2020 Chargelisting

2020 Chargelisting Price Description 134.75 Administration of 1 vaccine 154 Low Level Evaluation and Management Visit 102.75 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 173.5 Insertion of indwelling bladder catheter 173.5 Insertion of temporary bladder catheter 230.5 Injection of drug or substance into a vein for therapy, diagnosis, or prevention 656.25 Spinal tap for diagnosis 1690.75 Insertion of central venous catheter for infusion, patient 5 years or older 175 Injection of drug or substance into a vein for therapy, diagnosis, or prevention, in a facility 170.25 Irrigation of implanted venous access drug delivery device 1053 Bladder instillation of cancer preventive, inhibiting, or suppressive agent 997.25 Transfusion of blood or blood products 200.75 Collection of blood specimen from a completely implantable venous access device 910.25 Declotting infusion of implanted central venous access device or catheter 245.25 Therapeutic removal of whole blood to correct blood level imbalance 557.25 Bladder irrigation and/or instillation 518.5 Removal of skin suture with change of bladder tube 555.75 Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour 103 Infusion into a vein for therapy, prevention, or diagnosis 2875.5 Insertion of central venous catheter for infusion, patient 5 years or older 35.5 Insertion of needle into vein for collection of blood sample 145 Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour 84 Application of on-body injector for injection under skin 1612.05 DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION [119545] 1462.87 DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE [116929] 1327.63 OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION [53280] 1330.84 ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION [85656] 1401.38 INFLIXIMAB 100 MG INTRAVENOUS SOLUTION [47461] 9.94 ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK [97351] 210.96 IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRINGE [86283] 16.63 IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION [147460] 545.55 GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION [137948] 7762.68 VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION [142636] 529.61 NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION [56595] 134.32 TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [115219] 134.32 TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION [115220] 1570.8 NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE [87219] 1841.64 DALBAVANCIN 500 MG INTRAVENOUS SOLUTION [142890] 586.14 DEGARELIX 80 MG SUBCUTANEOUS SOLUTION [111032] 914.51 DEGARELIX 120 MG SUBCUTANEOUS SOLUTION [111040] 3545.68 MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION [149811] 85.94 FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION [137807] 1160 ORITAVANCIN 400 MG INTRAVENOUS SOLUTION [144401] 358.52 TEDIZOLID 200 MG INTRAVENOUS SOLUTION [142991] 27122.4 PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION [119747] 570.13 TELAVANCIN 750 MG INTRAVENOUS SOLUTION [114114] 73.85 USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION [154997] 0.61 ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1,000 MG (+/-)/20 ML IV SOLUTION [160173] 904.07 INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION [158533] 1327.63 OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE [163865] 1327.63 OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE [163863] 499.5 Infusion of chemotherapy into a vein using push technique 362.25 Infusion of chemotherapy into a vein up to 1 hour 294.5 Hydration infusion into a vein 31 minutes to 1 hour 294.5 Infusion of different chemotherapy drug or substance into a vein 294.5 Infusion of different chemotherapy drug or substance into a vein up to 1 hour 145 Injection of different drug or substance into a vein for therapy, diagnosis, or prevention 145 Infusion of chemotherapy into a vein 166 Hydration infusion into a vein 145 Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion 145 Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle 145 Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle 798.75 Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours 798.75 INIATE INFUSION PUMP 499.5 Refilling and maintenance of portable pump 154 LEVEL 1 VISIT ONCOLOGY NURSE 255.75 Measurement of oxygen saturation in blood using ear or finger device 2147.5 Bone marrow biopsy 603.75 CHEMO PUMP INITIAL HOOK UP 2877 Bone marrow biopsy and aspiration 26.36 FENTANYL 50 MCG/HR TRANSDERMAL PATCH [44096] 59.31 FENTANYL 75 MCG/HR TRANSDERMAL PATCH [49029] 21.27 FENTANYL 25 MCG/HR TRANSDERMAL PATCH [48755] 78.71 FENTANYL 100 MCG/HR TRANSDERMAL PATCH [46753] 0.04 DOCUSATE SODIUM 100 MG CAPSULE [6249] 0.72 OXYBUTYNIN CHLORIDE 5 MG TABLET [6340] 1.06 DIPYRIDAMOLE 25 MG TABLET [686] 0.38 PROPOFOL 10 MG/ML [613035] 0.14 PROPOFOL 10 MG/ML [613035] 0.7 DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET [40864] 1.4 DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID [2566] 0.01 DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID [5549] 1.28 DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION [7394] 62.1 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older 0.78 PHENYTOIN 50 MG CHEWABLE TABLET [45771] 0.72 HYDROMORPHONE 4 MG TABLET [2636] 0.68 PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE [8567] 0.08 MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION [46732] 2.53 MORPHINE 10 MG/ML INTRAVENOUS SOLUTION [3983] 1.87 MORPHINE ER 15 MG TABLET,EXTENDED RELEASE [26202] 3.38 MORPHINE ER 30 MG TABLET,EXTENDED RELEASE [26203] 7.64 MORPHINE ER 100 MG TABLET,EXTENDED RELEASE [26214] 0.41 ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION [2550] 4.86 MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION [133542] 0.57 CLOTRIMAZOLE 1 % TOPICAL CREAM [6666] 1.78 TROPICAMIDE 0.5 % EYE DROPS [18451] 4.67 TROPICAMIDE 1 % EYE DROPS [18450] 0.18 SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION [5365] 16.41 DIAZEPAM 5 MG/ML INJECTION SYRINGE [3319] 157.62 DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION [40728] 12.94 DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS [8828] 11.29 DEFEROXAMINE 500 MG SOLUTION FOR INJECTION [39169] 0.1 BENZOCAINE-MENTHOL 20 %-0.5 % TOPICAL AEROSOL [44713] 40 METHYLPREDNISOLONE ACETATE PER 12.69 METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION [47215] 1.76 DIVALPROEX 250 MG TABLET,DELAYED RELEASE [44568] 7.14 MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE [84588] 3.43 CLOZAPINE 100 MG TABLET [6014] 7.23 NADOLOL 40 MG TABLET [6002] 0.36 AMIODARONE 200 MG TABLET [5218] 1.94 DANTROLENE 25 MG CAPSULE [44539] 4.54 MISOPROSTOL 100 MCG TABLET [38037] 9.76 CYCLOPENTOLATE 2 % EYE DROPS [47437] 0.97 CYCLOBENZAPRINE 10 MG TABLET [6480] 8.39 CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION [8608] 127.9 COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION [45671] 0.6 DICYCLOMINE 20 MG TABLET [5702] 8.75 FLUCONAZOLE 100 MG TABLET [43062] 3.3 DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION [10328] 14.91 DIGOXIN 125 MCG (0.125 MG) TABLET [10285] 0.97 PROCHLORPERAZINE MALEATE 10 MG TABLET [5240] 12.58 PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY [10542] 6.74 COLCHICINE 0.6 MG TABLET [3725] 1.03 CODEINE SULFATE 30 MG TABLET [2165] 1.32 CLOZAPINE 25 MG TABLET [6013] 0.08 CLONIDINE HCL 0.2 MG TABLET [654] 0.06 CLONIDINE HCL 0.1 MG TABLET [653] 0.63 CLINDAMYCIN HCL 150 MG CAPSULE [5201] 0.87 CLINDAMYCIN 150 MG/ML INJECTION SOLUTION [3755] 2.64 CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION [30667] 0.01 MAGNESIUM CITRATE ORAL SOLUTION [40288] 3.18 CIPROFLOXACIN 500 MG TABLET [39996] 5.46 CIPROFLOXACIN 250 MG TABLET [39995] 33.16 CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH [44448] 55.83 CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH [44707] 2.3 CHLORTHALIDONE 25 MG TABLET [5966] 9.56 CHLORPROMAZINE 25 MG TABLET [7440] 0.29 CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [384] 4.4 CEFUROXIME AXETIL 250 MG TABLET [30665] 0.32 DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [3294] 1621.84 CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION [49705] 1.75 CALCIUM GLUCONATE PER 10ML, 10 0.81 CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE [3903] 1.7 BUTALBITAL-ASPIRIN-CAFFEINE 50 MG-325 MG-40 MG CAPSULE [41145] 1.69 BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET [5165] 0.55 BALANCED SALT SOLUTION COMBINATION NO.2 INTRAOCULAR IRRIGATION [55404] 7 THIOTHIXENE 2MG CAP 0.94 VITAMIN B COMPLEX AND VITAMIN C NO.20-FOLIC ACID 1 MG CAPSULE [48691] 4.8 TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION [42549] 0.08 BISACODYL 10 MG RECTAL SUPPOSITORY [26910] 96.74 PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE [23960] 94.42 PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE [52015] 109.03 PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE [23953] 0.43 CHLORDIAZEPOXIDE 25 MG CAPSULE [9168] 0.35 CHLORDIAZEPOXIDE 5 MG CAPSULE [9167] 1.21 DEXAMETHASONE 4 MG TABLET [2624] 0.21 DEXAMETHASONE 0.5 MG TABLET [2619] 4.29 ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE [44772] 0.24 DIAZEPAM 2 MG TABLET [650] 0.32 DIAZEPAM 5 MG TABLET [651] 0.43 DIAZEPAM 10 MG TABLET [652] 0.6 DICYCLOMINE 10 MG CAPSULE [5721] 0.2 PROPRANOLOL 10 MG TABLET [6447] 0.25 POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET [6400] 0.5 POTASSIUM BICARBONATE AND CHLORIDE 25 MEQ EFFERVESCENT TABLET [44058] 0.51 PROPRANOLOL 20 MG TABLET [6448] 1.3 PROPRANOLOL 40 MG TABLET [6449] 3.36 PROPYLTHIOURACIL 50 MG TABLET [714] 1.08 FINASTERIDE 5 MG TABLET [49340] 0.47 MEDROXYPROGESTERONE 5 MG TABLET [7434] 0.11 FLUOXETINE 20 MG CAPSULE [29095] 0.05 PSEUDOEPHEDRINE 30 MG TABLET [2661] 2.7 PHENAZOPYRIDINE 100 MG TABLET [5760] 1.3 NABUMETONE 500 MG TABLET [29026] 1.33 RIFAMPIN 300 MG CAPSULE [6769] 1.18 ACEBUTOLOL 200 MG CAPSULE [6512] 1.57 ACEBUTOLOL 400 MG CAPSULE [6513] 0.09 SIMETHICONE 80 MG CHEWABLE TABLET [6749] 0.28 BENZONATATE 100 MG CAPSULE [2339] 3.3 THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR [49016] 0.05 THERAPEUTIC MULTIVITAMIN TABLET [7355] 0.06 POVIDONE-IODINE 10 % TOPICAL OINTMENT [6747] 0.09 BENZOIN-ALOE VERA-STORAX-TOLU BALSAM 10 %-2 %-8 %-4 % TOPICAL TINCTURE [97758] 0.11 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL PACKET [53345] 0.18 BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT [5858] 0.39 NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT [44328] 7 NEOSPORIN OINT, 1GM 16.27 NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT [6411] 80.34 AZTREONAM 2 GRAM SOLUTION FOR INJECTION [47326] 112.8 MICROFIBRILLAR COLLAGEN HEMOSTAT TOPICAL POWDER IN PACKET [130476] 1.11 ATROPINE 0.1 MG/ML INJECTION SYRINGE [31590] 1.99 ATROPINE 0.1 MG/ML INJECTION SYRINGE [31590] 1.46 ASPIRIN 300 MG RECTAL SUPPOSITORY [10039] 48 PAMIDRONATE 30 MG INTRAVENOUS SOLUTION [30368] 14.43 HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY [6736] 3.08 HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR [11288] 1.26 CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION [1470] 2.4 CEFAZOLIN 500 MG SOLUTION FOR INJECTION [1469] 7.2 PHENYLEPHRINE 2.5 % EYE DROPS [7373] 1.38 CEPHALEXIN 500 MG CAPSULE [227] 0.7 CEPHALEXIN 250 MG CAPSULE [209] 0.23 CARISOPRODOL 350 MG TABLET [7375] 3.97 DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR [5082] 7 DILTIAZEM 60MG TAB 0.45 DILTIAZEM 30 MG TABLET [479] 1.6 CARBAMAZEPINE 200 MG TABLET [5099] 0.38 SUCRALFATE 1 GRAM TABLET [5189] 1.22 CAPTOPRIL 12.5 MG TABLET [5092] 2.54 VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE [6008] 1.44 VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE [6010] 1.36 BUSPIRONE 10 MG TABLET [28850] 0.78 BUSPIRONE 5 MG TABLET [28849] 0.81 BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [3333] 0.41 BUMETANIDE 1 MG TABLET [5999] 0.03 BISACODYL 5 MG TABLET,DELAYED RELEASE [5759] 6.02 CLARITHROMYCIN 500 MG TABLET [44878] 7 BETHANECHOL 10MG TAB 0.59 BENZTROPINE 1 MG TABLET [6435] 50.44 DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION [40923] 0.24 SULFASALAZINE 500 MG TABLET [6287] 204.5 AMOXICILLIN-CLAVULANATE 250MG- 0.01 ASPIRIN 325 MG TABLET,DELAYED RELEASE [5455] 5.92 AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET [45621] 3.67 AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET [38056] 0.91 LORAZEPAM 1 MG TABLET [6462] 0.7 LORAZEPAM 0.5 MG TABLET [6461] 2.02 LORAZEPAM 2 MG/ML INJECTION SOLUTION [3520] 0.89 ATENOLOL 50 MG TABLET [657] 0.04 ASCORBIC ACID (VITAMIN C) 500 MG TABLET [5289] 57.89 PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION [44598] 16.12 HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION [116381] 7.22 METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION [138648] 11.63 METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION [115224] 27.74 METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION [10345] 50.27 METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION [43951] 7.35 URSODIOL 300 MG CAPSULE [5230] 2.54 MEXILETINE 150 MG CAPSULE [2541] 0.08 IBUPROFEN 200 MG TABLET [5479] 7 GLYBURIDE 2.5MG TAB 7 GLYBURIDE 5MG TAB 0.74 LEVOTHYROXINE 150 MCG TABLET [7401] 0.61 LEVOTHYROXINE 100 MCG TABLET [7400] 0.6 LEVOTHYROXINE 75 MCG TABLET [7399] 0.54 LEVOTHYROXINE 50 MCG TABLET [6402] 0.91 CLONAZEPAM 1 MG TABLET [5160] 0.75 CLONAZEPAM 0.5 MG TABLET [5159] 0.43 SPIRONOLACTONE 25 MG TABLET [8568] 0.05 B-COMPLEX WITH VITAMIN C TABLET [38958] 0.27 ALLOPURINOL 100 MG TABLET [6395] 0.74 ALLOPURINOL 300 MG TABLET [6396] 1.97 PERPHENAZINE 2 MG TABLET [5978] 3.26 PERPHENAZINE 8 MG TABLET [5980] 4 PHENAZOPYRIDINE 200 MG TABLET [5761] 17.71 PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY [39731] 17.71 PROMETHAZINE 25 MG RECTAL SUPPOSITORY [38990] 0.14 PROMETHAZINE 25 MG TABLET [5513] 7 CALCIUM ACETATE 667MG TAB 4.39 HYDROXYCHLOROQUINE 200 MG TABLET [5245] 3.9 OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE [38954] 7.05 ALBUTEROL SULFATE 2 MG TABLET [647] 0.25 PREDNISONE 5 MG TABLET [2655] 0.27 PREDNISONE 10 MG TABLET [2657] 0.29 PREDNISONE 20 MG TABLET [2656] 0.32 AMITRIPTYLINE 10 MG TABLET [6289] 0.64 AMITRIPTYLINE 25 MG TABLET [6290] 18.75 CLOMIPRAMINE 25MG CAP 0.78 NAPROXEN 250 MG TABLET [665] 0.52 AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION [7948] 0.42 AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION [3954] 0.12 AMOXICILLIN 250 MG CAPSULE [2352] 0.21 AMOXICILLIN 500 MG CAPSULE [2353] 0.38 GLIPIZIDE 5 MG TABLET [2345] 7 GLYBURIDE 3MG TAB 7.19 HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION [24330] 0.46 HALOPERIDOL 1 MG TABLET [6336] 0.78 HALOPERIDOL 5 MG TABLET [6338] 0.42 HYDROCORTISONE 2.5 % TOPICAL CREAM [5894] 25.63 HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION [9637] 0.3 HYDROXYZINE PAMOATE 25 MG CAPSULE [5962] 0.4 HYDROXYZINE HCL 25 MG TABLET [6398] 1.61 TERAZOSIN 1 MG CAPSULE [5148] 1.61 TERAZOSIN 2 MG CAPSULE [5149] 0.08 IBUPROFEN 400 MG TABLET [5985] 0.1 IBUPROFEN 600 MG TABLET [5976] 0.09 IBUPROFEN 800 MG TABLET [5977] 2.35 AZATHIOPRINE 50 MG TABLET [2614] 2.18 PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE [24304] 2.39 PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE [23235] 0.38 INDOMETHACIN 25 MG CAPSULE [5986] 0.06 HYDROCORTISONE-ALOE VERA 1 % TOPICAL CREAM [41932] 3.29 HYDROMORPHONE 2 MG/ML INJECTION SYRINGE [1021] 0.56 HYDRALAZINE 50 MG TABLET [683] 0.51 HYDRALAZINE 25 MG TABLET [682] 0.42 HYDRALAZINE 10 MG TABLET [5823] 0.15 HYDROCHLOROTHIAZIDE 25 MG TABLET [687] 17.84 INSULIN REGULAR HUMAN 100 UNIT/ML INJECTION (SLIDING SCALE) [613484] 16.52 INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP [45486] 2.4 HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION [49187] 2.88 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [44427] 0.06 GUAIFENESIN 100 MG/5 ML ORAL LIQUID [46030] 75.25 PEG-ELECTROLYTES PWD, 4000 ML 0.13 GLYCERIN (CHILD) RECTAL SUPPOSITORY [6247] 336.96 GLUCAGON (HUMAN RECOMBINANT) 1 MG SOLUTION FOR INJECTION [47961] 7 THIOTHIXENE 5MG CAP 325 CROMOLYN 5.2MG/ACT NASAL SPRAY 8.57 GENTAMICIN 0.3 % EYE DROPS [6434] 1.39 GENTAMICIN 40 MG/ML INJECTION SOLUTION [3308] 1.94 GENTAMICIN 40 MG/ML INJECTION SOLUTION [3308] 2.36 GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION [100028] 0.24 GENTAMICIN 0.1 % TOPICAL OINTMENT [5892] 3.29 GENTAMICIN 0.1 % TOPICAL CREAM [5891] 0.06 FUROSEMIDE 40 MG TABLET [685] 0.28 ISOFLURANE 99.9 % INHALATION LIQUID [129667] 0.23 FLUORESCEIN 1 MG EYE STRIPS [46173] 2.25 FLUOCINOLONE 0.025 % TOPICAL OINTMENT [5887] 2.34 FLUOCINOLONE 0.025 % TOPICAL CREAM [5886] 0.43 ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY [6312] 3.3 NIFEDIPINE 10 MG CAPSULE [6408] 0.13 POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE [10442] 2.37 TAMOXIFEN 10 MG TABLET [9935] 0.64 DOXEPIN 10 MG CAPSULE [8474] 0.84 DOXEPIN 25 MG CAPSULE [7479] 1.44 DOXYCYCLINE HYCLATE 100 MG CAPSULE [2354] 14.52 DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION [26741] 11.06 PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION [23260] 7 ERYTHROMYCIN 250MG BASE TAB 7 EPHEDRINE 50MG/ML INJ, 1ML 17.95 EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION [122648] 89.28 ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION [31242] 5.33 ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [5890] 0.68 ESTRADIOL 1 MG TABLET [6528] 0.75 FLUDROCORTISONE 0.1 MG TABLET [30479] 0.58 FLUPHENAZINE 1 MG TABLET [6354] 0.69 FLUPHENAZINE 2.5 MG TABLET [6355] 5.41 FOLIC ACID 5 MG/ML INJECTION SOLUTION [24635] 0.19 FOLIC ACID 1 MG TABLET [5703] 1.32 FUROSEMIDE 10 MG/ML INJ [3967] 0.87 FUROSEMIDE 10 MG/ML INJ [3967] 0.69 FUROSEMIDE 10 MG/ML INJ [3967] 0.15 FUROSEMIDE 20 MG TABLET [684] 7.61 PILOCARPINE 2 % EYE DROPS [2914] 1.08 ISOSORBIDE DINITRATE 10 MG TABLET [5715] 2.49 ISOSORBIDE DINITRATE 20 MG TABLET [5716] 1.31 ISOSORBIDE DINITRATE 30 MG TABLET [8380] 0.85 HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET [47479] 0.47 BACLOFEN 10 MG TABLET [5192] 0.21 LITHIUM CARBONATE 300 MG CAPSULE [2536] 0.88 LOPERAMIDE 2 MG CAPSULE [5126] 2.32 GEMFIBROZIL 600 MG TABLET [2340] 0.25 METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION [3554] 0.06 METOPROLOL TARTRATE 50 MG TABLET [5142] 0.95 BENAZEPRIL 10 MG TABLET [41881] 0.03 MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET [11204] 0.05 MANNITOL 25 % INTRAVENOUS SOLUTION [3751] 0.71 MECLIZINE 12.5 MG TABLET [5810] 0.4 MECLIZINE 25 MG TABLET [5804] 0.28 MEGESTROL 40 MG TABLET [2650] 29.64 METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION [46428] 0.59 METHOCARBAMOL 750 MG TABLET [681] 6.24 METHOTREXATE SODIUM 2.5 MG TABLET [710] 0.37 METHYLDOPA 250 MG TABLET [694] 0.67 METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION [3696] 0.3 METOCLOPRAMIDE 10 MG TABLET [5187] 0.48 METRONIDAZOLE 250 MG TABLET [5163] 0.92 METRONIDAZOLE 500 MG TABLET [5164] 0.02 SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL [24003] 0.09 OXYMETAZOLINE 0.05 % NASAL SPRAY [8816] 1.79 OXYTOCIN 10 UNIT/ML INJECTION SOLUTION [24027] 7 BROMOCRIPTINE 2.5MG TAB 1.19 PENICILLIN V POTASSIUM 250 MG TABLET [2348] 0.78 PENICILLIN V POTASSIUM 500 MG TABLET [5182] 15.19 PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION [36069] 0.54 FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION [101199] 0.54 FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION [28904] 1.74 FAMOTIDINE 20 MG TABLET [28881] 1.37 OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET [6388] 1.07 CYPROHEPTADINE 4 MG TABLET [5816] 2.98 PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION [9615] 215.75 VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION [145182] 0.2 POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [3680] 0.25 POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [3349] 0.36 POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION [3349] 356.16 CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION [49576] 1.15 PROBENECID 500 MG TABLET [5953] 7 PROMETHAZINE PER 50MG, 25MG/ML 0.42 LISINOPRIL 10 MG TABLET [38031] 3.35 CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET [53595] 535 PHENTOLAMINE 5 MG INJECTION EXTRAVASATION ANTIDOTE [612844] 2.3 SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLUTION [2486] 1.44 CEFTRIAXONE 250 MG SOLUTION FOR INJECTION [45128] 46 CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION [46535] 0.84 MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION [6879] 247 PROCHLORPERAZINE EDYSLATE PER 0.23 BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION [4265] 0.06 BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION [3289] 1.51 SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION [10348] 0.31 CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET [5120] 0.8 CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET [42527] 0.19 SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION [3684] 1.69 SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE [132536] 0.23 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION [4053] 1.17 SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION [31251] 3.71 SULFACETAMIDE SODIUM 10 % EYE DROPS [5916] 2.14 SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION [9084] 0.11 SORBITOL 70 % SOLUTION [5564] 0.22 SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET [5090] 0.78 SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET [5089] 0.27 TRIHEXYPHENIDYL 2 MG TABLET [5711] 2.55 TRIFLUOPERAZINE 5 MG TABLET [8571] 1.56 NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [111991] 1.5 PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE [5205] 0.16 TRAZODONE 50 MG TABLET [5134] 19.26 SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [48815] 2.16 KETOROLAC 10 MG TABLET [5127] 0.62 KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION [3729] 1.04 KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION [3728] 73.5 TOBRAMYCIN 0.3 % EYE OINTMENT [48028] 2.91 TOBRAMYCIN 0.3 % EYE DROPS [6738] 1.46 TOBRAMYCIN 40 MG/ML INJECTION SOLUTION [79] 29.02 TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION [49657] 78.24 TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT [45613] 86.12 THROMBIN (BOVINE) 5,000 UNIT TOPICAL SOLUTION [100271] 356.64 THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY SYRINGE [131920] 7 MULTIVITAMIN WITH MINERALS TAB 9.96 TETRACAINE 0.5 % VISCOUS EYE DROPS IN A DROPPERETTE [114968] 0.83 TEMAZEPAM 30 MG CAPSULE [7305] 0.71 TEMAZEPAM 15 MG CAPSULE [7304] 0.66 CARBAMAZEPINE 100 MG CHEWABLE TABLET [5152] 0.33 MIDAZOLAM 1 MG/ML INJECTION SOLUTION [28026] 8.73 VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION [3284] 0.53 VERAPAMIL 80 MG TABLET [6343] 1.94 ENALAPRIL MALEATE 10 MG TABLET [28143] 1.85 ENALAPRIL MALEATE 5 MG TABLET [28142] 0.02 CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET [5291] 18.24 PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION [8594] 36.25 LEUCOVORIN 25MG TAB 1.96 BUPROPION HCL 100 MG TABLET [5119] 1.55 BUPROPION HCL 75 MG TABLET [5118] 1.47 DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE [2631] 1.77 DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE [2632] 54 PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE [9882] 0.02 METRONIDAZOLE 500 MG/100 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [4177] 1.04 LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION [87061] 0.01 SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION [4104] 0.01 SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [3346] 0.01 DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [3347] 3.06 LIDOCAINE 2 % MUCOSAL JELLY [7460] 0.01 DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION [4209] 0.09 LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION [87066] 0.06 ALPRAZOLAM 0.5 MG TABLET [669] 0.7 ALPRAZOLAM 0.25 MG TABLET [668] 3.29 METOLAZONE 2.5 MG TABLET [40990] 7 RANITIDINE 150MG TAB 0.8 ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY [6725] 0.8 ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY [6427] 0.97 ACYCLOVIR 200 MG CAPSULE [5086] 3.36 SERTRALINE 50 MG TABLET [49170] 0.4 SERTRALINE 100 MG TABLET [45246] 0.05 DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [3347] 0.02 DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION [3347] 0.05 SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [3346] 0.03 SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [3346] 0.02 SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION [3346] 0.12 DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK [85043] 15.55 DEXTROSE 5 100ML 0.01 LACTATED RINGERS INTRAVENOUS SOLUTION [4220] 0.01 SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION [3972] 0.01 DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [4204] 0.01 DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [4206] 0.01 DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [4213] 0.01 DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION [3922] 0.01 DEXTROSE 5% AND 0.3 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [4205] 0.92 DOXAZOSIN 2 MG TABLET [28152] 118.68 ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT [47973] 4.67 AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION [41966] 33.27 APRACLONIDINE 1 % EYE DROPS IN A DROPPERETTE [49077] 0.31 BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION [4267] 0.25 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION [3292] 0.07 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [3287] 0.07 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [3290] 0.04 CALCIUM CARBONATE 500 MG CALCIUM (1,250 MG) TABLET [32875] 1.35 CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM [41550] 10.02 EPINEPHRINE 1 MG/ML INJECTION SOLUTION [4112] 0.75 ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION [24641] 1.63 FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION [43498] 0.36 ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET [39227] 2.95 AMPICILLIN 500 MG SOLUTION FOR INJECTION [1475] 0.02 ASPIRIN 81 MG CHEWABLE TABLET [31359] 4.45 BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOPICAL SPRAY [45401] 0.01 BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION [47305] 0.07 CALCIUM CARBONATE 200 MG CALCIUM (500 MG) CHEWABLE TABLET [9859] 0.09 CARBAMIDE PEROXIDE 6.5 % EAR DROPS [23259] 0.18 DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR [47470] 4.56 EMPTY CONTAINER, PLASTIC BAG 250 ML [4216] 0.62 ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION [40010] 0.73 BALANCED SALT SOLUTION NON-SURGICAL NO.3 EYE WASH [55538] 0.45 FUROSEMIDE 80 MG TABLET [649] 49.99 GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 100 TOPICAL SPONGE [45780] 33.44 GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 50 TOPICAL SPONGE [48059] 0.11 GLYCERIN (ADULT) RECTAL SUPPOSITORY [6248] 183.69 Hepatitis B immune globulin for injection into muscle 170 Vaccine for Hepatitis B (2 dose schedule) for injection into muscle, adolescent patient 15.7 HYDRALAZINE 20 MG/ML INJECTION SOLUTION [9621] 0.28 HYDROXYZINE HCL 10 MG TABLET [6397] 0.41 ISOSORBIDE MONONITRATE 20 MG TABLET [5088] 1.97 KETAMINE 100 MG/ML INJECTION SOLUTION [3541] 0.79 KETAMINE 50 MG/ML INJECTION SOLUTION [3542] 0.86 LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET [53589] 0.01 PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION [45950] 2.8 LEUCOVORIN CALCIUM 5 MG TABLET [2638] 0.09 LIDOCAINE 10 MG/ML (1 %) INJECTION SOLUTION [3791] 0.07 LIDOCAINE 10 MG/ML (1 %) INJECTION SOLUTION [3791] 7 LIDOCAINE VISCOUS 100MG/5ML LI 0.13 LIDOCAINE 20 MG/ML (2 %) INJECTION SOLUTION [3544] 0.18 LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [3661] 0.11 LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION [3661] 1.29 LIDOCAINE 4 % (40 MG/ML) MUCOSAL SOLUTION [2577] 1.43 METHYLPREDNISOLONE 4 MG TABLET [6299] 0.02 MINERAL OIL ENEMA [29934] 4.35 NALBUPHINE 10 MG/ML INJECTION SOLUTION [3336] 4.22 NALBUPHINE 10 MG/ML INJECTION SOLUTION [3336] 12.57 NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT [5917] 3.97 NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS [6731] 10.07 NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP [8818] 1.5 NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET [24864] 6.07 NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION [39256] 0.74 NORTRIPTYLINE 10 MG CAPSULE [5155] 1.47 NORTRIPTYLINE 25 MG CAPSULE [5156] 1.17 NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM [5881] 1.11 WHITE PETROLATUM-MINERAL OIL 83 %-15 % EYE OINTMENT [101074] 0.54 OXYCODONE 5 MG TABLET [5526] 0.02 PHENOL 1.4 % MUCOSAL AEROSOL SPRAY [49548] 188 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older 0.51 PSYLLIUM HUSK (WITH SUGAR) 3.4 GRAM ORAL POWDER PACKET [142080] 0.3 SILVER SULFADIAZINE 1 % TOPICAL CREAM [8861] 127.48 SINCALIDE 5 MCG SOLUTION FOR INJECTION [46081] 0.03 AMMONIUM LACTATE 12 % LOTION [20296] 0.01 SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA [47846] 0.02 SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA [90717] 4.3 THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR [6365] 1.01 THYROID (PORK) 60 MG TABLET [113862] 14.7 TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG-0.5 MG-5 MG/ML INTRAVENOUS SOLN [40547] 0.26 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [5852] 0.17 TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM [5852] 0.74 TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM [5850] 16.12 TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE [6646] 15.75 TROLAMINE 10% CRM, 90GM 102.54 TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION [44141] 10.2 VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION [3389] 0.14 VIT A 1,000 UNIT-C 200 MG-E 60 UNIT-LUTEIN 2 MG AND MINERALS TABLET [87871] 0.08 VITAMIN E 400 UNIT CAPSULE [10601] 0.06 GLYCERIN-WITCH HAZEL 12.5 %-50 % TOPICAL PADS [83775] 12.22 ZINC OXIDE 3" X 10 YARD BANDAGE [53184] 0.03 ZINC SULFATE 220 MG (50 MG) CAPSULE [88464] 1.39 ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION [17292] 0.04 HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION [4113] 0.17 HYDROCORTISONE 1 % TOPICAL OINTMENT [5865] 1.1 HYDROXYUREA 500 MG CAPSULE [2534] 6.91 MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE [84593] 0.39 METHADONE 5 MG TABLET [2644] 33.45 BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY [49308] 10.31 GELATIN SPONGE,ABSORBABLE-PORCINE SKIN 12 MM-7 MM TOPICAL SPONGE [48556] 0.81 POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID [2596] 3.84 WARFARIN 10 MG TABLET [6542] 3.7 WARFARIN 7.5 MG TABLET [6541] 2.78 WARFARIN 5 MG TABLET [6539] 2.66 WARFARIN 2.5 MG TABLET [6536] 2.58 WARFARIN 2 MG TABLET [6535] 0.68 POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST) [30045] 0.72 LEVOTHYROXINE 125 MCG TABLET [7403] 13.2 ATROPINE 1 MG/ML INJECTION SOLUTION [9622] 11.49 CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN [9080] 1.08 CHLORZOXAZONE 500 MG TABLET [30935] 1.86 NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH [8585] 1.9 NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH [8586] 2.17 NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH [8493] 2.4 NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH [8587] 1.28 CALCITRIOL 0.25 MCG CAPSULE [29853] 0.04 SENNOSIDES 8.6 MG TABLET [24585] 0.01 SODIUM CHLORIDE 3 % INTRAVENOUS INJECTION SOLUTION [7658] 0.47 PRAVASTATIN 10 MG TABLET [46693] 2.52 NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH [8500] 2.06 NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH [8498] 2.06 NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH [8499] 0.09 LIDOCAINE 20 MG/ML (2 %) INJECTION SOLUTION [3544] 3.48 AMLODIPINE 5 MG TABLET [45846] 0.11 SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [1827] 5.14 CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE [6756] 7 FENTANYL PER 0.1MG, 0.05MG/ML 0.55 LABETALOL 100 MG TABLET [5096] 0.68 LABETALOL 200 MG TABLET [5097] 8.64 ETIDRONATE DISODIUM 400 MG TABLET [48254] 1.75 FENTANYL PER 0.1MG, 0.05MG/ML 0.57 DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR [6297] 1.98 PERMETHRIN 5 % TOPICAL CREAM [9387] 10.01 CIPROFLOXACIN 0.3 % EYE DROPS [42747] 3.49 FLURBIPROFEN 0.03 % EYE DROPS [18439] 0.71 HYDROMORPHONE 2 MG TABLET [2635] 3.95 DOXAZOSIN 4 MG TABLET [28153] 1.62 CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET [5122] 0.02 PERITONEAL DIALYSIS SOLN 8-4.25 % DEXTROSE CAL 2.5 MEQ/L-MAG 0.5 MEQ/L [89626] 1.3 NAPROXEN 500 MG TABLET [667] 7.39 AZITHROMYCIN 250 MG TABLET [44705] 3.27 PRAVASTATIN 20 MG TABLET [48414] 0.67 TRIHEXYPHENIDYL 5 MG TABLET [5710] 9.94 TEMAZEPAM 7.5 MG CAPSULE [10673] 0.11 ZOLPIDEM 10 MG TABLET [48810] 0.65 POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET [101488] 1.36 THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR [44813] 0.27 AMILORIDE 5 MG TABLET [6466] 0.54 LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE [40708] 0.03 PYRIDOXINE (VITAMIN B6) 50 MG TABLET [7391] 3.58 FLECAINIDE 100 MG TABLET [30587] 7 METHOCARBAMOL 500MG TAB 0.13 CALCIUM POLYCARBOPHIL 625 MG TABLET [47666] 7.46 NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM [42135] 0.44 METHIMAZOLE 5 MG TABLET [21512] 0.59 MINOXIDIL 2.5 MG TABLET [8481] 1.01 VALPROIC ACID 250 MG CAPSULE [6446] 0.54 ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [7311] 0.5 PRIMIDONE 50 MG TABLET [29089] 0.01 ACETAMINOPHEN 500 MG TABLET [2672] 93.75 MANNITOL 20% (200MG/ML) IV SOL 0.71 LEVOTHYROXINE 112 MCG TABLET [28229] 0.19 HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SYRUP [10205] 2.88 ACETAZOLAMIDE 250 MG TABLET [7412] 0.04 SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET [43603] 0.86 LORATADINE 10 MG TABLET [39351] 0.67 METHYLDOPA 500 MG TABLET [695] 0.2 LABETALOL 5 MG/ML INTRAVENOUS SOLUTION [3551] 0.13 LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [3657] 0.09 LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION [3657] 0.53 IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION [2683] 22.3 ATROPINE 1 % EYE DROPS [2911] 1.97 ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE [48547] 16.24 KETOROLAC 0.5 % EYE DROPS [46278] 10.36 CLOBETASOL 0.05 % TOPICAL OINTMENT [5903] 31.07 HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION [5726] 2.35 SOTALOL 80 MG TABLET [5179] 23.25 SODIUM HYPOCHLORITE 0.25% TOP 2 VENLAFAXINE 37.5 MG TABLET [47199] 0.88 ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION [45675] 11.23 TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION [8798] 1.66 AMIKACIN 500 MG/2 ML INJECTION SOLUTION [117935] 3.22 CLOTRIMAZOLE 10 MG TROCHE [43061] 1.12 METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [44824] 0.58 GABAPENTIN 100 MG CAPSULE [43401] 1.38 GABAPENTIN 300 MG CAPSULE [43402] 1.22 GABAPENTIN 400 MG CAPSULE [43403] 7 TRIAMETERENE-HYDROCHLOROTHIAZI 62.4 SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION [46568] 11.1 ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION [40245] 2.47 WARFARIN 1 MG TABLET [6534] 54 MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION [43500] 26.18 PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION [10316] 0.73 SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK [90041] 17.84 INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION [38177] 1.65 METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK [48819] 0.91 THYROID (PORK) 30 MG TABLET [113861] 0.61 LEVOTHYROXINE 88 MCG TABLET [28232] 0.8 ATENOLOL 25 MG TABLET [656] 1.13 SUCRALFATE 100 MG/ML ORAL SUSPENSION [44976] 2.07 DIFLUNISAL 500 MG TABLET [5145] 0.36 ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION [89684] 0.71 LORATADINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR [47707] 4.29 ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [28112] 129.5 HALCINONIDE 0.1% OINT, 30GM 15 SORBSAN DRESS, 4X4 0.87 LISINOPRIL 5 MG TABLET [38030] 433.5 LINDANE 1% TOP SHAM, 60ML 90.75 CEFPODOXIME 100MG TAB 181.75 CEFPODOXIME 100MG/5ML SUSP, 50 7 PHENYLEPHRINE-BROMPHENIRAMINE 7 NIFEREX-150 FORTE CAP 21 INSTA-CHAR CHERRY 25GM 0.81 SODIUM CHLORIDE 5 % EYE DROPS [6732] 0.11 VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION [126161] 0.65 POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE [4170] 0.8 TRAMADOL 50 MG TABLET [37859] 0.04 CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET [26173] 0.7 METFORMIN 500 MG TABLET [30139] 1.21 METFORMIN 850 MG TABLET [30140] 1.34 PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE [49318] 7 GLIPIZIDE 5MG XL TAB 1.67 MINERAL OIL [31523] 0.95 KETOROLAC 15 MG/ML INJECTION SOLUTION [3726] 4.28 NALTREXONE 50 MG TABLET [8908] 0.82 TORSEMIDE 20 MG TABLET [37862] 2.14 IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION [44322] 7 DIVALPROEX 125MG EC TAB 0.4 METOCLOPRAMIDE 5 MG TABLET [5188] 2.26 LOSARTAN 50 MG TABLET [40349] 1.8 RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION [56042] 7 GUAIFENESIN 600MG SR TAB 77.45 CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH [48421] 0.1 FLUOXETINE 10 MG CAPSULE [29111] 1.58 SUMATRIPTAN 25 MG TABLET [45070] 0.01 ASPIRIN 81 MG TABLET,DELAYED RELEASE [30082] 0.51 SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET [48260] 0.27 ALBUTEROL 2.5 MG/3 ML (0.083 %) (PEDIATRIC ASTHMA) [613116] 25.14 SUMATRIPTAN 50 MG TABLET [45483] 0.32 HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION [44427] 1.45 AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [38735] 0.07 SODIUM BICARBONATE 650 MG TABLET [16] 7 CYCLOSPORINE PER 25MG, 25MG CA 3.04 TORSEMIDE 100 MG TABLET [37863] 0.1 ZOLPIDEM 5 MG TABLET [48479] 1.52 IPRATROPIUM BROMIDE 0.03 % NASAL SPRAY [39164] 1.68 LOSARTAN 25 MG TABLET [47616] 721.2 ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION [44871] 1.42 DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE [49173] 4.9 AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET [38057] 56.25 BICALUTAMIDE 50MG TAB 99.23 ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE [50527] 1.22 QUINAPRIL 5 MG TABLET [47912] 16 SIMVASTATIN 20MG TAB 7 OXYCODONE 10MG CR TAB 11.75 OXYCODONE 20MG CR TAB 15.81 OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR [145888] 5.3 DRONABINOL 2.5 MG CAPSULE [46345] 1.04 METHYLPHENIDATE 10 MG TABLET [5731] 3.7 OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE [40725] 425.32 CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION [49618] 0.28 PREDNISONE 1 MG TABLET [2659] 1.23 GLIMEPIRIDE 2 MG TABLET [46122] 1.23 GLIMEPIRIDE 4 MG TABLET [47454] 1.81 PRAZOSIN 1 MG CAPSULE [671] 3.23 DIVALPROEX 500 MG TABLET,DELAYED RELEASE [45891] 0.03 ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET [49371] 12.33 PHYTONADIONE (VITAMIN K1) 5 MG TABLET [49647] 1.63 NABUMETONE 750 MG TABLET [29855] 6.38 IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY [39165] 0.47 LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE [39730] 0.81 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [87063] 0.69 NITROGLYCERIN 0.6 MG SUBLINGUAL TABLET [24865] 0.34 HYDROCORTISONE 5 MG TABLET [40397] 0.22 FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK [43068] 5.27 FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION [49145] 0.39 TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET [6478] 2.88 FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION [102472] 0.08 SODIUM CHLORIDE 0.9 % INJECTION SOLUTION [1827] 52 FLU VACCINE ADMIN 13.22 OLANZAPINE 5 MG TABLET [45302] 47.25 TERBINAFINE 250MG TAB 38 LATANOPROST 0.005 % EYE DROPS [40543] 2.33 AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [48737] 0.03 CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH [84608] 16.08 OLANZAPINE 7.5 MG TABLET [45957] 1.22 QUINAPRIL 20 MG TABLET [48402] 2.99 ZAFIRLUKAST 20 MG TABLET [47881] 0.09 MENTHOL 0.44 %-ZINC OXIDE 20.6 % TOPICAL OINTMENT [114617] 7.79 DONEPEZIL 5 MG TABLET [44390] 1.94 VENLAFAXINE 25 MG TABLET [45062] 0.17 PERMETHRIN 1 % TOPICAL LIQUID [28216] 1.68 METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR [45229] 1.71 DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET [30497] 0.3 ATORVASTATIN 10 MG TABLET [44642] 0.36 ATORVASTATIN 20 MG TABLET [44341] 99.23 ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE [50531] 0.26 LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [53060] 18.9 LEVOFLOXACIN 500 MG TABLET [48762] 16.49 LEVOFLOXACIN 250 MG TABLET [45823] 29.13 AZITHROMYCIN 1 GRAM ORAL PACKET [49573] 2.72 MIRTAZAPINE 15 MG TABLET [39181] 11.87 BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION [46447] 0.43 PHENYLEPHRINE 1 % NASAL SPRAY [47141] 1.56 LIDOCAINE 2 % MUCOSAL JELLY [7460] 2.67 WARFARIN 3 MG TABLET [6537] 1.6 LORAZEPAM 2 MG/ML ORAL CONCENTRATE [49260] 10.22 ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT [5890] 4.65 VALSARTAN 80 MG TABLET [45577] 0.05 WHITE PETROLATUM TOPICAL OINTMENT IN PACKET [132620] 1.96 THEOPHYLLINE ER 600 MG TABLET,EXTENDED RELEASE 24 HR [47402] 7 CARBAMAZEPINE 100MG XR TAB 0.57 AMLODIPINE 10 MG TABLET [47061] 13.99 MEROPENEM 1 GRAM INTRAVENOUS SOLUTION [47447] 1.81 BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE [41899] 1.69 BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE [41898] 1.15 SODIUM CHLORIDE 2 % EYE DROPS [49623] 63.75 LET INJ 3CC 0.22 LAMOTRIGINE 25 MG TABLET [46191] 0.12 ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP [42579] 3.78 QUETIAPINE 25 MG TABLET [40359] 8 QUETIAPINE 100 MG TABLET [46007] 2.76 POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE [47066] 1.81 PILOCARPINE 5 MG TABLET [43501] 7 BISOPROLOL-HYDROCHLOROTHIAZIDE 2.33 AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION [48236] 4.8 ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION [28112] 2.68 WARFARIN 4 MG TABLET [6538] 3.58 WARFARIN 6 MG TABLET [6540] 0.28 CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET [49223] 2.51 ROPINIROLE 0.25 MG TABLET [46912] 7.93 MYCOPHENOLATE MOFETIL 500 MG TABLET [46296] 5.08 VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR [45480] 5.66 MONTELUKAST 10 MG TABLET [48315] 5.66 MONTELUKAST 5 MG CHEWABLE TABLET [44062] 2.51 ROPINIROLE 1 MG TABLET [44378] 4.16 VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR [44220] 0.79 BENZOCAINE 20 % MUCOSAL GEL [20266] 1.05 LIOTHYRONINE 25 MCG TABLET [44830] 332.25 AZELASTINE 137MCG/ACT NASAL SP 4.46 TACROLIMUS 1 MG CAPSULE [49232] 7.74 CLOPIDOGREL 75 MG TABLET [45777] 7.51 REPAGLINIDE 2 MG TABLET [44293] 0.52 ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [7312] 66.25 METRONIDAZOLE 250MG/5ML SUSP, 7.92 RALOXIFENE 60 MG TABLET [48127] 4.67 VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR [44254] 2.1 TOPIRAMATE 25 MG TABLET [45657] 6.2 TOPIRAMATE 100 MG TABLET [49087] 99.34 ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE [50530] 0.88 SPIRONOLACTONE 50 MG TABLET [7309] 2.13 CARVEDILOL 6.25 MG TABLET [44249] 7.62 DESMOPRESSIN 0.2 MG TABLET [45242] 4.04 ANASTROZOLE 1 MG TABLET [44145] 392 BRINZOLAMIDE 1% OPHTH DPS, 10M 7.79 DONEPEZIL 10 MG TABLET [45035] 99.35 ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE [50529] 2.55 CITALOPRAM 20 MG TABLET [43432] 3.07 IRBESARTAN 150 MG TABLET [48608] 1.06 GLYCOPYRROLATE 1 MG TABLET [40412] 3.4 TOLTERODINE 2 MG TABLET [46652] 14.01 FLUCONAZOLE 150 MG TABLET [43064] 0.11 MICONAZOLE NITRATE 2 % TOPICAL OINTMENT [47001] 0.14 HYDROCORTISONE 2.5 % TOPICAL OINTMENT [5900] 7 CALCIUM CITRATE-VITAMIN D 315M 99.35 ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE [50528] 2.25 BISOPROLOL FUMARATE 5 MG TABLET [28177] 2.95 PRAMIPEXOLE 0.25 MG TABLET [47991] 445.25 RIFAMPIN PER EACH, 600MG INJ, 3.53 NITROFURANTOIN MONOHYDRATE & MACROCRYSTAL 100 MG ORAL CAP [41908] 0.05 CALCIUM CARBONATE 500 MG (1,250 MG)-VITAMIN D3 200 UNIT TABLET [82334] 15.19 CELECOXIB 200 MG CAPSULE [40379] 4.21 TAMSULOSIN 0.4 MG CAPSULE [46859] 7 BENAZEPRIL 5MG TAB 0.03 DIPHENHYDRAMINE - MYLANTA DS - LIDOCAINE VISCOUS [612717] 0.01 SODIUM CHLORIDE 0.9 % WITH POTASSIUM CHLORIDE 20 MEQ/L IV SOLP [4100] 0.01 SODIUM CHLORIDE 0.9 % WITH POTASSIUM CHLORIDE 40 MEQ/L IV SOLP [4101] 0.01 POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [4096] 5.68 PIOGLITAZONE 15 MG TABLET [44066] 0.01 POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS [4097] 0.01 POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [4228] 0.01 POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV [4191] 16 POTASSIUM CHLORIDE 20MEQ IN DE 0.08 POTASSIUM CHLORIDE 10 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK [4088] 0.01 POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [4193] 0.01 POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [4195] 0.01 POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV [4196] 0.4 GLIMEPIRIDE 1 MG TABLET [46189] 9.81 SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION [47762] 1154.25 Rabies immune globulin for injection beneath the skin and/or into muscle 7.63 SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS [48780] 0.2 FAT EMULSION 20 % INTRAVENOUS [44480] 1.48 TIZANIDINE 4 MG TABLET [37867] 15.46 OSELTAMIVIR 75 MG CAPSULE [47232] 8.63 TELMISARTAN 80 MG TABLET [47538] 1.83 CILOSTAZOL 100 MG TABLET [43441] 0.34 POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE [52439] 2.03 CAPTOPRIL 50 MG TABLET [5094] 1 DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE - FOR ED USE [617604] 11.23 CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION [28465] 7 GLIPIZIDE 2.5MG XL TAB 3.34 PRAMIPEXOLE 1 MG TABLET [40492] 5.97 THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION [9088] 8.68 PIOGLITAZONE 30 MG TABLET [48922] 0.4 LISINOPRIL 20 MG TABLET [38032] 0.46 PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE [47191] 2.76 NITROGLYCERIN 2 % TRANSDERMAL OINTMENT [23994] 0.91 MORPHINE 15 MG IMMEDIATE RELEASE TABLET [25285] 1.54 MORPHINE 30 MG IMMEDIATE RELEASE TABLET [2647] 11.28 ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE [44176] 0.07 AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [2366] 43.88 RIZATRIPTAN 10 MG DISINTEGRATING TABLET [47090] 8.33 MUPIROCIN 2 % TOPICAL CREAM [47938] 2.13 CARVEDILOL 25 MG TABLET [44195] 4.71 BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION [48023] 5.54 BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION [48076] 0.86 VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION [39763] 0.72 LEVETIRACETAM 500 MG TABLET [44833] 3.13 MELOXICAM 7.5 MG TABLET [46391] 22.75 LIDOCAINE 5% PATCH 0.1 SODIUM CHLORIDE 1 GRAM TABLET [15] 2.6 MIRTAZAPINE 15 MG DISINTEGRATING TABLET [41555] 3.57 SODIUM CHLORIDE 5 % EYE OINTMENT [6657] 5 LEVALBUTEROL PER 0.5MG, 1.25MG 3.96 COLESEVELAM 625 MG TABLET [47047] 2.18 MORPHINE (PF) 1 MG/ML INJECTION SOLUTION [3538] 1.73 NATEGLINIDE 120 MG TABLET [40628] 20.46 ALENDRONATE 70 MG TABLET [45120] 0.23 LAMOTRIGINE 100 MG TABLET [49320] 3.83 DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR [47489] 8.55 CLOBETASOL 0.05 % TOPICAL CREAM [5904] 28.01 ZIPRASIDONE 80 MG CAPSULE [40466] 55.78 COCAINE 4 % TOPICAL SOLUTION [2556] 18.05 LETROZOLE 2.5 MG TABLET [48801] 4.24 RIVASTIGMINE 1.5 MG CAPSULE [40539] 0.4 SERTRALINE 25 MG TABLET [48021] 3.07 TETRACAINE HCL (PF) 0.5 % EYE DROPS [120375] 6 PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION [45454] 7.38 MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE [84589] 3.75 ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION [42660] 8.92 AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION [47813] 23.08 ZIPRASIDONE 20 MG CAPSULE [46617] 492.71 DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE [47783] 16.52 INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION [38178] 2.79 PAROXETINE 20 MG TABLET [40193] 12.25 ZALEPLON 5MG CAP 3.96 ENTACAPONE 200 MG TABLET [46529] 0.06 ASPIRIN 325 MG TABLET [5278] 2.76 OXCARBAZEPINE 300 MG TABLET [45738] 0.02 PERITONEAL DIALYSIS SOLN 6-1.5 % DEXTR LOW CAL 2.5 MEQ/L-MAG 0.5 MEQ/L [89632] 0.74 IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN [44387] 9.91 SEVELAMER CARBONATE 800 MG TABLET [101881] 0.03 FERROUS SULFATE 325 MG (65 MG IRON) TABLET [6239] 0.06 FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET [89134] 0.4 AMLODIPINE 2.5 MG TABLET [45715] 2.67 BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE [48662] 393.25 TRAVOPROST 0.004% OPHTH DPS, 2 7.22 VALACYCLOVIR 500 MG TABLET [45916] 7.34 BACITRACIN-POLYMYXIN B 500 UNIT-10,000 UNIT/GRAM EYE OINTMENT [8855] 0.48 LEVOTHYROXINE 25 MCG TABLET [6405] 7 CARBAMAZEPINE 200MG ER CAP 0.8 LIOTHYRONINE 5 MCG TABLET [45974] 0.13 CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID [39878] 4.22 GALANTAMINE 4 MG TABLET [45391] 149.07 ENOXAPARIN SODIUM 120 MG/0.8 ML SUBQ SYRG [52014] 149.07 ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE [48296] 1.9 RAMIPRIL 1.25 MG CAPSULE [49346] 26.38 MODAFINIL 100 MG TABLET [49666] 7 OLMESARTAN 20MG TAB 5.27 PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE [46266] 0.01 POTASSIUM CHLORIDE 20 MEQ/L IN 5 % DEXTROSE INTRAVENOUS SOLUTION [4197] 40.93 BRIMONIDINE 0.15 % EYE DROPS [49362] 0.5 DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP [5559] 0.12 SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [85042] 1.94 MUPIROCIN 2 % TOPICAL OINTMENT [41535] 183.67 ALTEPLASE 2 MG INTRA-CATHETER SOLUTION [49213] 4.32 ESCITALOPRAM 10 MG TABLET [52180] 9.65 VANCOMYCIN 500 MG INTRAVENOUS SOLUTION [3800] 179.03 VORICONAZOLE 200 MG INTRAVENOUS SOLUTION [50726] 0.07 SUCROSE IN WATER 24% CUP [600870] 630.48 ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION [28081] 39.54 AZTREONAM 1 GRAM SOLUTION FOR INJECTION [48634] 11.3 EZETIMIBE 10 MG TABLET [52412] 0.16 VANCOMYCIN 1 GRAM/200 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [56505] 199.76 CHONDROITIN-SOD HYALURON 3 %-4 %(0.5 ML)1 %(0.55 ML)INTRAOCULAR SYRING [44754] 3.76 CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION [47334] 0.07 DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID [5553] 7 HYOSCYAMINE 0.125 SL TAB 30 PIPERACILLIN-TAZOBACTAM PER 1G 0.03 LACTULOSE 20 GRAM/30 ML ORAL SOLUTION [126158] 7 SULFAMETHOXAZOLE