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Procedure Pricing

Procedure Pricing

Procedure Pricing The information provided below by Lake Health is a comprehensive list of charges for each inpatient and outpatient service or item provided by our hospital, also known as a chargemaster. It is not a helpful tool for patients to comparison shop between hospitals or to estimate what health care services are going to cost them out of their own pocket. For more information about the cost of your care, please contact our Financial Counselor staff at 440-602-6682. *These prices are correct as of January 1, 2021 LH Default Tech Name Price 14.3.3 ETA PROTEIN, SERUM $ 353.00 5 HIAA URINE RANDOM $ 177.00 5-HIAA URINE 24HR $ 177.00 6 T G METABOLITE $ 397.00 6MMP METABOLITE $ 417.00 7C4 BILE ACID BY LC MS/MS $ 491.00 96372 IM SUG IM SUB Q ADMIN $ 215.00 A LINE INSERTION $ 1,103.00 ABD W/O IMAGING $ 1,517.00 ABD PARACENTESIS WITH IMAGING $ 1,864.00 ABDOMINAL BINDER LARGE $ 112.00 ABDOMINAL BINDER X-LARGE $ 21.00 ABDOMINAL PARACENTESIS WITH IMAGING GUIDANCE $ 2,336.00 ABLATE ARRHYTHMIA ADD ON $ 11,051.00 ABLATION AV NODE CHB $ 20,953.00 ABRASION SINGLE LESION $ 260.00 ACAPELLA_FLUTTER $ 117.00 ACCUPAP $ 83.00 ACETAMINOPHEN $ 233.00 ACETYLCHOLINE RECEPTOR BINDING AB $ 434.00 ACETYLCHOLINE RECP BLOCKING AB $ 413.00 ACETYLOCHOLINE RECP MOD AB $ 413.00 ACID AGAR $ 51.00 ACID FAST SMEAR $ 95.00 ACNE SURGERY $ 172.00 ACREMONIUM KILIENSE IGE ALLERGEN $ 17.00 ACT EACH $ 91.00 ACTH $ 256.00 ACTH STIMULATION PANEL $ 236.00 ACTIN,IHC $ 383.00 ACTIVATED PROTEIN C $ 106.00 ACTV WOUND MGMT W/DEBRIDEMENT FIRST 20 SQ CM $ 188.00 ACUTE HEPATITIS PANEL $ 256.00 ADDL IV MED PUSH SAME $ 291.00 ADD'L IV MED(PUSH)SAME DRUG>31MIN $ 291.00 ADDL IV PUSH SAME DRUG>31MIN $ 213.00 ADDNL IV PUSH MED $ 277.00 STRESS W CARDIOLITE $ 1,673.00 ADENOVIRUS CULTURE $ 111.00 ADJ TIS TRAN ARMS_LEGS >10.1 SQCM $ 4,846.00 ADJ TIS TRANS/REARRNGMNT FACE $ 4,331.00 ADJ TIS TRANS_REARRNGMNT FACE $ 4,552.00 ADJ TIS TRANS_REARRNGMNT TRUNK $ 4,552.00 ADJ TIS TRNS_REARGMT EAR_NOSE_LID $ 4,552.00 ADMIN ADDNL IV TO 1 HR T,P,D $ 504.00 ADMIN HEPATITIS B VACCINE $ 65.00 ADMIN IV INF T P D EA ADDL HR $ 110.00 ADMIN IV INF T_P_D EA ADDL HR $ 162.00 ADMIN IV TO 1 HR T_P_D $ 506.00 ADMIN IV UP TO 1HR, T,P,D $ 604.00 ADMIN PNEUMOCOCCAL IMMUNIZATION VACCINE $ 65.00 ADMINISTRATION OF IM QTY 1 $ 224.00 ADMINISTRATION OF INFLUENZA VIRUS VACCINE $ 65.00 ADP MAX AGGREGATION $ 66.00 AE1/AE3.IHC $ 383.00 AEROSOL TREATMENT $ 83.00 AEROSOL TREATMENT INITIAL $ 110.00 AEROSOL TREATMENT SUBS $ 83.00 AFB CULTURE ONLY $ 101.00 AFB SUSCEPTIBILITY $ 107.00 AGENT NOS ASSAY W/OPTIC $ 37.00 AGGLUTINATION GROUPING $ 91.00 AGGLUTINATION GROUPING 2 $ 91.00 AGGLUTINATION GROUPING 3 $ 91.00 AGGLUTINATION GROUPING 4 $ 91.00 ALBUMIN, CSF $ 95.00 ALBUMIN, SERUM $ 40.00 ALDOLASE $ 371.00 ALDOSTERONE $ 371.00 ALDOSTERONE, URINE 24 HOUR $ 353.00 ALK PHOS ISOENZYMES. $ 161.00 ALKALINE PHOSPHATASE $ 76.00 ALKALINE PHOSPHATASE,BONE $ 148.00 ALLERGEN COMMON WASP $ 29.00 ALLERGEN HICKORY/PECAN TREE $ 27.00 ALLERGEN HONEY BEE $ 29.00 ALLERGEN JOHNSON GRASS $ 27.00 ALLERGEN PAPER WASP $ 29.00 ALLERGEN SPECIFIC IGE; QUANT OR SEMIQUANT $ 27.00 ALLERGEN WHITE FACED HORNET $ 29.00 ALLERGEN YELLOW HORNET $ 29.00 ALLERGEN, PENICILLINS IGE $ 44.00 ALLERGEN,ALMOND $ 29.00 ALLERGEN,ASPERGILLUS FUMIGATUS $ 29.00 ALLERGEN,ASPERGILLUS NIGER $ 29.00 ALLERGEN,AUSTRALIAN PINE $ 29.00 ALLERGEN,BAHIA GRASS $ 29.00 ALLERGEN,BANANA $ 29.00 ALLERGEN,BARLEY $ 28.00 ALLERGEN,BEEF $ 29.00 ALLERGEN,BERMUDA GRASS $ 29.00 ALLERGEN,BIRCH TREE $ 29.00 ALLERGEN,BOX ELDER $ 29.00 ALLERGEN,CANDIDA ALBICANS $ 29.00 ALLERGEN,CARROT $ 29.00 ALLERGEN,CELERY $ 29.00 ALLERGEN,CHEDDAR CHEESE $ 29.00 ALLERGEN,CHICKEN FEATHERS $ 29.00 ALLERGEN,CHICKEN MEAT $ 29.00 ALLERGEN,CLAM $ 27.00 ALLERGEN,COCKLEBUR IGE $ 29.00 ALLERGEN,COCKROACH $ 29.00 ALLERGEN,COCONUT $ 29.00 ALLERGEN,CODFISH $ 29.00 ALLERGEN,CORN $ 29.00 ALLERGEN,COTTONWOOD TREE $ 29.00 ALLERGEN,COW EPITHELIUM $ 29.00 ALLERGEN,COW MILK $ 29.00 ALLERGEN,CRAB $ 29.00 ALLERGEN,DERM.PTERONYSSINUS $ 29.00 ALLERGEN,DOG EPITHELIUM $ 29.00 ALLERGEN,EGG WHITES $ 29.00 ALLERGEN,ELM $ 29.00 ALLERGEN,ENGLISH PLANTAIN $ 29.00 ALLERGEN,FEATHER MIX $ 29.00 ALLERGEN,GIANT RAGWEED $ 29.00 ALLERGEN,GLUTEN $ 29.00 ALLERGEN,GOLDENROD $ 29.00 ALLERGEN,GOOSE FEATHERS $ 29.00 ALLERGEN,HELMINTHOSPOR HALODES $ 29.00 ALLERGEN,HORSE DANDER $ 29.00 ALLERGEN,HOUSE DUST (H-S) $ 29.00 ALLERGEN,LATEX $ 29.00 ALLERGEN,LETTUCE $ 29.00 ALLERGEN,LOBSTER $ 29.00 ALLERGEN,MOUNTAIN JUNIPER $ 29.00 ALLERGEN,MUCOR RACEMOSUS $ 29.00 ALLERGEN,OAT $ 29.00 ALLERGEN,ORANGE $ 29.00 ALLERGEN,ORCHARD GRASS $ 29.00 ALLERGEN,PARSLEY $ 29.00 ALLERGEN,PEANUT $ 29.00 ALLERGEN,PEAS $ 29.00 ALLERGEN,PECAN NUT $ 29.00 ALLERGEN,PENICILLIUM NOTATUM $ 29.00 ALLERGEN,PIGWEED $ 29.00 ALLERGEN,PORK $ 29.00 ALLERGEN,POTATO $ 29.00 ALLERGEN,RABBIT EPITHELIUM IGE $ 29.00 ALLERGEN,REDTOP GRASS $ 29.00 ALLERGEN,RICE $ 29.00 ALLERGEN,RYE $ 29.00 ALLERGEN,SCALLOP $ 27.00 ALLERGEN,SESAME SEED $ 29.00 ALLERGEN,SHEEP SORREL $ 29.00 ALLERGEN,SHRIMP $ 29.00 ALLERGEN,SOYBEAN $ 29.00 ALLERGEN,SWEET VERNAL GRASS $ 29.00 ALLERGEN,SYCAMORE TREE $ 29.00 ALLERGEN,TOMATO $ 29.00 ALLERGEN,TUNA $ 29.00 ALLERGEN,WALNUT IGE $ 27.00 ALLERGEN,WALNUT TREE $ 27.00 ALLERGEN,WHEAT $ 29.00 ALLERGEN,WHITE ASH TREE $ 29.00 ALLERGEN,WHITE BEAN $ 29.00 ALLERGEN,WHITE PINE TREE $ 29.00 ALLERGEN,WILLO TREE $ 29.00 ALLERGEN,YEAST $ 29.00 ALLOGENIC SKIN SUBST 1ST 25SQ CM $ 3,565.00 ALPHA 1 ANTITRYPSIN (SERPINA1) TARGETED GENOTYPING $ 87.00 ALPHA 1 ANTITRYPSIN PHENOTYPE $ 46.00 ALPHA-1 ANITRYPSIN, TOTAL $ 91.00 ALPHAFETOPROTEIN TUMOR MARKER $ 155.00 ALPHAFETOPROTEIN W/WO TRP CK $ 252.00 ALT (SGPT) $ 97.00 AMG ALPHA 2 MACROGLOBUILIN BY NEPHELOMETRY $ 260.00 AMIKACIN $ 83.00 AML FISH PROFILE $ 453.00 AMMONIA, BLOOD $ 105.00 AMP FING SGL W NEU DR CL ADV FLP $ 4,237.00 AMP FING SGL W NEURODEC DIR CLOSE $ 4,032.00 AMPHETAMINES 5 OR MORE $ 52.50 AMPHETAMINES MECONIUM CONFIRMATION $ 155.00 AMPUTATION METATARSL W SINGL TOE $ 5,030.00 AMPUTATION TOE METATARSOPHALANGEAL JOINT $ 7,266.00 AMYLASE $ 156.00 ANA TITER BY IFA $ 56.00 ANA-ANTINUCLEAR ANTIBODY $ 83.00 ANA-FLUID $ 72.00 ANALGESICS NON-OPIOID 1 OR 2 $ 265.00 ANALYZE NEUROSTIM COMPLEX WITH PROGRAMMING $ 462.00 ANALYZE NEUROSTIM NO PROG $ 284.00 ANALYZE NEUROSTIM SIMPLE $ 662.00 ANASTOMOSIS ARTERIOVENOUS OPEN CEPHALIC VEIN $ 8,237.00 ANCA ELISA,IGG SPECIFIC $ 76.00 ANDROSTENEDIONE $ 194.00 ANESTHESIA GAS MODULE $ 101.00 ANESTHESIA GENERAL MONITORING $ 210.00 ANESTHESIA VITAL SIGN MONITOR $ 235.00 ANG 1 ANGIOPOIETIN 1 $ 98.00 ANG 2 ANGIOPOIETIN 2 $ 98.00 ANGIOPLASTY BALLOON DIALYSIS W IMAGING $ 9,482.00 ANGIOPLASTY BALLOON TRANSLUM INITIAL VEIN $ 16,648.00 ANGIOPLASTY BALLOON TRNSLUM EA ADDL VEIN $ 8,327.00 ANGIOPLASTY BALLOON TRNSLUM INITIAL ARTERY $ 16,648.00 ANGIOTENSIN 1 CONV ENZ $ 217.00 ANIT FLAX ELISAIGG SPECIFIC $ 159.00 ANIT-CBIR1 ELISA $ 159.00 $ 121.00 ANOSCOPY (DIAGNOSTIC) $ 131.00 ANTI ENDOMYSIAL EMA IGA ANTIBODY BY IFA $ 305.00 ANTI HUMAN TISSUE TRANSGLUTAMINASE HU TTG ELISA IGA RECOMBINANT ANTIGEN $ 92.00

ANTI HU-TTG ELISA IGA RECOMB ANTI $ 95.00 ANTI MULLER HORMONE $ 158.00 ANTI-12 ELISA $ 53.00 ANTIBODY ELUTION. $ 240.00 ANTIBODY IDENTIFICATION $ 396.00 ANTIBODY SCREEN $ 208.00 ANTIBODY SCREEN,ALBUMIN $ 53.00 ANTIBODY SCREEN,LISS $ 53.00 ANTIBODY SCREEN,PEG $ 53.00 ANTIBODY TITER $ 210.00 ANTICENTROMERE AB TITER $ 204.00 ANTIDEP TRI/OTH CYCLIC 1 OR 2 $ 108.00 ANTIDEPRESSANTS NOT OTH SPEC $ 131.00 ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5 $ 147.00 ANTIDEPRESSANTS TRICYCLIC/ OTH CYCLICALS 6 OR < $ 147.00 ANTIDIURETIC HORMONE $ 329.00 ANTI-ENDOMYSIAL IGA ANTIBODY IFA INITIAL STAIN $ 305.00 ANTIGEN TYPE - REAGENT/UNIT $ 305.00 ANTI-GIADIN ELISA IGA SPECIFIC $ 76.00 ANTI-GLIADIN ELISA IGG SPECIFIC $ 76.00 ANTIMITOCHONDRIAL ANTIBODY $ 106.00 ANTI-NEUTROPHIL ANTIBODY $ 509.00 ANTI-OMPC IGA ELISA $ 159.00 ANTIPARIETAL CELL AB $ 180.00 ANTISMOOTH MUSCLE ANTIBODY $ 97.00 ANTI-STREPTOLYSIN 0 TITER $ 51.00 ANTITHROMBIN 3 $ 125.00 ANTITHROMBIN III ANTIGEN $ 56.00 AORTOGRAM ABDOMINAL $ 2,974.00 APOLIPOPROTEIN A1 $ 44.00 APP MLTLAY COMPRS SYS ARM/HND LT $ 214.00 APP MLTLAY COMPRS SYS ARM/HND RT $ 214.00 APP MULTILAYER COMP LOWER LEG RT $ 404.00 APP SKNSUB 1ST 25SQCM FT <100SQCM $ 1,741.00 APP UNNA BOOT LOWER LEG RIGHT $ 551.00 APPL CAST ARM SHORT LT $ 761.00 APPL CAST ARM SHORT RT $ 761.00 APPL CAST LEG SHORT $ 460.00 APPL CAST LEG SHORT LT $ 761.00 APPL CAST LEG SHORT RT $ 761.00 APPL SPLINT ARM LONG BILAT $ 656.00 APPL SPLINT ARM LONG LT $ 436.00 APPL SPLINT ARM LONG RT $ 436.00 APPL SPLINT ARM SHORT STAT BILAT $ 704.00 APPL SPLINT ARM SHORT STAT LT $ 467.00 APPL SPLINT ARM SHORT STAT RT $ 467.00 APPL SPLINT FINGER STATIC LT 1 $ 197.00 APPL SPLINT FINGER STATIC LT 2 $ 197.00 APPL SPLINT FINGER STATIC LT 3 $ 197.00 APPL SPLINT FINGER STATIC LT 4 $ 197.00 APPL SPLINT FINGER STATIC LT 5 $ 197.00 APPL SPLINT FINGER STATIC RT 1 $ 197.00 APPL SPLINT FINGER STATIC RT 2 $ 197.00 APPL SPLINT FINGER STATIC RT 3 $ 197.00 APPL SPLINT FINGER STATIC RT 4 $ 197.00 APPL SPLINT FINGER STATIC RT 5 $ 197.00 APPL SPLINT LEG LONG BILAT $ 656.00 APPL SPLINT LEG LONG LT $ 436.00 APPL SPLINT LEG LONG RT $ 436.00 APPL SPLINT LEG SHORT BILAT $ 656.00 APPL SPLINT LEG SHORT LT $ 436.00 APPL SPLINT LEG SHORT RT $ 436.00 APPLICATION OF INFARED LIGHT THERAPY TO 1 OR MORE AREAS $ 26.00 APPLICATION OF SKIN SUB HANDS FEET DIGITS FACE SCALP NECK EARS GENITALIA EA ADDL 25 SQ CM $ 2,478.00 OF 100 SQ CM WOUND OR GREATER

APPLICATION OF SKIN SUB HANDS FEET DIGITS FACE SCALP NECK EARS GENITALIA EA ADDL 100 SQ CM $ 2,137.00 OF 100 SQ CM WOUND OR GREATER APPLICATION OF SKIN SUB TRUNK ARMS LEGS EACH ADDITIONAL 100 SQ CM $ 5,912.00

APPLICATION OF SKIN SUB TRUNK ARMS LEGS FIRST 100 SQ CM OF WOUND SURFACE AREA $ 8,647.00

APPLICATION OF UNNA BOOT BILAT $ 845.00 APPLY MULTLAYER COMP LWR LEG LEFT $ 404.00 APPLY SKIN SUBSTITUTE HEAD HANDS FEET 1ST 100 SQ CM $ 3,339.00 APPLY SKIN SUBSTITUTE HEAD HANDS FEET 1ST 25 SQ CM $ 3,680.00 APPLY SKIN SUBSTITUTE TRUNK ARM LEG EACH ADDITIONAL 25 SQ CM $ 2,084.00

APPLY SKIN SUBSTITUTE TRUNK ARMS LEGS 1ST 25 SQ CM $ 2,268.00 APPLY TCC LOWER LEG LEFT $ 903.00 APPLY TCC LOWER LEG RIGHT $ 903.00 APPLY UNNA BOOT LOWER LEG LEFT $ 551.00 ARACH MAX AGGREGATION $ 66.00 ARGON BEAM COAGULATOR $ 563.00 ARSENIC LEVEL $ 185.00 ARSENIC LEVEL (URINE) $ 176.00 ART LINE $ 291.00 ARTHROCENT ASP/INJ JT SMALL $ 383.00 ARTHROCENTESIS ASP INJ JOINT BURSA INTERMEDIATE $ 365.00 ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR $ 805.00 ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR JOINT $ 966.00 ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR W/US $ 803.00 ARTHROCENTESIS ASP/INJ JT MAJOR $ 365.00 ARTHROCENTESIS ASPIRATION AND OR INJ SMALL JOINT OR BURSA EG FINGERS TOES WO US GUIDANCE $ 583.00

ARTHROCENTESIS ASPIRATION ANDOR INTERMEDIATE JOINT OR BURSA WITHOUT $ 704.00 ULTRASOUND GUIDANCE 20605 ARTHROCENTESIS ASPIRATION INJECTION MAJOR JOINT BILATERAL $ 1,449.00 ARTHROCENTESIS ASPIRATION INJECTION INTERMEDIATE JOINT BILATERAL $ 1,055.00

ARTHROCENTESIS ASPIRATION INJECTION SMALL JOINT BILATERAL $ 872.00 ARTHROCENTESIS_ASPIR_INJ INTM JNT $ 583.00 ASCA IGA ELISA $ 159.00 ASCA IGG ELISA $ 159.00 ASP BLADDER-INSERT SUPRAPUB CATH $ 3,980.00 ASPERGILLUS AB-CF $ 68.00 ASPERGILLUS AB-ID $ 68.00 ASPIRATION OR INJ GANGLION $ 777.00 ASSAY FOR PHENCYCLIDINE $ 105.00 ASSAY OF LEAD $ 25.00 ASSAY OF THYROGLOBULIN - IMA $ 38.00 ASSAY OF THYROGLOBULIN - LCMS $ 210.00 ASSAY RBC PROTOPORPHYRIN $ 25.00 AST (SGOT) $ 97.00 AT AQUATIC GROUP $ 217.00 AT AQUATIC THERAPY 15 MINUTES $ 202.00 AT ELECTRICAL STIMULATION EACH 15 MINUTES ATTENDED $ 153.00 AT ELECTRICAL STIMULATION THERAPY UNATTENDED $ 151.00 AT FUNCTIONAL CAPACITY ASSESSMENT 15 MINUTES $ 149.00 AT GAIT TRAINING 15 MINUTES $ 168.00 AT GROUP THERAPEUTIC PROCEDURES $ 128.00 AT IONTOPHORESIS EACH 15 MIN $ 145.00 AT MANUAL THERAPY EACH 15 MINUTES $ 202.00 AT NEUROMUSCULAR REEDUCATION EACH 15 MINUTES $ 215.00 AT OP EVALUATION MOD COMPLEXITY 30 MINUTES $ 410.00 AT OP EVALUATION HIGH COMPLEXITY 45 MINUTES $ 440.00 AT OP EVALUATION LOW COMPLEXITY 15 MINUTES $ 351.00 AT OP RE EVALUATION 20 MINUTES $ 183.00 AT PHYSICAL PERFORMANCE TEST EACH 15 MINUTES $ 126.00 AT THERAPEUTIC ACTIVITIES EACH 15 MINUTES $ 202.00 AT THERAPEUTIC EXERCISES EACH 15 MINUTES $ 245.00 AT TRACTION $ 198.00 AT ULTRASOUND THERAPY EACH 15 MINUTES $ 164.00 ATG16L1 SNP $ 175.00 ATP RELEASE BY ADP $ 44.00 ATP RELEASE BY ARACH $ 44.00 ATP RELEASE BY COLLAGEN $ 44.00 ATP RELEASE BY $ 44.00 AUDIOGRAM-INFANT $ 260.00 AVULSION NAIL PLATE SINGLE $ 399.00 AVULSION OF NAIL PLATE $ 541.00 AVULSION OF NAIL PLATE EA ADD $ 436.00 AVULSION OF NAIL PLATE ONE $ 260.00 B AND A $ 901.00 B CELL CLONALITY $ 529.00 B12 UNSATURATED BINDING CAP $ 155.00 BAIR HUGGER UNIT $ 60.00 BALLOON DILAT URETERAL STRICTURE W/GUIDE & SUPERV $ 2,079.00 BARBITUATES MECONIUM CONFIRMATION $ 303.00 BASIC METABOLIC PANEL $ 228.00 BCL-1,IHC $ 383.00 BCL-2,IHC $ 383.00 BCR ABL GENE SEQUENCING MAJOR MINOR $ 762.00 BCR_ABL MAJOR BY PCR QUANT $ 380.00 BCR_ABL MINOR BY PCR QUANT $ 380.00 BENZODIAZEPINES 1-12 $ 153.00 BENZODIAZEPINES 13 OR MORE $ 105.00 BENZODIAZEPINES MECONIUM CONFIRMATION $ 288.00 BEREP4,IHC $ 383.00 BETA 2 MICROGLOBULINS $ 185.00 BETA-2-GPI IGA $ 148.00 BETA-2-GPI IGG $ 148.00 BETA-2-GPI IGM $ 148.00 BILIRUBIN DIRECT $ 59.00 BILIRUBIN, TOTAL $ 42.00 BIOFEEDBACK TRAINING PERINEAL ETC EA ADDL 15 MIN $ 101.00 BIOFEEDBACK TRAINING PERINEAL ETC INITIAL 15 MIN $ 245.00 BIOPHYSICAL PROFILE $ 557.00 NEEDLE OR TROCAR $ 3,150.00 BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL $ 4,394.00 BIOPSY BONE_TROC_NDLE SUPERFICIAL $ 1,071.00 BIOPSY NEEDLE PERC $ 4,016.00 BIOPSY PROSTATE ANY APPROACH $ 998.00 BIOPSY SOFT TISSUE OF NECK OR THORAX $ 3,988.00 BIOPSY_LIGATION TEMPORAL ARTERY $ 3,964.00 BIPAP INITIAL DAY $ 967.00 BIPAP SUBS DAY $ 743.00 BIS MONITOR $ 70.00 BLASTOMYCOSIS CF $ 68.00 BLASTOMYCOSIS ID $ 68.00 BLD STOR_PRO PPHR IR $ 1,802.00 BLD STOR_PRO PPHR LEUK RD IR $ 1,802.00 BLD STOR_PRO RC LEUK RD IR $ 944.00 BLEPHAROTOMY I&D ABSCESS $ 399.00 BLOOD COLLECTION CAPILLARY $ 27.00 BLOOD CULTURE $ 273.00 BLOOD GAS W COOX $ 282.00 BLOOD GAS W/O COOX $ 249.00 BLOOD GASES O2 SATURATION ONLY $ 69.00 BLOOD GLUCOSE CHECK $ 48.00 BLOOD PATCH $ 1,295.00 BLOOD PATCH_LD $ 1,297.00 BLOOD ST/PR PLASMA FRZ 8-24 HOUR $ 329.00 BLOOD TYPE ABO $ 117.00 BLOOD TYPE RH (D) $ 82.00 BLOOD TYPE/RBC ANTIGEN $ 305.00 BLOOD-STOR/PROB-PLT-LEUK RED $ 284.00 BLOOD-STOR/PROB-PLT-LEUK RED 2 $ 284.00 BLOOD-STOR/PROB-PLT-LEUK RED 3 $ 284.00 BLOOD-STOR/PROB-PLT-LEUK RED 4 $ 284.00 BLOOD-STOR/PROB-PLT-LEUK RED 5 $ 284.00 BLOOD-STOR/PROC-CRYO $ 204.00 BLOOD-STOR/PROC-FFP $ 329.00 BLOOD-STOR/PROC-PPHR $ 1,680.00 BLOOD-STOR/PROC-PPHR-LEUK RED $ 1,680.00 BLOOD-STOR/PROC-RC LEUKO RED $ 820.00 BNP (B NATRIURETIC PEPTID) $ 240.00 BODY COMPOSITION TESTING $ 148.00 BRAF BY PCR $ 296.00 BRAZIL NUT IGE ALLERGEN $ 17.00 BRONCH W TRANSBRONCH NDLE ASP BX $ 2,006.00 BRONCHO W TRANSBRONCH LUNG BX $ 2,006.00 BRONCHOSCOPY RIGID/FLEX EBUS SAMPLING 1 OR 2 NODE(S) $ 7,298.00 BRONCHOSCOPY RIGID/FLEX EBUS SAMPLING 3/> NODE $ 7,298.00 BRONCHOSCOPY W ASP TRACHEOBRONCH INITIAL $ 4,211.00 BRONCHOSCOPY W BIOPSY $ 2,006.00 BRONCHOSCOPY W BRUSHING $ 2,006.00 BRONCHOSCOPY W REMOVAL FB $ 2,006.00 BRONCHOSCOPY. $ 2,006.00 BRONCHOSCP W BRONCH ALVEOLA LAV $ 2,006.00 BUNDLE OF HIS RECORDING $ 7,959.00 BUPRENORPHINE MECON CONFIRMATION $ 177.00 BWC_CAREWORKS FLUIDOTHERAPY $ 126.00 BX MUSCLE SUPRFICIAL SEP PROC $ 3,964.00 BYPASS PACU_RECOVERY 1 HR $ 772.00 BYPASS PACU-RECOVERY 1HR $ 734.00 C DIFFICILE AMPLIFIED PROBE $ 482.00 C1Q COMPLEMENT PROTEIN $ 92.00 CA 125 $ 215.00 CA 19-9 $ 155.00 CA15-3 $ 223.00 CA27,29 $ 145.00 CADMIUM, BLOOD $ 200.00 CALCITONIN $ 200.00 CALCITONIN,IHC $ 310.00 CALCIUM IONIZED $ 135.00 CALCIUM, BLOOD $ 44.00 CALPROTECTIN, FECAL $ 48.00 CALR MUTATION ANALYSIS $ 393.00 CALRETININ,IHC $ 383.00 CAM 5.2,IHC $ 383.00 CAMTEC BARI BED_DAY $ 200.00 CANDIDA GLABRATAAMPLIFIED PROBE $ 101.00 CANDIDA KRUSEIAMPLIFIED PROBE $ 101.00 CANDIDA SPECIES,DIRECT PROBE TECH $ 123.00 CANDIDA SPECIESAMPLIFIED PROBE $ 101.00 CANNABINOIDS MECONIUM CONFIRMATION $ 128.00 CANNABINOIDS NATURAL $ 105.00 CAR SEAT_BED TEST + 30MIN $ 231.00 CAR SEAT_BED TEST 60MIN $ 236.00 CARBON DIOXIDE $ 59.00 CARBON MONOXIDE $ 171.00 CARBON MONOXIDE DIFFUSING CAPACITY (DLCO) $ 246.00 CARCINOGENIC EMBRYONIC ANTIGEN $ 204.00 CARD REHAB PHASE I $ 118.00 CARD REHAB PHASE II SESSION $ 397.00 CARDIOPULMONARY $ 1,402.00 CARDIOPULMONARY RESUSCITATON $ 1,063.00 CARDIOVERSION ELECTIVE EXTERN $ 2,798.00 CARDIOVERSION,ELECTRIC EXTERNAL $ 2,940.00 CARELESS WEED IGE ALLERGEN $ 17.00 CAROTENE $ 210.00 CASHEW NUT IGE ALLERGEN $ 17.00 CATECHOLAMINES 24HR URINE $ 117.00 CATECHOLAMINES-FRAC PLASMA $ 311.00 CATH BLADDER CPLX $ 315.00 CATH BLADDER NON-INDWELLING $ 145.00 CATH PLACE CORONARY ARTERY/GRAFT ANGIO RT HRT CATH $ 4,909.00 CAUT CHEM TISSUE GRNLTN $ 287.00 CBC & PLATELET NO AUTO-DIFF $ 162.00 CBC & PLATELET WITH AUTO-DIFF $ 223.00 CD 117 IHC $ 152.00 CD 15,IHC $ 383.00 CD 20,IHC $ 383.00 CD 21 IHC $ 152.00 CD 3,IHC $ 383.00 CD 30,IHC $ 383.00 CD 31 IHC $ 152.00 CD 34,IHC $ 383.00 CD 45 (LCA), IHC $ 383.00 CD 56 IHC $ 152.00 CD 68, IHC $ 383.00 CD10,IHC $ 383.00 CD5,IHC $ 383.00 CDX-2,IHC $ 383.00 CEA,IHC $ 383.00 CEACAM 1 CARCINOEMBRYONIC ANTIGEN RELATED CELL ADHESION MOLECULE $ 98.00

CELL BLOCK $ 180.00 CELL CNT W DIFF OTH BODY FLD $ 161.00 CELL CNT W/O DIFF OTH BD FLD $ 144.00 CELL SAVER $ 2,079.00 CENTROMERE AB $ 125.00 CERULOPLASMIN $ 129.00 CFBC EVAL LEVEL 1 $ 265.00 CFTR GENE COM VARIANTS $ 1,408.00 CHANGE CYSTOSTOMY TUBE $ 593.00 CHANGE EXTERNAL/INTERNAL URETERAL CATH $ 4,426.00 CHANGE EXTERNAL/INTERNAL URETERAL CATH BILAT $ 6,641.00 CHANGE TUBE $ 467.00 CHANGE OF CYSTOSTOMY TUBE SIMPLE $ 756.00 CHANGE TUBE NEPHROSTOMY/PYELOSTOMY $ 1,922.00 CHEMICAL CAUTERIZATION $ 478.00 CHEMO IV INFS ADDTL HR $ 1,442.00 CHEMO IV INFUSION EA ADD DRUG < 1HR $ 1,166.00 CHEMO IV INFUSION SINGLE INITIAL DRUG INITIAL HR $ 1,456.00 CHEMO SUBQ IM HORMONAL ANTI NEOPLASTIC $ 213.00 CHEMO SUBQ IM NONHORMONAL ANTI NEOPLASTIC $ 213.00 CHEST PHYSIO_CLAP SUB $ 117.00 CHEST PHYSIOTHER_CLAP INITIAL $ 134.00 INSERTION $ 676.00 CHEST TUBE REMOVAL $ 410.00 CHLAMYDIA AMPLIFICATION $ 177.00 CHLORIDE $ 59.00 CHOLANGIOGRAM PERCUTANEOUS TRANSHEPATIC S&I $ 7,980.00 CHOLESTEROL $ 97.00 CHROMAGRANIN A $ 251.00 CHROMATIN ANTIBODY $ 57.00 CHROMIUM, URINE $ 122.00 CHROMOGRANIN A,IHC $ 383.00 CHROMOSOME ANALYSIS 15-20 (CHGL) $ 818.00 CHROMOSOME ANALYSIS, 5 (CHGL) $ 779.00 CHROMOSOME ANALYSIS,20-25 $ 506.00 CHROMOSOME KARYOTYPE $ 285.00 CIRCUMCISION W CLAMP EXC NWBRN $ 5,402.00 CIRCUMCISION W CLAMP NEWBORN $ 5,402.00 CK (CPK - CREATINE KINASE) $ 122.00 CK 20,IHC $ 383.00 CK 7,IHC $ 383.00 CK 903 (34BE12), IHC $ 383.00 CK34BE12 $ 152.00 CK8 AND 18 $ 152.00 CKMB FRACTION $ 202.00 CLINIC EVAL AND ASSESS $ 224.00 CLINIC PROC_DRESSING CHG_15MIN $ 204.00 CLINIC PROC_PICC LINE REMOVAL $ 90.00 CLINICAL EVAL AND ASSESS $ 265.00 CLINICAL EVAL AND ASSESSMENT $ 278.00 CLL FISH PROFILE $ 453.00 CLOSED TREATMENT OF FEMORAL FRACTURE DISTAL END MEDIAL OR LATERAL CONDYLE W $ 4,200.00 MANIPULATION CLOSURE WOUND DEHISC SPRFCL $ 1,486.00 CLOZAPINE $ 261.00 CML FISH PROFILE $ 453.00 CMV ANTIBODY, IGG $ 101.00 CMV RAPID CULTLURE $ 166.00 CMV, ANTIBODY IGM $ 101.00 C-MYC IHC $ 152.00 CNRL NOSEBLEED POST SUBSEQ $ 394.00 CO2 LASER $ 592.00 MECONIUM CONFIRMATION $ 223.00 COCCIDIOIDOMYCOSIS CF $ 68.00 COCCIDIOIDOMYCOSIS ID $ 68.00 CODE PINK AT DELIVERY $ 575.00 CODEINE/MORPHINE SCREEN $ 116.00 COLD AGGLUTININS $ 53.00 COLLAGEN CROSS LINKS $ 212.00 COLLAGEN MAX AGGREGATION $ 66.00 COLLECT CAPILLARY BLOOD FINGER HEEL EAR STICK $ 28.00 COLLECTION BLOOD CENTRAL PERIPHERAL CATH VENOUS $ 129.00 COLLECTION BLOOD FROM IMPLANT VENOUS DEVICE $ 117.00 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE $ 34.00 FLEXIBLE WITH TRANSENDOSCOPIC BALLOON DILATION $ 3,014.00

