Item # Description Price Date of last change Private Room Rate per day 775.00 9/1/2018 Semi Private Room Rate per day 725.00 9/1/2018 Swingbed Room Rate per day 480.00 9012018 13099219 OBSERVATION CARE -per hour 30.21 9/1/2018 236430 BLOOD TRANSFUSION 443.18 2/24/2010 1100005 RECOVERY ROOM 1 ST HALF HR 103.00 3/1/2015 1100006 RECOVERY ADD 15 MIN 51.50 3/1/2015 1200004 SURGERY - MINOR 200.00 3/1/2016 1200005 SURGERY - INTERMEDIATE 350.00 11/1/2016 1200016 A SCAN 124.37 3/1/2015 1219120 EXCISION OF BREAST LESION 3050.23 3/1/2015 1699217 OBSERVATION CARE D/C DAY 138.00 3/1/2015 1699219 INITIAL OBSERVATION CARE, MOD 216.00 3/1/2015 1699220 INITIAL OBSERVATION CARE, HIGH 303.00 3/1/2015 1699221 INITIAL HOSPITAL CARE LOW 94.00 3/1/2015 1699222 INITIAL HOSPITAL CARE, MOD 155.00 3/1/2015 1699223 INITIAL HOSPITAL CARE, HIGH 215.00 3/1/2015 1699231 SUBSEQUENT HOSPITAL CARE, LOW 51.00 3/1/2015 1699232 SUBSEQUENT HOSPITAL CARE, MOD 78.00 3/1/2015 1699233 SUBSEQUENT HOSPITAL CARE, HIGH 109.00 3/1/2015 1699234 OBS/INPATIENT CARE, LOW 202.99 3/2/2015 1699235 OBS/INPATIENT CARE, MOD 347.00 3/1/2015 1699236 OBS/INPATIENT CARE, HIGH 431.00 3/1/2015 1800016 EMG UNILATERAL CRANIAL NERVE 63.00 5/3/2008 1800017 EMG BILATERAL CRANIAL NERVE 63.00 5/3/2008 1800018 EMG T SPINE 63.00 5/3/2008 1800019 EMG OTHER 63.00 5/3/2008 1800020 EMG QUANTITATIVE 63.00 5/3/2008 1800021 EMG ISCHEMIC LIMB 63.00 5/3/2008 2000043 CULTURE(FUNGUS)(4553)OTHER-REF 92.29 3/1/2015 2000080 FUNGAL(390)ID-REF 32.45 3/1/2015 2000142 PH (BLOOD)-RESPIRATORY 33.42 3/1/2016 2000158 CMV(403)IGG-REF 27.50 3/1/2015 2000188 RAPID UREA 53.03 3/1/2016 2000189 BILIRUBIN DIRECT 22.88 3/1/2016 2000191 DO NOT USE-FECAL LEUKOCYTE(3930)-REF 45.20 3/1/2015 2000200 SMOOTH MUSCLE(15043)ACTIN AB-REF 69.00 1/1/2011 2000201 DO NOT USE-C DIFF TOX(37212)A&B-REF 116.07 5/3/2008 2000202 TROPONIN T(34483)-REF 105.72 3/1/2015 2000398 ALLERGY PORK(2826)-REF 25.03 3/1/2015 2010080 Fungal Isolate ID-LC 135.48 5/1/2014 2018098 FSH,Pediatric-LC 84.57 3/1/2015 2018135 Myoglobin, Urine-LC 82.56 3/1/2015 2018139 Homocysteine-LC 32.45 3/1/2015 2018175 Vitamin A, Serum-LC 82.19 3/1/2015 2018185 Prealbumin-LC 18.54 3/1/2015 2018215 Thyroid Stimulating Immunoglob, Serum-LC 238.75 3/1/2015 2018223 Susceptiblity Gram Pos Rods-LC 13.91 3/1/2015 2018363 HSV 2 HerpesSelect-LC 23.18 3/1/2015 2018365 UGT1A1 Genotype-LC 334.75 3/1/2015 2020427 VITAMIN B6(926)-REF 109.38 10/20/2012 2036415 DRAWING FEE 15.91 3/1/2016 2036430 BLOOD TRANSFUSION 443.18 2/27/2009 2080001 GENTAMICIN TROUGH/RANDOM 103.01 3/1/2016 2080002 VANCOMYCIN TROUGH 112.68 3/1/2016 2080005 GASSES BLOOD (ARTER) 103.00 3/1/2016 2080006 OBSTET. PANEL(20210)-REF 159.69 5/3/2008 2080007 PEMOLINE(5389)-REF 137.35 3/1/2015 2080008 FIBRINOGEN(461)ACTIVITY-REF 91.75 3/1/2015 2080009 ESTRONE(37104)(ESTRADIOL)ORAL HRT-REF 288.76 3/1/2015 2080012 ACTH(211)-REF 96.25 10/1/2012 2080013 PROTEIN 24 HOUR URINE 41.85 3/1/2016 2080017 GABAPENTIN(3557)NEURONTIN-REF 125.54 3/1/2015 2080018 CORTISOL(11280)24 HR W/CREA-REF 92.70 3/1/2015 2080019 HAPTOGLOBIN(502)-REF 60.20 10/20/2012 2080020 NORTRIPTYLINE(272)-REF 165.47 3/1/2015 2080021 LDH,PERITONEAL FLUID(17588)-QUEST 32.83 3/1/2015 2080022 PH, FLUID 47.35 3/1/2016 2080023 GLUCOSE FLUID(PLEURAL,SYNOVIAL&URINE) 26.55 3/1/2016 2080024 PROTEIN ELECTRO(750) 24 HR URINE-REF 133.21 3/1/2015 2080026 CA 19-9(4698)-REF 88.32 3/1/2015 2080031 VALPROIC ACID 44.27 3/1/2016 2080034 DO NOT USE-CBC(SEE COMP BLOOD COUNT) 59.85 5/3/2008 2080035 PROTIME-SEE PROTHROMBIN TIME 27.04 3/1/2016 2080036 PTT-SEE ACT PART THROMB 37.85 3/1/2016 2080039 CENTROMERE B(16088)AB-REF 113.30 3/1/2015 2080040 SJOGREN(7832)(SSA&SSB)(RO&LA)AB-REF 107.40 3/12/2011 2080042 SCLERODERMA(4942)SCL70 AB-REF 78.37 3/12/2011 2080043 COMPLEMENT (C3)(351)-REF 40.05 3/1/2015 2080044 COMPLEMENT(C4)(353)-REF 40.05 3/1/2015 2080045 RHEUM(90476BECKRF)FCT-REF 26.55 6/30/2011 2080046 MYOCARDIAL(261)AB-REF 124.89 3/1/2015 2080047 PARIETAL CELL AB(15114)-REF 161.62 3/1/2015 2080048 RETICULIN(37520)AB-REF 106.19 3/1/2015 2080050 STRIATED MUSCLE(266)AB-REF 120.70 3/1/2015 2080051 ELECTROLYTE PANEL 61.57 3/1/2016 2080052 THYROID(5081)PEROXIDASE AB-REF 84.87 3/1/2015 2080060 ALT 48.41 3/1/2016 2080061 LIPID PANEL(HEART) 154.68 3/1/2016 2080065 AST 48.41 3/1/2016 2080066 TRANSFERRIN(37338)(SOLUBLE)RECEPTOR-REF 194.89 3/1/2015 2080067 ERYTHROPOIETIN(427)-REF 103.87 3/1/2015 2080068 HEMOGLOBIN(35489)ELECTRO-REF 97.45 3/1/2015 2080070 THYROID PANEL 87.55 3/1/2016 2080071 HEP B SURF AB(8475)QUANT-REF 15.71 3/1/2015 2080072 EHRLICHIA AB(34271)-REF 118.90 3/1/2015 2080074 HEP A(508)AB TOTAL-REF 50.20 8/1/2010 2080075 UREA NITROGEN(973)24HR UA-REF 49.65 3/1/2015 2080076 IMMUNOGLOBULIN(7083)ASSAY-REF 217.40 3/1/2015 2080079 ANCA(36733)VASCULITIDES-REF 219.75 3/1/2015 2080081 COMPLEMENT(CH50)(618)-REF 36.20 3/1/2015 2080082 PROTEIN C(1777)ACTIVITY-REF 165.83 3/1/2015 2080083 PROTEIN S(1779)OR(5165)W OR W/O REFL-REF 297.49 3/1/2015 2080085 GIARDIA AG(8625)STOOL-REF 49.13 3/1/2015 2080086 FUNGAL SMEAR(8627)-REF 43.75 3/1/2015 2080088 AMIODARONE(36721)-REF 157.95 3/1/2015 2080089 LUPUS(7079)ANTICOAGULANT W REFLEX-REF 76.79 3/1/2015 2080092 THYROID PANEL W/TSH 195.70 3/1/2016 2080093 LAMOTRIGINE(22060)LAMICTIL-REF 111.51 10/20/2012 2080094 CLOMIPRAMINE(30013)-REF 137.35 3/1/2015 2080095 CYCLOSPORINE(8812)TROUGH-REF 138.14 3/1/2015 2080096 DO NOT USE-T3 FREE(34429)-REF 239.15 5/3/2008 2080097 OSMOLALITY(968)(FECES) REF 71.38 3/1/2015 2080098 ISLET CELL AB(36741)-REF 108.67 3/1/2015 2080099 TRANSFERRIN (891)-REF 139.59 5/3/2008 2080100 T4 FREE(35167)DIRECT DIALYSIS-REF 84.09 3/1/2015 2080101 PLATELET AB(5019)DIRECT-REF 133.59 3/1/2015 2080104 CRYSTALS(4563)SYNOVIAL FLUID-REF 125.15 3/1/2015 2080105 RNP & SM ABS(7448)-REF 62.00 3/12/2011 2080108 THYROGLOBULIN(267)AB-REF 38.65 3/1/2015 2080110 INTERLEUKIN 2(34298)RECEPTOR-REF 237.93 3/1/2015 2080111 HEP B SURF AG(498)QT w/conf-QUEST 35.02 3/1/2015 2080112 HEP B(555)E AG-REF 65.92 3/1/2015 2080113 HEP B(556)E AB-REF 65.92 3/1/2015 2080114 DIAZEPAM(913)-REF 124.10 3/1/2015 2080115 TESTOSTERONE(873)TOTAL MALES-(QUEST) 124.50 12/1/2008 2080117 CA 125(29256)-REF 81.11 3/1/2015 2080118 DO NOT USE-TOTAL TEGRETOL&10-11 EPOXIDE 75.60 5/3/2008 2080119 EOSINOPHIL(10676-CYTOLOGY)URINE-REF 41.23 3/1/2015 2080120 URINE W/O MICRO(DIPSTICK ONLY) 32.42 3/1/2016 2080122 ROTAVIRUS(706)AG,STOOL-REF 76.63 3/1/2015 2080123 HEP C AB(37677)W/RFLX RIBA-REF 47.20 8/1/2010 2080124 ANEMIA PROFILE-REF 113.00 12/28/2000 2080125 EPSTEIN-BARR(15447)EARLY AG,AB-REF 125.87 3/1/2015 2080126 EPSTEIN-BARR(8564)NUCLEAR AG,AB-REF 118.72 3/1/2015 2080127 HALOPERIDOL(564)-REF 140.97 3/1/2015 2080128 CATECHOLAMINES(314)FRACT,PLASMA-REF 126.84 3/1/2015 2080130 BABESIA(37314)MICROTI DNA,PCR-REF 117.88 3/1/2015 2080133 URINE CALCIUM(1633)-REF 43.26 3/1/2015 2080134 CA 15-3(5819)-REF 141.67 3/1/2015 2080135 MYOGLOBIN(661)URINE-REF 79.65 5/3/2008 2080136 PSA SCREENING-MEDICARE 76.46 3/1/2016 2080138 JO(5810)AB-REF 123.29 3/1/2015 2080139 HOMOCYSTEINE(31789)-REF 125.15 3/1/2015 2080140 HEP C RNA(37811)GENOTYPE(LIPA)-REF 548.99 3/1/2015 2080141 DO NOT USE-ARSENIC(239)-REF 147.80 5/3/2008 2080142 CADMIUM(299)-REF 138.81 3/1/2015 2080146 PROTEIN ELECTRO(8525)RAN UA W/CREAT-REF 93.34 3/1/2015 2080148 CRYOGLOBULINS(36562)SERUM-REF 108.19 3/1/2015 2080149 VITAMIN B1(5042)(THIAMINE)BLOOD-REF 100.63 10/20/2012 2080150 CLONAZEPAM(340)-REF 142.72 3/1/2015 2080151 ANTITHROMBIN(216)III ACTIVITY-REF 55.62 3/1/2015 2080155 HEREDITARY(35079)HEMOCHROMATOSIS DNA-REF 526.23 3/1/2015 2080156 TEGRETOL &(26513)METABOLITE-REF 56.26 3/1/2015 2080157 HEP B CORE AB(501)TOT-REF 47.25 8/1/2010 2080158 PORPHYRINS(729)FRACTIONATED 24 HR UR-REF 110.86 3/1/2015 2080159 PORPHOBILINOGEN(726)24 HR UR-REF 91.01 3/1/2015 2080160 IMIPRAMINE(887)-QUEST 161.14 3/1/2015 2080161 DRVVT(15780)-QUEST 70.78 3/1/2015 2080162 5-HIAA(39625)24HR UA W/CREAT-REF 144.46 3/1/2015 2080163 COMPREHENSIVE PANEL CMP 166.73 3/1/2016 2080164 BASIC METABOLIC PANEL (BMP) 116.89 3/1/2016 2080165 HEPATIC FUNCTION PANEL (LFT) 167.81 3/1/2016 2080166 DOXEPIN LEVEL(826)-REF 112.16 3/1/2015 2080167 RENAL FUNCTION PANEL 156.15 3/1/2016 2080168 GASTRIN(478)-REF 82.08 10/20/2012 2080169 ALKALINE PHOS(231)ISOENZYMES-REF 49.69 3/1/2015 2080170 GENTAMICIN PEAK 103.01 3/1/2016 2080171 THROMBOPLASTIN(10729)INHIB(STACLOT)-REF 123.29 3/1/2015 2080172 CYTOTOXIN(34403)C.DIFF-SERUM-REF 178.45 3/1/2015 2080173 XANAX(36550)/ALPRAZOLAM-QUEST 146.00 3/1/2015 2080174 HLA-B27(528)-REF 100.43 3/1/2015 2080175 VITAMIN A(921)(RETINOL)-REF 124.38 10/20/2012 2080177 TETANUS(4862)ANTITOXOID AB-REF 85.08 3/1/2015 2080178 STREP(34263)PNEUMONIAE AB,6 SUBTYPES-REF 192.68 3/1/2015 2080179 SED RATE 46.81 3/1/2016 2080180 H PYLORI(34123)IGM AB-REF 119.90 10/20/2012 2080181 THYROGLOBULIN(30278)PNL(IA)- REF 68.52 3/1/2015 2080182 FACTOR VIII(347)ACTIVITY-REF 111.39 3/1/2015 2080183 MYOGLOBIN(660)SERUM-REF 103.54 10/20/2012 2080184 DO NOT USE-URINE CREATININE-SEE 2080751 32.00 7/27/2009 2080185 PREALBUMIN(4847)-REF 44.04 10/20/2012 2080187 GHB/GAMMA(37654)HYDROXYBUTYRATE,SERU-REF 117.88 3/1/2015 2080188 17-HYDROXY(17180)PROGESTERONE-REF 123.40 10/1/2012 2080189 PTH RELATED(34478)PROTEIN-REF 386.10 3/1/2015 2080190 LACTIC ACID(585)PLASMA-REF 75.00 10/20/2012 2080191 SERZONE(29485)/NEFAZODONE-REF 137.35 3/1/2015 2080192 LIPOPROTEIN-a(34604)-REF 103.52 3/1/2015 2080193 APOLIPOPROTEIN(5224)B-REF 91.97 3/1/2015 2080196 URINE(1715)TOT PROTEIN-REF 54.97 3/1/2015 2080197 TRH-THYROTROPIN(36588)RELEASING HORM-REF 386.10 3/1/2015 2080198 DO NOT USE-MYOGLOBIN-SEE MYOGLOBIN(660) 79.65 5/3/2008 2080199 TROPONIN I-DO NOT USE 44.76 5/3/2008 2080200 VASOACTIVE(920)INTEST.POLYPEPTIDE- REF 188.93 3/1/2015 2080201 POTASSIUM(8832)FECES-REF 65.27 3/1/2015 2080202 VANCOMYCIN PEAK 112.68 3/1/2016 2080203 FECAL LIPIDS(455)QT,24HR-REF 122.55 3/1/2015 2080204 SODIUM(8833)FECES-REF 65.27 3/1/2015 2080205 LE LATEX -REF 62.73 3/1/2015 2080206 VDRL,CSF(4128)-REF 58.40 3/1/2015 2080207 CAFFEINE(305)-REF 99.50 3/1/2015 2080208 BETA-2(852)MICROGLOBULIN-REF 140.54 3/1/2015 2080209 PROPOXYPHENE(35267)(DARVOCET)-REF 137.35 3/1/2015 2080211 TRAZADONE,SERUM(4732)-REF 116.75 3/1/2015 2080212 SCABIES(8628)DETECTION-REF 60.56 3/1/2015 2080213 URIC ACID(907)24 HR URINE-REF 88.87 3/1/2015 2080214 DO NOT USE-ECOLI/SHIG(30264)TOXIN-REF 89.25 5/3/2008 2080215 THYROID STIMUL(30551)IMMUNOGLOB(TSI)-REF 254.70 3/1/2015 2080216 HVA,(530)URINE(HOMOVANILLIC ACID)-REF 46.89 3/1/2015 2080217 HEP C QUAL(34024)PCR,RNA-REF 160.00 10/20/2012 2080218 METHOTREXATE(648)SERUM-QUEST 116.75 3/1/2015 2080220 LDL SUBPART(17138)-REF 340.67 3/1/2015 2080221 HDL SUBCLASSES(35932)-REF 124.10 3/1/2015 2080224 IBUPROFEN(5136)-REF 116.75 3/1/2015 2080226 AMITRIPTYLINE(423)-REF 105.72 3/1/2015 2080227 ESTRONE(23244)-REF 257.20 5/3/2008 2080229 DRUG SCREEN(23020)SERUM,UA,GAST-REF 281.38 3/1/2015 2080230 MEPROBAMATE(635)-REF 79.60 3/1/2015 2080231 FECAL FAT(3967)QUAL-REF 87.24 3/1/2015 2080232 TRYPSIN,FECES-NOT AVAILABLE 150.94 5/3/2008 2080234 SINGLE DRUG CLASS EACH 12.26 3/1/2016 2080235 MULTIPLE DRUG CLASS EACH PROC -REF 130.31 1/1/2011 2080236 PROTEIN SYNOVIAL & PLEURAL FLUID 41.85 3/1/2016 2080242 TRYPTASE(34484)-QUEST 202.24 3/1/2015 2080245 CULTURE(ABSCESS) 66.81 3/1/2016 2080246 KETONES,SERUM(3431)-REF 133.29 3/1/2015 2080247 FACTOR IX(352)ACTIVITY-REF 157.16 3/1/2015 2080248 THROMBIN TIME(883)-REF 57.00 3/1/2015 2080250 FACTOR VIII(10492)INHIB-REF 140.65 3/1/2015 2080251 COLLAGEN(31569)TYPE II IgG ABS-REF 140.65 3/1/2015 2080253 LIDOCAINE(605)-REF 55.16 3/1/2015 2080254 HEP A(512)AB IGM-REF 52.28 10/20/2012 2080255 CMV(8503)IgM-REF 78.81 3/1/2015 2080257 VITAMIN C(929)-QUEST 38.06 3/1/2015 2080259 G6PD(500)GLUC-6-PHOS.DEHYDROG-REF 98.34 3/1/2015 2080260 VMA(1710)RANDOM URINE-REF 105.28 10/20/2012 2080263 BONE ALP(29498)-REF 36.77 3/1/2015 2080264 LEGIONELLA AG(8856)URINE-REF 75.86 5/3/2008 2080265 ANDROSTENEDIONE(17182)-REF 119.46 3/1/2015 2080266 METHYLMALONIC(91002)ACID(MMA)-REF 140.48 10/20/2012 2080267 BB ELUTION-ARC 122.94 3/1/2016 2080268 BB ENZYME PRETREATMENT-ARC 73.20 3/1/2015 2080269 BB DIFFERENTIAL ADSORPTION-ARC 119.36 3/1/2015 2080270 HEP B CORE AB(4848)IGM-REF 54.00 10/20/2012 2080271 CULTURE BORDET(59796)&PCR-REF 34.82 3/1/2015 2080272 ALLERGY YEAST(2845)-REF 32.18 3/1/2015 2080273 ALLERGY CORN(2808)-REF 32.18 3/1/2015 2080274 ALLERGY SOYBEAN(2814)-REF 32.18 3/1/2015 2080275 ALLERGY MILK(2802)-REF 25.03 3/1/2015 2080276 ALLERGY EGG WHITE(2801)-REF 32.18 3/1/2015 2080278 DILANTIN(FREE)(3189)-REF 41.41 3/1/2015 2080279 OXALATE(682)24 HR URINE-REF 91.42 3/1/2015 2080280 CITRIC ACID(4616)24 HR URINE-REF 148.20 3/1/2015 2080281 HISTOPLASMOSIS(58792)AG, QT-QUEST 175.10 7/25/2018 2080284 PERIPHERAL(833)BLOOD SMEAR-REF 41.72 3/1/2015 2080285 DO NOT USE-ATRIAL(31559)NATRIURETIC FAC 374.85 5/3/2008 2080286 IMMUNOFIXATION(213)URINE-REF 96.75 3/1/2015 2080287 BETA 2(30340)GLYCOPROTEIN AB-QUEST 118.97 3/1/2015 2080288 DNA(DS)ABS(255)-REF 92.83 3/1/2015 2080289 VITAMIN E(931)(TOCOPHEROL)-REF 107.90 10/20/2012 2080290 IMMUNOFIXATION(549)SERUM-REF 119.74 3/1/2015 2080291 ALUMINUM,BLOOD(6021)-QUEST 68.95 3/1/2015 2080293 PHOSPHORUS 24 HR UA 43.53 3/1/2016 2080298 ALLERGY SOYBEAN IgG(34680)-REF 33.09 3/1/2015 2080299 TOPIRAMATE(30965)-REF 113.56 3/1/2015 2080308 THYROXINE(870)BINDING GLOBULIN-REF 111.14 3/1/2015 2080309 THYROID STIM(5738)HORMONE RECPT AB-QUEST 76.30 3/1/2015 2080315 DNASE B(256)AB-REF 95.15 3/1/2015 2080316 PARASITE ID(3946)EXTERNAL-REF 55.97 3/1/2015 2080317 THALLIUM(8835)RANDOM URINE-REF 126.85 3/1/2015 2080318 ANTIMONY(6035)-REF 87.33 3/1/2015 2080319 GIARDIA(34265)AB(SERUM)-REF 125.62 3/1/2015 2080320 DO NOT USE-LIPASE(606)-REF 66.41 5/3/2008 2080321 MAGNESIUM(625)24 HR URINE-REF 82.52 3/1/2015 2080322 MAGNESIUM,RBC(623)-REF 47.38 3/1/2015 2080325 POLIOVIRUS AB(988)BY NEUT CSF-REF 43.26 3/1/2015 2080327 CULTURE(4550)(AEROBIC-QUEST)-REF 43.94 3/1/2015 2080331 ALLERGY CHICKEN FEATHERS(2651)-REF 37.85 3/1/2015 2080332 ENTEROVIRUS(15082) BY PCR,CSF-QUEST 456.60 3/1/2015 2080335 OXYCONTIN(6235)OXYCODONE-REF 202.24 3/1/2015 2080337 DO NOT USE-BACTERIUM N.E.S.-REF 57.75 5/3/2008 2080338 DHEA,UNCONJUG(19894)-REF 156.68 3/1/2015 2080339 CULTURE(YERSINIA(4487)-REF 84.87 3/1/2015 2080340 DO NOT USE-PSA SPECIAL-DO NOT USE 26.25 5/3/2008 2080341 AEROBIC(392)BACTERIUM ID-REF(QUEST) 95.60 3/1/2015 2080342 IGA(539)-REF 42.88 3/1/2015 2080344 DO NOT USE-BACTERIUM,NES(DO NOT USE)-REF 36.75 5/3/2008 2080345 D-DIMER,QUANT(8659)-REF 158.55 5/3/2008 2080346 ALLERGY PEANUTS(2813)-REF 25.03 3/1/2015 2080347 ALLERGY COCOA(2875)-REF 37.85 3/1/2015 2080348 CYSTINE,UR(401)-REF 91.93 3/1/2015 2080349 INSULIN(36178)AUTOANTIBODY-REF 261.07 3/1/2015 2080351 VITAMIN D 1,25(16558)-REF 113.50 9/14/2009 2080352 PTH-DO NOT USE SEPARATELY(IRMA)-REF 222.60 5/3/2008 2080354 LORAZEPAM(34519)/ATIVAN-REF 137.35 3/1/2015 2080355 BARBITURATES(3473)BLOOD-REF 97.34 3/1/2015 2080356 GLOMERULAR(257)BASEMENT MEMBRANE AB-REF 237.33 3/1/2015 2080357 RISPERIDONE(2339)(RISPERDAL)-REF 176.85 3/1/2015 2080358 HYDROXYZINE(10931)(VISTARIL)-REF 137.35 3/1/2015 2080359 HIV (RAPID TEST)AB-WCMH 49.23 3/1/2016 2080360 CYCLOBENZAPRINE(6098)-REF 131.84 3/1/2015 2080361 AFB-CULTURE-REF-SEE CUL(AFB) 40.61 5/3/2008 2080362 CK ISOENZYMES(377)-REF 91.93 3/1/2015 2080364 BUPROPION(8592)-QUEST 137.35 3/1/2015 2080365 TACROLIMUS(34482)-REF 154.50 3/1/2015 2080366 TOBRAMYCIN,PEAK(8576)-REF 22.53 3/1/2015 2080367 TOBRAMYCIN(8577)TROUGH-REF 22.53 3/1/2015 2080368 CHOLESTEROL(17586)FLUID-REF 27.35 3/1/2015 2080369 SMEAR,BORDETELLA(6410)-REF 16.77 3/1/2015 2080370 CULTURE(VIBRIO)(4489)-REF 30.28 3/1/2015 2080371 GASTRIC OCCULT BLOOD 38.35 3/1/2016 2080373 POTASSIUM 24 HR URINE 23.34 3/1/2016 2080375 ALLERGY COCKROACH(2736)-REF 37.85 3/1/2015 2080376 APOLIPOPROTEIN(5223)A1-REF 94.09 3/1/2015 2080377 CULTURE(LEGIONELLA)(688)-REF 25.74 3/1/2015 2080378 FTA-ABS(4112)SERUM-REF 37.60 3/1/2015 2080379 URINE PHOS(1696)-REF 43.53 3/1/2015 2080380 DO NOT USE-HEP B DNA HYBRID(34449) 68.38 5/3/2008 2080381 CULTURE(CMV)-SEE CULTURE(CMV)(2627) 231.84 5/3/2008 2080382 HSV CULTURE(2649)W/TYPING-REF 117.52 3/1/2015 2080383 ACETONE,URINE 12.07 3/1/2016 2080384 GLUCAGON(519)-REF 23.28 5/3/2008 2080385 AMINO ACID(767)ANALYSIS-REF 28.99 3/1/2015 2080386 CULTURE-VRE(STOOL)(37129)-REF 76.30 3/1/2015 2080387 EUGLOBULIN CLOT(462)LYSIS-REF 14.41 3/1/2015 2080389 VALPROIC ACID(3314)(FREE)-REF 50.56 3/1/2015 2080391 KEPPRA(15142)LEVETIRACETAM-REF 67.20 3/1/2015 2080392 CHLAMYDIA(987)TRACHOMATIS IGG-REF 17.28 3/1/2015 2080393 CHLAMYDIA(5157)TRACHOMATIS IGM-REF 18.55 3/1/2015 2080394 HEP B SURF(34000)AB QT TO ENDPT-REF 106.97 3/1/2015 2080395 HSV CULTURE(2692)RAPID METHOD-REF 117.52 3/1/2015 2080396 CHLAMYDIA(PROBETEC)17303-REF 131.25 9/27/2012 2080400 C1 ESTERASE(297)INHIBITOR-REF 100.02 3/1/2015 2080401 B-12 33.60 3/1/2016 2080402 FERRITIN 111.08 3/1/2016 2080403 FOLATE(WCMH) 124.14 3/1/2016 2080404 TSH 178.25 3/1/2016 2080405 T4 TOTAL(WCMH) 86.92 3/1/2016 2080406 T3 UPTAKE(WCMH) 64.55 3/1/2016 2080407 T4 FREE(WCMH) 142.63 3/1/2016 2080410 ALLERGY LATEX(8927)-REF 32.18 3/1/2015 2080411 REDUCING(5022)SUBSTANCES STOOL-REF 88.30 3/1/2015 2080413 B.BURGDORFERI(15564)DNA PCR,CSF/SYN-REF 60.33 3/1/2015 2080414 DO NOT USE-UROBILINOGEN-NO LONGER AVAIL 11.84 5/3/2008 2080415 ZYPREXA(70073)/OLANZAPINE-REF 116.75 3/1/2015 2080416 TISSUE(8821)(TTG)TRANSGLUT IGA-REF 77.51 3/1/2015 2080418 DO NOT USE-CRP(CARDIO)(10124)-REF 24.84 5/3/2008 2080419 FRAGILE X(16313)XSENSE/RFLEX-REF 388.31 3/1/2015 2080420 FRUCTOSAMINE(8340)-REF 84.42 3/1/2015 2080421 GLYCOHEMOGLOBIN 72.63 3/1/2016 2080423 BB INHIBITION OF SERUM-ARC 137.96 3/1/2016 2080424 BB ANTIGEN SCREENING-ARC 194.78 3/1/2015 2080425 GLUCOSE(491)24 HR URINE-REF 21.63 3/1/2015 2080429 CULTURE(ANAEROB(4469)-REF 47.38 3/1/2015 2080430 NICOTINE,SERUM(90642)-REF 87.82 5/3/2008 2080433 CYSTIC FIBROSIS(10458)PANEL-REF 303.69 3/1/2015 2080434 AMYLASE,FLUID, PERITONEAL-QUEST 56.03 3/1/2015 2080435 URINE URIC(1744)ACID-REF 8.27 3/1/2015 2080436 NICOTINE,URINE(90646)-REF 160.68 3/1/2015 2080437 H PYLORI(34838)AG,STOOL-REF 170.10 5/3/2008 2080439 VAP(10270)CHOLESTEROL-REF 192.77 3/1/2015 2080440 PNEUMOCYSTIS(34286)CARINII,DFA-REF 151.41 3/1/2015 2080441 DO NOT USE-BNP B-TYPE(37386)NAT PEP-REF 131.25 5/3/2008 2080442 GLUCOSE,2HR PP 51.56 3/1/2016 2080443 ALDOSTERONE(229),24 HR URINE-REF 194.22 3/1/2015 2080444 PYRUVATE(765)-REF 91.49 3/1/2015 2080445 HYDROXYCORTICO(15202)STEROID,24HR UA-REF 81.11 3/1/2015 2080449 SULFASALAZINE(8334)-REF 340.67 3/1/2015 2080451 ALBUMIN,FLUID(17646)PLEUR.SYN.PARACN-REF 78.73 3/1/2015 2080452 METANEPHRINES(19548)FRACTION.PLASMA,-REF 230.15 3/1/2015 2080453 GALACTOKINASE(1628)-REF 854.39 3/1/2015 2080454 GAL-1-P(4728)URIDYLTRANSFERASE-REF 519.12 3/1/2015 2080455 THIOPURINE(37742)METHYL GENOTYPE-REF 562.38 3/1/2015 2080456 GHP-MEDICAID (CBC,TSH,CMP) 436.95 3/1/2016 2080457 TRILEPTAL(36637)/OXCARBAZEPINE-REF 197.65 3/1/2015 2080458 IGG(543)-REF 42.88 3/1/2015 2080459 BLASTOMYCES AB(932)-REF 110.86 3/1/2015 2080461 OSMOTIC(37370)FRAGILITY,RBC-REF 486.68 3/1/2015 2080462 LIPOPROTEIN(11036)ELECTROPHOR.,FLUID-REF 215.00 5/1/2003 2080463 VITAMIN K(36585)-REF 200.39 3/1/2015 2080464 HEP B SURF(499)AB QUAL-REF 42.75 8/1/2010 2080465 HEP B VIRAL(8369)DNA QUANT PCR-REF 353.50 3/1/2015 2080466 CULTURE(URETHRA(4558)-REF 40.45 3/1/2015 2080467 IGF-1 BINDING(36590)PROTEIN-REF 266.59 3/1/2015 2080469 T3 REVERSE(90963)-REF 137.60 10/20/2012 2080470 IGM(545)-REF 42.88 3/1/2015 2080472 TRYPANOSOMA(34333)CRUZI AB PANEL-REF 167.63 3/1/2015 2080473 EHRLICHIA PCR(11353)-REF 296.26 3/1/2015 2080475 DIHYDRO(90567)TESTOSTERONE-REF 169.19 3/1/2015 2080477 HISTOPLASMA AB(526)-REF 57.72 3/1/2015 2080478 COCCIDIOIDES(908)AB-REF 67.91 3/1/2015 2080479 CANDIDA AB(939)-REF 111.14 3/1/2015 2080480 INHIBIN A(34472)-REF 186.56 3/1/2015 2080481 BRUCELLA(91068)IGG/IGM-REF 151.41 3/1/2015 2080482 SALMONELLA(10582)TOTAL AB-REF 34.20 3/1/2015 2080483 RICKETTSIA(37507)AB PANEL-REF 212.20 3/1/2015 2080484 HEP C QUAL(37273)TMA-REF 647.98 3/1/2015 2080485 CYANIDE(400)-REF 76.79 3/1/2015 2080486 PCP(6251)QT,UA-REF 198.69 3/1/2015 2080488 PROINSULIN(760)-REF 382.85 3/1/2015 2080489 PROPYLENE(3343)GLYCOL-REF 216.30 3/1/2015 2080490 INFLUENZA A&B(8357)ANTIGEN-REF 22.71 3/1/2015 2080491 DONOT USE-INFLUENZA A-NOT AVAILABLE 22.05 5/3/2008 2080492 CARBAMAZEPINE(18948)(FREE)-REF 243.34 3/1/2015 2080494 OXCARBAZEPINE(36637)/TRILEPTAL-REF 123.17 5/3/2008 2080495 GLUTAMIC(GAD)(34878)DECARBOX65 AB-REF 148.42 3/1/2015 2080497 HEP C QUANT(35645)PCR,RNA(VIRAL LOAD)-RE 176.13 3/1/2015 2080498 PANCREATIC(14693)ELASTASE-1-REF 386.10 3/1/2015 2080499 SODIUM 24 HR(838)URINE-REF 25.88 5/3/2008 2080501 ALPHA-GLOBIN(11175)THALAS DNA MUTAT-REF 615.94 3/1/2015 2080502 BNP (B-TYPE NATRIURETIC PEPTIDE) 121.91 3/1/2016 2080503 BB PATIENT PHENOTYPE NOT ABO/D-ARC 122.94 3/1/2016 2080505 SICKLE CELL(825)SCREEN-REF 27.35 3/1/2015 2080506 TARTRATE(37351)RESISTANT ACID PHOS-REF 110.31 3/1/2015 2080507 LYME DS(15777)B.BURG.DNA,PCR-REF 308.23 3/1/2015 2080509 MYELIN ASSOC(37438)GLYCOPRO(MAG)-REF 210.89 3/1/2015 2080510 ENDOMYSIUM(15064)SCREEN-IGA,REFLEX-REF 77.51 3/1/2015 2080511 RAPAMYCIN(36712)SIROLIMUS-REF 217.46 10/20/2012 2080512 5-NUCLEOTIDASE(671)-REF 50.83 3/1/2015 2080513 ZONISAMIDE(37852)/ZONEGRAN-REF 203.94 3/1/2015 2080514 TOXOPLASMA(3679)IGG-REF 79.60 3/1/2015 2080516 M.TUBERCULOSIS(30298)PCR-REF 297.41 3/1/2015 2080517 IMMUNOFIX(37669)&IMMUNOGLOB-SERUM-REF 84.57 3/1/2015 2080518 ACYLCARNITINE(14531)-REF 116.80 3/1/2015 2080520 6TG& 6MMP(91745)THIOPURINE METAB-REF 395.01 3/1/2015 2080521 UA MICROALBUMIN/CREATININE RATIO 62.08 3/1/2016 2080522 ORGANIC ACIDS(90561)URINE-REF 535.34 3/1/2015 2080525 U1 SNRNP(31571)-REF 116.92 3/1/2015 2080526 ELASTASE(14693)PANCREATIC-REF 390.53 3/1/2015 2080527 CANNABINOIDS(8421)(THC)-REF 220.63 3/1/2015 2080529 ETHYLENE GLYCOL(801)(ANTIFREEZE)-REF 48.67 3/1/2015 2080531 DO NOT USE-INSULIN AB(10275)NOT AVAIL 63.00 5/3/2008 2080533 FACTOR V(17902)HR2 ALLELE DNA ANAL-REF 317.24 3/1/2015 2080534 PROTHROMBIN(17909)FACTOR II 20210G MUT-R 250.29 3/1/2015 2080535 PROTEIN(1715)RANDOM URINE(W CREAT)-REF 36.57 3/1/2015 2080537 CORTICOSTERONE(6547)-REF 192.20 3/1/2015 2080538 DEOXY(6559)CORTICOSTERONE-REF 248.75 3/1/2015 2080539 RUBELLA(4422)IGM AB(GERMAN MEASLES)-REF 70.84 3/1/2015 2080540 SPERM AB(19492)IGA,IGG-REF 126.54 3/1/2015 2080541 BETA STREP SCREEN REFLEX TO CUL. IF NEG. 59.17 3/1/2016 2080543 C DIFF CULTURE w/RFLX(92014)-QUEST 54.24 3/1/2015 2080545 RUBEOLA(34256)IGM AB(MEASLES)-REF 88.54 3/1/2015 2080546 SUSCEPTIBILITY-ENZYME DETECTION-REF 52.66 5/3/2008 2080547 BILE ACIDS(4668)FRACT&TOTAL-REF 189.38 3/1/2015 2080548 ZINC,SERUM(37693)-REF 133.88 5/3/2008 2080549 SM AB(37923)-REF 34.88 10/20/2012 2080550 PROTHROMBIN AB(11265)IGG&IGM-REF 262.65 3/1/2015 2080551 PHOSPHATIDYL(36595)SERINE AB,IGG&IGM-REF 137.90 3/1/2015 2080552 PM-SCL AB(37103)-REF 200.08 3/1/2015 2080553 CYCLIC(11173)CITRULLINE PEPTIDE-REF 185.40 3/1/2015 2080555 HLA-B(10950)CLASS I DNA-REF 206.62 3/1/2015 2080556 HLA-DRB(10952)CLASS II DNA-REF 243.34 3/1/2015 2080557 THROMBIN(10162)ANTITHROMBIN COMPLEX-REF 205.49 3/1/2015 2080558 PROTHROMBIN(37674)FRAGMENT 1.2-REF 248.75 3/1/2015 2080559 FIBRIN MONOMER(11074)-REF 173.04 3/1/2015 2080560 ACTIVATE PROTEIN(22)C-RESISTANCE-REF 194.67 3/1/2015 2080561 ZINC(945)LEVEL-REF 104.55 3/1/2015 2080562 EPSTEIN-BARR(8474)IGG VCA-REF 64.35 3/1/2015 2080563 VARICELLA(4439)IGG AB-REF 85.79 10/20/2012 2080565 NOREPINEPHRINE(37562)-REF 227.06 3/1/2015 2080566 CHROMIUM(5248)-REF 128.70 3/1/2015 2080567 NICKEL(3500)-REF 124.10 3/1/2015 2080568 SELENIUM(6296)-REF 135.96 3/1/2015 2080569 LEAD(601)RANDOM UA-REF 99.14 3/1/2015 2080570 LEAD,NAILS(3419)-REF 237.93 3/1/2015 2080571 PORPHYRINS(5519)PLASMA-REF 216.30 3/1/2015 2080572 DELTA AMINO(6301)LEVULINIC RANDOM UA-REF 124.37 3/1/2015 2080573 MICROALBUMIN(4555)24 HR URINE-REF 35.70 5/3/2008 2080574 FELBAMATE(3081)(FELBATOL)-REF 110.31 3/1/2015 2080575 ACETYLCHOLINE(206)RECEP.BINDING-REF 103.13 10/1/2012 2080576 ACETYLCHOLINE(26474)RECEP.MODULATING-REF 198.48 3/1/2015 2080577 BRADYKININ(1508-NICHOLS TEST CODE)-REF 349.32 3/1/2015 2080578 INSULIN,FREE(36700)-REF 157.14 3/1/2015 2080579 CKMB 59.01 3/1/2016 2080580 TROPONIN I 53.56 3/1/2016 2080581 ALCOHOL(2128)URINE-REF 64.35 3/1/2015 2080582 FECAL FAT(455)QUANTITATIVE-REF 184.77 3/1/2015 2080583 IGF BINDING(34458)PROTEIN-3-REF 165.85 3/1/2015 2080584 INHIBIN B(34445)-REF 236.39 3/1/2015 2080586 CRYPTOSPORID(37213)AG,STOOL-QUEST 127.90 7/17/2018 2080587 D-TEST(15126)STAPH-REF 41.20 3/1/2015 2080588 ALLERGY ALTERNARIA(2706)-REF 27.35 3/1/2015 2080589 ALLERGY ASPERGILLUS FUMIGAT(2703)-REF 21.03 3/1/2015 2080590 ALLERGY FUSARIUM(38264)-REF 110.31 3/1/2015 2080591 ALLERGY HELMINTHOSPORIUM(37457)-REF 96.52 3/1/2015 2080592 ALLERGY CLADOSPORIUM(10282)-REF 101.13 3/1/2015 2080593 LACTOFERRIN(10156)STOOL-REF 197.65 3/1/2015 2080596 NUCLEIC ACID TRANSFER-REF 109.88 5/3/2008 2080597 TISSUE CULTURE,NON-NEOPLASTIC-REF 311.79 1/12/2009 2080599 MOLEC. AMPLIF.,NUCLEIC ACID,1ST TWO-REF 109.88 5/3/2008 2080600 CHRG CPT 83909 FCT V HR2 ALLELE(17902) 109.88 5/3/2008 2080601 CHRG CPT 83914 FCT V HR2 ALLELE(17902) 109.88 5/3/2008 2080603 LIPOPROTEIN(19979)FRAC PNL 2-REF 107.84 3/1/2015 2080604 BACTERIA/MICRO STAIN-REF 99.09 3/1/2015 2080608 HIV DNA QL PCR(8401)-REF 378.53 3/1/2015 2080609 CA 27.29(29493)-QUEST 99.50 3/1/2015 2080610 5-HIAA(1648),RANDOM URINE-REF 108.54 3/1/2015 2080611 FACTOR II(331)ACTIVITY-REF 275.78 3/1/2015 2080612 T-CELL COUNT(7195)LYMPHOCYTE SUBSET 3-RE 181.16 3/1/2015 2080613 LYMPHOCYTE(7924)PNL 4-REF 181.16 3/1/2015 2080614 PREGNENOLONE(31493)-REF 188.18 3/1/2015 2080615 AMIKACIN,PEAK(8584)-REF 81.15 3/1/2015 2080616 MUMPS VIRAL(17458X)SWAB-REF 238.80 3/1/2015 2080618 ALPHA-1-ANTITRYPSIN(853)PHENOTYPE-REF 141.44 3/1/2015 2080619 PARASITE(3950)INTESTINAL ID-REF 55.97 3/1/2015 2080620 TISSUE CULTURE ADD'L STUDIES OR ID-REF 75.76 5/3/2008 2080621 FENTANYL(30324)AND METABOLITE-REF 199.00 3/1/2015 2080623 IGF-2(20707)-REF 150.87 3/1/2015 2080624 ANTIDIURETIC HORMONE(252)-REF 130.46 3/1/2015 2080625 EHRLICHIOSIS(34464)GRANULOCYTIC AB-REF 262.92 3/1/2015 2080626 HYPEROXALURIA(30174)PANEL,URINE-REF 273.26 3/1/2015 2080627 VITAMIN D 25OH(17306)(VITD3)-REF 105.00 10/20/2012 2080628 NOROVIRUS(15544)STOOL-REF 220.63 3/1/2015 2080629 TISSUE(8441)FINE NEEDLE ASPIRATION-REF 253.90 3/1/2015 2080630 TISSUE(38449)IMMUNOPEROXIDASE STAIN-REF 150.65 3/1/2015 2080631 TISSUE(3302)LEVEL2-REF 151.23 3/1/2015 2080632 TISSUE(3304)LEVEL3-REF 82.16 3/1/2015 2080633 TISSUE(3305)LEVEL4-REF 147.29 3/1/2015 2080634 TISSUE(38498)SPECIAL STAIN-REF 120.54 3/1/2015 2080635 TISSUE(3307)LEVEL5-REF 226.40 3/1/2015 2080636 NON-GYN CY(10676(NGFL1))-REF 92.44 3/1/2015 2080637 TISSUE(DEC1,3117)DECALCIFICATION-REF 82.40 3/1/2015 2080638 TISSUE(3309)LEVEL6-REF 348.50 3/1/2015 2080639 FACTOR V(344)ACTIVITY,CLOTTING-REF 124.22 3/1/2015 2080641 FACTOR X(359)ACTIVITY,CLOTTING-REF 270.27 3/1/2015 2080642 COMPLEMENT(6431)PANEL-REF 287.14 3/1/2015 2080643 ARGININE(252)VASOPRESSIN-REF 206.78 3/1/2015 2080645 GLIADIN(8889)IGG/IGA AB PANEL-REF 106.25 10/20/2012 2080646 MYELIN BASIC(663)PROTEIN-REF 96.52 3/1/2015 2080647 OLIGOCLONAL(674)BANDS,CSF-REF 83.28 3/1/2015 2080650 TISSUE(3800)SPECIAL STAIN GROUP 1-REF 143.13 3/1/2015 2080651 TISSUE(8716)SPECIAL STAIN GROUP 2-REF 151.23 3/1/2015 2080652 CHOLINESTERASE(37965)-REF 123.29 3/1/2015 2080653 HEP D VIRUS (HDV) AB, TOTAL(4990)-QUEST 82.34 3/1/2015 2080654 HOMOCYSTEINE(36362)NUTR.&CONGEN.-REF 149.31 3/1/2015 2080655 S.PNEUMONIAE AG(4460)-REF 208.39 3/1/2015 2080656 ANTITHROMBIN(5158)III AG-REF 254.70 3/1/2015 2080657 FACTOR XII(362)ACTIVITY-REF 270.27 3/1/2015 2080658 TISSUE(3801)IHC STAIN-REF 181.65 3/1/2015 2080659 LYSOZYME(619)-REF 78.77 3/1/2015 2080661 PROTEIN S(10170)ANTIGEN,FREE-REF 281.19 3/1/2015 2080662 PROTEIN S(36457)ANTIGEN-REF 403.34 3/1/2015 2080663 C4 BINDING(15914)PROTEIN-REF 85.17 3/1/2015 2080665 MRSA,PCR(17656)REF 123.29 3/1/2015 2080666 NIACIN(VIT B3)(16450)-REF 125.66 3/1/2015 2080668 STREP B AG(4423)SERUM/CSF-REF 102.71 3/1/2015 2080669 THYROGLOBULIN(14510)PNL(ICMA)-REF 105.00 2/17/2011 2080670 ALLERGY PANEL(10715 FOOD)IGE-REF 133.49 3/1/2015 2080671 SULFONYLUREA(4261)HYPOGLYCEMIC PANEL-REF 194.67 3/1/2015 2080672 PROTEIN C(4948)ANTIGEN-REF 174.11 3/1/2015 2080674 COENZYME Q10(19826)-REF 325.53 3/1/2015 2080675 BB RETICULOCYTE SEPARATION-ARC 147.52 3/1/2016 2080676 68KD AB(36734)-REF 308.23 3/1/2015 2080677 BK VIRUS(11351)DNA,PCR(BLOOD)-QUEST 463.96 3/1/2015 2080678 ALLERGY DUST MITES DP(2721)(d1)-REF 24.34 3/1/2015 2080679 ALLERGY DUST MITES DF(2722)(d2)-REF 24.34 3/1/2015 2080680 HIV-1&HIV2(37694)AB SCREEN-REF 77.25 3/1/2015 2080683 TISSUE(3300)GROSS EXAM-REF 139.61 3/1/2015 2080684 ESTRADIOL(4021)-REF 103.65 10/20/2012 2080685 SACCHAROMYCES(17609)CEREVIS IGA,IGG-REF 180.25 3/1/2015 2080686 SPECIFIC GRAVITY(WCMH) 21.61 3/1/2016 2080687 BORDETELLA(17826)AB(IgG)-REF 79.71 3/1/2015 2080688 TRYPTOPHAN(959)-REF 100.31 3/1/2015 2080689 CATECHOLAMINES(5244)RANDOM URINE-REF 114.91 3/1/2015 2080690 CHLORIDE(368)24 HR URINE-REF 38.02 3/1/2015 2080691 AMMONIA(MISC)24 HR URINE-REF 107.27 3/1/2015 2080692 SULFATE(11013)24HR UA-REF 222.64 3/1/2015 2080693 TRIGLYCERIDES(17592)PLEURAL FL.-REF 21.61 3/1/2015 2080694 CADMIUM(672)RANDOM URINE-REF 101.20 3/1/2015 2080695 PRIMIDONE(751)-REF 127.72 3/1/2015 2080696 CYCLOSPORINE(10719)PEAK-REF 138.14 3/1/2015 2080697 ALPHA 1 ANTITRYPSIN,FECES(14628)-REF 69.22 3/1/2015 2080698 PH,FECES(1304)-REF 117.62 3/1/2015 2080701 Lp-PLAC2(14530)-REF 275.78 3/1/2015 2080702 URIC ACID(11321)24 HR URN W/O CREAT -REF 88.87 3/1/2015 2080703 PHOSPHOROUS(11319)24HR UA W/O CREAT-REF 43.53 3/1/2015 2080704 TESTOSTERONE(15983)WOMEN&PEDS-REF 49.83 3/1/2015 2080707 ANCA W/ MPO & PR3 (70159)-REF 244.53 3/1/2015 2080708 IgA SUBCLASS(34188)-REF 237.93 3/1/2015 2080709 DIRECT LDL(8293)-REF 37.84 5/3/2008 2080710 CA 72-4 (15583)-REF 129.78 3/1/2015 2080712 DIFFERENTIAL, Manual requested 25.96 3/1/2016 2080713 INTRINSIC(568)FACTOR BLOCKING AB-REF 100.36 3/1/2015 2080714 VITAMIN B12(928)BINDING CAP UNSAT-REF 84.36 3/1/2015 2080716 CULTURE(CAMPY)4475-REF 111.21 3/1/2015 2080717 ENTAMOEBA(34964)HISTOLYTICA AG EIA-REF 200.41 3/1/2015 2080718 CORTISOL(11281)LEVEL(LC/MS)-REF 66.79 3/1/2015 2080719 COLLAGEN(17406)TYPE 1C-TELOPEPTIDE-REF 255.56 3/1/2015 2080721 INFLUENZA(35945)A&B CUL RAPID -REF 156.82 3/1/2015 2080722 KAPPA(37863)LAMBDA LIGHT CHAINS-REF 81.11 3/1/2015 2080723 BILE ACIDS(19546)FRAC&TOT PREGNANCY-REF 269.29 3/1/2015 2080725 D-DIMER (ACL Elite) 108.59 3/1/2016 2080726 H Pylori IgA(34122)-REF 51.00 10/20/2012 2080727 HEPARIN-INDUCED(14874)THROMBOCYTO-REF 269.94 3/1/2015 2080728 ETHOSUXIMIDE(214)ZARONTIN-REF 105.53 3/1/2015 2080729 CULTURE(FUNGUS)(4606)BLOOD,W/ID-REF 183.42 3/1/2015 2080730 ALPHA SUBUNIT(8658)-REF 194.05 3/1/2015 2080731 GLYCOMARK(19599)-REF 168.00 5/3/2008 2080732 VOLUME MSRMNT FOR TIMED COLLECTIONS EA 21.00 3/1/2016 2080734 C DIFF TOXINS 104.67 3/1/2016 2080735 LITHIUM (WCMH) 40.71 3/1/2016 2080738 TRANSFERRIN(WCMH) 186.59 3/1/2016 2080739 PTH(WCMH) 133.15 3/1/2016 2080740 TESTOSTERONE(WCMH)TOTAL 246.99 3/1/2016 2080741 B HCG(WCMH) 195.43 3/1/2016 2080742 CARDIO CRP(WCMH) 142.58 3/1/2016 2080743 RHEUMATOID FACTOR(WCMH)QUANT 118.97 3/1/2016 2080744 DO NOT USE-ASO(WCMH)QUANT 111.41 5/3/2008 2080745 DO NOT USE-PREALBUMIN(WCMH) 187.43 5/3/2008 2080747 BLADDER CANCER(10107),FISH-REF 602.55 3/1/2015 2080748 NORTRIPTYLINE(272)-REF 165.47 3/1/2015 2080750 HANTA VIRUS(37547)-REF 17.28 3/1/2015 2080751 CREATININE URINE RANDOM(WMCH) 33.95 3/1/2016 2080754 DO NOT USE-TOBRAMYCIN(WCMH) 180.29 5/3/2008 2080757 PROTEIN URINE RANDOM (WCMH) 132.98 3/1/2016 2080761 IGD(541)-REF 132.48 3/1/2015 2080762 CARDIOLIPIN(36189)RFLX IGG-IGA-IGM-REF 64.40 3/1/2015 2080763 MYELOPEROXIDASE(8796)AB(MPO)-REF 125.50 1/1/2011 2080765 OPIATES(3414)SERUM,CONFIRM-REF 218.14 3/1/2015 2080766 CLORAZEPATE(90854)-REF 84.61 3/1/2015 2080767 CRP(WCMH) 122.87 3/1/2016 2080768 VDRL(30509)SERUM-REF 78.98 3/1/2015 2080769 METHADONE(3258)-REF 84.45 3/1/2015 2080770 CARBAMAZ(36676)EPINE-10,11 EPOXIDE-REF 114.33 3/1/2015 2080771 HYDROCODONE(37893)-REF 153.79 3/1/2015 2080772 HEP C w/RFLX RNA PCR(8472)AB-REF 48.62 3/1/2015 2080773 BENZODIAZEPINES(70071)SERUM-REF 84.45 3/1/2015 2080774 HEP C(11348)VIRAL RNA,QT REFL-REF 176.13 3/1/2015 2080775 JAK2(18950)MUTATION(V617F)-REF 455.00 3/1/2015 2080776 REVERSE TRANSCRIPTION(CPT83902) 110.88 5/3/2008 2080777 MUTATION IDENTIFICATION(CPT83904)BY SEQU 110.88 5/3/2008 2080778 ALPHA-1(15340)ANTITRYPSIN(GENOTYPE)-REF 331.40 3/1/2015 2080779 INTERPRETATION(CPT88187) 124.01 5/3/2008 2080780 COXIELLA BURNETII(37071) Q FEVER RFX-REF 12.63 3/1/2015 2080781 HBSAG(CPT87341)NEUTRALIZATION-REF 41.36 3/1/2015 2080782 HEP PANEL(10306)ACUTE REFLEX-REF 171.49 10/1/2011 2080785 VIRAL RESPIRATORY(14867)RAPID RFX-REF 112.50 2/14/2017 2080787 MORPHINE(6215)-REF 153.79 3/1/2015 2080788 SEROTONIN(14627)RELEASE ASSAY-REF 348.14 3/1/2015 2080790 ALBUMIN(17412)PERITONEAL FLD-REF 36.20 3/1/2015 2080791 TRIGLYCERIDES(17591)PERITONEAL FLD-REF 32.82 3/1/2015 2080792 HIV-1(40085)ULTRASENS,QT PCR-REF 270.38 3/1/2015 2080793 BK(11274)VIRUS DNA,QUANT PCR-REF 338.00 3/1/2015 2080794 HEP C(36559)RNA PCR, QL RFX QT-REF 160.00 10/20/2012 2080795 BK VIRUS(16581)DNA,QT PCR URINE-REF 500.79 3/1/2015 2080796 C3 COMPLEMENT(CPT86160)-IN LUPUS 38.88 1/1/2011 2080797 C4 COMPLEMENT(CPT86160)-LP 38.88 1/1/2011 2080798 TPO(ANTI-TPO)(CPT86376)-LP 82.40 10/20/2012 2080799 RHEUMATOID FACTOR(CPT86431)-IN LUPUS 26.55 10/1/2012 2080800 SJORGREN'S ABS(SSA)(CPT86235)-IN LUPUS 53.70 10/20/2012 2080801 SJOGREN'S ABS(CPT86235)-IN LUPUS PANEL 53.70 10/20/2012 2080802 SM ABS(CPT86235)-IN LUPUS PANEL 34.88 10/20/2012 2080803 SM/RNP(CPT86235)-IN LUPUS PANEL 62.00 10/20/2012 2080804 SCLERODERMA AB(SCL-70)(CPT86235)-IN LUPU 78.73 3/12/2011 2080805 RIBOSOMAL P AB(CPT83520)-IN LUPUS PANEL 110.00 1/1/2011 2080806 MITOCHONDRIAL AB SC RXTT(CPT86255)-LP 40.95 1/1/2011 2080807 MYOCARDIAL AB SC(CPT86255)-LP 121.25 1/1/2011 2080808 DSDNA AB,IFA,SCR RXTT(CPT86255)-LP 90.13 10/20/2012 2080809 RETICULIN AB RXTT(CPT86255)-LP 103.10 1/1/2011 2080810 STRIATED MUSCLE AB(CPT86255)-IN LUPUS 117.18 1/1/2011 2080811 ACTIN(SMOOTH MUSCLE)AB,IGG(CPT83516)-LP 69.00 1/1/2011 2080812 GASTRIC PARIETAL CELL AB(83516)-LUPU-REF 104.98 3/1/2015 2080813 ANA(CPT86038)-LUPUS PANEL 29.25 10/1/2012 2080816 FACTOR VII(346)ACTIVITY,CLOTTING-REF 257.40 3/1/2015 2080817 HEPARIN(15334)INDUCED PLT AB W/RX-REF 217.12 3/1/2015 2080819 AMIKACIN, TROUGH(8583)-REF 77.29 3/1/2015 2080823 CHARGE CPT(83891)THROMBOPHILIA(11327)-RE 49.58 6/1/2008 2080824 CHARGE CPT(83896)THROMBOPHILIA(11327)-RE 49.58 6/1/2008 2080825 CHARGE CPT(83900)THROMBOPHILIA(11327)-RE 49.58 6/1/2008 2080826 CHARGE CPT(83909)THROMBOPHILIA(11327)-RE 49.58 6/1/2008 2080827 CHARGE CPT(83912)THROMBOPHILIA(11327)-RE 95.68 12/1/2008 2080828 CHARGE CPT(83914)THROMBOPHILIA(11327)-RE 49.58 6/1/2008 2080829 CHARGE CPT(85300)THROMBOPHILIA(11327)-RE 49.58 6/1/2008 2080830 CHARGE CPT(85303)THROMBOPHILIA(11327)-RE 49.58 6/1/2008 2080831 CHARGE CPT(85306)THROMBOPHILIA(11327)-RE 49.58 6/1/2008 2080834 (M2080833) 85.00 6/1/2008 2080835 MUMPS(36565)VIRUS ANTIBODY IGM-REF 99.87 3/1/2015 2080836 (M2080835) 78.24 6/1/2008 2080837 INTERFERON(19510)BETA(IFNB)AB NEU-REF 944.00 3/1/2015 2080839 HEP B(37676)CORE AB IGM-REF 48.67 3/1/2015 2080840 (M2080839) 54.00 6/1/2008 2080841 HEP A(36504)AB TOT RFLX IGM-REF 50.20 6/1/2008 2080842 (M2080841) 52.28 6/1/2008 2080843 MICROALBUMIN 24 HR(WCMH) 45.88 3/1/2016 2080844 DO NOT USE-IBDPSACC(10457)IGG,IGA,RX-REF 474.50 7/1/2008 2080845 ANCA TITER CHRG ONLY 218.88 3/1/2015 2080846 THYROTROPIN(36588)RELEASE HORMONE-REF 204.00 8/14/2008 2080847 DO NOT USE-INSULIN (WCMH) 48.41 3/1/2015 2080848 FREE PSA (WCMH) 85.24 3/1/2016 2080857 TRICHOMONAS(19550)VAGINALIS RNA QUAL-REF 115.88 3/1/2015 2080858 HEMOGLOBIN(514)PLASMA-REF 65.92 3/1/2015 2080859 H PYLORI(14839)UREA BREATH-REF 247.20 3/1/2015 2080861 DO NOT USE-B CELLS TOTAL-REF 77.18 5/3/2008 2080862 T&B CELLS(39588) TOTAL-REF 79.50 3/1/2015 2080864 FLECANIDE LEVEL(5309)(TAMBOCOR)LEVEL-REF 49.93 3/1/2015 2080865 MALARIA IFA SCREEN(10670)-REF 295.61 3/1/2015 2080867 ER/PR/DNA/HER2(10969)-REF 1103.68 3/1/2015 2080873 FRANCISELLA(10443)TULARENSIS-REF 100.94 3/1/2015 2080874 ARSENIC(269)BLOOD-REF 101.20 3/1/2015 2080875 WARFARIN(3318)URINE-REF 181.28 3/1/2015 2080876 TREPONEMA(653)PALLIDUM AB PART AG-REF 95.17 3/1/2015 2080877 TSH 3RD GEN(36127) WITH RFX TO FT4-REF 92.76 