TMP200MG40MG/ 0.43 DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [3294] 0.01 SODIUM CHLORIDE 0.45 % WITH POTASSIUM CHLORIDE 20 MEQ/L IV SOLP [53083] 204.08 LINEZOLID 600 MG TABLET [46868] 23.08 ZIPRASIDONE 40 MG CAPSULE [48497] 28.01 ZIPRASIDONE 60 MG CAPSULE [49045] 32.08 ARIPIPRAZOLE 10 MG TABLET [52490] 32 ARIPIPRAZOLE 15 MG TABLET [52491] 50.45 ARIPIPRAZOLE 30 MG TABLET [52493] 59.62 ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION [51739] 14.27 OLANZAPINE 5 MG DISINTEGRATING TABLET [49664] 12.22 QUETIAPINE 200 MG TABLET [45276] 30 PIPERACILLIN/TAZOBACTAM PER 1G 0.03 ACETAMINOPHEN 325 MG TABLET [2671] 0.28 NICOTINE (POLACRILEX) 2 MG GUM [9770] 0.12 ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP [35974] 19.79 QUETIAPINE 300 MG TABLET [44464] 0.28 BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION [53065] 0.23 BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION [3290] 0.19 BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION [3287] 2.93 PROPARACAINE 0.5 % EYE DROPS [8851] 0.56 POVIDONE-IODINE 5 % EYE SOLUTION [47507] 0.55 EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE [3898] 0.66 LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION [87067] 2.26 ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION [26614] 4.51 ESCITALOPRAM 20 MG TABLET [52181] 2.79 TRAZODONE 150 MG TABLET [6341] 17.18 ATOMOXETINE 40 MG CAPSULE [52510] 3.13 SOTALOL 120 MG TABLET [5178] 0.22 TRAZODONE 100 MG TABLET [5135] 1.12 METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR [48536] 154.39 ERTAPENEM 1 GRAM SOLUTION FOR INJECTION [49738] 2.13 SUMATRIPTAN 100 MG TABLET [44895] 19 NALOXONE 0.4 MG/ML INJECTION SOLUTION [3314] 1.44 ROSUVASTATIN 10 MG TABLET [53606] 2.88 DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION [8806] 1.56 DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION SOLUTION [8803] 7.08 AMPICILLIN 1 GRAM SOLUTION FOR INJECTION [1478] 8.4 ATROPINE 0.4 MG/ML INJECTION SOLUTION [9618] 0.02 CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [45200] 33 BENZTROPINE 2 MG/2 ML INJECTION SOLUTION [48165] 16.69 IRON DEXTRAN 50 MG/ML INJECTION SOLUTION [161237] 9.53 AMPICILLIN 2 GRAM SOLUTION FOR INJECTION [1481] 1.25 NEOSTIGMINE PER 0.5MG, 0.5MG/M 91.41 CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION [49591] 26.88 CEFTRIAXONE 500 MG SOLUTION FOR INJECTION [48379] 44 CEFTRIAXONE PER 250MG, 1GM IN 11.65 IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION [44933] 13.2 CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION [45152] 10.46 CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION [48701] 19.25 VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION [4040] 9.25 AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION [41967] 4.66 BUPROPION XL 150 MG TAB [53708] 0.67 MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION SOLUTION [3546] 20.6 PAPAVERINE 30 MG/ML INJECTION SOLUTION [9632] 0.44 PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION [3327] 2.95 PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION [11] 0.21 MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [104162] 0.3 MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [104161] 18.46 PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION [47006] 8.24 PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION [49017] 16.48 PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION [47178] 11.92 OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION [45267] 24.48 OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION [40522] 12 OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION [40470] 80.75 MILRINONE PER 5MG, 20MG IN 5% 0.14 ACETAMINOPHEN 300 MG-CODEINE 30 MG/12.5 ML (12.5 ML) ORAL SOLUTION [134214] 0.92 AMOXICILLIN 875 MG TABLET [28148] 2.16 PHENYTOIN 100 MG/4 ML ORAL SUSPENSION [103820] 70.55 DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION [10519] 0.79 FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION [102473] 0.13 LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [53058] 0.19 LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK [51789] 11.52 IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION [47580] 11.15 CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE [52797] 4.1 EPLERENONE 25 MG TABLET [52307] 228 MICROFIBRILLAR COLLAGEN HEMOSTAT 70 MM X 35 MM SHEETS [112671] 0.18 PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP [38455] 8.89 MEMANTINE 5 MG TABLET [54728] 2.26 MORPHINE 4 MG/ML INTRAVENOUS SYRINGE [141642] 0.9 MIDODRINE 5 MG TABLET [41132] 4.98 MIDODRINE 10 MG TABLET [41133] 5.11 CEFDINIR 300 MG CAPSULE [49074] 0.42 MEGESTROL 400 MG/10 ML (10 ML) ORAL SUSPENSION [133949] 58.25 LEVONORGESTREL 0.75MG TAB 18.2 BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION [82400] 0.07 METOPROLOL TARTRATE 25 MG TABLET [41907] 0.34 MODIFIED LANOLIN 100 % TOPICAL CREAM [165405] 1.98 ZONISAMIDE 100 MG CAPSULE [46358] 24.78 ONDANSETRON HCL 4 MG TABLET [45094] 4.89 METAXALONE 800 MG TABLET [52328] 30.66 CINACALCET 30 MG TABLET [55310] 0.77 METHIMAZOLE 10 MG TABLET [21513] 0.48 SACCHAROMYCES BOULARDII 250 MG CAPSULE [54687] 0.27 MELATONIN 3 MG TABLET [9851] 0.9 LORAZEPAM 2 MG/ML INJECTION SOLUTION [3520] 0.09 LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [53059] 152.16 TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE [85027] 8.89 DULOXETINE 20 MG CAPSULE,DELAYED RELEASE [56270] 6.05 DUTASTERIDE 0.5 MG CAPSULE [52424] 2.45 DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR [52500] 1.72 DULOXETINE 30 MG CAPSULE,DELAYED RELEASE [56271] 1.72 DULOXETINE 60 MG CAPSULE,DELAYED RELEASE [56272] 66.96 HYALURONIDASE 150 UNIT/ML INJECTION EXTRAVASATION ANTIDOTE [613321] 0.44 METHADONE 10 MG TABLET [2645] 0.33 MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [139415] 1.25 MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION [139414] 187.2 TIGECYCLINE 50 MG INTRAVENOUS SOLUTION [82440] 1.62 PREGABALIN 75 MG CAPSULE [83702] 63.75 FLUTICASONE HFA 44MCG/PUFF INH 13 ZOLPIDEM 6.25MG CR TAB 9.36 PREGABALIN 25 MG CAPSULE [83700] 2.5 ROPINIROLE 4 MG TABLET [49629] 1.51 OXCARBAZEPINE 150 MG TABLET [44190] 12.5 ZALEPLON 10MG CAP 7 PREDNISOLONE SODIUM PHOSPHATE 2.13 CARVEDILOL 3.125 MG TABLET [46124] 47.14 PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR [89882] 13.31 BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION [1180] 28.65 SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION [10511] 0.17 IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [8877] 2.81 PAROXETINE 10 MG TABLET [40192] 1.62 PREGABALIN 50 MG CAPSULE [83701] 6.2 NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [31585] 69.65 MOXIFLOXACIN 0.5 % EYE DROPS [52985] 14.65 SOLIFENACIN 5 MG TABLET [56684] 36.01 INSULIN ASPAR PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLN [52753] 4.59 DORZOLAMIDE 2 % EYE DROPS [49581] 0.08 OMEGA-3 FATTY ACIDS 1,000 MG CAPSULE [28284] 10560.43 ALTEPLASE 100 MG INTRAVENOUS SOLUTION [46614] 20.3 FENTANYL 12 MCG/HR TRANSDERMAL PATCH [82230] 2.13 CARVEDILOL 12.5 MG TABLET [44354] 5 VALSARTAN 160 MG TABLET [49674] 70.32 EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET [56267] 35.4 LEVOFLOXACIN 750 MG TABLET [48799] 0.6 LEVETIRACETAM 250 MG TABLET [46871] 0.32 HYDROXYZINE PAMOATE 50 MG CAPSULE [5961] 101 SURGIFOAM HEMORRHOIDECTOMY SPG 0.74 HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE [86551] 0.38 ATORVASTATIN 40 MG TABLET [44070] 0.52 ATORVASTATIN 80 MG TABLET [44182] 17.18 ATOMOXETINE 60 MG CAPSULE [52511] 38.39 BRIMONIDINE 0.1 % EYE DROPS [86277] 73.85 Vaccine for Hepatitis B adult dosage (3 dose schedule) injection into muscle 18.05 SITAGLIPTIN 100 MG TABLET [88990] 0.65 LEVETIRACETAM 100 MG/ML ORAL SOLUTION [53723] 34.75 FONDAPARINUX PER 0.5MG, 2.5MG 12.26 DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS [48286] 238.87 FLOSEAL HEMOSTATIC MATRIX 5 ML KIT [613283] 10.3 ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION [90429] 44.5 TIOTROPIUM BROMIDE 18MCG CAP F 9.74 ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM [48776] 8.25 ALFUZOSIN 10MG TAB 90 METHACHOLINE CHLORIDE 100 MG SOLUTION FOR INHALATION [45008] 3.4 TIMOLOL MALEATE 0.5 % EYE DROPS [5908] 7.42 LUBIPROSTONE 24 MCG CAPSULE [86287] 3.96 MYCOPHENOLATE MOFETIL 250 MG CAPSULE [44926] 3.63 BRIMONIDINE 0.2 % EYE DROPS [40132] 0.68 METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION [2586] 109.94 APREPITANT 40 MG CAPSULE [87882] 1.49 LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION [88386] 53.64 OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION [55352] 2 DOXEPIN 100 MG CAPSULE [7433] 47.14 PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR [89881] 25.29 NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION [45909] 206.5 ED AMOXICILLIN-CLAV 400MG-57MG 0.02 SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH [142575] 0.72 PEG 400-PROPYLENE GLYCOL 0.4 %-0.3 % EYE DROPS [53045] 16.75 METHOTREXATE SODIUM 50 MG 8.56 DOFETILIDE 250 MCG CAPSULE [45380] 54.75 CEFOTAXIME PER 1GM, 1GM IN 5% 1.44 MECOBALAMIN-LEVOMEFOLATE CALCIUM-PYRIDOXAL PHOS 3 MG-35 MG-2 MG TABLET [115659] 0.31 PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION [38180] 0.04 SODIUM CHLORIDE 0.9 % FOR NEBULIZATION [2688] 6.42 RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR [86285] 3.56 OXYCODONE 30 MG TABLET [42174] 18.05 SITAGLIPTIN 25 MG TABLET [88987] 37.78 CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION [53566] 36.98 INSULIN DETEMIR (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION [86276] 8.56 DOFETILIDE 500 MCG CAPSULE [49237] 0.04 AMINO ACID 4.25 % IN DEXTROSE 5 % INTRAVENOUS SOLUTION [48016] 0.4 ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION [2549] 0.06 METHYL SALICYLATE-MENTHOL TOPICAL OINTMENT [48520] 0.64 BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [53067] 0.02 PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L [89627] 0.2 DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE [31255] 1.1 HYPROMELLOSE 2.5 % EYE DROPS [42330] 0.13 LIDOCAINE 2 % MUCOSAL SOLUTION [48036] 8.89 MEMANTINE 10 MG TABLET [54725] 0.26 MICONAZOLE NITRATE 2 % VAGINAL CREAM [5490] 2.69 PERPHENAZINE 4 MG TABLET [5979] 0.74 PREDNISONE 5 MG/5 ML ORAL SOLUTION [2599] 0.06 SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK [85042] 0.18 SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLUTION [3279] 3.49 TIMOLOL MALEATE 0.25 % EYE DROPS [5907] 0.1 WATER FOR INJECTION, STERILE INJECTION SOLUTION [3750] 0.07 WATER FOR INJECTION, STERILE INJECTION SOLUTION [3750] 0.01 WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION [3375] 0.38 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [4270] 27.84 CLOPIDOGREL 300 MG TABLET [102007] 8.56 DOFETILIDE 125 MCG CAPSULE [45509] 0.3 CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [30476] 0.36 CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [30477] 33.59 COLISTIN (COLISTIMETHATE SODIUM) 150 MG SOLUTION FOR INJECTION [19591] 6.16 HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION [48865] 1.1 CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION [9081] 153.75 PAMIDRONATE /30MG,9MG/MLINJ,10 0.39 AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION [3803] 0.03 MINERAL OIL ORAL [185] 0.2 ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL SUSPENSION [114834] 335.75 INDOCYANINE 25MG INJ KIT 27.44 RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH [99231] 23.57 CARBACHOL 0.01 % INTRAOCULAR SOLUTION [47535] 0.08 NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [110223] 0.55 DICLOFENAC 1 % TOPICAL GEL [102842] 334.04 DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT [84557] 0.05 NIACIN 250 MG TABLET [6619] 0.81 MIDAZOLAM 5 MG/ML INJECTION SOLUTION [28027] 40.36 CEFEPIME 2 GRAM SOLUTION FOR INJECTION [45061] 106.92 Vaccine for tetanus, diphtheria toxoids and acellular pertussis (whooping cough) for injection into muscle, patient 7 years or older 2.23 ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER (PED) [613117] 11.95 DESVENLAFAXINE SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [102745] 35.68 ARIPIPRAZOLE 2 MG TABLET [85655] 0.03 CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID [8511] 8.63 ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION [55511] 0.84 CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE [42932] 92 METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION [103876] 243.11 SURGIFLO HEMOSTATIC MATRIX 12 ML KIT [613282] 58.31 REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE [103954] 0.21 GEL DRESSING TOPICAL [50553] 1.28 ONDANSETRON 4 MG DISINTEGRATING TABLET [49063] 0.58 AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION [38735] 79.25 CAPECITABINE 500MG TAB 0.15 CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK [49732] 1 CEPACOL (MENTHOL)3MG LOZENGE 0.08 FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK [43067] 5.73 NEBIVOLOL 2.5 MG TABLET [101885] 0.06 METHYL SALICYLATE-MENTHOL 30 %-10 % TOPICAL CREAM [88548] 7 OMEGA-3 FISH OIL 1 G CAP 200.27 PENTAMIDINE 300 MG SOLUTION FOR INHALATION [46516] 1.73 OXYCODONE 5 MG/5 ML ORAL SOLUTION [30157] 7 ACETAMINOPHEN,650 MG TAB 0.17 MORPHINE 10 MG/5 ML ORAL SOLUTION [2607] 641.4 EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION [46658] 1282.8 EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION [46965] 47.27 FLUTICASONE PROPIONATE 230 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER [88376] 31.87 FLUTICASONE PROPIONATE 115 MCG-SALMETEROL 21 MCG/ACTUATION HFA INHALER [88375] 8.87 QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR [110510] 15.93 QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR [110511] 11.63 VANCOMYCIN 750 MG INTRAVENOUS SOLUTION [112530] 44.71 INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [52754] 44.71 INSULIN ASPAR PROT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS PEN [52213] 36.98 INSULIN DETEMIR (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN [86331] 540.96 TOLVAPTAN 15 MG TABLET [112266] 24 TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL [24332] 534.59 DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION [54582] 7.88 VALSARTAN 40 MG TABLET [52185] 13.2 FEBUXOSTAT 40 MG TABLET [110835] 18.36 PRASUGREL 10 MG TABLET [112844] 31.49 RALTEGRAVIR 400 MG TABLET [100667] 2.26 MORPHINE 2 MG/ML INTRAVENOUS SYRINGE [141641] 4.32 HYDROMORPHONE 1 MG/ML INJECTION SYRINGE [1037] 0.85 SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [1028] 0.05 SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE [1028] 9.96 TETRACAINE 0.5 % HYPERVISCOUS EYE DROPS IN A DROPPERETTE [116200] 0.11 BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION [53067] 219.68 SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE [47065] 1.48 PYRIDOSTIGMINE BROMIDE 60 MG TABLET [39241] 24.02 ASENAPINE 5 MG SUBLINGUAL TABLET [113444] 2139.45 PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE [113161] 2139.5 PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE [113160] 0.05 AMINO ACID 5 % IN 15 % DEXTROSE INTRAVENOUS SOLUTION [49112] 0.04 AMINO ACID 5 % IN 15 % DEXTROSE INTRAVENOUS SOLUTION [49112] 34.72 INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION [47133] 91.71 Vaccine for measles, mumps, and rubella (German measles) injection beneath skin 85.75 Vaccine for Hepatitis B (3 dose schedule) for injection into muscle, pediatric and adolescent patients 306.32 Vaccine for meningococcus for administration into muscle 7 PANCRELIPASE DR(27K-5K-17K)UNI 0.41 LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION [87063] 0.96 LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE [87068] 0.01 MORPHINE IV INFUSION 1 MG/ML IN 0.9% NACL [612808] 35.5 ILOPERIDONE 2MG TAB 35.5 ILOPERIDONE 6MG TAB 35.5 ILOPERIDONE 8MG TAB 33.25 ATRACURIUM 10 MG/ML INJ 5ML 0.68 BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [3333] 0.3 BUMETANIDE 0.25 MG/ML INJECTION SOLUTION [3333] 28 DOXERCLCIFEROL 2MCG/ML INJ,2ML 2.25 ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV [45178] 0.69 POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION [4114] 25.5 DEXTROSE 5% IN WATER IV SOLN 7.64 MILNACIPRAN 25 MG TABLET [111755] 5.73 BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM [118317] 8.01 DABIGATRAN ETEXILATE 75 MG CAPSULE [119358] 8.01 DABIGATRAN ETEXILATE 150 MG CAPSULE [119046] 0.38 DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION [3294] 7 TAPENTADOL 50 MG TAB 17.29 LACOSAMIDE 100 MG TABLET [111128] 2.2 NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION [137919] 5.73 NEBIVOLOL 10 MG TABLET [101886] 47.37 RIFAXIMIN 550 MG TABLET [116444] 231.95 FIDAXOMICIN 200 MG TABLET [122738] 41.25 ACETAMINOPHEN 1000MG IV SOL 364.75 OSELTAMIVIR PER 75 MG/ML SUSP 11.1 PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION [125626] 16.42 LEFLUNOMIDE 10 MG TABLET [45618] 62.5 SILDENAFIL CITRATE 20 MG TAB 17.92 RIVAROXABAN 10 MG TABLET [123504] 7.48 TICAGRELOR 90 MG TABLET [123691] 126.7 LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION [125998] 41.25 ACETAMINOPHEN 1000MG INJ,VIAL 0.05 CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET [88837] 14.44 ROFLUMILAST 500 MCG TABLET [122215] 180.49 TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION [103159] 1.57 HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET [7513] 15.73 PANTOPRAZOLE 40 MG GRANULES FOR ORAL SUSP, DELAYED RELEASE [102486] 10.89 VILAZODONE 20 MG TABLET [122288] 10.89 VILAZODONE 40 MG TABLET [122289] 10.89 VILAZODONE 10 MG TABLET [122286] 114 SODIUM HYALURONATE (HYALGAN) 10 MG/ML INTRA-ARTICULAR SYRINGE [613563] 29.5 UNASYN/1.5GM,3GM-1GM CMPDIVSOL 48.94 LURASIDONE 40 MG TABLET [119959] 230.55 CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION [119584] 1.2 DILTIAZEM SR 120 MG 24 HR CAP [42210] 0.51 DILTIAZEM SR 180 MG 24 HR CAP [28893] 2.05 DILTIAZEM SR 240 MG 24 HR CAP [5207] 1.33 NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR [5176] 2.29 NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR [8578] 17.92 RIVAROXABAN 15 MG TABLET [125739] 17.92 RIVAROXABAN 20 MG TABLET [125740] 7.2 MEROPENEM 500 MG INTRAVENOUS SOLUTION [47317] 1.53 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [87064] 0.36 LIDOCAINE 20 MG/ML (2 %) INJECTION SOLUTION [3544] 0.33 CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET [112436] 4.14 BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET [52705] 203.96 SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE [155545] 0.1 SODIUM CHLORIDE 3 % FOR NEBULIZATION [21221] 8.68 TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION [125934] 2.38 FENOFIBRATE 160 MG TABLET [82238] 0.79 FENOFIBRATE 54 MG TABLET [108488] 50.75 NYSTATIN SUSPENSION 449 Vaccine for rabies injection into muscle 4.25 NALBUPHINE 20MG/ML 0.63 HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET [39038] 20.33 CEFEPIME 1 GRAM SOLUTION FOR INJECTION [44445] 1.87 POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET [44609] 0.09 MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK [101989] 32 ARIPIPRAZOLE 5 MG TABLET [53505] 0.89 HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET [39037] 11157.24 LEUPROLIDE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT [123205] 26.56 LIDOCAINE (PF) 3.5 % EYE GEL [109597] 8.4 GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION [1962] 1.2 LIDOCAINE 4 % TOPICAL CREAM [45297] 204 INDOMETHACIN 50 MG RECTAL SUPPOSITORY [30358] 93.46 Vaccine for tetanus, diphtheria toxoids and acellular pertussis (whooping cough) for injection into muscle, patient 7 years or older 13.5 POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION [24627] 0.43 HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [8563] 1.42 INDAPAMIDE 1.25 MG TABLET [3141] 3.2 LORAZEPAM 2 MG/ML INJECTION SYRINGE [3521] 14.18 OSELTAMIVIR 30 MG CAPSULE [100574] 14.18 OSELTAMIVIR 45 MG CAPSULE [100575] 1.87 OXYCODONE 15 MG TABLET [42173] 3.96 DOXERCALCIFEROL 2 MCG/ML INTRAVENOUS SOLUTION [47475] 56.16 PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP [109557] 3.31 TOLTERODINE 1 MG TABLET [44973] 36.37 RIZATRIPTAN 5 MG DISINTEGRATING TABLET [48921] 4.27 RISPERIDONE 0.5 MG TABLET [49430] 3.93 RISPERIDONE 2 MG TABLET [46376] 4.54 RISPERIDONE 1 MG TABLET [49198] 5.1 MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR [110454] 0.01 MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION [101990] 2.9 HUM PROTHROMBIN CPLX (PCC) 4FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION [142610] 2.7 ANTI-INHIBITOR COAGULANT COMPLEX 350 UNIT-650 UNIT INTRAVENOUS SOLN [166957] 7.47 NALBUPHINE 20 MG/ML INJECTION SOLUTION [3338] 0.12 DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV [83] 0.08 DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN [110218] 0.69 SILVER ER TOPICAL GEL,EXTENDED RELEASE [56063] 8.88 APIXABAN 5 MG TABLET [135092] 9.6 PHENYLEPHRINE 10 % EYE DROPS [42331] 1.25 PHENOBARBITOL 32.4 MG TABLET 0.25 LACTOBACILLUS ACIDOPHILUS100MG 6 THIAMINE 100 MG TABLET 0.05 PRENATAL VITS NO.126-FERROUS FUM 28 MG IRON-FOLIC ACID 800 MCG TABLET [152091] 0.04 LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION [87074] 0.09 NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS [3341] 205.92 GLUCAGON (HUMAN RECOMBINANT) 1 MG/ML SOLUTION FOR INJECTION [118031] 0.12 ACETAMINOPHEN 650 MG/20.3 ML ORAL SOLUTION [114839] 0.59 MENTHOL 3.3 MG LOZENGES [122655] 0.72 LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION [87064] 3.75 ANSEF 2GM PREMIX BAG PER 500MG 18 SEVELAMER HCL 800 MG TABLET 252.47 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older 0.09 FENTANYL IV INFUSION 2000 MCG IN NS 100 ML PYXIS [614476] 26 VORTIOXETINE 10 MG 281.59 DIAZEPAM 2.5 MG RECTAL KIT [48418] 15.57 AZITHROMYCIN 500 MG TABLET [52022] 0.07 SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION [5555] 0.11 DEXTROSE 40 % ORAL GEL [45232] 40.75 RIVASTIGMINE 13.3MG/24HR PATCH 27.44 RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH [99232] 5.8 FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER [137895] 230.55 CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION [119582] 14.6 NAFCILLIN 1 GRAM SOLUTION FOR INJECTION [1467] 0.06 MICONAZOLE NITRATE 2 % TOPICAL POWDER [45370] 2.23 TACROLIMUS 0.5 MG CAPSULE [49612] 5 ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE [145939] 404.4 Vaccine for rabies injection into muscle 23.75 PIPERACILLIN-TAZOBACTAM 4.5GM 224.4 MICAFUNGIN 100 MG INTRAVENOUS SOLUTION [89112] 2.49 TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS [111767] 12.13 UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION [145547] 0.05 LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID [83576] 0.14 ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION [56187] 0.63 BALSAM PERU-CASTOR OIL TOPICAL OINTMENT [163944] 341.91 PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION [85155] 9.13 FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION [45406] 247.01 EPINEPHRINE 0.15 MG/0.15 ML AUTO-INJECTOR (FOR 33 TO 66 LB PATIENTS) [114943] 365.17 EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR [48675] 5.79 PHYTONADIONE 1 MG/ML ORAL LIQUID (CCF) [614329] 5.8 FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER [147454] 44.52 IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [614571] 0.15 DEXTRAN 70-HYPROMELLOSE 0.1 %-0.3 % EYE DROPS [122778] 2.35 CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION [44283] 4.97 FENTANYL 100 MCG/2ML VIAL 0.45 FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION [4270] 79.33 VANCOMYCIN1500MG/250MLIVBP/500 77.5 AZITHROMYCIN 500MG/250ML IVPB 19.8 NALOXONE 1 MG/ML INJECTION SYRINGE [9885] 0.04 BUPIVACAINE 0.1%-FENTANYL 2 MCG/ML EPIDURAL CLINICIAN DOSE [616277] 0.17 HYDROMORPHONE PCA 0.5 MG/ML IN NS 100 ML PYXIS [600633] 0.04 BUPIVACAINE 0.0625%-FENTANYL 2 MCG/ML-EPINEPHRINE 1.25 MCG/ML EPIDURAL INTERMITTENT DOSING IN NS 150 ML PYXIS (AC) [614835] 0.04 HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN [86562] 88.75 MOMETASONE 220 MCG/ACTUATION(14 DOSES) BREATH ACTIVATED POWDER INHALER [83460] 4.54 LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION [111885] 1.01 DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV [136578] 3.72 MILRINONE 1 MG/ML INTRAVENOUS SOLUTION [30707] 8.44 UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION [141476] 0.69 LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR [108584] 0.64 VANCOMYCIN 25 MG/ML ORAL LIQUID (CCF) [612850] 1.44 ROSUVASTATIN 20 MG TABLET [53607] 10.18 SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET [147928] 0.39 HONEY 80 % TOPICAL GEL [135106] 10.18 SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET [147927] 24.79 METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) INTRAVENOUS SOLUTION [152051] 0.17 CALCIUM ACETATE 667 MG TABLET [45815] 214.69 TOLVAPTAN 7.5 MG PRE-SPLIT TABLET [612577] 0.14 LITHIUM CARBONATE 150 MG CAPSULE [2535] 14 VORTIOXETINE TAB 20 MG 1.29 MIRTAZAPINE 30 MG TABLET [39182] 5 ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE [149385] 0.28 AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV [123486] 6 SALIVA SUB(BIOTENE) 59ML 9.28 DOCOSANOL 10 % TOPICAL CREAM [44106] 5 ARIPIPRAZOLE LAUROXIL ER 1,064 MG/3.9 ML SUSPENSION,EXT.REL IM SYRINGE [157829] 1121.78 ETONOGESTREL 68 MG SUBDERMAL IMPLANT [88213] 0.39 MIDAZOLAM 1 MG/ML INJECTION SOLUTION [28026] 3.44 MORPHINE 2 MG/ML INJECTION SYRINGE [1062] 3.44 MORPHINE 4 MG/ML INJECTION SYRINGE [1063] 0.1 L.ACIDOPHIL,SALIVARI-BIFIDO BIFIDUM-STREP THERMOPH 175 MG CAPSULE [103278] 1.66 CEFDINIR 250 MG/5 ML ORAL SUSPENSION [56375] 0.02 THIAMINE HCL (VITAMIN B1) 100 MG TABLET [33349] 145.5 Vaccine for influenza for injection into muscle 10.25 MICONAZOLE 2% POWDER, 43G 6.48 HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE [137438] 2 CEFAZOLIN 2G IV SYR,PER 500MG 5.22 TRANEXAMIC ACID 650 MG TABLET [116660] 0.15 FLUORESCEIN 0.6 MG EYE STRIPS [46801] 2.48 MORPHINE 4 MG/ML INTRAVENOUS SOLUTION [149352] 430.57 CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION [146872] 2.89 MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION [84582] 0.11 METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR [41543] 1.44 METFORMIN 1,000 MG TABLET [30145] 19.71 EMPAGLIFLOZIN 10 MG TABLET [143841] 19.71 EMPAGLIFLOZIN 25 MG TABLET [143840] 804.53 Rabies immune globulin for injection beneath the skin and/or into muscle 3.73 LIPASE-PROTEASE-AMYLASE 12,000-38,000-60,000 UNIT CAPSULE,DELAYED REL [112665] 3.17 TROPICAMIDE 1 % EYE DROPS [18450] 5.4 CYCLOPENTOLATE 2 % EYE DROPS [47437] 5 TROPICAMIDE 1 % EYE DROPS [18450] 55.67 TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST FOR INHALATION [144777] 27.2 BECLOMETHASONE DIPROP 80 MCG/ACTUATION HFA BREATH ACTIVATED AEROSOL [159341] 46.6 BREXPIPRAZOLE 0.5 MG TABLET [147953] 46.6 BREXPIPRAZOLE 1 MG TABLET [147954] 46.6 BREXPIPRAZOLE 4 MG TABLET [147957] 59.4 Vaccine for influenza for administration into muscle, 0.25 ml dosage 55.4 Vaccine for influenza for administration into muscle, 0.5 ml dosage 17.32 Vaccine for influenza for administration into muscle, 0.5 ml dosage 56.75 EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION [154292] 0.63 CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS [49604] 256.81 VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION [26749] 0.03 MELATONIN 1 MG TABLET [18150] 0.04 POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [4089] 0.04 POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK [4087] 1.39 BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION [3707] 0.45 HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE [5233] 0.33 NYSTATIN ORAL LIQUID 500,000 UNIT/5 ML ADS [600992] 103.2 THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION [102124] 10.2 CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION [1472] 139.5 PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG [146865] 79.92 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older 6 AMPHOTERICIN B LIPID COMPLEX 5 MG/ML INTRAVENOUS SUSPENSION [46854] 3.22 CLOTRIMAZOLE 10MG ORAL TROCHE 0.06 OXYMETAZOLINE 0.05 % NASAL SPRAY [8816] 14.76 CYCLOPENTOLATE 2 % EYE DROPS [47437] 0.23 MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION [139415] 0.07 DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION [31153] 27 SODIUM HYPOCHLORITE 0.125% 48.03 CARIPRAZINE 1.5 MG CAPSULE [152796] 21.26 KETOROLAC 0.5 % EYE DROPS [46278] 11.23 LIPASE-PROTEASE-AMYLASE 36,000-114,000-180,000 UNIT CAPSULE,DELAY REL [136638] 1.68 LIDOCAINE 4 % TOPICAL PATCH [44492] 2.28 NEOSTIGMINE METHYLSULFATE 0.5 MG/ML INTRAVENOUS SOLUTION [137918] 0.02 VITAMIN A 10,000 UNIT CAPSULE [10610] 0.71 MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE [154208] 0.43 LIDOCAINE W/EPINEPHRINE DENTAL CARTRIDGE 1.7 ML [600866] 0.66 ARTICAINE 4 %-EPINEPHRINE BITARTRATE 1:100,000 INJECTION CARTRIDGE [144775] 18.66 Vaccine for influenza for administration into muscle, 0.5 ml dosage 54 Vaccine for influenza for injection into muscle 0.4 MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK [101604] 377.8 FILGRASTIM 300 MCG/ML INJECTION SOLUTION [45742] 376 FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION [52755] 14.31 IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN [119839] 1859.52 LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT [123868] 5578.54 LEUPROLIDE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT [47291] 169.2 MITOMYCIN 20 MG INTRAVENOUS SOLUTION [24632] 1.66 PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION [30648] 12462.12 PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [49713] 112.74 RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [49197] 167.66 ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION [52932] 617.62 AZACITIDINE 100 MG SOLUTION FOR INJECTION [55919] 239.08 BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [54932] 87.88 BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION [1354] 1923.6 BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION [53024] 47.5 CH-CARBOPLATIN/50MG,0MG/ML INJ 15.3 CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION [110228] 0.48 CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION [32805] 439.5 CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS SOLUTION [42450] 824.06 CYCLOPHOSPHAMIDE 1 GRAM INTRAVENOUS SOLUTION [42451] 1648.13 CYCLOPHOSPHAMIDE 2 GRAM INTRAVENOUS SOLUTION [42452] 14.4 DACARBAZINE 200 MG INTRAVENOUS SOLUTION [10520] 365.15 DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLUTION [119179] 365.15 DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION [119180] 2.66 DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION [109593] 116.28 DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION [44101] 411.75 CH-GEMCITABINE/200MG,200MG INJ 2.99 ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION [3344] 113.4 FLUDARABINE 50 MG INTRAVENOUS SOLUTION [41160] 0.33 FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION [106096] 0.36 FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION [106097] 0.31 FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLUTION [106098] 0.28 FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION [106099] 26.23 CH-GEMCITABINE/200MG,1GM INJ 232.69 FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE [50473] 7.4 IRINOTECAN 40 MG/2 ML INTRAVENOUS SOLUTION [102293] 4.77 IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION [102292] 22.74 LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION [10521] 1650 OXALIPLATIN 100 MG INTRAVENOUS SOLUTION [52195] 4.1 PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [29507] 3.1 PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS [29507] 293.53 PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION [108983] 849.12 PEMETREXED 100 MG INTRAVENOUS SOLUTION [102009] 4245.6 PEMETREXED 500 MG INTRAVENOUS SOLUTION [54889] 5.17 VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION [26748] 6.9 VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION [10516] 6.41 VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION [108485] 31.75 CH-SODIUM CHLORIDE 0.9%IV SOL 31.75 CH-SODIUM CHLORIDE/0.9% IV SOL 1653.61 PACLITAXEL-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION [56991] 0.08 DIPHENHYDRAMINE 25 MG CAPSULE [5722] 0.14 DIPHENHYDRAMINE 50 MG CAPSULE [6758] 0.37 SODIUM POLYSTYRENE SULFONATE 15 GRAM-SORBITOL 20 GRAM/60 ML ORAL SUSP [152071] 384.26 FOSAPREPITANT 150 MG INTRAVENOUS SOLUTION [119459] 0.47 ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION [45003] 2.16 DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION [109594] 1.68 CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION [42654] 7663.37 OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [146856] 2785.99 CARFILZOMIB 60 MG INTRAVENOUS SOLUTION [132199] 320.69 EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION [49156] 1140 DECITABINE 50 MG INTRAVENOUS SOLUTION [87152] 440.39 PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [131738] 4242.59 OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE [146855] 6 OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [82295] 324.16 NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION [145690] 324.16 NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION [145689] 1415.64 MITOMYCIN 40 MG INTRAVENOUS SOLUTION [24633] 127.13 DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION [149877] 2131.2 ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION [151710] 2841.6 ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION [151711] 928.8 DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [88215] 1857.6 DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [88218] 1857.6 DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE [88219] 4644 DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE [88351] 4644 DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE [88214] 4644 DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE [88217] 3675.13 ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION [135742] 2.04 GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION [125678] 742.14 BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION [151748] 8780.21 CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [117628] 540.83 ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [154304] 1437.06 PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION [146005] 762.3 GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT [44653] 196.53 OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION [139519] 4644 DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE [87339] 1870.1 TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION [157693] 658.46 FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE [148731] 324.16 NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION [160167] 12462.12 PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR [145974] 9552 BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION [124163] 674.52 RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN [158015] 673.08 RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN [158077] 138.6 RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION [142239] 886.86 IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [121467] 886.87 IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION [121465] 132.36 EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION [161614] 529.44 EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION [161864] 8350 PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE [164277] 108 CLADRIBINE PER 1MG, 10MG SDV 433.3 DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION [157325] 203.22 BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION [165084] 4436.71 TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION [165400] 1445.00 Room and Board Semiprivate Medical/Surgical/GYN 2159.00 Room and Board Intermediate Intensive Care Unit 1445.00 Room and Board Private Medical/Surgical/GYN 1445.00 Room and Board Semiprivate Hospice 1971.00 Room and Board Semiprivate Psychiatric 1445.00 Room and Board Intensive Care Unit General 3088.00 Room and Board Intensive Care Unit General 1054.00 Room and Board Nursery 1239.00 Room and Board Semiprivate Skilled Nursing 238.50 WARMING BLANKET 1007.00 ROUTINE HEMODIALYSIS 1007.00 NON-ROUTINE HEMODIALYSIS 1007.00 EMERGENCY HEMODIALYSIS 2169.50 OR MAJOR 1ST 1/2 HOUR 51601.25 INSERT INTRATHECAL PUMP PROGRA 2520.25 SURGERY LEVEL 1 1ST 30 MIN 1859.75 SURG LEVEL 1 EA ADD 30 MIN 3113.00 SURGERY LEVEL 2 1ST 30 MIN 2451.00 SURG LEVEL 2 EA ADD 30 MIN 3518.75 SURGERY LEVEL 3 1ST 30 MIN 2859.00 SURG LEVEL 3 EA ADD 30 MIN 3854.50 SURGERY LEVEL 4 1ST 30 MIN 3196.00 SURG LEVEL 4 EA ADD 30 MIN 4263.75 SURGERY LEVEL 5 1ST 30 MIN 3603.75 SURG LEVEL 5 EA ADD 30 MIN 3858.75 LITHOTRIPSY 1676.25 MITEK QUICK ANCHOR 1676.25 SUPER QUICK ANCHOR 1483.00 GORETEX PATCH 828.52 MISC SURGERY SUPPLIES AVERAGE CHARGE 1448.50 HEMOSPLIT 5744420 79.00 PIN STEINMAN AND GUIDEWIRE 1768.25 OSTEOSET MINI BEAD KIT 11.25 SYNTH CIRC WIRE W/EYE 634.25 BIOFIX 121560 1.5X 60 2156.50 TESIO CATHETER 7728.62 MISC SURGERY SUPPLIES AVERAGE CHARGE 120.25 ARMSTRONG BEVELED VENT 140242 2617.00 FREEZE DRIED CRUSHED BONE 2891.00 CELLSAVER REPROFUSION PROCEDUR 216.25 ENDURANCE 40MG BONE CEMENT 59.50 HEM-O-LOK CLIP-LARGE 29.50 SILICONE I/A TIP 1124.00 POWER PORT 3357.00 VASCULAR GRAFT RRT06030040L 1001.75 VASCULART GRAFT V4604DKL 1086.00 ACCESSORY KIT 504.00 ACCESSORY KIT 961.75 ACCESSORY KIT 59.50 VISITEC MICRO J CANNULA 585003 719.25 OSTEOTOMY BLADE 45.25 SCRW 4.0CNCLS PTL THRD 10-50MM 61.25 WASHER 7MM-10MM-13MM 467.50 SCRW 5.0MM CNLTD LCKNG 25-95MM 1446.25 HELICAL BLADE 80MM-120MM 429.75 SCRW 5.0 LCKG/IM NAIL 26-100MM 4293.25 NAIL TROCHANTERIC 340-400MM LH 310.25 SCS ACCESSORY KIT 3550-29 310.25 SCS ANTENNA 37092 1077.25 DBX PUTTY 2.5CC 1965.75 DBX PUTTY 5CC 2406.00 DBX MIX 5CC 3769.75 DBX MIX 10CC 715.50 CAPSULAR TENSION RING 870.75 DEPUY 1 GENTAMICIN BN CMNT 40G 140.50 FILSHIE CLIP 380.25 INTRATHECAL CATHETER PASSER 2904.00 INTRATHECAL PATIENT PROGRAMMER 4100.00 VASCULAR GRAFT ARTEGRAFT 20.75 SHEEHY COLLR EAR TUBE 23-40300 250.00 XENOSURE BIOLOGICAL GRAFT 4221.75 BRONCHOSCOPY DIAGNOSTIC 1325.00 EGD 1886.50 COLONOSCOPY 1807.00 EGD W/ BIOPSY 2266.50 COLONOSCOPY W/ BIOPSY 2019.25 ERCP 1906.00 FLEX SIGMOID W/BIOPSY 1511.75 EGD W/DILATATION 1684.00 SIGMOIDOSCOPY 3693.75 EGD W/POLYPECTOMY/SNARE TECHNQ 2640.00 COLONOSCOPY CONTROL BLEED APC 2504.25 EGD LESION ABLATION 4221.75 BRONCHOSCOPY FLEX W/BIOPSY 4221.75 BRONCHOSCOPY FLEX W/BRUSHING 6205.25 ERCP W/SPHINCTEROTOMY 2349.25 SIGMOIDOSCOPY W/POLYP REM 842.50 ESOPHAGEAL PH ELECTRODE PLACEM 1152.75 BANDING HEMORRHOID 4221.75 BRONCHOSCOPY W/NEEDLE ASP/BX 2112.50 SM BOWEL ENTEROSCOPY W/BX 3265.00 SM BOWEL ENTEROS W/CTRL BLEED 2164.50 ENDO SM INTESTINE,DIAG,NO SPEC 2673.50 EGD WITH BANDING LIGATION 2012.00 PROCTOSCOPY WITH BIOPSY 6842.50 ERCP DUCT STENT PLACEMENT 4359.50 ERCP REMOVE FOREIGN BODY DUCT 4359.50 ERCP EA DUCT/AMPULLA DILATE 1474.25 SIGMOID FLEX W/SUBMUCOSAL INJ 2412.25 SIGMOID FLEX W/CONTROL BLEEDIN 1034.75 PEG TUBES 300.00 CYTOLOGY BRUSH 389.00 RESOLUTION CLIPS 739.00 BRAVO PH CAPSULE 100.50 ENDOVIVE REPLACEMENT PEG TUBE 7.25 RECOVERY ROOM/ MINUTE 7.25 PHASE 1 RECOVERY PER MIN 59.50 RECOVERY-ENDO 984.25 MAJOR SUTURE CHARGE 259.25 INTRAUTERINE PRESSURE CATH 7.25 RECOVERY L/D PER MINUTE 220.50 INT SCALP ELECTRODE 25.75 MECONIUM ASPIRATOR 76.75 VACUUM EXTRACTOR 113.50 LABOR ROOM PER HOUR 566.00 ANESTH GENERAL 1ST 15 MIN 566.00 ANESTH GENRAL ADD 15 MIN 566.00 ANES-GENERAL 15 MIN 335.75 ANES-MAC 15MIN 566.00 ANES-BIER BLOCK 15 MIN 335.75 ANES-PARAVERT BLOCK 15 MIN 335.75 ANES-REGIONAL BLOCK 15 MIN 335.75 ANES-WPIDURAL 15MIN 335.75 ANES-SPINAL 15MIN 14.50 SET BUTTERFLY 24 X 3/4 14.50 JELCO NEXIVA 22 X 1 14.50 JELCO NEXIVA 20X 1 9.25 SPONGE 4X4 ST RAYTEC 25.75 TRAY SCRUB SKIN DISP 91.25 TRAY LUMBAR DISP 9.25 KIT IV START DISP 21.25 Speical Charge General Admission - IV Board 5.50 SOL SOD CHOL 0.9% IRR 38.00 NEEDLE, HUBER 29.25 NEEDLE HUBER 20G 1 1/2 RA 29.25 NEEDLE HUBER 22G 1 1/2 RA 23.25 CATHETER 12 FR 16.00 CATH FOLEY SIL 2 WAY 14 FR 5CC 490.00 CATH KIT MAN 10 FR. 19.5 309.25 TRACH TUBE XLT PROX 7MM 21.25 SET EXT W/TCONNECTOR 9.25 BAG LEG DISP SM 9.25 BAG LEG DISP LARGE 23.25 KIT DRESSING CHG 9.25 PEN SURG MARKING 9.25 KIT STAPLER SK REM 21.25 VAD DRESSING KIT 111.75 KIT CATH TRIPLE LUMEN 16CM 93.00 TENCKHOFF CATHETER 44.00 WIRE,KIRSCHNER .045X4 35.75 WIRE,KIRSCHNER .062X4 1135.00 PORT A CATH LOW PROFILE 17.25 JELCO ALL SIZES 20 22 24 9.25 KERLIX ROLL ST 63.00 THORACENTESIS TRAY 29.75 NEEDLE HUBER SAFETY 20X1 7.25 TUBING IV 20" EXT 21.25 TUBING IV PRIM PUMP 35.75 SET FILTER & AXALL FIONCO 1.00 EVIDENCE COLLECTION 10.00 ALBUTEROL INHLTN SOL PER 1MG 10.00 DUO NEB 196.75 GASTROVIEW CONTRAST AGENT 7.75 SOD CHL 0.9% PF LUSH INJ 10 ML 185.75 NEEDLE,BIOPSY TYPE 1 62.25 NEEDLE,BIOPSY TYPE 2 146.00 GASTROVIEW MO 22.00 DISPOSABLE CATHETER NEEDLE 1399.50 ASP/INJ RENAL CYST/PELVIS 2725.00 CHANGE NEPHROSTOMY TUBE 55.00 PT WORK CONDITION PER 15 MIN 66.25 GLENBEIGH THYROID PANEL 40.25 GB CHEM PROFILE 105.00 GB HCG 187.25 OXYGEN SUPPLY/DAY 289.25 HI FLOW OXYGEN 4509.00 YAG LASER SECONDARY 2037.50 IRIDECTOMY FOR GLAUCOMA 4509.00 TRABECULOPASTY 65855 1745.00 DISCISSION 2ND CATARACT 1997.50 ARGON FOCAL LASER 3648.75 SUTURLYSIS FOR SUTURE REMOVAL 55.50 Hospital observation care, typically 30 minutes 62.25 Observation care per hour 88.00 Observation care per hour 848.75 Direct Admit for Observation Care per hour 293.50 Observation care per hour 398.50 Observation care per hour 60.25 Observation care per hour 147.00 Observation care per hour 65.25 Observation care per hour 66.50 Observation care per hour 848.75 Observation care per hour 483.75 Observation care per hour 393.50 Fetal non-stress test 21.25 Education 154.00 Hospital outpt clinic visit 907.50 Transfusion of blood or blood products 207.25 Observation care per hour 91.75 Observation care per hour 178.50 Infusion into a vein for therapy, prevention, or diagnosis 230.50 Injection of drug or substance into a vein for therapy, diagnosis, or prevention 145.00 Injection of different drug or substance into a vein for therapy, diagnosis, or prevention 175.00 Injection of drug or substance into a vein for therapy, diagnosis, or prevention, in a facility 182.25 Measurement of oxygen saturation in blood using ear or finger device 514.50 Hydration infusion into a vein 31 minutes to 1 hour 166.00 Hydration infusion into a vein 106.50 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 103.75 Tracing of electrical activity of the heart using 1-3 leads 52.75 Observation care per hour 341.00 Multiple measurements of oxygen saturation in blood using ear or finger device 812.25 Prolonged iv inf, req pump 4119.00 Insertion of catheter into right upper heart chamber and pulmonary (lung) artery for monitoring purposes 62.25 Blood glucose (sugar) measurement using reagent strip 232.25 Multiple measurements of oxygen saturation in blood using ear or finger device 469.75 Overnight measurement of oxygen saturation in blood using ear or finger device 3812.75 Insertion of central venous catheter for infusion, patient 5 years or older 5413.25 Removal of foreskin of using clamp or device 131.75 Phenylalanine, PKU (amino acid) level 134.75 Insertion of needle into scalp vein, patient younger than 3 years 864.25 Insertion of catheter into vein of navel, newborn 1964.00 Critical care delivery critically ill or injured patient, first 30-74 minutes 272.25 Observation care per hour 120.75 Air tone conduction hearing assessment screening 276.00 Observation care per hour 274.75 Phototherapy light w/ photom 36.75 Measurement of bilirubin 1076.25 Mesh (implantable) 605.25 Stent, non-cor, tem w/o del 759.75 Cath, inf, per/cent/midline 409.00 Cath, inf, per/cent/midline 423.50 Guide wire 316.75 Mesh (implantable) 3150.00 Mesh (implantable) 120.50 Apligraf 1414.50 Lens, intraocular (new tech) 2955.50 Mesh (implantable) 45764.25 Generator, neuro non-recharg 5041.75 Patient progr, neurostim 6321.75 Lead, neurostim test kit 3958.25 Rep dev, urinary, w/sling 6321.75 Lead, neurostimulator 881.00 Anchor/screw bn/bn,tis/bn 192.50 Anchor/screw bn/bn,tis/bn 1660.00 Anchor/screw bn/bn,tis/bn 71.50 Anchor/screw bn/bn,tis/bn 636.00 Anchor/screw bn/bn,tis/bn 12255.00 Lead, neurostimulator 474.50 Anchor/screw bn/bn,tis/bn 34.00 Guide wire 3612.25 Anchor/screw bn/bn,tis/bn 1632.75 Anchor/screw bn/bn,tis/bn 340.00 Anchor/screw bn/bn,tis/bn 39.25 Guide wire 695.25 Anchor/screw bn/bn,tis/bn 745.00 Anchor/screw bn/bn,tis/bn 869.75 Anchor/screw bn/bn,tis/bn 395.75 Anchor/screw bn/bn,tis/bn 405.00 Anchor/screw bn/bn,tis/bn 428.25 Anchor/screw bn/bn,tis/bn 441.50 Anchor/screw bn/bn,tis/bn 730.25 Anchor/screw bn/bn,tis/bn 45.25 Anchor/screw bn/bn,tis/bn 286.50 Anchor/screw bn/bn,tis/bn 2994.50 Anchor/screw bn/bn,tis/bn 54.50 Anchor/screw bn/bn,tis/bn 620.50 Anchor/screw bn/bn,tis/bn 1152.75 Graftjacket 317.50 Anchor/screw bn/bn,tis/bn 649.75 Cath, hemodialysis,long-term 950.75 Mesh (implantable) 11916.00 Laser vaporization of prostate including control of bleeding using an endoscope 2501.50 Catheter, intraspinal 40335.00 Infusion pump, programmable 5429.50 Conn tiss, human(inc fascia) 1403.25 Anchor/screw bn/bn,tis/bn 1211.50 Anchor/screw bn/bn,tis/bn 2659.50 Joint device (implantable) 1625.50 Joint device (implantable) 257.00 Joint device (implantable) 524.50 Lens, intraocular (new tech) 4136.75 Joint device (implantable) 3841.50 Joint device (implantable) 158.00 Anchor/screw bn/bn,tis/bn 3545.75 Joint device (implantable) 886.50 Joint device (implantable) 2068.25 Joint device (implantable) 2363.75 Joint device (implantable) 842.50 Anchor/screw bn/bn,tis/bn 1181.50 Anchor/screw bn/bn,tis/bn 30730.75 Infusion pump, programmable 591.00 Mesh (implantable) 192.25 Mesh (implantable) 37991.50 Generator neuro rechg bat sy 5347.00 Lead, neurostimulator 1004.75 Anchor/screw bn/bn,tis/bn 241.50 Cath,hemodialysis,short-term 7129.25 Graft, vascular 4639.25 Graft, vascular 3224.00 Graft, vascular 4221.75 Biopsy of one lobe of lung using an endoscope 374.75 Stent, non-coa/non-cov w/del 259.75 Oth resp proc, group 249.00 Tracing of electrical activity of the heart using 1-3 leads 120.25 Established patient office or other outpatient visit, typically 5 minutes 157.50 Pulmonary rehab w exer 637.75 Fetal contraction stress test 155.75 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 635.75 Ultrasound of pregnant uterus, 1 or more fetus(es) 35.50 Insertion of needle into vein for collection of blood sample 2719.50 Vaginal delivery after prior cesarean delivery 2625.00 Episiotomy or vaginal repair 2719.50 Turning of fetus from breech to presenting position 651.75 Insertion dilator device into cervix 2865.00 Cesarean delivery 250.75 Tying or incision of fallopian tubes at time of cesarean delivery or other abdominal surgery 244.00 Observation care per hour 952.25 Maternity care and delivery procedure 2719.50 Vaginal delivery 394.00 Observation care per hour 308.25 Hosp grade elec breast pump 30.00 Skin barrier, wipe or swab 252.50 Fetal monitoring during labor by consulting physician 213.00 Cervicovaginal secretion of placenta protein 33.75 Intro/sheath, non-laser 164.00 Guide wire 170.50 Mesh (implantable) 160.00 Mesh (implantable) 14.50 Blood glucose (sugar) test performed by hand-held instrument 1870.50 Critical care delivery critically ill or injured patient, first 30-74 minutes 755.25 Critical care delivery critically ill or injured patient 210.75 Emergency department visit, self limited or minor problem 367.50 Emergency department visit, low to moderately severe problem 630.00 Emergency department visit, moderately severe problem 787.50 Emergency department visit, problem of high severity 1522.50 Emergency department visit, problem with significant threat to life or function 227.50 Multiple measurements of oxygen saturation in blood using ear or finger device 348.50 Drainage of abscess 348.50 Drainage of multiple abscess 936.50 Drainage of tailbone cyst 670.75 Removal of foreign body from tissue, accessed beneath the skin 3990.50 Removal of foreign body from tissue, accessed beneath the skin 3179.25 Drainage of blood or fluid accumulation 203.50 Separation of nail plate from nail bed 323.50 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs 323.50 Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 323.50 Repair of wound (7.6 to 12.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 323.50 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes 323.50 Repair of wound (2.6 to 5.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 323.50 Repair of wound (5.1 to 7.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 323.50 Repair of wound (7.6 to 12.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 2153.25 Repair of wound (2.6 to 7.5 centimeters) of trunk 846.75 Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs 2153.25 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs 2153.25 Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 203.50 First degree burn treatment 372.75 Dressing change and/or removal of burn tissue (less than 5% total body surface) 764.25 Closed treatment of shoulder dislocation with manipulation 347.50 Drainage of finger abscess 401.00 Closed treatment of broken finger or thumb 393.50 Closed treatment of dislocated finger joint with manipulation 393.50 Closed treatment of dislocated foot joint 267.00 Application of long arm splint (shoulder to hand) 267.00 Application of non-moveable, short arm splint (forearm to hand) 267.00 Application of non-moveable, hinged finger splint 404.00 Application of long leg splint (thigh to ankle or toes) 266.75 Application of short leg splint (calf to foot) 248.75 Simple control of nose bleed 764.25 Complex control of nose bleed 764.25 Control of nose bleed and insertion of packing 594.50 Emergent insertion of breathing tube into windpipe cartilage using an endoscope 3003.75 Drainage of rectal abscess 764.25 Incision of engorged external hemorrhoid 173.50 Insertion of indwelling bladder catheter 1250.25 Incision and drainage of female genitals abscess 897.75 Spinal tap for diagnosis 230.00 Removal of foreign body in external eye, conjunctiva 230.00 Removal of foreign body, external eye, cornea with slit lamp examination 936.50 Incision and drainage of external ear abscess or blood accumulation 173.50 Removal of foreign body from ear canal 252.50 Removal of impact ear wax, one ear 371.25 Insertion of stomach tube and aspirations of gastric contents 372.75 Dressing change and/or removal of burn tissue (5% to 10% total body surface) 93.00 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 4116.50 Removal of foreign body from inside the eye or lens 2721.25 Insertion of central venous catheter for infusion, patient younger than 5 years 252.50 Removal of blood accumulation between nail and nail bed 1250.25 Repair of wound (12.6 to 20.