Mad River Community Hospital Charge Master Item Descr IPprice 1000517 INFUSE DRUG INITIAL 2ND SITE $ 626 1000525 INFUSE DRUG INITIAL 3RD SITE $ 626 1044804 CRITICAL CARE 1 (30>74 MIN) $ 7,993 1044820 CRITICAL ADD 30 MIN $ 1,569 1044986 ER LEVEL TRIAGE $ 109 1045009 ER LEVEL I $ 505 1045017 ER LEVEL II $ 1,011 1045025 ER LEVEL III $ 1,740 1045033 ER LEVEL IV $ 2,889 1045041 ER LEVEL V $ 4,427 1045141 CODE TRAUMA W/ PRE-HOSPITAL NOTIFICATION $ 8,000 1045143 CODE TRAUMA W/O NOTIFICATION (1) $ 8,000 1045144 GASTROSTOMY TUBE CHANGE W/O U/S $ 1,071 1045145 EXCISION OF THROMBOSED EXT HEMORRHOID $ 4,370 1045146 REDUCE FX DISTAL HUM SUPRA W/O MANIP $ 1,035 1045147 REDUCE FX DISTAL HUM SUPRA W/MANIP $ 5,253 1045148 REDUCTION DISL IP JOINT FINGER W/O ANES $ 1,003 1045150 REDUCTION OF HIP FRACTURE W/O GEN ANES $ 1,003 1045152 INSERT SUPRAPUBIC CATHETER $ 7,913 1045223 INJ IMMUN 1 VACCINE $ 135 1045231 INJ IMMUN ADD VACCINE $ 135 1045241 TRAUMA ALERT W/ PRE-HOSPITAL NOTIF $ 8,000 1045243 TRAUMA ALERT W/O NOTIFICATION (1) $ 8,000 1045256 HYDRATION INITIAL 31-60 MIN $ 689 1045314 HYDRATE EACH ADD HOUR>31MIN $ 689 1045330 INFUSE DRUG EACH ADD HOUR >31MIN $ 466 1045371 INFUSE DRUG INITIAL 1ST 16-60 MIN $ 689 1045413 INTRA-ARTERIAL INJECTION OR INFUSION $ 274 1045415 THORACOSTOMY $ 4,587 1045417 I&D PILONIDAL CYST $ 2,665 1045419 I&D BARTHOLIN CYST $ 750 1045421 INFUSE DRUG CONCURR $ 466 1045439 IV PUSH INITIAL DRUG $ 274 1045454 IV PUSH EACH NEW DRUG $ 274 1045488 IV PUSH SAME DRUG>30MIN $ 274 1045702 CPR $ 988 1045744 INJECTION IM/SQ EACH INJECTION $ 135 1045800 SBIRT- SCREEN BRIEF / REFER 15-30 MIN $ 285 1045850 SBIRT-SCREENING BRIEF > 30 MIN $ 340 1046312 INFUSE DRUG NEW, SEQUENTIAL $ 466 1046317 SPLINT SHORT ARM $ 490 1046322 SUTURE BODY <2.5 CM $ 788 1046327 I&D OF ABCESS SIMPLE OR SINGLE $ 788 1046332 SPLINT SHORT LEG $ 632 1046337 SUTURE BODY 2.6-7.5CM $ 788 1046347 SUTURE DBL BODY(NO E) 2.6-7CM $ 1,450 1046352 SUTURE FACE < 2.5CM $ 788 1046357 SPLINT LONG ARM $ 632 1046362 EXPLORE OF PENETRATING WOUND EXTREMITY $ 2,673 1046367 SUTURE FACE 2.6-5 CM $ 788 1046372 INJECT ANESTHETIC TO FACIAL NERV $ 490 1046377 INTUBATION EMERGENT ENDOTRACHEAL $ 833 1046382 SHOULDER DISLOCATION TREAT W/ANESTHESIA $ 6,300 1046385 SHOULDER DISLOCATION TREAT WO ANESTHESIA $ 1,003 1046387 ER TRANFUSION BLOOD PRODUCTS $ 1,750 1046392 SPLINT FINGER $ 261 1046397 SUTURE BODY 7.6-12.5 CM $ 788 1046402 AVULSION OF NAIL PLATE, SINGLE $ 788 1046407 SUTURE DBL NECK,EXTREM, GENITALA <2.5 $ 1,450 1046412 DISTAL RAD FX/EPIPHYSEAL SPEARATION TX $ 6,300 1046417 FINE NEEDLE ASPIRATION W/O GUIDANCE $ 1,450 1046422 SUTURE DBL FACE <2.5 CM $ 1,450 1046427 SUTURE DBL BODY 2.6-12.5CM NO HND/FT $ 1,450 1046432 EXCISION NAIL/NAIL MATRIX PERM REMOVAL $ 1,450 1046437 SUTURE DBL BODY NO E <2.5CM $ 1,450 1046447 GUIDED FLUID COLLECTION DRAINAGE $ 2,673 1046452 FB REMOVAL SUBQ WITH INCISION SIMPLE $ 1,448 1046457 NASAL FRACTURE CLOSED $ 1,003 1046462 LAC REPAIR LIP, FULL THICK, VERMILION $ 2,146 1046467 DRAIN INFECT MAJOR JOINT/BURSA NO U/S $ 1,142 1046469 DRAIN INFECT MAJOR JOINT/BURSA W U/S $ 1,142 1046472 REPAIR OF NAIL BED $ 2,278 1046475 REPAIR BLOOD VESSEL LESION $ 7,946 1046477 SPLINT LONG LEG $ 632 1046482 I&D ABCESS COMPLICATED OR MULTI $ 1,450 1046487 DEBRIDEMENT < 20 SQ CM (INCISIONAL) $ 1,450 1046492 N/G OR O/G PLACEMENT(BY PHYSICIAN) $ 1,161 1046497 REMOVE IMPACT EAR WAX W/ INSTRUMENTATION $ 261 1046498 REMOVE IMPACTED CERUMEN IRRIGATION $ 257 1046499 FB REMOV EXT EAR CANAL W/INSTRUMENT $ 490 1046502 FB REMOVAL INTRANA $ 490 1046507 FB REMOVAL EYE N/ SLIT LAMP $ 1,540 1046512 CONTROL NOSEBLEED COMPLEX $ 490 1046517 REPEAT CONTROL OF NOSEBLEED $ 833 1046522 MOD SED < 5 YRS INITIAL 15M $ 97 1046527 MOD SED > 5 YRS INITIAL 15M $ 102 1046532 LUMBAR PUNCTURE $ 2,536 1046537 PARA/THORACENTESIS W/IMMAGING $ 2,859 1046542 CENTRAL LINE PLACEMENT OVER 5 YRS $ 4,587 1046547 CENTRAL LINE PLACEMENT UNDER 5 YRS $ 4,587 1046552 GASTRIC LAVAGE $ 1,161 1046553 FAST EXAM ER $ 534 1046557 FINGER DISLOCATE W/O ANES $ 1,000 1046562 THROMBOLYSIS INTRAVENOUS INFUSION $ 1,389 1046567 EVACUATION OF SUBLINGUAL HEMATOMA $ 490 1046572 SUTURE BODY 12.6 TO 20 CM $ 1,450 1046577 FB REMOVAL FOOT W/INCISION $ 2,674 1046582 INJECTION(S) TRIGGER POINT $ 1,142 1046587 FINGER REDUCTION WITH ANES $ 1,170 1046592 INJECTION PERIPHERAL NERVE W/ANES $ 2,536 1046597 FB REMOVAL SUBQ W INCISION COMPLEX $ 6,291 1046692 SUTURE DBL FACE 2.6 - 5 CM $ 1,450 1046695 SUTURE DBL NECK/EXTREM/GENITAL 2.6-7.5 $ 1,450 1046697 SUTURE FACE 5.1 TO 7.5 CM $ 788 1046702 PUNCTURE ASPIRATION ABSESS, CYST, HEMOTO $ 1,450 1046707 REDUCTION OF NASAL FRACTURE - CLOSED $ 5,312 1046713 CONTROL NOSE BLEED, SIM PACKING/CAUTERY $ 490 1046715 I&D HEMATOMA $ 6,291 1046718 I&D DENTALALVEOLAR ABCESS, CIST, HEMATOM $ 490 1046720 SUTURE FACE 7.6-12. $ 788 1046722 SUTURE FACE 12.6-20 $ 1,450 1046725 SUTURE BODY 21.0-30.0 CM $ 1,450 1046728 SUTURE DBL FACE 5.1-7.5 CM $ 1,450 1046729 KNEE DISLOCATION TREAT W/O ANES $ 1,035 1046730 SUT DBL NECK/EXTREM/GENITAL 2.6-7.5 $ 1,300 1046732 REDUCE FRACTURE OF RADIUS $ 6,300 1046733 REDUCTION OF FRACTURE RADIUS & ULNA $ 6,300 1046734 ABDOMINAL PARACENTESIS W/O IMMAGING $ 3,470 1046735 ABDOMINAL PARACENTESIS W/O IMMAGING $ 3,503 1046736 REDUCTION OF FRACTURE LESSER TOE $ 1,003 1046737 ANKLE DISLOCATION TREAT NO ANES $ 1,003 1046738 REDUCTION OF FRACTURE GREAT TOE $ 1,003 1046739 REDUCTION DISLOCTION ANKLE W/ ANESTHESIA $ 6,300 1046740 FB REMOVAL EYE W/ SLIT LAMP $ 490 1064034 OXIMETRY SQT. SINGLE $ 88 1083178 TRANSFUSION BLD/PDCT $ 1,750 1084367 ER ELECT CARDIOVERS $ 1,103 1090641 FOLEY CATH SIMPLE $ 261 1090645 INSERT HEMLICH VALVE W/ ULTRASOUND $ 4,587 1090658 FOLEY CATH COMPLEX $ 421 1550283 PHOTO FACIAL W LEVUL $ 1,270 2510014 OBSERVATION HRLY ICU $ 185 2510022 OBSERVATION HRLY MS $ 99 2510105 OBSV DISCH MGMT ICU $ 343 2510154 OBSV SAME DAY ICU $ 1,835 2510204 OBSV 1ST DAY ICU $ 1,835 2510253 OBSV EACH ADD DAY ICU $ 1,835 2520054 OBSV DIRECT ADMIT ICU MS OB $ 570 2520104 OBSV DISCH MGMT MS OB $ 343 2520153 OBSV SAME DAY MS OB $ 1,835 2520203 OBSV 1ST DAY MS OB $ 1,835 2520252 OBSV EACH ADD DAY MS OB $ 1,835 3171326 PAIN MGMT PROC LVL 2 $ 3,669 3171342 PAIN MGMT PROC LVL 3 $ 3,843 3171367 PAIN MGMT PROC LVL 4 $ 4,018 3171383 PAIN MGMT PROC LVL 1 $ 3,494 3171409 PAIN MGMT PROC LVL 5 $ 4,193 3171425 PAIN MGMT PROC LVL 6 $ 5,241 3210108 PULM REHAB ASSESINTL $ 121 3210124 PUL REHAB SESSION $ 150 3230106 PULM STRESS TEST SIMPLE $ 490 3250005 PUL REHAB ASESS SUBQ $ 263 3250054 PUL REHAB THER ACT 15 MIN $ 150 3250070 PUL REHAB THER PRD PER 15 MIN $ 141 3260004 SELF MGMNT TRAINING $ 150 4000008 OUTPATIENT LEVEL 1 ESTAB PATIENT $ 211 4000602 OUTPATIENT LEVEL 4 ESTAB PATIENT $ 919 4000604 OUTPATIENT LEVEL 5 ESTAB PATIENT $ 1,069 4000701 OUTPATIENT LEVEL 3 ESTAB PATIENT $ 718 4000909 OUTPATIENT LEVEL 2 ESTAB PATIENT $ 481 4013227 FETAL NONSTRESS TEST $ 361 4013276 HEAR SCREEN NEWBORN $ 149 4013284 UTERINE MONTR-INTRNL $ 408 4013359 CIRCUMCISION $ 1,917 4013409 VAGINAL DELIVERY $ 2,432 4013474 URINE DIPSTICK POC $ 43 4013475 ROM PLUS RUPTURE OF MEMBRANE TEST $ 128 4013631 NSY INTNSIVE CARE HR $ 179 4013698 EXTERNAL VERSION $ 2,432 4013763 NEWBORN RESUSCITATE $ 898 4013854 VERSION,EXTRNL CPHLC $ 434 4020016 PHOTOTHERAPY-LIGHTS $ 135 4020040 PHOTOTHERAPY BLANKET $ 133 4020354 OXISENSOR INFANT $ 115 4051532 NITRAZINE POC $ 83 4070209 OUTPATIENT NEW LEVE $ 211 4070225 NEW OUTPATIENT LEVE $ 481 4070241 OUTPATIENT LEVEL 3 NEW PATIENT $ 718 4070258 OUTPATIENT LEVEL 4 NEW PATIENT $ 919 4070282 OUTPATIENT LEVEL 5 NEW PATIENT $ 1,083 4090019 CAR SEAT TESTING 60 MIN $ 34 4090027 CAR SEAT TEST ADD 30MIN $ 16 4180024 MNT REASSESS IND $ 45 4180040 MNT CHANGE IN DX $ 45 4181022 MNT INITIAL IND $ 45 4200008 OUTPATIENT LEVEL 1 ESTAB PATIENT $ 211 4200602 OUTPATIENT LEVEL 4 ESTAB PATIENT $ 919 4200604 OUTPATIENT LEVEL 5 ESTAB PATIENT $ 1,069 4200701 OUTPATIENT LEVEL 3 ESTAB PATIENT $ 718 4200909 OUTPATIENT LEVEL 2 ESTAB PATIENT $ 481 4211005 SURGERY FIRST HOUR $ 7,946 4211153 SURGERY ADDL 1/2 HR $ 3,973 4261174 EXTRA NURSE 30 MIN $ 125 4270209 OUTPATIENT LEVEL 1 NEW PATIENT $ 211 4270225 OUTPATIENT LEVEL 2 NEW PATIENT $ 481 4270241 OUTPATIENT LEVEL 3 NEW PATIENT $ 718 4270258 OUTPATIENT LEVEL 4 NEW PATIENT $ 919 4270282 OUTPATIENT LEVEL 5 NEW PATIENT $ 1,083 4270290 OUTPATIENT OBSV 1HR $ 158 4270308 RECOVERY ROOM 30MIN $ 179 4271009 RECOVERY ROOM 1HR $ 359 4283178 TRANSFUSION BLD/PDCT $ 1,750 4284367 ELECT CARDIOVERSION $ 1,103 4284368 MOD SED SAME PHYS<5 YRS INITIAL 15MIN ** $ 97 4284369 MOD SED SAM PHYS EA ADDL 15 MIN ** $ 47 4284370 MOD SED OTH PHYS 5> YRS INITIAL 15MIN ** $ 310 4376022 PICC LINE PLACEMENT $ 188 4376105 PICC LINE ATTEMPT >5 $ 4,018 4376162 PICC LINE PLCEMNT <5 $ 4,018 4376188 PICC LINE PLCEMNT >5 $ 4,018 4403305 ANES ETHRA 1ST 30MIN $ 431 4505059 SET PRIMARY CARESITE MINI DRIP ** $ 23 4505125 PNEUMOTHORAX CATH KIT ** $ 189 4505232 IV SECONDARY SET V1921 ** $ 23 4505265 IV START PKS ** $ 23 4505323 SOLN IRRIG H2O 1000ML 500001 $ 23 4505331 SOLN IRRIG 0.9% NACL 1000ML 520001 $ 23 4505455 STOPCOCK 3-WAY $ 23 4505463 STOPCOCK 4-WAY $ 23 4505638 IV PRIMARY SET ** $ 31 4505687 CENTRAL VEIN CATH KIT ** $ 78 4505711 SOLN L5100 5%D 1000ML $ 23 4505729 SOLN L5101 5%D 500ML $ 23 4505737 SOLN L5102 D5W 250CC $ 23 4505745 SOLN S5104-52 5%D 100ML PARTIAL $ 23 4505752 SOLN S5104 5%D 50ML PARTIAL $ 23 4505778 SOLN L7510 5%D/LR 1000ML $ 23 4505786 SOLN L7511 5%D/LR 500ML $ 23 4505794 SOLN 6120 5%D/0.45% NACL 1000ML $ 23 4505802 SOLN L6121 5%D/0.45% NACL 500ML $ 23 4505810 SOLN L6160 5%D / .2% NACL 1000ML $ 23 4505828 SOLN L6161 5%D/0.20% NACL 500ML $ 23 4505836 SOLN L6100 5%D/0.9% NACL 1000ML $ 23 4505844 SOLN L6101 5%D/0.9% NACL 500ML $ 23 4505851 SOLN L7500 LACTATED RINGERS 1000ML $ 23 4505869 SOLN LR 7501 500ML IV $ 23 4505877 SOLN L5200 10% D 1000ML $ 23 4505885 SOLN L5201 10% D 50 $ 23 4505901 SOLN L8000 0.9% NACL 1000ML $ 23 4505919 SOLN L8001 0.9% NACL 500ML $ 23 4505927 SOLN 0.9% NACL 250ML 8002 $ 23 4505935 SOLN S8004 0.9% NACL100/150ML $ 23 4505943 SOLN 0.45% NACL 1000ML 8020 $ 23 4505950 SOLN L8021 0.45% NACL 500ML $ 23 4506024 FOLEY COUDE 18FR 5CC ** $ 55 4506032 SOLN H2O 500ML 8501 $ 23 4589053 WAFFLE BOOT ** $ 143 4590010 ABD PAD 9190 $ 23 4590028 HEAVY DRAIN PK ** $ 23 4590036 ADAPTIC 3X3 $ 23 4590051 ADAPTIC 3X16 ** $ 33 4590101 TED SOX 3728 THIGH LARGE ** $ 55 4590150 BABY CARE KIT $ 311 4590259 URINARY LEG DISPOZ-A-BAG 12574 ** $ 23 4590432 ABDOM SUPPORT ** $ 48 4590564 PERI BOTTLES $ 23 4590630 MUCUS TRAP DELEE ** $ 23 4590655 SUCTION LINERS 1200CC ** $ 23 4590705 EXO CATH MALE (TEXAS) $ 23 4590713 CATH, FOLEY 16 FR 5 CC ** $ 24 4590721 CATH KIT, FEMALE ** $ 23 4590747 CATH PLUG ** $ 23 4590754 CATH, ROBINSON 14 FR ** $ 24 4590770 YANKAUER SUCTION TIP ** $ 23 4590788 CATH, FOLEY SILICONE 16FR 5cc ** $ 24 4590846 CATH TRAY, FOLEY 16 FR ** $ 63 4590861 CATH "A" TRAY 20/CS $ 31 4590903 THORACIC CATH 24FR STRAIGHT ** $ 41 4590911 UNDERPADS (CHUX) $ 23 4590929 CERVICAL COLLAR MED $ 29 4591273 DONUT, FOAM ** $ 75 4591331 MOM BAG $ 183 4591406 SCALPEL, # 11 SAFETY $ 23 4591414 DOUCHE BAG ** $ 23 4591471 PENROSE DRAIN 3/4X12 ** $ 85 4591513 GAUZE BOAT 4X4 ** $ 23 4591521 GAUZE 4X4 STERIL $ 23 4591539 KERLIX (BULKEE) ROLL ** $ 23 4591554 GAUZE SOF-FORM 4" $ 23 4591596 TELFA PAD 3X4 $ 31 4591737 ELECTRODE, CONDUCTIVE ADHESIVE 22450 $ 1 4591752 EMESIS BASIN $ 23 4591778 ENEMA BUCKET ** $ 23 4591794 ENEMA, OIL RET. ** $ 23 4591810 ENEMA, PHOSPHATE ** $ 23 4591851 SOLN S9900 EVAC CONT 1000ML $ 30 4591869 SOLN EVAC CONT 250ML $ 31 4591919 EYE PAD, OVAL $ 51 4592115 XEROFORM RL 4X9 ** $ 30 4592123 XEROFORM 1X8 CP ** $ 23 4592131 XEROFORM 5X9 CP ** $ 23 4592198 NU-GAUZE, W/O 1" $ 23 4592404 CATH IRRIGATION TRAY ** $ 23 4593006 ISOLATION PROTECTIVE $ 620 4593055 LOTION $ 23 4593071 LUMBAR PUNCT. TRAY ** $ 55 4593147 LEMON-GLYCERINE SWABS $ 23 4593154 MOUTHWASH NON-ALCOHOLIC $ 23 4593311 PERI COLD PACK ** $ 84 4593352 PERI PADS ** $ 23 4593360 POWDER 4 OZ BABY $ 23 4593386 CHEST DRAIN (PLUEA VAC) ** $ 89 4593428 TUBING, IV PCA MICROBORE ** $ 23 4593493 SHOULDER IMMOB UNIVERSAL ** $ 31 4593535 SITZ BATH ** $ 23 4593568 ARM SLING MED ** $ 23 4593618 GAUZE 3X3 STRL $ 23 4593626 GAUZE 2X2 STRL $ 23 4594012 STERI STRIP 1/2 X 4 $ 23 4594103 SUTURE REMOVAL TRAY $ 23 4594137 SUCTION LINERS 3000CC ** $ 23 4594145 SYRINGE 20CC LL 2830 $ 23 4594277 THERMO ORAL DIGITAL 6814A ** $ 23 4594368 ART PRESSURE MONITOR KIT ** $ 68 4594376 TRACH CLEANING TRAY $ 23 4594384 CATH TRAY URETHRAL ** $ 24 4594400 CATH TRAY ADD-A-FOLEY ** $ 58 4594426 TROCAR CATH 24 FR ** $ 75 4594434 PHARMASEAL PUDENDAL TRAY 20/CS ** $ 44 4594616 THORACENTESIS TRAY ** $ 85 4594764 CONNECTING TUBE 6FT $ 6 4594798 CATHETER/TUBE HOLDER ** $ 43 4594889 TUBING NITRO LOW-SORB ** $ 46 4594913 URINAL MALE $ 23 4594954 SPEC COLLECTOR U-BAG PEDI ** $ 1 4594970 URINE METER W/O FOLEY ** $ 63 4595050 ANTI REFLUX VALVE ** $ 30 4595068 VASELINE GAUZE 1X8 $ 23 4595100 VASELINE TUBE .6 OZ $ 23 4595217 STERILE INSTRUMENT $ 23 4596025 EXTENSION TUBE Y SET SM BORE 3448 ** $ 23 4596041 VALVE ADAPTR (HEPLOCK) ULTRSITE 5110 ** $ 23 4597155 PERCUTANEOUS ENTRY TRAY ** $ 110 4597262 SCD SLEEVE THIGH DV $ 131 4597270 SCD SLEEVE LARGE DV $ 60 4598021 TED SOX 7203 KNEE LARGE ** $ 56 4598039 URINE METER W/FOLEY $ 158 4598096 STOCKINETTE 4" $ 191 4598203 APPLICATORS, STRL $ 28 4598450 TRI-FLOW ** $ 25 4598963 DRESSING CHANGE TRAY ** $ 30 4599037 INSYTE-W 22 X 1 $ 23 4599052 EPIDURAL TRAY ** $ 103 4599136 CENTRAL VEIN CATH KIT ** $ 88 4599144 HOT PACK, INSTANT ** $ 23 4599409 CATH ADAPTER $ 23 5010008 BB ABO TYPING $ 58 5010009 POCT GLUCOSE $ 45 5010010 POCT PREGNANCY $ 143 5010011 FERNING $ 35 5010012 FETAL MATERNAL BLEED $ 108 5010013 CULTURE THROAT $ 125 5010014 CULTURE STOOL $ 180 5010015 CULTURE STERILIZER ATTEST $ 102 5010017 CULTURE NEISSENA GONORRHOEAE $ 109 5010018 CULTURE MRSA SCREEN $ 109 5010019 CULTURE MOLD $ 32 5010020 CULTURE CEREBROSPINAL FLUID $ 164 5010021 CULTURE CATHETER TIP $ 205 5010022 CULTURE BRONCHIAL BRUSH $ 142 5010023 CULTURE BRONCHIAL W $ 164 5010024 CULTURE SPUTUM $ 164 5010025 CULTURE VRE SCREEN $ 125 5010026 CULTURE SCREEN CULT $ 109 5010027 CRP $ 38 5010028 LACOSAMIDE $ 175 5010029 OLANZAPINE $ 37 5010031 KETAMINE METABOLITE $ 111 5010032 DEXTOMETHORPHAN $ 82 5010033 ZONISAMIDE SERUM $ 56 5010034 PROTHROMBIN ANTIBOD $ 193 5010035 APOLIPOPROTEIN B $ 30 5010036 COLOVANTAGE $ 514 5010037 KIDNEY STONE URINE $ 111 5010038 SUSCEPTIBILITY POSACONAZOLE $ 185 5010039 SUSCEPTIBILITY ANIDULAFUNGIN $ 185 5010040 SUSCEPTIBILITY MICAFUNGIN $ 185 5010041 SUSCEPTIBILITY KETOCONAZOLE $ 158 5010042 SUSCEPTIBILITY AMPHOTERICIN $ 142 5010043 SUSCEPTIBILITY FLUCONAZOLE $ 152 5010044 SUSCEPTIBILITY VORICONAZOLE $ 609 5010045 SUS FLUCONAZOLE FLUCYTOSINE ITRACONAZOLE $ 457 5010046 ANTINUCLEAR ANTIBODIES W/ REFLEX $ 66 5010047 THYROGLOBULIN REFLEX PROFILE $ 87 5010048 ANTITHROMBIN DEFICIENCY PROFILE $ 65 5010049 EPSTEIN-BARR VIRUS QUANT PCR $ 138 5010051 C-TELOPEPTIDE $ 74 5010052 FACTOR VIII ACTIVITY $ 71 5010053 RHEUMATOID FACTOR IGG,IGM,IGA $ 32 5010054 CALPROTECTIN FECAL $ 78 5010055 COMPLEMENT C2 $ 57 5010056 COMPLEMENT C5 $ 57 5010057 INFORMASEQ PRENATAL PANEL $ 1,149 5010058 FLUNITRAZEPAM CONFIRMATION WHOLE BLOOD $ 98 5010059 PROTEIN ELECTROPHORESIS W/ TOTAL PROTEIN $ 24 5010060 HU ANTIBODY SCREEN W/REFLEX TO TITER $ 58 5010061 MYELIN ASSOCIATED ANTIBODY 1 $ 62 5010062 MYELIN ASSOCIATED ANTIBODY IGM $ 62 5010063 THROMBIN RISK PROFILE $ 1,483 5010064 FACTOR II ACTVITY $ 71 5010065 ANTISCLERODERMA - 70 ANTIBODIES $ 71 5010067 SUSCEP TEST AEROBIC & FAC ANAEROBIC ORG $ 41 5010068 ANTIGLOM BASEMENT MEMBRANE ANTIBODIES $ 51 5010069 IMMUNE COMPLEXES C3D CIRCULATING $ 97 5010071 CHROMOSOME ANA HIGH RESO & FRAGILE X SYN $ 588 5010072 FOLLICLE STIMULATING HORMONE $ 92 5010073 ANTICHROMATIN ANTIBODIES $ 71 5010075 PROSTATE CANCER GENE 3 (PCA3) $ 450 5010080 PORPHYRINS URINE QUANT, RANDOM $ 59 5010081 METFORMIN $ 65 5010082 ENA + DNA/DS + SJORGENS $ 66 5010083 PROTEIN ELECTROPHOTRESIS 24HR URINE+IFE $ 24 5010084 ANTIHISTONE ANTIBOD $ 71 5010085 BORRELIA BURGDORFERI 1GG/1GM ANTI+C6 PEP $ 68 5010086 ACYLCARNITINE PROF QUANTITATIVE PLASMA $ 67 5010087 PSILOCIN URINE $ 72 5010088 T-CEU RCPTOR GENE REARRANGEMENT PROF Y+B $ 1,146 5010090 ALBUMIN BODY FLUID $ 29 5010091 PYRUVIK ACID $ 52 5010092 AMINO ACID ANALYSIS PLASMA $ 67 5010094 CRYOFIBRINOGEN QUALITATIVE $ 41 5010095 INFORMASEQ PRENATAL PANEL W/ XY ANALYSIS $ 1,149 5010096 BARTONELLA DNA PCR $ 139 5010097 IODINE SERUM $ 72 5010098 CYTOMEGALOVIRUS IGG $ 69 5010099 CYTOMEGALOVIRUS IGM $ 67 5010100 CAROTENE BETA $ 44 5010102 CLOSTRIDIUM DIFFICILE TOXIN GENE NAA $ 139 5010103 PARANEOPLASTIC PANEL W/ REFLEX $ 65 5010104 PREGABALIN $ 72 5010105 T&B LYMPHOCYTE & NATURAL KILLER CELL PRO $ 121 5010106 MYELIN ASSOCIATED GLYCOPROTEIN IGM $ 62 5010107 BB ANTIBODY SCREEN $ 22 5010108 ANTI-HU ANTIBODY $ 58 5010109 ALLERGEN WINE VINEGAR $ 29 5010110 CHLAMYDIA TRACHOMATIS CONJUNCTIVAL SWAB $ 139 5010111 IMMUNOGLOBULIN G SUBCLASS 4 $ 39 5010112 THYROGLOBULIN REBASELINE $ 64 5010114 EHRLICHIOSIS PROFILE $ 113 5010115 VISCOSITY SERUM $ 64 5010118 THYROID PROFILE II COMPREHENSIVE $ 38 5010119 MAGNESIUM URINE $ 37 5010120 24 HR PROTEIN CREATININE RATIO ref lab $ 28 5010122 LUTEINIZING HORMONE $ 92 5010123 ACID-FAST CULTURE $ 27 5010124 ANGELMAN & PRADER WILLI DNA ANA $ 294 5010125 ACID-FAST SMEAR $ 54 5010126 CARBOHYDRATE - DEF TRANSFERRIN $ 131 5010128 SPINAL MUSCULAR ATROPHY CARRIER TST $ 686 5010129 CARB DEF TRANS CONGENITAL DIS OF GLYCO $ 414 5010130 GROWTH HORMONE $ 91 5010131 CATECHOLAMINES FRAC PLASMA $ 139 5010132 TOXOPLASMA GONDII ABS 1GM $ 79 5010133 UNKNOWN SUBSTANCE ANA $ 245 5010134 ZINC WHOLE BLOOD $ 134 5010136 VARICELLA ZOSTER VIRUS DNA PCR $ 314 5010137 MANGANESE PLASMA $ 135 5010138 NOROVIRUS DETECTION REAL TIME PCR $ 139 5010139 CYANIDE URINE $ 66 5010140 PARATHYROID ASPIRATE $ 230 5010141 TSH $ 83 5010143 ALLERGEN RABBIT EPITHELIUM $ 29 5010144 ALLERGEN GREEN PEA $ 36 5010145 CMV QUAL PCR $ 139 5010146 PNEUMOCOCCAL IM 14 SEROTYPE $ 71 5010147 THYROGLOBULIN ASPIR $ 219 5010148 COENZYME Q10 TOTAL $ 181 5010149 TESTOSTERONE TTL WMEN CHLDRN HYPO MATES $ 142 5010150 LEGIONELLA PNEUMOPHILA 1GG $ 179 5010151 ANTINUCLEAR ANTIBODIES ANA RFLEX CASCADE $ 66 5010153 ALLERGEN GARLIC $ 29 5010154 ALLERGEN LATEX BRAZILIAN RUBBBER TREE $ 36 5010157 RENIN ACTIVITY AND ALDOSTERONE $ 121 5010158 MESCALINE URINE $ 171 5010159 HISTOPLASMA AG URINE $ 89 5010160 BRUCELLA ANTIBODY IGG $ 48 5010161 BRUCELLA ANTIBODY IGM $ 48 5010162 IMMUNOGLOBULIN G IN $ 46 5010163 ALLERGEN GOOSE FEATHERS $ 29 5010164 ALLERGEN GUINEA PIG EPITHELIUM $ 29 5010165 C1 ESTERASE INHIBITOR FUNCTIONAL $ 66 5010166 ANGIOSTRONGYLUS COSTARICENSIS $ 109 5010167 ANTIMULLERIAN HORMONE $ 70 5010168 SELENIUM WHOLE BLOOD $ 140 5010169 FACTOR X CHROMOGENIC $ 98 5010170 RISPERIDONE $ 146 5010171 CLOBAZAM $ 125 5010172 AMYLASE BODY FLUID (REF LAB) $ 36 5010173 TRIGLYCERIDE BODY FLUID $ 32 5010176 BB TYPE & HOLD PRBC $ 115 5010177 VITAMIN B3 NIACIN + METABOLITE $ 104 5010178 MYCOPLASMA PNEUMONIAL ANTIBODY IgG $ 73 5010179 INFLIXIMAB CON & ANTI-INFLIXIMAB ANTIBDY $ 578 5010180 CKMB, BACK UP METHOD $ 276 5010181 TROPONIN I, BACK UP METHOD $ 234 5010182 HCG QUANT. $ 358 5010184 OVA AND PARASITE FORMALIN ONLY $ 49 5010185 ASPERGILLUS GALACTOMANNAN ANTIGEN $ 179 5010186 MUCIN CLOT $ 32 5010187 OVARY ANTIBODY 1GG $ 66 5010188 TISSUE CULTURE $ 355 5010189 COUNT 15-20 CELLS 2 KAROTYPE $ 315 5010190 BORRELIA BURGDORFERI 1GG/1GM ABS+BANDS $ 268 5010192 CALCIUM CREATININE RATIO 24HR URINE $ 30 5010193 CANDIDA ANTIBODIES IGG ELISA $ 73 5010194 DPD 5-FLOUROURACIL TOXICITY $ 439 5010195 HEPATITIS B SURFACE ANTIBODY QUANT $ 82 5010196 NICOTINE METABOLITE SCREEN URINE $ 44 5010197 ZINC RBC $ 134 5010198 INFLAMMATORY BOWEL DISEASE EXP PROFILE $ 350 5010199 SEMEN ANALYSIS (AUTOMATED) $ 360 5010200 URINE DIP ONLY $ 54 5010202 AMYLASE FLUID $ 156 5010203 ASPERGILLUS NIGER PRECIPITATING ANTI 1GG $ 83 5010204 ASPERGILLUS NIDULANS PRECIPITATING ANTI $ 83 5010206 BB COOMBS DIRECT $ 130 5010208 TUBERCULOSIS TEST I $ 412 5010209 ALLERGEN ASPERGILLUS FLAVUS $ 36 5010210 CREATININE BODY FLUID (REF LAB) $ 28 5010211 ASPERGILLUS FUMIG PRECIPIT ANTI $ 83 5010213 ASPERGILLUS FLAVUS PRECIPITATING ANTI $ 83 5010214 ASPERGILLUS GLAUCUS PRECIPITATING ANTI $ 83 5010215 5' NUCLEOTIDASE $ 61 5010216 ANTI-DNASE B STREPTOCOCCAL ANTIBODIES $ 73 5010217 JAK2 V617F MUTATION DETECTION $ 232 5010218 AMOXICILLIN SERUM $ 99 5010219 GLUCOSE RAPID $ 93 5010222 JC VIRUS ANTIBODY $ 1,968 5010224 HEMOGLOBIN A2, QUANTITIVE $ 86 5010225 TRYPSIN $ 85 5010226 FIBROBLAST GROWTH FACTOR 23 $ 421 5010227 ANTIBODIES WESTERN BLOT ANTI-68 $ 261 5010228 CLOZAPINE $ 101 5010229 METHOTREXATE $ 75 5010230 FRUCTOSAMINE $ 74 5010233 VON WILLEBRAND FACTOR (VWF) ACTIVITY $ 126 5010234 FACTOR VII ANTIGEN $ 225 5010235 PLATELET AB FUNCTION TEST (PFT) $ 118 5010236 FACTOR VIII INHIBITOR PROFILE COMP $ 150 5010237 TREPONEMA PALLIDUM (SYPHILIS) SCREENING $ 73 5010238 PROTEIN ELECTROPHORESIS CSF $ 20 5010239 BACTERIAL ANTIGENS SERUM URINE CSF $ 51 5010240 PEANUT IGE W/ COMPONENT REFLEX $ 29 5010241 REFLEX HCV QUANT $ 614 5010242 PNEUMOCOCCAL IMMUNITY PANEL 23STEREOTYPE $ 166 5010243 CITRIC ACID 24 URINE $ 153 5010244 SULFATE 24 URINE $ 26 5010246 PH BODY FLUID (REF LAB) $ 20 5010247 PRBC UNIT 3 $ 264 5010248 PRBC UNIT 4 $ 264 5010250 URINALYSIS AUT/MIC FEMALE $ 52 5010252 GLUCOSE RAPID $ 64 5010253 *GENTAMICIN (REF LAB) $ 90 5010254 REDUCING SUBSTANCES URINE $ 50 5010255 CBC AUTO/MIC FEMALE $ 159 5010256 CBC AUTO/MIC MALE $ 159 5010257 PORPHYRINS TOTAL PLASMA $ 38 5010258 HORSE DANDER $ 29 5010260 ROTAVIRUS ANTIGEN DETECTION $ 51 5010261 SELENIUM SERUM OR PLASMA $ 140 5010262 EPSTEIN-BARR VIRUS EARLY AG (EA) 1GG ABS $ 72 5010264 TISSUE TRANSGLUTAMINASE IGA $ 51 5010266 HEPATITIS B VIRUS SURFACE ABS TOTAL $ 59 5010268 GLUCOSE 2HR PP $ 93 5010269 FIBRINOGEN ANTIGEN $ 129 5010270 PH ASCITES $ 86 5010271 ADD GPS $ 206 5010272 ADD GNS $ 206 5010273 ADD ST-01 $ 206 5010275 CYPRESS ITALIAN $ 29 5010276 FIR DOUGLAS $ 29 5010277 SPRUCE $ 29 5010278 PINE WHITE $ 29 5010279 JAPANESE CEDAR $ 29 5010280 MALARIA SMEAR $ 33 5010281 UGT1A1 IRONTECAN TOXICITY $ 434 5010282 ALA URINE RANDOM $ 90 