3/1/2015 2080878 COCCIDIOIDES AB(906)COM FIX-REF 127.08 3/1/2015 2080879 HISTOPLASMA(938)AB COM FIX-REF 52.77 3/1/2015 2080880 PTH(WCMH)INTACT&CALCIUM(NoChg-CA) 133.15 3/1/2016 2080881 MYCOBACTERIUM(30277)TUBER NRCOMP PCR-REF 297.41 3/1/2015 2080882 ANCA SCREEN(70171)RX TO ANCA TITER-REF 90.13 3/1/2015 2080889 CALPROTECTIN(16796)FECAL-REF 285.83 3/1/2015 2080890 BB RH PHENOTYPE BLOOD TYPING-ARC 122.94 3/1/2016 2080891 BB AB SCREENING, RBC, EACH(1-4CELLS)-ARC 110.63 3/1/2016 2080892 BB RED BLOOD CELLS UNIT (NOT LEUKO)-ARC 298.98 3/1/2016 2080898 HUNTINGTON(10247)DIS MUT ANAL -REF 468.65 3/1/2015 2080899 PROCALCITONIN(16265)-REF 309.00 3/1/2015 2080900 MUSCLE(8428)FIBERS, FECAL-REF 73.62 3/1/2015 2080901 CATECHOLAMINES(39627)&CREAT,24HR-REF 80.70 3/1/2015 2080902 DEXAMETHASONE(6921)SUP. TEST(DST)-REF 95.65 3/1/2015 2080904 DO NOT USE-C DIFF(34403)AB - REF 280.00 1/1/2009 2080905 BABESIA MICROTI(34300)IGG,IGM AB-REF 87.55 3/1/2015 2080906 FACTOR XI(360) ACTIVITY CLOT-REF 284.36 3/1/2015 2080907 EBV DNA QL RT,PCR(34179)-REF 176.95 3/1/2015 2080908 C1 ESTERASE(298)INHIBITOR,PROTEIN-REF 114.11 3/1/2015 2080911 HEMOSIDERIN(518)URINE-REF 126.18 3/1/2015 2080912 CULTURE (BORDETELLA)(5260)-REF 106.50 1/1/2012 2080913 OPIATES(15475)URINE CONF-REF 205.39 3/1/2015 2080914 DEXAMETHASONE(29391)-REF 177.73 3/1/2015 2080915 HCV RNA(19702)W RFLX GENOTYPE-REF 591.84 3/1/2015 2080916 PROTEIN(59862)&ELECT,RAN (W/O CREAT)-REF 145.60 10/20/2012 2081000 URINALYSIS,COMPLETE 28.17 3/1/2016 2081015 URINE MICROSCOPIC ONLY 19.15 3/1/2016 2082003 ACETAMINOPHEN LEVEL 73.67 3/1/2016 2082009 ACETONE(SERUM,PLASMA) 12.07 3/1/2016 2082010 ACETONE URINE QUANT(35377)-REF 180.34 3/1/2015 2082011 SALICYLATES(ASA) 103.13 3/1/2016 2082013 ACETYLOCHOLINE(34459)RECEP.BLOCKING-REF 191.97 3/1/2015 2082040 ALBUMIN SERUM 43.56 3/1/2016 2082043 MICROALBUMIN (6517)-REF 43.24 5/3/2008 2082055 BLOOD ALCOHOL 110.49 3/1/2016 2082085 ALDOLASE(227)-REF 28.09 3/1/2015 2082087 ALDOSTERONE(17181)-REF 126.28 10/1/2012 2082103 ALPHA-1(235)ANTITRYPSIN-REF 44.50 3/1/2015 2082105 AFP/TUMOR MARKER(237)-REF 55.62 3/1/2015 2082137 THEOPHYLLINE 56.34 3/1/2016 2082140 AMMONIA (PLASMA) 110.49 3/1/2016 2082141 AMMONIA 77.25 3/1/2016 2082150 AMYLASE(SERUM) 80.41 3/1/2016 2082156 URINE AMYLASE(8464)-REF 57.32 3/1/2015 2082163 RENIN ACTIVITY(16846)-REF 106.80 10/20/2012 2082164 ACE-ANGIO(683)CONVERT ENZ-REF 57.89 3/1/2015 2082210 BARBITURATES(16886)UA QUANT-QUEST 97.34 3/1/2015 2082245 BILE ACIDS(14801)TOTAL-REF 9.20 3/1/2015 2082250 BILIRUBIN TOTAL 16.33 3/1/2016 2082308 CALCITONIN(30742)-REF 121.52 3/1/2015 2082310 CALCIUM (SERUM) TOTAL 32.20 3/1/2016 2082330 CALCIUM(306)IONIZED-REF 51.50 3/1/2015 2082340 CALCIUM 24 HR URINE 49.96 3/1/2016 2082372 TEGRETOL LEVEL 80.21 3/1/2016 2082374 CARBON DIOXIDE CO2 26.51 3/1/2016 2082375 CARBOXYHGB(309)-REF 108.87 3/1/2015 2082380 CAROTENE(311)-REF 91.93 3/1/2015 2082384 CATECHOLAMINES(318)FRACT,24 HR UA-REF 114.31 3/1/2015 2082385 CATECHOLAMINE-REF-SEE CATECHOL(314)PLASM 163.80 5/3/2008 2082390 CERULOPLASMIN(326)-REF 70.99 3/1/2015 2082435 CHLORIDE (serum) 24.14 3/1/2016 2082436 URINE CHLORIDE 31.58 3/1/2016 2082438 CHLORIDE,FECES(8831)-REF 32.45 3/1/2015 2082465 CHOLESTEROL TOTAL 31.58 3/1/2016 2082525 COPPER(363)-REF 105.88 3/1/2015 2082529 CORTISOL(367)TOTAL-REF 66.79 3/1/2015 2082550 CPK (CK) 26.53 3/1/2016 2082553 DO NOT USE-CKMB-DO NOT USE 49.31 5/3/2008 2082565 CREATININE,Serum 44.20 3/1/2016 2082570 CREATININE 24 HR URINE 42.93 3/1/2016 2082575 CREATININE CLEARANCE 60.37 3/1/2016 2082606 DO NOT USE-VIT B-12(927)-REF 92.82 5/3/2008 2082627 DHEA-S(402)-REF 82.81 3/1/2015 2082628 NORPACE(416)(DISOPYRAMIDE)-REF 137.35 3/1/2015 2082643 DIGOXIN LEVEL 76.46 3/1/2016 2082670 ESTRADIOL(30289)ULTRA-SENSITIVE-REF 211.07 5/3/2008 2082671 ESTROGEN TOTAL(439)-REF 92.75 10/20/2012 2082728 DO NOT USE-FERRITIN(457)-REF 77.39 5/3/2008 2082745 DO NOT USE-SERUM FOLATE(466)-REF 101.75 5/3/2008 2082747 FOLATE RBC(467)-REF 34.11 3/1/2015 2082785 IGE(542)-REF 25.03 3/1/2015 2082787 IMMUNOG SUBCLASS 5.81 5/3/2008 2082800 BLOOD GASES ARTERIAL 103.00 3/1/2016 2082947 GLUCOSE (BLOOD) 48.61 3/1/2016 2082948 DEXTROSTIX 11.14 3/1/2016 2082949 GLUCOSE CSF 26.55 3/1/2016 2082950 GLUCOSE,GESTATIONAL, 1 HR 51.56 3/1/2016 2082951 GTT (3 SPEC) 2HR (F,1,2H) 95.76 3/1/2016 2082952 GTT ADD SPECIMENS 21.45 3/1/2016 2082977 GGT/GAMMA GT 54.45 3/1/2016 2083001 FSH(470)FOLLICLE STIM HORMONE-REF 44.10 10/20/2012 2083002 LH(615)LUTEINIZING HORMONE-REF 48.41 3/1/2015 2083003 GROWTH HORMONE(521)-REF 105.28 10/20/2012 2083036 HGB A1C(496)-REF 48.41 3/1/2015 2083050 METHEMOGLOBIN-REF 130.00 3/1/2015 2083497 SEROTONIN 5-HIAA-REF-SEE HIAA 5 HYDROXYI 106.05 5/3/2008 2083500 HYDROXYPROLINE(685)FREE 24HR UA-REF 194.67 3/1/2015 2083516 CARDIAC T(SEE TROPONIN T) 124.37 3/1/2016 2083520 IMMUNOASSAY QUANT, NONSPECIFIED TECH-REF 166.90 5/3/2008 2083525 INSULIN(561)-QUEST 124.98 5/3/2008 2083540 IRON TOTAL 32.20 3/1/2016 2083546 DO NOT USE-IRON(571)-REF 41.06 5/3/2008 2083550 DO NOT USETIBC-DO NOT USE SEPARATELY-REF 76.38 5/3/2008 2083589 17-KETOSTEROIDS(15201)24 HR URINE-REF 102.74 3/1/2015 2083615 LDH 45.73 3/1/2016 2083655 LEAD(599)BLOOD-REF 20.19 3/1/2015 2083670 LEUCINE(590)AMINOPEPTIDASE,LAP-REF 82.74 3/1/2015 2083690 LIPASE(WCMH) 53.64 3/1/2016 2083718 CHOLESTEROL HDL 28.17 3/1/2016 2083721 CHOLESTEROL LDL(WCMH) 66.49 3/1/2016 2083725 DO NOT USE-LITHIUM LEVEL(613)-REF 65.69 5/3/2008 2083735 MAGNESIUM SERUM 35.27 3/1/2016 2083825 MERCURY(636)BLOOD-REF 99.14 3/1/2015 2083835 METANEPHRINES(14961)RANDOM UA-REF 107.84 3/1/2015 2083890 MOLECULAR DIAGNOSTICS, MOL. ISO. OR EXTR 109.88 5/3/2008 2083893 MOLECULAR DOT/SLOT BLOT PRODUCTION-REF 38.64 5/3/2008 2083901 AMP NUCL ACID/EACH PRIMER PAIR-REF 109.88 5/3/2008 2083912 CHRG CPT 83912 FCT V HR2 ALLELE(17902) 251.16 5/3/2008 2083930 OSMOLALITY(677)(SERUM)-REF 85.82 10/20/2012 2083935 OSMOLALITY(678)(URINE)-REF 102.97 10/20/2012 2083970 PTH(35202)W/O CALCIUM-REF 294.39 5/3/2008 2083995 PHENOBARB LEVEL 48.30 3/1/2016 2084030 DO NOT USE-PKU(NO LONGER AVAILABLE) 21.00 5/3/2008 2084045 DILANTIN LEVEL(TOTAL) 48.30 3/1/2016 2084066 ACID PHOS,TOTAL(208)-REF 46.89 3/1/2015 2084075 ALKALINE PHOSPHATASE (ALP) 58.94 3/1/2016 2084100 PHOSPHORUS,SERUM 36.21 3/1/2016 2084132 POTASSIUM SERUM (K) 20.12 3/1/2016 2084133 URINE POTASSIUM 31.58 3/1/2016 2084141 MYSOLINE(751)(PRIMIDONE)-REF 80.84 3/1/2015 2084142 PROCAINAMIDE(743)-REF 122.26 3/1/2015 2084144 PROGESTERONE(745)-REF 78.58 10/20/2012 2084146 PROLACTIN(746)-REF 149.97 3/1/2015 2084154 PSA,FREE-DO NOT USE BY ITSELF 144.90 5/3/2008 2084155 PROTEIN TOTAL 41.85 3/1/2016 2084156 PROTEIN CSF(MICRO TOTAL PROTEIN) 41.85 3/1/2016 2084165 PROTEIN ELECTRO-DO NOT USE SEPARATELY 129.33 5/3/2008 2084180 ALBUMIN 24HR UR(4555)-REF 81.52 3/1/2015 2084230 QUINIDINE(766)-REF 129.78 3/1/2015 2084260 SEROTONIN(29851)(SERUM)-REF 219.57 10/20/2012 2084270 SEX HORMONE(30740)BINDING GLOBULIN-REF 86.81 3/1/2015 2084295 SODIUM SERUM (NA) 20.12 3/1/2016 2084300 URINE SODIUM 31.58 3/1/2016 2084401 TESTOSTERONE,DO NOT USE BY ITSELF 194.41 5/3/2008 2084439 DO NOT USE-T4 FREE(866)-REF 158.18 5/3/2008 2084441 T4 TOTAL(867)-REF 33.98 10/20/2012 2084443 TSH(899)(ULTRASENSITIVE)-REF 92.76 3/1/2015 2084450 SGOT (AST) 48.41 3/1/2016 2084460 SGPT (ALT) 48.41 3/1/2016 2084478 TRIGLYCERIDE (TG) 54.45 3/1/2016 2084479 DO NOT USE-T3 UPTAKE(861)-REF 48.30 5/3/2008 2084481 DO NOT USE-T3 TOTAL(RIA)(859)-REF 63.64 5/3/2008 2084484 TROPONIN I-REF 61.95 5/3/2008 2084520 BUN (UREA NITROGEN) 31.58 3/1/2016 2084550 URIC ACID 54.45 3/1/2016 2084578 UROBILINOGEN QUAL.-REF 21.63 3/1/2015 2084585 VMA(934)24 HOUR URINE-REF 107.77 5/3/2008 2084600 METHANOL(10533)URINE-REF 102.74 3/1/2015 2084630 ZINC,RBC(6354)-QUEST 155.90 3/1/2015 2084681 C PEPTIDE(372)-REF 78.12 10/20/2012 2084702 DO NOT USE-HCG QUANT(8396)-REF 170.80 5/3/2008 2084703 HCG (QUAL)-SERUM 42.72 3/1/2016 2084712 ESTRIOL(34883)-REF 211.07 5/3/2008 2085000 BLEEDING TIME(NO LONGER AVAILABLE) 42.00 5/3/2008 2085012 EOSINOPHIL COUNT(425)BLOOD-REF 91.91 10/20/2012 2085014 HEMATOCRIT(USE H&H IF BOTH) 12.07 3/1/2016 2085018 HEMOGLOBIN(USE H&H IF BOTH) 12.07 3/1/2016 2085031 CBC w/AUTO DIFF 91.97 3/1/2016 2085041 RED BLOOD CELL COUNT (RBC) 11.36 3/1/2016 2085044 RETICULOCYTE(793)-REF 41.06 5/3/2008 2085048 WHITE BLOOD COUNT(WBC) 21.78 3/1/2016 2085100 BONE MARROW EXAM-REF 203.32 3/1/2015 2085240 DO NOT USE-FACTOR VIII(AHG) 1 STAGE-REF 198.45 5/3/2008 2085245 VON WILLEBRAND(4459)FACTOR RISTOC-REF 195.89 3/1/2015 2085246 VON WILLEBRAND(4919)FACTOR AG-REF 195.89 3/1/2015 2085345 LEE WHITE(NO LONGER AVAILABLE) 48.67 3/1/2015 2085362 FIBRIN SPLIT(458)PRODUCT-REF 79.67 3/1/2015 2085580 PLATELET COUNT 27.22 3/1/2016 2085597 PLATELET NEUTRALIZATION-REF CHRG ONLY 26.78 1/1/2011 2085610 PROTHROMBIN TIME 22.69 3/1/2016 2085613 RVVT DILUTED-SEE DRVVT 70.78 3/1/2015 2085650 DO NOT USE-WINTROBE ESR-NOT AVAILABLE 36.23 5/3/2008 2085730 ACT PART THROMB (PTT) 42.99 3/1/2016 2086001 ALLERGEN-IgG QUAN EACH ALLERGEN-REF 32.13 5/3/2008 2086003 ALLERGEN-REF 13.40 10/20/2012 2086006 COLD AGGLUT(349)-REF 36.99 3/1/2015 2086007 HCG URINE 42.72 3/1/2016 2086024 BB ANTIBODY ID (5-11 TESTED)-ARC 128.40 3/1/2016 2086031 BB DIRECT(361)ANTIGLOBULIN(COOMBS)-REF 53.15 3/1/2015 2086032 BB AB SCREEN (INDIRECT COOMBS) 92.56 3/1/2016 2086038 ANA(249)-REF 30.13 3/1/2015 2086060 ASO(265)(ANTI-STREPTOLYSIN O)-QUEST 46.19 3/1/2015 2086082 BB ABO TYPING 38.10 3/1/2016 2086084 BB ANTIGEN SCREEN W/PT SERUM-ARC 122.94 3/1/2016 2086095 BB DU-ARC 80.21 3/1/2016 2086140 DO NOT USE-CRP(4420)-REF 80.55 5/3/2008 2086147 CARDIOLIPIN(4661)AB IGA-REF 61.80 3/1/2015 2086149 CEA(978)-REF 75.71 3/1/2015 2086171 CF TITER/TOXOPLA-REF.SEE TOXOPLASMA(8636 89.25 5/3/2008 2086225 DNA AB's(255)(IN LUPUS PANEL)-REF 124.98 5/3/2008 2086235 ENA AB(USE SJORGENS AB),ANY METHOD,-REF 158.31 5/3/2008 2086255 NON-INF ANTIBODY SCREEN, EA ANTIBODY-REF 69.63 10/20/2012 2086256 MITOCHONDRIAL(259)AB-REF 42.18 3/1/2015 2086282 LATEX FIXATION(RA)FLUID(770)-REF 64.89 3/1/2015 2086300 MONO TEST 69.25 3/1/2016 2086302 HEP C AB(2960)REFLEX-REF 47.20 7/26/2010 2086305 HETEROPHILE TITER-NOT AVAILABLE 81.90 5/3/2008 2086312 HIV AB SCREEN(37694)W REFLEX-REF 121.67 3/1/2006 2086316 PSA, TOTAL-DIAGNOSTIC 76.46 3/1/2016 2086331 GEL DIFFUSION,QUAL.EACH AG/AB-REF 19.99 5/3/2008 2086361 T-CELLS(8360)ABSOLUTE CD4-REF 33.09 3/1/2015 2086430 LDH ISOENZYMES(4411)-REF 87.33 3/1/2015 2086585 SKIN TEST PPD/HISTO 15.59 3/1/2016 2086592 RPR(799)-REF 23.45 10/20/2012 2086602 ACTINOMYCES AB(11008)-REF 10.96 3/1/2015 2086606 ASPERGILLUS AB-REF-SEE ASPERGILLUS(20341 20.42 5/3/2008 2086609 BACTERIAL ANTIGENS 81.12 3/1/2016 2086610 DO NOT USE-BACTERIUM,NES,DO NOT USE-REF 21.50 5/3/2008 2086617 LYME DS-IGG(29477)ONLY-REF 67.23 3/1/2015 2086618 LYME(6646)AB SCREEN,TOTAL EIA-REF 65.92 3/1/2015 2086650 FTA-ABS(CSF(4128))-REF 98.42 3/1/2015 2086651 ENCEPHALITIS(37310)CALIFORNIA-REF 22.98 3/1/2015 2086652 ENCEPHALITIS(37312)EASTERN EQUINE-REF 22.98 3/1/2015 2086653 ENCEPHALITIS(34982)ST LOUIS-REF 22.98 3/1/2015 2086654 ENCEPHALITIS(37311)WESTERN EQUINE-REF 22.98 3/1/2015 2086658 ENTEROVIRUS (EACH)-REF(CHARGE CODE ONLY 42.00 5/3/2008 2086665 EPSTEIN-BARR(38015)VIRAL CAPSID-REF 159.69 5/3/2008 2086671 FUNGUS, NOT ELSEWHERE SPECIFIED-REF 214.20 5/3/2008 2086677 H PYLORI (WCMH) 181.20 3/1/2016 2086687 HTLV I-REF 102.74 3/1/2015 2086688 HTLV II-REF 102.74 3/1/2015 2086695 HERPES SIMPLEX(90849)AB,IGM,I&II-REF 87.46 3/1/2015 2086696 HERPES SIMPLEX(6447)AB,IGG,I&II-REF 110.73 3/1/2015 2086710 INFLUENZA ANTIBODY, EACH-REF-CHARGE CODE 154.47 3/1/2016 2086713 LEGIONELLA(34178)PNEUMONPHILIA AB-REF 118.40 3/14/2013 2086735 MUMPS(8624)AB IGG-REF 20.20 10/20/2012 2086738 MYCOPLASMA(659)IGG-REF 62.51 3/1/2015 2086747 PARVOVIRUS(8948)EITHER IGG OR IGM-REF 133.01 3/1/2015 2086762 RUBELLA(802)IGG AB(GERMAN MEASLES)-REF 32.50 9/21/2010 2086765 RUBEOLA(964)IGG AB(MEASLES)-REF 22.88 10/20/2012 2086778 TOXOPLASMA(37207)IGM-REF 70.20 3/1/2015 2086787 VARICELLA AB(34128)IGG&IGM-REF 180.34 3/1/2015 2086790 VIRUS N.E.S. -- REF 135.19 3/1/2015 2086901 BB RH (D) 26.13 3/1/2016 2086920 BB IMMEDIATE SPIN 24.14 3/1/2016 2086921 BB INCUBATION TECHNIQUE 18.11 3/1/2016 2086922 BB ANTIGLOBULIN TECHNIQUE 18.65 3/1/2016 2087040 CULTURE(BLOOD) 63.57 3/1/2016 2087046 DO NOT USE-CULTURE(CAMP(4475)E.COLI)-REF 102.64 5/3/2008 2087047 CULTURE(STOOL)10019(SALM/SHIG)-REF 101.97 3/1/2015 2087060 CULTURE THROAT 106.22 3/1/2016 2087070 CULTURE(EAR,EYE) 90.38 3/1/2016 2087072 CULTURE(FLUID-PLEURAL,SYN,PERI,PROSTATE) 90.38 3/1/2016 2087075 SMEAR,FLUOR(4503)BACT,FUNGI,ETC.-REF 62.51 3/1/2015 2087083 CULTURE(MULTI ORGANISMS)DON'T USE SEPARA 21.63 3/1/2016 2087086 CULTURE(URINE) 86.71 3/1/2016 2087101 CULTURE(FUNGUS)(4605)SKIN,HAIR,NAILS-REF 96.62 3/1/2015 2087106 CULTURE(LESION/WOUND) 78.59 3/1/2016 2087109 CULTURE(SPUTUM)(4556)AND GRAM STAIN-REF 47.38 3/1/2015 2087116 MYCOBACTERIA-SEE CULTURE AFB 102.64 5/3/2008 2087117 CULTURE(CSF) 78.59 3/1/2016 2087163 CULTURE(BONE)-REF 81.11 3/1/2015 2087164 CULTURE(GENITAL)(4558)NOT GENPROBE-REF 52.74 3/1/2015 2087177 OVA & PARASITES(681)-REF 46.35 3/1/2015 2087181 SENSITIVITY 1 ORGAN 108.40 3/1/2016 2087205 GRAM STAIN 38.44 3/1/2016 2087206 AFB STAIN(4503)-REF 24.84 3/1/2015 2087207 MALARIA SMEAR(37509)-REF 55.16 3/1/2015 2087208 PINWORM EXAM(4496)-REF 45.97 3/1/2015 2087210 WET PREP 29.46 3/1/2016 2087220 KOH PREP 82.49 3/1/2016 2087230 RSV 134.06 3/1/2016 2087252 CULTURE(VIRUS)(689)-REF 121.17 3/1/2015 2087299 INFECTIOUS AGENT ANTIGEN FLUORO - REF 105.00 5/3/2008 2087449 E COLI/SHIG(30264)TOXIN-REF 136.30 1/1/2011 2087522 HEPTIMAX(10565)TMA&PCR-REF 565.06 3/1/2015 2087523 MYCOPLASMA(31552)IGA-REF 62.51 3/1/2015 2087524 MYCOPLASMA(21130)IGM-REF 62.51 3/1/2015 2087529 HERPES SIMPLEX(34257)PCR,I&II-REF 223.28 3/1/2015 2087591 GC (PROBETEC)17304-REF 131.25 5/3/2008 2088230 TISSUE CULTURE LYMPHOCYTE-REF 290.96 5/3/2008 2088262 CHROMOSOME 15-20/2 KAR/W-BANDING-REF 290.96 5/3/2008 2088291 CYTOGENIC & MOLEC.CYTOGEN.INTERP&RPT-REF 30.48 5/3/2008 2088304 TISSUE(3542)(10676)HANDLING-REF 21.45 3/1/2015 2089050 CELL COUNT FLUID (AUTO) 38.41 3/1/2016 2089205 OCCULT BLOOD, STOOL (GREEN CARD) 12.07 3/1/2016 2089302 B PERTUSSIS-SEE BORDETELLA 77.39 5/3/2008 2089310 SPERM COUNT (POST VASECTOMY ONLY) 81.03 3/1/2016 2096360 IV INFUSION HYDRATION, INITIAL UP TO 1HR 151.76 3/1/2015 2096361 IV INFUS HYDRATION EA ADD'L >35MIN PAST 51.27 3/1/2015 2096365 IV INFUSION THERAP/DIAG INIT UP TO 1HR 264.96 3/1/2015 2096366 IV INFUSION THERAP/DIAG EA ADD'L HOUR 51.27 3/1/2015 2096367 IV INFUS ADDI'L SEQUENTIAL, UP TO 1 HOUR 74.43 3/1/2015 2096368 IV INFUSION CONCURRENT (SEPARAT LINES) 44.65 3/1/2015 2096372 THERAPEUTIC,PROPHYLACTIC,DIAG INJ SUBCUT 51.27 3/1/2015 2096373 THERAP,PROPHYL, DIAG INTRAARTERIAL INJEC 74.43 3/1/2015 2096374 IV PUSH SING/INITIAL SUBSTANCE OR DRUG 74.43 3/1/2015 2096375 IV PUSH EA ADD'L NEW SUBSTANCE OR DRUG 74.43 3/1/2015 2096376 IVP EA ADD'L SEQUENT SAME SUBSTANCE/DRUG 44.65 3/1/2015 2098960 DM SELF MGMT TRAIN INDIV PER 30MIN 50.00 8/1/2012 2098961 DM SELF MGMT TRAINING GROUP PER30MIN 40.00 8/1/2012 2099195 THERAPEUTIC PHLEBOTOMY 92.83 2/1/2018 2100003 BB PLATELET PHERESIS 608.35 3/1/2015 2100011 BB LEUKO-REDUCED RED CELL 364.66 3/1/2015 2100012 BB PLATELET CONCENTRATE 89.12 3/1/2015 2100015 BB CRYOPRECIPITATE 5908.08 3/1/2015 2100016 BB FRESH FROZEN 8 HR (400MLS OR >) 113.62 3/1/2015 2100017 BB FRESH FROZEN 24 HR (400mls or >) 113.62 3/1/2015 2100020 BB CMV-SURCHARGE 47.62 3/1/2015 2293016 CARD STRESS TEST/PHYSICIAN SUPERVISION 33.83 3/2/2015 2293017 CARD STRESS TEST -- TRACING ONLY 475.73 3/1/2015 2293018 CARD STRESS TEST/INTERPRETATION & REPORT 22.02 3/2/2015 2400004 BONE AGE STUDY 97.34 3/1/2015 2400008 UGI SERIES W/AIR CONTRAST 217.78 3/1/2015 2400021 CHEST HEALTH DEPT X RAY 19.30 3/1/2015 2400026 NECK SOFT TISSUE 100.13 3/1/2015 2400038 FLUORO LESS 1HOUR 216.30 3/1/2015 2400039 PICC LINE INSERTION 1505.78 3/1/2015 2400041 HIP INJECTION RIGHT 190.34 3/1/2015 2400042 HIP INJECTION LEFT 190.34 3/1/2015 2400061 ABD SERIES 185.95 3/1/2015 2400062 KUB PORTABLE X RAY 143.03 3/1/2015 2400072 METASTATIC SURVEY LIMITED 162.23 3/1/2015 2400081 CHEST SING VW PORTABLE 138.94 3/1/2015 2400094 SKELETAL SURVEY INFANT 140.60 3/1/2015 2400099 TMJ OP & CLSD BILATERAL 113.30 3/1/2015 2400198 MYELOGRAM LUMBOSACRAL 497.49 3/1/2015 2400202 DILATOR FASCIAL 12FR 17.18 5/3/2008 2400203 DILATOR FASCIAL 10FR 17.18 5/3/2008 2400204 DILATOR FASCIAL 8FR 14.06 5/3/2008 2400205 DILATOR VASCULAR 7FR 16.29 5/3/2008 2400206 SET CATHETER DRAINAGE FLEXIMA 108.44 5/3/2008 2400208 ARTHROGRAPHY SHOULDER 248.75 3/1/2015 2462270 SPINAL PUNCT LUMBAR DIAGNOSTIC 144.32 3/1/2015 2470001 MAMM UNILAT LT DIAGN 173.08 3/1/2015 2470002 MAMM UNILAT RT DIAGN 173.08 3/1/2015 2470100 MANDIBLE COMP MIN 4 VIEWS 150.17 3/1/2015 2470120 MASTOIDS LESS THAN 3 VIEWS EACH SIDE 200.99 3/1/2015 2470140 FACIAL BONES 3 VIEW MINIMUM 194.52 3/1/2016 2470160 NASAL BONES 3 VIEW MINIMUM 128.73 3/1/2015 2470200 ORBITS 4 VIEW MINIMUM 150.17 3/1/2015 2470210 SINUS PARANASAL COMP 3 VIEW MINIMUM 126.87 3/1/2015 2470250 SKULL LESS THAN 4 VIEWS 128.73 3/1/2015 2470260 SKULL COMPLETE 4 VIEW MINIMUM 194.52 3/1/2015 2470328 TMJ OP & CLSD UNILATERAL 118.97 3/1/2015 2471010 CHEST SINGLE VIEW 115.93 3/1/2015 2471020 CHEST 2 VW FRONT & LAT 187.99 3/1/2015 2471022 CHEST W/OBLIQUE PROJECTIONS 188.18 3/1/2015 2471035 CHEST SPEC VIEW (DECUB) 123.01 3/1/2015 2471100 RIBS UNILAT 2 VW LT 143.03 3/1/2015 2471101 RIBS UNILAT W/PA CHEST LT 214.55 3/1/2015 2471102 RIBS UNILAT 2 VW RT 143.03 3/1/2015 2471103 RIBS UNILAT W/PA CHEST RT 214.55 3/1/2015 2471110 RIBS BILATERAL 3 VIEWS 271.76 3/1/2015 2471111 RIBS BILAT W/AP CHEST 4 VIEWS 357.57 3/1/2015 2471120 STERNUM 2 VIEWS 105.72 3/1/2015 2472020 SPINE 1 VIEW SPECIFY LEVEL 100.13 3/1/2015 2472040 SPINE CERVICAL 2 OR 3 VIEWS 160.20 3/1/2015 2472052 SPINE CERVICAL COMP OBLIQ, FLEX, &/OR EX 248.87 3/1/2015 2472070 SPINE THORACIC 2 VIEWS 160.20 3/1/2015 2472072 SPINE THORACIC 3 VIEWS 207.39 3/1/2015 2472100 SPINE LUMBAR 2-3 VIEWS 160.20 3/1/2015 2472110 SPINE LUMBAR COMP W/OBLIQUE 4 VIEWS 248.87 3/1/2015 2472114 SPINE LUMBAR COMP W/BENDING VIEWS 223.87 3/1/2015 2472120 SPINE LUMBAR BENDING VIEWS ONLY 153.29 3/1/2015 2472170 PELVIS 1 VIEW 151.62 3/1/2015 2472202 SACROILIAC JNTS 3 PLUS VIEWS 150.17 3/1/2015 2472220 SACRUM & COCCYX 2 VIEWS 160.20 3/1/2015 2473000 CLAVICLE COMPLETE 131.58 3/1/2015 2473010 SCAPULA LEFT 124.37 3/1/2015 2473011 SCAPULA RIGHT 124.37 3/1/2015 2473020 SHOULDER LEFT 2 VIEWS 143.03 3/1/2015 2473021 SHOULDER RIGHT 2 VIEWS 143.03 3/1/2015 2473050 ACROMCLAVIC JOINTS BILATERAL 95.15 3/1/2015 2473060 HUMERUS LEFT 2 VIEWS 135.88 3/1/2015 2473061 HUMERUS RIGHT 2 VIEWS 135.88 3/1/2015 2473070 ELBOW LEFT XRAY MIN 3 VIEWS 145.90 3/1/2015 2473071 ELBOW RIGHT XRAY MIN 3 VIEWS 145.90 3/1/2015 2473090 FOREARM LEFT 2 VIEWS 128.73 3/1/2015 2473091 FOREARM RIGHT 2 VIEWS 128.73 3/1/2015 2473092 UPPER LEFT EXT INFANT (2 VIEWS) 95.10 3/1/2015 2473094 UPPER RIGHT EXT INFANT (2 VIEWS) 95.15 3/1/2015 2473096 LOWER LEFT EXT INFANT (2 VIEWS) 82.74 3/1/2015 2473097 LOWER RIGHT EXT INFANT (2 VIEWS) 82.74 3/1/2015 2473100 WRIST LEFT 3 VIEWS 128.73 3/1/2015 2473101 WRIST RIGHT 3 VIEWS 128.73 3/1/2015 2473120 HAND LEFT XRAY 3 VIEWS 128.73 3/1/2015 2473121 HAND RIGHT XRAY 3 VIEWS 128.73 3/1/2015 2473140 FINGER LEFT 2ND DIGIT X RAY 128.73 3/1/2015 2473141 FINGER LEFT 3RD DIGIT X RAY 128.73 3/1/2015 2473142 FINGER LEFT 4TH DIGIT X RAY 128.73 3/1/2015 2473143 FINGER LEFT 5TH DIGIT X RAY 128.73 3/1/2015 2473144 THUMB LEFT DIGIT X RAY 128.73 3/1/2015 2473145 THUMB RIGHT DIGIT X RAY 128.73 3/1/2015 2473146 FINGER RIGHT 2ND DIGIT X RAY 128.73 3/1/2015 2473147 FINGER RIGHT 3RD DIGIT X RAY 128.73 3/1/2015 2473148 FINGER RIGHT 4TH DIGIT X RAY 128.73 3/1/2015 2473149 FINGER RIGHT 5TH DIGIT X RAY 128.73 3/1/2015 2473500 HIP XRAY LEFT UNILAT 2 VIEWS 135.88 3/1/2015 2473501 HIP XRAY, RIGHT, UNILAT 2 VIEWS 135.88 3/1/2015 2473550 FEMUR LEFT X RAY 2 VIEWS 135.88 3/1/2015 2473551 FEMUR, RIGHT, X RAY 2 VIEWS 135.88 3/1/2015 2473560 KNEE, LEFT, COMPLETE 4+ VIEWS 231.71 3/1/2015 2473561 KNEE, RIGHT, COMPLETE 4+ VIEWS 231.71 3/1/2015 2473564 KNEE, LEFT, (1 OR 2 VIEWS) 128.73 3/1/2015 2473565 KNEE, RIGHT, (1 OR 2 VIEWS) 128.73 3/1/2015 2473566 KNEE, RIGHT, STANDING 4+ VIEWS 193.09 3/1/2015 2473567 KNEE, LEFT, STANDING 4+ VIEWS 193.09 3/1/2015 2473590 LOWER LEG, LEFT, X RAY 128.73 3/1/2015 2473591 LOWER LEG, RIGHT, X RAY 128.73 3/1/2015 2473600 ANKLE, LEFT, XRAY 3 VIEW 128.73 3/1/2015 2473601 ANKLE, RIGHT, XRAY 3 VIEW 128.73 3/1/2015 2473630 FOOT, LEFT, XRAY 3 VIEWS 128.73 3/1/2015 2473631 FOOT, RIGHT, XRAY 3 VIEWS 128.73 3/1/2015 2473650 HEEL, LEFT, XRAY 2 VIEWS 128.73 3/1/2015 2473651 HEEL, RIGHT, XRAY 2 VIEWS 128.73 3/1/2015 2473660 TOE LEFT 2ND DIGIT XRAY 2 VIEWS 128.73 3/1/2015 2473661 TOE LEFT 3RD DIGIT XRAY 2 VIEWS 128.73 3/1/2015 2473662 TOE LEFT 4TH DIGIT XRAY 2 VIEWS 128.73 3/1/2015 2473663 TOE LEFT 5TH DIGIT XRAY 2 VIEWS 128.73 3/1/2015 2473664 TOE LEFT GREAT DIGIT XRAY 2 VIEWS 128.73 3/1/2015 2473665 TOE RIGHT GREAT DIGIT XRAY 2 VIEWS 128.73 3/1/2015 2473666 TOE RIGHT 2ND DIGIT XRAY 2 VIEWS 128.73 3/1/2015 2473667 TOE RIGHT 3RD DIGIT XRAY 2 VIEWS 128.73 3/1/2015 2473668 TOE RIGHT 4TH DIGIT XRAY 2 VIEWS 128.73 3/1/2015 2473669 TOE RIGHT 5TH DIGIT XRAY 2 VIEWS 128.73 3/1/2015 2474000 KUB X RAY 143.03 3/1/2015 2474022 OBSTRUCTIVE SERIES 328.34 3/1/2015 2474230 BARIUM SWALLOW 207.39 3/1/2015 2474240 UGI SERIES X RAY 174.43 3/1/2015 2474245 SMALL BOWEL X RAY 271.76 3/1/2015 2474249 UGI SERIES W/AIR & W/SMALL BOWEL 312.92 3/1/2015 2474270 BA ENEMA - SINGLE 271.76 3/1/2015 2474271 HYPAQUE ENEMA - SINGLE 236.31 3/1/2015 2474280 BA ENEMA - AIR CONT. 217.78 3/1/2015 2474290 GALLBLADDER XRAY ORAL CONT 124.37 3/1/2015 2474320 CHOLANGIOGRAM 139.51 3/1/2015 2474400 IVP ROUTINE X RAY 321.81 3/1/2015 2474415 IVP W/NEPHROTOMOGRAP 357.57 3/1/2015 2474420 CYSTOGRAM 230.09 3/1/2015 2474421 RETROGRADE PYELOGRAM 342.02 3/1/2015 2474425 LOOPOGRAM 236.31 3/1/2015 2475821 VENOGRAM 1 EXT 832.95 11/1/2016 2475823 VENOGRAM 2 EXT 744.69 11/1/2016 2476062 METASTATIC SURVEY COMPLETE 222.01 3/1/2015 2476075 D E X A BONE DENSITY 386.18 3/1/2015 2476090 MAMM DIAG BILATERAL 220.81 3/1/2015 2476091 MAMMOGRAM SCREENING 182.64 3/1/2015 2476092 MAMM SPECIAL 50.00 3/1/2015 2476100 TOMOS WITHOUT UROGRAPHY 216.30 3/1/2015 2476499 BARIUM SWALLOW/MODIFIED 180.34 3/1/2015 2600012 US PELVIS COMPLETE 429.09 3/1/2015 2600020 US DUP SCN XTRACRAN ARTERIES COMP 488.42 3/1/2015 2600021 US DUP SCN U XTRM ARTER COMPLE 303.37 3/1/2015 2600023 US DUP SC L XTREM ARTERIES COMPL 410.43 3/1/2015 2600030 US NONINV U or L EXT ABI LTD STUDY 85.95 3/1/2015 2600031 US N-INVAS L EXT COMP P/POST STRESS 290.72 3/1/2015 2600032 US ECHO TRNSTHRCIC RLTM W IMGS 2D CMPLT 1112.40 3/1/2015 2619100 US BIOPSY BREAST PERC NEEDLE W/O IMAGING 202.24 3/1/2015 2619102 US BIOPSY BREAST PERCUT NEEDLE W/IMAG LT 1203.49 10/1/2015 2619103 US BIOPSY BREAST PERC NEEDLE W/IMAG RT 1203.49 10/1/2015 2632000 US THORACENTESIS PLEUR CAV ASPIRAT LT 202.24 3/1/2015 2632001 US THORACENTESIS PLEUR CAV ASPIR RT 202.24 3/1/2015 2632405 US BIOPSY LUNG/MEDIAS PERCUT NDL 202.24 3/1/2015 2647000 US BIOPSY LIVER NEEDLE PERCUTANEOUS 171.91 3/1/2015 2648102 US BIOPSY PANCREAS PERCUTANEOUS NEEDLE 237.93 3/1/2015 2649080 US ABDOMINAL PARACENTESIS DX OR TX 901.25 3/1/2015 2649108 US BIOPSY ABD/PERIT MASS 237.93 3/1/2015 2655700 US BIOPSY PROSTATE NEEDLE OR PUNCH 273.62 3/1/2015 2659000 US AMNIOCENTESIS DIAGNOSTIC 730.01 3/1/2015 2660100 US BIOPSY THYROID PERCUT CORE NEED 232.57 3/1/2015 2676506 US ECHOENCEPHOLOGRAPHY 189.26 3/1/2015 2676530 US SFT TISS HEAD NCK 264.30 3/1/2015 2676604 US CHEST LT 321.75 3/1/2015 2676605 US CHEST RT 321.75 3/1/2015 2676641 US BREAST UNILAT LIMITED 495.76 3/1/2015 2676700 US ABDOMEN COMPLETE 463.42 3/1/2015 2676705 US ABD LIMTD SNGL ORGAN,QUAD(FU) 158.76 3/1/2015 2676770 US RENL AORT NODES COMPLE 411.92 3/1/2015 2676775 US RENL AORT NODES LTD LT 156.28 3/1/2015 2676776 US RENL AORT NODES LTD RT 156.28 3/1/2015 2676805 US PREG UTERUS 14 WKS SING GEST 306.58 3/1/2015 2676810 US OB GREATER THAN 14 WKS ADDL FETUS 597.53 3/1/2015 2676815 US OB UTERUS F-UP W IMAGE DOCU PER FETUS 174.67 3/1/2015 2676818 US FETAL BIOPHYSICAL PROFILE 281.19 3/1/2015 2676830 US TRANSVAGINAL 357.57 3/1/2015 2676870 US SCROTUM AND CONTENTS 386.18 3/1/2015 2676872 US TRANSRECTAL 323.37 3/1/2015 2676880 US EXTREM LT COMP NONVASC 328.97 3/1/2015 2676881 US EXTREMITY RT COMP NONVASC 328.97 3/1/2015 2676934 US GUIDED THORA/PARA (DO NOT USE) 285.60 5/3/2008 2676942 US GUIDANCE FOR NEEDLE PLACEMENT 865.20 3/1/2015 2676946 US GUIDED AMNIOCENTESIS 324.45 3/1/2015 2693308 US ECHO LIMITED OR FOLLOW UP 577.50 5/3/2008 2693325 US DOPPLR ECHO W/COLOR FLOW 168.62 5/3/2008 2693550 US STRESS ECHO 346.50 5/3/2008 2693886 US TRANSCRAN DOPPLER COMPLETE 648.90 3/1/2015 2693926 US DUP SC L EXT ART LIMIT LT 232.57 3/1/2015 2693927 US DUP SC L EXT ARTER RT LTD 232.57 3/1/2015 2693931 US DUP SC U EXT ARTER LIMIT LT 178.79 3/1/2015 2693932 US DUP SC U EXT ARTER RT LTD 155.47 3/1/2015 2693970 US DUP SC EXT VEIN BILAT COMPLETE 356.90 3/1/2015 2693971 US DUP SC L EXT VEIN LIMITED LT 232.57 3/1/2015 2693972 US DUP SC L EXT VEIN RT LIMITED 232.57 3/1/2015 2693975 US DUP SCN ARTERIAL IN/OUTFLOW COMPLET 730.01 3/1/2015 2693976 US DUP SC ART INFLOW OUTFLOW ABD LTD 373.12 3/1/2015 2693978 US DUP SCAN AORTA COMPLETE 303.37 3/1/2015 2693979 US OB UTERUS LTD W/ IMAGE DOCU 1 MORE FE 271.76 3/1/2015 2700021 NM Tc-99m SESTAMIBI, PER DOSE 40mCi 238.30 3/1/2015 2700022 NM Tc-99m MEDRONATE, UP TO 30 mCi 28.88 3/1/2015 2700023 NM Sm-153 LEXIDRONAM, 50 mCi 9266.29 3/1/2015 2700024 NM I-123 PER uCi DX USE 95.87 3/1/2015 2700025 NM Tc-99m ALBUMIN AGGR PER VIAL UP 10mCi 24.56 3/1/2015 2700026 NM Tc-99m MEBROFENIN, PER VIAL 79.35 3/1/2015 2700027 NM Tc-99m PENTETATE PER VIAL UP TO 25mCi 24.56 3/1/2015 2700028 NM Tc-99m PYROPHOSPHATE PER VIAL UP 25mC 69.00 3/1/2015 2700030 NM Tc-99m SULFUR COLLOID, PER DOSE 20mCi 34.82 3/1/2015 2700032 NM Ga-67 PER mCi 26.72 3/1/2015 2700033 NM Tc-99m BICISATE PER UNIT DOSE UP 25mC 926.85 3/1/2015 2700034 NM Tc-99m MERTIATIDE PER mCi UP TO 15mCi 402.60 3/1/2015 2700035 NM Tc-99m OXIDRONATE, PER mCi UP TO 30mC 463.00 3/1/2015 2700037 NM Tc-99m PERTECHNETATE AGENT PER mCi 82.74 3/1/2015 2700038 NM TC-99m TETROFOSMIN MYOVIEW 238.30 3/1/2015 2778006 NM THYROID IMAG W UPTAK SING MULT DETERM 757.05 3/1/2015 2778010 NM THYROID IMAGE ONLY MAY INC VASC FLOW 552.21 3/1/2015 2778070 NM PARATHYROID IMAGING 664.04 3/1/2015 2778215 NM LIVER AND SPLEEN STATIC IMAGING 480.19 3/1/2015 2778262 NM GASTROESOPHAGEAL REFLUX STUDY 480.19 3/1/2015 2778264 NM GASTRIC EMPTYING STUDY INC SOLID LIQ 664.04 3/1/2015 2778278 NM AC GI BLOOD LOSS IMAGIING 564.44 3/1/2015 2778290 NM INTESTINE IMAGING, MECKEL 480.19 3/1/2015 2778300 NM BONE / JNT IMAG LTD VIEWS 552.21 3/1/2015 2778305 NM BONE / JNT IMAG MULT VIEWS 664.04 3/1/2015 2778306 NM BONE/JOINT IMAG WHOLE BODY 865.20 3/1/2015 2778315 NM BONE/JOINT IMAG 3 PHASE STUDY 763.65 3/1/2015 2778320 NM BONE/JOINT IMAG TOMOG SPECT 564.44 3/1/2015 2778464 NM MYOCARD PERFUS SGL STUDY 3D SPECT 941.34 3/1/2015 2778465 NM MYOCARD PERFUS MULT STRES IMAGE 3D 772.19 3/1/2015 2778466 NM MYOCARD IMAGING-INFACRCT AVID PLANAR 941.34 3/1/2015 2778469 NM MYOCARD SPECT IMAG-INFARCT AVID SD 1107.46 3/1/2015 2778472 NM CARDIAC BLOOD POOL IMAGING (MUGA) SIN 941.34 3/1/2015 2778481 NM CARD BLD POOL IMAG-1ST PASS TECH SING 1107.46 3/1/2015 2778580 NM PULMONARY PERFUSION IMAGING PARTICUL 408.16 3/1/2015 2778582 NM PULMONARY VENT AND PERFUSION 651.66 3/1/2015 2778587 NM PULMONARY VENT IMAGE AEROSOL 408.16 3/1/2015 2778645 NM CFS SHUNT EVALUATION 664.04 3/1/2015 2778650 NM CSF LEAK IMAGING 480.19 3/1/2015 2778700 NM KIDNEY IMAGING MORPHOLOGY 408.16 3/1/2015 2778707 NM KIDNEY IMAGE W/ FLOW FUNCTI 564.44 3/1/2015 2778708 NM KIDNEY IMAGE W/VASC FLOW SNGL W/PHARM 664.04 3/1/2015 2778709 NM KIDNEY IMAG W/VASC FLOW MULT W/WO PHA 664.04 3/1/2015 2778725 NM KIDNEY FUNCT NON IMAGING RADIOISOTOP 408.16 3/1/2015 2778740 NM URETERAL REFLUX STUDY 664.04 3/1/2015 2778761 NM TESTICLE IMAG W/ VASCULAR FLOW 480.19 3/1/2015 2778800 NM RADPHARM LOC TUMOR LTD AREA 664.04 3/1/2015 2778802 NM RADPHARM LOC TUMOR WHOLE BODY 664.04 3/1/2015 2778803 NM RADPHARM LOC TUMOR TOMO SPECT 664.04 3/1/2015 2778805 NM RADPHARM LOC INFLAM PROCESS LTD 664.04 3/1/2015 2778806 NM RADPHARM LOC INFLAM PROC WH BDY 664.04 3/1/2015 2778807 NM RADPHARM LOC INFLAM TOMO SPECT 664.04 3/1/2015 2778861 NM TC-99M LABELED RED BLD CELLS 30mCi UL 208.68 3/1/2015 2820220 BIOPSY BONE TROCAR / NEEDLE SUP 437.75 3/1/2015 2832400 BIOPSY PLEURA PERCUT NEEDLE 843.57 3/1/2015 2832405 BIOPSY LUNG OR MEDIAS PERC NEEDLE LT 389.34 3/1/2015 2832406 BIOPSY LUNG OR MEDIAS PERC NEEDLE RT 389.34 3/1/2015 2847000 BIOPSY LIVER NEEDLE PERCUTANEOUS 843.57 3/1/2015 2848102 BIOPSY PANCREAS PERCUTAN NEEDLE 237.93 3/1/2015 2849061 DRAIN RETROPERITONEAL ABSCESS PERCUTANEO 211.44 3/1/2015 2849108 BIOPSY ABD OR RETROPERITONEAL MASS 248.75 3/1/2015 2850200 BIOPSY RENAL PERCUTAN, TROCAR OR NEEDLE 843.57 3/1/2015 2860100 BIOPSY THYROID PERCUTANEOUS CORE NEEDLE 248.75 3/1/2015 2870001 CT MAXFAC W/O - W/CONTRAST 840.00 5/3/2008 2870002 CT ABDOMEN W/CONTRAST 1124.20 3/1/2015 2870010 CT ABD&PELVIS W/CONTRAST 1873.67 3/1/2015 2870011 CT ABD & PELV W/O CONTRAST 1873.67 3/1/2015 2870012 CT ABD& PELV W/O-W/CONTRAS 1989.96 3/1/2015 2870450 CT HEAD BRAIN W/O CONTRAST 1124.20 3/1/2015 2870460 CT HEAD BRAIN WITH CONTRAST 937.17 3/1/2015 2870470 CT HEAD BRAIN W/O-W/CONTRAST FS 1334.28 3/1/2015 2870480 CT ORB IAC SELLA PST FOSS W/O CONTRAST 936.84 3/1/2015 2870481 CT ORB IAC SELLA PST FOSS FAC W CONTRAST 936.84 3/1/2015 2870482 CT ORB IAC SELLA PST FOS FAC W/O-W/CON 936.84 3/1/2015 2870486 CT MAXFACIAL W/O CONTRAST 1124.20 3/1/2015 2870487 CT MAXFACIAL W/CONTRAST 708.38 3/1/2015 2870490 CT NECK SFT TISSU W/O CONTRAST 602.13 3/1/2015 2870491 CT NECK SFT TISSU W/CONTRAST 511.81 3/1/2015 2870492 CT NECK SFT TISS W/O-W/CONTRAST FS 865.20 3/1/2015 2870496 CTA HEAD W/O OR W/CONT W/POST PROCESS 1426.50 3/1/2015 2870498 CTA NECK W OR W/O CONT W/POST PROCESS 1514.10 3/1/2015 2871250 CT THORAX NON CONTRAST 1124.20 3/1/2016 2871260 CT THORAX WITH CONTRAST 1124.20 3/1/2015 2871270 CT THORAX W/O-W/CONTRAST FURTH SECTIO 1274.05 3/1/2015 2871275 CTA CHEST W/O-W/CONTRAST 1514.10 3/1/2015 2872125 CT CERV SPINE W/O CONTRAST 1038.24 3/1/2015 2872126 CT CERV SPINE W/CONTRAST 937.17 3/1/2015 2872127 CT CERV SPINE W/O-W/CONTRAST FS 937.17 3/1/2015 2872128 CT THORAC SPINE W/O CONTRAST 692.44 3/1/2015 2872129 CT THORAC SPINE W/CONTRAST 708.38 3/1/2015 2872130 CT THORAC SPN W/O-W/CONTRAST FS 865.20 3/1/2015 2872131 CT LUMBAR SPINE W/O CONTRAST 1124.20 3/1/2015 2872132 CT LUMBAR SPINE W/CONTRAST 1124.20 3/1/2015 2872191 CTA PELVIS W/O-W/CONTRAST 1514.10 3/1/2015 2872192 CT PELVIS WITHOUT CONTRAST 1124.20 3/1/2015 2872193 CT PELVIS WITH CONTRAST 1124.20 3/1/2015 2872194 CT PELVIS W/O-W/CONTRAST FS 1334.28 3/1/2015 2872195 CT APPY WITH CONTRAST 1873.67 3/1/2015 2873200 CT UP XTREM W/O CONT LT 708.38 3/1/2015 2873201 CT UP XTREM W/CONT LT 708.38 3/1/2015 2873202 CT UP XTREM W/O-W/CON LT 708.38 3/1/2015 2873203 CT UP XTREM W CONT RT 708.38 3/1/2015 2873204 CT UP XTREM W/O-W/CON RT 708.38 3/1/2015 2873205 CT UP XTREM W/O CONT RT 708.38 3/1/2015 2873206 CTA UP XTREM W/O-W/CONT FS 1622.25 3/1/2015 2873700 CT LWR XTREM W/O CON LT 1171.05 3/1/2015 2873701 CT LWR XTREM W/CON LT 1171.05 3/1/2015 2873702 CT LW XTREM W/O-W/CON LT FS 1171.05 3/1/2015 2873703 CT LWR XTREM W/CON RT 1171.05 3/1/2015 2873704 CT LW XTREM W/O-W/CON RT FS 936.84 3/1/2015 2873705 CT LW XTREM W/O CON RT 1171.05 3/1/2015 2873706 CTA LW XTREM W/O-W/CON FS 1514.10 3/1/2015 2874150 CT ABDOMEN W/O CONTRAST 1124.20 3/1/2015 2874155 CT RENAL STONE PROTOCOL (ABD-PELV W/O) 1873.67 3/1/2015 2874170 CT ABD W/O-W/CONTRAST 1330.20 3/1/2015 2874175 CTA ABD W/O-W/CONTRAST 602.13 3/1/2015 2875635 CTA ABD AORTA L XTRM W/O-W/CONTRAS 1622.25 3/1/2015 2875989 CT RAD GUIDED PERCUT DRAIN 340.14 3/1/2015 2876360 CT GUIDE BIOPSY ASPIR INJ LOCALIZ DEV 724.61 3/1/2015 2876380 CT LTD OR LOC FOLLOW-UP STUDY 344.73 3/1/2015 2909576 PROHANCE 10 ML(GADOTERIDOL) (MRA) 99.50 3/1/2015 2970336 MRI TMJ 703.24 3/1/2015 2970540 MRI ORBIT/FACE/NECK W/O CONTRAST 1119.35 3/1/2015 2970542 MRI ORBIT/FACE/NECK W/CONTRAST 1119.35 3/1/2015 2970543 MRI ORBIT/FACE/NCK W&W/O CONTRAST 1616.84 3/1/2015 2970544 MRA/MRV HEAD W/O 1287.25 3/1/2015 2970545 MRA HEAD WITH CONTRAST 1287.25 3/1/2015 2970546 MRA HEAD W/O-W/CONTRAST FS 1374.32 3/1/2015 2970547 MRA NECK W/O CONTRAST 1119.35 3/1/2015 2970548 MRA NECK WITH CONTRAST 1119.35 3/1/2015 2970549 MRA NECK W/O-W/CONTRAST FS 1374.32 3/1/2015 2970551 MRI BRAIN & STEM W/O CONTRAST 1081.50 3/1/2015 2970552 MRI BRAIN & STEM W/CONTRAST 1081.50 3/1/2015 2970553 MRI BRAIN&STEM W/O-W/CONTRAS 2369.00 3/1/2015 2971550 MRI CHEST WITHOUT CONTRAST 1195.06 3/1/2015 2971551 MRI CHEST WITH CONTRAST 1195.06 3/1/2015 2971552 MRI CHEST W/O-W/CONTRAST 1405.95 3/1/2015 2972141 MRI SPINE CERV W/O CONTRAST 1405.95 3/1/2015 2972142 MRI SPINE CERV W/CONTRAST 1287.25 3/1/2015 2972146 MRI SPINE THORAC W/O CONTRAST 1119.35 3/1/2015 2972147 MRI SPINE THORAC W/CONTRAST 1162.61 3/1/2015 2972148 MRI SPINE LUMB W/O CONTRAST 1716.35 3/1/2015 2972149 MRI SPINE LUMB W/CONTRAST 1716.35 3/1/2015 2972156 MRI SPINE CERV W/O-W/CONTRA 1287.25 3/1/2015 2972157 MRI SPINE THORAC W/O-W/CONTRA 1405.95 3/1/2015 2972158 MRI SPINE LUMB W/O-W/CONTRAST 1922.35 3/1/2015 2972195 MRI PELVIS WITHOUT CONTRAST 1609.07 3/1/2015 2972196 MRI PELVIS WITH CONTRAST 1609.07 3/1/2015 2972197 MRI PELVIS W/O-W/CONTRAST 1822.84 3/1/2015 2973218 MRI U EXTR NONJOINT W/O CONTRAST LT 1287.25 3/1/2015 2973220 MRI UP XTRM W/O-W/CONTRST FS NONJNT LT 1609.07 3/1/2015 2973221 MRI JOINT UP XTRM W/O CON LT 1609.07 3/1/2015 2973222 MRI JOINT UP XTRM W/O CON RT 1609.07 3/1/2015 2973223 MRI UP XTRM W/0 - W/CONTRST FS NONJNT RT 1609.07 3/1/2015 2973720 MRI LW XTRM W/O-W/CON FS NONJNT LT 1609.07 3/1/2015 2973721 MRI JOINT LW XTRM W/O CON LT 1609.07 3/1/2015 2973723 MRI LOWER RIGHT EXT 1249.76 5/3/2008 2974181 MRI ABD W/O CONTRAST 1195.06 3/1/2015 2974182 MRI ABDOMEN W/ CONTRAST 1195.06 3/1/2015 2974183 MRI ABD W/O-W/CONTRAST 1405.95 3/1/2015 2976093 MRI BREAST W/O-W CONT UNILAT, LT 1865.59 3/1/2015 2976094 MRI BREAST W/O-W/CON BILATERAL 2008.61 3/1/2015 2976095 MRI BREAST W/O-W/CON RT 1865.59 3/1/2015 2976400 MRI BONE MARROW BLOOD SUPPLY 973.35 3/1/2015 2976401 MRA ABD W OR W/O-CONTRAST 1859.37 3/1/2015 2976405 MRA CHEST W/O W/CONTRAST 973.35 3/1/2015 2976406 MRA SPINL CANL W/O-W/CONTRAST 1405.95 3/1/2015 2976407 MRA LWR XTREM W/CON LT 1119.35 3/1/2015 2976408 MRA LWR XTREM W/CON RT 1119.35 3/1/2015 2976409 MRA W/CON L EXTR BILAT 1119.35 3/1/2015 3000011 EPINEPHRINE 1:1000 (1MG/ML) AMP 29.05 9/19/2017 3000016 BENZOIN (AEROZIN) SPRAY 37.60 3/1/2015 3000018 SPIRONOLACTONE 25MG TAB (ALDACTONE) 4.12 3/1/2015 3000023 METHYLDOPA 250MG TAB (ALDOMET) 4.12 3/1/2015 3000034 AMIKACIN 500MG IN NS 100ML IVPB 41.20 3/7/2018 3000040 AMOXICILLIN 125MG/5ML ORAL SUSP 2.06 3/1/2015 3000041 AMOXICILLIN 250MG/5ML ORAL SUSP 2.06 3/1/2015 3000057 MECLIZINE 12.5MG TAB (ANTIVERT) 4.12 3/1/2015 3000059 HYDROCORTISONE 2.5% CREAM 26.27 3/1/2015 3000061 HYDROCORTISONE 25MG RECT SUPP 9.75 6/29/2018 3000064 HYDRALAZINE 25MG TAB (APRESOLINE) 4.12 3/1/2015 3000066 VITAMIN K 1MG/0.5ML INJ **CONFIRM ROUTE* 12.05 4/11/2018 3000067 VITAMIN K 10MG/ML INJ **CONFIRM ROUTE** 64.37 2/27/2018 3000070 TRIAMCINOLONE 0.1% CRM 15GM (ARISTOCORT) 20.60 3/1/2015 3000071 TRIAMCINOLONE/ARISTOCORT CRM 0.1%/15GM 15.00 7/1/2008 3000083 ASPIRIN 81MG E.C.TAB 4.12 3/1/2015 3000084 ASPIRIN 325MG E.C. TAB 4.12 3/1/2015 3000089 LORAZEPAM 1MG TAB (ATIVAN) 4.12 10/24/2018 3000090 ATROPINE SULF 0.4MG/1ML INJ AMP 20.60 3/1/2015 3000098 SULFASALAZINE 500MG TAB 4.12 9/28/2016 3000099 MUPIROCIN/BACITRACIN OINT 22 GM TUBE 15.00 7/1/2008 3000100 BACTRIM SUS(SEPTRA) 4.00 7/1/2008 3000101 BACTR/SEPTRA SUSP 5 ML 4.00 7/1/2008 3000103 SMX/TMP 800/160MG TAB (SEPTRA DS) 4.12 3/1/2015 3000106 DIPHENHYDRAMINE 50MG/ML INJ 9.00 11/14/2018 3000107 DIPHENHYDRAMINE 12.5MG/5ML ELIX 4.12 3/1/2015 3000109 DIPHENHYDRAMINE 25MG CAP (BENADRYL) 4.12 3/1/2015 3000111 DIPHENHYDRAMINE (BENADRYL) 30GM CR 15.00 8/1/2008 3000114 DICYCLOMINE 20MG/2ML INJ 69.20 11/14/2018 3000117 DICYCLOMINE HCL 10MG CAP (BENTYL) 4.12 3/1/2015 3000126 BETADINE SPRAY 3 OZ 30.90 3/1/2015 3000131 PEN G BENZA & PEN G PROC 1.2MU/2ML SYR 71.56 11/10/2015 3000133 SULFACETAMIDE NA 