Procedure Procedure Description Revenue CPT/HCPCS NDC Code Code (if applicable)

30200090 HC BORDETELLA IGA 302 86615 30700002 HC URINALYSIS W/ MICRO (MAN.DIP) 307 81000 30200206 HC RH PHENOTYPING COMPLETE SO 302 86906 30200091 HC BORDETELLA IGM 302 86615 30100335 HC CITRATE AGAR ELECTROPHORESIS 301 83020 30100101 HC FACTOR V LEIDEN, SO * 301 81241 30100371 HC INSULIN TOTAL 301 83525 30200909 HC INCUBATION W/INHIBITORS SO 302 86977 30100081 HC OLANZAPINE 301 80342 30000089 HC ANTIBODY ID EACH CELL SO 302 86885 44092597 HC EVAL TO USE/FIT VOICE PROSTH 444 92597 30200906 HC PLATELET AB - INDIRECT SO 302 86022 30100347 HC 17 HYDROXYPROGESTERONE*SO 301 83498 30100375 HC 17 KETO/24 HR * SO 301 83586 30100346 HC 5HIAA * SO 301 83497 30100839 HC ACE SO 301 82164 30100364 HC ACETYLCHOL MODULATING AB SO 301 83516 30100363 HC ACETYLCHOL RECEPT AB BIND SO 301 83519 30100114 HC ACTH SO 301 82024 30100152 HC AFP - AMNIO SO 301 82106 30100135 HC ALCOHOL,ETHYL,BLOOD 301 80320 30100124 HC ALDOLASE SO 301 82085 30100132 HC ALDOSTERONE SO 301 82088 30100128 HC ALDOSTERONE-UR SO 301 82088 30200001 HC ALLERGEN SO 302 86003 30100343 HC ALLERGEN-HISTAMINE 301 83088 30200002 HC ALLERGEN-LATEX 302 86003 30100140 HC ALPHA 1 ANTITRYPSIN FECES SO 301 82103 30500799 HC ALPHA 2 ANTIPLASMIN SO 305 85410 30100251 HC ALPHA TOCOPHEROL(VIT.E) SO 301 84446 30100144 HC ALPHA-FETAPROTEIN-TUMOR M 301 82105 30100156 HC ALUMINUM SO 301 82108 30100033 HC AMIKACIN SO 301 80150 30100167 HC AMINO ACID QUANT. URINE * SO 301 82139 30100165 HC AMINO ACID QUANT-BLOOD SO 301 82139 30100301 HC AMOBARBITOL SO 301 80345 30100179 HC AMYLASE, RANDOM URINE 301 82150 30100185 HC ANDROSTENEDIANE SO 301 82157 30200037 HC ANTI CHROMATIN 302 83516 30200032 HC ANTI HISTONE AB SO 302 83516

1 30200038 HC ANTI SMOOTH MUSCLE SO 302 83516 30500800 HC ANTI THROMBIN III ACTIVIT SO 305 85300 30200027 HC DSDNA AB.IGG ELISA 302 86225 30200034 HC ANTI-ENA/SM SO 302 86235 30100357 HC ANTI-MITOCHONDRIAL SO 301 83516 30100368 HC ANTINERONAL NUCLEAR SO 301 83520 30200044 HC ANTISTRIATNL MUSCLE AB SO 302 86255 30200158 HC THYROGLOBULIN AB SO 302 86800 30100136 HC ANTITRYPSIN QUANT SO 301 82103 30100189 HC APO A-1 SO 301 82172 30100191 HC APO B SO 301 82172 30100199 HC ARSENIC,BLOOD SO 301 82175 30100205 HC BETA 2 MICROGLOBULIN CSF SO 301 82232 30100286 HC BETA HCG-TUMOR MARKER 301 84702 30100703 HC BETA-2-MICROGLOBULIN SO 301 82232 30100404 HC BNP 301 83880 30200164 HC BORDETELLA PERTUSSIS CULTURE 306 87081 30200023 HC C1 ESTERAS INHIBTR FUN SO 302 86161 30200053 HC CA 15-3 SO 302 86300 30200055 HC CA 19-9 SO 302 86301 30200054 HC CA 27-29 SO 302 86300 30100219 HC CALCITONIN SO 301 82308 30100711 HC CALCIUM - IONIZED SO 301 82330 30100714 HC CARBOHYDRATE DEF. TRANSFER 301 82373 30200014 HC CARDIOLIPIN AB, IGA SO 302 86147 30100229 HC CARNITINE, FREE SO 301 82379 30100395 HC CARNITINE, TOTAL SO 301 83789 30100225 HC CARNITINE,FREE & TOTAL* SO 301 82379 30100233 HC CAROTENE SO 301 82380 30100241 HC CATECHOLAMINE,PLASMA,FRAC SO 301 82384 30100237 HC CATECHOLAMINES,URINE * SO 301 82384 30200073 HC CD-4 ABSOLUTE SO 302 86361 30100267 HC CELIAC DISEASE IGA 301 82784 30100348 HC CENTROMERE ANTIBODY IGG SO 301 83516 30100245 HC CERULOPLASMIN SO 301 82390 30200179 HC CHLAMYDIA DETECTION/DFA SO 306 87270 30100305 HC CHLORAZEPOXIDE (LIBRIUM) SO 301 80346 30100257 HC CHLORIDE/URINE 301 82436 30100260 HC CITRATE - URINE * SO 301 82507 30100084 HC CLOMIPRAMINE SO 301 80335 30100037 HC CLONAZEPAM SO 301 80346 30100293 HC CLORAZEPATE SO 301 80346 30100717 HC CLOZAPINE SO 301 80159 30200191 HC CMV BY PCR SO 306 87496 30200178 HC CMV CULTURE SO 306 87254

2 30200104 HC CMV IGG IFA SO 302 86644 30100264 HC COCAINE QUANT. URINE 301 80353 30200016 HC COLD AGGLUTININS 302 86157 30200019 HC COMPLEMENT COMPONENT 2 302 86160 30100276 HC COPPER - BLOOD SO 301 82525 30100200 HC COPPER - URINE * SO 301 82525 30100725 HC CORTISOL/URINE SO 301 82530 30100837 HC COTININE (NICOTINE) URINE SO 301 80323 30100726 HC C-PEPTIDE SO 301 84681 30600064 HC CRYPTOSPORIDUM ANTIGEN 306 87328 30200201 HC CSF HERPES BY PCR SO 306 87529 30200026 HC CYCLIC CITRULINATED PEPT. IGG 302 86200 30100045 HC CYCLOSPORIN LEVEL SO 301 80158 30100099 HC CYSTIC FIBROSIS,MUTATION PANE 301 81220 30100727 HC DHEA SO 301 82626 30100262 HC DHEA SULFATE SO 301 82627 30200106 HC DIPTHERIA AB SO 302 86648 30100048 HC DOXEPIN (SINEQUAN) SO 301 80335 30100728 HC D-XYLOSE TOL SO 301 84620 30200047 HC ENDOMYSIAL IGA TITER REF 302 86256 30100911 HC ERYTHRO POIETIN SO 301 82668 30100292 HC ESTRIOL SO 301 82677 30100284 HC ESTROGEN, SR. FRACT SO 301 82671 30100296 HC ESTRONE (E1) SO 301 82679 30100049 HC ETHOSUXIMIDE(ZARONTIN) SO 301 80168 30100300 HC ETHYLENE GLYCOL SO 301 82693 30500806 HC FACTOR II SO 305 85210 30100244 HC FACTOR IX SO 305 85250 30500807 HC FACTOR V SO 305 85220 30500808 HC FACTOR VII SO 305 85230 30100228 HC FACTOR VIII SO 305 85240 30100248 HC FACTOR X SO 305 85260 30100252 HC FACTOR XI SO 305 85270 30100256 HC FACTOR XII SO 305 85280 30500809 HC FACTOR XIII/UREA SOL SO 305 85291 30100304 HC FAT/QUANT SO 301 82710 30100297 HC FELBABATE (FELBATOL) SO 301 80339 30100731 HC FLECAINIDE SO 301 80299 30100086 HC FLUXETINE (PROZAC) SO 301 80332 30100733 HC FOLATE, RED CELL SO 301 82747 30100291 HC FREE T3 301 84481 30100737 HC G-6-PD-SO* 301 82955 30100285 HC GABAPENTIN LEVEL SO 301 80171 30100910 HC GALATOSE 1 PHOSURIDYL SO 301 82775 30100738 HC GASTRIN SO 301 82941

3 30200215 HC GC & CHLAMYDIA,THIN PREP 306 87801 30100359 HC GLIADIN IGA SO 301 83516 30100360 HC GLIADIN IGG SO 301 83516 30200039 HC GLOMERULARBASEMENTMEMBRAB SO 302 86255 30100739 HC GLUCAGON SO 301 82943 30100742 HC GLUCOSE URINE SO* 301 82945 30100355 HC GLUTAMIC ACID DECARBOXYLASE 301 83516 30200185 HC HELICOBACTER PYLOR ANTGN STOO 306 87338 30100100 HC H CHEMOCH MUTATION DETECT HERD S 301 81256 30100340 HC HEMOGLOBULIN A2 & F 301 83036 30100342 HC HEMOSIDERIN ST - UR SO 301 83070 30200130 HC HEP B CORE AB,IGG,IGM SO 302 86704 30200193 HC HEP B DNA ULTRA QUANT PCR 306 87517 30200197 HC HEP C VIRUS RNA QUANT GENO 306 87522 30200004 HC HEPARIN ASSOCIATED ANTIBODY 302 86022 30200134 HC HEPATITIS A AB TOTAL 302 86708 30200132 HC HEPATITIS B SURF AB (WAS: A 302 86706 30200133 HC HEPATITIS BE AB (WAS: AB TO 302 86707 30200187 HC HEPATITIS BE AG SO 306 87350 30200223 HC HEPATITIS C GENOTYPE REFLEX 306 87902 30200199 HC HEPATITIS C RNA QUANT BY PCR 306 87522 30000002 HC HEPATITIS DELTA VIRUS AB 300 86692 30200126 HC HERPE TYPE 2 GLYC G SPE AB IG 302 86696 30200908 HC HERPES I & II IGG * SO 302 86694 30200124 HC HERPES I & II IGM * SO 302 86694 30200125 HC HERPES TYPE 1 GLYC SPEC AB IG 302 86695 30500903 HC HEXAGONAL PHOSPHOLIPID NEUTRA 305 85598 30100338 HC HGB ELECTROPHORESIS SO 301 83021 30100332 HC HGH SO 301 83003 30200188 HC HISTOPLASMA AG. URINE 306 87385 30200123 HC HIV - WESTERN BLOT SO 302 86689 30600901 HC HIV 1 GENOTYPE 306 87901 30200203 HC HIV VIRUS BY BRANCHED DNA SO 306 87536 30200161 HC HLA - ANTIBODY TEST SO 302 86807 30200163 HC HLA - DR TYPING SO 302 86813 30200162 HC HLA-B27 SO 302 86812 30100746 HC IGE SO 301 82785 30100249 HC IGF BINDING PROTEIN -3 301 82397 30200137 HC INFLUENZA A IGM 302 86710 30200177 HC INFLUENZA CULTURE 306 87254 30200065 HC INSULIN AB SO 302 86337 30100370 HC INSULIN RANDOM SO 301 83525 30100751 HC INSULIN-LIKE GRWTH FACT 1 IGF 301 84305 30200066 HC INTRINSIC FACTOR BLOCKING AB. 302 86340 30100102 HC JAK2(V617F)MUTATION BY PCR 301 81270

4 30200030 HC JO-1 ANTIBODY IGG 302 86235 30100082 HC KEPPRA LEVEL 301 80177 30100078 HC LAMOTRIGINE 301 80175 30100379 HC LDH ISOENZYMES SO 301 83625 30200141 HC LEGIONELLA AB TYPE 1 IGG 302 86713 30200140 HC LEGIONELLA AB TYPE 1 IGM 302 86713 30200165 HC LEGIONELLA CULTURE SO 306 87081 30200189 HC LEGIONELLA URINE AG SO 306 87449 30200142 HC LEPTOSPIRA AB SO 302 86720 30100384 HC LIPOPROTEIN (A) 301 83695 30100385 HC LIPOPROTEIN-ASSOC PHOS A2 301 83698 30200092 HC LYME AB IGM WESTERN BLOT 302 86617 30200096 HC LYME AB,SERUM SO 302 86618 30200095 HC LYMEAB,IGG,WESTERNBLOT SO 302 86617 30500812 HC LYSOZYME, SERUM/BF SO 305 85549 30100392 HC MAGNESIUM/URINE * 301 83735 30100399 HC METANEPHRINES TOTAL * SO 301 83835 30100398 HC METANEPHRINES,PLASMA 301 83835 30100083 HC METHOTREXATE SO 301 80299 30100104 HC METHYLENE. REDUCTASE MUTAT SO 301 81291 30200074 HC MICROSOMAL AB-THYROID SO 302 86376 30200075 HC MICROSOMALAB,LIVER-KIDNEY SO 302 86376 30200144 HC MUMPS AB,IGM SO 302 86735 30200143 HC MUMPS VIRUS AB.IGM 302 86735 31000012 HC MUSCLE FIBERS - FECAL SO 300 89160 30200146 HC MYCOPLASMA IGG SO 302 86738 30200145 HC MYCOPLASMA IGM SO 302 86738 30100402 HC MYOGLOBIN - UR SO 301 83874 30100403 HC MYOGLOBIN-BL SO 301 83874 30200042 HC NEUTROPHIL CYTOPLASMIC AB SO 302 86255 30100074 HC NORPACE SO 301 80299 30100056 HC NORTIPTYLINE SO 301 80335 30100272 HC N-TELOPEPTIDE,CRSS-LNKED URIN 301 82523 30100137 HC OPIATES QUANITATION SERUM 301 83925 30100139 HC OPIATES QUANTITATION-URINE 301 80361 30100121 HC ORGANIC ACIDS - URINE SO 301 83918 30100147 HC OXALATE * SO 301 83945 30100042 HC OXAZEPAM SO 301 80346 30100075 HC OXCARBAZEPINE 301 80183 30100155 HC PAP SO 301 84066 30200043 HC PARIETAL CELL AB SO 302 83516 30200147 HC PARVOVIRUS IGG SO (PART 302 86747 30200148 HC PARVOVIRUS IGM SO ( 302 86747 30100289 HC PENTABARBITOL SO 301 80345 30100161 HC PG SCREEN SO 301 84081

5 30100753 HC PHENOPTHALEIN (STOOL) SO 301 84999 30100836 HC PHENYLALANINE 301 82131 30100163 HC PHENYLALANINE-LAB 301 82131 30100126 HC PHOSPHORUS - UR * 301 84105 30100341 HC PLASMA HEMOGLOBIN SO 301 83051 30500813 HC PLASMINOGEN SO 305 85420 30100130 HC PORPHOBILINOGEN SO 301 84110 30100258 HC PORPHYRINS-FRACT SO 301 84120 30100040 HC PRAZEPAM SO 301 80346 30100146 HC PRE-ALBUMIN 301 84134 30100150 HC PROGESTERONE SO 301 84144 30500815 HC PROTEIN C SO 305 85302 30500817 HC PROTEIN S SO 305 85305 30100546 HC PROTHROMBIN F2 301 81240 30100281 HC PROTRIPTYLINE SO 301 80335 30100758 HC RENIN SO 301 84244 30500823 HC REPTILASE SO 305 85635 30200151 HC RUBELLA AB, IGM SO 302 86762 30200152 HC RUBEOLA SO 302 86765 30200031 HC SCLERODERMAL AB SO 302 86235 30100761 HC SEROTONIN SO 301 84260 30100079 HC SERTRALINE SO 301 80332 30100762 HC SEX HORMONE BINDING GLOBULIN 301 84270 30200028 HC SSA(RO)(ENA)ANTIBODY IGG SO 302 86235 30200029 HC SSB(LA)(ENA)ANTIBODY IGG SO 302 86235 30200221 HC STREP.PNEUMO.AG URINE SO 306 87899 30100231 HC T4 FREE EQUILIBRIUM DIALYSIS 301 84439 30100065 HC TACROLIMUS SO 301 80197 30100770 HC TESTOSTERONE FREE,ADULT MALE 301 84402 30100203 HC TESTOSTERONE, TOTAL 301 84403 30200057 HC TETANUS AB,IGG SO 302 86317 30100270 HC THIOPURINE METHYLTRANSFERASE 301 82657 30100247 HC THYROID STIM IMMUNOGLB SO 301 84445 30100235 HC THYROXIN BINDING GLOB TBG SO 301 84442 30500825 HC TISSUE THROMBOPLASTIN SO 305 85705 30100352 HC TISSUE TRANSGLUTAM IGA REFLUX 301 83516 30100350 HC TISSUE TRANSGLUTAMINASE AB IGA 301 83516 30100351 HC TISSUE TRANSGLUTAMINASE AB IGG 301 83516 30100070 HC TOPIRAMATE 301 80201 30200025 HC TOTAL HEMOLYTIC COMP SO 302 86162 30100172 HC TOTAL PROTEIN URINE-NOT 24 HR 301 84156 30200153 HC TOXOPLASMA IGM IFA SO 302 86778 30200058 HC TOXOPLASMA,IGG,IFA SO 302 86777 30100080 HC TRAZODONE SO 301 80338 30200154 HC TREPONEMA PALLIDUM AB (FTA) 302 86780

6 30100361 HC TSH RECEPTOR AB SO 301 83520 30200116 HC FRANCISELLA TULARENSIS IGG 302 86668 30200157 HC VARICELLA AB IGG SO 302 86787 30200156 HC VARICELLA AB IGM SO-LN 302 86787 30100784 HC VASOACTIVEINTESTPEPTIDE SO 301 84586 30200080 HC VDRL/CSF SO 302 86592 30200174 HC VIRUS CULTURE-SEND OUT 306 87252 30500826 HC VISCOSITY SO 305 85810 30100211 HC VIT B1(THIAMINE)WHOLE BLOOD S 301 84425 30100254 HC VITAM B12 BINDING CAPACITY SO 301 82608 30100278 HC VITAMIN A SO 301 84590 30100198 HC VITAMIN B6 SO 301 84207 30100266 HC VITAMIN D1,25 DIHYDROXY SO 301 82652 30100786 HC VMA * SO 301 84585 30200166 HC YEAST IDENTIFICATION SO 306 87106 30200171 HC YEAST SUSCEPTIBILITY PANEL 306 87186 30100282 HC ZINC SO 301 84630 30100194 HC ZPP SO 301 84202 30600038 HC AFB CULTURE, BLOOD 306 87116 30600042 HC AFB ID 306 87118 30600035 HC FUNGUS CULTURE, BLOOD 306 87103 43097113 HC OT AQUATIC THERAPY 1:1 430 97113 43097537 HC OT COMMUNITY/WORK TRAING EA 15M 430 97537 43097760 HC OT ORTHOTIC MGMT AND TRAINING EA 15 MINS 430 97760 43097530 HC THERAPEUTIC ACTIVITY DIR EA 15M 430 97530 43000010 HC OT DRIVING EVALUATION 430 43097032 HC OT E - STIM MANUAL 430 97032 43097750 HC OT PHYSICAL PERFORM EA 15M 430 97750 43097535 HC OT ADL SELF CARE EA 15 MIN 430 97535 42097124 HC PT MASSAGE THER 420 97124 43000001 HC OT IONTOPHORESIS 430 97033 43097140 HC OT MANUAL THERAPY PER 15 MIN 430 97140 43097010 HC MULTIMODALITY STIMULATION 430 97010 43097018 HC OT PARAFFIN BATH 430 97018 43097533 HC SENSORY INTEGRATION TRAIN 430 97533 43097110 HC OT THERAPEUTIC EX PER 15 MIN 430 97110 43097150 HC OT THER REHAB GROUP 430 97150 43097035 HC OT ULTRASOUND TX PER 15 MIN 430 97035 43097022 HC OT WHIRLPOOL 430 97022 42097116 HC PT GAIT TRAINING 420 97116 42097113 HC AQUATIC THERAPY 1:1 420 97113 42097112 HC T NEUROMUSCULAR RE-EDUCATION 420 97112 42097012 HC MECHNICAL TRACTION 420 97012 42000537 HC PT COMMUNITY/WORK TRAING EA 15M 420 97537 42097530 HC THERAPEUTIC ACTIVITY DIR EA 15M 420 97530

