2019 STANDARD CDM # EASTERN NIAGARA HOSPITAL- 2019 CHARGEMASTER HOSPITAL CHARGE 11000001 ROOM & BOARD-2N (PVT MED NEC) $ 1,667 11000002 ROOM & BOARD-2N (PRV PT REQ)* $ 1,667 11000003 *ROOM & BOARD-2N (PVT COVERED) $ 1,592 11000004 *ROOM & BOARD-2N (PVT PT DIF) $ 35 11000005 ROOM & BOARD-2C (PVT MED NEC) $ 1,667 11000006 ROOM & BOARD-2C (PVT PT REQ)* $ 1,667 11000007 *ROOM & BOARD-2C (PVT COVERED) $ 1,592 11000008 *ROOM & BOARD-2C (PVT PT DIFF) $ 35 11000011 *ROOM & BOARD-MAT (PVT COVER) $ 1,743 11000014 ROOM & BOARD-IMS-PVT MED NEC $ 1,667 11000015 ROOM & BOARD-IMS-PVT $ 1,667 11000016 *ROOM & BOARD-IMS-PVT COVERED $ 1,592 11000017 *ROOM & BOARD-IMS-PVT PT DIFF $ 35 11400001 ROOM & BOARD PSYCH UNIT PRIVAT $ 2,278 12000001 ROOM & BOARD-2N (SEMI PRV) $ 1,592 12000002 ROOM & BOARD-2C (SEMI PVT) $ 1,592 12000003 ROOM & BOARD-CDTC (SEMI PVT) $ 1,497 12000004 ROOM & BOARD-MAT (SEMI PVT) $ 1,743 12000005 ROOM & BOARD-IMS-SEMI PVT $ 1,592 12000006 ROOM&BOARD-MAT SEMI PVT-NEWFAN $ 1,743 12000007 ROOM & BOARD-LDRP-NEWFANE $ 1,754 12400001 ROOM & BOARD PSYCH UNIT SEMI $ 2,175 16900001 ROOM AND BOARD 2N ALC $ 1,592 16900002 ROOM AND BOARD 2C ALC $ 1,592 16900003 ROOM & BOARD-IMS-ALC $ 1,592 17000001 ROOM & BOARD-NURSERY $ 1,605 17000002 ROOM & BOARD-NURSERY-NEWFANE $ 1,605 20000001 ROOM & BOARD-ICU $ 3,961 20000002 ROOM & BOARD-ICU-NEWFANE $ 3,961 25000001 SODIUM CHLORIDE 0.9% 250ML $ 9 25000002 PHARMACY NARCOTIC - INJECTION $ 17 25000003 COLLAGEN ABSORABLE 2.5 CM PAD $ 206 25000005 GELATIN SPONGE 12.7 MM $ 29 25000006 GELATIN ABSORABLE SPONGE 100 $ 142 25000007 ACETAZOLAMIDE INJECTION $ 67 25000008 ACETYLCHOLINE OPTH. INJ. 2ml $ 96 25000009 ACYCLOVIR 500 MG $ 143 25000010 ADENOSINE SYRINGE 6MG/2ML $ 134 25000013 ALBUMIN 25% 50 ML $ 689 25000014 ALCOHOL 95% $ 28 25000015 ALCOHOL 5% IN D5W $ 52 25000017 AMIKACIN IN D5W 100 ML $ 74 25000018 AMINO ACID4.25% PROTEIN/LITER $ 68 25000019 AMINO ACIDS 5.2% RF (R) $ 81 25000020 AMINOCAPROIC ACID IN D5W 100ML $ 9 25000021 AMINOPHYLLINE INJ $ 8 25000022 AMIODARONE $ 348 25000023 AMMONIA INHALANTS 0.3ML AMPULE $ 10 25000024 AMPICILLIN INJECTION $ 8 25000025 AMPICILLIN 1G ADD-VANTAGE $ 11 25000026 AMPICILLIN 2 GM ADD-VANTAGE $ 16 25000027 ATRACURIUM BESYLATE (NF) $ 261 25000028 ATROPINE SULFATE SYRINGE $ 10 25000029 ATROPINE (PEDS)SYRINGE $ 10 25000030 ATROPINE SULFATE VIAL $ 8 25000031 BACITRACIN INJECTION $ 22 25000032 BCG VACCINE (R) $ 576 25000033 BENZTROPINE INJECTION-2mg $ 36 25000034 BETAMETHASONE SUSP INJECTION $ 107 25000035 BETAMETHASONE INJECTION $ 35 25000037 BSS 15ML $ 26 25000038 BUMETANIDE INJECTION $ 16 25000039 BUPIVACAINE W/EPI0.25% $ 22 25000040 BUPIVACAINE0.5% W/EPI $ 11 25000041 BUPIVACAINE0.75% INJECTION $ 11 25000042 BUPIVACAINE PRESERVATIVE FREE $ 11 25000043 BUPIVACAINE PRESERVATIVE FREE $ 11 25000044 BUPIVACAINE0.75% W/DEXTROSE $ 11 25000045 BUTORPHANOL INJECTION (MDV) $ 313 25000046 BUTORPHANOL INJECTION $ 42 25000047 CALCITONIN INJECTION-100 UNITS $ 255 25000048 CALCITRIOL INJECTION (R) $ 63 25000049 CALCIUM CHLORIDE INJ (VIAL) $ 8 25000050 CALCIUM CHLORIDE INJ (SYRINGE) $ 11 25000051 CALCIUM GLUCONATE INJECTION $ 8 25000052 CANDIDASKIN TEST $ 42 25000053 PROCHLORPERAZINE SYRINGE $ 8 25000054 IBUTILIDE INJECTION $ 693 25000055 CARBOPROST TROMETHAMINE INJ $ 149 25000056 CEFAZOLIN INJECTION $ 9 25000057 CEFAZOLIN INJECTION $ 9 25000058 CEFAZOLIN 1G ADD-VANTAGE $ 16 25000059 CEFAZOLIN 500MG ISO-OSMOTIC $ 22 25000060 CEFOXITIN INJECTION $ 35 25000061 CEFOXITIN 1G ADD-VANTAGE $ 46 25000062 CEFOXITIN 2G ADD-VANTAGE $ 84 25000063 CEFTAZIDIME INJECTION $ 63 25000064 CEFTAZIDIME 1G ADV-VANTAGE $ 61 25000065 CEFTAZIDIME 2G ADV-VANTAGE $ 130 25000066 CEFTRIAXONE INJECTION $ 137 25000067 CEFTRIAXONE INJECTION $ 48 25000068 CEFTRIAXONE 1G ADD-VANTAGE $ 142 25000069 CEFTRIAXONE 2G ADV-VANTAGE $ 275 25000070 CHARCOAL (AQUEOUS) $ 16 25000071 CHARCOAL (SORBITAL) $ 22 25000072 CHLORAMPHENICOL INJECTION $ 30 25000073 CHLORDIAZEPOXIDE INJECTION $ 44 25000074 CHLOROPROCAINE 3% INJECTION $ 26 25000075 CHLORPROMAZINE INJECTION $ 9 25000077 CIPROFLOXACIN INJECTION $ 123 25000078 CIPROFLOXACIN400 MG IN 200 ML $ 129 25000079 CISATRACURIUM INJECTION $ 495 25000080 CLINDAMYCIN 300MG INJ $ 19 25000081 CLOTRIMAZOLE 1% CREAM $ 28 25000084 COCCIDIOIDIN 1% SKIN TEST $ 170 25000086 COLLAGEN STERILE GAUZE $ 2,818 25000087 COLLODION FLEXIBLE $ 98 25000088 CRASH CART MEDS $ 578 25000089 CYANIDE ANTIDOTE KIT $ 941 25000090 CYANOCOBALAMIN INJECTION $ 8 25000091 DANTROLENE INJECTION $ 291 25000092 DESFLURANE INHALATION $ 10 25000093 DEXAMETHASONE INJECTION $ 10 25000094 DEXAMETHASONE ACETATE INJ $ 53 25000095 DEXAMETHASONE PHOSPHATE INJ $ 8 25000096 DIAZEPAM INJECTION $ 10 25000097 DIAZEPAM INJECTION $ 11 25000098 DICYCLOMINE INJECTION $ 9 25000100 DIGOXIN INJECTION $ 16 25000101 DIGOXIN IMMUNE FAB (R) $ 1,970 25000102 DILTIAZEM INJECTION $ 47 25000103 DILTIAZEM SYRINGE $ 114 25000104 DIMENHYDRINATE INJECTION $ 11 25000105 DINOPROSTONE INSERT $ 798 25000106 DINOPROSTONE VAGINAL SUPP $ 687 25000108 DIPHENHYDRAMINE INJECTION $ 8 25000109 DIPYRIDAMOLE INJECTION 50MG $ 539 25000110 DIPYRIDAMOLE INJECTION 10MG $ 114 25000111 DOBUTAMINE INJECTION $ 36 25000112 DOPAMINE INJECTION $ 8 25000113 DOPAMINE400 MG IN D5W $ 53 25000115 DOXAPRAM INJECTION $ 113 25000116 DOXYCYCLINE INJECTION $ 28 25000118 EDROPHONIUM INJECTION $ 63 25000119 ELECTROLYTE LAVAGE $ 47 25000120 ENALAPRIL INJECTION $ 129 25000121 EPHEDRINE INJECTION $ 8 25000122 EPINEPHRINE SYRINGE $ 11 25000123 EPINEPHRINE AQ SUSPENSION AMP $ 30 25000124 EPINEPHRINE $ 8 25000125 EPINEPHRINE INTRACARDIAC SYR. $ 14 25000126 EPINEPHRINE PEDIATRIC SYRINGE $ 22 25000127 EPINEPHRINE NASAL SOLUTION $ 38 25000128 ERYTHROMYCIN LACTOBIONATE INJ $ 11 25000129 ERYTHROMYCIN LACTOBIONATE INJ $ 10 25000130 ERYTHROMYCIN 1G ADV $ 19 25000131 ERYTHROMYCIN 500MG ADD-VANTAGE $ 11 25000132 ESMOLOL $ 75 25000133 ETOMIDATE SYRINGE $ 121 25000134 FAMOTIDINE/ DAY $ 30 25000135 FAMOTIDINE 20 MG IN0.9% NACL $ 30 25000136 ETHACRYNIC ACID INJ $ 93 25000137 FAT EMULSION 20% $ 30 25000138 FENTANYL CITRATE SYRINGE $ 10 25000139 FENTANYL PATCH (NF) $ 125 25000140 FENTANYL PRESERVATIVE FREE $ 32 25000141 FLUCONAZOLE 100 MG IN ISO NACL $ 407 25000142 FLUMAZENIL INJECTION $ 164 25000143 FLUORESCEIN INJECTION $ 11 25000144 FLUORESCEIN STRIP $ 7 25000145 FLUORESCEIN 2% OPTHALMIC SOL $ 10 25000146 FLUPHENAZINE DECANOATE SYRINGE $ 107 25000147 FOLIC ACID INJECTION $ 68 25000148 FUROSEMIDE SYRINGE $ 8 25000149 FUROSEMIDE INJECTION $ 8 25000150 FUROSEMIDE SYRINGE $ 8 25000151 GENTAMICIN PEDIATRIC $ 8 25000152 GENTAMICIN INJECTION $ 8 25000153 GENTAMICIN 80MG / ISO-OSMOTIC $ 14 25000154 GLUCAGON INJECTION 1mg $ 239 25000155 GLYCOPYRROLATE 200MCG/ML INJ $ 8 25000156 GUAIFENESIN SUSTAINED RELEASE $ 7 25000157 HAEMOPHILUS B CONJUGATE VACCIN $ 98 25000158 HALOPERIDOL LACTATE INJECTION $ 8 25000161 HEPARIN INJECTION $ 8 25000162 HEPARIN INJECTION $ 11 25000165 HEPARIN INJECTION 1000 UNITS $ 17 25000168 BRANCHED CHAIN AA4% /LITER $ 514 25000169 HISTOPLASMIN (SKIN TEST) $ 106 25000171 HEPATITIS B VACCINE $ 56 25000172 HETASTARCH 6%0.9% NACL $ 144 25000173 HYALURONIDASE VIAL $ 36 25000174 HYDRALAZINE INJECTION $ 31 25000175 HYDROCORTISONE INJECTION $ 122 25000176 HYDROCORTISONE SUCCINATE INJ $ 9 25000177 HYDROCORTISONE SUCCINATE $ 9 25000178 HYDROMORPHONE SYRINGE $ 9 25000179 HYDROXYZINE SYRINGE $ 8 25000180 IMMUNE GLOBULIN (HUMAN) (R) $ 201 25000181 INFLUENZAVIRUS VACCINE SYR $ 22 25000182 INTERFERON ALFA-2B $ 150 25000184 INTERFERON ALFA-2B (NF) $ 1,218 25000186 ISOFLURANE INHALANT $ 169 25000187 ISOPROTERENOL $ 21 25000188 KETAMINE INJECTION $ 69 25000189 KETOROLAC-TROMETHAMINE 60MG SY $ 49 25000190 KETOROLAC TROMETHAMINE 15MG SY $ 44 25000191 KETOROLAC-TROMETHAMINE 30MG SY $ 47 25000192 KETOROLAC TROMETHAMINE TAB10MG $ 10 25000193 LABETALOL INJECTION $ 150 25000194 LEVOTHYROXINE SOD TABLET 100UG $ 8 25000195 LEVOTHYROXINE INJECTION 200MCG $ 15 25000196 LIDOCAINE 2% 5 ML VIAL $ 14 25000197 LIDOCAINE 1% VIAL 50 ML $ 8 25000198 LIDOCAINE SYRINGE $ 9 25000199 LIDOCAINE 2% VIAL 20ML $ 8 25000200 LIDOCAINE0.5% VIAL 50ML $ 22 25000201 LIDOCAINE INJECTION $ 9 25000202 LIDOCAINE JELLY 2% TUBE $ 29 25000203 LIDOCAINE4% SOLUTION $ 19 25000204 LIDOCAINE INJECTION 1% 2ML $ 8 25000205 LIDOCAINE0.5% PF $ 47 25000206 LIDOCAINE 1% EPI 1:100,000 $ 15 25000207 LIDOCAINE 1% EPI 1:200,000 $ 14 25000208 LIDOCAINE 1% PF $ 39 25000209 LIDOCAINE 2% EPI 1:100,000 $ 15 25000210 LIDOCAINE 2% EPI 1:200,000 $ 32 25000211 LIDOCAINE0.5% EPI 1:200,000 $ 22 25000212 LIDOCAINE 2 GM IN D5W $ 21 25000213 LIDOCAINE 5% GLUCOSE 7.5% $ 42 25000214 LIDOCAINE SYRINGE MATERNITY $ 39 25000215 LIDOCAINE URO-JET 2% SYRINGE $ 33 25000216 LORAZEPAM SYRINGE $ 22 25000217 MEASLES MUMPS RUBELLAVACCINE $ 137 25000218 MAGNESIUM SULFATE 20 GM $ 39 25000219 MAGNESIUM SULFATE INJECTION $ 8 25000220 MAGNESIUM SULFATE SYRINGE (R) $ 15 25000221 MANNITOL VIAL $ 9 25000222 MANNITOL 15% $ 51 25000223 MECLIZINE TABLETS 12.5 MG $ 8 25000224 MEPERIDINE INJECTION $ 27 25000225 MEPERIDINE SYRINGE 100 MG $ 11 25000226 MEPERIDINE SYRINGE 25 MG $ 8 25000227 MEPERIDINE SYRINGE 50 MG $ 8 25000228 MEPERIDINE SYRINGE 75 MG $ 8 25000229 MEPERIDINE PCA 300 MG SYRINGE $ 47 25000231 MEPIVICAINE 2% VIAL $ 35 25000232 MEPIVICAINE 1.5% PF INJECTION $ 28 25000233 MEPIVICAINE 1% PF VIAL $ 26 25000235 METHOTREXATE INJECTION (R) $ 11 25000236 METHYLDOPATE INJECTION $ 8 25000237 METHYLDOPATE 250MG ADD-VANTAGE $ 14 25000238 METHLYDOPATE 500MG ADD-VANTAGE $ 17 25000239 METHYLENE BLUE 1% INJECTION $ 22 25000240 METHYLERGONOVINE INJECTION $ 19 25000241 METHYLPREDNISOLONE INJECTION $ 41 25000242 METHYLPREDNISOLONE INJECTION $ 9 25000243 METHYPREDNISOLONE ACT-O-125 MG $ 11 25000244 METHYLPREDNISOLONE-DEPO INJ $ 29 25000245 METHYLPREDNISOLONE-DEPO INJ $ 19 25000246 METHYLPREDNISOLONE-DEPO INJ $ 11 25000247 METOCLOPRAMIDE INJECTION $ 8 25000248 METRONIDAZOLE 250MG 1SOOSMOTIC $ 14 25000249 MEXILETINE CAPSULE 150 MG $ 9 25000250 MIDAZOLAM INJECTION $ 29 25000251 MIDAZOLAM $ 406 25000254 MORPHINE PCA 30 MG SYRINGE $ 47 25000255 MORPHINE SYRINGE $ 43 25000256 MORPHINE INJECTION $ 21 25000257 MORPHINE PRESERVATIVE FREE $ 16 25000258 MORPHINE PRESERVATIVE FREE $ 15 25000260 MUMPS VIRUS VACCINE LIVE $ 103 25000262 NAFCILLIN 1GM ADD-VANTAGE $ 11 25000263 NAFCILLIN 2 GM ADD-VANTAGE $ 22 25000264 NALBUPHINE INJECTION AMPULE $ 8 25000265 NALOXONE INJECTION $ 8 25000266 NARCAN NEONATAL AMPULE $ 14 25000267 NARCAN SYRINGE $ 39 25000268 NEOSTIGMINE $ 8 25000269 NEOSTIGMINE METHYLSULFATE INJ. $ 8 25000270 NIFEDIPINE XL TABLET 60 MG $ 16 25000271 NITROGYLCERIN INJECTION $ 9 25000272 NITROGLYCERIN 50 MG D5W $ 26 25000273 NITROPRUSSIDE $ 9 25000274 NOREPINEPHRINE $ 44 25000275 ONDANSETRON INJECTION (R) $ 105 25000276 OXYTOCIN INJECTION $ 8 25000277 PANCURONIUM INJECTION $ 15 25000278 PAPAVERINE INJECTION $ 17 25000279 PENICILLIN G BENZATHINE SYR. $ 51 25000280 PENICILLIN G POTASSIUM INJ. $ 9 25000281 PENICILLIN G POTASSIUM INJ $ 30 25000282 PENTAMIDINE INJECTION (R) $ 149 25000283 PENTAMIDINE FOR INHALATION $ 337 25000286 PHENOBARBITAL INJECTION $ 9 25000287 PHENTOLAMINE INJECTION $ 146 25000288 PHENYLEPHRINE INJECTION $ 8 25000289 PHYSOSTIGMINE SALICYLATE INJ. $ 16 25000290 PHYTONADIONE INJECTION $ 26 25000291 PHYTONADIONE PED'S SYRINGE $ 15 25000292 PNEUMOCOCCAL VACINE POLYVALENT $ 58 25000293 POLYMYXIN B SULFATE $ 30 25000294 POTASSIUM ACETATE INJECTION $ 11 25000295 POTASSIUM CHLORIDE 10MEQ/50 PB $ 14 25000296 POTASSIUM CHLORIDE INJECTION $ 8 25000297 POTASSIUM PHOSPHATE/LITER $ 8 25000298 IMIPENEM & CILASTATIN $ 63 25000299 PRIMAXIN 500 MG ADD-VANTAGE $ 117 25000300 PROCAINAMIDE SR TABLET 500 MG $ 7 25000301 PROMAZINE INJECTION $ 39 25000302 PROMETHAZINE INJECTION $ 8 25000303 PROPOFOL INJECTION $ 71 25000304 PROTAMINE INJECTION $ 8 25000305 QUINIDINE INJECTION $ 85 25000306 RABIES IMMUNE GLOBULIN 2ML $ 406 25000308 RABIES VACCINE IM $ 527 25000309 ROCURONIUM BROMIDE INJECTION $ 176 25000310 SECRETIN INJECTION $ 1,173 25000311 SEVOFLURANE $ 263 25000312 SIMETHICONE DROPS $ 56 25000313 SINCALIDE INJECTION $ 130 25000314 SODIUM ACETATE $ 8 25000315 SODIUM BICARBONATE PED SYRINGE $ 11 25000316 SODIUM BICARBONATE SYRINGE $ 14 25000317 SODIUM BICARBONATE INJECTION $ 9 25000318 HYPERTONIC SALINE SOL PER ml $ 11 25000319 SODIUM CHLORIDE0.9% $ 8 25000320 NACL0.9% ADD-VANTAGE 100ML $ 11 25000321 NACL0.9% ADD-VANTAGE 50ML $ 11 25000322 SODIUM CHLORIDE 3% $ 8 25000323 NACL0.9% BACTERIOSTATIC 30ML $ 8 25000324 SODIUM PHOSPHATE INJECTION $ 8 25000325 SODIUM TETRADECYL 1% INJ $ 69 25000326 SODIUM TETRADECYL 3% INJ $ 83 25000327 SODIUM THIOSULFATE INJ (R) $ 58 25000328 STREPTOKINASE 1.5MU INJ $ 1,454 25000329 STREPTOMYCIN INJECTION (R) $ 17 25000330 SUCCINYLCHOLINE INJECTION $ 8 25000331 SUFENTANIL CITRATE INJECTION $ 48 25000332 SUMATRIPTAN INJECTION 6 MG $ 203 25000333 TERBUTALINE 1MG INJECTION $ 10 25000334 TETANUS IMMUNE GLOBULIN SYRING $ 298 25000335 TETANUS TOXOID ADSORBED INJ $ 14 25000337 THEOPHYLLINE 800MG IN D5W $ 24 25000338 THIAMINE HCL 100 MG $ 10 25000339 THROMBIN 1000 UNIT TOPICAL SOL $ 22 25000340 THROMBIN 10000 UNT TOPICAL SOL $ 82 25000341 TICLOPIDINE TABLET 250 MG (R) $ 11 25000342 TIMENTIN 3.1GM ADD-VANTAGE $ 68 25000344 TOBRAMYCIN 1.2GM INJECTION (R) $ 401 25000345 TORSEMIDE 20MG INJECTION $ 8 25000346 TPN ELECTROLYTES II $ 27 25000347 TRACE ELEMENTS $ 9 25000348 TRIAMCINOLONE 10MG/ML INJ $ 41 25000349 TRIAMCINOLONE40MG/ML INJ $ 30 25000350 TRIMETHOBENZAMIDE 200MG SYRING $ 15 25000351 TRIMETHOPRIM/SULFAINJECTION $ 32 25000353 TUBERCULIN PURIFED PROTEIN DER $ 36 25000354 TUBERCULIN OLD TINE TEST (R) $ 10 25000356 UNASYN 1.5 GM ADD-VANTAGE $ 39 25000357 UNASYN 3 GM ADD-VANTAGE $ 61 25000358 UROKINASE (R) $ 832 25000359 VANCOMYCIN $ 21 25000360 VANCOMYCIN 1GM ADD-VANTAGE $ 39 25000361 VANCOMYCIN 500MG ADD-VANTAGE $ 22 25000362 VASOPRESSIN 20 UNIT/ML INJ $ 10 25000363 VECURONIUM BROMIDE 10MG INJ $ 92 25000364 VERAPAMIL 5MG/2ML INJECTION $ 9 25000365 MULTIPLE VITAMIN/DAY $ 16 25000366 WATER FOR INJ 10ML (STERILE) $ 8 25000367 WATER FOR INJ 20ML (STERILE) $ 8 25000368 STERILE WATER /LITER $ 8 25000369 WATER FOR IRRIGATION (STERILE) $ 9 25000370 WATER BACTERIOSTATIC 30ML $ 8 25000371 XYLOSE POWDER 25GM $ 196 25000372 THIOPENTAL SYRINGE $ 24 25000373 TRIMETH. 160MG SUFLA 800MG UD $ 9 25000374 FOSPHENYTOIN INJECTION $ 93 25000375 BLUE FOOD COLOR $ 8 25000376 LIDOCAINE/TETRACAINE/ADRENALIN $ 73 25000377 MILRINONE SYRINGE $ 161 25000378 DEXTROSE 5% ADD-VANTAGE 50 ML $ 11 25000379 HEPATIC FORMULA $ 7 25000380 SODIUM CHLORIDE FLUSH 2ML $ 8 25000382 CENTRAL FORMULA DEXTROSE 15% $ 149 25000384 FENTANYL 50MCG BUPIV. 0.125% $ 149 25000386 FENTANYL 50 MCG BUPIVAC .25% S $ 149 25000387 EPIDURAL FENTANYL $ 149 25000388 EPIDURAL MORPHINE BUPIVACAINE $ 149 25000389 EPIDURAL MORPHINE $ 149 25000390 SODIUM CHLORIDE0.45% $ 9 25000392 DEXT 5% NACL0.45% KCL 20 MEQ $ 11 25000393 DEXTROSE 5% KCL 20 MEQ $ 11 25000394 DEXT. 5% NACL0.45% KCL40 MEQ $ 11 25000395 AZITHROMYCIN INJECTION $ 146 25000396 MAGNESIUM SULFATE 4 MG IN 100 $ 33 25000397 LIDOCAINE/RACEPINEPHRINE/TETRA $ 68 25000398 LEVOFLOXACIN PIGGY BACK $ 152 25000399 OFLOXACIN INJECTION $ 130 25000400 PRIMAXIN 250MG ADD-VANTAGE $ 98 25000401 OCTREOTIDE - 25MCG $ 70 25000402 TIMENTIN INJECTION $ 89 25000404 NACL 0.9% &KCL 40MEQ IN 1000ML $ 17 25000405 TETRACAINE INJECTION $ 58 25000406 ESMOLOL INJ $ 412 25000407 HYOSCYAMINE CAPSULE .375MG $ 8 25000409 TETRAXAINE .35 & DEXTROSE 6% $ 82 25000410 LIDOCAINE 1.5% & DEXTROSE 7.5% $ 47 25000411 KETOROLAC-TROMETHAMINE VIAL $ 50 25000413 KETOROLAC-TROMETHAMINE VIAL 30 $ 39 25000414 CIPROFLOXACIN SUSEPSION $ 373 25000418 PRALIDOXIME (PROTOPAM) INJ $ 139 25000421 QUINUPRISTIND DALFOPRISTIN500 $ 502 25000422 DIHYDROERGOTAMINE MESYLATE INJ $ 71 25000423 NAROPIN (ROPIVACAINE)2MG/ML100 $ 90 25000424 CEFOTAXIME 1GM VIAL $ 52 25000426 LUPON DEPOT 30MG/KIT $ 12,953 25000427 CEFEPIME 2G VIAL $ 153 25000430 LEUCOVRIN 350MG INJ $ 73 25000431 HYDROMORPHINE POWDER HCL $ 92 25000432 AZTREONAM 2G VIAL $ 157 25000434 DESMOPRESSIN ACETATE 4UG/ML IJ $ 58 25000435 LEUOFLOXACIN 500MG/VIAL $ 174 25000437 DEPACON 500MG/5ML INJECTION $ 57 25000438 HYDROMORPHONE PCA 4MG/20ML $ 63 25000439 GAMMAGAROL 10GM (IMMUNE GLOB) $ 3,587 25000440 PHENYTOIN 250MG/5ML AMPULES $ 11 25000441 ANESTH/NARCOTIC KIT $ 67 25000442 PROTONIX 40MG INJECTION $ 28 25000445 SANDOSATIN 50MG/ML INJ $ 44 25000447 ALFENTANIL INJECT 1000MG/2ML $ 38 25000448 PHENERGAN SUPP 12.5 MG $ 22 25000449 TOBRAX OPTH OINT $ 185 25000450 HEPARIN 10000 U/ML $ 11 25000451 RHOGAM INJECTION AND DRUGS $ 222 25000454 5D/LR + 20MEQ KCI/1000ML IVBAG $ 14 25000455 5D/LR + 40MEQ KCI/1000ML IVBAG $ 14 25000457 ALTAPLASE RECOMBINANT 50MG $ 262 25000458 ZITHROMAX 600MG (200MG/5ML) $ 114 25000459 CEFIPIME 1 GM INJ $ 83 25000460 CEFOTAXIME INJ 2G/VIAL $ 102 25000461 CIPROFLOXACIN 200MG IV BAG $ 68 25000462 CLINDAMYCIN 600MG INJ $ 35 25000463 CLINDAMYCIN 900MG INJ $ 43 25000464 CYCLOSPORINE 250MG INJ $ 147 25000468 EDETATE DISODIUM 3GM AMP $ 115 25000469 ENALAPRILAT INJ 1.25MG/ML $ 19 25000472 GENTAMICIN 100MG IV MINIBAG $ 21 25000473 GENTAMICIN 120MG/100ML NS IV $ 24 25000474 GENTAMICIN 40MG/50MLISOTONICIV $ 15 25000475 GENTAMICIN 60MG/100ML NS IV $ 19 25000477 HYDROMORPHIONE 2MG/ML INJ $ 24 25000478 KCI 20MEQ/1000ML NACL 0.45%KIT $ 68 25000479 KCL 40MEQ/1000ML NACL 0.45%KIT $ 68 25000480 LACT RINGERS KCI 20 MEQ/LTR IV $ 11 25000481 LACT RINGERS KCI 30MEQ/LTR IV $ 11 25000482 LACT RINGERS KCI 40MEQ/LTR $ 11 25000483 LEUCOVORIN CCA 50MG INJ $ 11 25000484 LEVOFLOXACIN 250MG MINI-BAG $ 98 25000485 LORAZEPAM INJ 2MG/ML 10ML VIAL $ 68 25000486 LYMPHAZURIN 1% INJECTION $ 321 25000487 MAGNESIUM SULFATE 40MG/ML 100M $ 17 25000488 MEBENDAZOLE TABLET 100G $ 30 25000489 MORRHVATE SODIUM 50MG/ML VIAL $ 296 25000490 NACL 0.45% 1000ML GLASS $ 61 25000491 OXACILLIN 2G VIAL $ 10 25000492 OXACILLIN 2GM INJ $ 16 25000493 OXACILLIN INJECTION 1G $ 9 25000499 POTASSIUM CHLORIDE 20MEQ VIAL $ 8 25000500 POTASSIUM CHLORIDE 20MEQ/DEX5 $ 14 25000501 POTASSIUM CHLORIDE 30MEQ VIAL2 $ 8 25000502 POTASSIUM CHLORIDE 40MEQ/DXT5% $ 15 25000504 ROPIVACAINE INJ 2MG/ML 100MLBT $ 90 25000505 THROMBOGEN SPRAY KIT 10MU $ 123 25000506 UNASYN 1.5G VIAL $ 39 25000507 VENOGLOBULIN 25GM INJ $ 9,318 25000509 ZIDOVUDINE 200MG INJ $ 94 25000510 ZOSYN 2.25GM ADV $ 52 25000511 ZOSYN 3.375G ADV $ 79 25000512 PRE-OP EYE MED MIXTURE $ 42 25000513 METHYLPREDNISOLONE 500 MG INJ. $ 47 25000516 LIDOCAINE HCL 2% 5ML/SDVIAL $ 9 25000517 HYDROCORTISONE ACETAT 25MG/SUP $ 9 25000518 CASTOR OIL/PERU BALSAM/TRYPSIN $ 71 25000519 LIDOCAINE HCL 4% 5ML AMP $ 30 25000520 KETOROLAC TROMETHAMINE .5%SOL $ 16 25000524 FLUMAZENIL .1MG/ML 10ML/VL $ 358 25000525 ETOMIDATE 2MG/ML 20ML/VL $ 100 25000529 AMPHOTERICIN B INJECTABLE 50MG $ 70 25000530 GLYCOPYRROLATE .2MG/ML 2ML VL $ 9 25000531 FUROSEMIDE 10MG/ML 4ML VL $ 8 25000532 FUROSEMIDE 10MG/ML 2ML VL $ 8 25000533 NALOXONE HCL 1MG/ML 2 ML/AMP $ 28 25000534 BAL IN OIL 100MG/ML, 3 ML/VIAL $ 258 25000535 DILTAZEM HCL INJ 125 MG/ 25ML $ 8 25000536 DEXAMETHASONE 4mg/ml 30ml VIAL $ 8 25000537 PROPOFOL 1% INJECTABLE EMULSON $ 228 25000538 REMIFENTANIL HCL 1mg/VIAL $ 46 25000539 AMPICILLIN 250 MG VIAL INJ. $ 11 25000540 HEPATITIS A VACCINE 1440 UNITS $ 383 25000541 HEPATITIS A VAC PED 720 UNIT $ 198 25000543 POLYETHYLNE GLYCOL 3350NF 17GM $ 10 25000544 INSULIN ASPART INJ-1OOU/ML VIA $ 122 25000547 INDOCYANINE GREEN 25mg INJECT $ 314 25000548 METHADONE 5MG/5ML ORAL SOLUTIO $ 7 25000549 DIGOXIN 500MG / 2ML AMPULE $ 9 25000550 INTERFERON ALFA-26 10MILL UNIT $ 549 25000551 HEPATITUS B VACCINE 5MG/0.5ML $ 101 25000552 CIPRO HC OTIC DROPS $ 296 25000553 CEFAZOLIN 500MG / 50 ML INJECT $ 176 25000554 TD VACCINE < 7 IM $ 58 25000555 TIOTROPIUM INHALATION POWDER $ 111 25000556 CEFTRIAXONE LG / 50ML $ 179 25000557 STERILE TALC POWDER $ 284 25000558 DILTIAZEM 100MG ADD-VANTASE V $ 47 25000559 DIGOXIN 500mcg/2ml INJECTION $ 9 25000560 ALBUTERCL 2.5 MG 10.5ML INHALA $ 8 25000561 MORPHINE 10MG 1ML - 10ML VIAL $ 43 25000562 PENICILLIN 5 MILLLION UNITVIAL $ 137 25000563 HEP B IMMUNE GLOBULIN 1 ML $ 621 25000564 HEP B IMMUNE GLOBULIN 1 ML $ 621 25000565 HEP B IMMUNE GLOBULIN 1 ML $ 621 25000566 HEP B IMMUNE GLOBULIN 1 ML $ 621 25000567 HEP B IMMUNE GLOBULIN 1 ML $ 621 25000568 ACETYLCYSTEINE 6 GL 30 ML VIAL $ 428 25000569 SODIUM HYALURONATC10MG1ML-0.85 $ 495 25000570 MORPHINE PRESERVATIVE 25MG1ML $ 886 25000571 METOPROLOL 25MG TABLETS $ 7 25000572 TICARCILLIN 3.1 GRAM $ 53 25000574 ZITHROMAX 300MG (100MG/5ML) $ 114 25000575 DULOXETINE 20 MG $ 14 25000576 VISION BLUE/TRYPAN BLUE OPTHAL $ 186 25000577 CYMBALTA 60 MG $ 15 25000578 PREDINISONE 10 MG $ 6 25000580 LIDOCAINE 2.5%/PRILOCAINE 2.5% $ 29 25000581 BUPRENORPHINE 2MG/NALOXONE 0.5 $ 11 25000582 AQUACEL AG HYDROFIBER $ 36 25000583 AQUACEL AG - HYDROFIBER $ 71 25000584 METHADONE 5 MG TABLET $ 8 25000585 LEVOFLOXACIN $ 188 25000586 AZITHROMAXIN $ 95 25000587 LEVAQUIN 750MG $ 73 25000588 LEVOFLAXACIN ORAL SOLUTION 250 $ 28 25000589 CEFTRIAXONE 500MG $ 75 25000590 TRIANCINOLONE INJECTABLE SUSPE $ 43 25000591 HYLAN G-F 20 INTRA-ARTICULAR I $ 745 25000592 HYDROCORTISONE 20 MG $ 6 25000593 HYDROCODONE/CHLORPHENIRURINE $ 7 25000596 CODEINE PHOSPHATE 60MG/2ML $ 10 25000597 THEOPHYLLIME 800MG/500ML $ 36 25000598 ETOMIDATE 40MG/20ML $ 82 25000599 MAGNESIUM 2 G PIGGYBACK $ 28 25000600 BSS PLUS 500 $ 206 25000602 FLUCONAZOLE 400MG/200ML $ 100 25000603 ERTAPENEM 1 GRAM $ 185 25000604 MUPIROCIN CREAM 2% 30 GRAM $ 214 25000605 HYDROMORPHONE 1 MG SYRINGE $ 7 25000608 ISOPROTERENOL 0.2MG AMP $ 19 25000609 THEOPHYLLINE 400MG IN DEXTROSE $ 14 25000610 BETADINE 5% OPTHALMIC SOLN $ 38 25000612 ATENOLOL 5MG IV $ 35 25000613 FERMOTEROL FUMARATE $ 11 25000616 HYDROXYZINE 25MG/ML $ 7 25000617 GLYCERIN SOLN $ 9 25000621 DANTROLENE $ 311 25000622 DANTROLENE INJ. 20MG/60ML $ 278 25000623 CALCIUM CARBONATE 1250MG/5ML $ 6 25000624 BRIMONIDINE 0.2% OPHTHALMIC SO $ 114 25000625 TRIAMCINOLONE 0.1% CREAM 80 GR $ 24 25000628 FOSPHENYTOIN 500MG/10ML $ 19 25000632 HYDROCODONE 5MG/ACETANINOPHEN $ 7 25000633 HYDROCODONE 7.5MG/ACETAMINPHEN $ 7 25000634 METHYLPHENIDATE 10MG $ 15 25000635 CHLORDIAZEPOXIDE 10MG $ 7 25000636 MORPHINE 2MG/ML $ 7 25000637 LIDOCAINE 1% 10 MG/ML 20 ML VI $ 7 25000638 VERAPAMIL 10MG/4ML VIAL $ 9 25000639 NYSTATIN TOPICAL POWDER 15GM $ 81 25000640 ACETYLCYSTEINE 10% 4ML(.4 GRAM $ 17 25000641 DOPAMIME 800 MG/500 ML D5 $ 49 25000643 AMIODARONE 450MG/9ML $ 17 25000645 ACETYLCYCTEINE INJ 30 ML $ 551 25000646 PROPRANOLOL 1MG/1ML $ 30 25000647 ARFORMOTEROL 15 mcg/2ml $ 22 25000648 CARBOPLATIN 150mg/15ml $ 132 25000650 AMIODARONE 900 mg $ 67 25000651 MEDROXYPROGESTERONE 150mg INJ $ 61 25000652 HYDROMORPHONE 0.2mg/ml $ 33 25000653 MEPERIDINE 10mg/1ml 100ml BAG $ 42 25000654 MORPHINE SULFATE 1mg/ml $ 33 25000655 CORTROSYN INJECTION .25mg $ 81 25000656 OLANZAPINE INJ 10mg/VIAL $ 96 25000657 MIDAZOLAM KIT-2 VIAL 50mg/10ml $ 56 25000700 INJECTION,RITUXIMAB 10 MG $ 180 25000702 HECTOROL-1mcg $ 50 25000703 GENTAMYCIN-20mg $ 9 25000704 BENADRYL IV-25mg $ 6 25000705 LIDOCAINE 1%-1cc $ 6 25000706 TRANEXAMIC $ 17 25000707 MORPHINE 10mg.5ml UDC $ 7 25000708 THROMBIN 20,000 UNIT VIAL $ 1,003 25000709 THROMBIN 5000 UNIT VIAL $ 257 25000710 HYDROMORPHONE 0.2mg/ml 50ml $ 71 25000711 CEFOXITIN 2gm DUPLEX 50ml BAG $ 63 25000712 CEFOXITIN 1gm DUPLEX 50ml BAG $ 39 25000713 CEFAZOLIN 1gm DUPLEX 50ml BAG $ 16 25000714 CEFTRIAXONE 1gm DUPLX 50ml BAG $ 44 25000715 CEFTRIAXONE 2gm DUPLX 50ml BAG $ 85 25000716 MEPERIDINE PCA 10mg/ml 50cc $ 56 25000717 VANCOMYCIN 750mg/150ml $ 31 25000718 FERRLECIT 12.5mg/ml $ 26 25000719 AMIODARONE IV 150mg $ 115 25000720 AMIODARONE IV 360mg $ 155 25000721 PENTAMIDINE INHALATION SOLN. $ 276 25000722 DIAZEPAM GEL 2.5mg $ 473 25000723 CEFTRIAXONE 1g VIAL $ 13 25000724 FENTANYL 250mcg/5ml AMPULE $ 5 25000725 MIDAZOLAM 2mg/2ml CARPUJECT $ 8 25000726 DEFEROXAMINE MESYLATE 500mg/VI $ 33 25000727 OXYTOCIN 10 UNITS/ml 10ml VIAL $ 35 25000728 PROTAMINE SULF 10mg/ml 25ml VI $ 93 25000729 LEVOTHYROXINE 100 mcg/VIAL $ 227 25000730 THROMBIN 5mu VIAL $ 353 25000731 THROMBIN 20mu VIAL $ 1,405 25000732 MORPHINE 4mg/ml CARPUJECTS $ 8 25000733 MORPHINE 15mg/ml CARPUJECTS $ 8 25000734 INDIGO CARMINE 8mg/ml AMP (5ml $ 30 25000735 CHLOROPROCAINE HCL 2% 20mg/ml $ 80 25000736 MEROPENEM 1g 30ml VIAL $ 133 25000737 HALOPERIDOL DECANOATE 50mg/ml $ 107 25000738 MEROPENEM 500 mg VIAL $ 65 25000739 HEPARIN 5000 UNITS/.5ml VIAL $ 15 25000740 ROPIVACAINE .5% (5mg/ml)30ml V $ 70 25000741 HYDROXYZINE 50 mg/ml 10 ml MDV $ 29 25000742 OXYCODONE HCL 40 mg TABLET $ 24 25000743 HYDROCODONE SOL 7.5mg/325mg $ 11 25000744 ACLIDINIUM BROMIDE $ 363 25000746 LOPERAMIDE 1mg/5ml 118ml BOTTL $ 16 25000747 LACOSAMIDE 10MG/ML VIAL $ 157 25000748 HYALURONATE SODIUM 10mg/ml $ 262 25000749 CHANDROITIN/SOD HYALCRONATE .5 $ 464 25000750 CHONDROITIN/SOD HYALIRONAT .75 $ 464 25000751 HYALIRONATE SODIUM 14mg/ml $ 399 25000752 KIT OF FERRIC SUBSULFATE PASTE $ 35 25000753 LEVETIRACETAM 500mg/ml PIGGYBK $ 75 25000754 LEVETIRACETAM 1000mg/ml PIGGYB $ 124 25000755 RIMSO 50ml $ 169 25000756 CARBACHOL 0.01% (MIOSTAT) $ 93 25000757 BUPIVACAINE HCL 5% 50ml $ 19 25000758 MORPHINE 25mg/ml X 10ml VIAL $ 17 25000759 ARGATROBAN 50mg/ml VIAL IV $ 548 25000760 BRIDION INJ 200mg/2ml SUGAMMAD $ 230 25000761 SUGAMMADEX SODIUM 300mg/2ml VI $ 230 25000762 ACETAMINOPHEN 10mg/ml $ 30 25000763 BUPIVACAINE HCL/EPINEPHRINE $ 5 25000764 BUPIVICAINE HCL/EPINEPHRINE.5% $ 7 25000766 HYDROMORPHONE 0.5mg/0.5ml $ 7 25000768 HYDROMORPHONE 2 mg/1 ml VIAL $ 3 25000769 GLYCERIN LIQ SUPP PED 2.8 GM $ 2 25000770 LICE KILLING SHAMPOO $ 12 25000771 EPINEPHRINE 1mg/ml VIAL IM/SC $ 32 25000772 SIMETHICONE/SOD BICARB/CIT AC $ 5 25000773 MEDPERIDINE HCL INJ 50mg/1ml V $ 5 25000774 MEPERIDINE HCL INJ 25mg/1ml VI $ 4 25000775 EPINEPHRINE 0.3mg/0.3ml AUTOIN $ 312 25000776 NALOXONE HCL NASL SPY4mg/0.1ml $ 134 25000777 HYDROXOCOBALAMIN FOR IV 5 GR $ 1,760 25000778 GLYCERIN LIQ SUPP ADULT 5.4 GM $ 2 25010510 REMICADE 10 MG $ 293 25010511 DILTIAZEM 100mg ADD-VANTASE VI $ 47 25010612 PIPECACILLIN + TAZOBACTAN 2.25 $ 43 25010613 FAMOTIDINE 20MG $ 9 25010615 DAPSONE 100MG TAB $ 6 25010616 PENICILLIN G PROCAIN INJ-600mu $ 61 25010617 ONDANSETRON ODT 4mg $ 43 25010618 MORPHINE 100mg 25MG/ML $ 35 25010619 VACCINE GARDASIL 9 $ 439 25010620 MORPHINE SULFATE 4mg/ml $ 4 25500004 ISOVUE 300MG 50CC $ 191 25500013 TC-99m PERTECHNETATE $ 43 25800001 DEXTROSE 5% LACTATED RINGERS $ 9 25800002 DEXTROSE 5% $ 10 25800003 DEXTROSE 5% $ 10 25800004 DEXTROSE 5% & NACL0.45% $ 9 25800005 DEXTROSE 5% NACL0.225% $ 9 25800006 DEXTROSE 5% NACL0.9% $ 9 25800007 DEXTROSE 5% $ 9 25800008 DEXTROSE 5% $ 9 25800009 LACTATED RINGERS $ 9 25800010 SODIUM CHLORIDE0.9% $ 10 25800011 SODIUM CHLORIDE .9% IRRIGATION $ 15 25800012 SODIUM CHLORIDE0.9% $ 9 25800013 SODIUM CHLORIDE0.9% $ 9 25800014 DEXTROSE 5% $ 9 25800015 DEXTROSE 10% $ 9 25800016 DEXTROSE 5% KCL40 MEQ $ 11 25800017 DEXT 5% NACL0.45% KCL 10 MEQ $ 11 25800018 DEXT 5% NACL0.45% KCL 30MEQ $ 11 25800020 DEXTROSE 25% SYRINGE (PEDS) $ 26 25800021 DEXTROSE 50% SYRINGE $ 11 25800022 DEXTROSE 2.5% NACL0.45% $ 9 25800023 DEXTROSE 2.5% $ 10 25800024 DEXTROSE 5% ADD-VANTAGE 100 ML $ 11 25800025 DEXTROSE 5% 250ML ADD VANTAGE $ 15 25800026 DOBUTAMINE 250MG D5W $ 39 25800027 DOBUTAMINE 500MG D5W $ 57 25800028 GLYCINE $ 49 25800029 SOLUTN SOD CHL 9% IRIG 1000 CC $ 10 25800030 SOLUTN WATER IRRIG 1000 CC BTL $ 9 25800031 DEXTROSE 5% SOD CHLOR 1/4 INJ $ 10 25800032 DEXTROSE 10% INJ 250CC $ 9 25800034 DEXTROSE 5% SOD CHLOR 9% INJ $ 9 25800035 DEXTROSE 5% SOD CHLOR 45 INJ $ 9 25800036 DEXTROSE 10% INJECT 1000CC $ 9 25800037 DEXTROSE 5% INJECT 1000CC $ 9 25800038 DEXTROSE 5% INJECT 500CC $ 9 25800039 DEXTROSE 5% INJECT 250CC $ 9 25800040 LACTATED RINGERS INJ 1000CC $ 9 25800041 SODIUM CHLORIDE 9% INJECT $ 9 25800042 SOD CHLOR 9% INJ 500CC $ 9 25800043 SOD CHLOR 9% INJECT 250CC $ 9 25800044 CATHETER INFUSION SING LUM $ 49 25800045 SODIUM CHLORIDE 45% INJ 500CC $ 9 25800046 SODIUM CHLORIDE POUR BOTTLE $ 9 25800047 WATER IRRIG BOTT 1000 CC $ 9 25800048 VENOSET MICIODRIP $ 10 25800049 SOLUSET 150 X 60 W/CHAIR CLAMP $ 16 25800050 DEXTROSE 5% PART FILL 50ML $ 10 25800051 SODIUM CHLORIDE 9% PART FILL $ 10 25800052 SECONDARY W/CONN 11312-48 $ 15 25800053 VENSOSET PRIMARY PIGGYBACK $ 11 25800054 D2.5/.45 NACL 1000ML $ 9 25800055 DEXTROSE 2.5%-1000ML-GLASS BOT $ 11 25800056 DEXTROSE 5% IN NS .45%-1000ML $ 8 25800057 DEXTROSE 5% IN LR-1000ML $ 9 25800058 DEXTROSE 5%/.9% NACL-1000ML $ 8 25800059 DEXTROSE 2.5%/.45% NACL-1000ML $ 10 25800060 DEXTROSE 50% IN 50ml VIAL $ 7 25900002 SIMVASTATIN 10MG TABLET $ 11 25900003 PHARMACY NARCOTIC - TABLET $ 9 25900004 MEDROXYPROGESTERONE CONTRACEPT $ 159 25900005 ABSORBABLE GELATIN OPHTHALMIC $ 81 25900006 DOCUSATE LIQUID $ 9 25900007 ABSORBASE CREAM $ 19 25900008 ACARBOSE TABLET 50 MG $ 8 25900010 ACETAMINOPHEN DROPS 100MG/ML $ 9 25900011 ACETAMINOPHEN LIQUID 160MG/5ML $ 9 25900012 ACETAMINOPHEN SUPPOSITORY 120 $ 8 25900013 ACETAMINOPHEN SUPPOSITORY 650 $ 7 25900014 ACETAMINOPHEN & CODEINE ELIXIR $ 8 25900015 ACETAMINOPHEN/CODEINE 30MG TAB $ 7 25900016 ACETAMINOPHEN/CODEINE 60MG TAB $ 7 25900018 ACETAZOLAMIDE SEQUELS 500 MG $ 9 25900019 ACETIC ACID/HYDROCORTISONE $ 29 25900020 ACETIC ACID0.25% 250 ML $ 22 25900021 ACETONE 500 ML $ 22 25900022 ACETYLCYSTEINE 20% $ 48 25900023 ACETYLCYSTEINE 10% INHALATION $ 22 25900024 ACYCLOVIR CAP 200 MG $ 9 25900026 ACYCLOVIR TAB 800 MG $ 24 25900027 ALBUSTIX REAGENT STRIP $ 19 25900030 ALBUTEROL INHALTION SOL. 0.5% $ 7 25900031 ALBUTEROL MDI $ 39 25900032 ALBUTEROL REPETAB 4 MG $ 8 25900034 ALBUTEROL UNIT DOSE 0.83% $ 8 25900035 ISOPROPYL 70% $ 8 25900040 ALPHAKERI BATH OIL $ 8 25900041 ALPHAKERI LOTION 60ML $ 8 25900042 ALPHAKERI SOAP $ 16 25900045 ALUMINUM HYDROXIDE GEL 30ML $ 8 25900046 AMANTADINE CAPSULE 100MG $ 7 25900048 AMINOCAPROIC ACID TABLET (NF) $ 11 25900049 AMIODARONE TABLET 200 MG $ 15 25900053 AMLODIPINE TABLET 2.5 MG $ 9 25900054 AMLODIPINE TABLET $ 9 25900055 AMOXICILLIN CAPSULE $ 7 25900056 AMOXICILLIN SUSPENSION 125MG $ 9 25900057 AMOXICILLIN SUSPENSION 250MG $ 8 25900058 FLUOROMETHOLONE 0.1% OPH SOL5M $ 36 25900059 METHYLSALICYLATE 10% CREAM $ 9 25900060 ANTIPYRINE & BENZOCAINE OTIC $ 9 25900061 ANUSOL-HC SUPPOSITORY $ 8 25900062 ANUSOL SUPPOSITORY $ 8 25900063 ANUSOL OINTMENT $ 22 25900064 ANUSOL HC CREAM 2.5% $ 30 25900065 APRACLONIDINE 1% OPHTH POUCHE $ 61 25900066 AQUAPHOR $ 68 25900067 ARTIFICIAL TEARS $ 11 25900072 ASPIRIN SUPPOSITORY 300MG (NF) $ 8 25900074 ATROPINE OPHTHALMIC 1% $ 9 25900075 AMOXICILLIN/CLAVULANATE 250MG $ 14 25900076 AMOXICILLIN/CLAVULANATE $ 73 25900077 AMOXICILLIN/CLAVULANATE 875MG $ 27 25900078 AMOXICILLIN/CLAVULANATE 500MG $ 17 25900079 AZITHROMYCIN (R) TABLET 250MG $ 33 25900080 AZATHIOPRINE TABLET 50MG $ 10 25900082 BACITRACIN OINTMENT $ 10 25900083 BACITRACIN POLYMIXIN PACKET $ 7 25900084 BACLOFEN 10MG TABLET $ 7 25900085 BAGS 3X5 $ 51 25900086 BAGS 5X8 $ 134 25900087 BAGS 9X12 $ 255 25900088 BECLOMETHASONE AQ $ 169 25900090 BENZOCAINE (SPRAY) 20% $ 70 25900091 BENZOCAINE GEL 20% $ 32 25900092 BENZOIN TINCTURE COMPOUND $ 14 25900093 BENZONATATE PERLE 100MG $ 8 25900096 BETAMETHASONE .05% CREAM $ 9 25900097 BETAMETHASONE LOTION0.05% $ 30 25900098 BETAMETHASONE0.05% CREAM $ 15 25900099 BETAMETHASONE0.05% OINTMENT $ 15 25900100 BETAXOLOL0.5% OPHTHALMIC $ 49 25900101 BETAXOLOL0.25% OPHTH SUSP $ 102 25900105 BISACODYL SUPPOSITORY 10MG $ 7 25900106 BOTTLE AMBER 16 OZ. $ 64 25900107 BOTTLE AMBER 2OZ. $ 106 25900108 BOTTLE AMBER4OZ. $ 130 25900109 BOTTLE AMBER 8OZ $ 125 25900110 BOTTLE AMBER 8OZ SQUARE $ 152 25900111 BROMOCRIPTINE TABLET 2.5 MG $ 11 25900112 BUMETANIDE TABLET 1MG $ 8 25900113 BUSPIRONE TABLET 5MG $ 8 25900115 CALAMINE LOTION $ 9 25900116 CALCITONIN-NASAL MDI (NF) $ 112 25900117 CALCIUM ACETATE TABLET 667 MG $ 7 25900119 CALDESENE POWDER $ 14 25900123 CARBAMAZEPINE TABLET 200MG $ 7 25900124 CARBAMAZEPINE CHEWABLE TABLET $ 7 25900125 CARBIDOPA/LEVODOPA 10/100 TAB $ 7 25900126 CARBIDOPA/LEVODOPA 25/100 TAB $ 7 25900127 CARBIDOPA/LEVODOPA 