5010283 RBC PORPHOBILINOGEN $ 115 5010284 ACH MODULA ABS $ 356 5010285 SALIVARY CORTISOL $ 89 5010286 PERTUSSIS PCR $ 139 5010287 MEASLES PCR $ 139 5010288 MEASLES PCR $ 139 5010289 THYROGLOBULIN BY RIA $ 143 5010290 SMITH/RNP ABS $ 98 5010291 RNP ABS $ 131 5010292 ETHOSUXIMIDE $ 90 5010293 CULTURE BLOOD #2 $ 180 5010294 NATURAL KILLER&ACTIVATED T-CEL PROF IL2R $ 361 5010295 SENSORIMOTOR NEUROPATHY PROF - COMP $ 4,144 5010296 VITAMIN D 25 (OH) $ 174 5010297 TOTAL BILIRUBIN FLUID $ 28 5010298 PSA TOTAL (LABCORP) $ 101 5010300 BRCA 1/2 COMPREHENS $ 4,034 5010301 NEUROMYELITIS OPTICA IGG ABS $ 543 5010304 STREP PNEUMO AG URINE CSF $ 51 5010305 PROSTATE SPECIFIC ANTIGEN (REF LAB) $ 101 5010306 THROMBIN TIME $ 32 5010307 24HR AMMONIA $ 80 5010308 NICOTINE AND METABOLITE QUANT BLOOD $ 103 5010309 CV2 ANTIBODY $ 520 5010310 FACTOR VIII AG $ 289 5010311 ASHKENAZI JEWISH CARRIE PROFILE $ 2,888 5010312 CML PROFILE $ 319 5010313 MIC SUSCEPTIBILITY $ 260 5010314 Q FEVER IGG & IGM $ 145 5010316 CANDIDA SIX SPECIES PROFILE $ 939 5010317 DEXAMETHASONE $ 174 5010319 CYSTIC FIBROSIS PROFILE 97 MUTATIONS $ 514 5010320 CYSTIC FIBROSIS ST ALLELE GENOTYPE $ 384 5010321 CANDIDA ALBICANS IGG IGM IGA $ 145 5010322 MRSA SCREEN (TEST ITEM) $ 158 5010323 CULTURE AEROBIC ROUTINE (TEST ITEM) $ 228 5010324 CULTURE BLOOD (TEST ITEM) $ 180 5010325 CULTURE CEREBROSPINAL FLUID (TEST ITEM) $ 205 5010326 CULTURE ENVIRONMENT (TEST ITEM) $ 205 5010327 CULTURE GENITAL (TEST ITEM) $ 125 5010328 CULTURE SPUTUM (TEST ITEM) $ 205 5010329 CULTURE STERILIZER ATTEST (TEST ITEM) $ 128 5010330 CULTURE STOOL (TEST ITEM) $ 180 5010331 CULTURE URINE (TEST ITEM) $ 145 5010332 ABILIFY LEVEL $ 109 5010333 CANAVAN DISEASE $ 216 5010335 GAUCHER DISEASE $ 216 5010336 FAMILIAL DYSAUTOMIA $ 434 5010338 BORON URINE $ 121 5010339 OSTEOCALCIN $ 69 5010340 HEMOSIDERIN URINE $ 29 5010341 AMPHETAMINE ANALYSIS SERUM OR PLASMA $ 120 5010342 EDDP AND METHADONE WHOLE BLOOD $ 260 5010343 HIV 1 AND 2 AG AND AB W/ REFLEX CASCADE $ 132 5010344 WA1 IGG ABS, IFA $ 145 5010345 LACTIC ACID DEHYDRO GENASE $ 33 5010347 REFLEX HIV 1&2 AG&AB $ 375 5010348 KETONES, URINE $ 109 5010349 REFLEX GENOTYPE $ 649 5010350 TRYPANOSOMA CRUZI AB IGM $ 68 5010351 TRYPANOSOMA CRUZI AB IGG $ 68 5010352 PANCREATIC POLYPEPT $ 174 5010353 FT4 BY DIALYSIS $ 231 5010354 FACTOR IX ACTIVITY $ 123 5010355 ACE-CSF $ 80 5010356 24 HR URIC ACID $ 26 5010358 INFLUENZA A&B (NEAR) $ 215 5010359 ALLERGEN LEMON $ 29 5010361 BCR-ABL1 KINASE MUTATION $ 741 5010362 ORGANISM ID BY SEQUENCING $ 291 5010363 PYRUVATE KINASE $ 174 5010364 HISTAMINE URINE $ 244 5010365 VITAMIN C W/ DILUTION $ 131 5010368 NS5B DRUG RESISTANCE $ 329 5010369 NS5A DRUG RESISTANCE $ 329 5010370 NS3/4A DRUG RESISTA $ 329 5010372 EVEROLIMUS $ 159 5010373 MPL MUTATION $ 971 5010374 CALR MUTATION $ 307 5010375 RSV - LC $ 53 5010376 SICKLE CELL TRAIT $ 43 5010377 LEUKOCYTE ALKALINE PHOS SCORE $ 47 5010378 OCULOPHARYNGEAL MUSCULAR DYSTROPHY $ 1,226 5010379 CADMIUM BLOOD $ 127 5010380 THALLIUM BLOOD $ 121 5010381 NEOCEREBELLAR DEGENERATION $ 3,938 5010382 ARSENIC URINE $ 104 5010383 MYASTHENIA AB PROFILE $ 333 5010384 CREATININE BODY FLUID $ 121 5010385 CALCIUM IONIZED (REF LAB) $ 75 5010387 MYOSITIS PANEL III $ 365 5010388 BABESIA MICROTI REAL TIME DNA PCR $ 139 5010389 URIC ACID BODY FLUID $ 26 5010390 URINE DRUG SCREEN (MEDTOX) $ 346 5010391 RAPID STREP SCREEN $ 139 5010392 VORICONAZOLE SERUM OR PLASMA $ 191 5010393 THIOPURINE METHYLTRANSFERASE GENOTYPING $ 519 5010396 FACTOR V LEIDEN W/RFX TO RZ $ 196 5010397 ALPHA-1 ANTITRYPSIN PHENOTYPE $ 74 5010398 DRUG SCREEN & CONFIRM MECONIUM $ 215 5010400 VISTASEQ HEREDITARY CANCER PANEL $ 4,331 5010401 CHIKUNGUNYA ABS IGG/IGM $ 130 5010402 PORPHYRIN EVALUATION RBC $ 196 5010403 ALLERGEN GRAPE $ 36 5010404 VISTASEQ HEREDITARY CANCER PANEL W/O BRC $ 1,110 5010405 PMP22 DUPLICATION & DELETION $ 1,398 5010406 GALOP Ab $ 788 5010407 SULFATIDE AB $ 75 5010408 GQ1B Ab $ 71 5010410 HTLV-I/II ABS W/ CONFIRMATION $ 71 5010411 AUTOIMMUNE PROFILE $ 66 5010412 ALLERGEN EGG YOLK $ 29 5010413 ALLERGEN PARROT FEATHERS $ 29 5010415 IODINE URINE RANDOM $ 99 5010416 ASPERGILLUS FUMIGATUS IGA $ 71 5010417 ADALIMUMAB CONCENTRATION & AB $ 555 5010418 AMPHETAMINE SERUM $ 126 5010419 HLAB57:01 ABACAVIR HYPERSENSITIVITY HLA $ 239 5010420 SNP MICROARRAY PEDIATRIC $ 1,969 5010422 PROTEIN TOTAL, BODY FLUID $ 20 5010423 URINE SODIUM RANDOM $ 27 5010424 URINE POTASSIUM RAN $ 27 5010425 INTCT NTERMINAL PROPEPTIDE T1 PROCOLLAGE $ 219 5010426 ALLERGEN REDWOOD $ 29 5010427 ALLERGEN SUNFLOWER SEED IGE $ 29 5010430 ALLERGEN COWS MILK $ 36 5010431 INTERLEUKIN-6 SERUM $ 109 5010432 SEROTONIN RELEASE ASSAY $ 125 5010433 PORPHOBILINOGEN QNT 24HR $ 81 5010434 COCCIDIOIDES ANTIBODY CF $ 63 5010435 PORPHYRINES QNT 24HR URINE $ 81 5010436 HEPATITIS A ABS W/ REFLEX 1GM $ 68 5010438 ASH FIBROSURE $ 490 5010439 AMINOLEVULININC ACID DELTA 24HR $ 81 5010440 PHORYPHINS TOTAL SE $ 38 5010442 PSA ULTRASENSITIVE (SERIAL MONITOR) $ 175 5010443 HEPATITIS C (HCV) GENOTYPE 3 NS5A $ 329 5010445 DBLE STRND DNA ANTIBODY IGG BY ELISA REF $ 75 5010446 ANTI DBLE STRAND DNA ANTIBODY IGG BY IFA $ 66 5010448 HEPATITIS C VIRUS ANTIBODY W/ REF TO QNT $ 78 5010449 GENITAL MYCOPLASMA PROFILE NAA URINE $ 139 5010451 NEWBORN SCREEN PLUS TOTAL BILIRUBIN $ 281 5010452 HIV VIRUS 1/0/2 ANTIGEN/ANTIBODY $ 132 5010455 SULFONYLUREA ANALYSIS $ 220 5010456 DRUG SCREEN 12 $ 58 5010457 THYROXINE-BINDING GLOBULIN (TBG) $ 81 5010459 TRUE HEALTH SUPER PANEL $ 191 5010460 C-REACTIVE PROTEIN HIGH SENSITIVITY $ 71 5010461 CHLAMYDIA PSITTACI ANTIBODY IGG $ 98 5010462 VARICELLA CULTURE VARICELLA ZOSTER $ 216 5010463 Q FEVER ANTIBODIES $ 67 5010464 CYSTATIN C $ 166 5010465 PARASITE IDENTIFICATION WORM $ 23 5010466 GLUTATHIONE TOTAL $ 78 5010467 INTERLEUKIN-2 SERUM $ 160 5010468 INTERLEUKIN-4 SERUM $ 160 5010469 INTERLEUKIN-10 SERUM $ 160 5010471 INTERLEUKIN-12 SERUM $ 71 5010472 INTERLEUKIN-13 SERUM $ 71 5010476 CORTISOL AM & PM $ 89 5010477 VDRL SERUM $ 23 5010479 GASTROINTESTINAL PROFILE STOOL PCR $ 1,051 5010480 STOOL CULTURE $ 52 5010483 AMINOVUL ACID URINE $ 90 5010484 PBG QUANT UA $ 46 5010485 UREA NITROGEN 24-HOUR URINE $ 26 5010486 25 HYDROXY VITAMIN D LC/MS-MS $ 163 5010487 FDA GUIDANCE MALE W/ REFLEX $ 1,125 5010488 ANTI RI $ 33 5010489 ANTI MATA $ 775 5010491 SALIVARY CORTISOL 2 SPEC MS $ 168 5010492 SALIVARY CORTISOL 3 SPEC MS $ 253 5010493 SALIVARY CORTISOL 5 SPEC MS $ 460 5010494 SALIVARY CORTISOL 6 SPEC MS $ 525 5010495 SALIVARY CORTISOL 7 SPEC MS $ 613 5010496 SALIVARY TESTOSTERONE LC/MS-MS $ 205 5010497 SALIVARY TESTOSTERONE 2 SP LC/MS-MS $ 409 5010498 SALIVARY TESTOSTERONE 3 SP LC/MS-MS $ 614 5010501 LIPID PANEL $ 38 5010502 ALLERGEN COFFEE $ 29 5010503 ACYLCARNITINE PROFILE $ 210 5010504 COMPLEMENT CIQ $ 66 5010505 IGG HEAVY AND LIGHT CHAINS $ 338 5010506 CHRONIC LYMPHOCYTIC LEUKEMIA $ 425 5010507 VIT B12 UNSAT BIND $ 79 5010508 MDPV URINE $ 164 5010509 FUNGUS STAIN $ 30 5010510 INTERLEUKIN 6 PLASMA $ 152 5010511 INTERLEUKIN 8 PLASMA $ 152 5010512 ANA COMP PLUS $ 1,420 5010513 MITOCHONDRIAL (M2) ANTIBODY $ 51 5010514 PHOSPHOLIPASE A2 RECEPTOR IGG $ 250 5010515 BONE SPECIFIC ALK P $ 39 5010516 ALLERGEN SHRIMP $ 36 5010517 ALLERGEN SESAME $ 36 5010518 TITANIUM WHOLE BLOOD $ 121 5010519 ZIKA VIRUS COMP PANEL NAA SERUM URINE $ 813 5010520 ZIKA VIRUS MAC ELISA IGM SERUM $ 94 5010522 IMIPRAMINE $ 22 5010523 OROTIC ACID URINE $ 230 5010524 BARIUM SERUM OR PLA $ 170 5010527 ALLERGEN WHEAT $ 26 5010528 ALLERGEN BARLEY $ 36 5010529 GLUTEN SENSITIVITY ANTIBODIES CASCADE $ 275 5010530 ALLERGEN B-LACTOGLOBULIN $ 36 5010534 ALLERGEN CHEESE MOLD TYPE $ 36 5010536 ALLERGEN GREEN BEAN $ 36 5010537 ALLERGEN HOP (FOOD) $ 36 5010538 ALLERGEN KIDNEY BEAN $ 36 5010542 ALLERGEN PORK $ 36 5010543 ALLERGEN RYE $ 36 5010546 ALLERGEN BUMBLEBEE $ 36 5010547 ALLERGEN HONEYBEE $ 36 5010548 ALLERGEN HORNET WHITE FACE $ 36 5010549 ALLERGEN HORNET YEL $ 36 5010550 ALLERGEN PAPER WASP $ 36 5010551 ALLERGEN YELLOW JAC $ 36 5010553 ALLERGEN CANDIDA ALBICANS $ 36 5010555 ALLERGEN EPICOCCUM PURPURASRENS $ 36 5010556 ALLERGEN FUSARIUM PROLIFERATUM $ 36 5010557 ALLERGEN MUCOR RACEMOSUS $ 36 5010560 ALLERGEN SETOMELANOMMA ROSTRATA $ 36 5010562 ALLERGEN RAGWEED SH $ 36 5010564 OSMOLALITY - LC $ 45 5010565 THERMOACTINOMYCES CANDIDAS $ 69 5010566 SACCHAROMONOSPORA VIRIDIS IGG $ 69 5010567 ALLERGEN SUMMER SQU $ 36 5010569 ALLERGEN NECTARINE $ 36 5010571 ALLERGEN CHESTNUT $ 36 5010572 ALLERGEN IgE CAT DANDER $ 36 5010573 ALLERGEN TIMOTHY GR $ 36 5010574 IGG PENICILLIUM CHRYS $ 36 5010576 IGG CLADOSPORIUM HERB $ 36 5010577 IGG STEMPHYLIUM HER $ 36 5010580 AUREOBASIDI PULLULANS IgG $ 36 5010584 ALLERGEN FISH/SHELLFISH $ 36 5010585 COPPER, RBC AND PLA $ 61 5010586 TISSUE TRANSGLUTAMINASE IgG $ 51 5010587 ALLERGEN IGE WHITE $ 36 5010588 ALLERGEN IGE MOUNTAIN CEDAR $ 36 5010589 ALLERGEN IGE GERMAN COCKROACH $ 36 5010590 ALLERGEN IGE COTTONWOOD $ 36 5010591 ALLERGEN IGE DERMATOPHAGOIDES FARINAE $ 36 5010592 ALLERGEN IGE DERMATOPHAGOIDES PTERONYSSI $ 36 5010593 ALLERGEN IGE DOG DANDER $ 36 5010594 ALLERGEN IGE AMERICAN ELM $ 36 5010595 ALLERGEN IGE GREY ALDER $ 36 5010596 ALLERGEN IGE MAPLE/BOX ELDER $ 36 5010597 ALLERGEN IGE MOUSE URINE $ 36 5010598 ALLERGEN IGE NETTLE $ 36 5010599 ALLERGEN IGE WHITE $ 36 5010600 ALLERGEN IGE ROUGH PIGWEED $ 36 5010601 ALLERGEN IGE SHEEP SORREL $ 36 5010602 BB FFP THAW/EA $ 214 5010604 ALLERGEN IGE BETA LACTOGLOBULIN $ 36 5010605 ALLERGEN IGE ALPHA LACTALBUMIN $ 36 5010606 ALLERGEN IGE WALLEYE PIKE $ 36 5010607 ALLERGEN IGE PUMPKIN $ 36 5010610 METABOLIC PANEL (14) COMPREHENSIVE $ 58 5010611 PROTHROMBIN TIME $ 22 5010612 THYROXINE (T4) FREE DIRECT $ 49 5010613 THYROID STIMULATING HORMONE (TSH) $ 92 5010614 FERRITIN $ 75 5010615 FOLATE (FOLIC ACID) $ 81 5010616 VITAMIN B12 $ 83 5010617 RUBELLA ANTIBODIES $ 79 5010619 RESPIRATORY SYNCYTIAL VIRUS A&B $ 386 5010630 ANAPLASMA PHAGOCYTOPHILIUM DNA PCR $ 193 5010632 LUTEINIZING HORMONE PED $ 102 5010633 EOSINOPHILS COUNT $ 13 5010634 MYCOPLASMA PNEUMONIAL ANTIBODY IgM $ 65 5010649 PARTIAL THROMBOPLASTIN TIME $ 36 5010650 ANTICARDIOLIPIN AB, IgG $ 126 5010652 BETA 2 GLYCOPROTEIN 1 AB, IgG $ 140 5010654 BETA 2 GLYCOPROTEIN 1 AB, IgA $ 140 5010656 IMMUNOFIXATION, URINE $ 161 5010662 METHIONINE $ 93 5010663 HGB FRAC W/O SOLUBILITY /R $ 84 5010664 PROTEIN S, FREE /R $ 84 5010666 SJOGRENS SSA IGG $ 90 5010667 SJOGRENS SSB IGG $ 90 5010678 DRUG TEST DEF 1-7 CLASSES ** $ 118 5010679 DRUG TEST DEF 8-14 CLASSES ** $ 161 5010680 DRUG TEST DEF 15-21 CLASSES ** $ 204 5010681 DRUG TEST DEF 22+ CLASSES ** $ 254 5010682 DRUG TEST PRSMV DIR OPT OBS ** $ 60 5010683 DRUG TEST PRSMV INSTRMNT ** $ 80 5010684 DRUG TEST PRSMV CHEM ANLYZR ** $ 80 5010690 ISOENZYMES (RF) $ 33 5010700 RBC RED BLOOD CELL COUNT $ 17 5010703 YERSINIA ENTEROCOLITICA, IGM $ 72 5010704 YERSINIA ENTEROCOLITICA, IGA $ 72 5010705 YERSINIA ENTEROCOLITICA, IGG $ 72 5010709 METHYLMALONIC ACID, URINE $ 90 5010711 DENGUE FEVER AB (IgG) $ 71 5010712 DENGUE FEVER AB (IgM) $ 71 5010713 BUPRENORPHINE, WHOLE BLOOD $ 157 5010909 BB RH D $ 69 5011006 SCREEN COMP UNIT/EA $ 214 5011204 BB TRANS RNX WORKUP $ 338 5011240 BB XMATCH ADD IGG U $ 381 5011246 ANTIGLOM BASEMENT $ 56 5011402 BB XMATCH ADD UNIT $ 381 5012921 PTH RELATED PEPTIDE $ 77 5013168 DRVVT $ 53 5013275 EBV EA DIFFUSE $ 72 5013390 IFE SERUM $ 51 5020007 ACETAMINOPHEN $ 484 5020019 CULTURE GROUP B SCR $ 228 5020023 HIV RAPID 1/2 $ 343 5020064 HIV 1/2 RAPID $ 108 5020106 ACETONE $ 109 5020205 ALBUMIN $ 119 5020239 MICROALBUMIN $ 32 5020254 PREALBUMIN $ 346 5020312 ALCOHOL $ 259 5020403 AMMONIA $ 346 5020502 AMYLASE $ 156 5020809 BILIRUBIN TOTAL $ 120 5020817 BILIRUBIN DIRECT $ 120 5020908 CALCIUM $ 124 5021005 URINE CALCIUM QUAN $ 146 5021104 CARBAMAZEPINE $ 346 5021203 CARBON MONOXIDE $ 294 5021302 CHLORIDE $ 110 5021310 URINE CHLORIDE $ 133 5021401 HDL CHOLESTEROL $ 195 5021427 LDL CHOLESTEROL DIR $ 229 5021500 CHOLESTEROL $ 105 5021609 CK $ 156 5021807 CK-MB $ 276 5021808 CKMB $ 276 5021906 CREATININE $ 121 5022003 URINE CREATININE $ 99 5022102 CREAT CLEARANCE $ 228 5022193 DIGOXIN $ 316 5022250 PHENYTOIN $ 316 5022326 TPMT ENZYME ACT $ 405 5023001 GGT $ 173 5023209 GLUCOSE $ 93 5023308 GLUCOSE POST GLU DOS $ 115 5023373 GTT 2 HR 50 GM GLUC $ 308 5023407 GLUCOSE TOL,ADD EACH $ 93 5023605 AST (SGOT) $ 124 5023704 ALT (SGPT) $ 126 5023803 HCG QUAL SERUM $ 179 5023804 HCG QUAL URINE $ 179 5023902 HCG QUANT $ 358 5024009 IRON $ 155 5024108 IRON BINDING CAP $ 168 5024207 LACTIC ACID (REF LAB) $ 59 5024306 LDH $ 143 5024310 LDH BODY FLUID $ 143 5024603 LITHIUM $ 74 5024702 MAGNESIUM $ 159 5024801 OSMOLALITY $ 158 5024900 URINE OSMOLALITY $ 163 5025006 PHENOBARBITAL $ 274 5025105 ABG $ 460 5025205 ABG LAB $ 460 5025303 PCO2 $ 318 5025600 ALK PHOSPHATASE $ 124 5025808 PHOSPHORUS $ 115 5026004 POTASSIUM $ 110 5026103 URINE POTASSIUM $ 103 5026105 URINE POTASSIUM 24 HR $ 4 5026301 CSF PROTEIN $ 88 5026302 FLUID PROTEIN $ 88 5026327 PROTEIN C&S ACTIVITY $ 139 5026400 PROTEIN $ 88 5026509 URINE PROTEIN/CREATININE RATIO $ 88 5026515 URINE PROTEIN RANDOM $ 88 5026707 SALICYLATE $ 169 5026905 SODIUM $ 115 5027002 URINE SODIUM $ 116 5027408 THEOPHYLLINE $ 338 5027507 TOBRAMYCIN $ 386 5027508 TOBRAMYCIN PEAK $ 267 5027606 TRIGLYCERIDE $ 138 5027655 TROPONIN $ 234 5027663 PCP SMEAR $ 51 5027705 BUN $ 203 5027804 URIC ACID $ 109 5027937 VALPROIC ACID $ 321 5027960 VENOUS GASES $ 205 5027980 CAPILLARY BLOOD GAS $ 460 5030105 BLEED TIME $ 109 5030246 CARBON DIOXIDE $ 116 5030352 ACTIN AB (SMOOTH) $ 51 5030709 FIBRINOGEN $ 204 5030725 FIBRINOGEN DEG PROD $ 38 5030808 PROTIME $ 64 5030816 PROTIME $ 93 5031103 PTT $ 141 5031426 BNP $ 808 5037415 PSA DIAGNOSTIC $ 438 5037605 PSA COMPLEXED $ 101 5037621 PSA SCREENING $ 438 5040005 SLIDE $ 159 5040013 .CBC MANUAL DIFF $ 186 5040203 CSF CELL CT W/DIFF $ 133 5040206 CELL COUNT BODY FLUID $ 133 5040211 CELIAC SCR W/REFLX $ 51 5040328 EOSINOPHILS NASAL $ 115 5040708 HEMATOCRIT $ 56 5040716 HEMATOCRIT SPUN $ 56 5040807 HEMOGLOBIN $ 56 5040906 HEMOGRAM $ 155 5041300 PLATELET COUNT AUTO $ 106 5041326 PLATELET AB ID PAN $ 101 5041714 AUTO RETICULOCYTE CT $ 75 5041904 SED RATE $ 86 5042100 SEMEN SPERM PRESENCE $ 286 5042308 WBC COUNT AUTO $ 51 5042407 BLOOD CT/AUTO DIFF $ 109 5042456 LEUKEMIA/LYMPH BLOOD $ 194 5042506 FECAL LEUKOCYTE COUNT $ 103 5042605 THIOPURINE METAB $ 390 5043009 VITAMIN D 25 HYDROX $ 163 5043033 HIV 1&2 W/RFX WB $ 75 5043066 ANA W/ INTERNATIONAL $ 66 5043074 FOLLICLE-STIMULATING $ 102 5043082 THYROXINE (T4) $ 38 5043090 T3 UPTAKE $ 35 5043108 CORTISOL $ 89 5043116 ESTRADIOL-REF LAB $ 23 5043124 HEP B SURFACE AG $ 57 5043132 T3 FREE $ 93 5043157 PROLACTIN $ 106 5043173 HEP C IGG ABS $ 78 5043181 PROGESTRONE $ 114 5043199 HOMOCYSTEINE CARDIOV $ 93 5043207 CA 125 $ 114 5043215 LUTEINIZING HORMONE $ 102 5043223 HEP B SURFACE AB $ 59 5043256 HEPATITIS ACUTE PROF $ 153 5043264 AFP TUMOR MARKER $ 92 5043272 PREGNENOLONE [31493X $ 113 5043298 ESTROGENS TOTAL $ 119 5043306 TACROLIMUS $ 76 5043314 CELIAC DISEASE EVALU $ 95 5043348 CEA $ 104 5043371 LYME IGG & IGM ABS $ 93 5043413 LITHIUM $ 37 5043421 INSULIN $ 63 5043439 FUNGUS C&S SKIN HAIR $ 42 5043454 HEP C RNA PCR QNT $ 235 5043470 CA 27.29 $ 114 5043488 FUNGUS C&S MISC $ 42 5043496 CYSTIC FIBROSIS $ 159 5043504 IGE $ 113 5043512 HEP A IGM ABS $ 62 5043520 SEX HORMONE BINDING $ 119 5043546 METHYLMALONIC ACID, SERUM $ 90 5043579 THYROID PEROXIDASE A $ 80 5043587 VIRAL RESPIRATORY CULTURE $ 107 5043595 ADRENOCORTICOTROPIC $ 212 5043611 LEAD WHOLE BLOOD $ 66 5043645 ESTRONE $ 137 5043652 T3 TOTAL $ 78 5043660 VITAMIN B1 THIAMINE $ 116 5043678 ZINC $ 62 5043694 VIT A & CAROTENE $ 229 5043710 ANGIOTENSIN CONVERTI $ 80 5043728 CA 19-9 $ 114 5043736 CYCLIC CITRULLINATED PEPTIDE IGG, IGA $ 71 5043744 VITAMIN D 1 25-DIH $ 178 5043751 IGF-1 $ 101 5043769 HLA B 27 TYPING $ 233 5043770 HLA - A 29 DETERMINATION $ 396 5043785 T3 REVERSE $ 22 5043819 ALDOSTERONE $ 224 5043827 FECAL FAT (LIPIDS) Q $ 28 5043850 LYMPHOCYTE ENUMERATI $ 151 5043876 GASTRIN $ 97 5043884 GIARDIA AG DETECT $ 51 5043892 LAMOTRIGINE $ 45 5043918 TESTOSTERONE FREE $ 140 5043926 VITAMIN B6 $ 154 5043934 ERYTHROPOIETIN $ 103 5043942 URINE CORTISOL FREE 24H $ 92 5043967 HSV CULT W/O TYPING $ 186 5043975 HSV CULT W/RFX TYPE $ 186 5043983 URINE LEGIONELLA AG $ 51 5043991 MYCOPHENOLIC ACID $ 135 5044007 PTH INTACT- $ 226 5044015 CA 15-3 $ 114 5044023 FACTOR V [LEIDEN] GE $ 196 5044080 VARICELLA IGG $ 71 5044098 A1 ANTITRYPSIN QNT $ 74 5044114 B2 MICROGLOBULIN $ 89 5044122 HEMOGLOBIN VARIANT S $ 99 5044130 IGF-BP3 $ 71 5044155 RENIN ACTIVITY PLASM $ 121 5044163 SACCHAROMYCES CEREVI $ 105 5044171 SMOOTH MUSCLE TOTAL $ 51 5044189 VIRAL CULTURE $ 145 5044197 CARNITINE TOT XFREE $ 93 5044205 CHROMOGRANIN A $ 114 5044239 ALLERGEN SOYBEAN IG $ 36 5044247 ALLERGEN WHEAT IGE $ 36 5044254 HSV DNA DETECTOR $ 139 5044270 LEVETIRACETAM $ 73 5044296 PARVO B19 IGG IGM $ 82 5044304 PROSTATIC ACID PHOSP $ 53 5044320 RHEUMATOID FACT QNT $ 31 5044338 TRANSGLU IGG A M $ 51 5044346 URINE VMA 24HR $ 85 5044353 VAP CHOLESTEROL $ 32 5044379 ZINC PROTOPORPHYRIN $ 79 5044387 HAPTOGLOBIN $ 69 5044395 HEAVY METALS I $ 104 5044403 H PYLORI IGG $ 80 5044411 H PYLORI STOOL AG $ 78 5044437 CH50 $ 112 5044452 DNA AUTOANTIBODIES $ 75 5044460 CALCITONIN $ 147 5044478 COMP C1 ESTER INHIB $ 66 5044502 HEP A TOTAL ABS $ 68 5044528 HTLV-I/II ABS QUALITATIVE $ 71 5044536 HCG BETA $ 83 5044544 IBD SEROLOGY 7 [1007 $ 356 5044569 IGG SUBCLASS 1-4 $ 80 5044593 UR FRACTIONATED QUAN 24 HR METANEPHRINES $ 93 5044635 SENSORY NEUROPATHY E $ 199 5044650 STONE ANALYSIS KIDN $ 71 5044684 TOXOPLAS GOND IGG M $ 79 5044692 VITAMIN D, 25 HYDROX $ 163 5044734 ENDOMYSIAL IGA ATUOA $ 66 5044759 EBV VIRAL CAP IGG/M $ 96 5044767 ESTRIOL UNCONJUGATED $ 133 5044783 BORRELIA BURGDORFERI $ 85 5044809 CARDIOLIPIN IGG IGM $ 101 5044817 CERULOPLASMIN $ 59 5044841 ANTIDIURETIC HORMONE $ 35 5044858 ANTISTREPTOLYSIN O A $ 40 5044866 BARTONELLA HENSELAE $ 56 5044874 BILE ACID FRACTIONAT $ 296 5044890 ALLERGEN RICE $ 36 5044908 ALLERGEN TOMATO IG $ 36 5044924 ALLERGEN EGG WHITE $ 36 5044932 IGA QUANT SERUM $ 51 5044965 HEP B EVAL $ 51 5044973 HISTOPLASMA IGG/IGM $ 69 5044999 IGM $ 51 5045012 LUPUS ANTICOAGULANT $ 55 5045020 LYSOZYME SERUM 619X $ 103 5045038 MEASLES IGG ABS $ 71 5045046 METHADONE CONFIRMATI $ 49 5045053 MTHFR C677T/A1298C G $ 140 5045079 MUMPS IGG ABS $ 72 5045087 MYASTHENIA GRAVIS EVALUATION $ 86 5045095 MYELOMA EVALUATR S $ 75 5045111 URINE MYOGLOBIN RAN $ 71 5045112 MYOGLOBIN $ 64 5045145 URINE OXALATE 24HR $ 71 5045152 PROTEIN C ACTIVITY $ 76 5045160 PROTEIN C AG $ 66 5045178 PROTEIN S ACTIVITY $ 84 5045186 PTH INTACT INCLUDI $ 226 5045202 RABIES AB $ 115 5045236 SM (SMITH) IGG AUTO $ 98 5045244 THYROID STIM IMMUNO $ 163 5045251 TREPONEMA PALLIDUM T $ 11 5045269 CSF VDRL $ 23 5045277 VITAMIN K [36585X] $ 135 5045319 HEMOCHROMOTOSIS GENO $ 210 5045335 COPPER $ 68 5045350 CRYPTOCOCCUS AG $ 51 5045418 C-PEPTIDE $ 101 5045420 METANEPHRINES UR $ 93 5045422 METANEPHRINES FRACTIONATED PLASMA FREE $ 93 5045434 URINE CATECHOLAMINES FRAC $ 139 5045442 CD4 SURFACE MARKER $ 147 5045475 AMIODARONE & METABOL $ 99 5045483 LYME WEST BLOT CSF $ 68 5045491 ALLERGEN GLUTEN IGE $ 29 5045517 ALLERGEN MANGO $ 36 5045525 ALLERGEN ORANGE $ 36 5045574 AEROBIC BACTERIAL ID $ 44 5045582 ALDOLASE $ 53 5045608 ALLERGEN CRAB $ 36 5045616 ALLERGEN GG WHOLE $ 36 5045624 CYCLOSPORINE A BLD $ 99 5045640 HEP C W/RFX RIBA $ 78 5045665 IGG, QUANT $ 51 5045806 NORTRIPTYLINE $ 20 5045816 CYTOMEGALOVIRUS CULTURE $ 107 5045855 PROINSULIN $ 98 5045905 PSA ULTRASENSITIVE $ 29 5045913 PTH C-TERM W/CALCIUM $ 226 5045921 REDUCING SUBSTANCES STOOL $ 30 5046002 STREP PNEUMO IGG X14 $ 299 5046028 TOXOCARA ABS [40945] $ 89 5046036 TRANSGLUTIMINASE IGG $ 51 5046051 TUMOR NECROSIS FACTO $ 166 5046093 VARICELLA IGG IGM $ 71 5046101 VGKC ANTIBODY [485] $ 195 5046119 VITAMIN B1 WHOLE BL $ 116 5046127 VITAMIN E (ALPHA- & $ 78 5046135 VON WILLEBRAND FACTOR AG $ 359 5046150 WEST NILE VIRUS IGG $ 103 5046168 FRAGILE X XSENSE $ 690 5046184 HEP B COR ANTIBODY $ 65 5046200 HEP B DNA ULTRA QNT $ 305 5046226 HEP C RNA PCR RFX QT $ 193 5046242 HSV 2 IGG ABS $ 106 5046283 HSV 1&2 IGM W/RFX $ 79 5046333 FACTOR V ACTIVITY $ 97 5046366 PROGESTERONE FREE $ 398 5046440 HAEMOPHILUS INFLUENZ $ 138 5046465 HEAVY METALS WHOLE B $ 104 5046515 COXSACKIE B VIRUS AB $ 71 5046523 CRYOGLOBULIN $ 35 5046525 T & B LYMPHOCYTE DIFF $ 254 5046572 DNA AUTOABS SINGLES $ 66 5046580 DOXYCYCLINE LEVEL $ 159 5046671 URINE CALCIUM 24HR $ 33 5046713 URINE CHROMIUM 1261 $ 119 5046721 CHROMOSOME ANAL AMNI $ 372 5046739 CHROMOSOME ANAL TIS $ 355 5046754 C DIFF A+B (REF LAB) $ 51 5046762 COCCIDIOIDES TOTAL A $ 63 5046770 COMPLEMENT C4 $ 66 5046820 AMYLASE ISOENZYMES $ 43 5046838 ANALYZER W/O ANA $ 854 5046895 BABESIA MICROTI IGG $ 133 5046911 BENZODIAZEPINES CONF $ 49 5046929 BETA-2 GLYCOPROTEIN $ 101 5046994 ALLERGEN MILK GOAT $ 29 5047000 ALLERGEN GREEN PEPPER $ 29 5047034 ALLERGEN KIWI FRUIT $ 36 5047059 ALLERGEN LOBSTER $ 36 5047083 ALLERGEN MELON $ 29 5047109 ALLERGEN OAT $ 36 5047117 ALLERGEN ONION $ 36 5047125 ALLERGEN OYSTER $ 36 5047166 ALLERGEN SCALLOP $ 36 5047216 ALLERGEN WATERMELON $ 29 5047257 5-HYDROXYINDOLEACETI $ 71 5047299 ALK PHOS ISOENZYMES $ 81 5047315 ALLERGEN APPLE $ 36 5047349 ALLERGEN AVOCADO $ 36 5047356 ALLERGEN BANANA $ 36 5047364 ALLERGEN BEEF $ 36 5047406 ALLERGEN CACAO (CHOCOLATE) $ 36 5047422 ALLERGEN -IGE CASEIN $ 36 5047455 ALLERGEN CHICKEN MEAT $ 36 5047463 ALLERGEN CINNAMON $ 29 5047505 ALLERGEN ZONE 14 $ 36 5047547 ALLERGEN ZONE 19 $ 36 5047760 GALECTIN-3 $ 289 5048024 STOOL WBC $ 75 5048032 SHIGA TOXIN $ 51 5048057 URINE EOSINOPHIL $ 23 5048073 SPEP WITH INTERP $ 20 5048081 ALLERGEN CORN $ 36 5048107 B2 MICROGLOB SERIAL $ 89 5048115 HCV AB W/RFX PCR QT $ 78 5048123 HEP C QUAL PCR $ 193 5048131 GLUTAMIC ACID DECAR $ 74 5048149 C-ANCA $ 71 5048172 VASOACTIVE INT PEP $ 120 5048180 COMPLEMENT C3A $ 260 5048198 COMPLEMENT C4A $ 260 5048214 STREP PNEUMO AG $ 51 5048222 ANALYZER $ 161 5048263 HERPES VIRUS 6 IGG $ 71 5048297 HNK1 CD57 PANEL $ 147 5048321 HEP C RNA QUAL TMA $ 193 5048370 CRYPTOSPORIDUM DIRECT DETECTION EIA $ 161 5048388 ANTI MPO (P-ANCA) $ 71 5048446 CHROMIUM PLASMA $ 111 5048453 URINE THALLIUM $ 28 5048479 ROCKY MTN SPOT IGM $ 106 5048487 THYROID RECEPT AB $ 71 5048495 PANCREATIC CA PRO $ 514 5048503 HELICOBACTER BREATH $ 216 5048504 HELICOBACTER BX $ 216 5048545 TRANSGLUTAM IGA $ 51 5048552 MAGNESIUM RBC $ 54 5048560 HEMOGLOBIN A1C $ 231 5048586 IFE & UPEP RANDOM $ 20 5048594 HEAVY METALS II $ 104 5048602 VITAMIN C $ 54 5048610 VITAMIN B7 $ 68 5048628 ANA W/REFLEX $ 5 5048669 COMPLEMENT C3 $ 66 5048685 SEROTONIN $ 170 5048693 BACTERIAL OVERGROW $ 199 5048719 LIPASE FLUID $ 38 5048735 HIV PHENOSENSE $ 329 5048750 CHROMOSOME ANAL BLD, HIGH RES $ 294 5048768 ALLERGEN CLAM $ 36 5048875 ANTI CENTROMERE B AB $ 98 5048891 HEP B QNT PCR COBAS $ 234 5048933 LEGIONELLA DFA $ 51 5048966 HEP C PCR QT RX GEN $ 235 5048990 LYME DIS W/RFX WB $ 93 5049006 LEAD BLD PEDIATRIC $ 66 5049022 MUMPS IGM ABS $ 68 5049048 VITAMIN A $ 64 5049063 ANTIPARIETAL CELL $ 51 5049071 ANTITHROMBIN AG $ 59 5049089 MERCURY $ 89 5049097 LYME DISEASE PCR $ 193 5049147 DHEA-S $ 122 5049154 SCABIES EXAM $ 70 5049162 PARASITE ID ARTHRO $ 63 5049170 URINE CALCIUM RANDOM $ 33 5049188 PERTUSSIS IGG $ 72 5049196 LIPOPROTEIN (A) $ 71 5049204 URINE COPPER $ 68 5049212 GENTAMICIN PEAK $ 90 5049220 LYME TOTAL & IGM $ 93 5049238 GENTAMICIN $ 90 5049246 IA2 AUTOANTIBODIES $ 198 5049253 ANTIPANCREATIC ISLET $ 91 5049261 INSULIN AUTOANTIBOD $ 117 5049279 DHEA $ 139 5049287 CYSTICERCOSIS $ 184 5049337 POLIOVIRUS AB 123 $ 200 5049345 TETANUS/DIPHTHER ABS $ 82 5049352 TESTOSTERO FREE&WEAK $ 140 5049378 BLADDER CANCER FISH $ 1,277 5049386 17-HYDROXYPREGNENOLO $ 125 5049394 17-PROGESTERON $ 149 5049428 FACTOR II DNA ANALY $ 158 5049436 B-TYPE NATRIURETIC $ 186 5049444 FIBRINOGEN ACTIVITY $ 47 5049451 FTA AB CSF $ 73 5049485 MULTIPLE SCLEROSIS $ 27 5049501 HERPES 1&2 IGG $ 79 5049527 STRIATIONAL ABS $ 66 5049568 COBALT PLASMA $ 121 5049576 ASPERGILLUS ABS QNT $ 83 5049592 CARBAMAZEPINE (REF LAB) $ 80 5049600 MONO W/RFX TITER $ 28 5049642 INFLUENZA A+B QNT $ 74 5049675 INTRINSIC FACTOR AB $ 83 5049709 HEP C GENOTYPE $ 649 5049733 LIPASE $ 61 5049741 KOH PREP OTHER $ 103 5049758 CRP HIGH SENSITIVITY $ 231 5049808 OCCULT BLOOD IMMUNO $ 320 5049824 IRON & TIBC $ 169 5049832 SIROLIMUS $ 75 5049840 PANCREATIC ELASTASE $ 355 5049857 PH STOOL $ 20 5049865 URINE CATECHOLAMINE RAND $ 139 5049923 URINE VMA RANDOM $ 28 5049931 CMV RAPID $ 107 5049956 HEMOGLOBIN A1C (REF LAB) $ 231 5049964 CLOST DIFF ATGEN/TOX $ 51 5049972 PERTUSSIS IGG/A/M $ 193 5049980 TETANUS ABS $ 82 5050020 CULTURE GC (NEISSERIA GONORRHOEAE) $ 125 5050103 CULTURE BLOOD $ 180 5050202 CULTURE ENVIRONMENT $ 205 5050426 CULTURE MISC $ 142 5051002 CULTURE SALM + SHIG $ 157 5051101 CULTURE URINE $ 145 5051103 CULTURE YEAST SCREEN $ 158 5051309 INDIA INK PREP $ 103 5051390 ID YEAST $ 246 5051408 OCCULT BLOOD $ 53 5051531 PH PLEURAL FLUID $ 86 5051564 REDUCING SUBSTANCES $ 73 5051606 GASTROCCULT $ 76 5051671 SUSC K/B DISKS $ 164 5052133 CULTURE CAMPY $ 228 5052141 CULTURE ECOLI 0157 $ 157 5052158 CULTURE ANAEROBIC $ 228 5052159 CULTURE AEROBIC ROUTINE $ 228 5052160 CULTURE GENITAL $ 125 5052216 MRSA SCREEN $ 125 5052307 WET MOUNT $ 103 5052414 PINWORM EXAM $ 103 5052646 STAIN GRAM $ 103 5059013 MALARIA DNA PCR $ 193 5059021 OXCARBAZEPINE SERUM $ 99 5059047 LEPTIN $ 76 5059054 ROCKY MTN SPOT IGG $ 106 5059062 CHLAMYDIA TRACH IGG $ 65 5059070 CHLAMYDIA TRACH IGM $ 70 5059088 NUCLEAR MATRIX PROT $ 133 5059096 ANDROSTENEDIONE $ 161 5059104 M TB TUBER NAA w/ Culture $ 467 5059112 RUBELLA ANTIBODY $ 15 5059138 HEP C QUANT PCR NGI QUANTSURE $ 350 5059179 HSV 1+2 NAA $ 430 5059211 MELANOCYTE STIM HOR $ 156 5059229 TGF BETA-1 $ 71 5059237 MMP-9 $ 115 5059260 ANTI-YO ANTIBODIES $ 66 5059278 TESTOSTERONE BIOAVAILABLE $ 140 5059286 RETICULOCYTE COUNT (REF LAB) $ 23 5059302 HEAVY METALS II BLD $ 130 5059310 ALUMINUM $ 140 5059328 TISSUE GRINDING $ 66 5059336 AFB ID-DNA PROBE $ 159 5059344 QUANTIFERON IN TUBE $ 199 5059351 PTT-LA MIX $ 45 5059369 HEX PHASE PHOSPHOLI $ 99 5059377 DRVVT MIX $ 53 5059385 DRVVT CONFIRM $ 53 5059393 REFLEXED FROM ANA $ 549 5059419 LACTATE $ 59 5059443 ANTIRIBOSOMAL P ABS $ 141 5059450 SENSORY NEUROPATHY $ 114 5059476 BETA LACTAMASE $ 46 5059484 INFLUENZA A&B $ 120 5059492 CYTOCHROME 2C19 $ 540 5059518 CELIAC DISEASE HLA DQ ASSOCIATION $ 232 5059526 CSF GLUCOSE $ 88 5059528 GLUCOSE BODY FLUID $ 88 5059542 PROTEIN BODY FLUID $ 61 5059559 HERPES 6 IGM $ 133 5059567 HERPES 6 DNA PCR $ 293 5059575 ANTI-JO-1 $ 98 5059583 T3 REVERSE $ 86 5059617 NEUTROPHIL OX BURST $ 99 5059658 PERTUSSIS PCR $ 104 5059666 PERTUSSIS DFA $ 51 5059674 ANTIDIURETIC HORM $ 186 5059682 PROCAINAMIDE $ 92 5059708 TICK LYME TEST $ 54 5059716 HYPERCOAG PANEL $ 776 5059732 FOLATE (WHO) $ 88 5059740 JC VIRUS DNA PCR $ 289 5059757 CHOLESTEROL FLUID $ 38 5059765 TRYPTASE $ 85 5059773 HEPARIN IND PLT AB $ 101 5059781 IMMUNE DEF PRO VII $ 710 5059799 APC RESISTANCE $ 84 5059815 HUMAN EPIDIDYMIS PR $ 114 5059831 LYME REAL TIME PCR $ 233 5059849 HLA DR DIS AESOC $ 312 5059856 UREAPLASMA/MYCOPLAS $ 84 5059864 URINE ORGANIC ACIDS $ 133 5059898 TOPIRAMATE SERUM $ 65 5059906 ALLERGEN D FARINAE $ 29 5059914 HEP C W/FLX ALT AB $ 78 5059922 PASS THRU HANDLING $ 36 5059963 VIRAL RESP PANEL $ 138 5059989 HLA DRB DQB DIS $ 309 5060243 SUSC E TEST STRIP $ 41 5060284 SUSC MIC $ 206 5060292 ANA DIRECT $ 66 5060417 COLD AGG TITER QNT $ 44 5060508 CRP $ 85 5060593 CK ISOENZYMES, SERUM (RF) $ 73 5060805 MONO TEST $ 124 5060912 ID AEROBIC $ 193 5060920 ID ANAEROBIC $ 193 5060938 ID SERO ID $ 119 5060953 ANA LYZER PANEL $ 70 5061183 KOH GENITAL $ 103 5061308 RUBELLA AB $ 344 5061397 CLIENT SKIN TEST TB $ 18 5061399 SKIN TEST TB $ 75 5061571 ANTITHROMBIN 111 EV $ 100 5061639 C3A DESARG FRAG $ 178 5061647 COMP PROT CONC C4A $ 114 5061662 C DIFF TOXIN B (REF LAB) $ 108 5061704 LUPUS COAG ASSESSR $ 185 5062033 PLATELET AB PROFILE $ 101 5062041 E-HISTOLYTICA $ 68 5062066 TPMT GENOTYPE $ 505 5062074 KETONES (REF LAB) $ 74 5062082 FECAL OSMOLALITY $ 8 5062132 PLATELET AUTO AB PRO $ 101 5062140 OXYCOD/OXYMORPH QNT $ 160 5062173 THYROGLOBULIN ANTIBODIES $ 87 5062183 HEPATITIS B CORE ANTIBODY TOTAL $ 66 5062185 TRIMESTER AFP 1ST $ 83 5062199 ACHR ABS COMP PROF $ 198 5062207 LEPTIN $ 75 5062215 MMP-9 $ 70 5062223 VASCULAR ENDO GROW $ 325 5062314 THALASSEMIA GENE SE $ 878 5062363 PLASMINOGEN ACT INH $ 178 5062371 ANTIDIURETIC HORMON $ 40 5062389 RETINOL BIND PROT $ 75 5062397 URINE METANEPHRINES RANDOM $ 30 5062454 MYELIN ASS GLYCOPROTEIN IGG $ 66 5062456 INTERMEDIATE RESOLUTION HLA $ 309 5062462 MYELIN ASS GLYCOPROTEIN IGM $ 66 5062470 ANA COMPREHENSIVE PROFILE $ 217 5062512 CA 125 W/HAMA $ 114 5062520 ALLERGEN CHICK FEAT $ 29 5062538 MEXILETINE $ 31 5062546 MUSK AB $ 1,501 5062579 HISTAMINE PLASMA $ 162 5062595 URINE OPIATES CONFIRM $ 49 5062611 ORGANISM ID BY SEQ $ 291 5062613 ORGANISM ID YEAST $ 78 5062629 STOOL TRYPSIN $ 51 5062637 COXSACKIE A IGG/IGM $ 365 5062652 MYELIN BASICPRPT CSF $ 94 5062660 OLIGOCLONAL BANDING $ 110 5062678 ANTIMYELIN GLYCO IGM $ 66 5062694 IGD $ 51 5062702 LACTOFERRIN $ 108 5062710 CSF IGM QNT $ 51 5062744 GRP B STREP DNA $ 37 5062751 PROTEIN ELECT URINE $ 20 5062777 ALLERGEN CANTALOUPE $ 29 5062793 HIV QNT PCR GRAPH $ 215 5062801 FACTOR IX ANTIGEN $ 204 5062819 FACTOR XI ACTIVITY $ 98 5062827 TAY-SACHS DNA ANALY $ 169 5062835 LIVER-KIDNEY ABS $ 80 5062843 CORTISONE $ 213 5062868 ALLERGEN PAPAYA FOOD $ 29 5062876 ALLERGEN PINEAPPLE $ 36 5062884 ADENOVIRUS GP ABS QT $ 71 5062892 PORPHOBILINOGEN RAN $ 46 5062900 CHLAMYDIA $ 108 5062918 LEUKEMIA/LYMPHOMA $ 194 5062926 FLOW CYTOMETRY $ 686 5062934 WEST NILE ANTIBODYCSF $ 101 5062942 ANTIPHOSPHOLIPID $ 730 5062959 THEOPHYLLINE $ 78 5062961 ADENOSINE DEAMINASE PLEURAL FLUID $ 66 5063080 INTERLEUKIN 6 SERUM $ 120 5063106 ALLERGEN LAMB $ 29 5063130 ALLERGEN PISTACHIO $ 36 5063148 ALLERGEN WHITE BEAN $ 36 5063270 FATTY ACIDS FREE $ 73 5063296 UREA NITROGEN CLEARANCE $ 36 5063403 CONCENTRATION $ 37 5063445 GAMMA HYDROXYBUTYRIC ACID $ 80 5063494 INFLUENZA A/B PCR $ 193 5063551 HEREDITARY NONPOLYPOSIS COLORECTAL $ 1,194 5063601 TOXOPLASMA GONDI IQG AVIDITY $ 168 5063627 PROTEIN TOTAL QUANT 24HR URINE $ 20 5063635 CREATININE CLEARANCE 24HR $ 52 5063692 SODIUM 24 HR URINE $ 27 5063759 MARFAN SYNDROME GENE SEQUENCING $ 4,253 5063767 ANISAKIS IGE $ 29 5063775 FETAL HGB APT $ 33 5063783 FERRITIN (REF LAB) $ 75 5063791 IMEGALOBLASTIC ANEMIA $ 106 5063809 MALARIA PCR $ 193 5063817 M TB SUSCEPT $ 506 5063825 CYSTINE QNT URINE $ 93 5063833 CYANIDE $ 106 5063858 CHLORIDE 24HR URINE $ 28 5063866 PROSTATE ANTIGENSERUM $ 101 5063874 LIVER CYTOSOL PROTEIN $ 130 5063882 VORICONAZOLE $ 230 5063890 HEP D AB TOTAL $ 94 5063908 HEP D IGM $ 181 5063916 T4 FREE DIRECT $ 49 5063924 STACHYBOTRYS PANEL $ 105 5063932 WEST NILE VIRUS PCR $ 258 5063940 PREALBUMIN $ 80 5063957 CHLAMYDIA TRACHOMATIS $ 193 5063965 COMPREHENSIVE FATTY ACID $ 611 5063973 NMR LIPOPROFILE $ 73 5063981 DEOXYPYRIDINOLINE $ 102 5063999 HISTAMINE WHOLE BLD $ 162 5064005 MICROALBUMIN 24 HR $ 32 5064006 ANTI RI ANTOBIDIES $ 66 5064007 FACTOR X ACTIVITY $ 98 5064008 FACTOR VII ACTIVITY $ 106 5064009 CORTISOL FREE EQUILIBRIUM DIA & LC/MS-MS $ 92 5064010 OCCULT BLOOD FECAL IMMUNOASSAY $ 320 5064011 D-DIMER \R $ 56 5064015 YERSINA ONLY, STOOL CULTURE $ 52 5064020 DEAMIDATED GLIDIN ABS, IgA $ 51 5064021 DEAMIDATED GLIDIN ABS, IgG $ 51 5064022 CRYPOSPORIDIUM SMEAR STOOL $ 30 5064023 ISOSPORN SMEAR STOOL $ 37 5064024 GONOCOCCUS BY NAA $ 193 5064025 TRICH VAG BY BY NAA $ 193 5064026 EBV Ab VCA, IgM $ 100 5064027 EBV Ab VCA, IgG $ 100 5064028 EBV NUCLEAR ANTIGER Ab, IgG $ 84 5064029 IMMUNIFIXATION RESULT, SERUM $ 123 5064030 EBV EARLY ANTIGEN Ab, IgG $ 84 5064031 PSA FREE \R $ 101 5064032 HERPES SIMPLEX TYPE 1 IgG $ 73 5064033 HERPES SIMPLEX TYPE 2 IgG $ 106 5064052 ECHINOCOCCUS ANTIBODY $ 72 5070200 CRYSTALS,NOT URINE $ 171 5070408 .URINALYSIS AUT DIPST $ 54 5070424 URINE MICROSCOPIC ONLY- Male $ 75 5070432 URINE VOL-MEAS/TIMED $ 73 5070440 URINALYSIS POC $ 51 5070606 URINE MICROSCOPIC ONLY- Female $ 73 5075142 ARTERIAL PUNCTURE $ 69 5080209 COMPREHENSIVE PANEL $ 251 5080233 CHEM PANEL-VET $ 53 5080266 RENAL FUNCTION PANEL $ 206 5080357 ELECTROLYTE PROFILE $ 168 5080506 LIPID PANEL $ 318 5080605 HEPATIC FUNCT PANEL $ 195 5080803 NEWBORN METABOLIC SCREENING PANEL $ 141 5080944 BASIC METABOLIC PA $ 203 5081116 PRENATAL PANEL $ 154 5081124 PRENAT INF DIS ABIGG $ 79 5081132 PRENAT INF DIS ABIGM $ 92 5081603 CAPILLARY PUNCTURE $ 53 5081702 VENIPUNCTURE $ 53 5090356 HAND CHG DRUG SCN $ 40 5090360 BCR-ABL1 MAJOR $ 900 5090361 BCR-ABL1 MINOR $ 765 5090406 HANDLING KIT $ 40 5090539 HAND CHG LEGL DRAW $ 35 5090541 CLIENT HAND CHG LEGL DRAW $ 51 5092113 BB ANTIBODY ID $ 221 5092121 ANTI DSDNA ABS $ 75 5092147 BB ANTIBODY TITER $ 135 5092154 ANTI SSDNA ABS IGG $ 66 5092162 ANTITHROMBIN ACTVITY $ 65 5092253 BK VIRUS BLOOD QNT $ 346 5092261 URINE BK VIRUS QNT $ 491 5092519 VASOACTIVE INT PEP $ 255 5092907 BETA LACTAMASE EA $ 43 5093152 CALCIUM IONIZED $ 153 5093467 CD4 CD8 RATIO PROF $ 151 5093517 CMV PCR QUANT $ 235 5093756 CORTISOL $ 90 5094077 D-DIMER $ 171 5094085 C DIFF ANTI/TOX A/B $ 63 5094184 ERYTHROPOETIN $ 103 5094218 ESTRADIOL $ 308 5094267 ESTRADIOL SENSITIVE $ 153 5094341 FACTOR II GENOTYPE $ 248 5094507 FERRITIN $ 325 5094531 FETAL FIBRONECTIN $ 207 5094614 FOLIC ACID $ 113 5094754 T4 FREE $ 214 5094929 GENTAMICIN $ 270 5095009 GLYCO-HGB A1C $ 160 5095066 HELP/SUPP NK PROF $ 413 5095108 HBCAB TOTAL $ 66 5095181 HEPATITIS BE AB $ 63 5095199 HEPATITS BE AG $ 63 5095793 INFLUENZA A H1N1 PCR $ 165 5096072 LYME AB IGG + IGM $ 93 5096163 METHEMOGLOBIN $ 186 5096262 PCP STAIN W/CYTO $ 196 5096411 ALLERGY REGIONAL I $ 36 5096676 TRANSFERRIN $ 146 5096882 VANCOMYCIN TROUGH $ 321 5096883 VANCOMYCIN PEAK $ 321 5096957 VIT B12 $ 361 5097054 DAT ADULT $ 56 5097070 BILEACIDS TOTAL $ 94 5097203 ANTIPHOSPHOLIPID $ 703 5097286 LYME ABS + BANDS $ 85 5097302 EHRLICHIOSIS ABS $ 175 5097583 BORDETELLA PERTUSSIS PCR $ 193 5097724 RPR W/REFLX QNT&CON $ 23 5097807 TESTOSTERONE $ 285 5097823 THYROGLOBULIN QNT $ 88 5097930 VITAMIN B2 WB $ 111 5097948 URINE VOLATILES $ 88 5097963 QUANTIFERON TB GOLD $ 199 5099746 .GRAM STAIN ORGANISM $ 11 5099994 MICROPLOY. FAENI ABS IGG $ 70 5099995 THERMOA. VULGARIS #1 IGG $ 55 5099996 THERMOACT. SACCHARII IGG $ 55 5099997 PIGEON SERUM ABS IGG /R $ 65 5099998 FREE KAPPA LT CHAINS, S $ 74 5099999 FREE LAMBDA LT CHAINS, S $ 74 5110600 ATPSY G&M N+BRN $ 133 5120005 BN MARROW SMR INTERP $ 759 5120104 BONE MARROW ASP ONLY $ 1,441 5120906 BLD SMR/INTERP & RPT $ 63 5130103 CYTO FLUID/INTERP $ 110 5130137 CYTO FILTER/INTERP $ 134 5130178 CYTO CONC/INTERP $ 134 5130186 CYTO CELL ENHANCE $ 134 5130194 CYTO EXAM TOUCH PREP $ 529 5130202 CYTO SMEAR/INTERP $ 63 5140102 PATH LVL I GROSS $ 63 5140151 PATH LVL II G&M $ 63 5140201 PATH LVL III G&M $ 134 5140235 PATH MICRO ODC $ 73 5140250 PATH LVL IV G&M $ 134 5140300 PATH LVL V G&M $ 214 5140334 PATH LVL VI G&M $ 529 5140409 DECALCIFICATION PROC $ 63 5140458 SPEC STN/I MICRO EA $ 69 5140508 SPEC STN/II OTHER EA $ 69 5140706 PATH CONSULT/SURG $ 63 5140755 PATH FRZ SECT SGL $ 134 5140805 PATH FRZ SECT ADDL $ 63 5140839 IMMUNOCYTOCHEM $ 214 5140854 IMMUNOFLUOR $ 214 5140870 IHC STAIN $ 529 5163203 CYTO FNA/SPEC/ADEQ $ 214 5163302 CYTO FNA/INTERP&RPT $ 134 5199903 BLOCKS & SLIDES $ 10 5199904 BLOCKS & SLIDES ADDITIONAL $ 5 5260039 BB RBC LEUKOREDUCED $ 391 5260047 BB RBC AUTOLOGOUS LOCAL $ 539 5260062 BB RBC DONOR LOCAL $ 539 5260104 BB FFP 200 APHERESIS $ 199 5260112 BB FFP 400 APHERESIS $ 323 5260179 CRYOPRECIPITATE $ 96 5260245 BB RBC LEUKORE IRR $ 630 5260252 BB RBC IRRADIATED CMV NEG $ 711 5260278 PLTS CMV NEG $ 1,356 5260302 PLTS IRR CMV NEG $ 1,411 5260328 BB ANTIGEN TYPING $ 214 5260336 BB ELUTION $ 199 5260377 BB ENZYME PANEL $ 214 5260476 BB PLATELET,APHERESIS $ 2,294 5260500 BB FETAL MATERNAL BLEED $ 135 5260518 BB IRRAD NCCBB AFTE $ 374 5260575 AUTO ADSORPTION $ 178 5260583 COMPONENT PREP $ 121 5260591 BB ANTIBODY PANEL BB $ 214 5610008 EKG RESTING $ 488 5610016 EKG RHYTHM STRIP $ 110 5610222 EKG HLTR HK-UP/RECRD $ 1,124 5610230 EKG HOLTR SCAN/REPRT $ 1,593 5610248 EKG STRESS REG TRD $ 1,235 5610249 CARDIAC EVENT MONITOR SET-UP $ 178 5610250 CARDIAC EVENT MONITORING $ 650 6020029 EEG AWAKE & DROWSY $ 738 6110002 XR ORBITS FOREIGN BODY (MRI SCREENING) $ 376 6110028 XR MANDIBLE < THAN 4 $ 461 6110036 XR MANDIBLE MINIMUM 4 VIEWS $ 563 6110077 XR FACIAL BONES 1 OR 2 VIEWS $ 563 6110085 XR FACIAL BONES COMPLETE $ 707 6110093 XR ORBITS COMPLETE $ 707 6110119 XR NASAL BONES $ 461 6110127 XR SINUSES LESS THEN 3 VIEWS $ 563 6110135 XR SINUSES MIN 3 VI $ 707 6110143 XR SELLA TURCICA $ 376 6110150 XR SKULL LESS THAN 4 VIEWS $ 563 6110168 XR SKULL MIN 4 VIEWS $ 809 6110184 XR NECK SOFT TISSUE $ 579 6110200 XR SIALOGRAM $ 2,052 6110218 XR CHEST 1 VIEW $ 418 6110226 XR CHEST 2 VIEWS $ 563 6110234 XR CHEST 3 VIEWS $ 666 6110242 XR CHEST 4 VIEWS $ 707 6110267 XR RIBS UNILAT W/ PA CHEST RT $ 605 6110275 XR RIBS BILAT W/ PA CHEST $ 809 6110283 XR STERNUM $ 587 6110291 XR SC JOINTS $ 638 6110309 XR C-SPINE LIMITED $ 545 6110317 XR C-SPINE MIN 4 VI $ 809 6110325 XR C-SPINE COMP WITH FLEX & EXT $ 1,012 6110333 XR T-SPINE 2 VIEWS $ 587 6110341 XR T-L SPINE 2 VIEWS $ 605 6110358 XR SCOLIOSIS SERIES $ 605 6110366 XR L-SPINE 3 OR LESS VIEWS $ 605 6110374 XR L-SPINE MIN 4 VI $ 824 6110382 XR PELVIS 1 OR 2 VI $ 461 6110390 XR MYELOGRAM CERVICAL $ 4,254 6110408 XR SI JOINTS $ 563 6110416 XR SACRUM-COCCYX $ 519 6110424 XR MYELOGRAM LUMBAR $ 3,650 6110432 XR MYELOGRAM MULTI LEVEL $ 5,473 6110440 XR CLAVICLE RT $ 576 6110457 XR SCAPULA UNILAT RT $ 461 6110465 XR SHOULDER 1 VIEW RT $ 418 6110473 XR SHOULDER MIN 2 VIEWS RT $ 519 6110481 XR ARTHRO SHOULDER RT $ 1,890 6110499 XR A/C JOINTS $ 605 6110507 XR HUMERUS RT $ 519 6110515 XR ELBOW LIMITED RT $ 461 6110523 XR ELBOW MIN 3 VIEWS RT $ 519 6110531 XR ARTHRO ELBOW RT $ 1,890 6110549 XR FOREARM RT $ 461 6110556 XR WRIST MIN 3 VIEWS RT $ 469 6110557 XR STRESS VIEWS $ 347 6110564 XR WRIST 2 VIEWS RT $ 435 6110572 XR ARTHRO WRIST RT $ 1,702 6110580 XR HAND 2 VIEWS RT $ 435 6110598 XR HAND MIN 3 VIEWS $ 469 6110606 XR FINGERS RT $ 376 6110614 XR HIP UNILAT LTD W/ PELVIS RT (1 VIEW) $ 418 6110622 XR HIP UNILAT W/ PELVIS RT (2-3 VIEWS) $ 519 6110630 XR HIP BILATERAL W/ PELVIS (3-4 VIEWS) $ 534 6110648 XR HIP BILATERAL W/ PELVIS (2 VIEWS) $ 534 6110655 XR HIP UNILAT W/ PELVIS RT (MIN 4 VIEWS) $ 519 6110671 XR FEMUR 2 VIEWS RT $ 519 6110689 XR KNEE 1 OR 2 VIEWS RT $ 461 6110697 XR KNEE 3 VIEWS RT $ 519 6110705 XR ARTHRO KNEE RT $ 2,349 6110713 XR TIB-FIB RT $ 461 6110721 XR ANKLE 2 VIEWS RT $ 435 6110739 XR ANKLE MIN 3 VIEWS RT $ 469 6110747 XR ARTHRO ANKLE RT $ 1,890 6110754 XR FOOT 2 VIEWS RT $ 435 6110762 XR FOOT MIN 3 VIEWS $ 469 6110770 XR KNEE COMPLETE MIN 4 VIEWS RT $ 563 6110788 XR HEEL 2 VIEWS RT $ 418 6110796 XR TOES MIN 2 VIEWS $ 376 6110800 XR CHILD > 12 MONTHS UPPER EXTREMITY $ 290 6110801 XR CHILD > 12 MONTHS LOWER EXTREMITY $ 290 6110804 XR ABDOMEN 1 VIEW $ 461 6110820 XR ABDOMEN 2 VIEWS $ 563 6110838 XR ABDOMEN 2 VIEWS W/PA CXR $ 833 6110846 XR UGI $ 1,337 6110853 XR UGI W/ SMALL BOWEL $ 2,137 6110854 XR URETHROCYSTOGRAM $ 1,012 6110855 XR IVP LIMTED $ 693 6110856 XR CYSTOGRAM 3 VIEWS $ 1,180 6110879 XR BARIUM/GASTROGRAFIN ENEMA $ 1,540 6110887 XR BARIUM ENEMA WITH AIR CONTRAST $ 2,008 6110895 XR ESOPHAGRAM STAND $ 1,063 6110929 XR CHOLANGIOGRAM T-TUBE $ 1,200 6111000 XR CYSTOGRAM $ 819 6111026 XR ABCESS DRAINAGE/PLACEMENT $ 2,826 6111067 XR HYSTEROSALPINGOG $ 1,175 6111091 XR FLUORO <60 MINUTES $ 1,175 6111109 XR BONE AGE $ 680 6111117 XR BONE LENGTH $ 707 6111119 XR LONG BONE SURVEY $ 676 6111125 XR BONE SURVEY METS $ 902 6111133 XR BONE SURVEY INFANT $ 666 6111141 XR FISTULA SINUS $ 2,553 6111158 XR FLUORO >60 MINUTES $ 2,349 6111240 PORTABLE IN SURGERY $ 70 6111250 XR CINE / VIDEORADIOGRAPHY $ 64 6111257 XR L-SPINE 4 VIEW WITH FLEX/EXT $ 1,063 6111265 XR ARTHRO HIP RT $ 1,890 6111406 XR RIBS UNILAT RT $ 519 6111414 XR CHOLANGIOGRAM PERCUTANEOUS $ 11,273 6111422 XR RIBS BILATERAL $ 707 6111596 XR SMALL BOWEL FOLLOW THRU $ 1,175 6111620 XR T-SPINE 3 VIEWS $ 666 6111638 XR SPINE 1 VIEW $ 376 6111653 MG BREAST LOCALIZATION RT $ 1,829 6111661 MG SURGICAL SPECIMEN $ 635 6111687 MG DIGITAL SCREEN UNILATERAL RT W/ CAD $ 458 6111711 XR ESOPHAGRAM VIDEO WITH SPEECH $ 1,175 6111737 XR ESOPHAGRAM CINE $ 1,176 6111901 MG NEEDLE PLACEMENT $ 293 6111927 XR FLUORO NEEDLE GUIDE SPINE $ 425 6111943 XR FLUORO NEEDLE GUIDE NON-SPINE $ 1,175 6112065 XR NOSE THROUGH PEL CHILD FB $ 461 6112073 XR INFANT <12 MONTHS LOWER EXTREMITY $ 435 6112081 XR INFANT <12 MONTHS UPPER EXTREMITY $ 435 6112099 XR LUMBAR PUNCTURE $ 2,581 6112248 XR KNEES 1 VIEW AP BILATERAL $ 435 6112313 LVL 1 BX/ASP/DRAIN $ 791 6112321 LVL 2 BX/ASP/DRAIN $ 1,576 6112339 LVL 3 BX/ASP/DRAIN $ 2,731 6112347 LVL 4 BX/ASP/DRAIN $ 4,868 6112370 XR GI TUBE EXCHANGE $ 1,589 6112388 XR PICC INSERTION $ 1,016 6112396 XR GI TUBE RECHECK $ 1,589 6112404 XR MYELOGRAM THORACIC $ 3,871 6113303 XR VENOGRAM UNILAT RT $ 1,332 6113311 XR VENOGRAM BILATERAL $ 2,000 6113634 XR COMPLETE SPINE AP/LAT $ 750 6116082 XR INFANT <12 MONTHS UPPER EXT BILAT $ 653 6116447 XR CLAVICLE BILATERAL $ 691 6116454 XR SCAPULA BILATERAL $ 691 6116470 XR SHOULDER MIN 2 VIEWS BILAT $ 778 6116504 XR HUMERUS BILATERAL $ 778 6116512 XR ELBOW LIMITED BILATERAL $ 691 6116520 XR ELBOW MIN 3 VIEWS BILATERAL $ 778 6116546 XR FOREARM BILATERAL $ 691 6116553 XR WRIST MIN 3 VIEWS BILAT $ 702 6116561 XR WRIST 2 VIEWS BILATERAL $ 653 6116587 XR HAND 2 VIEWS BILATERAL $ 653 6116595 XR HAND MIN 3 VIEWS BILAT $ 702 6116603 XR FINGERS BILATERAL $ 563 6116678 XR FEMUR 2 VIEWS BILATERAL $ 778 6116686 XR KNEE 1 OR 2 VIEWS BILAT $ 691 6116694 XR KNEE 3 VIEWS BILATERAL $ 778 6116710 XR TIB-FIB BILATERAL $ 691 6116728 XR ANKLE 2 VIEWS BILATERAL $ 653 6116736 XR ANKLE MIN 3 VIEWS BILATERAL $ 702 6116751 XR FOOT 2 VIEWS BILATERAL $ 653 6116769 XR FOOT MIN 3 VIEWS BILATERAL $ 702 6116777 XR KNEE 4 OR MORE VIEWS BILAT $ 843 6116785 XR HEEL BILATERAL $ 626 6117205 MG DIGITAL SCREENING BILATERAL W/CAD $ 584 6117221 MG DIGITAL DIAGNOSTIC BILATERAL W/ CAD $ 893 6117247 MG DIGITAL DIAG UNILATERAL RT W/ CAD $ 584 6122379 XR PELVIS MIN 3 VIEWS $ 691 6134051 XR ABCESS RECHECK $ 635 6134655 XR UGI AIR CONTRAST $ 1,523 6190001 XR RIBS UNILAT W/ PA CHEST LT $ 605 6190002 XR CLAVICLE LT $ 461 6190003 XR SCAPULA UNILAT LT $ 461 6190004 XR SHOULDER 1 VIEW LT $ 418 6190005 XR SHOULDER MIN 2 VIEWS LT $ 519 6190006 XR ARTHRO SHOULDER LT $ 1,890 6190007 XR HUMERUS LT $ 519 6190008 XR ELBOW LIMITED LT $ 461 6190009 XR ELBOW MIN 3 VIEWS LT $ 519 6190010 XR ARTHRO ELBOW LT $ 1,890 6190011 XR FOREARM LT $ 461 6190012 XR WRIST MIN 3 VIEWS LT $ 469 6190013 XR WRIST 2 VIEWS LT $ 435 6190014 XR ARTHRO WRIST LT $ 1,702 6190015 XR HAND 2 VIEWS LT $ 435 6190016 XR HAND MIN 3 VIEWS $ 469 6190017 XR FINGERS LT $ 376 6190018 XR HIP UNILAT LTD W/ PELVIS LT (1 VIEW) $ 418 6190019 XR HIP UNILAT W/ PELVIS LT (2-3 VIEWS) $ 519 6190020 XR HIP UNILAT W/ PELVIS LT (MIN 4 VIEWS) $ 519 6190022 XR FEMUR 2 VIEWS LT $ 519 6190023 XR KNEE 1 OR 2 VIEWS LT $ 461 6190024 XR KNEE 3 VIEWS LT $ 519 6190025 XR ARTHRO KNEE LT $ 2,349 6190026 XR TIB-FIB LT $ 461 6190027 XR ANKLE 2 VIEWS LT $ 435 6190028 XR ANKLE MIN 3 VIEWS LT $ 469 6190029 XR ARTHRO ANKLE LT $ 1,890 6190030 XR FOOT 2 VIEWS LT $ 435 6190031 XR FOOT MIN 3 VIEWS $ 469 6190032 XR KNEE COMPLETE MIN 4 VIEWS LT $ 563 6190033 XR HEEL 2 VIEWS LT $ 418 6190034 XR TOES MIN 2 VIEWS $ 376 6190035 XR ARTHRO HIP LT $ 1,890 6190036 XR RIBS UNILAT LT $ 519 6190037 MG BREAST LOCALIZATION LT $ 1,829 6190038 MG DIGITAL SCREEN UNILATERAL LT W/CAD $ 458 6190039 XR VENOGRAM UNILAT LT $ 1,332 6190040 MG DIGITAL DIAG UNILATERAL LT W/ CAD $ 584 6190041 XR SURGICAL SPECIMEN $ 635 6199964 XR TMJ COMPLETE $ 165 6211203 NM KIT MYOVIEW PER STUDY DOSE $ 1,000 6211211 NM ISOTOPE 133 XENON UP TO 10 MCI $ 620 6211237 NM ISOTOPE I-123 PER 100 UCI $ 1,063 6211240 NM ISOTOPE 131 UP TO 5 MCI $ 688 6211252 NM ISOTOPE TC99 PER MCI $ 454 6211260 NM ISOTOPE IN-111 DTPA PER 0.5 MCI $ 4,467 6211278 NM ISOTOPE GA-67 PER MCI $ 639 6211286 NM KIT CARDIOLITE PER STUDY DOSE $ 990 6211294 NM ISOTOPE IN 111 OXINE PER STUDY DOSE $ 2,289 6211302 NM CISTERNOGRAPHY $ 2,511 6211385 NM SALIVARY IMAGING $ 1,093 6211500 NM KIT CHOLETEC/MEBROFENIN UP TO 15 MCI $ 392 6211518 