10% OPTH SOL 64.61 11/24/2017 3000137 TERBUTALINE SULFATE 1MG /1ML INJ 4.50 7/17/2018 3000139 BRETYLIUM IN NS: 500MG/100ML 41.20 3/1/2015 3000150 CAFFEINE SODIUM BENZOATE 500MG/2ML INJ 30.90 3/1/2015 3000153 VERAPAMIL 2.5MG/ML 2ML INJ 60.47 3/7/2018 3000154 VERAPAMIL 180MG ER TAB (CALAN SR) 4.12 3/1/2015 3000155 VERAPAMIL 240MG EXTENDED RELEASE TAB 4.12 3/1/2015 3000161 CALCIUM GLUCONATE 1GM/10ML INJ 20.60 3/1/2015 3000167 SUCRALFATE 1GM TAB (CARAFATE) 4.12 3/1/2015 3000171 CLONIDINE HCL 0.1MG TAB (CATAPRES) 4.12 3/1/2015 3000172 CLONIDINE 0.2MG TAB (CATAPRES) 4.12 3/1/2015 3000174 CECLOR 250 MG CAP 4.00 6/1/2008 3000180 CEPACOL 1OZ PKG 4.00 7/1/2008 3000191 BENZOCAINE/TETRACAINE SPRAY 4.12 6/26/2018 3000192 ACTIVATED CHAR AQUEOUS 50GM IN 240ML 38.11 3/1/2015 3000194 PHENOL 1.4% (CHLORASEPTIC) SPRAY 18.54 3/1/2015 3000203 CEFACLOR 125MG/5ML SUSP (CECLOR) 1.00 7/1/2008 3000205 LACTULOSE 20GM/30ML ORAL SOL 4.12 3/1/2015 3000213 MAGNESIUM CITRATE 296ML 4.12 11/22/2017 3000216 CLINDAMYCIN HCL 150MG CAP (CLEOCIN) 4.12 3/1/2015 3000217 SULINDAC 150MG TAB (CLINORIL) 4.12 3/1/2015 3000219 BENZTROPINE 1MG/ML INJ 66.80 6/29/2018 3000224 DOCUSATE NA 100MG CAP (COLACE) 4.12 3/1/2015 3000225 PROBENECID/COLCHICINE 500MG TAB 4.12 3/1/2015 3000230 PROCHLORPERAZINE 10MG/2ML INJ 20.60 3/1/2015 3000231 DRONABINOL 2.5MG CAP (MARINOL) 9.83 4/2/2018 3000233 PROCHLORPERAZINE 25MG RECTAL SUPP 13.39 3/1/2015 3000237 PROCHLORPERAZINE 10MG TAB 4.12 3/1/2015 3000247 HYDROCORTISONE/CORTISPORIN OTIC SOL 15.45 3/1/2015 3000248 NEOMYCIN/POLY B/HC OTIC SUSPENSION 60.50 10/24/2018 3000249 WARFARIN NA 2MG TAB (COUMADIN) 4.12 3/1/2015 3000250 WARFARIN NA 5MG TAB (COUMADIN) 4.12 3/1/2015 3000262 DANTROLENE NA 100MG CAP (DANTRIUM) 5.00 8/1/2008 3000263 DANTROLENE (DANTRIUM) 20MG VIAL 120.00 2/11/2011 3000265 LINEZOLID 600MG TAB (ZYVOX) 20.48 3/7/2018 3000266 PROPOXYPHENE-N-W c APAP 100MG/650MG TAB 5.00 8/1/2008 3000267 CARBAMIDE PEROXIDE OTIC SOL(DEBROX) 16.85 10/24/2018 3000268 MIDAZOLAM 2MG/2ML INJ (VERSED) 15.45 3/1/2015 3000271 DEXAMETHASONE 4MG/ML INJ 4.12 6/19/2018 3000272 DEXAMETHASONE 0.5MG TAB 4.12 3/1/2015 3000280 MEPERIDINE HCL 50MG/ML INJ 4.12 11/17/2017 3000282 MEPERIDINE 100MG/ML INJ 30.90 3/1/2015 3000286 DIVALPROEX NA 250MG TAB (DEPAKOTE) 4.12 3/1/2015 3000288 ESTRADIOL CYPIONATE (DEPO-ESTRADIOL ) VL 98.00 8/1/2008 3000298 DERMOPLAST 9.20 4/29/1999 3000302 TRAZODONE 50MG TAB (DESYREL) 4.12 3/1/2015 3000303 DEXTROSE 25% H2O (DEXT/INF/ANS) 10ML 26.10 5/25/2018 3000309 PHENYTOIN 125MG/5ML SUSP 4.12 3/1/2015 3000314 PHENYTOIN 100MG E.R. CAP (DILANTIN) 4.12 3/1/2015 3000335 DOPAMINE 400MG/250ML PREMIX 24.00 3/7/2018 3000341 BISACODYL 10MG RECTAL SUPP 8.24 3/1/2015 3000342 BISACODYL EC TAB 5MG 4.12 3/1/2015 3000345 TRIAMTERENE w/HCTZ 37.5/25 CAP 4.12 3/1/2015 3000353 AMITRIPTYLINE 10MG TAB (ELAVIL) 4.12 3/1/2015 3000354 AMITRIPTYLINE 25MG TAB (ELAVIL) 4.12 3/1/2015 3000364 ERYTHROMYCIN 200MG/5ML SUSP: 200MG 1.03 3/1/2015 3000371 EPHEDRINE SULFATE 50MCG/ML AMP 55.25 6/4/2018 3000372 EPINEPHRINE (18X3.5 ) 0.1MG/ML 10ML SYR 20.60 3/1/2015 3000383 ETHYL CHLORIDE SPRAY 4.12 7/12/2017 3000387 EVAC-Q-KIT 4.00 8/1/2008 3000389 FERROUS SULFATE 220MG/5ML ELIX 1.03 3/1/2015 3000393 FERROUS GLUCONATE 324MG TAB 4.12 3/1/2015 3000395 BUTALBITAL/APAP/CAFF 50/325/40MG TAB 4.12 3/1/2015 3000396 METRONDAZOLE IN NS :500MG/100ML 41.20 3/1/2015 3000397 METRONIDAZOLE 500MG TAB (FLAGYL) 4.12 3/1/2015 3000400 FLUORESCEIN SODIUM STRIPS 23.18 3/1/2015 3000403 FOLIC ACID 1MG TAB 4.12 3/1/2015 3000416 GENTAMICIN SULF 0.3% OPHT DROP 22.44 3/14/2018 3000417 GENTAMICIN SULFATE 0.1% TOPICAL 30GM 15.45 3/1/2015 3000418 GENTAMCIN OINT 0.1% 15GM 69.14 11/21/2017 3000419 GENTAMICIN IN NS :80MG/100ML 41.20 3/1/2015 3000421 GENTAMICIN 80MG/2ML INJ. 20.60 3/1/2015 3000426 GELATIN SPONGE ABS. 12-7MM (GELFOAM) 40.69 3/1/2015 3000427 GELATIN SPONGE ABS 50 SIZE (GELFOAM) 88.58 3/1/2015 3000438 GLUCAGON EMERGENCY KIT 1MG 244.13 10/11/2017 3000453 HEPARIN SODIUM 10,000 UNITS/ML INJ 5.94 4/30/2018 3000468 TETANUS I.G. 250 UNITS (HYPERTET) 747.00 11/14/2018 3000474 LOPERAMIDE 2MG CAP (IMODIUM) 4.12 3/1/2015 3000476 PROPRANOLOL 1MG/ML INJ 20.60 3/1/2015 3000478 PROPRANOLOL 20MG TAB (INDERAL) 4.12 3/1/2015 3000480 NOVOLIN-NPH INSULIN SUSP 100 UNITS/ML 1.03 3/1/2015 3000488 ISOPTO CARPINE 1 % 87.50 8/1/2008 3000491 ISOSORBIDE DINITRATE 30MG TAB 4.12 3/1/2015 3000492 ISOSORBIDE MONO. 30MG ER TAB (IMDUR) 4.12 3/1/2015 3000493 ISOSORBIDE MONO. 60MG ER TAB (IMDUR) 4.12 3/1/2015 3000495 ISOPROTERENOL/ISUPREL 0.2MG/ML 37.50 8/1/2008 3000508 CEPHALEXIN 125MG/5ML SUSP 1.03 3/1/2015 3000509 CEPHALEXIN 250MG/5ML SUSP (KEFLEX) 4.12 3/1/2015 3000510 CEPHALEXIN 250MG CAP (KEFLEX) 4.12 3/1/2015 3000513 POTASSIUM CHLORIDE 10MEQ ER TAB 4.12 3/1/2015 3000523 NATURAL TEARS OPHTHALMIC SOL 4.12 11/21/2017 3000526 DIGOXIN 0.5MG/2ML INJ 19.60 9/29/2017 3000527 DIGOXIN 0.125MG TAB (LANOXIN) 4.12 3/1/2015 3000528 DIGOXIN 0.25MG TAB (LANOXIN) 4.12 3/1/2015 3000530 FUROSEMIDE 20MG/2ML INJ (LASIX) 3.78 11/14/2017 3000532 FUROSEMIDE 20MG TAB (LASIX) 4.12 3/1/2015 3000533 FUROSEMIDE 40MG TAB (LASIX) 4.12 3/1/2015 3000534 NOREPINEPHRINE 4MG/4ML INJ 42.20 11/14/2018 3000535 CLIDINIUM/CHLORDIAZEPOXIDE 5/2.5 CAP 4.12 3/1/2015 3000537 CHLORDIAZEPOXIDE 5MG CAP 4.12 3/1/2015 3000538 CHLORDIAZEPOXIDE 10MG CAP (LIBRIUM) 4.12 3/1/2015 3000539 CHLORDIAZEPOXIDE 25MG CAP (LIBRIUM) 5.15 3/1/2015 3000541 LIDOCAINE 1% (XYLOCAINE) 10ML VIAL 20.00 8/1/2008 3000542 LIDOCAINE 2% 100 MG/5ML 20.60 3/1/2015 3000543 LIDOCAINE 0.4% 2GM/500ML 41.20 3/1/2015 3000550 DIPHENOXYLATE/ATPROPINE 2.5/0.025MG/5ML 1.03 3/1/2015 3000552 DIPHENOXYLATE /ATROPINE 2.5/0.025MG TAB 4.12 3/1/2015 3000555 METOPROLOL TART 50MG TAB (LOPRESSOR) 4.00 7/1/2008 3000563 MAG HYD/AL HYD/SIM (ALAMAG) SUS 1.03 3/1/2015 3000565 MAALOX PLUS 0.75 4/29/1999 3000568 MAGNESIUM SULFATE 50% (25MG/50ML)/NS 1L 20.00 8/1/2008 3000569 NITROFURANTOIN 50MG CAP 4.12 3/1/2015 3000573 MANNITOL (OSMITROL) 25% 12.5GM/50ML 20.60 3/1/2015 3000579 BUPIVACAINE 0.5% INJ 30ML 4.12 6/14/2018 3000583 METHYLPREDNISOLONE MEDROL 21 DOSE PAK 20.00 8/1/2008 3000589 THIORIDAZINE 25MG TAB (MELLARIL) 4.12 3/1/2015 3000591 PSYLLIUM 5.85GM PACKET 4.12 3/1/2015 3000593 METHYLERGONOVINE 0.2MG/ML AMP 32.85 5/14/2018 3000595 METHYLENE BLUE 1% 10 MG/1ML VIAL 32.45 3/1/2015 3000599 MAGNESIUM HYDROXIDE GEL CONC 10ML=30ML 4.12 3/1/2015 3000600 MINERAL OIL 30ML 4.12 3/1/2015 3000617 MULTIPLE VITAMIN 10ML INFUSION 23.50 7/17/2018 3000618 IBUPROFEN 400MG TAB (MOTRIN) 4.12 3/1/2015 3000619 IBUPROFEN 600MG TAB (MOTRIN) 4.12 3/1/2015 3000621 TRIAMCINOLONE O.1% 15GM OINT 15.45 3/1/2015 3000623 NYSTATIN CREAM (MYCOSTATIN) 28.50 10/24/2018 3000630 ALOH/MGOH/SIMETHICONE 30ML SUSP 6.55 11/14/2018 3000645 NALOXONE 2MG/2ML INJ 69.60 11/15/2018 3000646 NALOXONE 0.4MG/ML INJ 26.57 1/5/2018 3000658 NEOMYCIN POLY B DEXAMETH OPTH SUSP 32.50 10/1/2018 3000659 NEOMYCIN POLY B DEXAMETHASONE OPTH OINT 32.96 3/1/2015 3000663 NEOMYCIN POLYMYXIN OPTH SUSP 77.00 8/1/2008 3000667 NEOSPORIN OPTH OINT 3.5GM 32.96 3/1/2015 3000668 NEOSPORIN OPTH SOL 96.31 3/1/2015 3000678 NITROPRUSSIDE 50MG/NS 250ML 325.00 8/16/2017 3000680 NITROGLYCERIN 2% OINT 6.70 10/24/2018 3000684 NITROGLYCERIN 0.1MG/HR PATCH 7.73 3/1/2015 3000686 NITROGLYCERIN 0.4MG S.L. TAB 1/150gr 4.12 3/1/2015 3000695 TAMOXIFEN 10MG TAB (NOLVADEX) 4.12 3/1/2015 3000700 DISOPYRAMIDE 100MG TAB (NORPACE) 4.12 3/1/2015 3000706 DIBUCAINE 1% OINT 15.45 3/1/2015 3000708 AMPICILLIN 250MG VIAL INJ 20.60 3/1/2015 3000709 AMPICILLIN 500MG INJ 20.60 3/1/2015 3000710 AMPICILLIN 1GM INJ 48.93 3/1/2015 3000711 AMPICILLIN 2GM INJ 81.37 3/1/2015 3000718 CALCIUM 500MG w/ VITAMIN D 200IU 4.12 3/1/2015 3000724 NORTRIPTYLINE 25MG CAP (PAMELOR) 4.12 3/1/2015 3000735 PENICILLIN V POTASSIUM 500MG TAB 4.12 3/1/2015 3000738 PENICILLIN V POTASSIUM 250MG TAB 4.12 3/1/2015 3000745 HYDROGEN PEROXIDE/PEROXIDE 3% SOL 15.45 3/1/2015 3000746 DIPYRIDAMOLE 75MG TAB (PERSANTINE) 4.12 3/1/2015 3000751 PROMETHAZINE 12.5MG RECT SUPP 15.45 3/1/2015 3000752 PROMETHAZINE 25MG RECTAL SUPP 18.00 8/13/2018 3000756 PROMETHAZINE 25MG/ML INJ 4.12 11/14/2017 3000757 PROMETHAZINE 25MG TAB (PHENERGAN) 4.12 3/1/2015 3000758 PROMETHAZINE w/ COD 6.25MG-10MG/5ML DOSE 4.12 3/1/2015 3000773 HEXACHLOROPHENE (PHISOHEX) 3% SOLN 77.25 3/1/2015 3000775 OXYTOCIN 10 UNITS/1ML INJ 4.12 11/16/2017 3000790 PEROXIDE BOTTLE 4.12 10/26/2018 3000791 POTASSIUM CL 20MEQ POWDER 21.90 6/12/2018 3000793 POTASSIUM CHLORIDE 2MEQ/ML 20ML VL 4.12 3/1/2015 3000796 PREDNISONE 5MG TAB 4.12 3/1/2015 3000797 PREDNISONE 20MG TAB 4.12 3/1/2015 3000800 CONGUGATED ESTROGEN 0.625MG ORAL TAB 4.00 8/1/2008 3000814 ENOXAPARIN 80MG/0.8ML SYR (LOVENOX) 26.40 4/10/2018 3000815 VERAPAMIL ER 120 MG CAP 4.00 8/1/2008 3000817 TROSPIUM 20MG TAB (SANCTURA) 7.25 8/1/2008 3000818 MS CONTIN 30 MG TAB 7.64 8/1/2008 3000819 DNU- METHADONE 5MG TAB 5.00 8/1/2008 3000820 POLYETHYLENE GLY 17GM PACKET (MIRALAX) 4.12 6/5/2018 3000824 PROSTIGMIN 1:1000 1MG/ML 76.00 11/17/2017 3000825 PROTAMINE SULFATE 50MG/5ML VIAL 23.15 6/4/2018 3000826 RABIES VACCINE 2.5IU/ML 1ML 383.43 10/26/2018 3000829 MEDROXYPROGESTERONE 2.5MG TAB 4.12 3/1/2015 3000838 QUINIDINE GLUC 800MG IN NS 250ML IV 66.44 3/1/2015 3000842 METOCLOPRAMIDE 5MG TAB 4.12 3/1/2015 3000849 RIFAMPIN 300MG CAP 4.64 3/1/2015 3000855 METHOCARBAMOL 1000MG/10ML INJ 86.52 3/1/2015 3000856 METHOCARBAMOL 500MG TAB (ROBAXIN) 4.12 3/1/2015 3000875 SENNA 8.6MG TAB 4.12 3/1/2015 3000883 SILVER SULFADIAZINE 400GM CREAM 90.13 3/1/2015 3000885 SILVER SULFADIAZINE 1% CREAM 25GM TUBE 18.70 6/5/2018 3000886 SILVER NITRATE STICK 7.63 1/22/2018 3000887 CARBIDOPA/LEVODOPA 25/100 TAB 4.12 3/1/2015 3000892 SODIUM BICARBONATE 8.4% 50MEQ/50ML SYRIN 27.16 6/4/2018 3000893 SODIUM BICARBONATE 8.4% 10MEQ/10ML PED. 20.60 3/1/2015 3000894 SODIUM BICARBONATE 650MG TAB 4.12 3/1/2015 3000897 HYDROCORTISONE 100MG INJ 37.62 6/15/2018 3000898 HYDROCORTISONE 250MG/2ML INJ 25.75 3/1/2015 3000899 METHYLPREDNISOLONE NA SUCC 40MG INJ 16.10 5/10/2018 3000900 METHYLPREDNISOLONE NA SUCC 125MG INJ 25.60 6/15/2018 3000901 METHYLPREDNISOLONE NA SUCC 500MG INJ 48.41 3/1/2015 3000902 METHYLPREDNISOLONE NA SUCC 1GM INJ 78.80 3/1/2015 3000903 CARISOPRODOL 350MG TAB (SOMA) 4.12 3/1/2015 3000916 MULTIPLE VITAMIN TAB 4.12 3/1/2015 3000917 MULTI VIT W/ZINC 600MG (STRESSTAB) 4.12 3/1/2015 3000943 LEVOTHYROXINE 100MCG (0.1MG) TAB 4.12 3/1/2015 3000962 CARBAMAZEPINE 200MG TAB (TEGRETOL) 4.12 3/1/2015 3000965 ATENOLOL 50MG TAB (TENORMIN) 4.12 3/1/2015 3000982 CHLORPROMAZINE 50MG/2ML INJ 32.96 3/1/2015 3000985 CHLORPROMAZINE 25MG TAB 4.12 3/1/2015 3000991 HYDROCORTISONE CREAM 1% 5.15 3/1/2015 3000994 TRIMETHOBENZAMIDE 300MG CAP 4.12 3/1/2015 3000999 INDOMETHACIN 25MG CAP (INDOCIN) 4.12 3/1/2015 3001001 ZOSTAVAX VACCINE 303.00 7/27/2016 3001002 PRAMIPEXOLE 1MG TAB (MIRAPEX) 4.12 3/1/2015 3001003 INDAPAMIDE 2.5 MG TAB (LOZOL) 4.12 3/1/2015 3001008 LOVAZA GM 1 CAP 4.41 10/14/2008 3001009 WARFARIN 2.5MG TAB (COUMADIN) 4.12 3/1/2015 3001010 CEFEPIME IN NS :2GM/100ML 45.64 3/1/2015 3001013 LEVOFLOXACIN 500MG TAB (LEVAQUIN) 4.12 3/1/2015 3001014 AQUACEL AG DRESSING 91.70 3/1/2015 3001015 ACETAMINOPHEN 80MG/0.8ML ORAL DROPS 6.18 3/1/2015 3001016 ACETAMINOPHEN/CODEINE 12MG/5ML ORAL SOL 5.15 3/1/2015 3001019 ACETAMINOPHEN 325MG TAB (TYLENOL) 4.12 3/1/2015 3001021 ACETAMINOPHEN/CODEINE 300/30MG TAB 5.15 3/1/2015 3001024 GLYCERIN/WITCH HAZEL PADS 7.03 11/8/2017 3001031 FOSFOMCYCIN TROMETHAMINE (MONUROL) 90.29 10/14/2008 3001032 HUMAN PAPILOMAVIRUS QUADRIV 0.5ML INJ 206.00 3/1/2015 3001033 MILRINONE 20MG/D5W 100ML PREMIX IV 51.50 3/1/2015 3001034 METHYL SALIC/MENTHOL (ICY HOT) 20.60 3/1/2015 3001035 CEFDINIR 250MG/5ML SUSP (OMNICEF) 4.12 3/1/2015 3001036 SODIUM POLYSTYR SULFON 15GM/60ML 24.57 11/22/2017 3001037 DIAZEPAM 10MG/2ML INJ 30.90 3/1/2015 3001038 DIAZEPAM 2MG TAB (VALIUM) 5.15 3/1/2015 3001039 DIAZEPAM 5MG TAB (VALIUM) 5.15 3/1/2015 3001056 DOXYCYCLINE 100MG CAP (VIBRAMYCIN) 4.12 3/1/2015 3001068 HYDROXYZINE PAM. 25MG/ML INJ 25.75 3/1/2015 3001071 HYDROXYZINE PAM. 25MG CAP (VISTARIL) 4.64 3/1/2015 3001074 CYANOCOBALAMIN 1000MCG/ML INJ 8.54 5/25/2018 3001080 ALPRAZOLAM 0.25MG TAB (XANAX) 4.12 10/1/2018 3001081 X-PREP BOWEL PREP 4.12 3/1/2015 3001082 ALPRAZOLAM 0.5MG TAB (XANAX) 5.15 3/1/2015 3001084 LIDOCAINE VISCOUS 20MG/ML ORAL 4.12 3/1/2015 3001086 XYLOCAINE JELLY 63.86 3/1/2015 3001087 LIDOCAINE 1% 10ML INJECTION MDV 4.12 6/4/2018 3001089 LIDOCAINE 2% w/EPINEPHRINE 1:100000 20ML 5.28 11/8/2017 3001094 ALLOPURINOL 100MG TAB (ZYLOPRIM) 4.12 3/1/2015 3001095 ALLOPURINOL 300MG TAB (ZYLOPRIM) 4.12 3/1/2015 3001098 ETHAMBUTOL HCL 400MG TAB 4.12 3/1/2015 3001104 METOCLOPRAMIDE 10MG/2ML INJ 4.12 9/13/2017 3001107 ALCOHOL HM LIQ 15.45 3/1/2015 3001108 ANESTHESIA DRUGS 38.25 3/1/2002 3001110 SODIUM CHLORIDE 452MG TAB 4.00 8/1/2008 3001113 ERYTHROMYCIN 500MG INJECTION 43.50 8/1/2008 3001120 PHOS-NAK ORAL POWDER PACKET 1.5GM 20.60 3/1/2015 3001125 PROPYLTHIOURACIL 50 MG 4.12 3/1/2015 3001129 ACETAMINOPHEN 160MG/5ML SOL 4.12 3/1/2015 3001138 NAPROXEN 375MG TAB (NAPROSYN) 4.12 3/1/2015 3001147 PYRIDOXINE 50MG TAB 4.12 3/1/2015 3001155 DNU-NOVOLIN-NPH INSULIN (HUMULIN-N) 1.00 4/24/2009 3001160 AMOXICILLIN 250MG CAP (AMOXIL) 4.12 4/9/2018 3001171 GLIPIZIDE 5MG E.R. TAB (GLUCOTROL XL) 4.12 3/1/2015 3001174 ACYCLOVIR IN NS: 500MG/100ML 41.20 3/1/2015 3001176 ASCORBIC ACID 500MG TAB (VITAMIN C) 4.12 3/1/2015 3001177 TEMAZEPAM 15MG CAP (RESTORIL) 4.12 6/18/2018 3001178 CLOTRIMAZOLE 1% CREAM 28.33 3/1/2015 3001179 AMOXICILLIN/CLAVULAN 500/125MG TAB 20.09 3/1/2015 3001180 LABETALOL 100MG/20ML INJ 4.12 3/7/2017 3001189 DNU-NOVOLIN-REGULAR INSULIN 100 UNITS/ML 1.00 4/24/2009 3001193 FENTANYL CITRATE PF 0.05MG/ML 30.00 8/1/2008 3001195 AMMONIA AROMATIC FOR INHALATION 15.45 3/1/2015 3001196 DOBUTAMINE 250MG VIAL 40.00 8/1/2008 3001218 THIAMINE 200MG/2ML INJ 20.60 3/1/2015 3001222 ALBUTEROL HFA 90MCG ORAL INHALER 59.00 8/13/2018 3001225 BISMUTH SUBSALICYLATE SUSP 30ML 4.12 3/1/2015 3001229 CATAPRES TTS 0.2 MG PATCH 87.00 8/1/2008 3001236 VANCOMYCIN 500MG INJECTION 40.00 8/1/2008 3001256 THIAMINE 100MG TAB 4.12 3/1/2015 3001268 ENALAPRIL 10MG TAB (VASOTEC) 4.12 3/1/2015 3001278 CEFTRIAXONE 1GM INJ 41.20 3/1/2015 3001280 MIDAZOLAM 5MG/ML INJ 30.90 3/1/2015 3001285 LUGOL'S SOL 30ML 15.45 3/1/2015 3001289 IBUPROFEN 800MG TAB (MOTRIN) 4.12 3/1/2015 3001294 CALCIUM CHLORIDE 10%/10ML SYRINGE 24.33 9/22/2017 3001296 METOPROLOL 5MG/5ML INJECTION 4.12 8/25/2017 3001297 ESTROGEN 1.25MG MG 4.00 8/1/2008 3001298 SIMETHICONE 20MG/0.3ML ORAL SOL 6.13 1/5/2018 3001300 RIVSTIGMINE PATCH 4.6MG/24 HR 31.36 3/1/2015 3001301 SALINE NASAL SPRAY 15.45 3/1/2015 3001305 BETADINE SOL. 473ML 15.45 3/1/2015 3001307 POLYSPORIN OPTH OINT 15.45 3/1/2015 3001308 ACYCLOVIR 200MG CAP (ZOVIRAX) 4.12 3/1/2015 3001310 LITHIUM CARBONATE 300MG CAP 4.12 3/1/2015 3001335 VECURONIUM 10MG INJ 13.50 6/15/2018 3001343 IPRATROPIUM 18MCG ORAL INH (ATROVENT) 154.50 3/1/2015 3001349 AMPICILLIN/SULBACTAM IN NS :3GM/100ML 41.20 3/1/2015 3001350 AMPICILLIN/SULBACTAM/NS: 1.5GM/50ML 41.20 3/1/2015 3001351 METOCLOPRAMIDE 10MG/10ML ELIX 4.12 3/1/2015 3001355 GUAIFENESIN 200MG TABLETS 4.00 8/1/2008 3001369 ACETYLCYSTEINE 20% NEB SOL 10ML 109.44 3/1/2015 3001370 TERAZOSIN 1MG TAB (HYTRIN) 4.12 3/1/2015 3001374 CEFUROXIME AXETIL 250MG TAB (CEFTIN) 4.12 4/10/2018 3001376 CIPROFLOXACIN 500MG TAB (CIPRO) 4.12 3/1/2015 3001377 CEPASTAT LOZENGE 4.12 3/1/2015 3001382 CALCIUM CARBONATE 500MG NON-CHEW TAB 4.12 3/1/2015 3001383 ALTEPLASE 100MG INJ (NOT FOR CATH) 12520.00 2/12/2018 3001385 LISINOPRIL 5MG TAB (ZESTRIL) 4.12 3/1/2015 3001386 FAMOTIDINE 20MG/NS 50ML PREMIX (PEPCID) 41.20 3/1/2015 3001388 CLONAZEPAM 0.5MG TAB (KLONOPIN) 4.12 4/30/2018 3001389 FLUOXETINE 20MG CAP (PROZAC) 4.12 3/1/2015 3001393 COLCHICINE 0.6MG TAB (COLCRYS) 10.30 3/1/2015 3001398 DICLOFENAC 75MG TAB (VOLTAREN) 4.12 3/1/2015 3001404 CONRAY 43 VIAL 39.66 3/1/2015 3001405 OMNIPAQUE 240/100ML 193.13 3/1/2015 3001407 TUBING FOR CYSTOGRAM 14.38 3/1/2002 3001408 OMNIPAQUE 350/50ML 193.13 3/1/2015 3001414 CT FLUIDS 250CC 9.00 4/29/1999 3001415 CT FLUIDS 500CC 9.00 4/29/1999 3001416 CT FLUIDS 1000CC 14.00 4/29/1999 3001420 CLOTRIMAZOLE/BETAMETH CR 32.76 9/22/2017 3001421 CIPROFLOXACIN 250MG TAB (CIPRO) 4.12 3/1/2015 3001425 BETAXOLOL 0.5% OPTH SOL 163.77 3/1/2015 3001428 CEFAZOLIN 1GM INJ 26.78 3/1/2015 3001429 CEFTRIAXONE 2GM INJ I.M. 8.10 3/7/2018 3001431 DILTIAZEM 60MG TAB (CARDIZEM) 4.12 3/1/2015 3001432 DIPYRIDAMOLE 50MG TAB (PERSANTINE) 4.12 3/1/2015 3001438 MORPHINE SULFATE 5MG/ML INJ 6.27 10/20/2017 3001443 METHYLPREDNISOLONE ACET 40MG/ML *IM* 23.10 6/15/2018 3001457 PROPRANOLOL 10MG TAB (INDERAL) 4.12 3/1/2015 3001461 LISINOPRIL 10MG TAB (ZESTRIL) 4.12 3/1/2015 3001464 CLINDAMYCIN IN NS: 600MG/50ML 41.20 3/1/2015 3001468 MULTIVITS W/FE LIQUID 15ML 1.03 3/1/2015 3001471 HYDROMORPHONE 1MG/ML INJ (DILAUDID) 6.51 12/8/2017 3001475 BUMETANIDE 1MG TABLET (BUMEX) 4.12 3/1/2015 3001476 DILTIAZEM 120MG EXT-REL CAP 4.12 3/1/2015 3001478 CEFTAZIDIME IN NS :1GM/50ML 41.20 3/1/2015 3001480 RANITIDINE 150MG TAB (ZANTAC) 4.12 3/1/2015 3001483 NOVOLOG MIX 70/30 INSULIN 100 UNITS/ML 68.54 7/21/2017 3001486 CEFTRIAXONE 500MG INJ I.M. 33.48 3/1/2015 3001494 NIFEDIPINE XL 30MG TAB 4.12 3/1/2015 3001495 TUBERCULIN PURIFIED PROTEIN DERIV. 19.00 10/24/2018 3001497 OMEPRAZOLE 20MG CAP (PRILOSEC) 4.12 9/13/2017 3001501 DESIPRAMINE 25MG TAB (NORPRAMIN) 4.12 3/1/2015 3001505 LIDOCAINE 2GM IN D5W 500ML 41.20 3/1/2015 3001506 DOPAMINE 200MG PREMIX BAG 40.00 8/1/2008 3001508 HEPARIN 25000 UNITS/D5W 500ML 41.20 3/1/2015 3001510 LOVASTATIN 20MG TAB (MEVACOR) 4.12 3/1/2015 3001511 PILOCARPINE 1% OPTH DROPS 112.20 11/17/2017 3001513 MAGNESIUM OXIDE 400MG TAB 4.12 3/1/2015 3001514 VITAMIN D 50000 UNITS CAP (CHECK FREQ) 4.12 3/1/2015 3001517 IBUPROFEN 100MG/5ML SUSP 4.12 3/1/2015 3001519 FLUCONAZOLE 100MG TAB (DIFLUCAN) 4.12 3/1/2015 3001534 CYSTO CONRAY II 47.98 3/1/2015 3001537 OPTIRAY 320 50ML 82.92 3/1/2015 3001541 BARIUM ENEMA KIT 17.25 3/1/2002 3001542 BAROSPERSE 8OZ CUP 10.07 3/1/2015 3001543 LIDOCAINE 4% TOPICAL SOL 58.02 10/23/2017 3001544 ERYTHROMYCIN OPHTHALMIC OINT 0.5% 21.25 3/14/2018 3001555 TELEPAQUE TAB(6) 16.28 3/1/2015 3001556 AMINOCAPROIC ACID 4GM/NS 250ML IV 20.60 3/1/2015 3001560 TPN CLINIMIX 5% AA 15% DEX 80.00 6/29/2015 3001562 ENALAPRIL 5MG TAB (VASOTEC) 4.12 3/1/2015 3001563 HEPATITIS B VAC REC 20MCG INJ 83.00 5/17/2018 3001564 FILGRASTIM 480MCG/1.6ML VIAL INJ 670.00 10/21/2015 3001567 TUBERCULIN PURIF (APLISOL) 5 TU 26.78 3/1/2015 3001570 INFLUENZA VACCINE 0.5ML INJ VIAL TRI 51.50 3/1/2015 3001571 KETOROLAC 30MG/ML INJ. (TORADOL) 4.12 10/4/2017 3001573 NUTRIT SUPPLEMENT (ENSURE) PUD 4.12 3/1/2015 3001574 GUAIFENESIN/DM 600/30MG TAB(MUCINEX DM) 4.12 3/1/2015 3001576 TERCONAZOLE 7-DAY VAG CREAM 84.46 3/1/2015 3001578 SUPER XL ENEMA 30.76 3/1/2002 3001579 VISIPAQUE 320MG/100ML 118.13 5/3/2008 3001580 LUBRICANT (SURGILUBE) TUBE :60GM 9.50 10/15/2018 3001581 CLARITHROMYCIN 500MG TAB (BIAXIN) 7.73 3/1/2015 3001587 SERTRALINE 50MG TAB (ZOLOFT) 4.12 3/1/2015 3001588 AZITHROMYCIN 250MG TAB (ZITHROMAX) 4.12 3/7/2018 3001590 QUINAPRIL 20MG TAB (ACCUPRIL) 4.12 3/1/2015 3001591 EASY GAS 4.60 3/1/2002 3001593 LINDANE LOTION 205.50 8/1/2008 3001594 LINDANE SHAMPOO 205.50 8/1/2008 3001596 GLYBURIDE 3MG TAB 4.12 3/1/2015 3001600 OMNIPAQUE 180 68.83 5/3/2008 3001603 CEFPROZIL 125MG/5ML SUSP 37.38 11/24/2017 3001604 BUPROPION 75MG TAB (WELLBUTRIN) 4.12 3/1/2015 3001613 KETOROLAC 10MG ORAL TAB (TORADOL) 4.12 3/1/2015 3001618 MUPIROCIN 2% OINTMENT 22GM 18.13 10/1/2018 3001620 AMLODIPINE 5MG TAB (NORVASC) 4.12 3/1/2015 3001623 ADENOSINE 6MG/2ML INJECTION 6.00 10/24/2018 3001624 BENAZEPRIL 10MG TAB (LOTENSIN) 4.12 3/1/2015 3001628 AMOXICILLIN /CLAVULANATE 250MG/5ML SUSP 1.29 3/1/2015 3001634 ACETAMINOPHEN 120MG RECTAL SUPP 8.24 3/1/2015 3001635 ACETAMINOPHEN 650MG RECTAL SUPP 8.24 3/1/2015 3001636 ACETAMINOPHEN 325MG RECTAL SUPP 8.24 3/1/2015 3001638 METOLAZONE 2.5MG TAB (ZAROXOLYN) 4.12 3/1/2015 3001642 CLONIDINE (CATAPRES TTS) 0.1MG PATCH 39.70 6/15/2018 3001643 CLONIDINE HCL (CATAPRES TTS) 0.3MG PAT 88.50 8/1/2008 3001645 DEXAMETHASONE 4MG TAB 4.12 3/1/2015 3001659 FAMOTIDINE 20MG TAB (PEPCID) 4.12 3/1/2015 3001660 METOCLOPRAMIDE 10MG TAB (REGLAN) 4.12 3/1/2015 3001661 SORBITOL 70% 30ML 4.12 3/1/2015 3001664 RANITIDINE 150MG/10ML ORAL SOL 15.45 3/1/2015 3001666 METOLAZONE 5MG TAB (ZAROXOLYN) 4.00 8/1/2008 3001676 ESTROGEN (PREMARIN) 1.25MG TAB 5.00 8/1/2008 3001678 PROMETHAZINE w/ DEXTROMETHORPHAN 5ML 4.12 10/6/2017 3001681 NITRODRIP SET 53.30 3/1/2015 3001682 DOXAZOSIN 2MG TAB (CARDURA) 4.12 3/1/2015 3001685 AMOXICILLIN/CLAV 125MG/5ML ORAL SUSP 21.12 3/1/2015 3001688 SUMATRIPTAN 6MG/0.5ML INJ 25.00 4/26/2016 3001690 TERCONAZOLE VAG CREAM 84.46 3/1/2015 3001692 DILTIAZEM 180MG EXT-REL CAP 4.12 3/1/2015 3001693 DILTIAZEM 240MG EXT-REL CAP 4.12 3/1/2015 3001695 PAROXETINE 20MG TAB (PAXIL) 4.12 3/1/2015 3001696 HEPATITIS B VAC REC PEDIATRIC 10MCG 35.79 11/10/2015 3001697 SCAN-C 10.30 3/1/2015 3001700 ESTROGEN 0.9MG TAB 5.56 10/14/2008 3001701 ESTRADIOL 1MG (ESTRACE) 4.12 3/1/2015 3001702 CEFPODOXIME 200MG TAB (VANTIN) 22.51 4/11/2018 3001705 NABUMETONE 500MG TAB (RELAFEN) 4.12 3/1/2015 3001708 LORATADINE 10MG TAB (CLARITIN) 4.12 3/1/2015 3001709 FINASTERIDE 5MG TAB (PROSCAR) 5.15 3/1/2015 3001710 PRAVASTATIN 20MG TAB (PRAVACHOL) 4.12 3/1/2015 3001711 PIPERACILLIN/TAZOBACT/ NS :3.375GM/50ML 41.20 3/1/2015 3001712 FENTANYL 25MCG/HR PATCH 52.02 3/1/2015 3001715 FLUCONAZOLE IN NS PREMIX :200MG/100ML 70.04 3/1/2015 3001716 ZOSTRIX OINT 28.33 3/1/2015 3001717 FELBATOL 600MG 9.00 8/1/2008 3001718 TOBRAMYCIN 0.3% OPHT OINT 305.00 5/25/2018 3001719 TOBREX OPTH BOTTLE 54.08 3/1/2015 3001720 DILTIAZEM 25MG/5ML INJ 41.20 3/1/2015 3001724 SODIUM POTASSIUM PHOSPHATE PACKET 4.12 3/1/2015 3001731 CALCIUM CARBONATE 500MG CHEW TAB 4.12 3/1/2015 3001733 SIMVASTATIN 10MG TAB (ZOCOR) 4.12 3/1/2015 3001735 IMIPENEM-CILASTATIN IN NS :500MG/100ML 40.00 1/7/2016 3001738 BARIUM ENEMA RING 13.39 3/1/2015 3001739 EPOGEN 10000UNITS:1000UNITS 591.50 8/1/2008 3001742 BSS SOLUTION 15CC 28.84 3/1/2015 3001743 BSS SOLUTION 500CC 75.19 3/1/2015 3001745 CYCLOPENTOLATE HCL 1% OPTH DROP 18.03 3/1/2015 3001746 MIOCHOL E SYS PK 101.46 3/1/2015 3001751 NEOSYNEPHRINE OPTH 15.45 3/1/2015 3001752 OPTIRAY 320 200ML 278.10 3/1/2015 3001754 METHOTREXATE (TREXALL) 2.5MG TAB 4.12 3/1/2015 3001758 PROPAFENONE 150MG TAB (RYTHMOL) 4.12 3/1/2015 3001760 PNUMOCOCCAL VACC. POLYVALENT 25MCG/0.5ML 131.00 8/13/2018 3001763 AMIODARONE 200MG TAB (CORDARONE) 4.12 3/1/2015 3001764 INTAL INHALER 124.50 8/1/2008 3001766 TRAMADOL 50MG TABLET (ULTRAM) 4.12 3/1/2015 3001768 GABAPENTIN 300MG CAP (NEURONTIN) 4.12 10/4/2017 3001769 FELODIPINE 2.5MG TAB (PLENDIL) 4.12 3/1/2015 3001773 LOSARTAN POT 50MG TAB (COZAAR) 4.12 3/1/2015 3001778 OPTIRAY320 100ML INJ 307.71 3/1/2015 3001779 OPTIRAY 125 INJ 71.07 3/1/2015 3001783 TORSEMIDE 20MG TAB (DEMADEX) 4.12 3/1/2015 3001784 OCTREOTIDE 200MCG/ML 5ML INJ 345.05 3/1/2015 3001786 METFORMIN 500MG TAB (GLUCOPHAGE) 4.12 3/1/2015 3001790 CLOTRIMAZOLE 10MG PO-DISSOLVE TROUCHE 4.12 3/14/2017 3001791 HYDROCORTISONE 2.5% CREAM 61.80 3/1/2015 3001792 FLUTICASONE 110MCG ORAL INHALER (FLOVENT 198.79 3/1/2015 3001793 VENLAFAXINE 37.5MG XR CAP (EFFEXOR XR) 4.12 11/16/2017 3001797 AMOXICILLIN /CLAVULANATE 875/125MG TAB 8.24 3/1/2015 3001800 AMOXICILLIN/CLAVUL 200MG/5ML SUSP 2.06 3/1/2015 3001801 AMOXICILLIN /CLAV 400MG/5ML SUSP 4.12 8/23/2018 3001807 CEFTRIAXONE 250MG INJ. I.M. 20.60 3/1/2015 3001809 ENALAPRILAT 1.25MG/ML (VASOTEC INJ) 16.60 6/12/2018 3001810 VALACYCLOVIR 1GM TAB (VALTREX) 36.05 3/1/2015 3001813 BACLOFEN 10MG TAB (LIORESAL) 4.12 3/1/2015 3001814 FOSPHENYTOIN NA 500MG/10ML INJ 46.35 4/9/2018 3001816 CALCIUM ACETATE 667MG TAB 4.12 3/1/2015 3001818 SEREVENT ORAL INHALER (SALMETEROL) 144.72 3/1/2015 3001819 LEVOFLOXACIN IN D5W :250MG/50ML PREMIX 41.20 3/1/2015 3001820 LEVOFLOXACIN 250MG TAB (LEVAQUIN) 4.12 3/1/2015 3001821 RABIES IMMUNE GLOBULIN 300U/2ML VIAL 854.00 10/26/2018 3001823 AMINO ACID 3% GLYC (PROCALAMINE) 1L 82.40 3/1/2015 3001824 PREP KIT I 4.12 3/1/2015 3001825 LIDOCAINE 2% 20ML MDV 4.08 11/8/2017 3001828 NYSTATIN POWDER 100000U/GM 25.75 3/1/2015 3001833 GLIMEPIRIDE 4MG TAB (AMARYL) 4.12 3/1/2015 3001835 FEXOFENADINE 180MG TAB (ALLEGRA) 4.64 3/1/2015 3001836 VITAMIN E 400 IU CAP 4.12 3/1/2015 3001838 MD GASTROVIEW 25ML 17.77 3/1/2015 3001842 ISOFLURANE 15.45 3/1/2015 3001843 SUCCINYCHOLINE 20MG/ML 51.08 1/19/2018 3001844 PROPOFOL 10MG/ML 100ML SDV 97.85 3/1/2015 3001846 CEFUROXIME 125MG/5ML SUSP 1.55 3/1/2015 3001847 AZITHROMYCIN 200MG/5ML ORAL SUSP 32.00 11/14/2018 3001849 GLYCOPYRROLATE 0.2MG/ML INJ 9.90 11/14/2018 3001850 IRBESARTAN 150MG TAB (AVAPRO) 4.12 3/7/2018 3001853 OMNISCAN 15ML 131.33 3/1/2015 3001857 DONEPEZIL HCL 5MG TAB (ARICEPT) 30.90 3/1/2015 3001858 AZITHROMYCIN IN NS :500MG/250ML 40.00 11/16/2017 3001859 CARVEDILOL 6.25MG TAB (COREG) 4.12 3/1/2015 3001861 METOPROLOL SUCC. 25MG TAB (TOPROL XL) 5.15 3/1/2015 3001862 CLOPIDOGREL 75MG TAB (PLAVIX) 4.12 3/1/2015 3001865 RISPERIDONE 0.5MG TAB (RISPERDAL) 14.94 3/1/2015 3001867 ATORVASTATIN 20MG TAB (LIPITOR) 4.12 3/1/2015 3001869 MONTELUKAST 10MG TAB (SINGULAIR) 4.12 3/1/2015 3001871 OLANZAPINE 2.5MG TAB (ZYPREXA) 4.12 8/13/2018 3001872 LACTASE (LACTAID) TAB 4.12 3/1/2015 3001874 FLUTICASONE 50MCG/ACT NASAL SPRAY 9.98 10/11/2017 3001876 MIRTAZAPINE 30MG ORAL TAB (REMERON) 4.12 3/1/2015 3001886 LATANOPROST 0.005% OPHTHALMIC DROPS 16.80 6/5/2018 3001887 PREDNISOLONE 1% OPHT SUSP 73.00 4/30/2018 3001889 TRIPLE ANTIBIOTIC 0.9GM OINT 4.12 9/19/2016 3001891 OCUVITE TAB 4.12 3/1/2015 3001893 HYDROXYCHLOROQUINE 200MG TAB 4.12 3/1/2015 3001896 RALOXIFENE 60 MG TAB (EVISTA) 11.85 3/1/2015 3001897 OXYCODONE 20MG E.R. TAB (OXYCONTIN) 14.94 3/1/2015 3001898 CHOLESTYRAMINE 4GM PACKET 13.39 3/1/2015 3001903 LIQUID ENTERO VU 600ML 82.92 3/1/2015 3001904 PRILOCAINE-LIDOCAINE EMLA 5GM 17.45 11/24/2017 3001908 ESTRADIOL (CLIMARA) 0.1MG/DAY PATCH 48.00 8/1/2008 3001911 CALCIUM POLYCARBOPHIL 625MG 4.12 3/1/2015 3001914 TORSEMIDE (DEMADEX) 10MG/ML INJ 45.32 3/1/2015 3001915 ENOXAPARIN 100MG/1ML SYR (LOVENOX) 30.20 11/14/2018 3001916 ENOXAPARIN 30MG/0.3ML SYR (LOVENOX) 10.25 8/13/2018 3001918 CELECOXIB 100MG CAP (CELEBREX) 4.12 3/28/2017 3001924 AMMONIUM LACTATE 12% LOTION 23.69 3/1/2015 3001925 LOSARTAN/HCTZ 50/12.5MG (HYZAAR) TAB 4.12 10/24/2018 3001926 CITALOPRAM 20MG TAB (CELEXA) 5.15 3/1/2015 3001930 CORTISPORIN OTIC SUSP 15.45 3/1/2015 3001931 FLUTICASONE 220MG ORAL INHALER (FLOVENT) 309.00 3/1/2015 3001933 REPAGLINIDE 1MG TAB (PRANDIN) 4.64 3/1/2015 3001938 LAMICTAL 150MG TAB 17.50 8/1/2008 3001939 LAMOTRIGINE 200MG TAB 4.12 6/29/2018 3001940 LAMOTRIGINE 25MG TAB (LAMICTAL) 14.42 3/1/2015 3001948 VALSARTAN 80MG TAB (DIOVAN) 4.12 6/18/2018 3001956 ACYCLOVIR 400MG TAB (ZOVIRAX) 4.12 3/1/2015 3001958 FAMCICLOVIR 500MG TAB (FAMVIR) 24.72 3/1/2015 3001962 ACETYLCYSTEINE 20% 30ML NEB SOL 31.77 3/7/2018 3001969 TIROFIBAN 12.5MG/250ML INJ 1120.64 3/1/2015 3001970 PIOGLITAZONE 45MG ORAL TAB (ACTOS) 24.72 3/1/2015 3001971 CILOSTAZOL 100MG TAB (PLETAL) 4.12 3/1/2015 3001973 CANDESARTAN 16MG TAB (ATACAND) 6.18 3/1/2015 3001974 LIOTHYRONINE 25MCG TAB 4.12 3/1/2015 3001976 QUETIAPINE 25MG TAB (SEROQUEL) 4.12 3/1/2015 3001978 DEXTRAN 500ML 81.89 3/1/2015 3001979 DIBUCAINE OINT 1% 15.45 3/1/2015 3001984 LEVALBUTEROL 1.25MG/3ML NEB (XOPENEX) 15.45 3/1/2015 3001985 POLYETHYLENE GLYC 238GM BTL (MIRALAX) 18.13 6/18/2018 3001989 METAXALONE 800MG TAB (SKELAXIN) 10.00 8/1/2008 3001990 RABEPRAZOLE (ACIPHEX ) TAB : 20MG 10.63 3/1/2002 3001992 MEGESTROL 800MG/20ML SUSP 21.39 11/17/2017 3002006 ESTRATAB 0.625MG 4.00 8/1/2008 3002015 MIDOL CAP 1.00 10/1/2000 3002021 HYDROXYUREA 500MG CAP 4.12 3/1/2015 3002028 TOPIRAMATE 25MG (TOPAMAX) TAB 4.12 3/1/2015 3002029 QUETIAPINE 100MG TAB (SEROQUEL) 4.12 4/4/2017 3002032 NYSTATIN 500000 UNITS/5ML ORAL SOLUTION 4.12 3/1/2015 3002033 AMIODARONE IN D5W: 150MG/100ML 40.00 1/5/2018 3002042 COLLAGENASE 250UNITS/GM OINT 30GM 301.00 7/17/2018 3002046 METHIMAZOLE 10MG TAB (TAPAZOLE) 4.12 3/1/2015 3002048 ISONIAZID 300MG TAB 4.12 3/1/2015 3002049 BUDESONIDE 0.5MG/2ML NEB SOL 9.92 2/27/2018 3002052 CEFEPIME IN NS :1GM/50ML 40.00 4/15/2016 3002054 BUDESONIDE 0.25MG/2ML INHAL SUSP 24.21 3/1/2015 3002064 AZATHIOPRINE 50MG TAB (IMURAN) 4.12 3/1/2015 3002067 TRIAMCINOLONE ACETONIDE 40MG/ML INJ 30.07 10/11/2017 3002068 COLESEVELAM 625MG 4.12 3/1/2015 3002070 DANTROLENE NA 25MG CAP (DANTRIUM) 4.12 3/1/2015 3002072 VALPROATE NA 500MG IN NS 100ML IVPB 8.24 3/1/2015 3002077 EFUDEX 5%CREAM OR OINT 429.50 8/1/2008 3002078 LIDOCAINE/EPINEPHRINE/TETRACAINE 1.03 3/1/2015 3002079 HYDROCORTISONE 100MG/60ML ENEMA 45.84 3/1/2015 3002085 METOPROLOL SUCC 50MG TAB (TOPROL XL) 4.12 3/1/2015 3002091 LIPOSYN II 20%/500ML BOTTLE 88.58 3/1/2015 3002092 DAKINS SOLUTION 32.00 8/1/2008 3002093 FENOFIBRATE 48MG TAB (TRICOR) 4.12 5/30/2018 3002096 EXELON 1.5MG CAP 12.00 8/1/2008 3002097 FOLTX TAB 4.12 3/1/2015 3002101 HYDROCORTISONE PRAMOXINE OTIC DROPS 50.99 3/1/2015 3002102 HYDROCORTISONE PRAOXINE/ZOTO OTIC DROPS 49.50 8/1/2008 3002103 MINOXIDIL 10MG TAB (LONITEN) 4.12 3/1/2015 3002106 NATEGLINIDE 60 MG TAB (STARLIX) 4.12 6/13/2017 3002108 KETAMINE 10MG/ML 1 ML SYRINGE 19.63 10/4/2017 3002109 DEXAMETHASONE 10MG/ML INJ 4.12 5/14/2018 3002111 BALSALAZIDE 750MG CAP 5.15 3/1/2015 3002112 SOTALOL 80MG TAB (BETAPACE) 4.12 3/1/2015 3002115 METHACHOLINE (PROVCHOLNE) INH 100MG/20ML 144.20 3/1/2015 3002118 INTRASITE GEL TUBE 30.90 3/1/2015 3002121 MELOXICAM 7.5MG TAB (MOBIC) 4.12 3/1/2015 3002122 MELATONIN 3MG TAB 4.12 3/1/2015 3002127 LINEZOLID 600MG/300ML PREMIX IV 68.31 2/12/2018 3002130 OSELTAMVIR 75MG CAP 24.60 5/14/2018 3002134 INDINAVIR SULF 400MG CAP (CRIXIVAN) 10.30 3/1/2015 3002138 ESCITALOPRAM 10MG TAB (LEXAPRO) 4.12 3/1/2015 3002143 SEROFLVRONE 90.64 3/1/2015 3002144 HEPATITIS B (BAYHEP B) IMMUNE GLOB 20.60 3/1/2015 3002147 RISPERIDONE 1MG TAB (RISPERDAL) 15.97 3/1/2015 3002148 EZETIMIBE 10MG TAB (ZETIA) 4.12 3/7/2018 3002151 ATROPINE SULF. 0.25MG/5ML SYRINGE (PED) 33.75 2/12/2018 3002152 ETOMIDATE 2MG/ML 20ML INJ 15.30 3/28/2017 3002157 CALCITONIN 200IU/ML INJ 91.16 3/1/2015 3002160 GALANTAMINE 8MG TAB (RAZADYNE) 10.82 3/1/2015 3002168 SALAGEN 5MG TAB 5.15 3/1/2015 3002169 OXACILLIN SODIUM 1GM INJ 81.37 3/1/2015 3002172 GLUCOSAMINE/CHONDRO 750/600MG TAB 4.12 3/1/2015 3002180 IRON / B12 /VIT C / FOLIC ACID/ CAPSULE 4.12 3/1/2015 3002181 MENINGOCOCCAL POLYSACC DIPHTHERIA TOX 210.00 11/9/2015 3002186 COD LIVER OIL/ZINC OXIDE (DESITIN) 15.45 3/1/2015 3002192 ENOXAPARIN 40MG/0.4ML SYR (LOVENOX) 12.50 6/5/2018 3002195 SPIRIVA ORAL INHALER 76.20 7/17/2018 3002196 HYOSCYAMINE 0.125MG TAB 4.12 3/1/2015 3002199 NEOMYCIN/POLYMYX/HC OTIC SOL 28.84 3/1/2015 3002200 PHENTOLAMINE 5MG INJ 20.60 3/1/2015 3002201 PYRAZINAMIDE 500 MG 15.00 11/16/2018 3002202 ZOLPIDEM 5MG TAB (AMBIEN) 5.15 3/1/2015 3002203 PERMETHRIN 1% LOTION 24.33 4/9/2018 3002204 MEMANTINE 10MG TAB (NAMENDA) 4.12 11/28/2016 3002206 DARBEPOETIN (ARANESP) VL : 60MCG 691.50 8/1/2008 3002207 GRANULEX DERM SPRAY 54.59 3/1/2015 3002210 FLUDROCORTISONE 0.1MG TAB (FLORINEF) 4.12 3/1/2015 3002213 FISH OIL CAP 1000 MG 4.12 3/1/2015 3002215 KETOCONAZOLE 2% CREAM 25.75 3/1/2015 3002221 LEVOTHYROXINE 125MCG (0.125MG) TAB 4.12 3/1/2015 3002222 LEVOTHYROXINE 150MCG (0.15MG) TAB 4.12 3/1/2015 3002226 GEMFIBROZIL 600MG TAB (LOPID) 4.12 3/1/2015 3002233 GABAPENTIN 100MG CAP (NEURONTIN) 4.12 3/1/2015 3002241 CLORPACTIN 2 GM VL 19.57 3/1/2015 3002243 ASPIRIN 81MG CHEWABLE TABLET 4.12 3/1/2015 3002250 DIAZEPAM 2.5MG RECTAL GEL 441.00 8/1/2008 3002257 POLYSACCARIDE IRON 150MG CAP 4.12 3/1/2015 3002259 CHLORHEXIDINE GLUC 4% TOPICAL SOL 14.60 10/24/2018 3002260 DYNACIRC 10 MG TAB 13.50 8/1/2008 3002261 ARGINAID/FOOD PACKET 4.12 3/1/2015 3002262 METHYLPREDISOLONE 4MG TAB 4.12 3/1/2015 3002263 TELMISARTAN 40MG TAB (MICARDIS) 4.12 4/28/2016 3002264 ANTIPYRINE/BENZOCAINE OTIC DROP 20.60 3/1/2015 3002272 THIOTHIXENE 2MG CAP 4.12 3/1/2015 3002275 WATER STERILE INJ. 10CC 4.12 10/1/2018 3002278 CRESTOR 20MG TAB 11.50 8/1/2008 3002280 ARIPIPRAZOLE 10MG TAB (ABILIFY) 4.12 5/14/2018 3002287 BETHANECHOL 25MG TAB 4.12 3/1/2015 3002288 MENINGOCOCCAL GR A-C-Y-WE135 VACC 0.5ML 135.00 8/13/2018 3002289 LAMIVUDINE 150MG TAB (EPIVIR) 21.12 3/1/2015 3002290 EPOETIN ALFA (EPOGEN) VL : 4000MUN/ML 118.50 8/1/2008 3002291 COSYNTROPIN 0.25MG INJ 116.39 3/1/2015 3002292 MIDODRINE 5MG TAB 5.15 3/1/2015 3002293 HYDROCODONE/APAP 5/325MG TAB (NORCO-5) 4.12 10/4/2017 3002295 CROTALIDAE FAB 2ML INJ 4561.00 11/14/2018 3002297 DULOXETINE 30MG CAP (CYMBALTA) 4.12 1/22/2018 3002298 GLUCOSE 15GM TUBE FOR ORAL USE 20.60 3/1/2015 3002299 TRIHEXYPHENIDYL 2MG TAB 4.12 3/1/2015 3002300 RIFAMPIN (RIFADIN): 600MG/10ML INJ 187.98 3/1/2015 3002303 BENZONATATE 100MG CAP (TESSALON) 4.12 3/1/2015 3002307 DEXTROSE 5% /w 0.45% NACL /w KCL 10MEQ 41.20 3/1/2015 3002308 SODIUM CHLORIDE 0.9% /w KCL 20MEQ 1000ML 41.20 3/1/2015 3002309 SODIUM CHLORIDE 0.9% /w KCL 40MEQ 1000ML 41.20 3/1/2015 3002310 MAGNESIUM SULFATE 40GM/1000ML BAG 21.50 7/17/2018 3002311 RETROVIR 100 MG CAP 8.24 3/1/2015 3002322 CYCLOBENZAPRINE 10MG TAB (FLEXERIL) 4.12 3/1/2015 3002338 CLINDAMYCIN IN NS: 300MG/50ML 41.20 3/1/2015 3002345 EPLEREONE (INSPRA) 25MG TAB 13.91 3/1/2015 3002346 REMICADE (INFLIXIMAB) 100MG INJ 1670.00 5/17/2018 3002348 MORPHINE SULFATE 30MG/30ML PCA 39.14 3/1/2015 3002357 LIDOCAINE 5% TOP. PATCH (LIDODERM) 8.26 5/25/2018 3002362 DIAZIDE 37.5/25 MG PO 4.00 8/1/2008 3002363 CETIRIZINE 5MG/5ML SYRUP 1.03 3/1/2015 3002365 HALOPERIDOL 5MG TAB (HALDOL) 4.12 3/1/2015 3002367 ROPINIROLE 1MG TAB (REQUIP) 4.12 3/1/2015 3002368 FOLBEE PLUS TAB 4.12 3/1/2015 3002372 NEPHROCAPS 4.00 8/1/2008 3002375 TYPHOID 0.5ML INJ 77.25 3/1/2015 3002377 TOBRAMYCIN 80MG IN NS 100ML IVPB 41.20 3/1/2015 3002379 POLYETHIYLENE GLYCOL (MIRALAX) : 255GM 47.00 5/1/2006 3002380 ICY HOT 15.00 8/1/2008 3002400 FERROUS GLUCONATE 324MG TAB 4.00 10/14/2008 3002401 MOMETASONE 220MCG ORAL INHALER 109.18 3/1/2015 3002402 ESTROGEN CREAM 138.36 10/14/2008 3002405 ALBUTEROL/IPRAT 0.5/3MG/3ML NEB (DUONEB) 4.12 10/11/2017 3002501 VITAMIN D 1000 IU (VITAMIN D3) TAB 4.12 3/1/2015 3002504 ROTAVIRUS ORAL VACCINE 129.62 1/22/2018 3002505 POTASSIUM CHLORIDE 20MEQ/100ML IVPB 41.20 3/1/2015 3002506 ONDANSETRON 4MG ODT TAB 4.12 3/1/2015 3002507 ONDANSETRON 8MG ODT TAB 4.12 2/12/2018 3002508 NEBIVOLOL 5MG TAB (BYSTOLIC) 14.50 1/5/2018 3002510 FLECTOR PATCH 1.3% 20.00 7/21/2009 3002512 HAEMOPHILUS B CONJUGATE VACCINE 0.5ML 51.50 3/1/2015 3002514 TETANUS/DIPHTHERIA/PERTUSSIS ADULT&ADOLE 63.50 5/10/2018 3002515 HEP B/HEP A (TWIN-RIX) VACC 164.80 3/1/2015 3002516 VARICELLA VIRUS LIVE 131.76 11/9/2015 3002517 YELLOW FEVER VACCINE 383.46 3/1/2015 3002518 LINCOMYCIN 600MG/2ML INJ 63.00 7/17/2018 3002519 MENTHOL/ZINC OXIDE POWDER 20.60 3/1/2015 3002525 MEPIVACAINE1% INJ 20.60 3/1/2015 3002527 DARBEPOETIN ALFA 200MCG/0.4ML SYR 1545.00 3/1/2015 3002529 HEPATITIS A 1440 EL U/ML ADULT 123.60 3/1/2015 3002530 HEPATITIS A 720EU/0.5ML PEDIATRIC 77.25 3/1/2015 3002532 METOPROLOL TART. 25MG TAB (LOPRESSOR) 4.12 3/1/2015 3002533 HYDROCOD/CHLORPHEN SYRUP EXT RELEASE 2.06 3/1/2015 3002534 PROPOFOL 10MG/ML 20ML SDV 7.00 10/24/2018 3002536 RANOLAZINE 500MG TAB (RANEXA) 19.74 2/12/2018 3002537 SODIUM CITRATE AND CITRIC ACID ORAL SOLN 1.25 11/17/2009 3002541 TENECTEPLASE 50 MG INJ 8365.00 6/18/2018 3002542 DAPTOMYCIN 500MG INJ 285.00 8/20/2018 3002558 LEVETIRACETAM IN NS :500MG/100ML 40.00 11/8/2017 3002559 REGADENOSCAN 0.4MG/5ML IV 315.00 5/25/2018 3002560 FIBER POWDER 4.12 3/1/2015 3002561 JEVITY 1.5 CAL 240ML 4.12 3/1/2015 3002563 GLUCERNA 240ML 4.12 3/1/2015 3002564 TWO CAL HN 4.12 3/1/2015 3002567 MORPHINE 30MG EXTENDED RELEASE TAB 4.12 9/5/2017 3002570 OXACILLIN SODIUM 2GM VIAL 20.60 3/1/2015 3002571 MORPHINE SULFATE 100MG EXTENDED REL TAB 5.15 3/1/2015 3002572 SODIUM HYPOCHLORITE 0.25% TOP SOL 42.50 6/18/2018 3002574 FORMOTEROL FUM. 12MCG ORAL INH (FORADIL) 104.10 3/1/2015 3002577 PRASUGREL 10MG TAB 21.65 3/1/2015 3002578 LEVETIRACETAM 250 TAB (KEPPRA) 4.12 3/1/2015 3002579 PRAMIPEXOLE 1.5MG TABLET 11.37 3/1/2015 3002580 SOLIFENACIN SUCC 5MG TAB (VESICARE) 34.83 11/8/2017 3002581 ROSUVASTATIN CA 10MG TAB (CRESTOR) 4.12 4/26/2017 3002582 CARVEDILOL CR 20MG CAP (COREG CR) 15.04 3/1/2015 3002584 PEGFILGRASTIM 6MG/0.6ML SYRINGE 5613.50 3/1/2015 3002587 CEFADROXIL 500MG CAP (DURICEF) 4.12 3/1/2015 3002588 CATHFLO ALTEPLASE 2MG 167.01 3/1/2015 3002590 MILNACIPRAN HCL 50MG TAB (SAVELLA) 6.53 3/1/2015 3002591 DIMENHYDRATE 50MG TAB 4.00 5/1/2010 3002592 OXCARBAZEPINE 300MG TABLETS 4.12 11/29/2016 3002598 ACETYLCYSTEINE 200MG/ML INJ 99.60 5/14/2018 3002599 DIMETHYL SULFOXIDE 50ML INJ 694.00 1/22/2016 3002600 TRIPTORELIN PAMOATE 3.75MG INJ 329.60 3/1/2015 3002601 BUDESONIDE/FORMOT. 