25/250 TAB $ 8 25900128 CARBIDOPA/LEVODOPA 50/200 CR $ 11 25900129 CEFACLOR SUSPENSION $ 63 25900130 CEFACLOR CAPSULE $ 9 25900131 CEFIXIME TABLET 400MG (R) $ 35 25900132 CEFPROZIL SUSPENSION 125MG (R) $ 74 25900133 CEFUROXIME TABLET $ 15 25900134 CEPACOL LOZENGE $ 7 25900135 CEPHALEXIN CAPSULE $ 7 25900136 CEPHALEXIN SUSPENSION UD 250MG $ 11 25900137 CERUMENEX 10% OTIC SOLUTION $ 90 25900138 BENZOCAINE 14% SPRAY $ 190 25900139 CHEMSTRIP $ 49 25900140 CHLORAL HYDRATE CAPSULE 500MG $ 7 25900141 CHLORAL HYDRATE SOLUTION $ 9 25900142 CHLORAMBUCIL 2MG TABLET $ 10 25900143 CHLORAMPHENICOL0.5% OTIC $ 90 25900144 CHLORASEPTIC SPRAY $ 26 25900152 CHOLESTYRAMINE PACKET 4 GM $ 10 25900153 CIPROFLOXACIN TABLET 500MG $ 22 25900154 CIPROFLOXACIN TABLET 250MG $ 19 25900155 CIPROFLOXACIN0.3% OPTHALMIC $ 63 25900156 CISAPRIDE TABLET 10MG $ 9 25900161 CLINDAMYCIN CAPSULE 150MG $ 8 25900162 CLONAZEPAM TABLET 0.50MG $ 9 25900163 CLONIDINE TABLET 0.10MG $ 8 25900164 CLONIDINE TABLET 0.20MG $ 8 25900165 CLONIDINE PATCH0.30MG $ 88 25900166 CLONIDINE PATCH0.20MG $ 68 25900167 CLONIDINE PATCH0.10MG $ 43 25900168 CLOTRIMAZOLE TROCHE 10MG $ 9 25900169 CODEINE TABLET 15MG $ 8 25900170 COL-BENEMID $ 7 25900171 COLCHICINE TABLET 0.60MG $ 8 25900172 CORTISONE ACETATE TABLET (NF) $ 8 25900174 CROMOLYN INHALATION UNIT DOSE $ 9 25900175 CROMOLYN NASAL INHALER $ 121 25900176 CROMOLYN MDI $ 204 25900177 CYCLOBENZAPRINE TABLET 10MG $ 7 25900178 CYCLOPENTOLATE 1% OPHTHALMIC $ 11 25900180 CYPROHEPTADINE SYRUP $ 11 25900181 DACRIOSE OPHTHALMIC $ 9 25900182 DANOCRINE CAPSULE (NF) $ 21 25900183 DESIPRAMINE TABLET 10MG $ 7 25900184 DESITIN OINTMENT $ 15 25900185 DEXAMETHASONE TABLET 4MG $ 7 25900188 DEXAMETHASONE OPHTHALMIC $ 11 25900189 DEXAMETHASONE OPHTHALMIC0.5% $ 10 25900190 DIAZEPAM TABLET 2MG $ 7 25900191 DIAZEPAM TABLET $ 7 25900192 DICLOFENAC SODIUM TABLET 25MG $ 8 25900193 DICLOXACILLIN CAPSULE 250MG $ 7 25900194 DIFLUNISAL TABLET 250MG $ 8 25900195 DIGOXIN TABLET 0.250MG $ 7 25900196 DIGOXIN TABLET $ 8 25900197 DIGOXIN LIQUID UD 0.250MG $ 10 25900198 DIGOXIN LIQUID UD 0.125MG $ 9 25900199 DIGOXIN LIQUID (PEDIATRIC) $ 22 25900200 DILTIAZEM TABLET $ 7 25900201 DILTIAZEM TABLET 60MG $ 7 25900202 DILTIAZEM-CD CAPSULE 120MG $ 9 25900203 DILTIAZEM-CD CAPSULE 300MG $ 16 25900204 DILTIAZEM-CD CAPSULE 240MG $ 14 25900205 DILTIAZEM-CD CAPSULE 180MG $ 10 25900207 DIMETAPP EXTENTAB $ 7 25900210 DIPHENHYDRAMINE LIQUID UD 25MG $ 7 25900211 DIPHENOXYLATE W/ATROPINE LIQ $ 17 25900212 DIPHENOXYLATE W/ATROPINE TAB $ 7 25900217 DISOPYRAMIDE CR CAPSULE 150MG $ 9 25900218 DISOPYRAMIDE CR CAPSULE 100MG $ 8 25900219 DIVALPROEX DR TABLET 250MG $ 8 25900224 DOMEBORO PACKET $ 8 25900225 DONNATAL TABLET $ 7 25900226 DONNATAL ELIXIR $ 35 25900228 DOXEPIN CAPSULE 25MG $ 7 25900229 DOXYCYCLINE CAPSULE 50MG $ 7 25900232 LIDOCAINE PRILOCAINE CREAM $ 39 25900233 ENOXAPARIN SYRINGE (R) $ 84 25900235 ERGOLOID MESYLATE TABLET 1MG $ 7 25900237 ERYTHROMYCIN 2% SOLUTION $ 11 25900238 ERYTHROMYCIN OPHTHALMIC OINT $ 11 25900239 ERYTHROMYCIN ETHYSUCCINATE UD $ 8 25900240 ERYTHROMYCIN ETHYLSUCCINATE DR $ 35 25900241 ERYTHROMYCIN ETHYLSUCCINAT TAB $ 7 25900242 EPO52 ERYTHROPOETIN INJ (R) $ 221 25900243 ERYTHROPOETIN INJ (R) $ 114 25900244 ERYTHROPOETIN INJ (R) $ 166 25900245 ESTROGENS CONJUGATED TAB 0.300 $ 7 25900246 ESTROGENS CONJUGATED TAB 1.25 $ 8 25900247 ESTROGENS CONJUGATED TAB 0.625 $ 8 25900248 EVAC-Q-KWIK $ 22 25900249 ETHYL CHLORIDE SPRAY $ 56 25900250 ETIDRONATE TABLET 400MG $ 24 25900251 FENTANYL PATCH (NF) $ 150 25900252 FENTANYL PATCH (NF) $ 58 25900253 FERRIC SUBSULFATE SOLUTION $ 114 25900255 FERROUS SULFATE SOLUTION UD $ 7 25900256 FIBERCON TABLET $ 7 25900257 FILGRASTIM INJ (R) $ 731 25900258 FLEXZAN DRESSING $ 22 25900259 FLUCONAZOLE TABLET 100 MG $ 39 25900260 FLUDROCORTISONE TABLET 100 MCG $ 8 25900261 NAFCILLIN INJECTION $ 9 25900262 FLUOCINOLONE0.25% OINTMENT $ 9 25900263 FLUOCINONIDE .05% OINTMENT $ 61 25900264 FLUOCINONIDE .05% CREAM $ 14 25900265 FLUOCINONIDE .05% SOLUTION $ 28 25900266 FLUOCINONIDE .05% CREAM LARGE $ 28 25900267 FLUOXETINE CAPSULE 20MG $ 16 25900269 FLURBIPROFEN .03% OPTHALMI SOL $ 44 25900273 FUROSEMIDE LIQUID 40MG $ 9 25900274 GEMFIBROZIL TABLET 600MG $ 8 25900275 GENTAMYCIN .3% OPHTHALMIC OINT $ 22 25900276 GENTAMICIN0.3% OPHTHALMIC SOL $ 9 25900277 GLIPIZIDE TABLET $ 7 25900278 GLUCOSE INSTANT $ 14 25900279 GLYBURIDE TABLET 10 MG $ 7 25900280 GLYBURIDE TABLET $ 7 25900281 GLYCERIN SUPPOSITORY PEDIATRIC $ 7 25900282 GONIOSCOPIC OPHTHALMIC SOL $ 35 25900283 GRANULEX AEROSOL $ 47 25900284 GUAIFENESIN UNIT DOSE 200 MG $ 7 25900285 GUAIFENESIN & CODEINE UNIT DOS $ 8 25900286 GUAIFENESIN DEXTROMETHORAPHAM $ 7 25900288 HALOPERIDOL TABLET 1 MG $ 7 25900289 HALOPERIDOL DROPS CONCENTRATE $ 22 25900290 HEMASTIX $ 102 25900291 HEXACHLOROPHENE 3% (R) $ 38 25900296 HYDROCODONE 5 MG & APAP 500 MG $ 7 25900297 HYDROCODONE 7.5 MG APAP 500MG $ 7 25900298 HYDROCORTISONE TABLET 5 MG $ 7 25900299 HYDROCORTISONE 1% LOTION $ 27 25900300 HYDROCORTISONE RECTAL SUSPEN $ 27 25900301 HYDROCORTISONE 1% CR FOILPACK $ 7 25900302 HYDROCORTISONE 2.5% CREAM $ 17 25900303 HYDROCORTISONE 1% OINTMENT $ 10 25900304 HYDROCORTISONE0.5% CREAM $ 9 25900305 HYDROGEN PEROXIDE 3% SOLUTION $ 8 25900306 HYDROMORPHONE TABLET 2 MG $ 7 25900307 HYDROXYCHLOROQUINE TAB $ 9 25900308 HYDROXYUREA CAPSULE 500MG (NF) $ 9 25900312 HYOSCYAMINE TABLET 0.125MG $ 7 25900315 IBUPROFEN SUSPENSION 100MG/5ML $ 8 25900316 IBUPROFEN TABLET 800 MG $ 7 25900318 INDINAVIR SULFATE CAPSULE (R) $ 16 25900321 INSULIN NPH HUMAN $ 56 25900322 INSULIN REGULAR HUMAN $ 56 25900323 INSULIN 70/30 HUMAN $ 56 25900325 IPRATROPIUM UNIT DOSE $ 9 25900326 IPRATROPIUM MDI $ 147 25900333 ISOSRBIDE MONONITATE TAB 20MG $ 7 25900335 KAOLIN PECTIN SUSPENSION $ 7 25900336 KETOCONAZOLE 2% CREAM (NF) $ 75 25900337 LABETALOL TABLET 100 MG $ 8 25900338 LABETALOL TABLET 200 MG $ 8 25900339 LACRI-LUBE OPHTHALMIC OINTMENT $ 8 25900340 LACTOBACILLUS ACIDOPHILUS PACK $ 8 25900341 LACTRASE CAPSULE $ 8 25900342 LACTULOSE BULK LIQUID $ 63 25900343 LACTULOSE SYRUP UNIT DOSE $ 9 25900344 LAMIVUDINE TABLET 150 MG (R) $ 24 25900345 LEVOBUNOLOL0.5% OPTHALMIC SOL $ 43 25900346 LEVOTHYROXINE SODIUM TAB $ 8 25900347 LEVOTHYROXINE TABLET 50 MCG $ 8 25900348 LIDOCAINE VISCOUS $ 8 25900349 LISINOPRIL TABLET 20 MG $ 9 25900350 LISINOPRIL TABLET 10MG $ 9 25900351 LISINOPRIL TABLET 2.5MG $ 8 25900352 LISINOPRIL TABLET 5 MG $ 8 25900354 LOPERAMIDE SOLUTION UNIT DOSE $ 8 25900355 LOPERAMIDE CAPSULE $ 7 25900356 LOPERAMIDE BULK LIQUID $ 26 25900357 LORAZEPAM TABLET 0.5 MG $ 7 25900361 MAALOX SUSPENSION UNIT DOSE $ 8 25900362 MAALOX PLUS UNIT DOSE $ 8 25900363 MAGNESIUM CHLORIDE TAB 535 MG $ 7 25900364 MAGNESIUM CITRATE BOTTLE $ 9 25900365 MAGNESIUM SULF. POWDER TOPICAL $ 8 25900366 MAXITROL OPHTHALMIC OINTMENT $ 11 25900367 MAXITROL OPHTHALMIC SUSPENSION $ 9 25900368 MEDROXYPROGESTERONE TAB 2.5MG $ 8 25900369 MEDROXYPROGESTERONE TABLET 5MG $ 8 25900370 MEPERIDINE TABLET 50 MG $ 8 25900371 MESALAMINE CR CAPSULE 250 MG $ 8 25900372 MESALAMINE SUPPOSITORY (NF) $ 21 25900373 MESALAMINE ENEMASUSPENSION-NF $ 47 25900377 METFORMIN TABLET 500MG $ 8 25900378 METFORMIN TABLET 850 MG $ 9 25900379 METHOTREXATE TABLET 2.5 MG $ 11 25900380 METHYLDOPA TABLET $ 7 25900381 METHYLDOPA TABLET 125 MG $ 7 25900382 METHYLERGONOVINE TABLET 200 UG $ 8 25900383 METHYLPHENIDATE TABLET 5 MG $ 8 25900384 METHYLPREDNISOLONE TABLET 4 MG $ 8 25900385 METOCLOPRAMIDE TABLET 5 MG $ 8 25900386 METOCLOPRAMIDE UNIT DOSE $ 8 25900387 METOLAZONE TABLET $ 8 25900388 METOPROLOL TABLET $ 7 25900389 METOPROLOL INJECTION $ 22 25900391 MEXILETINE CAPSULE 200 MG $ 8 25900392 MICONAZOLE 2% CREAM $ 10 25900393 MICONAZOLE 2% VAGINAL CREAM $ 53 25900394 MICONAZOLE VAGINAL SUPPOSITORY $ 51 25900395 MILK OF MAGNESIA UNIT DOSE $ 7 25900397 MINERAL OIL LIGHT TOPICAL $ 9 25900398 MISOPROSTOL TABLET $ 9 25900399 MORPHINE LIQUID $ 31 25900400 MORPHINE TABLET 15 MG $ 7 25900401 MORPHINE ER TAB 30 MG $ 7 25900402 MORPHINE EXTENDED RELEASE TAB $ 7 25900403 MUPIROCIN 2% OINTMENT $ 81 25900407 NAPHAZOLINE0.1 % OPTH. SOL $ 11 25900408 NAPHAZOLINE PHENIRAMINE OPHTH $ 42 25900409 NAPROXEN TABLET 500 MG $ 10 25900410 NAPROXEN TABLET 375 MG $ 7 25900411 NEFAZODONE TABLET 100 MG $ 9 25900412 CORTISPORIN OTIC $ 28 25900413 NEOMYCIN OINTMENT $ 27 25900414 NEOMYCIN TABLET 500 MG $ 7 25900415 NEOMYCIN SYRUP $ 39 25900416 NEO/POLY/GRAM OPTH SOLN $ 11 25900417 NEPHROCAPS (R) $ 7 25900418 NEUTRA-PHOS CONCENTRATE PKT $ 8 25900419 NIFEDIPINE IR CAPSULE $ 7 25900420 NIFEDIPINE XL TABLET 30 MG $ 10 25900421 NIFEDIPINE XL TABLET 90 MG $ 16 25900422 NIFREX (R) $ 7 25900423 NITROFURANTOIN CAPSULE 50 MG $ 7 25900424 NITROGLYCERIN SUBL TAB .4 MG $ 24 25900425 NITROGLYCERIN 2% OINTMENT $ 17 25900431 NORTRIPTYLINE CAPSULE 10 MG $ 7 25900432 NORTRIPTYLINE CAPSULE 25 MG $ 7 25900433 NYSTATIN UNIT DOSE $ 8 25900434 NYSTATIN OINTMENT $ 11 25900435 NYSTATIN CREAM $ 9 25900436 NYSTATIN POWDER $ 85 25900437 NYSTATIN VAGINAL TABLETS $ 49 25900438 NYSTATIN & TRIAMCINOLONE CREAM $ 9 25900440 OXYBUTYNIN TABLET 5 MG $ 7 25900441 OXYCODONE 5 MG & APAP 325 MG $ 7 25900442 OXYMETAZOLINE0.05% NASAL $ 9 25900444 PANCREALIPASE CAPSULE 300 MG $ 7 25900445 PAROXETINE TABLET 20 MG (R) $ 15 25900446 PENICILLIN VK TAB 250MG $ 9 25900447 PENICILLIN V K SUSPENSION $ 9 25900448 PENTAZOCINE 50MG NALOXONE .5MG $ 9 25900449 PENTOBARBITAL CAPSULE 50 MG $ 8 25900450 PENTOXIFYLLINE TABLET 400 MG $ 8 25900451 PEPTO-BISMOL CHEWABLE TABLET $ 9 25900452 PERMETHRIN 1% CREAM RINSE $ 50 25900453 PERPHENAZINE TABLET 2 MG $ 7 25900454 PETROLATUM WHITE OINTMENT $ 9 25900455 PHENAZOPYRIDINE TABLET $ 7 25900457 PHENOBARBITAL UNIT DOSE $ 7 25900458 PHENYLEPHRINE0.25% NASAL SOL $ 22 25900459 PHENYLEPHRINE0.5% NASAL SOL $ 24 25900460 PHENYLEPHRINE 1% NASAL SOL. $ 26 25900461 PHENYLEPHRINE 2.5% OPHTHALMIC $ 11 25900462 PHENYLEPHRINE 10% OPHTHALMIC $ 11 25900463 PHENYTOIN CAPSULE $ 8 25900464 PHENYTOIN SUSPENSION UNIT DOSE $ 9 25900465 PHENYTOIN $ 10 25900467 PHYTONADIONE TABLET 5 MG $ 8 25900468 PILOCARPINE0.5% OPHTHALMIC $ 11 25900469 PILOCARPINE 1% OPHTHALMIC SOL $ 16 25900470 PILOCARPINE 2% OPHTHALMIC SOL $ 10 25900471 PILOCARPINE4% OPHTHALMIC SOL $ 31 25900472 PLACEBO CAPSULE $ 7 25900473 POLYSPORIN BACITRACIN OINTMENT $ 11 25900474 POTASSIUM CHLORIDE UNIT DOSE $ 7 25900475 POTASSIUM CHLORIDE TAB 10 MEQ $ 7 25900476 POTASSIUM CHLORIDE TABLET20MEQ $ 7 25900478 POVIDONE-IODINE OINTMENT $ 9 25900480 PRAZOSIN CAPSULE 1 MG $ 8 25900481 PRAZOSIN CAPSULE 5 MG $ 7 25900482 PREDNISOLONE SYRUP $ 82 25900483 PREDNISOLONE 1% OPHTHALMIC SOL $ 10 25900486 PREDNISONE SYRUP $ 24 25900487 PROBENECID TABLET $ 7 25900490 PROCAINAMIDE $ 15 25900491 PROCAINE (R) 1% $ 8 25900492 PROCHLORPERAZINE SUPPOSITORY $ 15 25900493 PROCHLORPERAZINE TABLET $ 8 25900494 PROMETHAZINE/DEXTROMETHYORPHAN $ 16 25900495 PROMETHAZINE SOLUTION $ 15 25900496 PROMETHAZINE W/CODEINE UD $ 8 25900497 PROPAFENONE TABLET 150 MG (R) $ 9 25900498 PROPARACAINE O.5% OPTHALMIC $ 9 25900501 PROPRANOLOL TABLET 10MG $ 7 25900505 PSEUDOEPHEDRINE LIQUID $ 27 25900506 PSYLLIUM PACKET $ 8 25900507 PURPOSE SOAP (R) $ 14 25900508 PYRIDOXINE TABLET 50 MG $ 7 25900509 QUINAPRIL TABLET 10 MG $ 8 25900510 QUINAPRIL TABLET 40 MG $ 8 25900511 QUINAPRIL TABLET 20 MG $ 8 25900512 QUINAPRIL TABLET 5 MG $ 8 25900513 QUINIDINE GLUCONATE ER TAB $ 7 25900515 QUININE SULFATE CAPSULE 200 MG $ 7 25900516 RACEPINEPHRINE 2.25% INHALANT $ 58 25900518 RIFAMPIN CAPSULE 300 MG $ 8 25900520 RISPERIDONE TABLET 1 MG $ 14 25900521 HEXYLRESORCINOL 0.1% SOLUTION $ 43 25900522 SELEGILINE TABLET 5 MG $ 16 25900524 SERTRALINE TABLET $ 14 25900525 SILVER NITRATE STICKS $ 46 25900526 SILVER SULFADIAZINE 1% CREAM $ 16 25900527 SILVER SULFADIAZINE 1% (NF)1LB $ 61 25900528 SIMETHICONE TABLET 80 MG $ 7 25900530 SODIUM CHLORIDE UNIT DOSE $ 7 25900531 SODIUM CHLORIDE MIST0.65% $ 11 25900532 SODIUM CHLORIDE OPHTH. SOL 5% $ 58 25900533 SODIUM CHLORIDE NASAL DROPS $ 15 25900534 SODIUM CITRATE/CITRIC ACID UD $ 8 25900535 SODIUM POLYSTYRENE ENEMA $ 44 25900536 SOD. POLYSTYRENE SULFONATE LIQ $ 19 25900539 SUCRALFATE TABLET 1 GM $ 9 25900540 SULFACETAMIDE OPHTHALMIC OINT $ 9 25900541 SULFACETAMIDE OPHTHALMIC SOLN $ 10 25900542 SULFASALAZINE TABLET 500 MG $ 8 25900543 SULINDAC TABLET 150 MG $ 7 25900544 SULINDAC TABLET 200 MG $ 8 25900545 SUMATRIPTAN 25MG TABLET $ 94 25900546 TAMOXIFEN CITRATE TABLET $ 15 25900548 TERAZOSIN CAPSULE 5 MG $ 10 25900549 TERAZOSIN CAPSULE $ 10 25900550 TERBUTALINE TABLET 2.5 MG $ 8 25900551 TERBUTALINE TABLET 5 MG $ 8 25900552 TETRACAINE 2% TOPICAL SOLN $ 107 25900553 TETRACAINE OPHTHALMIC SOL 1ML $ 10 25900554 TETRACAINE0.5% OPHTHALMIC 2ML $ 17 25900556 THEOPHYLLINE CAPSULE ER 300 MG $ 8 25900557 THEOPHYLLINE CAPSULE ER 200 MG $ 7 25900558 THEOPHYLLINE SOLUTION UD 80MG $ 7 25900559 THEOPHYLLINE CAPSULE 100 MG $ 8 25900560 THEOPHYLLINE CAPSULE 125 MG $ 7 25900565 THIOTHIXENE CAPSULE 1 MG $ 7 25900566 THYROID TABLET 30 MG $ 7 25900567 TIMOLOL0.25% OPHTHALMIC SOL $ 42 25900568 TIMOLOL0.5% OPHTHALMIC SOL $ 47 25900569 TOBRAMYCIN/DEXAMETHASONE OPHTH $ 52 25900570 TOCAINIDE TABLET 400MG $ 9 25900571 TORSEMIDE 50MG INJECTION $ 8 25900573 TRAZODONE TABLET 50 MG $ 7 25900575 TRIAMCINOLONE0.1% CREAM 80GM $ 15 25900576 TRIAMCINOLONE0.1% CREAM 15GM $ 9 25900577 TRIAMCINOLONE0.5% CREAM 15GM $ 14 25900578 TRIAMCINOLONE0.1% OINT. 15GM $ 9 25900579 TRIAMCINOLONE 0.1% PASTE 5GM $ 17 25900581 TRIFLUOPERAZINE TABLET 1 MG $ 8 25900582 TRIMETHOBENZAMIDE 250MG CAP $ 8 25900583 TRIMETHOBENZAMIDE 200MG SUPP $ 8 25900584 TRIMETHOBENZAMIDE 100MG SUPP $ 8 25900587 TRIMETHOPRIM 160MG/SULFA 800MG $ 7 25900588 TRIPLE DYE SWABS $ 8 25900590 TROLAMINE SALICYLATE CREAM (R) $ 96 25900591 TROPICAMIDE 1% OPHTHALMIC SOL $ 19 25900592 WITCH HAZEL PADS $ 14 25900593 TUSSEX LIQUID 120 ML $ 14 25900594 VALPROIC ACID LIQUID $ 19 25900596 VERAPAMIL SR TABLET 240 MG $ 8 25900597 VERAPAMIL SR TABLET 180 MG $ 8 25900598 VERAPAMIL SR TABLET 120 MG $ 8 25900599 VIAL AMBER PLASTIC 30DR $ 113 25900600 VIAL AMBER PLASTIC 8-9DR $ 187 25900602 VITAMIN B COMPLEX W/VITAMIN C $ 7 25900604 VITAMIN, THERAPEUTIC LIQUID $ 17 25900606 VITAMIN,THERAPEUTIC W/MINERALS $ 7 25900609 WARFARIN SODIUM TABLET 10 MG $ 7 25900611 WARFARIN SODIUM TABLET 4 MG $ 8 25900613 STERILE WATER, RESPIRATORY $ 7 25900614 ZINC OXIDE 20% OINTMENT 30G $ 9 25900615 ZOLPIDEM TARTRATE 5MG TABLET $ 11 25900617 URSODIOL CAPSULE 300 MG (NF) $ 15 25900618 ATROVASTATIN TABLET 10 MG $ 11 25900619 CALCITRIOL CAPSULE .25 UG (NF) $ 9 25900620 FLECAINIDE TABLET 100 MG (NF) $ 11 25900621 GABAPENTIN CAPSULE 100 MG (NF) $ 8 25900622 GABAPENTIN CAPSULE 300 MG $ 9 25900623 HYDROCORTISONE 20MG TABLET $ 7 25900624 INDAPAMIDE TABLET 2.5 MG (NF) $ 7 25900625 SPIRUTUS FRUMENTI $ 9 25900626 THYROID TABLET 60 MG $ 7 25900627 TRIAMCINOLONE SPRAY TOPICAL $ 120 25900628 PATIENTS OWN MEDICATION $ 7 25900631 ERYTHROMYCIN ETHYLSUCCINATE DR $ 35 25900633 LINDANE 1% SHAMPOO (R) $ 30 25900634 LINDANE 1% LOTION $ 16 25900635 NADOLOL TABLET 40 MG $ 9 25900636 SERTRALINE TABLET 100 MG $ 14 25900637 NEPHRO-VITE (R) $ 7 25900639 FLUOXETINE CAPSULE (R) 10 MG $ 17 25900640 METOPROLOL XL TABLET $ 8 25900641 ATROVASTATIN TABLET 20 MG $ 17 25900642 DOXAZOSIN TABLET 4 MG $ 9 25900643 DOXAZOSIN TABLET 1MG $ 9 25900644 DOXAZOSIN TABLET 2MG $ 9 25900645 LORATADINE TABLET 10 MG $ 14 25900646 CIPROFLOXACIN TABLET 750 MG $ 22 25900647 LEVOFLOXACIN TABLET 250 MG $ 35 25900649 COREG 25MG TABLET $ 11 25900650 ENALAPRIL TABLET (NF) $ 7 25900651 GLYBURIDE MICRONIZED TABLET3MG $ 8 25900652 NICOTINE TRANSDERMAL 21 $ 26 25900653 SODIUM BICARBONATE 648MG TABLT $ 7 25900654 TRAMADOL TABLET (NF) $ 9 25900655 VENLAFAXINE TABLET 37.5MG $ 9 25900659 MEGESTROL ACETATE TABLET $ 8 25900660 LEVOFLOXACIN TABLET 500MG $ 36 25900661 ZIDOVUDINE 100MG CAP $ 11 25900662 SOTALOL 80MG TABLET $ 15 25900664 DAKIN'S SOLN 1/2 STRENGTH $ 26 25900665 ESTROGEN CONJUGATED CREAM (NF) $ 146 25900666 GENTAMYCIN 0.1% TOP OINT $ 10 25900667 RIFAMPIN INJ $ 392 25900668 AMOXICILLIN/CLAVULANIC SUSP $ 187 25900669 HYDROCODONE 10MG &APAP 650MG $ 7 25900670 HYDROCORTISONE CRM 1% 30GM $ 11 25900671 CHLORDIAZEPOXIDE 5MG CLIDINTUM $ 7 25900672 QUINIDINE SULFATE EXTENTAB $ 9 25900674 EYE KIT FOR LEGARRETTA $ 158 25900675 EYE KIT FOR FASULA $ 158 25900677 DONEPEZIL TABLET (NF) $ 22 25900679 BUDESONIDE NASAL INHALER (NF) $ 169 25900682 METHIMAZOLE TABLETS 5 MG $ 8 25900683 METHIMAZOLE TABLET $ 8 25900684 TIMOLOL XE 0.5% OPH SOLN 5ML $ 129 25900688 TRIAMTERENE 37.5MG & HCTZ 25MG $ 7 25900689 CLINDAMYCIN 2% VAGINAL CRM NF $ 153 25900690 FLUOCINOLONE ACE CT 0.025% 15G $ 17 25900691 IODINE STRONGE SOLUTION $ 43 25900692 PYRIDOSTIGMINE TABLET 60MG $ 8 25900694 METRONIDAZOLE 0.75% GEL (NF) $ 132 25900695 PRIMAIDONE TABLET 50MG $ 8 25900697 GLIPIZIDE XL TABLET 5 MG $ 8 25900698 TOBRAMYCIN/DEXAMETHASONE OINT $ 124 25900699 DORZOLAMIDE 2% OPHT SOL $ 114 25900700 CEPHALEXIN SUSPENSION $ 19 25900701 FLUTAMIDE 125MG CAPSULE $ 14 25900702 FLUPHENAZINE TABLET 1 MG $ 7 25900703 MEGESTROL SUSPENSION $ 602 25900705 HALOPERIDOL TABLET 10MG $ 7 25900706 MAGNESIUM OXIDE TAB 420MG $ 7 25900707 DENOREX SHAMPOO (NF) $ 27 25900709 MONTELUKAST TABLET 10MG $ 15 25900710 CELECOXIB 200MG CAPSULE $ 16 25900711 ACULAR OPTH SOLN 0.5% $ 137 25900712 NICODERM CQ PATCH 14MG $ 22 25900713 PERIDIN-C TABLET $ 63 25900714 NABUMETONE 750MG TABLET $ 10 25900715 KETOCONAZOLE 2% SHAMPOO $ 106 25900716 GLYCERIN SUPPOSITORY ADULT $ 9 25900717 SODIUM CHLORIDE 5% OPHT OINTMT $ 51 25900718 MISOPROSTOL TABLET $ 9 25900719 TOLTERODINE 2MG TABLET $ 9 25900723 TRIMETHOPRIM/POLYMIXIN OPH 10M $ 29 25900724 PROCHLORPERAZINE SUPP 5MG $ 16 25900726 TAMSULOSIN CAPSULE $ 10 25900727 SALEATEROL XINAFOATE INH $ 291 25900730 CLOPIDOGREL (PLAVIX) TABLET $ 17 25900731 DONNAGEL LIQUID $ 30 25900733 BICITRA S/F 16OZ $ 61 25900734 DESMOPRESSIN ACETATE NASAL SLN $ 591 25900736 HC VAL 0.2% CREAM $ 74 25900738 PRIMADONE 250MG TABLET $ 8 25900740 CLINDIMYCIN VAG CR 2% $ 164 25900742 MINERAL OIL 30ML $ 8 25900743 ENOXAPRIN (LOVENOX) 80 MG SYR $ 185 25900744 CARVEDILOL 3.125MG TABLET $ 11 25900745 DEMECLOCYCLINE 150MG TAB $ 27 25900746 CYCLOPHOSPHAMIDE 25MG TAB $ 11 25900748 HYDROCODONE/ACETAM ELIXIR $ 134 25900749 HUMALOG INSULIN INJECTION $ 185 25900750 MIDAZOLAM 2MG/ML ORAL SYRNG1ML $ 22 25900751 TRIFLUOPERAZINE TABLET 5MG $ 159 25900752 ENOXAPARIN (LOVENOX) 40 MG SYR $ 98 25900753 ENOXAPRIN (LOVENOX) 100 MG SYR $ 236 25900754 ENOXAPARIN INJ 60MG/0.6ML $ 159 25900755 VENLAFLAXINE TABLET 25MG (NF) $ 9 25900756 FENTANYL 50UG PATCH DURAGESIC $ 43 25900757 ZEPHIRAN AQ SOL 1:750 $ 68 25900758 SCOP-TRANSDERM PATCH $ 26 25900759 TRIHEXYPH TAB 2MG $ 7 25900760 CLEARASIL ADULT CARE $ 22 25900761 ACEBUTOLOL 200MG CAP $ 8 25900762 IPRATOPIUM/ALBUTEROL INHALER $ 177 25900763 TRIAMCINOLONE CR. 1% 80G $ 14 25900764 SELSUN BLUE SHAMPOO $ 21 25900765 OLANZAPINE 2.5MG TAB $ 17 25900768 SANTYL OINT 25OU $ 276 25900769 CLARITIN-D 12H TAB $ 9 25900770 SIMVASTATIN 20MG TAB $ 22 25900771 FLUOXYMESTERONE 10 MG TABLET $ 9 25900772 NA HYPOCHLORITE 0.5% SOLN $ 26 25900773 FINASTERIDE 5MG TABLET $ 14 25900774 PILOCRPINE 4% GEL $ 153 25900775 FLUOCIN OINT/AQUAPHOR 1:20 $ 14 25900776 VITAMIN E CREAM 57 GM $ 11 25900777 AMMONIUM LACT 12% LOTION $ 42 25900779 CITALOPRAM 20MG TAB(CELEXA NF) $ 14 25900780 GLIMEPIRIDE 2MG TABLET $ 8 25900781 VALSARTAN 80MG CAPSULE $ 9 25900784 MESALAMINE 400MG TABLET $ 8 25900786 BECLOMETHASONE DS MDI 12.2GM $ 196 25900787 ERYTHROMYCIN 333MG TABLET $ 7 25900788 LUBRIDERM CREAM 74ML $ 11 25900789 BRINZOLAMIDE OPH SUSP 1% $ 106 25900790 LATANOPROST OPTH SOL .005%/2.5 $ 214 25900791 VANCOMYCIN ORAL SOL 250MG/10ML $ 14 25900792 OLANZAPINE 5MG TABLET $ 31 25900793 HYDROLOR ACETATE 1%/PRAMOXINE $ 93 25900794 CITALOPRAM 20MG TABLETS $ 14 25900795 METRONIDAZOLE 1% CREAM $ 166 25900798 CELECOXIB 100MG CAP $ 10 25900799 ORAL MOISTURIZER SPRAY 64ML $ 28 25900800 ZIDOVUDINE 50MG/5MLSYRUP 5ML $ 9 25900801 RISPERIDONE 0.5MG (1/2 TABLET) $ 9 25900802 FLUTICASONE 110 MCG MDI $ 194 25900803 FLUTICASONE 220MCG MDI $ 335 25900804 FLUTICASONE 44MCG MDI $ 159 25900805 IRBESARTAN 75MG TABLET $ 9 25900806 IRBESARTAN 150MG TABLET $ 10 25900808 CILOSTAZOL 100MG TABLET $ 10 25900809 FLUOXETINE LIQ 20MG/5ML 5ML $ 29 25900810 FLUOXETINE LIQUID 5MG=1.25ML $ 9 25900811 FLUOXETINE 10MG/2.5ML 2.5ML $ 16 25900812 FLUPHENAZINE LIG 0.5/5ML 60ML $ 53 25900813 RALOXIFENE $ 15 25900814 PREDNISOLONE SYRUP 15MG/5ML $ 136 25900816 BETAMETASONE 0.0017% OINT 45GM $ 17 25900817 NEUT T/GEL SHAMPOO $ 14 25900818 NUET T/SAL SHAMPOO MAX/STR $ 15 25900819 NICODERM PATCH CQ 7MG $ 24 25900821 TYLENOL PM $ 7 25900822 CARVEDITOL 6.25MG TAB $ 11 25900824 CLOBETASUL PROPLONATE CR0.05% $ 28 25900825 CLOBETASOL PROPRONATE OINT.05% $ 28 25900826 PRIMAQUINE PHOSP TAB 26.3MG $ 9 25900827 NABUMETONE TAB 500MG $ 9 25900828 CETAPHIL BAR SOAP $ 22 25900829 CALADRYL LOTION $ 26 25900831 FLONASE NASAL SPRAY $ 228 25900832 WELLBUTRIN SR TAB 150MG $ 10 25900833 TRIAMCINOLONE OINT .5% 15G $ 16 25900834 MIRTAZAPINE TABLET 15MG $ 15 25900835 RALOXIFENE 60MG TABLET $ 15 25900838 COSUPT OPTH SOLN $ 206 25900839 SALIVA SUBSTITUTE $ 29 25900841 MEDROXYPROGESTERONE 10MG TAB $ 7 25900842 VERAPAMIL 40MG TAB $ 7 25900843 PIOGLITAZONE 30MG TABLET $ 19 25900844 THIORIDIZINE CONC30MG/ML 120ML $ 42 25900845 PRIMIDONE 250MG TABLET $ 7 25900846 ALCOHOL DEHYDRATED $ 16 25900848 CEPHALEXIN 500MG CAPSULE $ 7 25900849 METRONIDAZOLE 500MG TABLET $ 7 25900851 ZEASORB - AF 2% $ 30 25900852 ZYPREXA 5MG TABLET $ 32 25900853 RISPERDAL 0.5MG TABS $ 129 25900855 DETROL 1MG TAB $ 10 25900856 EXELON 1.5MG CAPSULE $ 15 25900858 ZITHROMAX SUSPENSION $ 139 25900859 AVANDRIA 4MG TABLET $ 16 25900860 ROPIVACANE 0.2% 20ML SOL $ 31 25900861 LEVALBUTEROL 1.25MG SOLN $ 14 25900862 LEVALBUTEROL SOLN 0.63MG $ 14 25900863 DICLOTENAC OPTH 5ML 0.1% $ 9 25900864 GLYCERIN OPTH SOLN $ 128 25900865 LEVAQUIN OPTH SOLN $ 159 25900866 TRICOR 67MG CAPSULE $ 9 25900867 ENALAPRIL 2.5MG TABLET(VASOTEC $ 7 25900868 ENALAPRIL(VASOTEC) 10MG TABLET $ 8 25900869 ENALAPRIL(VASOTEC)20MG TABLET $ 8 25900870 SEROQUEL 25MG TABLET $ 10 25900871 HUMALOG 75/25 10ML VIAL $ 223 25900872 COMTAN (ENTACAPONE)TAB 200MG $ 11 25900873 OXYCONTIN CR 10MG TABLET $ 9 25900874 OXYCONTIN CR 20MG TABLET $ 14 25900875 PROTONIX 40MG TAB UD $ 15 25900876 GLUCOPHAGE XR 500MG TABLET $ 8 25900877 ZYPREXA 705MG TABLET $ 35 25900878 PRANDIN 1MG TABLET $ 9 25900881 PERPHENAZINE 4MG TABLETS $ 8 25900882 NIFREX 150 FORTE $ 8 25900884 PREVEN EMERG CONTRACEPT KIT $ 95 25900885 NIFEREX 150MG CAPSULE $ 8 25900886 AMOXICILLIN 500MG CAPS $ 7 25900887 XL 100 MG TABLET $ 9 25900888 10MG TABLET $ 47 25900889 ROPINIROLE(REGUIP) 2MG TAB $ 9 25900890 ROPINIROLE (REQUIP) 0.25MG TAB $ 9 25900891 ROPINIROLE (REQUIP) 1MG TAB $ 9 25900892 ZYPREXA 10MG TABLET $ 49 25900893 BENZOYL GEL 5% 45G $ 9 25900894 DOVONEX SCALP SOLN 0.005% 60ML $ 410 25900895 ABREVA CR 2 G $ 64 25900896 SELENIUM SULFATE 2.5% LOT $ 22 25900897 DEFEROXAMINE INJ 2 GM $ 262 25900898 THYROID TAB 90MG $ 8 25900899 EFFEXOR TAB 75MG $ 11 25900900 FLUNISOLIDE MDI $ 29 25900901 VENLAFAXINE 75MG CAP $ 16 25900902 TORSEMIDE 5 MG TABLET $ 8 25900903 RAMIPRIL 2.5 MG CAPSULE $ 9 25900904 RAMIPRIL 5 MG CAPSULE $ 9 25900906 BUDESONIDE .5MG/2ML RESPULE $ 24 25900907 FELDOPIDINE 10MG TAB (nf) $ 9 25900908 OXYBUTYNIN 5MG X-R TAB $ 15 25900909 DIVALPROEX 125MG SPRIN CAP $ 8 25900910 BRIMONIDINE .15% OPHTH SOLN. $ 161 25900911 GALANTAMINE 4 MG TABLET $ 14 25900912 REPAGLINIDE MG TABLET $ 9 25900913 FENOFIBRATE 160 MG CAP $ 15 25900914 NOVOLIN INSULIN 100 UNIT / ML $ 58 25900915 INSULIN R NOVOLIN VIAL $ 58 25900916 DIVALPROEX 125MG TABLET $ 8 25900917 LEVOTHYROXINE 125 MG TABLET $ 7 25900918 LEVOTHYROXINE 112 MCG TABLET $ 7 25900919 LEVOTHYROXINE 150 MCG TABLET $ 7 25900920 IPRATROPRIUM & ALBUTEROL UD $ 9 25900921 GABAPENTIN 400MG CAPSULE $ 41 25900922 TIZANIDINE 2MG TABLET $ 10 25900923 BUDESONIDE INH. POWDER MDI $ 533 25900924 ADVAIR DISKUS 100/50 $ 316 25900925 TOBRAMYCIN OPH SOLN .3% 5ML $ 11 25900926 ADVAIR DISKUS 250/50 $ 376 25900927 ZINC SULFATE CAPSULES 220MG $ 7 25900928 GENTAMICIN SULFATE 0.1% CR 15G $ 17 25900929 AMLODIPINE 5MG/BENAZEPRIL10MG $ 11 25900930 ACETAMINOPHEN500MG/HYDROCODONE $ 15 25900931 FENOFIBRATE 54MG TAB $ 8 25900932 LITHIUM CITRATE 8MEQ/5ML $ 7 25900933 GLIPIZIDE 2.5MG/TAB CR $ 8 25900934 GUGIFENESIN600/PSEUDOPHEN120TA $ 9 25900935 LIDOCAINE HCL 1% 30ML/SYR $ 51 25900936 LIDOCAINE HCL 1% 20ML/SYR $ 42 25900937 CARVEDILOL 25MG TAB $ 10 25900938 LEVOBUNOL HCI .25% OPTSOL 5ML $ 60 25900939 LIDOCAINE 1% EPINEPHRINE 50ML $ 27 25900940 LIDOCAINE HCL 2% 5ML/SYR $ 11 25900941 HYDROCORTISONE VALERATE.2%CR $ 67 25900942 HYDROCORTISONE 2.5% 30GM TUBE $ 39 25900943 HALOPERIDOL 5MG TAB $ 9 25900944 FUROSEMIDE 10MG/ML SOL 60ML $ 42 25900945 GENTAMICIN SULF .3% OPTSOL 15M $ 38 25900946 CARVEDILOL 25 MG TAB $ 10 25900947 MULTIPLE VIT W/MIN LUTEN $ 7 25900949 CLOMIPRAMINE 75MG/CAP ISYORACH $ 9 25900951 TOPIRAMATE 25/MG TABLET $ 9 25900952 LEVOTHROID 75 MCG/TAB $ 8 25900953 BUPROPION 100 MG TABLET $ 10 25900954 ETHAMBUTOL 400 MG TABLET $ 10 25900955 PYRAZINAMIDE 500 MG TABLET $ 10 25900957 ALUM & MAG HYDROXASIMETHICANE $ 17 25900958 CHLORPROMAZINE 200 MG TABLET $ 8 25900959 ESCITALOPRAM OXALATE 10mg/TAB $ 11 25900960 LISTERINE MOUTHWASH 250 ML $ 11 25900962 VALPROIC ACID 250 MG/ML UDC $ 10 25900963 OXCARBAZEPINE 300 MG TABLET $ 15 25900964 TENOFOVIR 300 MG TABLET $ 106 25900965 COMBIVIR 150MG/300MG TABLETS $ 46 25900966 SUMATRIPTAN 100mg TABLET $ 50 25900967 SUMATRIPTAN 50mg TABLET $ 58 25900968 MORPHINE SULFATE 100mg TABLET $ 15 25900969 METOPROLOL EXTENDED REL TABLET $ 8 25900970 LINEZOLID 600mg TABLET $ 214 25900971 MEMANTINE HCI 5MG TABLET $ 11 25900972 MEMANTINE HCI 10MG TABLET $ 11 25900973 METOPROLOL EXT RELEASE TABLET $ 8 25900976 CLOMIPRAMINE 25MG CAPSULE $ 8 25900977 CLOMIPRAMINE 75MG CAPSULE $ 9 25900978 HYDROCORTISONE 20MG TABLET $ 7 25900979 TOPIRAMATE 100 MG TABLET $ 21 25900980 NOVOLOG MIX 70/30 $ 234 25900981 TIOTROPIUM INHALATION POWDER $ 111 25900982 LEVONORGESTREL 0.75MG TABLETS $ 82 25900983 OLANZAPINE 5MG ORAL TABLETS $ 31 25900984 SEVALAMER 400MG TABLET $ 8 25900985 VRSODIOL 300MG CAPSULE $ 11 25900986 DIONABINOL 2.5MG CAPSULE $ 21 25900987 BISOPROLO 10MG/HYDROCHLORO $ 8 25900988 BISOPROLOL 5MG/HYDROCHLORO $ 8 25900989 SUCRALFATE 1G 110ML SUSPENSION $ 10 25900990 NEUTRA - PHOS - K $ 8 25900991 DIVALPROEX EXTEND REL 500MG TA $ 11 25900994 SODIUM AND POTASSIUM PHOSPHATE $ 8 25900995 AUGMENTIN 250 MG/SML 100ML BOT $ 152 25900996 AUSMENTIN 600MG/SML 125ML BOTT $ 227 25900997 SODIUM POLYSTYRENE 15G/60ML $ 113 25900998 HYDRALAZINE 50MG TABLET $ 8 25900999 HYDCAMOCPHANE 1ML 1ML ORAL SOL $ 8 25901001 MELOXICAM 7.5 MG TABLETS $ 14 25901002 DIEHENHYDRAMINE CREAM $ 14 25901004 SALMETEROL DISKUS INHALER $ 207 25901005 PRAMIPEXOLE 0.25MG TABLET $ 9 25901006 NITROSLYCNIN 2% 1 GRAM UNIT $ 7 25901007 HYDROXYZINE 50 MG CAPSULE $ 7 25901008 OSELTAMIVIR 75 MG CAPSULE $ 29 25901009 SILVER SULFADIAZINE 1% 20 GM $ 11 25901010 COLAZAL 750MG CAPSULES $ 9 25901011 DECECLOCYCLINE 300 MG TABLET $ 61 25901013 PREGABALIN 25 mg CAPSULE $ 9 25901014 PREGABALIN 150 mg CAPSULE $ 9 25901015 ZIPRASIDONE 20MG CAPSULE $ 21 25901016 ATOMOXETINE 10 MG CAPSULE $ 16 25901017 ATOMOXETINE 40 MG CAPSULE $ 16 25901018 LEVETIRACETAM 250 MG TABLET $ 10 25901019 LEVETIRACETAM 750 MG TABLET $ 15 25901020 ARIPIPRAZOLE 10 MG $ 43 25901021 METHIMAZOLE 10 MG TAB $ 7 25901022 WHITE PETROLATUM 5 GRAM PACKET $ 6 25901023 CLOPIDOGREL 75MG $ 16 25901024 SOTALOL 120MG TABLET $ 11 25901025 BENAZEPROL 10MG TABLET $ 7 25901026 LAMICTAL 25MG TABLET $ 16 25901029 BENZOCAINE 20% TOPICAL SPRAY $ 16 25901030 MINOXIDIL 2.5MG $ 7 25901031 DULOXETINE 30MG $ 15 25901032 PREGABALIN 75 mg $ 9 25901033 RIFAXIMIN 200MG $ 16 25901034 FAMOTIDINE 20MG/2.5ML SUSP $ 369 25901035 CYCLOBENZAPRINE 5MG TABLET $ 8 25901036 ZOLPIDEM 10MG TABLET $ 19 25901037 QUETIAPINE 50MG $ 14 25901038 LEVETIRACETAM 500MG $ 11 25901039 OXYCODOM 5MG DR TABLETS $ 6 25901040 VALSARTAN 160 MG $ 9 25901041 FLUNISOLIDE NASAL SOLN 0.025% $ 139 25901042 VISINE - A $ 17 25901043 METHYLPHENIDATE 20MG CD $ 11 25901044 FLUOXETIME 20 MG / 5 ML $ 5 25901045 BUPROPION SR 100mg $ 8 25901046 ATORVASTATIN 80MG $ 15 25901047 DONEPEZIL 10MG $ 21 25901049 OXYCODONE 80MG CR TABLETS $ 36 25901050 ISOSORBIDE DIRYTRATE 20MG $ 5 25901051 PULIMCORT FLEXHALER 90 MG $ 286 25901052 BADESONIDEL 180 MCG $ 381 25901053 RANOLAZINE 500 MG TABLET $ 14 25901054 CEFPODXIME 100MG TABLET $ 17 25901055 CEFPODOXIME 200MG TABLET $ 22 25901056 CEFPODOXIME 50MG/5ML $ 88 25901057 CEFPODOXIME 100MG/5ML $ 161 25901058 AMLODIPINE 10 MG TABLET $ 9 25901059 ACETAMINAPHEN 160MG/5ML $ 7 25901061 MORP20OS $ 63 25901063 MECLIZINE 25MG TABLET $ 7 25901064 CYCLOSPORIN OPTHALMIC 0.05% $ 14 25901067 TROSPIUM 20MG TABLETS $ 9 25901068 METHADONE 40MG TABLETS $ 6 25901069 DETEMIR $ 30 25901070 HYDROFIBER DRESSING 4X4 $ 29 25901071 HYDROCORTISONE 1% OINT $ 15 25901072 LITHIUM 150 MG $ 6 25901073 MOMETASONE INHALER $ 335 25901074 NIMODIPINE 30MG CAPSULE $ 35 25901075 CLARITIN 1MG/1ML ORAL SOFN $ 15 25901076 UROQID $ 7 25901077 DELAYED-RELEASE TAB 333MG $ 7 25901078 BUPRENORPHINE/NALOXONE 2MG/0.5 $ 11 25901080 GRISEOFOLVIN 250MG $ 10 25901082 SITAGLIPITIN $ 16 25901083 GRISEOFOLVIN 250MG $ 10 25901084 BUDESONIDE 3MG $ 19 25901085 OMEGA-3-ACID ETHYL ESTERS 1g $ 8 25901086 EPO50 SELF ADMIN DRUG $ 52 25901087 EPO51 SELF ADMIN DRUG $ 79 25901088 EPO53 SELF ADMIN DRUG $ 254 25901089 EPO54 SELF ADMIN DRUG $ 806 25901090 EPO55 SELF ADMIN DRUG $ 503 25901092 MONISTAT 3 4% CREAM $ 44 25901093 LACOSAMIDE 50 mg TABLET $ 24 25901094 LACOSAMIDE 100mg TABLET $ 35 25901095 CEFDINIR 300 mg CAPSULE $ 15 25901096 ZUBSOEVE 5.7-1.4mg SUBL TABLET $ 24 25910003 LAMOTRIGINE 100MG TABLET $ 16 25910004 REPAGLINIDE 0.5 MG TABLET $ 9 25910005 DOLUBID 250 MG TABLET $ 8 25910006 VITAMIN D 400 IV TABLET $ 8 25910008 CARVEDILOL 12.5MG TABLET $ 9 25910010 ATORVASTATIN 40MG $ 16 25910011 CARVEDILOL 12.5 MG TABLET $ 9 25910012 NYSTATIN/TRIAMCINOLONE 30 MG $ 26 25910013 VENLAFAXIHE 150MG HCI XR $ 16 26000001 IV INF HYD 1ST HR NON-ER $ 448 26000002 IV INF HYD EA ADD HR NON-ER $ 133 26000003 IV INF THER 1ST HR N0N-ER $ 448 26000004 IV INF THER EA ADDT'L NON-ER $ 133 26000005 IV INF THER ADDT'L SEQ NON-ER $ 133 26000006 THER/DX CONCURRENT INF NON-ER $ 102 26000007 IV PUSH SGL/INIT NON-ER $ 399 26000008 IV PUSH ADD NEW DRUG NON-ER $ 149 26000009 IV PUSH ADD SAME DRUG NON-ER $ 149 26000010 IMMUN ADMIN NON-ER $ 85 26000011 IV INF CHEMO DRG 1ST HR NON-ER $ 482 26000012 IV INF CHEMO DRG EA ADDL NONER $ 88 27000005 VENTILATOR EQUIP CHANGE $ 71 27000006 INCENTIVE SPIROMETER - INITIAL $ 94 27000012 OXYGEN THERAPY ER AND RR $ 47 27000014 ARSL/HHN THRPY - INI & 1ST DAY $ 82 27000015 AEROSOL-SUBSEQUENT DAY $ 68 27000018 IPPB INITIAL TREATMENT $ 82 27000020 OXYGEN TENT A INITIAL $ 256 27000021 OXYGEN TENT B HUT INITIAL $ 458 27000022 OXYGEN TENT SUBSEQUENT DAY $ 193 27000025 RESUSCITATION FIRST 1/2 HR $ 130 27000026 EMERGENCY CALL EA 1/2 HR $ 64 27000029 CONCHATHERM INITIAL & 1ST DAY $ 169 27000033 AEROSOL/HHN EQUIP CHANGE $ 41 27000035 OXYGEN TENT A EQUIPMENT CHANGE $ 69 27000120 GOWN, LARGE ORTHO DISPOSABLE $ 26 27000277 NEEDLE CATHALON JELCO IV $ 14 27000300 CATHETER ALL PURPOSE $ 10 27000308 CATH FOLEY LATEX SILCOAT 5CC $ 22 27000316 CATH FOLEY LATEX SILCOAT 30CC $ 27 27000323 CATH FOLEY SILASTIC 5CC $ 39 27000328 CATH FOLEY SILASTIC 30CC $ 44 27000338 CATH SUCTION (PLASTIC)T60 14FR $ 11 27000339 CATH SUCTION (PLASTIC)T61 10FR $ 11 27000411 ALL GAZ SPNG 4 X 4 IN (10 THN) $ 9 27000419 CIRCUMCISION TRAY (NEWBORN) $ 36 27000432 GAUZE SPONGES PT READY 4X4IN $ 44 27000435 BANDAGE TELFA 2 X 3 $ 8 27000437 BANDAGE TELFA 3 X 8 $ 9 27000444 VASELINE GAUZE 1 X 8 IN $ 9 27000445 VASELINE GAUZE 3 X 9 $ 9 27000446 VASELINE GAUZE 3 X 18 IN $ 9 27000447 VASELINE GAUZE 6 X 36 IN $ 10 27000449 TRAY SUTURE REMOVAL $ 9 27000476 TUBE ENDOTRACHEAL W/O CUFF $ 11 27000482 ENEMA FLEETS $ 10 27000485 TRAY IRRIGATION $ 11 27000514 CAST-OTHER SYNTHETIC $ 265 27000579 IRRIGATION SET (PERM) BASIN $ 10 27000631 SPINAL NEEDLES DISP $ 16 27000641 NU-GAUZE PACKING IODOFORM $ 36 27000642 NU-GAUZE PACKING IODOFORM $ 36 27000643 NU-GAUZE PACKING IODOFORM $ 48 27000645 NU-GAUZE PACKING PLAIN $ 30 27000646 NU-GAUZE PACKING PLAIN $ 33 27000650 PADS NURSING $ 21 27000651 PAD OBSTETRICAL 1375 $ 10 27000667 XEROFORM DRESSING 1 X 8 $ 16 27000671 XEROFORM DRESSING 5 X 9 $ 10 27000672 RAZORS DISP $ 9 27000701 STOPCOK 3-WAY W/O TUBING ARGYL $ 9 27000737 SUSPENSORIES SMALL-LARGE $ 83 27000738 SUSPENSORIES-X LARGE $ 101 27000821 DRESSING WOUND TEGADERM (MED) $ 10 27000833 SUCTION KIT DISP $ 11 27000872 BLANKET HYPOTHERMIA ADLT 24X60 $ 166 27000880 NU GAUZE STRIPS IODOFORM $ 33 27000888 TUBE FEEDING KANGAROO $ 21 27000902 DRAINABLE BAG CLAMP 7770 $ 11 27000914 DRAINAGE BAG URINARY W/VALVE $ 28 27000929 IMMOBILIZER SHOULDER ALL SIZES $ 52 27000953 TRAP MUCOUS SPECIMEN $ 19 27000978 CATHETER FOLEY COUDE 16FR 5CC $ 82 27000979 CATH FOLEY COUDE 18 FR 5CC $ 83 27001013 ELECTRODE HEART START $ 134 27001017 GELCAST BANDAGE $ 65 27001024 SPLINT FINGER PADDED 3 1/2 COT $ 11 27001057 SLING ARM SMALL-LARGE $ 14 27001075 SKIN STRPS 1/2 X 4 STERI-STRPS $ 14 27001076 SKIN STRPS 1/4 X 4 STERI-STRPS $ 14 27001077 SKIN STRPS 1/8 X 3 STERI-STRPS $ 10 27001083 TUBE TRACH W/CUFF LOW PRESS $ 297 27001148 URIMETER ADULT $ 60 27001166 EXTENSION SET NO 4116 $ 16 27001196 CANNULA OXYGEN $ 9 27001197 THORACENTESIS TUBING 4653-48 $ 29 27001208 SLIPPERS LARGE $ 10 27001209 SLIPPERS X LARGE $ 10 27001212 SPONGES SOFT-WICK DRAIN TRACH $ 9 27001213 SPONGES COVER STERILE L4 $ 8 27001219 SPINAL TRAY $ 42 27001226 URINE CULTURE KITS $ 10 27001227 CATH FOLEY SILASTIC 8-10F 3CC $ 58 27001236 CATHERS SUCTION W/CONTROL 14F $ 14 27001237 CATHERS SUCTION W/CONTROL 10F $ 14 27001241 NU-GAUZE PACKING STRIPS PLAIN $ 30 27001242 TUBE RECTAL K41, K43 $ 11 27001249 DRESSING WOUND TEGADERM (SM) $ 9 27001250 DRESSING WOUND (ANES) 10 X25CM $ 19 27001253 STERI STRIPS 1/4 X 3 $ 10 27001261 NORMOSOL 1000CC 7965-09 $ 16 27001263 BOTTLES CLEANSING PERI $ 9 27001292 JELCO 20G X 1 IN $ 10 27001293 JELCO 18G X 1 1/4 IN $ 10 27001294 JELCO 20G X 1 1/4 IN $ 10 27001295 JELCO 22G X 1 IN $ 11 27001296 JELCO 24G X 3/4 IN $ 11 27001297 BAGS BILE $ 48 27001301 ABDOM PADS (COMPOSITE PADDING) $ 9 27001302 BANDAGE ELASTIC 2 IN $ 9 27001303 BANDAGE ELASTIC 3 IN $ 10 27001304 BANDAGE ELASTIC 4 IN $ 10 27001305 BANDAGE ELASTIC 6 IN $ 14 27001310 ADAPTIC BURN DRESSINGS 3X3 IN $ 9 27001312 ADAPTIC BURN DRESSINGS 3X8 IN $ 19 27001321 SENSOR BIS MONITOR $ 122 27001323 BINDERS ABDOMINAL UNIVERSAL $ 56 27001324 ANTI-EMBOLISM STOCKINGS THIGH $ 39 27001325 ANTI-EMBOLISM STOCKINGS KNEE $ 22 27001327 NEEDLE BIOP BONE JAMSHIDI DISP $ 142 27001360 IVEX FILTERSET 4524-58 $ 17 27001368 TRAY DISP URETHRAL 14 CATHETER $ 27 27001372 EYE PADS (STERILE) $ 8 27001408 KLING BANDAGE 2 INCH CONFORM $ 9 27001409 KLING BANDAGES 4 INCH CONFORM $ 9 27001410 KLING BANDAGES 3 INCH CONFORM $ 9 27001412 LUMBR PUNTUR TRAY ADULT (DISP) $ 142 27001417 NEEDLE BUTTERFLY (19-21-23-25) $ 9 27001434 SITZ BATH - DISP $ 14 27001435 TRAY CVP ARROW $ 142 27001444 HANDLES SUCTION DISP YANK $ 10 27001449 CATHETER CHEST ALL SIZES $ 101 27001561 COLLAR CERVICAL $ 19 27001705 HEAD HALTERS (DISP) (ANY SIZE) $ 17 27001718 IMMOBILIZER KNEE $ 159 27001800 BAG URINE LEG LG $ 17 27001824 MATTRESS CONVOL FOAM WHEELCHAR $ 21 27001882 TRAY FOLEY CATHETER W/O CATH $ 19 27001959 VENOSET $ 9 27001969 SET BLOOD Y-TYPE 9129-48 $ 19 27001972 COLOSTOMY POUCH W/FLANGE $ 106 27001974 SKIN BARRIER W/FLAMGE 2 3/4 $ 103 27002045 ARM BRDS HAND-AID WRIST SUPPRT $ 41 27002047 ASEPTAPAD W/SOAP-ANTICEP BRUSH $ 93 27002049 SYRINGE EAR 2 OZ $ 10 27002052 PILLOW WEDGE $ 117 27002073 EVACUATED CONTAIN 1000CC EMPTY $ 14 27002074 EVACUATED CONTAINER 250CC $ 11 27002222 TISSUES $ 8 27002521 BRACE KNEE R O M 07590 BREG $ 654 27002703 STAPLER LINEAR CUTTER 75 3.8 $ 1,451 27002704 STAPLES LINEAR CUTTER 75 3.8 $ 776 27002771 OXISENSOR NEONATE $ 105 27002772 OXISENSOR PEDIATRIC $ 95 27003012 CATHETER URETERAL 5FR WHIST TP $ 61 27003013 SPLINT HAND RESTING MANUFACT $ 93 27003045 THEAPUTTY 2 OZ. $ 16 27003061 CATHETER FOGARTY EMB 4FR $ 206 27003384 STAPLES LINEAR 60MM GREEN $ 272 27004891 CEMENT BONE W/TOBRAMYCIN $ 993 27005130 BRUSH I.M. SM JOINT 10MM O.D. $ 71 27007783 STAPLE REMOVERS $ 14 27007810 BRACE ANKLE AIR CAST $ 198 27007818 NEEDLE BIOPSY SOFT TISSUE $ 104 27007825 CRUTCHES X LARGE $ 64 27007841 BASIN EMESIS DISP $ 8 27007877 STOCKINGS A E PNEUMATIC $ 401 27007895 VALVE LOPEZ M9000 $ 17 27007901 CATH FOLEY LATEX 16FR 5CC $ 96 27007906 IMMOBILIZER KNEE UNIV 19 INCH $ 144 27007910 SHOE POST OP CAST - ALL SIZES $ 33 27007912 SHOE CAST $ 33 27007913 CLAVICLE INFANT LARGE $ 32 27007921 SPLINT WRIST COCK-UP ALL SIZES $ 36 27007922 CREAM MOISTURIZING SKIN $ 21 27007923 CLEANSER SKIN TRIPPLE CARE $ 14 27007936 DRESSING PRIMAPOR 8 X 4 $ 10 27007942 INFUSOR PRESSURE 500CC DISP $ 93 27007949 TUBING PCA BAG $ 94 27007950 EXTENSION TUBING 30INCH $ 10 27007952 PACK ICE CONSTANT $ 19 27007959 DILATOR ESOPHAGEAL L BALLOON $ 407 27008005 DRESSING PRIMAPOR 11 3/4 X 4 $ 11 27008017 NEEDLE SPECIALTY USE 30GAX1/2" $ 8 27008035 TUBE ENDO PREFORM ORAL NO CUFF $ 51 27008040 TUBE ENDO PREFORM ORAL NO CUFF $ 51 27008042 TUBING IV PUMP ACCUSET GEMINI $ 53 27008057 INCENTIVE SPIROMETER $ 194 27008058 SUPPORT MAMMARY SMALL $ 367 27008059 SUPPORT MAMMARY MED $ 367 27008060 SUPPORT MAMMARY LARGE $ 367 27008061 SUPPORT MAMMARY XLARGE $ 367 27008064 ADAPTER LUERLOK VACUTAINER $ 8 27008066 AIRWAY ORAL SML CHILD 60MM $ 9 27008067 AIRWAY ORAL SM ADULT 80MM $ 9 27008068 AIRWAY ORAL MED ADULT 90MM $ 9 27008069 AIRWAY ORAL LG ADULT 100MM $ 9 27008070 MASK OXYGEN AEROSOL W/O TUB $ 9 27008073 MASK OXYGEN MED CONCNTRT ADULT $ 9 27008075 IMMOBILIZER SHOULDER/ARM MED $ 222 27008076 IMMOBILIZER SHOULDER/ARM LG $ 222 27008077 IMMOBILIZER SHOULDER/ARM XLG $ 222 27008091 TRAY EPIDURAL SINGLE SHOT $ 160 27008118 THERMOMETER FOREHEAD DISP $ 10 27008120 TOURNIQUET FINGER SM $ 16 27008122 TOURNIQUET FINGER LG $ 17 27008163 BANDAGE ELASTICON 2 IN $ 21 27008165 BAG PERINEAL ICE $ 10 27008176 PAD KNEE/SHOULDER POLAR N/S $ 202 27008180 CIRCUIT ANESTHESIA ADULT $ 17 27008184 BLANKET WARMING UPPER 341 ADV $ 93 27008185 BLANKET WARMING FULL BABY $ 74 27008214 COOLER COLD THERAPY W/O PAD $ 539 27008228 SET URETERAL STENT $ 656 27008231 TRAY LAP CHOLE ETHICON $ 2,200 27008232 SCISSOR CVD W/CAUTERY ENDOPATH $ 662 27008341 LOOP VESSEL MAXI WHI 2/PK $ 14 27008394 BLANKET WARMING LOWER $ 42 27008500 AIRWAY ORAL 2 50/12 $ 21 27008536 CATHETER URETERAL OPN END 5FR $ 50 27008579 NOSE-ARTFCIAL 5702 VITAL SIGNS $ 33 27008601 TUBE ENDOBRONCHIAL 35FR LEFT $ 509 27008995 DISECTOR BLUNT TIP ENDOSCOPIC $ 48 27009003 TROCAR 10/12 BLUNT TIP 100MM $ 720 27009021 LASER TREATMENT SHOULDER/UROLO $ 3,428 27009101 BUR ARTHROSCOPY 4.0 ACROMIZER $ 587 27009109 GUIDEWIRE 2X230 THREAD $ 120 27009115 CLIP APPLIER 13 1/4" $ 282 27009135 STAPLER LINEAR CUTTER 55MM $ 973 27009136 STAPLES LINEAR CUTTER 55MM $ 496 27009194 CAP-K KIRSHNER 028 RED $ 27 27009195 CAP-K KIRSHNER 035 YEL $ 29 27009196 CAP-K KIRSHNER 045 BLU $ 29 27009197 CAP-K KIRSHNER 054 TAN $ 29 27009198 CAP-K KIRSHNER 062 GRN $ 29 27009909 OXYGEN MASKS FOR FD $ 10 27010788 TUBE GASTRIC LAVAGE 32/W ETHOX $ 43 27010789 TUBE GASTRIC LAVAGE 36/W ETHOX $ 43 27010959 BRA MEDICAL SPORTS XLG BLK $ 138 27012839 BRA MEDICAL SPORTS LG BLK $ 138 27013541 AIRWAY LARYNGEAL MASK SZ 4 $ 38 27015503 AIRWAY LARYNGEAL MASK SZ 3 $ 38 27015506 AIRWAY LARYNGEAL MASK SZ 5 $ 36 27030208 CATHETER PEZZAR OR MALECOTT $ 110 27030444 COVER PAD JACKSON TABLE (DISP) $ 242 27050001 HIGH HUMIDITY AEROSOL $ 33 27050002 AQUA PACK $ 53 27050005 CANNULA $ 47 27050006 CANOPY $ 70 27050007 SUCTION CATHETER $ 70 27050010 HEAT SENSOR, DISPOSABLE $ 41 27050016 HME REPLACEMENT $ 62 27050036 MDI SPACER $ 49 27050037 MECHANICS - CUFF PRESSURE/DAY $ 86 27050058 WATER TRAP FOR VENT $ 26 27050062 VENTURI MASK $ 39 27060170 THERABAND PER YARD $ 11 27093252 PAD SHOULDER WRAP ON LEFT $ 209 27093253 PAD SHOULDER WRAP ON RT $ 209 27099458 BAND FACIAL UNIVERSAL $ 128 27099459 CT SCAN,NEEDLE CORE BIOPSY $ 168 27109158 PROBE LASER 70O W/HNDL DISP $ 1,985 27109159 HANDPIECE LASER PROBE REUSE $ 492 27130692 DEVICE STABILIZATION 2WAY $ 16 27200003 STAPLES LINEAR 30MM VASCULAR $ 277 27200056 ELECTRODE LLETZ LOOP 15X12X11 $ 96 27200063 BUR ARTHROSCOPY 5.5MM NOTHBLST $ 255 27200064 ELECTRODE LOOP 20X15X11 $ 96 27200065 ELECTRODE NEEDLE 3MM $ 236 27200087 VALVULOTOME EXPANDABLE LEMAITR $ 2,391 27200088 BRUSH BIPOLAR 18 GA $ 41 27200089 KNIFE CRESCENT ANGLE BEV DOWN $ 69 27200092 CUTTER ARTHROSCOPY INCISOR 5.5 $ 583 27200102 GUIDEWIRE PTFE .038X150 ST 3CM $ 53 27200105 SPINAL INFLATION SYSTEM DEPUY $ 264 27200106 SPINAL VERTEBRL BDY BALOON S-L $ 2,305 27200107 SPINAL VERT AUG ACCESS KIT $ 839 27200108 SPINAL VERTECEM V+ SYRINGE KIT $ 378 27200109 SPINAL CEMENT RES ADAPTER $ 42 27200149 CATHETER GROSHONG 9.5FR DBL LU $ 1,663 27200183 BUR ROUND 4.0X 8-FLUTE $ 101 27200220 DRAIN WOUND MED 1/8 10FR HEMOV $ 101 27200228 BRUSH CYTOLOGY BRONCHOSCOPY $ 80 27200229 BLADE SAW MICROSAG 9.5X25.5X04 $ 122 27200232 BRUSH CYTOLOGY GASTROSCOPE $ 88 27200281 WIRE KIRSCHNER 4X.035 DBL TROC $ 47 27200285 NEEDLE BIOPSY TRANSBRONCHL 19G $ 323 27200300 KIT CEMENT MIXER $ 302 27200323 CATHETER FOGARTY EMB 7FR $ 290 27200328 UROSTOMY KIT 2 3/4 STERILE $ 65 27200417 DRAIN WOUND LG 1/4 19FR HEMOVC $ 96 27200418 HYALIRON SOD(HEALN OVD+ENDOOVD $ 88 27200419 SUPPLY LEVEL 3 $ 2,810 27200467 GUIDEWIRE .025X400CM $ 755 27200476 SET CANALICUS INTUBATION $ 490 27200477 TUBE ENDOTRACHEAL W/CUFF $ 17 27200489 DRAIN WOUND SM 3/32" 7FR HEMVC $ 96 27200490 RETRACTOR ORGAN LG $ 713 27200491 SCISSORS HARMONIC SCALPEL 5MM $ 2,233 27200495 BASKET STONE 4-WR 3FR 90 HELIC $ 1,077 27200502 TRANSDUCER PRESSURE MONIT SWG $ 105 27200503 SUTURE CHROMIC $ 33 27200504 SUTURE NYLON $ 29 27200505 SUTURE SILK $ 22 27200512 BLADE SAW 90X25X1.19 $ 236 27200514 BLADE SAW OSCILLAT 19.5X80X.9 $ 427 27200536 CATHETER NASAL EPISTAT II $ 313 27200541 SPONGE NASAL MED RHINO ROCKET $ 60 27200545 CATHETER FOGARTY EMB 2FR $ 161 27200556 DERMACARRIER 8X3 5:1 $ 112 27200559 SPONGE CYLINDRICAL 1/2X1 1/2 $ 14 27200572 HEMOSTAT COLLAGEN .5gr AVITENE $ 264 27200583 CATHETER URETERAL 8FR CONE TIP $ 56 27200584 SLEEVE TROCAR 10/11 $ 222 27200625 INTRODUCER PACEMAKER 10 FR $ 105 27200659 APPROXIMATOR MAX STR BLU VA ST $ 56 27200677 CURETTE UTERINE 8MM CVD $ 17 27200696 TUBE EAR VENTILATION .045 STR $ 49 27200698 TUBE EAR VENT "T" MODIFIED $ 117 27200739 INTRODUCER NEEDLE INTRADISCAL $ 302 27200740 CATHETER INTRADISCAL $ 6,017 27200754 PAIN MGMT SYS 100 X 2/HR W/H $ 1,639 27200755 SUPPLIES MISC $ 501 27200756 GUIDEWIRE TFE .035X145 3CM FLX $ 69 27200766 KIT CARTLIDGE BIOPSY TRANSPORT $ 3,239 27200781 GUIDEWIRE .038X150 STR 3CM STF $ 357 27200786 BIT DRILL HI SPEED CTR SILVR 7 $ 294 27200809 STAPLER LAP HERNIA TACKER $ 2,025 27200814 TUBING CIRCUIT ANESTH $ 60 27200815 TUBE ENDOTRACHEAL $ 47 27200848 CATHETER URETHRAL GRAHAM 18 5 $ 237 27200857 STOPCOCK 3-WAY -K52 $ 16 27200895 KIT ACCESSORR PENILE IMPLANT $ 2,082 27200946 BANDAGE ESMARCH 4" LATEX FREE $ 38 27200947 BANDAGE ESMARCH 6" LATEX FREE $ 43 27200958 TUBING ARTHROSCOPY EXTENSION $ 88 27200964 CATHETER SUPRAPUBIC 12FR $ 328 27200984 BLADE DERMATOME FOR AIR DERMA $ 125 27200989 BUTTON NASAL SEPTO $ 785 27200991 BUR OVAL X-LNG CARBIDE $ 110 27200996 GUIDEWIRE TIB NAIL DRIV 3.2X28 $ 528 27200997 KIT BAXANO IO-FLEX W/XTRA SHAV $ 8,165 27201059 STAPLER CIRCULAR 25 $ 1,832 27201080 PACK KYPHOPLASTY 1 LEVEL $ 12,039 27201113 CATHETER FOGARTY ART IRR 4FR $ 50 27201118 STAPLER PURSESTRING 65 $ 524 27201139 STAPLES ENDO LIN CT 45 VAS/THN $ 529 27201140 STAPLES ENDO LIN CT 45 THCRN $ 529 27201230 BANDAGE ELASTIC COHESIVE 4 IN $ 31 27201231 GUIDEWIRE 2.8 x 300 TROC FT $ 220 27201236 SCISSORS HARMON SCALP CVD 23CM $ 2,069 27201239 TUBE SUCTION 10FR FRAZIER $ 16 27201290 JELCO 14 X 2 1/4 IN $ 11 27201537 CURETTE UTERINE SUCTION 9MM CU $ 16 27201592 CURETTE UTERINE SUCTION 7MM CU $ 16 27201610 SET URETERAL ACCESS 12/14 X 35 $ 702 27201622 WIRE KIRSCHNEL 9"X.062 DBL END $ 15 27201673 PAIN MGMT SYSTEM 270 ML W/HOSE $ 1,037 27201683 KIT EXPANSION ON-Q 12.5CM $ 521 27201793 STAPLES LIN CUT 75 THICK $ 506 27201875 NEEDLE SPINAL 22X3.5 WHITACRE $ 28 27202223 DRAIN WOUND TBNL FLAT 7MM/TROC $ 50 27202224 DRAIN WOUND TBNG FLAT 10MM/TRO $ 50 27202279 CAST LEG - LIGHTWEIGHT $ 411 27202294 CAST ARM - LIGHTWEIGHT $ 237 27202330 SHUNT CAROTID JAVID $ 367 27202333 SOLUTN SOD CHL 9% IRRIG 3000CC $ 44 27202336 CUTTER ARTHROSCOP INCIS 3.5 CV $ 583 27202341 CAUTERY OPTEMP 4100 $ 81 27202346 KIT ENDOMETRIAL ABLATION $ 4,943 27202353 ADAPTERS PORTEX & BRONCH CAP $ 84 27202357 BRUSH CYTO 3.0x160 GASTROSCOPE $ 110 27202364 DRAIN, PENROSE $ 10 27202365 PIN GUIDE DRILL TIP 2.4 TIBIAL $ 202 27202367 WIRE NITINOL FOR SCREWS $ 164 27202368 CANNULA TIBIA TUNNEL $ 260 27202396 CANNULA SHOULDER 8.25 X 7 $ 118 27202428 CORDACTIVE FOR VAPERTRODE $ 117 27202483 DYE OMNIPAQUE 300 50ML $ 257 27202521 BUR ARTHROSCOPY 2.9MM $ 399 27202524 TROCAR 10/11 DILATING TIP 100 $ 529 27202526 CAP REDUCER MULTI-SEAL $ 27 27202527 APPLIER CLIP LIGACLIP $ 854 27202531 BUR ATHRO INCISOR 3 5MM $ 255 27202592 FORCEP BIOPSY PED 160 OV W/SPK $ 411 27202596 TUBING MAIN PUMP IRRIG $ 386 27202624 SET ARTHROSCOPY IRRIGAT 4-LEAD $ 94 27202640 WICK FEMORAL $ 214 27202672 CLOSURE SKIN 1 X 5 3M $ 27 27202679 DRESSING NASAL DOYLE 8 X15 X3 $ 88 27202681 BRUSH CYTOLOGY 2.0x10 $ 92 27202712 TRAY LAP CHOLE W/10MM CLIP APL $ 2,295 27202715 FORCEP STONE GRASPING $ 1,003 27202951 BUR OVAL MEDIUM 4 X 8MM $ 210 27202952 CYSTOSCOPY IRRIGATION $ 33 27202983 BLADE SAW GIGLI $ 106 27202988 ARTERIAL MONITORING KITS $ 342 27203053 PROBE OCUTOME $ 726 27203130 HEMOVAC TUBING -ALL SIZES $ 69 27203154 VESSEL LOOP MAXI WHITE $ 14 27203161 SLING TRANS VAG ADVANTAGE $ 2,374 27203215 ADAPTER TRACH TUBE $ 64 27203241 TUBING STERILE 10FT $ 38 27203244 TUBE FEEDING $ 16 27203256 SEAMGUARD STAPLE REINFORCEMENT $ 155 27203267 SET DRAIN CATHETER 10.3 FR $ 575 27203331 SUCTION, YANKAUER HANDLE $ 26 27203360 APROXIMATOR VASUSTATT STR WHI $ 90 27203376 KIT ESOPHAGEAL BANDING $ 1,340 27203404 PROTRACTOR WOUND LG $ 750 27203405 STAPLER EEA CIRCULAR 21 $ 1,630 27203450 WIRE KIRSCHNER .045X9 DRLENP $ 17 27203495 NEEDLE RETROBULBAR 25 x 1 1/2 $ 33 27203510 RETAINER ABDOM LG (FISH) $ 106 27203604 NEEDLE SPINAL 27 X 5 WHITIKARE $ 36 27204206 ADHESIVE SKIN INDERMIL $ 157 27204302 PACK KNEE ARTHROSCOPY $ 293 27204306 STAPLES ENDO LIN 45X2.0 $ 659 27204576 STAPLER LINCUT 55 VAS WHITE $ 647 27204577 STAPLES LINCUT 55 VAS WHI $ 362 27204627 PAIN MGMT SYS 100X2/HR 12.5 $ 916 27204795 DILATOR ESOPH 6-8 MM $ 1,290 27204796 DILATOR ESOPH 8-10 MM $ 1,290 27204799 SYRINGE/GAUGE ASSEMBLY $ 70 27204815 RETRACTOR ABDOMINAL LG $ 370 27204825 RETRACTOR ABDOMINAL XLG $ 480 27204882 CEMENT GUN KIT -NO $ 318 27204892 WIRE KIRSHNER 4X54 DBL END TCR $ 47 27204901 GUIDEROD 3.0X 1000 BALL TIP $ 1,165 27204936 SPLINT NASAL SM XOMED $ 125 27204937 SPLINT NASAL MED XOMED $ 128 27204938 SPLINT NASAL LG XOMED $ 92 27204991 APPLICATOR COSEAL 7CM $ 60 27205132 REAMER CANNULATED ACL/PCL 9mm $ 449 27205465 BSS 500ML $ 28 27205524 KIT ACL TRANSTIBIAL W/BLADE $ 923 27205529 OXGN MASK DISP CANULAS & USE $ 64 27205540 BUTTON POLYPROPYLENE $ 9 27205547 SURGICEL 4X8 $ 225 27205600 TEMP PROBE, GENERAL PURPOSE $ 64 27205601 STETHOSCOPE, ESOPHAGEAL $ 71 27205619 DRESSING NASAL 8CM W/O STRING $ 47 27205919 SEALANT HEMOSTANL FLOSEAL $ 898 27205921 SEALANT SURGICAL 4 ML COSEAL $ 2,603 27205995 VISCOELASTIC DUOVISC $ 376 27206053 MIXER BONE CEMENT KYPHAN $ 982 27206057 DEVICE FONE DIOPSY KYHON $ 732 27206220 CONTINUE FLOW W/ 4 WAY $ 33 27206718 BIT DRILL-CUTTER VIO 10 $ 297 27206800 WIRE KIRSCHNER .035 X 4" $ 68 27206844 STAPLER ENDO MLTFD 360" $ 916 27206877 GRASPER BABCOCK 5MM ENDOPATH $ 583 27207147 BLADE SAW SAG 25 X 1.35 X 90 $ 308 27207148 BLADE SAW SAG 25 X 1.19 X 90 $ 308 27207178 CATHETER MALECOT SILICONE 22FR $ 114 27207187 ADAPTOR J-TUBE FEEDG DUAL PORT $ 62 27207391 BLADE SAW OSC 31.0 X 9.0 $ 203 27207435 SOLUTN WATER IRRIG 1000 CC BAG $ 22 27207493 BLADE SAW MICRO OS 9.0x38x250 $ 130 27207500 BLADE SAW MICRO OS 5.5X38X11.5 $ 204 27207502 BLADE SAW SAG 18.5X.64X60.5 $ 209 27207503 BLADE SAW SAG 12.5X.64X73.0 $ 336 27207504 BUR WIRE PASS 1.5X7.9X40.8 $ 224 27207563 STAPLER LIN VAS 30 MM $ 591 27207674 BIT DRILL 2.0 CANNULATED $ 1,978 27207742 RETRACTOR SCROTAL SKW $ 1,192 27207777 KIT FEMALE CATH $ 29 27207779 DRESSING NASAL 4 5x1 5x2 $ 44 27207787 KIT MOUTH CARE $ 9 27207790 8 FRENCH $ 11 27207814 TRU CUT BIOPSY NEEDLE $ 93 27207816 TRAY CVP MULTI LUMEN AK15703-A $ 362 27207835 CATHETER VEIN CLOSURE 6 X 60 $ 2,751 27207837 PACK VEIN CLOSURE PROCEDURE $ 313 27207838 NEEDLE ULTRA T.W. 19 X 2.75 $ 26 27207839 SHEATH INTRODUCER 6F X 7 CM $ 69 27207840 SHEATH INTRODUCER 6F X 11 CM $ 69 27207841 SHEATH INTRODUCER 8F X 7 CM $ 69 27207842 SHEATH INTRODUCER 8F X 11CM $ 69 27207843 KIT MICRO PUNCTURE 4F $ 101 27207844 KIT TUMESCENT INFILTRATION $ 60 27207845 CATHETER VEIN CLOSURE 8 X 60 $ 2,751 27207848 DRAINAGE CHEST THORASEAL $ 265 27207850 SET LIFE PORT INFUSION $ 41 27207860 PAD KINETIC $ 69 27207861 DRAIN JACK PRATT RESEVOIR $ 104 27207862 DEXTROSE 5% PART FILL 100 ML $ 11 27207863 TRANSDUCERS PRESSURE MONIT DBL $ 112 27207865 DRAIN JACK PRATT ROUND $ 83 27207866 DRAIN JACK PRATT FLAT $ 101 27207867 CATHETER URETERAL 5 OPEN TIP $ 61 27207871 TUBE GASTROSTOMY 20 FR $ 272 27207881 SET RAD ART CATH 20GA $ 60 27207885 CATH FOLEY LATEX 8-10 FR 3CC $ 43 27207887 ACC PORT UNiVERSAL CATHETER $ 56 27207899 STYLETET INTUBATING DISP ADULT $ 29 27207903 DRESSING PRIMAPOR 6 X 3 1/8 $ 9 27207907 TUBE NASOGASTRIC SALEM ALL SZS $ 33 27207911 NEEDLE SURGINEEDLE 120MM $ 47 27207914 TUBE FEEDING 8FC 43 DOBHOFF $ 106 27207915 TUBE TRACH LOW PRESS SGL CANNU $ 117 27207930 POTAS CHL 224% DEXT 5%/ 45% $ 14 27207933 TUBING PCA SYRINGE $ 94 27207935 TRAY RADIAL ARTERY CATH 29 GA $ 60 27207937 TRAY FOLEY W/5CC CATHETER $ 53 27207945 DRESSING WOUND 4X4 XTHIN $ 22 27207946 DRESSING WOUND 4X4 9930 $ 31 27207947 DRESSING WOUND 4X4 9931 $ 31 27207953 WARMER FLUID TUB ADM SET SM $ 101 27207985 PAD HEAT KMOD 18 X 24 $ 42 27207987 SODIUM CHL 9% PART FILL 100ML $ 11 27207988 INTRODUCER PERCUTAN SHEATH 6FR $ 206 27207989 INTRODUC PERCUTAN SHEATH 8 5FR $ 196 27207991 GELDECUBITUS INTERSITE $ 41 27208014 KIT MOUTH CARE W/SUCTION 6550 $ 27 27208027 BANDAGE GAUZE RL 4 1/2 STERILE $ 11 27208041 TUBE ENDOTRACHEAL PREFORMED $ 51 27208046 NEEDLE SPINAL 22GA 7IN 305149 $ 33 27208048 TUBING EPIDURAL ADMIN 13626-01 $ 81 27208055 TUBE ENDOTRACHEAL SPIRAL FLEX $ 82 27208065 GUIDEWIRE .025 150CM V.CLOS $ 63 27208066 COVER PROBE 6 X 96 V.CLOS $ 43 27208093 PACK PROCEDURE CYSTO $ 255 27208094 PACK PROCEDURE LAP CHOLE $ 675 27208095 PACK PROCEDURE C-SECTION $ 791 27208098 CATHETER TRACH CARE 16FR $ 113 27208100 KIT READYCARE ORAL SUCTION $ 27 27208101 WATER TRAP 90CC SAFETY DR $ 17 27208105 PENCIL ESU DISP $ 71 27208107 ELECTRODE ESU NEEDLE TIP $ 11 27208108 TRAY EPIDURAL 17GA W/CATHETER $ 149 27208110 TUBING FLUID WARMER SM $ 96 27208111 AIRWAY NASOPHARYNGEAL 32 FR $ 47 27208113 PUNCH SKIN 1 5MM DISP $ 16 27208114 PUNCH SKIN 3-5mm DISP $ 10 27208119 CAUTERY EYE AARON ABCA285101 $ 33 27208124 PACK PROCED ARTHROSCOP SHOULDR $ 1,247 27208129 CATHETER CHEST TROCAR 32FR 16" $ 1,219 27208130 CATHETER CHEST STR 36 FR 20 IN $ 665 27208135 DRAIN WOUND TUBING ROUND 19FR $ 47 27208136 DRAIN WOUND TUBING FLAT 7MM $ 52 27208148 SOD CHL IRRIGATION 3000CC $ 33 27208150 GLYCINE BAGS 3000CC $ 43 27208155 SURGICEL 2X3 $ 125 27208156 DRESSING PRIMAPOR 13 3/4X4 3/4 $ 11 27208159 JELLY SURGILUBE 3GR BX $ 41 27208164 DRESSING WOUND TEGADERM LRG $ 21 27208171 UROGATE CYSTOSCOPY SET $ 31 27208172 STAPLER SKIN 35W $ 124 27208173 KIT BLOOD GAS SYRINGE ONLY $ 9 27208174 TRAY SPINAL ANESTHESIA $ 123 27208182 STOCKINETTE 6X4 PRE-CUT STER $ 28 27208183 STOCKINETTE 4X4 PRE-CUT STER $ 27 27208186 SET ARTHROSCOPY IRRIGAT 4 LEAD $ 113 27208187 CLIP LIGATURE TITANIUM SM $ 21 27208188 CLIP LIGATURE TITANIUM MED $ 27 27208189 CLIP LIGATURE TITANIUM MED/LG $ 31 27208190 CLIP LIGATURE TITANIUM LG $ 41 27208191 TUBE CONNECTING 3/16X10FT $ 9 27208192 RETAINER ABDOMINAL VISCERA SM $ 39 27208194 STOCKINETTE IMPERVIOUS LG $ 51 27208195 STOCKINETTE IMPERVIOUS MED $ 47 27208197 NEDLE SPINE 18X3 1/2 WEISS EPI $ 42 27208198 NEEDLE SPINAL 18X5 WEISS EPI $ 64 27208199 NEEDLE SPINAL 25X5 WHITAKER $ 32 27208207 BRUSH CLEANING ENDOSCOPE $ 27 27208208 FORCEP GASTROSCOPE OVL W/SPIK $ 47 27208213 PACK LAPAROSCOPY/PELVISCOPY $ 350 27208216 TUBE NASOGASTRIC SALEM SUMP $ 36 27208217 IRRIGATION WOUND SYSTEM $ 63 27208219 INTERCATH 14X1 1/4 JELCO 5048 $ 11 27208223 AIRWAY NASOPHARYNGEAL 28FR $ 47 27208230 STAPLER CONTOUR CVD BLUE $ 2,013 27208231 STAPLES CONTOUR CVD BLUE $ 1,043 27208232 STAPLER CONTOUR CVD GREEN $ 2,013 27208233 STAPLES CONTOUR CVD GREEN $ 1,043 27208313 SCISSORS HARMONIC SCALPEL ACE $ 2,148 27208342 LOOP VESSEL MINI YEL 2/PK $ 14 27208343 CUTTER ARTHROSCOPY INCISOR 4.5 $ 1,495 27208481 CATHETER EPIDURAL 24 GA $ 48 27208511 SUCTION IRRIG HNDPIECE SIMPULS $ 209 27208516 HEMOVAC NEEDLE AND TUBING $ 180 27208521 FILTER VENA CAVA GRENFLD JUG $ 6,911 27208527 EXTRACTOR STONE HELICAL DILIT $ 1,229 27208544 CATHETER URETERAL FLEX TIP 5FR $ 62 27208551 STAPLER CIRCULAR 33 $ 1,886 27208569 STAPLER LIN ARTIC 55 GRN THCK $ 1,431 27208594 CANISTER SET UTERINE ASPIRATOR $ 81 27208596 TUBING SET UTERINE ASPIRATOR $ 47 27208597 KIT TUBE GASTROSTOMY 18fr MOSS $ 1,235 27208599 TIP IRRIGATOR FEMORAL SIMPULSE $ 103 27208605 DRESSING PRIMAPOR 4 X 3 1/8 $ 9 27208608 STAPLER LINEAR 30MM $ 479 27208611 STAPLER LINEAR 60MM $ 955 27208613 STAPLER LINEAR 90MM $ 981 27208616 STAPLER DISP PLDS $ 1,164 27208621 STAPLES LINEAR 60MM $ 427 27208622 SET SHEATH VEIN 7FR 11CM $ 68 27208627 PROBE LITHOTRIPSY 9FR $ 962 27208628 CATHETER GROSHONG 8FR SING LUM $ 2,107 27208629 DEVICE TROCAR SITE ENDO CLOSE $ 189 27208643 TROCAR SURGIPORT 10 MM $ 592 27208644 TROCAR SURGIPORT 5 MM $ 492 27208647 HEMOCLIP CARTRIDGE ALL SIZES $ 120 27208648 RETRACTOR IRIS FLEX $ 169 27208655 PACK CATARACT W/PHACO $ 1,858 27208658 CATHETER CHOLANG REDDICK $ 351 27208665 LOOP LIGATING WITH 0 CHR SUT $ 124 27208668 TUBING IRRIGATION LAP/CHOLE $ 114 27208686 SNARE POLYPECTOMY $ 149 27208691 SET LAP CHOLE $ 410 27208695 CATHETER CHOLANG TAUT $ 166 27208697 INTRODUCER CATH TAUT $ 104 27208702 ADAPTER UROLOCK $ 96 27208704 BASKET STONE 4-WR 3FR 120 SEGU $ 1,175 27208706 KIT VENA CAVA ENTRY 12FR $ 716 27208710 FILTER VENA CAVA GRFLD FEM $ 6,958 27208795 BLADE PODIATRY KOBYGUARD $ 666 27208800 BLADE DERMATONE PADGETT $ 65 27208807 SET URETERAL STENT 6X26 PERCFX $ 921 27208808 STENT URETERAL PERCUFLEX 28 $ 871 27208809 BASKET STONE 5-WR 3FR 90 HELIC $ 1,160 27208810 BASKET STONE 3-WR 3FR 90 HELIC $ 1,239 27208818 TOOMEY SYRINGE $ 17 27208887 SCREW CANNULATED 2.4X14 OSTEDM $ 342 27208997 POUCH SPECIMEN ENDOCATCH 10MM $ 467 27209039 GUIDEWIRE .025 DIAX 150CML STR $ 227 27209042 BANDAGE ELASTIC COBAN 4INCH $ 22 27209043 CANNULA UNIVERSAL SHOULDER $ 103 27209044 GUIDEWIRE SHOULDER 8MM $ 41 27209050 BARRIER ADHESION ABSORB 3X4 $ 955 27209052 RETRIEVER POLYNET ROTH $ 299 27209067 ELECTRODE VAPERTRODE $ 2,013 27209070 GRAFT PATCH SOFT TIS 1MM 5X10 $ 500 27209157 PROBE LASER 30O W/HNDL DISP $ 1,935 27209199 NAIL FINGER REG $ 130 27209202 WIRE-K 4 X 062 $ 47 27209203 WIRE-K 4X 045 $ 47 27209210 KIT DIALYSIS CATH 28CM $ 1,602 27209211 KIT DIALYSIS CATH 24CM $ 1,602 27209223 KIT CEMENT W/EVAC $ 150 27209224 SHUNT CAROTID 9FR 12 INCH $ 792 27209297 INTRODUCER PACEMAKER 8 FR $ 105 27209299 SPONGE SPEARS WEC-CEL $ 33 27209310 DISSECTOR CHERRY 10MM $ 155 27209329 SPONGE PATTIES 1/2X1 COTONOIDS $ 43 27209375 NET FORIEGN BODY RETRIEVER PED $ 284 27209393 BLADE SAW OSC MICRO 5 5X18 5 $ 113 27209400 BIT DRILL 3 2X100 GRAY 1/8X4 $ 225 27209405 PACK VEIN CLOS PROCED RF& $ 250 27209406 STYLET VEIN CLOS RF&6 FR 12CM $ 1,187 27209409 ELECTRODE KNIFE CUTTG 24-28 FR $ 463 27209410 ELECTRODE LOOP 24FR $ 387 27209411 ELECTRODE LOOP 26FR $ 218 27209424 BLADE SAW OSCILLATING 5 5X12 $ 113 27209425 BUR WIRE PASS DRILL MED 1 5X19 $ 239 27209440 GUIDEWIRE 3 2X300 $ 328 27209447 KIT PEG GASTROSTOMY FEEDING $ 549 27209451 TROCAR 7/8 ENDOPATH $ 541 27209453 KNIFE FULL HANDL STD ANG 15 BL $ 56 27209462 GUIDEWIRE .035x150 STR 3CM FLX $ 223 27209463 DILATOR URETERAL 10CMX6FRX18FR $ 1,672 27209473 BUR ARTHROSCOPY 4.0 NOTCHBLSTR $ 272 27209474 WIRE KIRSCHNER 4X028 DBL TROC $ 47 27209483 WIRE KIRSCHNER 3 2X450 GAMMA $ 763 27209486 VESSEL LOOP MAXI BLUE SUPER $ 28 27209487 TROCAR 5MM DILATING TIP 100MM $ 330 27209488 NEEDLE SURGINEEDLE 150MM L VER $ 80 27209490 BARRIER ADHESION 5X6 SEPRAFILM $ 921 27209517 KNIFE FULL HANDLE 2 75 ANGLED $ 106 27209518 KNIFE CRESCENT ANGLE BEVEL UP $ 125 27209520 BLADE MYRINGOTOMY $ 47 27209521 KIT DIALYSIS CATH 31CM $ 1,602 27209535 KIT MAMMARY FILL 30-1 $ 71 27209537 ELECTRODE BALL TIP 2 0 $ 360 27209538 ELECTRODE BALL TIP 3 0 $ 225 27209552 CUFF TOURNIQUET PNEU 24IN STER $ 161 27209554 RETRIEVER SUTURE $ 164 27209565 VEST COMPRESSION $ 263 27209569 MANIPULATOR UTERINE STD $ 225 27209570 NEEDLE SCLEROTHERAPY STD COLON $ 246 27209571 STENT URETERAL 6 FR LONGTERM $ 538 27209576 STENT URETERAL 4.5 FR LONGTERM $ 538 27209594 SNARE POLYPECTOMY PEDIATRIC $ 239 27209652 CATHETER URETERAL 10FR DBL LUM $ 410 27209653 GUIDEWIRE UROLOGICAL 035X150 $ 266 27209670 CLIP TUBAL LIGATION 7MM FILSHE $ 328 27209672 BIT DRILL GII 2 4 $ 390 27209682 COAGULATER SUCTION 6FT 10FR $ 61 27209701 CAP REDUCER MULTISEAL $ 50 27209715 DILATOR URETERAL 4CMX6FRX8FR $ 1,637 27209720 ELECTRODE ESU LLETZ 10X10 $ 101 27209730 STAPLER VASCULAR/THIN ARTICUL $ 2,165 27209739 BIT DRILL 2.5 QUIK CPL $ 338 27209806 RETRIEVER SUTURE $ 164 27209930 TROCAR 10/12 DILATING TIP 100 $ 529 27209956 CATHETER FOGARTY EMB 6FR $ 206 27209958 CATHETER FOGARTY EMB 3FR $ 114 27209961 KNIFE CRESCENT STRAIGHT $ 128 27209963 CLIP APPLIER 11 1/2" $ 323 27209964 PURA PLY WOUND MATRIX 2x2 $ 801 27210092 STAPLER ECHELON 60 $ 1,129 27210093 STAPLES ECHELON 60 1.0 $ 619 27210094 STAPLES ECHELON 60 1.5 $ 619 27210198 SCISSORS HARMONIC ACE23P $ 1,822 27210211 TENDON PATELLA WHOLE W/O QUAD $ 7,452 27210292 NEEDLE REGIONAL BLOCK 22 x 50 $ 33 27210412 DYE OPHTHALMIC 0.06% 2.25 ML $ 210 27210484 NEEDLE REGIONAL BLOCK 22 x 80 $ 33 27210998 IRRIGATION LAPAROSCOLY W/BATTE $ 210 27211134 STAPLER ENDO LIN CT ART 45 $ 1,794 27211258 SCOTCHCAST 4 x 30" $ 43 27211377 DILATOR PUPIL MORCHER $ 774 27211432 STAPLER HEMMOROID CIRCULAR $ 1,627 27211502 CANNULA ELBOW 5.75 X 5 CM $ 134 27211701 PACK PHACO AMO $ 237 27211944 BACK CATARACT AMO $ 395 27211945 VISCOELATIC 0.85ML HEALONGV $ 254 27212157 SPRAYER TISSELL SET $ 237 27212159 SEALANT TISSELL 5ML KIT $ 2,336 27212160 APPLICATOR TISSEEL 5ML $ 92 27212335 TIP PHACO $ 278 27212507 NEEDLE INJECTION 21G X 14.6" $ 134 27212653 STAPLER ECHELON 60 LONG $ 1,602 27212654 STAPLER E EA 21 CIRC LONG $ 1,693 27212655 TROCAR 5MM LONG $ 85 27212656 SLEEVE TROCAR 12MM LONG $ 223 27212657 TROCAR 12MM LONG $ 339 27212659 IRRIGATION LAPAROS W/O TIP LON $ 303 27212739 TUBING INSUFFLATOR KARL ST $ 30 27212754 SET URETERAL 5X70 PIG RT IRRIG $ 275 27212826 APPLICATOR TISSEEL 30CM DUPLOS $ 350 27212842 SLEEVE CANNULA W/SEAL 5MM $ 36 27212843 TROCAR 5X100 N/BLADE SMOOTH $ 129 27212844 TROCAR 11X100 N/BLADE W/THREAD $ 167 27212845 TROCAR 12X100 BLUNT TIP HASSAN $ 136 27212846 TROCAR 12X100 N/BLADE W/THREAD $ 167 27212847 TROCAR 8X100 W/BLADE W/THREAD $ 128 27212848 APPLIER CLIP 10MM W/20 MED/CG $ 360 27212895 KIT PEG TUBE 20FR PULL $ 353 27213043 TROCAR 15X100 W/O BLADE XCEL $ 569 27213065 SCISSORS HARMONIC SCALP WAVE $ 1,648 27213492 SET INTRODUCER SUPRAPUBIC 16FR $ 377 27213505 TROCAR 5X150 W/SLEEV W/O BLD X $ 286 27213506 TROCAR 12X150 W/O BLD W/SLEEVE $ 467 27213811 SLEEVE 5MM X 100 CB5LT $ 147 27213921 DEVICE FIXATION 38CM SALUTE II $ 2,094 27213938 SPONGE PATTIES 1/2 X 3 $ 48 27214451 SET DRILL & PIN $ 401 27214851 PAIN MGMT SYS 100X2/HR W/O H $ 810 27215200 STAPLER LNG 60 ARTICULATING $ 1,697 27215201 STAPLES LNG 60 ARTICULAT WHI $ 707 27215203 STAPLES LNG 60 ARTICULAT BLU $ 707 27215204 GUIDEWIRE .038 X 145 FIX CORE $ 53 27215280 PIN GUIDE 3.2 X 12 ZIM $ 88 27215368 RETRIEVER FOOD BOLUS ROTH $ 450 27215766 GUIDEWIRE 3.0X100 BALLTIP ZIM $ 700 27215778 GUIDEWIRE 2.4X100 SMOOTH TIP Z $ 576 27215798 PIN GUIDE 3.2X9 SMO TROCAR ZIM $ 84 27216023 CATHETER CHOLANG 4.5 TAUT $ 155 27216024 CATHETER CHOLANG 5.5 TAUT $ 155 27216025 CATHETER CHOLANG 6.5 TAUT $ 69 27216042 TUBE JEJUNAL/FEED GAST $ 350 27216142 BLADE EYE 60 DEG ANGLED SMOOTH $ 95 27216247 UROLOGY IRRIG BULB PATHFINDER $ 189 27217121 DEVICE CLIP FIXING $ 317 27217141 PENCIL ESU (UNDERWATER) $ 264 27217192 DRILL BIT 5mm FLUTED BALL $ 512 27217794 CANNULA VISCOELASTIC 27 X 7/8 $ 17 27217992 TUBING SMOKE EVAC W/PENCIL $ 88 27218225 STAPLER HERNIA TACKER/20 $ 2,862 27218226 SCISSORS HARM SCALP FOCUS $ 1,986 27218632 BLADE OPATHASTIG 10MM DBL $ 266 27218654 GUIDE LIGHT NUVASIVE $ 2,151 27218655 KIT XLIF SPINE NEUROVISION $ 3,806 27218656 MODULE II SPINE W/ELECTRODES $ 5,438 27218904 DRILL 3.7 STD PERIARTIC ZIM $ 777 27218912 PIN GUIDE 1.6MMx6"SMO TROC ZIM $ 50 27218978 CATHETER STONE MGMT ACCORDIAN $ 1,412 27219659 PENCIL ESU W/BLADE & SMOKE EVA $ 170 27219986 BIT DRILL - CUTTER 3.2 $ 386 27220092 NEEDLE BIOPSY 18G x 16cm $ 158 27221016 TROCAR 11X100 N/BLD. N/THRD $ 161 27221022 BLANKET WARMING UPPER 74 X 24 $ 43 27221023 FORCEP GRASPING 3-PRONG $ 254 27221597 ELECTRODE HOT KNIFE $ 475 27221931 TUBE EAR. 89 X 7 ST. SHANK $ 58 27221933 DRAIN MALECOT CATH 32FR4-WING $ 95 27221942 FILIFORM WOVEN SPIRAL $ 278 27221944 CATHETER FOLEY CARSN COUDE LTX $ 44 27221968 BIOPSY SYSTM DETACH 189 10CM $ 291 27222034 KIT REPAIR GROSHONG 8FR $ 528 27222041 ADAPTER J-TUBE FEED DBL PORT $ 86 27222075 TUBE TRACH W/O CUFF FEN $ 203 27222148 STAPLER LIN CUT 35MM REG FLEX $ 1,159 27222373 TROCAR 12X100 W/BLD W/THRD $ 130 27222375 CANNULA & SEAL 11X100 N/THRD $ 81 27222376 CANNULA & SEAL 12X100 W/THRD $ 69 27222382 FORCEP TRIPOLAR 5MM ROTATING $ 1,836 27222426 PROBE HEMOSTASIS BIPOLAR 7FR $ 693 27222479 ERASER 18GA ANGLE/BL UNT $ 39 27222480 ERASER 23GA FINE PT TPR $ 157 27222505 BAND FALOPE RING $ 313 27222601 BIT DRILL 3.2 X 12.7 ZIM $ 193 27222717 CATHETER RADIAL ARTERY AK04020 $ 70 27223466 PUNCH BONE DISP $ 350 27223514 ELECTRODE DEFIB/PACE M3501A $ 73 27223519 BIT DRILL 2.0 X 125 SYNTHES $ 328 27223549 ELECTRODE ESU 6 3/8 W/TEFLON $ 27 27223833 SUTURE O CAPIO $ 138 27223834 SUTURE DEVICE,CAPIO SUTURE $ 1,525 27224582 EXTERNAL FIXATION WRIST $ 6,958 27224981 VISCOELASTIC L/F DISCO VISE $ 417 27225258 LASSO SUTURE SD 25 TIG CV RT $ 1,036 27225260 KIT ANCHOR SHOULDER PUSHLOK $ 1,495 27225411 BLADE XPLNT ACET CP TRUNCAT 52 $ 3,139 27225412 BLADE XPLNT ACET CUP FULL 52mm $ 3,139 27225434 ADAPTER DUAL SPK LAPIRR DAV $ 80 27225435 ELECTRODE L HOOK LAP IRR DAV $ 188 27225881 VACUUM ASSIST DELIV SYSTEM $ 147 27225888 BLADE SAW .020 ULNAR $ 350 27226315 CATHETER FOLEY HEMAT 24f 30cc $ 107 27226673 ELECTRODE RESECT LOOP 30 MED $ 2,013 27226687 KIT INJECTION ACP ARTHREX $ 886 27227034 CONNECTOR SUTURE PERFECT-PASSR $ 532 27227035 CARTRIDGE SUTURE PERFECT PASSR $ 665 27227298 DRILL BIT 4.3 x 195 QC ZIMMER $ 630 27227299 DRILL BIT 2.5 x 180 QC ZIMMER $ 525 27227548 CATH FOLEY COUNCL TIP 18fr 5cc $ 52 27228237 CATHETER DIALYSIS 23cm $ 2,095 27228238 CATHETER DIALYSIS 28cm $ 2,095 27228239 DIALYSIS CATHETER 33cm $ 2,095 27228409 WIRE KIRSCHNER .86mm ARTHREX $ 28 27228600 TRAY TRACH ESOPH AIRWAY $ 104 27228910 PACK LUMBAR SPINE $ 167 27228911 PACK CERVICAL SPINE $ 167 27229078 BLADE BONE MILL DISP - SPINE $ 1,313 27229229 KIT INTRODUCER GROSHONG $ 350 27229477 DRILL BIT BURR FLUTD 5mm-SPINE $ 285 27229553 DRILL BIT BURR FLUTD 2mm-SPINE $ 265 27229554 DRILL BIT BURR FLUTD 3mm-SPINE $ 285 27229562 COLLAR,CERVICAL