Tyrone Regional Health Network Charge Master 2019 Disclaimer: *Please note the charges provided are an estimate and is not a guarantee of the final billing charges. The charges are subject to change without notice. Charge Code Description CPT4 HCPCS MA WC Charge

542A0130 AMED WHEELCHAIR VAN - ONE WAY A0426 $214.00 542A0426 AMED EMERGENCY LEVEL 1 ECH WAY A0426 $835.00 542A0428 AMED - BLS A0428 $377.00 542T2005 AMED STRETCHER VAN T2005 $167.00 623A6211 SURGICAL DRESSINGS A6211 $51.00 623A6213 SURGICAL DRESSINGS A6213 $32.00 623A6260 SURGICAL DRESSING A6260 $14.00 623A6441 SURGICAL DRESSING A6441 $6.00 623A6442 SURGICAL DRESSINGS A6442 $3.00 623A6443 SURGICAL DRESSINGS A6443 $4.00 762G0379 DIRECT ADMIT TO OBS G0379 $164.00 11001013 MED/SURG PRIVATE PREM PAT REQ 1013 $15.00 11001020 MED/SURG R & B PRIVATE PAT REQ 1020 $15.00 12001001 MED/SURG R & B SEMI PRIVATE 1001 $749.00 16401012 SWING BED R & B 1012 $642.00 20601005 TELEMETRY R & B 1005 $963.00 27003283 WOUND VAC $126.00 27005165 BINDER XL ABDOMINAL $148.00 27005166 BINDER XXL ABDOMINAL $148.00 27005234 FLANGE 2.75 WAFER A4409 $9.00 27006024 WOUND CLOSURE TRAY $37.00 27008399 KANGAROO EPUMP ENTERAL SET $7.00 27031515 FIRST STEP SELECT $121.00 27055001 MED-SURG SUPPLIES $33.00 27203143 STOMA PASTE A4406 $19.00 27205018 ENDO TUBE 3.5 UNCUFFED MURPHY $4.00 27205102 TRAY SUTURE REMOVAL STERILE $7.00 27205234 FLANGE 2.75 WAFER A4409 $9.00 27205235 POUCH 2.75 OPAGUE A4425 $7.00 27205236 FLANGE 2.25 WAFER A4409 $9.00 27205237 POUCH 2.25 OPAGUE A4425 $7.00 27205238 POUCH 1 PC DURA ADHESIVE A4388 $10.00 27205239 STOMA POWDER A4371 $15.00 27205241 TAIL CLOSURE ACTIVE A4421 $5.00 27255002 STERILE SUPPLY $11.00 41399183 HYPERBARIC O2 99183 $1,400.00 54210428 AMED-BLS MD APPT A0428 $290.00 76190765 IV INFUSION THERAPY 1ST HOUR 96365 907 65 $327.00 76190766 IV INFUSION THERAPY ADDED HOUR 96366 907 66 $132.00 76201010 OBSERVATION R & B (HOURLY) G0378 $36.00 76210001 OBSERVATION M/S HR 1 G0378 $295.00 76210003 OBSERVATION POST PROC HR 1 G0378 $412.00 76210004 OBSERVATION M/S FOLLOW HRS G0378 $36.00 76210005 OBSERVATION POST PROC FOLL HRS G0378 $36.00 76296360 IV HYDRATION, INITIAL 96360 $216.00 76296361 IV HYDRATION, ADD HR 96361 $88.00 76296365 IV INFUSION, INITIAL 96365 $327.00 76296366 IV INFUSION, ADD HR 96366 $132.00 76296367 IV INFUSION, SEQUENTIAL 96367 $160.00 76296368 IV INFUSION, CONCURRENT 96368 $119.00 76296372 ALL SUBQ OR IM INJECTIONS 96372 $98.00 45099211 EST OP VISIT 5 MINUTES 99211 $72.00 45099212 EST OP VISIT 10 MINS 99212 $89.00 45099213 EST OP VISIT 15 MINUTES 99213 $109.00 45099214 EST OP VISIT 25 MINUTES 99214 $126.00 45099215 EST OP VISIT 40 MINUTES 99215 $302.00 49099211 EST OP VISIT 5 MINUTES 99211 $72.00 49099212 EST OP VISIT 10 MINUTES 99212 $89.00 49099213 EST OP VISIT 15 MINUTES 99213 $109.00 49099214 EST OP VISIT 25 MINUTES $126.00 49099215 EST OP VISIT 40 MINUTES $302.00 92011688 FETAL NON-STRESS TEST 59025 X06 21 11688 $228.00 92059020 OXYTOCIN STRESS TEST, FETAL 59020 $299.00 21001003 ICU/CCU R & B 1003 $1,284.00 76210002 OBSERVATION TELE/ICU HR 1 G0378 $354.00 76210006 OBSERVATION TELE/ICU FOLL HRS G0378 $42.00 771G0008 ADMINISTER FLU VACCINE G0008 $38.00 771G0009 ADMINISTRATION OF PNEUMOVAX G0009 $38.00 27001866 IV EXTENSION SET $5.00 27007493 PHLEBOTOMY BAG W/ 17Gx1 NEEDLE $27.00 36010010 PRE-OP SETUP LEVEL 1 $375.00 36010011 PRE-OP SETUP LEVEL 2 $428.00 36010012 PRE-OP SETUP LEVEL LOCAL $161.00 36010013 PRE-OP SETUP LEVEL STEREOTACT $268.00 49035900 TELEMETRY MONITOR 35900 $55.00 50090760 IV INFUS HYDRATION INIT 1ST HR 96360 907 60 $216.00 50090761 IV INFUS EACH ADD HR UP TO 8 96361 907 61 $88.00 50090765 THERAPEUTIC IV INFUSION 1ST HR 96365 907 65 $327.00 50090766 EACH ADD HOUR UP TO 8 HRS 96366 907 66 $132.00 50090767 ADD SEQUENTIAL INFUSION 1ST HR 96367 907 67 $160.00 50090768 CONCURRENT INFUSION 96368 907 68 $119.00 50090773 INTRTA-ARTERIAL 96373 907 73 $152.00 50090774 IV PUSH SINGLE OR INITIAL DRUG 96374 907 74 $162.00 50090775 EACH ADD SEQ IV PUSH NEW DRUG 96375 907 75 $148.00 63690658 FLU VACCINE INTRAMUSCULAR Q2036 $25.00 63690662 FLU VACCINE HIGH RISK 90662 $72.00 63690688 FLU VACCINE INTRAMUSCULAR 90686 $38.00 71020000 STEPDOWN RECOV 1ST HR $375.00 71020000ER STEPDOWN EXT RECOVERY PER HOUR $31.21 71020001 STEPDOWN RECOV ADD 30 MIN $214.00 76113000 TREATMENT ROOM 76113 $0.00 76136430 TRANSFUSION BLOOD OR COMPONTS 36430 $672.00 76190384 RH IG FULL-DOSE IM 90384 $345.00 76190471 IMMUNIZATION ADMIN 1ST VACCINE 90471 $38.00 76190472 IMMUNIZATION ADMIN ADD VACCINE 90472 $36.00 76192960 CARDIOVERSION, ELECTIVE EXTERN 92960 $888.00 76196360 IV HYDRATION, INITIAL 96360 $216.00 76196361 IV HYDRATION, ADD HR 96361 $88.00 76196365 IV INFUSION, INITIAL 96365 963 65 $327.00 76196366 IV INFUSION, ADD HR 96366 907 66 $132.00 76196367 IV INFUSION, SEQUENTIAL 96367 $160.00 76196368 IV INFUSION, CONCURRENT 96368 $119.00 76196372 ALL SUBQ OR IM INJECTIONS 96372 $98.00 76196374 IV PUSH, INITIAL 96374 963 74 $162.00 76196375 IV PUSH, SEQUENTIAL DIFFERENT 96375 $148.00 76196376 IV PUSH, SEQUENTIAL SAME 96376 $135.00 76196409 CHEMO ADMIN IV PUSH SING/INIT 96409 $268.00 76196413 IV INFUS, 1ST HR SINGLE/INI 96413 $750.00 76196415 IV INFUS, ADDITIONAL HOURS 96415 $110.00 99900014 ATELLAS 3606 STUDY $1,127.00 99900015 ATELLAS 3606 STDY FAILED SCRN $144.00 27005168 TOUHY EPIDURAL NEEDLE $17.00 27005277 TRAY UNIVERSAL BLOCK $17.00 36120526 INJ THERAPEUTIC CARPAL TUNNEL 20526 $440.00 36120550 INJ TENDON SHEATH/LIGAMENT 20550 $407.00 36120552 TRIGGER POINT INJ,1OR2 MUSCLE 20552 $549.00 36120553 TRIGGER POINT INJ, 3 OR MORE 20553 $576.00 36120600 INJ SMALL JOINT 20600 $247.00 36120605 INJ INTERMEDIATE JOINT 20605 $265.00 36120610 INJ MAJOR JOINT/BURSAE 20610 $278.00 36127096 SACROILLIAC JOINT BLOCK 27096 $653.00 36162272 SPINAL PUNCTURE THERA DRAINAGE 62272 $553.00 36162273 EPIDURAL BLOOD PATCH 62273 $1,543.00 36164400 INFRA ORBITAL NERVE BLOCK 64400 $533.00 36164402 POSTAURICULAR NERVE BLOCK 64402 $768.00 36164405 NERVE BLOCK OCCIPITAL 64405 $955.00 36164413 CERVICAL PLEXUS BLOCK 64413 $901.00 36164415 BRACHIAL PLEXUS BLOCK 64415 $1,030.00 36164417 AXILLARY NERVE BLOCK 64417 $901.00 36164418 NERVE BLOCK SUPRASCAPULAR 64418 $840.00 36164420 INTERCOST NB SINGLE 64420 $772.00 36164421 INTERCOST NB MULTI 64421 $843.00 36164425 NERVE BLOCK ILIOINGUINAL 64425 $1,197.00 36164430 PUDENDAL NERVE BLOCK 64430 $1,202.00 36164445 SCIATIC NERVE BLOCK 64445 $901.00 36164447 NERVE BLOCK FEMORAL NERVE SING 64447 $901.00 36164450 PARIETAL NERVE BLOCK 64450 $665.00 36164479 INJ TRANS EPI CERV/THOR SINGLE 64479 $1,241.00 36164480 INJ TRANS EPI CERV/THOR ADDED 64480 $1,225.00 36164483 INJ TRANS EPI LUMB/SACR SINGLE 64483 $1,233.00 36164484 INJ TRANS EPI LUMB/SACR EACH 64484 $563.00 36164490 PARVRTEBRAL CERV/THOR SNGL LVL 64490 $1,298.00 36164491 PARVRTBRL CERV/THOR 2ND LVL 64491 $611.00 36164492 PARVRTBRL CERV/THOR 3+ LVL 64492 $461.00 36164493 PARAVERTEBRAL LUM/SACR SINGLE 64493 $1,298.00 36164494 PARAVERTEBAL LUMB/SAC 2ND LVL 64494 $611.00 36164495 PARAVERTEBAL LUMB/SAC 3+ LVL 64495 $461.00 36164505 SPHENOPALATINE GANGLION BLOCK 64505 $462.00 36164510 INJ ANES, STELLATE GANGLION 64510 $901.00 36164517 GANGLION IMPAR BLOCK 64517 $1,318.00 36164520 PARAVERTEBRAL SYMP LUM/THORACI 64520 $1,224.00 36164530 CELIAC SPLANCHIC BLOCK 64530 $1,298.00 36164600 NERVE BLOCK PERIORBITAL 64600 $2,389.00 36164680 DEST BY NEURO AGENT CELIAC PLE 64680 $1,298.00 36164774 NERVE BLOCK LAT CUTANEOUS 64774 $1,543.00 51116402 PAIN CLINIC EVALUATION 16402 $0.00 51120550 PAIN CLNC TRGR PT INJ 1-2 MUSC 20552 W90 49 20550 $549.00 51120605 PAIN INJ. INTERMEDATE. JOINT 20605 206 05 20605 $265.00 51120610 PAIN CLINIC SACROILLILAC 20610 206 10 20610 $278.00 51127096 SACROILIAC JOINT INJECTION 27096 270 96 27096 $653.00 51162270 SPINAL PUNCTURE, LUMBAR DIAG 62270 $1,017.00 51164405 PAIN INJ GREAT OCCIPITAL NERVE 64405 644 05 64405 $955.00 51164421 PAIN INJECT INTERCOSTAL NERVES 64421 644 21 64421 $843.00 51164425 ILIOINGUINAL, ILIOHYPOGASTRIC 64425 $1,197.00 51164450 PAIN OTH PERIPHERAL NERVE BLK 64450 644 50 64450 $665.00 51164520 PAIN LUMBAR OR THORACIC SYMPA 64520 X06 20 64520 $1,224.00 51193672 ALL SUBQ OR IM INJECTIONS 96372 907 72 $98.00 51196372 ALL SUBQ OR IM INJECTIONS 96372 $98.00 51199201 INITIAL NEW PATIENT 99201 $95.00 51199204 NEW PATIENT, MODERATE COMPLEX 99204 T10 15 $211.00 51199205 NEW PATIENT, HIGH COMPLEXITY 99205 T10 15 $331.00 51199211 EST OP VISIT 5 MINUTES 99211 992 11 $72.00 51199212 EST OP VISIT 10 MINUTES 99212 992 12 $89.00 51199213 EST PATIENT, LOW COMPLEXITY 99213 992 13 $109.00 51199214 EST PATIENT, MODERATE COMPLEX 99214 992 14 99214 $126.00 51199215 EST PATIENT, HIGH COMPLEXITY 99215 992 15 $302.00 51199244 OFFICE CONSULT - MOD/HIGH SEV 99244 $385.00 270127301 TRAY EPIDURAL SINGLE SHOT $50.00 361644131 MULTI FACET NERVE INJ CERVICAL 64413 $901.00 275C1779 ACCOLADE DR PACEMAKER - BSC C1779 $9,875.00 275C1780 ACCOLADE MRI DR PACEMAKER BSC C1779 $11,125.00 275C1784 ST JUDE ACCENT SR RF PACEMAKER C1786 $7,089.00 275C1785 DUAL CHAMBER RESPONS PACEMAKER C1785 $15,724.00 275C1786 SINGLE CHAMBER PACEMAKER C1786 $10,738.00 275C1787 ST JUDE ASSURITY PACEMAKER $6,359.00 275C1898 PACEMAKER PASSIVE C1898 $1,663.00 276V2630 ANTER CHAMBER INTEROCUL LENSE V2630 $480.00 276V2632 POST CHMBR INTEROCULAR LENSE V2632 $424.00 278C1767 MEDTRONIC NEUROSTIMULATOR C1767 $32,890.00 278C1778 LEAD KIT ST JUDE C1778 $8,132.00 278C1779 ST.JUDE ISOFLEX OPTIM LEAD C1713 $1,231.00 278C1787 PATIENT PROGRAMMER ST JUDE C1787 $3,184.00 278C1820 16 CHNL RECHARGE STIM ST JUDE C1820 $36,915.00 278C1894 MEDTRONIC LEAD INTRODUCER KIT C1894 $749.00 361V2785 IMPLANT-CORNEAL TISSUE V2785 $4,400.00 2700043 SUTURE NUROLOW M06 C545D $36.00 2700329 STAPLER PREM+CEEA 21 111983 $2,426.00 2781306 MEDARTIS CORTICAL SCREWS C1713 $202.00 24002274 GUIDE WIRE $177.00 25800156 IV SOL D5 250ML GLASS J7060 $8.00 25800159 IV SOL 0.9 NSS 100 ML $5.00 25800160 IV SOL D5 250ML J7060 $4.00 25800161 IV SOL D5 100ML J7060 $5.00 25800178 IV SOL .9 NSS 250ML GLASS J7050 $8.00 25800180 IV SOL DOPAMINE 250ML $24.00 25800181 IV SOL 3NSS 500ML J3490 $4.00 25800183 IV SOL LIDOCAINE 500ML $10.00 25800184 IV SOL THEOPHYLLINE 500ML $10.00 25800185 IV SOL TRAVASOL 4.25 25D 1000 $54.00 25800190 IV SOL 5% SODIUM CHLORIDE 500 $5.00 25801994 IV SOL D5 50ML $5.00 25803668 IV SOL 05&NSS W/20 KCL 1000ML $7.00 25803669 IV SOL 05&NSS W/40 KCL 1000ML $7.00 25803670 IV SOL NSS W/20 KCL 1000ML $7.00 25803671 IC SOL NSS W/40 KCL 1000ML $7.00 25803820 IU SOL 20 MEQ KCL LRDS 1000 ML $7.00 25803821 IU SOL 40 MEQ KCL LRDS 1000 ML $8.00 25803822 IU SOL 10MEQ KCL D5 .45 1000ML $6.00 25803823 IU SOL KCL D5 .45 1000 ML $6.00 25803824 IU SOL 10 MEQ KCL D5 1000 ML J3480 $6.00 25803825 IU SOL 20 MEQ KCL D5 1000 ML $6.00 25803828 IU SOL 5% SODIUM CHLOR 500 ML $5.00 25804372 IV SOL CLINIMIX 4.25 AMINO ACI $103.00 25804542 IV SOL METRONIDAZOLE RTU 500MG $7.00 25804543 IVSOL KCL 20MEQ .45 NSS 1000ML $9.00 25804549 IV SOL CLINIMIX E 4.25/25 $75.00 25804765 IV SOL CLINIMIX E 4.25/25 2000 $78.00 25804842 IV SOL D5 LACTATED RINGERS 500 J7121 $5.00 25808083 IV SOL CLINIMIX 2.75 2000 ML $102.00 27000031 PENROSE DRAIN 1/4 X 18 $10.00 27000033 PENROSE DRAIN 1/4x12" $3.00 27000045 AQUASONIC GEL $0.00 27000113 TUBING HUMIDIFIER $8.00 27000153 STERILE WATER INHALATION 1000 $8.00 27000156 NERVE BLOCK PACK $21.00 27000258 DET IRRIGATION STARTER $147.00 27000259 NOVASURE DEVICE NS2000 $2,813.00 27000263 NASOGASTRIC FEEDING TUBE 10 FR $84.00 27000269 BANDAID ADHESIVE 7/8 SPOT $3.00 27000326 KNIFE HANDLE 4 3/4" $16.00 27000342 TAPE ADHESIVE 1 $7.00 27000346 TAPE ADHESIVE 3 $10.00 27000357 SUTURE 6-0 VICRYL TG100 J544G $48.00 27000359 SUTURE 3-0 CHROMIC MH G126H $18.00 27000360 SUTURE 2-0 CHROMIC MH G127H $5.00 27000366 SUTURE 2-0 CHROMIC LH G133H $10.00 27000367 SUTURE 2-0 PDSII FS1 Z 443H $11.00 27000369 SUTURE 5-0 VICRYL RB1 J213H $8.00 27000371 SUTURE 0 PROLENE SH 8834H $11.00 27000372 SUTURE 0 CHROMIC SH G124H $8.00 27000373 SUTURE 3-0 CHROMIC V34 942H $12.00 27000374 SUTURE 4-0 ETHILOW P3 699H $14.00 27000377 SUTURE 2-0 SILK FSLX 1689H $8.00 27000378 SUTURE 5-0 SILK A182H $8.00 27000379 SUTURE 3-0 CHROMIC RB1 U204H $8.00 27000380 SUTURE 4-0 CHROMIC PS5 1653G $15.00 27000381 SUTURE 6-0 ETHILON P1 697G $14.00 27000382 SUTURE 5-0 ETHILON PS4 1661G $15.00 27000383 SUTURE 3-0 PROLENE MH 8842H $17.00 27000384 SUTURE 2-0 PDS Z997G $57.00 27000385 SUTURE 4-0 VICRYL P3 J494G $15.00 27000386 SUTURE 1 VICRYL CT1 J341H $8.00 27000387 SUTURE 4-0 VIC RAPID P52 VR426 $19.00 27000388 SUTURE 1 PROLENE TP1 8824G $14.00 27000389 SUTURE 1 ETHIBOND EXC X548H $13.00 27000390 SUTURE 3-0 PDSII FS1 2442H $12.00 27000391 SUTURE 2 ETHIBOND EXC MX69G $60.00 27000392 SUTURE 5 ETHIBOND V40 MB46G $61.00 27000393 SUTURE 3-0 CHROMIC CP2 886H $8.00 27000394 SUTURE 2-0 VICRYL J701D $63.00 27000395 SUTURE 3-0 VICRYL PS2 J427H $14.00 27000421 SUTURE 1 PROLENE CT 8435H $10.00 27000423 SUTURE 4.0 PROLENE FS2 8683H $10.00 27000424 SUTURE 5-0 PROLENE P3 8698H $19.00 27000426 SUTURE 6-0 PROLENE CI 8889H $13.00 27000428 SUTURE 2-0 SILK SA75H $10.00 27000429 SUTURE 3-0 SILK SA74H $10.00 27000431 SUTURE 4-0 SILK C1 K891H $12.00 27000433 SUTURE 3-0 SILK 622H $7.00 27000436 SUTURE 3-0 SILK SH K832H $7.00 27000438 SUTURE 2-0 CHROMIC CP2 887H $10.00 27000439 SUTURE 2-0 SILK SH K833H $10.00 27000441 SUTURE 3-0 CHROMIC V34 92YH $8.00 27000444 SUTURE 2-0 CHROMIC S113H $8.00 27000445 SUTURE 2-0 CHRMIC L113G $8.00 27000447 SUTURE 1 CHROMIC CT2 885H $8.00 27000449 SUTURE 000 SILK C003D $35.00 27000451 SUTURE 3-0 SILK FS1 684H $8.00 27000452 SUTURE 2-0 CHROMIC SH G123H $8.00 27000454 SUTURE 2 MERSILENE LR R496T $14.00 27000456 SUTURE 2-0 CHROMIC CT1 811H $8.00 27000458 SUTURE 0 NUROLON CT1 C521D $39.00 27000459 SUTURE 4-0 CHROMIC RB1 U203H $8.00 27000460 SUTURE 3-0 CHROMIC L112G $10.00 27000462 SUTURE 4-0 CHROMIC FS2 635G $21.00 27000463 SUTURE 2-0 CHROMIC V34 943H $12.00 27000464 PROCTO SWAB $4.00 27000465 SUTURE 2-0 CHROMIC CT2 883H $8.00 27000467 SUTURE 1 CHROMIC CT 915H $8.00 27000470 SUTURE 3-0 PLAIN CT1 5503T $22.00 27000471 SUTURE 1 CHROMIC CT 803H $8.00 27000472 SUTURE 3-0 CHROMIC CT 912H $10.00 27000473 SUTURE 2-0 CHROMIC CT 913H $10.00 27000475 SUTURE 3-0 CHROMIC SH G122H $8.00 27000476 SUTURE 4-0 CHROMIC SH G121H $8.00 27000478 SUTURE 2-0 CHROMIC FS1 637G A4649 $4.00 27000479 SUTURE 5-0 ETHILON P3 698H $14.00 27000480 LIGACLIP MCA MEDIUM MCM20 $238.00 27000481 SUTURE 2-0 ETHILON FSLX 1674H $7.00 27000483 SUTURE 1 CHROMIC M04 CC01G $66.00 27000485 SUTURE 6-0 ETHILON P3 1698G $14.00 27000486 SUTURE 2-0 ETHILON FS 664H $8.00 27000488 SUTURE 5-0 ETHILON $39.00 27000490 SUTURE 4-0 ETHILON FS2 662H $4.00 27000491 SUTURE 4-0 ETHILON PS2 1667G $8.00 27000493 SUTURE 10-0 ETHILON TG16 7756G $61.00 27000495 SUTURE 3-0 PLAIN X1 612H $8.00 27000497 SUTURE 7-0 VICRYL TG16 J575G $49.00 27000498 SUTURE 4-0 VICRYL P3 J464G $14.00 27000500 SUTURE 0 VICRYL CT1 J260H $8.00 27000502 SUTURE 2-0 VICRYL FS1 J443H $10.00 27000504 SUTURE 5-0 VICRYL P3 J493H $17.00 27000505 SUTURE O PDSII CT 2358T $11.00 27000507 SUTURE 1 PDSII CT 2359T $11.00 27000508 SUTURE 7-0 ETHILON P1 1696G $15.00 27000510 SUTURE 3-0 ETHILON FS1 669H $8.00 27000512 SUTURE 3-0 VICRYL PS2 J497H $14.00 27000514 SUTURE 2-0 PLAIN CP1 898H $8.00 27000515 SUTURE 2-0 SILK FS 685H $8.00 27000517 SUTURE 4-0 SILK SH K831H $8.00 27000518 SUTURE 4-0 SILK M2 738G $15.00 27000519 SUTURE 5-0 ETHIBOND RB1 X550H $19.00 27000520 SUTURE 2-0 PROLENE FS 8685H $10.00 27000521 SUTURE 0 PROLENE CT1 8424H $10.00 27000522 SUTURE 4-0 CHROMIC PS2 1637G $15.00 27000523 SUTURE 0 CHROMIC BP1 47T $24.00 27000525 SUTURE 3-0 CHROMIC CT1 810H $10.00 27000527 SUTURE 0 CHROMIC CT2 884H $8.00 27000529 SUTURE 1 CHROMIC V34 839H $12.00 27000532 SUTURE 2-0 ETHILON KS 628 $8.00 27000534 SUTURE 20 VICRYL SH J417H $8.00 27000535 SUTURE 0 VICRYL CT2 J270H A4649 $4.00 27000537 SUTURE 3-0 PLAIN KS 665H $8.00 27000538 SUTURE 3-0 PLAIN FS2 H822H $10.00 27000539 SUTURE 4-0 PLAIN P3 1644G $15.00 27000541 SUTURE 6-0 PLAIN G1 770G $38.00 27000542 SUTURE 3-0 PLIN SH G322H $8.00 27000543 SUTURE 3-0 ETHILON PS1 1663H $15.00 27000545 SUTURE 10-0 ETHILON TG6C 7799G $70.00 27000548 SUTURE 1 CHROMIC CTX 905H $10.00 27000550 SUTURE 1 PDSII TP1 Z879G $19.00 27000552 SUTURE 1 PDSII XLH 2877G $20.00 27000553 SUTURE 2-0 PROLENE SH 8833H $10.00 27000555 SUTURE 1 SILK A307H $6.00 27000556 SUTURE 0 SILK A306H $6.00 27000560 SUTURE 3-0 VICRYL SH J416H $4.00 27000562 SUTURE 5-0 CHROMIC SH1 G180H $8.00 27000563 SUTURE 4-0 VICRYL PS2 J496H $15.00 27000565 SUTURE 3-0 VICYRL CT J356H $10.00 27000567 SUTURE 4-0 VICRYL SH1 J310H $8.00 27000568 SUTURE 0 ETHIBOND 054 X517H $12.00 27000570 SUTURE 3-0 PROLENE FS2 8665H $11.00 27000572 SUTURE 0 SILK CT1 424H $7.00 27000573 SUTURE 3-0 COATED VICRYL $32.00 27000575 SUTURE 6-0 VICRYL S24 J552G $43.00 27000577 SUTURE O CHROMIC V34 838H $12.00 27000578 SUTURE 1 CHROMIC M02 4915H $12.00 27000580 SUTURE 3-0 ETHILON KS62TH $7.00 27000581 SUTURE 9-0 SILK CS160 7785G $61.00 27000583 SUTURE 1 CHROMIC TP1 GL30G $15.00 27000585 TUBING OXYGEN 7FT $4.00 27000591 IMU SETUP $8.00 27000596 MASK ADULT MULTI VENT $7.00 27000598 MASK PED AEROSOL ELONGATE $5.00 27000615 TONGUE BLADE $12.00 27000688 SPECIMEN CUP PLASTIC 5oz A4649 $3.30 27000750 BANDAID FABRIC 2X3.75 $8.00 27000770 TUBING INSUFFLATION $386.00 27000794 ZIMMER QC CONNECT DRILL BIT $65.00 27000873 BRUSH CYTOLOGY DISP $73.00 27000901 SUTURE 2-0 ETHILOW PS 858H $15.00 27000902 SUTURE 3-0 VICRYL CT2 J232H $8.00 27000903 SUTURE 6-0 PLAIN FSTAB 1916G $15.00 27000904 SUTURE 0 VICRYL URG J603H $10.00 27000905 SUTURE 5 ETHIBOND V37 MB66G $59.00 27000906 SUTURE 2-0 VICRYL X1 J459H $10.00 27000907 SUTURE 3-0 PROLENE V7 8976H $24.00 27000908 SUTURE 3-0 CHROMIC CE4 SG3636 $13.00 27000910 SUTURE 2-0 VICRYL CT J351H $8.00 27000911 SUTURE 0 VICRYL CP J479H $10.00 27000912 SUTURE 0 VIRCRYL CT1 J840D $43.00 27000913 SUTURE 3-0 VICRYL V34 J916H $12.00 27000914 SUTURE 10-0 VICRYL CS160 V448G $76.00 27000915 SUTURE 2-0 VICRYL CT J286G $10.00 27000916 SUTURE 3-0 VICRYL CP1 J471H $10.00 27000917 SUTURE 3-0 VICRYL CP J477H $11.00 27000918 SUTURE 3-0 VICRYL CT1 J944H $10.00 27000919 SUTURE O PDSII 2991G $24.00 27000920 SUTURE TRICON 3090-71 $22.00 27000921 SMALL INSTRUMENT KIT $1,488.00 27000922 SUTURE TICRON 0 $20.00 27000932 LUBRICATING JELLY $11.00 27001010 STERI DRAPE $24.00 27001011 DRAPE HIP WITH CLEAR LEG A4649 $114.00 27001012 ULTRASOUND PROBE COVER KIT $12.00 27001013 STERILE ARM SLEEVE $6.00 27001029 NEEDLE MAYO $6.00 27001063 MRDJENOVICH PACK $38.00 27001088 MASK AEROSOL ELONGATED ADULT $5.00 27001092 MASK NON-REBREATHER ELON ADULT $7.00 27001095 MASK FACE TENT $6.00 27001099 MAGIC PEDIATRIC O2 $6.00 27001100 MASK OXYGEN 02 $5.00 27001101 BIOMET TRAUMA K-WIRE 0.45 C1713 $114.00 27001102 BODAI SWIVEL ADAPTER $57.00 27001103 ARGYL YANKAUER SELECT-TROL $6.00 27001108 AEROSOL TUBING 100 FT $33.00 27001109 INCENTIVE SPIROMETER VOLDYNE $12.00 27001118 HEATED CIRCUIT VENT OLD $56.00 27001120 NSS VIAL 3 ML $8.00 27001121 HUMIDIFIER 500 ML $11.00 27001123 DRILL BIT 1.1MM MINIQUICK $123.00 27001124 DUAL SPRAY MINI SPACER $7.00 27001132 MMI EZ CLIP DRILL BIT $500.00 27001135 PHACO TIP 2.0 SU $45.00 27001136 VIAL WATER 3000 ML $21.00 27001146 AIR EXCHANGE LINE $210.00 27001162 COMPRESSION STAPLE $1,063.00 27001176 CAST PADDING WEBRIL II 6 $4.00 27001178 CAST PADDING WEBRIL II 6 $8.00 27001181 PLASTER SPECIALIST 4 $6.00 27001184 PLASTER SPECIALIST 5 $7.00 27001186 PLASTER SPECIALIST 2 $5.00 27001190 PLASTER SPECIALIST 3 $6.00 27001208 TAPE FIBERGLASS CASTINGS 5 $22.00 27001209 CAST CUTTER BLADE $59.00 27001210 FIBERGLASS CASTING TAPE 4 $19.00 27001211 TAPE FIBERGLASS CASTING 3 $14.00 27001212 LARYNGOSCOPE BULB $21.00 27001217 PADDING FIBERGLASS 4 $10.00 27001218 PADDING FIBERGLASS 6 $8.00 27001219 PADDING FIBERGLASS 3 $6.00 27001221 PADDING FIBERGLASS 2 $5.00 27001229 GOWN ISOLATION STERILE $6.00 27001230 K-WIRE .062 C1713 $18.00 27001231 VILEX KWIRE $50.00 27001232 VILEX STAPLE - MONOCORTICAL $2,488.00 27001237 KNOWLES PIN 01.07 $159.00 27001242 KNOWLES PIN 01-06 $159.00 27001248 STEIMAN PIN HOLDER $359.00 27001254 PERIPHERAL SCREW DRILL BIT $578.00 27001259 LIGHT SHIELD $8.00 27001268 HYPERINFLATION BAG OB $20.00 27001275 DISPOSABLE KNIFE SERRATED $105.00 27001290 IMMOBILIZER KNEE 28 $94.00 27001322 BULB QUANTUM 3000 LIGHT SOURCE $1,393.00 27001323 FIBER TAK SUTURE ANCHOR $963.00 27001325 STRYKER DRILL BIT 4.2 $399.00 27001326 SYRINGE IV 3ML 21G X 1.5 $3.00 27001333 ARTHREX FIBERSNARE #2 $263.00 27001335 LAURUS NEEDLE DRIVER $353.00 27001336 DRESSING NU GEL COLLAGEN $44.00 27001341 SPO2 SENSOR ADULT/PED $24.00 27001362 EFLEX ABLATOR PROBE $1,310.00 27001365 ARTHREX ORTHO DISPOSABLE KIT $1,125.00 27001374 KAHOOK DUAL BLADE $975.00 27001376 X-REAM EXPANDABLE REAMER BLADE $1,625.00 27001394 WRIGHT DRILL BITS $345.00 27001403 ZIMMER ELBOW TORQUE DRIVER $672.00 27001423 NEEDLE COUNTER $7.00 27001429 S&N PATIENT SPECIFIC INSTRUMEN $1,625.00 27001430 S&N PROCISE MAX $675.00 27001432 PLATELET CONCENTRATION KIT $2,500.00 27001436 S&N RECIPRICATING SAW BLADE $164.00 27001443 RING CUTTER BLADE $65.00 27001451 ACCUSHARP OPHTHALMIC KNIFE $21.00 27001452 BIOCARTILAGE MIXING KIT LRG $613.00 27001455 NEEDLE 22GX3 1/8" $30.00 27001456 AUXILLARY CHANNEL WATER TUBING $37.00 27001462 ARTHREX QUICKPASS WIRE $70.00 27001472 MARENA RECOVERY POST OP BRA $218.00 27001473 STRYKER PATELLA CUTTER $777.00 27001487 VIS ADPT GUIDE KIT $1,250.00 27001495 VAC EXT DELIVERY KIT $59.00 27001523 MEDTRONIC NIM TRIVANTAGE TUBE $833.00 27001524 SPEED GUIDE DRILL 2.3 $530.00 27001526 WRIGHT INBONE SAW BLADE $355.00 27001527 WRIGHT SAW BLADE $160.00 27001528 WRIGHT ALLIGNMENT GUIDES $2,500.00 27001538 CANNULA LAVAGE $424.00 27001542 HIGH VISCOSITY APPLICATOR $138.00 27001546 SUTURE VICRYL 9-0 VIOLET $3.00 27001561 GRASPER ENDO 10MM RATCH ADVIL $380.00 27001562 PLEURX DRAINAGE KIT $148.00 27001563 PLEURX PLEURAL CATH KIT $1,438.00 27001564 MINI ALLIGATOR GRASPER $588.00 27001565 IRRIGATOR CW-3 $448.00 27001582 CEMENT PLUG WTIH NOZZLE $510.00 27001592 PARS SUTURE IMPLANT SYSTEM $1,313.00 27001594 S&N DRILL KIT $350.00 27001622 MASK INFANT OXYGEN MED LF $11.00 27001623 CANNULA NASAL INFANT CUSHIONED $11.00 27001625 DRILL BIT 3.2 NON-LOCK, SHORT $585.00 27001630 MASK PEDIATRIC $6.00 27001635 NSS 3ML VIAL $5.00 27001643 OXYGENATOR $13.00 27001647 VEST STRESS TEST SM 9-02 $10.00 27001648 VEST STRESS TEST LG 10-02 $15.00 27001649 BELT STRESS TEST $96.00 27001652 ARTHREX LONG DRILL BIT 2.5 $213.00 27001654 CLEAR LEGGINGS $9.00 27001657 LATEX PROBE COVER $5.00 27001669 STANDARD NOZZLE $345.00 27001685 ARTHRO KNIFE $308.00 27001692 LASER TUBING $21.00 27001693 LASER FILTER SMOKE EVAL $738.00 27001694 LASER TUBING ADAPTER $8.00 27001697 STANDARD NOZZLE $93.00 27001718 S&N C-ARM DRAPE $19.00 27001719 PROCANTERIC WIRE $30.00 27001720 MASK INFANT NO REBREATHER LF $19.00 27001721 EBL BALLOON EXT 8FR $361.00 27001722 PEAK PLASMA BLADE $890.00 27001723 UNDERBUTTOCK DRAPES $11.00 27001727 EBL BALLOON EXT 5FR $361.00 27001730 OR GUIDE WIRE PLUS 480 $319.00 27001731 ECRP-1 STANDARD TIP $150.00 27001742 ARTHREX ACP DOUBLE SYRINGE $375.00 27001744 ENT TUBE INSERTER 1352237 $760.00 27001751 STRYKER SPEED GUIDE DRILL 2.6 $529.00 27001752 STRYKER DRILL BIT 2.6 $411.00 27001756 REDI TIP $15.00 27001770 FILIFORM SPINAL 6FR $41.00 27001771 CATHETER URETERAL CONE 8FR $40.00 27001772 CATHERTER URETERAL CONE 10FR $40.00 27001773 CATHETER URETERAL CONE 12FR $40.00 27001775 TUBE MILLER ABBOTT $253.00 27001783 PLASTIBELL 1.3 CM $17.00 27001785 FLOSEAL 5ML HEMOSTATIC MATRIX $514.00 27001793 ENDOBUTTON CL ULTRA PAC 1.2 $890.00 27001797 CANNULA ADAPTER 14MM $28.00 27001814 GUIDE WIRE PEG HAND DOME $531.00 27001815 GUIDE WIRE PEG SOFT DOME $531.00 27001821 BUR SIDE CUTTING $35.00 27001824 KERLIX $2.00 27001826 MASK BILI $13.00 27001846 S&N ACCU-PASS CRESCENT SUTURE $318.00 27001847 S&N RAP-PAC $650.00 27001859 DEFIBRILATOR PAD $20.00 27001865 TUBE CORPAK GASTROSCOPY $192.00 27001869 HIBICLENS FOAM 4 OZ BOTTLE $8.50 27001894 SET EXTENSION ANESTH $12.00 27001917 PICC LINE PREP TRAY $282.00 27001920 STRYKER TWIST DRILL $258.00 27001952 S&N ULTRABUTTON ADJ. FIXATION $850.00 27001962 MASK ANESTHESIA CHILD PREM T $7.00 27001993 5 IN. 1 CONNECTOR NEW $19.00 27002014 MALYUGIN RING $313.00 27002019 SET INFUSION WINGED SAF-T 25G $5.00 27002041 PVP PREP SOLUTION $4.00 27002058 SUTURE 2-0 VICRYL CT J357H $10.00 27002060 PENROSE DRAIN 1/2 X 18 $4.00 27002073 FEMORAL HEAD $937.00 27002084 PUPIL DILATOR $1,788.00 27002091 ALLIS FORCEPS A4649 $43.00 27002092 UNIVERSAL FILL KIT $150.00 27002094 BONE MARROW TRAY $126.00 27002095 SUTURE 2-0 VICRYL CTX J979H $10.00 27002096 SUTURE 0 VICRYL CT1 J946H $8.00 27002123 PROCELLERA JUMPSTART $63.00 27002133 TORNIER HEX DRIVER BIT $304.00 27002134 WHITE/GREEN BRAIDED PTFE $238.00 27002154 ARTHREX CANNULA TWIST-IN $63.00 27002157 WATER CHAMBER $38.00 27002158 ONE WAY VALVE MOUTHPIECE $5.00 27002167 HEMASTAT STRAIGHT 4 3/4" $25.00 27002197 S&N BIRAPTR 2.3 PK SUTURE ANCH $783.00 27002206 METZENBAUM SCISSORS A4649 $156.00 27002228 SUTURE 0 PLAIN FN2 N864H $8.00 27002252 SUTURE 2-0 STEEL FSLX 618G $8.00 27002283 KELLY CURVED $28.00 27002288 WIRE TIP ELECTRODE $451.00 27002293 PADDING CAST WEBRIL II 4 $6.00 27002302 NASOPHARYNGEAL 32 FR $20.00 27002309 SYRINGE 3CC 23 X 1 $4.00 27002310 LOSS OF RESISTANCE SYRINGE 10 $6.00 27002324 CABLE WOLF $471.00 27002357 BIPAP CIRCUITS $29.00 27002360 SYNTHES GUIDE WIRE C1769 $140.00 27002384 NEEDLE HOLDER V.M. $108.00 27002385 MASK HEALTHDYNE SOFT $213.00 27002386 MASK HEALTHDYNE WIDE $213.00 27002388 SPATULA $638.00 27002389 HOOK $638.00 27002391 TRUMPET SECTION $644.00 27002408 HEATED CIRCUIT VENT NEW $52.00 27002412 ARTHREX CANNULATED DRILL 2.0 $438.00 27002415 TORNIER GUIDE WIRE $578.00 27002416 TORNIER DRILL BIT 3MM $201.00 27002421 BI POLAR CORD $410.00 27002431 KOKO FILTERS $8.00 27002433 BREATHING BAG $57.00 27002452 SKIN HOOK #2 $82.00 27002453 SKIN HOOK CONVERSE $180.00 27002513 BIOMET 3.2 CENTRAL SCREW DB $305.00 27002516 SPACEMAKER PLUS HERNIA DISSECT $1,668.50 27002527 SEAL EXTERNAL FIX $21,136.40 27002528 SEAL EX FIX 3MM X 80MM X 20 $375.00 27002529 SEAL RAIL BODY COMPLETE - S $5,000.00 27002530 SEAL RAIL CLAMP COMPLETE $1,000.00 27002531 EXTERNAL FIXATOR - SEAL $41,250.00 27002532 PARAGON DRILL $410.00 27002533 WRIGHT IGNITE POWER MIX KIT $5,288.00 27002534 WRIGHT MEDICAL SAW BLADE $430.00 27002539 PRO-TOE VO DISP INSTRUMENT KIT $663.00 27002541 ACCUTOME DISP CAUTERIES $18.00 27002579 SUTURE 3-0 VICRYL 1/3 J634H $10.00 27002599 MOSQUITO FORCEP A4649 $26.00 27002604 BEAVER HANDLE $96.00 27002628 STERI STRIP $7.00 27002632 DRILL BIT 4.3 LOCKING, SHORT $654.10 27002634 CUFF HOSE $175.00 27002637 RECEPTAL CANNISTER $127.00 27002652 SUTURE 0 CHROMIC CT1 812H $8.00 27002659 BIOMET OXFORD SAWBLADE $2,125.00 27002722 ENDOCLIP APPLIER LAR $1,745.00 27002736 PREVENA DISP WOUND VAC $1,238.00 27002749 BOVIE CORD COLONOSCOPE SNARE $164.00 27002790 SUTURE 4-0 CHROMIC PS4 1643G $14.00 27002813 ARTHREX COUNTERSINK 3.0 $438.00 27002824 SENN RETRACTOR A4649 $74.00 27002871 PREVENA PLUS DRESSING $1,625.00 27002941 MASK INFANT $12.00 27002944 LARYNGOSCOPE HANDLE $140.00 27002945 PROVOX LARYTUBE $416.00 27002951 PARAGON CANNULATED DRILL 2.0 $563.00 27002956 TRANSPORT CIRCUIT $29.00 27003038 BUR 3MM COURSE DIAMOND $256.00 27003041 POUCH ONE PIECE $11.00 27003042 MYRINGOTOMY KNIFE $25.00 27003104 BLADE SAW OSCILLATING 5071-201 $609.00 27003117 SYRINGE INSULIN 100U $4.00 27003125 DRILL BIT NON-LOCK 2.5 $664.00 27003145 BLADE OSCILLATOR 19.5 X 63 $57.00 27003163 FLANGE MOUTHPIECE $12.00 27003165 SUTURE ANCHOR PEEK CORKSCREW C1713 $750.00 27003174 ARTHREX ACP KIT $438.00 27003190 COMPRESSION PUMP TUBING $186.00 27003196 MYRINGOTOMY BLADE $44.00 27003197 ULTRATAPE 2MM BLUE 38 $750.00 27003200 VASCULAR TIE DOWN BLUE MAXI $8.00 27003201 ARTHREX SHORT DRILL KIT $263.00 27003204 ARTHREX SUTURE ANCHOR 4.75 $1,175.00 27003205 ARTHREX SUTURE TAPE 1.3 $175.00 27003206 SUTURE SNARE PASSER 90 DEG $688.00 27003213 S&N Q-FIX IMPLANT CO-BRAID C1713 $750.00 27003219 SUTURE 2 ETHILON LR 490T $14.00 27003221 NASAL SPECULUM KILLIAN XL $388.00 27003236 TORNIER PIN $210.00 27003241 BIOCOMPOSITE SUTURE ANCHOR $1,000.00 27003242 BIOCOMP SWIVELOCK SUTURE ANCHO $1,063.00 27003256 CORNEAL VACUUM PUNCH $313.00 27003261 GUIDEWIRE .45 $110.00 27003262 ZIMMER HUMERAL SCREW KIT $975.00 27003265 INCREMENTING PRASS PROBE $433.00 27003273 CAP BIOPSY PORT STERILE $63.00 27003276 APNEA KIT LG ELECTRODE $95.00 27003284 UAC CANNISTER $129.00 27003285 VAC DRESSING KIT SM $109.00 27003288 PREVENA WOUND VAC DISPOSABLE $1,238.00 27003333 PRESSURE INFUSOR 500ML $47.00 27003334 PRESSURE INFUSOR 1000ML $48.00 27003362 TIGHT CURVED LASSO 90 DEG. $400.00 27003396 SUTURE 0 PROLENE M06 CR-8 $47.00 27003397 SUTURE 4-0 EHTILON P3 691G $13.00 27003398 PARAGON KWIRE 1.2 $64.00 27003399 MONSTER CANNULATED DRILL $652.00 27003420 NEEDLE QUICK-CORE BIOPSY 19G $115.00 27003421 PARAGON OLIVE WIRE SMOOTH $295.00 27003422 PARAGON FLOUROBAND GUIDEWIRE $252.00 27003467 PROPEL SINUS STENT REGULAR $1,988.00 27003484 ARTHREX REAMER $250.00 27003612 ARTHREX FIBERTAK GUIDE 1.6 $263.00 27003621 S&N AMBIENT HIPVAC 50 IFS $1,250.00 27003652 S&N HEALICOIL W/ ONE ULTRATAPE $875.00 27003740 HUMIDIFIER 340ML $7.00 27003758 WRIGHT DRILL BIT REAMER $790.00 27003759 AMBU BAG PED $43.00 27003761 COBAN 1 $6.00 27003767 VAC DRESSING KIT MED $399.00 27003804 SUTURE 6-0 MILD CHROMIC CE2 $19.00 27003816 MASK POCKET W/ ONE WAY VALVE $53.00 27003833 SUTURE 2-0 SILK CR-8 CO16T $36.00 27003879 NEEDLE SPINAL 27X3.5 WHITACRE $29.00 27003903 SUTURE 5-0 MONOCRYL PCI 4834G $19.00 27003904 SUTURE MONOCRYL 4-0 PC3 4845G $19.00 27003924 SUTURE 0 SILK A186H $5.00 27003925 SUTURE 2-0 PERMA-HAND SILK $25.00 27003936 ELECTRODE DEFIB/PACING ECG $167.00 27003943 STAPLER PREM ECS 21 $1,343.00 27003946 FIBERTAK SUTURE ANCHOR $888.00 27003982 SUTURE VICRYL 1 J347H $10.00 27003985 PADDING CAST SPECIALIST 6 $29.00 27003997 VAC WHITE FOAM PADDING 1 $35.00 27004000 VAC CANNISTER $428.00 27004001 VAC DRESSING KIT SM $99.00 27004002 VAC DRAP $30.00 27004003 WRIGHT OLIVE STABILIZER $490.00 27004004 WRIGHT BONE REMOVAL SCREW $325.00 27004025 SUTURE 0 CHROMIR UR-5 U246H $10.00 27004031 KIT JUGULAR PUNCTURE $90.00 27004034 TRAY INFANT LUMBAR PUNCTURE $38.00 27004035 TURBINATE TRAY $30.00 27004057 MIXING BOWL $74.00 27004058 FILIFORM SPINAL TIP $48.00 27004095 SUTURE 10-0 NYLON CU-2 1982-01 $112.00 27004097 MEDIPORE CLOTH TAPE 1" $5.00 27004098 MEDIPORE CLOTH TAPE 2" A4450 $9.00 27004117 SUTURE RETENTION BOLSTER 450G $8.00 27004118 SUTURE 2.0 SILK FSL 677H $7.00 27004119 SUTURE 4.0 CHROMIC GUT 751C $14.00 27004120 SUTURE 1 CHROMIC GUT CP-1 975H $8.00 27004121 SUTURE 7.0 ETHILON P-1 1956G $15.00 27004122 SUTURE 3.0 ETHILON PC-5 1993G $15.00 27004123 SUTURE 5.0 PROLENE RB-1 875-6H $23.00 27004124 SUTURE 5.0 PROLENE C-1 8725H $22.00 27004125 SUTURE 5.0 PROLENE RB-1 8756H $15.00 27004126 SUTURE 4.0 PROLENE RB-1 8757H $15.00 27004127 SUTURE 1 PROLENE TP-1 8824H $7.00 27004128 SUTURE 3.0 SILK A304H $10.00 27004129 SUTURE 2.0 SILK A305H $10.00 27004130 SUTURE 5MM MERSILENE CTX R522 $93.00 27004131 SUTURE 2.0 PLAIN GUT S103H $8.00 27004132 SUTURE 1 CHROMIC GUT S115H $7.00 27004134 SUTURE 1 CHROMIC GUT SG15T $27.00 27004135 SUTURE 2.0 CHROMICGUT UR5 U24H $10.00 27004137 DRILL BIT LOCK SHORT 3.1MM $597.00 27004171 SUTURE VICRYL J849G $28.00 27004172 NASO PHARYNGEAL AIRWAY LATEXFR $7.00 27004179 EAR ELECTRODE $80.00 27004180 CONTROLLEDRAD EXPDILATION CATH $862.00 27004198 S&N KNOTLESS SUTURE ANCHOR $2,750.00 27004204 DISK ELECTRODE 9MM $28.00 27004208 TONSIL SWANE WIRE 528 $5.00 27004211 PLEDGET CARDIOVASCULAR TEF 7.0 $10.00 27004212 PLEDGET CARDIOVASCULAR TEF 9.5 $15.00 27004215 GUIDE WIRE .34 $55.00 27004233 FINGER COT PADDED SM $6.00 27004234 FINGER COT PADDED MED $6.00 27004235 FINGER COT PADDED LG $6.00 27004236 SPLINT FROG PADDED SM $8.00 27004237 SPLINT FROG PADDED MED $8.00 27004238 SPLINT FROG PADDED LG $8.00 27004239 SPLINT BASEBALL PADDED SM $8.00 27004240 SPLINT BASEBALL PADDED MED $8.00 27004241 SPLINT BASEBALL PADDED LG $12.00 27004288 MASK AEROSOL ADULT $5.00 27004302 BLADE MICRO OSCILLATOR $164.00 27004303 TUBING VACUUM $21.00 27004315 PADDING CAAST SPECIALIST 4 $21.00 27004321 IPRISM CLIP - DR PAREKH $750.00 27004351 WOUND DRAINAGE DEVICE $63.00 27004356 TENT CUBE DISP 12X12X12 $33.00 27004388 SUTURE 2.0 VICRYL TP-1 J880T $22.00 27004389 SUTURE 0 VICRYL GS-25 J978H $10.00 27004422 OCUCOAT $86.00 27004478 BLADE MICRO SAGITTAL 9.5X25.5 $164.00 27004500 TROCAR 12MM $455.00 27004501 RING CLOSED HEAD ADOLESENT $249.00 27004502 RING CLOSED HEAD ADULT $286.00 27004514 NDM ELECTRODE $3.00 27004515 FILIFOAM ST 2FR 13" PLASTIC $44.00 27004516 FILIFOAM STR 6FR 12" STERILE $44.00 27004517 FOLLOWER PHIL ST THREAD 12FR $54.00 27004518 INSERT JEW TEXTURE RUBBER 33MM $59.00 27004519 SUTURE 0 SILK FSL/C16/CE 680H $7.00 27004520 SUTURE 0 SILK KS/CS2/CS1 624H $7.00 27004521 SUTURE 4-0 PLAIN GUT $9.00 27004522 CANNULA TROUTMAN ALPHA CHEMO $136.00 27004547 SUTURE 0 VICRYL J287G $10.00 27004558 LEEP A AND PIECE $7.00 27004668 T.TUBE GOODE EWT $61.00 27004678 MONSTER SCREW DRILL $518.00 27004680 PROVIDEN PUMP SET W/QKLD .2FTR $60.00 27004709 SPECULUM VAGINAL FOR LEEP F205 $640.00 27004710 VAG. SPEC LRG $63.00 27004711 STOCKINETTE 3 LF $73.00 27004799 MASK LARYNGEAL S23 $41.00 27004800 MASK LARYNGEAL S24 $41.00 27004801 MASK LARYOGEAL 52 5 $41.00 27004806 DEFIB PAD LIFE PACK 12 ADULT $118.00 27004807 DEFIB PAD LIFE PACK 12 PADS $118.00 27004811 FORCEPS BIOPSY DISP UPPER/LOWR $82.00 27004812 INTELIJET CANN REPLACEM FLUID $54.00 27004819 BITE BLOCK LF W/STRAP $13.00 27004851 SPLINT THUMB PERFORATED UNIO $36.00 27004861 INCISOR PLUS ELITE LONG $80.00 27004862 SNARE ELECTROSURGICAL 15MM $41.00 27004875 TRAY NERVE BLOCK $32.00 27004876 DRAIN 1/4 OVAL SYL PERFORATED $72.00 27004877 END TIDAL CO2 DETECTOR $37.00 27004883 TUBING SILICONE 10 $155.00 27004895 SEPANATOR $992.00 27004923 CERVICAL WAND $3,653.00 27004929 TONSIL SWARE WIRE 52 7 $5.00 27004930 SUTURE 1 VICRYL TP-1 2880G $19.00 27004931 S&N BURR 5.5 ABRADER $100.00 27004932 DISPOSABLE FALOPE RING KIT $286.00 27004940 MASK NASAL LG W/ATTACHED HEADG $69.00 27004944 POWDER TOPICAL NOSE BLEED $15.00 27004945 POWER TOPICAL EXT BLEEDING $11.00 27004951 BURR OVAL MED 4 X 8 CARBIDE $48.00 27004958 SPECIMEN RETREIVAL BAG 4X6" $384.00 27004959 TROCAR ENDOPATH XCEL BDLESS 5 $194.00 27004960 TROCAR ENDOPATH XCEL BDLESS 11 $250.00 27004961 ELECTRODE LAPROSCOPIC SPATULA $109.00 27004962 ELECTRODE LAPROSCOPIC HOOK $109.00 27004997 STOCKINETTE IMPERVIOUS $17.00 27005004 WIPE ANTIMICROBIAL PCMX SANI-D $4.00 27005016 GAS SAMPLING LINE M/M LURR 10 $5.00 27005053 TROCAR ENDOPATH BDLESS 5MM 150 $226.00 27005093 5.0 MM BIO-CORKSCRW SUT ANCHOR $1,104.00 27005106 SURGILUBE 3GM FOIL PACKET $3.00 27005108 SUTURE 0 VICRYL CT-1 J947H $10.00 27005128 BANDAGE COMPRESSION KNEE WRAP $134.00 27005134 SUTURE 1-0 VICRYL CTXB JB977 $11.00 27005135 SUTURE 3-0 VICRYL CTB-1 JB944 $11.00 27005136 S&N STONE CUTTER BLADE $113.00 27005140 MAYO STAND COVERS $7.00 27005154 NEEDLE RF ZIG STRAIGHT 100MM $96.00 27005155 NEEDLE RF CURVED ZOG 100MM $113.00 27005156 NEEDLE RF CURVED ZOG 145MM $113.00 27005157 PAD GROUNDING $44.00 27005161 GRASPER ENDO 10MM RATCH ADVIL $380.00 27005197 SUTURE MONOCRYL 2-0 Y945H $6.00 27005198 SUTURE 2.0 VICRYL CT-1 J9454 $7.00 27005199 SUTURE 2-0 PDS II Z969H $7.00 27005200 SUTURE 2-0 PDS II Z466H $7.00 27005220 SET ENTERAL PUMP ROSS $10.00 27005221 ELECTRODE TRANSVEN PACING 5FR $468.00 27005226 SNARE ELECTROSURGICAL 25 MM A4649 $31.00 27005231 DRAPE IOBAN 2 EZ $28.00 27005241 STRYKER STOP DRILL BIT 2MM $303.00 27005250 QUICK CARE BIOPSY NEEDLE $155.00 27005307 ISOLATION DRAPE $90.00 27005345 ETHICON LIGAMAX 5MM $368.00 27005346 PULSAVAC TIP LONG $55.00 27005347 PREP KIT $519.00 27005357 SUTURE VICRYL CTD 4-0 SH J415H $4.00 27005379 ICE PACK LG $5.00 27005385 VISCOAT $180.00 27005386 VISIONBLUE OPHTH. DYE $129.00 27005389 HARMONIC LAP SHEARS SHORT $787.00 27005390 HARMONIC FOCUS SHEARS $1,375.00 27005407 MESH SURGICAL PROCED 4X8 $1,013.00 27005415 BILATERAL LIMB SHEET $24.00 27005416 COTTON ROLL LARGE $19.00 27005423 RESISTICK II COATED BOVIE TIP $13.00 27005458 ENDO UNIVERSAL 65 DEG 4.8MM $1,497.00 27005459 MULTIFIRE ENDO HERNIA RELOAD $292.00 27005470 SUTURE 0 VICRYL VCP334 $5.00 27005478 ARTHREX PROFILE DRILL 2.5 $375.00 27005512 BARD DISP BIOPSY INSTRUMENT $139.00 27005516 VIENNA NASAL SPECULUM MEDIUM A4649 $305.00 27005528 MEDICINE GLASS 30ML A4649 $1.80 27005536 RECIPROCATING SAW BLADE $90.00 27005566 MINI SPIKE DISPENSING PIN $27.00 27005581 SUTURE 2-0 VICRYL CT-1 J259H $4.00 27005582 STRYKER SAW BLADE $121.00 27005583 STRYKER SAGITTAL BLADE 19.5 $135.00 27005588 S&N FEMORAL CANAL BRUSH $25.00 27005593 BOS SCI ALLIAN 2 INFLAT SYRING $83.00 27005594 BOS SCI CRE BALLOONS 10,11,12 $799.00 27005605 S&N SUTURE RETRIEVER $109.00 27005609 J&J FLEX ARTICULATING ENDOSCOP $793.00 27005610 BONE WAX $12.00 27005611 IN2BONES CRUSH MIX PUTTY 2.5CC C1713 $225.00 27005612 IN2BONES REAMER/COUNTERSTICK $375.00 27005613 IN2BONES VITRIUM E INSTRUMENTS $375.00 27005618 STRYKER OTIS MED SAW BLADE $158.00 27005619 ADULT DONUT PHAT PAD $240.00 27005644 ENDO STITCH SUTURING $714.00 27005645 ENDO STITCH RELOAD $145.00 27005646 DEBAKEY TISSUE FORCEPS A4649 $333.45 27005648 ARROW LAP CHOLANGIOGRAPHY SET $201.00 27005650 SUTURE 3-0 ETHILON PS-2 1669H $22.00 27005651 SUTURE 3-0 MONOCRYL $4.00 27005652 SYNTHES HELICAL BLADE $1,638.00 27005661 ZIMMER K-WIRE .045 C1713 $31.00 27005662 ZIMMER K-WIRE 1.25 DIA $96.00 27005663 MEDIUM MINI FIXATOR KIT $2,924.00 27005667 STIMEX INSULATED NEEDLE $9.00 27005676 SYNTHES GUIDE WIRE 3.2MM C1769 $309.00 27005678 REAMER / GUIDE ROD 2.5 MM $410.00 27005695 J&J CON CURVED CUTTER STAPLER $1,214.00 27005702 DRILL BIT 2.5 MM DIA $250.00 27005714 SUTURE 0 VICRYL J958H $12.00 27005790 DRAPE SURGICAL STERI-DRAPE $7.00 27005799 FIBEROPTIC BRONCHOSCOPE $15.00 27005835 TROCAR BLADELESS XCEL $161.00 27005841 GASTROSTOMY TUBE KIT 18FR 20ML $338.00 27005842 S&N BICEPTOR KIT $918.00 27005849 ADAPTER WIRE HEATED HUMIDIFIER $177.00 27005888 STRYKER SAW BLADE TPS DRILL $119.00 27005892 STRYKER EGG BUR $201.00 27005893 RASP STRYKER $360.00 27005894 STRYKER CANNULATED TWIST DRIL $654.00 27005895 STRYKER THIN CEMENT NOZZLE $54.20 27005896 STRYKER MINI T9 DRIVER BLADE $421.00 27005903 PLANTER FACIAOTOMY KIT $738.00 27005912 S&N 2.0MM FULL RADIUS $190.00 27005913 S&N DYONICS II SHAVER $170.00 27005914 S&N 3.5MM FULL RADIUS $195.00 27005915 S&N FLEXIBLE DRILL $375.00 27005916 S&N INFLOW/OUTFLOW TUBE SET $197.00 27005918 S&N MICRO-ABLATOR W/SUCTION $540.00 27005921 S&N TENDON STRIPPER $1,665.00 27005923 GREAT TOE M-P JOINT BIOPRO $2,461.00 27005924 S&N WASHER LRG $56.00 27005928 S&N INCISOR $171.00 27005930 S&N ULTRABRAID 2 SUT COBRAID $6.00 27005931 S&N ACROMIONIZER 4.0MM $171.00 27005937 SCOTCHCAST 2X10 $10.00 27005940 STRYKER ROUND BUR CARBIDE $47.00 27005963 LONESTAR RETRACTOR RING $144.00 27005967 SUTURE RETRIEVER HOFFE BLUE $124.00 27005971 INGE LAMINA SPREADER $720.00 27005976 SUTURE 3-0 MERSILENE R832H $6.00 27005978 SUTURE VICRYL 0 $35.00 27005981 STRYKER SPEED DRILL BIT $369.00 27005992 SUTURE VICRYL 1 $6.00 27005993 SUTURE 2-0 POLYSORB $12.00 27006004 STRYKER T-5 HOODS $95.00 27006006 MEDTRONIC MEROPACK NASAL DRESS $273.00 27006012 SMOKE EVACUATION PENCIL $63.00 27006023 SUTURE MONOSOF 4-0 SN662 $10.00 27006025 J&J ENDOSHEARS 5MM $1,416.00 27006026 OSTEOTOME RACK $73.00 27006043 S&N VERSAJETHANDPIECE 45DEG $1,488.00 27006044 S&N VERSAJET HANDPIECE 8MMX45 $1,688.00 27006045 S&N VERSAJET EXACT HANDPIECE A9270 $8,438.00 27006046 AQUAMANTIS HANDPIECE $998.00 27006088 MONOCRYL 0 SUTURE $5.00 27006114 I/A HANDPIECE - PAREKH $58.00 27006115 CRESCENTIC BLADE $268.00 27006116 STRYKER DRILL BIT $152.00 27006117 B&L I/A HANDPIECE 45 DEG $69.00 27006118 STRYKER DRILL BIT 2.5 $296.00 27006119 STRYKER DRILL WL70MM 2.6 $438.00 27006120 STRYKER CANNULATED DRILL 2.1 $556.00 27006121 STRYKER DRILL BIT 3.2/4.3 $478.00 27006122 STRYKER DRILL, AO SMALL $410.00 27006137 SYNTHES DRILL BIT 3.5MM DIA $241.00 27006140 TINCTURE IODINE 2% $1.20 27006146 S&N BAYONET POINT GUIDE PIN $96.00 27006148 BIOMET BONE PUTTY PLUS 2CC $1,797.00 27006150 ORTHOHELIX SCREW CANULATED C1713 $449.00 27006173 ELEVATED RIM INSERT 36MM C1776 $4,016.00 27006174 SYNTHES SPEED DRILL KIT 2.65MM $1,125.00 27006175 SYNTHES DRILL BIT 1.5 $240.00 27006176 SPEEDSHIFT OFFSET SIZING TOOL $150.00 27006184 BIOMET CANNULATED DRILL BIT $481.00 27006186 BIOMET COUNTERSINK C1713 $555.00 27006187 BIOMET K-WIRE PACK $320.00 27006198 SYNTHES CANNULATED DRILL BIT $1,576.00 27006210 ORTHOHELIX HEX DRILLER $1,108.00 27006214 S&N ACCU-PASS DIRECT CRESCENT $688.00 27006215 BIOMET OSTEOSPONGE STRIP $3,692.00 27006216 BIOMET BONE PUTTY/CHIP 10CC $5,179.00 27006217 ORTHOHELIX GUIDE WIRE THREAD C1769 $85.00 27006230 MMI GUIDE WIRE C1769 $94.00 27006231 MMI LOWER EXTREMITY KIT $496.00 27006233 EX FIX FIBER GLASS BAR $347.00 27006234 BIOMET BONE PUTTY 5CC $2,551.00 27006236 ZIMMER FIBER GLASS BAR $328.00 27006238 ORTHOHELIX K WIRE C1769 $40.00 27006245 MINI NON THREADED KWIRE $64.00 27006254 S&N FOOTPRINT ULTRA PK SUTURE C1713 $1,206.00 27006255 S&N TWINFX ULT PK SUTURE ANCHR $1,497.00 27006264 SYNTHES THREADED GUIDE WIRE $140.00 27006270 HOWMEDICA DRILL BIT $392.00 27006271 HOWMEDICA ASNIS MICRO KWIRE C1713 $71.00 27006272 HOWMEDICA K-WIRE C1769 $130.00 27006273 ZIMMER DERMATOME BLADE $76.00 27006274 ZIMMER PIN CLAMP 2-BAR A4649 $3,600.00 27006275 ZIMMER PIN CLAMP 1-BAR A4649 $3,240.00 27006276 ZIMMER GLASS FIBER BAR A4649 $585.00 27006277 SYNTHES K-WIRE 1.6 $27.00 27006278 SYNTHES GUIDE WIRE C1769 $134.00 27006279 ZIMMER BAR TO PIN CLAMP 3-D A4649 $1,521.00 27006280 ZIMMER GUIDE WIRE BALL TIP C1769 $306.00 27006281 ZIMMER BALL TIP GUIDE WIRE 3.0 $192.00 27006282 ZIMMER SUBCHONDROPLASTY KIT $8,738.00 27006283 SUBCHONDROPLASTY KNEE KIT $8,238.00 27006284 ARTHREX BIO TENODESIS DESP KIT $770.00 27006285 CURVE STRAIGHT QUICKPASS 90 $400.00 27006286 ARTHREX ACL KIT $588.00 27006301 STRYKER CRESCENTIC BLADE $266.00 27006324 STRYKER 2MM CALIBRATED REAMER $619.00 27006325 MINI 2.1MM CANNULATED $449.00 27006331 EBI 2.5 DRILL BIT A4649 $625.00 27006336 S&N DRILL AND GUIDE $249.00 27006337 S&N FIRSTPASS ST SUTURE PASSER $400.00 27006352 SYNTHES DRILL BIT 3 FLUTE $626.00 27006356 DRILL BIT MINI QUICK COUPLING A4649 $213.00 27006359 SYNTHES THREADED GUIDE WIRE C1769 $241.00 27006387 S&N ABRADER DYONICS SHAVER $134.00 27006388 Q-FIX DISP HIP KIT $350.00 27006389 S&N BURR ABRADER $100.00 27006393 S&N SHOULDER SUSPENSION KIT $193.00 27006421 SYNTHES DRILL BIT 2.5MM $228.00 27006432 ZIMMER RADIOPAQUE BONE CEMENT C1713 $806.00 27006469 SYNTHES GUIDE WIRE 1.6MM C1769 $512.00 27006479 SYNTHES GUIDE WIRE 3.2x290MM C1769 $315.00 27006481 SYNTHES THREE-FLUTED DRILL BIT $985.00 27006483 ETS45 RELOAD 2.0MM $314.00 27006485 S&N CANN DRILL BIT 4.5 $336.00 27006503 ZIMMER PATELLA REAMER BLADE $389.00 27006504 ZIMMER GUIDE WIRE 2.4MM DIA C1769 $84.00 27006517 SYNTHES K-WIRE 2.O C1713 $271.00 27006537 CLIPVAC DISPOSABLE HOSES $23.00 27006539 S&N TWIST DRILL FLEX CRVD $468.00 27006540 LEG HOLDER PAD $94.00 27006590 STRYKER DISP FLTD HEADLS PINS $1,887.00 27006606 SYNTHES DRILL BIT 2.8 $598.00 27006608 ARTERIOCYTE 1 SOURCE KIT $803.00 27006622 SYNTHES DRILL BIT 1.8 $514.00 27006631 SUTURE 2-0 PROLENE CT-1 8423H A4649 $6.00 27006633 S&N BIORAPTOR CRV PK $892.00 27006634 S&N TAPERED HOLE COVER INSERT $47.70 27006635 S&N FLEXIBLE PASSING PIN $319.00 27006636 S&N ARTHROSCOPIC NEEDLE XL $180.00 27006659 S&N FOOTPRINT ULTRA SUT 5.5 $1,070.00 27006662 S&N AWL STRGHT DISPOSABLE $113.00 27006671 BIOMET ULTRA DRIVE TOOL $1,862.00 27006711 BARD MRI PORT TITANIUM 8 FR C1788 $744.00 27006783 SUTURE 4-0 VICRYL RAPIDE $13.00 27006786 S&N TWINFIX ULTRA SUT 6.5 $840.00 27006787 S&N DISPOSABLE FACE MASK $74.00 27006788 DISPOSABLE KIT FOR SHOULDER $350.00 27006820 TX1 TISSUE REMOVAL KIT $1,844.00 27006832 ZIMMER QC DRILL BIT $203.00 27006842 ELEVATED RIM LINER 32MM $2,449.00 27006847 S&N SHOULDER STAB KIT $164.00 27006848 S&N WHITE FOAM INSERT $49.00 27006853 S&N TWINFIX ULTRA HA 5.5 $1,017.00 27006872 ANTERIOR CHAMFER REAMER $2,274.00 27006874 ARTHREX DISTAL BICEP SYSTEM $3,251.00 27006875 ARTHREX REVERSE CUTTING NEEDLE $50.00 27006879 S&N ULTRABRAID 2 SUTURE $56.00 27006900 S&N FAST-FIX SLOTTED CANNULA $389.00 27006901 S&N DYONICS HOOK 30 DEG $482.00 27006902 S&N ULTRA FAST FIX NEEDLE SYS $888.00 27006903 S&N ULTRA FAST-FIX STRAIGHT A4649 $753.00 27006904 STRYKER MED NANN BLADE $48.00 27006905 S&N FAST-FIX 360 CURVED NEEDLE A4649 $1,130.00 27006906 S&N FAST-FIX STRIGHT NEEDLE $1,187.00 27006912 J&J SUTURE GRASPER $675.00 27006925 ARTHROCARE MEGAVAC 90 DEG $450.00 27006927 S&N SWITCH DRAPE TENET $107.00 27006957 HOWMEDICA GUIDE WIRE BALL-TIP C1769 $717.00 27006958 STRYKER REAMER SHAFT MOD TRINK $1,210.00 27006959 STRYKER REAMER SHAFT, AO FIT $663.00 27006973 S&N BICEPTOR KIT $953.00 27006974 S&N DRILL TIP GUIDE WIRE C1769 $165.00 27006975 S&N ACCU-PASS SUTURE SHUT 45 D $330.00 27006976 S&N ACCU-PASS SHUTTLE STRAIGHT $333.00 27006977 S&N ACCU-PASS BIG CURVE SS $318.00 27006996 ARTHREX PASSPORT CANNULA $150.00 27007007 ARTHREX MULTIFIRE SCORP NEEDLE $649.00 27007028 ARTHREX LASER LND DRILL BIT $228.00 27007029 ARTHREX CANN DRILL BIT $309.00 27007030 ARTHREX GUIDE PIN $54.00 27007031 ARTHREX K-WIRE 1.6MM $65.00 27007032 ARTHREX BALL WIRE 1.6MM $225.00 27007083 BIOMET DRILL BIT FAST/DVR A4649 $298.00 27007084 BIOMET TRAUMA DRILL BIT 2.7 $255.00 27007085 BIOMET CALIBRATED DRILL BIT $410.00 27007086 ULTRA DRIVE TIP EXTENDER $2,100.00 27007094 ARTHREX STAR SLEEVE VELCRO $384.00 27007095 ARTHREX PT CANNULA $68.00 27007096 ARTHREX 25 DEGREE TIGHT RT LAS $375.00 27007097 ARTHREX FIBERWIRE #2 $78.00 27007098 ARTHREX QUICKPASS LASSO $400.00 27007099 DRILL BIT 2.5 $125.00 27007102 FIBERWIRE #2 $50.00 27007103 FIBERWIRE 4-0 $49.00 27007104 FIBERWIRE 5-0 $90.00 27007118 OSTEOTOME BLADE 8MM $450.00 27007120 WRIGHT 2.7 TAP $155.00 27007132 2.7MM PERIPHERAL DRILL BIT $389.00 27007211 #5 FIBER WIRE $97.00 27007259 TOUNIQUET CUFF ATS $84.00 27007271 ARTICULAR SURFACE INSERTER TIP $147.00 27007284 SUTURE PROLENE 2-0 CT-2 $6.00 27007310 NEXTRA HAMMERTOE STERILE KIT $3,077.00 27007311 ZIMMER LOCKING DRILL BIT 2.0 $578.00 27007312 ZIMMER LOCKING DRILL BIT 2.7 $357.00 27007313 ZIMMER TRAUMA K-WIRE $140.00 27007314 ZIMMER TRAUMA CANN DRILL BIT $563.00 27007315 S&N DRILL 2.7MM $480.00 27007348 BIOPSY PUNCH A4649 $6.00 27007355 S&N LEG STABILIZATION KITS $229.00 27007356 S&N ENDOBUTTON CL ULTRA $830.00 27007357 S&N BIOSURE HA SCREW C1713 $675.00 27007358 S&N FULL RAD BONECUTTER $250.00 27007359 S&N GUIDE WIRE C1769 $115.00 27007360 S&N NEEDLE & SUTURE CAPTURE A4649 $375.00 27007361 S&N MENISCAL STITCHER NEEDLE $120.00 27007363 2.O CANNULATED DRILL BIT A4649 $1,355.00 27007365 SYNTHES 1.1MM GUIDE WIRE C1769 $95.00 27007366 HOWMEDICA CANNULATED DRILL BIT $1,053.00 27007367 SYNTHES TI SPIRAL BLADE $1,990.00 27007388 SUTURE 2-0 VICRYL J269 CT2 A4649 $4.00 27007393 RECIPROCATING BLADE $362.00 27007400 ARTHREX TIGER LOOP C1713 $121.00 27007407 SYNTHES DRILL BIT 2 $514.00 27007441 MEDARTIS DRILL BIT AO QC 1.6MM $282.00 27007442 NP GRIPPY SURGICAL MAT 40X30 $13.00 27007443 NP ABSORBENT SURGICAL MAT $14.00 27007444 ARTHREX DRILL PIN DISP KITS C1713 $728.00 27007445 NP SURGICAL FLOOR SKIMMER $35.00 27007449 OSTEOCHONDRAL FLAP REPAIR $784.00 27007450 NG STRIP HOLDER $6.00 27007452 DOUBLE ENDED K-WIRE C1769 $45.00 27007460 DVR CROSSLOCK 2.2MM DRILL BIT $151.00 27007461 BIOMET DRILL BIT 2.0/2.7 $160.00 27007462 BIOMET TRAUMA DRILL BIT 2.2MM A4649 $250.00 27007463 BIOMET JUGGERKNOT DRILL $330.00 27007464 BIOMET 4.0 DRILL BIT $317.00 27007465 BIOMET THREADED K-WIRE 1.6 C1713 $80.00 27007466 BIOMET K-WIRE 1.6 C1713 $82.00 27007467 DVR PLATE SIZING TEMPLATE A4649 $90.00 27007468 STRYKER SUCTION FLOORMAT $103.00 27007469 BIOMET DRILL BIT 2.8MM $190.00 27007470 TRI MED DRILL 2.4MM (PURPLE) $288.00 27007471 TRIMED FUSION CUP REAMER $500.00 27007482 SYNTHES DRILL BIT $246.00 27007522 SYNTHES DRILL BIT 2.5/2.8 $423.00 27007524 SYNTHES GUIDE WIRE 1.6 C1769 $130.00 27007540 WRIGHT K-WIRE C1713 $91.00 27007542 SILVERLON 10" $81.00 27007543 SILVERLON 12" $95.00 27007547 ANGIODYNAMICS GUIDE WIRE C1769 $76.00 27007575 ORTHO HELIX GUIDE WIRE 1.6 C1769 $52.00 27007578 SOLANA SURGICAL REAMER $630.00 27007584 STRYKER K-WIRE 3.2x450MM C1769 $498.00 27007585 STRYKER LOCKING DRILL BIT 3.1 $260.00 27007601 SHOULDER DRAPE STERI DRAPE $75.00 27007625 HEALICOIL REGENESORB SA $972.00 27007627 S&N SUTURE PASSER 12" STERILE $91.00 27007629 STERILE MODIFIED HALL REAMER $1,151.00 27007634 SUTURE PDS II 2-0 $6.00 27007635 SUTURE PDS II 5-0 $5.00 27007637 SUTURE MONCRYL 4-0 PS-2 $60.00 27007638 HOWMEDICA FIXATION RING (FULL) C1713 $2,198.00 27007639 SCOPE BRUSH HEDGEHOG DUAL END $6.00 27007640 DERMABOND PRINEO TAPE $373.00 27007641 HOWMEDICA FIXATION RING (OPEN) C1713 $2,051.00 27007642 HOWMEDICA FOOT FIXATION C1713 $2,930.00 27007644 ZIMMER OSTEOTOME BLADE 8MM $210.00 27007645 ORAL ENDO TUBE HOLDER FASTENER $23.00 27007651 POSEY EZ ON MITT $45.00 27007658 S&N TAPERED AWL 3.8 $129.00 27007659 SURGILAST DRESSING SZ 4 $109.00 27007660 SURGIGRIP BANDAGE 4 3/4" $404.00 27007662 SPEEDBAND SUPER 7 BAND LIGATOR $696.00 27007664 ARISTA 5G HEMOSTATIC AGENT $774.00 27007665 ARISTA 3G HEMOSTATIC AGENT $587.00 27007666 ENT FLEXTIP APPLICATORS $357.00 27007667 ENTELLUS XPRESS LOPRO $4,563.00 27007670 FEMALE CATH KITS $5.00 27007671 NEEDLE SPINAL 25x3.5 WHITACRE $12.00 27007679 COMPLIANCE ENDO KIT $26.00 27007688 MEDARTIS K-WIRE 1.6MM C1713 $73.00 27007712 S&N PIN PASSING 2.4MM C1713 $311.00 27007713 HOWMEDICA DRILL BIT 4.2x340MM $728.00 27007721 COMP. SCREW CANNULATED DRILL $669.00 27007727 S&N WRIST STABILIZATION KIT $180.00 27007728 S&N VULCAN MICRO-TAC PROBE $921.00 27007731 HOWMEDICA FIXATION WIRE DP C1713 $176.00 27007732 HOWMEDICA PATELLA CUTTER $832.00 27007733 HOWMEDICA WIRE BOLT C1713 $169.00 27007734 HOWMEDICA WIRE BOLT ADAPTER C1713 $440.00 27007735 HOWMEDICA APEX PIN ADAPTOR C1713 $660.00 27007736 HOWMEDICA APEX PIN BOLT C1713 $352.00 27007737 HOWMEDICA CONNECTING FIX NUT C1713 $36.00 27007749 CAST PADDING WEBRIL II 2" $4.00 27007753 PRECISION CUTTING CARTRIDGE $469.00 27007757 ROCKER CAST SHOE SMALL $17.00 27007758 ROCKER CAST SHOE MEDIUM $17.00 27007759 ROCKER CAST SHOE LARGE $17.00 27007760 ROCKER CAST SHOE XLARGE $17.00 27007763 ZIMMER DRILL BIT Q-C 3.2 $203.00 27007764 ZIMMER TM REVERSE 2.5 DRILL $450.00 27007778 SUTURE ETHIBOND 2 $6.00 27007779 SUTURE VICRYL 2-0 J869H $5.00 27007780 SUTURE 1 VICRYL J268H $5.00 27007781 SUTURE 2 VICRYL J649G $34.00 27007787 ORTHO HELIX DRILL BIT 2.3 $592.00 27007793 SYNTHES HELICAL BLADE $2,306.00 27007798 S&N GUIDE WIRE 1.2MM C1769 $101.00 27007819 SPECIMEN TRAP EASE QUAD $14.00 27007820 SPECIMEN TRAP EASE SINGLE $6.00 27007827 CANNULATED SCREW DRILL SYSTEM C1713 $669.00 27007830 BIOMET SOLID DRILL 2.9 $293.00 27007847 LARGE OVAL SNARE $36.00 27007855 NASAL ETCO2 CANNULA ADULT $7.00 27007863 STRYKER PRECISION BLADE $1,057.00 27007875 KING VISION STANDARD BLADE #3 $63.00 27007880 ALL-STR ANCHOR W/1 ULTRBRD #2 C1713 $803.00 27007881 S&N DRILL BIT 1.7MM A4649 $588.00 27007890 ZIMMER DRILL TIP GUIDE WIRE $713.00 27007891 ZIMMER OSTEOTOME BLADE $455.00 27007892 ZIMMER RADIAL