222.00 70130726 NAIL BONE SMRTNAIL 1.5X20 278 1,222.00 70130727 NAIL BONE SMRTNAIL 1.5X25 278 1,222.00 70130777 CATH BALLN RELIEVA SOLO R 278 4,921.00 70131464 BLLN DIL INSPIRA 7x24MM 278 4,471.00 70131549 ANCHOR SUTURE 2.9MM 278 1,847.00 70131550 ANCHOR SUT 2.3MM ULTRABRD 278 1,778.00 70131640 TENDON ANT TIBIALIS 278 7,108.00 70131641 TNDN SEMITNDNSUS >=26CM 278 5,435.00 70131642 TNDN SEMITNDNSUS <=26CM 278 5,435.00 70131676 WIRE GUIDE 1.6MM N-THRDED 278 187.00 70132016 ANCHOR 4.5MM ULTRABRD TWX 278 2,041.00 70132240 IMPLNT TESTICULAR XSM 278 6,570.00 70132241 IMPLNT TESTICULAR SM 278 6,570.00 70132242 IMPLNT TESTICULAR MED 278 6,570.00 70132243 IMPLNT TESTICULAR LG 278 6,570.00 70132382 TUBE CLLRTT WIDE MONOCRWF 278 492.00 70132502 BALLN DIL INSPIRA 10X40MM 278 4,744.00 70132503 STENT DBL PIGTAIL 3.7X8CM 278 796.00 70132540 SCRW LCK S-T 4/16MM 278 1,049.00 70132541 SCRW LCK S-T 4/18MM 278 1,049.00 70132544 SCRW LCK S-T 4/24MM 278 1,049.00 70132591 WIREGUIDE NONTHR 1.25 278 273.00 70132610 INTRDCR 8FX70CM 278 355.00 70132612 GRSPR 3PRONG 2.8F/115/15 278 1,187.00 70132615 STNT/PST DBL PGTL 4.7FX16 278 644.00 70132619 SET STNT SFT W/O WG 5FX18 278 556.00 70132624 SET STNT SFT W/O WG 6FX20 278 645.00 70132625 SET STNT SFT W/O WG 6FX22 278 645.00 70132626 SET STNT SFT W/O WG 6FX24 278 645.00 70132627 SET STNT SFT W/O WG 6FX28 278 645.00 70132628 SET STNT SFT W/O WG 8FX24 278 645.00 70132633 SCRW N-LCKG CORT 3.5/10 T 278 255.00 70132634 SCRW N-LCKG CORT 3.5/12 T 278 255.00 70132635 SCRW N-LCKG CORT 3.5/14 T 278 255.00 70132636 PLAT 6-H 1/3 TUBULR 278 656.00 70132651 WIRE GD NIT STRT .035X150 278 287.00 70132660 GRAFT TIBLIS ANTR 8.5X200 278 9,555.00 70132809 SCRW CANN 6.5X75 4.0 HEX 278 1,838.00 70132818 KIT RPR TIGHT ROPE TIT 278 2,941.00 70132832 SHEATH URTRL ACCS 9.5X20 278 819.00 70132833 SHEATH URTRL ACCS 12X28 278 819.00 70132893 SCRW CANN 6.5/16/40 HEXHD 278 1,838.00 70132894 SCRW CANN 6.5/16/55 HEXHD 278 1,838.00 70132994 ANCHR BCMP PSHLK 3.5X19.5 278 2,162.00 70133021 SCRW CANN 6.5/16/30 HEX H 278 1,838.00 70133059 PLATE 2.0MM LCP 5 HOLE 278 1,740.00 70133060 SCRW CORTX 2.0X9 ST 278 335.00 70133061 SCRW CORTX 2.0X10 ST 278 335.00 70133062 SCRW CORTX 2.0X11 ST 278 335.00 70133063 SCRW CORTX 2.0X12 ST 278 335.00 70133089 SCRW BIOSURE HA 7X30MM 278 1,665.00 70133090 SCRW BIOSURE HA 7X25MM 278 1,665.00 70133092 GUIDWIRE PCL SFTY 2.4X25 278 912.00 70133094 SCRW CANN 6.5/65/32 208.4 278 1,916.00 70133345 WIRE GUIDE THRD 1.25X150 278 294.00 70133446 SET STENT DBL PGT 4.7FX16 278 655.00 70133447 SET STNT SFT W/O WG 5FX20 278 556.00 70133448 SET STNT SFT W/O WG 5FX22 278 556.00 70133449 SET STNT SFT W/O WG 5FX24 278 556.00 70133450 SET STNT SFT W/O WG 5FX26 278 556.00 70134278 TAP 3.5/F/CANU SCRW 278 3,015.00 70134535 SHEATH URT ACC 9.5X35 278 819.00 70134936 SCRW CORT SELF-T 3.5-42MM 278 225.00 70134937 SCRW CORT SELF-T 3.5-44MM 278 225.00 70134938 SCRW CORT SELF-T 3.5X46MM 278 225.00 70134939 SCRW CORT SELF-T 3.5X48MM 278 225.00 70135226 SCREW BIOSURE HA 6MMX20MM 278 1,720.00 70135232 PLTE LT NARROW PROXIMAL 278 4,041.00 70135233 SCRW CORT 2.3X20MM 278 608.00 70135234 SCRW CORT 2.3X24MM 278 608.00 70135235 SCRW LOCKING 2.3X20MM 278 608.00 70135236 SCRW LOCKING 2.3X24MM 278 608.00 70135237 SCRW CORT 3.5X10MM 278 608.00 70135238 SCRW CORT 3.5X12MM 278 608.00 70135244 PLATE SM LCKNG T 1.5MM 278 2,821.00 70135245 SCRW NON LCKNG 1.5X10MM 278 635.00 70135246 SCRW NON LCKNG 1.5X11MM 278 635.00 70135247 SCRW NON LCKNG 1.5X12MM 278 635.00 70135248 SCRW NON LCKNG 1.5X13MM 278 635.00 70135249 SCRW NON LCKNG 1.5X14MM 278 635.00 70135250 SCRW LCKNG 1.5X8MM 278 635.00 70135251 SCRW LCKNG 1.5X10MM 278 635.00 70135252 SCRW LCKNG 1.5X11MM 278 635.00 70135253 SCRW LCKNG 1.5X12MM 278 635.00 70135254 SCRW LCKNG 1.5X13MM 278 635.00 70135255 SCRW LCKNG 1.5X14MM 278 635.00 70135284 SCRW BIOSURE 7 X 20MM 278 1,720.00 70135392 GUIDEWIRE THREAD 1.6MM 278 319.00 70135393 PLATE-O-16MM 278 2,645.00 70135394 SCREW LP 20MM 278 1,557.00 70135437 SCRW BIOSURE 10 X 20MM 278 1,720.00 70135440 PLATE PEANUT MEDIUM 278 6,075.00 70135441 SCRW NON LK 3.5X26MM 278 1,570.00 70135442 SCRW NON LK 3.5X24MM 278 1,570.00 70135443 SCRW NON LK 4X24MM 278 1,570.00 70135458 URET ACSS SHTH 12FRX45CM 278 805.00 70135459 URET ACSS SHTH 12FRX35CM 278 805.00 70135962 WIREGUIDE.035X150CM STR 278 393.00 70135963 WIREGUIDE.018X180CM STR 278 444.00 70135993 GRAFT SEMI-TEND 6.5X200 278 5,478.00 70136035 SCRW 20M MINI ACUTRK BONE 278 2,219.00 70136036 NRW PROF CLAV PLAT 6H-LT 278 5,472.00 70136037 SCRW 3.5MX10M NONLCK HEX 278 533.00 70136262 O-PLATE 12MM-CTR HOLE 278 2,409.00 70136263 O-PLTE 20MM-CTR HOLE 278 2,409.00 70136264 O-PLTE 24MM-CTR HOLE 278 2,409.00 70136265 I-PLTE 16MM-CTR HOLE 278 2,409.00 70136266 I-PLTE 22MM-CTR HOLE 278 2,477.00 70136267 LP 4.5MMX16MM CANN SCREW 278 1,416.00 70136268 LP 4.5MMX24MM CANN SCREW 278 1,416.00 70136269 LP 4.5MMX28MM CANN SCREW 278 1,416.00 70136270 LP 4.5MMX32MM CANN SCREW 278 1,416.00 70136271 LP 4.5MMX36MM CANN SCREW 278 1,416.00 70136648 WEDGE ILIAC CRST 15MM 278 3,783.00 70136796 CATH SPIN SINUS GUIDE S-0 278 1,820.00 70136972 INCISOR PLUS 4.5MM CURVE 278 715.00 70137111 SCRW BCMPS 10M 4M ACL 278 2,804.00 70137112 SCRW BCMPS 15M 4.75M 278 2,804.00 70137374 PROPEL MINI 278 4,169.00 70137520 PHYSIOMESH 10CM X 15CM 278 4,255.00 70137565 SHEATH FLEX URETRL ACCS 278 802.00 70137571 SEMI/TENDNSUS TEND LFNT 278 4,760.00 70137572 STENT SOFT MONO 5FX18 278 455.00 70137573 STENT SOFT MONO 5FX20 278 455.00 70137574 STENT SOFT MONO 5FX22 278 455.00 70137575 STENT SOFT MONO 5FX24 278 455.00 70137576 STENT SOFT MONO 5FX26 278 455.00 70137577 STENT SOFT MONO 5FX28 278 455.00 70137578 STENT SOFT MONO 6FX18 278 455.00 70137579 STENT SOFT MONO 6FX20 278 455.00 70137580 STENT SOFT MONO 6FX22 278 455.00 70137581 STENT SOFT MONO 6FX24 278 455.00 70137582 STENT SOFT MONO 6FX26 278 455.00 70137583 STENT SOFT MONO 6FX28 278 455.00 70137584 STENT SOFT MONO 5F ADJ 278 455.00 70137585 STENT SOFT MONO 6F ADJ 278 455.00 70137654 CATH DILAT BLLN XXL 12MM 278 1,775.00 70137655 CATH DILAT BLLN XXL 14MM 278 1,775.00 70137669 SHEATH URT ACC 9.5X28 278 819.00 70137716 STENT SOFT W/O WG 5FX28 278 533.00 70137829 AHMED GLAUCOMA VALVE 278 3,385.00 70137992 SCREW UNI 4.5X25 278 4,408.00 70137993 SCREW UNI 4.5X30 278 4,408.00 70137994 SCREW UNI 4.5X35 278 4,408.00 70137995 SCREW UNI 4.5X40 278 4,408.00 70137996 SCREW UNI 5.5X25 278 4,408.00 70137997 SCREW UNI 5.5X30 278 4,408.00 70137998 SCREW UNI 5.5X35 278 4,408.00 70137999 SCREW UNI 5.5X40 278 4,408.00 70138000 SCREW UNI 5.5X45 278 4,408.00 70138001 SCREW UNI 6.5X30 278 4,408.00 70138002 SCREW UNI 6.5X35 278 4,408.00 70138003 SCREW UNI 6.5X40 278 4,408.00 70138004 SCREW UNI 6.5X45 278 4,408.00 70138005 SCREW UNI 6.5X50 278 4,408.00 70138006 SCREW UNI 6.5X55 278 4,408.00 70138008 MINI ANCHORS 2/0 SUTURE 278 3,142.00 70138009 SCREW LOCKING 3.5X18MM 278 1,132.00 70138161 ANCHOR SUTURE 1.8 Q-FIX 278 2,329.00 70138162 KIT INSERT 2.8 SUT ANCHOR 278 1,707.00 70138163 SUT ANCHOR 2.8 IMPL Q-FIX 278 2,560.00 70138281 MESH,PARIETEX PROGRIP 278 1,246.00 70138282 MESH PARIETEX PLUG 6CM 278 1,246.00 70138283 MESH SYNTH ABSRB 15CX10C 278 1,246.00 70139218 MESH SYBOTEX 17X10CM 278 3,148.00 70139230 BIOS REGENE SCRW 6MX20M 278 1,980.00 70139231 BIOS REGENE SCRW 7MX25M 278 1,980.00 70139232 BIOS REGENE SCRW 8MX25M 278 1,980.00 70139233 BIOS REGENE SCRW 9MX25M 278 3,148.00 70139234 BIOS REGENE SCRW 10MX25M 278 1,722.00 70139606 LACRIFLOW SHORT 278 1,263.00 70139884 LACRIFLOW CL SHORT VERSIN 278 1,260.00 70139912 HIP VAC AMBIENT 50 IFS 278 2,698.00 70140008 ANCHOR GRYPHON PROKNOT 278 3,079.00 70140013 SYS MENISCL REP TRUSPN 0D 278 3,442.00 70140014 SYS MENSCL REP TRUSPN 12D 278 3,442.00 70140015 SYS MENSCL REP TRUSPN 24D 278 3,442.00 70140016 SPEEDTRAP 20MM WHITE 278 681.00 70140017 RGDLOOP ADJ BUTTON 278 3,044.00 70140019 RGDLOOP ADJ XL BUTTON 278 3,073.00 70140069 QA ORTHOCORD 1.3MM DRBT 278 3,028.00 70140070 BIOKNOTLESS RAPIDE W/OC 278 3,130.00 70140071 QA ORTHOCORD 9.7MM DRBT 278 3,028.00 70140072 QA ORTHOCORD TPRCUT 2/0 278 3,136.00 70140073 QA ORTHOCORD V-5 TPRCUT 278 3,136.00 70214255 SCRW CA 217.080 6.5/80 278 330.00 70410705 BABY WIRE .012 18CM 278 137.00 70411649 CATH CVC PEDS 3FR X 5CM 278 395.00 70411650 CATH CVC CPUM-301-J-P BH 278 404.00 70411653 CATH CENT CUDLM 401J PED 278 515.00 70411657 CATH C-ULTM-701J-ABRM 278 556.00 70411660 CATH CVC CUDLM-401J 278 399.00 70411661 CATH CVC SPECT 4FRX8CM 278 546.00 70411663 CATH SPECT CVC 5FX8CM 278 532.00 70411664 CATH CVC 2 LUMEN 4FX5CM 278 399.00 70411778 CATH CVC CPMS-501 278 278.00 70412096 CATH CVP 4F 20CM 2LUMEN 278 458.00 70412098 CATH CVC CUDLM-401J-PEDBH 278 508.00 70412101 CATH CVC 2-LUM 5FR X 5CM 278 508.00 70412103 CATH CVC 2LUMEN 7FX15CM 278 515.00 70412108 CATH CVC CPUM-301J-BH 278 435.00 70412218 SET CENTRAL VENOUS CATH 278 581.00 70412220 CATH VENOUS CUDLM-501J-RS 278 460.00 70412534 CATH CVC CUDLM 501-J PED 278 574.00 70413211 KIT CVC MLT-LUM 7/16 278 266.00 70417708 CATH CVC CPMS-631J 278 242.00 70423635 CATH CVP CUST 5FX12 278 574.00 70424997 WIRE GUID .018 X 30CM C0 278 152.00 70427678 GUIDEWIRE COOK.018 X 40CM 278 223.00 70430627 CATH SPCTRM SET CVC 5FX5C 278 532.00 70431073 GD WIRE FX CORE .018/50/3 278 195.00 70439552 SCREW NL CORT 4.5X56MM FT 278 3,134.00 70511955 5F X 65CM .038 KUMPE CATH 278 136.00 70522788 3F X 65CM .025 OMNIFLUSHH 278 223.00 70911955 5F X 65CM .038 KUMPE CATH 278 136.00 70912068 5F X 65CM .038 BERN CATH 278 136.00 70928523 CATH HICKMAN PED 9F 278 825.00 70928836 TRUFILL EMBOLIC AGENT 278 8,033.00 70929399 AMPLATZER VASC PLUG 2-6MM 278 4,266.00 70929400 AMPLATZER VASC PLUG 2-8MM 278 4,266.00 70929401 AMPLATZR VASC PLUG 2-10MM 278 4,266.00 70929402 AMPLATZR VASC PLUG 2-12MM 278 4,266.00 70934641 CATHHEMO 12.5F X 12CM SFT 278 929.00 70934642 CATHHEMO 12.5F X 19CM SFT 278 929.00 70934643 CATHHEMO 14.5FX15CM EQUIS 278 1,638.00 70934644 CATHHEMO 14.5FX19CM EQUIS 278 1,638.00 70934645 CATHHEMO 14.5FX27CM EQUIS 278 1,638.00 70934670 COIL NESTER.018 3CM/2MM 278 492.00 70934671 COIL NESTER .018 3CM/3MM 278 492.00 70934672 COIL NESTER .018 5CM/2MM 278 492.00 70934673 COIL NESTER .018 5CM/3MM 278 492.00 70934674 COIL NESTER .018 7CM/2MM 278 536.00 70934675 COIL NESTER .018 7CM/4MM 278 536.00 70934676 COIL NESTER .018 7CM/6MM 278 536.00 70934677 COIL NESTER .018 7CM/8MM 278 536.00 70934678 COIL NESTER .018 7CM/10MM 278 536.00 70934687 AMPLATZER VASC PLUG 4-6MM 278 4,863.00 70934688 AMPLATZER VASC PLUG 4-8MM 278 4,863.00 70934764 ANGIO CORNARY CATH JL 2 278 155.00 70934765 ANGIO CORON CATH JL 2.5 278 155.00 70934766 ANGIO CORON CATH JL 3 278 155.00 70934767 ANGIO CORON CATH 4F JR 2 278 153.00 70934768 ANGIO CORON CATH 4F JR2.5 278 153.00 70934769 ANGIO CORON CATH 4F JR 3 278 153.00 70934829 CATH BLLN 4MMX40CM PTA 278 1,980.00 70934830 CATH BLLN 5MM X 40CM 278 1,980.00 70935983 GUIDWIRE MICRO 007X2100MM 278 1,350.00 70936053 COIL 400 STD 10M X 35 CM 278 4,977.00 70936054 COIL 400 STD 12M X 40 CM 278 4,977.00 70936055 COIL 400 STD 12M X 60 CM 278 4,977.00 70936056 COIL 400 STD 14M X 60 CM 278 4,977.00 70936057 COIL 400 STD 16M X 60 CM 278 4,977.00 70936058 COIL 400 STD 18M X 57 CM 278 4,977.00 70936059 COIL 400 STD 20M X 60 CM 278 4,977.00 70936060 COIL 400 STD 24M X 57 CM 278 4,977.00 70936061 COIL 400 STD 28M X 60 CM 278 4,977.00 70936062 COIL 400 STD 32M X 60 CM 278 4,977.00 70936063 COIL 400 SOFT 2M X 1 CM 278 5,631.00 70936064 COIL 400 SOFT 2M X 2 CM 278 5,631.00 70936065 COIL 400 SOFT 2M X 4 CM 278 5,631.00 70936066 COIL 400 SOFT 3M X 5 CM 278 5,631.00 70936067 COIL 400 SOFT 3M X 15 CM 278 5,534.00 70936068 COIL 400 SOFT 4M X 6 CM 278 5,631.00 70936069 COIL 400 SOFT 4M X 15 CM 278 5,534.00 70936070 COIL 400 SOFT 6M X 20 CM 278 5,933.00 70936071 COIL 400 SOFT 6M X 30 CM 278 6,331.00 70936072 COIL 400 SOFT 8M X 35 CM 278 6,331.00 70936073 COIL 400 SOFT 8M X 60 CM 278 6,729.00 70936074 COIL 400 SOFT 16M X 50 CM 278 6,729.00 70936075 COIL 400 SOFT 20M X 60 CM 278 6,729.00 70936081 COIL 400 STD 3M X 5 CM 278 5,631.00 70936082 COIL 400 STD 3M X 12 CM 278 5,631.00 70936083 COIL 400 STD 3M X 20 CM 278 5,631.00 70936084 COIL 400 STD 4M X 10 CM 278 5,631.00 70936085 COIL 400 STD 4M X 15 CM 278 5,631.00 70936086 COIL 400 STD 4M X 20 CM 278 5,631.00 70936087 COIL 400 STD 4M X 30 CM 278 4,977.00 70936088 COIL 400 STD 4M X 35 CM 278 4,977.00 70936089 COIL 400 STD 5M X 12 CM 278 5,631.00 70936090 COIL 400 STD 5M X 20 CM 278 5,631.00 70936091 COIL 400 STD 5M X 30 CM 278 4,977.00 70936092 COIL 400 STD 6M X 20 CM 278 5,631.00 70936093 COIL 400 STD 6M X 30 CM 278 4,977.00 70936094 COIL 400 STD 7M X 25 CM 278 5,631.00 70936095 COIL 400 STD 8M X 25 CM 278 5,631.00 70936096 COIL 400 STD 8M X 40 CM 278 4,977.00 70936097 COIL 400 STD 9M X 30 CM 278 4,977.00 70937094 INTRDCER SHETH FLX 4FR 55 278 506.00 70939670 4MAX CATHETER KIT 278 6,948.00 70939745 1.5 F MARATHON MICROCATH 278 2,698.00 70939746 APOLLO 1.5CM MICROCATHETR 278 6,729.00 70939747 APOLLO 3.0CM MICROCATHETR 278 6,729.00 70939748 1.7F ECHELON MICROCATHETR 278 2,971.00 70939749 MIRAGE MICROWIRE .008 X M 278 1,943.00 70939750 .008 CHIKAI MICROWIRE 278 2,812.00 70939751 .014 CHIKAI MICROWIRE 278 2,812.00 70939752 .018 CHIKAI MICROWIRE 278 2,812.00 70939753 4F X 80CM FUBUKI SHEATH 278 1,703.00 70939754 5F X 80CM FUBUKI SHEATH 278 1,703.00 70939755 5F X 90CM ENVOY GUIDECATR 278 2,590.00 70939757 2.8F X 150 PROWLER MICROH 278 4,137.00 70939758 .038 X 125 CM DAC CATHET 278 4,804.00 70939759 .038 X 136 CM DAC CATHET 278 4,804.00 70939760 .010 SYNCHRO 10 WIRE 278 3,266.00 70939761 .014 SYNCHRO 2 SOFT WIRE 278 3,408.00 70939763 TRANSND EXFLOPPY WIRE.014 278 3,408.00 70939807 4F X 65CM .035 SOS OMNI H 278 200.00 70939808 4F X 80CM .038 SOS OMNI H 278 136.00 70939809 5F X 80CM .038 SOS OMNI H 278 136.00 70939810 5F X 65CM .038 RIM CATH 278 136.00 70939811 4F X 65CM .035 RIM CATH 278 200.00 70939812 5F X 65CM .035 RIM CATH 278 200.00 70939813 4F X 90CM .035 COBRA1 CAH 278 173.00 70939814 5F X 65CM .038 COBRA1 CAH 278 136.00 70939815 5F X 90CM .038 COBRA1 CAH 278 136.00 70939816 4F X 65CM .038 HH1 CATH 278 136.00 70939817 4F X 100CM .035 HH1 CATH 278 136.00 70939818 4F X 100CM .038 HH1 CATH 278 136.00 70939819 5F X 65CM .038 HH1 CATH 278 200.00 70939820 4F X 65CM .038 JB1 CATH 278 136.00 70939821 4F 100CM .038 JB1 CATH 278 173.00 70939822 5F X 100CM .035 JB1 CATH 278 136.00 70939823 5F X 130CM .038 JB1 CATH 278 674.00 70939824 4F X 100CM .035 SW1 CATH 278 136.00 70939825 5F X 100CM .035 SW1 CATH 278 200.00 70939826 5F X 100CM .038 SW1 CATH 278 136.00 70939827 4F X 65CM .038 BERN CATH 278 136.00 70939828 4F X 100CM .038 BERN CATH 278 136.00 70939829 4F X 140CM .035 BERN CATH 278 674.00 70939830 4F X 65CM .038 KUMPE CATH 278 136.00 70939831 4F X 100CM .035 KUMPE CAH 278 136.00 70939832 4F X 100CM .038 KUMPE CAH 278 136.00 70939833 5F X 100CM .038 KUMPE CA 278 136.00 70939834 4F X 65CM .035 PIGTAIL CH 278 136.00 70939835 4F X 65CM .038 PIGTAIL CH 278 136.00 70939836 4F X 90CM .035 PIGTAIL CH 278 136.00 70939837 5F X 65CM .038 PIGTAIL CH 278 136.00 70939838 5F X 90CM .038 PIGTAIL CH 278 136.00 70939839 3F X 65CM .025 PIGTAIL CH 278 236.00 70939840 3F X 65CM .025 SOS OM JRH 278 264.00 70939841 3F X 65CM .025 COBRA1 CAH 278 264.00 70939869 135CM MARKSMAN MICROCATH 278 5,089.00 70939870 160CM MARKSMAN MICROCATH 278 5,368.00 70939871 ONYX 18 EMBOLIC AGENT 278 10,032.00 70939872 ONYX 34 EMBOLIC AGENT 278 10,032.00 70939873 SOLITAIRE 4MM X 20MM 278 23,800.00 70939874 SOLITAIRE 4MM X 40MM 278 23,800.00 70939875 SOLITAIRE 6MM X 20MM 278 23,800.00 70939876 DAUL MARKER 150CM 278 5,135.00 70939877 6F ANGIO-SEAL VIP 278 1,818.00 70939878 8F ANGIO-SEAL VIP 278 1,818.00 70939879 1.2F MAGIC FM MICROCATH 278 5,652.00 70939880 1.5F MAGIC FM MICROCATH 278 5,652.00 70939881 AMPLATZER VASCULAR PLUG M 278 3,998.00 70939882 AMPLATZER VASC PLUG 4 5MM 278 3,998.00 70939883 AMPLATZER VASC PLUG 4 7MM 278 3,998.00 70939977 CONTOUR 15-250 MICRONS 278 660.00 70939978 CONTOUR 250-355 MICRONS 278 660.00 70939979 CONTOUR 355-500 MICRONS 278 660.00 70939983 MVP-3Q VASCULAR PLUG 278 5,935.00 70940138 SHEATH, 7FRX65MM 278 613.00 71212461 COIL EMBOLIZATION MWCE-35 278 283.00 71221872 COIL EMBOLISM 35-3-5 278 292.00 71221876 COIL EMBOLISM 35-2-3 278 292.00 71221881 COIL EMBOLISM 35-3-3 278 292.00 71221945 INTRO FAST CATH 10F ADLT 278 228.00 71222788 3F X 65CM .025 OMNIFLUSH 278 223.00 71222806 CATH 5FRX100CM MP 278 470.00 71226106 SET PERCUT W/BANDS HYDRO 278 579.00 71226107 CATH NEPHRO 8F 22CM 278 600.00 71226154 COIL EMBOL 35 5X3 TRNDO 278 579.00 71226155 COIL EMBOL 35 7X3 TRNDO 278 579.00 71226156 COIL EMBOL 35 8X4 TRNDO 278 484.00 71226375 COIL EMBOL NESTER 35-14-0 278 579.00 71226536 CATH DRN MULTI 8.5X45CM 278 521.00 71234549 CATH UNI INF 5FX90X30CM 278 1,900.00 71234550 CATH UNI INF 5FX90X40CM 278 511.00 71239984 MVP-5Q VASCULAR PLUG 278 5,935.00 72410893 PLATE BLADE CHILDREN 40MM 278 13,318.00 72410997 PLATE BLADE CHILDREN 45MM 278 5,472.00 72411374 CATH ART EMBL 3F 40CM 278 512.00 72411375 CATH ASH SPLT 10FX18 W/CU 278 2,645.00 72411376 CATH ASH SPLT 10FX24 W/CU 278 2,645.00 72411377 CATH ASH SPLT 14FX24 W/CU 278 2,162.00 72411378 CATH ASH SPLT 10FX28 W/CU 278 2,162.00 72411379 CATH ASH SPLT 14FX32 W/CU 278 2,162.00 72411442 CATH BLN MAXFORCE 4/12 278 1,768.00 72411619 CATH BROVIAC 2.7F SL 278 586.00 72411620 CATH BROVIAC 4.2F SL 278 882.00 72411633 CATH CHOLANGIO 4.5F M55 278 437.00 72411634 CATH CHOLANGIO 5.5F M56 278 437.00 72411649 CATH CVC PEDS 3FR X 5CM 278 395.00 72411661 CATH CVC SPECT 4FRX8CM 278 546.00 72411700 CATH DIL BLN PYLORC 10/12 278 1,618.00 72411707 CATH DIL CRE ESOPH 6/8 278 1,434.00 72411738 CATH DYLS 8F 12CM SL12PII 278 1,024.00 72411754 CATH EMBL FOGERTY 80CM 3F 278 435.00 72411755 CATH EMBL FOGERTY 80CM 4F 278 477.00 72411756 CATH EMBL FOGERTY 80CM 5F 278 435.00 72411917 CATH HICKMAN 7F 278 939.00 72411920 CATH HICKMAN 12F DL 278 1,215.00 72411957 CATH INDURA ONE PIECE 278 3,214.00 72412092 CATH SOFTLINE DL 9/15 278 485.00 72412107 CATH SPEC 5FX8CM 278 412.00 72412130 CATH THORA-CATH 14.0F 278 160.00 72412132 CATH THORA-CATH 9.6F 278 160.00 72412143 CATH THORACIC SIL 14F W/C 278 120.00 72412223 CATH VENOUS RETURN OPENTI 278 308.00 72412224 CATH VENOUS RETURN OPENTI 278 308.00 72412225 CATH VENOUS RETURN OPENTI 278 308.00 72412226 CATH VENOUS RETURN RT ANG 278 308.00 72412227 CATH VENOUS RETURN RT ANG 278 308.00 72412230 CATH VENOUS RETURN SNGL 278 196.00 72412231 CATH VENS RTRN SNGL 22FR 278 272.00 72412232 CATH VENOUS RETURN SNGL 278 215.00 72412233 CATH VENOUS RETURN SNGL 278 215.00 72412245 CATH VENT ADLT OBT 16F 278 192.00 72412253 CATH VENT EDM 35MM 278 914.00 72412255 CATH VENT LT HEART 278 178.00 72412256 CATH VENT LT INF 10/15 278 178.00 72412262 CATH VENT RT ANG NMT F8 M 278 980.00 72412263 CATH VENT RT ANG NMT F8X1 278 980.00 72412264 CATH VENT RT ANG F8X3CM 278 980.00 72412265 CATH VENT RT ANG F8X4CM 278 980.00 72412266 CATH VENT RT ANG F8X5CM 278 980.00 72412267 CATH VENT RT ANG NMT F8 278 980.00 72412268 CATH VENT RT ANG NMT F8 X 278 980.00 72412269 CATH VENT RT ANG NMT F8 X 278 980.00 72412270 CATH VENT RT ANG F8X9CM 278 980.00 72412324 BONE CANC CHIP 15CC 278 1,720.00 72412724 GRAFT DURAL 4X5 278 4,174.00 72412725 GRAFT DURAL 2X2 278 1,964.00 72412726 GRAFT DURAL 3X3 278 3,545.00 72412755 GRAFT FELT PTFE 4X4 278 495.00 72412804 GEL GRAFTON 1CC 278 897.00 72412824 GRAFT GORE BIFUR 18X9MMX4 278 4,568.00 72412908 GRAFT VASC PLAT 28X30 278 3,697.00 72412963 GRAFT GORE BIFUR 18X9MMX4 278 4,568.00 72412984 GRAFT GORE STRTCH STD 20 278 2,594.00 72412989 GRAFT VASC ST 35005 278 1,905.00 72412990 GRAFT GORE THIN WALL 4MM 278 2,008.00 72412991 GRAFT GORE THIN WALL 5MM 278 1,747.00 72412992 GRAFT GORETEX STRTCH STD 278 2,810.00 72412993 GRFT VASC STRCH STD 14/30 278 3,060.00 72412994 GRAFT VAS STRCH STD 16/30 278 2,594.00 72412995 GRAFT VAS STRCH STD 18/30 278 2,594.00 72412996 GRAFT GORTEX STRTCH STD 278 2,850.00 72412997 GRAFT GORE STRTCH STD 24 278 2,380.00 72413034 GRAFT VASC THNWALL 3.5X10 278 2,008.00 72413136 INTRO PEEL AWAY 11F 278 352.00 72413137 INTRO PEEL AWAY 14F 278 352.00 72413172 INTRO PEELAWAY 16F 278 352.00 72413198 CATH MAHURKAR 10FX5.8 278 557.00 72413214 KIT CVC MLT-LUM PED 5.5 278 321.00 72413264 KIT PICC 4X55 DL 278 575.00 72413317 MESH MRLX PLUG PERFIX MED 278 1,707.00 72413348 NAIL ELASTIC 2.0/440 TI 278 1,906.00 72413349 NAIL ELASTIC 475.925 2.50 278 1,906.00 72413350 NAIL ELAST 475.930 3/440 278 1,906.00 72413351 NAIL ELSTC 475.935 3.5/40 278 1,906.00 72413352 NAIL TITAN ELAS 4.0X440MM 278 1,997.00 72413510 PATCH CRD ACUSL CV 1X9CM 278 1,365.00 72413512 PATCH CRD ACUSEAL 5/75/.5 278 1,758.00 72413518 PATCH CARDIOVASC 2/9/.4 278 1,529.00 72413539 PATCH SOFT TISS 5/10/1 278 1,161.00 72413542 PATCH SOFT TISS 5/15/1 278 1,883.00 72413615 PLT BRD 226.06 4.5/103 D 278 1,617.00 72413616 PLT BRD 226.07 4.5/119 D 278 1,660.00 72413617 PLT BRD 226.08 4.5/135 D 278 2,015.00 72413618 PLT BRD 226.09 4.5/151 D 278 2,015.00 72413619 PLT BRD 226.10 4.5/167 D 278 2,015.00 72413620 PLT BRD 226.12 4.5/199 D 278 1,770.00 72413622 PLT BUTT 240.46 5/118 RT 278 4,223.00 72413623 PLT BUTT 240.47 7/149 RT 278 4,537.00 72413624 PLT BUTT 240.48 9/181 RT 278 4,842.00 72413625 PLT BUTT 240.56 5/118 LT 278 4,223.00 72413626 PLT BUTT 240.57 7/149 LT 278 4,537.00 72413627 PLT BUTT 240.58 9/181 LT 278 4,842.00 72413628 PLT BUTT 240.73 11/221 RT 278 5,278.00 72413629 PLT BUTT 240.92 CNDY LT 278 4,523.00 72413631 PLT CANCNL 241.61 60MM 278 3,154.00 72413633 PLT CANCNL 241.65 YPLT 278 3,217.00 72413637 PLT CLVR 3H 241.83 88 278 1,843.00 72413638 PLT CLVR 4H 241.84 104 278 1,971.00 72413639 PLT CLVR 241.85.5/120 278 2,562.00 72413640 PLT CLVR 241.86.6/136 278 2,781.00 72413644 PLT CNDY 237.20 50/204D 278 3,927.00 72413645 PLT CNDY 237.26 80/204D 278 3,927.00 72413647 PLT CNDY 237.72 60/124D 278 3,440.00 72413648 PLT CNDY 237.74 70/124D 278 3,440.00 72413649 PLT CNDY 237.92 60/156D 278 3,604.00 72413651 PLT CNDY 237.96 80/156D 278 3,604.00 72413667 PLT DCP 248.06.3.5/6/73 278 1,136.00 72413668 PLT DCP 248.07.3.5/7/87 278 1,180.00 72413669 PLT DCP 248.08.3.5/8/97 278 1,229.00 72413670 PLT DCP 248.10.3.5/10/ 278 1,317.00 72413671 PLT DCA 281.900 10/178 278 5,620.00 72413724 PLT NARW 224.02 4.5/39 278 1,065.00 72413725 PLT NARW 224.05 4.5/87 278 1,065.00 72413726 PLT NARW 224.06 4.5/103 278 1,213.00 72413727 PLT NARW 224.07 4.5/119 278 1,213.00 72413728 PLT NARW 224.09 4.5/151 278 1,213.00 72413729 PLT NARW 224.10 4.5/167 278 1,600.00 72413731 PLT OSTEO 239.55 75/120 278 3,358.00 72413733 PLT OSTEO 239.70 NS DEG 278 3,358.00 72413734 PLT OSTEO 239.72 NS DEG 278 3,358.00 72413740 PLT RCN 229.33 4.5/45 P 278 2,175.00 72413741 PLT RCN 229.34 4.5/61 P 278 2,266.00 72413742 PLT RCN 245.3.5/10/118 278 2,712.00 72413743 PLT RCN 245.02 3.5/12/42 278 2,972.00 72413744 PLATE RECON 245.15 278 1,673.00 72413745 PLATE RECON 6H 3.5/70 278 2,503.00 72413748 PLT RCN 245.19 3.5/9/106 278 2,690.00 72413751 PLATE RECON 245.32 3.5/10 278 3,447.00 72413752 PLT RCN 245.34 3.5/14/ 278 3,472.00 72413771 PLT SEMI-TUB 222.05 5/8 278 595.00 72413772 PLTE STRT 223.56 6/77 LC 278 941.00 72413773 PLTE STRT 223.57 7/90 LC 278 990.00 72413774 PLTE STRT 223.58 8/103 L 278 1,140.00 72413775 PLTE STRT 223.59 9/116 L 278 1,099.00 72413776 PLT STRT 223.60 10/129 278 1,235.00 72413777 PLT STRT 223.62 12/155 278 1,431.00 72413793 PLT T 240.13 3H 68MM 278 2,021.00 72413794 PLT T 4H 84MM 240.14 278 1,784.00 72413795 PLTE T 241.13 SM RT ANG 278 874.00 72413796 PLT T 241.14 SM RT ANG 278 967.00 72413797 PLT T 241.15 SM RT ANG 278 1,071.00 72413798 PLT T 241.23 SM OBLIQ 278 1,606.00 72413799 PLTE T 241.24 SM OBLIQUE 278 1,345.00 72413800 PLT T 241.25 SM OBLIQ 278 1,748.00 72413812 PLT T-BUT 240.34 4/80 278 2,799.00 72413827 PLT TBL 241.005 3.5/4 LT 278 4,921.00 72413828 PLT TBL 241.006 3.5/6 RT 278 4,941.00 72413829 PLT TBL 241.007 3.5/6 LT 278 4,941.00 72413830 PLT TBL 241.008 3.5/8 RT 278 5,100.00 72413831 PLT TBL 241.009 3.5/8 LT 278 5,100.00 72413832 PLT TBL 241.010 3.5/10 RT 278 5,128.00 72413833 PLT TBL 241.011 3.5/10 LT 278 5,128.00 72413834 PLT TBL 241.012 3.5/12 RT 278 5,319.00 72413835 PLT TBL 241.013 3.5/12 LT 278 5,319.00 72413836 PLT TBL 241.014 3.5/14 RT 278 5,434.00 72413837 PLT TBL 241.015 3.5/14 LT 278 5,434.00 72413838 PLT TBL 241.016 3.5/16 RT 278 5,546.00 72413839 PLT TBL 241.017 3.5/16 LT 278 5,546.00 72413858 PLATE TIT 441.37 7H/85TBL 278 553.00 72413876 PLTE TUB 1/3 2H 241.32 2 278 390.00 72413877 PLTE TUB 1/3 3H 241.33 3 278 403.00 72413878 PLTE TUB 1/3 4H 241.34 4 278 443.00 72413879 PLTE TUB 1/3 5H 241.35 6 278 468.00 72413880 PLTE TUB 1/3 6H 241.36 7 278 442.00 72413881 PLTE TUB 1/3 7H 241.37 8 278 444.00 72413882 PLTE TUB 1/3 8H 241.38 9 278 461.00 72413883 PLTE TUB 1/3 10H 241.40 278 345.00 72413888 PLTE QTR TUBLR 7HOLEX55MM 278 819.00 72413916 PORT REG 6.6F 060220 278 1,866.00 72413924 PORT LO-PROFILE 6.6F 278 2,103.00 72414032 ROD SPNL 1X4X18 278 3,527.00 72414201 SCRW CANC 218.060 6.5/60 278 336.00 72414202 SCRW CA 206.010 4.0/10 F 278 146.00 72414203 SCRW CA 206.012 4.0/12 F 278 176.00 72414204 SCRW CA 206.014 4.0/14 F 278 192.00 72414205 SCRW CA 206.016 4.0/16 F 278 192.00 72414206 SCRW CA 206.018 4.0/18 F 278 146.00 72414207 SCRW CA 206.020 4.0/20 F 278 192.00 72414208 SCRW CA 206.022 4.0/22 F 278 192.00 72414209 SCRW CA 206.024 4.0/24 F 278 192.00 72414210 SCRW CA 206.026 4.0/26 F 278 176.00 72414211 SCRW CA 206.028 4.0/28 F 278 170.00 72414212 SCRW CA 206.030 4.0/30 F 278 140.00 72414213 SCRW CA 206.035 4.0/35 F 278 176.00 72414215 SCRW CA 206.040 4.0/40 F 278 176.00 72414216 SCRW CA 206.045 4.0/45 F 278 155.00 72414220 SCRW CA 207.010 4.0/10 P 278 192.00 72414221 SCRW CA 207.012 4.0/12 P 278 161.00 72414222 SCRW CA 207.014 4.0/14 P 278 161.00 72414223 SCRW CA 207.020 4.0/20 P 278 192.00 72414224 SCRW CA 207.022 4.0/22 P 278 161.00 72414225 SCRW CA 207.024 4.0/24 P 278 192.00 72414226 SCRW CA 207.026 4.0/26 P 278 161.00 72414227 SCRW CA 207.028 4.0/28 P 278 192.00 72414228 SCRW CA 207.030 4.0/30 P 278 192.00 72414229 SCRW CA 207.035 4.0/35 P 278 192.00 72414230 SCRW CA 207.040 4.0/40 P 278 144.00 72414231 SCRW CA 207.045 4.0/45 P 278 164.00 72414232 SCRW CA 207.050 4.0/50 P 278 192.00 72414248 SCRW CA 217.045 6.5/45 278 255.00 72414249 SCRW CA 217.050 6.5/50 278 303.00 72414251 SCRW CA 217.060 6.5/60 278 269.00 72414252 SCRW CA 217.065 6.5/65 278 276.00 72414253 SCRW CA 217.070 6.5/70 278 303.00 72414260 SCRW CA 218.030 6.5/30 F 278 336.00 72414261 SCRW CA 218.035 6.5/35 F 278 317.00 72414262 SCRW CA 218.040 6.5/40 F 278 360.00 72414263 SCRW CANC 218.045 6.5/45 278 336.00 72414264 SCRW CANC 218.050 6.5/50 278 336.00 72414265 SCRW CANC 218.055 6.5/55 278 336.00 72414302 SCRW CA 205.010 3.5/10/5 278 1,379.00 72414303 SCRW CA 205.012 3.5/12/5 278 1,379.00 72414304 SCRW CA 205.014 3.5/14/5 278 1,379.00 72414305 SCRW CA 205.018 3.5/18/6 278 1,379.00 72414306 SCRW CA 205.022 3.5/22/7 278 1,379.00 72414307 SCRW CA 205.026 3.5/26/8 278 1,379.00 72414308 SCRW CA 205.028 3.5/28/9 278 1,379.00 72414309 SCRW CA 205.030 3.5/30/10 278 1,379.00 72414310 SCRW CA 205.032 3.5/32/11 278 1,379.00 72414311 SCRW CA 205.034 3.5/34/11 278 1,379.00 72414312 SCRW CA 205.036 3.5/36/12 278 1,379.00 72414313 SCRW CA 205.038 3.5/38/12 278 1,379.00 72414314 SCRW CA 205.040 3.5/40/13 278 1,379.00 72414315 SCRW CA 205.044 3.5/44/14 278 1,379.00 72414316 SCRW CA 205.046 3.5/46/15 278 1,379.00 72414319 SCRW CA 205.218 3.5/18 F 278 1,379.00 72414320 SCRW CA 205.220 3.5 278 1,379.00 72414321 SCRW CA 205.226 3.5/26 F 278 1,379.00 72414322 SCRW CA 205.232 3.5/32 F 278 1,379.00 72414323 SCRW CA 205.236 3.5/36 F 278 1,379.00 72414324 SCRW CA 205.240 3.5/40 F 278 1,379.00 72414325 SCRW BN 4MM 10MM LCP SSST 278 1,456.00 72414326 SCRW CA 207.612 4.0/12 ST 278 1,181.00 72414327 SCRW CA 207.614 4.0/14 ST 278 1,243.00 72414328 SCRW CA 207.616 4.0/16 ST 278 1,454.00 72414329 SCRW CA 207.618 4.0/18 ST 278 1,181.00 72414330 SCRW CA 207.620 4.0/20 ST 278 1,345.00 72414331 SCRW CA 207.622 4.0/22 ST 278 1,345.00 72414332 SCRW CA 207.624 4.0/24 ST 278 1,345.00 72414333 SCRW CA 207.626 4.0/26 S 278 1,181.00 72414334 SCRW CA 207.628 4.0/28 S 278 1,181.00 72414335 SCRW CA 207.630 4.0/30 S 278 1,181.00 72414336 SCRW CA 207.632 4.0/32 S 278 1,454.00 72414337 SCRW CA 207.634 4.0/34 S 278 1,454.00 72414338 SCRW CA 207.636 4.0/36 S 278 1,454.00 72414339 SCRW CA 207.638 4.0/38 S 278 1,454.00 72414340 SCRW CA 207.640 4/40 ST 278 1,454.00 72414341 SCRW CA 207.642 4/42 ST 278 1,454.00 72414342 SCRW CA 207.644 4.0/44 S 278 1,454.00 72414343 SCRW CA 207.646 4.0/46 S 278 1,181.00 72414344 SCRW CA 207.650 4.0/50 S 278 1,454.00 72414345 SCRW CA 207.716 4.0/16 278 1,181.00 72414346 SCRW CA 207.718 4.0/18 278 983.00 72414347 SCRW CA 207.720 4.0/20 278 1,181.00 72414348 SCRW CA 207.722 4.0/22 278 1,038.00 72414349 SCRW CA 207.724 4.0/24 278 874.00 72414350 SCRW CA 207.726 4.0/26 278 1,181.00 72414351 SCRW CA 207.728 4.0/28 278 1,181.00 72414352 SCRW CA 207.730 4.0/30 278 1,181.00 72414353 SCRW CA 207.732 4.0/32 278 1,181.00 72414354 SCRW CA 207.734 4.0/34 278 1,379.00 72414355 SCRW CA 207.736 4.0/36 278 1,345.00 72414356 SCRW CA 207.738 4/38 278 1,181.00 72414357 SCRW CA 207.740 4.0/40 278 1,454.00 72414358 SCRW CA 207.742 4.0/42 278 1,181.00 72414359 SCRW CA 207.746 4.0/46 278 1,345.00 72414360 SCRW CA 207.748 4.0/48 278 1,181.00 72414361 SCRW CA 207.750 4.0/50 278 1,242.00 72414379 SCRW CA 208.840 7.3/40/16 278 1,618.00 72414380 SCRW CA 208.845 7.3/45/16 278 1,748.00 72414381 SCRW CA 208.850 7.3/50/16 278 1,618.00 72414382 SCRW CA 208.855 7.3/55/16 278 1,891.00 72414383 SCRW CA 208.860 7.3/60/16 278 1,748.00 72414384 SCRW CA 208.865 7.3/65/16 278 1,679.00 72414385 SCRW CA 208.870 7.3/70/16 278 1,618.00 72414386 SCRW CA 208.875 7.3/75/16 278 1,891.00 72414387 SCRW CA 208.880 7.3/80/16 278 1,891.00 72414388 SCRW CA 208.885 7.3/85/16 278 1,891.00 72414389 SCRW CA 208.890 7.3/90/16 278 1,891.00 72414390 SCRW CA 208.895 7.3/95/16 278 1,891.00 72414392 SCRW CA 208.905 7.3/105 278 1,218.00 72414393 SCRW CA 208.910 7.3/110 278 1,368.00 72414394 SCRW CA 208.915 7.3/115 278 1,368.00 72414395 SCRW CA 208.920 7.3/120 278 1,368.00 72414412 SCRW CA 209.850 7.3/50/32 278 1,891.00 72414413 SCRW CA 209.855 7.3/55/32 278 1,816.00 72414414 SCRW CA 209.860 7.3/60/32 278 1,635.00 72414415 SCRW CA 209.865 7.3/65/32 278 1,816.00 72414416 SCRW CA 209.870 7.3/70/32 278 1,816.00 72414417 SCRW CA 209.875 7.3/75/32 278 1,891.00 72414418 SCRW CA 209.880 7.3/80/32 278 1,715.00 72414419 SCRW CA 209.885 7.3/85/32 278 1,635.00 72414420 SCRW CA 209.890 7.3/90/32 278 1,715.00 72414421 SCRW CA 209.895 7.3/95/32 278 1,679.00 72414422 SCRW CA 209.900 7.3/100 278 1,715.00 72414423 SCRW CA 209.905 7.3/105 278 1,891.00 72414429 SCRW CA 209.950 7.3/150 278 1,557.00 72414430 SCRW CA 214.520 4.5/20 PT 278 1,263.00 72414431 SCRW CA 214.522 4.5/22 PT 278 1,475.00 72414432 SCRW CA 214.524 4.5/24 PT 278 1,475.00 72414433 SCRW CA 214.526 4.5/26 PT 278 1,475.00 72414434 SCRW CA 214.528 4.5/28 PT 278 1,263.00 72414435 SCRW CA 214.530 4.5/30 PT 278 1,365.00 72414436 SCRW CA 214.532 4.5/32/11 278 1,475.00 72414437 SCRW CA 214.534 4.5/34 PT 278 1,475.00 72414438 SCRW CA 214.540 4.5/40/13 278 1,475.00 72414439 SCRW CA 214.542 4.5/42/14 278 1,284.00 72414440 SCRW CA 214.544 4.5/44/15 278 1,254.00 72414441 SCRW CA 214.546 4.5/46/15 278 1,475.00 72414442 SCRW CA 214.548 4.5/48 PT 278 1,393.00 72414443 SCRW CA 214.550 4.5/50/16 278 1,254.00 72414444 SCRW CA 214.552 4.5/52 278 1,393.00 72414445 SCRW CA 214.554 4.5/54 PT 278 1,321.00 72414446 SCRW CA 214.556 4.5/56/19 278 1,393.00 72414447 SCRW CA 214.560 4.5/60/20 278 1,254.00 72414448 SCRW CA 214.564 4.5/64 278 1,475.00 72414449 SCRW CA 214.572 4.5/72/24 278 1,365.00 72414450 SCRW CA 214.720 4.5/20 F 278 1,475.00 72414451 SCRW CA 214.726 4.5/26 FT 278 1,086.00 72414452 SCRW CA 214.728 4.5/28 F 278 1,365.00 72414453 SCRW CA 214.730 4.5/30 F 278 1,284.00 72414454 SCRW CA 214.732 4.5/32 FT 278 1,263.00 72414455 SCRW CA 214.734 4.5/34 F 278 881.00 72414456 SCRW CA 214.738 4.5/38 F 278 1,393.00 72414457 SCRW CA 214.740 4.5/40 F 278 1,475.00 72414458 SCRW CA 214.742 4.5/42 278 1,263.00 72414459 SCRW CA 214.744 4.5/44 FT 278 1,086.00 72414460 SCRW CA 214.748 4.5/48 F 278 1,365.00 72414461 SCRW CA 214.756 4.5/56 F 278 1,284.00 72414463 SCRW CA 214.772 4.5/72 F 278 1,365.00 72414466 SCRW CANN 202.625 3/26/ 278 1,447.00 72414467 SCRW CANN 202.628 3/28 278 1,447.00 72414475 SCRW COMPRESSION 36MM 278 387.00 72414500 SCRW SRTX 201.818 2/18 ST 278 292.00 72414501 SCRW CRTX 201.820 2/20 ST 278 292.00 72414504 SCRW CRTX 202.810 2.7X10 278 189.00 72414505 SCRW CRTX 202.812 2.7X12 278 189.00 72414506 SCRW CRTX 202.814 2.7X14 278 189.00 72414507 SCRW CRTX 202.816 2.7X16 278 189.00 72414508 SCRW CRTX 202.818 2.7X18 278 189.00 72414509 SCRW CRTX 202.820 2.7X20 278 189.00 72414510 SCRW CRTX 202.822 2.7X22 278 189.00 72414511 SCRW CRTX 202.824 2.7X24 278 189.00 72414512 SCRW CRTX204.012 3.5/12H 278 148.00 72414513 SCRW CRTX204.014 3.5/14H 278 148.00 72414514 SCRW CRTX204.016 3.5/16H 278 148.00 72414515 SCRW CRTX204.018 3.5/18H 278 148.00 72414516 SCRW CRTX204.020 3.5/20H 278 148.00 72414517 SCRW CRTX204.022 3.5/25H 278 148.00 72414518 SCRW CRTX204.026 3.5/26H 278 148.00 72414519 SCRW CRTX204.028 3.5/28H 278 148.00 72414520 SCRW CTX 204.810 3.5/10 S 278 230.00 72414521 SCRW CTX 204.812 3.5/12 S 278 202.00 72414522 SCRW CTX 204.814 3.5/14 S 278 202.00 72414523 SCRW CTX 204.816 3.5/16 S 278 202.00 72414524 SCRW CTX 204.818 3.5/18 S 278 202.00 72414525 SCRW CTX 204.820 3.5/20 S 278 202.00 72414526 SCRW CTX 204.822 3.5/22 S 278 202.00 72414527 SCRW CTX 204.824 3.5/24 S 278 192.00 72414528 SCRW CTX 204.826 3.5/26 S 278 202.00 72414529 SCRW CTX 204.828 3.5/28 S 278 192.00 72414530 SCRW CTX 204.830 3.5/30 S 278 198.00 72414531 SCRW CTX 204.832 3.5/32 S 278 217.00 72414532 SCRW CTX 204.834 3.534 S 278 198.00 72414533 SCRW CTX 204.836 3.5/36 S 278 230.00 72414534 SCRW CTX 204.838 3.5/38 S 278 230.00 72414535 SCRW CTX 204.840 3.5/40 S 278 230.00 72414536 SCRW CTX 204.845 3.5/45 S 278 230.00 72414537 SCRW CTX 204.850 3.5/50 S 278 192.00 72414538 SCRW CRTX 204.855 3.5X55 278 194.00 72414539 SCRW CRTX 204.860 3.5X60 278 194.00 72414546 SCRW CRTX214.014 4.5/14H 278 159.00 72414547 SCRW CRTX214.030 4.5/32H 278 159.00 72414548 SCRW CRTX214.034 4.5/34H 278 159.00 72414552 SCRW CX 214.536 4.5/36/12 278 1,254.00 72414553 SCRW CX 214.538 4.5/38/13 278 1,168.00 72414554 SCRW CTX 214.814 4.5/14 S 278 223.00 72414555 SCRW CTX 214.816 4.5/16 S 278 205.00 72414556 SCRW CTX 214.818 4.5/18 S 278 205.00 72414557 SCRW CTX 214.820 4.5/20 S 278 191.00 72414558 SCRW CTX 214.822 4.5/22 S 278 223.00 72414559 SCRW CTX 214.824 4.5/24 S 278 223.00 72414560 SCRW CTX 214.826 4.5/26 S 278 208.00 72414561 SCRW CTX 214.828 4.5/28 S 278 223.00 72414562 SCRW CTX 214.830 4.5/30 S 278 223.00 72414563 SCRW CTX 214.834 4.5/34 S 278 223.00 72414564 SCRW CTX 214.834 4.5/34 S 278 208.00 72414565 SCRW CTX 214.836 4.5/386 278 208.00 72414566 SCRW CTX 214.838 4.5/38 S 278 223.00 72414567 SCRW CTX 214.840 4.5/40 S 278 208.00 72414568 SCRW CTX 214.842 4.5/42 S 278 223.00 72414569 SCRW CTX 214.844 4.5/44 S 278 223.00 72414570 SCRW CTX 214.846 4.5/46 S 278 203.00 72414571 SCRW CTX 214.848 4.5/48 S 278 205.00 72414572 SCRW CTX 214.850 4.5/50 S 278 171.00 72414573 SCRW CTX 214.852 4.5/52 S 278 189.00 72414574 SCRW CTX 214.854 4.5/54 S 278 223.00 72414575 SCRW CTX 214.856 4.5/56 S 278 171.00 72414576 SCRW CTX 214.858 4.5/58 S 278 171.00 72414577 SCRW CTX 214.860 4.5/60 S 278 187.00 72414578 SCRW CTX 214.862 4.5/62 278 171.00 72414579 SCRW CTX 214.864 4.5/64 S 278 187.00 72414580 SCRW CTX 214.866 4.5/66 278 171.00 72414581 SCRW CTX 214.868 4.5/68 S 278 160.00 72414582 SCRW CTX 214.870 4.5/70 S 278 205.00 72414583 SCRW CRTX214.872 6.5/90 278 179.00 72414586 SCRW CRTX 4.5/85 ST 278 378.00 72414587 SCRW CRTX 4.5/90 ST 278 378.00 72414687 SCREW 3.5MM TIT CTX 12MM 278 223.00 72414688 SCREW 3.5 MM TIT CTX 14MM 278 223.00 72414689 SCREEW 3.5MM TIT CTX 16MM 278 223.00 72414755 SCRW MA 215.045 4.5/45/22 278 248.00 72414756 SCRW MA 215.055 4.5/55/26 278 248.00 72414757 SCRW SHNZ 294.54 5.0/150 278 651.00 72414758 SCRW SHNZ 294.56 5.0/200 278 754.00 72414760 SCRW SHNZ 294.75 4.5/ 278 676.00 72414763 SCREW SCHANZ 5X150MM 278 1,553.00 72414764 SCREW BN 5MM 17MM SCHNZ 278 1,297.00 72414767 SCRW SHFT 204.216 3.5/16/ 278 210.00 72414768 SCRW SHFT 204.218 3.5/18/ 278 195.00 72414863 INTRO PERITONEAL 46M 278 313.00 72414864 INTRO PERITONEAL 61M 278 313.00 72414900 SYSTEM CATH PERITNL 84CM 278 2,939.00 72414903 VALVE SHUNT ASSEM LOW PRS 278 4,128.00 72414904 VLVE SHNT ASSB SM/MD PRES 278 3,513.00 72414922 VLVE PRGRM HAKIM 82-3113 278 12,513.00 72414923 VLVE PRGRM HAKIM 82-3114 278 12,513.00 72415188 STENT C FLEX DBL PIGTAIL 278 796.00 72415265 STENT FAIR URETH 278 170.00 72415549 TRAY CATH SFTLN DL 11.5/2 278 485.00 72415550 TRAY CATH SFTLN DL 7/10 P 278 526.00 72415746 VALVE CONTROL CAF ULTSML 278 3,534.00 72415747 VALVE DELTA SM 1.5 278 5,288.00 72415748 VALVE SHUNT PERFORMANCE 278 5,034.00 72415749 VALVE DELTA SM LEVEL 1 278 3,987.00 72415760 VALVE HRT AORT 27MM HMDYN 278 28,148.00 72415809 VALVE HRT MITRL 29MM STD 278 27,033.00 72415811 VALVE HRT MITRL 31MM STD 278 27,033.00 72415813 VALVE HRT MITRL 33MM STD 278 27,033.00 72415891 WASHER 10.0 219.91 278 246.00 72415892 WASHER 13.0 219.99 LG 278 253.00 72415893 WASHER 7.0 219.98 SM 278 242.00 72415923 WIRE GUID 292.62 1.25 TH 278 276.00 72415927 WIRE GUID 292.68 2.8 THR 278 400.00 72415929 WIRE GUID 292.72 1.6/150T 278 312.00 72415966 WIRE GUID GLDWR 035/150 278 370.00 72415969 WIRE GUID GLDWR 035/180 278 370.00 72415975 GDEWRE .035 ANGLD 630-102 278 854.00 72415990 GLIDEWIRE .025 STRAIGHT 278 419.00 72415991 WIRE GUID GLDWR STFL038 278 336.00 72416018 WIRE GUID 1 STEP 24/3.4 278 1,263.00 72416040 WIRE GUID STRGHT .035 63 278 336.00 72416049 GDWIRE TORQ FLX.018X40 278 1,673.00 72419106 VALVE CHEST HEIMLICH 278 273.00 72419108 VALVE ND SRS4 SMK EVAC 278 230.00 72419198 PORT INTERDYNE 12MM CANNU 278 375.00 72419239 CNNCTR SLT STR 1X4 278 4,022.00 72419341 KIT RPR BROV 7F WHT LEG 278 808.00 72419420 MEMBRANE PRECLUDE1PCM102 278 3,942.00 72419632 INTRO PEELAWAY 5F 601150 278 446.00 72420374 VALVE LUMB HV-BR 903-340A 278 5,058.00 72420375 VALVE LUMB HV-GR 903-345A 278 4,748.00 72420376 VALVE LUMB HV-RD 903-320A 278 5,058.00 72420378 VALVE LUMB HV-YE 903-335A 278 4,901.00 72420877 INTRODCR P/A CATH 12.5FR 278 923.00 72421646 CATH FOGARTY EMB 2F 60CM 278 524.00 72421688 GUIDEWIRE .035X150CM LUBR 278 223.00 72421697 INTRO 11F COOK 278 446.00 72421699 INTRO 7F COOK 278 385.00 72421798 CATH DIL CRE ESPHGL 8/10 278 1,570.00 72421929 WIRE GLID STRGHT .025 150 278 391.00 72421932 WIRE GLID STRGHT .018 278 375.00 72422009 CATH BALLN BLU MX BMX 10- 278 1,718.00 72422256 PICC SET 4F 278 455.00 72422266 STENT DBL PIGTAIL 3.7X10M 278 710.00 72422271 WIRE GLID .035X150CM 278 1,825.00 72422292 CATH DIL CRE ESPHGL 6/8 278 1,618.00 72422293 CATH DIL CRE ESPHGL 15/18 278 1,618.00 72422514 VALVE PROGRAMABLE RESUTIL 278 14,185.00 72422515 VALVE PROGRAMABLE RT ANG 278 14,185.00 72422631 PORT CATH 9.6F 0602230 278 1,810.00 72422703 STENT DBL PIGTAIL 3.7X22M 278 809.00 72422704 STENT DBL PIGTAIL 3.7X16M 278 796.00 72422705 STENT DBL PIGTAIL 3.7X18M 278 796.00 72422706 STENT DBL PIGTAIL 3.7X20M 278 796.00 72422707 STENT DBL PIGTAIL 3.7X14M 278 796.00 72422819 CATH BROVIAC 4.2 VIT CUFF 278 964.00 72422885 WIRE GLID STRGHT .035 278 453.00 72423068 TUBE EAR REUTER BOBBIN 278 234.00 72423090 STENT URET 4.8FX10CM 278 1,064.00 72423091 STENT PED DBL PIGTAIL3932 278 763.00 72423133 CATH BROVIAC 6.6F PREATT 278 1,866.00 72423134 CATH BROVIAC 6.6F SL 278 808.00 72423284 SYS CSF ULTRA SM LOW LOW 278 4,128.00 72423289 PLATE BLADE INFNT 30MM 278 5,472.00 72423290 PLATE BLADE INFNT 25MM 278 2,728.00 72423292 PLATE BLADE SHILD 35MM 278 5,472.00 72423293 PLATE BLADE CHILD 30MM 278 5,261.00 72423294 PLATE BLADE ADOLEST 50MM 278 2,526.00 72423295 PLATE BLADE ADOLEST 45MM 278 3,158.00 72423296 PLATE BLADE ADOLEST 40MM 278 2,526.00 72423297 PLATE BLADE ADOLEST 35MM 278 3,158.00 72423298 PIN GUIDE 1.6 X 152MM 278 259.00 72423299 PIN GUID 2.4X152MM 278 172.00 72423300 PIN HIP 30MM 278 1,124.00 72423311 PIN HIP 35MM 278 1,124.00 72423644 CATH VENT 12FR W/SIDE INT 278 1,848.00 72423863 TRAY CATH SFTLINE DL 11.5 278 485.00 72423866 CATH SWAN NCK TENCKOFF LT 278 821.00 72423879 CATH MAHURKAR 11.5F 5.3 278 543.00 72424091 VALVE CSF ULTRA SM 278 3,534.00 72424690 SYR COLLAGEN 1ML DEFLUX 278 4,161.00 72424923 TUBE EAR T BUTTERFLY 278 153.00 72424997 WIRE GUID .018 X 30CM C0 278 152.00 72425157 VALVE PROGRAMMABL 82-3162 278 14,185.00 72425212 CATH CHAIT CECOSTOMY TRAP 278 702.00 72425415 STENT SINUS 14-17002 278 458.00 72425434 CABLE ATLAS SNGL W/CRIMP 278 2,652.00 72425515 MEMB PERICARD 6X12CM .1MM 278 1,991.00 72425516 PATCH CV ACCU 3X6CM .5MM 278 1,666.00 72425534 TUBE EAR TINY TITAN 278 176.00 72425535 TUBE EAR ANTI-BACTERIAL 278 152.00 72425577 SCRW CA 214.568 4.58 278 1,321.00 72425585 TUTOPLAST .3X12CM 278 2,702.00 72425592 SCRW CA 214.752 4.52 278 1,393.00 72425629 IMPL CLAMP TUBE-TO-TUBE M 278 3,060.00 72425687 KIT RPR HICKMN BROV 6.6F 278 896.00 72425688 CATH HICKMAN 10F DL 278 1,198.00 72425754 PATCH CV 3X3CMX.4MM THICK 278 1,625.00 72425755 PATCH CV 3X6CMX.4MM THICK 278 1,625.00 72425756 MEMB PERICARD 15X20CMX1MM 278 5,495.00 72425854 TUBE TRACH PED SAFE 10MM 278 1,092.00 72425867 INFUS PUMP SYNCHROMED II 278 44,590.00 72425900 SENSOR SHUNT ECMO 278 922.00 72425928 IMPLANT BAND STYLE 287 278 156.00 72425939 STENT URETH 18F 278 974.00 72426091 CATH PICC 19FX50CM 384232 278 344.00 72426153 KIT BROVIAC RPR 7F EXT SE 278 936.00 72426171 KIT BROVIAC RPR 7F RED LE 278 870.00 72426187 KIT RPR BROVIAC 2.7F SL 278 975.00 72426217 BONE CHIP CANC 60CC 278 4,341.00 72426236 IMPL COSEAL 4ML 278 2,976.00 72426244 KIT CHAIT CECOSTOMY LG 278 732.00 72426260 CATH PICC 1.9F DL 278 608.00 72426320 STENT MARDIS 4.8X16 278 1,331.00 72426358 PLATE LC-DCP NRW 6H 4.5/1 278 1,398.00 72426369 IMPL TUTOPLAST SCLERA.5 278 1,809.00 72426371 STENT URETH 4.8X18F 278 1,331.00 72426415 SCRW SCHANZ 4.5/150MM 278 441.00 72426417 MONOKA SELF THRDNG WIDE M 278 628.00 72426418 IMPL GLAUCOMA BAERVELDT 278 3,749.00 72426428 IMPL COSEAL 2ML 278 1,921.00 72426449 SCRW CA 4.5X50 278 1,365.00 72426450 SCRW CA 4.5X54 278 1,365.00 72426509 GLIDEWIRE .018X150 STR 278 451.00 72426521 GRAFT THINWALL 3X5MM 278 1,905.00 72426586 SCRW CORT 3.5X100MM 278 210.00 72426617 SCRW CA 205.024 3.5 278 1,181.00 72426646 LEAD 2MM CYBERONICS 278 16,878.00 72426655 BONE CHIP CANC 30CC 278 2,453.00 72426662 BONE 16-18MM WEDGE 278 5,273.00 72426675 CATH HICKMAN 10F TL 278 1,773.00 72427353 VALVE HEART CONTEG 12MM 278 15,925.00 72427354 VALVE HEART CONTEG 14MM 278 15,925.00 72427355 VALVE HEART CONTEG 16MM 278 15,925.00 72427356 VALVE HEART CONTEG 18MM 278 15,925.00 72427357 VALVE HEART CONTEG 20MM 278 15,925.00 72427360 SET CATH CHAIT PED CECOST 278 715.00 72427365 DURAVENT TUBE 278 145.00 72427382 P-TOSE UP 2MM 278 173.00 72427389 PLATE T LCP 6H 4.5 278 4,480.00 72427533 OCCL SEPTL 35M MLTI FENES 278 28,950.00 72427570 SET STENT CFX 3.7F/8-20CM 278 710.00 72427572 WIRE SNSR DUAL FLX 150ANG 278 1,412.00 72427610 CATH BACTISL EVD 278 1,777.00 72427614 IMPL TUTOPLAST .3X18 278 2,986.00 72427649 IMPL DUREPAIR 3X3 278 3,241.00 72427672 PATCH S.T. GORETEX 1X10X5 278 2,651.00 72427676 FABRIC VELOUR SAUVAGE 5XM 278 499.00 72427715 IMPLNT DUREPAIR NEURO 1X1 278 915.00 72427798 CATH HICKMAN 12F DL W/OF 278 1,343.00 72427830 PORT VAXCEL 6 FR 278 2,041.00 72427883 PACK FOAM 5CC (BONE) 278 5,233.00 72427884 PACK FOAM 10CC (BONE) 278 7,286.00 72427896 MESH RESORB-X 11X126X1 278 2,560.00 72427897 PIN BONE SONICWELD 2.1X4 278 2,020.00 72427899 PLATE MINI RESRBX STRT 22 278 1,775.00 72427900 PIN BONE SONICWELD 2.1X5 278 1,963.00 72427904 SCRW CRS-DRV MICR 1.5X9 278 374.00 72427905 SCRW DRL-FE CRSDV 1.5X4 278 419.00 72427906 SCRW DRL-FE CRSDV 1.5X5 278 419.00 72427907 SCRW DRL-FE CRSDV 1.5X7 278 419.00 72427909 VALV HRT PRCRD 3000TFX-19 278 32,389.00 72427910 VALV HRT PRCRD 3000TFX-21 278 32,389.00 72427911 VALV HRT PRCRD 3000TFX-23 278 32,389.00 72427912 VALV HRT PRCRD 300OTFX-25 278 32,389.00 72427913 VALV HRT PRCRD 3000TFX-27 278 32,389.00 72427914 VALV HRT PRCRD 3000TFX-29 278 32,389.00 72427916 PATCH PRCRD BOV 10CMX15CM 278 2,986.00 72427919 CONDUIT VALVE 16MM 278 28,665.00 72427920 CONDUIT VALVE 18MM 278 28,665.00 72427925 IMPL ORBITAL 22MM 278 4,612.00 72427932 PLATE GUIDED GRWTH 12MM 278 1,707.00 72427933 PLATE GUIDED GRWTH 16MM 278 1,707.00 72427934 SCRW GUID GRWTH 24MM 278 956.00 72427935 SCRW GUID GRWTH 32MM 278 956.00 72427936 SCRW GUID GRWTH 16MM 278 956.00 72427940 GRAFT VASC PLAT 20MMX30CM 278 3,697.00 72427941 GRAFT VASC PLAT 22MMX30CM 278 3,697.00 72427942 GRAFT VASC PLAT 24MMX30CM 278 3,697.00 72427943 GRAFT VASC PLAT 26MMX30CM 278 3,845.00 72427945 GRAFT VASC PLAT 30MMX30CM 278 3,845.00 72428001 BONE CEMENT COBOLT G-HV 278 2,406.00 72428045 VALVE AORT STNDRD ROTA 29 278 27,750.00 72428047 VALVE AORT RGNT FLX 19 278 28,002.00 72428048 VALVE AORT RGNT FLX 21 278 28,002.00 72428049 VALVE AORT RGNT FLX 23 278 28,002.00 72428050 VALVE AORT RGNT FLX 25 278 28,002.00 72428052 VALVE MITRL HP ROTAT 17 278 28,148.00 72428053 VALVE MITRL HP ROTAT 19 278 28,148.00 72428055 VALVE MITRL HP ROTAT 23 278 28,148.00 72428056 VALVE MITRL HP ROTAT 25 278 28,148.00 72428057 VALVE MITRL HP ROTAT 27 278 28,148.00 72428118 GCP W/BEADS 23MM 278 4,515.00 72428135 SCRW SET 7540020 TI BKOF 278 1,359.00 72428137 HOOK PEDICLE MD TI 278 5,285.00 72428138 HOOK WIDE BLADE SM TI 278 5,285.00 72428139 HOOK WIDE BLADE MD TI 278 5,285.00 72428140 HOOK WIDE SLADE LG TI 278 4,457.00 72428141 HOOK NARROW BLADE MD TI 278 5,285.00 72428142 HOOK RAMP WIDE BLADE MD T 278 5,285.00 72428144 SCRW BONE FXD ANGL 5X25 278 3,443.00 72428145 SCRW BONE FXD ANGL 5X30 278 3,443.00 72428146 SCRW FXD ANGL 5.0C35 TI 278 3,443.00 72428148 SCRW FXD ANGL 4.5X30 TI 278 3,443.00 72428150 SCRW FXD ANGL 5.5X25 TI 278 3,443.00 72428151 SCRW FXD ANGL 5.5X30 TI 278 4,016.00 72428152 SCRW FXD ANGL 5.5X35 TI 278 4,016.00 72428153 SCRW FXD ANGL 5.5X40 TI 278 4,016.00 72428154 SCRW FXD ANGL 5.5X45 TI 278 3,736.00 72428156 SCRW FXD ANGL 6.5X35 TI 278 4,016.00 72428157 SCRW FXD ANGL 6.5X40 TI 278 3,736.00 72428158 SCRW FXD ANGL 6.5X45 TI 278 3,736.00 72428159 SCRW FXD ANGL 6.5X50 TI 278 3,736.00 72428162 SCRW MA 4.5X30 TI 278 5,729.00 72428165 SCRW MA 5.0X35 TI 278 4,910.00 72428167 SCRW MA5.5X25TI 75445525 278 5,729.00 72428168 SCRW MA5.5X30TI 75445530 278 5,729.00 72428169 SCRW MA 5.5X35 TI 278 5,729.00 72428170 SCRW MA5.5X40TI 75445540 278 5,729.00 72428172 SCRW MA6.5X30TI 75446530 278 5,729.00 72428173 SCRW MA6.5X35TI 75446535 278 5,729.00 72428174 SCRW MA6.5X40TI 75446540 278 5,729.00 72428175 SCRW MA6.5X45TI 75446545 278 5,729.00 72428177 SCRW MA7.5X35TI 75447535 278 5,729.00 72428180 SCRW SET 7560020 BKOFF 278 1,359.00 72428182 SCRW FXD ANGL 4.5X25 SS 278 5,128.00 72428183 SCRW FXD ANGL 4.5X30 SS 278 5,128.00 72428185 SCRW FXD ANGL 5.5X25 SS 278 5,128.00 72428186 SCRW FXD ANGL 5.5X30 SS 278 5,128.00 72428187 SCRW FXD ANGL 5.5X35 SS 278 5,128.00 72428188 SCRW FXD ANGL 5.5X40 SS 278 5,128.00 72428190 SCRW FXD ANGL 6.5X35 SS 278 5,128.00 72428191 SCRW FXD ANGL 6.5X40 SS 278 5,128.00 72428196 SCRW MA 5.5X30 SS 278 4,368.00 72428198 SCRW MA 6.5X30 SS 278 4,368.00 72428199 SCRW MA 6.5X35 SS 278 4,368.00 72428204 SCRW SET 7640020 TI BKOF 278 1,259.00 72428208 HOOK WIDE BLAD W/SHELF SM 278 4,457.00 72428209 HOOK WIDE BLAD W/SHELF MD 278 4,457.00 72428210 HOOK WIDE BLAD W/SHELF LG 278 4,457.00 72428211 SCRW FXD ANGL 6.5X30 TI 278 3,443.00 72428212 SCRW FXD ANGL 6.5X35 TI 278 3,443.00 72428230 CRSLNK 5.5MM LP L=1.00 278 4,515.00 72428231 CRSLNK 5.5MM LP L=1.250 278 3,870.00 72428232 CRSLNK 5.5MM LP L=1.375 278 4,515.00 72428234 CRSLNK 1/4 LP L=.625 SS 278 3,870.00 72428236 CRSLNK 5.5MM LP L=1.00 TI 278 5,159.00 72428237 CRSLNK 5.5MM LP L=1.125 T 278 5,159.00 72428238 CRSLNK 5.5MM LP L=1.250 T 278 5,159.00 72428239 CRSLNK 5.5MM LP L=1.375 T 278 5,159.00 72428240 CRSLNK 5.5MM LP L=1.50 TI 278 5,159.00 72428241 CRSLNK MLTI-SPN L=1.55-17 278 5,098.00 72428242 CRSLNK MLTI-SPN L=1.75-2. 278 5,098.00 72428244 CRSLNK 1/4 LP L=.875 TI 278 4,422.00 72428245 CRSLNK 1/4 LP L=1.00 TI 278 4,422.00 72428246 CRSLNK 1/4 LP L=1.125 TI 278 4,422.00 72428247 CRSLNK 1/4 LP L=1.250 TI 278 4,422.00 72428248 CRSLNK 1/4 LP L=1.50 TI 278 4,422.00 72428249 CRSLNK 25MMX10 FIXD 278 4,863.00 72428250 CRSLNK 28-30MMX10 MULTI 278 5,639.00 72428252 CRSLNK 39-45MMX10 MULTI 278 5,639.00 72428256 ROD DANEK 1/4 UNIT L35CM 278 8,064.00 72428261 GUIDEWRE SXT SHRP 8670002 278 516.00 72428264 ROD LEG 5.5MM LINED HEX S 278 2,816.00 72428265 ROD CDH LEG 5.5MM LINED T 278 2,860.00 72428266 ROD CP 4 5.5MM LINED 500M 278 2,649.00 72428283 ROD CP SEAFOAM GRN W/LINE 278 2,649.00 72428291 CATH BLN 9MM X 4CM BLUEMX 278 1,718.00 72428294 IMPLNT LACRML SLFTHRDNG 4 278 628.00 72428411 FOAM STRIP 25 X 100 X 4MM 278 6,065.00 72428412 FOAM FLOW 2.5CC 2102-1303 278 2,162.00 72428413 FOAM FLOW 5CC 2102-1305 278 4,266.00 72428414 FOAM FLOW 10CC 2102-1310 278 5,972.00 72428415 FOAM FLOW 15CC 2102-1315 278 7,679.00 72428422 BONE 5CC MIX 278 5,438.00 72428439 VALVE FREESTYLE 25MM 278 26,982.00 72428440 VALVE FREESTYLE 29MM 278 26,982.00 72428441 VALVE FREESTYLE 27MM 278 26,982.00 72428442 VALVE FREESTYLE 23MM 278 26,982.00 72428443 VALVE FREESTYLE 21MM 278 26,982.00 72428444 VALVE FREESTYLE 19MM 278 26,982.00 72428445 VLV MOSIAC MITRL 310-33MM 278 22,932.00 72428446 VLVE MOSIAC MITRL 310-31M 278 22,932.00 72428447 VLVE MOSIAC MITRL 310-29M 278 22,932.00 72428448 VLV MOSIAC MTRL 310-27MM 278 22,932.00 72428449 VLVE MOSIC MITL 310- 25MM 278 22,932.00 72428499 WIRE GUID NITNL PLAT .018 278 255.00 72428523 CATH HICKMAN PED 9F 278 939.00 72428528 STENT DBL PIGTAIL 3FR 10C 278 763.00 72428529 STENT DBL PIGTAIL 3FR 8CM 278 763.00 72428541 FOAM STRIP 25X100X2.5MM 278 4,177.00 72428558 SCRW CA 205.016 3.5/16/6 278 1,318.00 72428559 SCRW CA 205.020 3.5/20/7 278 1,379.00 72428560 SCRW CA 205.042 3.5/42/14 278 1,379.00 72428561 SCRW CA 205.048 3.5/48/15 278 1,379.00 72428562 SCRW CA 205.050 3.5/50/16 278 1,379.00 72428564 SCRW CA 205.212 3.5/12 F 278 1,212.00 72428565 SCRW CA 205.216 3.5/16 F 278 1,379.00 72428569 SCRW CA 205.230 3.5/30 F 278 1,379.00 72428570 SCRW CA 205.234 3.5/34 F 278 1,379.00 72428571 SCRW CA 205.238 3.5/38 F 278 1,379.00 72428572 SCRW CA 205.242 3.5/42 F 278 1,212.00 72428573 SCRW CA 205.244 3.5/44 F 278 1,379.00 72428575 SCRW CA 205.248 3.5/48 F 278 1,379.00 72428576 SCRW CA 205.250 3.5/50 F 278 1,379.00 72428582 KIT SHUNT AXIEM 278 4,778.00 72428599 SHUNT NS5111 278 13,509.00 72428638 HOOK PEDICLE LG TI 278 3,820.00 72428639 CROSSLINK SZ 3 278 5,159.00 72428646 PIN SONICWELD 2.1X4MM 278 5,335.00 72428651 SCRW MULTI AXIAL 5.0X30T 278 5,728.00 72428660 SCRW CA 214.722 4.5/22 FT 278 1,475.00 72428661 SCRW CA 214.724 4.5/24 FT 278 1,372.00 72428662 SCRW CA 214.736 4.5/36 FT 278 1,475.00 72428663 SCRW CA 214.746 4.5/46 FT 278 1,393.00 72428664 SCRW CA 214.760 4.5/60 FT 278 1,284.00 72428665 SCRW CA 214.764 4.5/64 FT 278 1,475.00 72428680 SCRW SHFT 214.242 4.5/42 278 144.00 72428681 SCRW SHFT 214.244 4.5/44 278 144.00 72428682 SCRW SHFT 214.246 4.5/46 278 144.00 72428683 SCRW SHFT 214.248 4.5/48 278 144.00 72428684 SCRW SHFT 214.250 4.5/50 278 144.00 72428685 SCRW MA 215.025 4.5/25/12 278 248.00 72428686 SCRW MA 215.030 4.5/30/15 278 248.00 72428687 SCRW MA 215.035 4.5/35/18 278 248.00 72428688 SCRW MA 215.040 4.5/40/20 278 248.00 72428689 SCRW MA 215.050 4.5/50/24 278 248.00 72428690 SCRW MA 215.060 4.5/60/28 278 248.00 72428691 SCRW MA 215.065 4.5/65/30 278 248.00 72428692 SCRW MA 215.070 4.5/70/32 278 248.00 72428698 SCRW CA 218.025 6.5/25 F 278 360.00 72428699 SCRW CA 207.648 4.0/48 S 278 1,283.00 72428700 SCRW CA 207.744 4.0/44 278 1,454.00 72428702 SCRW CA 207.652 4.0/52 S 278 1,454.00 72428703 SCRW CA 207.654 4.0/54 S 278 1,454.00 72428704 SCRW CA 207.656 4.0/56 S 278 1,454.00 72428705 SCRW CA 207.658 4.0/58 S 278 1,454.00 72428706 SCRW CA 207.660 4.0/60 S 278 1,454.00 72428708 SCRW CA 207.668 4.0/68 S 278 1,353.00 72428709 SCRW CA 207.672 4.0/72 S 278 1,038.00 72428710 SCRW CA 207.752 4.0/52 278 1,193.00 72428711 SCRW CA 207.754 4.0/54 278 1,181.00 72428712 SCRW CA 207.756 4.0/56 278 1,454.00 72428713 SCRW CA 207.758 4.0/58 278 1,454.00 72428714 SCRW CA 207.760 4.0/60 278 1,454.00 72428716 SCRW CA 207.768 4.0/68 278 1,454.00 72428721 WIRE GUID ZEBRA .025 STT 278 374.00 72428724 SCRW CA 208.935 7.3/135 278 1,557.00 72428725 SCRW CA 208.940 7.3/140 278 1,557.00 72428726 SCRW CA 208.945 7.3/145 278 1,557.00 72428727 SCRW CA 208.950 7.3/150 278 1,557.00 72428732 SCRW CA 209.640 7.3/40 F 278 1,891.00 72428733 SCRW CA 209.645 7.3/45 F 278 1,891.00 72428734 SCRW CA 209.650 7.3/50 F 278 1,891.00 72428735 SCRW CA 209.655 7.3/55 F 278 1,891.00 72428736 SCRW CA 209.655 7.3/55 F 278 1,891.00 72428737 SCRW CA 209.665 7.3/65 F 278 1,891.00 72428738 SCRW CA 209.670 7.3/70 F 278 1,891.00 72428739 SCRW CA 209.675 7.3/75 F 278 1,891.00 72428740 SCRW CA 209.680 7.3/80 F 278 1,891.00 72428741 SCRW CA 209.685 7.3/85 F 278 1,759.00 72428742 SCRW CA 209.690 7.3/90 F 278 1,891.00 72428743 SCRW CA 209.695 7.3/95 F 278 1,891.00 72428751 SCRW CA 209.845 7.3/45/32 278 1,557.00 72428752 SCRW CA 209.935 7.3/135 278 1,557.00 72428753 SCRW CA 209.940 7.3/140 278 1,557.00 72428754 SCRW CA 209.940 7.3/140 278 1,557.00 72428755 PLTE SEMI-TUB 222.04 4/7 278 369.00 72428756 PLT SEMI-TUB 222.06 6/1 278 634.00 72428757 PLT SEMI-TUB 222.07 7/1 278 677.00 72428758 PLT LC-DCP NRW4H4.5/7 278 1,240.00 72428759 PLT LC-DCP NRW5H4.5/8 278 1,240.00 72428760 PLT LC-DCP NRW7H4.5/1 278 1,398.00 72428761 PLT LC-DCP NRW8H4.5/1 278 1,398.00 72428762 PLT LC-DCP NRW9H4.5/1 278 1,398.00 72428763 PLT LC-DCP NRW 10H4.5/1 278 1,818.00 72428764 PLT LC-DCP NRW 11H4.5/ 278 1,818.00 72428765 PLT LC-DCP NRW 12H4.5/ 278 1,818.00 72428766 PLT BRD LC-DCP 6H 4.5/1 278 1,900.00 72428767 PLTE BRD LC-DCP 8H 4.5/1 278 1,557.00 72428768 PLT BRD LC-DCP 9H 4.5/1 278 1,907.00 72428769 PLT BRD LC-DCP 1OH 4.5/ 278 1,907.00 72428770 PLTE BRD LC-DCP 11H 4.5/ 278 1,591.00 72428771 PLT BRD LC-DCP 12H 4.5/ 278 2,048.00 72428772 PLT BRD LC-DCP 14H 4.5/ 278 2,048.00 72428773 PLT T 8H 148MM 240.18 278 2,885.00 72428774 PLT L-BUT 4H 85M LT AN 278 2,448.00 72428775 PLT L-BUT 4H 85M RT AN 278 2,448.00 72428777 SCRW CA 207.016 4.0/16 P 278 192.00 72428778 SCRW CA 207.018 4.0/18 P 278 192.00 72428782 IMPL EAR NUCLEUS FEED 278 134,208.00 72428783 IMPL EAR 90K HI-RES 278 99,067.00 72428821 ROD UNIT 29CM X 5.5 STAIN 278 9,408.00 72428822 CONNECTOR DOMINOE 278 4,086.00 72428823 HOOK SACRAL MED RT 278 4,583.00 72428824 HOOK SACRAL MED LT 278 4,583.00 72428855 INTRO PEELAWAY ME010 278 1,397.00 72428857 SCRW MAX 7.5X3OTI7544750 278 5,729.00 72428860 SLEEVE POSIT SZ10 278 1,789.00 72428922 CATH ENDURA 2-PC CLSD TIP 278 2,930.00 72428923 CATH INTRATHECAL 1-PC SUS 278 3,953.00 72428941 PLTE STRT 3H 2.0/17 243. 