COLONOSCOPY FLEXIBLE WITH ENDOSCOPIC MUCOSAL RESECTION $ 3,050.00 COLONOSCOPY WITH APC $ 2,678.00 COLONOSCOPY WITH BIOPSY $ 1,990.00 COLONOSCOPY WITH FOREIGN BODY REMOVAL $ 1,895.00 COLONOSCOPY WITH HOT BIOPSY $ 1,990.00 COLONOSCOPY WITH OR WITHOUT BRUSHWASH $ 1,895.00 COLONOSCOPY WITH $ 1,990.00 COLONOSCOPY WITH SUBMUCOSAL INJECTION $ 2,137.00 COLORFLOW $ 740.00 COLPORRHAPHY NON-OB $ 4,825.00 COMM_WORK REINTEGRATION 15MIN $ 138.00 COMP EP LT ATRI W OR WO IND $ 12,731.00 COMP EP LT VEN W OR WO IND $ 11,624.00 COMP EP RT W INDUCT OR AT $ 15,808.00 COMPLEMENT C2 $ 125.00 COMPLEMENT, C3 $ 138.00 COMPLEMENT, C4 $ 138.00 COMPLEMENT, TOTAL $ 164.00 COMPREHENSIVE METABOLIC PANEL $ 307.00 COMPRESSION THERAPY BIL NON-UNNA $ 604.00 CONCENTRATION FOR INFECT. AGENT $ 53.00 CONCURRENT INFUSION $ 151.00 CONCURRENT INFUSION ED $ 197.00 CONGO RED SPEC STAIN $ 195.00 CONS SEDATION-MOD EA ADDL 15MIN $ 298.00 CONSULT - COMPLEX $ 655.00 CONSULT - INTERMED $ 580.00 CONSULT - SIMPLE $ 505.00 CONTINUING MED PHYSICS $ 660.00 CONTINUOUS CPAP PER SHIFT $ 338.00 CONTRL POST TONSIL HEMORR NONSURG $ 1,496.00 CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX BILATERAL $ 160.00 CONTROL NOSEBLEED ANTERIOR SIMPLE $ 347.00 CONTROL NOSEBLEED ANTERIOR SIMPLE BILATERAL $ 593.00 CONTROL NOSEBLEED EXTENSIVE ANT. $ 396.00 CONTROL NOSEBLEED POSTERIOR INITIAL BILATERAL $ 160.00 CONTROL NOSEBLEED,POSTERIOR $ 396.00 CONTROL NOSEBLEED,SIMPLE ANTERIOR $ 396.00 CONV EXT BIL DRN CATH TO INT/EXT PERC RAD $ 7,980.00 CONVERT NEPHROSTOMY CATH TO NEPHROURETEAL BILATERAL $ 2,882.00 CONVERT NEPHROSTOMY CATH TO PERCUT NEPH/URET NEW ACC $ 1,922.00 COOMBS INDIRECT QL $ 154.00 COPPER (SERUM) $ 189.00 CORONARIES ONLY NO LHC $ 4,877.00 CORONARY W SVG AND OR IMA NO LHC $ 12,506.00 CORONAVIRUS 2019 $ 200.00 CORONER BLOCK $ 75.00 CORTISOL $ 264.00 CORTISOL FREE SALIVA $ 251.00 CORTISOL,FREE 24 HR URINE $ 251.00 COTA APPLICATION OF INFARED LIGHT THERAPY 1 OR MORE AREA $ 26.00 COTA COMM WORK REINTEGRATION 15 MIN $ 244.00 COTA ELECTRICAL STIM ATTENDED 15 MIN $ 153.00 COTA ELECTRICAL STIM UNATTENDED $ 116.00 COTA FLUIDOTHERAPY $ 132.00 COTA IONTOPHORESIS 15 MIN $ 145.00 COTA MANUAL THERAPY 15 MIN $ 202.00 COTA NEURO RE ED 15 MIN $ 215.00 COTA ORTHOTIC FIT TRAIN INITIAL 15 MIN $ 132.00 COTA ORTHOTICS OR PROSTHETICS MGMT&TRN SUBQ ENCOUNTER $ 102.00 COTA PROSTHETIC TRAINING INITIAL 15 MIN $ 175.00 COTA ROM HAND $ 184.00 COTA ROM TESTING TRUNK_EXTREM $ 175.00 COTA SELF CARE HOME MANAGEMENT 15 MIN $ 138.00 COTA THERAPUETIC ACTIVITIES 15 MIN $ 202.00 COTA THERAPUETIC EXERCISE 15 MIN $ 245.00 COTA THERAPUETIC INTERVENTIONS COGNITIVE ADDL 15 MIN $ 72.00 COTA THERAPUETIC INTERVENTIONS COGNITIVE INIT 15 MIN $ 72.00 COTA ULTRASOUND 15 MIN $ 164.00 COTA WC ASSESSMENT FIT AND TRAIN 15 MIN $ 87.00 COTININE/NICOTINE $ 82.00 COXSACKIE B TYPE 1 $ 96.00 COXSACKIE B TYPE 2 $ 96.00 COXSACKIE B TYPE 3 $ 96.00 COXSACKIE B TYPE 4 $ 96.00 COXSACKIE B TYPE 5 $ 96.00 COXSACKIE B TYPE 6 $ 96.00 CPAP TREATMENT $ 197.00 C-PEPTIDE $ 226.00 CPHEUMONIAE PCR $ 53.00 CPLX REPAIR TRUNK 1.1-2.5CM $ 1,754.00 CPLX REPAIR TRUNK 2.6-7.5CM $ 1,754.00 CPLX RPR EAR_NOSE_EYELID <1.0CM $ 1,754.00 CPLX RPR EAR_NOSE_LID 1.1 2.5CM $ 557.00 CPLX RPR FACE_NCK_HAND EA ADD 5CM $ 557.00 CPLX RPR FACE_NECK_HAND 1.1-2.5CM $ 557.00 CPLX RPR FACE_NECK_HAND 2.6 7.5CM $ 557.00 CPLX RPR SCALP_ARM/LEG 1.1-2.5CM $ 557.00 CPLX RPR SCALP_ARM_LEG 2.6-7.5CM $ 557.00 CPLX RPR SCALP_ARM_LEG EA ADD 5CM $ 557.00 C-REACTIVE PROTEIN (CRP) $ 172.00 CREATININE CLEARANCE 24HR URINE $ 162.00 CREATININE, BLOOD $ 97.00 CRITHIDIA LUCILLAE DE ST DNA $ 83.00 CROSSMATCH IMMEDIATE SPIN $ 154.00 CROSSMATCH IS & AHG $ 246.00 CRYOGLOBULIN $ 22.00 CRYPTOCOCCAL AG DETECTION $ 63.00 CRYSTAL ID (JOINT FLUID) $ 139.00 CSF ELECTROPHORESIS $ 145.00 CSF GLUCOSE $ 69.00 CSF PROTEIN $ 112.00 CSF, VDRL, QUAL $ 95.00 CST $ 1,673.00 CT 3D RENDER W POST PROCESS $ 1,629.00 CT 3D RENDER WO POST PROCESS $ 1,196.00 CT ABD PARACENTESIS W_IMAGING $ 2,117.00 CT ABD PEL WO ORAL WWO CONTR $ 2,600.00 CT ABD PELV WO ORAL W IV CONT $ 2,600.00 CT ABD PELV WO ORAL WO IV CONT $ 2,200.00 CT ABD PELVIS W CONTRAST $ 2,600.00 CT ABD PELVIS W WO CONTRAST $ 2,600.00 CT ABD PELVIS WO CONTRAST $ 2,200.00 CT ABD WO ORAL W IV CONT $ 2,200.00 CT ABD WO ORAL WO IV CONT $ 1,800.00 CT ABD WO ORAL WWO IV CONTRAST $ 2,200.00 CT WITH CONTRAST $ 2,200.00 CT ABDOMEN WITHOUT CONTRAST $ 1,800.00 CT ABDOMEN WO W CONTRAST $ 2,200.00 CT ABLAT RENAL TUMR PERC $ 5,471.00 CT ABLAT TUMR LIVER RADIO PER $ 5,471.00 CT ABLAT TUMR RENAL CRYO UNILA $ 9,028.00 CT ABSCESS DRAIN PLEURAL $ 3,413.00 CT ABSCESS GRAM TUBE CHECK $ 541.00 CT ANGIO ABD AND PELV WO_W DYE $ 2,600.00 CT ANGIO ABD W RUNOFF $ 2,200.00 CT ANGIO ABD WO W POST PROCESS $ 2,200.00 CT ANGIO CHEST WO W POST PROCESS $ 2,200.00 CT ANGIO HEAD WO W POST PROCESS $ 2,200.00 CT ANGIO HEART WATCHMAN $ 2,200.00 CT ANGIO LOWER EXTREMITY BI $ 2,200.00 CT ANGIO LOWER EXTREMITY LT $ 2,200.00 CT ANGIO LOWER EXTREMITY RT $ 2,200.00 CT ANGIO NECK WO W POST PROCESS $ 2,200.00 CT ANGIO PELVIS W WO DYE $ 2,200.00 CT ANGIO UP EXTREM LT $ 2,200.00 CT ANGIO UP EXTREM RT $ 2,200.00 CT ANKLE BI W_WO $ 3,300.00 CT ANKLE LT W_WO $ 2,200.00 CT ANKLE RT W_WO $ 2,200.00 CT ANKLE W CON BI $ 3,300.00 CT ANKLE W CON LT $ 2,200.00 CT ANKLE W CON RT $ 2,200.00 CT ANKLE WO CON BI $ 1,800.00 CT ANKLE WO CON LT $ 1,800.00 CT ANKLE WO CON RT $ 1,800.00 CT BIOPSY BONE MARROW NEEDLE OR TROCAR $ 2,857.00 CT BONE MARROW BIOPSY AND ASPIRATION IN SAME SESSION $ 3,988.00 CT BRAIN WITH CONTRAST $ 2,200.00 CT BRAIN WITHOUT CONTRAST $ 1,800.00 CT BRAIN WITHOUT WITH CONTRAST $ 2,200.00 CT BX ABD MASS PERC NEEDLE $ 1,473.00 CT BX ADRENAL GLAND $ 13,500.00 CT BX BONE TROCAR NEEDLE DEEP $ 1,571.00 CT BX BONE TROCAR NEEDLE SUPERFIC $ 1,473.00 CT BX LIVER NEEDLE PERCUTANEOUS $ 1,439.00 CT BX LIVER NEEDLE W OTHER MAJ PR $ 771.00 CT BX LUNG OR MEDIASTINUM PER ND $ 1,473.00 CT BX MUSCLE PERCUTANEOUS NEEDLE $ 1,473.00 CT BX PLEURA PERCUTANEOUS NEEDLE $ 1,473.00 CT BX THYROID NEEDLE PERC $ 856.00 CT BX_EXC LMPH NODE SUPER NDL $ 2,037.00 CT CHANGE ABSCESS DRAIN $ 1,672.00 CT CHEST MSK WITH CONTRAST $ 2,200.00 CT CHEST MSK WITHOUT CONTRAST $ 1,800.00 CT CHEST MSK WITHOUT THEN WITH CONTRAST $ 2,200.00 CT CHEST TUBE INSERTION $ 3,413.00 CT CHEST WITH CONTRAST $ 2,200.00 CT CHEST WITHOUT CONTRAST $ 1,800.00 CT CHEST WITHOUT WITH CONTRAST $ 2,200.00 CT CHNG DRAIN CATH BILIARY $ 4,274.00 CT CHOLECYSTOSTMY PERC COMPLET $ 4,013.00 CT COMPLETE SINUS $ 1,800.00 CT COMPLEX TREATMENT PLANNING $ 2,276.00 CT CYROABLATION BONE $ 6,419.00 CT CYSTOGRAM $ 1,800.00 CT DRAIN INJECT JOINT MAJOR BURSA $ 538.00 CT ELBOW BI WO_W $ 3,300.00 CT ELBOW LT W_WO $ 2,200.00 CT ELBOW RT W_WO $ 2,200.00 CT ELBOW W CON BI $ 3,900.00 CT ELBOW W CON LT $ 2,600.00 CT ELBOW W CON RT $ 2,600.00 CT ELBOW WO CON BI $ 2,700.00 CT ELBOW WO CON LT $ 1,800.00 CT ELBOW WO CON RT $ 1,800.00 CT FINE NEEDLE ASP W_O IMAGING $ 343.00 CT FINE NEEDLE ASPIRATION BIOPSY EACH ADDITIONAL LESION $ 1,698.00 CT FINE NEEDLE ASPIRATION BIOPSY FIRST LESION $ 1,698.00 CT FOOT BI W_WO $ 3,300.00 CT FOOT LT W_WO $ 2,200.00 CT FOOT RT W_WO $ 2,200.00 CT FOOT W CON BI $ 3,300.00 CT FOOT W CON LT $ 2,200.00 CT FOOT W CON RT $ 2,200.00 CT FOOT WO CON BI $ 2,700.00 CT FOOT WO CON LT $ 1,800.00 CT FOOT WO CON RT $ 1,800.00 CT FOR TREATMENT PLANNING $ 270.00 CT FOREARM BI WO_W $ 3,300.00 CT FOREARM LT W_WO $ 2,200.00 CT FOREARM RT W_WO $ 2,200.00 CT FOREARM W CON BI $ 3,900.00 CT FOREARM W CON LT $ 2,600.00 CT FOREARM W CON RT $ 2,600.00 CT FOREARM WO CON BI $ 2,700.00 CT FOREARM WO CON LT $ 1,800.00 CT FOREARM WO CON RT $ 1,800.00 CT GUID CYST ASPIRATION S+I $ 1,650.00 CT GUID NEEDLE BIOPSY RAD S+I $ 1,571.00 CT GUID RAD THER FIELDS N/I $ 1,899.00 CT GUID RAD THERAPY FIELDS $ 1,899.00 CT GUIDED ABSCESS DRAINAGE $ 2,898.00 CT GUIDED STEREOTACTIC LOC $ 1,923.00 CT GUIDED THORACENTESIS $ 779.00 CT GUIDED TISSUE ABLAT $ 2,472.00 CT HAND BI WO_W $ 3,300.00 CT HAND LT W_WO $ 2,200.00 CT HAND RT W_WO $ 2,200.00 CT HAND W CON BI $ 3,900.00 CT HAND W CON LT $ 2,600.00 CT HAND W CON RT $ 2,600.00 CT HAND WO CON BI $ 2,700.00 CT HAND WO CON LT $ 1,800.00 CT HAND WO CON RT $ 1,800.00 CT HIP BI W_WO $ 3,300.00 CT HIP LT W_WO $ 2,200.00 CT HIP RT W_WO $ 2,200.00 CT HIP W CON BI $ 3,300.00 CT HIP W CON LT $ 2,200.00 CT HIP W CON RT $ 2,200.00 CT HIP WO CON BI $ 2,700.00 CT HIP WO CON LT $ 1,800.00 CT HIP WO CON RT $ 1,800.00 CT HRT FOR CABG REDO $ 2,200.00 CT HRT FOR PULMONARY VEIN $ 2,200.00 CT HRT W_3D IMAGE $ 2,200.00 CT HRT W_3D IMAGE BYPASS GRAFT $ 2,200.00 CT HRT W_3D IMAGE CONGEN HRT DX $ 2,200.00 CT HRT W_CAL SCORING ONLY $ 99.00 CT HUMERUS BI WO_W $ 3,300.00 CT HUMERUS LT W_WO $ 2,200.00 CT HUMERUS RT W_WO $ 2,200.00 CT HUMERUS W CON BI $ 3,900.00 CT HUMERUS W CON LT $ 2,600.00 CT HUMERUS W CON RT $ 2,600.00 CT HUMERUS WO CON BI $ 2,700.00 CT HUMERUS WO CON LT $ 1,800.00 CT HUMERUS WO CON RT $ 1,800.00 CT IAC W CON $ 2,200.00 CT IAC WO CON $ 1,800.00 CT IAC WO W CON $ 2,200.00 CT INJ SACROILIAC $ 697.00 CT INJ PARAVERT F JNT C/T 2ND $ 468.00 CT INJ PARAVERT F JNT C/T 3 LEV $ 468.00 CT INJ PARAVERT F JNT C/T SNGL $ 1,327.00 CT INJ PARAVERT F JNT L/S 2ND $ 468.00 CT INJ PARAVERT F JNT L/S 3 LEV $ 468.00 CT INJ PARAVERT F JNT L/S SNGL $ 1,327.00 CT INJ SINUS TRACT STUDY $ 1,258.00 CT INJECT CYSTOGRAM/VOIDING URETHROCYSTOGRAM $ 359.00 CT INSERT GASTRO TUBE PERCUT $ 3,520.00 CT KNEE BI W_WO $ 3,300.00 CT KNEE DEPUY BI $ 2,700.00 CT KNEE LT W_WO $ 2,200.00 CT KNEE PROPHECY WO CONT LT $ 1,800.00 CT KNEE PROPHECY WO CONTR RT $ 1,800.00 CT KNEE RT W_WO $ 2,200.00 CT KNEE W CON BI $ 3,300.00 CT KNEE W CON LT $ 2,200.00 CT KNEE W CON RT $ 2,200.00 CT KNEE WO CON BI $ 2,700.00 CT KNEE WO CON LT $ 1,800.00 CT KNEE WO CON RT $ 1,800.00 CT LIMITED STUDY $ 1,258.00 CT LIVER UNLSTD PROC $ 816.00 CT LOW EXTREM BI W CONTRAST $ 3,300.00 CT LOW EXTREM BI WO CONTRAST $ 2,700.00 CT LOW EXTREM LT W CONTRAST $ 2,200.00 CT LOW EXTREM LT WO CONTRAST $ 1,800.00 CT LOW EXTREM RT WO CONTRAST $ 1,800.00 CT LT FOOT AND ANKLE W CONT $ 2,200.00 CT LT FOOT AND ANKLE WO CONT $ 1,800.00 CT LT FOOT AND ANKLE WO/W CONT $ 2,200.00 CT LUNG CAD $ 207.00 CT LUNG DIAG LOW DOSE W/O CON $ 1,800.00 CT LUNG SCREENING $ 122.00 CT LWR EXT RT W CONTRAST $ 2,200.00 CT MAXILLOFACIAL WITH CONTRAST $ 2,200.00 CT MAXILLOFACIAL WO CONTRAST $ 1,800.00 CT MAXILLOFACIAL WO W CONTRAST $ 2,200.00 CT NEEDLE BIOPSY $ 1,473.00 CT ORBIT SELLA IAC P FOS W CON $ 2,200.00 CT ORBIT SELLA IAC P FOS WO W CON $ 2,200.00 CT ORBIT WO CON $ 1,800.00 CT ORBIT/SELLA/FOSSA/EAR W/O CONTRAST $ 1,800.00 CT PELVIS BONY WITH CONTRAST $ 2,200.00 CT PELVIS BONY WITHOUT CONTRAST $ 1,800.00 CT PELVIS BONY WITHOUT THEN WITH CONTRAST $ 2,200.00 CT PELVIS WITH CONTRAST $ 2,200.00 CT PELVIS WITHOUT CONTRAST $ 1,800.00 CT PELVIS WO WITH CONTRAST $ 2,200.00 CT PERITONEAL LAVAGE $ 1,449.00 CT POST FOSSA W CON $ 2,200.00 CT POST FOSSA WO CON $ 1,800.00 CT POST FOSSA WO W CON $ 2,200.00 CT PROSTATE $ 2,377.00 CT REMOVE FOREIGN BODY PELVIS/HIP SUBQ $ 3,870.00 CT RENAL BIOPSY PERCUTANEOUS $ 1,473.00 CT RT FOOT AND ANKLE W CONT $ 2,200.00 CT RT FOOT AND ANKLE WO CONT $ 1,800.00 CT RT FOOT AND ANKLE WO/W CONT $ 2,200.00 CT SACRUM AND COCCYX WO CONTRST $ 1,800.00 CT SELLA W CON $ 2,200.00 CT SELLA WO W CON $ 2,200.00 CT SHOULDER BI WO_W $ 3,300.00 CT SHOULDER LT W_WO $ 2,200.00 CT SHOULDER RT W_WO $ 2,200.00 CT SHOULDER TOTAL LEFT $ 1,800.00 CT SHOULDER TOTAL RIGHT $ 1,800.00 CT SHOULDER W CON BI $ 3,900.00 CT SHOULDER W CON LT $ 2,600.00 CT SHOULDER W CON RT $ 2,600.00 CT SHOULDER WO CON BI $ 2,700.00 CT SHOULDER WO CON LT $ 1,800.00 CT SHOULDER WO CON RT $ 1,800.00 CT SINUSES LMTD WO CONT $ 1,800.00 CT SOFT TISSUE NECK WITH CONTRAST $ 2,200.00 CT SOFT TISSUE NECK WO CONTRAST $ 1,800.00 CT SOFT TISSUE NECK WO W CONTRAST $ 2,200.00 CT SPINE CERVICAL W_WO CONTRAST $ 2,200.00 CT SPINE CERVICAL W_WO CONTRAST MSK $ 2,200.00 CT SPINE CERVICAL WITH CONTRAST $ 2,600.00 CT SPINE CERVICAL WITH CONTRAST MSK $ 2,600.00 CT SPINE CERVICAL WO CONTRAST $ 1,800.00 CT SPINE CERVICAL WO CONTRAST MSK $ 1,800.00 CT SPINE LUMBAR W/WO CONTRAST $ 2,200.00 CT SPINE LUMBAR W/WO CONTRAST MSK $ 2,200.00 CT SPINE LUMBAR WITH CONTRAST $ 2,600.00 CT SPINE LUMBAR WITH CONTRAST MSK $ 2,600.00 CT SPINE LUMBAR WITHOUT CONTRAST $ 1,800.00 CT SPINE LUMBAR WITHOUT CONTRAST MSK $ 1,800.00 CT SPINE THORACIC W_WO CONTRAST $ 2,200.00 CT SPINE THORACIC W_WO CONTRAST MSK $ 2,200.00 CT SPINE THORACIC WITH CONTRAST $ 2,200.00 CT SPINE THORACIC WITH CONTRAST MSK $ 2,200.00 CT SPINE THORACIC WO CONTRAST $ 1,800.00 CT SPINE THORACIC WO CONTRAST MSK $ 1,800.00 CT STEALTH CERVICAL SPINE W/O CONTRAST $ 1,800.00 CT STEALTH LUMBAR WO CONT $ 1,800.00 CT THIGH BI W_WO $ 3,300.00 CT THIGH LT W_WO $ 2,200.00 CT THIGH RT W_WO $ 2,200.00 CT THIGH W CON BI $ 3,300.00 CT THIGH W CON LT $ 2,200.00 CT THIGH W CON RT $ 2,200.00 CT THIGH WO CON BI $ 2,700.00 CT THIGH WO CON LT $ 1,800.00 CT THIGH WO CON RT $ 1,800.00 CT TIB FIB BI W_WO $ 3,300.00 CT TIB FIB LT W_WO $ 2,200.00 CT TIB FIB RT W_WO $ 2,200.00 CT TIB FIB W CON BI $ 3,300.00 CT TIB FIB W CON LT $ 2,200.00 CT TIB FIB W CON RT $ 2,200.00 CT TIB FIB WO CON BI $ 2,700.00 CT TIB FIB WO CON LT $ 1,800.00 CT TIB FIB WO CON RT $ 1,800.00 CT UP EXTREM BI WITH CONTRAST $ 3,900.00 CT UP EXTREM BI WO CONTRAST $ 2,700.00 CT UP EXTREM LT WITH CONTRAST $ 2,600.00 CT UP EXTREM LT WO CONTRAST $ 1,800.00 CT UP EXTREM RT WITH CONTRAST $ 2,600.00 CT UP EXTREM RT WO CONTRAST $ 1,800.00 CT VIRTUAL COLONOSCOPY SCREENING $ 1,971.00 CT VIRTUAL COLONSOCOPY $ 1,800.00 CT VTI GUIDED STEREOTACTIC LOC $ 1,923.00 CT WRIST BI WO_W $ 3,300.00 CT WRIST LT W_WO $ 2,200.00 CT WRIST RT W_WO $ 2,200.00 CT WRIST W CON BI $ 3,900.00 CT WRIST W CON LT $ 2,600.00 CT WRIST W CON RT $ 2,600.00 CT WRIST WO CON BI $ 2,700.00 CT WRIST WO CON LT $ 1,800.00 CT WRIST WO CON RT $ 1,800.00 CU-ANTIGEN DETECTION-GIARDIA $ 129.00 CU-FUNGUS ISOL (SKIN,HAIR,NAILS) $ 145.00 CU-GC SCREEN $ 88.00 CU-LEUKOCYTE COUNT, FECAL $ 63.00 CULTURE MYCOPLASMA $ 258.00 CULTURE TYPING ID NUCLEIC ACID PROBE $ 202.00 CULTURE, ACID FAST $ 237.00 CULTURE, CATHETER TIP $ 138.00 CULTURE, CMV $ 161.00 CULTURE, , EAR, MOUTH $ 193.00 CULTURE, FUNGUS ISOLATION $ 169.00 CULTURE, GENITAL $ 193.00 CULTURE, HERPES $ 111.00 CULTURE, MISCELLANEOUS $ 138.00 CULTURE, MYCOPLASMA HOMINIS $ 66.00 CULTURE, NOSE/THROAT $ 193.00 CULTURE, SPUTUM/LOWER RESP $ 138.00 CULTURE, STAPH $ 138.00 CULTURE, STOOL $ 132.00 CULTURE, STREP SCREEN $ 129.00 CULTURE, URINE $ 119.00 CULTURE,YEAST SCREEN $ 131.00 CULTURE-CSF $ 108.00 CULTURE-WOUND AEROBIC $ 193.00 CULTURE-WOUND ANAEROBIC $ 193.00 CYCLIC CIT.PEPTIDE,AB,IGG $ 97.00 CYCLOSPORINE $ 168.00 CYSTO W OR W/O IRRIG OR FOLEY $ 1,386.00 CYTOLOGY, URINE $ 137.00 CYTOLOGY,BODY FLUID $ 101.00 CYTOLOGY,BRUSHING $ 137.00 CYTOLOGY,SPUTUM $ 213.00 CYTOLOGY,WASHING $ 156.00 CYTOMEGALOVIRUS BY PCR $ 384.00 CYTOPATHOLOGY SMEAR $ 96.00 CYTOPATHOLOGY, FISH, URINARY TRACT SPECIMEN WITH MORPHOMETRIC ANALYSIS $ 1,021.00

D DIMER $ 169.00 D2-40 IHC $ 152.00 DAVINCI SET UP $ 2,674.00 DEBR BONE UP TO 20SQ CM $ 2,410.00 DEBR MUSCLE UP TO 20SQ CM $ 956.00 DEBR MUSCLE_FASCIA EA ADDL 20SQCM $ 919.00 DEBR OPN WND EA ADDTL 20SQ CM $ 620.00 DEBR OPN WND UP TO 20SQ CM $ 620.00 DEBR SUBQ TISSUE UP TO 20SQ CM $ 956.00 DEBRID SKIN AND SUBQ $ 746.00 DEBRID SKIN FULL THICKNESS $ 436.00 DEBRID SKIN SUBQ MUSCLE & BONE $ 4,232.00 DEBRID SKIN, SUBQ MUSCLE & BONE $ 1,969.00 DEBRID SKIN,SUBQ & MUSCLE $ 746.00 DEBRIDE FOREIGN MATTER SUBQ $ 1,407.00 DEBRIDE OF NAIL >5 $ 260.00 DEBRIDE SKIN/SUBQ TISSUE 1ST 20 SQ CM $ 966.00 DEBRIDEMENT BONE EA ADDL 20SQ CM $ 2,851.00 DEBRIDEMENT MUSCLE AND OR FASCIA INCLUDES EPIDERMIS AND SUBCUTANEOUS TISSUE IF $ 1,491.00 PERFORMED FIRST 20 SQ CM OR LESS DEBRIDEMENT OF NAIL(S) 1-5 $ 172.00 DEBRIDEMENT OF NAILS 1 TO 5 $ 260.00 DEBRIDEMENT SQ EA ADDL 20SQ CM $ 919.00 DEBRIDEMENT WOUND 1ST 20 SQ CM $ 589.00 DECLOT VAD OR CATH W THROMBOLYTIC $ 793.00 DECLOT VAD_IMPLANT CATH W_THROMBO $ 756.00 DECLOT VENOUS DEVICE W THROMBOLYTIC AGENT $ 715.00 DECLOTTING/THROMBOLYTIC AGENT $ 908.00 DEFINITIVE ID AEROBE $ 84.00 DEFINITIVE ID AEROBE #2 $ 82.00 DEFINITIVE ID AEROBE #3 $ 82.00 DEFINITIVE ID AEROBE #4. $ 82.00 DEFINITIVE ID AEROBE #5 $ 62.00 DEFINITIVE ID ANAEROBE $ 132.00 DEFINITIVE ID ANAEROBE #2 $ 97.00 DELIVERY VAGINAL ONLY $ 4,799.00 DEMO AND/OR EVAL OF PT UTILIZATION OF AEROSOL GENERATOR, , METERED DOSE $ 232.00 OR IPPB DEVICE DENTAL NERVE BLOCK (ONLY) $ 368.00 DESMIN IHC $ 152.00 DEST NRV CERV_THOR EA ADD BI $ 872.00 DEST NRV CERV_THOR SGL BILAT $ 2,489.00 DEST NRV LUMB_SACR EA ADD BI $ 2,489.00 DEST NRV LUMB_SACR SGL BILAT $ 4,295.00 DESTROY BENGN/PREMALG LESION 2-14 $ 87.00 DESTROY BENIGN LESIONS UP TO 14 $ 149.00 DESTROY BENIGN/PREMALIG LESION $ 541.00 DESTROY C_TH FACET JNT ADDL $ 793.00 DESTROY CERV_THOR FACET JNT $ 2,268.00 DESTROY L_S FACET JNT ADDL $ 2,268.00 DESTROY LUMB_SAC FACET JNT $ 3,896.00 DESTRUCT OF LESIONS PENIS COMPL $ 5,313.00 DESTRUCT OF LESIONS PENIS SIMPL $ 4,499.00 DESTRUCTION BY NEUROLYTIC AGENT SYMPATHETIC NERVES $ 2,352.00 DESTRUCTION BY NEUROLYTIC AGENT SYMPATHETIC NERVES BILATERAL $ 3,528.00

DEXA BONE DENSITY WITH FOREARM $ 767.00 DEXTROSE,NEWBORN $ 26.00 DHEA SULFATE $ 298.00 DHEA UNCONJUGATED $ 92.00 DIABETES LITERATURE $ 24.00 DIABETES MANAGEMENT 1/2 HR-IND $ 146.00 DIABETES MGMT 1/2 HR GRP $ 80.00 DIBUCAINE NUMBER $ 34.00 DIGOXIN $ 188.00 DILANTIN LEVEL (PHENYTOIN) $ 180.00 DILANTIN-FREE $ 156.00 DILUTE RVTT $ 110.00 DILUTE RVVT CONFIRM $ 191.00 DILUTE RVVT MIX $ 191.00 DILUTE VIPER VENOM TIME 2 $ 96.00 DIPTHERIA TOXOID IGG $ 97.00 DIRECT ADMISSION OF PATIENT FOR HOSPITAL OBSERVATION CARE $ 1,615.00 DIRECT COOMBS TEST $ 54.00 DNA ANTIBODIES DOUBLE STR $ 177.00 DNA ANTIBODY (NATIVE) $ 83.00 DNASE SENSITIVITY 1st ANTIBODY $ 305.00 DNASE SENSITIVITY EA ADDL $ 148.00 DOBUTAMINE STRESS ECHO $ 3,474.00 DOBUTAMINE STRESS TEST $ 1,666.00 DOSMETRY-BASIC $ 540.00 DPNS TREAT-CCR $ 546.00 DPNS TREAT-OP $ 546.00 DRAIN ABSC SCROTAL WALL $ 4,232.00 DRAIN ABSC/CYST MOUTH SMP $ 1,780.00 DRAIN ABSC/HEMAT NASAL $ 641.00 DRAIN ABSCESS HEMATOMA GUM $ 483.00 DRAINAGE OF COMPL FINGER ABSCESS $ 4,232.00 DRAINAGE OF SIMPLE FINGER ABSCESS $ 347.00 DRESS/DEBR BRM 5-10% TTL MED $ 305.00 DRESS/DEBRIDE >10% TOTAL LARGE $ 2,961.00 DRESS/DEBRIDE PART-THICK BURN <5% INIT OR SQ SM $ 1,895.00 DRESS_DEBRIDE PART THICK BURN MD $ 866.00 DRESSING CHANGE > 30 MINUTES $ 609.00 DRESSING CHANGE >30 MINUTES $ 583.00 DRESSING CHANGE 15 MINUTES $ 226.00 DRESSING CHANGE 30 MINUTES $ 413.00 DRIVING SIMULATION TEST $ 446.00 DRUG ANALYSIS,COMP,ORAL FLUID $ 315.00 DRUG ASSAY $ 237.00 DRUG SCREEN AMPHETAMINES 1/2 $ 89.00 DRUG SCREEN CLASS LIST A $ 911.00 DRUG SCREEN QUANT GABAPENTIN $ 105.00 DRUG SCREEN QUANTALCOHOLS $ 105.00 DRUG SCREEN,QUANT,ALCOHOLS $ 244.00 DRUG SCREENING BARBITURATES $ 105.00 DRUG SCREENING BUPRENORPHINE $ 105.00 DRUG SCREENING COCAINE $ 105.00 DRUG SCREENING FENTANYL $ 105.00 DRUG SCREENING METHADONE $ 105.00 DRUG SCREENING OXYCODONE $ 105.00 DRUG SCREENING PROPOXYPHENE $ 105.00 DRUG SCREENING TRAMADOL $ 105.00 DRUG TEST PRSMV CHEM ANLYZR $ 420.00 Drug test(s) definitive 22+ $ 519.00 Drug test(s) presumptive $ 132.00 DUCK FEATHERS IGE ALLERGEN $ 17.00 DUPLEX ABDOMEN/PELVIS/RETROPERITONEAL COMPLETE $ 695.00 E HISTOLYTICA IGG AB $ 148.00 EBV TO VIRAL CAPSID AG,IGG $ 71.00 EBV TO VIRAL CAPSID AG,IGM $ 71.00 E-CADHERIN,IHC $ 383.00 ECHO 2D W CONTRAST $ 2,955.00 ECHO TEE COMPLETE W/INTERP & REPORT $ 2,546.00 ECHOCARDIOGRAM 2D WO CONTRAST $ 2,955.00 ECHOVIRUS TYPE 30 AB $ 91.00 ECHOVIRUS TYPE 4 AB $ 96.00 ECHOVIRUS TYPE 7 AB $ 96.00 ECHOVIRUS TYPE 9 AB $ 96.00 ECHOVIRUS TYPE II AB $ 96.00 ECM1 SNP $ 175.00 ECT PREOPERATIVE CHARGE $ 336.00 ED I&D CYST PILONIDAL COMPLEX $ 1,869.00 ED TX FX TIBIAL SHAFT W/MANIP CLOSED $ 4,405.00 EEG $ 1,042.00 EEG - CEREBRAL SILENCE $ 903.00 EEG - PROLONGED SLEEP $ 1,607.00 EEG EXTENDED MONITORING > 1 HR $ 994.00 EEG EXTENDED MONITORING TO 1 HR $ 725.00 EEG PORTABLE AWAKE_ASLEEP $ 1,082.00 EEG-AWAKE AND ASLEEP $ 697.00 EGD BANDING $ 2,021.00 EGD W BRUSHING $ 2,021.00 EGD W CAUTERY $ 2,021.00 EGD W INJ SUBMUCOSAL DIRECTED $ 2,447.00 EGD W OR W/O BX WASHINGS $ 2,021.00 EGD W PEG $ 2,021.00 EGD W POLYP REMOVAL $ 2,021.00 EGD W PYLORIC DILATION $ 2,189.00 EGD W REMOVAL FB $ 2,021.00 EGD W SCLERO $ 2,021.00 EGD WITH APC $ 2,767.00 EGD. $ 2,021.00 EGFR MUTATION BY PCR $ 4,855.00 EIA HIV AB W HIV1 AND HIV2 AGS $ 110.00 EIA QL H PYLORI ANTIGEN STOOL $ 142.00 EIMT 71101 MNT 1/4HR IND INITIAL $ 69.00 EIMT 71101 MNT 1/4HR IND REASSESS $ 67.00 EKG $ 390.00 ELECT ANALYSIS LOOP RCDR $ 116.00 ELECTRICAL STIM-UNATTENDED $ 116.00 ELECTROCONVULSIVE THERAPY $ 1,743.00 ELECTROLYTE I $ 164.00 ELECTRONIC CROSSMATCH $ 154.00 ELECTROPHORESIS,PROTEIN $ 365.00 EMA,IHC $ 383.00 EMBOLIZATION/OCCLUSION DIALYSIS $ 16,821.00 EMERGENCY CALL CASE $ 971.00 EMMPRIN EXTRACELLULAR MATRIX METALLOPROTEINASE INDUCER $ 98.00 ENDOLUMINAL BIOPSY BILIARY TREE PERQ ANY METHOD $ 1,103.00 ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL $ 4,310.00 ENDOMYSIAL IGA AB TITER $ 125.00 INTESTINE SMALL $ 3,250.00 ENDOSCOPY NASAL/SINUS W/CONTRL NASAL HEMRRHG $ 3,203.00 ENDOTRACHEAL INTUBATION $ 992.00 ENTEROVIRUS PCR $ 332.00 ENUCLEATION_EX THROMB HEMOR_EXT $ 971.00 ENV ABD AORTAGRAM $ 3,124.00 ENV ANGIOGRAM THORACIC $ 4,932.00 ENV REMOVE TUNNEL WO PORT PUMP $ 1,208.00 ENV REPOSE VENOUS CATH $ 1,750.00 EP & ABLATE SUPRAVENT ARRHYT $ 23,378.00 EP & ABLATE VENTRIC TACHY $ 22,108.00 EP EVAL OF ICD $ 2,090.00 EP INSERT ICD DUAL SYS $ 69,358.00 EP INSERT ICD SNGL SYS $ 61,184.00 EP REMV & REPLC CVD GEN DUAL $ 35,112.00 EPICOCCUM PURPURASCENS $ 62.00 EPIDURAL LYSIS SINGLE DAY $ 3,686.00 EPINEPHRINE MAX AGGREGATION $ 66.00 EPSTEIN-BARR VIRUS,EARLY AG $ 68.00 EPSTEIN-BARR VIRUS,NUC AG AB $ 68.00 ER DENTOALVEOLAR UNLSTD PROC $ 326.00 ER I&D BURSA ARM/ELBOW DEEP $ 4,268.00 ER IMMUN ADMIN 1 VACC PERC/IM/SUB-Q/ID $ 65.00 ER INJECT ANES NERVE GREATER OCCIPITAL $ 704.00 ER IV INFUSION FOR THER/PROPH/DIAG CONCURRENT $ 197.00 ER LEVEL 1 $ 394.00 ER LEVEL 1 W PROCEDURES $ 394.00 ER LEVEL 2 $ 625.00 ER LEVEL 2 W PROCEDURES $ 625.00 ER LEVEL 3 $ 1,113.00 ER LEVEL 3 W PROCEDURES $ 1,113.00 ER LEVEL 4 $ 1,643.00 ER LEVEL 4 W PROCEDURES $ 1,643.00 ER LEVEL 5 $ 2,630.00 ER LEVEL 5 W PROCEDURES $ 2,630.00 ER LEVEL 6 CRIT CARE ADD'L 30MIN $ 2,221.00 ER LEVEL 6 CRIT CARE W PROCEDURES $ 2,846.00 ER LEVEL 6/CRIT CARE 30-74 MIN $ 2,846.00 ER MEASURE POST-VOID URINE BY $ 181.00 ER THORACOTOMY WITH CARDIAC MASSAGE $ 4,757.00 ER TRIMMING NAILS NONDYSTRPHC $ 172.00 ER TX DISL CARPOMETOCARPO THMB $ 389.00 ER TX DISLOC SHOULDER W/MANIP W/ANES CLOSED $ 4,022.00 ER TX DISLOCATION JAW CLOSED $ 457.00 ER TX FX NASAL SEPTAL CLOSED 21337 $ 6,862.00 ER,IHC $ 383.00 ERCP W BALLOON DILATION DUCTS $ 4,720.00 ERCP W BRUSHING $ 4,720.00 ERCP W BX $ 4,720.00 ERCP W SPHINCTEROTOMY OR STENT $ 4,720.00 ERCP W STENT PLACEMENT $ 4,720.00 ERCP W STONE CRUSHING $ 3,932.00 ERCP W STONE REMOVAL $ 4,720.00 ERYTHROPOIETIN $ 124.00 ESOPHAGEAL DILATION $ 1,769.00 ESTABLISHED PATIENT LEVEL 2 $ 326.00 ESTABLISHED PATIENT LEVEL 3 $ 434.00 ESTABLISHED PATIENT LEVEL 4 $ 541.00 ESTABLISHED PATIENT LEVEL 5 $ 709.00 E-STIM ATTEND-15 MIN $ 153.00 ESTRADIOL SERUM $ 246.00 ESTRIOL (RIA) TRP CK $ 156.00 ESTROGEN SERUM FRACTIONATED $ 277.00 ESTROGEN TOTAL $ 269.00 ESTRONE, SERUM $ 257.00 ET CO2 MONITOR $ 60.00 ETCO2 THERAPY PROCEDURE $ 194.00 ETHOSUXIMIDE $ 169.00 ETHYLENE GLYCOL $ 305.00 EVACUATION OF SUBUNGUAL HEMATOMA $ 328.00 EVAL SPEECH GEN DEV 1ST HR $ 688.00 EX BENIGN LESION ANY AREA >4CM $ 4,163.00 EX BENIGN LESION ANY AREA 0.1-3CM $ 1,124.00 EX BENIGN LESION ANY AREA 3.1-4CM $ 2,263.00 EX CYST FIBRO_LESION BREAST $ 5,035.00 EX EXT HEMOR TAG_PAPILLAI MULTI $ 4,893.00 EX ISCHIAL PRES ULCR W FLAP CLOSE $ 4,331.00 EX MALIG LESION ANY AREA >4CM $ 5,455.00 EX MALIG LESION ANY AREA 0.1-3CM $ 2,263.00 EX MALIG LESION ANY AREA 3.1-4CM $ 4,373.00 EXC NAIL AND MATRIX PERM REMOVAL $ 1,071.00 EXC TUMR FACE/SCALP SUBQ 2+CM $ 2,452.00 EXC WEDGE SKIN NAIL FOLD $ 966.00 EXCH BILIARY DRAINAGE CATH PERC RAD $ 7,980.00 EXCHANGE NEPHROSTOMY CATHETER PRQ WITH IMAGING GUIDANCE AND RADIOLOGICLA $ 2,882.00 SUPERVISON AND INTERP BILATERAL EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM $ 1,895.00 EXCISION LESION BENIGN TRUNK/ARM/LEG 2.1-3.0CM $ 3,455.00 EXCISION LESION BENIGN TRUNK/ARM/LEG 3.1-4.0CM $ 3,455.00 EXCISION SINGLE TAG,ANUS $ 4,657.00 EXER STRESS ECHOCARDIOGRAM $ 3,802.00 EXERCISE PRESCRIPTION $ 215.00 EXERCISE STRESS W CARDIOLITE $ 1,673.00 EXERCISE TEST FOR BRONCHOSPASM $ 343.00 EXP BARI BED_DAY $ 278.00 EXPLORE PENETRATING WOUND NECK $ 1,496.00 EXTERNAL CEPHALIC VERSION $ 2,681.00 EXTRACT STONE BILIARY DUCT PERC $ 1,570.00 F2 GENE $ 478.00 F5 GENE $ 478.00 FACTOR IX $ 322.00 FACTOR V $ 322.00 FACTOR VII $ 338.00 FACTOR VIII- CLOTTING ASSAY $ 186.00 FACTOR X $ 322.00 FACTOR XIIIa IHC $ 152.00 FECAL FAT, QUAL $ 56.00 FECAL LACTOFERRIN $ 42.00 FERRITIN $ 159.00 FETAL BLEED SCREEN $ 40.00 FETAL FIBRONECTIN $ 305.00 FETAL HGB STAIN (KLEIHAUER) $ 355.00 FETAL MONITORING_NON STRESS TEST $ 567.00 FIBRIN SPLIT PRODUCTS $ 156.00 FIBRINOGEN $ 204.00 FIBRINOGEN ANTIGEN $ 213.00 FIBRINOLYSINS SCREEN I&R $ 34.00 FINE NEEDLE ASPIRATION (FNA) $ 364.00 FIRST TRIMESTER SCAN $ 455.00 FISH,EA ADDL SNGL PROBE STAIN $ 296.00 FK06(PROGRAF) $ 168.00 FLA2 ELISA $ 53.00 FLEX LARYNGOSCOPY W/REMOVAL FB $ 945.00 FLEXIBLE LARYNGOSCOPY $ 457.00 FLEXIBLE $ 788.00 FLEXIBLE SIGMOIDOSCOPY WITH STENT PLACEMENT $ 6,720.00 FLOW CYTOMETRY 1ST MARKER TECH $ 305.00 FLOW CYTOMETRY ADDL MRKR TECH $ 106.00 FLUID ALBUMIN $ 95.00 FLUID CREATININE $ 91.00 FLUID GLUCOSE $ 69.00 FLUID HEMATOCRIT $ 38.00 FLUID LDH $ 97.00 FLUID PROTEIN $ 112.00 FLUIDO $ 132.00 FLUORESCENT AB SCREEN 1 $ 65.00 FLUORESCENT AB SCREEN 2 $ 65.00 FLUORO NEEDLE LOCALIZATION $ 596.00 FLUORO UP TO 1 HOUR $ 740.00 FNA WITH ASSISTANCE $ 371.00 FOLIC ACID (SERUM FOLATE) $ 169.00 FRACTIONAL FLOW RATE 93571 $ 4,289.00 FRACTNL FLW RATE EA ADD 93572 $ 4,289.00 FREE T3 $ 249.00 FREE T4 $ 337.00 FROZEN PLASMA THAWING $ 154.00 FROZEN SECT W BLOCK $ 237.00 FROZEN SECT W BLOCK EA ADDTL $ 198.00 FRUCTOSAMINE $ 54.00 FSH (GONADO PIT) $ 345.00 FTSG FACE LESS THAN 20 SQ CM $ 1,607.00 FULL THICKNESS SKIN GRAFT FREE $ 4,762.00 FUNCTIONAL CAP ASSESS 15 MIN $ 149.00 FUNGAL SUSCEPTIBILITY $ 36.00 FUNGUS ISOLATION CULTURE $ 34.00 G 6PD QUANT $ 66.00 G TUBE REPOSITIONING $ 2,326.00 GABAPENTIN $ 134.00 GAIT TRAINING-15 MIN $ 168.00 GALACTOSE QUANT PLASMA $ 338.00 GAMMA GLUT TRANSP (GGTP) $ 122.00 GAMMAGLOBULIN IGA $ 65.00 GAMMAGLOBULIN IGD $ 122.00 GAMMAGLOBULIN IGE $ 68.00 GAMMAGLOBULIN IGG $ 65.00 GAMMAGLOBULIN IGM $ 65.00 GANGLION IMPAR BLOCK $ 761.00 GAP COMM REINITEGRATION 15MIN $ 131.00 GAP OCCUPATIONAL THERAPY EVALUATION HIGH COMPLEXITY $ 551.00 GAP OCCUPATIONAL THERAPY EVALUATION LOW COMPLEXITY $ 460.00 GAP OCCUPATIONAL THERAPY EVALUATION MODERATE COMPLEXITY $ 515.00 GAP OCCUPATIONAL THERAPY RE EVALUATION $ 184.00 GAP ORTHOTIC FIT_TRAIN 15MIN $ 126.00 GAP SELF CARE HOME MGTMT 15 MIN $ 138.00 GAP THER ACTIVITIES 15MIN $ 202.00 GAP THERAPEUTIC EXER 15MIN $ 233.00 GARDNERELLA VAGINALIS,DIRECT PRBE $ 69.00 GAS DILUTION/WASHOUT DETERMINE LUNG VOL DISTRIB $ 207.00 /ASPIRATION $ 777.00 GASTRIC-OCCULT BLOOD $ 82.00 GASTRIN (SERUM) $ 272.00 GASTRO-ESOPH REFLUX TEST $ 1,712.00 GCDFP,IHC $ 310.00 CROSSMATCH (IGG) $ 246.00 GENERAL HEALTH PANEL $ 843.00 GENET VIRUS ISOLATE HSV $ 74.00 GENTAMYCIN (TROUGH/RANDOM) $ 91.00 GENTAMYCIN PEAK $ 91.00 GEROPSYCH UNIT $ 1,855.00 GIARDIA CRYPTOSPORIDIUM EHISTOLYTICAAMPLIFIED PROBE $ 350.00 GLIADIN IGA AB $ 68.00 GLIADIN IGG AB $ 68.00 GLIDESCOPE $ 60.00 GLUCOMETRY $ 46.00 GLUCOMETRY ED $ 48.00 GLUCOMETRY HPM $ 5.00 GLUCOMETRY NUP $ 48.00 GLUCOSE $ 78.00 GLUCOSE 1 HR PD (GLUCOLA) $ 75.00 GLUCOSE 2 HR PD (GLUCOLA) $ 75.00 GLUCOSE 2 HR PP $ 95.00 GLUCOSE TOLERANCE, 3 SPEC $ 221.00 GLUCOSE,EACH ADDTIONAL $ 86.00 GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN $ 315.00 GRAFT SPLIT TRUNK/ARM/LEG FIRST 100CM ADULT OR 1% CHLD $ 8,353.00 GRAM STAIN $ 82.00 GROWTH HORMONE $ 96.00 GRPB STRP DNAAMPLIFIED PROBE $ 101.00 H. PYLORI IGA AB $ 56.00 H. PYLORI IGM AB $ 236.00 HACKBERRY TREE IGE ALLERGEN $ 17.00 HAEMOPHILUS INFLUENZAE B IGG $ 235.00 HAEMOPHILUS INFLUENZAE TYPE B ANTIGEN LA $ 86.00 HAND THERAPY EVALUATION HIGH COMPLEXITY 60 MIN $ 550.00 HAND THERAPY EVALUATION LOW COMPLEXITY 30 MIN $ 460.00 HAND THERAPY EVALUATION MODERATE COMPLEXITY 45 MIN $ 516.00 HAND THERAPY RE EVALUATION $ 183.00 HAPTOGLOBIN QUANT $ 172.00 HARVEST SKIN FOR TISSUE CULTURED ALLOGRAFT 100 cm2 or less $ 4,762.00 HAZELNUT IGE ALLERGEN $ 17.00 HB SCREN BY HPLC $ 84.00 HCG (QT) TRP CK $ 162.00 HCG QUANTITATIVE $ 331.00 HCG SERUM QUALITATIVE $ 170.00 HCG URINE QUALITATIVE $ 170.00 HCG URINE QUALITATIVE HPM $ 170.00 HCG URINE QUALITATIVE SDS $ 163.00 HDL CHOLESTEROL $ 159.00 HELICOBACTER PYLORI AB, IGG $ 350.00 HEMATOCRIT $ 56.00 HEMODIALYSIS - OVER 4 HOURS $ 698.00 HEMODIALYSIS TREATMENT OVER 4 HOURS $ 698.00 HEMODIALYSIS TREATMENT ROUTINE $ 1,496.00 HEMODIALYSIS CANC W SUPPLY $ 746.00 HEMODIALYSIS CANC W_O SUPPLY $ 305.00 HEMODIALYSIS CANC WITH SUPPLY $ 746.00 HEMODIALYSIS CANC WITHOUT SUPPLY $ 305.00 HEMODIALYSIS EMERGENCY TREATMENT $ 2,300.00 HEMODIALYSIS EMERGENCY TREATS $ 2,300.00 HEMODIALYSIS TREATMENTS $ 1,496.00 HEMOGLOBIN $ 46.00 HEMOGLOBIN A1C $ 125.00 HEMOGLOBIN A2 BY ELECTROPHORESIS $ 110.00 HEMOGLOBIN ELECT ALKALINE $ 92.00 HEMOGLOBIN ELECTROPHORESIS $ 62.00 HEMOGLOBIN VARIANT HPLC $ 38.00 HEMOGLOBIN, FETAL BY ELECTROPHORESIS $ 83.00 HEMORRHOIDECT SIMPLE LIGATURE EXT $ 1,019.00 HEMOSIDERIN, URINE,QUAL $ 66.00 HEP C RNA BY PCR-QUANTITY $ 552.00 HEPARIN FXA INHIBITION $ 90.00 HEPATIC FUNCTION PANEL $ 256.00 HEPATITIS A AB IGG+IGM $ 169.00 HEPATITIS A IGM AB $ 161.00 HEPATITIS B CORE AB, IGM $ 90.00 HEPATITIS B CORE ANTIBODY $ 68.00 HEPATITIS B SURF AG CONF $ 189.00 HEPATITIS B SURFACE ANTIBODY $ 129.00 HEPATITIS B SURFACE ANTIGEN $ 96.00 HEPATITIS B VIRAL DNA, ULTRA QUANT $ 194.00 HEPATITIS BE ANTIBODY $ 97.00 HEPATITIS BE ANTIGEN $ 51.00 HEPATITIS C ANTIBODY $ 116.00 HEPATITIS C GENOTYPE. $ 932.00 HEPATITIS DELTA ANTIBODY $ 106.00 HER2 BY PCR $ 432.00 HER2 FISH $ 380.00 HER2/NEU DUAL FISH IHC $ 711.00 HER2/NEU IHC $ 711.00 HEROIN METABOLITE $ 52.50 HERPES SIMPLEX AB IGM $ 224.00 HERPES SIMPLEX II IGG $ 161.00 HERPES SIMPLEX TYPE I $ 161.00 HERPES SIMPLEX VIRUS CULTURE $ 91.00 HERPES SIMPLEX VIRUS-IMMUNOASSAY $ 91.00 HERPES SIMPLEX-PCR-ULTRA QNT $ 306.00 HEXAGONAL PHASE PHOSPHOLIPID $ 294.00 HFE GENE $ 748.00 HIGH GRADE/LARGE B-CELL LYMPHOMA FISH $ 380.00 HISTAMINE, BLOOD $ 142.00 HISTAMINE, URINE $ 142.00 HISTO MYCELIAL AB-CF $ 68.00 HISTO YEAST AB-CF $ 68.00 HISTOPLASMA AB ID $ 68.00 HISTOPLASMA ANTIGEN $ 500.00 HIV QUANT RNA BY PCR $ 500.00 HIV, CONFIRMATORY TEST $ 221.00 HLA B27 TYPING $ 311.00 HLA B51 DISEASE ASSOCIATION $ 420.00 HLA DQA1 $ 1,005.00 HLA DQB1 $ 1,005.00 HLA I TYPING 1 ANTIGEN IR $ 282.00 HMB 45,IHC $ 383.00 HMBME1,IHC $ 383.00 HNK1 (CD57) PANEL 86356 $ 125.00 HNK1 (CD57) PANEL 86357 $ 125.00 HOLTER ANALYSIS AND REPORT $ 1,232.00 HOLTER RECORDING $ 426.00 HOME SLEEP TEST TYPE III PORTABLE $ 728.00 HOMOCYSTINE $ 161.00 HOMOGENIZATION TISSUE FOR CULTURE $ 59.00 HSV 1 DNA $ 161.00 HSV 2 DNA $ 161.00 HSV TYPE 1 2 HAD $ 125.00 HT APPLICATION OF INFARED LIGHT THERAPY 1 OR MORE AREAS $ 26.00 HT COTA APPLICATIONOF INFARED LIGHT 1 OR MORE AREAS $ 26.00 HT COTA ELECTRICAL STIM ATTENDED 15 MIN $ 153.00 HT COTA ELECTRICAL STIM UNATTENDED $ 151.00 HT COTA FLUIDOTHERAPY $ 132.00 HT COTA GROUP THERAPUETIC PROCEDURE $ 128.00 HT COTA INOTOPHORESIS 15 MIN $ 145.00 HT COTA MANUAL THERAPY 15 MIN $ 202.00 HT COTA NEURO RE ED 15 MIN $ 215.00 HT COTA NON SELECTIVE DEBRIDEMENT ASSESSMENT AND CARE $ 517.00 HT COTA ORTHOTIC CHECKOUT 15 MIN $ 132.00 HT COTA ORTHOTIC FIT TRAIN INITIAL 15 MIN $ 132.00 HT COTA PHYSICAL PERF TEST 15 MIN $ 101.00 HT COTA ROM TESTING TRUNK EXTREMITY $ 175.00 HT COTA SELECTIVE DEBRIDEMENT <20CM $ 188.00 HT COTA SELF CARE HOME MANAGEMENT 15 MIN $ 138.00 HT COTA THER ACTIVITIES 15 MIN $ 202.00 HT COTA THERAPEUTIC EXER 15 MIN $ 245.00 HT COTA ULTRASOUND $ 164.00 HT E STIM ATTEND 15 MIN $ 153.00 HT ELECTRICAL STIM UNATTENDED $ 151.00 HT FLUIDO $ 132.00 HT GROUP THERAPUETIC PROCEDURE $ 128.00 HT IONTOPHORESIS 15 MIN $ 145.00 HT MANUAL THERAPY 15MIN $ 202.00 HT NEURO RE ED 15MIN $ 215.00 HT NON SELECTIVE DEBRIDEMENT ASSESSMENT AND CARE INSTRUCTION $ 517.00