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 508.25 Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs 846.50 Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 1250.25 Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 389.00 Aspiration and/or injection of medium joint or joint capsule 612.00 Aspiration and/or injection of large joint or joint capsule 764.25 Closed treatment of jaw temporomandibular joint (TMJ) dislocation 1250.25 Closed treatment of dislocated forearm bone of elbow, child 393.25 Closed treatment of dislocated hand joint with manipulation 764.25 Treatment of hip dislocation 2031.00 Removal of foreign body of foot tissue, accessed beneath the skin 897.75 Injection of anesthetic agent and/or steroid into other peripheral nerve or branch 897.75 Removal of foreign body, external eye, cornea 2721.50 Insertion of central venous catheter for infusion, patient 5 years or older 173.50 Removal of foreign body in nose 323.50 Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth 461.50 Removal of skin suture with change of bladder tube 1512.25 Closed treatment of broken ankle with manipulation 764.25 Drainage of abscess, cyst, or blood accumulation of dental bone 3828.25 Closed treatment of shoulder dislocation with manipulation under anesthesia 1250.25 Removal of skin and tissue first 20 sq cm or less 764.25 Closed treatment of broken toe with manipulation 1312.25 Removal of fluid from between lung and chest cavity, open procedure 1852.50 Emergent surgical opening of windpipe for insertion of breathing tube 393.75 Insertion of needle for infusion into bone 764.25 Insertion of indwelling bladder catheter 603.50 Infusion of drug into vein to dissolve coronary blood clot 93.00 Administration of vaccine 93.00 Administration of 1 vaccine 897.75 Injection of blood or blood clot into spinal canal 3928.50 Exploration of penetrating wound of arm or leg 824.75 Transfusion of blood or blood products 1513.00 Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation 3097.25 Drainage of tailbone cyst 847.25 Repair of finger or toe nail bed 1250.25 Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 393.25 Closed treatment of broken finger or thumb with manipulation 57.75 Moderate sedation services by physician also performing a procedure, patient younger than 5 years of age, first 15 minutes 195.25 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes 150.25 Moderate sedation services by physician also performing a procedure, additional 15 minutes 294.50 Hydration infusion into a vein 31 minutes to 1 hour 268.75 Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour 268.75 Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion 166.75 Injection of drug or substance into a vein for therapy, diagnosis, or prevention, in a facility 1513.00 Closed treatment of broken forearm bones with manipulation 5701.00 Drainage of rectal abscess 1512.00 Closed treatment of shoulder dislocation and broken of upper arm bone with manipulation 1512.25 Closed treatment of broken of upper arm bone at shoulder with manipulation 1512.25 Closed treatment of shoulder dislocation and broken of upper arm bone with manipulation 5025.00 Aspiration of bladder with insertion of bladder tube to skin surface 577.50 Insertion of nasal or oral stomach tube using fluoroscopic guidance 2472.75 Insertion of feeding tube (accessed beneath the skin) into small bowel using an endoscope 415.75 Closed treatment of broken finger or thumb with manipulation 1250.25 Repair of wound of scalp, arms, and/or legs 764.25 Closed treatment of broken ankle with manipulation 1250.25 Repair of wound (20.1 to 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 3529.25 Removal of impacted stool or foreign body under anesthesia 382.00 Incision and drainage of female genital gland abscess 2792.00 Insertion of central venous catheter for infusion, patient 5 years or older 1593.00 Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin 640.50 Nervous system procedure 1313.00 Closed treatment of ankle dislocation 5313.50 Drainage of breast abscess 1250.25 Repair of wound (12.6 to 20.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 4187.75 Closed treatment of dislocated finger joint with manipulation under anesthesia 5038.50 Closed treatment of broken upper arm bone at shoulder joint with manipulation 5038.50 Closed treatment of broken upper arm bone with manipulation 1250.25 Repair of (2.5 centimeter or less) laceration to floor of mouth and/or tongue 553.75 Bladder irrigation and/or instillation 2246.25 Repair of blood vessel of leg 1250.25 Repair of wound (7.6 to 12.5 centimeters) of neck, hands, feet, and/or genitals 2116.00 Repair of (over 2.6 laceration) to floor of mouth or tongue 868.75 Incision and drainage of eyelid abscess 1360.25 Removal of growth (0.5 centimeters or less) of the trunk, arms or legs 764.25 Closed treatment of dislocation of knee cap 426.75 Closed treatment of thumb dislocation with manipulation 1352.50 Insertion of arterial catheter for blood sampling or infusion, accessed through the skin 1250.25 Closed treatment of fracture of bone of hand with manipulation 2195.75 External shock to heart to regulate heart beat 2954.75 Closed treatment of knee cap dislocation under anesthesia 1773.25 Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals 764.25 Injection of drug into erectile tissue at sides and back of penis 764.25 Treatment of elbow dislocation 1266.25 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin 2043.00 Incision and drainage of abscess in scrotal sac of testicle 2040.25 Insertion of needle or catheter into an artery of arm or leg 708.75 Destruction of skin growth (less than 10 sq centimeters) 403.00 Insertion of stomach tube and aspirations of gastric contents 404.00 Skin, mucus membrane and beneath the skin procedure 1250.25 Incision and drainage of roof of mouth or its soft tissue projection 1250.25 Repair of wound (over 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 5628.25 Repair of blood vessel of arm 508.25 Removal of skin of finger or toe nail 252.50 Application of moveable, hinged finger splint 936.50 Incision of abscess, cyst, or blood accumulation in mouth 268.00 Insertion of temporary bladder catheter 4020.25 Incision of penile foreskin 216.75 Removal of single thickened skin growth 2207.50 Drainage of fluid-filled sac (bursa) of upper arm or elbow 1786.75 Closed treatment of broken ankle with manipulation 2113.75 Closed treatment of dislocated hand joint with manipulation under anesthesia 2113.75 Closed treatment of broken forearm bone at elbow with manipulation 3403.25 Removal of tailbone cyst 516.50 Injection of drug into erectile tissue at sides and back of penis 252.50 Removal of impacted ear wax by washing 546.75 Injection of anesthetic agent and/or steroid into trigeminal nerve of face 577.50 Closed treatment of dislocated hip prosthesis 2153.25 Relocation of mouth tissue to gum surface 546.75 Aspiration and/or injection of small joint or joint capsule 5834.25 Open treatment of broken hand or finger 3524.75 Open treatment of broken finger or thumb 5834.25 Incision of elbow with exploration, drainage, or removal of foreign body 534.75 Injections of trigger points in 3 or more muscles 1128.75 Injection of anesthetic agent and/or steroid into femoral nerve of thigh 2976.75 Closed treatment of broken shin bone with manipulation 395.75 Drainage of tonsil abscess 2976.75 Closed treatment of collar bone broken with manipulation 441.00 Closed treatment of dislocation of joint between collar and chest bones with manipulation 688.75 Nasal procedure 1440.50 Aspiration and/or injection of cysts 3307.50 Exploration of penetrating wound of abdomen, flank, or back 661.50 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 1543.50 Drainage of fluid from abdominal cavity using imaging guidance 3098.00 Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin 679.00 Removal of central venous catheter for infusion 2180.75 Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin 543.75 Injections of trigger points in 1 or 2 muscles 370.75 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 2745.75 Closed treatment of broken ankle with manipulation 1130.75 Incision and drainage of ear canal abscess 2745.75 Treatment of dislocated elbow under anesthesia 2730.00 Closed treatment of broken hand or finger with manipulation 2745.75 Closed treatment of hip dislocation under anesthesia 2745.75 Closed treatment of dislocated hip prosthesis under anesthesia 656.25 Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals 3790.50 Snip incision of tear duct opening 1008.00 Repair of separation of wound closure 484.00 Replacement of stomach stoma tube accessed through skin 470.50 Closed treatment of dislocated finger joint with manipulation 656.25 Aspiration of abscess, blood accumulation, blister, or cyst 268.00 Strapping, Unna boot 46.00 Admin influenza virus vac 61.74 Admin pneumococcal vaccine 53.00 Admin hepatitis b vaccine 375.00 Fine needle aspiration of first lesion 177.00 Drainage of abscess 375.00 Drainage of multiple abscess 640.00 Drainage of tailbone cyst 380.00 Removal of foreign body from tissue, accessed beneath the skin 2630.00 Removal of deep foreign body in muscle or tendon 1500.00 Drainage of blood or fluid accumulation 375.00 Aspiration of abscess, blood accumulation, blister, or cyst 21.00 Ekg tracing for initial prev 720.00 Aspiration and/or injection of intermediate joint or joint capsule with recording and reporting using ultrasound guidance 450.00 Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance 375.00 Removal of skin and tissue first 20 sq cm or less 536.00 Removal of skin and/or muscle first 20 sq cm or less 230.00 Removal of skin and tissue 215.00 Removal of single thickened skin growth 350.00 Removal of more than 4 thickened skin growths 360.00 Tangential biopsy of single skin lesion 360.00 Punch biopsy of single skin lesion 630.00 Incisional biopsy of single skin lesion 215.00 Removal of up to and including 15 skin tags 80.00 Removal of skin tags 215.00 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs 215.00 Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs 355.00 Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs 630.00 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs 215.00 Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals 215.00 Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals 282.00 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth 282.00 Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth 380.00 Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth 380.00 Shaving of over 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth 601.00 Removal of growth (0.5 centimeters or less) of the trunk, arms or legs 601.00 Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs 601.00 Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs 1177.00 Removal of growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs 1413.00 Removal of growth (3.1 to 4.0 centimeters) of the trunk, arms, or legs 1768.00 Removal of growth (4.0 centimeters) of the trunk, arms, or legs 1655.00 Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals 1177.00 Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals 1655.00 Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 1655.00 Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals 3000.00 Removal of growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals 601.00 Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth 601.00 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth 1177.00 Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth 2850.00 Removal (over 4.0 centimeters) growth of the face, ears, eyelids, nose, lips, or mouth 1177.00 Removal of malignant growth (0.5 centimeters or less) of the trunk, arms, or legs 601.00 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs 601.00 Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs 1177.00 Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs 645.00 Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs 1768.00 Removal of malignant growth (over 4.0 centimeters) of the trunk, arms, or legs 1177.00 Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 1550.00 Removal of malignant growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals 1160.00 Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips 601.00 Removal of malignant growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, or lips 601.00 Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips 1550.00 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips 114.00 Removal of tissue from 1 to 5 finger or toe nails 98.00 Removal of tissue from 6 or more finger or toe nails 215.00 Separation of nail plate from nail bed 175.00 Removal of blood accumulation between nail and nail bed 399.00 Removal of nail 380.00 Removal of skin of finger or toe nail 360.00 Injection of more than 7 skin growths 114.00 Insertion of drug delivery implant into tissue 420.00 Removal of drug delivery implant from tissue 206.00 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs 200.00 Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 215.00 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes 400.00 Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs 206.00 Destruction of skin growth 35.00 Destruction of 2-14 skin growths 380.00 Destruction of 15 or more skin growths 215.00 Destruction of up to 14 skin growths 215.00 Destruction of 15 or more skin growths 215.00 Application of chemical agent to excessive wound tissue 300.00 Euflexxa inj per dose 1980.00 Aflibercept injection 336.00 Injection of carpal tunnel 336.00 Injections of tendon sheath, ligament, or muscle membrane 280.00 Injections of tendon attachment to bone 280.00 Injections of trigger points in 1 or 2 muscles 280.00 Injections of trigger points in 3 or more muscles 10.00 Injection,onabotulinumtoxina 280.00 Aspiration and/or injection of small joint or joint capsule 450.00 Aspiration and/or injection of small joint or joint capsule with recording and reporting using ultrasound guidance 336.00 Aspiration and/or injection of medium joint or joint capsule 336.00 Aspiration and/or injection of large joint or joint capsule 280.00 Aspiration and/or injection of cysts 27.00 Ceftriaxone sodium injection 80.00 Inj., cosyntropin, 0.25 mg 25.00 Methylprednisolone 40 mg inj 50.00 Methylprednisolone 80 mg inj 0.60 Medroxyprogesterone acetate 3.00 Dexamethasone sodium phos 5.00 Diphenhydramine hcl injectio 130.00 Infliximab not biosimil 10mg 20.00 Ketorolac tromethamine inj 430.00 Closed treatment of broken spine bones with casting or bracing 90.00 Omalizumab injection 8.00 Promethazine hcl injection 10.00 Methylprednisolone injection 10.00 Triamcinolone acet inj nos 10.00 Vitamin b12 injection 265.00 Closed treatment of collar bone fracture 270.00 Closed treatment of upper arm fracture 297.00 Closed treatment of fracture of upper arm bone at shoulder joint 25.00 Cast sup long arm ped fbrgls 30.00 Cast sup sht arm adult fbrgl 45.00 Cast sup shrt leg ped fbrgls 230.00 Hyalgan supartz visco-3 dose 460.00 Closed treatment of upper arm fracture 297.00 Closed treatment of growth plate or broken upper arm bone at elbow 75.00 Pessary, non rubber,any type 270.00 Closed treatment of broken forearm bone at elbow 460.00 Closed treatment of broke forearm bone at elbow 270.00 Closed treatment of broken forearm bone 270.00 Closed treatment of broken forearm bones 1371.00 Closed treatment of broken forearm bones with manipulation 297.00 Closed treatment of broken forearm bones 270.00 Closed treatment of broken wrist bone 270.00 Closed treatment of fracture hand bone 297.00 Closed treatment of fracture of bone of hand with manipulation 270.00 Closed treatment of broken finger or thumb 297.00 Closed treatment of broken finger or thumb with manipulation 400.00 Closed treatment of fracture and/or dislocation of pelvis and/or sacrum 300.00 Closed treatment of hip socket fractures 2700.00 Closed treatment of fracture below neck of upper thigh bone 450.00 Closed treatment of broken thigh bone 200.00 Synvisc or synvisc-one 8.00 Gelsyn-3 injection 0.1 mg 270.00 Closed treatment of knee cap fracture 270.00 Closed treatment of fracture of shin bone 297.00 Closed treatment of broken shin bone 270.00 Closed treatment of broken ankle 297.00 Closed treatment of broken ankle 1740.00 Repair of toe tendon, accessed through the skin 3000.00 Removal (1.5 centimeters or greater) tissue growth beneath the skin of foot or toe 297.00 Closed treatment of broken heel bone 300.00 Closed treatment of broken ankle joint bone 297.00 Treatment of broken foot bone 270.00 Closed treatment of broken foot bone 270.00 Closed treatment of broken great toe 460.00 Closed treatment of broken great toe with manipulation 345.00 Closed treatment of broken toe 297.00 Closed treatment of broken toe with manipulation 3000.00 Amputation of foot 25.00 Bevacizumab injection 260.00 Application of cast, shoulder to hand (long arm) 260.00 Application of cast, elbow to finger (short arm) 260.00 Application of cast to hand and lower forearm 149.00 Application of long arm splint (shoulder to hand) 125.00 Application of non-moveable, short arm splint (forearm to hand) 400.00 Leuprolide acetate suspnsion 275.00 Application of long leg cast (thigh to toes) 480.00 Application of cylinder cast (thigh to ankle) 260.00 Application of short leg cast (below knee to toes) 300.00 Application of rigid total contact leg cast 149.00 Application of short leg splint (calf to foot) 220.00 Simple control of nose bleed 194.00 Complex control of nose bleed 247.00 Diagnostic examination of nasal passages using an endoscope 1490.00 Biopsy or removal of nasal polyp or tissue using an endoscope 1490.00 Control of nasal bleeding using an endoscope 260.00 Change of breathing tube of windpipe in neck 247.00 Diagnostic examination of voice box using flexible endoscope 16.00 Insertion of needle into vein, patient 3 years or older 8.00 Insertion of needle into vein for collection of blood sample 1980.00 Biopsy of mouth 4470.00 Removal of growth of mouth 1535.00 Incision of tissue connecting tongue and floor of mouth 550.00 Biopsy of tongue 2080.00 Biopsy of roof of mouth 470.00 Replacement of stomach stoma tube accessed through skin 470.00 Replacement of stomach stoma tube accessed through skin with revision of stoma opening 434.00 Incision of engorged external hemorrhoid 258.00 Bladder irrigation and/or instillation 251.00 Insertion of temporary bladder catheter 251.00 Insertion of indwelling bladder catheter 190.00 Insertion of indwelling bladder catheter 460.00 Removal of skin suture with change of bladder tube 656.00 Insertion of electronic device into bladder with voiding pressure studies 162.00 Electronic assessment of bladder emptying 200.00 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 315.00 Insertion of device into the abdomen with measurement of pressure and urine flow rate 114.00 Ultrasound measurement of bladder capacity after voiding 625.00 Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope 3500.00 Insertion of stent in urinary duct (ureter) using an endoscope 1883.00 Removal of foreskin of using clamp or device 1883.00 Biopsy of prostate gland 314.00 Incision and drainage of female genitals abscess 176.00 Incision and drainage of female genital gland abscess 1764.00 Destruction of external female genital growths 2672.00 Destruction of extensive growths of external female genitals 675.00 Biopsy of external female genitals 20.00 Biopsy of external female genitals 176.00 Fitting and insertion of vaginal support device 176.00 Examination of the vagina and cervix using an endoscope 314.00 Biopsy and scraping of the cervix using an endoscope 2835.00 Biopsy of cervix using an endoscope 670.00 Biopsy of cervix or excision of local growths 176.00 Biopsy of uterine lining 100.00 Placement of intra-uterine device (IUD) for pregnancy prevention 314.00 Removal of intra-uterine device (IUD) for pregnancy prevention 176.00 Fetal non-stress test 200.00 Predelivery care 4-6 visits 100.00 Post-delivery care 280.00 Injections of anesthetic and/or steroid drug into nerve of foot 280.00 Implantation of lower leg neurostimulator electrode, accessed through the skin 450.00 Injection of chemical for destruction of salivary glands on both sides of the mouth 280.00 Injection of chemical for destruction of nerve muscles on one side of face 450.00 Injection of chemical for destruction of facial and neck nerve muscles on both sides of face 450.00 Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin 1028.00 Destruction of peripheral nerve or branch 1170.00 Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles 1170.00 Injection of chemical for destruction of nerve muscles on arm or leg, 5 or more muscles 720.00 Injection of chemical for destruction of nerve muscles on trunk, 5 or more muscles 114.00 Removal of foreign body in external eye, conjunctiva 420.00 Removal of foreign body in external eye, conjunctiva or sclera 540.00 Removal of foreign body, external eye, cornea 114.00 Removal of foreign body, external eye, cornea with slit lamp examination 1393.00 Removal of outer layer of cornea 350.00 Injection of drug into eye 570.00 Injection of medication or substance into membrane covering eyeball 326.00 Incision and drainage of eyelid abscess 326.00 Removal of eyelid growth 900.00 Removal of multiple growths of same eyelid 326.00 Removal of multiple growths of different eyelids 326.00 Biopsy of eyelid 114.00 Removal of eyelashes by forceps 1618.00 Removal of eyelid growth 392.00 Closure of tear duct opening using plug 420.00 Dilation of tear-drainage opening 1100.00 Incision and drainage of external ear abscess or blood accumulation 114.00 Removal of foreign body from ear canal 110.00 Removal of impacted ear wax by washing 70.00 Removal of impact ear wax, one ear 215.00 Removal of skin debris and drainage of mastoid cavity 391.00 Incision, aspiration, and/or inflation of eardrum 630.00 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 115.00 Ultrasound of eye disease, growth, or structure 38.00 Ultrasound of corneal structure and measurement 115.00 Ultrasound of eye for determination of lens power 321.00 Ultrasound of pregnant uterus, 1 or more fetus(es) 192.00 Vaginal ultrasound of pregnant uterus 192.00 Ultrasound pelvis through vagina 115.00 Ultrasound of pelvis 192.00 Ultrasound of rectum 60.00 Ultrasonic guidance imaging supervision and interpretation for insertion of needle 15.00 Urinalysis, manual test 25.00 Automated urinalysis test 25.00 Urine pregnancy test 25.00 Stool analysis for blood 15.00 Blood glucose (sugar) test performed by hand-held instrument 15.00 Blood test, clotting time 20.00 Skin test for tuberculosis 25.00 Smear for infectious agents 25.00 Tissue fungi or parasites 35.00 Strep test (Streptococcus, group A) 30.00 Administration of first vaccine or toxoid component through 18 years of age with counseling 30.00 Administration of vaccine or toxoid component through 18 years of age with counseling 53.00 Administration of 1 vaccine 30.00 Administration of vaccine 153.00 Vaccine for meningococcus for injection into muscle 120.00 Vaccine for Hepatitis A injection into muscle, adult dosage 120.00 Vaccine for Hepatitis A (2 dose schedule) injection into muscle, pediatric or adolescent dosage 55.00 Vaccine for Hemophilus influenza B (4 dose schedule) injection into muscle 400.00 Vaccine for human papilloma virus (3 dose schedule) injection into muscle 330.00 Vaccine for human papilloma virus (3 dose schedule) injection into muscle 20.00 Vaccine for influenza for administration into muscle, 0.5 ml dosage 25.00 Vaccine for influenza for administration into muscle, 0.25 ml dosage 40.00 Vaccine for influenza for nasal administration 60.00 Vaccine for influenza for injection into muscle 300.00 Pneumococcal vaccine for injection into muscle 50.00 