7 42097032 HC E - STIM MANUAL 420 97032 42097014 HC PT ELECTRIC STIMULATION THERAPY 1+ AREAS 420 97014 42097033 HC PT IONTOPHORESIS 420 97033 42097016 HC VASOPNEUMATIC DEVICE THERAPY 1+ AREAS 420 97016 42000140 HC PT MANUAL THERAPY PER 15 MIN 420 97140 42097761 HC PROSTHETIC TRAINING 420 97761 42097035 HC PT ULTRASOUND TX PER 15 MIN 420 97035 51097597 HC PULSE LAVAGE/DEBRIDE 761 97597 51097598 HC PULSE/LAVAGE/DEBRIDE>20CM 420 97598 42097150 HC PT THER REHAB GROUP 420 97150 42097110 HC PT THERAPEUTIC EX PER 15 MIN 420 97110 42097542 HC PT WHEELCHAIR TRAINING 420 97542 42097022 HC PT WHIRLPOOL 420 97022 42097602 HC WOUND MGMT PROCEDURE 420 97602 44492608 HC EX FOR SPEECH DEVICE RX EA ADDL 30 MIN 444 92608 44492605 HC EX FOR NONSPEECH DEVICE RX 444 92605 44492607 HC EVAL FOR SPEECH DEVICE RX 1HR 444 92607 44092606 HC NON-SPEECH DEVICE TX 440 92606 44092609 HC THERAPEUTIC SP DEVICE SERVICE 440 92609 44096110 HC DEVELOPMENTAL SCREEN 440 96110 44392508 HC SPEECH/HEARING THERAPY GROUP 443 92508 44092507 HC SPEECH THERAPY/ TX 440 92507 44492610 HC EVALUATE SWALLOWING FUNCTION 444 92610 44092526 HC TREAT SWALLOWING DYSFUNCTION 440 92526 44092611 HC VIDEOFLUOROSCOPY 440 92611 80290945 HC DIALYSIS ONE EVAL 802 90945 27100034 HC HOVERMATT 34" DISPOSABLE 271 27100035 HC HOVERMATT 39" DISPOSABLE 271 27100036 HC HOVERMATT SHEET DISPOSABLE 271 94099195 HC PHLEBOTOMY, THERAPEUTIC 940 99195 39000011 HC PLATELET CONCENTRATION 390 P9031 76100102 HC ARTERIAL LINE INSERTION 761 36140 48133967 HC INTRA-AORTIC BALL PUMP INSERT 360 33967 76100112 HC INTRACRAN PRESS MNTR INSERTIO 761 27100048 HC KOOL KIT 271 27200276 HC RHINO TRACH KIT 272 76193503 HC SWAN GANZ PLACEMENT 761 93503 40276937 HC US GUIDANCE FOR VASC ACC DEV 402 76937 36136593 HC DECLOT OF CATH/IMPLANTED DEVI 361 36593 76100105 HC CENTRAL LINE INSERTION 761 76100124 HC TEMP PACE INSERTION SINGLE GE 761 33210 45051702 HC URETHERAL CATH/FOLEY 761 51702 76132551 HC CHEST TUBE THORACENTESIS/THORACOSTOMY 761 32551 76100150 HC NG/ORO-GASTRIC TUBE PLACEMENT 761 43752 47182587 HC OTOCAUSTIC EMISSION TEST 471 92587

8 30100091 HC OB NITRAZINE TEST 301 83986 30100089 HC OB URINE DIP FOR PROTEIN 301 81002 91590853 HC GROUP PSYCHOTHERAPY 915 90853 91896102 HC PSYCHO TESTING BY TECHNICIAN 918 96102 91401006 HC ASSESSMENT - IP 914 91500003 HC CONTINUING CARE-GRP-OP LISW/LSW 915 90853 91500001 HC THREE HOUR GROUP THERAPY LISW/LSW 915 90853 91500002 HC TWO HOUR GROUP THERAPY LISW/LSW 915 90853 36138220 HC BONE MARROW ASPIRATION 761 38220 36138221 HC BONE MARROW BX 761 38221 91500007 HC BIBLIOTHERAPY GROUP 915 90853 91401002 HC DIAGNOSTIC ART PSYCH HTP 16-37 MINS 914 90832 94299409 HC DRUG/ALCOHOL ASSESS >30 MIN 942 99409 94299408 HC DRUG/ALCOHOL ASSESS 15-30 MIN 942 99408 91401003 HC DYNAMIC ART THERAPY 914 90853 91500004 HC GROUP THERAPY LISW/LSW 915 90853 91401000 HC INDIVIDUAL THERAPY 16-37 MINS LISW/LSW 914 90832 91401004 HC LIFE SKILLS-IND.TREATMENT 16-37 MINS 914 90832 91896116 HC NEUROBEHAVIORAL STATUS EXAM 918 96116 43400010 HC O.T.IND.PSYCH TREATMENT 16-37 MINS 434 90832 43400011 HC O.T.OUTPT. INDIVIDUAL TX 16-37 MINS 434 90832 91500009 HC O.T.SENSORY MOTOR GROUP 915 90853 91896105 HC APHASIA ASSESMENT PER HR 918 96105 91502001 HC PET THERAPY GROUP 915 91801000 HC SASSI 1/2 HOUR + MATLS 918 90791 36136569 HC PICC LINE INSERTION 361 36573 30200232 HC ANTIBODY SCREEN 302 86850 39000006 HC CRYPRECIPITATE 390 P9012 30200845 HC DIRECT COOMBS 302 86880 30000088 HC DIRECT COOMBS(CORD BLOOD) 302 86880 30500905 HC FETAL HEMOGLOBIN QUANT 305 85460 30500907 HC FETAL HEMOGLOBIN SCREEN 305 85461 63690385 HC MICROGAM 636 90385 63690384 HC RHOGAM (SOURCE LAB) 636 90384 30100108 HC ACETAMINOPHEN 301 80329 30100110 HC ACETONE/KETONE 301 82009 30100007 HC ACUTE HEPATITIS PANEL 301 80074 30100116 HC ALBUMIN 301 82040 30100120 HC ALBUMIN BODY FLUID 301 82042 30100157 HC ALKALINE PHOSPHATASE 301 84075 30100702 HC ALT 301 84460 30100169 HC AMMONIA/BLOOD 301 82140 30100171 HC AMPHETAMINE QUANT. URINE 301 80324 30100177 HC AMYLASE SERUM 301 82150 30100175 HC AMYLASE/BF SO 301 82150

9 30500802 HC APC RESISTANCE REF.FACTOR V 305 85307 30200009 HC ASO TITER 302 86060 30100255 HC AST 301 84450 30100035 HC BENZODIAZEPINE QUANT. URINE 301 80346 30100705 HC BILIRUBIN DIRECT 301 82248 30100213 HC BILIRUBIN DIRECT NATAL 301 82248 30100207 HC BILIRUBIN TOTAL 301 82247 30100209 HC BILIRUBIN TOTAL NATAL 301 82247 30100709 HC BUN 301 84520 30100710 HC BUN - POST DIALYSIS 301 84520 30200056 HC CA 125 302 86304 30100712 HC CALCIUM URINE 24 HR 301 82340 30100221 HC CALCIUM/SERUM 301 82310 30100713 HC CALCIUM-URINE RANDOM 301 82373 30100043 HC CARBAMAZIPINE 301 80156 30100715 HC CEA 301 82378 30100001 HC CHEM 8 (BASIC METABOLIC - LIK 301 80048 30100253 HC CHLORIDE/SERUM 301 82435 30100261 HC CHOLESTEROL 301 82465 30100005 HC CHOLESTEROL PROFILE * (MEASUR 301 80061 30100269 HC CHOLINESTERASE 301 82480 30100718 HC CO2 301 82374 30200020 HC COMPLEMENT C3 302 86160 30200021 HC COMPLEMENT C4 302 86160 30100721 HC CORTISOL STIMULATION 45 MIN 301 80400 30100722 HC CORTISOL STIMULATION 60 MIN 301 80400 30100723 HC CORTISOL/AM 301 82533 30100724 HC CORTISOL/PM 301 82533 30100218 HC CPK 301 82550 30100222 HC CPK-MB 301 82553 30200010 HC C-REACTIVE PROTEIN 302 86140 30200011 HC C-REACTIVE PROTEIN HS 302 86141 30100226 HC CREATININE 301 82565 30100246 HC CREATININE CLEAR ./12 HR 301 82575 30100242 HC CREATININE CLEAR./24 HR 301 82575 30100234 HC CREATININE, RANDOM URINE 301 82570 30100230 HC CREATININE,TIMED URINE 301 82570 30100047 HC DEPAKANE LEVEL 301 80164 30100046 HC DIGOXIN LEVEL 301 80162 30100058 HC DILANTIN LEVEL 301 80185 30100002 HC ELECTROLYTES PANEL 301 80051 30100729 HC ESTRADIOL PREMENOPAUSE FEMALE 301 82670 30100308 HC FERRITIN 301 82728 30100732 HC FOLATE 301 82746 30100328 HC FSH/SERUM 301 83001

10 30100051 HC GENTAMICIN-PEAK 301 80170 30100052 HC GENTAMICIN-RANDOM 301 80170 30100050 HC GENTAMICIN-TROUGH 301 80170 30100325 HC GGTP 301 82977 30100309 HC GLU 1 HR DEXTOL (WAS GLU 301 82950 30100741 HC GLUCOSE FASTING 301 82947 30100324 HC GLUCOSE FINGERSTICK POC 301 82962 30100743 HC GLUCOSE/2 HR PP * 301 82947 30100744 HC GLUCOSE/BF 301 82945 30100922 HC GLUCOSE/CSF 301 82945 30100333 HC HAPTOGLOBIN/QUANT 301 83010 30100745 HC HCG TEST/SERUM BETA 301 84702 30100388 HC HDL CHOLESTEROL 301 83718 30200121 HC HELICOBACTER PYLORI AB IG 302 86677 30200131 HC HEP B CORE AB, IGM 302 86705 30200135 HC HEPATITIS A IGM (WAS: AB HA 302 86709 30200186 HC HEPATITIS B SURFACE AG 306 87340 30200160 HC HEPATITIS C 302 86803 30200129 HC HIV 1/2 ANTIBODY,P24 ANTIGEN 306 87389 30200205 HC HIV-1 RNA QUANT.PCR 306 87536 30100344 HC HOMOCYSTINE-PLASMA 301 83090 30100279 HC IGA QUANT 301 82784 30100912 HC IGG QUANT 301 82784 30100287 HC IGM QUANT 301 82784 30200059 HC IMMUNOFIX ELECTRO SERUM 302 86334 30200062 HC IMMUNOFIX ELECTRO URINE 302 86335 30100369 HC INSULIN,FASTING 301 83525 30100373 HC IRON TOTAL/SERUM 301 83540 30100376 HC LACTATE/LACTIC ACID 301 83605 30100377 HC LDH 301 83615 30100378 HC LDH/BF 301 83615 30100390 HC LDL CHOLESTEROL 301 83721 30100380 HC LEAD/BLOOD 301 83655 30100331 HC LH SERUM 301 83002 30100054 HC LIDOCAINE 301 80176 30100383 HC LIPASE 301 83690 30100055 HC LITHIUM LEVEL 301 80178 30100008 HC LIVER PANEL - HEPATIC FUNCTIO 301 80076 30100391 HC MAGNESIUM/SERUM 301 83735 30100921 HC MARIJUANA QUANT. URINE 301 80349 30100024 HC MARIJUANA QUANTITATIVE 301 80349 30100003 HC METABOLOC PANEL (COMPREHENSIV 301 80053 30100127 HC MICROALBUIN, URINE SO (PART 301 82043 30100143 HC OSMOLALITY/SERUM 301 83930 30100145 HC OSMOLALITY/UA 301 83935

11 30100057 HC PHENOBARBITAL LEVEL 301 80184 30100122 HC PHOSPHORUS 301 84100 30100134 HC POTASSIUM SERUM 301 84132 30100142 HC POTASSIUM,RANDOM UR 301 84133 30100138 HC POTASSIUM/UA 301 84133 30100756 HC PREG TEST 301 84703 30100004 HC PRENATAL PROFILE 301 80055 30100061 HC PROCAINAMIDE & NAPA LEVEL 301 80192 30100192 HC PROT.ELEC,RANDOM UR 301 84166 30100174 HC PROTEIN/BF 301 84157 30100176 HC PROTEIN/CSF 301 84157 30100162 HC PSA TOTAL,DIAGNOSTIC 301 84153 30100757 HC PSA TOTAL,SCREENING 301 84153 30100164 HC PSA-FREE 301 84154 30100149 HC PTH - INTACT 301 83970 30100062 HC QUINIDINE LEVEL 301 80194 30100006 HC RENAL PANEL (LIKE A CHEM 8 PL 301 80069 30200078 HC RHEUMATOID FACTOR 302 86431 30200150 HC RUBELLA IGG (WAS RUBELLA TIT 302 86762 30100064 HC SALICYLATE LEVEL 301 80329 30100208 HC SODIUM SERUM 301 84295 30100212 HC SODIUM, RANDOM URINE 301 84300 30100765 HC SODIUM, TIMED URINE 301 84300 31000014 HC SWEAT CHLORIDE 300 89230 30100768 HC T3, TOTAL 301 84480 30100769 HC T4 301 84436 30100227 HC T4 FREE 301 84439 30100220 HC TESTOSTERONE FREE,FEMALE 301 84402 30100066 HC THEOPHYLLIN LEVEL 301 80198 30100239 HC THYROID CASCADE 301 84443 30100374 HC TIBC 301 83550 30100068 HC TOBRAMYCIN - PEAK 301 80200 30100069 HC TOBRAMYCIN-RANDOM 301 80200 30100067 HC TOBRAMYCIN-TROUGH 301 80200 30100168 HC TOTAL PROTEIN/24 HR * 301 84156 30100166 HC TOTAL PROTEIN/SERUM 301 84155 30100170 HC T-PROTEIN,RANDOM UR 301 84156 30100777 HC TRANSFERRIN 301 84466 30200155 HC TREPONEMA PALLIDUM AB. TP-PA 302 86780 30100025 HC TRICYCLIC DRUG LEVEL 301 80307 30100778 HC TRIGLYCERIDE 301 84478 30100295 HC TROPONIN I 301 84484 30100781 HC URIC ACID 301 84550 30100782 HC URIC ACID - UR * 301 84560 30100783 HC URIC ACID/BF 301 84560

12 30100072 HC VANCOMYCIN-PEAK 301 80202 30100073 HC VANCOMYCIN-RANDOM 301 80202 30100071 HC VANCOMYCIN-TROUGH 301 80202 30200209 HC VARICELLA-ZOSTER VIRUS PCR 306 87798 30100785 HC VITAMIN B1 (THIAMINE)PLASMA S 301 84425 30100250 HC VITAMIN B12 301 82607 30100090 HC VOLUME MEASUREMENT 307 81050 30500024 HC APTT 305 85730 30100567 HC BODY FLUID PH 301 83986 30200230 HC CELL COUNT/BODY FLUID 300 89051 30000006 HC CELL COUNT/CSF 300 89051 30100909 HC CRYOGLUBULIN 301 82595 30200234 HC CRYSTALS/BF 300 89060 30500012 HC D-DIMER 305 85379 30100908 HC FECAL FAT 301 82705 30100915 HC FECAL OCCULT BLOOD 301 82272 30100926 HC FECAL PH 301 83986 30700009 HC FECAL REDUCING SUBSTANCE 301 84376 30500030 HC FERN TEST 306 87210 30100566 HC FETAL FIBRINECTIN 301 82731 30500011 HC FIBRIN SPLIT PROD 305 85362 30500900 HC FIBRINOGEN 305 85384 31000001 HC HCG/URINE 307 81025 30500003 HC HEMATOCRIT 305 85014 30500004 HC HEMOGLOBIN 305 85018 30500007 HC HEMOGRAM & PLATELET COUNT 305 85027 30500014 HC LEUKOCYTE/ALK PHOSPHATE 305 85540 30500002 HC MANUAL DIFFERENTIAL 305 85007 30500018 HC MIXING STUDIES (PT) 305 85610 30100569 HC PH, URINE 307 81003 30500904 HC PLATELET AGGREGATION ADP 305 85576 30500015 HC PLATELET AGGREGATION EPI 305 85576 30500008 HC PLATELET COUNT 305 85049 30500017 HC PROTIME 305 85610 30700904 HC REDUCING SUBSTANCE, URINE 307 81000 30500009 HC RETIC COUNT 305 85045 30500901 HC SED RATE 305 85652 30200237 HC SEMEN ANALYSIS /COMPLETE 300 89320 30200236 HC SEMEN ANALYSIS/POST VASEC 300 89321 30000900 HC SEMINAL FLUID WASH 300 89260 30500020 HC SICKLE CELL SCREEN 305 85660 30100925 HC SPEC. GRAV/BF 301 84315 30700900 HC SPECIFIC GRAVITY, URINE 307 81003 30500021 HC THROMBIN TIME 305 85670 30700902 HC URINALYSIS 307 81001

13 30700005 HC URINALYSIS REFLUX CULTURE 307 81001 30700840 HC URINE DIP STICK 307 81002 30700013 HC URINE EOSINOPHILS 307 81015 30700901 HC URINE MICROSCOPIC ONLY 307 81015 30600020 HC ANAEROBIC CULTURE 306 87075 30200220 HC ANTI-NUCLEAR AB-ANA 302 86038 30200790 HC ANTI-NUCLEAR TITER 302 86039 30600048 HC ARTHROPOD MACROSCOPIC 306 87168 30600002 HC BLOOD CULTURE 306 87040 30600839 HC CHLAMYDIA-AMPLIFIED PROBE 306 87491 30200225 HC CRYPTOCOCCUS AG/SERUM 302 86403 30200794 HC CRYPTOCOCCUS AG-CS 302 86403 30600008 HC CULTURE CATH TIP 306 87070 30200227 HC EBV IGG TITER IFA 302 86665 30200228 HC EBV IGM IFA 302 86665 30600073 HC GC - AMPLIFIED PROBE 306 87591 30600066 HC GIARDIA SCREEN 306 87329 30600843 HC GRAM STAIN 306 87205 30600024 HC H. PYLORI SCREEN 306 87077 30600062 HC KOH FOR FUNGUS 306 87210 30200797 HC MONO TEST 302 86308 30600027 HC MRSA SCREENING 306 87081 30600909 HC PINWORM 306 87172 30600078 HC RAPID STREP SCREEN 306 87880 30600070 HC ROTAVIRUS-LATEX 306 87425 30600031 HC ROUTINE CULTURE URINE 306 87086 30200901 HC RPR (SYPHILIS TEST) 302 86592 30600068 HC RSV DETECTION 306 87420 30600025 HC STREP SCREEN 306 87081 30600016 HC THROAT CULTURE 306 87070 30600931 HC VAG/URETH CULTURE GC 306 87081 30600912 HC VRE SCREEN 306 87081 30600063 HC WET PREP 306 87210 30100306 HC POTASSIUM (ABG OH) PART OF AB 301 84132 41094640 HC BREATHING TX, INITAL/SUBSEQUENT 410 94640 41094664 HC AEROSOL TX, INITIAL 410 94664 30100604 HC ARTERIAL BLOOD GAS ANALY 301 82803 36136600 HC ARTERIAL/CAP DRAWING FEE 300 36600 46094010 HC BEDSIDE SPIROMETRY 460 94010 27001006 HC BIPAP EQUIPMENT/DAY 270 41094660 HC BIPAP/CPAP DAILY MGMT 410 94660 30100603 HC BLOOD PH ONLY 301 82800 41094668 HC BRONCH-PULM HYGIENE 410 94668 30100600 HC CALCIUM LEVEL* 301 82330 30100602 HC CARBON MONOXIDE,QUANTITIVE 301 82375

14 46094070 HC CHALLENGE SPIROMETRY 460 94070 41299080 HC CLAIMS PROCESSING-DOL 412 99080 48092950 HC CPR 480 92950 27001007 HC CONT NEBULIZER/DAILY MGMT 270 46094799 HC CROUP TENT/SPAG 2/DAILY MGMT 460 94799 41084664 HC DEMO/EVAL OF PT UTIL INHALER 410 94664 27100030 HC PEP DEVICE(POSITIVE EXPIRATORY DEVICE) 271 30100601 HC IONIZED CALCIUM 301 82330 46094762 HC CONTINUOUS PULSE OX 460 94762 46084799 HC PEAK FLOW MEASUREMENT 460 94799 46074060 HC PRE/POST BEDSIDE SPIROMETRY 460 94060 46094760 HC PULSE OX SNGL 460 94760 30100763 HC SODIUM (ABG OH) PART OF ABG O 301 84295 46074010 HC SPIROMETRY (PFT) 460 94010 46094060 HC SPIROMETRY PRE & POST (PFT) 460 94060 46094150 HC SPON VENTILATORY MEASURE 460 94150 94299407 HC TOBACCO CESS COUNSEL > 10 MIN 942 99407 94299406 HC TOBACCO CESS COUNSEL 3-10MIN 942 99406 41294003 HC VENT MGMT EA SUBQ DAY I/P OBVS 410 94003 46000012 HC INCENTIVE SPIROMETRY 460 36100084 HC DESTROY 2-14 BEIGN LESIONS 361 36162368 HC ELECTRNC ANYLS PROG IMPLT PUM 361 62368 36131505 HC LARYNGOSCOPY,INDIRECT,DIAGN 361 31505 36115879 HC LIPECTOMY 361 15879 36136589 HC REMOVE TUNNELED CVAD 761 36589 36120103 HC EXPLORATION OF PENETRATING WOUND (SEPARATE361 PROCEDURE)20103 EXTREMITY 31100919 HC THIN PREP NON-IMAGED 311 88142 30600950 HC BORDET PERTUSS/PARAPERTUSS PC 306 87798 30100966 HC PREGNENOLONE BY LC-MS/MS 301 84140 30100967 HC IMIPRAMINE (TOFRANIL) SO 301 80335 27801126 HC AMPLATZER VASCULAR PLUG 278 C1760 27200377 HC TERUMO PRIORITY 1 ASPIR CATH 272 C1757 27801127 HC ABBOTT XIENCE EXPEDITION STENT 278 C1874 61808931 HC MRA W/DYE SPINAL CANAL & CONTENTS 618 C8931 61808932 HC MRA W/O DYE SPINAL CANAL & CONTENTS 618 C8932 61808933 HC MRA W/O&W/DYE SPINAL CANAL & CONTENTS 618 C8933 61808934 HC MRA W/DYE UPPER EXTREMITY 618 C8934 61808935 HC MRA W/O DYE UPPER EXTREMITY 618 C8935 61808936 HC MRA W/O & W/ DYE UPPER EXTREMITY 618 C8936 72200006 HC C-SECTION DELIVERY CRITICAL 722 48093799 HC UNLISTED CARDIAC PROCEDURE 480 93799 30100970 HC LACTOFERRIN, FECAL 301 83630 36164530 HC CELIAC NERVE BLOCK, W/ IMAGING 361 64530 30100975 HC LIPID PANEL SEND OUT 301 80061 27801128 HC ABBOTT XIENCE XPEDITION STENT LL 278 C1874