HT ORTHOTIC CHECK OUT $ 132.00 HT ORTHOTIC FIT_TRAIN INITIAL 15MIN $ 132.00 HT PHYSICAL PERF TEST 15MIN $ 101.00 HT PT COMM/WORK REINTEGRATION $ 138.00 HT PT E STIM ATTEND 15MIN $ 153.00 HT PT ELECTRICAL STIM UNATTENDED $ 116.00 HT PT EVALUATION HIGH COMPLEXITY 45 MIN $ 440.00 HT PT EVALUATION LOW COMPLEXITY 20 MIN $ 351.00 HT PT EVALUATION MODERATE COMPLEXITY 30 MIN $ 410.00 HT PT FLUIDOTHERAPY $ 132.00 HT PT IONTOPHORESIS 15MIN $ 145.00 HT PT MANUAL THERAPY 15MIN $ 202.00 HT PT MASSAGE 15MIN $ 101.00 HT PT NEURO RE ED 15MIN $ 164.00 HT PT NON SELECTIVE DEBRIDEMENT ASSESSMENT AND CARE INSTRUCTION $ 517.00

HT PT ORTHOTIC CHECK OUT $ 145.00 HT PT ORTHOTIC FIT_TRAIN INITIAL 15MIN $ 132.00 HT PT PHYSICAL PERF TEST 15MIN $ 101.00 HT PT PROSTHETIC_TRNG INITIAL 15MIN $ 76.00 HT PT RE EVALUATION $ 198.00 HT PT ROM TEST HAND $ 134.00 HT PT SELF CARE_HOME MANAGE 15MIN $ 138.00 HT PT STRAPPING ELBOW WRIST $ 134.00 HT PT STRAPPING HAND FINGER $ 134.00 HT PT STRAPPING SHOULDER $ 134.00 HT PT THER ACTIVITIES 15MIN $ 202.00 HT PT THERAPEUTIC EXER 15MIN $ 245.00 HT PT ULTRASOUND 15MIN $ 164.00 HT ROM TESTING TRUNK_EXTREM $ 175.00 HT SELECTIVE DEBRIDEMENT <20CM $ 188.00 HT SELF CARE_HOME MANAGE 15MIN $ 138.00 HT TELEHEALTH 11-20 MINUTES $ 63.00 HT TELEHEALTH 21 MINUTES or more $ 100.00 HT TELEHEALTH 5-10 MINUTES $ 37.00 HT THER ACTIVITIES 15 MIN $ 202.00 HT THERAPEUTIC EXER 15MIN $ 245.00 HT ULTRASOUND 15 MIN $ 164.00 HUMAN IMMUNODEFICIENCY VIRUS TYPES 1 AND 2 ANTIBODY DIFFERENTIATION BY MULTISPOT $ 210.00

HYALURONIC ACID $ 260.00 HYDROXYPROGESTERONE 17D $ 142.00 HYPERBARIC OXYGEN CHAMBER 1ST 30 MIN $ 609.00 I AND D ABS_HEMA KNEE_THIGH DEEP $ 4,589.00 I AND D ABSC HIDRADENTITIS,SIMP $ 509.00 I AND D ABSCESS BREAST DEEP $ 4,589.00 I AND D ABSCESS SIMPLE $ 460.00 I AND D HEMATOMA SEROMA OR FLUID $ 4,396.00 I AND D HEMATOMA_SEREMAL FLUID $ 2,993.00 I AND D HEMATOMA_SEROMA $ 3,775.00 I AND D PALATE_UVULA $ 903.00 I AND D PILONIDAL CYST COMPLEX $ 2,846.00 I AND D PILONIDAL CYST SIMPLE $ 509.00 I AND REMOVAL FB SUBCUT COMPLEX $ 3,964.00 I AND REMOVAL FB SUBCUT SIMPLE $ 509.00 I ANDD ABSC_HEMATOM PELV_HIP DEEP $ 5,292.00 I&D ABSCESS COMPLEX 10061 $ 966.00 I&D ABSCESS COMPLEX/MULTIPLE $ 966.00 I&D ABSCESS SIMPLE $ 616.00 I&D BARTHOLIN CYST $ 431.00 I&D BREAST ABSCESS $ 4,037.00 I&D EAR LESION $ 1,780.00 I&D HEMATOMA SEROMA FLUID $ 3,775.00 I&D HEMATOMA,SEROMA/FLUID $ 4,232.00 I&D PERIANAL ABSCESS $ 2,289.00 I&D PERIRECTAL ABSCESS $ 4,704.00 I&D PERITONSILLAR ABSCESS $ 301.00 I&D PILONIDAL CYST,SIMPLE $ 1,780.00 I&D SQ ABSCESS,SIMPLE $ 541.00 I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA LEFT $ 4,268.00 I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA RIGHT $ 4,268.00 I&D VULVA,PERINEUM,LABIA $ 950.00 IA NFCT AB SARSCOV2 COVID19 IGG $ 32.00 IA NFCT AB SARSCOV2 COVID19 IGM $ 32.00 ICAM CHEMILUMINESCENT ASSAY $ 50.00 ICU ACT $ 483.00 ICU CARDIOVERSION $ 2,945.00 ICU DIALYSIS CRRT,FILTER CHANGE $ 903.00 ICU DIALYSIS CRRT,REPEAT EVAL $ 814.00 ICU DIALYSIS CRRT,SINGLE EVAL $ 1,885.00 ICU PERCUTANEOUS IABP INS $ 4,410.00 ICU SWAN GANZ INSERTION $ 2,867.00 ICU TEMP PACEMAKER INSERT $ 1,874.00 ICU VAS CATH INSERTION $ 872.00 IGA CARDIOLIPIN AB $ 79.00 IGG CARDIOLIPIN AB $ 79.00 IGG SUBCLASS 2 $ 91.00 IGG SUBCLASS 3 $ 91.00 IGG SUBCLASS 4 $ 91.00 IGG SUBCLASS I $ 91.00 IGM CARDIOLIPIN AB $ 79.00 IL 7 INTERLEUKIN 7 $ 98.00 ILEOSCOPY W BX $ 2,158.00 ILEOSCOPY W WO BRUSHING_WASHING $ 2,158.00 IM_SQ INJ $ 224.00 IMAGE CATH FLUID TRANS/VGNL $ 3,455.00 IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL $ 3,040.00 IMAGE GUIDE FLUID COLLECT DRAIN SOFT TISSUE PERC $ 3,455.00 IMAGE GUIDE FLUID COLLXN DRAINAGE CATH PERIT PERQ $ 4,919.00 IMAGE GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ $ 4,919.00 IMAGE GUIDED FLUID COLLECT DRAIN SOFT TISSUE PERC $ 654.00 IMMATURE PLATELET FRACTION $ 155.00 IMMUN ADMIN EA ADDL SING_COMB $ 40.00 IMMUN ADMIN EA ADDL VACC PERC IM SUB-Q ID $ 40.00 IMMUN ADMIN EACH ADD'L SNG/COMB $ 40.00 IMMUN VACCN TOXD UP TO 18YRS_INT $ 32.00 IMMUN VACCN TOXD UPTO 18YRS_ADD $ 32.00 IMMUNE COMPLEX C1Q $ 175.00 IMMUNO OPTICAL INFLUENZA $ 192.00 IMMUNOASSAY INFECTIOUS AGENTDPT $ 27.00 IMMUNOASSAY OPTICAL ORGANISM $ 172.00 IMMUNOASSAY SCRN BLOOD FECAL $ 72.00 IMMUNOASSAY, NON-AB 1 $ 66.00 IMMUNOASSAY, NON-AB 2 $ 66.00 IMMUNOFIXATION ELECTRO,OTHER $ 91.00 IMMUNOFIXATION ELECTROPHOR $ 106.00 IMMUNOGLOBULIN G, CSF $ 180.00 IMMUNOHISTOCHEMISTRY STAIN $ 383.00 IMP NEURO ELECTRODES $ 19,031.00 IMPLANTATION OF BIOLOGIC IMPLANT FOR SOFT TISSUE DEFECTS OF TRUNK OR BREAST $ 1,764.00

IN INF EA ADDL SQTL T_P_D $ 162.00 IN INFS THPY FLD INTL 31-1HR $ 504.00 IN SITU HYBRIDIZATION (FISH) $ 365.00 INCISION AND DRAINAGE OF ABSCESS COMPLICATED OR MULTIPLE $ 614.00 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE $ 966.00

INCISION EXTERNAL HEMORRHOID $ 399.00 INCISION THROMB HEMORRHOID, EXT $ 971.00 INCISIONAL BX OF SKIN EG WEDGE INCLUDING SIMPLE CLOSURE WHEN PERFORMED EACH $ 966.00 SEPARATE/ADDL LESION INCISIONAL BX OF SKIN EG WEDGE INCLUDING SIMPLE CLOSURE WHEN PERFORMED SINGLE LESION $ 966.00

INDIRECT LARYNGOSCOPY $ 263.00 Inf Agent detection HIV1 Ag, HIV 1&2 Ab screen $ 101.00 INFECT AGENT DETECTION FLU A $ 240.00 INFECT AGENT DETECTION FLU B $ 240.00 INFECT AGENT DETECTION RSV $ 326.00 INFECTIOUS AGENT BY BA CDIFF $ 36.00 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID MYCOPLASMA GENITALIUM $ 53.00

INFECTIOUS AGENT DETECTION RESPIRATORY VIRUS $ 475.00 INFECTIOUS DISEASE,HCV, SIX BIOCHEMICAL ASSAYS $ 497.00 INFLUENZA B ANTIBODY $ 235.00 INFLUENZA DETECTION AMPLIFIED PROBE $ 221.00 INHALER SUBSEQUENT $ 83.00 INHIBIN (QUADCHECK) $ 105.00 INITIAL IV INFUSE T,P,D $ 389.00 INITIAL IV INFUSE T,P,D MED $ 483.00 INITIAL IV PUSH MED $ 277.00 INJ ANES NERVE PERIPHERAL $ 730.00 INJ ANES NERVE PUDENDAL $ 1,465.00 INJ ANES NERVE PUDENDAL BILAT $ 2,195.00 INJ ANES_STER CERV_THOR SGL $ 1,465.00 INJ ANES_STER CERV_THOR SGL BI $ 2,163.00 INJ ANES_STER LUMB_SACR SGL $ 1,901.00 INJ ANES_STER LUMB_SACR SGL BI $ 2,814.00 INJ ARTHROGRAM SACROILIAC $ 767.00 INJ ARTHROGRAM SI WITH FLUORO BILATERAL $ 2,300.00 INJ CORPORA CAVERNOSA W/VAS $ 396.00 INJ DISKOGRAM LUMBAR EA LVL $ 2,363.00 INJ FORAMEN EPI C_T $ 2,184.00 INJ FORAMEN EPI C_T ADDNL $ 1,118.00 INJ FORAMEN EPI L_S $ 2,184.00 INJ FORAMEN EPI L_S ADDL BILAT $ 1,680.00 INJ FORAMEN EPI L_S ADDNL $ 1,118.00 INJ FORAMEN EPI L_S BILATERAL $ 3,281.00 INJ ILIOINGUINAL NERVE BLOCK $ 1,118.00 INJ INTERCOSTAL NERVE MULT $ 2,184.00 INJ INTERCOSTAL NERVE SINGLE $ 1,066.00 INJ OF GENICULAR NERVES $ 1,745.00 INJ PARAVERT F JNT C_T 2 BIL $ 756.00 INJ PARAVERT F JNT C_T 2 LEV $ 515.00 INJ PARAVERT F JNT C_T 3 BI $ 756.00 INJ PARAVERT F JNT C_T 3 LEV $ 515.00 INJ PARAVERT F JNT L_S 2 BILAT $ 987.00 INJ PARAVERT F JNT L_S 2 LEV $ 672.00 INJ PARAVERT F JNT L_S 3 LEV $ 672.00 INJ PROC FOR CHOLANGIOGRAM W/IMAGING AND S&I $ 3,337.00 INJ PRVERT F JNT L_S 3 LEV BIL $ 987.00 INJ SCIATIC NERVE SINGLE $ 2,079.00 INJ SINGLE TENDON/LIGAMENT $ 656.00 INJ SUPRASCAPULAR NERVE BLOCK $ 1,118.00 INJ TENDON ORIGIN_INSERTION $ 767.00 INJ TENDON SHEATH_LIGAMENT $ 651.00 INJ TRIGEMINAL NERVE BLOCK $ 641.00 INJ TRIGEMINAL NERVE BLOCK BILATERAL $ 966.00 INJ TRIGGER POINTS 3+ MUSCLES $ 767.00 INJ TRIGGER PT 1-2 MUSCLE(S) $ 625.00 INJ TRIGGER PTS 1 TO 2 MUSCLES $ 767.00 INJ TX OF NEUROLYTIC FORAMEN $ 5,507.00 INJ TX OF NEUROLYTIC INTERCOSTAL $ 2,084.00 INJ TX OF NEUROLYTIC TRIGEM $ 3,686.00 INJECT ANESTHESIA NERVE GREATER OCCIPITAL $ 704.00 INJECT ANESTHESIA NERVE GREATER OCCIPITAL BILATERAL $ 1,061.00 INJECT ANTEGRADE NEPH/URETEROGRAM COMP EXIST ACCES BILATERAL $ 2,882.00

INJECT ANTEGRADE NEPH/URETEROGRAM COMP EXIST ACCES LT $ 1,922.00 INJECT ANTEGRADE NEPH/URETEROGRAM COMP EXIST ACCES RT $ 1,922.00 INJECT ANTEGRADE NEPH/URETEROGRAM COMP EXIST ACCESS $ 1,922.00 INJECT ANTEGRADE NEPH/URETEROGRAM COMP NEW ACCESS $ 1,922.00 INJECT CONTRAST W EVAL CV DEVICE $ 688.00 INJECT EPIDURAL SUBARACHNOID CERV/THORACIC W/IMG $ 1,748.00 INJECT EPIDURAL SUBARACHNOID LUMBAR/SACRAL W/IMG $ 1,748.00 INJECT PROC LUMBAR CERV INCL RAD SUP I $ 2,342.00 INJECT PROC MYELOGRAPHY LUMBAR LUMBOSACRAL INCL RA $ 2,342.00 INJECT PROC MYELOGRAPHY LUMBAR THORAC INCL RAD SUP $ 2,342.00 INJECT PROCEDURE MYELOG LUMBAR >1 INCL RAD SUP $ 2,342.00 INJECTION ANESTHETIC AGENT BRACHIAL PLEXUS SINGLE $ 2,352.00 INJECTION ANESTHETIC AGENT CELIAC PLEXUS WITH OR WITHOUT RADIOLOGIC MONITORING 64530 $ 2,352.00

INJECTION ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH BILATERAL $ 1,601.00

INJECTION FORAMEN EPIDURAL CERVICAL THORACIC ADDITIONAL LEVELS BILATERAL $ 1,680.00

INJECTION FORAMEN EPIDURAL CERVICAL THORACIC BILATERAL $ 3,281.00 INJECTION INTRALESIONAL $ 194.00 INJECTION OF SINUS TRACT DIAGNOSTIC $ 971.00 INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM $ 2,363.00 INJECTION SPINAL LOWER BACK OR SACRUM 62323 $ 1,775.00 INJECTION SPINAL UPPER OR MIDDLE BACK 62321 $ 1,775.00 INS CATH CV NON-TNL >5YRS $ 2,672.00 INS ELECT TRANVENOUS DUAL CHMB $ 8,201.00 INS ELECT TRANVENOUS SGL CHAMB $ 8,201.00 INS ELECTRODE DEFIB_PCMKR $ 13,650.00 INS NEW_REPL PACEMKR VENTRIC $ 11,960.00 INS NEW_REPL PERM PACEMKR A_V $ 14,774.00 INS_REPL ELECT CARDIAC SGL $ 8,201.00 INSERT FOLEY CATH $ 228.00 INSERT GASTROSTOMY TUBE PERCUTANEOUS UNDER FLUORO W CONTRAST $ 4,562.00

INSERT NG TUBE $ 247.00 INSERT PACEMAKER PULSE GENERATOR WITH EXISTING MULTIPLE LEADS $ 38,582.00

INSERT PACEMKR GEN DUAL $ 11,256.00 INSERT PACING LEAD AND CONNECT $ 5,975.00 INSERT REPLACE ICD LEADS $ 8,201.00 INSERT TEMP TRANSV PACER $ 22,769.00 INSERT TUNNELED CV CATH $ 3,134.00 INSERT TUNNELED IPER CATH $ 8,962.00 INSERT/REPLACE DEFIB SYSTEM W/SUBQ ELECTRODE $ 43,050.00 INSERTION (NASO-) INTESTINAL TUBE $ 856.00 INSERTION BLADDER CATHETER $ 228.00 INSERTION FOLEY CATHETER $ 189.00 INSERTION OF CENTRAL VENOUS CATHETER FOR INFUSION USING IMAGING GUIDANCE, PATIENT 5 $ 3,365.00 YEARS OR OLDER INSERTION OF CHEST TUBE $ 3,413.00 INSERTION OF INDWELLING CATHETER AND ADMINISTRATION OF SUBSTANCE INTO SPINAL CANAL OF $ 2,352.00 LOWER BACK INSERTION OF INDWELLING CATHETER AND ADMINISTRATION OF SUBSTANCE INTO SPINAL CANAL OF $ 2,352.00 LOWER BACK LOWER BACK USING IMAGING GUIDANCE

INSERTION OF INTRAOSSEOUS DEVICE $ 914.00 INSERTION OF PACEMAKER PULSE GENERATOR ONLY W EXISTING SINGLE LEAD $ 9,571.00

INSERTION OF PICC, W/O SUB Q PORT OR PUMP, INCLUDING ALL IMAGING GUIDANCE; AGE 5 YEARS $ 3,365.00 AND OLDER INSERTION OF VENTRICULAR ASSIST DEVICE $ 16,485.00 INSERTION OR REPLACEMENT OF SPINAL NEUROSTIM PULSE GENERATOR OR RECEIVER, DIRECT OR $ 48,972.00 INDUCTIVE COUPLING INSERTION, SUBCUTANEOUS RHYTHM MONITOR, INCLUDING PROGRAMMING $ 22,769.00

INSITU HYBRIDIZATION,MANUAL $ 311.00 Inspire Programming $ 106.00 INSRT CATH PLRL INDWELL W CUFF $ 4,400.00 INSRT PULSE GEN W_DUAL LEADS $ 32,786.00 INSTILLATION AGENT FOR PLEURODESIS $ 2,783.00 INSULIN LIK GR. FAC. 1 $ 200.00 INSULIN TOTAL $ 110.00 INTENSIVE CARE $ 6,165.00 INTERACTIVE COMPLEXITY PSYCHIATRY SERVICES AND PROCEDURES $ 18.00 INTERLEUKIN-6 $ 365.00 INTERVENTIONAL RAD MODERATE SEDATION SAME PROVIDER 5 YEARS OR OLDER INITIAL 15 MIN $ 338.00

INTERVENTIONAL RAD MODERATE SEDATION SAME PROVIDER EA ADDL 15 MIN $ 284.00

INTRA ATRIAL PACING $ 6,316.00 INTRA ATRIAL RECORDING $ 6,164.00 INTRA VASC ULTRASOUND CORONARY $ 5,387.00 INTRA VENT ATRIA MAP TACHY $ 6,473.00 INTRACARDIAC ECHO $ 8,600.00 INTRACARDIAC ELECTRO MAP 3D $ 13,304.00 INTRAOP EP EVAL LEAD TEST $ 2,714.00 $ 391.00 INTRAVENEOUS INFUSION BAMLANIVIBAM XXX $ 930.00 INTRINSIC FACTOR AB $ 169.00 INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I $ 2,357.00 INTRO CATH DIALYSIS CIRCUIT W/TCAT $ 33,647.00 INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP $ 16,648.00 INTRO CATH VENA CAVA SUPERIOR/INFERIOR BILATERAL $ 772.00 INTRO HEMOSTATIC AGNT/PACK $ 404.00 INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY $ 365.00 INTRODUCTION CATH RENAL PELVIS DRN/INJ PERC $ 5,518.00 INTRODUCTION CATH RENAL PELVIS DRN/INJ PERC BILATERAL $ 8,285.00 INTRODUCTION CATHETER AORTA BILATERAL $ 1,218.00 INTUBATION INSERTION $ 793.00 IONTOPHORESIS-15 MIN $ 145.00 IONTOPHORESIS-15MIN $ 145.00 IP BEHAVE QUALIT ANALYS VOICE $ 142.00 IP EVAL SOUND PRODUCTION $ 142.00 IP EVALUATION OF SPEECH FLUENCY $ 168.00 IP SPCH EVAL LANG COMP/EXPRESN $ 284.00 IPV METANEB $ 572.00 IR ABDOMINAL PARACENTESIS WITH IMAGING GUIDANCE $ 2,336.00 IR INSERT CATH PLEURAL INDWELLING TUNNELED W CUFF BILATERAL $ 14,821.00 IR INSERT CATH PLEURAL INDWELLING TUNNELED W CUFF LT $ 9,881.00 IR INSERT CATH PLEURAL INDWELLING TUNNELED W CUFF RT $ 9,881.00 IR REVASCULARIZATION ILIAC ART UNI ADDL W/STENT $ 9,114.00 IRON BINDING CAPACITY $ 224.00 IRON SERUM $ 167.00 IRRADIATION-BLOOD PRODUCTS $ 123.00 IRRIGATION CORPORA CAVERNOSA PRIAPISM $ 746.00 IRRIGATION/LAVAGE/INSTILL BLADDER $ 315.00 ISOELECTRIC FOCUSING Hb $ 170.00 IV admin- concurrent med $ 144.00 IV HYDRATION EA ADDL HR ED $ 110.00 IV HYDRATION EA ADDL HR NUP $ 180.00 IV HYDRATION EA ADDL HR SDS $ 171.00 IV HYDRATION INITIAL HOUR $ 482.00 IV INF 30 MIN TO 1 HR_HYDR $ 506.00 IV INF THER PROPH DIAG ADDL SEQ NEW DRUG UP TO 1HR $ 195.00 IV INF UP TO 1 HR, HYDR $ 320.00 IV INF UP TO 1 HR, THER $ 271.00 IV INF UP TO 1 HR,HYDR $ 483.00 IV INF UP TO 1 HR_THER $ 506.00 IV INFUSION FOR THER PROPH DIAG INITIAL UP TO 1HR $ 371.00 IV INFUSION FOR THER/PROPH/DIAG CONCURRENT $ 225.00 IV INFUSION HYDRATION FLUIDS ADDITIONAL HOUR $ 180.00 IV INFUSION HYDRATION FLUIDS ADDL HR $ 144.00 IV INFUSION HYDRATION INITIAL 31 MIN-1HR $ 371.00 IV INFUSION THER PROPH DIAG EA ADDL HR $ 144.00 IV INFUSION THERAPEUTIC PROPHYLACTIC DIAGNOSTIC ADDITIONAL SEQUENTIAL DRUG UP TO 1 HOUR $ 162.00 IV INFUSION THERAPEUTIC PROPHYLACTIC DIAGNOSTIC EACH ADDITIONAL HOUR $ 162.00

IV INJ (PUSH) ADD'L EACH $ 291.00 IV INJECTION (PUSH) QTY 1 $ 291.00 IV MED EA ADDNL PUSH INJ ONLY $ 291.00 IV MED QTY 1_PUSH INJ ONLY $ 291.00 IV push initial $ 277.00 IV push sequential $ 277.00 IV PUSH SEQUENTIAL SAME MED $ 277.00 JAK2 PCR $ 296.00 JAK2 PCR FFPE $ 296.00 JO-1 ANTIBODY $ 116.00 KAPPA FREE SERUM $ 101.00 KAPPA FREE UR IMMUNOASSAY $ 63.00 KAPPA FREE URINE $ 105.00 KAPPA,IHC $ 383.00 KETONE URINE $ 51.00 KI67,IHC $ 383.00 KOH PREP $ 88.00 KOH PREP-SKIN,HAIR,NAILS $ 68.00 KRAS BY PCR $ 1,119.00 KYPHOPLASTY PERC LUMBAR W/IMG $ 15,293.00 KYPHOPLASTY PERC THOR LUMBAR ADDL W/IMG $ 7,649.00 KYPHOPLASTY PERC THORACIC W/IMG $ 15,293.00 LAB DRAW PICC_CENTRAL_PERIPH VAD $ 123.00 LAB DRAW $ 125.00 LAB DRAW-IMPL VEN ACCESS DEVICE $ 117.00 LAB DRAW-IMPLANTED VAD $ 117.00 LAB DRAW-PICC,CENTRAL,PERIPH LINE $ 129.00 LABORING PRIOR TO C SECTION $ 1,150.00 LACTIC ACID $ 329.00 LACTOSE TOERANCE, EACH ADD $ 54.00 LACTOSE TOLERANCE, THREE SPC $ 180.00 LAMBDA FREE SERUM $ 84.00 LAMBDA FREE UR IMMUNOASSAY $ 63.00 LAMBDA FREE URINE $ 105.00 LAMBDA,IHC $ 383.00 LAMINOT_LAMINECT LUM_MILD PROC $ 9,975.00 LAMOTRIGINE BY CHROMAT-QNT $ 117.00 LARYNGOSCOPY OP REM FB $ 2,415.00 LARYNOSCOPY INDIR REM FB $ 483.00 LASER PLASTIC OR FEE $ 988.00 LC MS MS THYROGOBULIN AB $ 170.00 LD (LDH- LACTATE DEHYDROGENASE) $ 97.00 LDL CHOLESTEROL-DIRECT $ 149.00 LEAD LEVEL, QT $ 76.00 LEAD LEVEL, URINE $ 76.00 LEGIONELLA AG, URINE $ 129.00 LEGIONELLA CULTURE $ 138.00 LESION BIOPSY ONLY W_O REMOVAL $ 286.00 LEVEL 2 CLINIC VISIT LO EST PT $ 188.00 LEVEL 2 CLINIC VISIT-EST $ 237.00 LEVEL 2 CLINIC VISIT-NEW $ 105.00 LEVEL 3 CLINIC VISIT MID EST PT $ 197.00 LEVEL 3 CLINIC VISIT MID NEW PT $ 375.00 LEVEL 3 CLINIC VISIT-EST $ 258.00 LEVEL 3 CLINIC VISIT-NEW $ 273.00 LEVEL 4 CLINIC VISIT HI EST PT $ 207.00 LEVEL 4 CLINIC VISIT HI NEW PT $ 389.00 LEVETIRACETAM $ 247.00 LHC LV CORONARIES GRAFTS $ 19,336.00 LHC W OR WO LV INCLUDES S&I $ 8,999.00 LIDOCAINE, SERUM $ 116.00 LIGATION INTERN HEMORRHOID MULTI $ 3,045.00 LIGATION INTERN HEMORRHOID SNGL $ 2,903.00 LIMITED 2 D W CONTRAST $ 1,035.00 LIMITED 2 D WO CONTRAST $ 1,035.00 LIPASE $ 244.00 LIPID ASSOC. SIALIC ACID $ 131.00 LIPID PROFILE $ 296.00 LIPOPROTEIN (A) $ 62.00 LIPOPROTEIN ASS. PHOSPHOLIPASE A2 $ 333.00 LIPOPROTEIN FRACT $ 110.00 LITHIUM $ 159.00 COMPLETE $ 3,528.00 LIVER DIS 10 ASSAYS W/NASH $ 683.00 LIVER FIBROSIS FIBROTEST ACTITEST $ 497.00 LOCAL ANESTHESIA $ 142.00 LOCAL NURSE MONITOR $ 168.00 LOW GRADE/SMALL B-CELL LYMPHOMA FISH $ 380.00 LT HRT TRANSPT_TRANSAP $ 7,103.00 LUMBAR PUNCTURE $ 1,355.00 LUMBAR PUNCTURE AND TRAY $ 813.00 LUMBAR PUNCTURE INCLUDES TRAY $ 401.00 LUNG TUMOR FISH, EACH MUTIPLEX PROBE STAIN $ 380.00 LUNG TUMOR FISH, SINGLE STAIN $ 380.00 LUNG TUMOR PROFILE $ 3,241.00 LUTEINIZING HORMONE (LH) $ 215.00 LYME DISEASE ANTIBODY CONFIRM $ 100.00 LYME IGG/IGM AB $ 189.00 LYSOZYME (SERUM OR URINE) $ 156.00 M.PHEUMONIAE PCR $ 314.00 MACADEMIA NUT IGE ALLERGEN $ 17.00 MAGNESIUM $ 131.00 MAGNESIUM RBC $ 19.00 MAJOR SUTURE $ 488.00 MAMMOGLOBULIN,IHC $ 383.00 MAMMOGRAM DIAGNOSTIC BILATERAL W/2-D DIGITAL IMAGE $ 352.00 MANGANESE $ 171.00 MANIPULATION FORESKIN WITH PREPUTIAL STRETCHING 54450 $ 1,696.00 MANOMETRIC STUDY OF THE AND OR GASTROESOPHAGEAL JUNCTION $ 1,449.00

MANUAL THERAPY-15 MIN $ 202.00 MANUAL THERAPY-15MIN $ 202.00 MART-1/MELAN-A IHC $ 152.00 MASSAGE-15 MIN $ 131.00 MECH VENT INITIAL DAY $ 967.00 MECH VENT NEWBORN SUBS DAY $ 743.00 MECH VENT SUBS DAY $ 743.00 MECHANICAL VENT-NEWBORN-INT $ 967.00 MECONIUM DRUG SCREEN $ 214.00 LEVEL $ 96.00 MERCURY URINE QUANT $ 96.00 METANEPHRINES, PLASMA $ 501.00 METHADONE MECONIUM CONFIRMATION $ 147.00 METHEMOGLOBIN,QUANT $ 210.00 METHYLENEDIOXYAMPHETAMINES $ 52.50 METHYLENEDIOXYAMPHETAMINES MECONIUM CONFIRMATION $ 155.00 METHYLMALONIC ACID $ 125.00 MICRO ALBUMIN 24 HR $ 175.00 MICROALBUMIN, RANDOM URINE $ 175.00 MICROSOMAL ANTIBODIES $ 87.00 MILLENNIUM 3 PER DAY $ 37.00 MINOR SURGERY #1 UP TO 30 MIN $ 688.00 MINOR SURGERY 2 30 TO 45 MIN $ 908.00 MINOR SURGERY 3 45 TO 60 MIN $ 1,118.00 MINOR SURGERY ADDL 15 MIN. $ 215.00 MITOCHONDIAL AB TITER $ 75.00 MITOMYCIN BLADDER INSTILLATION $ 1,208.00 MLH1 IHC $ 145.00 MLH1 PROMOTOR METHYLATION $ 695.00 MM BREAST 3D TOMO SCREENING $ 92.00 MM BREAST SELF PAY 3D TOMO BI $ 87.00 MM BREAST SELF PAY 3D TOMO LT $ 87.00 MM BREAST SELF PAY 3D TOMO RT $ 87.00 MM BX BREAST DVC 1ST LESION BI $ 5,660.00 MM BX BREAST DVC 1ST LESION LT $ 2,830.00 MM BX BREAST DVC 1ST LESION RT $ 2,830.00 MM BX BREAST DVC ADD LESION BI $ 1,139.00 MM BX BREAST DVC ADD LESION LT $ 567.00 MM BX BREAST DVC ADD LESION RT $ 567.00 MM CLIP PLACEMENT LT $ 235.00 MM CLIP PLACEMENT RT $ 235.00 MM DDI DIAG MAMM BI $ 609.00 MM DDI DIAG MAMM UNI LT $ 536.00 MM DDI DIAG MAMM UNI LT IMPLANTS $ 515.00 MM DDI DIAG MAMM UNI RT $ 536.00 MM DDI DIAG MAMM UNI RT IMPLANTS $ 515.00 MM DDI MAMM BI IMPLANTS $ 578.00 MM DDI SCREENING MAMM $ 578.00 MM DDI SCREENING MAMM IMPLANTS $ 551.00 MM DDI SCREENING MAMM UNI 2V $ 462.00 MM DIG BREAST TOMOSYN BI $ 92.00 MM DIG BREAST TOMOSYN LT $ 92.00 MM DIG BREAST TOMOSYN RT $ 92.00 MM INJECT PROCEDURE DUCT GALACTO $ 189.00 MM MAMMARY LT DUCT MULTI S_I $ 614.00 MM MAMMARY LT DUCT SINGLE S_I $ 360.00 MM MAMMARY RT DUCT MULTI S_I $ 614.00 MM MAMMARY RT DUCT SINGLE S_I $ 299.00 MM PL LOCAL DVC BREAST ADD BI $ 803.00 MM PL LOCAL DVC BREAST ADD LT $ 401.00 MM PL LOCAL DVC BREAST ADD RT $ 401.00 MM PL LOCAL DVC BREAST BI $ 935.00 MM PL LOCAL DVC BREAST LT $ 654.00 MM PL LOCAL DVC BREAST RT $ 654.00 MM SURGICAL SPECIMEN XRAY $ 856.00 MMP 1 COLLAGENASE ENZYME $ 98.00 MMP 2 GELATINASE ENZYME $ 98.00 MMP 3 STROMELYSIN ENZYME $ 98.00 MMP 9 MATRIX METALLOPEPTIDASE 9 $ 98.00 MMR PANEL BY IHC PER SPECIMEN $ 105.00 MMR PANEL BY IHC, PER SPECIMEN INITIAL $ 154.00 MOC31,IHC $ 383.00 MODERATE SEDATION OTHER PROVIDER < 5 YO INITIAL 15 MIN $ 355.00 MODERATE SEDATION OTHER PROVIDER EA ADDL 15 MIN $ 284.00 MODERATE SEDATION OTHTER PROVIDER 5 YEARS OR OLDER INITIAL 15 MIN $ 338.00

MODERATE SEDATION SAME PROVIDER < 5 YO INITIAL 15 MIN $ 355.00 MODERATE SEDATION SAME PROVIDER 5 YEARS OR OLDER INITIAL 15 MIN $ 338.00