MIAMI J -SPINE $ 95 27229668 SEALANT HEMOSTATIC SURGIFLO $ 783 27229694 CUTTER VITRECTOMY 20g $ 641 27229701 IRRIGATION SLEEVE $ 53 27229704 SET KNIFE OPHTHALMIC $ 63 27229721 SET BI-MANUL DISP OPTH IRR/ASP $ 88 27229910 FLOSEAL APPLICATR (ENDOSCOPIC) $ 246 27229949 SURGICEL 4x4 HEMOSTATIC $ 726 27230042 DURAPREP 26ml $ 11 27230045 DURAPREP 6ml $ 9 27230048 SURGICAL SNOW (HEMOSTATIC) $ 328 27230054 ELECTRODE BLADE 2.75"SINGL USE $ 17 27230063 HANDSWITCHING SUCTN COAGULATOR $ 36 27230070 LAMINAR FLO W/20ga SLEEV&TEST $ 85 27230072 CATHETER URETERL DUAL LUM 10fr $ 85 27230168 TACK ABSORBABLE 5mm $ 1,610 27230198 DRILL BIT TURQ LONG 3mm $ 531 27230204 DRILL BIT MATCHSTICK LONG $ 495 27230209 DRILL BIT MATCHSTICK LONG $ 589 27230266 SHAFT HANDPIECE ALTRUS 16cm $ 2,953 27230267 SHAFT HANDPIECE ALTRUS 36cm $ 2,953 27230290 EAR WICK POPE OTO-WICK MEROCEL $ 17 27230557 BLADE TRI-CUT 4MM $ 755 27230660 SYSTEM,GELPORT LAPROSCOPIC $ 1,960 27230693 STENT URETERAL DIVERSION 6FR $ 425 27230702 SHAFT HDPIECE ALTRUS 10mm 16cm $ 3,186 27230720 SUTURE FIBERWIRE #2 $ 248 27230807 RETRACTOR O WOUND ALEXIS $ 245 27230808 GRASPER LAP DISPOSABL 5 x 35cm $ 272 27230809 GRASPER LAP DISPOSABLE 5x45cm $ 272 27230818 CHLORAPREP 26mL TEAL $ 31 27230854 NEEDLE VERRES $ 47 27230856 TUBING COZ 10ft $ 30 27230859 SUCTION IRRAGATOR HANDLE $ 114 27230886 HERNIA BALLOON LAP INSTR. $ 2,219 27230891 LIGASURE 5mm SEAL/DIVIDR DISP $ 2,368 27230892 LIGASURE 10mm TISSUE FUSN DISP $ 1,926 27230914 KYPHOPLASTY 15mm $ 15,259 27230938 LIGASURE IMPACT INST (VAG/HIS) $ 2,857 27230982 EVICEL FIBRINOGEN SEALANT $ 2,739 27231062 SCREW RECON HEXHEAD 5.5x65mm $ 594 27231119 PIN GUIDE 1.6 x 6" $ 58 27231313 LIGASURE SMALL 1.8cm (TRIAL) $ 2,082 27231314 GELPOINT SINGLE INCISION $ 2,121 27231628 DISSECTOR ANGLED LAP 5mmX45cm $ 297 27231665 SUPERJAW BIPOLR 22mm LG(TRIAL) $ 1,359 27231666 TRIO LAP BIPOLR DEV 35cm(TRIAL $ 993 27231773 WIRE SENSOR 3mm STRAIGHT .038" $ 680 27231924 DILATOR URETERAL 18fr x 4 x 6 $ 1,423 27231979 CLIP ENDO AUTOSURE $ 1,813 27232006 BLADE STYLUS 150 $ 29 27232010 TRACH ADULT LONG 8x120mm BIVON $ 436 27232069 ELECTRODE BIPOLAR 6 SILVER 7fr $ 636 27232153 INTRODUCER SHEATH 11fr 13cm $ 302 27232174 SURGIFLO HEMOSTATIC MATRIX $ 529 27232191 APPLICATR ENDOSCOPC 4 SURGIFLO $ 265 27232220 DILATOR URETERAL STERILE $ 743 27232264 TROCAR 5 x 100 SMOOTH $ 138 27232268 SURGICEL 2 x 4 $ 461 27232276 TRACH CUSTOM SMITHS MED $ 2,023 27232280 STYLET FOLEY INSERTION $ 83 27232282 CATHETER URETHRAL SIX-EYED $ 84 27232283 CATH FOLEY COUNCL TIP 20fr 5cc $ 53 27232324 TUBE TRACH #4 $ 354 27232342 POSITIONER PRONE HEAD $ 105 27232530 8mm BLADELESS $ 105 27232531 TIP COVER $ 85 27232532 DRAPE 3-ARM ROBOT $ 819 27232533 DRAPE 4-ARM ROBOT $ 1,065 27232534 CANNULA SEATS 8.5-13mm $ 1,635 27232753 DRILL BIT CANN 2.7MM ZIMMER $ 780 27232772 DRILL CALIBRATED 4.9mm ORTHO $ 1,283 27232881 PORT ADJUSTABLE BIOPSY SEAL $ 71 27232902 VCARE XLARGE 40mm $ 314 27232903 VCARE SMALL 31mm $ 314 27232904 VCARE MEDIUM 34mm $ 314 27232905 VCARE LARGE 37mm $ 314 27232965 VCARE DX $ 310 27233041 KIT LAP D-HELP $ 167 27233054 HEALON ENDOCOAT 25g .85ml $ 221 27233055 HEALON .55ml US $ 149 27233056 HEALON DUAL PACK .55 $ 319 27233057 SUCTION CAUTERY HAND CONTROL $ 546 27233090 VLOC 180 $ 123 27233092 FILTER PLUM PORT LAPAROSCOPIC $ 80 27233159 KIT INSERT DISPOSABLE ARTHREX $ 385 27233162 ABLATION WAND ARTHREX $ 717 27233163 BLADES/BURS BONE CUTTER ARTHRX $ 188 27233164 TUBING PUMP AR6410 ARTHREX $ 252 27233206 ARM XTRA INTUITIVE $ 188 27233207 SEAL 5mm INTUITIVE $ 64 27233221 DRILL 4.2 x 1800 SMALL $ 599 27233229 CLIPS HEMOLOK LARGE $ 26 27233231 APPLIER SMALL $ 4,574 27233232 APPLIER MED-LARGE $ 3,050 27233237 DRILL BIT CANNULATED 4.0 ARTHX $ 616 27233238 GUIDEWIRE W/TROCAR TIP 12 ARTH $ 105 27233249 DISSECTOR CURVED 4 x 13 $ 170 27233256 CAMERA DRAPE ARM $ 174 27233308 PIN GUIDE TROCAR 1.25mm x 6 in $ 75 27233346 CATHETER 8FR POWERPORT CLEARVU $ 1,770 27233387 ELECTROLUBE OIL $ 107 27233432 DRILL BIT FLUTED 5mm $ 447 27233502 TRAY UROLOGY HEYMAN $ 864 27233509 CARTRIDGE BLADE 19.5x1.33x105 $ 1,237 27233542 KIT PUSHLOCK DISPOSABLE 2.9 $ 691 27233544 ENDOCLOSURE DEVICE $ 621 27233546 ENCORE UROLOGY 26 SGL 15105 BS $ 120 27233565 DRILL 1/8" W/O STOP STRYKER $ 313 27233599 CATHETER CURVED MOD 5.O x 35 $ 218 27233714 FILTER PLUM PORT LAPARO-BF $ 58 27233741 DRILL BIT ZIMMER $ 214 27233895 HEAD POSITIONER UNIVERSL DISP $ 47 27233896 KIT TRIMONO BEACH CHAIR $ 167 27234001 KIT DISP BIO-SUTURETAK W/SPEAR $ 317 27234003 NEEDLE MULTIFIRE SCORPION $ 1,670 27234014 PROVISC .55 ALCON $ 69 27234015 VISOCOAT .75 ALCON $ 112 27234078 SHEATH TUNNELER A/V 6mm $ 101 27234132 PIN FLUTED HEADLESS 3" TRIAT $ 129 27234145 BLADE HELICAL 90mm $ 1,813 27234147 GUIDEWIRE SYNTHES 357.399 $ 274 27234148 DRILL BIT 4mm $ 550 27234164 DRILL ORTHO 4.2 300mm STRYKER $ 592 27234261 KIT SHOULDER STABLIZATION $ 1,666 27234367 BALLOON DIALATION 18-20 $ 453 27234368 HANDLE INFLATION REUSEABLE $ 1,016 27234369 DILATOR SYRINGE BLUE $ 416 27234394 K-WIRE 1.6mm WITH BALL $ 200 27234395 K-WIRE 1.6mm x 150mm $ 31 27234437 GUIDEWIRE TROCAR TIP 1.35mm $ 47 27234438 DRILL BIT CANNULATED 2.6mm $ 255 27234459 KIT FILTER IVC FEMORAL DENALI $ 2,824 27234466 GUIDEWIRE GLIDR E-2 STRAIT TIP $ 65 27234467 GUIDEWIRE EZ GLIDER STRAIGHT $ 74 27234600 DRILL BIT 2.0 x 140mm $ 437 27234601 DRILL BIT 2.8 x 165mm $ 264 27234618 ROLLER CUTTING OLYMPUS $ 983 27234653 NASOPORE 8cm STRYKER BOULAS $ 351 27234663 K-WIRE 1.143mm W/MARKING 0.045 $ 84 27234670 K-WIRE 17mm STOP STRYKER $ 112 27234671 DRILL 1.9 x 105MM TWIST $ 363 27234739 CUTTER FLIP 9.5mm II $ 678 27234740 FIBERWIRE FIBERSNARE 26 #2 $ 210 27234859 PACK SB OSSEOFLEX $ 6,023 27234860 CEMENT BONE PMMA $ 832 27234861 NEEDLE 8 GAUGE OSSEOFLEX $ 3,900 27234862 CEMENT BONE MIXER $ 323 27234863 CEMENT DELIVERY SYSTEM $ 1,311 27236123 MYOSURE DEVICE $ 1,766 27277790 PACKS-ICE 6 82/24 $ 9 27277808 CAPS PRN INJECTION SITE $ 9 27280068 SUPPLY LEVEL 1 $ 1,561 27283271 CLIP SUTURE LAPRATY $ 167 27290026 TIP IRRIGATOR KNEE SOFT SPLASH $ 75 27290117 BRUSH I.M. REG 14MM $ 56 27290325 DRILL BIT ECT 2mm ZIMMER $ 177 27290359 STIMULATOR NERVE VARI-STIM $ 223 27290374 CORD BIPOLAR COAGULATION DISP. $ 22 27290532 TROCAR 11X100 W/O BLD W/SLEEVE $ 316 27290862 WAX BONE $ 27 27292561 ELECTRODE ESU EXTENDED 6 3/8 $ 22 27293915 SCISSORS CVD W/CAUTERY ENDO SH $ 418 27294389 SET URETERAL 6X24 PERCUFLEX $ 744 27295591 BLADE ARTHRO FULL RAD 2.9 $ 324 27296769 KIT PEDIATRIC URINE SPEC 5FR $ 26 27296877 DRAIN WOUND SM 3/32 HEMOVAC $ 27 27297518 TUBING CANULA SET SM JOINT $ 576 27297774 TRAP DIGIT $ 82 27297901 TUBE "T" $ 43 27298147 CATHETER URETERAL 6fr OPEN $ 546 27299104 STAPLER ROTICULAR 5mm ENDO $ 399 27299500 SUPPLY LEVEL 1 $ 1,561 27299501 SUPPLY LEVEL 2 $ 2,598 27400083 ANCHOR SHOULDER 8X16 W/SPIKE $ 630 27400100 SCREW HAND 1.7X14 $ 128 27400155 SCREW HIP LAG 95MM OMEGA $ 581 27400156 KNEE FEM COMP MED LEFT BEAD $ 6,241 27400158 PROSTHESIS HIP 45MM MOORE $ 2,375 27400199 SCREW CANNULATED 7.3X75 16 THR $ 491 27400213 GRAFT VASCULAR 22X11 BIF DBL V $ 2,252 27400230 SCREW HIP LAG 85MM OMEGA $ 560 27400231 SCREW CORTICAL 4.5X32 $ 51 27400238 MESH HERNIA 7.6 CM 3"SM CIRCLA $ 2,440 27400307 SCREW HAND 1.7X8 $ 123 27400344 CLAMP MUSCLE BIOPSY 10MM $ 98 27400380 PROSTHESIS HIP 47MM THOMPSON $ 2,470 27400383 IMPLANT FINGER SZ 20 $ 2,731 27400441 GRAFT VASCULAR 8X60 W/FLEX $ 6,306 27400457 KNEE FEM COMP MED RT $ 9,431 27400496 SCREW HAND 1.7X7 $ 134 27400499 SCREW HAND 1.7X5 $ 134 27400500 SCREW HAND 1.7X9 $ 134 27400515 GRAFT VASCULAR 7X60 W/FLEX $ 6,306 27400524 PROSTHESIS HIP 45MM THOMPSON $ 2,553 27400530 PLATE HIP 150 DEG 6 HOLE OMEGA $ 799 27400552 SCREW HAND 1.7X6 $ 123 27400554 SCREW MALLEOLAR 4.5X45 $ 82 27400555 SCREW MALLEOLAR 4.5X40 $ 84 27400582 PLATE HIP 135O 4 HOLE $ 831 27400595 BASEPLATE KNEE TIB MED 1 $ 6,106 27400612 INSERT ACETAB 28 NEUT P3 $ 2,282 27400613 SHELL CLUST 52MM VITALOCK $ 4,378 27400614 SCREW CANCELLOUS 6.5X16MM $ 313 27400640 HIP SHELL CLUST 56MM VITALOCK $ 4,209 27400641 INSERT ACETAB 28 NEUT P4 $ 2,193 27400645 SCREW CANCELLOUS 6.5X24 $ 319 27400650 SCREW CANCELLOUS 6.5X20 $ 324 27400662 SCREW HIP LAG 80MM $ 560 27400666 CENTRALIZER HIP DIST 11MM DEFI $ 353 27400667 HIP STEM PRECISION DEFINITN #1 $ 9,096 27400679 SCREW HAND 2.3X15 LEIBINGER $ 137 27400684 GRAFT VSCULAR 24X12 BIF DBL VL $ 2,210 27400751 SCREW HIP LAG 105MM OMEGA $ 674 27400774 SCREW MALLEOLR 4.5X35 $ 74 27400775 SCREW CORTEX 3.5X32 $ 58 27400784 PLATE HIP 145 DEG 5 HOLE OMEGA $ 838 27400806 MESH HERNIA 7.5X15 COMPOSIX $ 988 27400864 SCREW CANCELLOUS 6.5X14 HMDCA $ 319 27400866 BASEPLATE TIBIAL BEAD CRUFRM 2 $ 2,880 27400909 SHELL CLUST 50MM SZ P3 VITALOK $ 4,378 27400956 PLATE HAND 2X2+2 HOLE $ 684 27400993 PROSTHESIS HIP 49MM MOORE $ 3,052 27400994 DEVICE TRANSVAGINAL TACKING $ 2,374 27401041 SCREW CANNULATED 3.0X34 LNG TH $ 411 27401055 SHELL ACETABULAR CLUST 48 P2 $ 4,209 27401056 INSERT ACETABULAR 28 NEUT P2 $ 2,143 27401058 HEAD HIP FEM 28 +8 LNG 5O 40TP $ 1,297 27401071 HEAD HIP FEM 28+4 MED 5O $ 1,732 27401086 SCREW CANNULATED 3.0X21 LNG TH $ 411 27401125 HEAD HIP FEM COMP 28 STD DEFIN $ 1,732 27401201 SCREW CANNULATED 3.0X24 L THRD $ 417 27401202 WASHER 6.5 FOR 3.0 TI CAN SCRW $ 50 27401231 MESH HERNIA VENT 8x10 KUG $ 8,151 27401258 MESH HERNIA 11X14 MED OVAL $ 4,228 27401288 GRAFT VASCULAR PATCH 2X3 $ 939 27401642 GRAFT VASCULAR 6X80 CARB BARD $ 3,998 27401886 GRAFT VASCULAR 8x80 RING CARBO $ 5,591 27401887 GRAFT VASCULAR 6x80 RING $ 5,814 27401976 GRAFT VASCULAR 6x80 SMCUF BARD $ 9,745 27402369 SCREW CORTEX 4.5X42 $ 60 27402390 SCREW CANCELLOUS 4X14 FUL THRD $ 49 27402576 PLATE DCP 3.5mm 7 HOLE $ 395 27402589 ANCHOR SHOULDER SUPER 4 PRONG $ 657 27402599 SCREW CORTEX 4 5X34 SELF TAP $ 74 27402675 GRAFT VASCULAR PATCH .3 X 3 $ 350 27402917 SCREW INTERFER 7X20 SHEATHED $ 333 27402971 SCREW INTERFER 7X20 N. SHEATH $ 277 27402975 GRAFT VASC 14X7 BIFURCATED $ 2,252 27404647 PIN RUSH ALL SIZES $ 416 27404762 PROSTHESIS HIP 47MM MOORE $ 3,174 27404881 PLATE "T" SM OBLIQUE 3 HOLE $ 513 27404884 PLATE 1/3 TUBULAR W/COL 8-HOLE $ 149 27404891 CEMENT BONE SIMPLEX $ 250 27405503 PLATE DCP 3.5 X 6 HOLE SM FRAG $ 396 27405528 WIRE KIRSCHNER 1.6X150 SYNTHES $ 43 27405606 MESH HERNIA 12X12 LG CIRCLE $ 3,321 27406853 RESERVIOR PENILE PROSTHE 65 ML $ 7,345 27407288 SCREW CANNULATED 2.4X22 OSTEOM $ 406 27407400 SCREW CORTEX 3.5X10 $ 53 27407900 MESH HERNIA 7.7X9.7 XLG OVAL $ 7,392 27408024 SCREW CANNULATED 2.4X20 OSTEDM $ 1,207 27408092 GRAFT VASCULAR 6X40 RING CARB $ 1,364 27408513 SCREW CANCELLOUS 4X16 FUL THRD $ 49 27408515 SCREW CANCELLOUS 4X18 FUL THRD $ 60 27408563 SCREW CANCELLOUS 4X12 PART THR $ 47 27408594 SCREW CANCEL PART THR 4 X 50MM $ 62 27408652 MESH HERNIA PLUG LG PERFIX $ 619 27408657 SCREW CORTEX 4 5X40 SELF TAP $ 75 27409046 ANCHOR SHOULDER 6 X 16 $ 628 27409047 ANCHOR SHOULDER 8 X 16 $ 629 27409063 PORT DRUG DEL 8FR SING LUM $ 1,609 27409076 SCREW CORTEX 3 5X12 SYNTHES $ 53 27409093 SCREW CORTEX 3.5X16 SYNTHES $ 58 27409094 SCREW CORTEX 3.5X18 $ 53 27409095 SCREW CORTEX 3.5X22 SYNTHES $ 58 27409112 SCREW MALLOLEAR 4.5X50 $ 84 27409124 PLATE 1/3 TUBULAR 6 HOLE $ 144 27409147 SCREW CORTEX 3.5X14 $ 53 27409148 SCREW CORTEX 3.5X40 SYNTHES $ 58 27409150 SCREW CORTEX 3.5X24 $ 53 27409151 PLATE 1/3 TUBULAR 7 HOLE $ 144 27409171 PROSTHESIS HIP 44MM THOMPSON $ 2,470 27409174 SCREW CORTEX 3.5X20 $ 53 27409175 SCREW CORTEX 3 5X26 $ 71 27409176 SCREW CORTEX 3 5X28 $ 71 27409191 PROSTHESIS HIP 46MM THOMPSON $ 1,662 27409238 SCREW CORTEX 3.5X36 $ 53 27409245 PLATE 1/3 TUBULAR 4-HOLE $ 179 27409247 SCREW HAND 2.3X8 LEIBINGER $ 137 27409248 SCREW HAND 2.3X9 LEIBINGER $ 137 27409249 SCREW HAND 2.3X10 LEIBINGER $ 137 27409250 SCREW HAND 2.3X11 LEIBINGER $ 137 27409251 SCREW HAND 2.3X12 LEIBINGER $ 137 27409255 PLUG BONE SM $ 310 27409304 ANCHOR SHLDR GII QUICKANCHOR $ 665 27409361 WASHER 13MM FOR LG SCREWS $ 61 27409365 SCREW CANCELLOUS 6 5X60 32 THR $ 117 27409407 HEAD HIP FEM 26MM STD $ 1,807 27409426 PIN KNOWLES 3 1/2 IN $ 252 27409427 PIN KNOWLES 3 3/4 IN $ 252 27409446 SCREW MALLEOLAR 4 5X55 $ 82 27409449 SCREW CANCELL 4X30 PART THRD $ 63 27409530 PLATE 1/3 TUBULAR 5-HOLE $ 140 27409533 SCREW CORTEX 4.5X36 $ 60 27409559 CABLE HIP CERCLAGE $ 860 27409563 PIN KNOWLES 3 1/4 INCH $ 171 27409588 SCREW HAND 1.7X12 $ 225 27409590 PROSTHESIS MAMMARY 300CC $ 2,200 27409608 SCREW CANCELLOUS 6.5X20 FULL $ 410 27409616 WASHER THREADED FOR 3 0 SCREW $ 449 27409669 HEAD HIP FEM COMP 26MM DEFIN $ 1,666 27409671 GRAFT VASCU 18X9 BIFUR DBL VEL $ 4,095 27409698 STAPLES VASCULAR/THIN WHITE 35 $ 614 27409755 GRAFT VASCULAR 20X10 DBL VEL $ 2,299 27409765 BUR ARTHROSCOPY 5.5 ACROM $ 136 27409804 WASHER 7 0MM FOR SM SCREWS $ 52 27409832 SCREW HAND 2.3 X 16 LEIBINGER $ 137 27409834 PLATE HIP 135 DEG 6 HOLE OMEGA $ 783 27409837 SHELL ACETABULAR 55MM VITALOC $ 8,411 27409869 PROSTHESIS HIP 51MM THOMPSON $ 2,994 27409875 SHELL CLUSTER HIP 60MM VITALOC $ 4,209 27409887 STAPLER CIRCULAR 29 $ 2,533 27409893 SCREW HAND 1.7X10 $ 107 27409895 PLATE HAND REPLANT 2X4 HOLE $ 638 27409897 SCREW HIP LAG 100MM OMEGA $ 516 27409899 SCREW CORTICAL 4.5 X 34 $ 60 27409901 SCREW CORTICAL 4.5X42 HMDCA $ 51 27409922 SCREW CORTICAL 4.5X44 OMEGA $ 70 27409934 PROSTHESIS HIP 51MM MOORE $ 2,910 27409951 CENTRALIZER HIP DISTAL 12MM $ 300 27409952 PLATE HIP 135 DEG 3 HOLE OMEGA $ 851 27409953 SCREW HIP LAG 90O OMEGA $ 514 27409954 PLATE HIP 135 DEG 2-SLOT OMEGA $ 827 27409960 SCREW CORTICAL 4.5X40 OMEGA $ 81 27409969 PLATE HIP 140O 4 HOLE OMEGA $ 713 27409983 PLATE HIP 145O 4 HOLE $ 977 27409985 SCREW CORTICAL 4.5X34 $ 50 27409986 SCREW CORTICAL 4.5X36 $ 74 27416907 MESH HERNIA 14X18 LG OVAL $ 5,687 27418577 BRACE HIP ABDUCTION $ 2,606 27430161 HEX BUTTON 5.0 $ 166 27430162 ROD FEMORAL 14mm x 26cm $ 2,610 27430164 SCREW CORTICAL 5.5 x 45 $ 320 27430764 PUMP PROSTHESIS PENILE 700cxMS $ 30,157 27430870 MESH 3D HERNIA LB-LEFT $ 1,027 27430873 MESH 3D HERNIA LG-RIGHT $ 1,027 27431515 GUIDE PIN 3.2 X 14" $ 112 27500039 LEAD PACEMAKER VENTRICAL 59CM $ 1,769 27500073 LEAD PACEMAKER ATR/VENT 52 CM $ 2,364 27500134 LEAD PACEMAKER VENTRIC UNIPOLR $ 2,620 27500498 PACEMAKER SING CHAMB 5/80 $ 16,398 27500733 LEAD PACEMAKER BIPLR ATRIAL 52 $ 2,892 27501092 LEAD PACEMAKER VENTRIC 58CM $ 2,242 27501160 LEAD PACEMAKER ATRIAL 58CM $ 2,364 27501165 LEAD PACEMAKER 48 CM $ 1,769 27501167 LEAD PACEMAKER 52CM $ 1,941 27501383 PACEMAKER SING CHAMBER 1198 $ 16,696 27501664 PACEMAKER DUAL CHMBR R.R. $ 19,680 27505076 LEAD PACEMAKER A/V 5076-52 $ 2,242 27505668 LEAD PACEMAKER 58CM 1646T/58 $ 1,439 27506488 LEAD PACEMAKER VENTRICAL 58 CM $ 2,242 27507945 PACEMAKER DUAL CHAMBER 1294 $ 19,681 27508921 PACEMAKER SING CHMBR ..KAPPA $ 8,953 27509574 PACEMAKER DUAL R/R ENRYTHM $ 16,413 27509576 LEAD PACEMAKER 52 CM CAPSURE $ 2,242 27509734 LEAD PACEMAKER ATRIAL 53CM $ 2,818 27509815 LEAD PACEMAKER VENTRICAL 52 CM $ 1,769 27509880 LEAD PACEMAKER BIPOLAR 5FR $ 2,691 27509975 LEAD PACEMAKER 52CM 1388T $ 1,726 27510896 LEAD PACEMAKER VENT 58 1688TC $ 1,726 27511683 PACEMAKER DUAL CHMBR 5357M/S $ 15,207 27511705 PACEMAKER DUAL CHMBR R/R 5816 $ 17,200 27512356 LEAD PACEMAKER ATR52 1688T $ 2,801 27513179 PACEMAKER SINGLE CHMBR 5610 $ 15,766 27516239 LEAD PACEMAKER ATRIAL 52CM $ 2,969 27518735 PACEMAKER DUAL CHMBR CYCOS DR $ 9,816 27518736 LEAD PACEMAKER 60CM 350975 $ 799 27518744 INTRODUCER PACEMAKER 9F SAFE S $ 176 27530077 PACEMAKER SINGLE CHAMBER $ 8,667 27530078 PACEMAKER LEAD 58cm $ 1,182 27532599 PACEMAKER SINGLE CHAMBR ADVANT $ 13,141 27532601 PACEMAKER DUAL CHAMBR ADVANTIO $ 13,141 27590001 TRAY - CATHETER (CHG EXP) $ 236 27590002 TRAY - INTRODUCER (CHG EXP) $ 236 27590003 TRAY - WIRE GUIDE (CHG EXP) $ 236 27603540 INTRAOCULAR LENS ANTERIOR $ 1,191 27603541 INTRAOCULAR LENS POSTERIOR $ 1,533 27615081 LENS IOL REZOOM DIFFERENTIAL $ 760 27624434 LENS IOL TORIC DIFFERENTIAL $ 352 27627797 LENS IOL CRYSTALENS DIFFERENTL $ 1,455 27630012 CANNULA "J" 25 x 7/8 $ 26 27697837 CANNULA "J" 23 x 7/8 $ 22 27800001 ACDF PEEK 0-5 DEGRE SPINE $ 2,040 27800002 PEEK OLIF - SPINE $ 9,058 27800003 8 DEG LORDOSIS-TIMBERLINE $ 9,058 27800004 VARIABL SCREW-DURANGO-SPI $ 682 27800005 PLATE COVER-DURANGO-SPINE $ 1,700 27800006 ALIF PEEK 12 DEGREE-SPINE $ 6,795 27800007 PLATE - DURANGO - SPINE $ 3,512 27800008 CURVED ROD - SPINE $ 569 27800009 POLYAXIAL SCREW - SPINE $ 1,926 27800010 CROSS CONNECTOR - SPINE $ 1,814 27800011 SCREW SET - SPINE $ 115 27800012 LOCKING CAP - SPINE $ 115 27800013 SCREW,FX ANGLE,SELF DRILG $ 410 27800014 SCREW,VAR ANGLE,SELF TAPG $ 410 27800015 SCREW,VAR ANGLE SELF DRLG $ 410 27800016 3 LEV PLATE-SNOWCAP-SPINE $ 2,606 27800017 2 LEV PLATE SNOWCAP-SPINE $ 2,154 27800018 JAMSHIDI NEEDLE - SPINE $ 230 27800019 MED CURVED ROD PERC-SPINE $ 738 27800020 SCREW CANNULATED PLYAXIAL $ 2,381 27800021 LATERAL ACCESS KIT-SPINE $ 3,590 27800022 K-WIRES - SPINE $ 161 27800030 STALIF TT MIDLINE/OBLIQUE IMPL $ 12,729 27800031 MTF PRE-FILLED ALLOGRAFT TUBE $ 374 27800032 MTF PRE-FILLD ALLOGFT DIV TUBE $ 554 27800033 SET SPINE OPTIMESH SEQ DILATOR $ 908 27800034 SET BLADE OPTIMESH - SPINE $ 1,700 27800035 OPTIMESH IMPLANT W/CRIMP TIP $ 18,113 27800039 CUSTOM XLIF - SPINE $ 18,099 27800040 CUSTOM VBR - SPINE $ 17,829 27800041 CUSTOM CR-L PEEK - SPINE $ 11,831 27800042 SCREW SPINE CUSTOM FIXED $ 4,077 27800043 SCREW SPINE CUSTM FIXD CAP TOP $ 3,750 27800044 STAPLES,CUSTOM SPHERX 4.5-7.5 $ 2,659 27800045 NEEDLE CUSTOM IPAS III-SPINE $ 671 27800046 ROD CUSTOM VUEPOINT - SPINE $ 1,025 27800047 ROD CUSTOM W/KWIRE HOLE120-200 $ 1,120 27800048 ROD CUSTOM W/KWIRE HOLE300-500 $ 1,610 27800049 CONNECTOR,CUSTOM OFFSET 100mm $ 2,250 27800050 CONNECTOR,OFFSET 11mm SPINE $ 1,133 27800051 PLATE SPINE XLP PLUS $ 9,058 27800052 PLATE SPINE HALO LUMBAR $ 9,735 27800053 PLATE SPINE AFFIX $ 10,189 27800054 PLATE SPINE TRAVERSE FIXED $ 10,189 27800055 PLATE SPINE TRAVERSE COMPRESSN $ 11,321 27800056 PLATE SPINE HALO 2-LEVEL $ 13,584 27800057 PLATE SPINE EMBRACE $ 2,265 27800058 CONNECTOR SPINE EYELET $ 1,248 27800059 CONNECTOR,ARMADA OFFSET-SPINE $ 1,362 27800060 CONNECTR,INLINE/PARALLEL/OFFST $ 1,700 27800061 CONNECTOR,FIXED CROSS - SPINE $ 1,814 27800062 CONNECTOR,SPHERX OFFSET-SPINE $ 1,894 27800063 CONNECTOR,4-HOLE ROD - SPINE $ 1,926 27800064 CONNECT,5.5mm FIXED CROSS-SPIN $ 2,040 27800065 CONNECTR,ARMADA SS CROSS-SPINE $ 2,493 27800066 CONNECTR,VUEPT FIXD CROSS-SPIN $ 2,719 27800067 CONNECTOR,TRANS - SPINE $ 2,947 27800068 CONNECTOR,FIXED TRANS - SPINE $ 2,988 27800069 CONNECTOR,FIXED SPHERXII-SPINE $ 1,700 27800070 PLATE GRADIENT 1-LEVEL - SPINE $ 1,814 27800071 PLATE GRADIENT 2-LEVEL - SPINE $ 2,040 27800072 PLATE GRADIENT 3-LEVEL - SPINE $ 2,265 27800073 PLATE LEVERAGE - SPINE $ 2,265 27800074 PLATE GRADIENT 4-LEVEL - SPINE $ 2,493 27800075 PLATE HELIX 1-LEVEL - SPINE $ 2,493 27800076 PLATE GRADIENT 5-LEVEL - SPINE $ 2,719 27800077 PLATE HELIX 2-LEVEL - SPINE $ 2,719 27800078 PLATE HELIX 3-LEVEL - SPINE $ 2,947 27800079 PLATE HELIX 4-LEVEL - SPINE $ 3,173 27800080 PLATE HELIX 5-LEVEL - SPINE $ 3,398 27800081 PLATE VUEPOINT KEEL - SPINE $ 6,795 27800082 PLATE XLP - SPINE $ 7,924 27800083 K-WIRE - SPINE $ 115 27800084 SCREW SPINE SHANK,SPHERX $ 1,362 27800085 SCREW SPINE ARMADA ILIAC $ 3,398 27800086 TI ROD 5.5mm ARMADA - SPINE $ 852 27800087 TI ROD PRE-BENT 5.5mm - SPINE $ 1,022 27800088 ROD PRE-BENT 25-55mm - SPINE $ 1,133 27800089 ROD PRE-BENT 60-500mm - SPINE $ 1,248 27800090 MAXCESS LIGHT CABLE - SPINE $ 797 27800091 NEUROVISION I-PAS III $ 797 27800092 MAXCESS FIXATION SHIMS - SPINE $ 908 27800093 SCREW HALO ANTERIOR $ 1,133 27800094 SCREW/LOCK NUT,ARMADA - SPINE $ 455 27800095 SCREW SPINE TULIP SPHERX $ 1,814 27800096 DILATORS,DISPOSABL NV M5-SPINE $ 2,265 27800097 KIT MAXCESS STERILE DISP-SPINE $ 2,947 27800098 EMBRACE LUMBAR 4-HOLE - SPINE $ 3,625 27800099 OSTEOCEL 5cc - SPINE $ 5,663 27800100 OSTEOCEL 10cc - SPINE $ 9,058 27800101 OSTEOCEL 15cc - SPINE $ 10,866 27800102 PROBE SPINE M5 SINGLE USE $ 569 27800103 MODULE M5 EMG/EMG NEEDLE-SPINE $ 1,133 27800104 MODULE M5 MEP/MEP NEEDLE-SPINE $ 2,719 27800105 COROENT (LX)OBLIQ/IMPACT PEEK. $ 10,189 27800106 XL THORACIC/LORDOTIC PEEK-SPIN $ 12,451 27800107 SCREW LUMBAR GRAFT-SP EMBRACE $ 908 27800108 SCREW POLYAXIAL,ARMADA $ 2,493 27800109 ELECTRODES NEEDLE BX BUFF SYNA $ 94 27800110 ELECTRODES SURFACE CS BUFF SYN $ 49 27800111 SCREW STIMULATR PED BUFF SYNAP $ 171 27800112 SPINAL VERTECEM II MIXING KIT $ 734 27800113 SPINL CONFIDENC NEEDL KIT 11cc $ 2,410 27800114 CEMENTLESS METAGLENE $ 2,995 27800115 MODULAR EPIPHYSIS $ 7,187 27800116 HUMERAL PE CUP - STD. $ 2,325 27800117 ECC GLENOSPHERE 38mm $ 4,268 27800150 PRODISC L-SUPERIOR END PLATE $ 10,688 27800151 PRODISC L-POLYETHYLENE INLAY $ 1,926 27800152 PRODISC L-INFERIOR END PLATE $ 10,688 27800153 PRODISC C IMPLANT $ 10,916 27800154 PRODISC C IMPLANT INSERTER TIP $ 357 27800155 MILLING BIT FOR EPEN $ 863 27800156 NUT,RETAINER - SYNTHES SPINE $ 158 27800157 SCREW SPINE RETAINER-SYNTHES $ 518 27800158 KIT DEVICE BAXANO iO-FLEX $ 6,786 27800159 PROBE BAXANO iO-FLEX $ 592 27800160 NEURO CHECK BAXANO iO-FLEX $ 3,165 27800161 HANDLE DISTAL BAXANO iO-FLEX $ 785 27800162 SHAVER BAXANO iO-FLEX $ 4,298 27800163 CATH/CANN BAXANO iO-FLEX $ 122 27800164 WIRE BAXANO iO-FLEX $ 216 27800165 BI-POLAR TRIGGER UNIQUE $ 1,359 27800166 DRAPE UNIQUE $ 196 27800167 KIT ACCESS W/REAMERS UNIQUE $ 1,352 27800168 TUBING - UNIQUE $ 196 27800169 TRIMMER TISSUE UNIQUE $ 682 27800170 REAMER ENDOSCOPIC - UNIQUE $ 657 27800193 HIP STEM #4 PRECISION DEFINITI $ 8,747 27800199 SCREW CORTICAL 4.5 X 38 $ 70 27800200 LOCK NUT/SCREW SPINE NUVASIVE $ 230 27800201 PIN HELIX SPINE TEMP FIXATION $ 455 27800202 SCREW GRADIENT PLUS BONE-SPINE $ 569 27800203 M5 EMG MOD W/CLIP/PROB SPINE $ 1,700 27800204 NV MOD W/INSTIM/CLIP/PROB SPIN $ 1,700 27800205 NV MOD W/CLIP & SHEATH $ 1,814 27800206 M5 EMG MOD W/PROB & CLIP $ 2,265 27800207 ALLOGRAFT IMPLANT-CERV/LORD $ 2,265 27800208 NV MOD W/NERVE RETRACTOR $ 2,719 27800209 M5 EMG MOD W/CLIP & SHEATH $ 2,834 27800210 HOOK ARMADA LAMINA/PEDICLE $ 1,588 27800211 LOCK NUT/SCREW,DBR II $ 286 27800212 HOOKS SPHERX $ 1,741 27800213 HOOK ARMADA DEF LAM/PED $ 2,265 27800214 M5 SSEP MODULE $ 2,947 27800215 M5 EMG MOD W/XLIF KIT $ 3,398 27800216 NV MOD W/XLIF KIT $ 3,398 27800217 TRIAD PLIF/TLIF ALLOGRFT IMPLA $ 4,531 27800218 EXTENSURE ALLOGRAFT IMP/SPACRS $ 5,663 27800219 COROENT XL-F/FW IMPLANTS $ 14,716 27800220 COROENT S IMPLANT PEEK $ 2,719 27800221 COROENT L/T IMPLANT PEEK $ 6,795 27800222 LOCK NUT/SCREW,TRAVERSE SPINE $ 342 27800223 COROENT XL IMPLANT PEEK $ 11,321 27800224 PEEK,TAPERED/KEELED XL-SPINE $ 13,584 27800225 SCREW HELIX SELF-DRILNG/TAPPNG $ 797 27800226 SCREW SPINE EMBRACE BONE/TI $ 797 27800227 SCREW SPINE BONE TRAVERSE/XLP+ $ 1,133 27800228 SCREW SPINE FIXD ARMADA/SPHERX $ 1,588 27800229 SCREW SPINE COROENT $ 2,265 27800230 SCREW SPINE SPHERXII POLYAXIAL $ 2,265 27800231 SCREW SPINE MULT-AXIAL VUEPNT $ 2,493 27800232 SCREW REDUCTION/LOCKING ARMADA $ 2,719 27800233 LOCK NUT/SCREW X-CORE SPINE $ 797 27800234 SCREW SPINE VUEPOINT POSTERIOR $ 2,719 27800235 BOLT SPINE TRAVERSE/XLP $ 1,700 27800236 ROD TEMPLATE 250mm SPINE $ 569 27800237 ROD TEMPLATE SPINE 500mm $ 682 27800238 ROD TEMPLATE SPINE 120mm VUEPT $ 115 27800239 ROD TEMPLATE 240mm SPINE VUEPT $ 161 27800240 DRILL BIT SPINE 2-13mm $ 455 27800241 ROD SPINE CONV 25-95mm SPHERX $ 455 27800242 ROD SPINE PRECURVD 240mm VUEPT $ 852 27800243 ROD SPINE DEF TI 200mm ARMADA $ 908 27800244 ROD SPINE PREBENT 25-60mm SPHX $ 908 27800245 ROD SPINE 100-300mm SPHERX II $ 908 27800246 ROD SPINE SINGL BALL 110-300mm $ 908 27800247 ROD SPINE CONV 300mm SPHERX II $ 961 27800248 ROD SPINE 500mm SPHERX II $ 1,022 27800249 ROD SPINE PREBENT 65-120mm SPH $ 1,022 27800250 ROD SPINE EX 300-500mm SPHERX2 $ 1,022 27800251 ROD SPINE CONV 500mm SPHERX II $ 1,086 27800252 ROD SPINE CONV 100-150mm SPHER $ 569 27800253 ARMA ROD SPINE DEF TI 65-180mm $ 1,133 27800254 ROD SPINE DEF TI 300mm ARMADA $ 1,133 27800255 ROD SPINE SS 250mm ARMADA $ 1,133 27800256 ROD SPINE DBR PREBENT 20-150mm $ 1,133 27800257 ROD SPINE PREBENT 25-120mm SPH $ 1,133 27800258 ROD SPINE PREBENT 25-80mm SPHE $ 1,133 27800259 ROD SPINE COCR 240mm VUEPOINT $ 1,133 27800260 ROD SPINE DEF TI 500mm ARMADA $ 1,248 27800261 ROD SPINE PREBENT COCR VUEPT $ 1,248 27800262 ROD SPINE DEF COCR 300mm ARMAD $ 1,362 27800263 ROD SPINE 600mm,3.5mm VUEPOINT $ 569 27800264 ROD SPINE SS/COCR 500mm ARMADA $ 1,700 27800265 ROD SPINE TRANSITION 3.5-5.5mm $ 1,700 27800266 ROD SPINE DUAL BALL 17.5-80mm $ 2,265 27800267 ROD SPINE TRANSITN COCR 5.5mm $ 2,265 27800268 ROD 5.5mm 25-90mm SPHERX II $ 682 27800269 ROD SPINE SINGL BALL 25-45mm $ 682 27800271 ROD SPINE 120mm 3.5mm VUEPOINT $ 682 27800272 ROD SPINE DEF TI 25-90mm ARMAD $ 797 27800273 ROD SPINE SINGL BALL 50-90mm $ 797 27800274 ROD SPINE 240mm 3.5mm VUEPOINT $ 797 27800275 MAGNITUDE INTERBODY 8-20mm $ 9,058 27800276 ALLOGRFT IMPLANT TRIAD CERVICL $ 1,700 27800277 TRIAD CANCELLOUS BLOCK 5-12mm $ 1,133 27800278 COROENT S INTERLK IMPLNT SPINE $ 6,680 27800279 SCREW SPINE INTERLK BONE/RESCU $ 988 27800280 DRILL SPINE DISPOSABLE COROENT $ 797 27800281 TAP DISPOSABLE SPINE COROENT $ 797 27800282 BRIGADE IMPLNT SPINE 8-12DEGRE $ 14,716 27800283 SCREW BONE SPINE BRIGADE $ 1,926 27800284 ACUITY FACET DOWEL - SPINE $ 2,265 27800285 NEEDLE ASPIRATION FORMAGRAFT $ 374 27800286 GRANULES SPINE 5cc FORMAGRAFT $ 1,700 27800287 GRANULES SPINE 10-20cc FORMAGR $ 3,398 27800288 FORMAGRAFT STERILE STRIPS (1) $ 1,700 27800289 FORMAGRAFT STERILE STRIPS (2) $ 3,398 27800290 FORMAGRAFT XL BLOCK S/L SPINE $ 3,398 27800291 OSTEOCEL 1cc SPINE $ 1,180 27800292 EMBRACE LUMBAR 5 HOLE 22-40mm $ 3,851 27800293 PIN SLEEVE HALO SHORT FIXATION $ 286 27800294 TACKS GRADIENT TEMPORARY SPINE $ 493 27800296 COVER SLOT/ROUND HOLE GRADIENT $ 230 27800297 DRILL BIT POWR STERILE 10mm $ 743 27800298 SCREW TULIP & LAMINAR HOOK VUE $ 230 27800299 HOOK LAMINAR 5-7mm SPINE VUEPT $ 1,700 27800300 SCREW CORTICAL OCCIPITAL SPINE $ 797 27800301 SCREW SPINE PARTIAL THREADED $ 2,947 27800302 SCREW LEVERG LATRL MASS/GRAFT $ 455 27800303 SCREW SPINE LEVERAGE LAMINAR $ 682 27800304 SHAFT LEVERAGE DRILL SPINE $ 682 27800305 SPINE DEF PLS TI 4-6.5X25-50mm $ 2,834 27800306 SCREW SPINE UNIPLANAR DEF ARMA $ 2,947 27800307 HOOK SPINE ANGLED/OFFSET ARMAD $ 2,719 27800308 SCREW SPINE SS FIXED ARMADA $ 1,814 27800309 HOOK SPINE SS ANGLED/OFFSET $ 2,040 27800310 SCREW SPINE DOUBLE LEAD SPHERX $ 3,625 27800311 SCREW SPINE OLYAXIAL ILIAC SPH $ 2,719 27800312 SCREW REDUCTION SPINE SPHERXII $ 4,230 27800313 SLEEVE PROTECTIVE SPINE SPHERX $ 115 27800314 STAPLE SPINE SUPERIOR/INFERIOR $ 1,814 27800315 STAPLE SPINE 1 HOLE SPHERX II $ 908 27800316 WASHER SPINE SPHERX II $ 342 27800317 MESH SPINE 10-16mm X 6-14mm $ 3,398 27800318 MESH SPINE 10-24mm X 30-50mm $ 6,795 27800319 MESH SPINE 16-24mm X 60-90mm $ 9,058 27800320 MESH SPINE 20-24mm X 90mm $ 10,189 27800321 X-CORE SPINE - CORE $ 18,113 27800322 X-CORE SPINE - ENDCAP $ 3,398 27800323 X-CORE SPINE - ROUND ENDCAP $ 2,719 27800324 MAXCESS STERILE DISP SHIM KIT $ 1,700 27800325 MAXCESS SPINE DISP SHIM MODULE $ 2,834 27800326 MAXCESS STER DISP KIT MODULE $ 4,531 27800327 MAXCESS III MODULE - SPINE $ 1,814 27800328 MAXCESSIII ANNULOTOMY KNIFE MD $ 1,700 27800329 MAXCESS III SPINE K-WIRE MODUL $ 1,700 27800330 MAXCESS SPINE DISPOSABLE KNIFE $ 342 27800331 MAS TLIF HOOP SHIM-NON STERILE $ 569 27800332 MAS TLIF HOOP SHIM STERILE $ 1,133 27800333 MAS TLIF DISPOSABLE MODULE $ 4,077 27800334 MAS TLIF LITE CABL & HOOP SHIM $ 4,077 27800335 MAS TLIF HOOP SHIM MODULE $ 2,947 27800336 KIT MOD NV SCREW W/O STIM $ 1,305 27800337 KIT MOD NV NEEDL ELEC W/O STIM $ 1,305 27800338 PROBE SPINE JB PEDICLE NV $ 569 27800339 K-WIRE INSULATR JJB INSTIM NV $ 569 27800340 DYNAMIC STIMULATION CLIP S/L $ 569 27800341 DYNAMIC STIM CLIP S/L & SHEATH $ 682 27800342 SHEATH SPINE NEUROVISION $ 115 27800343 RETRACTOR,NERVE ROOT SPINE NV $ 1,133 27800344 NEEDL ELECTRODE SPINE 4 PK NV $ 230 27800345 KIT SPINE XLIF DISPOSABLE NV $ 2,265 27800346 KIT SPINE MEPSPEC MEP ADD ON $ 682 27800347 SURFACE/NEEDL ELECTRODE SPINE $ 2,719 27800348 M5 STIMULATN SLIP & INLINE ACT $ 569 27800349 EMG ENDOTRACHEAL TUBE 6-8mm $ 671 27800350 EMG ENDOTRACHEAL TUBE ADAPTER $ 61 27800351 STALIF C TAPERD/DOMED CAGE $ 4,240 27800352 STALIF C TAPERD/PARALLEL SCREW $ 896 27800353 STALIF C PRI/REV/LG ABO SCREW $ 619 27800354 STALIF C CASPAR PIN-2PK SPINE $ 230 27800355 STALIF C/TT MIDLINE MARKR SPIN $ 146 27800356 STALIF TT SCREW 2/PK - SPINE $ 1,277 27800357 STALIF TT SCREW 1/PK - SPINE $ 641 27800359 GRANULES ORTHOS STD 5cc-SPINE $ 1,408 27800360 GRANULES ORTHOS STD 10cc-SPINE $ 2,381 27800361 GRANULES ORTHOS STD 15cc-SPINE $ 2,493 27800362 GRANULES ORTHOS STD 30cc-SPINE $ 3,398 27800363 GRANULES ORTHOS LG 15cc-SPINE $ 2,381 27800364 GRANULES ORTHOS LG 30cc-SPINE $ 4,304 27800365 GRANULES ORTHOS FINE 1-5cc $ 1,408 27800366 GRANULES ORTHO FINE 10cc SPINE $ 2,381 27800367 OSTEOBOOST 10-30ml - SPINE $ 1,362 27800368 SPINE IMPLANT IFUSE 4-7mm $ 7,462 27800369 DRILL IFUSE DISP - SPINE $ 1,123 27800370 PIN STEINMAN IFUSE 4-7mm SPINE $ 106 27800371 PIN PUSH IFUSE 4-7mm - SPINE $ 221 27800372 SMARTPREP 2CELL CONC SYS-SPINE $ 19,242 27800373 SMARTPREP WS/RC - SPINE $ 2,029 27800374 KIT BONE MARROW 20ml - SPINE $ 6,104 27800375 KIT BONE MARROW 4-10ml -SPINE $ 4,971 27800376 PACK GRAFT DELIVERY 3PK-SPINE $ 3,398 27800377 KIT SMARTJET LIQ/SPRY 6PK-SPIN $ 1,497 27800378 KIT BONE MARROW ASP NEEDL 10PK $ 4,419 27800379 GRANULES INQU 10cc - SPINE $ 2,368 27800380 GRANULES INQU 30cc - SPINE $ 5,481 27800381 PASTE MIX INQU 2.5cc - SPINE $ 1,305 27800382 PASTE MIX INQU 5cc - SPINE $ 2,119 27800383 PASTE MIX INQU 10cc - SPINE $ 3,546 27800384 MATRIX INQU 5x10cm - SPINE $ 6,116 27800385 OPTIMESH IMPLANT W/CINCH STRIN $ 13,584 27800386 OPTIMESH IMPLANT W/WRAP-SPINE $ 9,058 27800387 OPTIMESH IMPLNT 500-800 MICRON $ 9,058 27800388 OPTIMESH AIR TUBING SET-SPINE $ 61 27800389 OPTIMESH FILL TUBE - SPINE $ 61 27800390 OPTIMESH GUIDE PIN - SPINE $ 61 27800391 CAPLOX GUIDE PIN - SPINE $ 61 27800392 OPTIMESH QUIKTRAK BAL-SEAL $ 65 27800393 CANNULA CLEANER,CAPTURE-SPINE $ 94 27800394 OPTIMESH STRA FILL TUBE CEMENT $ 94 27800395 OPTIMESH EXTRACTOR - SPINE $ 98 27800396 OPTIMESH CS FOOT PEDL BAG $ 103 27800397 OPTIMESH/APOLLON GUIDE PIN-SPI $ 115 27800398 OPTIMESH SYRINGE CONNECTR-SPIN $ 115 27800399 ADAPTER PROMAP SPINE $ 115 27800400 TUBE EXCHANGE PROMAP - SPINE $ 115 27800401 SYRINGE VERIFY CONTROL - SPINE $ 115 27800402 OPTIMESH ELLIPSO-SPOON - SPINE $ 125 27800403 OPTIMESH E MESH EXTENDR-SPINE $ 155 27800404 OPTIMESH BLADE CONTROL KNOB $ 158 27800405 OPTIMESH IMPACTOR - SPINE $ 161 27800406 CANNULA EMG CAPTURE - SPINE $ 171 27800407 OPTIMESH 1500S S MESH EXTENDR $ 188 27800408 OPTIMESH/CAPTUR PUSH ROD-SPINE $ 202 27800409 OPTIMESH DILATOR CAP - SPINE $ 218 27800410 WIRE,GUIDE APOLLON/CAPTURE $ 230 27800411 OPTIMESH/APOLLN/CAPTUR PIN INT $ 230 27800412 OPTIMESH 1500DS PORTAL - SPINE $ 230 27800413 OPTIMESH GRAFTING SPACER-SPINE $ 248 27800414 OPTIMESH 1500S CENTERING ROD $ 262 27800415 OPTIMESH PISTON - SPINE $ 270 27800416 OPTIMESH TAMP - SPINE $ 281 27800417 GRAFT SPACER - CAPTURE -SPINE $ 286 27800418 SCREW CADDY LID,CAPTURE-SPINE $ 286 27800419 TESTER CAPLOX THICK/THIN-SPINE $ 290 27800420 MTF PRE-FILLD ALLOGRFT TUBE DS $ 311 27800421 DILATOR CAPTURE - SPINE $ 308 27800422 OPTIMESH CS QUIKTRAK TRAY LID $ 319 27800423 OPTIMESH DRIVE KNOB - SPINE $ 342 27800424 OPTIMESH PORTAL REPLACEMT KIT $ 347 27800425 OPTIMESH 1500DS PUSH ROD-SPINE $ 356 27800426 OPTIMESH STUFFER DRILL - SPINE $ 360 27800427 WRENCH SM T APOLLON - SPINE $ 365 27800428 OPTIMESH TUBE FILLR TRAY INSER $ 365 27800429 OPTIMESH LONG SUCTION TUBE $ 371 27800430 PIN GUIDE ALIGNMT APOLLON-SPIN $ 389 27800431 SCREW DRIVR/GUIDE CAPLOX-SPINE $ 404 27800432 CUTTER/RETRACTOR CAPLOX-SPINE $ 404 27800433 PROBE SPINE CAPLOX $ 404 27800434 OPTIMESH CS QUIKTRAK TRAY BASE $ 405 27800435 