15 30201011 HC COCCIDIOIDES ANTIBODY; CF 302 86635 30201012 HC COCCIDIOIDES ANTIBODY; ID 302 86635 30201013 HC COCCIDIOIDES ANTIBODY; IGG BY ELISA 302 86635 30201014 HC COCCIDIOIDES ANTIBODY; IGM BY ELISA 302 86635 30201016 HC HISTOPLASMA ANTIBODY; ID 302 86698 30201017 HC HISTOPLASMA ANTIBODY; MYCELIA 302 86698 30201018 HC HISTOPLASMA ANTIBODY; YEAST 302 86698 31200907 HC IMMUNOFLUORESCENCE STAINS 1 312 88346 31200908 HC IMMUNOFLUORESCENCE STAINS 2 312 88350 31200909 HC IMMUNOFLUORESCENCE STAINS 3 312 88350 31200910 HC IMMUNOFLUORESCENCE STAINS 4 312 88350 31200911 HC IMMUNOFLUORESCENCE STAINS 5 312 88350 27500166 HC BIOTRONIK LUMAX 740 VR-T AICD 275 C1722 30100976 HC CHLORIDE 301 82435 30100977 HC LACTATE 301 83605 30100978 HC METHEMOGLOBIN,QUANTITATIVE 301 83050 30100980 HC CO-OXIMETRY (ACETATE ASSAY) 301 82810 92000101 HC EVOKES MONITORING PER 15 MIN 920 30500911 HC APTT 1 HR 305 85730 30500912 HC APTT 1:1 MIX 305 85732 30500913 HC PROTHROMBIN TIME 1:1 MIX 305 85611 30500914 HC MIXING STUDIES, PROTHROMBIN TIME 305 85610 30500915 HC MIXING STUDIES, APTT 305 85730 27200378 HC SJM AGILIS INTRO SHEATH 272 C1766 34178013 HC THYROID IMAGING W/VAS FLOW IF DONE 341 78013 34178014 HC THYORID IMAGE UPTAKE W/VAS FLOW IF DONE 341 78014 76132554 HC THORACENTESIS, NO IMAGING 761 32554 76132555 HC THORACENTESIS W IMAGE GUIDANCE 761 32555 30100981 HC HLA-B 5701 ASSOC VARIANT GENOTYPE FOR ABACAVIR301 SENSIY81381 30600951 HC TROFILE CO-RECEPTOR ASSAY 306 87999 27801129 HC BSCI EPIC VASC OTW 6 X 120MM X 120CM STENT 278 C1876 27801130 HC BSCI EPIC VASC OTW 7 X 41MM X 120CM STENT 278 C1876 27200379 HC ANGIODYNAMICS UNIFUSE INFUSE CATH 272 C1757 76132557 HC INSERT CATH PLEURA/W IMAGE 761 32557 76164418 HC INJ ANESTH SUPRASCAPULAR NERVE 761 64418 30100982 HC NMR LIPOPROFILE 301 83704 76132556 HC INSERT CATH PLEURA W/O IMAGE 761 32556 32075956 HC XRAY ENDOVASC THOR AO REPR 320 75956 32075958 HC XRAY PLACE PROX EXT THOR AO 320 75958 34178012 HC THYROID UPTAKE MEASUREMENT 341 78012 27500168 HC MEDTRONIC ADVISA A2DR01 PMKR 275 C1785 27212623 HC MEDTRON INPACT 035 DRUG COATED BALLOON 272 C2623 30100983 HC GENERAL HEALTH PANEL 301 80050 92295887 HC NEEDLE EMG NON EXTREMITY W/NCV 922 95887 51120550 HC INJECTION(S) SINGLE TENDON SHEATH OR LIGAMENT761 20550

16 30200922 HC PLATELET ASSOC.AB DIRECT IGG 302 86023 27500169 HC BIOTRONIK EVIA HF-T-BI-V PACEMAKER GEN 275 C2621 41301300 HC HYPERBARIC 02 UNDER PRESSURE,FBC PER 30 MIN413 G0277 36090117 HC GSC PERCUT IMPLANT NEUROSTIM ELCTRODE ARRAY360 36090106 HC GSC INSERT OR REPLACE SPINE NEUROSTIM GNTR360 36090107 HC GSC REVISE OR REMOVE IMPLANTED SPINE NEUROSTIM360 GNTR R 36090108 HC GSC INJECTION ANESTHETIC AGENT 360 36090109 HC GSC INJECT DIAGNOSTIC OR THERAPEUTIC AGENT360 & OR STERD 36090110 HC GSC REVISE OR REMOVE PERPHERIAL OR GASTRIC360 NUEROSTIMR 36090111 HC GSC DESTRUCTION BY NEUROLYTIC AGENT 360 36090112 HC GSC LUMBAR OR SACRAL FACET 360 36090113 HC GSC REFILL & MAIN. OF IMPLT PUMP 360 36090114 HC GSC THERAPEUTIC PROP OR DX INJECT SUBS. OR360 DRUG 36090115 HC GSC INJECT PROC FOR SACROILIC JOINT PROVISION360 OF ANEC 36090116 HC GSC IMPLANT NEUORSTIM ELECTRODE EA 360 36090105 HC GSC REVISE INCL REPLCMT WHEN DONE SPINE NEORO360 ELECTE 27200380 HC THORACENTSISIS TRAY 272 A4649 27200381 HC CO-AXIAL BONE BX TRAY 272 76162267 HC INTERDISCAL PERQ ASPIR DX 761 62267 27200382 HC GUIDANT LEAD STYLETS # 6048 272 27200383 HC GUIDANT FIXATION TOOL #6616 272 76132998 HC RADIOFREQ ABLATION 1 OR MORE LUNG TUMORS761 32998 27200385 HC SPIDERFX EMBOLIC PROTECTION DEVICE 272 C1884 30100997 HC METHADONE QUANT URINE 301 80358 30100998 HC PHENCYCLIDINE QUANT URINE 301 83992 30100999 HC PROPOXPHENE QUANT URINE 301 80367 30101000 HC BARBITURATES QUANT URINE 301 80345 76164447 HC INJECT,ANESTHETIC AGENT,FEM NERVE,SINGLE 761 64447 76128190 HC FB REMOVAL FOOT 761 40256641 HC US BREAST UNILAT RT W/IMAGE DOC INC AXILLA402 WHEN DONE76641 COMPLETE 90090839 HC PSYCHOTHERAPY FOR CRISIS, 1ST 60 MIN LISW/LSW900 90839 90090840 HC PSYCHOTHERAPY FOR CRISIS,EA ADD'L 30 MIN LISW/LSW900 90840 41399183 HC HYPERBARIC 02 UNDER PRESSURE,FBC PER SESSION413 99183 27200387 HC VOLCANO VALET MICROCATH 272 C1887 40246641 HC US BREAST UNILAT LT W/IMAGE DOC INC AXILLA 402WHEN DONE76641 COMPLETE 31200912 HC P53 IMMUNOHISTOCHEMISTRY 312 88360 31000903 HC TISSUE CULTURE ,BM SO 310 88237 31100920 HC GASTRIC/WASHING 311 88112 40256642 HC US BREAST UNILAT RT W/IMAGE DOC AXILLA WHEN402 DONE LIMITED76642 40246642 HC US BREAST UNILAT LT W/IMAGE DOC AXILLA WHEN402 DONE LIMITED76642 76216158 HC HRLY OBSER CVIU ISOLATION 762 21000101 HC ROOM CCU DAILY 210 27200388 HC PENTARAY NAV MAP CATH #D128204 272 C1732 41294001 HC VENT MGMT 1ST DAY I/P OBVS 412 94002 27200389 HC GASTROSTOMY/JEJUNOSTOMY TUBE 272 B4087

17 27801131 HC POWER GLIDE (MIDLINE) BASIC KIT 278 C1751 27801132 HC POWER GLIDE (MIDLINE) FULL KIT 278 C1751 30100336 HC ALKALINE AGAR ELECTROPHORES 301 83020 27200390 HC G TUBE LOW PROFILE 272 32074450 HC URETHROCYSTOGRAPHY-RETROGRADE 320 74450 36149451 HC EXCHANGE OF J TUBE W/FLUORO 361 49451 36149446 HC CHANGE G-TUBE TO G-J PERC 361 49446 27200391 HC SENSOR OXIMETRY CEREBRAL/SOMATIC 272 30036594 HC INFLUENZA A/B,RSV PCR 300 87631 27200393 HC SENSOR BILAT BISPECT INDEX BRAIN MONTIOR 272 27200394 HC TEMNO BIOPSY NEEDLE 272 A4649 35264160 HC CT ABD WITH CONTRAST LMTD 352 74160 76105112 HC MIDLINE INSERTION 761 36573 36149452 HC REPLACE G-J TUBE PERC W/FLUORO 361 49452 27200395 HC VERA FLOW MED DRESSING KIT 272 27200396 HC VAC VERALINK CASSETTE 272 27200397 HC SUPRAPUBIC SIMPLASTIC CATH 272 30600952 HC STREP A AMPLIFIED PROBE 306 87651 27200398 HC COOLING COLLAR 272 27200399 HC COOLING ELEMENT 272 36000081 HC HEART LUNG MACHINE ADD'L 360 36000082 HC AUTO-TRANSFUSE USAGE 1ST 200 360 36000083 HC HEMOCONCENTRATOR USE 500CC 360 36000084 HC STANDBY 30 MINUTES 360 36000085 HC BSVI ABIOMED 5000 USAGE 360 30036595 HC DETECT AGENT NOS DNA AMP 300 87798 35264150 HC CT ABD W/O CONTRAST LMTD 352 74150 36149440 HC INSERT GASTROSTOMY TUBE, PERCUT W/ FLURO361 49440 36164483 HC TRANSFORM. EPI INJECT L/S INCL IMAGING 361 64483 36154479 HC TRANSFORM. EPI INJECT C/T INCL IMAGING 361 66479 36164484 HC TRANSFORM. EPI INJECT L/S ADD ON INCL IMAGING361 64484 36164480 HC TRANSFORM. EPI INJECT T/C ADD ON INCL IMAGING361 64480 76162367 HC ANALYZE SPINE INFUS PUMP 761 62367 76162369 HC ANAL SP INF PMP W/REPRG&FILL 761 62369 36111450 HC EXC HIDRAD AXIL S/I REP 361 36121011 HC EXC FACE LES SC < 2 CM 361 36122903 HC EXC ABD LES SC 3 CM/> 361 36123075 HC EXC SHOULDER LES SC < 3 CM 361 36124075 HC EXC ARM/ELBOW LES SC < 3 CM 361 36125071 HC EXC FOREARM LES SC 3 CM/> 361 36125075 HC EXC FOREARM LES SC < 3 CM 361 36126111 HC EXC HAND LES SC 1.5 CM/> 361 36127337 HC EXC THIGH/KNEE LES SC 3 CM/> 361 36127632 HC EXC LEG/ANKLE LES SC 3 CM/> 361 36128039 HC EXC FOOT/TOE TUM SC 1.5 CM/> 361

18 36128041 HC EXC FOOT/TOE TUM DEP 1.5CM/> 361 36128043 HC EXC FOOT/TOE TUM SC < 1.5 CM 361 43000112 HC OT NEUROMUSCULAR RE-ED 430 97112 43000542 HC OT WHEELCHAIR TRAIN. 430 97542 46074799 HC MIP & MEP 460 94799 63604124 HC OASIS TRI-LAYER WND MATRIX PER 1 SQ CM (7X5CM)636 Q4124 61063721 HC MRI LOW EXT JOINT W/O CONT-LIMITED STUDY 610 73721 91690849 HC MULTI-FAMILY GROUP THERAPY LISW/LSW 916 90849 27200401 HC GUIDING CATH VIANCE FLEX 272 C1887 27100119 HC Z-FLO POSTR UTILITY SM 11.5IN X 19.5IN 271 27100120 HC Z-FLO POSTR UTILITY MED 16.25IN X 29.5IN 271 27100121 HC Z-FLO PORTR UTILITY LG 25 IN X 36IN 271 27100122 HC Z-FLO POSTR PED 7IN X 10IN 271 76162270 HC LUMBAR PUNCTURE-DIAGNOSTIC 761 62270 30200923 HC RICKETTESIA RICKETTSII ANTIBODIES 302 86757 30200924 HC ALLERGEN SPECIFIC IGE 302 86003 30200925 HC IMMUNODIFFUSION GEL ANTIBODY 302 86331 30200926 HC ACTINOMYCES ASPERGILLUS ANTIBODY 302 86606 36115220 HC GRAFT,FULL THICKNESS,INCL DIRECT CLOSURE DONOR361 SITE 20SQCM OR LESS 30101003 HC DRUG SCREEN,MULTIPLE DRUG CLASSES 301 80100 27200402 HC CLOSED WOUND SUCTION EVACUATOR KIT 272 36104000 HC BRONCH W LUNG BIOPSY 361 31628 36104001 HC BRONCH W THER ASP - INITIAL 361 36104002 HC BRONCHI,TRACHEA, UNLISTED PRO 361 36104003 HC BRONCH EACH ADD'L 361 36104004 HC BRONCH, DX W BRUSHINGS 361 31623 36104005 HC BRONCH W NEEDLE BIOPSY 361 31629 36104006 HC BRONCH W/ COLD BIOPSY 361 31625 36104007 HC BRONCH W/ FOREIGN BODY 361 36104008 HC BRONCH W/ STENT PLACEME 361 36104009 HC BRONCH W/ TUMOR DESICCA 361 36104010 HC BRONCH W/BRACHYTHERAPY 361 36104011 HC BRONCH W/MARKERS 361 31626 36104012 HC BRONCH W/THERAPEUTIC AS 361 36104013 HC BRONCH W ALVEOLAR BRUSH 361 31624 36104014 HC COLON THRU STOMA - DX 361 36104015 HC COLON THRU STOMA W/ABLATION 361 36104016 HC COLON THRU STOMA W/ CLD BX 361 36104017 HC COLON THRU STOMA W/ CNTRL BL 361 36104018 HC COLON THRU STOMA W/ FBR 361 36104019 HC COLON THRU STOMA W/ HOT BX 361 36104020 HC COLON THRU STOMA W/ STENT 361 36104021 HC COLON THRU STOMA W/ SNARE 361 36104022 HC COLON W/POLY/SNARE 361 36104023 HC COLON WITH ARGON COAGUL 361

19 36104024 HC COLON WITH BALLOON DILA 361 36104025 HC COLON WITH COLD BIOPSY 361 36104026 HC COLON WITH CNTRL OF BLEED 361 36104027 HC COLON WITH FBR 361 36104028 HC COLON WITH HOT BIOPSY 361 36104029 HC COLON W/SUBMUC. INJ 361 36104030 HC EGD- W/ SUBMUC. INJ. 361 36104031 HC EGD- W/ ARGON COAG 361 36104032 HC EGD- W/ BALLOON DIL 361 36104033 HC EGD- W/ BAND LIGATION 361 36104034 HC EGD- W/ COLD BIOPSY 361 36104035 HC EGD- W/ CONTROL OF BLEED 361 36104036 HC EGD- W/ HOT BIOPSY 361 36104037 HC EGD- W/ INJ THERAPEUTIC SUB 361 36104038 HC EGD- W/ PEG TUBE PLACEM 361 36104039 HC EGD- W/ PNEUMATIC BALLOON 361 36104040 HC EGD- W/ POLY/SNARE 361 36104041 HC EGD- W/ SAVORY DILAT 361 36104042 HC EGD- W/ STENT PLACEMENT 361 36104043 HC EGD- W/FBR 361 36104044 HC ENDO/ SB CONTL BLEED 361 36104045 HC ENDO SB CONVERT TO G-TUBE 361 36104046 HC ENDO SB W J-TUBE PLACEMENT 361 36104047 HC ENDO SMALL BOWEL BX 361 36104048 HC ENDO SMALL BOWEL DX 361 36104049 HC ESOPHAGOSCOPY W/ FBR 361 36104050 HC ESOPHAGOSCOPY-DX 361 36104051 HC ESOPHAGOSCOPY W/ BALLOON DIL 361 36104052 HC ESOPHAGOSCOPY W/ SAVORY DIL 361 36104053 HC SIG /FLEX W/ DECOMP 361 36104054 HC SIG/ W SUBMUC INJ 361 36104055 HC SIG/FLEX W/ POLY 361 36104056 HC SIG/RIGID - DX 361 36104057 HC SIG/RIGID W/ COLD BIOPSY 361 36104058 HC SIG/RIGID W/ FBR 361 36104059 HC SIG/RIGID W/ HOT BX 361 36104060 HC SIG/RIGID W/ POLY 361 36104061 HC SIG/FLEX DX 361 36104062 HC SIG/FLEX W/ ARGON 361 36104063 HC SIG/FLEX W/ COLD 361 36104064 HC SIG/FLEX W/ HOT B 361 36104065 HC SIG/FLEX W/CONT BLEED 361 36104066 HC SIG/FLEX W/FBR 361 36104067 HC SIG/ W/ BALLOON DIL 361 76158823 HC ABCESS DRAINAGE-TV OR TRANSRECTAL APPROACH761 49407

20 76164430 HC INJ NERVE BLOCK - PUDENDAL NERVE 761 64430 36121012 HC EXCISION TUMOR SOFT TISSUE OF FACE OR SCALP361 SUB 2 CM OR GREATER 30100339 HC GLYCO HEMOGLOBIN 301 83036 36121552 HC NECK SOFT TISSUE MASS 3 CM OR GREATER 361 36121555 HC EXCISION TUMOR SOFT TISSUE OF NECK OR THORAX361 SUBCUTANEOUS 36121931 HC EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK361 SUB 3CM OR GREATER 36126115 HC EXCISION TUMOR/VASCULAR MALFORMATION SOFT361 TISSUE HAND/FINGER SUB 36127327 HC EXCISION TUMOR THIGH OR KNEE AREA SUBCUTANEOUS361 36136582 HC REPLACEMENT TUNNELED CVAD W/SUBQ PORT-SAME361 ACCESS 36582 27200403 HC EXPANDER 10/2 1ST FX KIT 272 27200404 HC EXPANDER 15/2 272 27200405 HC EXPANDER 10/3 1ST FX KIT 272 27200406 HC EXPANDER 15/3 1ST FX KIT 272 51011732 HC AVULS NAIL PLATE EA ADDL 510 11732 27200407 HC EXPANDER 20/3 1ST FX KIT 272 27801134 HC XPED QUICK TO DOUGH 278 C1713 27200408 HC KYPHO BONE BIOPSY DEVICE 272 27200409 HC EXPANDER 10/2 ADDTNL FX 272 27200410 HC EXPANDER 15/3 ADDTNL FX 272 36137200 HC TRANSCATHETER BIOPSY 361 37200 31000904 HC SURGPATH CONSULT WITH PREP 310 88323 32075970 HC TRANSCATHETER BIOPSY S&I 320 75970 30101061 HC METHYLENEDIOXYAMPHETAMINES SERUM 301 80359 30200928 HC ST.LOUIS ENCEPHALITIS ANTIBODY,IGG BY IFA 302 86653 30200937 HC WEST NILE VIRUS AB,IGM BY ELISA 302 86788 30200929 HC CALIFORNIA ENCEPHALITIS ANTIBODY,IGG BY IFA 302 86651 30200936 HC WEST NILE EQUINE ENCEPHALITIS AB,IGM BY IFA 302 86654 30200930 HC EAST EQUINE ENCEPHALITIS AB,IGG BY IFA 302 86652 30200935 HC EAST EQUINE ENCEPHALITIS AB, IGM BY IFA 302 86652 30200931 HC WEST EQUINE ENCEPHALITIS AB,IGG BY IFA 302 86654 30200934 HC CALIFORNIA ENCEPHALITIS ANTIBODY, IGM BY IFA302 86651 30200932 HC WEST NILE VIRUS AB,IGG BY ELISA 302 86789 30200933 HC ST. LOUIS ENCEPHALITIS ANTIBODY, IGM BY IFA 302 86653 76202000 HC MED SURG OBS CARVE OUT - CARDIOLOGY 762 30605001 HC OVA & PARASITES 306 87177 76202001 HC STEP DOWN & CVIU OBS CARVE OUT - CARDIOLOGY762 94200113 HC CARD REHAB DIET INS 15MIN 942 94297802 HC MED NUTRITION COUNSEL/15' 942 97802 27808614 HC OPTISENSE LEAD 278 C1898 27207042 HC ST. JUDE SLO SHEATH - 407451 272 C1893 48100234 HC TRLUML PERIP ATHRC RENAL ART 481 0234T 34304641 HC LYMPHOSEEK RADIOPHARMACEUTICAL 343 A9520 30600953 HC HPV AMPLIFIED PROBE 306 87624 30188741 HC INHIBIN B 301 83520 30200940 HC HELICOBACTER PYLORI ANTIBODY IGM 302 86677