MODERATE SEDATION SAME PROVIDER EA ADDL 15 MIN $ 284.00 MONITOR FLUID PRESSURE $ 654.00 MONO TEST $ 124.00 MORPHO ANLYS IN SITU COMPUTER $ 365.00 MORPHO ANLYS TUMR MANUAL $ 365.00 MORPHOMETRIC ANALYSIS IN SITU COMPUTER MULTIPLEX $ 453.00 MORPHOMETRIC ANALYSIS, IN SITU HYBRIDIZATION $ 380.00 MORPHOMETRIC ANALYSIS, TUMOR IHC $ 208.00 MPL MUTATION ANALYSIS $ 371.00 MR 3D RENDER W POST PROCESS $ 327.00 MR ABDOMEN ENTEROGRAPHY $ 3,300.00 MR ABDOMEN WITH $ 3,300.00 MR ABDOMEN WO $ 2,800.00 MR ABDOMEN WO W $ 3,300.00 MR ADRENALS WITH CONTRAST MATERIAL $ 3,300.00 MR ADRENALS WITHOUT AND WITH CONTRAST $ 3,300.00 MR ADRENALS WITHOUT CONTRAST MATERIAL $ 2,800.00 MR ANGIO ABD WITH AND WITHOUT CONTRAST $ 3,300.00 MR ANGIO ABD WITH CONTRAST $ 3,300.00 MR ANGIO ABD WITHOUT CONTRAST $ 3,300.00 MR ANGIO HEAD WITH $ 3,300.00 MR ANGIO HEAD WO $ 2,800.00 MR ANGIO HEAD WO W $ 3,300.00 MR ANGIO LWR EXT $ 5,492.00 MR ANGIO NECK WITH CONTRAST $ 3,300.00 MR ANGIO NECK WO CONTRAST $ 2,800.00 MR ANGIO NECK WO W $ 3,300.00 MR ANGIO RENAL $ 3,300.00 MR ANGIO WO FOL W CONT CHEST $ 3,132.00 MR ANKLE LT W $ 3,300.00 MR ANKLE LT W_WO $ 3,300.00 MR ANKLE LT WO $ 2,800.00 MR ANKLE RT W $ 3,300.00 MR ANKLE RT W_WO $ 3,300.00 MR ANKLE RT WO $ 2,800.00 MR BRAIN AND PITUIT W CONT $ 3,300.00 MR BRAIN AND PITUIT W WO CONT $ 3,300.00 MR BRAIN AND PITUIT WO CONT $ 2,800.00 MR BRAIN INC BRAIN STEM WO $ 2,800.00 MR BRAIN W CONTRAST $ 3,300.00 MR BRAIN WO W CONTRAST $ 3,300.00 MR BX BREAST DVC 1ST LESION BI $ 2,566.00 MR BX BREAST DVC 1ST LESION LT $ 2,566.00 MR BX BREAST DVC 1ST LESION RT $ 2,566.00 MR BX BREAST DVC ADD LESION BI $ 1,035.00 MR BX BREAST DVC ADD LESION LT $ 516.00 MR BX BREAST DVC ADD LESION RT $ 516.00 MR CHEST MSK WITH CONTRAST $ 3,300.00 MR CHEST MSK WITHOUT AND WITH CONTRAST $ 3,300.00 MR CHEST MSK WITHOUT CONTRAST $ 2,800.00 MR CHEST W CONTRAST $ 3,300.00 MR CHEST WO CONTRAST $ 2,800.00 MR CHEST WO W $ 3,300.00 MR CLAVICLE LT $ 2,800.00 MR CLAVICLE RT $ 2,800.00 MR ELBOW LT INDIRECT ARTHROGRAM $ 3,300.00 MR ELBOW LT ARTHROGRAM $ 3,300.00 MR ELBOW LT W $ 3,300.00 MR ELBOW LT WO $ 2,800.00 MR ELBOW LT WO_W $ 3,300.00 MR ELBOW RT ARTHROGRAM $ 3,300.00 MR ELBOW RT INDIRECT ARTHROGRAM $ 3,300.00 MR ELBOW RT W $ 3,300.00 MR ELBOW RT WO $ 2,800.00 MR ELBOW RT WO_W $ 3,300.00 MR FOOT LT W $ 3,300.00 MR FOOT LT W_WO $ 3,300.00 MR FOOT LT WO $ 2,800.00 MR FOOT RT W $ 3,300.00 MR FOOT RT W_WO $ 3,300.00 MR FOOT RT WO $ 2,800.00 MR FOREARM LT W $ 3,300.00 MR FOREARM LT WO $ 2,800.00 MR FOREARM LT WO_W $ 3,300.00 MR FOREARM RT W $ 3,300.00 MR FOREARM RT WO $ 2,800.00 MR FOREARM RT WO_W $ 3,300.00 MR FOREARM WITH CONTRAST RIGHT $ 3,300.00 MR GUIDANCE FOR NEEDLE PLACEMENT $ 2,159.00 MR HAND LT W $ 3,300.00 MR HAND LT WO $ 2,800.00 MR HAND LT WO_W $ 3,300.00 MR HAND RT W $ 3,300.00 MR HAND RT WO $ 2,800.00 MR HAND RT WO_W $ 3,300.00 MR HIP LT ARTHROGRAM $ 3,300.00 MR HIP LT W $ 3,300.00 MR HIP LT W_WO $ 3,300.00 MR HIP LT WO $ 2,800.00 MR HIP RT ARTHROGRAM $ 3,300.00 MR HIP RT W $ 3,300.00 MR HIP RT W_WO $ 3,300.00 MR HIP RT WO $ 2,800.00 MR HUMERUS LT W $ 3,300.00 MR HUMERUS LT WO $ 2,800.00 MR HUMERUS LT WO_W $ 3,300.00 MR HUMERUS RT W $ 3,300.00 MR HUMERUS RT WO $ 2,800.00 MR HUMERUS RT WO_W $ 3,300.00 MR KIDNEYS WITH CONTRAST MATERIAL $ 3,300.00 MR KIDNEYS WITHOUT AND WITH CONTRAST $ 3,300.00 MR KIDNEYS WITHOUT CONTRAST MATERIAL $ 2,800.00 MR KNEE LT W $ 3,300.00 MR KNEE LT W_WO $ 3,300.00 MR KNEE LT WO $ 2,800.00 MR KNEE RT W $ 3,300.00 MR KNEE RT W_WO $ 3,300.00 MR KNEE RT WO $ 2,800.00 MR LIVER HEMANGIOMA WITH CONTRAST MATERIAL $ 3,300.00 MR LIVER HEMANGIOMA WITHOUT AND WITH CONTRAST $ 3,300.00 MR LIVER HEMANGIOMA WITHOUT CONTRAST MATERIAL $ 2,800.00 MR LOW EXTREM JOINT W BI $ 3,300.00 MR LOW EXTREM JOINT W WO BI $ 3,300.00 MR LOW EXTREM JOINT WO BI $ 2,800.00 MR LOW EXTREM NON JOINT W BI $ 3,300.00 MR LOW EXTREM NON JOINT W WO BI $ 3,300.00 MR LOW EXTREM NON JOINT WO BI $ 2,800.00 MR LUMBAR SPINE WO W CONTRAST $ 3,300.00 MR MSK PELVIS WITH CONTRAST MATERIAL $ 3,300.00 MR MSK PELVIS WITHOUT CONTRAST MATERIAL $ 2,800.00 MR MSK PLEVIS WITH AND WITHOUT CONTRAST MATERIAL $ 3,300.00 MR ORBIT FACE NECK WITH $ 3,300.00 MR ORBIT FACE NECK WO $ 2,800.00 MR ORBIT FACE NECK WO W CONTRAST $ 3,300.00 MR PANCREAS WITH CONTRAST MATERIAL $ 3,300.00 MR PANCREAS WITHOUT AND WITH CONTRAST $ 3,300.00 MR PANCREAS WITHOUT CONTRAST MATERIAL $ 2,800.00 MR PELVIS WITH $ 3,300.00 MR PELVIS WO $ 2,800.00 MR PELVIS WO W $ 3,300.00 MR PITUITARY W_CONT $ 3,300.00 MR PITUITARY W_O CONT $ 2,800.00 MR PITUITARY W_WO CONT $ 3,300.00 MR SACRUM WO CON $ 2,800.00 MR SACRUM WO W CON $ 3,300.00 MR SCAPULA LT $ 2,800.00 MR SCAPULA RT $ 2,800.00 MR SERNOCLAVICULAR JOINTS $ 2,800.00 MR SHOULDER LT ARTHROGRAM $ 3,300.00 MR SHOULDER LT W $ 3,300.00 MR SHOULDER LT WO $ 2,800.00 MR SHOULDER LT WO_W $ 3,300.00 MR SHOULDER RT ARTHROGRAM $ 3,300.00 MR SHOULDER RT W $ 3,300.00 MR SHOULDER RT WO $ 2,800.00 MR SHOULDER RT WO_W $ 3,300.00 MR SPECIMEN $ 3,300.00 MR SPINE CERVICAL LTD $ 2,800.00 MR SPINE CERVICAL W CONTRAST $ 3,300.00 MR SPINE CERVICAL WO CONTRAST $ 2,800.00 MR SPINE CERVICAL WO W CONTRAST $ 3,300.00 MR SPINE LUMBAR LTD $ 2,800.00 MR SPINE LUMBAR W CONTRAST $ 3,300.00 MR SPINE LUMBAR WO CONTRAST $ 2,800.00 MR SPINE MSK CERVICAL W CONTRAST $ 3,300.00 MR SPINE MSK CERVICAL WO CONTRAST $ 2,800.00 MR SPINE MSK CERVICAL WO W CONTRAST $ 3,300.00 MR SPINE MSK LUMBAR W CONTRAST $ 3,300.00 MR SPINE MSK LUMBAR WO CONTRAST $ 2,800.00 MR SPINE MSK THORACIC W CONTRAST $ 3,300.00 MR SPINE MSK THORACIC WO CONTRAST $ 2,800.00 MR SPINE THORACIC LTD $ 2,800.00 MR SPINE THORACIC W CONTRAST $ 3,300.00 MR SPINE THORACIC WO CONTRAST $ 2,800.00 MR THIGH LT W $ 3,300.00 MR THIGH LT W_WO $ 3,300.00 MR THIGH LT WO $ 2,800.00 MR THIGH RT W $ 3,300.00 MR THIGH RT W_WO $ 3,300.00 MR THIGH RT WO $ 2,800.00 MR THORACIC SPINE WO W CONTRAST $ 3,300.00 MR THUMB WITH CONTRAST LEFT $ 3,300.00 MR THUMB WITH CONTRAST RIGHT $ 3,300.00 MR THUMB WITHOUT AND WITH CONTRAST LEFT $ 3,300.00 MR THUMB WITHOUT AND WITH CONTRAST RIGHT $ 3,300.00 MR THUMB WITHOUT CONTRAST LEFT $ 2,800.00 MR THUMB WITHOUT CONTRAST RIGHT $ 2,800.00 MR TIB FIB LT W $ 3,300.00 MR TIB FIB LT W_WO $ 3,300.00 MR TIB FIB LT WO $ 2,800.00 MR TIB FIB RT W $ 3,300.00 MR TIB FIB RT W_WO $ 3,300.00 MR TIB FIB RT WO $ 2,800.00 MR TMJ BI $ 2,800.00 MR TMJ LT $ 2,800.00 MR TMJ RT $ 2,800.00 MR UNLISTED MRI $ 222.00 MR UP EXTREM JOINT W BI $ 3,300.00 MR UP EXTREM JOINT W WO BI $ 3,300.00 MR UP EXTREM JOINT WO BI $ 2,800.00 MR UP EXTREM NON JOINT W BI $ 3,300.00 MR UP EXTREM NON JOINT W WO BI $ 3,300.00 MR UP EXTREM NON JOINT WO BI $ 2,800.00 MR VENOGRAM HEAD WO CON $ 2,800.00 MR WRIST LT INDIRECT ARTHROGRAM $ 3,300.00 MR WRIST LT ARTHROGRAM $ 3,300.00 MR WRIST LT W $ 3,300.00 MR WRIST LT WO $ 2,800.00 MR WRIST LT WO_W $ 3,300.00 MR WRIST RT INDIRECT ARTHROGRAM $ 3,300.00 MR WRIST RT ARTHROGRAM $ 3,300.00 MR WRIST RT W $ 3,300.00 MR WRIST RT WO $ 2,800.00 MR WRIST RT WO_W $ 3,300.00 MRA PELVIS W/ OR W/O CONTRAST $ 1,418.00 MRCP ABDOMEN W AND WO CON $ 2,800.00 MRI BRACHIAL PLEXUS W CONT $ 3,300.00 MRI BRACHIAL PLEXUS WO CONT $ 2,800.00 MRI BRACHIAL PLEXUS WO_W CONT $ 3,300.00 MRI BRAIN_TRIGEMINAL W $ 3,300.00 MRI BRAIN_TRIGEMINAL WO $ 2,800.00 MRI BRAIN_TRIGEMINAL WO/W $ 3,300.00 MRI BREAST WITHOUT AND WITH CONTRAST MATERIAL INCLUDING CAD REAL-TIME LESION DETECTION $ 3,300.00 CHARACTERIZATION AND PHARMACOKINETIC ANALYSIS WHEN PERFORMED UNI

MRI BREAST WITHOUT AND WITH CONTRAST MATERIAL INCLUDING CAD REALTIME LESION DETECTION $ 3,300.00 CHARACTERIZATION AND PHARMACOKINETIC ANALYSIS WHEN PERFORMED BI

MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL $ 2,800.00 MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL $ 2,800.00 MRI CANCER CARE BREAST WO AND W CONTRAST MATERIAL INCLUDING CAD REAL TIME LESION $ 3,300.00 DETECTION CHARACTERIZATION AND PHARMACOKINETIC ANALYSIS WHEN PERFORMED UNI

MRI CANCER CARE BREAST WO AND W CONTRAST MATERIAL INCLUDING CAD REALTIME LESION $ 3,300.00 DETECTION CHARACTERIZATION AND PHARMACOKINETIC ANALYSIS WHEN PERFORMED BI

MRI FINE NEEDLE ASPIRATION BIOPSY EACH ADDITIONAL LESION $ 1,698.00 MRI LOWER EXTREMITY JOINT W/CONTRAST LT $ 3,300.00 MRI LOWER EXTREMITY JOINT W/CONTRAST RT $ 3,300.00 MRI PROSTATE W/O AND W CONTRAST $ 3,300.00 MRI PROSTATE W/O CONTRAST $ 2,800.00 MRI UPPER EXTREMITY JOINT W/CONTRAST LT $ 3,300.00 MRI UPPER EXTREMITY JOINT W/CONTRAST RT $ 3,300.00 MRV PELVIS $ 1,418.00 MSH2 IHC $ 145.00 MSH6 IHC $ 145.00 MSLT STUDY $ 4,646.00 MTHFR GENE ANALYSIS $ 105.00 MUCOUS CLEARANCE TX FAP INITIAL $ 200.00 MUGWORT IGE ALLERGEN $ 17.00 MULT O2 SATS $ 374.00 MUMPS IGG ANTIBODY $ 60.00 MUMPS IGM ANTIBODY $ 53.00 MYCOBACTERIA CULTURE $ 20.00 MYCOPLASMA ANTIBODY, IGG $ 90.00 MYCOPLASMA IGM AB $ 79.00 MYELIN BASIC PROTEIN $ 260.00 MYELOMA FISH PROFILE $ 453.00 MYOBACTERIUM TUBERCULOSIS BY QUANTIFERON, INCUBATED $ 155.00 MYOGLOBIN (SERUM) $ 138.00 MYOGLOBIN (URINE) $ 111.00 N BLOCK AUTONOMIC NERVES $ 2,352.00 N BLOCK LUMBAR THORACIC BILATERAL $ 3,281.00 N BLOCK LUMBAR_THOR $ 2,184.00 N BLOCK STELLATE GANG $ 2,184.00 N BLOCK,OTHER PERIPHERAL $ 1,066.00 N MENINGITIDIS ANTIGENS LA $ 86.00 N. GONORRHOEAE, DNA PROBE $ 177.00 NASAL SMEAR, EOSINOPHIL $ 122.00 NEG PRESSURE WND THERAPY <= 50 SQCM INCLUDING DISPOSABLE WND VAC IE SNAP $ 1,281.00

NEG PRESSURE WND THERAPY > 50 SQCM INCLUDING DISPOSABLE WND VAC IE SNAP $ 1,281.00

NEOGENOMICS MOLECULAR PATH INTERPRETATION $ 46.00 NEONATAL CARDIAC MONITORING $ 499.00 NEPHELOMETRY NOT SPEC $ 44.00 NEURO APHASIA EVAL PER HOUR $ 635.00 NEURO RE ED 15 MIN $ 215.00 NEURO RE-ED-15 MIN $ 215.00 NEURO RE-ED-15MIN $ 215.00 NEW PATIENT LEVEL 2 $ 341.00 NEW PATIENT LEVEL 3 $ 434.00 NEW PATIENT LEVEL 4 $ 541.00 NEW PATIENT LEVEL 5 $ 730.00 NEWBORN CIRCUMCISION WITH CLAMP $ 630.00 NEWBORN CIRCUMCISION WITHOUT CLAMP $ 630.00 NFCT DS VIR RESP RNA 4 TRGT $ 388.00 NHL FISH PROFILE $ 453.00 NIPPLE_AREOLA RECONSTRUCTION $ 7,151.00 NJX Cstograpy/voiding urethrosctography $ 431.00 NKX2 3 SNP $ 175.00 NM BONE AND OR JOINT 3 PHASE $ 2,174.00 NM BONE AND OR JOINT LIMITED $ 1,339.00 NM BONE AND OR JOINT SPECT $ 3,723.00 NM BONE AND OR JOINT WHOLE BODY $ 2,053.00 NM BONE MARROW IMG MULTI $ 919.00 NM BOWEL IMG EG MECKLES $ 1,118.00 NM BRAIN IMAGING STATIC LTD $ 1,407.00 NM BRAIN IMG COMP W SPECT $ 3,723.00 NM GASTRIC EMPTYING IMAGING STUDY $ 2,294.00 NM GASTRIC EMPTYING IMAGING STUDY SOLID $ 2,294.00 NM GI BLOOD LOSS $ 1,570.00 NM HEPATOBIL SYST IMAGE W_DRUG $ 1,355.00 NM HEPATOBILIARY SYSTEM IMAGING $ 1,276.00 NM IODINE I-123 IOFLUPANE $ 8,054.00 NM KIDNEY FLOW FUNC SGL W PHAR $ 3,596.00 NM KIDNEY FLOW FUNCT SNG WO PH $ 2,704.00 NM LIVER AND SPLEEN STATIC $ 1,838.00 NM LIVER IMAGING SPECT $ 1,241.00 NM LIVER IMG SPECT W VASCUL $ 3,723.00 NM LOC OF ABSCESS 2 OR MORE AREAS $ 2,940.00 NM LOC OF ABSCESS SINGLE AREA $ 2,672.00 NM LOC OF ABSCESS WHOLE BODY $ 3,723.00 NM LOC OF TUMOR WHOLE BODY $ 3,423.00 NM LOC TUMOR WHOLE BODY 2 DAY $ 3,723.00 NM LOCALIZ OF TUMOR SPECT $ 2,195.00 NM LUNG PERFUSION DIFFERENTIAL $ 840.00 NM LUNG VENT PERFUS IMAGING $ 1,376.00 NM LUNG VENTILATION IMAGING $ 840.00 NM LYMPHANGIOGRAPHY $ 1,139.00 NM LYMPHATIC_LYMPH GLAND IMG $ 2,657.00 NM MUGA BLD POOL IMG MULTI R_S $ 2,441.00 NM MUGA BLD POOL IMG SING R_S $ 2,006.00 NM MYOCARDIAL IMG PYP $ 1,045.00 NM MYOCARDIAL PERF SING R OR S $ 2,814.00 NM MYOCARDIAL PERF SPECT MX R_S $ 4,951.00 NM ORAL ADMIN CA $ 1,045.00 NM ORAL ADMIN HYPERTHYROIDISM $ 1,045.00 NM PARATHYROID IMAGING $ 3,759.00 NM PULMONARY PERFUSION PARTIC $ 987.00 NM RENAL SCAN $ 2,179.00 NM SPECT KIDNEY IMAGING $ 3,723.00 NM STRESS TEST TREADMILL_BIKE $ 1,675.00 NM STRESS WITH PHARM AGENT $ 1,339.00 NM THYROID CA METS WHOLE BODY $ 2,053.00 NM THYROID IMAGING $ 693.00 NM THYROID IMG W UPTAKE SINGLE $ 1,670.00 NM THYROID UPTAKE MULTI DETER $ 709.00 NM THYROID UPTAKE SINGLE DETER $ 709.00 NM TUMOR IMAGING LIMITED AREA $ 1,087.00 NMR LIPOPROFILE $ 155.00 NOD2 SNP 8 SNP 12 SNP 13 $ 502.00 NONINV LO EXT ART REST TREAD BI $ 1,386.00 NONINVAS UP LOW EXT ART SINGLE $ 888.00 NONINVAS UPP OR LOW EXTREM ART $ 1,121.00 NONSELECTIVE DEBRIDEMENT $ 478.00 NORTRIPTYLINE LEVEL, IA $ 131.00 NURSERY LEVEL 1 $ 1,365.00 OB ULTRASOUND LIMITED $ 455.00 OB VAG REP OTHER THAN ATTENDING $ 4,179.00 OBSTETRICS $ 1,465.00 OBSV ICU CCU/ICU $ 257.00 OBSV ICU ER $ 257.00 OBSV ICU ICD $ 257.00 OBSV ICU PACU $ 383.00 OBSV ICU SDS $ 257.00 OBSV RNF $ 63.00 OBSV RNF CCU/ICU $ 63.00 OBSV RNF ER $ 63.00 OBSV RNF ICD $ 63.00 OBSV RNF LDRP $ 63.00 OBSV RNF MCU $ 63.00 OBSV RNF MED TELE TP $ 63.00 OBSV RNF MEDICAL $ 60.00 OBSV RNF PACU $ 63.00 OBSV RNF SDS $ 63.00 OBSV RNF STEPDOWN $ 63.00 OBSV RNF SURG TELE $ 63.00 OBSV SD CCU/ICU $ 184.00 OBSV SD ER $ 184.00 OBSV SD ICD $ 184.00 OBSV SD MCU $ 184.00 OBSV SD PACU $ 184.00 OBSV SD SDS $ 184.00 OBSV SD STEPDOWN $ 184.00 OBSV SD SURG TELE $ 184.00 OBSV STEPDOWN MED TELE TP $ 184.00 OBSV STEPDOWN W MEDICAL $ 175.00 OBSV STEPDOWN W SURGICAL $ 175.00 OCCULT BLOOD ED $ 74.00 OCCULT BLOOD FECAL-DIAGNOSTIC $ 74.00 OCCULT BLOOD FECES IMMUNO QL $ 72.00 OCCULT BLOOD-DIAGNOSTIC $ 74.00 OCCULT BLOOD-SCREEN $ 74.00 OLIGOCLONAL BANDS (CSF) $ 169.00 OP BEHAVE QUALIT ANALYS VOICE $ 142.00 OP EVAL SOUND PRODUCTION $ 142.00 OP EVALUATION OF SPEECH FLUENCY $ 168.00 OP HEMODIALYSIS TREATMENTS $ 1,496.00 OP OB VISIT ESTAB LEVEL I $ 126.00 OP OB VISIT ESTAB LEVEL II $ 137.00 OP OB VISIT ESTAB LEVEL III $ 142.00 OP OB VISIT ESTAB LEVEL IV $ 152.00 OP OB VISIT ESTAB LEVEL V $ 159.00 OP OB VISIT NEW LEVEL II $ 137.00 OP OB VISIT NEW LEVEL III $ 142.00 OP OB VISIT NEW LEVEL IV $ 152.00 OP OB VISIT NEW LEVEL V $ 159.00 OP SPCH EVAL LANG COMP/EXPRESN $ 284.00 OPIATE CONFRIMATION URINE $ 149.00 OPIATES 1 OR MORE $ 52.50 OPIATES MECONIUM CONFIRMATION $ 114.00 OPIOIDS & OPIATE ANALOGS 1/2 $ 105.00 OR 105-120 MIN $ 5,618.00 OR 15-30 MIN $ 2,447.00 OR 30-45 MIN $ 3,176.00 OR 45-60 MIN $ 3,670.00 OR 60-75 MIN $ 4,158.00 OR 75-90 MIN $ 4,646.00 OR 90-105 MIN $ 5,114.00 OR LEVEL 1 ADDL 30 MIN $ 704.00 OR LEVEL I $ 3,003.00 OR LEVEL II- 1ST HOUR $ 4,620.00 OR LEVEL II ADDL 30 MIN $ 1,124.00 OR LEVEL III $ 7,109.00 OR LEVEL III ADDL 30 MIN $ 1,827.00 OR LEVEL IV $ 8,941.00 OR LEVEL IV ADDL 30 MIN $ 2,252.00 OR LEVEL V ADDL 30 MIN $ 2,788.00 OR LEVEL V INITIAL HOUR $ 10,511.00 ORGANISM ID AEROBE $ 160.00 ORGANISM ID,MOLD $ 62.00 ORGANISM IDENTIFICATION,YEAST $ 76.00 ORGANISM IDENTIFICATIONAFB $ 83.00 ORGANISM IDENTIFICATIONANAEROBIC $ 116.00 ORGANISM MIC $ 62.00 ORTHOTIC FIT_TRAIN INITIAL 15 MIN $ 132.00 ORTHOTIC FIT_TRAIN INITIAL 15MIN $ 132.00 ORTHOTICS OR PROSTHETIC MGMT & TRAINING SBSQ ENCTR 15 MIN $ 132.00 OSMOLALITY SERUM $ 189.00 OSTECTOMY METATARSAL HEAD PARTIAL EACH $ 5,334.00 OSTOMY WOUND 15 MIN $ 48.00 OSTOMY WOUND 30 MIN $ 101.00 OSTOMY WOUND 45 MIN $ 148.00 OSTOMY WOUND 60 MIN $ 194.00 OT EVALUATION CCC HIGH COMPLEXITY 60 MIN $ 550.00 OT EVALUATION CCC LOW COMPLEXITY 30 MIN $ 460.00 OT EVALUATION CCC MOD COMPLEXITY 45 MIN $ 516.00 OT EVALUATION IP HIGH COMPLEXITY 60 MIN $ 550.00 OT EVALUATION IP LOW COMPLEXITY 30 MIN $ 460.00 OT EVALUATION IP MOD COMPLEXITY 45 MIN $ 516.00 OT EVALUATION OP HIGH COMPLEXITY 60 MIN $ 550.00 OT EVALUATION OP LOW COMPLEXITY 30 MIN $ 460.00 OT EVALUATION OP MOD COMPLEXITY 45 MIN $ 516.00 OT IP RE EVALUATION $ 183.00 OT OP RE-EVALUATION $ 183.00 OT ORTHOTICS OR PROSTHETIC MGMT & TRAINING SBSQ ENCTR $ 102.00 OT TELEHEALTH 11-20 MINUTES $ 63.00 OT TELEHEALTH 21 MINUTES or more $ 100.00 OT TELEHEALTH 5-10 MINUTES $ 37.00 OT THERAPEUTIC INTERVENTIONS COGNITIVE FUNCTIONS INIT 15 MIN $ 72.00

OUTPATIENT - CLASS II $ 431.00 OUTPATIENT - CLASS III $ 893.00 OVA & PARASITE DIRECT SMEARS $ 63.00 OVERNIGHT OXIMETRY W/RPT $ 531.00 OVERNIGHT POLYSOMNOGRAM $ 7,055.00 OXCARBAZEPINE $ 171.00 OXIMETRY CONT PER SHIFT $ 247.00 OXIMETRY MONITOR-6 MIN WALK $ 247.00 OXIMETRY PER SHIFT INITIAL $ 374.00 OXYCODONE MECONIUM CONFIRMATION $ 114.00 P.A.S. STAIN $ 119.00 P16,IHC $ 383.00 P5045 (AMACR),IHC $ 383.00 p504s IHC $ 152.00 P53 IHC $ 152.00 PACEMAKER INTRODUCER $ 326.00 PACK WOUND DEHISCENCE SPRFCL $ 966.00 PACU CARDIOVERSION $ 2,940.00 PACU CONT INHAL TRT 1ST HR $ 231.00 PACU CONT INHAL TRT EA ADDL HR $ 231.00 PACU LEVEL ONE PROCEDURE $ 1,790.00 PACU NERVE BLOCK $ 1,790.00 PACU PHASE 2 ADDL 30 MIN $ 235.00 PACU PHASE 2 INITIAL HOUR $ 467.00 PAIN PANEL DRUG SCREEN $ 204.00 PANCA,INDIRECT IFA IGG SPECIFIC INITIAL STAIN $ 305.00 PANCREATIC ELASTASE,FECAL $ 422.00 PANKERATIN IHC $ 152.00 PARACENTESIS $ 686.00 PARATHYROID HORMONE INTACT $ 291.00 PARIETAL CELL TITER $ 124.00 PARING BENIGN LESION 2-4 LESIONS $ 260.00 PARING BENIGN LESION ONE $ 260.00 PARING CUTTING LESION BENIGN 1 $ 551.00 PARTIAL THROMBOPLASTIN TIME $ 131.00 PARVOVIRUS B19 IGG ANTIBODY $ 189.00 PARVOVIRUS B19 IGM ANTIBODY $ 180.00 PEAK FLOW $ 215.00 PEDIATRIC ECHOCARDIOGRAM 2 D AND M MODE $ 2,955.00 PER DIEM CHARGE $ 4.00 PERC D-E COR REVASC CHRO ADD RI $ 11,928.00 PERC D-E COR REVASC CHRO SIN LC $ 17,105.00 PERC D-E COR REVASC CHRO SIN LD $ 17,105.00 PERC D-E COR REVASC CHRO SIN RC $ 17,105.00 PERC D-E COR REVASC T CABG B LC $ 11,928.00 PERC D-E COR REVASC T CABG S LC $ 13,346.00 PERC D-E COR REVASC T CABG S LD $ 13,346.00 PERC D-E COR REVASC T CABG S RC $ 13,346.00 PERC D-E COR REVASC W AMI S LC $ 13,346.00 PERC D-E COR REVASC W AMI S LD $ 13,346.00 PERC D-E COR REVASC W AMI S LM $ 13,346.00 PERC D-E COR REVASC W AMI S RC $ 13,346.00 PERC D-E COR REVASC W AMI S RI $ 13,346.00 PERC D-E COR STENT ATHER S LD $ 17,105.00 PERC DRUG-EL COR STENT BRAN LC $ 12,521.00 PERC DRUG-EL COR STENT BRAN LD $ 12,521.00 PERC DRUG-EL COR STENT BRAN RC $ 12,521.00 PERC DRUG-EL COR STENT SING LC $ 14,012.00 PERC DRUG-EL COR STENT SING LD $ 14,012.00 PERC DRUG-EL COR STENT SING LM $ 14,012.00 PERC DRUG-EL COR STENT SING RC $ 14,012.00 PERC DRUG-EL COR STENT SING RI $ 14,012.00 PERCUTANEOUS THROMBC/NFS DIAL CIRCUIT TRLUM BALO ANGIO OP $ 33,647.00 PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY PERIPHERAL NERVE $ 18,391.00 EXCLUDES SACRAL NERVE PERCUTANEOUS THROMBECTOMY DIALYSIS CIRCUIT $ 16,648.00 PERFUSION USE CHARGE $ 8,041.00 PERI PROC DEV EVAL & PRO PM $ 389.00 PERICARDIOCENTESIS INCLUDING IMAGING GUIDANCE WHEN PERFORMED $ 4,772.00

PERICARDIOCENTESIS W/GUIDANCE WHEN PERFORMED $ 4,775.00 PERIPHERAL NERVE BLOCK $ 2,184.00 HEMOFILTRATION OR OTHER CONTINUOUS RENAL REPLACEMENT THERAPIES $ 1,885.00 CRRT SINGLE EVAL PERITONEAL DIALYSIS HEMOFILTRATION OR OTHER CONTINUOUS RENAL REPLACEMENT THERAPIES $ 814.00 CRRT W EVAL W OR WO SIGNIFICANT REVISION OF DIALYSIS PRESCRIPTION

PERQ CLSR TCAT L ATR APNDGE $ 30,193.00 PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC $ 704.00 PET FDG_DOSE 4 TO 40 MCI_ML $ 3,896.00 PET FLUCICLOVINE F 18 per 1mCi $ 1,407.00 PET IMG BRAIN ALZHEIMERS INITIAL $ 8,810.00 PET LYMPHOMA DX_INITI STAGING $ 10,138.00 PET LYMPHOMA RESTAGING $ 9,655.00 PET W_CT HEAD TO TOE INITIAL $ 9,833.00 PET W_CT HEAD TO TOE SUBSQ $ 9,833.00 PET W_CT LIMITED AREA INITIAL $ 9,833.00 PET W_CT SKULL TO THIGH INITIAL $ 9,833.00 PET W_CT SKULL TO THIGH SUBSQ $ 9,366.00 PH, BLOOD $ 117.00 PH, BODY FLUID $ 40.00 PHASE 1 BYPASS KIT $ 131.00 PHASE 1 SESSION-BYPASS $ 138.00 PHENCYCLIDINE MECONIUM CONFIRMATION $ 294.00 PHENOBARBITAL $ 138.00 PHENYLALANINE $ 139.00 PHLEBOTOMY THERAPEUTIC $ 313.00 PHOSPHOROUS $ 97.00 PHOTO THERAPY TREATMENT $ 131.00 PHYSICAL PERF TEST-15 MIN $ 132.00 PHYSICAL THERAPY IP RE EVAL $ 198.00 PHYSICAL THERAPY OUT PATIENT RE EVAL $ 198.00 PICC LINE INSERTION $ 1,192.00 PICC LINE REMOVAL-CLINIC VISIT $ 118.00 PICC/MIDLINE LINE INSERTION SVC 5 YEARS AND OLDER $ 966.00 PINWORM TEST $ 66.00 PISTACHIO IGE ALLERGEN $ 17.00 PKU $ 205.00 PLACE BILIARY DRAINAGE CATH PERC EXT RAD $ 7,980.00 PLACE BILIARY DRAINAGE CATH PERC INT/EXT RAD $ 7,980.00 PLACE CATH 2ND ORDER BRANCH BILATERAL $ 940.00 PLACE NDL INFS INTRAOSSEO $ 1,071.00 PLACE NDL INFS INTRAOSSEO ADDTL $ 1,071.00 PLACE NEPHROURETERAL CATH PERCUT NEPH/URET NEW ACC BILATERAL $ 8,285.00

PLACE NEPHROURETERAL CATH PERCUT NEPH/URET NEW ACCESS $ 5,518.00 PLACE STENT DIALYSIS CIRCUIT W/ANGIO $ 16,821.00 PLACE TUBE NASO/OROGASTRIC BY MD FLUOROSCOP GUIDE $ 704.00 PLACEMENT URETERAL STENT PRQ PRE-EXISTING NFROS TRACT $ 12,332.00 PLASMINOGEN FUNCTIONAL $ 101.00 PLATELET AB/HEPARIN $ 100.00 PLATELET ANTIBODIES,PF4 $ 207.00 PLATELET ANTIBODIES,PLASMA $ 207.00 PLATELET ANTIBODY HEPARIN $ 138.00 PLATELET ASSOC. IGG $ 207.00 PLATELET COL/ADP CLOSURE TIME $ 53.00 PLATELET COL/EPI CLOSURE TIME $ 53.00 PLATELET COUNT $ 102.00 PLATELET NEUTRALIZATION $ 112.00 PLEURAL DRAINAGE PERCUTANEOUS WITH INSERTION OF INDWELLING CATH WITHOUT IMAGING $ 4,562.00

PLEURAL DRAINAGE, PERCUTANEOUS WITH INSERTION OF INDWELLING CATHETER WITH IMAGING $ 1,769.00

PLEXUS MATTRESS_DAY $ 74.00 PLMT STENT PERC RAD EXIS ACCS $ 14,369.00 PLMT URETERAL STENT PRQ NEP/URT NEW ACCESS SEP CATH $ 8,222.00 PLMT URETERAL STENT PRQ NEPH/URETEROGRAM NEW ACCESS $ 8,222.00 PLMT URETERAL STENT PRQ NEPH/URETEROGRAM PRE-EXIST $ 8,222.00 PMS2 IHC $ 145.00 PNEU SEROTYPE 1 IGG $ 68.00 PNEU SEROTYPE 12F IGG $ 68.00 PNEU SEROTYPE 14 IGG $ 68.00 PNEU SEROTYPE 18C IGG $ 68.00 PNEU SEROTYPE 19F IGG $ 68.00 PNEU SEROTYPE 23F IGG $ 71.00 PNEU SEROTYPE 3 IGG $ 68.00 PNEU SEROTYPE 4 IGG $ 68.00 PNEU SEROTYPE 5 IGG $ 65.00 PNEU SEROTYPE 6B IGG $ 68.00 PNEU SEROTYPE 7F IGG $ 68.00 PNEU SEROTYPE 8 IGG $ 68.00 PNEU SEROTYPE 9N IGG $ 68.00 PNEU SEROTYPE 9V IGG $ 65.00 PNEUMOCYSTIS JIROVECI PCR $ 86.00 POCT PROTIME/INR $ 97.00 POLIO VIRUS TYPE 1 $ 111.00 POLIO VIRUS TYPE 3 $ 111.00 POLYSOMNOGRAM REDUCED SERVICE $ 3,527.00 POLYSOMNOGRAM TECH W CPAP $ 7,055.00 POOLING-PLT/CRYO $ 185.00 PORPHOBILINOGEN, 24HR UR-QNT $ 171.00 POST HIP ARTHROPLASTY CLOSE $ 3,045.00 POTASSIUM $ 78.00 PR,IHC $ 383.00 PREALBUMIN $ 108.00 PREOPERATIVE CHARGE $ 336.00 PREP WOUND W/EXC F/N/HF/G 1ST 100CM ADULT OR 1% CHILD $ 1,040.00 PREP WOUND W/EXC TRK/ARM/LEG 1ST 100CM/1% CHL $ 1,741.00 PRESSURE MONITORING AND INSERTION $ 234.00 PRESUMPTIVE ID URINE $ 84.00 PRESUMPTIVE ID URINE 2 $ 62.00 PRESUMPTIVE ID URINE 3 $ 62.00 PRETREAT RBC ENZYMES $ 305.00 PRIMIDONE. $ 142.00 PROCALCITONIN $ 159.00 PROCOLLAGEN TYPE 1 INTACT $ 277.00 PROGESTERONE (SERUM) $ 234.00 PROGRAM STIM AND PACE AFTER DRUG $ 8,012.00 PROLACTIN $ 237.00 PROSTATE NDL BIOPSY SURG PATH $ 272.00 PROSTATIC ACID PHOSPHATASE $ 106.00 PROSTATIC SPECIFIC AG SCREEN $ 138.00 PROSTATIC SPECIFIC ANTIGEN-DIAGNO $ 138.00 PROSTHETIC TRAINING INITIAL ENCOUNTER EACH 15 MIN $ 175.00 PROSTHETIC TRAINING INITIAL 15MIN $ 175.00 PROTEIN C FUNCTIONAL $ 249.00 PROTEIN C IMMUNOLOGIC $ 163.00 PROTEIN S CLOTTABLE $ 163.00 PROTEIN S TOTAL $ 112.00 PROTEIN S-FREE $ 125.00 PROTEIN, TOTAL (SERUM ONLY) $ 42.00 PROTEIN-URINE ELECTROPHORESIS $ 145.00 PROTIME (PT) $ 97.00 PROTIME 1 TO 1 DILUTION $ 86.00 PROTIME 1 TO 1 DILUTION INCUBATED $ 86.00 PROTIME 1 TO 5 DILUTION $ 86.00 PROTIME 1 TO 5 DILUTION INCUBATED $ 86.00 PROTIME,INCUBATED $ 87.00 PRQ CAR STNT_ATH_ANGI EA ADL LD $ 11,970.00 PRQ CARD REVAS CTO 1VSL LC $ 13,928.00 PRQ CARD REVASC AMI 1 VSL LC $ 14,621.00 PRQ CARD REVASC AMI 1 VSL LD $ 14,621.00 PRQ CARD REVASC AMI 1 VSL LM $ 14,621.00 PRQ CARD REVASC AMI 1 VSL RC $ 14,621.00 PRQ CARD REVASC AMI 1 VSL RI $ 14,621.00 PRQ CARD REVASC CTO 1VSL RC $ 13,928.00 PRQ CARD STENT W_ANGIO 1 LC VSL $ 14,621.00 PRQ CARD STENT W_ANGIO 1 LD VSL $ 14,621.00 PRQ CARD STENT W_ANGIO 1 LM VSL $ 14,621.00 PRQ CARD STENT W_ANGIO 1 RC VSL $ 14,621.00 PRQ CARD STENT W_ANGIO 1 RI VSL $ 14,621.00 PRQ CARD STENT W_ANGIO ADDL LC $ 11,970.00 PRQ CARD STENT W_ANGIO ADDL LD $ 11,970.00 PRQ CARD STENT_ATH ANGIO LC $ 17,105.00 PRQ CARD STENT_ATH_ANGIO LD $ 17,105.00 PRQ CARDIAC ANGIO ADDL LC ART $ 8,127.00 PRQ CARDIAC ANGIO ADDL LD ART $ 8,127.00 PRQ CARDIAC ANGIO ADDL RC ART $ 8,127.00 PRQ CARDIAC ANGIOPLAST 1 LC ART $ 14,621.00 PRQ CARDIAC ANGIOPLAST 1 LD ART $ 14,621.00 PRQ CARDIAC ANGIOPLAST 1 LM ART $ 14,621.00 PRQ CARDIAC ANGIOPLAST 1 RC ART $ 14,621.00 PRQ CARDIAC ANGIOPLAST 1 RI ART $ 14,621.00 PRQ CORONARY MECH THROMBECT $ 1,059.00 PRQ REVASC BYP GRAFT 1 VSL LC $ 13,928.00 PRQ REVASC BYP GRAFT 1 VSL LD $ 13,928.00 PRQ REVASC BYP GRAFT 1 VSL RC $ 13,928.00 PRQ REVASC BYP GRAFT ADDL LC $ 11,970.00 PSA,IHC $ 365.00 PSA-FREE $ 145.00 PSEUDOCHOLINESTERASE $ 69.00 PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES $ 105.00 PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES $ 219.00 PSYCHOTHERAPY W/PATIENT 30 MINUTES $ 105.00 PT AQUATIC GROUP $ 217.00 PT AQUATIC THRPY 15MIN $ 202.00 PT EVALUATION CCC HIGH COMPLEXITY 45 MIN $ 441.00 PT EVALUATION CCC LOW COMPLEXITY 20 MIN $ 352.00 PT EVALUATION CCC MOD COMPLEXITY 30 MIN $ 410.00 PT EVALUATION IP HIGH COMPLEXITY 45 MIN $ 441.00 PT EVALUATION IP LOW COMPLEXITY 20 MIN $ 352.00 PT EVALUATION IP MOD COMPLEXITY 30 MIN $ 410.00 PT EVALUATION OP HIGH COMPLEXITY 45 MIN $ 441.00 PT EVALUATION OP LOW COMPLEXITY 20 MIN $ 352.00 PT EVALUATION OP MOD COMPLEXITY 30 MIN $ 410.00 PT GROUP $ 128.00 PT TELEHEALTH 11-20 MINUTES $ 63.00 PT TELEHEALTH 21 MINUTES or more $ 100.00 PT TELEHEALTH 5-10 MINUTES $ 37.00 PT VASOPNEUMATIC $ 180.00 PTA APPLICATION INFARED LIGHT THERAPT 1 OR MORE AREAS $ 26.00 PTA AQUATIC GROUP $ 217.00 PTA AQUATIC THERAPY 15 MIN $ 202.00 PTA ELECTRICAL STIM ATTENDED 15 MIN $ 153.00 PTA ELECTRICAL STIM UNATTENDED $ 116.00 PTA FLUIDOTHERAPY $ 132.00 PTA GAIT TRAINING 15 MIN $ 168.00 PTA GROUP $ 128.00 PTA IONTOPHORESIS 15 MIN $ 145.00 PTA MANUAL THERAPY 15 MIN $ 202.00 PTA MASSAGE 15 MIN $ 131.00 PTA NEURO RE ED 15 MIN $ 215.00 PTA ORTHOTIC FIT TRAIN INITIAL 15 MIN $ 132.00 PTA ORTHOTICS OR PROSTHETICS MGMT&TRAINING SBQT ENC 15 $ 132.00 PTA PHYSICAL PERFORMANCE TEST 15 MIN $ 132.00 PTA PROSTHETIC TRAINING INIT ENCOUNTER EA 15 MIN $ 175.00 PTA STRAPPING ANKLE_FOOT $ 175.00 PTA STRAPPING ELBOW_WRIST $ 167.00 PTA STRAPPING HIP $ 175.00 PTA STRAPPING KNEE $ 175.00 PTA STRAPPING LOW BACK $ 175.00 PTA STRAPPING SHOULDER $ 175.00 PTA TESTING TRUNK_EXTREMITY $ 175.00 PTA THERAPUETIC ACTIVITIES 15 MIN $ 202.00 PTA THERAPUETIC EXER 15 MIN $ 245.00 PTA TRACTION $ 198.00 PTA ULTRASOUND 15 MIN $ 164.00 PTA VASOPNEUMATIC $ 180.00 PTA WC ASSESSMENT FIT TRAIN 15 MIN $ 87.00 PTH RELATED PEPTIDE $ 336.00 PTT 1 TO 1 DILUTION $ 155.00 PTT 1 TO 1 DILUTION,INCUBATED $ 155.00 PTT 1 TO 5 DILUTION $ 155.00 PTT 1 TO 5 DILUTION,INCUBATED $ 155.00 PTT,INCUBATED $ 124.00 PULM REHAB PHASE I SESSION $ 98.00 PULMONARY IND PHASE II ADL EDUC $ 186.00 PULMONARY REHAB PHASE II $ 286.00 PULMONARY STRESS TEST 6 MIN WALK TEST $ 327.00 PULSE OX-CONT $ 148.00 PULSE OXIMETER $ 247.00 PULSE OXIMETER-INFANT $ 235.00 PULSE OXIMETER-NEONATAL $ 235.00 PULSE OXIMETRY SINGLE DETERMINATION $ 204.00 PUNCH BX OF SKIN INCLUDING SIMPLE CLOSURE WHEN PERFORMED EACH SEPARATE/ADDITIONAL $ 541.00 LESION PUNCH BX OF SKIN INCLUDING SIMPLE CLOSURE WHEN PERFORMED SINGLE LESION $ 541.00