NM KIT MDP UP TO 30 MCI $ 207 6211526 NM KIT MAA UP TO 10 MCI $ 207 6211534 NM KIT SULFUR COLLOID UP TO 20 MCI $ 209 6211542 NM KIT ULTRA TAG UP TO 30 MCI $ 392 6211781 NM PARATHYROID SCAN $ 2,071 6211815 NM THYROID SCAN & UPTAKE $ 1,282 6211856 NM LIVER/SPLEEN IMAGING $ 1,456 6211864 NM LIVER/SPLEEN IMAGING W/FLOW $ 1,731 6211872 NM BONE SCAN W/ SPECT $ 2,943 6211880 NM BONE SCAN LIMITED $ 1,239 6211898 NM BONE SCAN 3 PHASE $ 2,379 6211906 NM BONE IMG WHOLE B $ 2,124 6211908 NM I-123/I-131 WHOLE BODY SCAN $ 2,114 6211910 NM METASTATIC THYROID SURVEY I-123/I-131 $ 99 6211922 NM LUNG PERFUSION $ 1,708 6211955 NM LYMPHATIC IMAGING $ 2,029 6212011 NM TUMOR IMAGING WHOLE BODY $ 3,206 6212029 NM TUMOR IMAGING LIMITED $ 1,694 6212052 NM GI BLEED $ 2,420 6212078 NM GASTRIC EMPTYING $ 2,057 6212094 NM MECKELS IMAGING $ 1,519 6212128 NM LUNG PERFUSION W/VENTALATION $ 1,598 6212185 NM WBC STUDY $ 3,206 6212391 NM HEPATOBILIARY $ 1,822 6212409 NM HEPATOBILIARY W/CHOLECYSTOKININ $ 2,235 6213407 NM CARDIAC W/ THALL $ 5,867 6213415 NM CARD PERF-STRES/ $ 7,834 6213423 NM CARD PERF STRES&REST $ 10,184 6213506 NM MUGA $ 2,748 6213507 NM RENAL SCAN W/ LA $ 2,767 6213508 NM RENAL SCAN $ 2,767 6213509 NM ISOTOPE TC99 DTPA PER 25 MCI $ 239 6310002 MR BRAIN W/O IV CONTRAST $ 2,450 6310010 MR BRAIN W/ IV CONTRAST $ 2,934 6310028 MR BRAIN W/ & W/O IV CONTRAST $ 4,824 6310036 MR ORBITS/FACIAL W/O IV CONTRAST $ 2,450 6310044 MR NECK W/&W/O IV CONTRAST $ 5,527 6310051 MR NECK W/O IV CONTRAST $ 2,764 6310069 MR TM JOINTS W/O IV CONTRAST $ 2,484 6310077 MR ORBITS/FACIAL W/&W/O IV CONTRAST $ 3,684 6310093 MR NECK W/ IV CONTR $ 3,049 6310101 MRA HEAD W/O IV CONTRAST $ 2,519 6310200 MRA CAROTID W/O IV CONTRAST $ 2,519 6310226 MRA CAROTID W/ IV CONTRAST $ 2,519 6310230 MRA CAROTID W& W/O IV CONTRAST $ 4,069 6320001 MR CHEST W/O IV CONTRAST $ 2,451 6320027 MR CHEST W/ & W/O IV CONTRAST $ 5,504 6320407 MR BRACHIAL PLEX RT W/O IV CONTRAST $ 2,451 6320423 MR BRACHIAL PLEX RT W/ & W/O IV CONTRAST $ 5,504 6330000 MR C-SPINE W/O IV CONTRAST $ 2,451 6330025 MR C-SPINE W/ IV CONTRAST $ 3,676 6330026 MR C-SPINE W/ & W/O IV CONTRAST $ 4,823 6331008 MR T-SPINE W/O IV CONTRAST $ 2,717 6331009 MR T-SPINE W/ IV CONTRAST $ 2,938 6331024 MR T-SPINE W/&W/O IV CONTRAST $ 4,823 6332006 MR L-SPINE W/O IV CONTRAST $ 2,715 6332007 MR L-SPINE W/ IV CONTRAST $ 2,938 6332022 MR L-SPINE W/&W/O IV CONTRAST $ 4,824 6332204 MR ABDOMEN W/O IV CONTRAST $ 2,451 6332220 MR ABDOMEN W/ & W/O IV CONTRAST $ 5,454 6350008 MR UPPER EXT RT W/&W/O IV CONTRAST $ 3,613 6350024 MR UPPER EXT RT W/O IV CONTRAST $ 2,491 6350032 MR UPPER EXT RT ARTHROGRAM $ 5,443 6350040 MR LOWER EXT RT ARTHROGRAM $ 2,986 6350057 MR JOINT UPPER EXT RT W/O IV CONTRAST $ 2,441 6350065 MR JOINT UPPER EXT RT W/&W/O IV CONTRAST $ 5,527 6360007 MR LOWER EXT RT W/O IV CONTRAST $ 2,491 6360023 MR LOWER EXT RT W/&W/O IV CONTRAST $ 3,613 6360056 MR JOINT LOWER EXT RT W/O IV CONTRAST $ 2,441 6360080 MR JOINT LOWER EXT RT W/&W/O IV CONTRAST $ 5,527 6360106 MRA LOWER EXT RT W/ IV CONTRAST $ 2,455 6370105 MRA ABDOMEN W/ IV CONTRAST $ 2,455 6380104 MRA PELVIS W/ IV CONTRAST $ 2,455 6380153 MR PELVIS W/O IV CONTRAST $ 2,498 6380203 MR PELVIS W&W/O IV CONTRAST $ 5,536 6390000 MR BRACHIAL PLEX LT W/O IV CONTRAST $ 2,451 6390001 MR BRACHIAL PLEX LT W/ & W/O IV CONTRAST $ 5,504 6390002 MR UPPER EXT LT W/O IV CONTRAST $ 2,491 6390003 MR UPPER EXT LT ARTHROGRAM $ 5,443 6390004 MR LOWER EXT LT ARTHROGRAM $ 2,986 6390005 MR JOINT UPPER EXT LT W/O IV CONTRAST $ 2,441 6390006 MR JOINT UPPER EXT LT W/&W/O IV CONTRAST $ 5,527 6390007 MR LOWER EXT LT W/O IV CONTRAST $ 2,491 6390008 MR LOWER EXT LT W/&W/O IV CONTRAST $ 3,613 6390009 MR JOINT LOWER EXT LT W/O IV CONTRAST $ 2,441 6390010 MR JOINT LOWER EXT LT W/&W/O IV CONTRAST $ 5,527 6390011 MRA LOWER EXT LT W/ IV CONTRAST $ 2,455 6390012 MR JOINT LOWER EXT RT W/ IV CONTRAST $ 3,148 6390013 MR JOINT UPPER EXT RT W/ IV CONTRAST $ 3,148 6390014 MR LOWER EXT RT W/ IV CONTRAST $ 3,148 6390015 MR UPPER EXT RT W/ IV CONTRAST $ 3,148 6390016 MR SACRUM W/&W/O IV CONTRAST $ 2,143 6390017 MR SACRUM W/O IV CONTRAST $ 2,143 6390018 MR UPPER EXT LT W/&W/O IV CONTRAST $ 3,613 6390019 MR JOINT LOWER EXT LT W/ IV CONTRAST $ 3,148 6390020 MR JOINT UPPER EXT LT W/ IV CONTRAST $ 3,148 6390021 MR LOWER EXT LT W/ IV CONTRAST $ 3,148 6390022 MR UPPER EXT LT W/ IV CONTRAST $ 3,148 6414350 US HEAD/NECK SOFT TISSUE $ 579 6414418 US ECHOCARDIOGRAM STRESS $ 878 6414434 US ECHOCARDIOGRAM TEE $ 1,568 6414459 US ECHOCARDIOGRAM $ 1,896 6414460 US ECHOCARDIOGRAM LIMITED $ 971 6414475 US CHEST $ 531 6414509 US PLEURAL EFFUSION $ 531 6414558 US ABDOMEN SURVEY $ 639 6414608 US ABDOMEN LIMITED $ 579 6414624 US SCROTUM DOPPLER $ 1,604 6414632 US SONOHYSTEROGRAM $ 540 6414640 US PELVIC FOLLICLE COUNT $ 681 6414665 US OB FETAL UMB ART $ 564 6414673 US FETAL MIDDLE CEREBRAL ARTERY DOPPLER $ 360 6414681 US OB >14 WEEKS $ 734 6414707 US OB FOLLOW UP $ 451 6414715 US OB FIRST TRIMESTER $ 684 6414731 US BREAST RT $ 429 6414756 US AORTA $ 540 6414757 US AORTA (AAA SCREEN) $ 540 6414764 US ARTERY LOWER EXT $ 1,051 6414766 US ARTERY LOWER EXT BILATERAL $ 1,051 6414772 US RETROPERITONEUM $ 639 6414773 US RETROPERITONEUM LIMITED $ 540 6414798 US PELVIC BLADDER $ 500 6414822 US OB LIMITED $ 579 6414848 US OB AMNIOCENTESIS $ 500 6414855 US OB PLACENTA LOCAL $ 684 6414863 US OB > 14 WEEKS ADDITIONAL FETUS $ 876 6414864 US OB FAS ADDITIONAL FETUS $ 910 6414865 US OB <14 WEEKS ADDITIONAL FETUS $ 286 6414871 US VENOUS UPPER UNILATERAL RT $ 1,428 6414872 US VENOUS LOWER UNILATERAL RT $ 1,428 6414889 US ENDOVAGINAL PREGNANT $ 625 6414897 US PELVIC $ 625 6414913 US CAROTIDS $ 2,195 6414921 US RENAL ARTERIES $ 2,870 6414939 US VENOUS UPPER BILATERAL $ 2,084 6414940 US VENOUS LOWER BILATERAL $ 2,084 6414947 US ILIAC FEMORAL ARTERIES $ 1,946 6414962 US OB BPP/AFI $ 659 6414970 US NEEDLE PLACEMENT $ 1,121 6415001 US GUIDANCE VASCULAR PICC $ 1,121 6415126 US ENDOVAGINAL NON PREGNANT $ 625 6415209 US SPINAL CANAL $ 639 6415241 US EXT NON VASCULAR $ 579 6415258 US INFANT HIP DYNAMIC $ 625 6415282 US INFANT HEAD $ 579 6415761 US ARTERY UPPER EXT $ 1,051 6415763 US ARTERY UPPER EXT BILATERAL $ 1,051 6415764 US OB FETAL ANATOMY SURVEY COMPLETE $ 1,201 6490000 US BREAST LT $ 429 6490001 US ARTERY LOWER EXT $ 1,051 6490002 US VENOUS UPPER UNILATERAL LT $ 1,428 6490003 US EXT NON VASCULAR $ 579 6490004 US ARTERY UPPER EXT $ 1,051 6490005 US OB VERSION $ 451 6490006 US EXT NON VASCULAR LIMITED $ 244 6490007 US ANKLE BRACHIAL INDEX LIMITED $ 554 6490008 US BREAST LOCALIZATION LT $ 1,829 6490009 US BREAST LOCALIZATION RT $ 1,829 6490010 US VENOUS LOWER UNILATERAL LT $ 1,428 6490011 US PELVIC LIMITED $ 681 6490012 US AXILLA $ 458 6511026 CT ABCESS DRAINAGE/PLACEMENT $ 2,826 6519987 CTA BRAIN W/ IV CONTRAST $ 4,870 6519995 CT BRAIN W/O & W/ IV CONTRAST $ 2,989 6520019 CT BRAIN W/O IV CONTRAST $ 1,998 6520027 CT BRAIN W/ IV CONTRAST $ 2,397 6520050 CT ORBIT/EAR W/O IV CONTRAST $ 1,998 6520076 CT FACIAL/SINUS W/O IV CONTRAST $ 1,998 6520084 CT ORBIT/EAR W/ IV CONTRAST $ 2,394 6520092 CT ORBIT/EAR W/ & W/O IV CONTRAST $ 3,788 6520100 CT ABD W/O IV CONTR $ 2,394 6520118 CT ABD W/ IV CONTRAST $ 2,894 6520126 CT ABD W/ & W/O IV CONTRAST $ 3,582 6520134 CT FACIAL/SINUS W/ IV CONTRAST $ 2,394 6520142 CT FACIAL/SINUS W/ & W/O IV CONTRAST $ 2,989 6520159 CTA ABD RUNOFF W/ IV CONTRAST $ 6,459 6520167 CT ABD PELVIS W/O IV CONTRAST $ 2,499 6520175 CT ABD PELVIS W/ IV CONTRAST $ 2,894 6520183 CT ABD PELVIS W/ & W/O IV CONTRAST $ 3,582 6520191 CT NECK SOFT TISSUE W/ IV CONTRAST $ 2,394 6520209 CT CHEST W/ IV CONTRAST $ 2,989 6520225 CT CHEST W/O IV CONTRAST $ 2,499 6520233 CT NECK SOFT TISSUE W/O IV CONTRAST $ 1,998 6520241 CT CHEST W/O & W/ IV CONTRAST $ 3,740 6520266 CT NECK SOFT TISSUE W/ & W/O IV CONTRAST $ 2,989 6520308 CT SPINE LUMBAR W/O IV CONTRAST $ 2,499 6520316 CT SPINE CERVICAL W/O IV CONTRAST $ 2,499 6520324 CT SPINE LUMBAR W/ IV CONTRAST $ 2,989 6520332 CT SPINE LUMBAR W/ & W/O IV CONTRAST $ 3,740 6520340 CT SPINE THORACIC W/O IV CONTRAST $ 2,499 6520357 CT SPINE CERVICAL W/ IV CONTRAST $ 2,989 6520365 CT SPINE CERVICAL W/ & W/O IV CONTRAST $ 3,740 6520373 CT SPINE THORACIC W/ IV CONTRAST $ 2,989 6520381 CT SPINE THORACIC W/ & W/O IV CONTRAST $ 3,740 6520407 CT UPPER EXT RT W/O IV CONTRAST $ 2,093 6520506 CT LOWER EXT RT W/O IV CONTRAST $ 2,093 6520522 CT LOWER EXT RT W/ IV CONTRAST $ 2,499 6520548 CT LOWER EXT RT W/ & W/O IV CONTRAST $ 3,136 6520563 CT UPPER EXT RT W/ IV CONTRAST $ 2,499 6520589 CT UPPER EXT RT W/ & W/O IV CONTRAST $ 3,136 6520605 CT PELVIC W/O IV CONTRAST $ 2,499 6520613 CT PELVIC W/ IV CONTRAST $ 2,894 6520621 CT PELVIC W/ & W/O IV CONTRAST $ 3,582 6520647 CTA PE CHEST W/ IV CONTRAST $ 4,870 6520648 CTA THORACIC AORTA W/ IV CONTRAST $ 4,870 6520654 CT CHEST HI-RES W/O IV CONTRAST $ 2,499 6520944 CT NEEDLE GUIDANCE ASP/BX $ 3,488 6521181 CTA CAROTID W/ IV CONTRAST $ 5,696 6521182 CTA CAROTID W/ & W/O IV CONTRAST $ 6,736 6521553 CT RECONSTRUCTIONS $ 1,494 6526602 CTA ABD PELVIS AORTA W/ IV CONTRAST $ 4,870 6590000 CT UPPER EXT LT W/O IV CONTRAST $ 2,093 6590001 CT LOWER EXT LT W/O IV CONTRAST $ 2,093 6590002 CT LOWER EXT LT W/ IV CONTRAST $ 2,499 6590003 CT LOWER EXT LT W/ & W/O IV CONTRAST $ 3,136 6590004 CT UPPER EXT LT W/ IV CONTRAST $ 2,499 6590005 CT UPPER EXT LT W/ & W/O IV CONTRAST $ 3,136 6590006 CT SACRUM W/ IV CONTRAST $ 2,894 6590007 CT SACRUM W/O IV CONTRAST $ 2,499 6590008 CTA ABD W/ &W/O IV CONTRAST $ 2,894 6610006 BD APPENDAGE $ 347 6610501 BD SPINE/HIP $ 708 6618009 BD VERTEBRAL $ 184 6800001 ACETAMINOPHEN SUPP 325MG $ 1 6800002 ACETAMINOPHEN SUPP 120MG $ 1 6800003 TYLENOL 325 MG $ 1 6800004 ACETAMINOPHEN 500MG TAB $ 1 6800005 ACETAZOLAMIDE (DIAMOX) 250MG TAB $ 9 6800006 ACETIC ACID (VOSOL) 2% OTIC SOLN $ 89 6800007 ACETIC ACID 0.25% IRRIG 1000ML $ 30 6800008 ACETYLCYSTEINE INH 10% SOLN $ 43 6800009 ACETYLCYSTEINE INH 20% SOLN $ 35 6800010 ACIDOPHILLUS (LACTINEX) TAB $ 1 6800011 ACTIVATED CHARCOAL SORBITOL 25G LIQ $ 81 6800012 ACTIVATED CHARCOAL SORBITOL 50G LIQ $ 96 6800013 ACYCLOVIR VIAL : 1GM $ 133 6800014 ACYCLOVIR (ZOVIRAX) 200MG CAP $ 15 6800015 ACYCLOVIR (ZOVIRAX) 5% CRM $ 1,615 6800016 ACYCLOVIR VIAL : 500 MG/10 ML $ 175 6800017 BOOSTRIX (TDAP) 0.5ML INJ $ 295 6800018 ADALIMUMAB (HUMIRA) 40MG/0.8ML PEN $ 3,854 6800019 ADENOSINE (ADENOCARD) 6MG/2ML INJ $ 75 6800020 ADVAIR DISKUS 100/50 MDI $ 430 6800021 ADVAIR DISKUS 250/50 MDI $ 450 6800022 ADVAIR DISKUS 500/50 MDI $ 700 6800023 AGGRENOX 25MG/ 200MG CAP $ 36 6800024 ALBUTEROL 90MCG MDI $ 180 6800025 ALBUTEROL INHALER (VENTOLIN) 90MCG $ 100 6800026 ALENDRONATE 70MG TAB $ 96 6800027 ALLOPURINOL 100MG TAB $ 9 6800028 ALPRAZOLAM (XANAX) 0.5MG TAB $ 15 6800029 ALTEPLASE (ACTIVASE) 100MG VIAL $ 20,134 6800030 ALTEPLASE(CATHFLO ACTIVASE) 2MG INJ $ 600 6800031 ALUMINUM CHLORIDE (DRYSOL) 20% SOLN $ 54 6800032 AMANTADINE (SYMMETREL) 100MG CAP $ 25 6800033 AMINOSYN II 10% 100 $ 128 6800034 AMINOSYN II 10% 200 $ 154 6800035 AMINOSYN 10% 500ML $ 154 6800036 AMIODARONE VIAL : 150MG/3ML $ 100 6800037 AMIODARONE 200MG TAB $ 20 6800040 AMIODARONE VIAL : 900MG/18ML $ 85 6800041 AMITRIPTYLINE 10MG $ 9 6800042 AMITRIPTYLINE 25MG $ 15 6800043 AMITRIPTYLINE 50MG $ 15 6800044 AMLODIPINE BESYL (NORVASC) 10MG TAB $ 10 6800045 AMLODIPINE BESYLATE ORAL TABLET 5MG $ 10 6800046 AMOXICILLIN 250MG CAP $ 15 6800047 AMOXICILLIN SUSP 250MG/5ML $ 25 6800048 AMOXICILLIN 500MG CAP $ 10 6800049 AMPICILLIN : 1GM VIAL $ 103 6800050 AMPICILLIN : 2GM VIAL $ 65 6800051 AMPICILLIN : 500MG VIAL $ 160 6800052 AMPICILLIN SUSP 50MG/ML ORAL $ 65 6800056 ANUCORT HC 25MG SUPP $ 37 6800057 ACETAMINOPHEN 80MG CHEWTAB $ 1 6800058 ACETAMINOPHEN DROPS 160MG/5ML PEDS $ 9 6800059 TYLENOL CODEINE #3 300MG/ 30MG TAB $ 15 6800061 ARIPIPRAZOLE 2MG TAB $ 98 6800062 ASCORBIC ACID (VITAMIN C) 500MG TAB $ 1 6800063 ASPIRIN SUPP 300MG $ 3 6800064 ASPIRIN 325MG TAB $ 1 6800065 ASPIRIN E.C. 325MG $ 1 6800066 ATAZANAVIR (REYATAZ) 300MG CAP $ 141 6800067 ATENOLOL 25MG TAB $ 15 6800068 ATENOLOL 50MG TAB $ 15 6800069 ATORVASTATIN 10MG TAB $ 35 6800070 ATORVASTATIN 40MG TAB $ 9 6800071 ATRACURIUM 100MG/10ML VIAL $ 130 6800072 ATRACURIUM BESYLATE 10MG/ML INJ $ 45 6800073 ATROPINE VIAL 0.4MG/ML 20ML $ 120 6800074 ATROPINE SULFATE 0.4MG/ML INJ $ 65 6800075 TRIAMCINOLONE ACETONIDE OINTMENT 0.1% $ 20 6800076 ATROPINE SULFATE 1% OPTH SOLUTION $ 65 6800077 ATROPINE 1MG/10ML SYRINGE $ 75 6800078 ATROPINE SULFATE 1MG/ML INJ $ 25 6800079 ATROVENT 0.02% NEB SOLN UD $ 55 6800080 AUGMENTIN SUSP 400-57MG/ 5ML $ 160 6800081 AUGMENTIN 500-125MG TAB $ 25 6800082 AUGMENTIN 875-125MG TAB $ 25 6800083 AURALGAN OTIC SOLN $ 40 6800084 AVITENE 1GM POWDER $ 1,505 6800085 AZITHROMYCIN 250MG $ 40 6800086 AZITHROMYCIN : 500MG VIAL $ 100 6800087 AZITHROMYCIN SUSP 100MG/5ML ORAL $ 100 6800088 AZITHROMYCIN SUSP 200MG/5ML ORAL $ 65 6800090 AZTREONAM (AZACTAM) 1GM VL $ 215 6800092 BACITRACIN IRRIG 50,000 UNITS $ 100 6800093 BACITRACIN PACKET 500 UNITS/ GM OINTMENT $ 9 6800094 BACITRACIN OPTH 500 UNITS/GM OINTMENT $ 195 6800095 BACLOFEN 10MG TAB $ 10 6800096 BACTRIM 800MG/160MG DS TABLET $ 9 6800097 Q VAR 80MCG INHALER (BECLOMETHASONE) $ 379 6800098 DIPHENHYDRAMINE ELIXIR 12.5MG/5ML $ 75 6800099 DIPHENHYDRAMINE 50MG/1ML INJ $ 65 6800100 BENAZEPRIL 10MG TAB $ 15 6800101 BENZOCAINE (ORAJEL) 20% GEL $ 30 6800102 BENZONATATE 100MG CAP $ 10 6800103 BENZTROPINE (COGENTIN) 1MG TAB $ 9 6800104 BETAMETHASONE (CELESTONE) 6MG/ML VIAL $ 165 6800105 BETAXOLOL 0.25% OP SUSP $ 82 6800106 BICILLIN L-A 1.2 MILLION UNITS/2ML SYR $ 280 6800107 BICITRA 3GM-2GM/ 30ML UD ORAL SOLN $ 9 6800108 BISACODYL SUPP 10MG (DULCOLAX) $ 9 6800109 BISACODYL 5MG TAB (DULCOLAX) $ 9 6800110 BOTOX 100 UNITS VIAL $ 1,700 6800111 BOUDREAUX BUTT PASTE 1 OZ $ 9 6800112 BRIMONIDINE 0.15% OP SOLN $ 336 6800113 BUDESONIDE (PULMICORT) 180MCG MDI $ 486 6800114 BUMETANIDE (BUMEX) 1MG TAB $ 9 6800115 BUMETANIDE (BUMEX) 2.5MG/10ML VIAL $ 14 6800116 BUPIVACAINE MPF 0.75% SPINAL INJ $ 65 6800117 BUPIVACAINE MPF 0.5% VIAL $ 65 6800118 BUPIVACAINE MULTIDOSE 0.5% VIAL $ 65 6800119 BUPIVACAINE MPF 0.25% VIAL $ 135 6800120 BUPIVACAINE MULTIDOSE 0.25% VIAL $ 16 6800121 BUPIVACAINE -EPI MPF 0.25% VIAL $ 75 6800122 BUSPIRONE 5MG (BUSPAR) TAB $ 15 6800123 CALCITRIOL (ROCALTROL) 0.25MCG CAP $ 9 6800124 CALCIUM CARBONATE (TUMS) 500MG TAB $ 1 6800125 CALCIUM CHLORIDE : 10% 10ML VIAL $ 65 6800126 CALCIUM CHLORIDE 1GM/10ML PREFILLED SYR $ 58 6800127 CALCIUM GLUCONATE : 1GM/10ML VIAL $ 65 6800128 CALCIUM-OYSTER SHELL 500MG TAB $ 9 6800129 CAPTOPRIL (CAPOTEN) 12.5MG TAB $ 9 6800130 CAPTOPRIL (CAPOTEN) 25MG TAB $ 9 6800131 CARBACHOL (MIOSTAT) 0.01% OP SOLN $ 409 6800132 CARBAMAZEPINE (TEGRETOL) 200MG TAB $ 10 6800133 CARVEDILOL 12.5MG TAB $ 15 6800134 CARVEDILOL 3.125MG $ 10 6800135 CASPOFUNGIN (CANCIDAS) 50MG/10ML VIAL $ 1,283 6800136 CATAPRES TTS-1 0.1MG/24HR WKLY PATCH $ 156 6800137 CATAPRES TTS-2 0.2MG/24HR WKLY PATCH $ 213 6800138 CATAPRES TTS-3 0.3MG/24HR WKLY PATCH $ 294 6800139 CEFAZOLIN VIAL : 1GM $ 65 6800140 CEFAZOLIN (ANCEF) 1GM/D5W 50ML PREMIX $ 145 6800142 CEFEPIME (MAXIPIME) : 1GM VIAL $ 26 6800143 CEFEPIME (MAXIPIME) : 2GM VIAL $ 180 6800146 CEFOXITIN VIAL : 1GM $ 130 6800147 CEFOXITIN 1GM/ D5W 50ML PREMIX $ 185 6800148 CEFOXITIN 2GM/ D5W 50ML PREMIX $ 180 6800150 CEFPODOXIME (VANTIN) 200MG TAB $ 49 6800151 CEFTAZIDIME (FORTAZ) 1GM VIAL $ 43 6800153 CEFTRIAXONE VIAL : $ 65 6800154 CEFTRIAXONE 1GM/ 50ML PREMIX $ 290 6800155 CEFTRIAXONE VIAL : $ 105 6800156 CEFTRIAXONE 2GM/ 50ML PREMIX $ 200 6800159 CEFUROXIME (CEFTIN) 500MG TAB $ 48 6800160 CELECOXIB 100MG CAP $ 30 6800161 CEPHALEXIN (KEFLEX) 250MG CAP $ 10 6800162 CEPHALEXIN SUSP (KEFLEX) 250MG/5ML $ 130 6800163 CEPHALEXIN (KEFLEX) 500MG CAP $ 10 6800164 MULTI-VITAMIN/ MINERALS LIQUID $ 20 6800165 CETACAINE TOPICAL ANESTHETIC SPRAY $ 230 6800166 CETIRIZINE 10MG TAB $ 9 6800167 CHLORDIAZEPOXIDE (LIBRIUM) 25MG CAP $ 10 6800168 CHLOROMYCETIN 1GM V $ 126 6800169 CHLOROTHIAZIDE (DIURIL) 500MG VIAL $ 40 6800170 CHOLESTYRAMINE (QUESTRAN) POWDER 4GM $ 9 6800171 CIDOFOVIR (VISTIDE) 375MG/5ML VIAL $ 395 6800172 CIPROFLOXACIN SOLN OPTH 0.3% $ 78 6800173 CIPROFLOXACIN PREMIX 200MG/D5W 100ML $ 160 6800174 CIPROFLOXACIN 250MG TAB $ 10 6800175 CIPROFLOXACIN VIAL 400MG/ 40ML $ 180 6800176 CIPROFLOXACIN PREMIX 400MG/D5W 200ML $ 160 6800177 CIPROFLOXACIN 500MG TAB $ 10 6800178 CISATRACURIUM (NIMBEX) 2MG/ML VIAL $ 93 6800179 CITALOPRAM (CELEXA) 20MG TAB $ 10 6800180 MAGNESIUM CITRATE 10OZ ORAL SOLN $ 10 6800181 CLARITHROMYCIN (BIAXIN) 500MG TAB $ 26 6800182 CLINDAMYCIN 150MG CAP $ 10 6800183 CLINDAMYCIN (CLEOCIN) 150MG VL $ 80 6800184 CLINDAMYCIN 300MG CAP $ 10 6800185 CLINDAMYCIN VIAL : 600MG $ 130 6800186 CLINDAMYCIN 300MG/D5W 50ML (PREMIX) $ 156 6800187 CLINDAMYCIN 600MG/D5W 50ML (PREMIX) $ 150 6800188 CLINDAMYCIN 900MG/D5W 50ML (PREMIX) $ 230 6800190 CLINIMIX 4.25%/10% 2000ML $ 255 6800191 CLINIMIX 5%/15% 200 $ 276 6800192 CLINIMIX 5%/20% 200 $ 279 6800193 CLINIMIX E 4.25%/10% 2000ML $ 258 6800194 CLINIMIX E 5%/15% 2000ML $ 280 6800195 CLINIMIX E 5%/20% 2000ML $ 284 6800196 CLONAZEPAM 1 MG TAB $ 16 6800197 CLONIDINE 0.1MG TAB $ 9 6800198 CLOPIDOGREL 75MG TAB $ 30 6800199 CLOTRIMAZOLE (MYCELEX) 10MG LOZENGE $ 9 6800200 CLOTRIMAZOLE-BETAMETHASONE CRM $ 130 6800201 COCAINE 4% TOPICAL SOLN $ 480 6800202 COLCHICINE 0.6MG TAB $ 33 6800203 COMBIVENT 103-18MCG MDI $ 6 6800204 CONJ ESTROGEN 0.3MG TAB $ 25 6800205 CONJ ESTROGEN 0.625MG TAB $ 18 6800206 CORTENEMA ENEMA 100MG/60ML $ 23 6800207 NEO/ POLY/ HYDROCORT OTIC SUSPENSION $ 230 6800208 NEO/ POLY/ HYDROCORT OTIC SOLUTION $ 180 6800209 CYCLOBENZAPRINE (FLEXERIL) 10MG TAB $ 9 6800210 CYCLOPENTOLATE 1% OP SOLN $ 53 6800211 CYPROHEPTADINE 4MG $ 9 6800212 D5W 1000ML $ 64 6800213 DAKIN'S HALF STRENGTH 0.25% SOLN $ 54 6800214 DAPTOMYCIN (CUBICIN) 500MG VIAL $ 849 6800215 DEBROX 6.5% OTIC SOLN $ 9 6800216 DECADRON OPTHALMIC 0.1% SOLN $ 90 6800217 DEPAKENE 250MG/5ML SYRUP $ 9 6800218 DEPO MEDROL 40 MG/ML INJ $ 58 6800219 DEPO MEDROL 80 MG/ML INJ $ 155 6800220 DEPO PROVERA 150MG/ML INJ $ 182 6800221 DEPO TESTOSTERONE 200MG/ML INJ $ 69 6800222 DERMOPLAST 20%/ 0.5% SPRAY $ 28 6800223 DESFLURANE (SUPRANE) 240ML LIQ $ 515 6800224 DESIPRAMINE (NORPRAMIN) 25MG TAB $ 9 6800225 DESMOPRESSIN (DDAVP) 4MCG/ML INJ $ 113 6800226 DESMOPRESSIN (DDAVP) 0.01% NASAL SPRAY $ 161 6800227 DEXAMETH (DECADRON) 0.1% OP SOLN $ 7 6800228 DEXAMETHASONE (DECADRON) 4MG TAB $ 9 6800229 DEXAMETHASONE INJ 4MG/ML $ 100 6800230 DEXAMETHASONE INJ 10MG/ML $ 80 6800231 DEXTROSE (GLUCOSE) 15GM GEL $ 23 6800232 DEXTROSE SYRINGE (PEDS) 25% 10ML $ 33 6800233 DEXTROSE SYRINGE 50% 25GM/50ML $ 1 6800235 DHE (MIGRANAL) 1MG/ML INJ $ 205 6800236 DIAZEPAM (VALIUM) 10MG/2ML INJ $ 75 6800237 DIAZEPAM (VALIUM) 5MG TAB $ 25 6800238 DIBUCAINE (NUPERCAINAL) 1% OINT $ 28 6800239 DICYCLOMINE (BENTYL) 20MG/2ML INJ $ 280 6800240 DICYCLOMINE (BENTYL) 20MG TAB $ 9 6800241 DIFLUCAN 200MG/100ML D5W PREMIX IVPB $ 126 6800242 DIGOXIN (LANOXIN) 125MCG TAB $ 30 6800243 DIGOXIN (LANOXIN) 250MCG TAB $ 15 6800244 DIGOXIN 500MCG/2ML $ 280 6800245 DIGOXIN SOLN 0.05MG/ML ORAL $ 20 6800246 DILANTIN SUSP 125MG/5ML ORAL $ 9 6800248 DILTIAZEM ER 120MG $ 10 6800249 DILTIAZEM VIAL 125MG/25ML $ 33 6800250 DILTIAZEM ER 180MG $ 10 6800251 DILTIAZEM VIAL 25MG/5ML $ 90 6800252 DILTIAZEM 30MG TAB $ 10 6800253 DILTIAZEM VIAL 50MG/10ML $ 9 6800254 DILTIAZEM VIAL 5MG/ML $ 33 6800257 DIMERCAPROL 300MG/3ML INJ $ 293 6800258 DINOPROSTONE (CERVIDIL) 10MG INSERT $ 900 6800259 DIPHENHYDRAMINE CREAM 2% (BANOPHEN) $ 9 6800260 DIPHENHYDRAMINE (BENADRYL) 25MG CAP $ 9 6800261 DIVALPROEX (DEPAKOTE) 250MG E.R. TAB $ 18 6800262 DOBUTAMINE 500MG/D5W 250ML PREMIX $ 200 6800263 DOCUSATE CA 240MG CAP $ 9 6800264 DOCUSATE SUSP 100MG/10ML $ 10 6800265 DOCUSATE SOD 100MG $ 9 6800266 DONEPEZIL HCL (ARICEPT) 5MG TAB $ 9 6800268 DONNATAL ELIXIR 4OZ BOTTLE $ 652 6800269 DOPAMINE DRIP 400MG/D5W 250ML $ 129 6800270 DOPAMINE : 200MG/ 5ML VIAL $ 15 6800271 DOXEPIN HCL (GEN. SINEQUAN) 25MG CAP $ 9 6800272 DOXYCYCLINE (VIBRAMYCIN) 100MG $ 25 6800273 DOXYCYCLINE (VIBRAMYCIN) 100MG VIAL $ 98 6800274 DRONABINOL (GEN. MARINOL) 2.5MG CAP $ 34 6800275 DULOXETINE (CYMBALTA) 30MG CAP $ 36 6800276 ENALAPRIL MALEATE 1.25MG/ML VIAL $ 115 6800277 ENALAPRIL MALEATE 20MG TAB $ 15 6800278 ENALAPRIL MALEATE 5MG TAB $ 10 6800279 ENOXAPARIN 100 MG/ 1ML SYRINGE $ 230 6800280 ENOXAPARIN 30 MG/ 0.3ML SYRINGE $ 210 6800281 ENOXAPARIN 40 MG/ 0.4ML SYRINGE $ 250 6800282 ENOXAPARIN 60 MG/ 0.6ML SYRINGE $ 275 6800283 ENOXAPARIN 80 MG/ 0.8ML SYRINGE $ 495 6800284 EPHEDRINE 50MG/ML INJ $ 95 6800285 EPINEPHRINE 1MG/10ML PREMIX SYG $ 1 6800286 EPINEPHRINE MULTIDOSE VIAL 1MG/ML 30ML $ 28 6800288 ERYTHROMYCIN 0.5% OP OINT $ 51 6800289 ERYTHROMYCIN 500MG $ 50 6800290 ERYTHROMYCIN 500MG VIAL $ 205 6800292 ESCITALOPRAM 20MG TAB $ 9 6800293 ESMOLOL (BREVIBLOC) 2500MG/250ML $ 557 6800294 ESTRADIOL (ESTRACE) 2MG TAB $ 10 6800295 ESTRADIOL 0.1MG/24H (CLIMARA) WKLY PATCH $ 58 6800296 ESTRADIOL VALERATE 20MG/ML INJ $ 107 6800297 ESTRADIOL VALERATE 40MG/ML INJ $ 146 6800299 ETHYL CHLORIDE SPRAY $ 128 6800300 ETOMIDATE (AMIDATE) 2MG/ML 10ML VIAL $ 56 6800301 EUCERIN CRM 2OZ $ 24 6800302 EYE STREAM STERILE OPTH SOLN $ 81 6800303 EZETIMIBE (ZETIA) 10MG TAB $ 40 6800304 FAMOTIDINE 40MG/ 4ML INJ $ 80 6800305 FAMOTIDINE 20MG TAB $ 9 6800306 FENOFIBRATE (TRICOR) 48MG TAB $ 10 6800307 FENTANYL 100MCG/2ML INJ $ 90 6800308 FENTANYL 250MCG/5ML VIAL $ 80 6800309 FENTANYL PATCH 25MCG/HR 72HR $ 73 6800310 FENTANYL PATCH 50MCG/HR 72HR $ 169 6800311 FENTANYL PATCH 75MCG/HR 72HR $ 276 6800312 FENTANYL PATCH 100MCG/HR 72H $ 181 6800314 FERROUS GLUCONATE 324MG TAB $ 9 6800315 FERROUS SULFATE 300MG/5ML ELIXIR $ 9 6800316 FLUTICASONE NASAL SPRAY 50MCG/ ACT $ 75 6800317 FLUCONAZOLE TAB 100MG $ 15 6800318 FLUCONAZOLE TAB 150MG $ 10 6800319 FLUMAZENIL 0.5MG/5ML INJ $ 65 6800320 FLUOCINONIDE (LIDEX) 0.05% CRM $ 99 6800321 FLUORESCEIN SODIUM 0.6MG OPTH STRIP $ 10 6800322 FLUOXETINE 10MG CAP $ 9 6800323 FLUOXETINE 20MG CAP $ 10 6800324 FLURATE 0.25-0.4% OP SOLN $ 10 6800325 FLURBIPROFEN OP SOLN 0.03% $ 15 6800326 FLUTICASONE INHALER 110MCG $ 401 6800327 FOLIC ACID 1MG TAB $ 9 6800328 FOLIC ACID 5MG/ML V $ 135 6800329 FOMEPIZOLE 1.5G/1.5ML VL $ 482 6800330 FORMOTEROL (FORADIL) 12MCG INH CAP $ 24 6800331 FUROSEMIDE IV 100 MG/10ML $ 65 6800332 