21 30200941 HC ASPERGILLIS ANTIBODY ID 302 86606 30600954 HC FUNGAL CULT/NO BLD OR SKIN 306 87102 30600955 HC PLACENTA CULTURE 306 87070 30200943 HC BETA-2 GLYCOPROTEIN 1 ANTIBODIES IGG 302 86146 30200944 HC BETA-2 GLYCOPROTEIN 1 ANTIBODIES IGM 302 86146 27207047 HC VERAFLOW SMALL DRESSING SYSTEM 272 27207048 HC VERAFLOW CLEANSE DRESSING SYSTEM 272 76202002 HC CCU OBS CARVE OUT - CARDIOLOGY 762 27207049 HC EKO SONIC MACH 4 MIDLINE INFUSION CATHETER272 135C.M C1751 40276831 HC SALINE INFUSED SONOHYSTEROGRAM 402 76831 76202003 HC MED SURG ISO OBS CARVE OUT - CARDIOLOGY 762 76202004 HC STEP DOWN & CVIU ISO OBS CARVE OUT - CARDIOLOGY762 76202005 HC CCU ISO OBS CARVE OUT - CARDIOLOGY 762 27207050 HC ACUITY BREAK-AWAY CS-IC GUIDE CATHETER 272 C1887 76202006 HC MED SURG OBS CARVE OUT - RADIOLOGY 762 27200297 HC MICROWAVE ABLATION ANTENNA / PROBE 272 41074664 HC AEROSOL TREATMENT,INITIAL 410 94664 76100014 HC CRYOSURG ABLATE INCLUDING US GUIDANCE EACH761 FA 19105 76137999 HC PHLEBECTOMY 1-10 INCISIONS 761 37799 30101005 HC FRUCTOSAMINE 301 82985 30101006 HC HEMOGLOBULIN,CAPILLARY ELECTROPHORESE 301 83020 30101007 HC HELICOBACTER PYLORI BREATH TEST 301 83013 31000905 HC UROVYSION FISH 310 88121 36100066 HC INTERMED REPAIR LAYERED 7.6CM-12.5CM 361 76202007 HC STEP DOWN & CVIU ISO OBS CARVE OUT - RADIOLOGY762 76202008 HC CCU OBS CARVE OUT - RADIOLOGY 762 76202009 HC MED SURG ISO OBS CARVE OUT - RADIOLOGY 762 76202010 HC STEP DOWN & CVIU ISO OBS CARVE OUT - RADIOLOGY762 76202011 HC CCU ISO OBS CARVE OUT - RADIOLOGY 762 76202012 HC MED SURG OBS CARVE OUT - RESPIRATORY 762 76202013 HC STEP DOWN & CVIU OBS CARVE OUT - RESPIRATORY762 76202014 HC CCU OBS CARVE OUT - RESPIRATORY 762 76202015 HC MED SURG ISO OBS CARVE OUT - RESPIRATORY 762 76202016 HC STEP DOWN & CVIU ISO OBS CARVE OUT - RESPIRATORY762 76202017 HC CCU ISO OBS CARVE OUT - RESPIRATORY 762 76202018 HC MED SURG OBS CARVE OUT - GI HARD CODED 762 76202019 HC STEP DOWN & CVIU OBS CARVE OUT - GI HARD CODED762 76202020 HC CCU OBS CARVE OUT - GI HARD CODED 762 76202021 HC MED SURG ISO OBS CARVE OUT - GI HARD CODED762 76202022 HC STEP DOWN & CVIU ISO OBS CARVE OUT - GI HARD762 CODED 76202023 HC CCU ISO OBS CARVE OUT - GI HARD CODED 762 76202024 HC MED SURG OBS CARVE OUT - SURGERY HARD CODED762 76202025 HC STEP DOWN & CVIU OBS CARVE OUT - SURGERY HARD762 CODED 76202026 HC CCU OBS CARVE OUT - SURGERY HARD CODED 762 76202027 HC MED SURG ISO OBS CARVE OUT - SURGERY HARD 762CODED

22 76202028 HC STEP DOWN & CVIU ISO OBS CARVE OUT - SURGERY762 HARD CODED 76202029 HC CCU ISO OBS CARVE OUT - SURGERY HARD CODED762 27207067 HC TRANSJUGULAR LIVER BIOPSY SET 272 30101063 HC NICOTINE & METABOLITE SERUM 301 80323 76202030 HC MED SURG OBS CARVE OUT -BLOOD/DIALYSIS 762 76202031 HC STEP DOWN & CVIU OBS CARVE OUT - BLOOD/DIALYSIS762 76202032 HC CCU OBS CARVE OUT - BLOOD/DIALYSIS 762 76202033 HC MED SURG ISO OBS CARVE OUT - BLOOD/DIALYSIS762 76202034 HC STEP DOWN & CVIU ISO OBS CARVE OUT - BLOOD/DIALYSIS762 76202035 HC CCU ISO OBS CARVE OUT - BLOOD/DIALYSIS 762 30188776 HC URIC ACID - RANDOM URINE 301 84560 30205027 HC SINGLE STRANDED DNA AB, IGG 302 86226 30188777 HC LACTOFERRIN STOOL, QUANT 301 83631 27509016 HC BSI INGEVITY MRI ACTIVE FIXATION PACING LEAD275 C1898 76192511 HC NASOPHARYNGOSCOPY W ENDOSCOPE 761 92511 30101008 HC VITAMIN B2 (RIBOFLAVIN) 301 84252 33196542 HC CHEMO ADM VIA SQ RESERVOIR 331 96542 91490847 HC FAM & PT 50 MIN LISW/LSW 916 90847 91490846 HC FAMILY THERAPY WO PT 50 MIN LISW/LSW 916 90846 45096372 HC INJECTION, IM/SQ THERAPEUTIC (96372) 260 96372 91500008 HC INS ART PSYCHOTHRY GRP 915 90853 91500010 HC INT MUSIC THERAPY GROUP 915 90853 91896125 HC COGNITIVE TEST BY HC PRO 440 96125 90501002 HC INTENSIVE O/P PER DAY 905 S9480 94290899 HC WELLNESS EDUCATION 942 90899 91502000 HC PARTIAL HOSP PER DAY 915 91401001 HC SUPPORTIVE ART THERAPY 914 90853 30180159 HC DRUG SCREEN QUANT CLOZAPINE 301 80159 30180171 HC DRUG SCREEN QUANT GABAPENTIN 301 80171 30180175 HC DRUG SCREEN QUAN LAMOTRIGINE 301 80175 30180183 HC DRUG SCRN QUANT OXCARBAZEPIN 301 80183 33377293 HC RESPIRATOR MOTION MGMT SIMUL 333 77293 33377371 HC STEREOTACTIC RADIOSURGERY MULTISOURCE 1 SESSION333 77371 33377372 HC STEREOTACTIC RADIOSURGERY LINEAR BASED 1 SESSION333 77372 33377373 HC STEREOTACTIC BODY RADIATION THERAPY DELIVERY333 PER FRACTION77373 39000012 HC PLATELETPHERESIS LR/IRRADIAT 390 P9037 34409399 HC RADIUM RA 223 DICHLORIDE XOFIGO 344 C9399 30188743 HC ALPHA 1 ANTITRYPSIN 301 82103 30188744 HC ALPHA-1-ANTITRYPSIN; PHENOTYPE 301 82104 27200420 HC VENTURE OTW CATHETER 272 C1887 76132553 HC PLACEMENT FIDUCIAL MARKER CHEST 761 32553 27100123 HC TORTOISE PAD WITH ZFLO POSITIONER 271 30101009 HC NEONTATAL BILIRUBIN 301 82247 76110030 HC GUIDE CATHET FLUID DRAINAGE 761 10030 76119081 HC SBB BREAST BX-INCLUDING CLIP PLCMT AND SPECIMEN761 19081

23 76119082 HC SBB BREAST BX-INCLUDING CLIP PLCMT AND SPECIMEN-ADDTNL761 19082 LESION 76119083 HC US BREAST BX-INCLUDING CLIP PLCMT AND SPECIMEN761 19083 76119084 HC US BREAST BX-INCLUDING CLIP PLCMT AND SPECIMEN-ADDTNL761 19084 LESION 76119085 HC MR BREAST BX-INCLUDING CLIP PLCMT AND SPECIMEN761 19085 76119086 HC MR BREAST BX-INCLUDING CLIP PLCMT AND SPECIMEN-ADDTNL761 19086 LESION 76119283 HC SBB WIRE LOC-FIRST LESION 761 19283 76119284 HC SBB WIRE LOC-ADDTNL LESION 761 19284 76119285 HC US WIRE LOC-FIRST LESION 761 19285 76119286 HC US WIRE LOC-ADDTNL LESION 761 19286 76119287 HC MR WIRE LOC-FIRST LESION 761 19287 76119288 HC MR WIRE LOC-ADDTNL LESION 761 19288 36137241 HC VASCULAR EMBOLIZE/OCCLUDE VENOUS 361 37241 36137242 HC VASCULAR EMBOLIZE/OCCLUDE ARTERY 361 37242 36137243 HC VASCULAR EMBOLIZE/OCCLUDE ORGAN 361 37243 36137244 HC VASCULAR EMBOLIZE/OCCLUDE BLEED 361 37244 36137236 HC STENT PLCMT-ARTERY INCLUDES PTA AND IMG, OPEN/PERQ361 37236 36137237 HC STENT PLCMT-ARTERY INCLUDES PTA & IMG-ADDTNL361 ARTERY, OPEN/PERQ37237 36137238 HC STENT PLCMT-VEIN INCLUDES PTA AND IMG 361 37238 36137239 HC STENT PLCMT-VEIN INCLUDES PTA AND IMG-ADDTNL361 ARTERY 37239 76149405 HC IMAGE CATH FLUID COLXN VISC 761 49405 76149406 HC IMAGE CATH FLUID PERI/RETRO 761 49406 76149407 HC IMAGE CATH FLUID TRNS/VGNL 761 49407 41094669 HC MECHANICAL CHEST WALL OSCILL 460 94669 27200421 HC BS APEX PUSH MONORAIL BALLOON CATH 1.5X15MM272 C1725 27200422 HC CSI STEALTH PERIPHERAL PLAQUE EXC CATH 272 C1724 36121933 HC EXC BACK TUM DEEP > 5 CM 361 36131634 HC BRONCH W BALLOON OCCLUSION 361 31634 80290947 HC DIALYSIS REPEATED EVAL 802 90947 27509017 HC ACCOLADE MRI DR #L311 275 C1785 27809360 HC PICC LINE INTRODUCER (BASIC KIT) 278 C1751 27809361 HC PICC LINE FULL KIT 278 C1751 27509018 HC BSI ESSENTIO MRI DR PPM #L111 275 C1785 76202036 HC MED SURG OBS CARVE OUT - STRESS TEST/ECHO762 76202037 HC STEP DOWN & CVIU OBS CARVE OUT - STRESS TEST/ECHO762 76202038 HC CCU OBS CARVE OUT - STRESS TEST/ECHO 762 76202039 HC MED SURG ISO OBS CARVE OUT - STRESS TEST/ECHO762 76202040 HC STEP DOWN & CVIU ISO OBS CARVE OUT - STRESS762 TEST/ECHO 76202041 HC CCU ISO OBS CARVE OUT - STRESS TEST/ECHO 762 27501804 HC BSI ESSENTIO MRI SR PPM GENERATOR #L110 275 C1786 76202042 HC MED SURG OBS CARVE OUT - IR 762 76202043 HC STEP DOWN & CVIU OBS CARVE OUT - IR 762 76202044 HC CCU OBS CARVE OUT - IR 762 76202045 HC MED SURG ISO OBS CARVE OUT - IR 762 76202046 HC STEP DOWN & CCU ISO OBS CARVE OUT - IR 762 76202047 HC CCU ISO OBS CARVE OUT - IR 762

24 27207068 HC SPINAL TRAY ANESTHESIA 272 30188778 HC FECAL FAT, QUANT 72 HR 301 82710 27509019 HC BSI ACCOLADE MRI SR #L310 275 C1786 30205029 HC HIV ANTIBODY 1 302 86701 30205030 HC HIV ANTIBODY 2 302 86702 27801503 HC ABBOTT ABSORB SCAFFOLD STENT 278 C1874 36195889 HC REPAIRS SIMPLE 7.6 CM TO 12.5 CM 361 27809366 HC PICC LINE MICRO INTRODUCER KIT 5FR 7CM 278 C1751 27809367 HC PICC LINE MICRO INTRODUCER KIT 4.5FR 7CM 278 C1751 27809368 HC PICC LINE MICRO INTRODUCER KIT 6FR 7CM 278 C1751 27809369 HC PICC LINE FULL KIT 4 FR SINGLE 278 C1751 27809370 HC PICC LINE FULL KIT 5 FR DUAL 278 C1751 27809371 HC PICC LINE FULL KIT 5 FR TRIPLE 278 C1751 78000108 HC TELEHEALTH DIABETES SELF-MGMT TRNING/30 942 G0108 78000109 HC TELEHEALTH DIABETES SELF MGMT TRNG GRP/30942 G0109 27801138 HC ACUITY X4CS LEAD 4671,4672 278 C1900 27201052 HC BSI CATH 3-D D1085413 272 C1730 76202048 HC MED SURG OBS CARVE OUT - GI SOFT CODED 762 76202049 HC STEP DOWN & CVIU OBS CARVE OUT - GI SOFT CODED762 76202050 HC CCU OBS CARVE OUT - GI SOFT CODED 762 76202051 HC MED SURG ISO OBS CARVE OUT - GI SOFT CODED762 76202052 HC STEP DOWN & CVIU ISO OBS CARVE OUT - GI SOFT762 CODED 76202053 HC CCU ISO OBS CARVE OUT - GI SOFT CODED 762 76202054 HC MED SURG OBS CARVE OUT - SURGERY SOFT CODED762 76202055 HC STEP DOWN & CVIU OBS CARVE OUT - SURGERY SOFT762 CODED 76202056 HC CCU OBS CARVE OUT - SURGERY SOFT CODED 762 76202057 HC MED SURG ISO OBS CARVE OUT - SURGERY SOFT CODED762 76202058 HC STEP DOWN & CVIU ISO OBS CARVE OUT - SURGERY762 SOFT CODED 76202059 HC CCU ISO OBS CARVE OUT - SURGERY SOFT CODED762 30200952 HC NEURON SPECIFIC ENOLASE 302 86316 27501805 HC BSI ACCOLADE SR PPM GEN # L300 275 C1786 27207069 HC BIOSEN WEB FIXED 4 POLE CATH #F5CQA252RT 272 C1730 27201054 HC PENUMBRA INDIGO SYSTEM-SEP8 272 27201055 HC PENUMBRA APPLICATION TUBING-IST3 272 27201056 HC PENUMBRA NONSTERILE PUMP IAPS2 272 27201057 HC PENUMBRA XTORQ115 TIP 272 27509021 HC MEDTRONIC VISIA AF MRI VR ICD GEN #DVFB1D4 275 C1722 27809374 HC LUNG BIOPSY PLUG W DELIVERY SYS 278 C2613 36104068 HC ESOPHAGOSCOP MUCOSAL RESECT 361 36104069 HC ESOPHAGOSCOP STENT PLACEMENT 361 36104070 HC ESOPHAGOSCOPY RETRO BALLOON 361 36104071 HC ESOPHAGOSC DILATE BALLOON 30 361 36104072 HC EGD BALLOON DIL ESOPH30 MM/> 361 36104073 HC ESOPHAGOSCOPY LESION ABLATE 361 36104074 HC ESOPHAGOSCOPY FLEX DX BRUSH 361

25 36104075 HC ESOPHAGOSC FLEX TRNSN BIOPSY 361 36104076 HC ESOPHAGOSCOPY RIGID TRNSO DX 361 36104077 HC ESOPHAGOSCP GUIDE WIRE DILAT 361 36104078 HC EGD ENDO MUCOSAL RESECTION 361 51005271 HC LOW COST SKIN SUB UP TO 100 SQ CM 1ST 25 SQ510 CM OR SA C5271 51005272 HC LOW COST SKIN SUB UP TO 100 SQ CM OR = 25 SQ510 CM SA C5272 51005273 HC LOW COST SKIN SUB OR = 100 SQ CM 1ST 25 SQ 510CM SA OR 1%C5273 KIDS BODY 51005274 HC LOW COST SKIN SUB OR= 100 SQ CM;ADDT 100 SQ510 CM SA OR 1%C5274 KIDS BODY 51005275 HC LOW COST SKIN SUB FACE ETC UP TO 100 SQ CM 5101ST 25 SQ CMC5275 OR LESS SA 51005276 HC LOW COST SKIN SUB FACE ETC UP TO 100 SQ CM 510OR = 25 SQ CMC5276 SA 51005277 HC LOW COST SKIN SUB FACE ETC OR=100 SQCM 1ST510 100 SQCM SAC5277 OR 1%KIDS 51005278 HC LOW COST SKIN SUB FACE ETC OR=100 SQCM ADDT510 100 SQCMC5278 SA OR 1%KIDS 48137236 HC OPEN/PERQ PLACE STENT 1ST 481 37236 48137237 HC OPEN/PERQ PLACE STENT EA ADD ARTERY 481 37237 48137238 HC OPEN/PERQ PLACE STENT SAME 481 37238 48137239 HC OPEN/PERQ PLACE STENT EA ADD VEIN 481 37239 48100319 HC INSERT OR REPLACE SUBQ DEFIB W/ SUB ELTRD 481 33270 48100320 HC INSERT SUBQ DEFIB ELECTRODE 481 33271 48100322 HC REMOVAL SUBQ DEFIB PULSE GENERATOR 481 0332T 48100324 HC REMOVAL SUBQ DEFIB ELECTRODE 481 33272 48100325 HC REPOSITIONING SUBQ DEFIB ELTRD &/GEN 481 33273 48100326 HC EPHYS EVAL SUBQ IMPLT DEFIB 481 93644 44492521 HC EVALUATION OF SPEECH FLUENCY 444 92521 44492522 HC EVALUATE SPEECH PRODUCTION 444 92522 44492523 HC EVAL SPEECH SOUND LANG COMPREHENSION 444 92523 44492524 HC BEHAVIORAL/QUALITATIVE ANALYSIS OF VOICE AND444 RESONANCE92524 27200412 HC VERRATA PRESSURE GUIDEWIRE 185CM J OR STRAIGHT272 TIP C1769 76161020 HC VENTRICULAR PUNCTURE PREVIOUS BURR HOLE 761W/O INJ 61020 76124065 HC BIOPSY,SOFT TISSUE UPPER ARM/ELBOW SUPERIFICAL761 24065 76124066 HC BIOPSY,SOFT TISSUE UPPER ARM/ELBOW DEEP 761 24066 76125065 HC BIOPSY,SOFT TISSUE LOWER FOREARM/WRIST SUPERIFICAL761 25065 76125066 HC BIOPSY,SOFT TISSUE LOWER FOREARM/WRIST DEEP761 25066 36164490 HC FACET JOINT INJ-CERV/THORACIC 1ST LEVEL 361 64490 36164491 HC FACET JOINT INJ-CERV/THORACIC 2ND LEVEL 361 64491 36164492 HC FACET JOINT INJ-CERV/THORACIC 3RD LEVEL AND361 ADDL LEVELS64492 76164616 DESTRUCTION BY NEUROLYTIC AGENT OF MUSC OR NECK761 64616 30101011 HC MARIJUANA QUANT. URINE Q 301 80349 30101013 HC BARBITURATES QUANT. URINE Q 301 80345 30101014 HC BENZODOAZEPINES QUANT. URINE Q 301 80347 30101015 HC AMPHETAMINES QUANT URINE Q 301 80326 30101016 HC OPITATES QUANT. URINE Q 301 80364 30101017 HC PCP QUANT. URINE Q 301 83992 27500172 HC SUBQ ICD GENERATOR 275 C1722 27500173 HC SUBQ ICD LEAD 275 C1896 51015273 HC SKIN SUB GRFT T/ARM/LG OR 1% CHILD 510 15273