PUNCT ASPIR HEMATOMA/ABS/CYST $ 966.00 PUNCTURE ARTERIAL $ 117.00 PUNCTURE ASPIRATION CYST,BREAST $ 499.00 PUNCTURE ASPIRATION OF ABSCESS $ 460.00 PUNCTURE CISTERNAL/LATERAL CERVICAL W/INJ $ 515.00 QUANTITATIVE ASSAY DRUG $ 105.00 QUANTITATIVE BETA HYDROXYBUTYRATE $ 87.00 R INJECT TRIGGER POINT SINGLE MULTI 3+ MUSCLE GRP $ 767.00 RABIES ANTIBODY $ 502.00 RADIATION PHYSICS CONSULT $ 397.00 RADIOLOGIC EXAMINATION ABDOMEN 3 OR MORE VIEWS $ 389.00 RAPID PLASMA REAGIN (RPR) $ 84.00 RAPID STREP $ 84.00 RAST-ALTERNARIATENIUS $ 27.00 RAST-CAT DANDER $ 27.00 RAST-CLADOSPORIUM $ 27.00 RAST-DERMATOPH.FARINAE $ 27.00 RAST-DOG DANDER $ 27.00 RAST-JUNE GRASS $ 27.00 RAST-LAMB'S QUARTERS $ 27.00 RAST-OAK TREE $ 27.00 RAST-SHORT RAGWEED $ 27.00 RAST-TIMOTHY GRASS $ 27.00 RBC AB IDENTIFICATION PANEL $ 305.00 RBC FOLATE $ 217.00 RBC PRETREAT CHEMICAL $ 105.00 RCC (PN-15) $ 294.00 REC RM EA ADDL HR UP TO 12 $ 504.00 RECOVERY 1 HOUR $ 1,003.00 RECOVERY 1 HOUR SDS $ 956.00 RECOVERY ROOM 1ST HOUR $ 593.00 RECOVERY ROOM EACH ADD HR $ 504.00 RED CEDAR TREE IGE ALLERGEN $ 17.00 RED CELL ABSORPTION $ 285.00 REDUCTION OF FX FINGER $ 746.00 REGIONAL SPINAL_EPI BLOCK $ 141.00 REHAB FACILITY IP $ 1,465.00 REM DEFIB LEAD TRANSVENOUS $ 3,932.00 REM DEFIB PULSE GEN $ 3,201.00 REM FB ARM/ELBOW DEEP $ 7,313.00 REM FB EYE, CORNEAL W/SLIT LAMP $ 476.00 REM FB EYE,CORNEAL W/O SLIT LAMP $ 476.00 REM FB FOOT SUBQ $ 683.00 REM FB MUSC/TENDON SMP $ 4,232.00 REM FB PHARYNX $ 1,071.00 REM IMPLANT DEEP WIRE_PIN_ROD $ 5,198.00 REM IMPLANT SUPER WIRE_PIN_ROD $ 3,964.00 REM/BIV CAST BODY $ 725.00 REMOVAL BILIARY DRAINAGE CATHETER PERCUTANEOUS REQ FLUORO GUIDANCE $ 1,685.00

REMOVAL FB EAR $ 188.00 REMOVAL FB EYE,EMBEDDED $ 499.00 REMOVAL FB EYE,SUPERFICIAL $ 476.00 REMOVAL FB NOSE $ 301.00 REMOVAL FB SHOULDER W/INCISION $ 719.00 REMOVAL FB SQ ARM W/INCISION $ 4,232.00 REMOVAL FB SQ SIMPLE INCISION $ 966.00 REMOVAL IMPACTED EAR WAX WITH TOOL $ 188.00 REMOVAL INDWELLG TUN PLEURAL CATH W/CUFF $ 1,845.00 REMOVAL (IUD) $ 473.00 REMOVAL OF ACCESS DEVICE $ 2,226.00 REMOVAL OF FOREIGN BODY FOOT DEEP $ 4,232.00 REMOVAL OF IMPACTED CERUMEN USING IRRIGATION/LAVAGE BILATERAL $ 326.00

REMOVAL OF IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNILATERAL $ 217.00

REMOVAL OF NEPHROSTOMY TUBE REQ FLURO GUIDANCE BILATERAL $ 3,098.00 REMOVAL OF NEPHROSTOMY TUBE REQ FLURO GUIDANCE LT $ 2,063.00 REMOVAL OF NEPHROSTOMY TUBE REQ FLURO GUIDANCE RT $ 2,063.00 REMOVAL OF NON-TUNNELED CV CATH $ 1,208.00 REMOVAL OF PERCUTANEOUS VENTRICULAR ASSIST DEVICE AT SEPARATE AND DISTINCT SESSION FROM $ 4,757.00 INSERTION REMOVAL PERM PACEMKR PULSE GEN $ 8,201.00 REMOVAL SKN TAG UP TO 15 LESIONS $ 305.00 REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR $ 1,785.00 REMOVE EAR WAX WITH TOOL BILATERAL $ 268.00 REMOVE FB WO SCOPE $ 1,659.00 REMOVE PACE ELECT LEFT VENT $ 5,287.00 REMOVE SKIN TAGS UP TO AND INCLUDING 15 LESIONS $ 557.00 REMOVE TRANSV PACER DUAL $ 5,287.00 REMOVE URETERAL STENT PERCUTANEOUS $ 5,518.00 REMV AND REPLC CVD GEN MULT LEAD $ 34,641.00 REMV AND REPLC CVD GEN SING LEAD $ 32,786.00 REMV/BIV CAST ARM/LEG FULL $ 725.00 REMV_PM GEN SINGL $ 9,571.00 REMV_REPLC PM GEN DUAL LEAD $ 11,256.00 REMV_REPLC PM GEN MULT LEADS $ 19,651.00 RENAL FUNCTION PANEL $ 245.00 RENIN LEVEL $ 366.00 REPAIR CATH CENTRAL VENOUS W/O PORT OR PUMP $ 1,208.00 REPAIR CENTRAL VENOUS ACCESS DEVICE W SUBQ PORT OR PUMP CENTRAL OR PERIPHERAL INSERTION $ 2,363.00 SITE REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM $ 1,785.00 Repair Lac Simple Scalp/Hand/Ft/Gen 2.6 to 7.5cm $ 511.00 REPAIR LIP FULL THICKNESS OVER ONE-HALF VERTICAL HEIGHT OR COMPLEX_CPT 40654 $ 4,127.00

REPAIR NAIL BED ED $ 1,486.00 REPAIR NAIL BED ENDO $ 546.00 REPLACE PICC W/O PORT/PUMP $ 3,134.00 REPLACEMENT OF GASTROSTOMY TUBE PERCUTANEOUS INCLUDES REMOVAL WHEN PERFORMED $ 709.00 WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE NOT REQUIRING REVISION OF GASTROSTOMY TRACT

REPLACEMENT OF GASTROSTOMY TUBE PERCUTANEOUS INCLUDES REMOVAL WHEN PERFORMED $ 709.00 WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE REQUIRING REVISION OF GASTROSTOMY TRACT

REPLANTATION DIGIT DISTAL COMPLETE AMPUTATION $ 2,935.00 REPOSITION CATH CENTRAL VENOUS W/FLUORO GUIDE $ 1,750.00 REPOSITION PACEMKR RT SIDE $ 5,287.00 REPOSITION PREV LV ELECTRODE $ 5,035.00 RESET DISLOCATED JAW $ 286.00 RESP VIRUS 3-5 TARGETS $ 315.00 RESPIRATORY VIRUS PANEL BY PCR $ 727.00 RESUSCITATION NEWBORN $ 575.00 RETIC-AUTO W HGB CT & IRF $ 149.00 REV PCKT SKIN FOR DEFIB $ 3,932.00 REV PCKT SKIN FOR PACEMKR $ 4,331.00 REV_REMOVE NEURO ELECTRODES $ 2,966.00 REVASCULARIZATION FEMORAL POPLITEAL ARTERY W STENT BILATERAL $ 27,652.00

REVASCULARIZATION ILIAC ART UNI ADDL W/STENT BILATERAL $ 13,676.00 REVASCULARIZATION ILIAC ART UNI ADDL W/STENT LT $ 9,114.00 REVASCULARIZATION ILIAC ART UNI ADDL W/STENT RT $ 9,114.00 REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL BILATERAL $ 13,640.00 REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL LEFT $ 9,093.00 REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL RT $ 9,093.00 REVASCULARIZATION ILIAC ARTERY UNI INIT W STENT LEFT $ 25,898.00 REVASCULARIZATION ILIAC ARTERY UNI INIT W STENT RT $ 25,898.00 REVASCULARIZATION ILIAC ARTERY UNI INIT W/STENT BILATERAL $ 38,845.00 REVASCULARIZATION ILIAC ARTERY UNILAT ADDL BI $ 12,989.00 REVASCULARIZATION ILIAC ARTERY UNILAT ADDL LEFT $ 8,657.00 REVASCULARIZATION ILIAC ARTERY UNILAT ADDL R $ 8,657.00 REVISION INCLUDING REPLACEMENT EPIDURAL ELECTORDE ARRAY VIA LAMINOTOMY $ 19,828.00

REVISION OF RECONSTRUCTED BREAST $ 10,668.00 REVSC OPN PRQ W STENT ANGIO UNI EA VSL $ 6,305.00 RHC AND LHC W OR WO LV $ 3,058.00 RHC LHC W OR WO LV AND CORONARIES $ 25,237.00 RHC WITH CORONARIES ONLY $ 7,849.00 RHEUMATOID FACTOR (RA) $ 164.00 RIBOSOMAL P IGG AUTOANTIBODIES $ 90.00 RIBOSOMAL P PROTEIN IgG AUTOANTIBODIES $ 131.00 RIBOSOMAL RNP $ 164.00 RIBOSOMAL RNP AB $ 71.00 RIGHT HRT CATHETERIZATION $ 5,518.00 RIGID SIGMOIDOSCOPY $ 751.00 RISTOCEN 1200 MAX AGGREGATION $ 66.00 RISTOCEN 1500 MAX AGGREGATION $ 66.00 RISTOCEN 600 MAX AGGREGATION $ 66.00 RISTOCEN 900 MAX AGGREGATION $ 66.00 RISTOCETINE CO-FACTOR $ 100.00 RMVL I-AORT BALO ASST DEVICE W/RPR FEM ART W/WO GRF $ 4,835.00 RNF $ 1,465.00 RNP ANTIBODY $ 96.00 ROM TEST HAND $ 184.00 ROM TESTING TRUNK_EXTR $ 175.00 ROTOVIRUS AG DETECTION $ 101.00 ROUGH MARSHELDER IGE ALLERGEN $ 17.00 ROUTINE LHC W OR WO LV $ 18,029.00 ROUTINE VENIPUNCTURE $ 106.00 ROUTINE VENIPUNCTURE ENDO $ 106.00 ROUTINE VENIPUNCTURE SPEC COLLECT $ 106.00 RPR 1 TRANSVNS ELTRD PRM PM PACING IMPLNTBL DFB $ 5,607.00 RPR BLOOD VESSEL UPPER EXTREMITY $ 4,169.00 RPR EXT TEND FNGRW_OGRFT EA TEND $ 4,237.00 RPR EXT TEND HND W_O GRFT EA TEND $ 4,237.00 RPR INTERM FACE_EAR <2.5CM $ 530.00 RPR INTERM FACE_EAR 2.6-7.5CM $ 530.00 RPR INTERM HAND_FEET <2.5CM $ 530.00 RPR INTERM HAND_FEET 2.6-7.5CM $ 530.00 RPR INTERM TRUNK_EXT <2.5CM $ 530.00 RPR INTERM TRUNK_EXT 2.6-7.5CM $ 530.00 RPR INTERM TRUNK_EXT 7.6-12.5CM $ 530.00 RPR LAC CPLX EYE <1.0CM $ 672.00 RPR LAC CPLX EYE 1.1-2.5CM $ 641.00 RPR LAC CPLX EYE 2.6-7.5CM $ 672.00 RPR LAC CPLX FOREHD 1.1-2.5CM $ 803.00 RPR LAC CPLX FOREHD 2.6-7.5CM $ 767.00 RPR LAC CPLX FOREHD ADD 5.0CM $ 588.00 RPR LAC CPLX SCALP 1.2-2.5CM $ 588.00 RPR LAC CPLX SCALP 2.6-7.5CM $ 767.00 RPR LAC CPLX SCALP ADD <5.0CM $ 588.00 RPR LAC CPLX TRNK 1.1-2.5CM $ 672.00 RPR LAC CPLX TRNK ADD 5.0CM $ 672.00 RPR LAC INT FACE 12.6-20.0CM $ 966.00 RPR LAC INT FACE 2.6-5.0CM $ 966.00 RPR LAC INT FACE 20.1-30.0CM $ 966.00 RPR LAC INT FACE 5.1-7.5CM $ 966.00 RPR LAC INT FACE 7.6-12.5CM $ 966.00 RPR LAC INT FACE/EAR <2.5CM $ 966.00 RPR LAC INT NECK <2.5CM $ 966.00 RPR LAC INT NECK 12.6-20.0CM $ 1,486.00 RPR LAC INT NECK 2.6-7.5CM $ 966.00 RPR LAC INT NECK 7.6-12.5CM $ 1,486.00 RPR LAC INT SCALP >30.0CM $ 4,762.00 RPR LAC INT SCALP 12.6-20.0CM $ 966.00 RPR LAC INT SCALP/AXIL 2.6-7.5CM $ 966.00 RPR LAC INT SCALP/AXIL 7.6-12.5CM $ 966.00 RPR LAC INT SCLP/AXIL <2.5CM $ 966.00 RPR LAC MOUTH/TONGUE <2.5CM $ 286.00 RPR LAC MOUTH/TONGUE >2.6CM $ 1,496.00 RPR LAC SMP FACE <2.5CM $ 903.00 RPR LAC SMP FACE >30.0CM $ 1,323.00 RPR LAC SMP FACE 12.1-20.0CM $ 1,323.00 RPR LAC SMP FACE 2.6-5.0CM $ 903.00 RPR LAC SMP FACE 5.1-7.5CM $ 903.00 RPR LAC SMP FACE 7.6-12.5CM $ 903.00 RPR LAC SMP SCALP <2.5CM $ 903.00 RPR LAC SMP SCALP >30.0CM $ 1,323.00 RPR LAC SMP SCALP 12.6-20.0CM $ 1,323.00 RPR LAC SMP SCALP 2.6-7.5CM $ 903.00 RPR LAC SMP SCALP 20.1-30.0CM $ 1,323.00 RPR LAC SMP SCALP 7.6-12.5CM $ 903.00 RPR LIP FULL THICK VERMILN $ 1,418.00 RPR TENDON/MUSCLE FOREARM $ 3,722.00 RPR TITER $ 56.00 RSV BY PCR $ 181.00 RT AND LHC LV CORO GRAFTS $ 25,289.00 RUBELLA $ 145.00 RUBEOLA $ 62.00 RUPTURED MEMBRANE (PAMG-1) $ 252.00 S100,IHC $ 383.00 SAA CHEMILUMINESCENT ASSAY $ 53.00 SAA SERUM AMYLOID A LUMINEX HIGH PERFORMANCE ASSAY $ 98.00 SACROPLASTY Bilateral $ 16,587.00 SACROPLASTY Unilateral $ 16,587.00 SALMONELLA CAMPYLOBACTER SHIGELLA SHIGA TOXIN AMPLIFIED PROBE $ 368.00

SAME DAY STAY $ 1,596.00 SARS-COV-2 COVID-19 ANTIBODY, QUAL $ 89.00 SINGLE $ 2,079.00 SCIG INF EA ADDL HR 30 60MINS $ 83.00 SCIG RELATED SVCS CHARGE 1X_VISIT $ 375.00 SCLERODERMA ANTIBODY $ 641.00 SCLEROTHERAPY FLUID COLLECTION PERQ CONTRAST STUDY $ 1,859.00 SD ACT $ 483.00 SD CARDIOVERSION $ 2,945.00 SD EXT TRANSCUTANEOUS PACING $ 1,512.00 SDS PROC EXTENDED CARE $ 1,565.00 SECONDARY CLOSURE SURG WOUND $ 4,342.00 SEDIMENTATION RATE $ 87.00 SELECTVE CATHETER PLACEMENT BILATERAL PULMONARY ARTERIES $ 1,475.00 SELECTVE CATHETER PLACEMENT LEFT PULMONARY ARTERY $ 982.00 SELECTVE CATHETER PLACEMENT RIGHT PULMONARY ARTERY $ 982.00 SELF CARE HOME MANAGE 15 MIN $ 138.00 SEMEN - PRESENCE OF SPERM $ 138.00 SEMEN ANALYSIS $ 226.00 SENSITIVITY STUDY $ 170.00 SENTRY 1200 PER DAY $ 32.00 SEQUENTIAL INFUSION,ADDNL $ 271.00 SEROTONIN, QUAL $ 164.00 SERUM KAPPA,NEPHELOMETRY $ 72.00 SERUM LAMBDA,NEPHELOMETRY $ 72.00 SEX HORMONE BINDING GLOBULIN $ 56.00 SHAVE LES FACE_LID_NOS_LIP .5 2CM $ 305.00 SHAVE LES SCLP_NCK_HND_FT 0.5 2CM $ 305.00 SHAVE LESION TRNK_ARM_LEG <0.5CM $ 224.00 SHAVE LESION TRNK_ARM_LEG 0.6 2CM $ 224.00 SICKLE CELL SCREEN (SOLUBIL) $ 97.00 SIGMOIDOSCOPY W BX $ 1,192.00 SIGMOIDOSCOPY W CONTRLD BLEED $ 2,840.00 SIGMOIDOSCOPY W_POLYP $ 788.00 SIMPLE DSG CHG $ 110.00 SIMULATION - INTERMED $ 2,135.00 SIMULATION - SIMPLE $ 1,585.00 SIMULATION-3D $ 2,575.00 SIMULATION-COMPLEX $ 2,390.00 SJOGRENS SSA ANTIBODY $ 92.00 SJOGRENS SSB ANTIBODY $ 92.00 SKELETAL MUSCLE RELAXANT 1/2 $ 150.00 SKELETAL MUSCLE RELAXANTS 1 OR 2 $ 147.00 SKIN FUNGI CULTURE $ 32.00 SKIN GRAFT, SURGICAL PREP $ 1,822.00 SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY $ 2,974.00 SMEAR FLUORESCENT/ACID STAI $ 20.00 SMEAR PRIMARY SOURCE WITH INTERPRETATION COMPLEX SPECIAL STAIN EG TRICHROME IRON $ 28.00 HEMOTOXYLIN FOR OVA AND PARASITES SMEAR SPECIAL STAIN $ 16.00 SMEAR WET MOUNT /INK $ 24.00 SMITH IGG ABS $ 95.00 SMOKE CESSTN CNSLG 3 TO 10MIN $ 54.00 SMOOTH MUSCLE AB TITER $ 112.00 SODIUM $ 78.00 SPECIAL DELIVERY - 1HR $ 147.00 SPECIAL DOSIMETRY $ 176.00 SPECIAL STAIN (FE) $ 204.00 SPECIAL STAIN GRP I $ 170.00 SPECIAL STAIN GRP II $ 138.00 SPECIAL STAINS-TRICHROME $ 224.00 SPECIAL TREATMENT PROC $ 1,150.00 SPECIMEN COLLECTION FEE $ 34.00 SPECIMEN INFECT AGNT CONCNTJ $ 20.00 SPEECH RX CCR $ 347.00 SPEECH TREAT ADULT OP $ 509.00 SPEECH TREAT PEDS $ 229.00 SPEECH TREAT-IP $ 229.00 SPINAL LUMBAR PUNCTURE $ 1,355.00 SPINAL PUNCTURE DRAIN CSF THERAPEUTIC $ 1,288.00 SPIROMETRY/PFT SIMPLE $ 579.00 SPLITTING BLOOD PRODUCTS $ 154.00 SPUTUM INDUCTION INITIAL $ 122.00 SPUTUM INDUCTION SUBS $ 83.00 SQNTL IV INF T,P,D TO 1 HR $ 271.00 SSEP UPPER AND LOWER LIMB INTRAOPERATIVE NEUROMONITORING $ 1,436.00 SSEP UPPER AND LOWER LIMB IOM EVENING OR WEEKEND $ 3,197.00 ST TELEHEALTH 11-20 MINUTES $ 63.00 ST TELEHEALTH 21 MINUTES or more $ 100.00 ST TELEHEALTH 5-10 MINUTES $ 37.00 STAPHAUREUS METHICILLIN RESISTANTAMPLIFIED PROBE $ 101.00 STAT3 SNP $ 175.00 STEPDOWN $ 4,410.00 STEREOISOMER ANALYSIS $ 89.00 STMT 71111 MNT 1/2HR GRP $ 56.00 STMT 71111 MNT 1/4HR IND INITIAL $ 69.00 STMT 71111 MNT 1/4HR IND REASSESS $ 67.00 STONE ANALYSIS $ 125.00 STOOL ADD. PATHOGEN & CAMPY $ 74.00 STOOL ADD. PATHOGEN-E COLI 0157 $ 74.00 STOOL ADD. PATHOGEN-YERSINIA $ 74.00 STRAIGHT CATH $ 145.00 STRAPPING ANKLE_FOOT $ 175.00 STRAPPING ELBOW_WRIST $ 167.00 STRAPPING UNNA BOOT $ 286.00 STRAPPING-HIP $ 175.00 STRAPPING-KNEE $ 175.00 STRAPPING-LOW BACK $ 175.00 STRAPPING-SHOULDER $ 175.00 STREP PNEUM AG, URINE $ 181.00 STREP PNEUMO AG CSF $ 190.00 STREPTOCOCCUS GROUP B ANTIGEN LA $ 86.00 STREPTOCOCCUS PNEUMONIAE ANTIGEN LA $ 86.00 SUCTION PROCEDURE $ 197.00 SURFACTANT ADMIN $ 197.00 SURG PATH DECALCIFICATION $ 151.00 SURGICAL BLOCK $ 71.00 SURGICAL PREPARATION FOR SKIN REPLACEMENT $ 4,762.00 SURGICAL TEE MONITORING $ 2,903.00 SURG-PATH LEVEL 1 GROSS ONLY $ 54.00 SURG-PATH LEVEL II $ 132.00 SURG-PATH LEVEL III $ 180.00 SURG-PATH LEVEL IV $ 286.00 SURG-PATH LEVEL V $ 425.00 SURG-PATH LEVEL VI $ 674.00 SUTURE TONGUE <2.5CM (ANTERIOR) $ 299.00 SWALLOW EVAL BEDSIDE $ 546.00 SWALLOW EVAL MBS $ 635.00 SWALLOWING EVAL-OP $ 635.00 SWALLOWING TREAT INPATIENT $ 229.00 SYNPTOPHYSIN,1HC $ 383.00 T CEL CLON BETA BY PCR FFPE $ 2,398.00 T CELL CLON GAMMA BY PCR FFPE $ 583.00 T CELLS,ABSOLUTE COUNT $ 97.00 T CELLS,TOTAL COUNT $ 131.00 T P D INJECTION SUB Q OR IM $ 213.00 T SPOT $ 144.00 T3 REVERSE $ 251.00 T3 TOTAL $ 207.00 T3 UPTAKE $ 225.00 T4 TOTAL $ 204.00 TANGENTIAL BX OF SKIN EG SHAVE SCOOP SAUCERIZE CURETTE EACH SEPARATE/ADDITIONAL LESION $ 966.00

TANGENTIAL BX OF SKIN EG SHAVE SCOOP SAUCERIZE CURETTE SINGLE LESION $ 541.00

TEGRETOL/CARBAMAZEPINE $ 111.00 TEICHOIC ACID ANTIBODY $ 148.00 TENDON SHEATH INCISION TRIG FNGR $ 4,032.00 TENOTOMY TOE,SINGLE TENDON $ 6,290.00 TEST BRONCH INH W/HISTAM $ 1,063.00 TEST ESOPHAGUS ACID REFLUX NASAL INTLUMINAL PRLONG $ 1,449.00 TEST ESOPHAGUS ACID REFLUX W/NASAL CATH pH ELECTRO $ 1,449.00 TEST ESOPHAGUS ACID REFLUX W/NASAL INTRALUMINAL IMPEDANCE ELECTRODE PLACEMENT $ 814.00

TESTOSTERONE FREE $ 130.00 TESTOSTERONE TOTAL $ 189.00 TETANUS TOXOID IGG $ 91.00 TGF? TRANSFORMING GROWTH FACTOR ALPHA $ 98.00 THEOPHYLLINE $ 124.00 THER ACTIVITIES-15 MIN $ 202.00 THER ACTIVITIES-15MIN $ 202.00 THER INJ CARPAL TUNNEL $ 767.00 THER/PRO/DX INJ SQ/IM $ 224.00 THERAPEUTIC EXER - 15 MIN $ 245.00 THERAPEUTIC EXER 15 MIN $ 245.00 THERAPEUTIC EXER-15MIN $ 245.00 THERAPEUTIC INTERVENTIONS COGNITIVE FUNCTIONS INIT 15 MIN $ 79.00 THERAPEUTIC INTERVENTIONS COGNITIVE FUNCTIONS EA ADDL 15 MIN $ 74.00

THERAPEUTIC INTERVENTIONS COGNITIVE FUNCTIONS ADDL EA 15 MIN $ 72.00

THERAPEUTIC PHLEBOTOMY $ 378.00 THERAPEUTIC PROPH DIAG INJ IV PUSH ADDL SEQ $ 213.00 THERAPEUTIC PROPH DIAG INJ IV PUSH SAME $ 213.00 THERAPEUTIC PROPH DIAG INJ IV PUSH SINGLE INITIAL $ 213.00 THERAPEUTIC PROPH DIAG INJ SQ IM $ 213.00 THERAPY/PRO/DX IV PUSH $ 171.00 THERAPY/PRO/DX IV PUSH ADD $ 291.00 THERAPY/PRO/DX IV PUSH INJ $ 291.00 THERATURN PLUS_DAY $ 144.00 THERATURN_DAY $ 121.00 THORACENTESIS $ 643.00 THORACENTESIS ASPIRAT W_O IMAG $ 1,596.00 THORACENTESIS INCLUDES TRAY $ 599.00 THORACENTESIS NEEDLE OR CATH W/O IMAGING GUIDANANCE BILATERAL $ 2,399.00

THORACENTESIS WITH NEEDLE OR CATH W/IMAGING GUIDANCE $ 1,995.00 THORACOSTOMY W/ TUBE INSERT BILAT $ 1,239.00 THORACOSTOMY W/TUBE INSERT $ 3,365.00 THROMBECTOMY DIALYSIS CIRCUIT W STENT AND ANGIO $ 33,999.00 THROMBECTOMY VENOUS MECHANICAL BILAT $ 6,011.00 THROMBECTOMY VENOUS MECHANICAL BILATERAL $ 12,012.00 THROMBECTOMY VENOUS MECHANICAL EA ADD $ 4,006.00 THROMBIN TIME $ 78.00 THROMBOLYTIC VENOUS THERAPY $ 4,730.00 THRYROID STIM IMMUNOGLOBULIN $ 207.00 THYROGLOBULIN $ 237.00 THYROGLOBULIN ANTIBODIES $ 91.00 THYROGLOBULIN ANTIBODY $ 23.00 THYROGLOBULIN,IHC $ 383.00 TILT TABLE EVAL CARDIOVAS $ 1,874.00 TIMP 1 CHEMILUMINESCENT $ 260.00 TISSUE CULTURE,BN MARROW $ 627.00 TISSUE CULTURE,LYMPHOCYT (CHGL) $ 627.00 TOBRAMYCIN (TROUGH/RANDOM) $ 91.00 TOPIRAMATE $ 123.00 TOT,EOSINOPHIL CT $ 164.00 TOTAL CORTISOL $ 138.00 TOTAL PROTEIN,URINE $ 36.00 TOXOPLASMA ANTIBODY IGG $ 108.00 TOXOPLASMOSIS IGM AB $ 221.00 TPA THERAPY CEREBRAL INFUSION $ 1,937.00 TPA THERAPY CORONARY INFUSION $ 2,037.00 TPMT (THIOPURINE S METHYLTRANSFERASE) (EG DRUG METABOLISM) GENE ANALYSIS, COMMON $ 502.00 VARIANTS (EG *2, *3) TPMT ENZYME ACTIVITY PERIPH RBC $ 237.00 TRACH TUBE CHANGE $ 525.00 TRACHEOSTOMY CRICOTHYROID $ 4,568.00 TRACHEOTOMY TUBE CHANGE $ 525.00 TRACTION $ 198.00 TRAIN-SPEECH GENERATING DEVICES $ 557.00 TRANSCATH INSERTION OR REPLACEMENT OF PERMANENT LEADLESS PACEMAKER VENTRICULAR $ 27,368.00

TRANSCATHETER PLACEMENT INTRAVASCULAR SENTS OPEN OR PERCUTANEOUS INITIAL ARTERY $ 52,369.00 BILATERAL TRANSCUTANEOUS PACER $ 1,937.00 TRANSESOPHAGEAL ECHO TEE NONSURG $ 2,546.00 TRANSFERRIN $ 96.00 TRANSFUSION BLOOD BLOOD COMPONENTS $ 1,177.00 TRANSGLUTAMINASE IGA AB $ 137.00 TRANSGLUTAMINASE IGG $ 105.00 TRANSPERINEAL PLACEMENT OF BIODEGREABLE MATERIAL PERI-PROSTATIC SINGLE OR MULTIPLE INJ $ 12,364.00 INCLUDING IMAGE GUIDANCE WHEN PERFORMED

TREAT DISLOCATION CLAV W/MANIP $ 298.00 TREAT DISLOCATION ELBOW (ADULT) $ 373.00 TREAT DISLOCATION FINGER/TOE EA $ 299.00 TREAT DISLOCATION HAND/METACARPAL $ 373.00 TREAT DISLOCATION HIP $ 373.00 TREAT DISLOCATION I P JOINT WO ANES W MANIPULATION CLOSED $ 704.00 TREAT DISLOCATION KNEECAP $ 373.00 TREAT DISLOCATION SHOULDR W/MANIP $ 299.00 TREAT FRACTURE GREAT TOE WITHOUT MANIPULATION CLOSED $ 704.00 TREAT FRACTURE NASAL WITHOUT MANIPULATION CLOSED $ 704.00 TREAT FRACTURE PHALANX WITHOUT MANIPULATION CLOSED $ 704.00 TREAT FX ANKLE W/MANIPULATION $ 4,037.00 TREAT FX BIG TOE W/MANIPULATION $ 284.00 TREAT FX DISTAL PHALANGE W/MANIP $ 299.00 TREAT FX FIBULA W/MANIPULATION $ 373.00 TREAT FX FINGER SHAFT W/MANIP $ 299.00 TREAT FX METACARPAL W/MANIP $ 389.00 TREAT FX NOSE W/MANIPULATION $ 3,932.00 TREAT FX TIBIA W/MANIPULATION $ 4,037.00 TREAT FX TOE W/MANIPULATION $ 298.00 TREAT FX ULNAR SHAFT W/MANIP $ 389.00 TREAT FX ULNAR W/MANIPULATION $ 4,037.00 TREAT FX WRIST W/MANIPULATION $ 4,037.00 TREAT NURSEMAID ELBOW $ 392.00 TREATMENT DEVICES - COMP $ 1,850.00 TREATMENT DEVICES - INTER $ 1,190.00 TREATMENT DEVICE-SIMPLE $ 770.00 TREATMENT PLAN - INTERMED $ 1,865.00 TREATMENT PLAN - SIMPLE $ 1,585.00 TREATMENT PROT FILM $ 130.00 TREPONEMA PALLIDUM $ 138.00 TREPONEMA PALLIDUM AB,IGG $ 145.00 TRICHOMONAS VAGINALIS,DIRECT PRBE $ 74.00 TRICHROME STAIN $ 164.00 TRICHVAGINALISAMPLIFIED PROBE $ 101.00 TRIGLYCERIDES $ 92.00 TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART $ 8,327.00 TROPONIN,QUANT $ 244.00 TRYPTASE $ 168.00 TSH-THYR STIM HORMONE $ 315.00 TTF-1,1HC $ 383.00 TX ATRIAL FIB PULM VEIN ISOL $ 22,108.00 TX BURN 1ST DEGREE INTL $ 320.00 TX DISL ANKLE W/O ANES CLSD $ 392.00 TX DISL CARPAL W/MANIP CLSD $ 389.00 TX DISL METATARSOPH CLOSED $ 298.00 TX DISL RADIOULNAR W/MAN CLSD $ 4,037.00 TX DISL TALOTAR W/O ANES CLSD $ 284.00 TX DISPL (M-P) W/O ANES CLSD $ 284.00 TX FOR INCOMPLETE ABORTION $ 4,389.00 TX FX (M-P))(I-P)JT W/MAN $ 4,037.00 TX FX CLAVICLE W/MANIP CLOS $ 4,037.00 TX FX CLAVICLE WITHOUT MANIPULATION CLOSED $ 704.00 TX FX ELBOW/MONTEGGAIA W/MAN $ 2,058.00 TX FX FEM SHAFT W/MAN CLSD $ 2,058.00 TX FX HUMER PROX W/MAN CLSD $ 4,037.00 TX FX MANDIB W/MANIP $ 1,496.00 TX FX METACARPAL W MAN CLSD $ 373.00 TX FX METATARSAL W/MAN CLSD $ 436.00 TX FX RADIAL W/MAN CLSD $ 4,037.00 TX FX RADIUS/ULNA W/MANIP CLSD $ 4,037.00 TX FX THUMB W/MAN CLSD $ 4,037.00 TX FX TIB PROX W/ W/O MAN $ 8,069.00 TX FX TRIMALLEOLAR W/MAN CLSD $ 4,037.00 TX L/R ATRIAL FIB ADDL $ 11,051.00 TX OF METATARSAL FX W/O MANIP $ 436.00 TX RAD/ULNA SHFT W/MANIP CLSD $ 4,037.00 ULTRA-SENSITIVE CRP $ 161.00 ULTRASONIC GUIDED NEEDLE PLCMT $ 583.00 ULTRASOUND - 15 MIN $ 164.00 ULTRASOUND INTRAVASCULAR NON-CORONARY EA ADDL $ 525.00 ULTRASOUND INTRAVASCULAR NON-CORONARY EACH ADDITIONAL $ 620.00 ULTRASOUND INTRAVASCULAR NON-CORONARY INITIAL $ 620.00 ULTRASOUND-15MIN $ 164.00 UNDER INJECTION, DRAINAGE, OR ASPIRATION PROCEDURES ON THE SPINE AND SPINAL CORD $ 2,352.00

UPGRADE PACEMKR IMPLANT $ 14,774.00 UREA NITROGEN (BUN) $ 78.00 UREA NITROGEN CLEARANCE $ 51.00 UREA NITROGEN, URINE 24HR $ 51.00 URIC ACID $ 105.00 URINALYSIS ONLY BILL $ 66.00 URINALYSIS W/MICROSCOPIC $ 131.00 URINE AMPHETAMINE/ECSTASY SCRN $ 113.00 URINE AMYLASE RANDOM $ 156.00 URINE BARBITURATE SCREEN $ 113.00 URINE BENZODIAZEPINE SCREEN $ 113.00 URINE CALCIUM (RANDOM) $ 82.00 URINE CALCIUM 24 HR $ 82.00 URINE CANABINOID SCREEN $ 113.00 URINE CHLORIDE 24HR $ 54.00 URINE CHLORIDE, RANDOM $ 48.00 URINE CITRATE 24HR $ 193.00 URINE COCAINE METABOLITE SCRN $ 113.00 URINE CREATININE (RANDOM) $ 91.00 URINE CREATININE 24HR $ 156.00 URINE FOR EOSINOPHILS $ 137.00 URINE METANEPHRINES $ 155.00 URINE METHADONE SCREEN $ 113.00 URINE OPIATE SCREEN $ 113.00 URINE OSMOLALITY (RANDOM) $ 232.00 URINE OXALATE (24 HR) $ 92.00 URINE OXYCODONE SCREEN $ 113.00 URINE PCP SCREEN $ 113.00 URINE PH $ 51.00 URINE PORPHYRINS FRACTIONATED $ 340.00 URINE POTASSIUM 24HR $ 54.00 URINE POTASSIUM RANDOM $ 51.00 URINE PROTEIN QUANT 24 HR $ 138.00 URINE PROTEIN RANDOM $ 129.00 URINE SODIUM 24HR $ 44.00 URINE SODIUM RANDOM $ 44.00 URINE SPECIFIC GRAVITY $ 40.00 URINE UREA NITROGEN, RANDOM $ 51.00 URINE URIC ACID, 24HR $ 51.00 URINE VOLUME MEASUREMENT $ 25.00 UROGNE UREAPLASMA MYCOPL SP BY PCR $ 342.00 US 3D RENDER W POST PROCESS $ 360.00 US ABD PARACENTESIS W/_MAGING $ 2,225.00 US ABDOMEN LIMITED ORGAN_QUAD $ 1,210.00 US ABDOMINAL SURVEY COMPLETE $ 1,365.00 US ABLAT RENAL TUMR PERC $ 5,745.00 US ABLAT TUMR LIVER RADIO PER $ 5,745.00 US ABLAT TUMR RENAL CRYO UNILA $ 8,598.00 US ADDL BREAST ASPIRATION LT $ 595.00 US ADDL BREAST ASPIRATION RT $ 595.00 US ART_VEN SCROT_PEL RETRO LTD $ 422.00 US ASP OR INJECT JNT OR BURSA $ 720.00 US ASPIRATE/INJ GANGLION CYST $ 730.00 US ASPIRATE_INJ THYROID CYST $ 623.00 US BIOPSY PAROTID GLAND $ 2,250.00 US BIOPSY SUPERFICIAL SOFTISUE $ 4,035.00 US BLADDER $ 1,070.00 US BREAST ASPIRATION CYST LT $ 630.00 US BREAST ASPIRATION CYST RT $ 630.00 US BREAST COMPLETE BI $ 795.00 US BREAST LTD W DOC BI $ 690.00 US BREAST NEEDLE LOCAL LT $ 845.00 US BREAST NEEDLE LOCAL RT $ 845.00 US BREAST UNILAT COMPLETE LT $ 630.00 US BREAST UNILAT COMPLETE RT $ 630.00 US BREAST UNILAT LTD W DOC LT $ 525.00 US BREAST UNILAT LTD W DOC RT $ 525.00 US BX ABD MASS PERC NEEDLE $ 1,403.00 US BX ABD PERIT OMENTUM UNLISTED $ 1,260.00 US BX BREAST DDVC ADD LESION LT $ 540.00 US BX BREAST DVC 1ST LESION BI $ 4,040.00 US BX BREAST DVC 1ST LESION LT $ 2,695.00 US BX BREAST DVC 1ST LESION RT $ 2,695.00 US BX BREAST DVC ADD LESION BI $ 815.00 US BX BREAST DVC ADD LESION RT $ 540.00 US BX SOFT TISSUE OF THIGH OR KNEE AREA SUPERFICIAL $ 2,110.00 US BX THYROID $ 815.00 US BX_EXC LMPH NODE SUPER NDL $ 2,140.00 US CHEST TUBE INSERTION $ 3,250.00 US CHEST WITH IMAGE DOCUMENTATION $ 650.00 US COMPRESSION PSEUDOANEURYSM $ 1,205.00 US DPL AORTA IVC ILIAC COMPLETE $ 1,555.00 US DPL ART_VEN HEPATOPORTAL $ 1,690.00 US DPL ART_VEN MESENTERIC $ 1,300.00 US DPL ART_VEN RENALS $ 1,690.00 US DPL ART_VEN SCROT_PEL RETRO $ 1,690.00 US DPL CAROTID ART BI $ 1,925.00 US DPL CAROTID ART LT $ 780.00 US DPL CAROTID ART RT $ 780.00 US DPL HEMODIAL W ART PLUS VEN $ 1,030.00 US DPL ILIAC BYPASS GRAFT LT $ 795.00 US DPL ILIAC BYPASS GRAFT RT $ 795.00 US DPL LOW EXT ARTER BI $ 1,895.00 US DPL LOW EXT ARTER LT $ 1,300.00 US DPL LOW EXT ARTER RT $ 1,300.00 US DPL LOW EXT VEIN LT $ 1,415.00 US DPL LOW EXT VEIN RT $ 1,415.00 US DPL LOW EXT VEINS BI COMP $ 2,060.00 US DPL UP EXTREM ARTERY BI $ 1,855.00 US DPL UP EXTREM ARTERY LT $ 1,220.00 US DPL UP EXTREM ARTERY RT $ 1,090.00 US DPL UP EXTREM VEINS BI $ 1,960.00 US DPL UP EXTREM VEINS LT $ 1,415.00 US DPL UP EXTREM VEINS RT $ 1,415.00 US EA ADDL TAGET LESION $ 355.00 US ELASTOGRAPHY OF FIRST TARGET LESION $ 355.00 US ELASTOGRAPHY PARENCHYMA $ 330.00 US ELBOW RT NON VACS $ 455.00 US EXAM AAA SCREENING $ 413.00 US EXT NONVASC_IMAGE RT COMPLT $ 1,315.00 US EXTREM NONVASC_IMAGE BI COMPLT $ 1,895.00 US EXTREM NONVASC_IMAGE LT COMPLT $ 1,315.00 US FETAL BIOPHYSICAL W_O NST $ 1,065.00 US FINE NEEDLE ASPIRATION BIOPSY EACH ADDITIONAL LESION $ 1,700.00 US FINE NEEDLE ASPIRATION BIOPSY FIRST LESION $ 1,700.00 US FNA W IMAGING 1ST LESION NON BREAST $ 1,700.00 US FNA W IMAGING NON BREAST $ 1,700.00 US FOREARM LT NON VACS $ 455.00 US FOREARM RT NON VACS $ 455.00 US GALL BLADDER $ 1,155.00 US GUID THORACENTESIS $ 742.00 US GUIDANCE FOR VASCULAR ACCESS $ 433.00 US GUIDE PERCUT DRAIN ABSC $ 3,045.00 US GUIDED NEEDLE BX $ 1,560.00 US GUIDED TISSUE ABLAT $ 332.00 US HR PREG <14 WEEKS ADDL GEST $ 455.00 US HR PREG >14 WEEKS ADDL GEST $ 455.00 US HR PREG 1 OR MORE FETUS LMTD $ 985.00 US HR PREG DETAIL EA ADDL GEST $ 455.00 US HR PREG DETAILED SGL GEST $ 1,625.00 US HR PREG FOLLOWUP_REPEAT $ 715.00 US HR PREG NUCH MEAS ADDL GEST $ 248.00 US HR PREG NUCH MEAS SGL 1ST $ 248.00 US HR PREGNANCY <14 WEEKS SGL $ 1,125.00 US HR PREGNANCY >14 WEEKS SGL $ 1,360.00 US HR PREGNANCY TRANSVAGINAL $ 1,125.00 US INFANT HIPS WO MANIPULATION $ 600.00 US INJ SALINE CATHETERIZATION $ 270.00 US INSERT TUNNELED IPER CATH $ 8,535.00 US INSERTION OF PICC WO SUBCUTANEOUS PORT OR PUMP WITH IMAGING GUIDANCE >5 YRS $ 3,205.00