278 355.00 72428944 OSS FEMUR 7CM LT 278 26,648.00 72428945 ADAPTR 5CM TAPER 278 4,386.00 72428948 SPACER 16MM 278 1,957.00 72428950 PIN TRANSVERSE 32MM 278 2,173.00 72428951 BRUSHING FEMORAL 278 2,332.00 72428952 AXLE BIOMET 150480 278 2,531.00 72428953 PIN LOCKING 278 1,482.00 72428954 YOKE BIOMET 150493 278 5,586.00 72428956 TIBIA MODULAR 75MM 278 13,103.00 72428960 PLUG SHORT ANCHOR 10MM 278 5,375.00 72428961 NUT COMPRESS 178512 278 1,832.00 72428963 SCRW LCKNG 212.214 5/40ST 278 1,017.00 72428964 SCRW LCKNG 212.217 5/46ST 278 1,017.00 72428965 SCRW LCKNG 212.219 5/50ST 278 1,017.00 72428966 SCRW LCKNG 212.220 5/55ST 278 1,017.00 72428967 SCRW LCKNG 212.223 5/70ST 278 1,017.00 72428968 PLATE NARROW LCP 5H 4.5 278 2,385.00 72428994 PUMP PAIN 40CC 8637-40 278 44,590.00 72428995 PORT ACCESS 8540 278 228.00 72429002 PORT PWR INJTBLE 7.5 COOK 278 3,577.00 72429003 PORT 6.5FR PETITE INSRT 278 2,998.00 72429040 ELCTRD GRID NURO 64 CNT C 278 4,483.00 72429049 IMPL DUREPAIR 2X2 278 1,910.00 72429050 IMPL DUREPAIR 4X5 278 4,541.00 72429098 SET STNT DBL PGTL 4.7FX14 278 655.00 72429195 LEAD CPSUR FIX 507645 278 3,697.00 72429196 LEAD CPSUR FIX 507652 278 3,697.00 72429197 LEAD CPSUR FIX 507658 278 3,697.00 72429198 LEAD CPSUR FIX 507665 278 3,697.00 72429249 LEAD UNIP EPIC 496515 278 4,693.00 72429250 LEAD UNIP EPIC 496525 278 4,693.00 72429251 LEAD UNIP EPIC 496535 278 4,693.00 72429253 LEAD BIPO EPIC 496825 278 4,480.00 72429254 LEAD BIPO EPIC 496835 278 4,480.00 72429258 LEAD SCRW IN EPIC 507135 278 3,697.00 72429267 LEAD DEFIB ACT 694775 278 21,897.00 72429275 LEAD DEFIB COIL 6996SQ41 278 9,954.00 72429276 LEAD DEFIB COIL 6996SQ58 278 9,954.00 72429278 LEAD DEFIB PTCH 6721M 50 278 3,982.00 72429340 INTRO HLS1007M 278 355.00 72429342 INTRO HLS1008M 278 355.00 72429343 INTRO HLS1009M 278 355.00 72429356 ADAPTR MEDTRONIC 5866-3M 278 1,621.00 72429362 EXTENDER LEAD IS-1 UNI-PO 278 901.00 72429363 EXTENDER LEAD IS-1 BI-POL 278 1,011.00 72429370 KIT SHUNT AXIEM 9732529 278 4,778.00 72429371 PACK SHUNT EM NON-INV 973 278 10,750.00 72429376 TUB VNT TYTAN TIT 1056101 278 201.00 72429379 SCRW LCKNG 18X3.5 278 806.00 72429380 SCRW LCKNG 20X3.5 278 806.00 72429381 SCRW LCKNG 30MMX5MM 278 1,017.00 72429382 SCRW LCKNG 42MMX5MM 278 1,017.00 72429384 PLATE 5H 3.5MMX 2MM 278 1,758.00 72429386 DERMA MATRIX 2X4 010204 278 1,379.00 72429453 PUTTY DBX 10CC 058100 278 6,319.00 72429479 WEDGE 13-15 400405 278 4,624.00 72429481 SET GEENAN PANCREATIC 5/9 278 740.00 72429492 CATH DIL BLN CRE 6-8MM 24 278 1,570.00 72429525 FEMUR PROXIMAL L OSS 278 21,244.00 72429527 SEGMENT DIAPHYSEAL 13CM 278 22,455.00 72429530 SPACER COMPRESS 13MM 278 1,957.00 72429531 PIN TRANSVERSE SZ 28MM 278 2,173.00 72429533 PIN TRANSVERSE 24MM 278 2,304.00 72429540 VALVE 30MM 278 7,167.00 72429542 INFUSE SMALL 278 14,333.00 72429563 STENT URETERAL 5FX18CM 278 1,195.00 72429574 CATH 7F DL REDO 278 1,174.00 72429586 PLAT MICRO STRT 4 H MD 278 465.00 72429589 PLAT MICRO ORBITAL 10-HO 278 1,127.00 72429649 SCRW LCKNG 3.5X26 278 806.00 72429650 SCRW LCKNG 3.5X40 278 806.00 72429727 SCRW FXD ANG 6.5X30 278 5,641.00 72429728 HOOK PEDICLE MED 278 4,471.00 72429729 HOOK LMBR LAMINAR 278 4,471.00 72429730 CROSSLINK 810-305 278 4,878.00 72429742 SCRW FXD ANGL 6.5X40 278 4,336.00 72429746 SHAFT FIBULA 10CM 278 3,555.00 72429749 ROD GUIDE 3.0 278 1,372.00 72429753 SCRW CAPTURED 5.0X50 278 1,461.00 72429755 SCRW CAPTURED 5.0X30 278 5,428.00 72429756 NAIL LEFT TAN 10X38 278 8,700.00 72429776 PLATE NARROW LCP 4H 4.5 278 2,230.00 72429777 PLATE NRRW 6H 4.5/116 LCP 278 2,088.00 72429778 PLATE NRRW 7H 4.5/134 LCP 278 2,657.00 72429779 PLATE NRRW 8H 4.5/152 LCP 278 2,543.00 72429780 PLATE NRRW 9H 4.5/170 LCP 278 2,679.00 72429781 PLATE NRRW 10H 4.5/188 LC 278 2,907.00 72429782 PLATE NARROW LCP 11H 4.5 278 3,785.00 72429783 PLATE NARROW LCP 12H 4.5 278 4,067.00 72429784 PLATE NARROW LCP 14H 4.5 278 4,562.00 72429786 PLAT TIB 4H 4.5X106 RT 278 5,428.00 72429787 PLAT TIB 4H 4.5X106 278 5,428.00 72429788 PLAT TIB 6H 4.5X142 RT 278 5,499.00 72429789 PLAT TIB 6H 4.5X142 LF 278 5,499.00 72429790 SCRW CRTX 202.826 2.7X26 278 189.00 72429791 SCRW CRTX 202.828 2.7X28 278 189.00 72429792 SCRW CRTX 202.830 2.7X30 278 166.00 72429793 SCRW CRTX 202.832 2.7X32 278 189.00 72429794 SCRW CRTX 202.834 2.7X34 278 189.00 72429795 SCRW CRTX 202.836 2.7X36 278 189.00 72429796 SCRW CRTX 202.838 2.7X38 278 189.00 72429797 SCRW CRTX 202.840 2.7X40 278 189.00 72429798 SCRW CRTX 202.845 2.7X45 278 189.00 72429799 SCRW CRTX 202.850 2.7X50 278 189.00 72429801 SCRW LCK W RDRV 3.5X10 278 806.00 72429802 SCRW LCK W RDRV 3.5X12 278 806.00 72429803 SCRW LCK W RDRV 3.5X14 278 806.00 72429804 SCRW LCK W RDRV 3.5X16 278 806.00 72429805 SCRW LCK W RDRV 3.5X22 278 806.00 72429806 SCRW LCK W RDRV 3.5X24 278 806.00 72429807 SCRW LCK W RDRV 3.5X28 278 806.00 72429808 SCRW LCK W RDRV 3.5X30 278 806.00 72429809 SCRW LCK W RDRV 3.5X32 278 806.00 72429810 SCRW LCK W RDRV 3.5X34 278 806.00 72429811 SCRW LCK W RDRV 3.5X36 278 806.00 72429812 SCRW LCK W RDRV 3.5X38 278 806.00 72429813 SCRW LCK W RDRV 3.5X45 278 806.00 72429814 SCRW LCK W RDRV 3.5X50 278 806.00 72429815 SCRW LCK W RDRV 3.5X55 278 806.00 72429816 SCRW LCK W RDRV 3.5X60 278 806.00 72429817 PLATE 6H 223.561 3.5/85 L 278 1,877.00 72429818 PLATE 8H 223.581 3.5/111 278 2,054.00 72429819 PLATE 9H 223.591 3.5/124 278 1,974.00 72429820 PLATE 10H 223.601 3.5/137 278 2,190.00 72429821 PLATE 12H 223.621 3.5/163 278 2,423.00 72429823 PLATE T 3H-HD 3H-SH 3.5/5 278 2,144.00 72429824 PLATE T 3H-HD 4H-SH 3.5/6 278 2,244.00 72429825 PLATE T 3H-HD 5H-SH 3.5/7 278 2,344.00 72429827 PLATE T 3H-HD 3H-SH 3.5/5 278 1,866.00 72429828 PLATE T 4H-HD 4H-SH 3.5/5 278 1,940.00 72429829 PLATE T 3H-HD 5H-SH 3.5/6 278 2,133.00 72429830 PLATE T 4H-HD 6H-SH 3.5/7 278 2,492.00 72429831 PLATE T 3H-HD 7H-SH 3.5/8 278 2,884.00 72429832 PLATE TUB 1/3 W/COLL5H 57 278 1,088.00 72429833 PLATE TUB 1/3 W/COLL6H 69 278 1,209.00 72429834 PLATE TUB 1/3W/COLL 7H81 278 1,236.00 72429835 PLATE TUB 1/3 W/COLL89 93 278 1,195.00 72429836 PLATE TUB 1/3W/COLL10H 11 278 1,195.00 72429837 PLATE TUB 1/3W/COLL12H 14 278 1,243.00 72429838 PLATE HUMERUS 3H-SH 3.5/9 278 6,232.00 72429839 PLATE HUMERUS 5H-SH 3.5/1 278 6,017.00 72429840 PLATE T 3H-HD 3H-SH 3.5/5 278 2,122.00 72429841 PLATE T 3H-HD 4H-SH 3.5/6 278 2,224.00 72429842 PLATE T 3H-HD 5H-SH 3.5/4 278 2,315.00 72429843 PLATE T 3H-HD 7H-SH 3.5/9 278 2,514.00 72429844 PLATE RECON 5H 3.5/70 LCP 278 2,588.00 72429845 PLATE RECON 6H 3.5/84 LCP 278 2,770.00 72429846 PLATE RECON 7H 3.5/98 LCP 278 2,912.00 72429847 PLATE RECON 8H 3.5/112 LP 278 3,038.00 72429850 WIRE KIRSC 5MM-THRD TP 1. 278 1,079.00 72429901 SCRW LCKNG 5.0X60 278 949.00 72429902 SCRW LCKNG 5.0X20 278 949.00 72429959 MESH STRIP RESORB-X 2H XL 278 6,370.00 72429970 SCRW MXAXL 1X4 278 5,607.00 72429974 SCRW SET SS 7660020 278 1,359.00 72429976 ROD SS 1/4 278 2,839.00 72429979 SCRW MXAXL SS 5.5X40 278 5,607.00 72429985 PIN STEINMAN 9/64 278 1,877.00 72429993 CAP END 24200 278 1,789.00 72429994 SCRW FXD ANG 6.5X45 278 4,336.00 72430046 SCRW MXAXIAL 6.5X40 278 5,607.00 72430050 SCRW PEDIC STD 5.5X35 278 4,010.00 72430061 PLAT OSTEOTMY 90D 32X4 278 2,924.00 72430062 PLAT OSTEOTMY 90D 26X8 278 3,126.00 72430077 CROLINK S21 810 301 278 4,878.00 72430078 SCRW MXAXIAL 5.5X35 278 5,607.00 72430079 SCRW REDUCTN 6.5X45 278 6,439.00 72430080 SCRW REDUCTN 6.5X40 278 6,439.00 72430081 SCRW FXD ANG 7.5X45 278 5,641.00 72430082 SCRW SET SS REDUC 7560220 278 1,398.00 72430083 HOOK PEDICLE LG 278 4,470.00 72430084 HOOK LAMINAR LG 278 4,471.00 72430085 SCRW FXD ANG 5.5X30 278 4,336.00 72430086 SCRW FXD ANG 5.5X35 278 4,336.00 72430091 LOCK DISTRACTION TI 278 2,412.00 72430092 LOCK CRADLE TI 278 2,560.00 72430093 CRADLE END HALF TI 278 4,173.00 72430095 CRDL SUPRIOR NEUTRL 220MM 278 7,501.00 72430098 HALF RING 498.910 278 1,393.00 72430190 CLMP JAW UNTHRD 3X16 278 2,275.00 72430207 CNNCTR SLT EXT 1X4 278 4,241.00 72430208 CNNCTR SLT OPN 1X4 278 5,096.00 72430302 NUT RT HAND 5X16 278 819.00 72430322 ROD SPNL HEXENDS 3X16X18 278 4,437.00 72430354 SCRW PEDIC NOCUT 6.25X45 278 3,925.00 72430372 SCRW PEDIC STD 4.75X25 278 4,010.00 72430373 SCRW PEDIC STD 4.75X30 278 4,010.00 72430387 SCRW PEDIC STD 6.25X45 278 4,010.00 72430410 GRAFT BONE 15CC CHMBR 278 5,953.00 72430441 PROSTHESIS FEMUR BIPOLAR 278 5,571.00 72430442 FEMUR PROXIMAL R FINN 278 21,244.00 72430443 HEAD FEMORAL 28MM +12 278 4,698.00 72430448 PLT TIB LCP 4H 4.5X82RT 278 6,043.00 72430449 PLT TIB LCP 4H 4.5X82LT 278 6,043.00 72430450 PLTE TIB LCP 6H 4.5X118RT 278 6,647.00 72430451 PLT TIB LCP 6H 4.5X118LT 278 6,116.00 72430452 HOOK THORACIC MED 278 4,471.00 72430453 HOOK THORACIC WIDE 278 4,471.00 72430472 PIN DRILL TIP GW 2.5X200 278 465.00 72430477 GRAFT BONE INFUSE MED 278 18,911.00 72430541 VALVE HAKIM PROGRAMMABLE 278 14,185.00 72430556 SCREW CANN CONICAL 5.0/65 278 1,147.00 72430558 SCREW CANN 4.5/24 278 854.00 72430559 PLATE HUMPED PEANUT 12MM 278 1,991.00 72430563 SCRW BONE CORTICL 150/50 278 1,236.00 72430627 CATH SPCTRM SET CVC 5FX5C 278 532.00 72430685 STENT URET FIRLIT 8FX30 278 260.00 72430690 MENISCAL MNDR OUTSIDE-IN 278 784.00 72430736 PLATE OFFSET PEANUT 12MM 278 1,991.00 72430737 SCRW GRWTH CNTRL 32MM 278 854.00 72430755 PLATE PROX HUMERUS 6H 3.5 278 6,307.00 72430776 PLATE HUMPED PEANUT 16MM 278 1,991.00 72430777 CATH BALLN RELIEVA SOLO R 278 4,921.00 72430779 SCRW FXD ANGLE 5.5X40 278 4,336.00 72430786 CATH BALLN RLVA SOLO PR 3 278 4,921.00 72430787 CATH BALLN RLVA SOLO 5X24 278 4,641.00 72430788 SCRW FIXED ANGLE 6.5X45 278 5,641.00 72430789 SCRW FIXED ANGLE 6.5X40 278 5,641.00 72430790 SCRW FIXED ANGLE 5.5X35 278 5,641.00 72430791 SCRW FIXED ANGLE 5.5X30 278 5,641.00 72430792 SCRW FIXED ANGLE 5.5X40 278 5,641.00 72430794 SCRW SET 7630020 278 1,312.00 72430796 EXTENDED CRADLE END HALF 278 4,424.00 72430797 S-HOOK RT 90DEG 278 2,020.00 72430798 S-HOOK LT 90DEG 278 2,020.00 72430802 HOOK LAMINA OFFSET LT 278 4,340.00 72430803 SLEEVE RIB SZ 7 278 10,591.00 72430809 SCRW FIXED ANGLE 5.5X35 278 4,778.00 72430810 SCRW FIXED ANGLE 5.5X40 278 4,778.00 72430811 SCRW FIXED ANGLE 5.5X45 278 4,778.00 72430813 CROSSLINK SZ 7 811-407 278 5,573.00 72430817 FIXATOR CD 15CM 278 4,193.00 72430840 SCRW MULT-AXIAL 7.5X50 278 5,607.00 72430841 SCRW MULT-AXIAL 7.5X55 278 5,607.00 72430842 SCRW REDUCTN 6.5X50 278 6,439.00 72430867 FLOSEAL 10ML 278 1,882.00 72430868 SHUNT PRGRMBL CHPV MICRO 278 13,081.00 72430925 KIT X-PORT 1-LUM W/INT 6F 278 2,166.00 72430926 KIT X-PORT TIT W/MIC-IN6F 278 2,001.00 72430956 SCRW CAN CONICL 5.0X60 278 1,229.00 72430961 PLATE OSTEOT 90DEG 32X8 S 278 3,100.00 72430962 PIN GUIDE THRD 2.5X230 278 444.00 72430968 WIRE GUIDE 3.2 X 400 278 622.00 72430974 SCRW LCKNG TIT 5.0X60 278 1,494.00 72430975 SCRW LCKNG TIT 4.0X36 278 1,243.00 72430982 WIRE GUIDE THRD 1.1X150 278 276.00 72431000 SCRW CRTX 4.5/95 ST 278 223.00 72431014 SCRW FIXED ANGLE 6.5X35 278 5,641.00 72431018 DIAPHYSEAL SEGMENT 7CM 278 28,248.00 72431019 DIAPHYSEAL SEGMENT 3CM 278 22,646.00 72431020 BUSHING TIBIAL 150476 278 2,000.00 72431021 BEARING TIBIAL 12MM 278 4,440.00 72431024 COMPRESS SHRT SM 800LBS 278 14,604.00 72431025 SPACER 15MM 278 2,076.00 72431026 PLUG ANCHOR 12MM 278 3,990.00 72431027 CEMENT COBALT G 278 2,406.00 72431028 SCRW CANN LCKG 5.0X50 278 1,304.00 72431042 GRAFT BONE PRODENSE 20CC 278 11,936.00 72431043 HOOK EXTENDED BODY 278 4,000.00 72431044 PLATE BLD 90DEG OSTE 38X8 278 2,930.00 72431073 GD WIRE FX COR .018/50/3 278 854.00 72431078 PLATE STEPPED PEANUT 16MM 278 1,991.00 72431236 GRAFT INJ PRO DENSE 10CC 278 6,948.00 72431246 SCRW FIXD ANGL 5.5X30 654 278 4,778.00 72431261 IMPLNT GLAUC BRVLDT 250/2 278 3,976.00 72431296 SCREW LCK 4.0/36 278 1,113.00 72431297 PLATE T LCP 4H 4.5/83 278 3,692.00 72431298 WIREGUID 2.0/230 NON-THRD 278 369.00 72431303 GRFT INJ PRO DENSE 4CC 278 5,375.00 72431305 LEAD PACER IMPLT 278 2,247.00 72431314 GRFT BONE INFUSE XS 278 6,872.00 72431348 MESH ANATOMICL LT 6X4 278 1,162.00 72431353 MATRX DURPR DURA REGEN1X3 278 2,013.00 72431424 OSS FEMUR 7CM RT 278 31,075.00 72431425 DIAPHYSEAL SEGMENT 9CM 278 24,912.00 72431456 PLT NURO LW PROF SQR .6MM 278 1,263.00 72431457 PLT NURO LW PROF Y-SHP LN 278 1,331.00 72431458 SCRW NEURO MD 1.5MMX4MM 278 403.00 72431459 PLT OSTEOMTOMY 35MM 278 2,760.00 72431461 WIRE GIDE THRDED 2.0X230 278 345.00 72431464 BLLN DIL INSPIRA 7X24MM 278 4,471.00 72431465 CATH BALLN RLVA SOLO PR S 278 4,669.00 72431466 GD CATH RELIVA FLEX F70C 278 2,526.00 72431475 PLT BOX CAR 4H 1.5MM 278 1,112.00 72431517 INSERT 0DEG POLYTRIDNT X3 278 8,366.00 72431520 PLT OSTEOTMY 32X8MM 90DEG 278 2,760.00 72431521 NAIL TIBIAL 10X375 278 5,605.00 72431523 SCRW LOCK TIT T25 38X5.0 278 1,494.00 72431524 SCRW LCKG TIT T25 32X5.0 278 1,494.00 72431573 CATH HURRICANE BLLN 4X4 278 1,809.00 72431574 CATH HURRICANE BLLN 6X4 278 1,809.00 72431575 CATH HURRICANE BLLN 8X4 278 1,809.00 72431579 STNT PLSTC W/INTRO 7X5CM 278 874.00 72431580 STNT PLSTC W/INTRO 7X7CM 278 874.00 72431581 STNT PLSTC W/INTRO 7X10CM 278 874.00 72431582 STNT PLSTC W/INTRO 7X12CM 278 874.00 72431607 PLT LP STRT 2H 1.5X11 278 430.00 72431608 PLT LP STRT 2H 1.5X14 278 430.00 72431609 PLT LP STRT 4H 1.5X19 278 508.00 72431610 PLT Y LOW PRF 5H 1.5X18 278 907.00 72431611 PLT XLOW PRF 6H 1.5X17 278 901.00 72431612 PLT T LOW PRF 5H 1.5X15 278 901.00 72431614 PLT BXCAR LP 6H 1.5 278 1,464.00 72431615 PLT BXCAR LP 8H 1.5 278 1,700.00 72431618 SCRW SELF DRL 1.5X3 278 424.00 72431619 SCRW SELF DRL 1.5X4 278 424.00 72431620 SCRW SELF DRL 1.5X5 278 424.00 72431627 BONE CRSHD CANCELUS 30CC 278 3,726.00 72431628 PROBE PEDICLE SCREW 278 372.00 72431638 STRIL ILIUM TRICRTCL 45MM 278 6,705.00 72431639 SFAFT FIBULA 4CM 278 3,220.00 72431640 TENDON ANT TIBIALIS 278 7,108.00 72431641 TNDN SEMITNDNSUS >=26CM 278 5,435.00 72431642 TNDN SEMITNDNSUS <=26CM 278 5,435.00 72431646 PLAT LCKG COMP 6H 278 1,940.00 72431647 SCRW NLCORT FULL 3.5X20M 278 245.00 72431648 SCRW N-LCKG CORT 3.5/22' 278 235.00 72431649 SCRW LCKG CORT 3.5/20' 278 1,040.00 72431650 SCRW LCKG CORT 3.5/22' 278 1,040.00 72431651 PLT FEMUR 4.5 6H RT 278 9,828.00 72431652 PLT FEMUR 4.5 8H RT 278 9,828.00 72431653 FEMUR 4.5 6H LT 278 9,828.00 72431654 PLT FEMUR 4.5 8H LT 278 9,828.00 72431655 SCRW N-LCKG CORT 4.5/24' 278 269.00 72431656 SCRW N-LCKG CORT 4.5/26' 278 269.00 72431657 SCRW N-LCKG CORT 4.5/28' 278 269.00 72431658 SCRW N-LCKG CORT 4.5/30' 278 269.00 72431659 SCRW N-LCKG CORT 4.5/34' 278 269.00 72431661 SCRW N-LCKG CORT 4.5/44' 278 269.00 72431662 SCRW N-LCKG CORT 4.5/46' 278 269.00 72431663 SCRW N-LCKG CORT 4.5/60' 278 269.00 72431664 SCRW LCKG CORT 4.5/28' 278 1,302.00 72431665 SCRW LCKG CORT 4.5/28' 278 1,302.00 72431666 SCRW LCKG CORT 4.5/34' 278 1,302.00 72431667 SCRW LCKG CORT 4.5/36' 278 1,302.00 72431668 SCRW LCKG CORT 4.5/38' 278 1,302.00 72431669 SCRW LCKG CORT 4.5/40' 278 1,302.00 72431670 SCRW LCKG CORT 4.5/42' 278 1,302.00 72431671 SCRW LCKG CORT 4.5/44' 278 1,302.00 72431672 SCRW LCKG CORT 4.5/50' 278 1,302.00 72431673 SCRW LCKG CORT 4.5/52' 278 1,302.00 72431674 SCRW LCKG CORT 4.5/54' 278 1,302.00 72431675 SCRW LCKG CORT 4.5/60' 278 1,302.00 72431676 WIRE GUID 1.6MM N-THRDED 278 187.00 72431679 SCRW MULTIAXL 1/4 278 4,177.00 72431680 SCRW FIXD ANG 6.5X35 278 4,202.00 72431681 SCRW FIXD ANG 5.5X25 278 4,202.00 72431682 HOOK PEDICLE LG 278 4,257.00 72431683 CROSSLINK SZ 2 278 4,480.00 72431761 CATH SWN NCK CRL 62.5 2CF 278 752.00 72431762 CATH ASH SPLT 14FX24 PRE 278 1,906.00 72431763 CATH ASH SPLT 14FX28 PRE 278 1,906.00 72431764 CATH ASH SPLT 14FX32 PRE 278 1,906.00 72431765 CATH 12.5X28CM SIL DL W/C 278 1,400.00 72431766 CATH 12.5X28 SIL PRE-CRV2 278 1,400.00 72431767 CATH MAHURK 8FX9 DL STRT 278 526.00 72431768 CATH MAHURK 8FX12 DL STRT 278 502.00 72431769 CATH MAHURK 11.5X16 DL ST 278 509.00 72431770 CATH MAHURK 11.5X24 DL ST 278 558.00 72431771 CATH MAHURK QPL 13.5X13.5 278 526.00 72431772 CATH MAHURK QPL 13.5X16 D 278 526.00 72431773 CATH MAHURK QPL 13.5X19 D 278 526.00 72431774 CATH MAHURK QPL 13.5X24 D 278 510.00 72431783 PLATE HIP LCP 3.5X150DEG 278 2,883.00 72431784 WIRE KRSCH SPD PNT 2.8X20 278 322.00 72431786 SCRW CAN FULL THRD 6.5X70 278 1,715.00 72432016 ANCHOR 4.5MM ULTRABRD TWX 278 2,041.00 72432188 PORT SLM 6F CHRONOFLX CTH 278 2,730.00 72432189 PORT SLM 8F GROSHONG CTH 278 3,311.00 72432226 NAIL ELSTC 475.915 1.5/30 278 1,635.00 72432268 TUBE VENT TYTAN 0.76MM 278 206.00 72432270 TUBE PAPARELLA MICRGL GRN 278 95.00 72432280 SET STNT BRONCHL 13MM 278 1,252.00 72432282 STENT DBL PIGTL 3.7X24CM 278 796.00 72432283 STENT DBL PIGTL 3.7X26CM 278 796.00 72432295 SCRW NEURO 1.5X3.5 ULP 278 471.00 72432297 PLT Y W/ TAB ULP 278 1,693.00 72432299 PLT 8-H STRT W/TAB ULP 278 1,454.00 72432300 PLT 2-H STRT LNG W/TAB UP 278 669.00 72432308 PLT 2-H STRT SHRT W/TAB U 278 546.00 72432382 TUBE CLLRTT WIDE MONOCRWF 278 492.00 72432399 CATH BCTISL EVD 1.9 CLR 278 2,002.00 72432432 SCRW FXD ANG 6.5X30 TI 278 4,614.00 72432434 SHNT GLAUCMA MLT SZ3175MM 278 3,783.00 72432437 ROD 500MM CBLT CHROME 278 4,014.00 72432483 PORT SMRT 8F ATTCHD CATH 278 2,048.00 72432484 PORT SMRT LOWPRF 6.6F CAT 278 2,048.00 72432540 SCRW LCK S-T 4/16MM 278 1,049.00 72432541 SCRW LCK S-T 4/18MM 278 1,049.00 72432544 SCRW LCK S-T 4/24MM 278 1,049.00 72432552 SCREW LOCKING 5.0 14MM 278 1,130.00 72432553 SCREW LOCKING 5.0 16MM 278 1,130.00 72432554 SCREW LOCKING 5.0 18MM 278 1,130.00 72432557 SCRW LOCK S-T 5.0/26MM 278 1,082.00 72432558 SCRW LOCK S-T 5.0/28MM 278 1,082.00 72432559 SCRW LOCK S-T 5.0/32MM 278 1,082.00 72432560 SCRW LOCK S-T 5.0/34MM 278 1,082.00 72432561 SCREW LOCKING 5.0 36MM 278 1,130.00 72432562 SCREW LOCKING 5.0 38MM 278 1,130.00 72432563 SCREW LOCKING 5.0 44MM 278 1,130.00 72432564 SCREW LOCKING 5.0 48MM 278 1,130.00 72432568 SCRW SYNTHS CORTX 3.5X75M 278 239.00 72432569 SCRW LCKNG 5X80MM 278 1,229.00 72432570 SCRW CRTX 4.5X72 214.072 278 169.00 72432571 SCRW CRTX 4.5X76 214.076 278 301.00 72432572 SCRW CRTX 4.5X80-214.080 278 251.00 72432591 WIREGUIDE NONTHRD 1.25 278 273.00 72432592 SCREW LCK 4.0/56 278 1,113.00 72432610 INTRODCR DES-HOFF 8FX70 278 359.00 72432611 SET RENAL DILATR 6-30/306 278 1,337.00 72432612 GRSPR 3-PRONG 2.8F/115/15 278 1,187.00 72432615 STNT/PST DBL PGTL 4.7FX16 278 644.00 72432618 SET STNT SFT W/WG 5FX18 278 645.00 72432619 SET STNT SFT W/O WG 5FX18 278 556.00 72432620 SET STNT SFT W/WG 5FX22 278 645.00 72432621 SET STNT SFT W/WG 5FX24 278 645.00 72432622 SET STNT SFT W/WG 5FX26 278 645.00 72432624 SET STNT SFT W/O WG 6FX20 278 645.00 72432625 SET STNT SFT W/O WG 6FX22 278 645.00 72432626 SET STNT SFT W/O WG 6FX24 278 645.00 72432627 SET STNT SFT W/O WG 6FX28 278 645.00 72432628 SET STNT SFT W/O WG 8FX24 278 645.00 72432632 GUID CATH RELIEVA FLXM110 278 2,526.00 72432636 PLAT 6-H 1/3 TUBULR 278 576.00 72432638 GENRTR VAGAL NRV 103 278 72,786.00 72432639 LEAD SNGL PIN 3.0 278 21,427.00 72432649 WIRE GD NIT STRT .025X150 278 287.00 72432650 WIRE GD NIT ANGLD.025X150 278 287.00 72432651 WIRE GD NIT STRT.035X150 278 287.00 72432652 WIRE GD NIT ANGLD.035X150 278 287.00 72432653 WIRE GD NIT STRT .038X150 278 287.00 72432655 SET URET DLTR PLY AQ 6FX6 278 1,045.00 72432666 CATH VENOUS RTRN SNGL 26F 278 272.00 72432668 ELECTRODE STRIP 8-CNTCT T 278 3,214.00 72432804 SCRW CRTX 3.5X55 278 144.00 72432805 SCRW CRTX 3.5X80 278 235.00 72432809 SCRW CANN 6.5X75 4.0 HEX 278 1,838.00 72432832 SHEATH URTRL ACCSS 9.5X20 278 819.00 72432833 SHEATH URTRL ACCSS 12X28 278 819.00 72432878 BAR PECTUS SUPPORT 10.0 278 4,990.00 72432879 BAR PECTUS SUPPORT 7.0 278 4,990.00 72432880 BAR PECTUS SUPPORT 8.0 278 4,990.00 72432881 BAR PECTUS SUPPORT 9.0 278 4,990.00 72432893 SCREW CANN 6.5/16/40 HEX 278 1,838.00 72432894 SCREW BN 6.5/16/55MM SS 278 1,838.00 72432933 PLAT OSTEOTMY 90DEG 12X25 278 2,535.00 72432934 PLAT OSTEOTMY 90DEG 8X35 278 2,535.00 72432941 PLAT OSTEOTMY 90DEG 7X25 278 2,535.00 72432949 SCRW CAN 6.5/16/35 HEX HD 278 1,838.00 72432955 IMPLNT ORB HYDROXYPAT #2 278 4,522.00 72432983 SCRW CANNL 6.5/45 208.431 278 1,838.00 72432984 SCRW CANNL 6.5/50 208.432 278 1,838.00 72433005 PLATE HIP LCP 5.0X120DEG 278 3,195.00 72433007 PLATE OSTEOTMY 90DEG 8X45 278 2,955.00 72433009 SCRW CAN 6.5/16/80 HEX HD 278 1,838.00 72433010 SCRW CAN 6.5/16/85 HEX HD 278 1,838.00 72433015 KIT CATH 5 278 673.00 72433018 SCRW LCKNG 212.222 5/65 T 278 1,033.00 72433019 SCRW LCKNG 212.227 5/90 S 278 1,033.00 72433020 SCRW LCKNG 212.224 5/75 S 278 1,033.00 72433021 SCRW CANN 6.5/16/30 HEX H 278 1,838.00 72433030 WIRE KRSCHNR TRC PT 2/150 278 162.00 72433035 LEAD SNGL PIN 2.0 278 22,563.00 72433047 SET STNT SOFT W/WG 5FX20 278 645.00 72433049 SCRW CANN 6.5/85 208.439 278 1,838.00 72433051 GRFT SLNG 4LAYR URET 2X10 278 1,777.00 72433074 PLATE OSTEOTMY 90DEG10/50 278 2,955.00 72433094 SCRW CAN 6.5/65/32 208.43 278 1,916.00 72433116 GRAFT SLNG 4LYR URET 2X20 278 2,283.00 72433117 PLATE HIP LCP 3.5X110DEG 278 3,072.00 72433118 PLATE HIP LCP 3.5X120DEG 278 3,072.00 72433119 PLATE BROAD LCP 8H4.5/152 278 3,215.00 72433162 SET PERIT DIALYS PEDS 278 761.00 72433164 WRGUID ULT STFF .035/145 278 284.00 72433172 INTRODUCER MINOP 19F 278 1,470.00 72433173 VALVE STRATA SM 278 11,519.00 72433174 PLT HIP LCP 3.5X100DEG 278 3,072.00 72433341 GRAFT GORE PROPATEN 3X5 278 4,124.00 72433342 GRAFT GORE PROPATEN 3X10 278 4,977.00 72433343 GRAFT GORE PROPATEN 4X10 278 4,977.00 72433344 SCREW CANNUL 6.5/70/32 278 1,838.00 72433345 WIRE GUIDE THRD 1.25X150 278 294.00 72433356 SCREW CANNUL 6.5/55 278 1,838.00 72433441 BALLN DIL INSPIRA 5X24MM 278 3,726.00 72433442 GENERATOR VAGAL NERVE 278 76,501.00 72433444 SCRW CAN 6.5X60MM 278 1,838.00 72433446 SET STENT DBL PGTL 4.7X16 278 655.00 72433447 SET STNT SFT W/O WG 5FX20 278 556.00 72433448 SET STNT SFT W/O WG 5FX22 278 556.00 72433449 SET STNT SFT W/O WG 5FX24 278 556.00 72433450 SET STNT SFT W/O WG 5FX26 278 556.00 72433655 PLTE HIP LCP 5MMX100DEG 278 3,195.00 72433662 MESH ANATOMICAL RT 15X10 278 1,088.00 72433680 INJ RADIESSE SYR 1CC 278 1,775.00 72433686 SCRW NONLOCK 2.7X14MM MTP 278 581.00 72433687 SCRW LOCK 3.2X12MM MTP 278 649.00 72433688 SCRW LOCK 3.2X14MM MTP 278 649.00 72433689 SCRW LOCK 3.2X16MM MTP 278 649.00 72433693 PLTE RECON SIZE 2 LT MTP 278 4,818.00 72433694 PLTE RECON SIZE 2 RT MTP 278 4,818.00 72433703 SCRW CRTE 3.5X95 204.095 278 235.00 72433724 SCRW CANNUL 6.5/16/45 HEX 278 1,838.00 72433725 SCRW CANNUL 6.5/16/50 HEX 278 1,838.00 72433745 TISS RECON 6X8 STRATTICE 278 5,718.00 72433765 SCRW CANNL 6.5/16/65MM 278 1,838.00 72433767 PLTE BROAD LCP 4.5/116MM 278 2,473.00 72433769 SCRW CORTEX 4.5X85MM 278 248.00 72433884 BALLN URET ASCEND-G32840 278 1,417.00 72433935 SCREW CANN 6.5/75 278 1,963.00 72433988 SCRW CA 208.409 6.5/16/70 278 1,712.00 72434005 IMPLT ORBIT 16MM HYDROXY 278 4,522.00 72434006 PLTE OSTEOTMY 90DEG 40/10 278 3,077.00 72434045 INTRDCR SUPRAPB 14FX20CM 278 484.00 72434046 INTRDCR SUPRAPB 18FX20CM 278 484.00 72434048 SET CATH SUPRAPB 12FX23CM 278 419.00 72434059 SCREW BN SS 6.5/75/16MM 278 1,769.00 72434066 GRAFT VASC 3.5MMX15CM SHD 278 4,124.00 72434067 GRAFT VASC 3.5X10MM PROPT 278 4,977.00 72434089 CATH 5F UMBIL DUEL LUMEN 278 208.00 72434117 STENT SFT W/O WG 6FRX26CM 278 557.00 72434143 SCREW 6.5/60/16MM SS 278 1,769.00 72434247 GRAFT VASC INTER 8X40 278 4,477.00 72434248 RING ANNULOPLASTY M24 278 15,508.00 72434249 RING ANNULOPLASTY 26MM 278 15,508.00 72434250 RING ANNULOPLASTY 28MM 278 15,508.00 72434251 RING ANNULOPLASTY M30 278 15,508.00 72434252 RING ANNULOPLASTY M32 278 15,508.00 72434253 RING ANNULOPLASTY M34 278 15,508.00 72434254 RING ANNULOPLASTY M36 278 15,508.00 72434255 RING ANULAPLSTY 38MM 278 15,508.00 72434258 GRAFT VASC PLATNM 18X30MM 278 3,094.00 72434267 GRAFT VASC 5MMX10CM SHNTP 278 4,977.00 72434278 TAP 3.5/F/CANU SCRW 278 3,015.00 72434308 ROD 5.5 TIAL NS STRT LN 278 2,275.00 72434309 ROD 5.5 CCM NS STRHT 278 2,275.00 72434310 ROD 6.0 CCM PLS NS STRT 278 448.00 72434311 SET SCRW 5.5 TI NS BRK 278 751.00 72434312 SET SCRW 5.5/6.0 TI NS 278 751.00 72434313 SCRW FAS 4.5X20 TI SOL 278 4,636.00 72434314 SCRW FAS 4.5X25 TI SOL 278 4,636.00 72434315 SCRW FAS 4.5X30 TI SOL 278 4,636.00 72434316 SCRW FAS 4.5X35 TI SOL 278 4,636.00 72434317 SCRW FAS 4.5X40 TI SOL 278 4,636.00 72434318 SCRW FAS 4.5X45 TI SOL 278 4,636.00 72434319 SCRW FAS 5.0X20 TI SOL 278 4,636.00 72434320 SCRW FAS 5.0X25 TI SOL 278 4,636.00 72434321 SCRW FAS 5.0X30 TI SOL 278 4,636.00 72434322 SCRW FAS 5.0X35 TI SOL 278 4,636.00 72434323 SCRW FAS 5.0X40 TI SOL 278 4,636.00 72434324 SCRW FAS 5.0X45 TI SOL 278 4,636.00 72434325 SCRW FAS 5.5X30 TI SOL 278 4,636.00 72434326 SCRW FAS 5.5X35 TI SOL 278 4,636.00 72434327 SCRW FAS 5.5X40 TI SOL 278 4,636.00 72434328 SCRW FAS 5.5X45 TI SOL 278 4,636.00 72434329 SCRW FAS 5.5X50 TI SOL 278 4,636.00 72434330 SCRW FAS 6.5X30 TI SOL 278 4,636.00 72434331 SCRW FAS 6.5X35 TI SOL 278 4,636.00 72434332 SCRW FAS 6.5X40 TI SOL 278 4,636.00 72434333 SCRW FAS 6.5X45 TI SOL 278 4,636.00 72434334 SCRW FAS 6.5X50 TI SOL 278 4,636.00 72434335 SCRW FAS 6.5X55 TI SOL 278 4,636.00 72434336 SCRW FAS 7.5X35 TI SOL 278 4,636.00 72434337 SCRW FAS 7.5X40 TI SOL 278 4,636.00 72434338 SCRW FAS 7.5X45 TI SOL 278 4,636.00 72434339 SCRW FAS 7.5X50 TI SOL 278 4,636.00 72434340 SCRW FAS 7.5X55 TI SOL 278 4,636.00 72434341 SCRW MAS 4.0X20 CC SOL 278 5,261.00 72434342 SCRW MAS 4.0X25 CC SOL 278 5,261.00 72434343 SCRW MAS 4.0X30 CC SOL 278 5,261.00 72434344 SCRW MAS 4.0X35 CC SOL 278 5,261.00 72434345 SCRW MAS 4.0X40 CC SOL 278 5,261.00 72434346 SCRW MAS 4.0X45 CC SOL 278 5,261.00 72434347 SCRW MAS 4.0X50 CC SOL 278 5,261.00 72434348 SCRW MAS 4.0X55 CC SOL 278 5,261.00 72434349 SCRW MAS 4.5X20 CC SOL 278 5,261.00 72434350 SCRW MAS 4.5X25 CC SOL 278 5,261.00 72434351 SCRW MAS 4.5X30 CC SOL 278 5,261.00 72434352 SCRW MAS 4.5X35 CC SOL 278 5,261.00 72434353 SCRW MAS 4.5X40 CC SOL 278 5,261.00 72434354 SCRW MAS 4.5X45 CC SOL 278 5,261.00 72434355 SCRW MAS 4.5X50 CC SOL 278 5,261.00 72434356 SCRW MAS 4.5X55 CC SOL 278 5,261.00 72434357 SCRW MAS 5.0X20 CC SOL 278 5,261.00 72434358 SCRW MAS 5.0X25 CC SOL 278 5,261.00 72434359 SCRW MAS 5.0X30 CC SOL 278 5,261.00 72434360 SCRW MAS 5.0X35 CC SOL 278 5,261.00 72434361 SCRW MAS 5.0X40 CC SOL 278 5,261.00 72434362 SCRW MAS 5.0X45 CC SOL 278 5,261.00 72434363 SCRW MAS 5.0X50 CC SOL 278 5,261.00 72434364 SCRW MAS 5.0X55 CC SOL 278 5,261.00 72434365 SCRW MAS 5.5X20 CC SOL 278 5,261.00 72434366 SCRW MAS 5.5X25 CC SOL 278 5,261.00 72434367 SCRW MAS 5.5X30 CC SOL 278 5,261.00 72434368 SCRW MAS 5.5X35 CC SOL 278 5,261.00 72434369 SCRW MAS 5.5X40 CC SOL 278 5,261.00 72434370 SCRW MAS 5.5X45 CC SOL 278 5,261.00 72434371 SCRW MAS 5.5X50 CC SOL 278 5,261.00 72434372 SCRW MAS 5.5X55 CC SOL 278 5,261.00 72434373 SCRW MAS 5.5X60 SOLR 278 5,261.00 72434374 SCRW 5.5 MAS 6.5X100 SOLR 278 5,261.00 72434375 SCRW MAS 6.5X20 CC SOL 278 5,261.00 72434376 SCRW MAS 6.5X25 CC SOL 278 5,261.00 72434377 SCRW MAS 6.5X30 CC SOL 278 5,261.00 72434378 SCRW MAS 6.5X35 CC SOL 278 5,261.00 72434379 SCRW MAS 6.5X40 CC SOL 278 5,261.00 72434380 SCRW MAS 6.5X45 CC SOL 278 5,261.00 72434381 SCRW MAS 6.5X50 CC SOL 278 5,261.00 72434382 SCRW MAS 6.5X55 CC SOL 278 5,261.00 72434383 SCRW MAS 6.5X60 CC SOL 278 5,261.00 72434384 SCRW MAS 6.5X65 CC SOL 278 5,261.00 72434385 SCRW MAS 6.5X70 CC SOL 278 5,261.00 72434386 SCRW MAS 6.5X80 CC SOL 278 5,261.00 72434387 SCRW 5.5 MAS 6.5X90 SOLR 278 5,261.00 72434388 SCRW 5.5 MAS 7.5X100 SOLR 278 5,261.00 72434389 SCRW MAS 7.5X25 CC SOL 278 5,261.00 72434390 SCRW MAS 7.5X30 CC SOL 278 5,261.00 72434391 SCRW MAS 7.5X35 CC SOL 278 5,261.00 72434392 SCRW MAS 7.5X40 CC SOL 278 5,261.00 72434393 SCRW MAS 7.5X45 CC SOL 278 5,261.00 72434394 SCRW MAS 7.5X50 CC SOL 278 5,261.00 72434395 SCRW MAS 7.5X55 CC SOL 278 5,261.00 72434396 SCRW MAS 7.5X60 CC SOL 278 5,261.00 72434397 SCRW MAS 7.5X65 CC SOL 278 5,261.00 72434398 SCRW MAS 7.5X70 CC SOL 278 5,261.00 72434399 SCRW MAS 7.5X80 CC SOL 278 5,261.00 72434400 SCRW 5.5 MAS 7.5X90 SOLRA 278 5,261.00 72434401 SCRW 5.5 MAS 8.5X100 SOLR 278 5,261.00 72434402 SCRW MAS 8.5X25 CC SOL 278 5,261.00 72434403 SCRW MAS 8.5X30 CC SOL 278 5,261.00 72434404 SCRW MAS 8.5X35 CC SOL 278 5,261.00 72434405 SCRW MAS 8.5X40 CC SOL 278 5,261.00 72434406 SCRW MAS 8.5X45 CC SOL 278 5,261.00 72434407 SCRW MAS 8.5X50 CC SOL 278 5,261.00 72434408 SCRW MAS 8.5X55 CC SOL 278 5,261.00 72434409 SCRW MAS 8.5X60 CCD SOL 278 5,261.00 72434410 SCRW MAS 8.5X65 CC SOL 278 5,261.00 72434411 SCRW MAS 8.5X70 CC SOL 278 5,261.00 72434412 SCRW MAS 8.5X80 CC SOL 278 5,261.00 72434413 SCRW 5.5 MAS 8.5X90 SOLRA 278 5,261.00 72434414 SCRW 5.5 MAS 9.5X100 SOLR 278 5,261.00 72434415 SCRW MAS 9.5X25 CC SOL 278 5,261.00 72434416 SCRW MAS 9.5X30 CC SOL 278 5,261.00 72434417 SCRW MAS 9.5X35 CC SOL 278 5,261.00 72434418 SCRW MAS 9.5X40 CC SOL 278 5,261.00 72434419 SCRW MAS 9.5X45 CCF SOL 278 5,261.00 72434420 SCRW MAS 9.5X50 CC SOL 278 5,261.00 72434421 SCRW MAS 9.5X55 CC SOL 278 5,261.00 72434422 SCRW MAS 9.5X60 CC SOL 278 5,261.00 72434423 SCRW MAS 9.5X65 CC SOL 278 5,261.00 72434424 SCRW MAS 9.5X70 CC SOL 278 5,261.00 72434425 SCRW MAS 9.5X80 CC SOLERA 278 5,261.00 72434426 SCRW 5.5 MAS 9.5X90 SOLER 278 5,261.00 72434427 SCRW 5.5/6.0 RMAS 4.5X25 278 5,404.00 72434428 SCRW 5.5/6.0 RMAS 4.5X30 278 5,404.00 72434429 SCRW 5.5/6.0 RMAS 4.5X35 278 5,404.00 72434430 SCRW 5.5/6.0 RMAS 4.5X40 278 5,404.00 72434431 SCRW 5.5/6.0 RMAS 5.5X25 278 5,404.00 72434432 SCRW 5.5/6.0 RMAS 5.5X30 278 5,404.00 72434433 SCRW 5.5/6.0 RMAS 5.5X35 278 5,404.00 72434434 SCRW 5.5/6.0 RMAS 5.5X40 278 5,404.00 72434435 SCRW 5.5/6.0 RMAS 5.5X45 278 5,404.00 72434436 SCRW 5.5/6.0 RMAS 5.5X50 278 5,404.00 72434437 SCRW 5.5/6.0 RMAS 6.5X30 278 5,404.00 72434438 SCRW 5.5/6.0 RMAS 6.5X35 278 5,404.00 72434439 SCRW 5.5/6.0 RMAS 6.5X40 278 5,404.00 72434440 SCRW 5.5/6.0 RMAS 6.5X45 278 5,404.00 72434441 SCRW 5.5/6.0 RMAS 6.5X50 278 5,404.00 72434442 SCRW 5.5/6.0 RMAS 6.5X55 278 5,404.00 72434443 SCRW 5.5/6.0 RMAS 7.5X35 278 5,404.00 72434444 SCRW 5.5/6.0 RMAS 7.5X40 278 5,404.00 72434445 SCRW 5.5/6.0 RMAS 7.5X45 278 5,404.00 72434446 SCRW 5.5/6.0 RMAS 7.5X50 278 5,404.00 72434535 SHEATH URETRL ACCSS 9.5/3 278 819.00 72434554 SHEATH URET ACCS 9.5/45CM 278 806.00 72434608 BALLN URET ASCEND-G32835 278 1,417.00 72434648 MATNURO SCRW SELFDRL 3MM 278 403.00 72434649 MATNURO SCRW SELFDRL 4MM 278 403.00 72434651 MATNURO BURHOLE CVR 17MM 278 1,256.00 72434652 MATNURO BURHOLE15M/W/SHNT 278 1,256.00 72434653 MATNURO STR-PLAT 2H-9MM 278 354.00 72434654 MATNURO STR-PLAT 2H-12MM 278 354.00 72434655 MATNURO STR-PLAT 4 HOLE 278 559.00 72434656 MATNURO BOX-PLAT 14X14MM 278 1,263.00 72434657 MATNURO Y-PLAT 5 HOLE 278 1,222.00 72434658 MATNURO DBL Y-PLAT 6H-18M 278 1,215.00 72434659 MATNURO ADAPT-PLAT 5HOLE 278 1,365.00 72434660 MATNURO ADAPT-PLAT 7HOLE 278 1,819.00 72434661 MATNURO ADAPT-PLAT 20HOLE 278 1,819.00 72434662 MATNURO STRUT-PLAT 2X3 H 278 1,621.00 72434663 MATNURO STRUT-PLAT 2X4 H 278 1,890.00 72434664 MATNURO MESH 100X100/.6 R 278 7,565.00 72434665 MATNURO MESH 100X100.4M R 278 7,565.00 72434666 MATNURO MESH 100X100.4 ML 278 7,565.00 72434679 SCREW SCHANTZ 6X190MM 278 781.00 72434748 SCRW CANN F-THREAD 6.5X85 278 1,889.00 72434760 BONE CANC CHIP 15CC 278 1,720.00 72434822 CATH INTRATHECAL SUTURLES 278 3,385.00 72434825 MATNURO SCREW SELFDRL 5MM 278 403.00 72434833 SCRW NON-LCKG 2.7X12M MTP 278 608.00 72434834 SCRW NON-LCKG 2.7X16M MTP 278 608.00 72434835 SCRW NON-LCKG 2.7X18M MTP 278 608.00 72434836 SCRW LCKG 3.2X18MM MTP 278 683.00 72434840 FEMUR OSS/COMPR LT 10CM 278 30,876.00 72434841 BEARING TIBIA 16MM 278 4,396.00 72434842 TIBIA MOD 79MM 278 13,752.00 72434844 PLUG ANCHOR 20MM 278 5,648.00 72434845 SLV CENTER 23MM 278 2,059.00 72434846 PIN TRNSVERSE 36CM 278 2,281.00 72434854 SCREW REDUCTION 5.5X35 278 5,119.00 72434855 CHIPS BONE CRUSHED 60CC 278 3,868.00 72434859 SCREW FAS 535X25 TI SOLRA 278 4,607.00 72434901 ROD GUIDE SMOOTH 2.0MM 278 1,508.00 72434906 SCREW MICRO MAX 1.5X5MM 278 387.00 72434907 SCREW MICRO NEURO 4MM 278 387.00 72434908 MESH 11 RIGHT 278 22,750.00 72434919 ROD COCR 600MM 278 3,982.00 72434920 NUT LOCK 278 758.00 72434921 CONNECTOR SLOTTED 278 4,619.00 72434924 WIRE COCR SINGLE 278 594.00 72434925 CONNECTOR SLOTTED EXTDND 278 594.00 72434926 SCREW SET 278 1,252.00 72434927 SCREW REDUCTION 5X40 278 4,778.00 72434928 SCREW MONO 5X30 278 5,261.00 72434929 ROD STAINLESS 600MM 278 3,413.00 72434930 SCREW MONO 5X35 278 5,261.00 72434931 SCREW MONO 5X40 278 5,261.00 72434932 PLATE CONDYLAR 95DEG 60MM 278 3,413.00 72434933 SCREW CANC PT-THREAD 55MM 278 175.00 72434934 SCREW CANC PT-THREAD 60MM 278 175.00 72434935 PLATE SMALL FRAG LCP 58MM 278 990.00 72434936 SCRW CORT SELF-T 3.5-42MM 278 225.00 72434937 SCRW CORT SELF-T 3.5-44MM 278 225.00 72434938 SCRW CORT SELF-T 3.5X46MM 278 225.00 72434939 SCRW CORT SELF-T 3.5X48MM 278 225.00 72434940 SLEEVE PUSH/PULL REDUCT 278 1,960.00 72435001 GRAFT STRETCH 12X30 278 2,827.00 72435045 BALLOON 8.5 DILATION 278 3,726.00 72435048 GRAFT NERVE 2-3MMX30MM 278 7,764.00 72435049 GRAFT NERVE 2-3MMX50MM 278 11,248.00 72435050 GRAFT NERVE 2-3MM X 70MM 278 13,637.00 72435053 PLATE BLADE ADOLE 90%50MM 278 3,288.00 72435056 SCREW LK SLFTPNG 3.5MM 278 989.00 72435146 SCREW REDUCTION 5X30 278 4,778.00 72435147 ROD CONTOURED SHORT 278 3,345.00 72435148 BOLT VIPER ILIAC 8X65 278 6,968.00 72435149 CROSSLINK 24MM 278 4,448.00 72435150 K-WIRE 278 1,024.00 72435151 SET SCREW 278 1,252.00 72435152 SCREW REDUCTION 5X25MM 278 4,778.00 72435153 SCREW REDUCTION 5X30MM 278 4,778.00 72435154 SCREW REDUCTION 5X35MM 278 4,778.00 72435155 SCREW REDUCTION 5X40MM 278 4,778.00 72435156 SCREW REDUCTION 4.35X25MM 278 4,778.00 72435157 BOLT VIPER SA1 8X65MM 278 6,968.00 72435158 WIRE SINGLE CoCR 278 594.00 72435159 ROD MEDIUM CONTOURED 278 3,982.00 72435160 K-WIRE 278 997.00 72435162 CATH BALLOON 1.0MM 278 804.00 72435166 CATH INTRATHECAL 278 5,347.00 72435169 SCREW SET CONNECTOR 278 1,195.00 72435170 SCREW SET LEGACY 278 1,187.00 72435171 SCREW LEGACY 4.0 X 20 278 5,483.00 72435172 ROD CORE 5.5/60 278 2,275.00 72435173 ROD CORE 6.0 278 2,275.00 72435174 ROD 4.5 278 3,737.00 72435177 SCREW SET INLINE CONNECT 278 1,195.00 72435179 PLATE 3.5MM L-D FIB 4HR71 278 4,823.00 72435180 SCRW LCK ST CORTX 3.5X18 278 271.00 72435181 SCRW LCK ST CORTX 3.5X16 278 271.00 72435182 SCRW LCK ST CORTX 3.5X20 278 271.00 72435183 SCREW LCK ST 3.5X20 278 1,133.00 72435184 SCRW CANNUALTED 46MM 4.0 278 1,932.00 72435185 PIN GUIDE TRO PT 1.3X140 278 300.00 72435186 RING 2/3 130MM 278 6,370.00 72435187 RING 2/3 150MM 278 6,370.00 72435188 RING FULL 130MM 278 6,670.00 72435189 RING FULL 155MM 278 6,211.00 72435190 BOLT SHULDR SPATIL FRAME 278 487.00 72435211 PIN HALF 6MM 25MMX200MM 278 1,830.00 72435212 PIN HALF 6MM 30MMX200MM 278 1,830.00 72435213 PIN HALF 6MM 35MMX200MM 278 1,830.00 72435215 SCRW LK SELFTAP 3.5MM #35 278 990.00 72435216 SCRW LK SELFTAP 3.5MM #42 278 990.00 72435217 SCRW LK SELF 3.5MM #44 278 990.00 72435218 SCRW LK SELFTAP 3.5MM #46 278 990.00 72435219 SCRW LK SELF 3.5MM #54 278 990.00 72435220 SCRW LK SELF 3.5MM #56 278 990.00 72435221 PLTE CONDYLAR 6H 159MM LF 278 7,457.00 72435222 SCRW LK SELF V-ANG 5MM 80 278 2,324.00 72435223 SCRW LK SELF V-ANG 5MM 85 278 1,394.00 72435224 SCRW LK SELF CAN VA 5MM 278 1,893.00 72435225 SCRW THREADED CAN PT 4MM 278 393.00 72435226 SCRW BIOSURE HA 6MMX20MM 278 1,720.00 72435227 PLTE ADLT BLADE 239.53 65 278 3,529.00 72435232 PLTE LT NARROW PROXIMAL 278 4,041.00 72435233 SCRW CORT 2.3X20MM 278 608.00 72435234 SCRW CORT 2.3X24MM 278 608.00 72435235 SCRW LOCKING 2.3X20MM 278 608.00 72435236 SCRW LOCKING 2.3X24MM 278 608.00 72435237 SCRW CORT 3.5X10MM 278 608.00 72435238 SCRW CORT 3.5X12MM 278 608.00 72435240 SCRW BONE MINI ACUTRK 30M 278 2,219.00 72435244 PLTE SM LOCKING T 1.5MM 278 2,821.00 72435245 SCRW NON LKNG 1.5MMX10MM 278 635.00 72435246 SCRW NON LCKNG 1.5X11MM 278 635.00 72435247 SCRW NON LCKNG 1.5X12MM 278 635.00 72435248 SCRW NON LCKNG 1.5X13MM 278 635.00 72435249 SCRW NON LCKNG 1.5X14MM 278 635.00 72435250 SCRW LCKNG 1.5X8MM 278 635.00 72435251 SCRW LCKNG 1.5X10MM 278 635.00 72435252 SCRW LCKNG 1.5X11MM 278 635.00 72435253 SCRW LCKNG 1.5X12MM 278 635.00 72435254 SCRW LCKNG 1.5X13MM 278 635.00 72435255 SCRW LCKNG 1.5X14MM 278 635.00 72435261 PLTE GRFN MOD CHIN 7/2.MM 278 1,461.00 72435262 SCRW DF XDRV MINI 2.0/5MM 278 424.00 72435264 PLTE LCKNG SAG 6H CRVD 1M 278 2,463.00 72435265 SCRW DF XDRV MINI 2.0/7MM 278 424.00 72435266 SCRW SDRV EMERG 2.3/7MM 278 492.00 72435267 SCREW MMF 2X12MM XD, DF 278 1,230.00 72435268 MESH SM GRID 246X11.2X1MM 278 7,740.00 72435271 SCRW XDRV 1.5MMX7MM 278 444.00 72435272 PLTE LINDORF MICROCHIN 1M 278 1,543.00 72435275 ROD RUSH MED-SM 17.8 278 592.00 72435276 ROD RUSH MED 10.2CM 278 640.00 72435277 ROD RUSH MED 16.5CM 278 640.00 72435278 ROD RUSH MED 17.8CM 278 640.00 72435279 ROD RUSH MED 20.3CM 278 640.00 72435280 ROD RUSH MED 21.6CM 278 640.00 72435281 ROD RUSH MED 24.1CM 278 640.00 72435282 ROD RUSH MED 25.4CM 278 640.00 72435283 BONE GRFT EXTDR & SUB 278 10,480.00 72435284 SCRW BIOSURE 7X20MM 278 1,720.00 72435287 GENERATOR VAGAL NRV 105 278 84,807.00 72435292 PLATE SKULL 3MM 278 5,042.00 72435293 SCREW SELF DRILL 1.5X5MM 278 545.00 72435294 SCREW SELF DRILL 1.5X4MM 278 724.00 72435295 HYDROSET 10CC 278 11,387.00 72435296 HYDROSET 5CC 278 5,927.00 72435385 GRAFT BIFUR 20-10X40MM 278 4,568.00 72435389 SCREW LCKNG 4X50MM 278 1,064.00 72435390 SCREW LCKNG 4X58MM 278 1,064.00 72435392 GUIDEWIRE THREAD 1.6MM 278 319.00 72435393 PLATE-O-16MM 278 2,645.00 72435394 SCREW LP 20MM 278 1,557.00 72435416 SCREW SET MOUNTAINEER 278 1,365.00 72435417 SCRW MOUNTR 4X30MM 278 5,256.00 72435418 SCRW MOUNTR 4.35X30MM 278 5,256.00 72435419 SCRW MOUNTR 4.35X35MM 278 5,256.00 72435420 ROD COCR 480MM 278 3,982.00 72435421 ROD COCR 200MM 278 4,107.00 72435422 SCRW EXPEDIUM 7X55MM 278 4,380.00 72435423 SCRW EXPEDIUM 7X45MM 278 4,380.00 72435424 SCRW REDUC 4.35X30MM 278 4,778.00 72435429 MESH 10 LEFT 278 22,753.00 72435430 PLT MEDIAL LCKNG 8 HOLE 278 5,392.00 72435431 SCRW HEXA NONLK 3.5X55MM 278 697.00 72435432 SCRW HEXA NONLK 3.5X38MM 278 533.00 72435433 SCRW HEXA NONLK 5X24MM 278 533.00 72435434 SCRW HEXA NONLK 3.5X26MM 278 533.00 72435437 SCRW BIOSURE 10X20MM 278 1,720.00 72435438 VALVE PULM SYNGRAFT +C 278 51,188.00 72435440 PLATE PEANUT MEDIUM 278 6,075.00 72435441 SCRW NONLK 3.5X26MM 278 1,570.00 72435442 SCREW NONLK 3.5X24MM 278 1,570.00 72435443 SCREW NONLK 4X24MM 278 1,570.00 72435446 SCRW LK CROSS-DR 2X9MM 278 1,004.00 72435447 PLATE LK STR 20H 2MM 278 4,296.00 72435449 MESH STRIP CONTOURD .6MM 278 11,745.00 72435450 SCRW NEURO DRLFREE 1.8X4M 278 485.00 72435451 PLTE MID STR 24H T=1.0M 278 1,543.00 72435452 SCRW MICRO DRLFREE 1.5X7M 278 455.00 72435453 MESH STRIP TITAN 2H,1-2MM 278 3,299.00 72435454 MESH CONTOURD BIFRNTAL 1 278 11,575.00 72435455 SCRW MICRO DRLFREE 1.5X4M 278 455.00 72435456 SCRW MICRO DRLFREE 1.5X5M 278 455.00 72435458 URET ACCS SHETH 12FRX45CM 278 805.00 72435459 URET ACCS SHETH 12FRX35CM 278 805.00 72435472 NAIL FEMORAL IM 9X34CM 278 10,153.00 72435476 SCREW CORT LK 4.5X50MM 278 1,358.00 72435477 SCREW LK 4.5X38 278 1,434.00 72435478 SCREW MMF 2X8MM XD, DF 278 1,230.00 72435573 PLAT FEM LT CONT 10H 4.5M 278 11,347.00 72435575 NAIL PED LT 9.0MM X 36CM 278 10,153.00 72435576 SCREW LCKNG 4.5/65MM 278 1,434.00 72435577 PLAT BLADE CANN 90X40X10M 278 5,404.00 72435578 PLAT PLEO HT 6H 3.5MM 278 9,296.00 72435579 PLAT 90* 3.5/45/10MM 278 5,404.00 72435581 PLAT 90* 4H 60X14MM 278 5,205.00 72435582 SCREW N-LKNG 4.5X16MM 278 455.00 72435583 SCREW N-LKNG 4.5X20MM 278 455.00 72435584 SCREW N-LKNG 4.5X18MM 278 455.00 72435585 SCREW N-LKNG 4.5X22MM 278 455.00 72435586 NAIL PEDI LT 8MM 30CM 278 10,153.00 72435587 SCREW LCKNG 4,5X28MM 278 1,434.00 72435588 SCREW LCKNG 4.5X32MM 278 1,360.00 72435590 SCREW LCKNG 4.5X46MM 278 1,434.00 72435591 SCREW N-LCKNG 3.5X26MM 278 285.00 72435592 SCREW N-LCKNG 3.5X28MM 278 285.00 72435593 SCREW LCKNG 3.5X24MM 278 1,243.00 72435594 SCREW LCKNG 3.5X44MM 278 1,243.00 72435596 PLAT PLEO RT 6H 3.5MM 278 9,296.00 72435597 GUIDEWIRE 1.6MMX230MM 278 1,270.00 72435598 GUIDEWIRE 2.0MM X 230MM 278 1,270.00 72435599 GUIDEWIRE 2.0MM X 150MM 278 1,270.00 72435600 GUIDEWIRE 2.5MM X 200MM 278 1,447.00 72435601 GUIDEWIRE 3.2MM X 200MM 278 1,447.00 72435604 SCREW CANCELL 6.5X30MM 278 1,001.00 72435606 GUIDEWIRE .035 278 101.00 72435608 SCREW MICRO ACUTRAK2 20MM 278 2,219.00 72435610 TIBIAL NAIL CANL 8X315MM 278 6,720.00 72435611 SCRW LCKNG TI 4/28MM STDR 278 1,388.00 72435612 SCRW LCKNG TI 4/32MM STDR 278 1,388.00 72435613 SCRW LCKNG TI 4/46MM STDR 278 1,388.00 72435615 ROD REAM W/BLLTIP 2.5/950 278 904.00 72435622 SCREW LCKNG 4.5/24FT 278 1,502.00 72435623 SCREW LCKNG 4.5/26FT 278 1,502.00 72435624 SCRW N-LCKNG CORT4.5/50MM 278 319.00 72435626 PLAT INF BLADE 90 2H 30/5 278 5,404.00 72435627 SCRW N-LKNG 3.5/12MM 278 410.00 72435628 SCRW N-LCKNG 3.5/14MM 278 410.00 72435629 SCRW N-LCKNG 3.5/16MM 278 410.00 72435632 PLAT BLADE 3H 3.5/50/10MM 278 5,404.00 72435633 SCRW N-LCKNG 3.5/18MM 278 410.00 72435634 SCRW LCKNG 3.5X60MM 278 1,161.00 72435635 PLATE 12 HOLE STAR 278 5,239.00 72435636 PLATE 10 HOLE X 278 5,239.00 72435637 PLATE 13 HOLE STRAIGHT 278 4,161.00 72435638 SCRW SELF DRILL 12MM 278 1,284.00 72435639 SCRW SELF DRILL 14MM 278 1,284.00 72435640 SCRW N-LCKNG CORT 4.5/65M 278 319.00 72435641 SCRW LCKNG 4.5/22 FT 278 1,502.00 72435652 SCREW EXPEDIUM 6X30 278 5,261.00 72435653 SCREW EXPEDIUM 6X35 278 5,261.00 72435711 SCRW CANN 6.5/105/32MM TH 278 1,710.00 72435712 SCRW CANN 6.5/115/32MM TH 278 1,710.00 72435716 STENT SFT 6FX22-32 LENGTH 278 558.00 72435717 STENT SFT 8FX22-32 LENGTH 278 558.00 72435937 SET SCREW SPINE XIA TI 278 455.00 72435938 SCRW SPNE XIA2 TI 4.5X25 278 3,697.00 72435939 SCRW SPNE XIA2 TI 4.5X30 278 3,697.00 72435940 SCRW SPNE XIA2 TI 4.5X35 278 3,697.00 72435941 SCRW SPNE XIA2 TI 4.5X40 278 3,697.00 72435942 SCRW SPNE XIA2 TI 4.5X45 278 3,697.00 72435943 SCRW SPNE XIA2 TI 5.5X25 278 3,697.00 72435944 SCRW SPNE XIA2 TI 5.5X30 278 3,697.00 72435945 SCRW SPNE XIA2 TI 5.5X35 278 3,697.00 72435946 SCRW SPNE XIA2 TI 5.5X45 278 3,697.00 72435947 SCRW SPNE XIA2 TI 5.5X40 278 3,697.00 72435948 SCRW SPNE XIA2 TI 5.5X50 278 3,697.00 72435949 SCRW SPNE XIA2 TI 5.5X55 278 3,697.00 72435950 SCRW SPNE XIA2 TI 6.5X30 278 3,697.00 72435951 SCRW SPNE XIA2 TI 6.5X35 278 3,697.00 72435952 SCRW SPNE XIA2 TI 6.5X40 278 3,697.00 72435953 SCRW SPNE XIA2 TI 6.5X45 278 3,697.00 72435954 SCRW SPNE XIA2 TI 6.5X50 278 3,697.00 72435955 ROD SPNE XIALP VIT 6X600 278 2,048.00 72435962 WIRE GUIDE .035X150CM STR 278 393.00 72435963 WIRE GUIDE .018X180CM STR 278 444.00 72435965 PLATE PEDS 150 278 3,805.00 72435993 GRAFT SEMI-TEND 6.5X200 278 5,478.00 72436036 NRW PROF CLAVCL PLT 6H LT 278 5,472.00 72436037 SCRW 3.5MX10M NONLCK HEX 278 533.00 72436151 ALLOGRFT FLXHD HYDRA DERM 278 1,297.00 72436197 SCREW CORTEX 3.5X60MM 278 312.00 72436198 SCREW CORETEX 3.5X65MM 278 312.00 72436202 GRAFT NERVE 2-3MM X 15MM 278 5,574.00 72436227 3.5M DIS/TIB COMPRSN 4H 278 6,176.00 72436228 3.5M S-TAP CORT SCRW 20M 278 395.00 72436229 3.5M S-TAP CORT SCRW 22M 278 395.00 72436230 3.5M S-TAP CORT SCRW 24M 278 395.00 72436231 3.5M S-TAP CORT SCRW 26M 278 395.00 72436232 3.5M S-TAP CORT SCRW 28M 278 395.00 72436233 3.5M S-TAP CORT SCRW 30M 278 395.00 72436234 3.5M S-TAP CORT SCRW 34M 278 395.00 72436235 3.5M S-TAP CORT SCRW 40M 278 395.00 72436236 3.5M S-TAP CORT SCRW 50M 278 395.00 72436237 3.5M LCKNG CORT SCRW 16M 278 1,103.00 72436238 3.5M LCKNG CORT SCRW 22M 278 1,103.00 72436239 3.5M LCKNG CORT SCRW 24M 278 1,103.00 72436240 3.5M LCKNG CORT SCRW 26M 278 1,103.00 72436241 3.5M LCKNG CORT SCRW 28M 278 1,103.00 72436242 3.5M LCKNG CORT SCRW 30M 278 1,103.00 72436243 3.5M LCKNG CORT SCRW 32M 278 1,103.00 72436244 3.5M LCKNG CORT SCRW 34M 278 1,103.00 72436245 3.5M LCKNG CORT SCRW 36M 278 1,103.00 72436246 3.5M LCKNG CORT SCRW 40M 278 1,103.00 72436247 3.5M SLM DISTIB LKNG 3H 278 6,762.00 72436248 3.5M WDE DISTIB LKNG 4H 278 6,176.00 72436249 130* X3.5M PLATE 3 HOLE 278 6,339.00 72436250 3.5M CANN SCRW T15, 55MM 278 1,968.00 72436251 3.5M CANN SCRW T15, 60MM 278 1,968.00 72436252 4.5M N-LCKNG CORT FT 14M 278 418.00 72436253 4.5M N-LCKNG CORT FT 24M 278 418.00 72436254 4.5M N-LCKNG CORT FT 26M 278 418.00 72436255 4.5M N-LCKNG CORT FT 30M 278 418.00 72436256 4.5M LCKNG CORT FT 18MM 278 1,282.00 72436257 4.5M LCKNG CORT FT 20MM 278 1,282.00 72436258 4.5M LCKNG CORT FT 24MM 278 1,282.00 72436259 4.5M LCKNG CORT SCRW 50M 278 1,282.00 72436260 4.5M LCKNG CORT SCRW 60M 278 1,282.00 72436261 4.5M LCKNG CORT SCRW 65M 278 1,282.00 72436262 O-PLTE 12MM-CTR HOLE 278 2,409.00 72436263 O-PLTE 20MM-CTR HOLE 278 2,409.00 72436264 O-PLTE 24MM-CTR HOLE 278 2,409.00 72436265 I-PLTE 16MM-CTR HOLE 278 2,409.00 72436266 I-PLTE 22MM-CTR HOLE 278 2,409.00 72436267 LP 4.5MMX16MM CANN SCREW 278 1,416.00 72436268 LP 4.5MMX24MM CANN SCREW 278 1,416.00 72436269 LP 4.5MMX28MM CANN SCREW 278 1,416.00 72436270 LP 4.5MMX32MM CANN SCREW 278 1,416.00 72436271 LP 4.5MMX36MM CANN SCREW 278 1,416.00 72436272 3.5M N-LCKNG CORT FT 24M 278 263.00 72436273 3.5M N-LCKNG CORT FT 32M 278 263.00 72436274 3.5M N-LCKNG CORT FT 34M 278 263.00 72436275 3.5MM LCKNG CORT FT 22MM 278 1,132.00 72436276 3.5MM LCKNG CORT FT 26MM 278 1,132.00 72436277 3.5MM LCKNG CORT FT 28MM 278 1,132.00 72436278 3.5MM LCKNG CORT FT 30MM 278 1,132.00 72436279 3.5MM LCKNG CORT FT 32MM 278 1,132.00 72436280 3.5MM LCKNG CORT FT 40MM 278 1,132.00 72436281 3.5MM LCKNG CORT FT 42MM 278 1,132.00 72436282 3.5MM LCKNG CORT FT 46MM 278 1,132.00 72436283 3.5MM LCKNG CORT FT 50MM 278 1,132.00 72436284 3.5MM LCKNG CORT FT 52MM 278 1,132.00 72436285 3.5MM LCKNG CORT FT 56MM 278 1,132.00 72436286 3.5MM LCKNG CORT FT 60MM 278 1,132.00 72436287 4.5M BOW LKNG FEMR 10H 278 5,943.00 72436288 4.5 N-LCKNG CORT FT 32MM 278 302.00 72436289 4.5 N-LCKNG CORT FT 42MM 278 302.00 72436290 4.5 N-LCKNG CORT FT 48MM 278 302.00 72436291 4.5 LCKNG CORT FT 32MM 278 1,422.00 72436292 4.5 LCKNG CORT FT 44MM 278 1,422.00 72436293 4.5 LCKNG CORT FT 56MM 278 1,422.00 72436294 4.5 LCKNG CORT FT 58MM 278 1,422.00 72436295 4.5 LCKNG CORT FT 65MM 278 1,422.00 72436296 4.5 LCKNG CORT FT 70MM 278 1,422.00 72436297 90* CANN BLADE 25MX5MX2H 278 4,917.00 72436298 90* CANN BLADE 40MX6X3H 278 4,917.00 72436299 90* CANN BLADE 45MX6X3H 278 4,917.00 72436300 90* CANN BLADE 35MX10X3H 278 4,917.00 72436301 90* CANN BLADE 55MX6X4H 278 5,048.00 72436302 90* CANN BLADE 60MX6X4H 278 5,048.00 72436303 90* CANN BLADE 50MX14X4H 278 5,048.00 72436304 90* CANN BLADE 65MX14X4H 278 5,048.00 72436310 PLTE FIXATION PIN 30MM 278 1,132.00 72436324 7MMX26CM IM RT FMRL NAIL 278 10,379.00 72436325 8MMX34CM IM FMRL NAIL 278 9,604.00 72436326 9MMX36CM IM FMRL NAIL 278 9,604.00 72436327 RT 10MX36CM FMRL IM NAIL 278 8,986.00 72436328 RT 10MX40CM FMRL IM NAIL 278 8,986.00 72436329 7MMX26CM IM LT FMRL NAIL 278 10,379.00 72436330 7MMX28CM IM FMRL NAIL 278 10,379.00 72436331 7MMX30CM IM FMRL NAIL 278 10,379.00 72436332 9MMX32CM IM FMRL NAIL 278 9,604.00 72436333 LF 10MX36CM FMRL IM NAIL 278 8,986.00 72436334 4X25 CORT SCRW(7M DLCK) 278 1,213.00 72436335 4X30 CORT SCRW(7M DLCK) 278 1,213.00 72436336 4X35 CORT SCRW(7M DLCK) 278 1,213.00 72436337 4X40 CORT SCRW(7M DLCK) 278 1,213.00 72436338 4.5X34 CORT SCREW 278 1,358.00 72436339 4.5X36 CORT SCREW 278 1,358.00 72436340 4.5X40 CORT SCREW 278 1,358.00 72436341 4.5X42 CORT SCREW 278 1,358.00 72436342 4.5X44 CORT SCREW 278 1,358.00 72436343 4.5X48 CORT SCREW 278 1,358.00 72436344 4.5X55 CORT SCREW 278 1,358.00 72436345 4.5X60 CORT SCREW 278 1,358.00 72436346 4.5X70 CORT SCREW 278 1,358.00 72436347 4.5X80 CORT SCREW 278 1,358.00 72436348 4.5X60 CORT RECON SCREW 278 1,726.00 72436350 TARGET DEVICE BOLT 278 2,685.00 72436536 ROD STD 4.5M/90M ACT MAGC 278 69,672.00 72436537 ROD OFFSET 4.5M W/90 MAGC 278 69,672.00 72436538 ROD STD 5.5M W/90 MAGEC 278 69,672.00 72436539 ROD OFFSET 5M W90M MAGEC 278 69,672.00 72436602 ILIAC CRST 18MM WEDGE 278 3,783.00 72436603 VITOSS BONE MARO NDL 11G 278 757.00 72436604 VITOSS BONE MARO NDL 8G 278 1,070.00 72436605 VITOSS BLOCKS 10cc 278 3,504.00 72436606 VITOSS BLOCKS 1.2cc 278 1,303.00 72436607 VITOSS MORSELS 15cc 278 5,005.00 72436608 VITOSS MORSELS 30cc 278 5,550.00 72436609 CANSTR VITOSS MICRO 5cc 278 2,975.00 72436610 CANSTR VITOSS MICRO 10cc 278 4,064.00 72436611 CANSTR VITOSS MICRO 15cc 278 4,519.00 72436612 CANSTR VITOSS MICRO 30cc 278 7,025.00 72436613 CANSTR VITOSS STDRD 5cc 278 2,395.00 72436614 CANSTR VITOSS STDRD 10cc 278 4,232.00 72436615 CANSTR VITOSS STDRD 15cc 278 5,404.00 72436616 CANSTR VITOSS STDRD 30cc 278 6,024.00 72436617 CHIPS CANCELLOUS 300cc 278 18,655.00 72436618 STRIP VITSS FOAM 56MM 278 12,183.00 72436619 STRIP VITSS FOM 25x240x4 278 11,341.00 72436620 STRIP VITSS FOM 25x50x4 278 5,119.00 72436621 STRIP VITSS FOM 25x50x8 278 4,738.00 72436622 STRIP VITSS FOM 25x100x8 278 10,693.00 72436623 STRIP VITSS FOM 74x100x4 278 11,978.00 72436624 PACK VITOSS FOAM 1.2cc 278 1,422.00 72436626 STRP VITS FOM 25x100x4 278 6,717.00 72436627 STRP VITS FOM 25x50x4 278 4,300.00 72436628 STRP VITS FOM 25x50x8 278 6,717.00 72436629 STRP VITS FOM 25x100x8 278 12,200.00 72436630 PACK VITSS ACT FOM 1.2cc 278 1,707.00 72436631 PACK VITSS ACT FOM 2.5cc 278 2,782.00 72436632 PACK VITSS ACT FOM 5cc 278 5,199.00 72436633 PACK VITSS ACT FOM 10cc 278 6,717.00 72436634 PACK VITSS BiMod FOM1.2c 278 2,418.00 72436635 PACK VITSS BiMod FOM2.5c 278 4,067.00 72436636 PACK VITSS BiMod FOM10c 278 9,555.00 72436639 GRAFT EVANS 20x22x8 278 2,844.00 72436640 PUTTY DBM 5cc 278 2,901.00 72436641 PUTTY DBM 10cc 278 5,119.00 72436642 CHIPS CANC 15CC-1-8 MM 278 1,365.00 72436643 CHIPS CANC 30CC-1-8 MM 278 1,991.00 72436644 CHIPS CANC 60CC-1-8 MM 278 3,129.00 72436645 CHIPS CANC 30CC-1-4 MM 278 1,991.00 72436646 CHIPS CANC 60CC-1-4 MM 278 3,129.00 72436647 SHAFT FIBULAR 40MM 278 3,271.00 72436648 WEDGE ILIAC CRST 15MM 278 3,783.00 72436713 GRAFT VAS RINGED 10X30 278 5,182.00 72436714 SCREW REDUCTION 5X30 278 4,266.00 72436715 SCREW EXPEDIUM RED 6X40 278 4,266.00 72436716 SCREW EXPEDIUM RED 6X35 278 4,266.00 72436717 SCREW VIPER 8X70 278 4,266.00 72436718 G-WIRE ORTHO VIPER 1.45MM 278 4,266.00 72436734 NERVE GRAFT 1-2MM X 30MM 278 7,764.00 72436773 SHAFT FIBULAR 60MM 278 3,271.00 72436774 SHAFT FIBULAR 100MM 278 3,413.00 72436785 PLATE LOW PROFILE 2-HOLE 278 361.00 72436796 CATH SPIN SINUS GUIDE S-0 278 1,820.00 72436798 PLTE NEURO STR 2H LO PRO 278 359.00 72436809 PUTTY DBM 1CC 278 1,195.00 72436831 PORT INFUS VORTX DUAL 11 278 2,275.00 72436887 SCREW MICROMAX 1.5X3.5 TI 278 387.00 72436907 GRAFT VASC INTERING 6X40 278 4,204.00 72436913 MESH 85MM 278 4,226.00 72436950 VALV AORT 19MM STD RING 278 15,129.00 72436951 VALV AORT 21MM STD RING 278 15,129.00 72436952 VALV AORT 23MM STD RING 278 15,129.00 72436953 VALV AORT 25MM STD RING 278 15,129.00 72436954 VALV AORT 27/29M STD RNG 278 15,129.00 72436955 VALV MITRL 25MM STD RING 278 15,129.00 72436956 VALV MITRL 27/29 STD RING 278 15,129.00 72436957 VALV MITRL 31/33 STD RING 278 15,129.00 72436958 VALV MITRL 25/33 CONFRNG 278 15,129.00 72436959 RING ANULAPLSTY 40MM 278 15,508.00 72436965 VALV AORT MAG-EASE 19MM 278 35,832.00 72436966 VALV AORT MAG-EASE 21MM 278 35,832.00 72436967 VALV AORT MAG-EASE 23MM 278 35,832.00 72436968 VALV