Vaccine for influenza for nasal administration 11.00 Vaccine for Rotavirus (3 dose schedule) for oral administration 190.00 Vaccine for Rotavirus (2 dose schedule) for oral administration 50.00 Vaccine for influenza for administration into muscle, 0.25 ml dosage 50.00 Vaccine for influenza for administration into muscle, 0.5 ml dosage 150.00 Vaccine for typhoid for injection into muscle 11.00 Vaccine for diphtheria, tetanus toxoids, acellular pertussis (whooping cough), and polio for injection into muscle, patient 4 through 6 years of age 170.00 Vaccine for diphtheria, tetanus toxoids, acellular pertussis (whooping cough), haemophilus influenza type B, and polio for injection into muscle 25.00 Vaccine for diphtheria, tetanus, and acellular pertussis (whooping cough) injection into muscle, child younger than 7 years 120.00 Vaccine for measles, mumps, and rubella (German measles) injection beneath skin 350.00 Vaccine for measles, mumps, rubella (German measles), and varicella (chicken pox) injection beneath skin 120.00 Vaccine for tetanus, diphtheria toxoids and acellular pertussis (whooping cough) for injection into muscle, patient 7 years or older 200.00 Vaccine for varicella (chicken pox) injection beneath skin 11.00 Vaccine for diphtheria, tetanus toxoids, acellular pertussis (whooping cough), Hepatitis B, and polio for injection into muscle 165.00 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older 200.00 Vaccine for meningococcus for administration into muscle 65.00 Vaccine for Hepatitis B (3 dose schedule) for injection into muscle, pediatric and adolescent patients 110.00 Vaccine for Hepatitis B adult dosage (3 dose schedule) injection into muscle 85.00 Vaccine for Hepatitis B and Hemophilus influenza B for injection into muscle 127.00 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 162.00 Measurement of hydrogen in breath to test for GI symptoms 1155.00 Imaging of digestive tract done from the inside of the digestive tract 128.00 Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits 128.00 Eye and medical examination for diagnosis and treatment, established patient 128.00 Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits 114.00 Examination of cornea and iris using lens device and slit lamp 70.00 Computerized mapping of corneal curvature 114.00 Measurement of eye muscles to detect deviation of eyeball 20.00 Fitting of contact lens for treatment of ocular surface disease 80.00 Measurement of field of vision during daylight conditions 114.00 Measurement of field of vision during daylight conditions 50.00 Multiple measurements of eye fluid pressure over an extended time period, same day 145.42 Diagnostic imaging of eyes 70.00 Diagnostic imaging of optic nerve of eye 70.00 Diagnostic imaging of retina 114.00 Measurement of corneal curvature and depth of eye 114.00 Photography of the retina 114.00 Photography of content of eyes 27.00 Diagnostic examination of ear and nose 440.00 Assessment and recording of balance system during hot and cold irrigation of both ears 275.00 Observation, testing, and recording of abnormal eye movement 162.00 Assessment of eardrum and muscle function 114.00 Pure tone air conduction threshold hearing assessment 38.00 Assessment of speech hearing loss 38.00 Assessment of hearing loss and speech recognition 162.00 Air and bone conduction assessment of hearing loss and speech recognition 46.00 Eardrum testing using ear probe 38.00 Assessment of hearing loss with placement of probe in ear to assess ear bone contraction 162.00 Hearing test for children 275.00 Placement of ear probe for computerized measurement of sound with interpretation and report 275.00 Placement of ear probe for computerized cochlear assessment of repeated sounds with interpretation and report 140.00 Routine electrocardiogram (EKG) with tracing using at least 12 leads 80.00 Programming device evaluation of heart monitoring system with adjustment of programmed values with analysis, review and report 162.00 Measurement and graphic recording of total and timed exhaled air capacity 275.00 Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration 275.00 Diagnostic testing in a pulmonary function lab 220.00 Test for exercise-induced lung stress 187.00 Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen 187.00 Demonstration and/or evaluation of patient use of aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device 30.00 Injection of allergenic extracts into skin, accessed through the skin 38.00 Allergy testing with venoms into or within skin, immediate type reaction, including test interpretation and report 106.00 Allergy testing with drugs or biologicals into or within the skin, immediate type reaction, including test interpretation and report 70.00 Injection of allergenic extracts into skin for immediate reaction analysis 38.00 Injection of allergenic extracts into skin with delayed reaction analysis 496.00 Ingestion of test items for allergies, 120 minutes 127.00 Injection of incremental dosages of allergen 39.00 Injection of incremental dosages of allergen, 2 or more injections 39.00 Preparation and provision of single or multiple antigens for allergen immunotherapy 114.00 Needle measurement and recording of electrical activity of muscles of arms or legs 275.00 Needle measurement and recording of electrical activity of muscles in arms or legs 420.00 Needle measurement and recording of electrical activity of cranial nerve-supplied muscles on one side of body 162.00 Needle measurement and recording of electrical activity of middle spine muscles 95.00 Needle measurement and recording of electrical activity of muscles of arm or leg limited study 70.00 Needle measurement and recording of electrical activity of muscles of arm or leg complete study 70.00 Needle measurement and recording of electrical activity of head or trunk muscles 275.00 Nerve transmission studies, 3-4 studies 275.00 Nerve transmission studies, 5-6 studies 275.00 Nerve transmission studies, 7-8 studies 496.00 Nerve transmission studies, 9-10 studies 496.00 Nerve transmission studies, 11-12 studies 162.00 Testing with stimulation for assessment of function at muscle-nerve junction 133.00 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device with complex spinal cord or peripheral nerve stimulator programming 80.00 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device with simple cranial nerve stimulator programming 240.00 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device with complex cranial nerve stimulator programming 504.00 Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour 70.00 Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle 350.00 Infusion of chemotherapy into a vein up to 1 hour 282.00 Removal of tissue from wounds per session 20.00 Removal of tissue from wounds per session 50.00 Osteopathic manipulative treatment to 1-2 body regions 50.00 Osteopathic manipulative treatment to 3-4 body regions 50.00 Osteopathic manipulative treatment to 5-6 body regions 50.00 Osteopathic manipulative treatment to 7-8 body regions 50.00 Osteopathic manipulative treatment to 9-10 body regions 250.00 Hospital outpt clinic visit 40.00 Prolonged office or other outpatient service first hour 70.00 Initial new patient preventive medicine evaluation infant younger than 1 year 70.00 Initial new patient preventive medicine evaluation, age 1 through 4 years 70.00 Initial new patient preventive medicine evaluation, age 5 through 11 years 70.00 Initial new patient preventive medicine evaluation, age 12 through 17 years 70.00 Initial new patient preventive medicine evaluation age 18-39 years 250.00 Established patient periodic preventive medicine examination infant younger than 1 year 70.00 Established patient periodic preventive medicine examination, age 1 through 4 years 70.00 Established patient periodic preventive medicine examination, age 5 through 11 years 70.00 Established patient periodic preventive medicine examination, age 12 through 17 years 70.00 Established patient periodic preventive medicine examination age 18-39 years 34.00 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes 34.00 Smoking and tobacco use intensive counseling, greater than 10 minutes 128.00 Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge 128.00 Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge 160.00 Advance care planning by the physician or other qualified health care professional 30.00 Blood test, clotting time 4735.25 Sleep monitoring of patient (6 years or older) in sleep lab 3685.25 Sleep monitoring of patient (6 years or older) in sleep lab 5124.75 Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube 3951.75 Diagnostic test for sleep disorder 2901.75 Diagnostic test for sleep disorder 615.25 Study of sleep patterns 615.25 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort 1608.25 Sleep monitoring of patient (younger than 6 years) in sleep lab 4574.00 Nuclear medicine imaging from skull base to mid-thigh 6187.00 Nuclear medicine study with CT imaging skull base to mid-thigh 6187.00 Nuclear medicine study with CT imaging whole body 3618.00 Nuclear medicine study with CT imaging whole body 1040.00 F18 fdg 649.00 Red blood cells unit 523.00 Plasma 1 donor frz w/in 8 hr 326.00 Identification of red blood cell antibodies 319.50 Blood typing for red blood cell antigens 2257.25 Platelets, pheresis 113.75 Rhophylac injection 649.00 Rbc leukocytes reduced 157.50 Blood unit compatibility test 95.75 Thyroglobulin (thyroid protein) antibody measurement 195.50 Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement 180.50 Red blood cell antibody detection test 115.50 Pretreatment of serum for use in red blood cell antibody analysis and measurement 225.00 Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement 34.00 Hocm <=149 mg/ml iodine, 1ml 546.75 Injection of dye for X-ray imaging of shoulder joint 1250.25 Injection of dye for X-ray imaging of wrist joint 2168.75 Injection of dye for X-ray imaging of hip joint 2008.50 Needle biopsy of lung or chest tissue, accessed through the skin 1422.25 Spinal tap for diagnosis 1269.50 Injection of dye for X-ray imaging and/or CT of lower spinal canal 148.25 X-ray of bones of face, less than 3 views 244.00 X-ray of mandible, minimum of 4 views 244.00 X-ray of mastoid, minimum of 3 views per side 244.00 X-ray of bones of face, minimum of 3 views 148.25 X-ray of bones of nose, minimum of 3 views 244.00 X-ray of eye bones, minimum of 4 views 148.25 X-ray of paranasal sinus, complete, minimum of 3 views 148.25 X-ray of paranasal sinus, less than 3 views 315.00 X-ray of knee, 4 or more views 367.00 X-ray of skull, less than 4 views 244.00 X-ray of skull, complete, minimum of 4 views 148.25 X-ray of jaw joints on both sides of the face 369.50 X-ray of soft tissue of neck 369.50 X-ray of chest, 1 view 443.50 X-ray of chest, 2 views 148.25 X-ray of chest, minimum of 4 views 244.00 X-ray of both sides of the ribs including the chest, minimum of 4 views 148.25 X-ray of breast bone, minimum of 2 views 148.25 X-ray of spine, 1 view 367.00 X-ray of spine of neck, 2 or 3 views 611.50 X-ray of upper spine, 4 or 5 views 367.00 X-ray of upper spine, 6 or more views 490.00 X-ray of middle spine, 3 views 490.00 X-ray of lower and sacral spine, 2 or 3 views 611.50 X-ray of lower and sacral spine, minimum of 4 views 611.50 X-ray lower and sacral spine including bending views minimum 6 views 244.00 X-ray of spine, 2 or 3 views 367.00 X-ray of pelvis, 1 or 2 views 260.50 X-ray of sacroiliac joints, 3 or more views 221.00 X-ray of pelvis, minimum of 2 views 1324.00 Radiological supervision and interpretation X-ray of upper spinal canal 1716.50 Radiological supervision and interpretation X-ray of lower spinal canal 1934.50 Radiological supervision and interpretation X-ray of spinal canal, 2 or more spinal regions 26.25 Fine needle aspiration of additional lesion using ultrasound guidance 1.00 Fine needle aspiration of additional lesion using ultrasound guidance 148.25 X-ray of both collar bones 467.00 Imaging from nose to rectum, single view, child 244.00 X-ray of both hips with pelvis, 2 views 148.25 X-ray of hip with pelvis, 1 view 443.50 X-ray of hip with pelvis, 2-3 views 264.25 Introduction of saline or X-ray contrast material for X-ray imaging of the uterus and tubes 384.25 Injection of dye for X-ray imaging of hip joint 546.75 Injection of dye for X-ray imaging of elbow joint 385.75 X-ray of esophagus with single contrast 385.75 X-ray of upper digestive tract with double contrast 244.00 X-ray of upper digestive tract with single contrast and multiple serial films 385.75 X-ray of large bowel with single contrast 700.00 X-ray of large bowel with double contrast 854.50 Radiological supervision and interpretation X-ray of bile and/or pancreatic ducts during surgery 577.50 Imaging guidance for procedure, up to 1 hour 369.50 X-ray of abdomen, 1 view 443.50 X-ray of abdomen, 2 views 907.75 Imaging of urinary tract with injection of contrast into a vein 1832.25 Imaging of urinary tract 527.00 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views 854.75 Radiological supervision and interpretation X-ray of urinary bladder and urethra 6.75 Locm 300-399mg/ml iodine,1ml 569.25 Radiological supervision and interpretation X-ray of uterine tubes and ovaries 611.50 Complete X-ray study of abdomen with single X-ray of chest 734.25 Imaging for evaluation of swallowing function 367.00 X-ray of upper digestive tract with single contrast 1142.75 Placement of catheter of gallbladder and pancreas under imaging using an endoscope 244.00 Imaging for bone age assessment 443.50 Imaging for bone length assessment 244.00 X-ray survey of forearm or wrist bone density 244.00 X-ray of bones 467.00 Radiological supervision and interpretation X-ray of urinary bladder and urethra 828.25 Fluoroscopic guidance for insertion of needle 490.00 Bone density measurement using dedicated X-ray machine 148.25 X-ray of eye 490.00 X-ray of ribs on one side of body including the chest, minimum of 3 views 221.00 X-ray of collar bone 148.25 X-ray of shoulder blade 148.25 X-ray of shoulder, 1 view 443.50 X-ray of shoulder, minimum of 2 views 788.75 Radiological supervision and interpretation X-ray of shoulder joint 148.25 X-ray of upper arm, minimum of 2 views 221.00 X-ray of elbow, 2 views 369.50 X-ray of elbow, minimum of 3 views 295.50 X-ray of forearm, 2 views 369.50 X-ray of wrist, minimum of 3 views 369.50 X-ray of wrist, 2 views 521.75 Radiological supervision and interpretation X-ray of wrist joint 369.50 X-ray of hand, minimum of 3 views 369.50 X-ray of fingers, minimum of 2 views 656.75 Radiological supervision and interpretation X-ray of hip joint 521.75 Radiological supervision and interpretation X-ray of elbow 369.50 X-ray of knee, 1 or 2 views 443.50 X-ray of knee, 3 views 244.00 X-ray of hand, 2 views 490.00 X-ray of knee, 4 or more views 369.50 X-ray of lower leg, 2 views 221.00 X-ray of ankle, 2 views 369.50 X-ray of ankle, minimum of 3 views 369.50 X-ray of foot, minimum of 3 views 221.00 X-ray of heel, minimum of 2 views 221.00 X-ray of toes, minimum of 2 views 710.50 Radiological supervision and interpretation X-ray of knee joint 854.75 Imaging of surgical specimen 244.00 X-ray of middle spine, 3 views 244.00 X-ray of middle spine, minimum of 4 views 148.25 X-ray of middle and lower spine, 2 views 244.00 X-ray of pelvis, minimum of 3 views 244.00 X-ray of sacroiliac joints, less than 3 views 1347.25 Radiological supervision and interpretation X-ray of middle spinal canal 148.25 X-ray of both knees, standing, front to back view 221.00 X-ray of foot, 2 views 367.00 X-ray of voice box and/or esophagus in neck with contrast 270.00 Imaging of colon using enema 244.00 X-ray survey of bones, infant 367.00 Imaging of 2 or more joints, single view 148.25 X-ray of mandible, less than 4 views 148.25 X-ray of chest, 3 views 548.25 Injection procedure for X-ray imaging of the bladder or during voiding 244.00 Radiological supervision and interpretation of imaging of previous placed shunt 148.25 Bone density measurement using dedicated X-ray machine 148.25 X-ray of ribs of one side of body, 2 views 242.00 Fluoroscopic guidance for insertion, replacement or removal of central venous access device 682.25 Fluoroscopic guidance for injection into spine or muscle next to spine 854.75 Imaging for abscess or abnormal drainage tract procedure 1593.00 Percutaneous insertion of small bowel tube (accessed through the skin) using fluoroscopic guidance with contrast 298.75 Mammography of both breasts 371.50 Mammography of both breasts 291.75 Mammography of one breast 2147.50 Biopsy of breast accessed through the skin with stereotactic guidance 252.50 Placement of breast localization devices accessed through the skin with mammographic guidance 1168.00 Placement of breast localization devices accessed through the skin with stereotactic guidance 94.75 Screening digital tomography of both breasts 486.25 X-ray of spine, 4 or 5 views 244.00 X-ray of both hips with pelvis, 3-4 views 486.25 X-ray of both hips with pelvis, minimum of 5 views 148.25 X-ray of femur, 1 view 443.50 X-ray of femur, minimum 2 views 94.75 Tomosynthesis, mammo 1218.00 Fine needle aspiration of first lesion using fluoroscopice guidance 26.25 Fine needle aspiration of additional lesion using fluoroscopice guidance 2606.25 Needle biopsy of liver, accessed through the skin 880.00 Drainage of fluid from abdominal cavity using imaging guidance 1545.00 Needle biopsy of kidney, accessed through the skin 2855.75 Biopsy of prostate gland 709.00 Ultrasound of chest 682.25 Ultrasound and monitoring of heart of fetus 696.25 Ultrasound of head and neck 1262.00 Ultrasound of abdomen 729.50 Ultrasound of abdomen 752.25 Ultrasound behind abdominal cavity, limited 578.75 Ultrasound behind abdominal cavity 640.75 Ultrasound of scrotum 987.25 Ultrasound of rectum 862.50 Ultrasound of pelvis 446.50 Ultrasound of brain 734.25 Ultrasound pelvis through vagina 1114.00 Ultrasonic guidance imaging supervision and interpretation for insertion of needle 377.50 Ultrasound of spinal canal 435.00 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers 699.50 Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow 892.00 Ultrasound of hips with manipulation, infant 435.00 Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus 270.00 Ultrasound of fetus 564.75 Ultrasound of pelvis 663.00 Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) single or first fetus 433.50 Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) 663.00 Abdominal ultrasound of pregnant uterus single or first fetus 433.50 Abdominal ultrasound of pregnant uterus 734.25 Vaginal ultrasound of pregnant uterus 936.50 Aspiration and/or injection of thyroid cyst 936.50 Needle biopsy of thyroid, accessed through the skin 233.25 Ultrasound of fetal umbilical artery flow rate 138.75 Partial ultrasound of joint or other non-blood vessel structure of arm or leg 387.75 Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow 591.00 Ultrasound of uterus 788.75 Imaging of surgical specimen 183.00 Abdominal ultrasound of pregnant uterus 2862.75 Biopsy of breast accessed through the skin with ultrasound guidance 1250.25 Placement of breast localization devices accessed through the skin with ultrasound guidance 1306.75 Removal of fluid from chest cavity with imaging guidance 166.00 Ultrasound of one breast 128.50 Ultrasound of one breast 138.75 Ultrasound of hips, infant 252.50 Placement of breast localization devices accessed through the skin with ultrasound guidance 260.50 Ultrasound of chest 868.00 Cath, drainage 92.75 Intro/sheath, non-laser 92.75 Guide wire 6598.50 Insertion of permanent catheter for drainage of lung fluid 162.00 Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm) 1218.00 Fine needle aspiration of first lesion using ultrasound guidance 363.75 Elastography ultrasound of organ tissue 341.25 Elastography ultrasound of first lesion 157.50 Elastography ultrasound of additional lesion 3159.75 Needle biopsy of abdominal cavity growth, accessed through the skin 2243.50 CT scan of face with contrast 2803.75 CT scan of face before and after contrast 758.25 CT scan of face 1482.00 CT scan of heart blood vessels and grafts with contrast dye 2038.25 CT scan head or brain 469.75 CT scan of heart structure with contrast 2553.00 CT scan head or brain with contrast 1157.50 CT scan head or brain before and after contrast 1806.75 CT scan of face 39.25 Locm 300-399mg/ml iodine,1ml 2064.00 CT scan of cranial cavity with contrast 2199.75 CT scan of cranial cavity before and after contrast 2097.25 CT scan of upper spine 2091.25 CT scan of middle spine 2771.50 CT scan of lower spine 1993.25 CT scan abdomen 2469.50 CT scan abdomen with contrast 3087.25 CT scan abdomen before and after contrast 1950.00 CT scan pelvis 2340.75 CT scan pelvis with contrast 2747.75 CT scan of pelvis before and after contrast 1989.50 CT scan chest 2521.50 CT scan chest with contrast 1110.00 CT scan abdomen with contrast 2257.25 CT scan of neck 2506.50 CT scan of neck with contrast 2755.75 CT scan of neck before and after contrast 133.00 Radiological supervision and interpretation of placement of catheter with drainage (accessed through the skin) procedure 1877.75 CT scan of cranial cavity 2068.25 Radiological supervision and interpretation of CT guidance for needle insertion 796.50 CT scan of face 1970.25 CT scan leg 2309.75 CT scan leg with contrast injection 1927.25 CT scan of arm 2118.75 CT scan of arm with contrast 3353.25 CT scan of lower spine before and after contrast 3022.75 CT scan of pelvic blood vessels with contrast 2563.50 CT scan of arm blood vessels with contrast 3609.75 CT scan of lower leg blood vessels with contrast 3241.25 CT scan of abdominal blood vessels with contrast 5218.50 CT scan of abdominal aorta and both leg arteries with contrast 1157.50 CT scan of neck blood vessels with contrast 2752.75 CT scan of blood vessels in chest with contrast 2623.25 CT scan of upper spine with contrast 2298.75 CT scan of middle spine with contrast 3046.75 CT scan of lower spine with contrast 325.75 CT scan of face 752.25 CT scan of abdomen and pelvis 2144.00 CT scan of abdomen and pelvis with contrast 1296.75 CT scan of abdomen and pelvis before and after contrast 2144.25 CT scan of abdomen and pelvis before and after contrast 1163.25 CT scan of abdomen and pelvis with contrast 1157.50 CT scan of blood vessel of head with contrast 1715.25 CT scan of abdominal and pelvic blood vessels with contrast 936.50 Fluid collection drainage by catheter using imaging guidance, accessed through the skin 1943.00 Fluid collection drainage by catheter using imaging guidance, accessed through the skin 638.25 CT scan of cranial cavity with contrast 612.75 CT scan of upper spine with contrast 721.25 CT scan of blood vessels in chest with contrast 607.75 CT scan of abdominal aorta and both leg arteries with contrast 2193.75 Exchange of abdominal cavity drainage catheter using imaging guidance 1218.00 Fine needle aspiration of first lesion using CT guidance 1.00 Fine needle aspiration of additional lesion using CT guidance 1594.50 Nuclear medicine imaging for thyroid uptake measurements 747.75 Imaging of lymphatic tissue and lymph node 1721.50 Stomach emptying study 1276.00 Imaging of liver and spleen 2245.25 Acute digestive tract blood loss imaging 1625.75 Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study 772.00 Imaging of liver and bile duct system 2209.75 Bone and/or joint imaging, whole body 2727.25 Bone and/or joint imaging, 3 phase study 2083.25 SPECT nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging 1259.25 Nuclear medicine study of blood circulation in the lungs 1179.25 Nuclear medicine study of lung ventilation 1838.00 Nuclear medicine study of kidney with assessment of blood flow and function 1071.75 Imaging of bone marrow limited area 618.50 Imaging of bone marrow multiple areas 1737.50 Nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in whole body, single day imaging 684.00 Intestine imaging 1146.00 Tc99m sestamibi 1358.00 Indium in-111 pentetreotide 140.00 Iodine i-123 sod iodide mic 1615.25 Imaging of parathyroid 224.75 Sincalide injection 321.00 Tc99m tetrofosmin 88.75 Ga67 gallium 87.50 Tc99m maa 189.50 Tc99m pentetate 140.50 Tc99m pyrophosphate 122.00 Tc99m medronate 192.25 Tc99m mebrofenin 393.75 Tc99m labeled rbc 1789.50 Nuclear medicine study of lung ventilation and blood circulation in the lungs 1929.25 Nuclear medicine study of kidney with assessment of blood flow and function 91.75 Tc99m sulfur colloid 818.00 Tc99m mertiatide 2314.25 Nuclear medicine study with measurement of blood circulation in the lungs 2949.75 Imaging of liver and bile duct system with use of drugs 3912.50 Nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in whole body, 2 or more days imaging 109.00 Technetium tc-99m aerosol 2.50 Tc99m