80/4.5MCG PO INH. 217.50 6/12/2018 3002602 D51/2NS 1L c KCL 20MEQ 1000ML 41.20 3/1/2015 3002603 MORPHINE 15MG EXTENDED RELEASE TAB 4.12 3/7/2018 3002606 HYDROMORPHONE 2MG/ML INJ 11.00 6/12/2018 3002609 PHENYTOIN SODIUM 250MG/5ML INJ 20.60 3/1/2015 3002610 ARIPIPRAZOLE 2MG TAB (ABILIFY) 4.12 3/7/2018 3002611 ROPINIROLE 0.5MG TAB (REQUIP) 4.12 3/1/2015 3002612 SITAGLIPTIN 50MG TAB (JANUVIA) 37.00 7/17/2018 3002613 NALBUPHINE 10MG/ML INJ (NUBAIN) 10.36 11/17/2017 3002614 BUPIVACAINE 0.25% 30ML INJ 10.00 11/21/2016 3002615 BUPIVACAINE 0.25 w/ EPINEPHRINE INJ 50ML 3.09 3/1/2015 3002616 LEUPROLIDE 22.5MG 3MO KIT 3605.00 3/1/2015 3002617 BRIMONIDINE TART 0.2% OPTH SOL 8.60 7/17/2018 3002619 DUTASTERIDE 0.5MG CAP (AVODART) 15.45 3/1/2015 3002620 CLINDAMYCIN IN NS: 900MG/50ML 51.50 3/1/2015 3002621 BUPIVACAINE 0.5% 10ML VIAL 22.66 3/1/2015 3002623 CARBIDOPA/LEVODOPA 25/250MG TAB 4.12 3/1/2015 3002624 METHOHEXITAL 500MG INJ (BREVITAL) 2.58 3/1/2015 3002626 PHENYLEPHRINE 10MG/ML INJ 30.90 3/1/2015 3002628 PRAMIPEXOLE 0.25MG TAB (MIRAPEX) 4.12 3/1/2015 3002629 LORATADINE 5MG/5ML SYRUP (CLARITIN) 1.24 3/1/2015 3002631 MEPIVACAINE 2% 50ML MDV INJ 25.75 3/1/2015 3002632 ZIPRASIDONE 20MG/ML *I.M. ONLY* (GEODON) 36.05 3/1/2015 3002633 CLOBETASOL 0.05% TOP CR. 15GM 15.45 3/1/2015 3002634 CLOBETASOL 0.05% TOP SOL. 25ML 20.60 3/1/2015 3002635 KETOCONAZOLE 2% SHAMPOO 120ML 25.75 3/1/2015 3002636 PERMETHRIN 5% CREAM (ELIMITE) 36.05 3/1/2015 3002639 LIDOCAINE-MPF 2% WITH EPI 1:200,000 SDV 25.75 3/1/2015 3002640 MEPIVACAINE-PF 2% 20ML SDV INJ 25.75 3/1/2015 3002641 KETOTIFEN 0.025% OPTH DROP (ZADITOR) 25.75 3/1/2015 3002642 MORPHINE SULFATE 2MG/ML INJ 4.81 10/4/2017 3002643 MEPERIDINE HCL 25MG/ML INJ. 30.90 3/1/2015 3002645 IRON SUCROSE 100MG/5ML IV PUSH 77.25 3/1/2015 3002646 NIACIN 500MG SR CAP (NIASPAN) 4.12 3/1/2015 3002647 NITRATEST PAPER (pH PAPER) 10.30 3/1/2015 3002648 BELLADONNA/OPIUM 16.2/60MG RECT SUPP 49.44 3/1/2015 3002649 BUPROPION 100MG TAB (WELLBUTRIN) 4.12 3/1/2015 3002650 NEOMYCIN/POLY B AMP FOR GU IRRIG 36.05 3/1/2015 3002651 TOLTERODINE 2MG TAB (DETROL) 15.45 3/1/2015 3002652 PHENYTOIN SOD. 100MG/2ML INJ 20.60 3/1/2015 3002653 UROCIT-K ER 10MEQ TAB 6.18 3/1/2015 3002654 DICLOFENAC 1% GEL (VOLTAREN) 66.95 3/1/2015 3002655 LIDOCAINE 1% EPIDURAL 5ML SD AMP 20.60 3/1/2015 3002656 DEXTROSE 5%/0.2%NS 1000ML 20.00 8/29/2012 3002657 LEVOTHYROXINE 112MCG (0.112MG) TAB 4.12 3/1/2015 3002658 FENOFIBRATE 160MG TAB 9.27 3/1/2015 3002659 PANTOPRAZOLE 40MG TAB (PROTONIX) 4.12 3/1/2015 3002660 PANTOPRAZOLE 40MG/NS 50ML IVPB 41.20 3/1/2015 3002661 ZIPRASIDONE 20MG CAP (GEODON) 4.50 2/17/2016 3002662 ACETAMINOPHEN 1GM/100ML *IV* SDV 71.25 6/12/2018 3002664 B-COMPLEX/B-12 S.L. DROPS 20.60 3/1/2015 3002665 LIRAGLUTIDE 18MG/3ML SYR (VICTOZA) 410.00 11/14/2018 3002666 ACETAMINOPHEN EXT.STR. 500MG TAB 4.12 3/1/2015 3002667 VANCOMYCIN IN NS :500MG/250ML 41.20 3/1/2015 3002668 VANCOMYCIN IN NS :750MG/250ML 41.20 3/1/2015 3002669 VANCOMYCIN IN NS :1GM/250ML 41.20 3/1/2015 3002670 VANCOMYCIN IN NS :1250MG/250ML 41.20 3/1/2015 3002671 VANCOMYCIN IN NS :1500MG/250ML 41.20 3/1/2015 3002672 VANCOMYCIN 1GM ADD-VIAL 41.20 3/1/2015 3002673 CEFAZOLIN IN NS :1GM/50ML IVPB 41.20 3/1/2015 3002674 CEFAZOLIN IN NS: 500MG/50ML 26.78 3/1/2015 3002675 AMPICILLIN IN NS :1GM/50ML 48.93 3/1/2015 3002676 AMPICILLIN IN NS :2GM/100ML IVPB 81.37 3/1/2015 3002677 AMPICILLIN IN NS :500MG/50ML 20.60 3/1/2015 3002678 AMPICILLIN IN NS :250MG/50ML 20.60 3/1/2015 3002679 DABIGATRAN 150MG CAP (PRADAXA) 10.30 3/1/2015 3002680 GENTAMICIN IN NS :60MG/100ML 41.20 3/1/2015 3002681 GENTAMICIN IN NS :100MG/100ML 41.20 3/1/2015 3002682 GENTAMICIN IN NS :120MG/100ML 41.20 3/1/2015 3002683 CEFAZOLIN IN NS: 1.5GM/100ML 41.20 3/1/2015 3002686 DILTIAZEM IN NS :125MG/100ML 100.00 6/27/2011 3002687 BICALUTAMIDE 50MG TAB (CASODEX) 4.12 10/18/2017 3002688 FOSPHENYTOIN IN NS :500MG PE/50ML 41.20 3/1/2015 3002689 FOSPHENYTOIN IN NS :750MG PE/50ML 61.80 3/1/2015 3002690 FOSPHENYTOIN IN NS :1000MG PE/50ML 61.80 3/1/2015 3002691 FOSPHENYTOIN IN NS :1250MG PE/50ML 92.70 3/1/2015 3002692 FOSPHENYTOIN IN NS :1500MG PE/50ML 92.70 3/1/2015 3002693 FOSPHENYTOIN IN NS :2000MG PE/50ML 123.60 3/1/2015 3002694 FOSPHENYTOIN IN NS :1750MG PE/50ML 30.90 3/1/2015 3002695 FOSPHENYTOIN IN NS :250MG PE/50ML 41.20 3/1/2015 3002696 VASOLEX OINT 49.44 3/1/2015 3002697 CEFTRIAXONE IN NS: 2GM/50ML 41.20 3/1/2015 3002698 DAPTOMYCIN IN NS: 500MG/50ML 589.16 3/1/2015 3002699 DAPTOMYCIN IN NS: 750MG/NS50ML 721.00 3/1/2015 3002700 DAPTOMYCIN IN NS: 250MG/NS50ML 589.16 3/1/2015 3002702 DILTIAZEM IN NS :125MG/125ML 61.80 3/1/2015 3002703 DOXYCYCLINE IN NS :200MG/250ML 53.05 3/1/2015 3002704 LAMOTRIGINE 100MG TAB (LAMICTAL) 4.12 3/1/2015 3002705 HEPARIN FLUSH 10 UNITS/ML 5ML SYR 10.30 3/1/2015 3002706 LEVONORGESTREL 1.5MG TAB (PLAN B) 61.80 3/1/2015 3002707 TOBRAMYCIN/DEXAMETH OPTH SUSP 66.95 3/1/2015 3002709 LOPERAMIDE 1MG/7.5ML LIQUID (IMODIUM) 12.36 3/1/2015 3002710 MORPHINE SULFATE PF 2MG/*2ML* INJ 20.00 9/15/2011 3002711 DENOSUMAB 60MG/ML INJ 1662.00 10/24/2018 3002712 SODIUM CHLORIDE 0.45% 1L / KCL 20MEQ 40.00 8/4/2009 3002713 TRIPTORELIN PAMOATE 11.25MG VL 721.00 3/1/2015 3002714 LIDOCAINE 2% P.F. 5ML VIAL 3.99 11/8/2017 3002715 ABATACEPT 250MG IN NS 100ML 576.80 3/1/2015 3002716 SODIUM HYALURONATE 1% 2ML SYR 370.80 3/1/2015 3002717 LIDOCAINE-MPF 2%/ EPI 1:200000 10ML 20.60 3/1/2015 3002720 ZIDOVUDINE 300MG CAP (RETROVIR) 6.18 3/1/2015 3002722 SALINE NASAL/LIP MOIST GEL 12.36 3/1/2015 3002724 MANNITOL INHALATION TEST (ARIDOL) 180.25 3/1/2015 3002725 SODIUM CHLORIDE 0.9% BACT. INJ 30ML 4.12 3/1/2015 3002727 BUDESONIDE/FORMOT. 160/4.5MCG PO INH. 217.50 6/12/2018 3002728 ONDANSETRON 40MG/20ML INJ 4.00 1/26/2012 3002729 OXYCODONE I.R. 5MG TAB 4.12 10/4/2017 3002730 TETRACYCLINE 10% INSTILLATION 41.20 3/1/2015 3002731 DESMOPRESSIN 0.01% NASAL SPRAY 283.25 3/1/2015 3002732 D5W 1L/ KCL 20MEQ 41.20 3/1/2015 3002733 GENTAMICIN 0.1% CREAM 70.00 2/12/2016 3002734 ESTRADIOL CYP 5MG/ML IM INJ 63.72 7/20/2018 3002736 AD OINTMENT 15.00 3/1/2012 3002737 OSELTAMIVIR 6MG/ML ORAL SUSP 27.73 1/5/2018 3002738 OSELTAMIVIR 30MG CAP 30.52 4/9/2018 3002739 OSELTAMIVIR 45MG CAP 22.66 3/1/2015 3002742 DIPH/TETANUS TOX/ACELL PERTUSS VACC 72.62 3/1/2015 3002745 DIPH/TET TOX/ACELL PERTUSS/POLIO VACCINE 92.70 3/1/2015 3002746 MITOMYCIN 40MG INJ 1025.88 3/1/2015 3002747 TROSPIUM 20MG TAB (SANCTURA) 10.30 3/1/2015 3002748 OPTIMARK 20 ML SYRINGE 88.58 4/1/2012 3002749 ATRACURIUM 100MG/10ML INJ 28.00 4/9/2018 3002750 CLOBETASOL 0.05% OINT 15GM (CLOBEX) 20.60 3/1/2015 3002751 PNEUMOCOCCAL 13-VAL CONJ VACCINE 253.00 11/14/2018 3002752 INDIGO CARMINE 8MG/ML 5ML INJ 25.75 3/1/2015 3002753 GLUCOSE 4GM CHEW TAB (ORANGE) 12.36 3/1/2015 3002757 EPINEPHRINE 1:1000 MULTI-DOSE VIAL 21.00 8/21/2012 3002758 SODIUM CHLORIDE 1GM TAB 4.12 3/1/2015 3002759 D5W 1000ML 41.20 3/1/2015 3002760 D5W 500ML 41.20 3/1/2015 3002761 D5W 250ML 20.60 3/1/2015 3002762 NS 1000ML 41.20 3/1/2015 3002763 SODIUM CHLORIDE 0.9% 500ML IV 40.00 8/22/2012 3002764 NS 250ML (DRUG ADDITIVE SEE COMMENTS) 20.00 8/22/2012 3002765 D5LR 1000ML 40.00 8/22/2012 3002766 D5LR 500ML 20.00 8/22/2012 3002767 D51/2NS 1000ML 40.00 8/22/2012 3002768 D51/3NS 1000ML 40.00 8/22/2012 3002769 D5NS 1000ML 40.00 8/22/2012 3002770 D51/4NS 250ML 20.00 8/22/2012 3002771 NS 50ML 20.00 8/22/2012 3002772 NS 100ML (SEE ADDITIVE) 20.00 8/22/2012 3002773 D5W 50ML 20.00 8/22/2012 3002774 D5W 100ML 20.00 8/22/2012 3002775 NACL 3% 500ML 40.00 9/15/2014 3002776 1/2NS 1000ML 40.00 8/28/2012 3002777 D5NS 500ML (D5&.9NS) 30.00 8/28/2012 3002778 LR 1000ML 40.00 8/28/2012 3002779 LR 500ML 40.00 8/28/2012 3002780 NS 100ML ADD-VANTAGE 20.00 8/22/2012 3002783 D51/3NS 500ML 20.00 8/22/2012 3002784 D10W 250ML 20.00 8/29/2012 3002785 NITROGLYCERIN 50MG IN D5W 250ML 41.20 3/1/2015 3002786 RIVAROXABAN 10MG TAB (XARELTO) 34.30 11/14/2018 3002789 PROMETHAZINE 12.5MG/NS 50ML 15.45 3/1/2015 3002790 PROMETHAZINE 25MG/NS 50ML 15.45 3/1/2015 3002792 OLANZAPINE 10MG TAB (ZYPREXA) 5.15 3/1/2015 3002794 AZITHROMYCIN IN NS: 250MG/250ML 61.80 3/1/2015 3002795 CHLORHEXIDINE ORAL RINSE 0.12% 4.12 3/1/2015 3002796 FLUOXETINE 10MG CAP (PROZAC) 4.12 3/1/2015 3002797 CEPACOL LOZENGE 4.12 3/1/2015 3002798 ROFLUMILAST 500MCG TAB (DALIRESP) 18.54 3/1/2015 3002799 IMIPENEM-CILASTATIN IN NS :750MG/100ML 47.10 3/1/2015 3002800 BUTORPHANOL TART 1MG/ML INJ 15.45 3/1/2015 3002801 MEDROXYPROGESTERONE 150MG I.M. INJ 65.24 11/10/2015 3002802 DTAP-IPV-HIB VACCINE 84.00 11/13/2015 3002803 ALBUMIN 25%: 25 GM/100ML 147.00 4/6/2016 3002804 IRON DEXTRAN 100MG/2ML INJ 41.20 3/1/2015 3002805 CLOPIDOGREL *FOR STEMI ONLY* 300MG TAB 27.25 6/4/2018 3002806 DOCOSANOL 10% CR (ABREVA) 25.75 3/1/2015 3002807 NS 25ML (WITH ADDITIVE) 20.60 3/1/2015 3002808 LEVALBUTEROL 0.31MG/3ML NEB SOL (XOPENEX 8.24 3/1/2015 3002809 RIVAROXABAN 15MG TAB (XARELTO) 34.80 5/14/2018 3002810 RIVAROXABAN 20MG TAB (XARELTO) 34.80 6/15/2018 3002811 TOPIRAMATE 100MG (TOPAMAX) TAB 4.12 3/1/2015 3002812 EPOETIN ALPHA 4000 UNITS/ML 100.00 3/8/2016 3002813 SCOPOLAMINE 1.5MG PATCH 51.22 1/19/2018 3002814 COCAINE 4% TOPICAL SOL 4ML 207.03 3/1/2015 3002815 LIDOCAINE JELLY 2% UROJECT 10ML 15.45 3/1/2015 3002816 METHYLNALTREXONE 12MG/0.6ML SDV INJ 142.25 11/22/2017 3002817 PROCAINAMIDE MAINTAIN IN NS: 1GM/250ML 41.20 3/1/2015 3002818 ALBUT/IPRAT 120/20MCG ORAL INHALER 417.08 11/14/2017 3002819 MAGNESIUM SULFATE 8% 4GM/50ML PRE-MIX 41.20 3/1/2015 3002820 MEROPENEM IN NS: 500MG/50ML (MERREM) 41.20 3/1/2015 3002821 MEROPENEM IN NS: 1000MG/50ML (MERREM) 41.20 3/1/2015 3002822 1/2NS 1000ML/KCL 40MEQ IV 40.00 8/28/2012 3002823 PIPERACILLIN/TAZO/NS : 2.25GM/50ML IVPB 78.28 3/1/2015 3002824 DRONEDARONE 400MG TAB (MULTAQ) 15.45 3/1/2015 3002825 NOVOLOG 100 UNITS/NS 100ML IV DRIP 60.00 5/31/2013 3002827 JUVEN PACKET 7.00 4/23/2018 3002828 IRON SUCROSE 100MG/NS 50ML IVPB 77.25 3/1/2015 3002829 IRON SUCROSE 200MG IN NS 100ML IVPB 62.76 8/13/2018 3002830 IRON SUCROSE 300MG IN NS 250ML IVPB 77.25 3/1/2015 3002831 LIDOCAINE-MPF 1% WITH EPI 1:200,000 20.60 3/1/2015 3002832 VALPROATE NA 250MG IN NS 100ML IVPB 8.24 3/1/2015 3002833 VALPROATE NA 750MG IN NS 100ML IVPB 8.24 3/1/2015 3002834 LEVEMIR (INSULIN DETEMIR) 100 UNITS/ML 1.03 3/1/2015 3002835 POTASSIUM BICARB/CIT ACID 10MEQ EFF TAB 4.12 3/1/2015 3002836 PANTOPRAZOLE 80MG/NS 100ML CONT IV 51.50 3/1/2015 3002837 CHLOROPROCAINE-MPF 3% INJ 25.75 3/1/2015 3002838 MEASLES/MUMPS/RUB/VARICELLA VACCINE 206.00 3/1/2015 3002840 D51/2NS 1L/ KCL 40MEQ 1000ML 41.20 3/1/2015 3002841 DEXAMETHASONE 0.5MG/5ML ELIXIR 4.12 3/1/2015 3002842 FIBERSOURCE HN 250ML (TUBE-FEED) 4.12 3/1/2015 3002843 CHORIONIC GONADOTROPIN 10,000U INJ 25.75 3/1/2015 3002844 LABETALOL 100MG TAB 4.12 3/1/2015 3002845 SILDENAFIL 20MG TAB (REVATIO) 4.12 3/1/2015 3002846 MULTIPLE VITAMIN CHEWABLE 4.12 3/1/2015 3002847 FERUMOXYTOL 510MG/17ML INJ 396.55 3/1/2015 3002848 LEVOTHYROXINE 25MCG (0.025MG) TAB 4.12 3/1/2015 3002850 DOXEPIN 10MG CAP (SINEQUAN) 4.12 3/1/2015 3002851 LEUPROLIDE 7.5MG ONE MONTH KIT 190.55 3/1/2015 3002852 IMMUNE GLOBULIN 10% 20GM/200ML IV 2317.50 3/1/2015 3002853 IMMUNE GLOBULIN 10% 5GM/50ML IV 618.00 3/1/2015 3002854 STERILE WATER FOR INJ 100ML VIAL 5.00 3/12/2014 3002855 BCG LIVE 50MG UROLOGICAL 226.60 3/1/2015 3002856 ADVAIR HFA 45/21 ORAL INHALER 7.75 7/11/2017 3002857 ADVAIR HFA 115/21 ORAL INHALER 9.00 7/11/2017 3002858 ADVAIR HFA 230/21 ORAL INHALER 14.20 5/25/2018 3002859 METRONIDAZOLE 0.75% VAGINAL GEL 54.59 3/1/2015 3002860 APIXABAN 5MG TAB (ELIQUIS) 15.45 3/1/2015 3002861 HYLAN G-F 20 6ML INJ 662.00 4/10/2018 3002862 DEMECLOCYCLINE 300MG TAB 32.24 3/1/2015 3002863 MICAFUNGIN 100MG IN NS 100ML IVPB 94.00 9/6/2018 3002864 LEVALBUTEROL 1.25MG/MUCOMYST 20% 2ML 20.60 3/1/2015 3002865 LEVOTHYROXINE 100MCG INJ 126.00 2/16/2016 3002866 TOBRAMYCIN TOPICAL POWDER 1GM 60.77 3/1/2015 3002867 PROPOFOL 10MG/ML 50ML SDV 77.25 3/1/2015 3002868 FULVESTRANT 500MG INJ KIT 2008.50 3/1/2015 3002869 EMTRICITABINE/TENOFOVIR 200/300MG TAB 41.20 3/1/2015 3002870 RALTEGRAVIR 400MG TAB (ISENTRESS) 54.95 1/22/2018 3002871 DULOXETINE 60MG CAP (CYMBALTA) 4.12 3/1/2015 3002872 BUTORPHANOL TART 2MG/ML INJ 15.45 3/1/2015 3002873 PHENAZOPYRIDINE 95MG TAB (PYRIDIUM) 4.12 3/1/2015 3002874 HYOSCYAMINE 0.125MG/5ML ELIXIR 4.12 3/1/2015 3002875 LIDOCAINE 2% P.F. 10ML AMP 4.20 3/17/2015 3002876 AMINO ACID 10% 1000ML 30.00 6/29/2015 3002877 TPN TRACE ELEMENTS 10ML 24.50 6/29/2015 3002878 TPN SODIUM PHOSPHATE 15MMOL/5ML 28.00 6/29/2015 3002879 TPN SODIUM ACETATE 40MEQ/20ML INJ 12.00 7/7/2015 3002880 TPN POTASSIUM PHOSPHATE 15MMOL/5ML 25.00 7/16/2015 3002881 APIXABAN 2.5MG TAB (ELIQUIS) 17.40 1/22/2018 3002882 INFLUENZA VAC 0.5ML HIGH-DOSE 61.88 9/20/2017 3002883 INFLUENZA VAC PED 0.25ML PF QUAD 42.00 10/14/2015 3002884 INFLUENZA VAC 0.5ML PF SYR QUAD 35.00 10/14/2015 3002885 INFLUENZA VAC 0.5ML MD VIAL QUAD 35.00 10/14/2015 3002886 SODIUM CHLORIDE 125ML SYR (RADIOLOGY) 30.24 10/1/2015 3002887 SOLOSITE WOUND HYDROGEL 85GM 43.89 11/8/2017 3002888 LUPANETA PACK 3-MON 11.25/5MG KIT 4223.00 11/6/2015 3002889 ENEMA ADULT MINERAL OIL (FLEET'S) 5.00 2/1/2016 3002891 ENEMA SODIUM BIPHOS PEDIATRIC 5.00 2/1/2016 3002892 DEFINITY INJ SUSP 2ML (ECHOCARDIOGRAM) 165.00 3/22/2016 3002893 LEFLUNOMIDE 10MG TAB 13.60 6/4/2018 3002894 ARFORMOTEROL TART 15MCG/2ML NEB SOL 35.00 7/21/2016 3002895 MENINGOCOCCAL GROUP B VACCINE 0.5ML 201.00 5/25/2018 3002896 TPN SODIUM CHLORIDE 23.4% INJ 12.00 7/7/2015 3002897 FILGRASTIM 480MCG/0.8ML SYRINGE 670.00 10/21/2015 3002898 PEG-3350 AND ELECTROLYTES (GOLYTELY) 4L 22.65 11/8/2017 3002899 TBO-FILGRASTIM 480MCG/0.8ML SYR (GRANIX) 440.00 10/11/2016 3002900 CISATRACURIUM 10MG/5ML INJ (NIMBEX) 46.00 10/20/2016 3002901 HUMAN PAPILOMAVIRUS 9-VALENT 0.5ML INJ 294.00 8/13/2018 3002902 OLANZAPINE 10MG/VIAL *I.M. ONLY* 53.33 11/2/2016 3002903 PPN CLINIMIX 2.75% AA 5% DEX 1L 56.00 11/14/2016 3002904 THEOPHYLLINE 160MG/30ML ORAL SOL 33.25 11/17/2016 3002905 ATORVASTATIN 40MG TAB (LIPITOR) 4.12 3/1/2015 3002906 INFLUENZA VAC 0.5ML EGG-FREE 81.50 9/22/2017 3002907 CHLORHEXIDINE GLUC 4% SKIN CLEANSE 15ML 4.12 11/30/2016 3002908 TPN CLINIMIX-E 5% AA 25% DEX 1L 58.00 12/5/2016 3002909 TPN CLINIMIX-E 5% AA 25% DEX 2L 67.00 12/8/2016 3002910 EDROPHONIUM CHLORIDE 150MG/15ML INJ 54.00 1/24/2017 3002911 SODIUM CHLORIDE 0.9% BACT. INJ 10ML 4.12 3/1/2015 3002912 INTRALIPID 20% 100ML IV 31.50 3/9/2017 3002913 HYDROCODONE/APAP 7.5/325MG/15ML SOL 32.00 5/12/2017 3002914 NICARDIPINE 25MG/10ML INJ 45.60 5/18/2017 3002915 DARBEPOETIN ALFA 60MCG/0.3ML SYR 636.00 6/6/2017 3002916 CEFTAROLINE IN NS: 600MG/100ML 183.00 6/13/2017 3002917 TICAGRELOR 90MG TAB (BRILINTA) 19.60 4/30/2018 3002918 ADVAIR HFA 45/21 (ISOLATION ONLY 8GM) 256.00 7/11/2017 3002919 ADVAIR HFA 115/21 (ISOLATION ONLY 8GM) 278.13 1/5/2018 3002920 ADVAIR HFA 230/21 (ISOLATION ONLY 8GM) 380.00 7/12/2017 3002921 HYDROCODONE/APAP 10/325MG TAB (NORCO-10) 5.15 3/1/2015 3002922 KETAMINE 10MG/ML 20ML VIAL (ER USE) 19.58 3/15/2017 3002923 SULFAMETHOXAZOLE/TMP 800/160MG INJ 14.25 4/9/2018 3002924 EPINEPHRINE 30MG/30ML 1:1000 MD VIAL 13.23 10/23/2017 3002925 EPOETIN ALPHA 2000 UNITS/ML 69.08 11/7/2017 3002926 MORPHINE SULFATE 4MG/ML INJ 6.30 4/18/2018 3002927 MORPHINE SULFATE 10MG/0.5ML ORAL CONC 6.97 11/14/2017 3002928 JEVITY 1.0 CAL 240ML 4.12 3/1/2015 3002929 DORNASE ALFA NEB SOL 2.5ML (2500 UNITS) 156.00 12/4/2017 3002930 TRANEXAMIC ACID 1000MG/10ML INJ 20.00 10/24/2018 3002931 THEOPHYLLINE 100MG ER CAP 6.02 12/15/2017 3002932 D5NS /w KCL 20MEQ 1000ML 41.20 3/1/2015 3002934 PANTOPRAZOLE 40MG IV PUSH 11.25 2/20/2018 3002936 FLECAINIDE 50MG TAB 4.12 3/1/2015 3002937 ERTAPENEM 1GM/NS 50ML (INVANZ) 184.00 5/22/2018 3002938 TERBINAFINE 250MG TAB 4.12 3/1/2015 3002939 LIDOCAINE 2% 10ML MDV 4.12 8/9/2018 3002940 FENTANYL 12MCG/HR PATCH 29.00 9/6/2018 3002941 ELECTROLYTE SOLUTION POWDER PACK 4.12 9/7/2018 3005600 RENAGEL 800MG TAB 15.24 3/1/2015 3005753 NORMAL SALINE ADV 250ML 20.60 3/1/2015 3005754 NORMAL SALINE 100ML ADDVANTAGE 20.60 3/1/2015 3005772 TRIAMTERENE w/HCTZ 75/50MG TAB 4.12 3/1/2015 3005774 SILVER SULFADIAZINE 1% CREAM 50GM JAR 30.52 4/9/2018 3005778 SURGILUBE PACKET 15.00 8/1/2008 3005779 DESFLURANE LIQUID 51.50 3/1/2015 3005782 NORMAL SALINE 30ML VIAL 2.58 3/1/2015 3005785 SODIUM CHLORIDE 0.9% 50ML ADDVANTAGE 4.12 10/4/2017 3005786 SALINE FOR INHALATION 15.45 3/1/2015 3005787 SOD BICARB 8.4% 50ML VIAL 28.60 6/4/2018 3005789 SENNA 8.6MG /w DOCUSATE NA 50MG TAB 4.12 3/1/2015 3005791 SALINE FLUSH SYRINGE 2.5 ML 20.00 8/1/2008 3005792 RACEMIC EPINEPHRINE 2.25% INHAL SOL 6.50 10/24/2018 3005793 OXYCODONE/APAP 5/325MG TAB (PERCOCET) 4.12 10/4/2017 3005794 FLUMAZENIL 0.1MG/ML 5ML INJ 9.14 10/24/2018 3005795 GUAIFENESIN LOSENGE 4.00 8/1/2008 3005800 PROMETH WITH COD 6.25/5ML 0.89 3/1/2015 3005801 PROMETHAZINE SYRUP PLAIN 6.25/5ML 1.03 3/1/2015 3005802 PROCRIT 20M UNITS/ML 363.75 3/1/2015 3005803 PROCRIT 4M UN/ML 128.00 8/1/2008 3005804 PROCRIT 2M UNITS/ML 64.00 8/1/2008 3005805 PROCAINAMIDE BOLUS IN NS: 1GM/50ML 29.87 3/1/2015 3005807 PRENATAL VIT TAB 4.12 3/1/2015 3005808 PREDNISOLONE 15MG/5ML SYRUP 1.55 3/1/2015 3005813 PHYSOSTIGMINE SALIC 1MG/ML 2ML INJ 20.60 3/1/2015 3005814 PENTOXIFYLLINE 400MG TAB (TRENTAL) 4.12 3/1/2015 3005815 PEDIARIX VAC 0.5ML 99.36 11/9/2015 3005816 PEDIA POP 4.12 3/1/2015 3005825 OXYBUTYNIN 5MG TAB (DITROPAN) 4.12 3/1/2015 3005829 NYSTATIN 15GM OINT 24.72 3/1/2015 3005830 NYSTATIN/TRIAM CREAM 15GM TUBE 19.06 3/1/2015 3005835 NICOTINE 21 PATCH 6.62 10/11/2017 3005836 NICOTINE 14 PATCH 4.69 11/17/2017 3005837 NICOTINE 7 PATCH 12.36 3/1/2015 3005838 NEO/POLY/B H OTIC SUSP : 25.08 8/1/2008 3005841 MMR VACCINE 96.60 7/17/2018 3005844 LIDOCAINE 0.5% MPF 50ML INJ 30.90 3/1/2015 3005847 LANTUS (INSULIN GLARGINE REC) 100 U/ML 1.03 3/1/2015 3005849 INFANRIX 0.5ML INJ 78.80 3/1/2015 3005853 GUAIFENESIN w/CODEINE 100-10MG/5ML 5.15 3/1/2015 3005854 GENTIAN VIOLET 1% SOL 20.09 3/1/2015 3005857 FLUTICASONE 44MCG ORAL INHALER (FLOVENT) 148.32 3/1/2015 3005858 FERRIC SUBSULFATE SOL 30ML 10.30 3/1/2015 3005859 ENSURE 240ML CAN 4.12 3/1/2015 3005861 CYPROHEPTADINE 4MG TAB (PERIACTIN) 4.12 3/1/2015 3005862 NEOMY/POLY B/HC OPTH SUSP. (CORTISPORIN) 150.08 10/24/2018 3005863 CORTISPORIN 0.5% CREAM 77.25 3/1/2015 3005864 CARVEDILOL 12.5MG TAB (COREG) 4.12 3/1/2015 3005865 COMVAX 0.5MLVACCINE 81.89 3/1/2015 3005867 BETADINE SURGICAL SCRUB 7.5% 32oz 15.45 3/1/2015 3005868 BETADINE SURGICAL SCRUB 7.5% GAL 15.45 3/1/2015 3005869 BETADINE SOL 10% 4OZ 43.26 3/1/2015 3005870 BETADINE SCRUB 7.5% 4 OZ 15.45 3/1/2015 3005871 POVIDONE-IODINE TOP SOL 15ML 4.00 10/7/2015 3005872 BETADINE SOL 10% 1 GAL 15.45 3/1/2015 3005873 BETADINE SOLUTION 10% 1 QT 15.45 3/1/2015 3005874 BACITRACIN 0.9 GM OINT 4.12 10/4/2018 3005878 SALINE FLUSH 10ML SYRINGE 4.12 10/4/2017 3005879 BUSPIRONE 15MG TAB (BUSPAR) 4.12 3/1/2015 3005881 CALCITRIOL 0.25MCG TAB 4.12 3/1/2015 3005884 CLONAZEPAM 1MG TAB (KLONOPIN) 5.15 3/1/2015 3005888 ENSURE HP VANILLA 240ML 4.12 3/1/2015 3005890 GLUCERNA VAN SHAKE 240ML 4.12 3/1/2015 3005891 GLUCERNA VAN SELECT 240ML 4.12 3/1/2015 3005892 GLUCERNA VAN FIBER 240ML 4.12 3/1/2015 3005896 HYDROCORTISONE POWDER 90.64 3/1/2015 3005897 HYOSCYAMINE 0.375MG ER TAB 4.61 3/1/2015 3005898 IPOL VACCINE 82.40 3/1/2015 3005899 ISOSORBIDE MONO. 20MG TAB (ISMO) 4.12 3/1/2015 3005900 LACTOBACILLUS TAB 4.12 3/1/2015 3005902 ATORVASTATIN 10MG TAB (LIPITOR) 4.12 3/13/2017 3005903 LISINOPRIL 20MG TAB (ZESTRIL) 4.12 3/1/2015 3005904 MEPERIDINE 10MG/ML 30ML PCA 41.20 3/1/2015 3005905 MERTHERGINE 0.2MG/ML AMP 21.42 3/1/2015 3005906 SEVOFLURANE 90.64 3/1/2015 3005909 LEVALBUTEROL 0.63MG/3ML NEB (XOPENEX) 4.12 1/22/2018 3005910 LIDOCAINE JELLY 2% UROJECT 5ML 15.45 3/1/2015 3005911 ONDANSETRON 4MG TAB (ZOFRAN) 4.12 3/1/2015 3005912 ONDANSETRON 4MG/2ML INJ (ZOFRAN INJ) 4.12 10/4/2017 3005914 CETIRIZINE 10MG TAB (ZYRTEC) 4.12 3/1/2015 3005915 NUTRIT SUPPLEMENT (GLUCERNA SHK) LIQ 4.12 3/1/2015 3005916 TAMSULOSIN HCL 0.4MG CAP (FLOMAX) 4.12 3/7/2017 3005917 EYE WASH 118ML (EYE STREAM) 13.20 11/17/2017 3005918 EPOETIN ALFA (EPOGEN) VL : 2000MUN/ML 59.00 8/1/2008 3005920 DOXYCYCLINE IN NS :100MG/100ML 53.00 2/6/2017 3005921 DOXEPIN 25MG CAP (SINEQUAN) 4.12 3/1/2015 3005922 DOBUTAMINE 1000MCG/ML IN D5W 250ML BAG 63.86 3/1/2015 3005928 BUPROPION SUST RELEASE TAB 150MG 4.12 3/1/2015 3005929 BOOST VANILLA LIQ 240ML 4.12 3/1/2015 3005930 BOOST CHOCOLATE LIQ 240ML 4.12 3/1/2015 3005933 DARBEPOETIN (ARANESP) SDV : 150MCG 1728.50 8/1/2008 3005934 DARBEPOETIN (ARANESP) VL : 200MCG 2304.50 8/1/2008 3005935 DARBEPOETIN (ARANESP) VL : 25MCG 288.00 8/1/2008 3005936 DARBEPOETIN ALFA 100MCG/0.5ML SYR 1060.00 7/17/2017 3005938 AMOXICILLIN 200MG/5ML SUSP 6.34 1/22/2018 3005941 ALPRAZOLAM 1MG TAB (XANAX) 5.15 3/1/2015 3005943 ALBUTEROL 2MG/5ML SYRUP 1.03 3/1/2015 3005944 ALBUTEROL 2.5MG/3ML PREMIX NEB SOL 20.60 3/1/2015 3005946 PHENYLEPHRINE 10% OPHT SOL 27.81 3/1/2015 3005947 ADVAIR(FLUTICAS./SALMET.) 500/50 PO INH 206.00 3/1/2015 3005948 ADVAIR(FLUTICA./SALMET.) 250/50 PO INH. 164.80 3/1/2015 3005949 ADVAIR(FLUTICAS./SALMET.) 100/50 PO INH. 169.44 3/1/2015 3005950 ADVAIR 500/50 60 DOSES 269.68 7/1/2008 3005951 PIOGLITAZONE 15MG TAB (ACTOS) 4.12 4/30/2018 3005952 ELECTROLYTE/PEDIALYTE 33.8OZ BOT 15.45 3/1/2015 3005953 OXYCODONE CR (OXYCONTIN) TAB : 40MG 25.64 7/1/2008 3005954 OXYCODONE 10MG E.R. TAB (OXYCONTIN) 7.73 3/1/2015 3005955 MIRTAZAPINE 15MG ORAL-DISSOLVING TAB 4.12 11/14/2018 3005956 MIRTAZAPINE 45MG ORAL TAB (REMERON) 4.12 3/1/2015 3005957 OLANZAPINE 5MG ORALLY-DISSOLVING TAB 4.12 9/22/2017 3005959 DROPERIDOL 2.5MG/ML INJ 25.75 3/1/2015 3005960 FEXOFENADINE 60MG TAB (ALLEGRA) 4.12 3/1/2015 3005961 LEVOFLOXACIN IN D5W :750MG/150ML PREMIX 41.20 3/1/2015 3005962 LEVOFLOXACIN IN D5W :500MG/100ML PREMIX 41.20 3/1/2015 3005963 ALENDRONATE 70MG WEEKLY TAB 31.93 3/1/2015 3005964 VENLAFAXINE 75MG XR CAP (EFFEXOR XR) 4.12 11/15/2018 3005965 FENTANYL 75MCG/HR PATCH 18.32 4/9/2018 3005966 FENTANYL 50MCG/HR PATCH 81.37 3/1/2015 3005967 SIMVASTATIN 20MG TAB (ZOCOR) 4.12 3/1/2015 3005969 MEGESTROL 20MG TAB (MEGACE) 4.12 3/1/2015 3005971 PREDNISONE 10MG TAB 4.12 3/1/2015 3005972 NITROGLYCERIN 0.4MG/HR PATCH 7.73 3/1/2015 3005973 NITROGLYCERIN 0.2MG/HR PATCH 7.21 3/1/2015 3005974 NAPROXEN 500MG TAB (NAPROSYN) 4.12 3/1/2015 3005975 BUPIVACAINE 0.5% w/ EPINEPHRINE INJ 30ML 5.47 6/14/2018 3005976 NITROFURANTOIN MONO 100MG CAP 4.12 3/1/2015 3005977 MAGNESIUM SULFATE 1GM/NS 50ML 20.60 3/1/2015 3005978 LIDOCAINE 1% 50MG/5ML 20.60 3/1/2015 3005979 FUROSEMIDE 100MG/10ML INJ 20.60 3/1/2015 3005980 FUROSEMIDE 10MG/ML ORAL SOL (LASIX) 1.03 3/1/2015 3005981 FUROSEMIDE 40MG/4ML INJ 4.12 10/24/2018 3005983 DOPAMINE VL : 200MG 40.00 8/1/2008 3005984 DEXTROSE 50% INJECTION 50ML SYR 24.96 4/9/2018 3005986 BUMETANIDE 1MG/4ML INJ 5.81 9/29/2017 3005987 WARFARIN NA 1MG TAB (COUMADIN) 4.12 3/1/2015 3005988 ACTIDOSE ACT. CHARCOAL/SORBITOL 25GM TU 36.10 1/22/2018 3005989 SUCRALFATE 1GM/10ML SUSP (CARAFATE) 4.12 3/1/2015 3005990 PENICILLIN G BENZATHINE 1.2MU/2ML 225.00 7/17/2018 3005991 SULFAMETHOXAZOLE/TRIM 200/40MG 20ML SUSP 5.49 9/28/2016 3005993 MUPIROCIN 2% OINTEMNT 22GM TUBE 91.00 8/1/2008 3005995 ATROPINE SULFATE 1MG/10ML SYRINGE 28.74 10/11/2017 3005996 LORAZEPAM 2MG/ML INJ (ATIVAN) 30.90 3/1/2015 3005997 LORAZEPAM 0.5MG TAB (ATIVAN) 5.15 3/1/2015 3006000 ADENOSINE 3MG/ML 30ML INJ 556.20 3/1/2015 3006001 SIMETHICONE 80MG CHEW TAB 4.12 3/1/2015 3006005 NAFICILLIN 2GM INJ VIAL 81.37 3/1/2015 3006006 JUST LIKE ORAL MEDICATIONS 4.12 3/1/2015 3006007 JUST LIKE VIAL MEDICATIONS 20.60 3/1/2015 3006011 AMPHETAMINE SALTS 30MG TAB (ADDERALL) 9.50 8/1/2008 3006016 HYDROCHLOROTHIAZIDE 25MG TAB 4.12 3/1/2015 3006017 HALOPERIDOL LACTATE 5MG/ML INJ 4.12 9/13/2017 3006018 TOLTERODINE 4MG E.R. CAP (DETROL LA) 11.64 11/14/2017 3006019 ZINC OXIDE OINT 1 OZ 15.45 3/1/2015 3006020 FUROSEMIDE (LASIX) VIAL : 20MG 20.00 7/1/2008 3008781 METHYLPREDNISOLONE 2000MG INJ 86.01 3/1/2015 3008782 OPTIRAY350 100ML INJ 308.71 7/1/2018 3200001 BINDER ABDOMINAL SMALL 28.98 5/3/2008 3200013 ANGIOGRAM TRAY 10.50 5/3/2008 3200015 IMMOBILIZER ARM SMALL 19.32 5/3/2008 3200019 ATHLETIC SUPPORT 40.77 4/7/2016 3200023 TRAY FOLEY 16FR TAMPERPROOF 32.60 5/3/2008 3200030 LAVACUMATOR 21.00 5/3/2008 3200033 TRAY BONE MARROW ILLINOIS 15G ASP 60.00 6/9/2009 3200034 STERNAL PUNCTURE TRAY 10.50 5/3/2008 3200036 BONE PLATE 52.50 5/3/2008 3200040 PEZZER HEAD CATHETER 34.65 5/3/2008 3200041 KIRCHNER WIRE 47.25 5/3/2008 3200048 CAST-LONG LEG 26.25 5/3/2008 3200049 CAST-SHORT ARM 13.13 5/3/2008 3200050 CAST-SHORT LEG 21.00 5/3/2008 3200051 PLASTER SPLINT CAST 10.50 5/3/2008 3200062 CAUTERY PEN DISP 18.11 5/3/2008 3200063 COLLAR CERVICAL SMALL 22.94 5/3/2008 3200064 MYO CERVICLE COLLAR 21.79 5/3/2008 3200065 CHEST TRAY 52.50 5/3/2008 3200072 COLOSTOMY BAGS 10.50 5/3/2008 3200076 CYSTOSCOPE RIGID 65.00 8/13/2008 3200077 CUT DOWN TRAY 10.50 5/3/2008 3200079 CYSTOCATH 35.92 5/3/2008 3200084 BLADE BROWN DERMATONE 21.00 5/3/2008 3200085 CHEST DRAINAGE SYSTEM 96.60 5/3/2008 3200088 PERITONEAL DIALY TRY 36.75 5/3/2008 3200090 TRAY DRESSING CHANGE 12.13 1/22/2016 3200093 E N T TRAY 24.15 5/3/2008 3200095 PAD EGGCRATE 28.98 5/3/2008 3200096 PROTECTOR HEEL/ELBOW UNIVERSAL 11.17 5/3/2008 3200100 SUBCLAVIAN 20.21 5/3/2008 3200101 CATH NASAL E PISTAXIS 100.22 5/3/2008 3200102 CONTROL RELE SUTURE 26.51 5/3/2008 3200105 EYE TRAY 24.15 5/3/2008 3200122 FLUIDS-6% GENTRAN 35.70 5/3/2008 3200123 FL 2.5 DEXTROSE & LR 14.70 5/3/2008 3200124 DIANEAL 36.75 5/3/2008 3200129 GASTROSCOPE 476.96 5/3/2008 3200130 FILM FOR GASTROSCOPY 55 10.50 5/3/2008 3200131 GELFOAM SG SZ2x6 14.05 8/6/2012 3200135 EVACUATOR KIT CLSD WND SUCT MED 1/8 10.50 5/3/2008 3200136 KIT TROCAR CATH 20FR 181.13 5/3/2008 3200137 HEAT PAD 10.50 5/3/2008 3200138 HEMOVAC MED 47.25 5/3/2008 3200149 ISOLATION CAPS 21.53 5/3/2008 3200150 ISOLATION GOWNS-PKG 58.80 5/3/2008 3200151 ISOLATIN SHOE COVERS 10.50 5/3/2008 3200152 ISOLATION MASKS 16.54 5/3/2008 3200154 JEWETT NAIL 127.31 5/3/2008 3200155 SCREW SNAP OFF 580.50 4/18/2016 3200156 SLOTTED BONE PLATE 33.60 5/3/2008 3200162 LAPIDOUS FOAM PAD 21.00 5/3/2008 3200163 TRAY LACERATION DISP 30.19 5/3/2008 3200166 LIGACLIPS 15.75 5/3/2008 3200167 MONITOR LIFEPACK 6 60.38 5/3/2008 3200169 LIVER BIOPSY TRAY 26.25 5/3/2008 3200172 KIT LAVAGE EDLICH 34FR 21.00 5/3/2008 3200181 PARA CERVICLE TRAY 12.60 5/3/2008 3200182 PUDENTAL TRAY 28.04 5/3/2008 3200183 PACEMAKER TEMP PERV 63.00 5/3/2008 3200185 TRAY PARACENTESIS 95.43 6/9/2009 3200190 PERI LIGHT 15.75 5/3/2008 3200192 PRESSURE MONITOR KIT 26.78 5/3/2008 3200193 THOMPSON HIP PROTHES 795.90 5/3/2008 3200196 RIB BELT LADIES SMALL 15.39 5/3/2008 3200197 ROTATING TOURNAQUET 26.25 5/3/2008 3200201 FLEX SIGMOIDOSCOPE 252.00 5/3/2008 3200202 FILM/FLEX SIGMOID 10.50 5/3/2008 3200203 SIGMOIDOSCOPE DISP 18.11 5/3/2008 3200206 STAPLER SKIN DISP 35R 36.75 5/3/2008 3200209 SET BLOOD Y-TYPE INTERLINK 22.05 5/3/2008 3200212 TRAY LUMBAR PUNCTURE 39.25 5/3/2008 3200213 TRAY SPINAL ANESTHESIA 36.75 5/3/2008 3200214 SPIRAL ELECTRODE 14.70 5/3/2008 3200215 DRAPE TOWEL SURG STER 45CM X 60CM 14.49 5/3/2008 3200220 STIEMAN PIN 12.86 5/3/2008 3200229 SURGICEL 1/2 X 2 88.06 5/12/2011 3200235 TAPE CAST 2 WHT 18.72 5/3/2008 3200236 TAPE CAST 3 WHT 22.83 5/3/2008 3200237 TAPE CAST 4 WHT 26.25 5/3/2008 3200239 HOSE ANTI-EMB THI HI SMALL 23.25 5/3/2008 3200246 TRAY THORA-PARA CATH 5FR 77.73 4/26/2017 3200250 TRACHEOSTOMY TUBE ALL SIZES 126.00 5/3/2008 3200251 TRAY TRACHEOSTOMY 12.60 5/3/2008 3200253 3-1 CLASS CONN. TUBE 5.57 5/3/2008 3200256 TRANSPORT ISOLETE 57.75 5/3/2008 3200257 TRU FLOW 18.64 5/3/2008 3200260 BAG URINE DRAIN 10.76 5/3/2008 3200261 CATHETER MALE EXTERNAL MED LF SELF ADHES 12.64 5/3/2008 3200271 VENOMETER 10.50 5/3/2008 3200274 VENTROL SUMP DRAIN 22.05 5/3/2008 3200277 CIRCUIT ANES F2 FLEX 72 FLTR CNTR LF BG 25.09 8/4/2015 3200278 PACK BASIC SURGICAL 54.34 5/3/2008 3200279 PACK LAPAROTOMY 66.41 5/3/2008 3200280 PACK OB 48.30 5/3/2008 3200281 PACK GOWN LG 12.08 5/3/2008 3200283 SOL ADM SUPPLIES 21.00 5/3/2008 3200285 PENCIL HANDSWITCHING CAUTERY ROCKER 18.11 5/3/2008 3200286 CAUTERY TIPS 12.50 5/3/2008 3200288 SUCTION POOLE W/TUBING 13.84 5/3/2008 3200289 PACK CYSTOSCOPY 48.30 5/3/2008 3200292 DRAIN JACKSON-PRATT 10FR 58.01 5/3/2008 3200298 SPONGES LAPAROTOMY DISP 12.08 5/3/2008 3200302 MARLEX MESH 10X14 IN 404.25 5/3/2008 3200304 COVER X-RAY CASSETTE SURG 12.60 5/3/2008 3200306 SUTURE MONO Y397H 2-0 30.73 6/15/2016 3200307 SUTURE Z761D 3/0 PDSII 74.75 6/15/2016 3200308 SUTURE--D 42.26 5/3/2008 3200309 MERSILENE SUTURE 17.33 5/3/2008 3200311 SUTURE-NURALON 12.60 5/3/2008 3200314 MERCILENE MULTRISTRA 14.18 5/3/2008 3200315 MERCILENE RETENSION 14.18 5/3/2008 3200317 MARLEX SUTURE 10.50 5/3/2008 3200319 SUTURE-ETHIBOND 14.70 5/3/2008 3200321 SPLINT-UNIVERSAL COCKUP 16.59 3/8/2013 3200322 NASAL SPLINT 46.20 5/3/2008 3200323 METACARPOL SPLINT 10.50 5/3/2008 3200327 SPLINT WRIST HAND AND THUMB RT 73.83 6/6/2016 3200328 SPLINT THUMB SPICA SM/MED RIGHT 34.68 12/30/2010 3200329 SPLINT-ELBOW 89.25 5/3/2008 3200330 SPLINT-MET.WRST/FORE 22.31 5/3/2008 3200331 SPLINT-FULL HAND 40.15 5/3/2008 3200332 SPLINT-PATELLA (KNEE 52.76 5/3/2008 3200333 SPLINT-R FULL LEG 117.13 5/3/2008 3200334 SPLINT-ZIMM.FULL LEG 69.30 5/3/2008 3200335 SPLINT BELOW KNEE 74.81 5/3/2008 3200336 SPLINT-POSTERIOR LEG 38.85 5/3/2008 3200337 SPLINT COCK-UP XS 36.07 5/3/2008 3200338 SPLINT COLLES 34.42 5/3/2008 3200340 SPLINT-EZE FORM 63.00 5/3/2008 3200342 EXO-STATIC COLLAR 23.10 5/3/2008 3200343 CLAVICLE BRACE SMALL 18.11 5/3/2008 3200344 SPLINT-WRISTLET ADJ. 24.94 5/3/2008 3200345 DEPUY KNEE SPLINT 42.00 5/3/2008 3200346 SPLINT-VELCRO FINGER 18.38 5/3/2008 3200347 SPLINT-VEL,WRIS/FORE 22.31 5/3/2008 3200348 SPLINT-VELCRO WRIST 28.35 5/3/2008 3200349 LUMBO SUPPORT 96.54 5/3/2008 3200350 LUMBO SACRO SUPPORT 96.54 5/3/2008 3200351 SHOE POST-OP LADIES SMALL 27.77 5/3/2008 3200353 STAPLE GIA 50 89.25 5/3/2008 3200354 STAPLES EEA 25 283.50 5/3/2008 3200355 STAPLE TA 55 120.75 5/3/2008 3200356 STAPLE TA 90 157.50 5/3/2008 3200357 EVACUATOR KIT CLSD WND SUCT SMALL 40.16 5/3/2008 3200358 EVACUATOR KIT CLSD WOUND SUCT LG 3/16 47.25 5/3/2008 3200360 BILI LIGHT 10.50 5/3/2008 3200364 KNEE CAP BRACE CART SM 47.40 5/3/2008 3200365 VENOSET 19.95 5/3/2008 3200368 SPLINT-KNEE IMMOB UN 46.19 5/3/2008 3200369 SPLINT-FOREARM UNIV. 25.73 5/3/2008 3200373 SURGI CLIPS 94.50 5/3/2008 3200374 CIRC TRAY 15.75 5/3/2008 3200375 CATHETER UMBILICAL VESSEL 5FR 25.46 5/3/2008 3200376 SHEET HALF SURGICAL FAN FOLD 12.08 5/3/2008 3200381 FOG BIL BALLOON PROB 63.00 5/3/2008 3200382 DELIVERY DRAPE 16.54 5/3/2008 3200383 MATTRESS OZ ALTERNATING PRESSURE 25.73 5/3/2008 3200387 ASSAULT-RAPE KIT 58.75 5/3/2008 3200389 CRUTCHES 25.44 5/3/2008 3200391 SPLINT-CASH ORTHOSIS 147.00 5/3/2008 3200394 MICRO Y-SITE 12.08 5/3/2008 3200395 COLLAR CERVICAL PHILADELPHIA 76.13 5/3/2008 3200396 FILIFORM CATH TRAY 108.68 5/3/2008 3200398 SHILEY PET TRAC TUBE 65.63 5/3/2008 3200399 TENNIS ELBOW STRAP 34.65 5/3/2008 3200400 COMP HIP SCREW SYS 540.75 5/3/2008 3200401 CAST BOOT 21.00 5/3/2008 3200402 STER WATER FOR IRRIG 12.08 5/3/2008 3200404 GLYCINE 1.5 IRRIG UROMATIC 3000 ML 28.35 5/3/2008 3200405 KIT CYSTO 12.50 5/3/2008 3200406 TUR Y TYPE ADM SET 15.91 5/3/2008 3200407 TUR IRRIG SET & CATH 15.91 5/3/2008 3200409 DRAIN BAG CENTER ENTRY URINARY 4000ML 13.86 1/10/2012 3200414 LOOP OSTOMY STARTEER 47.51 5/3/2008 3200415 LOOP OSTOMY GASKET 12.08 5/3/2008 3200416 CATH URETL-WHISTLE 20.16 5/3/2008 3200417 CATH URETL-SPIRAL 21.42 5/3/2008 3200418 CATH URETL-CONE 25.04 5/3/2008 3200419 RETRIEVER PFISTER SCHWARTZ STONE 119.70 5/3/2008 3200420 GASTRO PAN SET 10.50 5/3/2008 3200422 TRAY SUPRA PUBIC CATH (BONANNO) 123.05 1/2/2009 3200433 TAC JEL 20.79 5/3/2008 3200434 RT ANGLE THORACIC CA 15.91 5/3/2008 3200435 NON-STERILE GAUZE PK 22.68 5/3/2008 3200436 CYSTO PAN SET 12.08 5/3/2008 3200438 LIPOSYN 18.11 5/3/2008 3200439 AMINO ACID 3.5% 40.16 5/3/2008 3200441 ETHIBOND CR 23.94 5/3/2008 3200443 BECONASE INHALLER 54.39 5/3/2008 3200444 PARHAM BAND 34.65 5/3/2008 3200445 MAGNETIC PAD DISP 15.75 5/3/2008 3200446 TUBE GASTROSTOMY 20FR MIC 101.85 5/3/2008 3200453 CUTTING #28 LOOP 91.35 5/3/2008 3200456 AIR ANKLE BRACE RIGHT LARGE 63.00 5/3/2008 3200460 HEX HEAD SCREW 19.69 5/3/2008 3200463 HEYMANS FOLLOWER 29.66 5/3/2008 3200500 OSTOMY/COLOSTOMY WAFER CUT TO FIT 21.40 6/5/2018 3200502 KIT VENOUS CATH HICKMAN 773.85 5/3/2008 3200504 SET WINGED INFUSION HICKMAN 22FR 16.91 5/3/2008 3200505 SUPPORT TENNIS ELBOW SMALL 12.60 5/3/2008 3200507 MULTIFIRE DTA 55 213.68 5/3/2008 3200508 MULTIFIRE 55 DLU 115.50 5/3/2008 3200510 ROTIC 55 182.39 5/3/2008 3200511 CEEA 25 569.10 5/3/2008 3200512 DGIA50 MULTIFRE 124 232.58 5/3/2008 3200513 GIA 50P MULTIFRE 126.00 5/3/2008 3200514 PREM SURGICLIP 110.25 5/3/2008 3200520 OR MONITORS 150.94 5/3/2008 3200530 FACIA STAPLER 121.80 5/3/2008 3200531 PURSE STRG STAPLER 124.95 5/3/2008 3200532 NEEDLE BIOPSY TRU-CUT 14G 50.40 5/3/2008 3200535 NEEDLE BIOPSY 22G 11CM COAXIAL 95.15 10/18/2017 3200536 CATHETER FOLEY COUNCIL 18FR 38.34 9/8/2011 3200538 CATHETER TROCAR INGRAM 52.50 5/3/2008 3200543 SACROILIAC BELT & PAD 63.00 5/3/2008 3200544 POWERED LDS STAPLER 462.00 5/3/2008 3200546 GOR-TEX PATCH 225.75 5/3/2008 3200547 DRESSING HYDROCULOID EXUDERM SATIN 4X4 12.39 5/3/2008 3200548 TRANSDUCER PRESSURE 57.75 5/3/2008 3200549 IV PUMP 54.34 5/3/2008 3200550 FEEDING PUMP 18.11 5/3/2008 3200551 SAFETY DRAIN 12.60 5/3/2008 3200552 TRACH-CARE SUCTION 45.15 5/3/2008 3200554 SET FEEDING 924 KANGAROO PUMP 16.60 5/3/2008 3200555 LEATHER RESTRAIN KIT 12.08 5/3/2008 3200559 SET GASTRO PEG 20FR 122.26 5/3/2008 3200560 MORGAN LENS 48.30 5/3/2008 3200561 COLLAR EXTRICATION PEDIATRIC 28.12 5/3/2008 3200563 CATH CENTRAL VENOUS (TRIPLE LUMEN) 147.92 5/3/2008 3200565 COLONOSCOPE 476.96 5/3/2008 3200567 ARM BOARD LARGE 16.00 5/3/2008 3200568 ARM BOARD XLARGE 12.08 5/3/2008 3200569 FL 3% NACL 250CC 10.87 5/3/2008 3200570 INFUSION STENE 367.50 5/3/2008 3200571 SET THORACENTESIS 24.15 5/3/2008 3200572 CONTAINER EVACUATED 1000 37.80 5/3/2008 3200574 HEMI-SLING 50.40 5/3/2008 3200576 BLACKLIGHT REDISTENT 136.50 5/3/2008 3200577 LITHOTRIPSY 5334.00 5/3/2008 3200578 J&J ULCER DRESSING 20.69 5/3/2008 3200579 FLEXINET (1 BOX) 89.78 9/8/2009 3200580 METER URINE W/BAG 20.74 5/3/2008 3200581 TUBE FEEDING JEJUNAL 197.40 5/3/2008 3200582 NEEDLE BIOPSY TRU-CUT 14G 99.75 5/3/2008 3200583 EPI-LOCK DRESSING 13.65 5/3/2008 3200584 DRESSING 4X4 CALCIUM ALGINATE (MAXISORB) 12.60 5/3/2008 3200585 DRESSING 3x4 KALTOSTAT CALCIUM ALGINATE 12.88 8/16/2012 3200587 SOLU-SET CHEMO 40.95 5/3/2008 3200590 CRUTCHES ADULT TALL 48.30 5/3/2008 3200601 KIT LAP COLY 1165.24 5/3/2008 3200602 TROCAR 10MM 217.35 5/3/2008 3200603 TROCAR 5MM DILATING TIP 173.25 5/3/2008 3200604 NEEDLE VARIES PNEUMOPERITONEUM 87.15 5/3/2008 3200607 DATA SCOPE 78.49 5/3/2008 3200610 ELECTRODES ZOLL PACING PEDIATRIC 60.38 5/3/2008 3200612 DUODERM 8X8 DRESSING 32.13 5/3/2008 3200616 TROCAR BLNTTP 12MM 272.42 5/3/2008 3200617 TROCAR 5MM 175.09 5/3/2008 3200619 SURGITIE 48.30 5/3/2008 3200622 HYPEREXTENSION 309.75 5/3/2008 3200623 PLATELET INFUSION FL 42.00 5/3/2008 3200624 BLAKEMORE NASOGASTRI 388.50 5/3/2008 3200626 LAP SURGICAL SET UP 476.96 5/3/2008 3200627 PACK ANTIFOG & CAMERA DRAPE 42.53 5/3/2008 3200628 ENDO GUAGE 22.31 5/3/2008 3200629 TROCAR DILATING TIP 10/12 210.00 5/3/2008 3200630 ENDO GIA RELOAD 224.18 5/3/2008 3200631 ENDO GIA STAPLER 472.76 5/3/2008 3200632 CONVERTOR/REDUCER 47.09 5/3/2008 3200633 SURGIGRIP 19.43 5/3/2008 3200634 COVER ROLL 2 42.87 5/3/2008 3200636 LEUKOSPORT TAPE 31.09 5/3/2008 3200637 ENDO BABCOCK 238.35 5/3/2008 3200638 ENDO SHEARS 201.60 5/3/2008 3200639 URETHRAL SOUNDS 30.19 5/3/2008 3200640 KIT FEMALE CATH 22.71 9/16/2015 3200641 COMBITUBE 41FR 120.75 5/3/2008 3200648 SM FRAGMENT BONE SET 157.50 5/3/2008 3200649 ENDO PANTS 11.20 9/4/2015 3200650 CERVICAL ROLL 15.75 5/3/2008 3200651 LUMBAR ROLL 15.75 5/3/2008 3200654 MITRAFLEX.SC 6X6 17.59 5/3/2008 3200655 SM BONE INST. SET 157.50 5/3/2008 3200657 THERAPUTTY 18.11 5/3/2008 3200659 SHOULDER ORTHOSIS 78.75 5/3/2008 3200660 SPECIAL FORMULA 57.75 5/3/2008 3200661 CLOTEST 25.20 5/3/2008 3200663 LEUKOCYTE REM SET 61.58 5/3/2008 3200664 LAP CHOLANG CATH 96.60 5/3/2008 3200666 LANDMARK CATHETER 840.00 5/3/2008 3200671 SET 60 DROP TUBING 