AORT MAG-EASE 25MM 278 35,832.00 72436969 VALV AORT MAG-EASE 27MM 278 35,832.00 72436970 VALV AORT MAG-EASE 29MM 278 35,832.00 72436973 SCRW BN 3.5MX10M ELB ST 278 399.00 72436974 PLT 90D 14M 55X14X4.85M 278 5,051.00 72436975 SCRW BN 4.5M 16M PEDILOC 278 1,286.00 72436976 PLT 90D 5M 35X8X3.25M S 278 4,920.00 72436977 SCRW BN 3.5M 16M SS CORT 278 1,132.00 72436978 SCRW BN 4.5M 38M FT CORT 278 302.00 72436979 NAIL RT 10MX38C FMRL IM 278 8,987.00 72436980 SCRW BN 4.5M 28M PEDILOC 278 421.00 72436981 SCRW BN 4.5M 55M PEDILOC 278 1,286.00 72436982 PIN FX PLT LNG 278 743.00 72436983 SCRW BN 4.5M 46M PEDILOC 278 1,422.00 72436984 SCRW BN 4.5M 36M PEDILOC 278 302.00 72436985 SCRW BN 4.5M 58M PEDILOC 278 302.00 72436986 PLT 3.5M SCR 3HL CMPR LK 278 6,177.00 72436987 PLT 90D 6M 25X11X3.25M S 278 4,920.00 72436988 PLT 90D 6M 30X11X3.25M S 278 4,920.00 72436989 PLT 90D 6M 50X11X3.25M S 278 4,920.00 72436990 SCRW BN 3.5M 35M PEDILOC 278 1,104.00 72436991 PLT 90D 14M 40M SS 4 HL 278 5,051.00 72436992 PLT 90D 14M 45X14X4.85M 278 5,051.00 72436993 PLT 90D 14M 70X14X4.85M 278 5,051.00 72436994 SCRW BN 4.5M 40M PEDILOC 278 1,286.00 72436995 SCRW BN 4.5M 75M PEDILOC 278 1,286.00 72436996 WIRE FX 3M 21M KRSH ORTH 278 251.00 72436997 SCRW BN 3.5M 30M FT CORT 278 262.00 72436998 SCRW BN 3.5M 48M FT CORT 278 262.00 72436999 SCRW BN 3.5M 34M PEDILOC 278 1,132.00 72437000 GW ORTH 1.25MM 278 1,132.00 72437001 SCRW BN 3.5M 54M FT CORT 278 1,132.00 72437002 SCRW BN 4M 14M FT CANC 278 399.00 72437003 PLT BW 154M SS 10 HL LCK 278 5,720.00 72437004 PLT 3.5M SCR 10 HL CMPR 278 8,475.00 72437005 SCRW BN 4.5M 52M PEDILOC 278 302.00 72437006 PLT 3.5M SCR 8 HL CMPR 278 8,458.00 72437007 PLT NAR 3.5M SCR 3 HL BN 278 6,763.00 72437008 PLT NAR 3.5M SCR 4 HL BN 278 6,763.00 72437009 PLT W 3.5M SCR 3HL BNTIB 278 6,177.00 72437010 SCRW BN 3.5M 14M PEDILOC 278 1,104.00 72437011 SCRW BN 3.5M 38M PEDILOC 278 1,104.00 72437012 SCRW BN 3.5M 50M ELB LCK 278 1,104.00 72437013 NAIL 7M 20CM FEM RT PDNL 278 10,380.00 72437014 NAIL 8M 26CM FEM LT PDNL 278 9,607.00 72437015 NAIL 9M 34CM FEM LT PDNL 278 9,607.00 72437016 CAPEND FEM LT PDNL PED 20 278 2,128.00 72437017 SCRW BN 4M 50M PDNL PED 278 1,212.00 72437018 SCRW BN 4M 60M PDNL PED 278 1,212.00 72437019 REAM SRG 7M 1 PC PEDNL 278 2,935.00 72437020 NAIL RT 10MX42C FMRL IM 278 8,987.00 72437021 NAIL LT 10MX34C FMRL IM 278 8,987.00 72437022 NAIL LT 10MX38C FMRL IM 278 8,987.00 72437023 NAIL LT 10MX40C FMRL IM 278 8,987.00 72437024 PLT 90D 6M 35X11X3.5MSS3 278 4,920.00 72437025 PLT 90D 10M 30X11X3.25M 278 4,920.00 72437026 SCRW BN 3.5M 45M CORT LK 278 1,104.00 72437027 PLT 90D 6M 40X14X4.85M SS 278 5,051.00 72437028 PLT 90D 6M 70X14X4.85M SS 278 5,051.00 72437029 SCRW BN 4.5M 12M PEDILOC 278 421.00 72437030 SCRW BN 4.5M 22M PEDILOC 278 421.00 72437031 SCRW BN 4.5M 14M PEDILOC 278 1,286.00 72437032 SCRW BN 4.5M 32M PEDILOC 278 1,286.00 72437033 SCRW BN 4.5M 34M PEDILOC 278 1,286.00 72437034 SCREW SET SPNE 278 455.00 72437035 HOOK SPNL SOLRA CD XS 278 1,991.00 72437036 HOOK SPNL SOLRA CD SM 278 1,991.00 72437037 HOOK SPNL SOLRA CD MED W 278 1,991.00 72437038 HOOK SPNL SOLRA CD MED 278 1,991.00 72437039 HOOK SPNL SOLRA CD LGNAR 278 1,991.00 72437040 HOOK SPNL SOLRA CD MED 278 1,991.00 72437041 PLT 31M TI4.75M SCR FX 278 4,550.00 72437042 SCRW SET TI4.5M SPNE BRKF 278 455.00 72437043 HOOK SPNL CD LGC LRDTC 278 1,991.00 72437044 HOOK SPNL MED LRDTC WBLD 278 1,991.00 72437045 HOOK SPNL LG LRDTC W BLDE 278 1,991.00 72437046 SCRW BN 5M 30M TI/SPNE 278 3,697.00 72437047 SCRW BN 5M 35M TI/SPNE 278 3,697.00 72437048 SCRW BN 4.5M 25M TI/SPNE 278 3,697.00 72437049 SCRW BN 4.5M 30M TI/SPNE 278 3,697.00 72437050 SCRW BN 4.5M 35M TI/SPNE 278 3,697.00 72437051 HOOK SPNL 5.5M LGC CD SM 278 1,991.00 72437052 ROD SPNL 25M 3.5M VRTX 278 1,195.00 72437053 PLT 39-45M 5.5M SCR LGC 278 4,550.00 72437054 PLT 45-57M 5.5M SCR LGC 278 4,550.00 72437055 PLT 22M TI 4.5M RODX10 278 4,550.00 72437056 PLT LOPRFL 16M TI 5.5M R 278 4,550.00 72437057 PLT LOPRFL 36-39M TI 5.5 278 4,550.00 72437058 SCRW BN 5.5M 30M LGC HZN 278 4,550.00 72437059 ROD SPNL 500M 5.5M LNGT2 278 1,707.00 72437060 SCRW BN 4.5M 25M SOLRA 278 3,697.00 72437061 SCRW BN 5.5M 30M SOLRA 278 4,550.00 72437062 SCRW BN 5.5M 35M SOLRA 278 4,550.00 72437063 PLT LOPRFL 2.15-2.95IN S 278 4,550.00 72437064 PLT LOPRFL.75IN TI 5.5M 278 4,550.00 72437065 PLT LOPRFL 1.75-2.15INTI 278 4,550.00 72437069 SCRW BN 5.5M 20M TI 278 3,697.00 72437070 SCRW BN 5.5M 25M TI 278 3,697.00 72437071 SCRW SET TI 32M .25M 278 455.00 72437072 SCRW SET TI SPNE BRK OFF 278 455.00 72437073 SCRW BN 6.5M 50M 278 4,550.00 72437074 SCRW BN 7.5M 60M 278 4,550.00 72437075 SCRW BN 7.5M 70M 278 4,550.00 72437077 SCRW SET.25IN STD 32THRD 278 455.00 72437078 ROD SPNL 45M 5.5M 278 1,195.00 72437079 ROD SPNL RD 500M 6M 278 1,707.00 72437080 ROD SPNL 4.5M HZN 278 2,048.00 72437093 PORT SMART 9.6 SINGLE 278 2,041.00 72437102 SCRW BN 3.5M 12M ELB 278 506.00 72437103 SCRW BN 3.5M 14M ELB NLK 278 506.00 72437111 SCRW BCMPS 10M 4M ACL 278 2,804.00 72437112 SCRW BCMPS 15M 4.75M 278 2,804.00 72437113 KIT BTNDS BABSR STRL DSP 278 1,906.00 72437114 KIT RD YLW PEEK 2 EYLT 278 507.00 72437115 PORT IMPLNFN PWRPORT DUO 278 507.00 72437187 SHETH ACC 12FR WKG CHNL 278 575.00 72437193 SCRW BN 5M 55M PRECICE 2 278 751.00 72437214 CNCT ROD 5.5M SFX TI SPI 278 808.00 72437215 ROD SPNL 5.5M XPDM LG SS 278 814.00 72437216 SCRW BN 4.35M 35M XPDM S 278 814.00 72437217 SCRW BN 6M 30M XPDM SPNE 278 1,036.00 72437219 SCREW VIPER 8X60M ILIAC 278 1,178.00 72437220 PLTE 3D 1M MNDB 4 HL BN 278 1,178.00 72437221 PLTE 7M MIC 1M LT CMPR 278 1,195.00 72437222 PLTE 11M MIC LT 1.5M OTH 278 1,451.00 72437223 PLTE MN MED CRV FLT 1M MN 278 1,474.00 72437224 SCRW 5M 2M MN MNDB DRLFR 278 1,496.00 72437225 SCRW TI 13M 8M 1.5M FRNTL 278 1,496.00 72437226 SCRW TI 5M 1.5M MIC MNDB 278 1,661.00 72437227 SCRW TI 5M 2M MN OR MXLF 278 1,661.00 72437228 BIT DRL 40M 1.6M SONIC 278 1,735.00 72437232 DRL TWST 50M 1.5M SS NTCH 278 2,617.00 72437233 DRL TWST 50M 1.6M STP NTC 278 2,668.00 72437237 PLATE BN RERBX IMPL 278 2,662.00 72437238 PLTE ORBTL CRANIO IMPLNT 278 3,254.00 72437240 PLATE STR 16 HOLE 278 512.00 72437241 PLATE DOUBLE Y 278 996.00 72437244 BURR HOLE TIT 3M/22M/1.5M 278 1,337.00 72437328 SCRW BN 2.7M 16M LCP RDS 278 4,550.00 72437329 SCRW BN 2.7M 16M LCP T8 278 5,119.00 72437330 SCRW BN 2.7M 18M LCP T8 278 4,095.00 72437331 SCRW BN 2.7M 40M LCP T8 278 1,081.00 72437332 SCRW BN 2.7M 5M 14M LCP 278 4,545.00 72437333 SCRW BN 5M 4.3M 38M NLEX 278 5,079.00 72437334 SCRW BN 5M 8M 34M XPR TI 278 8,173.00 72437338 PLTE 2SS FSN NXFIX BN-LF 278 12,820.00 72437339 PLTE 2SS FSN NXFIX BN-RT 278 15,379.00 72437340 SCRW BN 3.2M 20M NXFIXSS 278 18,229.00 72437349 OCLR CV 25M SPT HLX STRL 278 28,950.00 72437350 OCLR CV 30M SPT HLX STRL 278 28,950.00 72437351 OCLR CV 35M SPT HLX STRL 278 28,950.00 72437352 DEVICE 25mm GSO 278 27,084.00 72437353 DEVICE 30mm GSO 278 27,130.00 72437373 PORT PWR 9.6 BARD DUAL 278 3,032.00 72437374 PROPEL MINI 278 4,169.00 72437375 PROPEL STANDARD 278 4,152.00 72437412 PLTE XTRNF 18CM TRULK FT 278 1,411.00 72437413 ROD XTRNFX 60M TRULK+3RD 278 501.00 72437416 SCRW BN 6M 5.6M 260M 90M 278 5,227.00 72437418 ROD DSTRCT 150M TRULK+ANG 278 4,027.00 72437419 ROD XTRNFX 150M TRULK+HNG 278 564.00 72437453 ROD XTRNFX 115M TRULK+ 278 433.00 72437454 ROD XTRNFX 165M TRULK+ 278 433.00 72437455 PLTE XTRNFX 20M TRULK+ 278 655.00 72437456 ROD XTRNFX 85M TRULK+3RD 278 382.00 72437459 PLTE XTRNFX 30M TRULK+ 278 751.00 72437460 PLTE XTRNFX 40M TRULK+ 278 814.00 72437461 PLTE XTRNFX 50M TRULK+ 278 876.00 72437462 ROD THRD 60M TRULK XTRNFX 278 382.00 72437463 ROD THRD 200M TRULK 278 353.00 72437464 ROD XTRNFX 300M TRULK+ 278 382.00 72437465 ROD XTRNFX 400M TRULK+ 278 416.00 72437474 SCRW BN 6-5.6M 260M 80M 278 3,356.00 72437479 PLTE XTRNFX 140M TRULK+ 278 2,668.00 72437480 PLTE XTRNFX 160M TRULK+ 278 3,066.00 72437481 PLTE XTRNFX 180M TRULK+ 278 3,333.00 72437482 PLTE XTRNFX 200M TRULK+ 278 3,464.00 72437483 PLTE XTRNFX TRULK+FT3HL 278 1,371.00 72437484 PLTE XTRNFX TRULK+FT5HL 278 1,724.00 72437520 PHYSIOMESH 10CM X 15CM 278 4,255.00 72437560 GRAFT VASC PLATNUM 32MX30 278 1,638.00 72437563 STENT PANCR ADVX 5F 3cm 278 524.00 72437564 STENT PANCR ADVX 5F 7cm 278 524.00 72437571 SEMI/TENDNSUS TEND LFNT 278 4,760.00 72437572 STENT SOFT MONO 5FX18 278 455.00 72437573 STENT SOFT MONO 5FX20 278 455.00 72437574 STENT SOFT MONO 5FX22 278 455.00 72437575 STENT SOFT MONO 5FX24 278 455.00 72437576 STENT SOFT MONO 5FX26 278 455.00 72437577 STENT SOFT MONO 5FX28 278 455.00 72437578 STENT SOFT MONO 6FX18 278 455.00 72437579 STENT SOFT MONO 6FX20 278 455.00 72437580 STENT SOFT MONO 6FX22 278 455.00 72437581 STENT SOFT MONO 6FX24 278 455.00 72437582 STENT SOFT MONO 6FX26 278 455.00 72437583 STENT SOFT MONO 6FX28 278 455.00 72437584 STENT SOFT MONO 5F ADJ 278 455.00 72437585 STENT SOFT MONO 6F ADJ 278 455.00 72437586 GENERATR VAGAL NRVE 106 278 100,902.00 72437587 VALVE PIVOT AORTIC 16MM 278 27,625.00 72437588 VALVE PIVOT AORTIC 18MM 278 27,625.00 72437633 STENT BILIARY ADV 10FX9CM 278 903.00 72437669 SHEATH URT ACC 9.5X28 278 819.00 72437670 SCRW CANN F-THRED 6.5X20 278 1,889.00 72437671 SCRW CANN F-THRED 6.5X25 278 1,889.00 72437672 SCRW CANN F-THRED 6.5X30 278 1,889.00 72437673 SCRW CANN F-THRED 6.5X35 278 1,889.00 72437674 SCRW CANN F-THRED 6.5X40 278 1,889.00 72437675 SCRW CANN F-THRED 6.5X45 278 1,889.00 72437676 SCRW CANN F-THRED 6.5X50 278 1,889.00 72437677 SCRW CANN F-THRED 6.5X55 278 1,889.00 72437678 SCRW CANN F-THRED 6.5X60 278 1,889.00 72437679 SCRW CANN F-THRED 6.5X65 278 1,889.00 72437680 SCRW CANN F-THRED 6.5X90 278 1,889.00 72437681 SCRW CANN F-THRED 6.5X95 278 1,889.00 72437682 SCRW CANN F-THRD 6.5X100 278 1,889.00 72437683 SCRW CANN F-THRD 6.5X105 278 1,889.00 72437684 SCRW CANN F-THRD 6.5X110 278 1,889.00 72437685 SCRW CANN F-THRD 6.5X115 278 1,889.00 72437686 SCRW CANN F-THRD 6.5X120 278 1,889.00 72437687 SCRW CANN F-THRD 6.5X125 278 1,889.00 72437688 SCRW CANN F-THRD 6.5X130 278 1,889.00 72437689 SCRW CANN F-THRD 6.5X140 278 1,889.00 72437690 SCRW CANN F-THRD 6.5X150 278 1,889.00 72437691 SCRW CANN F-THRD 6.5X160 278 1,889.00 72437692 SCRW CANN F-THRD 6.5X170 278 1,889.00 72437693 SCRW CANN F-THRD 6.5X180 278 1,889.00 72437786 SCRW CORT 3.5 85MM 278 277.00 72437787 SCRW CORT 3.5 90MM 278 277.00 72437788 SCRW CORT 3.5 100MM 278 277.00 72437824 GRAFT BOVNE PERICARD 2X7 278 1,752.00 72437825 GRAFT BOVNE PERICARD 4X5 278 3,413.00 72437826 GRAFT BOVNE PERICARD 6X8 278 2,082.00 72437827 GRFT BOVNE PERICARD 8X12 278 3,436.00 72437828 GRFT BOVNE PERCARD 12X16 278 4,806.00 72437829 AHMED GLAUCOMA VALVE 278 3,385.00 72437990 ROD COCR 5.5X450MM 278 1,707.00 72437991 ROD COCR 5.5X600MM 278 1,707.00 72437992 SCREW UNI 4.5X25 278 4,408.00 72437993 SCREW UNI 4.5X30 278 4,408.00 72437994 SCREW UNI 4.5X35 278 4,408.00 72437995 SCREW UNI 4.5X40 278 4,408.00 72437996 SCREW UNI 5.5X25 278 4,408.00 72437997 SCREW UNI 5.5X30 278 4,408.00 72437998 SCREW UNI 5.5X35 278 4,408.00 72437999 SCREW UNI 5.5X40 278 4,408.00 72438000 SCREW UNI 5.5X45 278 4,408.00 72438001 SCREW UNI 6.5X30 278 4,408.00 72438002 SCREW UNI 6.5X35 278 4,408.00 72438003 SCREW UNI 6.5X40 278 4,408.00 72438004 SCREW UNI 6.5X45 278 4,408.00 72438005 SCREW UNI 6.5X50 278 4,408.00 72438006 SCREW UNI 6.5X55 278 4,408.00 72438008 MINI ANCHORS 2/0 SUTURE 278 2,787.00 72438009 SCREW LOCKING 3.5X18MM 278 1,132.00 72438012 SCRW POLY LONG 4.5X2.5M 278 4,408.00 72438013 SCRW POLY LONG 4.5X30M 278 4,408.00 72438014 SCRW POLY LONG 4.5X35M 278 4,408.00 72438015 SCRW POLY LONG 4.5X40M 278 4,408.00 72438016 SCRW POLY LONG 5.5X30M 278 4,408.00 72438017 SCRW POLY LONG 5.5X35M 278 4,408.00 72438018 SCRW POLY LONG 5.5X40M 278 4,408.00 72438019 SCRW POLY LONG 5.5X45M 278 4,408.00 72438020 SCRW POLY LONG 6.5X30M 278 4,408.00 72438021 SCRW POLY LONG 6.5X35M 278 4,408.00 72438022 SCRW POLY LONG 6.5X40M 278 4,408.00 72438023 SCRW POLY LONG 6.5X45M 278 4,408.00 72438024 SCRW POLY LONG 6.5X50M 278 4,408.00 72438025 SCRW POLY LONG 6.5X55M 278 4,408.00 72438026 X-BAR XXSM 5.5 ROD 278 4,550.00 72438027 X-BAR XSM 5.5 ROD 278 4,550.00 72438028 X-BAR CONTUR SM 5.5 ROD 278 4,550.00 72438029 X-BAR SM 5.5 ROD 278 4,550.00 72438030 X-BAR CONTUR MED 5.5 ROD 278 4,550.00 72438031 X-BAR MED 5.5 ROD 278 4,550.00 72438032 X-BAR LG 5.5 ROD 278 4,550.00 72438033 X-BAR CONTUR LG 5.5 ROD 278 4,550.00 72438034 ROD 5.5X300MM PRE CONT TI 278 1,707.00 72438035 ROD 5.5X400MM PRE CONT TI 278 1,707.00 72438036 ROD 5.5X500MM PRE CONT TI 278 1,707.00 72438037 ROD 5.5X450MM 278 1,707.00 72438038 ROD 5.5X600MM 278 1,707.00 72438052 ROD STANDARD 4.5X70 278 69,672.00 72438053 ROD OFFSET 4.5 X 70 278 69,672.00 72438066 MOSAIC ULTRA AORTA VLV 19 278 22,932.00 72438067 MOSIAC ULTRA AORTA VLV 21 278 22,932.00 72438068 MOSIAC ULTRA AORTA VLV 23 278 22,932.00 72438069 MOSIAC ULTRA AORTA VLV 25 278 22,932.00 72438070 MOSIAC ULTRA AORTA VLV 27 278 22,932.00 72438071 MOSIAC ULTRA AORTA VLV 29 278 22,932.00 72438084 NAIL FEMRL IM 8MX36CM LT 278 9,607.00 72438085 VALVE CERTA PLUS VLV 278 14,942.00 72438086 VALVE CERETA PLUS W/CATH 278 14,942.00 72438087 VALVE CERTA PLUS UNI CATH 278 14,942.00 72438088 VALVE CERTA PLUS UNI-BACT 278 17,228.00 72438089 VALVE CERTA PLUS SIPHON 278 16,773.00 72438090 VALVE CERTA PLUS SIP/CATH 278 16,773.00 72438091 VLVE CERTA PL UNI CATH-SI 278 16,773.00 72438092 VLV CERTA PL-UNI-BACT-SI 278 19,059.00 72438130 SCREW TENO BIO 5.5X15MM 278 2,804.00 72438141 GRAFT NERVE 1-2MM X 15MM 278 6,075.00 72438142 GRAFT NERVE 1-2MM X 50MM 278 13,338.00 72438160 KIT INSERT 1.8 SUT ANCHOR 278 1,707.00 72438161 SUT ANCHOR 1.8M IMPL Q-FX 278 2,560.00 72438162 KIT INSERT 2.8 SUT ANCHOR 278 1,707.00 72438163 SUT ANCHOR 2.8 IMPL Q-FIX 278 2,560.00 72438181 WOUND MATRIX BILAYER 2X2 278 11,415.00 72438182 WOUND MATRIX BILAYER 4X5 278 19,903.00 72438183 WOUND MATRIX BILAYER 4X10 278 32,683.00 72438193 SCRW CANN FULLTHR 4.5X18 278 1,798.00 72438194 SCRW CANN FULLTHRD 4.5X20 278 1,798.00 72438195 SCRW CANN FULLTHRD 4.5X22 278 1,798.00 72438196 SCRW CANN FULLTHRD 1.5X24 278 1,798.00 72438259 OIN DISTRACTION 14MM 278 302.00 72438261 VALVE STRATS SMALL 278 12,467.00 72438263 GRAFT 5MX70CM REM RINGS 278 2,554.00 72438266 SCRW CORTX 204.085 3.5/85 278 251.00 72438267 SCRW CORTX 204.090 3.5/90 278 251.00 72438281 MESH,PARIETEX PROGRIP 278 1,246.00 72438282 MESH PARIETEX PLUG 6CM 278 1,246.00 72438283 MESH SYNTH ABSRB 15CX10C 278 1,246.00 72438336 PLATE LCP 3 HOLE 3.5 278 3,692.00 72438337 PLATE LCP 5 HOLE 3.5 278 3,874.00 72438338 PLATE LCP 7 HOLE 3.5 278 4,056.00 72438339 PLATE LCP 3 HOLE 5.0 278 3,822.00 72438340 PLATE LCP 5 HOLE 5.0 278 4,067.00 72438341 PLATE LCP 7 HOLE 5.0 278 4,312.00 72438427 SCRW 3.5 LCKNG 48MM 278 950.00 72438428 PLATE LCP 3.5 7 HOLE 278 2,048.00 72438429 PLATE LCP 3.5 11 HOLE 278 2,412.00 72438430 PLATE LCP 3.5 13 HOLE 278 2,935.00 72438431 PLATE -T 4 HOLE 3 HEAD 278 2,122.00 72438432 PLATE -T 3 HOLE 4 HEAD 278 2,048.00 72438433 PLATE-T 5 HOLE 4 HEAD 278 2,327.00 72438434 PLATE-T 6 HOLE 3 HEAD 278 2,708.00 72438435 PLATE-T 8 HOLE 3 HEAD 278 3,953.00 72438436 PLATE-T 7HOLE 4 HEAD 278 3,288.00 72438437 PLATE-T 8 HOLE 4 HEAD 278 3,942.00 72438438 PLATE-T OBLIQ RT 6HOLE 278 2,617.00 72438439 PLATE-T OBLIQ RT 8 HOLE 278 2,873.00 72438440 PLATE-T OBLIQ LT 8 HOLE 278 2,873.00 72438441 PLATE TUBULAR 3 HOLE 278 1,138.00 72438442 PLATE TUBULAR 4 HOLE 278 1,314.00 72438443 PLATE TUBULAR 9 HOLE 278 1,377.00 72438444 PLTE RECONSTRUCT 4 HOLE 278 2,787.00 72438445 PLTE RECONSTRUCT 9 HOLE 278 3,635.00 72438446 PLTE RECONSTRUCT 11 HOLE 278 3,868.00 72438447 PLTE RECONSTRUCT 13 HOLE 278 4,289.00 72438448 PLTE RECONSTRUCT 14 HOLE 278 4,454.00 72438449 SCRW 6.5 16M THREAD 95M 278 1,963.00 72438450 SCRW 6.5 16M THREAD 100M 278 1,963.00 72438451 SCRW 6.5 16M THREAD 105M 278 1,963.00 72438452 SCRW 6.5 16M THREAD 110M 278 1,963.00 72438453 SCRW 6.5 16M THREAD 115M 278 1,963.00 72438454 SCRW 6.5 16M THREAD 120M 278 1,963.00 72438455 SCRW 6.5 16M THREAD 125M 278 1,963.00 72438456 SCRW 6.5 16M THREAD 130M 278 1,963.00 72438457 SCRW 6.5 16M THREAD 135M 278 1,963.00 72438458 SCRW 6.5 16M THREAD 140M 278 1,963.00 72438459 SCRW 6.5 16M THREAD 145M 278 1,963.00 72438460 SCRW 6.5 16M THREAD 150M 278 1,963.00 72438461 SCRW 7.3 THREADED 135M 278 2,020.00 72438462 SCRW 7.3 THREADED 140M 278 2,020.00 72438463 SCRW 7.3 THREADED 145M 278 2,020.00 72438464 SCRW 7.3 THREADED 150M 278 2,020.00 72438465 PLATE LC-DCP 3 HOLE 278 956.00 72438466 PLATE LC-DCP 4 HOLE 278 984.00 72438467 PLATE LC-DCP 11 HOLE 278 1,394.00 72438468 PLTE TUBLR 1-THIRD 9 HOLE 278 552.00 72438469 PLTE RECONSTR CVD 11 HLE 278 2,964.00 72438470 PLTE RECONSTR CVD 12 HLE 278 3,220.00 72438473 SCREW SHAFT 3.5 40MM 278 182.00 72438474 SCREW SHAFT 3.5 45MM 278 182.00 72438475 SCREW SHAFT 3.5 50MM 278 182.00 72438476 SCREW CORTX 3.5 70MM 278 291.00 72438477 SCREW CORTX 3.5 75MM 278 291.00 72438478 SCREW CORTX 3.5 80MM 278 291.00 72438479 SCREW CORTX 3.5 95MM 278 291.00 72438480 SCREW CORTX 3.5 105MM 278 291.00 72438481 SCREW CORTX 3.5 110MM 278 291.00 72438482 SCREW CORTX 3.5 115MM 278 291.00 72438483 SCREW CORTX 3.5 120MM 278 291.00 72438484 SCREW CORTX 3.5 125MM 278 291.00 72438485 SCREW CORTX 3.5 130MM 278 689.00 72438486 SCREW CORTX 3.5 135MM 278 689.00 72438487 SCREW CORTX 3.5 140MM 278 689.00 72438488 SCREW CORTX 3.5 145MM 278 689.00 72438489 SCREW CORTEX 3.5 150MM 278 683.00 72438490 SCREW CORTX 3.5 150MM 278 689.00 72438523 SCREW MONO 30MM 5.5 278 1,877.00 72438524 SCREW MONO 35MM 5.5 278 3,129.00 72438525 SCREW MONO 30MM 6.5 278 3,129.00 72438526 SCREW MONO 35MM 6.5 278 3,129.00 72438527 SCREW MONO 40MM 6.5 278 3,129.00 72438528 SCREW MONO 40MM 7.5 278 3,129.00 72438529 SCREW POLY 40MM 7.5 278 4,550.00 72438530 ROD LONG SS 278 1,707.00 72438532 CROSSLINK 38MM 278 4,550.00 72438533 CROSSLINK 26MM 278 4,550.00 72438535 PLTE 90D 45MX6M 4H 278 4,917.00 72438536 PLTE 90D 50MX6M 4H 278 4,917.00 72438537 PLTE 90D 65MX6M 4H 278 4,917.00 72438538 PLTE 130D 45MX0M 4H 278 4,917.00 72438539 PLTE 130D 50MX0M 4H 278 4,917.00 72438540 PLTE 130D 55MX0M 4H 278 4,917.00 72438541 PLTE 130D 60MX0M 4H 278 4,917.00 72438542 PLTE 130D 65MX0M 4H 278 4,917.00 72438543 PLTE 130D 70MX0M 4H 278 4,917.00 72438544 PLTE 130D 75MX0M 4H 278 4,917.00 72438545 PLTE 130D 80MX0M 4H 278 4,917.00 72438546 PLTE 90D 25MX10M 3H 278 4,917.00 72438547 SCRW LCKNG 3.5X10M 278 1,104.00 72438548 SCRW LCKNG 3.5X12M 278 1,104.00 72438549 SCRW LCKNG 3.5X16M 278 1,104.00 72438550 SCRW LCKNG 3.5X20M 278 1,104.00 72438551 SCRW LCKNG 50M 278 1,104.00 72438552 PLT BLDE 100D 25MX6M 3H 278 4,917.00 72438553 PLT BLDE 100D 30MX6M 3H 278 4,917.00 72438554 PLT BLDE 100D 35MX6M 3H 278 4,917.00 72438555 PLT BLDE 100D 40MX6M 3H 278 4,917.00 72438556 PLT BLDE 100D 50MX6M 3H 278 4,917.00 72438557 PLT BLDE 130D 40MX0M 4H 278 4,917.00 72438558 PLT BLDE 130D 45MX0M 4H 278 4,917.00 72438559 PLT BLDE 130D 50MX0M 4H 278 4,917.00 72438560 PLT BLDE 130D 55MX0M 4H 278 4,917.00 72438561 PLT BLDE 130D 60MX0M 4H 278 4,917.00 72438562 PLTE-I 32M CENTR HOLE 278 2,406.00 72438563 SCREW 4.5 X 16MM 278 1,417.00 72438564 SCREW 4.5 X 20MM 278 1,417.00 72438565 SCREW 4.5 X 24MM 278 1,417.00 72438566 SCREW 4.5 X 28MM 278 1,417.00 72438567 SCREW 4.5 X 32MM 278 1,417.00 72438568 SCREW 4.5 X 36MM 278 1,417.00 72438569 SCRW 4.5 NON LCKNG 10M 278 418.00 72438570 SCRW 4.5 NON LCKNG 34M 278 418.00 72438571 SCRW 4.5 NON LCKNG 36M 278 418.00 72438572 SCRW 4.5 NON LCKNG 38M 278 418.00 72438573 SCRW 4.5 NON LCKNG 40M 278 418.00 72438574 SCRW 4.5 LCKNG 10M 278 418.00 72438575 SCRW 4.5 LCKNG 12M 278 418.00 72438576 SCRW 4.5 LCKNG 26M 278 1,282.00 72438577 SCRW 4.5 LCKNG 28M 278 1,282.00 72438578 SCRW 4.5 LCKNG 30M 278 1,282.00 72438579 SCRW 4.5 LCKNG 32M 278 1,282.00 72438580 SCRW 4.5 LCKNG 36M 278 1,282.00 72438581 SCRW 4.5 LCKNG 38M 278 1,282.00 72438582 SCRW 4.5 LCKNG 45M 278 1,282.00 72438583 SCRW 4.5 LCKNG 70M 278 1,282.00 72438584 SCRW 4.5 LCKNG 80M 278 1,282.00 72438619 SCRW TENO BIO 6.25MX15M 278 1,963.00 72438620 SCRW TENO BIO 7MX23M 278 1,963.00 72438621 SCRW TENO BIO 7MX10M 278 1,963.00 72438622 SCRW TENO BIO 8MX12M 278 1,963.00 72438623 SCRW TENO BIO 8MX23M 278 1,963.00 72438624 ANCHR CORKSCRW 4.5M 278 1,849.00 72438646 SCRW 7.3 THRED 150MM 278 2,022.00 72438647 SCREW CANN 6.5/90M/32M 278 1,965.00 72438648 SCREW CANN 6.5/95M/32MM 278 1,965.00 72438649 SCREW CANN 6.5/100M/32MM 278 1,965.00 72438650 SCREW CANN 6.5/110M/32MM 278 1,965.00 72438651 SCREW CANN 6.5/120M/32MM 278 1,965.00 72438652 SCREW CANN 6.5/125M/32MM 278 1,965.00 72438653 SCREW CANN 6.5/130M/32MM 278 1,965.00 72438654 SCREW CANN 6.5/135M/32MM 278 1,965.00 72438655 SCREW CANN 6.5/140M/32MM 278 1,965.00 72438656 SCREW CANN 6.5/145M/32MM 278 1,965.00 72438657 SCREW CANN 6.5/150M/32MM 278 1,965.00 72438658 SCREW CANNCLUS 206.032 278 180.00 72438659 PLATE RECON 245.14 4 HOLE 278 2,182.00 72438660 PLATE RECON 245.03 13HOLE 278 3,298.00 72438661 PLATE RECON 245.04 14HOLE 278 3,423.00 72438662 PLATE RECON 245.05 15HOLE 278 3,553.00 72438663 PLATE RECON 245.35 16HOLE 278 3,919.00 72438687 VALVE DELTA NEO 1.0 27219 278 5,288.00 72438688 VALVE DELTA NEO 1.5 27219 278 5,288.00 72438711 STENT TRACH/BRONCH 10X40 278 9,157.00 72438712 STENT TRACH/BRONCH 14X40 278 9,157.00 72438719 SCRW LCKNG 3.5X52MM 278 1,103.00 72438720 SCRW LCKNG 3.5X54MM 278 1,103.00 72438721 SCRW LCKNG 3.5X56MM 278 1,103.00 72438722 SCRW LCKNG 3.5X48 278 1,103.00 72438723 SCRW CORT 3.5X32M 278 395.00 72438724 SCRW CORT 3.5X36M 278 395.00 72438725 SCRW CORT 3.5X38M 278 395.00 72438726 SCRW CORT 3.5X42M 278 395.00 72438727 SCRW CORT 3.5X44M 278 395.00 72438728 SCRW CORT 3.5X46M 278 395.00 72438729 SCRW CORT 3.5X48M 278 395.00 72438730 SCRW CORT 3.5X52M 278 395.00 72438731 SCRW CORT 3.5X54M 278 395.00 72438732 SCRW CORT 3.5X56M 278 395.00 72438733 SCRW CORT 3.5X58M 278 395.00 72438734 SCRW CORT 3.5X60M 278 395.00 72438735 SCRW CORT 3.5X65M 278 395.00 72438736 SCRW CORT 3.5X70M 278 395.00 72438743 NAIL FEMRL IM 7MX20CM LT 278 10,380.00 72438744 NAIL FEMRL IM 7MX22CM LT 278 10,380.00 72438745 NAIL FEMRL IM 7MX24CM LT 278 10,380.00 72438746 NAIL FEMRL IM 8MX24CM LT 278 9,606.00 72438747 NAIL FEMRL IM 8MX28CM LT 278 9,606.00 72438748 NAIL FEMRL IM 8MX32CM LT 278 9,606.00 72438749 NAIL FEMRL IM 9MX28CM LT 278 9,606.00 72438750 NAIL FEMRL IM 9MX30CM LT 278 9,606.00 72438751 NAIL FEMRL IM 9MX38CM LT 278 9,606.00 72438752 NAIL FEMRL IM 7MX22CM RT 278 10,380.00 72438753 NAIL FEMRL IM 7MX24CM RT 278 10,380.00 72438754 NAIL FEMRL IM 7MX28CM RT 278 10,380.00 72438755 NAIL FEMRL IM 7MX30CM RT 278 10,380.00 72438756 NAIL FEMRL IM 8MX24CM RT 278 9,606.00 72438757 NAIL FEMRL IM 8MX26CM RT 278 9,606.00 72438758 NAIL FEMRL IM 8MX28CM RT 278 9,606.00 72438759 NAIL FEMRL IM 8MX30CM RT 278 9,606.00 72438760 NAIL FEMRL IM 8MX32CM RT 278 9,606.00 72438761 NAIL FEMRL IM 8MX36CM RT 278 9,606.00 72438762 NAIL FEMRL IM 9MX28CM RT 278 9,606.00 72438763 NAIL FEMRL IM 9MX30CM RT 278 9,606.00 72438764 NAIL FEMRL IM 9MX32CM RT 278 9,606.00 72438765 NAIL FEMRL IM 9MX38CM RT 278 9,606.00 72438766 PLAT TIB DIST LT 2 HOLE 278 6,177.00 72438767 PLAT TIB DIST LT 3 HOLE 278 6,177.00 72438768 PLAT TIB DIST LT 4 HOLE 278 6,177.00 72438769 PLAT TIB DIST RT 2 HOLE 278 6,177.00 72438770 PLAT TIB DIST RT 3 HOLE 278 6,177.00 72438771 PLAT TIB NARW MED LT 2 H 278 6,763.00 72438772 PLAT TIB NARW MED LT 5 H 278 6,763.00 72438773 PLAT TIB NARW MED RT 2 H 278 6,763.00 72438774 PLAT TIB NARW MED RT 4 H 278 6,763.00 72438775 PLAT TIB NARW MED RT 5 H 278 6,763.00 72438776 PLAT TIB MED LT WIDE 2 H 278 6,763.00 72438777 PLAT TIB MED LT WIDE 5 H 278 6,177.00 72438778 PLAT TIB MED RT WIDE 2 H 278 6,177.00 72438779 PLAT TIB MED RT WIDE 4 H 278 6,177.00 72438780 PLAT TIB MED RT WIDE 5 H 278 6,177.00 72438781 PLAT 4 H LCKNG COMP 278 6,177.00 72438782 PLAT 5 H LCKNG COMP 278 6,177.00 72438783 PLAT 6 H LCKNG COMP 278 6,177.00 72438784 PLAT 8 H LCKNG COMP 278 6,177.00 72438785 PLAT 10 H LCKNG COMP 278 6,177.00 72438786 SCRW LCKNG CORT 3.5X42M 278 1,103.00 72438787 SCRW LCKNG CORT 3.5X44M 278 1,103.00 72438788 SCRW LCKNG CORT 3.5X46M 278 1,103.00 72438789 END CAP NAIL 15MM 278 2,128.00 72438790 SCREW CORT 4.0X15MM 278 1,213.00 72438791 SCREW CORT 4.0X20MM 278 1,213.00 72438792 SCREW CORT 4.0X45MM 278 1,213.00 72438793 SCREW CORT 4.0X55MM 278 1,213.00 72438794 SCREW CORT 4.5X16MM 278 1,359.00 72438795 SCREW CORT 4.5X18MM 278 1,359.00 72438796 SCREW CORT 4.5X20MM 278 1,359.00 72438797 SCREW CORT 4.5X22MM 278 1,359.00 72438798 SCREW CORT 4.5X24MM 278 1,359.00 72438799 SCREW CORT 4.5X26MM 278 1,359.00 72438800 SCREW CORT 4.5X30MM 278 1,359.00 72438801 SCREW CORT 4.5X75MM 278 1,359.00 72438802 SCREW CORT 4.5X85MM 278 1,359.00 72438803 PLATE NARROW LCP 2H 4.5 278 2,091.00 72438804 PLATE NARROW LCP 3H 4.5 278 2,998.00 72438808 SCRW CANC 216.240 6.5/40 278 379.00 72438809 SCRW CANC 216.250 6.5/50 278 379.00 72438810 SCRW CANC 216.260 6.5/60 278 379.00 72438811 SCRW CANC 216.270 6.5/70 278 379.00 72438812 SCRW CANC 216.280 6.5/80 278 379.00 72438813 SCRW CANC 216.290 6.5/90 278 409.00 72438814 SCRW CANC216.300 6.5/100 278 409.00 72438815 SCRW CANC216.310 6.5/110 278 409.00 72438816 SCRW CANC216.320 6.5/120 278 510.00 72438817 SCRW CANC216.330 6.5/130 278 510.00 72438818 SCRW CANC216.340 6.5/140 278 510.00 72438819 SCRW CANC216.350 6.5/150 278 510.00 72438820 SCREW LCK 4.0/48 278 1,113.00 72438821 SCREW LCK 4.0/52 278 1,113.00 72438822 SCREW LCK 4.0/54 278 1,113.00 72438823 SCREW LCK 4.0/60 278 1,113.00 72438824 PLATE BROAD LCP 7H/4.5 278 2,864.00 72438825 PLATE BROAD LCP 9H/4.5 278 3,728.00 72438826 PLATE BROAD LCP 10H/4.5 278 4,070.00 72438827 PLATE BROAD LCP 11H/4.5 278 4,355.00 72438828 PLATE BROAD LCP 12H/4.5 278 4,601.00 72438829 PLATE BROAD LCP 14H/4.5 278 5,123.00 72438830 SCREW LOCKING 5.0 85MM 278 1,130.00 72438833 SCREW 4.5 X 100MM CORT 278 364.00 72438834 SCREW 4.5 X 110MM CORT 278 364.00 72438835 SCRW 4.5X45M CORT RECN 278 1,727.00 72438836 SCRW 4.5X50M CORT RECN 278 1,727.00 72438837 SCRW 4.5X55M CORT RECN 278 1,727.00 72438838 SCRW 4.5X65M CORT RECN 278 1,727.00 72438839 SCRW 4.5X70M CORT RECN 278 1,727.00 72438840 SCRW 4.5X75M CORT RECN 278 1,727.00 72438841 SCRW 4.5X80M CORT RECN 278 1,727.00 72438842 SCRW 4.5X85M CORT RECN 278 1,727.00 72438843 SCRW 4.5X90M CORT RECN 278 1,727.00 72438844 SCRW 4.5X95M CORT RECN 278 1,727.00 72438845 SCRW 4.5X100M CORT RECN 278 1,727.00 72438855 CROSSLINK 31MM 278 4,550.00 72438856 SCREW MONO 6.5X45 278 3,129.00 72438857 SCREW POLY 5.5X30 278 4,550.00 72438858 SCREW POLY 5.5X35 278 4,550.00 72438859 SCREW POLY 5.5X40 278 4,550.00 72438860 SCREW POLY 5.5X45 278 4,550.00 72438861 SCREW POLY 6.5X30 278 4,550.00 72438862 SCREW POLY 6.5X35 278 4,550.00 72438863 SCREW POLY 6.5X40 278 4,550.00 72438864 SCREW UNI 5.5X35 278 4,550.00 72438865 SCREW UNI 5.5X40 278 4,550.00 72438866 SCREW UNI 6.5X35 278 4,550.00 72438867 SCREW UNI 6.5X40 278 4,550.00 72438889 NAIL FEM LT 7M X 32CM 278 10,380.00 72438890 NAIL FEM LT 7M X 34CM 278 10,380.00 72438891 NAIL FEM LT 7M X 36CM 278 10,380.00 72438892 NAIL FEM LT 7M X 38CM 278 10,380.00 72438893 NAIL FEM LT 8M X 38CM 278 10,380.00 72438894 NAIL FEM LT 8M X 40CM 278 10,380.00 72438895 NAIL FEM LT 8M X 42CM 278 10,380.00 72438896 NAIL FEM LT 9M X 40CM 278 10,380.00 72438897 NAIL FEM LT 9M X 42CM 278 10,380.00 72438898 NAIL FEM LT 10M X 32CM 278 8,986.00 72438899 NAIL FEM LT 10M X 42CM 278 8,986.00 72438901 PLT 3.5 3H 6M OFF 90* 278 5,795.00 72438902 PLT 3.5 3H 6M OFF 100* 278 5,795.00 72438903 PLT 3.5 3H 6M OFF 110* 278 5,795.00 72438904 PLT 3.5 3H 6M OFF 120* 278 5,795.00 72438905 PLT 3.5 3H 12M OFF 90* 278 5,795.00 72438906 PLT 3.5 3H 12M OFF 100* 278 5,795.00 72438907 PLT 3.5 3H 12M OFF 110* 278 5,795.00 72438908 PLT 3.5 3H 12M OFF 120* 278 5,795.00 72438909 PLATE 130* 4 HOLE 278 6,518.00 72438910 PLATE 130* 6 HOLE 278 6,518.00 72438911 PLATE 150* 3 HOLE 278 6,518.00 72438912 PLATE 150* 5 HOLE 278 6,518.00 72438913 SCRW CORT 3.5X42M 278 395.00 72438914 SCRW CORT 3.5X55M 278 395.00 72438915 GUIDE WIRE 3.5MM 278 4,139.00 72438916 GUIDE WIRE 4.5MM 278 4,139.00 72438917 GUIDE WIRE THREAD 1.6M 278 1,370.00 72438918 GUIDE WIRE THREAD 2.0M 278 1,370.00 72438920 SCRW LCKNG CORT 3.5X65M 278 1,103.00 72438921 SCRW LCKNG CORT 3.5X70M 278 1,103.00 72438922 SCREW CANN 3.5X30 278 1,968.00 72438923 SCREW CANN 3.5X32 278 1,968.00 72438924 SCREW CANN 3.5X34 278 1,968.00 72438925 SCREW CANN 3.5X36 278 1,968.00 72438926 SCREW CANN 3.5X38 278 1,968.00 72438927 SCREW CANN 3.5X40 278 1,968.00 72438928 SCREW CANN 3.5X45 278 1,968.00 72438929 SCREW CANN 3.5X50 278 1,968.00 72438930 SCREW CANN 3.5X65 278 1,968.00 72438931 SCREW CANN 3.5X70 278 1,968.00 72438932 PLT 4.5M 6M OFF 3H 90* 278 6,881.00 72438933 PLT 4.5M 6M OFF 4H 90* 278 6,881.00 72438934 PLT 4.5M 6M OFF 4H 100* 278 6,881.00 72438935 PLT 4.5M 6M OFF 4H 110* 278 6,881.00 72438936 PLT 4.5M 6M OFF 4H 120* 278 6,881.00 72438937 PLT 4.5M 14M OFF 3H 90* 278 6,702.00 72438938 PLT 4.5M 14M OFF 4H 90* 278 6,702.00 72438939 PLT 4.5M 14M OFF 4H 100* 278 6,702.00 72438940 PLT 4.5M 14M OFF 4H 110* 278 6,702.00 72438941 PLT 4.5M 14M OFF 4H 120* 278 6,702.00 72438942 PLT 4.5M 130* 3H 278 6,702.00 72438943 PLT 4.5M 130* 4H 278 6,702.00 72438944 PLT 4.5M 130* 6H 278 6,702.00 72438945 PLT 4.5M 150* 3H 278 6,340.00 72438946 PLT 4.5M 150* 5H 278 6,340.00 72438947 SCRW CORT 4.5X42M 278 419.00 72438948 SCRW CORT 4.5X44M 278 419.00 72438949 SCRW CORT 4.5X46M 278 419.00 72438950 SCRW CORT 4.5X48M 278 419.00 72438951 SCRW CORT 4.5X50M 278 419.00 72438952 SCRW CORT 4.5X55M 278 419.00 72438953 SCRW CORT 4.5X60M 278 419.00 72438954 SCRW CORT 4.5X65M 278 419.00 72438955 SCRW CORT 4.5X70M 278 419.00 72438956 SCRW CORT 4.5X75M 278 419.00 72438957 SCRW CORT 4.5X80M 278 419.00 72438958 SCRW CORT 4.5X42M LCKNG 278 1,280.00 72438959 SCRW CORT 4.5X44M LCKNG 278 1,280.00 72438960 SCRW CORT 4.5X46M LCKNG 278 1,280.00 72438961 SCRW CORT 4.5X48M LCKNG 278 1,280.00 72438962 SCRW CANN 4.5X30M 278 2,022.00 72438963 SCRW CANN 4.5X32M 278 2,022.00 72438964 SCRW CANN 4.5X34M 278 2,022.00 72438965 SCRW CANN 4.5X36M 278 2,022.00 72438966 SCRW CANN 4.5X38M 278 2,022.00 72438967 SCRW CANN 4.5X40M 278 2,022.00 72438968 SCRW CANN 4.5X45M 278 2,022.00 72438969 SCRW CANN 4.5X50M 278 2,022.00 72438970 SCRW CANN 4.5X55M 278 2,022.00 72438971 SCRW CANN 4.5X60M 278 2,022.00 72438972 SCRW CANN 4.5X65M 278 2,022.00 72438973 SCRW CANN 4.5X70M 278 2,022.00 72438974 SCRW CANN 4.5X75M 278 2,022.00 72438975 SCRW CANN 4.5X80M 278 2,022.00 72438977 BALLOON DUAL 278 1,229.00 72438983 PLT CHAMPY 110 LT 278 651.00 72438984 PLT CHAMPY 110 RT 278 703.00 72438985 PLT CHAMPY 80 LT 278 866.00 72438986 PLT CHAMPY 80 RT 278 866.00 72438987 PLT RESORB 10X5M 278 2,179.00 72438988 PLT RESORB 16X9M 278 2,037.00 72438989 MESH SM 161X41M 278 19,939.00 72438991 PLATE 16X9MM 0.6 278 2,037.00 72438992 PLATE STR 22H 111M 278 1,704.00 72438994 MESH 80X80MM 278 4,891.00 72438995 PLT LOW PROF 3X2 H 23M 278 1,086.00 72438996 PLT LOW PROF 5X2 H 43M 278 1,312.00 72438997 PLT LOW PROF 4 H 15M 278 506.00 72438998 PLT LOW PROF 4 H 20M 278 506.00 72438999 PLATE 5-HOLE 278 510.00 72439000 SCRW EMERG 1.8X5M 278 369.00 72439004 PLT MINI STR 2.0-2.5 14 H 278 2,213.00 72439005 PLT ORTHOG STR 4M 278 1,437.00 72439006 PLT ORTHOG STR 8M 278 1,562.00 72439008 PLT 2.0-2.5 4 H 28M 278 1,875.00 72439009 PLT 2.0-2.5 4 H 33M 278 1,968.00 72439010 PLT 2.0-2.5 6 H 43M 278 1,901.00 72439011 PLT 2.0-2.5 2 H 36M 278 1,797.00 72439012 PLT 2.0-2.5 2 H 37M 278 1,849.00 72439013 PLT 2.0-2.5 4 H 29M 278 2,162.00 72439014 PLT CVD 2.0-2.5 6 H 29M 278 1,781.00 72439015 PLT CVD 2.0-2.5 6 H 33M 278 1,781.00 72439016 PLT CVD 2.0-2.5 4 H 34M 278 2,162.00 72439017 PLT CVD 2.0--2.5 6 H 35M 278 1,781.00 72439018 PLT ANGL 2.0-2.5 6 H 1.5M 278 2,994.00 72439019 PLT ANGL 2.0-2.5 8 H 1.5M 278 3,046.00 72439086 MESH #4 LEFT 278 10,186.00 72439087 MESH RIGHT #5 278 10,545.00 72439088 MESH PARA SAG #6 278 10,186.00 72439089 MESH POST SAG #7 278 10,550.00 72439090 MESH .3MM TI SM 278 7,109.00 72439091 MESH FRONTOTEMP LG 278 19,008.00 72439092 MESH .6MM TI MED 278 15,110.00 72439093 MESH FRONTOTEMP LT SM 278 20,524.00 72439094 MESH FRONTOTEMP RT SM 278 20,524.00 72439095 MESH ROUND 73MM 278 4,494.00 72439098 MESH KASSAM 53X43 MM 278 3,518.00 72439099 PLATE 3 X 2 HOLE 278 984.00 72439100 MESH SEMI CIRC 61X40M 278 2,833.00 72439101 MESH OVAL 40X32M 278 1,673.00 72439103 MESH 80X80M 278 4,891.00 72439104 PLTE ORBIT THICK .3MM 278 2,469.00 72439105 PLTE ORBIT THICK .5MM 278 2,030.00 72439106 PLT MIDFACE STR 4H 278 751.00 72439107 PLT MIDFACE STR 6H 278 876.00 72439108 PLT MIDFACE L SHP 4X3H 278 1,421.00 72439109 PLT MIDFACE L SHP 6X4H 278 1,421.00 72439110 PLT MIDFACE X SHP 4H 278 1,421.00 72439111 PLT MIDFACE DBL Y 6H 278 1,542.00 72439112 PLT MIDFACE Y SHP 7H 278 1,421.00 72439113 PLT MIDFACE T SHP 8H 278 1,361.00 72439114 PLT LADDER 6X2H 278 1,782.00 72439115 PLT MIDFACE STR 24H 278 1,851.00 72439116 PLT MIDFACE CVD 12H 278 1,486.00 72439117 PLT MIDFACE STR 4H T.8M 278 751.00 72439118 PLT MIDFACE DBL Y6H T.8M 278 876.00 72439119 PLT LADR 6X2H T.8M 278 1,421.00 72439120 PLT MIDFACE STR 24H T.8M 278 1,421.00 72439121 PLT MIDFACE CVD 12H T.8M 278 1,421.00 72439122 PLT STR 4H T.8M 278 1,542.00 72439123 PLT MIDFACE STR 6H T.8M 278 1,421.00 72439124 PLT MID L SHP 4X3H T.8M 278 1,361.00 72439125 PLT MID L-SHP 6X4H T.8M 278 1,782.00 72439126 PLT MID X SHP 4H T.8M 278 1,851.00 72439127 PLT MID DBL Y 6H T.8M 278 1,828.00 72439129 PLT MID 4H T 1.0M 278 751.00 72439130 PLT MID 6H T 1.0M 278 876.00 72439131 PLT MID L SHP 4X3H T 1.0M 278 1,421.00 72439132 PLT MID L-SHP 6X4H T=1.0M 278 1,421.00 72439133 PLT MID X SHP 4H T=1.0M 278 1,421.00 72439134 PLT MID DBL Y 6H T=1.0M 278 1,542.00 72439135 PLT MID Y SHP 7H T=1.0M 278 1,421.00 72439136 PLT MID T SHP 8H T=1.0M 278 1,361.00 72439137 PLT LADR 6X2H T=1.0M 278 1,782.00 72439138 PLT MID CVD 12H T=1.0M 278 1,486.00 72439223 SCRW CMF 1.5X9M TI 278 341.00 72439224 SCRW CMF 1.5X11M TI 278 341.00 72439225 SCRW CMF EMERG 1.8X4M 278 341.00 72439226 SCRW CMF EMERG 1.8X5M 278 341.00 72439227 SCRW CMF EMERG 1.8X7M 278 341.00 72439228 ZYGO SCRW 1.8/3.5X100M 278 991.00 72439430 SCRW DISTRACT 12MM 278 455.00 72439431 SCRW DISTRACT 14MM 278 455.00 72439432 SCREW RED 5X45MM 278 4,266.00 72439433 PLTE DBL Y 6H 25MM 278 885.00 72439434 PLTE DBL Y 6H 24MM 278 885.00 72439435 PLTE DBL Y 6H 28MM 278 885.00 72439436 PLATE 14X2 HOLE 278 1,223.00 72439437 PLTE L SHP LT 2X2H 14M 278 781.00 72439438 PLTE L SHP LT 2X2H 16M 278 781.00 72439439 PLTE L SHP RT 2X2H 14M 278 781.00 72439440 PLTE L SHP RT 2X2H 16M 278 781.00 72439441 PLTE L SHP LT 3X2H 20M 278 781.00 72439442 PLTE T SHP 6H 15M 278 781.00 72439443 PLTE L SHP RT 3X2H 20M 278 781.00 72439444 PLTE L SHP LT 4X3H 21M 278 833.00 72439445 PLATE T SHP 7H 278 781.00 72439446 PLTE L SHP LT 3X3H 21M 278 833.00 72439447 PLTE L SHP RT 4X3H 21M 278 833.00 72439448 PLTE L SHP RT 3X3H 20M 278 833.00 72439449 PLTE LINDORF LT 0M STEP 278 1,276.00 72439450 PLTE LINDORF LT 3M STEP 278 1,276.00 72439451 PLTE LINDORF LT 5M STEP 278 1,276.00 72439452 PLTE LINDORF LT 9M STEP 278 1,276.00 72439453 PLTE LINDORF RT 0M STEP 278 1,276.00 72439454 PLTE LINDORF RT 3M STEP 278 1,276.00 72439455 PLTE LINDORF RT 5M STEP 278 1,276.00 72439456 PLTE LINDORF RT 7M STEP 278 1,276.00 72439457 PLTE LINDORF RT 9M STEP 278 1,276.00 72439458 PLTE LINDORF RT 11M STEP 278 1,276.00 72439459 PLTE SMITH 3M STEP 278 910.00 72439460 PLTE SMITH 5M STEP 278 910.00 72439461 PLTE SMITH 7M STEP 278 910.00 72439462 PLTE SMITH 9M STEP 278 910.00 72439463 PLTE SMITH 11M STEP 278 910.00 72439464 PLTE LINDORF STR 3M STEP 278 910.00 72439465 PLTE LINDORF STR 5M STEP 278 910.00 72439466 PLTE LINDORF STR 7M STEP 278 910.00 72439467 PLTE MINI STR 4H 30M 278 448.00 72439468 PLTE BSSO CVD 6H 33M 278 781.00 72439469 PLTE MIN LSHP RT 2X2 17M 278 728.00 72439470 PLTE MIN LSHP LT 2X2 17M 278 728.00 72439471 PLTE MIN LSHP RT 2X2 20M 278 728.00 72439472 PLTE MIN LSHP LT 2X2 20M 278 728.00 72439473 PLTE MIN LSHP RT 2X2 24M 278 728.00 72439474 PLTE MIN LSHP LT 2X2 24M 278 728.00 72439475 PLTE MIN LSHP RT 3X2 23M 278 728.00 72439476 PLTE MIN LSHP LT 3X2 23M 278 728.00 72439477 PLTE MIN LSHP RT 4X3 28M 278 728.00 72439478 PLTE MIN LSHP RT 5X4 33M 278 728.00 72439479 PLTE MIN STR 20H 100M 278 1,145.00 72439480 PLTE MIN STR 17H 278 1,067.00 72439481 PLTE MIN LSHP LT 4X3 28M 278 728.00 72439482 PLTE MIN LSHP LT 5X4 33M 278 728.00 72439497 SCRW MMF 2X8M MD, DF 278 1,323.00 72439498 SCRW MMF 2X12M MD, DF 278 1,323.00 72439499 SCREW CMF 2X9MM 278 320.00 72439500 SCREW CMF 2X11MM 278 320.00 72439501 SCREW CMF 2X13MM 278 320.00 72439502 SCREW CMF 2X15MM 278 320.00 72439503 SCREW CMF 2X17MM 278 320.00 72439504 SCREW CMF 2X19MM 278 320.00 72439505 SCRW CMF EMERG 2.3X5M 278 390.00 72439506 SCRW CMF EMERG 2.3X7M 278 390.00 72439507 SCRW CMF EMERG 2.3X9M 278 390.00 72439508 SCREW CMF 1.5X13MM 278 341.00 72439509 SCREW CMF 1.5X15MM 278 341.00 72439510 SCREW CMF 2X7MM 278 321.00 72439511 SCRW 1.5X6M ORTH/ANCHR 278 779.00 72439512 SCRW 1.5X10M ORTH/ANCHR 278 779.00 72439516 SCRW NLCORT FULL 3.5X18M 278 264.00 72439546 WOUND MESHED 2X2 278 13,922.00 72439548 PORT 9.6 FR SINGLE LUMEN 278 1,617.00 72439550 SCREW NL CORT 4.5X56MM FT 278 321.00 72439552 HOLDER TRANSDUCER TRUWARE 278 752.00 72439553 STERILANT HYDROGEN PEROXI 278 2,602.00 72439556 TUBE TRIVANTAGE EMG 5FR 278 2,109.00 72439557 TUBE TRIVANTAGE EMG 6FR 278 2,109.00 72439558 TUBE TRIVANTAGE EMG 7FR 278 2,109.00 72439559 TUBE TRIVANTAGE EMG 8FR 278 2,109.00 72439602 SCREW nl 3.5X38MM CORT FT 278 263.00 72439603 SCREW 4X26MM NL CORT FT 278 395.00 72439606 LACRIFLOW 278 1,263.00 72439639 IMPLANT ENUCLEATION 16MM 278 410.00 72439640 IMPLANT ENUCLEATION 18MM 278 410.00 72439651 GENERATOR VAGEL NERVE 100 278 117,648.00 72439683 SCREW RED 6X45MM 278 4,260.00 72439684 SCREW VIPER BOLT 8X80 278 5,112.00 72439685 SCREW 4.5 X 54MM NL FT 278 227.00 72439686 CARDIOCEL NEO 4X4 CM 278 5,002.00 72439687 CARDIOCEL NEO 2X2 CM 278 3,402.00 72439695 SCREW 2.7X18MM CORT 278 288.00 72439696 SCREW 2.7X20MM CORT 278 288.00 72439697 SCREW 2.7X22MM CORT 278 288.00 72439698 SCREW 2.7X24MM CORT 278 288.00 72439699 SCREW 2.7X26MM CORT 278 288.00 72439700 SCREW 2.7X28MM CORT 278 288.00 72439701 SCREW 2.7X30MM CORT 278 288.00 72439702 SCREW 2.7X32MM CORT 278 288.00 72439703 PLATE 2.7MM 10 HOLE 278 2,050.00 72439704 SCREW 2.4X34MM CORT 278 425.00 72439705 SCREW CORT 2.7X36MM 278 288.00 72439706 ANCHOR BOLT KIT 1.9-2.5XM 278 2,317.00 72439707 ANCHOR BOLT KIT 1.9-2.5XM 278 2,317.00 72439786 BALLOON DIL INSPIRA 12X40 278 3,948.00 72439787 BALLOON DIL INSPIRA 14X40 278 3,948.00 72439788 BALLOON DIL INSPIRA 16X40 278 3,948.00 72439790 PLATE RESORB XG 22 HOLE 278 1,789.00 72439791 MESH RESORB XG SMALL 1261 278 3,448.00 72439792 MESH RESORB XG SMALL 2461 278 7,718.00 72439793 PLATE RESORB XG 23MM 278 4,506.00 72439794 PLATE RESORB XG 30MM 278 5,135.00 72439796 GRAFT OTOLOGIC BIODESIGN 278 1,566.00 72439799 PLATE 8 HOLE STR METAPHYL 278 4,420.00 72439846 GRAFT 10X30MM WITH REM RS 278 3,266.00 72439887 GRAFT VASC REML RING10-70 278 4,260.00 72439888 COSEAL 8ML 278 4,330.00 72439891 ANCHOR BOLT 25MM FOR 2.1 278 1,001.00 72439892 ELECTRODE DEPTH 8 STRIP 278 4,016.00 72439944 AMNIOGRAFT 10.0X5.0 278 12,621.00 72439948 SCREW PEDICLE 5.0X40MM 278 3,323.00 72439949 SCREW PEDICLE 5.0X35MM 278 3,323.00 72439950 SCREW PEDICLE 5.0X30MM 278 3,323.00 72439951 ROD 500MM 6.0 278 1,703.00 72439952 SCREW SET LARGE 278 136.00 72439955 BAR PECTUS SUPPORT 9.5 278 7,043.00 72439956 SCREW UNIAXIAL 35MM 278 3,323.00 72439957 SCREW UNIAXIAL 40MM 278 3,323.00 72439958 SCREW UNIAXIAL 45MM 278 3,323.00 72440044 VALVE STRATA NFC SMALL 278 11,129.00 72440071 QA ORTHOCORD 9.7MM DRBT 278 3,028.00 72440117 GENERATOR INSPIRE 278 67,887.00 72440118 LEAD INSPIRE STIMULATION 278 7,742.00 72440119 LEAD INSPIRE RESP SENSING 278 12,109.00 72440120 REMOTE INSPIRE SLEEP 278 5,558.00 72440121 ANCHOR MICRO 4/0 278 3,027.00 72450003 LEAD PACE CAPSURE ACTIVE 278 3,697.00 72450004 LEAD PACE CAPSURE PASSIVE 278 3,697.00 72450005 LEAD PACE CAPSURE VDD2 278 3,697.00 72450008 LEAD PACE UNIPLR SCRWIN E 278 3,697.00 72450009 LEAD PACE DEFIB HV ACT FX 278 21,897.00 72450010 LEAD PACE DEFIB HV PASSIV 278 21,897.00 72450012 LEAD PACE DEFIB HV SUBQ C 278 9,954.00 72450014 LEADPACE COR SINUS 1P2187 278 5,574.00 72450016 LEAD PACE COR SINUS 41937 278 7,366.00 72450020 BALOON VENOGRAM CS 6215 278 683.00 72450036 PLATE MICRO STRT 4-HOLE K 278 465.00 72450037 PLATE MICRO STRT 6-HOLE K 278 608.00 72450042 SCRW LCKNG 3.5MM SYNTHE 278 806.00 72450050 SCRW CAPTD 5MM SM&N 278 1,461.00 72450051 PLATE TIBIA LCP 4H 4.5/10 278 5,428.00 72450052 PLATE TIBIA LCP 6H 4.5/12 278 5,499.00 72450054 SCRW CRTX SELFTAP 2.7 SYN 278 189.00 72450055 SCRW CRTX SELFTAP 3.5 SYN 278 194.00 72450057 SCRW LCK W/STRDRV 5.0X60 278 949.00 72450064 REDUCTION SS 1/4 278 6,439.00 72450065 SCRW MULTIAXL SS 1/4 278 5,607.00 72450066 SCRW UNI AXL MEDTRONIC 278 5,607.00 72450069 SCRW 4.0 BIOMET 278 1,768.00 72450070 PLTE OSTETMY 236 SERIES S 278 2,924.00 72450073 CROSSLINK MEDTRONIC 278 4,878.00 72450074 SCRW FXD ANG 756 SRIS MED 278 5,641.00 72450075 SCRW FXD ANG 764 SRIS MED 278 4,336.00 72450078 BOLT SPINAL FULL THRD DEY 278 4,010.00 72450079 CLAMP BAND SPINAL DEPUY 278 4,022.00 72450080 CLAMP JAW UNTHREADED DEPY 278 1,820.00 72450081 CONNECTR TR ROD DUAL DEPU 278 2,275.00 72450082 CONNECTR SLOT OLD STY REV 278 4,266.00 72450083 CONNECTR SLOTTED DWNSZD D 278 4,022.00 72450084 CONNECTR SLOTTED STRT DEY 278 4,022.00 72450085 CONNECTR SLOTTED ANGL DEY 278 4,241.00 72450086 CONNECTR SLOT OFFSET LT/R 278 4,241.00 72450087 CONNECTR SLOTTED XTND DEP 278 4,241.00 72450088 CONNECTR SLOT MINI OFFSET 278 4,520.00 72450089 CONNECTR SLOT DWN ANGL DU 278 4,659.00 72450095 CONNECTR DUAL SS DEPUY 278 5,714.00 72450105 NUT HEX MCC 3/8 SS 278 751.00 72450106 NUT LOCK SS DEPUY 278 751.00 72450107 NUT RT HAND SS DEPUY 278 819.00 72450108 NUT TAPERED SS DEPUY 278 751.00 72450109 NUT WSHR DOME POLY DEPUY 278 1,058.00 72450110 PLATE MCC MULT SPAN SS DY 278 3,754.00 72450112 ROD SPNL 1/4 SS DEPUY 278 3,527.00 72450113 ROD SPNL EASY 1/4 SS DEPY 278 3,527.00 72450114 ROD SPNL 3/16 SS DEPUY 278 3,697.00 72450115 ROD SPNL HEXENDS 1/4 SS D 278 3,697.00 72450116 ROD SPNL HEXENDS 3/16 SS 278 4,437.00 72450117 ROD SPINAL PRE-BNT 27.5DE 278 5,603.00 72450118 ROD SPINAL DUAL DIAMETER 278 4,300.00 72450119 ROD SPINAL EYE SS DEPUY 278 5,893.00 72450120 SCRW CLSD 10DEG DEPUY 278 4,937.00 72450121 SCRW CLSD 20DEG DEPUY 278 4,937.00 72450122 SCRW CLSD ILIAC DEPUY 278 4,560.00 72450123 SCRW ILIAC 6.25 TITANIUM 278 5,119.00 72450124 SCRW ILIAC 7.0 TITANIUM D 278 4,560.00 72450125 SCRW OPEN ILIAC DEPUY 278 4,977.00 72450126 SCRW PEDICLE NO CUT DEPUY 278 3,925.00 72450127 SCRW PEDICLE STNDRD DEPUY 278 4,010.00 72450128 SCRW SACRL NO CUT DEPUY 278 3,925.00 72450129 SCRW SET SS DEPUY 278 819.00 72450130 WASHER SPINAL DEPUY 278 819.00 72450131 WASHER POLYAXIAL SS DEPUY 278 1,058.00 72450133 SCRW CANN LCKG 5.0MM 02.2 278 1,304.00 72450134 SCRW LCKNG 4.0MM 222 SERI 278 936.00 72450142 SCRW LCKNG ST 4MM T25 STR 278 1,052.00 72450143 BAR PECTUS SUPPORT MX SZ 278 4,619.00 72450148 SCRW EXPEDIUM 5MM 278 5,012.00 72450149 SCRW EXPEDIUM 6MM 278 5,012.00 72450150 SCRW CANN FULL THRD 6.5MM 278 1,715.00 73260090 FMF DYNAMIC COMPRESSOR S 278 6,974.00 74110744 BLN COLONIC 15-18MM 278 1,530.00 74110745 BLN COLONIC 18-20MM 278 1,530.00 74111700 CATH DIL BLN PYLORC 10/12 278 1,618.00 74111701 CATH DIL BLN PYLRC 12/15 278 1,618.00 74111705 CATH DIL CR ESOPH 12/15 278 1,434.00 74111707 CATH DIL CRE ESOPH 6/8 278 1,434.00 74112107 CATH SPEC 5FX8CM 278 412.00 74115260 STENT BILIARY LEUG CLSO-5 278 343.00 74115261 STENT BILIARY LEUG CLSO-7 278 410.00 74116017 WIRE GUID 1 STEP 24/2.4 278 1,263.00 74116018 WIRE GUID 1 STEP 24/3.4 278 1,263.00 74119625 SET GEENAN PANCREATIC 5/5 278 857.00 74121798 CATH DIL CRE ESPHGL 8/10 278 1,570.00 74122293 CATH DIL CRE ESPHGL 15/18 278 1,618.00 74122499 GDWIRE HIGH PERFORMANCE 278 782.00 74124476 CATH DIL CRE ESPHGL 10-12 278 1,618.00 74124481 CATH DIL CRE ESPHGL 8-10 278 1,618.00 74124494 STENT PANCR W/OUT GPSO-5 278 361.00 74124499 STENT PANCR WITH GPSO-53 278 361.00 74124504 STENT BILIARY LEUG CLSO-7 278 343.00 74125374 WIRE GUID JAG STRT .025 278 925.00 74125726 SET GEENAN PANCREATIC 5/3 278 857.00 74125727 SET GEENAN PANCREATIC 5/7 278 740.00 74126619 CATH DIL CRE 18-19-20 278 1,618.00 74126671 CATH DIL BLN PYLOR 15/18 278 1,618.00 74127367 RICHARDS MODIFIED T-TUBE 278 154.00 74127406 TUBE EAR ARMSTRONG 278 128.00 74129492 CATH DIL BLN CRE 6-8MM 24 278 1,570.00 74131464 BLLN DIL INSPIRA 7X24MM 278 4,471.00 74131579 STNT PLSTC W/INTRO 7X5CM 278 874.00 74131580 STNT PLSTC W/INTRO 7X7CM 278 874.00 74131581 STNT PLSTC W/INTRO 7X10CM 278 874.00 74131582 STNT PLSTC W/INTRO 7X12CM 278 874.00 74131589 STNT PLSTC W/INTRO 10X5CM 278 874.00 74131590 STNT PLSTC W/INTRO 10X7CM 278 874.00 74132268 TUBE VENT TYTAN 0.76MM 278 206.00 74132502 BALLN DIL INSPIRA 10X40MM 278 4,744.00 74132677 PORT SMART MINI 6.6 278 1,849.00 74133441 BALLN DIL INSPIRA 5X24MM 278 3,726.00 74135045 BALLOON 8.5 DILATION 278 3,726.00 74135596 PLAT PLEO RT 6H 3.5MM 278 9,296.00 74135597 GUIDEWIRE 1.6MMX230MM 278 1,269.00 74135598 GUIDEWIRE 2.0MM X 230MM 278 1,270.00 74136838 CATH RETRVL BLLN 5FR 11M 278 999.00 74137374 PROPEL MINI 278 4,169.00 74137375 PROPEL STANDARD 278 4,152.00 74137563 STENT PANCR ADVX 5F 3CM 278 524.00 74137564 STENT PANCR ADVX 5F 7CM 278 524.00 74137970 CRE ESOPH 6-8M BLLN 278 1,530.00 74137971 CRE ESOPH 8-10M BLLN 278 1,530.00 74137972 CRE ESOPH 10-12M BLLN 278 1,530.00 74137973 CRE ESOPH 12-15M BLLN 278 1,530.00 74137974 CRE ESOPH 15-18M BLLN 278 1,530.00 74137975 CRE ESOPH 18-20M BLLN 278 1,530.00 74137976 CRE COLONIC 6-8M BLLN 278 1,530.00 74137977 CRE COLONIC 8-10M BLLN 278 1,530.00 74137978 CRE COLONIC 10-12M BLLN 278 1,530.00 74137979 CRE COLONIC 12-15M BLLN 278 1,530.00 74137980 CRE COLONIC 15-18M BLLN 278 1,530.00 74137981 CRE COLONIC 18-20M BLLN 278 1,530.00 74138143 STENT BILIARY 10FX7CM 278 882.00 74138145 PUSHER PANCER STNT NAVIF 278 353.00 74138148 STENT PANCR STR 3F X 3CM 278 603.00 74138149 STENT PANCR STR 3F X 5CM 278 603.00 74138150 STENT BILI 7F X 5CM 278 882.00 74138151 STENT BILI 7F X 7CM 278 882.00 74138152 STENT BILI 7F X 9CM 278 882.00 74138153 STENT BILI 7F X 12CM 278 882.00 74138154 STENT BILI 10F X 5CM 278 882.00 74138156 STENT BILI 10F X 12CM 278 882.00 74138181 WOUND MATRIX BILAYER 2X2 278 11,415.00 74138684 STENT TRACHBRONCH 12X30 278 9,157.00 74138685 STENT TRACHBRONCH 12X40 278 9,157.00 74139547 BUR FLUTED 2MM S-2B-G1 278 969.00 74139606 LACRIFLOW 278 1,263.00 74230690 MENISCAL MNDR OUTSIDE-IN 278 784.00 74239606 LACRIFLOW 278 1,263.00 74239944 AMNIOGRAFT 10.0X5.0 278 12,621.00 74239952 SCREW SET LARGE 278 136.00 75010705 WIRE GUID BABY .012 18CM 278 137.00 75011661 CATH CVC SPECT 4FRX8CM 278 576.00 75011756 CATH EMBL FOGERTY 80CM 5F 278 435.00 75011955 5F X 65CM .038 KUMPE CATH 278 136.00 75012068 5F X 65CM .038 BERN CATH 278 136.00 75012072 5F X 100CM .038 HH1 CATH 278 136.00 75012102 CATH SPEC PRO 501J-RSC 278 365.00 75012143 CATH THORACIC SIL 14F W/C 278 120.00 75012144 CATH THORACIC SIL 16F W/C 278 120.00 75012145 CATH THORACIC SIL 20F W/C 278 120.00 75012146 CATH THORACIC SIL 24F W/C 278 120.00 75012147 CATH THORACIC SIL 28F W/C 278 120.00 75012150 CATH THORACIC SIL 36F W/C 278 120.00 75022788 3F X 65CM .025 OMNIFLUSHH 278 223.00 75022793 4F X 65CM .035 COBRA1 CAH 278 136.00 75024946 5F X 100CM .038 BERN CATH 278 136.00 75028836 TRUFILL EMBOLIC AGENT 278 15,625.00 75031772 CATH MAHURK QPL 13.5 X 1M 278 636.00 75031773 CATH MAHURK QPL 13.5X19 D 278 526.00 75034129 CATH 3.5F UMBIL SNGL LUMN 278 108.00 75034641 CATHHEMO 12.5F X 12CM SFT 278 929.00 75034642 CATHHEMO 12.5F X 19CM SFT 278 929.00 75034643 CATHHEMO 14.5FX15CM EQUIS 278 1,638.00 75034644 CATHHEMO 14.5FX19CM EQUIS 278 1,638.00 75034645 CATHHEMO 14.5FX27CM EQUIS 278 1,638.00 75034670 COIL NESTER.018 3CM/2MM 278 492.00 75034671 COIL NESTER .018 3CM/3MM 278 492.00 75034672 COIL NESTER .018 5CM/2MM 278 492.00 75034673 COIL NESTER .018 5CM/3MM 278 492.00 75034674 COIL NESTER .018 7CM/2MM 278 536.00 75034675 COIL NESTER .018 7CM/4MM 278 536.00 75034676 COIL NESTER .018 7CM/6MM 278 536.00 75034677 COIL NESTER .018 7CM/8MM 278 536.00 75034678 COIL NESTER .018 7CM/10MM 278 536.00 75034829 CATH BLLN 4MMX40CM PTA 278 1,980.00 75034830 CATH BLLN 5MM X 40CM 278 1,980.00 75034831 CATH BLLN 6MM X 40CM 278 1,980.00 75035983 GUIDWIRE MICRO 007X2100MM 278 1,350.00 75035984 GUIDWIRE MICRO 008X2100MM 278 1,350.00 75036081 COIL 400 STD 3M X 5 CM 278 5,631.00 75036082 COIL 400 STD 3M X 12 CM 278 5,631.00 75036083 COIL 400 STD 3M X 20 CM 278 5,631.00 75036084 COIL 400 STD 4M X 10 CM 278 5,631.00 75036085 COIL 400 STD 4M X 15 CM 278 5,631.00 75036086 COIL 400 STD 4M X 20 CM 278 5,631.00 75036087 COIL 400 STD 4M X 30 CM 278 4,977.00 75036088 COIL 400 STD 4M X 35 CM 278 4,977.00 75036089 COIL 400 STD 5M X 12 CM 278 5,631.00 75036090 COIL 400 STD 5M X 20 CM 278 5,631.00 75036091 COIL 400 STD 5M X 30 CM 278 4,977.00 75036092 COIL 400 STD 6M X 20 CM 278 5,631.00 75036093 COIL 400 STD 6M X 30 CM 278 4,977.00 75036094 COIL 400 STD 7M X 25 CM 278 5,631.00 75036095 COIL 400 STD 8M X 25 CM 278 5,631.00 75036096 COIL 400 STD 8M X 40 CM 278 4,977.00 75036097 COIL 400 STD 9M X 30 CM 278 4,977.00 75036183 WIRE GUIDE SUPRSLCTV .016 278 1,627.00 75037094 INTRDCER SHETH FLX 4FR 55 278 506.00 75039565 CATH STERLING BALLOON 5MM 278 2,040.00 75039566 CATH STERLING BALLOON 6MM 278 2,040.00 75039567 CATH STERLING BALLOON 7MM 278 2,040.00 75039568 CATH STERLING BALLOON 8MM 278 2,040.00 75039668 ACE 68 CATHETER KIT 278 10,918.00 75039669 ACE 60 CATHETER KIT 278 6,927.00 75039670 4MAX CATHETER KIT 278 6,948.00 75039671 3MAX CATHETER KIT 278 6,948.00 75039672 MAX CANISTER 278 2,045.00 75039673 VELOCITY MICROCATHETER 278 4,113.00 75039674 6F X 80CM NEURON MAX SHEH 278 2,584.00 75039675 6F X 90CM NEURON MAX SHEH 278 2,584.00 75039676 6F X 125CM SELECT CATHETR 278 851.00 75039677 5F X 130CM SELECT CATHETR 278 851.00 75039743 BRAUN TUOHY W/ GUIDEWIRE 278 1,051.00 75039745 1.5 F MARATHON MICROCATH 278 2,698.00 75039746 APOLLO 1.5CM MICROCATHETR 278 6,729.00 75039747 APOLLO 3.0CM MICROCATHETR 278 6,729.00 75039748 1.7F ECHELON MICROCATHETR 278 2,971.00 75039749 MIRAGE MICROWIRE .008 X M 278 1,943.00 75039750 .008 CHIKAI MICROWIRE 278 2,812.00 75039751 .014 CHIKAI MICROWIRE 278 2,812.00 75039752 .018 CHIKAI MICROWIRE 278 2,812.00 75039753 4F X 80CM FUBUKI SHEATH 278 1,703.00 75039754 5F X 80CM FUBUKI SHEATH 278 1,703.00 75039755 5F X 90CM ENVOY GUIDECATR 278 2,590.00 75039757 2.8F X 150 PROWLER MICROH 278 4,137.00 75039758 .038 X 125 CM DAC CATHET 278 4,804.00 75039759 .038 X 136 CM DAC CATHET 278 4,804.00 75039760 .010 SYNCHRO 10 WIRE 278 3,266.00 75039761 .014 SYNCHRO 2 SOFT WIRE 278 3,408.00 75039763 TRANSND EXFLOPPY WIRE.014 278 3,408.00 75039807 4F X 65CM .035 SOS OMNI H 278 200.00 75039808 4F X 80CM .038 SOS OMNI H 278 136.00 75039809 5F X 80CM .038 SOS OMNI H 278 136.00 75039810 5F X 65CM .038 RIM CATH 278 136.00 75039811 4F X 65CM .035 RIM CATH 278 200.00 75039812 5F X 65CM .035 RIM CATH 278 200.00 75039813 4F X 90CM .035 COBRA1 CAH 278 173.00 75039814 5F X 65CM .038 COBRA1 CAH 278 136.00 75039815 5F X 90CM .038 COBRA1 CAH 278 136.00 75039816 4F X 65CM .038 HH1 CATH 278 136.00 75039818 4F X 100CM .038 HH1 CATH 278 136.00 75039819 5F X 65CM .038 HH1 CATH 278 200.00 75039820 4F X 65CM .038 JB1 CATH 278 136.00 75039822 5F X 100CM .035 JB1 CATH 278 136.00 75039825 5F X 100CM .035 SW1 CATH 278 200.00 75039826 5F X 100CM .038 SW1 CATH 278 136.00 75039827 4F X 65CM .038 BERN CATH 278 136.00 75039828 4F X 100CM .038 BERN CATH 278 136.00 75039829 4F X 140CM .035 BERN CATH 278 674.00 75039830 4F X 65CM .038 KUMPE CATH 278 136.00 75039831 4F X 100CM .035 KUMPE CAH 278 136.00 75039832 4F X 100CM .038 KUMPE CAH 278 136.00 75039833 5F X 100CM .038 KUMPE CA 278 136.00 75039834 4F X 65CM .035 PIGTAIL CH 278 136.00 75039835 4F X 65CM .038 PIGTAIL CH 278 136.00 75039836 4F X 90CM .035 PIGTAIL CH 278 136.00 75039837 5F X 65CM .038 PIGTAIL CH 278 136.00 75039838 5F X 90CM .038 PIGTAIL CH 278 136.00 75039840 3F X 65CM .025 SOS OM JRH 278 264.00 75039841 3F X 65CM .025 COBRA1 CAH 278 264.00 75039866 .014 X 60CM GALT GUIDEWIE 278 236.00 75039869 135CM MARKSMAN MICROCATH 278 5,089.00 75039870 160CM MARKSMAN MICROCATH 278 5,368.00 75039871 ONYX 18 EMBOLIC AGENT 278 10,032.00 75039872 ONYX 34 EMBOLIC AGENT 278 10,032.00 75039873 SOLITAIRE 4MM X 20MM 278 23,800.00 75039874 SOLITAIRE 4MM X 40MM 278 23,800.00 75039875 SOLITAIRE 6MM X 20MM 278 23,800.00 75039876 DAUL MARKER 150CM 278 5,135.00 75039877 6F ANGIO-SEAL VIP 278 1,818.00 75039878 8F ANGIO-SEAL VIP 278 1,818.00 75039879 1.2F MAGIC FM MICROCATH 278 5,652.00 75039880 1.5F MAGIC FM MICROCATH 278 5,652.00 75039881 AMPLATZER VASCULAR PLUG M 278 3,998.00 75039882 AMPLATZER VASC PLUG 4 5MM 278 3,998.00 75039883 AMPLATZER VASC PLUG 4 7MM 278 3,998.00 75039977 CONTOUR 15-250 MICRONS 278 660.00 75039978 CONTOUR 250-355 MICRONS 278 660.00 75039979 CONTOUR 355-500 MICRONS 278 660.00 75039983 MVP-3Q VASCULAR PLUG 278 5,935.00 75039984 MVP-5Q VASCULAR