OPTIMESH ADAPTR 4 AIR SOURCE $ 420 27800436 HOLDER APOLLON - SPINE $ 432 27800437 DILATOR APOLLON - SPINE $ 455 27800438 OPTIMESH ACC PORTL SLEEVE CLIP $ 455 27800439 OPTIMESH 1500S ROD FOOT -SPINE $ 461 27800440 OPTIMESH 1500DS STR SPACR/TWIS $ 465 27800441 OPTIMESH 1500S DISTRACTR PADDL $ 465 27800442 THRESHOLD STERILIZATION LID $ 479 27800443 OPTIMESH QUIKTRAK BASE PLATE $ 486 27800444 OPTIMESH/CAPTURE SUCTION TUBE $ 512 27800445 ANTI-TORQUE CAPLOX - SPINE $ 516 27800446 CAPLOX AWL - SPINE $ 516 27800447 ROD FORK CAPLOX - SPINE $ 516 27800448 ROD PUSHER CAPLOX - SPINE $ 516 27800449 OPTIMESH CYL SLEEVE/PNEU DRIVR $ 524 27800450 TAP CANNULATED CAPLOX - SPINE $ 575 27800451 ROD SPINE BENDER CAPLOX $ 575 27800452 OPTIMESH CS TRAY LID-SPINE $ 607 27800453 OPTIMESH 1500S SPIKED FT-SPINE $ 609 27800454 OPTIMESH CS TUBE FILLR TRAY BA $ 609 27800455 TAP CAPTURE - SPINE $ 615 27800456 OPTIMESH PORTAL SLEEVE-SPINE $ 620 27800457 DRILL GUIDE CAPTURE - SPINE $ 625 27800458 OPTIMESH MALLET - SPINE $ 625 27800459 OPTIMESH CS TRAVL CASE IMPLANT $ 625 27800460 OPTIMESH 1500DS 5mm CANN DRILL $ 659 27800461 NUT FINAL DRIVER/STARTR APOLLN $ 682 27800462 SCREW REMOVER CAPTURE - SPINE $ 682 27800463 OPTIMESH/THRESHOLD T-HANDLES $ 682 27800464 OPTIMESH TUBE FILLR CONVTR&PIN $ 682 27800465 OPTIMESH QUIKTRAK STEM #0-#1 $ 682 27800466 OPTIMESH DRILL 6.5mm - SPINE $ 700 27800467 OPTIMESH E-DRILLING DILATOR $ 702 27800468 TAPPER APOLLON - SPINE $ 705 27800469 OPTIMESH QUIKTRAK STEM#2-SPINE $ 705 27800470 OPTIMESH QUIKTRAK STEM#3-SPINE $ 711 27800471 OPTIMESH QUIKTRAK BALL - SPINE $ 762 27800472 OPTIMESH 1500DS MESH EXTENDER $ 773 27800473 OPTIMESH 1500DS IMPACTOR-SPINE $ 814 27800474 ROD SPINE 40-80mm CAPLOX $ 818 27800475 DRIVER SHAFT CAPTURE - SPINE $ 840 27800476 SHAVER CUST 6-10mm SPINEOLOGY $ 852 27800477 NUT APOLLON - SPINE $ 863 27800478 SET SCREW CAPLOX - SPINE $ 863 27800479 OPTIMESH 1500DS DILATOR-SPINE $ 891 27800480 OPTIMESH BULLSEYE ARM - SPINE $ 894 27800481 ACCESSORY TRAY CASE APOLON IIC $ 908 27800482 SCREW DRIVR POLY APOLLON SPINE $ 908 27800483 ROD SPINE 90-120mm CAPLOX $ 942 27800484 OPTIMESH CS TRAVL CS INSTRUMNT $ 948 27800485 ROD SPINE BENDER CAPLOX $ 973 27800486 OPTIMESH BULLSEYE LOCK BX-SPIN $ 1,022 27800487 PROBE SPINE EMG STERILE PROMAP $ 1,022 27800488 CANNULA & BLADR STERILE VERIFY $ 1,022 27800489 OPTIMESH FOOT PEDAL - SPINE $ 1,097 27800490 ROD SPINE 130-400mm CAPLOX $ 1,123 27800491 ROD SPINE 180mm CAPLOX $ 1,123 27800492 DRILL BIT CAPTURE - SPINE $ 1,133 27800493 SCREW CADDY & LID CAPTUR-SPINE $ 1,419 27800494 DEROTATOR CAPTURE - SPINE $ 1,202 27800495 OPTIMESH CS E-SET TRAY BASE $ 1,209 27800496 OPTIMESH CS BULLSEYE TRAY BASE $ 1,210 27800497 OPTIMESH CS DS TRAY BASE-SPINE $ 1,215 27800498 RATCHET AXIAL/PALM HANDL CAPTR $ 1,227 27800499 OPTIMESH E-DRILLG DILATR HANDL $ 1,230 27800500 OPTIMESH 1500DS 5mm SUCTN-SPIN $ 1,235 27800501 TRAY UPR LEVEL THRESHOLD-SPINE $ 1,248 27800502 COMPRESSOR CAPLOX - SPINE $ 1,258 27800503 SCREW DRIVER MONO/POLY CAPLOX $ 1,258 27800504 SPREADER CAPLOX - SPINE $ 1,258 27800505 GUIDE PIN STERILIZATION TUBE $ 1,305 27800506 COMPRESSOR APOLLON - SPINE $ 1,315 27800507 DISTRACTOR APOLLON - SPINE $ 1,315 27800508 OPTIMESH CS S-SET TRAY BASE-SP $ 1,344 27800509 OPTIMESH LOCK TUBE PULLR-SPINE $ 1,362 27800510 PENFIELD #4 THRESHOLD - SPINE $ 1,385 27800511 SCREWS AUTOCLAVE BASE FACET $ 1,416 27800512 OPTIMESH 1500DS BASE PLATE-SPI $ 1,416 27800513 PERSUADER CAPLOX - SPINE $ 1,429 27800514 OPTIMESH STOP 4 ARTICUL CURETT $ 1,439 27800515 OPTIMESH QUIKTRAK PLATE & BALL $ 1,475 27800516 SCREW DRIVER CANN POLY CAPLOX $ 1,484 27800517 OPTIMESH 1500DS STEM - SPINE $ 1,493 27800518 OPTIMESH CS S-SET TOP TRAY-SPI $ 1,518 27800519 RASP CAPTURE - SPINE $ 1,533 27800520 OPTIMESH 1500DS MALLET - SPINE $ 1,629 27800521 BAYONET NRV ROOT RETRACTR-SPIN $ 1,641 27800522 HEAD HIP $ 1,669 27800523 ROD CURVD APOLLON/CAPLOX-SPINE $ 1,700 27800524 OPTIMSH BULLSEYE UNIV RAILCLAM $ 1,700 27800525 CURETTE THRESHOLD - SPINE $ 1,700 27800526 CURETTE TRIANGL THRESHLD-SPINE $ 1,811 27800527 SCREW TRAY CS APOLLN IIC-SPINE $ 1,814 27800528 OPTIMSH BULLSEYE WILSN FRAME R $ 1,814 27800529 RATCHET HANDLE CAPLOX - SPINE $ 1,829 27800530 RONGEUR PITUITARY OPTIMESH SPI $ 1,836 27800531 OPTIMSH 1500DS 5mm DILATR HNDL $ 1,855 27800532 DRIVER CANNULA CAPTURE - SPINE $ 1,860 27800533 TRAY BASE THRESHOLD - SPINE $ 1,926 27800534 OPTIMESH ACCESS PORTAL-SPINE $ 2,010 27800535 CONTAINR IMPLANT & INSTRUMT-SP $ 2,040 27800536 RONGEUR PITUITARY 3mm ST THRES $ 2,047 27800537 OPTIMESH PLATEN - SPINE $ 2,092 27800538 DRILL BIT MANUAL CAPTURE-SPINE $ 2,154 27800540 OPTIMESH 1500DS STOP - SPINE $ 2,231 27800541 MTF 8cc G2 DRY MIX ALLOGRFT-SP $ 2,460 27800542 ROD SPINE INSERTER APOLLON $ 2,493 27800543 RONGEUR PITUITARY 3mm UPBITING $ 2,624 27800544 IMPLANT/INSTRUMENT CAPLOX CASE $ 2,855 27800545 OPTIMESH JACKSN TABL RAIL/BRAC $ 2,947 27800546 WRENCH TORQUE CAPLOX - SPINE $ 2,978 27800547 OPTIMESH BULLSEYE POST - SPINE $ 3,157 27800548 OPTIMESH SHAPER - SPINE $ 3,217 27800549 OPTIMESH HUB - SPINE $ 3,345 27800550 CROSS LINK CAPLOX - SPINE $ 3,365 27800551 OPTIMESH HAND-HELD BRACE-SPINE $ 3,398 27800552 OPTIMESH 1500S S MESH HOLDER $ 3,539 27800553 OPTIMSH BULLSEYE HINGD CR0SBAR $ 3,797 27800554 SCREW POLY AXIAL PEDICL CAPLOX $ 3,896 27800555 SCREW SPINE LID FACET CAPLOX $ 410 27800556 SCREW LG ARM POLY AXIAL PEDICL $ 4,123 27800557 SCREW POLYAXIAL PEDICL APOLLON $ 4,983 27800558 OPTIMESH MI BRACE - SPINE $ 5,034 27800559 SCREW LAG FULLY THREADED CAPTR $ 5,663 27800560 SCREW 40mm FULLY THREADED CAPT $ 5,663 27800561 SCREW 45mm FULLY THREADED CAPT $ 5,663 27800562 OPTIMESH BACKHOE ARTIC CURETTE $ 5,697 27800563 OPTIMESH 1500S BRACE - SPINE $ 5,859 27800564 OPTIMSH BULLSEYE ACC PORTL HOL $ 6,026 27800565 OPTIMESH E LOCKING MESH HOLDER $ 6,340 27800566 OPTIMESH BKHOE ARTIC CURRETTE $ 8,152 27800577 SCREW CORTICAL 4.5 X 46 $ 70 27800578 OPTIMESH PUSH ROD-SPINE $ 208 27800579 OPTIMESH TUBE-SPINE $ 479 27800580 SOAR SYS DILATR 6mm-26mm-SPINE $ 682 27800581 OPTIMESH STEM - SPINE $ 738 27800582 OPTIMESH E PORTAL TUBE - SPINE $ 908 27800583 SOAR SYS TUBE - SPINE $ 1,022 27800584 SOAR SYS I-TEK CABLE FIBROPTIC $ 1,022 27800585 SOAR SYS BALL SOCKET ASSEMBLY $ 1,362 27800586 OPTIMESH EGGTOOTH PITUITARY $ 1,836 27800587 AWL/DRILL BIT/TAP,CAPTURE 1USE $ 2,719 27800588 SOAR SYS MIS ASSEMBLY - SPINE $ 2,947 27800589 SOAR SYSTEM ARM - SPINE $ 7,021 27800590 SOAR SYS I-TEK LITE SRC SPINE $ 7,247 27800591 SOAR SYS STERILE FIELD POST $ 8,378 27800592 PEEK,XL(W) $ 11,321 27800593 COROENT LX IMPLANT PEEK $ 9,387 27800594 SCREW SPHERX POLYAXIAL $ 1,989 27800595 SCREW SPHERX POLYAXIAL $ 2,069 27800596 ALLOGRAFT IMPLANT TRIAD CR $ 2,342 27800597 ROD SPINE ARMADA ASF $ 2,930 27800598 ROD ASF 90 DEGREES ARMADA $ 3,193 27800599 ROD CONNECTOR ASF ARMADA $ 4,406 27800600 ROD CONNECTOR ASF PARALLEL $ 2,392 27800601 ROD CONNECTR ASF 4 HOLE ARMADA $ 3,123 27800602 ROD ASF LATERL OFFSET ARMADA $ 1,952 27800603 SCREW SS POLYAXIAL ARMADA $ 4,175 27800604 SCREW SS LOCKING ARMADA $ 4,571 27800605 SCREW FIXED SS ARMADA $ 2,443 27800606 SCREW SS REDUCTION ARMADA $ 4,332 27800607 SCREW SS ILIAC ARMADA $ 4,648 27800608 LOCK SCREW SS ROD 2 ROD CONNEC $ 634 27800609 ROD SS 250mm ARMADA $ 1,546 27800610 ROD SS 500mm ARMADA $ 1,676 27800611 CONNECTR SS FIXED CROSS ARMADA $ 3,014 27800612 CONNECTOR SS CROSS ARMADA $ 4,072 27800613 CONNECTOR SS OFFSET ARMADA $ 2,061 27800614 HOOK SS PEDICLE/LAMINA ARMADA $ 2,587 27800615 HOOK SS ANGLED/OFFSET ARMADA $ 3,278 27800616 K-WIRE TIP $ 49 27800617 MEP ELECTRODE PACK $ 208 27800618 DRILL BIT $ 230 27800619 NUT LOCKING $ 230 27800620 DRILL $ 230 27800621 TAP/DRILL $ 230 27800622 ROD,MALLEABLE TEMPLATE $ 230 27800623 FASTENER,COVER PLATE $ 400 27800624 SCRW,FIX ANG SELFTAP EPIC $ 400 27800625 SCRW,VAR ANG SELFTAP EPIC $ 400 27800626 SCRW,FIX ANG SELFTAP SNOW $ 410 27800627 SCREW,OCCIPITAL $ 410 27800628 K-WIRE DISPENSER $ 410 27800629 ALLOFUSE PUTTY/GEL 1cc $ 455 27800630 EMG/SSEP ELECTRODE PACK $ 553 27800631 ROD,STRAIGHT $ 569 27800632 ROD PRE-BENT $ 569 27800633 CROSS CONNECTR,D ROD 75mm $ 569 27800634 LIGHT CABLE CASE $ 569 27800635 SHIM $ 638 27800636 SCREW FIXED $ 682 27800637 ROD,RIGID W/HEX TIPS $ 738 27800638 ROD,MALLEABLE W/HEX TIPS $ 738 27800639 TAP CANNULATED $ 749 27800640 SCREW SET ASPEN $ 797 27800641 TAP EPIC $ 827 27800642 ALLOGRAFT FILLER 2.5cc $ 891 27800643 TAP SILVERTON $ 908 27800644 LIGHT WAVEGUIDES $ 993 27800645 KNIFE,BAYONETED SHEATHED $ 1,016 27800646 COVER PLATE EPIC $ 1,133 27800647 ALLOGRFT STRP 10x20x3-6mm $ 1,451 27800648 SCREW,MONOAXIAL $ 1,475 27800649 ALLOGRAFT BLOCK 10mm $ 1,487 27800650 ALLOGRAFT FILLER 5cc $ 1,525 27800651 DILATOR-2 $ 1,540 27800652 ALLOGRAFT BLOCK 12mm $ 1,579 27800653 SCREW,FACET $ 1,588 27800654 SHIM WIDENING $ 1,668 27800655 ALLOGRAFT BLOCK 14mm $ 1,669 27800656 CROSSBAND HEAD TO HEAD $ 1,700 27800657 DILATOR-1 $ 1,712 27800658 ALLOFUSE PUTTY/GEL 5cc $ 1,814 27800659 CONNECTOR OFFSET $ 1,814 27800660 HOOK $ 1,814 27800661 SCREW POLYAXIAL REDUCTION $ 1,926 27800662 SCREW OSTEO TITANIUM $ 1,926 27800663 SCREW POLYAXIAL LONG $ 1,926 27800664 SCREW ASSY TURRET $ 2,040 27800665 PLATE 1-LEVEL SNOWCAP $ 2,154 27800666 ACDF CORICAL 0 DEGREE $ 2,265 27800667 ACDF CORTICAL 5 DEGREES $ 2,265 27800668 ACDF CORTICL CANCELLS 0 $ 2,265 27800669 PLATE 1-LEVEL SNOWMASS $ 2,265 27800670 PLATE 2-LEVEL SNOWMASS $ 2,265 27800671 PEEK ACF 0 DEGREE $ 2,040 27800672 PACK,PROBE & CONNECTOR $ 2,416 27800673 LIGHT CABLE KIT $ 2,466 27800674 SCREW FACET CANN. $ 2,493 27800675 PLATE 4-LEVEL SNOWCAP $ 2,606 27800676 PLATE 3-LEVEL SNOWMASS $ 2,719 27800677 PLATE 4-LEVEL SNOWMASS $ 2,719 27800678 ALLOGRAFT FILLER 10cc $ 2,864 27800679 LATERAL MONITORING KIT $ 2,967 27800680 ALLOFUSE PUTTY/GEL 10cc $ 3,063 27800681 PLATE LOCK $ 3,173 27800682 ALLOGRFT STRP 15x40x3-6mm $ 3,354 27800683 ALLOGRFT STRP 20x50x3-6mm $ 3,826 27800684 PLATE LOCK COMPONENT $ 4,304 27800685 PLATE - LUMBAR $ 5,039 27800686 PLATE - SACRAL $ 5,039 27800687 PLATE - FLARED LOCK $ 5,437 27800688 ALLOGR STP20x50x3-6mm(2PK $ 5,815 27800689 PLATE POST BODY WIDE $ 6,226 27800690 PEEK PLIF 0 DEGREE $ 6,795 27800691 PEEK ALIF 7 DEGR DURANGO $ 6,795 27800692 PLATE POST BODY COMPONENT $ 7,359 27800693 PLATE FLARED POST-BODY $ 8,492 27800694 PEEK TLIF 0 DEGREE $ 9,058 27800695 PEEK ALIF 7 DEGREE FORTIS $ 9,058 27800696 PEEK ALIF 12 DEG FORTIS $ 9,058 27800697 PEEK LORDOSIS 0 DEGREE $ 9,058 27800698 PEEK PLIF CHANNELD 0 DEG $ 9,058 27800699 PEEK PLIF THREADED 0 DEG $ 9,058 27800700 PEEK TLIF THREADED 0 DEG $ 9,058 27800701 PEEK TLIF CHANNELD 0 DEG $ 9,058 27800702 SCREW PEDICLE TURRET $ 2,040 27800703 SCREW POLYAXIAL-SILVERTON $ 1,541 27800704 K-WIRE CHAMFERED LATRL $ 193 27800705 STALIF MIDLINE CAGE $ 19,094 27800706 STALIF MIDLINE SCREW $ 1,129 27800707 PIN TEMPORARY 15mm EPIC SPINE $ 82 27800708 GUIDEWIRE DELTA SPINE $ 106 27800709 PIN AWL TEMP (SO) EPIC SPINE $ 106 27800710 SCREW 15mm TEMP EPIC SPINE $ 106 27800711 DRILL 2.5mm NONCANNULATD CONCE $ 134 27800712 TAB RELEASE SNOWMASS SPINE $ 167 27800713 DRILL 3.5mm CANNULATED CONCERO $ 171 27800714 CAP LOCKING ALTA SPINE $ 189 27800715 PIN TEMPORARY SNOW SPINE $ 221 27800716 NEEDLE TELLURIDE TARGETG SPINE $ 221 27800717 ELECTRODE MEP PACK 2 SPINE $ 230 27800718 SCREW ANCHORG TIMBERLINE SPINE $ 420 27800719 DRILL 2Omm EPIC SPINE $ 578 27800720 TAP TELLURIDE CANNULATED SPINE $ 591 27800721 ELECTRODE 2 PCK EMG/SSEP SPINE $ 614 27800722 SCREW SELF-TAPPG FIXED ALTA SP $ 689 27800723 SCREW SELF-TAPPG VAR ALTA SPIN $ 689 27800724 ROD STRAIGHT TI TELLURIDE SPIN $ 711 27800725 LIGHT WAVEGUIDES SPINE $ 1,536 27800726 CONNECTOR PARALLEL SILVERTON $ 1,744 27800727 PACK PROBE & CONNECTOR SPINE $ 2,649 27800728 KIT 2 LATERAL ACCESS SPINE $ 3,453 27800729 PEEK 0-5 DEG ACDF ALTA SPINE $ 3,539 27800730 PLATE ZERO/HALF/FULL ALTA SPIN $ 4,009 27800731 PLATE 43-49mm OCCIPITAL VAIL $ 6,205 27800732 PEEK 0-5 DEG VBR BRECKENRIDGE $ 8,708 27800733 ROD DISP MALLEABLE $ 134 27800734 SCREW HIP LAB 110mm OMEGA $ 614 27800735 PROSTHESIS HIP 43mm MOORE $ 2,299 27800736 SCREW SYNTHES OCCIPITAL LOCKG $ 232 27800737 SCREW SYNTHES SYNAPSE LOCKING $ 310 27800738 TAP SYNTHES SYNAPSE 3.5mm $ 320 27800739 DRILL BIT SYNTHES SYNAPSE 2.4m $ 320 27800740 SCREW SYNTHES OCCIPITAL 4-18mm $ 409 27800741 DRILL BIT SYNTHES 3.2mm $ 551 27800742 BAR TRANSVERSE SYNTHES 3.5mm $ 657 27800743 ROD Ti SYNTHES 240mm $ 669 27800744 SCREW CANC POLYAX 3.5-4x8-50mm $ 2,601 27800745 SCREW CORTX POLYAX 3.5x18-50mm $ 2,694 27800747 PLATE OCCIPITL 50-60mm SYNTHES $ 8,541 27800748 IPF PEEK 18-22mm $ 8,373 27800749 IPF PLATE 6-16mm $ 4,711 27800750 IPF COVER $ 1,573 27800751 IPF VAR SCREW $ 629 27800752 IPF FIXED SCREW $ 629 27800753 K-WIRE $ 65 27800756 ISTENT OCULAR IMPLANT $ 3,688 27800757 NORABONE PUTTY 2.5cc $ 1,605 27800758 NOVABONE PUTTY 5cc $ 3,210 27800759 NOVABONE PUTTY 10cc $ 6,179 27800760 NOVABONE COMPOSITE 10cc $ 6,419 27800761 MESH HERNIA 10cmx15cm ZENAPRO $ 1,204 27800762 MESH HERNIA 15 DIAMETR ZENAPRO $ 2,006 27800763 MESH HERNIA 15 X 22cm ZENAPRO $ 4,413 27800764 MESH HERNIA 20 X 20cm ZENAPRO $ 6,017 27800765 MESH HERNIA 20 X 30cm ZENAPRO $ 6,820 27800766 MESH HERNIA 30 X 30cm ZENAPRO $ 8,424 27800767 MESH HERNIA 10 DIAMETR ZENAPR0 $ 387 27800768 BIOLOGIC LEV 7 $ 5,374 27800769 BIOLOGIC LEVEL 17 $ 12,537 27800770 NAIL LEVEL 7 $ 5,374 27800771 HEART MONITOR IMPLANTABLE $ 7,588 27800772 SPINE SIMULATOR $ 8,596 27800773 HIP CONE BODY $ 7,808 27800774 HIP STEM LEVEL 1 $ 1,014 27800775 HIP STEM LEVEL 2 $ 1,690 27800776 HIP STEM LEVEL 3 $ 2,365 27800777 HIP STEM LEVEL 4 $ 3,042 27800778 HIP STEM LEVEL 5 $ 3,717 27800779 HIP STEM LEVEL 6 $ 4,393 27800780 HIP STEM LEVEL 7 $ 5,068 27800781 NAIL LEVEL 8 $ 5,745 27800782 TRIATHLON X3 SIZE 3-13mm $ 1,859 27800783 TRIATHLON X3 SIZE 3-16mm $ 1,859 27800784 TRIATHLON X3 SIZE 5-16mm $ 1,859 27800785 LEAD PENTA ST. JUDE $ 6,285 27800786 PLATE LEVEL II $ 7,772 27800787 HEAD HIP C-TAPER 36mm/+5 $ 1,859 27800788 KIT TIGHTROPE REPAIR $ 1,906 27800789 CAGE VARIOUS SIZES $ 7,332 27800790 CUP CLUSTER HOLE $ 2,104 27800791 TESTICULAR PROSTHESIS $ 2,583 27800792 GLENSPHERE $ 2,930 27800793 HUMERAL INSERTION $ 2,344 27800794 HUMERAL STEM $ 7,458 27800795 HUMERAL CUP $ 2,930 27800856 SHUNT ASCITIES DENVER $ 4,047 27800915 SCREW CANNULATED 3.5 x 42 PART $ 532 27800917 BIOLOGIC LEVEL 6 $ 5,217 27801221 SCREW 4.5 x 52 FULL $ 527 27801438 SCREW CANNULATED 3.0x23 SHORT $ 544 27801992 PLATE HIP DCP 4.5 9 HOLE NARRO $ 425 27802000 SCREW CORTICAL 4.5X48 OMEGA $ 68 27802009 SCREW CANNULATED 3.5x22 PT THR $ 230 27802010 SCREW CANNULATD 3.5x34 PART TH $ 532 27802322 SCREW CANCELLOUS 6.5 X 12 $ 220 27802328 LEAD PACEMAKR A/V 59CM 4088-59 $ 2,587 27802378 HIP HEAD 26X44 UNIVERSAL STRYK $ 2,824 27803102 HIP HEAD FEM COMP 28MM DEFINIT $ 1,666 27803156 IMPLANT GRAFT BONE MEDIUM $ 10,652 27803479 HIP HEAD 26X45 UNIV $ 2,840 27803593 HIP SHELL CLUST 50mm TITANIUM $ 7,437 27803645 HIP HEAD 12/14 4MM NK 32MM ZIM $ 1,359 27803646 HIP SHELL RM FLR 51MM W/SPIKE $ 3,087 27803647 HIP INSERT HOODED 32 X 51 ZIM $ 2,449 27804983 SCREW INTERFER 9X20 N.SHEATH $ 277 27805029 KNEE INSERT TIB MED 9MM $ 4,081 27807515 SCREW LAG GAMMA 10.5 x 90 $ 1,720 27807917 KNEE INSERT TIBIAL $ 2,880 27808041 HIP STEM #4 ACCOLADE $ 6,466 27808056 SCREW HAND 2.3X14 LEIBINGER $ 124 27808406 STENT URETHAL 6x26 PERCUFLEX $ 776 27808550 SET CABLE/SLEEVE 2.0 DAL-MI TI $ 608 27809445 MESH HERNIA 6X12 THICK ALDRM $ 5,781 27809698 MESH HERNIA 4" DIA PROLENE $ 1,000 27809699 MESH HERNIA 3" DIA PROLENE $ 1,000 27809725 MESH HERNIA 4X12 U.THK ALDRM $ 4,177 27809831 MESH PATCH MED CIRCLE 6.4CM $ 2,413 27809900 SCREW CANNULATED 2.4X18 $ 342 27810173 TOT URETHRAL SUPPORT SYSTEM $ 3,951 27810187 MESH HERNIA PLUG 12X45 $ 970 27810332 SCREW CANNULAT 4.0 x 42-44 $ 518 27810356 HIP SHELL 54 W/CLUST ZIM $ 5,844 27810357 HIP LINER 36 3.5 OFFSET ZIM $ 4,177 27810358 HIP STEM SZ 5 KINECTIV ZIM $ 12,256 27810359 HIP NECK 12/14 KINECTIV ZIM $ 1,754 27810360 HIP HEAD FEM 36+0 COCR ZIM $ 3,250 27810543 SCREW HIP 6.5 X 20 $ 308 27810856 SLING SUBFACIAL HAMMOCK $ 4,135 27810948 MESH HERNIA 6X12 U.THK ALDRH $ 5,781 27811013 HIP ELIMINATOR APEX HOLE $ 302 27811061 MESH HERNIA 10CMX15CM DUALMESH $ 2,917 27811084 SCREW 1.3X10 TITANIUM SYNTHES $ 224 27811085 SCREW TITANIUM $ 224 27811149 SCREW CANNULATED 3.5 PART THRD $ 497 27811294 SCREW CANNULATED 2.4X12 OSTEOM $ 330 27811438 MESH HERNIA NCMXI 4CM MED OVAL $ 2,134 27811453 PLUG BONE MEDIUM STRYKER $ 310 27811454 PLUG BONE LARGE STRYKER $ 310 27811482 MESH CYSTOCELE REPAIR AMS $ 6,201 27811597 MESH HERNIA 8CMX12CM DUAL MESH $ 1,916 27811659 PLATE HAND 2.4 4 HOLE SYNTHES $ 733 27811691 MESH HERNIA 7.5X10X1.0 DUAL M $ 1,473 27811713 SLING URINARY MALE W/INTEMESH $ 16,503 27811877 SLING TRANSOBTURATOR OBTRYX $ 4,585 27811911 NAIL TIBIAL 9MM X 37.5CM ACE $ 2,400 27811919 HIP STEM SM STATURE 155X43 DEP $ 12,140 27812508 COAPTITE SYRINGE 1CC $ 1,088 27812531 MESH HERNIA 15.0X19.0X1.0 DUAL $ 4,358 27812621 HIP HEAD FEMORAL 28mm+O NECK $ 853 27813674 PLATE "T" 8-HOLE SYNTH $ 968 27813720 HIP STEM #0/10MM STR RELIANCE $ 4,150 27813721 HIP HEAD FEM 26+4 5 DEG STRYK $ 1,654 27813915 NAIL TROCH GAMMA 3 11 x 180 $ 4,047 27814424 ASSEMBLY PIN FREE-LOCK $ 157 27814434 SHAFT BONE FIBULA 98-102 10cm $ 1,236 27814459 HIP HEAD 26X46 $ 1,798 27814528 HIP INSERT TRIDENT $ 4,249 27815071 MESH HERNIA 4X7 THIN ALLODERM $ 2,637 27815108 SCREW CANNULATED 7.0X85 16T ZI $ 482 27815337 HEAD HIP 26X53 UNIVERSAL $ 1,730 27815496 HIPHEAD ADAPTER + 4MM ZIM $ 399 27815497 HIP HEAD FEMORAL 46MM ZIM $ 1,471 27815498 HIP STEM SZ 1 12/14 TPR ZIM $ 7,662 27815500 HIP HEAD ADAPTER + 0MM ZIM $ 411 27815501 HIP HEAD FEMORAL 48-49mm ZIMMR $ 1,471 27815502 HIP STEM SZ 2 12/14 TPR ZIM $ 7,662 27815571 HIP INSERT ACETAB 28MM P5 $ 2,193 27815746 SCREW CANNULATED 7.0X70 16MM T $ 482 27815747 WASHER 5.5-7.5 CANN SCRW ZIM $ 75 27815748 SCREW I.M. 5.5 X 90 ZIM $ 362 27815753 CAP I.M. NAIL END 5MM ZIM $ 454 27815763 NAIL I.M. FEM 11 X 36 ZIM $ 2,047 27815954 HEAD HIP 26x54 UNIVERSAL $ 1,730 27816237 HIP STEM SZ 1 12/14 TPR ZIMMER $ 3,556 27816238 HIP HEAD ADAPTER - 4MM ZIMMER $ 395 27816454 SCREW COMPRESSION 3.0 HEADLESS $ 838 27816637 HIP STEM SZ 0 RT COLLARLESS $ 9,092 27816661 HIP LINER 32MM 20 DEG ELEV RIM $ 2,411 27816693 MESH HERNIA PLUG SM-LG ETHICON $ 675 27817014 RING CAPSULAR TENSION STABILEY $ 873 27817233 SCREW PERITICULAR 4.5 26-90 $ 70 27817414 HIP LINER 36MM 3.5MM OFFSET ZI $ 3,011 27817415 HIP SHELL 54MM W/CLUST ZIMMER $ 4,212 27817991 HIP STEM SZ 2 PREMIER ZIMM $ 6,631 27818126 GRAFT VASC 6X40 W/O RNG AV SHT $ 2,040 27818573 MESH HERNIA GRAFT 2X4 ALLOMAX $ 959 27818645 METATARSAL JOINT IMPLANT MED/S $ 2,040 27818657 GRAFT BONE GRANULES 10CC STRIP $ 3,202 27818658 CAGE SPINE 8X18X50 10 DEG XL P $ 12,033 27818669 SCREW SPINE 6.5X45 POLY NUVASI $ 3,107 27818670 ROD SPINE 5.5X80 PRE-BENT $ 1,489 27818672 NUT SPINE LOCK SCREW NUVASIVE $ 464 27818673 CONNECTOR SPINE 45-54 TRANSVER $ 3,631 27818708 MESH HERNIA 7X10 ALLOMAX $ 8,914 27818709 MESH HERNIA 10X15 ALLOMAX $ 18,622 27818720 PLATE FEM LOCK DIST LAT 10H RT $ 3,327 27818721 SCREW CANNULATED PERI 5.5X70 $ 417 27818723 SCREW CANNULATED PERI 4.5X34 $ 313 27818910 SCREW CANN 4.0X44 1/3 THRD ZIM $ 371 27818911 SCREW CANN 3.5X38 PT THRD ZIM $ 354 27818971 HIP STEM SZ 3 PREMIER ZIMMER $ 5,047 27818975 HIP STEM SZ 9 KINECTIV ZIMM $ 5,765 27818977 HIP NECK 12/14 E KINECTIV ZIMM $ 1,277 27819064 NAIL I.M. FEM RT 12X34 $ 3,408 27819065 SCREW I.M. LAG 11X100 $ 623 27819066 SCREW I.M. ANTI-ROTAT 6.5X85 $ 507 27819068 CAP LOCKING I.M. 15MM $ 486 27819111 SCREW LAG 80MM 1-PIECE ZIM $ 623 27819148 HIP SHELL MULTI HOL 50MM REVIS $ 8,011 27819658 IMPLANT TOE 16x10 O DEG FUSION $ 1,342 27819692 SCREW LOCKING PERIART 4.5X36 $ 310 27819960 MESH HERNIA 7X9 COMPOSIX LP $ 5,932 27819963 MESH HERNIA 8X10 COMPOSIX LP $ 7,625 27819964 MESH HERNIA 10X13 COMPOSIX LP $ 9,636 27819965 MESH HERNIA 6X10 COMPOSIX LP $ 5,697 27821983 MESH HERNIA 4X8 COMPOSIX GRN $ 1,629 27822599 SCREW COMPRESSION 3.0X27 LNG T $ 835 27823005 SCREW IM 4.2X50 INTRLOK ZIMMER $ 376 27823006 NAIL 14 X 34 $ 2,610 27823063 RECORDER LOOP IMPLANTABLE MED $ 19,283 27823441 GRAFT VASCULAR 8-5 X 70 RING $ 6,504 27823563 HIP LINER 58X36 10 DEG 3.5 OFF $ 2,919 27823689 MATRIX CROSSLINK 47-62mm $ 2,350 27823856 MESH HERNIA 13x15 ALLOMAX $ 11,999 27824916 HIP STEM 13.5x115 STR REVISION $ 7,052 27824917 HIP FEM CONE BODY 40x35 REVISI $ 9,827 27825465 MESH HERNIA 6X8 SEPRAL MESH $ 4,521 27825623 DEVICE TUBAL OCCLUSION ESSURE $ 3,274 27825889 PLATE WRIST RAYHAK $ 3,174 27825890 SCREW CORTICAL 3.4x14 WRIST $ 236 27825893 SCREW CORTICAL 2.7x16 WRIST $ 236 27825895 SCREW LOCKING 2.7x12 WRIST $ 431 27826530 MESH HERNIA 10x15 (4x6) $ 1,343 27826690 IMPLANT TOE 19X13 10 DEG FUSIO $ 1,877 27826701 MESH HERNIA 4.3 X 4.3 $ 1,540 27826906 SCREW BIOCOMPOSITE TENQDEIS $ 1,063 27826907 MESH HERNIA 19x28 XENMATRIX $ 58,331 27827265 PLATE DISTAL FEMUR 5-H RT $ 3,754 27827266 SCREW CORTICAL 5.0x85 NCB ZIMR $ 417 27827270 SCREW CANCELLOUS 5.0x85 NCB ZI $ 360 27827273 CAP LOCKING SCREW NCB $ 414 27827338 FIBERWIRE W/TITAN BTN TIGHTROP $ 1,475 27827934 MESH BIOLOGIC TISSUE $ 37,273 27827944 KNOTLS FIXATN DEV OPUS MAG(R)2 $ 1,004 27827969 HIP SHELL 56mm W/CLUSTER $ 4,428 27828410 ANCHOR W/4 NEEDLES BIOCOMPOSIT $ 910 27828427 PROSTHESIS MAMMARY $ 3,755 27829152 MESH HERNIA PROLOOP LG $ 539 27829153 MESH HERNIA PROLOOP XLG $ 576 27829315 PIN STEINMANN 1/8"x9" - SPINE $ 60 27829403 DURASEAL SPINE SEALANT $ 1,497 27829569 MESH C-QUR TACSHILD SKRTD 3x6" $ 1,814 27829570 MESH C-QUR HERNIA TACSHILD SKI $ 1,958 27829571 MESH C-QUR TACSHILD SKIRTD 6x8 $ 3,169 27829572 MESH C-QUR TACSHILD SKIRTD 5x5 $ 1,958 27829573 MESH C-QUR TACSHILD SKRTD 8x10 $ 5,190 27829574 MESH C-QUR TACSHILD SKRTD 8x12 $ 5,742 27830079 MESH PHYSEOMESH 20x25cm $ 8,492 27830084 DISC LUMBAR 7.5mm CORE $ 1,322 27830086 ENDPLATE STD MED 0 DEGREES $ 9,962 27830089 ENDPLATE WIDE MED 7.5 DEGREES $ 9,962 27830787 SCREW BIO-TENODESIS 8mm x 23mm $ 745 27831519 KIT HEMODIALYSIS 15fr 24cm LT $ 1,413 27831523 KIT HEMODIALYSIS 15fr 28cm LT $ 1,413 27831887 GRAFT DURA 3x3 $ 1,766 27831993 MESH PHYSIOMESH 10 x 15 $ 2,917 27832088 MESH PHYSIOMESH 15 x 15Q $ 2,982 27832089 MESH PHYSIOMESH 15 x 20R $ 4,138 27832122 KNEE TIBIAL SYS-CONGRUENT 9mm $ 2,818 27832123 NAIL TIBIAL 11-12 x 34-36mm $ 1,852 27832152 MESH PROLITE 3 x 6 $ 103 27832162 NAIL CAP 10mm $ 394 27832225 EXPANDER TISSUE $ 2,594 27832244 PLATE ANTEGRA SYNTHES $ 10,059 27832245 SCREW ANTEGRA SYNTHES $ 1,193 27832272 SCREW SYNTHES 30-44mm $ 519 27832273 K-WIRE SYNTHES $ 291 27832333 CLAMP MULTIPIN 8mm $ 921 27832334 CLAMP ROD 9mm $ 807 27832335 ROB CARBON FIBER 8 x 200mm $ 266 27832336 PIN EXTERNAL FIXATION 3mm $ 190 27832344 SCREW CANN 16-75mm SYNTHES $ 679 27832348 ENDPLATE LG 23-32mm SYNEX $ 11,824 27832447 TRINITY 1cc $ 939 27832448 TRINITY 5cc $ 4,378 27832449 TRINITY 10cc $ 8,621 27832483 DRESSING HEMCOM 2 x 2 $ 90 27832484 DRESSING HEMCOM 4 x 4 $ 123 27832485 DRESSING HEMCON 4 x 2 YDS $ 156 27832522 STEM FEMORAL SIZE 11 $ 9,622 27832652 GUIDEWIRE TEAR DROP 3 x 100 $ 511 27832749 MCRP STABILITY BIOLOGICS 5CC $ 4,378 27832750 MCRP STABILITY BIOLOGICS 10cc $ 8,600 27832751 MCRP STABILITY BIOLOGICS 15cc $ 8,818 27832752 SCREW CANNULUS 4.0 50mm ZIMMER $ 373 27832753 DRILL BIT CANN 2.7mm ZIMMER $ 780 27832767 NAIL FEMORAL PURPLE 11.5x30 $ 4,752 27832768 NAIL CANC SCREW 6x75 $ 838 27832769 NAIL CANC SCREW 6x50 $ 838 27832770 PIN ZIMMER 355 3.0mm $ 641 27832771 PIN ZIMMER 2.0 $ 541 27833104 ACCOLADE HFX SIZE #3 $ 2,996 27833105 HEAD UNITRAX ENDO 46mm $ 1,798 27833106 SLEEVE UNITRAX +4mm $ 493 27833108 HIP STEM ACCOLADE 2.5 $ 2,996 27833109 HEAD V40 COCR HEAD $ 1,560 27833112 PLATE LOCK 150mm $ 1,267 27833143 SILICONE IMPLANT GELL-ALLERGEN $ 1,626 27833157 DRILL BIT 1.8mm SYNTHES $ 393 27833158 SUTURE TAK 2.4 ARTHREX $ 666 27833166 PLATE DISTAL RADIUS LEFT SYNTH $ 2,543 27833167 PEG SYNTHES SMOOTH 18-22mm $ 348 27833170 SCREW LOCKING 14-22mm $ 348 27833190 SCREW CORTICAL 16-18mm $ 102 27833212 NAIL Ti TROCHANTRIC 11x180x130 $ 4,210 27833220 HIP STEM #3 #4 ARTHREX $ 6,468 27833222 SCREW LOCKING 5 x 100mm $ 578 27833223 SCREW TILAG 10.5 x 100mm $ 1,720 27833224 NAIL GAMMA 2 RT 10x360x125 $ 7,291 27833250 CATHETR HEMODIALYSIS 14fr 19cm $ 2,097 27833307 SCREW CANNULA 3 x 36mm $ 340 27833326 SPACER TAPERED 160MM +5 $ 736 27833327 HIP BALL FRACTURE HEAD 54mm $ 1,366 27833328 STEM FEMORAL 12/14 $ 17,261 27833353 SCREW BIOCOMPOSITE 7-8 X 23 $ 493 27833364 HEAD FEMORAL METAL 36mm $ 3,769 27833365 HEAD FEMORAL STEM SUMMIT $ 15,503 27833366 LINAR ALTRX POLYETHYLENE $ 5,892 27833367 SCREW BONE CANCELLOUS 15mm $ 532 27833368 SCREW BONE CANCELLOUS 25mm $ 532 27833369 ACETABULAR SHELL SECTOR 62mm $ 9,231 27833419 MESH HERNIA 10 x 14 x QUR $ 5,691 27833469 SPACER PEEK LAT 45 x 18 x 12 $ 8,373 27833482 LINER BI-POLAR 28mm $ 722 27833484 SHELL BIPOLAR 54mm $ 1,170 27833485 HEAD FEMORAL 12/14 COCR 28mm $ 1,344 27833486 DISTAL UNIVERSAL CENTRAL 16mm $ 164 27833487 HIP NATURAL PREMIER SIZE 6 $ 4,574 27833498 LINER CONTINUUM VIVACIT 40x56 $ 2,978 27833511 CLAMP UNIVERSAL SPINE 5.5mm $ 2,961 27833516 OBELISC CENTER PC 20mm 27-38mm $ 11,513 27833517 OBELISC CENTER PC 26mm O DEGRE $ 1,678 27833518 OBELISC SCREW LOCKING $ 250 27833541 SUTURE ANCHOR 2.9 x 15.5 $ 799 27833557 PLAST LOCK ADJ XC ISP 6/10-18 $ 6,804 27833558 PLATE POST ADJ XC ISP 6/10-18 $ 8,896 27833559 STEM FEMORAL 12/14 TAPER 13.5 $ 11,620 27833560 HEAD FRACTURE MODULAR CATHCARE $ 928 27833566 FEMORAL TRIATHLON CEMENTED #7 $ 4,607 27833567 PATELLA $ 1,615 27833615 MESH PRELUDE VESSEL GUARD 5x6 $ 904 27833668 PACK PROBE & CONNECTOR $ 2,233 27833710 LINER CONTINUUM 40x58 $ 2,352 27833711 OBELISC CENTER 26mm 5 DEGREE $ 2,095 27833715 SCREW EXP TI 10x45-65 $ 2,305 27833718 SET SCREW EXP UNITIZED $ 474 27833739 KIT ADVANCE MALE SLING US $ 10,465 27833742 PLATE 6 HOLE LOCKING ZIMMER $ 575 27833743 HEAD C TAPER COCR LEFT 26mm $ 1,500 27833744 HIP STEM 1320 #5 OMNIFIT $ 2,880 27833745 CEMENT SIMPLEX W/TOBRAMYCIN $ 1,170 27833773 SET QUICK 5CC KIT $ 3,225 27833823 SCREW CORTICAL 2.3 x 10-32mm $ 149 27833824 SCREW CORTICAL 3.2 x 8-20mm $ 149 27833825 PIN VOLAR BUTTRESS 32 $ 485 27833826 WASHER WRIST TRI MED $ 170 27833827 PLASTE RADIAL COLUMN PIN 3HOLE $ 978 27833841 DRILL TWIST 1.75L 2-30 HOLE $ 223 27833842 PLATE DORSAL ULNAR 3 - 7 HOLE $ 978 27833843 K-WIRE TRI MED $ 29 27833848 SHAFT FEMUR 210mm $ 1,235 27833850 SCREW UNICORTICAL 5 x 10mm $ 308 27833860 CABLE BUTTON TITANIUM 2.5 $ 506 27833871 DERMACELL 4x4x.8 (MESHED) $ 2,715 27833927 MESH OASIS ULTRA TRI-LAYER $ 1,585 27833984 STRAP ANKLE ARTHROSCOPY DISTR $ 83 27833985 SABRE SJ 2.0mm X 7cm $ 140 27833986 SABRE SJ 3.0mm x 7cm ARTHREX $ 140 27833999 SUTURE BIO COMPOSITE ANCHOR $ 3,016 27834024 SCREW MINI ACUTRAK 20.0mm $ 940 27834025 SCREW MINI ACUTRAK 24.Omm $ 940 27834057 KIT GRAFT ORTHOPEDICS SMALL $ 2,727 27834059 KIT BONE MARROW ASPIRATION $ 926 27834060 AMNIOTIC MEMBRANE $ 1,444 27834114 SCREW CORTICAL 3.5 X 12 $ 140 27834115 SCREW CORTICAL 2.3 X 20 $ 189 27834116 SCREW CORTICAL LOCKING 2.3x 18 $ 189 27834117 PLATE 3.5 LCP 7 HOLE 98mm $ 877 27834118 DRILL BIT QUICK RELEASE 2.8mm $ 230 27834119 DRILL BIT QUICK RELEASE 2.0mm $ 168 27834120 GUIDEWIRE ACUMED .05 X 6 $ 31 27834121 SCREW CORTICAL 3.5mm X 18 $ 140 27834123 PLATE ACU-LOC STDL VDR $ 2,128 27834131 FEMUR TRIATHOLON CEMENTED $ 4,607 27834138 SCREW CANNUALATED 3.5 x 44 $ 532 27834144 NAIL FIXATION TROCH 10mm $ 3,648 27834146 SCREW LOCKING 38mm $ 614 27834157 MESH HERNIA 10cm x 15cm XEN $ 8,008 27834162 SCREW LAG 10.5mm X 80mm $ 1,654 27834253 SPEEDBRIDGE BIOCOMPOSIT SWIVEL $ 3,998 27834262 JOINT TOE IMPLANT PC/MS $ 2,931 27834310 ALLEGRO DBM 10cc $ 809 27834377 PEG FEMUR DISTAL FIXATION $ 1,180 27834378 PLATE TIBIA UNIVERSAL SZ 6 $ 3,457 27834387 PLATE DISTAL RADIUS RIGHT SYNT $ 2,608 27834392 SCREW PLATE CANCELLOUS 4x44 $ 239 27834393 SCREW CORTICAL TITAN 3.5 x 24 $ 96 27834396 SUTUREPLATE HUMERAL 3 HOLE $ 3,130 27834406 KIT QUICKSET 16cc $ 6,265 27834434 SUTURE FIBERWIRE #5 W/NEEDLE $ 80 27834435 SCREW CORTICAL LOW PRO 3.5x10 $ 75 27834436 SCREW CANNULATED SS 4.0 x 50 $ 317 27834439 PLATE LOCKING TUBULAR SS 7H $ 538 27834450 SCREW CORTEX 2.4 x 18 $ 150 27834451 PLATE RADIAL DORSAL DIST 2.4 $ 1,404 27834452 DISTAL DELIVERY REPAIR BICEP $ 2,546 27834454 ANCHOR SUTURE PEEK PUSHLOCK $ 715 27834508 TUBES AERATION PERM SILVERSTEI $ 193 27834509 SPEEDBRIDGE BIO COMP ACHILLES $ 3,475 27834521 SCREW CANNULATED 24 X 4 $ 581 27834591 PLATE LCP RIGHT 90mm $ 2,899 27834592 SCREW LOCKING SELF TAP 32mm $ 401 27834594 SCREW LOCKING SELF TAP 60mm $ 401 27834595 SCREW LOCKING SELF TAP 54mm $ 401 27834596 SCREW LOCKING SELF TAP 10mm $ 401 27834597 SCREW LOCKING SELF TAP 36mm $ 401 27834598 SCREW METAPHYSEAL 2.7 x 26 $ 130 27834599 SCREW LOCKING 3.5 x 20mm $ 353 27834623 TRIATHLON TIBIAL POLY 9mm $ 6,331 27834624 TRIATHLON PATELLA ASYMMETRIC $ 1,615 27834664 SCREW LOCKING TITAN 2.3 x 20 $ 411 27834669 PLATE DORSAL SMARTLOCK LEFT $ 2,724 27834712 PATELLA WHOLE ALLOSOURCE $ 6,748 27834721 GRAFT LINE CONTRUCT ALLOGRAFT $ 4,338 27834736 TIGHTROPE BTB ARTHREX $ 750 27834737 TIGHTROPE BTB 10mm ARTHREX $ 1,398 27834738 TIGHTROPE ABS IMPLANT $ 370 27834762 STEM 8.0mm X 0mm ACUMED $ 3,265 27834763 HEAD RIGHT 26.0mm ACUMED $ 5,358 27834764 PASTE 3cc ALLO SOURCE $ 617 27834775 SCREW TROCH NAIL 11mm X 85mm $ 1,509 27834776 PLATE POSTLAT DISTAL HUM 2.7 $ 3,033 27834794 CHIPS CANCELLOUS BONE 1cc $ 589 27834811 SLING R ALIGN BARD UROLOGICAL $ 1,824 27834812 SCREW CORTICAL 3.5 x 16 ARTHRX $ 103 27834815 SCREW LOCKING LOW PROF 3.5x16 $ 318 27834816 SCREW CANNU TOSS-LOW PROF 4x40 $ 431 27834977 MESH 19 x 35 XENMATRIX $ 33,271 27835644 SPINE COFLEY INTERLAMINER IMPL $ 12,296 27835650 ENDOSKELETON 18x45x8 IMPLANT $ 13,661 27880000 BAND LEVEL 1 $ 1,560 27880001 BIOLOGIC LEVEL 1 $ 1,560 27880002 BIOLOGIC LEV 2 $ 2,598 27880003 BIOLOGIC LEV 3 $ 3,635 27880004 BIOLOGIC LEV 4 $ 4,674 27880005 BIOLOGIC LEV 5 $ 5,711 27880006 BIOLOGIC LEV 8 $ 8,825 27880007 BIOLOGC LEV 10 $ 10,904 27880008 CONNECTOR LEV 1 $ 1,560 27880009 HOOK LEVEL 1 $ 1,560 27880010 HOOK LEVEL 2 $ 2,598 27880011 PLATE LEVEL 1 $ 1,560 27880012 PLATE LEVEL 2 $ 2,598 27880013 PLATE LEVEL 4 $ 4,674 27880014 SCREW LEVEL 1 $ 1,560 27880015 SCREW LEVEL 2 $ 2,598 27880016 SPACER LEVEL 8 $ 8,825 27880017 IMPLANT MISC $ 501 27880018 BLADE LEVEL 1 $ 1,560 27880019 CLAMP LEVEL 1 $ 1,560 27880020 CLAMP LEVEL 2 $ 2,598 27880021 CLAMP LEVEL 4 $ 4,674 27880022 CLAMP LEVEL 5 $ 5,711 27880023 CLAMP LEVEL 11 $ 11,941 27880024 HOOK LEVEL 7 $ 7,788 27880025 NAIL LEVEL 1 $ 1,560 27880026 NAIL LEVEL 2 $ 2,598 27880027 NAIL LEVEL 3 $ 3,635 27880028 NAIL LEVEL 4 $ 4,674 27880029 NAIL LEVEL 5 $ 5,711 27880030 PLATE LEVEL 3 $ 3,635 27880031 PLATE LEVEL 5 $ 5,711 27880032 PLATE LEVEL 6 $ 6,750 27880033 PLATE LEVEL 7 $ 7,788 27880034 PLATE LEVEL 8 $ 8,825 27880035 PLATE LEVEL 9 $ 9,863 27880036 PLATE LEVEL 10 $ 10,904 27880037 PLATE LEVEL 13 $ 14,016 27880038 PLATE LEVEL 19 $ 20,244 27880039 RING LEVEL 1 $ 1,560 27880040 RING LEVEL 2 $ 2,598 27880041 RING LEVEL 3 $ 3,635 27880042 ROD LEVEL 1 $ 1,560 27880043 ROD LEVEL 2 $ 2,598 27880044 ROD LEVEL 3 $ 3,635 27880045 ROD LEVEL 4 $ 4,674 27880046 ROD LEVEL 7 $ 7,788 27880047 SCREW LEVEL 3 $ 3,635 27880048 MESH SYNTHETIC LEV 1 $ 1,561 27880049 MESH SYNTHETIC LEV2 $ 2,598 27880050 MESH SYNTHETIC LEV3 $ 3,636 27880051 MESH SYNTHETIC MISC $ 501 27880052 MESH NON SYNTH LEV 1 $ 1,561 27880053 MESH NON SYNTH LEV2 $ 2,598 27880054 MESH NON SYNTH LEV3 $ 3,636 27880055 MESH NON SYNTH LEV4 $ 4,674 27880056 MESH NON SYNTH LEV5 $ 5,714 27880057 MESH NON SYNTH LEV6 $ 6,750 27880058 MESH NON SYNTH LEV7 $ 7,790 27880059 MESH NON SYNTH MISC $ 501 27880060 SPACER LEVEL 1 $ 1,561 27880061 SPACER LEVEL 2 $ 2,598 27880062 SPACER LEVEL 3 $ 3,636 27880063 SPACER LEVEL 4 $ 4,674 27880064 SPACER LEVEL 5 $ 5,714 27880065 SPACER LEVEL 6 $ 6,750 27880066 SPACER LEVEL 7 $ 7,790 27880067 