OSTEOTOME BLADE $230.00 27007897 ZIMMER KIRSCHNER WIRE 0.062 C1713 $17.00 27007898 ZIMMER DRILL BIT 1.8 $384.00 27007899 MAGNETIC INSTRUMENT PAD $7.00 27007900 ZIMMER FREE HAND DRILL $261.00 27007901 HAMMER SPLINT $125.00 27007904 ANGIOCATH 14G x 3.25" C1729 $36.45 27007913 WRIGHT DRILL BIT AO A4649 $473.00 27007914 WRIGHT TIBIAL DRILL $593.00 27007918 SUTURE 3-0 ETHILON PC-5 1893G $10.00 27007919 SUTURE 7-0 ETHILON P6 1647G $9.00 27007920 SUTURE PROLENE 4-0 P-3 P-13 $10.00 27007921 SUTURE SILK 2-0 PS-2 P-12 $8.00 27007922 SUTURE MONOCRYL 3-0 RB-1 CV-23 $5.00 27007923 SUTURE MONCRYL 5-0 P-3 P-13 $11.00 27007924 SUTURE VICRYL 6-0 PC-1 PC-13 $10.00 27007925 SUTURE VICRYL 3-0 RB-1 CV-23 $5.00 27007926 SUTURE PLAIN 5-0 PC-1 PC-13 $14.00 27007927 SUTURE CHROMIC GUT 6-0 PS-6 $12.00 27007928 SUTURE CHROMIC GUT 5-0 P-3 $13.00 27007929 SUTURE 3-0 SURGILON CV23 $19.00 27007930 SUTURE 1 SURGIPRO GS26 CP824L $43.00 27007931 SUTURE 1 SURGIPRO GS21 CP425 $23.00 27007932 SUTURE SURGIDAC 5-0 SS-2 $105.00 27007933 SUTURE PLAIN 4-0 C-13 A4649 $25.00 27007934 SUTURE PLAIN GUT 6-0 CP-1 $35.00 27007935 ORTHO ACE BANDAGE 6 IN $24.00 27007947 SUTURE MONOCRYL 3-0 PS-2 $11.00 27007948 SUTURE PROLENE 3-0 V-20 $6.00 27007949 2-0 ABSORBABLE WOUND CLOSURE $109.00 27007950 3-0 ABSORBABLE WOUND CLOSURE $100.00 27007951 4-0 ABSORBABLE WOUND CLOSURE $97.00 27007961 ENDO TUBE ORAL RAE CUFFED A4649 $11.00 27007971 SURGIMESH XB TINTRACK7 C1781 $1,125.00 27007972 MEDIPORE SURG TAPE 2" x 10YD A4450 $9.00 27007973 MICROPORE TAPE 1" A4450 $2.00 27007974 MICROPORE TAPE 1/2" A4450 $1.00 27007976 NATRELLE GEL SIZER $625.00 27008011 DRILL BIT 2.0x100MM $273.00 27008013 SUTURE SILK 2-0 SA85H $6.00 27008014 POST OP BRA ALL SZ $41.00 27008019 MASTISOL 2 OZ $83.00 27008020 HOWMEDICA NEURO MATRIX C1713 $3,770.00 27008026 ZIMMER STANDARD DRILL TIP GW C1769 $166.00 27008027 ZIMMER DERMACARRIERS 2 $44.00 27008064 ZIMMER K-WIRE 1.6MM C1713 $225.00 27008065 ZIMMER CANNULATED DRILL BIT $867.00 27008088 BLUE SPONGE BOWL STERILE A4649 $1.90 27008089 TOOMEY SYRINGE 35CC $1.60 27008090 HOWMEDICA DRILL AO SMALL A4649 $730.00 27008096 SYNTHES GUIDE WIRE 2.0 C1769 $133.00 27008097 SYNTHES DRILL BIT 4.5 CANNULA $1,455.00 27008113 SUTURE SURGIDAC ENDO STITCH A4649 $126.00 27008114 SUTURE STEEL #7 $15.10 27008120 DIGIT WIDGET EXTERNAL FIXATION $3,688.00 27008148 BIOMET DRILL BIT 2.5 $273.00 27008160 SBI OSCILLATING BLADE $355.00 27008161 S&N TRUE PASS NEEDLE SINGLE $340.00 27008168 ARTHREX DRILL BIT A4649 $213.00 27008169 ARTHREX DRILL BIT 1.7MM $200.00 27008170 ARTHREX DRILL BIT 3.5 $198.00 27008171 ARTHREX MINI SUTURE TAK KIT $438.00 27008173 BIOSORBABLE SUSPENSION DEVICE A4649 $865.00 27008184 SUTURE SURGIPRO II 3-0 CV-23 A4649 $27.00 27008185 SUTURE SURGIPRO II 3-0 VP558X A4649 $54.00 27008195 STRYKER K-WIRE 0.045 $58.00 27008196 STRYKER K-WIRE 2.0 C1713 $35.00 27008197 STRYKER K-WIRE 1.6x150MM SS $19.00 27008208 STRYKER 2.O SPEEDGUIDE DRILL A4649 $650.00 27008209 STRYKER GUIDE WIRE 1.4 $213.00 27008236 DISPOSABLE B/P CUFF ADULT LONG $5.00 27008237 DISPOSABLE B/P CUFF ADULT REG $5.00 27008238 DISPOSABLE B/P CUFF SM CHILD $5.00 27008239 DISP B/P CUFF INFANT/CHILD $6.00 27008240 DISPOSABLE B/P CUFF THIGH $9.00 27008250 WRIGHT DRILL BIT 2.0 A4649 $473.00 27008251 WRIGHT 2.0MM DRILL BIT $668.00 27008252 WRIGHT CANNULATED HEAD DRILL $850.00 27008256 ACCUPORT DELIVERY SYSTEM $925.00 27008274 S&N SUTUREFIX ULTRA ANCHOR 1.7 C1713 $750.00 27008275 S&N ARTHROCARE SABER 30 DEG $1,055.00 27008289 LMA FLEXABLE A4649 $38.00 27008308 BIOMET TRAUMA DRILL BIT 3.2 A4649 $493.00 27008322 GASTROSTOMY TUBE KIT 22FR 20ML $338.00 27008326 BYRON LIPO SUCTION CANNULA #6 A4649 $438.00 27008327 COLORADO NEEDLE TIPS A4649 $119.00 27008328 DURASPHERE INECTION NEEDLE $50.00 27008345 BIOMET HIP CUP REMOVERS $2,500.00 27008349 ZIMMER Q/C CANNULATED DRILL A4649 $1,386.00 27008353 ZIMMER K-WIRES TROCAR POINT C1713 $139.00 27008354 ZIMMER K-WIRE 3.2 $225.00 27008355 3MM ALLEN WRENCH $164.00 27008361 S&N BARREL BURR 4.0MM $300.00 27008362 S&N BEAVER BLADE $84.00 27008363 S&N FULL RADIUS BLADE LONG $56.10 27008364 HIP PAC DISPOSABLE A4649 $663.00 27008365 S&N PERINEAL PAD SUPINE A4649 $211.25 27008366 S&N FOOT PAD A4649 $385.00 27008367 S&N HELICUT BURR 4.5MM $1,475.00 27008376 SUTURE QUILL 0 A4649 $54.00 27008377 SUTURE MONODERM 2-0 A4649 $77.10 27008378 SUTURE 180 ABSORBABLE GR 18 $27.00 27008384 MEDARTIS DRILL 3.0 A4649 $290.00 27008385 MEDARTIS CANNULATED DRILL BIT $975.00 27008403 EVAC 70 XTRA TONSIL WAND $605.00 27008404 REFLEX ULTRA 45 TURBINATE WAND $563.00 27008406 ARTHREX FIBERTAPE A4649 $113.00 27008407 MINI STICK II MICROINTRODUCER C1894 $129.00 27008412 CATHETER TIP $1.40 27008415 MYRINGOTOMY KNIFE SPEAR A4649 $38.00 27008445 ZIMMER DRILL BIT 2.5MM A4649 $495.00 27008446 ZIMMER Q/C CANNULATED DRILL $867.00 27008447 AUGMENTED DRILL WITH STOP $410.00 27008467 C-ARM DRAPE 4951 $32.00 27008776 ANKLE DISTRACTOR FOOT STRAP $117.10 27008777 VERY CLEAR SMOKE EVACUATION $88.00 27008778 THIGH SUPPORT PAD DISPOSABLE $210.00 27009052 PULSE LAVAGE TIPS $30.00 27009432 VISIONAIRE CUT GUIDE RIGHT $1,250.00 27010001 PARALLAX INJECTION KIT $718.00 27010002 PAR 3 CEMENT $301.00 27010012 LAP SPATULA FENSTRATED $109.00 27010013 HOOK BLADE FENSTRATED $109.00 27010014 BITE BLOCK LF W/STRAP $13.00 27010015 TROCAR ENDOPATH XCEL BDLESS 5 $195.00 27010016 TROCAR ENDOPATH XCEL BDLESS 11 $254.00 27010017 SPECIMEN RETRIEVAL BAG 4X6 $384.00 27010018 TROCAR XCEL SLEAVE $159.00 27010080 MESH DULEX 2MM 15X19 CM $1,834.00 27010081 MESH DULEX 1MM 20X30 CM $1,958.00 27011204 GENERAL PACK $88.00 27011206 BASIN PACK $65.00 27011290 KNEE ARTHROSCOPY PACK $113.00 27011406 APPLICATOR STICKS $8.00 27011417 ARTHREX LABRAL TAPE 1.5MM $14.00 27011479 HIP WRAP GEL ORTHO ICE PACK $40.00 27011630 IN2BONES CRUSH MIX PUTTY 5CC C1713 $188.00 27011633 IN2BONES DRILL BIT $375.00 27011634 NEOSYS SET SINGLE USE INSTR $738.00 27011645 ZIMMER Z-DRAPE 11645 $14.00 27011673 KNOWLES PIN 01-03 C1713 $93.00 27011712 VILEX GUIDE WIRE $25.00 27011714 CATHETER HICKMAN REPAIR KIT C1788 C1788 $668.00 27011715 VILEX DOWEL TOOL 2.0 $438.00 27011716 VILEX GUIDE WIRE (OLIVE WIRE) $75.00 27011717 DOWEL TOOL 2.0 - VILEX $50.00 27011845 VILEX DRILL BIT $375.00 27011890 LOWER EXTREMITY PACK $135.00 27011902 SHOULDER ARTHROSCOPY PACK $138.00 27011905 ZEPHRINE $22.00 27011916 PICO STERILE SINGLE USE VAC A9272 $567.00 27011920 PIN GUARD 0.035 $2.00 27011934 BREAST IMPLANT SIZER $125.00 27012055 BEACH CHAIR DRAPES PACK $83.00 27012096 RESISTICK II COATED BOVIE $21.00 27012111 PACK EYE PHACO $416.00 27012210 STAMBERGER SINUS FOAM DRESSING $168.00 27012250 AMBIENT MEGAVAC 90 $1,998.00 27012253 DIGITEX SUTURE CARTRIDGE $886.00 27012311 SCREW LAG 70MM C1713 C1713 $585.00 27012330 OBTURATORS/SLEEVES 11MM C1713 12330 $177.00 27012423 KNOWLES PIN 01-07 C1713 C1713 $178.00 27012424 KNOWLES PIN 02-08 C1713 C1713 $171.00 27012474 SCOTCHCAST 5X30 12474 $90.00 27012502 EYE PACK $234.00 27012506 TOATL KNEE PACK $977.00 27012507 TOTAL HIP PACK $992.00 27012508 TOTAL SHOULDER PACK $710.00 27012575 FACE SHIELD $7.00 27012599 LAGSCREW 75MM C1713 C1713 $593.00 27012616 PONSKY PEG TUBE 20F $740.00 27012663 GRAFT PROTOGEN C1768 C1768 $874.00 27012780 STIMUPLEX 22Gx3 1/8" $30.00 27012814 SCREW LAG 85MM C1713 C1713 $196.00 27012893 VERESS NEEDLES $42.00 27013005 PROPEL SCP DELIVERY SYRINGE $332.00 27013006 PROPEL SCP DELIVERY CANNULA $480.00 27013007 ZIMMER GUIDE WIRE W/ OLIVE C1769 $438.00 27013008 CERLAGE CABLE WITH CLAMP $627.00 27013009 ZIMMER CALIBRATED DRILL 4.3MM $279.00 27013011 DRILL KIT FOR CONTINUOUS $134.00 27013012 BIOMEDICAL DRILL KIT $1,058.00 27013013 S&N PIN, PASSING, DRILL TIP $316.00 27013015 ZIMMER DERMATOME BLADE $68.00 27013016 ZIMMER SKIN GRAFT CARRIER $45.00 27013017 K-WIRE .045 $7.00 27013018 ALLIANCE 2 NON-DISP GUN 5062 $503.00 27013024 ARTHREX SUTURE PASSER TRANSO $175.00 27013025 ARTHREX TIGER LOOP $121.00 27013026 ARTHREX SUTURE PASSING WIRE C1769 $188.00 27013027 ARTHREX SUTURE LASSO C1769 $70.00 27013028 ARTHREX GUIDE WIRE C1769 $38.00 27013029 ARTHREX GUIDEWIRE 1.1MM $18.00 27013030 ARTHREX .45 GUIDE WIRE $50.00 27013031 BIOMET DRILL BITS 2 $161.00 27013032 BIOMET DRILL BITS 4 $476.00 27013033 BARD HICKMAN SINGLE LUMEN CVC $535.00 27013034 BIOMET CANN DRILL BIT $635.00 27013765 S&N TURBOVAC 90 DEGREE $1,173.00 27016508 DIGITEX SUTURE DELIVERY DEVICE $3,394.00 27018744 TOTAL ANKLE KIT $1,807.00 27020011 SUTURES OR/PACK 20011 $37.00 27030116 ANCHOR 5 C1713 C1713 $1,228.00 27030123 CELLUGEL $134.00 27030147 RELOAD - ENDO GIA $1,631.00 27030149 SMARTPIN - EACH $672.00 27030169 NERVE BLOCK PREP TRAY $27.00 27030171 SNARE, ELECTROSURGICAL $65.00 27030172 LONG OSTEOTOME BLADE $535.00 27030173 SORBION SANA GENTLE 3.4X3.4 $142.00 27030174 SORBION SANA GENTLE 4.75X4.75 $220.00 27030175 SORBIAN SANA GENTLE 5x5" $49.00 27031509 ELEVATE SYSTEM WITH INTEPRO $4,909.00 27031514 ARTHREX SYNDESMOSIS REP KIT $2,087.00 27031516 S&N HEALICOIL SUTURE ANCHOR C1713 $940.00 27031517 SYNTHES K-WIRE 1.6x150MM C1769 $40.00 27031518 ALTRUS HANDPIECE 5MM-36CM A4649 $1,889.00 27035241 ARTHREX LARGE PEC BUTTON KIT $4,125.00 27038000 4MM SERRATED SHAVER GYRUS $497.00 27038009 4MM 60 DEG SHAVER GYRUS $507.00 27038033 PARATUBE GYRUS TUBING $79.00 27039001 MEDARTIS DRILLBIT $266.00 27039002 MEDARTIS K WIRES C1713 $155.00 27039003 LEAD APRON $6.00 27039004 LEAD THYROID SHIELD $6.00 27039005 MEDARTIS K WIRES 1.6MM C1713 $81.00 27039006 GUIDE WIRE BALL TIP 3x1000 C1769 $763.00 27039007 STRYKER K-WIRE 3.2X450MM C1713 $498.00 27039008 STRYKER K-WIRE 3x285MM $276.00 27051060 WRIGHT 2.0 X 120MM DRILL BIT $487.00 27090001 EOR INSTRUMENT SET $43.00 27090002 MINOR INSTRUMENT SET $59.00 27090003 MAJOR INSTRUMENT SET $70.00 27090004 SINGLE INSTRUMENT $11.00 27090005 4.0 CANNULATED SCREW PAN C1713 $107.00 27201828 GRAFT INTRA AORTIC 18MM $1,696.00 27203741 KUGEL PATCH SOVAL 8CM $1,696.00 27205050 DEKOMPRESSOR PROBE 17 GA $3,913.00 27205053 TROCAR ENDOPATH BIDLES 5MM 15D $226.00 27205321 MESH SURGICAL PROCEED 6 X 8 $2,235.00 27205324 PROCEED HERNIA MESH 4X6 $1,210.00 27205329 BLADE SAW $98.00 27205330 BLADE SAW MICRO AIR $93.00 27205909 STERILE TRANSDUCER COVER $37.00 27206867 HOWMEDICA SMART TOE C1713 $3,010.00 27210001 BLADE ARTHO FULL RADIUS 4.0 $496.00 27210002 PROLENE HERNIA SYSTEM LARGE $1,343.00 27210003 PROLENE HERNIA SYSTEM MEDIUM C1781 $1,343.00 27210011 4.5 INCISOR PLUS BLADE $208.00 27210018 FORCEPS BIOPSY DIS UPPER/LOWER $82.00 27210019 BLADE CLIPPER DISP $13.00 27210021 BLADE ARTHO FULL RADIUS 4.0 $496.00 27210080 ENDOPATH TROCAR 5MM 150 B5XT $263.00 27210081 HEMORRHOIDECTOMY KIT PPH03 $1,649.00 27211692 CATHETER HICKMAN 9 FR C1788 C1788 $443.00 27212147 FILTER FEMORAL GREENFIELD C1880 $4,665.00 27212148 FILTER INTRO SET GREENFIELD C1894 $511.00 27212600 MESH MARLEX PERFIX PLUG4.1X4.8 C1781 $401.00 27212639 QUICK ANCHOR GII 212034 #2 CP2 $605.00 27212892 APGEL $1,333.00 27402067 LONG GTR PLATE $2,936.00 27402069 CABLE PROX GTR $1,160.00 27402070 CABLE DISTAL GTR $746.00 27402071 CABLE FOR CABLE PLATE $694.00 27402072 FEMERAL STEM VERSYS $3,596.00 27402074 VERSYS BIPOLAR CAP $1,771.00 27402231 PLATE 90 DEQ 12H 244MM $1,292.00 27402254 BONE SCREW CANCELL 4 X 30 $28.00 27402273 NAIL END CAP $574.00 27402274 CORTICAL SCREW $442.00 27402275 GUIDE WIRE W/ BALL TIP $175.00 27402276 FEM BIT 5.0 $448.00 27402277 FEM BIT 3.7 $655.00 27402345 BONE SCREW CORTICAL 4.25 X 12 $57.00 27402355 SCREW BONE CORTICAL 3.5 X 25 $32.00 27402360 GUIDE WIRE $342.00 27402361 BONE SCREW SYSTEM $511.00 27402362 BONE SCREW SYSTEM CANNULATED $1,096.00 27402466 BONE SCREW $33.00 27402467 BONE SCREW $36.00 27402523 PLATE 3 HOLE 80MM $881.00 27402978 ACETABULAR CUP 49MM $1,405.00 27403054 SCREW CURTICAL 3.5 $36.00 27403055 SCREW BONE CANNCELL 3.5 $44.00 27403094 LAG SCREW 75MM $656.00 27403095 LAG SCREW 80MM $656.00 27403103 BONE SCRED SELF TAP 4.5 $33.00 27403144 MODULAR HEAD $1,570.00 27403216 SCREW CORTEX 2.7 X 14 $128.00 27403217 SCREW CORTEX 2.7 X 16 $128.00 27403331 LEG PLATE CABLE HP8040A $1,389.00 27403364 BIPOLAR ACETABULAR CUP $1,757.00 27403365 HIP SCREW PLATE 1400 5H 120MM $1,087.00 27403484 SCREW COMPRESSION 4.7MM X 19.0 $126.00 27403721 SCREW CANNCELLOUS 4.0 SHORT C1713 $525.00 27403722 SCREW CANNCELLOUS 4.0 LONG $525.00 27403723 GUID WIRE THREADED 1.25 $33.00 27403741 KUGEL PATCH S. OVAL 8CM $1,097.00 27405069 SCREW 3.5 CORTEX 12MM $82.00 27405070 SCREW 3.5 CORTEX 14MM $82.00 27405071 SCREW 3.5 CORTEX 16MM $82.00 27405076 SCREW 3.5 CORTEX 25MM $82.00 27405348 4 X 3 PIN SYNTHES $251.00 27405349 4 X 2.5 SCHANZ PIN $235.00 27405350 PIN TO BAR CLAMP SYNTHES $1,462.00 27405351 8 X 200 BAR FOR EX FIX $282.00 27405352 BAR CAPS $10.00 27405353 1.25 K WIRE C1713 $155.00 27405354 GRAFT BONE PUTTY 10CC $1,827.00 27410001 RIM FLARE POROUS SHELL $3,657.00 27410002 DURASUL HOODED INSERT S232 $2,853.00 27410003 FEMORAL STEM FIB MED COL $10,934.00 27410004 TOTAL HEAD 4.0 MM NECK $1,747.00 27410005 25MM SCREW $292.00 27410006 30 MM SCREW $292.00 27410007 IMPLANT BANK $479.00 27412467 SCREW TITANIUM 1.5X14MM C1713 $120.00 27412468 CANNULATED SCREW 206-045 4.0 $23.00 27412836 ARTHROSCOPY RAZORCUT BLADE $134.00 27511658 LEAD INTRODUCER PERMANENT 11658 $79.00 27520027 PACEMAKER SESR01 MEDTRONIC $3,317.00 27520028 PACEMAKER ADSR03 MEDTRONIC $1,058.00 27520029 ADAPTA SR IS-1 PACEMAKER $5,875.00 27611757 IMPLANT LENS V2782 11757 $324.00 27800032 FULL WEDGE AUGMENT BASEPLATE C1776 $12,548.00 27800101 INTEGRA CANCELLOUS CHIPS C9359 $1,093.00 27800103 WRIGHT FLEXIBLE HINGE TOE C1713 $3,240.00 27800104 STRYKER BIPOLAR COMPONENT OD L8699 $1,125.00 27800105 LIGAMENT AUGMENTATION REPAIR L8699 $2,438.00 27800106 STRYKER CALCANEUS MESH PLATE L8699 $2,744.00 27800112 WRIGHT ULNAR PLATE C1713 $2,753.00 27800119 REVERSED TRAY THICK L8699 $7,415.00 27800124 STRYKER NON LOCKING BONE SCREW C1713 $248.00 27800125 PARAGON MONSTER WASHER L8699 $568.00 27800126 STRYKER APEX PIN 3x110MM C1713 $165.00 27800127 CANNULATED LONG THREAD SCREW C1713 $413.00 27800128 PRO-TOE VO BLADE (16MM) C1713 $1,735.00 27800129 VITOSS BIOACTIVE FOAM PACK C9359 $1,328.00 27800131 VITOSS BIOACTIVE FOAM PACK C9359 $4,725.00 27800132 BIOMET TRAUMA FIBULA PLATE 8H L8699 $638.00 27800136 MRH TIBIAL ROTATING COMPONENT C1776 $7,877.00 27800137 BIOMET EXPLOR IMPLANT HEAD C1776 $5,615.00 27800138 STRYKER VOLAR DR PLATE C1713 $2,240.00 27800139 STRYKER WASHER 4.0MM C1713 $63.00 27800141 ARTHROSURFACE PIN KIT C1713 $618.00 27800142 TIBIAL BASEPLATE C1776 $2,000.00 27800143 THERA SKIN 5.1x7.6CM Q4121 $84.00 27800144 STRYKER WASHER T8&T10 SCREWS C1713 $95.00 27800145 ARTHREX ACHILLES SPEED BRIDGE C1713 $4,350.00 27800146 S&N ENDOBUTTON CL ULTRA 15MM C1713 $840.00 27800147 FEMORAL COMPONENT SZE #6 L8699 $13,658.00 27800148 BIOMET ACTIVE ARTICULATION L8699 $4,978.00 27800149 ACHILLES MIDSUB SPEEDBRIDGE C1713 $2,438.00 27800150 BIOMET TRAUMA CORTICAL SCREW C1713 $323.00 27800151 STRYKER APEX PIN 3x200MM C1713 $311.00 27800152 BIOMET TRAUMA SCREW 3.5 C1713 $94.00 27800154 KNEE AXLE ROTATING HINGE C1776 $2,751.00 27800165 TROCH NAIL KIT 11x180MM 125DEG C1713 $2,933.00 27800169 S&N CLEARTRAC HIP CANNULA C1713 $77.00 27800172 TIBIAL BEARING INSERT PS SZ 4 C1776 $1,665.00 27800200 FEMORAL DISTAL AUGMENT 15MM L8699 $2,847.00 27800205 BIOMET CERAMIC HEAD L8699 $6,513.00 27800206 BIOMET CORTICAL SCREW 3.5 C1713 $73.00 27800207 BIOMET ST SCREW C1713 $238.00 27800208 BIOMET NON-LOCK SCREW 3.5 C1713 $94.00 27800214 STEMMED TIBIAL COMPONENT SZ 2 C1776 $3,750.00 27800215 DISTAL POST LATERAL HUM PLATE C1713 $3,027.00 27800216 DISTAL POST LAT PLATE 3H C1713 $1,950.00 27800217 DISTAL MEDIAL HUMERUS PALTE C1713 $2,150.00 27800234 COUNTERSINK 3.0 HEADED SCREW C1713 $360.00 27800241 K-WIRE W/ 17MM STOP C1713 $78.00 27800250 ARTHREX FEMORAL CEMENTED SZ 6 C1776 $5,400.00 27800251 ARTHREX THREAD SCREW 6.7 C1713 $625.00 27800252 STRYKER TITANIUM FLUTED STEM C1776 $2,430.00 27800253 MRH KNEE FEMORAL BUSHING C1776 $803.00 27800254 MEDARTIS COMPRESSION PLATE C1713 $625.00 27800255 MRH KNEE TIBIAL SLEEVE C1776 $1,382.00 27800275 DVR CROSSLOCK LOCK SCREW 2.7 C1713 $159.00 27800284 STEINMAN PIN REVERSE SHOULDER C1713 $309.00 27800285 STEIMANN PIN 2.4 C1713 $53.00 27800287 MTP PLATE 2 HOLE DISTAL LFT C1713 $3,581.00 27800295 S&N CANNULA CAPTURED SCREW 4.0 C1713 $915.00 27800321 DEPUY METAL FEMORAL HEAD 36MM C1776 $4,798.00 27800325 BIOMET SCHANZ PIN C1713 $150.00 27800326 LOCKING HUMEROUS PLATE 3 HOLE C1776 $4,885.00 27800327 ARTHREX CORTICAL SCREW 4.5 C1713 $188.00 27800332 TORNIER LOCKING SCREW 5.0 C1713 $758.00 27800333 LATERALIZED GLENSPHERE C1776 $2,500.00 27800341 S&N BIOSURE REGENESORB SCREW C1713 $813.00 27800356 TORNIER STANDARD GLENOSPERE C1776 $14,353.00 27800362 K-WIRE TROCAR TIP 1.1 C1713 $56.00 27800365 INTERSPACE SHOULDER KIT C1776 $11,250.00 27800413 STRYKER CORTEX SCREW 3.5 C1713 $61.00 27800416 ORTHOFIX PODIATRY KIT C1713 $11,621.45 27800428 STRYKER OSCILLATING BLADE $750.00 27800431 ARTICULAR INSERT, CONSTRAINED C1776 $6,335.00 27800432 FIBULA ANATOMIC LOCK PLATE 4H C1713 $1,180.00 27800433 FIBULA ANATOMIC LOCK LEFT 3H C1713 $1,150.00 27800441 PATELLAR COMPONENT 32MM OVAL C1776 $1,967.00 27800461 ARTHREX MEDIAL COLUMN PLATE C1713 $3,738.00 27800463 MODULAR RADIAL STEM WITH SCREW C1776 $6,655.00 27800523 MINI-MONSTER CANNULATED SCREW C1713 $543.00 27800543 ARTHREX CENTRAL THIRD PLATE 8H C1713 $1,375.00 27800591 OFFSET SLEEVE NEUTRAL C1776 $423.00 27800625 FIBULA COMP LOCK PLATE 12H C1713 $500.00 27800628 ARTHREX ANTERIOR FUSION PLATE C1713 $5,188.00 27800651 ARTHREX TENODESIS SCREW 6.25 C1713 $863.00 27800730 ARTHREX BB TAK LONG THREAD C1713 $375.00 27800746 ARTHREX BIOCARTLIAGE 1CC C9362 $1,225.00 27800951 SPINAL CORD STIMULATOR L8687 $2,500.00 27801012 POSTERIOR STABILIZED FEMORAL C1776 $3,313.00 27801021 FIBULA LOCK PLATE 10H COMP C1713 $472.00 27801037 GLAUKOS iSTENT C1877 $6,250.00 27801120 WRIGHT 4 HOLE PLATE 20MM C1713 $3,703.00 27801121 ARTHREX LOCKING PLATE 6 HOLE C1713 $1,738.00 27801122 ARTHREX CANNULATED SCREW 3.0 C1713 $300.00 27801123 ARTRHEX LONG STRAIGHT PLATE C1713 $2,000.00 27801126 LFIT ANATOMIC FEMORAL HEAD C1776 $713.00 27801161 POSTERIOR FEMORAL AUGMENT 10MM C1776 $2,713.00 27801201 ARTHREX 8 HOLE FIB PLATE C1713 $2,113.00 27801203 DVR LOCK NARROW L C1713 $1,353.00 27801204 CORTICAL SCREW, SELF TAP 4.5 C1713 $71.00 27801210 TROCHANTERIC GRIP PLATE C1776 $3,105.00 27801231 HEADLESS COMPRESSSION SCREW C1713 $738.00 27801237 DVR CROSSLOCK NARROW PLATE RT C1713 $1,353.00 27801241 VOLAR DR PLATE C1713 $4,005.00 27801243 HIP HEAD CEMENT SPACER MOLD C1776 $2,953.00 27801245 MRH KNEE BUMPER INSERT 3 DEG. C1776 $1,652.00 27801249 STIMUBLAST DBM PUTTY 2.5CC C9359 $220.00 27801253 FEMORAL KNEE CEMENT MOLD 70MM C1776 $4,245.00 27801254 TIBIAL CEMENT MOLD 75MM C1776 $2,025.00 27801258 IN2BONES VITRIUM E 18x8 C9399 $4,250.00 27801259 IN2BONES IBS SCREW 6.5 C1713 $2,238.00 27801260 3.5MM LOCKING CORTICAL SCREW C1713 $350.00 27801268 STRYKER DBM PUTTY 2.5CC C1713 $1,930.00 27801285 TOTAL STABILIZER + TIBIA C1776 $5,453.00 27801312 CONTINUOUS COMPRESSION IMPLANT C1776 $133.00 27801322 TORNIER CENTRAL SCREW 6.5 C1713 $2,545.00 27801325 STRYKER ROD TO ROD COUPLING C1713 $790.00 27801328 ARTHREX 3H ANTERIOR PLATE C1713 $2,313.00 27801329 DISTAL POSTERIOR LATERAL PLATE C1713 $3,027.00 27801330 ARTHREX PINS C1713 $38.00 27801348 FIBULA COMP LOCK PLATE 7H C1713 $414.00 27801352 TOTAL STABILIZER FEMORAL COMP C1776 $15,978.00 27801360 WRIGHT K-WIRE 1.0 C1713 $50.00 27801361 WRIGHT K-WIRE 1.4 C1713 $53.00 27801362 LOCKING SCREW 2.7x20MM C1713 $664.00 27801364 MULTI-DIRECTION SCREW 2.7 C1713 $267.00 27801369 LOCKING SCREW PLATE 2.7 C1713 $487.00 27801375 STRYKER BRIDGE 8 HOLE PLATE C1713 $2,725.00 27801376 LOW PROFILE NONLOCK SCREW 2.7 C1713 $80.00 27801421 FEMORAL DISTAL AUGMENT LEFT C1776 $3,023.00 27801422 STEM EXTENSION STRAIGHT C1776 $2,343.00 27801423 TRICORTICAL BLOCK 22-25MM C1762 $2,088.00 27801424 TRIATHLON STEM EXTENDER C1776 $2,418.00 27801432 KINECTIV TECH MODULAR NECK BB C1776 $2,506.00 27801452 STRYKER FLUTED STEM EXTENDER C1776 $2,430.00 27801465 ARTHREX LOCKING SCREW 4.5 C1713 $488.00 27801472 STRYKER FEMORAL COMPONENT C1776 $3,750.00 27801510 MICROAIRE ULTRATINE 3.0 C1713 $655.00 27801521 THIRD TUBULAR PLATE 8 HOLE C1713 $663.00 27801524 8HOLE CURVED CLAVICLE PLATE C1713 $1,375.00 27801527 ARTICULAR SURFACE 14MM HEIGHT C1776 $4,408.00 27801542 VARIABLE ANGLE LOCK SCREW C1713 $350.00 27801547 ARTICULAR SURFACE SZE 5-6 LFT C1776 $5,138.00 27801548 ARTHREX PARTIAL THREAD SCREW C1713 $350.00 27801622 ARTHREX PIP DART STRAIGHT 2.5 C1713 $1,488.00 27801623 ARTHREX RECON PLATE 8H C1713 $1,375.00 27801624 ARTHREX 12 HOLE REON PLATE C1713 $1,738.00 27801625 ARTHREX 9 HOLE T-PLATE C1713 $1,738.00 27801626 OSTEOSET MINI BEAD KIT C9359 $242.00 27801627 STRYKER CEMENTLESS LINER C1776 $2,825.00 27801639 STRYKER HEMISPHERICAL SHELL G C1776 $6,986.00 27801652 HAMMERTOE CORRECTION SYSTEM C1776 $2,313.00 27801683 BACTERIN BONE PUTTY 2.5CC C9359 $850.00 27801684 ILIUM TRICORTICAL BONE BLOCK C1762 $1,530.00 27801720 CEMENTED STEM DIA 15MM C1776 $750.00 27801721 CLAVICLE FRACTURE PLATE C1713 $1,375.00 27801730 STRYKER OLECRANON PLATE C1713 $2,361.00 27801731 STRYKER LOCK COMPRESSION PLATE C1713 $4,255.00 27801735 STRYKER DISTAL HUMERUS PLATES C1713 $2,373.00 27801742 ASYMMETRIC PATELLA DIA A29MM C1776 $690.00 27801854 XTENDOBUTTON FIXATION DEVICE C1713 $408.00 27802110 TENODESIS SCREW BIOCOMPOSITE C1713 $863.00 27802113 PERIARTICULAR SCREW 3.5x70MM C1713 $52.00 27802132 ZIMMER T-PLATE 3.5x50MM 3 HOLE C1713 $175.00 27802142 PROXIMAL LATERAL HUMERUS C1776 $4,199.00 27802231 SPINAL CORD STIMULATOR (TRIAL) $1,250.00 27802232 TRIAL LEAD 50CM SLIMTIP C1778 $2,000.00 27802270 INTERNAL BRACE LIGAMENT L8699 $2,438.00 27802275 ZIMMER VOLAR PLATE NARROW 3H L8699 $2,070.00 27802276 S&N BIOSURE PK SCREW C1713 $675.00 27802277 BIOMET TAPER ADAPTER TYPE 1 L8699 $755.00 27802278 BIOMET TAPER ADAPTER C1776 $514.00 27802284 S&N BIOSURE PK SCREW C1713 $375.00 27802341 LOCKING DISTAL RADIUS PLATE C1713 $2,313.00 27802345 ALTIS SINGLE INCISION SLING L2580 $3,600.00 27802410 NEXTREMITY LOCKING SCREW C1713 $323.00 27802413 ZIMMER STANDARD 5 HOLE PLATE L8699 $2,250.00 27802414 NEXTREMITY CORTICAL SCREW C1713 $251.00 27802415 ZIMMER GUIDE PIN 2.4MM C1713 $141.00 27802416 ZIMMER SMOOTH TROCAR GUIDE PIN C1713 $93.00 27802417 ZIMMER GUIDE PIN 3.2MM C1713 $594.00 27802450 BONE SCREW 2.7 -STRYKER TRAUMA C1713 $349.00 27802451 BONE SCREW 2.7 C1713 $360.00 27802452 STRYKER 2.7 LOCKING SCREW C1713 $597.00 27802453 STRYKER MINI HEADLESS SCREW C1713 $747.00 27802456 STRYKER LONG NAIL KIT R1.5 TI C1776 $4,987.00 27802457 STRYKER SMART TOE II C1776 $2,890.00 27802458 FLEXIBLE NAIL PRE-CURVED C1713 $629.00 27802495 5TH MET LONG HOOK PLATE C1713 $3,188.00 27802514 FULL BLOCK AUGMENT SZE #2 C1776 $10,370.00 27802534 NEXGEN STEMMED TIBIAL COMP. C1776 $2,500.00 27802632 WRIGHT CORTICAL SCREW C1713 $228.00 27802746 S&N BIOSURE SYNC 9-10MM TIBIAL C1713 $597.00 27802747 PARAGON MONSTER SCREW 7.7MM C1713 $1,378.00 27802851 ARTHREX SMALL X-PLATE C1713 $1,738.00 27802852 ARTHREX BASEPLATE SMALL C1713 $4,288.00 27802853 ARTHREX HUMERAL INSERT SMALL C1776 $2,538.00 27802854 ARTHREX GLENOSPHERE, 36 C1776 $5,250.00 27802855 ARTHREX STEM CAP COATED SZE#10 C1776 $6,213.00 27802856 ARTHREX SPACER C1776 $1,225.00 27802857 UNIVERS REVERS GLENOSPHERE C1776 $4,555.00 27802858 UNIVERS REVERS SUTURE CUP C1776 $4,463.00 27802935 STRYKER LOCKING SCREW T10 FULL C1713 $458.00 27803031 STRYKER MICRO ASNIS SCREW 3.0 C1713 $417.00 27803152 WRIGHT LOCKING SCREW 2.7 C1713 $373.00 27803201 132DEG NECK ANGLE V40 HIP STEM C1776 $4,888.00 27803215 STRYKER SUPERIOR PLATE C1713 $2,477.00 27803217 BONE FILLER (CUBES) 10.0 CC C9359 $2,018.75 27803221 STRYKER SUPRACONDYLAR NAIL C1713 $4,433.00 27803251 BIOCOMPOSITE SUTURE TAK C1713 $813.00 27803252 MRH KNEE TIBIAL BASEPLATE C1776 $8,114.00 27803259 ZIMMER FIB LOCK PLATE 8 H C1713 $1,253.00 27803260 ARTICULAR COMPONENT 30MM C1776 $16,565.00 27803261 PRO-DENSE CORE DECOMPRESSION $12,068.00 27803262 ZIMMER ARTICULATION KIT SZ 4 C1713 $3,750.00 27803263 AUG REAMER GUIDE SCREW C1713 $205.00 27803264 ZIMMER ULNAR COMPONENT SZ 4 C1776 $12,500.00 27803265 ZIMMER HUMERAL COMPONENT SZ 4 C1776 $15,000.00 27803281 ARTHREX QUICK FIX SCREW 3MM C1713 $600.00 27803512 BEADED CABLE & SLEEVE SET C1713 $958.00 27803517 MEDARTIS CANNULATED SCREW 2.2 C1713 $875.00 27803526 STIMULAN RAPID CURE C1713 $4,488.00 27803625 ZIMMER DUAL TAPER INSERT C1776 $1,562.00 27803728 FEMORAL HEAD 36MM DIA C1776 $4,098.00 27804061 BIOMET L PLATE 4X6 L8699 $910.00 27804212 WRIGHT TEMP FIX PIN C1713 $295.00 27804213 STRYKER APEX HALF PIN 3X80 C1713 $185.00 27804214 FEMORAL POSTERIOR AUGMENT 5MM L8699 $3,023.00 27804215 STRYKER TIBIAL NAIL C1713 $3,343.00 27804216 STRYKER APEX PIN 4X120MM C1713 $260.00 27804217 FEMORAL DISTAL AUGMENT LT SZ 4 L8699 $5,250.00 27804379 TORNIER GUIDE PIN C1713 $232.00 27804621 PARAGON MTP FUSION SYSTEM C1713 $3,750.00 27804649 STRYKER CANNULATED SCREW 5.0 C1713 $403.00 27804650 TIBIAL ASYMETRIC CONE AUGMENT C1776 $11,249.00 27805013 WRIGHT 4 HOLE PLATE 28MM C1713 $4,728.00 27805050 PARAGON MONSTER SCREW 5.5MM C1713 $1,030.00 27805058 SCREW 3.5MM SHAFT 20MM C1713 $54.00 27805059 SCREW 3.5MM SHAFT 22MM C1713 $54.00 27805060 SCREW 3.5MM SHAFT 24MM C1713 $54.00 27805061 SCREW 3.5MM SHAFT 26MM C1713 $54.00 27805063 SCREW 3.5MM SHAFT 30MM $54.00 27805069 SCREW 3.5 CORTEX SELFTAP 12MM C1713 $70.00 27805070 SCREW 3.5 CORTEX SELFTAP 14MM C1713 $70.00 27805072 SCREW 3.5 CORTEX SELFTAP $75.00 27805073 SCREW 3.5 CORTEX SELFTAP 20MM C1713 $70.00 27805075 SCREW 3.5 CORTEX SELFTAP 24MM $70.00 27805081 SCREW 3.5 CONTEX SELFTAP 34MM $70.00 27805124 FEMORAL CONE AUGMENT C1776 $11,979.00 27805241 NON-LOCKING PLATE SCREW C1713 $396.00 27805249 EZ DERM PORCINE XENOGRAFT 3X4 Q4136 $11.71 27805251 WRIGHT MEDICAL GRAFTJACKET Q4107 $498.00 27805371 HERNIA PATCH VENTRALEX SMALL C1781 $1,725.00 27805372 HERNIA PATCH VENTRALEX MED C1781 $2,494.00 27805373 MEDARTIS T PLATE L8699 $1,845.00 27805374 TRILOCK PLATE 3 HOLE C1713 $2,153.00 27805472 SUTURE POLYSORB 3-0 C1713 $37.00 27805604 J&J ULTRA PRO HERNIA SYS OVAL C1781 $1,314.00 27805605 RETENTIVE REVERSED INSERT L8699 $8,048.00 27805689 J&J ULTRA PRO HERNIA SYS MED C1781 $1,352.00 27805701 SYNTHES 4.0MM BONE SCREW 20 MM C1713 $51.00 27805702 TI SPIRAL RETROGRADE FEM NAIL C1713 $2,358.00 27805703 2.7MM METAPHYSEAL SCREW C1713 $113.00 27805907 XCELA PICC LINE KIT $407.00 27805969 ZIMMER TRAUMA XTRA FIX PIN C1713 $186.00 27806001 BIOMET LOCKING SCREW 3.5 C1713 $473.00 27806002 PROXIMAL/DISTAL LOCKING SCREW C1713 $1,540.00 27806015 STRYKER T7 LOCKING SCREW C1713 $273.00 27806016 SYNTHES FULL THREAD 4.0x16MM C1713 $60.00 27806017 TIBIAL SYMMETRIC CONE AUGMENT C1776 $10,518.00 27806018 SYNTHES 6 HOLE PLATE DSTL RAD C1713 $2,915.00 27806019 SYNTHES POSTLAT DIST HUM PLATE C1713 $2,889.00 27806020 ARTHREX HEADLESS SCREW 3.5 C1713 $738.00 27806023 ARTHREX LISFRANC PLATE - RT C1713 $2,000.00 27806025 ARTHREX VAL LOCKING SCREW C1713 $350.00 27806028 ARTHREX LOCKING SCREW C1713 $213.00 27806031 INION PIN KIT C1713 $817.00 27806052 GRAMEDICA SINUS TARSI IMPLANT C1783 $4,227.00 27806053 BARD VENTRALEX HERNIA PTCH LG C1781 $4,253.00 27806061 ARTHREX LATERAL TT PLATE C1713 $5,188.00 27806086 BARD SORBAFIX LAP FIX SYSTEM $1,736.00 27806090 SEPRAMESH 3x6 C1781 $753.00 27806091 BARD SEPRAMESH 4X8 HERNIA REP C1781 $1,391.00 27806092 BARD SEPRAMESH 6X8 HERNIA REP C1781 $2,517.00 27806094 SEPRAMESH 12"x14 HERNIA REPAIR C1781 $4,890.00 27806095 BARD SOFT MESH 3"X6" C1781 $47.00 27806117 BIOMET CANCELLOUS CUBES 7.5CC C9359 $25.00 27806142 CANCELLOUS CRUSHED 4-10MM 15CC C9359 $27.00 27806143 CANCELLOUS CRUSHED 4-10MM 30CC C9359 $33.30 27806144 CANCELLOUS CRUSHED 4-10MM 5CC C9359 $54.00 27806149 BIOMET STAGRAFT DBM PLUS 5CC C9359 $268.00 27806166 SYNTHES CORTEX SCREWS SELF TAP C1713 $76.00 27806182 BIOMET TRAUMA NON LOCK SCREW C1713 $155.00 27806183 BIOMET TRAUMA LOCK FIB PLATE C1776 $472.00 27806193 SYNTHES THREADED SCREW C1713 $922.00 27806194 SYNTHES DSTL HUM PLATE 2H MED C1713 $2,982.00 27806203 ZIMMER TM REVERSE PIN 2.5MM C1713 $420.00 27806206 ORTHOHELIX PEANUT PLATE C1713 $2,974.00 27806211 SYNTHES CANCELLOUS SCREWS C1713 $66.00 27806212 SYNTHES ARTHRO NAIL-EX TI END C1713 $735.00 27806214 SYNTHES CANULATED SCREW 4.0 C1713 $700.00 27806215 TI HINDFOOT ARTHRODESIS NAIL C1713 $6,080.00 27806216 BIOMET BONE PUTTY PLUS CHIPS C1713 $4,208.00 27806217 BIOMET TRAUMA BONE PUTTY PLUS C9359 $2,733.00 27806218 ORTHOHELIX SHORT THREAD SCREW C1713 $1,004.00 27806219 VITOSS BB TRAUMA FOAM PACK C9359 $12,246.00 27806220 WRIGHT AUGMENT BONE GRAFT C9359 $8,738.00 27806221 WRIGHT GUIDE WIRE 1.4 C1769 $90.00 27806222 VIABLE BONE MATRIX 10CC C9359 $600.00 27806224 SYNTHES CANN TROCH FIX NAIL C1713 $5,452.00 27806225 SYNTHES TITAN LOCK SCREWS HEX C1713 $557.00 27806226 SYNTHES 5.0 SCREW TITANIUM LOC C1713 $642.00 27806227 BOS SCI-SOLYX SING INCS SLING C1771 $3,603.00 27806231 UNIVERSAL 5TH MET HOOK PLATE C1713 $3,188.00 27806235 ORTHOHELIX COMPRESS SCREWS C1713 $758.00 27806251 TIBIAL INSERT LM/RL SZ 1 C1776 $2,138.00 27806264 BACTERIN BONE PUTTY 5CC C1713 $155.00 27806269 HOWMEDICA CANNULATED SCREW C1713 $890.00 27806284 ARTHREX PEEK TENODESIS SCREW C1713 $788.00 27806302 SYNTHES TITANIUM SCREW 1.5MM C1713 $120.00 27806311 SYNTHES 8 HOLE LOCKING PLATE C1713 $533.00 27806315 SMALL AUGMENTED BASEPLATE C1776 $6,563.00 27806316 BIOMET GLENOSPHERE 36MM CURVE C1776 $3,583.00 27806317 BIOMET GLENOSPERE BASEPLATE C1776 $3,809.00 27806318 BIOMET BIO SCREW C1713 $696.00 27806319 BIOMET LOCKING FIB PLATE C1713 $472.00 27806332 BARD ADJUST SINGLE INC SLING C1771 $3,210.00 27806335 BIOMET SD SCREW C1713 $245.00 27806336 BIOMET FIXED LOCKING SCREW 3.5 C1713 $378.00 27806337 S&N ULTRABRAID 2 #0 W/NDL C1713 $806.00 27806351 SYNTHES TITANIUM LOCKING SCREW C1713 $557.00 27806354 SYNTHES CORTEX 2.O C1713 $129.00 27806372 CLUSTER ACETABULAR SHELL C1713 $2,140.00 27806392 S&N CANNULA THREAD DISP C1713 $88.00 27806455 SURGIMESH XB C1781 $2,675.00 27806484 S&N ENDOBUTTON TWIN BR FX DEV C1713 $1,605.00 27806512 BIOMET TRAUMA LOCK SCREW 1.5 C1713 $125.00 27806514 SYNTHES S/T CANNULATED SCREW C1713 $633.00 27806567 SINUS TARSI IMPLANT C1776 $4,013.00 27806580 3D MAX MESH LARGE LEFT C1781 $458.00 27806581 BARD 3D MAX MESH LG RIGHT C1781 $470.00 27806583 BARD 3D MAX MESH MED C1781 $552.00 27806586 UNIVERSAL TIBIAL BASEPLATE C1713 $4,115.00 27806588 SYMETRIC PATELLA DIA S31MM C1713 $776.00 27806589 SYMMETRIC PATELLA DIA S36MM C1776 $688.00 27806591 SIMPLEX ANTIBIOTIC BONE CEMENT $790.00 27806601 S&N REVISION POLY EXCHANGE C1713 $5,408.00 27806602 S&N MULTIFIX S PEEK 6.5MM L8699 $875.00 27806603 VILEX DUEL HEADLESS SCREW C1713 $688.00 27806604 HUMAN ALLOGRAFT GENIN PUTTY C1762 $1,000.00 27806605 SYNTHES CANNULATED SCREWS 3.0 C1713 $568.00 27806606 VILEX MONOCORTICAL STAPLE C1713 $3,738.00 27806608 S&N TIBIAL BASEPLATE SZE 6 L8699 $6,345.00 27806609 VILEX LOCKING PLATE RIGHT L8699 $3,488.00 27806611 S&N ENDOBUTTON C1713 $807.00 27806612 S&N INTERFIT THREAD HOLE COVER L8699 $246.00 27806621 SYNTHES LOCKING SCREW SELF TAP C1713 $368.00 27806622 6.0 LOCK SCREW W/T25 STARDRIVE C1713 $820.00 27806631 XTRA FIX PIN - LARGE C1713 $205.00 27806634 S&N CANNULA CLEARTRAC THREAD C1713 $82.00 27806648 SYNTHES 8 HOLE PLATE C1713 $1,803.00 27806661 S&N CANN THREADED FLEX SCREW C1713 $95.00 27806666 BIOMET MICRO CANNULATED SCREW C1713 $696.00 27806673 CEMENT SPACER MOLD KNEE FEMORL C1776 $6,193.00 27806674 CEMENT SPACER MOLD KNEE TIBIAL C1776 $2,938.00 27806686 SYNTHES 3 HOLE PLATE C1713 $178.00 27806687 SYNTHES ELASTIC NAIL 1.5 C1713 $1,158.00 27806696 MMI FIXOS SCREW C1713 $1,070.00 27806699 MEDARTIS CORTICAL SCREW C1713 $188.00 27806712 BARD MRI SINGLE LUMEN PORT A4301 $1,372.00 27806716 SYNTHES LOCKING SCREWS C1713 $432.00 27806721 SYNTHES LCP PLATES 3.5MM C1713 $985.00 27806736 SYNTHES LOCKING CLAVICLE PLATE C1713 $3,095.00 27806790 SYNTHES 6 HOLE DISTAL RAD PLT C1713 $3,002.00 27806799 ZIMMER GUIDE PINS C1713 $264.00 27806800 ZIMMER WASHER (3.5/4.0 SCREW) C1713 $71.00 27806801 ZIMMER CANULATED SCREWS C1713 $322.00 27806802 ZIMMER CANCELLOUS SCREW 6.5 C1713 $94.00 27806803 ZIMMER HUMERAL I/M NAIL C1713 $2,434.00 27806804 ZIMMER LOCKING SCREW 2.4 C1713 $243.00 27806805 ZIMMER STEM EXTENSION OFFSET C1776 $3,364.00 27806806 FEMORAL NAIL 125 DEGREE ANGLE L8699 $3,131.00 27806807 ZIMMER PERI CONICAL SCREW C1713 $88.00 27806808 IN2BONES K-WIRE C1713 $125.00 27806809 ZIMMER SMALL WASHER C1713 $38.00 27806810 ZIMMER 3.2MM GUIDE PINS C1713 $813.00 27806816 ZIMMER ON IMPLANT 10MM L8699 $5,980.00 27806821 ORTHOHELIX Y-PLATE C1713 $2,811.00 27806833 ZIMMER CORTICAL SCREWS C1713 $60.00 27806834 ZIMMER INTERLOCKING SCREW C1713 $305.00 27806836 ZIMMER CANCELLOUS SCREWS 4.0 C1713 $58.00 27806837 ZIMMER 10 HOLE PLATE C1713 $173.00 27806838 ZIMMER LOCK 6H HUMERAL PLATE L8699 $2,388.00 27806839 ZIMMER BONE SCREW SELF TAPPING C1713 $188.00 27806843 ZIMMER CERAMIC FEMORAL HEAD C1776 $3,750.00 27806859 TIBIAL BEARING INSERT PS SZ 3 C1713 $2,408.00 27806860 PRIMARY TIBIAL BASEPLATE SZ3 C1713 $2,140.00 27806861 PARAGON CANNULATED SCREW C1713 $640.00 27806862 VILEX SOLID SCREW C1713 $498.00 27806869 SBI PLATE 6MM C1713 $4,960.00 27806875 DISTAL BICEPS REPAIR SYSTEM L8699 $2,125.00 27806876 PARAGON LOCKING PLATE SCREW C1713 $557.00 27806886 SYNTHES LOCKING SCREW 3.5x20MM C1713 $402.00 27806910 SUTURE MONOCRYL 3-0 PS-2 C1713 $11.00 27806925 OSTEORAPTOR 2.9 W .2 UB WHITE C1713 $822.00 27806926 OSTEORAPTOR CRVD 2.3 SA UB C1713 $1,079.00 27806930 HAMMERLOCK IMPLANT SMALL ANGLE C1713 $2,930.00 27806931 HAMMERLOCK 2 IMPLANT ANGLED L8699 $3,625.00 27806933 HAMMERLOCK IMPLANT PROX 15MM L8699 $1,813.00 27806934 HAMMERLOCK IMPLANT ANGLED 15MM L8699 $4,875.00 27806935 BIOMET STRAIGHT KNEE OSTEOTOME C1713 $2,037.00 27806936 STRYKER 4 HOLE PLATE L8699 $701.00 27806937 STRYKER OFFSET ADAPTER 8MM L8699 $4,165.00 27806938 SZE#4 POST STABILIZED FEMORAL C1713 $4,013.00 27806939 STRYKER HEMISPHERICAL SHELL H L8699 $7,436.00 27806940 DECRESED CURVATURE PLATE L8699 $2,230.00 27806941 LFIT V40 FEMORAL HEAD 26MM C1776 $1,082.00 27806942 LFIT V40 FEMORAL HEAD 36MM L8699 $1,702.00 27806943 LFIT V40 FEMORAL HEAD L8699 $1,764.00 27806944 STRYKER LRG FRAG PLATE 8HOLE L8699 $448.00 27806945 TOTAL STABILIZER TIBIAL INSERT C1713 $5,835.00 27806946 TOTAL STAB TIBIAL INSERT SZ4 L8699 $3,641.00 27806947 PATELLO FEMORAL PROSTHESIS C1776 $6,488.00 27806950 TRIDENT HEMISPERICAL SHELL C1776 $6,986.00 27806952 TIBIAL BEARING INSERT PS L8699 $2,250.00 27806963 ORTHOHELIX MINI 4 HOLE PLATE C1713 $1,926.00 27806964 ORTHOHELIX LOCK SCREW 2.4 C1713 $226.00 27806965 PARAGON NON LOCK PLATE SCREW C1713 $452.00 27806966 VILEX HEADED SCREW 4.0 C1713 $750.00 27806979 HAMMERLOCK IMPLANT L8642 $3,350.00 27806989 MDM CEMENTLESS LINER/INSERT L8699 $2,750.00 27806997 HIP STEM 132 DEG NECK ANGLE C1713 $5,618.00 27807001 S&N HEALICOIL SA PK C1713 $940.00 27807002 S&N HEALICOIL SUTURE ANCHOR C1713 $900.00 27807004 SURGIMESH T510 C1781 $669.00 27807010 ARTHREX CANNCELLOUS SCREW 4.0 C1713 $88.00 27807011 ARTHREX SUTURE ANCHOR 5.5 C1713 $850.00 27807012 ARTHREX CENTRAL SCREW NON LOCK C1713 $425.00 27807013 ARTHREX PERIPHERAL LOCK SCREW C1713 $300.00 27807019 SPEEDSHIFT COMPRESSION IMPLANT C1776 $5,250.00 27807020 SYNTHES TROCH NAIL 12MMx170MM C1713 $4,364.00 27807021 ARTHREX HOOK PLATE 5 HOLE L8699 $1,750.00 27807022 PARAGON SHORT MTP PLATE (RT) L8699 $4,092.00 27807023 ARTHREX DELTOID AVUL HOOK PLT C1713 $2,208.00 27807024 ARTHREX SHORT THREAD SCREW C1713 $402.00 27807026 ARTHREX HUMERAL HEAD 50/19 L8699 $3,938.00 27807027 ARTHREX LOCKING SCREW 3.5 C1713 $295.00 27807028 ARTHREX APEX HUMERAL STEM 12MM L8699 $10,438.00 27807029 ARTHREX BB TAK C1713 $125.00 27807030 ARTHREX 5TH MET HOOK PLATE C1713 $2,313.00 27807031 ARTHREX 4HOLE TUB PLATE C1713 $603.00 27807032 ARTHREX GLENOID POLY WITH PEG L8699 $2,438.00 27807033 ARTHREX 5 HOLE LOCKING PLATE L8699 $1,740.00 27807034 ARTHREX CORTICAL SCREW C1713 $95.00 27807035 ARTHREX PART THREAD SCREW 3.7 C1713 $500.00 27807036 ANGEL BONE MARROW ASPIRATE KIT $2,450.00 27807037 ARTHREX LIGAMENT AUGMEN REPAIR C1713 $2,688.00 27807038 ARTHREX CEMENTED FEMORAL SZE 6 L8699 $6,250.00 27807039 ARTHREX 3.5 CORTICAL SCREW C1713 $150.00 27807040 WRIGHT FIRST RAY PLATE L8699 $5,050.00 27807041 TROCH FIXATION NAIL 130 DEG L8699 $4,645.00 27807042 BIOMET TRAUMA CALCANEOUS PLATE L8699 $2,053.00 27807043 ARTHREX BONE VOID FILLER C9359 $1,238.00 27807044 BIOMET TRAUMA BONE SCREW COVER L8699 $258.00 27807045 ARTHREX SUTURE ANCHOR 2.4 C1713 $813.00 27807046 BUTTON, DOG BONE C1713 $875.00 27807048 MDM LINER CEMENTLESS ID 42MM C1713 $4,450.00 27807049 ARTHROSURFACE FEMORAL TROCHLEA L8699 $18,118.00 27807050 X3 INSERT ID 28MM SZE 42E C1713 $2,943.00 27807051 ARTHREX CANNULATED SCREW 4.0 C1713 $413.00 27807052 WRIGHT LOCKING SCREW 3.0 C1713 $940.00 27807053 WRIGHT TROCAR WIRE L8699 $90.00 27807054 WRIGHT NON-LOCK SCREW 2.7MM C1713 $438.00 27807058 SYNTHES HELICAL BLADE C1713 $2,220.00 27807059 5.0 SCREW TITANIUM LOCKING C1713 $578.00 27807060 MINI EXFIX DISTRACTION NUT L8699 $195.00 27807063 ARTHREX LAPIDUS MINI PLATE L8699 $2,000.00 27807064 MINI TIGHTROPE REPAIR IMPLANT C1713 $1,313.00 27807065 ARTHREX DBM PUTTY 5CC C9359 $205.00 27807066 STRYKER SYMMETRIC PATELLA L8699 $725.00 27807067 STRYKER CANCELLOUS SCREW 4.0 C1713 $79.00 27807068 STRYKER CANCELLOUS SCREW 6.0 C1713 $105.00 27807069 STIMUBLAST DBM PASTE 3CC C9359 $208.50 27807073 BIOMET BONE FIX SYSTEM C1783 $1,301.00 27807074 1.6MM NAIL,1LOCK DEVICE,1 CAP C1713 $624.00 27807075 VITOSS BB TRAUMA FOAM PACK C9359 $6,562.00 27807076 BIOMET TRAUMA 1.6 K-WIRE L8699 $443.00 27807077 ARTHROSURFACE TAPER POST 11MM L8699 $2,018.00 27807078 ARTHROSURFACE TAPER POST 9MM C1776 $2,355.00 27807079 PROX LAT TIBIA PLATE 4 HOLE L8699 $3,984.00 27807080 BIOMET (TRAUMA) KWIRE L8699 $63.00 27807081 LONG MINI EX FIX KIT C1713 $5,408.00 27807082 BIOMET ZIPTIGHT FIX IMPLANT C1713 $2,865.00 27807083 BIOMET CORTICAL SCREW 2.7 C1713 $81.00 27807088 ZIMMER COMPRESS PLATE 7 HOLE C1776 $324.00 27807089 ALLOGRAFT DBM PUTTY 5CC C9359 $3,581.00 27807090 ALLERGAN NEEDLE INFUSION SET $63.00 27807093 ARTHREX SUTURE ANCHOR C1713 $817.00 27807094 SUTURE ANCHOR CLOSED EYELET C1713 $1,000.00 27807095 ARTHREX SUTURE ANCHOR 4.5 L8699 $838.00 27807128 MINI EX FIX LENGTHENER C1713 $2,866.00 27807135 BIOSURE TIBIAL FIXATION C1713 $598.00 27807146 CERAMIC V40 FEMORAL HEAD C1713 $803.00 27807150 NEXTRA HAMMERTOE PROCEDURE KIT C1713 $3,077.00 27807151 NEXTRA HAMMERTOE IMPLANT 3.5 C1783 $2,231.00 27807175 DECELLULARIZED DERMIS 40X40MM Q4125 $280.00 27807194 STRYKER ELEVATED RIM L8699 $4,016.00 27807196 STRYKER ASYMMETRIC PATELLA L8699 $725.00 27807197 STRYKER CONSTRAINED ACE INSERT L8699 $6,788.00 27807215 TORNIER HUMERAL HEAD C1776 $9,500.00 27807217 SIMPLEX BONE CEMENT RADIOPAQUE $437.00 27807226 EVOLVE STEM C1713 $6,485.00 27807227 EVOLVE HEAD C1776 $11,903.00 27807233 VOLAR DISTAL RADIUS PLATE C1713 $2,582.00 27807298 SURGIMESH C1781 $1,352.00 27807306 BARD PERFIX MESH PLUG C1781 $393.00 27807321 PERSONA CEMENTED KNEE C1776 $8,750.00 27807330 SYNTHES CANULATED SCREW C1713 $889.00 27807361 ARTHREX THREADED BB TAK C1713 $213.00 27807405 6 HOLE LOCKING FIBULA PLATE C1713 $2,207.00 27807406 SYNTHES LOCKING SCREW 2.7 C1713 $407.00 27807408 SYNTHES LOCKING SCREW 3.5 C1713 $431.00 27807410 S&N BICEPTOR KIT 8.0x25MM C1713 $982.00 27807411 S&N FEMORAL COMPONENT SZE 3 L8699 $14,505.00 27807412 S&N ACETABULAR SHELL L8699 $3,787.50 27807413 S&N FEMORAL HEAD TAPER L8699 $4,920.00 27807414 S&N FEMORAL COMPONENT SZE 15 L8699 $19,388.00 27807415 S&N ARTICULAR INSERT SZE 5-6 L8699 $5,408.00 27807431 ZIMMER TAPER STEM PLUG C1713 $1,204.00 27807432 FEMORAL COMPONENT LPS-FL C1713 $5,618.00 27807433 ARTICULAR SURFACE LPS-FLEX C1713 $1,739.00 27807434 MEDARTIS LOCKING PLATE 2.0/2.3 C1713 $1,229.00 27807435 MEDARTIS CORTICAL SCREW 2.0 C1713 $202.00 27807436 MEDARTIS BLUE LOCK PLATE L8699 $1,338.00 27807437 MEDARTIS 8 HOLE LOCK PLATE L8699 $1,830.00 27807438 MEDARTIS LOCKING SCREW 2.0 C1713 $330.00 27807439 LOCKING COMPRESSION PLATE C1713 $833.00 27807440 CLAVICLE PLATE 10 HOLE 3.5MM C1713 $1,998.00 27807442 COMPRESSION PLATE LOCK 4 HOLE C1713 $740.00 27807443 ARTHREX CHONDRAL DART C1713 $464.00 27807445 COMPRESSION PLATE 4 HOLE C1713 $2,988.00 27807447 STRYKER TIBIAL INSERT C1776 $5,835.00 27807448 POSTERIOR STABILIZED FEMORAL C1713 $4,467.00 27807449 STRYKER BONE SCREW T-10 3.5 C1713 $250.00 27807450 STRYKER 4.0 CANNULATED SCREW C1713 $368.00 27807451 SHORT THREAD SCREW 3.2x20MM C1713 $664.00 27807452 STRYKER LOCKING INSERT L8699 $122.00 27807453 BIOMET 15CC CANCELLOUS CHIPS C1713 $731.00 27807454 BIOMET CALCANEAL XS PLATE C1713 $1,247.00 27807455 BIOMET CANNULATE SCREW 4.0 C1713 $476.00 27807456 BIOMET SOLID SCREW 3.5 X26MM C1713 $82.00 27807457 BIOMET SCREW 3.5 C1713 $140.00 27807458 BIOMET WASHER C1713 $247.00 27807459 BIOMET COLLARLESS POROUS STEM L8699 $8,005.00 27807460 BIOMET BIPOLAR ACETABULAR CUP L8699 $3,438.00 27807461 BIOMET MODULAR HEAD 28MM L8699 $1,918.00 27807462 TRI MED FUSION CUP 10 HOLE L8699 $2,613.00 27807463 TRI MED LOCKING SCREW C1713 $213.00 27807470 BIOMET CLAVICALE PIN ASSEMBLY C1713 $3,360.00 27807471 BIOMET HEADLESS COMP SCREW C1713 $963.00 27807473 ORTHO HELIX SCREW 2.5x20MM C1713 $664.00 27807474 SYNTHES CORTEX SCREW 2.4x8MM C1713 $189.00 27807475 SYNTHES SM LOCKING PLATE 2.7 C1713 $3,152.00 27807476 SYNTHES LOCK SCREW C1713 $475.00 27807477 DISTAL TIBIAL PLATE 13 HOLES L8699 $5,283.00 27807479 SYNTHES CORTEX SCREW 4.0/4.5 C1713 $79.00 27807498 BIOMET HIP SPACER NECK ADAPT C1713 $708.00 27807499 BIOMET HIP SPACER STEM C1713 $3,358.00 27807500 BIOMET HIP SPACER HEAD C1713 $2,807.00 27807501 BIOMET BONE CEMENT GENTAMICIN C1713 $562.00 27807502 CANNULA THREADED FLEX 8.0x72MM C1713 $95.00 27807512 DISTAL LATERAL FEMUR PLATE C1713 $4,867.00 27807513 DISTAL FIBULA PLATE 6 HOLE C1713 $2,368.00 27807514 SYNTHES CORTEX SCREW 2.7 C1713 $116.00 27807518 SYNTHES LOCKING SCREW 5X40MM C1713 $620.00 27807519 SYNTHES CORTEX SCREW 3.5x38MM C1713 $78.00 27807521 SYNTHES 10 HOLE LOCKING PLATE C1713 $4,928.00 27807522 SYNTHES ELASTIC NAIL 3.0 C1713 $1,363.00 27807535 VOLNAR DISTAL RADIUS PLATE C1713 $2,759.00 27807536 SYNTHES LOCKING SCREW 2.4MM C1713 $394.00 27807538 SURGIMESH XB C1713 $3,745.00 27807539 WRIGHT 2.5x22MM SCREW C1713 $616.00 27807540 WRIGHT HAMMERTOE IMPLANTS L8699 $4,488.00 27807541 BIO ARCH SUBTALAR INPLANT L8699 $5,870.00 27807548 BIOMET NON LOCK SCREW 2.7 C1713 $80.00 27807573 WRIGHT TOTAL TOE JOINT IMPLANT C1713 $3,240.00 27807577 SOLANA EXTREMITY KIT C1713 $496.00 27807579 SOLANA TENFUSE PIP ALLOGRAFT C1713 $4,535.00 27807586 STRYKER TI LAG SCREW 10.5x95MM C1713 $1,710.00 27807587 STRYKER TI LGN LEFT 11x340MM C1713 $6,102.00 27807588 TRITANIUM HEMISPERICAL SHELL C1713 $4,284.00 27807589 STRYKER T10 LOCKING SCREW C1713 $550.00 27807590 PERSONA FEMALE SCREW 2.5 C1713 $268.00 27807591 POLYAXIAL LOCKING PLATE L8699 $4,534.00 27807592 PERSONA ARTICULAR SURFACE 16MM C1713 $1,070.00 27807593 PERSONA FEMUR RT SZE 6 C1713 $5,083.00 27807594 PERSONA NATURAL TIBIA 5 DEG C1713 $2,675.00 27807595 STRYKER 3 HOLE PROX HUM PLATE L8699 $3,191.00 27807596 STRYKER ES VOLAR PLATE 10 HOLE L8699 $2,240.00 27807597 STRYKER RECTANGULAR PLATE 5H L8699 $2,080.00 27807598 STRYKER RECON FIB PLATE 4MM L8699 $1,364.00 27807599 INSERT FOR RESTORATION ADM CUP L8699 $2,750.00 27807600 STRYKER PIN TO ROD COUPLING C1713 $750.00 27807601 STRYKER 8H SMALL FRAG PLATE L8699 $390.00 27807602 STRYKER CLAVICLE PLATE 8 HOLE L8699 $2,477.00 27807603 DISTAL LATERAL FIBULA PLATE C1713 $2,207.00 27807604 STRYKER FIBULA PLATE C1713 $1,315.00 27807607 LENS MX60 V2782 $525.00 27807609 LFIT V40 FEMORAL HEAD 28MM C1713 $803.00 27807610 MEDARTIS CORTICAL SCREW 2.5 C1713 $202.00 27807615 BACTERIN BONE CHIPS 30CC C1713 $1,170.00 27807616 ACHILLES TENDON W/BONE BLOCK C1762 $3,263.00 27807626 S&N BIOSURE HA SCREW 8MMx25MM C1713 $675.00 27807627 S&N FEMORAL WEDGE 10 MM SZE 3 L8699 $2,723.00 27807628 HIP STEM 127 DEG NECK ANGLE C1713 $5,618.00 27807629 S&N HIGH OFFSET NECK TAPER L8699 $4,140.00 27807630 ARTHROCARE KNOTLESS FIXATION C1713 $875.00 27807631 MODULAR HIP SYSTEM C1776 $10,565.00 27807632 STRYKER MODULAR HIP SYSTEM C1713 $9,441.00 27807633 STRYKER LOCKING SCREW 4.0 C1713 $331.00 27807634 STRYKER CORTICAL SCREW 3.5 C1713 $70.00 27807635 ARTHROSURFACE DISPOSABLE PIN C1713 $750.00 27807636 STRYKER BONE SCREW 2.7x14MM C1713 $211.00 27807637 STRYKER PARTIAL THREAD SCREW C1713 $403.00 27807638 STRYKER CANNULATED SCREW C1713 $417.00 27807639 CANCELLOUS SCREW 6.5MM C1713 $263.00 27807640 STRYKER CORTICAL SCREW 2.3MM C1713 $203.00 27807641 STRYKER LOCKING SCREW 5.0 C1713 $404.00 27807642 LOCKING PERIPROSTETIC SCREW C1713 $541.00 27807646 POSTERIOR STABILIZED FEMORAL C1713 $4,013.00 27807647 PRIMARY TIBIAL BASEPLATE SZ 1 C1713 $2,140.00 27807648 TIBIAL BEARING INSERT PS C1713 $2,408.00 27807650 HIP SPACER STEM MOLD 15MMx155M C1713 $3,510.00 27807651 INTERFERENCE SCREW 11x28MM C1713 $588.00 27807680 PLATE 2.5MM VOLAR WATER 5H C1713 $2,609.00 27807710 HEALICOIL 5.5 SUTURE ANCHO C1713 $963.00 27807711 S&N ENDOBUTTON CL ULTRA 35MM C1713 $840.00 27807712 S&N SCREW HOLE COVER L8699 $108.00 27807713 SMALL HF IMPLANT C1762 $5,000.00 27807714 HOWMEDICA T2 STANDARD END CAP C1713 $749.00 27807715 HOWMEDICA TIBIAL NAIL C1713 $6,105.00 27807716 HOWMEDICA T2 F/T LOCKING SCREW C1713 $749.00 27807717 TUBULAR PLATE 1/3 7 HOLE L8699 $160.00 27807718 STRYKER F/T LOCKING SCREW C1713 $411.00 27807719 Z-DOUBLE THREAD COMP. SCREW C1713 $1,111.00 27807729 PATELLAR THREE PEG COMPONENT C1713 $1,204.00 27807730 CEMENTED TIBIAL KNEE COMPONENT C1713 $2,609.00 27807731 TIBIAL TRAY INSERT POSTERIOR C1713 $2,475.00 27807733 FEMORAL KNEE COMPONENT C1713 $3,879.00 27807735 S&N BIOSURE PK SCREW 7MM C1713 $675.00 27807736 S&N ARTICULAR INSERT L8699 $3,629.00 27807737 S&N CANCELLOUS SCREW 6.5 C1713 $321.00 27807738 LOCKING CLAVICLE PLATE 7 HOLE C1713 $3,200.00 27807739 SBI PLATE A=32,5MM B=35MM C1713 $14,053.00 27807740 SBI ANKLE PLATE C1713 $15,569.00 27807741 HOWMEDICA LAG SCREW 10.5 C1713 $2,258.00 27807742 HOWMEDICA ASNIS MICRO SCREW C1713 $417.00 27807743 ZIMMER 7 HOLE TUBULAR PLATE C1713 $188.00 27807744 S&N CONSTRAIN ARTICULAR INSERT L8699 $4,613.00 27807746 ZIMMER CANNULATED SCREW 4.0 C1713 $512.00 27807747 ZIMMER CORTICAL SCREW 4.5 C1713 $59.00 27807748 S&N ENDOBUTTON CL ULTRA 35MM C1713 $856.00 27807749 S&N Q-FIX ALL SUTURE ANCHOR C1713 $713.00 27807750 S&N RESURFACING PATELLAR COMP L8699 $2,070.00 27807754 S&N BIORAPTOR SUTURE ANCHOR C1713 $856.00 27807759 TIBIAL AUG HALF BLOCK THKNS 5 L8699 $2,361.00 27807760 TIBIAL HALF BLOCK AUG TAPERED C1776 $5,749.00 27807764 ZIMMER CORTICAL SCREW 4.5x30MM C1713 $62.00 27807766 FEMORAL COMPONENT TS C1713 $14,615.00 27807767 FEMORAL DISTAL AUGMENT C1713 $2,764.00 27807768 HOWMEDICA FEMORAL POST AUGMENT C1713 $2,904.00 27807769 TIBIAL AUGMENT HALF BLOCK C1713 $2,588.00 27807770 OFFSET ADAPTER 2MM C1713 $2,782.00 27807771 RESET MATRIX MEMBRANE 1.5x2CM C1713 $5,338.00 27807772 WRIGHT NON LOCKING SCREW C1713 $740.00 27807784 SOLANA IMPLANT KIT 8X8MM C1713 $4,535.00 27807785 SOLANA HUMAN ALLOGRAFT C1713 $5,873.00 27807786 ORTHO HELIX SCREW 2.5 C1713 $758.00 27807788 HOWMEDICA HEMISPHERICAL SHELL C1713 $7,476.00 27807789 HOWMEDICA CANCELLOUS SCREW 6.5 C1713 $282.00 27807790 FEMORAL HEAD OD 28MM OFST C1713 $803.00 27807791 MODULAR HIP SYSTEM C1713 $7,274.00 27807792 RESTORATION MODULAR HIP SYSTEM C1776 $9,441.00 27807793 CONE PROX BODY / TYPE 1 TAPER C1776 $12,670.00 27807794 SYNTHES CORTEX SCREW C1713 $202.00 27807795 VERSYS FEMORAL HEAD 12/14 TAPE C1776 $1,063.00 27807799 ZIMMER 9 HOLE RIGHT PLATE C1713 $2,851.00 27807801 ZIMMER LOCKING SCREW 2.7 C1713 $299.00 27807803 CANNULATED STARTER REAMER 8MM L8699 $1,620.00 27807804 ZIMMER CORTICAL SCREW 3.5 C1713 $101.00 27807805 CANNULATED REAMER 9/10MM L8699 $1,926.00 27807807 ZIMMER TUBULAR PLATE 3 HOLE C1713 $170.00 27807808 ZIMMER SCREW - CORTICAL C1713 $72.00 27807810 ZIMMER 6 HOLE TUBULAR PLATE C1713 $190.00 27807811 ZIMMER LOCK 1/3 TUB PLATE 6H L8699 $260.00 27807812 ZIMMER 1/3 TUBULAR PLATE 10H C1713 $287.00 27807814 ZIMMER CANNULATED SCREW C1713 $353.00 27807815 ZIMMER VOLAR PLATE 3 HOLE RT L8699 $2,070.00 27807816 ZIMMER STEMMED TIBIAL PLATE L8699 $4,350.00 27807817 ZIMMER THREAD PIN C1713 $324.00 27807818 ZIMMER Z NAIL CORTICAL SCREW C1713 $322.00 27807819 ZIMMER BIPOLAR HIP (PARTIAL) L8699 $6,000.00 27807820 ZIMMER OPTION CERAMIC HEAD C1776 $1,125.00 27807821 SYNDESMOSIS REPAIR IMPLANT C1713 $2,274.00 27807823 WRIGHT CANULATED SCREW 3.0 C1713 $645.00 27807824 WRIGHT CANNULATED COUNTERSINK L8699 $560.00 27807825 5.5MM MIDDLE PHALANX IMPLANT C1713 $828.00 27807826 COMPRESSION SCREW 20MM C1713 $1,111.00 27807828 ORTHO HELIX SCREW 3.8 C1713 $758.00 27807831 BIOMET 110/50 CANCELLOUS SCREW C1713 $423.00 27807832 BIOMET SCREW 4.0 C1713 $477.00 27807833 BIOMET TRAUMA 3.5 SCREW C1713 $395.00 27807842 BIOMET CALCANEAL PLATE C1713 $1,327.00 27807843 BIOMET K-WIRE 1.6 C1713 $84.00 27807844 BIOMET CURVED PLATE 6 HOLE L8699 $858.00 27807845 SYNTHES LC-DCP PLATE 10 HOLE C1713 $605.00 27807846 SYNTHES CORTEX SCREW 4.5x58MM C1713 $82.00 27807847 BIOMET NARROW MINI PLATE C1713 $1,353.00 27807849 BIOMET LOCKING SCREW 2.7 C1713 $160.00 27807859 ARTHREX BIOCOMPOSITE SCREW C1713 $844.00 27807860 MINI TIGHTROPE FT 4.5x14MM C1713 $1,700.00 27807861 ARTHREX BICEPS BUTTON C1713 $790.00 27807862 10 HOLE LOCKING TUBULAR PLATE C1713 $648.00 27807863 ARTHREX TIBIAL BEARING SZE 4 L8699 $1,250.00 27807864 ARTHREX PERCUTANEOUS KIT 2.9 L8699 $550.00 27807871 GRACILIS TENDON C1713 $3,046.00 27807876 TOTAL STABILIZER FEMORAL COMP C1713 $14,614.00 27807877 FEMORAL AUGMENT 10MM C1713 $2,904.00 27807878 STRYKER FLUTED STEM C1713 $2,880.00 27807879 SIMPLEX HV W/ GENTAMICIN C1713 $1,006.00 27807880 STRYKER CEMENTED STEM L8699 $2,418.00 27807882 HUMERAL LOCKING PLATE 4 HOLE C1713 $3,910.00 27807883 ZIMMER CANNU LOCKING SCREWS C1713 $289.00 27807884 ZIMMER PERI SCREW 3.5 C1713 $60.00 27807885 ZIMMER PERI LOCKING SCREW C1713 $196.00 27807889 ZIMMER CANNULATED SCREW 3.5 C1713 $270.00 27807890 ZIMMER CANNULATED SCREW 3.0 C1713 $294.00 27807891 ZIMMER CANNULATED SCREW 7.0 C1713 $396.00 27807892 CORTEX SCREW 3.5 SYNTHES C1713 $59.00 27807896 SYNTHES LC-DCP 6 HOLE PLATE C1713 $523.00 27807897 CROSSCHECK MTP LEFT PLATE L8699 $6,988.00 27807906 PARAGON WERBER CBS SCREW C1713 $1,017.00 27807909 WRIGHT TI LOCK SCREW 2.7 C1713 $630.00 27807910 WRIGHT STEIMANN PIN C1713 $65.00 27807912 WRIGHT MPJ PLATE MEDIUM 35MM C1713 $4,917.00 27807913 WRIGHT COMPRESSION SCREW 3.0 C1713 $988.00 27807914 WRIGHT TEMP FIXATION PIN 1.1MM C1713 $285.00 27807941 STELKAST TIBIAL TRAY INSERT C1713 $2,475.00 27807975 NATRELLE SILICONE BREAST 800CC L8600 $1,875.00 27807979 SYNTHES TROCH FIXATION NAIL C1713 $6,349.00 27807985 BREAST IMPLANT OVAL BASE MP L8600 $2,488.00 27807986 BREAST IMPLANT OVAL BASE MP L8600 $2,488.00 27807987 SIENTRA BREAST IMPLANT L8600 $1,750.00 27807988 BREAST IMPLANT OVAL BASE MP L8600 $2,488.00 27807989 NATRELLE BREAST IMPLANT L8600 $2,318.00 27807990 NATRELLE BREAST IMPLANT FF L8000 $3,375.00 27807992 ALLERGAN TISSUE EXPANDER L8600 $3,988.00 27807994 NATRELLE INSPIRA BREAST IMPLAN L8600 $2,075.00 27808021 ZIMMER 4 HOLE HUMERAL PLATE C1713 $3,654.00 27808022 ZIMMER DISTAL TIB