FUROSEMIDE 20 MG TAB $ 9 6800333 FUROSEMIDE IV 20 MG/2ML $ 115 6800334 FUROSEMIDE 40 MG TAB $ 9 6800335 FUROSEMIDE IV 40 MG/4ML $ 135 6800336 FUROSEMIDE 80 MG TAB $ 9 6800338 GABAPENTIN 100MG CAP $ 9 6800339 GABAPENTIN 300MG CAP $ 10 6800340 GABAPENTIN 400MG CAP $ 10 6800341 GABAPENTIN 800MG TAB $ 9 6800342 GADOBUTROL (GADAVIST) 10ML INJ $ 338 6800343 GADOBUTROL (GADAVIST) 10ML VL $ 104 6800344 GADOBUTROL (GADAVIST) 7.5ML INJ $ 254 6800345 GADOBUTROL (GADAVIST) 7.5ML VL $ 78 6800346 GADOPENTETATE (MAGNEVIST) 10ML VL $ 11 6800347 GELFOAM SIZE 100 COMPRESSED $ 90 6800348 GELFOAM SIZE 12-7MM $ 34 6800349 GEMFIBROZIL 600MG TAB $ 10 6800350 GENTAMICIN OP 0.3% OINT $ 36 6800351 GENTAMICIN OP 0.3% SOLN $ 102 6800352 GENTAMICIN MPF : 20MG/2ML INJ $ 25 6800353 GENTAMICIN : 40MG/ML 20ML VL $ 51 6800354 GENTAMICIN 80MG/100ML NS PREMIX $ 110 6800356 GENTIAN VIOLET 1% LIQ 2OZ $ 9 6800357 GLIMEPIRIDE (AMARYL) 2MG TAB $ 15 6800358 GLIPIZIDE 5MG E.R. $ 9 6800359 GLIPIZIDE 5MG TAB $ 9 6800361 GLUCAGEN 1MG/2ML VIAL $ 304 6800362 GLYBURIDE 1.5MG MICRO-SIZE TABLET $ 9 6800363 GLYBURIDE 5MG TAB $ 20 6800364 GLYCERIN (PEDIA-LAX) 1GM SUPP $ 1 6800365 GLYCERIN 2GM SUPP $ 1 6800367 GLYCOPYRROLATE 0.2MG/ML VIAL $ 184 6800368 GUAIFENESIN (MUCINEX) 600MG E.R. TAB $ 9 6800369 GUAIFENESIN 100MG/5ML SOLN 118ML BTTL $ 9 6800370 GUAIFENESIN 100MG/5ML SYR UD CUP $ 6 6800371 GUANFACINE HCL (TENEX) 1MG TAB $ 9 6800372 HALOPERIDOL 1MG TAB $ 10 6800373 HALOPERIDOL 5MG TAB $ 9 6800374 HALOPERIDOL 5MG/ML $ 280 6800375 HEMABATE 250MCG/ML $ 550 6800376 HEP A VAC (HAVRIX) 1440 UNITS/ML INJ $ 215 6800377 HEPARIN 1,000 UNITS/ML 10ML VIAL $ 45 6800378 HEPARIN 1,000 UNITS/ML INJ $ 35 6800379 HEPARIN 2,000 UNITS/2ML INJ $ 43 6800381 HEPARIN 5,000 UNITS/ML INJ $ 160 6800382 HEPARIN FLUSH 10 UNITS/ML $ 65 6800383 HEPATITIS B PEDS IMM GLOBULIN 1ML INJ $ 391 6800384 HEPATITIS B IMM GLOBULIN 5ML INJ ADULT $ 343 6800385 HEP B PEDS (ENGERIX) VACC $ 140 6800386 HEPATITIS B (ADULT) VACC 20MCG/ML INJ $ 215 6800387 HETASTARCH (HESPAN) 6%/NS 500ML $ 150 6800388 HYDRALAZINE 10MG TAB $ 9 6800389 HYDRALAZINE 25MG TAB $ 9 6800390 HYDRALAZINE INJ 20MG/ML $ 59 6800391 HYDROCHLOROTHIAZIDE 25MG TAB $ 9 6800392 NORCO 10-325MG TAB $ 15 6800393 HYDROCOD-APAP (VICODIN) 5-500MG TAB $ 15 6800394 HYDROCORTISONE CREAM 1% $ 21 6800395 HYDROCORTISONE 10MG TAB $ 10 6800396 HYDROCORTISONE CREAM (PROCTOZONE) 2.5% $ 132 6800397 HYDROMORPHONE 2MG TAB $ 15 6800398 HYDROMORPHONE 2MG/ML INJ $ 130 6800399 HYDROMORPHONE 50MG/5ML VIAL $ 36 6800402 HYDROXYZINE CAP 25MG $ 15 6800403 HYDROXYZINE 50MG/ML INJ $ 19 6800404 HYDROXYZINE 100MG/2ML INJ $ 24 6800405 IBUPROFEN SUSP 100MG/5ML $ 21 6800406 IBUPROFEN 200 MG TAB $ 1 6800407 IBUPROFEN 400 MG TAB $ 1 6800408 IBUPROFEN 600 MG TAB $ 1 6800409 IBUTILIDE (CORVERT) 1MG/10ML VL $ 51 6800410 INDIGO CARMINE 0.8%/5ML INJ $ 31 6800411 INDOMETHACIN (INDOCIN) 25MG CAP $ 9 6800412 INFLIXIMAB (REMICADE) 100 MG VIAL $ 335 6800413 INSULIN LEVEMIR 100 U/ML FLEXPEN $ 89 6800414 INSULIN N HUMN (NOVOLIN) 100U/ML 10ML VL $ 45 6800415 INSULIN R HUMN (NOVOLIN) 100U/ML 10ML VL $ 62 6800416 INTEGRILIN 20MG/10ML INJ $ 379 6800417 INTEGRILIN 75MG/100ML INJ $ 1,131 6800418 IPRATROPIUM BROMIDE 17MCG MDI $ 610 6800419 IPRATROPIUM-ALBUTEROL 100-20MCG MDI $ 625 6800420 IRON SUCROSE (VENOFER) 20MG/ML VIAL $ 16 6800422 ISOPTO HOMATROPINE 5% OP SOLN $ 159 6800423 ISOSORBIDE MONONITRATE (E.R.) 60MG TAB $ 17 6800425 D5%/ NACL 0.45% 1000ML IV $ 80 6800426 D5%/ NS 0.9% 1000ML $ 93 6800427 D5%/ WATER 1000ML IV $ 100 6800428 D5%/ WATER 500ML IV $ 99 6800429 FAT EMULSION 20% 10 $ 178 6800430 FAT EMULSION 20% 25 $ 201 6800431 NACL 0.45% 1000ML IV $ 100 6800433 NS 0.9% 100ML IV $ 56 6800434 NS 0.9% 250 ML IV $ 96 6800435 NS 0.9% 500 ML IV $ 93 6800436 NACL 0.9% 50ML $ 93 6800437 POTASSIUM (10 MEQ E.R. TAB) $ 10 6800438 K RIDER 10MEQ/100ML WATER PREMIX $ 109 6800439 D5%/ NACL 0.45%/ KCL 10MEQ 1000ML IV $ 103 6800440 NACL 0.45%/ KCL 20MEQ 1000ML IV $ 75 6800441 NS 0.9%/ KCL 20MEQ 1000ML $ 113 6800442 POTASSIUM CHL : 20MEQ/10ML VIAL $ 80 6800443 D5%/ NACL 0.2%/ KCL 20MEQ 1000ML IV $ 104 6800444 D5%/ NS 0.9%/ KCL 20MEQ 1000ML IV $ 96 6800445 KCL 30MEQ/15ML VIAL $ 7 6800446 POTASSIUM CHL : 40MEQ/20ML VIAL $ 65 6800447 D5%/ NACL 0.45%/ KCL 40MEQ 1000ML IV $ 103 6800448 KETAMINE (KETALAR) 500MG/10ML INJ $ 26 6800449 KETOCONAZOLE (NIZORAL) 2% CRM $ 65 6800450 KETOROLAC 30MG/ML INJ $ 115 6800451 KETOROLAC 60MG/2ML $ 135 6800452 K PHOS 500MG TAB $ 9 6800453 LABETALOL 200MG TAB $ 10 6800454 LABETALOL 5MG/ML VIAL $ 125 6800455 LACTATED RINGERS 1000ML IV $ 75 6800456 LACTULOSE 10GM/15ML SOL BOTTLE $ 22 6800457 LACTULOSE 20G/30ML ORAL SOLN UD CUP $ 6 6800458 LAMIVUDINE (EPIVIR) 300MG TAB $ 71 6800459 LAMOTRIGINE (LAMICTAL) 100MG TAB $ 30 6800460 LATANOPROST(XALATAN) 0.005% OP SOLN $ 430 6800461 LEVALBUTEROL INHALER (XOPENEX) 45MCG $ 210 6800462 LEVETIRACETAM (KEPPRA) 500MG TAB $ 25 6800463 LEVETIRACETAM 500MG/5ML VIAL $ 120 6800465 LEVOTHYROXINE VIAL 100MCG $ 280 6800466 LEVOTHYROXINE 25 MCG TAB $ 9 6800467 LEVOTHYROXINE 50 MCG TAB $ 10 6800468 LEVOTHYROXINE 88 MCG TAB $ 10 6800469 LEVOTHYROXINE SODIUM ORAL TABLET 125MCG $ 10 6800471 LIDOCAINE PATCH (LIDODERM) 5% $ 65 6800472 LIDOCAINE 4% (LTA) TOPICAL KIT $ 65 6800474 LIDOCAINE MULTIDOSE 1% VIAL 50ML $ 14 6800475 LIDOCAINE 2% JELLY $ 33 6800476 LIDOCAINE MPF 4% AMP $ 23 6800477 LIDOCAINE 5% OINTMENT $ 140 6800478 LIDOCAINE MULTIDOSE 1% VIAL $ 9 6800479 LIDOCAINE MULTIDOSE 1% 2ML VIAL $ 11 6800480 LIDOCAINE VISCOUS 2% SOLN BOTTLE $ 65 6800481 LIDOCAINE DRIP 2GM/D5W 500ML $ 121 6800482 LIDOCAINE 4% TOPICAL SOLN $ 25 6800483 LIDOCAINE MPF 1% VIAL $ 90 6800484 LIDOCAINE MPF 2% VIAL $ 16 6800485 LIDOCAINE MPF 2% 5ML VIAL $ 10 6800486 LIDOCAINE -EPI MULTIDOSE 1% VIAL $ 16 6800487 LIDOCAINE -EPI MULTIDOSE 2% VIAL $ 65 6800488 LIDOCAINE PRILOCAINE (EMLA) 2.5% CRM $ 33 6800489 LINEZOLID (ZYVOX) 600MG TAB $ 460 6800490 LINEZOLID (ZYVOX) 600MG/D5W 300ML PREMIX $ 480 6800491 TEARS LUBRICANT OP SOLN 30ML $ 44 6800492 LISINOPRIL 10MG TAB $ 9 6800493 LISINOPRIL 5 MG TAB $ 9 6800495 LOMOTIL 2.5MG TAB $ 9 6800496 LOPERAMIDE (IMODIUM) 2MG CAP $ 9 6800497 LORAZEPAM 0.5MG TAB $ 15 6800498 LORAZEPAM 1 MG TAB $ 15 6800499 LORAZEPAM 2MG/ML INJ $ 115 6800500 LOSARTAN 25MG (COZAAR) TAB $ 10 6800501 LOVASTATIN (MEVACOR) 20MG TAB $ 6 6800502 NITROFURANTOIN 100MG CAP $ 15 6800503 MAG RIDER 1GM/ 100ML PREMIX $ 98 6800504 MAG RIDER 2GM/50ML $ 26 6800505 MAG-AL-PLUS XS (MAALOX PLUS) LIQ $ 3 6800506 MAGNESIUM OXIDE 400MG TAB $ 9 6800507 MAGNESIUM SULFATE VIAL : 1GM/ 2ML 20ML $ 44 6800508 MAGNESIUM SULFATE 20GM/ 500ML PREMIX $ 119 6800509 MAGNESIUM SULFATE 40GM/1000ML $ 92 6800510 MANNITOL 25% 50ML VL $ 11 6800511 MARCAINE SPINAL 0.75% 2ML INJ $ 8 6800512 MAXITROL 0.35-10,000-0.1 OP OINT $ 60 6800513 MECLIZINE HCL 25MG $ 9 6800514 MEDROXYPROGESTERONE 2.5MG TAB $ 9 6800515 MEGESTROL 40MG TAB $ 9 6800516 MEGESTROL SUSP 40MG/ML ORAL $ 376 6800517 MELATONIN 3MG TAB $ 1 6800518 MELATONIN 5MG TAB $ 1 6800519 MELOXICAM (MOBIC) 15MG TAB $ 9 6800520 MEPERIDINE 100MG/ML INJ $ 115 6800521 MEPERIDINE 50MG/ML $ 135 6800522 MEPIVACAINE 1.5% 30ML VIAL $ 28 6800523 MEPIVACAINE MPF 1% 20ML VIAL $ 9 6800524 MEPIVACAINE MPF 2% 20ML VIAL $ 9 6800526 MESALAMINE ENEMA (ROWASA) 4G/60ML $ 58 6800527 METAMUCIL SUGAR FREE PKT $ 6 6800528 METFORMIN 500MG TAB $ 15 6800529 METFORMIN 850MG TAB $ 15 6800530 METHADONE HCL 10MG $ 15 6800531 METHERGINE 0.2MG TAB $ 25 6800532 METHERGINE 0.2MG/ML INJ $ 28 6800533 METHOCARBAMOL 500MG TAB $ 9 6800534 METHOCARBAMOL (ROBAXIN) 750MG TAB $ 6 6800535 METHOCARBAMOL 100MG/ML INJ $ 289 6800537 METHYLDOPA (ALDOMET) 250MG TAB $ 9 6800539 METOCLOPRAMIDE 10MG TAB $ 9 6800540 METOCLOPRAMIDE 10MG/2ML INJ $ 105 6800541 METOLAZONE (ZAROXOLYN) 5MG TAB $ 11 6800542 METOPROLOL 25 MG TAB $ 10 6800543 METOPROLOL 50MG TAB $ 10 6800544 METOPROLOL 5MG/5ML $ 225 6800545 METOPROLOL X.L. (TOPROL) 25MG TAB $ 10 6800546 METRONIDAZOLE (FLAGYL) 250MG TAB $ 9 6800547 METRONIDAZOLE / NS IVPB : 500MG/100ML $ 85 6800548 METRONIDAZOLE 0.75% VAGINAL GEL 70G TUBE $ 225 6800549 METRONIDAZOLE 1% GEL $ 578 6800550 MIACALCIN 200 U/ACT NASAL SPRAY $ 551 6800551 MICONAZOLE (MONISTAT 1-DAY) KIT $ 56 6800552 MICONAZOLE NITRATE 2% CRM $ 40 6800553 MIDAZOLAM 2MG/2ML INJ $ 115 6800554 MIDAZOLAM 2MG/2ML VL $ 6 6800555 MIDAZOLAM SYRUP 2MG $ 291 6800556 MIDAZOLAM 5MG/5ML INJ $ 75 6800557 MIDAZOLAM (VERSED) 5MG/5ML VL $ 90 6800558 MIDAZOLAM VIAL : 50MG/10ML $ 185 6800560 MIDODRINE 5MG TAB $ 15 6800561 MILK OF MAGNESIA 12OZ BOTTLE $ 9 6800562 MINERAL OIL LUBRICANT LAXATIVE 30ML $ 9 6800563 MIRALAX 17GM PACKET $ 9 6800564 MIRTAZAPINE (REMERON) 30MG TAB $ 10 6800565 MISOPROSTOL 100 MCG TAB $ 9 6800566 MISOPROSTOL 200 MCG TAB $ 9 6800567 MONTELUKAST (SINGULAIR) 10MG TAB $ 15 6800568 MORPHINE PF 200MG/20ML AMP $ 63 6800570 MORPHINE 10 MG/ML INJ $ 115 6800571 MORPHINE PF 1MG/ML 10ML VIAL $ 65 6800572 MORPHINE 2 MG/ML INJ $ 125 6800574 PCA MORPHINE 30MG/ 30ML $ 41 6800575 MORPHINE 10MG/ML INJ $ 6 6800576 MORPHINE E.R. 15MG $ 15 6800577 MORPHINE SULFATE 15MG TAB $ 15 6800578 MORPHINE MULTIDOSE VIAL 15MG/ML $ 75 6800579 MORPHINE E.R. 30MG $ 15 6800580 MORPHINE 5MG/ML INJ $ 6 6800581 MORPHINE 60MG E.R. $ 6 6800582 MOXIFLOXACIN 400MG $ 98 6800583 MOXIFLOXACIN 400MG/0.8% SALINE 250ML $ 180 6800584 MULTITRACE-4 10ML VL $ 20 6800585 MULTITRACE-5 10ML VL $ 30 6800586 MUPIROCIN (BACTROBAN) 2% OINT $ 54 6800587 MYCOLOG 100,000-0.1 UNITS/GM CREAM $ 210 6800588 NABUMETONE (RELAFEN) 500MG TAB $ 9 6800589 SALINE (OCEAN) 0.65% NASAL SPY $ 9 6800590 NALOXONE (NARCAN) 40MG/10ML VL $ 144 6800591 NALOXONE HCL (NARCAN) 0.4MG/ML INJ $ 100 6800592 NALOXONE HCL (NARCAN) 2MG/2ML INJ $ 59 6800593 NAPROXEN (NAPROSYN) 220MG TAB $ 9 6800594 NASONEX 50MCG/ACT NASAL SPRAY $ 435 6800595 NEOMYCIN-POLYMYXIN B IRRIG 1ML $ 44 6800596 TRIPLE ABX OINT (NEO,POLY,BACI) UD PCKT $ 9 6800598 NEOSYNEPHRINE OPTH SOLN 100MG/ML $ 30 6800599 NEOSYNEPHRINE 10MG/ML VIAL $ 75 6800601 NEOSYNEPHRINE SPRAY MILD $ 24 6800602 NEOSYNEPHRINE SPRAY REGULAR $ 24 6800603 NEOSYNEPHRINE SPRAY EXTRA STRENTH $ 26 6800605 NICARDIPINE (CARDENE) 30MG E.R. CAP $ 11 6800606 NICOTINE PATCH 14MG/24HR $ 11 6800607 NICOTINE PATCH 21MG/24HR $ 11 6800608 NICOTINE GUM 2MG $ 9 6800609 NICOTINE PATCH 7MG/ $ 11 6800610 NIFEDIPINE (PROCARDIA) 10MG CAP $ 10 6800611 NIFEDIPINE (PROCARDIA) 30MG E.R. TAB $ 10 6800612 NIMODIPINE (NIMOTOP) 30MG CAP $ 36 6800613 NITROGLYCERIN 2% OINT 30 GRAMS $ 104 6800614 NITROGLYCERIN (NITROSTAT) 0.4MG TAB $ 74 6800615 NITROGLYCERIN 0.4MG SPY $ 349 6800616 NITROGLYCERIN DRIP 50MG/D5W 250ML $ 126 6800617 NITROGLYCERIN PATCH 0.2MG/HR $ 9 6800618 NITROGLYCERIN PATCH 0.4MG/HR $ 25 6800619 NITROPRUSSIDE 50MG/2ML VIAL $ 978 6800621 NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ $ 280 6800623 NORTRIPTYLINE (PAMELOR) 25MG CAP $ 9 6800626 NOVOLOG (ASPART) INSULIN 100U/ML FLEXPEN $ 330 6800627 NOVOLOG / MIX 70/30 FLEXPEN $ 260 6800629 NS : 10ML VIAL $ 9 6800630 NS IRRIGATION SOLN 3000ML $ 53 6800631 NUTRILYTE II 20ML INJ $ 10 6800632 NYSTATIN POWDER (NYSTOP) 100,000U/GM $ 100 6800633 NYSTATIN CREAM 100,000 UNITS/GM $ 100 6800634 NYSTATIN OINT 100,000 UNITS/GM $ 54 6800636 OCTREOTIDE 500MCG/ML VIAL $ 143 6800637 OCTREOTIDE 100MCG/ML VIAL $ 77 6800638 OCTREOTIDE 50MCG/ML VIAL $ 40 6800639 OFLOXACIN (OCCUFLOX) 0.3% OP SOLN $ 40 6800640 OLANZAPINE ORALLY DISINT. 5MG TAB $ 50 6800641 ONDANSETRON 4MG O.D. TABLET $ 1 6800642 ONDANSETRON (ZOFRAN) 4MG/2ML INJ $ 70 6800643 OSELTAMIVIR (TAMIFLU) 75MG CAP $ 95 6800645 OXACILLIN 2 GM VIAL $ 200 6800646 OXCARBAZEPINE (TRILEPTAL) 300MG TAB $ 10 6800647 OXYBUTYNIN (DITROPAN) 5MG E.R. TAB $ 18 6800648 OXYBUTYNIN (DITROPAN) 5MG TAB $ 10 6800649 OXYCODONE ER 10MG (OXYCONTIN) TAB $ 25 6800650 OXYCODONE ER 20MG (OXYCONTIN) TAB $ 30 6800651 OXYCODONE 5MG TAB $ 15 6800652 OXYMETAZOLINE (AFRIN) NASAL SPY $ 9 6800653 OXYTOCIN (PITOCIN) 10 UNITS/ML VIAL $ 125 6800655 PANCRELIPASE (PANCREAZE) 16,800 CAP $ 19 6800656 PANTOPRAZOLE 40MG TAB $ 10 6800657 PANTOPRAZOLE 40MG/10ML INJ $ 75 6800658 PAPAVERINE 30MG/ML 2ML VL $ 18 6800659 PAROXETINE HCL (PAXIL) 20MG TAB $ 10 6800660 PEG ELECTROLYTE SOLN 4 LITERS $ 61 6800661 PENICILLIN G 20 MILLION UNITS VIAL $ 106 6800662 PENICILLIN G 5 MILLION UNITS VIAL $ 180 6800663 PENICILLIN V POTASSIUM 250MG TAB $ 9 6800664 PENICILLIN VK 250MG/5ML ORAL SOLN $ 40 6800665 PENTOXIFYLLINE (TRENTAL) 400MG TAB $ 9 6800666 PEPTO BISMOL 262MG CHEWTAB $ 9 6800667 PERCOCET 10-325MG TAB $ 15 6800668 PERCOCET 5-325MG TAB $ 15 6800669 PERIDEX 0.12% ORAL RINSE $ 12 6800670 PERMETHRIN (ACTICIN) 5% CRM $ 230 6800671 PHENAZOPYRIDINE(PYRIDIUM) 100MG TAB $ 13 6800672 PHENERGAN/ CODEINE 6.25MG/5ML SYRUP $ 15 6800673 PHENOBARBITAL 130MG/ML INJ $ 135 6800674 PHENTOLAMINE (REGITINE) 5MG/ML INJ $ 329 6800675 PHENYTOIN (DILANTIN) 100MG ER CAP $ 10 6800676 PHENYTOIN (DILANTIN) 100MG/2ML INJ $ 100 6800677 PHENYTOIN 250MG/5MLVIAL $ 95 6800678 PHYTONADIONE PEDS IV 1MG/0.5ML $ 175 6800679 PILOCARPINE (PILOCAR) 1% OP SOLN $ 9 6800680 PILOCARPINE (PILOCAR) 2% OP SOLN $ 9 6800681 PIOGLITAZONE HCL (ACTOS) 15MG TAB $ 40 6800682 PNEUMOVAX 23 ADULT 0.5ML INJ $ 279 6800684 POLYSPORIN OPTH 500-10,000 U/GM OINT $ 96 6800685 POTASSIUM ACETATE : 40MEQ/20ML VIAL $ 25 6800686 POTASSIUM BICARB(EFFER-K) 20MEQ TAB $ 9 6800687 POTASSIUM ORAL SOLN 40MEQ/30ML (473ML) $ 6 6800688 POTASSIUM (20 MEQ E.R. TAB) $ 10 6800689 POVIDONE-IODINE (BETADINE) 10% OINT TUBE $ 9 6800690 POVIDONE-IODINE (BETADINE) 10% SOLN $ 15 6800691 POVIDONE/ IODINE 10% OINT UNIT DOSE $ 9 6800692 PRAMIPEXOLE (MIRAPEX) 0.125MG TAB $ 6 6800693 PRAMIPEXOLE (MIRAPEX) 0.25MG TAB $ 10 6800694 PREDNISOLONE ORAL SOLN 15MG/5ML $ 25 6800695 PREDNISOLONE OPTH SUSP 10MG/ML $ 113 6800696 PREDNISONE 10 MG TAB $ 9 6800697 PREDNISONE 1 MG TAB $ 9 6800698 PREDNISONE 20 MG TAB $ 9 6800699 PREDNISONE 5 MG TAB $ 9 6800700 PREGABALIN (LYRICA) 100 MG CAP $ 31 6800701 PREGABALIN (LYRICA) 25 MG CAP $ 40 6800702 PREMARIN CREAM 0.625MG/ GM $ 633 6800703 PRENATAL VITAMIN RX TAB $ 9 6800704 PREVNAR 13 PED 0.5ML INJ $ 344 6800706 PRIMAXIN 500MG VIAL $ 275 6800707 PRIMIDONE (MYSOLINE) 50MG TAB $ 9 6800708 PROBENECID (BENEMID) 500MG TAB $ 9 6800710 PROCAINAMIDE 1000MG/10ML VL $ 175 6800711 PROCALAMINE 3% 1000ML $ 166 6800712 PROCHLORPERAZINE SUPP 25MG $ 30 6800714 PROMETHAZINE (PHENERGAN) 25MG TAB $ 90 6800715 PROMETHAZINE 25MG S $ 82 6800716 PROMETHAZINE (PHENERGAN) 25MG/ML INJ $ 90 6800717 PROMETHAZINE(PHENERGAN) 50MG/ML INJ $ 14 6800718 PROMETHAZINE 12.5MG SUPP $ 33 6800719 PROMETHAZINE 50MG S $ 75 6800720 PROPAFENONE HCL 150MG TAB $ 10 6800721 PROPARACAINE HCL 5MG/ML OP SOLN $ 99 6800722 PROPOFOL (DIPRIVAN) 10MG/ML INJ $ 44 6800723 PROPOFOL 10MG/ML 20ML VIAL $ 135 6800724 PROPRANOLOL (INDERAL) 1MG/ML INJ $ 15 6800725 PROPRANOLOL (INDERAL) 10MG TAB $ 9 6800726 PROPRANOLOL (INDERAL) 40MG TAB $ 9 6800727 NEOSTIGMINE 1MG/ML VIAL $ 105 6800728 PROTAMINE 250MG/25ML VIAL $ 9 6800730 PROVOCHOLINE(METHACHOLINE) INH SOLN $ 203 6800731 PSEUDOEPHEDRINE (SUDAFED) 30MG TAB $ 9 6800732 PSYLLIUM (METAMUCIL) PKT $ 6 6800733 PULMICORT 0.5MG/2ML INH SUSP UD $ 75 6800734 PYRIDOSTIGMINE (MESTINON) 60MG TAB $ 9 6800735 QUELICIN 200MG/10ML INJ $ 130 6800736 QUETIAPINE (SEROQUEL) 100MG TAB $ 10 6800737 QUETIAPINE (SEROQUEL) 25MG TAB $ 15 6800738 QUINIDINE SULFATE 200MG TAB $ 9 6800739 QUININE SULFATE 324MG CAP $ 33 6800740 RABIES IMMUNE GLOBULIN 150 IU/mL $ 666 6800741 RABIES IMMUNE GLOBULIN 2ML VIAL $ 644 6800742 RABIES VACCINE (RABAVERT) 2.5U/ML KIT $ 1,090 6800743 RACEPINEPHRINE 2.25% NEB SOLN UD $ 18 6800744 REFRESH LACRI-LUBE OPTH OINT $ 9 6800745 REGADENOSON 0.4MG/5ML INJ $ 926 6800746 RICOLA LOZENGE $ 9 6800747 RIFAMPIN (RIFADIN) 300MG CAP $ 15 6800748 RIFAMPIN (RIFADIN) 600 MG VIAL $ 280 6800749 RI-MAG PLUS (RIOPAN PLUS) ORAL SUSP $ 9 6800750 RISPERIDONE (RISPERDAL) 0.25MG TAB $ 10 6800751 RISPERIDONE (RISPERDAL) 1MG TAB $ 10 6800752 ROBINUL 4MG/20ML VIAL $ 75 6800753 GUAIFENESIN DEXTROM 200/20MG /10ML SYRUP $ 9 6800754 ROCURONIUM BROMIDE 100MG/10ML VIAL $ 185 6800755 ROPINIROLE (REQUIP) 0.5MG TAB $ 9 6800756 ROPINIROLE (REQUIP) 1MG TAB $ 9 6800757 ROPIVACAINE(NAROPIN) 2MG/ML 20ML VL $ 43 6800758 ROTAVIRUS VACC (ROTARIX) 10E6/ML KIT $ 284 6800759 SALICYLIC ACID (KERALYT) 6% GEL $ 9 6800760 SALMETEROL INHALER (SEREVENT) 50MCG $ 638 6800762 SCOPOLAMINE 1.5MG 72H PATCH $ 75 6800763 SELEGILINE (ELDEPRYL) 5MG CAP $ 11 6800764 SENNAGEN (SENOKOT) 8.6MG TAB $ 9 6800765 SEPTRA SUSP 200MG/40MG / 5ML ORAL UD $ 35 6800766 SERTRALINE (ZOLOFT) 50MG TAB $ 10 6800767 SEVOFLURANE (ULTANE) 250ML LIQ $ 238 6800768 SILDENAFIL (VIAGRA) 25MG TAB $ 95 6800769 SILVER NITRATE STICK $ 21 6800770 SIMETHICONE (MYLICON) 80MG CHEWTAB $ 9 6800771 SIMETHICONE 20MG/0.3ML ORAL SUSP $ 10 6800772 SIMVASTATIN 10MG TAB $ 15 6800773 SIMVASTATIN 40MG TAB $ 30 6800774 SINEMET 25MG/ 100MG TAB $ 9 6800775 SINEMET 50MG/ 200MG E.R. TAB $ 9 6800776 KAYEXALATE SUSP 15GM/ 60ML $ 65 6800777 SODIUM BICARBONATE PEDS SYRINGE 4.2% $ 36 6800778 SODIUM BICARBONATE : 50MEQ /50ML VIAL $ 215 6800779 SODIUM CHLORIDE 1GM TAB $ 9 6800780 SODIUM CHLORIDE: 23.4% 30ML VIAL $ 195 6800781 SODIUM CHLORIDE 3% 500ML PREMIX $ 104 6800782 SODIUM PHOSPHATES :4MEQ/ML& 3MMOL/ML INJ $ 65 6800783 SOLU CORTEF 100MG/2ML INJ $ 65 6800784 SOLU MEDROL 125 MG/2ML INJ $ 160 6800785 SOLU MEDROL VIAL 1GM $ 81 6800786 SOLU MEDROL VIAL 2GM $ 170 6800787 SORBITOL 70% SOLN $ 30 6800788 SPIRONOLACTONE (ALDACTONE) 25MG TAB $ 10 6800789 SSD (THERMAZENE) 1% CREAM $ 58 6800790 STERILE WATER 100ML VIAL $ 101 6800791 STERILE WATER : 10ML VL $ 65 6800792 STERILE WATER 20ML VIAL $ 9 6800793 STERILE WATER 250ML INJ $ 96 6800794 STERILE WATER 50ML $ 40 6800795 SUBOXONE 8MG/2MG FILM $ 43 6800796 SUCRALFATE (CARAFATE) 1G TAB $ 10 6800797 SUCRALFATE (CARAFATE) 1GM/10ML LIQ $ 40 6800798 SULFACETAMIDE (SULAMYD) 10% OP SOLN $ 180 6800799 SULFASALAZINE(AZULFADINE) 500MG TAB $ 9 6800800 SUMATRIPTAN (IMITREX) 50MG TAB $ 28 6800801 SUMATRIPTAN (IMITREX) 6MG/0.5ML INJ $ 280 6800802 SUPREP BOWEL PREP KIT $ 198 6800803 TAMOXIFEN (NOLVADEX) 10MG TAB $ 9 6800804 TAMSULOSIN HCL (FLOMAX) 0.4MG CAP $ 10 6800805 TEARS 1% OP SOLN $ 44 6800806 TEMAZEPAM 15MG CAP $ 15 6800807 TENECTEPLASE (TNKASE) 50MG/10ML INJ $ 9,855 6800808 TERAZOSIN HCL (HYTRIN) 1MG CAP $ 15 6800809 TERBINAFINE HCL 1% $ 65 6800810 TERBINAFINE HCL 250MG TAB $ 9 6800811 TERBUTALINE (BRETHINE) 1MG/ML INJ $ 100 6800812 TERBUTALINE (BRETHINE) 2.5MG TAB $ 18 6800813 TERBUTALINE (BRETHINE) 5MG TAB $ 22 6800814 TETANUS IMMUNE GLOBULIN 250U/ML INJ $ 923 6800815 TETANUS TOXOID ADSORBED 5LFU VL $ 149 6800816 TETANUS DIPHTH (DECAVAC) 5-2LFU INJ $ 95 6800817 TETRACAINE 1% 2ML AMP $ 112 6800818 THEOPHYLLINE (THEO-DUR) 200MG ER TAB $ 9 6800819 MULTI VITAMIN -M TAB $ 9 6800820 THIAMINE (VITAMIN B-1) 100MG TAB $ 9 6800821 THIAMINE 200MG/2ML $ 230 6800822 THROMBIN JMI 20,000 UNITS KIT $ 425 6800823 THROMBIN JMI 5,000 UNITS KIT $ 200 6800824 TIMOLOL MAL (TIMOPTIC) 0.5% OP SOLN $ 85 6800825 TIMOLOL MAL (TIMOPTIC) 0.25% OP SOLN $ 75 6800826 TIOTROPIUM (SPIRIVA) 18MCG CAP $ 180 6800827 TOBRAMYCIN (TOBREX) 0.3% OP OINT $ 369 6800828 TOBRAMYCIN 80MG/2ML INJ $ 100 6800829 TOLTERODINE (DETROL) 2MG TAB $ 24 6800830 TOLTERODINE (DETROL) 4MG E.R. CAP $ 34 6800831 TOPIRAMATE (TOPAMAX) 100MG TAB $ 10 6800832 TOPIRAMATE (TOPAMAX) 25MG TAB $ 10 6800833 TORSEMIDE (DEMADEX) 20MG TAB $ 9 6800834 TORSEMIDE 20MG/2ML $ 29 6800835 TRAMADOL (ULTRAM) 50MG TAB $ 15 6800837 TRAZODONE HCL (DESYREL) 50MG TAB $ 9 6800838 TRIAMCINOLONE 0.1% CRM 15GM $ 15 6800839 TRIAMCINOLONE 0.1% ORAL PASTE $ 178 6800840 TRIAMCINOLONE 0.5% $ 36 6800841 TRIAMCINOLONE 40MG/ML INJ $ 280 6800842 TRIAMCINOLONE (KENALOG) 40MG/ML INJ 10ML $ 211 6800843 TRIAMTERENE/ HCTZ 37.5MG/ 25MG CAP $ 40 6800844 TRIHEXYPHENIDYL (ARTANE) 2MG TAB $ 9 6800845 TRIMETHOPRIM 100MG $ 9 6800846 TROPICAMIDE (MYDRIACYL) 1% OP SOLN $ 28 6800847 TUBERCULIN (TUBERSOL) PPD 5 TU/ 0.1ML $ 200 6800850 UNASYN 1.5GM VIAL $ 100 6800851 UNASYN 3GM VIAL $ 155 6800852 VALACYCLOVIR (VALTREX) 500MG TAB $ 25 6800853 VALPROATE (DEPACON) 500MG/5ML VIAL $ 99 6800855 VALSARTAN (DIOVAN) 80MG TAB $ 24 6800860 VANCOMYCIN 10GM VIAL $ 298 6800861 VANCOMYCIN 1GM VIAL $ 65 6800862 VANCOMYCIN : 500MG VIAL $ 103 6800863 VANCOMYCIN 5GM VIAL $ 176 6800864 VARICELLA VAC (VARIVAX) 0.5ML INJ $ 299 6800865 VASOPRESSIN VIAL : 20UNITS/ML $ 9 6800866 VECURONIUM (NORCURON) 10MG VIAL $ 65 6800868 VENLAFAXINE 150 MG E.R. CAP $ 29 6800869 VENLAFAXINE 37.5MG E.R. CAP $ 9 6800870 VENLAFAXINE 37.5MG $ 14 6800871 VERAPAMIL 120MG E.R. TAB $ 10 6800872 VERAPAMIL 180MG E.R. TAB $ 9 6800873 VERAPAMIL HCL (CALAN) 5MG/2ML INJ $ 82 6800875 VIGAMOX OP 0.5% SOLN $ 283 6800876 VISINE A 0.025-0.3% OP SOLN $ 45 6800877 VITAMIN B-12 1000MCG TAB $ 9 6800878 VITAMIN B-12 1000MCG/ML IV $ 58 6800879 VITAMIN B-6 50MG TAB $ 9 6800880 VITAMIN D 400 UNITS TAB $ 9 6800881 VITAMIN D-3 5,000 UNIT TAB $ 9 6800882 VORICONAZOLE (VFEND) 200MG/20ML VIAL $ 30 6800883 WARFARIN 2.5MG TAB $ 10 6800884 WARFARIN 1MG TAB $ 10 6800885 WARFARIN 2MG TAB $ 10 6800886 WARFARIN 5MG TAB $ 10 6800887 WITCH HAZEL-GLYCERIN (TUCKS) PAD $ 33 6800888 XOPENEX 0.63MG/3ML NEB SOLN $ 75 6800889 XOPENEX 1.25MG/3ML NEB SOLN $ 185 6800890 ZIDOVUDINE (RETROVIR) 300MG TAB $ 9 6800891 ZINC OXIDE 40% OINT $ 20 6800892 ZINC OXIDE 200MG/ GM OINT $ 14 6800893 ZIPRASIDONE (GEODON) 20MG CAP $ 49 6800894 ZOLEDRONIC ACID (RECLAST) 5MG/100ML $ 397 6800895 ZOLEDRONIC ACID (ZOMETA) 4MG/5ML VIAL $ 423 6800896 ZOLPIDEM TARTRATE (AMBIEN) 10MG TAB $ 4 6800897 ZOSYN 2.25GM/ NS 100ML IVPB $ 119 6800898 ZOSYN 3.375GM/ 50ML WATER PREMIX $ 115 6800900 ZOSYN 2.25G VIAL $ 280 6800901 ZOSYN 3.375G : VIAL $ 30 6800902 ZOSYN : 4.5G VIAL $ 230 6800906 EPIDURAL INFUSION $ 93 6800909 CHLORPROMAZINE (THORAZINE) 25MG/ML VIAL $ 90 6800912 NEOMYCIN 500MG TABLET $ 9 6800913 PCA FENTANYL 600MCG/30ML $ 179 6800915 FELODIPINE TABLET ER 5MG $ 9 6800918 BRINZOLAMIDE OPHTH SUSP 1% $ 58 6800920 D5%/ LR 1000ML IV $ 100 6800922 LIDOCAINE SYRINGE PREMIX 2% (100MG/5ML) $ 35 6800924 PROGRAF (TACROLIMUS) CAP 0.5MG $ 15 6800925 VANCOMYCIN 1GM/200ML PREMIX $ 190 6800926 ASPIRIN 81MG CHEWABLE $ 1 6800927 NS FLUSH 2.5ML $ 9 6800928 NS FLUSH 10ML $ 9 6800929 ALBUMIN (HUMAN) 25G/100ML $ 600 6800930 CEPACOL ANALGESIC LOZENGE $ 3 6800931 DUONEB (IPRAT 0.5/ ALBUT 3.0) NEB UD $ 1 6800932 ALLOPURINOL 300MG TAB $ 10 6800933 BETHANECHOL CHLORIDE 25 