CAGE LEVEL 8 $ 8,825 27880068 AXIALIF+ 1 X USE INSTR KIT 19 $ 20,245 27880069 NAIL LEVEL 6 $ 4,657 27880070 IMPLT SUTURE LEV 2 $ 1,792 27890123 HIP STEM #2 DEFINITION $ 9,096 27890327 PLATE HIP 150 DEG 4 SLOT OMEGA $ 921 27892899 PLATE HIP 140 DEG 3-SLOT OMEGA $ 818 27893043 HIP HEAD 26X49 UH1-49-26 $ 2,939 30000006 URINALYSIS MICROSCOPIC ONLY $ 9 30000010 TB TEST CELL IMMUNE MEASURE $ 221 30000011 PPD TEST DIALYSIS $ 21 30100001 BASIC METABOLIC PANEL $ 157 30100002 ELECTROLYTES PANEL $ 65 30100004 COMPREHENSIVE METABOLIC PANEL $ 157 30100006 LIPID PROFILE $ 177 30100009 HEPATIC FUNCTION PANEL A $ 69 30100016 AMIKACIN (PEAK/TROUGH SERUM) $ 137 30100017 CARBAMAZEPINE, TOTAL $ 113 30100019 DIGOXIN $ 128 30100020 VALPROIC ACID, SERUM $ 113 30100021 ETHOSUXIMIDE $ 142 30100022 GENTAMICIN $ 187 30100023 ANTIDEPRESSANTS CYCLICALS 1OR2 $ 129 30100024 LITHIUM, SERUM $ 50 30100026 PHENOBARBITAL $ 167 30100027 PHENYTOIN; TOTAL $ 159 30100029 PRIMIDONE $ 129 30100030 PROCAINAMIDE AND NAPA $ 113 30100031 QUINIDINE $ 122 30100033 THEOPHYLLINE AMINOPHYLLINE $ 166 30100034 TOBRAMYCIN $ 166 30100035 VANCOMYCIN $ 142 30100037 ACETONE $ 41 30100038 ACTH-ADRENOCORTICOTROPHIC HORM $ 328 30100039 ALBUMIN,SERUM $ 38 30100041 MICROALBUMIN - URINE $ 63 30100044 ALPHA-1-ANTITRYPSIN,TOTAL $ 95 30100046 ALPHA-FETOPROTEIN(AFP),SERUM $ 60 30100047 AMINO ACIDS,SINGLE QLT EA SPE $ 188 30100050 HOMOCYSTEINE $ 370 30100051 AMINOLEVULINIC ACID,DELTA(ALA) $ 75 30100052 AMMONIA $ 152 30100053 AMYLASE $ 73 30100055 ARSENIC $ 69 30100056 ASCORBIC ACID(VIT C) $ 142 30100057 SINGLE DRUG CLS METH BY INSTRU $ 104 30100058 BETA 2 MICROGLOBULIN $ 142 30100059 BILIRUBIN TOTAL $ 38 30100060 BILIRUBIN DIRECT $ 38 30100061 CALCITONIN $ 234 30100062 CALCIUM $ 38 30100063 CALCIUM IONIZED S $ 125 30100065 BICARBONATE LEVEL CO2 $ 38 30100066 CARBOXY HEMOGLOBIN $ 75 30100068 CEA $ 180 30100069 CAROTENE SERUM $ 56 30100070 CATECHOLAMINES TOTAL URINE $ 125 30100071 CATECHOLAMINES BLOOD $ 196 30100072 CATECHOLAMINES FRACTIONATED $ 196 30100073 CERULOPLASMIN $ 60 30100074 CHLORIDE $ 50 30100075 CHLORIDE, URINE $ 39 30100076 CHOLESTEROL $ 38 30100077 CHOLINESTERASE, SERUM/PLASMA $ 39 30100079 COPPER $ 92 30100080 CORTISOL, FREE $ 69 30100081 CORTISOL $ 137 30100082 CPK, BLOOD $ 60 30100083 M-CKMB $ 107 30100084 CREATININE ; BLOOD $ 38 30100085 CREATININE; OTHER SOURCE $ 122 30100086 CREATININE CLEARENCE 24 HR URI $ 90 30100087 VITAMIN B12 $ 189 30100088 DHEA $ 389 30100089 DHEA-S $ 319 30100091 ERYTHROPOIETIN $ 220 30100092 ESTRADIOL $ 204 30100093 ESTROGENS TOTAL $ 371 30100094 ESTRIOL $ 113 30100095 FECAL FAT, QUAL $ 68 30100096 FECAL FAT QUANT $ 220 30100097 FERRITIN $ 129 30100098 FOLIC ACID $ 53 30100099 GAMMAGLOBULIN A,D,G,M $ 104 30100100 IgE $ 107 30100101 GASES,BLD,ANY-PH,PCO2,PO2,CO2 $ 246 30100103 GASTRIN $ 118 30100104 GLUCAGON RIA $ 159 30100105 GLUCOSE $ 38 30100106 GLUCOSE TOLERANCE TEST-1 HR $ 85 30100108 GLUCOSE TOLERANCE 3 SPEC $ 104 30100110 GLUCOSE TOLERANCE EA ADD'L $ 104 30100111 GLUCOSE FINGER STIK $ 52 30100112 GGT $ 38 30100113 FSH (FOLLICLE STIMULAT HORMON) $ 128 30100114 LH (LUTEINIZING HORMONE) $ 122 30100115 HUMAN GROWTH HORMONE $ 125 30100116 HAPTOGLOBIN $ 90 30100118 HEMOGLOBIN ELECTOPHORESIS $ 113 30100119 FETAL QUAL ((F) FETAL, QUAL) $ 103 30100120 GLYCOSYLATED (A1C) $ 85 30100121 METHEMOGLOBIN $ 74 30100122 HIAA (5), 24 HR URINE $ 113 30100123 INSULIN $ 88 30100124 IRON $ 103 30100125 TIBC TOT IRON BINDING CAPACITY $ 158 30100127 KETOSTEROIDS,17 (17-KS) $ 142 30100128 LACTATE (LACTIC ACID) $ 90 30100129 LDH $ 38 30100131 LEAD $ 96 30100132 LIPASE $ 68 30100133 HDL $ 90 30100134 LDL DIRECT $ 155 30100135 MAGNESIUM $ 41 30100136 MERCURY,QUANTITATIVE $ 106 30100137 METANEPHRINES $ 133 30100139 MYOGLOBIN, SERUM & URINE $ 85 30100140 OSMOLALITY SERUM $ 50 30100141 OSMOLALITY URINE $ 50 30100142 PTH C-TERM/INTACT/MID-MOLECUL $ 562 30100145 PHOSPHATASE,ACID; TOTAL $ 53 30100146 ALK PHOS $ 38 30100147 PHOSPHORUS $ 38 30100148 PHOSPHORUS,URINE $ 43 30100150 PORPHOBILINOGEN $ 63 30100152 PORPHYRINS URINE $ 38 30100154 POTASSIUM BLOOD $ 51 30100155 POTASSIUM URINE $ 39 30100158 PROGESTERONE SERUM $ 124 30100159 PROLACTIN SERUM $ 75 30100160 PROSTATE SPEC ANTIGEN COMPLEX $ 200 30100161 PROSTATE SPEC AG (PSA),TOTAL $ 180 30100164 PROTEIN FETAL BLOOD $ 38 30100166 PROTOPORPHYRIN, RBC, QUANT $ 158 30100169 SEROTONIN SERUM $ 324 30100170 PSA-SCREEN $ 180 30100171 SODIUM URINE $ 39 30100172 TESTOSTERONE, FREE $ 98 30100173 TESTOSTERONE, TOTAL $ 189 30100174 T4 (THYROXINE); TOTAL $ 73 30100175 FREE T4 $ 83 30100176 TSH $ 156 30100177 SGOT (AST) $ 52 30100178 SGPT(ALT) $ 38 30100179 TRIGLYCERIDES $ 62 30100180 T3 UPTAKE $ 52 30100181 T 3 TOTAL $ 120 30100182 FREE T3 $ 190 30100183 TROPONIN I $ 146 30100184 BUN $ 38 30100185 URIC ACID $ 38 30100186 URIC ACID, OTHER SOURCE $ 38 30100188 VMA $ 62 30100189 VASOPRESSIN, ADH $ 432 30100190 VITAMIN A (RETINOL),S OR P $ 147 30100193 HIGH SENSITIVE CRP $ 61 30100194 CA 19-9 $ 64 30100195 CULTURE,CHLAMYDIA,ANY SOURCE $ 125 30100196 BLOOD HANDLING - INSURANCE PHY $ 62 30100197 SPECIMEN COLLECT VENIPUNCTURE $ 21 30100198 TRAVEL ALLOWANCE ROUND TRIP $ 39 30100199 COCAINE OR METABOLITE $ 124 30100200 TRAVEL ALLOWANCE PER MILE $ 6 30100203 QUEST HANDLING FEE $ 14 30100205 SODIUM $ 52 30100207 CHOLINESTERONE RBC $ 129 30100208 ALDOSTERONE,SERUM $ 296 30100209 TACROLIMUS, WHOLE BLOOD $ 88 30100210 EPSTEIN-BAR (EB) VIRUS Ag(EA) $ 124 30100211 EPSTEIN-BAR(EB) VIRUS Ag(EBNA) $ 124 30100212 EPSTEIN-BAR (EB)VIRUS(VCA) $ 124 30100213 IMMUNOASSAY ANALYTE QT,NOS $ 124 30100214 PNEUMO AB(IgG)PANEL 3,8,12,14 $ 124 30100220 BENZODIAZEPINE 1-12 $ 85 30100221 CITRIC ACID, URINE $ 128 30100222 CPK ISOENZYMES $ 69 30100223 C-PEPTIDE, SERUM $ 103 30100224 CRYOGLOBULIN, QUALITATIVE $ 39 30100228 DOXEPIN SERUM $ 85 30100229 ETHYLENE GLYCOL, SERUM $ 85 30100232 17-HYDROXYCORTICOSTEROIDS,URIN $ 101 30100234 17-HYDROXYPROGESTERONE $ 114 30100235 ANGIOTENSIN-CONVERTING ENZYME $ 85 30100236 NON-ENDOCRINE/SPECIFY RECEPTOR $ 167 30100237 ADENOVIRUS GROUP ANTIBODIES $ 69 30100239 ALUMINUM $ 98 30100240 ALDOLASE $ 52 30100243 ANDROSTENEDIONE $ 124 30100246 HEROIN METABOLITE $ 85 30100248 GONADOTROPIN,CHORIONIC(HCG),QT $ 88 30100249 IMMUNE COMPLEX ASSAY $ 101 30100252 CARDIOLIPIN(PHOSPHOLIPID)AB,EA $ 120 30100255 ANTIBODY ID,PLATELET AB'S $ 155 30100256 HEP c, RIBA $ 120 30100257 G6PD-QUANTITATIVE $ 62 30100258 HALOPERIDOL $ 82 30100259 SPECTROPHOTOMETRY NOS $ 36 30100261 PROTEIN ELECTRO QT/FRACT SERUM $ 104 30100262 PROPOXYPHENE $ 84 30100263 METHADONE SERUM $ 95 30100264 LIPOPROTEIN (A) $ 58 30100265 CADMIUM, BLOOD $ 95 30100266 CHROMIUM, PLASMA $ 101 30100267 SEX HORMONE DIND. GLOBULIN SER $ 88 30100268 INSULIN-LIKE GROWTH FACTOR I $ 122 30100269 HEAVY METAL SCREEN,QT,EA $ 114 30100270 NATRIURETIC PEPTIDE $ 115 30100271 SIROLIMUS (RAPAMUNE) $ 84 30100272 FOLATE, RBC $ 83 30100273 1,25-DIHYDROXY,INC FRACTION(S) $ 155 30100274 VIT D;HYDROXY INC FRACTION $ 122 30100275 VASOACTIVE INTESTINAL REPTIDE $ 142 30100276 CARNITINE $ 85 30100277 ZINC, PLASMA, SERUM $ 69 30100278 METHANOL BLOOD $ 106 30100279 METHYLMALONIC ACID, URINE $ 84 30100282 5' NUCLEOTIDASE $ 50 30100283 OXALATE, URINE $ 62 30100284 PROSTATIC ACID PHOSPHATASE $ 58 30100285 POLYCHLORINATED BIPHENYLS $ 62 30100286 PREALBUMIN $ 52 30100287 ANTIPSYCHOTICS NOS 1-3 $ 83 30100289 PROINSULIN $ 139 30100291 ALKALINE PHOS ISOENZYMES $ 73 30100294 RENIN, ACTIVE $ 104 30100296 GLYCATED PROTEIN $ 64 30100297 THIAMINE $ 92 30100298 CYANIDE, BLOOD $ 120 30100299 THYROXINE BINDING GLOBULIN $ 62 30100300 PYRUVIC ACID $ 62 30100301 THYROID STIM IMMUNNOGLOBULIN $ 210 30100306 MOLECULAR DIAG,AMPLIC,EACH $ 122 30100307 MOLECULAR DX,INTERP/REPORT $ 58 30100311 CYCLOSPORINE $ 101 30100313 PHENYTOIN; FREE $ 69 30100315 CRYOFIBRINOGEN $ 39 30100316 ESTRONE $ 107 30100317 IMMUNOASSAY, ANALYTE, QT $ 71 30100318 THYROGLOBULIN $ 84 30100319 CALCULUS,QT,ANALYSIS,CHEMICAL $ 64 30100320 HEMOGLOBULIN FRACT/QUANT CHROM $ 73 30100321 KETOGENIC STEROIDS,FRACTION $ 69 30100322 PREGNENOLONE $ 101 30100325 UREA NITROGEN URINE $ 29 30100326 ELECTROPHORETIC TECHNIQUE NES $ 125 30100327 TOPIRAMATE $ 84 30100328 AMP OF PT. NUC ACID, EACH $ 90 30100329 PYRIDOXAL PHOSPHATE VIT B6 $ 160 30100330 APOLOPOPROTEIN $ 95 30100331 ADENOSINE,5-MONOPHOSPHATE,CY $ 302 30100332 FATTY ACIDS, NONESTERIFIED $ 80 30100334 OLIGOCLONAL BANDING (IMMUNE) $ 84 30100335 COLLAGEN CROSS LINKS $ 137 30100336 ISO/EXTR HI PUR NUCLEI ACID $ 47 30100338 PROTEIN TOTAL URINE $ 21 30100339 DESOXYCORTICUSTERONE, 11 $ 223 30100340 DEOXYCORTISOL, 11 $ 117 30100341 17-HYDROXYPREGNENOLONE $ 96 30100343 MANGANESE $ 171 30100344 IMMUNO SUB (IgG1,2,3,4) EACH $ 166 30100345 VITAMIN K $ 73 30100346 PROTEIN TOTAL OTHER SOURCES $ 21 30100348 WESTERNBLOT, IMM. BAND ID $ 128 30100349 PH,BODY FLUID EXCEPT BLOOD $ 22 30100350 UNLISTED CHEMISTRY PROCEDURE $ 41 30100351 CALCIUM,URINE QUANT,TIMED $ 29 30100352 ORGANIC ACIDS, QUANITATIVE $ 81 30100353 AMINO ACIDS,6 OR MORE $ 239 30100354 BLOOD OCCULT OTHER SOURCES $ 21 30100355 ELECTROPHORETIC FRACT QUARNT $ 50 30100356 RADIOACTIVE SUBSTRATE, EACH $ 70 30100357 REVERSE T3 $ 69 30100358 TOC0PHEROL ALPHA (VITAMIN E) $ 63 30100359 HIGH RESOL FRAC OF LIPOPROTEIN $ 93 30100360 OSTE0CALCIN $ 110 30100361 FETAL FIBRONECTIN $ 152 30100362 AMINO ACIDS,SINGLE,QT,EA. $ 220 30100363 LACTOFERRIN, FECAL, QLTITIVE $ 60 30100364 MYELIN BASIC PROTEIN, CSF $ 84 30100366 LIPOPROTEIN,BLOOD;ELECTSEP/QNT $ 49 30100367 DIBUCAINE NUMBER $ 73 30100368 DIHYDROTESTOSTERONE (DHT) $ 168 30100369 HYDROXYPROLINE, TOTAL $ 95 30100370 NEPHELOMETRY, EACH $ 58 30100371 AMPLIFICA PAT NUCLEIC ACID $ 118 30100372 SEPARATN & ID BY HI RESOLUTION $ 98 30100374 RENAL FUNCTION PANEL $ 39 30100375 DRUG OR SUBST NOS 1-3 $ 71 30100376 CARBAMAZEPINE, FREE $ 65 30100377 ACETONE/OTHER KETONES,SERUM,QN $ 36 30100378 ENZYME ACTIVITY IN BLOOD $ 71 30100379 PORPHYRINS URINE,QT/FRACT $ 75 30100381 GONADOTROPIN HCG,QL $ 30 30100382 MASS SPECTROMETRY QL,EA SPEC $ 50 30100390 GENERAL HEALTH PANEL $ 90 30100395 AFP-L3 FRACTION ISO FORM $ 152 30100396 LP-PLA2 $ 115 30100401 TRANSCORTIN $ 73 30100405 DESIPRAMINE $ 75 30100406 ALPHA-1-ANTITRYPSIN,PHENOTYPE $ 85 30100410 PORPHYRINS FECES QNT $ 95 30100411 SPECIFICGRAVITY (EXCEPT URINE) $ 16 30100412 B-HEXOSAMINIDASE, EACH $ 120 30100415 HEMOSIDERIN, QUAL $ 22 30100416 SUGARS,MULTIPLE QUAL,EACH SPEC $ 27 30100417 CHEMILUMINESCENTS ASSAY $ 44 30100418 ANALYZE 20-25 CELLS $ 428 30100419 CHROMOSOME ANALYSIS,ADDTL KARY $ 137 30100421 UROBILINOGEN, SEMI QT. $ 42 30100422 BRUCELLA $ 39 30100423 VITAMIN NOT OTHERWISE SPECIFIE $ 62 30100424 METHSUXIMIDE $ 104 30100425 SUGAR, SINGLE QT EACH $ 47 30100428 INFECTIOUS AGENT AG. BASTONELL $ 104 30100430 NOCARDIA, AB. $ 50 30100440 COMPLEMENT FIX EA AG $ 38 30100441 NEISSERIA MENINGITIDIS. AB $ 50 30100442 GALACTOSE-1-PHOS, URIDYL TRANS $ 82 30100444 BILE ACIDS TOTAL $ 43 30100446 CARBOHYDRATE DEF. TRANSF. $ 56 30100447 MONONUCLEAR CELL AG.,QT $ 82 30100448 CHROM. ANAL. ADD. H-RES. $ 103 30100449 ALKALOIDS NOS $ 103 30100450 VERY LONG CHAIN FATTY ACIDS $ 237 30100451 SELENIUM $ 98 30100452 ESTROGENS,FRAC. $ 98 30100453 IMMUNOASSAY, ANALYTE, QL $ 58 30100454 BIOTINIDASE,EA. SPECIMEN $ 47 30100455 MEPROBAMATE $ 105 30100456 HISTAMINE $ 167 30100457 LIDOCAINE $ 69 30100458 VIT B12 UNSATURATD BIND.CAPACI $ 60 30100459 PROCALCITONIN $ 71 30100460 QT OF DRUG NOT ELSEWHERE SPEC. $ 58 30100461 SODIUM,OTHER SOURCE $ 19 30100462 CHLORIDE,OTHER SOURCE $ 19 30100463 CHROM. THIN LAYER,QL $ 52 30100464 PAMG-1 CERVICOVAGINAL SEC,QL $ 158 30100465 W.BLOT W/INTERPRETAION BLD/BF $ 63 30100466 PREG ASSOC PLAS PROTEIN A $ 52 30100467 CELLULAR FUNCTION ASSAY $ 318 30100469 MASS SPEC. QT $ 50 30100470 FLUORIDE $ 51 30100471 PSA FREE $ 53 30100472 SULFATE,URINE $ 16 30100473 HEMOVANILLIC ACID (HVA) $ 53 30100474 GASES,BLOOD,PH ONLY $ 118 30100475 HEPATITIS ACUTE PANEL $ 123 30100476 ONCOPROTEIN DES-GAMMA-CARB DCP $ 161 30100477 GENE ANALYSIS SERPINA1 $ 106 30100478 GENE ANALYSIS JAK2 $ 362 30100479 HLA CLASS II TYPG LOW RES,1 AG $ 314 30100480 GENE ANALYSIS MTHFR $ 198 30100481 HLA CLASS II TYPG HI RES,1 ALL $ 236 30100482 HLA CLASS I TYPG LOW RES,COMP $ 1,887 30100483 CFTR COMMON VARIANTS $ 955 30100484 GENE ANALYSIS F2 $ 176 30100485 GENE ANALYSIS F5 LEIDEN VARIAN $ 120 30100486 GENE ANALYSIS HFE $ 177 30100487 HLA CLASS I LOW RES 1 LOCUS $ 643 30100488 HLA CLASS I LOW RES ONE AG $ 643 30100489 TROPONIN I-REPEAT $ 146 30100490 GLUCOSE - REPEAT $ 38 30100492 HI PYLORI BREATH TEST $ 378 30100493 ALBUMIN OTHER SOURCE QT EA. $ 16 30100494 DRUG SCREEN CLASS A DEVICE $ 48 30100495 CALPROTECTIN FECAL $ 70 30100496 LDL DIRECT MOD 59 $ 155 30100497 HBA1/HBA2 $ 630 30100498 MOLECULAR PATH. PROC. LEVEL 2 $ 418 30100499 MICROSATELLITE INSTABILITY ANA $ 900 30100500 THROMBOXANE METABOLITE(S) URIN $ 43 30100501 TICK TESTING,B BURGDORFERI $ 208 30100502 MOLECULAR PATHOLOGY $ 137 30100503 REPTILASE TEST $ 47 30100504 PHENCYCLIDINE CONFIRM URINE $ 50 30100505 GENE ANALYS CYTOCHROME CYP2C9 $ 216 30100506 GENE ANALYS CYTOCHROME CYP2C19 $ 182 30100507 GENE ANALY MSH6 KNOWN FAM VARI $ 1,420 30100508 CYTOGENOMIC INTERROGATION $ 1,420 30100509 OPIATES 1 OR MORE $ 45 30100510 VALPROIC ACID FREE $ 32 30100512 ANTIDEPRESSANTS SEROTON 1OR2 $ 42 30100513 MDMA $ 34 30100514 OPIODS AND OPIATE ANALOGS $ 43 30100515 OXYCODONE $ 43 30100516 ANTIDEPRESSANTS NOS $ 32 30100517 IMMUNO ASSAY QUANT NOS NONAB $ 33 30100519 GENE ANALYSIS, BRCA1 BRCA2 $ 4,000 30100520 UNCOMMON DUP/VARIANTS BRCA $ 1,069 30100521 NATURAL KILL CELLS,TOTAL COUNT $ 85 30100522 SALMONELLA Ab $ 36 30100523 MOLECULAR PATHOLOGY LEVEL 6 $ 383 30100524 POTASSIUM REPEAT $ 51 30100525 ONCOLOGY (OVARIAN) ASSAY $ 283 30100526 HIV-1 REVRS TRANSCRP PROTEASE $ 541 30100528 ONCOLOGY (OVARIAN) CA125 & HE4 $ 743 30100530 LUTEINIZING RELEASG FACTR (LRF $ 45 30100531 Ab ENCEPHALITIS EASTERN EQUINE $ 33 30100532 TRAMODOL $ 26 30100533 CYSTATIN C $ 24 30100534 CORTICOSTERONE $ 48 30100535 VOLATILES $ 32 30100537 PREGABALIN $ 166 30100538 INSULIN TOTAL FREE $ 33 30100539 SEDATIVE HYPNOTICS (NON-BENZ) $ 205 30100540 CREATINE $ 11 30100541 MICRODISSECTION MANUAL $ 390 30100542 BRAF MUTATION $ 455 30100543 KRAS MUTATION ADDT'L VARIANT $ 876 30100544 NRAS MUTATION $ 876 30100545 UNLISTED MOLECULAR PATH. PROC. $ 876 30100546 IGH-B-CELL GENE RE-ARRANGEMENT $ 368 30100547 IGK-B-CELL GENE RE-ARRANGEMENT $ 278 30100548 BUPRENORPHRINE $ 213 30100549 AMPHETAMINES $ 265 30100550 FENTANYL $ 137 30100551 NICKEL $ 38 30100552 CANNABINOIDS,NATURAL $ 30 30100553 TPMT GENE ANALYSIS $ 483 30200001 HEPATITIS DELTA ANTIBODY $ 83 30200004 HERPES SIMP, TYPE 1 $ 71 30200005 HERPES SIMPLEX, TYPE 2 $ 75 30200006 HERPES SIMPLX,AB,NON-SPEC TYP $ 73 30200007 IMMUNOFIXATION ELECTROPHORESIS $ 88 30200010 EXTRACTABLE NUC AG,AB TO,EA AB $ 98 30200011 ANITIBODY,LEGIONELLA $ 75 30200012 TEICHOIC ACID ANTIBODIES $ 83 30200014 TETNUS ANTITOXOID AB $ 64 30200016 INTRINSIC FACTOR BLOCKING AB $ 73 30200018 COMPLEMENT;ANTIGEN,EA. COMPONE $ 73 30200019 PARVOVIRUS $ 84 30200020 ALLERGENSPECIFIC, QUANTITATIVE $ 32 30200021 ANTIBODY, ACTINOMYCES $ 68 30200022 ANTIBODY, ASPERGILLUS $ 73 30200023 ANTIBODY, CHLAMYDIA $ 148 30200024 ANTIBODY, PROTOZOA $ 92 30200026 TCEHS-ABSLTE CD4/CD8 CNT/RATIO $ 183 30200027 CELL DIFFUSION $ 75 30200028 FUGUS-NOT ELSEWHERE SPECIFIED $ 92 30200029 ABSOLUTE CD4 COUNT $ 137 30200030 VIRUS, NOT ELSEWHERE SPECIFIED $ 92 30200031 BETA 2 GLYCOPROTEIN I AB $ 113 30200032 LEPTOSPIRA $ 68 30200033 ENTEROVIRUS $ 68 30200034 PRETREAT OF RBC'S W/CHEMICALS $ 42 30200035 PRETREAT WITH ENZYMES $ 134 30200036 BORDETELLA $ 82 30200037 ANTINUCLEAR ANTIBODIES (ANA) $ 129 30200038 BARTONELLA $ 73 30200039 T CELLS, TOTAL COUNT $ 149 30200040 INHIBIN A $ 82 30200041 DR/DQ,MULTIPLE ANTIGENS $ 413 30200042 BLASTOMYCES $ 70 30200043 COCCIDIOIDES $ 80 30200044 HISTOPLASMA $ 64 30200045 ANTI-PHOSPHATIDYLSERINE $ 115 30200046 RICKETTSIA $ 80 30200047 ANTIBODY; HIV 2 $ 81 30200048 B CELLS, TOTAL COUNT $ 112 30200049 IMMUNO. ELECTRO., OTHER FLUIDS $ 88 30200050 STEM CELLS, TOTAL COUNT $ 112 30200051 COXIELLA BURNETII (QFEVER) $ 62 30200052 NEUTRALIZATION TEST,VIRAL $ 84 30200053 HELMINTH, NOT ELSEWHERE SPECIF $ 84 30200054 FLU0RESCENT ANTIBODY TITER $ 65 30200055 QUAL.,MULTIALLERGEN $ 130 30200056 ISLETCELLANTIBODY $ 74 30200057 CHLAMYDIA,IGM $ 62 30200058 AB IDENTIFICATION LEUKOCYTE $ 93 30200059 CRYPTOCOCCUS $ 49 30200060 BURRELIA BURGDORF-LYME DISEASE $ 83 30200061 CYCLIC CIT. PEPTIDE (CCP), AB $ 49 30200062 AUTODOGOUS SRCHG NOT TRNSFUSED $ 142 30200063 IMMUNOASSAY FOR TUMOR ANTIGEN $ 75 30200064 ALLERGEN SPECIFIC IGGQNT $ 27 30200070 DEOXYRIBONUCLEASE AD $ 62 30200075 WEST NILE VIRUS, IGM $ 58 30200076 WEST NILE VIRUS $ 58 30200078 LYMPHOCYTE TRANSFORMATION,MITR $ 206 30200079 TETANUS ANTIBODY $ 75 30200080 UNLISTED IMMUNOLOGY PROCEDURE $ 71 30200081 HAEMOPHILUS INFLUENZA B, IGA $ 62 30200083 ANTIBODY;HIV 1 AND 2, SINGLE A $ 44 30200084 LEUKOCYTE HISTAMINE RELEASE $ 52 30200085 FRANCISELLA T.,Ab $ 36 30200086 ANTIBODY INFLUENZA VIRUS $ 41 30200087 FEBRILE AGGLUTININ $ 31 30200088 COLD AGGLUTININ SCREEN $ 21 30200089 SEPT9 METHYLATION ANALYSIS $ 293 30200090 HLA CLASS 1,2 Ab. SERUM $ 324 30200091 ALLERGEN IgE PURIFIED COMPONEN $ 19 30200092 ZIKA VIRUS 1gm $ 103 30500002 BLD CT,BLD SMEAR,MICROW/MD,WBC $ 50 30500003 HEMATOCRIT $ 29 30500004 HEMOGLOBIN $ 29 30500006 CBC AUTO DIFF PLT CT INDICES $ 61 30500007 CBC HEMAGRM/PLATLET CNT AUTO $ 41 30500008 RETICULOCYTE COUNT $ 48 30500010 FDP $ 107 30500011 FIBRINOGEN $ 73 30500012 LEUK ALK PHOS (LAP) $ 62 30500013 PLATELET CT $ 43 30500014 PROTHROMBIN TIME $ 44 30500015 ESR SEDIMENTATION RATE $ 32 30500017 APTT $ 62 30500020 EOSINOPHIL COUNT, NASAL $ 62 30500022 D-DIMER (LATEX) $ 48 30500023 FACTOR V ACTIVITY $ 103 30500024 FACTOR VII ACTIVITY $ 103 30500026 SICKLING OF RBC,REDUCTION $ 38 30500027 PROTEIN C FUNCTIONAL $ 101 30500028 PROTEIN S FUNCTIONAL $ 107 30500029 THROMBIN TIME $ 38 30500030 FACTOR XIII, SCREEN SOLUBILITY $ 50 30500031 FACTOR IX ACTIVITY $ 107 30500032 ANTITHROMBIN III, ACTIVITY $ 88 30500033 ACTIVATED PROTEIN C RES ASSAY $ 92 30500034 RUSSELL VIPER VENOM TIME DILUT $ 58 30500035 THROMBOPLASTIN,SUB,PLASMA $ 38 30500036 PROTEIN C ANTIGEN $ 92 30500037 PROTEINS TOTAL $ 107 30500038 VISCOSITY $ 50 30500039 FACTOR VIII (AHG), 1 STAGE $ 107 30500040 ANTITHROMBIN III, ANTIGEN ASSA $ 84 30500041 FACTOR INHIBITOR TEST $ 52 30500042 PLASMINOGEN,EXCEPT ANTIGENIC $ 80 30500043 FACTOR VIII,VW FACTOR,RISTOCET $ 90 30500044 FACTOR VIII,VW FACTOR ANTIGEN $ 124 30500045 CLOTTING:FACTORII,PROTHROMBIN $ 105 30500046 FACTOR X (STUART - PROWER) $ 95 30500047 FACTOR X1 $ 103 30500048 FACTOR XII $ 103 30500049 MURAMIDASE $ 81 30500050 SIALIC ACID $ 73 30500051 PLASMINOGEN ACTIVATOR $ 65 30500052 PROTHROMBIN TIME,SUBSTITUTION, $ 29 30500053 THROMBOPLASTIN,INHIBITION,TIS $ 60 30500054 RED BLOOD CELL (RBC) AUTO. $ 19 30500055 OSMOTIC FRAGILITY,RBC $ 75 30500056 FIBRINOGEN ANTIGEN $ 31 30500057 HEPARIN ASSAY $ 62 30500058 FDP,D-DIMER QUANT $ 32 30500059 PLATELET AGGREGATION EACH $ 62 30500060 RETICULOCYTE AUTO W/CHr $ 48 30500061 PREKALLIKREIN ASSAY $ 205 30500062 HIGH MOLECULAR WEIGHT $ 113 30500063 ALPHA-2 ANTIPLASMIN $ 64 30600001 PARTICLE AGGLUT SCREEN,EA. AB $ 50 30600002 SPECIMEN CONCENTRATION $ 106 30600003 CULTURE-BLOOD $ 107 30600004 STOOL AERIBIC ADDITIONAL PAT $ 44 30600005 CULT ISO/ID,ANY;EXC UR,BLD,STL $ 69 30600009 CULTR ISO/ID,ANAEROBIC ISO EA. $ 65 30600015 CULTURE-URINE $ 39 30600016 CULTURE,BACTERIAL;W/ISOLATION $ 94 30600017 CULTURE FUNG/ISOL SKIN,HAIR,NL $ 80 30600018 CULT FUNGI PRES ID OTH(EX BLD) $ 98 30600019 CULTURE FUNGI & ISOLATION BLOO $ 94 30600020 FUNGI IDENTIFICATI0N, YEAST $ 53 30600021 FUNGI IDENTIFICATION, MOLD $ 71 30600022 BODY FLUID ACID FAST CULTURE $ 106 30600023 C AGGLUT PER ANTISERUM $ 39 30600024 PINWORM-EXAMINATION FOR $ 51 30600025 SMEAR FLOURO $ 160 30600027 VIRUS ISOL,TISS CULT INOC PRES $ 104 30600028 VIRUS CULTURE INOCUL $ 73 30600029 LEGIONELLA PNEUMOPHILA $ 188 30600031 RESPIR VIRUS SYNCYTIAL $ 104 30600032 STREPTOCOCCUS; GROUP A $ 69 30600036 INFECT AGENT DETECT MULT STEP $ 62 30600040 STOL ISOLATION PRELIM EXAM $ 102 30600042 CULTURE-ANAEROBIC $ 74 30600043 CULT PRESUMP PATHO ORG SCREEN $ 73 30600044 CULT ISO/ID,AEROBIC ISO EA. $ 50 30600047 OVA & PARASITES EXAMINATION $ 130 30600048 SUSCEPTIBILITY STUDIES;PER AGE $ 22 30600049 SUSCEPTIBIL STUDY,DISK METHOD $ 68 30600051 SUSCEPT STUDY,MICRODIL/AGAR DI $ 90 30600052 SMEAR,PRI SOURCE W/INTERP.BACT $ 41 30600054 SMEAR SP STAIN,INC BODIES/PARA $ 44 30600055 WET MOUNT PREP $ 47 30600056 TISSUE EXAM-FUNGI (KOH SLIDE) $ 85 30600057 TOXIN OR ANTITOXIN ASSAY,TISSU $ 85 30600058 VIRUS ISOLATION $ 533 30600059 INFEC AG DET,DNA/RNA,HEP C QT $ 169 30600060 H.PYLORI ANTIGEN, STOOL $ 101 30600061 AMPLIFIED PROBE TECHNIQUE;EACH $ 142 30600064 VIRUS ISOL,CENTRIF,ID W/IMMUNO $ 84 30600065 HEPATITIS C VIRUS GENOTYPING $ 1,019 30600067 ID BY NON-IMMUNOLOGIC METHOD $ 137 30600068 HEPATITIS B QUANTIFICATION $ 216 30600069 CULTURE TYPING, IMMUNO METHOD $ 29 30600070 NEISS GONORR; DIR PROBE TECHNI $ 73 30600071 CHLAMYD TRACH; DIR PROBE TECHN $ 73 30600072 CHLAMYD TRACH AMPLIFIED TECHNI $ 124 30600073 NEISS GONO AMPLIFIED TECHNIQUE $ 104 30600074 MYCOBACTERIA TB AMPL PROBE TEC $ 209 30600075 MYCOPLASMA CULTURE ANY SOURCE $ 95 30600076 NOT OTHERWISE SPECIFIED $ 61 30600077 HERPES SIMPLEX VIR. AMP PROBE $ 138 30600078 HEPATITIS G. AMPLIFIED PROBE $ 138 30600079 HEPATITIS B, AMPLIFIED PROBE $ 138 30600080 HPV HIGH RISK $ 136 30600081 HIV-1,QUANTIFICATION $ 318 30600082 CYTOMEGALOVIRUS, QNT $ 169 30600083 CYTOMEGALOVIRUS ANTIGEN DETCTI $ 48 30600084 MICRODILUTION, MLC, EACH $ 38 30600085 CYTOMEGAL0VIRUS AMPLIFIED PROB $ 129 30600086 INFLUENZA A $ 61 30600087 INFECTIOUS AGENT AG - GIARDIA $ 48 30600088 CLUSTRIDIUM DIFFICL TOXINS EIA $ 48 30600089 COMPLEX SPECIAL STAIR $ 65 30600090 HEPATITIS C, AMPLIFIED PROBE $ 137 30600091 INFECTIOUS AGENT,AMPLIFIED PRO $ 243 30600092 INFECTIOUS AGENT BY NUCLEIC AC $ 161 30600095 ASPERGILLUS $ 44 30600096 ENTEROVIRUS,AMPLIFIED PROBE $ 129 30600097 STADH AUREUS, AMPLIFIED PROBE $ 129 30600098 MRSA, AMPLIFIED PROBE $ 129 30600101 STREDT GROUP B,AMPLIFIED PROB $ 129 30600102 TRICHOMONAS VAGINALIS $ 50 30600103 INFLUENZA B $ 61 30600104 INF. AGENT Ag BY IA;NOS $ 32 30600105 SHIGA-LIKE TOXIN $ 47 30600106 SHIGA-TOXIN 2 $ 61 30600110 ENZYME DETECTION, PER ENZYME $ 32 30600111 CRYPTOSPORIDIUM $ 49 30600112 INF. AGENT DETECTION $ 120 30600115 INF AGENT DET BORRELIA BURGDOR $ 104 30600116 PNEUMOCYSTIS CARINII $ 47 30600117 MYCOPLASMA PNEUM.,AMP $ 98 30600118 HISTOPLASMA CAPSULATUM $ 38 30600119 C.DIFF TOXINGENE AMP PROBE TEC $ 92 30600120 CLOSTRIDIUM DIFFICL TOXIN - 59 $ 48 30600121 SUSCEPT STUDY MICRODIL - 59 $ 90 30600122 CULT ISO/ID,EXC UR,BLD,STL-59 $ 69 30600123 CULT PRESUMP PATH ORG SCRN-59 $ 73 30600124 MACROBATH DILUTION METHOD EACH $ 28 30600125 MACROSCOPIC EXAM ARTHROPOD $ 14 30600126 INFLUENZA VIRUS $ 214 30600127 CANDIDA SPECIES,AMP $ 93 30600128 INFLUENZA VIRUS MULTIPLE TYPES $ 113 30600129 RESPIRATORY SYNCYTIAL VIRUS $ 150 30600130 HIV1 Ag & HIV1 2 Ab $ 48 30600131 HIV AMP. PROBE TECHNIQUE $ 80 30600132 CHLAMYDIA PRE APT $ 64 30600133 RSV,AMP,PROBE TECHNIQUE $ 782 30600134 ZIKA VIRUS AMP PROBE $ 214 30600135 INFECT AGENT Ag STREP A $ 24 30900001 URINALYSIS AUTOMATED W/O MICRO $ 27 30900002 HCG URINE $ 69 30900004 OCCULT BLOOD FECES $ 41 30900005 GLUCOSE CSF $ 73 30900014 ASO TITER $ 65 30900015 ASO SCREEN $ 47 30900016 C-REACTIVE PROTEIN & TITER $ 44 30900017 COLD AGGLUTINN TITER $ 47 30900019 COMPLEMENT,FUNCTIONAL ACT,EA. $ 129 30900021 COMPLEMENT CH50 $ 75 30900022 DNA DOUBLE STRANDED AB, IG6 $ 113 30900023 DNA SINGLE STRANDED AB, IGG $ 222 30900032 FLUORESCENT NONINF AG,AB SC EA $ 94 30900034 IMMUNOASSAY TUMOR AG,QT CA15-3 $ 155 30900035 CA 125 $ 144 30900036 HETEROPHILE AB; SCREEN $ 144 30900039 IMMUNOELECOPHORESIS SERUM $ 139 30900041 INSULIN AB HUMAN $ 180 30900042 MICROSOMAL ANTIBODIES EACH $ 142 30900044 RHEUMATOID FACT QUAL $ 51 30900045 RHEUMATOID FACTOE QUANTITATIVE $ 58 30900046 R P R SYPHILLIS/QUAL/ANTIGEN $ 41 30900048 RPR TITER QUANTITATIVE $ 47 30900049 LYME, AB $ 62 30900051 CMV IGG SERUM(CYTOMEGALOVIRUS) $ 68 30900052 CMV IGM SERUM(CYTOMEGALOVIRUS) $ 81 30900053 HELICOBACTER PYLORI $ 190 30900054 HIV-1 ANTIBODIES BY WESTERN BL $ 328 30900056 ANTIBODY; HIV 1 $ 136 30900057 HBCAB,TOTAL $ 80 30900058 HEPATITIS B CARE,AB $ 113 30900059 HEPATITIS B SURFACE AB $ 82 30900060 HEPATITIS BE AB $ 81 30900061 HEPATITIS A AB TOTAL $ 80 30900063 HEPATITIS A AB,IGM $ 113 30900065 ANTIBODY,MYCOPLASMA $ 83 30900066 RSV ANTIBODY $ 125 30900067 RUBELLA ANTIBODY IGG $ 82 30900068 RUBEOLA IGG $ 62 30900069 ANTIBODY,TREPONEMA PALLIDUM $ 68 30900070 VARICELLA ZOSTER $ 60 30900071 THYROGLOBULIN ANTIBODY $ 74 30900072 HEPATITIS C AB $ 142 30900074 TUBERCULOIS IMM. $ 203 30900075 BLOOD OCCULT QUAL FECES SCREEN $ 22 30900076 BLOOD OCCULT BY FECAL HEMOGLOB $ 53 30900077 MEAT FIBERS FECES $ 9 30900078 FLUORESCENT MONIF AG AB SC EA $ 94 30900103 HBsAg $ 103 30900104 HEP B SURFACE ag-NUETRAL $ 117 30900105 HEPATITUS BE AG SERUM $ 137 30900107 ROTAVIURS ANTIGEN DETEC BY EIA $ 84 30900108 CELL COUNT & DIFF CSF $ 50 30900109 CRYSTAL EXAM $ 93 30900110 SPERM COUNT-POST VASECTOMY $ 93 30900111 SEMN ANAL (CNT MOTLTY MRPHLGY) $ 130 30900116 URINALYSIS WITH MICRO $ 50 30900117 VOL MEASUREMENT FOR TIMED URIN $ 21 30900118 WBC,AUTOM./EOSIN. CT. $ 129 30900119 MUMPS $ 129 30900120 TOX IgG $ 129 30900121 TOX IgM $ 129 30900122 U/A QL/QT BILE ACID $ 10 30900123 JC (JOHN CUNNINGHAM) VIRUS $ 32 30900124 UGT1A1 GENE ANALYSIS $ 62 31000001 ESTROGEN RECEPTOR $ 225 31000002 PROGESTERONE RECEPTOR $ 221 31000003 CYTOPATHOLOGY-WITH OUT BLOCK $ 125 31000004 CYTOPATHOLOGY,CONC TECH SMEAR $ 179 31000005 CYTOLOGY/PAP SMEAR $ 63 31000006 CYTO OTHER SOURCE $ 157 31000007 SURGICAL GROSS ONLY $ 49 31000008 SURGICAL GROSS AND MICRO $ 194 31000009 GROSS/MICRO LEVEL 3 $ 220 31000010 GROSS/MICRO LEVEL 4 $ 275 31000011 GROSS/MICRO LEVEL 5 $ 329 31000012 GROSS/MICRO LEVEL 6 $ 497 31000013 SURGICAL PATH DECAL PROCESS $ 124 31000014 SPECIAL STAINS-MICRO ORGANISMS $ 156 31000015 SPECIAL STAINS-GROUP 2 $ 114 31000017 TABLE DIAGNOSIS/GROSS ONLY $ 183 31000018 FROZEN SECTION $ 339 31000019 FROZEN SECTION EACH ADDITIONAL $ 183 31000021 TRANSFERRIN $ 58 31000022 CYTOPATHOLOGY, PREP, STAIN,INT $ 129 31000023 BONE MARROW SMEAR W INTERPR $ 158 31000025 FINE NEEDLE ASPIRATION $ 209 31000026 Her2 FISH (MOLECULAR CYTOGEN) $ 129 31000028 CYTOPATHOLOGY, SLIDES, CER/VAG $ 47 31000029 CONS/RPT REF SLIDES PREP ELSEW $ 345 31000030 IMMUNOHISTOCHEMISTRY,EA AB $ 157 31000031 CONS/RPT REF MAT REQUIRE PREP $ 234 31000032 INSITU HYBRIDIZATION, EACH PRO $ 260 31000033 TUMOR $ 352 31000034 TISS CULT FOR NON-NEOPLAS DISO $ 464 31000035 COUNT 15-20 CKLS 2 KARO TYPES $ 550 31000036 SKIN OR OTHER SOLID TISSUE BIO $ 522 31000037 HORPHOMETRIC ANALYSIS, USING $ 305 31000038 IN SITU HYBRIDIZATION QACH PRO $ 449 31000039 MORPHOMETRIC ANALYSIS QUANT, O $ 206 31000040 CYTOLOGIC EXAM, INITIAL $ 166 31000041 CYTOLOGIC EXAM,EA ADDTL SITE $ 85 31000045 CYTOPATHOLOGY,SELECTIVE,CELLUL $ 208 31000047 COUNT 45 CELLS FOR MOSAICISM $ 539 31000050 MORPHMETRIC ANALYSIS $ 486 31000051 ANTIBODY-EHRLICHIA-DET. $ 56 31000052 MOLLEC. CYTO DNA,FISH EA. $ 62 31000053 MOLLEC CYTO INTERPHASE $ 118 31000054 TISSUE CULT/NEOPLASTIC $ 368 31000055 CYTOGENETICS & MOLEC INTRP&REP $ 180 31000056 SPECIAL STAIN GROUP 3 $ 213 31000057 ELECTRON MICROSCOPY DIAG $ 962 31000058 STAIN SPECL GRP3 ENZYME CONSTI $ 190 31000059 FRAGILE X MENTAL RETARDATION $ 101 31000060 CHARACTERIZATION OF ALLELES $ 139 31000064 CAFFEINE $ 171 31000065 CLOZAPINE $ 171 31000066 GABAPENTIN $ 196 31000067 LAMOTRIGINE $ 196 31000068 LEVETIRACETAM $ 196 31000069 MYCOPHEPHENOLIC ACID $ 196 31000070 OXCARBAZEPINE $ 182 31000071 ZONISAMIDE $ 161 31000072 TRICHOMONAS VAG NAA $ 169 31000074 HUMAN EPIDIDYMIS PROTEIN 4 $ 43 31000075 VWF VIII MULTIMETRIC $ 63 31000076 IMMUNOFLUOR STUDY EA AB DIRECT $ 189 31000077 LDL DIRECT W/MOD 59 TRIG > 400 $ 31 31000078 MYOGLOBIN MOD 91 $ 31 31000079 CK-MB MOD 91 $ 29 31000080 CULTURE BLOOD MOD 59 $ 28 31000081 EGFR GENE ANALYSIS $ 510 31000082 KRAS GENE ANALYSIS $ 381 31000083 HERPES VIRUS-6 AMP PROBE $ 95 31000084 ANTIEPILEPTICS NOS 1-3 $ 48 31000085 RIBOFLAVIN (VIT B-2) $ 53 31000086 CALPROTECTIN FECAL $ 49 31000087 HLA CLASS TYPING ONE LOCUS $ 333 31000088 ID BY NUCLEAIC ACID SEQ METHOD $ 293 31000089 EVEROLIMUS $ 35 31000090 CYTOPATHOLOGY PHYSICIAN REVIEW $ 54 31000091 IMMUNO CHEM STAIN EA ADDITIONL $ 68 31000093 QNT SINGLE STATIONARY/MOBILE $ 42 31000094 HEXAGNAL PHOSP PLTLT NEUTRL $ 31 31000095 INFECTOUS AGENT DRUG SUS PHENO $ 290 31000096 ABL 1 GENE ANALYSIS $ 3,572 31000097 HPV SUBTYPE-EA SING PROBE PROC $ 142 31000098 HER2 BREAST FISH $ 534 31000099 HLA 1 ALLELE OR ALLELE GROUP $ 186 31000100 MOLECULAR PATH PROC LEVEL 3 $ 701 31000101 BCR/ABL1 MAJ BRAKPNT QUAL/QUAN $ 252 31000102 BCR/ABL1 ANAL MIN BRKPNT QA/QN $ 252 31000103 MOLECULAR PATH PROC LEVEL 4 $ 584 31000104 MULTIPLEX STAIN PROCEDURE EACH $ 430 31000105 FISH ANALYSIS $ 59 31000106 PD-L1 BY IHC $ 158 31100002 FLOW CYOMETRY, CELL SURFACE $ 142 31100003 FLOW CYTOMETRY, EACH ADDITIONA $ 142 31100007 CHROM.SITU THYBRID,ANALYZE $ 95 31100008 FLOW CYTOMETRY,CELL CYC,DNA AN $ 277 31100009 CYTOPATH PAP BY AUTO/MAN RESCR $ 69 31100010 CALR MUTATION ANALYSIS $ 643 32000006 MANDIBLE LESS THAN 4 VIEWS $ 133 32000008 CHEST SPEC VIEWS (LAT BUCKY..) $ 128 32000009 RIBS & PA CHEST RIGHT $ 258 32000010 HIPS BILAT W/PELV ADULT &CHILD $ 179 32000011 KNEE 3 VIEWS RIGHT $ 158 32000012 EXTREMITIES LOWER INFANT $ 123 32000015 SHOULDER RIGHT 1 VIEW $ 118 32000016 ELBOW A&P LAT RIGHT $ 125 32000017 EXTREMITIES UPPER INFANT $ 123 32000018 WRIST 2 VIEWS RIGHT $ 123 32000019 HAND 2 VIEWS RIGHT $ 123 32000020 HIP 1 VIEW RIGHT $ 123 32000021 BILATERAL RIBS-INC PA CHEST $ 490 32000022 ELBOW ARTROGRAM RIGHT $ 524 32000023 THORACIC SPINE-AP AND LAT INCL $ 224 32000024 THORACOLUMBAR-AP AND LAT $ 168 32000027 UGI WITH AIR SM BOWEL W/KUB $ 642 32000031 SKELETAL SURVEY - ADULT $ 539 32000034 VENOGRAM UNILATERAL $ 1,252 32000035 VENOGRAM BILATERAL $ 1,252 32000037 ESOPHOGRAM-CINE (FLUORO) $ 324 32000040 CALCANEOUS 2 VIEWS BILATERAL $ 203 32000041 FOOT AP & LAT BILATERAL $ 203 32000042 FOREARM AP & LAT BILATERAL $ 203 32000043 HAND AP & LAT BILATERAL $ 203 32000046 KNEE 3 VIEWS BILATERAL $ 236 32000056 KNEES, STANDING BOTH $ 174 32000059 FLUORO GUIDANCE EPIDURAL $ 218 32000060 EYE FOREIGN BODY-RIGHT $ 158 32000062 MANDIBLE COMPLETE $ 209 32000063 MASTOIDS COMPLETE STUDY $ 216 32000065 FACIAL BONES COMPLETE $ 209 32000066 NASAL BONES COMPLETE (NOSE) $ 133 32000071 PARANASAL SINUS COMPLETE $ 209 32000073 SKULL PARTIAL $ 166 32000074 SKULL COMPLETE $ 258 32000075 TEMPROMANDIBULAR JOINTS BILATE $ 209 32000076 NECK SOFT TISSUE $ 113 32000078 SALIVARY GLAND CALCULUS $ 158 32000079 SIALOGRAM-LEFT $ 449 32000080 FLUOROSCOPY OVER 1 HOUR $ 544 32000084 FLOURSCOPY INS PACEMAKER $ 544 32000086 RIBS UNILATERAL RIGHT $ 158 32000087 RIBS BILATERAL 3 VIEWS $ 367 32000088 STERNUM MIN. 2 VIEWS $ 179 32000089 STERNOCLAVICULAR JOINTS-MIN 3 $ 179 32000091 JOINT SURVEY-2 OR MORE JOINTS $ 278 32000092 FLUOROSCOPY NEEDLE GUIDANCE $ 338 32000094 FLOUROSCOPY OP PERFORMED BY $ 234 32000095 SPINE ENTIRE SURVEY STUDY $ 411 32000096 C SPINE 4-5 VIEWS $ 223 32000097 THORACIC SPINE-SWIMMERS $ 224 32000098 SPINE LUMBO SACRAL AP & LAT $ 179 32000099 SPINE LUMBOSACRAL MIN 4 VIEWS $ 258 32000101 SPINE 1 VIEW $ 107 32000102 SCOLIOSIS SERIES $ 311 32000104 PELVIS (A-P ONLY) $ 129 32000105 PELVIS COMPLETE $ 209 32000106 SACROILIAC JOINTS 3 VIEWS $ 160 32000107 SACRUM AND COCCYX $ 158 32000108 MYELOGRAM SPINE LUMBAR $ 1,004 32000110 MYELOGRAM-CERVICAL SPINE $ 989 32000112 MYELOGRAPHY LUMBOSACRAL $ 1,004 32000113 CLAVICLE COMPLETE RIGHT $ 128 32000114 SCAPULA RIGHT $ 133 32000115 ARTHROGRAM-RIGHT SHOULDER $ 524 32000116 SHOULDER COMPL RIGHT $ 