15.59 5/3/2008 3200672 SET 3 INJ SITES NDLS 10 DROP TUBING 12.92 5/3/2008 3200674 PCA PUMP 54.34 5/3/2008 3200675 PALL LEUKO REM SET 138.08 5/3/2008 3200676 PALL FILTER 59.06 5/3/2008 3200677 FENWALL BLOOD COMP RECIP 14.70 5/3/2008 3200679 SPATULA/IRRI/ASP CAU 103.69 5/3/2008 3200680 FEEDING AD UNIVERSAL 19.43 5/3/2008 3200683 ENDO CLIP 367.50 5/3/2008 3200685 GASTRO BUTTON KIT 362.25 5/3/2008 3200686 PERCUCUT 71.24 5/3/2008 3200687 SET PNEUMOTHORAX 208.50 5/8/2009 3200688 BIOPSY TRAY SOFT TIS 54.34 5/3/2008 3200690 TRAY PICC 4.0FR 231.00 5/3/2008 3200691 PICC REPAIR KIT 47.25 5/3/2008 3200692 PICC INTRO NEEDLE SAFETY 76.13 5/3/2008 3200693 PICC MINI TRAY 105.00 5/3/2008 3200694 PCA MEDICATION CASSETT 26.96 5/3/2008 3200695 LAVAGE 18FR GASTRIC EASI-LAV 150.94 5/3/2008 3200696 AFO SPLINT 86.10 5/3/2008 3200697 PT INSTRUCTION BOOK 27.56 5/3/2008 3200698 CENTRAL LINE TRAY 31.50 5/3/2008 3200699 IONTOPHORETIC ELECTR 36.23 5/3/2008 3200700 LAP SUCTION IRRIG 156.98 5/3/2008 3200702 SET SOLUTION VENTED BASIC 25.66 5/3/2008 3200705 SET IV CONTROLLER IV STAT 12.68 5/3/2008 3200707 LAP HANDPIECE 136.50 5/3/2008 3200708 LAP ELECTRODE 91.88 5/3/2008 3200709 UROSTOMY POUCH CUT TO FIT 18.22 5/3/2008 3200710 UROSTOMY/COLOSTOMY POUCH CUT TO FIT 13.97 5/3/2008 3200711 ENDO CLINCH 246.75 5/3/2008 3200712 BLUNT PORT TROCAR 212.10 5/3/2008 3200713 VERSATACK 185.85 5/3/2008 3200714 VERSATACK RELOAD 110.25 5/3/2008 3200716 TRANSPEC 30.45 5/3/2008 3200717 SNARE POLPECTOMY DISP STANDARD OVAL 65.21 5/3/2008 3200718 DEFOGGER 21.07 3/15/2016 3200719 BELTED UNDERGARMENT 21.11 5/3/2008 3200720 INTERAL FEEDING TUBE 105.00 5/3/2008 3200721 CERVICAL COLD PACK 44.63 5/3/2008 3200722 STANDARD COLD PACK 44.63 5/3/2008 3200724 VERSAPORT TROCAR 187.16 5/3/2008 3200725 SURGIPATCH 29.40 5/3/2008 3200726 LAP NISSEN KIT 1916.25 5/3/2008 3200727 LAP HERNIA KIT 1695.75 5/3/2008 3200729 TENS ELECTRODES 2X35 27.56 5/3/2008 3200730 TENS ELECTRODES 2X2 17.54 5/3/2008 3200731 SURGIVIEW 401.36 5/3/2008 3200732 KARAYA PASTE 38.85 5/3/2008 3200733 SET WINGED INFUSION HICKMAN 19FR 20.21 5/3/2008 3200734 ILEX CREAM 15.75 5/3/2008 3200735 OINT BARRIER 8 OZ 21.26 5/3/2008 3200736 NAIL PACK 21.00 5/3/2008 3200737 WECK-CEL SUR SPEAR 10.56 5/3/2008 3200739 CASSETTE TUBING 289.80 5/3/2008 3200740 PACK HEAD & NECK 24.15 5/3/2008 3200741 BLADE 3.2 50.72 5/3/2008 3200745 DILATOR ESOPHAGEAL 470.93 5/3/2008 3200746 RESUSCITATION MASK 22.05 5/3/2008 3200747 DRESSING QWIK NA 6.125 X8 33.93 9/7/2017 3200750 COTTON SWABS (ST) BOX 13.59 5/3/2008 3200751 COTTON SWABS (NS) BOX 17.33 5/3/2008 3200752 SKIN PREP PADS 14.18 5/3/2008 3200758 GOLD PROBE 252.00 5/3/2008 3200759 OSTOMY WITH FLANGE 10.24 5/3/2008 3200761 ENDO CAVITY BIO KIT 126.79 5/3/2008 3200762 DRESSING HYDROGEL 15GR (INTRASITE) 16.80 5/3/2008 3200764 FLEET PREP KIT 4 10.69 3/1/2015 3200765 AEROBIKA DEVICE OSCILLATION 74.40 6/15/2017 3200768 MARLEX MESH 6X6 293.12 5/3/2008 3200769 FLEETS PREP KIT 6 14.49 5/3/2008 3200770 CHOLANGIOGRAM CATHET 105.00 5/3/2008 3200771 CATH WORD BARTHOLIN 10FR LATEX 55.38 5/31/2011 3200772 PICC PLUS STATLOCK FOLEY 15.23 5/3/2008 3200773 BANDAGE UNNABOOT 3 W/CALAMINE 19.93 5/3/2008 3200781 BRIEFS LG ADULT DISPOSABLE 20.13 9/6/2011 3200782 BRIEFS MED ADULT DISP 33.81 5/3/2008 3200786 DIAPER BABY XLG 17.59 5/3/2008 3200795 PACK GOWN XLG 12.08 5/3/2008 3200796 GOWN ISOLATION 34.65 5/3/2008 3200802 GLOVE EXAM PWDR FREE LG LTX 18.72 5/3/2008 3200803 GLOVE EXAM PWDR FREE MED LTX 18.72 5/3/2008 3200804 GLOVE EXAM PWDR FREE SM LTX 16.28 5/3/2008 3200805 GLOVES EXAM MED NEUTRADERM 31.50 5/3/2008 3200816 CATHETER FOLEY 18FR 30CC 14.96 5/3/2008 3200817 CATHETER FOLEY 20FR 30CC 14.96 5/3/2008 3200818 CATHETER FOLEY 22FR 30CC 14.70 5/3/2008 3200819 CATHETER FOLEY 24FR 30CC 14.70 5/3/2008 3200820 CATHETER FOLEY 26FR 30CC 14.70 5/3/2008 3200821 CATHETER FOLEY 28FR 30CC 14.70 5/3/2008 3200822 CATHETER FOLEY 30FR 30CC 14.70 5/3/2008 3200823 CATHETER FOLEY CARSON 16FR (COUDE) 32.03 5/3/2008 3200824 CATHETER FOLEY CARSON 18FR (COUDE) 36.83 5/3/2008 3200825 CATH FOLEY COUNCILL 18FR 38.06 5/3/2008 3200826 CATHETER FOLEY COUNCILL 20FR 38.06 5/3/2008 3200827 CATHETER FOLEY COUNCILL 22FR 38.06 5/3/2008 3200828 CATHETER MALECOT DRAIN 34FR 38.33 5/3/2008 3200829 CATHETER MALECOT 28FR 44.22 9/10/2015 3200830 CATHETER MALECOT DRAIN 22FR 38.33 5/3/2008 3200831 CATHETER FOLEY EMMETT 18FR 51.62 5/3/2008 3200832 CATHETER FOLEY EMMETT 20FR 44.89 5/3/2008 3200833 CATHETER FOLEY EMMETT 22FR 44.89 5/3/2008 3200834 CATHETER FOLEY EMMETT 24FR 3 WAY 39.21 1/10/2012 3200835 CATHETER FOLEY EMMETT 26FR 44.89 5/3/2008 3200841 CATHETER FOLEY 28FR 5CC 14.70 5/3/2008 3200842 CATHETER FOLEY 30FR 5CC 14.70 5/3/2008 3200843 CATHETER FOLEY PEDIATRIC 8FR 3CCPED 43.77 5/3/2008 3200844 CATHETER FOLEY PEDIATRIC 10FR 3CC 43.77 5/3/2008 3200845 CATHETER FOLEY 12FR 5CCPED 43.77 5/3/2008 3200846 CATHETER FOLEY 14FR 5CC 43.77 5/3/2008 3200856 PACKING STRIP PLAIN 1 X 5 YDS 11.50 10/3/2011 3200869 TUBE TRACHEAL UNCUFFED MURPHY SZ 3 13.65 5/3/2008 3200870 TUBE TRACHEAL UNCUFFED MURPHY SZ 3.5 13.65 5/3/2008 3200871 TUBE TRACHEAL UNCUFFED MURPHY SZ 4 13.65 5/3/2008 3200872 TUBE TRACHEAL CUFFED MURPHY SZ 4.5 15.70 5/3/2008 3200873 TUBE TRACHEAL CUFFED MURPHY SZ 5 11.60 5/3/2008 3200874 TUBE TRACHEAL CUFFED MURPHY SZ 5.5 13.65 5/3/2008 3200875 TUBE TRACHEAL CUFFED MURPHY SZ 6 15.70 5/3/2008 3200876 TUBE TRACHEAL CUFFED MURPHY SZ 6.5 13.65 5/3/2008 3200877 TUBE TRACHEAL CUFFED MURPHY SZ 7 15.70 5/3/2008 3200878 TUBE TRACHEAL CUFFED MURPHY SZ 7.5 15.70 5/3/2008 3200879 TUBE TRACHEAL CUFFED MURPHY SZ 8 15.70 5/3/2008 3200880 TUBE TRACHEAL CUFFED MURPHY SZ 8.5 13.65 5/3/2008 3200887 NEEDLE BIOPSY ULTRA-CORE 18G 175.28 8/8/2018 3200891 TUBE GASTROSTOMY 22FR MIC 101.85 5/3/2008 3200892 TUBE GASTROSTOMY 24FR MIC 101.85 2/16/2010 3200897 KIT TROCAR CATH 28FR 157.50 5/3/2008 3200905 TAPE CAST 2 PRP 13.84 5/3/2008 3200906 TAPE CAST 3 PRP 22.83 5/3/2008 3200907 TAPE CAST 4 PRP 26.25 5/3/2008 3200908 TAPE CAST 2 HUNTER GREEN 18.72 5/3/2008 3200909 TAPE CAST 3 HUNTER GREEN 22.83 5/3/2008 3200910 TAPE CAST 4 HUNTER GREEN 26.25 5/3/2008 3200912 SUPPORT TENNIS ELBOW MED 10.50 5/3/2008 3200913 SUPPORT TENNIS ELBOW LARGE 10.50 5/3/2008 3200914 SUPPORT TENNIS ELBOW XLG 10.50 5/3/2008 3200915 HOSE ANTI-EMB KNEE HI MED 12.08 5/3/2008 3200916 HOSE ANTI-EMB KNEE HI LG 12.08 5/3/2008 3200917 HOSE KNEE HI ANTI EMB X LARGE 12.08 5/3/2008 3200918 HOSE ANTI-EMB THI HI MEDIUM 23.25 5/3/2008 3200919 HOSE ANTI-EMB THI-HI LG 23.25 5/3/2008 3200920 HOSE ANTI-EMB THI HI XLG 23.25 5/3/2008 3200921 COLLAR EXTRICATION REGULAR 38.04 5/3/2008 3200922 COLLAR EXTRICATION SHORT 33.08 5/3/2008 3200923 COLLAR EXTRICATION NO-NECK 38.04 5/3/2008 3200924 BRACE FOAM KNEE 19 SMALL 47.40 5/3/2008 3200925 BRACE KNEE MED FOAM 47.40 5/3/2008 3200926 BRACE KNEE LG FOAM 47.40 5/3/2008 3200927 BRACE FOAM KNEE 19 X LARGE 47.40 5/3/2008 3200928 BRACE FOAM KNEE 19 XXLARGE0 47.40 5/3/2008 3200929 BINDER ABDOMINAL MEDIUM 28.98 5/3/2008 3200930 BINDER ABDOMINAL LARGE 25.30 5/28/2010 3200931 BINDER ABDOMINAL XLARGE 28.98 5/3/2008 3200932 BINDER ABDOMINAL XXLARGE 25.20 5/3/2008 3200933 BINDER ABDOMINAL UNIVERSAL 21.42 5/3/2008 3200934 SLING ARM SMALL QR 13.23 5/3/2008 3200935 SLING ARM MEDIUM QR 13.23 5/3/2008 3200936 SLING ARM LARGE QR 13.23 5/3/2008 3200937 IMMOBILIZER ARM MEDIUM 19.32 5/3/2008 3200938 IMMOBILIZER ARM LARGE 19.32 5/3/2008 3200939 RIB BELT LADIES MEDIUM 15.39 5/3/2008 3200940 RIB BELT LADIES LARGE 15.39 5/3/2008 3200941 RIB BELT LADIES X LARGE 13.39 5/3/2008 3200942 RIB BELT LADIES XXLARGE 13.39 5/3/2008 3200943 RIB BELT MENS SMALL 13.39 5/3/2008 3200944 RIB BELT MENS MEDIUM 15.39 5/3/2008 3200945 RIB BELT MENS LARGE 15.39 5/3/2008 3200946 RIB BELT MENS X LARGE 15.39 5/3/2008 3200947 RIB BELT MENS XXLARGE 15.39 5/3/2008 3200948 KNEE CAP BRACE CARTILAGE MEDIUM 41.21 5/3/2008 3200949 KNEE CAP LG BRACE CARTLIDGE 47.40 5/3/2008 3200950 KNEE CAP BRACE CART X LGE 35.03 5/3/2008 3200951 CLAVICLE BRACE MEDIUM 18.11 5/3/2008 3200952 CLAVICLE BRACE LARGE 18.11 5/3/2008 3200953 COLLAR CERVICAL MEDIUM 22.94 5/3/2008 3200954 COLLAR CERVICAL LARGE 22.94 5/3/2008 3200955 SHOE POST-OP LADIES MEDIUM 24.15 5/3/2008 3200956 SHOE POST-OP LADIES LARGE 27.77 5/3/2008 3200957 SHOE POST-OP MENS SMALL 24.15 5/3/2008 3200958 SHOE POST-OP MENS MEDIUM 27.77 5/3/2008 3200959 SHOE POST-OP MENS LARGE 24.15 5/3/2008 3200960 CRUTCHES YOUTH 48.30 5/3/2008 3200961 CRUTCHES MEDIUM 48.30 5/3/2008 3200976 LAVAGE 34FR GASTRIC EASI-LAV 150.94 5/3/2008 3200977 KIT GALACTOGRAPHY 26.25 5/3/2008 3200978 TUBING EMG/CMG 36.23 5/3/2008 3200979 DILATOR PYLORIC GASTROSCOPY 8MM 562.80 5/3/2008 3200980 DILATOR PYLORIC 10MM 562.80 5/3/2008 3200981 DILATOR,PYLORIC (10-11-12) 337.50 5/26/2011 3200982 DILATOR PYLORIC 15MM 337.50 5/26/2011 3200983 BIOPSY MONOPTY 598.50 5/3/2008 3200984 SENSOR OXYGEN PEDIATRIC 29.40 5/3/2008 3200985 DRESSING PROFORE 47.25 5/3/2008 3200986 SPLINT FRACTURE WALKER 294.00 5/3/2008 3200996 TRIPOD FORCEP SET 94.50 5/3/2008 3200997 NU-TRAKE 312.90 5/3/2008 3200998 PEDIA TRAKE 312.90 5/3/2008 3200999 TUBING CO2 INSULFLATION 47.25 5/3/2008 3201000 HEEL LIFT 17.85 5/3/2008 3201005 SHOE ROCKER CASTBOOT SMALL 17.33 5/3/2008 3201007 SHOE ROCKER CAST BOOT MED 19.93 5/3/2008 3201008 CAST SHOE XXLG 17.33 5/3/2008 3201010 CATHETER TROCAR 32FR 44.10 5/3/2008 3201011 UROSTOMY KIT 1466 21.14 5/3/2008 3201012 EXTRICATION COLLAR TALL 38.04 5/3/2008 3201014 DRAPE INCISE 1050 12.60 5/3/2008 3201016 SHOE ROCKER CAST BOOT LARGE 19.93 5/3/2008 3201017 SHOE CAST PEDIATRIC 17.33 5/3/2008 3201018 CATHETER TROCAR 28FR 44.10 5/3/2008 3201023 SHOE CAST XLARGE 17.33 5/3/2008 3201024 SPLINT ROLL 2 INCH 7-12 11.03 5/3/2008 3201025 SPLINT ROLL 2 INCH 22.05 5/3/2008 3201026 SPLINT ROLL 2 INCH 25-36 33.08 5/3/2008 3201027 SPLINT ROLL 3 INCH 7-12 11.03 5/3/2008 3201028 SPLINT ROLL 3 INCH 13-24 22.05 5/3/2008 3201029 SPLINT ROLL 3 INCH 25-36 33.08 5/3/2008 3201030 SPLINT ROLL 4 INH 7-12 11.03 5/3/2008 3201031 SPLINT ROLL 4 INCH 13-24 22.05 5/3/2008 3201032 SPLINT ROLL 4 INCH 25-36 33.08 5/3/2008 3201033 SPLINT ROLL 6 INCH 7-12 11.03 5/3/2008 3201034 SPLINT ROLL 6 INCH 13-24 22.05 5/3/2008 3201035 SPLINT ROLL 6 INCH 25-36 33.08 5/3/2008 3201038 IMAGER KIT 57.66 5/3/2008 3201039 ZOLL MONITOR 60.38 10/22/2013 3201046 DILATOR, CREA SZ20 483.00 5/3/2008 3201047 TAPE, ELASTICON 3 12.34 5/3/2008 3201052 GLOVE RT EDEMA 21.00 5/3/2008 3201053 GLOVE LT EDEMA 21.00 5/3/2008 3201054 COLPAC CV CERVICLE 31.50 5/3/2008 3201055 COLPAC SD STANDARD 42.00 5/3/2008 3201056 COLPAC HS HALF SIZE 21.00 5/3/2008 3201057 COLPAC QS QUARTER SIZE 15.75 5/3/2008 3201058 COLPAC OS OVERSIZE 63.00 5/3/2008 3201059 WALKER SM SAMPSON 131.25 5/3/2008 3201060 WALKER MED SAMPSON 131.25 8/9/2011 3201061 WALKER LG SAMPSON 131.25 5/3/2008 3201062 BRACE, ANKLE LACE-UP CANVAS 65.63 5/3/2008 3201063 BRACE, THUMB CMC 70.88 5/3/2008 3201064 NEO ST KNEE SUPPORT 65.63 5/3/2008 3201065 SOCK AIDS 24.15 5/3/2008 3201066 REACHERS 63.00 5/3/2008 3201067 HIP KIT 60.38 5/3/2008 3201068 EXT. ASSIST LMB SPRING PIP 75.17 5/3/2008 3201069 WRIST SUPPORT ELASTIC MED 57.49 5/3/2008 3201070 BAND, MULTIPLE LIGATOR (VARISIES) 445.50 7/11/2011 3201071 ORTHOSIS SHOULDER 90.30 5/3/2008 3201072 SUPPORT BACK 64.49 11/16/2016 3201073 PENCIL BIPOLAR 18GA 38.04 5/3/2008 3201074 SUPPORT, KNEE NEOPREME OPEN PATELLA 29.93 5/3/2008 3201075 RIB SUPPORT MALE 33.60 5/3/2008 3201076 SUPPORT WRIST LACED 63.00 5/3/2008 3201077 TUBE EASI 34FR 26.87 5/3/2008 3201078 TUBE EASI 40FR 36.35 5/3/2008 3201079 HOSE, JOBST FAST FIT STOCKINGS 126.00 5/3/2008 3201080 IMMOBILIZER ARM XLG 19.32 5/3/2008 3201081 PATELLA STABILIZER NEOPREME 73.92 5/3/2008 3201082 NEOPREME PATELLAR STABLIZER 65.15 5/3/2008 3201083 KNEE WITH HYPEREXTENSION LOCK 235.50 1/5/2018 3201085 SHOE HORN 17.33 5/3/2008 3201086 SUPERGRIP 11.03 5/3/2008 3201087 SPLINT, THERAPLUS KNEE 207.90 5/3/2008 3201088 STRAPS, AFO REPLACEMENT 15.49 5/3/2008 3201089 KIT, ANKLE SPRAIN 65.63 5/3/2008 3201090 KNEE STRAP, CHO\PATELLA 36.75 5/3/2008 3201091 HALF SOLES, HIGH ARCH 73.50 5/3/2008 3201095 COLLAR EXTRICATION TALL 33.08 5/3/2008 3201096 RANGE PULLEY 62.79 5/3/2008 3201097 KNEE BRACE STABILIZING 91.00 3/1/2015 3201098 LIGATOR MULTIBAND SPEEDBAND 243.75 4/29/2013 3201099 BRACE ANKLE AIR GEL REGULAR 35.00 9/2/2009 3201100 WRIST SPLINT, D RING 51.00 3/1/2015 3201101 CATHETER TROCAR 24FR 44.10 5/3/2008 3201102 CATH PED VENOUS TRIPLE LUMEN 101.85 5/3/2008 3201103 BASKET RETREIVER 340.20 5/3/2008 3201105 BED OVERSIZE (SIZEWISE) 217.35 5/3/2008 3201106 BED KENAIR 3 OR 4 163.01 5/3/2008 3201108 MATTRESS, 1ST STEP SELECT 40.16 5/3/2008 3201111 PCA MEDICATION CASSETTE 50ML 30.19 5/3/2008 3201112 TRACTION OVERDOOR 59.85 5/3/2008 3201113 SUTURE M8706 6-0 PROLENE 33.60 5/3/2008 3201115 SUTURE 8831H 4-0 PROLENE 10.32 5/3/2008 3201117 SUTURE Z833G 6-0 PDSII 19.43 5/3/2008 3201119 SUTURE 1634G 4-0 CHROMIC 18.42 5/3/2008 3201121 SUTURE 636H 3-0 CHROMIC 28.65 2/9/2009 3201122 SUTURE 8648G 7-0 PROLENE 18.38 5/3/2008 3201131 SUTURE 932H 3-0 CHROMIC 14.74 8/21/2014 3201132 SUTURE G172H 3-0 CHROMIC SH 11.60 5/3/2008 3201134 SUTURE L114G O CHROMIC 10.27 5/3/2008 3201135 SUTURE L113G 2-0 CHROMIC 10.27 5/3/2008 3201136 SUTURE L112G 3-0 CHROMIC 10.27 5/3/2008 3201137 SUTURE 686G 5-0 PLAIN 11.55 5/3/2008 3201138 SUTURE 770G 6-0 PLAIN D/A 39.25 5/3/2008 3201152 SUTURE J575G 7-0 VICRYL 52.83 5/3/2008 3201153 SUTURE J566G 7-0 VICRYL 46.99 5/3/2008 3201154 SUTURE J463G 5-0 VICRYL 18.11 5/3/2008 3201155 SUTURE J575G 7-0 VICRYL 45.94 5/3/2008 3201161 SUTURE J335H 1 VICRYL 14.49 1/31/2014 3201164 SUTURE 1667G 4-0 ETHICON PS-2 13.91 5/3/2008 3201165 SUTURE 699G 4-0 ETHILON P-3 16.00 5/3/2008 3201166 SUTURE 1698G 6-0 ETHILON P-3 16.00 5/3/2008 3201167 SUTURE 697G 6-0 ETHILON P-1 16.00 5/3/2008 3201168 SUTURE J834G 5-0 VICRYL 17.33 5/3/2008 3201171 SUTURE CB46T 2-0 ETHIBOND MO-6ON 11.29 5/3/2008 3201173 SUTURE CX45D 0 ETHIBOND MO-6 53.43 5/3/2008 3201175 SUTURE MR21T O MERSILENE CT-1 39.11 5/3/2008 3201184 SUTURE M4T 4-0 SILK SH-1 35.70 5/3/2008 3201185 SUTURE CO14D 4-0 SILK SH 20.75 5/3/2008 3201191 SUTURE 3622 3-0 SILK KS/3 18.42 5/3/2008 3201199 SET Y TYPE BLOOD COMPONENT 170 MICRON FI 10.87 5/3/2008 3201200 CYSTOSCOPE FLEXIBLE 250.00 8/13/2008 3201201 CMG/EMG MACHINE 60.38 5/3/2008 3201202 ELECTROSURGICAL CAUTERY MACHINE 60.38 5/3/2008 3201204 SUTURE 698G 5-0 ETHILON 16.01 5/3/2008 3201205 SUTURE 8706H 6-0 PROLENE 32.60 5/3/2008 3201206 SUTURE 1665G 6-0 ETHILON 18.42 5/3/2008 3201207 FORCEP BIOPSY RADIAL JAW 4 WITH NEEDLE 49.98 5/3/2008 3201208 CATHETER SECUREMENT DEVICE STATLOCK 14.49 5/3/2008 3201210 STRAP, BANDIT FOREARM BAND 42.93 2/12/2014 3201211 WALKING CANE, ADJ ALUMINUM 49.09 5/3/2008 3201212 MASK, RESUSCITATION MOUTH TO MASK 33.34 5/3/2008 3201213 FORK, REHAB 14.70 5/3/2008 3201214 TEASPOON, REHAB 14.70 5/3/2008 3201215 SPLINT SAM 43.47 5/3/2008 3201216 MARLEX MESH 2X4 169.84 5/3/2008 3201217 HEAD HALTER SUPINE C-TRAX-W/TMJ 78.75 5/3/2008 3201218 SUTURE 3R406 28.88 5/3/2008 3201220 MODULE IV DELIVERY BROSLOW/HINKLE RED 56.70 5/3/2008 3201221 MODULE IV DELIVERY BROSLOW/HINKLE PURPLE 56.70 5/3/2008 3201222 MODULE IV DELIVERY BROSLOW/HINKLE YELLOW 56.70 5/3/2008 3201223 MODULE IV DELIVERY BROSLOW/HINKLE WHITE 56.70 5/3/2008 3201224 MODULE IV DELIVERY BROSLOW/HINKLE BLUE 56.70 5/3/2008 3201225 MODULE IV DELIVERY BROSLOW/HINKLE ORANGE 56.70 5/3/2008 3201226 MODULE IV DELIVERY BROSLOW/HINKLE GREEN 56.70 5/3/2008 3201227 MODULE OXYGEN DEL BROSLOW/HINKLE RED 36.75 5/3/2008 3201228 MODULE OXYGEN DEL BROSLOW/HINKLE PURPLE 36.75 5/3/2008 3201229 MODULE OXYGEN DEL BROSLOW/HINKLE YELLOW 36.75 5/3/2008 3201230 MODULE OXYGEN DEL BROSLOW/HINKLE WHITE 36.75 5/3/2008 3201231 MODULE OXYGEN DEL BROSLOW/HINKLE BLUE 36.75 5/3/2008 3201232 MODULE OXYGEN DEL BROSLOW/HINKLE ORANGE 36.75 5/3/2008 3201233 MODULE OXYGEN DEL BROSLOW/HINKLE GREEN 36.75 5/3/2008 3201234 MODULE INTUBATION BROSLOW/HINKLE RED 73.50 5/3/2008 3201235 MODULE INTUBATION BROSLOW/HINKLE PURPLE 73.50 5/3/2008 3201236 MODULE INTUBATION BROSLOW/HINKLE YELLOW 73.50 5/3/2008 3201237 MODULE INTUBATION BROSLOW/HINKLE WHITE 73.50 5/3/2008 3201238 MODULE INTUBATION BROSLOW/HINKLE BLUE 73.50 5/3/2008 3201239 MODULE INTUBATION BROSLOW/HINKLE ORANGE 73.50 5/3/2008 3201240 MODULE INTUBATION BROSLOW/HINKLE GREEN 73.50 5/3/2008 3201241 MODULE INTRAOSSEUS BROSLOW/HINKLE RED 102.38 5/3/2008 3201242 MODULE INTRAOSSEUS BROSLOW/HINKLE PURPLE 102.38 5/3/2008 3201243 MODULE INTRAOSSEUS BROSLOW/HINKLE YELLOW 102.38 5/3/2008 3201244 MODULE INTRAOSSEUS BROSLOW/HINKLE WHITE 102.38 5/3/2008 3201246 MODULE INTRAOSSEUS BROSLOW/HINKLE BLUE 102.38 5/3/2008 3201247 TUBING GASTRO PUMP 28.09 5/3/2008 3201249 ENDOCELL SAMPLER WALLACH0 17.56 4/8/2016 3201250 SNARE POLPECTOMY DISP MICRO OVAL 65.21 5/3/2008 3201251 SET ADM PCA PUMP (HOSPIRA) 32.55 5/3/2008 3201252 TIP .5MM ALGERBRUSHM 21.00 5/3/2008 3201253 TIP ALGERBRUSH 1MM 21.00 5/3/2008 3201254 TRAY-EAR NOSE AND THROAT 17.85 5/3/2008 3201255 ADAPTER DUAL PORT FEEDING 20FR 30.66 9/9/2010 3201256 SUTURE 9-0 76.13 5/3/2008 3201259 SPLINTING SHEETS SMALL 50.40 5/3/2008 3201260 SPLINTING SHEETS HALF 65.63 5/3/2008 3201261 SPLINTING SHEETS FULL 124.69 5/3/2008 3201262 NET ROTH FOREIGN BODY 2.5MM ROTATABLE 133.50 4/25/2012 3201265 SUTURE 1666G 5-0 ETHILON 45.00 11/14/2013 3201266 KIT FEMORAL TRACTION GEEN 92.93 5/3/2008 3201267 BUNTING FOIL BABY 23.89 5/3/2008 3201268 KIT OB ER 29.40 5/3/2008 3201269 SLING COLD COMPRESS 80.00 12/4/2001 3201270 SNARE PYLOPECTOMY ROTATABLE 73.50 5/3/2008 3201271 NEEDLE SCHLERATHERAPY COLON LENGTH 78.00 12/18/2009 3201272 FINGER EXTENSION ASSIST LMB 52.13 12/23/2010 3201273 SPLINT, KWIK FORM RESTING 77.18 5/3/2008 3201277 SUTURE 193101 9-0 NYLON 58.80 5/3/2008 3201281 MASK ANESTHESIA SMALL ADULT/CHILD (RUSCH 10.01 12/23/2013 3201289 OCRILATE (DERMABOND) 68.25 5/3/2008 3201290 BLANKET DISP FULL BODY 31.36 3/1/2015 3201291 BLANKET DISP UPPER BODY 38.59 5/3/2008 3201292 BLANKET DISP LOWER BODY 38.59 5/3/2008 3201293 TUBING FLUID WARMER 45.94 5/3/2008 3201294 SCD MACHINE(PNEUMATIC STOCKING)DAILY CHG 15.75 5/3/2008 3201295 SCD SLEEVE SMALL 91.35 5/3/2008 3201296 SCD SLEEVE MED 96.08 5/3/2008 3201297 SCD SLEEVE LG 96.08 5/3/2008 3201300 RIB BELT LADIES UNIVERSAL 17.85 5/3/2008 3201301 RIB BELT MENS UNIVERSAL 17.85 5/3/2008 3201303 AIR ANKLE BRACE LEFT LARGE 63.00 5/3/2008 3201304 AIR ANKLE BRACE LEFT MEDIUM 63.00 5/3/2008 3201305 AIR ANKLE BRACE RIGHT MEDIUM 63.00 5/3/2008 3201306 SLING ARM X-LARGE 10.68 10/6/2015 3201307 TUBING SMOKE SUCTION 47.25 5/3/2008 3201308 BRACE ANKLE ASO 85.05 5/3/2008 3201309 NECK TRACTION UNIT 472.50 5/3/2008 3201311 INTRAOCULAR LENS (IOL) LI61U 138.08 5/3/2008 3201313 BRACE ORTHOSIS ELBOW TURNBUCKLE 182.70 5/3/2008 3201314 SUTURE J489G 6-0 VICRYL 12.34 5/3/2008 3201317 SUTURE J843G 6-0 VICRYL/DEXON 13.97 5/3/2008 3201323 TAPE MEDIPORE H 4 X 10 YDS SOFT CLOTH 25.55 4/26/2012 3201324 WOUND VAC MACHINE DAILY CHG 45.00 3/26/2015 3201325 KIT SML VAC DRESSING 62.53 12/3/2013 3201326 CANNISTER, WOUND VAC 87.65 3/1/2014 3201327 KIT MED VAC DRESSING 67.98 3/26/2014 3201328 DRESSING ABSORBENT GEL 2.2 (TENDERWET) 15.23 5/3/2008 3201329 DRESSING ABSORBENT GEL 1.6 (TENDERWET) 13.76 5/3/2008 3201330 PACK NASAL 4.5CM ANTERIOR (RAPID RHINO) 54.60 5/3/2008 3201331 PACK NASAL 5.5CM ANT (RAPID RHINO) 71.00 1/17/2011 3201332 PACK NASAL 7.5CM ANT/POST (RAPID RHINO) 60.11 5/3/2008 3201334 SET WINGED INFUSION 19X1.5 EXTRA LONG 20.21 5/3/2008 3201337 TOE, DIGITAL CAPS 66.68 5/3/2008 3201338 SET Y INJECTION SITES 11.03 5/3/2008 3201339 COMBITUBE 37FR INTERMEDIATE 120.75 5/3/2008 3201340 CLEANSER WOUND SKINTEGRITY 16.80 5/3/2008 3201341 DRESSING HYDROCULOID SACRUM EXUDERM 4X3. 57.00 3/27/2015 3201342 DRESSING HYDROCOLLOID SACRUM EXUDERM 6X6 46.46 5/3/2008 3201343 TAPE MEDIPORE EZ PERF 2 X11YD 13.91 5/3/2008 3201346 CATHETER IC FOLEY 16FR 5CC 31.76 5/3/2008 3201347 CATHETER IC FOLEY 18FR 5CC 31.76 5/3/2008 3201348 CATHETER IC FOLEY 20FR 5CC 31.76 5/3/2008 3201349 CATHETER IC FOLEY 22FR 5CC 31.76 5/3/2008 3201350 CATHETER IC FOLEY 18FR 30CC 31.76 5/3/2008 3201351 CATHETER IC FOLEY 20FR 30CC 31.76 5/3/2008 3201352 CATHETER IC FOLEY 22FR 30CC 31.76 5/3/2008 3201353 DRESSING STRATASORB COMPOSITE ISLAND 6X6 11.26 9/17/2015 3201356 DRESSING TENDERWET 4X4 SQUARE 19.27 5/3/2008 3201361 DRESSING ROPE CALCIUM ALGINATE 17.33 5/3/2008 3201364 DIAPER BABY SZ 2 INFANT 29.69 5/3/2008 3201367 PROBE APC 2.3MM DIA/7FR 7 2 /220CM(ERBE) 311.55 5/26/2011 3201368 PROBE APC 2.3MM DIA/7FR SIDEFIRE(ERBE) 325.73 5/3/2016 3201369 PAD CAUTERY NESSY OMEGA SPLIT 13.82 3/9/2015 3201370 TRAY PICC 3.0FR 231.00 5/3/2008 3201371 DRESSING PETROLEUM 4 X3YD XEROFORM 10.61 5/3/2008 3201375 DRESSING AQUACEL-AG 6X6 61.20 3/9/2012 3201376 MODULE INTRAOSSEUS BROSLOW/HINKLE ORANGE 102.38 5/3/2008 3201377 MODULE INTRAOSSEUS BROSLOW/HINKLE GREEN 102.38 5/3/2008 3201378 SPLINT COCK-UP RIGHT SMALL 38.64 5/3/2008 3201379 SPLINT COCK-UP RIGHT MED 38.64 5/3/2008 3201380 SPLINT COCK-UP RIGHT LARGE 38.64 5/3/2008 3201381 SPLINT COCK-UP RIGHT XL 38.64 5/3/2008 3201382 SPLINT COCK-UP RIGHT XS 38.64 5/3/2008 3201383 SPLINT COCK-UP LEFT SMALL 38.64 5/3/2008 3201384 SPLINT COCK-UP LEFT MEDIUM 38.64 5/3/2008 3201385 SPLINT COCK-UP LEFT LARGE 38.64 5/3/2008 3201386 SPLINT COCK-UP LEFT XLG 38.64 5/3/2008 3201387 SPLINT COCK-UP LEFT XS 38.64 5/3/2008 3201395 ADHESIVE DENTURE 12.60 5/3/2008 3201396 CLIP ENDOSCOPIC HEMOSTATIC 155CM 236.25 5/3/2008 3201397 CLIP ENDOSCOPIC HEMOSTATIC 235 RESOLUTIO 236.25 5/3/2008 3201398 BOTTLE VACUUM WITH DRAINAGE LINE PLEURX 94.50 5/3/2008 3201399 CAP REPLACEMENT VALVE FOR PLEURX 20.21 5/3/2008 3201401 SPOT (GI INK) 65.52 5/3/2008 3201403 SUTURE J823G VICRYL 4-0 13.13 5/3/2008 3201404 SUTURE J496G VICRYL 4-0 11.92 5/3/2008 3201405 ENDOBAG SPECIMEN RETRIEVAL 4X6 10MM 134.66 5/3/2008 3201406 PAD LEG HOLDER 69.50 2/24/2011 3201407 SCRUB CHLORAPREP 26ML APPLICATOR TINT 44.48 5/3/2008 3201408 PATCH HERNIA VENTRALEX MEDIUM 724.50 5/3/2008 3201409 PATCH HERNIA VENTRALEX SMALL 606.38 5/3/2008 3201410 IV ULTRA STATLOCK 14.49 5/3/2008 3201413 SUTURE JJ42G VICRYL SZ2 33.15 5/3/2008 3201414 DRESSING 6X10 CALCIUM ALGINATE 32.08 5/3/2008 3201415 CATHETER FOLEY 14FR 5CC NON-LATEX 11.76 5/3/2008 3201416 CATHETER FOLEY 16FR 5CC NON-LATEX 11.76 5/3/2008 3201417 CATHETER FOLEY 18FR 5CC NON-LATEX 11.76 5/3/2008 3201418 CATHETER FOLEY 20FR 5CC NON-LATEX 11.76 5/3/2008 3201420 CATHETER FOLEY 12FR 5CC NON-LATEX 11.76 5/3/2008 3201421 BANDAGE UNNACOFLEX 4 PLAIN 52.29 4/27/2017 3201422 DRESSING 8X12 AQUACEL SILVER 75.23 5/3/2008 3201423 DRAIN JACKSON-PRATT 15FR 58.01 5/3/2008 3201424 DRESSING 8X16 ACTICOAT 67.73 5/3/2008 3201425 DRESSING ABSORBENT GEL 3X3 (TENDERWET) 27.83 5/3/2008 3201426 DRESSING TRANSPARENT LARGE 30.00 2/12/2015 3201431 TRAY POWERPICC 6FR TRIPLE LUMEN 300.00 2/20/2015 3201432 TRAY POWERPICC 6FR DOUBLE LUMEN 166.86 2/20/2015 3201434 SCRUB SURGICAL TECHNICARE 4OZ PREP 12.08 5/3/2008 3201439 TUBE GASTROSTOMY 30FR MIC 80.75 5/3/2008 3201440 STAPLER SKIN5 DISP PRECISE 15.75 5/3/2008 3201441 TRAY POWERPICC 4FR SINGLE LUMEN 164.85 5/3/2008 3201442 OINT BARRIER 20 OZ 21.26 5/3/2008 3201443 FILTER ANTI-REFLUX PREVENT 26.87 5/3/2008 3201444 PILLOW FOOT 53.25 3/21/2012 3201445 CATHETER FOLEY 16FR 30CC 14.96 5/3/2008 3201446 WAFER EAKIN COHESIVE BARRIER 12.08 5/3/2008 3201447 SLING ARM XSMALL QR 10.68 9/4/2015 3201448 CATHETER FOLEY CARSON 12FR (COUDE) 36.83 5/3/2008 3201449 CATHETER FOLEY CARSON 14FR (COUDE) 36.83 5/3/2008 3201453 CATHETER IC FOLEY 24FR 30CC 31.76 5/3/2008 3201454 TRAY POWERPICC 5FR DOUBLE LUMEN 178.20 2/5/2015 3201460 BARRIER SKIN MEDIUM 7/8 TO 11/4 13.35 5/3/2008 3201461 KIT LARGE VAC DRESSING 67.20 5/3/2008 3201462 CATHETER FOLEY ANCHOR (TRI-STATE) 12.00 5/3/2008 3201463 DRESSING 23/4 X 31/2 TIELLE 10.05 5/3/2008 3201465 SUTURE 635G 4-0 CHROMIC 28.65 5/3/2008 3201466 FORCEP BIOPSY RADIAL JAW 3 LG CAPACITY 40.00 5/3/2008 3201467 CATHETER IC FOLEY 24FR 5CC 31.76 5/3/2008 3201468 CATHETER IC FOLEY 26FR 5CC 31.76 5/3/2008 3201469 MESH 6X6 PARIETEX 202.26 5/3/2008 3201472 SUTURE C520D NYLON O 8X18 BLACK 37.65 5/3/2008 3201474 SUTURE Y935H MONOCRYL 4/0 27 16.37 5/3/2008 3201475 STAPLER SKIN DISP 35W 64.80 5/3/2008 3201477 HOSE KNEE HI ANTI EMB XX LARGE 31.02 4/13/2009 3201478 TRAY POWERPICC 5FR SINGLE LUMEN 159.13 2/20/2015 3201479 DILATOR, CREA SZ12-13-14 483.00 5/3/2008 3201480 DILATOR, CREA SZ15-16-18 483.00 5/3/2008 3201483 SUTURE 8661G 5-0 PROLENE 11.87 10/12/2016 3201484 SUTURE 8632G 3-0 PROLENE PC5 CUTTING NDL 17.50 6/24/2009 3201485 SUTURE 8634G 4-0 PROLENE PC3 CUTTING NDL 43.53 1/31/2014 3201486 SUTURE 8630G 5-0 PROLENE PC5 CUTTING NDL 17.50 6/24/2009 3201487 SUTURE 8635G 5-0 PROLENE PC3 CUTTING NDL 17.50 6/24/2009 3201488 SUTURE 8636G 6-0 PROLENE PC3 CUTTING NDL 17.50 6/24/2009 3201489 DRESSING 5X5 ALLEVYN ADHESIVE 14.55 6/24/2009 3201490 GLOVE EXAM PWDR FREE X-LG LTX 18.72 5/3/2008 3201491 DRESSING AQUACEL-AG 3/4 X 18 39.09 7/31/2009 3201494 PACKING STRIP IODOFORM 1/4 X 5 YDS 12.50 8/20/2009 3201496 SET EXTENSION MICROBORE Y TYPE 15.59 5/3/2008 3201497 NEEDLE ILLINOIS BONE MARROW 15G 31.50 5/3/2008 3201498 NEEDLE ILLINOIS BONE MARROW 18G 31.50 5/3/2008 3201499 DRESSING HYDROFERA BLUE 6X6 56.00 9/8/2009 3201500 NEEDLE JAMSHIDI 11GA X10CM 45.99 9/8/2009 3201501 SUTURE JJ41G VICRYL 33.15 5/3/2008 3201502 AIRWAY INTUBATION 9CM WILLIAM 12.67 9/14/2009 3201503 DRESSING PRISMA 4.34 45.00 11/6/2009 3201504 DRESSING TEGADERM ABSORBENT4.375X5 12.75 11/13/2009 3201506 DRESSING AQUACEL-AG 4X5 30.24 11/20/2009 3201508 DRESSING FOAM DRESSING W/SILVER CONTREET 60.50 12/18/2009 3201511 COLLAR EXTRICATION BABY NO-NECK 38.04 5/3/2008 3201512 IMMOBILIZER SHOULDER ADULT STD 34.55 1/19/2010 3201513 CO2 DETECTOR EASY CAP II 33.50 1/19/2010 3201514 CO2 DETECTOR PEDIATRIC EASY CAP II 33.50 1/19/2010 3201608 ELECTRODES ZOLL STAT PADS PACING 60.38 5/3/2008 3201609 TRAY LACERATION DISP 30.19 5/3/2008 3201880 CATH CENTRAL VENOUS (FLEXTIP CATH) 147.92 5/3/2008 3201881 FORCEP BIOPSY RADIAL JAW 4 W/O NEEDLE 49.98 5/3/2008 3201882 DRAPE PROC MINOR STERI-DRAPE 22X25 OD 36.13 3/26/2010 3201883 SUTURE G180H 5-0 CHROMIC SH 11.60 5/3/2008 3201885 COLLAR EXTRICATION PED AJUSTABLE 27.62 6/22/2010 3201886 COLLAR EXTRICATION ADULT AJUSTABLE 34.30 6/16/2016 3201887 LARYNGOSCOPE OPTICAL REGULAR DISP 118.50 5/26/2011 3201888 LARYNGOSCOPE OPTICAL SMALL DISP 118.50 5/26/2011 3201889 LARYNGOSCOPE OPTICAL PEDIATRIC DISP 118.50 5/26/2011 3201894 TRAY SPINAL ANESTHESIA PENCAN 52.50 7/14/2010 3201897 SUTURE J428H VICRYL 2/0 16.38 7/14/2010 3201901 SET FEEDING PUMP ROSS 28.00 11/25/2013 3201906 BLADE SHAVER 3.5MM TOMCAT 83.00 7/29/2010 3201907 CUTTER 4.0MM TOMCAT, FORMULA 83.00 7/29/2010 3201908 CUTTER 5.0MM TOMCAT, FORMULA 80.97 7/29/2010 3201909 CUTTER .3.5MM COUGAR, FORMULA 83.00 7/29/2010 3201910 BLADE SHAVER COUGAR 4.0 MM 83.00 7/29/2010 3201911 EGG BUR 5.5MM FLUTE, FORMULA 83.00 7/29/2010 3201912 SURFAS ENERGY SUPER 90-S 225.00 7/29/2010 3201913 SURFAS ENERGY SUCTION PROBE 3.5MM 90-S 225.00 7/29/2010 3201914 SET TUBING (CASSETTE) FLOSTEADY (ARTHO) 87.00 7/29/2010 3201916 PACK SHOULDER DRAPE 66.60 9/9/2010 3201917 DRAPE U 60X70 51.35 8/24/2010 3201918 SCRUB CHLORAPREP 26ML APPLICATOR ORANGE 24.12 8/24/2010 3201921 LACTATED RINGERS IRRG STER 3000ML 40.00 1/20/2014 3201923 ADAPTER DUAL PORT FEEDING 28FR 30.36 9/9/2010 3201924 PACK ARTHROSCOPY KNEE 75.81 9/9/2010 3201925 PACK SHOULDER DRAPE 48.72 9/9/2010 3201926 STOCKINETTE 12X48 STERILE LARGE 22.61 9/9/2010 3201927 STOCKINETTE 9X48 STERILE MED 19.64 9/9/2010 3201931 PADDING CAST SYNTH 6 STERILE WEBRIL 11.75 9/9/2010 3201935 PACK PICC BUNDLE 183.87 9/21/2010 3201937 PACK EXTREMITY 30.07 9/24/2010 3201939 GEL SOLOSITE WOUND E.0 OZ 22.96 10/18/2010 3201940 GLOVE EXERCISE DELUXE TRACTION 50.22 11/3/2010 3201941 BLADE STRYKER LONG SAW 31MMX9MM 76.42 11/8/2010 3201942 SYRINGE GI INFLATION 65.60 11/4/2010 3201943 SPLINT FOOT PLANTER FASCITIS 43.93 11/19/2010 3201944 SPLINT FINGER CLOCKSPRING 40.41 11/19/2010 3201945 SUTURE JB839 VICRYL 2/0 CR 50.16 11/22/2010 3201946 SUTURE JB864 VICRYL 3/0 CR 53.49 11/22/2010 3201949 ELECTRODE NEOTRODE II 12.29 9/17/2015 3201951 ELECTRODE CAUTERY TEFLON COATED 17.33 12/9/2010 3201954 MASK OXYMASK 13.74 3/16/2016 3201955 MASK OXYMASK PLUS 16.35 12/14/2010 3201956 CANNULA NASAL END TIDAL SL 10.50 12/14/2010 3201957 PAD DRIFLR FLUID ABSRTN MAT (ORANGE) 25.94 12/21/2010 3201958 IRRIGATION TUBE FOR FILTER O GI PUMP 34.79 12/30/2010 3201959 TUBING PUMP INFUSION LINE (LABORIE) 36.48 12/30/2010 3201960 CATH TDOC ABD 7FR AIR CHGD (LABORIE) 76.00 12/30/2010 3201961 CATH TDOC ABD 7FR SINGLE SENS (LABORIE) 76.00 12/30/2010 3201962 SPLINT THUMB SPICA LG/XL 34.68 12/30/2010 3201963 SPLINT THUMB SPICA SM/MED LEFT 34.68 12/30/2010 3201964 SPLINT THUMB SPICA LG/XL LEFT 34.68 12/30/2010 3201965 SUTURE Y496G MONOCRYL 4/0 19.71 1/13/2011 3201966 TOURNIQUET 034 2PRT QUICK CONNECT 78.45 2/3/2011 3201967 TOURNIQUET 018 2PRT QUICK CONNECT 62.00 2/3/2011 3201973 DRAPE UNDER BUTTOCKS WITH POUCH M1084 17.78 5/20/2014 3201974 DRAPE SURGICAL U STERI-DRAPE M1015 11.06 2/24/2011 3201975 ELECTRODES ZOLL CPR D PADZ (AED) 63.00 3/8/2011 3201976 ELECTRODES ZOLL ONE STEP COMPLETE 103.28 3/8/2011 3201977 RESTRAINT ANKLE TAT W/KEYLOCK 79.36 3/11/2011 3201978 RESTRAINT WRIST TAT W/KEYLOCK 79.36 3/11/2011 3201979 SENSOR LNCS PDT PEDIATRIC MASIMO 33.08 3/15/2011 3201980 SENSOR LNCS PDT INFANT MASIMO 36.00 4/11/2016 3201981 NEEDLE SET EZ-IO 45MM 15GA (BARIATRIC) 202.00 3/28/2011 3201982 NEEDLE SET EZ-IO 15MM15GA 202.00 3/28/2011 3201983 NEEDLE SET EZ-IO 25MM15GA 202.00 3/28/2011 3201985 HAMMOCK SUBFASCIAL MONARC /SUTURE (SLING 1900.00 3/30/2011 3201986 TUBE TRACH SZ6 W/CUFF SHILEY 80.34 1/14/2015 3201987 TUBE TRACH SZ4 W/CUFF SHILEY 80.34 1/14/2015 3201988 TUBE TRACH SZ10 W/CUFF 97.85 4/5/2011 3201989 CANNULA TRACH DISP SZ6 10.99 4/5/2011 3201990 CANNULA TRACH DISP SZ8 10.99 4/5/2011 3201991 CANNULA TRACH DISP SZ10 10.99 4/5/2011 3201992 SCD SLEEVE KNEE 59.55 4/6/2011 3201993 AIRWAY 3 SUPRAGLOTTIC, I-GEL 59.40 4/1/2011 3201994 AIRWAY 4 SUPRAGLOTTIC, I-GEL (GREEN) 59.40 4/1/2011 3201995 AIRWAY 5 SUPRAGLOTTIC, I-GEL 59.40 4/1/2011 3201997 SET HOFFMAN INTRODUCER 78.78 5/3/2011 3201998 WIRE PTFE GUIDE BENTSON 50.23 5/3/2011 3201999 SET URETERAL STENT 6X22CM 108.75 5/3/2011 3202000 SET URETERAL STENT 6X24CM 108.75 5/3/2011 3202001 SET URETERAL STENT 7X24CM 178.13 4/11/2016 3202002 EXTRACTOR STONE TIPLESS NCIRCLE 261.00 5/3/2011 3202003 CATHETER URETERAL OPEN-END TAPERED 32.73 5/3/2011 3202004 FORCEPS BIOPSY CUP 452.63 5/3/2011 3202005 TVT DEVICE GYNECARE 1635.00 5/6/2011 3202006 MARKER CORMARK BIOPSY SITE IDENTIFIER 105.00 5/6/2011 3202007 NEEDLE GUIDE TRANSRECTAL DISP 45.00 5/6/2011 3202008 BANDAGE HEMOSTATC 34.97 5/12/2011 3202009 AMPLATZ ULTRA STIFF WIRE GUIDE DBL FLEX 70.00 12/14/2015 3202010 RUTNER UNIV. WEDGE CATH 4FR. 33.15 7/20/2011 3202011 RUTNER UNIV. WEDGE CATH 5FR. 33.15 7/20/2011 3202012 DRILL BIT/QC 2.7MM CANNULATED 160MM 768.00 8/2/2011 3202013 GUIDE WIRE 1.25MM THREADED WIRE 150MM 68.00 8/2/2011 3202014 SCREW 3.5 CANNULATED THREADED /30MM 340.50 8/2/2011 3202015 SCREW 3.5 CANNULATED THREADED /38MM 340.50 8/2/2011 3202016 COVER C ARM 20.44 8/15/2011 3202017 EZ-IO STABILIZER 14.00 8/17/2011 3202020 BRIEFS XLG ADULT DISPOSABLE 19.67 9/6/2011 3202024 ELECTRODE CTD BLADE INSUL EDGE 14.59 5/18/2015 3202025 CATHETER FOLEY COUNCILL16FR 38.34 9/8/2011 3202026 PADS BLADDER CONTROL 12.36 9/22/2011 3202027 HEATER, DESK 36.22 10/3/2011 3202028 AMPLATZ RENAL DILATOR SET 290.07 10/10/2011 3202029 TUBE TRACH SZ8 W/CUFF FENESTRATED PORTEX 80.34 1/14/2015 3202030 TUBE TRACH SZ7 W/CUFF FENESTRATED PORTEX 67.15 10/10/2011 3202031 TUBE TRACHEOSTOMY CUFFED BIVONA XL 8 157.91 10/10/2011 3202032 NEEDLE WILLIAMS CYSTOSCOPIC INJ 66.38 11/3/2011 3202033 NEEDLE/CANNULA CALDWELL QUICK-TAP 49.47 11/29/2011 3202034 ELECTRODES ZOLL PED OP/OR/FLOOR 85.14 12/16/2011 3202035 STAT GVL SIZE 0 57.00 12/22/2011 3202036 GLIDESCOPE LOWPRO SIZE S1 60.00 6/20/2017 3202037 TUBE TRACHEOSTOMY CUFFED BIVONA XL 7 148.68 10/25/2017 3202038 STAT GVL SIZE 2.5 57.00 12/22/2011 3202039 GLIDESCOPE GVL SIZE S3 60.00 6/21/2017 3202040 GLIDESCOPE GVL SIZE S4 60.00 6/21/2017 3202041 SLING ARM ULTRA LARGE 86.27 12/29/2011 3202042 SLING ARM ULTRA MED 71.30 12/29/2011 3202043 SPLINT COCK-UP 8 IN RIGHT SMALL 16.32 1/9/2012 3202044 SPLINT COCK-UP 8 IN RIGHT BREGG 33.99 5/2/2016 3202045 SPLINT COCK-UP 8 IN RIGHT LARGE 16.32 1/9/2012 3202046 SPLINT COCK-UP 8 IN LEFT SMALL 16.32 1/9/2012 3202047 SPLINT COCK-UP 8 IN LEFT MED 16.32 1/9/2012 3202048 SPLINT COCK-UP 8 IN LEFT LARGE 16.32 1/9/2012 3202049 SET IRRIGATION Y TYPE 12.22 1/10/2012 3202050 FL SOD CHL 0.9% UROMATIC 3000ML 17.29 1/10/2012 3202051 TUBE TRACHEAL GLIDESCOPE 7.5 12.22 1/18/2012 3202052 CATHETER URETRAL BALLOON ASCENT AQ 312.38 2/29/2012 3202053 CATHETER URETRAL BALLOON ASCENT AQ 312.38 2/29/2012 3202054 FOLLOWER PHILLIPS 110108 73.33 2/29/2012 3202055 FOLLOWER PHILLIPS 110110 73.33 2/29/2012 3202056 FOLLOWER PHILLIPS 110112 73.33 2/29/2012 3202057 FOLLOWER PHILLIPS 110014 73.33 2/29/2012 3202058 FOLLOWER PHILLIPS 110016 73.33 2/29/2012 3202059 FOLLOWER PHILLIPS 110018 73.33 2/29/2012 3202060 FOLLOWER PHILLIPS 110020 73.33 2/29/2012 3202061 FOLLOWER PHILLIPS 110022 73.33 2/29/2012 3202062 FOLLOWER PHILLIPS 110024 73.33 2/29/2012 3202063 TIP MALLEABLE FILIFORM 110225 80.97 2/29/2012 3202064 TIP MALLEABLE FILIFORM 110230 80.97 2/29/2012 3202065 TIP MALLEABLE FILIFORM 110240 80.97 2/29/2012 3202066 TIP MALLEABLE FILIFORM 110245 80.97 2/29/2012 3202067 TIP MALLEABLE FILIFORM 110265 80.97 2/29/2012 3202068 CANISTER SUCTION DISP. 2100ML FOR GOMCO 23.49 3/15/2012 3202069 CANISTER SUCTION DISP. 1100ML FOR GOMCO 21.56 3/15/2012 3202070 CANISTER SUCTION DISP. 1500ML CC SUCT. 15.96 3/15/2012 3202071 MINIARC PRECISE 2497.50 12/24/2013 3202072 BRACE TLSO ULTRALIGN XL 505.23 4/3/2012 3202073 DILATOR MEATAL URETHRAL 25.31 4/3/2012 3202074 DERMAGRAFT 2205.00 4/1/2012 3202076 HOLDER FOLEY LEGBAND REG. 12.84 6/17/2013 3202077 PORT POWER MRI NO SUTURE PLUG 8FR 1054.50 2/27/2015 3202078 POUCH WOUND 9.7X6.3 DRAINABLE 137.06 7/1/2016 3202079 NEEDLE WILLIAMS CYSTOSCOPIC INJ G16112 60.10 10/3/2016 3202080 DRESSING 3.5X9.75 AQUACEL SILVER 72.36 11/8/2017 3202081 K-WIRE 6 X .045MM SNGL USE 64.00 4/24/2013 3202082 NEEDLE TEMNO EVOLUTION 20GX6CM 77.88 12/6/2017 3202522 HOSE ANTI-EMB THI HI XXXLG 35.19 5/31/2011 3202523 SET INFUSION POWERLOC 19X1.5 24.22 1/30/2012 3202524 FORCEP RAT TOOTH RETRIEVAL 444.00 2/2/2012 3202525 TROCAR 5MM BLADELESS STBLTY SLV XCEL 84.00 5/4/2012 3202526 TROCAR12MM BLADELESS STBLTY SLV XCEL 84.00 5/4/2012 3202527 CUTTER ENDO ETS LINEAR 35MM STAPLER 84.00 5/4/2012 3202528 DISECTOR BLUNT CHERRY 10MM ENDOSCOPIC 101.51 5/8/2012 3202529 KIT ANTI-FOG SOLUTION 19.08 5/8/2012 3202530 SET TUBE HI FLOW INSUFFLATION 30.96 5/8/2012 3202531 SUCTION/IRRIGATOR DISP 185.66 5/8/2012 3202532 NEEDLE PNEUMOPERITONEUM ENDOPATH 150MM 47.49 5/8/2012 3202535 LOOPS RESECTOSCOPE 120.00 5/2/2012 3202536 ELECTROSURGICAL CORD RESECTOSCOPE 80.00 5/2/2012 3202537 GRASPER DELTA WIRE 267.00 5/14/2012 3202538 SET INFUSION POWERLOC 19X1 22.75 5/18/2012 3202539 SET INFUSION POWERLOC 19X.75'' 22.75 5/18/2012 3202540 TROCAR 8MM BLADELESS STBLTY SLV XCEL 73.71 7/2/2012 3202541 SET FALOPE RING APPLICATOR 207.68 2/1/2016 3202543 DILATOR CRE 10-11-12 ESO/PYLORIC/COLONIC 483.00 5/3/2008 3202544 DILATOR, ESOPHAGEAL 18MM DISP 134.70 7/6/2012 3202545 NEEDLE PROSTATE BIOPSY SOFT TISSUE 27.86 8/7/2012 3202546 DILATOR, ESOPHAGEAL 20MM DISP 134.70 7/6/2012 3202547 SET URETERAL STENT 7X22CM 108.75 5/3/2011 3202548 TRAY THORACENTESIS CATH (TAPS) 53.04 9/18/2012 3202549 TUBE FOR IRRIGATION & FILTER / GI PUMP 45.48 10/23/2013 3202552 BOOT HEEL SUSPENSION 65.00 9/28/2012 3202555 SUTURE J683G 3-0 VICRYL 17.54 9/20/2012 3202576 DILATOR CRE ESO/PYLORIC/COLONIC 337.50 8/15/2012 3202577 CATHETER TORQUE 5FR UROLOGY IMAGER II 55.38 8/16/2012 3202578 PACK BILATERAL EXTREMITY DRAPE 25.90 8/29/2012 3202579 KIT CVC LINE 7FR X 16CM PRESSURE INJ 192.77 8/29/2012 3202580 SET URETERAL STENT 6X26CM 108.75 5/3/2011 3202581 BLADE LONG NARROW (OR) 108.75 5/3/2011 3202582 SET INFUSION POWERLOC 22X1 22.75 9/26/2012 3202583 TOURNIQUET 024 2PRT QUICK CONNECT 78.45 2/3/2011 3202584 SUTURE 583H 2-0 SILK 14.95 10/29/2012 3202585 SUTURE 1621H 2-0 CHROMIC 19.64 10/29/2012 3202586 SUTURE J495G VICRYL 5-0 PS-2 17.71 10/30/2012 3202587 KIT EMR OBLIQUE SOF CAP (GI) 299.64 11/5/2012 3202588 SUTURE J497G 3/0 VICRYL PS-2NDL 32.90 1/31/2014 3202589 PACK NASAL 9CM ANT/POST (RAPID RHINO) 60.11 5/3/2008 3202590 EGG BUR 4.0MM 