PLUG 278 5,935.00 75039985 MVP-7Q VASCULAR PLUG 278 5,935.00 75040135 SL PICC 1.9x 50cm 278 586.00 75040138 SHEATH, 7FRX65MM 278 613.00 75040145 SUT EITHIBOND 2-0 RB-1 278 1,517.00 79021945 INTRODUCER FAST CATH ADLT 278 228.00 75050077 FMF DYNAMIC COMPRESSOR S 292 6,794.00 71730280 PENTAMIDINE 300MG INH COM 294 1,124.51 61411084 BLD COLL/VENIPNCT 300 65.00 61716106 BLD COLL/VENIPNCT 300 65.00 62063000 BLD COLL/VENIPNCT 300 65.00 62093000 BLD COLL/VENIPNCT 300 65.00 62121083 BLD COLL/VENIPNCT 300 65.00 62131071 BLOOD COLL/VENIPNCT 300 65.00 62133000 BLD COLL/VENIPNCT 300 65.00 62183000 BLD COLL/VENIPNCT 300 65.00 62213000 BLD COLL/VENIPNCT 300 65.00 62243000 BLD COLL/VENIPNCT 300 65.00 62253000 BLD COLL/VENIPNCT 300 65.00 62263000 BLD COLL/VENIPNCT 300 65.00 70100100 BLOOD COLL/VENIPNCT 300 65.00 70276104 BLOOD COLL/VENIPNCT 300 65.00 71800002 BLOOD COLL/VENIPNCT 300 65.00 71860108 BLOOD COLL/CAPILLARY 300 53.00 71920011 BLOOD COLL/VENIPNCT 300 65.00 72021025 BLOOD DRAW VIA VENIPUNCT 300 65.00 72021026 BLOOD DRAW VIA CAPILLARY 300 53.00 72300878 BLOOD COLL/VENIPNCT 300 65.00 72310878 BLOOD COLL/VENIPNCT 300 65.00 72700036 BLOOD COLL/VENIPNCT 300 65.00 72810079 BLOOD COLL VENIPUNCT 300 65.00 72810088 TB TEST PPD 300 54.00 72820032 BLOOD COLL/VENIPNCT 300 65.00 72840039 BLOOD COLL/VENIPNCT 300 65.00 72840083 BLOOD COLL/CAPILLARY 300 53.00 72850036 BLOOD COLL/VENIPNCT 300 65.00 72970036 BLOOD COLL/VENIPNCT 300 65.00 73041084 CATH COLLCTN OF SPEC 300 51.00 73160135 BLD COLL/VENIPNCT 300 65.00 74200343 BLOOD COLL/VAD IMPLNT 300 147.00 74200345 BLOOD COLL/OTHERTHAN VAD 300 147.00 74200522 BLOOD COLL/VENIPNCT 300 65.00 74200728 BLOOD COLL/CAPILLARY 300 52.00 76110003 CELL COUNT ONLY BF 300 108.00 76110004 CELL COUNT ONLY CSF 300 108.00 76110005 CELL COUNT W DIFF BF 300 269.00 76110006 CELL COUNT W DIFF CSF 300 269.00 76110030 CRYSTALS BODY FLUID 300 165.00 76110031 RETICULOCYTE PROFILE 300 204.00 76310044 SMEAR FOR POLYS 300 175.00 76320124 FACTOR II GENE MUTATION 300 351.00 76320125 FACTOR V LEIDEN 300 362.00 76410007 AB ID AHG TECHNIQ 300 259.00 76410014 UNIT ANTIGEN SCN W/ DIREC 300 188.00 76410015 UNIT ANTIGEN SCN W/AHG RE 300 188.00 76410016 PT AG TYPE DIR 300 173.00 76410017 PT AG TYPE W/AGGLUT 300 173.00 76410018 AUTO BLD COLL & STOR 300 251.00 76410022 CROSSMATCH AHG TECHNIQUE 300 242.00 76410023 CROSSMATCH IMMEDIATE SPI 300 287.00 76410024 CROSSMATCH INCUBATION TE 300 238.00 76410025 CROSSMATCH ELECTRONIC 300 9.00 76410027 DIR AHG POLY 300 109.00 76410028 DIR AHG CMPLX 300 109.00 76410029 DIR AHG IGG 300 109.00 76410030 ELUTION PROCEDURE ACID 300 200.00 76410031 ELUTION PROCEDURE LUI 300 200.00 76410033 ELUTION PROCEDURE HEAT 300 200.00 76410034 RBC RECONSTITUTION 300 135.00 76410035 PRETX RBC W/ENZYMES 300 130.00 76410037 SPLITTING OF FRESH FROZEN 300 130.00 76410038 SPLITTING OF PLATELETS 300 130.00 76410039 SPLITTING OF RBC'S 300 130.00 76410043 RH PHENOTYPEING 300 173.00 76410056 ABO 300 134.00 76410057 RH 300 110.00 76410060 PRE ABO 300 134.00 76410061 PRE RH 300 110.00 76410062 POST ABO 300 134.00 76410063 POST RH 300 110.00 76410064 PRE DAT 300 109.00 76410065 POST DAT 300 109.00 76410070 IRRADIATION BLOOD PRODUCT 300 162.00 76410072 POOLING BLOOD PRODUCTS 300 135.00 76410075 POOL CRYO PRODUCTS 300 135.00 76410077 AB TITER 300 270.00 76410079 ISOIMMUNE SCRN 300 81.00 76410100 REVERSE GROUP 300 81.00 76410101 SALINE REPLACEMENT 300 81.00 76420002 AUTOLOGOUS CRYO 300 251.00 76490001 CLSS I AG TYPE/BLD S/O 300 188.00 76490002 CLSS II AG TYPE/BLD S/O 300 188.00 76490003 CLSS III AG TYPE S/O 300 188.00 76500016 EOSINOPHIL URINE 300 81.00 76600065 CF MUTATION ANALYSIS 300 4,077.00 76600066 A1 ANTITRYPSIN GENOTYPE 300 270.00 76600067 FRAGILE X 300 340.00 76600095 ANGELMAN/PRADER-WILL DNA 300 270.00 76600096 CEBPA MUTATION DET 300 1,080.00 76600101 SPECIMEN HANDLING 300 27.00 76600104 FLT3 GENE ANALYSIS 300 718.00 76610005 ALPHA-FETOPROTEIN CSF 300 112.00 76640153 ACETYLCHOLINE RECEPTOR 300 167.00 76640211 IBD MOLECULAR PATHOLOGY 300 450.00 76680034 BSL HTLV 1/11 300 70.00 76680039 BSL SYPHILIS MHA-TP 300 108.00 76680040 BSL ABO 300 122.00 76680041 BSL RH 300 110.00 76680045 BSL AB SCREEN 300 216.00 76680046 BSL HIV-1/HCV/HBV NAT 300 335.00 76690026 CRYSTAL ID, FLUID 300 165.00 76699999 BLOOD COLL/VENIPNCT SQL 300 65.00 76720005 CRYSTALS BODY FLUID 300 165.00 76720007 FAT STAIN FECES URINE 300 81.00 76800105 CELL CNT BODY FLUID 300 269.00 76800125 BLOOD COLL/VENIPNCT 300 65.00 76800155 LEUKOCYTE COUNT FECAL 300 175.00 76900001 BLOOD COLL/CAPILLARY 300 53.00 76900002 BLOOD COLL/VENIPNCT 300 65.00 76900006 SWEAT COLLECTION 300 135.00 76900016 CELL COUNT W DIFF CSF 300 269.00 71439555 SET IV ADMIN GRAVITY FLOW 301 1,331.00 71800001 ABG 301 385.00 71800003 ABG BILIRUBIN 301 84.00 71800004 ABG CHLORIDE 301 165.00 71800007 OXYGEN SATURATION/SPECT 301 157.00 71800009 ABG LACTIC ACID 301 208.00 71800010 ABG IONIZED CALCIUM 301 191.00 71800011 ABG POTASSIUM 301 152.00 71800013 ABG SODIUM 301 145.00 71800021 CBG 301 385.00 71800022 CBG BILIRUBIN 301 84.00 71800023 CBG CHLORIDE 301 165.00 71800026 CBG IONIZED CALCIUM 301 191.00 71800029 CBG POTASSIUM 301 152.00 71800030 CBG SODIUM 301 145.00 71800031 VBG 301 385.00 71800032 VBG BILIRUBIN 301 84.00 71800033 VBG CHLORIDE 301 165.00 71800036 VBG IONIZED CALCIUM 301 191.00 71800037 VBG LACTIC ACID 301 208.00 71800039 VBG POTASSIUM 301 152.00 71800040 VBG SODIUM 301 145.00 71800041 VBG PH 301 86.00 72810064 BILIRUBIN TRANSCUTANEOUS 301 54.00 74200729 VBG 301 385.00 76000002 GLUCOSE POC 301 59.00 76000009 GASTROCCULT 301 49.00 76000010 GASTROCULT PH POC 301 108.00 76000011 OCCLT BLD FECES POC 301 99.00 76000044 HEMOGLOBIN A1C POC 301 166.00 76010002 BASIC METABOLIC PANEL 301 304.00 76010004 COMPREH METABOLIC PNL 301 510.00 76010005 ELECTROLYTE PNL 301 286.00 76010007 HEPATIC FUNCTION PNL 301 358.00 76010008 LIPID PNL 301 405.00 76010009 RENAL FUNCTION PNL 301 332.00 76010010 ACUTE HEPATITIS PNL 301 538.00 76020001 ACETONE, SERUM 301 77.00 76020002 ALBUMIN SERUM 301 110.00 76020003 AMMONIA 301 256.00 76020004 AMYLASE 301 200.00 76020005 BILIRUBIN DIRECT 301 168.00 76020007 BILIRUBIN TOTAL NEONATAL 301 84.00 76020008 BILIRUBIN TOTAL 301 84.00 76020009 CALCIUM TOTAL 301 122.00 76020010 CARBON DIOXIDE 301 73.00 76020011 CHLORIDE, BLOOD 301 165.00 76020012 CHOLESTEROL BLOOD 301 132.00 76020013 CKMB FRACTION ONLY 301 276.00 76020014 CREATINE KINASE (CK) TOT 301 212.00 76020015 CREATININE BLOOD 301 189.00 76020016 CREATININE CLEARANCE 301 179.00 76020017 FERRITIN 301 223.00 76020018 GAMMA GLUTAMYLTRANSFERASE 301 139.00 76020019 IGA 301 108.00 76020020 IGG 301 108.00 76020021 IGM 301 108.00 76020022 GLUCOSE FASTING 301 108.00 76020023 GLUCOSE POST GLUCOSE DOS 301 65.00 76020024 GLUCOSE RANDOM 301 108.00 76020025 IRON 301 88.00 76020026 LACTATE DEHYDROGENASE (LD 301 125.00 76020027 LACTIC ACID 301 208.00 76020028 LIPASE 301 255.00 76020029 MAGNESIUM 301 157.00 76020030 OSMOLALITY BLOOD 301 146.00 76020031 PHOSPHATASE ALKALINE 301 115.00 76020032 PHOSPHORUS INORGANIC BL 301 140.00 76020033 POTASSIUM BLOOD 301 152.00 76020034 PREALBUMIN 301 217.00 76020035 PROTEIN TOTAL 301 81.00 76020036 SODIUM BLOOD 301 145.00 76020038 T3 UPTAKE (TRIDOTHYRONINE 301 176.00 76020039 THYROID STIMULATING HORMO 301 286.00 76020040 THYROXINE TOTAL 301 184.00 76020041 THYROXINE (T4) FREE 301 171.00 76020042 TIBC 301 84.00 76020043 TRANSFERASE ALANINE AMIN 301 159.00 76020044 TRANSFERASE ASPARTATE AM 301 145.00 76020045 TRANSFERRIN 301 142.00 76020046 TRIGLYCERIDE 301 147.00 76020047 TROPONIN QUANT 301 353.00 76020048 UREA NITROGEN QUANT BLOO 301 168.00 76020049 URIC ACID BLOOD 301 153.00 76020057 GONADOTROPIN CHORIONIC Q 301 355.00 76020063 GLYCOHEMOGLOBIN A1C 301 166.00 76020067 EACH ADDITIONAL GLUCOSE 301 38.00 76020068 3 SPECIMEN TOLERANCE 301 67.00 76020074 HIGH DENSITY LIPOPROTEIN 301 76.00 76020075 HCG SERUM PREG QUAL 301 260.00 76020076 NT-PRO BNP 301 401.00 76020077 PROCALCITONIN 301 188.00 76020078 CORTISOL TOTAL 301 257.00 76020079 PTH INTACT (ICMA) 301 515.00 76020080 IGE TOTAL 301 209.00 76020081 CORTISOL ACTH STIM 301 292.00 76020090 ALPHA-FETOPROTEIN SERUM 301 189.00 76020091 CREATININE, ENZYMATIC 301 189.00 76020092 NGAL 301 215.00 76030001 AMIKACIN PEAK 301 163.00 76030002 AMIKACIN RANDOM 301 163.00 76030003 AMIKACIN TROUGH 301 163.00 76030004 CARBAMAZEPINE (TEGRETOL) 301 378.00 76030005 CYCLOSPORINE A 301 249.00 76030006 DIGOXIN 301 274.00 76030007 GENTAMICIN, PEAK 301 420.00 76030008 GENTAMICIN, RANDOM 301 420.00 76030009 GENTAMICIN,TROUGH 301 420.00 76030010 METHOTREXATE 301 149.00 76030011 PHENOBARBITAL 301 326.00 76030012 PHENYTOIN (DILATIN) TOTL 301 321.00 76030015 THEOPHYLLINE- RANDOM 301 215.00 76030016 TOBRAMYCIN PEAK 301 189.00 76030017 TOBRAMYCIN RANDOM 301 189.00 76030018 TOBRAMYCIN TROUGH 301 189.00 76030019 VALPROIC ACID (DEPAKANE) 301 302.00 76030020 VANCOMYCIN- PEAK 301 278.00 76030021 VANCOMYCIN- RANDOM 301 278.00 76030022 VANCOMYCIN- TROUGH 301 278.00 76030023 LITHIUM 301 202.00 76030024 FK506 (TACROLIMUS) 301 232.00 76030026 SIROLIMUS 301 218.00 76030027 PHENYTOIN FREE 301 229.00 76030028 LEVETIRACETAM (KEPPRA) 301 96.00 76040001 ALBUMIN BODY FLUID 301 150.00 76040002 AMYLASE BODY FLUID 301 200.00 76040003 CHLORIDE BODY FLUID 301 64.00 76040004 CHLORIDE SWEAT 301 64.00 76040005 CREATININE BODY FLUID 301 111.00 76040006 GLUCOSE BODY FLUID 301 179.00 76040007 GLUCOSE CSF 301 179.00 76040008 LACTATE DEHYDROGENASE BO 301 125.00 76040009 LACTATE DEHYDROGENASE CS 301 125.00 76040010 LACTIC ACID CSF 301 208.00 76040011 LIPASE BODY FLUID 301 255.00 76040012 POTASSIUM BODY FLUID 301 120.00 76040013 TOTAL PROTEIN FLUID 301 148.00 76040014 PROTEIN CSF 301 148.00 76040015 SODIUM BODY FLUID 301 81.00 76040017 SPECIFIC GRAVITY BODY FL 301 54.00 76040018 TRIGLYCERIDE BODY FLUID 301 147.00 76040019 UREA NITROGEN BODY FLUID 301 168.00 76040020 BILIRUBIN TOTAL FLUID 301 84.00 76040021 BILIRUBIN DIRECT FLUID 301 168.00 76040023 CHOLESTEROL FLUID 301 162.00 76050001 AMYLASE RANDOM URINE 301 200.00 76050002 CALCIUM RANDOM URINE 301 122.00 76050004 CHLORIDE RANDOM URINE 301 131.00 76050005 CREATININE RANDOM URINE 301 111.00 76050007 GLUCOSE RANDOM URINE 301 135.00 76050008 OSMOLALITY URINE 301 136.00 76050009 PHOSPHORUS RANDOM - URINE 301 54.00 76050010 POTASSIUM URINE 301 120.00 76050011 PROTEIN RANDOM URINE 301 127.00 76050013 SODIUM RANDOM URINE 301 127.00 76050014 UREA NITROGEN RANDOM URI 301 133.00 76050016 URIC ACID RANDOM URINE 301 108.00 76050023 TIMED CALCIUM URINE 301 51.00 76050024 CREATININE TIMED URINE 301 111.00 76050025 PROTEIN TIMED URINE 301 127.00 76050026 URIC ACID TIMED URINE 301 108.00 76050027 TIMED PHOSPHORUS URINE 301 54.00 76050031 UREA NITROGEN TIMED URIN 301 133.00 76050036 AMYLASE URINE TIME 301 200.00 76050038 AMYLASE URINE 2HR 301 200.00 76050039 MAGNESIUM URINE RANDOM 301 157.00 76050040 MAGNESIUM URINE TIMED 301 157.00 76060001 ACETAMINOPHEN 301 302.00 76060007 ETHANOL QUANT (BLOOD ALC 301 189.00 76060012 SALICYLAT 301 124.00 76060016 ACETAMINOPHEN/SALICYLATE 301 421.00 76060017 URINE DRUG SCREEN-INHOUSE 301 255.00 76060021 DEFINITIVE DRUG TEST 1-7 301 617.00 76060023 DEFINITIVE DRUG TEST 15-1 301 617.00 76060090 GEN HEALTH PANEL 301 387.00 76080001 ABG 301 385.00 76080002 CBG 301 385.00 76080003 VBG 301 385.00 76080004 ABG SODIUM 301 145.00 76080005 ABG POTASSIUM 301 152.00 76080006 ABG CHLORIDE 301 165.00 76080008 ABG LACTIC ACID 301 208.00 76080009 ABG BILIRUBIN 301 84.00 76080010 ABG IONIZED CALCIUM 301 191.00 76080012 ABG HEMOGLOBIN F 301 54.00 76080013 ABG HGB METHEMOGLOBIN 301 103.00 76080014 CBG SODIUM 301 145.00 76080015 CBG POTASSIUM 301 152.00 76080016 CBG CHLORIDE 301 165.00 76080017 CBG LACTIC ACID 301 208.00 76080018 CBG BILIRUBIN 301 84.00 76080019 CBG IONIZED CALCIUM 301 191.00 76080021 CBG HEMOGLOBIN F 301 54.00 76080022 CBG METHEMOGLOBIN 301 103.00 76080023 VBG SODIUM 301 145.00 76080024 VBG POTASSIUM 301 152.00 76080025 VBG CHLORIDE 301 165.00 76080026 VBG LACTIC ACID 301 208.00 76080027 VBG BILIRUBIN 301 84.00 76080028 VBG IONIZED CALCIUM 301 191.00 76080030 VBG HEMOGLOBIN F 301 54.00 76080031 VBG METHEMOGLOBIN 301 103.00 76080035 BG CREATININE POC 301 189.00 76080050 BLOOD PH 301 86.00 76110029 HEMOGLOBIN PLASMA 301 103.00 76130001 APT TEST FETAL HEMOGLOB 301 70.00 76200070 OCCULT BLOOD OTHER SOURCE 301 49.00 76200071 OCCULT BLOOD SCRN FECES 301 99.00 76500008 REDUCING SUBSTANCES STOO 301 54.00 76600001 RENAL STONE ANAYLSIS 301 107.00 76600059 STONE ANALYSIS 301 107.00 76610000 ACUTE HEPATITIS PNL 301 453.00 76610001 ACTH(ADRENOCORTICOTROPIC 301 334.00 76610002 ALDOLASE 301 108.00 76610003 ALDOSTERONE 301 167.00 76610004 ALPHA-1 ANTITRYPSIN 301 121.00 76610006 ALPHA-FETOPROTEIN TUMOR 301 189.00 76610007 ALUMINUM 301 324.00 76610008 AMINO ACID QUAL MULTIP 301 135.00 76610009 AMINO ACID QUANT URINE 301 108.00 76610010 AMINO ACID QUANT PLASMA 301 108.00 76610011 AMINOLEVULINIC ACID URINE 301 81.00 76610012 AMIODARONE 301 149.00 76610013 ANGIOTENSIN I CONVERTING 301 87.00 76610014 APOLIPOPROTEIN 301 81.00 76610016 ACETONE, QUANTITATIVE 301 174.00 76610017 BETA HYDROXYBUTYRIC ACID 301 174.00 76610018 BILE ACIDS TOTAL 301 135.00 76610019 CALPROTECTIN, STOOL 301 135.00 76610021 C-PEPTIDE 301 108.00 76610022 VITAMIN D 25-OH 301 270.00 76610023 CALCITONIN 301 135.00 76610024 CARCINOEMBRYONIC ANTIGEN 301 317.00 76610025 CARNITINE FREE AND TOTAL 301 243.00 76610027 CARNITINE TOTAL/FREE 301 243.00 76610029 CATECHOLAMINES BLOOD FRAC 301 119.00 76610030 CATECHOLAMINES FRACTIONA 301 108.00 76610031 CERULOPLASMIN 301 91.00 76610032 CHLORIDE OTHER SOURCE (S 301 64.00 76610033 CHOLINESTERASE 301 54.00 76610034 CHOLINESTERINASE-RBC 301 54.00 76610035 CITRATE URINE 301 108.00 76610036 CLONOPIN (CLONAZEPAM) 301 65.00 76610037 COPPER SERUM 301 108.00 76610038 COPPER URINE 301 108.00 76610039 CORTISOL ACTH STIMULATIO 301 216.00 76610040 CORTISOL URINE 301 189.00 76610041 CORTISOL TOTAL SERUM 301 223.00 76610042 CRYOGLOBULIN QUAL 301 59.00 76610043 CREATININE URINE 301 82.00 76610044 CYSTINE QUANT URINE 301 135.00 76610045 DHEA (DEHYDROEPIANDROSTER 301 119.00 76610046 DHEA SULFATE 301 81.00 76610048 HEMOGLOBIN VARIANTS HPLC 301 174.00 76610049 ELECTROPHOR PROTEIN SERUM 301 135.00 76610053 ERYTHROPOEITIN 301 103.00 76610054 ESTRADIOL 301 135.00 76610056 ETHYLENE GLYCOL 301 162.00 76610057 FATS OR LIPIDS QUANT FEC 301 92.00 76610058 CAP ELECTROPHORESIS 301 65.00 76610059 FOLIC ACID SERUM 301 194.00 76610060 FOLIC ACID RBC 301 86.00 76610061 FOLLICLE STIMULATING HORM 301 92.00 76610062 G-6-PD QUANTITATIVE 301 54.00 76610063 IGE 301 209.00 76610064 GASTRIN 301 86.00 76610065 ANTI-GLIADIN IgA 301 159.00 76610066 ANTI-GLIADIN IgG 301 159.00 76610067 HCG TOTAL CSF 301 338.00 76610068 hCG QUANTITATIVE ONCO 301 338.00 76610069 GLIADIN PEPTIDE AB IGA 301 146.00 76610070 GLIADIN PEPTIDE AB IGG 301 146.00 76610071 HEMOGLOBIN S 301 174.00 76610072 ARSENIC SCRN 301 108.00 76610073 HEAVY METAL SCRN ARSENIC 301 108.00 76610074 HEAVY METAL LEAD,BLOOD 301 70.00 76610075 HEAVY METAL LEAD, URINE 301 70.00 76610076 HEAVY METAL MERCURY,BLOOD 301 81.00 76610077 HEAVY METAL MERCURY,URINE 301 81.00 76610079 HOMOCYSTEINE SERUM 301 213.00 76610080 HOMOVANILLIC ACID (HVA) 301 108.00 76610081 HUMAN GROWTH HORMONE (HGH 301 225.00 76610082 HYDROXYINDOLACETIC ACID ( 301 70.00 76610083 17-HYDROXYPROGESTERONE 301 130.00 76610084 IGF BIND PROTEIN (BP3) AB 301 274.00 76610087 INSULIN SERUM 301 59.00 76610088 LEAD BLOOD 301 70.00 76610089 LH 3RD GENERATION 301 92.00 76610090 LUTEINIZING HORMONE 301 92.00 76610091 MEPERIDINE (DEMEROL) 301 146.00 76610092 METANEPHRINES PLASMA 301 174.00 76610093 METHANOL (VOLATILE) 301 108.00 76610094 MICROALBUMIN URINE 301 78.00 76610095 MYELIN BASIC PROTEIN CSF 301 162.00 76610096 MYOGLOBIN QUANT URINE 301 108.00 76610097 MYOGLOBIN QUANT 301 108.00 76610098 OLIGOCLONAL BANDS 301 143.00 76610099 ORGANIC ACIDS QUANT 301 108.00 76610105 PH STOOL 301 108.00 76610106 NB METABOLIC SCRN 1ST SP 301 149.00 76610108 OXCARBAZEPINE METABOLITE 301 162.00 76610109 PORPHOBILINOGEN QUAL 301 54.00 76610110 PORPHYRINS FRACTION-URIN 301 81.00 76610112 POTASSIUM STOOL 301 162.00 76610113 PROGESTERONE 301 108.00 76610114 PROLACTIN 301 225.00 76610115 PYRUVATE 301 92.00 76610116 RENIN 301 136.00 76610117 SODIUM STOOL 301 81.00 76610119 PORPHYRINS FRACT 24H UR 301 81.00 76610120 T3 FREE (TRIDOTHYRONINE 301 81.00 76610121 TESTOSTERONE TOTAL 301 206.00 76610122 TESTOSTERONE FREE 301 169.00 76610123 THIOCYANATE 301 108.00 76610124 THYROGLOBULIN 301 189.00 76610125 THYROXINE BINDING GLOBULI 301 135.00 76610126 VANILLYLMANDELIC (VMA) U 301 97.00 76610127 VASOACTIVE INTESTINAL PEP 301 162.00 76610128 VITAMIN A (RETINOL) LEVE 301 81.00 76610129 VITAMIN B-12 LEVEL 301 211.00 76610130 VITAMIN C LEVEL 301 49.00 76610131 VITAMIN D 125 DIHYDROXY 301 135.00 76610132 VITAMIN K 301 140.00 76610134 ZINC BLOOD 301 108.00 76610135 ZINC URINE 301 108.00 76610141 5-NUCLEOTIDASE 301 70.00 76610142 ALDOSTERONE TIMED URINE 301 167.00 76610144 CATACHOLAMINES RANDOM UR 301 108.00 76610145 VITAMIN E (TOCOPHEROL ALP 301 92.00 76610146 SUBCLASS IGG1 301 54.00 76610147 SUBCLASS IGG2 301 54.00 76610148 SUBCLASS IGG3 301 54.00 76610149 SUBCLASS IGG4 301 54.00 76610150 TOTAL IGG 301 108.00 76610151 METANEPHRINES URINE 301 174.00 76610152 METANEPHRINES TIMED URIN 301 174.00 76610154 MICROALBUMIN RANDOM URIN 301 78.00 76610157 A-1-ANTITRYPSIN PHENO 301 81.00 76610158 NB METABOLIC SCRN 2ND SP 301 243.00 76610167 PROPERDIN FACTOR B (C3 PR 301 70.00 76610172 ESTRADIOL FREE 301 135.00 76610180 IGF-1 (SOMATOMEDIN-C) 301 97.00 76610186 ALK PHOS TOTAL 301 107.00 76610187 ALK PHOS ISOENZYMES 301 76.00 76610189 IGG CSF 301 108.00 76610190 ACID ELECTROPHORESIS 301 65.00 76610191 ALK ELECTROPHORESIS 301 65.00 76610194 IGM CSF 301 108.00 76610195 IGA CSF 301 108.00 76610196 IGM SERUM 301 108.00 76610197 IGA SERUM 301 108.00 76610200 LD ISOENZYMES 301 70.00 76610202 LIPOPROTEIN BLOOD 301 108.00 76610204 METHYLMALONIC ACID SERUM 301 108.00 76610208 PROTEIN ELECTROPHORESISC 301 162.00 76610209 KAPPA/LAMBDA CHAINS 301 70.00 76610213 INTACT PTH (ICMA) 301 394.00 76610217 T3 TOTAL 301 45.00 76610219 T4 FREE DIRECT DIALYSIS 301 170.00 76610221 ACETONE VOLATILE SCN 301 108.00 76610223 ISOPROPANOL VOLATILE SCN 301 108.00 76610224 AMYLASE ISOENZYMES 301 200.00 76610226 HEAVY METAL LEAD 301 70.00 76610227 HEAVY METAL MERCURY 301 92.00 76610228 ZINC TIMED URINE 301 108.00 76610231 CALCIUM TOTAL 301 90.00 76610233 IGG SERUM 301 108.00 76610234 ALBUMIN SERUM 301 105.00 76610235 AMYLASE TOTAL 301 200.00 76610237 11-DEOXYCORTISOL SERUM 301 146.00 76610238 ANDROSTENEDIONE 301 146.00 76610241 PROTEIN TOTAL SERUM 301 81.00 76610242 LD TOTAL 301 110.00 76610243 CHOLESTEROL SERUM 301 132.00 76610244 TRYGLYCERIDES 301 137.00 76610245 PROTEIN TOTAL URINE 301 94.00 76610246 PORPHOBILINOGEN QUANT 301 54.00 76610250 T4 TOTAL 301 184.00 76610252 CORTISOL, FREE 301 189.00 76610254 LIPOPROTEIN (A) 301 162.00 76610256 CYCLOSPORINE A BY HPLC 301 241.00 76610257 PANCREATIC ELASTASE FECAL 301 146.00 76610258 LYSOMAL ENZYME SCRN 301 119.00 76610259 SIROLIMUS (RAPAMYCIN) LEV 301 218.00 76610274 LACTASE 301 114.00 76610275 SUCRASE 301 114.00 76610276 MALTASE 301 114.00 76610277 PALATINASE 301 114.00 76610278 CELIAC PANEL TTG AB IGA 301 146.00 76610279 CELIAC PANEL IGA 301 108.00 76610281 LAMOTRIGINE 301 70.00 76610282 A 1 ANTITRYPSIN STOOL 301 121.00 76610283 RUFINAMIDE 301 149.00 76610284 VMA, RANDOM URINE 301 97.00 76610285 LACTASE 301 119.00 76610286 SUCRASE 301 119.00 76610287 MALTASE 301 119.00 76610288 PALATINASE 301 119.00 76610289 OXCARBAZEPINE METABOLITE 301 70.00 76610290 PANCREATIC ELASTASE 301 159.00 76610291 AMIKACIN 301 121.00 76610292 FREE T3 DIALYSIS 301 81.00 76610293 TESTOSTERONE FREE 301 108.00 76610294 ACYLGLYCINES QN URINE 301 210.00 76610295 17-HYDROXYPREGNENOLONE 301 135.00 76610296 LIPID ASSOC SIALIC ACID 301 162.00 76610297 PROTEIN TOT REFRACT 301 54.00 76610298 TRYPTASE 301 159.00 76610299 ARSENIC FRACTIONATED UR 301 108.00 76610300 HAPTOGLOBIN 301 171.00 76610301 ACYLCARNITINE PLASMA 301 81.00 76610302 SELENIUM 301 270.00 76610306 MYCOPHENOLIC ACID LEVEL 301 86.00 76610307 TOPIRAMATE LEVEL 301 70.00 76610308 THYROID STIMULATING IG 301 243.00 76610310 CHROMUIM PLASMA 301 108.00 76610311 MANGANESE SERUM/PLASMA 301 135.00 76610312 HVA RANDOM URINE 301 108.00 76610313 AMINO ACIDS CSF 301 108.00 76610314 LACTATE CSF 301 198.00 76610315 5METHYLTETRAHYDROFOL CSF 301 367.00 76610316 NEOPTERIN CSF 301 367.00 76610317 NEOPT/TETRAHYDROBIOP CSF 301 367.00 76610318 NEUROTRANSMITTER MET CSF 301 367.00 76610319 PYRIDOXYL 5-PHOS CSF 301 367.00 76610320 PYRUVATE CSF 301 92.00 76610321 IMMUNOGLOBULIN CRYOPRECIP 301 108.00 76610323 IMMUNOASSAY PEPSIN A 301 146.00 76610324 PH BODY FLUID 301 108.00 76610325 PROTEIN TOTQL OTHER SRCE 301 141.00 76610326 TACROLIMUS, MAYO 301 227.00 76610327 SUCCINYLACETONE 301 108.00 76610328 SUCCINYLADENOSINE CSF 301 367.00 76610329 SIALIC ACID CSF 301 162.00 76610330 A AMINADIPIC S ALDEH CSF 301 210.00 76610331 4 OH BUTYRIC ACID CSF 301 210.00 76610332 PROPYLENE GLYCOL 301 108.00 76610333 TRICYCLIC, TOTAL 301 189.00 76610334 DIGOXIN, FREE 301 378.00 76610335 BETA BLOCKER SCREEN 301 210.00 76610337 ADENOSINE DEAMINASE, RBC 301 114.00 76610338 RETINOL BINDING PROTEIN 301 70.00 76610340 EVEROLIMUS BY HPLC-MS/MS 301 81.00 76610341 ZONISAMIDE QUANT 301 70.00 76610342 COENZYME Q10, TOTAL 301 367.00 76610343 ARGININE VASOPRESSIN 301 162.00 76610344 METANEPHRINES FREE PLAS 301 174.00 76610345 VL/BR CHAIN FATTY ACIDS 301 108.00 76610346 CELIAC DUAL AG SCREEN 301 146.00 76610347 ELAFIN SERUM 301 159.00 76610348 HEPATOCYTE GROWTH FACTOR 301 159.00 76610349 REGEN ISLET-DERIVED 3ALP 301 159.00 76610350 PLASMALOGEN 301 367.00 76610351 OSTEOCALCIN BY ECIA 301 178.00 76610352 LACOSAMIDE LEVEL 301 189.00 76610353 N-TELOPEPTIDE, URINE 301 86.00 76610355 VITAMIN B1, PLASMA 301 114.00 76610356 CLOBAZAM, SERUM/PLASMA 301 189.00 76610357 VITAMIN B2 301 107.00 76610358 VITAMIN B6 301 122.00 76610360 PTH RELATED PROTEIN 301 210.00 76610361 MITOTANE 301 434.00 76610362 ANTI-MULLERIAN 301 230.00 76610364 INHIBIN B 301 289.00 76610365 CYTOKINE 301 144.00 76610366 INTERLEUKIN 6 301 275.00 76610367 CREATINE, BLOOD 301 375.00 76610368 CREATINE, URINE 301 375.00 76610369 T3 REVERSE 301 78.00 76610370 FELBAMNATE 301 189.00 76610371 5A-DIHYDROTESTOSTERONE 301 210.00 76610372 DIGOXIN 301 274.00 76610373 THEOPHYLLINE 301 215.00 76610374 TRANSFERRIN 301 130.00 76610375 BETA-2-MICROGLOBULIN UR 301 49.00 76610376 FATTY ACID PRO ESSENTIAL 301 1,291.00 76630001 BARBBITURATE QUANTITATION 301 81.00 76630007 DRUG SCREEN MECONIUM 301 238.00 76630009 PHENCYCLIDINE CONFIRMATIO 301 108.00 76630012 DRUG SCREEN, UR SO(CLA) 301 130.00 76630036 PROCAINAMIDE W/NAPA 301 200.00 76630038 DEFIN DRUG 1-7 S/O MC 301 617.00 76640003 ANTIPARIETAL CELL AB 301 146.00 76640004 ANTI-GBM 301 159.00 76640041 STOOL FAT QUALITATIVE 301 38.00 76640148 ANTI-HISTONE SEMI-QUAL 301 146.00 76640177 ANTI-TTG AB (IgG) 301 146.00 76640178 ANTI-TTG AB (IgA) 301 146.00 76640180 IMMUNOASSAY QUANT IBD 301 159.00 76640181 IMMUNOASSAY QNT INFLXM 301 159.00 76640183 INFLIXIMAB LEVEL 301 159.00 76640193 NEOPTERIN 301 274.00 76640201 IBD SGI CHEMILUM ASY 301 81.00 76640212 FUNGITELL 301 114.00 76640219 F-ACTIN AB IGG (SM MUSC) 301 146.00 76640226 MYELOPEROXIDASE AB 301 146.00 76640227 SERINE PROTEASE 3 AB 301 146.00 76640233 GLOMERULAR BAS MEM IGG 301 146.00 76640234 IGF BINDING PROTEIN 3 301 81.00 76640240 ACETYLCHOLINE BINDING AB 301 274.00 76640242 IL-2 RECEPTOR SOLUBLE 301 159.00 76640250 AQUAPORIN 4 RECEPTOR AB 301 146.00 76640251 CDT-DIS OF GLYCOSYLATION 301 270.00 76640252 CYSTATIN C 301 86.00 76640253 VGKC ANTIBODY 301 274.00 76640259 21-HYDROXYLASE AB 301 274.00 76640262 ACHR GANGLNEURONAL AB 301 274.00 76640263 CALCIUM CHANEEL AB 301 274.00 76640665 ANTI-GAD 65 301 274.00 76640666 GAD-65 AB 301 146.00 76670005 NEUT FUNC OXIDATIVE BRST 301 119.00 76670006 MPO ACTIVITY STIMULATED 301 119.00 76670011 HEXOKINASE B 301 119.00 76670012 HGB ELECTROPHORESIS 301 65.00 76670013 HGB A2 AND F 301 174.00 76670014 HGB STABILITY 301 117.00 76670015 GLUC PHOS ISOMERASE 301 148.00 76670016 PYRUVATE KINASE 301 167.00 76690003 CAFFEINE 301 67.00 76690004 CLOMIPRAMINE 301 162.00 76690005 CLOMIPRAMINE METABOLITE 301 149.00 76690007 DESIPARAMINE (NORPRAMINE) 301 65.00 76690009 FLUCONAZOLE 301 149.00 76690011 FLECAINIDE (TAMBOCOR 301 149.00 76690012 IMIPRAMINE (TOFRANIL) 301 65.00 76690013 LIDOCAINE 301 55.00 76690015 NORTRIPTYLINE (PAMELOR, A 301 65.00 76690016 PHENYTOIN (DILANTIN) FREE 301 229.00 76690017 METHADONE 301 297.00 76690018 VORICONAZOLE LEVEL 301 149.00 76690020 ITRACONAZOLE 301 367.00 76690021 PHENYTOIN TOTAL 301 281.00 76690025 POSACONAZOLE 301 149.00 76690027 METHOTREXATE, SENSITIVE 301 149.00 76800014 GLUCOSE 301 24.00 76800015 POTASSIUM 301 24.00 76800016 SODIUM 301 145.00 76800017 BLD UREA NITROGEN 301 168.00 76800021 CO2 301 54.00 76800022 CHLORIDE 301 165.00 76800023 CREATININE 301 189.00 76800024 GLUCOSE 301 15.00 76800025 POTASSIUM 301 152.00 76800026 SODIUM 301 145.00 76800027 BLD UREA NITROGEN 301 168.00 76800029 BILIRUBIN TOTAL 301 78.00 76800030 ALKALINE PHOS 301 107.00 76800031 PROTEIN TOTAL 301 81.00 76800032 ALT 301 15.00 76800033 AST 301 15.00 76800050 CHOLESTEROL 301 132.00 76800051 HDL 301 76.00 76800052 TRIGLYCERIDES 301 147.00 76800053 LIPID PANEL 301 405.00 76800064 GLUCOSE 301 30.00 76800065 POTASSIUM 301 30.00 76800066 SODIUM 301 145.00 76800067 BLD UREA NITROGEN 301 168.00 76800069 PHOSPHORUS 301 126.00 76800100 ALUMINUM 301 324.00 76800101 AMYLASE 301 200.00 76800102 CALCIUM 301 122.00 76800103 CARNITINE 301 243.00 76800106 CORTISOL 301 257.00 76800107 C-REACTIBE PROTEIN 301 140.00 76800109 FERRITIN 301 223.00 76800113 LIPASE 301 255.00 76800114 MAGNESIUM 301 157.00 76800116 POTASSIUM 301 152.00 76800120 THYROID STIM HORMONE 301 286.00 76800121 THYROXINE 301 184.00 76800122 TRIGLYCERIDES 301 147.00 76800124 URINE UREA NITROGEN 301 133.00 76800126 VIT D 301 270.00 76800127 IRON 301 88.00 76800128 TIBC 301 84.00 76800129 PTH 301 515.00 76800130 CALCIUM (W/PTH) 301 122.00 76800131 UREA NIT (024 HR) 301 168.00 76800132 UR CREAT (024 HR) 301 111.00 76800134 UREA NIT (ON 24HR) 301 168.00 76800135 UR CREAT (ON 24HR) 301 111.00 76800136 GLUCOSE (ON 24HR) 301 179.00 76800137 UR UREA NIT (W/CREAT) 301 133.00 76800138 UR CREAT (W/UUN) 301 111.00 76800139 VIT B12 301 232.00 76800140 FOLATE 301 198.00 76800141 CREATININE CLEARANCE 301 179.00 76800142 URINE PROT (W/CR CL) 301 127.00 76800146 ALBUMIN 301 110.00 76800147 CHOLESTEROL 301 132.00 76800152 PROTEIN TOTAL URINE 301 127.00 76800154 URIC ACID BLD 301 153.00 76800158 LACTATE(LD)(LDH) ENZYME 301 125.00 76800159 HAPTOGLOBIN QUANT 301 176.00 76800160 ZINC 301 108.00 76800163 FREE THYROXINE 301 171.00 76800166 SELENIUM ASSAY 301 270.00 76800170 RIA ANTIBODY 301 274.00 76900004 H PYLORI DRUG ADMIN 301 70.00 76900005 H PYLORI UREASE ACT BRETH 301 437.00 71870011 TB TEST PPD 302 54.00 71910027 TB TEST PPD 302 54.00 72700102 TB TEST PPD 302 54.00 76000014 HIV I/II RAPID, POC 302 116.00 76020058 COMPLEMENT C3 302 155.00 76020059 COMPLEMENT C4 302 155.00 76020061 C-REACTIVE PROTEIN 302 140.00 76020082 HEPATITIS A AB IGM 302 125.00 76020083 HEPATITIS B CORE AB IGM 302 174.00 76020085 HEPATITIS B SURF AB 302 161.00 76020086 HEPATITIS C AB 302 135.00 76020088 HIV ANTIBODY I/II 302 116.00 76130076 B CELLS TOTAL COUNT 302 194.00 76130077 MONO CELL AG FLOW NOS 302 108.00 76130079 NK CELLS TOTAL COUNT 302 194.00 76130080 T CELLS TOTAL COUNT 302 282.00 76130081 CD4/CD8 ABSOLUTE COUNT 302 259.00 76130085 CD34 TOTAL COUNT 302 343.00 76200001 ANTINUCLEAR AB (A 302 127.00 76200002 ANTINUCLEAR AB TITE 302 189.00 76200003 ANTISTREPTOLYSIN O SCREE 302 76.00 76200004 ANTISTREPTOLYSIN O TITER 302 92.00 76200007 COCCIDIODES AB IGG 302 135.00 76200008 COCCIDIOIDES AB IGM 302 135.00 76200011 DNA ANTIBODY DBL STR 302 107.00 76200014 HETEROPHILE SCRN (MONOS 302 189.00 76200016 MYCOPLASMA IGM 302 108.00 76200017 RHEUMATOID FACTOR QUANT 302 167.00 76200021 RUBELLA IMMUNE SCRN IG 302 109.00 76200025 MUMPS IMMUNE SCREEN 302 81.00 76200030 RHEUMATOID FACTOR QUAL 302 208.00 76200031 RUBEOLA IMMUNE SCRN IG 302 81.00 76200033 CYTOMEGALOVIRUS ANTIBODY 302 108.00 76200066 EPSTEIN-BARR VCA 302 96.00 76200067 EPSTEIN-BARR EARLY AG 302 92.00 76200068 EPSTEIN-BARR NUCLEAR AG 302 92.00 76410001 AB SCRN ABSORBED SAMPL 302 216.00 76410002 AB SCRN ELUATE 302 216.00 76410003 AB SCRN PREWARM TECHNI 302 216.00 76410004 PRETX RBC W/ABSRPTN 302 189.00 76410005 AB ID ELUATE 302 376.00 76410006 AB ID ENZYME TREAT 302 376.00 76410008 AB ID INCUBATION T 302 376.00 76410009 AB ID IMMEDIATE SP 302 376.00 76410010 AB SCRN COLD TEC 302 216.00 76410011 AB SCRN ENZYME T 302 216.00 76410012 AB SCRN AHG 302 216.00 76410013 AB SCRN INCUBATI 302 216.00 76410042 AB ID COLD TECHNIQ 302 376.00 76410044 PLATELET AB SCRN 302 289.00 76410066 PRE ANTIBODY SCRN 302 216.00 76410067 POST AB SCRN 302 216.00 76410081 AB SCN PREWARM 302 216.00 76410083 TRANSFUSN RXN INTERP 302 189.00 76410084 PATH RVW RPT BBK 302 189.00 76410085 PATH AUTH SOP DEVIATION 302 189.00 76490004 CMV SCRN DONOR UNIT S/O 302 145.00 76490005 PLT CRSS MTCH S/O 302 289.00 76600090 B CELLS, TOTAL COUNT 302 194.00 76600092 T CELLS, TOTAL COUNT 302 280.00 76600093 ABSOLUTTE CD4/CD8 CT 302 219.00 76600094 MONONUCLEAR CELL AG, EA 302 643.00 76600113 HLA ANTIBODY SCREEN 302 310.00 76600119 HLA AB ID CLASS 1 302 881.00 76600120 HLA AB IS CLASS 2 302 818.00 76600125 CD34 TOTAL COUNT BSL 302 254.00 76600132 NK TOTAL COUNT 302 932.00 76600133 NK FUNCTION 302 648.00 76600135 SC5b-9 LEVEL 302 341.00 76610026 CA 19-9 SERUM 302 108.00 76610168 C1Q COMPONENT 302 115.00 76610239 C3 COMPLEMENT 302 115.00 76610240 C4 COMPLEMENT 302 115.00 76610280 ENDOMYSIAL AB SCN IGA 302 130.00 76610303 SERATONIN RELEASE ASSAY 302 289.00 76610305 HEPARIN INDUCD PLATELT AB 302 289.00 76610309 LIVER KIDNEY MICROSOME AB 302 97.00 76610322 ENDOMYSIAL AB IGA 302 338.00 76610339 LYMPHOCYTE AG/MITOGEN PN 302 236.00 76610363 INHIBIN A 302 90.00 76640001 ADENOVIRUS AB 302 54.00 76640002 E. HISTOLYTICA AB 302 92.00 76640005 THYROID PEROXIDASE AB 302 97.00 76640007 CYCLIC CIT PEPTIDE AB 302 81.00 76640008 CARDIOLIPIN AB SCREEN 302 180.00 76640009 ANTI-SMOOTH MUSCLE AB (IF 302 130.00 76640010 ANTI-SM/RNP 302 113.00 76640012 C1 ESTERASE INHIBITOR FU 302 135.00 76640013 C1 ESTERASE INHIBITOR 302 115.00 76640014 CIQ IMMUNE COMPLEX 302 162.00 76640015 CA-125 302 193.00 76640016 CANDIDA AB 302 70.00 76640017 CARDIOLIPIN AB IGA 302 180.00 76640018 CARDIOLIPIN AB IGG 302 180.00 76640019 CARDIOLIPIN AB IGM 302 180.00 76640020 CHLAMYDIA PNEUMONIAE IGG 302 70.00 76640021 CHLAMYDIA PNEUMONIAE IGM 302 70.00 76640022 CHLAMYDIA PSITTACI IGG 302 70.00 76640023 CHLAMYDIA PSITTACI IGM 302 70.00 76640024 CHLAMYDIA TRACHOMATIS IGG 302 70.00 76640025 CHLAMYDIA TRACHOMATIS IGM 302 70.00 76640026 COCCI COMP FIXATION UC 302 135.00 76640028 COMPLEMENT C5 302 115.00 76640029 COMPLEMENT TOTAL EIA 302 151.00 76640030 COMPLEMENT C2 302 115.00 76640033 CYTOMEGALOVIRUS IGM AB 302 92.00 76640034 DIPTHERIA ANTITOXIN AB 302 92.00 76640036 AB TO ENA ANTI SM 302 113.00 76640037 EPSTEIN-BARR EARLY ANTIGE 302 92.00 76640038 EPSTEIN-BARR NUCLEAR ANTI 302 92.00 76640039 EPSTEIN-BARR VCA IGG 302 92.00 76640040 EPSTEIN-BARR VCA IGM 302 92.00 76640042 HEPATITIS A IGG& IGM (TO 302 81.00 76640043 HEPATITIS A IGM 302 125.00 76640044 HEPATITIS B CORE AB TOTA 302 108.00 76640045 HEPATITIS B CORE AB IGM 302 174.00 76640046 HEPATITIS B SURFACE AB 302 135.00 76640049 HEPATITIS C AB 302 135.00 76640055 HELICOBACTER PYLORI AB 302 81.00 76640056 HLA-B27 302 151.00 76640057 HUMAN PARVOVIRUS B19 IGG 302 81.00 76640058 HUMAN PARVOVIRUS B19 IGM 302 81.00 76640059 IMMUNOFIXATION SERUM 302 216.00 76640060 INSULIN ANTIBODY 302 135.00 76640061 ISLET CELL AB 302 108.00 76640062 LYME DISEASE IGG 302 56.00 76640063 LYME DISEASE IGM 302 56.00 76640064 MUMPS AB 302 81.00 76640065 RNP ANTIBODY 302 113.00 76640067 IA-2 ANTIBODY 302 108.00 76640068 C3d CIRC IMMUNE CMPLX 302 162.00 76640069 SCLERODERMA AB (SCL-70) 302 113.00 76640070 SJOGREN'S AB SS-A/RO 302 113.00 76640071 SJOGREN'S AB SS-B/LA 302 113.00 76640072 TETANUS ANTITOXOID AB 302 103.00 76640073 THYROGLOBULIN ANTIBODY 302 70.00 76640074 TOXOPLASMA AB IGG 302 81.00 76640075 TOXOPLASMA AB IGM 302 81.00 76640077 VDRL CSF 302 108.00 76640078 HIV-1HIV-2 ANTIBODY SCRN 302 86.00 76640079 CHLAMYDIA PNEUMONIAE IGA 302 70.00 76640080 CHLAMYDIA PSITTACI IGA 302 70.00 76640081 CHLAMYDIA TRACHOMATIS IGA 302 70.00 76640085 IMMUNOFIXATION URINE 302 189.00 76640087 A. NIGER AB SERUM 302 98.00 76640088 A. FUMIGATUS AB SERUM 302 98.00 76640089 A. FLAVUS AB SERUM 302 98.00 76640091 CYTOMEGALOVIRUS IGG 302 108.00 76640095 ANTIPROTEINASE-3 AB 302 149.00 76640096 ANTIMYELOPEROXIDASE AB 302 149.00 76640106 BRUCELLA AB 302 70.00 76640111 BLASTOMYCES AB ID CSF 302 70.00 76640112 COCCIDIOIDES AB CSF 302 135.00 76640113 COCCIDIOIDES AB ID CSF 302 135.00 76640115 HISTOPLASMA AB ID CSF 302 82.00 76640118 BLASTOMYCES AB ID SERUM 302 70.00 76640119 COCCIDIOIDES AB ID SERUM 302 135.00 76640120 CRYPTOCOCCUS AB SERUM 302 108.00 76640121 HISTOPLASMA AB ID SERUM 302 82.00 76640123 HISTOPLASMA AB YEAST SE 302 82.00 76640124 HISTOPLASMA AB MYCEL SE 302 82.00 76640125 COCCIDIOIDES AB EIA SER 302 135.00 76640126 COCCIDIOIDES AB CF 302 135.00 76640131 HEPATITIS BE AB 302 81.00 76640135 HSV AB IGM 302 73.00 76640137 HIV-1 AB WESTERN BLOT 302 135.00 76640140 PARAINFLUENZA V TYPE 1 AN 302 70.00 76640141 PARAINFLUENZA V TYPE 2 AN 302 70.00 76640142 PARAINFLUENZA V TYPE 3 AN 302 70.00 76640144 INFLUENZA ANTIBODY 302 108.00 76640145 INFLUENZA ANTIBODY TYPE 302 108.00 76640147 ANTI-SS DNA AB 302 108.00 76640152 ANTI-STRIATED MUSCLE AB 302 130.00 76640156 RUBEOLA ANTIBODY IGG 302 81.00 76640157 RUBEOLA ANTIBODY IGM 302 81.00 76640159 RUBELLA ANTIBODY IGM 302 81.00 76640166 HERPES ANTIBODY TYPE I 302 70.00 76640167 HERPES ANTIBODY TYPE II 302 108.00 76640168 ANA 302 127.00 76640170 CRP 302 126.00 76640171 RUBELLA AB IGG 302 81.00 76640172 ANTICENTROMERE AB 302 127.00 76640174 RPR RAPID PLASMA REAGIN 302 108.00 76640175 SALMONELLA O/H AB 302 81.00 76640179 NEUTROPHIL AB 302 149.00 76640189 DNASE-B AB 302 81.00 76640190 ANCA SCRN 302 149.00 76640191 PLATELET AB DIRECT IGG 302 103.00 76640192 PLATELET AB INDIRECT S/O 302 289.00 76640196 QUANTIFERON TB GOLD 302 286.00 76640202 IBD SGI CRP 302 126.00 76640208 HSV IGM TYPE 1 302 70.00 76640209 HSV IGM TYPE 2 302 108.00 76640213 NMDA REC AB IGG CSF 302 130.00 76640214 NMDA REC AB IGG SER 302 130.00 76640215 HSV1 IGM TITER 302 70.00 76640216 HSV2 IGM TITER 302 108.00 76640217 BRUCELLA AB TITER 302 70.00 76640218 RPR TITER 302 54.00 76640221 IBD S CEREVISIAE IGG 302 70.00 76640222 IBD S CEREVISIAE IGA 302 70.00 76640223 IBD ATYPICAL ANCA 302 130.00 76640224 TOXOPLASMA AB IGG 302 70.00 76640225 ANCA TITER 302 338.00 76640228 ANTI-NEUTROPHIL CYTO IGG 302 130.00 76640229 PLATELET AB DIRECT IGM 302 103.00 76640230 ASPERGILLUS SPP ABS 302 98.00 76640231 NEUTROPHIL OXIDATIVE BST 302 648.00 76640232 DIPHTHERIA AB IGG 302 70.00 76640235 INFLIXIMAB AND NEUT AB 302 648.00 76640236 LYME DISEASE AB WB 302 76.00 76640237 NMDA RCPT TITER 302 338.00 76640238 RUBELLA AB IGG 302 70.00 76640239 TETANUS AB IGG 302 70.00 76640241 BARTONELLA HENSELAE ABS 302 70.00 76640243 WEST NILE AB IGG 302 86.00 76640244 WEST NILE AB IGM 302 86.00 76640246 VDRL TITER CSF 302 54.00 76640247 STRIATED MUSCLE TITER 302 338.00 76640248 COCCI IMMUNODIFFUSION UC 302 81.00 76640249 IMMUKNOW 302 648.00 76640254 S.PNEUMONIAE ANTIBODY 302 70.00 76640255 FL NONINFECTIOUS AB 302 130.00 76640256 GAD 65 AB 302 108.00 76640260 AQP4 RECEPTOR IGG,CSF TI 302 546.00 76640261 AQUAPORIN-4 IGG,CSF 302 972.00 76640264 FLOURESCENT NONINF AB 302 341.00 76640300 HEPATITIS D AB TOTAL 302 92.00 76640301 HEPATITIS E AB IGG 302 70.00 76640302 HEPATITIS E AB IGM 302 70.00 76641079 RICKETTSIA AB 302 108.00 76641080 RMSF AB IGG 302 108.00 76641081 RMSF AB IGM 302 108.00 76641082 NEURON SPECIFIC ENOLASE 302 112.00 76680031 BSL HIV 1/2 302 86.00 76680036 BSL HBc 302 108.00 76680037 BSL HCV 302 135.00 76680038 BSL CMV 302 108.00 76680044 BSL - T. CRUZI AB 302 92.00 76800110 HEP B SURF AB 302 161.00 76800112 HEP C AB 302 135.00 76800149 COCCI AB IGG 302 135.00 76800150 COCCI AB IGM 302 135.00 76800151 COCCI COMP FIX 302 135.00 76800162 WBC ANTIBODY ID ANCA11218 302 149.00 76800164 WBC AB ID ANCA 902044 302 149.00 76800171 VARICELLA-ZOSTER AN 302 70.00 37039610 BONE MARROW SMEAR INTRP 305 463.00 71800005 ABG HEMOGLOBIN 305 68.00 71800024 CBG HEMOGLOBIN 305 68.00 71800034 VBG HEMOGLOBIN 305 68.00 73171065 PROTHROMBIN TIME 305 113.00 76000001 ACT POC 305 123.00 76000012 WBC POC 305 73.00 76000021 HGB POC 305 68.00 76000031 PT/INR POC 305 113.00 76080011 ABG HEMOGLOBIN 305 68.00 76080020 CBG HEMOGLOBIN 305 68.00 76080029 VBG HEMOGLOBIN 305 68.00 76110001 CBC & PLATELET /AUTO DIFF 305 193.00 76110002 CBC & PLATELET /MAN DIFF 305 149.00 76110007 DIFFERENTIAL MANUAL 305 86.00 76110008 HEMATOCRIT 305 82.00 76110009 HEMOGLOBIN 305 68.00 76110010 CBC & PLATELET 305 149.00 76110011 PLATELET COUNT AUTO 305 129.00 76110012 RETICULOCYTE CNT MANUAL 305 70.00 76110013 SEDIMENTATION RATE, WESTE 305 162.00 76110014 WHITE BLOOD COUNT W/O DIF 305 73.00 76110021 RETICULOCYTE CNT AUTO 305 100.00 76110032 IMMATURE PLT FRACTN 305 220.00 76110033 BONE MARROW SMEAR INTRP 305 463.00 76110035 MANUAL SED RATE 305 108.00 76120001 APTT MIXING STUDY 305 146.00 76120003 D-DIMER QUANTITATIVE 305 316.00 76120005 FACTOR VIII ONE STAGE 305 394.00 76120008 FIBRIN SPLT PROD SEMI-Q 305 81.00 76120009 FIBRINOGEN 305 196.00 76120010 HEPARIN ANTI-XA-LMWH 305 456.00 76120011 PROTHROMBIN TIME 305 113.00 76120012 PT MIXING STUDY 305 117.00 76120013 THROMBIN TIME 305 179.00 76120014 THROMBOPLASTIN TIME PART 305 172.00 76120015 HEPARIN ANTI-XA UHF 305 456.00 76120020 FACTOR IX 305 378.00 76120027 ANTITHROMBIN III 305 394.00 76120029 ANTI-THROMBIN 3 ACTIVITY 305 167.00 76120030 FACTOR VIII INHIBITOR 305 162.00 76120031 FACTOR IX INHIBITOR 305 162.00 76120036 HEPARIN NEUTRALIZATION 305 108.00 76120050 FACTOR II 305 162.00 76120051 FACTOR V 305 211.00 76120052 FACTOR VII 305 162.00 76120053 FACTOR X 305 270.00 76120054 FACTOR XI 305 270.00 76120055 FACTOR XII 305 270.00 76120056 PLASMINOGEN ACTIVITY 305 59.00 76130012 RBC FRAGILITY OSMOTIC (I 305 108.00 76130061 PFA-ADP 305 216.00 76130062 PFA-EPI 305 216.00 76130067 RETICULATED PLATELETS 305 220.00 76130071 RBC FRAGILITY OSMOTIC IM 305 70.00 76410036 SICKLE CELL SCRN DONOR 305 59.00 76410068 SICKLE CELL SCREEN 305 59.00 76410200 TEG-COAG TIME ACTIVATED 305 123.00 76410201 TEG-FIBRINOGEN ACTIVITY 305 196.00 76410202 TEG-PLT AGGREGATION EA 305 216.00 76410203 TEG-INTERP & REPORT 305 108.00 76610051 SICKLE SOLUBILITY 305 59.00 76610336 ADAMTS13 ACTIVITY 305 135.00 76620000 ANTITHRMBIN III AG TOT 305 394.00 76620001 ACTIVATED PROTEIN C RESIS 305 225.00 76620002 ANTITHROMBIN III ACTIVITY 305 167.00 76620003 D-DIMER (ELISA) 305 316.00 76620004 DRVVT 1:1 MIX 305 156.00 76620006 FACTOR II ACTIVITY 305 162.00 76620011 FACTOR VII MULTIMERIC A 305 216.00 76620014 FACTOR XII 305 270.00 76620015 FACTOR XIII SCRN SOLUB 305 216.00 76620016 HEPARIN AGGR PORCINE INT 305 216.00 76620017 HEPARIN AGGREGATION-LMWH 305 216.00 76620018 HEPARIN ANTI XA 305 338.00 76620019 PLASMINOGEN 305 59.00 76620020 PLATELET NEUTRALIZATION P 305 108.00 76620021 PROTEIN C FUNCTIONAL 305 292.00 76620022 PROTEIN C ANTIGEN 305 125.00 76620023 PROTEIN S FUNCTIONAL 305 225.00 76620024 PROTEIN S ANTIGEN FREE 305 225.00 76620025 VONWILLEBRAND FACTOR AG 305 432.00 76620026 PLASMINOGEN ACT INHIB 305 108.00 76620027 FACTOR VIII ACTIVITY 305 394.00 76620030 PROTEIN S ANTIGEN TOTAL 305 162.00 76620032 VON WILLEBRAND ACT (RCF) 305 324.00 76620033 APTT BASELINE 305 156.00 76620034 THROMBIN CLOTTING 305 179.00 76620036 PT BASELINE 305 104.00 76620038 PT REF LAB 305 104.00 76620039 PTT REF LAB 305 156.00 76620040 BETA 2 GLYCOPROTEN AB IGG 305 135.00 76620041 BETA 2 GLYCOPROTEN AB IGM 305 135.00 76620042 BETA 2 GLYCOPROTEN AB IGA 305 135.00 76620043 PROTEIN C ACTIVITY (IN PA 305 292.00 76620044 PROTEIN S ACTIVITY (IN PA 305 225.00 76620045 FIBRINOGEN SPECL COAG 305 171.00 76620046 FACTOR 13 ACTIVITY 305 216.00 76670002 LEUKOCYTE ALKALINE PHOSPH 305 81.00 76670003 HEXAGONAL PPL 305 108.00 76670004 DRVVT CONFIRMATION 305 156.00 76670007 REPTILASE TIME 305 81.00 76670008 HEPARIN NEUTRALIZATION 305 108.00 76670009 PTT-D 1:1 MIX 305 146.00 76670010 DRVVT DIL 305 156.00 76670017 MORPHOLOGY REVIEW 305 97.00 76680024 LYSOZYME SERUM 305 135.00 76690019 RED BLD CELL FRAGILITY 305 108.00 76690022 OSMOTIC FRAGILITY 305 70.00 76720050 BONE MARROW SMEAR INTRP 305 463.00 76800104 CBC 305 183.00 76800117 PROTHROMBIN TIME 305 113.00 76800118 SED RATE 305 162.00 76800119 THROMBOPLASTIN TIME 305 172.00 76800143 HEMATOCRIT (H&H) 305 82.00 76800144 HEMOGLOBIN (H&H) 305 68.00 76800145 RETICULOCYTE 305 100.00 76800148 MANUAL DIFF 305 86.00 76800161 FACTOR VIII 305 432.00 76900007 DIFFERENTIAL MANUAL 305 86.00 76900010 CBC & PLATELET 305 149.00 76900011 CBC & PLT (AUTO DIFF) 305 193.00 76900012 RETICULOCYTE CNT MANUAL 305 70.00 76900013 SEDIMENTATION RATE, WESTE 305 108.00 76900021 RETICULOCYTE CNT AUTO 305 100.00 76000013 RSV RAPID POC 306 69.00 76000040 KOH SLIDE EXAM POC 306 78.00 76000041 WET PREP SMPL STAIN POC 306 119.00 76000042 RAPID STREP SCRN POC 306 161.00 76000043 RAPID FLU POC 306 108.00 76020084 HEPATITIS B SURF AG 306 141.00 76020087 HEPATITIS B SURF AG CONFM 306 92.00 76020089 HIV AG/AB COMBO 306 177.00 76130069 MALARIA SMEAR 306 108.00 76200006 C. DIFFICILE TOXIN SCRN 306 108.00 76200018 ROTAVIRUS (ELISA) 306 129.00 76200024 STREP GROUP A RAPID 306 161.00 76200032 H-PYLORI ANTIG STOOL 306 108.00 76200037 RESP VIRAL DFA PANEL 306 160.00 76200039 INFLUENZAE B DFA 306 159.00 76200049 CRYPTOSPORDIUM DFA AG 306 81.00 76200050 ADENOVIRUS DFA 306 86.00 76200055 INFLUENZAE A DFA 306 159.00 76200060 PARAINFLUENZAE 1 DFA 306 81.00 76200061 PARAINFLUENZAE 2 DFA 306 81.00 76200063 PARAINFLUENZAE 3 DFA 306 81.00 76200065 RSV DIRECT FA TEST 306 92.00 76310001 ANAEROBIC CULTURE ANY SO 306 379.00 76310003 BACTERIOLOGY STAIN (GRAM) 306 153.00 76310004 CONCENTRATION BODY FLUID 306 95.00 76310005 CULTURE BLOOD 306 418.00 76310006 CULTURE GENITAL TRACT 306 353.00 76310008 CULTURE STERILE BODY FL 306 353.00 76310009 CULTURE WOUND 306 353.00 76310012 CULTURE CATHETER TIP 306 353.00 76310013 CULTURE CSF 306 353.00 76310014 CULTURE EAR 306 353.00 76310015 CULTURE EYE 306 353.00 76310018 CULTURE STOOL 306 281.00 76310020 CULTURE TISSUE (BACTERIA 306 353.00 76310021 CULTURE UPPER RESPIRATOR 306 353.00 76310022 CULTURE URINE 306 239.00 76310024 E. COLI, 0157 SCREEN 306 135.00 76310025 G.C. SCRN CULTURE 306 192.00 76310026 MICRO ID ADDL METHODS R 306 108.00 76310027 SENSITIVITY DISK METHOD 306 173.00 76310028 SENSITIVITY MIC 306 252.00 76310029 MRSA SCRN 306 192.00 76310030 VRE SCREEN 306 192.00 76310031 WET PREP 306 119.00 76310032 YERSINIA SCRN CULTURE 306 135.00 76310035 CULTURE C.DIFFICILE 306 379.00 76310037 SALMONELLA TYPING 306 65.00 76310039 SHIGELLA TYPING 306 65.00 76310041 H INFLUENZUENZA TYPING 306 65.00 76310043 SMEAR INCL BOD/PARASITE 306 108.00 76310045 STREP GRP A RAPID 306 161.00 76310046 ANAEROBE DEFINITIVE ID 306 108.00 76310047 SUSCEPTIBILITY E-TEST 306 65.00 76320001 AFB SMEAR 306 160.00 76320002 CALCOFLUOR STAIN 306 160.00 76320003 CMV CULTURE 306 319.00 76320004 CULTURE AF BLOOD 306 304.00 76320005 CULTURE ACID TEST 306 340.00 76320006 CULTURE FUNGI BLOOD 306 135.00 76320007 CULTURE FUNGI 306 324.00 76320008 FUNGUS KOH PREP 306 119.00 76320009 GIARDIA ANTIGEN (FA) 306 81.00 76320010 GIARDIA ANTIGEN RAPID 306 103.00 76320011 HERPES CULTURE AND TYPE 306 319.00 76320012 INDIA INK PREP 306 119.00 76320013 O & P TRICHROME STAIN 306 128.00 76320014 OVA AND PARASITES EXAM 306 97.00 76320015 PINWORM EXAM 306 54.00 76320016 PNEUMOCYSTIS DFA 306 265.00 76320017 RESP SYNCYTIAL VIRUS DFA 306 92.00 76320019 BORDETELLA PERTUSSIS CULT 306 192.00 76320020 BORDETELLA PERTUSSIS, DFA 306 135.00 76320023 LEGIONELLA CULTURE 306 192.00 76320024 RESPIRATORY VIRUS CULTURE 306 319.00 76320026 VARICELLA ZOSTER CULTURE 306 319.00 76320027 VIRUS CULTURE 306 319.00 76320039 CULTURE CAMPYLOBACTER 306 135.00 76320040 VIRUS CULTURE ADDL 306 162.00 76320041 FUNGUS ID EA ORGAMISM 306 132.00 76320045 ADENOVIRUS DFA 306 86.00 76320046 INFLUENZAE A DFA 306 159.00 76320051 HERPES SIMPLEX I DFA 306 81.00 76320054 CMV ANTIGEN DETECTION 306 108.00 76320055 RAPID RSV (EIA) 306 81.00 76320056 BACTERICIDAL TITER 306 108.00 76320057 VIRUS ISOL CENTRIFUGE ENH 306 213.00 76320058 H PYLORI CLO TEST 306 108.00 76320060 METAPNEUMOVIRUS IF 306 108.00 76320062 ENTEROVIRUS AMPLIF PROBE 306 189.00 76320063 HSV AMPLIFIED PROBE 306 297.00 76320064 SHIGA TOXIN 306 81.00 76320065 B PERTUSSIS AMPLIF PROBE 306 384.00 76320066 METAPNEUMOVIRUS SCRN 306 108.00 76320067 FUNGUS ID 306 140.00 76320068 TISSUE GRINDING 306 68.00 76320069 VIRAL HEMADSORPTION 306 162.00 76320070 VIRAL DFA FOR ID 306 81.00 76320071 BOCAVIRUS AMPLIF PROBE 306 384.00 76320072 CMV QUANT PCR 306 845.00 76320073 EBV QUANT PCR 306 418.00 76320074 RAPID INFLUENZA TEST 306 108.00 76320075 CAMPYLOBACTER ANTIGEN 306 81.00 76320076 C DIFFICILE ANTIGEN 306 207.00 76320077 HHV-6 QUANT PCR 306 271.00 76320078 ADENOVIRUS QUANT PCR 306 418.00 76320079 BK VIRUS QUANT PCR 306 418.00 76320080 LEGIONELLA PNEUM PCR 306 216.00 76320086 DNA/RNA SEQUENCING 306 540.00 76320087 C DIFFICILE TOXIN NAA 306 268.00 76320088 ADENOVIRUS AMP PRB 306 384.00 76320090 CORONAVIRUS HKU1 AMP PRB 306 384.00 76320091 CORONAVIRUS NL63 AMP PRB 306 384.00 76320092 CORONAVIRUS 229E AMP PRB 306 384.00 76320093 CORONAVIRUS OC43 AMP PRB 306 384.00 76320094 METAPNEUMOVIRUS AMP PRB 306 384.00 76320095 RHIN/ENTEROVIRUS AMP PRB 306 384.00 76320096 INFLUENZA A & B AMP PRB 306 508.00 76320097 INFLUENZA A/H1 AMP PRB 306 135.00 76320098 INFLUENZA A/H3 AMP PRB 306 135.00 76320099 INFLU A/H1-2009 AMP PRB 306 135.00 76320100 PARAINFLUENZA 1 AMP PRB 306 384.00 76320101 PARAINFLUENZA 2 AMP PRB 306 384.00 76320102 PARAINFLUENZA 3 AMP PRB 306 384.00 76320103 PARAINFLUENZA 4 AMP PRB 306 384.00 76320104 RSV AMP PROBE 306 384.00 76320105 B. PERTUSSIS AMP PRB 306 384.00 76320106 CHL PNEUMONIAE AMP PRB 306 162.00 76320108 RESP VIRUS AMP PRB 12-25 306 1,944.00 76320109 VZV AMPLIFIED PROBE 306 384.00 76320110 HUMAN HERPES VIRUS 7NAA 306 384.00 76320111 HUMAN HERPES VIRUS 8 NAA 306 384.00 76320112 PARECHOVIRUS PCR 306 384.00 76320113 PNEUMOCYSTIS PCR 306 384.00 76320120 PARVOVIRUS B19 QUANT PCR 306 418.00 76320121 ID BY NUCLEIC ACID PROBE 306 189.00 76320122 GI PANEL PCR 306 2,013.00 76320123 ADENOVIRUS RAPID 306 108.00 76600097 CMV ANTIVIRAL RESISTANCE 306 1,296.00 76640047 HEPATITIS B SURFACE ANTIG 306 134.00 76640048 HEPATITIS BE ANTIGEN 306 81.00 76640053 HIV-1 DNA (PCR) 306 243.00 76640054 HIV-1 RNA QUANT PCR 306 432.00 76640066 HEPATITIS C RNA QUAL TMA 306 243.00 76640114 CRYPTOCOCCUS AG 306 108.00 76640128 ROTAVIRUS AG EIA 306 108.00 76640129 ADENOVIRUS AG EIA 306 108.00 76640136 COCCI ANTIGEN QNT 306 207.00 76640194 ASPERGILLS GALACTOMAN EIA 306 108.00 76640195 RESP VIRAL PCR PNL 306 384.00 76640197 RESP VIRAL PCR PNL 306 135.00 76640198 RESP VIRAL PCR PNL 306 432.00 76640199 CULTURE CHLAMYDIA 306 108.00 76640200 CULTURE TYPING 306 81.00 76640207 CHLAMYD TRACHOMATIS DFA 306 81.00 76640220 FUNGITELL ASSAY 306 207.00 76640257 ASPERGILLUES DNA PCR 306 384.00 76640258 LEGIONELLA AG, URINE 306 207.00 76650001 CULTURE AFB 306 225.00 76650002 SMEAR AFB 306 160.00 76650003 CONCENTRATION BODY FLUID 306 95.00 76650007 CULTURE MYCOPLASMA RESP 306 70.00 76650008 CULTURE MYCOPLASMA UREA 306 70.00 76650012 DNA PROBE C. IMMITIS 306 119.00 76650013 DNA PROBE N. GONORRHEAE 306 179.00 76650014 DNA PROBE RAPID AFB ID 306 135.00 76650019 LEGIONELLA CULTURE 306 182.00 76650020 CULTURE VIBRIO 306 135.00 76650022 NORCARDIA SUSCEPT QUAL 306 65.00 76650026 C. TRACHOMATIS BY TMA 306 189.00 76650027 DNA PROBE C. TRACHOMATIS 306 189.00 76650028 GC BY TMA 306 179.00 76650029 T.VAGINALIS BY TMA 306 236.00 76650030 ADENOVIRUS PCR QUANT 306 405.00 76650031 MYCOPLASMA PNEUM PCR 306 178.00 76650032 ENTEROVIRUS PCR 306 189.00 76650033 PNEUMOCYSTIS PCR 306 384.00 76650034 VARICELLA ZOSTER PCR 306 384.00 76650035 BK VIRUS PCR QUANT 306 405.00 76650036 HERPESVIRUS 8 DNA QL PCR 306 384.00 76650037 TOXOPLASMA GONDII PCR 306 384.00 76650038 JC VIRUS PCR 306 384.00 76650039 NOCARDIA SUSCEPT QUANT (M 306 221.00 76650040 CMV DNA QUALITATIVE 306 216.00 76650041 CMV PCR QUANTITATIVE 306 800.00 76650042 EBV DNA QUALITATIVE 306 384.00 76650043 EBV DNA QUANTITATIVE 306 405.00 76650044 ENTEROVIRUS qPCR 306 405.00 76650045 WEST NILE VIRUS PCR 306 384.00 76650050 HHV-6 PCR QNT 306 271.00 76650051 HERPES VIRUS 7 qPCR 306 405.00 76650052 HERPES VIRUS 8 qPCR 306 405.00 76650053 HSV 1 PCR QUANT 306 297.00 76650054 HSV 2 PCR QUANT 306 297.00 76650055 HSV 1&2 PCR QUANT 306 297.00 76650056 JC VIRUS qPCR 306 405.00 76650060 HEPATITIS B PCR QUANT 306 487.00 76650065 HEPATITIS C RNA PCR QNT 306 243.00 76650070 PARVOVIRUS B19 PCR QUANT 306 405.00 76650071 PNEUMOCYSTIS (PCP) qPCR 306 405.00 76650074 TOXOPLASMOSIS GONDII qPCR 306 405.00 76650075 VARICELLA ZOSTER PCR QNT 306 405.00 76680035 BSL HBSAG 306 134.00 76680043 BLS-WEST NILE VIRUS 306 384.00 76800108 ENZYME DETECTION 306 54.00 76800111 HEP B SURF AG 306 141.00 76800156 CLOSTRIDIUM AG EIA 306 108.00 76800157 GIARDIA AG EIA 306 103.00 76800200 CULT DIALYSATE GRAM 306 153.00 76800202 CULT WOUND GRAM 306 153.00 76800203 CULT WOUND ANAEROBIC 306 379.00 76800205 CULT AFB CONC 306 95.00 76800206 CULT AFB SMEAR 306 160.00 76800208 CULT TYPING 306 92.00 76800209 AEROBIC ID 306 108.00 76800211 CULT URINE 306 239.00 76800212 CULT URINE ISOLATION 306 81.00 76800213 SUSCEPTIBILITY MIC 306 252.00 72700092 UA AUTO W/MICRO 307 134.00 72700093 UA NON-AUTO, W/MICRO 307 38.00 72700094 UA NON-AUTO, W/O MICRO 307 38.00 72700096 UA AUTO W/O MICRO 307 81.00 73040094 UA AUTO W/O MICRO 307 81.00 73040095 UA AUTO, W/MICRO 307 134.00 76000004 UA AUTO W/O MICRO POC 307 81.00 76000005 UA NON-AUTO, W/O MICRO 307 38.00 76000006 SPECIFIC GRAVITY 307 81.00 76000007 URINALYSIS NON-AUTO W/MC 307 38.00 76000008 URINALYSIS AUTO W/MC 307 134.00 76000030 HCG URINE PREG TEST POC 307 213.00 76050043 TIME & VOLUME, URINE 307 54.00 76500002 KETONE URINE 307 81.00 76500005 PH- URINE 307 81.00 76500006 PREGNANCY VISUAL TEST 307 213.00 76500007 REDUCING SUBSTANCE- URINE 307 38.00 76500009 SPECIFIC GRAVITY URINE 307 81.00 76500010 UA AUTO, W/O MICRO 307 81.00 76500011 UA AUTO, W/MICRO 307 134.00 76500015 URINE MICROSCOPIC 307 76.00 76800123 URINALYSIS 307 134.00 76800165 UA VOL MEASURE 307 54.00 76900030 UA AUTO, W/MICRO 307 134.00 76001036 GENOMIC MICROARRAY 310 5,188.00 76110034 LIPID INDEX BAL 310 135.00 76320061 MOL ISOLATION/EXTRACTION 310 787.00 76600064 SOLID TUMOR CULTURE 310 907.00 76600068 CYTOGENOMIC MICROARRAY 310 10,743.00 76600069 CHIMERISM DONOR 310 1,080.00 76600070 CHIMERISM RECIPIENT PRE 310 1,080.00 76600071 CHIMERISM POST 310 1,080.00 76600072 CHIMERISM POST SORTED CL 310 1,512.00 76600073 CHIMERISM POST SRT T CLS 310 1,512.00 76600074 CHIMERISM POST SRT GRAN 310 1,512.00 76600078 CHIMERISM, DONOR 310 1,080.00 76600079 BONE MARROW/PBL CULTURE 310 1,041.00 76600081 TISSUE CULT NON NEOP 310 864.00 76600082 FISH INTERPHASE 100-300 310 270.00 76600083 COUNT 5, 1 KARYOTYPE 310 999.00 76600084 INTERP & REPORT 310 211.00 76600085 RELEX FISH METAPHASE 310 189.00 76600086 CYTOGENOMIC MICROARRAY 310 11,864.00 76600102 MOL CYTO CISH 10-30 310 189.00 76600105 FLT3 NOS 310 776.00 76600106 FRAG X STATUS MPCR 310 1,539.00 76600107 MTHFR 2 MUTATIONS 310 270.00 76600108 NPM1 MUTATION PCR 310 837.00 76600111 CHROMOSOME MICROARRAY 310 4,320.00 76600114 HLA CLASS 1 HIGH RES 310 1,944.00 76600115 HLA CLASS 2 HIGH RES 310 913.00 76600116 HLA CLASS 2 LOW RES SGL 310 729.00 76600117 HLA CLASS 1 LOW RES SGL 310 648.00 76600118 HLA TYPING CONFIRM 310 1,404.00 76600121 EXOME SEQUENCING PROBAND 310 7,560.00 76600122 EXOME SEQUENCING COMP 310 7,560.00 76600126 BCR-ABL1 MAJOR QUANT 310 929.00 76600127 BCR ABL1 MINOR QUANT 310 821.00 76600128 BCR-ABL1 MAJOR QUAL 310 929.00 76600129 BCR-ABL1 MINOR QUAL 310 821.00 76600130 SMA COPY NUMBER ANALYSIS 310 742.00 76600137 GENOMIC MICROARRAY 310 5,188.00 76600138 PML-RARA PCR QUANT 310 1,128.00 76600139 TPMT & NUDT 15 GENOTYPING 310 1,606.00 76600140 AML MOLECULAR PNL CEBPA 310 924.00 76600141 FLT3 TKD VARIANTS 310 1,040.00 76600142 AML MOLECULAR PNL FLT3 310 527.00 76600143 AML MOLECULAR PNL NPM1 310 580.00 76620047 FACTOR V LEIDEN 310 362.00 76620048 PROTHROMBIN (F2)MUT 310 351.00 76640210 TPMT GENOTYPE 310 540.00 76720023 CONSULT, LIMITEDW/O HISTO 310 81.00 76720024 CONSULT, COMPLEX DIAGNOST 310 267.00 76720026 REVIEW & REPORT BB DIFFI 310 189.00 76720027 TRANSFUSION REACTION INT 310 189.00 76720029 CYTO BODY FLUID CONC/SME 310 216.00 76720032 CYTOSPIN BODY FLUID SMEA 310 162.00 76720059 MACRO PREP MOLC EA TISS 310 243.00 76720060 MACRO PREP MOLC EA TISS+ 310 243.00 76720061 