LOCK PLATE L8699 $2,365.00 27808023 ZIMMER T-PLATE 3H HEAD 5H SHAF L8699 $546.00 27808026 ZIMMER RECON PLATE 5 HOLE L8699 $672.00 27808027 ZIMMER 6 HOLE TIBIAL PLATE C1713 $3,564.00 27808028 ZIMMER LOCKING SCREW 3.5 C1713 $306.00 27808045 ZIMMER TRANSFIXING PIN C1713 $477.00 27808046 ZIMMER 8 HOLE LOCKING PLATE C1713 $3,708.00 27808047 ZIMMER 1/3 TUBULAR PLATE C1713 $120.00 27808048 ZIMMER LOCKING PLATE 8HOLE L8699 $2,456.00 27808049 ZIMMER 1/2 THREAD CANNUL SCREW C1713 $322.00 27808050 ZIMMER 1/3 TUB PLATE 7 HOLE C1713 $270.00 27808054 ALLODERM 10x20CM Q4116 $89.50 27808055 ALLODERM 8x20CM THICK Q4116 $89.50 27808056 ALLODERM 16X20CM Q4116 $95.20 27808057 ALLODERM 4X7 THIN Q4116 $40.09 27808058 ALLODERM CONTOUR L 164 SQ CM Q4116 $15,600.00 27808059 ALLODERM 10X16CM THICK Q4116 $83.90 27808060 ALLERGAN MAGNA FINDER XACT $38.00 27808061 ALLODERM 1x1 Q4116 $178.00 27808062 CANNULATED SCREW 4.0X30MM C1713 $329.00 27808071 UNIVERSAL BIPOLAR HEAD COMP. C1776 $1,070.00 27808073 ARTHREX STIMUBLAST DBM PUTTY C9359 $250.00 27808074 ARTHREX CEN THIRD PLATE 7 HOLE L8699 $1,375.00 27808075 ARTHREX MTP PLATE STRAIGHT C1776 $2,000.00 27808076 ARTHREX STIMUBLAST DBM PASTE L8699 $263.00 27808078 ARTHREX CORTICAL SCREW 3.0 C1713 $275.00 27808079 ARTHREX TENODESIS SCREW C1713 $713.00 27808080 ARTHREX LOCKING SCREW 3.0 C1713 $213.00 27808082 ARTHREX LOCKING SCREW 2.4 C1713 $313.00 27808083 SYNTHES SCREW CANNULATED 7.3MM C1713 $653.00 27808084 TORNIER NUCLEUS SZE #3 C1776 $12,458.00 27808085 ANIOX BIO-TISSUE C1762 $3,538.00 27808086 METASURG DIGIFUSE C1713 $3,815.00 27808087 METASURG SMOOTH K-WIRE L8699 $40.00 27808090 HOWMEDICA TI LONG NAIL KIT L8699 $5,000.00 27808091 HOWMEDICA LOCKING SCREW F/T C1713 $700.00 27808092 HOWMEDICA LONG NAIL KIT C1713 $8,790.00 27808093 HOWMEDICA TI LAG SCREW C1713 $1,200.00 27808103 SYNTHES LOCKING TUBULAR PLATE C1713 $575.00 27808107 SYNTHES CORTEX SCREW 2.4MM C1713 $268.00 27808108 STRYKER LOCK INSERT LRG FRAG L8699 $149.00 27808110 SYNTHES 2.O TITANIUM Y-PLATE C1713 $860.00 27808117 PLATE DVR ANATOMIC SHORT LEFT C1713 $2,128.00 27808118 THREADED PEG MULTIDIR 2.5x20MM C1713 $255.00 27808119 SEMI TENDONOSUS ALLOGRAFT C1762 $2,846.30 27808128 ZIMMER LOCKING TUBULAR PLATE C1713 $405.00 27808133 ZIMMER TI LOCKING SCREW 3.5 C1713 $261.00 27808136 LATERAL ANKLE TENDON C1762 $3,163.00 27808137 BIOMET DVR PLATE C1776 $2,128.00 27808138 BIOMET PEG THREAD MULTIDIR C1713 $405.00 27808139 BIOMET DVR ANATOMIC SHORT RT L8699 $2,003.00 27808147 BIOMET CANCELLOUS SCREW 120/60 C1713 $395.00 27808148 BIOMET CENTRAL SCREW C1713 $250.00 27808163 ARTHREX DISTAL TIBIAL PLATE C1713 $1,860.00 27808164 ARTHREX SCREW C1713 $125.00 27808165 ARTHREX TIBIAL TRAY SZE 4 L8699 $3,750.00 27808169 ARTHROFLEX ALLOGRAFT 40x70x3.0 Q4125 $4.00 27808172 BIOVANCE ALLOGRAFT 5x5CM Q4154 $309.00 27808173 BIOVANCE ALLOGRAFT 3x3.5CM Q4154 $300.00 27808174 BIOVANCE ALLOGRAFT 2x3 CM Q4154 $532.00 27808175 BIOVANCE ALLOGRAFT 1x2CM Q4154 $375.00 27808176 DECELLURIZED DERMIS Q4125 $4,994.00 27808177 THERA SKIN 2.5 Q4121 $1,988.00 27808178 BIOVANCE ALLOGRAFT 2x2CM Q4154 $375.00 27808179 BIOVANCE ALLOGRAFT 2x4CM Q4154 $313.00 27808191 ARTHREX SCREW 3.0 C1713 $860.00 27808197 STRYKER LOCKING SCREW 3.5 C1713 $653.00 27808198 STRYKER LOCKING SCREW 2.7 C1713 $273.00 27808199 Ti LAG SCREW 10.5x90MM C1713 $1,197.00 27808201 STRYKER BONE SCREW 3.5 C1713 $325.00 27808202 STRYKER BUSHING SM DIS FEMUR C1776 $831.00 27808203 STRYKER KNEE BUMPER INSERT C1776 $1,652.00 27808204 STRYKER DISTAL FEM COMPONENT C1776 $19,346.00 27808205 STRYKER DISTAL FEM AXLE SM C1776 $2,757.00 27808206 STRYKER TIBIAL BEARING COMPON C1776 $7,878.00 27808207 STRYKER OLECRANON PLATE 4 HOLE C1713 $3,808.00 27808208 STRYKER CURVED CEMENTED STEM C1776 $10,343.00 27808209 STRYKER ROTATING HINGE KNEE C1776 $4,073.00 27808210 STRYKER HOFFMANN3 FIXATION L8699 $1,311.00 27808211 HOFFMANN3 CONNECTING FIXATION L8699 $837.00 27808212 BEADED CABLE & SLEEVE SET $821.00 27808213 HOFFMANN3 CONNECTING ROD L8699 $731.00 27808214 STRYKER MED TIB PLATE 12HOLE L8699 $3,348.00 27808215 STRYKER SUPERIO MIDSHAFT PLATE L8699 $2,230.00 27808227 BIOVANCE ALLOGRAFT 4X4 CM Q4154 $363.00 27808228 LACTOSORB SUSPENSION SCREW C1713 $170.00 27808229 HOWMEDICA ROD TO ROD COUPLING C1713 $2,128.00 27808230 HOWMEDICA PIN TO ROD COUPLING C1713 $1,985.00 27808231 HOWMEDICA 5 HOLE PIN CLAMP C1713 $2,260.00 27808232 HOWMEDICA 30 DEG ANGLED POST C1713 $378.00 27808233 HOWMEDICA APEX S/D HALF PIN C1713 $465.00 27808234 HOWMEDICA CONNECTING ROD C1713 $1,203.00 27808235 HOWMEDICA TRANSFIX PIN C1713 $565.00 27808236 HOFFMANN3 PIN CLAMP FIXATION L8699 $1,521.00 27808237 HOWMEDICA APEX S/D PIN FIX L8699 $315.00 27808238 HOWMEDICA APEX FIX PIN S/D THR C1713 $273.00 27808239 HOWMEDICA THREADED ROD C1713 $118.00 27808246 WRIGHT BOW OPENING WEDGE PLATE L8699 $4,910.00 27808247 WRIGHT BOW PLATE C1713 $5,075.00 27808248 WRIGHT SCREW 2.7 C1713 $720.00 27808251 WRIGHT TEUP FIXATION TACKS C1713 $285.00 27808264 SYNTHES CONICAL SCREW 3.5 C1713 $545.00 27808265 SYNTHES TIBIA PLATE PROXIMAL C1713 $5,660.00 27808266 SYNTHES TIBIAL LOCKING PLATE C1713 $4,720.00 27808267 SYNTHES TIBIAL PLATE 4 HOLE L8699 $4,880.00 27808268 BIOVANCE ALLOGRAFT 6x6 Q4154 $233.00 27808269 COLOPLAST AXIS DERMIS 8x12CM C1762 $5,913.00 27808270 INTERFYL HUMAN CONNCET TISSUE Q4171 $1,663.00 27808271 INTERFYL MATRIX 1.5ML FLOWABLE Q4171 $5,750.00 27808272 INTERFYL MATRIX 1.0ML FLOWABLE Q4171 $3,266.00 27808276 LOCKING CLAVICLE PLATE 8 HOLES C1713 $3,175.00 27808277 LOCKING CLAVICLE PLATE 6 HOLES C1713 $3,015.00 27808281 BIOMET CANCELLOUS SCREW 100/40 C1713 $420.00 27808282 BIOMET SMALL CALCANEOUS PLATE C1713 $1,095.00 27808283 BIOMET SM CALC PLATE 2 HOLE C1713 $1,632.00 27808301 RESTORATION GAP PLATE SCREW C1713 $300.00 27808323 VENTRALIGHT MESH ECHO 6"x8" C1781 $2,813.00 27808324 VENTRLIGHT MESH ECHO 8"x10" C1781 $4,350.00 27808329 UNIVERSAL TAPER FEMORAL HEAD C1776 $750.00 27808330 V40 TAPER ADAPTER SLEEVE C1776 $450.00 27808332 S&N BICEPTOR BIOSURE PK SCREW C1713 $630.00 27808333 S&N PRESSFIT STEM STRAIGHT L8699 $2,933.00 27808334 S&N OFFSET COUPLER 6MM L8699 $3,008.00 27808335 S&N HEMISPHERICAL COATED SHELL L8699 $5,310.00 27808342 BIOMET HIP SPACER HEAD MOLD C1776 $2,675.00 27808343 BIOMET HIP SPACER STEM MOLD C1776 $3,345.00 27808344 BIOMET HIP NECK LENGTH ADAPTER C1776 $673.00 27808350 ZIMMER TRAUMA CANNULATED SCREW C1713 $394.00 27808351 ZIMMER HALF PIN 5MMx160MMx35MM C1713 $387.00 27808352 ZIMMER TRAUMA HALF PIN C1713 $351.00 27808353 ZIMMER TRAUMA LOCKING SCREW C1713 $167.00 27808354 ZIMMER DIST LAT HUM PLATE L8699 $1,573.00 27808367 UNIVERSAL FRACTURE STEM C1776 $6,813.00 27808368 ARTHREX FIBER WIRE SUTURE KIT C1713 $938.00 27808369 ARTHREX FRACTURE METAL HEAD C1776 $3,125.00 27808370 ARTHREX DISTAL CLAVICLE PLATE C1776 $1,375.00 27808371 ARTHREX LOCKING SCREW 2.7 C1713 $288.00 27808372 HUMERAL SUTUREPLATE 3 HOLE L8699 $3,738.00 27808373 ARTHREX TITANIUM SCREW C1713 $350.00 27808379 UNIVERSAL HEAD BIPOLAR COMP. C1776 $1,125.00 27808380 MEDARTIS 3.5 CALCANEUS PLATE C1776 $3,098.00 27808381 MEDARTIS PLATE L8699 $2,013.00 27808382 MEDARTIS TROCAR K-WIRE 0.8 C1713 $68.00 27808384 CANNULATED HEADLESS SCREW C1713 $875.00 27808385 MEDARTIS FIXATION PLATE C1713 $625.00 27808390 ZIMMER COMPRESS PLATE 9 HOLE C1776 $351.00 27808394 SYNTHES FEMORAL NAIL-EX C1713 $5,540.00 27808395 SYNTHES LOCKING SCREW 5.0 C1713 $750.00 27808397 SYNTHES END CAP T40 STARDRIVE C1713 $710.00 27808414 REUTER BOBBIN VENTILATION TUBE $40.00 27808418 ZIMMER CANNULATED SCREW 7.5 C1713 $415.00 27808419 ZIMMER NON LOCK SCREW 2.4 C1713 $166.00 27808420 TIBIAL FULL BLOCK AUGMENT L8699 $10,786.00 27808421 ZIMMER TRAUMA GUIDE PIN C1713 $225.00 27808422 ARTICULAR SURFACE SZE E-F L8699 $3,176.00 27808423 ZIMMER Z NAIL LAG SCREW C1713 $896.00 27808424 ARTICULAR SURFACE 12MM HEIGHT C1776 $4,640.00 27809296 ARTHREX 4.0 CANNULATED SCREW C1713 $413.00 27809572 ZIMMER 3.5 PT CANNULATED SCREW C1713 $311.00 27810002 WRIGHT SNAP OFF SCREW 2.0 C1713 $865.00 27810008 DRILL BIT 2.0 $232.00 27810009 DRILL BIT 1.8 $515.00 27810080 QUICK COUPLING DRILL BIT 2.5MM $232.00 27810081 QUICK COUPLING DRILL BIT 3.5MM $232.00 27810112 BIOMET LOCKING SCREW 2.7MM C1713 $159.00 27810241 VITOSS BIOACTIVE FOAM PACK C9359 $2,588.00 27810416 OFFSET MODULAR HUMERAL HEAD C1776 $3,657.00 27810969 WRIGHT HEADLESS COMP SCREW 3.0 C1713 $530.00 27811420 UNI TIBIAL TRAY CEMENTED SZ 4 C1776 $3,235.00 27811426 12MM ARTICULAR COMPONENT C1776 $5,730.00 27811634 SCREW COMPRESSION C1713 C1713 $86.00 27811642 SCREW BONE RICHARDS C1713 C1713 $52.00 27811643 K-WIRES 11643 $22.00 27811651 GRAFT VASCULAAR THIN 6 X 80 C1768 C1768 $3,277.00 27811673 PIN KNOWLES C1713 C1713 $171.00 27811677 SCREW LAG 100MM C1713 C1713 $593.00 27811707 SYNTHES TITANIUM LOCK SCREW C1713 $895.00 27811830 GRAFT VASC HEMA BIFUR 22X11X40 C1768 C1768 $3,084.00 27811852 REVERSE SHOULDER POLY LINER C1776 $3,236.00 27811853 TM REVERSE POLY LINER C1776 $2,579.00 27811854 REVERSE SHOULDER HUMERAL STEM C1776 $17,652.00 27811890 GRAFT VAS INTRA AORTIC 18MM C1768 C1768 $2,977.00 27811891 GRAFT VAS INTRA AORTIC 20MM C1768 C1768 $3,080.00 27811892 MESH MARLEX 10 X 14 CM C1781 C1781 $527.00 27811893 GRAFT GOR-TEX PATCH C1768 C1768 $451.00 27811920 DRILL WIRE PASS 11920 $164.00 27812024 GRAFT FEMGRAFT 8MM C1768 C1768 $1,878.00 27812042 ARTICULAR SURFACE SZE C D C1776 $2,490.00 27812047 SCREW BONE SELF TAPPING C1713 C1713 $35.00 27812055 PLATE HIP 124 HOLE C1713 12055 $126.00 27812067 PIN STEINMAN 2.4 X 226 12067 $21.00 27812089 SCREW BONE CANCELLOUS C1713 C1713 $392.00 27812090 SCREW BONE CORTICAL C1713 C1713 $72.00 27812137 GRAFT VASCULAR 22 X 15 C1768 C1768 $1,261.00 27812144 MESH GORE PATCH 15 X 20 CM C1781 C1781 $5,257.00 27812162 MESH MARLEX 6 X 6 C1781 C1781 $315.00 27812243 MESH (WEAVE) C1781 C1781 $134.00 27812244 INJECTABLE BULKING AGENT L8606 $455.00 27812263 SCREW BONE ECT C1713 C1713 $61.00 27812264 IN2BONES IBS SCREW 4.5 C1713 $1,238.00 27812265 IN2BONES IBS SCREW 2.2 C1713 $988.00 27812266 CORTICAL SCREW 3.5 C1713 $120.00 27812275 SCREW BONE ZIMMER C1713 C1713 $29.00 27812286 SCREW LAG 105MM C1713 C17 $269.00 27812287 SCREW LAG 110 MM C1713 C1713 $312.00 27812288 SCREW LAG 80 MM c1713 C1713 $312.00 27812289 SCREW LAG 85 MM C1713 C1713 $323.00 27812290 SCREW LAG 90 MM C1713 C1713 $312.00 27812291 SCREW LAG 95 MM C1713 C1713 $268.00 27812294 GRAFT FEMGRAFT 7MM C1768 C1713 $1,971.00 27812295 GRAFT FEMGRAFT 10MM C1768 C1768 $1,971.00 27812296 GRAFT VASCULAR THIN 6 X 70 C1768 C1768 $2,681.00 27812313 SCREW BONE CORTICAL MINI C1713 C1713 $285.00 27812332 GRAFT VASC HMEASHIELD 18 X 15 C1768 C1768 $1,673.00 27812333 GRAFT VASC HEMA BIFUR 16X8X40 C1713 C1713 $3,181.00 27812349 BIOMET FIBULA PLATE 8 HOLE C1713 $423.00 27812354 CORTICAL LOCK SCREW 3.5x16MM C1713 $215.00 27812464 SCREW BONE MALLEOLAR C1713 C1713 $64.00 27812465 SCREW BONE CANCELLOUS C1713 C1713 $63.00 27812466 SCREW BONE CANCELLOUS C1713 C1713 $30.00 27812487 SCREW LAG 55 MM C1713 C1713 $327.00 27812488 SCREW LAG 65 MM C1713 C1713 $585.00 27812645 GRAFT VASC STRETCH THIN 6X70 C1768 C1768 $3,500.00 27812702 GRAFT VASC STRETCH W/RING 8X40 C1768 C1768 $2,969.00 27812726 GRAFT VASC HEMASHIELD 18X9X40 C1768 C1768 $3,009.00 27812727 GRAFT VASC HEMASHIELD 20X10X40 C1768 C1768 $3,009.00 27812749 MESH KUGEL HERNIA PATCH M 11CM C1781 C1781 $1,153.00 27812754 GRAFT VASCULAR 6 X 40 C1768 C1768 $1,405.00 27812767 MEDIPORT C1788 12767 $2,022.00 27812813 MESH GORE DUAL 26 X 30 CM C1781 C1781 $8,965.00 27812830 STENT CONTOUR (ALL SIZES) C2617 C2617 $609.00 27812856 GRAFT VASC STRETCH THIN 6 X 50 C1768 C1768 $2,786.00 27812864 MESH KUGEL CMPSX LG OVAL 14 CM C1781 C1781 $4,299.00 27812865 MESH GORE DUAL 20 X 30 CM C1781 C1781 $6,797.00 27812880 MESH DULEX 1MM 20 X 30 CM C1781 C1781 $6,399.00 27812884 GRAFT VASCULAR THIN 4 X 60 C1768 C1768 $2,712.00 27812890 HIP REPLACEMENT CAPITATED 27812 $12,401.00 27812900 KNEE REPLACEMENT CAPITATED 12900 $18,914.00 27812902 SCREW BIONX C1713 C1713 $726.00 27812904 MESH DULEX 15X19 CM C1781 C1781 $3,228.00 27812906 HAMMERTOE CAPITATED VARIABLE C1713 $1,821.00 27812912 SCREW, HEX HEAD COMP 4.7 MM C1713 C1713 $137.00 27812922 LINQ SYSTEM LOOP RECORDER $12,113.00 27812924 SHOULDER REPLACEMENT CAPITATED $39,590.00 27812925 TOTAL ANKLE CAPITATED $33,572.00 27813001 MEDARTIS CORTEX SCREWS C1713 $188.00 27813002 MEDARTIS LOCKING SCREWS C1713 $309.00 27813003 MEDARTIS VOLAR PLATE C1713 $2,515.00 27813004 ZIMMER GUIDE PINS C1713 $264.00 27813005 ZIMMER WASHERS C1713 $97.00 27813006 ZIMMER CANULATED SCREWS C1713 $478.00 27813007 ZIMMER 3 HOLE PROX ULNA PLATE C1713 $2,245.00 27813008 ZIMMER CORTICAL SCREWS C1713 $97.00 27813009 ZIMMER LOCKING SCREWS C1713 $295.00 27813010 SYNTHES TITANIUM SCREWS 3.5 C1713 $72.00 27813011 SYNTHES TITANIUM SCREWS 4 C1713 $60.00 27813012 SYNTHES 7 HOLE PLATE C1713 $225.00 27813013 ORTHOHELIX MINI 2 HOLE PLATE C1713 $2,140.00 27813016 PROPEL SEC BONE SUBSTITUTE C9359 $9,944.00 27813017 PROPEL PIN BLADED C1713 $202.00 27813019 PROPEL SCP BLADED PIN C1713 $202.00 27813020 BIOMEDICAL SPEED IMPLANT C1713 $2,930.00 27813021 BIOMET DVR WRIST PLATE C1713 $2,679.00 27813022 BIOMET PART THREADED SCREWS C1713 $290.00 27813023 BIOMET K-WIRES C1713 $79.00 27813024 ZIMMER HOLE PLATE C1713 $319.00 27813025 S&N BIOSURE SYNC TIB FIXATION C1713 $598.00 27813026 S&N BIOSURE PK 2X25MM C1713 $675.00 27813029 SOLANA METATARSAL DECOMP IMPL C1713 $9,349.00 27813030 HAMMERTOE STERILE PROC KIT $3,077.00 27813031 NEXTRA HAMMERTOE IMPLANT C1713 $2,231.00 27813032 BIOMET DIST VOLAR RADIUS PLATE L8699 $5,300.00 27813033 BIOMET SOLID SCREWS C1713 $137.00 27813035 STRYKER CAPITATED ORIF HIP C1713 $9,072.00 27813036 STRYKER TI LAG SCREW 10.5x75MM C1713 $1,710.00 27813037 STRYKER TI LGN KIT RT 11x36MM C1713 $6,103.00 27813038 BIOMET 1.6MM NAIL,1 LOCKING DE C1713 $924.00 27813040 ZIMMER PROX MEDIAL TIB PLATE L8699 $2,070.00 27813205 ARTHREX RETROFUSION SCREW C1713 $2,238.00 27813285 PROXIMAL TENODESIS IMPLANT KIT C1776 $1,688.00 27813524 CANNULATED PT SCREW 3.0 C1713 $375.00 27814520 CERAMIC V40 BIOLOX DELTA HEAD C1776 $2,562.00 27814962 TIBIAL COMPONENT PS SZ 3 C1776 $2,863.00 27816523 MRH KNEE TIBIAL INSERT C1776 $3,070.00 27817963 CONSTRAINED ACETABULAR INSERT C1776 $6,788.00 27822874 LATERA ABSORB NASAL IMPLANT $3,313.00 27825014 WRIGHT 2.7 LOCKING SCREWS C1713 $605.00 27826513 REST MOD CONICAL DISTAL C1776 $7,074.00 36010007 OR SET UP CLASS 1 $188.00 36010008 OR SET UP CLASS 2 $268.00 36010009 OR SET UP CLASS 3 $348.00 36016000 OPERATING ROOM PER MINUTE 16000 $38.00 36016000L1 OPERATING RM PER MIN LEVEL 1 16000 $45.00 36016000L2 OPERATING RM PER MIN LEVEL 2 16000 $65.00 36016000L3 OPERATING RM PER MIN LEVEL 3 16000 $75.00 36016000L4 OPERATING RM PER MIN LEVEL 4 16000 $85.00 36017000 LOCAL NURSE MON Q 30 $161.00 36020001 VIDEO TOWER $562.00 36020002 COLONOSCOPE $161.00 36020003 GASTROSCOPE/EGD $161.00 36020004 ARTHROSCOPE $198.00 36020005 LAPAROSCOPE $198.00 36020006 CYSTOSCOPE $91.00 36020007 YAG LASER $642.00 36020008 BOVIE (CAUTERY) UNIT $81.00 36020009 CYSTO PAN $27.00 36020010 EYE PREP TRAY $27.00 36020011 EYE MICROSCOPE $59.00 36020012 BRONCHOSCOPE $161.00 36020013 OR MONITORS $140.00 36020014 HARMONIC MACHINE $81.00 36020015 STIRRUPS $11.00 36020016 TOURNIQUET $59.00 36020017 NEOPROBE $107.00 36020018 HYSTERSCOPE $145.00 36020019 OLYMPUS CORD $59.00 36020020 OLYMPUS CAMERA $107.00 36020021 OLYMPUS LIGHT CORD $59.00 36020022 OLYMPUS LIGHT SOURCE $70.00 36020023 OLYMPUS VIDEO-PROCESSOR $91.00 36020024 INSUFFLATOR $70.00 36020025 OLYMPUS 10 MM SCOPE FLEXIBLE $161.00 36020026 HAND TABLE ARM BOARD $27.00 36020027 OR VITAL SIGNS MONITOR $140.00 36020028 C-ARM $107.00 36020029 ANESTHESIA GAS MONITOR $124.00 36020030 OR MONITORS/VITAL SIGN $140.00 36020031 BIS MONITOR $59.00 36020032 BIS SENSOR $11.00 36020033 ETCO2 MONITOR $27.00 36020034 FIBEROPTIC INT SCOPE $91.00 36020035 GLIDEOSCOPE $91.00 36020036 LARYNGOSCOPE $81.00 36020037 CEMENT FOOT PEDAL $27.00 36020038 MICROSCOPE ENT $59.00 36020039 C-ARM TABLE $22.00 36020040 COMPUTER $54.00 36020041 EQUATOR CONVECTIVE WARM UNIT $27.00 36020042 ENDOSCRUB IRRIGATION SYSTEM $81.00 36020043 HEADLIGHT $11.00 36020044 SINUSCOPE $54.00 36020045 SITTING STOLE $6.00 36020046 STEREOTACTIC MACHINE $1,472.00 36020047 ANKLE SCOPE CART $54.00 36020048 ARTHROSCOPY SHAVER $11.00 36020049 ARGON CAUTERY UNIT $81.00 36020050 RF PROBE KIT $49.00 36020051 THERMACHOICE BALLOON MACHINE $54.00 36020052 ARTHROSCOPY PUMP $11.00 36020053 DOPPLER $140.00 36020054 BEACH CHAIR $25.00 36020055 S&N VIDEO TOWER $562.00 36020056 VENTILATOR $175.00 36020057 ULTRASOUND $125.00 36020058 S&N SPIDER POSITIONER $75.00 36020059 INFUSION PUMP FLO GARD 6301 $7,500.00 36030000 EXTRA PERSONNEL Q 30 $49.00 36164640 ILIO, SI JOINT, OCCIP. RADIO 64640 $849.00 79016013 LITHOTRIPSY 50590 505 90 16013 $6,682.00 94099195 THERAPEUTIC PHLEBOTOMY 99195 $222.00 97510060A Drainage of skin abscess 10060 $194.00 97511000A Debride eczem infected skin 11000 $59.00 97511302 Shaving epidermal lesion 11302 $66.00 97519301A Partial Mastectomy 19301 $1,349.00 97519324 Mammaplasty aug w/o pros impl 19324 $549.00 97522900 EXC ABDL TUM DEEP < 5 CM 22900 $1,148.00 97543235B Upper GI Endoscopy Diag 43235 $311.00 97544143 Colectomy w/ colostomy 44143 $1,763.00 97544960 APPENDECTOMY 44960 $1,796.00 97545110 Proctectomy Comp w Colostomy 45110 $1,951.00 97549320 Laparoscopy diagnostic 49320 $665.00 97549321 Laparoscopy w/ biopsy 49321 $705.00 97549322 Lap w/ asp of cavity or cyst 49322 $390.00 97549329 Unlisted laparoscopic proc abd 49329 $372.00 97549650 Laparos inguinal hernia repair 49650 $450.00 97551840 Urethropexy 51840 $689.00 97551841 Ant vesicourethropexy comp 51841 $806.00 97552000 Cystoscopy 52000 $87.00 97557200 Colporrhaphy 57200 $311.00 97557240 Anterior Corporrhaphy 57240 $610.00 97557260 Comb anter colporrhaphy cystur 57260 $786.00 97557260A Anteroposterior colporrhaphy 57260 $786.00 97557260B Combine A/P colporrh w cystour 57260 $786.00 97557520 Conization of cervix 57520 $284.00 97558120 D&C 58120 $265.00 97558267 Vag Hyster Uterus w Colp-Ureth 58267 $1,080.00 97558550 Lap vag hystr uterus 250g or < 58550 $906.00 97558552 Lap Vag Hyster remove tube/ova 58552 $1,020.00 97558558 Hysteroscopy w/ w/o D&C 58558 $472.00 97558570 Lap w/ total hysterectomy 250g 58570 $806.00 97558571 Lap w/ removal tube(s) ovary(s 58571 $932.00 97558662 Lap w/ fulg or exc of lesions 58662 $734.00 97558670 Lap w/ fulg of oviducts 58670 $373.00 97558999 Resuture vaginal wall 58999 $408.00 258001888 IV SOL .9 NSS 100ML MINI PLUS $8.00 270000531 SUTURE 1 ETHILON LR 489T $14.00 270079752 NATRELLE SALINE SIZER $113.00 278013005 ZIMMER TROCAR TIP GUIDE PIN C1713 $225.00 278013011 ZIMMER LOCKING FIB PLATE 6HOLE C1713 $1,160.00 27011478 KNEE GEL WRAP ORTHO ICE PACK $101.00 27012331 UNIVERSAL ORTHO ICE PACK $67.00 27012344 SHOULDER ORTHO ICE PACK $87.00 71010010 PACU RECOVERY 1ST HOUR $616.00 71010011 PACU RECOVERY ADD 30 MIN $305.00 270A4618 CIRCUIT BILEVEL DISPOSABLE $29.00 270A7030 MASK FULL FACE $98.00 270A7034 MASK NASAL $69.00 272A9272 PICO STERILE SINGLE USE VAC A9272 $567.00 20716506 ACUSNARE POLYPECTOMY SNARE $93.00 25800187 IV SOL D5 100ML MINI PLUS $7.00 25810000 IV LACTATED RINGERS 1000CC J7120 10000 $57.00 25810001 IV 0.45 SALINE 1000CC 10001 $57.00 25810002 IV 0.9 NSS 1000CC J7030 10002 $57.00 25810003 IV D5 0.9 NSS 1000CC J7042 10003 $57.00 25810004 IV D5W 1000CC J7070 10004 $57.00 25810005 IV D5 0.45 NSS 1000CC 10005 $57.00 25810006 IV D5 LACTATED RINGERS 1000CC J7121 10006 $57.00 25810007 IV D5 .225 NSS 500CC 10007 $50.00 25810008 IV GLYCINE 3000CC 10008 $90.00 25810009 IV NSS 250CC J7050 $9.00 25810010 IV D10W 500CC 10010 $50.00 25810011 IV NORM R PH 7.4 1000CC 10011 $65.00 25810012 IV 0.9 NSS IRRIG SOL 1500CC 10012 $50.00 25810013 IV ST WATER IRRIG 1500CC 10013 $50.00 25810016 IV D5W 500CC J7060 10016 $50.00 25810017 IV 0.9 NSS CC J7040 J7040 $50.00 25810018 IV 0.9 NSS IRRIG SOL 2000CC 10018 $57.00 25810025 IV TRAVASOL 2.75% 10025 $105.00 25810028 IV NORM M 1000CC 10028 $65.00 25810029 IV LIPOSYN 10% 10029 $90.00 25810031 IV GENTRAN 10% D5W 500CC 10031 $105.00 25812077 IV D5 0.45 NSS 500CC 12077 $50.00 25812119 IV AMINOSYN 4.25% D10W 12119 $105.00 25812194 IV D5W 500CC GLASS 12194 $65.00 25812216 IV LACTATED RINGERS 500CC J7120 12216 $50.00 25812502 IV NORM M 500CC 12502 $57.00 25812666 IV HESPAN 6% 12666 $105.00 25812873 IV SOL NS250 J7050 12873 $6.00 25812892 IV 100ml MINI PLUS 12892 $10.00 25812893 IV D5 100ML MINI PLUS J7060 12893 $10.00 25813000 IV SOLUTIONS 13000 $0.00 25912180 CETACAINE SPRAY 12180 $217.00 27000317 8X4 UNSTERILE SPONGE $53.00 27000437 ULTRADEX EX SCRUB $3.00 27000970 ALCOHOL PREP SWAB $4.00 27001671 CLO TEST KIT $32.00 27001717 X-RAY DRAPE $15.00 27001868 HIBICLENS QUART $18.00 27002042 TATOO NEEDLE $20.00 27002171 KNIFE BLADE $27.00 27002653 OPSITE DRESSING SM $3.00 27002825 SKIN HOOK $193.00 27003040 STAPLER PROTACK 3040 $1,895.00 27003304 CYLINDER CO2 E $22.00 27003583 BLUE TINTED ALCOHOL WASH $11.00 27003795 CYLINDER MEDICAL NITROGEN 304 $47.00 27004019 DECANTING DEVICE $8.00 27004107 STERILANT CONCENTRATE $45.00 27004285 BETADINE SOLUTION GL $8.00 27004790 GOWN DISP IMPERVIOUS ALL SIZE $17.00 27004902 EMPOWER PRESOAK ENZYME GL $80.00 27005015 PIN GUARD $4.00 27005110 ORTHO GLASS 3 - BY THE FOOT $30.00 27005111 ORTHO GLASS 4 - BY THE FOOT $36.00 27005112 ORTHO GLASS 5 $44.00 27005113 ORTHO GLASS 6 - BY THE FOOT $53.00 27005245 GLOVE RADIATION PROTECTIVE $125.00 27005267 ORTHO SUCTION TUBING $6.00 27005370 ANES BATTERY MOD2 2+ $247.00 27005420 BOVIE EXTENSION $11.00 27005421 DURAPREP SURGICAL SOLUTION 3M $11.00 27005422 ACTICOAT 4X4 $25.00 27005431 CULTURETTES SWAB BLUE $2.00 27005479 ENDOPATH 45 MM RELOAD ETS 45 $275.00 27005508 BARD WHISTLE TIP CATH URET $29.00 27005509 GOLDBERG URETERAL ADAPTER $70.00 27005534 RAPID RHINO ANTERIOR/POSTIER $92.00 27005540 STRYKER SUCTION IRRIGATOR $55.00 27005560 CONVATEC PERINEAL/SKIN $3.00 27005564 CHLORA PREP $19.00 27005614 DRAIN SPONGE $3.00 27005672 PICTURES OR $4.00 27005704 ARMBOARD $9.00 27005911 S&N ACROMIOBLASTER $148.00 27005917 S&N WIRLWIND 90 DEG PROBE $482.00 27005919 SUTURE 5 TICRON BLUE GS-18 $22.00 27005920 SUTURE 2 TICRON BLUE T-12 $22.00 27005922 BARD HEMOVAC 10FR 1/8 TROCAR $73.00 27005929 ULTRABRAID #2 SUTURE $49.00 27005943 XEROFORM PETROL DRESSING 2X2 $5.00 27005977 C-ARM DRAPE ORTHO $48.00 27005980 STRYKER SUCTION IRRIGATOR $143.00 27005985 HIP DRAPE $64.00 27006013 NEPTUNE SYSTEM MANIFOLD $79.00 27006014 NEPTUNE SYSTEM DETERGENT $535.00 27006022 ALOE VESTA PROTECTIVE OINTMENT $5.00 27006033 BIOMET BONE STIMULATOR $6,922.00 27006050 SCOPE CLEANING BRUSH $145.00 27006057 SHOULDER DRAPE $83.00 27006112 EYE BLADE TRAPEZOID 1.5X2.0 $51.00 27006138 SURGICAL DRESSING $9.00 27006149 ORTHOHELIX LEFT (R) MTP PLATE C1713 $3,232.00 27006151 ORTHOHELIX SCREW 3.5X14MM C1713 $449.00 27006152 ORTHOHELIX SCREW 4.0X16MM C1713 $449.00 27006153 ORTHOHELIX OLIVE WIRES C1769 $97.00 27006154 ORTHOHELIX DRILLBIT $409.00 27006155 ORTHOHELIX DRILLBIT 2.7 $409.00 27006158 ORTHOHELIX SGL TCAR WIRE 4.0 $21.00 27006159 ORTHOHELIX CAN DRILL BIT 2.6 $454.00 27006160 ORTHOHELIX CAN CNTERSINK 3.8 C1713 $454.00 27006161 ORTHOHELIX CAN SCREW C1713 $580.00 27006162 BIOPRO TOE JOINT PC MS $3,309.00 27006319 SPIDER NET STANDARD RETRIEVAL $193.00 27006339 S&N ULTRABRAID W/NDL $783.00 27006394 S&N SHUTTLE SUT STERILE NEEDLE $356.00 27006508 CADD MEDICATION CASSETTE $12.00 27006509 CADD EXTENSION SET $4.00 27006510 GROUNDING PAD $6.00 27006511 SCD CALF CUFF $61.00 27006512 SCD THIGH CUFF $86.00 27006610 MAGELLAN COMP 1 BLOOD PLATE $803.00 27006630 NEOGUARD COVER $12.00 27006714 SCD (DJO) FOOT CUFF $134.00 27006789 SHAVER BLADE $134.00 27006866 RHINO ROCKET LG $76.00 27007019 BLUNT TIP TROCAR $208.00 27007343 INSUFLOW TUBING $161.00 27007411 Q-CARE VENT CLEAN/SUCTION SYS $42.00 27007608 BETADINE 30ML $3.00 27010032 TUBING BURETROL 10032 $21.00 27010033 TUBING ADMINISTRATION SET 2C 10033 $7.00 27010038 TUBING 2 SITE 2C6537 10038 $12.00 27010042 TUBING BLOOD ADMIN. SET 2C7607 10042 $11.00 27010050 BUTTERFLY 319 X 7/8 10050 $6.00 27010051 BUTTERFLY #21 X 3/4 10051 $6.00 27010052 BUTTERFLY 23 X 3/4 10052 $6.00 27010056 CATHALON ALL SIZES 10056 $6.00 27010057 CATHETER SUBCLAVIAN 10057 $48.00 27010058 INJECTION CAP 10058 $7.00 27010065 BOTTLE EVAC EMPTY 500CC 10065 $12.00 27010066 BOTTLE EVAC EMPTY 1000CC 10066 $19.00 27011001 TUBE ENDO 3.5 11001 $8.00 27011002 TUBE ENDO 4.0 11002 $8.00 27011003 TUBE ENDO 4.5 11003 $8.00 27011004 TUBE ENDO 5.0 11004 $8.00 27011005 TUBE ENDO 5.5 11005 $11.00 27011006 TUBE ENDO 2.0 11006 $8.00 27011007 TUBE ENDO 2.5 11007 $8.00 27011008 TUBE ENDO 6.0 11008 $8.00 27011009 TUBE ENDO 6.5 11009 $11.00 27011010 TUBE ENDO 7.0 11010 $11.00 27011011 TUBE ENDO 7.5 11011 $11.00 27011012 TUBE ENDO 8.0 11012 $11.00 27011013 TUBE ENDO 8.5 11013 $11.00 27011014 BAG URINE 11014 $7.00 27011016 MASK BILI 11016 $13.00 27011017 CATHETER TROCAR KIT 11017 $128.00 27011018 SYRINGE BULB IRRIGATION 11018 $6.00 27011022 IRRIGATION SET CYSTO 11022 $12.00 27011023 TRAY THORACENTESIS SET 11023 $35.00 27011024 TUR TUBING SET Y 11024 $19.00 27011028 SPLINT FINGER #03 11028 $6.00 27011030 SPLINT FINGER 3/4" 11030 $7.00 27011031 SPLINT FINGER 1" 11031 $8.00 27011032 SPLINT FINGER FOLD OVER LRG 11032 $7.00 27011033 SPLINT FINGER FOLD OVER MED 11033 $7.00 27011034 SPLINT FINGER FOLD OVER SM 11034 $7.00 27011035 TUBE SALEM SUMP #14FR 11035 $27.00 27011036 TUBE SALEM SUMP #16FR 11036 $10.00 27011037 YANKAUER SUCTION TIP 11037 $6.00 27011040 CATH SUCTION #10 W MUCOUS TRAP 11040 $7.00 27011043 CATHETER SUCTION ALL SIZE 11043 $6.00 27011045 CATHETER SUCTION #18 11045 $6.00 27011050 TUBING SUCTION CONNECTING 12' 11050 $6.00 27011052 TRAY LAVAGE PERITONEAL 11052 $105.00 27011057 BAG DRAINAGE 11057 $14.00 27011058 CATHETER FOLEY TRAY #16 11058 $38.00 27011059 CATHETER FOLEY TRAY #18 11059 $38.00 27011060 CATHETER FOLEY #08 3CC 11060 $43.00 27011061 CATHETER FOLEY #10 3CC 11061 $41.00 27011062 CATHETER FOLEY #12 5CC 11062 $10.00 27011063 CATHETER FOLEY #14 5CC 11063 $10.00 27011064 CATHETER FOLEY #16 5CC 11064 $8.00 27011065 CATHETER FOLEY #16 30CC 11065 $25.00 27011066 CATHETER FOLEY #18 5CC 11066 $8.00 27011067 CATHETER FOLEY #18 30CC 11067 $25.00 27011068 CATHETER FOLEY #22 5CC 11068 $10.00 27011070 CATHETER FOLEY #22 30CC 11070 $28.00 27011071 CATHETER FOLEY #24 5CC 11071 $8.00 27011072 CATHETER FOLEY #24 30C 11072 $19.00 27011073 CATHETER FOLEY #26 5CC 11073 $10.00 27011074 CATHETER FOLEY #26 30CC 11074 $25.00 27011075 CATHETER FOLEY #20 5CC 11075 $27.00 27011076 CATHETER THORACIC 32FR 11076 $30.00 27011078 TUBE FEEDING 8FR 11078 $7.00 27011079 CATHETER A TRAY 11079 $11.00 27011080 COLLAR CERVICAL SM 11080 $20.00 27011081 COLLAR CERVICAL MED 11081 $20.00 27011082 COLLAR CERVICAL LRG 11082 $20.00 27011084 STRAP CLAVICAL XSM 11084 $36.00 27011085 SPLINT CLAVICLE SM L3670 11085 $28.00 27011086 BRACE CLAVICAL MED. 11086 $27.00 27011087 SPLINT CLAVICLE LARGE 11087 $28.00 27011088 SPLINT ELBOW CHILD 11088 $72.00 27011090 SPLINT ELBOW YOUTH 11090 $72.00 27011091 SPLINT ELBOW ADULT 11091 $72.00 27011093 SHEET SPLIT 11093 $23.00 27011094 DRESSING XEROFORM 1/8 11094 $6.00 27011095 DRESSING XEROFORM 5 X 10 11095 $7.00 27011096 SCROTAL SUPPORT SM 11096 $20.00 27011097 SCROTAL SUPPORT MED 11097 $19.00 27011098 SCROTAL SUPPORT LRG 11098 $20.00 27011099 SCROTAL SUPPORT X-LRG 11099 $21.00 27011101 DRESSING KERLIX ROLL 11101 $7.00 27011102 POWDER TOPICAL - NOSE BLEEDS $15.00 27011103 POWDER TOPICAL - EXT BLEEDING $11.00 27011108 TRAY LUMBAR PUNCTURE 11108 $37.00 27011109 DRESSING TELFA 11109 $6.00 27011112 CVP MAMOMETER 11112 $27.00 27011113 TRAY PUDENDAL 11113 $27.00 27011117 DRESSING NU-GUAZE 1/4X5 PLAIN 11117 $13.00 27011118 DRESS. NU-GUAZE 1/2X5 IODOFORM 11118 $14.00 27011119 DRESSING NU-GUAZE 1/2X5 PLAIN 11119 $13.00 27011120 DRESSING NU-GUAZE 1X5 IODOFORM 11120 $19.00 27011121 DRESSING NU-GUAZE 1X5 PLAIN 11121 $14.00 27011122 DRESSING NU-GUAZE 2X5 IODOFORM 11122 $24.00 27011123 NEEDLE SPINAL 22 X 3.5 11123 $8.00 27011125 NEEDLE SPINAL 18 X 3.5 11125 $7.00 27011137 NEEDLE 22 X 1 1/2 11137 $6.00 27011139 TUBE LAVACUATOR #28F 11139 $44.00 27011140 TUBE LAVACUATOR #32F 11140 $44.00 27011141 TUBE LAVACUATOR #36F 11141 $48.00 27011143 FEEDING BAG 11143 $20.00 27011144 FEEDING TUBE 11144 $39.00 27011145 TED HOSE KNEE HI SM 11145 $14.00 27011146 TED HOSE KNEE HI MED 11146 $14.00 27011147 TED HOSE KNEE HI LRG 11147 $14.00 27011148 TED HOSE KNEE HI X-LRG 11148 $14.00 27011149 TED HOSE THIGH HI SM 11149 $14.00 27011150 TED HOSE THIGH HI MED 11150 $14.00 27011151 TED HOSE THIGH HI LRG 11151 $14.00 27011152 TED HOSE THIGH HI X-LRG 11152 $27.00 27011155 DRESS GAUZE VASELINE 1/2X72" 11155 $10.00 27011156 DRESSING GAUZE VASELINE 3X18" 11156 $7.00 27011159 SPLINT WRIST CHILD RIGHT 11159 $27.00 27011160 SPLINT WRIST ADULT RIGHT 11160 $27.00 27011162 SPLINT WRIST CHILD LEFT 11162 $27.00 27011163 SPLINT WRIST ADULT LEFT 11163 $27.00 27011167 DRESSING SPONGES 2X2 STERILE 11167 $6.00 27011168 DRESSING SPONGES 4X4 STERILE 11168 $6.00 27011169 DRESSING SPONGES 3X4 STERILE 11169 $6.00 27011170 URINE HAT 11170 $6.00 27011171 DRESSING GAUZE TUBE 1" 11171 $6.00 27011176 BOTTLE PERI 11176 $4.00 27011177 IMMOBILIZER KNEE 12" 11177 $81.00 27011182 DRESSING ABD STERILE 11182 $6.00 27011184 DRESSING KLING 2" 11184 $6.00 27011185 DRESSING KLING 3" 11185 $6.00 27011186 DRESSING KLING 4" 11186 $6.00 27011187 DRESSING KLING 6" 11187 $6.00 27011188 PAD PERI 11188 $5.00 27011189 SHOE POST OP WOMENS SM 11189 $29.00 27011190 SHOE POST OP WOMENS MED 11190 $29.00 27011191 SHOE POST OP WOMENS LRG 11191 $29.00 27011192 SHOE POST OP MENS SM 11192 $29.00 27011193 SHOE POST OP MENS MED 11193 $29.00 27011194 SHOE POST OP 11194 $29.00 27011198 BELT RIB FEMALE 11198 $28.00 27011199 OPSITE 11199 $7.00 27011200 PACK OB DRAPE 11200 $23.00 27011201 TRAY PREP $3.00 27011202 URINE COLLECTOR PEDIATRIC 11202 $0.00 27011203 DRAIN PENROSE 1/4 X 12 11203 $7.00 27011207 DRAIN PENROSE 1 X 36 11207 $13.00 27011208 DRAIN PENROSE 3/8 X 18 11208 $8.00 27011215 SPLINT PLASTER 3 X 15 11215 $6.00 27011216 SPLINT PLASTER 4 X 15 11216 $6.00 27011217 SPLINT PLASTER 5 X 30 11217 $6.00 27011219 IMMOBILIZER SHOULDER SM 11219 $24.00 27011220 IMMOBILIZER SHOULDER MED $24.00 27011221 IMMOBILIZER SHOULDER LRG 11221 $24.00 27011222 IMMOBILIZER SHOULDER X-LRG 11222 $24.00 27011223 SPLINT LEG 11 3/4" SM ADULT 11223 $127.00 27011224 SPLINT LEG 14" CHILD 11224 $121.00 27011225 SPLINT-C 4 X 30 11225 $52.00 27011228 CATHETER TEXAS 11228 $7.00 27011235 BAG ENEMA DISP 11235 $7.00 27011236 ENEMA FLEETS 11236 $6.00 27011237 TEMP PROBE 11237 $0.00 27011238 SUCT. CANISTER THIN WALL/LIDS 11238 $8.00 27011242 TRAY IRRIGATION 11242 $7.00 27011243 TRAY SPINAL 11243 $94.00 27011244 BINDER 3 PANEL MED/LRG 11244 $44.00 27011245 BINDER 3 PANEL SM/MED 11245 $41.00 27011246 BINDER 4 PANEL SM/MED 11246 $52.00 27011247 BINDER 4 PANEL MED/LRG 11247 $52.00 27011248 DRESSING COBAN 3" 11248 $13.00 27011250 CATHETER LEG STRAP 11250 $13.00 27011251 SYRINGE 60CC 11251 $5.00 27011252 SYRINGE IRRIGATION PISTON 11252 $6.00 27011254 SYRINGE TOOMEY 11254 $7.00 27011255 SYRINGE PISTON 5CC 11255 $4.00 27011256 SYRINGE 10CC 11256 $2.00 27011257 SYRINGE 20CC 11257 $2.00 27011258 SURGICEL 2 X 3 11258 $63.00 27011259 SURGICEL 2 X 14 11259 $124.00 27011264 BELT COLOSTOMY 11264 $27.00 27011265 CLAMP COLOSTOMY BAG 11265 $10.00 27011266 BONGORT BLUE BAG 11266 $7.00 27011267 MAXI-POUCH 11267 $15.00 27011269 STOMA SKIN BARIER 4X4 11269 $12.00 27011273 BAG URINARY LEG 11273 $14.00 27011274 URINE METER 11274 $35.00 27011277 SITZ BATH 11277 $7.00 27011279 SHEET THREE QUARTER 11279 $8.00 27011280 PACK LAP 11280 $36.00 27011281 SHEET EXTREMITY LIMB 11281 $24.00 27011282 BREAST SHIELD 11282 $22.00 27011283 PUMP BREAST DISPOSIBLE 11283 $11.00 27011284 BANDAGE ACE 2" 11284 $8.00 27011285 BANDAGE ACE 3" 11285 $10.00 27011286 BANDAGE ACE 4" 11286 $11.00 27011287 BANDAGE ACE 6" 11287 $13.00 27011288 GELFOAM SMALL 11288 $24.00 27011289 SUPPORT LUMBAR SACRAL UNIVER. 11289 $76.00 27011295 FEEDING SET ENTERAL 11295 $44.00 27011296 EYE PAD 11296 $6.00 27011297 SLING ARM SM 11297 $20.00 27011298 SLING ARM MED 11298 $20.00 27011299 SLING ARM LRG 11299 $20.00 27011306 SEXUAL ASSAULT KIT 11306 $85.00 27011307 DRESSING ADAPTIC 3 X 3 11307 $6.00 27011308 DRESSING ADAPTIC 3 X 8 11308 $8.00 27011315 DRESS. NU-GAUZE 1/4X5 IODOFORM 11315 $14.00 27011318 TAPE ELASTOPLAST 1" 11318 $8.00 27011319 TAPE ELASTOPLAST 2" 11319 $20.00 27011320 TAPE ELASTOPLAST 3" 11320 $12.00 27011321 TAPE ELASTOPLAST 4" 11321 $36.00 27011322 DRESSING GAUZE TUBE 2" 11322 $6.00 27011329 COTTON BALLS STERILE 11329 $4.00 27011336 AIRWAY 05MM 11336 $6.00 27011338 AIRWAY 06MM 11338 $6.00 27011339 AIRWAY 08MM 11339 $6.00 27011340 AIRWAY 10MM 11340 $6.00 27011344 CIDEX 11344 $0.00 27011370 CUFF BLOOD PRESSURE ADULT 11370 $0.00 27011371 CUFF BLOOD PRESSURE CHILD 11371 $0.00 27011372 CUFF BLOOD PRESSURE INFANT 11372 $0.00 27011373 CUFF BLOOD PRESSURE OBESE 11373 $0.00 27011374 PAD ELECTRODES (3) NDM 11374 $6.00 27011375 SPONGE INSTA KLEEN 11375 $6.00 27011379 SHROUD/BODY BAG 11379 $39.00 27011385 TAPE MEASURE 11385 $0.00 27011387 NAIL DRILL BIT 11387 $0.00 27011388 TAPE ADHESIVE 1" 11388 $6.00 27011390 TAPE ADHESIVE 2" 11390 $10.00 27011391 MOLESKIN 11391 $119.00 27011393 CATHETER FRENCH #08 11393 $7.00 27011394 CATHETER FRENCH #10 11394 $7.00 27011395 CATHETER FRENCH #12 11395 $7.00 27011396 CATHETER FRENCH #14 11396 $7.00 27011397 CATHETER FRENCH #16 11397 $7.00 27011404 COTTON TIP APPLICATOR 11404 $0.00 27011405 BAND AID 11405 $0.00 27011409 SIGMOID KLEEN SPEC 11409 $11.00 27011413 TAPE DURAPORE 1" 11413 $7.00 27011414 TAPE DURAPORE 2" 11414 $10.00 27011415 TAPE MICROPORE 11415 $8.00 27011416 TAPE TRANSPORE 11416 $11.00 27011421 GLOVES 11421 $6.00 27011430 PACKING UTERINE 11430 $90.00 27011434 DRESSING SPONGES RAYTEC 11434 $8.00 27011441 FILTER KIDNEY STONE 11441 $6.00 27011442 BANDAGE PLASTER 6" 11442 $8.00 27011443 SPECIALIST PLASTER BANDAGE 2" 11443 $15.00 27011444 BANDAGE PLASTER 3" 11444 $8.00 27011445 BANDAGE PLASTER 4" 11445 $7.00 27011446 BANDAGE PLASTER 5" 11446 $8.00 27011450 PADDING CAST 2" 11450 $6.00 27011451 PADDING CAST 3" 11451 $7.00 27011452 PADDING CAST 4" 11452 $7.00 27011453 PADDING CAST 6" 11453 $10.00 27011472 SPONGE PRE-OP 11472 $0.00 27011483 PROCTO SWABS 11483 $6.00 27011488 BETADINE OINTMENT 1 LB 11488 $56.00 27011494 CATHETER PLUG 11494 $11.00 27011504 BLADE CAST CUTTER 11504 $66.00 27011519 CATHETER THORACIC 24FR 11519 $25.00 27011520 CLAMP CORD 11520 $6.00 27011524 CATHETER CLAMP 11524 $7.00 27011525 TRAY AMNIOCENTESIS 11525 $85.00 27011526 CONNECTOR STOP COCK 11526 $7.00 27011538 DRESSING SPONGES LAP 11538 $10.00 27011544 TRAY CVP 11544 $30.00 27011545 TRAY IV CUT DOWN 11545 $30.00 27011546 ORTHOPEDIC PREP 11546 $140.00 27011547 BONE SCRUB 11547 $140.00 27011551 TRAY INSTR. SET SUTURE/STAPLE 11551 $14.00 27011552 ET STAPLE REMOVER 11552 $12.00 27011557 TRAY THOROCENTESIS 11557 $30.00 27011558 TRAY PARACENTESIS 11558 $30.00 27011559 TRAY BONE MAROW 11559 $74.00 27011560 AS ROTIC POLYSORB 55 .200 11560 $1,572.00 27011562 PADS SURGENE (PACK OF 5) 11562 $7.00 27011563 TELEMETRY POUCH 11563 $7.00 27011566 TEMPTRON LEAD 11566 $515.00 27011567 TRANSPAC PRESSURE MONITOR. KIT 11567 $86.00 27011573 TRAY NASAL 11573 $30.00 27011574 TRAY EYE 11574 $30.00 27011575 TRAY CYROID 11575 $30.00 27011608 TRAY CIRCUMCISION 11608 $30.00 27011609 HEMOVAC MINI 11609 $40.00 27011610 HEMOVC LRG 11610 $40.00 27011614 CANNISTER SUCTION 11614 $10.00 27011620 TUR APRON 11620 $13.00 27011621 NEEDLE TRU CUT BIOPSY 11621 $71.00 27011623 PEN SKIN SCRIBE 11623 $11.00 27011625 TUBE-T DEAVOR 14F 11625 $64.00 27011629 BONE CEMENT 11629 $852.00 27011641 STAPLE SCAPHOID SMALL 11641 $232.00 27011648 CATHETER CHOLANGIOGRAPHY 4FR 11648 $113.00 27011653 VARI-STIMULATOR III 11653 $96.00 27011659 PREP II PAD CONMED 402-2204 11659 $13.00 27011660 BLADE ELECTRODE VALLEYLAB 11660 $14.00 27011661 ELECTRODE NEEDLE 11661 $10.00 27011662 DISSECTORS KITTNER 11662 $12.00 27011663 TRAPS SPECIMEN 11663 $10.00 27011664 SPLINT LEG 14" YOUTH 11664 $130.00 27011665 SPLINT LEG 15 3/4" ADULT 11665 $121.00 27011666 SPLINT LEG 19 1/2" HIP 11666 $140.00 27011668 NEEDLE NON COR 11668 $29.00 27011675 ELECTRODE FETAL SCALP 11675 $27.00 27011676 DRAIN THORO KIT 11676 $183.00 27011679 CATHETER UMBILICAL TRAY 11679 $30.00 27011680 CATHETER UMBILICAL 8FR 11680 $43.00 27011681 MONITOR INTRAUTERINE SET 11681 $50.00 27011682 AMNI HOOK 11682 $10.00 27011686 CAUTERY STORTZ EYE 11686 $22.00 27011687 BLADE BEAVER MINI 11687 $15.00 27011696 STONE BASKET 6350 11696 $342.00 27011700 LIGACLIPS MEDIUM 11700 $80.00 27011707 CAST PLASTER/SPLINT 11707 $144.00 27011708 CAST FIBERGLASS 11708 $250.00 27011709 BLADE SAW 10 X 20.5 11709 $66.00 27011710 BAG BILE 11710 $40.00 27011711 CUTTING LOOP 28FR 11711 $326.00 27011720 VESSEL LOOPS 11720 $14.00 27011722 BAG DECANTER 11722 $8.00 27011723 PAD KNEE 11723 $82.00 27011725 SLING ARM ELEVATOR 11725 $54.00 27011726 VEIN STRIPPER 11726 $63.00 27011727 TROCARS 8MM 11727 $289.00 27011728 SURGINEEDLE 11728 $97.00 27011735 MANIPULATOR UTERINE 11735 $124.00 27011736 NEEDLE COUNTER 11736 $6.00 27011742 CUFF BLOOD WARMER 11742 $54.00 27011743 JUGULAR COMPONENT 11743 $2,727.00 27011746 NEEDLE REGIONAL BLOCK 11746 $11.00 27011747 ANESTHESIA CIRCUIT ADULT 11747 $11.00 27011748 PEDIATRIC CIRCUIT 11748 $19.00 27011750 CATHETER ARW CENTRAL VEIN 16GA 11750 $101.00 27011752 TUBING LIPOSYN 11752 $13.00 27011753 AIRWAY NASAL 8.0 11753 $19.00 27011754 CATHETER NOVALON 11754 $7.00 27011758 ADAPTER VENTED SPIKE 11758 $12.00 27011759 EYE ERASER MENTOR 11759 $33.00 27011760 NEEDLE CYSTOTOME 11760 $14.00 27011763 TUBE STOMACH LEVIN 18FR 11763 $8.00 27011765 EYE TUBING VISITEC 11765 $43.00 27011766 FEEDING TUBE SACKS-VINE 11766 $578.00 27011767 CRICOTHYROTOMY KIT 11767 $457.00 27011769 MORGAN EYE LENS (IRRIGATION) 11769 $69.00 27011770 TUBING IV NITROGLYCERINE 11770 $30.00 27011771 TUBING IVAC VOLUME SET 11771 $20.00 27011772 TUBE TYTAN 11772 $105.00 27011774 DRAIN EYE (MEROCEL) 11774 $13.00 27011777 PACK VITRECTOMY PROBE 11777 $420.00 27011779 PAD EXTERNAL PACEMAKER (ZOLL) 11779 $205.00 27011785 NEEDLE INSUL. STIMEX 22X2 1/8 11785 $39.00 27011791 SNAP COVER 11791 $12.00 27011792 AS ROTIC POLYSORB 170 11792 $1,572.00 27011793 CUTTER LINEAR 55MM 11793 $467.00 27011794 AS STAPLER LDS 11794 $982.00 27011795 BUR STERILE 4 X 8MM 11795 $147.00 27011796 DRAIN JACKSON PRATT 11796 $25.00 27011798 OXYHOOD 11798 $6.00 27011799 HYPERINFLATION BAG 11799 $37.00 27011802 PACK ORTHO MINOR 11802 $73.00 27011805 IV START PACK 11805 $13.00 27011806 CAUTERY ACCU TEMP 11806 $33.00 27011808 STAPLER INTRALUMINAL 33MM 11808 $1,311.00 27011809 CYSTOLOGY BRUSH 11809 $52.00 27011812 NEEDLE FILTER 11812 $6.00 27011813 SET IV SECONDARY MEDICATION 11813 $8.00 27011814 TUBE CHEST TROCAR 32FR 11814 $63.00 27011816 PAD DEFIBRILATOR 11816 $30.00 27011817 TRAY CVP DRESSING 11817 $22.00 27011818 PEDIATRIC STYLET 11818 $13.00 27011819 RECEPTAL LINER 11819 $11.00 27011821 SURGIPORT 10MM 11821 $296.00 27011823 MECONIUM ASPIRATOR 11823 $15.00 27011824 OBTURATORS/SLEEVES 5MM 11824 $225.00 27011825 SUCTION COLLECTION TUBE BERCK. 11825 $24.00 27011826 INFRAGUIDE TIP DISPOSABLE 11826 $268.00 27011828 NEEDLE LOCK 11828 $6.00 27011829 CONNECTOR J LOOP 11829 $7.00 27011833 AS POLYSORB .200 L.U. 11833 $710.00 27011835 SUSRGIGRIP 5MM 11835 $29.00 27011836 HEMOVAC MED 11836 $40.00 27011837 NEEDLE EYE RETROBULBER 23GA 11837 $20.00 27011838 IMMOBILIZER KNEE 24"&26" 11838 $99.00 27011839 IMMOBILIZER KNEE 26" 11839 $78.00 27011840 SPLINT CLAVICLE X-SM 11840 $28.00 27011841 SPLINT CLAVICLE SM 11841 $28.00 27011842 SPLINT CLAVICLE MED 11842 $28.00 27011843 STOMAHESIVE POWDER 11843 $24.00 27011844 STOMAHESIVE MOLDABLE STRIPS 11844 $14.00 27011846 COLLAR PHILADELPHIA SM 11846 $79.00 27011847 COLLAR PHILADELPHIA MED 11847 $79.00 27011848 COLLAR PHILDELPHIA LRG 11848 $79.00 27011849 SHOE CANVAS DELUXE SM 11849 $30.00 27011850 SHOE CANVAS DELUXE MED 11850 $30.00 27011851 SHOE CANVAS LRG 11851 $30.00 27011852 SHOE CAST DELUXE X-LRG 11852 $35.00 27011853 SHOE CAST ROCKER SM 11853 $35.00 27011854 SHOE CAST ROCKER MED 11854 $35.00 27011855 SHOE CAST ROCKER LRG 11855 $35.00 27011856 SPLINT LEG 8 3/4" SM CHILD 11856 $145.00 27011859 ANGIOCATH 11859 $6.00 27011860 ANGIOCATH 18 X 2.00 11860 $6.00 27011861 TRAY THORACENTESIS DISPOSABLE 11861 $380.00 27011862 CATHETER FOLEY #20 30CC 11862 $25.00 27011863 DRESSING NU-GAUZE 2 X 5 PLAIN 11863 $20.00 27011864 COLLAR CERVICAL X-LONG 11864 $20.00 27011865 DRESS. GAUZE VASELINE 1X36" 11865 $15.00 27011866 RESEVOIR JACKSON PRATT 11866 $24.00 27011867 STYLET INTUBATING 11867 $13.00 27011869 CUTTER LINEAR STANDARD 55MM 11869 $1,159.00 27011871 STAPLER LINEAR 30MM 4.8 11871 $455.00 27011872 STAPLER LINEAR 55MM 11872 $1,017.00 27011873 DRESSING DUODERM 11873 $70.00 27011874 SPLINT ELBOW SM CHILD 11874 $72.00 27011875 CYSTOSCOPY PACK 11875 $20.00 27011876 CATH PERCUT. INTRODUCER 8.5 11876 $136.00 27011877 A PORT 1515 11877 $2,178.00 27011878 A PORT 6015 11878 $1,720.00 27011879 A PORT 6520 11879 $1,720.00 27011881 THREADS STABILITY 11MM 11881 $35.00 27011882 MIXING SYSTEM 11882 $160.00 27011884 HEAD REST 9" 11884 $11.00 27011887 SPHINCTERTOME 11887 $851.00 27011888 DRAPE ADHESIVE U 11888 $12.00 27011889 SECOND USE KIT 11889 $71.00 27011896 POUCH UROSTOMY SUR-FIT 2 1/4 11896 $12.00 27011897 STOMAHESIVE PASTE 11897 $30.00 27011899 OSTOMY SYSTEM 2.75" 11899 $22.00 27011900 OSTOMY POUCH 4" DRAIN SUR-FIT 11900 $11.00 27011901 UROSTOMY POUCH 2 1/4 11901 $11.00 27011903 POUCH DRAINABLE SUR-FIT 2 1/4 11903 $10.00 27011904 IRRIGATION STARTER SET 11904 $160.00 27011907 TRAY GASTROSTOMY 11907 $507.00 27011908 STENT 5FR C2617 C2617 $508.00 27011909 STENT 6FR C2617 C2617 $508.00 27011910 STENT 7FR C2617 C2617 $508.00 27011911 TUBE ANCHOR 11911 $22.00 27011912 COBAN 4" 11912 $15.00 27011914 ERCA LIGACLIP M/L 11914 $428.00 27011915 ENDO CHOLE KIT 11915 $1,295.00 27011917 TUBING SUCTION CONNECTING 6' 11917 $6.00 27011919 DRILL TWIST 1/4" 11919 $65.00 27011921 TUBING BLOOD ADMINISTRATION 11921 $37.00 27011922 STENT PIG TAIL 4FR C2617 C2617 $310.00 27011923 PUMP BREAST ELECTRIC -OB 11923 $19.00 27011924 BREAST COLLECTION KIT 11924 $95.00 27011926 ACCUTE DIALYSIS 11926 $240.00 27011927 TAPE ADHESIVE 3" 11927 $8.00 27011928 AIRWAY 04MM 11928 $6.00 27011929 AIRWAY 07MM 11929 $6.00 27011930 AIRWAY 09MM 11930 $6.00 27011931 STAPLER INTRALUMINAL 25MM 11931 $1,311.00 27011932 STAPLER INTRALUMINAL 29MM 11932 $1,369.00 27011933 TUBE THORACIC TROCAR 28FR 11933 $71.00 27011936 PACK ARTHROSCOPY II 11936 $137.00 27011937 NEEDLE SPINAL 22 X 5 11937 $14.00 27011938 NEEDLE SPINAL 22 X 1.5 11938 $7.00 27011939 BUR FOOTBALL 11939 $137.00 27011940 BUTTERFLY #21 X 1.25 11940 $6.00 27011943 CATHETER AROW RADIAL ARTERY SE 11943 $37.00 27011945 SPLINT FINGER 1 5/8 " 11945 $10.00 27011946 SPLINT FINGER 2 5/8" 11946 $10.00 27011947 CATHETER ARW DBL LUMEN 7FR KIT 11947 $253.00 27011948 ARROW CATH. PERCUTANEOUS 6 FR 11948 $136.00 27011949 ENDO IRRIGATOR 11949 $226.00 27011951 A PORT 6527 11951 $2,336.00 27011955 LOADING UNIT 55MM 11955 $253.00 27011956 AS POLYSORB .170 L.U. 11956 $677.00 27011957 LOADING UNIT HEAVY 30MM 11957 $249.00 27011958 SUTURE PURSE STRING 11958 $388.00 27011959 POUCH DRAIN WOUND MANAGER 11959 $72.00 27011960 ET TA 55 4.8 L.U. 11960 $590.00 27011962 LIGACLIPS SMALL 11962 $79.00 27011963 LIGACLIPS LARGE 11963 $78.00 27011964 LOADING UNIT 30MM 11964 $249.00 27011965 STAPLER LINEAR 30 MM 4.5 11965 $455.00 27011966 LOADING UNIT 60MM 11966 $267.00 27011967 STAPLER LINEAR RELOADABLE 11967 $482.00 27011968 LOADING UNIT HEAVY 60MM 11968 $238.00 27011969 STAPLER LINEAR 90MM 11969 $570.00 27011970 STAPLER LINEAR HEAVY 90MM 11970 $570.00 27011972 CATHETER FRENCH #18 11972 $7.00 27011973 CATHETER DILATATION 15MM C1726 C1726 $1,097.00 27011974 TUBE ENO 6 OC 11974 $11.00 27011975 EPIDURAL ANES KIT 11975 $150.00 27011976 TUBE FEEDING 5 FR 11976 $8.00 27011977 CATHETER FOGARTY BILIARY 5FR 11977 $251.00 27011980 CATH FOGARTY IRRIGATION 4 FR 11980 $73.00 27011982 TUBING EXTENSION SET 30" 11982 $8.00 27011983 TUBING EXTENSION SET 35" 11983 $6.00 27011985 WIRE-K .062 11985 $22.00 27011986 LAVACUATOR 40 FR 11986 $39.00 27011987 INSTRUMENT WIPES 11987 $7.00 27011988 LOOP OSTOMY BRIDGE 11988 $12.00 27011990 STAPLE SCAPHOID MED 11990 $178.00 27011991 AIRWAY NASAL 7.0 11991 $19.00 27011992 NEEDLE SKINNEY SHIBA 11992 $41.00 27011993 NEEDLE SPINAL 26 X 3.5 11993 $8.00 27011994 NEEDLE SPINAL 25 X 3.5 11994 $8.00 27011995 WIRES GUIDE PINS 11995 $65.00 27011997 CATHETER CHOLANGIOGRAPHY 6 FR 11997 $113.00 27011999 MISCELLANEOUS M & S 11999 $0.00 27012001 STENT PIG TAIL 6 FR C2617 C2617 $294.00 27012002 STAT II FLOWMETER 12002 $15.00 27012003 BUR SIDE CUTTING STERILE 12003 $43.00 27012004 BUR 1.8 MM 12004 $40.00 27012007 ARROW KARLIN BLOOM KIT 12007 $286.00 27012008 STAPLER LINEAR VASCULAR 30MM 12008 $572.00 27012009 CUTTER LINEAR 75 MM 12009 $842.00 27012010 LOADING UNIT 75 MM 12010 $441.00 27012012 TUBE TRACH SHILEY 6 12012 $217.00 27012013 TUBE TRACH SHILEY 8 12013 $217.00 27012014 TUBE TRACH SHILEY 10 12014 $217.00 27012015 ET GIA 30 2.5 12015 $1,102.00 27012016 CUTTER LINEAR STANDARD 35MM 12016 $1,093.00 27012017 ET ENDO GIA 30 2.5 LOADING UNI 12017 $496.00 27012018 ENDO BABCOCK 12018 $382.00 27012020 SURGIPORT 12 MM 12020 $249.00 27012021 THREADS STABILITY 12MM 12021 $35.00 27012022 STONE BASKET 6347 12022 $980.00 27012023 PEDIATRIC PREP II 12023 $28.00 27012025 SHUNT DENVER 12025 $2,727.00 27012026 VACUUM DELIVERY SYSTEM 12026 $356.00 27012027 COLONOSCOPE SNARE 12027 $127.00 27012028 EYE SHEILD FOX 12028 $7.00 27012029 DRAPE OPTHALMALIC 12029 $28.00 27012032 DRAIN PENROSE 3/8 X 12 12032 $7.00 27012033 DRAIN PENROSE 1 X 8 12033 $7.00 27012035 ET STAPLER SKIN 35 W 12035 $37.00 27012038 DRAPE IOBAN 2EZ 23/17 12038 $13.00 27012039 CAM WRAP 12039 $28.00 27012040 KNIFE ELECTRODE 24FR 12040 $400.00 27012041 KNIFE ELECTRODE 26FR 12041 $369.00 27012042 KNIFE ELECTRODE 28FR 12042 $292.00 27012043 FOLLOWERS 14 FR 12043 $64.00 27012044 FOLLOWERS 10FR 12044 $64.00 27012048 TUBE ENDO 39FR LEFT 12048 $236.00 27012049 TUBE ENDO 37FR LEFT 12049 $236.00 27012051 TUBE ENDO 37FR RIGHT 12051 $412.00 27012052 PACK BASIC 12052 $15.00 27012053 WIRE PROCANTERIC 12053 $33.00 27012054 BUR DENTAL 1.5 X 7.5MM 12054 $99.00 27012057 WIRE GUIDE PEG HARD DOME 12057 $542.00 27012058 WIRE GUIDE PEG SOFT DOME 12058 $574.00 27012059 WECK-CEL 12059 $8.00 27012060 EYE GARTER 12060 $7.00 27012062 ARCH BAR 12062 $79.00 27012063 TRACH TUBE HOLDER 12063 $14.00 27012068 PIN HOLDER STEINMAN 12068 $389.00 27012069 TUBING LASER 12069 $24.00 27012070 FILTER STACKHOUSE LASER 12070 $202.00 27012071 DRILL BIT 3.5MM 12071 $13.00 27012072 IMMOBOLIZER KNEE 19" 12072 $69.00 27012073 IMMOBILIZER KNEE 16" 12073 $81.00 27012075 SPLINT WRIST YOUTH LEFT 12075 $27.00 27012076 SPLINT WRIST YOUTH RIGHT 12076 $27.00 27012079 TAPE UMBILICAL OB 12079 $65.00 27012080 TUBE ENDO 39FR RIGHT 12080 $412.00 27012081 CANNISTER BERKLEY DISP 12081 $39.00 27012088 COLD INJECTATE TUBING 12088 $76.00 27012091 CORD ACTIVE DISP 12091 $82.00 27012092 BARRIER WIPE ALLKARE 12092 $6.00 27012093 CUTTING LOOP 26FR 12093 $326.00 27012094 BOVIE (HAND SWITCHING PENCIL) 12094 $14.00 27012095 SHOE CAST XLRG 12095 $33.00 27012098 BUR STERILE 5.5 X10MM 12098 $87.00 27012100 LECTROBRASIVE 12100 $7.00 27012101 NEEDLE BIOPSY 12101 $1,414.00 27012102 ELECTRODE PACING 12102 $546.00 27012103 STONE BASKET 6390 12103 $653.00 27012104 PUMP VAC 12104 $19.00 27012105 CANNULA PRESSURE 12105 $10.00 27012107 ET REDUCER CAP 12107 $29.00 27012108 LITE HANDLE 12108 $7.00 27012109 LOOP VESSEL DISP MAXI BLUE 12109 $14.00 27012110 CATHETER BALLOON DILATION 65CM 12110 $531.00 27012112 BLADE SAW 19.0 X 63.5 12112 $82.00 27012113 TUBE T CATTELL 12113 $70.00 27012114 TUBING TRANSFER 12114 $8.00 27012116 STENT PIG TAIL 4.7FR C2617 C2617 $320.00 27012117 BUR STERILE 2X19MM 12117 $35.00 27012118 PEG FEEDING TUBE 12118 $442.00 27012122 SPLINT LEG 24 3/4 HIP 12122 $0.00 27012123 SPLINT LEG 31" HIP 12123 $217.00 27012124 SPLINT WRIST SM CHILD RIGHT 12124 $30.00 27012125 SPLINT WRIST SM CHILD LEFT 12125 $30.00 27012126 ANESTHESIA EXTENSION SET 12126 $13.00 27012128 KNIFE MICRO EYE 4.0MM 12128 $38.00 27012129 BLADE & TIP EYE 15 STAB 12129 $22.00 27012130 A PORT INTRODUCER 12 FR 12130 $163.00 27012134 STOMAHESIVE WAFER 2 1/4 12134 $13.00 27012138 KIT CHOLANGIOGRAPHY 12138 $72.00 27012140 CANNULA LEVER LOCK 12140 $6.00 27012141 BLADE INCISOR 4.5MM 12141 $271.00 27012142 TUBE ESOPH NASAL GASTRIC 20FR 12142 $844.00 27012143 GELFOAM LARGE 12143 $117.00 27012145 PREMIER PHACO 12145 $238.00 27012149 WIRE-K 1.1 X 229 12149 $48.00 27012150 WIRE-K 1.6 X 229 12150 $48.00 27012152 HYDROJAW INSERT SET 33MM 12152 $104.00 27012153 HYDROJAW INSERT SET 61MM 12153 $112.00 27012154 HYDROJAW INSERT SET 86MM 12154 $126.00 27012156 HANDLE VALLEYLAB 12156 $300.00 27012157 HOOK BLADE VALLEYLAB 12157 $163.00 27012158 TUBING IV MICRODRIP *EOR* 12158 $12.00 27012159 T TUBE DEAVER 12159 $64.00 27012160 FORCEP HOT BIOPSY DISP 12160 $324.00 27012161 AS CEEA 28 12161 $1,677.00 27012162 DRESSING MARLEX MESH 6X6 $251.00 27012163 FITER ENTRY NEEDLE GREENFIELD 12163 $21.00 27012165 BUR ROUND 1.5MM 12165 $54.00 27012166 BLADE SAW 19.5 X 71 12166 $82.00 27012167 BLADE SAW 10 X 18.5 12167 $85.00 27012168 BLADE SAW 5.5 X 28.5 12168 $54.00 27012169 BLADE SAW 10 X 12 12169 $71.00 27012171 REDUCER CAPS 5MM 12171 $29.00 27012172 BLADE SAW (ACCU CUT) 12172 $295.00 27012173 SLING ARM X LRG 12173 $20.00 27012174 CATHETER FILIFORM 5FR 12174 $48.00 27012176 ENDO LOOP 12176 $59.00 27012177 WIRE ENT SNARE 12177 $7.00 27012179 NEEDLE MONOPTY BIOPSY OR 12179 $119.00 27012181 PROBE/IRRIGATOR ENDO FLO COMB 12181 $212.00 27012182 BLADE SAW 32.0 X 63.5 12182 $539.00 27012183 BLADE SAW 10 X 35 12183 $85.00 27012184 BLADE SAW 33 X 71 12184 $65.00 27012185 BLADE SAW 32.5 X 64 12185 $65.00 27012186 BLADE SAW 5.5 X 12 12186 $71.00 27012187 BLADE SAW 5.5 X 7.5MM 12187 $54.00 27012188 BUR STERILE 1.5 X 7.5MM 12188 $54.00 27012189 CUTTING LOOP 24FR 12189 $326.00 27012190 TUBE ENDO 4.0 CUFFED 12190 $11.00 27012191 TUBE ENDO 4.5 CUFFED 12191 $11.00 27012195 FINGER SPLINT 3" 12195 $7.00 27012196 FINGER SPLINT 6" 12196 $7.00 27012201 BERKLEY CANNULA 12201 $19.00 27012204 TUBE STOMACH 16FR 12204 $6.00 27012205 TUBE STOMACH 12FR 12205 $6.00 27012206 TUBE ENDO 5.0 CUFFED 12206 $11.00 27012207 NEEDLE SPINAL 20X 3.5 12207 $8.00 27012208 CATHETER THORACIC 28FR 12208 $25.00 27012209 DRESSING ULCER 12209 $20.00 27012213 CATHETER UMBILICAL 5FR 12213 $43.00 27012214 CATHETER UMBILICAL 3.5FR 12214 $43.00 27012215 SHOE CANVAS XLRG 12215 $30.00 27012217 BELT RIB MALE 12217 $28.00 27012219 STONE BASKET 6351 12219 $342.00 27012220 STONE BASKET 6355 12220 $300.00 27012221 STONE BASKET 6365 12221 $980.00 27012222 STONE BASKET 6371 12222 $475.00 27012223 TUR RECEPTOR KIT 12223 $136.00 27012224 TAPE UMBILICAL OR 12224 $254.00 27012226 SPLINT CLAVICLE X LARG 12226 $28.00 27012227 STAPLE SCAPHOID LRG 12227 $178.00 27012228 STAPLE SCAPHOID MED/LONG 12228 $178.00 27012230 BLADE BEAVER MICRO SHARP 12230 $20.00 27012232 DRAIN PENROSE 5/16 X 18 12232 $7.00 27012233 LAP SPATULA VALLEY LAB 12233 $300.00 27012234 PADS LEG 12234 $49.00 27012235 NERVE PROTECTOR PADS 12235 $15.00 27012238 ET HERNIA KIT 12238 $1,573.00 27012240 ET SURGIWIP 12240 $159.00 27012241 LAVAGE SYSTEM CLOSED (AUTOVAGE 12241 $71.00 27012242 DISSECTORS BLUNT CHERRY 12242 $97.00 27012243 MESH (WEAVE) C1781 $268.00 27012244 SUCTION COAG 12244 $30.00 27012245 NERVE STIMULATOR 12245 $126.00 27012246 SPLINT NASAL DOYLE 12246 $94.00 27012248 T-TUBE 12248 $61.00 27012249 KNIFE MYRINGOTOMY 12249 $38.00 27012251 TUBE ENT .045 12251 $69.00 27012252 BOVIE ELECTRODE CONMED PREP II 12252 $11.00 27012255 POUCH CUSTOM ONE PIECE SYSTEM 12255 $12.00 27012256 BAG ENDO 12256 $71.00 27012257 CATHETER IV DUAL LUMEN 12257 $38.00 27012258 CATHETER FILIFORM 4FR 12258 $39.00 27012259 FOLLOWERS 16FR 12259 $64.00 27012260 FOLLOWERS 18FR 12260 $64.00 27012261 FOLLOWERS 24FR 12261 $63.00 27012262 REDI TIP 12262 $19.00 27012266 TUBE ENT .040 12266 $39.00 27012267 TUBE GASTROSCOPY CORPAK 12267 $208.00 27012268 PILLOW ABDUCTION 12268 $68.00 27012269 NEEDLE ASPIRATION (ILLINOIS ST 12269 $72.00 27012270 AS VERSA TACK 12270 $503.00 27012272 STENT DOUBLE PIGTAIL 4.7FR X22 C2617 12272 $294.00 27012273 MONITOR APNEA KIT 12273 $130.00 27012274 STOMAWAFER C FLANGE 4" 12274 $37.00 27012279 TINCTURE BENZOIN AMPULE 12279 $4.00 27012280 FRED ANTI FOG 12280 $24.00 27012282 SUCTION POOLE TUBING TIP 12282 $12.00 27012285 ARTHROSCOPY SPEC. CONVERTOR 12285 $15.00 27012298 DISP. STOPCOCK 12298 $6.00 27012299 TUBE MILLER ABBOTT 12299 $274.00 27012300 BUR 4.0 ABRADER 12300 $273.00 27012301 BUR 5.5 ACRIMINSOR 12301 $273.00 27012302 TUBING SUCTION/ENDO-FLO 12302 $20.00 27012303 ASPIRATOR BAG 12303 $21.00 27012304 TONSIL SPONGE 12304 $11.00 27012308 PALL FILTER 12308 $13.00 27012309 MASK ANESTHESIA 12309 $13.00 27012312 TUBE TRACH SHILEY 4 12312 $217.00 27012315 NEEDLE SPINAL 22 X 7 12315 $20.00 27012317 ESMARK 3" 12317 $40.00 27012318 ESMARK 4" 12318 $52.00 27012319 ESMARK 6" 12319 $61.00 27012320 ARTHRO-IRRIGATOR 12320 $212.00 27012321 TUBING IV FILTER EXTENSION 12321 $21.00 27012322 CEMENT MIXING BOWL 12322 $238.00 27012323 BONE GRAFT CHIPS 12323 $716.00 27012325 TUBING EXTENDABLE ANES 12325 $8.00 27012326 ICE BAG 12326 $6.00 27012327 STEIMAN PIN TRACTION LOOP 12327 $594.00 27012328 SUTURE PASSER (SWANSON) 12328 $109.00 27012329 DRILLBIT 1/8 X 5 12329 $57.00 27012335 MIXER CHAMBER 12335 $167.00 27012336 FEMORAL WICK 12336 $778.00 27012337 FEMORAL SEAL 12337 $425.00 27012338 NOZZLE STANDARD 12338 $104.00 27012341 STAPLE FRACTURE 2.8 X 16 12341 $98.00 27012342 NEEDLE BIOPSY GREENE DISP 12342 $104.00 27012343 CATH ORC-B CHOLIANGIOGRAM 12343 $96.00 27012345 DRAIN ROUND 12345 $24.00 27012346 CANNULA FRAZIER 12346 $15.00 27012347 TUBE CONNECTING (ORTHO) 12347 $7.00 27012348 CAM VAC 12348 $86.00 27012359 FETAL MONITOR BELT 12359 $8.00 27012368 FOLLOWERS 20FR 12368 $63.00 27012369 FOLLOWERS 26FR 12369 $61.00 27012370 FOLLOWERS 12FR 12370 $64.00 27012371 STOCKINETTE 6" IMPERVIOUS 12371 $17.00 27012372 ARTHROSCOPE DRESSING 12372 $71.00 27012373 ER CO2 DETECTOR ENDO TIDAL 12373 $43.00 27012374 STOCKINETTES 9" IMPERVIOUS $21.00 27012394 INTRAMEDULARY PLUG 12394 $336.00 27012396 STAPLE BARBED FRACTURE 12396 $86.00 27012397 MATTRESS AIRE CARE 12397 $102.00 27012398 ENDO UNIVERSAL 12398 $967.00 27012399 CATHETER COUDE 12399 $53.00 27012413 DRAIN SUMP (ABRAMSON) 12413 $145.00 27012415 SAW (GIGLI) 12415 $66.00 27012421 CORNEAL SHIELD 12421 $85.00 27012425 KNOWLES PIN 02-12 12425 $171.00 27012426 ENDO-JUDGE 12426 $192.00 27012448 FOLLOWERS PHILLIPS 12448 $292.00 27012449 FORCEP TRIPOLAR CUTTING 12449 $929.00 27012459 EAR WICK 12459 $10.00 27012461 FOLLOWERS PHILLIPS 12461 $292.00 27012462 TAP 12462 $113.00 27012463 DRILL BIT 12463 $115.00 27012467 QUICK CONNECT TAP SHORT 12467 $382.00 27012468 QUICK CONNECT TAP LONG 12468 $220.00 27012469 DRILL BIT QUICK CONNECT 12469 $163.00 27012470 SCOTCHCAST 3X12 12470 $28.00 27012471 SCOTCHCAST 3X35 12471 $76.00 27012472 SCOTCHCAST 4X15 12472 $37.00 27012473 SCOTCHCAST 4X30 12473 $61.00 27012475 SCOTCHCAST 5X45 C1713 C1713 $127.00 27012476 TUBE ENDO SPIRAL FLEX 12476 $106.00 27012478 LIGHT CORD DISP. 12478 $43.00 27012479 NIBBLET 12479 $369.00 27012490 PAPPLITONE 12490 $392.00 27012491 LOADING UNIT VASCULAR 30MM 12491 $254.00 27012492 LOADING UNIT 90MM 12492 $283.00 27012493 LOADING UNIT HEAVY 90MM 12493 $283.00 27012494 CATHETER FILIFORM OLIVE 3 FR 12494 $39.00 27012496 SUTURE BOOTIE 12496 $11.00 27012497 DRILL TWIST 7.6MMX4 12497 $143.00 27012498 TRAY PERICARDIOCENTESIS 12498 $224.00 27012499 CATHETER ERCP STANDARD TIP 12499 $186.00 27012501 ENDO LAP COMBO PAK 12501 $97.00 27012503 DRAIN PENROSE 5/8 X 12 12503 $7.00 27012504 DRAIN PENROSE 5/8 X 18 12504 $7.00 27012505 GROUNDING PAD ARGON 12505 $24.00 27012510 LIGATOR MULTIPLE BAND 12510 $1,146.00 27012513 FENESTRATED STEW BIOMOORE 12513 $1,917.00 27012514 CATHETER ADAPTOR URETERAL 12514 $6.00 27012515 MOUTHPIECE DISPOSABLE 12515 $13.00 27012516 BALLOON EXTRACTOR 12-200 12516 $392.00 27012517 ERCP TAPER TIP 12517 $163.00 27012519 CANNULA COTTON 12519 $392.00 27012520 BLANKET BAIR HUGGER HALF 12520 $52.00 27012523 RETRACTOR IRIS DISPOSABLE 12523 $439.00 27012563 SHUNT EXTERNAL CAROTID 12563 $542.00 27012564 CATHETER INTRAUTERINE 12564 $160.00 27012565 HANDPIECE ARGON 12565 $205.00 27012566 PROBE HANDSWITCH ARGON 12566 $357.00 27012569 PILLOW ARM ELEVATOR (CARTER) 12569 $201.00 27012570 MAMMORY SUPPORT 12570 $210.00 27012572 ER CLEANSER ANTISEPTIC 12572 $6.00 27012573 GOWN DISPOSABLE 12573 $7.00 27012574 INJECTION SUPPLIES - ER 12574 $7.00 27012576 FELT ORTHOPEDIC 12576 $186.00 27012581 PELVIC TRAY-ER 12581 $27.00 27012582 COMPRESSION SYSTEM SEQUEL 12582 $170.00 27012583 WARMING SET BAIR FLUID 12583 $43.00 27012584 BELT TRACTION XLRG 12584 $35.00 27012585 BELT TRACTION UNIVERSAL 12585 $59.00 27012586 NEEDLE SPINAL 18 X 6 12586 $30.00 27012587 ADAPTER SIDE ARM-OR 12587 $105.00 27012588 IV START SUPPLIES - ER 12588 $8.00 27012589 TUBE ENDO RAE UNCUFFED 12589 $15.00 27012590 TUBE ENDO RAE 7.0 CUFFED 12590 $28.00 27012591 CUTTER LINEAR VASCULAR 35MM 12591 $547.00 27012592 CUTTER LINEAR RELOADS 12592 $489.00 27012593 AS VERSA TACK RELOAD 12593 $221.00 27012596 PROBE ENDO FLO 12596 $391.00 27012597 RETRIEVER 12597 $196.00 27012598 ERCA LIGACLIP LRG 12598 $495.00 27012601 BLANKET BAIRHUGGER FULL BODY 12601 $49.00 27012602 BLANKET BAIRHUGGER PEDIATRIC 12602 $35.00 27012604 LMA AIRWAY SURGICAL 12604 $1,010.00 27012605 TUBE ENDO TRACH RAE 12605 $28.00 27012607 TUBE ENDO TRACH EXCHANGER 12607 $30.00 27012608 FORCEP TRIPOLAR CUTTING 5ML 12608 $1,113.00 27012609 SUTURE G2 ANCHOR 12609 $758.00 27012611 TUBE NASAL RAE CUFFED 12611 $33.00 27012613 COVER ROLL TAPE 6" 12613 $69.00 27012615 TUBE PEG OR GASTROSCOPY 20FR 12615 $500.00 27012617 TUBE T TUBE ENT 1.27 12617 $64.00 27012618 TUBE SHEENY ENT 1.52 12618 $40.00 27012619 BOBBIN REUTER ENT 12619 $29.00 27012620 LIGACLIP ALL PORT M/L 12620 $644.00 27012621 MASK ANESTHESIA SMALL ADULT 12621 $10.00 27012622 MASK ANESTHESIA LARGE ADULT 12622 $11.00 27012624 CATHETER PERCUTANEOUS STAMEY 12624 $142.00 27012625 CATHETER FILIFORM 6FR OLIVE 12625 $39.00 27012626 NEEDLE ELECTRODE COATED 12626 $25.00 27012627 PHISODERM BATH 12627 $0.00 27012628 TUBE STOMACH EWALD 32FR 12628 $296.00 27012629 FALLOPIAN TUBE RINGS 12629 $163.00 27012630 ANESTHESIA MASK CHILD 12630 $14.00 27012631 MASK TB 12631 $6.00 27012632 BAIR HUGGER UNIT 12632 $54.00 27012636 SLING CLOTH TRIANGULAR 12636 $7.00 27012637 PACKING NASAL OR 406 12637 $49.00 27012638 PACKING NASAL SPRAY OR 422 12638 $59.00 27012639 SUTURE QWIK ANCHOR MINI OR 0 12639 $860.00 27012640 COTTONOIDS OR 12640 $25.00 27012641 ESOPHAGEAL DILATOR 12641 $727.00 27012642 ENDO SCRUB SHEATH 12642 $142.00 27012643 BARD INFLATION SYSTEM 12643 $897.00 27012644 CANNULA NASAL PEDIATRIC 12644 $11.00 27012646 LTA KIT 12646 $19.00 27012647 TRACH CLEANING TRAY 12647 $10.00 27012648 PRESSURE TUBING ANEST. 12648 $10.00 27012649 EPIDURAL ADMINISTRATION SET 12649 $69.00 27012650 WRIST SUPPORT ARTERIAL 12650 $22.00 27012651 NON REBREATHER MASK INFANT 12651 $21.00 27012652 SURGI SAFE PAD (SOAK UP) 12652 $49.00 27012653 SPLINT NASAL THERMAL 12653 $85.00 27012657 BOOT APB 12657 $49.00 27012658 STONE BASKET #10 SERIES 12658 $877.00 27012659 STONE BSKET HELICAL 12659 $497.00 27012660 CUTTER 4.5 RAZOR ORBIT 12660 $342.00 27012661 NU TRAKE 12661 $553.00 27012662 TRAY CIRO THYROTOMY 12662 $356.00 27012664 TUBING EXT. SET IF MICROBORE 12664 $8.00 27012665 SUTURE CAPIO 12665 $71.00 27012667 BLADDER CONTROL VESICA KIT 12667 $1,851.00 27012668 LOADING UNIT 35MM 12668 $421.00 27012669 TED HOSE XXLRG 12669 $0.00 27012670 SPLINT SEPTAL 09 OR 12670 $33.00 27012671 SPLINT SEPTAL 07 OR 12671 $33.00 27012672 LOADING UNIT XR 60G 12672 $238.00 27012673 TA 90B LU 12673 $1,274.00 27012674 TUBE-T WAYLAN MOSS ALL SIZES 12674 $90.00 27012675 SPLINT NASAL REUTER 12675 $106.00 27012676 QUIK ANCHOR SIZE 2 12676 $817.00 27012678 CATH HICKMAN DUAL LUMEN 9FR 12678 $607.00 27012679 TRAY AMNIOCENTESIS DISPOSABLE 12679 $44.00 27012680 NEEDLE SPINAL 12680 $27.00 27012682 GRAFT HARVEST KIT 12682 $409.00 27012683 WIRE GUIDE ANES BARD 12683 $33.00 27012684 SPLINT NASAL OR ENT (DOYLE) 12684 $86.00 27012685 CABLE CRIMP 12685 $370.00 27012686 SLEEVE CRIMP 12686 $224.00 27012689 OXYHOOD SM DISPOS-O-TENT 7X7X7 12689 $22.00 27012690 OXYHOOD LG DISPOS-O-TENT 12X12 12690 $30.00 27012691 DRILL TIP (ER PENEDRIL) 12691 $37.00 27012692 EPIDURAL FILTER ANESTHESIA 12692 $13.00 27012693 TRAY CVP PEDIATRIC 12693 $172.00 27012700 CORD UMB THERMA CHOICE 12700 $1,812.00 27012701 CATHETERS BALLOON THERMA CHOIC 12701 $2,977.00 27012703 BLADE DIAMOND V 12703 $392.00 27012704 CATHETER 14 FR - OR 12704 $101.00 27012705 TUBING IVAC CHECK VALVE SET 12705 $20.00 27012707 TUBE RECTAL 12707 $27.00 27012708 STAPLE SKIN 35 REG 12708 $44.00 27012709 TAPE FIBERGLASS 2" 12709 $13.00 27012710 IMMOBILIZER KNEE 22" L1830 $79.00 27012712 BLADE BEAVER 12712 $28.00 27012713 BUR DENTAL 12713 $43.00 27012714 BUR OVAL 4X8 12714 $24.00 27012715 BUR SIDE CUT 12715 $104.00 27012716 BUR SIDE CUT 1.6 X 4.3 12716 $43.00 27012717 CANNULA PUNCTURE 3MM 12717 $217.00 27012718 CATHETER BALLOON DILATATION 12718 $531.00 27012719 CHBS 7-5,7-7,7-9 12719 $428.00 27012720 CUTTERS 12720 $271.00 27012721 CATHETER COUDE 30CC 12721 $56.00 27012722 CATHETER DILATATION 18MM C1726 C1726 $1,097.00 27012723 DRILL BIT 12723 $113.00 27012724 SPLINT NASAL ENT REUTER 12724 $106.00 27012725 TUBE GASTROSCOPY 18FR BUTTON 12725 $712.00 27012729 DRILL HELICAL PERFORATION 12729 $52.00 27012730 EPIDURAL KIT SINGLE SHOT 12730 $79.00 27012731 TROCAR LARGE 12731 $72.00 27012732 NEEDLE TOUGHY 18GA 12732 $27.00 27012734 DRESSING DERMABOND G0168 12734 $117.00 27012735 BLADE HARMONIC CURVED 12735 $644.00 27012736 SHEARS LAP HARMONIC 12736 $1,449.00 27012737 HOOK LAP HARMONIC 12737 $758.00 27012738 TUBING CONTINUE FLO 10 DROP 12738 $12.00 27012739 NEEDLE BIOPSY 12739 $163.00 27012740 SUTURE ENDO SYSTEM 12740 $615.00 27012741 SUTURE ENDO L.U. SYSTEM 12741 $97.00 27012742 BINDER XLRG 12742 $71.00 27012743 NASAL PACKING ER 12743 $33.00 27012744 PLATE 6 HOLE 6X15 T C1713 C1713 $250.00 27012745 PLATE 5 HOLE T C1713 C1713 $325.00 27012746 BLADE CUDA RHINO 12746 $127.00 27012747 BLADE MICRO RHINO 12747 $182.00 27012748 TUBING IRRIGATION RHINO 12748 $127.00 27012750 PLATE TUBULAR 2 HOLE C1713 C1713 $96.00 27012751 PLATE TUBULAR SEMI 3 HOLE C1713 C1713 $110.00 27012752 PLATE 1/3 TUBULAR 5 HOLE C1713 C1713 $120.00 27012753 PLATE 1/3 TUBULAR 3 HOLE C1713 C1713 $101.00 27012755 TROCAR N/H 12755 $274.00 27012756 ARROW SINGLE LUMEN 16 GA 12756 $98.00 27012757 NASAL DRESSING HOLDER 12757 $15.00 27012758 SIMPLULE IRR FEMORAL TIP 12758 $226.00 27012761 PCA TUBING 12761 $21.00 27012762 ON-Q PAIN MANAGE SYSTEM(I FLOW 12762 $1,146.00 27012763 CATHETER/INTROD ACCESS SINGLE 12763 $2,333.00 27012764 ENDO DISSECTORS KITTNER 12764 $87.00 27012765 OSTEO FIL BONE FILLER 12765 $1,138.00 27012766 A PORT SINGLE 9.6FR 12766 $2,333.00 27012767 MEDIPORT $1,370.00 27012768 INTRODUCER 12768 $192.00 27012771 EPISTAT NASAL CATH KIT 12771 $168.00 27012781 NEEDLE VERRIS 12781 $104.00 27012782 SURGIPORT 5MM 12782 $310.00 27012783 SURGIPORT 10MM 12783 $340.00 27012784 SURGIPORT 7MM 12784 $339.00 27012787 AUTOLOCK DURAHESIVE 1 3/4" 12787 $20.00 27012788 AUTOLOCK DURAHESIVE 2 1/4" 12788 $20.00 27012792 PENCIL ROCKERSWITCH VALLEYLAB 12792 $36.00 27012793 ENT CURVES NEEDLE 12793 $14.00 27012794 GAS SAMPLING KIT 12794 $8.00 27012795 STIMUPLEX ANEST. NEEDLE 12795 $49.00 27012796 OPSITE DRESSING LG 12796 $6.00 27012797 BAIR STANDARD FLOW SET 12797 $63.00 27012798 BAIR HIGHFLOW SET (ANEST.) 12798 $205.00 27012799 SURGAN BAL 12799 $24.00 27012800 POST OP SHOE 12800 $33.00 27012801 ROCKER SHOE 12801 $35.00 27012802 ENDO PADDLE RETRACTOR 12802 $1,104.00 27012803 AIRWAY ADAPTER 12803 $19.00 27012804 FILTER LINE SET 12804 $71.00 27012805 LUER LOCK ADAPTER 12805 $14.00 27012806 THOROCENTESIS KIT 12806 $150.00 27012807 NEONATAL SENSOR 12807 $93.00 27012808 HEIMLICH CHEST DRAIN VALVE 12808 $71.00 27012809 POSTIONING PILLOW 12809 $12.00 27012810 ENDO CLIP APPLIER ML 12810 $591.00 27012811 CHOLANGIOGRAPHY CATHETER 12811 $110.00 27012812 5.5 FULL RADIUS BLADE 12812 $282.00 27012815 BLADE 4.5 FULL RADIUS 12815 $105.00 27012816 PLATE 12 HOLE 12816 $193.00 27012817 STOCKINETTE 3" PT 12817 $7.00 27012818 BLOOD COLLECTION SET 12818 $11.00 27012819 KNEE SUPPORT 12819 $155.00 27012820 PLATE 12 HOLE 135 12820 $782.00 27012824 FEMORAL COMPONENT BIOMETRIC 12824 $5,869.00 27012825 FEMORAL COMPONENT RT 12825 $3,107.00 27012826 TIBIAL COMPONENT 12826 $2,401.00 27012827 POLY PATELLA 12827 $859.00 27012828 SUCTION CONTROL CAUTERY 12828 $36.00 27012829 DISP AMBU BAG 12829 $59.00 27012831 LUBRI GLIDE WIRE 12831 $110.00 27012835 BLADE MICRO OSCILLATOR 12835 $69.00 27012836 BLADE ARTHROSCOPY 12836 $151.00 27012838 MICRO CHAMBER 12838 $43.00 27012839 PEAK FLOW METER 12839 $61.00 27012840 PEEP VALVE 12840 $35.00 27012841 EXTENSION SET 30" (SDC) 12841 $7.00 27012843 ENT CUDA 3.7MM $468.00 27012844 OXYGEN TUBING 21' 12844 $8.00 27012845 OXYGEN TUBING 50' 12845 $15.00 27012846 SPRING GUIDE WIR 12846 $52.00 27012847 VALVE SUCTION BRONCHOSCOPE 12847 $30.00 27012848 VALVE BIOPSY BRONCHOSCOPE 12848 $13.00 27012849 CATHETER SPIRAL TIP 12849 $36.00 27012850 MUSCLE TRAINER INSPIRATORY 12850 $79.00 27012851 MRI DUAL PORT CATHETER C1751 12851 $3,359.00 27012852 INJECTION NEEDLE SURE SHOT $171.00 27012853 SILMAX SHEETING 12853 $238.00 27012854 INSUFLATION NEEDLE 12854 $94.00 27012855 TROCAR 10/12 X-LONG 12855 $301.00 27012861 BRONCHO-CATH 12861 $273.00 27012862 MECONIUM ASPIRATOR 12862 $33.00 27012863 COLD KNIFE URETHROTOME 12863 $579.00 27012867 LINEAR STAPLER 30MM 12867 $478.00 27012868 LOADING UNIT STAPLE 300MM 12868 $220.00 27012870 URETERAL DILATATION SET 12870 $565.00 27012871 NERVE STIMULATOR 12871 $159.00 27012872 PARELL T-STENT SINUS 12872 $86.00 27012873 WOUND VAC FOAM PADDING $73.00 27012874 OSTOMY POUCH 1 3/4 12874 $10.00 27012875 WOUND VAC UNIT 12875 $106.00 27012876 WOUND VAC CANNISTER 12876 $159.00 27012877 WOUND VAC DRESSING 12877 $122.00 27012878 PHACO SLIT KNIFE 12878 $59.00 27012879 PHACO NEEDLE 12879 $35.00 27012881 BANDAGE COMPRESSION 12881 $19.00 27012882 SENSOR SP02 PEDI 12882 $82.00 27012883 ELECTRODE DEFIB/PACE 12883 $101.00 27012887 PILLOW ABDUCTION ORTHO 12887 $439.00 27012888 PAD DUOTHERM 18 X 24 12888 $40.00 27012889 PAD DUOTHERM 20 X 3 12889 $61.00 27012890 PAD DUOTHERM 24 X 60 12890 $196.00 27012891 IV CATHETER EXTENSION 12891 $14.00 27012892 CONTROL FLOW TUBING $19.00 27013000 MED/SURG SUPPLIES 27013 $0.00 27013001 DISPOSABLE BOVIE $22.00 27013002 PACK MAJOR BASIC $33.00 27013003 MCGRATH DISP COVER $11.00 27013010 FALL BUNDLE $27.00 27013014 BARTON MAYO STOMA BUTTON 9R $279.00 27013019 ROSIDAL 10 CM $64.00 27013020 ROSIDAL 12 CM $76.00 27013021 ROSIDAL 8 CM $57.00 27013022 TUBIGRIP D $6.00 27013023 TUBIGRIP G $7.00 27016034 ER BAG AMBU 16034 $19.00 27016507 VAGINAL RETRACTOR DISP $110.00 27020010 ER SUTURES 20010 $25.00 27020012 SUTURE GORETEX 20012 $71.00 27020200 CAST SHORT ARM 20200 $250.00 27020201 CAST PLASTER LONG 20201 $250.00 27020202 CAST SHORT LEG 20202 $250.00 27020203 CAST LONG LEG 20203 $250.00 27022361 BAG COLOSTOMY 2" 22361 $10.00 27030038 VALVED TEE ADAPTER $7.00 27030039 NON-FILTERED HCH TYPE 1 ADULT $7.00 27030045 LIMB-O TRANSPORT SYSTEM 30045 $601.00 27030050 KIT SINGLE LUMEN SLAMPABLE HUB A4300 30050 $296.00 27030052 BRUSH EZ SCRUB IODOPHOR 30052 $19.00 27030055 HULKA CLIP 30055 $1,126.00 27030065 BOOT UNIVERSAL TRACTION $53.00 27030070 ELECTRODE LEEP RADIUS $90.00 27030072 ELECTRODE LEEP BALL $90.00 27030075 NATUS SENSOR JELLY TB $13.00 27030077 NATUS ALGO PACK $43.00 27030080 DRILL ADAPTER $1,062.00 27030082 BLADE SAW $0.00 27030084 BLADE SAW OSCEILLATING $330.00 27030086 ENDO CLINCH II 30086 $784.00 27030088 VASCULAR TEE ADAPTER $11.00 27030090 SYRINGE PLASTIC LOR $19.00 27030092 Electrode Defib/Pacing ECG $185.00 27030096 Rayport Muscle Clamp $63.00 27030098 Special Plaster 6" $70.00 27030100 PERC DLE CONVENIENCE PACK $3,301.00 27030102 CAUTERY BIONX $188.00 27030106 SPRINT ANKLE STABILIZER $56.00 27030108 ADHESIVE REMOVER WIPES ALLKARE $5.00 27030110 STRAP POSITIONING STIRRUP $25.00 27030112 NASOPHARYNGEAL AIRWAY 30FR $15.00 27030114 RESPIRGARD II NEBULIZER SYSTEM $65.00 27030117 INCENT SPIROMETER VOLDYNE 2.5L $13.00 27030119 MULTIPOLAR BIPOLAR CUP SHELL $1,902.00 27030121 MULTIPOLAR BIPOLAR CUP LINER $1,270.00 27030125 WOUND DRAINAGE DEVICE $50.00 27030127 HAL SEPARATOR KIT $2,683.00 27030129 DIEGO SUCTION TUBING SET $82.00 27030131 DIEGO POWERED DISSECTOR BLADE $522.00 27030133 LAP DISK $2,288.00 27030135 SUTURE ASSISTANT $683.00 27030137 STAPLE RELOAD 2-0 SH $99.00 27030139 ARTICULATING LINEAR CUTTER $830.00 27030141 RELOAD LINEAR CUTTER $402.00 27030145 CLEAR CUT SLIT KNIFE DISP $117.00 27030151 INDIA INK 10 ML VIALS $119.00 27030153 VICRYL KNITTED MESH $2,271.00 27030160 BURR, HALL DIAMOND 3.0 MM $235.00 27030163 SAW BLADE, HALL MICRO SAGITT $30.00 27030165 ENDO BITE BLOCK LATEX FREE $13.00 27030167 THUMB SUPPORT $36.00 27031501 BLADE DISP LARYNG $17.00 27031510 SAW BLADE PODIATRY $119.00 27031511 EASYCLIP AGRAFE/STAPLE $5,969.00 27031512 CANNULATED 2.5 FIXO SCREW $524.00 27031513 STRYKER SAW BLADE 18X5.5 $179.00 27038034 OR SYRINGES $4.00 27038035 CASTING $13.00 27038036 SPINAL NEEDLES OR $7.00 27210020 BANDAGE ELASTIC 3" STERILE $11.00 27210022 BANDAGE ELASTIC 4" STERILE $12.00 27210023 BANDAGE ELASTIC 6" STERILE $24.00 27211019 CATHETER AR MULTILUMEN 7FR KIT 11019 $320.00 27211020 CATHETER SWAN GANZ 7 FR 11020 $224.00 27211615 CATHETER URETERAL 5 FR 11615 $40.00 27211646 CATHETER BILIARY BALLONN 6FR 11646 $251.00 27211647 CATH FOGARTY EMBOLECTOMY 5 FR 11647 $221.00 27211804 CATHETER URETERAL BROASCH BULB C1758 C1758 $48.00 27212045 CATHETER FILIFORM 6 FR 12045 $48.00 27212046 CATHETER URETERAL CONE 10FR C1758 C1758 $44.00 27212115 CATHETER URETERAL 8 FR C1758 C1758 $25.00 27212146 FILTER JUGULAR GREENFIELD C1880 $3,769.00 27212163 FILTER ENTRY NEEDLE GREENFIELD $15.00 27212164 FILTER GUIDE WIRE GREENFIELD 12164 $249.00 27212229 CATHETER FOGARTY EMBOLECTOMY 12229 $221.00 27212236 CATHETER FOGARTY EMBOL 6 FR 12236 $221.00 27212495 CATH URETERAL 5FR/6FR WHISTLE 12495 $172.00 27212500 CATHETER URETERAL OPEN TIP C1758 C1758 $15.00 27212509 WIRE GUIDE ROADRUNNER 12509 $574.00 27212518 GUIDEWIRE 480-A 12518 $345.00 27212522 GUIDEWIRE (SAVORY) C1769 C1769 $424.00 27212525 GUIDE WIRE STENT .038 12525 $61.00 27212603 CATHETER FOGARTY EMBOL 2 FR 12603 $356.00 27212728 WIRE GUIDE PLUS 480 12728 $345.00 27212777 STA-PEG 12777 $2,680.00 27212864 MESH KUGEL CMPSX LG OVAL 14 CM C1781 $3,552.00 27212869 GUIDEWIRE UROLOGICAL 12869 $106.00 27212885 INTRODUCER JUGULAR GREENFIELD 12885 $498.00 27212886 INTRODUCER FEMORAL GREENFIELD 12886 $498.00 27212888 AEROTECH AEROSOL INSERT KIT $106.00 27212890 J-JUNO FEEDING TUBE 14FR $712.00 27300005 STUMP SOCKS - EACH $56.00 27400010 RIGHT IMMED POST OP PROSTHESIS $2,518.00 27411633 BIOMET FEMORAL CUP $1,169.00 27411690 BIOMET MODULAR HEAD $675.00 27411691 BIOMET FEMORAL STEM $3,157.00 27412090 SCREW BONE CORTICAL $29.00 27412350 1/3 PLATE TUBULAR SM 6 HOLE $698.00 27412465 4.0 CANCELLOUS SCREW 16 MM $70.00 27412466 4.0 CANCELLOUS SCREW 18 MM $70.00 27801942 LOCK SCREW 3.5x18MM C1713 $458.00 27806729 SYNTHES LCP PROX HUM PLATE 3.5 C1713 $4,869.00 27806730 MEDLINE CABS AIR COMPOSIT MESH C1781 $1,104.00 27811635 PLATE HIP 130 6 HOLE C1713 C1713 $470.00 27811644 PIN STEINMAN 4 X 229 C1713 C1713 $33.00 27811800 PIN RUSH 4.8 X 222 C1713 C1713 $234.00 27811996 PLATE HIP 135 6 HOLE C1713 C1713 $473.00 27812005 CATHETER MEDIPORT DUAL PLASTIC C1751 C1751 $2,833.00 27812064 PIN STEINMAN 1/8 C1713 C1713 $27.00 27812065 PIN STEINMAN C1713 C1713 $27.00 27812066 PIN STEINMAN 2.5 X 229 C1713 C1713 $21.00 27812084 PLATE HIP 120 5 HOLE C1713 C1713 $457.00 27812085 PLATE HIP SCREW 135 5 HOLE C1713 C1713 $464.00 27812086 PLATE HIP SCREW 135 4 HOLE C1713 C1713 $949.00 27812087 PLATE HIP 135 10 HOLE C1713 C1713 $949.00 27812151 PIN STEINMAN 2 X 229 C1713 C1713 $25.00 27812237 PLATE HIP 135 8 HOLE C1713 C1713 $686.00 27812250 PLATE HIP 135 3 HOLE C1713 C1713 $467.00 27812253 PLATE COMPRESSION B C1713 C1713 $220.00 27812254 PLATE COMPRESSION N C1713 C1713 $170.00 27812292 PLATE HIP 3.5MM 7 HOLE C1713 C1713 $268.00 27812293 PLATE T 6 HOLE C1713 C1713 $340.00 27812310 PLATE HIP 900 8 HOLE C1713 C1713 $722.00 27812314 PLATE HIP 3.5 MM 9 HOLE C1713 C1713 $129.00 27812350 PLATE TUBULAR SM 6 HOLE C1713 C1713 $55.00 27812351 PLATE TUBULAR 1/3 - 6 HOLE C1713 C1713 $134.00 27812352 PLATE 76 MM 4 HOLE (HIP) C1713 C1713 $114.00 27812357 PLATE TLUBULAAR SM 7 HOLE C1713 C1713 $128.00 27812358 PLATE 3.5 8 HOLE C1713 C1713 $259.00 27812395 PLATE 5 HOLE 135 120 MM C1713 C1713 $1,005.00 27812416 PLATE TUBULAR 1/3 8 HOLE C1713 C1713 $129.00 27812450 PIN RUSH 4.8 X 184 C1713 C1713 $209.00 27812451 PIN RUSH 4.8 X 203 C1713 C1713 $234.00 27812452 PIN RUSH 4.8 X 241 C1713 C1713 $234.00 27812453 PIN RUSH 3.2 X 152 C1713 C1713 $167.00 27812454 PIN RUSH 3.2 X 178 C1713 C1713 $171.00 27812455 PIN RUSH 3.2 X 191 C1713 C1713 $171.00 27812456 PIN RUSH 2.4 X 140 C1713 C1713 $156.00 27812457 PIN RUSH 2.4 X 152 C1713 12457 $156.00 27812458 PIN RUSH 2.4 X 191 C1713 C1713 $156.00 27812486 PLATE HIP 90 DEGREE 10 HOLE C1713 C1713 $926.00 27812524 PLATE 6 HOLE 900 C1713 C1713 $722.00 27812575 PLATE HIP SCREW 130 4 HOLE C1713 C1713 $432.00 27812577 PIN RUSH 3.2 X 165 C1713 C1713 $167.00 27812578 PIN RUSH 2.4 X 76 C1713 C1713 $151.00 27812579 PIN RUSH 2.4 X 76 C1713 C1713 $151.00 27812580 PIN RUSH 2.4 X 127 C1713 C1713 $148.00 27812594 PIN STEINMAN 2 X 229 C1713 C1713 $24.00 27812633 PLATE HIP 9 HOLE C1713 C1713 $293.00 27812634 PLATE HIP 4 HOLE C1713 C1713 $195.00 27812654 PIN STEINMAN 2.8 X 229 C1713 C1713 $24.00 62213000 INCIDENTAL SUPPLIES 62113 $0.00 450G0008 ER FLU SHOT ADMINISTRATION G0008 $32.00 450G0168 WOUND CLOSURE UTIL ADHESIVE G0168 G01 68 G0168 $115.00 450Q3014 TELEHEALTH FACILITY FEE Q3014 $150.00 450S0630 RMVL SUTURE OTHER PHYSICIAN S0630 $125.00 981G0168 WOUND CLOSURE UTIL ADHESIVE G0168 G01 68 G0168 $38.00 981S0630 RMVL SUTURE OTHER PHYSICIAN S0630 $50.00 981W9027 ER VISIT BC FOLLOWUP ACCD PROF 99281 992 81 $190.00 25920009 ER CRASH CART 20009 $476.00 27005201 RHINO ROCKET SM $39.00 27005202 RHINO ROCKET MED $54.00 27005376 AIRWAY KING LT 5 $50.00 27005377 AIRWAY KING LT3 $50.00 27005378 AIRWAY KING LT 5 $50.00 27007491 PELVIC EXAM TRAY $35.00 27016028 ER LIGHT SOURCE 16028 $11.00 27016031 ER INSTRUMENT OR BASIN STERILE 16031 $7.00 27016033 ER VAGINAL SPECULUM 16033 $7.00 27020027 ER LENS MORGAN THERAPEUTIC 20027 $65.00 27020204 ER SPLINT FINGER 20204 $10.00 27020207 ER CAST REVISION 20207 $137.00 27020208 ER CAST REMOVAL 20208 $137.00 27520026 ER PACEMAKER EXTERNAL 20026 $476.00 45010040 ACNE SURGERY 10040 $183.00 45010060 ER INCISION & DRAINAGE ABCESS 10060 100 60 45010 $257.00 45010061 ER INCISION & DRAIN COMPLICATE 10061 100 61 45010 $687.00 45010080 ER INCISION PILONIDAL CYST 10080 100 80 45010 $233.00 45010120 ER REMOVE FOREIGN BODY 10120 101 20 45010 $233.00 45010140 ER INCISION & DRAIN HEMATOMA 10140 101 40 45010 $427.00 45010160 ER PUNCTURE DRAINAGE OF LESION 10160 101 60 45010 $233.00 45011042 ER DEBRIDE SKIN & SUBCUTANEOUS 11042 110 42 45011 $1,199.00 45011055 TRIM SKIN LESION 11055 $145.00 45011200 REMOVAL OF SKIN TAG 11200 $611.00 45011402 EXC TR-EXT B9+MARG 1.1-2CM 11402 $770.00 45011422 EXCISED DIAMETER 1.1 TO 2.0 CM 11422 $1,121.00 45011720 DEBRIDEMENT OF NAIL 11720 $149.00 45011730 ER REMOVAL OF NAIL PLATE 11730 117 30 45011 $224.00 45011740 ER EVACUATION OF SUB HEMOTOMA 11740 117 40 45011 $288.00 45011760 REPAIR OF NAIL BED 11760 $757.00 45011765 EXCISION OF SKIN OF NAIL FOLD 11765 $669.00 45012001 SIMPLE REPAIR TRK/LIMB<=2.5 CM 12001 120 01 45012 $427.00 45012002 SUTURE SIMPLE TRK/LIMB 2.6-7.5 12002 120 02 12002 $457.00 45012004 SUTURE SIMPLE TRK/LIMB7.6-12.5 12004 120 04 45012 $350.00 45012005 SUTURE SIMPLE TRK/LB 12.6-20.0 12005 120 05 45012 $1,248.00 45012006 SUTURE SIMPLE TRUNK+ 20.1-30.0 12006 120 06 45012 $2,259.00 45012011 0-2.5CM SIMP LACER REPAIR FACE 12011 120 11 45012 $479.00 45012013 SUTURE SIMPLE FACE 2.6-5.0CM 12013 120 13 45012 $257.00 45012014 SUTURE SIMPLE FACE 5.1-7.5CM 12014 120 14 45012 $350.00 45012015 SUTURE FACE 7.5-12.5CM 12015 120 15 45012 $320.00 45012016 REPAIR SIMPLE 12.6 - 20.0 CM 12016 $1,221.00 45012017 SIMPLE REPAIR 12.6CM - 20.0CM 12017 $1,282.00 45012020 CLOSURE OF SPLIT WOUND 12020 $1,478.00 45012031 SUTURE LAYER TRUNK/LIMB<=2.5CM 12031 120 31 45012 $283.00 45012032 SUTURE LAYER TRK/LIMB2.6-7.5CM 12032 120 32 45012 $350.00 45012034 SUT INT 7.6-12.5CM TRUNK,SCALP 12034 $851.00 45012035 INTERMEDIATE REPAIR 12.6-20 CM 12035 $1,282.00 45012041 SUTURE LAYER NECK/HAND <=2.5CM 12041 120 41 45012 $257.00 45012042 SUTURE LAYER NECK/HAND 2.6-7.5 12042 120 42 45012 $320.00 45012044 SUTURE LAYER NECK/HAND7.6-12.5 12044 120 44 45012 $1,135.00 45012051 SUTURE LAYERED FACE <=2.5 CM 12051 120 51 45012 $257.00 45012052 SUTURE LAYERED FACE 2.6-5.0CM 12052 120 52 45012 $283.00 45012053 SUTURE LAYERED FACE 5.1-7.5CM 12053 120 53 45012 $320.00 45012054 LAYER CLOSURE OF WOUND 12054 $1,347.00 45013121 COMP REP SCALP,ARM,LEG 2.6-7.5 13121 $856.00 45013122 COMP REP SCALP,ARM,LEG ADD 5CM 13122 $170.00 45013131 REPAIR COMPLEX 1.1-2.5CM 13131 $629.00 45013132 COMPLEX REPAIR 2.5 TO 7.5 CM 13132 $1,029.00 45013133 REPAIR CMPLX EA ADDL 5CM OR < 13133 $200.00 45014040 ADJACEMENT TISSUE TRANSFER 14040 $2,570.00 45015050 SKIN PINCH GRAFT 15050 $899.00 45016000 ER BURNS, LOCAL 16000 160 00 45016 $207.00 45016020 ER DEBRIDEMENT BURN SMALL 16020 160 20 16020 $207.00 45016025 ER DEBRIDEMENT BURN MEDIUM 16025 160 25 45016 $325.00 45017110 DESTRUCT LESION 1-14 17110 $159.00 45017999 ER SKIN TISSUE REPAIR 17999 45017 $216.00 45019020 I & D BREAST LESION 19020 $1,861.00 45019101 SKIN BIOPSY 19101 $2,669.00 45019499 ER ASPIRATION SEROMA BREAST 19499 45019 $1,349.00 45020103 EXPLORE WOUND EXTREMITY 20103 $2,111.00 45020550 ER INJECTION TENDON/CYST 20550 45020 $320.00 45020600 ARTHOCENTESIS SMALL JOINT 20600 $247.00 45020605 ER ARTHROCENTESIS ELBOW 20605 206 05 45020 $265.00 45020610 ER ARTHROCENTESIS KNEE 20610 206 10 45020 $246.00 45021299 UNLISTED CRANIO/MAXILLOFACIAL 21299 $146.00 45021310 CLOSED NOSE FX W/O MANIP 21310 $609.00 45021480 REDUCTION TM DISLOCATION 21480 $559.00 45021820 CLOSED TX STERNAL FRACTURE 21820 $559.00 45023330 REMOVE SHOULDER FOREIGN BODY 23330 $1,602.00 45023500 CLOSED CLAVICAL FX W/O MANIP 23500 $554.00 45023600 PROX HUMERAL W/O MANIP 23600 $559.00 45023650 ER SHOULDER DISLOCATION 23650 236 50 45023 $931.00 45023655 ER CLOSED SHOULDER DISLOCATION 23655 236 55 45023 $1,158.00 45023665 ER CLOSED TX SHOULDER DISLOC. 23665 236 65 45023 $2,486.00 45024200 ER REMOVE FB UPPER ARM SUBCUT 24200 242 00 45024 $423.00 45024577 ER TX HUMERUS FRACTURE 24577 245 77 45024 $847.00 45024600 ER TX CLOSED ELBOW DISLOCATION 24600 246 00 45024 $847.00 45024605 TX ELBOW DISLOCATION 24605 246 05 24605 $672.00 45024640 ER REDUCTION ELBOW DISLOCATION 24640 246 40 45024 $253.00 45024650 CLSD TX RADIAL FX HEAD NECK 24650 $350.00 45024670 TX OF ULNAR FRACTURE 24670 $270.00 45025028 DRAINAGE FOREARM LESION 25028 $4,233.00 45025535 FOREARM WITH MANIP 25535 $1,087.00 45025565 RAD/ULNA WITH MANIP 25565 $1,087.00 45025600 WRIST COLLES W/O MANIP 25600 $389.00 45025605 ER TREAT FRACTURE RADIUS/ULNA 25605 256 05 45025 $1,302.00 45025622 TX OF CARPAL SCAPHOID FX 25622 $334.00 45025630 TREAT WRIST BONE FX W/O MANIP 25630 $315.00 45026010 ER DRAIN FINGER ABSCESS 26010 260 10 45026 $211.00 45026410 ER REPAIR HAND TENDON 26410 264 10 45026 $1,302.00 45026418 SUTURE EXTERIOR TENDON/FINGER 26418 264 18 45026 $1,600.00 45026600 CLOSED METACARPAL FX W/O MANIP 26600 $373.00 45026605 TREAT METACARPAL FRACTURE 26605 $1,039.00 45026700 ER REDUCTION KNUCKLE 26700 267 00 45026 $174.00 45026705 REDUCTION FINGER DISLOCATION 26705 $741.00 45026720 PHALANX FX W/O MANIP 26720 $229.00 45026725 TREAT PHALANX FRACTURE 26725 $941.00 45026742 REDUCTION ARTICULAR FRACTURE 26742 $752.00 45026750 DISTAL PHALANX FX W/O MANIP 26750 $283.00 45026755 CLOSED TX DISTAL FINGER FX 26755 $334.00 45026770 ER TREAT FINGER DISLOCATION 26770 267 70 45026 $191.00 45026775 TX OF FINGET DISLOCAT NO ANES 26775 $1,433.00 45026989 ER REMOVAL FOREIGN BODY HAND 26989 45026 $1,302.00 45027250 ER HIP DISLOCATION REDUCTION 27250 272 50 45027 $847.00 45027257 ER TX SPONTANEOUS HIP DISLOC. 27257 272 57 45027 $1,158.00 45027265 TX HIP ARTHOPLASTY DISLOCATION 27265 $972.00 45027266 ER CLOSED TX HIP ARTHO W/ANES 27266 $1,520.00 45027301 I & D DEEP ABCESS THIGH/KNEE 27301 $1,781.00 45027550 CLOSED TX KNEE DISLOCATION 27550 $636.00 45027560 ER TREAT KNEECAP DISLOCATION 27560 275 60 45027 $847.00 45027562 CL TX PATELLA DISLOC 27562 $712.00 45027599 ER UNLISTED PROC. FEMUR OR LEG 27599 45027 $231.00 45027750 CLOSED TX TIB SHAFT FX.S MANIP 27750 $554.00 45027752 CLOSED TX FIB/TIB FX W/ MANIP 27752 277 52 27752 $3,512.00 45027760 CLOSED TX MEDIAL ANKLE FX 27760 $774.00 45027781 TX OF FIBULA FRACTURE 27781 $3,840.00 45027786 CLOSED TRTMNT DISTAL FIB FRAC 27786 $559.00 45027788 CLSD TX DISTAL FIBULAR FRACTUR 27788 $3,432.00 45027810 CLOSED TX BIMALLE ANK W/MANIP 27810 $630.00 45027816 REDUCTION CLOSED ANKLE FRACT 27816 $885.00 45027818 TX OF ANKLE FRACTURE 27818 $1,067.00 45027840 TREAT ANKLE DISLOCATION 27840 $233.00 45027842 CL TX ANKLE DISLOCA W/ANES 27842 $755.00 45027899 ER REMOVAL FB LOWER LEG 27899 45027 $231.00 45028190 ER REMOVAL FB FOOT 28190 281 90 45028 $423.00 45028450 TX MID FOOT FRACTURE 28450 $272.00 45028470 TX METATARSAL FRACTURE 28470 $373.00 45028490 CLOSED TX FX GREAT TOE 28490 $233.00 45028510 TREAT TOE FX W/O MANIP 28510 $233.00 45028515 OPEN TRTMNT FRACTURE W/ MANIPU 28515 $283.00 45028660 ER CLOSED REDUCTION TOE 28660 286 60 45028 $205.00 45028899 SUTURE OF TOE JOINT CAPSULE 28899 $141.00 45029065 ER CAST LONG ARM APPLICATION 29065 290 65 45029 $320.00 45029105 LONG ARM SPLINT 29105 $254.00 45029125 SHORT ARM SPLINT 29125 $254.00 45029126 SHORT ARM SPLINT 29126 $259.00 45029130 APPLICATION OF FINGER SPLINT 29130 $155.00 45029240 STRAPPING, SHOULDER 29240 $340.00 45029260 STRAPPING ELBOW OR WRIST 29260 $201.00 45029280 FINGER/HAND STRAPPING 29280 $103.00 45029505 APPLICATION OF LONG LEG SPLINT 29505 $639.00 45029515 SHORT LEG SPLINT 29515 $254.00 45029530 KNEE STRAPPING 29530 $301.00 45029540 STRAPPING OF ANKLE/FOOT 29540 $282.00 45029550 TOE STRAPPING 29550 $277.00 45029580 UNNA BOOT 29580 $207.00 45029700 REMOVAL HAND WRIST CAST 29700 $103.00 45029705 REMOVAL ARM/LEG CAST 29705 $110.00 45029799 ER CASTING/STRAPPING PROCEDURE 29799 45029 $128.00 45030300 ER REMOVE NASAL FOREIGN BODY 30300 303 00 45030 $172.00 45030901 ER CONTROL OF NOSE BLEED 30901 309 01 45030 $235.00 45030903 CTRL NASAL HEM ANTERIOR/PACK 30903 $554.00 45030905 CONTROL OF NOSEBLEED 30905 $209.00 45030999 NASAL SURGERY PROCEDURE 30999 $760.00 45031500 ER INSERT EMERGENCY AIRWAY 31500 315 00 45031 $847.00 45031505 ER LARYNGOSCOPY 31505 45031 $146.00 45031525 ER DIRECT LARYNGOSCOPY 31525 315 25 45031 $1,686.00 45032551 INSERTION OF CHEST TUBE 32551 $1,256.00 45033210 ER INSERTION TEMPORARY PACER 33210 332 10 45033 $683.00 45035226 SUTURE BLOOD VESSEL LOWER EXT 35226 352 26 45035 $2,031.00 45036000 ER NEEDLE/CATH INTRODUCTION 36000 360 00 45036 $146.00 45036430 ER TRANSFUSION BLOOD 36430 364 30 45036 $672.00 45036556 CVP PLACEMENT OVER 5YRS OLD 36556 $1,050.00 45036561 INSERT TUNNELED CV CATH 36561 $2,321.00 45036569 INSERT TUNNELED CV CATH 5+ YRS 36569 $1,418.00 45036589 REMOVAL, CENTRAL VENOUS CATH 36589 $1,039.00 45036680 INSERT NEEDLE BONE CAVITY 36680 $289.00 45037609 LIGATION/BIO, TEMPORAL ARTERY 37609 $1,921.00 45037618 LIGATION OF EXTREMITY ARTERY 37618 $2,014.00 45037799 ER VASCULAR SURGERY SUTURE 37799 45037 $685.00 45040650 REPAIR LIP 40650 $851.00 45040652 REPAIR OF LIP 40652 $856.00 45040654 REPAIR OF LIP 40654 $866.00 45041250 ER REPAIR TONGUE LACERATION 41250 412 50 45041 $1,135.00 45041599 TONGUE & MOUTH SURGERY 41599 $132.00 45041800 DRAINAGE ABSCESS DENTOALVEOLAR 41800 $629.00 45041899 UNLISTED,DENTOALVEOLAR SUTURES 41899 $146.00 45042299 ER REMOVAL FB PALATE 42299 45042 $178.00 45042809 REMOVAL - FOREIGN BODY PHARYNX 42809 $238.00 45043752 ER INSERTION NG TUBE 43752 45043 $175.00 45043753 TX GASTRO INTUB W/ASP 43753 $180.00 45043760 ER CHANGE GASTROSTOMY TUBE 43760 45043 $847.00 45043761 ER REPOSITION GASTRIC TUBE 43761 $599.00 45043999 ER STOMACH SURGERY PROCEDURE 43999 45043 $251.00 45044604 SUTURE LARGE INTESTINE 44604 $1,906.00 45045999 ER RECTUM PROCEDURE 45999 45045 $272.00 45046040 I&D PERIRECTAL ABCESS 46040 $2,151.00 45046050 INCISION OF ANAL ABCESS 46050 $2,969.00 45046083 ER INCISION EXTERNAL HEMORHOID 46083 460 83 45046 $247.00 45046320 ENUCLEATION OF HEMMORHOID 46320 $2,243.00 45046600 ER ANOSCOPY 46600 466 00 45046 $440.00 45049999 ER UNLISTED PROC ABD/PERI 49999 49999 $2,440.00 45051700 IRRIGATION OF FOLEY CATHETER 51700 $186.00 45051701 INSERTION OF STRAIGHT CATH 51701 $236.00 45051702 INSERTION TEMP BLADDER CATH 51702 517 02 51702 $246.00 45051703 FOLEY INSERTION COMPLICATED 51703 $254.00 45055100 DRAIN SCROTAL WALL ABSCESS 55100 $1,199.00 45055899 GENITAL SURGERY PROCEDURE 55899 $620.00 45056405 ER I & D PERINEAL ABSCESS 56405 564 05 45056 $1,135.00 45056420 DRAINAGE OF GLAND ABSCESS 56420 $468.00 45057180 ER VAGINAL PACKING 57180 571 80 45057 $847.00 45058999 UNLIST PROC FEMALE GENT SYS 58999 $307.00 45059409 ER DELIVERY IN ER 59409 45059 $1,177.00 45059414 DELIVERY PLACENTA SEPARATE PRO 59414 594 14 59414 $1,905.00 45062270 ER LUMBAR PUNCTURE SPINAL TAP 62270 622 70 45062 $847.00 45064400 INJ ANESTHETIC AGENT TRIG NERV 64400 $533.00 45064402 N BLOCK INJ FACIAL 64402 $330.00 45064450 INJ,ANS,OTH PERIP NERVE/BRANCH 64450 $665.00 45065205 ER REMOVE FOREIGN BODY EYE 65205 652 05 45065 $216.00 45065210 REMOVAL F/B CONJUNCTIVAL EMBED 65210 652 10 65210 $237.00 45065220 ER REMOVAL F.B. W/O SLIT LAMP 65220 652 20 45065 $309.00 45065222 ER REMOVAL F.B. WITH SLIT LAMP 65222 652 22 45065 $281.00 45065235 ER REMOVE FB ANTERIOR OF EYE 65235 45065 $2,259.00 45066999 ER ANTERIOR SEGMENT EYE UNLIST 66999 45066 $569.00 45067700 DRAINAGE EYELID ABSCESS 67700 $1,260.00 45067935 EYELID REPAIR 67935 $1,844.00 45067938 REMOVAL EMBEDDED FB EYELID 67938 $344.00 45069000 ER INCISION & DRAINAGE EARLOBE 69000 690 00 45069 $320.00 45069020 Drainage, ext auditory canal 69020 $1,146.00 45069200 ER CLEAR OUTER EAR CANAL 69200 692 00 45069 $173.00 45069209 REMOV IMPCT CERUM,IRRIG NO AUD 69209 $140.00 45069210 ER REMOVE IMPACTED EAR WAX 69210 45069 $124.00 45069399 UNLISTED PROCEDURE EXT EAR 69399 $146.00 45090000 IMMUN ADMIN HEP B MCARE ONLY G0010 $35.00 45090471 IMMUNIZATION ADMIN ONE VACCINE 90471 $38.00 45090472 IMMUNIZATION ADMIN ECH ADD 90472 $71.00 45090520 REMOVAL FOREIGN BODY IN MUSCLE 20520 $469.00 45090732 ER FLU SHOT VACCINE 90732 $71.00 45090733 ER FLU SHOT ADMINISTRATION G0008 $38.00 45092950 ER CPR 92950 45092 $605.00 45092953 SUBCUTANEOUS PACER 92953 929 53 92953 $286.00 45092960 ELECTRO CARDIOVERSION 92960 $888.00 45093799 ER DEFIBRILATION 93799 92960 $888.00 45094640 INHALATION INITIAL TREATMENT 94640 $76.00 45094799 ER UNLISTED PULMONARY PROCED 94799 45094 $88.00 45096360 IV HYDRATION, INITIAL 96360 $216.00 45096361 IV HYDRATION, ADD HR 96361 $88.00 45096365 IV INFUSION, INITIAL 96365 $327.00 45096366 IV INFUSION, ADD HR 96366 $132.00 45096367 IV INFUSION, SEQUENTIAL 96367 $160.00 45096368 IV INFUSION, CONCURRENT 96368 $119.00 45096372 ALL SUBQ OR IM INJECTIONS 96372 963 72 $98.00 45096374 IV PUSH, INITIAL 96374 $162.00 45096375 IV PUSH, SEQUENTIAL DIFFERENT 96375 $148.00 45096376 IV PUSH, SEQUENTIAL SAME 96376 $135.00 45097597 RMVL DEVITAL TIS 20CM/< 97597 $365.00 45099024 FOLLOW UP CARE-PRIOR PROCEDURE $0.00 45099082 ER AIR AMBULANCE PREP 99082 45099 $450.00 45099152 MOD SED SAME >5YR INIT 15 99152 $211.00 45099153 MOD SED SAME >5YR EA ADD 15 99153 $211.00 45099156 MOD SED OTH >5YR INIT 15 99156 $202.00 45099157 MOD SED OTH >5YR EA ADD 15 99157 $202.00 45099195 ER PHLEBOTOMY THERAPEUTIC 99195 991 95 45099 $85.00 45099281 ER VISIT LEVEL 1 TECH FEE 99281 992 81 99281 $328.00 45099282 ER VISIT LEVEL 2 TECH FEE 99282 992 82 99282 $412.00 45099283 ER VISIT LEVEL 3 TECH FEE 99283 992 83 99283 $484.00 45099284 ER VISIT LEVEL 4 TECH FEE 99284 992 84 99284 $840.00 45099285 ER VISIT LEVEL 5 TECH FEE 99285 992 85 99285 $1,202.00 45099291 ER VISIT LEVEL 6 TECH FEE 74M 99291 992 91 45099 $1,449.00 45099292 ER VISIT LEVEL 6 TECH ADD 30M 99292 992 92 45099 $421.00 48013151 COMPLEX SUTURES 13151 $850.00 48149900 SUTURE WOUND DEHISCENCE 49900 $1,661.00 63690371 HEPATITIS B IMMUNE GLOBULIN IM 90371 $277.00 63690375 RABIES IMMUNE GLOBULIN 90375 $1,324.00 63690389 TETANUS IMMUNE GLOBULIN IM 90389 $454.00 63690632 HEPATITIS A VACCINE ADULT IM 90632 $113.00 63690675 Rabies Vaccine-IM Use 90675 $296.00 63690675B Rabies Vaccine 90675 $298.00 63690746 HEPATITIS B VACCINE ADULT IM 90746 $106.00 76190760 IV INFUSION, 1 HR 96360 907 60 $216.00 76190761 IV INFUSION, ADDITIONAL HR 96361 907 61 $88.00 76190772 INJECTIONS CLINIC SUB/IM 96372 907 72 $98.00 76199211 EST OP VISIT 5 MINUTES 99211 $72.00 76199212 EST OP VISIT 10 MINUTES 99212 $89.00 76199213 EST OP VISIT 15 MINUTES 99213 $109.00 76199214 EST OP VISIT 25 MINUTES 99214 $126.00 76199215 EST OP VISIT 40 MINUTES 99215 $302.00 92495115 ER ALLERGY INJECTION 95115 95115 $36.00 98110040 ACNE SURGERY 10040 $183.00 98110060 ER INCISION & DRAINAGE ABCESS 10060 100 60 98110 $404.00 98110061 ER INCISION&DRAIN COMPLICATED 10061 100 61 98110 $1,140.00 98110080 ER INCISION PILONIDAL CYST 10080 100 80 98110 $445.00 98110120 ER REMOVE FOREIGN BODY 10120 101 20 98110 $445.00 98110140 ER INCISION & DRAIN HEMATOMA 10140 101 40 98110 $699.00 98110160 ER PUNCTURE DRAINAGE OF LESION 10160 101 60 98110 $445.00 98111042 ER DEBRIDE SKIN & SUBCUTANEOUS 11042 110 42 98111 $2,259.00 98111055 TRIM SKIN LESION 11055 $51.00 98111200 REMOVAL OF SKIN TAG 11200 $253.00 98111402 EXC TR-EXT B9+MARG 1.1-2CM 11402 $230.00 98111422 EXCISED DIAMETER 1.1 TO 2.0 CM 11422 $573.00 98111720 DEBRIDEMENT OF NAIL 11720 $38.00 98111730 ER REMOVAL OF NAIL PLATE 11730 117 30 98111 $445.00 98111740 ER EVACUATION OF SUB HEMOTOMA 11740 117 40 98111 $288.00 98111760 REPAIR OF NAIL BED 11760 $280.00 98111765 EXCISION OF SKIN OF NAIL FOLD 11765 $139.00 98112001 SIMPLE REPAIR TRK/LIMB<= 2.5CM 12001 120 01 98112 $223.00 98112002 SUTURE SIMPLE TRK/LIMB 2.6-7.5 12002 120 02 98112 $349.00 98112004 SUTURE SIMPLE TRK/LIMB7.6-12.5 12004 120 04 98112 $699.00 98112005 SUTURE SIMPLE TRK/LB 12.6-20.0 12005 120 05 98112 $2,485.00 98112006 SUTURE SIMPLE TRUNK+ 20.1-30.0 12006 120 06 98112 $2,259.00 98112011 0-2.5CM SIMP LACER REPAIR FACE 12011 120 11 98112 $409.00 98112013 SUTURE SIMPLE FACE 2.6-5.0CM 12013 120 13 98112 $404.00 98112014 SUTURE SIMPLE FACE 5.1-7.5CM 12014 120 14 98112 $699.00 98112015 SUTURE FACE 7.5-12.5 CM 12015 120 15 98112 $635.00 98112016 REPAIR SIMPLE 12.6 - 20.0 12016 $457.00 98112017 SIMPLE REPAIR 12.6CM - 20.0CM 12017 $529.00 98112020 CLOSURE OF SPLIT WOUND 12020 $283.00 98112031 SUTURE LAYER TRUNK/LIMB<=2.5CM 12031 120 31 98112 $445.00 98112032 SUTURE LAYER TRK/LIMB2.6-7.5CM 12032 120 32 98112 $699.00 98112034 SUT INT 7.6-12.5CM TRUNK,SCALP 12034 $681.00 98112035 INTERMEDIATE REPAIR 12.6-20 CM 12035 $670.00 98112041 SUTURE LAYER NECK/HAND <=2.5CM 12041 120 41 98112 $404.00 98112042 SUTURE LAYER NECK/HAND 2.6-7.5 12042 120 42 98112 $635.00 98112044 SUTURE LAYER NECK/HAND7.6-12.5 12044 120 44 98112 $2,259.00 98112051 SUTURE LAYERED FACE <=2.5 CM 12051 120 51 98112 $404.00 98112052 SUTURE LAYERED FACE 2.6-5.0CM 12052 120 52 98112 $445.00 98112053 SUTURE LAYERED FACE 5.1-7.5CM 12053 120 53 98112 $635.00 98112054 LAYER CLOSURE OF WOUND 12054 $347.00 98113121 COMP REP SCALP,ARM,LEG 2.6-7.5 13121 $602.00 98113122 COMP REP SCALP,ARM,LEG ADD 5CM 13122 $170.00 98113131 REPAIR COMPLEX 1.1-2.5CM 13131 $498.00 98113132 REPAIR COMPLEX 2.6 TO 7.5 CM 13132 $710.00 98113133 REPAIR CMPLX EA ADDL 5CM OR < 13133 $200.00 98113151 COMPLEX SUTURE LIPS 13151 $40.00 98114040 ADJACEMENT TISSUE TRANSFER 14040 $723.00 98115050 SKIN PINCH GRAFT 15050 $899.00 98116000 ER BURNS, LOCAL 16000 160 00 98116 $326.00 98116020 ER DEBRIDEMENT BURN SMALL 16020 160 20 16020 $317.00 98116025 ER DEBRIDEMENT BURN MEDIUM 16025 160 25 98116 $317.00 98116380 ER LEVEL 1 ACCIDENT PROF FEE 99281 992 81 16380 $190.00 98116381 ER LEVEL 1 MEDICAL PROF FEE 99281 992 81 16381 $190.00 98116382 ER LEVEL 2 ACCIDENT PROF FEE 99282 992 82 16382 $285.00 98116383 ER LEVEL 2 MEDICAL PROF FEE 99282 992 82 16383 $285.00 98116384 ER LEVEL 4 ACCIDENT PROF FEE 99284 992 84 16384 $486.00 98116385 ER LEVEL 4 MEDICAL PROF FEE 99284 992 84 16385 $442.00 98116386 ER LEVEL 5 ACCIDENT PROF FEE 99285 992 85 16386 $543.00 98116387 ER LEVEL 5 MEDICAL PROF FEE 99285 992 85 16387 $595.00 98116388 ER LEVEL 3 MEDICAL PROF FEE 99283 992 83 16388 $382.00 98116389 ER LEVEL 3 ACCIDENT PROF FEE 99283 992 83 16389 $368.00 98116424 ER VISIT LEVEL 0 PROF FEE 99281 992 81 $50.00 98117110 DESTRUCT LESION 1-14 17110 $143.00 98117999 ER SKIN TISSUE REPAIR 17999 98117 $54.00 98119020 I & D BREAST LESION 19020 $877.00 98119101 SKIN BIOPSY 19101 $1,117.00 98119499 ER ASPIRATION SEROMA BREAST 19499 98119 $1,364.00 98120103 EXPLORE WOUND EXTREMITY 20103 $697.00 98120520 REMOVAL FOREIGN BODY IN MUSCLE 20520 $358.00 98120550 ER INJECTION TENDON/CYST 20550 98120 $635.00 98120600 ARTHOCENTESIS SMALL JOINT 20600 $60.00 98120605 ER ARTHROCENTESIS ELBOW 20605 206 05 98120 $86.00 98120610 ER ARTHROCENTESIS KNEE 20610 206 10 98120 $110.00 98121299 UNLISTED CRANIO/MAXILLOFACIAL 21299 $25.00 98121310 CLOSED NOSE FX W/O MANIP 21310 $232.00 98121480 REDUCTION TM DISLOCATION 21480 $142.00 98121820 CLOSED TX STERNAL FRACTURE 21820 $269.00 98123330 REMOVE SHOULDER FOREIGN BODY 23330 $297.00 98123500 CLSD TX CLAVICULAR FX W/O MANI 23500 $437.00 98123600 PROX HUMERAL W/O MANIP 23600 $531.00 98123650 ER SHOULDER DISLOCATION 23650 236 50 98123 $1,856.00 98123655 ER CLOSED SHOULDER DISLOCATION 23655 236 55 98123 $1,686.00 98123665 ER CLOSED TX SHOULDER DISLOC. 23665 236 65 98123 $2,485.00 98124200 ER REMOVE FB UPPER ARM SUBCUT 24200 242 00 98124 $404.00 98124505 HUMERUS SHAFT WITH MANIP 24505 $839.00 98124577 ER TX HUMERUS FRACTURE 24577 245 77 98124 $1,686.00 98124600 ER TX CLOSED ELBOW DISLOCATION 24600 246 00 98124 $1,686.00 98124605 TX ELBOW DISLOCATION 24605 246 05 24605 $672.00 98124640 ER REDUCTION ELBOW DISLOCATION 24640 246 40 98124 $317.00 98124650 CLSD TX RADIAL FX HEAD NECK 24650 $603.00 98124670 TX OF ULNAR FRACTURE 24670 $510.00 98125028 DRAINAGE FOREARM LESION 25028 $1,070.00 98125535 FOREARM WITH MANIP 25535 $837.00 98125565 RAD/ULNA WITH MANIP 25565 $885.00 98125600 WRIST COLLES W/O MANIP 25600 $532.00 98125605 ER TREAT FRACTURE RADIUS/ULNA 25605 256 05 98125 $2,591.00 98125622 CARPAL NAVICULAR W/O MANIP 25622 $476.00 98125630 TREAT WRIST BONE FRACTURE 25630 $560.00 98126010 ER DRAIN FINGER ABSCESS 26010 260 10 98126 $416.00 98126410 ER REPAIR HAND TENDON 26410 264 10 98126 $2,591.00 98126418 SUTURE EXTERIOR TENDON/FINGER 26418 264 18 98126 $3,190.00 98126600 CLOSED METACARPAL FX W/O MANIP 26600 $531.00 98126605 TREAT METACARPAL FRACTURE 26605 $328.00 98126700 ER REDUCTION KNUCKLE 26700 267 00 98126 $529.00 98126705 REDUCTION FINGER DISLOCATION 26705 $411.00 98126720 PHALANX FX W/O MANIP 26720 $359.00 98126725 TREAT PHALANX FRACTURE 26725 $579.00 98126742 REDUCTION ARTICULAR FRACTURE 26742 $752.00 98126750 DISTAL PHALANX FX W/O MANIP 26750 $358.00 98126755 CLOSED TX DISTAL FINGER FX 26755 $547.00 98126770 ER TREAT FINGER DISLOCATION 26770 267 70 98126 $502.00 98126775 TX OF FINGER DISLOCAT NO ANES 26775 $965.00 98126989 ER REMOVAL FOREIGN BODY HAND 26989 98126 $2,591.00 98127096 INJECTION SI JOINT 27096 $265.00 98127250 ER HIP DISLOCATION REDUCTION 27250 272 50 98127 $1,686.00 98127257 ER TX SPONTANEOUS HIP DISLOC. 27257 272 57 98127 $773.00 98127265 TX HIP ARTHOPLASTY DISLOCATION 27265 $539.00 98127266 ER CLOSED TX HIP ARTHO W/ANES 27266 $1,520.00 98127301 I & D DEEP ABCESS THIGH/KNEE 27301 $1,781.00 98127550 CLOSED TX KNEE DISLOCATION 27550 $636.00 98127560 ER TREAT KNEECAP DISLOCATION 27560 275 60 98127 $1,686.00 98127562 CL TX PATELLA DISLOC 27562 $929.00 98127599 ER UNLISTED PROC. FEMUR OR LEG 27599 98127 $59.00 98127750 CLOSED TX TIB SHAFT FX.S MANIP 27750 $635.00 98127752 CLOSED TX FIB/TIB FX W/ MANIP 27752 277 52 27752 $729.00 98127760 CLOSED TX ANKLE FX 27760 $614.00 98127781 TX OF FIBULA FRACTURE 27781 $810.00 98127786 CLOSED TRTMNT DISTAL FIB FRAC 27786 $580.00 98127788 CLSD TX DISTAL FIBULAR FRACTUR 27788 $759.00 98127810 CLOSED TX BIMALLE ANK W/MANIP 27810 $838.00 98127816 REDUCTION CLOSED ANKLE FRACT 27816 $931.00 98127818 TX OF ANKLE FRACTURE 27818 $920.00 98127840 TREAT ANKLE DISLOCATION 27840 $755.00 98127842 CL TX ANKLE DISLOC W/ANES 27842 $233.00 98127899 ER REMOVAL FB LOWER LEG 27899 98127 $59.00 98128190 ER REMOVAL FB FOOT 28190 281 90 98128 $420.00 98128450 TREATMENT MIDFOOT FRACTURE 28450 $372.00 98128470 TX METATARSAL FRACTURE 28470 $348.00 98128490 CLOSED TX FX GREAT TOE 28490 $233.00 98128510 TREAT TOE FX W/O MANIP 28510 $243.00 98128515 OPEN TRTMNT FRACTURE W/ MANIPU 28515 $206.00 98128660 ER CLOSED REDUCTION TOE 28660 286 60 98128 $404.00 98128899 SUTURE OF TOE JOINT CAPSULE 28899 $33.00 98129065 ER CAST LONG ARM APPLICATION 29065 290 65 98129 $635.00 98129105 LONG ARM SPLINT 29105 $157.00 98129125 SHORT ARM SPLINT 29125 $120.00 98129126 SHORT ARM SPLINT 29126 $150.00 98129130 FINGER SPLINT 29130 $76.00 98129240 STRAPPING, SHOULDER 29240 $100.00 98129260 STRAPPING ELBOW OR WRIST 29260 $81.00 98129505 APPLICATION OF LONG LEG SPLINT 29505 $321.00 98129515 SHORT LEG SPLINT 29515 $124.00 98129530 KNEE STRAPPING 29530 $82.00 98129700 REMOVAL HAND WRIST CAST 29700 $55.00 98129705 REMOVAL FULL ARM/LEG CAST 29705 $99.00 98129799 ER CASTING/STRAPPING PROCEDURE 29799 98129 $66.00 98130300 ER REMOVE NASAL FOREIGN BODY 30300 303 00 98130 $275.00 98130901 ER CONTROL OF NOSE BLEED 30901 98130 $141.00 98130903 CTRL NASAL HEM ANTERIOR/PACK 30903 $175.00 98130905 CONTROL OF NOSEBLEED 30905 $214.00 98130999 NASAL SURGERY PROCEDURE 30999 $250.00 98131500 ER INSERT EMERGENCY AIRWAY 31500 98131 $1,686.00 98131505 ER LARYNGOSCOPY 31505 98131 $288.00 98131525 ER DIRECT LARYNGOSCOPY 31525 315 25 98131 $1,686.00 98132551 INSERTION OF CHEST TUBE 32551 $399.00 98133210 ER INSERTION TEMPORARY PACER 33210 332 10 98133 $441.00 98135226 SUTURE BLOOD VESSEL LOWER EXT 35226 98135 $1,796.00 98136000 ER NEEDLE/CATH INTRODUCTION 36000 360 00 98136 $288.00 98136430 ER BLOOD TRANSFUSION SERVICE 36430 364 30 98136 $404.00 98136556 CVP PLACEMENT OVER 5 YRS OLD 36556 $477.00 98136561 INSERT TUNNELED CV CATH 36561 $787.00 98136569 INSERT TUNNELED CV CATH 5+ YRS 36569 $531.00 98136589 REMOVAL, CENTRAL VENOUS CATH 36589 $376.00 98136600 ARTERIAL PUNCT BLOOD WD FOR DX 36600 $34.00 98136680 INSERT NEEDLE BONE CAVITY 36680 $129.00 98137609 LIGATION/BIO, TEMPORAL ARTERY 37609 $794.00 98137618 LIGATION OF EXTREMITY ARTERY 37618 $2,014.00 98137799 ER VASCULAR SURGERY SUTURE 37799 98137 $59.00 98140650 REPAIR LIP 40650 $460.00 98140652 REPAIR OF LIP 40652 $575.00 98140654 REPAIR OF LIP 40654 $849.00 98141250 ER REPAIR TONGUE LACERATION 41250 412 50 98141 $2,259.00 98141599 TONGUE & MOUTH SURGERY 41599 $426.00 98141800 DRAINAGE ABSCESS DENTOALVEOLAR 41800 $335.00 98141899 UNLISTED,DENTOALVEOLAR SUTURES 41899 $20.00 98142299 ER REMOVAL FB PALATE 42299 98142 $178.00 98142809 REMOVAL - FOREIGN BODY PHARYNX 42809 $305.00 98143752 ER INSERTION NG TUBE 43752 98143 $239.00 98143753 TX GASTRO INTUB W/ASP 43753 $59.00 98143760 ER CHANGE GASTROSTOMY TUBE 43760 98143 $1,686.00 98143761 ER REPOSITION GASTRIC TUBE 43761 $394.00 98143999 ER STOMACH SURGERY PROCEDURE 43999 98143 $266.00 98144604 SUTURE LARGE INTESTINE 44604 $1,906.00 98145999 ER RECTUM PROCEDURE 45999 98145 $66.00 98146040 I&D OF PERIRECTAL ABCESS 46040 $600.00 98146050 INCISION OF ANAL ABCESS 46050 $202.00 98146083 ER INCISION EXTERNAL HEMORHOID 46083 460 83 98146 $404.00 98146320 ENUCLEATION OF EXT HEMMORHOID 46320 $593.00 98146600 ER ANOSCOPY 46600 466 00 98146 $288.00 98149900 SUTURE WOUND DEHISCENCE 49900 $870.00 98149999 ER UNLISTED PROC ABD/PERI 49999 98149 $66.00 98151700 IRRIGATION OF FOLEY CATHETER 51700 $196.00 98151701 INSERTION OF STRAIGHT CATH 51701 $49.00 98151702 INSERTION TEMP BLADDER CATH 51702 517 02 51702 $49.00 98151703 FOLEY INSERTION COMPLICATED 51703 $183.00 98155100 DRAIN SCROTAL WALL ABSCESS 55100 $376.00 98155899 GENITAL SURGERY PROCEDURE 55899 $205.00 98156405 ER I & D PERINEAL ABSCESS 56405 564 05 98156 $2,259.00 98156420 DRAINAGE OF GLAND ABSCESS 56420 $192.00 98157180 ER VAGINAL PACKING 57180 571 80 98157 $1,686.00 98158999 UNLIST PROC FEMALE GENT SYS 58999 $408.00 98159409 ER DELIVERY IN ER 59409 98159 $1,599.00 98159414 DELIVERY PLACENTA SEPARATE PRO 59414 594 14 59414 $146.00 98162270 ER LUMBAR PUNCTURE SPINAL TAP 62270 622 70 98162 $1,686.00 98164400 INJ ANESTHETIC AGENT TRIG NERV 64400 $143.00 98164402 N BLOCK INJ FACIAL 64402 $157.00 98164450 N BLOCK OTHER PERIPHERAL 64450 $118.00 98165205 ER REMOVE FOREIGN BODY EYE 65205 652 05 98165 $192.00 98165210 REMOVAL F/B CONJUNCTIVAL EMBED 65210 652 10 65210 $94.00 98165220 ER REMOVAL F.B. W/O SLIT LAMP 65220 652 20 98165 $317.00 98165222 ER REMOVAL F.B. WITH SLIT LAMP 65222 652 22 98165 $404.00 98165235 ER REMOVE FB ANTERIOR OF EYE 65235 98165 $2,259.00 98166999 ER ANTERIOR SEGMENT EYE UNLIST 66999 98166 $66.00 98167700 DRAINAGE EYELID ABSCESS 67700 $225.00 98167935 EYELID REPAIR 67935 $648.00 98167938 REMOVAL EMBEDDED FB EYELID 67938 $216.00 98169000 ER INCISION & DRAINAGE EARLOBE 69000 690 00 98169 $635.00 98169020 Drain ext audit canal, abscess 69020 $144.00 98169200 ER CLEAR OUTER EAR CANAL 69200 692 00 98169 $288.00 98169209 REMOV IMPCT CERUM,IRRIG NO AUD 69209 $24.00 98169210 ER REMOVE IMPACTED EAR WAX 69210 98169 $76.00 98169399 UNLISTED PROCEDURE, EXT EAR 69399 $22.00 98192950 ER CPR 92950 98192 $485.00 98192953 SUBCUTANEOUS PACER 92953 929 53 92953 $30.00 98192960 ER CARDIOVERSION 92960 $225.00 98193799 ER DEFIBRILATION 93799 98193 $206.00 98194799 ER UNLISTED PULMONARY PROCED 94799 98194 $25.00 98197597 RMVL DEVITAL TIS 20CM/< 97597 $48.00 98199024 FOLLOW UP CARE-PRIOR PROCEDURE $0.00 98199082 ER AIR AMBULANCE PREP 99082 98199 $450.00 98199152 MOD SED SAME >5YR INIT 15 99152 $90.00 98199153 MOD SED SAME >5 YR EA ADD 15 99153 $90.00 98199156 MOD SED OTH >5 YR INIT 15 99156 $107.00 98199157 MOD SED OTH >5YR EA ADD 15 99157 $107.00 98199195 ER PHLEBOTOMY THERAPEUTIC 99195 991 95 98199 $166.00 98199281 ER LEVEL 1 PROF FEE 99281 $190.00 98199282 ER LEVEL 2 PROF FEE 99282 $285.00 98199283 ER LEVEL 3 PROF FEE 99283 $382.00 98199284 ER LEVEL 4 PROF FEE 99284 $486.00 98199285 ER LEVEL 5 PROF FEE 99285 $595.00 98199288 ER PARAMEDIC RADIO RESPONSE 99288 98199 $381.00 98199291 ER VISIT LEVEL 6 PROF 1ST 74M 99291 992 91 98199 $650.00 98199292 ER VISIT LEVEL 6 PROF ADD 30M 99292 992 92 98199 $247.00 98230901 CONTROL OF NOSE BLEED 30901 $141.00 98299212 EST OP VISIT 99212 $53.00 99900011 EMPLOYEE PHYSICAL $70.00 4509464076 SUBSEQUENT INHALATION TREATMNT 94640 $76.00 300P9604 FLAT RATE TRIP BASIS P9604 $41.00 30036591 DRAW BLOOD OFF VENOUS DEVICE 36591 $63.00 30081162 BRCA 81162 $6,393.00 30084206 Proinsulin 84206 $282.00 30086317 STREP PNEUMO SEROTYPES 86317 863 17 86317 $114.00 30087522 HEPTIMAX TEST 87522 87522 $432.00 30180029 FLUPHENAZINE 80299 80029 $149.00 30180074 HEPITITIS EVAL II 80074 800 74 80074 $210.00 30180150 AMIKACIN 80150 $88.00 30180152 AMITRIPTYLINE 80335 803 35 80335 $104.00 30180157 CARBAMAZEPINE, FREE 80157 $115.00 30180158 CYCLOSPORINE 80158 $110.00 30180164 VALPROIC ACID 80164 801 64 80164 $160.00 30180165 VALPROIC ACID, FREE 80165 $103.00 30180168 ETHOSUXIMIDE 80168 801 68 80168 $104.00 30180169 EVEROLIMUS LEVLE 80169 $150.00 30180171 GABAPENTIN 80171 $119.00 30180175 LAMOTRIGINE 80175 $106.00 30180176 LIDOCAINE 80176 801 76 80176 $113.00 30180177 LEVETIRACETAM (KEPPRA) 80177 $150.00 30180178 LITHIUM 80178 801 78 80178 $71.00 30180180 Mycophenolate 80180 $218.00 30180183 OXCARBAZEPINE 80183 $150.00 30180184 PHENOBARBITOL 80184 801 84 80184 $158.00 30180186 PHENYTOIN FREE 80186 801 86 80186 $82.00 30180188 MYSOLINE (PRIMIDONE) 80188 801 88 80188 $133.00 30180192 PROCAINAMIDE WITH NAPA 80192 801 92 80192 $124.00 30180194 QUINIDINE 80194 801 94 80194 $87.00 30180195 RAPAMYCIN (SIROLIMUS) 80195 $139.00 30180197 TACROLIMUS 80197 801 97 80197 $148.00 30180200 TOBRAMYCIN 80200 802 00 80200 $159.00 30180201 TOPIRAMATE LEVEL 80201 80201 $119.00 30180203 ZONISAMIDE 80203 802 99 $157.00 30180298 PROZAC (FLUOXETINE) 80299 80298 $149.00 30180299 QUANITATION OF DRUG NES 80299 80299 $464.00 30180300 DRUG SCREEN,NON TLC DEVICE 80305 803 5 $86.00 30180301 DRUG SCREEN CLASS LIST A 80305 $64.00 30180307 CAFFEINE 80307 80307 $149.00 30180323 ALKALOIDS NOS 80323 $166.00 30180324 DRUG SCREEN AMPHETAMINES 1-2 80324 $161.00 30180327 DIHYDROTESTOSTERONE 80327 $90.00 30180332 ANTIDEPRESS, SEROTON. 