MG TAB $ 9 6800934 WELLBUTRIN 100MG TAB $ 10 6800935 WELLBUTRIN 150MG S.R. TAB $ 20 6800936 WELLBUTRIN 150MG X.L. TAB $ 15 6800937 PROAMATINE (MIDODRINE) 5MG TAB $ 4 6800938 METOPROLOL 50 MG TAB $ 10 6800939 D5%/ NACL 0.45%/ KCL 20MEQ 1000ML IV $ 75 6800940 MACROBID 100MG CAP $ 17 6800941 ZOFRAN (ONDANSETRON) 4MG TAB $ 10 6800942 ZYPREXA (OLANZAPINE) 5MG TAB $ 10 6800943 SUCRALFATE 1 GM TAB $ 6 6800945 SOLU MEDROL 40 MG/ML INJ $ 115 6800946 GENTAMICIN VIAL 10MG/1ML $ 9 6800948 ISOSORBIDE DINITRATE 20MG TAB $ 20 6800949 ISOSORBIDE DINITRATE 10MG TAB $ 10 6800950 PREVACID (LANSOPRAZOLE) 30MG TAB $ 29 6800951 VERAPAMIL 80MG TAB $ 9 6800952 ZINC SULFATE 220 MG CAP $ 15 6800953 DEXAMETHASONE (DECADRON) 1MG TAB $ 9 6800956 KADIAN 10MG ER CAPS $ 6 6800957 TYLENOL CODEINE ELIXIR 120MG/12MG/5ML UD $ 25 6800958 GUAIFENESIN-COD. ORAL SOL. 200-20/10ML $ 9 6800959 CODEINE SULFATE 30MG $ 9 6800960 BUPRENORPHINE HCL INJ 0.3MG/ML $ 43 6800961 BUPRENEX 0.3MG/ 1ML VIAL $ 139 6800962 BELLADONNA AND OPIUM SUPP 16.2MG/30MG $ 95 6800963 CHLORDIAZEPOXIDE (LIBRIUM) 5 MG CAP $ 6 6800964 PHENOBARBITAL 32.4MG(1/2 GR) $ 9 6800965 ZOLPIDEM (AMBIEN) 5MG TAB $ 15 6800966 CLONAZEPAM 0.5MG TAB $ 16 6800967 HYDROCODONE/ APAP LIQ 7.5/325MG 15ML $ 25 6800968 ALBUTEROL 2.5MG/ 3ML NEBULIZER UD $ 25 6800969 INFASURF (CALFACTANT) 6 ML INJ $ 2,114 6800970 ASCORBIC ACID 500MG/ML 50ML VL $ 163 6800971 BICILLIN C-R 1.2 MILLION UNITS/2ML SYR $ 190 6800972 DIGOXIN IMMUNE FAB 40MG $ 7,559 6800973 TETANUS DIPHTH TOXOIDS 0.5ML $ 98 6800974 POLIO VIRUS VACCINE 0.5ML $ 115 6800975 INFLUENZA VIRUS VACCINE 0.5ML PF SYR $ 44 6800976 PCA HYDROMORPHONE HCL 15MG/30ML $ 186 6800979 INFUVITE ADULT 50ML (VIALS A & B) $ 245 6800980 HEPATITIS A VAC ADULT 1ML $ 215 6800981 T DAP W/ PERTUSSIS 0.5ML $ 138 6800982 ACETAMINOPHEN ELIXIR 325MG/ 10.15ML UD $ 9 6800985 PROMETHAZINE ORAL SOL 6.25MG/5ML $ 31 6800989 DEXAMETHASONE (DECADRON) 10MG/ML INJ $ 90 6800990 POTASSIUM PHOSPHATE : 4.4MEQ/3MMOL/ML IV $ 48 6800991 CEFTAZIDIME 1GM/ D5 50ML PREMIX $ 200 6800992 MAG RIDER 2GM/ 50ML PREMIX $ 96 6800995 FLEET ENEMA 4.5OZ $ 9 6800996 BELLADONNA AND OPIUM SUPP 16.2MG/60MG $ 66 6801001 HEP A PED (HAVRIX) VACC $ 120 6801005 EPINEPHRINE 1MG/ML VIAL $ 65 6801006 PHYTONADIONE ADULT IV 10MG/ML $ 265 6801007 AMINOPHYLLINE 500MG/ 20ML INJ $ 15 6801009 CEFAZOLIN (ANCEF) 2GM/D5W 50ML PREMIX $ 129 6801011 PHYTONADIONE 5MG TABLET $ 198 6801012 MMR VACCINE 0.5ML $ 230 6801015 CORTROSYN INJECTION 0.25MG $ 84 6801019 CEFOXITIN 2GM/ NS 100ML IVPB $ 20 6801020 CEFTAZIDIME 2GM VIAL $ 66 6801023 GENTAMICIN/ NS IVPB : 80MG/100ML $ 25 6801024 FLOVENT INHALER 220 $ 930 6801030 HYDROCORTISONE 10MG TAB $ 6 6801033 LISINOPRIL 2.5MG TAB $ 6 6801042 PROSCAR (FINASTERIDE) 5MG $ 10 6801043 OXACILLIN 1 GM VIAL $ 23 6801048 PROPOFOL 10MG/ML 50ML VIAL $ 215 6801049 CEFOTAXIME 10GM VIAL $ 130 6801050 ACETAMINOPHEN SUPP 650MG $ 5 6801059 PROPOFOL 10MG/ML 100ML DRIP $ 225 6801060 DEXTROSE 10%/ WATER 500ML IV $ 139 6801063 LACTATED RINGERS 500 ML IV $ 96 6801067 PSYLLIUM FIBER 6GM PACKET $ 10 6801068 RIFAXIMIN 200MG TABS $ 35 6801069 ESCITALOPRAM 10MG TAB $ 33 6801070 DEXPANTHENOL 250MG/ML VIAL $ 23 6801074 VENOFER 100MG/ NS IVPB : 100MG/100ML $ 113 6801075 ARMOUR THYROID 60MG TAB $ 9 6801083 MVI ADULT VIALS A&B (5ML EA) $ 65 6801089 SODIUM BICARBONATE 8.4% SYRINGE $ 65 6801090 PHYSOSTIGMINE 1MG/ML AMP $ 106 6801091 TETRACAINE 1% 2ML AMP SPINAL $ 112 6801092 BUPIVACAINE -EPI MPF 0.5% 30ML VIAL $ 65 6801093 BUPIVACAINE -EPI MULTIDOSE 0.25% VIAL $ 40 6801094 BUPIVACAINE -EPI MULTIDOSE 0.5% VIAL $ 65 6801095 LIDOCAINE -EPI MULTIDOSE 0.5% VIAL $ 35 6801096 LIDOCAINE -EPI MPF 1% VIAL $ 36 6801097 LIDOCAINE -EPI MPF 2% VIAL $ 48 6801098 LIDOCAINE MPF 0.5% VIAL $ 19 6801099 LIDOCAINE MULTIDOSE 2% VIAL $ 16 6801102 RIFAXIMIN 200MG TABS $ 35 6801103 MORPHINE ORAL SOLN 20MG/ ML $ 36 6801105 BEER 12 OZ $ 9 6801106 DOXAZOSIN 2MG TAB $ 9 6801107 SANTYL OINT 30GM TUBE $ 530 6801109 LORAZEPAM : 20MG/ 10MG VIAL $ 30 6801110 DILTIAZEM ER 240MG $ 10 6801112 ISOSORBIDE DINITRATE 20MG TAB $ 35 6801113 RIFAXIMIN 200MG TABS $ 35 6801118 DEXT 5%/ NACL 0.2% 1000ML $ 60 6801123 MS CONTIN 10MG E.R. CAPS $ 30 6801124 MS CONTIN 50MG E.R. CAPS $ 51 6801137 RIFAXIMIN 200MG TABS $ 51 6801138 MYCOPHENOLATE MOEFTIL 250MG CAPSULES $ 34 6801141 CLOTRIMAZOLE 1% CREAM $ 11 6801145 IRRIGATION 0.9% NS 3000ML $ 141 6801146 IRRIGATION LACT RING 3000ML $ 150 6801147 IRRIGATION SOLN NS 0.9% 1000ML $ 9 6801148 D5%/ WATER 100 ML IV $ 96 6801149 D5%/ WATER 50 ML IV $ 96 6801150 LR/ D5% 500ML IV $ 9 6801151 D2.5%/ NACL 0.45% 1000ML IV $ 96 6801152 D5%/ NS 0.9% 500 ML $ 96 6801153 NACL 0.45% 500 ML IV $ 96 6801154 D5%/ WATER 250 ML IV $ 96 6801155 D10%/ WATER 1000ML IV $ 96 6801156 D5%/ NACL 0.2% 500 ML IV $ 96 6801157 SPOT ENDOSCOPIC MARKER 5ML SYG $ 88 6801160 CETAPHIL CREAM $ 16 6801164 ACETYLCYSTEINE CAPS 600MG OTC $ 9 6801165 TYGACIL 50MG VIAL $ 294 6801168 CARBIDOPA/ LEVO 10MG/ 100MG TAB $ 9 6801169 NF NITROFURANTOIN (MACRODANTIN)50MG CAP $ 51 6801170 TAP WATER ENEMA $ 74 6801172 ASACOL 400MG D.R. TABLET $ 9 6801174 GENTAMICIN VIAL 80MG/2ML $ 35 6801183 GI COCKTAIL 50ML $ 9 6801184 MAGIC MOUTHWASH $ 9 6801191 AMERICAN SECURITY PRESCRIPTION PADS $ 260 6801192 JUVEDERM ULTRA XC $ 1,611 6801196 SOAP SUDS RECTAL EN $ 23 6801204 DICLOXACILLIN 250MG CAPSULES $ 9 6801205 NEO/POLY/HYDRO 3.5/10,000/10MG OTIC SOLN $ 51 6801213 ENALAPRIL MALEATE 2.5MG/2ML VIAL $ 65 6801215 OXYCODONE ER 80MG (OXYCONTIN) TAB $ 59 6801216 SOTALOL 80MG TAB $ 9 6801231 FLEET OIL RETENTION ENEMA 4.5OZ $ 11 6801233 AMLACTIN 12% LOTION 225GM $ 33 6801235 SULFAMETH/ TRIMP 800MG/160MG 10ML VIAL $ 38 6801238 PRIMIDONE 250MG TABS $ 9 6801241 EPIDURAL PREMIX BUPIV PF 0.1%/250ML NS $ 138 6801244 FLUCONAZOLE 400MG/200ML D5W PREMIX IVPB $ 90 6801246 LR 250 ML IV $ 58 6801252 PERFOROMIST (FORMOTEROL) 20MCG/2ML SOLN $ 798 6801256 LET 4ML TOPICAL SOLUTION $ 115 6801265 VITAMIN D 50,000 UNITS CAPSULE $ 9 6801266 ASPIRIN E.C. 81MG TAB $ 1 6801269 ISUPREL 1MG/ 5ML VIAL $ 193 6801274 NEUTRA PHOS (PACKET) $ 9 6801275 TERAZOSIN HCL (HYTRIN) 5MG CAP $ 10 6801276 NITRO-BID 2% PACKETS 1GM UD $ 150 6801277 SODIUM BICARBONATE 650MG TABLETS $ 9 6801279 VITAMIN A 10,000 UNIT GELCAPS $ 9 6801280 ROPINIROLE 0.25MG TAB $ 9 6801286 BUPIVACAINE PREMIX 0.1% / 250ML NS $ 88 6801294 TRIAMCINOLONE OINTMENT 0.1% 80gm TUBE $ 20 6801295 VASELINE (PETROLEUM JELLY) TOPICAL OINT $ 18 6801299 EMPTY 10ML FLIPTOP VIALS $ 9 6801308 RHOPHYLAC 300MCG PF 2ML SYRINGE $ 468 6801309 CETIRIZINE 5MG TAB $ 9 6801327 NS IRRIGATION SOLN 1000ML $ 126 6801329 TETRACAINE POWDER 500MG $ 11 6801330 NYSTATIN 5ML UD ORAL SUSP 100,000U/ML $ 9 6801331 SILDENAFIL 20MG TABLETS (REVATIO) $ 9 6801338 URSODIOL 300MG CAPS $ 9 6801343 PCA MEPERIDINE 300MG/ 30ML $ 141 6801347 ACTEMRA 400MG/ 20ML VIAL $ 3,836 6801361 BACITRACIN/ POLYMIXIN B OINTMENT 14.17GM $ 20 6801363 MAGNESIUM SULFATE VIAL : 1GM/ 2ML $ 80 6801378 AMITIZA 8 MCG CAPSU $ 30 6801387 Q VAR 40MCG INHALER (BECLOMETHASONE) $ 284 6801389 RIFAXIMIN 550MG TABS $ 93 6801392 TRIAMCINOLONE 0.1% CREAM 80GM $ 36 6801393 VITAMIN D-3 2,000 UNIT TAB $ 9 6801400 SODIUM CHL INHALATION SOLN USP 10% 15ML $ 9 6801418 VITAMIN E 400 UNITS SOFTGEL $ 1 6801421 AQUAPHOR OINT 14 OZ $ 55 6801437 PROPYLTHIOURACIL 50MG TAB $ 9 6801438 DEXTROSE 70% 500ML $ 53 6801441 POTASSIUM CITRATE ER 10MEQ TABLET $ 9 6801446 CALCIUM ACETATE 667MG GELCAP $ 12 6801458 ISONIAZID 300MG TABS $ 9 6801459 PARAGARD $ 864 6801465 FLUDROCORTISONE ACETATE 0.1MG TABLET $ 9 6801475 MEROPENEM VIAL : 1GM $ 280 6801487 PULMOZYME (DORNASO ALFA) UD INHALATION $ 289 6801495 BISOPROLOL 5MG TABLET $ 9 6801516 DIVALPROEX D.R. 250MG TABLET $ 9 6801521 METHYLPREDNISOLONE 8MG TABLET $ 11 6801534 ADDAMEL-N 10ML VIAL $ 140 6801537 IMIPRAMINE 25MG TAB $ 9 6801543 GLYBURIDE 1.25MG MICRO-SIZE TABLET $ 9 6801547 MORPHINE IR 15MG TABLET $ 9 6801554 DEXTROMETHORPHAN/ GUAIFENESIN SOL $ 5 6801560 LIOTHYRONINE 25 MCG TABLET $ 9 6801564 HYOSCYAMINE SULFATE 0.125MG SL TABLET $ 25 6801565 FLULAVAL VACCINE 5ML VIAL-ADULT $ 27 6801566 PROVENTIL INHALER (ALBUTEROL) 90MCG $ 213 6801567 NEO/ POLY/ HYDROCORT OPTH SUSP 7.5ML $ 376 6801572 POTASSIUM UD ORAL SOL 40MEQ/30ML $ 20 6801573 METAMUCIL WAFERS MULTIGRAIN $ 9 6801575 D5%/ NACL 0.45%/ KCL 30MEQ 1000ML IV $ 51 6801594 OSMITROL 20% 250ML IVPB $ 86 6801603 VANCOMYCIN ORAL SOL 250MG/5ML $ 115 6801608 TRUVADA TABLET $ 166 6801615 MIACALCIN 200 UNITS/ ML 2ML VIAL $ 231 6801625 MILK OF MAGNESIA 30ML UD $ 9 6801626 BOOSTRIX (TDAP) 0.5ML SYRINGE $ 178 6801643 STERILE WATER : 500ML INJ $ 100 6801644 BACITRACIN TUBE 500UNITS/ GM OINT 1OZ $ 19 6801645 NS 0.9% 1000 ML IV $ 101 6801657 RID LICE SHAMPOO 4OZ BOTTLE $ 51 6801666 NORCO 5-325MG TAB $ 15 6801673 SSD (THERMAZINE) CREAM 1% 400 GRAMS $ 215 6801680 TRIPLE ABX OINT (NEO/POLY/BACI) TUBE $ 30 6801684 GUAIFENESIN 200MG TABLET $ 9 6801685 NAPROXEN 500MG TABLET $ 9 6801691 LOPERAMIDE ORAL SOL 1MG/5ML $ 6 6801693 CARDENE PREMIX 20MG/ 200ML IV $ 330 6801714 OFLOXACIN 0.3% OTIC SOLUTION $ 251 6801722 ACETYLCYSTEINE : 200MG/ML 30ML VIAL $ 531 6801739 ARGATROBAN 100MG/ML 2.5MG VIAL $ 5 6801740 SODIUM ACETATE :100MEQ/ 50ML VIAL $ 35 6801754 EMPTY 3ML SYRINGE $ 9 6801755 PRECEDEX 200 MCG/ 50ML VIAL $ 183 6801760 TETRACAINE 2% TOP SOLN 25ML SYRINGE $ 86 6801765 CADEXOMER IODINE GEL .35 OZ TUBE $ 48 6801766 FLURANDRENOLIDE TOPICAL TAPE 4MCG/ SQ CM $ 473 6801779 PROCHLORPERAZINE 5MG TAB $ 9 6801787 NAMENDA 10MG TAB $ 33 6801798 CLOBETASOL PROP. CREAM 0.05% $ 257 6801818 BETAMETHASONE (AUGMENTED) 0.05% GEL $ 220 6801841 LIDOCAINE 2% VISCOUS SOLN UD $ 25 6801842 DTAP (INFANT) DIPH/ TET/ PERTUSS 0.5ML $ 86 6801855 TALC POWDER STERILE BOTTLE $ 338 6801861 OXYTOCIN/ NS 15 UNITS/250ML IVPB $ 149 6801864 IMMUNE GLOBULIN INF. 10% $ 1,700 6801867 IMMUNE GLOBULIN INF. 10% $ 4,360 6801892 DORZOLAMIDE/TIMOLOL OP SOL 22.3MG/6.8MG $ 178 6801918 TRIAMCINOLONE 0.1% CRM 454GM $ 87 6801954 B-COMPLEX W/FOLIC ACID VITAMIN C $ 1 6801956 RANITIDINE SYRUP 15MG/ ML 473ML BTTL $ 936 6801990 FLUPHENAZINE DECANOATE 25MG/ML VIAL $ 434 6801994 RANITIDINE 25MG/ML VIAL $ 55 6801995 RANITIDINE 150MG TABLET $ 9 6801996 FOMEPIZOLE 1.5GM/ 1.5ML VIAL $ 3,739 6802014 SILIKON 1000 8.5ML VIAL $ 1,323 6802018 LIOTHYRONINE 5 MCG $ 9 6802030 TRIAMCINOLONE 0.1% CREAM $ 106 6802060 ABILIFY 5MG TAB $ 221 6802063 KETOROLAC TROMETH 0.4% OPTH SOL $ 254 6802077 DEXT 5%/ NACL 0.45% 500 ML IV $ 86 6802078 CEFOTAXIME 1GM VIAL $ 65 6802080 PROCHLORPERAZINE 10MG/ 2ML VIAL $ 93 6802081 CLOTRIMAZOLE 2% VAGINAL CREAM $ 44 6802085 PATANOL 0.1% OP SOL (OLOPATADINE) $ 490 6802115 ARIPIPRAZOLE IV 9.75MG/ 1.3ML $ 70 6802129 NEXPLANON 68MG IUD $ 1,464 6802163 SYNVISC (HYLAN G-F $ 980 6802170 ESOMEPRAZOLE 40MG V $ 59 6802171 ZOSTAVAX (ZOSTER) VACCINE 0.65ML VIAL $ 606 6802195 OXYTOCIN/ LR 20 UNITS/ 1000ML PREMIX $ 113 6802198 MAG RIDER 4GM/ 100ML PREMIX $ 86 6802201 ZIPRASIDONE 20MG/ ML VIAL $ 230 6802202 FLORASTOR 250MG CAPSULE $ 9 6802215 CYTOVENE 500MG (GANCICLOVIR) VIAL $ 296 6802216 HEPARIN DRIP 25000 UNIT/NACL 0.45% 250ML $ 135 6802220 PCA DILAUDID 15MG/ 30ML VIAL $ 32 6802226 DEXAMETHASONE PARTCULATE FREE 10MG/ML $ 208 6802228 LIQUITEARS (POLYVINYL ALCOHOL) 1.4% DROP $ 10 6802233 NEXPLANON $ 1,761 6802248 PROGRAF (TACROLIMUS) CAP 1MG $ 28 6802253 DILAUDID PCA *DOUBLE STRENGTH* 30MG/30ML $ 143 6802254 D5%/ NACL 0.45%/ SOD BICARB 1000ML IV $ 86 6802256 D5%/ WATER/ SOD BICARB 1000ML IV $ 86 6802284 TECHNIQUE VERIFICATION KIT $ 55 6802289 SECURITY BAG FOR CRASH CART $ 9 6802290 EOVIST (GADOXETATE) 2.5MMOL/ 10 ML VIAL $ 361 6802296 ASPIRIN SUPP 600MG $ 8 6802306 KINEVAC (SINCALIDE) 5 MCG VIAL $ 361 6802315 GENTAMICIN CREAM 0.1% $ 216 6802322 APAP/ ASA/ CAFFEINE (250MG/250MG/65MG) $ 9 6802344 MAGNESIUM 50% PREFILL SYRINGE 10ML $ 159 6802345 VANCOMYCIN CREAM 1000MG/ 50GM SSD CREAM $ 36 6802379 CYCLOPHOSPHAMIDE 1 GM $ 1,350 6802380 CYCLOPHOSPHAMIDE 2 GM $ 2,699 6802390 CISPLATIN 50 MG $ 44 6802406 INVANZ (ERTAPENEM) 1GM VIAL $ 300 6802417 AVASTIN (BEVACIZUMAB) 100 MG VIAL $ 1,372 6802418 AVASTIN (BEVACIZUMAB) 400 MG VIAL $ 5,490 6802419 PRECEDEX 400 MCG/100ML VIAL $ 780 6802425 DEXAMETHASONE ORAL SOLUTION 0.5MG/ 5ML $ 171 6802436 HEPARIN SYRINGE 500U/ 5ML $ 9 6802479 LANSOPRAZOLE 30MG DELAYED RELEASE OD $ 63 6802482 ARANESP (DARBEPOETIN) 500 MCG SYR $ 6,808 6802502 ROMIDEPSIN 10MG/2ML $ 7,351 6802504 MAGNESIUM SULFATE 5GM/10ML $ 8 6802509 ISTODAX DS 10MG VIAL $ 7,351 6802510 LACTULOSE 20GM/30ML ORAL SOLN $ 10 6802524 ENLON-PLUS INJECTION $ 84 6802533 TYLENOL CODEINE #4 300MG/60MG TAB $ 9 6802540 CAMPTOSAR 100MG VIAL $ 50 6802541 DILANTIN 50MG CHEWA $ 4 6802543 HEPARIN SYRINGE 500UNIT IN 12ML SYR $ 38 6802544 RANITIDINE 150MG 6ML VIAL $ 10 6802608 BUTORPHANOL 2MG/ML $ 5 6802650 PRAZOSIN 1MG $ 9 6802651 MENACTRA $ 260 6802684 ROPIVACAINE(NAROPIN) 5MG/ML 20ML VL $ 18 6802716 LIDOCAINE JELLY 2% 400MG/20ML $ 36 6802720 CLINDAMYCIN GEL 1% TOPICAL $ 164 6802721 DAKIN'S FULL STRENGTH 0.50% SOLN $ 41 6802839 LITHIUM CARBONATE 150MG CAPSULE $ 10 6802846 INSULIN LANTUS SOLOSTAR 100U/ML FLEXPEN $ 480 6802906 NAFCILLIN 1GM VIAL FOR INJECTION $ 105 6802907 NAFCILLIN 1GM/NS 10 $ 129 6802912 NAFCILLIN 2GM/ NS 100ML $ 269 6802954 EPHEDRINE SULFATE 50MG/10ML SYR $ 60 6802983 HYDROXYCHLOROQUINE SULFATE TABLET 200MG $ 18 6803011 D10% /WATER 250ML IV $ 35 6803012 MORPHINE SULFATE 1MG/1ML ORAL $ 10 6803016 CEFACLOR 250MG/5ML $ 601 6803065 VANCOMYCIN HCL IV PWD FOR SOLN 750MG $ 64 6803066 VANCOMYCIN 750MG VIAL $ 135 6803087 HUMALOG $ 5 6803095 GUAIFENESIN ORAL SOLUTION 300MG/15ML $ 9 6803130 CEFOXITIN SODIUM IV PWD FOR SOLN 2GM $ 148 6803147 SWEET-EASE $ 9 6803169 VANCOMYCIN HCL ORAL CAP 250MG $ 379 6803171 XARELTO 10MG TAB $ 48 6803192 RANITIDINE ORAL SYRUP 15MG/1ML 10ML $ 35 6803214 NALBUPHINE (NUBAIN) 10MG AMPULES $ 19 6803215 MULTITRACE-5 (TRACE ELEMENTS INJECTION $ 75 6803221 HYDROMORPHONE HCL (DILAUDID) 1MG/ML $ 135 6803241 MORPHINE VIAL 25MG/ML $ 280 6803262 FENTANYL PATCH 12MCG/HR 72 HR $ 53 6803263 PROLIA SUBCUTANEOUS SOLUTION 60MG/1ML ZZ $ 78 6803304 FONDAPARINUX SODIUM SUBQ SOL7.5MG/0.6ML $ 136 6803307 ETHAMOLIN INTRAVENOUS SOLUTION 50MG/1ML $ 936 6803349 DEXTROSE (GLUCOSE) GEL PEDIATRIC $ 23 6803351 INFLUENZA VACCINE ADULT OVER 65 $ 143 6803367 INFLUENZA PEDIATRIC VACCINE $ 84 6803370 BENZTROPINE (COGENTIN) 2MG IM/IV $ 246 6803371 TRANEXAMIC ACID INJECTION 1000MG/10ML $ 84 6803404 AUGMENTIN 400-57MG/10ML NS IVBP PEDS $ 80 6803405 AZITHROMYCIN 200MG/5ML SUSP PEDS $ 65 6803406 BUDESONIDE 0.5MG/2ML INH SUSP UD PEDS $ 35 6803412 ACETAMINOPHEN COD ELIX 120MG/12MG 5ML UD $ 10 6803413 DEXAMETHASONE 10MG/ML INJ PEDS $ 79 6803414 DEXAMETHASONE 10MG/ML IVPB PEDS $ 79 6803415 FLUTICASONE NASAL SPRAY 50 MCG PEDS $ 66 6803416 FLUTICASONE-SALMETEROL(ADVAIR) 100/50 MD $ 349 6803417 HYDROCODONE/APAP 7.5-325MG 15ML SUS PEDS $ 14 6803418 HYDROMORPHONE 1MG/ML IVP PEDS $ 11 6803419 IBUPROFEN 100MG/5ML SUSP PEDS $ 1 6803420 LORAZEPAM (ATIVAN) 2MG/ML IVP PEDS $ 15 6803421 METHYLPREDNISOLONE 40MG/ML IVP PEDS $ 19 6803422 METRONINDAZOLE 500MG/100ML NS IVPB PEDS $ 96 6803423 MIDAZOLAM (VERSED) 2MG/2ML IVP PEDS $ 9 6803424 MORPHINE 2MG/ML IVP PEDS $ 75 6803425 MUPIROCIN (BACTROBAN) 2% OINT PEDS $ 54 6803426 NALOXONE HCI (NARCAN) 0.4MG/ML IVP PEDS $ 50 6803427 NYSTATIN 100,000 UNITS/ML SUSP PEDS $ 9 6803428 OSELTAMIVIR (TAMIFLU) 6MG/ML SUSP PEDS $ 182 6803429 RANITIDINE 150MG/15ML SUSP PEDS $ 19 6803430 TMP-SMZ (SULFA) 40MG/200MG SUSP PEDS $ 204 6803446 EPIDURAL FENT 2MCG/ML BUP 0.1% 250ML PRE $ 101 6803466 TRAVASOL (AMINO ACID) INJ 10% $ 67 6803467 VITAMIN A & D OINTM $ 10 6803468 FERAHEME IV SOLUTION 510MG/17ML ZZ $ 6 6803469 ZIDOVUDINE ORAL SYRUP 50MG/5ML $ 1 6803478 JANUVIA SITAGLIPTIN 25MG $ 55 6803480 STARLIX NATEGLINIDE 60MG $ 605 6803483 LIQUITEARS OPHTHALMIC SOLUTION 1.4% $ 2 6803487 PRANDIN (REPAGLINIDE) 0.5 MG $ 15 6803488 TAMIFLU (OSELTAMIVIR) 6 MG/ML $ 62 6803545 SENOKOT-S $ 6 6803546 PROVAY BLUE METHYLENE BLUE INJ 0.5% $ 295 6803572 PREVNAR 13 $ 880 6803646 SOD CHLORIDE 3% INHALATION $ 9 6803707 CIPRO HC OTIC SUSPENTION 0.2% $ 107 6803719 METHYL SALIC/MENTHOL CREAM $ 17 6803808 MORPHINE SULFATE-SODIUM CL 2MG/1ML-0.9% $ 75 6803920 LEVOTHYROXINE SODIUM ORAL TABLET 100MCG $ 10 6803922 PLAN B ONE STEP $ 70 6803923 SYMBICORT INH AER LIQ 160MCG-4.5MCG $ 264 6803966 OFIRMEV IV SOLN 10MG/1ML $ 151 6803985 TPN ELECTROLYTES ADDITIVE $ 50 6804002 ATORVASTATIN (LIPITOR) 40MG $ 10 6804003 ATORVASTATIN (LIPITOR) 10MG $ 10 6804016 AMOXICILLIN ORAL PWD FOR SUSP 125MG/5ML $ 10 6804017 CEFOTAXIME 500MG VIAL $ 10 6804090 TRIAMCINOLONE OINT 0.1% 80GM TUBE $ 20 6804098 DILAUDID INJ SOLN 0.5MG/0.5ML SYRINGE $ 11 6804099 DEXTROSE 50% 50ML V $ 10 6804130 POLYMYXIN B/TRIMETHOPRIM OPHTH SOLUTION $ 51 6804140 MORPHINE SULFATE INJECTION 0.5MG/ML $ 6 6804237 METRONIDAZOLE(FLAGYL)500MG/100ML PREMIX $ 85 6804276 MORPHINE SULFATE IV SOLUTION 4MG/1ML $ 15 6804279 SHINGRIX 50MCG/.5ML $ 256 6804294 CARBOCAINE INJ SOLUTION 1% 10MG/1ML $ 10 6804306 ONDANSETRON (ZOFRAN) 2MG/1ML 20ML MDV $ 10 6804357 THYROGEN INTRAMUSCULAR 0.9 MG $ 3,066 6804451 ENTYVIO DRIP/NS: 300MG/250ML ZZ $ 29 6804594 DERMAGRAFT PER SQ CM (38) $ 111 6804595 APLIGRAF PER SQ CM $ 104 6804597 AMNIOEXCEL 12MM DISK PER CM $ 366 6804598 AMNIOEXCEL 15MM DISK PER CM $ 401 6804599 AMNIOEXCEL 1.5CM X 1.5CM DISK PER CM $ 881 6804600 AMNIOEXCEL 2CM X 3CM DISK PER CM $ 401 6804601 AMNIOEXCEL 4CM X 4CM DISK PER CM $ 216 6804602 AMNIOEXCEL 3.5 x 3.5 $ 401 6804603 PURAPLY AM 2 X 2 CM $ 395 6804604 PURAPLY AM 2 X 4 CM $ 450 6804605 PURAPLY AM 5 X 5 CM $ 299 6804606 PURAPLY AM 6 X 9 CM $ 299 6804611 NUSHIELD ALLOGRAFT 1.6 SQ CM $ 1,590 6804612 NUSHIELD ALLOGRAFT $ 245 6804613 NUSHIELD ALLOGRAFT $ 220 6804828 ZIDOVUDINE ORAL SYRUP PEDS 50MG/5ML $ 1 6804852 INVANZ (ERTAPENEM) IM $ 300 6804901 AZITHROMYCIN IVPB P $ 100 6804903 CYANOKIT IV PWD FOR SOLN 5GM $ 3,374 6810000 NS AMNIOINFUSION 0.9% 1000 ML IU $ 101 6810010 SUGAMMADEX (BRIDION) 500MG/5ML INJ $ 688 6810030 NOZIN NASAL ANTISEPTIC AMPULE $ 8 6810040 FAMOTIDINE 20MG/2ML INJ $ 80 6810060 KETAMINE HCL INJECTION 500MG/5ML $ 11 6810075 NAFCILLIN 2GM VIAL FOR INJECTION $ 105 6960040 OXYGEN DAILY $ 1,006 6960041 CAPNOGRAPHY $ 626 6960042 RESPIRATORY FLOW VOLUME LOOP $ 626 6960050 ARTERIAL PUNCTURE INPATIENT $ 64 6961030 SVN CONT/LRG VOL $ 330 6961063 AERO-HOOD/DAY $ 936 6962509 CPT INIT + EVAL $ 604 6962517 CPT SUBSEQ $ 500 6963002 VENT INITIAL $ 1,706 6963077 VENT WEAN PARAMETER $ 476 6963085 VENT PER DAY/SUBSQUT $ 1,186 6964026 OXIMETRY CONT $ 604 6964034 OXIMETRY SQT. SINGLE $ 88 6964042 OXIMETRY SQT MULT $ 229 6964043 PULMONARY STRESS TEST SIMPLE (hypoxic) $ 670 6966013 PENTAMIDINE TRT $ 766 6966211 CPAP/BI-PAP $ 1,091 6967011 PEF $ 148 6967326 SPUTUM INDUCTION $ 340 6967342 SPUTUM INDUCT SUBSEQ $ 340 6967904 MDI INSTRUCT $ 340 6975147 ARTERIAL PUNCTURE $ 64 6988140 SVN DEMO OR EVAL $ 330 6988165 SVN TREATMENT $ 340 6988166 SVN2 TREATMENT $ 340 6988167 SVN TREATMENT DUONEB $ 340 6988168 SVN TREATMENT XOPENEX 1.25 $ 340 6988169 SVN TREATMENT XOPENEX .63 $ 340 6988170 SVN TREATMENT ATROV $ 340 6988171 SVN TREATMENT ALBUTEROL $ 340 6988172 SVN TREATMENT PULMICORT $ 340 6988173 SVN TREATMENT ACETYLCYSTEINE 20% $ 340 6988174 SVN TREATMENT ACETYLCYSTEINE 10% $ 340 6988181 SVN SUBSEQ $ 340 6988182 PRN SVN $ 340 6988190 TOBACCO CESSATION 3-10 MIN $ 142 6988195 TOBACCO CESSATION 10+ MIN $ 142 7030036 PFT SPIROMETRY $ 934 7030044 PFT BRONCHSPASM EVAL $ 1,515 7030051 PFT LUNG VOL/FRC $ 919 7030077 PFT DIFF CAPACITY $ 1,428 7030101 PFT BRONCHOPROV-STDY $ 1,079 7271003 PROC RM CARE X1 $ 5,566 7271029 PROC RM CARE X2 $ 2,780 7271030 ESOPHAGUS MOTILITY STUDY $ 1,671 7271032 MOD SED SAME PHYS 5>YRS INITIAL 5MIN ** $ 102 7271033 MOD SED OTH PHYS <5 YRS INITIAL 15MIN ** $ 51 7271034 MOD SED OTHER PHYS EA ADDL 15MIN ** $ 235 7271035 MOD SED ENDO SERV >5YRS INTIAL 15MIN ** $ 247 7410009 PT EVAL NEW PT EXTENDED 45 MIN $ 299 7411015 PT EMS U/A 15M $ 124 7411023 PT HEAT/ICE PACK TMT $ 46 7411025 THERABAND/FT $ 16 7411049 PT PARAFFIN $ 105 7411056 PT TENS & INSTRUCTI $ 169 7411080 PT ULTRASOUND 15MIN $ 80 7412070 PT ORTHOTIC TNG 15MIN $ 121 7412104 PT PROSTHETIC TRN 15MIN $ 80 7412112 PT SKILL GAIT INSTRUC15 $ 80 7412906 PT MANUAL THERAPY 15 MIN $ 128 7413458 PT GROUP EXERCISE $ 59 7413656 PT EVAL NEW PT LIMITED 20 MIN $ 186 7413706 PT EVAL NEW PT INTERMED 30 MIN $ 229 7413805 PT RE EVAL <20 MIN $ 115 7413854 PT RE EVAL >20 MIN $ 185 7414852 PT TRACTION-MECHANI $ 153 7414902 VASOPNEUMATIC DEV 15 $ 94 7415008 PT THERAPEUTIC EXER 15M $ 80 7415057 PT NEURO MUS RE-ED $ 115 7415107 PT THERAPEUTIC ACTIVITY $ 93 7415156 PT EMS MANUAL 15MIN $ 138 7415180 PT IONTOPHORESIS 15 $ 150 7415255 PT MASSAGE 15MIN $ 80 7417723 PT WC THERAPEUTIC E $ 109 7473056 PT FUNCTIONAL CAP 15MIN $ 125 7800116 ST EVAL SPEECH FLUE $ 184 7800117 ST EVAL SPEECH SOUND PROD $ 149 7800118 ST EVAL SPEECH SOUND PROD W/ LANG COMP $ 309 7800119 ST BEHAVIORAL & QUALITATIVE ANA OF VOICE $ 145 7808256 ST SPEECH/AURAL REHAB TX $ 308 7808272 ST DYSPH MBS-VIDEO EVAL $ 308 7808322 ST SWALLOW/ORAL EVAL $ 308 7808355 ST SPEECH TX GRP $ 138 7808413 ST COGNITIVE EVALUATION $ 308 7808488 ST SWALLOW/ORAL/DYSF TX $ 308 7808629 ST VOICE PROST DVIC 1HR $ 308 7808686 ST TX SP GNRATE DEV $ 308 7808728 ST VOICE PROST MOD 30M $ 141 7808769 ST COGNITIVE THERAPY 15MIN $ 70 7809678 ST COGNITIVE THERAPY UNTIMED $ 280 7909678 OT COGNITIVE THERAPY UNTIMED $ 280 7933009 OT SENSORY INTEGRAT $ 106 7972056 OT EVAL NEW PT LIMITED 30 MIN $ 308 7972106 OT EVAL NEW PT INTERMED 45 MIN $ 328 7972205 OT EVAL EST PT LIMIT <30 MIN $ 168 7972254 OT EVAL EST PT INTERM >30 MIN $ 221 7973310 OT ORTHOTIC MNGMT$TRAIN $ 121 7973559 OT ADL TNG 15MIN $ 133 7973906 OT MANUAL THERPAY $ 128 7974458 OT THERAPEUTIC EX 15MIN $ 80 7974607 OT NEURO MUS RE-ED 15MI $ 115 7974706 OT FUNCTIONAL ACT 15MIN $ 93 7974755 OT EMS MANUAL 15MIN $ 138 7977246 OT WC FUNCTIONAL ACTVTY $ 214 7977444 OT WC KINETIC ACT + $ 92 7978004 OT HEAT/ICE 15MIN $ 68 7978103 OT ULTRASOUND 15MIN $ 80 7978152 OT ELEC STIM UNATTEND $ 124 7978251 OT EVAL NEW PT EXTENDED 60 MIN $ 491 7978509 OT PARAFFIN $ 105 7978921 OT FUNCTION COG ACT 15M $ 133 7979200 OT IONTOPHORESIS $ 150 7991213 OT ELBOW,TENNIS STRAP L $ 239 7991288 OT ELBOW SPLINT CSTM L $ 1,040 7992021 OT FINGER,KNUCKL BEND M $ 145 7992039 OT FINGER,KNUCKL BEND L $ 159 7992096 OT FINGER REVR KNUCKL L $ 159 7995131 OT