MORPH ANALY SKELETAL MUSC 310 317.00 76720063 IN SITU HYBRID 1ST PRB 310 648.00 76720067 IN SITU HYBRID ADDL PRB 310 297.00 76720070 ELECTRON MICROSCOPY MAYO 310 1,993.00 76730001 AUTOPSY GROSS WO CNS 310 279.00 76730002 AUTOPSY GROSS W BRAIN 310 326.00 76730003 AUTOPSY GROSS W BRAIN & 310 341.00 76730004 AUTOPSY GR INFNT W/BRAIN 310 279.00 76730005 AUTOPSY GR NEO W/BRAIN 310 270.00 76730006 AUTOPSY GROSS & MICRO WO 310 481.00 76730007 AUTOPSY GROSS & MICRO W 310 465.00 76730008 AUTOPSY GROSS & MICRO BR 310 496.00 76730009 AUTOPSY G&M INFNT W/BRAIN 310 279.00 76730010 AUTOPSY G&M NEO W/BRAIN 310 279.00 76730011 AUTOPSY LTD REGIONAL G&M 310 146.00 76730012 NECROPSY SINGLE ORGAN 310 146.00 76100050 SURFACE MARKER CD62 311 181.00 76130015 SURFACE MARKER CD13 311 181.00 76130016 SURFACE MARKER CD14 311 181.00 76130017 SURFACE MARKER CD15 311 181.00 76130018 SURFACE MARKER CD16 311 181.00 76130019 SURFACE MARKER CD19 311 181.00 76130020 SURFACE MARKER CD2 311 181.00 76130021 SURFACE MARKER CD20 311 181.00 76130022 SURFACE MARKER CD3 311 181.00 76130023 SURFACE MARKER CD33 311 181.00 76130024 SURFACE MARKER CD34 311 181.00 76130025 SURFACE MARKER CD38 311 181.00 76130026 SURFACE MARKER CD4 311 181.00 76130028 SURFACE MARKER CD5 311 181.00 76130029 SURFACE MARKER CD56 311 181.00 76130030 SURFACE MARKER CD7 311 181.00 76130031 SURFACE MARKER HLA-DR 311 181.00 76130032 SURFACE MARKER CD10 311 181.00 76130033 SURFACE MARKER CD11A 311 181.00 76130034 SURFACE MARKER CD11B 311 181.00 76130035 SURFACE MARKER CD11C 311 181.00 76130036 SURFACE MARKER CD18 311 181.00 76130037 SURFACE MARKER CD1A 311 181.00 76130038 SURFACE MARKER CD20P 311 181.00 76130039 SURFACE MARKER CD21 311 181.00 76130040 SURFACE MARKER CD22 311 181.00 76130041 SURFACE MARKER CD24 311 181.00 76130042 SURFACE MARKER CD25 311 181.00 76130043 SURFACE MARKER CD2P 311 181.00 76130044 SURFACE MARKER CD3P 311 181.00 76130045 SURFACE MARKER CD41 311 181.00 76130046 SURFACE MARKER CD42 311 181.00 76130047 SURFACE MARKER CD45 311 310.00 76130048 SURFACE MARKER CD4P 311 181.00 76130049 SURFACE MARKER CD61 311 181.00 76130051 SURFACE MARKER CD71 311 181.00 76130052 SURFACE MARKER CD8P 311 181.00 76130053 SURFACE MARKER CD8 311 181.00 76130054 TDT 311 181.00 76130063 MYELOPEROXIDASE (MPO) 311 181.00 76130064 CYTOPLASMIC CD3 (cCD3) 311 181.00 76130065 KAPPA 311 181.00 76130066 LAMBDA 311 181.00 76130083 FLOW CYTOMETRY ADDL MARKR 311 181.00 76130086 CD79A 311 181.00 76420121 STEM CELL QUANTITATION 311 310.00 76600002 CHROM ANALYSIS 15-20 311 762.00 76600003 CHROM ANAL FRAGILE X 311 1,064.00 76600004 CHROM. ANAL. KARYOTYPE 311 162.00 76600005 CHROM. ANAL. HIGH RESOLUT 311 540.00 76600008 LYMPHOCYTE CULT NON NEOP 311 718.00 76600009 TISSUE CULT BONE MARROW 311 1,041.00 76600010 TISSUE CULT SKIN/SOLID TI 311 864.00 76600011 CHROMOSOME BONE MARROW 311 1,041.00 76600013 CHROMOSOME BREAKAGE 311 1,064.00 76600014 CHROMOSOME HEMATOLOGIC 311 1,064.00 76600029 CHROM ANALYSIS 15-20 311 762.00 76600063 CHROM ANALY BLD 15-20 311 762.00 76600076 CHROM ANALY 20-25 CELLS 311 1,347.00 76600077 CHIMERISM SORT ADDL MRKR 311 178.00 76600087 INTERP & REPRT AML FISH 311 211.00 76600098 MOL CYTO DNA PRB 311 189.00 76600099 MOL CYTO IISH 100-300 311 270.00 76600100 CHROM BRK CLASTOGEN STRS 311 999.00 76600103 MOL CYTO INT & RPT 311 211.00 76600109 CHROM ANL BLD TISSUE CLT 311 718.00 76600110 CHIMERISM SORT 1ST MARKER 311 230.00 76600123 CD34 1ST MARKER BSL 311 230.00 76600124 CD34 EA ADDT'L MARKER BSL 311 178.00 76600136 BAND 3 FLUORESCENCE STN 311 452.00 76600144 FLOW CYTOMETRY 1ST MKR 311 80.00 76600145 FLOW CYTOMETRY ADDL MKR 311 178.00 76600146 FLOW CYTO INT 2-8 MKR 311 335.00 76600147 FLOW CYTO INT 9-15 MKR 311 419.00 76600148 FLOW CYTO INT > 15 MKR 311 555.00 76610166 CYTOGENETICS INTERP & REP 311 211.00 76710002 FNA INTERPRET/ REPORT 311 378.00 76710003 FNA IMMEDIATE EVALUATION 311 310.00 76710005 FNA IMMED EVAL EA ADDT'L 311 140.00 76720034 CYTO CERVICAL OR VAGINAL 311 135.00 76720040 TOUCH PREP SCRN INTERP 311 162.00 76720056 INTRAOP CNSLT TCHCYTO 1ST 311 693.00 76720057 INTRAOP CNSLT TCHCYTO ADL 311 135.00 76640188 IBD INDIRECT IFR ASSAY 312 176.00 76680003 ELECTRON MICROSCOPY 312 1,993.00 76680030 ELEC MICRO STOOL BMI 312 1,993.00 76720003 INTRAOP CNSLT NO FRZN 312 219.00 76720004 CONSLT/REFRD SLIDES 312 471.00 76720006 DECALCIFICATION PROCEDURE 312 131.00 76720008 INTRAOP CNSLT W/FRZN 1ST 312 428.00 76720009 INTRAOP CNSLT W/FRZN ADDL 312 212.00 76720010 LEV I PATH EXAM GROSS 312 189.00 76720011 LEV II PATH EXAM GROSS 312 299.00 76720012 LEV III PATH EXAM GROSS 312 460.00 76720013 LEV IV PATH EXAM GROSS 312 647.00 76720014 LEV V PATH EXAM GROSS 312 1,157.00 76720015 LEV VI PATH EXAM GROSS 312 1,607.00 76720016 SPECIAL STAIN GP I 312 270.00 76720017 SPECIAL STAIN GP II 312 243.00 76720018 SPECIAL STAIN HISTO WIT 312 189.00 76720020 DET HISTOCHM ID ENZYMES 312 821.00 76720021 CONSLT/REFRD MATRL 312 432.00 76720042 IHC STAIN - GENZ 312 395.00 76720051 IMMUNOHISTOCHEM 1ST AB 312 485.00 76720052 IMF STDY EA AB DIRECT 312 310.00 76720053 IMF STDY EA AB INDIRECT 312 220.00 76720054 CONSLT/RVW SPEC/REC 312 540.00 76720055 IHC STAIN - REF LAB 312 485.00 76720062 ELECTRON MICROSCOPE S/O 312 1,993.00 76720064 IHC STAIN-ARUP 312 485.00 76720065 IMMUNOHISTOCHEM ADDL AB 312 433.00 76720066 IMMUNO STAIN MULTIPLX AB 312 626.00 76600075 CHIMERISM CELL SORT 319 243.00 70909148 FLOURO PROC DIAG-UNLISTED 320 517.00 70950278 VENO HEPATC W/O HEM EVL S 320 4,900.00 70950287 UNLISTD DX RAD PROC S&I 320 424.00 70951027 FLUORO <= 1 HR 320 815.00 70951302 VENOGRM IVC S&I 320 4,500.00 70951307 VENOGRM SVC S&I 320 2,500.00 70951337 TRANSCATH EMBOLIZATION 320 7,928.00 70956444 IR THROMBOLYSIS GUIDANCE 320 2,167.00 70956448 FLUORO GUIDE VAD 320 792.00 70960008 FLUORO GUIDE NDL SPIN S&I 320 735.00 70960300 SIALOGRM S&I 320 650.00 70960304 MYELOGRM CERV S&I 320 1,500.00 70960305 MYELOGRM THORAC S&I 320 1,500.00 70960306 MYELOGRM LUMB S&I 320 1,500.00 70960307 MYELOGRM SPINE 2+RGN S&I 320 1,500.00 70960315 ARTHRO WRIST S&I 320 800.00 70960320 PNEUMOPERITONEUM S&I 320 3,880.00 70960321 FB RMVL ESOPHAGUS S&I 320 1,006.00 70960326 BILI STONE RMVL T-TUB S&I 320 1,100.00 70960327 BILE DUCT ENDO S&I 320 1,828.00 70960330 INTRO LONG GI TUBE S&I 320 870.00 70960331 INTESTNL TUBE PLCMT S&I 320 1,100.00 70960332 DIL GI STRCT/OBSTR S&I 320 778.00 70960333 DIL BILI DUCT STRCT S&I 320 2,000.00 70960334 URETHROCYSTOGRM RETRO S&I 320 1,043.00 70960335 URETHROCYSTOGRM VOID S&I 320 1,000.00 70960336 RENAL CYST STUDY S&I 320 3,000.00 70960350 LYMPHANGIO EXT UNI S&I 320 4,725.00 70960351 LYMPHANGIO EXT BIL S&I 320 5,902.00 70960352 LYMPHANGIO PEL/ABD UNI S& 320 5,902.00 70960353 LYMPHANGIO PEL/ABD BIL S& 320 9,450.00 70960354 SHUNTOGRM S&I 320 700.00 70960355 SPLENOPORTOGRM S&I 320 5,902.00 70960356 VENOGRM SUPR SAG SIN S&I 320 1,500.00 70960357 VENOGRM ORBITL S&I 320 3,375.00 70960358 PORTOGRM W/HEM EVAL S&I 320 4,900.00 70960359 PORTOGRM W/O HEM EVL S&I 320 1,500.00 70960360 VENO HEPATC W/O HEM S&I 320 4,900.00 70960361 VENOUS SMPL PER ORGAN S&I 320 4,437.00 70960364 MECH RMVL PERICTH OBST S& 320 1,341.00 70960365 MECH RMVL INTRLMN OBST S& 320 750.00 70960366 BX TRANSCATH S&I 320 3,547.00 70960374 ABSC/FISTLA/SINUS TRCT S& 320 775.00 70960375 UNLISTD DX RAD PROC S&I 320 424.00 70960382 FLUORO GUIDE VAD S&I 320 792.00 70960457 ENEMA SNGL CONTR 320 1,169.00 70960660 FLOURO PROC DIAG 320 517.00 70960692 DR TIB/FIB 2V BL 320 860.00 70960693 DR TIB/FIB 2V LT 320 527.00 70960694 DR TIB/FIB 2V RT 320 527.00 70960695 DF ESOPHAGUS 320 900.00 70961179 ESOPHAGUS 320 968.00 70963003 NEPHROSTOGRM S&I 320 1,085.00 70963005 CYSTOGRM S&I 320 1,000.00 70963310 VENOGRM RENAL BIL S&I 320 7,350.00 70963317 TRANSCATH EMBOLIZATN S&I 320 7,928.00 70963324 VENOCAVAGRM IVC S&I 320 4,437.00 70963338 VENOCAVAGRM SVC S&I 320 2,500.00 70963345 VENOGRM ADRENAL BIL S&I 320 7,350.00 70963352 VENOGRM ADRENAL UNI S&I 320 4,900.00 70963359 VENOGRM EPIDURL S&I 320 3,375.00 70963366 VENOGRM EXTREM BIL S&I 320 3,400.00 70963373 VENOGRM EXTREM UNI S&I 320 2,600.00 70963380 VENOGRM HEPATC SYST S&I 320 4,900.00 70963387 VENOGRM JUGULR S&I 320 3,375.00 70963394 VENOGRM RENAL UNI S&I 320 4,900.00 70963398 DIL NEPHRO S&I 320 2,458.00 70963406 CHNG DRN TUBE/CATH S&I 320 1,929.00 70963410 FLUORO <= 1HR 320 815.00 70963412 FLUORO > 1HR 320 1,350.00 70963414 FLUORO GUIDE NDL PLCMT S& 320 886.00 70963534 FLUORO GUIDE ABSC DRN S&I 320 2,249.00 70966443 US GUIDE ABSC DRN S&I 320 2,249.00 70966490 VASOGRAPHY S&I 320 750.00 70966491 CORPORA CAVEROSOGRM S&I 320 1,000.00 71401007 DR ABD, COMPLETE 320 494.00 71401024 FLUORO GUIDE CVC PLCMT S& 320 792.00 71401025 DR ANKLE 1V RT 320 436.00 71401026 DR ANKLE 1V LT 320 436.00 71401028 DR ANKLE 1V BL 320 871.00 71401051 DR BONE AGE STUDY 320 500.00 71401055 DF UGI DOUBLE CONT WO KUB 320 1,100.00 71401060 DEXA AXIAL 320 702.00 71401062 BONE STDY DEXA VERT ASMNT 320 550.00 71401063 DF ENEMA SNGL CONT 320 1,169.00 71401071 DEXA PERIPHERAL 320 550.00 71401104 DR CLAVICLE BL 320 944.00 71401107 DR CLAVICLE LT 320 472.00 71401111 DR CLAVICLE RT 320 472.00 71401123 DF CYSTOGRAM RETRO 320 1,043.00 71401125 DF UROGRAPHY-RETROGRADE 320 1,182.00 71401127 DR C-SPINE 1V 320 649.00 71401131 DR C-SPINE 2 OR 3 VIEWS 320 523.00 71401135 DR C-SPINE 4-5V 320 750.00 71401139 DR C-SPINE 6+V 320 794.00 71401147 DF CYSTOGRAM 320 1,000.00 71401155 DR FEMUR 2V RT 320 400.00 71401162 DR ELBOW 1V BL 320 800.00 71401164 DR ELBOW 1V RT 320 539.00 71401165 DR ELBOW 1V LT 320 539.00 71401166 DR ELBOW 2V BL 320 1,078.00 71401167 DR ELBOW 2V LT 320 539.00 71401171 DR ELBOW 2V RT 320 539.00 71401172 DR ELBOW 3+V BL 320 1,143.00 71401173 DR ELBOW 3+V LT 320 571.00 71401174 DR ELBOW 3+V RT 320 571.00 71401179 DF ESOPHAGUS 320 900.00 71401183 DR FACIAL BONES COMP 320 600.00 71401185 DR FACIAL BONES <3V 320 450.00 71401186 DR FOREARM 2V BL 320 1,084.00 71401187 DR FOREARM 2V LT 320 542.00 71401191 DR FOREARM 2V RT 320 542.00 71401195 DR NOSE TO RECTUM FOR FB 320 475.00 71401201 DF CHOLANGIOGRAPHY 320 1,451.00 71401205 DR FINGERS 2+V BL 320 858.00 71401207 DR FINGERS 2+V LT 320 429.00 71401211 DR FINGERS 2+V RT 320 429.00 71401212 DR HAND 1V RT 320 524.00 71401213 DR HAND 1V LT 320 524.00 71401216 DR HAND 1V BL 320 1,048.00 71401223 DF FISTULOGRAM 320 775.00 71401224 DF FLUORO > 1 HOUR 320 1,350.00 71401225 DF FLUORO < 1 HOUR 320 815.00 71401227 DR FOOT 3V LT 320 500.00 71401228 DR FOOT 1V BL 320 932.00 71401229 DR FOOT 1V RT 320 466.00 71401230 DR FOOT 1V LT 320 466.00 71401231 DR FOOT 3V RT 320 500.00 71401233 DR FOOT STANDING 2V BL 320 932.00 71401234 DR FOOT 2V BL 320 932.00 71401235 DR FOOT 2V LT 320 466.00 71401236 DR FOOT STANDING 2V LT 320 466.00 71401239 DR FOOT 2V RT 320 466.00 71401240 DR FOOT STANDING 2V RT 320 466.00 71401241 DR FOOT 3V BL 320 1,000.00 71401242 DR HAND 2V BL 320 1,048.00 71401243 DF GENITOGRAM 320 1,947.00 71401247 DR HAND 2V LT 320 524.00 71401251 DR HAND 2V RT 320 524.00 71401262 DR CALCANEOUS 2V BL 320 950.00 71401263 DR CALCANEOUS 2V LT 320 475.00 71401267 DR CALCANEOUS 2V RT 320 475.00 71401271 DR HIP 1V UNILAT-LT 320 571.00 71401275 DR HIP 1V UNILAT-RT 320 571.00 71401276 DR HIP 2V BL 320 800.00 71401277 DR HIP 2-3V UNILAT-LT 320 587.00 71401278 DR HIP 2-3V UNILAT-RT 320 587.00 71401280 DR HIP MIN 4V UNILT-LT 320 600.00 71401281 DR HIP MIN 4V UNILT-RT 320 600.00 71401284 DR HIP/PELVS BILAT MIN2V 320 644.00 71401285 DR HUMERUS 2+V BL 320 1,094.00 71401286 DR HIP W/PELV 2V BI 320 800.00 71401287 DF ARTHRO HIP S&I LT 320 800.00 71401289 DR HIP W/PELV 3-4V BI 320 1,276.00 71401290 DR HIP W/PELV MIN 5V BI 320 950.00 71401291 DF ARTHRO HIP S&I RT 320 800.00 71401299 DR HUMERUS 2+V LT 320 547.00 71401300 RAD EXAM FEMUR 1V 320 552.00 71401301 RAD EXAM FEMUR MIN 2V 320 564.00 71401303 DR HUMERUS 2+V RT 320 547.00 71401320 DR KNEE <3V BL 320 1,000.00 71401323 DR KNEE <3V LT 320 500.00 71401327 DR KNEE <3V RT 320 500.00 71401328 DR KNEE 3V BL 320 1,184.00 71401329 DR KNEE 3V LT 320 592.00 71401330 DR KNEE 3V RT 320 592.00 71401331 DR KNEE 4V LT 320 600.00 71401332 DR KNEE 4V BL 320 1,200.00 71401335 DR KNEE 4V RT 320 600.00 71401342 DR TIB/FIB 2V BL 320 1,054.00 71401347 DR ABD 1V (KUB) 320 540.00 71401351 DR TIB/FIB 2V LT 320 527.00 71401352 DR AC JOINTS BL 320 500.00 71401353 DR ANKLE 2V BL 320 871.00 71401354 DR ANKLE 2V LT 320 436.00 71401355 DR TIB/FIB 2V RT 320 527.00 71401356 DR ANKLE 3V BL 320 1,000.00 71401357 DR ANKLE 3V LT 320 500.00 71401358 DR ANKLE 3V RT 320 500.00 71401361 DR ANKLE 2V RT 320 436.00 71401363 DF UROGRAPHY ANTEGRADE 320 1,085.00 71401367 DR LS-SPINE 1V 320 649.00 71401371 DR LS-SPINE 2V 320 667.00 71401379 DR LS-SPINE CMPLT W-BEND 320 1,381.00 71401387 DF SWALLOW FUNC W/VID 320 1,074.00 71401391 DF PHARYNX OR LARYNX 320 650.00 71401403 DR NASAL BONES 320 540.00 71401407 DR SKEL SURVEY ONCOLOGIC 320 1,083.00 71401412 DR ORBIT 4+V 320 800.00 71401427 DR PELVIS <3V 320 516.00 71401431 DR HIPS&PVS INFNT 2+V 320 475.00 71401435 DR PELVIS 3+V 320 609.00 71401438 DR LOW EXT INFNT 2V BL 320 800.00 71401439 DR LOW EXT INFNT 2V LT 320 400.00 71401443 DR LOW EXT INFNT 2V RT 320 400.00 71401445 DR MANDIBLE <4V 320 600.00 71401446 DR MANDIBLE 4+V 320 779.00 71401447 DR OSSEOUS SURVEY INFNT 320 535.00 71401451 DR UP EXT INFNT LT 320 400.00 71401455 DR UP EXT INFNT RT 320 400.00 71401456 DR WRIST 2V BL 320 874.00 71401458 DR WRIST 2V LT 320 437.00 71401459 DF URETHROGRAM RETRO 320 1,043.00 71401461 DF SHUNTOGRAM 320 700.00 71401463 DR RIBS 3V BL 320 684.00 71401464 DR WRIST 2V RT 320 437.00 71401465 DR WRIST 1V RT 320 437.00 71401466 DR WRIST 1V LT 320 437.00 71401467 DR RIBS 2V LT 320 481.00 71401468 DR WRIST 1V BL 320 874.00 71401471 DR RIBS 2V RT 320 481.00 71401478 DR SKEL SURVEY METABOLIC 320 1,083.00 71401479 DR SACRUM & COCCYX MIN 2V 320 481.00 71401482 DR SCAPULA BL 320 1,048.00 71401483 DR SCAPULA LT 320 524.00 71401487 DR SCAPULA RT 320 524.00 71401488 DR SHLDR 1V BL 320 1,058.00 71401491 DR C-SPINE FLEX/EXT ONLY 320 523.00 71401494 DR SPNE THR-LMB-CRV 1V 320 400.00 71401495 DR TL-SPINE SCOLIOSIS 320 500.00 71401496 DR SPNE THR-LMB-CRV 2-3V 320 540.00 71401497 DR SPNE THR-LMB-CRV 4-5V 320 871.00 71401498 DR SPNE THR-LMB-CRV MIN6 320 1,012.00 71401509 DR T-SPINE 1V 320 500.00 71401511 RF G-TUBE CHECK w/FLUORO 320 895.00 71401512 DF UGI SINGLE CONT WO KUB 320 899.00 71401513 DF UGI&SBFT DOUBLE CONT 320 1,718.00 71401516 DR T-SPINE 2V 320 511.00 71401523 DR SHLDR 1V LT 320 529.00 71401527 DR SHLDR 1V RT 320 529.00 71401536 DR SHLDR 2+V LT 320 541.00 71401537 DR SHLDR 2+V RT 320 541.00 71401539 DR SINUS <3V 320 400.00 71401542 DR SHLDR 2+V BL 320 1,082.00 71401543 DR SKULL <4V 320 600.00 71401551 DR SKULL 4+V 320 700.00 71401555 DF SMALL BOWEL 320 946.00 71401558 DR SKEL SURVEY ARTHRITIS 320 1,083.00 71401559 DR SKEL SURVEY COMPLETE 320 1,083.00 71401560 DR SKEL SURVEY GENETIC 320 1,083.00 71401563 DR LS-SPINE CMPLT W-BEND 320 1,381.00 71401564 X-RAY EXAM ABD 1 VW 320 400.00 71401565 X-RAY EXAM ABD 2 VW 320 450.00 71401566 X-RAY EXAM ABD 3+VW 320 500.00 71401571 DR STERNUM 320 560.00 71401575 DR NECK SOFT TISSUE 320 540.00 71401579 DF ENEMA THERAPEUTIC 320 950.00 71401583 DR TL-SPINE 2V 320 480.00 71401587 DR TMJ BL 320 600.00 71401588 DR TMJ UNI 320 400.00 71401598 DR TOES 2V BL 320 800.00 71401599 DR TOES 2V LT 320 400.00 71401603 DR TOES 2V RT 320 400.00 71401604 DR UP EXT INFNT BL 320 800.00 71401614 DF UGI DOUBLE CONT W/KUB 320 1,325.00 71401615 DF UGI W/ SMALL BOWEL 320 1,093.00 71401620 DR HAND 3+V LT 320 525.00 71401621 DR HAND 3+V RT 320 525.00 71401623 DR KNEE STANDING BL 320 800.00 71401624 DR KNEE STANDING LT 320 463.00 71401625 DR KNEE STANDING RT 320 463.00 71401629 DR RIBS BL W/1V CHEST 320 854.00 71401630 DR RIBS RT W/1V CHEST 320 595.00 71401631 DR SI JNTS 3+V 320 600.00 71401632 DR SINUS 3+V 320 500.00 71401633 DR C-SPINE 2 OR 3 VIEWS 320 523.00 71401634 DR LS-SPINE 3V 320 667.00 71401635 DR LS-SPINE 4+V 320 750.00 71401636 DR LS-SPINE BEND 2+VW 320 656.00 71401637 DR T-SPINE 3V 320 600.00 71401638 DR T-SPINE 4+V 320 750.00 71401640 DR STRESS VIEW JNT 320 423.00 71401641 DR WRIST 3V RT 320 519.00 71401642 DR SACRO JNTS < 3VIEWS 320 475.00 71401647 DF SPEECH EVAL W/VIDEO 320 650.00 71401650 DR RIBS LT W/1V CHEST 320 595.00 71401653 DR STERNOCLAV 3+V 320 600.00 71401663 DF CHOLANGIO INTRAOP S&I 320 1,100.00 71401673 DF INTRO LONG GI TUBE 320 870.00 71401675 DF HYSTEROSALPINGOGRAM 320 600.00 71401687 DR BONE LENGTH STUDY 320 204.00 71401689 DR OSSEOUS SURVEY LTD 320 400.00 71401699 DR HAND 3+V BL 320 1,051.00 71409148 DF UNLISTED 320 517.00 71409149 DF UROGRAPHY IV (IVP) 320 1,300.00 71409150 DR JOINT SURVEY 1V 320 400.00 71409151 DR TL-SPINE 1V 320 649.00 71409152 DR UNLISTED 320 424.00 71423366 VENO EXTREM BL 320 3,400.00 71423373 VENO EXTREM LT 320 2,600.00 71423380 VENO HEPATC W/HEMO EVAL 320 4,900.00 71423387 IR VENO JUGULAR 320 3,375.00 71423540 VENO EXTREM RT 320 2,600.00 71425271 CT SCANOGRAM LO EXT 320 204.00 71425277 CT SCANOGRAM UPEXT 320 2,800.00 71425281 DF VCUG 320 1,000.00 71465880 MRI FETAL SNGL 1ST GEST 320 3,100.00 71465881 MRI-FETAL EA ADDTL GEST 320 3,100.00 71619184 DR WRIST 3V BL 320 1,038.00 71619185 DR WRIST 3V LT 320 519.00 72954029 XRAYS BONE LENGTH STUDIES 320 204.00 70950004 ANGL SEL +- ARCH LT 321 10,892.00 70960299 ARTHRO TMJ S&I 322 905.00 70960313 ARTHRO SHLDR S&I 322 800.00 70960314 ARTHRO ELBOW S&I 322 800.00 70960316 ARTHRO HIP S&I 322 800.00 70960318 ARTHRO KNEE S&I 322 800.00 70960319 ARTHRO ANKLE S&I 322 800.00 70962313 ARTHRO SHLDR S&I 322 800.00 70962314 ARTHRO ELBOW S&I 322 800.00 70962315 ARTHRO WRIST S&I 322 800.00 70962316 ARTHRO HIP S&I 322 800.00 70962318 ARTHRO KNEE S&I 322 800.00 70962319 ARTHRO ANKLE S&I 322 800.00 70950273 ANGIO SEL EA ADDL VESS S& 323 2,742.00 70950280 ANGIO EXIST CATH F/U S&I 323 5,902.00 70956442 ANGIO EXTREM RT 323 5,700.00 70960339 ANGIO THORAC SNGL S&I 323 4,900.00 70960345 ANGIO SPINAL S&I 323 10,800.00 70960346 ANGIO VISCERL VESS S&I 323 6,615.00 70960347 ANGIO PULM NONSEL S&I 323 3,375.00 70960348 ANGIO INTRNL MAMMRY S&I 323 3,375.00 70960349 ANGIO SEL EA ADDL VESS S& 323 2,742.00 70960362 ANGIO EXIST CATH F/U S&I 323 5,902.00 70963184 ANGIO ADRENAL BL S&I 323 4,900.00 70963191 ANGIO ADRENAL UNI S&I 323 4,900.00 70963240 ANGIO EXTREM BIL S&I 323 9,800.00 70963247 ANGIO EXTREM UNI S&I 323 5,700.00 70963254 ANGIO ABD+BL LWR EXT S&I 323 7,609.00 70963261 ANGIO PELVIS S&I 323 4,900.00 70963275 ANGIO PULM BIL S&I 323 4,900.00 70963282 ANGIO PULM UNI S&I 323 4,900.00 70963303 ANGIO THORAC AORTA S&I 323 4,900.00 70963572 ANG COM CRTD/INOM EGA LT 323 6,660.00 70963573 ANG COM CRTD/INOM ECA RT 323 6,660.00 70963574 ANG COM CRTD/INOM ECA BI 323 13,320.00 70963575 ANG COM CRTD/INOM ICA LT 323 6,660.00 70963576 ANF COM CRTD/INOM ICA RT 323 6,660.00 70963577 ANG COM CRTD/INOM ICA BI 323 13,320.00 70963578 ANG SEL ICA LT 323 10,892.00 70963579 ANG SEL ICA RT 323 10,892.00 70963580 ANG SEL ICA BI 323 21,784.00 70963581 ANG SEL SBCL/INOM VRT LT 323 6,660.00 70963582 ANG SEL SBCL/INOM/VRT RT 323 6,660.00 70963583 ANG SEL SBCL/INOM/VRT BI 323 13,320.00 70963584 ANGL SEL +- ARCH LT 323 10,892.00 70963585 ANGL SEL +- ARCH RT 323 10,892.00 70963586 ANGL SEL +- ARCH BI 323 21,784.00 70963587 ANG SEL ECA LT 323 2,500.00 70963588 ANG SEL ECA RT 323 2,500.00 70963589 ANG SEL ECA BI 323 5,000.00 70963590 ANG SEL ICA/VRT LT 323 2,500.00 70963591 ANG SEL ICA/VRT RT 323 2,500.00 70963592 ANG SEL ICA/VRT BI 323 5,000.00 70966400 ANGIO ABD AORTA S&I 323 5,847.00 71423240 ANGIO EXTREM BL 323 9,800.00 71423247 ANGIO EXTREM LT 323 5,700.00 71423275 ANGIO PULM BL 323 4,900.00 71423282 ANGIO PULM UNI 323 4,900.00 71423303 ANGIO THORACIC AORTA S&I 323 4,900.00 71401091 DR CHEST 4+V 324 700.00 71401255 X-RAY EXAM CHEST 1 VW 324 400.00 71401256 X-RAY EXAM CHEST 2 VW 324 450.00 71401257 X-RAY EXAM CHEST 3 VW 324 500.00 71401258 X-RAY EXAM CHEST 4+ VW 324 550.00 37010116 CHEMO ADMIN IV PUSH INIT 331 653.00 37010117 CHEMO ADMIN IV PUSH ADD 331 400.00 62063027 CHEMO ADMIN IV PUSH INIT 331 653.00 62063028 CEHMO ADMIN IV PUSH ADD 331 400.00 62096106 CHEMO ADMIN IV PUSH INIT 331 653.00 62096107 CHEMO ADMIN IV PUSH ADD 331 400.00 62181096 CHEMO ADMIN SQ/IM 331 492.00 62186106 CHEMO ADMIN IV PUSH INIT 331 653.00 62186107 CHEMO ADMIN IV PUSH ADD 331 400.00 62211089 CHEMO ADMIN IV PUSH INIT 331 653.00 62211090 CHEMO ADMIN SQ/IM 331 492.00 62211098 CHEMO ADMIN IV PUSH ADD 331 400.00 62243014 CHEMO ADMIN IV PUSH-INIT 331 653.00 62243015 CHEMO ADMIN IV PUSH ADD 331 400.00 62244014 CHEMO ADMIN SQ/IM 331 492.00 70100115 CHEMO ADMIN SQ/IM 331 492.00 70100116 CHEMO ADMIN IV PUSH INIT 331 653.00 70100117 CHEMO ADMIN IV PUSH ADD 331 400.00 70966503 CHEMO IA INFUSION UP TO R 331 1,716.00 70966504 Chemo ia push tecnique 331 982.00 71920013 CHEMO ADMIN SQ/IM 331 492.00 71920014 CHEMO ADMIN IV PUSH INIT 331 653.00 71920036 CHEMO ADMIN IV PUSH ADD 331 400.00 71920047 CHEMO INJ IMPLNTD RESERVO 331 424.00 71940115 CHEMO ADMIN SQ/IM 331 492.00 71940116 CHEMO ADMIN IV PUSH INIT 331 653.00 71940117 CHEMO ADMIN IV PUSH ADD 331 400.00 72300927 CHEMO ADMIN SQ/IM 331 492.00 72310927 CHEMO ADMIN SQ/IM 331 492.00 72700051 CHEMO ADMIN SQ/IM 331 492.00 72700052 CHEMO ADMIN IV PUSH INIT 331 653.00 72700053 CHEMO ADMIN IV PUSH ADD 331 400.00 72840040 CHEMO ADMIN IV PUSH INIT 331 653.00 72840041 CHEMO ADMIN SQ/IM 331 492.00 72840042 CHEMO ADMIN IV PUSH ADD 331 400.00 72840067 CHEMO INJ IMPLNTD RESERVO 331 424.00 72840070 CHEMO ADMIN HRMNL ANTINEO 331 424.00 72850051 CHEMO ADMIN SQ/IM 331 492.00 72850052 CHEMO ADMIN IV PUSH INIT 331 653.00 72850053 CHEMO ADMIN IV PUSH ADD 331 400.00 72930030 CHEMO INJ IMPLNTD RESERVO 331 424.00 37010118 CHEMO INF 1ST HR 335 978.00 37010119 CHEMO INF EA ADDL HR 335 415.00 37010121 CHEMO INF EA ADDL DRUG 335 561.00 37039608 CHEMO INTO CNS 335 1,131.00 62063025 CHEMO 1ST HOUR 335 978.00 62063026 CHEMO INF EA ADDTL HOUR 335 415.00 62096108 CHEMO INF 1ST HR 335 978.00 62096109 CHEMO INF EA ADDTL HOUR 335 415.00 62096110 CHEMO INF >8HR W/ PUMP 335 1,275.00 62096111 CHEMO INF EA ADDL DRUG 335 561.00 62181094 CHEMO INFUSN >8HR W/PUMP 335 1,275.00 62181095 CHEMO INF EA ADDL DRUG 335 561.00 62183025 CHEMO 1ST HOUR 335 978.00 62183026 CHEMO INF EA ADDTL HOUR 335 415.00 62211091 CHEMO INF 1ST HR 335 978.00 62211093 CHEMO INF EA ADDL HR 335 415.00 62211094 CHEMO INF >8HR W/ PUMP 335 1,275.00 62211095 CHEMO INF EA ADDL DRUG 335 561.00 62211097 CHEMO INTO CNS 335 1,176.00 62241095 CHEMO INF EA ADDL DRUG 335 561.00 62244012 Chemo admin inf/ addl hrs 335 415.00 62244013 CHEMO INF 1ST HR 335 890.00 70100118 CHEMO INF 1ST HR 335 978.00 70100119 CHEMO INF EA ADDL HR 335 415.00 70100120 CHEMO INFUSN >8HR W/PUMP 335 1,275.00 70100121 CHEMO INF EA ADDL DRUG 335 561.00 70276123 CHEMO INTO CNS 335 1,176.00 70930231 CHEMO INTO CNS 335 1,176.00 71920015 CHEMO INF 1ST HR 335 978.00 71920016 CHEMO INTO CNS 335 1,176.00 71920031 CHEMO INF EA ADDL HR 335 415.00 71920037 CHEMO INFUSN >8HR W/PUMP 335 1,275.00 71920038 CHEMO INF EA ADDL DRUG 335 561.00 71940118 CHEMO INF 1ST HR 335 978.00 71940119 CHEMO INF EA ADDL HR 335 415.00 71940121 CHEMO INFUS EA ADDTL DRUG 335 561.00 72411163 CHEMO INTO CNS 335 1,176.00 72700054 CHEMO INF 1ST HR 335 978.00 72700055 CHEMO INF EA ADDL HR 335 415.00 72700057 CHEMO INF EA ADDL DRUG 335 561.00 72840043 CHEMO INF 1ST HR 335 978.00 72840044 CHEMO INF EA ADDL HR 335 415.00 72840045 CHEMO INFUSN >8HR W/PUMP 335 1,275.00 72840046 CHEMO INF EA ADDL DRUG 335 561.00 72840047 CHEMO INTO CNS 335 1,176.00 72860038 REFILL/MAINT IMPLANT PUMP 335 750.00 72930038 REFILL/MAINT IMPLANT PUMP 335 750.00 72930039 REFILL/MAINT PUMP RESVR S 335 550.00 74111163 CHEMO INTO CNS 335 1,176.00 70960385 PERITNL-VEN SHNT EVAL S&I 340 1,937.00 71600008 NM THYRD IMAG CA METS LTD 341 1,718.00 71600009 NM ENDOCRINE PROC UNLSTD 341 1,600.00 71600010 NM BONE MARRW IMAG LTD 341 1,600.00 71600011 NM BONE MARRW IMAG MULT 341 1,674.00 71600012 NM BONE MARRW IMAG WB 341 1,882.00 71600013 NM BLD PL HRT MUGA SCAN 341 2,000.00 71600014 NM BLD PL HRT IMAG SNGL 341 2,000.00 71609006 NM VENOGRAM BIL 341 2,600.00 71609009 NM BONE SCAN 3-PHASE 341 4,439.00 71609015 NM BONE SCAN SPECT 341 3,229.00 71609016 NM THYRD UPTK SNG/MULT 341 1,600.00 71609017 NM THYRD IMAG INCL FLOW 341 1,600.00 71609018 NM THYRD IMAG SNG/MULTI 341 1,804.00 71609019 PARATHYRD PLNR +- SUBTR 341 3,370.00 71609020 NM THYROID CARCINOMA UPTK 341 507.00 71609022 NM BONE SCAN WHOLE BODY 341 3,363.00 71609029 NM CEREBRAL FLOW ONLY 341 2,000.00 71609036 NM BRAIN SCAN SPECT 341 2,918.00 71609043 NM BRAIN SCAN W/FLOW 341 2,711.00 71609050 NM VCUG 341 2,000.00 71609057 NM ESOPHAGEAL REFLUX 341 2,600.00 71609064 NM ESOPHAGEAL TRANSFER 341 2,600.00 71609078 NM GASTRIC EMPTYING STUDY 341 3,185.00 71609086 NM HEPATOBIL W/ GB 341 2,345.00 71609087 NM HEPATOBIL W/ GB & RP 341 3,379.00 71609099 NM LIVER STATIC ONLY 341 2,082.00 71609106 NM LIVER&SPLEEN STATIC 341 2,622.00 71609113 NM LIVER SPECT 341 2,573.00 71609120 NM MECKELS 341 2,708.00 71609134 NM BLD PL GTD HRT RST/STR 341 2,700.00 71609147 NM LUNG PERFUSION 341 2,000.00 71609149 NM PULM VENT 341 2,000.00 71609150 NM PULM VENT & PERF 341 2,600.00 71609151 NM PULM PERF QUANT 341 2,600.00 71609152 NM PULM PERF & VENT QUANT 341 2,600.00 71609155 NM INFECTN LTD 341 2,883.00 71609177 NM RENOGRM 341 2,000.00 71609197 NM CSF SHUNT EVAL 341 2,093.00 71609234 NM TUMOR WH BODY 2 DAY 341 4,530.00 71609918 NM THYROID METS WB 341 2,960.00 71619151 NM BONE MARROW SCAN 341 2,960.00 71619152 NM CSF FLOW CISTERNOGRAM 341 2,770.00 71619153 NM BRAIN-ICTA/INTERICTAL 341 2,000.00 71619155 NM CSF LEAKAGE 341 2,736.00 71619156 NM CSF SPECT 341 2,804.00 71619159 NM GI BLEED 341 2,724.00 71619161 NM LIVER IMAG W/VAS FLW 341 2,686.00 71619162 NM TUMOR SPECT 341 3,396.00 71619163 NM TUMOR WH BODY 341 2,563.00 71619165 NM PARATHYROID SCAN 341 2,371.00 71619166 NM RNL W/FL&FNCT W/O&W RX 341 2,696.00 71619168 NM RNL W/FLW&FNCTN W/O RX 341 2,000.00 71619169 NM RNL W/FLW&FNCTN W/RX 341 2,489.00 71619170 NM SALIVARY GLND W/FNCTN 341 2,600.00 71619171 NM INFECTN WH BODY 341 2,883.00 71619188 NM TUMOR LTD 341 2,000.00 71619189 NM XENON FATTY LIVER 341 2,573.00 71619197 NM BLD PL IMAG SPECT 341 2,000.00 71619198 NM BLD POOL 1ST PASS 341 2,000.00 71619199 NM KIDNEY FUNC NON-IMAGE 341 2,000.00 71619202 NM INFECTN SPECT 341 2,640.00 71619211 NM LYMPHOSCINTIGRAPHY 341 2,724.00 71619212 NM RA TRACER ID SENT NODE 341 825.00 71619426 NM UNLISTED 341 2,000.00 71609909 NM THYRD THERAPY ORAL 342 3,118.00 71609005 NM TC-99M SESTA TO 40 343 1,036.00 71609557 Tc99m BICISATE > 25mC 343 3,932.00 71611100 PET F-18 FDG 343 1,562.00 71611101 GALLIUM GA68 DOTATE-P/MCI 343 538.00 71619127 NM I-131 TX SOLN PER MCI 343 46.00 71619262 NM GA-67 PER MCI 343 446.00 71619273 NM I-125 GLOFIL/10 UCI 343 469.00 71619275 INDIUM-111 OXINE/0.5MCI 343 5,523.00 71619277 NM I-123 MIBG 343 26,836.00 71619279 NM IN-111 DTPA/DOSE 343 12,287.00 71619372 NM TC-99M DMSA TO 10MCI 343 1,419.00 71619373 NM TC-99M DTPA TO 25MCI 343 240.00 71619376 NM TC99M MDP TO 30MCI 343 136.00 71619377 NM TC99M NA PERTECHNE/MCI 343 50.00 71619378 NM TC99M SULF COL TO 20MC 343 562.00 71619380 NM CHOLETEC TO 15 MCI 343 199.00 71619403 NM ULTRATAG TO 30MCI 343 752.00 71619404 TC99M TILMANOCEPT <0.5MCI 343 807.00 71619408 NM XENON-133 GAS/10 MCI 343 273.00 71619411 NM CERETEC TO 25MCI 343 237.00 71619412 NM CERETEC WBC TO 25MCI 343 6,043.00 71619416 NM MYOVIEW TO 40MCI 343 481.00 71619417 NM I-123 CP PER 100UCI 343 396.00 71619418 NM TECHNESCAN MAA TO 10MC 343 189.00 71619419 NM TECHNESCAN MAG3 TP 15M 343 1,166.00 71619420 NM TECHNESCAN PYP MCI 343 148.00 71619422 NM THALLOUS CHL TI201/MCI 343 144.00 71619423 NM ACUTECT - UP TO 20MCI 343 1,430.00 71619424 NM OCTREOTIDE IN111/DOSE 343 12,287.00 71619429 NM GALLIUM GA68 DOTATE-PI 343 538.00 71619430 NM ROTOP DMSA 343 6,144.00 71609919 NM I-131 TX CAP PER MCI 344 122.00 70960368 CT GUIDE ABSC DRN S&I 350 2,249.00 70960383 CT GUIDE NDL PLCMT S&I 350 3,057.00 70960631 3D RENDERING 350 1,199.00 70966453 CT GUIDE TISS ABLTN S&I 350 3,023.00 71423002 CT UNLISTED 350 2,800.00 71425061 CT GUIDE NDL PLCMT 350 3,057.00 71425260 CT 3D RECON 1 WRKSTATION 350 1,199.00 71425261 CT 3D RECON 2 WRKSTATION 350 999.00 71425961 CT HRT W/3D CONGEN 350 3,610.00 71425962 CTA HRT W/3D IMAGE 350 3,794.00 71470001 CT 3D WORKSTATION 1 350 1,199.00 71470002 CT 3D WORKSTATION 2 350 999.00 71423000 CT SINUSES -CONT +STEALTH 351 2,650.00 71425049 CT ANGIO/VENOGRAM HEAD 351 3,174.00 71425055 CT ANGIO/VENOGRAM NECK 351 3,174.00 71425121 CT HEAD +&-CONT 351 3,400.00 71425127 CT HEAD +CONT 351 3,090.00 71425133 CT HEAD -CONT 351 2,650.00 71425187 CT MASTOIDS +CONT 351 3,291.00 71425193 CT MASTOIDS -CONT 351 2,650.00 71425199 CT MAX/FACE +&-CONT 351 3,400.00 71425205 CT MAX/FACE +CONT 351 3,200.00 71425211 CT MAX/FACE -CONT 351 2,650.00 71425217 CT ORBITS +&-CONT 351 3,400.00 71425223 CT ORBITS +CONT 351 3,200.00 71425229 CT ORBITS -CONT 351 2,650.00 71425283 CT SINUSES +&-CONT 351 3,400.00 71425289 CT SINUSES +CONT 351 3,200.00 71425295 CT SINUSES -CONT 351 2,650.00 71425307 CT NECK SOFT TISS +&-CONT 351 3,400.00 71425313 CT NECK-SOFT TISS +CONT 351 3,100.00 71425319 CT NECK SOFT TISS -CONT 351 2,800.00 71425325 CT TEMPORAL BONES +&-CONT 351 3,400.00 71425331 CT TEMPORAL BONES +CONT 351 3,200.00 71425337 CT TEMPORAL BONES -CONT 351 2,650.00 70966510 CT THORAX W/O CONTRAST 352 2,650.00 71420002 CT ABD&PELVIS -CONT 352 4,175.00 71420003 CT ABD&PELVIS +CONT 352 4,513.00 71420004 CT ABD&PELVIS -&+CONT 352 4,550.00 71420340 CT GUID STEREO LOC 352 2,800.00 71420341 CTA ABD ARTERIES 352 3,100.00 71425007 CT ABD +&-CONT 352 3,462.00 71425013 CT ABD +CONT 352 3,100.00 71425016 CT ABD LTD 352 2,650.00 71425019 CT ABD -CONT 352 3,050.00 71425025 CT ANGIO ABD +3D 352 3,250.00 71425026 CT ANGIO ABD&PELVIS +3D 352 5,120.00 71425027 CT MAX/FACE LTD 352 2,650.00 71425031 CT ANGIO CHEST +3D 352 3,250.00 71425037 CT ANGIO UP EXT LT +3D 352 3,400.00 71425038 CT ANGIO UP EXT RT +3D 352 3,400.00 71425043 CT ANGIO LO EXT LT +3D 352 3,250.00 71425044 CT ANGIO LO EXT RT +3D 352 3,250.00 71425045 CT ANGIO LO EXT BL +3D 352 6,500.00 71425073 CT CHEST +&-CONT 352 3,400.00 71425079 CT CHEST +CONT 352 2,950.00 71425085 CT CHEST -CONT 352 2,650.00 71425086 CT CHEST HI RES -CONT 352 2,650.00 71425097 CT C-SPINE +CONT 352 3,808.00 71425103 CT C-SPINE -CONT 352 3,300.00 71425137 CT LO EXT +&-CONT LT 352 3,400.00 71425139 CT LO EXT LTD 352 2,650.00 71425141 CT LO EXT +&-CONT RT 352 3,400.00 71425143 CT LO EXT +CONT BL 352 6,276.00 71425146 CT LO EXT +CONT LT 352 3,138.00 71425149 CT LO EXT +CONT RT 352 3,138.00 71425150 CT LO EXT -CONT BL 352 5,300.00 71425153 CT LO EXT -CONT LT 352 2,650.00 71425158 CT LO EXT -CONT RT 352 2,650.00 71425163 CT L-SPINE +&-CONT 352 4,200.00 71425169 CT L-SPINE +CONT 352 4,152.00 71425171 CT L-SPINE LTD 352 2,650.00 71425175 CT L-SPINE -CONT 352 3,554.00 71425235 CT PELVIS +&-CONT 352 3,740.00 71425241 CT PELVIS +CONT 352 3,565.00 71425247 CT PELVIS -CONT 352 3,108.00 71425339 CT UPEXT +&- CONT LT 352 3,400.00 71425340 CT UPEXT LTD 352 2,650.00 71425341 CT UPEXT +&-CONT RT 352 3,400.00 71425343 CT T-SPINE +&-CONT 352 3,740.00 71425345 CT UPEXT +CONT RT 352 3,166.00 71425346 CT UPEXT -CONT BL 352 5,300.00 71425347 CT UPEXT -CONT LT 352 2,650.00 71425349 CT T-SPINE +CONT 352 3,565.00 71425350 CT UPEXT +CONT LT 352 3,166.00 71425351 CT UPEXT -CONT RT 352 2,650.00 71425355 CT T-SPINE -CONT 352 3,200.00 71425356 CT ANGIO PELVIS +3D 352 3,775.00 71425357 CT LTD STUDY OTHER 352 2,650.00 71425960 CT HRT +CONT W/3D 352 2,950.00 37010001 GEN SURG LEV 1 1ST HR 360 4,099.00 37010002 GEN SURG LEV 1 ADD 1/2 HR 360 2,050.00 37010005 GEN SURG LEV 2 1ST HR 360 6,356.00 37010007 GEN SURG LEV 2 ADD 1/2 HR 360 3,178.00 37010009 GEN SURG LEV 3 1ST HR 360 8,079.00 37010010 GEN SURG LEV 3 ADD 1/2 HR 360 4,040.00 37010013 GEN SURG LEV 4 1ST HR 360 11,405.00 37010015 GEN SURG LEV 4 ADD 1/2 HR 360 5,703.00 37010019 GEN SURG LEV 5 ADD 1/2 HR 360 6,831.00 37010020 GEN SURG LEV 5 1ST HR 360 13,662.00 37012197 SCAN PROC CRANIAL INTRA 360 4,560.00 37039615 SCAN PROC CRANIAL INTRA 360 4,560.00 70010050 OR LEV 1 1ST HR 360 4,099.00 70010060 OR LEV 1 ADD 1/2 HR 360 2,050.00 70010070 OR LEV 2 1ST HR 360 6,297.00 70010080 OR LEV 2 ADD 1/2 HR 360 3,149.00 70010086 OR TRMA CMPLX/CRIT AD 1/2 360 10,395.00 70010090 OR LEV 3 1ST HR 360 8,079.00 70010100 OR LEV 3 ADD 1/2 HR 360 4,040.00 70010110 OR LEV 4 1ST HR 360 11,405.00 70010120 OR LEV 4 ADD 1/2 HR 360 5,703.00 70010130 OR LEV 5 1ST HR 360 13,662.00 70010140 OR LEV 5 ADD 1/2 HR 360 6,831.00 70010185 OR TRMA CMPLX/CRIT 1ST HR 360 20,790.00 70010230 OR MEDL CMPLX/CRIT 1ST HR 360 20,790.00 70010231 OR MEDL CMPLX/CRIT AD 1/2 360 10,395.00 70100001 GEN SURG LEV 1 1ST HR 360 4,099.00 70100003 GEN SURG LEV 1 ADD 1/2 HR 360 2,050.00 70100005 GEN SURG LEV 2 1ST HR 360 6,297.00 70100007 GEN SURG LEV 2 ADD 1/2 HR 360 3,149.00 70100009 GEN SURG LEV 3 1ST HR 360 8,079.00 70100011 GEN SURG LEV 3 ADD 1/2 HR 360 4,040.00 70100013 GEN SURG LEV 4 1ST HR 360 11,405.00 70100015 GEN SURG LEV 4 ADD 1/2 HR 360 5,703.00 70100017 GEN SURG LEV 5 1ST HR 360 13,662.00 70100019 GEN SURG LEV 5 ADD 1/2 HR 360 6,831.00 70100295 PYELOPLASTY COMPLICATED 360 17,015.00 72424435 RPR HMERS MAL W/ AUTOGRFT 360 8,012.00 72424436 LAMINECTOMY BX IS NEOPL 360 9,140.00 72424437 EXT CRANIECTMY W/BN GRFT 360 17,015.00 72424438 CLSD RED COMPD MAXILLA FX 360 12,210.00 72424439 PALATOPLASTY W/PHARY FLAP 360 9,111.00 72424440 APP INTERDNTL FIX DEVICE 360 5,667.00 72424441 RPR DISLOCATED PERO TNDNS 360 5,667.00 72424442 LAP W ADRENALECTOMY 360 17,015.00 72424443 LEFORT 1; SGL WO BG 360 17,015.00 72424444 RECNSTR M RAMI; W INT FIX 360 17,015.00 72424445 OSTEOTOMY MANDIBLE SEGM 360 12,645.00 72424446 GENIOPLASTY; AUGMENTATION 360 12,645.00 72424447 PYELOPLASTY COMPLICATED 360 17,015.00 72424448 RETROGRADE PYELOGRAM 360 3,671.00 72424449 URETEROTOMY TO INS INDWST 360 17,015.00 72927165 OSTEOTOMY IT OR ST 360 17,015.00 72930064 EX CRANIECTMY W/BONE GRFT 360 17,015.00 72954033 OSTEOTOMY ILIAC ACET/INNM 360 1.00 72954034 OSTEOTOMY IT OR ST 360 1.00 72954052 OPEN TX FEMORL FX DISTAL 360 17,015.00 72954054 DRAIN/INJ SM JT/BRSA W/US 360 1,006.00 72954055 CL TX PROX FEM FX WO MANP 360 866.00 74110001 GEN SURG LEV 1 1ST HR 360 4,099.00 74110003 GEN SURG LEV 1 ADD 1/2HR 360 2,050.00 74110005 GEN SURG LEV 2 1ST HR 360 6,297.00 74110007 GEN SURG LEV 2 ADD 1/2 HR 360 3,149.00 74110009 GEN SURG LEV 3 1ST HR 360 8,079.00 74110011 GEN SURG LEV 3 ADD 1/2 HR 360 4,040.00 74110013 GEN SURG LEV 4 1ST HR 360 11,405.00 74110015 GEN SURG LEV 4 ADD 1/2 HR 360 5,703.00 74110017 GEN SURG LEV 5 1ST HR 360 13,662.00 74110019 GEN SURG LEV 5 ADD 1/2 HR 360 6,831.00 7322099 REMVL SKIN TAGS (1 - 15) 361 688.00 37010264 N BLCK INJ BRACHIAL PLEX 361 1,059.00 37010268 N BLCK INJ AXILLARY 361 1,059.00 37010270 N BLCK INJ SUPRASCAPULAR 361 1,059.00 37010282 N BLCK INJ SCIATIC SNG 361 1,059.00 37010284 N BLK INJ SCIATIC CONT IN 361 1,059.00 37010286 N BLCK INJ FEM SNGL 361 1,059.00 37010288 N BLCK INJ FEM CONT INF 361 1,059.00 37010292 N BLCK OTHER PERIPHERAL 361 1,059.00 37010294 N BLCK INJ PLANTAR DIGIT 361 1,059.00 37010300 BRONCH VISUAL OF WINDPIPE 361 2,328.00 37010301 DX BRONCHOSCPY/WASH 361 1,905.00 37010302 DX BRONCHSCPY/BRUSH 361 1,905.00 37010303 DX BRONCHOSCPY/LAVAGE 361 1,905.00 37010304 BRONCHOSCOPY W/BX 361 2,328.00 37010305 BRONCHSCPY/LUNG BX EACH 361 2,328.00 37010306 BRONCHSCPY/NDL BX EACH 361 2,328.00 37010307 BRONCHOSCPY/LUNG BX ADDTL 361 2,328.00 37010308 BRONCHSCPY/NDL BX ADDTL 361 2,328.00 37010309 AIRWAYS SURGICAL PROC 361 1,059.00 37010311 PERIRECTAL INJ W/BOTOX 361 1,799.00 37011106 LASR DSTR PROLF LESN<10CM 361 2,857.00 37011107 LASR DSTR PROLF LESN<50CM 361 2,857.00 37011108 LASR DSTR PROLF LESN>50CM 361 2,857.00 37011111 SKIN BIOPSY-DERMATOLOGY 361 794.00 37011112 REMOV SKIN LESION-SMPL 361 2,011.00 37011113 REMOV SKIN LESION-MODERAT 361 2,434.00 37011114 REMOV SKIN LESION-CMPLX 361 2,857.00 37011150 CHEMODRNV ANAL SPHINCTER 361 1,905.00 37011800 ANAL BOTOX INJECTION 361 424.00 37012004 TRACHEOBRONCH THRU TRACH 361 2,117.00 37012009 BRONCH W/WO CELL WASHING 361 2,328.00 37012010 BRONCH W/WO BRUSHING 361 2,328.00 37012014 BRONCH W BX 361 2,328.00 37012021 BRONCH TRACH/BRONCH DILAT 361 2,328.00 37012024 ESOPHAGOSCOPY BIOPSY 361 1,905.00 37012026 DILATE ESOPH UNGUID BOUGI 361 2,117.00 37012029 EGD BALLOON DILATION 361 2,381.00 37012034 EGD WIRE GUIDED DIL 361 2,381.00 37012039 UPPER EGD W/WO BRUSH/WASH 361 2,381.00 37012044 EGD BIOPSY 361 2,381.00 37012049 EGD INJECTION SCLEROSIS 361 2,381.00 37012054 EGD DIL GASTRIC OUTLET OB 361 2,381.00 37012059 EGD TO PLACE PEG 361 2,381.00 37012064 EGD/REMOVAL FOREIGN BODY 361 2,381.00 37012069 EGD CONTROL OF BLEED 361 2,381.00 37012074 ERCP W/WO BRUSH 361 3,175.00 37012076 ERCP W/BX 361 3,175.00 37012079 ERCP/PAPILLOTOMY/SPHINCTE 361 3,175.00 37012081 ERCP W/ LITHO CALCULUS 361 3,175.00 37012084 ERCP RETRO INSRT STENT 361 3,175.00 37012085 ERCP REMOVE FB, STENT 361 3,175.00 37012086 ERCP BALLOON DILATION 361 3,175.00 37012089 G-TUBE CHNG 361 424.00 37012094 ILEOSCOPY THRU STOMA W/BI 361 2,117.00 37012099 PROCTOSIGMOID W/BX 361 1,905.00 37012104 SIGMOID W/BX 361 1,905.00 37012105 SIGMOIDOSCOPY W/RMVL FB 361 1,905.00 37012109 COLONOSCOPY W/WO BRUSH WA 361 2,434.00 37012114 COLONOSCOPY W/BX 361 2,434.00 37012115 COLONOSCOPY W/BLLN/STRICT 361 2,117.00 37012119 COLON REMOVE LESION SNARE 361 2,434.00 37012134 RECTAL SUCTION BIOPSY 361 2,646.00 37012159 BRONCH REMOVE FOREIGN BOD 361 2,328.00 37012164 EGD LIGATE ESOPH VARICES 361 2,381.00 37012174 COLON CONTROL OF BLEED 361 2,434.00 37012179 COLON RMVL FB 361 2,434.00 37012189 COLON THRU STOMA W/BX 361 2,434.00 37012194 SIGMOID CONTROL OF BLEED 361 1,905.00 37012201 BRONCH W/ BAL/WASH 361 2,328.00 37012204 MINOR PROC 1ST 30MIN 361 1,323.00 37012205 MINOR PROC ADD 15MIN 361 662.00 37039607 LUMBAR PUNCT DX 361 953.00 37039609 BONE MARROW ASP 361 1,059.00 37039611 BONE MARROW BX 361 1,588.00 37039616 REP WND EO MSCL TND CAPSL 361 6,487.00 37039617 SUBCONJUNCTIVAL INJECTION 361 5,667.00 61411088 NASO/ORO TUBE PLCMT 361 450.00 61411089 WOUND DEBRID NON-SELECT 361 582.00 61411090 NEG PRESS WNDTHRPY<50CM 361 286.00 61415045 LUMBAR PUNCT DX 361 953.00 61415064 RMVL LUMB/EPIDUR CATH 361 1,059.00 61415067 LUMBAR PUNCT TX 361 953.00 61700494 ECMO PUMP/VAD DAY 361 20,939.00 61710488 ECMO INIT VENO-VENOUS 361 25,433.00 61710490 ECMO INIT VENO-ARTERIAL 361 25,433.00 61710491 ECMO DAILY MGMNT VENOUS 361 20,939.00 61710492 ECMO DAILY MGMNT-ARTERIAL 361 20,939.00 61711050 MINOR BEDSIDE PROC 361 794.00 61711057 VENTR SHUNT PUNCT 361 900.00 61711073 INSRT PERITONEAL CATH 361 1,270.00 61713003 A-LINE INSRTN 361 318.00 61715023 INSRT PICC W/O PRT <5Y 361 1,588.00 61715029 THORACENTESIS 361 1,588.00 61715031 INSRT CHEST TUBE 361 1,059.00 61715033 PERICARDIOCENTESIS INIT 361 1,588.00 61715039 INSRT UMBIL CATH 361 1,270.00 61715041 CIRCUM NB W/O CLAMP 361 794.00 61715042 ABSC DRN SMPL/SNGL 361 477.00 61715043 INSRT EXT VENTR DRN 361 1,059.00 61715045 LUMBAR PUNCT DX 361 953.00 61715050 BRONCHOSCOPY 361 2,328.00 61715052 FLEX LARYNGOSCOPY 361 477.00 61715055 INSRT NONTNLD CVC <5Y 361 1,270.00 61715069 BX ANORECTAL WALL 361 1,588.00 61716110 NASO/ORO TUBE PLCMT 361 450.00 61716111 WOUND DEBRID NON-SELECT 361 582.00 61805054 INJ EPIDRL BLD CLOT/PATCH 361 1,270.00 61805064 RMVL EPIDRL/SUBDRL CATH 361 2,117.00 61807100 THERAPUTIC APHRSIS WB CEL 361 3,460.00 61807101 THERAPUTIC APHERIS RB CEL 361 3,460.00 61807102 APHERSIS PLATELETS 361 3,460.00 61807103 APHERSIS PLASMA 361 3,670.00 61807104 APHERSIS ADSORP/REINFUSE 361 11,444.00 61807106 PHOTOPHERSIS 361 3,460.00 61808010 ALLO STEM CELL BMT 361 9,841.00 61808015 AUTO STEM CELL BMT 361 9,841.00 61808020 ALLO DONOR LYMPHOCYTE INF 361 3,281.00 61808021 HPC BOOST 361 1,852.00 61808040 BONE MARROW HARVEST ALLO 361 3,281.00 61808041 BONE MARROW HARVEST AUTO 361 3,281.00 62060047 RECTAL BIOPSY 361 1,059.00 62061050 BX SKIN/SQ TISS SNGL 361 794.00 62061051 BX SKIN/SQ TISS EA ADDTL 361 794.00 62061052 MINOR BEDSIDE PROC 361 794.00 62065030 INSRT CHEST TUBE 361 1,059.00 62065042 ABSC DRN SMPL/SNGL 361 477.00 62065044 ABSC DRN CMPLX/MULT 361 646.00 62065067 LUMBAR PUNCT TX 361 953.00 62065068 LUMBAR PUNCT DX 361 953.00 62065075 NASO/ORO TUBE PLCMT 361 450.00 62065076 FOLEY INSRT SMPL 361 265.00 62065078 NEG PRESS WNDTHRPY<50CM 361 286.00 62091030 INSRT CHEST TUBE 361 1,059.00 62091050 INSRT EXT VENTR DRN 361 1,059.00 62091052 MINOR BEDSIDE PROC 361 794.00 62091055 LUMBAR PUNCT DX 361 953.00 62091057 VENTR SHUNT PUNCT 361 900.00 62091073 INSRT TUNNLD IP CATH 361 1,588.00 62091076 A-LINE INSRTN 361 318.00 62095041 CIRCUM NB W/O CLAMP 361 794.00 62095048 BRONCH VIA TRACHEOSTOMY 361 2,328.00 62095050 BRONCHOSCOPY 361 2,328.00 62095052 FLEX LARYNGOSCOPY 361 477.00 62095055 INSRT NONTNLD CVC <5Y 361 1,270.00 62095061 RMVL VENTR SHUNT W/O REPC 361 1,588.00 62095063 RMVL ICP CATH 361 291.00 62095064 RMVL EPIDRL/SUBDRL CATH 361 2,117.00 62095067 LUMBAR PUNCT TX 361 953.00 62095068 INJ W/ CATH PLCMT LMB/SCL 361 1,059.00 62095069 PLCMT NG TUBE BY DR 361 582.00 62095072 BX SKIN/SQ TISS SNGL 361 794.00 62095074 BX SKIN/SQ TISS EA ADDL 361 794.00 62095075 NASO/ORO TUBE PLCMT 361 450.00 62095076 FOLEY INSRT SMPL 361 265.00 62095078 NEG PRESS WNDTHRPY<50CM 361 286.00 62121045 REMVAL CAST ARM/LEG/TORSO 361 403.00 62121048 ABSC DRAIN SMPL/SNGL 361 477.00 62121049 ABSC DRAIN COMPLX 361 646.00 62121050 MINOR BEDSIDE PROC 361 794.00 62121051 LUMBAR PUNCT DX 361 953.00 62121088 NASO/ORO TUBE PLCMT 361 450.00 62121089 WOUND DEBRID NON-SELECT 361 582.00 62121090 NEG PRESS WNDTHRPY<50CM 361 286.00 62131052 MINOR BEDSIDE PROC 361 794.00 62131055 LUMBAR PUNCTE DX 361 953.00 62135042 ABSC DRN SMPL/SNGL 361 477.00 62135067 LUMBAR PUNCT TX 361 953.00 62135068 LUMBAR PUNCT DX 361 953.00 62135075 NASO/ORO TUBE PLCMT 361 450.00 62135076 FOLEY INSRT SMPL 361 265.00 62135078 NEG PRESS WNDTHRPY<50CM 361 286.00 62150056 EPICARDL LEAD PLCMT 361 3,175.00 62151025 THORACENTESIS 361 1,588.00 62151030 INSRT CHEST TUBE 361 1,059.00 62151035 PERICARDIOCENTESIS INIT 361 1,588.00 62151050 INSRT EXT VENTR DRN 361 1,059.00 62151052 MINOR BEDSIDE PROC 361 794.00 62151057 VENTR SHUNT PUNCT 361 900.00 62151073 INSRT TUNNLD IP CATH 361 1,588.00 62151076 A-LINE INSRTN 361 318.00 62151089 WOUND DEBRID NON-SELECT 361 582.00 62151090 NEG PRESS WNDTHRPY<50CM 361 286.00 62151098 NASO/ORO TUBE PLCMT 361 450.00 62151750 STERNAL CLOSURE DELAYED 361 3,175.00 62155039 INSRT UMBIL CATH 361 1,270.00 62155048 BRONCH VIA TRACHEOSTOMY 361 2,328.00 62155050 BRONCHOSCOPY 361 2,328.00 62155055 INSRT NONTNLD CVC >5YRS 361 1,270.00 62155056 THORACOSTOMY W/WO SEAL 361 1,905.00 62155059 TRANSVEN PACING TEMP 361 12,698.00 62155061 RMVL VENTR SHUNT W/O REPC 361 1,588.00 62155063 RMVL ICP CATH 361 291.00 62155064 RMVL EPIDRL/SUBDRL CATH 361 2,117.00 62155068 INJ W/ CATH PLCMT LMB/SCL 361 1,059.00 62155069 PLCMT NG TUBE BY DR 361 582.00 62181025 THORACENTESIS 361 1,588.00 62181030 INSRT CHEST TUBE 361 1,059.00 62181035 PERICARDIOCENTESIS INIT 361 1,588.00 62181050 INSRT EXT VENTR DRN 361 1,059.00 62181051 BX SKIN/SQ TISS SNGL 361 794.00 62181052 BX SKIN/SQ TISS EA ADDTL 361 794.00 62181053 MINOR BEDSIDE PROC 361 794.00 62181055 LUMBAR PUNCT DX 361 953.00 62181057 VENTR SHUNT PUNCT 361 900.00 62181067 BONE MARROW ASP 361 1,059.00 62181068 BONE MARROW BX 361 1,588.00 62181073 INSRT TUNNLD IP CATH 361 1,588.00 62181076 A-LINE INSRTN 361 318.00 62183030 NASO/ORO TUBE PLCMT 361 450.00 62183031 WOUND DEBRID NON-SELECT 361 582.00 62183032 NEG PRESS WNDTHRPY<50CM 361 286.00 62185039 INSRT UMBIL CATH 361 1,270.00 62185048 BRONCH VIA TRACHEOSTOMY 361 2,328.00 62185050 BRONCHOSCOPY 361 2,328.00 62185054 INSERT NONTNLD CVC >5YRS 361 1,270.00 62185055 INSRT NONTNLD CVC <5Y 361 1,270.00 62185059 TRANSVEN PACING TEMP 361 12,698.00 62185061 RMVL VENTR SHUNT W/O REPL 361 1,588.00 62185063 RMVL ICP CATH 361 291.00 62185064 RMVL EPIDRL/SUBDRL CATH 361 2,117.00 62185067 LUMBAR PUNCT TX 361 953.00 62185069 PLCMT NG TUBE BY DR 361 582.00 62186108 INJ. INTRA-ARTERIAL 361 186.00 62186410 PARACENTESIS W/O GUID 361 953.00 62211050 BX SKIN/SQ TISS SNGL 361 794.00 62211051 BX SKIN/SQ TISS EA ADDTL 361 794.00 62211052 MINOR BEDSIDE PROC 361 794.00 62215054 INJ EPIDRL BLD CLOT/PATCH 361 1,270.00 62215064 RMVL EPIDRL/SUBDRL CATH 361 2,117.00 62215075 NASO/ORO TUBE PLCMT 361 450.00 62215076 FOLEY INSRT SMPL 361 265.00 62215078 NEG PRESS WNDTHRPY<50CM 361 286.00 62215079 INJ. INTRA-ARTERIAL 361 186.00 62218010 ALLO STEM CELL BMT 361 9,841.00 62218015 AUTO STEM CELL BMT 361 9,841.00 62218020 ALLO DONOR LYMPHOCYTE INF 361 3,281.00 62241050 BX SKIN/SQ TISS SNGL 361 794.00 62241051 BX SKIN/SQ TISS EA ADDTL 361 794.00 62241052 MINOR BEDSIDE PROC 361 794.00 62241057 VENTR SHUNT TAP/PUNCTURE 361 900.00 62243018 INJ BLOOD PATCH 361 1,270.00 62243129 CAST APPLICATION 361 403.00 62245030 INSRT CHEST TUBE 361 1,059.00 62245042 ABSC DRN SMPL/SNGL 361 477.00 62245044 ABSC DRN CMPLX/MULT 361 609.00 62245050 CHEMODENRV MUSCLE 361 794.00 62245064 RMVL EPIDRL/SUBDRL CATH 361 2,117.00 62245067 LUMBAR PUNCT TX 361 953.00 62245068 LUMBAR PUNCT DX 361 953.00 62245075 NASO/ORO TUBE PLCMT 361 450.00 62245076 FOLEY INSRT SMPL 361 265.00 62245077 WOUND DEBRID NON-SELECT 361 582.00 62245078 NEG PRESS WNDTHRPY<50CM 361 286.00 62246106 THER/PROPH/DIAG INJ IA 361 186.00 62251050 BX SKIN/SQ TISS SNGL 361 794.00 62251051 BX SKIN/SQ TISS EA ADDTL 361 794.00 62251052 MINOR BEDSIDE PROC 361 794.00 62255068 LUMBAR PUNCT DX 361 351.00 62255075 NASO/ORO TUBE PLCMT 361 450.00 62255076 FOLEY INSRT SMPL 361 265.00 62255078 NEG PRESS WNDTHRPY<50CM 361 286.00 62261050 BX SKIN/SQ TISS SNGL 361 794.00 62261051 BX SKIN/SQ TISS EA ADDTL 361 794.00 62261052 MINOR BEDSIDE PROC 361 794.00 62265075 NASO/ORO TUBE PLCMT 361 450.00 62265076 FOLEY INSRT SMPL 361 265.00 62265078 NEG PRESS WNDTHRPY<50CM 361 286.00 70010040 SURG CX PT COND RISK 361 3,175.00 70100137 NON ROUTINE BL DRAW >3YR 361 52.00 70100245 RMVL SKIN TAGS UP TO 15 361 688.00 70100250 N BLCK INJ TRIGEMINAL 361 1,059.00 70100252 N BLCK INJ FACIAL 361 1,059.00 70100254 N BLCK INJ OCCIPITAL 361 1,059.00 70100256 N BLCK INJ VAGUS 361 1,059.00 70100258 N BLCK INJ PHRENIC 361 1,059.00 70100260 N BLCK INJ SPINAL ACCESSR 361 2,117.00 70100262 N BLCK INJ CERVICA PLEX 361 1,059.00 70100264 N BLCK INJ BRACHIAL PLEX 361 1,059.00 70100266 N BLCK CONT INFUSE B PLEX 361 1,059.00 70100268 N BLCK INJ AXILLARY 361 1,059.00 70100270 N BLCK INJ SUPRASCAPULAR 361 1,059.00 70100272 N BLCK INJ INTERCOST SNG 361 1,059.00 70100274 N BLCK INJ INTERCOST MLT 361 1,059.00 70100276 N BLCK INJ ILIO-ING/HYPOG 361 1,059.00 70100278 N BLCK INJ PUDENDAL 361 1,059.00 70100280 N BLCK INJ PARACERVICAL 361 1,059.00 70100282 N BLCK INJ SCIATIC SNG 361 1,059.00 70100284 N BLK INJ SCIATIC CONT IN 361 1,059.00 70100286 N BLCK INJ FEM SNGL 361 1,059.00 70100288 N BLCK INJ FEM CONT INF 361 1,059.00 70100290 N BLCK INJ LUMBAR PLEX 361 1,059.00 70100292 N BLCK OTHER PERIPHERAL 361 1,059.00 70100294 N BLCK INJ PLANTAR DIGIT 361 1,059.00 70117106 LASR DSTR PROLIF LES<10CM 361 2,857.00 70117107 LASR DSTR PROLIF LES<50CM 361 2,857.00 70117108 LASR DSTR PROLIF LES>50CM 361 2,857.00 70269210 RMVL IMPACTED CERUMEN 361 265.00 70272020 MINOR PRCD 1ST 1/2 HOUR 361 1,323.00 70272021 MINOR PRCD EA ADD'L 15MIN 361 662.00 70272022 LUMBAR PUNCTURE 361 953.00 70272023 BONE MARROW BX 361 1,588.00 70272024 CHEMODNRVTN FACIAL MUSCL 361 794.00 70272026 CHEMDNRV MUSC NCK DYSTN 361 1,059.00 70272028 CHEMODNRVTN MUSCL MIGRAIN 361 1,059.00 70272029 DESTR NRV/INTERCOSTAL 361 1,059.00 70272031 BX BONE MARR & ASP 361 1,588.00 70272050 CHEMDNRV 1 EXTR 1-4 361 1,059.00 70272051 CHEMDNRV EA ADD EXTR 1-4 361 1,059.00 70272052 CHEMDNRV 1 EXTR 5/> MUS 361 1,059.00 70272053 CHEMDRV EAADD EXTR 5>MUS 361 1,059.00 70272054 CHEMDNRV TRNK MUSC 1-5 361 1,059.00 70272055 CHEMDNRV TRNK MUSC 6/> 361 1,059.00 70276128 BONE MARROW ASP 361 1,059.00 70276134 RMVL FB EXTRNL EAR 361 240.00 70400250 N BLCK INJ TRIGEMINAL 361 1,059.00 70400252 N BLCK INJ FACIAL 361 1,059.00 70400254 N BLCK INJ OCCIPITAL 361 1,059.00 70400256 N BLCK INJ VAGUS 361 1,059.00 70400258 N BLCK INJ PHRENIC 361 1,059.00 70400260 N BLCK INJ SPINAL ACCESSR 361 2,117.00 70400262 N BLCK INJ CERVICAL PLEX 361 1,059.00 70400264 N BLCK INJ BRACHIAL PLEX 361 1,059.00 70400266 N BLCK CONT INFUSE B PLEX 361 1,059.00 70400268 N BLCK INJ AXILLARY 361 1,059.00 70400270 N BLCK INJ SUPRASCAPULAR 361 1,059.00 70400272 N BLCK INJ INTERCOST SNG 361 1,059.00 70400274 N BLCK INJ INTERCOST MIT 361 1,059.00 70400276 N BLCK INJ ILIO-ING/HYPOG 361 1,059.00 70400278 N BLCK INJ PUDENDAL 361 1,059.00 70400280 N BLCK INJ PARACERVICAL 361 1,059.00 70400282 N BLCK INJ SCIATIC SNG 361 1,059.00 70400284 N BLK INJ SCIATIC CONT IN 361 1,059.00 70400286 N BLCK INJ FEM SNGL 361 1,059.00 70400288 N BLCK INJ FEM CONT INF 361 1,059.00 70400290 N BLCK INJ LUMBAR PLEX 361 1,059.00 70400292 N BLCK OTHER PERIPHERAL 361 1,059.00 70400294 N BLCK INJ PLANTAR DIGIT 361 1,059.00 70930059 CHEMDNRV TRNK MUSC 1-5 361 1,059.00 70943200 DRAINAGE PAROTID ABSCESS 361 4,231.00 70950006 BX BONE MARR & ASP 361 1,588.00 70950007 BONE MARRW BX, NDL TROCAR 361 1,588.00 70950009 A-LINE INSRTN 361 371.00 70950012 MISC CARDIAC SURGERY PROC 361 5,291.00 70950013 ECMO-INSRT LF HEART VENT 361 6,878.00 70950099 UNLISTD VASCULAR SURG 361 424.00 70950102 DEEP MUSCLE BIOPSY 361 1,059.00 70950126 UNLISTD VASCULAR INJ 361 530.00 70950127 PORTAL VEIN CATH PERC 361 371.00 70950130 INSRT NONTNNLD CVC <5Y 361 1,270.00 70950131 INSRT NONTNNL CVC 5+Y 361 1,270.00 70950132 INSRT TNNL CVC <5Y NO POR 361 2,540.00 70950133 INSRT TNNL CVC 5+Y NO POR 361 2,540.00 70950144 REPL NONTNNL CVC NO PRT/P 361 2,011.00 70950148 REPL PICC NO PORT/PUMP 361 2,011.00 70950150 RMVL TNNL CVC NO PRT/PMP 361 1,588.00 70950154 REPOSIT CVC W/FLUORO GUID 361 2,011.00 70950155 CONT INJ EVAL CVC W/FLUOR 361 1,270.00 70950212 TRNSCATH OCCL NON-CNS 361 26,770.00 70950297 INTRO NDL INTO VEIN 361 530.00 70950309 INSRT/REPL PCMKR ATRIAL 361 26,453.00 70950310 INSRT/REPL PCMKR VENT 361 26,453.00 70950311 INSRT/REPL PCMKR ATR/VEN 361 32,802.00 70950312 TEMP PCMKR INSRT SNGL 361 13,227.00 70950313 INSRT ELTRD TEMP DUAL 361 13,227.00 70950314 INSRT PCMKR SNGL 361 25,395.00 70950315 INSRT PCMKR DUAL 361 25,395.00 70950316 UPGRADE PCMKR SYSTEM 361 32,431.00 70950317 REPOSIT PACE-DEFIB LEAD 361 4,974.00 70950318 INSRT LEAD PACE-DEFIB SNG 361 13,227.00 70950319 INSRT LEAD PACE-DEFIB DUA 361 13,227.00 70950320 RPR LEAD PACE-DEFIB SNGL 361 4,974.00 70950321 RPR LEAD PACE-DEFIB DUAL 361 4,974.00 70950322 REVISE POCKET PCMKR 361 3,175.00 70950323 REVISE POCKET PACE-DEFIB 361 3,175.00 70950324 INSRT PACE LEAD & CONNECT 361 13,227.00 70950325 LT VENT PACE LEAD ADD ON 361 13,227.00 70950327 RMVL OF PCMKR 361 4,974.00 70950328 RMVL OF PCMKR ELTRD SNGL 361 6,878.00 70950329 RMVL OF PCMKR ELTRD DUAL 361 6,878.00 70950330 RMVL ICD 361 4,762.00 70950331 RMVL ELTRD TRANSVEN 361 6,878.00 70950332 IMPLNT EVENT RECORDER 361 14,470.00 70950333 RMVL EVENT RECORDER 361 3,175.00 70950334 INSRT ICD SNGL LEAD EXIST 361 67,719.00 70950336 INSRT ICD +LEAD SNGL 361 94,700.00 70950337 INSRT ICD +LEAD DUAL 361 94,700.00 70950350 INSRT PULSE GEN MULT LEAD 361 33,595.00 70950351 RMVL/RPLC PULSE GEN SNGL 361 28,569.00 70950352 RMVL/RPLC PULSE GEN DUAL 361 33,331.00 70950353 RMVL/RPLC PULSE GEN MULT 361 33,331.00 70950354 INSRT ICD DUAL LEAD EXIST 361 103,694.00 70950355 INSRT ICD MULT LEAD EXIST 361 103,694.00 70950356 RMVL/RPLC ICD SNGL LEAD 361 103,694.00 70950357 RMVL/RPLC ICD DUAL LEAD 361 103,694.00 70950358 RMVL/RPLC ICD MULT LEAD 361 103,694.00 70950360 BRONCH W/ ALVEOLAR LAVAGE 361 2,328.00 70950361 BRONCHOSCOPY 361 2,328.00 70950365 ECMO INSRT PRPH CANN<5YR 361 1,376.00 70950366 ECMO INSRT PRPH CANN>6YR 361 1,376.00 70950367 ECMO INSRT OPRN CANN<5YO 361 1,376.00 70950368 ECMO INSRT OPEN CANN >6YO 361 1,376.00 70950369 ECMO INSRT CENTR CANN<5YO 361 1,376.00 70950370 ECMO INSRT CENTR CANN>6YO 361 1,376.00 70950375 THROMBOLYSIS ART THRPY 361 3,281.00 70950376 THROMBOLYSIS VENOUS THRPY 361 3,281.00 70950377 THRMBYSIS VEN/ART NOT HRT 361 4,445.00 70950378 THRMBLYSIS CATH RMVL-ADD 361 4,445.00 70950382 INSERT CHEST TUBE W/IMAGE 361 1,323.00 70950383 THORACENTESIS W/IMAGE 361 1,588.00 70950384 CHEMICAL PLEURODESIS 361 2,031.00 70950385 PERC VAD INSERT ART ONLY 361 741.00 70950386 PERC VAD INSERT ART/VEN 361 1,059.00 70950387 PERC VAD REPOSITION 361 318.00 70950388 PERC VAD REMOVAL 361 318.00 70950389 PRIM ART MECH THROMBECTOM 361 6,349.00 70950390 PRIM ART M-THROMBC ADD-ON 361 4,086.00 70950391 INSRT/REPL PERM DEFIB ELC 361 6,667.00 70950392 INSRT/SUBCT IMPLNT DEFIB 361 7,830.00 70950393 RMVL/SUBQ DEFIB W/ELECT 361 6,667.00 70950394 REPOST/SUBQ DEFIB W/ELECT 361 4,974.00 70950395 TRANSCATH MITRL VALVE RPR 361 15,872.00 70950396 ADDT'L PROSTHSIS SAMESESS 361 7,936.00 70950397 ANGIO EXT CARTD NONSEL 361 6,349.00 70950398 INSRT NDL/CATH IN VEIN 361 318.00 70950400 VASC EMBO/OCCL/VENOUS 361 26,453.00 70950401 VASC EMBO/OCCL/ARTERY 361 26,453.00 70950402 VASC EMBO/OCCL/ORGAN 361 26,453.00 70950403 VASC