1 OR 2 80332 $71.00 30180335 DESPIRAMINE 80335 $71.00 30180336 TRICYCLIC ANTIDEPRESSANTS 3-5 80336 $200.00 30180339 ANTIEPILEPTICS, NOS 1-3 80339 $166.00 30180342 ANTIPSYCHCOTICS NOS 1-3 80342 $292.00 30180348 BUPRENORPHINE G0480 $64.00 30180354 DRUG SCREEN FENTANYL 80354 $295.00 30180359 METHYLENEDIOXY AMPHETAMINES 80359 $88.00 30180360 NETHYLPHENIDATE 80360 $252.00 30180365 OXYCODONE 80365 $175.00 30180368 SEDATIVE HYPNOTICS 80368 $175.00 30180369 SKELETAL MUSCLE RELAXANTS 1-2 80369 $175.00 30180377 DRUGS OR SUBSTANCES NOS 7+ 80377 $175.00 30181206 BRL6 GENE REARRANGEMENT 81206 $300.00 30181207 P190 BCR-ABL1 81207 $135.00 30181220 CYSTIC FIBROSIS SCREEN 81220 $354.00 30181235 EGFR GENE VARIANTS 81235 $1,550.00 30181240 F2 GENE ANALYSIS 81240 $277.00 30181241 FACTOR V LEIDEN 81241 $166.00 30181243 XSENSE, FRAGILE X 81243 $904.00 30181244 XSENSE, FRAGILE X SB 81244 $241.00 30181256 HFE (HEMOCHROMO) GENE ANALYSIS 81256 $758.00 30181270 JAK2 V617F MUTATION 81270 $504.00 30181291 MTHFR GENE ANALYSIS 81291 $677.00 30181372 HLA A,B,C INTERMEDIATE ABS 81372 $1,197.00 30181401 SMA CARRIER SCREEN 81401 $1,391.00 30181503 OVA1 81503 $1,800.00 30181599 LIVER FIBROSIS 81599 $700.00 30182010 KETONE BODIES, QUANTITATIVE 82010 820 10 82010 $41.00 30182017 ACYLCARNITINES, QUANT. 82017 $54.00 30182024 ACTH 82024 820 24 82024 $399.00 30182085 ALDOLASE 82085 820 85 82085 $78.00 30182088 ALDOSTERONE 82088 820 88 82088 $314.00 30182103 ALPHA 1 ANTITRYPSIN 82103 821 03 82103 $126.00 30182104 ALPHA 1 ANTITRYPSIN, PHENO 82104 821 04 82104 $178.00 30182105 ALPHA FETO PROTEIN SERUM 82105 821 05 82105 $128.00 30182106 AFP AMNIOTIC FLUID 82106 821 06 82106 $98.00 30182108 ALUMINUM 82108 $112.00 30182127 AMINO ACIDS SINGLE 82127 $47.00 30182128 AMINO ACIDS MULTIPLE 82128 $53.00 30182131 CYSTINE, URINE 82131 821 31 $160.00 30182135 DELTA ALA 82135 821 35 82135 $49.00 30182139 AMINO ACIDS, QUANT 6+ 82139 $219.00 30182157 ANDROSTENEDIONE 82157 821 57 82157 $85.00 30182164 ANGIOTENSIN CONVERTING ENZYME 82164 821 64 82164 $136.00 30182172 APOLIPOPROTEIN 82172 821 72 82172 $79.00 30182175 ARSENIC 82175 82175 $110.00 30182180 VITAMIN C 82180 $49.00 30182232 BETA-2 MACROGLOBULIN 82232 822 32 82232 $125.00 30182261 BIOTINASE 82261 $174.00 30182300 CADMINUM BLOOD 82300 82300 $109.00 30182306 VIT D 25 HYDROXY 82306 823 06 82306 $415.00 30182308 CALCITONIN 82308 823 08 82308 $152.00 30182330 CALCIUM IONIZED 82330 823 30 82330 $78.00 30182360 CALCULUS ANALYSIS 82360 823 60 82360 $110.00 30182365 CALCULUS,INFRARED SPECTROSCOPY 82365 823 65 82365 $113.00 30182375 CARBON MONOXIDE 82375 823 75 82375 $180.00 30182378 CEA 82378 823 78 82378 $140.00 30182379 CARNITINE, QUANTITATIVE 82379 82379 $134.00 30182380 CAROTENE BLOOD 82380 823 80 82380 $54.00 30182382 CATECHOLAMINES (TOTAL URINE) 82382 823 82 82382 $122.00 30182384 CATECHOLAMINES, FRACTIONATED 82384 $134.00 30182387 CATHEPSIN D 82387 82387 $430.00 30182390 CERULOPLASMIN 82390 823 90 82390 $81.00 30182397 CHROMOGRANIN A 82397 82397 $287.00 30182480 CHOLINESTERASE SERUM 82480 824 80 $50.00 30182495 CHROMIUM LEVEL, BLOOD 82495 $132.00 30182507 CITRIC ACID 82507 82507 $231.00 30182523 COLLAGEN CROSS LINKS 82523 $191.00 30182525 COPPER 82525 82525 $236.00 30182530 CORTISOL, FREE 82530 825 30 82530 $129.00 30182533 CORTISOL, TOTAL 82533 825 33 82533 $161.00 30182540 CREATINE 82540 82540 $56.00 30182542 COLUMN CHROMOTOGRAPHY QUANT 82542 $462.00 30182585 CRYOFIBRINOGEN 82585 $115.00 30182595 CRYOGLOBULINS 82595 825 95 82595 $111.00 30182607 VITAMIN B12 82607 826 07 82607 $90.00 30182610 CYSTATIN C 82610 826 10 82610 $317.00 30182626 DHEA 82626 826 26 82626 $146.00 30182627 DHEA SULFATE 82627 826 27 82627 $200.00 30182633 DEOXYCORTICOSTERONE 82633 826 33 $121.00 30182638 DIBUCAINE 82638 $50.00 30182652 DIHYDROXY 1,25 82652 826 52 82652 $313.00 30182656 ELASTASE, PANCREATIC STOOL 82656 $225.00 30182668 ERYTHROPOIETIN 82668 826 68 82668 $162.00 30182670 ESTRADIOL 82670 826 70 82670 $187.00 30182672 ESTROGEN TOTAL 82672 826 72 82672 $174.00 30182677 ESTRIOL 82677 826 77 82677 $95.00 30182705 FECAL FAT 82705 827 05 82705 $50.00 30182710 FAT FECES QUANTITATIVE 82710 827 10 82710 $228.00 30182726 LONG HEAVY CHAINS 82726 $300.00 30182747 RBC FOLATE 82747 827 47 82747 $95.00 30182760 GALACTOSE 82760 $29.00 30182775 GALACTOSE 1 PHOSPHATE URIDYL 82775 827 75 82775 $211.00 30182784 GAMMAGLOBULIN 82784 827 84 82784 $64.00 30182785 IGE 82785 827 85 82785 $112.00 30182787 IGG SUBCLASS 82787 827 87 82787 $128.00 30182941 GASTRIN 82941 829 41 82941 $152.00 30182943 GLUCAGON 82943 $69.00 30182955 GLUCOSE 6 PHOSPHAT DEHY 82955 829 55 82955 $49.00 30182985 FRUCTOSAMINE 82985 829 85 82985 $61.00 30183001 FSH LEVEL 83001 830 01 83001 $118.00 30183002 LH LEVEL 83002 830 02 83002 $120.00 30183003 GROWTH HORMONE, HUMAN SOMA 83003 830 03 83003 $110.00 30183010 HAPTOGLOBIN 83010 830 10 83010 $72.00 30183015 HEAVY METAL SCREEN 83015 830 15 83015 $384.00 30183018 HEAVY METAL SCREEN, QUANT EACH 83018 83018 $389.00 30183020 HEMOGLOBIN ELECTROPHORESIS 83020 830 20 83020 $69.00 30183021 HEMOGLOBIN FRACTIONATION 83021 830 21 83021 $57.00 30183050 METHEMOGLOBIN, QUANT. 83050 830 50 83050 $72.00 30183068 HEMOGLOBIN UNSTABLE 83068 83068 $21.00 30183070 HEMOSIDERIN, QUALITATIVE 83070 830 70 83070 $41.00 30183088 HISTAMINE 83088 $84.00 30183090 HOMOCYSTEINE 83090 830 90 83090 $165.00 30183150 HVA 83150 831 50 83150 $88.00 30183491 HYDROXYCORTICOSTEROIDS 83491 834 91 83491 $103.00 30183497 HIAA 5 83497 834 97 83497 $252.00 30183498 HYDROXYPROGESTERONE 17d 83498 834 98 83498 $174.00 30183499 HYDROXYPROGESTERONE 20- 83499 $43.00 30183500 HYDROXYPROLINE, FREE 83500 835 00 83500 $75.00 30183505 HYDROXYPROLENE TOTAL 83505 835 05 83505 $75.00 30183516 IMMUNOASSAY FOR ANALYTE 83516 862 56 $80.00 30183519 RADIOIMMUNOASSAY QUANT. 83519 83519 $258.00 30183520 UNLISTED IMMUNOASSAY 83520 83520 $274.00 30183525 INSULIN LEVEL 83525 835 25 83525 $88.00 30183527 INSULIN, FREE 83527 $39.00 30183586 KETOSTEROIDS 83586 835 86 83586 $74.00 30183605 LACTIC ACID 83605 836 05 83605 $58.00 30183630 LACTOFERRIN,STOOL QUALITATIVE 83630 $150.00 30183631 LACTOFERRIN,STOOL QUANTITATIVE 83631 $222.00 30183655 LEAD LEVEL 83655 836 55 83655 $57.00 30183663 FLUORESCENCE POLARIZATION 83663 $207.00 30183670 LEUCINE AMINOPEPTIDASE SERUM 83670 836 70 83670 $74.00 30183698 LP PLA2 TEST 83698 836 98 83698 $359.00 30183701 LIPOPROTEIN, FRACT. & QUANT. 83701 $81.00 30183785 MANGANESE 83785 83785 $51.00 30183789 MASS SPECTROMETRY QUANT 83789 $428.00 30183825 MERCURY 83825 838 25 83825 $94.00 30183835 METANEPHRINES 83835 838 35 83835 $218.00 30183873 MYELIN BASIC PROTEIN, CSF 83873 $53.00 30183874 MYOGLOBIN 83874 838 74 83874 $55.00 30183883 NEPHELOMETRY 83883 83883 $333.00 30183891 MOLECULAR DIAGNOSIS ISOLATION 81241 83891 $91.00 30183915 NUECLEOTIDASE 5 83915 839 15 83915 $66.00 30183916 OLIGOCLONAL BANDING 83916 839 16 83916 $101.00 30183918 ORGANIC ACIDS,TOTAL,QUANT. 83918 839 18 $483.00 30183919 ORGANIC ACIDS, QUAL 83919 $391.00 30183921 ORGANIC ACID SINGLE QUANTITATV 83921 839 21 83921 $150.00 30183937 OSTEOCALCIN 83937 $91.00 30183945 OXALATE 83945 839 45 83945 $71.00 30183970 PARATHYROID (PTH) HORMONE 83970 839 70 83970 $315.00 30183993 CALPROTECTIN, STOOL 83993 $179.00 30184030 PHENYLALANINE,BLOOD 84030 $13.00 30184060 PHOSPHATASE ACID TOTAL 84060 840 60 84060 $42.00 30184066 PHOSPHATASE ACID, PROSTATIC 84066 $28.00 30184080 PHOSPHATASE ALKALINE ISOENZYME 84080 840 75 84080 $103.00 30184081 PHOSPHATIDYLGLYCEROL 84081 840 81 84081 $345.00 30184105 URINE 24 HOUR PHOSPHOROUS 84105 841 05 84105 $88.00 30184110 PORPHOBILINOGEN QUANT 84110 841 10 84110 $55.00 30184120 PORPHYRINS FRACTIONATED 84120 841 20 84120 $68.00 30184134 PREALBUMIN SERUM 84134 841 34 84134 $152.00 30184140 PREGNENOLONE 84140 $181.00 30184143 PREGNENOLONE 17-HYDROXY 84143 841 43 84143 $241.00 30184144 PROGESTERONE 84144 841 44 84144 $134.00 30184145 PROCALCITONIN 84145 $707.00 30184146 PROLACTIN 84146 841 46 84146 $204.00 30184154 PSA FREE 84154 841 54 84154 $101.00 30184165 PROTEIN SERUM ELECTROPHOESIS 84165 841 65 84165 $95.00 30184166 ELECTROPH FRAC QUANT URINE/CSF 84166 $145.00 30184181 MYELIN ASSOC GLYCOPROTEIN AB 84181 $293.00 30184182 Protein, Western Blot 84182 $250.00 30184202 PROTOPORPHYN, RBC QUANT 84202 842 02 84202 $118.00 30184207 VITAMIN B6 84207 842 07 84207 $317.00 30184233 ESTROGEN RECEPTOR ASSAY 84233 842 33 84233 $351.00 30184234 PROGESTERONE RECEPTOR ASSAY 84234 842 34 84234 $348.00 30184238 ACETYLCHOLINE RECEPTOR ANTIBDY 84238 842 38 84238 $339.00 30184244 RENIN 84244 842 44 84244 $172.00 30184255 SELENIUM 84255 $75.00 30184260 SEROTONIN 84260 842 60 84260 $213.00 30184270 SEX HORMONE BINDING GLOBULIN 84270 842 70 84270 $109.00 30184302 SODIUM, STOOL 84302 $35.00 30184305 INSULIN-LIKE GROWTH FACTOR 84305 843 05 84305 $116.00 30184311 SPECTROPHOTOMETRY, NES 84311 843 11 84311 $98.00 30184376 SUGARS,SINGLE QUALITATIVE 84376 $17.00 30184392 SULFATE,URINE 84392 $88.00 30184402 TESTOSTERONE FREE 84402 844 02 84402 $292.00 30184403 TESTOSTERONE TOTAL 84403 844 03 84403 $196.00 30184425 VITAMIN B1 (THIAMINE) 84425 844 25 84425 $164.00 30184430 THIOCYANATE 84430 $19.00 30184432 THYROGLOBULIN 84432 $111.00 30184442 THYROXINE BINDING GLOBULIN 84442 $44.00 30184445 THYROID STIMULATING IMMUNOGLOB 84445 844 45 84445 $384.00 30184446 VITAMIN E 84446 844 46 84446 $94.00 30184466 TRANSFERRIN 84466 844 66 84466 $131.00 30184480 T3, TOTAL 84480 844 80 84480 $120.00 30184481 T3 FREE 84481 844 81 84481 $107.00 30184482 TRIIODOTHYRONINE T3 REVERSE 84482 844 82 84482 $48.00 30184545 UREA CLEARANCE, URINE 84545 84545 $22.00 30184560 URIC ACID 24 HR URINE 84560 845 60 84560 $88.00 30184585 VMA URINE 84585 845 85 84585 $78.00 30184586 VASOACTIVE INTESTINAL PEPTIDE 84586 845 86 84586 $284.00 30184588 VASOPRESSIN 84588 $180.00 30184590 VITAMIN A 84590 845 90 84590 $74.00 30184591 VITAMIN B3 - NIACIN 84591 845 91 $461.00 30184597 VITAMIN K 84597 84597 $256.00 30184600 VOLATILES 84600 $86.00 30184630 ZINC PLASMA 84630 846 30 84630 $67.00 30184681 C-PEPTIDE 84681 846 81 84681 $101.00 30184999 OSMOLALITY, FECES 84999 $52.00 30185103 OVA 1 81503 $1,605.00 30185549 LYSOZYME 85549 $45.00 30282664 ELECTROPHORETIC THECHNIQUE 82664 82664 $275.00 30283695 LIPOPROTEIN(a) 83695 $34.00 30286000 FEBRILE AGGLUTININS, EACH 86000 860 00 86000 $327.00 30286001 ALLERGEN SPECIFIC IGG 86001 860 01 86001 $50.00 30286003 ALLERGEN IGE 86003 860 03 86003 $57.00 30286009 SCLERODERMA ANTIBODY 86235 862 35 86009 $127.00 30286021 ANTIBODY I.D. LEUKOCYTE 86021 860 21 86021 $110.00 30286022 PLATELET ANTIBODY 86022 860 22 86022 $109.00 30286023 PLATLET ASSOCIATED IMMUNOGLOB. 86023 860 23 86023 $470.00 30286038 ANA 86038 860 38 86038 $91.00 30286039 ANA TITER 86039 860 39 86039 $89.00 30286060 ASO 86060 860 60 86060 $40.00 30286140 C-REACT PROTEIN 86140 861 40 86140 $53.00 30286141 CRP, CARDIAC HIGH SENSITIVITY 86141 $72.00 30286146 BETA 2 GLYCOPROTEIN ANTIBODY 86146 $126.00 30286147 CARDIOLIPIN ANTIBODIES 86147 861 47 86147 $121.00 30286148 ANTIPHOSPHOLIPID ANTIBODY 86148 $142.00 30286160 COMPLEMENT EACH COMPONENT 86160 861 60 86160 $105.00 30286161 C1 ESTERASE INHIBITOR 86161 861 61 86161 $98.00 30286162 CH 50 TOTAL COMPLEMENT 86162 861 62 86162 $214.00 30286163 C3 COMPLEMENT 86160 861 60 86163 $105.00 30286164 COMPLEMENT C4 86160 861 60 86164 $105.00 30286200 CYCLIC CITRUL PEPTIDE, AB 86200 $130.00 30286215 DNA ANTIBODY 86215 862 15 $45.00 30286225 DNA ANTIBODY DS NATIVE 86225 862 25 86225 $104.00 30286226 DNA AB SS IGG 86226 862 26 86226 $74.00 30286236 EXTRACTABLE NUCLEAR ANTIGEN 86235 862 35 86236 $127.00 30286255 ANTIBODIES, BY FLOURECEN 86255 862 55 86255 $101.00 30286256 FLUORESCENT TITER, PER ANTIBDY 86256 867 13 $73.00 30286300 CANCER ANTIGEN 15-3/27.29 EACH 86300 863 00 86300 $196.00 30286301 CANCER ANTIGEN 19-9 86301 863 01 86301 $177.00 30286304 CANCER ANTIGEN 125 86304 863 04 86304 $181.00 30286316 IMMUNOASSAY TUMOR AG OTHER 86316 863 16 86316 $170.00 30286317 RABIES VIRUS ANTIBODY 86317 $114.00 30286318 RICKETSIAL PANEL 86318 863 18 $83.00 30286320 IMMUNOELECTROPHORESIS,SERUM 86320 863 20 86320 $155.00 30286329 TEICHOIC ACID ANTIBODY 86329 863 29 86329 $116.00 30286330 COMPLEMENT CIQ 86160 861 60 86330 $105.00 30286332 IMMUNE COMPLEX ASSAY 86332 863 32 $74.00 30286334 IMMUNOFIXATION ELECTROPHORESIS 86334 863 34 86334 $210.00 30286335 IMMUNOFIXATION, OTHER FLUIDS 86335 $100.00 30286336 INHIBIN A 86336 $183.00 30286337 INSULIN ANTIBODIES 86337 863 37 86337 $163.00 30286340 INTRINSIC ANTIBODY FACTOR 86340 863 40 86340 $156.00 30286341 ISLET CELL AB 86341 863 41 86341 $160.00 30286355 B CELL TOTAL COUNT 86355 $148.00 30286359 T CELLS TOTAL COUNT 86359 863 59 86359 $143.00 30286360 CD4, CD8 COUNT 86360 863 60 86360 $200.00 30286361 CD4 T LYMPHOCYTE COUNT 86361 86361 $194.00 30286376 MICROSOMAL ANTIBODIES 86376 $81.00 30286382 NEUTRALIZATION TEST, VIRAL 86382 $300.00 30286403 PARTICLE AGGLUTINATION SCREEN 86403 864 03 86403 $80.00 30286406 PARTICLE AGGLUTINATION TITER 86406 $82.00 30286431 RA TEST QUANTITATIVE 86431 864 31 86431 $48.00 30286480 QUANTIFERON TB GOLD 86480 $642.00 30286592 RPR QUALITATIVE 86592 865 92 86592 $47.00 30286593 RPR, QUANTITATIVE 86593 $51.00 30286603 ADENOVIRUS TITER ANTIBODY 86603 866 03 86603 $74.00 30286606 ANTIBODY, ASPERGILLUS 86606 $87.00 30286609 PNEUMOCOCCAL ANTIBODIES 86609 86609 $233.00 30286611 BARTONELLA ANTIBODY 86611 86611 $57.00 30286612 BLASTOMYCES AB 86612 866 12 86612 $107.00 30286615 BORDETELLA ANTIBODY 86615 $145.00 30286617 WESTERN BLOT LYME DIS/CONFIRM 86617 86617 $168.00 30286618 LYME ANTIBODY 86618 866 18 86618 $166.00 30286622 BRUCELLA AB 86622 866 22 86622 $53.00 30286628 CANDIDA AB 86628 866 28 86628 $101.00 30286631 CHLAMYDIA ANTIBODY IgG 86631 866 31 86631 $52.00 30286632 CHLAMYDIA IgM 86632 866 32 86632 $116.00 30286635 COCCIDIOIDES ANTIBODIES 86635 866 35 86635 $95.00 30286638 COXIELLA BURNETI AB 86638 86638 $95.00 30286644 CMV 86644 866 44 86644 $127.00 30286645 CMV IGM 86645 866 45 86645 $104.00 30286648 DIPTHERIA ANTIBODY 86648 866 48 86648 $176.00 30286651 ENCEPHALITIS CALIFORNIA 86651 866 51 86651 $39.00 30286652 ENCEPHALITIS EASTERN EQUINE 86652 866 52 86652 $39.00 30286653 ENCEPHALITIS ST LOUIS 86653 866 53 86653 $39.00 30286654 ENCEPHALITIS WESTERN EQUINE 86654 866 54 86654 $39.00 30286658 ENTEROVIRUS 86658 866 58 86658 $41.00 30286663 EPSTEIN BARR VIRUS EARLY ANTIG 86663 866 63 86663 $84.00 30286664 EPSTEIN BARR VIRUS NUCLEAR ANT 86664 866 64 86664 $115.00 30286665 EPSTEIN BARR VIRUS VIRAL CAPSI 86665 866 65 86665 $105.00 30286666 EHRLICHIA 86666 $128.00 30286671 FUNGUS ANTIBODIES $45.00 30286674 GIARDIA LAMBLIA 86674 866 74 86674 $56.00 30286677 HELICOBACTER PYLORI 86677 866 77 86677 $121.00 30286682 STRONGYLOIDES ANTIBODY 86682 $244.00 30286684 HAEMOPHILUS INFLUENZA 86684 866 84 86684 $128.00 30286689 HIV CONFIRMATORY TEST 86689 $132.00 30286694 HERPES ANTIBODY 86694 866 94 86694 $91.00 30286695 HERPES SIMPLEX TYPE 1 86695 866 95 86695 $85.00 30286696 HERPES SIMPLEX TYPE 2 86696 866 96 86696 $167.00 30286698 HISTOPLASMA AB 86698 866 98 86698 $73.00 30286701 HIV 1 ANTIBODY SCREEN 86701 867 01 86701 $87.00 30286703 HIV 1, HIV 2 SINGLE ASSAY 86703 86703 $78.00 30286704 HEPATITIS B (HBCAB) CORE ANTI. 86704 867 04 86704 $84.00 30286705 HEPATITUS B CORE ANTIBODY IGM 86705 867 05 86705 $79.00 30286706 HEPATITIS B SURFACE AB 86706 867 06 86706 $83.00 30286707 HEPATITIS BE ANTIBODY (HBEAB) 86707 867 07 86707 $80.00 30286708 HEPATITIS A ANTIBODY 86708 867 08 86708 $84.00 30286709 HEPATITIS A IGM ANTIBODY 86709 867 09 86709 $96.00 30286710 INFLUENZA A TITER ANTIBODY 86710 86710 $113.00 30286713 LEGIONELLA ANTIBODIES 86713 867 13 86713 $221.00 30286720 LEPTOSPIRA AB 86720 $83.00 30286727 LYMPHOCYTIC CHORIOMENINGITIS 86727 867 27 86727 $33.00 30286735 MUMPS ANTIBODY 86735 86735 $78.00 30286738 MYCOPLASMA ANTIBODY 86738 867 38 86738 $65.00 30286747 PARVO VIRUS ANTIBODY 86747 867 47 86747 $73.00 30286753 ANTIBODY TO PROTOZOA 86753 86753 $185.00 30286756 RSV ANTIBODY TITER 86756 867 56 $53.00 30286757 RICKETS IQ ANTIBODY 86757 867 57 86757 $154.00 30286762 RUBELLA 86762 867 62 86762 $93.00 30286765 RUBEOLA 86765 867 65 86765 $82.00 30286774 TETANUS ANTIBODY 86774 86774 $136.00 30286777 TOXOPLASMOSIS 86777 867 77 86777 $91.00 30286778 TOXOPLASMA, IGM 86778 867 78 86778 $97.00 30286780 TREPONEMAL ANTIBOIDES 86780 867 80 86780 $80.00 30286787 VARICELLA ZOSTER ANTIBODY 86787 867 87 86787 $136.00 30286788 WEST NILE VIRUS, IGM 86788 $55.00 30286789 WEST NILE VIRUS 86789 $55.00 30286790 ANTIBODY, VIRUS 86790 86790 $176.00 30286794 ZIKA VIRUS ANTIBODY, IGM 86794 $712.00 30286800 THYROGLOBULIN AB 86800 868 00 86800 $81.00 30286803 HEPATITIS C ANTIBODY (HCV) 86803 868 03 86803 $109.00 30286804 HEPATITIS C ANTIBODY CONFIRM. 86804 868 04 86804 $326.00 30286812 HLA B27 ANTIGEN 86812 868 12 86812 $126.00 30286813 HLA A B C PHENOTYP 86813 868 13 86813 $331.00 30286816 DR/DQ SINGLE ANTIGEN 86816 868 16 86816 $161.00 30286817 HLA DR DQ PHENOTYPE 86817 868 17 86817 $400.00 30286945 IRRADIATION OF BLOOD PRODUCT 86945 $265.00 30287389 HIV FOURTH GENERATION 87389 $78.00 30287491 CHLAMYDIA AMPLIFIED PROBE 87491 87491 $172.00 30287529 HERPES SIMPLEX,AMP PROBE TECH 87529 $188.00 30289400 THYROID MICROSOMAL ABS 86376 863 76 89400 $81.00 30585210 FACTOR II 85210 $106.00 30585220 FACTOR V 85220 852 20 85220 $71.00 30585230 FACTOR VII 85230 $82.00 30585240 FACTOR VIII AHG 85240 852 40 85240 $112.00 30585244 CLOT FACTOR 8 RELATED ANTIGEN 85244 852 44 85244 $424.00 30585245 RISTOCETIN COFACTOR FACTOR 8 85245 852 45 85245 $165.00 30585246 CLOT FACTOR W VW FACTOR ANTIG 85246 852 46 85246 $172.00 30585247 CLOT FACTOR 8 VW MULTIMETRIC 85247 852 47 85247 $203.00 30585250 FACTOR IX CHRISTMAS FACTOR 85250 852 50 85250 $209.00 30585260 FACTOR X 85260 $209.00 30585270 FACTOR XI 85270 852 70 85270 $158.00 30585280 FACTOR XII 85280 852 80 85280 $117.00 30585290 Factor XIII 85290 $128.00 30585300 ANTITHROMBIN III ACTIVITY 85300 853 00 85300 $194.00 30585301 ANTITHROMBIN III, ANTIGEN 85301 $101.00 30585302 PROTEIN C ANTIGEN 85302 853 3 $49.00 30585303 PROTEIN C ACTIVITY 85303 853 03 85303 $179.00 30585305 PROTEIN S TOTAL 85305 853 5 $143.00 30585306 PROTEIN S FREE 85306 853 06 85306 $74.00 30585307 A PROTEIN C RESISTANCE ASSAY 85307 $125.00 30585362 FDP SEMI QUANTITATIVE 85362 853 62 85362 $57.00 30585380 D-DIMER, ULTRASENSITIVE 85380 $55.00 30585385 FIBRINOGEN ANTIGEN 85385 $41.00 30585415 PLASMINOGEN ACTIVATOR 85415 $61.00 30585420 PLASMINOGEN EX ANTIGENIC ASSAY 85420 $135.00 30585421 PLASMINOGEN ANTIGEN 85421 854 21 85421 $254.00 30585520 HEPARIN ASSAY 85520 855 20 85520 $307.00 30585540 LEUKOCYTE ALKAL PHOS 85540 855 40 85540 $91.00 30585557 RBC FRAGILITY 85557 $175.00 30585576 CLOSURE TIME (PLT AGGREG) 85576 $107.00 30585597 PLATLET NEUTRALIZATION 85597 $90.00 30585598 HEXAGONAL PHASE CONFIRMATION 85598 $68.00 30585613 RUSSEL VIPER VENOM DILUTED 85613 856 13 85613 $87.00 30585660 SICKLE CELL SCREEN 85660 856 60 85660 $29.00 30585670 THROMBIN TIME 85670 856 70 85670 $59.00 30585705 LUPUS ANTI COAGULATION FACTOR 85705 857 05 85705 $80.00 30585732 PTT, SUBSTITUTION 85732 $19.00 30585810 VISCOSITY SERUM 85810 858 10 85810 $326.00 30686671 FUNGUS ANTIBODY, OTHER 86671 866 71 86671 $69.00 30687015 CONCENTRATION INF AGENTS QUEST 87015 870 15 87015 $47.00 30687045 CULTURE STOOL, SALM / SHIGELLA 87045 870 45 87045 $110.00 30687046 CULTURE STOOL ADD PATH./PLATE 87046 870 46 87046 $61.00 30687106 FUNGUS ID 87106 871 06 87106 $94.00 30687107 CULTURE,MOLD 87107 $121.00 30687109 MYCOPLASMA CULTURE 87109 871 09 87109 $90.00 30687110 CHLAMYDIA CULTURE 87110 871 10 87110 $101.00 30687116 CULTURE, TB, AFB, MYCOBACTERIA 87116 871 16 87116 $56.00 30687118 TB (AFB) CULTURE 87118 871 18 87118 $72.00 30687140 CULTURE TYPING, IMMUNOFL 87140 $12.00 30687168 MACROSCOPIC EXAM, ARTHROPOD 87168 871 77 87168 $48.00 30687169 MACROSCOPIC EXAM PARASITE 87169 $78.00 30687177 OVA & PARASITES 87177 871 77 87177 $126.00 30687206 TB (AFB) STAIN 87206 872 06 87206 $63.00 30687207 MALARIA SMEARS 87207 872 07 87207 $51.00 30687209 SMEAR, COMPLEX SPECIAL STAIN 87209 $75.00 30687252 VIRUS CULTURE 87252 872 52 87252 $247.00 30687253 TISSUE CULTURE 87253 $67.00 30687254 VIRAL ID, IMMUNO STAIN 87254 $82.00 30687255 VIRUS ID, NON IMMUNOLOGIC 87255 $111.00 30687265 BORDETELLA PERTUSSIS AG SMEAR 87265 87265 $142.00 30687270 CHLAMYDIA TRACHOMATIS AG,DFA 87270 $37.00 30687272 CRYPTOSPORIDIUM ANTIGEN 87272 87272 $83.00 30687281 PNEMOCYSTIS CARINII 87281 $35.00 30687327 CRYPTOCOCCUS ANTIGEN 87327 87327 $88.00 30687328 CRYPTOSPORIDIUM 87328 87328 $85.00 30687329 GIARDIA 87329 $83.00 30687338 H. PYLORI, STOOL 87338 $200.00 30687340 HEPATITIS B SURFACE ANTIGEN 87340 873 01 87340 $83.00 30687341 HEPATITIS B NEUTRALIZATION 87341 $56.00 30687350 HEP B E ANTIGEN 87350 873 50 87350 $89.00 30687425 ROTAVIRUS 87425 867 59 87425 $125.00 30687427 SHIGA-LIKE TOXIN 87427 $47.00 30687449 INFECTIOUS AGENT AG BY EIA 87449 87449 $49.00 30687471 BARTONELLA DNA PROBE 87471 87471 $642.00 30687476 LYME BY PCR 87476 87476 $247.00 30687490 CHLAMYDIA DNA PROBE 87490 877 97 87490 $73.00 30687491 CHLAMYDIA AMPLIFIED PROBE TECH 87491 871 10 87491 $172.00 30687493 C. DIFF TOXIN BY PCR 87493 $214.00 30687496 CMV DNA BY PCR QUALITATIVE 87496 $535.00 30687497 CMV DNA QUANTITATIVE BY PCR 87497 $578.00 30687498 ENTEROVIRUS, AMPLIFIED PROBE 87498 87498 $407.00 30687516 HBV,AMPLIFIED PROBE 87516 $113.00 30687517 HEP B VIRAL DNA QUANT 87517 87517 $334.00 30687521 HEPATITIS C RNA BY PCR 87521 87521 $603.00 30687522 HEPATITIS C QUANTIFICATION 87522 875 22 87522 $432.00 30687530 HSV QUANTIFICATION 87530 87530 $300.00 30687532 HERPES VIRUS 6 AMPLIFIED PROBE 87532 87532 $268.00 30687535 HIV-1 AMP PROBE TECHNIQUE 87535 $268.00 30687536 HIV 1 QUANTIFICATION 87536 875 36 87536 $542.00 30687540 LEGIONELLA DNA PROBE 87540 87540 $115.00 30687555 TB BY PCR 87555 87555 $400.00 30687556 MYCOBACTERIUM,AMPLIFIED PROBE 87556 $268.00 30687561 M AVIUM INTRACELL. AMP PROBE 87561 $391.00 30687590 GC PROBE, NEISSERIA GONORRHEA 87590 877 98 87590 $105.00 30687591 N GONORRHOEAE, AMPLIFIED PROBE 87591 $172.00 30687621 HUMAN PAPILLOMAVIRUS DNA 87624 877 98 87624 $294.00 30687798 INFECTION AGENT (DNAORRNA) AMP 87798 877 98 87798 $696.00 30687799 INF AGENT DETECTION QUANT ORG 87799 $194.00 30687800 INFECTIOUS AGENT,DIRECT PROBE 87800 878 00 87800 $175.00 30687899 INFECTIOUS AGENT IMMUNO NOS 87899 878 99 87899 $57.00 30687902 HEPATITIS C VIRUS BY PCR 87902 879 00 87902 $868.00 30787230 C. diff cyotoxin antibody 87230 $100.00 30989125 FAT STAIN 89125 891 25 89125 $35.00 30989160 FECAL MEAT FIBERS 89160 89160 $28.00 30989190 SMEAR FOR EOSINOPHILS 89190 891 90 89190 $28.00 30989325 SPERM ANTIBODIES 89325 89325 $63.00 31085097 BONE MARROW SMEAR 85097 850 97 85097 $191.00 31088274 INTERPHASE, 25-99 CELLS 88274 $160.00 31288399 ARRAY COMPARITIVE GENOMIC HYBR 88399 $1,204.00 39189997 TRANSPORTATION LAB 89997 $50.00 76196523 PORT FLUSH 96523 $117.00 99900022 PHLEBOTOMY HOURS $14.00 99900023 LAB TECH HOURS $21.00 99980100 DRUG SCREEN (QUEST) 80307 $30.00 99980101 LEGAL COC BLOOD DRUG SCREEN 80307 $250.00 99980102 DRUG SCREEN CONFIRM CHARGE 80307 $35.00 99980107 DS+ALC & EXP OPI W/NITRITE 80307 $38.00 99980108 LEGAL BLOOD GC/MS ADD ON TEST $150.00 99980109 LEGAL DRUG HALLUCINO ADD ON $530.00 99980110 LEGAL DRUG EXPANDED ADD ON $140.00 99980111 LEGAL DRUG NOVEL PSYCHOACTIVE $270.00 301G0480T DRUG TEST DEF 1-7 CLASSES G0480 $471.00 301G0481T DRUG TEST DEF 8-14 CLASSES G0481 $644.00 301G0482T DRUG TEST DEF 15-21 CLASSES G0482 $817.00 301G0483T DRUG TEST DEF 22+ CLASSES G0483 $1,015.00 30180307T DRUG TEST PRSMV CHEM ANLYZER 80307 $319.00 40293922 UPR/L XTREMITY ART 2 LEVELS 93922 $310.00 40293923 UPR/LXTR ART STDY 3+ LVLS 93923 $460.00 30081210 BRAF GENE ANALYSIS 81210 $894.00 30181261 IGH 81261 $479.00 30181264 IGK 81264 $479.00 30989060 CRYSTAL ID POLARIZING LENS 89060 890 60 89060 $48.00 31188104 CYTOLOGY OTHER 88104 881 04 88104 $189.00 31188108 CYTOSPINS AND SMEARS PREP 88108 881 08 88108 $88.00 31188112 CYTOPATH CELL ENHANCE TECHNIQU 88112 $54.00 31188141 CYTOPATHOLOGY WITH INTERPRET 88141 881 41 88141 $98.00 31188142 THIN PREP PAP SMEAR 88142 881 42 G0123 $97.00 31188155 CYTOPATH, HORMONAL EVALUATION 88155 881 55 88155 $53.00 31188160 CYTOPATH SMEARS, OTHER SOURCE 88160 $106.00 31188162 CYTOPATH OTHER >5 SLIDES 88162 $43.00 31188164 PAPSMEAR, BETHESDA SYSTEM 88164 $91.00 31188172 CYTOPATHOLOGY, FNA 88172 $209.00 31188173 CYTOPATHOLOGY, INTERP & RPT 88173 881 70 $207.00 31188175 THIN PREP WITH IMAGING 88175 $134.00 31188180 FLOW CYTOMETRY EA CELL MARKER 88182 881 80 88182 $194.00 31188182 FLOW CYTOMETRY DNA ANALYSIS 88182 881 82 88182 $194.00 31188184 FLOW CYTOMETRY/TC, 1 MARKER 88184 $299.00 31188185 FLOW CYTOMETRY/TC, ADD-ON 88185 $156.00 31188187 FLOW CYTOMETRY, INTERPRETATION 88187 $194.00 31188188 FLOW CYTOMETRY INTERP, 9-15 88188 $500.00 31188189 FLOW CYTOMETRY, 16 + MORE 88189 $749.00 31188230 TISSUE CULTURE NON NEOPLASTIC 88230 882 30 88230 $731.00 31188233 TISSUE CULTURE SKIN BIOPSY 88233 882 33 88233 $1,242.00 31188237 TISSUE CULTURE BONE MAR OR BLD 88237 882 37 88237 $584.00 31188239 TISSUE CULT, TUMOR BONE MARROW 88239 $425.00 31188261 CHROMOSOME ANALYSIS 5 CELLS 88261 882 61 88261 $1,417.00 31188262 CHROMOSOME ANAL, 15-20 CELLS 88262 882 62 88262 $783.00 31188263 CHROMOSOME ANAL BLOOD OR TISS 88263 882 63 88263 $1,204.00 31188264 CHROMOSOME ANALYSIS 20-25 CELL 88264 $326.00 31188267 CHROMOSOME ANAL. AMNIOTIC FLUD 88267 882 67 88267 $1,024.00 31188271 MOLECULAR CYTOGENETICS DNA PRB 88271 882 71 88271 $350.00 31188275 INTERPHASE, 100 CELLS 88275 $196.00 31188280 CHROMOSOME ANALYSIS KARYOTYPES 88280 882 80 88280 $599.00 31188285 CHROMOSOME, ADDITIONAL CELLS 88285 $86.00 31188289 CHROMOSOME ANAL, HIGH RESOLUTN 88289 882 89 88289 $279.00 31188291 CYTOGENETICS INTERPRETATION 88291 88291 $91.00 31288300 LEVEL I SURGICAL PATHOLOGY 88300 883 00 88300 $71.00 31288302 LEVEL II SURGICAL PATHOLOGY 88302 883 02 88302 $117.00 31288304 LEVEL III SURGICAL PATHOLOGY 88304 883 04 88304 $143.00 31288305 LEVEL IV SURGICAL PATHOLOGY 88305 883 05 88305 $176.00 31288307 LEVEL V SURGICAL PATHOLOGY 88307 883 07 88307 $219.00 31288309 LEVEL VI SURGICAL PATHOLOGY 88309 883 09 88309 $287.00 31288311 DECALCIFICATION PROCEDURE 88311 883 11 88311 $158.00 31288312 SPECIAL STAIN GROUP I MICROORG 88312 88312 $109.00 31288313 SPECIAL STAIN GROUP II IRON 88313 883 13 88313 $116.00 31288314 Histochemical Stain, Frozen 88314 $97.00 31288319 HISTOCHEMISTRY, ENZYME STAIN 88319 883 19 88319 $336.00 31288321 OUTSIDE CONSULTATION 88321 88321 $562.00 31288329 GROSS CONSULT DURING SURGERY 88329 883 31 88329 $132.00 31288331 SURG PATH & CONSULTATION FROZ 88331 883 31 88331 $310.00 31288332 SURGICAL PATH & CONSULT FS EA 88332 883 32 88332 $173.00 31288333 TOUCH PREP, CYTOLOGIC EXAM 88333 $57.00 31288334 TOUCH PREP, CYTOLOGIC EXAM,ADD 88334 $26.00 31288341 IHC PER SPECIMEN, ECH ADD ANTI 88341 $161.00 31288342 IMMUNOPEROXIDASE TISSUE STAIN 88342 883 42 88342 $173.00 31288344 IHC PER SPECIMEN,MULTIPLEX 88344 $221.00 31288346 IMMUNOFLOURESCENT STUDY 88346 883 46 88346 $548.00 31288348 ELECTRON MICROSCOPY TISSUE 88348 883 48 88348 $1,373.00 31288360 MORPHOMETRIC ANALYSIS,TUMOR IH 88360 $342.00 31288364 FISH PER, ECH ADD SINGLE PROB 88364 $456.00 31288365 IN SITU HYBRIDIZATION SCREEN 88365 883 65 88365 $456.00 31288366 FISH PER, ECH MULTIPLEX PROB 88366 $526.00 31288367 MORPHOMETRIC ANALYSIS 88367 $302.00 31288374 MORPHOMETRIC ANALYSIS ISH,MULT 88374 $2,500.00 31288381 MICRODISSECTION MANUAL 88381 $250.00 92388150 SCREENING PAP SMEAR P3000 881 50 88150 $91.00 312388377 M/PHMTRC ALYS ISHQUANT/SEMIQ 88377 $1,900.00 390P9012 CRYOPRECIPITATE P9012 P9012 $237.00 390P9016 LEUKOCYTE REDUCED BLOOD P9016 P9016 $1,165.00 390P9017 FRESH FROZEN PLASMA P9017 P9017 $293.00 390P9019 PLATELET EACH P9019 P9019 $409.00 390P9021 AUTOLOGOUS RED BLOOD CELLS P9021 $576.00 390P9034 PLATELET PHERESIS P9034 P9034 $705.00 391P9021 RED BLOOD CELLS PACKED P9021 P9021 $576.00 25990384 RHOGAM/IMMUNE GLOBULIN 90384 90384 $604.00 30286078 TRANSFUSION REACTION REPORT 86078 $95.00 30286850 ANTIBODY SCREEN EACH SERUM 86850 868 50 86850 $60.00 30286860 ANTIBODY ELUTION RBC EACH ELUT 86860 868 60 86860 $134.00 30286870 ANTIBODY ID, RBC EACH 86870 868 70 86870 $161.00 30286880 DIRECT COOMBS 86880 868 80 86880 $53.00 30286885 INDIRECT COOMBS 86885 868 85 86885 $56.00 30286900 ABO GROUP 86900 869 00 86900 $39.00 30286901 RH 86901 869 01 86901 $44.00 30286902 ANTIGEN SCREENING 86902 869 02 86902 $86.00 30286903 ANTIGEN SCREEN, PER UNIT 86902 869 02 86902 $86.00 30286904 BLOOD TYPING, SERUM 86904 $134.00 30286905 PHENOTYPE NOT ABO OR RH 86905 86905 $81.00 30286906 RH PHENOTYPING 86906 869 06 86906 $99.00 30286920 CROSSMATCH, INITIAL SPIN 86920 869 20 86920 $60.00 30286921 CROSSMATCH INCUBATION TECHNIQU 86921 $42.00 30286922 CROSSMATCH, IGG 86922 869 22 86922 $122.00 30286970 RBC PRETREATMENT, CHEMICAL 86970 86970 $78.00 30286971 RBC, PRETREATMENT, ENZYME 86971 86971 $121.00 30286972 PRETREATMENT, GRAD. SEPARATION $126.00 30286977 INCUBATION WITH INHIBITORS RBC 86977 86977 $181.00 30286978 RED CELL ABSORPTION 86978 86978 $84.00 30500001 CBC WITH MANUAL DIFF $0.00 30585002 BLEEDING TIME 85002 850 02 85002 $33.00 30585007 MANUAL SMEAR 85007 850 07 85007 $32.00 30585008 RBC MORPHOLOGY SMEAR 85008 $23.00 30585012 EOSINOPHIL COUNT, BLOOD 85048 850 48 85012 $33.00 30585014 HCT 85014 850 14 85014 $24.00 30585018 HEMOGLOBIN 85018 850 18 85018 $24.00 30585025 CBC WITH AUTO DIFF 85025 $69.00 30585027 CBC 85027 850 27 $55.00 30585032 MANUAL CELL COUNT 85032 $22.00 30585041 RBC AUTOMATED 85041 850 41 85041 $32.00 30585044 RETICULOCYTE COUNT, MANUAL 85044 850 44 85044 $40.00 30585048 WBC AUTOMATED 85048 850 48 85048 $33.00 30585049 PLATELET AUTOMATED 85049 850 49 85049 $63.00 30585060 SMEAR, PERIPHERAL PHYS REPORT 85060 $72.00 30585378 D DIMER QUALITATIVE 85378 $56.00 30585379 D-DIMER QUANTITATIVE 85379 853 79 85379 $73.00 30585384 FIBRINOGEN ACTIVITY 85384 853 84 85384 $64.00 30585610 PROTHROMBIN 85610 856 10 85610 $45.00 30585652 SEDIMENTATION RATE 85652 856 52 85652 $47.00 30585730 APTT 85730 857 30 85730 $63.00 30585999 URINE EOSINOPHILS 85999 $54.00 30686906 RBC PHENOTYPE 86906 $99.00 30989050 CELL COUNT MISC FLUID 89050 $47.00 30989051 CELL COUNT/DIFF NOT BLOOD 89051 890 51 89051 $103.00 39136430 BLOOD TRANSFUSION 36430 364 30 36430 $672.00 301G0103 PSA SCREEN G0103 841 53 G0103 $101.00 3013044F HbA1c < 7% 3044F $0.01 3013045F HbA1c 7 to 9% 3045F $0.01 3013046F HbA1c > 9% 3046F $0.01 3013060F POSITIVE MICROALBUMIN (30-300) 3060F $0.01 3013061F NEGATIVE MICROALBUMIN (<30) 3061F $0.01 3013062F POSITIVE MACROALBUMIN (>300) 3062F $0.01 30082947 POINT OF CARE GLUCOSE 82947 $33.00 30180048 BASIC METABOLIC PANEL 80048 800 48 80048 $125.00 30180051 ELECTROLYTE PANEL 80051 800 51 80051 $83.00 30180053 COMPREHENSIVE METABOLIC PANEL 80053 800 53 80053 $133.00 30180061 LIPID PANEL 80061 800 61 80061 $126.00 30180069 RENAL FUNCTION PANEL 80069 80069 $141.00 30180076 HEPATIC FUNCTION PANEL 80076 800 76 80076 $88.00 30180156 CARBAMAZEPHINE/TEGRETOL 80156 801 56 80156 $117.00 30180162 DIGOXIN 80162 801 62 80162 $104.00 30180170 GENTAMICIN 80170 801 70 80170 $117.00 30180185 DILANTIN OR PHENYTOIN 80185 801 85 80185 $117.00 30180198 THEOPHYLLINE 80198 801 98 80198 $104.00 30180202 VANCOMYCIN 80202 802 02 80202 $106.00 30180305 NICOTINE SCREEN 80305 $61.00 30180320 ALCOHOLS 80320 $166.00 30180329 ANALGESICS,NON-OPIOD 1-2 80329 $216.00 30180345 BARBITURATES 80345 $127.00 30180346 BENZODIAZEPINE 1-12 80346 $101.00 30180349 CANNABINOIDS, NATURAL 80349 $462.00 30180350 CANNABINOIDS, SYNTHETIC 1-3 80350 $492.00 30180353 COCAINE 80353 $177.00 30180356 HEROIN METABOLITES 80356 $165.00 30180358 METHADONE 80358 $122.00 30180361 OPIATES, 1 OR MORE 80361 $295.00 30180362 OPIODS AND OPIATE ANALOG 1OR2 80362 $325.00 30180371 STIMULANTS, SYNTHETIC 80371 $205.00 30180375 DRUG/SUBSTANCE, DEF, NOS 1-3 80375 $235.00 30182009 ACETONE 82009 820 09 82009 $32.00 30182040 ALBUMIN SERUM 82040 820 40 82040 $39.00 30182042 ALBUMIN FLUID (NON SERUM) 82042 820 40 82042 $34.00 30182043 MICROALBUMIN URINE RANDOM 82043 820 43 82043 $51.00 30182140 AMMONIA 82140 821 40 82140 $127.00 30182150 AMYLASE 82150 821 50 82150 $61.00 30182247 BILIRUBIN TOTAL 82247 822 47 82247 $42.00 30182248 BILIRUBIN DIRECT OR NEONATAL 82248 822 48 82248 $45.00 30182270 BLOOD OCCULT FECES, SCREEN 1-3 82270 822 70 82270 $35.00 30182271 OCCULT BLOOD, GASTRIC 82271 $24.00 30182272 BLOOD OCCULT FECES, OTHER 1-3 82272 $35.00 30182310 CALCIUM TOTAL 82310 823 10 82310 $41.00 30182340 CALCIUM 24 HR URINE 82340 823 40 82340 $88.00 30182374 CARBON DIOXIDE 82374 823 74 82374 $55.00 30182435 CHLORIDE BLOOD 82435 824 35 82435 $33.00 30182436 CHLORIDE URINE 82436 824 36 82436 $50.00 30182438 CHLORIDE, STOOL 82438 $35.00 30182465 CHOLESTEROL SERUM 82465 824 65 82465 $37.00 30182550 CREATINE KINASE (CK) (CPK) 82550 825 50 82550 $86.00 30182552 CK ISOENZYMES 82552 825 53 $37.00 30182553 CREATINE KINASE MB 82553 825 53 82553 $128.00 30182565 CREATININE BLOOD 82565 825 65 82565 $28.00 30182570 URINE CREATININE 82570 82570 $56.00 30182575 CREATININE CLEARANCE 82575 825 75 82575 $118.00 30182728 FERRITIN 82728 827 28 82728 $103.00 30182746 FOLATE 82746 827 46 82746 $105.00 30182800 PH BLOOD 82800 828 00 82800 $69.00 30182803 BLOOD GASES 82803 828 03 82803 $263.00 30182945 GLUCOSE, OTHER BODY FLUID 82945 $50.00 30182947 GLUCOSE 82947 829 47 82947 $33.00 30182950 GLUCOSE TOLERANCE (1 HOUR) 82950 829 50 82950 $56.00 30182951 GLUCOSE TOLERANCE 1ST 3 SPEC. 82951 829 51 82951 $79.00 30182952 GLUCOSE TOL EA ADDED SPECIMEN 82952 829 52 82952 $17.00 30182977 GGT (GLUTAMYL TRANSFERASE GAM) 82977 829 77 82977 $55.00 30183036 GLYCOSYLATED HGB 83036 830 36 83036 $72.00 30183540 IRON SERUM 83540 835 40 83540 $56.00 30183550 TIBC 83550 835 50 83550 $68.00 30183615 LDH (LACTIC DEHYDROGENASE) 83615 836 15 83615 $39.00 30183625 LDH ISOENZYME (LACTIC DEHYDR) 83625 836 25 83625 $78.00 30183690 LIPASE 83690 836 90 83690 $76.00 30183718 HDLC 83718 837 18 83718 $69.00 30183721 LDL,DIRECT 83721 837 21 83721 $50.00 30183735 MG 83735 837 35 83735 $53.00 30183880 NATRIURETIC PEPTIDE 83880 838 80 83880 $263.00 30183930 OSMOLALITY SERUM 83930 839 30 83930 $70.00 30183935 URINE OSMOLALITY 83935 839 35 83935 $61.00 30183986 PH BODY FLUID 83986 839 86 83986 $19.00 30184075 PHOSPHATASE ALKALINE 84075 840 75 84075 $29.00 30184100 PHOSPHOROUS 84100 841 00 84100 $54.00 30184132 POTASSIUM 84132 841 32 84132 $34.00 30184133 POTASSIUM URINE 84133 841 33 84133 $32.00 30184153 PSA TOTAL - MEDICAL 84153 841 53 84153 $101.00 30184155 PROTEIN TOTAL 84155 841 55 84155 $54.00 30184156 PROTEIN, URINE 84156 $47.00 30184157 PROTEIN, OTHER FLUID 84157 $58.00 30184295 SODIUM SERUM 84295 842 95 84295 $33.00 30184300 SODIUM URINE 84300 843 00 84300 $34.00 30184315 SPECIFIC GRAVITY NOT URINE 84315 84315 $20.00 30184436 THYROXINE T4 84436 844 36 84436 $35.00 30184439 FREE T4 84439 844 39 84439 $101.00 30184443 TSH 84443 844 43 84443 $104.00 30184450 SGOT AST 84450 844 50 84450 $18.00 30184460 SGPT ALT 84460 844 60 84460 $78.00 30184478 TRIGLYCERIDE 84478 844 78 84478 $71.00 30184479 T3 UPTAKE 84479 844 79 84479 $35.00 30184484 TROPONIN I 84484 84484 $52.00 30184520 BUN (UREA NITROGEN) 84520 845 20 84520 $32.00 30184540 BUN, URINE 84540 $40.00 30184550 URIC ACID BLOOD 84550 845 50 84550 $35.00 30184702 QUANTITATIVE HCG 84702 847 02 84702 $151.00 30184703 PREGNANCY TEST SERUM 84703 847 03 84703 $58.00 30286157 COLD AGGLUTINATION TITER 86157 861 57 86157 $51.00 30286308 MONO TEST 86308 863 08 86308 $53.00 30286430 RA TEST 86430 864 30 86430 $30.00 30781001 URINE ROUTINE WITH MICROSCOPY 81001 810 01 81001 $41.00 30781003 URINE ROUTINE WITHOUT MICROSCO 81003 810 03 81003 $32.00 30781005 URINE REDUCING SUBSTANCE 81005 810 05 81005 $21.00 30781015 URINE MICROSCOPIC ONLY 81015 $38.00 30781025 URINE PREGNANCY 81025 810 25 81025 $71.00 30781050 URINE VOLUME TIMED 81050 81050 $32.00 30687040 CULTURE BLOOD 87040 870 40 87040 $100.00 30687070 CULTURE ROUTINE 87070 870 70 87070 $94.00 30687071 CULTURE AEROBIC QUANTITATIVE 87071 870 71 87071 $63.00 30687073 CULTURE ANAEROBIC QUANTITATIVE 87073 870 73 87073 $53.00 30687075 ANAEROBIC ISOLATION,ANY SOURCE 87075 870 75 $105.00 30687076 CULTURE ANAEROBIC ADDED METH. 87076 870 76 87076 $66.00 30687077 CULTURE AEROBIC ID ADDED METH. 87077 870 77 87077 $53.00 30687081 CULTURE SINGLE ORGANISM SCREEN 87081 870 81 87081 $55.00 30687086 CULTURE BACTERIAL URINE 87086 870 86 87086 $73.00 30687088 CULTURE URINE WITH IDENTIFICAT 87088 870 88 87088 $47.00 30687101 FUNGUS CULTURE SKIN HAIR NAILS 87101 871 01 87101 $64.00 30687102 FUNGUS CULTURE OTHER SOURCE 87102 871 02 87102 $66.00 30687147 AGGLUTINATION TEST ANTISERUM 87147 $32.00 30687172 PINWORM EXAM Q0113 Q01 13 87172 $63.00 30687183 ESBL CONFIRMATION 87184 871 84 87184 $36.00 30687184 ANTIBIOTIC SENSITIVITY 87184 871 84 87184 $36.00 30687185 ENZYME DETECTION BETA LACTAMAS 87185 871 85 87185 $24.00 30687186 MIC SENSITIVITY 87186 871 86 87186 $74.00 30687205 GRAM STAIN 87205 872 05 87205 $49.00 30687210 WET MOUNT Q0111 872 10 87210 $61.00 30687220 KOH SLIDE FUNGUS Q0112 872 20 87220 $40.00 30687324 C DIFF CYTOTOXIN 87324 872 30 87324 $100.00 30687420 RESPIRATORY SYNCYTIAL VIRUS 87634 878 7 $97.00 30687430 RAPID STREP 87880 878 80 87880 $72.00 30687502 INFLUENZA AMPL PROBE UP TO 2 87502 $250.00 30687661 TRICHOMONAS RNA 87661 $287.00 30687801 INFECTIOUS AGENT DNA AMP PROBE 87801 $294.00 30689055 LEUCOCYTE, FECAL 89055 $37.00 300G0001 COLLECTION FEE 36415 G0001 $25.00 30036600 ARTERIAL PUNCTURE 36600 366 00 36600 $56.00 30112568 URINE COLLECTION 12568 $28.00 97274230 CIN/VID X-RAY THROAT/ESOPH 74230 $53.00 99912568 DRUG SCREEN COLLECTION $25.00 48093015 CARDIOVASCULAR STRESS TEST 93015 $442.00 51999024C FOLLOW UP CARE $0.00 51999201C CLINIC NEW LEVE 1 BRIEF 99201 T10 15 $95.00 51999202C CLINIC NEW LEVEL 2 LIMIT 99202 T10 15 $115.00 51999203C CLINIC NEW LEVEL 3 INTER 99203 T10 15 $122.00 51999204C CLINIC VISIT LEVEL 4 EXT 99204 T10 15 $211.00 51999205C CLINIC NEW LEVEL 5 COMPR 99205 T10 15 $331.00 51999211C CLINIC EST LEVEL 1 BRIEF 99211 T10 15 $72.00 51999212C CLINIC EST LEVEL 2 LIMIT 99212 T10 15 $89.00 51999213C CLINIC EST LEVEL 3 INTER 99213 T10 15 $109.00 51999214C CLINIC EST LEVEL 4 EXT 99214 T10 15 $126.00 51999215C CLINIC EST LEVEL 5 COMPR 99215 T10 15 $302.00 96093304 ECHO TRANSTHORACIC 93304 $297.00 96093306 TTE W/DOPPLER COMPLETE 93306 $435.00 97200305 DOPPLER COLOR FLOW ADD-ON $0.00 97200306 TTE W/DOPPLER COMPLETE $0.00 97200307 TTE W/O DOPPLER COMPLETE $0.00 97200308 DOPPLER ECHO EXAM HEART $0.00 97200309 ECHO TRANSTHORACIC $0.00 97293017 CARDIOVASCULAR STRESS TEST 93017 $74.00 97293307 TTE W/O DOPPLER COMPLETE 93307 $229.00 97293320 DOPPLER ECHO EXAM HEART 93320 $104.00 97293325 DOPPLER COLOR FLOW ADD-ON 93325 $72.00 98399024C FOLLOW UP CARE $0.00 98399201C CLINIC VISIT NEW LEVEL 1 99201 $53.00 98399202C CLINIC VISIT NEW LEVEL 2 99202 $75.00 98399203C CLINIC VISIT NEW LEVEL 3 99203 $98.00 98399204C CLINIC VISIT NEW LEVEL 4 99204 $128.00 98399205C CLINIC VISIT NEW LEVEL 5 99205 $150.00 98399211C CLINIC VISIT EST LEVEL 1 99211 $23.00 98399212C CLINIC VISIT EST LEVEL 2 99212 $53.00 98399213C CLINIC VISIT EST LEVEL 3 99213 $68.00 98399214C CLINIC VISIT EST LEVEL 4 99214 $90.00 98399215C CLINIC VISIT EST LEVEL 5 99215 $109.00 98399217C HOSP OBS DISCHARGE SERV 99217 $97.00 98399219C HOSP OBS INITIAL SERV MOD 99219 $220.00 98399221C HOSP INP SERV INITIAL LOW 99221 $86.00 98399222C HOSP INP SERV INITIAL MOD 99222 $161.00 98399223C HOSP INP SERV INITIAL HIGH 99223 $412.00 98399231C HOSP INP SERV SUBSEQUENT LOW 99231 $65.00 98399232C HOSP INP SERV SUBSEQUENT MOD 99232 $146.00 98399233C HOSP INP SERV SUBSEQUENT HIGH 99233 $98.00 98399238C HOSP DIS DAY MGMT 30 MIN LESS 99238 $97.00 98399499C INP CONSULT LEVEL 1 & 2 99499 $56.00 73093000 EKG INTERPRETATION AND REPORT 93000 $0.00 73093005 EKG $0.00 73193005 EKG 93005 $118.00 73193225 MONITOR HOLTER HOOKUP & RECORD 93225 932 25 93225 $295.00 48093304 ECHO TRANSTHORACIC 93304 $1,042.00 48093306 ECHO W/DOPPLER COMPLETE 93306 $1,412.00 48093307 ECHOCARDIOGRAM 2D 93307 933 07 93307 $1,399.00 48093320 ECHOCARDIOGRAM DOPPLER 93320 933 20 93320 $560.00 48093325 ECHOCARDIOGRAM COLOR FLOW MAP. 93325 93325 $324.00 48093350 STRESS TTE ONLY 93350 $1,250.00 74095816 EEG AWAKE AND DROWSY 95816 958 16 95816 $377.00 74095805 MULTIPLE SLEEP LATENCY TEST 95805 $1,751.00 74095807 SLEEP STUDY ATTENDED 95807 $2,820.00 74095808 POLYSOMNOGRAPHY, 1-3 95808 $1,935.00 74095810 POLYSOMNOGRAPHY, 4 OR MORE 95810 958 10 $2,632.00 74095811 POLYSOMNOGRAPHY WITH CPAP 95811 958 10 $3,185.00 92093924 LWR EXT ARTERIES AFTR EXERCISE 93924 $443.00 92093975 DUPLEX SCAN RENAL 93975 $808.00 92178707 RENAL ARTERY IMAGING 78707 $561.00 92193880 ART. DUPLEX SCAN CAROTID BILAT 93880 938 80 93880 $873.00 92193922LT LT ANKLE BRACHIAL/ARTERIAL DOP 93922 $395.00 92193922RT RT ANKLE BRACHIAL/ARTERIAL DOP 93922 $395.00 92193923 SEGMENTALS ART. DOPP LOW OR UP 93923 939 23 93923 $409.00 92193926 L.E. GRAFT/ARTERY UNILATERAL 93926 939 26 93926 $846.00 92193926LT LT LOWER EXT GRAFT/ARTERY UNI 93926 $846.00 92193926RT RT LOWER EXT GRAFT/ARTERY UNI 93926 $846.00 92193931 U.E. GRAFT/ARTERY UNILATERAL 93931 939 31 93931 $846.00 92193931LT LT UPPER EXT GRADT/ARTERY UNI 93931 $846.00 92193931RT RT UPPER EXT GRAFT/ARTERY UNI 93931 $846.00 92193970 VENOUS DUPLEX SCAN EXT. BILAT. 93970 939 70 93970 $667.00 92193971 VENOUS STUDY & SCAN EXT UNILAT 93971 939 71 93971 $564.00 92193971LT LT VENOUS STUDY/SCAN EXT UNI 93971 $564.00 92193971RT RT VENOUS STUDY/SCAN EXT UNI 93971 $564.00 97200283 DUPLEX SCAN RENAL $0.00 97200285 ART DUPLEX SCAN CAROTID BILAT $0.00 97200286 LWR EXT ARTERIES AFTR EXERCISE $0.00 97200287 L.E. GRAFT/ARTERY UNILATERAL $0.00 97200288 SEGMENTALS ART DOPP LOW OR UP $0.00 97200289 RT UPPER EXT GRAFT/ARTERY UNI $0.00 97200290 VENOUS DUPLEX SCAN EXT. BILAT. $0.00 97200291 RT VENOUS STUDY/SCAN EXT UNI $0.00 97200343 RT ANKLE BRACHIAL/ARTERIAL DOP $0.00 97200344 LT ANKLE BRACHIAL/ARTERIAL DOP $0.00 97200349 RT LOWER EXT GRAFT/ARTERY UNI $0.00 97200350 LT LOWER EXT GRAFT/ARTERY UNI $0.00 97200374 LT UPPER EXT GRAFT/ARTERY UNI $0.00 97200375 LT VENOUS STUDY/SCAN EXT UNI $0.00 97293880 ART DUPLEX SCAN CAROTID BILAT 93880 $75.00 97293922LT LT ANKLE BRACHIAL/ARTERIAL DOP 93922 $30.00 97293922RT RT ANKLE BRACHIAL/ARTERIAL DOP 93922 $30.00 97293923 SEGMENTALS ART DOPP LOW OR UP 93923 $56.00 97293924 LWR EXT ARTERIES AFTR EXERCISE 93924 $409.00 97293926 L.E. GRAFT/ARTERY UNILATERAL 93926 $63.00 97293926LT LT LOWER EXT GRAFT/ARTERY UNI 93926 $63.00 97293926RT RT LOWER EXT GRAFT/ARTERY UNI 93926 $63.00 97293931 U.E. GRAFT/ARTERY UNILATERAL 93931 $39.00 97293931LT LT UPPER EXT GRAFT/ARTERY UNI 93931 $39.00 97293931RT RT UPPER EXT GRAFT/ARTERY UNI 93931 $39.00 97293970 VENOUS DUPLEX SCAN EXT. BILAT. 