26 51015274 HC SKN SUB GRFT T/A/L OR 1% CHILD ADD'L 510 15274 51015278 HC SKN SUB GRFT F/N/HF/G OR 1% CHILD ADD'L 510 15278 30101018 HC PREGABALIN, URINE 301 80299 30101019 HC ITRACONAZOLE, QUANTITATIVE 301 80299 30101020 HC CALPROTECTIN, FECAL 301 83993 30205005 HC NEUTROPHIL-ASSOCIATED ANTIBODIES 302 86021 27200423 HC CORDIS POWERFLEX P3 PTA BALLOON CATH 272 C1725 30600956 HC ROUTINE CULTURE/SPUTUM 306 87070 30600957 HC ROUTINE CULTURE/BRONCH 306 87071 30600958 HC AFB CULTURE/URINE 306 87116 76150690 HC INJ PROC TO SEE ILEAL CONDUIT AND OR URETEROPYELOGRAPHY761 50690 30188745 HC BATH SALTS, URINE 301 80371 27200413 HC BIOPINCE NEEDLE 272 27200414 HC BARD BX NEEDLE 272 12109999 HC I/P ONLY PROCEDURE R&B > 6HRS 121 76120100 HC EXPLORE PENETRATING NECK WOUND 761 20100 27200931 HC PERFUSION VENTRIC ASSIST DEVICE 272 30100971 HC SYNTHETIC CANNABINOID METABOLITE URINE 301 80307 30100972 HC SYNTHETIC CANNABINOID METABOLITE URINE CONFIRMATION301 80352 76196373 HC INJECT,INTRA-ART THERAPEUTIC,DC,PROPHYLACTIC761 96373 76119281 HC MAMMO WIRE LOC 1ST LESION 761 19281 76119282 HC MAMMO WIRE LOC ADD'L LESION 761 19282 27200416 HC COOK MICROPUNCTURE SET W/ NITROL WIRE GUIDE272 C1769 76111900 HC INJECTION INTO SKIN LESIONS =<7 761 11900 76142400 HC BIOPSY SALIVARY GLAND NEEDLE 761 42400 30100973 HC VALPROIC ACID, TOTAL 301 80164 30100974 HC SULFONYLUREA HYPOGLYCEMICS, SERUM 301 80377 20406230 HC PSYCH ICU ROOM DAILY 204 33196450 HC CHEMO ADM,INTO CSN REQ & INCL SPINE PUNCTURE331 96450 27200417 HC VENA CAVA FILTER RETRIEVAL SET-COOK 272 30200946 HC CD3 PERCENT-BAL 302 86356 30200947 HC CD4 PERCENT-BAL 302 86356 30200948 HC CD8 PERCENT-BAL 302 86356 27200418 HC FLASH OSTIAL SYSTEM 272 C1725 51000456 HC NEGATIVE PRESS WOUND<=50 SQ CM 510 97607 51000457 HC NEGATIVE PRESS WOUND >50 SQ CM 510 97608 76127299 UNLISTED PROCEDURE, PELVIS OR HIP JOINT 761 27299 36137096 HC BILATERAL SI JOINT INJECTION 361 27096 36128820 HC AMPUTATE TOE MTP JOINT 361 30182805 HC BLOOD GASES WITH SATURATION 301 82805 36126589 HC REMOVE TUNNELED CVAD CATH 361 36589 36132552 HC REMOVE LUNG CATHETER 361 32552 36124999 HC UNLISTED PROCEDURE,HUMERUS OR ELBOW 361 24999 30600972 HC TRICHOMONAS AMPLIFIED PROBE 306 87661 30600973 HC ADENOVIRUS QUALITATIVE PCR 306 87798

27 30600974 HC HUMAN METAPNEUMOVIRUS PCR 306 87798 30600975 HC PARAINFLUENZA PCR 306 87798 30600976 HC RHINOVIRUS QUALITATIVE PCR 306 87798 27801139 HC CENTURION CVC BUNDLE KIT, 20 CM 278 A4300 27801504 HC BSI INNOVA STENT 8MMX60MMX130CM 278 C1876 42497161 HC PT EVAL LOW COMPLEXITY 424 97161 42497162 HC PT EVAL MODERATE COMPLEXITY 424 97162 42497163 HC PT EVAL HIGH COMPLEXITY 424 97163 42497164 HC PT RE-EVAL PT THERAPY EST PLAN OF CARE 424 97164 43497165 HC OT EVAL LOW COMPLEXITY 434 97165 77190471 HC IMMUNIZATION ADM ONE VACCINE 771 90471 43497166 HC OT EVAL MODERATE COMPLEXITY 434 97166 37000007 HC FIBEROPTIC LARYNGOSCOPE 370 37000008 HC MONITOR CHARGE 370 37000009 HC GENERAL ANES 1ST 1/2 HR 370 37000010 HC GENERAL ANES EA ADD 1/4HR 370 43497167 HC OT EVAL HIGH COMPLEXITY 434 97167 37000011 HC REGIONAL ANES 1ST 1/2 HR 370 37000013 HC MAC ANES 1ST 1/2 HR 370 37000014 HC MAC ANES EA ADD 1/4 HR 370 43497168 HC OT RE-EVAL OT EST PLAN OF CARE 434 97168 40177065 HC DX MAMMO UNILAT INCLUDES CAD WHEN PERFORMED401 77065 76201002 HC PSY T.OBS.EXT.STAY HR 762 40177066 HC DX MAMMO BILAT INCLUDES CAD WHEN PERFORMED401 77066 90511000 HC INTENSIVE OUT PATIENT PROGRAM 905 S9480 40377067 HC SCREEN MAMMO BILAT( 2 VIEW EA BREAST) INCL CAD403 WHEN PERFOEMED77067 40167065 HC UNILAT MAMMO SCREEN TO DX DIGITAL W/CAD WHEN401 PERFORMED77065 40367067 HC UNILAT MAMMO SCREEN W/CAD IF PERFORMED 403 77067 39136456 HC PARTIAL EXCHANGE TRANSFUS,BLOOD,PLASMA ,NEWBORN391 36456 91490802 HC IA PSYCH DX INTERVIEW 914 90802 91490810 HC IA INDIVID PT O/P 20-30 WO E/MINDIVIDUAL THERAPY-PSYCHOLOGI914 90810 30000003 HC ANTIGEN SCREEN PT SERUM SO 300 86904 30000004 HC PRETREATED RBC S0 300 86970 30000005 HC RETICULOCYTE SEPARATION SO 300 86999 30000078 HC ARC AB ID - SO 302 86870 30000082 HC ARC AB ID-COMPLEX SO 302 86870 30000083 HC ANTIBODY-ID-SO 302 86870 30000084 HC ANTIBODY PANEL 302 86870 30000085 HC DIRECT COOMBS 302 86880 30000086 HC DIRECT COOMBS SO 302 86880 30000090 HC AB TITER SALINE-SO 302 86886 30000091 HC ABO TYPE 302 86900 30000095 HC ABO TYPING-SO 302 86900 30000096 HC RH TYPE 302 86901 30200198 HC RH TYPING-SO 302 86901

28 30200202 HC ANTIGEN TYPING UNIT 302 86902 30200204 HC ANTIGEN TYPING PATIENT 302 86905 30200208 HC CROSSMATCH-IS 302 86920 30200211 HC CROSSMATCH IS SO 302 86920 30200212 HC CROSSMATCH INCUBATION SO 302 86921 30200214 HC CROSSMATCH AHG SO 302 86922 30200216 HC CROSSMATCH-COOMBS 302 86922 30200218 HC PRODUCT POOLING 302 86965 39000007 HC CRYO, ARC POOLED EA UNIT 390 P9012 39000008 HC RED BLD CELL LEUKO RED * 390 P9016 39000009 HC FRESH FROZEN PLASMA 390 P9017 39000010 HC AUTOLOGOUS RED BLD CELLS* 390 P9021 39000013 HC RED BLOOD CELL L/R IRRADIAT* 390 P9040 39000014 HC PLATELETS,HLA-M,L/R UNIT 390 P9052 39000015 HC PLATEPHERESIS LR/IRR/CMV 390 P9053 39000016 HC RED BLD CELL L/R CMV NEG,IRR 390 P9058 39000017 HC FROZEN PLASMA 390 P9059 30036410 HC FEMORAL VENIPUNCTURE 300 36410 32071090 HC INSERT PCMKR,FLURO RAD S & I 320 71090 32075756 HC INTERNAL MAMMARY ANGIO 323 75756 32075820 HC VENOGRAM UNLIAT EXTREM 320 75820 32075825 HC VENOGRAPHY IVC 320 75825 32075968 HC ANGIO EA ADD'L REN/VIS RAD S& 320 75968 32375600 HC AORTOGRAM-THORACIC, RAD S & I 323 75600 32375625 HC AORTOGRAPHY-ABDOMINAL 323 75625 32375665 HC UNILATERAL CEREBRAL ARTE 323 75665 32375676 HC ANGIOGRAPHY,CAROTID,VER UNI S 323 75676 32375710 HC ANGIOGRAPHY UNIL EXT RAD S&I 323 75710 32375716 HC BIL ANGIOGRAPHY EXT RAD S & I 323 75716 32375722 HC ANGIOGRAPHY,RENAL UNI SEL S&I 323 75722 32375724 HC ANGIOGRAPHY,RENAL,BIL SEL S&I 323 75724 32375726 HC ANGIOGRAPHY,SEL VISCRAL RAD S 323 75726 32375743 HC ANGIOGRAM/PULMONARY BILA S & 323 75743 32375774 HC ANGIOGRAPHY,SEL,EA ADD VES S 323 75774 36136005 HC INTRO OF NEEDLE 361 36005 36136010 HC CATH PLCMT INTO VENA CAVA 361 36010 36136011 HC SEL CATH PCMT VENOUS 1ST ORDE 361 36011 36136013 HC INTRO CATH-MAIN PUL ART OR RT 361 36013 36136120 HC INTRO NEEDLE INTRACATH-RETRO 481 36120 36136140 HC INTRO CATH-EXTREMITY ARTERY 361 36140 36136200 HC INTRODUCE OF CATH/AORTA 481 36200 36136251 HC RENAL ARTERG UNILAT W/IMAGE 481 36251 36136252 HC RENAL ARTERG BIILAT W/IMAGE 481 36252 36136253 HC RENAL ARTERG UNILAT W/IMAGE 2ND OR HIGHER481 36253 36136254 HC RENAL ARTERG BILAT W/IMAGE 2ND OR HIGHER 361 36254

29 36137184 HC PRIM PT MECH THROMBE -INITIAL 481 37184 36137185 HC PRIM PT MECH THROM SUBSEQ VES 481 37185 36137186 HC SEC ART M-THROMBECT ADD-ON 481 37186 36137191 HC IVC PLACEMENT WITH IMAGING 481 37191 36137192 HC IVC REPOSITIONING WITH IMAGING 481 37192 36137193 HC IVC REMOVAL WITH IMAGING 481 37193 48092973 HC CORNONARY THROMBECTOMY 480 92973 48092975 HC THROMBOLYSIS IC INFUSION 480 92975 48092978 HC IVUS CORNRY VESS INITIAL 480 92978 48092979 HC IVUS EA ADDL CORNRY VESSEL 480 92979 48092980 HC STENT ONLY NO PLASTY 480 92980 48092981 HC EA ADD'L STENT DIFFERENT VESS 480 92981 48092982 HC PTCA,SINGLE VESSEL 480 92982 48092984 HC EA ADD'L PLASTY,DIFFRNT VESSE 480 92984 48092995 HC CORONARY ATHERECTOMY PERC,SIN 480 92995 48092996 HC COR ATHERECTOMY PERC EA ADDL 480 92996 48093025 HC MICROVOLT T-WAVE ASSESS 480 93025 48093286 HC EP PERI-OP EVAL/PROG PPM SYST 480 93286 48093287 HC PRE/POST EVAL OF PACER/DEFIB 480 93287 48093642 HC EP EVAL CD W/PACING NIPS 480 93642 48100275 HC RENAL ANGIO WITH CATH 481 G0275 48100278 HC ILIAC ANGIO W/CATH & CLOS DEV 481 G0278 48100290 HC DRUG ELUDING STENT PLACEMENT 481 G0290 48100291 HC DRUG ELUD. ADD'L STENT PLCMT 481 G0291 48133206 HC PCMKR ATRIAL LEAD ONLY (IN C 481 33206 48133207 HC PCMKR ATRIAL & VENT LEAD 481 33207 48133208 HC PCMKR ATRIAL & VENT LEAD 481 33208 48133211 HC TEMP PMCKR INSERTION-DUAL 481 33211 48133212 HC INSERT/REPCMT SINGLE CHM PCMK 481 33212 48133213 HC INSERT/RLCMT DUAL CHMBR PCMKR 481 33213 48133214 HC UPGRADE OF PACER SYSTEM 481 33214 48133215 HC REPOSIT PCMKR OR CARDIO DEF 481 33215 48133216 HC INSERT/REPOS ELECTRODE LEAD 481 33216 48133217 HC REPOSITION LEAD - DUAL 481 33217 48133218 HC ELECTRODE REPAIR SINGLE 481 33218 48133220 HC ELECTRODE REPAIR DUAL 481 33220 48133222 HC RELOCATION SKIN POCKET 481 33222 48133223 HC REVISE POCKET ICD 481 33223 48133224 HC INSERT PACING LEAD & CONNECT 481 33224 48133225 HC LV PACING LEAD ADD ON 481 33225 48133226 HC REPOSITION BI-V LEAD 481 33226 48133227 HC REMOVE&REPLACE PM GEN SINGL 481 33227 48133228 HC REMV&REPLC PM GEN DUAL LEAD 481 33228 48133233 HC REMOVAL OF PERM GENERATOR (IN 481 33233 48133234 HC REMOVAL ELECTRODE SINGLE 481 33234

30 48133235 HC REMOVAL ELECTRODE DUAL 481 33235 48133240 HC SC/DC ICD GENERATOR CHANGE 481 33240 48133241 HC SQ REMOVE SC/DC ICD GENERATOR 481 33241 48133244 HC LEAD(S) EXTRACTION 481 33244 48133249 HC FULL SYSTEM IMPLANT 481 33249 48133999 HC NEW LEAD ONLY 481 33999 48136215 HC SELECT CATH PLCMT 1ST ORDER 481 36215 48136216 HC SEL CATH PLCMT ART 2ND ORDER 481 36216 48136217 HC SELECT CATH PLCMT ART 3RD ORD 481 36217 48136218 HC ADD'L 2ND,3RD ORDER,SEL CATH 481 36218 48136245 HC SEL CATH PLMT 1ST OD A P LE L 481 36245 48136246 HC SEL CATH PLMT,ART,2ND A P LE 481 36246 48136247 HC SELECT CATH PLCMT 3RD ORDER 481 36247 48136248 HC PLCMT ADD'L 2ND OR 3RD ORDER 481 36248 48136425 HC VENIPUNTURE CUTDOWN OVER 1 YR 481 36425 30100093 HC AMNISURE ROM TEST 301 83625 48137215 HC TRANCATH PLCMT INTR STENT PRO 481 37215 48137220 HC PTA ILIAC ART INIT ART UNILAT 361 37220 48137221 HC STENT PLCMT,ILI/INIT ART,PTA 481 37221 48137222 HC PTA EACH ADD'L ILIAC ARTERY 481 37222 48137223 HC STENT PLCMT,EA ADD'L ART W/PT 481 37223 48137224 HC PTA FEM/POP ARTERY 361 37224 48137225 HC ATHERECT FEM/POP ART INCL PTA 481 37225 48137226 HC STENT PLCMT FEM/POP ART W/PTA 481 37226 48137227 HC STENT & ARTHERCT FEM/POP W/PT 481 37227 48137228 HC PTA TIBIAL/PERONEAL ARTERY 361 37228 48137229 HC ATHER TIB/PERONEAL ART ICL PT 481 37229 48137230 HC STENT PLCMT TIB/PER ART W/PTA 481 37230 48137231 HC STENT & ATH TIB/PER WITH PTA 481 37231 48137232 HC PTA EA ADD'L TIB/PERON ARTERY 481 37232 48137233 HC TIB/PER REVASC W/ATHER ADD-ON 481 37233 48137234 HC STENT PLCMT EA ADD'L TIB/PER 481 37234 48137235 HC STENT/ART EA ADD'L TIB/PER PT 481 37235 48137620 HC INTERRUPT OF IVC BY INTRAV 481 37620 48193451 HC RHC,INCL O2 SAT,CARD OUTPUT 481 93451 48193452 HC LHC/INJ. FOR LV WHEN PERFORME 481 93452 48193453 HC RT/LHC,INJ. FOR LV,S&I IF PER 481 93453 48193454 HC CORS,INCLUDES INJ. S&I 481 93454 48193455 HC CORS,IMA,SVG 481 93455 48193456 HC RHC/CORS 481 93456 48193457 HC RHC/CORS,IMA,SVG 481 93457 48193458 HC LHC,CORS,&LV WHEN PERFORMED 481 93458 48193459 HC LHC,CORS,IMA,SVG,LV IF PERFOR 481 93459 48193460 HC LT/RHC,CORS,LV IF PERFORMED 481 93460 48193461 HC LT/RHC,CORS,IMA,SVG,LV IF PER 481 93461

31 48193508 HC CORS/IMA/SVG* 481 93508 48193555 HC IMAGING SUP.,VENTGRAM 481 93555 48193566 HC INJ FOR SELECT RV OR RA ANGIO 481 93566 48193567 HC INJ FOR SUPRAVAL AORTGRAPHY 481 93567 48193568 HC INJ FOR PULM ANGIOGRAPHY 481 93568 48193571 HC PHYSIOLOGY INITIAL VESSEL 481 93571 48193572 HC PHYSIOLOGY, EA ADDL VESSEL 481 93572 48193600 HC BUNDLE OF HIS RECORDING 481 93600 48193602 HC INTRA-ARTIAL RECORDING 481 93602 48193603 HC RT VENT RECORDING 481 93603 48193609 HC MAP TACHYCARDIA,ADD-ON 481 93609 48193610 HC INTRA-ATRIAL PACING 481 93610 48193612 HC INTRA VENTRICULAR PACING 481 93612 48193613 HC ELECTROPHYS MAP,3D ADD ON 481 93613 48193619 HC COMP EP EVAL W/O A INDUCTION 481 93619 48193620 HC COMP EP EVAL W INDUCTION 481 93620 48193621 HC W/LEFT ATRIAL PAC/RECORD + 481 93621 48193622 HC W/ LEFT VENT PACING & REC + 481 93622 48193623 HC STIM & PACING S/P IV DRUGS 481 93623 48193624 HC EP FOLLOWUP STUDY W/PACING 481 93624 48193640 HC EP EVAL ICD LEADS AT IMPLANT 480 93640 48193641 HC EP EVAL OF ICD LEADS & ICD 481 93641 48193650 HC ICC ABLATION AV NODE FUNCTION 481 93650 48193651 HC ICC ABLATION OF SUPERVEN TACH 481 93651 48193652 HC ICC ABLATION FOR V-TACH 481 93652 94209445 HC SUP PATIENT EDUCATION 942 S9445 48193662 HC INTRA CARDIAC ECHO 481 93662 62100040 HC PERCUTANEOUS CATH INTRO KIT 622 36136002 HC INJ PROC PSEUDO THROMBIN PERCUT TX 361 36002 40276942 HC US GUIDANCE NEEDLE PLACEMENT 402 76942 40276998 HC US-INTRAOPERATIVE 402 76998 48008921 HC CONTRAST/COM ECHO 480 93303 48008922 HC CONTRAST/LIMITED PED ECHO 480 93304 48008923 HC CONTRAST/2 D M MODE ECHO 480 93307 48008924 HC CONTRAST/ 2 D ECHO LIMITED 480 93308 48093303 HC PEDIATRIC ECHO 480 93303 48093304 HC PEDIATRIC ECHO, LIMITED 480 93304 48093306 HC COMB 2D M-MODE ECHO 480 93306 48093307 HC 2-DIM ECHO 480 93307 48093318 HC TEE FOR MONTIORING PURPOSES W 480 93318 48093320 HC DOPPLER 480 93320 48093321 HC DOPPLER ECHO, LIMITED STUDY 480 93321 48093325 HC COLOR FLOW MAPPING 480 93325 48093350 HC 2 DIM ECHO 480 93350 48293017 HC STRESS TEST 482 93017