pertechnetate 11199.00 Iodine i-123 iobenguane 26.25 Indium in-111 auto wbc 2886.50 Nuclear medicine study of vessels of heart using drugs or exercise multiple studies 2886.50 Nuclear medicine study of vessels of heart using drugs or exercise single study 3637.25 Nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in whole body, 2 or more days imaging 2639.50 Nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in whole body, single day imaging 772.00 Imaging of parathyroid with nuclear medicine study 772.00 Imaging of bone marrow whole body 22.00 Non-heu tc-99m add-on/dose 4082.75 MRI scan of brain with contrast 5955.75 MRI scan of brain before and after contrast 4839.50 MRI scan of upper spinal canal with contrast 4849.75 MRI scan of lower spinal canal with contrast 5324.50 MRI scan of upper spinal canal before and after contrast 5091.50 MRI scan of middle spinal canal before and after contrast 5947.75 MRI scan of lower spinal canal before and after contrast 3297.50 MRI scan of jaw joints 3095.75 MRI scan bones of the eye, face, and/or neck 3714.75 MRI scan brain 2997.75 MRI scan of chest 1250.25 MRI scan of upper spinal canal 3615.75 MRI scan of middle spinal canal 4409.25 MRI scan of lower spinal canal 3791.75 MRI scan of pelvis with contrast 3434.25 MRI scan of pelvis 4525.50 MRI scan of pelvis before and after contrast 2775.00 MRI scan of arm 4421.75 MRI scan of arm joint with contrast 5438.75 MRI scan of arm joint before and after contrast 3646.00 MRI scan of arm with contrast 3411.75 MRI scan of abdomen 4010.00 MRI scan of arm before and after contrast 4211.75 MRI scan of arm joint 4624.00 MRI scan of leg before and after contrast 4250.50 MRI scan of leg joint 1964.00 Mra w/cont, abd 15.00 Gad-base mr contrast nos,1ml 3523.75 MRA scan of head blood vessels 3961.75 MRA scan of head blood vessels before and after contrast 3961.75 MRA scan of neck blood vessels before and after contrast 3353.25 MRI scan of chest before and after contrast 4249.25 MRI scan of abdomen before and after contrast 2775.00 MRI scan of leg 3016.50 MRI scan of leg with contrast 4465.50 MRI scan of leg joint with contrast 4685.25 MRI scan of leg joint before and after contrast 4704.75 MRI scan bones of the eye, face, and/or neck before and after contrast 4673.00 Mra w/o cont, abd 3523.75 MRA scan of neck blood vessels 2787.75 Radiological supervision and interpretation of imaging of vein system of head 413.75 3D radiographic procedure with computerized image postprocessing 1746.50 Mri w/o fol w/cont, breast, 0.25 Inj gadoterate meglumi 0.1ml 1238.25 MRI scan of brain before and after contrast 483.00 MRI of one breast 1155.00 Mra w/o fol w/cont, abd 1155.00 Mra w/o fol w/cont, pelvis 581.00 Radiological supervision and interpretation X-ray of urinary tract 3676.75 Placement of catheter of kidney, accessed through the skin using imaging guidance with radiological supervision and interpretation 2205.00 Replacement of kidney drainage catheter accessed through the skin with imaging and radiological supervision and interpretation 369.50 X-ray of junction of breast and collar bones, minimum of 2 views 675.25 Ultrasound of chest 663.00 Ultrasound of head and neck 551.25 Ultrasound behind abdominal cavity 610.25 Ultrasound of scrotum 821.50 Ultrasound of pelvis 699.25 Ultrasound pelvis through vagina 666.25 Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow 537.75 Ultrasound of pelvis 716.50 Ultrasound behind abdominal cavity, limited 132.25 Partial ultrasound of joint or other non-blood vessel structure of arm or leg 352.00 X-ray of junction of breast and collar bones, minimum of 2 views 422.25 Psychiatric diagnostic evaluation 268.75 Group psychotherapy 275.50 Psychotherapy, 30 minutes 286.75 Psychotherapy, 45 minutes 297.75 Psychotherapy, 60 minutes 330.75 Family psychotherapy including patient, 50 minutes 2479.50 Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) 391.50 Removal of tissue from wounds per session 213.75 Negative pressure wound therapy, surface area less than or equal to 50 square centimeters, per session 508.25 Negative pressure wound therapy, surface area greater than 50 square centimeters, per session 2479.50 Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) 280.00 Strapping, Unna boot 363.50 Drainage of abscess 364.50 Drainage of multiple abscess 704.25 Removal of skin and/or muscle first 20 sq cm or less 1865.50 Removal of skin and bone first 20 sq cm or less 213.75 Removal of single thickened skin growth 888.25 Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs 391.50 Dressing change and/or removal of burn tissue (less than 5% total body surface) 391.50 Application of chemical agent to excessive wound tissue 266.00 Application of vein wound compression system lower leg below knee including ankle and foot 736.75 Removal of skin and tissue 736.75 Removal of skin and/or muscle 759.25 Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 516.50 Application of rigid total contact leg cast 694.50 Grafix stravix prime pl sqcm 127.25 Removal of tissue from 6 or more finger or toe nails 127.25 Removal of tissue from 1 to 5 finger or toe nails 385.75 First degree burn treatment 367.50 Tangential biopsy of single skin lesion 1.00 Tangential biopsy of additional skin lesion 367.50 Punch biopsy of single skin lesion 1.00 Punch biopsy of additional skin lesion 656.25 Incisional biopsy of single skin lesion 1.00 Incisional biopsy of additional skin lesion 236.25 Puraply 1 sq cm 262.50 Puraply am 1 sq cm 401.25 Hbot, full body chamber, 30m 92.50 Application of hot or cold packs to 1 or more areas 88.25 Application of hot or cold packs to 1 or more areas 92.50 Application of hot wax bath to 1 or more areas 92.50 Application of ultrasound to 1 or more areas, each 15 minutes 92.50 Elec stim other than wound 139.00 Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 152.50 Self-care or home management training, each 15 minutes 155.75 Training in use of orthotics (supports, braces, or splints) for arms, legs and/or trunk, per 15 minutes 152.50 Physical performance test or measurement with report, each 15 minutes 148.75 Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes 152.50 Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 103.75 Application of medication through skin using electrical current, each 15 minutes 134.75 Manual (physical) therapy techniques to 1 or more regions, each 15 minutes 139.00 Community or work reintegration training, each 15 minutes 295.75 Application of non-moveable, short arm splint (forearm to hand) 388.25 Application of moveable, hinged short arm splint (forearm to hand) 97.75 Sensory technique to enhance processing and adaptation to environmental demands, each 15 minutes 421.50 Standardized thought processing testing, interpretation, and report per hour 87.75 Therapeutic procedures in a group setting 282.50 Evaluation of occupational therapy, typically 30 minutes 294.00 Evaluation of occupational therapy, typically 45 minutes 305.50 Evaluation of occupational therapy established plan of care, typically 60 minutes 170.00 Re-evaluation of occupational therapy established plan of care, typically 30 minutes 92.50 Application of blood vessel compression or decompression device to 1 or more areas 92.50 Application of mechanical traction to 1 or more areas 92.50 Application of electrical stimulation to 1 or more areas, each 15 minutes 245.25 Removal of tissue from wounds per session 125.50 Walking training to 1 or more areas, each 15 minutes 141.75 Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 141.75 Training in use of prosthesis for arms and/or legs, per 15 minutes 103.00 Application of medication through skin using electrical current, each 15 minutes 162.50 Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes 295.75 Strapping of shoulder 295.75 Strapping of knee 295.75 Strapping of ankle and/or foot 162.50 Repositioning maneuvers for treatment of vertigo, per day 99.25 Wheelchair management, each 15 minutes 213.00 Evaluation of physical therapy, typically 20 minutes 224.00 Evaluation of physical therapy, typically 30 minutes 235.00 Evaluation of physical therapy, typically 45 minutes 162.00 Re-evaluation of physical therapy, typically 20 minutes 311.00 Treatment of speech, language, voice, communication, and/or hearing processing disorder 398.50 Treatment of swallowing and/or oral feeding function 396.25 Neurobehavioral status examination by qualified health care professional with interpretation and report, first 60 minutes 521.75 Fluoroscopic and video recorded motion evaluation of swallowing function 433.50 Evaluation of swallowing function 433.50 Evaluation of patient with prescription of speech-generating and alternative communication device 111.00 Evaluation and prescription of speech-generating and alternative communication device 147.25 Group treatment of speech, language, voice, communication, and/or hearing processing disorder 279.75 Evaluation of speech fluency 209.25 Evaluation of speech sound production 472.50 Evaluation of speech sound production with evaluation of language comprehension and expression 237.50 Behavioral and qualitative analysis of voice and resonance 225.00 Cell examination of body fluid 211.75 Cell examination of specimen 177.25 Screening examination of specimen cells 319.50 Evaluation of fine needle aspirate 138.00 Pathology examination of tissue using a microscope, limited examination 228.00 Pathology examination of tissue using a microscope 276.25 Pathology examination of tissue using a microscope, moderately low complexity 349.00 Pathology examination of tissue using a microscope, intermediate complexity 572.00 Pathology examination of tissue using a microscope, moderately high complexity 769.75 Pathology examination of tissue using a microscope, high complexity 222.25 Preparation of tissue for examination by removing any calcium present 163.75 Special stained specimen slides to identify organisms including interpretation and report 182.25 Special stained specimen slides to examine tissue including interpretation and report 583.75 Pathology examination of tissue during surgery 287.25 Pathology examination of specimen during surgery 677.00 Tissue or cell analysis by immunologic technique 108.75 Special stained specimen slides to examine tissue 48.50 Urine chloride level 64.75 Magnesium level 39.25 Glucose (sugar) level on body fluid 37.50 Total protein level, body fluid 103.75 Urea nitrogen level to assess kidney function 91.50 Bilirubin level 80.75 Ketone bodies analysis 154.00 Amylase (enzyme) level 75.00 Bilirubin level 101.50 Urine calcium level 116.25 Calcium level 100.00 Blood chloride level 128.25 Cholesterol level 142.75 Creatine kinase (cardiac enzyme) level 83.00 Blood creatinine level 100.00 Creatinine level to test for kidney function or muscle injury 166.25 Creatinine clearance measurement to test for kidney function 170.00 Drug test def 1-7 classes 119.25 Gonadotropin (reproductive hormone) analysis 249.00 HDL cholesterol level 105.00 Gonadotropin, chorionic (reproductive hormone) level 185.75 Theophylline level 270.00 Carbamazepine level 180.25 Phenobarbital level 187.25 Phenytoin level 103.75 Glutamyltransferase (liver enzyme) level 97.75 Carbon dioxide (bicarbonate) level 309.25 Cortisol (hormone) measurement 126.75 Thyroid hormone evaluation 155.75 Thyroxine (thyroid chemical) measurement 152.50 Iron binding capacity 108.25 Iron level 119.25 Lactate dehydrogenase (enzyme) level 114.50 Magnesium level 116.25 Blood osmolality (concentration) measurement 105.75 Urine osmolality (concentration) measurement 93.25 Blood glucose (sugar) level after receiving dose of glucose 64.25 Blood glucose (sugar) level after receiving dose of glucose 152.50 Phosphatase (enzyme) level 108.25 Phosphate level 79.00 Blood potassium level 76.75 Urine potassium level 76.75 Albumin (protein) level 100.00 Total protein level, blood 100.00 Total protein level, urine 68.50 Blood sodium level 72.25 Urine sodium level 68.50 Blood glucose (sugar) level 199.00 Blood glucose (sugar) tolerance test 62.25 Liver enzyme (SGOT), level 68.50 Liver enzyme (SGPT), level 93.25 Triglycerides level 89.00 Urea nitrogen level to assess kidney function 70.75 Uric acid level, blood 216.25 Digoxin level 304.75 Vancomycin (antibiotic) level 139.00 Lithium level 26.25 Measurement C-reactive protein for detection of infection or inflammation 91.50 Screening test for mononucleosis (mono) 108.25 Urine pregnancy test 145.75 Rheumatoid factor level 152.50 Measurement for Strep antibody (strep throat) 40.25 Syphilis detection test 100.00 Total protein level, body fluid 66.25 Glucose (sugar) level on body fluid 70.75 Chloride level 72.25 Sodium level 197.25 Valproic acid level 177.25 Ammonia level 152.50 Creatine kinase (cardiac enzyme) level 308.25 Gentamicin (antibiotic) level 249.00 Tobramycin (antibiotic) level 214.50 Troponin (protein) analysis 250.75 Carcinoembryonic antigen (CEA) protein level 142.75 Blood test, thyroid stimulating hormone (TSH) 101.50 Urine phosphate level 101.50 Uric acid level 228.00 Psa screening 274.25 Thyroid hormone, T3 measurement 361.50 Prolactin (milk producing hormone) level 174.50 Lipase (fat enzyme) level 279.25 Thyroxine (thyroid chemical) measurement 238.50 Gonadotropin, follicle stimulating (reproductive hormone) level 237.00 Gonadotropin, luteinizing (reproductive hormone) level 174.50 Urine microalbumin (protein) level 142.75 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) 166.25 Blood test, basic group of blood chemicals 241.50 Blood test, comprehensive group of blood chemicals 241.50 Liver function blood test panel 195.50 Blood test, lipids (cholesterol and triglycerides) 154.00 Cerebrospinal fluid, or amniotic fluid albumin (protein) level 249.00 Lipoprotein measurement 241.50 Kidney function blood test panel 180.25 Natriuretic peptide (heart and blood vessel protein) level 98.00 Lactic acid level 76.75 Detection test for influenza A virus 76.75 Detection test for influenza B virus 19.25 Urine volume measurement 23.25 Bilirubin level 40.25 Complete blood cell count (red cells, white blood cell, platelets), automated test 40.25 Automated urinalysis test 40.25 Blood test, thyroid stimulating hormone (TSH) 62.75 Drug test def 1-7 classes 16.00 Syphilis detection test 386.75 Immunologic analysis for detection of tumor antigen 285.75 Immunologic analysis for detection of tumor antigen 384.50 Measurement of DNA antibody 247.50 Hepatitis B core antibody (IgM) measurement 190.50 Measurement of complement (immune system proteins) 311.00 Thyroid hormone, T3 measurement 241.50 Homocysteine (amino acid) level 97.75 Syphilis test 279.75 Vitamin D-3 level 153.00 Testing for presence of drug 66.25 Progesterone (reproductive hormone) level 51.00 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) 118.75 Analysis for antibody to mumps virus 118.75 Analysis for antibody to Rubeola (measles virus) 46.00 Analysis for antibody to varicella-zoster virus (chicken pox) 56.50 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) 79.00 Blood pH level 288.50 Blood gases measurement 178.50 Carboxyhemoglobin (protein) level 40.75 Carboxyhemoglobin (protein) level 282.25 Blood gases measurement 326.00 Blood gases measurement 180.25 Measurement C-reactive protein for detection of infection or inflammation 60.00 Urinalysis, manual test 103.75 Crystal identification from tissue or body fluid 62.25 Stool analysis for blood 43.25 Specimen analysis for blood 19.25 Stool analysis for blood to screen for colon tumors 12.50 Smear for infectious agents 25.50 Body fluid pH level 12.75 One-way allow prorated trip 72.25 Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation 174.50 Red blood cell antibody level 183.75 Blood unit compatibility test 147.25 Screening test for red blood cell antibodies 119.25 Pretreatment of serum for use in red blood cell antibody analysis and measurement 189.00 Removal of antibodies from surface of red blood cell 319.50 Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement 319.50 Screening test for compatible blood unit 101.50 Irradiation of blood product, each unit 131.75 Red blood cell antibody detection test 131.25 Blood group typing (ABO) 51.50 Blood typing for Rh (D) antigen 57.25 Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation 59.00 Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation 187.25 Coagulation function measurement 79.00 Automated white blood cell count 53.75 Hemoglobin measurement 41.25 Red blood cell concentration measurement 138.00 Fibrinogen (factor 1) activity measurement 100.00 Platelet count, automated test 51.50 Blood test, clotting time 34.75 Red blood count automated, with additional calculations 60.00 Red blood cell sedimentation rate, to detect inflammation 84.75 Red blood cell sickling measurement 110.25 Coagulation assessment blood test 199.00 Screening test for autoimmune disorder 145.75 Body fluid cell count with cell identification 52.50 Nasal smear for eosinophils (allergy related white blood cells) 166.25 Measurement of antibody for assessment of autoimmune disorder 83.00 Complete blood cell count (red cells, white blood cell, platelets), automated test 136.00 Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria) 136.00 Detection test for chlamydia 136.00 Detection test for clostridium difficile 15.25 Coagulation time measurement 105.75 Detection test for HIV-1 and HIV-2 166.25 Ferritin (blood protein) level 44.00 Measurement of Hepatitis A antibody (IgM) 142.75 Oxalate level 152.50 Measurement of cold agglutinin (protein) to detect infection or disease 200.75 Protein measurement, serum 200.75 Protein measurement, body fluid 194.25 Cyanocobalamin (vitamin B-12) level 118.75 Analysis for antibody to Rubella (German measles virus) 25.25 Detection test for Hepatitis B surface antigen 22.00 Analysis for antibody to HIV -1 virus 108.25 Hepatitis B surface antibody measurement 336.00 Immunologic analysis technique on serum 185.75 Gammaglobulin (immune system protein) measurement 257.50 Folic acid level 219.75 Measurement of immune substance (oligoclonal bands) 43.75 Hepatitis C antibody measurement 166.25 Prealbumin (protein) level 119.25 Ceruloplasmin (protein) level 419.50 Detection test for Rotavirus 141.25 Transferrin (iron binding protein) level 180.25 Folic acid level 166.25 Haptoglobin (serum protein) level 154.00 Hemoglobin A1C level 55.75 Detection test for Hepatitis B surface antigen 60.75 Hepatitis B core antibody measurement 187.25 Sweat collection 32.50 Hepatitis C antibody measurement 617.75 Acute hepatitis panel 336.00 Immunologic analysis technique on body fluid 71.75 Hepatitis C antibody measurement 105.75 Smear for infectious agents 76.75 Special stain for microorganism 91.50 Bacterial culture for aerobic isolates 185.75 Bacterial urine culture 219.75 Fungal blood culture (mold or yeast) 225.00 Fungal culture (mold or yeast) of skin, hair, or nail 200.75 Fungal culture (mold or yeast) 122.25 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 70.75 Special stain for microorganism 110.25 Concentration of specimen for infectious agents 89.00 Tissue fungi or parasites 197.25 Bacterial culture 119.25 Detection test for Streptococcus, group B (bacteria) 160.50 Detection test for Strep (Streptococcus, group A) 110.25 Screening test for pathogenic organisms 228.00 Stool culture 131.75 Bacterial colony count, urine 255.50 Bacterial blood culture 139.00 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 147.25 Fungal culture, yeast 250.75 Culture for acid-fast bacilli 131.75 Pinworm test 70.75 White blood cell measure, stool specimen 243.00 Semen evaluation volume, sperm count, motility and analysis 162.00 Semen analysis for sperm presence 276.25 Identification of mycobacteria (TB or TB like organism) 226.25 Antimicrobial study, mycobacteria (TB organism family) 170.00 Detection test for chlamydia 44.50 Screening test for pathogenic organisms 182.25 Immunologic analysis for detection of organism 131.75 Detection test for cryptosporidium (parasite) 62.25 Detection test for entamoeba histolytica group (parasite) 48.50 Identification of organisms by genetic analysis 270.25 Detection test for multiple types influenza virus 290.25 Chromium level to test for poisoning or deficiency 134.75 Lead level 177.25 Cholinesterase (enzyme) level 217.50 Aldolase (enzyme) level 458.50 Aldosterone hormone level 180.25 Hemoglobin analysis and measurement 245.25 Hydroxyindolacetic acid (product of metabolism) level 463.75 Metanephrines level 211.75 Primidone level 141.25 Measurement of Hepatitis A antibody 367.50 Catecholamines (organic nitrogen) level 206.00 Urine vanillylmandelic acid 263.25 Hydroxycorticosteroids, 17 (adrenal gland hormone) level 461.50 Ketosteroids, 17 (hormone) measurement 263.25 Renin (kidney enzyme) level 280.25 Testosterone (hormone) level 230.50 Ethosuximide level 95.75 Thrombin time, fibrinogen screening test 217.50 Analysis for antibody to Mycoplasma (bacteria) 200.75 IgE (immune system protein) level 207.25 Alpha-1-antitrypsin (protein) blood test 339.75 Tissue culture for virus isolation 152.50 Bacterial culture for anaerobic isolates 225.00 Analysis for antibody to Diphtheria (bacteria) 384.50 Analysis for antibody bacteria 243.00 Analysis for antibody to tetanus bacteria (Clostridium tetanus) 154.00 Immunologic analysis for detection of tumor antigen 105.00 Alpha-fetoprotein (AFP) level, serum 72.25 Measurement of substance using immunoassay technique 266.50 Angiotensin l - converting enzyme (ACE) level 170.00 Screening test for antibody to noninfectious agent 440.50 Antibody identification test for platelet antibodies 546.75 Serotonin (hormone) level 187.25 Intrinsic factor (stomach protein) antibody measurement 304.75 Protein measurement 174.50 Beta-2 microglobulin (protein) level 157.50 Microsomal antibodies (autoantibody) measurement 105.00 Estriol (hormone) level 293.50 Alpha-fetoprotein (AFP) level, amniotic fluid 366.00 Protein S (clotting inhibitor) measurement 494.75 Protein C, (clotting inhibitor) activity 417.00 Adrenocorticotropic hormone (ACTH) level 207.25 Aminolevulinic acid (protein) level 382.75 Amino acid level, multiple amino acids 561.75 Measurement of DNA antibody 314.00 Arsenic level 187.25 Measurement of complement function (immune system proteins) 342.50 Calcitonin (hormone) level 225.00 Analysis for antibody to Cytomegalovirus (CMV) 206.00 Analysis for antibody (IgM) to Cytomegalovirus (CMV) 457.00 Clotting factor V (AcG or proaccelerin) measurement 187.25 Calcium level 217.50 Dehydroepiandrosterone (DHEA-S) hormone level 152.50 Clotting factor X (Stuart-Prower) measurement 209.25 Copper level 230.50 Screening test for presence of antibody 572.00 Estrogen analysis 401.50 Estrogen analysis 225.00 Gastrin (GI tract hormone) level 89.00 Hepatitis Be antibody measurement 180.25 Detection test for Hepatitis Be surface antigen 361.50 Hemoglobin analysis and measurement 168.75 Fetal hemoglobin level 263.25 Analysis for antibody to Influenza virus 91.50 Hemosiderin (hemoglobin breakdown product) analysis 116.25 Analysis for antibody to Herpes simplex virus 342.50 Confirmation test for antibody to Human T-cell lymphotropic virus (HTLV) or HIV 152.50 Volatile chemical measurement 340.75 Quantitation of therapeutic drug 490.50 Stool porphyrins (metabolism substance) level 274.25 Analysis for antibody to Toxoplasma (parasite) 230.50 Analysis for antibody (IgM) to Toxoplasma (parasite) 230.50 Analysis for antibody to Hepatitis D virus 207.25 Thiocyanate (organic sulfur substance) level 308.25 Amikacin (antibiotic) level 174.50 Creatine kinase (cardiac enzyme) level 125.50 Cryoglobulin (protein) measurement 194.25 Estriol (hormone) level 230.50 G6PD (enzyme) level 145.75 Insulin measurement 247.50 Mercury level 216.25 Myoglobin (muscle protein) level 243.00 Progesterone (reproductive hormone) level 502.00 Clotting factor VIII (AHG) measurement 457.00 Clotting factor VIII (VW factor) antigen 567.50 Parathormone (parathyroid hormone) level 247.50 Aluminum level 222.25 Infrared analysis of stone 294.50 Urine porphyrins (metabolism substance) measurement 926.25 Chromosome analysis for genetic defects 1575.25 Tissue culture to identify white blood cell disorders 1120.50 Tissue culture for tumor disorders of bone marrow and blood cells 185.75 Thyroglobulin (thyroid protein) antibody measurement 245.00 Measurement of antibody for assessment of autoimmune disorder 380.25 T cells count, total 105.75 Analysis for antibody to HIV -1 virus 326.00 Analysis of substance using immunoassay technique 166.25 Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 131.75 Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 172.00 Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 330.75 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) 194.25 Phosphatase (enzyme) measurement 211.75 Antithrombin III antigen (clotting inhibitor) activity 