THUMB SHORT CUST SM $ 866 7995156 OT THUMB SHORT CUST LG $ 881 7995164 OT THUMB SHORT CUST XLG $ 895 7995271 OT THUMB/WRIST CSTM M $ 881 7995297 OT THUMB/WRIST CSTM L $ 895 7995313 OT THUMB/WRIST CSTM XL $ 910 7995404 OT WRIST/HAND NEOPREN S $ 289 7995412 OT WRIST/HAND NEOPREN M $ 304 7995420 OT WRIST/HAND BRACE $ 318 7995438 OT WRIST/HAND BRACE XLG $ 333 7995610 OT WRIST/HAND CUSTOM M $ 629 7995628 OT WRIST/HAND CUSTOM L $ 644 7995636 OT WRIST/HAND CUSTOM XL $ 658 8500008 WC OUTPATIENT EST LEVEL 1 $ 130 8500602 WC OUTPATIENT EST LEVEL 4 $ 775 8500604 WC OUTPATIENT EST LEVEL 5 $ 1,065 8500701 WC OUTPATIENT EST LEVEL 3 $ 517 8500909 WC OUTPATIENT EST LEVEL 2 $ 290 8510366 AP SKIN SUBS GRFT TR/A/L 1ST 25SQCM ** $ 2,113 8510376 APLIGRAF LEG EPIFIX FIRST $ 1,664 8510378 AP SKIN SUBS TR/A/L EA ADDL 25SQCM ** $ 1,057 8510614 APPL WRAP/BELOW KNEE $ 431 8511109 ARTERIAL SDY SGL LVL $ 554 8511125 ARTERIAL STDY MUT LV $ 803 8512800 AVULS NAIL EA ADDL NAIL ** $ 365 8514103 BIOPSY COLLECTION $ 381 8514104 BIOPSY NDL BONE SUPERFICIAL ** $ 5,767 8514129 BIOPSY ADDITIONAL $ 381 8517106 CALLUS ABRASION SGLE $ 365 8517122 CALLUS ABRASION +4 $ 365 8517809 CAUTERY WND 2-14 LESIONS (ELECTRIC) ** $ 357 8517825 CAUTERY WND CHEMICAL $ 365 8517841 CRYOABLATION $ 329 8518088 DEBRIDE ECZ EA ADDL <10% BODY AREA ** $ 2,113 8518104 DBRD OF NAILS (1-5) $ 261 8518120 DBRD OF NAILS (6+) $ 261 8518146 SELECT DBRD<20 SQ CM $ 294 8518161 SELECT DBRD>20 SQ CM $ 365 8518245 NON-SELECT DEBRIDMNT $ 213 8520605 SURG GRAFT/100 SQ CM $ 1,833 8520829 SURG GRAFT PREP FEET $ 876 8530018 I & D SIMPLE $ 521 8530026 I & D COMPLEX $ 521 8534028 NEG PRESSURE<50SQ CM $ 294 8534069 NEG PRESSURE>50SQ CM $ 365 8538102 BENIGN LESION PARING $ 294 8538128 BENIGN LESION 2-4 $ 294 8538144 BENIGN LESION 4+ $ 365 8561187 RMVL/REVSION FT CAST $ 373 8561500 RMVL NAIL BED $ 1,434 8570209 WC OUTPATIENT NEW LEVEL 1 $ 298 8570225 WC OUTPATIENT NEW LEVEL 2 $ 522 8570241 WC OUTPATIENT NEW LEVEL 3 $ 763 8570258 WC OUTPATIENT NEW LEVEL 4 $ 650 8570282 WC OUTPATIENT NEW LEVEL 5 $ 1,552 8570402 WND DBRD PART THICK $ 565 8570428 WND DBRD FULL THICK $ 565 8570444 WND DBRD SUBQ&TISSUE $ 868 8570451 EA ADD 20 CM AFTER $ 1,099 8570469 WND DBRD TISUE&MUSCL $ 868 8570477 EA ADD 20 CM AFTER $ 1,099 8570485 WND DBRD S,T,M,B $ 2,325 8570493 EA ADD 20 CM AFTER $ 1,099 8571608 TRIM NAILS ANY $ 261 8580104 BIOSPY NDL BONE DEEP $ 2,396 8580120 BSPY S.T.LOW LEG SPF $ 2,396 8580146 BSPY S.T. LOW LEG DP $ 6,178 8580203 BURNS TREATMENT SMAL $ 300 8580229 BURNS TREATMENT MED $ 455 8581102 CLEAN OUTER EAR CANL $ 213 8587307 RIGID CONTACT CAST $ 765 8587604 RMV IMPACTED CERUMEN $ 213 8590467 APPLY LC SKIN SUB F/N/H/F 1ST 25QCM ** $ 2,113 8590475 AP SKIN SUB F/N/H/F EA ADD 25QCM ** $ 1,695 8591441 SNAP VAC WOUND CARE SYSTEM <=50 SQ CM $ 1,191 8591442 SNAP VAC WOUND CARE SYSTEM >50 SQ CM $ 1,191 8688107 HBOT INITIAL 15MINS $ 455 8688123 HBOT SUBSEQUENT 15MI $ 455 8688651 HYPERBARIC OXYGEN 30 $ 911 8688727 HYPERBARIC OXYGEN PI $ 3,640 40635005 GLUCOSE, RGT STRIP $ 25 40651408 OCCULT BLOOD $ 43 40652349 STREP SCREEN RAPID A $ 70 40661399 SKIN TEST TB $ 44 40670408 URINALYSIS, Outpati $ 43 40670705 HCG, URINE $ 48 50102893 PRIMIDONE, SERUM OR PLASMA $ 82 55580061 **80061** $ 66 55581003 **81003** $ 11 55582043 **82043** $ 28 55582131 **82131** $ 92 55582140 **82140** $ 72 55582172 **82172** $ 84 55582247 **82247** $ 25 55582310 **82310** $ 25 55582340 **82340** $ 30 55582436 **82436** $ 23 55582465 **82465** $ 19 55582507 **82507** $ 137 55582533 **82533** $ 80 55582540 **82540** $ 88 55582570 **82570** $ 26 55582670 **82670** $ 138 55582679 **82679** $ 123 55582747 **82747** $ 86 55582784 **82784** $ 46 55582785 **82785** $ 81 55582947 **82947** $ 17 55582955 **82955** $ 49 55582977 **82977** $ 36 55582995 **82955** $ 59 55583001 **83001** $ 92 55583002 **83002** $ 91 55583010 **83010** $ 62 55583021 **83021** $ 80 55583516 **83516** $ 57 55583520 **83520** $ 69 55583655 **83655** $ 60 55583704 **83704** $ 156 55583735 **83735** $ 33 55583883 **83883** $ 67 55583935 **83935** $ 34 55583945 **83945** $ 64 55583970 **83970** $ 204 55584105 **84105** $ 26 55584133 **84133** $ 21 55584153 **84153** $ 91 55584154 **84154** $ 91 55584155 **84155** $ 18 55584156 **84156** $ 18 55584165 **84165** $ 53 55584202 **84202** $ 71 55584300 **84300** $ 24 55584392 **84392** $ 23 55584402 **84402** $ 125 55584403 **84403** $ 125 55584436 **84436** $ 34 55584443 **84443** $ 83 55584450 **84450** $ 23 55584460 **84460** $ 26 55584478 **84478** $ 26 55584479 **84479** $ 32 55584560 **84560** $ 23 55585014 **85014** $ 12 55585041 **85041** $ 15 55585240 **85240** $ 88 55585245 **85245** $ 113 55585246 **85246** $ 113 55585303 **85303** $ 68 55585306 **85306** $ 76 55585597 **85597** $ 89 55585598 **85598** $ 89 55585613 **85613** $ 47 55585660 **85660** $ 24 55585670 **85670** $ 28 55585705 **85705** $ 43 55585730 **85730** $ 30 55585732 **85732** $ 32 55586001 **86001** $ 31 55586003 **86003** $ 26 55586038 **86038** $ 60 55586146 **86146** $ 126 55586147 **86147** $ 126 55586148 **86148** $ 79 55586160 **86160** $ 59 55586162 **86162** $ 100 55586200 **86200** $ 64 55586225 **86225** $ 68 55586235 **86235** $ 89 55586255 **86255** $ 60 55586256 **86256** $ 60 55586331 **86331** $ 53 55586334 **86334** $ 110 55586335 **86335** $ 145 55586356 **86356** $ 132 55586357 **86357** $ 186 55586376 **86376** $ 72 55586431 **86431** $ 28 55586602 **86602** $ 45 55586606 **86606** $ 67 55586609 **86609** $ 57 55586617 **86617** $ 77 55586631 **86631** $ 58 55586632 **86632** $ 63 55586644 **86644** $ 71 55586645 **86645** $ 71 55586663 **86663** $ 65 55586664 **86664** $ 75 55586665 **86665** $ 89 55586671 **86671** $ 54 55586677 **86677** $ 72 55586694 **86694** $ 71 55586695 **86695** $ 65 55586696 **86696** $ 96 55586704 **86704** $ 60 55586706 **86706** $ 53 55586708 **86708** $ 61 55586709 **86709** $ 61 55586735 **86735** $ 64 55586762 **86762** $ 71 55586765 **86765** $ 64 55586777 **86777** $ 71 55586778 **86777** $ 71 55586790 **86790** $ 64 55586800 **86800** $ 79 55586803 **86803** $ 70 55587015 **87015** $ 33 55587116 **87116** $ 53 55587177 **87177** $ 44 55587206 **87206** $ 27 55587209 **87209** $ 89 55587328 **85597** $ 59 55587329 **87329** $ 59 55587340 **87340** $ 51 55587491 **87491** $ 173 55587591 **87591** $ 173 55587661 **87661** $ 173 55587798 **87798** $ 173 55587802 **87802** $ 59 55587899 **87899** $ 64 55599199 **99199** $ 5 67457105 KETAMINE 1000MG/10ML $ 36 68100001 FAMOTIDINE 40MG/ 4ML INJ $ 10 80001369 FOLEY COUDE 16FR 5CC ** $ 55 80001370 FOLEY COUDE 14FR 5CC ** $ 55 80001377 TEGADERM 6X8 1628 ** $ 23 80001378 SOLN L6050 2.5%D/0.45% NACL 1000ML $ 23 80001393 KCI VAC CANISTERS ATS ** $ 154 80001395 KCI SOFT FOAM WHITE $ 53 80001396 KCI VAC DRAPE** $ 41 80001397 KCI GRANUFOAM SM DRESSING ** $ 148 80001398 KCI GRANUFOAM MED DRESSING ** $ 185 80001401 KCI GRANUFOAM LG DRESSING ** $ 181 80001432 SOLN IRRIG R5005 H2O 2000ML $ 23 80001471 SOLN 3000CC LACTATED RINGER $ 53 80001475 FOLEY COUDE 20FR 5CC ** $ 54 80001476 CATH 3-WAY IRRIGATION SILICON ** $ 93 80001477 CATH 3WAY IRRIGATION ** $ 51 80001479 IV TUBING GRAVITY F $ 9 80001494 CONNECTING TUBE 12FT 34340 $ 11 80001497 OXYGEN MASK ADULT $ 2 80001511 TOURNIQUET BD $ 24 80001512 PENROSE DRAIN 1/4X12 ** $ 98 80001513 PENROSE DRAIN 1/2X12 ** $ 85 80001514 PENROSE DRAIN 1X12 ** $ 89 80001516 PENROSE DRAIN 1/2X18 ** $ 88 80001517 PENROSE DRAIN 1X18 ** $ 100 80001522 CATH TRAY, FOLEY 18 FR ** $ 63 80001524 CATH, FOLEY 8 FR 3 CC 165PL08 ** $ 40 80001525 CATH, FOLEY 10 FR 3 CC ** $ 40 80001526 CATH, FOLEY 12 FR 5 CC ** $ 24 80001527 CATH, FOLEY 14 FR 5 CC ** $ 24 80001529 CATH, FOLEY 18 FR 5 CC 165L-18 ** $ 24 80001530 CATH, FOLEY 20 FR 5 CC ** $ 24 80001531 CATH, FOLEY 22 FR 5 CC 165L22 ** $ 24 80001533 CATH FOLEY 14 FR 30 CC ** $ 26 80001534 CATH, FOLEY 16 FR 30 CC ** $ 31 80001535 CATH, FOLEY 22 FR 30 CC ** $ 31 80001536 CATH, FOLEY 24 FR 30 CC ** $ 31 80001537 CATH FOLEY 26 FR 30 CC ** $ 26 80001538 CATH, FOLEY SILICONE 14 FR ** $ 24 80001540 CATH, FOLEY SILICONE 18 FR ** $ 24 80001541 CATH, FOLEY SILICONE 20 FR ** $ 24 80001542 CATH, FOLEY SILICONE 22 FR ** $ 24 80001543 CATH. FOLEY SILICONE 24FR ** $ 24 80001545 CLAVICLE STRAP X-SM $ 33 80001546 CLAVICLE STRAP SM ** $ 33 80001547 CLAVICLE STRAP MED ** $ 33 80001551 CLAVICLE STRAP LG ** $ 33 80001552 SOLN, IRRIG 0.9% 2L NACL $ 30 80001558 VASELINE GAUZE 1/2X72 ** $ 78 80001564 WRIST SUPPORT RT SM $ 40 80001572 STOCKINETTE 2" $ 63 80001573 STOCKINETTE 3" $ 131 80001579 WRIST SUPPORT LT SM $ 40 80001581 WRIST SUPPORT RT MED ** $ 40 80001582 WRIST SUPPORT LT MED ** $ 40 80001588 WRIST SUPPORT RT LG $ 40 80001602 WRIST SUPPORT LT LRG *** $ 40 80001604 TROCAR, CATH 20 FR ** $ 99 80001695 TED SOX 3130 THIGH SMALL ** $ 55 80001697 TED SOX 3310 ** $ 55 80001698 TED SOX 3416 THIGH MED LONG ** $ 55 80001700 TED SOX 7071 KNEE SMALL REGULAR ** $ 56 80001701 TED SOX 7115 KNEE MEDIUM ** $ 56 80001718 CATHETER TROCAR 10FR ** $ 100 80001719 THORACIC CATH ST 20FR ** $ 41 80001720 ARM SLING SM ** $ 23 80001722 ARM SLING LG ** $ 23 80001723 CERVICAL COLLAR SM ** $ 29 80001725 CERVICAL COLLAR LG ** $ 29 80001737 KNEE IMMOB 16" ** $ 73 80001738 KNEE IMMOB 20" ** $ 69 80001739 KNEE IMMOB 24" ** $ 81 80001753 TELFA PAD 2X3 $ 53 80001754 GAUZE SOF-FORM 2" $ 23 80001755 GAUZE SOF-FORM 3" $ 23 80001757 GAUZE SOF-FORM 6" $ 23 80001804 FINGER SPLINT 6" *** $ 44 80001818 STOCKINETTE STERILE 4" 7745 ** $ 23 80001819 STOCKINETTE STERILE 6" 7765 ** $ 23 80001823 GAUZE BOAT 4X4 XRAY STERILE ** $ 23 80001835 FINGER SPLINT 3" *** $ 44 80001852 COLLES SPLINT LG LT $ 26 80001855 COLLES SPLINT LG RT $ 25 80001861 THORACIC CATH ST 28FR ** $ 41 80001862 COLLES SPLINT MED LT ** $ 25 80001863 COLLES SPLINT MED RT ** $ 26 80001865 COLLES SPLINT SM RT $ 25 80001866 COLLES SPLINT SM LT $ 26 80001869 THORACIC CATH STR 16 FR ** $ 31 80001873 THORACIC CATH STRAIGHT 32FR ** $ 31 80001874 THORACIC CATH STRAIGHT 36FR ** $ 31 80001875 THORACIC CATH STRAIGHT 40F ** $ 23 80001883 THORACIC CATH RT ANGLE 20 FR ** $ 46 80001884 THORACIC CATH R ANGLE 28FR ** $ 49 80001885 THORACIC CATH RT ANGLE 32 FR ** $ 46 80001886 THORACIC CATH R ANGLE 36F ** $ 46 80001887 THORACIC CATH R ANGLE 40FR ** $ 46 80001896 CATH FOLEY 26 FR 5CC ** $ 24 80001897 CATH FOLEY 24 FR 5CC ** $ 24 80001898 CATH FOLEY 28 FR 30 CC ** $ 26 80001899 CATH FOLEY 18 FR 30CC SILICONE ** $ 31 80001900 CATH FOLEY 20 FR 30CC ** $ 26 80001901 CATH FOLEY 30 FR 30 CC ** $ 28 80001916 CENTRAL VENOUS CATH KIT 20 GA ** $ 75 80001934 FINGER SPLINT 1.5" $ 48 80001943 CATH, ROBINSON 8 FR $ 23 80001944 CATH, ROBINSON 10 FR $ 25 80001946 CATH, ROBINSON 12 FR ** $ 23 80001947 CATH, ROBINSON 16 FR ** $ 25 80001948 CATH, ROBINSON 18 FR ** $ 25 80001958 STOCKINETTE BIAS 4" 8244 ** $ 23 80001959 STOCKINETTE BIAS 6" 8264 ** $ 24 80001972 TED SOX 3449 ** $ 78 80002015 SYRINGE 60CC SLIP TIP 9654 $ 3 80002035 EXT SET ULTRASITE STD BORE 3447 $ 5 80002047 INTERLINK Y EXT SET IVAC 3584470021 $ 11 80002075 TROCAR 28FR OM 10/BX ** $ 76 80002077 PHILLY COLLAR, SM LONG ** $ 59 80002078 PHILLY COLLAR, MED LONG ** $ 59 80002079 PHILLY COLLAR, LG SHORT ** $ 59 80002080 PHILLY COLLAR, LG LONG ** $ 59 80002081 PHILLY COLLAR, SM SHORT ** $ 59 80002082 PHILLY COLLAR, MED SHORT ** $ 59 80002112 LACERATION SUTURE T $ 26 80002118 SCD SLEEVE SHORT LEG DVT-10 $ 60 80002147 WRIST SUPPORT RT X-SM ** $ 54 80002148 WRIST SUPPORT LT X-SM ** $ 54 80002158 CANNULA NASAL 14FT $ 23 80002159 CANNULA NASAL 7FT $ 23 80002182 OPTIFOAM 4X4 NON ADHESIVE ** $ 23 80002186 BAIR HUGGER FULL BODY BLANKET $ 18 80002299 TEGADERM 4X4 3/4 1626W ** $ 23 80002319 BARIUM SULPHATE EZHD $ 204 80002326 SYRINGE 5CC SLIP TIP 9647 $ 88 80002386 CENTRAL LINE BUNDLE $ 261 80002390 OPTIFOAM ADHESIVE DRESSING 6 X 6 $ 44 80002396 INFO VAC CANNISTER 1000ML $ 173 80002404 OPTIFOAM DRESSING 6 X 6 NON ADHESIVE $ 44 80002412 MAXORB 4 X 4 $ 20 80002413 MAXORB EXTRA 2 X 2 $ 24 80002414 MAXORB AG ROPE 12" $ 38 80002415 MAXORB EXTRA AG 4 X 4.75 $ 66 80002416 QUIET KIT $ 261 80002417 DEODORANT ANTIPERSPIRANT $ 261 80002419 LIQUI-LOC 1000cc SOLIDIFIER $ 44 80002420 LIQUI-LOC 3000cc SOLIDIFIER $ 44 80002422 EMISIS BAGS $ 73 80002443 ELASTIC LEG STRAP $ 7 80002455 ARM SLING XL ** $ 23 80002463 URINAL FEMALE $ 23 80002465 SOLN L5202 10 DEXTR $ 23 80002466 PRONTOSAN WOUND CLEANER 40ML $ 23 80002467 PRONTOSAN SOLN 350ML $ 23 80002468 PRONTOSAN GEL 30ML $ 23 80002486 IV PRIMARY BAXTER ** $ 31 80002488 SORBING SET BAXTER ** $ 46 80002490 IV PRIMARY TPN FILTER ** $ 31 80002491 BURETROL SET WITH BURETTE BAXTER $ 26 80002511 CATH, FOLEY SILICONE 12 FR ** $ 24 80002516 SCD CALF MED (DVT-10) $ 60 80002517 SCD CALF LRG (DVT-20) $ 60 80002518 SCD CALF XL $ 131 80002519 NOZIN PREOP AMPULES $ 26 80002522 SIDE KICK WALKER BOOT S ** $ 74 80002523 SIDE KICK WALKER BOOT M ** $ 74 80002524 SIDE KICK WALKER BOOT L ** $ 74 80002529 THERAHONEY WOUND GEL .5OZ $ 29 88888888 HEPARIN DRIP 25,000 UNITS/NS 0.45% 250ML $ 94 90000011 NASAL CANNULA ADULT HIGH FLOW $ 24 90000040 NASAL CANNULA INFANT $ 23 90000041 NASAL C-PAP SET INFANT SIZE 1 $ 54 90000042 NASAL C-PAP SET INFANT SIZE 2 $ 54 90000043 NASAL C-PAP SET INFANT SIZE 3 $ 54 90000044 NCPAP INFANT SMALL CANNULA $ 166 90000045 NCPAP INFANT LARGE CANNULA $ 166 90000051 NEBULIZERS, SMALL VOLUME $ 23 90000058 PEAK FLOW METER $ 46 90000064 NASAL CANNULA PEDI $ 23 90000096 SUTURE, 4-0 SILK C-3 $ 23 90000097 SUTURE, 5-0 SILK C-3 $ 23 90000102 SUTURE, 2-0 CHROMIC GUT FS-1 $ 23 90000106 SUTURE, 4-0 CHROMIC GUT STD $ 23 90000108 SUTURE, 4-0 ETHILON FS-2 $ 23 90000109 SUTURE, 3-0 ETHILON FS-1 $ 23 90000110 SUTURE, 5-0 ETHILON P-3 $ 23 90000112 SUTURE, 4-0 ETHILON PC-1 $ 25 90000113 SUTURE, 6-0 ETHILON PC-1 $ 26 90000116 SUTURE, 5-0 ETHILON FS-2 $ 23 90000118 SUTURE, 4-0 MERSILINE FS-2 $ 31 90000124 SUTURE, 5-0 PROLENE PS-3 $ 25 90000127 SUTURE, 4-0 NOVAFIL $ 30 90000128 SUTURE, 5-0 NOVAFIL $ 273 90000130 SUTURE, 4-0 SURGIGUT $ 48 90000131 SUTURE, 5-0 SILK P-13 $ 70 90000132 SUTURE, 7-0 NOVAFILE $ 338 90000166 CATHETER WORD $ 96 90000167 CENTRAL LINE PEDI $ 89 90000193 CATHETER ASPIRATION $ 215 90000199 NASAL SPLINT $ 148 90000203 CATHETER EPISTAHS SILICONE $ 158 90000223 NASAL MUCOSAL ATOMIZER W/O SYR $ 241 90000247 SUTURE SURGIGUT 3-0 NDL GS-21 $ 23 90000252 SUTURE VICRYL 0 $ 23 90000253 SUTURE CHROMIC GUT $ 24 90000259 SUTURE CHROMIC 4-0 $ 23 90000260 SUTURE CHROMIC 2-0 CT-1 36" $ 23 90000263 SUTURE SOFSILK 4-0 $ 23 90000266 SUTURE RAPIDE VICRYL 4-0 $ 23 90000269 SUTURE RAPIDE VICRYL 3-0 $ 23 90000288 HOT PACKS HYDROCALLATION 10X20 $ 66 90000293 CATH UVC 5.0FR SINGLE LUMEN $ 428 90000294 CATH ARGLYLE NEO-SERT UMB VESL $ 1,056 90000313 BREAST PUMP ONE HAN $ 83 90000319 CATH MULTIPURPOSE DRAINAGE 10.2 $ 294 90000320 CATH MULTIPURPOSE DRAIN 8.5 $ 629 90000346 ISOVUE 300 100ML $ 75 90000347 ISOVUE 300 150ML $ 103 90000348 ISOVUE-370 100ML $ 130 90000349 ISOVUE-370 150ML $ 103 90000365 GADAVIST 7.5ML $ 130 90000366 GADAVIST 10ML $ 166 90000369 BALLOON INFLATOR $ 3 90000373 ENEMA KIT $ 23 90000379 ISOVUE M 200 10ML $ 70 90000380 ISOVUE M 300 15ML $ 90 90000381 ISOVUE 300 50ML $ 43 90000407 SUTURE 3-0 ETHICON $ 23 90000408 SUTURE 4-0 ETHICON $ 23 90000409 SUTURE 5-0 ETHILON $ 23 90000414 SUTURE 4-0 ETHILON $ 86 90000417 SUTURE 5-0 ETHILON P3 $ 140 90000418 THUMB SPICA SPLINT LEFT L/XL $ 66 90000419 THUMB SPICA SPLINT LEFT S/M $ 66 90000420 THUMB SPICA SPLINT RIGHT L/XL $ 66 90000421 THUMB SPICA SPLINT RIGHT S/M $ 66 90000430 FINGER IMMOBILIZER $ 208 90000611 EZ KAST KIT W/O BOOTS 3" / 10 MEDI - $ 2,470 90000612 EZ KAST KIT 4" / 10 W/OUT BOOTS $ 2,470 90000613 EZ KAST KIT WITH BOOTS 4" / 10 MEDI - $ 3,099 90000622 OPTIFOAM AG ANTIMICROBIAL NON-ADHESIVE $ 40 90000654 OPTIFOAM ADHESIVE DRESSING 4 X 4 $ 23 90000664 DRESSING 4 X 5 SILVER TRIACT $ 53 90000670 DUODERM CGF BOARDER 4 X 4 $ 25 90000678 TEGADERM TRANSPARENT 4 X 4 3/4 $ 33 90000679 MEDI-E KAST KIT W/BOOTS 3" / 10 $ 289 90000714 VERTEBROPLASTY NDL MTCH-GRD DMND TIP 13G $ 173 90000715 VERTEBROPLASTY KIT $ 3,088 90000716 VERTEBROPLASTY KIT $ 3,080 90000724 CANNULA VERTEPORT CEMENT $ 2,901 90000746 POLYP TRAP SUCTION $ 37 90000748 BALLOON DILATION CATH 15-16.5-18MM $ 618 90000749 BALLOON DILATION CATH 12-13.5-15MM $ 527 90000750 BALLOON DILATION CATH 18-19-20MM $ 618 90000770 BALLOON (COLON) 24F $ 181 90000771 BALLOON (COLON) 30F $ 181 90000772 BALLOON (COLON) 36F $ 181 90000773 BALLOON (COLON) 45F $ 181 90000774 BALLOON (COLON) 54F $ 181 90000775 BALLOON (COLON) 60F $ 181 90000787 ELECTROSURGICAL SNARE DISP $ 50 90000822 CANNULA - BLUNT PLASTIC $ 23 90001174 RHOGAM (RHIG) RHOPHYLAC $ 251 90002317 STOCKINETTE BIAS 2IN $ 23 90002326 HERNIA PATCH "VENTRALEX" $ 1,401 90002343 TROCAR 5MM B5XT $ 735 90002363 HICKMAN CATH&INSERT SET SING LUMEN 9.6FR $ 393 90002364 HICKMAN CATH&INSERT SET DUAL LUMEN 9.0FR $ 473 90002366 PEG GUIDEWIRE 20FR $ 585 90002367 SNAPLOCK MACRO PORT INFUS-A-PORT 9.6FR $ 1,203 90002378 CATH 15CC BALLOON 16FR BAKER JEJUNOSTOMY $ 713 90002382 VERSA YELLOW PORT 5-10MM $ 371 90002383 VERSAPORT TROCAR 15MM $ 475 90002387 PROCEED ULTRAPRO PLUG MED $ 823 90002388 MARLEX MESH 10 X 14 MED $ 330 90002392 PERFIX PLUG MESH MEDIUM $ 638 90002393 COMPOSIX MESH 6 X 8 $ 2,628 90002394 PROCEED VENTRAL PATCH, SMALL CIRCLE $ 1,518 90002397 COMPOSIX MESH 4 X 6 $ 1,248 90002398 PERFIX PLUG-MESH-LA $ 273 90002399 PROCEED ULRTAPRO PLUG SM $ 438 90002400 PROCEED ULTRAPRO PLUG LG $ 808 90002401 COMPOSIX MESH 10 X 14 $ 5,895 90002402 PROCEED MESH-OVAL 4 X 6 $ 1,239 90002405 PROCEED VENTRAL PATCH 6.4CM X 6.4CM $ 1,815 90002407 PERITONEAL BALLOON, LAP HERNIA ROUND $ 610 90002408 STRUCTURE BALLOON 10MM LAP HERNIA $ 332 90002420 TROCAR "CLOSE SURE" WOUND SUTURING SYS $ 309 90002443 TROCAR FLEXIPATH 15MM $ 174 90002447 SUTURE, ENDOSTITCH 'O' SURGIDAC 7"-18CM $ 183 90002448 SUTURE, ENDOSTITCH 2-0 SOFSILK 48" $ 191 90002449 SUTURE, ENDOLOOP COATED VICRYL-SZ 0 18" $ 141 90002450 SUTURE, PDS 11 ENDOKNOT ST-3 $ 819 90002451 SUTURE, ENDOLOOP O VICRYL 18" $ 60 90002452 SUTURE ASSISTANT SINGLE USE $ 445 90002453 SUTURE ASSITANT RELOAD SINGLE USE $ 100 90002455 SUTURE, STAPLER/AUTO SUTURE TA 90-4.8 $ 885 90002477 CYSTOSTOMY CATH 8FR $ 314 90002478 CYSTOSTOMY CATHETER 10FR $ 314 90002493 TROCAR 7/8MM $ 171 90002494 ROTICULATOR 55 POLY .200 $ 2,216 90002496 SUTURE, CAPIO CAPTURING DEVICE $ 963 90002499 SUTURE, CAPIO POLYESTER $ 983 90002514 DENVER NASAL SPLINT PETITE $ 173 90002515 DENVER NASAL SPLINT-SMALL/MED $ 186 90002516 DENVER NASAL SPLINT SM-MED $ 184 90002517 DENVER NASAL SPLINT $ 175 90002544 NASAL PACKING 8CM (MEROCEL) $ 51 90002552 CLEAR CANNULA 8.25MM X 7CM $ 105 90002559 SUTURE STRIPS 1/2 X 4 $ 23 90002560 SUTURE STRIP PLUS 1 X 4" $ 23 90002563 SUSPENSORY SCROTAL SUPPORT MED $ 80 90002572 PLANTAR FACITIS NIGHT SPLINT SM $ 143 90002573 PLANTAR FACITIS NIGHT SPLINT MED $ 143 90002574 PLANTAR FACITIS NIGHT SPLINT LG $ 143 90002575 PLANTAR FACITIS NIGHT SPLINT XLG $ 160 90002592 **PUMP BREAST IN STYLE ADVANCED $ 23 90002605 BIO SUTURE TAK $ 868 90002607 BIO CORKSCREW FT 5.5 MM $ 220 90002608 SUTURE LASSO 25 DEGREE TIGHT CURVE RIGHT $ 374 90002609 SUTURE LASSO 25 DEGREE TIGHT CURVE LEFT $ 374 90002610 SUTURE LASSO 45 DEGREE W/WIRE LOOP $ 109 90002615 CLEAR CANNULA 8.25MM X 9 CM $ 105 90002616 CLEAR CANNULA 7MM X 7CM $ 105 90002618 CLEAR TRAC CANNULA 5.5 MM X 72MM $ 126 90002619 CANNULATED BONE TUNNEL PLUG $ 139 90002620 CLEAR TRAC THREADED CANNULA 8MM ID 76MM $ 86 90002644 SUTURE ORTHOCORD VIOLET 05-6 36MM $ 394 90002645 SUTURE ORTHOCORD MO-7 TAPERED NEEDLE $ 400 90002653 STOCKINETTE BIAS STERILE 3 X 4 YDS $ 23 90002664 STOCKINETTE IMPERVIOUS 6 X 30 " $ 58 90002666 STOCKINETTE - IMPERVIOUS 9" LG $ 63 90002667 STOCKINETTE INPERVIOUS X-LG 12" X 48" $ 58 90002673 HIP ABDUCTION PILLOW LARGE $ 101 90002674 HIP ABDUCTION PILLOWS MEDIUM $ 140 90002675 TOURNIQUET CUFF DISP $ 600 90002676 TOURNIQUET - DUAL CUFF 18 " STERILE DISP $ 206 90002677 TOURNIQUET, SING PORT SING BLDDR STERILE $ 138 90002679 TOURNIQUET, SINGLE CUFF 30" STERILE DISP $ 138 90002680 TOURNIQUET CUFF - DISPOSABLE, STERILE $ 198 90002681 TOURNIQUET, SINGLE CUFF 42" STERILE DISP $ 175 90002702 CATH GOLD PROBE $ 633 90002719 BRONCHO - CATH LEFT W/CPAP 41FR $ 270 90002750 BALLOON PROBE 5 FR X 23 CM $ 111 90002752 FOGARTY EMBOLECTOMY 5 FR $ 143 90002753 FOGARTY EMBOLECTOMY 6 FR $ 143 90002754 FOGARTY EMBOLECTOMY 4 FR $ 143 90002755 FOGARTY EMBOLECTOMY CATHETER $ 239 90002756 BALLOON PROBE 6 FR BILIARY $ 111 90002757 FOGARTY EMBOLECTOMY 3 FR $ 143 90002758 FOGARTY HYDRAJAW INSERT $ 111 90002765 FOGARTY SOFT JAW INSERT SET $ 55 90002769 SUTURE PASSER $ 111 90002777 PLEASE USE # 90002963 $ 156 90002778 SUTURE, ETHILON 3-0 18" FS-1 $ 23 90002779 SUTURE, 4-0 MONOCRYL 1.5 MET 27" (70CM) $ 378 90002780 SUTURE, VICRYL 2-0 $ 189 90002783 SUTURE, VICRYL O UR-6 $ 23 90002785 SUTURE, 4-0 VICRYL PC-12 $ 28 90002786 SUTURE, VICRYL 6-0 P-1 18IN $ 24 90002787 SUTURE, SILK TIES O 30" $ 23 90002790 VISIPORT 5MM-11MM $ 345 90002794 TOURNIQUET, DIPOSABLE, STERILE 12" $ 113 90002795 SUTURE, MAXON #1 $ 48 90002796 SUTURE, NOVAFIL 6-0 $ 68 90002797 MARLEX-MESH 3 X 6 $ 174 90002804 SUTURE, 6-0 NOVALFIL 18", P-10 $ 58 90002805 SUTURE, 6-0 NOVALFIL 18", SBE-2 $ 54 90002806 SUTURE, 6-0 NOVALFIL 18", C-13 $ 33 90002807 SUTURE, 5-0 NOVALFIL 18", P-11 $ 56 90002808 SUTURE, 5-0 NOVALFIL 18", SBE-2 $ 55 90002809 SUTURE, 4-0 NOVALFIL 18", C-13 $ 33 90002810 SUTURE, 4-0 PLAIN GUT 18", SC-1 $ 23 90002814 SUTURE, 5-0 ETHILON 18", PC-12 $ 26 90002815 SUTURE, 5-0 ETHILON 18", P-3 $ 23 90002816 SUTURE, 5-0 ETHILON 18", PS-3 $ 23 90002817 SUTURE, 4-0 ETHILON 18", P-3 $ 30 90002822 SUTURE, 4-0 CHROMIC GUT 18" P-3 $ 40 90002823 SUTURE, 6-0 CHROMIC GUT 18", PS-3 $ 25 90002824 SUTURE, 5-0 CHROMIC GUT 18", PS-3 $ 24 90002825 SUTURE, 5-0 CHROMIC GUT 18", P-3 $ 54 90002827 SUTURE, 5-0 SILK 18", P-3 $ 23 90002829 SUTURE, 4-0 SILK 18", P-3 $ 23 90002830 SUTURE, 6-0 PROLENE 18", PS-3 $ 49 90002831 SUTURE, 6-0 PROLENE 18", P-1 $ 24 90002834 SUTURE, 5-0 VICRYL 18", PC-12 $ 25 90002835 SUTURE, 5-0 VICRYL 18", PS-4 $ 23 90002836 SUTURE, 5-0 VICRYL 18", PS-5 $ 23 90002837 SUTURE, 5-0 VICRYL 18", P-3 $ 26 90002838 SUTURE, 4-0 VICRYL 18", PC-12 $ 25 90002839 SUTURE, 4-0 VICRYL 18", PS-4 $ 23 90002840 SUTURE, 4-0 VICRYL 18", P-3 $ 23 90002841 SUTURE, 