93970 $88.00 97293971 VENOUS STUDY & SCAN EXT UNILAT 93971 $58.00 97293971LT LT VENOUS STUDY/SCAN EXT UNI 93971 $58.00 97293971RT RT VENOUS STUDY/SCAN EXT UNI 93971 $58.00 97293975 DUPLEX SCAN RENAL 93975 $224.00 32070030 EYE FOR FOREIGN BODY 70030 700 30 70030 $180.00 32070110 MANDIBLE COMP-MIN 4V 70110 701 10 70110 $277.00 32070130 MASTOIDS COMP-MIN 3V/SIDE 70130 701 30 70130 $268.00 32070140 FACIAL BONES LESS THAN 3 VIEWS 70140 701 40 70140 $213.00 32070150 FACIAL BONES-COMP-MIN 3V 70150 701 50 70150 $247.00 32070160 NASAL BONES-COMP-MIN 3V 70160 701 60 70160 $213.00 32070200 ORBITS COMPLETE MIN 4 VIEWS 70200 702 00 70200 $202.00 32070210 SINUSES, LESS THAN 3 VIEWS 70210 702 10 70210 $145.00 32070220 PARANASAL SINUSES COMP-MIN 3V 70220 702 20 70220 $196.00 32070250 SKULL A.P. & LATERAL<4 VIEWS 70250 702 50 70250 $236.00 32070260 SKULL COMP-MIN 4V 70260 702 60 70260 $497.00 32070330 TEMPOROMANDIBULAR JOINTS 2 VIE 70330 703 30 70330 $224.00 32070360 NECK FOR SOFT TISSUE NASOPHRYN 70360 703 60 70360 $175.00 32071010 CHEST SINGLE VIEW 71045 710 45 71045 $124.00 32071022 CHEST 2 VIEWS W OBLIQUE PROJ. 71022 710 22 71022 $280.00 32071023 CHEST XRAY AND FLUOROSCOPY 71023 71023 $299.00 32071035 LATERAL DECUBITUS VIEW OF CHST 71035 710 35 71035 $216.00 32071035LT LT LAT DECUBITUS VIEW OF CHEST 71035 $216.00 32071035RT RT LAT DECUBITUS VIEW OF CHEST 71035 $216.00 32071100 RIBS UNILATERAL 2 VIEWS 71100 711 00 71100 $206.00 32071100LT LEFT RIBS UNILATERAL 2 VIEWS 71100 $206.00 32071100RT RIGHT RIBS UNILATERAL 2 VIEWS 71100 $206.00 32071101 RIBS UNIL W/PA CXR-MIN 3V 71101 71101 $286.00 32071110 RIBS BILATERAL 3 VIEWS 71110 711 10 71110 $290.00 32071111 RIBS BIL W/PA CXR-MIN 4V 71111 71111 $819.00 32071120 STERNUM MINIMUM 2 VIEWS 71120 711 20 71120 $170.00 32071130 STERNUM 3 VIEW STERNOCLAV JNTS 71130 711 30 71130 $195.00 32072020 SPINE SINGLE VIEW 72020 720 20 72020 $198.00 32072040 SPINE CERVICAL A.P. & LATERAL 72040 720 40 72040 $236.00 32072050 SPINE CERVICAL 4 VIEW 72050 72050 $436.00 32072052 SPINE CERRICAL INC FLEX/EXTEN 72052 720 52 72052 $456.00 32072070 T SPINE 2 VIEWS 72070 72070 $176.00 32072072 SPINE THORACIC 3 VIEWS 72072 720 72 72072 $255.00 32072081 X-RAY EXAM ENTIRE SPI 1 VW 72081 $152.00 32072100 SPINE LUMBROSACRAL AP & LAT. 72100 721 00 72100 $253.00 32072110 SPINE-LS COMP W/OBL-MIN 4V 72110 721 10 72110 $436.00 32072114 L-SPINE FLEXION AND EXTENSION 72114 72114 $438.00 32072170 PELVIS A.P. ONLY 72170 721 70 72170 $188.00 32072190 PELVIS COMPLETE MIN 3 VIEWS 72190 721 90 72190 $203.00 32072200 SACROILIAC JTS LESS 3 VIEWS 72200 72200 $193.00 32072202 SACROILAC JOINT >= 3 VIEWS 72202 722 02 72202 $211.00 32072220 SACRUM AND COCCYX MIN 2 VIEWS 72220 722 20 72220 $271.00 32072275 EPIDURAGRAM: CESI & LESI 72275 72275 $235.00 32073000 CLAVICLE COMPLETE 73000 730 00 73000 $133.00 32073000LT LEFT CLAVICLE COMPLETE 73000 $133.00 32073000RT RIGHT CLAVICLE COMPLETE 73000 $133.00 32073010 SCAPULA COMPLETE 73010 730 10 73010 $183.00 32073010LT LEFT SCAPULA COMPLETE 73010 $183.00 32073010RT RIGHT SCAPULA COMPLETE 73010 $183.00 32073020 SHOULDER ONE VIEW 73020 73020 $145.00 32073020LT LEFT SHOULDER 1 VIEW 73020 $145.00 32073020RT RIGHT SHOULDER 1 VIEW 73020 $145.00 32073030 SHOULDER COMPLETE MIN 2 VIEWS 73030 730 30 73030 $274.00 32073030LT LEFT SHOULDER MINIMUM 2 VIEWS 73030 $274.00 32073030RT RIGHT SHOULDER MINIMUM 2 VIEWS 73030 $274.00 32073040 RAD EXM SHLDR ARTHO SUP/INTER 73040 73040 $460.00 32073050 ACROMIOCLAVICULAR (AC) JOINTS 73050 730 50 73050 $243.00 32073060 HUMERUS INC BOTH JOINTS 2VIEWS 73060 730 60 73060 $198.00 32073060LT LT HUMERUS INC BOTH JOINTS 2V 73060 $198.00 32073060RT RT HUMERUS INC BOTH JOINTS 2V 73060 $198.00 32073070 ELBOW A.P. & LATERAL 73070 730 70 73070 $145.00 32073070LT LEFT ELBOW AP AND LATERAL 73070 $145.00 32073070RT RIGHT ELBOW AP AND LATERAL 73070 $145.00 32073080 ELBOW COMPLETE MINIMUM 3 VIEWS 73080 730 80 73080 $224.00 32073080LT LEFT ELBOW COMP MIN 3 VIEWS 73080 $224.00 32073080RT RIGHT ELBOW COMP MIN 3 VIEWS 73080 $224.00 32073090 FOREARM A.P. & LATERAL 73090 730 90 73090 $189.00 32073090LT LEFT FOREARM AP AND LATERAL 73090 $189.00 32073090RT RIGHT FOREARM AP AND LATERAL 73090 $189.00 32073092 UPPER EXTREMITY INFANT 2 VIEWS 73092 730 92 73092 $200.00 32073100 WRIST 2 VIEWS 73100 73100 $146.00 32073100LT LT WRIST MINIMUM 2 VIEWS 73100 $146.00 32073100RT RT WRIST MINIMUM 2 VIEWS 73100 $146.00 32073110 WRIST COMPLETE MINIMUM 3 VIEWS 73110 731 10 73110 $242.00 32073110LT LT WRIST COMPLETE MIN 3 VIEWS 73110 $242.00 32073110RT RT WRIST COMPLETE MIN 3 VIEWS 73110 $242.00 32073115 RAD EXM WRIST ARTHO SUP/INTER 73115 73115 $369.00 32073130 HAND MINIMUM 3 VIEWS 73130 731 30 73130 $226.00 32073130LT LEFT HAND MINIMUM 3 VIEWS 73130 $226.00 32073130RT RIGHT HAND MINIMUM 3 VIEWS 73130 $226.00 32073140 FINGER OR FINGETS MIN 2 VIEWS 73140 731 40 73140 $139.00 32073140LT LEFT FINGER(S) 2 VIEWS 73140 $139.00 32073140RT RIGHT FINGER(S) 2 VIEWS 73140 $139.00 32073502 X-RAY EXAM HIP UNI 2-3 VIEWS 73502 $162.00 32073502LT LEFT HIP UNILATERAL 2-3 VIEWS 73502 $162.00 32073502RT RIGHT HIP UNILATERAL 2-3 VIEWS 73502 $162.00 32073522 X-RAY EXAM HIPS BI 3-4 VIEWS 73522 $202.00 32073552 X-RAY EXAM OF FEMUR 2/> 73552 $142.00 32073552LT LEFT FEMUR 2 OR MORE VIEWS 73552 $142.00 32073552RT RIGHT FEMUR 2 OR MORE VIEWS 73552 $142.00 32073560 KNEE AP & LAT 73560 735 60 73560 $220.00 32073560LT LEFT KNEE AP AND LAT 73560 $220.00 32073560RT RIGHT KNEE AP AND LAT 73560 $220.00 32073562 KNEE 3V 73562 735 62 73562 $228.00 32073562LT LEFT KNEE 3 VIEWS 73562 $228.00 32073562RT RIGHT KNEE 3 VIEWS 73562 $228.00 32073564 KNEE COMP-4V OR MORE 73564 735 64 73564 $258.00 32073564LT LEFT KNEE COMP 4 OR MORE VIEWS 73564 $258.00 32073564RT RIGHT KNEE COMP 4 OR MORE VIEW 73564 $258.00 32073565 KNEES-BILATERAL STANDING 73565 73565 $246.00 32073580 RAD EXM KNEE ARTHO SUP/INTER 73580 73580 $321.00 32073590 LEG (TIBIA & FIBULA) AP & LAT. 73590 735 90 73590 $238.00 32073590LT LEFT LEG TIBIA&FIBULA AP&LAT 73590 $238.00 32073590RT RIGHT LEG TIBIA&FIBULA AP&LAT 73590 $238.00 32073592 LOWER EXTREMITY INFANT 2 VIEWS 73592 735 92 73592 $261.00 32073600 ANKLE 2 VIEW 73600 73600 $139.00 32073600LT LEFT ANKLE 2 VIEWS 73600 $139.00 32073600RT RIGHT ANKLE 2 VIEWS 73600 $139.00 32073610 ANKLE COMPREHENSIVE MIN 3 VIEW 73610 736 10 73610 $235.00 32073610LT LEFT ANKLE COMP MIN 3 VIEWS 73610 $235.00 32073610RT RIGHT ANKLE COMP MIN 3 VIEWS 73610 $235.00 32073615 RAD EXM ANKLE ARTHO SUP/INTER 73615 73615 $321.00 32073620 FOOT 2 VIEWS 73620 73620 $131.00 32073620LT LEFT FOOT 2 VIEWS 73620 $131.00 32073620RT RIGHT FOOT 2 VIEWS 73620 $131.00 32073630 FOOT COMPLETE MINIMUM 3 VIEWS 73630 736 30 73630 $232.00 32073630LT LEFT FOOT COMP MINIMUM 3 VIEWS 73630 $232.00 32073630RT RIGHT FOOT COMP MINIMUM 3 VIEW 73630 $232.00 32073650 HEEL CALCANEUS MINIMUM 2 VIEWS 73650 736 50 73650 $137.00 32073650LT LT HEEL CALCANEUS MIN 2 VIEWS 73650 $137.00 32073650RT RT HEEL CALCANEUS MIN 2 VIEWS 73650 $137.00 32073660 TOE OR TOES MINIMUM 2 VIEWS 73660 736 60 73660 $105.00 32073660LT TOE/TOES LEFT MINIMUM 2 VIEWS 73660 $105.00 32073660RT TOE/TOES RIGHT MINIMUM 2 VIEWS 73660 $105.00 32074000 ABDOMEN SINGLE A.P. VIEW 74018 740 18 74000 $144.00 32074019 ABDOMEN 2 VIEWS 74019 $231.00 32074020 ABDOMEN COMP-OP SERIES 74019 740 19 74020 $231.00 32074021 ABDOMEN 3+ VIEWS 74021 $261.00 32074022 ABDOMEN COMPLETE ACUTE SERIES 74022 740 22 74022 $393.00 32074220 ESOPHAGUS 74220 742 20 74220 $301.00 32074230 CIN/VID X-RAY THROAT/ESOPH 74230 742 30 74230 $154.00 32074241 UPPER GI SERIES W/KUB 74241 742 41 74241 $458.00 32074245 UPPER GI W/SBFT 74245 74245 $532.00 32074250 SMALL BOWEL SERIES 74250 742 50 74250 $251.00 32074270 COLON BY BARIUM ENEMA 74270 742 70 74270 $479.00 32074280 COLON AIR CONTRAST W H.D. BAR. 74280 742 80 74280 $601.00 32074283 THERAPEUTIC ENEMA W/CONTRAST 74283 742 83 74283 $662.00 32074290 CONTRAST XRAY GALLBLADDER 74290 742 90 74290 $254.00 32074300 CHOLANGIOGRAPHY OPERATIVE 74300 743 00 74300 $233.00 32074330 ERCP 74330 743 30 74330 $481.00 32074400 PYELOGRAM INRAVENOUS 74400 744 00 74400 $518.00 32074420 PYELOGRAM RETROGRADE 74420 744 20 74420 $822.00 32074430 CYSTOGRAPHY, MINIMUM OF 3 VIEW 74430 744 30 74430 $299.00 32074455 URETHROCYSTOGRAPHY VOIDING 74455 744 55 74455 $296.00 32074740 HYSTEROSALPINGOGRAPHY 74740 747 40 74740 $423.00 32075820 VENOGRAPHY EXTREMITIES UNI. 75820 758 20 75820 $961.00 32076000 FLUORO 0-60 MIN 76000 770 03 76000 $273.00 32076010 NOSE TO RECTUM FOREIGN BODY 76010 760 10 76010 $100.00 32076020 STUDY BONE AGE 77072 770 72 77072 $154.00 32076040 BONE LENGTH STUDY 77073 770 73 77073 $348.00 32076062 OSSCOUS STUDY COMPLETE 77075 770 75 77075 $378.00 32076075 DEXA AXIAL SKLTN 1 OR MORE 77080 77080 $288.00 32076076 DEXA APPEND SKLTN 1 OR MORE 77081 77081 $120.00 32076080 FISTULA OR SINUS TRACT STUDY 76080 760 80 76080 $308.00 32076098 BREAST SURGICAL SPECIMEN 76098 760 98 76098 $545.00 32076125 CINERADIOGRAPHY 76125 761 25 76125 $313.00 32076977 ULTRASOUND BONE DENSITY/INTERP 76977 76977 $111.00 32077001 FLUORO GUID CTRL VENOUS ACCESS 77001 77001 $644.00 32077002 FLOURO GUIDANCE NON-SPINE INJ 77002 77002 $254.00 32077003 FLOURO GUIDANCE FOR SPINE PROC 77003 $103.00 32077073 BONE LENGTH STUDIES SCANOGRAM 77073 77073 $348.00 32077074 LIMITED BONE SURVEY 77074 77074 $280.00 32077076 RAD EXAM OSSEOUS SURV INFANT 77076 77076 $174.00 32077085 DEXA BONE DENSITY STUDY 77085 $285.00 32078350 BONE DENSITY STUDY 78350 78350 $59.00 32471020 CHEST P.A. & LATERAL ROUTINE 71046 710 46 71020 $206.00 32471021 CHEST FRONTAL & LAT W LORDOTIC 71047 710 21 71021 $252.00 32471047 CHEST 3 VIEWS 71047 $252.00 32471048 CHEST 4+ VIEWS 71048 $280.00 36120206 Biopsy muscle, percutaneous 20206 $1,388.00 36120206A Biopsy muscle percutaneous ndl 20206 $1,388.00 36120206B Bx muscle, percutaneous needle 20206 $1,388.00 37200033 HIP-BIL W/PELVIS $0.00 40177065LT DX MAMMO INCL CAD UNI LT 77065 $222.00 40177065RT DX MAMMO INCL CAD UNI RT 77065 $222.00 40177066 DX MAMMO INCL CAD BILATERAL 77066 $570.00 40276706 US ABDL AORTA SCREEN AAA 76706 $282.00 40276942B Ultrasonic guide needle place 76942 $571.00 40377052 SCREENING MAMMOGRAPHY - CAD 77067 77067 $57.00 40377067 SCREEN MAMMO BI INCL CAD 77067 $470.00 40478815 PET SCAN 78815 78815 $10,700.00 64070543 ORBITS WITH AND WITHOUT CONT $0.00 76110022 FINE NEEDLE ASPIR IMAG GUIDE 10022 $537.00 76110030 GUIDE CATHET FLUID DRAINAGE 10030 $2,165.00 76110140 DRAINAGE OF HEMATOMA/FLUID 10140 $2,355.00 76110160 PUNCT ASPR ABCESS HEMA/CYST 10160 $486.00 76119000 PUNCTURE ASPIR CYST BREAST 19000 $394.00 76119001 DRAIN BREAST LESION ADD-ON 19001 $315.00 76119081 BRST BX PLACE DEVICE INCL STER 19081 $1,139.00 76119081LT LT BREAST BX PLACE DEV US GUID 19081 $1,139.00 76119081RT RT BREAST BX PLACE DEV US GUID 19081 $1,139.00 76119082 EA ADD LESION INCLD STEREO 19082 $1,063.00 76119083 BRST BX PLACE DEVICE INCLD US 19083 $1,039.00 76119084 EA ADD LESION INCLD US GUIDE 19084 $963.00 76119281 PLACE BRST LOC DEV MAMMO 19281 $324.00 76119282 EA ADD LESION MAMMO GUIDE 19282 $277.00 76119283 NEEDLE LOC 1ST LES INC STEREO 19283 $246.00 76119284 EACH ADDITIONAL STEREO 19284 $115.00 76119285 PL BRST LOC DEVICE ULTRASOUND 19285 $206.00 76119286 EACH ADDITIONAL US GUIDE 19286 $98.00 76120206 Bio Muscle Percutaneous Needle 20206 $1,894.00 76120220 BIOPSY BONE,NEEDLE,SUPERFICIAL 20220 $225.00 76120225 BONE BIOPSY TROCAR/NEEDLE 20225 $2,683.00 76120605 INJ ASP MED 20605 $265.00 76120610 DRAIN/INJECT JOINT/BURSA 20610 $506.00 76120611 DRAIN/INJ JOINT/BURSA W/US 20611 $528.00 76123350 INJECT FOR SHOULDER ARTHROGRAM 23350 $267.00 76125246 INJECT FOR WRIST ARTHROGRAM 25246 $214.00 76127095 INJ FOR HIP ARTHROGRAM W/ANES 27095 $257.00 76127096 INJECT SACROILIAC JOINT 27096 $653.00 76127370 INJECT FOR KNEE ARTHROGRAM 27370 $264.00 76127648 INJECT FOR ANKLE ARTHROGRAM 27648 $252.00 76132555 ASPIRATE PLEURA W/IMAGING 32555 $1,223.00 76136569 INSERT PICC W/O PORT/PUMP 5+ 36569 $1,418.00 76136584 REPLACE PICC CATH 36584 $2,108.00 76138505 NEEDLE BIOPSY LYMPH NODE 38505 $3,158.00 76147000 BX OF LIVER, PERCUTANEOUS 47000 $1,894.00 76149083 ABD PARACENTESIS W/IMG GUIDE 49083 $1,104.00 76149180 NEEDLE BIOPSY ABDOMINAL 49180 $1,022.00 76160100 BIOPSY OF THYROID 60100 $925.00 76176492 Ultrasonic guidance for ndl pl 76942 $571.00 76219001 PUNCTURE ASP CYST BREAST E/ADD 19001 $342.00 97200001 EYE FOR FOREIGN BODY $0.00 97200002 MANDIBLE COMP-MIN 4V $0.00 97200003 MASTOIDS COMP-MIN 3V/SIDE $0.00 97200006 FACIAL BONES LESS THEN 3 VIEWS $0.00 97200007 FACIAL BONES-COMP-MIN 3V $0.00 97200008 NASAL BONES COMP-MIN 3V $0.00 97200009 ORBITS COMPLETE MIN 4 VIEWS $0.00 97200010 PARANASAL SINUSES COMP-MIN 3V $0.00 97200011 SKULL A.P &LATERAL<4 VIEWS $0.00 97200012 SKULL COMP-MIN 4V $0.00 97200013 TEMPOROMANDIBULAR JOINTS 2 V $0.00 97200014 NECK FOR SOFT TISSUE $0.00 97200015 CHEST SINGLE VIEW $0.00 97200016 CHEST 2 VIEW W OBLIQUE PROJ. $0.00 97200017 LATERAL DECUBITUS VIEW OF CHST $0.00 97200018 LATERAL DECUBITUS VIEW OF CHST $0.00 97200019 RIBS UNILATERAL 2 VIEWS $0.00 97200020 RIBS LEFT UNILATERAL $0.00 97200021 RIBS BILATERAL 3 VIEWS $0.00 97200022 STERNUM $0.00 97200023 SPINE 1 VIEW $0.00 97200024 CERVICAL SPINE AP & LATERAL $0.00 97200025 SPINE CERVICAL 4 VIEW $0.00 97200026 SPINE CERVICAL INC FLEX/EXTEN $0.00 97200027 THORACO LUMBAR SERIES $0.00 97200028 SCOLIOSIS $0.00 97200029 SPINE THORACIC $0.00 97200030 LUMBAROSCARAL AP & LAT $0.00 97200031 SPINE-LS COMP W/OBL-MIN 4V $0.00 97200032 HIP BIL W/PELVIS $0.00 97200033 L-SPINE FLEXTION AND EXTENSION $0.00 97200034 PELVIS AP ONLY $0.00 97200035 PELVIS COMPLETE MIN 3 VIEWS $0.00 97200036 SACROILAC JOINT>=3 VIEWS $0.00 97200037 SACRUM AND COCCYX MIN 2 VIEWS $0.00 97200038 CLAVICLE LEFT $0.00 97200039 CLAVICLE RIGHT $0.00 97200040 SCAPULA LEFT $0.00 97200041 SCAPULA RIGHT $0.00 97200042 SHOULDER ONE VIEW LEFT $0.00 97200043 SHOULDER LEFT $0.00 97200044 SHOULDER RIGHT $0.00 97200045 ACROMIOCLAVICULAR (AC) JOINT $0.00 97200046 HUMERUS LEFT $0.00 97200047 HUMERUS RIGHT $0.00 97200048 ELBOW AP&LAT 2 VIEW LT $0.00 97200049 ELBOW AP&LAT 2 VIEW RT $0.00 97200050 ELBOW COMPLETE LEFT $0.00 97200051 ELBOW COMPLETE RIGHT $0.00 97200052 FOREARM LEFT $0.00 97200053 FOREARM RIGHT $0.00 97200054 UPPER EXTREMITY INFANT 2 VIEW $0.00 97200055 WRIST COMPLETE MIN 3V LEFT $0.00 97200056 WRIST COMPLETE MIN 3V RIGHT $0.00 97200057 HAND MINIMUM 3 VIEWS LEFT $0.00 97200058 HAND MINIMUM 3 VIEWS RIGHT $0.00 97200059 FINGER/FINGERS 2V LEFT $0.00 97200060 FINGER/FINGERS 2V RIGHT $0.00 97200061 HIP SINGLE VIEW $0.00 97200062 HIP COMPLETE 2V MIN LEFT $0.00 97200063 HIP COMPLETE 2V MIN RIGHT $0.00 97200064 HIP DURING OP OR INTEA HIP $0.00 97200065 PEL/HIP AP INFANT/CHILD 2 VIEW $0.00 97200066 FEMUR AP & LATERAL LEFT $0.00 97200067 FEMUR AP & LATERAL RIGHT $0.00 97200068 KNEE AP & LAT LEFT $0.00 97200069 KNEE AP & LAT RIGHT $0.00 97200070 KNEE 3 VIEW RIGHT $0.00 97200071 KNEE 3V LEFT $0.00 97200072 KNEE COMP-4V OR MORE LEFT $0.00 97200073 KNEE COMP-4V OR MORE RIGHT $0.00 97200074 LEG(TIBIA&FIBULA)AP&LAT LEFT $0.00 97200075 LEG(TIBIA&FIBULA)AP&LAT RIGHT $0.00 97200076 LOWER EXTREMITY INFANT 2 VIEW $0.00 97200077 ANKLE COMPREHENSIVE MIN 3V LT $0.00 97200078 ANKLE COMPREHENSIVE MIN 3V RT $0.00 97200079 FOOT COMPLETE MIN 3V LEFT $0.00 97200080 FOOT COMPLETE MIN 3V RIGHT $0.00 97200081 HEEL CALCANUS MIN 2V LEFT $0.00 97200082 HEEL CALCANEUS MIN 2 V RIGHT $0.00 97200083 TOE/TOES MIN 2V LEFT $0.00 97200084 TOE/TOES MIN 2V RIGHT $0.00 97200085 ABDOMEN SINGLE AP VIEW $0.00 97200086 ABDOMEN COMP-OP SERIES $0.00 97200087 97274220 $0.00 97200088 UPPER GI SERIES W/KUB $0.00 97200089 UPPER GI W/SBFT $0.00 97200090 SMALL BOWEL SERIES STUDY $0.00 97200091 COLON BY BARIUM ENEMA $0.00 97200092 colon air contrast $0.00 97200093 THERAPUTIC ENEMA $0.00 97200094 CHOLANGIOGRAPHY OPERATIVE $0.00 97200095 PYELOGRAM INRAVENOUS $0.00 97200096 PYLOGRAM RETOGRADE $0.00 97200097 CYSTOGRAPHY MIN 3V $0.00 97200098 URETHROCYSTOGRAPHY VOIDING $0.00 97200099 VENOGRAPHY EXTREMITIES UNILAT $0.00 97200100 FLUORO 0-60 MIN $0.00 97200101 NOSE TO RECTUM FOREIGN BODY $0.00 97200102 BONE LENGTH STUDY $0.00 97200103 LIMITED BONE SURVEY $0.00 97200104 DEXA BONE DENSITY STUDY $0.00 97200105 CHEST PA & LATERAL ROUTINE $0.00 97200106 CHEST W LORDOTIC $0.00 97200170 BREAST SURGICAL SPECIMEN $0.00 97200171 ICAD DIAGNOSTIC $0.00 97200172 MAMMOGRAPHY UNILATERAL $0.00 97200176 SCREENING MAMMO $0.00 97200204 RT UPPER EXT JOINT W/ CONTRAST $0.00 97200216 HIP BIL W/PELVIS $0.00 97200217 PELVIS COMPLETE $0.00 97200222 RAD EXM SHLDR ARTHO SUP/INTER $0.00 97200223 RAD EXM KNEE ARTHO SUP/INTER $0.00 97200224 RAD EXM WRIST ARTHO SUP/INTER $0.00 97200238 HYSTEROSALPING0GRAPHY $0.00 97200239 RAD EXAM OSEOUS SURV INFANT $0.00 97200240 KNEES-BILATERAL STANDING $0.00 97200241 BONE LENGTH STUDIES SCANOGRAM $0.00 97200242 FOOT 2 VIEWS LEFT $0.00 97200243 FOOT 2 VIEWS RIGHT $0.00 97200244 ANKLE 2 VIEW LEFT $0.00 97200245 ANKLE 2 VIEW RIGHT $0.00 97200246 HIP SINGLE VIEW RIGHT $0.00 97200247 WRIST 2 VIEWS LEFT $0.00 97200248 WRIST 2 VIEWS RIGHT $0.00 97200250 SHOULDER 1 VIEW RIGHT $0.00 97200251 SACROILIAC JTS LESS 3 VIEWS $0.00 97200252 SCOLIOSIS STDY 1 VIEW $0.00 97200253 T SPINE 2 VIEWS $0.00 97200254 STERNUM 3 VIEW STERNOCLAV JNTS $0.00 97200255 RAD EXM ANKLE ARTHO SUP/INTER $0.00 97200261 CHEST XRAY AND FLUOROSCOPY $0.00 97200264 INSERT PICC W/O PORT/PUMP 5+ $0.00 97200265 FLUOROGUIDE VTRL VENOUS ACCESS $0.00 97200267 ASPIRATION OF CYST BREAST US $0.00 97200275 SCREENING DIGITAL MAMMO BI LAT $0.00 97200276 DIAG DIGITAL MAMMO BI LAT $0.00 97200277 DIAG DIGITAL MAMMO UNI LAT RT $0.00 97200278 DIAG DIGITAL MAMMO UNI LAT LT $0.00 97200279 BRST BX PLACE DEVICE US GUIDE $0.00 97200280 EA ADD LESION ULTRASOUND GUIDE $0.00 97200281 PLACE BRST LOC DEV MAMMO $0.00 97200282 EA ADD LESION MAMMO GUIDE $0.00 97200292 CIN/VID X-RAY THROAT/ESOPH $0.00 97200295 CONTRAST XRAY GALLBLADDER $0.00 97200298 X-RAY EXAM ENTIRE SPI 1 VW $0.00 97200299 X-RAY EXAM HIP UNI 2-3 VIEW RT $0.00 97200300 X-RAY EXAM HIPS BI 3-4 VIEWS $0.00 97200301 X-RAY EXAM OF FEMUR 2/> RT $0.00 97200302 X-RAY EXAM HIP UNI 2-3 VIEW LT $0.00 97200303 X-RAY EXAM OF FEMUR 2/> LT $0.00 97200340 US ABDL AORTA SCREEN AAA $0.00 97200345 RT BREAST BX PLACE DEV US GUID $0.00 97200346 LT BREAST BX PLACE DEV US GUID $0.00 97200380 CHEST 3 VIEWS $0.00 97200381 CHEST 4 OR MORE VIEWS $0.00 97200382 ABDOMEN 2 VIEWS $0.00 97200383 ABDOMEN 3 OR MORE VIEWS $0.00 97210022 FINE NEEDLE ASPIR IMAG GUIDE 10022 $161.00 97210030 GUIDE CATHET FLUID DRAINAGE 10030 $315.00 97210140 DRAINAGE OF HEMATOMA/FLUID 10140 $234.00 97210160 PUNCT ASPR ABCESS HEMA/CYST 10160 $284.00 97219000 PUNCTURE ASPIR CYST BREAST 19000 $113.00 97219001 PUNCTURE ASP CYST BREAST E/ADD 19001 $49.00 97219081 BRST BX PLACE DEVICE INCL STER 19081 $330.00 97219081LT LT BREAST BX PLACE DEV US GUID 19081 $330.00 97219081RT RT BREAST BX PLACE DEV US GUID 19081 $330.00 97219082 EA ADD LESION INCLD STEREO 19082 $157.00 97219083 BRST BX PLACE DEVICE INCLD US 19083 $330.00 97219084 EA ADD LESION INCLD US GUIDE 19084 $157.00 97219281 PLACE BRST LOC DEV MAMMO 19281 $196.00 97219282 EA ADD LESION MAMMO GUIDE 19282 $94.00 97219283 NEEDLE LOC 1ST LES INC STEREO 19283 $208.00 97219284 EACH ADDITIONAL STEREO 19284 $99.00 97219286 EACH ADDITIONAL US GUIDE 19286 $85.00 97220206 Biopsy muscle, percutaneous 20206 $62.00 97220220 BIOPSY BONE,NEEDLE,SUPERFICIAL 20220 $147.00 97220225 BONE BIOPSY TROCAR/NEEDLE 20225 $221.00 97220605 INJ ASP MED 20605 $84.00 97220610 DRAIN/INJECT JOINT/BURSA 20610 $93.00 97220611 DRAIN/INJ JOINT/BURSA W/US 20611 $105.00 97223350 INJECT FOR SHOULDER ARTHROGRAM 23350 $111.00 97225246 INJECT FOR WRIST ARTHROGRAM 25246 $161.00 97227095 INJ FOR HIP ARTHROGRAM W/ANES 27095 $175.00 97227096 INJECT SACROILIAC JOINT 27096 $265.00 97227370 INJECT FOR KNEE ARTHROGRAM 27370 $111.00 97227648 INJECT FOR ANKLE ARTHROGRAM 27648 $110.00 97232554 ASPIRATE PLEURA W/O IMAGING 32554 $183.00 97232555 ASPIRATE PLEURA W/IMAGING 32555 $287.00 97236569 INSERT PICC W/O PORT/PUMP 5+ 36569 $206.00 97236584 REPLACE PICC CATH 36584 $135.00 97238505 NEEDLE BIOPSY LYMPH NODE 38505 $216.00 97247000 BX OF LIVER, PERCUTANEOUS 47000 $211.00 97249083 ABD PARACENTESIS W/IMG GUIDE 49083 $235.00 97249180 NEEDLE BIOPSY ABDOMINAL 49180 $220.00 97260100 BIOPSY OF THYROID 60100 $165.00 97270030 EYE FOR FOREIGN BODY 70030 $29.00 97270110 MANDIBLE COMP MIN 4 70110 $41.00 97270130 MASTOIDS COMP-MIN 3V/SIDE 70130 $55.00 97270140 FACIAL BONES LESS THAN 3 VIEWS 70140 $32.00 97270150 FACIAL BONES-COMP-MIN 3 V 70150 $42.00 97270160 NASAL BONES-COMP-MIN 3V 70160 $29.00 97270200 ORBITS COMPLETE MIN 4 VIEWS 70200 $47.00 97270210 SINUSES LESS THAN 3 VIEW 70210 $28.00 97270220 PARANASAL SINUSES COMP-MIN 3V 70220 $41.00 97270250 SKULL AP & LATERAL ,4 VIEWS 70250 $38.00 97270260 SKULL COMP-MIN 4V 70260 $55.00 97270330 TEMPOROMANDIBULAR JOINT 2 V 70330 $40.00 97270360 NECK FOR SOFT TISSUE NASOPHRYN 70360 $29.00 97271010 CHEST SINGLE VIEW 71045 $30.00 97271020 CHEST PA & LATERAL ROUTINE 71046 $36.00 97271021 CHEST FRONTAL & LAT W LORDOTIC 71047 $44.00 97271022 CHEST 2 VIEWS W OBLIQUE PROJ. 71022 $50.00 97271023 CHEST XRAY AND FLUOROSCOPY 71023 $44.00 97271035 LATERAL DECUBITUS VIEW OF CHES 71035 $30.00 97271035LT LT LAT DECUBITUS VIEW OF CHEST 71035 $30.00 97271035RT RT LAT DECUBITUS VIEW OF CHEST 71035 $30.00 97271047 CHEST 3 VIEWS 71047 $44.00 97271048 CHEST 4+ VIEWS 71048 $50.00 97271100 RIBS UNILATERAL 2 VIEWS 71100 $36.00 97271100LT LEFT RIBS UNILATERAL 2 VIEWS 71100 $36.00 97271100RT RIGHT RIBS UNILATERAL 2 VIEWS 71100 $36.00 97271101 RIBS UNIL W/PA CXR-MIN 3V 71101 $44.00 97271110 RIBS BILATERAL 3 VIEWS 71110 $44.00 97271111 RIBS BIL W/PA CXR-MIN 4V 71111 $51.00 97271120 STERNUM MINIMUM 2 VIEW 71120 $34.00 97271130 STERNUM 3 VIEW STERNOCLAV JNTS 71130 $36.00 97272020 SPINE SINGLE VIEW 72020 $26.00 97272040 SPINE CERVICAL AP & LATERAL 72040 $36.00 97272050 SPINE CERVICAL 4 VIEW 72050 $60.00 97272052 SPINE CERVICAL INC FLEX/EXTEN 72052 $60.00 97272070 T SPINE 2 VIEWS 72070 $24.00 97272072 SPINE THORACIC 3 VIEWS 72072 $36.00 97272081 X-RAY EXAM ENTIRE SPI 1 VW 72081 $47.00 97272100 SPINE LUMBAROSACRAL AP&LAT 72100 $36.00 97272110 SPINE-LS COMP W/OBL-MIN 4V 72110 $50.00 97272114 L-SPINE FLEXION AND EXTENSION 72114 $60.00 97272170 PELVIS AP ONLY 72170 $29.00 97272190 PELVIS COMPLETE MIN 3 VIEWS 72190 $34.00 97272200 SACROILIAC JTS LESS 3 VIEWS 72200 $53.00 97272202 SACROILAC JOINT>=3 VIEWS 72202 $32.00 97272220 SACRUMAND COCCYX MIN 2 VIEWS 72220 $29.00 97272275 EPIDURAGRAM: CESI & LESI 72275 $117.00 97273000 CLAVICLE COMPLETE 73000 $27.00 97273000LT LEFT CLAVICLE COMPLETE 73000 $27.00 97273000RT RIGHT CLAVICLE COMPLETE 73000 $27.00 97273010 SCAPULA COMPLETE 73010 $29.00 97273010LT LEFT SCAPULA COMPLETE 73010 $29.00 97273010RT RIGHT SCAPULA COMPLETE 73010 $29.00 97273020 SHOULDER ONE VIEW 73020 $26.00 97273020LT LEFT SHOULDER 1 VIEW 73020 $26.00 97273020RT RIGHT SHOULDER 1 VIEW 73020 $26.00 97273030 SHOULDER COMPLETE MIN 2 VIEWS 73030 $30.00 97273030LT LEFT SHOULDER MINIMUM 2 VIEWS 73030 $30.00 97273030RT RIGHT SHOULDER MINIMUM 2 VIEWS 73030 $30.00 97273040 RAD EXM SHLDR ARTHO SUP/INTER 73040 $70.00 97273050 ACROMIOCLAVICULAR AC JOINTS 73050 $34.00 97273060 HUMERUS INC BOTH JOINTS 2 VIEW 73060 $29.00 97273060LT LT HUMERUS INC BOTH JOINTS 2V 73060 $29.00 97273060RT RT HUMERUS INC BOTH JOINTS 2V 73060 $29.00 97273070 ELBOW AP & LATERAL 73070 $26.00 97273070LT LEFT ELBOW AP AND LATERAL 73070 $26.00 97273070RT RIGHT ELBOW AP AND LATERAL 73070 $26.00 97273080 ELBOW COMPLETE MINIMUM 3 VIEWS 73080 $29.00 97273080LT LEFT ELBOW COMP MIN 3 VIEWS 73080 $29.00 97273080RT RIGHT ELBOW COMP MIN 3 VIEWS 73080 $29.00 97273090 FOREARM AP & LATERAL 73090 $27.00 97273090LT LEFT FOREARM AP AND LATERAL 73090 $27.00 97273090RT RIGHT FOREARM AP AND LATERAL 73090 $27.00 97273092 UPPER EXTREMITY INFANT 2 VIEWS 73092 $27.00 97273100 WRIST 2 VIEWS 73100 $22.00 97273100LT LT WRIST MINIMUM 2 VIEWS 73100 $22.00 97273100RT RT WRIST MINIMUM 2 VIEWS 73100 $22.00 97273110 WRIST COMPLETE MINIMUM 3 VIEWS 73110 $29.00 97273110LT LT WRIST COMPLETE MIN 3 VIEWS 73110 $29.00 97273110RT RT WRIST COMPLETE MIN 3 VIEWS 73110 $29.00 97273115 RAD EXM WRIST ARTHO SUP/INTER 73115 $70.00 97273130 HAND MINIMUM 3 VIEWS 73130 $29.00 97273130LT LEFT HAND MINIMUM 3 VIEWS 73130 $29.00 97273130RT RIGHT HAND MINIMUM 3 VIEWS 73130 $29.00 97273140 FINGER OR FINGERS MIN 2 VIEWS 73140 $22.00 97273140LT LEFT FINGER(S) 2 VIEWS 73140 $22.00 97273140RT RIGHT FINGER(S) 2 VIEWS 73140 $22.00 97273502 X-RAY EXAM HIP UNI 2-3 VIEWS 73502 $78.00 97273502LT LEFT HIP UNILATERAL 2-3 VIEWS 73502 $78.00 97273502RT RIGHT HIP UNILATERAL 2-3 VIEWS 73502 $78.00 97273522 X-RAY EXAM HIPS BI 3-4 VIEWS 73522 $63.00 97273552 X-RAY EXAM OF FEMUR 2/> 73552 $43.00 97273552LT LEFT FEMUR 2 OR MORE VIEWS 73552 $43.00 97273552RT RIGHT FEMUR 2 OR MORE VIEWS 73552 $43.00 97273560 KNEE AP & LAT 73560 $29.00 97273560LT LEFT KNEE AP AND LAT 73560 $29.00 97273560RT RIGHT KNEE AP AND LAT 73560 $29.00 97273562 KNEE 3V 73562 $30.00 97273562LT LEFT KNEE 3 VIEWS 73562 $30.00 97273562RT RIGHT KNEE 3 VIEWS 73562 $30.00 97273564 KNEE COMP-4V OR MORE 73564 $36.00 97273564LT LEFT KNEE COMP 4 OR MORE VIEWS 73564 $36.00 97273564RT RIGHT KNEE COMP 4 OR MORE VIEW 73564 $36.00 97273565 KNEES-BILATERAL STANDING 73565 $29.00 97273580 RAD EXM KNEE ARTHO SUP/INTER 73580 $70.00 97273590 LEG(TIBIA&FIBULA) AP&LAT 73590 $29.00 97273590LT LEFT LEG TIBIA&FIBULA AP&LAT 73590 $29.00 97273590RT RIGHT LEG TIBIA&FIBULA AP&LAT 73590 $29.00 97273592 LOWER EXTREMITY INFANT 2 VIEW 73592 $27.00 97273600 ANKLE 2 VIEW 73600 $22.00 97273600LT LEFT ANKLE 2 VIEWS 73600 $22.00 97273600RT RIGHT ANKLE 2 VIEWS 73600 $22.00 97273610 ANKLE COMPREHENSIVE MIN 3 73610 $29.00 97273610LT LEFT ANKLE COMP MIN 3 VIEWS 73610 $29.00 97273610RT RIGHT ANKLE COMP MIN 3 VIEWS 73610 $29.00 97273615 RAD EXM ANKLE ARTHO SUP/INTER 73615 $64.00 97273620 FOOT 2 VIEWS 73620 $22.00 97273620LT LEFT FOOT 2 VIEWS 73620 $22.00 97273620RT RIGHT FOOT 2 VIEWS 73620 $22.00 97273630 FOOT COMPLETE MINIMUM 3 VIEWS 73630 $29.00 97273630LT LEFT FOOT COMP MINIMUM 3 VIEWS 73630 $29.00 97273630RT RIGHT FOOT COMP MINIMUM 3 VIEW 73630 $29.00 97273650 HEEL CALCANEUS MINMUM 2 VIEW 73650 $27.00 97273650LT LT HEEL CALCANEUS MIN 2 VIEWS 73650 $27.00 97273650RT RT HEEL CALCANEUS MIN 2 VIEWS 73650 $27.00 97273660 TOE OR TOES MINIMUM 2 VIEWS 73660 $22.00 97273660LT TOE/TOES LEFT MINIMUM 2 VIEWS 73660 $22.00 97273660RT TOE/TOES RIGHT MINIMUM 2 VIEWS 73660 $22.00 97274000 ABDOMEN SINGLE AP VIEW 74018 $30.00 97274019 ABDOMEN 2 VIEWS 74019 $44.00 97274020 ABDOMEN COMP-OP SERIES 74019 $44.00 97274021 ABDOMEN 3+ VIEWS 74021 $58.00 97274022 ABDOMEN COMPLETE ACUTE SERIES 74022 $52.00 97274220 ESOPHAGUS 74220 $75.00 97274241 UPPER GI SERIES W/KUB 74241 $111.00 97274245 UPPER GI W/SBFT 74245 $147.00 97274250 SMALL BOWEL SERIES 74250 $75.00 97274270 COLON BY BARIUM ENEMA 74270 $112.00 97274280 COLON AIR CONTRAST W H.D. BAR. 74280 $159.00 97274283 THERAPEUTIC ENEMA W/CONTRAST 74283 $321.00 97274290 CONTRAST XRAY GALLBLADDER 74290 $198.00 97274300 CHOLANGIOGRAPHY OPERATIVE 74300 $60.00 97274330 ERCP 74330 $145.00 97274400 PYELOGRAM INVENOUS 74400 $81.00 97274420 PYELOGRAM RETROGRADE 74420 $61.00 97274430 CYSTOGRAPHY,MINIMUM OF 3 VIEW 74430 $53.00 97274455 URETHROCYSTOGRAPHY VOIDING 74455 $55.00 97274740 HYSTEROSALPINGOGRAPHY 74740 $63.00 97275820 VENOGRAPHY EXTREMITIES UNI. 75820 $117.00 97276000 FLUORO 0-60 MIN 76000 $28.00 97276010 NOSE TO RECTUM FOREIGN BODY 76010 $30.00 97276080 FISTULA OR SINUS TRACT STUDY 76080 $88.00 97276098 BREAST SURGICAL SPECIMEN 76098 $27.00 97276125 CINERADIOGRAPHY 76125 $47.00 97276496 Fluoroscopy 76496 $44.00 97276706 US ABDL AORTA SCREEN AAA 76706 $56.00 97276977 ULTRASOUND BONE DENSITY/INTERP 76977 $10.00 97277001 FLUORO GUID CTRL VENOUS ACCESS 77001 $41.00 97277002 FLOURO GUIDANCE NON-SPINE INJ 77002 $58.00 97277003 FLOUROSCOPIC GUIDANCE 77003 $91.00 97277052 SCREENING MAMMOGRAPHY-CAD 77067 $11.00 97277065LT DX MAMMO INCL CAD UNI LT 77065 $79.00 97277065RT DX MAMMO INCL CAD UNI RT 77065 $79.00 97277066 DX MAMMO INCL CAD BILATERAL 77066 $196.00 97277067 SCREEN MAMMO BI INCL CAD 77067 $148.00 97277072 STUDY BONE AGE 77072 $32.00 97277073 BONE LENGTH STUDY 77073 $37.00 97277074 LIMITED BONE SURVEY 77074 $67.00 97277075 OSSCOUS STUDY COMPLETE 77075 $88.00 97277076 RAD EXAM OSEOUS SURV INFANT 77076 $91.00 97277080 DEXA AXIAL SKLTN 1 OR MORE 77080 $35.00 97277081 DEXA APPEND SKLTN 1 OR MORE 77081 $36.00 97277085 DEXA BONE DENSITY STUDY 77085 $160.00 97278350 BONE DENSITY STUDY 78350 $0.00 97532555 Image Guided Thoracentesis 32555 $118.00 972700300 ORBITS TO R/O FOREIGN BODY 70030 $29.00 610S8037 MRCP S8037 $1,695.00 61070336 MRI TMJ W/O CONTRAST 70336 703 36 70336 $1,302.00 61070540 MRI ORBITS/IAC/NECK W/O CONTR 70540 705 40 70540 $1,962.00 61070542 IAC W/ CONTRAST 70542 70542 $2,093.00 61070543 MRI ORBIT,NECK WITH & WITHOUT 70543 705 43 70543 $2,722.00 61070544 MRA HEAD/BRAIN W/O CONTRAST 70544 705 44 70544 $3,095.00 61070546 MRA HEAD/BRAIN COMBINED 70546 70546 $3,105.00 61070547 MRA, NECK W/O CONTRAST 70547 70547 $2,723.00 61070548 MRA NECK WITH 70548 70548 $2,773.00 61070549 MRA NECK COMBINED 70549 70549 $2,785.00 61070551 MRI BRAIN W/O CONTRAST 70551 705 51 70551 $1,855.00 61070552 MRI BRAIN W CONTRAST 70552 705 52 70552 $1,868.00 61070553 MRI BRAIN COMBINED 70553 705 53 70553 $3,094.00 61071550 MRI CHEST W/O CONTRAST 71550 715 50 71550 $2,827.00 61071551 MRI CHEST W CONTRAST 71551 71551 $2,837.00 61071552 MRI CHEST COMBINED 71552 71552 $2,870.00 61071555 MRI ANGIO CHEST W OR W/O DYE 71555 $646.00 61072141 MRI C-SPINE W/O CONTRAST 72141 721 41 72141 $1,673.00 61072142 MRI C-SPINE W CONTRAST 72142 721 42 72142 $1,738.00 61072146 MRI T-SPINE W/O CONTRAST 72146 721 46 72146 $1,692.00 61072147 MRI T-SPINE W CONTRAST 72147 721 47 72147 $1,738.00 61072148 MRI L-SPINE W/O CONRAST 72148 721 48 72148 $1,685.00 61072149 MRI 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W/W-O 73706 $193.00 97274150 CT SCAN ABDOMEN W/O CONTRAST 74150 $193.00 97274160 CT SCAN ABDOMEN W CONTRAST 74160 $206.00 97274170 CT SCAN ABDOMEN COMBINED 74170 $225.00 97274175 CT ANGIO ABDOMEN 74175 $242.00 97274176 CT ABDOMEN/PELVIS W/O CONTRAST 74176 $220.00 97274177 CT ABDOMEN/PELVIS W CONTRAST 74177 $189.00 97274178 CT ABDOMEN/PELVIS COMBINED 74178 $209.00 97275635 CT ANGIO ABDOMINAL ARTERIES 75635 $482.00 97277012 CT SCAN FOR NEEDLE BIOPSY 77012 $145.00 972000161 RT CT UPPER EXTREMITY COMB $0.00 402G0389 ULTRASOUND OF AORTA 76706 $204.00 636A9577 MULTIHANCE CONTRAST MATERIAL A9577 $9.00 972G0389 ULTRASOUND OF AORTA 76706 $59.00 40276536 ECHO HEAD/NECK B-SCAN 76536 765 36 76536 $503.00 40276641LT LT ULTRASOUND BREAST COMPLETE 76641 $275.00 40276641RT RT ULTRASOUND BREAST COMPLETE 76641 $275.00 40276642LT LT ULTRASOUND BREAST LIMITED 76642 $275.00 40276642RT RT ULTRASOUND BREAST LIMITED 76642 $275.00 40276700 ECHO ABDOMEN B-SCAN COMPLETE 76700 767 00 76700 $519.00 40276705 ECHO ABDOMEN B-SCAN LIMITED 76705 767 05 76705 $387.00 40276770 ECHO RETROPERI. B-SCAN COMPL. 76770 767 70 76770 $448.00 40276775 US EXAM ABDO BACK WALL LIM 76775 $461.00 40276801 OBS US-0-14WKS 1ST GEST 76801 76801 $567.00 40276802 OB US 0-14 WKS ADDL GEST 76802 76802 $355.00 40276805 OB US 14+WKS 1ST GEST 76805 768 05 76805 $489.00 40276810 OB US 14+ WKS ADDL GEST 76810 76810 $331.00 40276815 ECHO PREG UTERUS B-SCAN LIMIT. 76815 768 15 76815 $330.00 40276817 TRANSVAGINAL OBSTETRICAL 76817 76817 $533.00 40276818 ECHO FETAL BIOPHYSICAL PROFILE 76818 768 18 76818 $347.00 40276830 ECHO TRANSVAGINAL 76830 768 30 76830 $527.00 40276856 ECHO PELVIS B-SCAN COMPLETE 76856 768 56 76856 $532.00 40276870 ECHO SCROTUM AND CONTENTS 76870 768 70 76870 $450.00 40276872 ECHO TRANS RECTAL 76872 768 72 76872 $525.00 40276881 ECHO EXTREM COMPLETE 76881 76881 $258.00 40276881LT LT ECHO EXTREMITY COMPLETE 76881 $258.00 40276881RT RT ECHO EXTREMITY COMPLETE 76881 $258.00 40276882 ECHO EXTREM LMTD ANATOM SPEC 76882 76882 $167.00 40276882LT LT ECHO EXTREM LIM ANAT SPEC 76882 $167.00 40276882RT RT ECHO EXTREM LIM ANAT SPEC 76882 $167.00 40276937 ULTRA GUID FOR VASCULAR ACCESS 76937 76937 $74.00 40276942 ECHO NEEDLE BIOPSY GUIDANCE 76942 76942 $571.00 97200107 ECHO HEAD/NECK $0.00 97200108 ULTRASOUND BREAST COMPLETE $0.00 97200109 ECHO ABDOMEN COMPLETE $0.00 97200120 OBSTECTRICAL 14 PLUS WKS $0.00 97200121 US ABDOMEN LIMITED $0.00 97200122 RETROPERITONEAL $0.00 97200123 PREGNANCY LESS THEN 14 WEEKS $0.00 97200124 PREGNANCY COMPLETE $0.00 97200125 PREGNANCY LIMITED $0.00 97200126 TRANSVAGINAL OBSTETRICAL $0.00 97200127 FETAL BIO PROFILE $0.00 97200128 TRANSVAGINAL NON OB $0.00 97200129 PELVIS COMPLETE $0.00 97200130 SCROTUM AND CONTENTS $0.00 97200131 EXTREMITY ULTRASOUND $0.00 97200220 ECHO GUIDE FOR BIOPSY $0.00 97200259 RT ECHO EXTREMITY COMPLETE $0.00 97200260 RT ECHO EXTREM LIM ANAT SPEC $0.00 97200263 ULTRASOUND OF THE AORTA $0.00 97200266 ULTRA GUIDE FOR VASCULAR ACCES $0.00 97200315 US EXAM ABDO BACK WALL LIM $0.00 97200341 RT ULTRASOUND BREAST LIMITED $0.00 97200342 LT ULTRASOUND BREAST LIMITED $0.00 97200347 RT ULTRASOUND BREAST COMPLETE $0.00 97200348 LT ULTRASOUND BREAST COMPLETE $0.00 97200372 LT ECHO EXTREMITY COMPLETE $0.00 97200373 LT ECHO EXTREM LIM ANAT SPEC $0.00 97219285 PL BRST LOC DEVICE ULTRASOUND 19285 $168.00 97276536 ECHO HEAD/NECK B-SCAN 76536 $88.00 97276641LT LT ULTRASOUND BREAST COMPLETE 76641 $311.00 97276641RT RT ULTRASOUND BREAST COMPLETE 76641 $311.00 97276642LT LT ULTRASOUND BREAST LIMITED 76642 $257.00 97276642RT RT ULTRASOUND BREAST LIMITED 76642 $257.00 97276700 ECHO ABDOMEN B-SCAN COMPLETE 76700 $130.00 97276705 ECHO ABDOMEN B-SCAN LIMITED 76705 $97.00 97276770 ECHO RETROPERI B-SCAN COMPL 76770 $119.00 97276775 US EXAM ABDO BACK WALL LIM 76775 $55.00 97276801 OBS US-0-14 WKS 1ST GEST 76801 $158.00 97276802 OB US 0-14 WKS ADDL GEST 76802 $134.00 97276805 OB US 14+WKS 1ST GEST 76805 $158.00 97276810 OB US 14+WKS ADDL GEST 76810 $156.00 97276815 ECHO PREG UTERUS B-SCAN LIMIT 76815 $104.00 97276817 TRANSVAGINAL OBSTETRICAL 76817 $119.00 97276818 ECHO FETAL BIOPHYSICAL PROFILE 76818 $168.00 97276830 ECHO TRANSVAGINAL 76830 $111.00 97276856 ECHO PELVIS B-SCAN COMPLETE 76856 $111.00 97276870 ECHO SCROTUM AND CONTENTS 76870 $104.00 97276872 ECHO TRANS RECTAL 76872 $114.00 97276881 ECHO EXTREM COMPLETE 76881 $61.00 97276881LT LT ECHO EXTREMITY COMPLETE 76881 $61.00 97276881RT RT ECHO EXTREMITY COMPLETE 76881 $61.00 97276882 ECHO EXTREM LMTD ANATOM SPEC 76882 $43.00 97276882LT LT ECHO EXTREM LIM ANAT SPEC 76882 $43.00 97276882RT RT ECHO EXTREM LIM ANAT SPEC 76882 $43.00 97276937 ULTRA GUIDE FOR VASCULAR ACCES 76937 $34.00 97276942 ECHO GUIDE FOR BIOPSY 76942 $86.00 972000121 ABDOMEN LIMITED $0.00 420G8422 PT INELIG BMI CALCULATION G8422 $1.00 420G8539 DOC FUNCT AND CARE PLAN G8539 $1.00 2508071 TRIAMCINOLONE ACET 100 MCG/ACT $0.00 2594517 SODIUM BICARBONATE 50ML SOL $0.00 25040850 HESPAN 6% 500ML BAG $0.00 25040854 ADVAIR DISCUS 100/50 25040 $302.00 25040858 ALTACE CAP 1.25 MG 40858 $5.00 25040859 AUGMENTIN SUSP 400/4 50CC 40859 $113.00 25040860 AVANDIA TAB 4 MG 40860 $10.00 25040861 AVAPRO TAB 150 MG 40861 $6.00 25040864 ADVAIR DISCUS 250/50 40864 $375.00 25040866 CALAN SR TAB 120 MG 40866 $5.00 25040867 CELEXA TAB 20 MG 40867 $8.00 25040868 CELEBREX 100 MG CAP 40868 $7.00 25040869 PERMETHRIN LOTION 1% 59ML BTL $0.00 25040871 FLUOCINONIDE CRM 0.05% $0.00 25040873 COLACE LIQUID 60CC 40873 $5.00 25040876 COSOPT OPH SOL 5CC 40876 $175.00 25040877 BACITRACIN/POLY B OPTH OINT $0.00 25040878 DITROPAN XL TAB 5MG 40878 $11.00 25040879 DUONEB RESP TX 40879 $0.00 25040880 BETAMETHASONE DIPROPIONAT OINT $0.00 25040881 EFFEXOR XR CAP 37.5MG 40881 $10.00 25040882 EVISTA TAB 60MG 40882 $9.00 25040884 FOSAMAX TAB 70MG 40884 $64.00 25040885 BLISTEX LIP BALM STICK 0.1502 $0.00 25040886 GLUCOPHAGE XR TAB 500MG 40886 $5.00 25040891 MILRINONE/D5W 0.2MG/ML 100ML $0.00 25040892 CLOBETASOL PROPIONAT .05% 15GM $0.00 25040893 NEOMYCIN/POLYMYXINB/HYDRO 7.5G $0.00 25040894 TRANEXAMIC ACID 1GM/10ML BTL $0.00 25040899 NEURONTIN CAP 100MG 40899 $5.00 25040900 BUPIVACAINE 0.5% 50ML J3490 $0.00 25040902 DEPO-MEDROL 80MG/ML J1040 $0.00 25040903 PRAVACHOL TAB 20MG 40903 $11.00 25040904 PRANDIN TAB 1MG 40904 $5.00 25040905 PRANDIN TAB 2MG 40905 $5.00 25040907 PROTONIX TAB 40MG 40907 $0.00 25040908 REMURON TAB 15MG 40908 $9.00 25040910 RIVAROXABAN 10 MG TAB $0.00 25040911 SINGULAIR TAB 10MG 40911 $11.00 25040912 SONATA CAP 5MG 40912 $10.00 25040913 STARLIX TAB 60MG 40913 $6.00 25040914 THROMBOSTAT KIT 5000 UNITS 40914 $241.00 25040916 VIOXX TAB 12.5MG 40916 $11.00 25040917 LEVALBUTEROL HCL 0.63/3 ML EA 40917 $10.00 25040918 LEVALBUTEROL HCL 1.25/3 ML NEB J7614 J7614 $10.00 25040921 SALIVA ARTIFICIAL 40921 $29.00 25040922 ADVAIR DISCUS 500/50 40922 $527.00 25048000 ABILIFY 5MG $0.00 25048002 ACTONEL 5MG $11.00 25048003 ACTONEL 35MG $72.00 25048006 AGGRENOX $9.00 25048008 ALTOPREV 60MG $12.00 25048011 CEFAZOLIN PREMIX J0690 $0.00 25048012 ARIMIDEX 1MG $33.00 25048015 ASTROMORPH $35.00 25048016 ATACAND 16MG $7.00 25048018 MOXIFLOXACIN HCL 400 MG TAB $41.00 25048019 AVODART .5MG $10.00 25048021 BENICAR 20MG IV J0500 $0.00 25048026 CASODEX 50MG $59.00 25048027 CEDAX 400MG $36.00 25048028 CEFADROXIL 500MG CAP $10.00 25048034 COREG 3.125MG $8.00 25048035 COREG 6.25MG $8.00 25048036 COREG 12.5MG $8.00 25048037 CARVEDILOL 25 MG TAB $0.00 25048038 CRESTOR 10MG $12.00 25048039 CYMBALTA 20MG $12.00 25048040 CYMBALTA 30MG $13.00 25048041 DEPAKOTE ER 250MG $6.00 25048043 TOLTERODINE TARTRATE 4 MG TAB $0.00 25048045 DYNACIRC CR 5MG $8.00 25048046 EFFEXOR XR 150MG $14.00 25048049 EXELON 1.5MG $12.00 25048051 GABITRIL 4MG $9.00 25048052 ZIPRASIDONE 20 MG CAP $17.00 25048053 SUMATRIPTAN SUCCINATE 25 MG TB $80.00 25048054 KEPPRA 250MG $8.00 25048056 LAMICTIL 100MG $15.00 25048057 LEXAPRO 10MG $0.00 25048058 LIDODERM PATCH $22.00 25048059 LOVENOX 40 J1650 $0.00 25048060 LOVENOX 30 J1650 $83.00 25048061 LUNESTA 2MG $14.00 25048062 MARINOL 2.5MG $22.00 25048063 MAVIK 1MG $5.00 25048064 METHOTREXATE 2.5MG TAB J8610 $13.00 25048065 MICARDIS 40MG $0.00 25048067 MIRAPEX .125MG $6.00 25048068 MIRIPEX 1MG $9.00 25048072 NASONEX SPRAY $296.00 25048073 NOVOLOG INSULIN $289.00 25048079 GALANTAMINE HYDROBROMIDE 4MG T $9.00 25048080 RESTASIS DROPS $12.00 25048082 SEROQUEL 25MG $8.00 25048083 SEROQUEL 100MG $13.00 25048088 TRICOR 145MG $12.00 25048089 TRILEPTAL 150MG $5.00 25048090 TRILEPTAL 300MG $8.00 25048092 ULTRACET $5.00 25048093 VALTREX 500MG $19.00 25048094 WELCHOL $5.00 25048095 WELLBUTRIN XL 150MG $12.00 25048097 ZETIA 10MG $9.00 25048098 ZOFRAN 4MG TAB $90.00 25048100 ZYMAR DROPS $216.00 25048101 ZYVOX 600MG $218.00 25048102 MAXALT 10MG $65.00 25048108 TOPROL XL 25MG $5.00 25048111 ROCITROL .25MG $6.00 25049001 QUINAPRIL HCL 5 MG TAB $0.00 25049003 GABAPENTIN 400MG $0.00 25049004 MEPIVACAINE HCL 30ML INJ J0670 $0.00 25049005 CHARCOCAL/SORBITOL 25GM/120 ML $0.00 25049006 KETOROLAC TROMETHAMINE 0.4ML V $0.00 25049007 DEXTROAMPHETAMINE/AMPHETAMINE $0.00 25049008 EPINEPHRINE HCL 30 ML 1MG/ML J0171 $0.00 25049009 PHENYLEPHRINE HCL 5 ML BTL $0.00 25049013 BENZOCAINE/ANTIPYRINE 15ML BTL $0.00 25049016 For MEDITECH USE only 60ML BTL $0.00 25049018 HYDROCORTISON ACETATE 25MG SUP $0.00 25049019 ASPIRIN 81 MG TABEC $0.00 25049020 AZELASTINE HCL 17 ML BTL $0.00 25049021 SODIUM CHLORIDE 0.9% 50ML VIAL $0.00 25049023 ATROPINE SULFATE 0.1 MG/ML SYR J0461 $0.00 25049024 MIDAZOLAM HCL 2MG/2ML (1MG/ML) J2250 $0.00 25049028 BENAZEPRIL HCL 10 MG TAB $0.00 25049029 BENAZEPRIL HCL 20 MG TAB $0.00 25049030 POVIDONE IODINE 5% 30ML BTL $6.27 25049034 BUPIVACAINE/EPINEPHRINE 0.25% $0.00 25049037 LEVODOPA/CARBIDOPA 25/250 1 EA $0.00 25049039 FOSPHENYTOIN 75MG/ML VIAL 10ML $0.00 25049041 CHLOROPROCAINE HCL 20MG/ML 30 $0.00 25049042 CHLOROPROCAINE HCL 2% 20ML J2400 $0.00 25049044 CIPROFLOXACIN HCL 0.3% 5ML BTL J0706 $0.00 25049046 CITRIC ACID/SODIUM CITRATE30ML $0.00 25049047 AMINO ACIDS/ELECTROLYTES 2000M $0.00 25049050 COLESTIPOL HCL 1 GM TAB $0.00 25049052 LIPASE/AMYLASE/PROTEASE 1EA CP $0.00 25049054 SODIUM HYPOCHLORITE 480 ML BTL $0.00 25049058 SALINE 45 ML BTL 25049060 DESOXIMETASONE 15 GM TUBE $0.00 25049063 DEXAMETHASONE OPL 0.1% 5ML $0.00 25049064 IRON DEXTRAN 50MG/ML INJ J1750 $0.00 25049067 CEFTRIAXONE 2GM IV J0696 $0.00 25049068 SODIUM CHLORIDE 0.9% 3ML INH $0.00 25049069 DIBUCAINE 30 GM TUBE $0.00 25049070 DIHYDROERGOTAMINE MESYLATE 1MG J1110 $0.00 25049071 DEXTROSE (D5W) 250ML PVC FREE J7060 $0.00 25049072 EPOETIN 2000 UNIT/ML $0.00 25049073 TETANUS/DIPTHERIA TOX ABSORB 90714 $0.00 25049075 SODIUM CHLORIDE 0.9% 500ML IV $0.00 25049082 PAPAIN/UREA 30 GM TUBE $0.00 25049083 ETODOLAC 500 MG TABCR $0.00 25049085 IRRIGATING SOLUTION BOTTLE $0.00 25049086 LETROZOLE 2.5 MG TAB $0.00 25049088 POLYSACCHARIDE IRON COMPL 150M $0.00 25049091 FLUTICASONE PROPIONATE 12 GM C $0.00 25049092 OFLOXACIN 5 ML BTL $0.00 25049094 FLUPHENAZINE HCL 5MG TAB $0.00 25049095 FLURBIPROFEN 100 MG TAB $0.00 25049099 ACETAMINOPHEN 100MG/ML $0.00 25049100 GENTAMICIN/SOD CHL 120MG/100ML J1580 $0.00 25049104 GLYCERIN 1.5 GM SUPP $0.00 25049106 GUAIFENESIN 200 MG TAB $0.00 25049111 HYDRALAZINE HCL 10 MG TAB $0.00 25049114 HYDROCORTISON 28.35 GM TUBE $0.00 25049115 HYDROCODONE/HOMATROPINE MBR480 $0.00 25049116 HYDROXYCHLOROQUINE SULFATE 200 $0.00 25049117 DEXTROSE 31 GM TUBE $0.00 25049118 APRACLONIDINE HCL 5ML $0.00 25049119 HOMATROPINE HBR 5 ML BTL $0.00 25049120 HOMATROPINE HBR 5 ML BTL $0.00 25049123 KCL/DEXTROSE/SOD CHLORIDE 1000 $0.00 25049124 KCL/DEXTROSE/LACT RINGERS 1000 $0.00 25049125 KCL/DEXTROSE/SOD CHLORIDE 1000 $0.00 25049127 KCL/DEXTROSE/SOD CHLORIDE 1000 $0.00 25049129 POTASSIUM BICARBONATE 25MEQ 25049130 LACTATED RINGERS 1000 ML IV J7120 $0.00 25049131 LACTULOSE 10 GM/15 ML UDC $0.00 25049132 LAMOTRIGINE 25 MG TAB $0.00 25049135 FLUVASTATIN SODIUM 80 MG TAB $0.00 25049137 LEVOFLOXACIN/DETROSE 750MG IV J1956 $0.00 25049140 NOREPINEPHRINE BITARTRATE 1MG/ $0.00 25049141 LEVOTHYROXINE SODIUM 112MCG TA $0.00 25049147 LIDOCAINE HCL 5 ML TUBE $0.00 25049152 LIDOCAINE HCL/DEXTROSE 2ML IV $0.00 25049153 LIDOCAINE HCL/DEXTROSE 2000MG $0.00 25049155 LIDOCAINE/PRILOCAINE 1 GM CR $0.00 25049158 LOPERAMIDE HCL 2 MG CAP $0.00 25049159 MAGALDRARE/SIMETHICONE 360 ML $0.00 25049160 LOTION MULTI-INGREDIENT 18O ML $0.00 25049161 BIMATOPROST 2.5 ML BTL $0.00 25049163 For MEDITECH use ONLY 25MG CAP $0.00 25049164 PREGABALIN 75 MG CAP $0.00 25049166 M.V.I. ADULT $0.00 25049167 MAGNESIUM CHLORIDE 535MG TABCR 25049170 MAGNESIUM SULFATE 40 MG/ML PLC $0.00 25049171 MAGNESIUM SULFATE 8MEQ/2ML VIA $0.00 25049172 MAGNESIUM SULFATE/DEXTROSE 1GM J3475 $0.00 25049173 MAGNESIUM OXIDE 400 MG TAB $0.00 25049176 MANNITOL 25% 50ML INJ J2150 $0.00 25049177 ACETAMINOPHEN 160 MG/5 ML $0.00 25049179 MEGESTROL ACETATE 40 MG/ML ML J8999 $0.00 25049180 MEPERIDINE HCL 10MG/ML IV J2175 $0.00 25049182 PYRIDOSTIGMINE BROMIDE 60MG TB $0.00 25049183 METHADONE 300MG LIQ $0.00 25049184 METHIMAZOLE 5 MG TAB $0.00 25049185 METHOTREXATE SOD 25 MG/ML VIAL $0.00 25049186 METHYLDOPATE HCL 250MG/5ML INJ J0210 $0.00 25049187 METHYLPHENIDATE HCL 10 MG TAB $0.00 25049188 CALCITONIN SALMON 200 IU/ML J0630 $0.00 25049190 MICONAZOLE NITRATE 200 MG SUPP $0.00 25049191 MICONAZOLE NITRATE 15 GM TUBE $0.00 25049192 MIDODRINE 5 MG TAB $0.00 25049193 MINOXIDIL 10 MG TAB $0.00 25049194 POLYETHYLENE GLYCOL 1 EA PACK $0.00 25049196 MELOXICAM 7.5 MG TAB $0.00 25049198 GUAIFENESIN 600 MG TABCR $0.00 25049199 MULTITRACE-4 CONC $0.00 25049200 ARTIFICIAL TEARS 15 ML BTL $0.00 25049201 HEPATITIS B IMMUNE GLOB 5ML VI $0.00 25049202 ROPIVACAINE 10 MG/ML AMP J2795 $0.00 25049203 ROPIVACAINE 5 MG/ML VIAL J2795 $0.00 25049204 NESIRITIDE 1.5 MG VIAL $0.00 25049205 NEOMYCIN/POLYMYXIN/DEXAMETH 5 $0.00 25049208 POTASSIUM PHOS/SODIUM PHOS 1 E $0.00 25049211 NICOTINE 7 MG PATCH $0.00 25049212 SODIUM NITROPRUSSIDE 50MG/2ML $0.00 25049214 INSULIN HUMAN ISOPHAN/REG 3ML $0.00 25049215 INSULIN HUMAN NPH 100 UNIT/ML $0.00 25049216 INSULIN REGULAR 100 UNIT/ML ML J1815 25049217 INSULIN ASPART 3 ML SYR NOVOLO $0.00 25049219 NYSTATIN 15 GM TUBE $0.00 25049220 NYSTATIN/TRIAMCINOLONE 15GM TU $0.00 25049221 NYSTATIN 15 GM BTL $0.00 25049223 CEFDINIR 300 MG CAP $0.00 25049224 PANCURONIUM BROMIDE 2MG/ML VIA $0.00 25049227 OLOPATADINE 5ML BTL $0.00 25049228 BISMUTH SUBSALICYLATE 524MG/30 $0.00 25049229 PERPHENAZINE 2 MG TAB $0.00 25049232 PHENOL 180 ML BTL $0.00 25049233 PHENAZOPYRIDINE HCL 100 MG TAB $0.00 25049234 PHENTOLAMINE MESYLATE 5MG IV J2760 $0.00 25049237 POTASSIUM PHOSPHATE MONOBASIC $0.00 25049238 PHYSOSTIGMINE SALICY 1 MG/ML A $0.00 25049239 PHYTONADIONE 2 MG/ML SYR $0.00 25049240 PILOCARPINE HCL 15 ML BTL 4% $0.00 25049241 PILOCARPINE HCL 5 MG TAB $0.00 25049243 PILOCARPINE HCL 15 ML BTL $0.00 25049246 AMYLAS/CELLU/LIPAS/PROTEA/BILE $0.00 25049247 ALBUMIN HUMAN 50 ML VIAL $0.00 25049248 PNEUMOCOCCAL VACCINE POLYVALEN 90732 $0.00 25049251 POTASSIUM CHLORIDE 20 MEQ/100 J3480 $0.00 25049253 BRIMONIDINE TARTRATE 5 ML SOLN $0.00 25049254 KCL/SODIUM CHLORIDE 1000 ML BG J3480 $0.00 25049255 KCL/DEXTROSE 1000 ML BAG $0.00 25049256 KCL/DEXTROSE/SOD CHLORIDE 1000 $0.00 25049257 POTASSIUM CHLORIDE 10MEQ/100ML J3480 $0.00 25049262 PREDNISONE 1 MG TAB J7512 $0.00 25049265 PHENYLEPH/SHARK OIL/MO/PETROL $0.00 25049266 LANSOPRAZOLE 30 MG PKT $0.00 25049268 IMPENEM/CILASTATIN 250MG VIAL $0.00 25049269 PROCAINAMIDE HCL 500MG/ML J2690 $0.00 25049273 PROCHLORPERAZINE MALEATE 10MG $0.00 25049274 EPOETIN ALFA 10000 UNIT/MLVIAL $0.00 25049275 HYDROCORTISONE/PRAMOXINE 10 GM $0.00 25049277 HYDROCORTISON 30 GM TUBE $0.00 25049279 PROPAFENONE HCL 150 MG TAB $0.00 25049282 AMMONIA AROMATIC INHAL 0.3ML $0.00 25049283 PROTAMINE SULFATE 10 MG/ML IV J2720 $0.00 25049284 PSEUDOEPHEDRINE HCL 30 MG TAB $0.00 25049285 BUDESONIDE 0.4 GM INH $0.00 25049287 AMMONIA INHALANT $0.00 25049289 QUINAPRIL HCL 20 MG TAB 25049290 QUINIDINE GLUCONATE 324MG TABC $0.00 25049291 QUININE SULFATE 260 MG TAB $0.00 25049292 RANITIDINE HCL 150 MG TAB $0.00 25049293 HEPATITIS B VAC 5MCG/0.5 ML VI 90746 $0.00 25049295 VITAMIN B COMPLEX/FOLIC AC 1EA $0.00 25049296 ROPINIROLE HCL 1 MG TAB $0.00 25049297 PYRETHRINS/PIPERONYL BUTOXIDE $0.00 25049301 BUPIVACAINE/DEXTROSE 2 ML IV $0.00 25049302 SIMETHICONE 80 MG CHEW $0.00 25049303 For MEDITECH use ONLY 800mg TA $0.00 25049305 SDIUM ACETATE 2 MEQ/ML VIAL $0.00 25049306 SODIUM BICARBONATE 650 MG TAB $0.00 25049308 SODIUM CHLORIDE 500 ML BAG J7040 $0.00 25049312 SODIUM CHLORIDE 50 ML BAG $0.00 25049313 SODIUM CHLORIDE 10 ML VIAL $0.00 25049314 SODIUM CHLORIDE 250 ML IV J7050 $0.00 25049315 SODIUM CHLORIDE 4 MEQ/ML VIAL $0.00 25049316 SOD CHL BACTERIOSTATIC 30ML VI $0.00 25049318 SODIUM POLYSTYRENE SULFONATE $0.00 25049319 SULFACETAMIDE SODIUM 15 ML BTL $0.00 25049320 SPIRIVA HADIHALER 18 MCG CAP $0.00 25049321 WATER STERILE 50ML VIAL $0.00 25049322 WATER STERILE 250 ML PLCT $0.00 25049323 NISOLDIPINE 10 MG TAB CR $0.00 25049325 SULFASALAZINE 500 MG TAB $0.00 25049326 LEVOTHYROXINE SODIUM 75MCG TAB $0.00 25049327 OSELTAMIVIR PHOSPHATE 75MG CAP $0.00 25049328 CARBAMAZEPINE 100 MG TAB CR $0.00 25049330 THEOPHYLLINE 400 MG CAPCR $0.00 25049331 CAPSAICIN 60 GM TUBE $0.00 25049333 THIAMINE HCL 100 MG/ML VIAL J3411 $0.00 25049335 TIMOLOL MALEATE 5 ML BTL $0.00 25049336 TIMOLOL MALEATE 0.5% 5ML BTL $0.00 25049339 TIMOLOL HEMIHYDRATE 5 ML BTL 25049341 TRIAMCINOLONE ACET 15 GM TUBE $0.00 25049342 TRIAMTERENE/HCTZ 1 EA CAP $0.00 25049344 TRINSICON $0.00 25049345 TRIMETHOBENZAMIDE HCL 200MG SU $0.00 25049352 VALPROATE SOD 250MG/5ML 60CC $0.00 25049353 VANCOMYCIN HCL 500 MG VIAL J3370 $0.00 25049354 VASOPRESSIN 20 UNIT/ML VIAL J3490 $0.00 25049355 VERAPAMIL HCL 100 MG CAPCR $0.00 25049358 VITAMIN A&D 60 GM TUBE $0.00 25049361 PYRIDOXINE HCL 50 MG TAB $0.00 25049362 PHYTONADIONE 10 MG/ML AMP J3430 $0.00 25049363 DICLOFENAC SOD 75 MG TAB $0.00 25049365 LIDOCAINE HCL 50 ML VIAL $0.00 25049367 LIDOCAINE 10 ML IV J2001 $0.00 25049368 RANITIDINE/SOD CHLORIDE 50 MG $0.00 25049369 TEGASEROD 6 MG TAB $0.00 25049370 ZINC SULFATE 220 MG CAP $0.00 25049371 AZITHROMYCIN 100MG/5ML BTL $0.00 25049372 AZITHROMYCIN 200 MG/5ML BTL $0.00 25049375 HYDROMORPHONE HCL 2MG TAB $0.00 25049377 ACETAMINOPHEN/HYDROCODONE 480M $0.00 25049378 BUMETANIDE 0.25 MG/ML 4ML VIAL J3490 $0.00 25049380 BETAXOLOL HCL 0.25% 5ML OPT $0.00 25049381 PANTOPRAZOLE SODIUM 40 MG PDS C9113 $0.00 25049382 SIMVASTATIN 20 MG TAB $0.00 25049384 ATORVASTATIN CALCIUM 40 MG TAB $0.00 25049385 LEVOFLOXACIN 500 MG TAB $0.00 25049386 NITROGLYCERIN 30 GM TUBE 25049388 INSULIN DETERMIR 100 U/ML ML 25049389 ROPINIROLE HCL 0.25 MG TAB $0.00 25049390 EYE-VITES (OCUVITE) 25049391 HYDROXYZINE HCL 10 MG $0.00 25049392 ATORVASTATIN CALCIUM 20 MG TAB $0.00 25049393 SIMVASTATIN 40 MG TAB 25049394 OXYCODONE HYDROCHLORIDE 5MG TA $0.00 25049395 OLMESARTAN 20 MG TAB $0.00 25049397 SPORANOX 100 MG CAP $0.00 25049398 MUPIROCIN 22 GM TUBE $0.00 25049399 ROPIVACAINE HYDROCHLORIDE 7.5M J2795 $0.00 25049400 ZAFIRLUKAST 20 MG TAB $0.00 25049401 AMINO ACIDS,DEXTROSE,AND E1000 $0.00 25049402 FLUVOXAMINE MA;EATE 50 MG TAB $0.00 25049403 CALAMINE PHENOLATED 113GM TUBE $0.00 25049404 POWDER MULTI-INGREDIENT 1 GM $0.00 25049405 OXYCODONE HYDROCHLORIDE 40MG T $0.00 25049406 CETIRIZINE HYDROCHLD 10MG TAB $0.00 25049407 INFLIXIMAB 100 MG PDS IV J1745 $0.00 25049408 PROVIGIL 100 MG TAB (MODAFINIL $0.00 25049409 KEPPRA 500 MG TAB (LEVETIRACET $0.00 25049410 MEGESTROL ACETATE 625MG/5MLSUS $0.00 25049411 FELODIPINE 5 MG TABCR $0.00 25049412 METRONIDAZOLE 1% GM $0.00 25049413 FENOFIBRATE 48 MG TAB $0.00 25049415 DIAZEPAM 2 MG TAB $0.00 25049417 DEXTROSE/POTASSIUM CHLORIDE 10 $0.00 25049418 VITAMIN D 1000 IU TAB $0.00 25049420 DEXMETHYLPHENIDATE XR 10 MG $0.00 25049421 CLARITHROMYCIN 500MG ER TABLET $0.00 25049422 NEOMYCIN/POLYMYXIN/BACITRACIN $0.00 25049423 EPINEPHRINE 0.5 ML VIAL (S-2) $0.00 25049424 PROPOFOL 10 MG/ML VIAL $0.00 25049425 MAGALDRARE 360 ML BTL $0.00 25049426 SPACER CAN $0.00 25049427 TIZANIDINE HYDROCHLORIDE 4 MG $0.00 25049428 CILOSTAZOL 100 MG TAB $0.00 25049429 TOLMETIN SODIUM 400 MG CAP $0.00 25049430 PHENYLEPHRINE HCL 1 EA TAB $0.00 25049431 DESONIDE 0.05% TUBE $0.00 25049432 KCL 40MEQ/L IN 0.9% SODIUM CHL J3480 $0.00 25049434 FISH OIL 1000 MG CAP $0.00 25049435 URSODIOL 300 MG CAP $0.00 25049436 RETAVASE, RECOMBINANT 104U KIT J2993 $0.00 25049437 PAMIDRONATE DISODIUM 9 MG/ML $0.00 25049438 SODIUM CHLORIDE 1000 ML BAG J7030 $0.00 25049440 METHLPREDNISOLONE SODIUM SU 1G J2930 $0.00 25049441 HALOPERIDOL LACTATE 2MG/ML ML $0.00 25049444 COMBIVAR $0.00 25049445 PETROLATUM 30 GM TUBE $0.00 25049446 TALC 1 SPR (STERILE TALC) $0.00 25049449 TRAVOPROST 2.5 ML BTL $0.00 25049450 METOPROLOL TARTRATE 25 MG TAB $0.00 25049453 CYANOCOBALAMIN 1000 MCG TAB $0.00 25049454 CYANOCOBALAMIN/FOLIC ACID/PY 1 $0.00 25049455 LACTOBACILLUS COMBINATION 1CAP $0.00 25049456 BENZTROPINE MESYLATE 2 MG TAB $0.00 25049457 TRIMETHOBENZAMIDE HYDROCHL 300 $0.00 25049459 TALC 1 POW VIAL (STERILE) 5GM $0.00 25049461 WATER, STERILE 10 ML SOL A4216 $0.00 25049462 VALSARTAN 160 MG TAB $0.00 25049463 ERTAPENEM 1 GM INJ J1335 $0.00 25049464 RAMIPRIL 2.5 MG CAP $0.00 25049465 DAROFENACON 7.5MG $0.00 25049466 HYPOGLYCEMIA KIT $0.00 25049467 MEMANTINE HYDROCHLORIDE 10 MG $0.00 25049468 LABETALOL HYDROCHLORIDE 5MG/ML $0.00 25049469 EZETIMIBE/SIMVASTATIN 10/40TAB $0.00 25049471 CAPECITABINE 500 MG TAB J8521 $0.00 25049472 AMMONIUM LACTATE 12% CREAM $0.00 25049473 LEVETIRACETAM 100 MG/ML SOL $0.00 25049475 SEVOFLURANE 250 ML BTL $0.00 25049477 VITAMIN B COMPLEX/MINERALS 473 $0.00 25049479 ESTRADIOL 0.05MG PATCH $0.00 25049481 OCTREOTIDE ACETATE 100MCG/ML J2354 $0.00 25049485 TRANEXAMIC ACID 1GM/10ML BTL $0.00 25940000 AMOXICILLIN 250 CAP 40000 $5.00 25940001 IMMUNE GLOBULIN HUMAN IM 2ML V 90281 90281 $100.00 25940003 VISTARIL INJ 100MG 2ML VIAL J3410 40003 $0.00 25940004 BENADRYL CAP 50MG 40004 $0.00 25940005 DECADRON INJ 4MG/1ML VIAL J1100 40005 $6.00 25940006 AMPICILLIN 250 MG CAP 40006 $5.00 25940008 ANCEF INJ 500MG VIAL J0690 40008 $0.00 25940009 ADRENALIN INJ 1MG/1ML AMP J0171 J0171 $0.00 25940010 ALLEGRA CAP 60MG 40010 $6.00 25940011 AMINOCAPROIC ACID INJ 250MG/20 40011 $60.00 25940016 ALTACE CAP 5MG 40016 $5.00 25940017 ASACOL TAB 400MG 40017 $5.00 25940026 INTAL INHALATION SOL 2ML 40026 $5.00 25940032 ROMAZICON INJ 5ML VIAL J3490 40032 $325.00 25940034 AMARYL TAB 2MG 40034 $5.00 25940035 AUGMENTIN TAB 875MG 40035 $18.00 25940039 POLOCAINE INJ 2% 20ML VIAL 40039 $29.00 25940040 AZACTAM INJ 1GRM J3490 40040 $87.00 25940041 BUMEX TAB 2MG 40041 $5.00 25940042 QUINIDINE SULFATE 200MG 40042 $0.00 25940046 BUSPAR TAB 10MG 40046 $5.00 25940047 MYCOSTATIN SUSP 100,000U/ML 5M 40047 $6.00 25940049 CEREBYX INJ 100 PE/2ML VIAL Q2009 40049 $79.00 25940050 CLEOCIN INJ 300MG/D5W 50CC PRM 40050 $25.00 25940051 ADENOCARD INJ 6MG/2ML VIAL J0153 40051 $0.00 25940052 CYTOTEC 100MCG TAB 40052 $5.00 25940053 PRILOSEC 20MG TAB 40053 $13.00 25940054 ROCEPHIN INJ 250MG VIAL J0696 J06 96 40054 $51.00 25940055 BIAXIN TAB 500MG 40055 $18.00 25940056 CLEOCIN INJ 900MG/D5W 50CC PRM 40056 $47.00 25940060 DILANTIN INFATAB 50MG 40060 $5.00 25940061 SILVADENE CREAM 50 GRAMS 40061 $27.00 25940065 NEOSPORIN OINT 15GM 40065 $0.00 25940066 FIBERCON TAB 40066 $5.00 25940067 FLORINEF TAB 0.1MG 40067 $5.00 25940068 SENSORCAINE INJ 0.25% 10ML VIA J3490 40068 $0.00 25940070 AMPICILLIN SUSP 250MG/5ML-100M 40070 $14.00 25940071 FOSAMAX TAB 10MG 40071 $9.00 25940073 XYLOCAINE INJ 0.5% 50ML VIAL J2001 40073 $40.00 25940074 SENSORCAINE INJ 0.5% 10ML VIAL J3490 40074 $0.00 25940075 KENALOG INJ 40MG/ML 1ML VIAL J3301 40075 $23.00 25940079 TORADOL INJ 60MG/2ML SYRINGE J1885 40079 $0.00 25940081 GLUCOPHAGE TAB 850MG 40081 $5.00 25940083 GLYNASE PRESTAB 3.0MG 40083 $5.00 25940085 IMDUR TAB 30MG 40085 $5.00 25940086 LESCOL CAP 20MG 40086 $7.00 25940092 METROGEL VAG GEL 0.75% 2.5OZ 40092 $257.00 25940094 THEOPHYLLINE INJ 400MG/D5W PRM 40094 $14.00 25940097 BENADRYL ELIXIR 25MG/10ML UD 40097 $5.00 25940101 OXYCONTIN TAB 10MG 40101 $6.00 25940105 OXYCONTIN TAB 20MG 40105 $11.00 25940110 AMPICILLIN INJ 250MG J0290 40110 $6.00 25940111 PRED G OPH OINT 3.5G 40111 $93.00 25940112 PRED G OPH SUSP 2ML 40112 $34.00 25940113 PREVACID CAP 15MG 40113 $17.00 25940114 PRINIVIL TAB 5MG 40114 $5.00 25940115 PRINIVIL TAB 20MG 40115 $5.00 25940116 PROZAC CAP 10MG 40116 $11.00 25940117 ROBITUSSIN PE SYRUP 60ML 40117 $9.00 25940120 AMPICILLIN INJ 500MG J0290 40120 $17.00 25940121 ROBITUSSIN DM SYRUP 10ML UD 40121 $5.00 25940125 NITRO BID CAP 9MG 40125 $5.00 25940127 NITROSTAT SUBLINGUAL 0.6MG 40127 $24.00 25940128 RISPERDAL TAB 1MG $13.00 25940130 AMPICILLIN INJ 1GRM VIAL J0290 40130 $0.00 25940138 SECTRAL CAP 200MG 40138 $11.00 25940139 BREVIBLOC INJ 100MG/10ML VIAL 40139 $71.00 25940141 INDERAL LA CAP 60MG 40141 $5.00 25940142 CORDARONE TAB 200MG 40142 $12.00 25940143 CALAN TAB 40MG 40143 $5.00 25940144 CALAN SR TAB 180MG 40144 $5.00 25940145 CARDIZEM INJ 50MG/10ML VIALS 40145 $32.00 25940147 CARDIZEM CD CAP 180MG 40147 $0.00 25940153 CATAPRES TTS 3 PATCH 0.3MG 40153 $128.00 25940154 MIVACURIUM INJ 20MG/10ML VIAL 40154 $63.00 25940155 HYDROCHLOROTHIAZIDE TAB 25MG 40155 $5.00 25940159 LASIX SOL 10MG/ML 60ML 40159 $34.00 25940162 TALWIN INJ 60MG/2ML 40162 $10.00 25940165 HEPATITIS B VACCINE 20MCG/1ML 90746 40165 $202.00 25940166 NIVEA CREAM 40166 $10.00 25940171 DICLOXACILLIN CAP 250MG 40171 $5.00 25940173 BISACODYL 10 MG SUPP 40173 $74.00 25940178 PILOCARPINE OPTH SOL 0.5% 15ML 40178 $22.00 25940183 TRUSOPT OPH SOL 5ML 40183 $96.00 25940190 TUMS 12'S 40190 $5.00 25940195 TOBREX OPHTH SOL 5ML 40195 $49.00 25940197 CORTISPORIN OPHTH SUSP 7.5ML 40197 $185.00 25940200 TETRACYLINE CAP 250MG 40200 $5.00 25940205 FLUOR-I-STRIP OPHTH STRIP 40205 $0.00 25940206 WELLBUTRIN TAB 75MG 40206 $5.00 25940209 NARCAN INJ 2MG/2ML J2310 40209 $52.00 25940214 POTASSIUM PHOSPHATE INJ 3MG/ML 40214 $6.00 25940219 ZEBETA TAB 5MG 40219 $5.00 25940222 NEOSTIGMINE INJ 1MG/ML 10ML V J2710 40222 $13.00 25940223 ATROPINE INJ 1MG/1ML VIAL J0461 40223 $6.00 25940240 ALDOMET TAB 250MG 40240 $5.00 25940253 THIAMINE TAB 100MG 40253 $5.00 25940257 FERROUS SULF TAB 5 GRAIN 40257 $0.00 25940262 FER-IN-SOL DROPS 50ML 40262 $14.00 25940270 ALDACTONE TAB 25MG 40270 $5.00 25940271 THERAGRAN M TAB 40271 $5.00 25940276 SODIUM CL INJ 0.9% 30ML V BACT 40276 $6.00 25940278 FOLIC ACID INJ 5MG/ML 10ML IV 40278 $0.00 25940279 NEUPOGEN INJ 480MCG/1.6ML J1442 $0.00 25940282 HEPARIN INJ 25,000/250ML D5W J1644 40282 $17.00 25940286 COUMADIN TAB 1MG 40286 $5.00 25940287 ACTIVASE INJ 100MG VIAL J2997 40287 $10,929.00 25940292 PREMARIN TAB 0.3MG 40292 $5.00 25940294 PREMARIN VAG CREAM 42.5G 40294 $253.00 25940296 HAMABATE INJ 250MCG 1ML VIAL 40296 $0.00 25940302 CORTEF TAB 10MG. 40302 $5.00 25940305 KENALOG-10 INJ 10MG/ML 5ML V 40305 $28.00 25940313 SYNTHROID TAB 0.05MG 40313 $5.00 25940314 SYNTHROID TAB 0.1MG 40314 $5.00 25940315 SYNTHROID TAB 0.125MG 40315 $5.00 25940317 SYNTHROID TAB 0.2MG 40317 $5.00 25940318 POTASSIUM CL INJ 20MEQ SYRINGE 40318 $18.00 25940319 CARDIZEM INJ 25MG/5ML J3490 40319 $15.00 25940320 AMINOPHYLLINE INJ 250MG/10ML V J0280 40320 $6.00 25940321 EPINEPHRINE INJ 1MG/ML 30ML IV J0171 40321 $0.00 25940323 PROVENTIL SYRUP 2MG/5ML 