32 73093278 HC HIGH RES/SIGNAL AVER.EKG 730 93278 73193225 HC HOLTER RECORD/HOOKUP/DISCONNE 731 93225 73193226 HC HOLTER ANALYSIS W/ REPORT (GE 731 93226 73193270 HC PD CEM W/PSL /30 RECORDING 731 93270 92154240 HC PENILE PLETHYSMOGRAPHY 921 54240 92193880 HC CAROTID DUPLEX SCAN BILAT 921 93880 92193882 HC DUPLEX CAROTID UNILAT/ LIMITE 921 93882 92193886 HC TRANSCRANIAL DOPPLER 921 93886 92193888 HC TRANSCRANIAL DOPPLER-LIMITED 921 93888 92193923 HC UPR/LXTR ART STDY 3+ LVLS 921 93923 92193924 HC LWR XTR VASC STDY BILAT 921 93924 92193925 HC DUPLEX LE ART/BPG BILAT 921 93925 92193926 HC DUPLEX LE ART/BPG UNIL/LIMIT 921 93926 92193930 HC UE ART/BPG BILAT 921 93930 92193931 HC DUPLEX UE ART/BPG UNIL/LIMIT 921 93931 92193970 HC DUPLEX VEINS BILAT 921 93970 92193971 HC DUPLEX EXT VEINS UNIL/LIMIT 921 93971 92193975 HC DUPLEX ARTERIAL FLOW COMPL 921 93975 92193976 HC DUPLEX ARTERIAL FLOW LIMITED 921 93976 92193978 HC DUPLEX A IVC IL/BPG COMPL 921 93978 92193979 HC DUPLEX A IVC IL/BPG UNIL/LIM 921 93979 92193980 HC DUPLEX FLOW PENILE V COMPL 921 93980 92193981 HC DUPLEX FLOW PENILE FUP/LIMIT 921 93981 92193990 HC HEMODYLS ACCESS DUPLEX SCAN 921 93990 94300020 HC CARDIAC REHAB PHASE IV MAINTENANCE 943 94393797 HC CARDIAC REHAB PHASE III NON MONITORING/ED 943 93797 94393798 HC CARDIAC REHAB PHASE II MONITORING 943 93798 27100124 HC TORTOISE P.A.D. JUMBO 271 27200060 HC BSI CUTTING BALLOON 4MM 272 C1725 30100947 HC TRAMADOL & METABOLITES - URINE 301 80373 30100948 HC DRUG SCREEN QUANT EVEROLIMUS 301 80169 27200424 HC GORE SHEATH DRY SEAL 272 27200425 HC ANGIOVAC 272 36037187 HC PERCU TRANS THRMOBES, VEIN W/ INJ AND FLUORO360 GUID 37187 48092971 HC CARDIOASSIST EXTERNAL 480 76119100 HC BREAST BX,PERC,NEEDLE CORE, WO GUIDANCE 761 19100 76137187 HC PERC TRANS MECH THROMBECTOMY, VEIN W IMAGING761 37187 36112000 HC LAYERED CLOSURE INTERMEDIATE .1 TO >30CM 361 36113000 HC LAYERED CLOSURE COMPLEX .1 TO >30CM 361 30100406 HC MYELOPEROXIDASE ANTIBODY 301 83516 30100407 HC SERINE PROTEASE 3 ANTIBODY 301 83516 30100408 HC TRIIDOTHYRONINE;REVERSE 301 84482 30205006 HC ANCA LGC TITER 302 86256 30605002 HC HOMOGENIZATION, TISSUE 306 87176 51039580 HC UNNABOOT DRESSING-BILAT 510 29580

33 51039581 HC APPLY MULTLAY COMP LWR LEG-BILAT 510 29581 70039445 HC CONTRACT CAST-BILAT 700 29445 27500176 HC OPTISURE, DUAL COIL ICD LEAD 275 C1895 27500177 HC OPTISURE,SINGLE COIL ICD LEAD 275 C1777 36119301 HC PARTIAL MASTECTOMY 361 36110121 HC INCIS & REMOVAL OF FOREIGN BODY, SUBCUT TISSUE361 COMPLICATED 36121930 HC EXCIS TUMOR SOFT TISS OF BACK OR FLANK SUB 361CUT < 3 CM 36127047 HC EXCIS TUMOR SOFT TISS OF PELVIS OR HIP AREA, 361SUB CUT < 3 CM 27801135 HC BARD FLUENCY PLUS ENDOVASC STENT 278 C1874 76164640 HC DESTRUCTION BY NEUROLYTIC AGENT OF NERVE/BRANCH761 64640 30687327 HC CRYPTOCOCCUS ANTIGEN CSF 306 87327 30677327 HC CRYPTOCOCCUS ANTIGEN SERUM 306 87327 76216159 HC HRLY OBSER CCU ISOLATION 762 76164642 HC CHEMODENERV OF 1 EXTREMITY 1-4 MUS 761 64642 30100036 HC BENZODIAZEPINE SERUM QUANT 301 80346 27200426 HC CORDIS CHOCOLATE PTA BALLOON CATH 272 C1725 27501787 HC SJM ASSURITY GENERATOR PM 2240 275 C1785 94393799 HC PULM REHAB PHASE III MAINTENANCE 948 36124071 HC EXC ARM/ELBOW LESION SUBCUT CM/> 3 361 30188747 HC VORICONAZOLE QUANTITATION 301 80299 94800425 HC OSU MED PULM REHAB PROCEDURE 948 27100125 HC Z FLEX HEEL BOOT 271 36104079 HC EGD LESION ABLATION 361 30100076 HC AMIODARONE METABOLITE 301 80299 30200213 HC EPSTEIN-BARR QUANT. PCR 306 87799 30100085 HC NEPHELOMETRY KAPPA (PART OF 301 83883 30100087 HC NEPHELOMETRY LAMBDA (PART OF 301 83883 30100088 HC KAPPA SERUM 301 83883 30100094 HC KAPPA FREE URINE 301 83883 30100096 HC LAMBDA FREE URINE 301 83883 36169110 HC EXCIS EXTERNAL EAR PARTIAL SIMPLE 361 30100097 HC BCR/ABL T(9;22) MINOR QUAL 301 81207 76164520 HC INJECTION ANESTHETIC AGENT LUMBAR OR THORACIC761 64520 30100103 HC FACTOR V LEIDEN ENZ DIG 301 83892 30100105 HC FRAG.X SEP BY ELEC.1 301 83894 30100107 HC FRAG.X SEP BY ELEC.2 301 83894 27200427 HC SJM FFR WIRE 272 C1769 30100109 HC FRAG. X SEP BY ELEC.3 301 83894 36124072 HC EXCIS TUMOR SOFT TISS AB WALL,SUB CUT, < 3 CM361 30100111 HC FRAG.X NUCLEIC PROBE 301 83896 36146221 HC LIGATION OF HEMORRHOID(S) 361 46221 30100113 HC FRAG.X NUCLEIC TRAN 301 83897 30100115 HC FRAG. X AMPLIFICATION 301 83898 30100117 HC FACTOR V LEIDEN MUTAT ANAL 301 83903 30100118 HC ALBUMIN - SERUM SO (END OF 301 82040

34 30100119 HC OLIGOCLONAL SO (PART OF MS 301 83916 30100123 HC ALBUMIN - CSF SO (PART OF 301 82042 27207051 HC ACUITY PRO GUIDING CATH 9F X 45CM 272 C1887 30100129 HC OPIATE SERUM CONFIRMATION 301 80361 30100133 HC PROPOXYPHENE SERUM QUANT 301 83925 30100141 HC HYDROCODONE QUANT. SERUM 301 83925 30100148 HC AFP-SO 301 82105 30100151 HC PCP SERUM QUANT 301 83992 30100173 HC AMPHETAMINES SERUM QUANT 301 80324 30100178 HC TOTAL PROTEIN - CSF SO 301 84157 30100181 HC PANCREATIC AMYLASE SO 301 82150 30100183 HC SALIVARY AMYLASE SO 301 82150 30100193 HC ARSENIC- SO 301 82175 51120551 HC INJECTION SINGLE TENDON ORIGIN INSERTION 761 20551 92095250 HC GLUCOSE MONITORING CONTINUOUS 920 95250 92095251 HC GLUCOSE MONITORING CONTINUOUS PHYS I&R 920 95251 30100224 HC FACTOR VII SO 305 85230 30100232 HC FACTOR VIII ACTIVITY 305 85240 30100236 HC VON WILLEBRAND FACTOR ACTIVIT 305 85245 30100240 HC VON WILLEBRAND FACTOR AG SO 305 85246 30100268 HC COCAINE SERUM QUANT 301 80353 30100288 HC ESTRIOL-SO 301 82677 30100315 HC TOLERANCE TEST,ADD'L 3 HR 301 82952 30100334 HC ALKALINE HGB ELECTROPHORESIS 301 83020 30100337 HC ACID HGB ELECTROPHORESIS 301 83020 30100362 HC ACETYLCHOLINE RECEPTOR BINDIN 301 83519 30100366 HC ACETYLCHOL RECEPT AB BLCK SO 301 83516 30000001 HC CHYLOMICRON BODY FLUID 300 82664 30100381 HC LEAD -SO 301 83655 30100382 HC LEAD - SO 301 83655 30100386 HC LIPOPROTEIN SUBCLASSES VAP 301 83701 30100397 HC MERCURY SO 301 83825 30100400 HC METHADONE SERUM QUANT 301 80358 30100610 HC BCR/ABL GEL SEPARATION 1 301 83894 30100611 HC BCR/ABI GEL SEPARATION 2 301 83894 30100612 HC BCR/ABL GEL SEPARATION 3 301 83894 30100613 HC JAK2 GEL SEPARATION 301 83894 30100615 HC HEMOCHROMATOSIS NUC ACID PROB 301 83896 30100616 HC HEMOCHRO NUCLEIC ACID PROBE 2 301 83896 30100617 HC NUCLEIC ACID PROBE 1 301 83896 30100618 HC NUCLEIC ACID PROBE # 2 301 83896 30100619 HC NUCLEIC ACID PROBE #3 301 83896 30100620 HC NUCLEIC ACID PROBE # 4 301 83896 30100621 HC PROTHROMBIN NUCLEOTIDE NUC AC 301 83896 30100625 HC BCR/ABL AMPLIFICATION 4 301 83898

35 30100626 HC BCR/ABL AMPLIFICATION 5 301 83898 30100627 HC BCR/ABL AMPLIFICATION 6 301 83898 30100628 HC PROTHROMBIN NUCLEOTIDE AMPL S 301 83898 30100629 HC MULTIPLEX AMPLICATION SO 301 83900 30100630 HC METHYLENE MOLEACUL DIAG 301 83900 30100631 HC JAK2 MULTIPLEX 301 83900 30100634 HC INTERPERT & REPORT SO* 301 83912 30100635 HC METHYLENE.INTERP & REPORT SO* 301 83912 30100636 HC PROTHROMBIN NUCLEO INTER & RE 301 83912 30100637 HC JAK2 INTREPRETATION 301 83912 30100638 HC BCR/ABL RNA STABILIZATION 301 83913 30100639 HC JAK2 MUTATION ID 301 83914 30100640 HC JAK 2 MULTIPLEX ISOLATION 301 83891 30100642 HC ISOLATION SO 301 83891 30200003 HC ALLERGEN-OAK 302 86003 30200006 HC SEROTONIN RELEASE ASSAY 2 302 86022 30200008 HC PLATELET ASSOC AB.DIRECT IGM 302 86023 30200012 HC CARDIOLIPIN IGG SO 302 86147 30200013 HC CARDIOLIPIN IGM SO 302 86147 30200015 HC ANTI-CARDIOLIPIN IGG AB SO 302 86147 30200017 HC COMPLEMENT C4 SO 302 86160 30200018 HC C1 ESTERASE INHIBITOR SO 302 86160 30200022 HC COMPLEMENT FUNCT. ACTVTY C1 S 302 86161 30200024 HC COMPLEMENT COMPONENT C1Q SO 302 86162 30200035 HC ANTI-SSA SO 302 86235 30200036 HC ANTI-SSB SO 302 86235 30200040 HC PURKINJE CELL ANTIBODY 302 86255 30200041 HC NEURONAL NUCLEAR AB IGG 302 86255 30200045 HC STRIATED MUSCLE AB IGG SO 302 86255 30200046 HC ANCA AB. ATYPICAL PATTERN 302 86255 30200049 HC STRIATED MUSCLE TITER 302 86256 30200052 HC SMOOTH MUSCLE IGG TITER 302 86256 30200061 HC IMMUNOFIXATION ELECTROPHORESI 302 86335 30200063 HC INHIBIN A SO* 302 86336 30200064 HC INSULIN ANTIBODY 302 86337 30200071 HC T-CELL TOTAL COUNT*SO 302 86359 30200076 HC MICROSOMAL AB SO 302 86376 30200082 HC ADENOVIRUS IGM ANTIBODY 302 86603 30200083 HC ASPERGILLIS-SO 302 86606 30200084 HC ASPERGILLUS ANTIBODY 302 86606 30200086 HC CATSCRATCH IGG SO 302 86611 30200087 HC CATSCRATCH IGM SO 302 86611 30200088 HC BLASTOMYCES-SO 302 86612 30200093 HC LYME-IGG CSF 302 86617 30200094 HC LYME-IGM CSF 302 86617

36 30200097 HC C PNEUMONIAE IGG SO 302 86631 30200098 HC C PSITTACI IGG SO 302 86631 30200099 HC C TRACHOMATIS IGG SO 302 86631 30200100 HC C TRACHOMATIS IGM SO 302 86632 30200101 HC C PSITTACI IGM SO 302 86632 30200102 HC C PNEUMONIAE IGM SO 302 86632 30200103 HC COCCIDIOIDES-SO 302 86635 30200107 HC COXSACKIE 1 SO 302 86658 30200108 HC COXSACKIE 2 SO 302 86658 30200109 HC COXSACKIE 3 SO 302 86658 30200110 HC COXSACKIE 4 SO 302 86658 30200111 HC COXSACKIE 5 SO 302 86658 30200112 HC COXSACKIE 6 SO 302 86658 30200115 HC FRANCISELLA TULARENSIS IGM 302 86668 30200117 HC SACCHAROMYCES CEREV. IGG 302 86671 30200118 HC SACCHAROMYCES CEREV. IGA 302 86671 30200119 HC H.PYLORI AB,IGA SO 302 86677 30200120 HC H.PYLORI AB,IGG SO 302 86677 30200127 HC HISTOPLASMA 302 86698 30200128 HC HISTOPLASMA YEAST-SO 302 86698 30200136 HC INFLUENZA A IGG 302 86710 30200138 HC INFLUENZA B IGG 302 86710 30200139 HC INFLUENZA B IGM 302 86710 30200159 HC ANTI-THYROGLOBULIN SO 302 86800 30200167 HC YEAST IDENTIFICATION 306 87106 30200170 HC HERPES SIMPLEX TYPING HSV 2 306 87140 30200173 HC INFLUENZA TISSUE CULTURE #1 306 87252 30200176 HC HERPES IP STAIN 306 87253 30200180 HC HERPES SIMPLEX VIRUS2 306 87273 30200181 HC HERPES SIMPLEX VIRUS1 306 87274 30200182 HC INFLUENZA B,FA 306 87275 30200183 HC INFLUENZA A.FA 306 87276 30200184 HC RESPIRATORY VIRUSES,INFLUENZA 306 87299 30200190 HC VAGINAL PATHOGEN-CANDIDA 306 87480 30200192 HC VAG. PATH- GARDNERELLA VAG 306 87510 30200207 HC VAG. PATH-TRICHOMONAS VAG. 306 87660 30200238 HC CD3-LEUK/LYMPH SO 311 88185 30200239 HC CD4-LEUK/LYMPH SO 311 88185 30200240 HC CD5-LEUK/LYMPH SO 311 88185 30200241 HC CD6 LEUK/LYMPH SO 311 88185 30200242 HC CD7-LEUK/LYMPH SO 311 88185 30200243 HC CD8-LEUK/LYMPH SO 311 88185 30200244 HC CD 9-LEUK/LYMPH SO 311 88185 30200245 HC CD10-LEUK/LYMPH SO 311 88185 30200246 HC CD11-LEUK/LYMPH SO 311 88185

37 30200247 HC CD12-LEUK/LYMPH SO 311 88185 30200248 HC CD13-LEUK/LYMPH SO 311 88185 30200249 HC CD14-LEUK/LYMPH SO 311 88185 30200250 HC CD15-LEUK/LYMPH SO 311 88185 30200251 HC CD16-LEUK/LYMPH SO 311 88185 30200252 HC NEUTROPHIL OXIDATIVE INTERP 311 88187 30200253 HC FLOW CYTOMETRY INTERP 16 OR MORE MARKERS311 31000003 HC KARYOTYPE ANALYSIS 310 88262 31000004 HC CHROM ANALYZE 20-25 CELLS 310 88264 31000005 HC KARYOTYPE HIGH RES 310 88289 31000006 HC REPORT AND INTERPRETATION 310 88291 31100045 HC CHROM. TISSUE CULTURE 1 311 88237 31100047 HC FISH,DNA PROBE 1 311 88271 31100048 HC FISH, DNA PROBE 2 311 88271 31100049 HC FISH, DNA PROBE 3 311 88271 31100050 HC FISH, DNA PROBE 4 311 88271 31100051 HC FISH DNA PROBE 4 311 88271 31100052 HC FISH DNA PROBE 5 311 88271 31100053 HC FISH, IN SITU HYBRID 1 311 88275 31100054 HC FISH, IN SITU HYBRID 2 311 88275 31100055 HC FISH, IN SITU HYBRID 3 311 88275 31100056 HC FISH, IN SITU HYBRID, 4 311 88275 31100057 HC FISH IN SITU HYBRID 5 311 88275 31100058 HC FISH IN SITU HYBRID 6 311 88275 31100063 HC FISH INTERP & REPORT 311 88291 30000081 HC HPV LOW RISK SO (GEN'D BY 306 87623 31100001 HC DIRECT SMEAR 311 88104 31100002 HC CSF/CYTOLOGY 311 88108 31100003 HC JOINT FLUID/CYTOLOGY 311 88108 31100004 HC CYTOLOGY CYTOSPIN 311 88108 31100005 HC BODY CAVITY FLUID/CYT 311 88112 31100006 HC BREAST CYST ASPIRATE 311 88112 31100007 HC BRONCHOSCOPY/WASHING 311 88112 31100008 HC BRONSCHOSCOPY/BRUSHING * 311 88112 31100009 HC ESOPHAGEAL BRUSHING* 311 88112 31100011 HC GASTRIC/BRUSHING * 311 88112 31100012 HC NON GYN CYTOLOGY 311 88112 31100013 HC SPUTUM/CYTOLOGY 311 88112 31100014 HC URINE/CYTOLOGY 311 88112 31100017 HC THIN PREP-NON CERV./VAG 311 88161 31200001 HC PAP SMEAR,SCREEN 311 88164 31100020 HC FINE NEEDLE ASP BIOPSY * 311 88173 31100022 HC THIN PREP PAP TEST, DIAGNOSTI 311 88175 31100023 HC THIN PREP PAP TEST,SCREEN 311 88175 36137799 HC REM CENT VEN DEV W/O INCISION 361 37799

38 45036556 HC INSERT NON TUNNELED CVA DEVIC 761 36556 88090935 HC UNSCHEDULED O/P DIALYSIS 880 90935 94200108 HC DIABETES SELF-MGMT TRNING/30' 942 G0108 94200109 HC DIAB SELF MGMT TRNG GRP/30' 942 G0109 94200271 HC MNT-GROUP PER 30 MIN 942 G0271 94209460 HC DIABETES SELF MGMT- NURSE VST 942 S9460 94209465 HC DIABETES SELF MGMT TRN-DIETIT 942 S9465 94297803 HC F/U MED NUTRI COUNS/15' 942 97803 94297804 HC GRP MED NUTRI COUNS/30' 942 97804 94299401 HC OP NUTRITION 15 MINUTES 942 99401 94299402 HC OP NUTRITION 30 MINUTES 942 99402 94299404 HC OP NUTRITION 60 MINUTES 942 99404 74095816 HC EEG AWAKE/DROWSY 740 95816 74095822 HC EEG COMA 740 95822 74095824 HC EEG CEREBRAL BRAIN DEATH 740 95824 32075822 HC VENOGRAM,BILAT,UP OR LOW EXTR 320 75822 48093312 HC TRANSESOPHAGEAL ECHO 480 93312 48133210 HC INSERT/RPLCMT TEMP SING PCMKR 481 33210 48133229 HC REMV&REPLC PM GEN MULT LEADS 481 33229 48133230 HC INSERT ICD GEN W/ EXT DUAL LE 481 33230 48133231 HC INSERT ICD GEN W/EXT MULT LEA 481 33231 48133262 HC REM ICD GEN W/REPLCMT SINGLE 481 33262 48133263 HC REM ICD GEN W/REPLCMT DUAL 481 33263 48133264 HC REM ICD GEN W/REPLACE MULTI 481 33264 48193462 HC LHC BY TRANSEPTAL PUNCTURE 481 93462 30188740 HC CARBONXHEMOGLOBIN TESTING 301 88740 36164400 HC INJ ANESTH TRIGEMINAL NERVE 450 64400 40276604 HC US CHEST 402 76604 40276705 HC -US TRANSABDOMINAL LIMITE 402 76705 45000001 HC I & D OF ABCESS 450 45000002 HC REMOVE FOREIGN BODY SUBCUT 761 45000003 HC ASPIRATION FINE NEEDLE/PUNCTU 450 45000004 HC LACERATION REPAIR SIMPLE 761 45000005 HC LACERATION REPAIR INTERMEDIAT 761 45000006 HC LACERATION REPAIR COMPLEX 761 45000007 HC ASPIR &/OR INJECT BURSA/JOINT 450 45000008 HC CLOSED TREATMENT OF WRIST 761 45000009 HC CLOSED TX FINGER FRACT,DISLOC 761 45000010 HC CLOSED TX TOE,FRACT/DISLOCATE 450 45000011 HC APPLY SPLINT/STRAP ARM 450 45000012 HC APPLY SPLINT/STRAP LEG 450 45000013 HC CAST REMOVAL/BIVALVING/REPAIR 450 45000014 HC REMOVE FOREIGN BODY INTRANASA 450 45000015 HC CONTROL NASAL HEMMORAGE 450 45000016 HC THORACOSTOMY 450