EMBO/OCCL/BLEED 361 26,453.00 70950439 ILIAC REVSC INIT LT 361 17,988.00 70950440 ILIAC REVSC INIT RT 361 17,988.00 70950470 STENT 1ST ART 361 15,872.00 70950471 STENT EA ADDT'L ART 361 15,872.00 70950472 STENT 1ST VEIN 361 15,872.00 70950473 STENT EA ADDT'L VEIN 361 15,872.00 70950475 LARYNGOSCOPY DIAG 361 1,588.00 70950476 EGD BIOPSY 361 2,381.00 70950477 SIGMOIDOSCOPY DIAG FLEX 361 1,905.00 70950490 1ST ORD RENAL UNI W/S&I 361 2,646.00 70950491 1ST ORD RENAL BILAT S&I 361 5,291.00 70950550 Intro cath dialy circuit 361 12,486.00 70950551 Intro cath dlys circ bln 361 12,486.00 70950552 Intro cath dlys circ stn 361 12,486.00 70950553 Thrmbc/nfs dlys circ 361 12,486.00 70950554 Thrmb/nfs dlys circ prhl 361 12,486.00 70950555 Thrmb/nfs dlys circ stnt 361 12,486.00 70950556 Blln angiop ctr dialy seg 361 12,486.00 70950557 Trluml blln angio 1 art 361 12,486.00 70950558 Trluml blln angio addart 361 12,486.00 70950559 Trluml blln angio 1 vein 361 12,486.00 70950560 Trluml blln angio addvein 361 12,486.00 70950700 THRMBO INIT ART INFUS S&I 361 3,281.00 70950701 THRMBO INIT VEN INFUS S&I 361 3,281.00 70951023 MELODY PULM VALVULOPLASTY 361 24,337.00 70951087 TUBE PERICARDIOSTOMY 361 7,196.00 70951092 PERICARDIOCENT INIT 361 1,588.00 70951202 FB RETRVL S&I W/WO IMAGE 361 2,646.00 70951206 TRNSCATH OCCL CNS 361 26,770.00 70951297 INTRO CATH IVC/SVC 361 530.00 70951300 ESOPHSCOPY,RIGID,TRNORAL 361 1,905.00 70951347 INSRT/REPL DEFIB LEADS&G 361 94,700.00 70956358 INSRT PICC LINE <5 YRS 361 1,905.00 70956362 INSRT PICC LINE =>5 YRS 361 1,588.00 70956406 TUBE THORACOSTOMY 361 1,408.00 70956445 BX SKIN/SQ TISS SNGL 361 351.00 70956495 VENOUS MECH THROMBECTOMY 361 8,465.00 70960002 INSRT PICC LINE =>5 YRS 361 1,588.00 70960009 FNA W/O IMAGE GUIDE 361 415.00 70960010 FNA W/IMAGE GUIDE 361 635.00 70960011 BX SKIN/SQ TISS EA ADDL 361 157.00 70960012 BX MUSCLE PERC 361 1,059.00 70960013 BX BONE SUPERFICL 361 2,381.00 70960014 BX BONE DEEP 361 2,910.00 70960015 SINUS TRACT INJ TX 361 1,059.00 70960016 SINUS TRACT INJ DX 361 530.00 70960018 ARTHROCENT SM JNT 361 794.00 70960019 ARTHROCENT MED JNT 361 794.00 70960020 ARTHROCENT LG JNT 361 794.00 70960021 ARTHRO TMJ INJ LT 361 397.00 70960022 ARTHRO TMJ INJ RT 361 397.00 70960023 ARTHRO TMJ INJ BIL 361 794.00 70960042 ARTHRO SHLDR INJ LT 361 397.00 70960043 ARTHRO SHLDR INJ RT 361 397.00 70960044 ARTHRO SHLDR INJ BIL 361 794.00 70960045 ARTHRO ELBOW INJ LT 361 397.00 70960046 ARTHRO ELBOW INJ RT 361 397.00 70960047 ARTHRO ELBOW INJ BIL 361 794.00 70960048 ARTHRO WRIST INJ LT 361 397.00 70960049 ARTHRO WRIST INJ RT 361 397.00 70960050 ARTHRO WRIST INJ BIL 361 794.00 70960051 ARTHRO HIP INJ W/O ANES B 361 794.00 70960052 ARTHRO HIP INJ W/O ANES L 361 397.00 70960053 ARTHRO HIP INJ W/O ANES R 361 397.00 70960054 ARTHRO HIP INJ W/ANES LT 361 794.00 70960055 ARTHRO HIP INJ W/ANES RT 361 794.00 70960056 ARTHRO HIP INJ W/ANES BIL 361 1,588.00 70960057 ARTHRO/TX SI JNT INJ LT 361 397.00 70960058 BX BONE MARR & ASP 361 1,588.00 70960059 ARTHRO/TX SI JNT INJ BIL 361 794.00 70960060 ARTHRO KNEE INJ LT 361 397.00 70960061 ARTHRO KNEE INJ RT 361 397.00 70960062 ARTHRO KNEE INJ BIL 361 794.00 70960063 ARTHRO ANKLE INJ LT 361 397.00 70960064 ARTHRO ANKLE INJ RT 361 397.00 70960065 ARTHRO ANKLE INJ BIL 361 794.00 70960079 BX PLEURA PERC 361 2,117.00 70960081 BX LUNG PERC LT 361 2,117.00 70960082 BX LUNG PERC RT 361 2,117.00 70960083 BX LUNG PERC BIL 361 4,234.00 70960084 PLEURAL CATH INSRTN 361 2,031.00 70960085 CHEMICAL PLEURODESIS 361 2,031.00 70960086 PERICARDIOCENT INIT 361 1,588.00 70960104 INSRT NDL INTO VEIN 361 318.00 70960105 PSEUDOANEU TX INJ EXT 361 794.00 70960106 VENOGRM EXTREM INJ LT 361 530.00 70960107 VENOGRM EXTREM INJ RT 361 530.00 70960108 NDL/CATH CARTD/VERT RT 361 2,223.00 70960109 NDL/CATH CARTD/VERT BIL 361 4,446.00 70960110 NDL/CATH BRACHL RT 361 2,223.00 70960111 NDL/CATH BRACHL BIL 361 4,446.00 70960112 NDL/CATH EXT ART RT 361 2,223.00 70960113 NDL/CATH EXT ART BIL 361 4,446.00 70960114 1ST ORD THOR/BRACH RT 361 2,646.00 70960116 2ND ORD THOR/BRACH RT 361 2,646.00 70960118 3RD ORD THOR/BRACH RT 361 2,646.00 70960119 3RD ORD THOR/BRACH BIL 361 5,292.00 70960120 EA ADD THOR/BRACH RT 361 2,646.00 70960122 1ST ABD/PELV/LOWEXT RT 361 2,646.00 70960123 1ST ABD/PELV/LOWEXT BIL 361 5,292.00 70960124 2ND ABD/PELV/LOWEXT RT 361 2,646.00 70960125 2ND ABD/PELV/LOWEXT BIL 361 5,292.00 70960126 3RD ABD/PELV/LOWEXT RT 361 2,646.00 70960127 3RD ABD/PELV/LOWEXT BIL 361 5,292.00 70960128 EA ADD ABD/PEL/,OWEXT RT 361 2,646.00 70960133 UNLISTD VASCULAR INJ 361 530.00 70960134 BLOOD COLL/<3Y FEM/JUG 361 106.00 70960140 VEIN ACCESS CUTDWN <1Y 361 212.00 70960141 VEIN ACCESS CUTDWN >=1Y 361 212.00 70960142 PORTAL VEIN CATH PERC 361 371.00 70960143 SEL ORGAN BLOOD SAMPL EA 361 450.00 70960144 INSRT NONTNNL CVC <5Y 361 1,270.00 70960145 INSRT NONTNNL CVC 5+Y 361 1,270.00 70960146 INSRT TNNL CVC <5Y NO POR 361 2,540.00 70960147 INSRT TNNL CVC 5+Y NO POR 361 2,540.00 70960148 INSRT TNNL CVC <5Y W/PORT 361 3,175.00 70960149 INSRT TNNL CVC 5+Y W/POR 361 3,175.00 70960151 INSRT 2 TNNL CVC 2 SITES 361 6,349.00 70960152 INSRT 2 TNNL CVC 2 ST POR 361 6,349.00 70960153 INSRT PICVAD CATH PORT <5 361 3,175.00 70960154 INSRT PICVAD CATH PORT 5+ 361 3,175.00 70960155 RPR CVC NO PORT/PUMP 361 2,011.00 70960156 RPR CVC W/PORT/PUMP 361 2,381.00 70960157 REPL CVC CATH ONLY PRT/PM 361 2,011.00 70960158 REPL NONTNNL CVC NO PRT/P 361 2,011.00 70960159 REPL TNNL CVC NO PRT/PUMP 361 2,011.00 70960160 REPL TNNL CVC W/PORT 361 2,011.00 70960162 REPL PICC NO PORT/PUMP 361 2,011.00 70960163 REPL PICC W/PORT/PUMP 361 2,011.00 70960164 RMVL TNNL CVC NO PRT/PMP 361 1,588.00 70960165 RMVL TNNL CVC W/PRT/PMP 361 1,588.00 70960166 DECLOT IMPLNT VAD 361 1,588.00 70960167 CVA MAINT FIBRIN STRIP 361 5,079.00 70960168 CVA MAINT THRU LUMEN 361 1,059.00 70960169 REPOSIT CVC W/FLUORO GUID 361 2,011.00 70960170 CONT INJ EVAL CVC W/FLUOR 361 1,270.00 70960172 BX TRANSCATH 361 2,646.00 70960175 UNLISTD VASCULAR SURG 361 5,291.00 70960176 SPLENOPORTOGRM INJ 361 397.00 70960177 BX LYMPH NODE SUPERFCL 361 429.00 70960178 LYMPHANGIO INJ LT 361 397.00 70960179 SIALOGRM INJ LT 361 397.00 70960182 NASO/ORO TUBE PLCMT 361 450.00 70960183 G-TUBE CHNG W/O IMAGE 361 1,588.00 70960184 G-TUBE REPOSIT DUODENUM 361 1,588.00 70960186 G-TUBE (LONG) PLCMT 361 1,059.00 70960189 BX LIVER PERC W/OTH PROC 361 1,588.00 70960191 CHOLECYSTOSTMY PERC 361 3,810.00 70960193 CHOLANGIOGRM INJ T-TUBE 361 624.00 70960194 INTRO TRNHEP STNT BILI DR 361 4,085.00 70960195 CHNG BILI DRN CATH 361 2,518.00 70960196 REVISE/REINSRT TRNHEP TUB 361 3,300.00 70960200 BILI T-TUBE DIL W/O STNT 361 2,646.00 70960202 BILI STONE RMVL T-TUBE 361 4,246.00 70960203 BX PANCREAS PERC 361 2,117.00 70960208 PARACENTESIS W/ GUID 361 1,112.00 70960209 BX ABD/RETROPERIT PERC 361 2,117.00 70960210 PNEUMOPERITONEUM INJ 361 397.00 70960211 CHNG ABSC/CYST DRN CATH 361 2,117.00 70960212 ABSC/CYST DRN CA CONT INJ 361 397.00 70960213 ABD SHUNT INJ 361 397.00 70960214 G/COLON TUBE REPL 361 821.00 70960215 DUOD/J-TUBE REPL 361 821.00 70960216 G-J TUBE REPL 361 821.00 70960217 RMVL OBSTR G/COLON TUBE 361 821.00 70960218 FLUORO EXAM G/COLON TUBE 361 635.00 70960220 NEPHROSTOLITHOTMY <2CM LT 361 13,740.00 70960221 NEPHROSTOLITHOTMY >2CM LT 361 13,740.00 70960222 URETER STENT EXT/INT CHNG 361 2,434.00 70960223 NEPHROSTMY TUBE RMVL LT 361 3,704.00 70960224 RENL CYST STDY ASP/INJ BL 361 2,118.00 70960228 WHITAKER TEST RT 361 530.00 70960231 URETEROGRM INJ LT 361 397.00 70960232 CHNG URETER TUBE/STENT LT 361 2,117.00 70960233 ILEOCONDUIT INJ LT 361 397.00 70960234 ASP BLADDER DX 361 530.00 70960235 ASP BLDDR W/SUPRAPUB CATH 361 2,117.00 70960238 CHNG CYSTOSTMY TUBE SMPL 361 1,059.00 70960239 CHNG CYSTOSTMY TUBE CMPLX 361 1,852.00 70960259 DIL URTHRL STRCT INIT 361 1,693.00 70960260 DIL URTHRL STRCT SUBS 361 1,693.00 70960261 DIL URTHRL STRCT DILATR 361 3,386.00 70960262 DIL URTHRL STR FILIFRM IN 361 3,386.00 70960263 DIL URTHRL STR FILIFRM SU 361 2,117.00 70960264 UNLISTD PROC URINARY 361 1,588.00 70960265 CORP CAVERNOSGRM INJ 361 397.00 70960270 MYELO CERV C1-C2 PUNCT 361 1,270.00 70960271 MYELO CERV C1-C2 PNCT&INJ 361 1,270.00 70960272 SHUNT TUBING PUNCT 361 794.00 70960273 TRNSCATH OCCL CNS 361 26,770.00 70960274 TRNSCATH OCCL NON/CNS 361 26,770.00 70960276 LUMBAR PUNCT DX 361 953.00 70960277 LUMBAR PUNCT TX 361 953.00 70960278 INJ SPINAL BLOOD PATCH 361 1,270.00 70960279 MYELO INJ SPINAL 361 530.00 70960293 ANES INJ TRNSFRML LMBR-S 361 1,585.00 70960388 UGI W/ BALL DIL ESOPHAGUS 361 2,117.00 70960389 G-TUBE PLCMT PERC 361 1,799.00 70960392 NEUROLYTC INJ LMBR SNGL E 361 1,270.00 70960395 ILEOCONDUIT INJ RT 361 397.00 70960396 ILEOCONDUIT INJ BIL 361 794.00 70960399 NEPHROSTMY TUBE RMVL RT 361 3,704.00 70960400 NEPHROSTMY TUBE RMVL BIL 361 7,408.00 70960401 NEPHROS TUBE PLCMT RT 361 5,291.00 70960402 NEPHROS TUBE PLCMT BL 361 10,582.00 70960405 URETEROGRM INJ RT 361 397.00 70960406 URETEROGRM INJ BIL 361 794.00 70960407 NEPHROSTOLITHOTMY <2CM RT 361 13,740.00 70960408 NEPHROSTOLITHOTMY >2CM RT 361 13,740.00 70960409 SIALOGRM INJ RT 361 397.00 70960410 SIALOGRM INJ BIL 361 794.00 70960411 LYMPHANGIO INJ RT 361 397.00 70960412 LYMPHANGIO INJ BIL 361 794.00 70960413 CHNG URETER TUBE/STENT RT 361 2,117.00 70960414 CHNG URETER TUBE/STENT BI 361 4,234.00 70960415 COLONOSCOPY W/ BAL DIL 361 2,117.00 70960416 HEMIC/LYMPH SYSTEM PROC 361 2,434.00 70960417 G-TUBE TO G-J TUBE CHNG 361 1,905.00 70960418 UNLIST PROC LUNGS/PLEURA 361 1,588.00 70960419 CECOSTOMY TUBE INSRT 361 2,646.00 70960420 RF ABLT LIVER TMR PERC 361 9,523.00 70960424 PUNCT ASP CYST BREAST 361 794.00 70960425 I&D ABSC THIGH/KNEE 361 3,281.00 70960427 PROC MUSCULOSKELL-UNLISTD 361 3,175.00 70960428 INJ INTRALESNL <=7 LESN 361 635.00 70960430 EXC/CURETTAGE BONE CYST 361 6,349.00 70960431 PUNCT ASP ABSC/CYST/HEMA 361 530.00 70960432 RMVL PERM INTRAPERIT CATH 361 6,349.00 70960438 VENOUS MECH THROMBCT REPT 361 8,465.00 70960439 ILIAC REVSC INIT LT 361 17,988.00 70960440 ILIAC REVSC INIT RT 361 17,988.00 70960441 ILIAC REVSC ADD LT 361 17,988.00 70960442 ILIAC REVSC ADD RT 361 17,988.00 70960443 FEM/POPL REVSC LT 361 17,988.00 70960444 FEM/POPL REVSC RT 361 17,988.00 70960445 TIB/PTNL REVSC INIT LT 361 17,988.00 70960446 TIB/PTNL REVSC INIT RT 361 17,988.00 70960447 TIB/PTNL REVSC ADD LT 361 17,988.00 70960448 TIB/PTNL REVSC ADD RT 361 17,988.00 70960449 INSRT TUN IP CATH PERC 361 6,349.00 70960451 CAUTERZTN GRANULTN TISSUE 361 794.00 70960452 INJ SCLEROSE TX MULT VEIN 361 372.00 70960453 ENDOVEN RAD-FRQ ABLTN 361 13,560.00 70960454 INJ. INTRA-ARTERIAL 361 186.00 70960455 IVC FILTER REMOVAL 361 6,349.00 70960456 PROC TONGUE-UNLISTED 361 1,059.00 70960458 UNLST PROC,SKN/MUCU/MEBRN 361 1,059.00 70960459 SEC ART M-THROMBECT ADDON 361 4,086.00 70960460 BX SOFT TISS UP-ARM SIMPL 361 1,270.00 70960461 BX SOFT TISS UP-ARM SIMPL 361 1,270.00 70960462 BONE MARROW ASP 361 1,059.00 70960463 UNLIST MUSC/SKLTL PROC 361 2,117.00 70960464 REMOVE FEMUR LESION 361 2,117.00 70960466 RMVL URETH STENT INCL S&I 361 2,031.00 70960467 RMVE FEMUR LESIN/FIXATION 361 2,117.00 70960469 INJ SPIDER VEINS 361 186.00 70960470 BX OF HIP JOINT-LT 361 2,117.00 70960471 BX OF HIP JOINT-RT 361 2,117.00 70960475 IMGE CATH FLD COLL VISC 361 2,117.00 70960478 IMGE CATH FLD PERI/RETRO 361 2,117.00 70960479 IMGE CATH FLD TRNS/VGNL 361 1,905.00 70960480 TIB/PER REVASC W/ATHER 361 66,661.00 70960481 TIB/PER REVAS STNT&ATHER 361 66,661.00 70960482 TIB/PER REVAS STNT&ADD 361 66,661.00 70960483 TIB/PER REVASC STNT&ATHER 361 66,661.00 70960485 EMBO/OCCL/VEN 361 26,453.00 70960486 EMBO/OCCL/ART 361 26,453.00 70960487 EMBO/OCCL/ORG 361 26,453.00 70960488 EMBO/OCCL/BLOOD 361 26,453.00 70960489 STENT 1ST ART 361 15,872.00 70960490 STENT EA ADDT'L ART 361 15,872.00 70960491 STENT 1ST VEIN 361 15,872.00 70960492 STENT EA ADDT'L VEIN 361 15,872.00 70960493 GUIDE CATH FLUID DRAINAGE 361 847.00 70960494 INJ TENDON SHEATH 361 530.00 70960495 REMOVAL OF VEIN CLOTS 361 4,741.00 70960497 INJ SCLEROSING SOL SNGLVN 361 186.00 70960498 BX SALIVARY GLAND NDL 361 1,059.00 70960499 EGD DIAG BRUSH WASH 361 2,381.00 70960556 TPA CHST TUBE INIT DAY 361 1,059.00 70960573 ASP/INJ THYROID CYST 361 742.00 70960574 1ST ORD RENAL UNI W/ S&I 361 2,646.00 70960575 1ST ORD RENAL BIL W/ S&I 361 10,582.00 70960576 2ND ORD RENAL UNI W/ S&I 361 2,646.00 70960577 2ND ORD RENAL BIL W/ S&I 361 5,291.00 70960578 CHEMODENERV.PARTOID/SUBMA 361 450.00 70960582 BONE MARROW BX NDL/TROCAR 361 1,588.00 70960585 Bx brest 1st Lesn strtc 361 1,588.00 70960586 Bx brest add Lesn strtc 361 1,588.00 70960587 Bx brest 1st Lesn w US 361 1,588.00 70960588 Bx brest add Lesn w US 361 1,588.00 70960589 BX BREAST 1ST LESN MR 361 1,588.00 70960590 BX BREAST ADD LESN MR 361 1,588.00 70960591 I&D REPAIR SIMPLE 361 530.00 70960602 1ST ABD/PELV/LOW EXTRM 361 2,646.00 70960603 2ND ABD/PELV/LOW EXTRM 361 2,646.00 70960604 3RD ABD/PELV/ LOW EXTRM 361 2,646.00 70960605 EA ADD ABD/PELV LOW EXTRM 361 2,646.00 70960607 INJECT ANES AGENT-BILAT 361 1,059.00 70960608 INJECT ANES AGENT UNILAT 361 530.00 70960609 CANNULATION, THORACIC 361 1,034.00 70960610 INCISE/RMVL/FB-SUBQ-SMPLE 361 556.00 70960611 INCISE/RMVL/FB/SUBQ-CMPLX 361 794.00 70960612 BX BONE OPEN-DEEP 361 2,910.00 70960613 MYELOGRPHY LMBR INJ CERV 361 1,059.00 70960616 BX MUSCLE DEEP 361 1,059.00 70960617 BX SPINAL CORD PERC NDL 361 1,799.00 70960618 INJ TRIG PT 1-2 MUSC 361 953.00 70960619 BX MUSCLE SUPEFICIAL 361 1,059.00 70960620 RESECT TUMOR FEMUR-KNEE 361 7,143.00 70960621 PERC ASPIRA INTEVERT DISK 361 3,112.00 70960622 PLCMNT SOFTTISS DEV 1ST 361 1,799.00 70960623 PLCMNT SOFTTISS DEV EA AD 361 900.00 70960624 BX SOFT TISS-THIGH-KNEE 361 1,799.00 70960625 LUMBR-SACRL SNGL FACETJNT 361 1,799.00 70960626 INTRA-ARTERIAL EMBOLIZATN 361 7,196.00 70960627 INJ THRPTIC/LUMB/WO IMAGE 361 1,059.00 70960628 INJ THRPTIC/LUMB/W IMAGE 361 1,059.00 70960629 INJ THRPTIC/CERV WO IMAGE 361 1,059.00 70960630 INJ THRPTIC CERV/W IMAGE 361 1,059.00 70960650 N BLOCK INJ INTERCOST MLT 361 1,059.00 70960651 INJ SINGLE TENDON 361 794.00 70960652 INJ SINGLE TENDON BILAT 361 1,588.00 70960673 MYELOGRPHY INJ-LMBR-THROC 361 1,059.00 70960674 MYELOGRPHY INJ LMBR-SACR 361 1,059.00 70960675 LAP GASTRO W/O G-TUBE 361 6,931.00 70960676 GASTRO-EXPLRATION/FOREIGN 361 7,196.00 70960677 MEASURE URETER PRESSURE 361 262.00 70960678 PLCMNT URETERAL STENT PRQ 361 1,947.00 70960679 BALLOON DILATE URTRL STRX 361 1,947.00 70960680 ASPIRATION OF BLADDER 361 530.00 70960690 PLCMNT STENT BILE DUCT 361 7,196.00 70960691 RADICAL RESECT TUMR TIBIA 361 7,830.00 70960700 THRMBO INIT ART INFUS S&I 361 3,281.00 70960701 THRMBO INIT VEN INFUS S&I 361 3,281.00 70960702 THRMBO SUBSQ INFUS S&I 361 1,641.00 70960704 INJ FOR CHOLANGIOGRAM 361 688.00 70960705 INJ NEW ACCS CHOLNGGRM 361 4,085.00 70960706 PLMT BILI DRNAGE CATH S&I 361 4,085.00 70960707 PLMT BILI DRNCATH INT/EXT 361 4,085.00 70960708 CONVERSN EXT BIL DRGCATH 361 4,085.00 70960709 EXCHGE BILI DRG CATH 361 3,302.00 70960710 REMVL BILI DRG CATH 361 3,302.00 70960711 DILATE BILI DUCT/AMPULLA 361 2,646.00 70960712 NFRSGRM &/URTRGRM New BL 361 1,080.00 70960713 NFRSGRM &/URTRGRM New RT 361 540.00 70960714 NFRSGRM &/URTRGRM New LT 361 540.00 70960715 NFRSGRM &/URTRGRM Ex BL 361 1,080.00 70960716 NFRSGRM &/URTRGRM Ex RT 361 540.00 70960717 NFRSGRM &/URTRGRM Ex LT 361 540.00 70960718 PLMT NEPHRSTMY CATH EXST 361 2,513.00 70960719 PLMT NEPHRSTMY CATH NEW 361 2,513.00 70960720 CONVRT NEPHRSTMY CATH 361 2,513.00 70960721 EXCHGE NEPHRSTMY CATH 361 2,513.00 70960722 PLMT URETRL STENT PRQ 361 2,513.00 70960723 EVASC PRLNG ADMN RX 1ST 361 3,356.00 70960724 EVASC PRLNG ADMN RX ADD 361 3,356.00 70960725 ESOPHGASTRIC TAMP W/BLLN 361 7,825.00 70961018 ARTHROCENT SM JNT W/ULS 361 1,006.00 70961019 ARTHROCENT MED JNT W/ULS 361 1,006.00 70961020 ARTHROCENT LG JNT W/ULS 361 1,006.00 70961024 ASP INJ GANGLION CYST 361 1,799.00 70961025 ASPIR/INJ TRMNT BONE CYST 361 1,799.00 70961050 Intro cath dialy circuit 361 12,486.00 70961051 Intro cath dlys circ bln 361 12,486.00 70961052 Intro cath dlys circ stn 361 12,486.00 70961053 Thrmbc/nfs dlys circ 361 12,486.00 70961054 Thrmb/nfs dlys circ prhl 361 12,486.00 70961055 Thrmb/nfs dlys circ stnt 361 12,486.00 70961056 Blln angiop ctr dialy seg 361 12,486.00 70961057 Trluml blln angio 1 art 361 12,486.00 70961058 Trluml blln angio addart 361 12,486.00 70961059 Trluml blln angio 1 vein 361 12,486.00 70961060 Trluml blln angio addvein 361 12,486.00 70961061 PRIM ART MECH THROMBECTOM 361 6,349.00 70961062 PRIM ART M-THROMBC ADD-ON 361 4,086.00 70962300 FB RMVL UPPR ARM-ELBW SQ 361 371.00 70963004 CYSTOGRM INJ 361 397.00 70963007 BX SKIN/SQ TISS SNGL 361 351.00 70963008 EXPLOR W/FB RMVL F/A DEEP 361 4,233.00 70963011 BURR HOLE FOR EVD PLCMT 361 8,465.00 70963192 Dilation of salivary duct 361 4,095.00 70963193 Perq device breast 1st ig 361 4,142.00 70963194 Ablate bone tumor(s) perq 361 16,000.00 70963395 BX SFT TISS SHLDR SUPRFCL 361 3,175.00 70963508 INTRO CATH SVC/IVC 361 530.00 70963509 SEL CATH 1ST ORD VENOUS 361 2,223.00 70963510 SEL CATH 2ND ORD VENOUS 361 2,223.00 70963511 INTRO CATH RH/MAIN PA 361 2,223.00 70963512 SEL CATH LT/RT PA 361 2,223.00 70963513 SEL CATH SEG/SUBSEG PA 361 2,223.00 70963514 NDL/CATH CARTD/VERT LT 361 2,223.00 70963515 NDL/CATH BRACHL LT 361 2,223.00 70963516 NDL/CATH EXT ART LT 361 2,223.00 70963517 NDL/CATH AO TRNSLMBR 361 2,646.00 70963518 INTRO CATH AORTA 361 2,646.00 70963519 1ST ORD THOR/BRACH LT 361 2,646.00 70963520 2ND ORD THOR/BRACH LT 361 2,646.00 70963521 3RD ORD THOR/BRACH LT 361 2,646.00 70963522 EA ADD THOR/BRACH LT 361 2,646.00 70963523 1ST ABD/PELV/LOWEXT LT 361 2,646.00 70963524 2ND ABD/PELV/LOWEXT LT 361 2,646.00 70963525 3RD ABD/PELV/LOWEXT LT 361 2,646.00 70963526 EA ADD ABD/PEL/LOWEXT LT 361 2,646.00 70963532 DUOD/J-TUBE INSRT PERC 361 1,799.00 70963535 UG ENDO W/G-TUBE PLCMT 361 2,117.00 70963537 DIL OF ESOPHAG BALLN 361 2,117.00 70963543 VENOGRM EXTREM INJ BIL 361 1,060.00 70963554 RMVL INDEWLL PLEURAL CATH 361 2,646.00 70963557 MANIP SPINE REQ ANES 361 3,175.00 70963559 IVC FILTER PLCMT W/ S&I 361 8,465.00 70963561 BX LUNG/MEDIAST PERC 361 2,117.00 70963562 THORACENT W/O IMAGING 361 1,588.00 70963563 THORACENT W/IMAGE 361 1,588.00 70963564 INSRT CHEST TUBE W/O IMAG 361 1,059.00 70963565 INSRT CHEST TUBE W/IMAG 361 1,323.00 70963566 THROMBOLYSIS ART THER 361 3,281.00 70963567 THROMBOLYSIS VENOUS THRPY 361 3,281.00 70963568 THROMBOLYSIS NOT HRT 361 4,445.00 70963569 THROMBOLYSIS CATH RMVL 361 4,445.00 70963570 FB RETRVL W/OR/WO IMAGING 361 2,646.00 70963571 ANGIO EXT CARTD NONSEL 361 6,349.00 70963593 UNLISTED PROC NERV-SYSTEM 361 2,117.00 70964642 CHEMDNRV 1 EXTR 1-4 361 1,059.00 70964643 CHEMDNRV EA ADD EXTR 1-4 361 1,059.00 70966358 INSRT PICC LINE <5 YRS 361 1,905.00 70966366 BX KIDNEY LT 361 2,117.00 70966367 BX KIDNEY RT 361 2,117.00 70966368 BX KIDNEY BIL 361 4,234.00 70966370 BX LIVER PERC 361 1,588.00 70966399 A-LINE INSRTN 361 371.00 70966403 RMVL FB PERITONEAL 361 2,646.00 70966406 TUBE THORACOSTOMY 361 1,408.00 70966410 PARACENTESIS W/O GUID 361 953.00 70966428 BILI TUBE PLCMT 361 4,085.00 70966438 NEPHROS TUBE PLCMT LT 361 5,291.00 70966441 BX THYROID 361 1,059.00 70966445 ABLTN RNL TMR CRYO BIL 361 19,046.00 70966446 ABLTN RNL TMR CRYO LT 361 9,523.00 70966447 ABLTN RNL TMR CRYO RT 361 9,523.00 70966449 ABLTN RNL TMR RADIO LT 361 9,523.00 70966450 ABLTN RNL TMR RADIO RT 361 9,523.00 70966451 ABLTN BONE RADIO W/CT 361 12,645.00 70966457 WHITAKER TEST LT 361 530.00 70966458 WHITAKER TEST BIL 361 1,060.00 70966475 ABLTN RNL TMR RADIO BIL 361 19,046.00 70966486 RENL CYST STDY ASP/INJ LT 361 1,059.00 70966487 RENL CYST STDY ASP/INJ RT 361 1,059.00 70966488 REPROG CSF SHUNT 361 582.00 70966494 FB RMVL FOOT DEEP 361 2,117.00 70966495 VENOUS MECH THROMBECTMY 361 8,465.00 70966497 CYSTOSTMY/CYSTOTMY W/DRN 361 6,878.00 70966498 BX SFT TISS NECK 361 3,175.00 70966499 PERC ASP.SPINAL CORD CYST 361 1,905.00 70966502 ENDOVASC TEMPORY VESSEL l 361 7,149.00 70966560 CHANGE URETER STENT PERCT 361 2,434.00 70966600 UNLISTED PROCEDURE; ORBIT 361 6,410.00 70969330 Myelography lumbar injecn 361 1,059.00 70969331 UNLISTED PROC SM INTESTNE 361 3,175.00 70969428 Perq art m-thrombect &/ns 361 6,500.00 70969429 Salivary surgery procedue 361 4,290.00 70969430 CHEMDNRV 1 EXTR 1-4 361 1,059.00 70969431 CHEMDNRV EA ADD EXTR 1-4 361 1,059.00 70969433 ENDVENOUS RF VEIN ADD-ON 361 3,428.00 71401124 DR CYSTOGRAM INJ 361 397.00 71401222 ASP/INJ SHNT TUBNG/RESERV 361 794.00 71409059 DF PLACE NASO/ORO TUBE 361 600.00 71409064 DF REPO GASTRIC FEED TUBE 361 1,500.00 71409067 DF PLACE LONG GI TUBE 361 1,500.00 71409106 DF INJ SHUNT EVAL 361 375.00 71409115 DF INJ PYELOGRAM 361 900.00 71409124 DF INJ URETHROCYST RETRO 361 375.00 71409153 REPROG CSF SHUNT 361 582.00 71409165 RF G-TUBE CHECK W/O FLUOR 361 635.00 71420351 CT CYSTOGRAM INJECTION 361 397.00 71423509 IR 1ST ORD VENOUS 361 2,223.00 71423510 IR 2ND ORD VENOUS 361 2,223.00 71423511 IR SEL CATH RH/MAIN PA 361 2,223.00 71423512 IR SEL CATH LT/RT PA 361 2,223.00 71423513 SEL CATH SEG/SUBSEG PULMA 361 2,223.00 71423516 IR NDL/CATH EXT ART 361 2,223.00 71423518 IR INTRO CATH AORTA 361 2,646.00 71423519 IR 1ST ORD THOR/BRACH 361 2,646.00 71423520 IR 2ND ORD THOR/BRACH 361 2,646.00 71423521 IR 3RD ORD THOR/BRACH 361 2,646.00 71423522 IR EA ADD THOR/BRACH 361 2,646.00 71423523 IR 1ST ABD/PELVIC/LOWEXT 361 2,646.00 71423524 IR 2ND ABD/PELVIC/LOWEXT 361 2,646.00 71800020 INTUBATION EMERGENT 361 1,588.00 71860105 BLOOD COLL/ARTERIAL 361 106.00 71907006 PHERESIS W/IMMUNOADSORP 361 11,444.00 71907024 RBC PHERESIS 361 3,460.00 71907029 WBC PHERESIS 361 3,460.00 71907032 PLT PHERESIS 361 3,460.00 71907035 PLASMA PHERESIS 361 3,670.00 71910022 RBC PHERESIS 361 3,460.00 71910023 PLASMA PHERESIS 361 3,670.00 71910024 PHERESIS W/IMMUNOADSORP 361 11,444.00 71910025 WBC PHERESIS 361 3,460.00 71920023 BONE MARROW ASP 361 1,059.00 71920024 BONE MARROW BX 361 1,588.00 71920025 DECLOT IMPLNT VAD 361 1,588.00 71920026 LUMBAR PUNCT DX 361 953.00 71920049 ALLOGENIC LYMPHCYTE INFUS 361 3,281.00 71920050 BX BONE MARR & ASP 361 1,588.00 72021027 BLOOD DRAW VIA VAD 361 147.00 72027106 EXTRACORPORL PHOTOPHERSIS 361 3,460.00 72027108 RMVL TNNL CVC NO PRT/PMP 361 1,588.00 72027200 DECLOT CVC/VAD 361 1,588.00 72028042 RMVL TNNL CVC NO PRT/PMP 361 1,588.00 72036589 RMVL TNNL CVC NO PRT/PMP 361 1,588.00 72300015 A-LINE INSRTN 361 318.00 72300047 DEBRIDEMENT BONE OPEN FX 361 1,059.00 72300048 OPEN TX FX 361 5,820.00 72300049 REIMPLNTN DIGIT CMPLT 361 4,445.00 72300100 PROCTOPXY PERINL APPRCH 361 4,233.00 72300101 ESOPHAGUS PROC-UNLISTED 361 1,905.00 72300860 GASTRIC INTUBAT/LAVAGE 361 530.00 72300879 VEIN ACCESS CUTDWN <1Y 361 212.00 72300999 PROCEDURE OTHER MINOR 361 794.00 72301000 PROCEDURE OTHER 361 794.00 72301001 INTERMEDIATE PROCEDURE 361 1,270.00 72301003 COMPLEX PROCEDURE 361 2,434.00 72301007 LAC RPR SMPL(12001-12021) 361 530.00 72301009 LAC RPR MOD(12031-12057) 361 741.00 72301010 LAC RPR CMPLX(13100-13160 361 953.00 72301011 BURN TX INIT 361 794.00 72301012 SPLINTS/CASTS 361 397.00 72301013 FB RMVL SMPL 361 582.00 72301019 FB RMVL ESOPHAGUS 361 1,905.00 72301021 BURN PART-THICKNESS DRSG/ 361 794.00 72301022 DEBRID SKN PRTL THCK 361 530.00 72301023 DEBRID SKIN TISS SNGL 361 794.00 72301024 DEBRID SKN SQ MUSC BN 361 1,588.00 72301025 TENDN SHEATH INCSN 361 3,704.00 72301026 ARTHROMTY EXPLR/DRN 361 3,704.00 72301027 SPIN/BRAIN PUMP REFIL 361 750.00 72301029 NEG PRESS WNDTHRPY<50CM 361 286.00 72301030 WOUND DEBRID SEL 1ST 20CM 361 594.00 72301031 REPAIR MOUTH LACERATION 361 1,059.00 72301032 DRAINAGE TONSIL ABSCESS 361 1,059.00 72301033 UNLIST PROC DENTALVEOLAR 361 1,588.00 72301034 DEBRIDE TISS/SUBCUT OPEN 361 1,059.00 72301036 US URINE MEASURMNT CAPCTY 361 212.00 72304059 OROPHARYNGEAL HEMORR SMPL 361 1,857.00 72304063 EXC/LESION <.5CM H,N,F,S 361 1,799.00 72304065 FB RMVL EXTRNL EAR 361 450.00 72304069 LUMBAR PUNCT DX 361 953.00 72304071 FB RMVL EXT EYE SUPERFICL 361 450.00 72304074 FB RMVL EYE CONJUNCT EMBD 361 450.00 72304080 FB RMVL EYE CORNEA (W/SL) 361 635.00 72304083 FB RMVL NOSE 361 582.00 72304086 NASAL ANT/POST HEMORR 361 450.00 72304087 ENDO INJ IMPLNT/MAT URTHR 361 2,117.00 72304136 INTRO NDL/CATH VEIN 361 318.00 72304161 DRAIN BLOOD UNDER NAIL 361 397.00 72304173 CRICOTHYROTOMY 361 2,434.00 72304400 CLSD TX FX/DISLOCAT 361 1,588.00 72304449 THORACOTOMY MASSAGE (CPR) 361 1,905.00 72304458 GASTRO REVISE ANASTOMOSIS 361 6,349.00 72304485 DEBRIDE SKIN & SUBQ TISSU 361 582.00 72304486 DEBRIDE SUBTISS EA ADD 20 361 397.00 72304487 DEBRID MUSC/FASC 1ST 20CM 361 2,328.00 72304506 EXC LES TR/ARM/LEG 1.1-2. 361 1,799.00 72304518 REPAIR NAIL BED 361 530.00 72304519 SHUNT TAP/PUNCT/INJ 361 794.00 72304520 RMVL TNNL CVC W/PRT/PMP 361 1,588.00 72304560 DESTRUCTION LESIONS 1-14 361 794.00 72304789 REPR LIP FT >1/2 VERT HTX 361 4,650.00 72304836 LAC TONGUE ANTRIOR 2/3RDS 361 1,376.00 72304860 PROCODENTIA REDUCTION W/A 361 1,588.00 72304872 PARACENTESIS INIT 361 1,112.00 72304875 REPLACEMENT BLADDER CATH 361 1,059.00 72304876 REPR LAC VESTIB MOUTH 2.S 361 4,650.00 72305110 PUNCTURE ASPIRATION 361 530.00 72305114 SHUNT TUBING PUNCT 361 847.00 72305117 NASO-GASTRIC TUBE BY PHYS 361 450.00 72305120 G-TUBE CHNG W/O IMAGE 361 424.00 72305121 RMVL NAIL PLATE/EXC MATRI 361 1,059.00 72305122 INJ ANESTH PERIPH NERV 361 794.00 72305123 FORESKIN MANIP/LYSIS 361 1,270.00 72305153 EXCISION NAIL FOLD 361 794.00 72305155 INTUBATION EMERGENT 361 1,588.00 72305156 PLCMT NDL INTRAOSS INFUS 361 477.00 72305158 TYMPANOSTOMY LOCAL ANESH 361 371.00 72305159 REPROG CSF SHUNT 361 582.00 72305160 REMOVE FB EYELID 361 265.00 72305169 REMVL SKIN TAGS (1 - 15) 361 688.00 72305173 TRACHEOTOMY TUBE CHANGE 361 371.00 72305182 INSRT NONTUN CV CATH <5Y 361 1,270.00 72305184 INSRT TNLD CV CATH <5Y 361 1,588.00 72305186 VENTRICULAR PUNCTURE 361 900.00 72305187 SUPERFICL WND DEHISENCE 361 2,117.00 72305191 TUBE THORACOSTOMY 361 1,006.00 72305196 G-TUBE PLCMT PERC 361 1,799.00 72305198 CECOSTOMY TUBE CHANGE 361 3,175.00 72305199 UNLISTED PROC SM INTESTNE 361 3,175.00 72306005 I&D ABS ISCHIO/PERIRECTL 361 2,646.00 72307056 EXPL W/FB RMVL FA/WRST 361 4,233.00 72307060 CATH UMBIL ARTRY NEWBORN 361 1,773.00 72307385 DECLOT IMPLNT VAD 361 1,588.00 72307501 CHNG CYSTOSTMY TUBE CMPLX 361 1,852.00 72308165 DEBRID SKIN/MUSC/BONE 361 1,588.00 72308166 ATRHROMTY FNGR JNT 361 3,704.00 72308167 RECTAL BIOPSY 361 1,059.00 72308168 GRAFT SKIN COMPOSITE 361 2,117.00 72308169 GRAFT-FULL/HD/FA/NK<20SQC 361 2,117.00 72308170 ELEC ANLYS IMPLT ITHCL/E 361 750.00 72310015 A-LINE INSRTN 361 318.00 72310047 DEBRIDEMENT BONE OPEN FX 361 1,059.00 72310048 OPEN TX FX 361 5,820.00 72310049 REIMPLNTN DIGIT CMPLT 361 4,445.00 72310100 PROCTOPXY PERINL APPRCH 361 4,233.00 72310101 ESOPHAGUS PROC-UNLISTED 361 1,905.00 72310860 GASTRIC INTUBAT/LAVAGE 361 530.00 72310879 VEIN ACCESS CUTDWN <1Y 361 212.00 72310999 PROCEDURE OTHER MINOR 361 794.00 72311000 PROCEDURE OTHER 361 794.00 72311001 INTERMEDIATE PROCEDURE 361 1,270.00 72311003 COMPLEX PROCEDURE 361 2,434.00 72311007 LAC RPR SMPL(12001-12021) 361 530.00 72311009 LAC RPR MOD(12031-12057) 361 741.00 72311010 LAC RPR CMPLX(13100-13160 361 953.00 72311011 BURN TX INIT 361 794.00 72311012 SPLINTS/CASTS 361 397.00 72311013 FB RMVL SMPL 361 582.00 72311019 FB RMVL ESOPHAGUS 361 1,905.00 72311021 BURN PART-THICKNESS DRSG/ 361 794.00 72311022 DEBRID SKN PRTL THCK 361 530.00 72311023 DEBRID SKIN TISS SNGL 361 794.00 72311024 DEBRID SKN SQ MUSC BN 361 1,588.00 72311025 TENDN SHEATH INCSN 361 3,704.00 72311026 ARTHROMTY EXPLR/DRN 361 3,704.00 72311027 SPIN/BRAIN PUMP REFIL 361 750.00 72311029 NEG PRESS WNDTHRPY<50CM 361 286.00 72311030 WOUND DEBRID SEL 1ST 20CM 361 594.00 72311031 REPAIR MOUTH LACERATION 361 1,059.00 72311032 DRAINAGE TONSIL ABSCESS 361 1,059.00 72311033 UNLIST PROC DENTALVEOLAR 361 1,588.00 72311034 DEBRIDE TISS/SUBCUT OPEN 361 1,059.00 72311036 US URINE MEASURMNT CAPCTY 361 212.00 72314059 OROPHARYNGEAL HEMORR SMPL 361 1,857.00 72314063 EXC/LESION <.5CM H,N,F,S 361 1,799.00 72314065 FB RMVL EXTRNL EAR 361 450.00 72314069 LUMBAR PUNCT DX 361 953.00 72314071 FB RMVL EXT EYE SUPERFICL 361 450.00 72314074 FB RMVL EYE CONJUNCT EMBD 361 450.00 72314080 FB RMVL EYE CORNEA (W/SL) 361 635.00 72314083 FB RMVL NOSE 361 582.00 72314086 NASAL ANT/POST HEMORR 361 450.00 72314087 ENDO INJ IMPLNT/MAT URTHR 361 2,117.00 72314136 INTRO NDL/CATH VEIN 361 318.00 72314161 DRAIN BLOOD UNDER NAIL 361 397.00 72314173 CRICOTHYROTOMY 361 2,434.00 72314400 CLSD TX FX/DISLOCAT 361 1,588.00 72314449 THORACOTOMY MASSAGE (CPR) 361 1,905.00 72314458 GASTRO REVISE ANASTOMOSIS 361 6,349.00 72314485 DEBRIDE SKIN & SUBQ TISSU 361 582.00 72314486 DEBRIDE SUBTISS EA ADD 20 361 397.00 72314487 DEBRID MUSC/FASC 1ST 20CM 361 2,328.00 72314506 EXC LES TR/ARM/LEG 1.1-2. 361 1,799.00 72314518 REPAIR NAIL BED 361 530.00 72314519 SHUNT TAP/PUNCT/INJ 361 794.00 72314520 RMVL TNNL CVC W/PRT/PMP 361 1,588.00 72314560 DESTRUCTION LESIONS 1-14 361 794.00 72314836 LAC TONGUE ANTRIOR 2/3RDS 361 1,376.00 72314860 PROCODENTIA REDUCTION W/A 361 1,588.00 72314872 PARACENTESIS INIT 361 1,112.00 72314875 REPLACEMENT BLADDER CATH 361 1,059.00 72315110 PUNCTURE ASPIRATION 361 530.00 72315114 SHUNT TUBING PUNCT 361 847.00 72315117 NASO-GASTRIC TUBE BY PHYS 361 450.00 72315120 G-TUBE CHNG W/O IMAGE 361 424.00 72315121 RMVL NAIL PLATE/EXC MATRI 361 1,058.00 72315122 INJ ANESTH PERIPH NERV 361 794.00 72315123 FORESKIN MANIP/LYSIS 361 1,270.00 72315153 EXCISION NAIL FOLD 361 794.00 72315155 INTUBATION EMERGENT 361 1,588.00 72315156 PLCMT NDL INTRAOSS INFUS 361 477.00 72315158 TYMPANOSTOMY LOCAL ANESH 361 371.00 72315159 REPROG CSF SHUNT 361 582.00 72315160 REMOVE FB EYELID 361 265.00 72315169 REMVL SKIN TAGS (1 - 15) 361 688.00 72315173 TRACHEOTOMY TUBE CHANGE 361 371.00 72315182 INSRT NONTUN CV CATH <5Y 361 1,270.00 72315184 INSRT TNLD CV CATH <5Y 361 1,588.00 72315186 VENTRICULAR PUNCTURE 361 900.00 72315187 SUPERFICL WND DEHISENCE 361 2,117.00 72315191 TUBE THORACOSTOMY 361 1,006.00 72315196 G-TUBE PLCMT PERC 361 1,799.00 72315198 CECOSTOMY TUBE CHANGE 361 3,175.00 72315199 UNLISTED PROC SM INTESTNE 361 3,175.00 72316005 I&D ABS ISCHIO/PERIRECTL 361 2,646.00 72317056 EXPL W/FB RMVL FA/WRST 361 4,233.00 72317060 CATH UMBIL ARTRY NEWBORN 361 1,773.00 72317385 DECLOT IMPLNT VAD 361 1,588.00 72317501 CHNG CYSTOSTMY TUBE CMPLX 361 1,852.00 72318165 DEBRID SKIN/MUSC/BONE 361 1,588.00 72318166 ATRHROMTY FNGR JNT 361 3,704.00 72318167 RECTAL BIOPSY 361 1,059.00 72318168 GRAFT SKIN COMPOSITE 361 2,117.00 72318169 GRAFT-FULL/HD/FA/NK<20SQC 361 2,117.00 72327343 FB RMVL DEEP/COMPLX 361 4,232.00 72327344 RPR CVC NO PORT/PUMP 361 2,011.00 72327346 REPL TNNL CVC NO PRT/PUMP 361 2,010.00 72327347 EPISITOMY/VAG REPAIR ONLY 361 1,587.00 72327348 I&D ABSC/HEMAT/FLD SMPL 361 529.00 72327349 I&D ABS/HEMAT/FLD CMPLX 361 1,587.00 72327350 EXPL PENETRAT WND NCK/EXT 361 794.00 72327351 DEBRIDE SKIN/TISS EA ADDL 361 529.00 72327352 I&D ABSC VAG/PERIN 361 1,058.00 72327353 PERICARDIOCENT INIT 361 1,587.00 72327354 FB RMVL SUBQ TISS 361 582.00 72327355 EXPL PENETRAT WND CHST/AB 361 4,232.00 72327356 DRAIN/INJ JNT/BURSA 361 529.00 72327357 SPLINT/STRAPPING APPLIC 361 397.00 72327358 PLCMT PICC 361 1,905.00 72327359 VAGINAL DELIVERY ONLY 361 2,645.00 72327360 PLACENTA DELIVERY ONLY 361 1,270.00 72327361 FB RMVL EYE/CORNEA NO SL 361 635.00 72327362 REMOVAL OF CAST 361 403.00 72327363 LARYNGOSCOPY FLX/FBR/DIAG 361 1,588.00 72327364 I&D PILONIDIAL CYST,SMPL 361 556.00 72411151 BONE MARROW BX 361 1,588.00 72411164 BONE MARROW ASP 361 1,059.00 72700030 ARTHROCENT SM JNT 361 794.00 72700031 ARTHROCENT MED JNT 361 794.00 72700032 ARTHROCENT LG JNT 361 794.00 72700105 ARTHROCENT LG JNT W/ULS 361 1,006.00 72720611 ARTHROCENT LG JNT W/ULS 361 1,006.00 72771012 CAST APPL SHRT LEG RT 361 403.00 72771014 CAST APP SHRT LEG AMB RT 361 403.00 72771016 CAST APPL SHRT LEG LT 361 403.00 72771018 CAST APP SHRT LEG AMB LT 361 403.00 72781010 CAST APPL LNG ARM RT 361 403.00 72781012 CAST APPL SHRT ARM RT 361 403.00 72781014 CAST APPL HND/FA RT 361 403.00 72781018 CAST APPL FNGR 361 403.00 72781022 CAST APPL LNG ARM LT 361 403.00 72781024 CAST APPL SHLT ARM LT 361 403.00 72781026 CAST APPL HND/FA LT 361 403.00 72810076 LAC RPR MOD(12031-12057) 361 741.00 72810077 LAC RPR CMPLX(13100-13160 361 953.00 72810111 RMVL NAIL PLATE 361 794.00 72810112 RMVL IMPACT CERUMEN/LAVGE 361 265.00 72810120 DEEP SUCTIONING 361 318.00 72810121 DESTRCTN LESION UP TO 14 361 794.00 72810122 DESTRUCTION LESION 15+ 361 1,588.00 72810150 INSERT DRUG DELVRY IMPLNT 361 371.00 72810151 RMVL DRUG DELVRY IMPLNT 361 371.00 72810152 RMVL&INSRT DRUG DLVRY IMP 361 582.00 72820030 INSRT DRUG DEL IMPLANT 361 371.00 72820031 RMVL DRUG DEL IMPLANT 361 371.00 72840037 INTRO NDL/CATH VEIN 361 318.00 72840049 BONE MARROW ASP 361 1,059.00 72840051 DECLOT IMPLNT VAD 361 1,588.00 72840068 BX W/ASP BONE MRRW 1SITE 361 1,588.00 72840084 RBC PHERESIS 361 3,460.00 72840085 LUMBAR PUNCTURE TX 361 953.00 72850027 INSRT STRAIGHT CATH BLADD 361 351.00 72850039 DECLOT IMPLNT VAD 361 1,588.00 72860027 CHEMODNRVTN FACIAL MUSCL 361 794.00 72860028 CHEMDNRV MUSC NCK DYSTN 361 1,059.00 72860035 N BLCK INJ FACIAL 361 1,059.00 72860036 CHEMODNRVTN MUSCL MIGRAIN 361 1,059.00 72860040 CHEMDNRV 1 EXTR 1-4 361 1,059.00 72860041 CHEMDNRV EA ADD EXTR 1-4 361 1,059.00 72860042 CHEMDNRV 1 EXTR 5/> MUS 361 1,059.00 72860043 CHEMDRV EAADD EXTR 5>MUS 361 1,059.00 72860044 CHEMDNRV TRNK MUSC 1-5 361 1,059.00 72860045 CHEMDNRV TRNK MUSC 6/> 361 1,059.00 72860046 BIOPSY SKIN LESION 361 351.00 72860047 BIOPSY SKIN ADD-0N 361 157.00 72920550 INJ TENDON SHEATH 361 530.00 72926765 TREAT FINGER FRACTURE EA 361 18,033.00 72930055 CHEMDNRV 1 EXTR 1-4 361 1,059.00 72930056 CHEMDNRV EA ADD EXTR 1-4 361 1,059.00 72930057 CHEMDNRV 1 EXTR 5/> MUS 361 1,059.00 72930058 CHEMDRV EAADD EXTR 5>MUS 361 1,059.00 72930059 CHEMDNRV TRNK MUSC 1-5 361 1,059.00 72930060 CHEMDNRV TRNK MUSC 6/> 361 1,059.00 72930061 3NJ TENDON SHEATH 361 530.00 72930062 PUNCTURE ASPIRATION 361 530.00 72930063 FNA W/O IMAGE GUIDE 361 415.00 72930065 REMOVE SPINAL CATH 361 5,671.00 72930066 N BLCK INJ SUPRASCAPULAR 361 1,059.00 72930067 N BLCK OTHER PERIPHERAL 361 1,059.00 72950020 INJ TENDON 361 953.00 72950201 VARIOUS FRACTURE CARE 361 1,588.00 72950202 CAST APPLICATIONS(ALL) 361 403.00 72950203 TENDON INJECTION SINGLE 361 582.00 72950204 SHOULDER & HIP FRACT CARE 361 2,117.00 72950205 CLSD TRMNT FRACTURE CARE 361 2,117.00 72950206 ARM & FOOT FRACTURE CARE 361 2,117.00 72950207 WRIST & ANKLE FRACT CARE 361 2,117.00 72950208 FRACTURE CARE TREATMENT 361 2,117.00 72950209 REMOVAL/REPAIR ALL CASTS 361 403.00 72950210 ASPIR/INJ SM/MED/LG JOINT 361 1,588.00 72950211 STRUT EXCHANGE EACH 361 3,113.00 72950212 MONITOR INTRSTITIAL FLUID 361 371.00 72950213 CAST APPLICATION-BILAT 361 805.00 72950220 LAC RPR SMPL(12001-12021) 361 530.00 72950221 LAC RPR MOD(12031-12057) 361 741.00 72950222 LAC RPR CMPLX(13100-13160 361 953.00 72950223 TREAT FRACTURE RADIUS/ULA 361 2,117.00 72950236 MINOR PROCEDURE OFFICE 361 794.00 72951014 CAST APPL HND/FA RT 361 403.00 72951018 CAST APPL FNGR 361 403.00 72951019 TREAT ELBOW DISLOCATION 361 2,117.00 72951701 INSERT BLADDER CATH 361 265.00 72953111 INJ ANES PERIPH NRV 361 1,059.00 72954024 ARTHRO ELBOW INJ LT 361 397.00 72954026 LONG LEG CAST BRACE APPL 361 1,317.00 72954027 PROGRAM PUMP INCL PREP 361 5,666.00 72954028 CATH IMPL W/ LAMINECTOMY 361 5,666.00 72954030 INJ TENDON SHEATH 361 530.00 72954031 TX FINGER FX EA 361 866.00 72954032 TREAT FINGER FRACTURE EA 361 1.00 72954035 CLOSED TX PELVIC 361 866.00 72954036 FX TB SHFT 361 8,012.00 72954039 APPLICTN OF LONG LEG CAST 361 483.00 72954050 REMVL SKIN TAGS (1 - 15) 361 688.00 72954051 TREAT FX RAD EXTRA ARTIC 361 9,111.00 72954053 SPLNT APP FINGR STATC 361 403.00 72954056 ARTHROCENT SM JNT W/ULS 361 1,006.00 72960030 I&D RMVL/FB/SUBQ/SIMPLE 361 556.00 72960035 LAC RPR SMPL(12001-12021 361 530.00 72960036 LAC RPR MOD(12031-12057) 361 741.00 72960037 LAC RPR CMPLX(13100-13160 361 953.00 72962355 REMOVE SPINAL CATH 361 5,671.00 72964418 N BLCK INJ SUPRASCAPULAR 361 1,059.00 72964450 N BLCK OTHER PERIPHERAL 361 1,059.00 72964653 CHEMODENERV ECCRINE GLAND 361 1,347.00 72970067 LAC RPR SMPL(12001-12021) 361 530.00 72970068 LAC RPR MOD(12031-12057) 361 741.00 72970069 LAC REPAIR CMPLX 361 953.00 72970070 INJ INTRALESNL >7 LESN 361 847.00 72970071 LASR DSTR PROLF LESN<10CM 361 2,857.00 72970072 BX SOFT TISS UP-ARM SMPL 361 1,270.00 72970073 BIOPSY EYELID & LID MRGIN 361 1,483.00 72970074 ACNE SURGERY 361 318.00 72970075 I&D ABSCESS SMPL/CMPLX 361 794.00 72970076 LASR DSTR PROLF LESN<50CM 361 2,857.00 72970077 LASR DSTR PROLF LESN>50CM 361 2,857.00 72970078 EXC/TUMOR SOFT TISS<2CM 361 2,646.00 72970079 EXC/TUMOR SOFT TISS>2CM 361 2,646.00 72970080 BIOPSY NAIL UNIT 361 794.00 72970092 INJ INTRALESNL <=7 LESN 361 635.00 72970097 BX SKIN/SQ TISS SNGL 361 351.00 72970098 BX SKIN/SQ TISS EA ADDL 361 157.00 72970099 RMVL SKIN TAGS TO 15 361 688.00 72970100 SHAVE SKIN LES >0.5 361 333.00 72970101 SHAVE SKIN LES 0.6-1 361 409.00 72970102 SHAVE SKIN LES 1.1-2 361 482.00 72970103 SHAVE SKIN LES <2 T/A/L 361 532.00 72970104 SHAVE SKIN LES <0.5CM 361 336.00 72970105 SHAVE SKIN LES 0.6-1 361 416.00 72970106 SHAVE SKIN LES 1.1-2 361 489.00 72970107 SHAVE SKIN LES <2 S/H/F 361 513.00 72970108 SHAVE SKIN LES >0.5 361 388.00 72970109 SHAVE SKIN LES 0.6-1 361 416.00 72970110 SHAVE SKIN LES 1.1-2 361 546.00 72970111 EXC TR-EXT 0.5 4.0CM 361 2,381.00 72970117 EXC H-F-NK-SP 0.5< 361 1,799.00 72970118 EXC H-F-NK-SP 0.6-1 361 1,799.00 72970119 EXC H-F-NK-SP 1.1-2 361 1,799.00 72970120 EXC FACE-MM 0.54.0 CM 361 2,381.00 72970150 CHEMODENRV ECCRINE AXILL 361 1,059.00 72970160 EXC MALIG LES S-N-H-F,<.5 361 1,799.00 72970161 EXC MALIG LES SNHF.6-1CM 361 1,799.00 72970162 EXC MALG LES SNHF,1.1-2CM 361 1,799.00 72970164 RMVL SKINTAGS ADDTL 10LSN 361 688.00 72970165 DESTRCT MALIG LESNS 361 794.00 72970186 PROC-SKIN/MUCUS-UNLISTED 361 1,059.00 72970187 UNLISTED PROC-NERVOUS SYS 361 2,117.00 72970188 EXC MALIG LESN SNHF >4CM 361 2,381.00 72970189 EXC MALIG LESN FENL >4CM 361 2,381.00 72970192 APP GRAFT TR/ARM/LEG>100 361 2,963.00 72970193 APP GRFT TR/ARM/LEG X-100 361 1,482.00 72970195 APP GRAFT 1ST25 SQCM 361 2,963.00 72970196 APP GRAFT EA ADDTL 25SQCM 361 1,482.00 72970200 DESTRUCT LESN-46900>46947 361 1,799.00 72970201 CHEMODENERV ECCRINE GLAND 361 1,347.00 72971040 EXC TR MAL+MARG 0.6-1CM 361 4,232.00 72980025 BX SKIN/SQ TISS SNGL 361 351.00 72980026 BX SKIN/SQ TISS EA ADDL 361 157.00 72980034 INSERT BLADDER CATH 361 351.00 73041000 I&D ABSC/CYST SMPL 361 530.00 73041002 I&D REMOVAL OF FB SIMPLE 361 556.00 73041003 RMVL SKIN TAGS TO 15 361 688.00 73041005 EXC LESION DIAM 0.528DAYS 361 794.00 73041069 LYSIS/EXC PENILE ADHESNS 361 794.00 73041072 RPR INCOMPLETE CIRCUMCISN 361 2,646.00 73041075 FORESKIN MANIP INCL LYSIS 361 1,270.00 73041076 DRAINAGE OF HYDROCELE 361 1,270.00 73041078 LYSIS OF LABIAL ADHESNS 361 794.00 73041079 HYMENOTOMY 361 1,270.00 73041081 N BLCK OTHER PERIPHERAL 361 1,059.00 73041087 LAC RPR SMPL(12001-12021) 361 530.00 73041088 LAC RPR MOD(12031-12057) 361 741.00 73041089 LAC RPR CMPLX(13100-13160 361 953.00 73041090 POSTERIOR TIBIAL NEUROSTE 361 4,290.00 73041091 RPR ING HERNIA BABY REDUC 361 8,011.00 73049495 RPR ING HERNIA BABY REDUC 361 8,011.00 73054550 EXPLORATION FOR TESTIS 361 8,011.00 73110056 Immunotherapy injections 361 111.00 73110057 Immunotherapy one injectn 361 105.00 73156420 DRAIN AGE GLAND ABCESS 361 5,671.00 73160120 INSRT STRAIGHT CATH BLADD 361 351.00 73160125 IRRIG VAG &/APPL MED TX 361 450.00 73160126 COLPOSCPY VAGINA 361 794.00 73160127 COLPOSCPY CERVIX W/VAG 361 794.00 73160128 COLPOSCPY W/BX & ECC 361 794.00 73160129 COLPOSCPY W/ENDOCRV CURET 361 794.00 73160130 IUD INSRT 361 371.00 73160131 IUD RMVL 361 371.00 73160132 HYSTEROSCOPY DX 361 2,646.00 73160136 INSERT DRUG DELVR IMPLANT 361 371.00 73160137 RMVL DRUG DLVRY IMPLANT 361 371.00 73160138 RMVL&INSRT DRUG DLVRY IMP 361 582.00 73160140 Diaphram Cerv Cap fit 361 59.00 73160141 BX OF SKIN SNGL LESN 361 351.00 73160142 BX SKIN LESNS EA ADDT'L 361 157.00 73160143 HOEMONE PELLET IMPLANT 361 371.00 73160146 BX VULVA/PERINEUM 361 4,232.00 73160147 DRAIN AGE GLAND ABCESS 361 2.00 73200025 N BLCK INJ FACIAL 361 1,059.00 73200051 INSERT BLADDER CATH 361 351.00 73210022 LAC RPR SMPL(12001-12021) 361 530.00 73210023 LAC RPR MOD(12031-12057) 361 741.00 73210024 LAC RPR CMPLX(13100-13160 361 953.00 73210056 WOUND DEBRID NON-SELECT 361 582.00 73210060 Biopsy skin lesion 361 351.00 73210061 Biopsy skin add-on 361 157.00 73210062 Shv tr/a/l lesn .5 cm< 361 333.00 73210063 Shv tr/a/l lesn .6-1cm 361 409.00 73210064 Shv tr/a/l lesn 1.1-2 cm 361 482.00 73210065 Shv tr/a/l lesn>2cm 361 532.00 73210066 Shv hd/n/h/ft lesn .5 cm< 361 336.00 73210067 Shv hd/n/h/ft lesn .6-1 361 416.00 73210068 Shv hd/n/h/ft lesn 1.1-2 361 489.00 73210069 Shv hd/n/h/ft lesn>2cm 361 513.00 73210070 Shv f/e/n lesn .5 cm/< 361 388.00 73210071 Shv f/e/n lesn .6-1cm 361 416.00 73210072 Shv f/e/n lesn 1.1-2cm 361 546.00 73210073 Shv f/e/n lesn>2cm 361 633.00 73210074 Exc tr-ext b9+m .6-1 cm 361 1,799.00 73210075 Exc tr-ext b9+m 2.1-3cm 361 1,799.00 73210076 Exc tr-ext b9+m>4.0 cm 361 2,381.00 73210077 Exc h-f-nk-sp b9+mg .5< 361 1,799.00 73210078 Exc h-f-nk-sp b9+mg .6-1 361 1,799.00 73210079 Exc h-f-nk-sp b9+mg 1.1-2 361 1,799.00 73210080 Exc h-f-nk-sp b9+mg 2.1-3 361 1,799.00 73210081 Exc h-f-nk-sp b9+mg 3.1-4 361 2,381.00 73210082 Exc h-f-nk-sp b9+mg>4 cm 361 2,381.00 73210083 Exc face-mm b9+mg .5 cm 361 1,799.00 73210084 Exc face-mm b9+3.1-4 cm 361 1,799.00 73210085 Exc face-mm b9+ >4 cm 361 2,381.00 73210087 I&D PILONIDAL CYST, COMPL 361 556.00 73210088 GASTRO TUBE CHNG W/O IMAG 361 1,588.00 73210089 RMVL SUTRS W/ANES 361 1,588.00 73210090 BX ANORECTAL WALL 361 1,059.00 73210091 RMVL SKIN TAGS UPTO 15 361 688.00 73210092 RMVL SKIN TAGS >15 ADD-ON 361 688.00 73210093 INCIS & DRN PERIL ABSC 361 687.00 73210094 I&D RMVL/FB/SUBQ/SIMPLE 361 556.00 73210095 UNL PROC NECK OR THORAX 361 5,666.00 73210096 EXCISION RIB PARTIAL 361 5,666.00 73210100 I&D REPAIR SIMPLE 361 530.00 73211042 DEBRIDE SKIN & SUBQ TISSU 361 582.00 73220022 LAC RPR SMPL(12001-12021) 361 530.00 73220023 LAC RPR MOD(12031-12057) 361 741.00 73220024 LAC RPR CMPLX(13100-13160 361 953.00 73220056 WOUND DEBRIDE NON-SELECT 361 582.00 73220057 NEG PRES WND THRPY<50SQ 361 286.00 73220058 NEG PRES WND THRPY>50SQ 361 429.00 73220060 Biopsy skin lesion 361 351.00 73220061 Biopsy skin add-on 361 157.00 73220062 Shv tr/a/l lesn .5 cm< 361 333.00 73220063 Shv tr/a/l lesn .6-1cm 361 409.00 73220064 Shv tr/a/l lesn 1.1-2 cm 361 482.00 73220065 Shv tr/a/l lesn>2cm 361 532.00 73220066 Shv hd/n/h/ft lesn .5 cm< 361 336.00 73220067 Shv hd/n/h/ft lesn .6-1 361 416.00 73220068 Shv hd/n/h/ft lesn 1.1-2 361 489.00 73220069 Shv hd/n/h/ft lesn>2cm 361 513.00 73220070 Shv f/e/n lesn .5 cm/< 361 388.00 73220071 Shv f/e/n lesn .6-1cm 361 416.00 73220072 Shv f/e/n lesn 1.1-2cm 361 546.00 73220073 Shv f/e/n lesn>2cm 361 633.00 73220074 Exc tr-ext b9+m .6-1 cm 361 1,799.00 73220075 Exc tr-ext b9+m 2.1-3cm 361 1,799.00 73220076 Exc tr-ext b9+m>4.0 cm 361 2,381.00 73220077 Exc h-f-nk-sp b9+mg .5< 361 1,799.00 73220078 Exc h-f-nk-sp b9+mg .6-1 361 1,799.00 73220079 Exc h-f-nk-sp b9+mg 1.1-2 361 1,799.00 73220080 Exc h-f-nk-sp b9+mg 2.1-3 361 1,799.00 73220081 Exc h-f-nk-sp b9+mg 3.1-4 361 2,381.00 73220082 Exc h-f-nk-sp b9+mg>4 cm 361 2,381.00 73220083 Exc face-mm b9+mg .5 cm 361 1,799.00 73220084 Exc face-mm b9+3.1-4 cm 361 1,799.00 73220085 Exc face-mm b9+ >4 cm 361 2,381.00 73220086 I & D HEMATOMA 361 159.00 73220087 INJ INTRALESNL <=7 LESN 361 635.00 73220088 RPR CLEFT LIP/NASAL UNILT 361 4,233.00 73220089 EXC FACE-MM B9+1.1-2CM 361 1,799.00 73220090 CLSD TRMNT FX W/MANIP 361 1,246.00 73220091 CLSD TRMNT FX W/O MANIP 361 1,139.00 73220093 Treat metacarpal fracture 361 1,588.00 73220094 Treat fracture radius/ula 361 2,117.00 73220095 Treat finger fracture eah 361 1,588.00 73220097 Treat finger fracture eah 361 866.00 73220098 Application of forearm ct 361 403.00 73220099 REMVL SKIN TAGS (1 - 15) 361 688.00 73220100 INJ SINGLE TENDON 361 794.00 73220101 Treat finger fracture eac 361 739.00 73220102 Treat finger fracture eah 361 1,225.00 73220103 CAST APPL HND/FA 361 4,232.00 73220104 CAST APPL LNG ARM 361 403.00 73226990 DRAINAGE PELVIS LESION 361 14,426.00 73227603 DRAIN LOWER LEG LESION 361 5,666.00 73229131 Application of finger spt 361 588.00 73240018 NASAL ENDSCPY UNI/BILAT 361 1,799.00 73240020 LARYNGOSCPY FLX/FBR/DIAG 361 1,588.00 73240021 RMVL IMPACTED CERUMEN 361 265.00 73240024 SIN NDSC PLMT DRG ELUT MP 361 4,532.00 73260022 LAC RPR SMPL(12001-12021) 361 530.00 73260023 LAC RPR MOD(12031-12057) 361 741.00 73260024 LAC RPR CMPLX(13100-13160 361 953.00 73260025 FNA W/O IMAGE GUIDE 361 415.00 73260026 I&D REPAIR SIMPLE 361 530.00 73260027 I&D PILONIDIAL CYST,SMPL 361 556.00 73260028 I&D RMVL-FB-SUBQ-SIMPLE 361 556.00 73260029 DEBRID EXTEN INF SKIN 10% 361 185.00 73260030 REMVL SKIN TAGS (1 - 15) 361 688.00 73260031 EXC LESION DIAM 0.528DAYS 361 794.00 73260054 DRAINAGE OF HYDROCELE 361 1,270.00 73260055 INJ SQ-IM 361 245.00 73260056 WOUND DEBRID NON-SELECT 361 582.00 73260057 NEG PRES WND THRPY<50sq 361 286.00 73260058 NEG PRES WND THRPY>50sq 361 429.00 73260060 Biopsy skin lesion 361 351.00 73260061 Biopsy skin add-on 361 157.00 73260062 Shv tr/a/l lesn .5 cm< 361 333.00 73260063 Shv tr/a/l lesn .6-1cm 361 409.00 73260064 Shv tr/a/l lesn 1.1-2 cm 361 482.00 73260065 Shv tr/a/l lesn>2cm 361 532.00 73260066 Shv hd/n/h/ft lesn .5 cm< 361 336.00 73260067 Shv hd/n/h/ft lesn .6-1 361 416.00 73260068 Shv hd/n/h/ft lesn 1.1-2 361 489.00 73260069 Shv hd/n/h/ft lesn>2cm 361 513.00 73260070 Shv f/e/n lesn .5 cm/< 361 388.00 73260071 Shv f/e/n lesn .6-1cm 361 416.00 73260072 Shv f/e/n lesn 1.1-2cm 361 546.00 73260073 Shv f/e/n lesn>2cm 361 633.00 73260074 Exc tr-ext b9+m .6-1 cm 361 1,799.00 73260075 Exc tr-ext b9+m 2.1-3cm 361 1,799.00 73260076 Exc tr-ext b9+m>4.0 cm 361 2,381.00 73260077 Exc h-f-nk-sp b9+mg .5< 361 1,799.00 73260078 Exc h-f-nk-sp b9+mg .6-1 361 1,799.00 73260079 Exc h-f-nk-s b9+mg 1.1-2 361 1,799.00 73260080 Exc h-f-nk-s b9+mg 2.1-3 361 1,799.00 73260081 Exc h-f-nk-s b9+mg 3.1-4 361 2,381.00 73260082 Exc h-f-nk-s b9+mg>4 cm 361 2,381.00 73260083 Exc face-mm b9+mg .5 cm 361 1,799.00 73260084 Exc face-mm b9+3.1-4 cm 361 1,799.00 73260085 Exc face-mm b9+ >4 cm 361 2,381.00 73260086 EXCISION INGROWN NAIL 361 794.00 73260087 I&D PILONIDAL CYST, COMPL 361 556.00 73260088 GASTRO TUBE CHNG W/O IMG 361 1,588.00 73260089 RMVL SUTRS W/ANES 361 1,588.00 73260100 I&D REPAIR SIMPLE 361 530.00 73260102 DEBRIDE SKIN & SUBQ TISSU 361 582.00 73260103 DRAINAGE PELVIS LESION 361 2,706.00 73260104 DRAIN LOWER LEG LESION 361 5,666.00 73260150 Debride genit/per/abdom l 361 5,169.00 74111105 DERM PROC-UNLISTED 361 1,588.00 74111107 LASR DSTR PROLIF LESIONS 361 2,857.00 74111111 SKIN BIOPSY-DERMATOLOGY 361 794.00 74111121 RMVL SKIN LESIONS(S-M-C) 361 2,392.00 74111149 INJ DIAG/THREP/LUMB/SACRL 361 953.00 74111151 BONE MARROW BX 361 1,588.00 74111164 BONE MARROW ASP 361 1,059.00 74111165 CHEMDNRVTN HD/NK/TRNK/LEG 361 1,059.00 74111166 CHEMDNRVTN 1 EXTRM 361 1,059.00 74111167 CHEMDNRVTN EA ADDT'L 361 1,059.00 74111170 BX BONE MARR & ASP 361 397.00 74111800 ANAL BOTOX INJECTION 361 424.00 74111801 INTRALESIONAL INJECTION 361 265.00 74112015 LARYNGOSCOPY W/MICRO/TELE 361 1,588.00 74112016 LARYNGSCPY W/WO TRACH-DIL 361 1,588.00 74112026 DILATE ESOPH UNGUID BOUGI 361 2,117.00 74112031 ESOPHGOSCOPY 361 1,905.00 74112070 ERCP 361 3,175.00 74112088 UNLISTED PROC SM INTEST 361 2,434.00 74112094 ILEOSCOPY THRU STOMA W/BI 361 2,117.00 74112101 SIGMOIDOSCOPY 361 1,905.00 74112110 COLONOSCOPY 361 2,434.00 74112134 RECTAL SUCTION BIOPSY 361 2,646.00 74112200 BRONCHOSCOPY 361 2,328.00 74112204 MINOR PROC 1ST 30MIN 361 1,323.00 74112205 MINOR PROC ADD 15MIN 361 662.00 74112206 FRENOPLASTY 361 2,328.00 74113001 EGD 361 2,381.00 74117000 DESTR PREMALIG 1ST LESION 361 1,059.00 74117001 DESTR PREMALIG LESN 2-14A 361 530.00 74117002 DESTR PREMALIG LESNS >15 361 1,588.00 74117110 DSTRCT BENGN LSNS UPTO 14 361 1,588.00 74117111 RECTAL BIOPSY 361 1,059.00 74139608 LYSIS INTRANASAL SYNECHIA 361 5,667.00 74200344 PLCMT PICC <5YR 361 1,905.00 74200346 PLCMT PICC >5YR 361 1,799.00 74200349 RPR CVC NO PORT/PUMP 361 2,011.00 74200376 RPR CVC/PICC CATH 361 2,381.00 74200380 BROVIAC REPAIR 361 1,059.00 74200644 DECLOT IMPLNT VAD 361 1,588.00 74200718 REWIRE PICC 361 2,011.00 74200727 RMVL TNNL CVC NO PRT/PMP 361 1,588.00 37013001 ANESTH 1ST HR 370 1,441.00 37013003 ANESTH ADDL 1/2 HR 370 720.00 61411080 MOD SEDATN <5Y 1ST 15 370 202.00 61411081 MOD SEDATN >5Y 1ST 15 370 202.00 61411082 MOD SEDATN EA ADDL 15 370 202.00 61411096 MOD SED<5YR 1ST 15M-2DRS 370 192.00 61411097 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 61411098 MOD SED EA ADDTL 15M-2DR 370 202.00 61711080 MOD SEDAT <5YR 1ST 15MIN 370 202.00 61711082 MOD SEDAT EA ADDL 15 370 202.00 61716116 MOD SED<5YR 1ST 15M-2DRS 370 202.00 61716117 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 61716118 MOD SED EA ADDTL 15M-2DR 370 202.00 61801080 MOD SEDAT <5YR 1ST 15MIN 370 202.00 61801081 MOD SEDAT >5YR 1ST 15MIN 370 202.00 61801082 MOD SEDAT EA ADDL 15 370 202.00 62061080 MOD SEDAT <5YR 1ST 15MIN 370 202.00 62061081 MOD SEDAT >5YR 1ST 15MIN 370 202.00 62061082 MOD SEDAT EA ADDL 15 370 202.00 62061084 MOD SED<5YR 1ST 15M-2DRS 370 202.00 62061085 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 62061086 MOD SED EA ADDTL 15M-2DR 370 202.00 62091080 MOD SEDAT <5YR 1ST 15MIN 370 202.00 62091081 MOD SEDAT >5YR 1ST 15MIN 370 202.00 62091082 MOD SEDAT EA ADDL 15 370 202.00 62091083 MOD SEDATN<5Y 1ST 15" 370 202.00 62091084 MOD SEDATN>5Y 1ST 15" 370 202.00 62091085 MOD SEDATN ADDL 15" 2DR 370 202.00 62121080 MOD SEDAT <5YR 1ST 15MIN 370 202.00 62121081 MOD SEDAT >5YR 1ST 15MIN 370 202.00 62121082 MOD SEDAT EA ADDL 15 370 202.00 62121096 MOD SED<5YR 1ST 15M-2DRS 370 202.00 62121097 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 62121098 MOD SED EA ADDTL 15M-2DR 370 202.00 62131080 MOD SEDAT <5YR 1ST 15MIN 370 202.00 62131081 MOD SEDAT >5YR 1ST 15MIN 370 202.00 62131082 MOD SEDAT EA ADDL 15 370 202.00 62131084 MOD SED<5YR 1ST 15M-2DRS 370 202.00 62131085 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 62151080 MOD SEDAT <5YR 1ST 15MIN 370 202.00 62151081 MOD SEDAT >5YR 1ST 15MIN 370 202.00 62151082 MOD SEDAT EA ADDL 15 370 202.00 62151095 MOD SED<5YR 1ST 15M-2DRS 370 202.00 62151096 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 62151097 MOD SED EA ADDTL 15M-2DR 370 202.00 62181080 MOD SEDAT <5YR 1ST 15MIN 370 202.00 62181081 MOD SEDAT >5YR 1ST 15MIN 370 202.00 62181082 MOD SEDAT EA ADDL 15 370 202.00 62181087 MOD SED<5YR 1ST 15M-2DRS 370 202.00 62181088 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 62181089 MOD SED EA ADDTL 15M-2DR 370 202.00 62211080 MOD SEDAT <5YR 1ST 15MIN 370 202.00 62211081 MOD SEDAT >5YR 1ST 15MIN 370 202.00 62211082 MOD SEDAT EA ADDL 15 370 202.00 62211085 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 62211086 MOD SED EA ADDTL 15M-2DR 370 202.00 62211087 MOD SED<5YR 1ST 15M-2DRS 370 202.00 62241080 MOD SEDAT <5YR 1ST 15MIN 370 202.00 62241081 MOD SEDAT >5YR 1ST 15MIN 370 202.00 62241082 MOD SEDAT EA ADDL 15 370 202.00 62241084 MOD SED<5YR 1ST 15M-2DRS 370 202.00 62241085 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 62241086 MOD SED EA ADDTL 15M-2DR 370 202.00 62251084 MOD SED<5YR 1ST 15M-2DRS 370 202.00 62251085 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 62251086 MOD SED EA ADDTL 15M-2DR 370 202.00 62261084 MOD SED<5YR 1ST 15M-2DRS 370 202.00 62261085 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 62261086 MOD SED EA ADDTL 15M-2DR 370 202.00 70103001 ANESTH 1ST HR 370 1,441.00 70103003 ANESTH ADDL 1/2 HR 370 720.00 70401060 ANESTH 1ST HR 370 1,441.00 70402030 ANESTH ADD 1/2 HR 370 720.00 70402040 ANESTH CMPLX 1ST HR 370 2,161.00 70402045 ANESTH CMPLX ADD 1/2 HR 370 1,082.00 70950290 MOD SEDAT <5YR 1ST 15MIN 370 202.00 70950291 MOD SEDAT >5YR 1ST 15MIN 370 202.00 70950292 MOD SEDAT EA ADDL 15 370 202.00 70960004 MOD SEDAT <5YR 1ST 15MIN 370 202.00 70960005 MOD SEDAT >5YR 1ST 15MIN 370 202.00 70960006 MOD SEDAT EA ADDL 15 370 202.00 72307050 MOD SEDAT <5YR 1ST 15MIN 370 202.00 72307051 MOD SEDAT >5YR 1ST 15MIN 370 202.00 72307052 MOD SEDAT EA ADDL 15 370 202.00 72307057 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 72307058 MOD SED<5YR 1ST 15M-2DRS 370 202.00 72307059 MOD SED EA ADDTL 15M-2DR 370 202.00 72317050 MOD SEDAT <5YR 1ST 15MIN 370 202.00 72317051 MOD SEDAT >5YR 1ST 15MIN 370 202.00 72317052 MOD SEDAT EA ADDL 15 370 202.00 72317057 MOD SED>5YR 1ST 15MIN-2DR 370 202.00 72317058 MOD SED<5YR 1ST 15M-2DRS 370 202.00 72317059 MOD SED EA ADDTL 15M-2DR 370 202.00 72840063 MOD SEDAT <5YR 1ST 15MIN 370 202.00 72840064 MOD SEDAT >5YR 1ST 15MIN 370 202.00 72840065 MOD SEDAT EA ADDL 15 370 202.00 72883010 