142 32000117 ACROMIO-CLAVICULAR JOINT BILAT $ 161 32000118 HUMERUS-RIGHT INCLUDING 1JOINT $ 140 32000119 ELBOW,RIGHT COMPLETE $ 142 32000120 FOREARM RIGHT $ 128 32000122 WRIST 4 VIEWS RIGHT $ 137 32000123 HAND 3 VIEWS-RIGHT $ 137 32000125 HIP ARTHROGRAM RIGHT $ 524 32000127 HIP COMPLETE RIGHT $ 179 32000129 ARTHROGRAM-RIGHT KNEE $ 563 32000130 FEMUR AP & LAT RIGHT $ 142 32000131 KNEE 2 VIEWS RIGHT $ 129 32000132 KNEE 4 VIEWS LEFT $ 179 32000133 TIBIA & FIBULA AP & LAT RIGHT $ 129 32000134 ANKLE TWO VIEWS RIGHT $ 123 32000135 ANKLE COMPLETE RIGHT $ 137 32000136 ARTHROGRAM-RIGHT ANKLE $ 524 32000137 FOOT COMPLETE-RIGHT $ 137 32000138 FOOT MIN 2 VIEWS RIGHT $ 123 32000139 HEEL 2 VIEWS RIGHT $ 120 32000143 ABDOMEN SINGLE A-P $ 128 32000144 ABDOMEN COMPLETE $ 164 32000146 ESOPHAGUS (BARIUM SWALLOW) $ 310 32000147 UGI W/O KUB $ 413 32000149 UGI W/SMALL BOWEL $ 604 32000150 SMALL BOWEL STUDY $ 323 32000151 BARIUM ENEMA W/KUB $ 443 32000152 BARIUM ENEMA W/AIR CONTRAST $ 598 32000154 CHOLANGIOGRAM OPERATIVE $ 258 32000155 CHOLANGIOGRAPM POST-OPERATIVE $ 449 32000160 KUB 1 VIEW $ 128 32000161 INTRAVENOUS PYELOGRAPHY $ 389 32000162 UROGRAPHY RETROGRD INCL KUB LT $ 502 32000163 CYSTOGRAM MINIMUM 3 VIEWS $ 389 32000164 URETHROCYSTOGRAPHY-RETROGRADE $ 389 32000165 URETHROCYSTOGRAPHY-VOIDING $ 389 32000173 HYSTEROSALPINGOGRAPHY $ 525 32000175 KUB W/OBLIQUES & CONE DOWN $ 146 32000177 WRIST ANT & LATERAL LEFT $ 123 32000178 NEEDLE BIOP INTRATHORACIC $ 905 32000179 C SPINE 6 OR MORE VIEWS $ 267 32000182 BONE AGE STUDIES $ 158 32000183 BONE LENGTH STUDY (LEG LENGTH) $ 194 32000185 SKELETAL SURVEY INFANT $ 190 32000187 SINUS TRACT - FISTULOGRAM $ 449 32000189 TOMOGRAM $ 359 32000190 SINUS TRACT BILAT FISTULOGRAM $ 671 32000195 ARTERIOGRAM FEMORAL RIGHT $ 3,874 32000215 CLAVICLE COMPLETE LEFT $ 128 32000216 FOREARM-LEFT $ 128 32000217 FOOT ANT & LAT LEFT $ 123 32000218 SHOULDER COMPLETE LEFT $ 142 32000221 SHOULDER 1 VIEW LEFT $ 118 32000222 WRIST COMPLETE 3 VIEW LEFT $ 137 32000223 ELBOW,LEFT COMPLETE $ 142 32000224 HEEL 2 VIEWS LEFT $ 120 32000225 FOOT COMPLETE-LEFT $ 137 32000227 FEMUR, AP & LAT LEFT $ 142 32000228 ELBOW, AP & LAT LEFT $ 125 32000229 RIBS/PA CHEST,UNILATERAL LEFT $ 258 32000233 UPPER GI W/KUB $ 410 32000234 HAND COMPLETE LEFT $ 137 32000235 HAND 2 VIEWS LEFT $ 123 32000236 SHOULDER ARTHROGRAM LEFT $ 524 32000242 ARTERIOGRAM FEMORAL LEFT $ 3,874 32000243 ANKLE ARTHROGRAM LEFT $ 524 32000247 RENAL PELVIS, PER DRAIN/INJECT $ 2,802 32000255 C SPINE 3 VIEWS OR LESS $ 158 32000257 KNEE 3 VIEWS LEFT $ 158 32000259 UPPER GI AIR CONTRAST W KUB $ 457 32000260 TIBIA & FIBIA,AP & LAT LEFT $ 129 32000261 HIP ARTHROGRAM LEFT $ 524 32000263 CHEST 4 VIEWS W/OBLIQUES $ 185 32000264 PARANASAL SINUS LIMITED $ 147 32000265 ANKLE ANT & LAT LEFT $ 123 32000266 HIP 1 VIEW LEFT $ 123 32000269 HIP COMPLETE LEFT $ 179 32000270 HIP OPERATIVE LEFT $ 416 32000271 SCAPULA LEFT $ 133 32000274 ANKLE COMPLETE LEFT $ 137 32000276 MYELOGRAM SPINE THORACIC $ 981 32000278 HUMERUS INCL 1 JOIN, LEFT $ 140 32000279 KNEE AP & LAT LEFT $ 129 32000280 KNEE ARTHROGRAM LEFT $ 563 32000285 BONE DENSITOMETRY STUDY LKPT $ 155 32000291 DUP SCAN EXTRACRANIAL ARTERY $ 540 32000293 HIP X-RAY $ 293 32000298 ASPIRATION BREAST $ 411 32000317 THORACENTESIS $ 411 32000326 OBSTETRIC LIMITED $ 387 32000343 BREAST LF NEEDLE LOCALIZATN LK $ 262 32000347 NEEDLE FOR EA ADDL BREAST LOCA $ 149 32000351 LUMBAR SPINE FLEX & EXT $ 179 32000353 L-SPINE COMP W/FLEX & EXT $ 191 32000355 CHOLANGIOGRAM, T-TUBE $ 449 32000356 DISCOGRAM-LUMBAR $ 3,022 32000357 DISCOGRAM-CERVICAL $ 3,022 32000358 FOREIGN BODY LOCALIZATION $ 117 32000359 FLUOROSCOPY W/C-ARM $ 234 32000360 HIP OPERATIVE RIGHT $ 416 32000361 IVP NEPHROTOMOGRAM $ 858 32000362 NEPHROSTOGRAM $ 2,198 32000363 OPTIC FORAMINA-BILATERAL $ 276 32000364 RIBS UNILATERAL LEFT $ 158 32000365 LOOPOGRAM $ 389 32000366 KNEE 4 VIEWS RIGHT $ 179 32000367 DUAL ENERGY DEXA (SPINE/HIP) $ 503 32000368 DEXA WRIST $ 113 32000369 WRIST COMP 3 VIEWS RIGHT $ 137 32000370 EYE FOREIGN BODY - LEFT $ 158 32000371 SIALAGRAM RIGHT $ 449 32000372 WRIST 4 VIEWS LEFT $ 137 32000379 EYE FOREIGN BODY - BILATERAL $ 236 32000380 EYE FOREIGN BODY - 2 VIEWS $ 158 32000400 CHEST-AP ONLY 1 VIEW $ 118 32000403 FLUORO GUIDANCE VENOUS ACCESS $ 213 32000404 ABDOMEN SPECIAL STUDY $ 276 32000406 HERNIAGRAM $ 678 32000408 SUPERIOR VENOGRAPHY, CAVAL $ 1,433 32000411 TEETH 1 VIEW-RIGHT SIDE $ 124 32000412 VENOCAVAGRAM,INFERIOR $ 3,874 32000413 MOUTH,LESS THAN FULL $ 124 32000414 MOUTH,FULL $ 149 32000416 TEETH 1 VIEW-LEFT SIDE $ 124 32000418 OCCUPATIONAL B-READ $ 161 32000419 THUMB RIGHT HAND $ 114 32000420 HAND 2ND DIGIT RIGHT $ 114 32000421 HAND 3RD DIGIT RIGHT $ 114 32000422 HAND FOURTH DIGIT RIGHT $ 114 32000423 HAND FIFTH DIGIT RIGHT $ 114 32000424 FOOT,GREAT TOE LEFT $ 114 32000425 FOOT,SECOND DIGIT LEFT $ 114 32000426 FOOT,THIRD DIGIT LEFT $ 114 32000427 FOOT,FOURTH DIGIT LEFT $ 114 32000428 FOOT,FIFTH DIGIT LEFT $ 114 32000429 FOOT GREAT TOE RIGHT $ 114 32000430 FOOT SECOND DIGIT RIGHT $ 114 32000431 FOOT THIRD DIGIT RIGHT $ 114 32000432 FOOT FOURTH DIGIT RIGHT $ 114 32000433 FOOT FIFTH DIGIT RIGHT $ 114 32000434 THUMB LEFT HAND $ 114 32000435 HAND SECOND DIGIT LEFT $ 114 32000436 HAND THIRD DIGIT LEFT $ 114 32000437 HAND FOURTH DIGIT LEFT $ 114 32000438 HAND FIFTH DIGIT LEFT $ 114 32000439 PULMONARY PERF. W/VENTILATION $ 817 32000444 ORBITS BILATERAL $ 203 32000445 ELBOW ARTROGRAM LEFT $ 524 32000446 UROGRAPHY RETROGRD INCL KUB RT $ 502 32000447 UROGRAPHY RETROGRD INCL KUB BI $ 551 32000448 HUMERUS COMPLETE BILATERAL $ 277 32000449 ELBOW COMPLETE BILATERAL $ 281 32000450 FOREARM COMPLETE BILATERAL $ 252 32000451 WRIST COMPLETE BILATERAL $ 267 32000452 HAND COMPLETE BILATERAL $ 267 32000453 FOOT COMPLETE BILATERAL $ 267 32000454 ANKLE COMPLETE BILATERAL $ 267 32000455 TIBIA & FIBIA COMPLETE BILATRL $ 256 32000456 KNEE COMPLETE BILATERAL $ 256 32000457 SHOULDER COMPLETE BILATERAL $ 282 32000458 FEMUR COMPLETE BILATERAL $ 281 32000459 ECHO/CARDIAC ANOMALIES $ 926 32000460 KNEE 4 VIEWS BILATERAL $ 150 32400001 ABDOMEN W/PA CHEST $ 275 32400003 CHEST SINGLE VIEW $ 118 32400004 CHEST PA & LATERAL $ 161 32400007 CHEST W/APICAL LORD0TIC VIEW $ 180 32400008 CHEST 4 VIEWS $ 192 32400009 CHEST XRAY SINGLE VIEW OH $ 118 34000010 GALLIUM SCANS WHOLE BODY $ 1,119 34000011 GALLIUM SPECT SCAN $ 1,119 34000013 SPLEEN IMAGES $ 592 34000014 RENOGRAM IMAGES $ 795 34000018 BONE FLOW STUDY $ 581 34000019 MLTGRT CRDAC GATE EQULBRM STDY $ 767 34000021 HIPPURAN RENOGRAM IMAGING $ 820 34000022 ABSCESS LOCALIZATION BY INDIUM $ 1,108 34000023 BONE IMAGES TOTAL BODY $ 895 34000024 HEPATOBILARY DUCTAL IMAGING $ 738 34000031 BONE TOMOGRAPHIC SPECT $ 1,003 34000032 SPECT ABCESS WHOLE BODY $ 1,119 34100001 BONE MARROW $ 1,086 34100002 BONE &/OR JOINT IMAGING LTD $ 608 34100003 BONE SCAN 3 PHASES $ 849 34100004 BONE SCAN WHOLE BODY $ 895 34100005 BONE SPECT $ 1,003 34100006 BREAST IMAGING $ 880 34100014 DICOPAC KIT (SCHILLINGS TEST) $ 1,293 34100016 GALLIUM SCAN ABCESS IMAGING $ 1,119 34100018 GALLIUM SCAN ABCESS WHOLE BODY $ 1,108 34100019 GALLIUM SCAN MULTIPLE AREAS $ 880 34100020 GALLIUM SCAN ABCESS SPECT $ 2,043 34100023 GASTRIC EMPTYING REFLUX IMAGE $ 743 34100024 GASTRIC EMPTYING STUDY $ 745 34100025 GI BLEED (TAGGED RBC) $ 894 34100026 HEPATOBILIARY SCAN/CCK $ 851 34100027 KIDNEY IMAG W/VASC FLOW,SING S $ 795 34100029 LIVER SPECT IMAGING $ 980 34100030 LYMPH GLAND IMAGING $ 720 34100031 LIVER/SPLEEN IMAGING STATIC $ 698 34100032 LIVER VASCULAR FLOW $ 653 34100033 MUGA SCAN $ 767 34100034 MECKEL DIVERICULUM $ 722 34100036 MYOCARDIAL IMAGING PLANAR QUAL $ 642 34100037 MYOCARDIAL IMAGING TOMOGRAPHIC $ 890 34100040 2 MILLICURIE COLD FILTER SULFR $ 539 34100041 PARATHROID IMAGING $ 459 34100042 PULMONARY PERFUSION IMAGING $ 616 34100045 RADIOPHARM THERAPY I-131 HYPER $ 759 34100046 RVEF FIRST PASS $ 900 34100047 SALIVARY GLAND IMAGING $ 570 34100051 TESTICULAR SCAN W/VASC FLOW $ 677 34100052 THYROID CARCINOMA IMAGING WHOL $ 1,196 34100053 THYROID CARCINOMA METASTATIC $ 898 34100054 THYROID IMAGING W/VASCULAR FLO $ 442 34100055 THYROID IMAGING W/UPTAKE SINGL $ 623 34100056 THYROID IMAGING W/UPTAKE MULTI $ 570 34100057 THYROID UPTAKE,SINGLE $ 200 34100061 VENOUS THROMBOSIS - LEFT SIDE $ 752 34100062 VENOUS THROMBOSIS RIGHT SIDE $ 752 34100065 5 KT AMPULE 10 MG / 2ML $ 608 34100066 5KT VIAL 50 MG/ 10 ML $ 2,863 34100068 CERETEC $ 2,057 34100069 IV PERSANTINE 2 ML AMP/5 AMP K $ 634 34100070 PYP $ 43 34100071 RUBRATOPE $ 539 34100072 SODIUM IODINE $ 539 34100073 TC-99 DTPA $ 43 34100074 TC-99 LUNG MAA $ 43 34100076 HEMANGIOMA SCAN/LABELED RBC's $ 653 34100077 HEMANGIOMA STUDY W/SPECT $ 980 34100078 RENAL SCAN W/LASIX $ 663 34100079 THYROID SCAN TC $ 623 34100080 HIPPURAN $ 572 34100082 TUMOR IMAGING, WHOLE BODY $ 1,964 34100087 VENOUS THROMBOSIS IMAGING,BILA $ 617 34100088 THYROGEN $ 2,081 34100089 MISCELLANEOUS,UNLISTED NUC MED $ 1,042 34100090 KIDNEY IMAGING,SPECT $ 1,042 34100091 MYOCARDIAL PERF IMAG W/GS & EF $ 2,892 34100092 TOMOSPECT,SINGLE W/GS & EF $ 2,892 34100093 TOMOSPECT MULTIPLE W/GS & EF $ 3,267 34100094 QUANTITATIVE DIFF-PERF & VENT $ 591 34300002 TECH TC99M MERTIATIDE/MCI $ 1,441 34300003 EOVIST - 1ml $ 36 35000002 ADDITIONAL SLICES $ 689 35000004 CYST NEEDLE ASPIRATION $ 1,462 35000005 GUIDANCE PERCUTANEOUS DRAINAGE $ 1,098 35000006 CT 3D WITH WORKSTATION $ 571 35000007 CT 3D WITHOUT WORKSTATION $ 447 35000008 CT SCAN CYST ASPIRATION,NEEDLE $ 168 35000009 CT SCAN,VAN SONNENBERG CATHETE $ 642 35000010 CT SCAN THORAX W/O FOL W/-RT $ 1,710 35000011 CT UPPER EXT W/O CONTRAST-LT $ 1,202 35000343 TOBRAMYCIN $ 16 35100001 CT HEAD W/0 W/CONTRAST $ 1,397 35100002 CT ORBIT SELLA W/CONT-TC $ 1,228 35100003 CT ORBIT SELLA W & W/O CONTRAS $ 1,466 35100004 CT MAXILLOFACIAL W/O CONT-TC $ 1,156 35100005 CT MAXILLOFACIAL W/CONT-TC $ 1,206 35100006 MAXILLOFACIAL AREA W/WO CONTRA $ 1,462 35100007 CT HEAD WITHOUT CONTRAST $ 1,131 35100008 CT HEAD W/CONTRAST MATERIAL-TC $ 1,187 35100009 ANGIO HEAD W/WO CONTRAST $ 1,279 35100010 ANGIO NECK W/WO CONTRAST $ 1,366 35100011 CT CEREBRAL PERFUSION W/CONTRA $ 916 35200001 CT THORACIC SP W & W/O CONT $ 1,343 35200002 CT LUMBAR SP W & W/O CONTRAST $ 1,077 35200003 CT ABDOMEN W/O CONTRAST $ 1,202 35200004 CT ABDOMEN W/CONTRAST-TC $ 1,386 35200005 CT ABDOMEN W/WO CONTRAST $ 1,676 35200006 CT ORBIT STELLA W/O CONT-TC $ 1,131 35200007 CT SOFT TISSUE NECK W/O CONT $ 1,131 35200008 CT SOFT TISSUE NECK W/CONT $ 1,228 35200009 CT SOFT TISSUE NECK W/WO CONT $ 1,466 35200010 CT THORAX W/O CONTRAST-TC $ 1,214 35200011 CT THORAX W/CONTRAST-TC $ 1,306 35200012 CT THORAX W/O FOL BY W/CONT $ 1,710 35200013 CT CERVICAL SPINE W/O CONT-TC $ 1,214 35200014 CT CERVICAL SPINE W/CONT-TC $ 1,409 35200015 CT THORACIC SPINE W/O CONT-TC $ 1,214 35200016 CT LUMBAR SPINE W/O CONT-TC $ 1,214 35200017 CT LUMBAR SPINE W/CONTRAST-TC $ 1,409 35200018 CT PELVIS W/O CONTRAST-TC $ 1,193 35200019 CT PELVIS W/CONTRAST-TC $ 1,359 35200020 CT PELVIS W/WO CONTRAST $ 1,540 35200021 CT UPPER EXT W/O CONTRAST RT $ 1,202 35200022 CT UPPER EXT W/CONTRAST RT $ 1,306 35200023 CT UPPER EXT W&W/O CONTRAST RT $ 1,540 35200024 CT LOWER EXT W/O CONT RIGHT $ 1,202 35200025 CT LOWER EXT W/CONT RIGHT $ 1,306 35200026 CT LOWER EXT W&W/O CONT RIGHT $ 1,540 35200027 NEEDLE BIOPSY $ 1,580 35200028 CT THORACIC SPINE W/CONT-TC $ 1,409 35200029 CT UPPR EXT W/CONTRAST LEFT $ 1,306 35200030 CT UPPR EXT W&W/O CONTR LEFT $ 1,540 35200031 CT LWR EXT W/O CONTRAST LEFT $ 1,202 35200032 CT LWR EXT W/CONTRAST LEFT $ 1,306 35200033 CT LWR EXT W&W/O CONTR LEFT $ 1,540 35200034 CERVICAL SPINE W/WO CONTRAST $ 1,340 35200035 ANGIO CHEST W/WO CONTRAST $ 1,558 35200036 ANGIO PELVIS W/WO CONTRAST $ 1,348 35200037 ANGIO UPPER EXTREM W/WO CONT-R $ 1,348 35200038 ANGIO LOWR EXTREM W/WO CONT-RT $ 1,348 35200039 ANGIO ABDOMEN W/WO CONTRAST $ 1,468 35200040 CTA AORTA/LOWER EXTREMITY $ 2,689 35200041 ANGIO UPPER EXTREM W/WO CONT-L $ 1,348 35200042 ANGIO LOWR EXTREM W/WO CONT-LF $ 1,348 35200043 CT ABD & PELVIS W/O CONTRAST $ 1,534 35200044 CT ABDOMEN & PELVIS W/CONTRAST $ 1,757 35200045 CT ABD & PELVIS W/WO CONTRAST $ 2,060 35200046 ABD W/RUNOFF CTA DIAGNOSTIC $ 904 35200047 ABDOMEN & PELVIS CTA W/WO CONT $ 1,565 35200049 CT LUNG LOW DOSE CA SCREENING $ 304 35900001 CT BONE DENSITY $ 453 35900002 CT LIMITED FOLLOWUP $ 689 36000001 CARDIOVERSION ELECTRICAL $ 340 36000002 LAP GENERAL RUN TIME $ 26 36000003 LAP GENERAL, SET/CLEAN $ 1,227 36000004 MAJOR GENERAL RUN TIME $ 26 36000005 MAJOR GENERAL SET/CLEAN $ 1,397 36000007 MINOR GENERAL RUN TIME $ 26 36000008 MINOR GENERAL SET/CLEAN $ 1,048 36000010 TOTAL REPLACEMENT RUN TIME $ 26 36000011 TOTAL REPLACEMENT SET/CLEAN $ 1,397 36000015 EMERGENCY CHARGE $ 250 36000016 PREP CHARGE $ 31 36000017 MINI C FLOUROSCOPY $ 603 36000018 LOCAL OPER ROOM CHARGE 1 HR $ 2,013 36000019 LOCAL OPER ROOM OVER 1 HR $ 3,878 36000024 NERVE BLOCK,USE OF ROOM $ 1,432 36000025 LASER TREATMENT OPTHAMOLOGY $ 1,897 36000026 STAPLES THORACIC 45MM REGULAR $ 895 36000027 AMBULATORY SURGERY PRE/POST OP $ 813 36000033 BIOPSY BREAST PERCUT W/O IMAGE $ 705 36000034 BONE BIOPSY,TROCAR/NEEDLE $ 1,248 36000035 INJECTION OF SINUS TRACT $ 426 36000036 DRAINAGE OF CHEST $ 800 36000037 NEEDLE BIOPSY CHEST LINING $ 705 36000038 BIOPSY LUNG OR MEDIASTINUM $ 1,594 36000039 PUNCTURE/CLEAR LUNG $ 800 36000041 NEEDLE BIOPSY LIVER $ 1,594 36000042 NEEDLE BIOPSY PANCREAS $ 1,594 36000043 PUNCTURE PERITONEAL CAVITY $ 800 36000044 PUNCTURE,PERITONEAL CAVITY-US $ 617 36000045 PUNCTURE,PERITONEAL CAVITY $ 673 36000046 BIOPSY ABDOMINAL MASS $ 1,596 36000048 DRAIN PELVIC ABSCESS, PERCUT $ 1,940 36000050 SPINE CONTRAST XRAY $ 1,196 36000052 IV INFUS THER/PROP/DIAG 1ST HR $ 372 36000055 DERMABOND $ 147 36000056 BIOPSY MUSCLE SUPERICIAL $ 2,836 36000060 OR RUN TIME PER MINUTE $ 31 36000061 OR SETUP/CLEANUP $ 1,422 36000062 BIOPSY SOFT TISSUE-NECK/THORAX $ 2,637 36000063 NEEDLE BIOPSY SOFT TISSUE $ 1,180 36000064 SPINAL PROCEDUR MONITORING FEE $ 454 36000066 O.R. SERVICES OFFSITE $ 643 36100001 SPECIAL PROCEDURE ROOM CHARGE $ 422 37000001 ANESTHETIC-NERVE BLOCK $ 299 37000004 ANESTHETIC CHARGE 1 HR $ 371 37000005 ANESTHETIC CHARGE 2 HRS $ 553 37000006 ANESTHETIC CHARGE 3 HRS $ 734 37000007 ANESTHETIC CHARGE 4 HRS $ 915 37000008 ANESTHETIC CHARGE 5 HRS $ 1,098 37000009 ANESTHETIC CHARGE 6 HRS $ 1,278 37000010 ANESTHESTIC CHARGE 7 HRS $ 1,463 37000011 ANESTHETIC CHARGE 8 HRS $ 1,643 37000012 ANESTHESTIC CHARGE 9 HRS $ 1,824 37000013 ANESTHESTIC CHARGE 10 HRS $ 2,005 37000014 ANESTHESTIC CHARGE 11 HRS $ 2,189 37000015 ANESTHESTIC CHARGE 12 HRS $ 2,372 37000016 ANESTHESIA 1.5HRS $ 459 37000017 ANES EA ADD'L 1/2 HOUR $ 84 37230856 TUBING COZ 10ft $ 30 39000001 KB STAIN $ 107 39000002 HLA TYPING,A,B,OR C,MULT AG $ 220 39000003 HLA MATCHED PRODUCT $ 278 39000004 COLD AUTO ABSORPTION $ 174 39000005 RHO GAM $ 245 39000006 1 UNIT WHOLE BLOOD $ 376 39000007 CRYOPRECIPITTE AHF, EA UNIT $ 136 39000008 1 UNIT RED BLOOD CELLS LEUK RE $ 501 39000009 PLASMA FROZEN 8-24 HRS $ 242 39000010 BLD,LEUKOREDUCED,FRZ/DEGYC/WAS $ 600 39000011 1 UNIT RED BLOOD CELLS $ 367 39000012 1 UNIT RED BLOOD CELLS WASHED $ 684 39000013 PLATELETS PHERESIS $ 1,737 39000014 PLATELET CONCENTRATE-EA UNIT $ 234 39000015 RED BLOOD CELLS IRRADIATED EA $ 401 39000016 1 UNIT RED BLOOD CELLS DEGLYCE $ 809 39000017 HLA TYPING,A,B,OR C,SINGLE AG $ 85 39000018 IRRAD BBK PROD CHARGE $ 120 39000019 MICROAGGREGATE FILTER $ 277 39000021 RED CROSS LAB CALL IN FEE $ 610 39000024 ALBUMIN 25% 50ML $ 255 39000026 PLATELET HLA-M, L/R, EA UNIT $ 1,773 39000029 PLTS LEUKORED. IRRAD.,EA UNIT $ 426 39000031 HEMOLYSINS&AGGLUTININS SCR EA $ 27 39000032 HEMOLYSINS&AGGLUTININS INCUBAT $ 33 39000033 INDIRECT TITER PER Ab $ 21 39000034 SEPARATN BY DENSITY GRAD RETIC $ 38 39000035 INCUBATION SERUM AND DRUGS,EA $ 61 39000036 INCUBATION W/INHIBITORS $ 85 39000037 PLASMA POOLED PR FR EACH $ 102 39000038 PLASMA SINGLE PR FROZ EACH $ 101 39000075 ANTIBODY SCREENING, RBC $ 83 39000076 RED BLOOD CELLS AB PANEL $ 376 39000077 AHG DIRECT (COOMBS) $ 48 39000078 AHG INDIRECT (COOMBS) $ 246 39000079 BLOOD TYPING ABO $ 96 39000081 RH(D) $ 255 39000082 CROSSMATCH AHG $ 84 39000083 RBC-LEUKORED/IRRAD/EA UNIT $ 463 39000084 HEMOGLOBIN,F(FETAL),CHEMICAL $ 129 39000085 PLASMA FROZEN < 8HRS $ 257 39000086 PLATELET PHERESIS IRRADIATED $ 1,139 39000087 PLATELET PHERESIS LEUKO REDUCE $ 1,079 39000088 PLATELET LEUKO REDUCED $ 309 39000089 PLATELET IRRADIATED $ 260 39000090 PLATELET PHERES, LEUK RED IRR $ 1,137 39000091 RBC ANTIGENS, OTHER THAN ABO D $ 42 39000093 RH PHENOTYPRG, COMPLETE $ 42 39000094 POOLING OF PLATELETS $ 62 39000095 CROSSMATCH IMM SPIN $ 62 39000096 CROSSMATCH INCUB $ 42 39000097 FROZEN PLASMA, THAWING / CC,CN $ 70 39000098 ELUTION $ 62 39000100 RBC FETAL F/M ROSETTE HEMORRHA $ 36 39000101 AG TEST,REAGENT SERUM,EA AG $ 41 39000103 PATHOGEN TEST FOR PLATELETS $ 121 39000104 PLATELET P.R. EACH UNIT $ 690 39100001 BLOOD ADMIN FEE $ 634 39900001 BLOOD USE (RED BLD CELLS) $ 236 40000001 FEMUR 1 VIEW RIGHT $ 98 40000002 FEMUR 1 VIEW LEFT $ 98 40100005 BREAST LEFT CYST PUNCTURE $ 689 40100006 NEEDLE FOR RT BREAST LOCALZATI $ 262 40100008 BREAST LEFT SURGICAL SPECIMEN $ 722 40100009 BREAST RIGHT SURGICAL SPECIMEN $ 722 40100010 MAMMRY DUCTOGRAM SINGLE LEFT $ 539 40100011 MAMMRY DUCTOGRAM SINGLE RIGHT $ 539 40100012 MAMMRY DUCTOGRAM,MULTI LEFT $ 449 40100013 MAMMRY DUCTOGRAM,MULTI RIGHT $ 449 40100014 MAMMOGRAPHY BILATERAL $ 298 40100016 DIAG DIGITAL MAMMO BILAT W/CAD $ 290 40100017 DIGITL DX MAMMO UNI LT W/CAD $ 232 40100018 DIGITL DX MAMMO UNI RT W/CAD $ 232 40100025 STEREOTACTIC LOCALIZATION $ 1,261 40100026 BREAST RIGHT CYST PUNCTURE $ 689 40100027 NEEDLE LOCAL WIRE LT BREAST $ 102 40100028 NEEDLE LOCAL WIRE RT BREAST $ 102 40100029 BREAST BILAT BX STEREOTACTIC $ 303 40100030 BREAST RIGHT BX STEREOTACTIC $ 303 40100031 BREAST LEFT BX STEREOTACTIC $ 303 40100032 BRST BIL BX STEREOTAC ADDL LES $ 148 40100033 BRST RT BX STEREOTAC ADDL LESI $ 148 40100034 BRST LF BX STEREOTAC ADDL LESI $ 148 40200002 CLAVICLE COMPLETE BILATERAL $ 203 40200004 FOOT COMPLETE BILATERAL $ 203 40200009 ABDOMEN LIMITED US $ 372 40200010 PELVIS,COMPLETE US $ 417 40200012 CYST ASPIRATION $ 411 40200016 TESTICULAR/SCROTUM ULTRASOUND $ 401 40200017 ABDOMEN COMPLETE SONOGRAM $ 508 40200018 BIOPHYSICAL PROFILE $ 413 40200019 ASPIRATION OF BREAST US $ 297 40200022 CHEST US $ 321 40200023 AORTA $ 513 40200025 DUPLX SCAN AORTA INF VENA CAVA $ 480 40200028 ECHOGRAPHY,PROSTAT,TRANSREC $ 224 40200031 FOLLOWUP OF LIMITED STUDY $ 482 40200032 FETAL MATURITY-LIMITED $ 387 40200033 FETAL MATURITY-MULTI PREG $ 602 40200034 GALL BLADDER $ 372 40200035 HEPATIC $ 293 40200036 HIP INFANT $ 270 40200037 HYSTERO SONOGRAPHY $ 389 40200038 LIVER SONOGRAM $ 293 40200039 NEEDLE DRAINAGE $ 309 40200041 NON-INVASIVE PHYSIO ST UP/LOW $ 257 40200042 NON-INV PHYSIO ST UP&LW EXT $ 849 40200043 PANCREAS SONOGRAM $ 372 40200045 VENOUS DOPPLER RT UP OR LOWER $ 426 40200048 RENAL BILATERAL $ 513 40200049 RETRO,COMPLETE $ 513 40200050 SPINAL CANAL ULTRASOUND $ 281 40200051 SPLEEN US $ 293 40200052 THORACENTESIS/PARACENTESIS $ 411 40200053 THYROID/NECK/SOFT TISSUE US $ 373 40200054 TRANSVAGINAL PELVIS ULTRASOUND $ 401 40200055 UNLISTED SONOGRAM $ 263 40200056 US GUIDANCE FOR CYST $ 411 40200059 DUPLX SCAN ART BILAT UPR EXTR $ 732 40200060 PREGNANCY COMPLETE SONOGRAM $ 576 40200061 PREGNANCY LIMITED SONOGRAM $ 387 40200062 AMNIOCENTESIS BY US $ 442 40200063 IUCD-LIMITED $ 387 40200064 US GUID FOR NEEDLE BX OR ASPIR $ 411 40200069 PELVIS LIMITED US $ 328 40200075 PREGNANT SONO 1ST TRIMESTER $ 357 40200076 PREGNANT SONO 1ST TRI MULTI $ 357 40200077 FETAL ANATOMIC,SINGLE US $ 501 40200078 FETAL ANATOMIC, EA. GEST US $ 425 40200079 PREGNANT UTERUS,TRANSVAG US $ 216 40200080 URINARY BLADDER ULTRASOUND $ 328 40200081 PELVIS MALE US $ 417 40200082 ULTRASOUND 3D W/O WORKSTATION $ 281 40200086 DOPPLER ECHOCARDIOLGRAPHY, FOL $ 218 40200087 ECHOCARDIOGRAPHY,REAL TIME W/S $ 850 40200089 US LIVER,LIMITED $ 372 40200094 VENOUS MAPPING ACCESS $ 136 40200095 CORE BIOPSY $ 411 40200096 CYST ASPIRATION-NEEDLE $ 161 40200097 CORE BIOPSY-NEEDLE $ 161 40200098 ASPIRATION OF CYST $ 411 40200099 US EXTREMITIES-COMPLETE RT $ 371 40200100 US EXTREMITIES-LIMITED RT $ 371 40200101 US EXTREMITIES-COMPLETE LEFT $ 371 40200102 US EXTREMITIES-LIMITED LEFT $ 371 40200103 US EXTREMITIES-COMPLETE BILAT $ 371 40200104 US EXTREMITIES-LIMITED BILATER $ 371 40200105 BREAST RIGHT UNILAT SONOGRAM $ 177 40200107 AXILLIARY SONO UPPR BREAST BIL $ 146 40200108 BREAST BILATERAL SONOGRAM $ 177 40200109 BREAST BILATERAL LIMITED SONO $ 146 40200110 AXILLIARY SONO UPPER BREAST RT $ 146 40200111 AXILLIARY SONO UPPER BREAST LF $ 146 40200112 BREAST LEFT UNILAT SONOGRAM $ 177 40200113 BREAST RIGHT UNILAT LTD SONO $ 146 40200114 BREAST LEFT UNILAT LTD SONO $ 146 40200115 VENOUS DOPPLER BILATERAL $ 163 40300001 SCREENING MAMMOGRAPH - BILATRL $ 284 40300004 BREAST TOMO UNILATERAL DIGITAL $ 98 40300005 BREAST TOMO BILATERAL DIGITAL $ 98 40300006 BREAST TOMO SCREENG BILAT DIGI $ 79 40300010 AAA SCREENING $ 220 40300011 SCREENING DIGITAL MAMMO W/CAD $ 277 41000003 SUCTIONING CATHETER $ 140 41000004 ABG DRAW $ 113 41200001 BIPAP/VENT $ 418 41200002 BIPAP/VENT SUBSEQUENT DAY $ 418 41200003 HHN AEROSOL SUBSEQUENT TX $ 92 41200006 OXYGEN EQUIPMENT CHANGE $ 38 41200008 HHN TREATMENT DEMO/EVALUATION $ 222 41200009 HHN TREATMENT- SUBSEQUENT TX $ 68 41200013 HHN INITIAL TREATMENT $ 258 41200021 LGE VOL NEB ( 1 HR ) $ 383 41200022 LGE VOL NEB (ADDITIONAL 1 HR) $ 300 41200023 PFT 6 MIN WALK $ 410 42000003 THERAPEUTIC EXERCISE $ 170 42000004 ELECTRIC STIMULATION unattende $ 88 42000013 TRACTION MECHANICAL $ 88 42000023 ORTHOTICS - FEET $ 762 42000026 GAIT TRAINING $ 92 42000027 WHIRLPOOL $ 204 42000028 CONTRAST BATH $ 147 42000029 ELECTRICAL STIM ATTENDED $ 147 42000031 MANUAL THERAPIES $ 147 42000032 MASSAGE $ 147 42000034 BALANCE/COORDINATION $ 147 42000035 PARAFFIN $ 95 42000036 PROSTHETIC / FIT TRAINING $ 147 42000037 SELF CARE / ADL TRAINING $ 147 42000038 FUNCTIONAL TRAINING $ 147 42000039 ULTRASOUND $ 147 42000040 SELECTIVE DEBRIDEMENT $ 187 42000044 NON-SELECTIVE DEBRIDEMENT $ 124 42000045 ORTHOTIC FIT $ 147 42000046 E-STIM U WC $ 27 42000049 APP OF MULTI-LAYER COMP SYSTEM $ 166 42000050 PT MOBILITY CURRENT STATUS $ 1 42000051 PT MOBILITY GOAL STATUS $ 1 42000052 PT MOBILITY D/C STATUS $ 1 42000053 PT BODY POS CURRENT STATUS $ 1 42000054 PT BODY POS GOAL STATUS $ 1 42000055 PT BODY POS D/C STATUS $ 1 42000056 PT CARRY CURRENT STATUS $ 1 42000057 PT CARRY GOAL SATUS $ 1 42000058 PT CARRY D/C STATUS $ 1 42000059 PT OTHER PT CURRENT STATUS $ 1 42000060 PT OTHER PT GOAL STATUS $ 1 42000061 PT OTHER PT D/C STATUS $ 1 42000062 PT SUB PT CURRENT STATUS $ 1 42000063 PT SUB PT GOAL STATUS $ 1 42000064 PT SUB PT D/C STATUS $ 1 42000065 PT SELF CARE CURRENT STATUS $ 1 42000066 PT SELF CARE GOAL STATUS $ 1 42000067 PT SELF CARE D/C STATUS $ 1 42000068 PT TESTS & MEASURES $ 81 42000069 CANALITH REPOSITIONING $ 146 42000070 ANODYNE THERAPY $ 66 42400020 PT EVAL LOW COMPLEX 20 MINUTES $ 107 42400021 PT EVAL MOD COMPLEX 30 MINUTES $ 107 42400022 PT EVAL HIGH COMPLEX 45 MINUTE $ 107 42400023 PT RE-EVAL EST PLAN CARE $ 73 43000003 PROSTHETIC FIT/TRAINING $ 147 43000004 ORTHOTIC FIT $ 147 43000007 THERAPEUTIC EXERCISE $ 232 43000008 MASSAGE $ 147 43000009 MANUAL THERAPIES $ 147 43000010 BALANCE/COORDINATION TRAINING $ 147 43000011 ADL TRAINING/SELF CARE $ 147 43000012 FUNCTIONAL TRAINING $ 147 43000013 PARAFFIN $ 95 43000014 WHIRLPOOL $ 204 43000016 ULTRASOUND, EA. 15 MINUTES $ 152 43000028 IONTOPHORESIS $ 152 43000030 ELECTRICAL STIM UNATTENDED $ 152 43000031 ELECTRICAL STIM ATTENDED $ 152 43000032 CONTRAST BATH $ 152 43000033 SENSORY INTEGRATION $ 138 43000034 COMMUNITY WORK REINTEGRATION $ 107 43000035 OT BODY POS CURRENT STATUS $ 1 43000036 OT BODY POS GOAL STATUS $ 1 43000037 OT BODY POS D/C STATUS $ 1 43000038 OT SELF CARE CURRENT STATUS $ 1 43000039 OT SELF CARE GOAL STATUS $ 1 43000040 OT SELF CARE D/C STATUS $ 1 43000041 OT OTHER OT CURRENT STATUS $ 1 43000042 OT OTHER OT GOAL STATUS $ 1 43000043 OT OTHER OT D/C STATUS $ 1 43000044 OT SUB OT CURRENT STATUS $ 1 43000045 OT SUB OT GOAL STATUS $ 1 43000046 OT SUB OT D/C STATUS $ 1 43000047 OT MOBILITY CURRENT STATUS $ 1 43000048 OT MOBILITY GOAL STATUS $ 1 43000049 OT MOBILITY D/C STATUS $ 1 43000050 OT CARRY CURRENT STATUS $ 1 43000051 OT CARRY GOAL STATUS $ 1 43000052 OT CARRY D/C STATUS $ 1 43000053 OT ANODYNE TREATMENT $ 66 43000054 COGNITIVE FUNCTION INTERVENTIO $ 138 43000055 ORTHOTIC/PROSTHETIC MGMT VISIT $ 138 43400005 EVALUATION OT $ 225 43400006 RE-EVALUATION OT $ 98 43400110 OT EVAL LOW COMPLEX 30 MINUTES $ 104 43400111 OT EVAL MOD COMPLEX 45 MINUTES $ 104 43400112 OT EVAL HIGH COMPLEX 60 MINUTE $ 104 43400113 OT RE-EVAL EST PLAN CARE $ 69 44000001 DIAG AUDIOGRAM $ 161 44000002 TYMPANOMETRY $ 64 44000003 ACOUSTIC REFLEX TESTING $ 64 44000007 THERAPY SERVICES FOR DEVICES $ 160 44000008 ST SWALLOW CURRENT STATUS $ 1 44000009 ST SWALLOW GOAL STATUS $ 1 44000010 ST SWALLOW D/C STATUS $ 1 44000011 ST MOTOR SPEECH CURRENT STATUS $ 1 44000012 ST MOTOR SPEECH GOAL STATUS $ 1 44000013 ST MOTOR SPEECH D/C STATUS $ 1 44000014 ST LANG COMP CURRENT STATUS $ 1 44000015 ST LANG COMP GOAL STATUS $ 1 44000016 ST LANG COMP D/C STATUS $ 1 44000017 ST LANG EXPRESS CURRENT STATUS $ 1 44000018 ST LANG EXPRESS GOAL STATUS $ 1 44000019 ST LANG EXPRESS D/C STATUS $ 1 44000020 ST ATTEN CURRENT STATUS $ 1 44000021 ST ATTEN GOAL STATUS $ 1 44000022 ST ATTEN D/C STATUS $ 1 44000023 ST MEMORY CURRENT STATUS $ 1 44000024 ST MEMORY GOAL STATUS $ 1 44000025 ST MEMORY D/C STATUS $ 1 44000026 ST VOICE CURRENT STATUS $ 1 44000027 ST VOICE GOAL STATUS $ 1 44000028 ST VOICE D/C STATUS $ 1 44000029 ST SPEECH LANG CURRENT STATUS $ 1 44000030 ST SPEECH LANG GOAL STATUS $ 1 44000031 ST SPEECH LANG D/C STATUS $ 1 44200004 SWALLOWING TREATMENT $ 236 44200019 SPEECH/LANGUAGE TREATMENT $ 149 44400001 EVAL OF SWALLOW W/RADIOLOGY $ 324 44400003 APHASIA EVAL $ 342 44400004 SWALLOWING EVAL $ 399 44400005 EVAL FOR PROSTHETIC DEVICE $ 399 44400006 EVAL FLUENCY $ 399 44400007 EVAL SOUND $ 399 44400008 EVAL LANGUAGE $ 399 44400009 BEHAVIORAL & QUALITATIVE ANALY $ 399 45000011 AKZO EMPLOYMENT SCREEN $ 339 45000024 EMERGENCY INTUBATION $ 298 45000033 TREATMENT DISLOCATION/FRACTURE $ 903 45000035 DISTAL PHALANG W/ SPLINT TOES $ 321 45000036 REMOVE VAGINAL FOREIGN BODY $ 218 45000037 IV PUSH THER/PROP/DIAG SGL OR $ 332 45000045 EMERGENCY INSERTION SUBCLAVIAN $ 239 45000046 RESUSCITATION, CPR $ 496 45000048 INCISION AND DRAINAGE $ 264 45000050 INJ LIGAMENT/TRIGGER PT/TENDON $ 212 45000052 CLOSE TREAT NOSE W/O STABILITY $ 551 45000060 SMPL REPR EXCEPT FACE $ 222 45000080 SPLNT APPLIC $ 167 45000092 STRAPPING, HAND/FINGER $ 125 45000094 BRACE APPLICATION $ 221 45000095 SPLINT/CAST/STRAP APPLICATION $ 210 45000098 STRAPPING, TOES $ 155 45000101 CAST REMOVAL/REVISION $ 248 45000102 INJECTION, IM, ANTIBIOTIC $ 70 45000111 LACERATION INTERMED ALL OTHER $ 294 45000124 LACERATION INTERMED FACE $ 290 45000131 BURNS SIMPLE $ 208 45000140 EPISTAXIS $ 302 45000148 BURNS INTERMEDIATE $ 386 45000149 ASPIRATION BLADDER NEEDLE $ 218 45000151 BURNS EXTENSIVE $ 443 45000156 CATHETERIZATION $ 125 45000158 I/D ISCHIO/PERIRECTAL ABSCESS $ 1,126 45000159 I/D PERIANAL ABSCESS, SUPERFIC $ 303 45000160 AVULSION,NAIL,PART/COMPL, 2ND $ 187 45000161 I/D VULVA/PERINEAL ABSCESS $ 376 45000170 PLSE OXMTRY, MULT DTERMNATIONS $ 113 45000181 INJECTION IM OR SUBCUTANEOUS $ 70 45000190 PLACE CV CATH CUTDOWN OVER 2 $ 282 45000192 COLLECTION OF VENOUS BLOOD $ 29 45000195 VENOUS CUTDOWN OVER 1 YEAR $ 74 45000197 LACERATION SIMPLE FACE $ 208 45000213 ARTHROCENTRSIS $ 212 45000218 CLSE TX VERTEBRAL PROCESS FX $ 582 45000256 CLSE TX PHA /PHALANGE OTHER $ 244 45000260 CLSE TX INTERPHALANG JNT DSLCT $ 310 45000262 FOREIGN BODY REMOVAL $ 285 45000271 IMMUNIZATION ADMIN - SINGLE $ 70 45000275 CATHERIZATION, BLADDER, COMPL $ 152 45000276 DIL,URETH,STRICT,MALE,INITIAL $ 164 45000278 IMMUNIZATION ADMINISTRATION $ 70 45000279 MINOR SURGICAL ER PROCEDURE $ 356 45000280 INSERTION OF NG TUBE $ 242 45000281 IV INFUSION HYDRATION 1ST HR $ 372 45000282 IV INFUSION HYDRTN EA ADDTL HR $ 110 45000283 IV INFUSN THER/PROPH/DG EA ADD $ 110 45000284 IV INFUSN TX/PROPH/DG ADDL SEQ $ 110 45000285 THER/DIAG CONCURRENT INF $ 85 45000286 IV PUSH THER/PROPH/DIAG ADDL D $ 124 45000287 COLL OF CAPILLARY BLOOD SPECIM $ 19 45000289 LACERATION INTERMED HAND $ 492 45000290 IV PUSH ADDTL DRUGS SAME SUBST $ 124 45000291 CATH FOR SPECIMEN COLLECTION $ 29 45000292 TRIAGE ONLY $ 221 45099281 EMERGENCY LEVEL 1 $ 221 45099282 EMERGENCY LEVEL 2 $ 436 45099283 EMERGENCY LEVEL 3 $ 636 45099284 EMERGENCY LEVEL 4 $ 945 45099285 EMERGENCY LEVEL 5 $ 1,214 45099291 CRITICAL CARE, 1ST HR $ 1,214 45099292 CRITICAL CARE, ADDL 30 MINS $ 329 46000002 OXIMETR O2 SATURAT REDING MULT $ 157 46000003 PULM FUNCT - MVV $ 212 46000004 PULM PHYSIOTHERAPY/TX INITIAL $ 95 46000005 PULM FUNCT - FLOW VOLUME LOOP $ 139 46000006 PFT PRE & POST SPIROMETRY $ 409 46000008 PULM FUNCT VITAL CAPACITY $ 93 46000009 PULMONARY FUNCTION PEAK FLOW $ 142 46000013 SLOW VITAL CAPACITY $ 93 46000014 EXERCISE PULSE OXIMETRY $ 83 46000015 SPIROMETRY (PFT) $ 107 46000016 PULM PHYSIOTHERAPY SUBSEQUENT $ 68 46000017 PULSE OXIMETRY-CONT OVERNITE $ 70 46000020 PFT LV N2 METHOD $ 93 46000022 PFT LV PLETHYSMOGRAPHY $ 93 46000023 PFT DLCO $ 107 48000002 DOPPLER ECHOCARDIOGRAM $ 363 48000003 DOPPLER COLOR FLOW $ 370 48000004 ECHO W/COLOR/DOPPLER $ 1,256 48000005 STRESS ECHO $ 1,012 48000006 STRESS ECHO CONTRAST USED $ 125 48200002 CARDIO STRESS TEST - TRACING $ 560 50000002 O/P NUTRITIONAL COUNSELING $ 250 51000013 NEW PT - PROBLEM VISIT $ 156 51000014 NEW PT - EXPANDED VISIT $ 137 51000015 NEW PT - LOW COMPLEXITY PROB $ 206 51000016 NEW PT-MODERATE COMPLEX VISIT $ 290 51000017 NEW PT-HIGH COMPLEXITY VISIT $ 367 51000018 ESTABLISHED PT - PROBLEM $ 156 51000019 INJ THERAPEUTIC CARPAL TUNNEL $ 390 51000020 INJ TRIGGER POINTS 1-3 MUSCLES $ 390 51000021 INJ TRIGGER POINTS 3+ MUSCLES $ 390 51010001 ESTABLISHED PT - EXPANDED $ 179 51010002 ESTABLISHED PT-LOW COMPLEXITY $ 179 51010003 ESTABLISHED PT-MOD COMPLEXITY $ 185 51010004 ESTABLISHD PAT-HIGH COMPLEXITY $ 257 51010005 CLIN PER COMP PREV VIS <1 YR $ 164 51010006 CLIN PER COMP PREV VISIT 1-4YR $ 185 51010007 CLIN PER COMP PREV VIS 5-11YRS $ 183 51010008 CLIN PER COMP PREV VIS 12-17YR $ 208 51010009 CLIN PER COMP PREV VIS 18-39YR $ 203 51010010 CLIN PER COMP PREV VIS 40-64YR $ 210 51010011 CLIN PER COMP PREV VIS 65+YRS $ 232 51010012 CLIN INIT COMP PREVENTATV VIS $ 221 51010013 CLIN INIT COMP PREV VIS 1-4 YR $ 237 51010014 CLIN INIT COMP PREV VIS 5-11YR $ 233 51010015 CLIN INIT COMP VIS 12-17 YRS $ 254 51010016 CLIN INIT COMP VIS 18-39 YRS $ 254 51010017 CLIN INIT COMP VIS 40-64 YRS $ 296 51010018 CLIN INIT COMP VIS 65+ YRS $ 320 51020001 Bladder Irrigation $ 459 51020002 BLADDER INSTILLATION COMPL $ 363 51020003 COMPL CYSTOMETROGRAM $ 733 51020004 COMPL CYSTOU W/VOID STUDY $ 773 51020005 COMPL CYSTOU W/PRESS URETH $ 818 51020006 COMPL UROFLOWMETRY $ 216 51020007 VOID PRESS INTRA ABDOM $ 450 51020008 MEASURE POST VOID BY ULTRA $ 161 51020009 ULTRASOUND PELVIC $ 471 51020010 CYSTOURETHROSCOPY $ 1,483 51020011 CYSTOU REM STENT FB $ 2,072 51020012 DESTR LESION ELECTRO $ 1,294 51020013 DESTR LESION PENIS $ 2,412 51020014 BIOPSY PROSTATE $ 1,903 51020015 ULTRASOUND KIDNEY $ 339 51020016 ULTRASOUND SCROTUM $ 449 51020017 ULTRASOUND TRANSRECTAL $ 284 51020018 ULTRA GUID NEEDLE BIOPSY PROST $ 404 51020020 URINALYSIS W/MICRO $ 12 51020021 ASPIRATION OF HYDROCELE $ 926 51020025 COMPL CYSTOU W/PRESSURE $ 778 51020026 VASECTOMY CONSULT $ 274 51020027 CHANGE CYSTOSTOMY/BLADDER TUBE $ 214 51020028 INSERT URETERAL TUBE $ 351 51020029 INSERT TEMPORARY BLADDER CATH $ 50 51020030 HYDROCELE ASPIRATION/DRAINAGE $ 137 51210117 PALLIATIVE (EMERG) TREATMENT $ 107 52000515 FUROSEMIDE 10MG/ML 8MLSYR $ 22 