39 45000017 HC TEMP PACEMAKER INSERTION 450 45000019 HC MINOR PROCEDURE 450 45000020 HC MAJOR PROCEDURE 450 45000021 HC PARACENTESIS 450 45000022 HC DELIVERY (CESAREAN/VAGINAL) 450 45000023 HC REMOVE FOREIGN BODY EAR 450 45023655 HC DISLOC SHOULDER W/MAN W/ANEST 450 23655 45024640 HC CLOSED TX NURSEMAID ELBOW 450 24640 45029130 HC APPLICATION FINGER SPLINT 450 29130 45065220 HC FOREIGN BODY REMOVAL,EYE 450 45065222 HC REMOVE FOREIGN BODY SLIT LAMP 450 45092953 HC EXTERNAL PACING TEMPORARY 450 92953 45099281 HC ER LEVEL I 450 99281 45099282 HC ER LEVEL II 450 99282 45099283 HC ER LEVEL III 450 99283 45099284 HC ER LEVEL IV 450 99284 45099285 HC ER LEVEL V 450 99285 48093308 HC 2D ECHO, LIMITED STUDY 480 93308 68300001 HC TRAUMA RESPONSE W/O CRIT CARE 683 68300390 HC TRAUMA RESPONSE W/CRIT CARE 683 G0390 30500005 HC CBC MANUAL W/DIFF 305 85027 11500001 HC ROOM DAILY CHARGE 115 31309570 HC INDIUM 111 LUK/ PER .5MCI 343 A9570 27200428 HC CIVCO FIDUCIAL MARKET KIT 272 27200429 HC ABBOTT SION/MIRACLEBROS GUIDEWIRE 272 C1769 32070332 HC ARTHROGRAM/ TMJ 322 70332 32070336 HC MRI TMJ(S) 610 70336 27801336 HC ABBOTT CORONARY STUDY STENT 278 C1874 35170450 HC CT HEAD W/O CONTRAST 351 70450 35170460 HC CT HEAD WITH CONTRAST 351 70460 35170470 HC CT HEAD W W/O CONTRAST 351 70470 35170480 HC CT 0RBITS/FAC BON/POST FOSSA/S 351 70480 35170481 HC CT IAC/ORB/SEL/PF W CONTR 351 70481 35170482 HC CT IAC/ORB/SEL/PF W/WO CON 351 70482 32070486 HC CT MAXXILLOFACIAL W/O CONT 351 70486 32072190 HC PELVIS-3 OR MORE VIEWS 320 72190 32072240 HC MYELOGRAM (CERVICAL) 320 72240 32072255 HC MYELOGRAM THORACIC 320 72255 32072265 HC MYELOGRAM (LUMBAR) 320 72265 32072270 HC MYELOGRAM-2 OR MORE REGIONS 320 72270 32072275 HC EPIDUROGRAM 320 72275 27207052 HC STYKER PCD SYSTEM 278 C1713 32072285 HC DISKOGRAPGHY-CERVICAL OR THOR 320 72285 32072291 HC VERTBROPLASTY OR KYPHOPLASTY 320 72291 27207053 HC STYKER MATCH GROUND BEVEL TIP NEEDLE 272

40 32072295 HC DISCOGRAPHY-LUMBAR 320 72295 32073525 HC ARTHROGRAM/ HIP 322 73525 32073615 HC ARTHROGRAM/ANKLE 320 73615 32074210 HC ESOPHAGRAM-CERV/PHARYNX 320 74210 32074220 HC ESOPHAGRAM 320 74220 32074230 HC ESOPHAGRAM-VIDEO 320 74230 48000439 HC MYOCARDIAL CONTR PERFUS ECHO AT REST OR STRESS480 0439T 32074251 HC SMALL BOWEL SERIES 320 74250 32074261 HC ENTEROCLYSIS 320 74251 32074270 HC BARIUM ENEMA 320 74270 48000462 HC PRGRMG EVAL MECH ELEC AORTIC VENT SYS PER 480DAY 32074280 HC BARIUM ENEMA W/AIR CONT 320 74280 40277387 HC BRACHYTX ISODOSE PLAN SIMPLE 333 77387 32074290 HC CHOLECYSTOGRAM 320 74290 32074291 HC CHOLECYSTOGRAM-REPEAT 320 74291 33377316 HC BRACHYTX ISODOSE PLAN SIMPLE 333 77316 32074300 HC CHOLANGIOGRAM/OR 320 74300 48000463 HC INTERROG EVAL IMPLT AORTIC VENTR SYS PER DAY480 0463T 32074301 HC OR CHOLANGIOGRAM ADD'L SET 320 74301 33377317 HC BRACHYTX ISODOSE INTERMED 333 77317 33377318 HC BRACHYTX ISODOSE COMPLEX 333 77318 32074328 HC ERCP-BILIARY DUCTAL SYSTEM 320 74328 32074329 HC ERCP-PANCRET DUCTAL SYS 320 74329 33377306 HC TELETHERAPY ISODOSE PLAN SIMPLE 333 77306 32074330 HC ERCP 320 74330 32074360 HC ESOPHAGEAL DILATATION W/FLURO 320 74360 33377307 HC TELETHERAPY ISODOSE PLAN COMPLEX 333 77307 32074400 HC PYELOGRAM/INTRAVENOUS 320 74400 76138799 HC CHEMICAL VENOUS ABLATION 761 37799 32074410 HC PYELOGRAM/I.V. LIMITED (INCLU 320 74410 33377385 HC INTENSITY MODUL RAD TX DLVR SMPL 333 77385 32074415 HC NEPHROTOMOGRAMS-W/IVP 320 74415 32074425 HC UROGRAPHY - ANTEGRADE 320 74425 33377386 HC INTENSITY MODUL RAD TX DLVR CPLX 333 77386 32074430 HC CYSTOGRAM MIN 3 VIEWS 320 74430 30101064 HC PROTEIN,TOTAL,URINE 301 84156 32074455 HC URETHOCYSTOGRAPHY-VOIDING 320 74455 33377387 HC GUIDANCE RAD TX DLVR 333 77387 33377402 HC RADIATION TX DLVR SIMPLE 333 77402 32074485 HC DILATION OF NEPHROSTOMY-URET 320 74485 76162320 HC EPIDURAL STEROID INJECTW/O IMG-CERV OR THORACIC761 62320 32074740 HC HYSTEROSALPINGOGRAM 320 74740 33377407 HC RADIATION TX DLVR INTERMED 333 77407 32075746 HC ANGIO,PULM,NON SEL OR VEN INJ 320 75746 32075809 HC SHUNTOGRAM FOR INVEST PREV SH 320 75809

41 36144403 HC COLONSCPY STOMA W/RESECTION 361 32075827 HC VENOGRAPHY SVC 320 75827 76162321 HC EPIDURAL STEROID INJ W/IMG- CERVICAL OR THORACIC761 62321 32075831 HC VENOGRAPHY UNIL RENAL SEL 320 75831 36144404 HC COLONSCPY STOMA W/SUBMCOSAL INJ 361 32075833 HC ENOGRAPHY BIL RENAL SEL 320 75833 32075860 HC VENOGRAPHY,JUGULAR OR SINUS 320 75860 36144405 HC COLONSCPY STOMA W/BALLOON DILT 361 32075885 HC TRANSHEP PORTGRPHY W/HEMO EVA 320 75885 76162322 HC EPIDURAL STEROID INJ W/O IMG-LUMBAR OR SACRAL761 62322 32075887 HC TRANSHEPT PRTGRPHY W/O HEMO E 320 75887 36144406 HC COLONSCPY STOMA W/ENDO US 361 32075889 HC HEPATIC VENGRP W/HEMODYN EVAL 320 75889 32075891 HC HEPATIC VENGRPG W/O HEMO EVAL 320 75891 36144407 HC COLONSCPY STOMA W/US GID NDL ASPIR/BX 361 32075893 HC VENOUS SAMPLING THRU CATH (R 320 75893 76162323 HC EPIDURAL STEROID INJ W/IMG-LUMBAR OR SACRAL761 62323 32075894 HC TRANSCATH THER EMBOLIZATION 320 75894 36144408 HC COLONSCPY STOMA W/DECOMPRESS 361 32075900 HC EXCH ART CATH /THER W/CON MON 320 75900 32075901 HC MECH RMVL OF PERICATH OBST MA 320 75901 36144381 HC ILEOSCOPY STOMA W/ BALL DIL 361 32075902 HC MECH REMVL OF INTRACATH MAT'L 320 75902 76162324 HC EPID STER INJ W/O IMG- INC CATH PLCMT INF CRV/THRC761 62324 36145349 HC SGMDSC FLEX W/ ENDO MUCO RESEC 361 32075954 HC ENDOVASC REPAIR ILIAC ANEURYS 320 75954 36145350 HC SGMDSC FLEX W/ BAND LIG(S) 361 76162325 HC EPID STER INJ W IMG-INCL CATH PLMT,CON INF CRV/THRC761 62325 32075984 HC CHGE OF PERCU TUBE/DRAIN CATH 320 75984 36145388 HC COLONSCPY FLX ABLAT TUMOR 361 32075989 HC RAD GUID PERCUT DRN W/PLM CAT 320 75989 36145389 HC COLONSCPY W/ENDO STENT PLCMT 361 32076080 HC SINUSGRAM (FISTULAGRAM) 320 76080 76162326 HC EPID STER INJ W/O IMG-INC CATH PLCMT,CONT INF761 LMBR/SAC62326 32076098 HC SURGICAL SPECIMEN 320 76098 36145390 HC COLONSCPY FLX W/ENDO MUCO RESECT 361 32076100 HC TOMOGRAMS (OTHER THAN UROGRAP 320 76100 32076946 HC RAD-ULISTED FLUORO PROCEDURE 320 76496 36145393 HC COLONSCPY FLX W/DECOMPRESS 361 32077001 HC FLUORO GUID CVAD PLMT/REPL/RE 320 77001 76162327 HC EPID STER INJ W IMG-INC CATH PLCMT,CONR INF 761LMBR/SAC 62327 32077021 HC MR GUIDANCE FOR NEEDLE PLACEM 610 77021 36145398 HC COLONSCPY FLX W/BAND LIGATIONS(S) 361 32077053 HC DUCTOGRAM-SINGLE DUCT 320 77053 32077054 HC DUCTOGRAM-MULTIPLE DUCTS 320 77054

42 32077080 HC DEXA-SPINE/HIPS/FOREARM 320 77080 32077081 HC DEXA APPENDICULAR SKELETON 320 77081 32077082 HC DEXA VERTEBRAL ASSESSMENT 320 77082 32077084 HC MR BONE MARROW 610 77084 32273040 HC ARTHROGRAM/ SHOULDER 322 73040 32273085 HC ARTHOGRAM,ELBOW 322 73085 32273115 HC ARTHROGRAM- WRIST 322 73115 32273580 HC ARTHROGRAM/LT KNEE 322 73580 32375630 HC AORTOGRAPHY-ABD W/BIL LLIOFEM 323 75630 32375705 HC ANGIO-INTRTCOSTAL/SPINAL ART 323 75705 32375736 HC ANGIO-PELVIC-SELECTIVE 323 75736 32375741 HC ANGIO/PULMONARY-UNILATERAL 323 75741 32375791 HC ANGIO-AV SHUNT CURR CATH IN P 323 75791 32375898 HC FOLLOWUP ANGIO 323 75898 33377790 HC HANDLING/LOAD RAD SOURCE SUPR 342 77790 76136473 HC ENDOVASC ABLATION INCMPTNT VEIN, EXTREMITY761 W/IMG 36473 36000050 HC GREEN LIGHT SURGERY 1ST HALF HR 360 36000051 HC GREEN LIGHT SURGERY EA ADD'L 15 MIN 360 34100001 HC MYOCARDIAL IMG SPECT MULTIPLE 341 34100002 HC MYOCARDIAL IMG SPECT MULT STU 341 34100003 HC MYOCARD PERFUSION STUDY-SINGL 341 34100005 HC MYOCARD PERFUS IMG-SNG RST/ST 341 76136474 HC ENDOVASC ABLAT INCMPTNT SBSQ VEIN W IMG 761 36474 34178001 HC NM-THYROID UPTAKE 341 78001 48137246 HC PTA -INIT ART. W IMG EXC LRWER EXT INR CRNL,CORN,481 PULM 37246 48137247 HC PTA EA ADD'L ART EXPT LOW EXT,INTRACRAN,CORN,481 PULM 37247 34178018 HC NM-TOTAL BODY IODINE 341 78018 34178070 HC PARATHYROID IMAGE/SUBTRACTION WHEN DONE341 78070 48137248 HC PTA VEIN W/IMG EXCEPT DIALYSIS CIRCUIT 481 37248 34178075 HC NUCLEAR ADRENAL SCAN 341 78075 34178102 HC BONE MARROW IMAGE-LMTD AREA 341 78102 48137249 HC PTA VEIN EA ADD'L VEIN EXCEPT DIALYSIS CIRCUIT481 37249 34178103 HC BONE MARROW IMAGING MULTIPLE 341 78103 34178185 HC SPLEEN SCAN (TRAUMA) 341 78185 34178195 HC LYMPHOSCINTIGRAPHY-SENTINEL 341 78195 76136901 HC AV FISTULAGRAM 761 36901 34178201 HC LIVER IMAGING STATIC ONLY 341 78201 34178202 HC LIVER IMAGING W/ VAS FLOW 341 78202 76136902 HC AV FISTULAGRAM W/PTA 761 36902 76136903 HC AV FISTULAGRAM W/STENT & PTA IF PERFORMED761 36903 34178212 HC LIVER AND SPLEEN IMAGING 341 78215 34178226 HC HEPATOB SYS IMAGE WITH GB 341 78226 76136904 HC AV FISTILAGRAM W/DECLOT 761 36904 34178227 HC HEPATOB SYS IMAGE WITH GB W/PHAR INTV QUANT341 MEAS 78227 34178262 HC GASTROESPHAGEL REFLUX STU 341 78262

43 76136905 HC AV FISTULAGRAM W/DECLOT & PTA 761 36905 34178264 HC GASTRIC EMPTYING STUDY 341 78264 34178278 HC ACUTE GASTROINTESTIONAL BLOOD 341 78278 34178300 HC BONE LIMITED 341 78300 76136906 HC AV FISTULAGRAM W/DECLOT & STENT &PTA IF PERFORMED761 36906 34178306 HC BONE WHOLE BODY 341 78306 34178315 HC BONE SCAN-THREE PHASE STUDY 341 78315 76136907 HC PTA AV FISTUAL-CENTRAL DIALYSIS SEGMENT 761 36907 34178451 HC MYOCARD IMG SINGLE STUDY RST/STRESS 341 78451 76136908 HC PTA AV FISTULA-CEN'T DIAL SEGMENT W/STENT&PTA761 IF PERFORMED36908 34178452 HC MYOCARD IMG MULT SPECT RED 341 78452 30100197 HC ARSENIC FRACTIONATED 301 82175 34178466 HC HEART PYP 341 78466 76136909 HC DIALYSIS CIRCUIT PERM CASCULAR EMBOLIZATION761 36909 34178472 HC CARDIAC BLOOD POOL IMG-GATED 341 78472 34178579 HC PULM VENT IMAGING 341 78579 27500178 HC AMPLIA MRI QUAD CRT-D MEDTRONIC 275 C1882 34178580 HC PULMONARY PERFUSION IMAGING 341 78580 34178582 HC PULM VENT AND PERFUSION IMAGING 341 78582 34178597 HC QUANT DIFF PULM PERFSION 341 78597 34178598 HC QUANT DIFF PUL PERF & VENT WITH IMAGING 341 78598 34178602 HC BRAIN SCAN-LMT W/FLOW 341 78601 34178606 HC BRAIN IMAGING W/VASCULAR FLOW 341 78606 34178630 HC CERBROSPINAL FLUID FLOW CI 341 78630 34178707 HC KIDNEY IMG W/VASC FLOW/FUNCTI 341 78707 34178708 HC RENAL W/FLOW FUNCT W/PHAR INT 341 78708 34178709 HC KIDNEY IMG W/FLOW&FUNCTION/W 341 78709 34178740 HC URETERAL REFLUX STUDY 341 78740 34178803 HC LOCAL OF TUMOR SPECT 341 78803 34178804 HC LOC TUM WHOLE BODY 2 OR MORE DAYS 341 78804 34279005 HC RADIOPHAR THERAPY ORAL ADMIN 342 79005 34279101 HC RADIOPHARMACEUTICAL THERAPY 342 79101 34279445 HC RADIOPHARM TX INTRA-ART ADM 342 79445 34300002 HC INDIUM IN-111 PENTET-PER MCI < 6 343 A9572 34304642 HC ONCOSCINT PER DOSE 343 A4642 34309054 HC 99M TC APCITITE PER VIAL 343 A9504 34309102 HC CR-51 (SOD.CHRMTE)100UCI 343 C9102 34309500 HC TC-99M SESTAMIBI PER DOSE 343 A9500 34309502 HC MYOVIEW PER UNIT DOSE 343 A9502 34309503 HC MDP UP TO 30MCI 343 A9503 34309509 HC I 123 SODIUM IODNE PER MCI 343 A9509 34309512 HC PERTECHNETATE PER MCI 343 A9512 34309516 HC I 123 SODIUM IODNE PER 100 UCI 343 A9516 34309520 HC SC SULFUR COLLOID UP TO 20MCI 343 A9541 51096377 HC APPLICATION ON-BODY INJECTOR 510 96377

44 34309521 HC CERETEC 20MCI PER DOSE 343 A9521 34309537 HC IDA ANALOGUES-DISDIA PER DOSE UP TO 15 MCI 343 A9537 34309538 HC PYP PYROSPHOSPHATE UP TO 25MCI 343 A9538 34309540 HC TC 99MAA PER DOSE,UP TO 10MCI 343 A9540 46094690 HC EXHALED AIR ANALYSIS 460 94690 34309541 HC SC SULFUR COLLOID DOSE,20MCI 343 A9541 34309544 HC KIT-IODINE I-131 PER DOSE 343 A9544 34309548 HC INDIUM DPTA PER .5MCI 343 A9548 34309552 HC FDG (FLURODEOXYGLUCOSE)4-40 MCI 343 A9552 34309556 HC GA-67(GALLM CITRATE)1MCI 343 A9556 34309558 HC XE 133 PER DOSE 343 A9558 34309560 HC RBCS UP TO 30MCI 343 A9560 30188779 HC THYROGLOBULIN, FNA 301 84432 34309562 HC MAG-3 UP TO 15MCI 343 A9562 34309572 HC INDIUM IN-111 PENTENT UP TO 6 MCI 343 A9572 34309580 HC F-18 SODIUM FLUORIDE 343 A9580 36090118 HC DESTRUCTION ANAL LESION(S) 360 34309582 HC MIBG PER DOSE 343 A9582 34390505 HC T1- 201 THALLOUS 4MCI 343 A9505 34400001 HC QUADRAMET UP TO 150 MCI (SM 153) 344 A9604 35000030 HC CT HEART,W/O W/CALCIUM SCORE 350 27201787 HC ATHERECTOMY DEVICE PANTHERIS 272 C1714 35070486 HC CT MAXXILLOFACIAL W/O CONT 350 70486 35070490 HC CT NECK W/O CONTRAST 350 70490 35070491 HC CT NECK WITH CONTRAST 350 70491 35070492 HC CT NECK W W/O CONTRAST 350 70492 35070496 HC CTA HEAD W W/O CONTRAST 350 70496 35070498 HC CTA NECK W W/O CONTRAST 350 70498 35071250 HC CT CHEST W/O CO 350 71250 35071275 HC CTA CHEST W W/O CONTRAST 350 71275 35072191 HC CTA PELVIS W W/O CONTRAST 350 72191 35072292 HC CT GUID VERTBRPLSTY OR KYPOPL 350 72292 35073192 HC CT PELVIS W/O CONTRAST 352 72192 35073206 HC CTA UP EXT W W/O CONTRAST 350 73206 35073706 HC CTA LOW EXT W W/O CONTRAST 350 73706 35074175 HC CTA ABDOMEN W W/O CONTRAST 350 74175 35074261 HC CT COLONOGRAPHY DX W/O CONTR 350 74261 35074263 HC CT COLONOGRAPHY-SCREENING 350 74263 35075571 HC CT CARDIAC SCORING 350 75571 35075572 HC CT CHEST-PRE CARDIAC ABLATION 350 75572 27207070 HC ADVINGER OCELOT CTO CROSSING CATH 272 C1887 35075573 HC CT HEART STRUCT MORP 4 COG HR 350 75573 35075574 HC CTA HEART CORNRY ARTERIES 350 75574 35075635 HC CTA-TRAUMA ABDOMEN W/ RUN-OFF 350 75635 35075989 HC CT GUID/PERC ABS DRAINAGE 350 75989