US INSERTION OF PICC WO SUBCUTANEOUS PORT OR PUMP WO IMAGING GUIDANCE >5 YRS $ 2,915.00

US INTRAOPERATIVE PROCEDURE $ 895.00 US INTRAVASCULAR NON CORONARY INITIAL $ 525.00 US KNEE LT NON VACS $ 455.00 US KNEE RT NON VACS $ 455.00 US LIVER $ 1,155.00 US LIVER NEEDLE PERCUTANEOUS $ 1,510.00 US LIVER UNLSTD PROC $ 855.00 US LOWER LEG LT NON VACS $ 615.00 US LOWER LEG RT NON VACS $ 615.00 US NEONATAL HEAD $ 665.00 US OB LMT F_U ADDNL GESTATION RPT $ 310.00 US OB LMT F_U RPT $ 715.00 US OB LMT W MULTIPLE GESTATION $ 985.00 US OB TRANSVAG $ 1,125.00 US OB<14 WK $ 1,125.00 US OB<14WK ADDNL GESTATION $ 455.00 US OB>14 WK $ 1,360.00 US OB>14 WK ADDNL GESTATION $ 455.00 US OB>14WK ADDNL GESTATION $ 455.00 US OB>14WK W ADDNL ANATOMY $ 1,625.00 US PANCREAS $ 1,155.00 US PARATHYROID $ 1,150.00 US PEDIATRIC HIPS WITH MANIPULATION $ 1,020.00 US PELVIS NON OB COMPLETE $ 1,370.00 US PELVIS NON OB LIMITED OR FU $ 225.00 US PL LOCAL DVC BREAST ADD BI $ 575.00 US PL LOCAL DVC BREAST ADD LT $ 382.00 US PL LOCAL DVC BREAST ADD RT $ 382.00 US PL LOCAL DVC BREAST BI $ 860.00 US PL LOCAL DVC BREAST LT $ 623.00 US PL LOCAL DVC BREAST RT $ 623.00 US PUNCTURE DRAINAGE OF LESION $ 920.00 US RENAL BX BIL $ 2,030.00 US RENAL BX LT $ 1,403.00 US RENAL BX RT $ 1,403.00 US RENAL CYST ASPIRATION BIL $ 1,320.00 US RENAL CYST ASPIRATION LT $ 1,320.00 US RENAL CYST ASPIRATION RT $ 1,320.00 US RENALS RETRO $ 1,125.00 US RETROPERITONEAL LIMITED $ 1,125.00 US RETROPERITONEUM COMPLETE $ 1,350.00 US SALINE SONOHYSTEROGRAPHY $ 385.00 US SCLEROTX FLUID COLLECTION $ 1,700.00 US SCROTUM AND CONTENTS $ 1,220.00 US SHOULDER LT NON VACS $ 455.00 US SHOULDER RT NON VACS $ 455.00 US SOFT TISSUE UNLISTED $ 500.00 US SOFT TISU HEAD_NECK $ 1,095.00 US SPINAL CANAL AND CONTENTS $ 1,180.00 US SPLEEN $ 1,155.00 US SURGICAL SPECIMEN $ 815.00 US THIGH LT NON VACS $ 455.00 US THIGH RT NON VACS $ 455.00 US THROMBIN INJ $ 675.00 US THYROID $ 1,095.00 US TRANSVAGINAL $ 1,125.00 US TRGT DYNAMIC MICROBUBBLE 1ST LESION $ 600.00 US TRGT DYNAMIC MICROBUBBLE EA ADDL LES $ 600.00 US UPPER ARM LT NON VACS $ 615.00 US UPPER ARM RT NON VACS $ 615.00 US VEIN MAPPING BI $ 2,060.00 US VEIN MAPPING BI SURGICAL $ 2,060.00 US VEIN MAPPING LT $ 1,415.00 US VEIN MAPPING LT SURGICAL $ 950.00 US VEIN MAPPING RT $ 950.00 US VEIN MAPPING RT SURGICAL $ 950.00 V CUE_DAY $ 278.00 V ZOSTER VIRUS HAD $ 260.00 VAGINAL DELIVERY $ 4,531.00 VAGINAL PANEL BY PCR $ 606.00 VAGINOSIS MARKERSAMPLIFIED PROBE $ 202.00 VALPROIC ACID (DEPAKENE), IA $ 204.00 VANCOMYCIN (TROUGH/RANDOM) $ 107.00 Vapotherm Initial Day $ 559.00 Vapotherm Subs Day $ 559.00 VARICELLA RAPID CULTURE $ 105.00 VARICELLA ZOSTER DFA $ 105.00 VARICELLA ZOSTER IGG AB $ 129.00 VARICELLA-ZOSTER IGM AB $ 83.00 VCAM CHEMILUMINESCENT ASSAY $ 53.00 VCAM LUMINEX HIGH PERFORMANCE ASSAYS $ 98.00 VEGF CHEMILUMINESCENT ASSAY $ 59.00 VEGF ELISA $ 53.00 VENIPUNCTURE <3YR VEIN OTHR $ 347.00 VENOGRAM RENAL UNILATERAL LT SI $ 2,840.00 VENOUS ACCESS DEVICE FLUSH $ 125.00 VENOUS ACCESS DEVICE FLUSH_EN $ 125.00 VENOUS ACCESS DEVICE FLUSH_GP $ 125.00 VERTEBROPLASTY PERC INJ CERVIOTHORACIC WITH IMIGING $ 6,568.00 VERTEBROPLASTY PERC INJ EA ADDL W/IMG $ 3,145.00 VERTEBROPLASTY PERC INJ LUMBOSACRAL W/IMG $ 6,295.00 VIDEO EEG MONITOR PER 24 HRS $ 3,194.00 VIMENTIN,IHC $ 383.00 , SERUM $ 92.00 VISIT CLINIC ESTAB LEVEL I $ 121.00 VITAL CAPACITY AT BEDSIDE $ 148.00 VITAMIN A $ 48.00 VITAMIN B1 (THIAMINE) $ 68.00 VITAMIN B12 $ 221.00 Vitamin B2 $ 96.00 VITAMIN B-6 (PYRIDOXAL PHOS) $ 277.00 VITAMIN D 25 HYDROXY $ 387.00 VITAMIN D,1,25-DIHYDROXY $ 169.00 Vitamin E $ 38.00 VL ABD AORTA PLUS 1 VISCERAL $ 4,932.00 VL ABD AORTOGRAM INC LWR EXT $ 2,974.00 VL ABSCESS CATHETER CHANGE_REPLAC $ 3,134.00 VL ABSCESS DRAIN PLEURAL $ 3,413.00 VL ANGIO EXTREMITY BILAT RAD S_I $ 3,098.00 VL ANGIO EXTREMITY LT RAD S_I $ 2,974.00 VL ANGIO EXTREMITY RT RAD S_I $ 2,974.00 VL ANGIO FOLLOWUP POST INF OR EMB $ 2,552.00 VL ANGIO PELVIC SELECTIVE RAD S_I $ 4,932.00 VL ANGIO SELECT EA ADD VESS S_I $ 3,213.00 VL ANGIO SPINAL SELECTIVE RAD S_I $ 4,932.00 VL ANGIOGRAM PULMONARY BILATERAL $ 2,974.00 VL ANGIOGRAM THORACIC $ 4,932.00 VL AORTIC ROOT INJ $ 572.00 VL ASP INJ RENAL CYST PEL PERC LT $ 1,045.00 VL ASP INJ RENAL CYST PEL PERC RT $ 1,045.00 VL ATHERCT TIBL PRNL LT $ 17,105.00 VL ATHERCT TIBL PRNL RT $ 17,105.00 VL ATHEREC TIB PRNL EA ADD VSL $ 12,180.00 VL ATHERECT FEM POP INCLUDES PTA $ 21,698.00 VL ATHERECT FEMORAL LT $ 12,485.00 VL ATHERECT FEMORAL RT $ 12,485.00 VL ATHERECTOMY ILIAC OPEN_PERC $ 16,947.00 VL BILIARY TUBE CHANGE $ 1,250.00 VL CAROTID STENT W_DEP $ 16,559.00 VL CATH PLAC 1 ORD ABD PELV EX $ 609.00 VL CESSJ THERAPY CATH REMOVAL $ 4,730.00 VL CHANGE URETEROSTOMY TUBE RT $ 1,901.00 VL CHEST TUBE PNEUMO $ 903.00 VL CONTRAST INJ ASSESS ABSC CYST $ 184.00 VL FISTULAGRAM OR SINUS TRACT S_I $ 517.00 VL FLUID COLLXYN DRAIN CATH VIS $ 4,683.00 VL FLUID COLXY DRAIN CATH PERI $ 4,683.00 VL FLUORO GUIDE CVA PLACE $ 349.00 VL FLUORO LOCAL NDLE BX OR ASPIR $ 410.00 VL INFERIOR VENACAVAGRAM $ 3,098.00 VL INJ PROC CATH $ 152.00 VL INJ URETERO URETEROPLEOGRA RT $ 121.00 VL INS CATH REN ART 1ST BILAT $ 11,198.00 VL INS CATH REN ART 1ST UNILAT $ 8,610.00 VL INS CATH REN ART 2ND_BILAT $ 11,198.00 VL INS CATH REN ART 2ND_UNILAT $ 8,610.00 VL INS CATHETER SUPERIOR VENA CAV $ 383.00 VL INS ENDVA VEN CAVA FLTR PERM $ 12,815.00 VL INS NON TUNNELED CV CATH $ 3,134.00 VL INS TUNNEL 2 CATHS DUAL PORTS $ 8,841.00 VL INS TUNNEL CENTRAL W PORT $ 7,004.00 VL INS TUNNEL PERIPH W PORT $ 2,987.00 VL INS TUNNELED CV CATH $ 3,134.00 VL INSERT PICC WO PORT >5YRS $ 3,260.00 VL INTRO CATH INFERIOR VENA CAVA $ 515.00 VL INTRODUCTION CATHETER ABD AORT $ 809.00 VL INTRODUCTION CATHETER AORTA $ 809.00 VL MECH RMV TUNNEL LUMEN $ 1,750.00 VL NEEDLE BX INTRATHORACIC FL_FIL $ 452.00 VL NEPHROTOMY TRACT DILATATION LT $ 1,901.00 VL NEPHROTOMY TRACT DILATATION RT $ 1,901.00 VL PERC $ 4,426.00 VL PERC DIL BILIARY WO STENT $ 3,337.00 VL PERC DR ABSC W FLUORO W CAT $ 2,027.00 VL PERC INS INTRA AORTIC BALLOON $ 3,092.00 VL PERC TRANSHEPAT DILATION BILI $ 2,867.00 VL PLACE CATH CAROTID ART $ 4,932.00 VL PLACE CATH CAROTID INOM ART $ 4,064.00 VL PLACE CATH CAROTID INOM ART. $ 4,932.00 VL PLACE CATH THORACIC AORTA $ 2,974.00 VL PLACE CATH VERTEBRAL ART $ 5,108.00 VL PRIMARY ART MECH THROMBECTOMY $ 10,632.00 VL PT FEM POP RT $ 8,248.00 VL PTA FEM POP LT $ 8,248.00 VL PTA TIB PRNL EA ADDTL $ 8,657.00 VL PTA TIBL PRNL ART INTL LT $ 10,632.00 VL PTA TIBL PRNL ART INTL RT $ 10,632.00 VL PULMONARY ANGIO UNI LT $ 2,974.00 VL PULMONARY ANGIO UNI RT $ 2,974.00 VL REM ENDOVAS VENA CAVA FILTER $ 8,794.00 VL REM SNARE_URETERAL STENT PERC $ 5,245.00 VL REMOVE INTRVAS FOREIGN BODY $ 3,050.00 VL REMOVE TUNNEL W PORT PUMP $ 2,042.00 VL REMOVE TUNNEL WO PORT PUMP $ 1,575.00 VL REPLACE NON TUNNEL CENT WO $ 3,134.00 VL REPLACE TUNNEL CENT W PORT $ 7,004.00 VL REPLACE TUNNEL CENT WO $ 3,134.00 VL REPOSE VENOUS CATH $ 1,750.00 VL SEC PERC ART MECH THROMBECTOMY $ 3,749.00 VL SEC_SUB ART MECH THROMBECTOMY $ 3,749.00 VL SEL CATH ART ADD 2_ORD ABD $ 714.00 VL SEL CATH ORD AB PEL EXT $ 719.00 VL SEL CATH PL 1ST ORD THORACIC $ 777.00 VL SEL CATH PL 2ND ORD THORACIC $ 777.00 VL SEL CATH PL 3RD ORD THORACIC $ 719.00 VL SEL CATH PL ADD ORD THORACIC $ 719.00 VL SEL CATH PL VENOUS 2ND ORD BR $ 625.00 VL SEL CATH PLAC VEIN 1ST ORD $ 851.00 VL SELECT CATH ARTERIAL 3RD_ABD $ 945.00 VL SELECT CATH PLACEMENT SEGMENTL $ 662.00 VL SONO GUIDED NEEDLE PLAC $ 396.00 VL SONO GUIDED PUNC I_J $ 396.00 VL STENT ATHERECT_PTA FEM POP $ 27,683.00 VL STENT FEM POP INCLUDES PTA $ 18,433.00 VL STENT FEMORAL PTA_ATHERECT $ 27,683.00 VL STENT_ATHRECT TIB PRNL $ 28,849.00 VL STENT_PTA TIB PRNL NONCORN $ 17,105.00 VL STNT ART PTCA TIB PRNL EA ADD $ 8,411.00 VL SUPERIOR VENA CAVOGRAM $ 3,334.00 VL THROMBECT VEN MECH $ 8,006.00 VL THROMBOLYTIC ART THERAPY $ 4,730.00 VL THROMBOLYTIC ART/VEN THERAPY $ 4,730.00 VL TIPPS PROC $ 5,891.00 VL TRANCATH INT STNT O PER ART $ 34,913.00 VL TRANCATH INTVSC STNT INT VN $ 34,897.00 VL TRANCATH INTVSC STNT O ADDL $ 16,753.00 VL TRANCATH INTVSC STNT VN ADD $ 16,884.00 VL TRANSCATHETER BX PLACEMT $ 4,932.00 VL TRANSJUGULAR LIVE BX 2 $ 396.00 VL TRANSJUGULAR LIVER BX $ 4,331.00 VL UROG ANTEGRAD NEPHROSTOGRAM $ 515.00 VL US GUIDE CVA PLACE $ 455.00 VL VASC EMBL/OC ART NO HEM/TUM $ 33,852.00 VL VASC EMBL/OC ART/VN/HM/LYMP $ 33,852.00 VL VASC EMBLZ/OCCLS TUM/ORGAN $ 33,852.00 VL VASC EMBLZ/OCLS VEN NOT HEM $ 33,852.00 VL VENOGRAM EXTREMITY BILAT S_I $ 2,452.00 VL VENOGRAM RENAL BILAT $ 2,288.00 VL VENOGRAM RT EXTREMITY UN S_I $ 1,638.00 VL VENOGRAM UP EXTREM LT $ 1,638.00 VL VENOGRAPHY RENAL RT SEL S_I $ 2,840.00 VL VISCERAL SELECTIVE ART 2 $ 4,932.00 VON WILLEBRAND FACTOR AG $ 79.00 VON WILLEBRAND MULTIMER $ 184.00 W 3 WEST V CUE_DAY $ 278.00 W SURGICAL $ 60.00 W_C ASSMT_FIT_TRAIN 15MIN $ 87.00 WBC AND AUTO DIFF $ 46.00 WC ASSESSMENT FIT and TRAIN EA 15 MIN $ 87.00 WEDGING OF CAST $ 725.00 WEST NILE IGG $ 207.00 WEST NILE IGM $ 207.00 WEST SICU CARDIO-THORACIC $ 7,565.00 WET MOUNT $ 88.00 WHITE BLOOD CELL CT (WBC) $ 46.00 WINDOWING OF CAST $ 436.00 WORK CONDITIONING BWC HOURLY $ 452.00 WOUND CARE INS 15 MIN $ 65.00 WOUND CARE INS 30 MIN $ 95.00 WOUND CARE INS 45 MIN $ 123.00 WOUND CARE INS 60 MIN $ 150.00 WOUND MGMT NON-SELECT DEBRIDE $ 572.00 WOUND MGMT SELECT DEBRIDEMENT FIRST 20 SQ CM $ 572.00 WOUND VAC > 50 SQ CM $ 478.00 WOUND VAC-50 SQ CM OR LESS $ 260.00 WT-1,IHC $ 383.00 XR AC JOINTS BILAT W WO WEIGHTS $ 515.00 XR ACUTE ABD SERIES W PA CHEST $ 835.00 XR ANKLE BI 2 VIEWS $ 777.00 XR ANKLE BI MIN 3 VIEWS $ 824.00 XR ANKLE LT 2 VIEWS $ 515.00 XR ANKLE LT MIN 3 VIEWS $ 551.00 XR ANKLE RT 2 VIEWS $ 515.00 XR ANKLE RT IN 3 VIEWS $ 551.00 XR ANTEGRADE URO LOOPGRM RAD ONLY $ 515.00 XR AORTOGRAM ABDOMINAL W/SER S&I $ 2,977.00 XR AORTOGRAM THORACIC W/SER S&I $ 4,932.00 XR ARTHROGRAM WRIST LT $ 777.00 XR BARIUM $ 1,118.00 XR BARIUM ENEMA WITH AIR CONTRAST $ 1,428.00 XR BONE AGE STUDY $ 656.00 XR BONE LENGTH STUDY $ 515.00 XR BONE SURVEY COMPL AX AN APP $ 824.00 XR BONE SURVEY INFANT $ 415.00 XR BONE SURVEY LIMITED $ 656.00 XR C ARM FLUORO LESS THAN 1 HOUR $ 835.00 XR CALCANEUS BI MIN 2 VIEWS $ 777.00 XR CALCANEUS LT MIN 2 VIEWS $ 515.00 XR CALCANEUS RT MIN 2 VIEWS $ 515.00 XR CHEST 1 VIEW $ 504.00 XR CHEST 1 VIEW PORTBL 1 TO 6 YR $ 504.00 XR CHEST 2 VIEWS $ 583.00 XR CHEST 2 VIEWS 1 TO 6 YRS $ 583.00 XR CHEST 2 VIEWS UP TO 1 YR $ 583.00 XR CHEST 3 VIEWS $ 656.00 XR CHEST 4 OR MORE VIEWS $ 719.00 XR CHEST B READ 1 VIEW $ 180.00 XR CHEST B READ 2 VIEWS $ 436.00 XR CHEST FLUOROSCOPY $ 893.00 XR CHEST PORTABLE $ 504.00 XR CHEST PORTABLE UP TO 1 YR $ 504.00 XR CHEST TUBE INSERTION $ 3,413.00 XR CHEST TUBE REMOVAL $ 676.00 XR CHNG PERCUT TUBE OR DRAIN $ 1,250.00 XR CHOLANGIOGRAM OPER ADD SET $ 404.00 XR CHOLANGIOGRAM OPERATIVE $ 1,124.00 XR CHOLANGIOGRAM THRU CATH S&I $ 3,337.00 XR CLAVICLE BI $ 714.00 XR CLAVICLE LT $ 478.00 XR CLAVICLE RT $ 478.00 XR CONSULT EXAM MADE ELSEWHERE $ 103.00 XR CYSTO OR VCU INJECT $ 396.00 XR MIN 3 VIEW $ 1,187.00 XR DEXA BONE DENSITY STUDY $ 767.00 XR DEXA BONE DENSITY STUDY W VFA $ 956.00 XR DEXA FOREARM $ 184.00 XR DISKOGRAM L SPINE $ 4,652.00 XR ELBOW BI 2 VIEWS $ 714.00 XR ELBOW BI ARTHROGRAM $ 1,097.00 XR ELBOW BI ARTHROGRAM INJECT $ 536.00 XR ELBOW BI MIN 3 VIEW $ 824.00 XR ELBOW LT 2 VIEWS $ 515.00 XR ELBOW LT ARTHROGRAM $ 551.00 XR ELBOW LT ARTHROGRAM INJECT $ 270.00 XR ELBOW LT MIN 3 VIEWS $ 551.00 XR ELBOW RT 2 VIEWS $ 515.00 XR ELBOW RT ARTHROGRAM $ 551.00 XR ELBOW RT ARTHROGRAM INJECT $ 270.00 XR ELBOW RT MIN 3 VIEWS $ 551.00 XR ERCP ENDO CATH BILI AND PANC $ 1,355.00 XR ESOPHAGUS $ 845.00 XR EXCHANGE NEPHROSTOMY CATH w IMAGING $ 4,938.00 XR EXT BI ANGIOGRAM PLAIN $ 5,534.00 XR EXT BI VENOGRAM $ 2,452.00 XR EXT LT ANGIOGRAM PLAIN $ 2,974.00 XR EXT LT VENOGRAM RAD ONLY $ 1,638.00 XR EXT RT ANGIOGRAM PLAIN $ 2,974.00 XR EXT RT VENOGRAM $ 1,638.00 XR EYE BI FOREIGN BODY $ 672.00 XR FACIAL BONES LESS THAN 3 VIEWS $ 383.00 XR FACIAL BONES MIN 3 VIEWS $ 476.00 XR FEEDING TUBE CHECK $ 515.00 XR FEEDING TUBE PLACEMENT $ 583.00 XR FEMUR MIN 2 VIEWS BILAT $ 777.00 XR FEMUR MIN 2 VIEWS LT $ 515.00 XR FEMUR RT MIN 2 VIEWS $ 515.00 XR FINE NEEDLE ASPIRATION BIOPSY INCLUDING FLUROSCOPIC GUIDANCE EA ADDL LESION $ 1,785.00

XR FINE NEEDLE ASPIRATION BIOPSY INCLUDING FLUROSCOPIC GUIDANCE FIRST LESION $ 1,785.00

XR FINGERS BI MIN 2 VIEWS $ 777.00 XR FINGERS LT MIN 2 VIEWS $ 515.00 XR FINGERS RT MIN 2 VIEWS $ 515.00 XR FLUORO GUIDED NEEDLE PLACEMENT $ 1,250.00 XR FLUORO LESS THAN 1 HOUR $ 835.00 XR FOOT BI 2 VIEWS $ 777.00 XR FOOT BI MIN 3 VIEWS $ 824.00 XR FOOT LT 2 VIEWS $ 515.00 XR FOOT LT MIN 3 VIEWS $ 551.00 XR FOOT RT 2 VIEWS $ 515.00 XR FOOT RT MIN 3 VIEWS $ 551.00 XR FOREARM BI AP AND LAT $ 714.00 XR FOREARM LT AP AND LAT $ 478.00 XR FOREARM RT 2 VIEWS $ 478.00 XR FRAC ASSESS DUAL ENERGY $ 228.00 XR GASTROSTOMY TUBE CHECK $ 620.00 XR HAND BI 2 VIEWS $ 777.00 XR HAND BI MIN 3 VIEWS $ 824.00 XR HAND LT 2 VIEWS $ 515.00 XR HAND LT MIN 3 VIEWS $ 551.00 XR HAND RT 2 VIEWS $ 515.00 XR HAND RT MIN 3 VIEWS $ 551.00 XR HIP ARTHRO INJECT W ANES RT $ 270.00 XR HIP ARTHROGRAM INJECT RT $ 350.00 XR HIP BI WITH PELVIS 2 VIEWS $ 877.00 XR HIP BI ARTHROGRAM $ 956.00 XR HIP BI OPERATIVE $ 1,349.00 XR HIP LT ARTHROGRAM $ 809.00 XR HIP RT ARTHROGRAM $ 809.00 XR HIP UNILATERAL LT 1 VIEW $ 478.00 XR HIP UNILATERAL 1 VIEW LT OPERATIVE $ 515.00 XR HIP UNILATERAL 1 VIEW RT $ 478.00 XR HIP UNILATERAL W PELVIS LT 2 - 3 VIEWS $ 515.00 XR HIP UNILATERALW PELVIS RT 2-3 VIEWS $ 515.00 XR HUMERUS BI MIN 2 VIEWS $ 777.00 XR HUMERUS LT MIN 2 VIEWS $ 515.00 XR HUMERUS RT MIN 2 VIEWS $ 515.00 XR HYDRATION IV UP TO 1 HOUR $ 483.00 XR HYSEROSALPING INJECT $ 284.00 XR HYSEROSALPINGO RAD ONLY $ 924.00 XR ILEAL CONDUIT INJECT $ 155.00 XR INJ PROC CHOLANGIO THRU CATH $ 3,337.00 XR INJECT CYSTO OR VCU UROLOGIST $ 215.00 XR INJECT FEEDING TUBE $ 541.00 XR INJECT HIP ARTHRO LT $ 350.00 XR INJECT KNEE ARTHRO LT $ 371.00 XR INJECT KNEE ARTHRO RT $ 371.00 XR INJECT SIALOGRAM $ 167.00 XR INJECTION JOINT BI $ 1,265.00 XR INJECTION JOINT LT $ 966.00 XR INJECTION JOINT RT $ 966.00 XR INSERT TUNNELED IPER CATH $ 8,962.00 XR INSERTION OF PICC WO SUBCUTANEOUS PORT OR PUMP WITH IMAGING GUIDANCE >5 YRS $ 3,365.00