52000521 HYDROXYZINE HCL 25MG/ML IML VL $ 8 52000522 LIDOCAINE 5% TDM 1/PATCH $ 22 52000523 FLUPHENAZINE DECANOATE 25MG/ML $ 93 52000526 ESTROGENS CONJUGATE 25MG/5MLVL $ 214 52000527 LIDOCAINE 2.5%/PRILOCAINE2.5% $ 38 61000001 MRI JOINT LOWER LEFT W/O CONT $ 1,140 61000002 MRI JOINT LOWER LEFT W/CONTR $ 1,305 61000003 MRI JOINT LOWER LEFT W/WO $ 1,782 61000004 MRA EXTREMITY LOWER W/WO $ 1,264 61000005 MR ABD W/O $ 1,165 61000006 MR ADB W $ 1,335 61000007 MR ABD W/WO $ 1,789 61000008 MRA ABD W/WO $ 1,393 61000009 CARDIAC MRI W/O $ 1,322 61000010 CARDIAC MR VELOCITY FLOW MAPPG $ 1,464 61000011 CARDIAC STRESS $ 1,865 61000013 MRI EXTREMITY UPPER LEFT W/O $ 1,001 61000014 MRI EXTREMITY UPPER LEFT WITH $ 1,170 61000015 MRI EXTREMITY UPPER LEFT W/WO $ 1,782 61000016 MRI JOINT UPPER LEFT W/O CONTR $ 1,140 61000017 MRI JOINT UPPER LEFT W/CONTRAS $ 1,670 61000018 MRI JOINT UPPER LEFT W/WO $ 1,782 61000020 MRI EXTREMITY LOWER LEFT W/O $ 1,170 61000021 MRI EXTREMITY LOWER LEFT WITH $ 1,337 61000022 MRI EXTREMITY LOWER LEFT W/WO $ 1,782 61000023 MRI SPINE THORACIC W/O $ 1,240 61000024 MRI SPINE THORACIC W/CONTRAST $ 1,362 61000025 MRI SPINE LUMBAR W/O CONTRAST $ 1,181 61000026 MRI SPINE LUMBAR W/CONTRAST $ 1,343 61000027 MRI SPINE CERVICAL W/WO CONTR $ 1,807 61000028 MRI SPINE THORACIC W/WO CONTR $ 1,807 61000029 MRI SPINE LUMBAR W/WO CONTR $ 1,807 61000031 MRA PELVIS W/WO $ 1,420 61000032 MR PELVIS W/O $ 1,165 61000033 MR PELVIS W $ 1,335 61000034 MR PELVIS W/WO $ 1,789 61000035 MRI BRAIN STEM W/O $ 1,133 61000036 MR BRAIN STEM W $ 1,374 61000037 MRI BRAIN STEM W/WO $ 1,807 61000038 MR BRAIN FUNCTION $ 1,220 61000039 MRI CHEST W/O CONTRAST $ 1,430 61000040 MRI CHEST W/CONTRAST $ 1,636 61000041 MRI CHEST W/WO $ 1,956 61000042 MRA CHEST W/WO $ 1,455 61000043 MRI SPINE CERVICAL W/O CONTR $ 1,142 61000044 MRI SPINE CERVICAL W/CONTRAST $ 1,401 61000045 MRI TMJS $ 1,127 61000046 MRI ORBIT FACE OR NECK W/O $ 1,213 61000047 MRI ORBIT FACE OR NECK W $ 1,387 61000048 MRI ORBIT FACE OR NECK W/WO $ 1,782 61000049 MRA HEAD W/O CONTRAST $ 989 61000050 MRA HEAD W $ 1,156 61000051 MRA HEAD W/WO $ 1,598 61000052 MRA NECK W/O $ 989 61000053 MRA NECK W $ 1,156 61000054 MRA NECK W/WO $ 1,598 61000055 CARDIAC MR W/WO $ 1,723 61000057 CARDIAC MR W/STRESS W/WO $ 2,191 61000059 MR SPECTROSCOPY $ 916 61000060 MR GUIDANCE FOR NEEDLE $ 1,469 61000061 MR GUIDANCE FOR TISSUE ABLATIO $ 1,641 61000062 MRI BREAST UNI W/WO $ 1,891 61000063 MRI BREAST BILAT W/WO $ 2,586 61000064 MRI IMAGE BONE MARROW $ 1,525 61000065 MRI JOINT LOWER RIGHT W/O $ 1,140 61000066 MRI JOINT LOWER BILATERAL W/O $ 1,709 61000067 MRI JOINT LOWER RIGHT W/CONTR $ 1,305 61000068 MRI JOINT LOWER BILAT W/CONTR $ 1,956 61000069 MRI JOINT LOWER RIGHT W/WO CON $ 1,782 61000070 MRI JOINT LOWR BILAT W/WO CONT $ 2,672 61000071 MRI EXTREMITY UPPER RIGHT W/O $ 1,001 61000072 MRI EXTREMITY UPPER BILAT W/O $ 1,498 61000073 MRI EXTREMITY UPPER RIGHT W/ $ 1,170 61000074 MRI EXTREMITY UPPER BILAT WITH $ 1,752 61000075 MRI EXTREMITY UPPER RIGHT W/WO $ 1,782 61000076 MRI EXTREMITY UPPER BILAT W/WO $ 2,672 61000077 MRI JOINT UPPER RIGHT W/O $ 1,140 61000078 MRI JOINT UPPER BILAT W/O CONT $ 1,709 61000079 MRI JOINT UPPER RIGHT W/CONTRA $ 1,670 61000080 MRI JOINT UPPER BILAT W/CONTR $ 2,501 61000081 MRI JOINT UPPER RIGHT W/WO CON $ 1,782 61000082 MRI JOINT UPPER BILAT W/WO CON $ 2,672 61000083 MRI EXTREMITY LOWER RIGHT W/O $ 1,170 61000084 MRI EXTREMITY LOWER BILAT W/O $ 1,752 61000085 MRI EXTREMITY LOWR RIGHT W/CON $ 1,337 61000086 MRI EXTREMITY LOWER BILAT W/ $ 2,004 61000087 MRI EXTREMITY LOWER RIGHT W/WO $ 1,782 61000088 MRI EXTREMITY LOWER BILAT W/WO $ 2,672 61000089 MRI 3D WITHOUT WORKSTATION $ 447 61000090 MRA SPINAL CANAL W/ $ 1,324 61000091 MRA SPINAL CANAL W/O $ 1,324 61000092 MRA SPINAL CANAL W/WO $ 1,324 61000093 MRA EXTREMITY UPPER W/CONTRAST $ 1,110 61000094 MRA EXTREMITY UPPER W/O CONTR $ 1,110 61000095 MRA EXTREMITY UPPER W/WO CONTR $ 1,110 61000096 MRA ABDOMEN W/CONTRAST $ 1,261 61000097 MRA ABDOMEN W/O CONTRAST $ 1,261 61000098 MRI BREAST UNI W/CONTRAST $ 1,683 61000099 MRI BREAST UNI W/O CONTRAST $ 1,683 61000100 MRI BREAST BILATERL W/CONTRAST $ 2,298 61000101 MRI BREAST BILATERL W/O CONTRA $ 2,298 61000102 MRA CHEST W/CONTRAST $ 1,321 61000103 MRA CHEST W/O CONTRAST $ 1,321 61000104 MRA EXTREMITY LOWER W/CONTRAST $ 1,139 61000105 MRA EXTREMITY LOWER W/O CONTRA $ 1,139 61000106 MRA PELVIS W/CONTRAST $ 1,288 61000107 MRA PELVIS W/O CONTRAST $ 1,288 61000108 ABD & PELVIS W/CONTRAST MRA $ 1,907 63110001 HEP A VACCINATION #1 $ 77 63110002 HEP A VACCINATION #2 $ 77 63110003 HEP B VACCINATION #1 $ 59 63110004 HEP B VACCINATION #2 $ 59 63110005 HEP B VACCINATION #3 $ 59 63110006 INFLUENZA (FLU SHOT) $ 26 63110007 MMR VACCINE $ 74 63110008 PPD $ 12 63110009 TENANUS (NON-INJURY RELATED) $ 33 63110010 VARICELLA VACCINE $ 26 63110011 TYPHOID VACCINE $ 110 63110012 MENINGITIS VACCINE $ 152 63110013 YELLOW FEVER $ 82 63110014 IMMUNIZATION & PMH REVIEW $ 51 63110015 DRUG SCREEN HAIR $ 92 63110016 DRUG SCREEN HAIR COLLECTN ONLY $ 29 63110017 EXTERNAL DRUG TEST $ 230 63110018 EXTERNAL DRUG TEST-QUEST $ 153 63110019 MRO REVIEW $ 5 63110020 MRO COLLECTION - POSITIVE $ 18 63110021 MRO WNYOM - POSITIVE $ 47 63120001 CBC W/DIFF $ 20 63120002 CHEMISTRY PANEL $ 39 63120003 CHOLINESTERASE $ 39 63120004 GGT $ 18 63120005 HEP B TITRE $ 29 63120006 IRON (SERUM) $ 31 63120007 LEAD $ 20 63120008 LIPID PROFILE $ 31 63120009 MAGNESIUM $ 5 63120010 MERCURY $ 20 63120011 MERCURY,URINE $ 31 63120012 MUMPS TITRE $ 26 63120013 PSA $ 41 63120014 RUBELLA (lgG) $ 26 63120015 RUBEOLA (lgG-QUANT) $ 26 63120016 UA - W/MICRO $ 20 63120017 ZPP $ 20 63120018 CHOLINESTERASE,RBC $ 71 63121001 ALCOHOL-BREATHALYZER (BAT) $ 26 63121002 UDS-COLLECTION ONLY (3RD PARTY $ 29 63121003 UDS-NIDA/DOT (WNYOM-LAB FORM) $ 56 63121004 UDS-NON-DOT (WNYOM-LAB FORM) $ 56 63121005 AFTER HRS FEE-INITIAL 3 HRS $ 66 63121006 AFTER HOURS FEE-EA HR OVER 3 $ 26 63121007 OSHA REVIEW $ 12 63130001 CHEST X-RAY (1 VIEW) $ 61 63130002 CHEST X-RAY (2 VIEW) $ 87 63130003 LS SPINE (AP & LAT) $ 82 63130004 PELVIS $ 41 63130005 B READER $ 51 63140001 AUDIOMETRY BASELINE/FOLLOW UP $ 18 63140002 AUDIOMETRY WITH EVALUATION $ 26 63140003 ELECTROCARDIOGRAM (EKG) $ 51 63140004 RESP FIT - QUALITATIVE/QUANTIT $ 20 63140005 SPECIMEN COLL ONLY - BLOOD/URI $ 15 63140006 SPIROMETRY (PFT) $ 39 63140007 VISION - ISHIHARA $ 12 63140008 VISION - TITMUS $ 12 63140009 TONOMETRY $ 41 63150001 NEW PT; PROB FOCUSED Hx & EXAM $ 52 63150002 NEW PT; EXP PROB FOCUS Hx & EX $ 65 63150003 NEW PATIENT; DETAILED Hx & EXA $ 85 63150004 NEW PT; COMP Hx & EXAM $ 121 63150005 NEW PATIENT; COMP Hx & EXAM $ 163 63150006 EST PT; MIN PRESENTING PROB $ 29 63150007 EST PT; SELF LMT OR MINOR PROB $ 41 63150008 EST PT; LOW TO MOD SEV OF PRES $ 52 63150009 EST PT; MOD TO HI SEV. PRES PR $ 75 63150010 EST PT; MOD TO HI SEV OF PRES $ 121 63150011 IMMUN - ACT, DIPHTHE & TETANUS $ 11 63150012 IMMUN - ACT, HEPATITIS A VACCI $ 44 63150013 IMMUN - ACT HEP B VAC. 20 YRS> $ 39 63150014 I & D ABSCES; SIMPLE OR SINGLE $ 55 63150015 INCIS & REM OF FOREIGN BODY $ 68 63150016 I&D HEMATOMA, SEROMA OR FLUID $ 101 63150017 PUNCTURE ASPIRATION OF ABSCESS $ 55 63150018 SUTURES SIMPLE 2.5CM < $ 73 63150019 SUTURE SIMPLE 2.6-7.5CM $ 94 63150020 SUTURES SIMPLE 7.6-12.5 CM $ 124 63150021 SUTURES SIMPLE WOUND DEHISCENC $ 164 63150022 PACKING, WOUND DEHISCENCE $ 174 63150023 SUTURE SIMPLE 2.5< FACE,EAR,EY $ 94 63150024 SUTURE SIMPLE 2.6-5.0CM,FACE,E $ 114 63150025 REMOVAL FOR BODY IN MUSCLE TIS $ 112 63150026 INJ ANEST OTHER PERIPH NERVE $ 66 63150027 FB REM EXT EYE, CONJ EMBEDDED $ 56 63150028 FB REM EXT EYE,CORN W/O SLIT L $ 64 63150029 BASIC/STUDENT $ 59 63150030 PRE-PLACEMENT $ 59 63150031 DOT-INITIAL/RECERT $ 61 63150032 19A-INITIAL/RECERT $ 61 63150033 RESP...HAZ MAT - INITIAL/RECER $ 66 63150034 RESP...INITIAL/RECERT $ 66 63150037 RET TO WORK-BRIEF FIT FOR DUTY $ 56 63150038 RET TO WORK-INTERMED/CO REQ $ 56 63150039 RETURN TO WORK - COMP/CO REQ. $ 56 63150040 INDEPENDENT MEDICAL EVAL. $ 255 63150041 FUNCTIONAL CAPACITY EVAL. $ 153 63150042 INTERIOR FIREFIGHTER -ON-SITE $ 146 63150043 INTERIOR FIREFIGHTER - CLINIC $ 132 63150044 EXT FIREFIGHTER ON-SITE >40 $ 97 63150045 EXT FIREFIGHTER CLINIC >40 $ 88 63150046 EXT FIREFIGHTER ON-SITE <40 $ 56 63150047 EXT FIREFIGHTER CLINIC <40 $ 51 63150048 FIRE POLICE ON-SITE >40 $ 97 63150049 FIRE POLICE CLINIC >40 $ 88 63150050 FIRE POLICE ON-SITE <40 $ 56 63150051 FIRE POLICE CLINIC < 40 $ 51 63160001 AES-ANNUAL $ 59 63160002 HEALTH ASSESSMENT $ 13 63160003 BACK SCREEN $ 56 63160004 H&P LIMITED ASSESSMENT $ 26 63500001 EPOGEN-100 UNITS 100+ DIALYSIS $ 6 63600003 TC-99m MYO VIEW / UNIT DOSE $ 161 63600010 INJECTION,RITUXIMAB 100 MG $ 1,649 63600011 INFLUENZA VACCINE INJ-FLUARIX $ 35 63600012 INFLUENZA VACCINE INJ-FLULAVAL $ 26 63600013 INFLUENZA VACC INJ-FLUZONE PED $ 44 63600014 INFLUENZA VACCINE INJ-FLUVIRIN $ 39 63600021 ZOLEDRONIC ACID 1 mg $ 114 63600022 ZOLEDRONIC ACID 1 mg $ 114 63600023 ZOLEDRONIC ACID 1 mg $ 114 63600024 ZOLEDRONIC ACID 1 mg $ 114 63600042 CARDIOLITE 1-75 DS $ 170 63600043 TC-99 DISOFENIN $ 82 63600044 GALLIUM GA 67 PER mci $ 90 63600046 I131 THERAPY EA ADD'L mci $ 458 63600049 KINEVAC 5MCG $ 184 63600050 SESTAMIBI $ 430 63600051 I-131 DIAGNOSTIC CAP $ 441 63600052 I-123 SODIUM IODINE 100uci $ 238 63600053 TC-99 BONE(MEDRONALE)<30 TC99B $ 458 63600055 TC-99 GLUCEPATATE / 5 mci $ 458 63600056 TC-99 SULFUR CHLORIDE / DOSE $ 86 63600057 TC-99 MDP $ 35 63600058 THALLOUS CHLORIDE TL 201/mci $ 423 63600060 INFLUENZA VACCINE INJ-FLUZONE $ 31 63600062 GAMMAGARD POWDER 10g $ 3,385 63600063 LINEZOLID (ZYVOX) 200 MG $ 140 63600064 LINEZOLID (ZYVOX) 200 MG $ 140 63600065 LINEZOLID (ZYVOX) 200 MG $ 140 63600069 EPPTIFIBATE (INTEGRILIN) 5MG $ 112 63600070 EPPTIFIBATE (INTEGRILIN) 5MG $ 112 63600071 EPPTIFIBATE (INTEGRILIN) 5MG $ 112 63600072 EPPTIFIBATE (INTEGRILIN) 5MG $ 112 63600073 SARGRAMOSTIM 50 mg $ 147 63600074 SARGRAMOSTIM 50 mg $ 147 63600075 SARGRAMOSTIM 50 mg $ 147 63600076 SARGRAMOSTIM 50 mg $ 147 63600077 SARGRAMOSTIM 50 mg $ 147 63600119 BCG VACCINE FOR BLADDER CANCER $ 562 63600120 HEPB VACC PED/ADOL 3 DOSE IM $ 88 63600128 ADENOSINE 6 MG THERAPEUTIC $ 123 63600141 NESIRITIDE 0.1 MG INJECTION $ 185 63600158 PROCRIT (EPOETIN ALPHA) $ 65 63600160 PAMIDRONATE 30MG $ 121 63600161 PAMIDRONATE 30MG $ 121 63600162 PAMIDRONATE 30MG $ 121 63600163 FILGRASTIN $ 1,173 63600164 SUBOXONE TABLET $ 17 63600166 LOCM 100-199 ML IODINE $ 7 63600167 LOCM 100-199 ML IODINE $ 7 63600168 LOCM 200-299 ML IODINE $ 6 63600169 LOCM 200-299 ML IODINE $ 6 63600170 LOCM 300-399 ML IODINE $ 5 63600171 LOCM 300-399 ML IODINE $ 5 63600172 RABIES IMMUNE GLOBULIN (RIg),H $ 884 63600173 RABIES VACCINE, INTRADERMAL $ 490 63600174 INJ GAD (PROHANCE) PER ML $ 12 63600175 INJ GAD (MULTIHANCE) PER ML $ 12 63600176 INJ GAD (MUTIHANCE,MULTIPACK) $ 12 63600177 INJ GAD (OMNISCAN) PER ML $ 12 63600212 LORAZEPAM 2MG/ML SYRINGE $ 9 63600213 DIPHTHERIA,TETANUS ACOLLULAR $ 59 63600214 ORAL MR CONTRAST - PER 100 ML $ 24 63600216 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600217 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600218 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600219 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600220 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600221 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600222 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600223 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600224 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600225 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600226 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600227 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600228 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600229 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600230 EPTIFIBATE (INTEGRILIN) 5MG $ 94 63600231 ADENOSINE 6MG $ 121 63600232 ADENOSINE 6MG $ 121 63600233 VACCINE,HEPATITIS A $ 209 63600234 VACCINE,HPV $ 813 63600235 TETANUS-DIPHTHERIA PED. $ 64 63600236 MEASLES, MUMPS, RUBELLA VACCIN $ 146 63600237 VACCINE,POLIO $ 138 63600238 DIPTHERIA-TETANUS-PERTUSSIS $ 169 63600239 VACCINE,VARICELLA $ 304 63600240 TETANUS-DIPHTHERIA ADULT $ 64 63600241 PNEUMOCCACAL VACCINE INJECTION $ 93 63600242 VACCINE,HERPES ZOSTER $ 575 63600243 HEPATITIS B VAC 5 MCG/0.5 ML V $ 144 63600244 TETANUS IMMUNE GLOBIN UP TO $ 414 63600245 IRON DEXTRAN INJ 50MG $ 70 63600246 IRON DEXTRAN INJ 50MG $ 70 63600251 REGADENOSON-.1 mg $ 205 63600252 HIB VACCINE $ 107 63600258 ZOLEDRONIC ACID 1MG $ 114 63600259 RETAPLASE INJECTION-IVIAL $ 8,242 63600285 ABATACEPT 10MG $ 87 63600287 IMM GLOB-GAMMAGARD -500 mg $ 108 63600290 INJECTION-OPTISON PER MG $ 74 63600291 INJECTION DEFINITY PER MG $ 111 63600292 IMMUNE GLOBULIN GAMUNEX 500mg $ 132 63600293 VIABLE SKIN SUB 2x3cm (GRAFIX) $ 2,998 63600310 ALTEPLASE 1 mg $ 175 63600401 LEVETIRACETAM INJ-10mg $ 5 63600427 HEPARIN IN DW5 1000 UNITS $ 3 63600445 TC-99M TECHNETIUM LABELD RBC/M $ 458 63600446 INDIUM-111 IN PENTETREOTIDE/3 $ 9,005 63600449 TC-99M PYROPHOSPHATE $ 458 63600453 RHO-GAM-MEDICATION $ 189 63600504 DORIPENEM 10MG INJ $ 5 63600505 MENINGOCOCCAL VACCINE - SC $ 279 63600560 TENECTEPLASE 1mg $ 245 63600570 HEPARIN LOCK FLUSH 10 UNITS $ 3 63600575 HEPARIN INJECTION 1000 UNITS $ 3 63600600 EPOGEN-DIAL-100 UNITS UP TO 90 $ 6 63600601 VENOFER-1mg $ 6 63600602 HEP B VACCINE-DIALYSIS $ 175 63600605 ACTIVASE CATH FLO 1mg $ 194 63600617 CYTOXAN INJ 100mg $ 96 63600622 VINORELBINE TARTRATE 10mg $ 119 63600658 LEVETIRACETAM INJ-10mg $ 5 63600659 INJECTION REGADENOSON 1mg $ 117 63600660 IMMUNE GLOBULIN PRIVIGEN 500mg $ 119 63600661 RIMSO 50ml $ 159 63600663 CHEMO/ADMIN/SUBS $ 88 63600669 ELIGARD 7.5 mg $ 1,150 63600720 ALTEPLASE 1mg $ 94 63600750 ALTEPLASE 1mg $ 179 63600751 NICARDIPINE 25mg/10ml $ 693 63600752 VISTIDE 375mg $ 1,619 63600853 ONABOTULINUMTOXIN A 1 UNIT INJ $ 17 63600955 ARANESP 1mcg $ 22 63600976 OCTREO DEPOT INJ 1mg $ 406 63600977 HEPATITIS A VAC (PEDS)25/0.5ml $ 95 63601029 TIGECYCLINE 1mg $ 7 63601071 TRIAMCINOLONE 1 mg $ 12 63601073 MITOMYCIN 5mg $ 134 63601074 MITOMYCIN 5mg $ 134 63601075 MITOMYCIN 5mg $ 134 63601076 MITOMYCIN 5mg $ 134 63601077 HYDROMORPHONE 10mg/ml 1ml VIAL $ 7 63601104 ARANESP 1mcg $ 22 63601107 ANTIHEMOPHIL FACTR HUM REC3000 $ 14,297 63601108 ANTIHEMOPHILC FCTR HUM REC1048 $ 4,996 63601109 TBO-FILIGRASTIN 300mcg/.05ml $ 568 63601110 ORITAVANCIN 400mg VIAL $ 2,195 63601111 FOMEPIZOLE 1gm/ml $ 2,441 63601112 NALTREXONE HCI 380mg INJ $ 2,972 63601113 PYRIDOXINE HCL 100mg/ml $ 35 63601120 VEDOLIZUMAB 1mg INJECTION $ 7,785 63601122 VEDOLIZUMAB 300mg INJECTION $ 27 63601123 INFLUENZA FLUE VACCINE 2017-18 $ 27 63601124 LEVETIRACETAM 1500mg/100ml PB $ 51 63601125 LEVETIRACETAM 1500mg/100ml PB $ 51 63601128 ETELCALCETIDE HCL .1mg $ 7 63601130 APREPITANT 5mg CAPSULE $ 196 63601132 DENOSUMAB 1mg PER ml $ 2,535 63601134 RISPERIDONE MICROSPHERES 0.5mg $ 1,457 63601135 RABIES IMM GLOB/PF 150 UNIT/ml $ 761 63601137 FLU VACC QS 2018-19 36 MOS &UP $ 38 63601138 FLU VAC 2018-19 65YRS+ 180mcg $ 100 63601139 OMIDRIA 1-.3% VIAL $ 997 71000001 RECOVERY ROOM 1 HRS 00 MIN $ 334 71000003 RECOVERY ROOM PER 1/2 HR ICMH $ 151 71000019 RECOVERY RM EA ADD'L 1/2 HOUR $ 168 72000001 AQUAMEPHYTON $ 10 72000002 ILOTYCINI EYE UNG $ 10 72000003 NORMAL DELIVERY $ 2,086 72000005 NON STRESS TEST $ 250 72000006 C-SECTION DELIVERY $ 2,006 73000003 ELECTROCARDIOGRAM TRACING $ 117 73000012 CAROTID DOPPL/DUPLX SCAN F/U7 $ 410 73000013 ECHO TRANSTHORACIC 4 CONG ANOM $ 1,068 73000014 ECHO,LIMITED/FOLLOW-UP $ 809 73000016 CONGENITAL STUDY LIMITED $ 254 73000020 RHYTHM STRIP W/O INTREPRETATIO $ 40 73100002 HOLTER MONITOR RECORDING $ 524 73100003 HOLTER MONITOR SCAN W/REPORT $ 388 74000001 ELECTROENCEPHALOGRAM RECORDING $ 424 74000003 EEG CEREBRAL DEATH EVAL ONLY $ 474 74000006 AMBULATORY EEG $ 1,439 76000002 PHLEBOTOMY ROOM CHARGE $ 187 76000003 BLADDER INSTILLATION ROOM $ 214 76000008 PICC LINE INSERTION $ 925 76100001 OR - IV INFUSION $ 422 76100002 IRRIGATN OF IMPL VEN ACCES DEV $ 120 76200005 OBSERVATION - DIRECT $ 150 76200006 OBSERVATION-F/ED OR CLINIC $ 150 77000002 IPPE VISIT $ 169 77000003 AWV 1ST VISIT $ 291 77000004 AWV SUBSEQUENT VISIT $ 194 77110001 ADMINISTRATION FEE,FLU VACCINE $ 65 77110002 ADMINISTRATION FEE,PNEUMONIA V $ 65 77110003 ADMINISTRATION FEE,HEP B VACCI $ 69 77110006 ADMIN 1ST VACCINE $ 69 77110007 ADMIN VACCINE EA ADDT'L $ 48 77110008 ADMINISTRATION,ZOSTAVAX $ 69 77110012 ADMIN < OR = 18 YRS,1ST VACCIN $ 47 77110013 ADMIN < OR = 18 YRS,EA ADDT'L $ 47 79000001 LITHOTRIPSY MACHINE RENTAL $ 3,149 79000002 LITHOTRIPSY PROCEDURE $ 824 82100001 DIALYSIS TREATMENT URR < 60% $ 412 82100002 DIALYSIS TREATMT URR 60-64.9% $ 412 82100003 DIALYSIS TREATMT URR 65-69.9% $ 412 82100004 DIALYSIS TREATMT URR 70-74.9% $ 412 82100005 DIALYSIS TRTMT URR 75% OR MORE $ 412 82100006 DIALYSIS TRTMT <7 TRTMTS/MONTH $ 412 92100001 CAROTID DOPPL/DUPLX SCAN $ 609 92100002 VEN DOPPLER BILAT UP OR LOWER $ 163 92100003 ABI $ 242 92100004 DOPPLR ARTERIAL LOWR EXTR BILA $ 474 92100005 DOPPLER ARTERIAL UPPER EXT RT $ 393 92100008 VENOUS DOPPLER INILATERAL LEFT $ 402 92100009 VENOUS DOPPLER UNILATERL RIGHT $ 402 92100010 EXTREMITY ARTERY STUDY-DIGITAL $ 371 92100011 EXTREMITY ARTERY STUDY-LWR SEG $ 371 92100013 EXTREMITY ARTERY STUDY-UPR SEG $ 371 92100014 DUPLX SCAN UP EXTR ART UNI/LIM $ 327 92100015 DUPLX SCAN UP EXTR ART UNI/LIM $ 327 92100017 DOPPLER ARTERIAL UPPER EXT LT $ 393 92200001 EMG NEEDLE-1 EXTREMITY $ 267 92200002 EMG NEEDLE-2 EXTREMITIES $ 347 92200003 EMG NEEDLE-CRANIAL NERVE-UNILA $ 276 92200004 EMG NEEDLE-CRANIAL NERVE-BILAT $ 482 92200005 EMG NEEDLE-LIMITED STUDY $ 207 92200006 NERVE CONDUCTION W/O F-WAVE $ 154 92200007 NERVE CONDUCTION W/F-WAVE $ 240 92200008 NERVE CONDUCTION-SENSORY $ 154 92200009 H-REFLEX G/S MUSCLE $ 173 92200010 NEUROMUSCLR JCT TESTING,EA NRV $ 164 92200011 EMG NEEDLE-3 EXTREMITIES $ 450 92200012 EMG NEEDLE-4 EXTREMITIES $ 583 92200013 NERVE CONDUCTN W/O F-WAVE-SEP $ 154 92200100 NERVE CONDUCTION 1-2 STUDIES $ 66 92200101 NERVE CONDUCTION 3-4 STUDIES $ 353 92200102 NERVE CONDUCTION 5-6 STUDIES $ 97 92200103 NERVE CONDUCTION 7-8 STUDIES $ 124 92200104 NERVE CONDUCTION 9-10 STUDIES $ 143 92200105 NERVE CONDUCTION 11-12 STUDIES $ 164 92200106 NERVE CONDUCTION 13+ STUDIES $ 182 92200107 NEEDLE EMG LIMITED $ 64 92200108 NEEDLE EMG COMPLETE 5+ MUSCLES $ 70 92200109 NEEDLE EMG NON-EXTREME MUSCLES $ 78 92200111 VNS 1ST HOUR $ 406 94000001 RAPID DESENSITIZATION $ 162 94200004 NUTRITIONAL COUNS FOLLOW UP $ 136 94200005 CHILDBIRTH PREP 1 LAMAZE CLASS $ 42 94200013 MGMT GESTL DIABETES-30 MINS $ 67 94200014 MGMT GESTL DIABETES-30 MINS $ 67 94200015 DIABETES EDUCATION GROUP-1 HR $ 40 94200016 DIABETES EDUCATION GROUP-1 HR $ 40 94200017 DIABETES EDUCATION GROUP-1 HR $ 40 94200018 DIABETES EDUCATION GROUP-1 HR $ 40 94200019 DIABETIC EDUC INDIV-30 MINS $ 54 94200020 DIABETIC EDUC INDIV-30 MIN $ 54 94200021 FRE COUNSELING $ 129 94300004 CARDIAC REHABILITATION $ 130 94300006 CARDIAC REHAB UNMONITORED $ 14 98011001 I & D COMPLICATED $ 262 98011002 EXCISION BENIGN .6 - 1.0 cm $ 231 98011003 EXCISION BENIGN 1.1 - 2.0 cm $ 293 98011004 EXCISION BENIGN 2.1 - 3.0 cm $ 353 98011005 I & D PERIRECTAL $ 1,074 98011006 PYLOTOMY;PYELOSTOMY W/REM CALC $ 2,144 98011007 LITHOTRIPSY $ 1,838 98011008 CYSTOSTOMY W/DRAINAGE $ 997 98011009 CHANGE CYSTOSTOMY TUBE $ 205 98011010 ENDOSCOPIC INJECTION/MATERIAL $ 538 98011011 BLADDR INSTIL ANTICARCIONGENIC $ 240 98011012 CYSTOMETROGRAM,COMPLEX $ 636 98011013 CYSTOURETHROSCOPY $ 461 98011014 CYSTOUR W/IRRIGATION-EVACUATIO $ 615 98011015 CYSTOUR W/URETHRAL CATHETERIZA $ 691 98011016 CYSTOURETHROSCOPY W/BIOPSY $ 921 98011017 CYSTOURETHROSCOPY W/FULGURATIO $ 2,144 98011018 CYSTOU EXC & FULG BLADDR TUMOR $ 767 98011019 CYSTOU EXC & FULG MED BLADR TU $ 1,227 98011020 CYSTOU EXC & FULG IRG BLADR TU $ 1,531 98011021 CYSTOU W/DILATN BLADR GEN ANES $ 461 98011022 CYSTOU W/DILATN BLADR LOC ANES $ 805 98011023 CYSTOU W/INTERNL URETHROT MALE $ 2,297 98011024 CYSTOU DIRECT VISN INT URETHRO $ 860 98011025 CYSTOU & DIALATN URETHRL STRIC $ 798 98011026 CYSTOU W/REMOVAL OF STENT $ 767 98011027 LITHOLAPAXY,CRUSH CALC COMP IR $ 1,036 98011028 CYSTOU W/REMOVAL URETERAL CALC $ 921 98011029 CYSTOU W/INSERT DOUBLE J STENT $ 884 98011030 CYSTOU W/URETEROSCOPY A/O PYEL $ 583 98011031 CYSTOU W/URETEROSCOPY W/MANIP $ 1,017 98011032 CYSTOU W/URETEROSCOPY W/LITHOT $ 1,036 98011033 CYSTOU W/INCISION BLADDER NECK $ 1,021 98011034 TRANSURETHRAL RESECTN PROSTATE $ 2,449 98011035 LASER COAGULATION OF PROSTATE $ 4,438 98011036 DILATION URETHRAL STRICTR MALE $ 79 98011037 AMPUTATION PENIS $ 309 98011038 CIRCUMCISION EXCEPT NEWBORN $ 461 98011039 REPAIR INCOMPLETE CIRCUMCISION $ 363 98011040 ORCHIECTOMY,FOR TUMOR INGUINAL $ 1,227 98011041 EXCISION OF SPERMATOCELE $ 921 98011042 EXCISION OF HYDROCELE $ 921 98011043 VASECTOMY UNILATRAL OR BILATRL $ 691 98011044 BIOPSY NEEDLE OF PROSTATE $ 483 98011045 REM/REV SLING FOR INCONTINENCE $ 1,197 98011046 SLING PROC FOR STRESS INCONTIN $ 1,287 98011047 CYSTOU & TREATMENT $ 921 98011048 REMOVE PROSTATE REGROWTH $ 921 98011049 CYSTO & URETER CATHETER $ 262 98011050 CIRCUMCISION $ 236 98011051 EXC TR-EXT B9 + MARG $ 281 98011052 DILATE URETHRA STRICTURE $ 180 98011053 SUSPENSION OF TESTIS $ 944 98011054 CHANGE OF URETER TUBE $ 160 98011055 IRRIGATION OF BLADDER $ 92 98011056 INSERT TEMP BLADDER CATHETER $ 61 98011057 EXTENSIVE PROSTRATE SURGERY $ 3,327 98011058 REMOVE STONE BLADDER $ 524 98011060 EXC H-F-NK-SP B9+MARG 0.5< $ 121 98011061 CYSTO & TREATMENT $ 412 98011062 CYSTO W/LITHOTRIPSY & STENT $ 627 98011063 INSERT URETERAL TUBE $ 333 98011064 CYSTO COMP W/URETH PRESS STUDY $ 166 98011065 REM/REPL INTERNL URETERL STENT $ 352 98011066 REMOVAL OF TESTIS $ 489 98011067 EXC H-F-NK-SP MLG+MARG 1.1-2 $ 256 98011069 CYSTO IMPLANT STENT $ 508 98011070 EXC TR EXT B9 + MARG 0.5 < cm $ 141 98011071 CYSTO & TREATMENT $ 369 98011072 CYSTO & URETHRA REVISION $ 327 98011073 CYSTO & TREATMENT $ 476 98011074 CYSTO & TREATMENT $ 579 98011075 UROLOGY SURGERY PROCEDURE $ 417 98011076 DRAIN PENIS LESION $ 551 98011077 DRAINAGE OF SCROTUM $ 381 98011078 REMOVAL OF HYDROCELE $ 1,149 98011079 PRP I/HERN INIT REDUC > 5 YRS $ 1,021 98011080 EXCISION OF PENIS LESION(S) $ 387 98011081 INCISION OF URETHRA $ 450 98011082 EXPLORATION OF VAGINA $ 413 98011083 EXC H-F-NK-SP B9+MARG > 4cm $ 616 98011084 LASER SURGERY OF PROSTATE $ 4,693 98011085 EXC TR-EXTB9+MARGO.6-1CM $ 276 98011086 REMOVAL OF HYDROCELES $ 1,523 98011087 REMOVE KIDNEY OPEN $ 3,252 98011088 GENITAL SURGERY PROC $ 2,063 98011089 REMOVAL KIDNEY & URETER $ 4,062 98011090 REV SPERM CORD VEINS $ 1,054 98011091 DRAINAGE OF SCROTUM $ 248 98011092 SPLITTING FOR PREPUSE $ 208 98011093 CYSTO STONE REMOVAL $ 885 98011094 COLECTOMY LAP PARTIAL $ 2,831 98011095 VAGINA REPAIR $ 1,476 98011096 US URINE CAPACITY MEASURE $ 50 98011097 HYDROCELE REPAIR $ 1,002 98011098 CYSTO CHEMODENERVATION $ 467 98011099 INJECTION FOR BLADDER X-RAY $ 124 98011100 BIOPSY PENIS $ 328 98011101 CYSTO INJECT MATERIAL $ 725 98011102 INSERT URETERAL SUPPORT $ 1,847 98011103 DEBRIDE GENITALIA & PERINEUM $ 981 98011104 INJECTION FOR BLADDER XRAY $ 179 98011105 REMOVAL OF SCROTUM $ 1,294 98011106 LAP URET W/CYSTIO & URET STENT $ 5,409 98011107 ENDOSCOPY OF URETER $ 776 98011108 INSERT BLADDER CATH COMPLEX $ 193 98011109 CYSTO W/BIOPSY $ 1,204 98011110 VAG HYSTERECTOMY W/URIN REPAIR $ 2,673 98011111 DESTRUCTION PENIS LESIONS $ 241 98011112 ENDOSCOPY OF URETER $ 457 98011113 CYSTO W/UP STRICTURE TX $ 1,002 98011114 PREPUTIAL STRETCHING $ 147 98011115 CYSTO W/URETER STRICTURE TX $ 914 98011116 CYSTO & TREATMENT $ 502 98011117 DRAINAGE OF HYDROCELE $ 196 98011118 REPOSITION TESTES OPEN $ 1,035 98011119 REMOVAL OF RENAL TUBE W/FLUORO $ 1,159 98011120 SUSPENSION OF TESTES $ 687 98011121 INCISION OF URETHRA MEATOTOMY $ 211 98011122 URETER ENDOSCOPY & TREATMENT $ 687 98011123 INCISE BLADDER/DRAIN URETER $ 1,156 98011124 REPAIR OF BLADDER WOUND $ 1,600 98011125 CYSTO/URETERO STRICTURE TX $ 945 98020001 DRAINAGE OF SKIN ABSCESS $ 152 98020002 BIOPSY SKIN LESION $ 82 98020003 EXC FACE MM B9+MARG <= 0.5cm $ 162 98020004 EXCISN TR EXT MAL+MARG 1.1-2cm $ 255 98020005 EXCISN TR EXT MAL+MARG >4cm $ 576 98020006 EXCISN TR EXT MAL+MARG <=0.5cm $ 187 98020007 EXCISN TR EXT B9+MARG 1.1-2cm $ 177 98020008 EXCISN FACE MM B9+MARG 3.1-4cm $ 387 98020009 INSERT TUNNELED CV CATHETER $ 632 98020010 EGD BIOPSY SINGLE/MULTIPLE $ 710 98020011 EGD REMOVE LESION SNARE $ 916 98020012 COLONSCOPY DIAGNOSTIC $ 833 98020013 COLONSCOPY AND BIOPSY $ 916 98020014 COLONOSCOPY W/LESION REMOVAL $ 1,180 98020015 LAPAROSCOPIC CHOLECYSTECTOMY $ 1,072 98020016 REPAIR UMBIL HERN BLOCK > 5 YR $ 773 98020017 COLONOSCOPY $ 480 98020018 COLONOSCOPY NOT HIGH RISK $ 480 98020019 EXC H-F-NK-SP B9+MARG > 4cm $ 472 98020020 VENTRAL HERN REPAIR INIT BLOCK $ 1,918 98020021 VENTRAL HERNIA REREPAIR REDUCE $ 1,918 98020022 SETON PLACEMENT $ 385 98020023 EXC TR-EXT B9+MARG 3.1-4cm $ 310 98020024 EXC H-F-NK-SP B9+MARG 1.1-2cm $ 212 98020025 EXC TR-EXT B9+MARG 0.6-1cm $ 162 98020026 EXC TR-EXT MAL + MARG 0.6-1cm $ 232 98020027 EXC H-F-NK-SP B9 +MARG 0.6-1cm $ 172 98020028 SIGMOIDOSCOPY DIAGNOSTIC $ 230 98020029 RPR VENTRAL HERN INIT REDUCT $ 1,668 98020030 EXCISION ANAL LESION(S) $ 376 98020031 EXCISION NECK LESION SC < 3cm $ 591 98020032 EXCISION TR-EXT B9+MARG>4.0cm $ 439 98020033 EGD DILATE STRICTURE $ 833 98020034 EXC CHEST SKIN EXTERNAL APPR $ 118 98020035 EGD DIAGNOSTIC BRUSH WASH $ 577 98020036 EXC FACE MM B9+ MARG 1.1-2 $ 222 98020037 BREAST LESION REMOVAL $ 594 98020038 BIOPSY SKIN ADD ON $ 56 98020039 EXC H F NK SP B9+ MARG 3.1-4 $ 323 98020040 EXC H F NK SP B9+ MARG 2.1-3 $ 252 98020041 FOREIGN BODY REMOVAL ARM $ 238 98020042 UPPER GI SCOPE W/SUBNUC INJ $ 942 98020043 EXC H-F-NK-SP B9+MARG 0.5 < $ 121 98020044 EXC FACE-MM B9+MARG > 4cm $ 518 98020045 SUTURE LG INTEST PERF COLOSTOM $ 2,228 98020046 DESTROY PREMAL LESIONS 15/> $ 243 98020047 STOMACH SURGERY PROCEDURE $ 2,039 98020048 ESOPHAGOSCOPY FLEX BIOPSY $ 628 98020049 SPLENECTOMY TOTAL $ 1,891 98020050 INTMD RPR S/A/T EXT 2.67/705cm $ 249 98020051 EXC F/E/E/NL MAL+MRG 0.6-1cm $ 312 98020052 EXC FACE-MM B9+MRG 0.6-1cm $ 167 98200001 EMG NEEDLE-1 EXTREME-PROF COMP $ 227 98200002 EMG NEEDLE-2 EXTREM-PROF COMP $ 295 98200003 EMG NEEDLE-CRAN NRV UNI-PROF $ 236 98200004 EMG NEEDLE-CRAN NRV BILAT-PROF $ 410 98200005 EMG NEEDLE-LIMITED-PROF COMP $ 175 98200007 NERVE CONDUCTN W/FWAVE-PROF $ 204 98200009 H-REFLEX G/S MUSC-PROF COMP $ 148 98200010 NEURO JCT TESTING EA-PRO COMP $ 139 98200011 EMG NEEDLE,3 EXTREME-PRO COMP $ 383 98200012 EMG NEEDLE,4 EXTREM-PROF COMP $ 497 98200013 EMG BLINK REFLEX-PROF COMP $ 148 98200014 NERVE CONDUCT W/O F-WAVE-PROF $ 125 98200019 INJ THERAPEUTIC CARPAL TUNNEL $ 177 98200020 INJ 1 OR MORE,TRIGGER POINTS $ 139 98200021 INJ MULT TRIGGR PTS 3+ MUSCLES $ 158 98200100 NERVE CONDUCTION 1-2 STUDIES $ 81 98200101 NERVE CONDUCTION 3-4 STUDIES $ 101 98200102 NERVE CONDUCTION 5-6 STUDIES $ 120 98200103 NERVE CONDUCTION 7-8 STUDIES $ 160 98200104 NERVE CONDUCTION 9-10 STUDIES $ 201 98200105 NERVE CONDUCTION 11-12 STUDIES $ 242 98200106 NERVE CONDUCTION 13+ STUDIES $ 283 98200107 NEEDLE EMG LIMITED $ 30 98200108 NEEDLE EMG COMPLETE 5+ MUSCLES $ 70 98200109 NEEDLE EMG NON-EXTREMITY MUSCL $ 59 98200110 CHEMODENERVATION OF MUSCLE(S) $ 293 98200111 VNS 1ST HOUR - PRO FEE $ 406 98200112 CHEMODENERVATION 1 EXT 5+ MUSC $ 296 98200113 CHEMODENERVATON PAROTID GLANDS $ 245 98200114 INJ ANESTH AGENT TRIG NV >OCCI $ 171 98200115 INJECTION ANESTH TRIG NERVE $ 303 98200116 CHEMODENERVATION 1 EXT 1-4 MUS $ 792 98200117 ANALYSIS IMPLTD NEURO STIM GEN $ 141 98200118 CHEMODENERVATION 1 EXT 5+MUSC $ 163 98300013 NEW PT PROBLEM VISIT MD $ 101 98300014 NEW PT EXP VISIT MD $ 129 98300015 NEW PT-LOW COMPLEX MD $ 196 98300016 NEW PT MOD COMPLEX MD $ 275 98300017 NEW PT HIGH COMPLEX MD $ 349 98300018 EST PT PROBLEM MD $ 101 98300100 REST HOME VISIT-NEW PAT-LEVEL1 $ 124 98300101 REST HOME VISIT-NEW PAT-LEVEL2 $ 177 98300102 REST HOME VISIT-NEW PAT-LEVEL3 $ 256 98300103 REST HOME VISIT-EST PAT-LEVEL1 $ 103 98300104 REST HOME VISIT-EST PAT-LEVEL2 $ 158 98300105 REST HOME VISIT-EST PAT-LEVEL3 $ 228 98300106 REST HOME VISIT-NEW PAT-LEVEL4 $ 373 98300107 REST HOME VISIT-NEW PAT-LEVEL5 $ 459 98300108 REST HOME VISIT-EST PAT-LEVEL4 $ 371 98310001 EST PT EXP VISIT MD $ 125 98310002 EST PT LOW COMPLEX MD $ 125 98310003 EST PT MOD COMPLEX MD $ 175 98310004 EST PT HIGH COMPLEXITY MD $ 243 98310005 MD PER COMP PREV < 1YR $ 157 98310006 MD PER COMP PREV 1-4 YRS $ 175 98310007 MD PER COMP PREV 5-11 YRS $ 173 98310008 MD PER COMP PREV 12-17 YRS $ 197 98310009 MD PER COMP PREV 18-39 YRS $ 192 98310010 MD PER COMP PREV 40-64 YRS $ 201 98310011 MD PER COMP PREV 65+ YRS $ 219 98310012 CLIN INIT COMP PREV VISIT MD $ 210 98310013 CLIN INIT COMP VIS 1-4YRS MD $ 226 98310014 CLIN INIT COMP VIS 5-11 YRS $ 221 98310015 CLIN INIT COMP VIS 12-17 YRS $ 241 98310016 CLIN INIT COMP VIS 18-39 YRS $ 241 98310017 CLIN INIT COMP VIS 40-64 YRS $ 281 98310018 CLIN INIT COMP VIS 65+ YRS $ 305 98500001 ELECTROCARDIOGRAM INTERP & RPT $ 85 98600001 ELECTROENCEPHALOGRAM-PROF COMP $ 137 98710001 INITIAL HOSP VISIT DETAIL 30 $ 194 98710002 INITIAL HOSP VISIT COMP 50 $ 298 98710003 HOSPITAL CONSULT 20 $ 100 98710004 HOSPITAL CONSULT 40 $ 147 98710005 HOSPITAL CONSULT 55 $ 230 98710006 E.R. VISIT EXPANDED $ 245 98710007 E.R. VISIT DETAILED $ 344 98710008 NURS FAC CONSULT LOW $ 139 98710009 NURS FAC CONSULT MOD $ 230 98710010 INITIAL NURS FAC VISIT $ 221 98710011 NURS FAC VISIT SUBS CARE $ 56 98710012 OUTPATIENT CONSULT 15 MINUTES $ 116 98710013 OUTPATIENT CONSULT 30 MINUTES $ 191 98710014 OUTPATIENT CONSULT 40 MINUTES $ 261 98710015 OUTPATIENT CONSULT 60 MINUTES $ 388 98710016 OUTPATIENT CONSULT 80 MINUTES $ 473 98710017 OBS/IP ADM & DISCH SAME DAY 40 $ 270 98710018 OBS/IP ADM & DISCH SAME DAY 50 $ 356 98710019 OBS/IP ADM & DISCH SAME DAY 55 $ 442 98710020 IP DISCHARGE CONSULT $ 130 98710021 CONSULT OP NEW PATIENT 10 MIN $ 64 98710022 CONSULT OP NEW PATIENT 20 MIN $ 110 98710023 CONSULT OP NEW PATIENT 30 MINS $ 159 98710024 CONSULT OP NEW PATIENT 45 MINS $ 245 98710025 CONSULT OP NEW PATIENT 60 MINS $ 305 98710026 CONSULT OP EST PATIENT 5 MINS $ 27 98710027 CONSULT OP EST PATIENT 10 MINS $ 57 98710028 CONSULT OP EST PATIENT 15 MINS $ 96 98710029 CONSULT OP EST PATIENT 25 MINS $ 141 98710030 CONSULT OP EST PATIENT 40 MINS $ 190 98710031 CONSULT HOSP INITIAL 30 MINS $ 151 98710032 CONSULT HOSP INITIAL 50 MINS $ 205 98710033 CONSULT HOSP INITIAL 70 MINS $ 303 98710034 CONSULT HOSP SUBSEQUENT 15 MIN $ 59 98710035 CONSULT HOSP SUBSEQUENT 25 MIN $ 108 98710036 CONSULT HOSP SUBSEQUENT 35 MIN $ 155 98800001 INITIAL IP CONSULT $ 298 98800002 FOLLOW-UP IP CONSULT $ 192 98800003 OP PSYCH CONSULT $ 336 98800004 ED LEVEL 1-PSYCH CONSULT $ 350 98800005 ED LEVEL 2-PSYCH CONSULT $ 350 98800006 ED LEVEL 3-PSYCH CONSULT $ 350 98800007 ED LEVEL 4-PSYCH CONSULT $ 350 98800008 ED LEVEL 5-PSYCH CONSULT $ 350 98800009 INITIAL IP-LOW PSYCH CONSULT $ 310 98800010 INITIAL IP-MOD PSYCH CONSULT $ 310 98800011 INITIAL IP-HIGH PSYCH CONSULT $ 372 98800012 SUB IP-LOW PSYCH CONSULT $ 310 98800013 SUB IP-MOD PSYCH CONSULT $ 310 98800014 SUB IP-HIGH PSYCH CONSULT $ 310 98800015 INITIAL CHILD PSYCH-LOW CONSUL $ 183 98800016 INITIAL CHILD PSYCH-MED CONSUL $ 248 98800017 INITIAL CHILD PSYCH-HI CONSULT $ 366 98800018 SUBSEQ CHILD PSYCH-LOW CONSULT $ 75 98800019 SUBSEQ CHILD PSYCH-MED CONSULT $ 134 98800020 SUBSEQ CHILD PSYCH-HIGH CONSUL $ 191 98800021 PSYCH DIAG INTERVIEW EXAM $ 240 98800022 PHARMACOLOGIC MNMT $ 92 98800023 HOSPITAL D/C DAY MNMT < 31 MIN $ 131 98800024 HOSPITAL D/C DAY MNMT >30 MINS $ 119 98800025 PSYCH DIAG EVALUATION $ 218 98800026 PSYCH DIAG EVAL W/MED SERVICES $ 143 98800027 INTERACTIVE COMPLEXITY $ 7 99900002 CARDIAC REHAB PHASE 2-NONCOVER $ 66 COLLFEE COLLECTION FEE OH $ 22