5ML J7620 J7620 $5.00 25940329 LIDOCAINE HCL 5 ML SOL $0.00 25940331 ESZOPICLONE TAB $0.00 25940332 POTASSIUM CHL/SOD TAB $0.00 25940339 RABIES IMM GLOB 150 IU/ML 10 90375 $0.00 25940343 HEPARIN SODIUM 100 UNIT/ML 5ML J1644 $0.00 25940344 DELSYM LIQUID 30MG/5ML 40344 $5.00 25940347 INFLUENZA VACCINE 0.5ML FLUARI 90654 $0.00 25940348 ENOXAPARIN SODIUM 150 MG/ML SY J1650 $0.00 25940352 LIDOCAINE HCL 1% 10MG/ML 10ML J2001 $0.00 25940354 OCTREOTIDE ACETATE 200MCG/1ML J2354 $0.00 25940356 MAGNESIUM SULFATE 4GM/50ML J3475 $0.00 25940358 SODIUM NITRATE INJ $0.00 25940359 EXPAREL 266MG/20ML VIAL IV $0.00 25940360 LIPITOR TAB 10MG 40360 $10.00 25940363 PHENERGAN DM 60ML 40363 $12.00 25940365 CAFFEINE INJ 500MG/2ML AMP 40365 $36.00 25940366 DURAGESIC PATCH 25MCG 40366 $53.00 25940367 DURAGESIC PATCH 50MCG 40367 $97.00 25940368 DURAGESIC PATCH 75MCG 40368 $147.00 25940371 DILAUDID INJ 2MG/1ML AMP J1170 40371 $6.00 25940374 FERRLECIT 62.5MG/5ML IV J2916 $0.00 25940375 MS CONTIN TAB 15MG 40375 $5.00 25940377 RISPERDONE 0.5MG TAB $0.00 25940378 ROXANOL SOL 20MG/ML 1ML DOSE 40378 $5.00 25940379 DURAMORPH INJ 10MG/10ML AMP IV J2270 40379 $0.00 25940381 ALBUTEROL SULF/IPRATROPIUM $0.00 25940384 HYDROCADONE/ACETAMIN 5/500 TAB 40384 $0.00 25940385 VICODIN ES TAB 7.5/750 40385 $5.00 25940388 TYLENOL SUPP 325MG 40388 $5.00 25940391 ASPIRIN TAB 81MG (BABY) 40391 $0.00 25940392 ASPIRIN SUPP 300MG 40392 $5.00 25940393 ASPIRIN SUPP 600MG 40393 $5.00 25940395 RELAFEN TAB 500MG. 40395 $7.00 25940397 MOTRIN TAB 200MG 40397 $0.00 25940399 TORADOL TAB 10MG 40399 $6.00 25940400 ALUPENT INHALER 40400 $116.00 25940402 LIDOCAINE MPF 1% 30ML $0.00 25940403 GLYCOPYRROLATE .2MG/ML 1ML INH J7643 $0.00 25940405 MEROPENEM 500 MG VIAL J2185 $0.00 25940407 REGLAN SYRUP 5MG/5ML 10ML 40407 $5.00 25940409 ENOXAPARIN SODIUM 120MG/0.8ML J1650 $0.00 25940411 COMPAZINE INJ 10MG/2ML VIAL J0780 40411 $0.00 25940412 TETRACAINE HCL 2ML INJ $0.00 25940415 PROCAINAMIDE HCL 100MG/ML 1000 J2690 $0.00 25940416 TRANDSDERM SCOP PATCH 1.5MG 40416 $25.00 25940417 TRANXENE TAB/CAP 3.75 MG 40417 $5.00 25940419 LIBRIUM CAP 25MG 40419 $5.00 25940421 LEVOTHYROXINE SOD 50 MCG TAB $0.00 25940424 ELAVIL TAB 25MG 40424 $5.00 25940425 PAMELOR CAP 10MG 40425 $5.00 25940426 PAMELOR CAP 25MG 40426 $5.00 25940427 ZOLOFT 50MG TAB 40427 $10.00 25940430 MORPHINE SULF 20MG/ML J2270 $0.00 25940432 ZYVOX 600MG/300ML INJ J2020 $0.00 25940434 CHLORAL HYDRATE SYRP 500MG/5ML 40434 $5.00 25940438 TEGRETOL TAB 100MG CHEWABLE 40438 $5.00 25940439 EMEND 40MG CAPSULE $0.00 25940440 TOBRAMYCIN SULF 40MG/ML 2ML J3260 $0.00 25940441 DEPAKOTE TAB 250MG 40441 $0.00 25940442 MYSOLINE TAB 50MG 40442 $5.00 25940444 LIORESAL TAB 10MG 40444 $5.00 25940447 LIDOCAINE HCL 20MG/ML J2001 $0.00 25940448 SOMA COMPOUND TAB 40448 $7.00 25940450 SUCCINYL CHOLIN IJ 20MGML 10ML J0330 40450 $10.00 25940451 SINEMET CR TAB 40451 $7.00 25940453 ELDEPRYL TAB 5MG 40453 $10.00 25940455 ARTANE TAB 5MG 40455 $6.00 25940456 LEVSIN TAB 0.125MG 40456 $5.00 25940459 IMMUNE GLOBULIN HUMAN 10% 20GM J1572 $0.00 25940461 IMMUNE GLOBULIN HUMAN 10% 5GM J1572 $0.00 25940468 MINERAL OIL 30ML UD 40468 $5.00 25940476 SENOKOT S TAB 40476 $5.00 25940477 ATROPINE INJ 0.4MG/ML 20ML VL J0461 40477 $6.00 25940479 ATROPINE INJ 0.5MG/5ML SYRP J0461 40479 $12.00 25940484 LOMOTIL ELIXIR 60ML 40484 $27.00 25940485 CYANOKIT 5GM INJ J3420 $0.00 25940487 ROWASA ENEMA 4G/60ML 40487 $59.00 25940489 MYCELEX TROCHE 10MG 40489 $6.00 25940495 TERAZOLE 7 VAG CR 0.4% 45G 40495 $158.00 25940496 TERAZOLE 3 VAG CR 0.8% 20G 40496 $158.00 25940497 TERAZOLE 3 VAG SUPP 80MG 3'S 40497 $158.00 25940500 ARICEPT TAB 5MG 40500 $18.00 25940504 LOPROX CR 15G 40504 $126.00 25940505 LOTRIMIN CR 15G 40505 $26.00 25940506 GENTIAN VIOLET 1% SOLUTIN 30ML 40506 $5.00 25940511 FERUMOXYTOL 30MG/ML INJ Q0138 $0.00 25940520 APRESOLINE INJ 20MG/1ML AMP J0360 40520 $49.00 25940523 STERILE WATER 1500ML BAG $0.00 25940529 EUCERIN CR 120G 40529 $15.00 25940532 BETAPACE TAB 80MG 40532 $8.00 25940533 DEXTROSE/SOD CHLORIDE 500ML IV $0.00 25940534 LACTATED RINGERS 500ML BAG $0.00 25940536 ANALGESIC BALM 30G 40536 $6.00 25940540 CARDURA TAB 2MG 40540 $5.00 25940541 BETADINE OINT 10% 30G 40541 $7.00 25940544 EMPTY INTRAVIA CONTAINER 150ML $0.00 25940547 AZTREONAM INJ 2GM J3490 $0.00 25940549 CLAFORAN INJ 1GRAM VIAL J0698 40549 $20.00 25940553 CIPRO INJ 400MG/200ML BAG J0744 40553 $0.00 25940555 DEXTROSE 10% 1000ML SOL $0.00 25940557 HEPATITIS B VACCINE PED/ADOLES 90744 $0.00 25940558 ERYTHROMYCN SUSP 200MG/5ML 60M 40558 $15.00 25940562 DIFLUCAN INJ 200MG/100ML BAG J1450 40562 $390.00 25940563 ETHAMBUTOL TAB 400MG 40563 $6.00 25940565 RIFAMPIN CAP 300MG 40565 $7.00 25940566 RETROVIR CAP 100MG 40566 $8.00 25940568 DEXTROSE 5%/SOD CHLOR 0.2% 500 J7042 $0.00 25940569 SENSORCAINE/EPI IJ 0.25%10ML V 40569 $9.00 25940570 DECADRON INJ 10MG/1ML VIAL J1100 40570 $0.00 25940571 SENSORCAINE/EPI INJ 0.5%10ML V 40571 $8.00 25940573 XYLOCAINE INJ 1% 5ML AMP J2001 40573 $10.00 25940574 XYLOCAINE INJ 2% 10ML AMP J2001 40574 $9.00 25940576 DESFERAL INJ 500MG VIAL 40576 $72.00 25940577 DIGIBIND INJ 40MG VIAL J1162 40577 $1,926.00 25940583 NICOTENE PATCH 14MG 40583 $9.00 25940584 NICOTENE PATCH 21MG 40584 $8.00 25940586 IMITREX INJ 6MG/0.5ML VIAL J3030 40586 $212.00 25940587 NORVASC 5MG TAB 40587 $6.00 25940590 AURALGAN OTIC SOL 10ML 40590 $9.00 25940591 ROCEPHIN INJ 500MG VIAL J0696 J06 96 40591 $93.00 25940593 DOMEBORO OTIC SOLUTION 60ML 40593 $24.00 25940595 XANAX TAB 1MG CONTROLLED 40595 $5.00 25940598 MOTRIN SUSP 100MG/5ML 120ML 40598 $22.00 25940607 FLEETS PHOSPHO SODA 45ML 40607 $7.00 25940608 CASTOR OIL 60ML LIQD 40608 $7.00 25940610 ATARAX TAB 10MG 40610 $5.00 25940611 MINERAL OIL LIGHT STERILE 10ML 40611 $7.00 25940613 LUGOL'S SOLUTIONS 30ML 40613 $5.00 25940615 COCAINE SOLUTION 4% 4ML 40615 $82.00 25940620 VISTARIL CAP/TAB 25MG 40620 $5.00 25940624 DARBEPOETIN ALPHA INJ J0881 $0.00 25940627 DOBUTREX INJ 250MG/250ML PREMX J1250 40627 $66.00 25940628 AMBIEN TAB 5MG 40628 $12.00 25940629 GENTAMICIN INJ 80MG/100ML PREM J1580 40629 $0.00 25940630 FLOVENT INHALER 110MG 40630 $330.00 25940632 AUGMENTIN SUSP 250MG/5ML 5ML D 40632 $12.00 25940633 ISONIAZID TAB 100MG 40633 $5.00 25940640 ATIVAN INJ 2MG/1ML TUBEX J2060 40640 $0.00 25940641 CLARITIN TAB 10MG 40641 $5.00 25940643 BUPRENORPHINE HCL 0.3MG/ML X3 J0592 $0.00 25940646 AMOXICILLN SUSP 250MG/5ML 80ML 40646 $18.00 25940649 NEOMYCIN SULFATE 1ML AMP SOL $0.00 25940652 CONDYLOX nf 3.5ML SOLUTION $0.00 25940656 LUNIGAN 2.5ML SOL $0.00 25940657 DEPO-MEDROL INJ 40MG/1ML J1030 40657 $26.00 25940658 SORBITOL SOL 70% 16OZ 40658 $25.00 25940659 BSSPLAIN OPHTH SOL 500ML 40659 $0.00 25940663 MAGNESIUM SULFATE 2GM/50ML INJ J3475 $0.00 25940664 DILANTIN SUSP 125MG/5ML 60ML 40664 $35.00 25940666 METHERGINE TAB 0.2MG 40666 $5.00 25940670 ATIVAN TABS 1MG 40670 $5.00 25940672 NIZORAL CR 15G 40672 $53.00 25940674 PROSCAR TAB 5MG 40674 $10.00 25940677 METHERGINE INJ 0.2MG/ML AMP 40677 $13.00 25940679 SEREVENT INHALER 40679 $224.00 25940680 FORTAZ 3G VIAL J0713 40680 $96.00 25940681 TILADE INHALER 40681 $261.00 25940686 GLUCOTROL XL TAB 5MG 40686 $5.00 25940687 CLONIDINE HCL 100 MCG/ML INJ J0735 $0.00 25940692 TENORMIN TAB 25MG 40692 $5.00 25940693 DECADRON 4MG/ML INJ J1100 $0.00 25940694 ZEMURON INJ 10MG/ML 5ML VIAL 40694 $0.00 25940695 HYTRIN TAB 5MG 40695 $6.00 25940700 GLUCOTROL XL TAB 10MG 40700 $5.00 25940701 ATROVENT RESP TX J7644 J7644 $6.00 25940702 DEMADEX TAB 20MG 40702 $5.00 25940707 KLONOPIN TAB 0.5MG 40707 $5.00 25940708 ZOFRAN INJ 4MG VIAL J2405 40708 $0.00 25940709 PROVERA TAB 2.5MG 40709 $5.00 25940714 KINEVAC INJ 5MCG VIAL IV J2805 40714 $0.00 25940722 CLEOCIN VAGINAL CREAM APLIC 40722 $175.00 25940723 GENTAMICIN INJ 60MG/50ML PREMI J1580 40723 $12.00 25940725 CLEOCIN INJ 600MG/D5W 50CC PRE 40725 $38.00 25940726 HYGROTON TAB 25MG 40726 $5.00 25940730 IMURAN TAB 50MG J7500 40730 $5.00 25940733 UNASYN INJ 3GRMS J0295 40733 $0.00 25940734 UNASYN INJ 1.5GRAMS J0295 40734 $26.00 25940737 CORDARONE INJ 150MG/3ML J0282 40737 $5.00 25940744 SYNTHROID TAB 0.088MG 40744 $5.00 25940745 LOTENSIN TAB 5MG 40745 $5.00 25940746 MONOPRIL TAB 10MG 40746 $5.00 25940747 ACCUPRIL TAB 10MG 40747 $5.00 25940751 COZAAR TAB 25MG 40751 $6.00 25940752 EFFEXOR TAB 25MG 40752 $5.00 25940753 EFFEXOR TAB 37.5MG 40753 $6.00 25940754 GLUCOPHAGE TAB 500MG 40754 $5.00 25940755 PRECOSE TAB 50MG 40755 $5.00 25940758 MAXAIR AUTOHALER 40758 $256.00 25940760 LAC HYDRIN LOTION 12% 225GRAMS 40760 $65.00 25940761 LEVAQUIN TAB 250MG 40761 $33.00 25940763 LEVBID TAB 3.75MG 40763 $5.00 25940764 MACROBID CAP 100MG 40764 $9.00 25940766 NEURONTIN CAP 800 MG 40766 $0.00 25940767 PAPAVERINE INJ 30MG/ML 10ML 40767 $23.00 25940768 PHENOBARBITAL INJ 65MG/1ML V J2560 40768 $6.00 25940775 TOPAMAX TAB 25MG 40775 $6.00 25940776 TOPAMAX TAB 100MG 40776 $17.00 25940777 UNIVASC TAB 7.5MG 40777 $5.00 25940780 BACITRACIN OINT 15GRM 40780 $0.00 25940781 WELLBUTRIN SR TAB 150MG 40781 $8.00 25940782 WELLBUTRIN SR TAB 100MG 40782 $6.00 25940783 XALANTAN OPH SOL 0.005% 2.5ML 40783 $197.00 25940785 ZITHROMAX INJ 500MG J0456 40785 $99.00 25940786 ZITHROMAX TAB 250MG $28.00 25940791 CAPITAL CODEINE SUSP 60ML 40791 $26.00 25940792 CEFTIN SUSP 250MG/5ML 100ML 40792 $117.00 25940793 COMBIVENT INHALER 40793 $273.00 25940794 DIOVAN CAP 80MG 40794 $6.00 25940795 FLEETS MINERAL OIL ENEMA 40795 $0.00 25940800 BACITRACIN INJ 50,000 UNITS J3490 40800 $0.00 25940804 PHENERGAN WITH CODEINE 60ML 40804 $12.00 25940805 NITRO DUR PATCH 0.1MG 40805 $6.00 25940806 NITRO DUR PATCH 0.2MG 40806 $6.00 25940807 NITRO DUR PATCH 0.3MG 40807 $9.00 25940808 NITRO DUR PATCH 0.4MG 40808 $7.00 25940809 NITRO DUR PATCH 0.6MG 40809 $7.00 25940810 BACTRIM DS TAB 800MG/160MG 40810 $5.00 25940811 PLAVIX TAB 75MG 40811 $15.00 25940812 PRANDIN TAB 0.5MG 40812 $5.00 25940813 RIFAXIMIN 550 MG TAB nf $0.00 25940816 XYLOCAINE/EPI INJ 1% 20ML VIA J2001 40816 $0.00 25940818 XYLOCAINE/EPI INJ 2% 20ML VIA 40818 $0.00 25940819 SCOPALAMINE INJ 0.4MG 1ML 40819 $19.00 25940820 BACTRIM SUSP 800MG/160MG 20ML 40820 $8.00 25940821 XYLOCAINE/EPI 1:2HT INJ 2% 40821 $0.00 25940823 VASOTEC TAB 2.5MG 40823 $5.00 25940825 VERSED INJ 1MG/ML PER 1ML DOSE J2250 40825 $6.00 25940826 DIFLUCAN TAB 100MG 40826 $29.00 25940827 MEROPENEM 1 GM VIAL J2185 $0.00 25940828 NORMODYNE INJ 20MG/4ML SYRINGE J3490 40828 $15.00 25940829 REGLAN INJ 10MG/2ML AMP J2765 40829 $0.00 25940830 BACTRIM INJ 800MG/160MG 10ML 40830 $0.00 25940835 ZYPREXA TAB 5MG 40835 $0.00 25940840 BENADRYL CAP 25MG 40840 $5.00 25940844 MINIBAG D5W 100CC IV J7060 40844 $0.00 25940845 MINIBAG D5W 250CC IV J7060 40845 $0.00 25940848 MINIBAG NSS 100CC 40848 $6.00 25940849 FLOMAX CAP 0.4MG 40849 $8.00 25940850 SILVER NITRATE APPLICATOR 40850 $5.00 25940852 ROBITUSSIN AC SYRUP 10ML 40852 $5.00 25940853 VICOPROFIN TAB 40853 $5.00 25940854 VITAMIN E CAP 400 UNITS 40854 $5.00 25940855 DETROL TAB 1MG 40855 $7.00 25940856 DILANTIN 25 MG/5ML $0.00 25940857 PRODERM SPRAY $0.00 25940858 D5W 50 ML MINI-BAG PLUS $0.00 25940860 CLINIMEX E 4.25% / 25% 2L $0.00 25940862 SALINE NAS GEL W/ALOEVERA 15ML $0.00 25940863 TETRACAINE HCL 0.5% 4ML SIN DO $0.00 25940864 IMMUNE GLOB (HUMAN) 10% 10GM B $0.00 25940865 CHLORHEXIDINE GLUCONATE 0.12% $0.00 25940866 MIDAZOLAM HCL $0.00 25940867 POTASSIUM PHOSPHATE DIBASIC $0.00 25940868 ROPIVACAINE 2MG/ML 20ML SDV $0.00 25940870 BENADRYL INJ 50MG/1ML VIAL J1200 40870 $0.00 25940872 VORICONAZOLE 200MG VIAL NF NS $0.00 25940876 PROCAINAMIDE HCL 100MG/ML 10ML $0.00 25940879 MOXIFLOXACIN HCL 1 MG/ML OPH $0.00 25940881 CLONIDINE HCL 100 MCG/ML 1ML S $0.00 25940882 KETAMINE HCL 10 MG/0.2 ML SYR $0.00 25940883 LIDOCAINE/EPINEPHRINE 1.5%/1:2 $0.00 25940887 ACETYLCYSTEINE 200MG/ML 4ML V $0.00 25940888 HUMALOG INSULIN 75/25 10ML IV 40888 $0.00 25940889 ACETYLCYSTEINE 200 MG/ML 4ML V $0.00 25940890 LANTUS INSULIN 10CC J1815 40890 $219.00 25940891 LEVAQUIN INJ 250MG/50ML PREMIX J1956 40891 $71.00 25940892 LEVAQUIN INJ 500MG/100ML PRE J1956 40892 $0.00 25940894 LOVENOX INJ 80MG J1650 40894 $229.00 25940895 TAMIFLU 30 MG $0.00 25940896 mepivacaine HYDROCHLORIDE 2% $0.00 25940897 APIXABAN TABLETS 2.5MG $0.00 25940899 CEFDINIR 125 MG/5ML BTL NF $0.00 25940900 BENTYL CAP 10MG 40900 $5.00 25940901 PEPCID INJ 20MG/50CC PREMIX J3490 J3490 $14.00 25940904 VALIUM 5MG/1ML $0.00 25940919 ZOSYN INJ 3.375 GRAIMS J2543 40919 $60.00 25941020 BRETHINE 2.5MG TAB 41020 $5.00 25941090 CELESTONE SOLUSPAN INJ 6MG/5ML J0702 41090 $91.00 25941140 CHLORAMPHENICOL 1GM VIAL 41140 $24.00 25941180 BUMEX TAB 1MG 41180 $5.00 25941240 CLEOCIN CAP 150MG 41240 $5.00 25941310 COLACE 100MG CAP 41310 $5.00 25941340 COUMADIN TAB 2MG 41340 $5.00 25941350 COUMADIN 2.5MG 41350 $5.00 25941360 COUMADIN TAB 5MG 41360 $5.00 25941390 CATAPRES TAB 0.1MG 41390 $5.00 25941450 CARDIZEM TAB 30MG 41450 $5.00 25941510 COMPAZINE SUPP 25MG 41510 $0.00 25941570 CORGARD TAB 40MG 41570 $5.00 25941590 CORTISPORIN OTIC SUSP 10ML 41590 $99.00 25941730 DEPO MEDROL 80MG/1ML VIAL J1040 41730 $45.00 25941750 DEXTROSE INJ 50% 50ML SYRINGE 41750 $17.00 25941770 DIABINESE 250MG TAB 41770 $5.00 25941779 DIAMOX TAB 250MG $0.00 25941810 DILANTIN CAP 30MG 41810 $5.00 25941820 DILANTIN INJ 100MG/2ML SYRINGE J1165 41820 $6.00 25941920 DONNATAL ELIXIR 5CC UD 41920 $5.00 25941940 DOPRAM INJ 20MG/ML 20ML VIAL 41940 $313.00 25941990 DULCOLAX 5MG TAB 41990 $5.00 25942080 DOBUTREX INJ 250MG/20ML VIAL J1250 42080 $30.00 25942090 ECOTRIN TAB 325MG 42090 $5.00 25942140 EES 400MG TAB 42140 $5.00 25942160 ERYTHROMYCIN INJ 500MG J1364 42160 $12.00 25942220 ELAVIL TAB 10MG 42220 $5.00 25942270 EPHEDRINE INJ 50MG/1ML VIAL J0171 J0171 $0.00 25942320 FERRO SEQUEL CAPS 42320 $5.00 25942330 FELDENE CAPS 10MG 42330 $5.00 25942390 FLAGYL PREMIX J3490 42390 $0.00 25942430 FLEXERIL TAB 10MG 42430 $5.00 25942440 FOLIC ACID 1MG TAB 42440 $5.00 25942480 GENTAMICIN OPH OINT 3MG/3.5G 42480 $64.00 25942490 GENTAMICIN INJ 20MG/2ML VIAL J1580 42490 $6.00 25942520 GENTAMICIN INJ 80MG/2ML VIAL J1580 42520 $0.00 25942540 GAVISCON FOAM TAB 42540 $5.00 25942580 GLUCAGON INJ 1 UNIT 1ML VIAL J1610 42580 $0.00 25942640 HALDOL 1MG TAB 42640 $0.00 25942650 HALDOL INJ 5G/1ML AMP J1630 42650 $37.00 25942670 GLUCOTROL 10MG TAB 42670 $5.00 25942680 GLUCOTROL 5MG 42680 $5.00 25942740 HEPARIN INJ 1000 UNITS/ML 1ML J1644 42740 $0.00 25942910 BSS OPHTH SOL 15ML 42910 $0.00 25942980 TOBREX OPHTH OINT 42980 $188.00 25943020 HYDROGEN PEROXIDE PT 43020 $0.00 25943080 IBERET FOLIC 500 TAB 43080 $5.00 25943190 INDERAL TAB 10MG 43190 $5.00 25943200 INDERAL TAB 20MG 43200 $5.00 25943220 INDERAL TAB 40MG 43220 $5.00 25943230 INDERAL LA CAP 80MG 43230 $6.00 25943240 INDIGO CARMINE INJ 0.8% 5ML 43240 $0.00 25943250 INDOCIN CAP 25MG 43250 $5.00 25943260 INDOCIN SR CAP 75MG 43260 $7.00 25943320 ISORDIL TAB 20MG 43320 $5.00 25943370 IPECAC SYRUP 43370 $8.00 25943415 MEDROL 4MG TAB J7509 43415 $5.00 25943430 KEFLEX 250MG 43430 $5.00 25943465 MEFOXIN 1GM INJ J0694 43465 $0.00 25943470 LANOXIN INJ 0.5MG/2ML J1160 43470 $8.00 25943475 MEFOXIN 2GM INJ J0694 43475 $0.00 25943485 MEPHYTON TAB 5MG 43485 $5.00 25943500 LASIX TAB 20MG 43500 $5.00 25943505 NITRO BID CAP 2.5MG 43505 $5.00 25943510 LASIX TAB 40MG 43510 $5.00 25943515 NITRO BID CAP 6.5MG 43515 $5.00 25943525 NIZORAL TAB 200MG 43525 $10.00 25943530 LASIX INJ 20MG/2ML VIAL J1940 43530 $0.00 25943535 MYLICON DROPS 40MG/0.6ML 30ML 43535 $0.00 25943540 LASIX INJ 40MG/4ML VIAL J1940 43540 $6.00 25943550 NORMODYNE 100MG TAB 43550 $5.00 25943580 LIBRIUM 5MG CAP CONTROLLEF 43580 $5.00 25943625 NITROGLYCERIN 0.4 MG 25'S 43625 $15.00 25943630 ANCEF INJ 1GRAM VIAL J0690 43630 $0.00 25943660 K-DUR TAB 10MEQ 43660 $5.00 25943665 NORFLEX INJ 60MG/ML 2ML AMP J2360 43665 $73.00 25943680 K-DUR TAB 20 MEQ 43680 $5.00 25943725 NORPACE CR CAP 100MG 43725 $5.00 25943745 NORPRAMIN 25MG TAB 43745 $5.00 25943759 NUBAIN INJ 20MG/ML AMP J2300 43759 $6.00 25943780 LOMOTIL TAB 2.5MG CONTROLLED 43780 $0.00 25943800 LOPRESSOR TAB 50MG 43800 $0.00 25943840 LOZOL 2.5MG TAB 43840 $5.00 25943855 CALCIUM CARB TAB 500MG 43855 $5.00 25943860 MAALOX SUSP 6OZ 43860 $6.00 25943870 MACRODANTIN 50MG CAP 43870 $5.00 25943900 MELLARIL 10MG TAB 43900 $5.00 25943910 MELLARIL 25MG TAB 43910 $5.00 25943940 PENICILLIN VK SUSP 250MG/5ML 43940 $9.00 25943955 PENICILLIN VK TAB 250MG 43955 $5.00 25943960 MINIPRESS CAP 1MG 43960 $5.00 25943980 MINIPRESS CAP 5MG 43980 $5.00 25943995 PEDIAZOLE SUSP 100ML 43995 $40.00 25944010 MOTRIN TAB 400MG 44010 $0.00 25944015 PERSANTINE TAB 75MG 44015 $5.00 25944030 MODURECTIC 5-50 TAB 44030 $5.00 25944035 PERSANTINE TAB 25MG 44035 $5.00 25944095 PHENERGAN TAB 25MG 44095 $5.00 25944100 PITOCIN INJ 10 UNITS/1ML AMP J2590 44100 $10.00 25944125 PARLODEL 2.5MG TAB 44125 $5.00 25944140 PREDNISONE 10MG TAB J7512 $5.00 25944155 PREMARIN 0.625MG TAB 44155 $5.00 25944200 NAPROSYN TAB 250MG 44200 $5.00 25944205 PROCARDIA CAP 10MG 44205 $5.00 25944210 NARCAN INJ 0.4MG/1ML VIAL J2310 44210 $6.00 25944215 PRIMAXIN INJ IV 500MG J0743 44215 $118.00 25944255 SSKI SOLUTION 1G/ML 30ML 44255 $39.00 25944260 TOBRAMYCIN INJ 1.2GM VIAL J3260 44260 $0.00 25944265 PHENERGAN SYRUP 6.25/5ML 5ML 44265 $5.00 25944285 PHENERGAN WITH CODEINE 5ML UD 44285 $5.00 25944405 PHENERGAN INJ 25MG/1ML AMP J2550 44405 $0.00 25944410 RABIES VACCINE IMOVAX 2.5 IU 90676 44410 $663.00 25944490 REGLAN TAB 10MG 44490 $5.00 25944620 SERAX 15MG CONTROLLED 44620 $5.00 25944640 SOLU CORTEF 100MG/2ML VIAL 44640 $0.00 25944650 SOLU MEDROL 125MG/2ML VIAL INJ J2930 44650 $0.00 25944725 PREDNISONE 5MG TAB J7512 $5.00 25944740 SINEQUAN 10MG CAP 44740 $5.00 25944750 SINEQUAN 25MG CAP 44750 $5.00 25944770 SOMA 350MG TAB 44770 $5.00 25944820 SYMMETREL CAP 100MG 44820 $5.00 25944880 STADOL INJ 2MG/1ML VIAL J0595 44880 $24.00 25944915 TAGAMET 300MG TAB 44915 $5.00 25944930 SUFENTA INJ 50MCG/1ML AMP 44930 $12.00 25944945 TAGAMET LIQUID 300MG/5ML 5MLUD 44945 $5.00 25944975 TALWIN NX TAB 50MG 44975 $5.00 25944995 TEGRETOL TAB 200MG 44995 $5.00 25945000 MORPHINE INJ 2MG TUBEX J2270 45000 $0.00 25945010 METHYLENE BLUE INJ 10MG/ML 45010 $0.00 25945025 PERCOCET TABLETS 45025 $5.00 25945030 CODEINE INJ 30MG/2ML CARPUJET J0745 45030 $6.00 25945060 TETRACAINE HCL 2ML DRPETTE 45060 $0.00 25945140 THEODUR TAB 300MG 45140 $5.00 25945240 THYROID 60MG TAB 45240 $5.00 25945340 TIGAN SUPP 100MG PED 45340 $5.00 25945350 TIGAN INJ 200MG/2ML AMP J3250 45350 $0.00 25945360 TOFRANIL 25MG TAB 45360 $5.00 25945390 TYLENOL #3 TAB CODEINE 45390 $5.00 25945580 VIBRAMYCIN CAP 100MG 45580 $5.00 25945610 PROVENTIL TAB 2MG 45610 $5.00 25945620 VIBRAMYCIN INJ 100MG VIAL 45620 $0.00 25945780 XYLOCAINE INJ 100MG/5ML SYR 45780 $0.00 25945790 ZINC OXIDE OINT 20% 30G 45790 $6.00 25945800 ZYLOPRIM TAB 100MG 45800 $5.00 25945821 TRIDIL 50MG INJ VIAL 45821 $0.00 25945822 EPINEPHRINE INJ 1:10000 1MG/10 J0171 45822 $18.00 25945840 ZAROXOLYN TAB 2.5MG 45840 $6.00 25945850 ZAROXOLYN TAB 5MG 45850 $7.00 25945910 PHENERGAN SUPP 25MG 45910 $0.00 25945990 XANAX TAB 0.25MG CONTROLLED 45990 $5.00 25946009 MORPHINE INJ 10MG TUBEX J2270 46009 $6.00 25946015 VALIUM INJ 10MG/2ML SYRINGE J3360 46015 $9.00 25946016 SUBLIMAZE INJ 50MCG/ML 2ML AMP J3010 46016 $7.00 25946030 TRENTAL 400MG TAB 46030 $5.00 25946050 TAGAMET TAB 400MG 46050 $6.00 25946170 NAFCILLIN INJ 2G VIAL 46170 $19.00 25946180 URECHOLINE TAB 5MG 46180 $5.00 25946200 URECHOLINE TAB 25MG 46200 $6.00 25946680 SILVER SULFADIAZINE 20 GM TUBE $0.00 25947003 TYLENOL SUPP 120MG 47003 $5.00 25947005 TYLENOL SUPP 650MG 47005 $0.00 25947006 LANOXIN TAB 0.125MG 47006 $5.00 25947013 ROBINUL INJ 0.2MG/1ML VIAL J7643 47013 $6.00 25947015 CALAN TAB 80MG 47015 $5.00 25947016 VERAPAMIL INJ 5MG/2ML VIAL 47016 $9.00 25947018 CAPOTEN TAB 25MG 47018 $5.00 25947020 TRACRIUM INJ 10MG/ML 10ML VIAL 47020 $0.00 25947023 DERMOPLAST SPRAY 47023 $17.00 25947025 ERYTHROMYCYN OPTH OINT 3.5G 47025 $19.00 25947028 CARAFATE 1G TAB 47028 $5.00 25947030 SINEMET 25/100 TAB 47030 $5.00 25947034 GRANULEX SPRAY 47034 $49.00 25947038 ZINACEF INJ 1.5G VIAL J0697 47038 $0.00 25947042 AZULFIDINE TAB 500MG 47042 $5.00 25947052 MIDCHOL INJ 20MG/2ML VIAL 47052 $0.00 25947056 NEO SYNEPHRINE OPHTH SOL 2.5% 47056 $13.00 25947057 MICRONASE 5MG TAB 47057 $5.00 25947058 AMIDATE INJ 2MG/ML 10ML AMP 47058 $0.00 25947059 INAPSINE INJ 2.5MG/2ML AMP 47059 $6.00 25947061 HYSKON 100ML 47061 $101.00 25947063 AUGMENTIN TAB 250MG 47063 $11.00 25947064 AUGMENTIN TAB 500MG 47064 $14.00 25947065 VALIUM TAB 5MG 47065 $5.00 25947067 DESYREL 50MG TABLET 47067 $5.00 25947074 PHENOBARBITAL TAB 15MG CONTROL 47074 $5.00 25947075 PHENOBARBITAL TAB 30MG CONTROL 47075 $5.00 25947081 CALCIUM CHLORIDE INJ 10% 10ML 47081 $12.00 25947082 CALCIUM GLUCONATE INJ 10% 10ML J0610 47082 $6.00 25947095 XYLOCAINE VISCOUS 2% 30ML UD 47095 $0.00 25947097 GOLYTELY 4 LITERS 47097 $74.00 25947104 HEPARIN INJ 5000 UNITS/ML 1ML J1644 47104 $0.00 25947203 TIMENTIN INJ 3.1G VIAL 47203 $50.00 25947205 SODIUM BICARBONATE 10MEQ/10ML 47205 $13.00 25947218 AMOXICILLIN 500MG CAPS 47218 $5.00 25947226 COLCHICINE 0.6MG TAB 47226 $5.00 25947235 DITROPAN 5MG TAB 47235 $5.00 25947239 HALDOL 5MG TAB 47239 $5.00 25947241 HYDREA 500MG CAP 47241 $5.00 25947245 NAPROSYN 375MG TAB 47245 $5.00 25947246 NOLVADEX 10MG TAB 47246 $8.00 25947247 PARAFON FORTE DSC TAB 500MG 47247 $5.00 25947251 PREDNISONE 20MG TAB J7512 47251 $5.00 25947255 TOFRANIL 10MG TABS 47255 $5.00 25947261 COGENTIN 2MG/2ML AMP J0515 47261 $26.00 25947263 CYANOCOBALMINE INJ 1000MCG J3420 47263 $0.00 25947265 KETALAR INJ 50MG/ML 10ML J3490 47265 $0.00 25947266 LOPRESSOR INJ 5MG/5ML AMP J3490 47266 $0.00 25947276 ZOVIRAX OINTMENT 5% 15G 47276 $318.00 25947283 ZOVIRAX CAP 200MG 47283 $0.00 25947284 SINEMET 10/100 TAB 47284 $5.00 25947286 AFRIN NASAL SPRAY 15ML 47286 $0.00 25947289 DEBROX OTIC DROPS 15ML 47289 $14.00 25947291 QUESTRAN POWDER 4G PKTS 47291 $8.00 25947301 NEOMYCIN 500MG TAB 47301 $7.00 25947304 BRETHINE INJ 1MG/1ML AMP J3105 47304 $104.00 25947305 CAPOTEN TAB 12.5MG 47305 $5.00 25947308 DECADRON 4MG TAB J8540 47308 $0.00 25947317 ZINACEF INJ 750MG J0697 47317 $0.00 25947319 HYPERALIMENTATION (HYPERAL) 47319 $155.00 25947328 ATIVAN 0.5MG TAB CONTROLLED 47328 $5.00 25947330 SOLU CORTEF 250MG/2ML INJ 47330 $14.00 25947332 ROBITUSSIN SYRUP 10ML UD 47332 $5.00 25947333 CATAPRES TTS 1 PATCH 0.1MG 47333 $55.00 25947334 CATAPRES TTS 2 PATCH 0.2MG 47334 $93.00 25947349 TYLENOL CODEINE ELIXIR 5ML 47349 $5.00 25947351 THEODUR 200MG 47351 $5.00 25947352 MAGNESIUM CITRATE 47352 $5.00 25947357 ENLON 10MG/ML INJ 15ML VIAL 47357 $34.00 25947362 VASOTEC TAB 10MG 47362 $5.00 25947364 MEVACOR TAB 20MG 47364 $8.00 25947366 BUSPAR 5MG TAB 47366 $5.00 25947369 THROMBOSTAT KIT 20,000 UNITS 47369 $0.00 25947370 MICRONASE 2.5MG 47370 $5.00 25947371 SOLU MEDROL 40MG/1ML VIAL J2920 47371 $8.00 25947375 PROVENTIL RESP TX 47375 $0.00 25947376 PEPCID 20MG INJ 2ML VIAL J3490 47376 $6.00 25947384 TEKTURNA 150MG TABLET $0.00 25947385 CARVEDILOL 20 MG CAP CR $0.00 25947386 CIPRO TAB 500MG 47386 $17.00 25947387 PROMETHAZINE HYDROCHLORIDE12.5 $0.00 25947392 OXYCODONE HCOL 15MG TER (OXYCO $0.00 25947394 ACETIC ACID 1000 ML PLCT $0.00 25947395 FORTAZ 1GM J0713 47395 $48.00 25947396 SODIUM BICARBONATE 10ML PED SY $0.00 25947397 CEFTIN 250MG TAB 47397 $14.00 25947398 TETANUS IMMUNE GLOBULIN 250 U 90389 90389 $411.00 25947401 CIPRO TAB 250MG 47401 $14.00 25947402 ROCEPHIN INJ 2GM VIAL J0696 J06 96 47402 $314.00 25947404 MEXITIL CAP 150MG 47404 $6.00 25947414 NEOSYNEPHRINE INJ 10MG/1ML V J2370 47414 $6.00 25947417 PROZAC CAPSULE 20MG 47417 $9.00 25947418 VASOTEC INJ 2.5MG/1ML VIAL 47418 $37.00 25947420 PRINIVIL TAB 10MG 47420 $5.00 25947421 PEPCID 20MG TAB 47421 $6.00 25947422 HYTRIN TAB 1MG 47422 $6.00 25947424 LOPID TABS 600MG 47424 $5.00 25947430 CARDIZEM SR CAP 90MG 47430 $5.00 25947434 CARDIZEM CD CAP 120MG 47434 $5.00 25947438 TOBRADEX OPHTH SUSP 2.5ML 47438 $104.00 25947439 TOBRADEX OPHTH OINT 3.5G 47439 $0.00 25947450 ROCEPHIN INJ 1G VIAL J0696 J06 96 47450 $0.00 25947456 EFUDEX CREAM 5% 25G 47456 $373.00 25947459 CEFTIN 500MG TAB 47459 $26.00 25947460 CARDIZEM SR CAP 60MG 47460 $5.00 25947461 DIPRIVAN INJ 200MG/20ML AMP J2704 47461 $0.00 25947463 PROCARDIA XL TAB 30MG 47463 $7.00 25947467 AXID CAPSULE 150MG 47467 $8.00 25947469 VANCOMYCIN INJ 1G VIAL J3370 47469 $0.00 25947471 SOLUMEDROL INJ 500MG/4ML VIAL 47471 $36.00 25947475 DOPAMINE INJ 400MG/25OML D5W J1265 47475 $38.00 25947487 AZMACORT INHALER 47487 $340.00 25947490 TESSALON PERLE CAP 100MG 47490 $5.00 25947492 MEGACE TAB 40MG 47492 $5.00 25947493 TENEX TAB 1MG 47493 $5.00 25947494 AMPICILLIN INJ 2G VIAL J0290 47494 $0.00 25947504 DEXTROSE 500 ML BAG $0.00 25947505 PAMIDRONATE DISODIUM 30 MG INJ $0.00 25947506 PROPYLTHIOURACIL 50 MG TAB $0.00 25947507 PERMETHRIN TUBE $0.00 25947509 MORPHINE HCL 5 MG/ML INJ J2270 $0.00 25947511 SIMVASTATIN 10 MG TAB $0.00 25947512 METRONIDAZOLE 0.75% TUBE CREAM $0.00 25947514 OXYCODONE HCL 20MG/ML SOL $0.00 25947516 BUDESONIDE 0.5MG/2ML ML J7626 $0.00 25947518 MECLIZINE HCL 12.5MG TAB J8597 $0.00 25947519 ALBUMIN HUMAN 100 ML VIAL $0.00 25947520 DAPSONE 100 MG TAB $0.00 25947521 LOPINAVIR/RITONAVIR 80MG/20ML $0.00 25947522 LAMIVUDINE 300 MG TAB $0.00 25947523 DIDANOSINE 250 MG CAP $0.00 25947524 OSELTAMIVIR PHOSPHATE 12 MG/ML $0.00 25947527 ALBUTEROL 8.5 GM INH $0.00 25947528 SODIUM BICARBONATE 50 ML SOL $0.00 25947529 ULORIC 40MG TAB $0.00 25947530 SODIUM HYALURONATE SYR $0.00 25947531 FLAVOXATE HCL 100 MG TAB $0.00 25947532 TROPICAMIDE 0.5% 15 ML BTL $0.00 25947534 ACETYLCYSTEINE 200 MG/ML VIAL $0.00 25947535 INSULIN ASPART 3 ML SYR J1815 $0.00 25947537 VAPRISOL 20MG IN 100ML D5W $0.00 25947539 COLLAGENASE TUBE 15 GRAM $0.00 25947541 THIORIDAZINE HCL 100 MG TAB $0.00 25947542 AMIODARONE HCL 50MG/ML 3ML SYR $0.00 25947543 MEPERIDINE HCL 25 MG/ML SYR J2175 $0.00 25947544 PRIMIDONE 250 MG TAB $0.00 25947546 UROXATRAL 10MG $0.00 25947547 CASTELLANI PAINT 30ML $0.00 25947548 CINACALCET 30 MG TAB $0.00 25947549 PIPERACILLIN SODIUM/TAZOBACT J2543 $0.00 25947550 POLYETHYLENE GLYCOL 4.1 OZ $0.00 25947551 DEXTROSE 1000ML BAG $0.00 25947552 ESTERIFIED ESTROGENS/METHYLT 1 $0.00 25947553 ETODOLAC 400 MG TAB $0.00 25947554 METHOHEXITAL SODIUM 500MG VIAL $0.00 25947555 DEXTROSE 50 ML BAG $0.00 25947556 MINOCYCLINE HCL 50 MG CAP $0.00 25947557 PARNATE 10 MG TAB $0.00 25947558 CLINDAMYCIN HCL 600 MG VIAL $0.00 25947559 DUODERM SIGNAL 4X4 $0.00 25947560 DUODERM CGF SPOT $0.00 25947561 STRATTERA 40 MG CAP $0.00 25947562 ARIPIPRAZOLE 2 MG TAB $0.00 25947563 FLUCONAZOLE 50 ML BTL $0.00 25947564 DEXTROSE 25% 10 ML SYR $0.00 25947565 AQUACELAG 4X4.7 $0.00 25947566 LIOTHYRONINE SODIUM 25 MCG TAB $0.00 25947567 HYDROPHILIC BASE TUBE $0.00 25947568 AQUACEL 2X2 $0.00 25947569 LOSARTAN POTASSIUM 50 MG TAB $0.00 25947570 AQUACEL 4X4 $0.00 25947573 GLYCOPYRROLATE 1 MG TAB $0.00 25947574 MINERAL OIL ENEMA135 ML BTL $0.00 25947575 MULTAQ 400 MG TAB $0.00 25947576 SAMSCA 15MG $0.00 25947577 ANAGRELIDE HYDROCHLOR 0.5 CAP $0.00 25947579 ACYCLOVIR 800 MG TAB $0.00 25947580 TOVIAZ 4MG TABLET $0.00 25947583 BUDESONIDE/FORMOTEROL INH $0.00 25947584 AQUACEL AG 0.75X18 $0.00 25947586 DILTIAZEM HCL 240MG CAP CD $0.00 25947588 DEXTROSE 5%/SOD CHLORIDE 0.45% J7060 $0.00 25947589 LIVALO 4 MG TAB $0.00 25947590 ENOXAPARIN SODIUM 100MG/ML SYR J1650 $0.00 25947591 HYDROMORPHONE/HYDROCLORIDE 10M $0.00 25947592 GATIFLOXACIN (ZYMAXID) 0.5% $0.00 25947595 FLECAINIDE ACETATE 50 MG TAB $0.00 25947596 FENTANYL 12 MCG/HR PATCH $0.00 25947597 HYDROCADONE/ACETAMINO 5/325 TB $0.00 25947598 POTASIUM CHLORIDE 40 MEQ 30ML $0.00 25947599 HYDROCADONE/ACETAMIN 7.5/325 T $0.00 25947603 DANTROLENE SODIUM 100 MG CAP $0.00 25947604 TORSEMIDE 10 MG/ML VIAL $0.00 25947606 MORPHINE SULFATE 4 MG/ML SYR J2270 $0.00 25947608 NAFCILLIN SOD 1 GM VIAL $0.00 25947611 BYSTOLIC 5 MG TAB $0.00 25947613 SULFACET SOD/PREDNIS SODPHOS 5 $0.00 25947614 CLARITIN-D 12 HR $0.00 25947615 NUCYNTRA 50 MG TAB $0.00 25947617 LIVALO 2 MG TAB $0.00 25947618 PRISTIQ 50 MG TAB $0.00 25947619 LIDOCAINE HCL 1% 20 ML $0.00 25947622 VIGAMOX 0.5% 3ML IV J2280 $0.00 25947623 METRONIDAZOLE 500 MG TAB $0.00 25947624 IMMUNE GLOBULIN 12 GM PDS $0.00 25947625 ONGLYZA 2.5 MG TAB $0.00 25947626 VITAMIN B COMPLEX 1 TAB $0.00 25947627 TRAMADOL HCL 50 MG TAB $0.00 25947628 MICONAZOLE NITRATE 45 GM TUBE $0.00 25947629 MORPHINE SULFATE 10MG/5ML $0.00 25947630 PRADAXA 75 MG CAP $0.00 25947631 ACETAMINOPHEN 325 MG TAB $0.00 25947632 ACETYLCYSTEINE 100 MG/ML 10 VL $0.00 25947633 LEVOTHYROXINE SODIUM 25 MCG TB $0.00 25947634 HEPARIN SODIUM 100 UNIT/ML SYR J1644 $0.00 25947635 ACETAMINOPHEN 1000MG/100ML VAL J0131 $0.00 25947636 DESMOPRESSIN ACETATE 0.1 MG TB $0.00 25947637 DILTIAZEM HCL 5MG/ML VIAL 25ML $0.00 25947638 ACETYLCYSTEINE 6000MG/30MLVIAL $0.00 25947640 MORPHINE SULFATE 1MG/ML 30ML J2270 $0.00 25947642 ISOSULFAN BLUE 1% 5ML VIAL Q9968 $0.00 25947643 PHENYLEPHRINE HYDROCLORIDE 2.5 $0.00 25947644 PREDNISOLONE 5MG/5ML SOL J7510 $0.00 25947645 LIPASE/AMYLASE/PROTEASE 24000 $0.00 25947647 LORATADINE 5 MG/5ML LIQ $0.00 25947648 FORMOTEROL FUMARATE 20MCG/2ML J7606 $0.00 25947649 ZINC SULFATE 50 MG TAB $0.00 25947650 GLYCOPYRROLATE 0.2MG/ML 1MLVIA $0.00 25947651 TDAP 90715 $0.00 25947652 BENZOCAINE/TETRACAINE/BUTAMBEN $0.00 25947655 BUPIVACAINE/EPINEPHRINE 0.5% $0.00 25947657 K-PHOS (MF) $0.00 25947658 CELEBREX 200 MG CAP $0.00 25947659 MARICAINE 0.75% PF $0.00 25947660 GENTAMICIN/SOD CHL 100MG/50ML J1580 $0.00 25947662 BRIMONIDINE TARTRATE 5ML 0.15% $0.00 25947685 MOMETASONE FUROATE AERP $0.00 25947686 AZILECT 1 MG $0.00 25947704 ETHYL CHLORIDE SPRAY $0.00 25947707 SITAGLIPTIN PHOSPHATE 50MG TAB $0.00 25947715 OCTREOTIDE ACETATE 500 MCG INJ $0.00 25947740 EUFLEXA $0.00 25947741 DAPTOMYCIN 500 MG VIAL J0878 $0.00 25947746 ZOSYN 3.375 GM VIAL J2543 $0.00 25947749 CIPRO IV 200MG/100ML BAG $0.00 25947750 CIPRO 250MG TAB $0.00 25947751 FOLIC ACID 1MG TAB $0.00 25947752 NIASPAN 500MG TABCR $0.00 25947753 MILK OF MAG 30ML CUP $0.00 25947756 FENTANYL 100MG/2ML AMPS J3010 $0.00 25947757 GLUCOSE 4GM TAB $0.00 25947759 D5 1/2 NS 20K J7070 $0.00 25947760 D5 1/2 NS 40K $0.00 25947762 METRONIDAGOLE 250MG TAB $0.00 25947763 OLMESARTAR 20MG $0.00 25947764 PAXIL 20MG TAB $0.00 25947765 ALLOPURIVAL 300MG TAB $0.00 25947766 SENNA 8.6MG TAB $0.00 25947768 ZYRTEC D 12 HR $0.00 25947773 METHYLCELLULOSE 500 MG TAB $0.00 25947774 PROPOFOL 10MG/ML 100ML VAIL $0.00 25947775 CEFAZOLIN/DEXTROSE 2GM/50ML BG J0690 $0.00 25947776 BACITRACIN PKT $0.00 25947777 LEVALBUTEROL HCL HFA INHALLER $0.00 25947779 CARVEDILOL-CR 10 MG CAP $0.00 25947780 CARVEDILOL-ER 40MG CAP $0.00 25947781 ZIPRASIDONE 20 MG VIAL J3486 $0.00 25947783 GALANTAMINE HYDROBROMIDE 8MG T $0.00 25947784 HYDRALAZINE HCL 25 MG TAB $0.00 25947791 ROCEPHIN 1 GM D5W J0696 $0.00 25947792 KEFLEX SUSP BY ML $0.00 25947793 LOTRISONE 15 GM $0.00 25947800 KETOROLAC TROMETHAMINE 30 MG J1885 $0.00 25947803 METHADONE 10MG TAB $0.00 25947805 KCL 40MEQ IN NS 1000ML $0.00 25947806 CARAFATE 1GM 10ML CUP $0.00 25947808 SODIUM CHLORIDE 0.9% 100ML BG $0.00 25947809 ENOXAPARIN SODIUM 60MG/0.6 SYR $0.00 25947811 PHENYTOIN SODIUM 100 MG CAP $0.00 25947812 ACYCLOVIR 200 $0.00 25947816 ASCORBIC ACID 500 MG TAB $0.00 25947817 ATROPINE SULFATE 0.1MG/ML J0461 $0.00 25947819 BETAMETHASONE VAL 15GM CREAM $0.00 25947827 BUPIVACAINE/EPINEPHRINE 30ML V $0.00 25947830 CELLCEPT 250MG CAP J7517 $0.00 25947832 CHLORAMPHENICOL 1GM INJ J0720 $0.00 25947833 CHLOROPROCAINE HCL 3% 20ML J2400 $0.00 25947834 CHLOROPROMAZINE 25MG TAB $0.00 25947835 CHLORPROMAZINE 25MG/ML INJ $0.00 25947836 CLARITHROMYCIN 250MG/5ML 50CC $0.00 25947839 CLOTRIMAZOLE VAGINAL CR $0.00 25947844 GLATIRAMER ACETATE 20MG INJ J1595 $0.00 25947846 CYCLOPENTOLATE HCL 1% 2ML $0.00 25947851 DESMOPRESSIN ACETATE 4MCG/ML J2597 $0.00 25947852 DEXAMETHASONE SODIUM PHOS 10MG $0.00 25947854 DEXTROSE 5% SOD CHLORIDE 0.9 J7042 $0.00 25947858 DILTIAZEM HCL 300MG CAP $0.00 25947860 DIVALPROEX SODIUM 125MG CAP $0.00 25947861 ENTACAPONE 200MG TAB $0.00 25947862 ERYTHROMYCIN 250 MG TABEC $0.00 25947865 ETANERCEPT 25MG INJ J1438 $0.00 25947868 FAT EMULSION IV 250 ML BAG $0.00 25947872 FLUTICASONE PROPIONATE AERO $0.00 25947877 GABAPENTIN 800 MG TAB $0.00 25947879 GENTAMICIN SULFATE 3MG/ML BTL $0.00 25947880 HUMULIN-R INSULIN 100UNIT/ML V J1815 $0.00 25947883 INSULIN HUM NPH 100 UNIT/MLSYR J1815 $0.00 25947885 KETOROLAC TROMETHAMINE 3 ML $0.00 25947886 KETOTIFEN OPL 5ML $0.00 25947889 LIDOCAINE HCL 4% 5ML MPF AMP J2001 $0.00 25947903 PHENYLEPHRINE HYDROCHLOR 15ML $0.00 25947905 OFLOXACIN 0.3% OPHTH 5 ML SOL $0.00 25947915 PIOGLITAZONE HCL 15MG TAB $0.00 25947916 PIOGLITAZONE HCL 45MG TAB $0.00 25947918 PREDNISOLONE ACETATE 1% 5ML BT $0.00 25947920 PREGABALIN 50 MG CAP $0.00 25947923 PROPOFOL 10 MG/ML 50ML VIAL J2704 $0.00 25947925 BETAMETHASONE 80MCG INH $0.00 25947927 RANITIDINE HCL 150MG/10ML LIQ $0.00 25947929 RIVASTIGMINE TARTRATE 4.6 PTCH $0.00 25947932 SILVASORB GEL 44.4 ML TUBE $0.00 25947934 PROGRAF 1MG CAP J7507 $0.00 25947937 TETRACAINE HCL 15ML BTL 0.5% $0.00 25947942 TYGACIL 50MG INJ J3243 $0.00 25947944 VERAPAMIL HCL 240MG TAB $0.00 25947946 VERSIVA XC 4X4 $0.00 25947950 XYLOCAINE MPF 1.5% 10 ML $0.00 25947951 ASA/CAFF/BUT 325/50/40MG CAP $0.00 25947952 BUPIVACAINE 0.5% 30ML $0.00 25947958 SUMATRIPTAN SUCCINATE 50MG TAB $0.00 25947963 DEXTROSE 5% / LR 1000 $0.00 25947967 INSULIN HUMAN ISOPHAN REG $0.00 25947969 BENZOCAINE/MENTHOL (CEPACOL) $0.00 25947971 REFRESH PM OCULAR LUB $0.00 25947975 LEVETIRACETAM 500MG/5ML INJ J1953 $0.00 25947976 VITAMIN D 400 IU TAB $0.00 25947978 SODIUM CHLORIDE 0.45% 1000ML $0.00 25947998 ARICEPT 10 MG TAB $0.00 25948001 FLUCONAZOLE 200MG/100ML IV $0.00 25948002 GENTAMICIN 100MG/100ML SOD CHL $0.00 25948003 METHYLPREDNISOLONE ACE 40MG/ML $0.00 25948004 GLIPIZIDE 2.5 MG CTRLD RELEASE $0.00 25948006 MIDAZOLAM HCL 5MG/ML 2ML J2250 $0.00 25948007 DEXTROSE 100 ML MINI/NO ADAPT $0.00 25948008 SODIUM CHLORIDE 0.9% 100ML BAG $0.00 25948010 ENOXAPARIN SODIUM 60MG/.6 SYR J1650 $0.00 25948011 PSYLLIUM 1 EA PACK $0.00 25948012 PHENYTOIN SODIUM 100 MG CAP $0.00 25948013 BUTALBITAL/ACETAMIN/CAFFEINE $0.00 25948015 ISOSORBIDE DINITRATE 5 MG TAB $0.00 25948016 CEPHALEXIN 50MG/1ML SUSP $0.00 25948017 CEFOXITIN SOD 1GM/50ML J0694 $0.00 25948018 CEFOXITIN SOD 2 GM/50ML BAG J0694 $0.00 25948021 CALCIUM CARBONATE/VIT D 1 TAB $0.00 25948023 BETHANECHOL CHL 25 MG TAB $0.00 25948025 TAMOXIFEN CITRATE 10 MG TAB $0.00 25948026 ACYCLOVIR 500MG VIAL J0133 $0.00 25948028 CLINIMIX E 4.25/25 1000ML TPN $0.00 25948030 PHENYLEPHRINE HYDROCHLOR 0.5% $0.00 25948036 DUODERM EXTRA THIN 2X4 DRESSIN $0.00 25948039 VESICARE 5MG TABLET $0.00 25948042 RABIES IMM GLOBULIN 150IU/ML 2 90375 $0.00 25948044 KETOROLAC THROMETHAMINE 15MG V J1885 $0.00 25948045 XARELTO 20 MG TAB $0.00 25948912 XANAX TAB .5MG CONTROLLED 48912 $5.00 25949022 ATROPINE SULFATE 5ML OPTH SOLN $0.00 25949236 CALCIUM ACETATE 667 MG CAP $0.00 42097535 ADLS/HOME INSTRUCTION (15 MIN) 97535 $79.00 99900002 PHARMACY SUPPLY $0.00 259474502 FERROUS SULFATE 65MG/ML LIQ $0.00 2701033 NEEDLE SPINAL 27x5 WHITACRE $11.00 25800158 IV SOL 0.9% NS 50 ML $5.00 27000891 TUBE ENDO RAE NASAL CUFFED 6.0 $19.00 27000892 TUBE ENDO RAE NASAL CUFFED 7.0 $19.00 27000893 TUBE ENDO RAE NASAL CUFFED 7.5 $19.00 27000894 TUBE ENDO RAE NASAL CUFFED 6.5 $19.00 27001444 ELECTRODE TRANSVENOUS PACING $414.00 27001873 TUBE ENDO RAE ORAL UNCUFF 3.0 $19.00 27001876 TUBE ENDO RAE ORAL UNCUFF 3.5 $19.00 27001878 TUBE ENDO RAE ORAL UNCUFF 4.0 $19.00 27001880 TUBE ENDO RAE ORAL UNCUFF 4.5 $19.00 27001882 TUBE ENDO RAE ORAL UNCUFF 5.0 $11.00 27001884 TUBE ENDO RAE ORAL UNCUFF 5.5 $10.00 27001885 TUBE ENDO RAE ORAL UNCUFF 6.0 $10.00 27001887 TUBE ENDO RAE ORAL UNCUFF 6.5 $11.00 27001888 TUBE ENDO RAE ORAL UNCUFF 7.0 $11.00 27001889 TUBE ENDO RAE ORAL CUFFED 7.0 $17.00 27001890 TUBE ENDO RAE ORAL CUFFED 6.5 $17.00 27001891 TUBE ENDO RAE ORAL CUFFED 6.0 $17.00 27001892 TUBE ENDO RAE ORAL CUFFED 7.5 $19.00 27001893 TUBE ENDO RAE ORAL CUFFED 8.0 $19.00 27003310 SET IV EXTENSION W/STOPCOCK $8.00 27003335 ANES BREATHING BAG LATEX FREE $7.00 27003494 SADDLE BLOCK EPINEPHRINE $38.00 27004087 NEEDLE SPINAL 22X31/2 WHITACRE $6.00 27005094 TUBING FLUID WARMING SET $50.00 27005095 CONNECTOR FLEXIBLE $6.00 27005096 NEEDLE SPINAL 25x3.5 QUINCKE $6.00 27005097 TUBE ENDO RAE NASAL/UNCUFF 3.0 $10.00 27005098 TUBE ENDO RAE NASAL/UNCUFF 3.5 $10.00 27005099 TUBE ENDO RAE NASAL UNCUFF 4.0 $10.00 27005100 TUBE ENDO RAE NASAL UNCUFF 4.5 $10.00 27005101 TUBE ENDO RAE NASAL UNCUFF 5.0 $10.00 27005103 NEEDLE INSULA STIMPLEX 22X4.75 $49.00 27005863 MCGRATH LARANGOSCOPE BLADE $29.00 27011019 CATHETER AR MULTILUMEN 7FR KIT $261.00 27011020 CATHETER SWAN GANZ 7 FR $135.00 27012790 NEEDLE SPINAL 25x5 WHITACRE $21.00 27030143 MASK - LARYNGEAL ALL SIZES $55.00 27210012 ESOPHAGEAL STEHOSCOPE W/THERM $10.00 37000601 DESFLURANE PER MINUTE $4.00 37000692 FORANE PER MINUTE $4.00 37002445 SERVO-ULTANE PER MINUTE $4.00 37014007 TEMP STRIPS ANESTHESIA 14007 $10.00 37020001 GENERAL ANES PER 30 MIN $375.00 37020002 MAC/IVGA ANES PER 30 MIN $321.00 37020003 SPINAL ANES $348.00 37020004 PAIN BLOCK $348.00 37020005 EPIDURAL ANES $348.00 73014005 CARDIAC MONITOR ANESTHESIA 93041 930 41 14005 $68.00 27005215 CATHETER KIT CLOSED SUCTION 16 $32.00 27005216 CATHETER KIT CLOSED SUCTION 14 $41.00 27011330 RESUSCITATOR INFANT AMBU W/PRV $32.00 27011331 RESUSCITATOR PEDS AMBU W/PRV $29.00 27012355 MINISPACER (METERED DOSE INH) 12355 $9.00 27012361 VENTILATOR H20 BAG 12361 $10.00 27012362 VENTILATOR CHAMBER 12362 $37.00 27012364 VENTILATOR BODAI 12364 $10.00 27012694 JET NEBULIZER 12694 $8.00 27012769 HEADSTRAP - RT 12769 $22.00 27012770 VENTILATOR CIRCUIT T-BIRD 12770 $36.00 27030011 OXYGEN THERAPY UNITS PER HOUR 30011 $9.00 27030023 CANNULA NASAL OXYGEN 30023 $18.00 27030024 BOTTLE OXYGEN HUMIDIFIER 30024 $15.00 27030025 MASK OXYGEN 30025 $19.00 27030026 TUBING OXYGEN SUPPLY 30026 $15.00 27030027 VENTURI MASK 30027 $24.00 27030028 OXYGENATOR BLOW-BY 30028 $13.00 27030029 TUBING AEROSOL 30029 $8.00 27030030 T-ADAPTER 30030 $15.00 27030035 NEBULIZER SETUP SUPPLIES 30035 $12.00 27030036 NON-REBREATHER MASK 30036 $26.00 27030037 MASK AEROSOL 30037 $15.00 41092950 RT CPR 92950 $605.00 41094640 INHALATION INITIAL TREATMENT 94640 946 40 94640 $76.00 41094656 MECHANICAL VENT INITIAL INSTAL 94002 940 02 94002 $847.00 41094657 MECHANICAL VENT SUB./DAY 94003 946 57 94657 $796.00 41094660 CPAP/BIPAP 94660 946 60 94660 $351.00 41094664 DEMO/EVAL PT UTIL AEROSOL GEN 94664 946 64 94664 $52.00 41094667 CPT/POSTURAL DRNGE INT W PEP 94667 94667 $412.00 41094668 CPT/POSTURAL DRNGE SUB W PEP 94668 94668 $131.00 41094799 PULMONARY SERVICE/PROCEDURE 94799 $403.00 46094010 PFT-SPIROMETRY 94010 940 10 94010 $180.00 46094060 PFT PRE/POST BD COMPLETE 94060 940 60 94060 $262.00 46094240 PFT-FRC 94727 947 27 94727 $202.00 46094720 PFT-SBD 94729 947 29 94720 $297.00 46094760 PULSE OXIMETER 1 DETERMINATION 94760 947 60 94760 $21.00 46094761 PULSE OX WITH EXERCISE 94761 947 61 94761 $131.00 99994010 PFT SIMPLE SPIROMETRY 94010 $51.00 4109464076 SUBSEQUENT INHALATION TREATMNT 94640 946 40 94640 $76.00 420G0283 ELECTRICAL STIMULATION/HVGS G0283 T10 15 $83.00 420G8427 DOC CUR MEDS BY PROVIDER G8427 $1.00 420G8730 PAIN DOC POS AND PLAN G8730 $1.00 420G8978 MOBILITY CURRENT STATUS G8978 $1.00 420G8979 MOBILITY GOAL G8979 $1.00 420G8980 MOBILITY DISCHARGE G8980 $1.00 420G8981 CHANGE/MAINTAIN POS CURRENT G8981 $1.00 420G8982 CHANGE/MAINTAIN POS GOAL G8982 $1.00 420G8983 CHANGE/MAIN POS DISCHARGE G8983 $1.00 420G8984 CARRY/MOVE OBJ CURRENT G8984 $1.00 420G8985 CARRY/MOVE GOAL G8985 $1.00 420G8986 CARRY/MOVE DISCHARGE G8986 $1.00 420G8987 SELF CARE CURRENT G8987 $1.00 420G8988 SELF CARE GOAL G8988 $1.00 420G8989 SELF CARE DISCHARGE G8989 $1.00 420G8990 OTHER PT PRIMARY CURRENT G8990 $1.00 420G8991 OTHER PT PRIMARY GOAL G8991 $1.00 420G8992 OTHER PT PRIMARY DISCHARGE G8992 $1.00 420G8993 OTHER PT SUBSEQUENT CURRENT G8993 $1.00 420G8994 OTHER PT SUBSEQUENT GOAL G8994 $1.00 420G8995 OTHER PT SUBSEQUENT DISCHARGE G8995 $1.00 25049349 TUBERCULIN PPD 5 UNITNIT/0.1ML 86580 $0.00 27016419 UNLISTED PT SUPP/EDUCAT MAT 16419 $0.00 42018007 DEBRIDEMENT MEDIUM 97602 976 02 18007 $121.00 42064550 SURFACE NEUROSTIMULATOR (TENS) 64550 T10 15 64550 $166.00 42097010 COLD/HOT PACKS 97010 T10 15 97010 $69.00 42097012 TRACTION MECHANICAL 97012 T10 15 97012 $99.00 42097014 ELECTRICAL STIMULATION / HVGS 97014 T10 15 97014 $83.00 42097016 JOBST UNIT (VASOPNEUMATIC DVC) 97016 T10 15 97016 $117.00 42097018 PARAFFIN BATH 97018 T10 15 97018 $95.00 42097022 WHIRLPOOL THERAPY 97022 T10 15 97022 $110.00 42097032 ELECTRICAL STIM EA 15 MIN 97032 T10 15 97032 $93.00 42097033 IONTO/PHONO PHORESIS 15 MIN 97033 T10 15 97033 $101.00 42097034 CONTRAST BATH EACH 15 MIN 97034 T10 15 $89.00 42097035 ULTRASOUND/US-HVGS (15 MIN) 97035 T10 15 97035 $85.00 42097039 UNLISTED PT MODALITY EA 15 MIN 97039 T10 15 97039 $79.00 42097110 EXERCISE PT (THER ROOM)15 MINS 97110 T10 15 42097 $122.00 42097112 BALANCE/COORDINATION EA 15 MIN 97112 T10 15 97112 $110.00 42097113 AQUA THERAPY PT 15 MIN 97113 T10 15 $100.00 42097116 GAIT TRAINING EACH 15 MIN 97116 T10 15 97116 $93.00 42097124 MASSAGE FRICT/EFFLEURAGE 15MIN 97124 T10 15 97124 $85.00 42097139 PT UNLISTED THER PROC 97139 T10 15 97139 $79.00 42097140 MANUAL THERAPY (15 MIN) 97140 T10 15 97140 $91.00 42097150 GROUP THERAPEUTIC PROCEDURES 97150 $43.00 42097161 PT EVAL LOW COMPLEX 20 MIN 97161 T10 15 $199.00 42097162 PT EVAL MOD COMPLEX 30 MIN 97162 T10 15 $199.00 42097163 PT EVAL HIGH COMPLEX 45 MIN 97163 T10 15 $199.00 42097164 PT RE-EVAL EST PLAN CARE 97164 T10 15 $135.00 42097240 AQUATIC THER EXERCISE 15 MIN 97113 T10 15 97240 $100.00 42097250 MYOFASCIAL RELEASE/SOFT TISSUE 97140 T10 15 97250 $91.00 42097530 THERAPEUTIC ACTIVITY 15 MIN 97530 T10 15 97530 $89.00 42097545 WORK HARDENDING-INIT 2 HRS 97545 $407.00 42097546 WORK HARDENDING ADL HRS 97546 $204.00 42097703 CHECKOUT PROS/ORTHO/ADL 15 MIN 97750 T10 15 97703 $127.00 42097750 FUNC CAPACITY EVAL 15 MINS 97750 T10 15 $127.00 42097752 BIODEX EVAL 15 MIN 97750 T10 15 97752 $127.00 42097799 PT/OT UNLISTED PROC 97799 T10 15 97799 $67.00 42099070 STEROIDAL CREAM - 1 TIME CHRG $29.00 42397150 PT - GROUP THERAPY 97150 $68.00 440G8978 MOBILE/WALK CURRENT G8978 $1.00 440G8979 MOBILE/WALK GOAL G8979 $1.00 440G8980 MOBILE/WALK DISCHARGE G8980 $1.00 440G8981 CHANGE/MAINTAIN POS CURRENT G8981 $1.00 440G8982 CHANGE/MAINTAIN POS GOAL G8982 $1.00 440G8983 CHANGE/MAINTAIN POS DISCHARGE G8983 $1.00 440G8984 CARRY/MOVE CURRENT G8984 $1.00 440G8985 CARRY/MOVE GOAL G8985 $1.00 440G8986 CARRY/MOVE DISCHARGE G8986 $1.00 440G8987 SELF CARE CURRENT G8987 $1.00 440G8988 SELF CARE GOAL G8988 $1.00 440G8989 SELF CARE DISCHARGE G8989 $1.00 440G8990 OTHER PT/OT PRIMARY CURRENT G8990 $1.00 440G8991 OTHER PT/OT PRIMARY GOAL G8991 $1.00 440G8992 OTHER PT/OT PRIMARY DISCHARGE G8992 $1.00 440G8993 OTHER PT/OT SUBS CURRENT G8993 $1.00 440G8994 OTHER PT/OT SUBS GOAL G8994 $1.00 440G8995 OTHER PT/OT SUBS DISCHARGE G8995 $1.00 440G8996 SWALLOWING CURRENT G8996 $1.00 440G8997 SWALLOWING GOAL G8997 $1.00 440G8998 SWALLOWING DISCHARGE G8998 $1.00 440G8999 MOTOR SPEECH CURRENT G8999 $1.00 440G9158 MOTOR SPEECH DISCHARGE G9158 $1.00 440G9159 SPOKEN LANG COMP CURRENT G9159 $1.00 440G9160 SPOKEN LANG COMP GOAL G9160 $1.00 440G9161 SPOKEN LANG COMP DISCHARGE G9161 $1.00 440G9162 SPOKEN LANG EXPRESS CURRENT G9162 $1.00 440G9163 SPOKEN LANG EXPRESS GOAL G9163 $1.00 440G9164 SPOKEN LANG EXPRESS DISCHARGE G9164 $1.00 440G9165 ATTENTION CURRENT G9165 $1.00 440G9166 ATTENTION GOAL G9166 $1.00 440G9167 ATTENTION DISCHARGE G9167 $1.00 440G9168 MEMORY CURRENT G9168 $1.00 440G9169 MEMORY GOAL G9169 $1.00 440G9170 MEMORY DISCHARGE G9170 $1.00 440G9171 VOICE CURRENT G9171 $1.00 440G9172 VOICE GOAL G9172 $1.00 440G9173 VOICE DISCHARGE G9173 $1.00 440G9174 OTHER SLP CURRENT G9174 $1.00 440G9175 OTHER SLP GOAL G9175 $1.00 440G9176 OTHER SLP DISCHARGE G9176 $1.00 440G9186 MOTOR SPEECH GOAL G9186 $1.00 44092507 SPEECH THERAPY 92507 T10 15 92507 $277.00 44092521 EVAL OF SPEECH FLUENCY 92521 $276.00 44092522 EVAL OF SPEECH SOUND PRODUCT 92522 $225.00 44092523 EVAL SPEECH SOUND PROD W/EXP 92523 $466.00 44092524 BEHAV/QUALITATIVE ANALYSIS VOI 92524 $234.00 44092526 SWALLOWING TREATMENT 92526 T10 15 92526 $168.00 44092597 EVAL/FIT OF SPEECH PROSTHETIC 92597 $214.00 44092607 RE-EVAL SPEECH GEN DEVICE 92607 $314.00 44092609 PT ADAPT/TRAIN SPEECH GEN DEV 92609 $270.00 44092610 EVAL OF ORAL/PHARY SWALLOW FUN 92610 $327.00 44092611 SWALLOW FUNCTION STUDY 92611 T10 15 $354.00 44096105 APHASIA EVALUATION 96105 T10 15 $161.00 44097532 DEVELOP OF COGNITIVE SKILLS 97127 $375.00 44492525 SWALLOWING EVAL W/O RADIOLOGY 92610 92525 $327.00 430G0283 ELECTRICAL STIMULATION/HVGS G0283 T10 15 $83.00 430G8978 MOBILE/WALK CURRENT G8978 $1.00 430G8979 MOBILE/WALK GOAL G8979 $1.00 430G8980 MOBILE/WALK DISCHARGE G8980 $1.00 430G8981 CHANGE/MAINTAIN POS CURRENT G8981 $1.00 430G8982 CHANGE/MAINTAIN POS GOAL G8982 $1.00 430G8983 CHANGE/MAINTAIN POS DISCHARGE G8983 $1.00 430G8984 CARRY/MOVE CURRENT G8984 $1.00 430G8985 CARRY/MOVE GOAL G8985 $1.00 430G8986 CARRY/MOVE DISCHARGE G8986 $1.00 430G8987 SELF CARE CURRENT G8987 $1.00 430G8988 SELF CARE GOAL G8988 $1.00 430G8989 SELF CARE DISCHARGE G8989 $1.00 430G8990 OTHER OT PRIMARY CURRENT G8990 $1.00 430G8991 OTHER OT PRIMARY GOAL G8991 $1.00 430G8992 OTHER OT PRIMARY DISCHARGE G8992 $1.00 430G8993 OTHER OT SUBSEQUENT CURRENT G8993 $1.00 430G8994 OTHER OT SUBSEQUENT GOAL G8994 $1.00 430G8995 OTHER OT SUBSEQUENT DISCHARGE G8995 $1.00 43097010 COLD/HOT PACKS 97010 T10 15 $69.00 43097012 TRACTION MECHANICAL 97012 T10 15 $99.00 43097014 ELECTRICAL STIMULATION/HVGS 97014 T10 15 $83.00 43097016 JOBST UNIT (VASOPNEUMATIC DVC) 97016 T10 15 $117.00 43097018 PARAFFIN BATH 97018 T10 15 $95.00 43097022 WHIRLPOOL THERAPY 97022 T10 15 $110.00 43097032 ELECTRICAL STIMULATION (15 MIN 97032 T10 15 $93.00 43097033 IONTO/PHONO PHORESIS 15 MIN 97033 T10 15 $101.00 43097035 ULTRASOUND/US-HVGS (15 MIN) 97035 T10 15 $85.00 43097110 EXERCISE OT (THER ROM) 15 MIN 97110 T10 15 43097 $122.00 43097112 NEUROMUSCULAR REEDUC. 