XR INSERTION OF PICC WO SUBCUTANEOUS PORT OR PUMP WO IMAGING GUIDANCE >5 YRS $ 3,061.00

XR INTRO GASTRO TUBE W FLUORO $ 630.00 XR INTRO NDL/CATH AV SHUNT 1ST ACCESS W/RAD EVAL $ 3,008.00 XR IVP WO W TOMO $ 1,302.00 XR J TUBE REPLACEMENT $ 2,415.00 XR KNEE BI 1 OR 2 VIEWS $ 777.00 XR KNEE BI 3 VIEWS $ 824.00 XR KNEE BI ARTHROGRAM $ 1,150.00 XR KNEE BI COMPLETE $ 877.00 XR KNEE LT 1 OR 2 VIEWS $ 515.00 XR KNEE LT 3 VIEWS $ 551.00 XR KNEE LT ARTHROGRAM $ 672.00 XR KNEE LT COMPLETE $ 578.00 XR KNEE RT 1 OR 2 VIEWS $ 515.00 XR KNEE RT 3 VIEWS $ 551.00 XR KNEE RT ARTHROGRAM $ 709.00 XR KNEE RT COMPLETE MIN 4 VIEWS $ 578.00 XR KNEES BI AP STANDING COMPLETE $ 940.00 XR KNEES BI AP STANDING ONLY $ 420.00 XR LWR EXT BI PEDIATRIC $ 756.00 XR LWR EXT LT PEDIATRIC $ 383.00 XR MANDIBLE MIN 4 VIEWS $ 656.00 XR MASTOIDS MIN 3 VIEW PER SIDE $ 394.00 XR NASAL BONES MIN 3 VIEWS $ 418.00 XR NECK SOFT TISSUE $ 420.00 XR NEPHROSTOMY TUBE CHECK $ 515.00 XR NEPHROSTOMY TUBE INJECT THRU $ 1,922.00 XR NEPHROURETERAL REMOVE AND REPLACE $ 4,426.00 XR NG TUBE PLACEMENT $ 583.00 XR NOSE TO RECTUM FB PEDIATRIC $ 320.00 XR PEDIATRIC LWR EXT RT $ 383.00 XR PELVIS 1 O R 2 VIEWS $ 420.00 XR PELVIS MIN 3 VIEWS $ 425.00 XR PERC DRAIN ABSCESS $ 1,969.00 XR PLACE BILIARY DRAINAGE CATH PERC INT/EXT RAD $ 3,337.00 XR PORT INJECTION STUDY $ 688.00 XR RADIOLOGIC EXAM ABDOMEN 1 VIEW $ 420.00 XR RADIOLOGIC EXAMINATION ABDOMEN 2 VIEWS $ 478.00 XR REM RENAL TUBE FLUORO. $ 2,027.00 XR REMOVE TUNNEL WO PORT PUMP $ 1,150.00 XR RETRO URETHROGRAM WO W KUB $ 1,239.00 XR RIBS BI MIN 4 VIEWS W PA CHEST $ 1,139.00 XR RIBS BILAT 3 VIEWS $ 1,034.00 XR RIBS LT 2 VIEWS $ 478.00 XR RIBS LT WITH 1 VIEW CHEST $ 672.00 XR RIBS RT 2 VIEWS $ 478.00 XR RIBS RT WITH 1 VIEW CHEST $ 672.00 XR RS HIP LT 1 VIEW $ 271.00 XR RS HIP RT 1 VIEW $ 271.00 XR RS KNEE BI 3 VIEWS $ 320.00 XR RS KNEE BI COMPLETE $ 320.00 XR RS PELVIS 1 OR 2 VIEWS $ 160.00 XR RS SHOULDER BI MIN 2 VIEWS $ 224.00 XR SACRO ILIAC JOINTS MIN 3 VIEWS $ 583.00 XR SACROILIAC JOINT LESS THAN 3 VIEWS $ 347.00 XR SACRUM COCCYX MIN 2 VIEWS $ 467.00 XR SCAPULA BI $ 714.00 XR SCAPULA LT $ 478.00 XR SCAPULA RT $ 478.00 XR SELLA TURCICA $ 214.00 XR SHOULDER 1 VIEW BILATERAL $ 313.00 XR SHOULDER 1 VIEW LEFT $ 208.00 XR SHOULDER 1 VIEW RIGHT $ 208.00 XR SHOULDER BI ARTHROGRAM $ 998.00 XR SHOULDER BI ARTHROGRAM INJECT $ 593.00 XR SHOULDER BI MIN 2 VIEWS $ 777.00 XR SHOULDER LT ARTHROGRAM $ 499.00 XR SHOULDER LT ARTHROGRAM INJECT $ 317.00 XR SHOULDER LT MIN 2 VIEWS $ 515.00 XR SHOULDER RT ARTHROGRAM $ 499.00 XR SHOULDER RT ARTHROGRAM INJECT $ 317.00 XR SHOULDER RT MIN 2 VIEWS $ 515.00 XR SIALOGRAM COMPLETE $ 460.00 XR SINUS FISTULA $ 719.00 XR SINUS SERIES MIN 3 VIEWS $ 541.00 XR SINUS TRACT SINOGRAM INJECT $ 194.00 XR SKULL LESS THAN 4 VIEWS $ 478.00 XR SKULL MIN 4 VIEWS $ 583.00 XR SMALL BOWEL WITH MULTI SERIAL $ 877.00 XR SPEECH EVAL COMPLEX VIDEO $ 478.00 XR SPEECH EVAL COMPLEX VIDEO. $ 950.00 XR Spinal LUMBAR PUNCTURE W FLUORO $ 1,829.00 XR SPINAL PUNCTURE DRAIN CSF THERAPEUTIC $ 1,748.00 XR SPINAL PUNCTURE GUIDANCE $ 656.00 XR SPINE 1 VIEW $ 515.00 XR SPINE CERV MYELO RAD ONLY $ 1,323.00 XR SPINE CERVICAL 2 VIEWS $ 515.00 XR SPINE CERVICAL MIN 4 VIEWS $ 882.00 XR SPINE CERVICAL W OBL+FLEX EXT $ 1,034.00 XR SPINE ENTIRE AP AND LATERAL $ 756.00 XR SPINE LS OCC HEALTH 2 VIEWS $ 357.00 XR SPINE LS WITH FLEX AND EXT $ 1,034.00 XR SPINE LUMBAR COMP W OBL OH $ 924.00 XR SPINE LUMBAR MYELO RAD ONLY $ 1,150.00 XR SPINE LUMBAR WITH OBLIQUES $ 924.00 XR SPINE LUMBOSACRAL 2 VIEWS $ 620.00 XR SPINE MYELOGRAM LUMBAR INJECT $ 515.00 XR SPINE MYELOGRAM WO CONTRAST $ 1,297.00 XR SPINE SCOLIOSIS ERECT $ 515.00 XR SPINE SHOOT THROUGH CERVICAL $ 515.00 XR SPINE THORACIC 2 VIEWS $ 515.00 XR SPINE THORACIC W OBL MIN 4 V $ 719.00 XR SPINE THORACIC W SWIMMERS VIEW $ 751.00 XR SPINE THORACIC WO CONTRAST $ 914.00 XR SPINE THORACOLUMBAR AP AND LAT $ 620.00 XR STERNOCLAVICULAR JOINTS MIN 3V $ 656.00 XR STERNUM MIN 2 VIEWS $ 515.00 XR TEETH 1 VIEW $ 153.00 XR TIBIA FIBULA RT AP AND LAT $ 515.00 XR TIBULA FIBULA BI AP AND LAT $ 777.00 XR TIBULA FIBULA LT 2 VIEWS $ 515.00 XR TMJ OPEN & CLOSE MOUTH BI $ 572.00 XR TOES BI MIN 2 VIEWS $ 777.00 XR TOES LT MIN 2 VIEWS $ 515.00 XR TOES RT MIN 2 VIEWS $ 515.00 XR UGI AIR CONT W KUB AND SBFT $ 1,386.00 XR UGI AIR CONTRAST WITH KUB $ 389.00 XR UGI W ESOP W KUB $ 389.00 XR UGI W ESOP WO KUB $ 389.00 XR UGI W/AIR CONT W ESOP W KUB $ 389.00 XR UGI WITH AIR CONTRAST WITHOUT KUB $ 389.00 XR UGI WITH KUB $ 389.00 XR UGI WITH SMALL BOWEL $ 1,318.00 XR UGI WO KUB $ 389.00 XR UPR EXT BI PEDIATRIC MIN 2 V $ 614.00 XR UPR EXT LT PEDS MIN 2 VIEWS $ 404.00 XR UPR EXT RT INFANT MIN 2 VIEWS $ 404.00 XR URETHROCYSTO RETRO INJECT $ 320.00 XR URETHROCYSTO VOIDING RAD ONLY $ 908.00 XR URETHROCYSTO VOIDING UROLOGIST $ 840.00 XR URETHROCYSTOGRAM RETROGRADE $ 950.00 XR VENOGRAPHY INJECT PROC $ 350.00 XR WRIST BI 2 VIEWS $ 777.00 XR WRIST BI ARTHROGRAM $ 1,549.00 XR WRIST BI INJECT ARTHROGRAM $ 1,449.00 XR WRIST BI MIN 3 VIEWS $ 824.00 XR WRIST LT 2 VIEWS $ 515.00 XR WRIST LT ARTHROGRAM INJECT $ 719.00 XR WRIST LT MIN 3 VIEWS $ 551.00 XR WRIST RT 2 VIEWS $ 515.00 XR WRIST RT ARTHROGRAM $ 819.00 XR WRIST RT INJECT ARTHROGRAM $ 719.00 XR WRIST RT MIN 3 VIEWS $ 551.00 YELLOW DOCK IGE ALLERGEN $ 17.00 ZINC $ 130.00 ZINC PROTOPORPHYRINS $ 112.00 ZIO CARDIAC MONITORING >48 hours to 7 days $ 300.00 ZIO CARDIAC MONITORING 7 TO 15 DAYS $ 350.00 .4% LIDOCAINE D5W 500ML PL_10MG * .45% NACL INJ 1000 ML (PL) * .45% NACL INJ 500 ML (PL) * .9 NACL P.F. 100 ML (PL) * .9% NACL 100 ML * .9% NACL INJ 1000 ML (PL)_1000ML * .9% NACL INJ 1000ML (PL) 1000ML * .9% NACL INJ 500 ML (PL) * .9% NACL INJ 500 ML PL * .9% NACL P.F. 50 ML (PL) * .9% SODIUM CHLOR INJ 250ML (PL) * .9% SODIUM CHLOR INJ 250ML PL * 0.45% NACL W/20MEQ K * 0.9% NACL 250 ML GL * 0.9% NACL INJ 150ML * 0.9% NACL W/20MEQ K * 0.9% NACL W/40MEQ K * 10% DEX IN WATER 1000 ML (PL) * 10% DEX IN WATER 500 ML (PL) * 2.5% DEX IN .45% NACL 1000ML * 20% DEX INJ 500 IN 1000 * 3% NACL 500ML * 5% DEX + .45% NACL W/.15% KCL * 5% DEX 1/2 STR SAL KCL 10MEQ * 5% DEX 1/2 STR SAL KCL 30MEQ * 5% DEX 1/2 STR SAL KCL 40MEQ * 5% DEX IN .9 SAL 1000 ML (PL) * 5% DEX IN .9% SAL 500 ML (PL) * 5% DEX IN 1/2 STR SAL 1000ML * 5% DEX IN 1/2 STR SAL 500 ML * 5% DEX IN 1/4 STR SAL 1000 PL * 5% DEX IN 1/4 STR SAL 500 ML * 5% DEX IN LR 1000 ML * 5% DEX IN LRS 500 ML (PL) * 5% DEX IN WATER 150 ML (PL) * 5% DEX IN WATER 250 ML (PL) * 5% DEX IN WATER 500 ML (PL)_500ML * 5% DEX IN WTR 500ML (PL)_500ML * 5% DEX LR KCL 40 * 5% DEX WATER 1000 ML (PL)_1000ML * 5% DEX WATER 500ML VISIV BAG * 5% DEX WATER P.F. 100 ML (PL) * 5% DEX WATER P.F. 50 ML.(PL) * 5% DEX WTR 1000 ML (PL) 1000ML * AA ELECTROLYTE SOLN * ABATACEPT 250MG VIAL 15ML 10MG * ABELCET 5MG/ML VIAL P/F * ABREVA * ACARBOSE 50MG * ACEBUTOLOL 200MG * ACETAMIN INJ 1000MG PER 10MG * ACETAMINOPHEN 120MG SUPP * ACETAMINOPHEN 160MG/5ML SUSP * ACETAMINOPHEN 325 UD * ACETAMINOPHEN 325MG CAPLET * ACETAMINOPHEN 500MG TAB * ACETAMINOPHEN 80MG TAB CHEW * ACETAMINOPHEN IV WT-BASED * ACETAMINOPHEN LIQ 120 ML * ACETAMINOPHEN SUPP 325MG * ACETAMINOPHEN SUPP 650 MG * ACETAMINOPHEN W COD ELIXR UD * ACETAMINOPHEN/COD #3 * ACETAZOLAMIDE 250 MG UD * ACETAZOLAMIDE 500MG CAP SA * ACETAZOLAMIDE SOD 500MG VIAL * ACETIC ACID 0.25% IRRIG * ACETYLCHOLINE 1% INTRAOCULAR * ACETYLCYSTEINE 30 ML VIAL * ACETYLCYSTEINE 4ML * ACETYLCYSTEINE INJ 6000MG/30ML * ACIDOPHOLUS TABLET * ACTIDOSE/AQUA 50MG/240ML * ACTIDOSE/SORBITOL 25GM/120ML * ACTONEL 35MG TABLET * ACYCLOVIR 1000MG VIAL_5MG * ACYCLOVIR 200MG * ACYCLOVIR 5% OINTMENT 15GM * ACYCLOVIR 5% OINTMENT 30GM * ACYCLOVIR 800 MG * ACYCLOVIR SODIUM 500MG VIAL * ACYCLOVIR SUSP 200MG/5ML * ADALIMUMAB 80 MG/0.8 ML * ADENOSCAN DIAG 90MG/30ML_30MG * ADENOSINE 90 MG VIAL * ADENOSINE INJ 1MG * ADMIN OF IM HEPATITIS B VAC * AFFINITY PER SQUARE CENTIMETER * ALBUMIN NORMAL SERUM 5% 250ML * ALBUMN NOR SERUM 25GM 100ML_50ML * ALBUTEROL .83MG/ML * ALBUTEROL 2 MG TAB * ALBUTEROL 2MG/5ML 5ML UD * ALBUTEROL 4MG SA TABLET * ALBUTEROL INHALER 200 DOSE * ALBUTEROL INHALER 60 DOSE * ALBUTEROL/IPRATROPIUM INHALER * ALENDRONATE 70MG * ALENORONATE 10MG * ALFUZOSIN 10MG TAB * ALISKIREN 150MG TAB * ALISKIREN 300MG TAB * ALLOPURINOL 100MG TAB * ALLOPURINOL 300MG TAB * ALPHAGAN P 0.15% EYE DROPS * ALPRAZOLAM 0.25MG TABLET * ALPRAZOLAM 0.5MG TABLET * ALPRAZOLAM 1MG * ALPROSTADIL 1.25MCG INJ * ALTEPLASE 100MG VL 1MG * ALTEPLASE 50MG VL 1MG * ALVIMOPAN 12MG CAP * AMANTADINE 100MG CAPSULE * AMANTADINE 50 MG/5 ML * AMIDARONE 200MG TABLET * AMIKACIN 500MG/2ML VL_100MG * AMILORIDE 5MG TAB * AMINOCAPROIC ACID 250MG/ML * AMINOCAPROIC ACID INFUSION * AMINOPHYLLINE IV 250 MG * AMINOPHYLLINE PER 250MG (500MG) * AMIODARONE 100 MG TAB * AMIODARONE 450 MG/9 ML VIAL PER 30 MG * AMIODARONE 900MG/18ML VL 30_MG * AMIODARONE INJ 50MG/ML 3ML * AMITRIPTYLINE 10 MG UD * AMITRIPTYLINE 25 MG UD * AMITRIPTYLINE 50 MG UD * AMLODIPINE 10MG TABLET * AMLODIPINE 2.5 MG * AMLODIPINE 5 MG * AMMONIUM LACTATE 12% CR 140GM * AMOXICIL LIQ 250MG/5ML 100ML * AMOXICILLIN 125MG/5ML 80ML * AMOXICILLIN 250 MG CAP * AMOXICILLIN 500MG CAP * AMPHOTERECIN B 50MG VIAL * AMPICILLIN 1GM VIAL * AMPICILLIN 2GM A/V * AMPICILLIN 500MG VIAL * AMVISC PLUS OCULAR SYR 0.8ML * AMYLASE LIPASE PROTEASE 12 CAP * AMYLASE LIPASE PROTEASE 24 CAP * AMYLASE LIPASE PROTEASE 6 CAP * AMYLASE/LIPASE/PROTEASE 5 CAP * ANAGRELIDE 0.5MG CAPSULE * ANASTROZOLE 1MG * ANIDULAFUNGIN 100 MG VIAL * ANIDULAFUNGIN 50 MG VIAL * ANTISPASMOTIC ELIXER UD 5ML * APIXABAN 2.5MG TAB * APIXABAN 5MG TAB * APLIGRAF PER SQUARE CM * APLIGRAF PRODUCT PER 1 SQ CM * 1% OPTH * AQUAPHOR OINT 100MG * AQUAPHOR/MAALOX MIX FOR NSY * AQUAROL 40ML * ARGATROBAN 250 MG VIAL PER 1 MG * ARIPIPRASOLE 5MG TABLET * ARIPIPRAZOLE 10MG TABLET * ARIPIPRAZOLE 15 MG TAB * ARIPIPRAZOLE 2MG TAB * ARTIFICIAL DROPS * ASA 25/DIPYRIDAMILE 200 CAP SA * ASA SUPP 600 MG * ASCORBIC ACID 250 MG TAB * ASCORBIC ACID 500 MG TAB * ASP/APAP/CAFF 250/250/65 TAB * ASPIRIN 300MG SUPP * ASPIRIN 325MG TAB * ASPIRIN 81MG TABLET CHEW * ASPIRIN EC 325 MG UD * ASPIRIN EC 81 MG * ASTELIN 137MCG * ATENOLOL 25MG * ATENOLOL 50MG TABLET * ATORVASTATIN 10MG * ATORVASTIN 20MG * ATORVASTIN 40MG TAB * ATOVAQUONE 750 MG/5 ML * ATRACURIUM 10MG/ML VIAL 10ML * ATRACURIUM 10MG/ML VIAL 5ML * .05MG/ML 5ML SYR_.01MG * ATROPINE 0.1MG/ML 10ML SYR_.01MG * ATROPINE 0.4MG/ML VL 20ML_.01MG * ATROPINE 1% OPTH DROPS 2ML * ATROPINE 1% OPTH DROPS 5ML * ATROPINE 1MG/ML 1ML VL_.01MG * ATROPINE OPTH OINTMENT * ATROVENT INHALER * AUGMENTIN 250-125 TABLET * AUGMENTIN 400MG/5ML 50ML * AUGMENTIN 500-125 TABLET * AUGMENTIN 875 MG * AUGMENTIN LIQ 250MG/5ML 75 ML * AZACTAM 1 GM VIAL * AZACTAM 2 GM VIAL * AZATHIOPRINE 50MG TABLET * 100 MG/5 ML 15 ML * AZITHROMYCIN 1G PKT * AZITHROMYCIN 250 MG * AZITHROMYCIN 500 MG VIAL * AZITHROMYCIN 500 MG/250 ML NS * AZITHROMYCIN 500MG TAB * B.S.S. 15ML * B12 CAP * BABY * BACI/NEO/POLY OINT 15 MG * BACITRACIN 1 OZ TUBE * BACITRACIN STER POWD 50MU * BACITRACIN ZINC OINTMENT * BACITRACIN/POLYMYXIN OINT * BACLOFEN 10MG TABLET * BACLOFEN 5 MG TAB * BAL IN OIL 100 MG/ML AMP * BALSALAZIDE 750MG CAP * BARICITINIB 1 MG TAB * BARICITINIB 2 MG TAB * BENAZEPRIL 10MG TABLET * BENAZEPRIL 5MG * BENGAY OINT GREASELESS 1.25OZ * BENLYSTA 120MG VIAL * BENLYSTA 400MG VIAL * BENZOCAINE 20% GEL 0.33OZ * BENZOCAINE 20% SPRAY 60 ML * BENZOCAINE AEROSOL * BENZONATATE 100MG CAPSULE * BENZTROPINE 0.5 MG TAB * BENZTROPINE 1 MG TAB * BETHANECHOL 25 MG UD * BETHANECHOL TAB 10MG * BEVACIZUMAB 400MG/16ML PER 10MG * BEZLOTOXUMAB (ZINPLAVA) 1000 MG VIAL * BIAXIN 250MG * BICATAMIDE 50 * BICILLIN CR 1.2MMU/2ML_100000U * BICILLIN L-A 1200000_100000 UNITS * BICILLIN L-A 600,000_100000 UNITS * BISACODYL EC TAB 5MG * BISACODYL SUPP 10MG * BISOPROLOL/HCTZ 2.5/6.25 TB * BISOPROLOL/HCTZ 5/6.25 TB * BIVALIRUDIN 250MG SD VIAL * BLEOMYCIN 15 UNITS INJ * BLUE DYE 1 ML * BLUE EMU CREAM * BMX M WASH 4OZ * BORTEZOMIB 3.5MG VL_0.1MG * BOTULINUM TYPE A 100U VL_1U * BREO ELLIPTA 100MCG INHALER * BREO ELLIPTA 200MCG INHALER * 0.1% DROPS 5ML * BRIMONIDINE 0.2% 5ML * BRINZOLAMIDE 1% EYE DROPS 10ML * BSS SOLUTION 500ML * BUDESONIDE 0.5MG/2ML RESPULE * BUDESONIDE 180MCG INH 120 DOSE * BUDESONIDE 90MCG INH 60 DOSE * BUDESONIDE EC 3MG CAPSULE * BUDESONIDE/FORMOTEROL 160/4.5 * BUDESONIDE/FORMOTEROL 80/4.5 * BUMETANIDE 1MG TABLET * BUMETANIDE 1MG/4ML VIAL * BUMETANIDE 2.5MG/10ML * BUMETANIDE 2MG * BUPIVACAINE 0.25 10 ML * BUPIVACAINE 0.25% W/EPI 10ML * BUPIVACAINE 0.25% W/EPI 30ML * BUPIVACAINE 0.5% 10ML-PM * BUPIVACAINE 0.5% W/EPI 10ML * BUPIVACAINE 0.75% VIAL * BUPIVACAINE 133MG INJ * BUPIVACAINE LIPOSOME 266MG INJ * BUPIVACAINE W/DEX 0.75% AMP * BUPIVACAINE W/EPI 0.5%/0.0005 * BUPIVACAINE/EPI 0.5%/1:200 50ML * BUPIVACINE INJ 0.75% 30 ML * BUPIVICAINE 0.25% MDV * BUPIVICAINE 0.25% SDV * BUPIVICAINE 0.5% MDV * BUPRENORPH/NALOXO 2/0.5MG TAB * BUPRENORPH/NALOXO 8/2MG TAB * BUPRENORPHINE 0.1 MG INJ * BUPRENORPHINE 0.3MG/ML AMPUL * BUPRENORPHINE 2MG TAB * BUPRENORPHINE 2 MG 0.5 MG FILM * BUPRENORPHINE NALOXONE 8 MG 2 MG FILM * BUPROPION 100MG TABLET * BUPROPION 150MG TAB * BUPROPION 75MG TABLET * BUPROPION SR 100MG TAB SA * BUPROPION SR 150MG TAB SA * BUPROPION XL 300MG TAB * BUSPAR 10MG TAB * BUSPAR 5MG TAB * BUSPIRONE 15 MG TAB * BUTIBARBITAL W ASA COMPD TAB * BUTORPHANOL 1MG INJ * CA CARB (500MG CA++)/5ML 500ML * CA CARB(500MG CA++)/ML UD * CA CHLORIDE 10% VIAL 10ML * CA GLUCONATE 0.5MEQ * CA GLUCONATE 100MG/ML 10ML_1GM * CAFCIT 20MG/ML VIAL * CAFCIT ORAL SOLUTION 60MG/3ML * CAFFEINE 200 MG TABLET * CALAMINE PLAIN 120 ML * CALCITONIN 200UNITS/ML 2ML VL * CALCITONIN NASAL 200U, 2ML * CALCITRIOL 0.25MCG CAPSULE * CALCITRIOL INJ 1MCG/ML 1ML * CALCIUM 250 W/VIT D TABLET * CALCIUM ACETATE 667MG TABLET * CALCIUM ACETATE/AL SULF PACKET * CALCIUM CARBONATE 1.25GM TAB * CALCIUM CHLORIDE 10% ABBOJECT * CALCIUM CO3 500MG (TUMS) * CALCIUM GLUCONATE 1 G/50 ML PREMIX * CALCIUM GLUCONATE 2 G 100 ML PREMIX * CALCIUM GLUCONATE GEL * CALCIUM POLYCAR 625MG TABLET * CANAGLIFLOZIN 100 MG * CANAGLIFLOZIN 300 MG * CANDESARTAN 16MG TAB * CANDESARTAN 4MG TAB * CANDIDA SKIN TEST * CAPSAICIN .075% CREAM 60GM * CAPSAICIN 0.025% CREAM * CAPTOPRIL 12.5MG TABLET * CAPTOPRIL 25MG TABLET * CARAFATE * CARB/LEVA 25/100 CR TAB * VIAL * CARBAMAZEPINE 100MG TABLET CHEW * CARBAMAZEPINE 200MG TABLET * CARBAMAZEPINE 200MG XR TAB * CARBAMAZEPINE SUS 200MG/10ML * CARBAMAZEPINE XR 100MG * CARBAMIDE PEROXIDE 6.5% DROPS * CARBAZEPINE CAP SA 100MG * CARBIDOPA 25MG TAB * CARBIDOPA/LEVO 10/100 TAB * CARBIDOPA/LEVO 25/100 TAB * CARBIDOPA/LEVO 25/250 TAB * CARBIDOPA/LEVODOPA 50/200 * CARBOPROST 250 MCG 1 ML AMP * CARDIOPLEGIC COLD INDUCTION * CARDIOPLEGIC HOT SHOT * CARDIOPLEGIC MAINTENANCE * CARDIZEM CD 300 MG CAP * CARISOPRODOL 350MG TAB * CARTEOLOL 1% OPHTH SOL 5ML * CARVEDILOL 12.5 MG TABLET * CARVEDILOL 3.125MG * CARVEDILOL 6.25MG * CARVEDILOL CR CAP 10MG * CARVEDILOL CR CAP 20MG * CATHFLO SD INJ 2MG_1MG * CEFAZOLIN 1 GM IVBP * CEFAZOLIN 1 GM VIAL * CEFAZOLIN 2 GM PB PER 500 MG * CEFAZOLIN 3 GM PB PER 500 MG * CEFDINIR 300MG CAP * CEFEPIME 1 G IV PUSH (PER 500 MG) * CEFEPIME 2 G IN 100 ML NS KIT PER 500 MG * CEFEPIME 2 G IV PUSH (PER 500 MG) * CEFEPIME 2GM VIAL_500MG * CEFIPIME 1 GM VIAL_500MG * CEFOTAXIME 500MG VL_0.5MG * CEFOXIDRIL 500MG CAP * CEFOXITIN 1GM VIAL 1GM * CEFOXITIN 2GM VIAL 1GM * CEFTAROLINE 400 MG * CEFTAROLINE 600 MG * CEFTAZIDIME 1 GM VIAL * CEFTAZIDIME 2 GM VIAL * CEFTAZIDIME 500MG VIAL * CEFTAZIDIME/AVIBACTAM 2.5 GM VIAL PER 0.625 GM * CEFTIN 250MG TAB * CEFTRIAXONE 1 G IV PUSH (PER 250 MG) * CEFTRIAXONE 1 GM IVPB_250MG * CEFTRIAXONE 2 G IV PUSH (PER 250 MG) * CEFTRIAXONE 2G/100ML NS PER 250 MG * CEFTRIAXONE 2GM VIAL_250MG * CEFTRIAXONE 500MG VIAL_250MG * CEFUROXIME 1.5 GM VIAL * CEFUROXIME 500 MG * CEFUROXIME SOD 750MG VIAL * CELECOXIB 100MG * CELECOXIB 200MG CAPSULE * CELESTONE SOLUSPAN 6MG/ML 5ML_6MG * CELLCEPT 250MG CAPSULE * CEPHALEXIN 250 MG * CEPHALEXIN 250MG/5ML SUP 100ML * CEPHALEXIN 500MG * CEROVITE LIQUID 15ML * CERTOLIZUMAB (CIMZIA) 200 MG * CETAPHIL CREAM 3OZ * CETAPHIL LOTION 473ML * CETUXIMAB 100 MG VIAL * CEVIMELINE 30MG CAP * CHLORDIAZEPOXIDE 10MG CAP * CHLORDIAZEPOXIDE 25 MG UD * CHLORDIAZEPOXIDE 5MG CAP * 0.12% LIQUID * CHLOROPROCAINE 1% 30ML VL_30MG * CHLOROPROCAINE-MPF 2% VIAL 30ML * CHLOROPROCAINE-MPF 3% VIAL * CHLOROTHIAZIDE VL 25MG/ML 20ML * CHLORPROMAZINE 25MG TAB * CHLORPROMAZINE 50MG/2ML VL_25MG * CHLORPROMAZINE HCL 5MG ORAL * CHLORTHALIDONE 25 MG UD * CHOLESTYRAMINE PACKET * CICLOPIROX GEL 0.77% 45GM * CINACALCET HCL 30MG TAB * CIPRO 250 MG TABLET * CIPRO 500MG TABLET * CIPRO 750 MG TABLET * CIPRO I.V. 10MG/ML VIAL * CIPRO/DEXAMET OTIC DROPS 7.5ML * 0.3% EYE DROPS * CIPROFLOXACIN 200MG/D5W 100ML * CIPROFLOXACIN 400 MG * CIPROFLOXACIN OPTH OINT * CIPROFLOXACIN OTIC DROP * CISATRACURIUM 2MG/ML 10ML VIAL * CISATRACURIUM 2MG/ML 5ML VIAL * CITALOPRAM 10MG TAB * CITALOPRAM 20MG TABLET * CL IODIXANOL 320MG/ML VISIPAQUE GE * CLAFORAN 1GM * CLARITHROMYCIN 125MG/5ML 50ML * CLARITHROMYCIN 500 MG * CLARITIN D 24HR * CLEVIDIPINE 0.5 MG/ML (100 ML) * CLEVIDIPINE 0.5 MG/ML (50 ML) * CLIDINIUM/CDP CAPSULE * CLINDAMYCIN 300MG * CLINDAMYCIN 600MG VIAL * CLINDAMYCIN HCL 150MG CAPS * CLINDAMYCIN INJ 300MG (PB) * CLINDAMYCIN INJ 600MG (PB) * CLINDAMYCIN INJ 900MG (PB) * CLINDAMYCIN LOTION * CLOBAZAM 10 MG TABLET * CLOBETASOL 0.05% OINT 15GM * CLOBETASOL EMOLLIENT 30GM * CLOBETASOL OINT 0.05% 30GM * CLONAZEPAM 0.5MG TABLET * CLONAZEPAM 1MG TABLET * CLONIDINE 0.1MG TAB * CLONIDINE 0.2MG * CLONIDINE 0.3MG * CLONIDINE 1000MCG/10ML VIAL * CLONIDINE TTS 1 PATCH * CLONIDINE TTS 2 PATCH * CLONIDINE TTS 3 PATCH * CLOPIDOGREL 75 MG * CLOPIDROGREL 300MG TAB * CLORAZEPATE 7.5MG TAB * CLOTRIMAZOLE 10MG TROCHE * CLOTRIMAZOLE CREAM 15GM * CLOTRIMAZOLE CREAM 45 GM * CLOTRIMAZOLE TOP SOL 1% 30ML * CLOTRIMAZOLE/BETAMETH CR 15GM * CLOTRIMAZOLE/BETAMETH CR 45GM * CLOZAPINE 100MG TAB * CLOZAPINE 25MG * COCAINE HCL 4% 4ML * COCONUT OIL * CODEINE TABLET 15MG * COGENTIN AMPUL 1MG/ML 2ML * COLCHICINE TABLETS .6MG W/W * COLESTID 1GM TABLET * COLESTID GRANULES PACKET * COLISIMETHATE 150MG VIAL * COLLAGENASE OINT 30 GM * COMPTAN 200MG TABLET * CONIVAPTAN 20MG D5W 100ML * CONRAY DYE * COPAXONE 20 MG INJ * COPAXONE 40 MG INJ * CORTISPORIN OPHTH SUSP 7.5ML * CORTROSYN 0.25MG VIAL_0.25MG * CYANABOLAMIN 500MCG TABLET * CYANOCOBALAMIN 1000MCG 1ML ES * CYANOCOBALAMIN 100MCG TAB * CYANOCOBALAMIN 2,500 MCG TAB * CYANOCOBALAMIN 250 MCG TAB * CYANOKIT 5 GM VIAL * CYCLOBENZAPRINE 10 MG TAB * CYCLOBENZAPRINE 5 MG TAB * CYCLOPENTOLATE 1% DROPS * CYCLOPENTOLATE 2% 2ML * CYCLOPHOSPHAMIDE 100MG INJ * CYCLOSPORINE 25MG * CYCLOSPORINE EYE GTT 0.05% 0.4ML * CYCLOSPORINE MICRO 100MG * CYCLOSPORINE MICRO 25MG * CYPROHEPTADINE 4 MG UD * CYTOSAR 100 MG INJ * CYTOXAN 25 MG TAB * D.H.E.-45 AMPUL 1MG 1ML * D10/ 1/4 SALINE 250ML * D5 INJ 250 * D5LR & KCL 20 1000 ML * D5NS & KCL 20 1000 ML * D5NS & KCL 40 1000 ML * DABIGATRAN ETEXILATE 150MG CAP * DABIGATRAN ETEXILATE 75MG CAP * DAKINS 0.5% SOLUTION * DAKIN'S 1/4 STR (0.125%) 480ML * DAKINS 1/8 STR (0.0625%) 480ML * DAKINS SOLN 1/2 STR 1000 ML * DALBAVANCIN 500MG VIAL * DANTROLENE 20MG VIAL * DANTROLENE 25MG CAPSULE * DAPAGLIFLOZIN 10 MG TAB * DAPAGLIFLOZIN 5 MG TAB * DAPSONE 100 MG TABLET * DAPSONE 25MG TAB * DAPTOMYCIN 500MG VIAL_1MG * DARIFENACINE 7.5MG TAB * DDAVP - 1MG/ML NASAL SPRAY * DECLOMYCIN 150MG TABLET * DEFEROXAMINE 500 MG VIAL * DENOSUMAB SQ 60MG * DEPAKOTE ER 500MG TAB SA * DEPO MEDROL INJECTION INTO JOINTS AND MUSCLE * DERMAGRAFT PRODUCT PER 1 SQ CM * DERMAGRAFT SUPPLY, EA 37.5CM * DESIPRAMINE 25MG TABLET * DESIPRAMINE TAB 10MG * DESMOPRESSIN 1MCG INJ * DESMOPRESSIN 4MCG/ML 10ML VIAL * DESMOPRESSIN TAB 0.1MG * DESVENLAFAXINE 100MG TAB * DESVENLAFAXINE 50MG TAB * DEX ABBOJECT SYR 50% 50ML * DEXAMETHASOME .1% OPH SL 5ML * DEXAMETHASON INJ 10MGML 10 ML_1MG * 0.5 MG TAB * DEXAMETHASONE 0.75 MG TAB * DEXAMETHASONE 1.5 MG TAB * DEXAMETHASONE 10MG/ML 1ML_1MG * DEXAMETHASONE 1MG TAB * DEXAMETHASONE 2MG TAB * DEXAMETHASONE 4 MG 1 ML * DEXAMETHASONE 4MG TAB * DEXAMETHASONE 6 MG TAB * DEXAMETHASONE LIQ 1MG/ML 30ML * DEXAMETHASONE PF 10 MG/ML 1 ML VIAL * DEXMEDETOMIDINE INJ 200MCG/2ML * DEXTROSE 10% 250ML * DEXTROSE 25% SYR 10ML * DEXTROSE 50% 50ML VIAL * DIAPER RASH OINTMENT * DIAZEPAM 2MG TAB * DIAZEPAM 5 MG TAB * DIAZEPAM 5MG INJ * DIAZEPAM RECTAL GEL 10MG EACH * DIBUCAINE OINT * DICLOFENAC 1% GEL 100 GM * DICLOFENAC SOD .1% SOL 2.5ML * DICLOFENAC SOD 25MG TAB EC * DICLOFENAC SOD 75MG TAB EC * DICLOXACILLIN 250MG CAPS * DICYCLOMINE 10MG CAP * DICYCLOMINE AMP * DICYCLOMINE HCL 20 MG TAB * DIFLUCAN 100MG TABLET * DIGOXIN 125MCG TABLET * DIGOXIN 250MCG TABLET * DIGOXIN AMP 0.5MG 2ML E/S_0.5MG * DIGOXIN ELX 125MCG/2.5ML 2.5ML * DIGOXIN IMMUNE VL 40MG_40MG * DILTIAZEM 25MG/5ML VIAL * DILTIAZEM 30 MG TAB * DILTIAZEM 5MG/ML VIAL 25ML * DILTIAZEM 60MG TAB * DILTIAZEM CD 120MG CAP SA * DILTIAZEM CD 180MG CAP SA * DILTIAZEM CD 240MG CAP SA * DINOPROSTONE 10MG VAG INSCRT * DIPHENHYDRAMINE 12.5MG/5ML 5ML * DIPHENHYDRAMINE 12.5MG/ML 4OZ * DIPHENHYDRAMINE 25MG CAP * DIPHENHYDRAMINE 50 MG 1ML * DIPHENHYDRAMINE 50 MG UD * DIPHENHYDRAMINE CREAM * DIPHENOX/ATROPINE 2.5MG TABLET * DIPHTHERIA TETANUS ACELLULAR PERTUSSIS VACCINE * DIPHTHERIA TETANUS TOXOIDS VACCINE * DIPTH,PERTUSS (ACELL), TET VAC/PF * DIPYRIDAMOLE 25 MG UD * DIVALPROEX 125MG * DIVALPROEX 125MG SPRINKLE CAP * DIVALPROEX 250MG TABLET EC * DOBUTAMINE INJ 250MG * DOBUTAMINE PREMX 500MG/250ML * DOCETAXEL 80MG/2ML VL_1MG * DOCUSATE LIQ 100MG/10ML UD * DOCUSATE SOD 100MG CAP * DOFETILIDE 125MCG CAP * DOFETILIDE 250MCG CAP * DOFETILIDE 500MCG CAP * DONEPEZIL 10MG * DONEPEZIL 5MG TABLET * 400MG 10 ML_40MG * DOPAMINE NEONATAL 80MG/100ML * DOPAMINE PREMIX 400M/250ML_40MG * 2% EYE DROP 10ML * DOVONEX 0.005% CREAM * DOXAZOSIN 2MG TABLET * DOXAZOSIN 4 MG TAB * DOXAZOSIN MESYLATE 1MG TAB * DOXEPIN 10 MG CAP * DOXEPIN 25 MG CAP * DOXEPIN 50 MG CAP * DOXORUBICIN 50MG/25ML PER 10MG * DOXYCYCLINE 100MG * DOXYCYCLINE 50MG CAP * DOXYCYCLINE INJ 100MG * DRONABINOL 2.5MG CAP * DRONEDARONE 400MG TAB * DROPERIDOL 5 MG AMPULE * DULOXETINE 20MG CAP * DULOXETINE 30MG CAP * DULOXETINE 60MG CAP * DUOVISC LARGE * DURAGESIC-25 * DURAGESIC-50 * DURAMORPH PF 5 MG/10ML * DUTASTERIDE 0.5MG CAP * ECONAZOLE 1% CREAM 30GM * ECULIZUMAB 300MG/30ML VIAL * EDOXABAN 15MG TAB * EDOXABAN 30MG TAB * EDOXABAN 60MG TAB * EDROPHONIUM 10MG/ML 10ML * ELTRIPTAN 20MG TAB * EMPTY EVACUATED CONT 1000 ML * ENALAPRIL MALEATE 10MG TAB * ENALAPRIL MALEATE 2.5MG TAB * ENALAPRIL MALEATE 5MG TAB * ENALAPRILAT 1.25MG/ML VIAL * ENOXAPARIN 100MG/1ML SYR 10MG * ENOXAPARIN 120MG/0.8ML SYR 10MG * ENOXAPARIN 150MG/1ML SYR 10MG * ENOXAPARIN 30MG/0.3ML SYR 10MG * ENOXAPARIN 40MG/0.4ML SYR 10MG * ENOXAPARIN 60MG/0.6ML SYR 10MG * ENOXAPARIN 80MG/0.8ML SYR 10MG * ENTRICITABINE/TENOFOVIR TAB * EP IODIXANOL 320MG/ML VISIPAQUE GE * EPHEDRINE SULF AMP 50 MG 1ML * EPIDURAL BUPIVIC 0.0625% 250ML * EPIDURAL BUPIVIC 0.125% 250ML * EPIDURAL FENTA 3/0.0625% 250ML * EPIDURAL FENTA 3/0.125% 250ML * EPIDURAL FENTANYL OB 200ML * EPIDURAL MORPH 12.5/0.1% 250ML * EPIDURAL PCA 250 ML (5MCG) * EPINEPH 0.1G/ML SYR 10ML_0.1MG * EPINEPHRI 1MG/ML 30ML MD_0.1MG * EPINEPHRINE AMP 1MG 1ML * EPINEPHRINE AMP 1MG 1ML PF * EPIPEN ADULT 0.3 MG * EPIPEN JR (PED) 0.15 MG * EPOETIN ALFA PER 1000 UNITS * EPOETIN ALFA-EPBX 10000 UNIT/ML * EPOETIN-ALPHA 10000U/ML 1ML * EPOETIN-ALPHA 20000U/ML 1ML * EPOETIN-ALPHA 40000U/ML 1ML * EPTIFIBATIDE 20 MG VIAL * EPTIFIBATIDE 75 MG VIAL * ERTAPENEM 1GM VIAL 500MG * ERTHROMYCIN EYE OINT UD 1GM * ERYTHROMYCIN 400 MG/5CC 100CC * ERYTHROMYCIN 500MG VL_500MG * ERYTHROMYCIN TAB 250 MG(AB) * ESCITALOPRAM 5 MG TAB * ESKALITH CR 450MG TABLET SA * ESMOLOL 10MG/ML VIAL * ESMOLOL PREMIX 2.5GM/250ML NS * ESTRADERM 0.05 MG * ESTRADERM 0.1 MG * ESTRADIOL 0.5 MG TAB * ESTRADIOL TAB 1 MG * ESTRADIOL VAG CR 0.01% 42.5G * ETHACRYNIC ACID TAB 25MG * ETODOLAC 200MG CAPSULE * ETODOLAC 300MG CAP * ETODOLAC 400MG TAB * ETODOLAC XL 400MG * ETOMIDATE 2MG/ML ABBOJECT * ETOMIDATE VIAL 40MG/20ML * ETOPSIDE 10MG INJ * EUCERIN CREAM 120GM * EVAC CONTAINER 500 ML GL * EVACUATED CONTAINER 250 ML * EVICEL 5ML 3902ASA * EXELON 1.5MG * EXELON 3MG TAB * EXEMESTANE 25MG TAB_25MG * EYE WASH 120ML * EZETIMIBE 10MG TABLET * FACTOR IX COMPLEX PER 1 UNIT * FAMCICLOVIR 250MG * FAMOTIDINE 10 MG TAB * FAMOTIDINE 20MG TABLET * FAMOTIDINE INJ 20 MG/2ML * FELODIPINE 5 MG * FELODIPINE TAB 2.5MG * FENOFIBRATE 160MG TABLET * FENOFIBRATE 54MG TABLET * FENTANYL 0.1MG/2ML PER 0.1MG * FENTANYL 0.25MG/5ML PER 0.1MG * FENTANYL 1000MCG/100ML NS PCA * FENTANYL 100MG/HR PATCH * FENTANYL 12MCG/HR PATCH * FENTANYL 1MG/20ML PER 0.1MG * FENTANYL 50 MCG 1 ML VIAL * FENTANYL 50 MCG/1 ML VIAL (PER 0.1 MG) * FENTANYL 75MCG/HR PATCH * FENTANYL PCA 300MCG/30ML_100MCG * FENTANYL PER 2ML (50ML) * FERREC GLUCONATE 12.5MG INJ * FERRIC CARBOXYMALTOSE (INJECTAFER) 750 MG VIAL * FERROUS GLUCONATE 324MG TAB * FERROUS SULF 300MG/5ML LIQ * FERROUS SULF 325MG TAB * FE-TINIC 150 CAPSULE * FE-TINIC 150 FORTE CAPSULE * FIDAXOMICIN 200 MG TAB * FILGRASTIM INJ 1MCG * FINASTERIDE 5MG TABLET * FIORICET TAB * FLECAINIDE 100MG TABLET * FLECAINIDE 50 MG TAB * FLEET ENEMA MINERAL OIL 4.5OZ * FLEET ENEMA PEDIATRIC 2.25OZ * FLEET'S ENEMA ADULT * FLONASE .05% SPRAY * FLORINEF ACETATE 0.1MG * FLUCONAZOLE 100MG/50ML PB * FLUCONAZOLE 150 MG TAB * FLUCONAZOLE 200MG/100ML PB_200MG * FLUCONAZOLE 400MG/200ML PB_200MG * FLUCONAZOLE 50MG/25ML PB * FLUCONAZOLE ORAL SUPS 10MG/ML * FLUOCINONIDE 0.05% CREAM 15 GM * FLUORESCEIN 10% 5 ML VIAL * FLUORISTRIPS EACH * FLUOROMETHOLONE 0.1% 5ML * FLUOROURACIL 500 MG INJ * FLUOXETINE 10MG * FLUOXETINE 20MG PULVULE * FLUOXETINE 20MG/5ML OS UD * FLUPHENAZINE 1MG TAB * FLUPHENAZINE 5MG TAB * FLUPHENAZINE DECANO 125MG/5ML * FLURBIPROFIN 0.03% EYE DROP * FLUTICASONE 110 MCG INHALER * FLUTICASONE 220 MCG INHALER * FLUTICASONE 44MCG INHALER * FLUVASTATIN 20MG * FLUVOXAMINE 50MG * FOLIC ACID 0.4MG * FOLIC ACID 5MG/ML VIAL * FOLIC ACID TABLET 1MG * FOMEPIZOLE 1.5GM VL_15MG * FONDAPARINUX 10MG/0.8ML INJ * FONDAPARINUX 2.5MG/0.5ML INJ * FONDAPARINUX 5MG/0.4ML INJ * FONDAPARINUX 7.5MG/0.6ML INJ * FORMOTEROL INH SOL 20MCG/2ML * FOSINOPRIL 10MG TABLET * FOSPHENYTOIN 100 MG VIAL * FOSPHENYTOIN 250 MG VIAL * FUROSEMIDE 100 MG VIAL * FUROSEMIDE 20MG TAB * FUROSEMIDE 80 MG TAB * FUROSEMIDE LIQUID 5 ML * FUROSEMIDE PER 20MG (40MG) * FUROSEMIDE TABLET 40 MG P/D * FUROSEMIDE VIAL 20 MG E/S * FVIII 1000 U VWF:RCO 2400 U HUMATE P * GABAPENTIN 100MG CAPSULE * GABAPENTIN 300MG CAPSULE * GABAPENTIN 400MG CAPSULE * GALANTAMINE 4MG * GAMMAGARD 10% 5GM/50ML * GAMUNEX-C 0.5GM/10 ML * GANCYCLOVIR 500MG VIAL * GAVISCON LIQ. 6 OZ. * GEMCITABINE 1GM VIAL_200MG * GEMCITABINE 2000 MG VIAL * GEMFIBROZIL 600MG TABLET * GENTAMICIN OPHTH SOLN * GENTAMYCIN 100MG PREMIX_50 * GENTAMYCIN 20MG 2ML E/S VIAL * GENTAMYCIN 80MG 2ML E/S VIAL * GENTAMYCIN INJ 80MG (PB) 100ML * GENTAMYCIN OPHTH OINT * GENTAMYCIN TOP CREAM 15GM * GENTAMYCIN TOP OINT * GLIMEPIRIDE 1MG TABLET * GLIMEPIRIDE 2MG TABLET * GLIPIZIDE 10MG TABLET * GLIPIZIDE 5MG TABLET * GLIPIZIDE XL 2.5MG TAB SA * GLIPIZIDE XL TAB 5 MG * GLUCAGON VIAL 1MG VIAL * GLUCOSE GEL 40% 15ML * GLUCOSE INSTANT 31 GM * GLYBURIDE 1.25MG TAB * GLYBURIDE 2.5MG TAB * GLYBURIDE 5MG TAB * GLYBURIDE MICRO 3 MG TABLET * GLYBURIDE PRESTAB 1.5 MG * GLYBURIDE/METF 25/500 * GLYBURIDE/METF 5/500 * GLYCERIN SUPP (ADULT) PACK * GLYCERIN SUPP (PEDIATRIC) EA * GLYCOPYRROLATE 1MG TAB * GLYCOPYRROLATE 1ML VIAL * GLYCOPYRROLATE 5ML VIAL * GONAK 2.5% SOLN * GRAFIX CORE, PER SQUARE CENITMETER * GRAFIX PRIME PER SQUARE CENTIMETER * GUAFENISON AC UD * GUAIFENESIN 10 ML UD * GUAIFENESIN 200MG TABLET * GUAIFENESIN LA CAPTAB SA * GUAIFENESIN SIN DM UD 5ML * GUANFACINE 1 MG * HAEMOPHILUS B CONJ VACCINE * HALDOL DECANOATE 100MG/ML 1ML * HALOPERIDOL 0.5 MG TAB * HALOPERIDOL 1MG TAB * HALOPERIDOL 2MG TAB * HALOPERIDOL 5MG TAB * HALOPERIDOL 5MG/ML 1ML VL_5MG * HALOPERIDOL SOLN 15 ML * HCTZ 25MG/TRIAMTERENE 37.5MG * HEMORRHOIDAL HC SUPP ASC * HEMORRHOIDAL OINTMENT * HEMORRHOIDAL SUPP * HEPARIN 1000 U/ML 10 ML * HEPARIN 1000 UNIT 500 ML NS * HEPARIN 10000UNITS/NS 500ML * HEPARIN 1000U/ML 30ML * HEPARIN 1000U/ML PF 2ML_1000U * HEPARIN 25000 U 250ML_1000UNITS * HEPARIN 5000 U 1 ML_1000UNITS * HEPARIN FLUSH PF 3UNIT/3ML * HEPARIN SOD PF FLUSH_10 UNITS * HEPATITIS A VACCINE * HEPATITIS B IG 0.5 ML * HEPATITIS B IMMUNE GLOB 1ML * HEPATITIS B VACC 5MCG/0.5ML * HEPATITIS B VACCINE 20 MCG/ML (ADULT) * HEPATITIS B VACCINE PED * HEP-LOCK 100U/ML 1ML_10U * HEP-LOCK 10UNIT/ML 10ML MD * HUMIBID DM TAB * HYALURONIDASE 150 UNITS/ML * HYALURONIDASE 200U/ML 1.2ML_1U * HYDRALAZINE 10 MG UD * HYDRALAZINE 20MG/ML AMP * HYDRALAZINE 25 MG UD * HYDRALAZINE 50MG TAB * HYDROCHLOROTHIAZIDE 12.5 MG * HYDROCHLOROTHIAZIDE 25MG * HYDROCODONE 5ML * HYDROCODONE/APAP 10/325 TAB * HYDROCODONE/APAP 2.5/167 LIQ. * HYDROCODONE/APAP 5/325 TAB * HYDROCODONE/APAP 7.5/325 SOLN * HYDROCODONE/APAP 7.5/325 TAB * HYDROCORT 2.5% LOTION * HYDROCORT/PRAMOX 2.5%-1% CREAM * HYDROCORT/PRAMOX CREAM * HYDROCORTISONE .5% CREAM 30GM * HYDROCORTISONE 1% CREAM 20GM * HYDROCORTISONE 1% LOTION * HYDROCORTISONE 1% OINT 30GM * HYDROCORTISONE 1000 MG VIAL * HYDROCORTISONE 100MG ENEMA * HYDROCORTISONE 100MG/2ML 100MG * HYDROCORTISONE 10MG TAB * HYDROCORTISONE 2.5 CREAM 30GM * HYDROCORTISONE 2.5% OINT 30GM * HYDROCORTISONE 5 MG TAB * HYDROCORTISONE 500MG/4ML 100MG * HYDROMORPHONE 0.2 MG * HYDROMORPHONE 0.5MG INJ * HYDROMORPHONE 1MG INJ * HYDROMORPHONE 2MG TABLET * HYDROMORPHONE 2MG/ML SYRINGE * HYDROMORPHONE 40MG/20ML VL_4MG * HYDROMORPHONE 50 MG/5 ML VIAL PER 4 MG * HYDROMORPHONE PCA 20MG/100ML * HYDROMORPHONE PCA VL 6MG/30ML * HYDROXYCHLOROQUINE 200MG TAB * HYDROXYUREA 500MG * HYDROXYZINE 10MG/5ML SYR 120ML * HYDROXYZINE HCL 10MG TAB * HYDROXYZINE INJ 100MG PER 25MG * HYDROXYZINE PAM 50MG * HYDROXYZINE PAMOATE 25 MG UD * HYOSCYAMINE SU 0.125MG TAB SL * HYOSCYAMINE XR 0/375MG * HYPROMELLOSE 0.5% EYE DROP 15ML * IBANDRONATE 3MG/3ML SYRINGE * IBANDRONATE NA TAB 150MG * IBUPROFEN 100 MG TAB CHEW * IBUPROFEN 100MG/5ML SUSP * IBUPROFEN 200 MG TAB * IBUPROFEN 400MG * IBUPROFEN 600MG * IBUPROFEN 800MG TAB * IBUPROFEN SUSP 100 MG/5CC 4OZ * IBUTILIDE INJ .1MG/ML 10ML * IC GREEN 25MG VIAL * IDARUCIZUMAB 2.5 GM VIAL * IFORSFAMIDE 1 GRAM VIAL * IMIPRAMINE 25 MG TAB * IMIPRAMINE HCL 10MG TABLET * IMMUNE GLOBULIN 0.5GM/10ML * INDAPAMIDE 1.25 MG * INDAPAMIDE 2.5MG TABLET * INDOMETHACIN 1MG INJ * INDOMETHACIN 25MG CAP * INDOMETHACIN 75MG CAP SA * INFLIXIMAB-DYYB 100 MG VIAL * INFLUENZA VACCINE HIGH DOSE 2018-2019 * INFLUENZA VACCINE HIGH DOSE 2019-2020 * INFLUENZA VACCINE HIGH DOSE 2020-2021 * INFLUENZA VACCINE QUAD 2018-2019 * INFLUENZA VACCINE QUADRIVALENT 2019-2020 * INFLUENZA VACCINE QUADRIVALENT 2020-2021 * INFLUXIMAB/REMICADE PER 10MG * INJECTION, PACLITAXEL, 1 MG * INSULIN DETEMIR 100 UNIT/ML VIAL * INSULIN HUMULIN 70/30 100 UNIT/ML * INSULIN LISPRO OR ASPART 3ML * INSULIN LISPRO U-100 3 ML VIAL (ADMELOG) * INSULIN NPH 100 UNIT/ML VIAL * INSULIN REGULAR 100 U/ML EA * INSULIN REGULAR 100U/ML 3ML * INSULIN,LISPRO 75/25 100 UNIT/ML * INTRALIPID 20% 100ML * INTRALIPID 20% 250ML * INTRATHECAL MORPHIN 1.5MG/30ML * INTRATHECAL PRIALT 30MCG/30ML * IODINE/POTASSIUM IOD SOLUTION (LUGOL'S) * IPRAT-ALBUT 0.5-2.5MG/3ML SOLN * IPRATROPIUM .06% NASAL SP 15ML * IPRATROPIUM 0.03% NASAL SP 30ML * IPRATROPIUM BR 0.02% SOLN * IRBESARTAN 150MG * IRBESARTIN 75MG TABLET * IRINOTECAN 20MG DOSE * IRON SUCROSE COMPLEX 1MG/0.05ML * ISMO 20 MG TAB * ISOFLURANE LIQUID * ISONIAZID TABLET 100MG * ISOOSORBIDE MONO 120MG * ISOPROTERENOL SYR 1-5000 5ML * ISOSORBIDE 5MG ORAL TAB * ISOSORBIDE MONONITRATE 60MG * ISOSORBIDE MONOTRATE 30MG * ISOSORBIDE TABLET 10 MG UDL * ISOSULFAN BLUE 1% 10MG/ML 5ML * ISOVUE 370 PER ML * ISRADIPINE 2.5MG CAPSULE * ITRACONAZOLE 100MG * IV LOCK FLUSH - SODIUM CHLORID * IV LOCK FLUSH NS NEONATAL 2.5ML * IVABRADINE 5 MG TAB * IVABRADINE 7.5 MG TAB * IVERMECTIN 3 MG TAB * K PHOSPHATE 4.4MEQ * KCL 10MEQ 50ML PB_2MEQ * KETAMINE 100 MG/ML 5 ML VIAL * KETAMINE VIAL * KETOCONAZOLE 2% CREAM * KETOCONAZOLE 2% SHAMPOO * KETOCONAZOLE 200MG TABLET * 0.5% EYE DROPS 2ML * KETOROLAC 10MG TABLET * KETOROLAC 15 MG/ML VIAL * KETOROLAC 30MG/ML VIAL * L CUSTEINE 50MG/ML 10ML * LABETALOL 100 MG TAB * LABETALOL 200 MG TAB * LABETALOL 5MG/ML 20ML VIAL * LABETALOL INJ 5MG/ML PER ML * LACOSAMIDE 100MG TAB * LACOSAMIDE 200MG/20ML SD VL * LACOSAMIDE 50MG TAB * LACOSAMIDE SOLN 10MG/ML 5ML * LACTAID CAPLET ORIGINAL * LACTATED RINGERS 1000 ML (PL) * LACTATED RINGERS 1000 ML PL * LACTATED RINGERS 500 ML (PL) * LACTATED RINGERS 500 ML PL * LACTIC ACID LOTION 12% 360ML * LACTOSE * LACTULOSE 20 MG/30ML SYRUP * LACTULOSE 20GM/30ML 946ML * LAMISIL TUBE * LAMOTRIGINE 100MG TAB * LAMOTRIGINE 150 MG TAB * LAMOTRIGINE 200MG * LAMOTRIGINE 25MG TABLET * LANTHANUM CHEW TAB 500MG * LANTUS 100U/ML VIAL * LATANOPROST 0.005% EYE DROPS * LEFAFLOXACIN 750 MG TABLET * LEFLUNONIDE 10MG TABLET * LET (LIDO/EPI/TETRACAINE) 5ML * LETROZOLE 2.5MG TAB * LEUCOVORIN 50 MG INJ * LEUCOVORIN 5MG TABLET * LEVAFLOXACIN 750 MG IVPB_250MG * LEVAQUIN 250MG/50ML * LEVAQUIN 500MG/100ML_250MG * LEVETIRACETAM 250MG TABLET * LEVETIRACETAM 500MG/5ML PO 5ML * LEVETIRACETAM 500MG/5ML VL_10MG * LEVETIRACETAM 750 MG TAB * LEVETRACETAM 500MG TAB * 0.5% EYE DROPS * 250MG TABLET * LEVOFLOXACIN 500MG TABLET * LEVONORGESTRIL PACK * LEVOTHYROXINE 0.088MG * LEVOTHYROXINE 0.1 MG UD * LEVOTHYROXINE 0.112MG * LEVOTHYROXINE 137 MCG TAB * LEVOTHYROXINE 150MCG TABLET * LEVOTHYROXINE 175 MCG * LEVOTHYROXINE INJ 200 MCG * LEVOTHYROXINE SOLN 100MCG * LEVOTHYROXINE VL 500MCG * LEXAPRO 20MG TABLET * LEXIPRO 10MG TABLET * Lido 1% w/epi 20 mL * LIDOC/PRILOC 2.5% CR 5GM * LIDOCAINE 0.5% MDV 50ML * LIDOCAINE 0.5% SINGLE DOSE 50ML * LIDOCAINE 0.5% W/EPI OR CHG * LIDOCAINE 1% AMP SD 2ML * LIDOCAINE 1% MDV 50ML * LIDOCAINE 1% MPF 5ML VIAL * LIDOCAINE 1% PF 2 ML VIAL * LIDOCAINE 1% SDV 30 ML * LIDOCAINE 1% W/EPI OR CHG * LIDOCAINE 1.5% MPF 20 ML * LIDOCAINE 1.5%/EPI 1-200000 * LIDOCAINE 2% 5ML ABBOJECT * LIDOCAINE 2% MDV 10ML * LIDOCAINE 2% MDV 50ML * LIDOCAINE 2% PF 5ML VIAL * LIDOCAINE 2% URO 20 ML * LIDOCAINE 2% VISCOUS 20ML * LIDOCAINE 2% W/EPI MPF 20ML * LIDOCAINE 2% W/EPI OR CHG * LIDOCAINE 3.5% OPTH GEL * LIDOCAINE 4% PATCH * LIDOCAINE 4% TOP SOL 50 ML * LIDOCAINE 5% OINTMENT 35GM * LIDOCAINE HCL 1% VIAL MDV * LIDOCAINE HCL 1% W/EPI MD 50 ML * LIDOCAINE HCL 2% JELLY * LIDOCAINE HCL 2% VIAL MDV * LIDOCAINE JELLY 2% 5ML * LIDOCAINE JELLY UROJECT 10 ML * LIDOCAINE MPF 1% 5 ML * LIDOCAINE PATCH * LIDOCAINE VISCOUS 2% 100ML * LINAGLIPTIN 5 MG TABLET * LINEZOLID 600 MG IVPB * LINEZOLID 600MG TAB_200MG * LISINOPRIL 10 MG TAB * LISINOPRIL 2.5 MG TAB * LISINOPRIL 20MG * LISINOPRIL 40 MG TAB * LISINOPRIL 5 MG TAB * LITHIUM CARBONATE 150 MG TAB * LITHIUM CARBONATE 300MG * LITHOBID 300MG TABLET * LMD 10DEXTRA 40-NS 500ML_500ML * LOPERAMIDE 2MG CAPSULE * LOPERAMIDE LIQ 2MG * LOPRESSOR 100MG TAB * LOPROX 0.77% CREAM * LORATADINE 10MG TABLET * LORAZEPAM 0.5MG TAB * LORAZEPAM 1MG TAB * LORAZEPAM 20MG/10ML VL_2MG * LORAZEPAM 2MG/ML VL 2MG * LORAZEPAM DRIP VIAL 15MG/30ML * LOSARTAN 25MG TABLET * LOSARTAN 50MG * LOTEPREDNOL 0.5% EYE DROPS * LOTRISONE LOTION 30ML * LOVASTATIN 10 MG TAB * LOVASTATIN 20MG TABLET * LOVASTATIN 40MG TAB * LOW OSMOLAR CONTRAST MATERIAL, 300-399MG/ML IODINE CONCENTRATE, PER ML *