94.90 1/7/2013 3202592 BARRIER SKIN LG 1 1/4 TO 1 3/4IN 13.35 5/3/2008 3202596 EVACUATOR ELLIK 53.68 9/4/2015 3202597 SUTURE J762D VICRYL 2-0 COATED CP-2 RC 49.59 2/25/2013 3202598 STAPLE ORTHOPEDIC FIXATION 375.00 2/25/2013 3202600 WATER URO IRRIG 3000ML 20.00 3/11/2013 3202601 CUTTING LOOP OLYMPUS 106.32 3/11/2013 3202602 ELECTRODE BUGBEE FULGURATING OLYMPUS 92.97 3/13/2013 3202603 ROLLER BALL 167.86 3/14/2013 3202604 ELECTRODE ELITE & USA KNIVE 167.86 3/14/2013 3202605 CORD DISP ELITE & USA 59.82 3/11/2013 3202606 SHEATH FOR FIBER CYSTOSCOPE 2.1MM 62.00 4/1/2013 3202607 MEDIHONEY .5 OZ TUBE GEL 14.88 7/11/2017 3202608 SUTURE 1824-5D 1/2 CIRCLE TAPER 21.31 4/8/2013 3202609 SPLINT ORTH WRIST/FOREARM LTTITAN UNV 47.04 4/15/2013 3202610 SPLINT ORTH WRIST/FOREARM RT TITAN UNV 47.04 4/15/2013 3202611 SPLINT LT TITAN UNV H&W 55.35 4/15/2013 3202612 SPLINT RT TITAN UNV H&W 55.35 4/15/2013 3202614 DRESSING HONEY CAL ALG (MEDIHONEY) 30.59 7/6/2017 3202615 LIGATING DEVICE SINGLE USE OLYMPUS 133.50 5/7/2013 3202616 K-WIRE 0.8MMX100MM SNGL USE 64.00 4/24/2013 3202617 COUNTERSINK CANNULATED 2.8MM, AO COUPLIN 561.00 4/24/2013 3202618 SCREW ASNIS MICRO CANNULATED 2.0X16MM 375.00 7/22/2015 3202619 SCREW ASNIS MICRO CANNULATED 2.0X14MM 375.00 7/22/2015 3202620 CUTTING LOOP ELECTRODE RT ANGLE 106.32 3/11/2013 3202621 KIT PRO TOE INSTRUMENT 390.00 5/8/2013 3202622 KIT PRO TOE IMPLANT SMALL 1032.00 5/8/2013 3202623 CONTAINER EVACUATED 500ML 12.25 5/21/2013 3202625 BLADE SMALL OSC SAW BLADE (OR) (STRYKER) 70.00 6/5/2013 3202626 KIT PRO TOE IMPLANT LARGE 1032.00 5/8/2013 3202627 CATH UTERINE BALLOON (GYNE ABLATION) 1973.68 6/11/2013 3202629 IMPLANT 2.4MM EXTREMIFUSE 0 DEGREES 1651.12 6/19/2013 3202631 CATHETER MALECOT DRAIN MUSHROOM TIP 22FR 52.85 8/6/2013 3202632 CATHETER MALECOT 22FR 42.00 8/6/2013 3202633 SET DILATOR SHEATH 8/10FR 63.75 9/6/2013 3202634 SCREW ASNIS III CANNULATED 4.0X40MM 330.22 9/22/2013 3202635 GUIDE WIRE 1.4 THREADED WIRE 150MM 202.72 9/22/2013 3202636 DRILL BIT 2.7 / 160MM 707.52 10/17/2017 3202637 BRACE FRACTURE HUMERAL LG 90.34 10/14/2013 3202638 SET FALOPE RING 80.00 11/1/2013 3202641 PLATE DISTAFIBULA 5H/LEFT/99MM 2.7MM/3.5 1261.50 11/10/2013 3202642 DRILL BIT/QC/ GOLD/ 2.7MM 110MM 144.75 11/10/2013 3202643 SCREW 2.7MM LOCKING SLF-TAPPING T8 STAR 244.50 11/30/2014 3202644 SCREW 3.5MM LOCKING SLF-TAPPING T8 STAR 246.00 11/10/2013 3202645 SCREW 2.7MM LOCKING SLF-TAP RECESS14MM 244.50 11/30/2014 3202646 DRILL BIT/QC/ GOLD/ 2.8MM 165MM 145.10 10/17/2017 3202647 DRILL BIT 2.0 W/DEPTH MARK/QC/140MM 241.83 10/17/2017 3202648 SCREW 3.5MM LOCKING SLF-TAPSTAR RECESS16 246.00 11/10/2013 3202649 SCREW 3.5 CORTEX SELF-TAPPING 14MM 67.50 11/30/2014 3202650 SCREW 2.7MM LOCKING SLF-TAP RECESS18MM 237.00 11/10/2013 3202651 K-WIRE 102.0MMX1.6MM (.062) 25.30 12/16/2013 3202654 PACK LAPAROSCOPY 37.89 1/21/2014 3202655 SET CRICOTHYROTOMY MELKER EMERGENCY 358.00 2/11/2014 3202656 NK ADAPTER INTUBATED CAPONE C02 31.00 2/17/2014 3202657 NK ADAPTER NON-INTUBATED CAPONE C02 34.40 2/17/2014 3202658 SET URETERAL STENT 7X26CM 108.75 5/3/2011 3202659 TUBE FEEDING NASOGASTRIC 10FR 43IN 3GM 55.08 2/26/2014 3202660 TUBE FEEDING NASOGASTRIC 12FR 43IN 7GM 70.00 2/26/2014 3202663 NK SENSOR SPo2 NKOHDEN PEDI 36.96 3/7/2014 3202664 NK SENSOR SPo2 NKOHDEN INFANT 36.96 3/7/2014 3202665 DRESSING OPTILOCK 8 X12 31.26 9/7/2017 3202666 TUBE TRACHEAL UNCUFFED SLICK SET SZ 2.5 13.94 4/7/2014 3202667 AMBU BABY BLUE RESUSCITATOR 65.00 4/9/2014 3202668 AMBU PEDI BLUE RESUSCITATOR 65.00 4/9/2014 3202669 BROSELOW/HINKLE INFANT CUFF 45.00 4/10/2014 3202670 BROSELOW/HINKLE CHILD CUFF 45.00 4/10/2014 3202671 BROSELOW/HINKLE SM ADULT CUFF 45.00 4/10/2014 3202672 BLADE SAW SHORT11.5MMX5.5MM 62.50 4/24/2014 3202673 EGG BUR 3.0MM 70.62 4/24/2014 3202674 DILATOR CRE 8-10MM/ ESO/PYLORIC/COLONIC 483.00 5/3/2008 3202675 DILATOR CRE 12-15MM/ ESO/PYLORIC/COLONIC 483.00 5/3/2008 3202676 SCD SLEEVE KNEE EXPRESS MEDIUM 31.71 5/29/2014 3202677 SCD SLEEVE KNEE EXPRESS LARGE 46.80 5/29/2014 3202678 SCD SLEEVE KNEE EXPRESS X-LARGE 79.04 5/29/2014 3202679 SUTURE 8682G 4-0 PROLENE 19.46 6/25/2014 3202680 FELT ORTHOPEDIC 1/2X36X21 17.92 7/16/2014 3202681 SUTURE J464G 4/0 VICRYL P-3 16.87 9/9/2014 3202684 MESH DEVICE SELF-EXP 2.5 X 2.5 1122.81 10/21/2014 3202685 MESH DEVICE SELF-EXP 1.7 X 1.7 938.80 10/21/2014 3202686 SUTURE 1928-62 SURGILON (COVIDIEN)(5pk) 38.85 10/21/2014 3202687 SWAB FORENSIC BLUE 10.11 10/29/2014 3202688 NASAL DEVICE LMA MAD 16.31 11/5/2014 3202690 GAIT BELT 72 15.00 11/20/2014 3202691 GAIT BELT 54 19.00 11/20/2014 3202692 SKIN CRYOPRESERVED LARGE (THERASKIN) 1912.50 10/30/2017 3202693 SKIN CRYOPRESERVED SMALL (THERASKIN) 1312.50 10/20/2017 3202695 VENTI-SCAN RADIOAEROSOL CONVENIENCE KIT 62.50 11/25/2014 3202696 TROCAR12MM VERSAPORT PLUS 200.88 12/1/2014 3202697 TROCAR 5MM VERSAPORT V2 FIX 150.69 12/1/2014 3202698 POUCH SPECIMEN 1MM CATCH 330.90 12/1/2014 3202699 CLIP ENDO 5MM APPLIER SINGLE USE 776.90 12/1/2014 3202700 TUBING XSTREAM LAPAROSCOPIC NEZHAT VALVE 72.80 12/1/2014 3202701 CATHETER CHOLANGIOGRAM 4.5FR 30 97.20 12/2/2014 3202702 FILTER PLUMEPORT LAPARSCOPIC 100.12 3/1/2015 3202703 PLATE LATERAL DISTAL FIBULA 5H/RIGHT/99M 1300.50 11/30/2014 3202704 SCREW 3.5 CORTEX SELF-TAPPING 12MM 67.50 11/30/2014 3202705 DRILL BIT/QC/ GOLD/ 2.5MM 180MM 168.00 11/30/2014 3202706 SCREW 4.0 CANCELLOUS BONE PT THREADED 50 42.75 11/30/2014 3202707 TROCAR 5-12MM BLUNTPORT PLUS 200.88 12/1/2014 3202709 TRAY WOUND DEBRIDEMENT PULSAVAC PLUS 209.31 1/30/2018 3202710 PATCH HERNIA ULTRAPRO LG (SYSTEM) 749.38 1/30/2015 3202711 PATCH HERNIA ULTRAPRO MED (SYSTEM) 808.57 1/30/2015 3202712 SUTURE UL877 POLYSORB 0 30 VIOLET GU-46 10.39 1/30/2015 3202714 SUTURE CP411 SURGIPRO 2/0 30 BL CT2 GS 16.17 1/30/2015 3202715 SUTURE SM5637 BIOSYN 4/0 30 UNDYED P12 16.03 1/30/2015 3202716 MASK SENTRI ADULT W/ 2.1 METER TUBE 13.01 2/5/2015 3202717 CLIP ENDO 10MM APPLIER SINGLE USE 557.55 2/5/2015 3202718 DRESSING OPTIFOAM, GENTLE BORDER 4X4 12.00 2/20/2015 3202719 DRESSING OPTIFOAM AG, GENTLE BORDER 4X4 17.46 1/10/2017 3202720 KIT PNEUMOTHORAX (URESIL) 360.00 3/9/2015 3202721 DRESSING ROPE MAXORB EXTRA AG 1X12 25.68 6/5/2018 3202722 CONN TUBING ERGO 22.75 3/27/2015 3202723 BANDAGE UNNABOOT 3 PLAIN 19.93 5/3/2008 3202734 STETHESCOPE DISPOSABLE 11.41 4/29/2015 3202735 LIGASURE (LF1212A) 942.48 4/28/2015 3202736 ELECTRODE LAPAROSCOPIC L WIRE 33CM 97.00 6/9/2015 3202738 DRESSING AQUACEL-AG 9CMX30CM SURG 80.62 6/25/2015 3202739 DRESSING AQUACEL-AG 9CMX10CM SURG 59.37 6/25/2015 3202740 SET SOLN (TPN) NON-DEHP 1.2 MICRON 10.85 7/7/2015 3202741 BRACE HUMERAL FRACTURE MED 93.71 7/31/2015 3202742 CIRCUIT ANES F2 FLEX 60 FLTR CNTR LF BG 23.80 8/4/2015 3202743 K-WIRE 0.035MM 45.00 7/22/2015 3202744 K-WIRE 0.045MM 45.00 7/22/2015 3202745 COUNTERSLINK 2.0MM 412.50 7/22/2015 3202746 COUNTERSLINK 3.0MM 412.50 7/22/2015 3202747 SUTURE CP425 SURGIPRO 30 METRIC GS-21 17.22 3/7/2016 3202748 MESH 10CMX15CM PHYSIO 1248.87 3/16/2016 3202761 TUBE TRACHEAL GUIDE 5CH DISPOSABLE 35.49 9/29/2015 3202762 SPLINT TKO OTHO KNUCKLE LEFT 71.30 11/5/2015 3202763 SPLINT TKO OTHO KNUCKLE RIGHT 76.10 11/5/2015 3202764 SKIN PREP PADS NO STING 32.67 11/5/2015 3202765 SKIN AFFIX ADHESIVE 39.24 11/5/2015 3202766 CLAVICLE BRACE XLARGE 21.67 12/7/2015 3202767 FILTER FOR ANES CIRCUIT 11.34 12/29/2015 3202768 GLIDEWIRE STRAIGHT 150CM/3CM 70.00 12/14/2015 3202769 ZIPWIRE ANGELED 150CM/3CM 75.44 2/22/2016 3202770 WATER URO IRRIG 1000ML 10.00 2/23/2016 3202771 SCREW ASNIS MICRO CANNULATED 2.0X12MM 375.00 7/22/2015 3202772 SET 20 DROP TUBING INJECT SITE 12.18 4/8/2016 3202773 TIP NEEDLE BOVIE W/ HUB CONMED 7.21 4/14/2016 3202774 BIOMONITIOR ( LOOP RECORDER ) 7200.00 7/13/2016 3202775 DRESSING 4-LAYER COMPRESS SYSTEM 29.82 8/23/2016 3202776 TRAY FOLEY 18FR TAMPERPROOF 32.60 5/3/2008 3202777 SUTURE G695G 5-0 ETHILON 16.91 10/12/2016 3202778 SUTURE J497H 3/0 VICRYL PS-2NDL 16.84 10/12/2016 3202779 BREAST BX CELERO 12G 367.50 10/26/2016 3202780 MARKER CORMARK BIOPSY SITE 105.00 5/6/2011 3202781 MON LINQ SYSTEM (MEDTRONIC) 7942.50 11/7/2016 3202782 SLING MID-URETHRAL SLING SYSTEM 2100.00 11/9/2016 3202783 BREAST HYDROMARK CLIP 163.02 11/9/2016 3202784 NEEDLE SPINAL 22GX5 QUINCKE 20.30 11/22/2016 3202785 TRAY EPIDURAL ANESTHESIA CONT 60.20 11/28/2016 3202786 NEEDLE SPINAL 18GX5 EPIDURAL 35.35 12/20/2016 3202787 VALVE SUCTION SINGLE USE 30.75 12/28/2016 3202788 VALVE BIOPSY SINGLE USE 15.40 12/28/2016 3202789 PILL SPLITTER 10.43 1/4/2017 3202790 DRESSING OPTIFOAM , GENTLE BORDER 6X6 31.80 1/10/2017 3202791 KIT TROCAR CATH 12FR PED 181.13 5/3/2008 3202792 BANDAGE UNNABOOT 4 ZINC COFLEX 31.23 1/31/2017 3202793 FAN CLIP ON 34.58 3/8/2017 3202794 SENSOR ADULT NONIN FLEXIWRAP 7000A 34.05 3/14/2017 3202795 TRAY BIOFLOW PASV 5FR DBL 157.50 3/16/2017 3202796 TRAY BIOFLOW PASV 4FR SL 157.50 3/16/2017 3202797 TRAY BIOFLOW PASV 6FR TL 157.50 3/16/2017 3202798 DRESSING 6X6 CALCIUM ALGINATE (MAXISORB) 33.28 4/26/2017 3202799 SENSOR EMG VAGINAL STIMULATION 44.00 6/22/2017 3202800 DRESSING OPTIFOAM , AG 3.5 X10 45.54 7/28/2017 3203100 SPLINT WRIST HAND AND THUMB LT 73.83 6/6/2016 3203801 CLIP ENDO HEMOLOK LIGATING MED/LG/XLG 80.42 7/28/2017 3203802 SCISSOR CURVED ENDOPATH 5MM 305.52 8/31/2017 3203803 2.7MM/3.5 LAT/DIST FIB/PLATE 6H 112MM 1022.58 10/17/2017 3203804 SCREW 2.7MM LOK SLF-TAP T8 STAR RECESS 187.94 10/17/2017 3203805 SCREW 3.5 LOK SELF-TAP STAR RECESS12MM 197.60 10/17/2017 3203806 SCREW 3.5 SELF-TAP 18MM STAR RECESS 197.60 10/17/2017 3203807 SCREW 3.5 SELF-TAP 16MM STAR RECESS 197.60 10/17/2017 3203808 SCREW 4.0 CANNULATED SHORT 44MM 313.68 10/17/2017 3203810 NEEDLE BIOPSY 20G 11CM COAXIAL 83.51 10/18/2017 3203812 TRAY PNEUMOTHORAX WAYNE 14FR 283.53 10/23/2017 3203813 PROBE COVER PULL UP 5 X48 (CONE) 23.03 10/30/2017 3203814 KIT PROCEDURE 51.45 4/16/2018 3203815 SET INFUSION POWER PAC 20GX.5/8'' 29.30 5/1/2018 3203816 PICC PLUS STATLOCK 11.97 8/8/2018 3203817 SLEEVE FOAM PAD HEEL AND ELBOW 11.51 10/9/2018 3220505 POTASSIUM CHLORIDE 20MEQ/100ML 40.00 12/30/2008 3332222 TEST NDC UNITS 4.12 3/1/2015 3400001 AEROSOL CONT STUP 23.60 5/3/2008 3400002 AEROSOL CONT INITIAL HR 110.00 3/1/2015 3400004 HHN EQUIP SET-UP ONCE ONLY 11.00 3/1/2015 3400007 IPPB SETUP ONCE ONLY 14.18 5/3/2008 3400015 IS SETUP ONCE ONLY 26.00 3/1/2015 3400016 I. S. TREATMENT 55.00 3/1/2015 3400017 MECH VENT SETUP ONCE (T-BIRD) VENT CIRCU 86.00 3/1/2015 3400019 MECH VENT DAI EQ CHR 20.00 3/1/2015 3400022 OXYGEN SETUP ONCE 17.07 5/3/2008 3400023 OXYGEN PER HOUR 10.25 12/18/2008 3400024 PED ARSO TENT STUP 63.00 3/1/2015 3400025 PED ARSOL TENT INITIAL 102.00 3/1/2015 3400026 PED ARSOL TENT PER HR 77.00 3/1/2015 3400027 ROOM HUMIDIFIER 66.00 3/1/2015 3400033 AEROECLIPSE II NEB TUBING KIT 21.35 10/31/2017 3400050 SPUTUM SPECIMEN 14.00 3/1/2015 3400051 PORTABLE OXYGEN 11.00 3/1/2015 3400062 MASKS: E.O.A. PERUSE 36.75 5/3/2008 3400063 PEDIATRIC TENT ONLY 20.00 3/1/2015 3400065 BRONKOSOL (VIALS) 3.15 5/3/2008 3400066 NORMAL SALINE #1.4 2.06 5/3/2008 3400067 MUCOMYST 11.38 5/3/2008 3400068 BRONCHODILATORS 3.00 3/1/2015 3400070 SPUTUM AFB 28.00 3/1/2015 3400073 OXIMETER SET UP 56.90 5/3/2008 3400075 ABG 114.00 3/1/2015 3400080 RIGHT ANGLE SWIVEL 12.00 3/1/2015 3400085 MDI INITIAL 63.00 3/1/2015 3400087 AMBU BAG (DISPOSABLE) 56.90 5/3/2008 3400088 AEROCHAMBER 20.49 5/3/2008 3400095 PHASE II/PULM REHAB 77.00 3/1/2015 3400096 PHASE III/PULM REHAB 77.00 3/1/2015 3400097 DRAWING FEE/ABG 38.00 3/1/2015 3400098 PEAK FLOW METER 45.16 5/3/2008 3400101 PED VENTI MASK 17.00 3/1/2015 3400103 BIPAP-INITIAL VISION CIRCUIT 22.93 4/19/2016 3400104 BI-PAP/ANY SUBSEQUENT 189.00 3/1/2015 3400109 ENDO TRACH TUBE HOLDER 14.94 3/7/2013 3400110 PEDIATRIC O2 SENSOR 77.00 3/1/2015 3400111 TRACH CARE SUCTION 40.00 3/1/2015 3400112 CPAP MASK 87.24 5/3/2008 3400113 BI PAP NASAL CIRCUIT 117.00 3/1/2015 3400116 ENDO TRACH HOLD PED 10.71 5/3/2008 3400118 MONARCH MINI MASK BI PAP CIRCUIT 183.75 5/3/2008 3400119 DISTILLED WATER 1 GALLON 3.49 5/3/2008 3400122 SUCTION IN-LINE CATH VENT 29.89 1/14/2016 3400123 SUCTION CLOSED SYSTEM TRACH 35.88 1/14/2016 3400150 AEROCHAMBER/MASK 46.19 5/3/2008 3400198 HHN SUBSEQUENT 58.00 3/1/2015 3400204 AERO ECLIPSE SETUP 26.25 5/3/2008 3400205 T.B. MASK 15.17 5/3/2008 3400207 SAMPLE LINE, NASAL CO2, ADULT 21.00 3/1/2015 3400208 WA SAMPLE LINE, NASAL ETCO2/O2, ADULT 36.00 3/1/2015 3400301 FORCEP BIOPSY RADIAL JAW 4 ST CAPACITY 66.00 10/7/2015 3400302 ENDOSCOPIC CYTOLOGY BRUSH 34.50 10/7/2015 3400303 BIPAPINITIAL VISION CIRCUIT W PEEP VALVE 60.25 5/15/2017 3431615 TRACHEOBRONCHOSCOPY THROUGH EST. TRACH 393.75 5/3/2008 3431622 BRONCHOSCOPY 335.32 5/3/2008 3431624 BRONCHOSCOPY W/LAVAGE 406.98 5/3/2008 3431625 BRONCHOSCOPY W/BIOPSY 477.49 5/3/2008 3482375 COHB MEASURED 110.00 3/1/2015 3483050 HB/MEHB MEASURED 110.00 3/1/2015 3495071 TRACH CLEAR LOW PROFILE W/SPEAKING VALVE 118.00 3/1/2015 3500102 HP (HOT PACKS) 34.00 3/1/2015 3500130 FINGER SPLINT PADDED 42.00 5/3/2008 3500131 HAND SPLINT 49.00 3/1/2015 3500132 LONG ARM SPLINT 66.00 3/1/2015 3500133 WRIST COCKUP SPLINT 61.00 3/1/2015 3500153 LIFT, ELEVATION, HEEL 19.00 3/1/2015 3500154 AFO PREFAB PLASTIC INC FITTING 86.10 9/21/2009 3500157 HEEL WEDGE 43.00 9/21/2009 3600130 OT FINGER SPLINT 43.00 3/1/2015 3600131 OT HAND SPLINT 49.00 3/1/2015 3600132 OT LONG ARM SPLINT 66.00 3/1/2015 3600133 OT WRING COCKUP SPL 51.45 5/3/2008 4400001 CARD REHAB PHASE 2 125.00 3/1/2015 4400002 CARD REHAB PHASE III/MONTH 31.00 3/1/2015 4900105 COLONOSCOPY, SCREENING HIGH RISK(MEDICAR 593.94 3/2/2015 6700001 =>DIETARY CONSULTATION<= 12.60 5/3/2008 6700002 MNT INIT ASSESS/INTERVENT EA 15MIN 63.00 5/3/2008 6700003 MNT REASSESS & INTER 15 MIN 31.50 5/3/2008 6700004 MNT REASESS/INTER GRP 2/> 30 MIN 15.75 5/3/2008 6700270 MNT-REASMT 2ND F/U DX/COND/TX CH MCARE 54.00 3/1/2015 6700271 MNT-REASMT 2ND F/U DX/COND/TX MCARE GRP 27.00 3/1/2015 12000001 OP MINOR PROCEDURE ROOM per 15 min 77.25 3/1/2015 12000104 SIGMOIDOSCOPY, SCREENING 763.87 3/2/2015 12000105 COLONOSCOPY HIGH RISK SCREENING 1223.15 3/1/2015 12000121 COLONOSCOPY NOT HIGH RISK SCREENING 1223.15 3/1/2015 12000127 TRIMMING NONDYSTROPHIC NAILS ANY NUMBER 118.26 3/1/2015 12000402 COLONOSCOPY IPPE 1223.15 3/1/2015 12010021 FINE NEEDLE ASPIRATION W/O GUIDANCE 209.31 3/1/2015 12010060 INC & DRAIN ASCESS(CARB, CYST ETC)SIMP/S 192.26 3/1/2015 12010061 INC&DRAIN ABSCESS(CYST, CARBU ETC) COMP/ 192.26 3/1/2015 12010120 REMOVAL FB BY INCISION SUBQ 566.11 3/1/2015 12010121 REMOVAL FB BY INCISION SUBQ COMPLICATED 1622.52 3/1/2015 12010140 INC & DRAIN HEMATOMA, SEROMA OR FLUID CO 1713.98 3/1/2015 12010160 PUNCTURE ASPIRAT ABSCESS, HEMTOM, BULLA 192.26 3/1/2015 12010180 INC & DRAIN COMPLEX, POSTOP WOUND INFECT 1978.70 3/1/2015 12011042 DEBRIDEMENT;SKIN AND SUBCUTANEOUS TISSUE 371.34 3/1/2015 12011043 DEBRIDEMENT; SKIN, SUBC TISSUE & MUSCLE 371.34 3/1/2015 12011044 DEBRIDE SKN SUBC TIS MUSCLE & BONE 1854.93 6/1/2017 12011055 PARING/CUTING BEN HYPERKERATOT LESION;SI 118.26 3/1/2015 12011056 PARING/CUT BEN HYPERKERAT LESION 2-4 LES 118.26 3/1/2015 12011057 PARING/CUT BEN HYPERKERAT LESN >4 LESION 118.26 3/1/2015 12011100 SKIN BIOPSY SUBQ TISS &/OR MUC MEM 1ST 206.43 3/1/2015 12011101 SKIN BIOPSY;SUBQ TISS &/OR MUC MEM EA AD 112.68 3/1/2015 12011200 REMOVAL SKIN TAG, ANY AREA UP/INC 15 LES 112.68 3/1/2015 12011201 REMOVAL SKIN TAG, EA ADD 10 LESIONS 112.68 3/1/2015 12011300 SHAVE EPDERM DERM LESN TRNK ARM LG .5 LE 123.60 3/1/2015 12011301 SHAVE EPID/DERM LESION SING 0.6 - 1.0CM 123.60 3/1/2015 12011302 SHAVE LESION SING TRNK ARM LEG 1.1-2.0CM 122.03 3/1/2015 12011303 SHAVE LESION DERM/EPIDERM SC NCK HN >2CM 123.60 3/1/2015 12011306 SHAVE LESION DERM/EPIDERM SC NCK HN .6-1 123.60 3/1/2015 12011307 SHAVE LESION DERM/EPIDERM SC NCK HN 1.1- 123.60 3/1/2015 12011310 SHAVE EPIDERM LESN 0.5CM OR LESS FACE EA 123.60 3/1/2015 12011311 SHAVE LESN SING FACE EAR ELID NOS .6-1.0 123.60 3/1/2015 12011313 SHAVE LESION FACE EARS ELID NOSE >2.0CM 123.60 3/1/2015 12011400 EXCISION LESION, TRNK, ARM, LEGS <0.5CM 609.12 3/1/2015 12011401 EXCISION LESION TRNK, ARM,LEGS 0.6-1.0CM 609.12 3/1/2015 12011402 EXCISION LESION TRNK, ARM,LEG 1.1-2.0CM 609.12 3/1/2015 12011403 EXCISION LESION TRNK, ARM,LEG 2.1-3.0CM 1123.57 3/1/2015 12011404 EXCISION LESION TRNK, ARM,LEG 3.1-4.0CM 1622.52 3/1/2015 12011406 EXCISION LESION TRNK, ARM,LEG >4.0CM 1622.52 3/1/2015 12011420 EXCIS LESION SCLP,NECK,HND,FT,GENI<0.5CM 1123.57 3/1/2015 12011421 EXCIS LESION SCLP,NECK,HND,FT,GE 0.6-1.0 1123.57 3/1/2015 12011422 EXC LESION SCLP,NECK,HND,FT,GENIT 1.1-2. 1123.57 3/1/2015 12011423 EXCISION LESION SCLP,NECK,HND,FT 2.1-3.0 1622.52 3/1/2015 12011424 EXCIS LESION SCLP,NECK,HND,FT,GEN 3.1-4. 1622.52 3/1/2015 12011426 EXC LESION SCLP,NECK,HND,FT,GENIT>4.0CM 2229.31 3/1/2015 12011440 EXC/BENIGN LESION EAR/LIDS/NOSE <.5 CM 609.12 3/1/2015 12011441 EXC/BENIGN LESION EAR/LIDS/NOSE .6-1 CM 609.12 3/1/2015 12011442 EXC BEN LESN FACE,EAR,NOSE,LIP 1.1-2.0 1123.57 3/1/2015 12011443 EXC BEN LESN FACE,EAR,NOS,LIP 2.1-3.0CM 1123.57 3/1/2015 12011444 EXC BEN LESN FACE,EAR,NOSE, LIP 3.1-4.0 1123.57 3/1/2015 12011446 EXC BEN LESN FACE,EAR,NOSE,LIP >4.0CM 2229.31 3/1/2015 12011450 EXCISION HIDRADENITIS AXILLARY;SIM/INTER 2229.31 3/1/2015 12011462 EXCISION HIDRADENITIS INGUINAL;SIM/INTER 2229.31 3/1/2015 12011470 EXCIS HIDRADENITIS PERIANAL/PERIN/UMB SI 2229.31 3/1/2015 12011600 EXCISION MALIG LESION TRNK,ARM,LEG<.5CM 609.12 3/1/2015 12011601 EXCISION MALIG LESN TRNK,ARM,LEG .6-1.0C 609.12 3/1/2015 12011602 EXCISION MAL LESION-TRUNK/ARM/LEG 1.1-2. 609.12 3/1/2015 12011603 EXC MALIG LESN TRNK,ARM,LEG 2.1-3.0CM 1123.57 3/1/2015 12011604 EXC MALIG LESN TRNK,ARM,LEG 3.1-4.0CM 1622.52 3/1/2015 12011606 EXC MAL LESION TRNK/ARMS/LEGS >4 CM 1622.52 3/1/2015 12011620 EXC MALIG LESN SCLP,NCK,HNC,FT,GEN<.5CM 1123.57 3/1/2015 12011621 EXCIS MAL LESION-SCLP/HNDS/FT/GEN .6-1.0 1123.57 3/1/2015 12011622 EXCIS MAL LESION-SCLP/HND/FT/GEN 1.1-2.0 1123.57 3/1/2015 12011623 EXCIS MAL LESION-SCLP/HND/FT/GEN 2.1-3.0 1622.52 3/1/2015 12011624 EXC MAL LESION SCLP/HND/FT/GENIT 3.1-4.0 1622.52 3/1/2015 12011626 EXC MALIG LESION SCLP,NCK,HND,FT,GEN >4. 2229.31 3/1/2015 12011640 EXC MALIG LESN FACE,EAR,ELID,NSE,LIP<.5C 1123.57 3/1/2015 12011641 EX MAL LESN FACE,EAR,ELID,NSE, LIP .6-1. 1123.57 3/1/2015 12011642 EX MALIG LESN, FACE,EAR,ELID,LIP 1.1-2.0 1123.57 3/1/2015 12011643 EXC MAL LESION FACE/EAR/ELID/NSE/LIP 2.1 1123.57 3/1/2015 12011644 EX MAL LESION FAC/EAR/ELID/NOS/LIP 3.1-4 1622.52 3/1/2015 12011646 EXC MAL LESION FACE,EAR,ELID,NOS,LIP >4. 2229.31 3/1/2015 12011719 TRIMMING NONDYSTROPHIC NAILS, ANY NUMBER 114.82 7/1/2009 12011720 DEBRIDEMENT OF NAIL(S) ANY METHOD 1-5 NA 114.82 7/1/2009 12011721 DEBRIDEMENT NAIL(S) ANY METH 6 OR MORE 118.30 3/1/2015 12011730 AVULSION NAIL PLATE, PART/COMP SIMP/SING 118.26 3/1/2015 12011732 AVULSION NAIL PLATE PART/COMP EA ADD NAI 118.26 3/1/2015 12011750 EXCISION NAIL/MATRIX PART/COMP PERM REMO 304.56 3/1/2015 12011770 EXCISION PILONIDAL CYST SIMPLE 2604.80 2/1/2015 12011771 EXCISION PILONIDAL CYST EXTENSIVE 2604.80 2/1/2015 12011976 REMOVE IMPLANTED CONTRACEPTIVE CAPSULES 757.12 11/1/2015 12011982 REMOVAL DRUG DELIVERY SYSTEM NONBIODEGRA 263.50 6/1/2015 12012020 TREATMENT SUPERFICIAL WOUND DEHISC;SIMP 602.92 3/1/2015 12012021 TX SUPERFICIAL WOUND DEHISC W/PACKING 468.32 3/1/2015 12012031 REP INTERMED SCLP/AXIL/TRNK/LEG/AR <2.5 178.60 3/1/2015 12012032 REP INTERMED SCLP/TRNK/LEG/ARM 2.6-7.5CM 468.32 3/1/2015 12012034 REP INTERM SCLP/AX/TRNK/ARM/LEG 7.6-12.5 178.60 3/1/2015 12012041 REPAIR INTERMED NCK/HND/FT/GENITA <2.5CM 178.60 3/1/2015 12012042 REP INTERMED NCK/HND/FT/EXT GEN 2.6-7.5C 17.86 3/1/2015 12012044 REP INTERMED NCK/HND/FT/EXT GEN 7.6-12.5 178.60 3/1/2015 12012051 REP INTERMED FACE/EAR/ELID/LIP MUCMEM<2. 178.60 3/1/2015 12012052 REP INTERMED FAC/EAR/ELID/LIP 2.6-5.0CM 178.60 3/1/2015 12012054 REP LAC. INT;FAC-ELID,NOS,EAR,LIP7.6-12. 178.60 8/1/2015 12014000 ADJACENT TISSUE TRANSFER OR REARRANGEMEN 1630.43 3/1/2015 12015275 APPLY GRAFT SKIN SUB HND FEET MULT DIG 469.27 3/1/2015 12017000 DESTRUCTION PREMALIGN LESN 1ST LESION 112.68 3/1/2015 12017003 DESTRUCT PREMALIG LESN 2ND - 14 LESIONS 56.92 3/1/2015 12017110 DESTRUCT(CRYO CURR ETC)BEN LESN UP TO 14 118.26 3/1/2015 12017111 DESTRUCT(CRYO CURR ETC)BEN LESN 15 OR MO 206.43 3/1/2015 12017250 CHEMICAL CAUTERIZATION GRANULATION TISSU 257.50 3/1/2015 12017272 DESTRUCT MALIG LESN SCALP NCK HND1.1-2.0 212.47 3/1/2015 12017281 DEST MAL LESN FAC/EAR/EY/NOSE MUC 0.6-1. 397.62 3/1/2015 12019000 PUNCTURE ASPIRATION, CYST OF BREST 608.65 3/1/2015 12019001 PUNCTURE ASPIRATION , CYST OF BREAST EA 194.92 3/1/2015 12019100 BREAST BIOPSY, PERCUT, W/O IMAGING GUIDA 608.65 3/1/2015 12020200 BIOPSY OF MUSCLE; SUPERFICIAL 1505.78 3/1/2015 12020205 BIOPSY OF MUSCLE; DEEP 1622.52 3/1/2015 12020550 INJECTION(S) SING TENDON SHEATH/LIGAMENT 338.54 3/1/2015 12020600 ARTHROCENT ASPIR/INJ SM JNT/BURSA W/O GU 338.54 3/1/2015 12020605 ARTHROCENT INTERMED JNT/BUR W/O GUIDANCE 338.46 3/1/2015 12020610 ARTHROCENT ASPIR MAJ JNT KNEE HIP W/O GU 338.46 3/1/2015 12020612 ASPRIATION OR INJ GANGLION CYST ANY LOCA 381.10 3/1/2015 12020670 REMOVAL INTERNAL FIXATION SUPERFICIAL 1733.11 3/1/2015 12020680 REMOVAL IMPLANT FIXATION DEVICE DEEP 2429.72 3/1/2015 12021012 EXC LSN SFT TISS FACE/SCLP SQ 2CM/> 1653.16 12/1/2016 12021930 EXCIS TUMOR SFT TISSUE BACK SQ <3CM 2012.12 5/1/2015 12021931 EXCISION TUMOR SFT TISS BAC SQ 3CM> 2607.80 1/1/2015 12021933 EXCISION TUMOR SFT TISS BAC SQ 5CM> 2607.80 1/1/2015 12023120 CLAVICULECTOMY PARTIAL 3300.68 3/1/2015 12023130 ACROMIOPLASTY/IONECTOMY PART W/W.O CORA 4838.93 3/1/2015 12024006 ARTHROTOMY ELBOW W CAPSULAR RELEASE 3903.20 5/1/2015 12024357 TENOTOMY ELBOW MEDIAL OR LATERAL 3400.29 3/1/2015 12024359 TENOTOMY ELBOW LAT OR MED TENDON REPAI 3400.29 3/1/2015 12025000 INCISION EXTENSOR TENDON WRIST 2402.96 3/1/2015 12025111 EXCISION GANGLION WRIST PRIMARY 2292.69 3/1/2015 12026055 TENDON SHEATH INCISION FOR TRIGGER FINGE 1770.57 3/1/2015 12026111 EXC TUMOR VASC SFT TISS HND/FING 1.5CM > 2429.72 3/1/2015 12026160 EXCISION LESION TENDON SHEATH/JNT CAPSUL 1774.79 3/1/2015 12027305 FASCIOTOMY ILIOTIBIAL OPEN 2386.15 3/1/2015 12027337 EXCISION TUMOR SFT TIS THIGH SQ 5CM> 2607.80 1/1/2015 12027422 RECONST DISLOC PATELLA W EXTS REALIGN 5311.08 3/1/2015 12027430 QUADRICEPSPLASTY 5311.08 3/1/2015 12027786 CLOSED TX FIB FX W/O MANIP 357.33 3/1/2015 12027814 OPEN TX ANKLE FX BIMALLEOLAR INCL ORIF 5815.29 3/1/2015 12028008 FASCIOTOMY FOOT OR TOE 2404.02 3/1/2015 12028010 TENOTOMY PERCUT TOE SING TENDON 2615.28 11/14/2016 12028041 EXCIS TUMOR SFT TISSUE FT >1.4CM 3223.37 9/7/2017 12028090 EXCIS LESION TENDON SHEATH CAPS FOOT 2447.19 3/1/2015 12028100 EXCISION BONE CYST/BEN TUMOR CALC/TALUS 2447.19 3/1/2015 12028104 EXCISION BONE CYST METATARSAL/TARSAL 2615.28 2/25/2016 12028108 EXCISION BONE CYST PHALANGE FOOT 2447.19 3/1/2015 12028110 OSTECTOMY 5TH MET HEAD PARTIAL 2447.19 3/1/2015 12028113 EXC 5TH MET HEAD COMPLETE 2447.19 3/1/2015 12028122 PARTIAL EXCIS TARSAL OR METATARSAL 2615.30 2/1/2015 12028190 REMOVAL FOREIGN BODY FOOT SUBQ 1145.70 10/1/2018 12028240 TENOTOMY ABDUCTOR HALLUCIS 2615.28 7/1/2015 12028285 CORRECTION HAMMERTOE 2269.09 3/1/2015 12028288 OSTECTOMY/EXOSTECTOMY PARTIAL MET HEAD 2389.00 3/1/2015 12028289 HALLUX RIGIDUS CORRECTION 2404.42 3/1/2015 12028292 BUNIONECTOMY W RESECT P PHALANX BASE 1058.10 3/1/2018 12028296 CORRECTION HALLUX VALGUS 3535.48 3/1/2015 12028308 OSTEOTOMY OTH THAN 1ST METATARSAL 2615.28 2/25/2016 12028485 OPEN TX METATARSAL FX INCL INT FIX 6342.60 7/17/2015 12028750 ARTHRODESIS MPJ GREAT TOE 6686.47 3/1/2015 12028810 AMPUTATION METATARSAL W TOE 2389.00 3/1/2015 12028820 AMPUTATION TOE MP JOINT 2388.96 3/1/2015 12028825 AMPUTATION TOE INTERPHALANGEAL JOINT 2388.96 3/1/2015 12029125 APPLICATION SHORT ARM SPLINT STATIC 147.58 3/1/2015 12029405 APPLICATION OF SHORT LEG CAST 330.75 3/1/2015 12029540 STRAPPING; ANKLE &/OR FOOT 147.58 3/1/2015 12029580 UNNA BOOT 147.58 3/1/2015 12029877 DEBRIDE SHAVE ARTIC CARTILAG BY ARTHROSC 3108.54 3/1/2015 12029880 ARTHROSCOPY KNEE MED & LAT MENISECTOMY 3108.54 3/1/2015 12029881 ARTHROSCOP KNEE MED OR LAT MENISCECTOMY 3108.54 3/1/2015 12029886 ARTHROSCOPY KNEE OSTEOCHOND DESSICAN 3262.45 3/1/2015 12031623 BRONCH W BRUSHING - RIGID/FLEX INC GUIDA 1387.95 3/1/2015 12031625 BRONCHOSCOPY, RIG/FLEX W/BRONCH BX 1387.95 3/1/2015 12032554 THORACENTESIS W/O IMAGE GUID 725.90 3/1/2015 12036556 INSERTION NONTUNNLED CVC W/O PORT 5Y/O> 1505.78 3/1/2015 12036561 INSERTION TUNNELED CVAD W PORT >5YR OLD 3519.66 3/1/2015 12036590 REMOVAL IMPLANT VAD &/OR SUBQ PORT 1505.78 3/1/2015 12037609 LIGATION OR BX TEMPORAL ARTERY 1771.10 3/1/2015 12038220 BONE MARROW; ASPIRATION ONLY 428.48 3/1/2015 12038221 BONE MARROW; BIOPSY, NEEDLE OR TROCAR 429.02 3/1/2015 12043200 ESOPHAGOSCOPY, FLEX/ DIAG W/W/O FL 1177.45 3/1/2015 12043201 ESOPHAGOSCOPY W/DIRECTED SUBMUCOSAL INJ 1177.45 3/1/2015 12043202 ESOPHAGOSCOPY W/ OR W/O BX, SING/MULT 1177.45 3/1/2015 12043215 ESOPHAGOSCOPY W/REMOVAL FOREIGN BODY 1177.45 3/1/2015 12043220 ESOPHAGOSCOPY W/BALLOON DILATION 1177.45 3/1/2015 12043227 ESOPHAGOSCOPY W/CONTROL HEMORRHAGE(ANY M 1177.45 3/1/2015 12043235 UPPER GI ENDOSCOPY W/ OR W/O SPECIMEN 1177.45 3/1/2015 12043236 UPPER GI ENDOSCOPY W/DIR SUBMUCOSAL INJE 1177.45 3/1/2015 12043239 UPPER GI EINDOSCOPY W/BIOPSY, SING/MULT 1177.45 3/1/2015 12043244 UPPER GI ENDOSCOPY W/BAND LIGATION VARIC 1177.45 3/1/2015 12043245 UPPER GI ENDOSCOPY W/DILAT GASTRIC OUTLE 1177.45 3/1/2015 12043246 UPPER GI ENDOSCOPY W/DIR PLCMNT GASTROST 1177.45 3/1/2015 12043247 UPPER GI ENDOSCOPY W REMOV FB 1260.16 3/1/2015 12043249 UPPER GI ENDOSCOPY W/BALLOON DILAT <30MM 1177.45 3/1/2015 12043251 UPPER GI ENDOSCOPY W/REMOVAL POLYP SNARE 1177.45 3/1/2015 12043255 UPPER GI ENDOSCOPY W/CONTROL BLEEDING 1177.45 3/1/2015 12043258 UPPER GI ENDOSCOPY W/ABLATION TUMOR, POL 1177.45 3/1/2015 12043760 CHANGE OF GASTROSTSOMY TUBE, PERCUTANE 625.40 3/1/2015 12043999 UNLISTED PROCEDURE STOMACH 1381.17 3/1/2015 12044382 ILEOSCOPY THRU STOMA W BX 1704.86 2/18/2016 12044386 TERMINALILEAL ENDOCSCOPY W BX 1473.68 4/1/2015 12044388 COLONOSCOPY THRU STOMA;DIAG W/ W/O SPEC 1223.15 3/1/2015 12044389 COLONOSCOPY THRU STOMA;W/BIOPSY SING/MUL 1223.15 3/1/2015 12045330 SIGMOIDOSCOPY, FLEX/DX W/ OR W/O SPEC 763.87 3/1/2015 12045331 SIGMOIDOSCOPY;FLEX W/BIOPSY, SING/MULT 763.87 3/1/2015 12045332 SIGMOIDOSCOPY, FLEX/W/ REMOVAL FOREIGN B 763.87 3/1/2015 12045333 SIGMOIDOSCOPY, FLEX;W/REMOVAL POLYP HOT 1242.76 3/1/2015 12045334 SIGMOIDOSCOPY FLEX, WCONT HEMORRHAGE(ANY 1242.76 3/1/2015 12045335 SIGMOIDOSCOPY FLEX; W/ DIRECT MUCOSAL IN 763.23 3/1/2015 12045338 SIGMOIDOSCOPY, FLEX W/REMOVAL POLYP SNAR 1242.76 3/1/2015 12045378 COLONOSCOPY, FLEX, PROXIMAL TO SPLENIC F 1223.15 3/1/2015 12045379 COLONOSCOPY, FLEX W/REMOVAL FOREIGN BODY 1223.15 3/1/2015 12045380 COLONOSCOPY, FLEXIBLE W/ BIOPSY SING/MUL 1223.15 3/1/2015 12045381 COLONOSCOPY, FLEXIBLE W/DIR MUCOSAL INJE 1223.15 3/1/2015 12045382 COLONOSCOPY, FLEXIBLE W/CONTROL HEMORRHA 1223.15 3/1/2015 12045383 COLONOSCOPY, FLEX, W/ABLATION POLYP OTHE 1223.15 3/1/2015 12045384 COLONOSCOPY W REMOV TUMOR HOT BX FORCEP 1755.20 9/1/2017 12045385 COLONOSCOPY, FLEX, W/REMOVAL POLYP SNARE 1223.15 3/1/2015 12045386 COLONOSCOPY W BALLOON DIL SING MULT STRI 1325.42 3/1/2015 12045390 COLONOSCOPY W SUBMUCOUS RESECT 1184.79 12/1/2016 12046083 INCISION THROMBOSED HEMORROID EXTERNAL 254.43 3/1/2015 12046230 EXCIS MULT EXT PAPILLAE/SKIN TAG ANAL 2182.74 11/1/2015 12046250 HEMORRHOIDECTOMY EXTERN 2 OR MORE COLUMN 1068.64 10/7/2015 12046255 HEMORRHOIDECTOMY INT/EXTERNAL SIMPLE 1100.70 3/1/2015 12046260 HEMORROIDECTOMY INT & EXT 2 OR MORE COLU 3882.86 5/4/2015 12046270 ANAL FISTULOTOMY SUBQ 3251.27 6/1/2017 12046320 EXCISION THROMBOSED HEMORRHOID 2182.74 6/1/2015 12046924 DESTRUCTION LESION ANUS 1556.00 3/1/2015 12047000 BIOPSY OF LIVER, NEEDLE;PERCUTANEOUS 1303.47 3/1/2015 12047562 LAP CHOLECYSTECTOMY 5637.00 3/1/2015 12049080 PERITONEOCENTESIS, ABD PARACENTESIS/LAV 725.90 3/1/2015 12049082 ABDOMINAL PARACENTESIS 730.74 3/1/2015 12049320 LAPAROSCOPY ABD/PERITON DIAGNOSTIC 4202.98 3/1/2015 12049322 LAPAROSCOPY W ASPIR CAVITY OR CYST 4661.16 3/1/2015 12049450 REPLACE PEG TUBE W/GUID CONTRAST AND IMA 895.36 3/1/2015 12049505 REPAIR ING HERNIA INIT REDUC > 5Y/O 4013.15 5/1/2015 12049507 ING HERNIA INIT STR/INCARC REDUC > 5Y/O 4013.15 5/1/2015 12049520 RECURRENT INGUINAL HERNIA 4294.11 7/1/2017 12049560 REPAIR INCISIONAL/VENTRAL HERNIA INITIAL 3899.46 3/1/2015 12049561 REPAIR INCIS/VENT HERNIA INCARCERATE 2513.15 5/10/2017 12049565 REPAIR INCIS VENTRAL HERNIA UPPER ABD 4013.15 4/26/2017 12049568 IMPLANTATION OF MESH FOR VENTRAL/INCISIO 861.90 3/1/2015 12049585 UMBILICAL HERNIA OVER AGE 5 4016.44 3/1/2015 12049587 REPAIR UMBILICAL HERNIA 5Y/O/> REDUC INC 957.59 3/1/2015 12050590 LITHOTRIPSY ESWL 8755.00 3/1/2015 12051040 CYSTOSTOMY 3127.28 5/1/2017 12051050 CYSTOLITHOTOMY, W/O VESICAL NECK RESECT 3932.25 3/1/2015 12051102 INSERT SUPRAPUBIC CATHETER 2063.64 9/1/2015 12051700 BLADDER IRRIGATION SIMP LAVAGE &/OR INST 254.41 3/1/2015 12051701 INSERT URETHRAL CATH, STRAIGHT CATH 86.09 3/1/2015 12051705 CHANGE CYSTOSTOMY TUBE SIMPLE 427.56 5/1/2017 12051710 CHANGE UROSTOMY -COMPLICATED 674.65 3/1/2015 12051720 BLADDER INSTILL ANTICARCINOGEN 478.58 3/1/2015 12051725 CYSTOMETROGRAM SIMPLE 216.30 3/1/2015 12051726 COMPLEX CYSTOMETROGRAM 454.23 3/1/2015 12051728 COMPLX CMG W/VOIDING PRESSURE & UPP STUD 419.54 3/1/2015 12051729 COMPLEX CMG W VOID PRESS STUD & UPP 479.98 3/1/2015 12051736 UFO - SIMPLE 102.26 3/1/2015 12051741 COMPLEX UROFLOWMETRY 151.78 3/1/2015 12051784 EMG STUDY ANAL OR URETHRAL SPHINCTER 147.29 3/1/2015 12051992 LAP SURG SLING FOR STRESS INCONTINENCE 5091.29 3/1/2015 12052000 CYSTOURETHROSCOPY(SEPARATE PROCEDURE) 981.20 3/1/2015 12052005 CYSTO W/ URETERAL CATH 2947.86 3/1/2015 12052204 CYSTOURETHROSCOPY WITH BIOPSY 2802.23 3/1/2015 12052214 CYSTO W FULGUR TRIGONE BLAD NECK URETHRA 3101.31 3/1/2015 12052234 CYSTO W FULG/RESECT SM BLADDR TUM .5-2CM 2840.08 3/1/2015 12052235 CYSTO W/FULG RESECT MED BLAD TUMOR 2-5CM 2840.08 3/1/2015 12052240 CYSTO W FULG &/OR EXC LG BLAD TUMOR 2840.08 3/1/2015 12052265 CYSTO W DILATION BLADDER LOC ANESTH ONLY 1055.71 3/1/2015 12052281 CYSTOURETHROSCOPY, WITH CALB/DILAT, URET 1918.05 3/1/2015 12052310 CYSTOURETHROSCOPY W/REM FB, CALC, STENT 1918.05 3/1/2015 12052318 LITHOLAPAXY BLADDER COMPLIC OR LG 2802.23 3/1/2015 12052320 CYSTO W REMOVAL OF URETERAL CALCULUS 2840.08 3/1/2015 12052332 CYSTO W/INDWELLING STENT INSERTION 2840.08 3/1/2015 12052351 CYSTO W/URETEROSCOPY &/OR PYELOSCOPY 3736.30 3/1/2015 12052352 CYSTO/PYELOGRAM & REMOVAL CALCULUS 2840.08 3/1/2015 12052353 CYSTO W URETER/PYELOSCOPY W LITHOTRIPSY 4006.06 3/1/2015 12052356 CYSTO W LITHOTRIPSY INSERT URETER STENT 4670.64 6/1/2015 12052500 TUR BLADDER NECK 2949.19 3/1/2015 12052601 TURP 4228.81 3/1/2015 12052630 TUR RESIDUAL/REGROWTH PROSTATE 4670.64 9/1/2015 12053020 URETHRAL MEATOTOMY 678.28 3/1/2018 12053270 EXCIS/FULGURATION SKENE'S GLANDS 2263.97 3/1/2015 12053600 DILATION URETHRAL STRICT/SOUND/DILA-MALE 478.58 3/1/2015 12053620 DILATION URETHRAL STRICTURE INIT MALE 1131.20 10/1/2018 12053660 DILATATION URETHRA FEMALE INITIAL 157.63 3/1/2015 12053899 VOIDING PRESSURE STUDY SIMPLE 163.98 1/1/2013 12054055 DESTRUCT PENILE LESION SIMP ELECTRO 2319.48 3/1/2015 12054060 SURG EXC LESION OF PENIS, CONDYL, PAPILL 2341.66 3/1/2015 12054065 DESTRUCT LESION PENIS, CONDYL, PAPILL EX 2341.66 3/1/2015 12054161 CIRCUMCISION SURG EXC >28 DAYS OLD 2525.82 3/1/2015 12054163 REVISION CIRCUMCISION 2602.94 2/24/2015 12054200 INJECTION FOR PEYRONIE DZ 434.87 3/1/2015 12054512 EXCISION XTRAPARYNCHYMAL LESION TESTIS 2550.28 3/1/2015 12054520 ORCHIECTOMY SIMPLE W/W/O PROSTHE 2525.82 3/1/2015 12054620 FIXATION CONTRALATERAL TESTIS 2718.27 3/22/2016 12054640 ORCHIPEXY, ING APPROACH W/ W/O HERN REP 3559.02 3/1/2015 12054700 I & D EPIDIDYMIS/TESTIS/SCROTAL SPACE 2550.52 3/1/2015 12054840 EXCISION SPERMATOCELE W/ W/O EPIDIDYMEC 3367.75 3/1/2015 12054860 EPIDIDYMECTOMY UNILATERAL 2550.52 3/1/2015 12055000 PUNCTURE ASPIRATION HYDROCELE 659.20 3/1/2015 12055040 EXCISION HYDROCELE UNILATERAL 3520.07 3/1/2015 12055041 EXCISION HYDROCELE BILATERAL 3520.07 3/1/2015 12055250 VASECTOMY 615.64 3/1/2015 12055500 EXC HYDROCELE SPERM CORD UNILAT 2550.52 3/1/2015 12055530 EXCISION VARICOCELE 2621.62 3/1/2015 12056405 I & D OF VULVA OR PERINEAL ABSCESS 452.32 3/1/2016 12056515 DESTRUCTION VULVAR LESION, COMP 1556.41 3/1/2015 12057287 REMOVAL/REVISION SLING STRESS INCONT 2769.30 11/15/2016 12057288 SLING OPERATION FOR STRESS INCONTINENCE 4830.70 3/1/2015 12057421 COLPOSCOPY W BIOPSY VAGINA CERVIX 515.00 3/1/2015 12057452 COLPOSCOPY CERVIX 243.82 3/1/2015 12057454 COLPOSCOPY CERVIX W BX CERVIC & CURRETT 482.23 3/1/2015 12057455 COLPOSCOPY W BIOPSY(S) OF CERVIX 482.23 3/1/2015 12057511 CRYOCAUTERY OF CERVIX 244.23 3/1/2015 12057520 CONIZATION CERVIX INC CK-LASR 2283.87 5/1/2014 12058100 ENDOMETRIAL SAMPLING ANY METHOD 378.86 3/1/2015 12058301 REMOVAL IUD 452.32 12/1/2015 12058558 HYSTEROSCOPY SURG W BX W/W-O D&C 2486.43 3/1/2015 12058563 HYSTEROSCOPY W/ENDOMET ABLATION 4134.54 3/1/2015 12058670 LAP SURGICAL OCCLUS OVIDUCT BY DEVICE 5188.66 3/1/2015 12058671 LAP SURGICAL OCCLUS OVIDUCT BY DEVICE 5188.66 3/1/2015 12062270 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC 496.69 3/1/2015 12064455 INJECT ANESTHETIC &/OR STEROID, PLANTAR 338.46 3/1/2015 12064483 TRNSFORAMIN INJ W/GUID LUMB/SAC SING 1344.12 12/1/2016 12064484 TRNSFORAMIN INJ W/GUID LUMB/SAC EA ADDIT 672.06 12/1/2016 12064718 ULNAR NERVE NEUROPLASTY 1945.67 3/1/2015 12064721 MEDIAN NERVE DECOMPRESSION 1070.85 3/1/2015 12065426 EXCISION/TRANSPOSITION PTERYGIUM W/GRAFT 2438.90 3/1/2015 12066761 IRIDOTOMY/IRIDECTOMY BY LASER SURGERY 716.43 3/1/2015 12066821 DISCISSION SECONDARY MEMEBRANE CAT (YAG) 716.43 3/1/2015 12066984 EC CATARACT EXTRACTION W/LENS MAN/MECH 2479.63 3/1/2015 12067005 REMOVAL VITREOUS ANTERIOR PARTIAL 2157.25 3/1/2015 12067700 BLEPHAROTOMY, DRAIN ABSCESS EYELID 428.97 3/1/2015 12067916 REPAIR ECTROPION; EXCISION TARSAL WEDGE 1971.20 3/1/2015 12091035 ESOPHGAEAL REFLUX TST W/MUCOSAL PH PLCMT 540.69 3/1/2015 12091110 CAPSULE ENDOSCOPY(ESOPH THRU ILEUM) W/IN 1302.62 3/1/2015 12091111 CAPSULE ENDOSCOPY(ESOPHAGUS W/IN 1177.45 3/1/2015 12097597 DEBRIDE SELECT OPEN WOUND EPIDERM/DERM 2 206.43 3/1/2015 12099213 E/M EST PT LEVEL 3 154.50 3/1/2015 12099215 HIGH COMPLEX E/M EST PT 268.64 3/1/2015 12164483 TRNSFORAMIN INJ W/GUID LUMB/SAC BILAT 1680.15 1/1/2018 13000379 DIRECT ADMIT OBSERVATION(MEDICARE ONLY) 112.64 3/1/2015 13010021 FINE NEEDLE ASPIRATION W/O GUIDANCE 209.31 3/1/2015 13010060 INCISION & DRAINAGE ABSCESS, SIMP/SING 192.26 3/1/2015 13010061 INC&DRAIN ABSCESS(CYST, CARBU ETC) COMP/ 192.26 3/1/2015 13010080 INCISION & DRAINAGE PILONIDAL CYST, SIMP 192.26 3/1/2015 13010120 INCISION & REMOVAL FOREIGN BODY, SUBC SI 371.34 3/1/2015 13010121 INCISION & REMOVAL FOREIGN BODY, SUBC CO 1622.52 3/1/2015 13010140 INCISION & DRAINAGE HEMATOMA, SEROMA, FL 1285.49 3/1/2015 13010160 PUNCTURE ASPIRATION ABSCESS, HEMATOM 192.26 3/1/2015 13011000 DEBRIDEMENT OF INFECTED SKIN UP TO 10% 206.43 3/1/2015 13011001 DEBRIDEMENT INFECTED SKIN ADD 10% 206.43 3/1/2015 13011042 DEBRIDEMENT; SKIN & SUBCUTANEOUS TISSUE 185.67 3/1/2015 13011720 DEBRIDEMENT OF NAIL(S) ANY METHOD 1-5 118.26 3/1/2015 13011730 AVULSION OF NAIL PLATE, PART/COMP, PERM 118.26 3/1/2015 13011732 AVULSION OF NAIL PLATE, EACH ADDITIONAL 118.26 3/1/2015 13011740 EVACUATION OF SUBUNGAL HEMATOMA 56.92 3/1/2015 13011750 EXCISION OF NAIL/MATRIX PART/COMPLETE 304.56 3/1/2015 13011760 REPAIR NAIL BED 234.16 3/1/2015 13011762 RECONSTRUCTION OF NAIL BED W/GRAFT 1622.52 3/1/2015 13011765 WEDGE EXCISION OF SKIN OF NAIL FOLD 118.26 3/1/2015 13012001 REP LAC. SIM;TRNK, SCLP/AR/LG, F=<2.5CM 178.60 3/1/2015 13012002 REP LAC. SIM;TRNK, SCLP/AR/LG, F 2.6-7.5 178.60 3/1/2015 13012004 REP LAC. SIM;TRNK, SCLP/AR/LG, F7.6-12.5 178.60 3/1/2015 13012005 REP LAC. SIM;TRNK, SCLP/AR/LG, F12.6-20 178.60 3/1/2015 13012006 REP LAC. SIM;TRNK, SCLP/AR/LG, F20.1-30 178.60 3/1/2015 13012007 REP LAC. SIM;TRNK, SCLP/AR/LG, F20.1-30 178.60 3/1/2015 13012011 REP LAC. SIM;FAC-ELID, NOS,EAR, LIP=<2.5 178.60 3/1/2015 13012013 REP LAC. SIM;FAC-ELID, NOS,EAR, LIP2.5-5 178.60 3/1/2015 13012014 REP LAC. SIM;FAC-ELID, NOS,EAR, LIP5.1-7 178.60 3/1/2015 13012015 REP LAC SIMP;FAC, ELID, NOSE,E/L 7.6-12. 