15 MIN 97112 T10 15 $110.00 43097113 AQUATIC THERAPY OT 15 MIN 97113 T10 15 $100.00 43097124 MASSAGE FRICT/EFFLEURAGE 15MIN 97124 T10 15 $85.00 43097139 OT UNLISTED PROCEDURE 97139 T10 15 $23.00 43097140 MANUAL THERAPY (15 MIN) 97140 T10 15 $91.00 43097150 GROUP THERAPEUTIC PROCEDURES 97150 $43.00 43097165 OT EVAL LOW COMPLEX 30 MIN 97165 T10 15 $193.00 43097166 OT EVAL MOD COMPLEX 45 MIN 97166 T10 15 $193.00 43097167 OT EVAL HIGH COMPLEX 60 MIN 97167 T10 15 $193.00 43097168 OT RE-EVAL EST PLAN CARE 97168 T10 15 $127.00 43097530 THERAPEUTIC ACTIVITY 15 MIN 97530 T10 15 $89.00 43097535 ADLS/HOME INSTRUCTION (15 MIN) 97535 T10 15 97535 $79.00 43097537 OT HOME ASSESSMENT 15 MIN. 97537 T10 15 97537 $79.00 43097542 OT WHEELCHAIR TRAIN 15 MIN 97542 T10 15 97542 $120.00 43097545 WORK HARDENDING-INIT 2 HRS 97545 $407.00 43097546 WORK HARDENDING ADL HRS 97546 $204.00 43097750 FUNC CAPACITY EVAL 15 MIN 97750 T10 15 $127.00 43097760 ORTHOTIC MGMT/TRAIN 1ST ENC 97760 $115.00 43097770 OT COGNITIVE RETRAINING 15 MIN 97127 T10 15 $70.00 43397150 OT - GROUP THERAPY 97150 $68.00 420G0283V ELECTRICAL STIMULATION G0283 $83.00 430G0283V ELECTRICAL STIMULATION G0283 $83.00 42097010V HOT OR COLD PACKS 97010 $69.00 42097012V TRACTION MECHANICAL 97012 $99.00 42097014V ELECTRICAL STIMULATION 97014 $83.00 42097016V VASOPNEUMATIC 97016 $117.00 42097018V PARAFFIN 97018 $95.00 42097032V E-STIM ATTENDED 97032 $93.00 42097033V IONTOPHORESIS 97033 $101.00 42097035V ULTRASOUND 97035 $85.00 42097110V THERAPEUTIC EXERCISE 97110 $122.00 42097112V NEUROMUSCULAR 97112 $110.00 42097113V AQUA THERAPY 97113 $100.00 42097116V GAIT TRAINING 97116 $93.00 42097124V MASSAGE 97124 $85.00 42097140V MANUAL THERAPY TECHNIQUE 97140 $91.00 42097530V THERAPEUTIC EXERCISE FUNCTION 97530 $89.00 42097535V ADL'S 97535 $79.00 42097750V GCE PER 15MIN 97750 $127.00 43097010V HOT OR COLD PACKS 97010 $69.00 43097012V TRACTION MECHANICAL 97012 $99.00 43097014V ELECTRICAL STIMULATION 97014 $83.00 43097016V VASOPNEUMATIC 97016 $117.00 43097018V PARAFFIN 97018 $95.00 43097032V E-STIM ATTENDED 97032 $93.00 43097033V IONTOPHORESIS 97033 $101.00 43097035V ULTRASOUND 97035 $85.00 43097110V THERAPEUTIC EXERCISE 97110 $122.00 43097112V NEUROMUSCULAR 97112 $110.00 43097113V AQUA THERAPY 97113 $100.00 43097124V MASSAGE 97124 $85.00 43097140V MANUAL THERAPY TECHNIQUE 97140 $91.00 43097530V THERAPEUTIC EXERCISE FUNCTION 97530 $89.00 43097535V ADL'S 97535 $79.00 43097750V GCE PER 15 MIN 97750 $127.00 44092507V SPEECH/HEARING THERAPY 92507 $258.00 44092508V GROUP SPEECH THERAPYY 92508 $190.00 44092521V EVALUATION OF SPEECH FLUENCY 92521 $276.00 44092522V EVAL OF SPEECH SOUND/PROD 92522 $225.00 44092523V SPEECH SOUND LANG COMPREHEN 92523 $466.00 44092524V BEHAV/QUALITATIVE ANALYSIS DEV 92524 $234.00 44092526V SWALLOW TREATMENT 92526 $168.00 44092597V EVAL/FITTING OF SPEECH PROSTHE 92597 $214.00 44092607V SPEECH GEN DEV EVAL W/PT 1 HR 92607 $314.00 44092608V SPEECH GEN DEV EACH ADD 30 MIN 92608 $244.00 44092609V PT ADAPT/TRAIN:SPCH GEN DEVICE 92609 $270.00 44092610V SWALLOW EVALUATION 92610 $327.00 44092611V SWALLOWING FUNCTION STUDY 92611 $354.00 44096105V APHASIA EVALUATION 96105 $161.00 44097532V COGNITIVE SKILLS DEVELOPMENT 97127 $375.00 44099366V MED TEAM CONF 30 MIN W/PT 99366 $185.00 9750232T INJ PLATELET RICH PLASMA 0232T $214.00 25929844 ARTHROSCOPIC SYNOVECTOMY WRIST 29844 $1,039.00 27008294 HEEL LIFT SIZES SM/MED/LRG $28.00 51911055 PARING/CUTTING BENIGN LESION 11055 $145.00 51911056 TRIM SKIN LESION 2-4 11056 $159.00 51920526 INJ CARPAL TUNNEL 20526 $440.00 51920550 INJ TENDON 20550 $407.00 51920600 INJ/ASP SM 20600 $247.00 51920605 INJ/ASP MED 20605 $265.00 51920610 INJ/ASP LARGE 20610 206 10 $278.00 51920611 MAJOR JOINT INJ W/ULTRASOUND 20611 $528.00 51920612 INJ GANGLION 20612 $440.00 51923500 CLAVICLE W/O MANIP 23500 $554.00 51923505 CLAVICLE WITH MANI 23505 $2,516.00 51923570 SCAPULA W/O MANIP 23570 $334.00 51923575 TX SHOULDER FX WO MANIP 23575 $865.00 51923600 PROX HUMERAL W/O MANIP 23600 $559.00 51923605 PROX HUMERAL WITH MANIP 23605 $2,647.00 51923620 TX OF HUMERUS FRACTURE 23620 $289.00 51924500 HUMERUS SHAFT W/O MANIP 24500 $539.00 51924505 HUMERUS SHAFT WITH MANIP 24505 $554.00 51924530 HUMERUS W/O MANIPULATION 24530 $559.00 51924560 TREAT EPICONDYLAR FRACTURE 24560 $553.00 51924640 NRSMD'S ELBOW CHILD 24640 $283.00 51924650 ELB RAD HEAD W/O MANIP 24650 $497.00 51924655 ELB RAD HEAD WITH MANIP 24655 $1,087.00 51925500 RADIAL SHAFT W/O MANIP 25500 $425.00 51925505 RADIAL SHAFT WITH MANIP 25505 $1,087.00 51925530 FOREARM W/O MANIP 25530 $405.00 51925535 FOREARM WITH MANIP 25535 $1,087.00 51925560 RAD/ULNA W/O MANIP 25560 $423.00 51925565 RAD/ULNA WITH MANIP 25565 $1,087.00 51925600 WRIST COLLES W/O MANIP 25600 $856.00 51925605 WRIST COLLES WITH MANIP 25605 $1,735.00 51925622 CARPAL NAVICULAR W/O MANIP 25622 $387.00 51925624 CARPAL NAVICULAR WITH MANIP 25624 $1,087.00 51925630 TRIQUETRAL FX W/O MANIP 25630 $292.00 51925635 TRIQUETRAL FX W/ MANIP 25635 $292.00 51926010 DRAINAGE OF FINGER ABSCESS 26010 $405.00 51926600 METACARPAL W/O MANIP 26600 $373.00 51926605 METACARPAL WITH MANIP 26605 $1,039.00 51926720 PHALANX W/O MANIP 26720 $229.00 51926725 PHALANX WITH MANIP 26725 $941.00 51926750 DISTAL PHALANX W/O MANIP 26750 $283.00 51926755 DISTAL PHALANX WITH MANIP 26755 $334.00 51927500 FEMUR W/O MANIP 27500 $1,087.00 51927502 FEMUR WITH MANIP 27502 $3,512.00 51927520 PATELLAR W/O MANIP 27520 $554.00 51927530 TREAT PROXIMAL TIBAL FRACTURE 27530 $554.00 51927750 TIBIAL SHAFT W/O MANIP 27750 $554.00 51927752 TIBIAL SHAFT WITH MANIP 27752 $3,512.00 51927760 MED MAL W/O MANIP 27760 $558.00 51927762 MED MAL WITH MANIP 27762 $3,512.00 51927767 POST MAL W/O MANIP 27767 $468.00 51927768 POST MAL WITH MANIP 27768 $3,432.00 51927780 FIBULA SHAFT W/O MANIP 27780 $559.00 51927781 FIBULA SHAFT WITH MANIP 27781 $3,512.00 51927786 LAT MAL W/O MANIP 27786 $559.00 51927788 LAT MAL WITH MANIP 27788 $3,432.00 51927808 BIL MAL W/O MANIP 27808 $897.00 51927810 BIL MAL WITH MANIP 27810 $630.00 51928400 CALCANEOUS W/O MANIPULATION 28400 $553.00 51928405 TREATMENT OF HEEL FRACTURE 28405 $3,836.00 51928430 TX OF ANKLE FX 28430 $292.00 51928450 TREATMENT MIDFOOT FRACTURE 28450 $559.00 51928470 METATARSAL W/O MANIP 28470 $373.00 51928475 METATARSAL WITH MANIP 28475 $747.00 51928490 GREAT TOE W/O MANIP 28490 $233.00 51928495 GREAT TOE WITH MANIP 28495 $3,005.00 51928510 PHALANGES W/O MANIP 28510 $233.00 51928515 PHALANGES WITH MANIP 28515 $283.00 51928530 SESAMOID FX CLOSED TX 28530 $408.00 51929065 LONG ARM CAST 29065 $635.00 51929075 SHORT ARM CAST 29075 $430.00 51929085 GAUNLET CAST 29085 $192.00 51929105 LONG ARM SPLINT 29105 $254.00 51929125 SHORT ARM SPLINT 29125 $254.00 51929345 LONG LEG CAST 29345 $448.00 51929365 CYLINDER CAST 29365 $430.00 51929425 SHORT LEG CAST 29425 $430.00 51929505 LONG LEG SPLINT 29505 $639.00 51929515 SHORT LEG SPLINT 29515 $254.00 51929540 STRAPPING OF ANKLE/FOOT 29540 $282.00 51990471 IMMUNIZATION ADMIN ONE VACCINE 90471 $38.00 51996372 ALL SUBQ OR IM INJECTIONS 96372 $98.00 51997607 NPRES WNDTX W DISP NDME =50CM 97607 $310.00 51997608 NPRES WNDTX W DISP NDME >50CM 97608 $335.00 51999024 FOLLOW UP CARE $0.00 51999201 CLINIC NEW LEVE 1 BRIEF 99201 T10 15 $95.00 51999202 CLINIC NEW LEVEL 2 LIMIT 99202 T10 15 $115.00 51999203 CLINIC NEW LEVEL 3 INTER 99203 T10 15 $122.00 51999204 CLINIC VISIT LEVEL 4 EXT 99204 T10 15 $211.00 51999205 CLINIC NEW LEVEL 5 COMPR 99205 T10 15 $331.00 51999211 CLINIC EST LEVEL 1 BRIEF 99211 T10 15 $72.00 51999212 CLINIC EST LEVEL 2 LIMIT 99212 T10 15 $89.00 51999213 CLINIC EST LEVEL 3 INTER 99213 T10 15 $109.00 51999214 CLINIC EST LEVEL 4 EXT 99214 T10 15 $126.00 51999215 CLINIC EST LEVEL 5 COMPR 99215 T10 15 $302.00 97511000 DEBRIDE INFECTED SKIN 11000 $59.00 97511012 DEBRIDE OPEN FX INCLUDING BONE 11012 $900.00 97511042 DEBRIDE SUBQ FIRST 20SQ CM 11042 $131.00 97511043 DEBRIDEMENT MUSCLE/FASCIA 11043 $261.00 97511044 DEB BONE 20 SQ CM/< 11044 $467.00 97511045 EDBRIDE ECH ADD 20SQ CM/PART 11045 $59.00 97511420 EXC LESION HDS/FT .5CM OR LESS 11420 $167.00 97511423 EXC BENIGN LESION FOOT 2.1-7.5 11423 $326.00 97511730 AVULSION OF NAIL PLATE 11730 $109.00 97511760 REPAIR OF NAIL BED 11760 $277.00 97511981 INSERT, ANTIBIOTIC BEADS 11981 $180.00 97511982 REMOVAL ANTIBIOTIC BEADS 11982 $211.00 97512042 INTERMED REPR OF FOOT 2.5-7.5 12042 $421.00 97520550 INJ TENDON/LIGAMENT/FASCIA 20550 $87.00 97520610 INJ MAJOR JOINT/BURSA 20610 $89.00 97520611 DRAIN/INJ JOINT/BURSA W/US 20611 $128.00 97520670 REMOVAL OF IMPLANT SUPERFICIAL 20670 $310.00 97520680 REMOVAL OF IMPLANT DEEP 20680 $830.00 97520690 EXTERNAL FIX DEVICE UNIPLANE 20690 $1,181.00 97520692 EXTERNAL FIX DEV MALTIPLANE 20692 $2,227.00 97520694 REMOVE BONE FIXATION DEVICE 20694 $667.00 97520900 BONE GRAFT DONOR AREA, SMALL 20900 $496.00 97520902 BONE GRAFT DONOR AREA, LARGE 20902 $694.00 97520999 UNLISTED PROC MUSK SKEL SYS 20999 $1,284.00 97523075 EXC SHOULDER LES SC < 3 CM 23075 $651.00 97523130 ACROMIOPLASTY 23130 $1,278.00 97523410 REPAIR ROTATOR CUFF ACUTE 23410 $1,640.00 97523420 ACROMIOPLASTY/ROTATOR CUFF RPR 23420 $2,041.00 97523430 REPAIR BICEPS TENDON 23430 $1,487.00 97523470 RECONSTRUCT SHOULDER JOINT 23470 $2,410.00 97523472 RECONSTRUCT SHOULDER JOINT 23472 $2,938.00 97523515 OPEN TX CLAVICAL FRACTURE 23515 $1,508.00 97523530 OPEN TX STERNOCLAV DISLOCATION 23530 $1,412.00 97523552 ORIF, AC JT DISLOCAT W GRAFT 23552 $1,377.00 97523575 TREAT SHOULDER BLADE FIX 23575 $740.00 97523605 CLSD TX PROX HUMERUS FRACTURE 23605 $834.00 97523615 OPEN TX PROX HUMERAL FRACTURE 23615 $1,842.00 97523660 TREAT SHOULDER DISLOCATION 23660 $1,145.00 97523700 MANIPULATION UNDER ANES SLD JT 23700 $411.00 97523929 UNLISTED PROCEDURE SHOULDER 23929 $1,284.00 97524076 EXCISION SOFT TISS TUMOR ELBOW 24076 $1,123.00 97524105 EXCISION OLECRANON BURSA 24105 $710.00 97524120 EXC BONE CYST/TUMOR RAD/OLECRA 24120 $1,110.00 97524130 EXCISION RADIAL HEAD 24130 $1,052.00 97524341 TENDON REPAIR UPPER ARM/ELBOW 24341 $1,545.00 97524342 REINSERTION RUPT. BICEP/TRICEP 24342 $1,620.00 97524357 REPAIR ELBOW PERC 24357 $849.00 97524359 REPAIR ELBOW DEBRI TENDON REP 24359 $1,373.00 97524435 REPAIR HUMERUS W/GRAFT 24435 $2,160.00 97524505 CLSD TX HUM SHAFT FX W/MANIPUL 24505 $885.00 97524515 ORIF HUMERAL FX W/PLATE/SCREWS 24515 $1,840.00 97524575 TREAT HUMERUS FRACTURE 24575 $1,455.00 97524582 PERC SKELETAL FIX HUM CONDYLAR 24582 $1,591.00 97524586 OPEN TREATMENT ELBOW FRACTURE 24586 $2,299.00 97524600 TREAT ELBOW DISLOCATION 24600 $656.00 97524605 TX CLSD ELBOW DISLOC W/ANES 24605 $1,161.00 97524640 CL TX RADIAL HEAD SUBLUX/CHILD 24640 $193.00 97524665 ORIF RADIAL HEAD/NECK FX 24665 $1,355.00 97524999 UPPER ARM/ELBOW SURGERY 24999 $1,750.00 97525000 ESC. EXT TENDON SHEATH WRIST 25000 $709.00 97525076 EXC TUMOR SFT TISS ARM/WRST <3 25076 $1,019.00 97525111 EXCISION GANGLION CYST WRIST 25111 $631.00 97525275 REPAIR TENDON SHEATH ARM/WRIST 25275 $1,416.00 97525295 TENOLYSIS FOREARM OR WRIST 25295 $1,111.00 97525310 TRANSPLANT FOREARM TENDON 25310 $1,231.00 97525320 CAPSULORRHAPHY WRIST 25320 $2,055.00 97525400 REPAIR RADIUS OR ULNA 25400 $1,605.00 97525415 REPAIR RADIUS 25415 $1,945.00 97525447 REPAIR WRIST JOINT 25447 $1,594.00 97525565 CL TX RAD/ULNAR SHFT FX W/MANI 25565 $993.00 97525575 ORIF RADIUS/ULNA SHAFT FX 25575 $1,783.00 97525605 CLSD TREAT DISTAL RAD/ULN FX 25605 $1,102.00 97525606 PERC FIXATION DISTAL RADIAL FX 25606 $1,313.00 97525607 ORIF DISTAL RADIUS 25607 $1,398.00 97525608 ORIF DISTAL RADIUS 2 FRAGMENTS 25608 $1,703.00 97525609 ORIF DISTAL RADIUS 3 FRAGMENTS 25609 $2,169.00 97525651 PINNING DISTAL ULNA FRACTURE 25651 $1,014.00 97525652 OPEN TX ULNAR STYLOID FRACTURE 25652 $1,237.00 97526055 TENDON SHEATH INC TRIGGER FING 26055 $624.00 97526113 EXC HAND TUMOR =/> 1.5CM 26113 $1,173.00 97526115 EXCISION, TUMOR, HAND 26115 $712.00 97526123 FASCIECTOMY W/RELEASE OF DIGIT 26123 $1,720.00 97526160 EXCISON TENDON SHEATH LESION 26160 $785.00 97526340 MANIPULATION FINGER JT W/ANES 26340 $808.00 97526410 REPAIR HAND TENDON 26410 $1,045.00 97526426 REPAIR OF EXTENSOR TENDON 26426 $1,070.00 97526516 CAPSULODESIS METACARPOPHALANG 26516 $1,429.00 97526525 CAPSULECTOMY/OTOMY MPJ EACH 26525 $1,559.00 97526530 ARTHROPLASTY MCP JOINT 26530 $1,119.00 97526540 REPAIR COLLATERAL LIG MCP/IP 26540 $1,352.00 97526608 PERCUT FIX CARPOMETACARP FX 26608 $981.00 97526615 ORIF METACARPAL FRACTURE 26615 $1,175.00 97526727 TX FINGER FRACTURE EACH 26727 $923.00 97526735 ORIF PHALANGEAL SHAFT FX 26735 $1,220.00 97526756 PIN DISTAL PHALANX FX 26756 $854.00 97526860 ARTHRODESIS INTERPHANLANG JT 26860 $1,136.00 97526951 AMPUTATION FINGER/THUMB 26951 $1,345.00 97527062 EXCISION TROCHANTERIC BURSA 27062 $1,133.00 97527070 PARTIAL REMOVAL, HIP BONE 27070 $1,734.00 97527095 INJ FOR HIP X-RAY 27095 $168.00 97527096 INJ SACROILIAC JOINT W/IMAGE 27096 $172.00 97527130 TOTAL HIP ARTHROPLASTY 27130 $3,046.00 97527134 REVISION OF TOTAL HIP 27134 $2,858.00 97527176 TX OF SLIPPED EPIPHYSIS 27176 $1,824.00 97527187 INSERT PIN, FEMUR 27187 $2,043.00 97527236 HEMIARTHROPLASTY HIP 27236 $2,363.00 97527244 ORIF TROCHANTERIC FX W SCREW 27244 $2,536.00 97527245 ORIF TROCHANTERIC FRACTURE 27245 $2,467.00 97527299 UNLISTED PROC PELVIC/HIP JOINT 27299 $1,250.00 97527327 EXC TUMOR THIGH/KNEE SUB <3CM 27327 $777.00 97527334 REMOVE KNEE JOINT LINING 27334 $1,368.00 97527340 EXCISION PREPATELLAR BURSA 27340 $735.00 97527345 EXCISION OF BAKER'S CYST 27345 $1,010.00 97527350 REMOVAL OF KNEE CAP 27350 $1,295.00 97527405 REPAIR COLLATERAL KNEE LIG 27405 $1,418.00 97527418 ANTERIOR TIBIAL TUBERCLEPLASTY 27418 $1,736.00 97527425 LAT RETINACULAR RELEASE OPEN 27425 $887.00 97527440 REVISION OF KNEE JOINT 27440 $1,581.00 97527442 REVISION OF KNEE JOINT 27442 $1,745.00 97527447 TOTAL KNEE ARTHROPLASTY 27447 $3,251.00 97527486 REV TOT KNEE ARTH - 1 COMP 27486 $3,351.00 97527487 REV TOT KNEE ARTH - FEM/TIB 27487 $4,064.00 97527488 REMOVAL OF KNEE PROSTESIS 27488 $2,402.00 97527514 OPEN TX FEMORAL FX DISTAL END 27514 $1,935.00 97527524 ORIF PATELLA 27524 $1,568.00 97527535 OPEN TX TIBIAL FRX PROXIMAL 27535 $1,795.00 97527570 MANIPULAT KNEE JT W/ANESTHESIA 27570 $285.00 97527599 UNLISTED PROC FEMUR OR KNEE 27599 $1,284.00 97527603 I&D LEG/ANKLE DEEP ABSCESS HEM 27603 $819.00 97527607 INCISION, BONE LOWER LEG/ANKLE 27607 $1,257.00 97527610 ARTHROTOMY, ANKLE 27610 $1,374.00 97527612 ARTRO ANK POST CAP W/W/O ACHIL 27612 $1,122.00 97527619 EX SOFT TISSUE TUMOR LEG/ANKLE 27619 $1,150.00 97527620 ANKLE ARTHROTOMY JOINT EXPLOR 27620 $962.00 97527625 ARTHRO ANKLE W/SYNOVECTOMY 27625 $1,153.00 97527626 ARTHROTOMY ANKLE W/SYNOVECTOMY 27626 $1,451.00 97527630 EXC LESION TEN SHEATH LEG/ANK 27630 $770.00 97527635 EXCISION, EXOSTOSIS TIB OR FIB 27635 $1,209.00 97527640 PART EXCISION,BONE,TIBIA 27640 $1,761.00 97527641 PART EXCISION, BONE, FIBULA 27641 $1,431.00 97527650 REPAIR RUPTURED ACHILLES TENDO 27650 $1,647.00 97527658 REPAIR FLEXOR TENDON LEG 27658 $796.00 97527659 REPAIR, FLEXOR TENDON, FOOT 27659 $1,030.00 97527664 REPAIR EX TEN LEG PRIM W/O GRF 27664 $715.00 97527665 REPAIR EX TEN SECOND W/WO GRFT 27665 $8,221.00 97527685 REVISION OF LOWER LEG TENDON 27685 $932.00 97527686 LENGTH, LEG/ANKLE TEND MULT 27686 $1,141.00 97527687 REVISION, CALF TENDON 27687 $942.00 97527691 TRANSFER LOWER LEG DEEP TENDON 27691 $1,540.00 97527698 REPAIR ANKLE LIGAMENT 27698 $1,287.00 97527702 ARTHROPLASTY ANKLE WITH IMPLAN 27702 $2,055.00 97527703 REVISION TOTAL ANKLE, ARTHRO 27703 $2,391.00 97527704 REMOVAL ANKLE IMPLANT 27704 $1,145.00 97527715 OSTEOPLASTY TIB/FIB LEN OR SHO 27715 $2,242.00 97527720 REPAIR OF TIBIA 27720 $1,744.00 97527724 REPAIR NON/MALUNION TIB W/GRAF 27724 $2,543.00 97527726 REPAIR, FIBULA NONUNION 27726 $1,955.00 97527752 TREATMENT OF TIBIA FRACTURE 27752 $981.00 97527758 TX OF TIBIA FRACTURE 27758 $1,773.00 97527759 TX OF TIBIA FX 27759 $2,009.00 97527766 OPEN TX MEDIAL MALLEOLUS FX 27766 $1,205.00 97527792 OPEN TX DIS FIB FX W/WO IN FIX 27792 $1,296.00 97527814 ORIF, BIMALLEOLAR FRACTURE 27814 $1,628.00 97527822 ORIF TRIMALLEEOLAR FRACTURE 27822 $1,730.00 97527827 ORIF WT BEARING SURFACE TIBIA 27827 $2,291.00 97527829 TX SYNDESMOSIS DISRUPTION 27829 $1,445.00 97527848 TX ANKLE DISLOCATION 27848 $1,627.00 97527860 MANIPULATION ANKLE UNDER ANES 27860 $352.00 97527870 ARTHODESIS, ANKLE OPEN 27870 $2,065.00 97527871 ARTHRODESIS, TIBIOFIBULAR JT 27871 $1,460.00 97527899 UNLISTED PROC LEG OR ANKLE 27899 $1,284.00 97528008 FASCIOTOMY FOOT AND/OR TOE 28008 $611.00 97528022 EXPLORATION OF FT JOINT 28022 $646.00 97528035 DECOMPRESSION, PT NERVE 28035 $746.00 97528041 EXC TUMOR FOOT DEEP 1.5CM OR > 28041 $982.00 97528043 EXC FOOT/TOE TUM SC < 1.5 CM 28043 $525.00 97528045 EXC SOFT TISSUE TUMOR FOOT<1.5 28045 $741.00 97528055 NEURECTOMY INT MUSCLE OF FOOT 28055 $790.00 97528060 FASCIECTOMY PLANTER FASCIA PAR 28060 $709.00 97528070 REMOVAL OF FOOT JOINT LINING 28070 $708.00 97528080 REMOVAL FOOT LESION 28080 $700.00 97528086 SYNOVECT, FLEXOR TENDON, FOOT 28086 $758.00 97528088 EXC FOOT TENDON SHEATH 28088 $638.00 97528090 EXC LESION TENDON/CAPSULE FOOT 28090 $649.00 97528092 REMOVE LISION FOOT 28092 $571.00 97528100 EXC BON CYST TALUS/CALCANEUS 28100 $960.00 97528104 REMOVAL FOOT LESION 28104 $720.00 97528106 EXC/CURETT BONE CYST W/AUTOGRF 28106 $905.00 97528108 EXC BONE CYST/TUMOR TOE 28108 $603.00 97528110 PART EXCISION, BONE, 5TH MET 28110 $600.00 97528112 OSTECTOMY METAT HEAD 2,3 OR 4 28112 $664.00 97528113 OSTECTOMY 5TH METAT HEAD 28113 $897.00 97528116 REVISION OF FOOT 28116 $1,146.00 97528118 OSTECTOMY CALCANEUS 28118 $1,030.00 97528119 OSTECTOMY CALCANEUS FOR SPUR 28119 $751.00 97528120 PART EXCISION,BONE,TALUS 28120 $1,073.00 97528122 PART EXCISION, BONE, TARSAL 28122 $1,043.00 97528124 PARTIAL EXCISION OF TOE 28124 $696.00 97528126 RESECTION PHALANGEAL BASE ECH 28126 $496.00 97528200 REPAIR FOOT TENDON 28200 $657.00 97528208 REPAIR OF EXTENSOR TENDON FOOT 28208 $648.00 97528230 TENOTOMY OPEN FLEXOR FOOT 28230 $565.00 97528234 TENOTOMY, TOE/FOOT, FLEXOR 28234 $558.00 97528238 REVISION OF FOOT TENDON 28238 $1,020.00 97528260 CAPSULOTOMY MIDFOOT CLUBFOOT 28260 $1,085.00 97528264 CAPSULOTOMY, MIDFOOT JOINT 28264 $1,366.00 97528270 RELEASE, FOOT CONTRACTURE 28270 $695.00 97528285 CORRECTION, HAMMERTOE 28285 $652.00 97528288 OSTECTOMY, PARTIAL, METATARSAL 28288 $867.00 97528289 HALLUX RIGIDUS CORRECT 1ST MTP 28289 $1,161.00 97528296 CORRECTION, BUNION 28296 $1,103.00 97528297 CORRECTION, BUNION, LAPIDUS 28297 $1,255.00 97528298 CORRECTION, BUNION, AKIN 28298 $1,066.00 97528299 BUNION REPAIR BY DBL OSTEOTOMY 28299 $1,417.00 97528300 OSTEOTOMY, CALCANEUS 28300 $1,402.00 97528308 INCISION, METATARSAL 28308 $772.00 97528309 INCISION, MULTIPLE METATARSALS 28309 $1,862.00 97528310 OSTEOTOMY PRO PHAL 1ST TOE 28310 $747.00 97528320 REPAIR NONUNIONOR MALUNIN TARS 28320 $1,519.00 97528322 REPAIR NONUNION METATARSAL 28322 $1,221.00 97528415 TX HEEL FRACTURE 28415 $2,246.00 97528420 ORIF CALCANEUS W/ILIAC GRAFT 28420 $2,640.00 97528445 TREAT ANKLE FRACTURE 28445 $2,120.00 97528485 TX METATARSAL FRACTURE 28485 $1,026.00 97528496 PERCUT FIX TOE FX W/MANIPULAT 28496 $499.00 97528505 OPEN TX FX GREAT TOE W/WO FIX 28505 $1,034.00 97528615 ORIF TMT JOINT DISLOCATION 28615 $1,545.00 97528666 PERC FIXATION IP JT DISLOCATE 28666 $410.00 97528715 TRIPLE ARTHODESIS 28715 $1,937.00 97528725 FUSION OF FOOT BONES 28725 $1,595.00 97528730 TARSOMETATARSAL FUSION 28730 $1,778.00 97528737 REVISION OF FOOT BONES 28737 $1,387.00 97528740 ARTHRODESIS, MIDTARSAL 28740 $1,306.00 97528750 ARTHRODESIS, GREAT TOE 28750 $1,217.00 97528755 ARTHRODESIS INTERPHALANGEL JNT 28755 $684.00 97528810 AMPUTATION TOE 28810 $877.00 97528899 UNLISTED PROC. FOOT OR TOES 28899 $1,070.00 97529240 STRAPPING SHOULDER 29240 $93.00 97529355 APPLICATION LONG LEG CAST 29355 $214.00 97529505 LONG LEG SPLINT IMMOBILIZER 29505 $106.00 97529806 ARTHROSCOPY SHOULDER W CAPSUL 29806 $2,242.00 97529807 ARTHROSCOPY SHLDR W SLAP 29807 $2,038.00 97529819 ARTHRO SHOULDER W/REM LOOSE 29819 $1,170.00 97529820 ARTHROSCOPY SHOULDER W/SYNOVEC 29820 $1,133.00 97529821 SHOULDER SYNOVECTOMY COMPLETE 29821 $1,159.00 97529822 ARTHROSCOPY SHOULDER LIM DEBRI 29822 $1,205.00 97529823 ARTHROSCOPY, SHLDR W DEBRIDE 29823 $1,316.00 97529824 ARTHROSCOPY SHLDR WCLAVICULECT 29824 $1,313.00 97529825 SHOULDER ARTHROSCOPY/SURGERY 29825 $1,153.00 97529826 ARTHROSCOPY SHLDR W SUBAC DEC 29826 $1,307.00 97529827 ARTHROSCOPY, ROTATOR CUFF REP 29827 $2,229.00 97529828 BICEPS TENODESIS 29828 $1,937.00 97529837 ELBOW ARTHROSCOPY/SURGERY 29837 $1,041.00 97529838 ARTHROSCOPY ELBOW W/EXT DEBRID 29838 $1,166.00 97529846 ARTHROSCOPY WRIST FTCC REPAIR 29846 $1,091.00 97529850 TX INTERCOND FX KNEE W/SCOPE 29850 $1,284.00 97529862 ARTHRO HIP W/DEBRID/RESECT LAB 29862 $1,623.00 97529863 ARTHROSCOPY HIP W/SYNOVECTOMY 29863 $1,610.00 97529870 DX ARTHROSCOPY OF KNEE 29870 $815.00 97529873 KNEE ARTHROSCOPY W/LAT RELEASE 29873 $1,084.00 97529874 ARTHROSCOPY, KNEE W LOOSE BODY 29874 $1,093.00 97529875 ARTHROSCOPY, KNEE W SYNOVECT 29875 $1,004.00 97529876 ARTHROSCOPY, KNEE, MAJ SYNOVEC 29876 $1,377.00 97529877 ARTHROSCOPY KNEE W DEBRIDE 29877 $1,206.00 97529879 ABRASION ARTHROPLASTY/MICROFX 29879 $1,393.00 97529880 ARTHROSCOPY, KNEE W MULT MENEC 29880 $1,406.00 97529881 ARTHROSCOPY KNEE W MENISCECT 29881 $1,257.00 97529882 ARTHROSCOPY W/MENISCUS REPAIR 29882 $1,456.00 97529887 DRILLING OCD W/INTERNAL FIX 29887 $1,578.00 97529888 ARTHROSCOPIC ACL RECONSTRUCT 29888 $2,093.00 97529891 ARTHROSCOPY ANKLE W EXCISION 29891 $1,359.00 97529892 ARTHROSCOPY ANKLE OCD REPAIR 29892 $1,347.00 97529894 ARTHROSCOPY ANKLE REM LOOSE BO 29894 $1,085.00 97529895 ANKLE ARTHROSCOPY SURGERY 29895 $981.00 97529897 ARTHROSCOPY ANKLE W/DEBRIDE 29897 $1,088.00 97529898 ANKLE SCOPE EXTENSIVE DEBRIDE 29898 $1,210.00 97529899 ANKLE ARTHROSCOPY/SURGERY 29899 $2,220.00 97529999 UNLIST PROCEDURE ARTHROSCOPY 29999 $1,070.00 97530802 ABLATE INF TURBINATE SUBMAC 30802 $376.00 97536430 TRANSFUSION PACKED CELLS 36430 $404.00 97538220 BONE MARROW ASPIRATION 38220 $123.00 97564704 DECOMPRESSION NERVE HAND/FOOT 64704 $679.00 97564708 REVISE ARM/LEG NERVE 64708 $987.00 97564718 NEUROPLASTY ULNAR NERVE ELBOW 64718 $1,168.00 97564719 NEUROPLASTY ULNAR NERVE WRIST 64719 $784.00 97564721 CARPAL TUNNEL RELEASE 64721 $880.00 97564774 EXC NEUROMA CUTANEOUS NERVE 64774 $871.00 97564782 EXCISION NEUROMA HAND/FOOT 64782 $941.00 97564783 EXCISION NEUROMA HD/FT ADD 64783 $458.00 97564787 IMPLANT NERVE BONE OR MUSCLE 64787 $524.00 97564790 EXCISION, LESION, MAJ NERVE 64790 $1,702.00 97564831 SUTURE DIGITAL NERVE HAND/FOOT 64831 $1,331.00 97577002 FLUORO GUIDANCE NON-SPINE INJ 77002 $57.00 98220610 INJECT ASP LG JT 20610 $104.00 98311055 PARING/CUTTING BENIGN LESION 11055 $90.00 98311056 TRIM SKIN LESION 2-4 11056 $65.00 98320526 INJ CARPAL TUNNEL 20526 $85.00 98320550 INJ TENDON 20550 $116.00 98320600 INJ ASP SM 20600 $81.00 98320605 INJ ASP MED 20605 $84.00 98320610 INJECT ASP LG 20610 X06 20 $102.00 98320611 MAJOR JOINT INJ W/ULTRASOUND 20611 $157.00 98320612 INJ GANGLION 20612 $87.00 98323500 CLAVICLE W/O MANIP 23500 $380.00 98323505 CLAVICLE WITH MANI 23505 $604.00 98323570 SCAPULA W/O MANIP 23570 $462.00 98323575 TX SHOULDER FX WO MANIP 23575 $722.00 98323600 PROX HUMERAL W/O MANIP 23600 $531.00 98323605 PROX HUMERAL WITH MANIP 23605 $791.00 98323620 TX OF HUMERUS FRACTURE 23620 $537.00 98324500 HUMERUS SHAFT W/O MANIP 24500 $567.00 98324505 HUMERUS SHAFT WITH MANIP 24505 $839.00 98324530 HUMERUS W/O MANIPULATION 24530 $611.00 98324560 TREAT EPICONDYLAR FRACTURE 24560 $507.00 98324640 NRSMD'S ELBOW CHILD 24640 $161.00 98324650 ELB RAD HEAD W/O MANIP 24650 $411.00 98324655 ELB RAD HEAD WITH MANIP 24655 $727.00 98325500 RADIAL SHAFT W/O MANIP 25500 $425.00 98325505 RADIAL SHAFT WITH MANIP 25505 $851.00 98325530 FOREARM W/O MANIP 25530 $405.00 98325535 FOREARM WITH MANIP 25535 $837.00 98325560 RAD/ULNA W/O MANIP 25560 $423.00 98325565 RAD/ULNA WITH MANIP 25565 $885.00 98325600 WRIST COLLES W/O MANIP 25600 $650.00 98325605 WRIST COLLES WITH MANIP 25605 $1,069.00 98325622 CARPAL NAVICULAR W/O MANIP 25622 $476.00 98325624 CARPAL NAVICULAR WITH MANIP 25624 $770.00 98325630 TRIQUETRAL FX W/O MANIP 25630 $462.00 98325635 TRIQUETRAL FX W/ MANIP 25635 $834.00 98326010 DRAINAGE OF FINGER ABSCESS 26010 $272.00 98326600 METACARPAL W/O MANIP 26600 $451.00 98326605 METACARPAL WITH MANIP 26605 $521.00 98326720 PHALANX W/O MANIP 26720 $311.00 98326725 PHALANX WITH MANIP 26725 $552.00 98326750 DISTAL PHALANX W/O MANIP 26750 $309.00 98326755 DISTAL PHALANX WITH MANIP 26755 $491.00 98327500 FEMUR W/O MANIP 27500 $906.00 98327502 FEMUR WITH MANIP 27502 $1,536.00 98327520 PATELLAR W/O MANIP 27520 $516.00 98327530 TREAT PROXIMAL TIBAL FRACTURE 27530 $753.00 98327750 TIBIAL SHAFT W/O MANIP 27750 $568.00 98327752 TIBIAL SHAFT WITH MANIP 27752 $939.00 98327760 MED MAL W/O MANIP 27760 $539.00 98327762 MED MAL WITH MANIP 27762 $830.00 98327767 POST MAL W/O MANIP 27767 $468.00 98327768 POST MAL WITH MANIP 27768 $768.00 98327780 FIBULA SHAFT W/O MANIP 27780 $480.00 98327781 FIBULA SHAFT WITH MANIP 27781 $724.00 98327786 LAT MAL W/O MANIP 27786 $507.00 98327788 LAT MAL WITH MANIP 27788 $723.00 98327808 BIL MAL W/O MANIP 27808 $528.00 98327810 BIL MAL WITH MANIP 27810 $808.00 98328400 CALCANEOUS W/O MANIPULATION 28400 $419.00 98328405 TREATMENT OF HEEL FRACTURE 28405 $741.00 98328430 TX OF ANKLE FX 28430 $425.00 98328450 TREAT MIDFOOT FRACTURE 28450 $372.00 98328470 METATARSAL W/O MANIP 28470 $348.00 98328475 METATARSAL WITH MANIP 28475 $457.00 98328490 GREAT TOE W/O MANIP 28490 $244.00 98328495 GREAT TOE WITH MANIP 28495 $311.00 98328510 PHALANGES W/O MANIP 28510 $210.00 98328515 PHALANGES WITH MANIP 28515 $261.00 98328530 SESAMOID FX CLOSED TX 28530 $192.00 98329065 LONG ARM CAST 29065 $132.00 98329075 SHORT ARM CAST 29075 $118.00 98329085 GAUNLET CAST 29085 $128.00 98329105 LONG ARM SPLINT 29105 $115.00 98329125 SHORT ARM SPLINT 29125 $82.00 98329345 LONG LEG CAST 29345 $200.00 98329365 CYLINDER CAST 29365 $173.00 98329425 SH LEG CAST 29425 $177.00 98329505 LONG LEG SPLINT 29505 $321.00 98329515 SHORT LEG SPLINT 29515 $124.00 98329540 STRAPPING OF ANKLE/FOOT 29540 $66.00 98397607 NPRES WNDTX W DISP NDME =50CM 97607 $120.00 98397608 NPRES WNDTX W DISP NDME >50CM 97608 $135.00 98399024 FOLLOW UP CARE $0.00 98399221U HOSP INP SERV INITIAL LOW 99221 $86.00 98399222U HOSP INP SERV INITIAL MOD 99222 $161.00 98399223U HOSP INP SERV INITIAL HIGH 99223 $412.00 98399499U INP CONSULT LEVEL 1 & 2 99499 $56.00 98720605 INJECT ASP MED JT 20605 $87.00 98720610 INJECT ASP LG JT 20610 $105.00 98899241 CLINIC CONSULT BRIEF 99241 $101.00 98899242 CLINIC CONSULT LIMITED 99242 $190.00 98899243 CLINIC CONSULT INTERMEDIATE 99243 $261.00 98899244 CLINIC CONSULT EXTENDED 99244 $385.00 98899245 CLINIC CONSULT COMPREHENSIVE 99245 $473.00 98899251 INPATIENT CONSULT LEVEL 1 99251 $90.00 98899252 INPATIENT CONSULT LEVEL 2 99252 $157.00 98899253 INPATIENT CONSULT LEVEL 3 99253 $211.00 98899254 INPATIENT CONSULT LEVEL 4 99254 $296.00 98899255 INPATIENT CONSULT LEVEL 5 99255 $404.00 99900001 SPECIALTY PHARMACY TRACKING $0.00 983992021 CLINIC NEW LEVEL 2 LIMIT 99202 T10 15 $132.00 983992031 CLINIC NEW LEVEL 3 INTER 99203 T10 15 $191.00 983992041 CLINIC NEW LEVEL 4 EXT 99204 T10 15 $296.00 983992051 CLINIC NEW LEVEL 5 COMPR 99205 T10 15 $374.00 983992121 CLINIC EST LEVEL 2 LIMIT 99212 T10 15 $78.00 983992121G CLINIC EST LEVEL 2 LIMIT 99212 $167.00 983992131 CLINIC EST LEVEL 3 INTER 99213 T10 15 $128.00 983992131G CLINIC EST LEVEL 3 INTER 99213 $237.00 983992141 CLINIC EST LEVEL 4 EXT 99214 T10 15 $192.00 983992141G CLINIC EST LEVEL 4 EXT 99214 $318.00 983992151 CLINIC EST LEVEL 5 COMPR 99215 T10 15 $261.00 983992151G CLINIC EST LEVEL 5 COMP 99215 $563.00 259J1030 METHYLPREDNISOLONE ACET 40 MG $0.00 300G0328 FECAL BLOOD SCRN IMMUNOASSAY G0328 $25.00 510G0008 ADMINISTRATION OF FLU VACCINE $23.00 510G0009 ADMINISTRATION OF PNEUMOVAX G0009 $38.00 510G0102 PROSTATE CA SCREENING; DRE G0102 $30.00 510G0402 INITIAL PREVENTIVE EXAM G0402 $266.00 983G0009 ADMIN PNEUMOCOCCAL VACCINE G0009 $23.00 983G0101 GYNE EXAM ROUTINE G0101 $81.00 983G0102 PROSTATE CA SCREENING; DRE G0102 $18.00 983G0179 HOME NURSE RECERTIFICATION G0179 $75.00 983G0180 HOME NURSE INTIAL PLAN OF TRMT 99339 $86.00 983G0402 INITIAL PREVENTIVE EXAM G0402 $253.00 983G0438 ANNUAL WELLNESS VISIT NEW G0438 $193.00 983G0439 ANNUAL WELLNESS VISIT ESTBLISH G0439 $161.00 983G8427 DOC'D MEDS VER W/PT OR NO MEDS G8427 $0.01 983G8431 CLINICAL DEPRESSION SCREENING G8431 $0.01 983G8506 PT REC ACE OR ARB G8506 $0.01 983G8510 PT INELIG NEG SCRN DEPRES G8510 $0.01 983G8598 ASPIRIN THERAPY USED G8598 $0.01 983G8599 ASPIRIN THERAPY NOT USED G8599 $0.01 983G8752 SYSTOLIC BP <140mmHg G8752 $0.01 983G8753 SYSTOLIC BP >=140mmHg G8753 $0.01 983G8754 DIASTOLIC <90mmHg G8754 $0.01 983G8755 DIASTOLIC >=90mmHg G8755 $0.01 983G8756 NO DOCUMENT BP G8756 $0.01 983G9225 FOOT EXAM NOT PERFORMED G9225 $0.01 983G9226 FOOT EXAM PERFORMED G9226 $0.01 983G9231 DOCUMENTATION ESRD G9231 $0.01 983Q0091 PAP SMEAR Q0091 $54.00 9830509F URIN INCONTIN PLAN OF CARE 0509F $0.01 9830518F FALLS PLAN OF CORRECTION 0518F $0.01 9831036F TOBACCO NON USER 1036F $0.01 9831090F URIN INCONTIN ASSESSED 1090F $0.01 9831100F SCREEN FOR FALL RISK 2+ FALLS 1100F $0.01 9831101F SCREEN FOR FALL RISK NO FALLS 1101F $0.01 9831126F AMNT PAIN NOTED NONE PRSNT 1126F $0.01 9831159F MED LIST DOCD IN RCRD 1159F $0.01 9831160F RVW MEDS BY RX/DR IN RCRD 1160F $0.01 9831170F FXNL STATUS ASSESSED 1170F $0.01 9832022F RETINAL EYE EXAM DOC/REVIEW 2022F $0.01 9832024F STEREOSCOPIC PHOTO DOC/REV 2024F $0.01 9832026F EYE IMAGE MATCH DOC/REV 2026F $0.01 9832028F FOOT EXAM PERFORMED 2028F $0.01 9833008F BODY MASS INDEX DOCD 3008F $0.01 9833014F SCREEN MAMMO DOC/REVIEW 3014F $0.01 9833017F COLORECT SCREEN RES DOC/REV 3017F $0.01 9833023F SPIRO RESULTS DOC/REVIEW 3023F $0.01 9833044F A1C LEVEL <7.0% 3044F $0.01 9833045F A1C LEVEL 7.0-9.0% 3045F $0.01 9833046F A1C LEVEL >9.0% 3046F $0.01 9833060F POSITIVE MICROAL DOC/REV 3060F $0.01 9833061F NEG MICROAL DOC/REVIEW 3061F $0.01 9833062F POSITIVE MICROAL DOC/REV 3062F $0.01 9833066F DOCU TX FOR NEPHROPATHY 3066F $0.01 9833072F LOW RISK RETINOPATHY 3072F $0.01 9833288F FALLS RISK ASSESSMENT DOC 3288F $0.01 9834004F TOBACCO SCREEN W/CESSATION 4004F $0.01 9839071 TETANUS 90715 $54.00 51010060 INCISION AND DRAINAGE SIMPLE 10060 $257.00 51011100 BIOPSY SKIN SUBCUTANE TISSUE 11100 $336.00 51011200 EXCISION OF SKIN TAG UP TO 15 11200 $40.00 51011400 EXCISION BENIGN LESION TRUNK 11400 $986.00 51036415 VENIPUNCTURE CLINIC 36415 $25.00 51065210 REMOVAL EMBED FOREIGN BODY 65210 $237.00 51081002 URINALYSIS 81002 $9.00 51086580 TB INTRADERMAL TEST 86580 $34.00 51090732 PNEUMOVAX IM 90732 $71.00 51092551 HEARING EXAM 92551 $40.00 51094010 SPIROMETRY 94010 $180.00 51094015 RECORDED SPIROMETRY 94015 $71.00 51099201 CLINIC VISIT NEW LEVEL 1 99201 T10 15 $95.00 51099202 CLINIC VISIT NEW LEVEL 2 99202 $115.00 51099203 CLINIC VISIT NEW LEVEL 3 99203 $122.00 51099204 CLINIC VISIT NEW LEVEL 4 99204 $211.00 51099205 CLINIC VISIT NEW LEVEL 5 99205 $331.00 51099211 CLINIC VISIT EST LEVEL 1 99211 T10 15 $72.00 51099212 CLINIC VISIT EST LEVEL 2 99212 $89.00 51099213 CLINIC VISIT EST LEVEL 3 99213 $109.00 51099214 CLINIC VISIT EST LEVEL 4 99214 $126.00 51099215 CLINIC VISIT EST LEVEL 5 99215 $302.00 51099241 CLINIC VISIT CONSULT LEVEL 1 99241 $69.00 51099242 CLINIC VISIT CONSULT LEVEL 2 99242 $83.00 51099243 CLINIC VISIT CONSULT LEVEL 3 99243 $105.00 51099244 CLINIC VISIT CONSULT LEVEL 4 99244 $385.00 51099245 CLINIC VISIT CONSULT LEVEL 5 99245 $473.00 51099495 TRANS CARE MGMT 14 DAY DISCHG 99495 $273.00 51099496 TRANS CARE MGMT 7 DAY DISCHG 99496 $395.00 63690670 PCV13 VACCINE IM 90670 $193.00 98310060 INCISION AND DRAINAGE SIMPLE 10060 $75.00 98311100 BIOPSY SKIN SUBCUTANE TISSUE 11100 $75.00 98311200 EXCISION OF SKIN TAGS UP TO 15 11200 $95.00 98311400 EXCISION BENIGN LESION TRUNK 11400 $57.00 98312001 REPAIR LACERATION 12001 $161.00 98365210 REMOVAL EMBED FOREIGN BODY 65210 $59.00 98369210 REMOVAL CERUMEN 69210 $74.00 98385610 PROTHROMBIN 85610 $45.00 98390715 TETANUS 90715 $54.00 98390772 THERAPEUTIC INJECTION 96372 $33.00 98393000 EKG COMPLETE 93000 $156.00 98393010 ECG 12 LEADS INTERP RPT ONLY 93010 $38.00 98393922 ANKLE BRECHIAL INDEX 93922 $134.00 98394010 SPIROMETRY GRAPH RCD VITAL CAP 94010 $17.00 98394760 PULSE OXIMETRY 94760 $11.00 98396116 MINI MENTAL STATE EXAM 96116 $97.00 98399201 CLINIC VISIT NEW LEVEL 1 99201 $53.00 98399202 CLINIC VISIT NEW LEVEL 2 99202 $75.00 98399203 CLINIC VISIT NEW LEVEL 3 99203 $98.00 98399204 CLINIC VISIT NEW LEVEL 4 99204 $128.00 98399205 CLINIC VISIT NEW LEVEL 5 99205 $150.00 98399211 CLINIC VISIT EST LEVEL 1 99211 $23.00 98399212 CLINIC VISIT EST LEVEL 2 99212 $53.00 98399213 CLINIC VISIT EST LEVEL 3 99213 $68.00 98399214 CLINIC VISIT EST LEVEL 4 99214 $90.00 98399215 CLINIC VISIT EST LEVEL 5 99215 $109.00 98399217 HOSP OBS DISCHARGE SERV 99217 $97.00 98399218 HOSP OBS INITIAL SERV LOW 99218 $107.00 98399219 HOSP OBS INITIAL SERV MOD 99219 $220.00 98399220 HOSP OBS INITIAL SERV HIGH 99220 $225.00 98399223 HOSP INP SERV INITIAL HIGH 99223 $412.00 98399224 SUBSEQUENT OBS CARE LOW 99224 $97.00 98399233 HOSP INP SERV SUBSEQUENT HIGH 99233 $98.00 98399234 HOSP OBS/IP CARE ADM/DIS LOW 99234 $161.00 98399235 HOSP OBS/IP CARE ADM/DIS MOD 99235 $268.00 98399236 HOSP OBS/IP CARE ADM/DIS HIGH 99236 $279.00 98399238 HOSP DIS DAY MGMT 30 MIN LESS 99238 $97.00 98399239 HOSP DIS DAY MGMT MORE 30 MIN 99239 $107.00 98399241 CLINIC VISIT CONSULT LEVEL 1 99241 $38.00 98399242 CLINIC VISIT CONSULT LEVEL 2 99242 $83.00 98399243 CLINIC VISIT CONSULT LEVEL 3 99243 $105.00 98399244 CLINIC VISIT CONSULT LEVEL 4 99244 $154.00 98399245 CLINIC VISIT CONSULT LEVEL 5 99245 $191.00 98399254 IP CONSULT LEVEL 4 99254 $176.00 98399255 IP CONSULT LEVEL 5 99255 $247.00 98399304 INITIAL NURSING FAC CARE LOW 99304 $75.00 98399305 INITIAL NURSING FAC CARE MOD 99305 $91.00 98399306 INITIAL NURSING FAC CARE HIGH 99306 $334.00 98399307 SUBSEQUENT NURSE FAC STRG FWD 99307 $54.00 98399308 SUBSEQUENT NURSE FAC LOW 99308 $81.00 98399309 SUBSEQUENT NURSE FAC MOD 99309 $107.00 98399310 SUBSEQUENT NURSE FAC HIGH 99310 $129.00 98399315 NURSE FAC DISCHRG 30 MIN LESS 99315 $97.00 98399316 NURSE FAC DISCHRG 30 MORE 99316 $107.00 98399324 NEW PT REST HOME VST STRGT FWD 99324 $65.00 98399325 NEW PT REST HOME VST LOW 99325 $86.00 98399326 NEW PT REST HOME VST MOD 99326 $124.00 98399327 NEW PT REST HOME VST HIGH 99327 $161.00 98399334 EST PT REST HOME VST STRGT FWD 99334 $59.00 98399335 EST PT REST HOME VST LOW 99335 $81.00 98399336 EST PT REST HOME VST MOD 99336 $107.00 98399337 EST PT REST HOME VST HIGH 99337 $161.00 98399495 TRANS CARE MGMT 14 DAY DISCHG 99495 $97.00 98399496 TRANS CARE MGMT 7 DAY DISCHG 99496 $130.00 51999024M FOLLOW UP CARE $0.00 51999201M CLINIC NEW LEVE 1 BRIEF 99201 T10 15 $95.00 51999202M CLINIC NEW LEVEL 2 LIMIT 99202 T10 15 $115.00 51999203M CLINIC NEW LEVEL 3 INTER 99203 T10 15 $122.00 51999204M CLINIC VISIT LEVEL 4 EXT 99204 T10 15 $211.00 51999205M CLINIC NEW LEVEL 5 COMPR 99205 T10 15 $331.00 51999211M CLINIC EST LEVEL 1 BRIEF 99211 T10 15 $72.00 51999212M CLINIC EST LEVEL 2 LIMIT 99212 T10 15 $89.00 51999213M CLINIC EST LEVEL 3 INTER 99213 T10 15 $109.00 51999214M CLINIC EST LEVEL 4 EXT 99214 T10 15 $126.00 51999215M CLINIC EST LEVEL 5 COMPR 99215 T10 15 $302.00 98399202M CLINIC NEW LEVEL 2 LIMIT 99202 T10 15 $132.00 98399203M CLINIC NEW LEVEL 3 INTER 99203 T10 15 $191.00 98399204M CLINIC NEW LEVEL 4 EXT 99204 $293.00 98399205M CLINIC NEW LEVEL 5 COMPR 99205 $374.00 98399212M CLINIC EST LEVEL 2 LIMIT 99212 $78.00 98399213M CLINIC EST LEVEL 3 INTER 99213 $128.00 98399214M CLINIC EST LEVEL 4 EXT 99214 $192.00 98399215M CLINIC EST LEVEL 5 COMPR 99215 $261.00 99910001 DOT/FMCSA PHYSICAL $80.00 99910002 POST OFFER/PRE EMPLOY PHYSICAL $60.00 99910003 RETURN TO WORK PHYSICAL $60.00 99910004 FITNESS FOR DUTY PHYSICAL $60.00 99910005 AUDIOGRAM $25.00 99910006 PULMINARY FUNC/SPIROMETRY $60.00 99910007 RESPIRATORY CLEARANCE QUEST $15.00 99910008 TITMUS $30.00 99910009 EKG $55.00 99910010 PPD $20.00 99910011 HEP A (SINGLE DOSE) $90.00 99910012 HEP B (SINGLE DOSE) $96.00 99910013 TDAP (SINGLE DOSE) $65.00 99910014 SPORTS PHYSICAL $45.00 9831123F DOC OF SURROG W/ CARE PLAN 1124F $0.01 9831124F NO DOC OF SURROG/NO CARE PLAN 1124F $0.01 98299217 OBS CARE DISCHARGE 99217 $97.00 98299218 INITIAL OBS CARE LOW 99218 $107.00 98299219 INITIAL OBS CARE MOD 99219 $220.00 98299220 INITIAL OBS CARE HIGH 99220 992 15 $225.00 98299224 SUBSEQUENT OBS CARE LOW 99224 $59.00 98299225 SUBSEQUENT OBS CARE MOD 99225 $105.00 98299226 SUBSEQUENT OBS CARE HIGH 99226 $157.00 98299234 OBS CARE SAME DAY LOW 99234 $161.00 98299235 OBS CARE SAME DAY MOD 99235 $268.00 98299236 OBS CARE SAME DAY HIGH 99236 $279.00 98399221 HOSP INP SERV INITIAL LOW 99221 $86.00 98399222 HOSP INP SERV INITIAL MOD 99222 $161.00 98399231 HOSP INP SERV SUBSEQUENT LOW 99231 $65.00 98399232 HOSP INP SERV SUBSEQUENT MOD 99232 $146.00 98399251 IP CONSULT LEVEL 1 99251 $134.00 98399252 IP CONSULT LEVEL 2 99252 $140.00 98399253 IP CONSULT LEVEL 3 99253 $150.00 98593010 ECG 12 LEADS INTERP RPT ONLY 93010 $38.00 98593010Q6 ECG 12 LEADS INTERP RPT ONLY 93010 $38.00 98799201 OBS CON VST NEW LEVEL 1 99201 $53.00 98799202 OBS CON VST NEW LEVEL 2 99202 $132.00 98799203 OBS CON VST NEW LEVEL 3 99203 $191.00 98799204 OBS CON VST NEW LEVEL 4 99204 $296.00 98799205 OBS CON VST NEW LEVEL 5 99205 $374.00 98799211 OBS CON VISIT LEVEL 1 99211 $23.00 98799212 OBS CON VISIT LEVEL 2 99212 $78.00 98799213 OBS CON VISIT LEVEL 3 99213 $128.00 98799214 OBS CON VISIT LEVEL 4 99214 $192.00 98799215 OBS CON VISIT LEVEL 5 99215 $261.00 98799221 INITIAL HOSPITAL LOW 99221 $86.00 98799222 INITIAL HOSPITAL CARE MOD 99222 $161.00 98799223 INITIAL HOSPITAL CARE HIGH 99223 $412.00 98799231 SUBSEQUENT HOSP CARE BRIEF 99231 $54.00 98799232 SUBSEQUENT HOSP CARE EXPANDED 99232 $146.00 98799233 SUBSEQUENT HOSP CARE DETAIL 99233 $98.00 98799238 HOSPITAL DISCH MGMT < 30 MIN 99238 $97.00 98799239 HOSPITAL DISCH MGMT > 30 MIN 99239 $107.00 98799291 CRITICAL CARE VISIT 99291 $650.00 98799292 CRITICAL CARE VISIT ADD 30M 99292 $247.00 98799304 INITIAL NURSING FAC CARE LOW 99304 $186.00 98799305 INITIAL NURSING FAC CARE MOD 99305 $262.00 98799306 INITIAL NURSING FAC CARE HIGH 99306 $333.00 98799307 SUBSEQUENT NURSE FAC STRG FWD 99307 $89.00 98799308 SUBSEQUENT NURSE FAC LOW 99308 $136.00 98799309 SUBSEQUENT NURSE FAC MOD 99309 $179.00 98799310 SUBSEQUENT NURSE FAC HIGH 99310 $267.00 98799315 NURSE FAC DISCHRG 30 MIN LESS 99315 $130.00 98799316 NURSE FAC DISCHRG 30 MORE 99316 $168.00 98799356 PROLONGED SERVICES 1ST HR 99356 $180.00 98799357 PROLONGED SERVICES ADD 30 MIN 99357 $180.00 988992511 INP CONSULT BRIEF 99251 $90.00 988992521 INP CONSULT EXPAND 99252 $157.00 988992531 INP CONSULT DETAIL 99253 $211.00 988992541 INP CONSULT COMP/MOD 99254 $296.00 988992551 INP CONSULT COMP/HIGH 99255 $404.00 510T1015 CLINIC PT LEVEL ANY T1015 $411.00 975G0105 COLORECTAL SCRN; HIGH RISK IND G0105 $464.00 975G0121 COLON CA SCRN NOT HI RSK IND G0121 $464.00 51011200T EXCISION OF SKIN TAGS UP TO 15 11200 $40.00 51056420 DRAINAGE OF GLAND ABSCESS 56420 $192.00 51099201T CLINIC NEW PT LEVEL 1 99201 T10 15 $95.00 51099202T CLINIC NEW PT LEVEL 2 99202 $115.00 51099203T CLINIC NEW PT LEVEL 3 99203 $122.00 51099204T CLINIC NEW PT LEVEL 4 99204 $211.00 51099205T CLINIC NEW PT LEVEL 5 99205 $331.00 51099211T CLINIC EST PT LEVEL 1 99211 T10 15 $72.00 51099212T CLINIC EST PT LEVEL 2 99212 $89.00 51099213T CLINIC EST PT LEVEL 3 99213 $109.00 51099214T CLINIC EST PT LEVEL 4 99214 $126.00 51099215T CLINIC EST PT LEVEL 5 99215 $302.00 97510021 FNA W/O IMAGE 10021 $149.00 97510060 DRAINAGE OF SKIN ABSCESS 10060 $194.00 97510061 DRAINAGE OF SKIN ABSCESS 10061 $359.00 97510080 DRAINAGE OF PILONIDAL CYST 10080 $209.00 97510081 DRAINAGE OF PILONIDAL CYST 10081 $337.00 97510120 INC&REMOVAL BODY SUBQ SIMPLE 10120 $445.00 97510121 INC&REMOVAL BODY SUBQ COMP 10121 $386.00 97510140 I&D OF HEMATOMA/SEROMA 10140 $232.00 97510160 PUNCTURE DRAINAGE OF LESION 10160 $197.00 97511100 BIOPSY SKIN LESION 11100 $210.00 97511101 BIOPSY SKIN ADD-ON 11101 $68.00 97511200 EXCISION SKIN TAGS UP TO 15 11200 $142.00 97511400 EXC LESION SKIN .5CM OR LESS 11400 $161.00 97511401 EXC BEN LESION TR/ARM/LG.6-1CM 11401 $219.00 97511402 EX BEN LESION 1.1-2CM 11402 $334.00 97511403 EXC BEN LESION 2.1-3CM 11403 $386.00 97511404 EXC BEN LESION 3.1-4CM 11404 $439.00 97511406 EXC BEN LESION 4CM 11406 $508.00 97511421 EXC BEN LESION/TAG 0.6-1 11421 $229.00 97511424 EXC BEN LESION/TAG 3.1-4 11424 $372.00 97511426 EXC BEN LESION NK/HD/FT >4CM 11426 $577.00 97511440 EXC BEN LESION FC/EAR/EYE <.5 11440 $218.00 97511441 EXC BEN LESIN FC/ERS/EY .6-1CM 11441 $277.00 97511443 EXC FACE MM B9 MARG 2.1-3CM 11443 $350.00 97511444 EXCIS LES FC/LDS/NS/LIP 3.1-4 11444 $473.00 97511451 REMOVAL SWEAT GLAND LESION 11451 $667.00 97511601 EX MALG LES TRK/ARM/LEG .6-1CM 11601 $314.00 97511602 EX MALG LES TRK/ARM/LEG1.1-2CM 11602 $344.00 97511603 EX MALG LES TRK/ARM/LEG2.1-3CM 11603 $410.00 97511604 EX MALG LES TRK/ARM/LEG3.1-4CM 11604 $454.00 97511606 EXC MALIG LESION > 4CM 11606 $666.00 97511620 EXC MALIG LESION/TAG .05 < 11620 $250.00 97511641 EXC MAL LESION FACE 0.6-1CM 11641 $308.00 97511642 EX MAL LESION FACE 1.1 - 2CM 11642 $388.00 97511643 EXC MALIG LESION MARG 2.1-3 11643 $484.00 97511770 REMOVAL PILONIDAL CYST SIMPLE 11770 $369.00 97511771 EXCISION PILONIDAL CYST EXTENS 11771 $913.00 97511772 EXC PIONIDAL CYST COMPLICATED 11772 $1,214.00 97512001 SIMPLE REPAIR SKIN $134.00 97512031 INT REP SCALP/AX/TRK/2.5ORLESS 12031 $317.00 97512032 INT REP SCALP/AX/TRK/2.6-7.5 12032 $406.00 97512034 INT REP SCALP/AX/TRK/7.5-12.5 12034 $738.00 97512035 INTMD RPR S/A/T/EXT 12.6-20 12035 $481.00 97512041 INTMD RPR N-HF/GENIT 2.5CM/< 12041 $310.00 97515260 FULL TH SKN GRAFT N/E/LIDS/LIP 15260 $1,819.00 97517999 UNLST PROC SKIN TISSUE 17999 $900.00 97519000 DRAINAGE OF BREAST LESION 19000 $93.00 97519081 BX BREAST W/PL LOC DEVICE STER 19081 $371.00 97519082 EA ADD LESION STEREROTACTIC 19082 $176.00 97519083 BX BREAST W/PL LOC DEVICE USND 19083 $330.00 97519084 EA ADD LESION US GUIDANCE 19084 $157.00 97519100 BX BREAST PERCUT W/O IMAGE 19100 $147.00 97519101 BIOPSY OF BREAST OPEN 19101 $460.00 97519110 NIPPLE EXPLORATION 19110 $700.00 97519120 REMOVAL OF BREAST LESION 19120 $851.00 97519125 EXCISION OF BREAST LESION 19125 $946.00 97519126 EXC BREAST LESION EA ADDL 19126 $343.00 97519260 EXCISION CHEST WALL TUMOR 19260 $2,582.00 97519281 PL BRST LOC DEVICE MAMMO GUIDE 19281 $196.00 97519282 EA ADD LESION MAMMO GUIDANCE 19282 $94.00 97519283 PL BRST LOC DEVICE STEREOTACT 19283 $188.00 97519284 EA ADD LESION STEREOTACTIC GD 19284 $94.00 97519285 PL BRST LOC DEVICE ULTRASOUND 19285 $168.00 97519286 EA ADD LESION ULTRASOUND GUIDE 19286 $85.00 97519300 MASTECTOMY FOR GYNECOMASTIA 19300 $840.00 97519301 PARTICAL MASTECTOMY 19301 $1,349.00 97519302 P-MASTECTOMY W/LN REMOVAL 19302 $1,864.00 97519303 MAST SIMPLE COMPLETE 19303 $2,090.00 97519304 NIPPLE SPARING MASTECTOMY 19304 $1,126.00 97519305 RADICAL MASTECTOMY 19305 $2,351.00 97519307 MAST MOD RAD 19307 $2,479.00 97519318 REDUCTION OF LARGE BREAST 19318 $2,200.00 97519328 REMOVAL OF BREAST IMPLANT 19328 $1,044.00 97519370 OPEN PERIPROSTH CAPSUL BREAST 19370 $1,361.00 97519499 UNLISTED PROCEDURE BREAST 19499 $1,070.00 97521501 DRAIN NECK/CHEST LESION 21501 $641.00 97521552 EXC NECK LES SC 3CM/> 21552 $897.00 97521554 EXC SOFT TISS CHEST TUM 5CM> 21554 $1,541.00 97521555 EX TUM SFT TISS NCK/ANT TRUNK 21555 $606.00 97521556 EX NECK TUM DEEP <5CM 21556 $1,105.00 97521933 EXC SOFT TISSUE TUM OF BACK 5C 21933 $1,562.00 97525071 EXC SFT TISS TUM FOREARM > 3CM 25071 $897.00 97525116 REMOVE WRIST/FOREARM LESION 25116 $1,471.00 97526010 DRAINAGE OF FINGER ABSCESS SIM 26010 $292.00 97526011 DRAINAGE OF FINGER ABSCESS 26011 $381.00 97527301 I&D DEEP ABS THIGH KNEE 27301 $981.00 97532551 Tube Thoracostomy 32551 $399.00 97532554 THORACENTESIS 32554 $190.00 97536561 INSERT TUNNELED CV CATH 36561 $761.00 97536571 INSERT IVAD PERIP >5YRS 36571 $656.00 97536590 REMOVAL TUNNELED CV CATH 36590 $438.00 97537799 VASCULAR SURGERY PROCEDURE 37799 $450.00 97538500 BIOPSY/REMOVAL LYMPH NODES 38500 $530.00 97538510 BX/EXC DEEP CERVICAL LYMP NODE 38510 $1,102.00 97538525 BIOPSY/REMOVAL LYMPH NODES 38525 $906.00 97538745 REMOVE ARMPIT LYMPH NODE 38745 $1,828.00 97538900 IO MAP OF SENTINAL NODE 38900 $288.00 97538999 UNLISTED PROC LYMPHATIC SYSTEM 38999 $1,000.00 97543200 ESOPHAGOSCOPY DIAGNOSTIC 43200 $189.00 97543202 ESOPHAGOSCOPY WITH BIOPSY 43202 $223.00 97543235 UPPER GI ENDOSCOPY DIAG 43235 $311.00 97543239 UPPER GI ENDOSCOPY BIOPSY 43239 $366.00 97543246 EGD PLACE GASTROSTOMY TUBE 43246 $417.00 97543250 EGD CAUTERY TUMOR POLYP 43250 $360.00 97543251 EGD REMOVE LESION SNARE 43251 $414.00 97543450 DILATE ESOPHAGUS 43450 $190.00 97543760 CHANGE GASTROSTOMY TUBE 43760 $121.00 97544180 LAP ENTEROLYSIS 44180 $1,934.00 97544955 APPENDECTOMY ADD ON 44955 $178.00 97544970 INTERVAL LAPAROSCOPIC APPENDEC 44970 $1,197.00 97544979 UNLISTED LAP PROC APPENDIX 44979 $1,284.00 97545300 PROCTOSIGMOIDOSCOPY RIG/DIAG 45300 $162.00 97545330 FLEXIBLE SIGMOIDOSCOPY 45330 $126.00 97545331 SIGMOIDOSCOPY WITH BIOPSY 45331 $151.00 97545338 SIGMOIDOSCOPY W/TUM REMOVAL 45338 $301.00 97545378 DIAGNOSTIC COLONOSCOPY 45378 $464.00 97545380 COLONOSCOPY AND BIOPSY 45380 $418.00 97545384 COLONOSCOPY W/HOT BIOP POLYECT 45384 $578.00 97545385 LESION REMOVAL COLONOSCOPY 45385 $657.00 97545990 SURG DX EXAM ANORECTAL 45990 $3,323.00 97545999 RECTUM SURGERY PROCEDURE 45999 $420.00 97546080 INCISION OF ANL SPHINCTER 46080 $334.00 97546220 EXCISE ANAL EXT TAG/PAPILLA 46220 $3,323.00 97546221 BANDING INTERNAL HEMORRHOIDS 46221 $377.00 97546922 EXCISION ANAL LESION 46922 $289.00 97546999 ANUS SURGERY PROCEDURE 46999 $428.00 97547001 NEEDLE BIOPSY LIVER ADD ON 47001 $219.00 97547379 LAPAROSCOPIC LIVER BIOPSY 47379 $1,070.00 97547562 LAPAROSCOPIC CHOLECYSTECTOMY 47562 $1,566.00 97547563 LAPARO CHOLECYSTECTOMY/GRAPH 47563 $1,503.00 97549084 PERITONEAL LAVAGE 49084 $223.00 97549505 PRP I/HERN INIT REDUC >5 49505 $1,083.00 97549507 ING HERNIA REPAIR INCARCER >5 49507 $1,228.00 97549520 REREPAIR ING HERNIA REDUCE 49520 $1,320.00 97549525 REPAIR OF SLIDING INGUINAL HER 49525 $1,214.00 97549560 RPR VENTRAL HERN INIT REDUC 49560 $1,543.00 97549561 RPR VENTRAL HERN INIT BLOCK 49561 $1,950.00 97549565 REREPAIR VENTRL HERN REDUCE 49565 $1,609.00 97549566 REREPAIR VENTRL HERN BLOCK 49566 $1,973.00 97549568 MESH FOR INC/VENTRAL HERNIA RP 49568 $541.00 97549570 REPAIR OF EPIGASTRIC HERNIA 49570 $827.00 97549585 RPR UMBIL HERN REDUC >5 49585 $924.00 97549587 UMBILICAL HERNIOGRAPHY INCAR 49587 $1,191.00 97551500 REMOVAL OF BLADDER CYST 51500 $1,300.00 97555040 EXCISION OF HYDROCELE UNILATER 55040 $671.00 97558150 TOTAL HYSTERECTOMY 58150 $2,132.00 97558661 LAPAROSCOPY REMOVE ADNEXA 58661 $1,307.00 97564788 REMOVE SKIN NERVE LESION 64788 $787.00 97569145 REMOVE EAR CANAL LESION(S) 69145 $493.00 97577001 FLUORO FOR IVAD 77001 $40.00 97577002P FLUORO FOR NEEDLE PLACEMENT 77002 $57.00 98311200G EXCISION OF SKIN TAGS UP TO 15 11200 $134.00 98311200P EXCISION OF SKIN TAGS UP TO 15 11200 $95.00 98399024G GLOBAL SURG FOLLOW-UP $0.00 98399201G CLINIC NEW PT LEVEL 1 99201 $147.00 98399201P CLINIC NEW PT LEVEL 1 99201 $53.00 98399202G CLINIC NEW PT LEVEL 2 99202 $190.00 98399202P CLINIC NEW PT LEVEL 2 99202 $75.00 98399203G CLINIC NEW PT LEVEL 3 99203 $220.00 98399203P CLINIC NEW PT LEVEL 3 99203 $98.00 98399204G CLINIC NEW PT LEVEL 4 99204 $339.00 98399204P CLINIC NEW PT LEVEL 4 99204 $128.00 98399205G CLINIC NEW PT LEVEL 5 99205 $481.00 98399205P CLINIC NEW PT LEVEL 5 99205 $150.00 98399211G CLINIC EST PT LEVEL 1 99211 $95.00 98399211P CLINIC EST PT LEVEL 1 99211 $23.00 98399212G CLINIC EST PT LEVEL 2 99212 $142.00 98399212P CLINIC EST PT LEVEL 2 99212 $53.00 98399213G CLINIC EST PT LEVEL 3 99213 $176.00 98399213P CLINIC EST PT LEVEL 3 99213 $68.00 98399214G CLINIC EST PT LEVEL 4 99214 $216.00 98399214P CLINIC EST PT LEVEL 4 99214 $90.00 98399215G CLINIC EST PT LEVEL 5 99215 $411.00 98399215P CLINIC EST PT LEVEL 5 99215 $110.00 519G0268 REMOVAL OF IMPACTED WAX MD G0268 $210.00 983G0268 REMOVAL OF IMPACTED WAX MD G0268 $68.00 51910021 FNA W/O IMAGE 10021 $564.00 51930300 Remove foreign body intranasal 30300 $172.00 51930901 NASAL CAUT/PACK ANT SIMPLE 30901 $210.00 51930903 NASAL CAUT/PACK ANT COMPLEX 30903 $220.00 51930905 NASAL CAUT/PACK POSTERIOR 30905 $230.00 51931231 NASAL ENDOSCOPY DIAGNOSTIC 31231 $376.00 51931237 NASAL/SINUS ENDOSCOPY SURG 31237 $2,433.00 51931238 NASAL ENDOSCOPY PROCEDURE 31238 $2,440.00 51931575 FLEXIBLE LARYNGOSCOPY 31575 $376.00 51942330 SIALOLITHOTOMY, SIMPLE 42330 $1,048.00 51969000 DRAIN EXTERNAL EAR LESION 69000 $685.00 51969209 REMOV IMPCT CERUM,IRRIG NO AUD 69209 $140.00 51969210 REMOVAL IMPACTED CERUMEN 69210 $134.00 51969420 MYRINGOTOMY W/ASP NO TUBE 69420 $653.00 51969433 MYRINGOTOMY WITH TUBE 69433 $1,363.00 51969801 INCISE INNER EAR 69801 $2,512.00 51992511 NASOPHARYNGOSCOPY 92511 $377.00 51992550 TYMPANOMETRY & REFLEX THRESHOL 92550 $192.00 51992551 SCREEN TEST PURE TONE ONLY 92551 $77.00 51992552 AUDIOMETRY AIR ONLY 92552 $82.00 51992553 AUDIOMETRY AIR & BONE 92553 $192.00 51992555 AUDIOMETRY SPEECH THRESHOLD 92555 $82.00 51992556 AUDIOMETRY W/SPEECH RECOG 92556 $82.00 51992557 AUDIOMETRY COMPREHENSIVE 92557 $202.00 51992565 STENGER TEST 92565 $90.00 51992567 TYPANOMETRY IMPEDANCE TEST 92567 $95.00 51992568 ACOUSTIC REFLEX TESTING 92568 $97.00 51992579 VISUAL REINFORCEMENT AUDIOMET 92579 $214.00 51995992 Canalith Reposition Procedure 95992 $199.00 92092532 Nystagmus, Positional 92532 $98.00 97511301 SHAVE SKIN LESION 0.6-1.0 CM 11301 $230.00 97511422 EXC LES SCALP/NK/HNDS/FT 1.1-2 11422 $279.00 97511442 EXC FACE-MM B9 MARG 1.1-2CM 11442 $358.00 97511446 EXC FACE-MM B9 MARG > 4CM 11446 $808.00 97511640 EXC FACE/EARS/NOSE < .5CM 11640 $309.00 97511644 EXC FACE/EARS/NOSE 3.1CM-4CM 11644 $710.00 97511646 EXC FACE/EARS/NOSE > 4CM 11646 $989.00 97512051 INTMD RPR FACE/MM 2.5 CM/< 12051 $424.00 97512052 INTMD RPR FACE/MM 2.5 - 5CM 12052 $505.00 97512053 INTMD RPR FACE/MM 5.1-7.5CM 12053 $541.00 97512054 INTMD RPR FACE/MM 736-12.5CM 12054 $567.00 97513132 CMPLX RPR WOUND 2.6-7.5 CM 13132 $632.00 97514060 TIS TRNFR E/N/E/L 10 SQ CM/< 14060 $1,341.00 97521315 CLOSED TX NOSE FX W/O STABL 21315 $302.00 97521320 CLOSED TX NOSE FX W STABL 21320 $270.00 97530140 RESECTION OF INFERIOR TURBINAT 30140 $861.00 97530520 REPAIR OF NASAL SEPTUM 30520 $1,221.00 97530630 REPAIR NASAL SEPTUM DEFECT 30630 $1,227.00 97530801 ABLATION SFT TISS INF TURBINAT 30801 $333.00 97530901 CTRL NASAL HEMORRHAGE ANT,SIMP 30901 $115.00 97530903 CTRL NASAL HEMORRHAGE ANT,COMP 30903 $160.00 97530905 CTRL NASAL HEMORRHAGE,POST 30905 $203.00 97530906 CTRL NASAL HEMORRHAGE,POST SUB 30906 $264.00 97530930 OUT FX INFERIOR NASAL TURBINAT 30930 $243.00 97530999 UNLISTED PROC OF NOSE 30999 $410.00 97531231 NASAL ENDO DIAGNOSTIC 31231 $129.00 97531237 NASAL ENDO W/POLYP DEB/BX 31237 $325.00 97531238 NASAL ENDO W/CONTROL NASAL HEM 31238 $329.00 97531240 NASAL ENDO W/CONCHA BULL RESEC 31240 $324.00 97531254 NASAL ENDO W/PARTIAL ETHMOIDEC 31254 $550.00 97531255 NASAL ENDO W/TOTAL ETHMOIDECTO 31255 $806.00 97531256 NASAL ENDO W/MAXILLARY ANTROST 31256 $397.00 97531267 NASAL ENDO W/MAX,ANTRO & REMOV 31267 $639.00 97531276 NASAL ENDO W/FRONT SIN EXPLOR 31276 $1,019.00 97531295 NASAL SCOPE DILATE MAX SINUS 31295 $419.00 97531296 SINUS ENDO W/BALLOON DIL 31296 $401.00 97531297 NASAL SCOPE DIATE SPHE SINUS 31297 $410.00 97531365 REMOVAL OF LARYNX 31365 $5,230.00 97531525 DX LARYNGOSCOPY EXCL NB 31525 $500.00 97531535 DIRECT LARYNGOSCOPY W/BIOPSY 31535 $480.00 97531541 LARYNSCOP W/TUMR EXC + SCOPE 31541 $537.00 97540525 RECONSTRUCT LIP WITH FLAP 40525 $1,100.00 97540808 BIOPSY VESTIBULE OF MOUTH 40808 $272.00 97540812 EXC LESION MOUTH W/SIMP REPAIR 40812 $400.00 97541010 INCISION OF TONGUE FOLD 41010 $225.00 97541112 EXC LESION TONGUE SIMP ANTER 41112 $509.00 97541113 EXC LESION TONGUE SIMP POSTER 41113 $565.00 97541520 RECONSTRUCTION TONGUE FOLD 41520 $523.00 97542120 REMOVE PALATE/LESION 42120 $2,050.00 97542330 REMOVAL OF SALIVARY STONE 42330 $335.00 97542335 REMOVAL OF SALIVARY STONE 42335 $422.00 97542415 EXCISE PAROTID GLAND/LESION 42415 $2,140.00 97542440 EXC OF SUBMANDIBULAR GLAND 42440 $833.00 97542699 UNL SALIVARY SURGER PROCEDURE 42699 $800.00 97542700 I&D ABSCESS PERITONSILLAR 42700 $273.00 97542815 EXCISION OF NECK CYST 42815 $1,121.00 97542820 REMOVE TONSILS & ADENOIDS 42820 $484.00 97542821 T&A 12 YRS OR OVER 42821 $306.00 97542825 TONSILLECTOMY < 12 YRS OLD 42825 $525.00 97542826 TONSILLECTOMY 12 YRS OR OVER 42826 $505.00 97542830 ADENOIDECTOMY < 12 YRS OLD 42830 $416.00 97542831 ADENOIDECTOMY 12 YRS OR OLDER 42831 $444.00 97560210 PARTIAL THYROID EXCISION 60210 $1,784.00 97560220 PARTIAL REMOVAL OF THYROID 60220 $1,783.00 97560280 REMOVE THYROID DUCT LESION 60280 $888.00 97569000 DRAIN EXTER EAR ABSCES SIMPLE 69000 $235.00 97569005 DRAIN EXTER EAR ABSCESS COMP 69005 $313.00 97569421 INCISION OF EARDRUM 69421 $298.00 97569436 TYMPANOSTOMY W/TUBE INSERTION 69436 $319.00 97569990 MICROSURG TECH REQ MICROSCOPE 69990 $570.00 98310021 FNA W/O IMAGE 10021 $141.00 98330901 NASAL CAUT/PACK ANT SIMPLE 30901 $115.00 98330903 NASAL CAUT/PACK ANT COMPLEX 30903 $162.00 98330905 NASAL CAUT/PACK POSTERIOR 30905 $206.00 98331231 NASAL ENDOSCOPY DIAGNOSTIC 31231 $129.00 98331237 NASAL/SINUS ENDOSCOPY SURG 31237 $325.00 98331238 NASAL ENDOSCOPY PROCEDURE 31238 $340.00 98331575 FLEXIBLE LARYNGOSCOPY 31575 $151.00 98342330 SIALOLITHOTOMY, SIMPLE 42330 $335.00 98369000 DRAIN EXTERNAL EAR LESION 69000 $360.00 98369209 REMOV IMPCT CERUM,IRRIG NO AUD 69209 $24.00 98369420 MYRINGOTOMY W/ASP NO TUBE 69420 $238.00 98369433 MYRINGOTOMY WITH TUBE 69433 $264.00 98369801 INCISE INNER EAR 69801 $255.00 98392511 NASOPHARYNGOSCOPY 92511 $95.00 98392550 TYMPANOMETRY & REFLEX THRESHOL 92550 $41.00 98392551 SCREEN TEST PURE TONE ONLY 92551 $41.00 98392552 AUDIOMETRY AIR ONLY 92552 $57.00 98392553 AUDIOMETRY AIR & BONE 92553 $68.00 98392555 AUDIOMETRY SPEECH THRESHOLD 92555 $42.00 98392556 AUDIOMETRY W/SPEECH RECOG 92556 $67.00 98392557 AUDIOMETRY COMPREHENSIVE 92557 $64.00 98392565 STENGER TEST 92565 $30.00 98392567 TYPANOMETRY IMPEDANCE TEST 92567 $22.00 98392568 ACOUSTIC REFLEX TESTING 92568 $31.00 98392579 VISUAL REINFORCEMENT AUDIOMET 92579 $74.00 519992012 CLINIC VISIT NEW LEVEL 1 99201 T10 15 $95.00 519992022 CLINIC VISIT NEW LEVEL 2 99202 T10 15 $115.00 519992032 CLINIC VISIT NEW LEVEL 3 99203 T10 15 $122.00 519992042 CLINIC VISIT NEW LEVEL 4 99204 T10 15 $211.00 519992052 CLINIC VISIT NEW LEVEL 5 99205 T10 15 $331.00 519992112 CLINIC EST LEVEL 1 BRIEF 99211 T10 15 $72.00 519992122 CLINIC EST LEVEL 1 LIMIT 99212 T10 15 $89.00 519992132 CLINIC EST LEVEL 1 INTER 99213 T10 15 $109.00 519992142 CLINIC EST LEVEL 1 EXT 99214 T10 15 $126.00 519992152 CLINIC EST LEVEL 1 COMPR 99215 T10 15 $302.00 983692102 REMOVAL IMPACTED CERUMEN 69210 $74.00 983992012 CLINIC VISIT NEW LEVEL 1 99201 $53.00 983992022 CLINIC VISIT NEW LEVEL 2 99202 $132.00 983992032 CLINIC VISIT NEW LEVEL 3 99203 $191.00 983992042 CLINIC VISIT NEW LEVEL 4 99204 $296.00 983992052 CLINIC VISIT NEW LEVEL 5 99205 $374.00 983992112 CLINIC EST LEVEL 1 BREIF 99211 $23.00 983992112G CLINIC EST LEVEL 1 BREIF 99211 $95.00 983992122 CLINIC EST LEVEL 2 LIMIT 99212 $78.00 983992122G CLINIC EST LEVEL 2 LIMIT 99212 $167.00 983992132 CLINIC EST LEVEL 3 INTER 99213 $128.00 983992132G CLINIC EST LEVEL 3 INTER 99213 $237.00 983992142 CLINIC EST LEVEL 4 EXT 99214 $192.00 983992142G CLINIC EST LEVEL 4 EXT 99214 $318.00 983992152 CLINIC EST LEVEL 5 COMPR 99215 $261.00 983992152G CLINIC EST LEVEL 5 COMP 99215 $563.00 90090792 PSYCHIATRIC EVALUATION 90792 $318.00 91490806 INDIVIDUAL THERAPY 45-50 MIN 90834 $172.00 91499213 CS-OP EST PT VISIT LEVEL 3 99213 $68.00 91499214 CS-OP EST PT VISIT LEVEL 4 99214 $90.00 91499215 CS-OP EST PT VISIT LEVEL 5 99215 $110.00 91590853 GROUP PSYCHOTHERAPY 90853 $189.00 91690847 FAMILY PSYTX W/PATIENT 90847 $257.00 9149921325 CS-OP EST PT VISIT LEVEL 3 99213 $68.00 9149921425 CS-OP EST PT VISIT LEVEL 4 99214 $90.00 9149921525 CS-OP EST PT VISIT LEVEL 5 99215 $110.00 942G0108 DIABETES MGE TRAIN. IND 1 HOUR G0108 G0108 $177.00 942G0109 DIABETES MGE TRAIN. GRP 1 HOUR G0109 G0109 $157.00 27022222 PEDIALYTE $24.00 94297802 COUNSELING DIETARY INIT 15 MIN 97802 W90 49 97802 $40.00 94297803 COUNSELING DIETARY SUB 15 MIN 97803 W90 49 97803 $35.00 94297804 MEDICAL NUTRITION GROUP 97804 $20.00