LOXAPINE CAP 25MG * LTA KIT PRE ATTACHED * L-THYROXINE 0.05MG TAB * L-THYROXINE 0.075MG TAB * L-THYROXINE 0.125 MG * L-THYROXINE 0.25MG TAB * LUBIPROSTONE 24MCG CAP * LUBRIFRESH PM EYE OINT 3.5GM * LUMASON 5 ML ULTRASOUND ENHANCING AGENT * LURASIDONE 40MG TAB * LURASIDONE 60MG TAB * MAALOX PLUS EQUIV UD * MACROBID 100 MG CAP * MAG SULFATE 10GM/250ML * MAG SULFATE INJ 4GM/50ML PB * MAGIC 180ML * MAGNESIUM CHLORIDE 64MG TAB SA * MAGNESIUM CITRATE SF 296ML * MAGNESIUM OXIDE 400 TABLET * MAGNESIUM SULF 1GM/100ML SWI * MAGNESIUM SULF 20GM/500ML * MAGNESIUM SULF 2GM/50ML D5W * MAGNESIUM SULFATE 1 GM/2 ML VIAL (PER 500 MG) * MAGNESIUM SULFATE 4MEQ/ML 50ML * MAGNESIUM SULFATE 5 GM * MAGNESIUM SULFATE 50% VIAL 2CC * MANNITOL 12.5GM 50ML VL_12.5GM * MANNITOL 20% INJ 250ML * MANNITOL INJ 20% 500 ML * MECLIZINE 25 MG TABLET CHEW * MECLIZINE 25MG TAB * MECLIZINE TABLET 12.5 MG * MEDIHONEY 80% GEL 44 ml * MEDROXYPROGESTERONE 10 MG TAB * MEDROXYPROGESTERONE 150 PER 1ML * MEDROXYPROGESTERONE 2.5MG * MEGESTROL 40 MG LIQ UD * MEGESTROL 40MG * MEGESTROL SUSP 40MG/ML 240ML * MELATONIN 1 MG TAB * MELATONIN 3 MG TAB * MELATONIN 5 MG TAB * MELOXICAM 7.5MG TABLET * MEMANTINE 5MG TAB * MEMANTINE XR 28 MG * MEMANTINE XR 7 MG * MENINGOCOCCAL-DIPTH VACC VIAL * MENTHOL LOZ 2X4 PACK CEPACOL * MEPEREDINE 50MG TABLET * MEPEREDINE INJ 25MG * MEPERIDINE TUBEX 100MG 1ML/2MG * MEPERIDINE TUBEX 50MG 1ML 2ML * MERCAPTOPURINE 50MG TAB * MEROPENEM 1G PB PER 100MG * MEROPENEM 500 MG VIAL * MEROPENIM PER 100MG (1G) * MESALAMINE 250MG CAPSULE SA * MESALAMINE 4GM/60ML ENEMA * MESALAMINE EC 400 MG * MESNA 1 GRAM INJ_200MG * METAXALONE 800MG TABLET * METFORMIN 500MG * METFORMIN 850MG * METFORMIN XR 500MG TAB SA * METHADONE 10MG TAB * METHADONE 5MG * METHAZOLAMIDE 50MG TABLET * METHERGINE INJ .2 MG/ML * METHERGINE TAB 0.2MG * METHIMAZOLE 10MG * METHIMAZOLE 5MG TAB * METHOCARBAMOL 500MG TAB * METHOCARBAMOL 750 MG TAB * METHOCARBAMOL INJ 1000 MG 10 ML * METHOHEXITAL 500MG MDV PER MG * METHOTREXATE 100MG VIAL * METHOTREXATE 2.5MG TAB * METHYL PRED 4MG TAB * METHYLDOPA 250MG TAB * METHYLENE BLUE 1ML * METHYLENE BLUE AMPUL 1% 10ML * METHYLNALTREXONE 12MG/0.6ML VIAL * METHYLPHENIDATE 10MG TABLET * METHYLPHENIDATE 5MG TAB * METHYLPRED ACET 40MG/1ML 40MG' * METHYLPRED ACET 80MG/1ML 80MG * METHYLPRED INJ 125MG/2ML 125MG * METHYLPRED INJ 1GM/16ML 125MG * METHYLPRED INJ 40MG/1ML 40MG * METHYLPRED INJ 500MG/8ML 125MG * METOCLOPRAMIDE 10MG TAB * METOCLOPRAMIDE 10MG VIAL * METOCLOPRAMIDE 5 MG TAB * METOCLOPRAMIDE SYR 10 MG UD * METOLAZONE 2.5MG TABLET * METOLAZONE 5MG TABLET * METOPROLOL 25MG TABLET * METOPROLOL 50MG TABLET * METOPROLOL 5MG/5ML AMPUL * METOPROLOL SUCCINATE XL 100MG * METOPROLOL X1 25MG * METOPROLOL XL 50 MG * METRONIDAZOLE 250MG TAB * METRONIDAZOLE 250MG/50ML PB * METRONIDAZOLE 500MG IVPB * METRONIDAZOLE 500MG TAB * METRONIDAZOLE GEL * METRONIDAZOLE LOT 0.75% 2OZ * METRONIDAZOLE TOP GEL 1% 60GM * MEXILETINE 150MG CAPSULE * MGW ENEMA 60ML * MICAFUNGIN 100 MG VIAL PER 1 MG * MICAFUNGIN 50 MG VIAL PER 1 MG * MICONAZOLE 2% CREAM 14 GM * MICONAZOLE 7 100MG VAG SUPP * MICONAZOLE TOPICAL 2% CREAM * MICONAZOLE-7 CREAM * MIDAZOLAM 10MG/5ML ORAL UD * MIDAZOLAM 2 MG VIAL (2 MG/ML) * MIDAZOLAM 5 MG VIAL (5 MG/ML) * MIDAZOLAM 50 MG VIAL (5 MG/ML) * MIDAZOLAM DRIP VIAL 30MG/30ML * MIDODRINE TAB 10MG * MIDORIDINE 2.5MG TABLET * MILK OF MAGNESIA 1 OZ * MILRINONE 1MG/ML 20ML VL_5MG * MILRINONE 20MG/100ML PB_5MG * MINERAL OIL 30ML UD * MINERAL OIL STERILE 10ML * MINERAL OIL, LIGHT STERILE 10 ML * MINOCYCILLINE 100MG CAPS * MINOXIDIL 10MG * MINOXIDIL 2.5MG * MIRTAZAPINE 15MG SL * MIRTAZAPINE 15MG TABLET * MIRTAZAPINE 7.5 MG TAB * MISOPROSTOL 100MCG TABLET * MISOPROSTOL 200MCG TABLET * MITOMYCIN 5MG * MITOMYCIN GEL 80 MG KIT PER 1 MG * MMR-2 VACCINE 0.5ML * MODAFINIL 100MG TAB * MODIFIED LANOLIN OINT 7GM * MONTELUKAST 10MG TABLET * MORPHINE 100MG/100ML NS PCA * MORPHINE 10MG/ML 1ML SDV ANETH * MORPHINE 2MG TUBEX (UP TO 10MG) * MORPHINE 4MG TUBEX (UP TO 10MG) * MORPHINE AEROSOL 5MG/2ML * MORPHINE IR 15 MG TAB * MORPHINE ORAL SOL 0.4MG/1ML * MORPHINE ORAL SOLN 10MG/0.5ML * MORPHINE OS 10MG/5ML UD * MORPHINE PCA 200MG/100ML * MORPHINE PCA VIAL 30MG/30ML_10MG * MORPHINE PF EPIDURAL 1OMG * MORPHINE PF INTRATHECAL * MORPHINE SA 100MG * MORPHINE SR 30MG TABLET SA * MORPHINE TUBEX 10MG 1ML * 0.5% EYE DROP 3ML * MS CONTIN 15MG TABLET SA * MULTIPLE VITAMIN CAP * MULTITRACE-4 PED SDV 3ML * MULTIVITAMIN LIQUID 120 ML * MULTIVITAMIN W/MINERALS * MUPIROCIN 2% CREAM * MUPIROCIN 2% OINTMENT * MVI PEDIATRIC * MVI-12 10 ML * MYAMBUTOL TABLET 400MG * MYLICON DROPS * NA HYALURONATE VL 20MG 2ML * NABUMETONE 750 MG TAB * NABUMETRONE 500MG TABLET * NACL IRR 1000 ML * NACL IRR BAG 3000 ML * NADOLOL 20 MG TAB * NADOLOL 40MG TABLET * NAFCILLIN 1GM VIAL * NAFCILLIN 2G VIAL * NALBUPHINE 10MG VIAL * NALOXONE 0.4MG/ML 1ML VL_0.4MG * NALOXONE 1MG/ML 2ML SYR * NALOXONE 4MG NASAL SPRAY * / 15ML * NAPROSYN 375MG AB * NAPROSYN TABLET 250MG * NEBIVOLOL 5MG TAB * NEFAZODONE 100MG * NEFAZODONE 50MG TABLET * NEO/BACO/POLY/H.C. EYE OINT * NEO/POLY/DEXAMETH EYE OINT * NEO/POLYMIX/DEXAMETH EYE DROPS * NEO/POLYMIX/HC CREAM * NEO/POLYMIX/HC EAR SOLUTION * NEO/POLYMYXIN/HC EAR SUSP * NEOMYCIN SULFATE 500 MG UD * NEOMYCIN/POLY/GRAM EYE DROP * NEOSTIGMINE 1-1000 10ML VL_0.5MG * NEPHROCAPS CAPSULE * NEULASTA 6MG/0.6ML SYR 6MG * NEUTRAPHOS PACKET * NIACIN 250MG CAPSULE * NIACIN 500MG CAPSULE SA * NIACINAMIDE TAB 500MG * NICARDIPINE 2.5MG/ML 10ML * NICARDIPINE 20MG CAPSULE * NICORETTE 2MG * 14MG/24HR * NICOTINE PATCH 21MG/24HR * NICOTINE PATCH 7MG/24HR * NIFEDIPINE 10MG CAP * NIFEDIPINE 60 MG XL * NIFEDIPINE CC 30MG * NIMOTOP 30 MG CAP * NITAZOXANIDE TAB 500MG * NITROFURANTOIN CRY 50MG * NITROGLYCERIN 50MG/250ML D5W * NITROGLYCERIN IV 25MG/5ML * NITROGLYCERIN OINT UD PKT * NITROGLYCERIN PATCH 0.3MG * NITROGLYCERIN PATCH 10 MG * NITROGLYCERIN PATCH 15 MG * NITROGLYCERIN PATCH 2.5 MG * NITROGLYCERIN PATCH 5 MG * NITROL OINTMENT 2% 30GM * NITROPRUSSIDE 50 MG VIAL * NITROSTAT 0.3MG TAB * NITROSTAT TABLET 0.4 MG * NITROSTAT TABLET 0.6 MG * NORCURON VIAL * NOREPINEPHRINE 1MG/ML AMP * NORETHINDRONE 5MG TAB * NORTRIPTYLINE HCL 10MG CAP * NORTRIPTYLINE HCL 25MG CAP * NUCALA 100 MG VIAL * NUSHIELD PER SQUARE CENTIMETER * NYSTATIN 100,000U/GM POWDER * NYSTATIN CREAM 15GM * NYSTATIN CREAM 30 GM * NYSTATIN OINT 15GM * NYSTATIN OINTMENT 30GM * NYSTATIN SUSP 5ML * NYSTATIN/TRIAMCINOLONE CREAM * OASIS PRODUCT PER 1 SQ CM * OCRELIZUMAB 300 MG VIAL PER 1 MG * OCTAGAM 5% 0.5 GM/10 ML * OCTREOTIDE 500 MCG/ML 1 ML VIAL * OCTREOTIDE MDU * OPHALMIC DROPS * OFLOXACIN OTIC GTTS * OLANZAPINE 10 MG TAB * OLANZAPINE 10MG VIAL * OLANZAPINE 2.5MG * OLANZAPINE 5MG TABLET * OLANZAPINE 5MG ZYDIS * OLMESARTAN 20MG TAB * OLMESARTAN 5MG * OMACOR CAP * OMALIZUMAB 150MG VIAL 5MG * OMALIZUMAB 75MG SYRINGE * ONDANSETRON 4 MG VIAL * ONDANSETRON ODT 4MG TAB * OPIUM & BELLADONNA SUPP 60MG * ORA SWEET PER OUNCE * ORITAVANCIN 400 MG VIAL * ORPHENADRINE 100MG * ORPHENADRINE 60MG/2ML VL_60MG * OSELTAMIVIR 30 MG * OSELTAMIVIR SUSP (COMPOUNDED) * OXALPLATIN 50MG VL_0.5MG * OXAPROZIN 600MG * OXCARBAZEPINE 300MG * OXCARBAZEPINE TAB 150MG * OXICONAZOLE 1% CREAM 30GM * OXYBUTANIN XL 5MG TABLET SA * OXYBUTYNIN 5MG TABLET (NOT SA) * OXYBUTYNIN PATCH 3.9MG/24HR * OXYCODINE IR 5MG CAPSULE * OXYCODONE 5/APAP 325MG TABLET * OXYCODONE HCL 20 MG * OXYCODONE LIQ 5MG/5ML DOSE * OXYCODONE SR 10MG. * OXYCODONE SR 20MG * OXYCODONE TAB CR 15MG * OXYCODONE/APAP 10/325 TAB * OXYCODONE/APAP 7.5/325 TAB * OXYCONTIN 40MG TABLET SA * OXYCONTIN 80MG TABLET SA * 0.05% SPRAY 30ML * OXYTOCIN 10 UNIT VIAL * OXYTOCIN 20UNITS/1000ML LR * OYSCO 500+D TABLET * PAIN EASE TOPICAL SPRAY * PAMIDRONATE 90MG VIAL * PAMIDRONATE INJ 30MG/10ML * PANCURONIUM 10 ML VIAL * PANHEMATIN 313MG VIAL PER MG * PANTOPRAZOLE 20MG TAB * PANTOPRAZOLE 40MG PACKET * PANTOPRAZOLE IV 40MG VIAL * PANTOPRAZOLE SODIUM 40MG * PAPAVARINE 300MG VIAL * PARAPLATIN 50 MG * PARICALCITOL CAP 1MCG * PAROXETINE 10MG TABLET * PAROXETINE 20 MG * PAROXITINE 12.5MG CR TABLET * PAROXITINE 25MG CR TABLET * PATANOL DROPS * PCA SETUP * PCA_EPI MONITORING * PCN G 2.5 MIL UNIT IVPB * PCN G 3 MILLION UNIT PER 600K IVPB * PCN G 5 MIL UNIT IVPB * PEG ORAL UD * PEG-ELECTROLYTE COLON PREP 4L * PEGLOTICASE (KRYSTEXXA) 8 MG VIAL * PEN G K 5MMU VIAL_500MU * PENICILLIN 250MG/5ML ORAL SUSP * PENICILLIN 250MG/5ML SUSP 200ML * PENICILLIN G SODIUM 5MMU * PENICILLIN VK 250MG TABLET * PENTAMIDINE 300MG INH VL_300 * PENTOSAN 100MG CAP * PERFLUTREN PER ML * PERMETHRIN 1% LIQUID * PERMETHRIN 5% CREAM * PERPHEN/AMITRIPRYLINE 2-10 * PERPHENAZINE 2 MG * PHENAZOPYRIDINE 100 MG UD * PHENERGAN 25MG SUPP * PHENOBARB 130MG/1ML 1ML * PHENOBARB 20MG/5ML ELIX UD * PHENOBARB 30 MG ELIX UD * PHENOBARB 65MG/1ML 1ML 1ML VL * PHENOBARBITAL 100MG * PHENOBARBITAL TABLET 30MG * PHENOL/PHENOLATE M WASH * PHENTOXIFYLLINE 400MG TAB SA * PHENYLEPHRINE 0.25% SPRAY * PHENYLEPHRINE 0.5% SPRAY * PHENYLEPHRINE 10MG/ML 1ML_10MG * PHENYLEPHRINE 2.5% DROPS 2ML * PHENYLEPHRINE 2.5% OPHTH 5ML * PHENYLEPHRINE HCL SPR 1% 15ML * PHENYLEPHRINE NAS DROP 1% 30ML * PHENYLEPHRINE OPHTH DROPS 10% * PHENYTOIN 100MG KAPSEAL * PHENYTOIN 250 MG VIAL * PHENYTOIN 50MG INFATAB * PHENYTOIN 50MG INJ * PHENYTOIN SODIUM 30 MG CAP * PHENYTOIN SUSP 100MG/4ML * PHOSPHORUS 250MG TAB * PHYSOSTIGMINE 1 MG INJ * PHYTONADIONE 5MG TABLET * PHYTONADIONE PER 1MG (10MG) * PILOCAR 1% 1 ML * 5MG TAB * PILOCARPINE OPHTH DROPS 2% * PILOCARPINE OPHTH DROPS 4% * PINK BISMUTH * PIOGLITAZONE 15MG TABLET * PIP/TAZO 2.25 G IVPB_1.125GM * PIP/TAZO 2.25 GM D5W IVPB * PIP/TAZO 2.25 GM VIAL * PIP/TAZO 3.375GM IVPB_1.125GM * PIP/TAZO 4.5 G IVPB_1.125GM * PIP/TAZO 4.5 GM D5W IVPB * PIP/TAZO 4.5 GM VIAL * PIROXICAM 10MG CAPSULE * PLATINOL 10 MG INJ * PLETAL TAB * PNEUMOCOCCAL 13 VALENT CONJ VACCINE * PNEUMOCOCCAL VACCINE TBX * POLYETHYLENE GLYCOL POWDER * POLYSPORIN OPTH OINT 3.5GM * POLYVITAMIN INFANT DROPS 50ML * POLYVITAMIN W/IRON DROPS 50ML * PORACTANT ALFA 240 MG/3 ML * POT PHOSPHATE 45 MM 15 CC * POTAS ACETATE VIAL 40MEQ 20ML * POTAS CHLORIDE ADD VIAL 20_2MEQ * POTAS CHLORIDE ADD VIAL 40_2MEQ * POTAS IODIDE SAT'D SOL'N 30ML * POTASS CHL INJ 20MEQ/50MLPB_2MEQ * POTASS CHL INJ 40MEQ/100MLP_2MEQ * POTASSIUM 10MEQ/100ML_2MEQ * POTASSIUM CHL 10% 30ML * POTASSIUM CHLORIDE 10MEQ TAB * POTASSIUM CHLORIDE 20MEQ SR TA * POTASSIUM CHLORIDE PACK 20MEQ * POTASSIUM IODIDE 65 MG/ML * POVIDONE-IODIDE OINT 28GM * POWELL'S SOLUTION 250ML * PRAMIPEXOLE 0.125 MG TAB * PRAMIPEXOLE 0.25MG TABLET * PRAMIPEXOLE 0.5 MG TAB * PRAMIPEXOLE 1.5 MG TAB * PRAMIPEXOLE 1MG TAB * PRAMOXINE 1% LOTION * PRASUGREL 10MG TAB * PRAVASTATIN 10 MG TAB * PRAVASTATIN 20MG * PRAVASTATIN 40 MG TAB * PRAVOCHOL 10 MG TAB * PRAZOSIN 1 MG CAP * PRAZOSIN 2 MG CAP * PRAZOSIN 5 MG CAP * PRED MILD OPTH DROPS 5ML * ACET 1% EYE DROPS * PREDNISOLONE SYR 15MG/5ML 5ML * PREDNISONE 1 MG TAB * PREDNISONE 10 MG TAB * PREDNISONE 2.5 MG TAB * PREDNISONE 20 MG TAB * PREDNISONE 5 MG TAB * PREDNISONE 5 MG/5ML SOLN * PREDNISONE 50 MG TAB * PREGABALIN 100MG CAP * PREGABALIN 150MG CAP * PREGABALIN 25MG CAP * PREGABALIN 50MG CAP * PREGABALIN 75MG CAP * PREMARIN 0.3MG TAB * PREMARIN 0.45MG TAB * PREMARIN 0.625MG TAB * PREMARIN TABLET 1.25MG * PREMARIN VAGINAL CREAM W/AP * PREMARIN VIAL 25MG * PRENATAL VITAMINS * PRIMIDONE 250MG TAB * PRIMIDONE 50MG * PRIVIGEN 10% 40GM VIAL * PROAMATINE 5MG TABLET * PROBENECID 500 MG TAB * PROBENECID-COLCHICINE TAB * PROCAINAMIDE 100 MG ML 10 ML * PROCHLORPERAZINE 10MG 2ML E/S * PROCHLORPERAZINE 10MG TAB * PROCHLORPERAZINE 25MG SUPP * PROCHLORPERAZINE 5 MG UD * PROCTOCREAM-HC 1% CREAM * PROFILNINE 1000 UNIT VIAL * PROGRAF 1MG CAPSULE * PROMETHAZINE 12.5 MG TAB * PROMETHAZINE 25MG TABLET * PROMETHAZINE 25MG/ML 1ML INJ_25MG * PROMETHAZINE INJECTION KIT * PROMETHAZINE SUPP 12.5MG * PROMETHAZINE SY 6.25MG/5ML 4OZ * PROPAFENONE 150MG TABLET * PROPARACAINE 0.5% OPHTH 15ML * PROPOFOL 1000MG/100ML VIAL * PROPOFOL 200MG/20ML VIAL * PROPOFOL 500MG/50ML VIAL * PROPRANOLOL 10 MG TAB * PROPRANOLOL 1MG/ML AMPUL * PROPRANOLOL 20 MG TAB * PROPRANOLOL 40 MG TAB * PROPRANOLOL 60MG CAPSULE SA * PROPRANOLOL LA 80MG CAPSULE SA * PROPYL GLYC/PEG EYE DROP 15ML * PROPYLTHIORUACIL 50MG * PROTAMINE 50MG/5ML VL_10MG * PROTAMINE INJ 10MG/ML 25ML * PROTHROMBING COMPLEX (KCENTRA) * PROTOCREAM-HC 2.5% CREAM * PROTOPRAM 1GM (UP TO 1GM) * PROVAYBLUE 5MG/ML AMP 10ML * PROVISC SYR 0.55ML * PROVOCHOLINE 100MG VIAL * PSEUDOEPHEDRINE 30MG TAB * PSYLLIUM POWDER (SUGAR FREE) * Puraply Antimicrobial AM EF per one square centimeter * PURAPLY ANTIMICROBIAL AM PER ONE SQUARE CENTIMETER * PURAPLY PER ONE SQUARE CENTIMETER * PYRAZINAMIDE 500MG TABLET * PYRIDOSTIGMINE BROMIDE 60MG * PYRIDOXINE 100MG ML VL_100MG * PYRIDOXINE TABLET 50MG * QUETIAPINE 100MG TABLET * QUETIAPINE 200 MG TAB * QUETIAPINE 25MG TABLET * QUETIAPINE 300 MG TAB * QUETIAPINE 400 MG TAB * QUETIAPINE 50MG TAB * QUETIAPINE XR 150 MG TAB * QUETIAPINE XR 200 MG TAB * QUETIAPINE XR 50 MG TAB * QUINAPRIL 10MG TABLET * QUINAPRIL 20 MG * QUINAPRIL 5 MG * QUINIDINE SULFATE 200 MG UD * QVAR 40MCG INHALER 120 DOSE * QVAR 80MCG INHALER 120 DOSE * RABIES IG 2ML VIAL_2ML * RABIES IMMUN GLOB 300IU/ML 1ML * RABIES VACCINE 2.5IU/ML 1ML * RACEMIC EPINEPHRINE 15ML * RALOXIFENE 60MG TABLET * RALTEGRAVIR 400 MG * RAMIPRIL 2.5 MG CAPSULE * RAMIPRIL 5MG CAPSULE * RAMIPRIL CAP 1.25MG * RANITIDINE 150MG/10ML SYR 10ML * RANOLAZINE 500MG TAB * RASBURICASE PER 0.5MG (150) * RECOTHROM 20000 UNIT KIT * RECOTHROM 5000 UNIT KIT * REFRESH EYE DROPS UD 0.4ML * REFRESH PLUS 0.5% EYE DROP UD * REG ADENOSON 0.4MG/5ML 5ML SYR * REMDESIVIR 100 MG VIAL * REMIFENTANIL 1MG VIAL * REMIFENTANYL 2MG VIAL * REPAGLINIDE 0.5MG TABLET * REPAGLINIDE 1MG TABLET * RESPERIDONE 1MG TABLET * RHOGAM ADMINISTRATION * RIFAMPIN 300 MG CAP * RIFAMPIN INJ 600MG * RIFAXIMIN 200MG TAB * RIFAXIMIN 550MG TAB * RISPERIDONE 0.25MG TABLET * RISPERIDONE 0.5 MG TAB * RISPERIDONE 0.5MG M-TAB * RISPERIDONE 1MG M-TAB * RISPERIDONE CONSTA 12.5MG_0.5MG * RISPERIDONE CONSTA 25MG_0.5MG * RISPERIDONE CONSTA 37.5MG_0.5MG * RISPERIDONE CONSTA 50MG_0.5MG * RISPERIDONE OS 1MG/ML 30ML * RITUXIMAB PER 10MG * RITUXIMAB-ABBS 100 MG VIAL * RITUXIMAB-ABBS 500 MG VIAL * RIVAROXABAN 2.5 MG TAB * RIVAROXABAN TAB 10MG * RIVAROXABAN TAB 15MG * RIVAROXABAN TAB 20MG * RIVASTIGMINE 13.3 MG PATCH * RIVASTIGMINE 4.6 MG PATCH * RIVASTIGMINE 9.5MG PATCH * RIZATRIPTAN 5MG TAB * ROCEPHIN 1GM VIAL_250MG * ROCEPHIN 250 MG * ROCURONIUM 10MG/ML VIAL * ROCURONIUM BR 10MG/ML 10ML VL * ROMAZICON 5ML * ROMOSOZUMAB-AQQG 210 MG/2.34 ML * ROPINIROLE 0.25 MG TAB * ROPINIROLE 0.5MG TABLET * ROPINIROLE 2MG TABLET * ROPINIROLE TAB 1MG * ROPIVACAINE 10MG/ML 10ML AMP 1MG * ROPIVACAINE 2MG/ML 200ML BTL 1MG * ROPIVACAINE 5MG/ML 20ML VL 1MG * ROPIVACAINE 5MG/ML 30ML VL 1MG * ROPIVACAINE VL 2MG/ML 100ML * ROSUVASTATIN 10MG TAB * ROSUVASTATIN 20MG TAB * ROSUVASTATIN 5 MG TAB * SACUBITRIL/VALSARTAN 49/51 TAB * SACUBITRIL/VALSARTAN 97/103 TAB * SACYBITRIL/VALSARTAN 24/26 TAB * SALINE MIST 0.65% NOSE SPRAY * SALINE NASAL GEL 0.5OZ * SALINE NOSE DROP/SPRY PEDS 1 OZ * SALMETEROL DISKUS 28 * SALSALATE 500 * SANDIMMUNE 100MG CAPSULE * SANDOSTATIN .05MG/ML AMPUL * SANDOSTATIN .1MG/ML AMPUL * SANDOSTATIN 500MCG * SARGRAMOSTIM VL 250 MCG * SARNA LOTION 7.5OZ * 1 MG PATCH * SECRETIN 16MCG VIAL 1MCG * SELEGILINE HCL 5MG TABLET * SELENIUM 40MCG * SENNA TABLET * SENOKOT S TAB * SENOKOT SYRUP 8.8MG/5ML * SERTRALINE 25MG TABLET * SERTRALINE 50MG TABLET * SEVELAMER CARB 2.4GM PKT * SEVELAMER CARB 800MG TAB * SF TUSSIN EX LIQUID 120ML * SF TUSSIN LIQUID 120ML * SILVER NITRATE STICKS * SILVER SULFADIAZINE CR 400GM * SILVER SULFADIZAINE 50 GM * SIMETHICONE 125 MG CAP * SIMETHICONE 80MG TAB CHEW * SIMPONI ARIA 50MG VIAL * SIMVASTATIN 20MG TABLET * SIMVASTATIN 5 MG TAB * SIMVASTATIN 5MG TABLET * SIMVASTIN 10MG TABLET * SIMVASTIN 40MG TAB * SINCALIDE 3 MCG VIAL * SINCALIDE INJ 5 MCG VL * SIROLIMUS TAB 1MG * SITAGLIPTIN 100MG TAB * SITAGLIPTIN 25MG TAB * SITAGLIPTIN 50MG TAB * SMX/TMP 800/160MG/10ML VIAL * SOD ACETATE 40MEQ 20ML IN 50M * SOD BICARB 4% 5ML NEUT * SOD BICARB 4.2% PED SYR * SOD BICARB 8.4% PED SYR * SOD BICARBONATE 8.4% 50ML VL * SOD CHLORIDE 4MEQ/ML VIAL * SOD CHLORIDE EYE DROP 2% 15ML * SOD CHLORIDE EYE DROP 5% 15ML * SOD CHLORIDE EYE OINT 5% 3.5G * SOD CITRATE/CITRIC ACID SOL * SOD POLY SULF 60ML * SOD POLY SULF ENEMA 120 ML * SOD. PHOSPHATE 5ML VIAL * SODIUM BICARB 325 MG TAB * SODIUM BICARB 650MG TABLET * SODIUM BICARB PED * SODIUM CHLORIDE 0.9% 10 ML VIAL * SODIUM CHLORIDE 1GM TABLET * SODIUM CHLORIDE NEB 3% 15ML * SODIUM PHOSPHATE 4MEQ * Sodium thiosulfate 12.5 gm vial * SORBITOL SOLUTION 30ML UD * SOTALOL 120 MG TAB * SOTALOL 80MG TABLET * SPIRONOLACTONE 25 MG * SPIRONOLACTONE 50 MG * STARLIX 60MG TABLET * STELARA 130 MG VIAL * STERILE WATER 10 ML VIAL * STERILE WATER INJ 1000 ML * STR WATER IRR 1000 ML * STR WATER IRR 500 ML * STR WATER IRR BAG 3000 ML * SUCCINYLCHOLINE 20MG INJ * SUCRALFATE 1GM TABLET * SUCROSE ORAL SOLN 2 ML * SUGAMMADEX 200MG/2ML VIAL * SULFACETAMIDE OPTH 10% 15 ML * SULFAMETHOXAZOLE/TMP DS TAB * SULFAMETHOXAZOLE/TMP SS TAB * SULFASALAZINE 500MG TAB * SULINDAC 150MG TABLET * SULINDAC 200MG TABLET * SUMATRIPTAN 25MG * SUMATRIPTAN 6MG/0.5ML VIAL * SURVANTA 25MG/ML 8 ML * TACROLIMUS CAP 0.5MG * TACROLIMUS OINT 0.1% 30GM * TAMIFLU 75MG * TAMOXIFEN 10MG TABLET * TAMSULOSIN 0.4MG CAPSULE SA * TELAVANCIN 750 MG VIAL * TELMISARTIN 40MG * TEMAZEPAM 15 MG CAP * TEMPAZEPAM 7.5 MG * TERAZOSIN 1MG CAPSULE * TERAZOSIN 2MG * TERAZOSIN 5MG CAPSULE * TERBINAFINE 250MG TAB * TERBUTALINE 1MG/ML 1ML VIAL_0.5MG * TERBUTALINE 2.5MG TAB * TERBUTALINE 5MG TAB * TERIPARATIDE INJ 20MCG/DAY * TETANUS IMMUNE GLOBULIN 250U * TETANUS/DIPTHERIA TOX 0.5 ML * TETRACAINE 20 MG AMPUL * TETRACAINE EYE DROPS 0.5% 15ML * TETRACAINE EYE DROPS 0.5% 2ML * TETRACYCLINE 250 MG UD * THEO-24 300MG CAP * THEO-24 CAPSULE 100 MG * THEOPHYLLIN 80MG/15ML 480ML * THEOPHYLLINE 100MG TAB SA * THEOPHYLLINE 200MG TAB SA * THEOPHYLLINE 300MG TAB SA * THERASKIN * THIAMINE 100MG TAB * THIAMINE 100MG/ML 2ML_100MG * THIAMINE 50 MG TAB * THIOTHIXENE 10MG CAP * THROMBIN (RECOMBINANT) 20000 UNIT SPRAY KIT * THROMBIN (RECOMBINANT) 20000 UNIT VIAL * THROMBIN (RECOMBINANT) 5000 UNIT VIAL * THROMBIN TOPICAL 5000 UNITS * THROMBIN-JMI 20000 UNIT VIAL * THROMBIN-JMI KIT 5000 UNITS * THROMBOSTAT KIT 20,000 UNITS * THYROID TABLET 30MG * THYROTROPIN 1.1 MG VIAL * TIAGABINE 2MG TABLET * TICAGRELOR 60 MG TAB * TICAGRELOR TAB 90MG * TILDRAKIZUMAB 100 MG SQ INJ * 0.25% EYE DROPS * TIMOLOL 0.5% EYE DROPS * TIMOLOL XE 0.25% EYE DROPS 5ML * TIMOLOL XE 0.5% EYE DROPS 5ML * TIMOLOL/DORZOLAM EYE DROPS 10ML * TIMOPTIC XE 0.25% EYE SOLN * TIOCONAZOLE 6.5% VAG OINTMENT * TIOTROPIUM 18MCG INH 5 DOSE * TIOTROPIUM 2.5 MCG AEROSOL INH * TIZANIDINE 2 MG TAB * TIZANIDINE 4MG TABLET * TMP/SMX SUSP UD 10ML * TOBRADEX OPHTH OINT 3.5 GM * TOBRADEX OPHTHALMIC SUSP * TOBRAMYCIN 0.3% EYE DROPS * TOBRAMYCIN 0.3% EYE OINTMENT * TOBRAMYCIN 1.2GM VIAL POWDER_80MG * TOBRAMYCIN 40MG/ML VIAL * TOBRAMYCIN AEROSOL UD * TOCILIZUMAB 80 MG VIAL * TOLTERODINE 1MG TABLET * TOLTERODINE 2MG * TOLTERODINE LA 2MG CAPSULE SA * TOLTERODINE LA 4MG CAPSULE SA * TOLVAPTAN TAB 15MG * TOLVAPTAN TAB 30MG * TOPIRAMATE 100MG TABLET * TOPIRAMATE 25MG TABLET * TOPIRAMATE 50 MG TAB * TOPOTECAN 4MG VL_0.1MG * TORSEMIDE 10 MG TAB * TORSEMIDE 100MG * TORSEMIDE 20MG * TORSEMIDE TAB 10 MG * TPN SOLUTION ADULT * TPN SOLUTION PEDIATRIC * TRAMADOL HCL 50MG TAB * TRAMADOL/APAP 37.5/325 TAB * TRANDOLAPRIL 2MG TABLET * TRANEXAMIC ACID 1000 MG PER 100 ML PREMIX * TRANEXAMIC ACID 1000MG/10ML * TRANEXAMIC ACID 650 MG TAB * TRANSDERM-SCOP * TRASTUZUMAN 10MG INJ * TRAZADONE 50 MG TAB * TRAZODONE 100 MG TAB * TRIAMCINOLONE .1% OINT 15GM * TRIAMCINOLONE .1% OINT 80GM * TRIAMCINOLONE 0.025% CR 15 GM * TRIAMCINOLONE 0.1% CR 80GM * TRIAMCINOLONE 0.1% * TRIAMCINOLONE 40MG/ML 1ML VL * TRIAMCINOLONE CR 0.1% 15GM * TRIAMCINOLONE CR 0.5% 15GM * TRIAMCINOLONE LOT 0.1% 60ML * TRIAMCINOLONE OINT 0..5% 15GM * TRIAMCINOLONE OINT 0.025% 15 GM * TRIAMCINOLONE SPRAY 63GM * TRIAMICINOLONE 0.025% CR 80GM * TRIAMTERENE 50MG CAPSULE * TRIAMTERENE 75/HCTZ 50 TAB * TRIHEXYPHENIDYL 2MG TAB * TRIHEXYPHENIDYL 5 MG TAB * TRIMETHOPRIM 100MG TAB * TRIPLE EYE OINT * TRIPLE PASTE 60GM * TROPICAMIDE 1% OPHTH SOLN 15ML * TROPICAMIDE OP SOL 1% 2ML * TRYPAN BLUE 0.06% OPTHAL * TUBERCULIN SKIN TEST 5TU VIAL * TYGACIL 50MG * UNASYN 1.5 GM VIAL * UNASYN 3 GRAM VIAL_1.5GM * UNASYN 3GM IVPB_1.5GM * UNASYN INJ 1.5GM ADD-VAN * UNIPHYL 400 MG TAB * UNNA-BOOT 4 INCH X10 YD 4 INCH * UREA CREAM 40% 85GM * UREA POWDER 15GM PKT * UROCIT-K 10MEQ TAB SA * URSODIOL 300MG CAP * URSODIOL 500 MG TAB * USTEKINUMAB 90 MG SQ SYRINGE PER 1 MG * VALACYCLOVIR 500MG * VALGANCICLOVIR 450MG TAB * VALPROATE SODIUM 500 MG VIAL * VALPROIC ACID 250MG ER TAB * VALPROIC ACID SYR 15MG/5ML UD * VALSARTAN 40MG TABLET * VALSARTAN 80MG CAPSULE * VANCO 1 GM/250 ML NS * VANCOCIN HCL 1GM/200ML BAG_500MG * VANCOMYCIN 1.25G/250ML PER 500 MG * VANCOMYCIN 125 MG/5 ML ORAL SOLUTION * VANCOMYCIN 1GM VIAL 500MG * VANCOMYCIN 250 MG/10 ML ORAL SOLUTION * VANCOMYCIN 500 MG/20 ML ORAL SOLUTION * VANCOMYCIN 500MG VIAL 500MG * VANCOMYCIN ORAL SYR 125MG/2.5ML * VANCOMYCIN ORAL SYR 250MG/5ML * VANCOMYCIN ORAL SYR 500MG/10ML * VANCOMYCIN VL 750MG * VANTIN 100MG TABLET * VANTIN TAB 200MG * VARENICLINE TAB 0.5MG * VASOPRESSIN 20 UNIT VIAL * VEDOLIZUMAB 300MG/20ML VIAL * VELTASSA 8.4 GM PACKET * VENFOLXANE 150 SR * VENLAFAXINE 25 MG TAB * VENLAFAXINE 25MG TABLET * VENLAFAXINE 37.5MG TABLET * VENLAFAXINE 50MG TABLET * VENLAFAXINE 75MG * VENLAFAXINE 75MG CAPSULE SA * VENLAFAXINE XR 37.5MG CAP SA * VERAPAMIL 120MG TAB * VERAPAMIL 80MG AB * VERAPAMIL INJECTION * VERAPAMIL SR 120MG * VERAPAMIL SR 180 MG * VERAPAMIL SR 240MG TAB * VINBLASTIN 1MG * VINCRISTINE 1 MG INJ * VIROPTIC 1% OPTH DROP * EYE DROPS 0.05% 15ML * VISIPAQUE 320 150ML * VISKEN 5MG TABLET * VIT A & D W/C DRPS 50ML * VITAMIN A CAP 10000 UNITS * VITAMIN A+D OINTMENT 120GM * VITAMIN D 1000 IU TAB * VITAMIN D 2000 UNITS * VITAMIN D 400 UNIT TAB * VITAMIN D 50,000 UNIT CAPS * VITAMIN D 5000 UNITS * VITAMIN D DROPS 50ML * VITAMIN E 1000U CAP * VITAMIN E 200MG CAP * VITAMIN E 400 UNITS * VITAMIN K 1MG/0.5ML AMPUL * VL CL VISIPAQUE 270 PER ML * VL IODIXANOL 320MG/ML VISIPAQUE GE * VORICONZAOLE 50MG TAB * VORICONZOLE 200MG VIAL_10MG * VORTIOXETINE 10 MG TAB * VORTIOXETINE 5 MG TAB * WARFARIN 1 MG TAB * WARFARIN 10MG TABLET * WARFARIN 2.5MG TABLET * WARFARIN 2MG TABLET * WARFARIN 3MG TABLET * WARFARIN 5MG TABLET * WARFARIN 7.5MG TABLET * WATER FOR INJ PF 10 ML * WELCHOL 625MG * WEST NEURO PCA_EPI MONITOR * WHITE PETROLEUM 75GM * XYLOCAINE 2% SDV 10ML-PM * XYLOCAINE AMPUL 4% 5ML * ZEBETA 5MG TABLET * ZIAC 10MG TAB * ZICONOTIDE 100MCG VIAL * ZINC 220MG CAP * ZINC OXIDE OINT 1 OZ * ZINC SULFATE 1 MG/ML 10ML * ZIPRASIDONE 20MG CAPSULE * ZIPRASIDONE 20MG/ML VL_10MG * ZIPRASIDONE 40MG CAPSULE * ZIPRASIDONE 60MG CAPSULE * ZIPRASIDONE 80MG CAPSULE * ZITHROMAX 200MG/5ML SUSP * ZOLEDRONIC ACID VL 5MG * ZOLPIDEM 5MG TABLET * ZOMETA 4MG VIAL * ZONEGRAN 100MG CAPSULE * ZONISAMIDE 25 MG CAP * ZONISAMIDE CAP 50MG * ZZ Copper Cu64 dotatate * ZZ CT OMNIPAQUE 300 PER ML * ZZ CT OMNIPAQUE 350 PER ML * ZZ CT VISIPAQUE 320 PER ML * ZZ MR DOTAREM PREFILLED PER ML * ZZ MR DOTAREM VIAL PER ML * ZZ MR GADOLINIUM PER ML * ZZ NM FUROSEMIDE VL 20MG 2ML 20MG * ZZ NM I-123 SODIUM IODINE * ZZ NM I-131 CAP DX 1-6 MCI * ZZ NM I-131 CAP DX EA ADDL MCI * ZZ NM I-131 NAI PER MCI * ZZ NM IN 111 LABEL WBC PER STUDY * ZZ NM IN 111 OTRESCAN 3 MCI * ZZ NM IN 111 PENTE PE 0.5 MCI * ZZ NM IOBENGUANE SFT I-131 MCI * ZZ NM MIBG 1-123 UP TO 15MCI * ZZ NM NON-HEU TC-99M ADD-ON/DOSE * ZZ NM PYP MPI PER MCI * ZZ NM REGADENOSON 0.4MG/5ML_0.1MG * ZZ NM SINCALIDE VL 5MCG 5MCG * ZZ NM TC ALBUM (MAA) MCI UP TO 10 * ZZ NM TC CHOLETC MCI UP TO 15MCI * ZZ NM TC HEPATOLITE/VIAL * ZZ NM TC MEDRONATE UP TO 30 MCI * ZZ NM TC NA TC04 TECHN PER MCI * ZZ NM TC PENTETATE MCI UP TO 25 * ZZ NM TC RBC UP TO 30 MCI * ZZ NM TC SULFUR COLLOID MCI * ZZ NM TC TETROFOS/DOS MYOVIE * ZZ NM TC99M MERTIATIDE MCI * ZZ NM TC99M SUCCIMER UP TO 10 * ZZ NM TECHNETIUM TC99M SETSAMIBI * ZZ NM THALLOUS CHLORID TL 201MCI * ZZ NM TI201 THALLOUS CHL/MCI * ZZ TECHNETIUM TC-99m PENTETATE, DIAG AERSOL, PER STUDY UP TO 75 MCI *

ZZ XR OMNIPAQUE 180 PER ML * ZZ XR OMNIPAQUE 240 PER ML * ZZ XR OMNIPAQUE 300 PER ML * ZZ XR OMNIPAQUE 350 PER ML * ZZ XR VISIPAQUE 320 PER ML *

*Pricing for Pharmacy items are variable based on cost, dosage and/or quantity provided. Estimated pricing can be provided upon request based on planned service date.