178.60 3/1/2015 13012016 REP LAC SIMP;FAC, ELID, NOSE,E/L 12.6-20 178.60 3/1/2015 13012017 REP LAC SIMP;FAC, ELID, NOSE,E/L 20.1-30 178.60 3/1/2015 13012018 REP LAC SIMP;FAC, ELID, NOSE,E/L >30CM 178.60 3/1/2015 13012020 TX SUPERFICIAL WOUND DEHISCENCE, SIMP CL 602.92 3/1/2015 13012021 TX SUPERF WOUND DEHISCENCE W/PACKING 468.32 3/1/2015 13012031 REP LAC. SIM;TRNK, SCLP/AR/LG, F=<2.5CM 178.60 3/1/2015 13012032 REP LAC. INT;TRNK, SCLP/AR/LG, 2.6-7.5 178.60 3/1/2015 13012034 REP LAC. INT;TRNK, SCLP/AR/LG, F7.6-12.5 178.60 3/1/2015 13012035 REP LAC. INT;TRNK, SCLP/AR/LG, F12.6-20 468.32 3/1/2015 13012036 REP LAC INT; TRNK,SCLP/AR/LG20.1-30.0 468.32 3/1/2015 13012037 REP LAC INT; TRNK,SCLP/AR/LG>30.0 468.32 3/1/2015 13012041 REP LAC. INT FH, CHK,MOUTH=<2.5CM 178.60 3/1/2015 13012042 REP LAC. INT FH, CHK,MOUTH2.6-7.5 178.60 3/1/2015 13012044 REP LAC. INT FH, CHK,MOUTH7.6-12.5 178.60 3/1/2015 13012045 REP LAC. INT FH, CHK,MOUTH12.6-20CM 468.32 3/1/2015 13012046 REP LAC. INT FH, CHK,MOUTH20.1-30CM 468.32 3/1/2015 13012047 REP LAC. INT FH, CHK,MOUTH>30CM 468.32 3/1/2015 13012051 REP LAC. INT;FAC-ELID, NOS,EAR, LIP=<2.5 178.60 3/1/2015 13012052 REP LAC. INT;FAC-ELID, NOS,EAR, LIP2.6-5 178.60 3/1/2015 13012053 REP LAC. INT FAC-ELID, NOS,EAR, LIP2.6-5 178.60 3/1/2015 13012054 REP LAC. INT;FAC-ELID,NOS,EAR,LIP7.6-12. 178.60 3/1/2015 13012055 REP LAC. INT;FAC-ELID,NOS,EAR,LIP12.6-20 468.32 3/1/2015 13012056 REP LAC. INT FAC-ELID, NOS,EAR, LIP20.1- 468.32 3/1/2015 13012057 REP LAC. INT;FAC-ELID,NOS,EAR,LIP>30CM 468.32 3/1/2015 13013100 REPAIR COMPLEX LACERATION TRUNK 1.1-2.5C 602.92 3/1/2015 13013101 REPAIR COMPLEX LACERATION TRUNK 2.6-7.5C 602.92 3/1/2015 13013102 REP LAC COMPL TRUNK EA ADD1YR 80.15 3/1/2015 13036430 TRANSFUSION - BLOOD/BLOOD COMPONENTS 456.48 3/1/2015 13036555 CENTRAL VENOUS CATH <5 YEARS 1129.33 3/1/2015 13036556 CENTRAL VENOUS CATH >5 YEARS 1129.33 3/1/2015 13036569 INSERTION PICC LINE W/O PORT 5Y/O OR > 1505.78 3/1/2015 13036591 COLLECTION OF BLOOD FROM IMPLANTABLE VAD 82.00 3/1/2015 13036600 ARTERIAL PUNCTURE 29.68 3/1/2015 13036680 NEEDLE PLACEMENT FOR INTRAOSSEOUS INFUSI 125.66 3/1/2015 13040650 REPAIR LAC LIP VERMILLION 842.00 3/1/2015 13040830 CLOSURE LACERATION, VESTIBULE MOUTH+<2.5 450.01 3/1/2015 13041800 DRAINAGE ABSCESS DENTOALVEOLAR 328.90 3/1/2015 13041805 REMOVE EMBED FB DENTALALVEOLAR SOFT TISS 2593.41 3/1/2015 13042960 CONT OROPHARYNG HEMORRAGE SIMPLE 160.87 3/1/2015 13043239 UPPER GI EINDOSCOPY W/BIOPSY, SING/MULT 1177.45 3/1/2015 13043247 UPPER GI ENDOSCOPY W REMOV FB 1260.16 3/1/2015 13043760 CHANGE GASTROSTOMY TUBE W/O GUIDANCE 625.40 3/1/2015 13044500 INTRODUCE LONG GI TUBE 625.40 3/1/2015 13046320 EXCISION EXT THROMBOSED HEMORRHOID 2366.57 3/1/2015 13046600 ANOSCOPY - DIAGNOSTIC 87.94 3/1/2015 13049080 ABDOMINAL PARACENTESIS, INITIAL 725.90 3/1/2015 13051700 BLADDER IRRIGATION SIMP LAVAGE &/OR INST 254.41 3/1/2015 13051701 INSERTION NON-INDWELLING BLADDER CATH 87.94 3/1/2015 13051702 INSERTION TEMPORARY INDWELL BLADDER CATH 87.94 3/1/2015 13056405 I & D OF VULVA OR PERINEAL ABSCESS 408.42 3/1/2015 13056420 I & D OF BARTHOLIN'S GLAND ABSCESS 193.64 3/1/2015 13056440 MARSUPIALIZATION BARTHOLIN CYST 1872.74 3/1/2015 13059409 VAGINAL DELIVERY ONLY W OR W/O EPIS/FORC 2019.16 3/1/2015 13062270 SPINAL PUNCTURE - LUMBAR - DIAGNOSTIC 496.69 3/1/2015 13064400 INJ ANESTHETIC AGENT TRIGENMINAL NERVE 338.46 3/1/2015 13064402 INJECTION; ANESTHETIC AGENT, FACIAL NERV 338.46 3/1/2015 13064450 INJECTION ANEST PERIPH NERVE BLOCK 517.06 3/1/2015 13065205 REMOVAL FOREIGN BODY CONJUNCTIVAL; SUPER 127.08 3/1/2015 13065210 REMOVAL FOREIGN BODY CONJUNCTIVAL;EMBEDD 127.08 3/1/2015 13065220 REMOVAL FOREIGN BODY CORNEA W/O SLIT LAM 127.08 3/1/2015 13065222 REMOVAL FOREIGN BODY CORNEA W/SLIT LAMP 127.08 3/1/2015 13067700 BLEPHAROTOMY, DRAINAGE OF ABSCESS, EYELI 428.97 3/1/2015 13069000 DRAINAGE EXT EAR, ABSCESS OR HEMATOMA 192.26 3/1/2015 13069200 REMOVAL FOREIGN BODY EXTERNAL EAR CANAL 87.94 3/1/2015 13069210 REMOV IMPACT CERUMEN REQ INSTRUMENT 87.94 3/1/2015 13090471 IMMUNIZATION ADMIN, 1 VACCINE(SING/COMB 51.27 3/1/2015 13090472 IMMUNIZATION ADMIN(PERC, SUBQ, IM)EA ADD 51.27 3/1/2015 13091105 GASTRIC INTUBATION/ASPIRATION OR LAVAGE 205.65 3/1/2015 13092950 CARDIOPULMONARY RECUSCITATION 329.06 3/1/2015 13092953 TEMPORARY TRANSCUTANEOUS PACING 329.06 3/1/2015 13092960 CARDIOVERSION EXTERNAL 745.47 3/1/2015 13092977 THROMBOLYSIS ADMINISTRATION IV (TPA) 333.74 3/1/2015 13093005 ER EKG 12 LEAD, TRACING ONLY 221.45 3/1/2015 13096360 IV INFUS, HYDRATION INITIAL 31MIN-1HR 151.76 3/1/2015 13096361 IV INFUS, HYDRATE EA ADD >35 MIN PAST HR 51.27 3/1/2015 13096365 IV INFUSION, THERAP, PROPH, DX, INITIAL 264.96 3/1/2015 13096366 IV INFUSION, THERAP., PROPHY, DX, EA ADD 51.27 3/1/2015 13096367 IV INFUSION, TX, PROPH, DIAGN,ADD SEQUEN 74.43 3/1/2015 13096368 IV INFUSION, CONCURRENT, SEPARATE LINE 42.54 3/1/2015 13096372 THERAP, PROPHYL OR DX INJ, SUBC/IM 51.27 3/1/2015 13096374 THERAP, PROPH, DX, IVP SING/INIT SUBSTAN 74.43 3/1/2015 13096375 IV PUSH EA ADD'L NEW SUBSTANCE OR DRUG 74.43 3/1/2015 13096376 IVP EA ADD'L SEQUENT SAME SUBSTANCE/DRUG 44.65 3/1/2015 13097597 DEBRIDE SELECT OPEN WOUND EPID/DERM 20SQ 206.43 3/1/2015 13099281 ER SERVICE LEVEL 1 108.39 3/1/2015 13099282 ER SERVICE LEVEL 2 177.45 3/1/2015 13099283 ER SERVICE LEVEL 3 281.60 3/1/2015 13099284 ER SERVICE LEVEL 4 448.89 3/1/2015 13099285 ER SERVICE LEVEL 5 667.23 3/1/2015 13099291 CRITICAL CARE 1ST 30-74 MINUTES 999.90 3/1/2015 13099292 CRITICAL CARE EACH ADDITIONAL 30 MINUTES 449.96 3/1/2015 13116000 INIT TX 1ST DEGREE BURN 196.98 4/1/2015 13199281 ER SERVICE LEVEL 1 108.39 3/1/2015 13199282 ER SERVICE LEVEL 2 177.45 3/1/2015 13199283 ER SERVICE LEVEL 3 281.60 3/1/2015 13199284 ER SERVICE LEVEL 4 448.89 3/1/2015 13199285 ER SERVICE LEVEL 5 667.23 3/1/2015 13199291 CRITICAL CARE 1ST 30-74 MINUTES 999.90 3/1/2015 13199292 CRITICAL CARE EACH ADDITIONAL 30 MINUTES 449.96 3/1/2015 18095812 EEG 1 HOUR 315.00 3/1/2015 18095813 EEG >1 HOUR 315.00 3/1/2015 18095816 EEG AWAKE & DROWSY 315.00 3/1/2015 18095819 EEG AWAKE & ASLEEP 315.00 3/1/2015 18095824 EEG CEREBRAL DEATH EVALUATION 352.12 8/3/2009 18095860 EMG 1 EXTREMITY W OR W/O PARASPINAL AR 164.80 3/1/2015 18095861 EMG 2 EXTREMITIES W OR W/O PARASPINAL AR 164.80 3/1/2015 18095863 EMG 3 EXTREMITIES W OR W/O PARASPINAL AR 164.80 3/1/2015 18095864 EMG 4 EXTREMITIES W OR W/O PARASPINAL AR 164.80 3/1/2015 18095909 NCV 5-6 STUD INC MOT-SENS W/ W/O F-H WAV 88.81 3/1/2015 18095910 NCV 7-8 STUD INC MOT-SENS W/ W/O F-H WAV 93.96 3/1/2015 18095911 NCV 9-10 STUD INC MOT-SENS W/W/O F-H WAV 164.45 3/1/2015 18095912 NCV 11-12 STUD INC MOT-SENS W/W/O F-H WA 169.60 3/1/2015 18095913 NCV 13/>STUD INC MOT-SENS W/ W/O F-H WAV 174.75 3/1/2015 18095925 NCV SOMATOSENSORY UPPER LIMBS 363.00 3/1/2015 18095926 NCV SOMATOSENSORY LOWER LIMBS 363.00 3/1/2015 18095927 NCV SOMATOSENSORY TRUNK OR HEAD 363.00 3/1/2015 18095930 VEP CHECKERBOARD 363.00 3/1/2015 18095933 BLINK REFLEX 82.00 3/1/2015 18095937 NCV REPETITIVE STIMULATION 161.00 3/1/2015 18095950 EEG 8 CHANNEL 1554.00 3/1/2015 18095951 EEG 16 CHANNEL 1554.00 3/1/2015 18095953 EEG 16+ CHANNELS 1554.00 3/1/2015 18095956 EEG TELE CEREBRAL SEIZURE 16 1554.00 3/1/2015 18095958 EEG WADA 306.10 8/3/2009 18095961 EEG MAPPING 352.12 8/3/2009 20050518 HBV QT(16694)w/RFX GENOTYPE-REF 353.50 3/1/2015 20080124 HEP A(8941)AB,RFX IGM(IN 6519 PNL)-REF 50.20 8/1/2010 20080125 FACTOR V(17844)ACT & INHIBIN-REF 252.14 3/1/2015 20080126 CARDIOLIPIN(4662)AB IGG-REF 61.80 3/1/2015 20080129 AEROBIC (34118)BACTERIAL ID-REF(FOCUS) 107.12 3/1/2015 20080130 GLIADIN(11228)IGA AB-REF 74.38 9/17/2010 20080131 GLIADIN(11212)IGG AB-REF 74.38 9/1/2010 20080132 VARICELLA(8683)IGM AB-REF 105.35 10/20/2012 20080133 CORTISOL(4212)A.M.-REF 66.79 3/1/2015 20080134 CORTISOL(4213)P.M.-REF 64.84 10/20/2012 20080135 HIV AB(5233)HIV-1 WB-REF 234.90 9/17/2010 20080136 TISSUE(11070)(TTG)TRANSGLUT IGG-REF 117.00 10/20/2012 20080137 VITAMIN B1(90353)(THIAMINE)PLASMA-REF 100.63 9/17/2010 20080139 PAN(10671)ANCA PLUS-REF 1224.59 3/1/2015 20080141 CULTURE(YEAST)(3968)W/KOH-REF 79.31 3/1/2015 20080142 ANAEROBIC(4471)BACTERIAL ID-REF(QUEST) 227.72 3/1/2015 20080143 SUSCEPTIBILITY(6641)AEROBIC-REF(QUEST) 32.45 3/1/2015 20080144 CULTURE(FUNGAL)(38300)ENVIRONMENT-REF 338.28 3/1/2015 20080145 CULTURE(SURVELLIANCE)4479-REF 69.26 3/1/2015 20080146 PROTEIN S(8838)ACT W/RFX-REF 322.28 3/1/2015 20080147 CRYSTALS(397)URINE-REF 146.88 3/1/2015 20080148 APC(93797)GENE DELETION/DUP-REF 1874.60 3/1/2015 20080149 CAH(14752)21-HYDROXYLASE DEF-REF 636.03 3/1/2015 20080150 IMMUNE(15435)CELL FCN-REF 368.23 3/1/2015 20080151 CMV(14980)GENOTYPE,PCR-REF 530.24 3/1/2015 20080152 HIV-2(37363)AB,EIA W/RFX IMMUNOBLOT-REF 143.89 3/1/2015 20080153 HIV-2(34313)AB,IMMUNOBLOT-REF 181.69 3/1/2015 20080154 TESTOSTERONE(36170)FREE&TTL-REF 116.95 10/20/2012 20080156 ALLERGY SHRIMP(2824)-REF 23.18 3/1/2015 20080157 ALLERGY LOBSTER(2855)-REF 23.18 3/1/2015 20080158 ALLERGY CRAB(2823)-REF 23.18 3/1/2015 20080159 ALLERGY EGG MIX(2919)-REF 23.18 3/1/2015 20080160 ALLERGY GLUTEN(2854)-REF 23.18 3/1/2015 20080161 HEPARIN(414)PLATELET AB-REF 96.56 3/1/2015 20080162 FISH,HER2/NEU(14620)PARAFFIN BLK-REF 399.88 3/1/2015 20080163 ER/PR(7037)PARAFFIN BLK-REF 299.18 3/1/2015 20080164 COBALT(37513)RANDOM UA-REF 132.48 3/1/2015 20080165 MERCURY(637)RANDOM UA-REF 99.14 3/1/2015 20080166 CREATININE(QUEST-8459)RANDOM UA-REF 33.61 3/1/2015 20080167 ADENOVIRUS(38945)STOOL-REF 114.06 3/1/2015 20080168 CHROMOGRANIN A(16379)-REF 183.80 3/1/2015 20080169 HEMOCCULT ICT(FOBT),DIAG(BLUE CARD) 37.13 3/1/2016 20080170 HEMOCCULT ICT(FOBT),SCREEN(BLUE CARD) 37.13 3/1/2016 20080171 VOLTAGE(VGCC)(34057)AB-REF 320.93 3/1/2015 20080173 THYROGLOB AB(BASE ALONE)86800 33.26 2/17/2011 20080174 THYROG AB ICMA(BASE ALONE)86800 105.00 2/17/2011 20080175 TISSUE(HSI1)HISTO SP STAIN GP1-REF 148.36 3/1/2015 20080176 TISSUE(LFOTC 1)-REF 123.37 3/1/2015 20080177 TISSUE(LFOPC 1)-REF 85.08 3/1/2015 20080178 TISSUE(HST1)-REF 148.36 3/1/2015 20080179 TISSUE(LTH1)-REF 82.16 3/1/2015 20080180 TISSUE(ICA1)-REF 181.65 3/1/2015 20080182 DSDNA(37092)CRITHIDIA(W/RFX TITER)-REF 109.29 3/1/2015 20080183 DSDNA(36731)(chrgs rflx)TITER-PAT-REF 81.83 3/1/2015 20080184 ANA TITER(36209)PAT(rfx chrg-)REF 9.77 3/1/2015 20080185 SS-A(38568)SJOGRENS AB-REF 103.01 3/12/2011 20080186 SS-B(38569)SJOGRENS AB-REF 103.01 3/12/2011 20080187 PARIETAL CELL(262)AB W/RFX-REF 104.98 3/1/2015 20080189 MITOCHONDRIAL(36205)TITER CHRG-REF 72.80 1/1/2011 20080190 RIBOSOMAL(34283)P AB-REF 113.30 3/1/2015 20080191 MYOCARDIAL(37540)TITER CHRG-REF 75.71 3/1/2015 20080192 RETICULIN(37063)TITER CHRG-REF 133.90 3/1/2015 20080193 STRIATED(36210)AB TITER CHRG-REF 82.19 3/1/2015 20080194 C-ANCA(70160)TITER-REF 59.16 1/1/2011 20080195 P-ANCA(70161)TITER-REF 82.32 1/1/2011 20080196 ATYP P-ANCA(70162)TITER-REF 123.60 3/1/2015 20080197 HEMOGLOBIN,FETAL(513)-REF 114.62 3/1/2015 20080198 BENZO(14967) PANEL QUANT, UA-QUEST 178.92 3/1/2015 20080199 AMPHETAMINES(241)QT,UA-REF 85.00 10/1/2012 20080200 MARIJUANA(4846)QT,UA-REF 107.00 3/1/2015 20080201 COCAINE(5530)QT,UA-REF 206.00 3/1/2015 20080202 SYNOVIAL FLUID(6398)COMPLETE-REF 198.49 3/1/2015 20080203 GLUCOSE(4410)SYNOVIAL FL-REF 76.44 5/26/2011 20080204 URIC ACID(4403)SYNOVIAL FLUID-REF 88.87 3/1/2015 20080205 LD(17658)SYNOVIAL FLUID-REF 57.68 3/1/2015 20080206 BCR-ABL1(16876)-REF 502.13 3/1/2015 20080207 UA COMPLETE CULT IF IND 28.17 3/1/2016 20080208 BB AB ID/EA SEL REAGENT CELL-ARC 59.01 3/1/2016 20080209 RHEUMATOID FCT SCREEN(WCMH) 16.93 3/1/2016 20080210 ASPERGILLUS(14950)ANTIGEN-REF 183.86 3/1/2015 20080211 PYRROLES(437)URINE-REF 133.90 3/1/2015 20080213 BB ABO/RH(7788)-REF 45.00 7/20/2011 20080214 LIVER/KIDNEY(15038)MICROSOMAL-REF 105.59 3/1/2015 20080215 LACOSAMIDE(16262)-REF 190.00 8/1/2011 20080216 IGG(5428)SUBCLASS 4-REF 106.10 3/1/2015 20080218 PENTA-AFP82105CHARGE 80.00 8/10/2011 20080219 PENTA-CHEMIMMUASSY82397CHARGE 110.00 8/10/2011 20080220 PENTA-ESTRIOL82677CHARGE 50.00 8/10/2011 20080221 PENTA-HCG84702CHARGE 50.00 8/10/2011 20080222 PENTA-INHIBIN A86336CHARGE 60.00 8/10/2011 20080223 SUSCEPTIBILITY(38913)GRAM POS-REF(QUEST) 121.19 3/1/2015 20080224 ANTI-MULLERIAN(16842)HORMONE-REF 178.60 3/1/2015 20080225 GENTAMICIN(481)LEVEL-REF 173.16 8/24/2011 20080226 GENTAMICIN(8575)TROUGH-REF 173.16 8/24/2011 20080227 GENTAMICIN(8582)PEAK-REF 173.16 8/24/2011 20080229 PT/INR(8847)-REF 24.94 3/1/2015 20080230 PTT(763)-REF 38.24 3/1/2015 20080231 COCAINE 11.53 3/1/2016 20080232 OPIATES 11.19 3/1/2016 20080233 THC(MARIJUANA) 11.19 3/1/2016 20080234 AMPHETAMINES 11.19 3/1/2016 20080235 PCP 11.19 3/1/2016 20080236 BENZODIAZEPINES 11.19 3/1/2016 20080237 BARBITUATES 11.19 3/1/2016 20080238 METHADONE 11.19 3/1/2016 20080239 PROPOXYPHENE 11.19 3/1/2016 20080240 METHAQUALONE 11.19 3/1/2016 20080241 CULTURE BACTERIAL(16583)ENVIRONMENTAL-RE 120.51 3/1/2015 20080242 MRSA CULTURE SCREEN-NASAL ONLY 44.55 3/1/2016 20080243 MRSA(S. AUREUS)CULTURE 44.55 3/1/2016 20080244 CULTURE(CPT87081)ID TYPING 46.84 3/1/2016 20080245 UREA NITROGEN(1737)RANDOM W/O CREAT-REF 110.62 3/1/2015 20080247 CRYSTALS(3134)FLUID-REF 125.15 3/1/2015 20080248 LISTERIA AB(34329)-QUEST 121.28 3/1/2015 20080249 SUSCEPTIBILITY(70242)ANAEROB(GRAD.)-REF 270.67 3/1/2015 20080250 SUSCEPTIBILITY(38950)ANAEROBIC-REF 185.61 3/1/2015 20080251 PARVOVIRUS(34296)B19 QUAL,PCR-REF 231.28 3/1/2015 20080252 THYROTROPIN(5738)BIND INHIB IMMUNOGL-REF 180.45 3/1/2015 20080253 HERPES 6 AB(34282)IGG,IGM-REF 106.65 3/1/2015 20080254 ERYTHOCYTE(762)PROTOPORPHYRIN-REF 178.35 3/1/2015 20080255 CHARGE ONLY-CPT 83891 241.02 3/1/2016 20080256 CHARGE CODE-CPT 83892 120.51 3/1/2016 20080257 CHARGE CODE-CPT 83901 120.51 3/1/2016 20080258 CHARGE CODE-CPT 88385 241.02 3/1/2016 20080259 CARBAMAZEPINE(329)TEGRETOL-REF 146.64 10/1/2011 20080260 PHENOBARBITAL(708)-REF 111.30 10/1/2011 20080262 BULLOUS(16136)PEMPHIGOLD BP230 IgG-REF 109.18 3/1/2015 20080263 BULLOUS(16034)PEMPHIGOLD BP180 AB-REF 105.53 3/1/2015 20080264 CHRG CPT 83891-FCT II(17909)-REF 34.20 10/1/2011 20080265 CHRG CPT 83898-FCT II(17909)-REF 34.20 10/1/2011 20080266 CHRG CPT 83909-FCT II(17909)-REF 34.20 10/1/2011 20080267 CHRG CPT 83912-FCT II(17909)-REF 34.20 10/1/2011 20080268 CHRG CPT 83914-FCT II(17909)-REF 34.20 10/1/2011 20080269 AFP AND AFP-L3(19529)-REF 121.67 3/1/2015 20080270 RF,SYNOVIAL FLUID(770)-REF 106.67 3/1/2015 20080271 CBC w/o AUTO DIFF 65.23 3/1/2016 20080272 CBC with MANUAL DIFF 118.71 3/1/2016 20080275 VON WILLIBRAND(10924)COLLAGEN-REF 317.24 3/1/2015 20080276 VON WILLIBRAND(5168)MULTIMERIC-REF 204.20 3/1/2015 20080278 BETA-2-GLYCOPROTEIN(36554)IGG-REF 160.68 3/1/2015 20080279 BETA-2-GLYCOPROTEIN(36553)IGM-REF 160.68 3/1/2015 20080280 RNA POLYMERASE(19899)III AB-REF 121.54 3/1/2015 20080281 CHRG CPT 86235-MYOSITIS(10185)-REF 116.68 12/9/2011 20080282 CHRG CPT 83516-MYOSITIS(10185)-REF 116.68 12/9/2011 20080283 CHRG CPT 83891-ALPHA1AAT QT(15340)-REF 71.50 12/15/2011 20080284 CHRG CPT 83892-ALPHA1AAT QT(15340)-REF 35.75 12/15/2011 20080285 CHRG CPT 83900-ALPHA1AAT QT(15340)-REF 71.50 12/15/2011 20080286 CHRG CPT 83909-ALPHA1AAT QT(15340)-REF 71.50 12/15/2011 20080287 CHRG CPT 83912-ALPHA1AAT QT(15340)-REF 71.50 12/15/2011 20080288 TPMT(18831)ACTIVITY-REF 381.66 3/1/2015 20080289 CHRG CPT 86631-CHLAMYDIA(29479)-REF 15.58 12/25/2011 20080290 CHRG CPT 86632-CHLAMYDIA(29479)-REF 18.58 12/25/2011 20080291 CHRG CPT 83890-TPMT GENO(37742)-REF 60.67 12/30/2011 20080292 CHRG CPT 83892-TPMT GENO(37742)-REF 121.34 12/30/2011 20080293 CHRG CPT 83896-TPMT GENO(37742)-REF 242.68 12/30/2011 20080294 CHRG CPT 83900-TPMT GENO(37742)-REF 60.67 12/30/2011 20080295 CHRG CPT 83912-TPMT GENO(37742)-REF 60.67 12/30/2011 20080297 CHRG CPT 82530-CORTISOL FREE(3707)-REF 100.00 1/1/2012 20080298 CHRG CPT 82533-CORTISOL TOTAL(37077)-REF 100.00 1/1/2012 20080300 CHRG CPT 87798-BORDETELLA PCR(59796)-REF 52.50 1/1/2012 20080301 CHRG CPT 87081-BORDETELLA CX(59796)-REF 52.50 1/1/2012 20080303 CHRG CPT 82465-NMR(37905)-REF 89.49 1/24/2012 20080304 CHRG CPT 83704-NMR(37905)-REF 89.49 1/24/2012 20080306 CHLAMYDIA(APTIMA)11361-REF 90.13 3/1/2015 20080307 GC(APTIMA)11362-REF 90.13 3/1/2015 20080308 FACTOR XIII(14461)FUNCT-REF 255.65 3/1/2015 20080311 PROLACTIN(40049)DILUTION STUDY-REF 123.85 3/1/2015 20080312 PROLACTIN(16122)TOTAL&MONOMERIC-REF 216.30 3/1/2015 20080313 CHRGE CPT 88184-LEUK(35080)-REF 15.02 3/16/2012 20080314 CHRGE CPT 88185-LEUK(35080)-REF 15.02 3/16/2012 20080315 CHRGE CPT 88189-LEUK(35080)-REF 15.02 3/16/2012 20080316 LYMPHOCYTE(8360)SUBSET PNL 5-REF 112.40 3/20/2012 20080319 CHRG CPT83896-COLVAN(16983)-REF 39.00 3/26/2012 20080320 CHRG CPT83898-COLVAN(16983)-REF 39.00 3/26/2012 20080321 CHRG CPT83912-COLVAN(16983)-REF 39.00 3/26/2012 20080322 CHRG CPT81401-COLVAN(16983)-REF 39.00 3/26/2012 20080323 ALLERGY CINNAMON(2637)-REF 62.13 3/1/2015 20080324 VITAMIN B2(36399)-REF 150.42 3/1/2015 20080325 VITAMIN B7(391)-REF 144.20 3/1/2015 20080328 RHEUMATOID FCT (IgA)15682-REF 103.72 3/1/2015 20080329 RHEUMATOID FCT (IgM)11173-REF 103.72 3/1/2015 20080330 RHEUMATOID FCT (IgG)15683-REF 103.72 3/1/2015 20080331 AMPHETAMINES(34401)SERUM PANEL-REF 178.60 3/1/2015 20080335 WEST NILE(IGM)(16013)AB,ELISA, CSF-REF 98.06 3/1/2015 20080336 WEST NILE(IGG)AB,ELISA, CSF-REF 98.06 3/1/2015 20080337 WEST NILE(11190)PCR,CSF-REF 435.18 3/1/2015 20080338 PROTEIN, TOTAL(14523)RANDOM UA W/O CREAT 30.66 3/1/2015 20080339 CHRG CPT(84166)ELECTROP, UA RANDOM-REF 28.22 6/14/2012 20080340 CREATINE(37091),SERUM-REF 108.05 3/1/2015 20080341 EOSINOPHIL COUNT, BLOOD(WCMH) 31.39 3/1/2016 20080342 CAT DANDER(10677)IGG-REF 25.03 3/1/2015 20080343 CAT DANDER(2601)IGE-REF 25.03 3/1/2015 20080345 CHRGCPT86870(5149)-REF 122.72 8/22/2012 20080346 CHRGCPT86886(5149)-REF 72.80 8/22/2012 20080348 FATTY ACIDS PROFILE(11254)(C12-C22)-REF 476.55 3/1/2015 20080349 HISTAMINE(16838)RELEASE-REF 206.00 3/1/2015 20080352 DIPTHERIA(4865)AB-REF 189.52 3/1/2015 20080353 MANNOSE-BINDING(16039)LECTIN-REF 206.00 3/1/2015 20080354 STREP(16963)PNEUMO IGG(23 TYPES)-REF 24.56 3/1/2015 20080355 HAEMOPHILUS INFLUENZAE(35135)TYPE B-REF 109.90 3/1/2015 20080356 TRICHOMONAS(90801males)VAGINALIS-REF 196.11 3/1/2015 20080357 COBALT(345)SERUM/PLASMA-REF 154.50 3/1/2015 20080358 CORTISOL,SALIVA(19897)-REF 117.42 3/1/2015 20080359 CORTISOL(14534)24HR UA w/CREAT-REF 106.22 3/1/2015 20080360 ESTRADIOL(30289)ULTRASENSITIVE-REF 166.10 10/19/2012 20080361 IODINE(16599)-REF 145.92 10/31/2012 20080362 FACTOR V (17900)(LEIDEN)MUT ANAL-REF 178.50 1/1/2013 20080363 HSV 2 IGG(3640)AB HERPESELECT-REF 77.51 3/1/2015 20080364 FRAGILE X SOUTH(16339)BLOT RFX CHRG-REF 154.50 3/1/2015 20080365 UGT1A1(16521)GENOTYPING-REF 302.82 3/1/2015 20080366 BNP(ACCESS) 118.36 3/1/2016 20080367 CHLORDIAZEPOXIDE(LIBRIUM)91123-REF 185.40 3/1/2015 20080368 EBV(8426)IGM AB-REF 108.91 3/1/2015 20080369 SOMATOSTATIN(34480)-REF 178.74 3/15/2013 20080370 24HR UREA(7329)CLEARANCE-REF 46.35 3/1/2015 20080372 STACHYBOTRYS(37404)CHARTARUM IgE-REF 122.09 3/1/2015 20080373 STACHYBOTRYS(37492)CHARTARUM IgG-REF 126.64 3/1/2015 20080374 STACHYBOTRYS(17131)CHARTARUM IgA-REF 130.30 3/1/2015 20080376 ISOPROPYL(578)ALCOHOL (BLOOD)-REF 151.04 3/1/2015 20080377 METHYL(643)ALCOHOL BLOOD-REF 151.04 3/1/2015 20080379 DRUG SCREEN 7 PANEL(19767)SERUM-REF 121.54 3/1/2015 20080380 KAPPA/LAMBDA LIGHT CHAINS(34318)UA-REF 333.10 3/1/2015 20080381 LYME DISEASE(CSF)34880 IGG/IGM-REF 244.76 3/1/2015 20080382 CARNITINE(30299)-REF 196.27 3/1/2015 20080384 CHRG 84163(PAPP-A)-REF 142.50 6/4/2013 20080385 CHRG 82397(h-hCG)-REF 142.50 6/1/2013 20080386 MICROALBUMIN RANDOM URINE 45.88 3/1/2016 20080388 CELL CT(7709)PERITONEAL FLUIDw/ DIFF-REF 97.21 3/1/2015 20080389 MAGNESIUM(11220)PEDI UA-REF 82.52 3/1/2015 20080390 STREP GROUP B CULTURE(5617)-REF 106.45 3/1/2015 20080391 SEROQUEL(35299)-REF 150.38 3/1/2015 20080392 MuSK AB(18842)QUANT-REF 961.40 3/1/2015 20080395 LEPTIN(90367)-REF 151.31 3/1/2015 20080396 ALLERGY CHICKEN MEAT(2857)-REF 25.03 3/1/2015 20080397 ALLERGY CAULIFLOWER(2635)-REF 25.03 3/1/2015 20080399 ALLERGY LETTUCE(2862)-REF 25.03 3/1/2015 20080400 ALLERGY CARROT(2831)-REF 25.03 3/1/2015 20080401 ALLERGY TURKEY MEAT(2748)-REF 25.03 3/1/2015 20080402 ALLERGY MILLETT(2620)-REF 62.13 3/1/2015 20080403 ALLERGY RICE(2809)-REF 35.33 3/1/2015 20080404 ALLERGY BROCCOLI(2631)-REF 25.03 3/1/2015 20080405 ALLERGY CELERY(2860)-REF 25.03 3/1/2015 20080406 HE4,OVARIAN CANCER MONITOR(16500)-REF 342.78 3/1/2015 20080407 ALLERGY HONEY BEE(2731)-REF 25.03 3/1/2015 20080408 ALLERGY BUMBLE BEE(38410)-REF 122.09 3/1/2015 20080409 ALLERGY APPLE(2849)-REF 25.03 3/1/2015 20080410 ALLERGY GRAPE(2675)-REF 25.03 3/1/2015 20080411 ALLERGY PEACH(8405)-REF 25.03 3/1/2015 20080412 ALLERGY PLUM(2728)-REF 25.03 3/1/2015 20080413 ALLERGY STRAWBERRY(2844)-REF 25.03 3/1/2015 20080414 ALLERGY ORANGE(2833)-REF 25.03 3/1/2015 20080415 ALLERGY BANANA(8926)-REF 25.03 3/1/2015 20080416 ALLERGY AVOCADO(8928)-REF 25.03 3/1/2015 20080417 ALLERGY LIMA BEAN(30760)-REF 122.09 3/1/2015 20080418 ALLERGY GREEN BEAN(2680)-REF 25.03 3/1/2015 20080419 ALLERGY BRAZIL NUT(2818)-REF 25.03 3/1/2015 20080420 ALLERGY COCONUT(2836)-REF 25.03 3/1/2015 20080421 ALLERGY PECAN(2864)IgE-REF 114.45 3/1/2015 20080422 ALLERGY ALMOND(2820)-REF 114.45 3/1/2015 20080423 ALLERGY HAZELNUT(2817)-REF 25.03 3/1/2015 20080424 ALLERGY HADDOCK(34926)IgE-REF 99.56 3/1/2015 20080425 ALLERGY TUNA(2840)-REF 25.03 3/1/2015 20080426 ALLERGY WHITEFISH(39499)IgE-REF 122.09 3/1/2015 20080427 CHRG CPT(82340)URORISK15565-REF 38.95 3/1/2015 20080428 CHRG CPT(82507)URORISK15565-REF 38.95 3/1/2015 20080429 CHRG CPT(82570)URORISK15565-REF 38.95 3/1/2015 20080430 CHRG CPT(83537)URORISK15565-REF 38.95 3/1/2015 20080431 CHRG CPT(83945)URORISK15565-REF 38.95 3/1/2015 20080432 CHRG CPT(83986)URORISK15565-REF 38.95 3/1/2015 20080433 CHRG CPT(84105)URORISK15565-REF 38.95 3/1/2015 20080434 CHRG CPT(84133)URORISK15565-REF 38.95 3/1/2015 20080435 CHRG CPT(84300)URORISK15565-REF 38.95 3/1/2015 20080436 CHRG CPT(84392)URORISK15565-REF 38.95 3/1/2015 20080437 CHRG CPT(84560)URORISK15565-REF 38.95 3/1/2015 20080438 CHRG CPT(82140)STONERISK(422)-REF 45.50 9/12/2013 20080439 CHRG CPT(82340)STONERISK(422)-REF 45.50 9/12/2013 20080440 CHRG CPT(82507)STONERISK(442)-REF 45.50 9/12/2013 20080441 CHRG CPT(82570)STONERISK(442)-REF 45.50 9/12/2013 20080442 CHRG CPT(83735)STONERISK(442)-REF 45.50 9/12/2013 20080443 CHRG CPT(83945)STONERISK(442)-REF 45.50 9/12/2013 20080444 CHRG CPT(83986)STONERISK(442)-REF 45.50 9/12/2013 20080445 CHRG CPT(84105)STONERISK(442)-REF 45.50 9/12/2013 20080446 CHRG CPT(84133)STONERISK(442)-REF 45.50 9/12/2013 20080447 CHRG CPT(84300)STONERISK(442)-REF 45.50 9/12/2013 20080448 CHRG CPT(84392)STONERISK(442)-REF 45.50 9/12/2013 20080450 CHRG CPT(82340)STONETRACK(15567)-REF 46.87 3/1/2015 20080451 CHRG CPT(82507)STONETRACK(15567)-REF 46.87 3/1/2015 20080452 CHRG CPT(82570)STONETRACK(15567)-REF 46.87 3/1/2015 20080453 CHRG CPT(83945)STONETRACK(15567)-REF 46.87 3/1/2015 20080454 CHRG CPT(83986)STONETRACK(15567)-REF 46.87 3/1/2015 20080455 CHRG CPT(84133)STONETRACK(15567)-REF 46.87 3/1/2015 20080457 CHRG CPT(84560)STONETRACK(15567)-REF 45.53 3/1/2015 20080458 ALPHA-2-ANTIPLASMIN(4953)-REF 206.54 3/1/2015 20080459 PLASMINOGEN ACTIVITY(4458)-REF 227.83 3/1/2015 20080460 PLASMINOGEN, ANTIGENIC(5164)-REF 213.22 3/1/2015 20080461 SODIUM 12HR URINE 31.58 3/1/2016 20080462 POTASSIUM 12HR URINE 23.34 3/1/2016 20080463 CREATININE 12HR URINE 42.93 3/1/2016 20080464 CALCIUM 12HR URINE 49.96 3/1/2016 20080465 CALCIUM RANDOM URINE 20.12 3/1/2016 20080466 MYOGLOBIN (WCMH) 77.11 3/1/2016 20080467 DIHYDROTESTOSTERONE(36168)FREE-REF 161.09 3/1/2015 20080468 LEGIONELLA ANTIGEN URINE 111.39 3/1/2016 20080469 DRUG SCREEN(91359)GENERAL TOX, UA-REF 310.11 3/1/2015 20080470 DRUG SCREEN(91360)GENERAL TOX SERUM-REF 310.11 3/1/2015 20080471 CHRG CPT(84600)DRUG SCREEN GEN TOX-REF 150.54 11/15/2013 20080472 STREP PNEUMO ANTIGEN URINE/CSF 79.44 3/1/2016 20080474 RNP AB(19887)-REF 105.00 11/21/2013 20080475 INTERLEUKIN-6(34473)-REF 266.84 3/1/2015 20080476 CELL COUNT(20913)FLUID,OTHER W/DIFF-REF 97.21 3/1/2015 20080477 HIV-1 QT,RNA PCR(90926) rfx INTEG GENO-R 270.38 3/1/2015 20080478 HIV-1 QT RT,PCR(91691)/RFLX GENOTYPE-REF 270.38 3/1/2015 20080480 ALLERGY CAT DANDER(2601)-REF 25.03 3/1/2015 20080481 ALLERGY CLADOSPORIUM HERBARUM(2702)-REF 25.03 3/1/2015 20080482 ALLERGY DOG DANDER(2605)-REF 25.03 3/1/2015 20080484 ALLERGY CODFISH(2803)-REF 25.03 3/1/2015 20080485 ALLERGY WHEAT(2804)-REF 25.03 3/1/2015 20080486 ALLERGY WALNUT(3489)-REF 25.03 3/1/2015 20080488 ALLERGY ALPHA-LACTALBUMIN(2851)-REF 25.03 3/1/2015 20080489 ALLERGY BETA-LACTOGLOBULIN(2852)-REF 25.03 3/1/2015 20080490 ALLERGY CASEIN(2853)-REF 25.03 3/1/2015 20080492 ALLERGY OVALBUMIN(2719)-REF 62.13 3/1/2015 20080493 ALLERGY OVOMUCOID(3046)-REF 62.13 3/1/2015 20080494 ALLERGY PEANUT COMPONENT(91681)-REF 155.32 3/1/2015 20080496 CHLORPROMAZINE(882)-REF 164.80 3/1/2015 20080497 YEAST ID(39507)-REF 123.60 3/1/2015 20080500 CORTISOL,FREE(90582)RANDOM UA-REF 72.62 3/1/2015 20080501 CREATININE,24HR UA(381)-REF 33.61 3/1/2015 20080502 COBALT,BLOOD(35417)-REF 116.80 3/1/2015 20080503 CORTISOL FREE, ACTH STIMULATON(16434)REF 305.63 3/1/2015 20080504 NMO IgG AUTOAB TEST(90382)-REF 545.24 3/1/2015 20080505 BERYLLIUM, BLOOD(278)-REF 150.38 3/1/2015 20080507 VISCOSITY, SERUM(918)-REF 112.82 3/1/2015 20080509 H INFLUENZA TYPE B AG(4505)-REF 133.90 3/1/2015 20080510 N MENINGITIDIS AG(16398)-REF 64.33 3/1/2015 20080511 ALLERGY CASHEW NUT(10323)IgG-REF 114.45 3/1/2015 20080512 ALLERGY KIWI(f84)IgE(2884)-REF 25.03 3/1/2015 20080513 ALLERGY GRAPEFRUIT(f209)(2923)-REF 25.03 3/1/2015 20080514 ALLERGY CASHEW NUT(f202)IgE(2608)-REF 25.03 3/1/2015 20080515 Histone Antibodies-LC 87.71 3/1/2015 20080516 ALLERGY PANEL FOOD(91682)w/rflx-REF 133.49 3/1/2015 20080517 RH, WEAK D (Du Variant)11291-REF 106.35 3/1/2015 20080518 CULTURE NASAL(NOSE) 78.59 3/1/2016 20080520 RICKETTESIA(TYPHUS FEVER)ABS(37503)-REF 105.60 3/1/2015 20080521 TRICHOMONAS(3960)CULTURE-REF 90.80 3/1/2015 20080523 C DIFF ANTIGEN 101.62 3/1/2016 20080524 FECAL LEUKOCYTES(WCMH) 46.56 3/1/2016 20080525 ACARUS SIRO(d70)IgE(23865)-REF 62.13 3/1/2015 20080526 HYDROCODONE&METABOLITE(90489)-REF 199.61 3/1/2015 20080529 SINEMET(3388)-REF 122.57 3/1/2015 20080531 CHARGE CPT82247-HCV FIBROSURE(17611) 64.44 3/1/2015 20080532 CHARGE CPT82977-HCV FIBROSURE(17611) 64.44 3/1/2015 20080534 CHARGE CPT83883-HCV FIBROSURE(17611) 64.44 3/1/2015 20080535 CHARGE CPT84460-HCV FIBROSURE(17611) 64.44 3/1/2015 20080536 STOOL-SHIGA TOXIN/E. COLI(WCMH) 63.44 3/1/2016 20080538 GIARDIA 55.39 10/1/2014 20080539 CRYPTOSPORIDIUM 57.05 3/1/2016 20080861 CHARGE CPT83519(PARANEOPLA93876)-REF 80.00 3/1/2015 20080862 CHARGE CPT83520(PARANEOPLA15942)-REF 80.00 3/1/2015 20080863 CHARGE CPT86255(PARANEOPLA93876)-REF 80.00 3/1/2015 20080864 TZANCK SMEAR(3520)CYTOLOGY-REF 190.74 3/1/2015 20080865 LACTIC ACID(WCMH) 29.54 3/1/2016 20080866 BILIRUBIN, TOT BODY FLUID-QUEST 19.67 1/12/2015 20080868 CHARGE CPT80301-AMP 27.82 3/1/2015 20080869 CHARGE CPT80301-BARB 27.82 3/1/2015 20080870 CHARGE CPT80301-BENZO 27.82 3/1/2015 20080871 CHARGE CPT80301-COC 27.82 3/1/2015 20080872 CHARGE CPT80301-THC 27.82 3/1/2015 20080873 CHARGE CPT80301-MTD 27.82 3/1/2015 20080874 CHARGE CPT80301-OPI 27.82 2/2/2015 20080875 CHARGE CPT80301-PROP 27.82 3/1/2015 20080876 CHARGE CPT80301-PCP 27.82 3/1/2015 20080877 IA-2 ANTIBODY(36177)-QUEST 247.55 3/1/2015 20080878 COLLAGEN N-TELOPEPTIDE(36167)-QUEST 131.08 3/1/2016 20080879 URINE DRUG SCREEN-MEDICARE 112.24 9/23/2016 20080880 TAY-SACHS MUTATION(90903)-QUEST 300.00 2/26/2015 20080882 CHARGE CPT84163(TC16145)-PAPP-A 146.25 2/26/2015 20080883 CHARGE CPT82397(TC16145)-hCG 146.25 2/26/2015 20080884 AFP, Amnio Fluid(232)-QUEST 111.73 2/26/2015 20080885 HEMOGLOBIN S,QT(31852)-QUEST 121.55 3/24/2015 20080886 HIV 1&2 Ag/AB(91431)w/Rflx-Quest 82.48 4/21/2015 20080889 ADENOVIRUS Ag, DFA(8355)-QUEST 121.25 6/7/2015 20080890 CLOPIDOGREL CYP2C19(16924)-QUEST 390.00 6/11/2015 20080891 CELL COUNT(398)CSF W/DIFF-QUEST 97.21 6/10/2015 20080892 ALLERGY MOUSE URINE PROTEINS(2658)-QUEST 24.30 7/1/2015 20080893 PROBNP-N-TERMINAL(11188)-QUEST 219.30 8/24/2015 20080894 PROTEIN C(8754)ACT w/RFLX-REF 165.83 10/19/2015 20080895 ESTROGEN RECEPTOR(ER),IHC w/INTER(36160) 176.36 10/23/2015 20080896 HER-2,IHC wRFLX HER-2 FISH(15547)-REF 299.61 10/23/2015 20080897 CELL CT w/MAN DIFF,BODY FLUID-PARKLAND 195.50 11/13/2015 20080898 14.3.3 eta PROTEIN(91455)-QUEST 183.60 11/30/2015 20080899 SOLUBLE LIVER AUTOAB(38928)-QUEST 160.00 12/15/2015 20080901 BD RSV 134.06 3/1/2016 20080903 HLA CHRG 81382(17135) 143.50 12/18/2015 20080904 HLA CHRG 81376(17135) 143.50 12/18/2015 20080905 Alere i FLU A -CHARGE 154.47 3/1/2016 20080906 Alere i FLU B -CHARGE 154.47 3/1/2016 20080907 DRUG ABUSE PANEL 9 (19733)MEDICAID-QUEST 250.38 1/1/2016 20080909 HIV1 PHENOCPTCHGE(87903) 823.55 1/28/2016 20080910 HIV1 ANTIVIRAL DRUGCPTCHGE(87904) 74.87 1/28/2016 20080911 CLOBAZAM(30283)-QUEST 172.00 1/30/2016 20080912 H PYLORI(92491)UREA BREATH-PEDS 247.20 3/1/2015 20080913 INHALANTS PANEL(8299)BLOOD-QUEST 136.00 2/29/2016 20080914 HCV RNA NS3 DRUG RESIST(90924)-QUEST 819.00 2/29/2016 20080918 HCV RIBA(8739)-REF 137.50 7/26/2010 20080919 AMYLASE(14581),RAN UA (W/OCREAT)-REF 123.60 3/1/2015 20080920 SPECIAL HANDLING - REF 21.45 3/1/2015 20080921 COPPER 24HR URINE(365)-REF 188.18 3/1/2015 20080922 DELTA AMINO(219)LEVULINIC ACID,24HR-REF 203.12 3/1/2015 20080927 ROCKY MT & RICKETTSIA(37507)AB-REF 273.77 3/1/2015 20080928 CULTURE(THROAT-14541)GRP A SENS-REF 112.40 3/1/2015 20080930 DO NOT USE-IGF-1(58977)-REF 116.25 6/30/2009 20080931 MTHFR(17911)DNA MUT ANAL-REF 271.77 3/1/2015 20080932 SWINE FLU(16807)PCR-REF 301.28 3/1/2015 20080933 CYSTINE(10947),24HR UA-REF 147.70 3/1/2015 20080934 MAGNESIUM(11322)24HR UA W/O CREAT-REF 112.92 3/1/2015 20080935 SODIUM(11317)24HR UA W/O CREAT-REF 76.44 10/20/2012 20080936 OXALATE(11318)24HR UA W/O CREAT-REF 91.42 3/1/2015 20080937 CALCIUM(11313)24 HR UA W/O CREAT-REF 123.75 3/1/2015 20080938 CITRIC ACID(11315)24 HR UA W/O CREAT-REF 148.20 3/1/2015 20080939 5-HIAA(523),24HR UA W/O CREAT-REF 105.38 7/30/2009 20080941 DHEA(38954), UA - REF 302.82 3/1/2015 20080942 PROTEINASE-3 AB(34151)-REF 125.50 8/4/2009 20080943 CLOZAPINE(1769)(CLOZARIL)-REF 176.04 3/1/2015 20080944 CONNEXIN 26(GJB2)DNA(92435)-QUEST 843.57 3/1/2015 20080946 IRON BINDING CAP(CHARGE W/20080947) 93.79 3/1/2016 20080948 FREE KAPPA/LAMBDA(11234)SERUM-REF 123.60 3/1/2015 20080949 BETA(37054)HYDROXYBUTYRATE-REF 119.48 3/1/2015 20080950 HEPARIN,ANTI-Xa(30292)-REF 248.21 3/1/2015 20080951 HIV-1QT PCR W/RFLX GENOYTPE 378.30 9/15/2009 20080953 CMV DNA PCR(10601)QL-REF 341.45 3/1/2015 20080955 ENTEROVIRUS CULTURE(2647)-REF 340.11 3/1/2015 20080956 CULTURE(GC)(480)-REF 109.95 3/1/2015 20080957 CULTURE(CHLAMYDIA)(690)-REF 240.15 3/1/2015 20080958 RESPIRATORY VIRUS(14867)CULTURE-REF 115.88 3/1/2015 20080959 HEP C(29271)RNA BDNA,QT-REF 333.36 3/1/2015 20080960 DO NOT USE-SEX HORM BINDING GLOB(WCMH) 260.00 11/16/2009 20080961 DO NOT USE-TESTOSTERONE(WCMH)FREE&TOTAL 260.00 11/16/2009 20080962 T3 TOTAL(WCMH) 136.86 3/1/2016 20080963 T3 FREE(WCMH) 136.86 3/1/2016 20080964 DO NOT USE-THYROGLOBULIN LEVEL(WCMH) 150.00 11/16/2009 20080965 DO NOT USE-THYROGLOBULIN AB(WCMH) 150.00 11/16/2009 20080966 OSTEOCALCIN(16322)N-MID-REF 112.01 3/1/2015 20080967 HYDROGEN BREATH TEST(SIBO)-REF 189.11 3/1/2015 20080968 LACTOSE INTOLERANCE BREATH TEST-REF 189.11 3/1/2015 20080970 GRAM STAIN,SPUTUM 9.73 3/1/2016 20080971 TRYPSIN(30329)-REF 107.78 3/1/2015 20080972 CORTISOL FREE(36423)SERUM-REF 135.84 3/1/2015 20080973 CMV PCR(10600)QT-REF 409.73 3/1/2015 20080974 PORPHOBILINOGEN(6329),QT-RANDOM-REF 117.94 3/1/2015 20080976 QTIFERON TB(19453)-REF 231.13 3/1/2015 20080977 CRYPTOCOCCUS AB(30429)-REF 147.08 3/1/2015 20080978 CHROMATIN(34088)AB-REF 113.30 3/1/2015 20080980 FSH(36087),PEDIATRIC-REF 58.80 10/20/2012 20080984 LH(36086)PEDIATRICS-REF 70.40 10/20/2012 20080985 HYDROMORPHONE(10982)-REF 160.17 3/1/2015 20080986 BB DIRECT ANTIGLOBULIN(DAT)-ARC 85.11 3/1/2016 20080987 DIURETICS PANEL(91594)URINE-REF 253.90 3/1/2015 20080989 HEMOGLOBINOPATHY(35489)EVAL-REF 155.32 3/1/2015 20080990 CULTURE,STAPH-MRSA(8801)-REF 96.46 10/20/2012 20080991 URINE PHOSPHORUS 30.66 3/1/2016 20080992 URINE CALCIUM 31.58 3/1/2016 20080993 SODIUM 24HR URINE 31.58 3/1/2016 20080994 RETIC(WCMH)COUNT AUTOMATED 27.40 3/1/2016 20080995 ALLERGY BEEF(2827)-REF 23.18 3/1/2015 20080996 ALLERGY TEA(6805)-REF 23.18 3/1/2015 20080997 ALLERGY TOMATO(2825)-REF 23.18 3/1/2015 20080998 URINE URIC ACID 31.58 3/1/2016 20080999 URIC ACID 24HR UA 31.58 3/1/2016 20081001 ARSENIC(270)RANDOM UA-REF 101.20 3/1/2015 20081002 PROPAFENONE(6278)(RYTHMOL)-REF 177.98 3/1/2015 20081003 COXSACKIE B(1-6)AB(7656)-REF 108.80 3/1/2015 20081004 IGF-1(16293)-REF 134.37 3/1/2015 20081005 STONE ANALYSIS(30260)-REF 121.95 3/1/2015 20081006 MSAFP(5059)-REF 39.40 3/1/2015 20081007 MYCOPHENOLIC(10662)ACID-REF 253.38 3/1/2015 20081008 EBV DNA(10186)QT,PCR-REF 358.52 3/1/2015 20081009 NEURONAL(37053)(HU)AB W/RFLX-REF 262.65 3/1/2015 20081012 PURKINJE(37360)(YO)AB W/RFX-REF 245.14 3/1/2015 20081014 NEURONAL(10140)(RI)AB W/RFX-REF 206.00 3/1/2015 20081018 CHLORIDE 24HR URINE 31.58 3/1/2016 20081019 BARTONELLA(37671)HENS IGG/IGM W/RLFX-REF 153.47 3/1/2015 20081020 BARTONELLA(38513)HENS IGG AB-CHARGE ONLY 115.10 3/1/2015 20081021 BARTONELLA(38515)HENS IGM AB-CHARGE ONLY 111.75 10/1/2012 20081022 TSH(36577)ANTIBODY-REF 206.62 3/1/2015 20081023 EOSINOPHIL(8559)COUNT,URINE-REF 126.38 3/1/2015 20081027 BRCAvantageCPTCHRG(81406) 853.66 3/1/2016 20081029 VENLAFAXINE(16325)-QUEST 190.00 3/14/2016 20081030 CRYPTOCOCCAL AG SCREEN w/rfx(11196)-QUES 118.53 3/15/2016 20081031 BRCAvantage, Comprehensive(91863)-QUEST 2795.00 4/5/2016 20081033 CPT CHRG JC VIRUS(11068) 272.00 4/11/2016 20081034 CPT CHRG BK VIRUS(11068) 272.00 4/11/2016 20081135 ALLERGY SALMON(2841)-QUEST 25.03 3/1/2015 20081136 ALLERGY WHITE POLLOCK(38598)IgE-QUEST 96.66 5/12/2016 20081138 CHRG LYME IGG,CSF(70028)-QUEST 156.00 5/2/2016 20081139 CHRG LYME IGM,CSF(70028)-QUEST 156.00 5/2/2016 20081140 RICKETTSIA RICKETTSII DNA,PCR(70191)-REF 358.05 6/30/2016 20081141 E coli O157, CULTURE(8631)-QUEST 102.72 7/12/2016 20081143 CPT CHRG 87900(34949)-QUEST 286.00 7/18/2016 20081144 CPT CHRG 87901(34949)-QUEST 286.00 7/18/2016 20081145 VANCOMYCIN RESISTANT ENTEROCOCCI CULTURE 66.81 7/1/2016 20081148 D-dimer (Triage) 108.59 9/21/2016 20081149 ALPHA-GALACTOSIDASE(1629)-QUEST 462.37 9/30/2016 20081151 CHRGCPT 80359(14742)-QUEST (MDMA) 49.50 10/3/2016 20081152 CHRGCPT 80324(14742)-QUEST (AMPH) 49.50 10/3/2016 20081153 ALPHA-GAL(95241)-QUEST 122.00 9/30/2016 20081155 HSV CHGRCODE87254(17495) 118.47 10/12/2016 20081156 VZV CHGRCODE87254(17495) 118.47 10/12/2016 20081157 24HR UA HISTAMINE(4946)QUEST 174.38 11/1/2016 20081159 MAGNESIUM, RANDOM URINE(6179)-QUEST 80.12 2/14/2017 20081160 SEROTONIN, BLOOD(818)-QUEST 219.57 2/14/2017 20081161 MUMPS RNA RT-PCR, QUAL(70172)-QUEST 229.50 2/14/2017 20081162 Respiratory Virus PCR Panel IV (91233) 2250.73 2/21/2017 20081163 HEROIN METABOLITES,QT UA(18969)-QUEST 320.18 3/5/2017 20081164 Thyroglobulin Quant (level only)-LC 23.18 3/1/2015 20081166 ANAPLASMA PHAGOCYTOPHILUM,PCR(17320)-QUE 295.40 6/3/2017 20081167 BORRELIA MIYAMOTOI,PCR(93795)-QUEST 172.38 6/3/2017 20081168 LYME DISEASE,PCR(15777),QUAL PCR 172.38 6/3/2017 20081170 CHRG CPT 86609X5(94609)-QUEST 112.50 7/31/2017 20081171 CHRG CPT 86606(94609)-QUEST 22.50 7/31/2017 20081172 CHRG CPT 86601X6(94609)-QUEST 135.00 7/31/2017 20081173 HCV RNA NS5a DRUG RESIST(93871)-QUEST 533.00 6/28/2017 20081175 DULOXETINE(16823)-QUEST 195.50 8/3/2017 20081176 ZIPRASIDONE(17286)-QUEST 156.00 8/3/2017 20081177 PRAZOSIN(6272)-QUEST 337.40 8/3/2017 20081178 CELL COUNT w/DIFF,SYNOVIAL FL(4562)-QUES 103.38 8/7/2017 20081179 LDH, PLEURAL FLUID(17589)-QUEST 20.16 8/29/2017 20081180 CYSTATIN C w/GFR (10570)-QUEST 183.60 9/15/2017 20081181 STREP PNEUMO AB(IgG)13 Serotypes-16374 333.79 9/19/2017 20081182 ALLERGY RED DYE (10625)-QUEST 60.32 10/25/2017 20081183 Pain Mgmt Profile 5 w/conf,UA(90348) 250.43 11/14/2017 20081184 DENGUE FEVER AB IGG(37579)-QUEST 250.43 12/4/2017 20081185 DENGUE FEVER AB IGM(37580)-QUEST 250.43 11/30/2017 20081186 FOOD ALLERGY PANEL(91236)rflx-QUEST 133.49 3/6/2018 20081187 CULTURE, H.PYLORI-BIOSPY(8395)-QUEST 107.91 3/29/2018 20081188 CULTURE w/SENS, H.PYLORI-BIOSPY(91245)-Q 120.55 3/29/2018 20081189 CSF LACTIC ACID-QUEST 190.00 5/6/2018 20081190 CSF GLUCOSE-QUEST 76.44 5/6/2018 20081191 CSF PROTEIN, TOTAL-QUEST 76.44 5/6/2018 20081192 STRATIFY JCV AB/rflx(91655)-QUEST 1771.90 5/8/2018 20081194 ALLERGY, ANIMAL GROUP(94216)-QUEST 94.50 7/11/2018 20081195 ALLERGY PANEL 19, SEAFOOD GRP(7919)-QUES 97.20 7/11/2018 20081196 CYCLOSPORA/ISOSPORA EXAM(10018)-QUEST 112.40 7/10/2018 20081198 SYNTHETIC DRUGS(91194),QT,UA-QUEST 170.00 7/13/2018 20081200 MYCOPLASMA HOMINIS,PCR(91474)-QUEST 190.40 7/26/2018 20081201 MYCOPLASMA GENITALIUM, PCR(91475)-QUEST 190.40 7/26/2018 20081203 UREAPLASMA UREALYTICUM CHARGE (91476)-QU 122.32 7/26/2018 20081204 UREAPLASMA PARVUM CHARGE (91476)-QU 122.33 7/26/2018 20081206 MYvantage Hereditary Comp Cancer Pnl-Que 3088.80 10/9/2018 20087651 Rapid Strep A 106.08 6/28/2016 20100043 Cult, Fungus, Other - LC 79.24 5/1/2014 20100158 CMV IgG Ab- LC 82.40 3/1/2015 20100168 Gastrin, Serum-LC 47.13 3/1/2015 20100191 White Blood Cells (WBC), Stool-LC 28.40 5/1/2014 20100200 Actin Ab (IgG)-LC 27.81 3/1/2015 20100205 CULT, MYCOBACT-LC 108.15 3/1/2015 20108185 Sjogren's Anti-SS-A-LC 13.91 3/1/2015 20180008 Fibrinogen Activity-LC 23.18 3/1/2015 20180012 ACTH-LC 57.68 3/1/2015 20180017 Gabapentin (Neurontin), Serum-LC 82.40 3/1/2015 20180019 Haptoglobin-LC 18.54 3/1/2015 20180024 Protein Electro, 24HR Urine-LC 74.37 3/1/2015 20180026 CA 19-9 (CENTOCOR)-LC 27.81 3/1/2015 20180042 Scleroderma-70 Ab-LC 37.08 3/1/2015 20180043 Complement C3C-LC 20.86 3/1/2015 20180044 Complement C4C-LC 20.86 3/1/2015 20180045 Rheumatoid Factor,Quant-LC 18.54 3/1/2015 20180052 Thyroid Peroxidase (TPO) Ab-LC 19.47 3/1/2015 20180067 Erythropoietin (EPO), Serum-LC 23.18 3/1/2015 20180071 Hep B Surface Ab Qn-LC 16.22 3/1/2015 20180072 Human Granulocytic Ehrlich-HGE-LC 115.88 3/1/2015 20180074 Hep A Ab, Total-LC 34.76 3/1/2015 20180075 Urea Nitrogen, 24HR Urine-LC 26.05 3/1/2015 20180079 ANCA-LC 18.54 3/1/2015 20180081 Complement,(CH50)-LC 23.18 3/1/2015 20180082 Protein C Activity-LC 121.03 3/1/2015 20180085 Giardia Ag Detection, Stool-LC 41.72 3/1/2015 20180089 Lupus Anticoagulant Rflx-LC 79.31 3/1/2015 20180095 Cyclosp Trough-LC 97.58 3/1/2015 20180101 Platelet Ab Panel-LC 345.65 3/1/2015 20180103 H Pylori IgG Ab-LC 13.91 3/1/2015 20180108 Thyroglobulin Antibody (only)-LC 18.54 3/1/2015 20180111 Hep B Surface Ag(Screen)Qual-LC 26.42 3/1/2015 20180112 HBeAg-LC 60.52 3/1/2015 20180113 HBeAb-LC 60.52 3/1/2015 20180115 Testosterone, Serum-LC 77.17 3/1/2015 20180117 CA125-LC 85.22 3/1/2015 20180122 Rotavirus Ag, Stool-LC 61.80 3/1/2015 20180126 Cardiolipin IgG Ab-LC 102.60 3/1/2015 20180127 Cardiolipin IgM Ab-LC 102.60 3/1/2015 20180128 Catechol, F&T, Pl-LC 116.42 3/1/2015 20180129 Aerobic Bact ID-LC 66.21 3/1/2015 20180130 Antigliadin Abs, IgA-LC 13.91 3/1/2015 20180131 Antigliadin Abs, IgG-LC 30.90 3/1/2015 20180133 Cortisol, A.M.