3-0 VICRYL 18", PS-2 $ 23 90002842 SUTURE 0 PLAIN GUT TIES $ 23 90002843 SUTURE, 2-0 PLAIN GUT CT-1 $ 23 90002845 SUTURE, 1 CHROMIC GUT 54" $ 23 90002846 SUTURE 0 CHROMIC GUT 18", 2 PACK $ 55 90002847 SUTURE, 2-0 CHROMIC GUT 54" $ 26 90002848 SUTURE, 1 CHROMIC GUT 18", CT-1 (CR/8) $ 95 90002849 SUTURE, 1 CHROMIC GUT 36", CTX $ 23 90002850 SUTURE, 1 CHROMIC GUT 36", CP-1 $ 23 90002851 SUTURE, 1 CHROMIC GUT 36", CT-1 $ 23 90002852 SUTURE, 1 CHROMIC GUT 27", CT-1 $ 23 90002853 SUTURE 0 CHROMIC GUT 27", BP-1 $ 59 90002854 SUTURE, 0 CHROMIC GUT 27", XLH $ 38 90002855 SUTURE 0 CHROMIC GUT 27", SH $ 23 90002856 SUTURE 0 CHROMIC GUT 36", CT $ 25 90002857 SUTURE 0 CHROMIC GUT 27", CT-1 $ 24 90002858 SUTURE, 2-0 CHROMIC GUT 27", CT-1 $ 23 90002859 SUTURE, 2-0 CHROMIC GUT 36", CT-1 $ 23 90002861 SUTURE, 2-0 CHROMIC GUT 54", CT-1 & CP-1 $ 26 90002862 SUTURE, 2-0 CHROMIC GUT 27", SH $ 23 90002863 SUTURE, 2-0 CHROMIC GUT 27", UR-5 $ 23 90002864 SUTURE, 3-0 CHROMIC GUT 27", SH $ 23 90002865 SUTURE, 3-0 CHROMIC GUT 27", CT-1 $ 24 90002866 SUTURE, 3-0 CHROMIC GUT 36", CT $ 23 90002867 SUTURE, 3-0 CHROMIC GUT 27", FS-2 $ 23 90002868 SUTURE, 4-0 CHROMIC GUT 27", SH $ 23 90002871 SUTURE, 0 VICRYL 18", 12 PACK $ 34 90002872 SUTURE, 0 VICRYL 18", 6 PACK $ 34 90002873 SUTURE, 3-0 VICRYL $ 23 90002874 SUTURE, 2-0 VICRYL $ 23 90002875 SUTURE, 2-0 VICRYL 18", 12 PACK $ 45 90002876 SUTURE, 3-0 VICRYL 18", 12 PACK $ 44 90002877 SUTURE, 4-0 VICRYL 18", 12 PACK $ 40 90002878 SUTURE, 1 VICRYL 18", 12 PACK $ 36 90002879 SUTURE, 2 VICRYL 54", TP-1 $ 23 90002880 SUTURE, 2 VICRYL 27", TP-1 $ 48 90002881 SUTURE, 1 VICRYL 36", CT-1 $ 23 90002882 SUTURE, 1 VICRYL 18" MO-4 (CR-8) $ 89 90002883 SUTURE 0 VICRYL CTB-1 $ 23 90002884 SUTURE, 1 VICRYL 18", CT-1 (CR-/8) $ 55 90002885 SUTURE, 1 VICRYL 36", CTX $ 23 90002886 SUTURE, 1 VICRYL 27", CT-1 $ 29 90002887 SUTURE, 0 VICRYL 18", CT-1 (CR/8) $ 54 90002888 SUTURE, 0 VICRYL 18", OS-6 (CR/3) $ 34 90002889 SUTURE, 0 VICRYL 18", OS-4 (CR-3) $ 36 90002890 SUTURE, 0 VICRYL 36", CT-1 $ 23 90002891 SUTURE, 0 VICRYL 36", CTX $ 23 90002892 SUTURE, 0 VICRYL 27", CT-1 $ 23 90002893 SUTURE, 0 VICRYL 27", CT-2 $ 23 90002894 SUTURE, 0 VICRYL 27', UR-6 $ 23 90002895 SUTURE, 0 VICRYL 18", CT-2 (CR/8) $ 53 90002896 SUTURE, 0 VICRYL 27" CP-1 $ 23 90002897 SUTURE, 2-0 VICRYL 18', CT-1 (CR/8) $ 53 90002898 SUTURE, 2-0 VICRYL 36", CT-1 $ 23 90002899 SUTURE, 2-0 VICRYL 27" CP-1 $ 23 90002900 SUTURE, 2-0 VICRYL 27", CP-2 $ 23 90002901 SUTURE, 2-0 VICRYL 27", CT-1 $ 23 90002902 SUTURE, 2-0 VICRYL 27", CT-2 $ 23 90002903 SUTURE, 2-0 VICRYL 18", SH (CR/8) $ 51 90002904 SUTURE, 2-0 VICRYL 18", CT-2 (CR-8) $ 51 90002905 SUTURE, 2-0 VICRYL 27", SH $ 23 90002906 SUTURE, 2-0 VICRYL 27", UR-6 $ 23 90002908 SUTURE, 3-0 VICRYL 27", SH $ 23 90002910 SUTURE, 3-0 VICRYL 18", FS (CR-8) $ 55 90002911 SUTURE, 3-0 VICRYL 18", SH (CR-8) $ 58 90002912 SUTURE, 3-0 VICRYL 36", CT $ 23 90002913 SUTURE, 3-0 VICRYL 27", CT-1 $ 23 90002914 SUTURE, 3-0 VICRYL 27", PS-2 $ 23 90002915 SUTURE, 3-0 VICRYL 27", CT-3 $ 23 90002916 SUTURE, 3-0 VICRYL 27", FS-2 $ 23 90002917 SUTURE, 4-0 VICRYL 27", RB-1 $ 23 90002918 SUTURE, 4-0 VICRYL 27", FS-2 $ 23 90002919 SUTURE, 4-0 VICRYL 27", PS-2 $ 26 90002921 SUTURE, 4-0 VICRYL SH $ 30 90002922 SUTURE, 5-0 VICRYL 18", PS-3 $ 23 90002923 SUTURE, 3-0 MONOCRYL 27", SH $ 23 90002924 SUTURE, 3-0 MONOCRYL 27", PS-2 $ 25 90002925 SUTURE, 4-0 MONOCRYL 27", PS-2 $ 30 90002926 SUTURE, 5-0 MONOCRYL 18", PC-1 $ 26 90002929 SUTURE, 0 SILK 18", CT-1 (CR/8) $ 43 90002930 SUTURE, 1 SILK TIES 30" $ 85 90002931 SUTURE, 2 SILK 60", 2 PACK $ 23 90002932 SUTURE, 0 SILK 18", 6 PACK $ 23 90002933 SUTURE, 0 SILK 30", 10 PACK $ 23 90002934 SUTURE, 2-0 SILK 18", 12 PACK $ 23 90002935 SUTURE, 3-0 SILK 12' $ 23 90002936 SUTURE, 2-0 SILK 12' $ 23 90002937 SUTURE, 2-0 SILK 30", 10 STRANDS $ 23 90002938 SUTURE, 3-0 SILK 30", 10 STRANDS $ 23 90002939 SUTURE, 3-0 SILK 18", 12 STRANDS $ 23 90002940 SUTURE, 4-0 SILK 30", 10 STRANDS $ 23 90002941 SUTURE, 4-0 SILK 18", 12 STRANDS $ 23 90002942 SUTURE, 2 SILK 30", $ 23 90002943 SUTURE, 0 SILK 30", $ 23 90002944 SUTURE, 0 SILK 18", FSL $ 23 90002945 SUTURE, 2-0 SILK 30", SH $ 23 90002946 SUTURE, 2-0 SILK 18", FS $ 23 90002947 SUTURE, 2-0 SILK 30", CT-1 $ 23 90002948 SUTURE, 2-0 SILK 18", CT-1 (CR-8) $ 43 90002949 SUTURE, 2-0 SILK 18", SH (CR-8) $ 43 90002950 SUTURE, 2-0 SILK 30", KS $ 23 90002951 SUTURE, 3-0 SILK 30", SH $ 23 90002952 SUTURE, 3-0 SILK 18", FS-1 $ 23 90002953 SUTURE, 4-0 SILK 18", SH (CR-8) $ 41 90002954 SUTURE, 3-0 SILK 18", SH (CR-8) $ 53 90002955 SUTURE, 4-0 SILK 30", SH $ 23 90002956 SUTURE, 4-0 SILK 18", FS-2 $ 23 90002957 SUTURE, 2 ETHILON 20", LR $ 23 90002958 SUTURE, 1 ETHILON 30", CTX $ 23 90002959 SUTURE 0 ETHILON 96", CT $ 23 90002960 SUTURE, 2-0 ETHILON 18", FS $ 23 90002962 SUTURE, 3-0 ETHILON 30", FSLX $ 23 90002963 SUTURE, 3-0 ETHILON 30", FS-1 $ 23 90002964 SUTURE, 3-0 ETHILON 30" FSL $ 23 90002965 SUTURE, 3-0 EHTILON 18", FS-1 $ 23 90002966 SUTURE, 4-0 ETHILON 18", FS-1 $ 23 90002967 SUTURE, 4-0 ETHILON 18", FS-2 $ 23 90002969 SUTURE, 5-0 ETHILON 18", FS-2 $ 23 90002971 SUTURE, 1 SURGILON 18", GS-25 (5 PACK) $ 84 90002972 SUTURE, 1 SURGILON 18", GS-22 (5 PACK) $ 75 90002973 SUTURE, 1 MAXON 60", GS-26 $ 66 90002974 SUTURE, 1 MAXON 36", HGS-21 $ 48 90002975 SUTURE, 1 MAXON 60", GS-25 $ 58 90002976 SUTURE 0 MAXON 30", HGS-22 $ 56 90002977 SUTURE 0 MAXON 30", GS-21 $ 26 90002978 SUTURE, 1 MAXON 30", GS-25 $ 38 90002980 SUTURE, 3-0 MAXON 30", V-20 $ 31 90002981 SUTURE, 2 PROLENE 60", TP-1 $ 30 90002982 SUTURE, 1 PROLENE 30", CT-1 $ 23 90002983 SUTURE 0 PROLENE 30", CT-1 $ 23 90002984 SUTURE 0 PROLENE 30", CT-2 $ 23 90002985 SUTURE 0 PROLENE 30", FSLX $ 23 90002987 SUTURE, 2-0 PROLENE 30", KS $ 23 90002988 SUTURE, 2-0 PROLENE 36", SH $ 24 90002989 SUTURE, 2-0 PROLENE 36", MH $ 25 90002990 SUTURE, 3-0 PROLENE 36", MH $ 24 90002991 SUTURE, 3-0 PROLENE 36", SH $ 24 90002992 SUTURE, 3-0 HS-5 PROLENE 36", RB-1 $ 51 90002993 SUTURE, 3-0 PROLENE 18", PC-5 $ 26 90002994 SUTURE, 3-0 PROLENE 18", FS-1 $ 23 90002995 SUTURE, 4-0 PROLENE 18", FS-2 $ 23 90002996 SUTURE, 4-0 PROLENE 18", FS-1 $ 23 90002997 SUTURE, 4-0 PROLENE 36", SH $ 33 90002998 SUTURE, 4-0 PROLENE 36", RB-1 $ 25 90002999 SUTURE, 4-0 PROLENE 36", BB $ 25 90003000 SUTURE, 5-0 PROLENE 36", RB-1 $ 30 90003001 SUTURE, 5-0 PROLENE 36", C-1 $ 30 90003002 SUTURE, 6-0 PROLENE 24", BV-1 $ 44 90003004 SUTURE, 6-0 PROLENE 18", C-1 $ 33 90003005 SUTURE, 6-0 PROLENE 18", RB-2 $ 24 90003007 SUTURE 0 PDS TP-1 $ 34 90003008 SUTURE, 3-0 PDS 18" SH (CR-8) $ 473 90003009 SUTURE, 1 ETHIBOND EXCEL 30", CT-1 $ 23 90003010 SUTURE, 1 ETHIBOND EXCEL 30", OS-4 $ 23 90003011 SUTURE 0 ETHIBOND EXCEL 18", 6 STRANDS $ 23 90003012 SUTURE 0 ETHIBOND EXCEL 30", SH $ 23 90003017 SUTURE 0 ETHIBOND SH $ 23 90003019 SUTURE, 1/2 CIRCLE CUTTING SIZE 7 $ 26 90003020 SUTURE, 1/2 CIRCLE CUTTING SIZE 5 $ 26 90003022 SUTURE, 1/2 CIRCLE HEAVEY GUAGE SIZE 5 $ 33 90003023 SUTURE, 1/2 CIRCLE CUTTING HEAVEY SIZE 6 $ 33 90003024 SUTURE, 1/2 CIRC CUTTING REV CUTTING SZ7 $ 33 90003025 SUTURE, 1/2 CIRC TAPER FERGUSON SZ 12 $ 26 90003026 SUTURE, 1/2 CIRCLE TAPER MAYO $ 26 90003028 SUTURE, 1/2 CIRCLE TAPER DURA $ 26 90003029 SUTURE, 1/2 CIRCLE TAPER $ 23 90003030 SUTURE, 1/2 CIRCLE TAPER HEAVEY GUAGE $ 29 90003031 SUTURE, 1/2 CIRC TAPER FRENCH SPRING EYE $ 26 90003034 SUTURE 0 ETHIBOND 18", CT-1 (CR-8) $ 54 90003035 SUTURE 0 ETHIBOND EXCEL 30" OS-4 $ 23 90003036 SUTURE, 2-0 ETHIBOND EXCEL 30" OS-4 $ 30 90003037 SUTURE, 2-0 ETHIBOND EXCEL 30" CT-2 $ 23 90003038 SUTURE, 3-0 ETHIBOND EXCEL 36" SH-1 $ 31 90003039 SUTURE, 3-0 ETHIBOND EXCEL 30" RB-1 $ 23 90003040 SUTURE, 4-0 ETHIBOND EXCEL 30" RB-1 $ 23 90003041 SUTURE, 3/8 CIRCLE REG SURG NEEDLE SZ 4 $ 268 90003042 SUTURE, 1/2 CIRC REG SURG NEEDLE SZ 5 $ 26 90003043 SUTURE, 1/2 CIRC CUTTING NEEDLE SZ 7 $ 26 90003059 SUTURE, CHROMIC GUT 5-0 18" G-2 $ 54 90003060 SUTURE, CHROMIC GUT 5-0 12" S-12 $ 68 90003061 SUTURE, CHROMIC GUT 6-0 18" G-6 $ 58 90003062 SUTURE, CHROMIC GUT 6-0 18" G-1 $ 31 90003063 SUTURE, DEXON 5-0 12" SS-24 $ 93 90003064 SUTURE, DEXON 6-0 12" SLO-110-11 $ 41 90003066 SUTURE, VICRYL 6-0 12" S-29 $ 54 90003068 SUTURE, PLAIN GUT 6-0 18" PC-1 $ 26 90003069 SUTURE, SILK 6-0 18' G-1 $ 38 90003070 SUTURE, SILK 7-0 18" TG140-8 $ 51 90003071 SUTURE, ETHILON 8-0 12" TG100-8 $ 51 90003072 SUTURE, ETHILON 9-0 12", TG160-6 $ 63 90003073 SUTURE, ETHILON 10-0 12" CS140-6 $ 68 90003074 SUTURE, VICRYL 8-0 8" TG140-8 $ 61 90003076 SUTURE, POLYPROPLENE 10-0 12" SC-5 $ 204 90003077 SUTURE, PROLENE 10-0 5" BV100-4 $ 74 90003078 SUTURE, PROLENE 5-0 8" OPS-5 (CUSTOM) $ 85 90003079 SUTURE, PROLENE 3-0 SH-1 $ 24 90003081 SUTURE, PROLENE 3-0 $ 26 90003088 SUTURE, PROLENE 5-0 $ 24 90003092 SUTURE, PROLENE 7-0 BV-1 $ 70 90003093 SUTURE, CV-5 TTC-13 $ 78 90003094 SUTURE, CV-6 TTC-12 $ 63 90003095 SUTURE, CHROMIC GUT 3-0 27" SH $ 23 90003098 SUTURE, VICRYL 4-0 18" PS-2 $ 23 90003100 SUTURE, VICRYL 5-0 18" P-3 $ 25 90003101 SUTURE, VICRYL 5-0 18" PS-5 $ 23 90003102 SUTURE, VICRYL 5-0 18" PS-4 $ 23 90003103 SUTURE, VICRYL 5-0 18" PC-12 $ 25 90003104 SUTURE, VICRYL 5-0 18" PS-3 $ 23 90003105 SUTURE, VICRYL 18" 6-0 P-1 $ 23 90003106 SUTURE, SILK 4-0 18" P-3 $ 23 90003107 SUTURE, SILK 4-0 18" FS-2 $ 23 90003108 SUTURE, SILK 4-0 18" P-1 $ 23 90003111 SUTURE, ETHILON 4-0 18" P-8 $ 23 90003112 SUTURE, ETHILON 5-0 18" PC-12 $ 26 90003114 SUTURE, ETHILON 6-0 18" PC-1 $ 24 90003115 SUTURE, ETHILON 6-0 18" P-1 $ 23 90003116 SUTURE, ETHILON 6-0 18" P-3 $ 23 90003145 CANNULA SOFTECH BI- $ 23 90003168 EMERGENCY TRANSTRACH CATH 6FR 7.5CM $ 198 90003214 NASAL/ORAL ET TUBE, CUFFLESS 2.0MM $ 23 90003215 NASAL/ORAL ET TUBE, CUFFLESS 2.5MM $ 23 90003216 NASAL/ORAL ET TUBE, CUFFLESS 3.0MM $ 23 90003217 NASAL/ORAL ET TUBE, CUFFLESS 3.5MM $ 23 90003218 NASAL/ORAL ET TUBE, CUFFLESS 4.5MM $ 23 90003219 BRONCHO CATH LEFT NO HOOK 35FR $ 215 90003220 BRONCHO CATH DBL-LUMEN ET TUBE 35RT $ 289 90003221 BRONCHO CATH CARINAL HOOK LEFT 35FR $ 191 90003222 BRONCHO CATH 37FR LT NO HOOK) $ 216 90003224 BRONCHO CATH CRAINAL HOOK LT 37FR RT $ 191 90003225 BRONCHO CATH CRAINAL HOOK LEFT 39FR $ 191 90003226 BRONCHO-CATH LEFT W/CPAP 39FR $ 270 90003227 BRONCHO CATH 39FR LEFT (NO HOOK) $ 134 90003228 BRONCHO CATH (ENDOBRONCH TUBE) 37FR RT $ 308 90003230 BRONCHO-CATH-LEFT-41FR. $ 216 90003231 BRONCHO CATH 41FR.-RIGHT $ 289 90003232 BRONCHO CATH CARINAL HOOK LEFT 41FR. $ 260 90003240 NASAL RAE-UNCUFFED $ 23 90003241 NASAL RAE 4.0-UNCUF $ 23 90003257 NASAL/ORAL INTUBATIONTUBE CUFFELSS 5.0 $ 23 90003306 SUTURE STEEL 2-D B&S 28 SUTUPACK $ 181 90003573 AIR MATTRESS $ 179 90003574 VAC ULTA $ 216 90003575 ALPIGRAFT $ 306 90003579 MENISCAL GUN FOR OPTISPAN PROC. $ 391 90003580 STAPLER, 55 ARTICULATING AX55B $ 559 90003584 BITE BLOCK SCOPE SAVER GREEN $ 5 90003590 BRAVO PH CAPSULE W/ DELIVERY SYSTEM $ 625 90003591 RADIAL JAW 4 LRG CAP W NEEDLE $ 276 90003597 NIPPLE SHIELD STANDARD 20 ** $ 23 90003620 ZIMMER PERIARTICULAR CORTICAL 2.7 SCREW $ 154 90003622 ZIMMER 3.5MM LOCKING SCREW W 2.7MM HEAD $ 336 90003623 ZIMMER 2.7MM LOCKING SCREW $ 276 90003626 ELECTRODES NC89284 $ 23 90003627 EXERCISE BAND LEVEL 4 DARK BLUE $ 184 90003628 EXERCISE BAND LEVEL 3 GREEN $ 164 90003629 EXERCISE BAND LEVEL 2 RED $ 145 90003630 EXERCISE BAND LEVEL 1 $ 128 90003631 EXERCISE BAND LEVEL 5 TEAL $ 203 90003633 COMFORT GEL HYDROGEL PADS ** $ 38 90003634 NIPPLE SHIELD 20MM STERILE CONTACT ** $ 29 90003635 NIPPLE SHIELD 24MM CONTACT ** $ 29 90003636 NIPPLE SHIELD STANDARD MEDELA ** $ 29 90003637 NIPPLE FLANGE XL 30MM 12/CS** $ 23 90003638 UROMAX KIT 4CM 21FR 225-123 $ 694 90003639 UROMAX KIT 4CM 18FR 225-122 $ 738 90003640 UROMAX KIT 4CM 24FR 225-122 $ 694 90003641 UROMAX KIT 6CM 15FR 225-127 $ 694 90003642 UROMAX KIT 6CM 21FR 225-129 $ 694 90003643 UROMAX KIT 10CM 15FR 225-136 $ 738 90003644 UROMAX KIT 10CM 21FR 225-138 $ 694 90003645 UROMAX KIT 8CM 30FR 225-131 $ 694 90003651 GLIDE WIRE .035 X 150 STRAIGHT 630-109 $ 186 90003652 GLIDE WIRE .035 X 150 ANGLED 630-110 $ 186 90003653 OPEN END URETERAL CATHETER 6FR 400-116 $ 56 90003654 OPEN END URETERAL CATHETER 7FR 400-152 $ 160 90003655 CONE TIP UR CATH 5FR 400-211 $ 56 90003656 CONE TIP UR CATH 6FR 400-212 $ 56 90003660 SENSOR ANGLED 670-301 $ 184 90003661 BALLOON DILATION CATH 8-9-10MM $ 681 90003662 BALLOON DILATION CATH 10-11-12 MM $ 681 90003665 PROLENE HERNIA SYSTEM PHSL $ 1,238 90003666 PACIFIER NEWBORN NATURAL 96004-N $ 23 90003667 CATH 16FR 5CC SILVER TIP 0165SI16 $ 46 90003668 CATH 16FR 30CC SILVER TIP 0166SI16 $ 48 90003669 BORDER GAUZE 2X2 MSC3222Z $ 23 90003670 VERSATEL WOUND DRESSING 3X4 $ 30 90003671 VERSATEL WOUND DRESSING 2X3 $ 24 90003672 SCISSORS, BANDAGE 7 INCH $ 54 90003673 SURGISEAL BX $ 74 90003674 DERMABOND NX12 $ 134 90003676 APLIGRAFT PER SQUARE CM $ 104 90003677 THORACOPORT RIDGID 15MM 179307 $ 206 90003679 CYSTOSCOPY PACK II $ 49 90003681 UROLOGIST TRAY HEYMAN SYSTEM $ 799 90003682 STENT INLAY URETERAL 7FR $ 493 90003683 CATH SIMPLISTIC 22FR 2 WAY $ 103 90003689 CATH RETROGRADE 4.8FR 024605-S1 $ 63 90003690 UROMAX ULTRA BALLOON 15FR 225-101 $ 668 90003692 PEGASSIST WOMENS SIZE SMALL $ 69 90003693 PEGASSIST WOMENS SIZE MEDIUM $ 69 90003694 PEGASSIST WOMENS SIZE LARGE $ 69 90003695 PEGASSIST MENS SIZE SMALL $ 69 90003696 PEGASSIST MENS SIZE MEDIUM $ 69 90003697 PEGASSIST MENS SIZE LARGE $ 69 90003698 PEGASSIST MENS SIZE XRTRA LARGE $ 69 90003699 SIGNFY ER URINE TOX SCREEN $ 166 90003704 NEEDLE YUEH CENTESIS 6.0F-19G-10.0 $ 116 90003710 STAX FINGER SPLINT $ 146 90003712 ENDO IRRIGATION CONNECTING TUBE $ 40 90003715 MEDIHONEY 0.5 OZ $ 29 90003716 MEDIHONEY 1.5 OZ $ 60 90003717 MEDIHONEY ROPE 3/4 X 12 $ 43 90003718 MEDIHONEY DRESSING $ 28 90003719 MEDIHONEY DRESSING $ 54 90003722 MEDIHONEY ADHESIVE HCS SHEET 4.5 X 4.5 $ 60 90003723 MEDIHONEY ADHESIVE HCS SHEET 2.8 X 2.8 $ 33 90003732 FELT PTFE BARD 007836 $ 185 90003733 POST-OP SHOE WOMENS SMALL $ 53 90003734 SUTURE 1 PDS TP-1 Z880G $ 33 90003736 UNNA BOOT 4" $ 40 90003741 MIC FEEDING TUBE 20FR $ 186 90003742 BULB SYRINGE 2OZ BLUE** $ 23 90003744 THORACENTESIS KIT CS-01000 $ 110 90003746 ANCHOR FAST ENDOTRACH GUARD $ 73 90003749 SJM PERICARDIAL PATCH 2X5 CM $ 803 90003754 ROTICULATOR 30 3.5 STAPLER $ 2,058 90003757 MASK SMALL PEDI PANDA $ 85 90003758 MASK SMALL INFANT PANDA $ 85 90003759 COZY CAP HATS $ 23 90003761 SHUNT CARTOID SUNDT EXTERIOR $ 1,444 90003791 SUTURE 1-0 PROLENE CTX 30" $ 23 90003792 HEALIX BR 3 SUTURE ANCHOR $ 919 90003793 20FR 5CC ANTI-INFECTIVE CATH 0165SI120 $ 46 90003794 EXERCISE BAND LEVEL 2 TURQUOISE $ 145 90003796 SUTURE 3-0 CHROMIC CTX 862H $ 24 90003797 PAD IODOFLEX WOUND DRESSING $ 51 90003798 EXTENSION SET V5406 $ 23 90003801 GLOVE VINYL SYNTHETIC STERILE MED $ 23 90003803 SUTURE 3-0 VICRYL 27" SH $ 23 90003806 STERI DRAPE 1074 $ 43 90003807 TRIPLE LUMEN POLY PER Q CATH #6 $ 419 90003808 BUTTERLY IONTO PADS $ 24 90003812 IVT PROBE COVERS $ 85 90003814 AMINOFIX INJECTIBLE 1.25ML AL-5125 $ 7,645 90003816 SUTURE ANCHOR BIOCOMPOSITE PUSHLOCK $ 1,015 90003818 FILTER REPLACEMENT GIOUP $ 85 90003821 SHUNT JAVID CAROTOID 17-10FR $ 41 90003822 SUNDT EXT CAROTID ENDARTERECTOMY 3.5 $ 259 90003823 SUNDT EXT CAROTID ENDARTERECTOMY 4.5 $ 259 90003824 THERABAND RED $ 135 90003825 THERABAND GREEN HE $ 150 90003826 THERABAND BLUE X-HEAVY $ 169 90003830 ALCO SCREEN SALIVA TEST $ 23 90003832 SUTURE 4-0 VICRYL KS 27" $ 15 90003833 NIM TUBE 6 $ 890 90003834 NIM TUBE 7 $ 890 90003857 FIBERLINK 2 SUTURE 26" AR-7235 $ 210 90003861 HYDROFERA BLUE 2x2 $ 28 90003862 OSTOMY DRESSING 2.5 $ 33 90003863 HEAVY DRAINAGE 4x4.5 $ 69 90003864 HYDROFERA BLUE 4x4 $ 38 90003865 CICI-CARE ADHESIVE SHEET $ 140 90003870 DERMABOND TOPICAL DNX12 $ 113 90003876 OMNI JUG 5036-00 $ 138 90003881 ATHLETIC SUPPORT LA $ 56 90003882 ATHLETIC SUPPORT MED $ 59 90003897 EPIFIX ALLOGRAFT GS-5440 4X4CM WC $ 549 90003900 18FR 5CC ANTI-INFECTIVE CATH 0165SI118 $ 46 90003905 CLEANSER SAF CLENS SPRAY 12 OZ $ 46 90003906 DUODERM SIGNAL DRESSING 5.5x5.5 $ 34 90003907 POLYMEM NON ADHESIVE 6.5x7.5 $ 54 90003908 GEL IODOSORB 40g $ 154 90003912 PROLOOP MESH MED $ 351 90003913 PROLOOP MESH LARGE $ 351 90003914 UROMAX KIT 4CM 15FR 225-121 $ 738 90003915 UROMAX KIT 6CM 18FR 225-128 $ 690 90003916 UROMAX KIT 8CM 24FR 225-130 $ 694 90003921 PROCEED ULTRAPRO PLUG MD $ 865 90003924 AMINOFIX 2x3 APS-5160 $ 516 90003925 STRATASORB 4x10 DRESSINGS $ 23 90003927 ELECTRODE RADIOLUCENT FOAM $ 46 90003928 MED-E KAST CASTING SYSTEM $ 271 90003929 TCC-EZ CASTING SYSTEM $ 290 90003932 PROLENE HERNIA PHSE $ 1,838 90003938 FELT PTFE 2x2 $ 114 90003939 OPTILOCK 4x4 DRESSING $ 23 90003940 OPTILOCK 5x5.5 DRESSING $ 24 90003941 OPTILOCK 6.5x10 DRESSING $ 41 90003943 SUTURE MAXON 4-0 CV $ 43 90003952 SUTURE MERSILENE 5-0 $ 153 90003955 POLY TOWEL 2 PLY TISSUE $ 55 90003961 CLEAN CATH STERILE CATHETER 10fr $ 23 90003963 TOTAL CARE BARIATRIC PLUS W/AIR $ 346 90003972 FLANGE TIP STERILE YANKAUER $ 23 90003973 MALECOT 24FR CATHETER $ 103 90003974 MALECOT 26FR CATHETER $ 103 90003975 MALECOT 28FR CATHETER $ 103 90003976 MALECOT 30FR CATHETER $ 103 90003977 MALECOT 32FR CATHETER $ 103 90003978 MALECOT 34FR CATHETER $ 103 90003979 MALECOT 36FR CATHETER $ 103 90003981 SLING PEDIATRIC ARM/PRINT $ 51 90003997 BARD BIOPSY NEEDLE 14g x 10cm $ 85 90004001 HP VIERA INK MAGENTA $ 85 90004007 NIM TUBE 8 $ 890 90004014 EXERCISE BAND LEVEL 6 DK GREEN $ 191 90004018 HEELIFT SUSPENSION BOOT $ 140 90004023 HEALIX BR3 4.5 ADVANCED $ 1,295 90004031 COLD PACK SMALL 4.75 x 6.25 (G6) $ 23 90004034 SUTURE 2-0 ETHIBOND STRAIGHT $ 76 90004035 SUTURE 5 ETHIBOND $ 86 90004036 PASSPORT BUTTON $ 134 90004045 DERMABOND MINI $ 83 90004054 GROSSHONG CV CATH KIT 8fr $ 524 90004067 BIFURCATION GRAFT 1 $ 2,571 90004068 BIFURCATION GRAFT 20x10 $ 2,571 90004078 10F 1/8" HEMOVAC ZIMMER $ 206 90004080 NIPPLE SHIELD XSML 16mm** $ 29 90004081 GOLDENGERG CAP 1.5mm $ 1,198 90004082 SUTURE MAXBRAID PE 2 WHITE $ 145 90004083 SUTURE MAXBRAID PE 2 BLUE $ 145 90004085 JUGGERKNOT 1.5 $ 1,131 90004104 ATEC CANNISTERS $ 23 90004113 NIPPLE SHIELD STERILE *** $ 23 90004114 6 SHOOTER (NEW) $ 925 90004116 AGAR 5% SHEEP BLOOD (H) $ 23 90004118 AGAR MacCONKEY (H) $ 23 90004119 AGAR BLOOD/MacCONKEY (H) $ 23 90004121 AGAR HE hektoen enteric (H) $ 23 90004122 AGAR SMAC (H) $ 23 90004125 AGAR AnaeroGRO BRUCELLA (H) $ 23 90004128 COOL PULSE (depuy) $ 23 90004129 TENODESIS SCREW 5.5 x 15mm $ 836 90004194 TEGADERM 8x12 $ 33 90004199 CATH UVC 3.5fr SINGLE LUMEN $ 428 90004203 ATCC 700323 ENTEROBACTER HORMAE $ 23 90004204 SUTURE 3-0 MERSILENE GREEN $ 23 90004218 FIBERLOOP AR-7234 $ 23 90004219 KIT JEJUNOSTOMY 14FR MIC $ 23 90004220 INTRODUCER BOUGIE PED 10FR $ 23 90004221 CIV-FLEX TRANSDUCER COVER 14x147 $ 23 90004237 S. PNEUMONIAE MBL $ 23 90004238 COVER-ROLL 12x2 $ 23 90004249 AMNIOEXCEL 4CM X 8CM DISK PER CM $ 168 90004253 CANNULA INTERTRACH 8 8DIC $ 23 90004254 CANNULA 8 FENESTRATED $ 23 90004255 MULTICAP BLOOD CAPILLARY TUBES $ 23 90004256 DUETTE MULTI BAND MUSECTOMY $ 933 90004257 BILATERAL ORTHOMAX DRAPE $ 23 90004258 2" CAST ORG FIBERGL $ 23 90004259 2" CAST PNK FIBERGL $ 23 90004260 3" CAST ORG FIBERGL $ 23 90004261 3" CAST PNK FIBERGL $ 23 90004262 GRAFIX PRIME 14mm D $ 601 90004263 GRAFIX PRIME 1.5 x $ 713 90004264 GRAFIX CORE 14mm DISC $ 601 90004265 GRAFIX CORE 1.5 x 2cm $ 713 90004266 9mm LOW PROFILE REA $ 713 90004270 RADIATION GLOVES SZ 7 $ 23 90004278 GRAFIX PRIME 2 x 3 cm $ 490 90004279 GRAFIX CORE 2 x 3 cm $ 490 90004289 OSTEOSET RESORBABLE MINI BEAD $ 792 90004290 CALIBRATED BLACK PROBE 3.5mm $ 23 90004294 LIQUICHEK NEG URINE TOX CNTRL $ 2,216 90004295 LIQUICHEK POS URINE TOX CNTRL $ 2,216 90004297 OB SLEEVES SHOULDER GLOVES $ 23 90004298 HOLLISTER SKIN WIPES $ 23 90004299 INSTINCT HEMOCLIP $ 23 90004300 PIN COVERS YELLOW $ 23 90004301 PIN COVERS BLUE $ 23 90004307 PROLENE MESH 6 X 6 $ 363 90004315 TCC-EZ CAST SYS 3" 2xBOOTS $ 290 90004316 TCC-EZ CAST SYS 4" 2xBOOTS $ 290 90004317 FILTER HEMONATE NEEDLELESS $ 290 90004333 PSEDDOMONAS AERUGINOSA ATCC 27853 $ 23 90004343 KINESIO TEX GOLD 2 INCH $ 23 90004344 CAPILLARY CAPS 01558100 SIEMENS $ 23 90004345 ENTEROCOCCUS SACCH 4306 $ 23 90004346 KOCURIA KRISTINAE BAA752 $ 23 90004347 LISTERIA MONOCYTOGENES BAA751 $ 23 90004348 STAPHLYOCOCCUS SCIURI 29061 $ 23 90004349 STREPTOCOCCUS EQUI 43079 $ 23 90004350 STREPTOCOCCUS THERMOPHLUS 19258 $ 23 90004351 ACINETOBACTER BAUMANNI BAA747351 $ 23 90004352 ELIZABETH KINGA 13253 $ 23 90004353 KLEBSIELLA OXYTOCU 700324 $ 23 90004354 OCHROBACRUM BAA749 $ 23 90004355 PROTEUS VULGARIS 6380 $ 23 90004356 PSEUDORMAS ARUGINOSA 9721 $ 23 90004357 PSEUDORMAS ARUGINOSA BAA1744 $ 23 90004358 SHINGELLA SONNEI 25 $ 23 90004369 MEDIHONEY NON-ADHESIVE HCS 2.4X2.4 $ 33 90004370 MEDIHONEY NON ADHESIVE HCS 4.33 X 4.33 $ 60 90004372 EXERCISE BAND LEVEL 7 GREY $ 184 90004386 SUTURE 3 VICRYL D9156 $ 25 90004391 SUREFILM 2 INCH $ 54 90004392 SUREFILM 4 INCH $ 54 90004399 PEDI PAD HORSESHOE FELT $ 54 90004400 CT SPOT BEEKLEY 119 $ 54 90004418 CATH 14FR SILVER ANTI INFECTIVE $ 46 90004419 CATH 22FR SILVER ANTI INFECTIVE $ 46 90004420 CATH 24FR SILVER ANTI INFECTIVE $ 46 90004430 PHASIX ST 11 CM ROUND $ 2,999 90004431 GRAFT JACKET MAXFORCE 4 X 7 $ 184 90004436 SUTURE GUT CHROMIC 2 TP-1 60 $ 23 90004483 SUTURE PROLENE 60" 1 BLU $ 23 90004484 DUODERM 4 X 5 CGF BORDER $ 25 90004491 SKIN AFFIX DERMABOND SUB $ 113 90004494 MOUTHPIECE DISP FLANGED $ 6 90004504 FOGARTY EMBOLECTOMY 7 FR $ 143 90004511 MAGGOT MEGA PACK $ 1,160 90004512 SOLN GLYCINE IRRIGATION $ 31 90004524 SUTURE 3-0 MONOCRYL $ 378 90004529 SUTURE 4-0 MONOCRYL V PS2 18" $ 30 90004534 STATLOCK PEDIATRIC $ 10 90004536 SUTURE 2-0 PROLENE SH 1 X 48 $ 30 90004557 SUTURE 1 VICRYL CTX 36" TAPER $ 89 90004558 SUTURE 4-0 PROLENE PC-5 $ 23 90004559 SUTURE 4-0 MONOCRYL PC-5 $ 30 90004586 TRUMARK VISION MARKER $ 23 90004598 RESTORELLE 24 X 4 CM 501420 $ 3,680 90004599 SUTURE ANCHOR CFBC-5502 $ 691 90004654 SUTURE 3-0 VICRYL PLUS SA X-1 $ 23 90004671 BT CATH TAMPONADE SET $ 544 90004675 BIO CORKSCREW 5.5 X 14.7 $ 220 ACC-01 SEMI-PRIVATE $ 2,450 ACC-02 SWING $ 1,747 ACC-03 ICU $ 4,944 ACC-04 NURSERY $ 916 ACC-05 ICC $ 2,450 ACC-06 BIRTH CENTER $ 2,450 ACC-07 LABOR ROOM $ 2,450 ACC-14 ICU TRAUMA ACTIVATION $ 7,416 ACC-15 MEDSURG TRAUMA ACTIVATION $ 3,675 ACC-16 NEWBORN LEVEL III $ 916 as of: 4/18/2019