MOD SEDAT <5YR 1ST 15MIN 370 202.00 72883011 MOD SEDAT >5YR 1ST 15MIN 370 202.00 72883012 MOD SEDAT EA ADDL 15 370 202.00 72930026 MOD SEDAT <5YR 1ST 15MIN 370 202.00 72930027 MOD SEDAT >5YR 1ST 15MIN 370 202.00 72930028 MOD SEDAT EA ADDL 15 370 202.00 73123010 MOD SEDAT <5YR 1ST 15MIN 370 202.00 73123011 MOD SEDAT >5YR 1ST 15MIN 370 202.00 73123012 MOD SEDAT EA ADDL 15 370 202.00 70402050 ACUPNCT>1NDL,NO STIM 15MN 374 116.00 70402051 ACUPUNC,WO/STIM ADD 15MIN 374 116.00 70402052 ACUPUNC>1NDL,W/STIM,15MIN 374 116.00 70402053 ACUPUNC W/STIM ADDTL 15MN 374 116.00 76420163 PHERESIS PLT HLA 384 2,197.00 76420032 GRANULOCYTES 386 8,586.00 76420001 CRYOPRECIPITATE 390 354.00 76420004 FFP 390 250.00 76420006 DIR FFP 390 250.00 76420012 PLASMA FRZN W/IN 8-24HR 390 185.00 76420014 DIR PHERESIS PLT LEUK 390 2,388.00 76420020 PHERESIS PLT LEUKO 390 2,388.00 76420021 PHERESIS PLT LR RED VOL 390 2,388.00 76420024 PHERESIS PLT HLA 390 2,197.00 76420035 WHOLE BLOOD 390 745.00 76420036 AUTOLOGOUS RBC 390 745.00 76420042 DIR RBC LR 390 745.00 76420046 DIR RBC LR IRRAD 390 745.00 76420051 DIR WB IRRAD 390 745.00 76420062 DIR WSHED RBC LR 390 1,069.00 76420070 RBC DEGLYCEROLIZED 390 1,523.00 76420073 RBC LEUKOREDUCED 390 745.00 76420077 RBC DEGLYC LEUKO 390 1,523.00 76420085 WHOLE BLOOD LEUKO 390 745.00 76420095 WASHED RBC LEUKO 390 1,069.00 76420113 WASHED PHER PLT LR IRR 390 2,566.00 76420124 CRYOREDUCED PLASMA 390 227.00 76420126 POOLED CRYOPRECIPITATE 390 1,361.00 76420127 PLASMA, WHOLE DIVIDED 390 250.00 76420144 GRANULOCYTE PHERESIS 390 8,586.00 76420145 GRANULOCYTES STIMULTD P&S 390 180.00 76420147 RBC LR 390 745.00 76420148 RBC LR AND P&S 390 180.00 76420149 FFP 390 185.00 76420150 FFP AND P&S 390 180.00 76420151 CRYOREDUCED PLASMA 390 227.00 76420152 CRYOREDUCD PLASMA AND P&S 390 180.00 76420153 CRYOPRECIP POOLED FBS 390 1,361.00 76420154 CRYOPRECIP POOLED P&S 390 180.00 76420155 WASHED PHER PLT LR IRR 390 2,566.00 76420156 WASHD PHER PLT LR IRR P&S 390 180.00 76420157 RB DEGLYC 390 1,523.00 76420158 RB DEGLYC AND P&S 390 180.00 76420159 DIR RBC LR IRRAD 390 745.00 76420160 DIR RBC LR IRRAD AND P&S 390 180.00 76420161 WHOL BLD LEUK-REDUCD FBS 390 745.00 76420162 WHOL BLD LEUK-REDUCD P&S 390 180.00 76420164 PHERESIS PLT HLA AND P&S 390 180.00 76420165 DIR WSHED RBC LR 390 1,069.00 76420166 DIR WSHED RBC LR AND P&S 390 180.00 76420167 PLASMA FRZN W/IN 8-24HR 390 185.00 76420168 PLSMA FZN W/IN 8-24HR P&S 390 180.00 76420169 WASHED RBC LEUKO 390 1,069.00 76420170 WASHED RBC LEUKO AND P&S 390 180.00 76420171 PHERESIS PLT LEU 390 2,388.00 76420172 PHERESIS PLT LEU AND P&S 390 180.00 76420175 BLOOD SPLIT UNIT AND P&S 390 180.00 76420176 PCH P&S GRAN PHERESIS 390 180.00 76420177 PCH P&S RBC LR 390 180.00 76420178 PCH P&S FFP FRZ W/IN 8 H 390 180.00 76420179 PCH P&S CRYO RED PLASMA 390 180.00 76420180 PCH P&S CRYO 390 180.00 76420181 PCH P&S PLT PH LR IRR 390 180.00 76420182 PCH P&S RBC DEGLYC 390 180.00 76420183 PCH P&S RBC LR IRR 390 180.00 76420184 PCH P&S WHOLE BLOOD 390 180.00 76420185 PCH P&S PLT HLA LR PHER 390 180.00 76420186 PCH P&S RBC WSHED LR IRR 390 180.00 76420187 PCH P&S FFP FRZ 8-24 HR 390 180.00 76420188 PCH P&S RBC WASHED 390 180.00 76420189 PCH P&S PLT PH LR 390 180.00 37010101 BLOOD TRANSFUSN 391 1,306.00 61413011 BLOOD TRANSFUSION 391 1,306.00 61415037 EXCHANGE TRANSFUSN 391 1,296.00 61713010 PUSH TRANSFUSION <2 391 324.00 61715035 BLOOD TRANSFUSION 391 1,306.00 61715037 EXCHANGE TRANSFUSN 391 1,296.00 61736640 PUSH TRANSFUSION <2 391 324.00 61791040 BLOOD TRANSFUSION 391 1,306.00 61801032 BLOOD TRANSFUSION 391 1,306.00 61805037 EXCHANGE TRANSFUSN 391 1,296.00 62063017 BLOOD TRANSFUSION 391 1,306.00 62091040 BLOOD TRANSFUSION 391 1,306.00 62093017 BLOOD TRANSFUSION 391 1,306.00 62121040 BLOOD TRANSFUSION 391 1,306.00 62121086 BLOOD TRANSFUSION 391 1,306.00 62125037 EXCHANGE TRANSFUSION 391 1,296.00 62131040 BLOOD TRANSFUSION 391 1,306.00 62133017 BLOOD TRANSFUSION 391 1,306.00 62151040 BLOOD TRANSFUSION 391 1,306.00 62155037 EXCHANGE TRANSFUSN 391 1,296.00 62181040 BLOOD TRANSFUSION 391 1,306.00 62185037 EXCHANGE TRANSFUSN 391 1,296.00 62211032 BLOOD TRANSFUSION 391 1,306.00 62213017 BLOOD TRANSFUSION 391 1,306.00 62215037 EXCHANGE TRANSFUSN 391 1,296.00 62243017 BLOOD TRANSFUSION 391 1,306.00 62251040 BLOOD TRANSFUSION 391 1,306.00 62253017 BLOOD TRANSFUSION 391 1,306.00 62263017 BLOOD TRANSFUSION 391 1,306.00 70100101 BLOOD TRANSFUSN 391 1,306.00 70276103 BLOOD TRANSFUSN 391 1,306.00 70950500 BLOOD TRANSFUSIION 391 1,306.00 70961500 BLOOD TRANSFUSION 391 1,306.00 71810018 BLOOD TRANSFUSION 391 1,306.00 71907039 BLOOD TRANSFUSION 391 1,306.00 71910011 BLOOD TRANSFUSN 391 1,306.00 71920030 BLOOD TRANSFUSN 391 1,306.00 71940030 BLOOD TRANSFUSION-TSC 391 1,306.00 72021030 TRANSFUSION, BLOOD 391 1,306.00 72021032 EXCHGE TRNSFUSN BLD-NOTNB 391 1,296.00 72025037 EXCHANGE TRANSFUSN NEWB 391 1,296.00 72027101 THERAPUTIC APHERIS RB CEL 391 3,460.00 72300920 BLOOD TRANSFUSN 391 1,306.00 72310920 BLOOD TRANSFUSN 391 1,306.00 72401040 BLOOD TRANSFUSION 391 1,306.00 72810081 BLOOD TRANSFUSN 391 1,306.00 72840053 BLOOD TRANSFUSN 391 1,306.00 74139607 BLOOD TRANSFUSION 391 1,306.00 76420146 BLOOD TRANSFUSION 391 1,306.00 37010231 US GUIDE NDL PLCMT S&I 402 1,008.00 37010233 US GUIDE VAD S&I 402 929.00 70100231 US GUIDE NDL PLCMT S&I 402 1,008.00 70100233 US GUIDE VAD S&I 402 929.00 70200001 US GUIDE NDL PLCMT S&I 402 1,008.00 70200002 US GUIDE VAD S&I 402 929.00 70951270 US PERICARDIOCENT S&I 402 650.00 70951273 US GUIDE VAD S&I 402 929.00 70960376 US GUID PERICARDIOCENT 402 650.00 70960378 US GUIDE PSEUDOANEUR S&I 402 1,532.00 70960381 US GUIDE INTRAOP S&I 402 1,206.00 70960594 US PELVIS LTD 402 700.00 70960595 US PROC DIAG-UNLISTED 402 700.00 70960596 US CHEST 402 700.00 70960615 US CHEST 402 700.00 70962554 US GUIDE NDL PLCMT S&I 402 1,008.00 70963553 US GUIDE VAD S&I 402 929.00 70966489 US GUIDE TISS ABLTN S&I 402 700.00 70966500 US EXT NON VASC LTD 402 650.00 70966501 US-SOFT TISSUE HEAD/NECK 402 712.00 70969432 ECHO EXAM OF ABDOMEN 402 512.00 70976705 ECHO EXAM OF ABDOMEN 402 512.00 71413000 US UNLISTED 402 700.00 71413008 US HEAD LTD 402 755.00 71413009 US ORBITS/OPHTHALMIC 402 650.00 71413010 US EXT NON VASC CMPLT 402 666.00 71413011 US EXT NON VASC LTD 402 650.00 71413014 US ELSTGRPHY W/OTHER IMGS 402 750.00 71413015 US ELSTGRPHY ALONE 402 750.00 71417037 US ABD COMPLETE 402 1,116.00 71417038 US ABDOMEN W/CONTRAST 402 650.00 71417043 US EXAM ABDOMEN LTD 402 512.00 71417061 US NEEDLE GUIDANCE 402 1,008.00 71417063 US BREAST LIMITED 402 650.00 71417064 ULTRASOUND BREAST COMPLT 402 993.00 71417097 US HEAD NEONATAL 402 755.00 71417103 US HIPS INFNT DYNAMIC 402 650.00 71417109 US GUIDE INTRAOP S&I 402 1,206.00 71417127 US PELVIS TRANSVAGINAL 402 796.00 71417133 US PELVIS 402 985.00 71417140 US PELVIS LTD 402 700.00 71417141 US DETAILED SNGL FETUS 402 752.00 71417145 US RENAL 402 724.00 71417146 US DETAILED ADDL FETUS 402 910.00 71417147 US LIMITED FETUS(S) 402 786.00 71417148 US FOLLOW-UP PER FETUS 402 650.00 71417149 US FETAL BIOPHYS W/NST 402 650.00 71417150 US UMBILICAL ARTERY ECHO 402 650.00 71417153 US RETROPERIT LTD 402 808.00 71417154 US MIDDLE CEREBRAL ARTERY 402 650.00 71417163 US SOFT TISSUE HEAD NECK 402 712.00 71417169 US HIPS INFNT STATIC 402 650.00 71417181 US SPINAL CONTENTS 402 650.00 71417182 US OB 1ST TRIMESTER 402 650.00 71417183 US OB 1ST TRIMESTER ADD 402 650.00 71417184 US OB 2ND TRIMESTER ADD 402 650.00 71417185 US OB TRANSVAGINAL 402 650.00 71417193 US TESTICLES 402 870.00 71417205 US THYROID 402 712.00 71619173 US CHEST 402 700.00 71619180 US OB 2ND TRIMESTER 402 650.00 71619182 US RENAL TRANSPLANT 402 672.00 72320009 TRAUMA ECHO EXAM ABD LTD 402 512.00 72950231 US GUIDE NDL PLACMNT/BX 402 1,008.00 73171059 3D RENDERING 402 1,199.00 73171075 US PELVIS TRANSVAGINAL 402 796.00 73171077 ECHO GUID CARDIOCENT 402 650.00 74200341 US GUIDE VAD S&I 402 929.00 71611071 PET BRAIN SEIZURE EVAL 404 8,518.00 71611072 PET BRAIN TMR EVAL 404 8,518.00 71611073 PET BRAIN W/QUANT 404 8,518.00 71611074 PET BRAIN TMR EVAL W/ C11 404 8,518.00 71611128 PET TMR W/ CT LTD 404 8,518.00 71611129 PET TMR W/CT SKULL/THIGH 404 6,524.00 71611130 PET TMR W/CT WH BODY 404 6,700.00 71801001 ED CONT SVN 1ST HR 410 358.00 71801003 ED CONT SVN SUBS HR 410 186.00 71801012 MDI TX (INITIAL) 410 228.00 71801017 MDI TX (SUBS) 410 228.00 71801047 MEDICATED AEROSOL TX INIT 410 228.00 71801052 MEDICATED AEROSOL TX SUBS 410 228.00 71801088 BAN MED AEROSOL TX INIT 410 228.00 71801090 BAN MED AEROSOL TX SUBS 410 228.00 71801097 PENTAMIDINE TX INIT 410 251.00 71801099 PENTAMIDINE TX SUBS 410 251.00 71801247 MECH VENT 1ST DAY 410 2,500.00 71801248 NONINV MECH VNT 1ST DAY 410 2,500.00 71801249 NONINV MECH VNT SUBSQ DAY 410 1,588.00 71801252 MECH VENT SUBS DAY 410 1,588.00 71801308 OSCILLATOR 1ST DAY 410 2,500.00 71801311 OSCILLATOR SUBS DAY 410 1,588.00 71801326 CPAP (SUBSEQ) 410 966.00 71801344 RIBAVIRIN MED ADMIN INIT 410 228.00 71801346 RIBAVIRIN MED ADMIN SUBS 410 228.00 71801350 EZ PAP INITIAL 410 228.00 71801351 EZ PAP SUBSEQUENT 410 228.00 71801363 PARI LC TX INTL 410 228.00 71801364 PARI LC TX SUBS 410 228.00 71801367 PTS OWN HOME VENT(1STDAY) 410 1,917.00 71801368 PTS OWN HOME VENT (SUB) 410 746.00 71801370 COUGH ASSIST TX INTL 410 228.00 71801371 COUGH ASSIST TX SUBSEQ 410 228.00 71801374 IPV TX INTL 410 291.00 71801375 IPV TX SUBSEQ 410 223.00 71801382 CPT 410 291.00 71801383 MECH CHEST WALL OSCIL/INI 410 244.00 71801384 MECH CHEST WALL OSCIL/SUB 410 244.00 71860009 ACAPELLA AIRWAY CLAR INIT 410 291.00 71860010 ACAPELLA AIRWAY CLAR SUBS 410 204.00 71860024 HOME VENT (1ST DAY) 410 2,500.00 71860025 HOME VENT (SUBS) 410 1,588.00 71860030 HOME CARE INSTRUCTION 410 244.00 71860064 CONT MED AEROSOL 1ST HR 410 358.00 71860065 CONT MED AEROSOL ADDL HR 410 186.00 71860068 CONT MED AER VENT 1ST HR 410 358.00 71860069 CONT MED AER VENT ADDL HR 410 186.00 71860080 INCENTIVE SPIROMETRY INIT 410 228.00 71860081 INCENTIVE SPIROMETRY SUBS 410 228.00 71860097 FLUTTER AIRWAY CLAR INIT 410 291.00 71860098 FLUTTER AIRWAY CLAR SUBS 410 204.00 71920029 SVN INHAL TX 410 228.00 72300948 NONPRESSURIZED INHALATION 410 228.00 72840054 SVN INHAL TX 410 228.00 72880038 AEROSOL INSTR & EVAL 410 244.00 72880039 MANIP CHEST WALL INIT 410 291.00 72881056 CPAP/BI-PAP MASK FITTING 410 329.00 72881057 CPAP/BIPAP/VENT EDUCATION 410 329.00 72881058 CPAP/BIPAP/VENT SPRINT 410 329.00 73120038 AEROSOL INSTR & EVAL 410 244.00 73120039 MANIP CHEST WALL INIT 410 291.00 72771003 COLD/HOT PACK 420 94.00 72771007 E-STIM ATTENDED 15min 420 258.00 72771015 HYDROTHERAPY 420 216.00 72771023 TX ROM END STG FLEX 15min 420 211.00 72771027 NE-RE POSIT 15min 420 209.00 72771035 GAIT TRNG 15min 420 195.00 72771039 MASSAGE THER 15min 420 157.00 72771051 ORTHO FIT/TRNG 15min 420 209.00 72771055 ADL TRNG 15min 420 214.00 72771056 PT LOW COMPLEX 20 MIN 420 432.00 72771057 PT MOD COMPLEX 30 MIN 420 450.00 72771058 PT HIGH COMPLEX 45MIN 420 583.00 72771071 ULTRASOUND 15 420 163.00 72771079 COMM RE-ENTRY 15min 420 135.00 72771080 SELF CARE PT CURRENT 420 0.01 72771081 SELF CARE PT GOAL 420 0.01 72771082 SELF CARE PT DISCHARGE 420 0.01 72771107 WHEELCHAIR MGMT 15min 420 175.00 72771108 WOUND DEBRIDE 1ST 20CM 420 594.00 72771109 WOUND DEBRIDE EA ADDTL 20 420 731.00 72771110 TENS APPLICATN 420 257.00 72771111 DYN THER ACTIV 15min 420 190.00 72771125 PROSTHETIC TRNG 15min 420 135.00 72771127 SPLNT APP LONG LEG 420 403.00 72771129 SPLNT APP SHRT LEG 420 403.00 72771131 GROUP THERAPY 420 180.00 72771133 MANUAL THER 15min 420 213.00 72771135 CHKOUT ORTHO/PROSTH 15min 420 138.00 72771200 MOBILITY-WALK/MOVE-CURR 420 0.01 72771201 MOBILITY-WALK/MOVE-GOAL 420 0.01 72771202 MOBILITY-WALK/MOVE-DSCHRG 420 0.01 72774206 E. STIM UNATTEND 420 103.00 72774256 IONTOPHORESIS 15min 420 179.00 72774281 SENSORY INTEGRTN 15min 420 135.00 72774282 TECHNO ASSESS ECU 15min 420 127.00 72774283 MUSC TEST EXT/TRUCK 420 270.00 72774285 MUSC TEST BODY NO HAND 420 378.00 72774286 MUSC TEST BODY W/HAND 420 378.00 72774287 TOM TEST EA EXTREM 420 216.00 72774288 HOME EVAL 15min 420 214.00 72774289 ROM TEST HAND 420 216.00 72778284 MUSC TEST HAND 420 378.00 72778285 SCHED TEAM CONF W/PT 420 784.00 72778286 CANALITH RE-POSITIONING 420 175.00 72778287 MECHANICAL TRACTION 420 24.00 72778288 VASOPNEUMATIC DEVICE 420 63.00 72778290 AQUATIC THERAPY/EXERCISES 420 130.00 72778292 PHYSICAL PERFORMANCE TEST 420 200.00 72954015 PT PREFORM TEST/W/RPT 15M 420 228.00 73130011 PT LOW COMPLEX 20 MIN 420 432.00 73130012 PT MOD COMPLEX 30 MIN 420 450.00 73130013 PT HIGH COMPLEX 45MIN 420 583.00 75107126 NB PT DEVELOP ASSMT EXT 420 648.00 75107122 NB PHYS PERFORM TST 15min 421 228.00 61745055 INFNT DEVEL ASSESS 424 490.00 61745057 INFNT DEVEL ASSESS LTD 424 378.00 72771063 PT RE-EVAL 424 297.00 72954014 PT RE-EVALUATION 424 297.00 72954020 PT LOW COMPLEX 20 MIN 424 432.00 72954021 PT MOD COMPLEX 30MIN 424 450.00 72954022 PT HIGH COMPLEX 45MIN 424 583.00 72781004 COLD/HOT PACK 430 94.00 72781008 PARAFFIN BATH 430 182.00 72781016 DYN THER ACTIV 15min 430 190.00 72781020 COGNITV SKILLS TX INTRVNT 430 195.00 72781021 COGNITV SKILLS TX <30MIN 430 195.00 72781028 ORTHO FIT/TRNG 15min 430 209.00 72781032 ADL TRNG 15min 430 214.00 72781036 COMM RE-ENTRY 15min 430 135.00 72781037 OT LOW COMPLEX 30 MIN 430 432.00 72781038 OT MOD COMPLEX 45MIN 430 504.00 72781039 OT HIGH COMPLEX 60 MIN 430 583.00 72781052 E-STIM ATTENDED 15min 430 258.00 72781060 ULTRASOUND 15 430 163.00 72781080 SELF CARE OT CURRENT 430 0.01 72781081 SELF CARE OT GOAL 430 0.01 72781082 SELF CARE OT DISCHARGE 430 0.01 72781083 OT-OTHER PRIMRY FUNC-CURR 430 0.01 72781084 OT-OTHER PRIMRY FUNC-GOAL 430 0.01 72781085 OT-OTHER PRIMRY FUNC-DSCH 430 0.01 72781108 WOUND DEBRIDE 1ST 20CM 430 594.00 72781109 WOUND DEBRIDE EA ADDTL 20 430 731.00 72781110 TENS APPLICATN 430 257.00 72781122 TX ROM END STG FLEX 15min 430 211.00 72781124 NE-RE POSIT 15min 430 209.00 72781126 SENSORY INTEGRTN 15min 430 135.00 72781132 SPLNT APP SHRT ARM DYN 430 403.00 72781134 SPLNT APP FINGR STATC 430 403.00 72781136 SPLNT APP FINGR DYN 430 588.00 72781138 GROUP THERAPY 430 180.00 72781139 SPLNT APP LONG ARM 430 403.00 72781200 MOBILITY-WALK/MOVE-CURR 430 0.01 72781201 MOBILITY-WALK/MOVE-GOAL 430 0.01 72781202 MOBILITY-WALK/MOVE-DSCHRG 430 0.01 72784346 SPLNT APP SHRT ARM STATC 430 403.00 72784461 HOME EVAL 15min 430 214.00 72784465 IONTOPHORESIS 15min 430 179.00 72784468 TECHNO ASSESS ECU 15min 430 127.00 72784469 MUSC TEST EXT/TRUNK 430 270.00 72784470 MUSC TEST HAND 430 378.00 72784471 MUSC TEST BODY NO HAND 430 378.00 72784472 MUSC TEST BODY W/HAND 430 378.00 72784473 ROM TEST EA EXTREM 430 216.00 72784474 ROM TEST HAND 430 216.00 72784475 WHEELCHAIR MGMT 15min 430 175.00 72784478 MASSAGE THER 15min 430 157.00 72784479 MANUAL THER 15min 430 213.00 72784480 PROSTHETIC TRNG 15min 430 135.00 72784483 CHKOUT ORTHO/PROSTH 15min 430 138.00 72788285 SCHED TEAM CONF W/PT 430 784.00 72788286 CANALITH RE-POSITIONING 430 175.00 72781044 OT RE-EVAL 434 358.00 72791002 FEED/SWAL TX > 30min 440 810.00 72791010 SPH/LANG/VOC TX > 30min 440 580.00 72791038 FEED/SWAL TX <=30min 440 517.00 72791040 SPH/LANG/VOC TX <=30min 440 500.00 72791058 THER USE NON SPEECH DEVIC 440 513.00 72791061 THER USE SPEECH DEV 440 432.00 72791070 SWALLOW FUNCT,INIT ASSES 440 0.01 72791071 SWALLOW FUNCT, PROJ GOAL 440 0.01 72791072 SWALLOW FUNCT,DISCHARGE 440 0.01 72791073 MOTOR SPEECH FUNCT-CURR 440 0.01 72791074 MOTOR SPEECH FUNCT-GOAL 440 0.01 72791075 MOTOR SPEECH FUNCT-DISCHR 440 0.01 72794470 COGNITV SKILLS TX INTRVNT 440 195.00 72794475 AUD REHAB PRE-LING LOSS 440 486.00 72794476 AUD REHAB POSTLING LOSS 440 486.00 72794482 COGNITV SKILLS TX <30MIN 440 195.00 72798285 SCHED TEAM CONF W/PT 440 784.00 72791030 SPEECH PATHOLOGY GROUP 443 109.00 72791011 EVAL OF SPEECH FLUENCY 444 540.00 72791012 EVAL OF SPEECH PROD 444 583.00 72791013 SP SOUND LANG COMPREHEN 444 691.00 72791014 BEHAV QUALIT ANAL VOICE 444 656.00 72791026 MOD BARIUM SWAL>30min 444 810.00 72791027 MOD BARIUM SWAL<=30min 444 729.00 72791028 ENDOSCOP SWAL TST (FEES) 444 802.00 72791029 LARYNGEAL SENSE TST 444 432.00 72791031 FEES W/LARYNGEAL SENSE 444 432.00 72791035 FEED/SWAL EVAL > 1 HR 444 810.00 72791054 PASSY MUIR EVAL/FIT 444 274.00 72791056 FEED/SWAL EVAL <= 1 HR 444 594.00 72791057 EVAL NON SPEECH DEVICE 444 513.00 72791059 EVAL SPEECH DEV 1ST HR 444 810.00 72791060 EVAL SPEECH DEV+30min 444 280.00 72791062 FEED/SWAL EVAL< 30min 444 594.00 72794458 SW TX W/NEUROMSC FAC >30 444 535.00 72794460 SW TX W/NEUROMSC FAC <=30 444 298.00 72794465 APHASIA ASSMT 444 832.00 72794473 EVAL AUD REHAB STS 1ST HR 444 518.00 72794474 EVAL AUD REHAB ADDL 15MIN 444 130.00 72794480 SP/LANG COGNITV EVAL <=1 444 640.00 72794481 SP/LANG COGNITV EVAL >1HR 444 667.00 72300876 VENIPUNCT >=3YR BY MD 450 117.00 72300944 CARDIOVERSION 450 1,808.00 72300974 LEV 6 CRITICAL CARE<74MIN 450 8,172.00 72300980 LEV 5 ED VISIT 450 3,344.00 72300986 LEV 4 ED VISIT 450 1,994.00 72300992 LEV 3 ED VISIT 450 1,246.00 72300998 LEV 2 ED VISIT 450 784.00 72301004 LEV 1 ED VISIT 450 385.00 72304182 VENIPUNC <3YR FEM/JUG/SAG 450 117.00 72304360 VACCINE ADMIN SNGL 450 143.00 72304361 VACCINE ADMIN EA ADD'L 450 105.00 72304800 VENIPUNCTURE, SCALP, <3YR 450 117.00 72305102 EXPLORE WOUND EXTREMITY 450 441.50 72305190 PROC ABD/PERITN-UNLISTED 450 598.00 72309001 LEV 1 W/MODIFIER 450 385.00 72309002 LEV 2 W/MODIFIER 450 784.00 72309003 LEV 3 W/MODIFIER 450 1,246.00 72309004 LEV 4 W/MODIFIER 450 1,994.00 72309005 LEV 5 W/MODIFIER 450 3,344.00 72309006 LEV 6 CRIT-CARE+MOD<74MIN 450 8,172.00 72309007 CRITICAL CARE EA ADDL 30 450 4,093.00 72310876 VENIPUNCT >=3YR BY MD 450 117.00 72310944 CARDIOVERSION 450 1,808.00 72310974 LEV 6 CRITICAL CARE<74MIN 450 8,172.00 72310980 LEV 5 ED VISIT 450 3,344.00 72310986 LEV 4 ED VISIT 450 1,994.00 72310992 LEV 3 ED VISIT 450 1,246.00 72310998 LEV 2 ED VISIT 450 784.00 72311004 LEV 1 ED VISIT 450 385.00 72314182 VENIPUNC <3YR FEM/JUG/SAG 450 117.00 72314360 VACCINE ADMIN SNGL 450 143.00 72314361 VACCINE ADMIN EA ADD'L 450 105.00 72314800 VENIPUNCTURE, SCALP, <3YR 450 117.00 72315190 PROC ABD/PERITN-UNLISTED 450 598.00 72319001 LEV 1 W/MODIFIER 450 385.00 72319002 LEV 2 W/MODIFIER 450 784.00 72319003 LEV 3 W/MODIFIER 450 1,246.00 72319004 LEV 4 W/MODIFIER 450 1,994.00 72319005 LEV 5 W/MODIFIER 450 3,344.00 72319006 LEV 6 CRIT-CARE+MOD<74MIN 450 8,172.00 72319007 CRITICAL CARE EA ADDL 30 450 4,093.00 72320017 IN HOUSE-TRAUMA ACT LEV 1 450 16,500.00 72320019 IN HOUSE-TRAUMA ACT LEV 2 450 13,800.00 72320021 IN HOUSE-TRAUMA ACT LEV 3 450 11,000.00 70855008 OXIMETRY OVERNIGHT 460 537.00 71800050 INVOS MNTRNG INIT DAY 460 741.00 71800052 INVOS MNTRNG SUBSQ DAY 460 635.00 71801263 SUFACTANT ADMINISTRATION 460 318.00 71801314 PULSE OXIMETER 1ST DAY 460 537.00 71801316 PULSE OXIMETER STUDY 460 537.00 71801331 PULSE OXIMETER SUBS DAY 460 537.00 71801336 TCM MONITOR (SUBSEQ) 460 540.00 71860013 APNEA MONITR INIT 460 794.00 71860014 APNEA MONITR SUBS 460 794.00 71860017 NEG INSPIRATOR FRC MSRMNT 460 186.00 71860053 PULSE OXIMETRY SNGL 460 159.00 71860054 PRE/POST DUCTAL OXIM INIT 460 286.00 71860055 PRE/POST DUCTAL OXIM SUBS 460 286.00 71860057 ETCO2 MONITOR (1ST DAY) 460 450.00 71860058 ETCO2 MONITOR SUBSEQUENT 460 360.00 71860059 ETCO2 SPOT CHECK 460 360.00 71860070 TCM MONITORING (1ST DAY) 460 540.00 71860071 ETCO2 MONITOR STUDY 460 424.00 71860072 SPIROMETRY PREPST T 460 560.00 71860073 SPIROMETRY SGL MEAS 460 381.00 71860078 INDIRECT CALORIMETRY 460 227.00 71860086 ETCO2/OXIMETRY STUDY 460 537.00 71860103 INO DELIVERY SYSTEM INIT 460 794.00 71860104 INO DELIVERY SYSTEM SUBS 460 794.00 71860110 HAST W/ O2 TITRATION 460 582.00 71860114 HAST W/O O2 TITRATION 460 582.00 71920027 PULSE OXIMETRY MULTIPLE 460 286.00 71920028 PULSE OXIMETRY SNGL 460 159.00 72700049 PULSE OXIMETRY SNGL 460 159.00 72840055 PULSE OXIMETRY MULTIPLE 460 286.00 72840056 PULSE OXIMETRY SNGL 460 159.00 72850049 PULSE OXIMETRY SNGL 460 159.00 72850050 PULSE OXIMETRY MULTIPLE 460 286.00 72880027 LUNG VOL PLETHYSMOGRAPHY 460 435.00 72880028 PRE/PST BRONCHODILATOR 460 560.00 72880029 METHACHOLINE CHALLENGE 460 1,101.00 72880030 MAX VENT VOLUME 460 186.00 72880031 LUNG VOL W/ GAS/WASHOUT 460 530.00 72880034 AIRWAY RESISTANCE 460 360.00 72880035 FLO VOL LOOPS 460 477.00 72880036 PULM STRESS TEST SMPL 460 496.00 72880040 DIFFUSION CAPACITY 460 544.00 72880041 PULSE OXIMETRY MULTIPLE 460 286.00 72880042 CO2 (EXHALED) DETERM 460 360.00 72880048 SPIROMTRY TO 2YRS 460 291.00 72880049 SPIROMTRY W/DIL TO 2YRS 460 360.00 72880051 LUNG VOL TO 2YRS 460 619.00 72880053 APNEA MTR ATTCH/DISCON 460 265.00 72880055 APNEA MTR ANAL/CMPTR 460 265.00 72880062 SPIROMETRY 460 381.00 72881055 EXHALED NOTRIC OXIDE TEST 460 149.00 72960026 PULSE OXIMETRY SNGL 460 159.00 73110021 PRE/POST BRONCH FLOW VOL 460 560.00 73110022 SPIROMETRY 460 381.00 73110023 Exercise Challenge 460 496.00 73110043 RESP FLO LOOP 460 477.00 73120027 LUNG VOL PLETHYSMOGRAPHY 460 435.00 73120028 PRE/PST BRONCHODILATOR 460 560.00 73120029 METHACHOLINE CHALLENGE 460 1,101.00 73120030 MAX VENT VOLUME 460 186.00 73120031 LUNG VOL W/ GAS/WASHOUT 460 530.00 73120034 AIRWAY RESISTANCE 460 360.00 73120035 FLO VOL LOOPS 460 477.00 73120036 PULM STRESS TEST SMPL 460 496.00 73120040 DIFFUSION CAPACITY 460 544.00 73120041 PULSE OXIMETRY MULTIPLE 460 286.00 73120042 CO2 (EXHALED) DETERM 460 360.00 73120048 SPIROMTRY TO 2YRS 460 291.00 73120049 SPIROMTRY W/DIL TO 2YRS 460 360.00 73120050 SPIROMETRY 460 381.00 73120051 LUNG VOL TO 2YRS 460 619.00 73120053 APNEA MTR ATTCH/DISCON 460 265.00 73120055 APNEA MTR ANAL/CMPTR 460 265.00 73123013 EXHALED NITRIC OXIDE TEST 460 149.00 73171039 PULSE OXIMETRY 460 159.00 73171115 EXERCISE TST BRNCSPSM 460 449.00 73171109 BRONCHODILATION PRE/POST 469 560.00 74141272 SCREENING OAE TEST UNI 470 318.00 71311079 EG ABR LIMITED 471 582.00 72810065 OAE 471 360.00 72810101 HEARING TEST PURE TONE 471 106.00 72810102 TYMPANOMETRY 471 162.00 74141001 PURETONE AIR SCRN 471 106.00 74141006 TYMPANOMTRY W/REFLX 471 296.00 74141007 VRA/BOA 471 265.00 74141008 TYMPANOMTRY W/REFLX-52 471 296.00 74141010 PSI/SSI TEST 471 159.00 74141015 H/A EXAM & SELECT BIN 471 447.00 74141022 NRT/NRI ELCTRCOCHLEOGRPHY 471 371.00 74141023 PURETONE AUDIO AIR 471 239.00 74141024 PSI/SSI TEST -52 471 159.00 74141027 TYMPANOMETRY 471 162.00 74141043 PURETONE AUDIO BONE 471 298.00 74141047 COND AUDIO PLAY 471 265.00 74141049 SEL PICTURE AUDIO 471 186.00 74141055 SP DET THRSHLD 471 186.00 74141058 ACOUSTIC REFLX TEST -52 471 159.00 74141059 SP DET THRSHLD W/RECOG 471 186.00 74141068 STENGER TEST TONE 471 186.00 74141075 EVAL CNTRL AUD FCN 1ST HR 471 344.00 74141087 DIAGNOSTIC OAE TEST 471 794.00 74141088 DIAGNOSTIC OAE TEST UNI 471 794.00 74141159 ACOUSTIC REFLX TEST 471 159.00 74141165 NRT/NRI ELECTROCOCHLEOGR 471 741.00 74141175 AEP TEST COMPREH 471 1,268.00 74141188 EVAL AUD REHAB STS 1STHR 471 508.00 74141189 EVAL AUD REHAB STS+15min 471 127.00 74141190 EVAL CNTRL AUD FNC+15min 471 90.00 74141195 PURETONE AUDIO AIR/BN 471 318.00 74141201 COCH DX <7Y W/PROG RT 471 794.00 74141202 COCH DX <7Y REPROG RT 471 794.00 74141204 COCH DX=>7Y W/PROG RT 471 794.00 74141205 COCH DX=>7Y REPROG RT 471 794.00 74141222 SCREENING OAE TEST 471 318.00 74141223 H/A EXAM & SELECT MONO 471 318.00 74141227 COMPREH HEARING EVAL 471 445.00 74141228 H/A CHK MONO<=30min ELEC 471 159.00 74141229 H/A CHK MONO>30min ELEC 471 265.00 74141230 H/A CHK BIN<=30min ELEC 471 167.00 74141233 H/A CHK BIN>30min ELEC 471 265.00 74141236 AEP TEST LTD (SCRN) 471 582.00 74141238 LIMITED OAE TEST 471 360.00 74141239 COCH DX <7Y W/PROG LT 471 794.00 74141241 COCH DX <7Y REPROG LT 471 794.00 74141243 COCH DX=>7Y W/PROG LT 471 794.00 74141245 COCH DX=>7Y REPROG LT 471 794.00 74141250 H/A CHECK MONO<= 30min 471 159.00 74141251 H/A CHECK MONO >30min 471 212.00 74141253 H/A CHECK BIN<= 30min 471 167.00 74141254 H/A CHECK BIN >30min 471 265.00 74141265 ASSMT FOR H/A 471 300.00 74141266 COMPREH HEARING EVAL -52 471 445.00 74141267 AEP TEST COMPREH -52 471 634.00 74141268 COND AUDIO PLAY -52 471 265.00 74141269 CONFORMITY EVAL 471 168.00 74141271 LIMITED OAE TEST UNI 471 360.00 74141273 FIT/ORIENT/CHECK H/A 471 265.00 74141277 AEP TEST LTD (SCRN) -52 471 424.00 74141280 PURETONE AUDIO UHF 471 298.00 74141281 PURETONE AUDIO UHF -52 471 298.00 74141282 PURETONE AUDIO AIR/BN -52 471 318.00 74141283 PURETONE AUDIO AIR -52 471 239.00 74141284 PURETONE AUDIO BONE -52 471 298.00 74141285 REPAIR/MOD H/A 471 164.00 74141286 PURETONE AIR SCRN -52 471 106.00 74141287 SEL PICTURE AUDIO -52 471 186.00 74141288 SP DET THRSHLD W/RECOG-52 471 186.00 74141289 SP DET THRSHLD -52 471 186.00 74141290 TYMPANOMETRY -52 471 162.00 74143004 MANUF REPR 12MO WARR 471 657.00 74143005 MANUF REPR 6MO WARR 471 271.00 61715051 CARDIOVERSION ELECTIVE 480 1,808.00 62091065 CARDIOVERSION ELECTIVE 480 1,808.00 62095058 TRANSCUT PACING TEMP 480 1,650.00 62151065 CARDIOVERSION ELECTIVE 480 1,808.00 62151077 FLOTRAC MONITOR CHRG DALY 480 1,000.00 62151079 SWAN GANZ INSERT 480 3,500.00 62153503 INSRT SWAN GANZ CATH 480 3,500.00 62181065 CARDIOVERSION ELECTIVE 480 1,808.00 62183503 INSRT SWAN GANZ CATH 480 3,500.00 70951073 EP MAPPING/PACING 480 8,500.00 70951378 EPS EVAL COMPLETE 480 34,285.00 70963010 DETERMINE VNS PRESSURE 480 16.00 71860027 CPR 480 1,422.00 72300950 TRANSCUT PACING TEMP 480 1,650.00 72305052 ER CPR 480 1,422.00 72310950 TRANSCUT PACING TEMP 480 1,650.00 72315052 ER CPR 480 1,422.00 72850081 AMB BP 24+HR INCL/REC/S&I 480 350.00 72850083 AMB BP 24+HR MONTR/ANALYS 480 260.00 72850084 AMBULATORY BPM 24HR-RECDG 480 350.00 72850085 AMBULTRY BPM 24HR INT/RPT 480 260.00 73171087 PM DEV PROG EVAL SNGL 480 600.00 73171089 PM DEV PROG EVAL DUAL 480 613.00 73171091 PM DEV PROG EVAL MULTI 480 625.00 73171093 ICD DEV PROG EVAL SNGL 480 582.00 73171095 ICD DEV PROG EVAL DUAL 480 718.00 73171097 ICD DEV PROG EVAL MULTI 480 725.00 73171098 PROG DEV W/PHYS MULTILEAD 480 540.00 73171099 PM DEV EVAL IN PERSON 480 400.00 73171101 ICD DEV INTERROGATE 480 250.00 73171102 ICD DEV INTROGATE IMPLOOP 480 250.00 73171107 REMOTE EVAL PMKR PER 90DY 480 540.00 73171108 REMOTE EVAL PMKR PER 30DY 480 759.00 70950098 INTRA-ATRIAL PACING 481 3,750.00 70950299 PTA PULM ART EA ADDL VESS 481 16,000.00 70950300 EP F/U PACING & RCRDNG 481 14,750.00 70950301 EP EVAL DEFIB W/PROGRAM 481 2,000.00 70950302 ELEC ANAL ANTITACH PCMKR 481 475.00 70950339 RH CORONRY ART ANGIO 481 16,796.00 70950340 LH ART/VENT ANGIO 481 18,016.00 70950341 RH&LH ART/VENT ANGIO 481 19,396.00 70950342 LH CATH TRNSPTL PNCT 481 9,000.00 70950343 IV RX ADMIN & HEMODYNMC 481 7,000.00 70950344 INJ SEL COR ART CNGTL CTH 481 1,000.00 70950345 INJ LT VENT/ARTL ANGIO CH 481 1,000.00 70950346 INJ RT VENT/ARTL ANGIO CH 481 1,000.00 70950348 INJ SUPRVLV AROTOGRPHY CH 481 1,000.00 70950349 INJ PULM ART CATH 481 1,000.00 70950379 COMP RARV EP W/SVT ABL 481 37,067.00 70950380 COMP EP W/LALV 3D VT ABL 481 44,563.00 70950381 ABLATE ARRHYTHMIA ADD ON 481 17,275.00 70951002 ABLATION AV NODE 481 16,307.00 70951017 VALVULOPLASTY AORTIC 481 20,000.00 70951022 VALVULOPLASTY PULM 481 20,000.00 70951030 R&I HRT ART/VENTR ANGIO 481 22,294.00 70951031 CATH PLCMT IN CORNARY ART 481 15,630.00 70951037 CPR 481 1,422.00 70951042 CARDIOVERSION ELECTIVE 481 1,808.00 70951044 IC THROMBOLYSIS 481 3,300.00 70951047 COMPREH EPS 481 14,750.00 70951052 BX ENDOMYOCARD 481 8,000.00 70951067 EPS/LV RCRD W/ W/O PACING 481 8,750.00 70951074 RT VENTRICULR RECORDNG 481 3,750.00 70951075 INTRA-ATRIAL RECORDING 481 3,750.00 70951077 L HEART CATH RETRO PERC 481 15,550.00 70951082 EP EVAL PULSE-GENERAT 481 3,300.00 70951098 PM DEV PROG EVAL SNGL 481 600.00 70951099 PM DEV PROG EVAL DUAL 481 613.00 70951100 ICD DEV PROG EVAL SNGL 481 582.00 70951101 ICD DEV PROG EVAL DUAL 481 718.00 70951103 PM DEV EVAL IN PERSON 481 400.00 70951104 ICD DEV INTERROGATE 481 250.00 70951105 DEV EVAL/PRGMMNG 481 551.00 70951106 PRE-OP ICD DEVICE EVAL 481 255.00 70951147 RH & LH CATH 481 18,550.00 70951152 ATRIAL SEPT BALLOON RASKD 481 7,500.00 70951157 RT HEART CATH 481 15,550.00 70951168 INTRAVENTRICULAR PACING 481 3,750.00 70951182 STIMULAT/PAC/IV DRUG INF 481 8,750.00 70951188 PERCU TRNSCATH PDA CLOSE 481 25,000.00 70951189 PERC CLOSE DEFECT W/IMP 481 42,000.00 70951190 PERC CLOSE VSD W/IMP 481 42,000.00 70951197 TILT TABLE STUDY 481 2,739.00 70951212 EP EVAL ICD LEADS AT IMPT 481 3,300.00 70951217 COMP EP/ARRHYTH INDUCT 481 15,595.00 70951244 ESOPH ATR/VNT ELECTROGRAM 481 6,500.00 70951245 ESOPH ELECTRGM W/PACING 481 6,500.00 70951246 INDUCE ARRHYTH W/PACING 481 6,500.00 70951248 CARDIOVASC SVC/PROC OTHER 481 2,000.00 70951250 CCL-SVC/PROG,INTEROG/DEVC 481 2,000.00 70951373 INJ SEL ART CONDUIT 481 1,000.00 70951377 EPS LA RECORD W/WO PACING 481 8,750.00 70951381 RH CATH CONG ANOMALIES 481 18,000.00 70951382 R & LHC FOR ANOMALIES 481 18,000.00 70951383 COMB R/L CATH INTACT SEPT 481 17,000.00 70951384 COMB R/L CATH OPEN SEPT 481 17,000.00 70951388 PTA PULM ARTERY 481 16,000.00 70951394 INTRACARD EP 3D MAPPING 481 11,357.00 71801020 PULM REACTIVTY TEST W/INO 481 1,302.00 73171114 EP Study to Evaluate Pac) 481 475.00 70951390 PHARM STRESS EKG 482 1,387.00 72880026 ECG DURING STRESS TEST 482 1,387.00 73120026 ECG DURING STRESS TEST 482 1,387.00 73171079 TREADMILL STRESS EKG REC 482 1,387.00 73171080 PULM STRESS TEST-COMPLEX 482 1,080.00 73171082 PULM STRESS-6MIN WALK 482 496.00 72320007 TRAUMA ECHO 2D LTD STDY 483 990.00 73171002 ECHO 2D W/W/O M-MODE COMP 483 1,800.00 73171007 ECHO 2D FU/LTD STDY 483 990.00 73171012 ECHO TEE COMP 483 2,500.00 73171015 ECHO W/CF & DOPPLER COMPL 483 3,150.00 73171018 ECHO TEE NONCONG IMG ACQ 483 2,500.00 73171022 ECHO DOPPLER CMPLT 483 700.00 73171027 ECHO DOPPLER LTD STDY 483 660.00 73171032 ECHO COLOR FLOW 483 700.00 73171036 INTERVENTION TEE/GUIDANCE 483 2,500.00 73171037 ECHO/EKG STRESS TEST 483 2,500.00 73171038 ECHO TEEDYNAMIC MONITOR 483 2,500.00 73171040 ECHO TEE CONGEN ANOMAL 483 2,500.00 73171044 ECHO TEE CONG IMAGE ACQU 483 2,500.00 73171045 FETAL DOPPLER ECHO COMPL 483 1,000.00 73171046 FETAL DOPPLER ECHO REPET 483 1,000.00 73171048 FETAL ECHO COMPLETE 483 1,300.00 73171049 FETAL ECHO REPEAT STUDY 483 1,000.00 73171055 ECHO CONGEN ANOM COMPL 483 3,000.00 73171056 ECHO CONGEN ANOM FU/LTD 483 1,300.00 73171105 ECHO STRESS TTE ONLY 483 1,500.00 70960472 SCLRTHRPY,W/CNTR INJ/S&I 490 2,117.00 72980038 CONSULT DETAILED 501 172.00 70960500 NEW PT LEV 1 510 71.00 70960505 NEW PT LEV 2 510 109.00 70960510 NEW PT LEV 3 510 150.00 70960515 NEW PT LEV 4 510 204.00 70960520 NEW PT LEV 5 510 246.00 70960525 EST PT LEV 1 510 37.00 70960530 EST PT LEV 2 510 70.00 70960535 EST PT LEV 3 510 101.00 70960540 EST PT LEV 4 510 142.00 70960545 EST PT LEV 5 510 183.00 70960550 CONSULT PROBLEM FOCUSED 510 77.00 70960555 CONSULT EXPANDED 510 129.00 70960560 CONSULT DETAILED 510 172.00 70960565 CONSULT COMPREHENSIVE 510 234.00 70960570 CONSULT HIGH COMPLEXITY 510 276.00 71600020 NM CONSULT 15 MIN 510 77.00 71600021 NM CONSULT 30 MIN 510 129.00 71600022 NM CONSULT 40 MIN 510 172.00 71600023 NM CONSULT 60 MIN 510 234.00 71600024 NM CONSULT 80 MIN 510 276.00 71920006 EST PT LEV 1 510 37.00 72023103 CONSULT DETAILED 510 172.00 72027109 CONSULT COMPREHENSIVE 510 234.00 72027110 EST PT LEV 4 510 142.00 72099244 CONSULT COMPREHENSIVE 510 234.00 72700066 NEW PT LEV 1 510 71.00 72700067 NEW PT LEV 2 510 109.00 72700068 NEW PT LEV 3 510 150.00 72700069 NEW PT LEV 4 510 204.00 72700070 NEW PT LEV 5 510 246.00 72700071 EST PT LEV 1 510 37.00 72700072 EST PT LEV 2 510 70.00 72700073 EST PT LEV 3 510 101.00 72700074 EST PT LEV 4 510 142.00 72700075 EST PT LEV 5 510 183.00 72700076 CONSULT PROBLEM FOCUSED 510 77.00 72700077 CONSULT EXPANDED 510 129.00 72700078 CONSULT DETAILED 510 172.00 72700079 CONSULT COMPREHENSIVE 510 234.00 72700080 CONSULT HIGH COMPLEXITY 510 276.00 72700107 OFFICE CONSULTATION 510 315.00 72810001 NEW PT LEV 1 510 71.00 72810002 NEW PT LEV 2 510 109.00 72810003 NEW PT LEV 3 510 150.00 72810004 NEW PT LEV 4 510 204.00 72810005 NEW PT LEV 5 510 246.00 72810006 EST PT LEV 1 510 37.00 72810007 EST PT LEV 2 510 70.00 72810008 EST PT LEV 3 510 101.00 72810009 EST PT LEV 4 510 142.00 72810010 EST PT LEV 5 510 183.00 72810011 INITIAL PREVEN <1YR 510 178.00 72810012 INITIAL PREV 1-4 YRS 510 182.00 72810013 INITIAL PREVEN 5-11 YRS 510 186.00 72810014 INITIAL PREV 12-17 YRS 510 200.00 72810015 EST PREVEN <1 YR 510 157.00 72810016 EST PREVEN 1-4 YRS 510 163.00 72810017 EST PREVEN 5-11 YRS 510 162.00 72810018 EST PREVEN 12-17 YRS 510 172.00 72810020 SUBSQNT HOSPCARE PDAY-35' 510 323.00 72810021 PROLONG OFFICE 1ST HR 510 146.00 72810022 PROLONG VISIT ADD 1/2HR 510 109.00 72810023 INITIAL PREV 18-39YT 510 195.00 72810024 EST PREVEN 18-39YR 510 174.00 72810025 CONSULT PROBLEM FOCUSED 510 77.00 72810026 CONSULT EXPANDED 510 129.00 72810027 CONSULT DETAILED 510 172.00 72810028 CONSULT COMPREHENSIVE 510 234.00 72810029 CONSULT HIGH COMPLEXITY 510 276.00 72810050 I&D ABSC/CYST SMPL 510 530.00 72810051 I&D ABSC/CYST CMPLX 510 794.00 72810052 EXCISION INGROWN NAIL 510 794.00 72810053 CRYOTHERAPY 1ST LESION 510 1,667.00 72810054 CRYOTHERAPY EA ADD'L LESN 510 742.00 72810055 CAUTERIZTN GRANULATN TISS 510 794.00 72810056 CRYOTHERAPY ACNE TX 510 975.00 72810057 SUBLUX RADL HD CLSD TX W/ 510 1,102.00 72810058 FB RMVL NOSE 510 200.00 72810059 INSRT STRAIGHT CATH BLADD 510 351.00 72810060 CIRCUMCISION 510 794.00 72810062 FB RMVL EXTRNL EAR 510 240.00 72810063 RMVL IMPCT CERUMEN 510 265.00 72810075 LAC RPR SMPL(12001-12021) 510 500.00 72810078 SPLNT APPLICATN 510 375.00 72810103 VISUAL ACUITY SCRN 510 90.00 72810108 VISUAL SPOTCHECK INSTRMNT 510 80.00 72811055 PARNG/CUTT/CALUS SNGL 510 449.00 72819120 FOLEY INSRT SIMPL 510 351.00 72820001 NEW PT LEV 1 510 71.00 72820002 NEW PT LEV 2 510 109.00 72820003 NEW PT LEV 3 510 150.00 72820004 NEW PT LEV 4 510 204.00 72820005 NEW PT LEV 5 510 246.00 72820006 EST PT LEV 1 510 37.00 72820007 EST PT LEV 2 510 70.00 72820008 EST PT LEV 3 510 101.00 72820009 EST PT LEV 4 510 142.00 72820010 EST PT LEV 5 510 183.00 72820011 CONSULT PROBLEM FOCUSED 510 77.00 72820012 CONSULT EXPANDED 510 129.00 72820013 CONSULT DETAILED 510 172.00 72820014 CONSULT COMPREHENSIVE 510 234.00 72820015 CONSULT HIGH COMPLEXITY 510 276.00 72820024 PROLONG OFFICE 1ST HR 510 146.00 72830001 NEW PT LEV 1 510 71.00 72830002 NEW PT LEV 2 510 109.00 72830003 NEW PT LEV 3 510 150.00 72830004 NEW PT LEV 4 510 204.00 72830005 NEW PT LEV 5 510 246.00 72830006 EST PT LEV 1 510 37.00 72830007 EST PT LEV 2 510 70.00 72830008 EST PT LEV 3 510 101.00 72830009 EST PT LEV 4 510 142.00 72830010 EST PT LEV 5 510 183.00 72830011 CONSULT PROBLEM FOCUSED 510 77.00 72830012 CONSULT EXPANDED 510 129.00 72830013 CONSULT DETAILED 510 172.00 72830014 CONSULT COMPREHENSIVE 510 234.00 72830015 CONSULT HIGH COMPLEXITY 510 276.00 72830024 PROLONG OFFICE 1ST HR 510 146.00 72830025 PROLONG VISIT ADD 1/2HR 510 109.00 72830041 INIT OBS CARE LOW SEVRITY 510 82.00 72830042 INIT OBS CARE MOD SEVRTY 510 129.00 72830043 INIT OBS CARE HIGH SEVRTY 510 178.00 72840001 NEW PT LEV 1 510 71.00 72840002 NEW PT LEV 2 510 109.00 72840003 NEW PT LEV 3 510 150.00 72840004 NEW PT LEV 4 510 204.00 72840005 NEW PT LEV 5 510 246.00 72840006 EST PT LEV 1 510 37.00 72840007 EST PT LEV 2 510 70.00 72840008 EST PT LEV 3 510 101.00 72840009 EST PT LEV 4 510 142.00 72840010 EST PT LEV 5 510 183.00 72840011 CONSULT PROBLEM FOCUSED 510 77.00 72840012 CONSULT EXPANDED 510 129.00 72840013 CONSULT DETAILED 510 172.00 72840014 CONSULT COMPREHENSIVE 510 234.00 72840015 CONSULT HIGH COMPLEXITY 510 276.00 72840024 PROLONG OFFICE 1ST HR 510 146.00 72840025 PROLONG VISIT ADD 1/2HR 510 109.00 72840029 CERUMEN IMPACTED RMVL 510 265.00 72840050 BONE MARROW BX 510 1,588.00 72840052 LUMBAR PUNCT DX 510 953.00 72842018 PROLONG SERV EA ADDL 30 510 516.00 72842020 OFFICE CONSULTATION 510 315.00 72850001 NEW PT LEV 1 510 71.00 72850002 NEW PT LEV 2 510 109.00 72850003 NEW PT LEV 3 510 150.00 72850004 NEW PT LEV 4 510 204.00 72850005 NEW PT LEV 5 510 246.00 72850006 EST PT LEV 1 510 37.00 72850007 EST PT LEV 2 510 70.00 72850008 EST PT LEV 3 510 101.00 72850009 EST PT LEV 4 510 142.00 72850010 EST PT LEV 5 510 183.00 72850011 CONSULT PROBLEM FOCUSED 510 77.00 72850012 CONSULT EXPANDED 510 129.00 72850013 CONSULT DETAILED 510 172.00 72850014 CONSULT COMPREHENSIVE 510 234.00 72850015 CONSULT HIGH COMPLEXITY 510 276.00 72850024 PROLONG OFFICE 1ST HR 510 146.00 72850025 PROLONG VISIT ADD 1/2HR 510 109.00 72860001 NEW PT LEV 1 510 71.00 72860002 NEW PT LEV 2 510 109.00 72860003 NEW PT LEV 3 510 150.00 72860004 NEW PT LEV 4 510 204.00 72860005 NEW PT LEV 5 510 246.00 72860006 EST PT LEV 1 510 37.00 72860007 EST PT LEV 2 510 70.00 72860008 EST PT LEV 3 510 101.00 72860009 EST PT LEV 4 510 142.00 72860010 EST PT LEV 5 510 183.00 72860011 CONSULT PROBLEM FOCUSED 510 77.00 72860012 CONSULT EXPANDED 510 129.00 72860013 CONSULT DETAILED 510 172.00 72860014 CONSULT COMPREHENSIVE 510 234.00 72860015 CONSULT HIGH COMPLEXITY 510 276.00 72860024 PROLONG OFFICE 1ST HR 510 146.00 72860025 PROLONG VISIT ADD 1/2HR 510 109.00 72860032 INJ ANES GREATER OCCIPITL 510 1,059.00 72860033 INJ TRIG PT 1-2 MUSC 510 953.00 72860034 INJ TRIG PTS 3+ MUSC 510 1,100.00 72880001 NEW PT LEV 1 510 71.00 72880002 NEW PT LEV 2 510 109.00 72880003 NEW PT LEV 3 510 150.00 72880004 NEW PT LEV 4 510 204.00 72880005 NEW PT LEV 5 510 246.00 72880006 EST PT LEV 1 510 37.00 72880007 EST PT LEV 2 510 70.00 72880008 EST PT LEV 3 510 101.00 72880009 EST PT LEV 4 510 142.00 72880010 EST PT LEV 5 510 183.00 72880011 CONSULT PROBLEM FOCUSED 510 77.00 72880012 CONSULT EXPANDED 510 129.00 72880013 CONSULT DETAILED 510 172.00 72880014 CONSULT COMPREHENSIVE 510 234.00 72880015 CONSULT HIGH COMPLEXITY 510 276.00 72880024 PROLONG OFFICE 1ST HR 510 146.00 72880025 PROLONG VISIT ADD 1/2HR 510 109.00 72880063 SUBSQNT HOSPCARE PDAY-35' 510 323.00 72899236 OFFICE CONSULTATION 510 2,166.00 72930001 NEW PT LEV 1 510 71.00 72930002 NEW PT LEV 2 510 109.00 72930003 NEW PT LEV 3 510 150.00 72930004 NEW PT LEV 4 510 204.00 72930005 NEW PT LEV 5 510 246.00 72930006 EST PT LEV 1 510 37.00 72930007 EST PT LEV 2 510 70.00 72930008 EST PT LEV 3 510 101.00 72930009 EST PT LEV 4 510 142.00 72930010 EST PT LEV 5 510 183.00 72930011 CONSULT PROBLEM FOCUSED 510 77.00 72930012 CONSULT EXPANDED 510 129.00 72930013 CONSULT DETAILED 510 172.00 72930014 CONSULT COMPREHENSIVE 510 234.00 72930015 CONSULT HIGH COMPLEXITY 510 276.00 72930024 PROLONG OFFICE 1ST HR 510 146.00 72930025 PROLONG VISIT ADD 1/2HR 510 109.00 72930032 ELEC ANALYS PUMP W/REPROG 510 750.00 72930036 LUMBAR PUNCT DX 510 953.00 72930037 SHUNT TUBING PUNCT 510 794.00 72930040 REPROG CSF SHUNT 510 582.00 72930042 WOUND DEBRID SEL >20CM 510 731.00 72930044 INJ TRIG PT 1-2 MUSC 510 953.00 72930045 INJ TRIG PTS 3+ MUSC 510 1,100.00 72930046 INJ ANES TRIGEMINAL NRV 510 1,059.00 72930047 INJ ANES GREATER OCCIPITL 510 1,059.00 72930048 LUMBAR PUNCT TX 510 953.00 72930049 ELEC ANAL PUMP/REPRGM/RFL 510 750.00 72950001 NEW PT LEV 1 510 71.00 72950002 NEW PT LEV 2 510 109.00 72950003 NEW PT LEV 3 510 150.00 72950004 NEW PT LEV 4 510 204.00 72950005 NEW PT LEV 5 510 246.00 72950006 EST PT LEV 1 510 37.00 72950007 EST PT LEV 2 510 70.00 72950008 EST PT LEV 3 510 101.00 72950009 EST PT LEV 4 510 142.00 72950010 EST PT LEV 5 510 183.00 72950011 CONSULT PROBLEM FOCUSED 510 77.00 72950012 CONSULT EXPANDED 510 129.00 72950013 CONSULT DETAILED 510 172.00 72950014 CONSULT COMPREHENSIVE 510 234.00 72950015 CONSULT HIGH COMPLEXITY 510 276.00 72954023 PROLONG OFFICE 1ST HR 510 146.00 72954038 PROLONG VISIT ADD 1/2HR 510 904.00 72960001 NEW PT LEV 1 510 71.00 72960002 NEW PT LEV 2 510 109.00 72960003 NEW PT LEV 3 510 150.00 72960004 NEW PT LEV 4 510 204.00 72960005 NEW PT LEV 5 510 246.00 72960006 EST PT LEV 1 510 37.00 72960007 EST PT LEV 2 510 70.00 72960008 EST PT LEV 3 510 101.00 72960009 EST PT LEV 4 510 142.00 72960010 EST PT LEV 5 510 183.00 72960011 CONSULT PROBLEM FOCUSED 510 77.00 72960012 CONSULT EXPANDED 510 129.00 72960013 CONSULT DETAILED 510 172.00 72960014 CONSULT COMPREHENSIVE 510 234.00 72960015 CONSULT HIGH COMPLEXITY 510 276.00 72960024 PROLONG OFFICE 1ST HR 510 146.00 72960025 PROLONG VISIT ADD 1/2HR 510 109.00 72970001 NEW PT LEV 1 510 71.00 72970002 NEW PT LEV 2 510 109.00 72970003 NEW PT LEV 3 510 150.00 72970004 NEW PT LEV 4 510 204.00 72970005 NEW PT LEV 5 510 246.00 72970006 EST PT LEV 1 510 37.00 72970007 EST PT LEV 2 510 70.00 72970008 EST PT LEV 3 510 101.00 72970009 EST PT LEV 4 510 142.00 72970010 EST PT LEV 5 510 183.00 72970011 CONSULT PROBLEM FOCUSED 510 77.00 72970012 CONSULT EXPANDED 510 129.00 72970013 CONSULT DETAILED 510 172.00 72970014 CONSULT COMPREHENSIVE 510 234.00 72970015 CONSULT HIGH COMPLEXITY 510 276.00 72970017 PROLONG OFFICE 1ST HR 510 146.00 72970018 PROLONG VISIT EA ADD 30 510 109.00 72980001 NEW PT LEV 1 510 71.00 72980002 NEW PT LEV 2 510 109.00 72980003 NEW PT LEV 3 510 150.00 72980004 NEW PT LEV 4 510 204.00 72980005 NEW PT LEV 5 510 246.00 72980006 EST PT LEV 1 510 37.00 72980007 EST PT LEV 2 510 70.00 72980008 EST PT LEV 3 510 101.00 72980009 EST PT LEV 4 510 142.00 72980010 EST PT LEV 5 510 183.00 72980011 CONSULT PROBLEM FOCUSED 510 77.00 72980012 CONSULT EXPANDED 510 129.00 72980013 CONSULT DETAILED 510 172.00 72980014 CONSULT COMPREHENSIVE 510 234.00 72980015 CONSULT HIGH COMPLEXITY 510 276.00 72980023 PROLONG OFFICE 1ST HR 510 146.00 72980024 PROLONG VISIT ADD 1/2HR 510 109.00 72980032 PROLONG SERVICES INDIRECT 510 175.00 72980033 PROLONG SERV EA ADDTL 30 510 516.00 72999243 CONSULT DETAILED 510 172.00 72999244 CONSULT COMPREHENSIVE 510 234.00 72999355 PROLONG VISIT ADD 1/2HR 510 109.00 73010021 PROLONG OFFICE 1ST HR 510 146.00 73010022 PROLONG VISIT ADD 1/2HR 510 109.00 73010066 NEW PT LEV 1 510 71.00 73010067 NEW PT LEV 2 510 109.00 73010068 NEW PT LEV 3 510 150.00 73010069 NEW PT LEV 4 510 204.00 73010070 NEW PT LEV 5 510 246.00 73010071 EST PT LEV 1 510 37.00 73010072 EST PT LEV 2 510 70.00 73010073 EST PT LEV 3 510 101.00 73010074 EST PT LEV 4 510 142.00 73010075 EST PT LEV 5 510 183.00 73010076 CONSULT PROBLEM FOCUSED 510 77.00 73010077 CONSULT EXPANDED 510 129.00 73010078 CONSULT DETAILED 510 172.00 73010079 CONSULT COMPREHENSIVE 510 234.00 73010080 CONSULT HIGH COMPLEXITY 510 276.00 73040001 NEW PT LEV 1 510 71.00 73040002 NEW PT LEV 2 510 109.00 73040003 NEW PT LEV 3 510 150.00 73040004 NEW PT LEV 4 510 204.00 73040005 NEW PT LEV 5 510 246.00 73040006 EST PT LEV 1 510 37.00 73040007 EST PT LEV 2 510 70.00 73040008 EST PT LEV 3 510 101.00 73040009 EST PT LEV 4 510 142.00 73040010 EST PT LEV 5 510 183.00 73040011 CONSULT PROBLEM FOCUSED 510 77.00 73040012 CONSULT EXPANDED 510 129.00 73040013 CONSULT DETAILED 510 172.00 73040014 CONSULT COMPREHENSIVE 510 234.00 73040015 CONSULT HIGH COMPLEXITY 510 276.00 73060011 NEW PT LEV 1 510 71.00 73060012 NEW PT LEV 2 510 109.00 73060013 NEW PT LEV 3 510 150.00 73060014 NEW PT LEV 4 510 204.00 73060015 NEW PT LEV 5 510 246.00 73060016 EST PT LEV 1 510 37.00 73060017 EST PT LEV 2 510 70.00 73060018 EST PT LEV 3 510 101.00 73060019 EST PT LEV 4 510 142.00 73060020 EST PT LEV 5 510 183.00 73060021 CONSULT PROBLEM FOCUSED 510 77.00 73060022 CONSULT ESPANDED 510 129.00 73060023 CONSULT DETAILED 510 172.00 73060024 CONSULT COMPREHENSIVE 510 234.00 73060025 CONSULT HIGH COMPLEXITY 510 276.00 73060026 PROLONG OFFICE 1ST HR 510 146.00 73060027 PROLONG VISIT ADD 1/2 HR 510 109.00 73110001 NEW PT LVL1 (10MIN) 510 71.00 73110002 NEW PT LVL2 (20MIN) 510 109.00 73110003 NEW PT LEV 3 510 150.00 73110004 NEW PT LEV 4 510 204.00 73110005 NEW PT LEV 5 510 246.00 73110006 EST PT LVL1 (5 MIN) 510 37.00 73110007 EST PT LVL2 (10MIN) 510 70.00 73110008 EST PT LVL3 (15MIN) 510 101.00 73110009 EST PT LVL4 (25MIN) 510 142.00 73110010 EST PT LVL5 (40MIN) 510 183.00 73110011 CONSULT FOCUSED (15MIN) 510 77.00 73110012 CONSULT EXPAND (30MIN) 510 129.00 73110013 CONSULT DETAIL (40MIN) 510 172.00 73110014 CONSULT COMPREH (60MIN) 510 234.00 73110015 CONSULT COMPLEX (80MIN) 510 276.00 73110016 PROLONG SERV (+1HR) 510 146.00 73110017 PROLONG SERV (+30MIN) 510 109.00 73110044 RMVL IMPACTED CERUMEN 510 265.00 73120001 NEW PT LEV 1 510 71.00 73120002 NEW PT LEV 2 510 109.00 73120003 NEW PT LEV 3 510 150.00 73120004 NEW PT LEV 4 510 204.00 73120005 NEW PT LEV 5 510 246.00 73120006 EST PT LEV 1 510 37.00 73120007 EST PT LEV 2 510 70.00 73120008 EST PT LEV 3 510 101.00 73120009 EST PT LEV 4 510 142.00 73120010 EST PT LEV 5 510 183.00 73120011 CONSULT PROBLEM FOCUSED 510 77.00 73120012 CONSULT EXPANDED 510 129.00 73120013 CONSULT DETAILED 510 172.00 73120014 CONSULT COMPREHENSIVE 510 234.00 73120015 CONSULT HIGH COMPLEXITY 510 276.00 73120024 PROLONG OFFICE 1ST HR 510 146.00 73120025 PROLONG VISIT ADD 1/2HR 510 109.00 73140001 NEW PT LEV 1 510 71.00 73140002 NEW PT LEV 2 510 109.00 73140003 NEW PT LEV 3 510 150.00 73140004 NEW PT LEV 4 510 204.00 73140005 NEW PT LEV 5 510 246.00 73140006 EST PT LEV 1 510 37.00 73140007 EST PT LEV 2 510 70.00 73140008 EST PT LEV 3 510 101.00 73140009 EST PT LEV 4 510 142.00 73140010 EST PT LEV 5 510 183.00 73140011 CONSULT PROBLEM FOCUSED 510 77.00 73140012 CONSULT EXPANDED 510 129.00 73140013 CONSULT DETAILED 510 172.00 73140014 CONSULT COMPREHENSIVE 510 234.00 73140015 CONSULT HIGH COMPLEXITY 510 276.00 73140016 PROLONG OFFICE 1ST HR 510 146.00 73140017 PROLONG VISIT ADD 1/2HR 510 109.00 73140018 PROLONGED SERVICES INDIRE 510 175.00 73140019 PROLONGED SERV ADDT'L 30 510 516.00 73140020 MEDTEAM CONF W/DR >30min 510 100.00 73140021 MEDTEAM CONF WO/DR >30min 510 65.00 73140050 RMVL IMPAT CERUMEN 510 265.00 73160066 NEW PT LEV 1 510 71.00 73160067 NEW PT LEV 2 510 109.00 73160068 NEW PT LEV 3 510 150.00 73160069 NEW PT LEV 4 510 204.00 73160070 NEW PT LEV 5 510 246.00 73160071 EST PT LEV 1 510 37.00 73160072 EST PT LEV 2 510 70.00 73160073 EST PT LEV 3 510 101.00 73160074 EST PT LEV 4 510 142.00 73160075 EST PT LEV 5 510 183.00 73160076 CONSULT PROBLEM FOCUSED 510 77.00 73160077 CONSULT EXPANDED 510 129.00 73160078 CONSULT DETAILED 510 172.00 73160079 CONSULT COMPREHENSIVE 510 234.00 73160080 CONSULT HIGH COMPLEXITY 510 276.00 73160139 RMVL IMPLNT CAPSULE 510 380.00 73160144 EST PREVEN 18-39YR 510 174.00 73170001 NEW PT LEV 1 510 71.00 73170002 NEW PT LEV 2 510 109.00 73170003 NEW PT LEV 3 510 150.00 73170004 NEW PT LEV 4 510 204.00 73170005 NEW PT LEV 5 510 246.00 73170006 EST PT LEV 1 510 37.00 73170007 EST PT LEV 2 510 70.00 73170008 EST PT LEV 3 510 101.00 73170009 EST PT LEV 4 510 142.00 73170010 EST PT LEV 5 510 183.00 73170011 CONSULT PROBLEM FOCUSED 510 77.00 73170012 CONSULT EXPANDED 510 129.00 73170013 CONSULT DETAILED 510 172.00 73170014 CONSULT COMPREHENSIVE 510 234.00 73170015 CONSULT HIGH COMPLEXITY 510 276.00 73170017 SUBSQNT HOSPCARE PRDAY-15 510 181.00 73170019 SUBSQNT HOSPCARE PDAY-25 510 284.00 73170020 SUBSQNT HOSPCARE PDAY-35' 510 323.00 73170024 PROLONG OFFICE 1ST HR 510 146.00 73170025 PROLONG VISIT ADD 1/2HR 510 109.00 73170026 PREV MED NEW PT INITIAL 510 178.00 73170027 PREV MED NEW PT 1-4YRSOLD 510 182.00 73170028 PREV MED NEW PT 5-11YRS 510 186.00 73170029 PREV MED NEW PT 12-17YRS 510 200.00 73170030 PREV MED NEW PT 18-39YRS 510 195.00 73180001 NEW PT LEV 1 510 71.00 73180002 NEW PT LEV 2 510 109.00 73180003 NEW PT LEV 3 510 150.00 73180004 NEW PT LEV 4 510 204.00 73180005 NEW PT LEV 5 510 246.00 73180006 EST PT LEV 1 510 37.00 73180007 EST PT LEV 2 510 70.00 73180008 EST PT LEV 3 510 101.00 73180009 EST PT LEV 4 510 142.00 73180010 EST PT LEV 5 510 183.00 73180011 CONSULT PROBLEM FOCUSED 510 77.00 73180012 CONSULT EXPANDED 510 129.00 73180013 CONSULT DETAILED 510 172.00 73180014 CONSULT COMPREHENSIVE 510 234.00 73180015 CONSULT HIGH COMPLEXITY 510 276.00 73180016 PROLONG OFFICE 1ST HR 510 146.00 73180017 PROLONG VISIT ADD 1/2HR 510 109.00 73200001 NEW PT LEV 1 510 71.00 73200002 NEW PT LEV 2 510 109.00 73200003 NEW PT LEV 3 510 150.00 73200004 NEW PT LEV 4 510 204.00 73200005 NEW PT LEV 5 510 246.00 73200006 EST PT LEV 1 510 37.00 73200007 EST PT LEV 2 510 70.00 73200008 EST PT LEV 3 510 101.00 73200009 EST PT LEV 4 510 142.00 73200010 EST PT LEV 5 510 183.00 73200011 CONSULT PROBLEM FOCUSED 510 77.00 73200012 CONSULT EXPANDED 510 129.00 73200013 CONSULT DETAILED 510 172.00 73200014 CONSULT COMPREHENSIVE 510 234.00 73200015 CONSULT HIGH COMPLEXITY 510 276.00 73200024 N BLOCK INJ TRIGMINAL NRV 510 1,059.00 73200026 N BLCK INJ OCCIPITAL 510 1,059.00 73200027 N BLCK INJ INTERCOST SNG 510 1,059.00 73200028 INJ TRIG PT 1-2 MUSC 510 953.00 73200029 INJ TRIG PTS 3+ MUSC 510 1,100.00 73210001 NEW PT LEV 1 510 71.00 73210002 NEW PT LEV 2 510 109.00 73210003 NEW PT LEV 3 510 150.00 73210004 NEW PT LEV 4 510 204.00 73210005 NEW PT LEV 5 510 246.00 73210006 EST PT LEV 1 510 37.00 73210007 EST PT LEV 2 510 70.00 73210008 EST PT LEV 3 510 101.00 73210009 EST PT LEV 4 510 142.00 73210010 EST PT LEV 5 510 183.00 73210011 CONSULT PROBLEM FOCUSED 510 77.00 73210012 CONSULT EXPANDED 510 129.00 73210013 CONSULT DETAILED 510 172.00 73210014 CONSULT COMPREHENSIVE 510 234.00 73210015 CONSULT HIGH COMPLEXITY 510 276.00 73210016 PROLONG OFFICE 1ST HR 510 146.00 73210017 PROLONG VISIT ADD 1/2HR 510 109.00 73220001 NEW PT LEV 1 510 71.00 73220002 NEW PT LEV 2 510 109.00 73220003 NEW PT LEV 3 510 150.00 73220004 NEW PT LEV 4 510 204.00 73220005 NEW PT LEV 5 510 246.00 73220006 EST PT LEV 1 510 37.00 73220007 EST PT LEV 2 510 70.00 73220008 EST PT LEV 3 510 101.00 73220009 EST PT LEV 4 510 142.00 73220010 EST PT LEV 5 510 183.00 73220011 CONSULT PROBLEM FOCUSED 510 77.00 73220012 CONSULT EXPANDED 510 129.00 73220013 CONSULT DETAILED 510 172.00 73220014 CONSULT COMPREHENSIVE 510 234.00 73220015 CONSULT HIGH COMPLEXITY 510 276.00 73220092 SPLNT APP SHRT ARM STATC 510 403.00 73230001 NEW PT LEV 1 510 71.00 73230002 NEW PT LEV 2 510 109.00 73230003 NEW PT LEV 3 510 150.00 73230004 NEW PT LEV 4 510 204.00 73230005 NEW PT LEV 5 510 246.00 73230006 EST PT LEV 1 510 37.00 73230007 EST PT LEV 2 510 70.00 73230008 EST PT LEV 3 510 101.00 73230009 EST PT LEV 4 510 142.00 73230010 EST PT LEV 5 510 183.00 73230011 CONSULT PROBLEM FOCUSED 510 77.00 73230012 CONSULT EXPANDED 510 129.00 73230013 CONSULT DETAILED 510 172.00 73230014 CONSULT COMPREHENSIVE 510 234.00 73230015 CONSULT HIGH COMPLEXITY 510 276.00 73230016 CILIARY TRANSSCL PHTCOAG 510 5,667.00 73230017 TRANSP EXTRAOC MUSCLE 510 4,010.00 73230018 CMPTR OPHTH IMG OPT NERVE 510 113.00 73230019 CMPTR OPHTH DX IMG PSEGMT 510 124.00 73240001 NEW PT LEV 1 510 71.00 73240002 NEW PT LEV 2 510 109.00 73240003 NEW PT LEV 3 510 150.00 73240004 NEW PT LEV 4 510 204.00 73240005 NEW PT LEV 5 510 246.00 73240006 EST PT LEV 1 510 37.00 73240007 EST PT LEV 2 510 70.00 73240008 EST PT LEV 3 510 101.00 73240009 EST PT LEV 4 510 142.00 73240010 EST PT LEV 5 510 183.00 73240011 CONSULT PROBLEM FOCUSED 510 77.00 73240012 CONSULT EXPANDED 510 129.00 73240013 CONSULT DETAILED 510 172.00 73240014 CONSULT COMPREHENSIVE 510 234.00 73240015 CONSULT HIGH COMPLEXITY 510 276.00 73240016 PROLONG VISIT 1ST HOUR 510 146.00 73240017 PROLONG VISIT ADD 1/2 HR 510 109.00 73240022 SUBSQNT HOSPCARE PRDAY-15 510 181.00 73260001 NEW PT LEV 1 510 71.00 73260002 NEW PT LEV 2 510 109.00 73260003 NEW PT LEV 3 510 150.00 73260004 NEW PT LEV 4 510 204.00 73260005 NEW PT LEV 5 510 246.00 73260006 EST PT LEV 1 510 37.00 73260007 EST PT LEV 2 510 70.00 73260008 EST PT LEV 3 510 101.00 73260009 EST PT LEV 4 510 142.00 73260010 EST PT LEV 5 510 183.00 73260011 CONSULT PROBLEM FOCUSED 510 77.00 73260012 CONSULT EXPANDED 510 129.00 73260013 CONSULT DETAILED 510 172.00 73260014 CONSULT COMPREHENSIVE 510 234.00 73260015 CONSULT HIGH COMPLEXITY 510 276.00 73260101 I&D ABSC/CYST CMPLX 510 794.00 72820108 NUTR COUNSL OBESITY 15MIN 519 86.00 70966460 3D RECON 2 WORKSTATION 610 999.00 71403002 3D RECON 2 WORKSTATION 610 978.00 71409166 3D RECON 2 WORKSTATION 610 978.00 71465634 MRI ORBIT/FACE/NCK -CONT 610 3,100.00 71465635 MRI ORBIT/FACE/NCK -&+ CO 610 4,617.00 71465665 MRI ORBIT/FACE/NCK +CONT 610 3,400.00 71465862 FMRI BRAIN W/O MD 610 3,200.00 71465863 FMRI BRAIN W/MD 610 3,550.00 71465865 MR 3D RECON 1 WRKSTATION 610 1,199.00 71465866 MR 3D RECON 2 WRKSTATION 610 999.00 71470003 MRI 3D WORKSTATION 1 610 1,199.00 71470004 MRI 3D WORKSTATION 2 610 999.00 71476377 3D RECON 2 WORKSTATION 610 999.00 71465652 MRI BRAIN +&-CONT 611 5,098.00 71465658 MRI BRAIN +CONT 611 4,598.00 71465662 MRI CSF STUDY -CONT 611 3,100.00 71465664 MRI BRAIN -CONT 611 3,100.00 71465910 MRI STEALTH BRAIN +&-CONT 611 5,098.00 71465911 MRI STEALTH BRAIN +CONT 611 4,598.00 71465912 MRI STEALTH BRAIN -CONT 611 3,100.00 71619186 MRI HYDRO -CONT 611 3,100.00 71465508 MRI C-SPINE +&- CONT 612 5,039.00 71465514 MRI C-SPINE +CONT 612 3,400.00 71465520 MRI C-SPINE-CONT 612 3,100.00 71465610 MRI L-SPINE +&-CONT 612 4,677.00 71465616 MRI L-SPINE +CONT 612 3,400.00 71465628 MRI L-SPINE -CONT 612 3,100.00 71465629 MRI L-SPINE LTD -CONT 612 3,100.00 71465641 MRI PELVIS+CONT 612 3,400.00 71465646 MRI PELVIS-CONT 612 3,100.00 71465754 MRI T-SPINE +&-CONT 612 5,136.00 