-LC 18.54 3/1/2015 20180134 CA 15-3 -LC 94.06 3/1/2015 20180136 TissueTransglutaminase (tTG) IgG-LC 46.35 3/1/2015 20180137 Vitamin B1 (Thiamine), Blood-LC 46.35 3/1/2015 20180138 Rubella IgG&IgM Abs-LC 86.52 3/1/2015 20180140 HCV GENOTYPE-LC 353.29 3/1/2015 20180145 HIV 1CHRGONLY-LC 51.28 2/12/2016 20180146 Protein Electro, Random Urine-LC 49.44 3/1/2015 20180147 HIV-2CHRGONLY-LC 51.28 2/12/2016 20180148 Cryoglobulin, %Cryo-LC 26.93 3/1/2015 20180151 Antithrombin III Act-LC 37.08 3/1/2015 20180154 Testosterone, Free&Total-LC 130.40 3/1/2015 20180157 Hep B Core Ab, Total-LC 32.45 3/1/2015 20180161 Hep Induced Platelet Ab-LC 270.27 3/1/2015 20180162 HER-2/CEP17 FISH-LC 242.78 3/1/2015 20180163 ER/PR,Immunohistochem,Paraffin-LC 249.39 3/1/2015 20180168 Chromogranin A-LC 216.10 3/1/2015 20180169 Alk Phos Isoenzymes-LC 20.66 5/1/2014 20180174 HLA-B27 Antigen-LC 107.57 3/1/2015 20180176 Tissue(LFOTC1)-LC 77.00 5/1/2014 20180177 Tissue(LFOPC1)-LC 47.38 3/1/2015 20180179 Tissue(LTH1)-LC 80.50 5/1/2014 20180180 H Pylori IgM Ab-LC 74.16 3/1/2015 20180181 Thyroglobulin,Ab+Quant-LC 23.18 3/1/2015 20180182 Factor VIII Activity-LC 237.99 3/1/2015 20180184 ANA Titer&Pattern-LC 43.38 3/1/2015 20180186 Sjogren's Anti-SS-B-LC 13.91 3/1/2015 20180188 17-OH Progesterone -LC 10.82 3/1/2015 20180190 Lactic Acid, Plasma-LC 18.54 3/1/2015 20180193 Apolipoprotein B-LC 58.63 3/1/2015 20180215 Lacosamide-LC 82.40 3/1/2015 20180223 Metanephrines, Frac, Qn, 24-Hr 90.13 3/1/2015 20180224 Anti-Mullerian-LC 109.44 3/1/2015 20180227 Estrone, Serum-LC 24.10 3/1/2015 20180237 Lyme IgG/IgM Ab, WB-LC 180.38 3/1/2015 20180248 Thrombin Time-LC 110.31 3/1/2015 20180254 Hep A IgM Ab-LC 37.08 3/1/2015 20180255 CMV IgM Ab-LC 82.40 3/1/2015 20180259 G6PD-LC 73.44 3/1/2015 20180266 Methylmalonic Acid, Serum-LC 115.88 3/1/2015 20180270 Hep B Core IgM Ab-LC 37.08 3/1/2015 20180271 B.pertussis Culture+ PCR-LC 262.65 3/1/2015 20180278 Phenytoin, Free, Serum-LC 82.74 3/1/2015 20180284 Path Review of Smear-LC 39.56 5/1/2014 20180286 Immunofixation, Urine-LC 78.28 3/1/2015 20180288 Anti-DSDNA Ab-LC 13.91 3/1/2015 20180289 Vitamin E, Serum-LC 85.12 3/1/2015 20180290 Immunofixation, Serum-LC 79.31 3/1/2015 20180306 Chlamydia(Aptima)-LC 15.45 3/1/2015 20180307 GC(Aptima)-LC 15.45 3/1/2015 20180316 Lymph Subset Panel 5-LC 74.16 3/1/2015 20180324 Vitamin B6-LC 27.81 3/1/2015 20180327 Culture, Aerobic Bac-LC 40.50 5/1/2014 20180329 PSA Total&Free-LC 20.86 3/1/2015 20180330 Protein Electro.,Serum-LC 32.45 3/1/2015 20180332 HIV1 QN,PCR,w/RFLX Geno-LC 218.88 3/1/2015 20180341 Aerobic Bacterium ID-LC 55.62 3/1/2015 20180342 Immunoglobulin A-LC 8.76 3/1/2015 20180346 Allergy Peanut(F13)-LC 18.54 3/1/2015 20180349 Insulin Abs-LC 88.25 3/1/2015 20180351 Vitamin D 1,25 OH-LC 98.88 3/1/2015 20180359 Cortisol, Free 24HR-LC 37.08 3/1/2015 20180360 Estradiol, Sensitive-LC 240.22 3/1/2015 20180361 Iodine, Serum or Plasma-LC 115.88 3/1/2015 20180362 Factor V Leiden Mutation-LC 201.37 3/1/2015 20180363 Aspergillus Abs-LC 97.15 3/1/2015 20180365 Tacrolimus (FK506), Blood-LC 123.60 3/1/2015 20180366 Topiramate (Topamax), Serum-LC 20.86 3/1/2015 20180367 Chlordiaze/Nordiazep-LC 77.22 3/1/2015 20180368 EBV Ab VCA, IgM-LC 61.80 3/1/2015 20180369 Somatostatin-LC 325.89 3/1/2015 20180379 Drug Screen, Blood (8 Drugs)-LC 265.95 3/1/2015 20180380 Kappa/Lambda Lt Chains,UA-LC 126.07 3/1/2015 20180381 Lyme IgG & IgM, CSF-LC 192.61 3/1/2015 20180382 Carnitine, Serum-LC 99.03 3/1/2015 20180383 Maternal Screen, 1st Tri-LC 185.40 3/1/2015 20180384 Glucagon, Plasma-LC 23.18 3/1/2015 20180391 Levetiracetam (Keppra),Serum-LC 108.15 3/1/2015 20180400 C1 Inhibitor Funct-LC 121.33 3/1/2015 20180416 TissueTransglutaminase (tTG) IgA-LC 13.91 3/1/2015 20180420 Fructosamine-LC 26.51 3/1/2015 20180429 Anaerobic Cult. W/GS-LC 103.14 3/1/2015 20180430 Nicotine+Metabolite, Serum,Plasma-LC 75.71 3/1/2015 20180433 CF CARRIER SCREEN-LC 680.16 3/1/2015 20180437 H Pylori Ag Stool-LC 226.38 3/1/2015 20180455 THIOPURINE METABOLITES-LC 229.50 2/18/2014 20180458 Immunoglobulin G-LC 43.38 3/1/2015 20180464 Hep B Surface Ab, Qual-LC 30.13 3/1/2015 20180465 HBV DNA Quant-LC 262.65 3/1/2015 20180469 T-3 Reverse-LC 61.80 3/1/2015 20180470 Immunoglobulin M-LC 43.38 3/1/2015 20180473 Ehrlichia Detection PCR-LC 252.14 3/1/2015 20180474 RNP Abs-LC 85.74 3/1/2015 20180475 Dihydrotestosterone-LC 159.69 3/1/2015 20180480 Inhibin A-LC 260.02 3/1/2015 20180483 Rickettsial IgG/M-LC 194.80 3/1/2015 20180494 Oxcarbazepine (Trileptal),Serum-LC 18.54 3/1/2015 20180496 Childhood Allergy Profile-LC 123.60 3/1/2015 20180497 HCV RNA PCR, QUANT-LC 245.14 3/1/2015 20180507 Lyme (B. burgdorferi) PCR-LC 302.82 3/1/2015 20180510 Endomysial Antibody IgA-LC 19.47 3/1/2015 20180511 Rapamycin-LC 214.32 3/1/2015 20180513 Zonisamide(Zonegran), Serum-LC 189.11 3/1/2015 20180524 HBV DNA PCR, Qual-LC 309.00 3/1/2015 20180529 Ethylene Glycol-LC 263.53 3/1/2015 20180532 Thyrotropin Receptor Ab, Serum-LC 49.44 3/1/2015 20180533 Factor V R2 DNA Analysis-LC 502.13 3/1/2015 20180534 Factor II, DNA Analysis-LC 201.37 3/1/2015 20180539 Rubella Abs, IgM-LC 11.59 3/1/2015 20180549 Smith Abs-LC 126.07 3/1/2015 20180553 CCP Ab IgG-LC 82.40 3/1/2015 20180561 Zinc, Plasma or Serum-LC 75.64 3/1/2015 20180562 EBV Ab VCA, IgG-LC 70.00 3/1/2015 20180563 Varicella IgG Ab-LC 11.59 3/1/2015 20180564 Allergy Panel Region 8-LC 206.00 3/1/2015 20180575 ACHR Binding AB-LC 123.70 3/1/2015 20180578 Insulin, Free&Total, Serum-LC 96.80 3/1/2015 20180583 IGF-BP-3-LC 46.35 3/1/2015 20180586 Crypto Ag Stool DFA-LC 205.92 3/1/2015 20180594 Leukemia/Lymphoma Markers-LC 130.00 5/1/2014 20180627 VIT D 25OH-LC 41.72 3/1/2015 20180629 Tissue Fine Needle Aspiration-LC 120.00 5/1/2014 20180633 Tissue Level 4(88305)-LC 87.50 5/1/2014 20180636 Non-Gyn,Cyto-LC 84.09 3/1/2015 20180645 Gliadin IgG/IgA Ab Prof, EIA-LC 61.80 3/1/2015 20180657 Coag Factor XII Act-LC 229.50 3/1/2015 20180661 Protein S, Free-LC 93.73 3/1/2015 20180670 Adult Food Allergy Prof-671758-LC 44.00 5/1/2014 20180684 Estradiol-LC 13.91 3/1/2015 20180696 Cyclosporin Peak-LC 18.54 3/1/2015 20180714 Vit B12 Unsat Binding Capacity-LC 23.18 3/1/2015 20180716 Cult, Campylobac.-LC 27.00 5/1/2014 20180718 Cortisol, LCMS-LC 104.01 3/1/2015 20180721 H Pylori IgA Ab-LC 23.18 3/1/2015 20180722 Kappa/Lambda Free,Lt Chains,Qn-LC 90.13 3/1/2015 20180731 Glycomark-LC 99.14 3/1/2015 20180763 Myeloperoxidase (MPO) Abs-LC 18.54 3/1/2015 20180772 Hep C Ab-LC 42.88 3/1/2015 20180773 HCV AB VERIFICATION CHARGE ONLY-LC 504.80 3/1/2015 20180774 HCV RNA PCR,QT,RFX GENO-LC 266.77 3/1/2015 20180776 EBV Early Ag Ab, IgG-LC 64.16 3/1/2015 20180777 EBV Nuclear Antigen Ab, IgG-LC 74.97 3/1/2015 20180778 Alpha-1-Antitrypsin Def DNA, Plasma-LC 293.55 3/1/2015 20180779 EBV Ab VCA, IgG-LC 67.96 3/1/2015 20180780 EBV Ab VCA, IgM-LC 60.00 3/1/2015 20180781 Copper, Whole Blood-LC 18.54 3/1/2015 20180782 Hepatitis Panel, Acute-LC 109.52 3/1/2015 20180783 HIV 1&2 Ag/Ab Screen w/Rflx-LC 238.00 3/23/2016 20180792 HIV-1 RNA,QN,RT PCR-LC 183.86 3/1/2015 20180800 C diff Toxin Gene, PCR- LC 212.50 3/25/2016 20180801 Apolipoprotein A1-LC 56.92 5/5/2016 20180802 ToxASSURE(URINE)-LC 328.91 6/7/2016 20180803 Amphetamines Confirm, UA-LC 118.62 11/1/2016 20180804 Barbiturate Confirm, UA-LC 118.62 11/1/2016 20180805 Benzodiazepine Confirm, UA-LC 118.62 11/1/2016 20180806 Cannabinoid(THC) Confirm, UA-LC 118.62 11/1/2016 20180807 Cocaine Confirm, UA-LC 118.64 11/1/2016 20180808 Methadone Confirm, UA-LC 118.64 11/1/2016 20180809 Opiates Confirm, UA-LC 118.64 11/1/2016 20180810 Phencyclidine(PCP) Confirm, UA-LC 118.64 11/17/2016 20180811 Tramadol,UA Screen+Confirm-LC 114.75 11/1/2016 20180812 Tricyclic Antidepress Confirm,UA-LC 101.58 11/1/2016 20180813 ChrgCPT80369-Tricyc Confirm-LC 101.58 11/1/2016 20180814 Barium, Serum/Plasma-LC 231.20 1/17/2017 20180815 HCV RNA, QUAL,NAA-LC 184.18 1/27/2017 20180816 Posaconale-LC 525.53 1/31/2017 20180818 Zika Virus, IgM by MAC-ELISA-LC 150.00 2/1/2017 20180819 Intact N-Terminal Propeptide Type 1-LC 283.82 2/15/2017 20180820 Mumps Viral Culture(Swab or UA)-LC 289.50 2/16/2017 20180821 Cortisol, Salivary(4 Specs)-LC 392.00 5/9/2017 20180839 HBcAB,IgM-LC 37.08 3/1/2015 20180857 Trichomonas vaginalis(Aptima)-LC 127.46 3/1/2015 20180859 H Pylori Breath Test-LC 185.40 3/1/2015 20180860 Chronic Granulomatous Disease-LC 1874.60 3/1/2015 20180865 HCV RNA,Qual,NAA w/RFX QT PCR-LC 286.88 12/23/2014 20180866 RMSF IgM-LC 57.94 3/1/2015 20180867 RMSF IgG-LC 57.94 3/1/2015 20180883 Porphyrins, Qn, Random UA-LC 85.68 8/3/2017 20180884 Spinal Muscular Atrophy(SMA) Carrier-LC 1115.83 11/10/2017 20180885 Varicella IgM-LC 80.44 12/18/2017 20180886 HSV1/2 IGM Abs, IFA-LC 96.50 1/4/2018 20180887 Vanillylmandelic Acid, 24Hr-LC 27.00 11/1/2016 20180888 CHRG CPT 86696-LC-HSV1/2 IGM Abs 96.50 1/4/2018 20180889 Calprotectin, Stool-LC 253.38 3/1/2015 20180890 Testosterone, Total, Women, Children-LC 124.84 1/25/2018 20180891 Lexapro-LC 264.00 3/5/2018 20180892 21-Hydroxylase AB-LC 181.90 5/15/2018 20180893 Adrenal AB, Quant-LC 77.67 5/15/2018 20180894 Echinococcus Antibody-LC 252.45 8/9/2018 20180895 Drug Screen 16 w/Conf-LC 416.00 8/27/2018 20180898 Protein Electro.,Serum w/Interp-LC 32.45 3/1/2015 20180899 Procalcitonin-LC 349.48 3/1/2015 20180900 Protein Electro, 24HR UA w Interp-LC 74.37 3/1/2015 20180901 Catecholamines,24hr UA-LC 27.81 3/1/2015 20180902 Dexamethasone Suppression 8AM-LC 159.69 3/1/2015 20180908 C1 Inhibitor, Protein-LC 76.11 3/1/2015 20180931 MTHFR, DNA Mutation-LC 201.37 3/1/2015 20180933 Cystine QN 24HR-LC 61.80 3/1/2015 20180937 CALCIUM 24HR URINE-LC 25.59 3/1/2015 20180938 Citric Acid w/o Creat,24HR-LC 27.81 3/1/2015 20180939 5-HIAA,Quant.,24 Hr Urine-LC 71.52 3/1/2015 20180942 Proteinase-3 Ab-LC 18.54 3/1/2015 20180968 Lamotrigine (Lamictal), Serum-LC 23.18 3/1/2015 20180971 Trypsin,Serum-LC 27.81 3/1/2015 20180972 Cortisol, Free-LC 37.08 3/1/2015 20180973 CMV DNA QN PCR-LC 225.45 3/1/2015 20180975 Quantiferon (TB)-LC 126.07 3/1/2015 20180978 Chromatin Auto Ab-LC 37.08 3/1/2015 20180984 LH, Pediatrics-LC 93.73 3/1/2015 20181004 IGF I-LC 27.81 3/1/2015 20182085 Adolase-LC 13.91 3/1/2015 20182087 Aldosterone-LC 27.81 3/1/2015 20182103 A-1-Antitrypsin QN-LC 16.22 3/1/2015 20182105 AFP, Tumor(Chiron)-LC 23.18 3/1/2015 20182163 Renin Activity, Plasma-LC 23.18 3/1/2015 20182164 Angiotensin Conv Enz-LC 18.54 3/1/2015 20182330 Calcium, Ionized-LC 18.54 3/1/2015 20182384 Catecholamines, Frac (Random)-LC 27.81 3/1/2015 20182390 Ceruloplasmin-LC 18.54 3/1/2015 20182525 Copper, Plasma or Serum-LC 18.54 3/1/2015 20182529 Cortisol, Total-LC 7.73 3/1/2015 20182627 DHEA-Sulfate-LC 16.22 3/1/2015 20182671 Estrogens, Total-LC 32.45 3/1/2015 20182747 Folate, RBC-LC 32.45 3/1/2015 20182785 Immunogloulin E-LC 20.86 3/1/2015 20183001 FSH-LC 27.81 3/1/2015 20183002 LH-LC 13.91 3/1/2015 20183036 HGH-LC 75.85 3/1/2015 20183525 Insulin Level, Serum-LC 57.02 3/1/2015 20183655 Lead, Adult-LC 14.83 3/1/2015 20183656 Lead, Pediatrics-LC 14.83 3/1/2015 20183930 Osmolality Serum-LC 109.20 3/1/2015 20183935 Osmolality Urine-LC 50.43 3/1/2015 20184144 Progesterone-LC 13.91 3/1/2015 20184146 Prolactin-LC 27.81 3/1/2015 20184155 Protein, Serum(part of electrop)-LC 20.66 7/21/2014 20184260 Serotonin, Serum-LC 46.35 3/1/2015 20184270 Sex Horm Binding Glob, Serum-LC 61.80 3/1/2015 20184585 VMA,Random UA-LC 27.81 3/1/2015 20184681 C-Peptide, Serum-LC 13.91 3/1/2015 20184711 Maternal Serum 4-LC 130.56 5/1/2014 20184712 Estriol, Serum-LC 84.46 3/1/2015 20185362 FDP, Plasma-LC 68.47 3/1/2015 20186006 Cold Hemagglutinins-LC 27.81 3/1/2015 20186060 ASO-LC 23.18 3/1/2015 20186147 Cardiolipin IgA Ab-LC 102.60 3/1/2015 20186149 CEA-LC 13.91 3/1/2015 20186256 Mitochondrial (M2) Ab-LC 27.00 3/1/2015 20186316 PSA, Total-LC 20.86 3/1/2015 20186592 RPR, Rfx/Confirm TP-LC 20.54 3/1/2015 20186618 Lyme IgG/IgM Ab-LC 72.64 3/1/2015 20186696 HSV 1/ 2-Spec Ab, IgG w/Rfx-LC 108.15 3/1/2015 20186713 Legionella pneumophila Abs-LC 110.31 3/1/2015 20186735 Mumps Ab, IgG-LC 11.59 3/1/2015 20186762 Rubella Abs, IgG-LC 11.59 3/1/2015 20186765 Rubeola Abs, IgG-LC 11.59 3/1/2015 20186778 Toxoplasma gondii Ab,IgM,Qn-LC 90.13 3/1/2015 20187047 Culture, Salm/Shig-LC 42.75 5/1/2014 20187101 Cult, Fungus, Skin-LC 79.24 5/1/2014 20187109 Culture, Sputum/Lower Resp-LC 43.02 5/1/2014 20187164 Culture, Genital-LC 41.72 3/1/2015 20187177 Ova + Parasite Exam-LC 45.00 5/1/2014 20187529 HSV Type 1 & 2, PCR-LC 254.93 3/1/2015 20802340 DO NOT USE-CALCIUM(DO NOT USE) 47.09 5/3/2008 22000404 EKG (IPPE) 12 LEAD TRACING ONLY 221.45 3/1/2015 22002960 WEARABLE ECG >48 HR MICRPRO ANALY W REP 156.94 12/29/2015 22093005 ELECTROCARDIOGRAM, 12 LEAD, TRACING ONLY 221.45 3/1/2015 22093010 EKG PRO FEE 20.00 3/2/2015 22093231 WEARABLE ECG 1ST 48HR RECORD HOOK UP RE 136.99 3/1/2015 22093232 WEARABLE ECG UP 48HR MICRPRO ANALY W REP 136.99 3/1/2015 22093306 ECHO TRANSTHOR PROFEE W/2D M-MODE, CARD 355.12 3/1/2016 22093350 CARD STRESS ECHO INTERP RPT ONLY PRO FEE 375.55 3/1/2016 24009698 VOLUMEN - CT CONTRAST 12.40 11/1/2015 24020610 ARTHROCENT SHOULD HIP KNEE W/ 676.92 3/1/2015 24049465 GASTROSTOMY EVAL W CONTRAST 292.95 3/1/2015 24071021 CXR 2 VIEW W APICAL LORDIC PROJ 180.09 5/1/2015 24072081 SCOLIOSIS STUDY 1 VIEW 123.01 1/1/2016 24072082 SCOLIOSIS STUDY, 2 -3 VIEWS 202.66 1/1/2016 24072083 SCOLIOSIS STUDY, 4-5 VIEWS 202.66 1/1/2016 24072084 SCOLIOSIS STUDY, MIN 6 VIEWS 202.66 1/1/2016 24072190 PELVIS 3 VIEW MINIMUM 114.91 3/1/2015 24072240 MYELOGRAM CERVICAL 497.49 9/1/2015 24072270 MYELOGRAM 2 OR MORE REGIONS 1363.76 11/1/2018 24073521 HIP XRAY BILAT 2 VIEW W OR W/O PELVIS 195.74 12/1/2015 24073525 ARTHROGRAPHY HIP 615.26 3/1/2015 24073592 LOWER EXT BILATERAL(2 VIEWS) 165.48 3/1/2015 24077001 FLUORO GUID NDLE PLCMNT CVA DEVICE 80.57 3/1/2015 24077003 FLUORO GUID NDLE PLCMNT LP 80.57 3/1/2015 24077071 MANUAL STRESS OF JOINT INCL CONTRALATERA 124.24 4/30/2018 26000389 US ABD AORTA SCREEN 343.27 3/1/2015 26008929 US ECHO TRNSTHR W/ OR W/O-W CONTRAST 1377.24 3/1/2016 26008930 US STR ECHO W/ OR W/O - W CON PHYS 1377.24 3/1/2016 26011100 US BIOPSY SKIN OR SUBQ MASS 206.43 3/1/2015 26019000 US ASPIRATION BREAST CYST 711.77 3/1/2015 26019084 US BX BRST PERCUT NDLE ADDIT LESION 253.72 3/1/2015 26032422 US THORACENTESIS W/TUBE PLACEMENT 346.08 3/1/2015 26038505 US BX NEEDLE LYMPH NODE SUPERFICIAL 540.75 3/1/2015 26051798 US MEASUR RESID URINE NONIMAGING 95.28 3/1/2015 26076641 US BREAST UNIL INCL AXIL COMPLETE 495.76 3/1/2015 26076642 US BREAST UNIL INCL AXIL LTD 247.88 10/30/2018 26076801 US PREG UTERUS 1ST TRIM SING GEST 277.21 3/1/2015 26076817 US PREG UTERUS TRANSVAG W REALTIME IMAGE 269.70 9/1/2015 26076857 US PELVIS LTD OR PERINEAL SFT TISS 214.78 3/1/2015 26076881 US EXTREM LIMITED LT NONVASC 164.49 3/1/2015 26076882 US EXTREM LIMITED RT NONVASC 164.49 3/1/2015 26076937 US GUID VASC ACCESS PLACEMENT 28.18 3/1/2015 26076999 US UNLISTED PROCEDURE 183.38 7/1/2015 26093351 US STRESS ECHO W/PHYS SUPERV 1233.94 3/1/2015 26093971 US DUP SC U XTRM VEIN UNILAT 232.57 3/1/2015 27009569 NM TC-99 LABELED AUTOLOG WBC EXAMETAZIME 3342.39 3/1/2015 27078206 NM LIVER IMAGING SPECT W/VASC FLOW 448.05 3/1/2015 27078226 NM HEPATOBILIARY SYSTM IMAGING 669.50 3/1/2015 27078227 NM HEPATOBILIARY IMAG W CCK 763.65 3/1/2015 27078265 NM GASTR EMPTY STDY W SM BOWEL TRANS 673.50 12/17/2015 27078266 NM GASTR EMPTY STDY W SM & COLON TRANS 673.50 12/17/2015 28032405 CT GUIDE LUNG BX PERCUTANEOUS 1170.73 3/1/2015 28070011 CT ENTEROGRAPHY A & P 1873.67 3/1/2015 28072133 CT LSPINE W-O/W CONTRAST 1686.31 3/1/2015 28073700 CT LW XTREM W/O CON BILATERAL 1171.05 3/1/2015 28074174 CTA ABD & PELVIS W/-W/O CON 994.11 3/1/2015 29009576 PROHANCE 17 ML (GADOTERIDOL)(MRA) 150.86 3/1/2015 29072198 MRA PELVIS W OR WO CONTRAST 1859.37 3/1/2015 29073218 MRI U EXTR NONJOINT W/O CONTRAST RT 1287.25 3/1/2015 29073219 MRI UP EXT NONJOINT W CON LT 1609.61 3/1/2015 29073222 MRI U EXT JOINT W CONTRAST 1287.25 3/1/2015 29073223 MRI U EXT JNT W-W/O CONTRAST 1287.25 3/1/2015 29073718 MRI LOW EXT NONJNT W/O CONT 1609.07 3/1/2015 29073720 MRI LWR XTRM W/O-W/CONT FS NONJNT RT 1609.07 3/1/2015 29073721 MRI JOINT LW XTRM W/O CON RT 1609.07 3/1/2015 29073722 MRI LOW EXT JNT W CONT LFT 1737.82 9/1/2018 29073723 MRI JOINT LW EXTR W/0 - W CON 1866.57 3/1/2015 29173722 MRI LOW EXT JNT W CONT RT 1737.82 9/1/2018 30005985 TRAZODONE 100MG TAB (DESYREL) 4.12 3/1/2015 31000015 ANESTHESIA, HOSP 15 MIN. TIME BASE UNIT 55.00 3/1/2015 31000103 ANESTHESIA RECONSTRUCTIVE PROC ON EYELID 88.00 3/1/2015 31000140 ANESTHESIA FOR PROCEDURES ON EYE:N.O.S. 88.00 3/1/2015 31000142 ANESTHESIA FOR PROCEDURES EYE, LENS SURG 88.00 3/1/2015 31000147 ANESTHESIA FOR PROCEDURES ON EYE:IRIDECT 88.00 3/1/2015 31000190 ANESTHESIA PROCEDURE FACIAL BONE 88.00 3/1/2015 31000300 ANES INTEG MUSC NERV HEAD NECK TRNK 88.00 3/1/2015 31000400 ANESTHESIA INTEG, ANT TRUNK, EXT, PERINE 88.00 3/1/2015 31000520 ANESTH CLOSED CHEST PROC OR BRONCH 88.00 3/1/2015 31000532 ANES INSERTION CVAD 88.00 3/1/2015 31000600 ANEST CERV SPINE AND CORD NOS 88.00 11/1/2016 31000700 ANESTHESIA;PROCEDURES ON UPPER ANT ABD W 88.00 3/1/2015 31000702 ANES FOR PERCUTANEOUS LIVER BX 88.00 3/1/2015 31000740 ANESTHESIA UPPER GASTROINTESTINAL ENDOSC 88.00 3/1/2015 31000750 ANESTHESIA HERNIA REPAIRS UPPER ABDOMEN 88.00 3/1/2015 31000752 ANESTH INCIS VNTRL HERNIA REPAIRS UP ABD 88.00 4/1/2017 31000790 ANES UPPER ABD INTRAPERIT PROCED INC LAP 88.00 3/1/2015 31000800 ANES ON LOW ANTERIOR ABD WALL NOS 88.00 9/1/2015 31000810 ANESTHESIA FOR LOWER INTESTINAL ENDOSCOP 88.00 3/1/2015 31000813 ANESTHESIA UPPER AND LOWER ENDOSCOPY 88.00 1/1/2018 31000830 ANESTH HERNIA REPAIR LOW ABD > 1Y/O 88.00 5/1/2015 31000832 ANEST HERNIA L ABD VENTR/INCIS HERNIA 88.00 3/1/2015 31000840 ANES LOW ABD/PERTON INCLU LAPAROSCOPY 88.00 3/1/2015 31000851 ANEST LOW ABD INCL LAP TUBAL LIGATION 88.00 3/1/2015 31000860 ANESTH XTRAPERITONEAL PROC LOW ABD 88.00 3/1/2015 31000870 ANESTHESIA CYSTOLITHOTOMY 88.00 3/1/2015 31000873 ANESTH FOR LITHOTRIPSY W/O WATER BATH 88.00 3/1/2015 31000902 ANESTHESIA ANORECTAL PROCEDURES 88.00 4/1/2015 31000910 ANEST FOR TRANSURETHRAL PROC INC CYSTO 88.00 3/1/2015 31000912 ANES TRANSURETH RESECT BLADDER TUMOR 88.00 3/1/2015 31000914 ANES FOR TURP 88.00 3/1/2015 31000918 ANES TRANSURETH PROCED REMOV CALC 88.00 3/1/2015 31000920 ANEST PROCEDURE MALE GENITALIA 88.00 3/1/2015 31000930 ANESTH MALE GENITALIA ORCHIPEXY UNI/BIL 88.00 3/1/2015 31000940 ANES FOR VAGINAL PROCED NOS 88.00 3/1/2015 31000942 ANESTH FOR COLP VAG OR OPEN URETH PROC 88.00 3/1/2015 31000952 ANES VAGINAL PROC HYSTEROSCOPY - SALPING 88.00 3/1/2015 31001112 ANESTHES BONE MARROW ASPIRATION PELVIS 88.00 8/1/2015 31001230 ANESTH OPEN PROC UPPER 2/3 FEMUR 88.00 3/1/2015 31001250 ANEST NERV TEND MUSC FAC BURS UP LEG 88.00 3/1/2015 31001320 ANES NERV MUSC TEND FAC BURS KNEE POPLIT 88.00 3/1/2015 31001392 ANESTH OPEN PROC UP TIB/FIB PATELLA 88.00 3/1/2015 31001400 ANESTH OPEN OR SURGICAL ARTHROSCOP KNEE 88.00 3/1/2015 31001470 ANEST FOR NERV MUSC TEND L LEG ANK FOOT 88.00 3/1/2015 31001480 ANESTHES OPEN PROCED BONE LOW LEG FT ANK 88.00 3/1/2015 31001630 ANEST OPEN/ARTHOSCOPIC SHOULDER 88.00 8/1/2010 31001710 ANEST NERVE MUSCLE TEND ETC ELBOW UP ARM 88.00 3/1/2015 31001740 ANES OPEN/ARTHROSCOP PROC ELBOW 88.00 5/1/2015 31001810 ANEST NERVE MUSCLE TENDON FA WRIST HAND 88.00 3/1/2015 31064450 INJECTION ANEST PERIPHERAL NERVE BLOCK 85.00 9/20/2010 31099156 MOD SEDATION NONPROC PERF PROVIDER>5Y/O 119.02 1/1/2017 31099157 MOD SEDATION NONPROC PHYS EA ADD 15MIN 90.24 1/1/2017 31100810 ANEST SCRN COLONOSCOPY 88.00 3/1/2015 32002071 FILTER HYDROPHOBIC BACTERIA FOR GOMCO 19.64 3/15/2012 32009120 SUPPORT TENNIS ELBOW MEDIUM 131.25 5/3/2008 34000095 PHASE II/ (MEDICARE ONLY)PULM REHAB 77.00 3/1/2015 34000096 PHASE III/(MCARE ONLY) PULM REHAB 77.00 3/1/2015 34000120 COHB - COMPLETE 110.00 3/1/2015 34000198 HHN 2ND MED 58.00 3/1/2015 34000199 HHN 3RD MED 58.00 3/1/2015 34000200 HHN 4TH MED 58.00 3/1/2015 34000201 MDI SUBSEQUENT 58.00 3/1/2015 34000203 MDI 2ND MED 58.00 3/1/2015 34000204 MDI 3RD MED 58.00 3/1/2015 34000205 MDI 4TH MED 58.00 3/1/2015 34005807 SLEEP STUDY PORTABLE ATTENDED 989.00 3/1/2015 34009441 ASTHMA ED NONPHYSICAN 30 MIN 96.33 6/21/2018 34031505 LARYNGOSCOPY;INDIRECT, DIAGNOSTIC 111.80 3/1/2015 34031615 TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOM 1025.10 3/1/2015 34031622 BRONCHOSCOPY, RIGID/FLEX W/ OR W/O WASH 1387.95 3/1/2015 34031623 BRONCHOSCOPY, RIG/FLEX W/BRUSHINGS 1387.95 3/1/2015 34031624 BRONCHOSCOPY RIG/FLEX, W/BRONCH LAVAGE 1387.95 3/1/2015 34031625 BRONCHOSCOPY, RIG/FLEX W/BRONCH BX 1387.95 3/1/2015 34031628 BRONCHOSCOPY,RIG/FLEX W/TRANSBRONCH BX 1387.95 3/1/2015 34032400 PLEURAL BIOPSY 1303.47 3/1/2015 34032405 BIOPSY, LUNG/MEDIASTINUM, PERCUTAN NEEDL 1303.47 3/1/2015 34032421 THORACENTESIS, PUNCTURE PLEURAL CAVITY 725.90 3/1/2015 34032422 THORACENTESIS W/INSERTION TUBE(INC H20 S 725.90 3/1/2015 34032551 TUBE THORACOSTOMY, INCL H20 SEAL(ABSCESS 725.90 3/1/2015 34032560 CHEMICAL PLEURODESIS 725.90 3/1/2015 34093721 BODY BOX (PLETHYSMOGRAPH) 155.00 3/1/2015 34094002 MECH VENT-INITIAL 510.00 3/1/2015 34094003 MECH VENT-SUBSEQUENT 424.00 3/1/2015 34094010 SPIROMETRY INCLUDING GRAPHIC RECORD 113.00 3/1/2015 34094060 PEAK FLOW/BRONCHOSPASM EVAL W SPIROMETR 189.00 3/1/2015 34094070 PROLONGED POST-EXPSRE EVAL. BRONCHOSPASM 380.00 3/1/2015 34094150 VITAL CAPACITY TOTAL 77.00 3/1/2015 34094200 SPIR MVV ONLY 77.00 3/1/2015 34094250 EXPIRED GAS-QUANTITATIVE 113.00 3/1/2015 34094350 INSPIRED GAS/NITROGEN WASHOUT 113.00 3/1/2015 34094375 RESPIRATORY FLOW VOLUME LOOP (SPIROMETRY 113.00 3/1/2015 34094400 BREATHING RESPONSE TO CO2 77.00 3/1/2015 34094450 BREATHING RESPONSE TO HYPOXIA 113.00 3/1/2015 34094617 EXERCISE TEST BRONCHOSPASM 100.00 1/1/2018 34094621 PULMONARY STRESS - COMPLEX 368.74 8/6/2009 34094640 HHN INITIAL 72.00 3/1/2015 34094645 AEROSOL CONTIN SUBSEQ EA HR 83.00 3/1/2015 34094660 CPAP INITIATION & MGMT/TITRATION/ANALY 329.26 10/23/2015 34094664 DEMONSTRATION/EDUCATION 102.00 3/1/2015 34094667 CPT-INITIAL 72.00 3/1/2015 34094668 CPT-SUBSEQUENT 55.00 3/1/2015 34094669 OSCILLATION CHEST WALL MECH EA SESSION 274.16 6/1/2017 34094690 CO2 OXYGEN UPTAKE 77.00 3/1/2015 34094725 MEMBRANE DIFFUSION CAPACITY 113.00 3/1/2015 34094729 DIFFUSING CAPACITY 128.00 3/1/2015 34094750 PULMONARY COMPLIANCE STUDY 77.00 3/1/2015 34094760 SA02 PULSE OXIMETRY SING DETERM SPT CHK 21.00 3/1/2015 34094761 SAO2 MULT DETERMIN EXERCIS/WR 151.00 3/1/2015 34094762 SA02-CONTINUOUS OVERNIGHT MONITORING 135.00 3/1/2015 34094770 CARBON DIOXIDE EXP GAS 77.00 3/1/2015 34095070 INHAL BRONCH CHALLENGE TESTING 380.00 3/1/2015 34095805 MULT SLEEP LATENCY/MWT 1554.00 3/1/2015 34095806 SLEEP STUDY PORTABLE UNATTENDED 250.00 3/1/2015 34095807 SLEEP STUDY OVERNIGHT DESAT 1554.00 3/1/2015 34095810 POLYSOMNOGRAPH 2060.00 3/1/2015 34095811 POLYSOMNOGRAPH W/CPAP 2781.00 3/1/2015 34098960 ASTHMA EDUCATION SELF MGMT W CIR 154.25 6/1/2018 34099401 ASTH ED PREVENT MEDICINE COUNSEL 15 MIN 56.47 6/1/2018 34099402 ASTH ED PREVENT MEDICINE COUNSEL 30MIN 96.33 6/1/2018 34109944 ASTHMA ENVIRONMENTAL ASSESSMENT 192.81 6/1/2018 34194664 RESP CHR DISEASE EDUCATION 243.00 7/1/2017 35000001 WRIST HAND ORTHOTIC 64.00 6/1/2018 35029220 STRAPPING LOWER BACK 53.00 3/1/2015 35029240 STRAPPING, SHOULDER 47.00 3/1/2015 35029260 STRAPPING ELBOW OR WRIST 47.00 3/1/2015 35029365 APPLY CYLIND CAST 108.00 3/1/2015 35029530 STRAPPING, KNEE 36.00 3/1/2015 35029540 STRAPPING, ANKLE/FOOT 39.00 3/1/2015 35029580 UNNA BOOT APPLICATION 67.00 3/1/2015 35029700 REMOVE/BIVALV GAUNT BOOT/CAST 47.00 3/1/2015 35064550 ELECTRICAL STIMULATION UNATTENDED TENS 53.00 3/1/2015 35095851 ROM MEASUREMENT EA EXTREMITY 36.60 2/1/2018 35097001 PHYSICAL THERAPY EVAL LOW COMPLEX 117.00 3/1/2015 35097002 PHYSICAL THERAPY RE-EVALUATION 54.00 3/1/2015 35097012 TRACTION; APPLY MODALITY 1 OR MORE AREAS 38.00 3/1/2015 35097016 VASOPNEUMATIC DEVICE; APPLY MODAL 1 OR M 39.00 3/1/2015 35097018 PARRAFIN BATH; APPLY MODAL 1 OR MORE 31.00 3/1/2015 35097022 WHIRLPOOL BATH; APPLY MODALITY 1 OR MORE 47.00 3/1/2015 35097032 ELECTRICAL STIMULATION MAN EA. 15 MIN 52.00 3/1/2015 35097033 IONTOPHORESIS, EA 15 MINUTES 54.00 3/1/2015 35097034 CONTRAST BATH, EA 15 MIN 29.00 3/1/2015 35097035 ULTRASOUND EACH 15 MINUTES 47.00 3/1/2015 35097110 THERAPEUTIC EXERCISE 1 MORE AREA EA 15 M 76.00 3/1/2015 35097112 NEUROMUSCULAR REEDUCATION EA 15 MIN 59.00 3/1/2015 35097116 GAIT TRAINING EACH 15 MINUTES 67.00 3/1/2015 35097124 MASSAGE EACH 15 MINUTES 47.00 3/1/2015 35097140 MANUAL THERAPY TECHNIQUES EA 15 MINUTES 67.00 3/1/2015 35097162 PHYSICAL THERAPY EVAL MOD COMPLEX 167.00 1/1/2017 35097163 PHYSICAL THERAPY EVAL HIGH COMPLEX 247.00 1/1/2017 35097530 THERAPUTIC ACTIVITIES FUNCTIONAL PERFOR 49.00 3/1/2015 35097535 SELF CARE/HOME MGMT TRNG COMP TRNG 62.00 3/1/2015 35097537 COMMUNITY/WORK REINTEGRATION 57.00 3/1/2015 35097545 WORK CONDITIONING INITIAL 2 HOURS 103.00 3/1/2015 35097546 WORK CONDITIONING EACH ADDL HOUR 77.00 3/1/2015 35097597 DEBRIDE SELECTIVE DEVITAL TISS<=20SQ CM 103.00 3/1/2015 35097598 DEBRIDE SELECTIVE DEVITAL TISSUE>20SQ CM 119.00 3/1/2015 35097602 DEBRIDEMENT NON-SELECTIVE DEVITAL TISSUE 85.00 3/1/2015 35097750 PHYSICAL PERFORMANCE TEST/MEASUREMENT W/ 57.00 3/1/2015 35097761 PROSTHETIC TRAINING UP &/OR LOWER EXT EA 41.00 3/1/2015 36000103 OT COLD PACKS 34.00 3/1/2015 36029220 OT STRAPPING LOWER BACK 53.00 3/1/2015 36029240 OT STRAPPING SHOULDER 47.00 3/1/2015 36029365 OT APPLY CYLIND CAST 10.00 3/1/2015 36029530 OT STRAPPING KNEE 36.00 3/1/2015 36029540 OT STRAPPING ANKLE 39.00 3/1/2015 36029700 OT REMOVE/BIVALV GAUNT BOOT/CAST 47.00 3/1/2015 36090911 BIOFEEDBACK TRAINING 132.30 6/1/2017 36097003 OT EVALUATION LOW COMPLEX 97.00 3/1/2015 36097004 OT RE-EVALUATION 54.00 3/1/2015 36097010 OT HOT PACKS 34.00 3/1/2015 36097012 OT TRACTION, APPLY MODAL 1/MORE AREAS 38.00 3/1/2015 36097016 OT VASOPNEUMATIC THERAPY 39.00 3/1/2015 36097018 OT PARAFFIN BATH 31.00 3/1/2015 36097022 OT WHIRLPOOL THERAPY 47.00 3/1/2015 36097032 OT ELECTRICAL STIMULATION MANUAL EA 15 M 49.00 3/1/2015 36097033 OT IONTOPHORESIS EACH 15 MINUTES 54.00 3/1/2015 36097034 OT CONTRAST BATH EACH 15 MINUTES 29.00 3/1/2015 36097035 OT ULTRASOUND THERAPY EA 15 MINUTES 47.00 3/1/2015 36097110 OT THERAPEUTIC EXERCIS EA 15 MIN(1 OR MO 72.00 3/1/2015 36097112 OT NEUROMUSCULAR RE-EDUCATION EA 15 MIN 59.00 3/1/2015 36097116 OT GAIT TRAINING EA 15 MINUTES 63.00 3/1/2015 36097124 OT MASSAGE THERAPY EA 15 MINUTES 47.00 3/1/2015 36097140 OT MANUAL THERAPY TECHNIQUES 67.00 3/1/2015 36097166 OT EVALUATION MOD COMPLEX 144.00 1/1/2017 36097167 OT EVALUATION HIGH COMPLEX 224.00 1/1/2017 36097530 OT THERAPEUTIC ACTIVITES, FUNCTION PERFO 49.00 3/1/2015 36097535 OT SELF HOME MGMT TRAIN EA 15 MIN 62.00 3/1/2015 36097760 OT ORTHOTIC 61.00 3/1/2015 37092507 SPEECH TREATMENT 124.00 3/1/2015 37092521 SPEECH TX EVAL FLUENCY STUT 155.00 3/1/2015 37092522 SPEECH TX EVAL SOUND PROD ARTIC PHON APR 144.00 3/1/2015 37092523 SPEECH TX EVAL SOUND W/COMPREHNS EXPRESS 206.00 3/1/2015 37092524 SPEECH TX BEHAV QUALIT ANALY VOICE RESON 144.00 3/1/2015 37092526 SPEECH TREAT SWALLOW DYSFUN/ORAL DYSFUNC 93.00 3/1/2015 37092610 SPEECH EVAL OROPHARYNG SWALLOW FUN 103.00 3/1/2015 37092611 SPEECH MOTION FLURO EVAL SWALLOW FUNCTI 165.00 3/1/2015 37096105 SPEECH ASSMNT APHASIA W/INTERP & REPORT 124.00 3/1/2015 37096125 STAND COGNITIVE PERF TESTING PER HR 181.57 4/1/2017 39000001 MASSAGE THERAPY 30 MIN 30.00 7/1/2018 39000002 MASSAGE THERAPY 60 MIN 55.00 7/9/2018 39000003 MASSAGE THERAPY HOT STONE 20.00 8/1/2018 39000004 MSSGE TX GIFT CERTIFICATE 30 MIN 30.00 8/1/2018 39000006 MSSGE TX GIFT CERTIFICATE 60 MIN 55.00 7/9/2018 67000108 DM SLFMGMT INDIV MCR PER 30MIN 51.50 3/1/2016 67000109 DM SLF MGMT TRN GRP MCRs PER30MIN 41.20 3/1/2016 67099205 DM SLFMGMT INDIV MCAID 309.00 3/1/2016 300233 SUFENTANIL 50MCG/ML 1ML AMPUL INJ 28.84 3/1/2015 300313 ATENOLOL 25MG TAB (TENORMIN) 4.12 3/1/2015 300382 TRIAMCINOLONE HEX. 20MG/1ML INJ 50.99 3/1/2015 300479 ETANERCEPT 50MG INJ 471.09 3/1/2015 300480 TIMOLOL 0.5% OPTH SOL 20.60 3/1/2015 300485 CALCIUM POLYCARBOPHIL 625MG CHEWABLE TAB 4.00 8/22/2006 300487 BETAMETHASONE NA PHOS/ACET 6MG/ML INJ 66.40 4/11/2018 300488 SUMATRIPTAN 50MG TAB 4.12 12/9/2016 300489 ZINC 50MG (ZN SULF 220MG) CAP 4.12 3/1/2015 300490 VITAMIN B 12 1000MCG TAB 4.12 3/1/2015 300494 SIMVASTATIN 40MG TAB (ZOCOR) 4.12 3/1/2015 300495 EPOETIN ALPHA 10,000 UNITS/ML INJ 234.00 6/30/2017 300496 EPOETIN ALPHA 20,000 UNITS/ML INJ 515.00 3/1/2015 300502 GUAIFENESIN 100MG/5ML SYRUP 4.12 3/1/2015 300505 PULMOCARE 240ML CAN 4.12 3/1/2015 300506 NICOTINE INHALER 10MG 27.30 3/1/2015 300509 CALCITONIN 200IU/ACTUATION NASAL SPRAY 51.36 6/18/2018 300510 MAGIC MOUTH WASH 5.00 3/31/2018 300511 PREGABALIN 50MG CAP (LYRICA) 7.73 3/1/2015 300512 COSOPT EYE DROP 152.90 12/26/2006 300515 DARIFENACIN 7.5MG ER TABLET 13.45 12/28/2006 300516 TERAZOSIN 5MG CAP (HYTRIN) 4.12 3/1/2015 300517 PSEUDOEPHEDRINE 30MG TAB (SUDAFED) 4.12 3/1/2015 300518 PRIMIDONE 50MG TAB (MYSOLINE) 4.12 3/1/2015 300519 CO-ENZYME Q-10 200MG TAB 4.12 3/1/2015 300521 FILGRASTIM 300MCG/ML INJ 518.09 3/1/2015 300522 BENZONATATE 200MG CAP (TESSALON) 4.12 3/1/2015 300523 SODIUM CHLORIDE 0.9% 250ML ADDVANTAGE 20.60 3/1/2015 300524 RHO (D) IMMUNE GLOBULIN 226.60 3/1/2015 300525 TETANUS TOXOID PRESERV FREE 61.80 3/1/2015 340001 ABG KIT (CHARGEABLE) 16.56 2/1/2016 300526 METANX TAB 4.12 3/1/2015 300528 DANAZOL 200MG CAPSULE 13.00 8/1/2008 300529 OSMOLITE 240ML 4.12 3/1/2015 300530 BENEPROTEIN POWDER 5.15 3/1/2015 300531 DIGOXIN IMMUNE FAB IN NS :240MG/50ML 4809.81 9/29/2017 300532 BENZTROPINE 2MG TAB (COGENTIN) 4.12 3/1/2015 300537 GLIPIZIDE 5MG TAB (GLUCOTROL) 4.12 3/1/2015 300538 DNU-VESICARE 5MG TAB 13.50 8/1/2008 300541 CEFDINIR 300MG CAP (OMNICEF) 4.12 11/29/2016 300542 VENLAFAXINE 50MG TAB (EFFEXOR) 5.15 3/1/2015 300547 ORPHENADRINE 60MG/2ML INJ 10.75 11/14/2018 300548 ORPHRENADRINE 100MG TAB (NORFLEX) 4.12 3/1/2015 300552 LEVOTHYROXINE 75MCG (0.075MG) TAB 4.12 3/1/2015 300553 DIVALPROEX 125MG SPRINKLE 4.12 9/19/2017 300554 LEVOTHYROXINE 50MCG (0.05MG) TAB 4.12 3/1/2015 300555 GLYBURIDE 5MG TAB (MICRONASE) 4.12 3/1/2015 300557 ZOLEDRONIC ACID 5MG/100ML INJ 180.81 4/9/2018 300558 VASOPRESSIN 20 UNITS/ML 203.72 5/21/2018 300600 AMPICILLIN 250MG CAP 4.12 3/1/2015 300606 ANTARA 130 MG 18.62 4/23/2008 300610 NOVOLIN 70/30 INSULIN (HUMULIN 70/30) 1.03 10/4/2017 300611 BROMOCRIPTINE 2.5MG TAB 4.00 8/1/2008 300612 BUSPIRONE 10MG TAB (BUSPAR) 4.12 3/1/2015 300614 BISOPROLOL/HCTZ 5MG/6.25MG TAB 4.12 3/1/2015 300615 NIFEDIPINE 10MG CAP (PROCARDIA) 4.12 3/1/2015 300617 LEVOTHYROXINE 175MCG (0.175MG) TAB 4.12 3/1/2015 300620 RIFAXIMIN 200MG 53.00 6/12/2018 300624 HALOPERIDOL 0.5MG TAB (HALDOL) 4.12 3/1/2015 300625 EPOETIN ALPHA 40,000 U/ML -1ML 884.62 8/1/2008 300626 CALMOSEPTINE OINT 20.60 3/1/2015 300629 ERTAPENEM (INVANZ) 1GM VIAL 67.62 6/2/2006 300632 BISOPROLOL/HCTZ 10/6.25MG TAB (ZIAC) 4.12 3/1/2015 300634 PHENOBARBITAL 32.4MG TAB 4.12 9/13/2017 300635 NOVOLIN-REGULAR INSULIN (HUMULIN-R) 1.03 10/4/2017 300636 GI COCKTAIL SUSP 12.36 3/1/2015 300641 PHENYLEPHRINE 1% NASAL SPRAY 16.19 3/1/2015 300642 TETRACAINE 0.5% OPTH DROPS 16.60 6/15/2018 300644 MORPHINE 15MG IMMEDIATE RELEASE TAB 5.15 3/1/2015 300645 GLYCERIN RECTAL SUPPOSITORIES 15.45 3/1/2015 300646 GLUCERNA LIQUID 1000ML BAG 42.49 7/6/2006 300647 VANCOMYCIN 1GM VIAL INJ. 41.20 3/1/2015 300648 CEFTRIAXONE IN NS: 1GM/50ML 41.20 3/1/2015 300650 POTASSIUM CHLORIDE 40MEQ/30ML PO SOL 4.12 3/1/2015 300651 QUINAPRIL 5 MG TAB (ACCUPRIL) 4.12 3/1/2015 300653 FERROUS SULFATE 325MG 4.12 3/1/2015 300655 LOSARTAN 25MG TAB (COZAAR) 5.15 3/1/2015 300657 HYDROXYZINE 25MG TABLET (ATARAX) 4.12 3/1/2015 300658 HYDROXYZINE HCL 50MG TAB 4.12 3/1/2015 300659 DIPYRIDAMOLE/ASA 25/200MG (AGGRENOX) 8.69 3/1/2015 300661 HYDRALAZINE 10MG TAB (APRESOLINE) 4.12 3/1/2015 300663 LEVOTHYROXINE 88MCG (0.088MG) TAB 4.12 3/1/2015 300664 ELECTROLYTE SOLUTION UNFLAVORED 240ML 4.12 3/1/2015 300666 LEVOTHYROXINE 137MCG (0.137MG) TAB 4.12 3/1/2015 300667 ISOSORBIDE DINITRATE 10MG TAB 4.12 3/1/2015 300669 MASTISOL DRESSING ADHESIVE 2/3ML AMP 244.11 3/1/2015 300676 ALBUTEROL 0.5% (2.5MG/0.5ML) NEB SOL 15.00 8/1/2008 300678 IPRATROPIUM 0.02% 0.5MG/VL NEB SOL 4.12 11/17/2017 300679 ALBUTEROL *1.25MG*/3ML PEDIATRIC NEB SOL 15.45 3/1/2015 300680 ENOXAPARIN 60MG/0.6ML SYR (LOVENOX) 19.78 11/17/2017 300681 HYDRALAZINE 20MG/ML INJ 22.66 3/1/2015 300683 METHYLPREDNISOLONE 80MG/ML IM INJ 40.50 5/25/2018 300684 DOBUTAMINE 250MG VIAL 63.50 8/1/2008 300685 CLINDAMYCIN 300MG INJ 6.25 2/27/2018 300686 AMINOPHYLLINE 250MG/10ML SDV INJ 35.42 2/27/2018 300687 IMIPENEM-CILASTATIN IN NS :250MG/50ML 40.00 1/7/2016 300688 GUAIFENESIN DM 10ML DOSE 4.12 3/1/2015 300689 EPINEPHRINE 1:10,000 SYR (1MG/10ML) 14.00 11/14/2018 300696 FENTANYL 100MCG/2ML INJ 4.12 5/30/2018 300699 LEUKINE 500MCG/ML INJ 431.70 8/8/2006 300700 NEUPOGEN 480MCG/1.6ML 536.27 3/1/2015 300702 RAMIPRIL 2.5MG CAP (ALTACE) 4.12 10/1/2018 300703 METFORMIN 850MG TAB (GLUCOPHAGE) 4.12 3/1/2015 300704 CAPTOPRIL 12.5MG TAB (CAPOTEN) 4.12 3/1/2015 300801 PIPERACILLIN/TAZOBACTAM/NS :4.5GM/100ML 41.20 2/27/2018 300802 INSULIN ASPART 100 UNITS/ML (NOVOLOG) 1.03 3/1/2015 300803 SINCALIDE 5MCG VIAL 97.85 3/1/2015 300804 ALCOHOL DEHYDRATED 1ML INJ 23.81 3/1/2015 300805 SYNVISC 2ML SYRINGE 417.10 8/1/2008 300806 VANCOMYCIN SUSP 250MG/5ML 10.30 3/1/2015 300807 FLORASTOR 250MG CAP 4.00 8/1/2008 300810 CASCARA LIQUID 1.00 8/1/2008 300940 GUAIFENESIN 600MG TAB (MUCINEX) 4.12 3/1/2015 302162 TIZANIDINE 4MG TAB (ZANAFLEX) 4.12 3/1/2015 321044 ARM BOARD INFANT 14.49 5/3/2008 321045 NEEDLE SPINAL 22X7 QUINCKE POINT REG BLK 22.34 5/3/2008 321075 SPLINT, THUMB SPICA 99.75 5/3/2008 336004 HEPARIN FLUSH 100 UNITS/ML 5ML SYR 4.12 10/4/2017