263.25 Cardiolipin antibody (tissue antibody) measurement 103.75 T cells count, total 426.25 Citrate level 162.00 Drug test def 1-7 classes 282.25 Measurement of complement (immune system proteins) 170.00 Cortisol (hormone) measurement 303.00 Cyclosporine level 250.75 Erythropoietin (protein) level 311.00 Testosterone (hormone) level 187.25 Gabapentin level 384.50 Thyroid stimulating immune globulins (thyroid related protein) level 598.00 T cell count and ratio 319.50 Flow cytometry technique for DNA or cell analysis 83.00 Measurement of antibody (IgE) to allergic substance 103.75 Flow cytometry technique for DNA or cell analysis 72.00 Measurement of antibody (IgE) to allergic substance 33.00 Screening test for antibody to noninfectious agent 467.50 Detection test for Hepatitis C virus 481.50 Detection test for Hepatitis C virus 669.25 Detection test for HIV-1 virus 564.75 Detection test for HIV-1 virus 469.75 PSA (prostate specific antigen) measurement 255.50 Bacterial culture 255.50 Quantitation of therapeutic drug 206.00 Antithrombin III antigen (clotting inhibitor) level 253.75 ADH (antidiuretic hormone) level 284.75 C-peptide (protein) level 340.75 Clozapine level 62.50 Measurement of antibody to noninfectious agent 222.25 Estradiol (hormone) level 180.25 Analysis for antibody, Treponema pallidum 228.00 Analysis for antibody, Treponema pallidum 793.00 Detection test for Hepatitis B virus 394.75 Hydroxyprogesterone, 17-D (synthetic hormone) level 210.25 Measurement of antibody for assessment of autoimmune disorder 147.25 Manganese (heavy metal) level 187.25 Chemical analysis using chromatography technique 207.25 Analysis for detection of tumor marker 290.25 Thyroid hormone, T3 measurement 79.00 Measurement of antibody for assessment of autoimmune disorder 145.75 Selenium (vitamin) level 155.75 Topiramate level 110.25 Analysis for antibody to varicella-zoster virus (chicken pox) 120.75 Platelet function test 294.50 Clotting factor X assessment test 166.25 Coagulation assessment blood test 87.25 Analysis for antibody to Herpes simplex virus, type 1 190.50 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) 47.25 Gammaglobulin (immune system protein) measurement 621.25 Clotting factor VIII (VW factor) measurement 729.25 Detection test for Hepatitis C virus 361.50 Antibody identification test for white blood cell antibodies 120.25 Measurement of antibody for assessment of autoimmune disorder 685.00 Chemical receptor analysis 340.75 Lamotrigine level 340.75 Oxcarbazepine level 103.75 Measurement of antibody for assessment of autoimmune disorder 197.25 Clotting factor IX (PTC or Christmas) measurement 189.00 Clotting factor XI (PTA) measurement 187.25 Clotting factor XII (Hageman) measurement 177.25 Phenytoin level 207.25 Analysis for antibody to virus 241.25 Levetiracetam level 246.00 Analysis for detection of tumor marker 98.75 Protein measurement 296.25 Antibody identification test for platelet antibodies 98.75 Analysis of substance using immunoassay technique 187.75 Cell examination of specimen 167.75 Measurement of antibody for rheumatoid arthritis assessment 279.25 Citrate level 520.75 Molecular pathology procedure level 2 229.75 Chemical analysis using chromatography technique 200.75 Enzyme activity measurement 228.00 Chemical analysis using chromatography technique 498.75 Antibody evaluation 105.00 Inhibin A (reproductive organ hormone) measurement 176.50 Nephelometry, test method using light 167.75 Measurement of substance using immunoassay technique 154.75 Culture for acid-fast bacilli 42.00 Special stain for microorganism 154.50 Platelet function test 259.00 Analysis of substance using immunoassay technique 261.75 Analysis of substance using immunoassay technique 113.75 Androstenedione (hormone) level 430.50 Measurement of substance using immunoassay technique 304.75 Phosphatase (enzyme) level 138.50 Activated protein resistance assay 222.25 Apolipoprotein level 119.25 Immunologic analysis for autoimmune disease 54.00 Analysis for antibody to Bartonella (bacteria) 515.75 Testing for presence of drug 249.25 Clotting factor inhibitor test 93.25 Ketone bodies analysis 73.25 Angiotensin l - converting enzyme (ACE) level 102.75 Carbamazepine level 503.00 Carbohydrate deficient transferrin (protein) level 167.75 Myelin basic protein (nerve protein) level, spinal fluid 369.75 Detection test for Cytomegalovirus (CMV) 259.00 Analysis for antibody to Enterovirus (gastrointestinal virus) 104.25 Analysis for antibody to varicella-zoster virus (chicken pox) 138.75 Vitamin D-3 level 138.75 Chemical analysis using chromatography technique 213.75 Dehydroepiandrosterone (DHEA) hormone level 530.75 Detection test for organism 123.25 Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 587.00 Detection test for enterovirus (intestinal virus) 187.00 Estrone (hormone) level 249.25 Clotting factor II prothrombin, measurement 279.00 Tacrolimus level 187.00 Quantitation of therapeutic drug 82.75 Glycated protein level 249.25 Measurement of substance using immunoassay technique 148.50 Clotting factor XIII (fibrin stabilizing) measurement 342.50 Measurement of substance using immunoassay technique 135.00 Detection test for chlamydia 135.00 Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria) 155.75 Analysis for antibody to Giardia lamblia (intestinal parasite) 52.00 Hemoglobin A1C level 155.75 T cells count, total 155.75 T cell count and ratio 14.50 Automated white blood cell count 98.75 Insulin antibody measurement 183.00 Islet cell (pancreas) antibody measurement 206.25 Analysis for antibody to Leptospira 55.50 Measurement of antibody (IgE) to allergic substance 133.25 Analysis of substance using immunoassay technique 222.25 Measurement of substance using immunoassay technique 163.25 Heparin assay 82.75 Mercury level 82.75 Arsenic level 84.25 Lead level 179.00 Analysis for antibody to virus 93.25 Analysis for antibody to blastomyces (fungus) 93.25 Analysis for antibody to histoplasma (fungus) 222.50 Measurement of antibody for assessment of autoimmune disorder 189.75 Total cell count for natural killer cells (white blood cell) 189.75 T cells count, total 238.50 T cell count and ratio 192.25 Total cell count for B cells (white blood cells) 842.50 Detection test for herpes simplex virus 247.00 Detection test for herpes simplex virus 310.50 Somatomedin (growth factor) level 53.50 Analysis using chemiluminescent technique (light and chemical )reaction 162.25 Nephelometry, test method using light 111.00 White blood cell enzyme activity measurement 156.25 Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria) 147.50 Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria) 511.50 Measurement of substance using immunoassay technique 127.25 Analysis for antibody to Mycoplasma (bacteria) 1156.50 Measurement of substance using immunoassay technique 212.00 Mycophenolate (mycophenolic acid) level 172.00 Flow cytometry technique for DNA or cell analysis 168.50 Flow cytometry technique for DNA or cell analysis 260.50 Measurement of substance using immunoassay technique 259.00 Immunologic analysis for detection of organism 195.50 Osteocalcin (bone protein) level 194.25 Nitroblue tetrazolium dye test to measure white blood cell function 194.25 Measurement of white blood cell function 194.25 Detection of infectious agent antibody 66.25 Analysis for antibody to parvovirus 171.75 Phospholipid antibody (autoimmune antibody) measurement 213.75 Chemical analysis using spectrophotometry (light) 141.50 Antibody identification test for platelet antibodies 194.25 Antibody identification test for platelet antibodies 119.25 Platelet function test 185.25 Analysis for antibody to Enterovirus (gastrointestinal virus) 249.25 Protein S (clotting inhibitor) measurement 328.50 Measurement of substance using immunoassay technique 249.25 Pyruvate kinase (enzyme) level 241.25 Detection of infectious agent antibody 279.00 Sirolimus level 323.75 Cortisol (hormone) measurement 93.25 Blood viscosity measurement 153.00 Sex hormone binding globulin (protein) level 199.00 Qualitative or semiquantitative detection test for helicobacter pylori in stool, multiple-step method 35.75 Urine potassium level 35.75 Sodium level 41.25 Urine osmolality (concentration) measurement 210.00 Analysis for antibody to helminth (intestinal worm) 204.00 Analysis of substance using immunoassay technique 188.00 Thyroglobulin (thyroid related hormone) level 59.25 Analysis for antibody to Herpes simplex virus, type 1 59.25 Analysis for antibody to Cytomegalovirus (CMV) 59.25 Analysis for antibody (IgM) to Cytomegalovirus (CMV) 53.75 Analysis for antibody to Herpes simplex virus, type 2 53.75 Analysis for antibody to Toxoplasma (parasite) 128.50 Measurement of substance using immunoassay technique 164.50 Nephelometry, test method using light 253.50 Detection test for histoplasma capsulatum (parasite) 127.25 Mercury level 227.50 Metanephrines level 212.00 Collagen cross links test, (urine test to evaluate bone health) 725.50 Organic acids level 52.00 Analysis for antibody, Treponema pallidum 115.00 Vitamin A level 241.25 Vitamin B-6 level 396.25 Vitamin K level 104.25 Valproic acid level 332.25 Dihydroxyvitamin D, 1, 25 level 316.25 Clotting factor VIII (von Willebrand factor) measurement 520.75 Detection test for organism 64.75 Zinc level 61.25 Analysis for antibody to Enterovirus (gastrointestinal virus) 290.25 DNA testing for genetic defects 103.25 Analysis for antibody to aspergillus (fungus) 103.25 Analysis for antibody to blastomyces (fungus) 103.25 Analysis for antibody to Coccidioides (bacteria) 103.25 Analysis for antibody to histoplasma (fungus) 178.00 Chemical analysis using spectrophotometry (light) 35.75 Gammaglobulin (immune system protein) measurement 35.75 Analysis for antibody bacteria 108.25 Analysis for antibody to Toxoplasma (parasite) 242.25 Chemical analysis using chromatography technique 293.50 Amikacin (antibiotic) level 488.50 Collagen cross links test, (urine test to evaluate bone health) 235.75 Tuberculosis test 134.50 Heavy metal level 397.00 Mass spectrometry (laboratory testing method) 374.25 Detection test for cytomegalovirus, quantification 189.25 Measurement of antibody for assessment of autoimmune disorder 172.00 Pregnenolone (reproductive hormone) level 279.50 Procalcitonin (hormone) level 193.75 Lipoprotein level 93.25 Blood test, lipids (cholesterol and triglycerides) 134.50 Analysis for antibody (IgM) to West Nile virus 134.50 Analysis for antibody to West Nile virus 633.00 Translocation analysis (BCR/ABL1) minor breakpoint 1155.50 Gene analysis (cystic fibrosis transmembrane conductance regular) common variants 1266.25 Molecular pathology procedure level 1 196.75 Gene analysis (coagulation factor V) Leiden variant 281.50 Gene analysis (hemochromatosis) common variants 597.75 HLA class I typing, low resolution one antigen equivalent 562.75 Gene analysis (Janus kinase 2) variant 210.75 Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants 591.00 Molecular pathology procedure level 2 196.75 Gene analysis (prothrombin, coagulation factor II) A variant 244.00 HLA class II typing high resolution one locus 105.50 Measurement of substance using immunoassay technique 316.50 Antibody evaluation 316.50 Gammaglobulin (immune system protein) measurement 147.50 HLA class II typing high resolution one allele or allele group 295.50 HLA class II typing low resolution one antigen equivalent 2110.75 Gene analysis (adenomatous polyposis coli), full gene sequence 2110.75 Molecular pathology procedure level 6 341.75 HLA class II typing high resolution one locus 70.25 Chemical test for genetic disorder 70.25 Carnitine level 56.25 Analysis using chemiluminescent technique (light and chemical )reaction 42.25 Platelet function test 56.25 Platelet function test 50.75 Copper level 67.75 Carnitine level 21.00 Coagulation function screening test with interpretation and report 52.00 Heparin assay 15.25 Blood test, clotting time 18.25 Thrombin time, fibrinogen screening test 24.00 Coagulation assessment blood test 26.75 Coagulation assessment blood test 35.00 Fibrinogen (factor 1) antigen detection 67.75 Metanephrines level 59.00 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) 60.25 Arsenic level 49.00 Lead level 64.75 Mercury level 52.00 Measurement of substance using immunoassay technique 196.75 Measurement C-reactive protein for detection of infection or inflammation 319.50 Antibody evaluation 56.25 Antibody evaluation 206.75 Molecular pathology procedure 52.00 Analysis for antibody bordetella (respiratory bacteria) 42.25 Quantitation of therapeutic drug 91.25 Drug test def 1-7 classes 1438.50 Molecular pathology procedure 53.50 Vitamin E level 1527.50 Detection test for multiple types of respiratory virus 48.25 Lipoprotein (A) level 44.25 Detection test for identification of organism 72.25 Stool calprotectin (protein) level 77.75 Vitamin B-1 (thiamine) level 180.75 White blood cell function measurement 33.25 Analysis for antibody to Brucella (bacteria) 71.25 Analysis for antibody to Rickettsia (bacteria) 48.25 Analysis for antibody to Salmonella (intestinal bacteria) 70.25 Detection test for gardnerella vaginalis (bacteria) 70.25 Detection test for Trichomonas vaginalis (genital parasite) 70.25 Detection test for candida species (yeast) 47.25 Alpha-1-antitrypsin (protein) blood test 206.75 Gene analysis (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) common variants 150.75 Testing for presence of drug 50.50 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) 267.25 Measurement of substance using immunoassay technique 170.00 Detection test for Trichomonas vaginalis (genital parasite) 28.00 Macroscopic examination (visual inspection) of parasite 38.25 Alpha-1-antitrypsin (protein) blood test 190.75 Detection test for respiratory syncytial virus 332.50 Measurement and graphic recording of total and timed exhaled air capacity 792.00 Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration 288.50 Measurement of largest amount of air breathed in an out of lungs over one minute 382.75 Diagnostic testing in a pulmonary function lab 393.50 Measurement of lung diffusing capacity 119.25 Arterial puncture withdrawal of blood for diagnosis 1327.00 Ventilation assistance and management, hospital inpatient or observation 263.25 Demonstration and/or evaluation of manual maneuvers to chest wall to assist movement of lung secretions 929.75 Reviving newborn at delivery 673.00 Attempt to restart heart and lungs 404.25 Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen 101.00 Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen 324.25 Routine electrocardiogram (EKG) with tracing using at least 12 leads 642.75 Initiation and management of continued pressured respiratory assistance by mask or breathing tube 403.00 Determination of lung volumes using plethysmography 429.75 Determination of lung volumes using gas dilution or washout 789.75 Ventilation assistance and management, hospital inpatient or observation 225.75 Manual maneuvers to chest wall to assist movement of lung secretions 613.50 Initiation and management of continued pressured respiratory assistance by mask or breathing tube 1440.75 Emergent insertion of breathing tube into windpipe cartilage using an endoscope 764.25 Insertion of catheter for suction of secretions 131.25 Test for exercise-induced lung stress 2068.25 Multiple measurements and graphic recordings of the amount and speed of breathed air, before and following medication administration 1327.00 Initiation and management of continued pressured respiratory assistance by mask or breathing tube 375.00 Mechanical chest wall manipulation for improvement in lung function 231.50 Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour 231.50 Respiratory inhaled aerosol treatment to relieve airway obstruction 222.50 Exercise test for spasm of lung airways 76.50 Diab manage trn per indiv 78.75 Diab manage trn ind/group 86.00 Education 84.50 Education 126.75 Continuous monitoring of glucose in tissue fluid using sensor under skin 253.50 Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours 461.50 Imaging of blood vessels in back of eye using fluorescein dye 279.25 Photography of the retina 37182.50 Conversion to two chamber pacemaker system 66702.75 Aicd, dual chamber 2137.75 Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement 14537.75 Event recorder, cardiac 17787.50 Pmkr, dual, rate-resp 110.25 Occlusive device in vein art 13682.50 Pmkr, single, rate-resp 3360.00 Removal of defibrillator pulse generator 9554.50 Placement of temporary pacemaker leads 18799.75 Insertion of heart rhythm monitor under skin 15392.75 Lead, aicd, endo single coil 13301.50 Insertion of pacemaker pulse generator with existing dual leads 106896.00 Aicd, other than sing/dual 2132.50 Removal of heart rhythm monitor from under skin 5714.25 Repositioning of implanted pacemaker or defibrillator device 1834.00 Lead, pmkr, transvenous vdd 55586.25 Aicd, single chamber 4125.00 Relocation of pacemaker generator skin pocket 55894.50 Insertion of left heart electrode for pacing defibrillator device 82636.75 Insertion of pacing defibrillator pulse generator with existing single lead 37182.50 Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes 42117.00 Insertion or replacement of single or dual chamber pacing defibrillator leads 10580.00 Insertion of catheter for diagnostic evaluation of right heart structures 10580.00 Insertion of catheter into right and left heart for diagnosis 10580.00 Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart 110.25 Iliac art angio,cardiac cath 1088.25 Placement of catheter of gallbladder and pancreas under imaging using an endoscope 283.50 Evaluation of single or dual chamber pacing cardioverter-defibrillator at time of implantation or replacement 26801.75 Insertion of pacemaker pulse generator with existing multiple leads 7980.00 Removal of permanent pacemaker pulse generator 1634.75 Cath, ep, 19 or few elect 568.00 Intro/sheath, fixed,non-peel 1139.00 Lead, pmkr, other than trans 4020.25 Lead, coronary venous 8576.75 Lead, aicd, endo dual coil 50253.50 Removal and replacement of defibrillator pulse generator 19565.25 Removal and replacement of single lead permanent pacemaker pulse generator 22513.50 Removal and replacement of dual lead permanent pacemaker pulse generator 22513.50 Removal and replacement of multiple lead permanent pacemaker pulse generator 46903.00 Insertion of pacing defibrillator pulse generator with existing multiple leads 42883.00 Removal and replacement of defibrillator pulse generator 435.50 Imaging guidance for procedure, up to 1 hour 127.50 Insertion of assistive heart blood flow device into aorta, accessed through the skin 1715.50 Insertion of catheter into right upper heart chamber and pulmonary (lung) artery for monitoring purposes 30405.00 Insertion or replacement of permanent pacemaker and lower chamber electrodes 5998.50 Removal of electrode from right heart 14039.00 Pmkr, other than sing/dual 16591.50 Placement of temporary pacemaker leads 244.00 Cardiac output measurements 2066.50 Evaluation of single or dual chamber pacing cardioverter-defibrillator with programming or reprogramming 2096.50 Insertion of central venous catheter for infusion, patient 5 years or older 13036.50 Insertion of electrodes for permanent pacemaker or pacing defibrillator device 4919.75 Insertion of catheter in right heart for imaging of blood vessels or grafts 4971.00 Injection of bile duct for X-ray imaging procedure accessed through the skin using imaging guidance including radiological supervision and interpretation 6598.50 Removal of central venous catheter for infusion 1586.00 Insertion of central venous catheter for infusion, patient 5 years or older 1620.75 Drainage of fluid from abdominal cavity using imaging guidance 1620.75 Drainage of heart sac 2205.00 Replacement of catheter in peripheral vein accessed through same vein 248.00 Collection of blood specimen from central or peripheral venous catheter 11025.00 Insertion of electrode for permanent pacemaker or pacing defibrillator device 187.75 Intro/sheath,strble,non-peel 1352.50 Insertion of catheter into aorta 12663.75 Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation 7639.50 Radiological supervision and interpretation of imaging of artery of one arm or leg 65.00 Locm 300-399mg/ml iodine,1ml 14661.00 Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure 12487.00 Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure 14659.75 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure 4007.75 Insertion of central venous catheter for infusion, patient 5 years or older 7639.50 Radiological supervision and interpretation X-ray of abdominal aorta 7639.50 Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries 324.25 Intro/sheath,fixed,peel-away 598.00 Intro/sheath, non-laser 320.00 Guide wire 2137.75 Vena cava filter 855.50 Closure dev, vasc 128.00 Catheter, guiding 4062.25 Cath, thrombectomy/embolect 1069.50 Cath, translumin non-laser 3848.00 Stent, non-coa/non-cov w/del 31125.50 Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure 1352.50 Insertion of catheter into abdominal pelvic or leg artery 23934.75 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure 13740.50 Balloon dilation of groin artery, endovascular, open, or percutaneous approach 23920.50 Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure 6332.00 Radiological supervision and interpretation of imaging of arteries of both arms or legs 2280.25 Insertion of catheter into abdominal pelvic or leg artery 6813.75 Insertion of catheter into artery for drug infusion for blood clot including radiological supervision and interpretation 4099.25 Insertion of catheter into vein for drug infusion for blood clot including radiological supervision and interpretation 7035.25 Cath, trans atherectomy, dir 23822.25 Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation 8442.75 Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure 60304.50 Insertion of pacing defibrillator pulse generator with existing dual leads 2169.75 Radiological supervision and interpretation of imaging of vein of one arm or leg 8295.75 Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed through the skin 2047.50 Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed through the skin 8295.75 Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance 26923.25 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure 6199.25 Cath, translumin, drug-coat 3646.50 Placement of catheter of kidney, accessed through the skin using imaging guidance with radiological supervision and interpretation 1586.00 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation 11171.00 Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation 22573.75 Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation 10080.00 Reopening of arteries in thigh and behind knee with placement of stent via catheter using imaging guidance 112.25 Medical nutrition therapy re-assessment and intervention, each 15 minutes 110.75 Medical nutrition therapy, assessment and intervention, each 15 minutes 112.25 Medical nutrition therapy performed in a group setting, each 30 minutes 616.25 Measurement and recording of brain wave (EEG) activity, awake and drowsy 997.25 Chest ultrasound examination of heart 1625.75 Insertion of probe in esophagus for heart ultrasound examination including interpretation and report 437.75 Ultrasound study of arteries of both arms and legs 435.00 Ultrasound study of arteries and arterial grafts of one arm or limited 435.00 Ultrasound study of arteries and arterial grafts of one leg or limited 870.00 Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report 699.50 Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers 699.50 Ultrasound study of arteries and arterial grafts of both legs 907.75 Ultrasound study of arteries and arterial grafts of both arms 1465.25 Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring 458.50 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function 699.50 Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck 458.50 Heart rhythm tracing of 48-hour EKG 880.00 Follow-up or limited ultrasound examination of heart 435.00 Ultrasound of dialysis access 847.00 Ultrasound scanning of blood flow (outside of brain) on one side of head and neck or limited 435.00 Ultrasound scan of vena cava or groin graft or vessel blood flow 997.25 Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function 458.50 Doppler ultrasound study of heart blood flow, valves, and chambers 485.00 Heart rhythm analysis, interpretation and report of 48-hour EKG 2599.00 2d tte w or w/o fol w/con,co 964.75 2d tte w or w/o fol w/con,fu 229.50 Physician services for outpatient heart rehabilitation with continuous EKG monitoring per session 165.00 Physician services for outpatient heart cardiac rehabilitation per session