71465760 MRI T-SPINE +CONT 612 3,598.00 71465766 MRI T-SPINE LTD +CONT 612 3,598.00 71465772 MRI T-SPINE-CONT 612 3,336.00 71465773 MRI T-SPINE LTD -CONT 612 3,336.00 71465841 MRI PELVIS +&-CONT 612 4,675.00 71465843 MRI C-SPINE LTD-CONT 612 3,100.00 71423395 MRI ABD WO CONTRAST 614 3,100.00 71423397 MRI MRCP -CONT 614 3,100.00 71456785 MRI UP EXT JT -CONT RT 614 3,100.00 71465501 MRI CARD VEL FLW MAP + 614 2,375.00 71465576 MRI LO EXT JT +CONT LT 614 3,400.00 71465577 MRI LO EXT JT +CONT RT 614 3,400.00 71465579 MRI LO EXT JT -CONT LT 614 2,950.00 71465581 MRI LO EXT JT -CONT RT 614 2,950.00 71465582 MRI HIP +CONT BL 614 6,800.00 71465585 MRI HIP -CONT BL 614 5,900.00 71465597 MRI LO EXT NJT +&-CONT LT 614 3,878.00 71465599 MRI LO EXT NJT +&-CONT RT 614 3,878.00 71465601 MRI LO EXT NJT +CONT LT 614 3,440.00 71465602 MRI LO EXT NJT +CONT RT 614 3,440.00 71465605 MRI LO EXT NJT -CONT LT 614 2,950.00 71465606 MRI LO EXT NJT -CONT RT 614 2,950.00 71465694 MRI SPECTROSCOPY 614 3,100.00 71465748 MRI TMJ(S) WO CONTRAST 614 2,800.00 71465780 MRI UP EXT JT +CONT LT 614 3,400.00 71465781 MRI UP EXT JT +CONT RT 614 3,400.00 71465783 MRI UP EXT JT -CONT LT 614 3,100.00 71465787 MRI UP EXT NJT +&-CONT LT 614 3,550.00 71465788 MRI UP EXT NJT +&-CONT RT 614 3,550.00 71465791 MRI UP EXT NJT +CONT LT 614 3,400.00 71465792 MRI UP EXT NJT +CONT RT 614 3,400.00 71465794 MRI UP EXT NJT -CONT LT 614 3,100.00 71465795 MRI UP EXT NJT -CONT RT 614 3,100.00 71465819 MRI ABD +&-CONT 614 4,190.00 71465820 MRI ABD +CONT 614 3,400.00 71465821 MRI CHEST +&-CONT 614 3,752.00 71465822 MRI CHEST +CONT 614 3,400.00 71465823 MRI CHEST -CONT 614 2,950.00 71465829 MRI LO EXT JT +&-CONT LT 614 5,612.00 71465830 MRI LO EXT JT +&-CONT RT 614 5,612.00 71465831 MRI HIP +&- CONT BL 614 11,224.00 71465845 MRI UP EXT JT +&-CONT LT 614 4,043.00 71465846 MRI UP EXT JT +&-CONT RT 614 4,043.00 71466508 MRI CARD MORPH -CONT 614 3,100.00 71466510 MRI CARD MORPH -&+ CONT 614 4,163.00 71465526 MRA/MRV HEAD -CONT 615 2,950.00 71465528 MRA/MRV HEAD +CONT 615 4,590.00 71465676 MRA NECK -CONT 615 2,950.00 71465682 MRA NECK +CONT 615 3,545.00 71465864 MRA HEAD +&- CONT 615 3,550.00 71465867 MRA NECK +&- CONT 615 4,343.00 71465920 MRA LO EXT +CONT LT 616 3,400.00 71465921 MRA LO EXT +CONT RT 616 3,400.00 71465922 MRA LO EXT -CONT LT 616 3,100.00 71465923 MRA LO EXT -CONT RT 616 3,100.00 71465924 MRA LO EXT +&-CONT LT 616 3,700.00 71465925 MRA LO EXT +&-CONT RT 616 3,700.00 71465730 MRA SPINE +OR-CONT 618 3,700.00 71465775 MRA UP EXT +&-CONT LT 618 3,550.00 71465776 MRA UP EXT +&-CONT RT 618 3,550.00 71465914 MRA CHEST +CONT 618 3,400.00 71465915 MRA CHEST -CONT 618 3,100.00 71465916 MRA CHEST +&-CONT 618 3,700.00 71465917 MRA PELVIS +CONT 618 3,400.00 71465918 MRA PELVIS -CONT 618 3,100.00 71465919 MRA PELVIS +&-CONT 618 3,700.00 71465926 MRA ABD +CONT 618 3,400.00 71465927 MRA ABD -CONT 618 3,100.00 71465928 MRA ABD +&-CONT 618 3,700.00 71466550 MRI PROC-UNLISTED 619 3,100.00 71710756 EPOETIN 20000 UNITS 634 16.95 71710765 EPO ALFA 2,000U INJ 634 13.20 71710770 EPO ALFA 3,000U INJ 634 12.77 71710775 EPO ALFA 4,000U INJ 634 14.31 71874055 EPO INJ 1000 UNITS, PD 634 131.00 71874056 EPO INJ 100U PD <10K 634 9.00 71910096 EPO PER-100 UNITS WASTE 634 13.00 71710760 EPO ALFA 10,000U INJ 635 21.52 71874058 EPO INJ 100U PD 10K+ 635 9.00 37015005 OPTIRAY 300-399 EA ML 636 4.00 37019000 ISOVUE300-61%-50ML PER ML 636 9.00 70103680 INJ RADIESSE SYR 1CC 636 1,775.00 70105005 OPTIRAY 300-399 EA ML 636 4.00 70117000 ISOVUE300-61%-50ML PER ML 636 9.00 70924477 ISOVUE 370-100ML PER ML 636 9.00 70924478 VISIPAQ 320 50ML PER ML 636 7.00 70969320 ISOVU M200-10ML-PER ML 636 9.00 70969321 ISOVU M300-15ML-PER ML 636 8.00 70969322 ISOVU 300-50ML PER ML 636 9.00 70969323 ISOVU 300-100ML PER ML 636 9.00 70969324 ISOVU 300-150ML PER ML 636 9.00 70969325 ISOVU 370-50ML PER ML 636 8.00 70969326 ISOVU 370-75ML PER ML 636 8.00 70969327 ISOVU 370-100ML PER ML 636 8.00 70969328 VISIPAQ 320 50ML PER ML 636 7.00 70969329 EOVIST 10ML PER ML 636 109.00 70969420 MAGNEVIST 5ML VL-PER ML 636 8.00 70969421 MAGNEVIST 10ML VL-PER ML 636 8.00 70969422 MAGNEVIST 15ML VL-PER ML 636 8.00 70969423 MAGNEVIST 20ML VL-PER ML 636 8.00 71419321 ISOVUE M200-10ML-PER ML 636 8.00 71419322 ISOVUE M300-15ML-PER ML 636 7.00 71419323 ISOVU 300-61%50ML PER ML 636 8.00 71419324 ISOVU 300-61%100ML PER ML 636 8.00 71419325 ISOVU 300-61%150ML PER ML 636 8.00 71419326 ISOVU 370-50ML PER ML 636 8.00 71419327 ISOVU 370-75ML PER ML 636 8.00 71419328 ISOVU 370-100ML PER ML 636 8.00 71419329 VISIPAQ 320 50ML PER ML 636 6.00 71419331 ISOVUE 300-61%-500ML(P-ML 636 8.00 71616504 MAGNEVIST 10ML PER ML 636 27.00 71616505 MAGNEVIST 15ML PER ML 636 27.00 71616506 MAGNEVIST 20ML PER ML 636 27.00 71616507 MAGNEVIST 5 ML PER ML 636 27.00 71616508 GADOX(EOVIST)10ML PER ML 636 110.00 71619421 NM PYP TO 25MCI 636 148.00 71701106 TAMIFLU 45MG CP (CDC) 636 84.62 71701107 TAMIFLU 30MG CP (CDC) 636 85.30 71701275 AZATHIOPRINE 50MG TB 636 5.29 71701400 CA LEUCOVORIN 5MG TB 636 19.70 71701660 CYCLOSPORINE 100MG CP 636 33.71 71701665 CYCLOSPORINE 25MG CP 636 8.38 71701670 CYCLOSPORINE 100MG/ML PO 636 44.08 71701700 DEXAMETHASONE 0.5MG TB 636 1.63 71701705 DEXAMETHASONE 1MG TB 636 0.91 71701710 DEXAMETHASONE 2MG TB 636 0.62 71701715 DEXAMETHASONE 4MG TB 636 0.27 71701937 GEMFIBROZIL 600MG TAB 636 27.56 71702385 METHYLPREDNISOLE 16MG TB 636 6.40 71702390 METHYLPREDNISOLE 4MG TB 636 8.75 71702427 MIDODRINE 5MG TAB 636 12.86 71702525 MYCOPHENLT 500MG TB 636 5.04 71702920 PREDNISOLONE 3MG/ML PO 636 2.30 71702921 PREDNISOLONE 15MG/5ML PO 636 3.85 71702925 PREDNISOLONE 5MG TB 636 101.19 71702935 PREDNISONE 10MG TB 636 0.28 71702940 PREDNISONE 1MG TB 636 4.19 71702945 PREDNISONE 2.5MG TB 636 2.39 71702950 PREDNISONE 20MG TB 636 0.15 71702955 PREDNISONE 50MG TB 636 0.10 71702960 PREDNISONE 5MG TB 636 0.65 71703105 RIFAMPIN 600MG INJ 636 1,219.51 71703223 SIROLIMUS 0.5MG TAB 636 66.12 71703224 RAPAMUNE 1MG TB 636 102.25 71703225 SIROLIMUS 1MG/ML PO 636 51.46 71703365 TACROLIMUS 0.5MG CP 636 17.75 71703370 TACROLIMUS 1MG CP 636 27.06 71703375 TACROLIMUS 5MG CP 636 26.99 71703380 TACROLIMUS 5MG/ML INJ 636 1,482.56 71703760 APREPITANT 125MG CP 636 76.42 71703762 APREPITANT 40MG CP 636 82.72 71703765 APREPITANT 80MG CP 636 76.59 71704120 DEXAMETHASONE 0.1MG/1ML 636 10.00 71704135 ORAPRED 15MG ODT TAB 636 52.02 71704136 ORAPRED 30MG ODT TAB 636 31.40 71704155 TOLVAPTAN 15MG TAB 636 1,244.56 71704160 PERAMPANEL 4MG TAB 636 197.18 71704165 CLONODINE ER 0.1MG TAB 636 27.13 71704170 GUANFACINE ER 1MG TAB 636 63.12 71710000 ACETAZOLAMIDE 500MG INJ 636 291.95 71710002 AMBISOME B LIPO 50MG/20ML 636 344.36 71710005 ACYCLOVIR 500MG INJ 636 1.10 71710010 ADENOSINE 6MG/2ML INJ 636 7.17 71710025 ALPROSTADIL 500MCG/ML 636 34.66 71710026 ALTEPLASE 2MG INJ 636 913.82 71710032 ALTAPLASE 50MG VL 636 1,875.17 71710040 AMIKACIN 250MG/ML 4ML VL 636 15.90 71710055 AMINOPHYLLN 500MG/20ML IN 636 47.58 71710060 AMIODARONE 150MG/3ML INJ 636 8.79 71710080 AMPHOTERICN 50MG/10ML INJ 636 260.00 71710085 AMPICILLIN 1GM INJ 636 26.42 71710105 AMP/SULBCT 3GM/8ML INJ 636 33.00 71710110 AMP/SULBACTAM 1GM INJ 636 40.72 71710131 ASCRBC ACD 500MG/ML 2ML A 636 31.81 71710135 ATGAM 50MG/ML 5ML INJ 636 12,052.08 71710149 ATROPNE 0.1MG/ML 10ML SYR 636 0.67 71710160 AZATHIOPRINE 100MG INJ 636 1,809.93 71710165 AZITHROMYCN 500MG INJ 636 53.66 71710185 BACLOFEN 50MCG/1ML INJ 636 595.01 71710190 BACLOFEN 10MG/20ML KIT 636 1,141.55 71710191 BACLOFEN 40MG/20ML KIT 636 1,656.97 71710193 BACLOFEN 20MG/20ML KIT 636 1,672.31 71710200 BENZTROPINE 2MG/2ML INJ 636 396.31 71710219 BICILLIN LA 600,000U INJ 636 92.45 71710220 BICILLIN LA 1,200,000U IN 636 976.65 71710227 DYSPORT DS 300 UNIT VIAL 636 201.82 71710228 DYSPORT DS 500 UNIT VIAL 636 94.04 71710229 BOTULISM IG 100MG INJ 636 49,686.28 71710230 BOTULISM A INJ 100U VL 636 37.74 71710255 BUPIVACNE 0.25% 30ML VL 636 25.25 71710261 MICAFUNGIN 100MG VL 636 16.75 71710285 BUPIVACNE 0./25% +EPI 30M 636 24.74 71710290 BUPIVACNE 0.75% +EPI 30ML 636 67.85 71710291 BUSULFAN 60MG INJ 636 733.22 71710300 CAFF CITR 20MG/ML INJ 636 16.93 71710310 CALCITRIOL 1MCG/ML INJ 636 56.97 71710318 LEUPROLIDE ACET 11.25MG K 636 15,287.00 71710325 CA GLUCONATE 1GM 10ML 636 50.76 71710330 CA LEUCOVORIN 10MG/ML INJ 636 5.22 71710331 Leucovorin Calcium 350mgL 636 18.09 71710335 CA LEUCOVORIN 10MG/ML INJ 636 72.55 71710350 CEFAZOLIN 1GM INJ 636 14.17 71710355 CEFAZOLIN 500MG INJ 636 21.20 71710365 CEFEPIME 1GM VL 636 59.84 71710375 CEFOTAXIME 2GM INJ 636 31.81 71710385 CEFOXITIN 1GM INJ 636 41.00 71710390 CEFTAZIDIME 1GM INJ 636 31.67 71710405 CEFTRIAXONE 1GM VL 636 2.39 71710415 CEFTRIAXONE 250MG INJ 636 89.31 71710420 CEFTRIAXONE 500MG 5ML VL 636 3.62 71710425 CEFUROXIME 1.5GM INJ 636 37.78 71710430 CEFUROXIME 750MG INJ 636 38.97 71710445 CHLORPROMAZNE 25MG/ML INJ 636 172.86 71710485 CLONIDINE 1000MCG/10ML IJ 636 308.65 71710486 CLONIDINE 100MCG/ML 1ML S 636 58.13 71710495 COLISTIMETHATE 150MG INJ 636 206.57 71710496 CONJUG ESTROGEN 25MG INJ 636 2,071.03 71710504 ACTHAR 80U/O.25ML VL 636 1,162.91 71710505 COSYNTRPN 250MCG VL 636 571.57 71710506 COSYNTRPN 0.5MCG/ML 500ML 636 30.00 71710510 CROFAB ANTIVENIN VL 636 20,098.02 71710514 ANASCORP ANTIVENOM 1 VL 636 27,477.61 71710520 CYANOCOBALMN 1000MCG/ML 636 69.00 71710525 CYCLOSPORINE 250MG/5ML 636 268.00 71710530 CYTOGAM 2500MG 50ML VL 636 11,018.28 71710555 DESMOPRESSN 4MCG/ML INJ 636 107.91 71710560 DEXAMETHASONE 10MG/ML INJ 636 0.93 71710565 DEXAMETHASN 4MG/1ML INJ 636 7.02 71710570 DEXAMETHASONE 4MG/ML 5ML 636 3.92 71710585 D50% 50ML SYR 636 54.07 71710595 DIGOXIN IMM FAB 40MG VL 636 24,473.47 71710610 DIPHENHYDRAMINE 50MG INJ 636 7.34 71710625 DTaP 0.5ML VACC 636 162.28 71710626 BOOSTRIX 0.5ML VACC 636 265.34 71710630 DOBUTAMN 12.5MG/ML 20ML S 636 32.43 71710640 DOPAMINE 200MG/5ML INJ 636 5.71 71710641 DOPAMINE 40MG IVPB 636 6.20 71710660 DOXYCYCLINE 100MG VL 636 143.34 71710690 ENOXAPARIN 100MG SYRINGE 636 15.86 71710691 ENOXAPARIN 120MG SYRINGE 636 14.71 71710695 ENOXAPARIN 40MG SYRINGE 636 28.09 71710700 ENOXAPARIN 60MG SYRINGE 636 16.32 71710705 ENOXAPARIN 80MG SYRINGE 636 15.30 71710710 ENOXAPARIN SYR 30MG 636 14.54 71710725 EPINEPHRINE 1MG/ML INJ 636 9.29 71710730 EPINEPHRINE 1MG/10ML INJ 636 7.61 71710752 DARBPOETIND-25MCG 636 56.65 71710753 DARBEPOTIN 100MCG NOESRD 636 73.70 71710754 DARBEPOETIN A 100MCG INJ 636 54.08 71710761 EPO ALFA 10,000 U NONESRD 636 26.16 71710762 EPO ALFA 20,000U NONESRD 636 33.98 71710776 EPO ALFA 4,000U NONESRD I 636 13.75 71710780 ESMOLOL 10MG/ML 10ML INJ 636 88.32 71710845 FERRC GLUC 62.5MG/5ML INJ 636 47.25 71710850 FILGRASTIM 300MCG/ML INJ 636 22.04 71710851 FILGRASTM 480MCG/1.6ML VL 636 7.44 71710855 FLUDARABINE 50MG/2ML VL 636 2,013.66 71710860 FLUMAZENL 0.5MG/5ML VL 636 48.92 71710865 FLUOROURACIL 500MG INJ 636 234.48 71710870 FOLIC ACD 50MG 10ML VL 636 7.42 71710875 FOMEPIZOLE 1500MG IV 636 138.88 71710876 FOSCARNT 24MG/ML 250ML IV 636 959.90 71710885 FOSPHENYTOIN 500MG INJ 636 49.65 71710890 FUROSEMIDE 40MG/4ML INJ 636 16.36 71710895 FUROSEMIDE 100MG/10ML INJ 636 7.99 71710900 FUROSEMIDE 20MG/2ML INJ 636 31.68 71710905 GANCICLOVIR 500MG INJ 636 718.40 71710915 GENTAMICIN 80MG/2ML INJ 636 24.32 71710916 GENTAMICIN SULF 40MG/ML 636 31.81 71710920 GENTAMICN PF 10MG/ML 2ML 636 28.65 71710925 GLUCAGEN 1MG/1ML 636 1,263.66 71710928 GLUCARPIDASE 1000 UNITS 636 2,022.42 71710940 GRANISETRON 1MG INJ 636 31.33 71710946 ACTHIB 0.5ML VACC 636 98.00 71710951 HALOPERIDOL LAC 5MG/ML VL 636 9.47 71710965 HEPARIN 10000U/10ML INJ 636 5.35 71710970 HEPARIN 1000U/ML 30ML 636 10.28 71710986 HEPARIN FLSH 100U/ML 3ML 636 31.81 71710987 HEPARIN FLSH 10U/ML 3ML 636 1.61 71710991 HEPARIN FLSH 100U/ML 5ML 636 0.11 71711000 HEPARIN 5000U/ML INJ 636 2.54 71711005 HEPARIN 1000U/ML 2ML INJ 636 96.02 71711030 HEP A 0.5ML VACC 636 194.71 71711042 HEP B IG 0.5ML SYR 636 485.53 71711045 HEP B 40MCG VACC PED 636 1,174.84 71711050 HEP B 0.5ML VACC 636 159.40 71711060 HEP B 0.5ML PF VACC 636 156.74 71711072 HYALURONIDASE OVINE 240U 636 7.43 71711075 HYDRALAZINE 20MG/ML INJ 636 193.92 71711082 SOLUCORTEF 100MG VL 636 149.30 71711085 HYDROCORT 250MG VL 636 47.33 71711090 HYDROXYZINE 25MG/ML INJ 636 145.72 71711091 HYOSCYAMINE 0.5MG/ML AMP 636 208.00 71711095 IMIPENEM/CILSTN 500MG VL 636 38.44 71711103 RHO(D) IG 1500U SDV 636 252.91 71711105 WIN-RHO 5000U/4.4ML VL 636 249.31 71711107 GAMMAGARD LQ 2.5GM 636 440.60 71711108 GAMMAGARD LQ 20GM 636 484.38 71711109 GAMMAGARD LIQ 30GM VL 636 500.39 71711110 GAMMUNEX 5GM INJ 636 368.77 71711112 GAMMAGARD LIQ 5GM VL 50ML 636 458.31 71711113 GAMMAGUARD S/D 5% 5GM PWD 636 755.45 71711114 GAMMAGARD S/D5% 10GM PWD 636 405.24 71711115 GAMMUNEX 1GM INJ 636 364.56 71711116 GAMMAGARD 1GM VL 636 443.75 71711117 PRIVIGEN IG 5GM INJ 636 457.73 71711118 PRIVIGEN IG 10GM INJ 636 444.29 71711119 PRIVIGEN IG 20GM INJ 636 468.87 71711120 GAMMUNEX 10GM INJ 636 368.69 71711122 GAMMAGARD 10GM VL 636 446.40 71711123 GAMUX-C 20GM VIAL 636 373.91 71711125 GAMMUNEX 2.5GM INJ 636 366.42 71711140 INFLIXIMAB 10MG INJ 636 860.41 71711143 DINUTUXIMAB 17.5MG VIAL 636 50,168.27 71711152 NOVOLOG 70/30 10ML INJ 636 15.93 71711156 INSLN HUMLG 300U/3ML INJ 636 9.09 71711160 INSLN GLARGINE 1000U/10ML 636 9.21 71711163 INSULIN DETEMIR 100U/ML 636 9.73 71711165 INSLN NPH 1000U/10ML INJ 636 4.59 71711170 INSLN REG 1000U/10ML INJ 636 16.46 71711186 INTRFN GAM 1B 3M U/100MCG 636 797.00 71711190 IRINOTECAN 100MG/5ML INJ 636 236.42 71711195 IRON DEX CPLX 100MG/2ML I 636 114.49 71711211 KETAMINE 10MG/ML 200MG VL 636 126.96 71711221 KETOROLAC 15MG/ML 1ML VL 636 27.27 71711230 LABETALOL 100MG/20ML 636 13.68 71711240 LEVOCARNITN 200MG/ML 5ML 636 246.27 71711257 LIDO 2% EPI 1:100K DENTAL 636 5.15 71711258 LIDOEPI 2%-1:50,000 DENTL 636 4.48 71711260 LIDOCAINE 4%PF 200MG/5ML 636 9.79 71711340 MGSO4 5000MG/10ML INJ 636 9.09 71711345 MGSO4 8.12MEQ/2ML INJ 636 21.02 71711350 MGSO4 500MG/ML 20ML INJ 636 2.83 71711354 MANNITOL 25% 12.5GM VL 636 13.68 71711362 MENACTRA 0.5ML VACC 636 829.82 71711363 MENVEO VACCINE 636 788.86 71711365 MEROPENEM 1GM INJ 636 34.59 71711366 MILRINONE 20MG/100ML INJ 636 23.34 71711369 MILRINONE 200MCG/ML 50ML 636 142.64 71711386 METHYLN BLU 10MG/ML 20ML 636 1,146.00 71711395 METHYLPRED NA SUCC 1000MG 636 34.90 71711400 METHYLPRED NA SUCC 125MG 636 57.93 71711405 METHYLPRED NA SUCC 40MG I 636 36.37 71711410 METHYLPRED NA SUCC 500MG 636 39.27 71711415 METOCLOPRAMIDE 10MG INJ 636 31.73 71711425 MILRINONE 1MG/ML 20ML INJ 636 140.10 71711440 MMR 0.5ML VACC 1 DOSE 636 485.00 71711490 NALOXONE 0.4MG/ML 10ML VL 636 191.58 71711500 NALOXONE 2MG/2ML INJ 636 119.72 71711505 NALOXONE 400MCG/1ML INJ 636 117.48 71711515 NEOSTIGMINE 0.5MG/ML 10ML 636 38.97 71711530 NITROGLYCERIN 5MG/ML 10ML 636 98.61 71711545 OCTREOTIDE 50MCG/ML INJ 636 31.51 71711550 OCTREOTIDE 0.1MG/ML INJ 636 72.07 71711555 OCTREOTIDE 500MCG/1ML INJ 636 12.67 71711560 ONDANSETRON 2MG/1ML INJ 636 5.92 71711565 ONDANSETRON 2MG/ML 2ML 636 1.82 71711580 OXACILLIN 2GM INJ 636 20.13 71711595 PALIVIZUMAB 50MG INJ 636 10,730.07 71711600 PALIVIZUMAB 100MG INJ 636 15,748.48 71711605 PAMIDRONATE 30MG INJ 636 99.23 71711607 Pamidronate 60mg Vial 636 193.00 71711618 PARICALCITOL 2MCG/ML VL 636 15.42 71711625 PEGASPARGINASE 3750U SDV 636 87,728.62 71711635 PENTAMIDINE 300MG INJ 636 1,193.52 71711645 PHENYLEPHRN 10MG/1ML INJ 636 70.95 71711650 PHYTONADIONE 1MG/0.5ML 636 31.59 71711655 PHYTONADIONE 10MG/1ML 636 290.13 71711685 ZOSYN 3.375GM VL 636 58.00 71711690 ZOSYN 4.5GM VL 636 32.33 71711701 PREVNAR 13-V 0.5ML VACC 636 1,218.85 71711705 PNEUMCOCCL 23-V 0.5ML VAC 636 683.92 71711710 POLIOVIRUS 0.5ML VACC 636 204.78 71711720 K+ACET 2MEQ/ML 50ML INJ 636 31.86 71711725 KCL 20MEQ INJ 636 6.21 71711730 KCL 40MEQ INJ 636 3.93 71711735 K+PHOS 150MMOL/50ML INJ 636 9.22 71711745 PROCAINAMIDE 1000MG INJ 636 496.00 71711765 PROMETHAZINE 25MG INJ 636 9.41 71711770 PROPOFOL 10MG/ML 100ML 636 2.00 71711775 PROPOFOL 10MG/ML 20ML 636 2.16 71711780 PROPOFOL 10MG/ML 50ML 636 2.25 71711785 PROPRANOLOL 1MG/ML INJ 636 56.41 71711796 PROTAMINE 10MG/ML 25ML 636 10.31 71711805 PYRIDOXINE 100MG/ML INJ 636 109.97 71711809 RABIES 1ML VACC 636 477.05 71711810 RABIES IG 300U INJ 636 4,798.34 71711815 RANITIDINE 25MG/ML 2ML VL 636 60.98 71711821 REGADENOSON 0.4MG/5ML INJ 636 429.16 71711825 RITUXIMAB 100MG INJ 636 6,023.87 71711826 RITUXIMAB 10MG/ML 50ML VL 636 6,508.36 71711831 SARGRAMOSTIM 250MCG INJ 636 580.17 71711855 NA ACET 2MEQ/ML 20ML 636 31.83 71711860 NA ACET 2MEQ/ML 50ML 636 0.68 71711865 NA BICARB 1MEQ/ML 50ML 636 66.98 71711911 NA THIOSULF 12500MG/50ML 636 602.85 71711922 SOMATROPIN NR 5MG 636 12,421.35 71711935 SUCCINYLCHLN 20MG/ML 10ML 636 13.75 71711947 SUMATRIPTAN 6MG/0.5ML VL 636 1,104.00 71711950 TERBUTALINE 1MG/ML 1ML 636 129.90 71711955 TETANUS IG 250U INJ 636 3,557.66 71711974 THIAMINE 100MG/ML 2ML 636 60.54 71711987 TIGECYCLINE 50MG VIAL 636 22.61 71712005 TOBRAMYCIN 40MG/ML 2ML 636 16.11 71712010 TOPOTECAN 4MG INJ 636 231.06 71712015 TRIAMCINOLONE 40MG/ML 1ML 636 15.59 71712016 TRIAMCINLNE PF 40MG/ML IV 636 89.37 71712040 VALPROATE NA 500MG/5ML 636 59.15 71712045 VANCOMYCIN 1GM INJ 636 95.52 71712050 VANCOMYCIN 500MG INJ 636 50.64 71712055 VARICELLA 0.5ML VACC 636 428.86 71712060 VARICLLA-ZSTR IG 62.5U IN 636 8,439.14 71712070 VECURONIUM 10MG/10ML 636 37.90 71712075 VERAPAMIL 2.5MG/ML 2ML 636 119.16 71712200 CEFTRIAXONE 1GM IM INJ 636 19.00 71712216 MTHYLPRDNISONE 40MG/ML 636 10.65 71712245 RASBURICASE 1.5MG VL 636 1,945.45 71712246 Rasburicase 7.5 mg/5 mL 636 2,559.06 71712250 ZIPRASIDONE 20MG VL 636 166.58 71712265 EPOPROSTENOL 0.5MG VL 636 105.00 71712275 AMPICILLIN 500MG/2ML INJ 636 31.81 71712280 CIDOFOVIR 75MG/ML 5ML INJ 636 5,340.50 71712295 VENOFER 20MG/ML 5ML VL 636 12.94 71712300 D.H.E. 45 1MG INJ 636 8,494.98 71712325 CALCITONIN 200U/ML 2ML VL 636 17,480.90 71712346 MEDROXYPROGESTERONE 1MG 636 2.68 71712347 MEDROXYPROGEST SUBQ 104MG 636 33.18 71712350 OLANZAPINE 10MG INJ 636 28.93 71712351 CIPRO LACT 400MG/200ML IV 636 17.22 71712370 METHYLPRED ACET 40MG VL 636 66.72 71712375 CELESTONE 6MG/ML 5ML VL 636 53.59 71712385 MICAFUNGIN 5OMG INJ 636 15.66 71712395 LINEZOLID 600MG/300ML VL 636 232.78 71712410 ACETYLCYSTN 200MG/ML 30ML 636 34.29 71712420 PENTACEL 0.5ML VACC 636 316.24 71712435 TOCILIZUMAB 80MG/4ML VL 636 40.30 71712437 TOCILIZUMAB 200MG/10ML VL 636 36.59 71712440 TOCILIZUMAB 400MG/20ML VL 636 34.71 71712450 TEMSIROLIMUS 25MG INJ 636 851.21 71712455 ABATACEPT 250MG VL 636 289.69 71712457 ELOSULFASE ALFA 5MG VIAL 636 1,537.69 71712459 AGALSIDASE BETA 35MG IV 636 1,109.85 71712460 FABRAZYME 5MG VL 636 1,171.65 71712462 ALDURAZYME 2.9MG VL 636 169.89 71712465 CEREZYME 400 UNIT VL 636 295.17 71712466 MYOZYME 50MG VL 636 1,029.67 71712470 ELAPRASE 6MG VL 636 3,750.58 71712472 VPRIV 400U VL 636 2,514.45 71712474 NAGLAZYME 5MG VL 636 2,354.78 71712476 SEBELIPASE ALFA 20MG/10ML 636 3,587.87 71712500 TREPROSTINIL 1MG/ML INJ 636 377.72 71712504 TREPROSTINIL 100MG/20ML 636 401.28 71712515 INFLUNZA QUAD VACC 0.5ML 636 129.24 71712520 INFLUNZA QUAD VACC 0.25ML 636 131.46 71712530 TALIGLUCERASE ALFA 200U/V 636 282.20 71713157 VEDOLIZUMAB 300MG INJ 636 130.04 71713175 DEFIBROTIDE 40MG/0.5ML 636 4,978.11 71713180 SOTALOL 150MG/10ML 636 1,010.45 71715000 DIAZEPAM 10MG/2ML SYR 636 60.89 71715002 DIAZEPAM 10MG/2ML REPACK 636 31.54 71715005 DURAMORPH 1MG/ML 10ML 636 48.89 71715010 FENTANYL 50MCG/ML 10ML IN 636 7.69 71715015 FENTANYL 50MCG/ML 2ML INJ 636 30.71 71715025 FENTANYL 50MCG/ML 5ML INJ 636 8.87 71715027 FENTANYL 2500 MCG/50 mL 636 6.92 71715030 HYDROMORPHN 2MG/1ML SYR 636 65.59 71715031 HYDROMORPHNE 50MG/5ML INJ 636 9.42 71715033 HYDROMORPHONE 20MG/100ML 636 37.29 71715035 LORAZEPAM 2MG/ML INJ 636 27.69 71715050 MEPERIDINE 50MG/1ML INJ 636 40.30 71715080 MIDAZOLAM 1MG/ML 2ML 636 14.28 71715085 MIDAZOLAM 5MG/ML PF 636 8.65 71715090 MIDAZOLAM 50MG VL 636 1.81 71715091 MIDAZOLM 5MG/ML PF 2ML 636 12.86 71715095 MSO4 10MG/ML AMP 636 31.51 71715099 MORPHINE 250MG/10ML INJ 636 31.69 71715110 MSO4 PCA 1MG/ML 100ML 636 146.41 71715115 MSO4+EPI 0.5MG/ML 10ML PF 636 97.42 71715130 MS04 2MG/ML SYR 636 31.45 71715135 PENTOBARBITAL 100MG INJ 636 494.95 71715145 PHENOBARBITAL 130MG INJ 636 327.67 71715150 PHENOBARBITAL 65MG/ML INJ 636 162.75 71715156 ROPIVACAINE 2MG/ML 10MLVL 636 1.78 71715157 ROPIVACAINE 2MG/ML 20MLVL 636 0.78 71715158 ROPIVACAINE 5MG/ML 20MLVL 636 1.03 71715178 AMOBARBITAL 500MG INJ 636 5,187.72 71715198 METHADONE 2MG/ML INJ 636 297.67 71715205 MEPERIDINE 25MG/ML SYR 636 31.28 71715210 TESTOSTERON 100MG/0.5ML 636 0.94 71715215 LACOSAMIDE 200MG/20ML INJ 636 434.07 71720006 ALBUMIN 25% SGM IV 636 198.46 71720011 ALBUMIN 25% 12.5GM INJ 636 648.28 71720016 ALBUMIN 5% 2.5GM 50ML INJ 636 193.21 71720040 FLUCONAZOLE RTU 200 MG/10 636 135.81 71720045 LINEZOLID 200MG/100ML INJ 636 410.00 71721585 THYMOGLOBULIN 25MG VL 636 5,456.08 71721835 AMPICILLIN 1GM SDV 636 22.27 71721857 AZACITIDINE 100MG/50ML NS 636 35.06 71721911 CA GLUC 50MG/ML 20ML IVPB 636 1.85 71721920 CEFAZOLIN 500MG/25ML INJ 636 60.39 71721940 CEFEPIME 40MG/ML 500ML 636 54.44 71721950 CEFOTAXM 30MG/ML 33.33ML 636 31.99 71721980 CEFOXITIN 40MG/ML 250ML 636 39.60 71721990 CEFTAZIDIME 1GM/25ML INJ 636 48.37 71722000 CEFTRIAXONE 1GM/25ML INJ 636 7.51 71722015 CEFUROXM 30MG/ML 25ML VL 636 41.92 71722025 CHLOROTHZD 28MG/ML 17.8ML 636 694.30 71722045 CIPRO 2MG/ML 100ML IVPB 636 22.30 71722085 DEFEROXMN 10MG/ML 50ML IV 636 141.00 71722132 DOBUTAMINE 50MG/50ML INJ 636 31.96 71722157 DOPAMINE 1600MCG/ML 50ML 636 15.94 71722160 DOPAMINE 3.2 MG/ML PED XT 636 112.39 71722195 ENOXAPIRIN 30MG/0.3ML INJ 636 2.91 71722238 ESMOLOL 10MG/ML 50ML INJ 636 661.96 71722295 FILGRASTM 20MCG/ML 15ML 636 19.88 71722312 FOSPHENYTN 10MG/ML 4ML IN 636 109.12 71722365 GENTAMICN 5MG/ML 100ML IV 636 26.29 71722381 HEPARIN 100U/ML 50 ML INJ 636 6.48 71722383 HEPARIN BOLUS 100 UNITS 636 24.72 71722391 HYDRALAZN 1MG/ML 20ML PF 636 126.20 71722400 HYDROCORT NASCC 5MG/ML 20 636 32.10 71722403 HYDROMORPHONE HP 10MG/ML 636 26.22 71722432 INSLN REG 10U/ML CMPND 636 567.83 71722532 LIDOCAINE 4MG/ML 50ML INJ 636 1.50 71722587 MAG SULFATE 500MG/12.5ML 636 51.58 71722601 MEROPENEM 100MG 636 47.29 71722635 METHYLPRD NASUC 40MG/16ML 636 31.71 71722840 OXACILLIN 40MG/ML 25ML 636 192.54 71722885 PENTOBARBITL 50MG/1ML SYR 636 317.55 71722965 KCL 0.2MEQ/ML 100ML IV 636 4.94 71722970 KCL 0.4MEQ/ML 50ML IV 636 7.08 71722971 KCL 0.4MEQ/ML INJ 636 6.59 71723205 TOBRAMYCIN 5MG/ML 16ML 636 0.19 71723215 UNASYN 30MG/ML 333ML IVPB 636 53.76 71723240 VANCOMYCN 5MG/ML 100ML IV 636 51.48 71723280 PIP/TAZBCT 2GM/50ML INJ 636 54.49 71723295 VORICONAZL 200MG/40ML INJ 636 64.72 71723305 GENTAMICIN 20MG/20ML INJ 636 31.88 71723320 CEFEPIME 280MG/ML INJ 636 104.97 71723380 LEVOFLOXCN 5MG/ML 100ML I 636 62.32 71723405 AMIODARONE 360MG/200ML 636 27.77 71723410 NESIRITIDE 1.5MG/5ML VL 636 1,703.08 71725005 ALBUMIN 5% 250ML INJ 636 354.04 71725010 ALBUMIN 5% 500ML INJ 636 522.05 71725136 D5W 1000ML NON DEHP 636 31.58 71725155 DOPAMINE/D5W 400MG/2 636 14.30 71725161 HEPARIN 25000U/D5W 250ML 636 2.33 71725162 HEPARIN 1000U/500ML INJ 636 28.10 71725185 LIDOCN 2GM/500ML INJ 636 0.18 71725196 MANNITOL 20% 100GM 500ML 636 43.52 71725242 NS 1000ML NON DEHP 636 31.57 71725575 ESMOLOL 10MG/ML 250ML INJ 636 2,908.94 71725596 LEVETIRACETAM 1000MG IVPB 636 6.50 71725605 ACETAMINOPHEN 1000MG IV 636 5.37 71730055 ALBUTEROL 2.5MG/0.5ML INH 636 2.15 71730056 ALBUTEROL 5MG/ML 20ML SVN 636 2.40 71730091 DESMOPRSSN 250MCG/2.5ML 636 1,089.33 71730095 DORNASE 1MG/2.5ML SVN 636 246.03 71730130 IPRATRPM 500MCG/2.5ML INH 636 8.35 71730135 LEVALBTRL 0.63MG/3ML SVN 636 9.46 71730139 LEVALBUTEROL 1.25MG/0.5ML 636 16.33 71730140 LEVALBTRL 1.25MG/3ML SVN 636 6.29 71730160 PULMICORT 0.25MG SVN 636 57.41 71730165 PULMICORT 0.5MG SVN 636 65.82 71730190 TOBRAMYCN 1.2GM PWDR VL 636 40.32 71730195 TOBRAMYCN 300MG SVN 636 851.09 71730230 LEVALBUTEROL HFA 15GM INH 636 443.00 71740741 ESTRADERM.05MG/24HR PATCH 636 136.05 71750041 Ciprofloxacin 6% Otic Sus 636 192.07 71755072 DEXAMETHASONE 636 18.00 71755090 EPINEPHRINE A 636 17.97 71755102 GENTAMICIN 40 636 17.63 71755108 HEPARIN 1000U 636 5.98 71760261 PAPAVERNE 30MG/ML 2ML INJ 636 258.37 71760407 1/2NS+0.5U/ML HEPARIN 250 636 11.49 71762270 APREPITANT 20MG/ML SUSP 636 99.18 71765040 ALDESLEUKIN 22 MMU VIAL 636 24,817.87 71770005 BLEOMYCIN 15U INJ 636 1,126.28 71770007 BLEOMYCIN 30U SCLEROTHERA 636 372.00 71770010 CARBOPLATIN 150MG INJ 636 131.78 71770015 CARBOPLATIN 450MG VL 636 97.52 71770017 Carboplatin 600 mg/60 mL 636 308.81 71770020 CARBOPLATIN 50MG INJ 636 262.17 71770022 ETOPOPHOS 100MG VL 636 155.48 71770023 CISPLATIN 1MG/ML 100ML VL 636 68.93 71770025 CISPLATIN 50MG/50ML INJ 636 92.69 71770029 CYTOXAN 50MG TB 636 84.53 71770040 CYCLOPHSPHMD LYO 100MG IN 636 831.49 71770045 CYCLOPHSPHMD LYO 1GM VL 636 924.55 71770046 CYCLOPHSPHMD LYO 2GM VL- 636 753.07 71770052 DAPTOMYCIN 500MG VL 636 11.60 71770056 CYTARABINE 100MG/5ML INJ 636 229.08 71770060 CYTARABN 100MG/ML 20ML VL 636 38.04 71770070 DACTINOMYCN 500MCG INJ 636 11,227.01 71770075 DAUNORUBICIN 20MG VL 636 629.86 71770080 DEXRAZOXANE 250MG INJ 636 1,999.45 71770085 DEXRAZOXANE 500MG INJ 636 1,784.84 71770090 DOCETAXEL 20MG VL 636 128.13 71770093 ETOPOSIDE 50MG CP 636 600.03 71770095 DOXORUBCN 10MG/5ML INJ 636 149.05 71770100 DOXORUBICIN 20MG/10ML INJ 636 189.73 71770105 DOXORUBICIN 50MG/25ML INJ 636 106.51 71770114 FLUOROURACIL 1GM VL 636 127.65 71770125 IFOSFAMIDE 1GM INJ 636 495.86 71770130 IFOSFAMIDE 3GM/60ML INJ 636 364.41 71770140 LOMUSTINE 10MG CP 636 212.76 71770145 LOMUSTINE 40MG CP 636 77.61 71770160 MESNA 200MG INJ 636 15.42 71770170 METHOTREXATE 1GM VL 636 1.90 71770176 VINORELBINE 10MG/ML 5ML I 636 277.41 71770179 METHOTREXATE 250MG/10ML 636 8.83 71770180 METHOTREXATE 50MG PF INJ 636 71.00 71770181 METHOTREXT 25MG/ML 2ML 636 172.64 71770185 METHOTREXATE NA 2.5MG TB 636 21.51 71770190 METHOTREXATE 250MG VL 636 77.52 71770194 MITOXANTRONE 5MG VL 636 646.81 71770196 AZATHIOPRINE 25MG TB 636 9.27 71770197 MITOXANTRONE 25MG/12.5 ML 636 525.20 71770200 MITOMYCIN 5MG INJ 636 2,103.89 71770201 PACLITAXEL 100MG VL 636 4.21 71770202 PACLITAXEL 30MG INJ 636 21.92 71770203 THIOTEPA 15MG INJ 636 9,610.98 71770205 VINBLASTINE 10MG VL 636 95.46 71770210 VINCRISTINE 1MG INJ 636 162.65 71770215 VINCRISTINE 2MG INJ 636 166.79 71770220 MELPHALAN 50MG VL 636 18,326.11 71770221 GEMCITBINE 200MG INJ 636 117.38 71770222 GEMCITBINE 1000MG INJ 636 238.58 71770225 VINORELBINE 10MG/ML INJ 636 232.38 71770241 TEMOZOLOMIDE 100MG CP 636 86.63 71770242 TEMOZOLOMIDE 10MG/ML SUSP 636 160.19 71770244 TEMOZOLOMIDE 20MG CP 636 72.42 71770250 LEUPROLIDE 3.75MG KT 636 7,516.06 71770265 CLOFARABINE 1MG/ML VL 636 1,043.41 71770270 BEVACIZUMAB 400MG VL 636 522.26 71770285 ECULIZUMAB 300MG/30ML VL 636 1,549.48 71770290 THIOTEPA 100MG VIAL 636 7,754.05 71770291 CANAKINUMAB 150MG INJ 636 748.58 71771234 BLINATUMOMAB 35 MCG INJ 636 1,021.52 71772075 BEVACIZUMAB 25MG/ML 4ML 636 2,517.28 71772080 IMATINIB 100MG TB 636 1,912.42 71772095 PALONOSTRN 250MCG/5ML SDV 636 282.23 71772105 DASATINIB 70MG TB 636 1,604.68 71772110 ALEMTUZUMB 30MG/1MG INJ 636 1,174.19 71772135 ETOPOSIDE 100MG VL 636 22.34 71772140 ETOPOSIDE 20MG/ML 1ML INJ 636 36.14 71772150 MERCAPTOPURN 25MG TB(1/2) 636 50.72 71772152 MERCAPTOPURINE 20MG/MLORL 636 49.71 71772155 NELARABINE 250MG/50ML VL 636 1,611.53 71772160 DECITBINE 5MG/ML 10ML INJ 636 1,199.39 71772165 LEUPROLIDE 1MG/0.2ML INJ 636 401.63 71772180 BELIMUMAB 400MG VL 636 343.32 71772190 BASILIXIMAB 10MG VL 636 18,654.92 71772191 BASILIXIMAB 20MG VL 636 24,484.45 71772195 IRINOTECAN 40MG VL 636 247.10 71772200 ERWINIA ASPARG 10,000UL 636 2,926.82 71772216 ETANERCEPT 25MG/0.5MLSYRG 636 1,378.39 71773150 Brentuximab Vedotin 1mg 636 808.76 71773155 DENOSUMAB 120MG/1.7ML INJ 636 122.61 71773175 BORTEZOMIB 3.5MG INJ 636 817.45 71773185 NIVOLUMAB 100MG VIAL INJ 636 220.03 71773186 NIVOLUMAB 40MG VIAL INJ 636 187.04 71773191 Etoposide 10 mg/mL Liq 636 25.06 71773195 USTEKINUMAB 130MG VL INJ 636 84.04 71773200 MEHTOTREXATE 2.5 ORAL SOL 636 110.84 71773211 SILTUXIMAB 400MG VIAL 636 539.53 71775010 NOVOSEVEN 1000MCG VL 636 13.53 71775015 NOVOSEVEN 2000MCG VL 636 13.48 71775020 NOVOSEVEN 5000MCG VL 636 13.46 71775029 CoagFact 9 RCB BEN 250U 636 8.71 71775031 BENEFIX FAC IX PER IU 636 8.56 71775032 CoagFact 9 RCB BEN 1000U 636 8.54 71775051 THROMBATE III PER IU 636 24.09 71775095 RECOMBINATE FAC VIII PER 636 7.85 71775097 FACT 8 RCMB 801-1240 U 636 7.66 71775111 F.E.I.B.A. PER IU 636 11.01 71775112 COAGCMPLX FEBA 700-1300 636 5.31 71775141 ADVATE FAC VIII PER IU 636 9.49 71775145 XYNTHA FACTOR VIII PER IU 636 8.93 71775148 XYNTHA FACTOR 8 INJ 250IU 636 9.03 71775150 BERINERT 500 UNIT VL 636 215.30 71775160 RIXUBIS FACTOR 1X 1UNIT 636 6.03 71775161 COAGFACT 9 RCB RIXU500U 636 6.11 71775162 COAGFACT 9 RCB RIXU1000U 636 6.07 71775163 COAGFACT 9 RCB RIXU2000U 636 6.03 71775170 WILATE FACTOR 8 636 224.34 71775171 FACT WILE 1000U FACT 8 636 7.80 71775180 FACT RCMB Adv 401-800 U 636 8.89 71775181 FACT RCMB Adv 801-1200 U 636 9.47 71775190 Fact CMPLX VWF 1200 U 636 5.25 71775191 Fact CMPLX VWF 2400 U 636 5.22 71775205 PROTHROMBIN CMPLX 500UNIT 636 1,593.03 71775206 PROTHROMBIN CMPLX 1000 UN 636 8.24 71782011 TEMODAR 5MG CP 636 72.46 71782050 NF MYCOPHENLIC ACID 180MG 636 30.21 71783000 ZOLEDRONIC 4MG/5ML VL 636 2,092.50 71783002 ADALIMUMAB 80MG/1.6ML INJ 636 8,038.44 71783035 NF BIVALIRDN 250MG/5ML IN 636 14.67 71783045 KENALOG-10 50MG 5ML VL 636 16.56 71784021 HPV 9-VALENT VACC 636 1,335.50 71784050 MMRV VACC - CLC 636 1,466.12 71784085 ROTAVIRUS PENTAVALENT VAC 636 566.73 71784105 KINRIX VACC 0.5ML - CLC 636 347.71 71785080 LEVONORGESTREL IUD 52MG 636 4,894.21 71785085 LEVONORGESTREL IUD 13.5MG 636 3,962.36 71785090 COPPER IUD-(PARAGARD) 636 4,641.21 71785095 ETONOGESTREL IMPLANT 68MG 636 4,434.00 72030001 KYMRIAH INJECTION 636 1,404,000.00 72428542 TISSUE ALLODERM 4X16CM 636 6,716.00 72428543 TISSUE ALLODERM 8X16CM 636 14,196.00 72428544 TISSUE ALLODERM 16X20CM 636 35,217.00 72430959 DERMAMATRIX 6X12 636 8,835.00 72430960 DERMAMATRIX 5X10 636 6,179.00 72432640 TISS RECON 6X10 STRATTICE 636 7,275.00 72432641 PTCH PERI-GRD SUPPLE 6X8 636 1,929.00 72435288 TISS RECON 10X20 STRATICE 636 24,660.00 72810033 KINRIX VACCINE (SL) 636 0.01 72819010 FLU VACC 6-35 MO PF (SL) 636 0.01 72819015 FLU VACCINE 3+ YRS (SL) 636 0.01 72819020 HPV QUADRAVALENT VAC (SL) 636 0.01 72819025 HEP B/HIB VACCINE (SL) 636 0.01 72819035 HEPATITIS B VACCINE (SL) 636 0.01 72819040 HIB (PRP-OMP) VAC (SL) 636 0.01 72819045 HIB (PRP-T) VACCINE (SL) 636 0.01 72819075 PNEUMOVAX VAC (2+YR) (SL) 636 0.01 72819080 POLIO IPV VACCINE (SL) 636 0.01 72819085 ROTAVIRUS PENTAVALENT (SL 636 0.01 72819090 Td (PED 7+ YRS) VAC(SL) 636 0.01 72819100 VARICELLA VACCINE (SL) 636 0.01 72819110 FLUMIST VACC (SL) 636 0.01 72819111 PREVNAR 13 VACC (SL) 636 0.01 72880046 ALBUTEROL UNIT DOSE 1MG 636 6.00 72939428 ALOGRFT AMNIOFIL PER SQCM 636 85.00 72939429 ALLOGRAFT EPIFIX PER SQCM 636 501.00 73120046 ALBUTEROL UNIT DOSE 1MG 636 6.00 75039428 ALLOGRAFT AMNIOFIL 2000 636 16,722.00 75039429 ALLOGRAFT EPIFIX PER SQCM 636 494.00 79700025 CYCLOPHOSPHMIDE 2G INJ 636 10,902.20 79700027 CYTARABINE 100MG INJ 636 246.79 79700033 DACTINOMYCIN 0.5MG INJ 636 9,174.53 79700043 DOXORUBICIN 10MG INJ 636 386.38 79700055 MESNA 1G INJ 636 47.17 79700057 METHOTREXATE 50MG IT 636 248.37 79700059 METHOTREXATE 250MG INJ 636 285.00 79700071 VINCRISTINE 2MG INJ 636 307.83 79700075 PEGASPARGINASE 3750U SDV 636 95,774.00 79700081 DESOPRESIN 4MCG/ML 10ML 636 1,161.00 79700099 IRINOTECAN 18MG 636 1,439.35 79700123 PENTAMIDINE 300MG INJ 636 1,152.15 79700135 ERWINIA ASPARG 10,000U/ML 636 25,715.14 72320001 TRAUMA ACT LEV I 681 16,500.00 72320003 TRAUMA ACT LEV II 681 13,800.00 72320005 TRAUMA ACT LEV III 681 11,000.00 72320011 TRAUMA ACT LEV I W/O CC 681 16,500.00 72320013 TRAUMA ACT LEV II W/O CC 681 13,800.00 72320015 TRAUMA ACT LEV III W/O CC 681 11,000.00 37014005 EXTND RECVRY/HR 710 135.00 37015001 PACU 1ST HR 710 2,022.00 37015003 PACU EA ADDL 1/2 HR 710 1,012.00 37036915 PACU CMPLX 1ST HR 710 2,332.00 37036916 PACU CMPLX ADD 1/2 HR 710 1,166.00 70104005 EXTND RECVRY/HR 710 135.00 70105001 PACU 1ST HR 710 2,022.00 70105003 PACU EA ADDL 1/2 HR 710 1,012.00 70150141 PACU CMPLX 1ST HR 710 2,332.00 70150142 PACU CMPLX ADD 1/2 HR 710 1,166.00 70272014 PACU 1ST HR 710 2,022.00 70272015 PACU ADD 1/2 HR 710 1,012.00 70272016 PACU CMPLX 1ST HR 710 2,332.00 70272017 PACU CMPLX ADD 1/2 HR 710 1,166.00 70272018 PACU BASIC 15 MINUTES 710 481.00 70274005 EXTND RECVRY/HR 710 135.00 72842014 PACU 1ST HR 710 2,174.00 72842015 PACU ADD 1/2 HR 710 1,087.00 72842016 PACU CMPLX 1ST HR 710 2,332.00 72842017 PACU CMPLX ADD 1/2 HR 710 1,166.00 61715057 PHOTOTHERAPY 720 265.00 62245057 PHOTOTHERAPY 720 265.00 70276133 EKG TRACING 12-LEAD 730 462.00 70951391 EKG TRACING 12-LEAD 730 449.00 71860075 EKG TRACING 12-LEAD 730 462.00 72300902 EKG TRACING 12-LEAD 730 462.00 72310902 EKG TRACING 12-LEAD 730 462.00 73171063 EKG TRACING 12-LEAD 730 462.00 73171081 RHYTHM ECG TRCNG 1-3 LDS 730 228.00 73171111 ECG MONIT/REPRT 48HRS 730 328.00 73171112 ECG/REVIEW INTERPRET ONLY 730 264.00 73171113 MOBILE CARDIO TELEMETRY 730 353.00 73171069 HOLTER HKUP/DWNLD TO 48HR 731 703.00 73171083 REMOTE 30 DAY ECG REV/RPT 731 250.00 73171085 ECG MONITRNG + ANALYSIS 731 1,742.00 73171103 PM PHONE R-STRP DEV EVAL 732 390.00 70960614 WADE TESTING 740 1,500.00 71311008 EG EEG AWAKE & DROWSY 740 1,484.00 71311018 EG EEG XTND STUDY 41-60 M 740 1,591.00 71311019 EG EEG NONINTRACRAN SURG 740 3,139.00 71311023 EG EEG AWAKE & ASLEEP 740 1,899.00 71311027 EG EEG COMA OR SLEEP ONLY 740 1,250.00 71311028 EG EEG CEREB DEATH EVAL 740 1,250.00 71311033 EG EEG AMBULATORY 24 HR 740 3,520.00 71311084 EG CORTICAL MAPPING 740 1,398.00 71311085 EG CORTICAL MAPPING EA HR 740 1,200.00 71311093 EG CSA CEREBRAL MONITOR 740 786.00 71311098 EG ELECTROCORTICOGR SURG 740 4,338.00 71311102 EG EEG W/VIDEO UP TO 12HR 740 4,370.00 71311103 EG EEG W/ VIDEO 24 HRS 740 6,000.00 71311138 EG EEG EXTEND STUDY >1HR 740 1,965.00 71311173 EEG MONITRING/FUNCTN TEST 740 1,500.00 72880044 4-CHANNEL SLEEP STUDY 740 3,000.00 73120044 4-CHANNEL SLEEP STUDY 740 3,000.00 37011116 ESOPH REFLUX TEST PH NASL 750 1,905.00 37011117 ESOPH IMPED FNCTN TEST 750 1,905.00 37011118 ESOPH IMPED FNCTN TEST>1H 750 1,905.00 37012129 ANORECTAL MANOMETRY 750 1,588.00 37012139 EGD GI TRACT PH PROBE 750 2,937.00 37012144 ESOPHAGEAL MANOMETRY 750 1,905.00 37012156 GI CAP ENDOSCOPY 750 3,704.00 74111116 ESOPH REFLUX TEST PH NASL 750 1,905.00 74111117 ESOPH IMPED FNCTN TEST 750 1,905.00 74111118 ESOPH IMPED FNCTN TEST>1H 750 1,905.00 74112129 ANORECTAL MANOMETRY 750 1,588.00 74112144 ESOPHAGEAL MANOMETRY 750 1,905.00 74112156 GI CAP ENDOSCOPY 750 3,704.00 76900003 BREATH HYDROGEN TEST 750 1,022.00 61411085 BLOOD COLL/CVC/PICC 761 147.00 61411086 BLOOD COLL/VAD IMPLANT 761 147.00 61411087 FOLEY INSRT SMPL 761 265.00 61716107 BLOOD COLL/CVC/PICC 761 147.00 61716108 BLOOD COLL/VAD IMPLANT 761 147.00 61716109 FOLEY INSRT SMPL 761 265.00 62063022 BLOOD COLL/CVC/PICC 761 147.00 62063024 BLOOD COLL/VAD IMPLANT 761 147.00 62093021 BLOOD COLL/VAD IMPLANT 761 147.00 62093022 BLOOD COLL/CVC/PICC 761 147.00 62121084 BLOOD COLL/CVC/PICC 761 147.00 62121085 BLOOD COLL/VAD IMPLANT 761 147.00 62121087 FOLEY INSRT SMPL 761 265.00 62133021 BLOOD COLL/VAD IMPLANT 761 147.00 62133022 BLOOD COLL/CVC/PICC 761 147.00 62150858 BRAIN TISS O2 MONITORING 761 716.00 62151086 BLOOD COLL/CVC/PICC 761 147.00 62151087 BLOOD COLL/VAD IMPLANT 761 147.00 62151088 FOLEY INSRT SMPL 761 265.00 62180858 BRAIN TISS O2 MONITORING 761 716.00 62183027 BLOOD COLL/CVC/PICC 761 147.00 62183028 BLOOD COLL/VAD IMPLANT 761 147.00 62183029 FOLEY INSRT SMPL 761 265.00 62213021 BLOOD COLL/VAD IMPLANT 761 147.00 62213022 BLOOD COLL/CVC/PICC 761 147.00 62243021 BLOOD COLL/VAD IMPLANT 761 147.00 62243022 BLOOD COLL/CVC/PICC 761 147.00 62253021 BLOOD COLL/VAD IMPLANT 761 147.00 62253022 BLOOD COLL/CVC/PICC 761 147.00 62263021 BLOOD COLL/VAD IMPLANT 761 147.00 62263022 BLOOD COLL/CVC/PICC 761 147.00 70960426 FOLEY INSRT CMPLX 761 387.00 70960429 BLOOD COLL/VAD IMPLNT 761 147.00 71619193 NM INSRT TEMP BLADDR CATH 761 265.00 71801338 DEEP SUCTIONING 761 318.00 72022013 BMT-TREATEMNT RM PER/HR 761 119.00 72300050 BLOOD COLL/CVC/PICC 761 147.00 72300880 BLOOD COLL/VAD IMPLNT 761 147.00 72304068 CERUMEN IMPACTED RMVL 761 265.00 72305149 INSRT STRAIGHT CATH BLADD 761 265.00 72305150 FOLEY INSRT SMPL 761 265.00 72305200 FOLEY INSERT-COMPLEX 761 387.00 72314068 CERUMEN IMPACTED RMVL 761 265.00 72315149 INSRT STRAIGHT CATH BLADD 761 351.00 72315200 FOLEY INSERT-COMPLEX 761 387.00 72810049 RMVL IMPCT CERUMN W/AUDIO 761 265.00 72840038 BLOOD COLL/VAD IMPLNT 761 147.00 72840081 BLOOD COLL/CVC/PICC 761 147.00 72954025 NEG PRES WND THRPY<50sq 761 286.00 72954037 NEG PRESS WOUND TX>50CM 761 318.00 72970175 DEBR/SC TIS/1st 20SQCM/< 761 582.00 72970176 DEBR/SC TIS/MUSC/1st 20SQ 761 2,328.00 72970177 DEBR/SC TIS/ADD 20SQCM 761 397.00 72970178 DEBR/SC TIS/MUSC ADD20SQ 761 844.00 72970180 PARNG/CUTT/CALUS 2-4LESN 761 504.00 72970181 PARNG/CUTT/CALUS >4LESN 761 635.00 72970182 DEBR/OPEN WND 20SQCM/< 761 594.00 72970183 DEBR/OPEN WND/ADD 20SQCM 761 731.00 72970184 NEG PRES WND THRPY<50sq 761 286.00 72970185 NEG PRES WND THRPY>50sq 761 429.00 72997606 NEG PRESS WOUND TX>50CM 761 429.00 73041015 INSRT TEMP CATH BLADDER 761 265.00 73041018 FOLEY INSRT CMPLX 761 387.00 61712009 OBS/PER/HR 762 153.00 62064003 OBS/PER/HR 762 153.00 62094003 OBS/PER/HR 762 153.00 62124003 OBS PER/HR 762 153.00 62134003 OBS PER/HR 762 153.00 62154011 OBS/PER/HR 762 153.00 62184011 OBS/PER/HR 762 153.00 62214011 OBS/PER/HR 762 153.00 62244003 OBS/PER/HR 762 153.00 62254003 OBS/PER HR 762 153.00 62264003 OBS/PER HR 762 153.00 70276138 OBS/PER HR 762 153.00 72301014 OBS/PER HR 762 153.00 72311014 OBS/PER HR 762 153.00 72819119 APP TOPICL FLRIDE VARNISH 770 246.00 61713011 VACCINE ADMIN EA ADDL 771 105.00 61790471 VACCINE ADMIN SNGL 771 134.00 62065000 VACCINE ADMIN SNGL 771 143.00 62065001 VACCINE ADMIN EA ADDTL 771 105.00 62121075 VACCINE ADMIN SINGLE 771 143.00 62131075 VACCINE ADMIN SINGLE 771 143.00 62181086 VACCINE ADMIN SINGLE 771 143.00 62211099 VACCINE ADMIN SNGL 771 143.00 62216107 VACCINE ADMIN SNGL 771 134.00 62216108 VACCINE ADMIN EA ADDL 771 105.00 62243019 VACCINE ADMIN SINGLE 771 143.00 62251009 VACCINE ADMIN SINGLE 771 143.00 62253014 VACCINE ADMIN EA ADDT'L 771 105.00 71870007 ADMIN FLU VIRUS VACC 771 105.00 71870009 ADMIN HEPATITIS B VACC 771 105.00 71870015 ADMIN PNEUMOCCAL VACC 771 115.00 71871009 VACCINE ADMIN SNGL 771 143.00 71910007 ADMIN FLU VIRUS VACC 771 105.00 71910009 ADMIN HEPATITIS B VACC 771 105.00 71910015 ADMIN PNEUMOCCAL VACC 771 115.00 71911008 VACCINE ADMIN EA ADDT'L 771 105.00 71911009 VACCINE ADMIN SNGL 771 143.00 71920044 ADMIN FLU VACC 771 105.00 71920045 ADMIN PNEUMOCCAL VACC 771 115.00 71920046 ADMIN HEPATITIS B VACC 771 105.00 72700061 VACCINE ADMIN SNGL 771 143.00 72700062 VACCINE ADMIN - FLU 771 105.00 72810030 VACCINE ADMIN SNGL 771 143.00 72810031 VACCINE ADMIN EA ADDL 771 105.00 72810032 VACCINE ADM NASAL/ORAL SN 771 105.00 72810034 ADMIN FLU VACC 771 105.00 72810035 ADMIN PNEUMOCCAL VACC 771 115.00 72810074 VACCINE ADM NAS/ORAL EA A 771 105.00 72810105 ADMIN HEPATITIS B VACC 771 105.00 72811037 ADMIN FLU VACC-SL 771 105.00 72811038 EACH ADDT'L VACC-SL 771 105.00 72820050 ADMIN FLU VIRUS VACC 771 105.00 72830044 VACCINE ADMIN SNGL 771 134.00 72840028 VACCINE ADMIN SNGL 771 143.00 72840071 VACCINE ADMIN EA ADDTL 771 105.00 72841010 ADMIN FLU VIRUS VACC 771 105.00 72841011 ADMIN PNEUMOCCAL VACC 771 115.00 72850061 VACCINE ADMIN SNGL 771 143.00 72850062 VACCINE ADMIN - FLU 771 105.00 72851015 ADMIN PNEUMOCCAL VACC 771 115.00 72880059 ADMIN IMMUNE 1 VACC 771 143.00 72881015 ADMIN PNEUMOCCAL VACC 771 115.00 72881050 ADMIN FLU VIRUS VACC 771 105.00 72953000 ADMIN FLU VIRUS VACC 771 105.00 72970061 VACCINE ADMIN SNGL 771 143.00 72970062 VACCINE ADMIN - FLU 771 105.00 72971008 VACCINE ADMIN EA ADDT'L 771 105.00 72971015 ADMIN PNEUMOCCAL VACC 771 115.00 72980031 ADMIN VACCINE SNGL 771 143.00 73110051 VACCINE ADMIN (1 VACCINE) 771 143.00 73110052 VACCINE ADMIN (EA ADDT'L) 771 105.00 73110053 VACCINE ADMIN INFLUENZA 771 105.00 73110054 ADMIN VACC-SL 771 105.00 73110055 ADMIN VACC-SL- EA ADDT'L 771 105.00 73120059 ADMIN IMMUNE 1 VACC 771 143.00 73121015 ADMIN PNEUMOCCAL VACC 771 115.00 73121050 ADMIN FLU VIRUS VACC 771 105.00 73160133 VACCINE ADMIN SNGL 771 143.00 37010021 LITHOTRIPSY 1ST HR 790 5,291.00 37010023 LITHOTRIPSY ADD 1/2 HR 790 2,646.00 70100021 LITHOTRIPSY 1ST HR 790 5,291.00 70100023 LITHOTRIPSY ADD 1/2 HR 790 2,646.00 72400021 LITHOTRIPSY 1ST HOUR 790 5,291.00 62061060 CRRT PER DAY 801 1,678.00 62091060 CRRT PER DAY 801 1,678.00 62131060 CRRT PER DAY 801 1,678.00 62151060 CVVH PER DAY 801 1,678.00 62241060 CVVH PER DAY 801 1,678.00 71907001 HEMODIALYSIS INPATIENT 801 1,730.00 71907004 HEMODIALYSIS 1 HR OR LESS 801 1,730.00 71907007 HEMODIALYSIS TANDEM IP 801 1,730.00 62091074 MANUAL PERITONEAL DIALYS 802 1,804.00 62181074 MANUAL PD PER DAY 802 1,678.00 62211079 CAPD PER DAY 803 1,678.00 62241079 CAPD PER DAY 803 1,678.00 61411093 CCPD PER DAY 804 1,678.00 61411094 MANUAL PERITONEAL DIALYS 804 1,678.00 61711074 PERITONEAL DIALYSIS 804 1,678.00 61715049 CCPD PER DAY 804 1,678.00 61716113 CCPD PER DAY 804 1,678.00 61716114 MANUAL PERITONEAL DIALYS 804 1,678.00 61801033 CCPD PER DAY 804 1,678.00 62061077 MANUAL PERITONEAL DIALYS 804 1,678.00 62061078 CCPD PER DAY 804 1,678.00 62091075 CCPD PER DAY 804 1,678.00 62091077 MANUAL PERITONEAL DIALYS 804 1,678.00 62091078 CCPD PER DAY 804 1,678.00 62121093 CCPD PER DAY 804 1,678.00 62121094 MANUAL PERITONEAL DIALYS 804 1,678.00 62131077 MANUAL PERITONEAL DIALYS 804 1,678.00 62131078 CCPD PER DAY 804 1,678.00 62151075 CCPD PER DAY 804 1,678.00 62151093 MANUAL PERITONEAL DIALYS 804 1,678.00 62181075 CCPD PER DAY 804 1,678.00 62183035 CCPD PER DAY 804 1,678.00 62183036 MANUAL PERITONEAL DIALYS 804 1,678.00 62211077 MANUAL PERITONEAL DIALYSS 804 1,678.00 62211078 CCPD PER DAY 804 1,678.00 62241077 MANUAL PERITONEAL DIALYS 804 1,678.00 62241078 CCPD PER DAY 804 1,678.00 62251077 MANUAL PERITONEAL DIALYS 804 1,678.00 62251078 CCPD PER DAY 804 1,678.00 62261077 MANUAL PERITONEAL DIALYS 804 1,678.00 62261078 CCPD PER DAY 804 1,678.00 61411095 CRRT PER DAY 809 1,678.00 61716115 CRRT PER DAY 809 1,678.00 62121095 CRRT PER DAY 809 1,678.00 62151094 CRRT PER DAY 809 1,678.00 62181060 CVVH PER DAY 809 1,678.00 62183037 CRRT PER DAY 809 1,678.00 62211060 CRRT PER DAY 809 1,678.00 62251060 CRRT PER DAY 809 1,678.00 62261060 CRRT PER DAY 809 1,678.00 71907037 HEMOPERFUSION 809 1,164.00 73060001 LIVER ACQUISITION-LIVING 811 427,737.00 74385305 KIDNEY AQUISITION LIVE 811 153,424.00 73030001 HEART ACQUISITION 812 203,005.00 73060000 LIVER ACQUISITION CADAVER 812 162,419.00 74384205 KIDNEY AQUISITION CADAVER 812 103,165.00 72025001 ALLO STEM CELL HRVST/DAY 815 3,348.00 72025004 AUTO STEM CELL HRVST/DAY 815 4,774.00 72028040 BONE MARROW HARVEST ALLO 815 3,281.00 72028041 BONE MARROW HARVEST AUTO 815 3,281.00 61805001 ALLO STEM CELL HRVST/DAY 819 3,348.00 61805004 AUTO STEM CELL HRVST/DAY 819 4,774.00 71910003 ESRD HEMODIALYSIS TANDEM 821 2,616.00 71910017 ESRD HEMODIALYSIS 821 2,616.00 71910018 NON-ESRD HEMODIALYSIS 821 2,616.00 71910026 HEMODIALYSIS 1HR OR LESS 821 2,616.00 71907025 UNSCH DIALYSIS 829 2,435.00 71910019 HEMOPERFUSION 829 1,164.00 72307025 UNSCH DIALYSIS 829 2,435.00 72317025 UNSCH DIALYSIS 829 2,435.00 72850086 UNSCHEDULE DIALYSIS ED/OP 829 2,435.00 71871003 CAPD TRAINING SESSION 840 794.00 71871001 CAPD DAILY TX 841 1,323.00 71871004 CCPD TRAINING SESSION 850 794.00 71871002 CCPD DAILY TX 851 1,323.00 71871010 MANUAL PERITONEAL DIALYS 851 1,323.00 72377365 MANUAL PERITONEL DIALYSIS 851 1,323.00 61410920 GROUP THERAPY 915 654.00 70010131 NEUROSTIM ANALYSIS 1STHR 920 1,059.00 70010132 NEUROSTM ANAL CRANL+30min 920 582.00 70272056 ELEC STIM W/CHEMODENRV 920 371.00 70960579 NEUROSTIM ANAL CRANL 1HR 920 1,059.00 70960581 ANALYZE NEUROSTIM SMPL PG 920 540.00 71311022 EG ERG ELECTRORETINOGRAM 920 582.00 71311080 EG CMEP UPPER LIMBS 920 1,398.00 71311081 EG CMEP LOWER LIMBS 920 1,398.00 71311086 EG TENSILON FOR MYAS GRAV 920 503.00 71312000 MX SLEEP LATENCY 920 2,646.00 71312005 MX SLEEP LATENCY <6HR 920 2,646.00 71312006 EG PSG<6YRS MIN 4PRM-CP52 920 3,915.00 71312007 EG PSG<6YRS MIN 4PRMS-52 920 3,915.00 71312008 EG PSG<6YRS MIN4PRM 920 3,915.00 71312009 EG PSG<6YRS MIN 4PRM-CPAP 920 3,915.00 71312010 SLEEP STDY UNATT 920 853.00 71312015 SLEEP STDY UNATT <7HR 920 853.00 71312020 SLEEP STDY ATT 920 3,175.00 71312025 SLEEP STDY ATT <7HR 920 3,000.00 71312030 POLYSGRAM 1-3(ANY AGE) 920 3,175.00 71312035 POLYSOMNOGRAM 1-3 <7HR 920 3,175.00 71312040 POLYSGRAM MIN 4 >6YRS OLD 920 4,567.00 71312045 POLYSMNOGRM MIN 4 >6YRS 920 4,567.00 71312050 POLYSOGRAM W/CPAP>6YRSOLD 920 4,849.00 71312055 POLYSMNGRAM W/CPAP>6YROLD 920 4,849.00 71417049 US DOPLR ABD LTD 920 983.00 71417067 US DOPLR CAROTID BL 920 1,586.00 71417079 US DOPLR ABD COMP 920 1,500.00 71417081 US DOPLR RENAL LTD 920 983.00 71417207 US DOPLR UPEXT VENOUS LTD 920 1,224.00 71417208 US DOPLR LOEXT VENOUS LTD 920 1,224.00 71417209 US DOPLR UPEXT ART LTD 920 901.00 71417210 US DOPLR LOEXT ART LTD 920 882.00 71417212 US DOPLR CAROTID LT 920 849.00 71417213 US DOPLR CRANI ART COMP 920 1,468.00 71417216 US DOPLR PELVIC COMP 920 1,500.00 71417217 US DOPLR PELVIC LTD 920 983.00 71417224 US DOPLR CRANI ART LTD 920 840.00 71417225 US DOPLR GRT VESSELS BL 920 1,800.00 71417226 US DOPLR GRT VESSELS UNI 920 900.00 71417228 US HEMODIALYSIS DUPLX 920 900.00 71417229 US DOPLR CAROTID RT 920 849.00 71417240 US VASC MALF HEAD/FACE 920 900.00 71417241 US VASC MALF NECK 920 1,224.00 71417242 US VASC MALF CHEST/BACK 920 900.00 71417243 US VASC MALF ABDOMEN 920 983.00 71417244 US VASC MALF EXTREMITY 920 1,224.00 71417245 US VASC MALF PELVIS 920 983.00 71417276 US VASC MALF PENIS 920 900.00 71619174 US DOPLR LOEXT ART COMP 920 1,425.00 71619175 US DOPLR LOEXT VENOUS COM 920 1,886.00 71619176 US DOPLR RENAL COMP 920 1,500.00 71619177 US DOPLR UPEXT ART COMPLT 920 1,317.00 71619178 US DOPLR UPEXT VENOUS COM 920 1,886.00 72770003 DYNAMIC SURF EMG 920 360.00 72820038 IPRO CGMS 920 630.00 72860026 NEUROSTIM ANALYSIS 1STHR 920 1,059.00 72860030 ELEC ANAL NEUROSTIM WO RE 920 400.00 72860031 NEUROSTM ANAL CRANL+30min 920 582.00 72860037 NEURSTIM WITH RE 920 540.00 72930033 ELEC ANAL NEUROSTIM WO RE 920 400.00 72930034 NEUROSTM ANAL CRANL 1ST H 920 1,059.00 72930035 NEUROSTM ANAL CRANL+30min 920 582.00 72930050 NEUROSTM ANL SP CRD 1STHR 920 926.00 72954001 MOTION ANALYSIS KINEMATIC 920 647.00 72954002 MOTION ANALYSIS KINETICS 920 956.00 72954004 DYNAMIC FINEWIRE EMG 920 315.00 73130001 MOTION ANALYSIS KINEMATIC 920 647.00 73130002 MOTION ANALYSIS KINETICS 920 956.00 73130003 DYNAMIC SURF EMG 920 360.00 73130004 DYNAMIC FINEWIRE EMG 920 315.00 70272060 NEEDLE ELCTROM GUIDANCE 922 165.00 71311007 EG EMG ANAL/URETHRL 922 741.00 71311009 EG EMG NDL ANAL/URETHRL 922 741.00 71311010 EG EMG NDL LARYNX 922 715.00 71311038 EG VEP 922 1,588.00 71311063 EG SEP UPPER EXTREMITY 922 2,117.00 71311078 EG SEP LOWER EXTREMITY 922 2,117.00 71311089 EG NEUROMUS JUNC TESTING 922 635.00 71311090 EG SOMATO.TEST TRNK HEAD 922 2,117.00 71311113 EG EMG 1 EXTREMITY 922 503.00 71311118 EG EMG 2 EXTREMITY 922 556.00 71311123 EG EMG 3 EXTREMITY 922 635.00 71311128 EG EMG 4 EXTREMITY 922 715.00 71311146 EG EMG CRANIAL NERVE BL 922 635.00 71311147 EG EMG CRANIAL NERVE UL 922 582.00 71311150 EG EMG THORAC PARASPINAL 922 582.00 71311154 EG EMG LIMITED 922 503.00 71311177 EMG LTD PER EXT W/ COND 922 318.00 71311178 EMG CMPLT PER EXT W/ COND 922 424.00 71311179 EMG NON EXT W/ COND 922 635.00 71311180 EG SEP UPPER/LOWER EXT 922 2,245.00 71311181 EG CMEP UPPER/LOWER EXT 922 2,245.00 71311187 EG NCV 1-2 STUDIES 922 1,059.00 71311188 EG NCV 3-4 STUDIES 922 1,323.00 71311189 EG NCV 5-6 STUDIES 922 1,588.00 71311190 EG NVC 7-8 STUDIES 922 2,077.00 71311191 EG NCV 9-10 STUDIES 922 2,117.00 71311192 EG NCV 11-12 STUDIES 922 3,704.00 71311193 EG NCV MIN 13 STUDIES 922 4,233.00 71311194 EG IOM TECH ATTDED/15 MIN 922 215.00 71311195 EG IOM MD UNATTDED/PER HR 922 530.00 72954003 DYNAMIC SURF EMG 922 360.00 72880043 INH CHALL W/O PFT 924 647.00 72880061 PERCUT ALLERGY SKIN TEST 924 149.00 72970139 ALLERGY PATCH TEST EA 924 149.00 73110024 INGEST CHALLENGE 120 MIN 924 647.00 73110025 INGEST CHALGE/ADDL 60min 924 318.00 73110026 INH BRONCH CHALGE W/METH 924 647.00 73110030 Percut Allergy Skin Test 924 149.00 73110031 PERC/INTRACUT VENOM TEST 924 90.00 73110032 PERC/INTRA DRUG/BIOTEST 924 100.00 73110033 INTRACUT TESTG ALLRG EXTR 924 91.00 73110034 INTRACUT TIT/AIRBRN TEST 924 90.00 73110035 INTRACUT ALLGY/DELAY TEST 924 90.00 73110036 Allergy Patch Test 924 149.00 73110037 Photo Patch Test 924 90.00 73110038 Photosensitivity Test 924 168.00 73110039 Eye Allergy Test 924 149.00 73110040 Nose Allergy Test 924 106.00 73110041 NITRIC OXIDE GAS (FENO) 924 149.00 73120043 INH CHALL W/O PFT 924 647.00 61411091 PHOTOTHERAPY 940 265.00 61715075 NEG PRES WNDTHRPY <50CM 940 286.00 61715076 NEG PRES WND W/VAC>50CM 940 429.00 61716112 PHOTOTHERAPY 940 265.00 62065057 PHOTOTHERAPY 940 265.00 62095057 PHOTOTHERAPY 940 265.00 62121091 PHOTOTHERAPY 940 265.00 62135057 PHOTOTHERAPY 940 265.00 62151091 PHOTOTHERAPY 940 265.00 62183033 PHOTOTHERAPY 940 265.00 62215057 PHOTOTHERAPY 940 265.00 62255057 PHOTOTHERAPY 940 265.00 62265057 PHOTOTHERAPY 940 265.00 70963560 REFIL IMPLNT PUMP BY PHYS 940 750.00 72027100 LEUKODEPLETION FOR WB CEL 940 3,460.00 72027102 APHERSIS PLATELT DEPLETE 940 3,460.00 72027103 APHERSIS PLASMA 940 3,670.00 72027107 Phlebotomy Tx 940 421.00 72840048 IRRIG IMPLNTD VAD DRUG DE 940 432.00 72840066 PHLEBOTOMY TX 940 421.00 72970030 LASR TX SKIN <250SQ SM 940 688.00 72970032 LASR TX SKIN 250-500SQ CM 940 688.00 72970034 LASR TX SKIN >500SQ CM 940 688.00 72970190 NEG PRES WND W/O VAC<50CM 940 497.00 72970191 NEG PRES WND W/O VAC>50CM 940 497.00 72980030 GENETIC COUNSEL PER 30MIN 940 122.00 73110042 RAPID DESENSITIZATION 940 530.00 73210057 NEG PRES WND THRPY<50sq 940 286.00 73210058 NEG PRES WND THRPY>50sq 940 429.00 74200720 PORT FLUSH W/SALINE 940 344.00 61411092 LACTATION EDUCATION VST 942 74.00 61715053 LACTATION EDUCATION VST 942 74.00 61745053 LACTATION EDUCATION VISIT 942 74.00 62065053 LACTATION EDUCATION VST 942 74.00 62095053 LACTATION EDUCATION VST 942 74.00 62121092 LACTATION EDUCATION VST 942 74.00 62134053 LACTATION EDUCATION VISIT 942 74.00 62135053 LACTATION EDUCATION VST 942 74.00 62151092 LACTATION EDUCATION VST 942 74.00 62183034 LACTATION EDUCATION VST 942 74.00 62215053 LACTATION EDUCATION VST 942 74.00 62245053 LACTATION EDUCATION VST 942 74.00 62255053 LACTATION EDUCATION VST 942 74.00 62265053 LACTATION EDUCATION VST 942 74.00 70855021 TRACHEOSTOMY AIRWAY PROG 942 2,424.00 70855025 CPR FAMILY TRAINING 942 138.00 72820026 DIABETES TRNG INDIV 30MIN 942 191.00 72820027 DIABETES TRNG GROUP 30MIN 942 77.00 72820100 MNT NUTR ASSMT IND EA 15 942 242.00 72820101 MNT NUTR REASSMNT IND 15 942 210.00 72820103 MNT NUT REASSES GRP-30min 942 115.00 72820105 Educ-train-self-ea 30 942 204.00 72820106 Educ-train-self 2-4pts 942 99.00 72820107 Educ-train 5-8pts ea 30 942 74.00 72830047 INIT NUTR THER EA 15M 942 242.00 72830048 REASSESS NUTR THER EA 15M 942 210.00 72830049 SELF-MGMT EDU-TRAIN 1 PT 942 204.00 72830050 SELF MGMT EDUC/TRN 2-4PT 942 99.00 72830051 SELF MGMT EDUC/TRN 5-8PT 942 74.00 72850100 NUTR ASSMT IND EA 15min 942 242.00 72850101 NUTR REASSMT IND 15 EA 942 210.00 72850102 SELF MGMT EDUC/TRN 2-4PT 942 99.00 72850103 MNT NUT REASSES GRP 30MIN 942 50.00 72866000 INIT NUTR THER EA 15M 942 242.00 72866001 REASSESS NUTR THER EA 15M 942 210.00 72866002 GRP NUTR THER EA 30M 942 115.00 72866003 SELF MGMT EDUC/TRAIN 1PT 942 204.00 72866004 SELF MGMT EDUC/TRN 2-4PT 942 99.00 72866005 SELF MGMT EDUC/TRN 5-8PT 942 74.00 72890804 GRP NUTR THER EA 30M 942 115.00 72980027 NUTR ASSMT IND EA 15min 942 242.00 72980028 NUTR REASSMT IND 15 EA 942 210.00 72980029 MNT NUT REASSES GRP-30min 942 115.00 72980035 SELF MGMT EDUC/TRAIN 1PT 942 204.00 72980036 SELF MGMT EDUC/TRN 2-4PT 942 99.00 72980037 SELF MGMT EDUC/TRN 5-8PT 942 74.00 73120067 INIT NUTR THER EA 15M 942 242.00 73120068 REASSESS NUTR THER EA 15M 942 210.00 73120069 GRP NUTR THER EA 30M 942 115.00 73120070 SELF MGMT EDUC/TRAIN 1PT 942 204.00 73120071 SELF MGMT EDUC/TRN 2-4PT 942 99.00 73120072 SELF MGMT EDUC/TRN 5-8PT 942 74.00 73197804 GRP NUTR THER EA 30M 942 115.00 47649626 UNL FLOURO PROC DX 969 36.00 72304053 BURN DEBRIDE/DRESS SM. 981 150.00 72304236 REM INTRAUTERINE DEV 981 371.00 70961021 3D RENDERING NO IMAGE 999 750.00 71469995 MRA LO EXT +CONT RT 999 3,400.00 71469996 MRA LO EXT +CONT LT 999 3,400.00 72432793 NDL IO SS 45MM 15G 999 789.00 72720039 PATIENT PROVIDED MEDS 999 0.01 72810080 BLOOD COLL/CAPILLARY 999 53.00 72820033 BLOOD COLL/CAPILLARY 999 53.00 72820039 PATIENT PROVIDED MEDS 999 0.01