45 30188780 HC ALBUMIN,PLEURAL FLUID 301 82042 35076376 HC CT 3D INTERPRET NO POSTPROCES 350 76376 35076377 HC CT 3D INTERPRET W/POSTPROCESS 350 76377 30188781 HC AMYLASE,PLEURAL FLUID 301 82150 35076380 HC CT LIMITED STUDY 350 76380 30188782 HC CREATININE,PLEURAL FLUID 301 82570 35077011 HC CT GUIDANCE STEREOTACTIC BX 350 77011 35077012 HC CT GUIDANCE 350 77012 30188783 HC GLUCOSE,PLEURAL FLUID 301 82945 35077013 HC CT GUIDANCE FOR TISSUE ABLAT 350 77013 30188784 HC LDH,PLUERAL FLUID 301 83615 30188785 HC LDH,PERITONEAL FLUID 301 83615 30188786 HC GLUCOSE,SYNOVIAL FLUID 301 82945 35170487 HC CT MAXILOFACAL W/ CONT(INCLUD 351 70487 35170488 HC CT MAXILLOFACIAL W W/O CON 351 70488 30188787 HC URIC ACID,SYNOVIAL FLUID 301 84560 30188788 HC PROTEIN,TOTAL,PLEURAL FLUID 301 84157 30188789 HC PROTEIN,TOTAL,PERITONEAL FLUID 301 84157 27201790 HC SMART ABLATE IRRIGAT TUBING SET BIOSENSE WEBSTER272 35271260 HC CT CHEST W/CONTRAST 350 71260 35271270 HC CT CHEST W W/O CONTRAST 352 71270 36144382 HC ILESCOPY THRU STOMA, BIOPSY SINGLE OR MULTIPLE361 35271275 HC CTA CHEST W W/O CONTRAST 350 71275 35272125 HC CT CERVICAL SPINE W/O CONT 352 72125 35272126 HC CT CERVICAL SPINE W CONTRA 352 72126 35272127 HC CT CERVICAL SPINE W W/O CO 352 72127 35272128 HC CT THORAC SPINE W/O CONTR 352 72128 35272129 HC CT THORAC SPINE W/CONTRAST 352 72129 35272130 HC CT THORAC SPINE W W/O CONT 352 72130 35272131 HC CT LUMBAR SPINE W/O CONT 352 72131 35272132 HC CT LUMBAR SPINE W/ CONTRAS 352 72132 35272133 HC CT LUMBAR SPINE W W/O CON 352 72133 35272193 HC CT PELVIS WITH CONTRAST 352 72193 35272194 HC CT PELVIS W W/O CONTRAST 352 72194 35273200 HC CT UP EXTREMITY W/O CONTR 352 73200 35273201 HC CT UP EXTREMITY W/CONT 352 73201 35273202 HC CT UP EXTREMITY W W/O CONT 352 73202 35273700 HC CT LOW EXT UNI OR BI W/O C 352 73700 35273701 HC CT EXT UNIL OR BILAT W/CON 352 73701 35273702 HC CT LOW EXT UNI OR BIL W W/ 352 73702 35274150 HC CT ABDOMEN W/O CONTRAST 352 74150 35274160 HC CT ABDOMEN WITH CONTRAST 352 74160 35274170 HC CT ABDOMEN W W/O CONTRAST 352 74170 35274174 HC CTA ABD & PELVIS W/CONT INCLUDE W/O IF DONE352 74174 48093724 HC ELECTRONIC ANALYSIS ANTITACHI PACEMAKER SYS480 93724

46 35274176 HC CT ABD-PELVIS W/O CONTRAST 352 74176 35274177 HC CT ABD-PELVIS W/CONTRAST 352 74177 35274178 HC CT ABD-PELVIS W & OR W/O CONT 352 74178 35274262 HC CT COLONOGRAPHY DX W CONTRAST 352 74262 36000046 HC INSERT TIPS 360 36055700 HC PROSTATE BIOPSY 360 55700 36058340 HC INJ PROCEDURE HYSTEROSALP 360 58340 36117999 HC UNLISTED PROCED SUBCUT TISSUE 361 17999 36119000 HC BREAST PUNC/ASP CYST 361 19000 36119001 HC PUNCT ASP BRST CYST - EA ADDTL 361 19001 36119030 HC INJECTION DUCTOGRAM 361 19030 36119120 HC EXCISION ,OPEN, BREAST MASS 361 19120 36119125 HC EXCIS BRST LESION ID BY MARKE 361 19125 36120225 HC DEEP BONE BIOPSY-CT 361 20225 36120501 HC INJECTION OF SINUS TRACT 361 20501 36121116 HC INJ PROCEDURE TMJ 361 21116 36123350 HC INJ PROCEDURE SHOULDER 361 23350 36124220 HC INJECTION ELBOW ARTHOGRAM 361 24220 36125246 HC INJ PROC/WRIST 360 25246 36127093 HC INJ PROC/HIP 361 27093 36127096 HC SI JOINT INJECTION 361 27096 36127648 HC INJ PROC/ANKLE 361 27648 36132400 HC BX PERC NEEDLE PLEURA 361 32400 36132550 HC INSERT INDWELL TUN PLEU CATH 361 32550 36134421 HC THROMBECTOMY-FEMOROPOP VEIN 361 34421 36136000 HC INTRO NEEDLE/INTRACATH,VEIN 361 36000 36136012 HC SEL CATH PCMT VENOUS 2ND ORDE 361 36012 36136014 HC SEL CATH PLMT RT OR LT PUL ART 361 36014 27200430 HC ROTOGLIDE LUBRICANT (BSI) REF# H749235800162272 36136015 HC SELECT CATH PLACEMENT SEGMENT 361 36015 36136160 HC TRANSLUMBAR CATH PLCMT-TLC 361 36160 36136476 HC RF CLOSURE 2ND SAPHENOUS VEIN 361 36476 36136478 HC ENDOVASC LASER ABLAT SAPHEN V 361 36478 36136479 HC ENDOVASC LASER ABLAT 2ND VEIN 361 36479 36136481 HC PERCUTANEOUS PORTAL VEIN CATH 761 36481 36136500 HC VENOUS CATH FOR ORGAN BLOOD S 361 36500 36136558 HC INSERT TUNNELED CVA DEVICE 361 36558 36136561 HC INSERT CVAD W/ SUBCUTST PORT 361 36561 36136580 HC RPLCT CMPT NON TUN CVAD/SA AC 361 36580 36136581 HC RPLMCT CMPLT TUNN CVAD/SA ACC 361 36581 36136584 HC REPLCMT PICC VIA SAME ACCESS 361 36584 36136590 HC REMOVE TUNNELED CVAD W/PORT 361 36590 36136595 HC REMOVE PERICATH MAT'L CVAD 361 36595 36136596 HC REMOVE INTRACATH MATERIAL CVA 361 36596 36136597 HC REPOSITION PREVIOUS PLCD CVAD 361 36597

47 36136598 HC CONT INJ FOR RAD EVAL CVAD FL 361 36598 36137231 HC STENT & ATH TIB/PER WITH PTA 361 37231 36137619 HC IVC LIGATION 361 37619 36137765 HC PHLEBECTOMY 10-20 INCISIONS 361 37765 36137766 HC PHLEBECTOMY > 20 INCISIONS 361 37766 36138505 HC US NEEDLE BX LYMPH NODE 361 38505 36138792 HC SENTINEL NODE INJ(W/O IMAGING 361 38792 36143752 HC PLCMT NASO/ORO GASTRIC TUBE 361 43752 27801505 HC VASCADE VASC CLOSURE SYS REF #700-5801-01U278 C1760 36143761 HC REPOSITION GASTRIC FEED TUBE 361 43761 36147000 HC CT BIOPSY PERC NEEDLE LIVER 361 47000 36148102 HC BIOPSY-PANCREAS 361 48102 36149083 HC ABDOM PARACENTESIS W/IMAGING 361 49083 36149084 HC PERITONEAL LAVAGE W/IMAGING 361 49084 36149180 HC ABD OR RETROPERITONEAL BX 361 49180 36149418 HC INSERT TUN IP CATH PERC 361 49418 36149423 HC EXCHANGE PREV PLACD DRAIN CAT 361 49423 36149424 HC INJECT FOR EVAL OF ABCESS/CYS 361 49424 36149427 HC INJECT PROC TO EVAL PREV SHUN 361 49427 36149441 HC PLCMT J TUBE INCLUDES FLUORO 361 49441 36149450 HC REPLACEMENT OF G-TUBE W/FLURO 361 49450 36149465 HC INJ FOR EXISTING J OR G TUBE 761 49465 40100279 HC DIAG DIGITAL BREAST TOMOSYNTH UNILAT/BILAT401 G0279 36150200 HC BIOPSY PERC NEEDLE RENAL 361 50200 36150382 HC PERCU URETERAL STENT EXCHANGE 361 50382 36150385 HC REMOVE/EXCHANGE URETERAL STEN 361 50385 36150387 HC REMOVE/REPLACE URET STENT BIL 361 50387 36150389 HC REMOVE NEPHO TUBE W/FLUORO 361 50389 36150390 HC ASPIR INJ RENAL CYST OR PELVI 361 50390 36150593 HC CT GUIDED RENAL CRYOABLATION 361 50593 36151102 HC INSERT SUPRAPUBIC CATH 361 51102 36151600 HC INJ PROCEDURE CYSTO/URETO 361 51600 36151605 HC INJ PROCEDURE OF CHAIN 360 51605 36151610 HC INJECT RETROGRADE URETHROCYST 361 51610 36160100 HC THYROID BX CORE NEEDLE 361 60100 36162272 HC LUMBAR PUNCT DRAIN FLUID 761 62272 36162284 HC INJ PROCEDURE FOR MYLEOG-LUMBAR 360 62284 36162290 HC DISCOGRAPHY EA LEV LUMBAR 361 62290 39009035 HC PLATELETS PHERESIS LEUKOCYTES REDUCED EA UNIT390 P9035 36164476 HC FACIAL INJECT EA ADD LUM LEVE 360 64476 36164493 HC FACET INJ LBR OR SACRL 1ST LV 361 64493 36164494 HC FACET INJ 2ND LEVEL INCL IMG 361 64494 36164495 HC FACET INJ 3RD & EA ADD'L LEVE 361 64495 36164610 HC DESTRUCTION TRIGEMINAL NERVE 360 64610 30101065 HC ALCOHOL URINE QUANT 301 80320

48 36164612 HC CHEMODENERVATION FACE NRV MUS 361 64612 94700025 HC BED TOTAL LIFT W/SCALE 425 LB 947 40177056 HC MAMMOGRAM BILAT SCREEN 401 77056 94700030 HC MATTRESS AIR STAGE 4 FOR TOTAL LIFT BED 947 94700031 HC MATTRESS DOLPHIN 10" REPLACEMENT 500LB 947 94700034 HC MATTRESS XPRT LAT ROT PERC/VIBRT LAL 947 40200389 HC US AAA SCREENING 402 76706 40251798 HC RESIDUAL URINE BY ULTRASOUND 761 51798 40276506 HC US ECHOENEPHGRPY NATAL 402 76506 40276645 HC US BREAST 402 76645 40276700 HC US ABDOMINAL SCAN 402 76700 40276770 HC US-RETROPERITONIUM 402 76770 40276775 HC US-RETROPERITONIUM-LIMITED 402 76775 40276776 HC US TRSPLTED KIDNEY 402 76776 40276800 HC US-LUMBAR SPINE 402 76800 40276801 HC US FETAL 1ST TRIMESTER<14 WEEKS 402 76801 94700033 HC MATTRESS ST1400 LAL/AP MRS W/BOLSTER 500LB947 36X80X7 40276802 HC US-FTL 1ST TRMSTR-ADDL FET 402 76802 40276805 HC US FET SCAN W/ TV > 14 WEE 402 76805 40276810 HC US-EA ADDTL GESTATION>14WK 402 76810 40276819 HC US-FET BIOPHY PROFLE WO ST 402 76819 94700035 HC MATTRESS ARISE 1000EX LAL/PULSE MATT W/CARERAIL947 40276830 HC US-TRANSVAGINAL IMAGING 402 76830 40276856 HC US PELVIC SCAN 402 76856 40276857 HC US LIMITED BLADDER SCAN 402 76857 40276870 HC US-TESTICULAR SCAN 402 76870 94700027 HC BED BARI 10-A BARIATRIC 1000LBS 947 40276872 HC US TRANSRECTAL 402 76872 40276881 HC US EXTREM NON VASC COMPLET 402 76881 40276882 HC US EXTREM NON VAS LIMITED 402 76882 94700028 HC BED ONCARE HARMONY HI LO 947 94700036 HC MATTRESS SKIN GUARD LAL/PULSE/AP 360LB 947 94700037 HC MATTRESS THERA-TURN MILLENNIUM PLUS BARIATRIC947 SURFACE 750LBS 40377057 HC MAMMOGRAM BILAT SCREEN 403 77057 40478459 HC PET-HEART MUSCLE-METABLIC EVA 404 78459 40478491 HC PET-MYOCARD SNG STDY REST/STR 404 78491 40478492 HC PET-MYOCR MLTP STDY REST/STRE 404 78492 40478608 HC PET-BRAIN-METABOLIC EVALUATIO 404 78608 40478609 HC PET BRAIN PERFUSION EVALUATIO 404 78609 94700038 HC MATTRESS SKIN GUARD BARIATRIC 947 40478811 HC PET-TUMOR IMAGING LIMITED ARE 404 78811 40478812 HC PET TUM IMG SKLL BASE TO MID 404 78812 40478813 HC PET TUMOR IMAGE WHOLE BODY 404 78813 40478814 HC PET/CT LIMITED AREA 404 78814 94700039 HC MATTRESS THERA-TURN STANDARD 500LBS 947

49 40478815 HC PET/CT SKULL/MID THIGH 404 78815 40478816 HC PET/CT WHOLE BODY 404 78816 48137209 HC EXCHANGE OF ART CATH/THROM TX 361 37209 61008900 HC MRA ABDOMEN W CONTRAST 610 C8900 61008901 HC MRA ABDOMEN W/O CONTRAST 610 C8901 61008902 HC MRA ABDOMEN W W/O CONTRAST 610 C8902 61008903 HC MRI BREAST UNILAT W CONTRAST 610 C8903 61008904 HC MRI BREAST UNILAT W/O CON 610 77046 61008905 HC MRI BREAST UNILAT W W/O CONTR 610 C8905 61008906 HC MRI BREAST BILAT W/ CONTRAST 610 C8906 61008907 HC MRI BREAST BIL W/O CONTRAST 610 77047 61008908 HC MRI BREAST BILAT W W/O CONTR 610 C8908 61008909 HC MRA- CHEST WITH CONTRAST 610 C8909 30600980 HC HPV16 & 18/45 BY TMA 306 87625 61008910 HC MRA CHEST W/O CONTRAST 610 C8910 61008911 HC MRA-CHEST W W/O CONTRAST 610 C8911 61008912 HC MRA-LOWER EXT WITH CONTRAST 610 C8912 61008913 HC MRA-LOWER EXT W/O CONTRAST 610 C8913 61008914 HC MRA LOWER EXT W W/O CONTRAST 610 C8914 61070540 HC MRI ORBIT,FACE,NECK,W/O CONTR 610 70540 61070542 HC MRI ORBIT FACE,NECK,W/CONTRAS 610 70542 61070543 HC MRI ORBIT,FACE,NECK W/ W/O CO 610 70543 62400002 HC BIOFREEDOM STUDY STENT/LEADERS FRE II 624 C1874 61070544 HC MRA-HEAD W/O CONTRAST 610 70544 61070545 HC MRA-HEAD W/ CONTRAST 610 70545 61070546 HC MRA-HEAD W/ W/O CONTRAST 610 70546 61070547 HC MRA-NECK W/O CONTRAST 610 70547 61070548 HC MRA-NECK W/ CONTRAST 610 70548 61070549 HC MRA-NECK W/W/O CONTRAST 610 70549 61071550 HC MRI CHEST W/O CONT(HILAR/MED) 610 71550 61071551 HC MRI CHEST W CONT HILAR/MED 610 71551 61071552 HC MRI CHEST W W/O CONT HILAR/ME 610 71552 61072195 HC MRI PELVIS W/O CONTRAST 610 72195 30603021 HC RESP. VIRUS 12-25 TARGETS 306 87633 61072196 HC MRI PELVIS W/CONTRAST 610 72196 61072197 HC MRI PELVIS W/ W/O CONTRAST 610 72197 61073218 HC MRI UP EXT RT W/O CONT 610 73218 61073219 HC MRI UP EXT RT W/ CONT 610 73219 30603022 HC RESP. VIRUS AMPLIFIED PROBE 306 87798 61073220 HC MRI UP EXT RT W/WO CONTR 610 73220 61073221 HC MRI UP EXT JT RT W/O CONT 610 73221 61073222 HC MRI UP EXT JT W/ CONTR 610 73222 61073223 HC MRI UPPER EXT JOINT-W W/O CONTR 610 73223 30603023 HC CHLAMYDIA PNEUMONIAE 306 87486 61073225 HC MRA UP EXTREMITY W OR W/O CON 610 73225

50 61073718 HC MRI LOW EXT W/O CONTRAST 610 73718 61073719 HC MRI LOWER EXT W/CONTRAST 610 73719 61073720 HC MRI LOW EXT W/W/O CONT 610 73720 30603024 HC MYCOPLASMA PNEUMONIAE 306 87581 61073721 HC MRI LOW EXT JOINT W/O CONT 610 73721 61073722 HC MRI LOW EXT JOINT W/ CONTR 610 73722 61073723 HC MRI LOW EXT JOINT WWO CONT 610 73723 61074181 HC MRI ABDOMEN W/O CONTRAST 610 74181 61074182 HC MRI ABDOMEN W/CONTRAST 610 74182 61074183 HC MRI ABDOMEN W W/O CONTRAST 610 74183 61076390 HC MR SPECTROSCOPY 610 76390 61170551 HC MRI BRAIN W/O CONTRAST 611 70551 61170552 HC MRI BRAIN W/CONTRAST ONLY(CAL 611 70552 61170553 HC MRI BRAIN W W/O CONTRAST 611 70553 61272141 HC MRI CERVICAL SPINE W/O CONTRA 612 72141 61272142 HC MRI CERVICAL SPINE W CONTRAST 612 72142 61272146 HC MRI THORACIC SPINE W/O CONTRA 612 72146 61272147 HC MRI THORACIC SPINE WITH CONTR 612 72147 61272148 HC MRI LUMBAR SPINE W/O CONTRAST 612 72148 61272149 HC MRI LUMBAR SPINE W CONTRAST 612 72149 61272156 HC MRI CERVIC.SP W/ W/O CONTRAST 612 72156 61272157 HC MRI THORACIC SPINE W/ W/O CON 612 72157 61272158 HC MRI LUMBAR SPINE W W/O CONTRA 612 72158 61900001 HC MRCP 619 S8037 62100003 HC US-BX PROSTATE NEEDLE 621 62100004 HC ANGIOCATH 621 62100005 HC ANGIOSET 621 62100006 HC COOK CATH 621 62100007 HC CORDIS CATH 621 62100008 HC CATHETER FOLEY 621 62100009 HC MEDITECH CATH 621 62100010 HC MEDITECH APD CATH 621 62100011 HC CATH EXTENSIONS 621 62100012 HC COAXIAL INFUSION SET 621 62100013 HC COLL BAG 621 90002012 HC MH TREATMENT GROUP-HOURLY LISW/LSW 900 H2012 62100014 HC CORDIS SHEATH 621 62100015 HC TRAY CT BIOPSY 621 62100016 HC COOK RING BILIARY DRAINAG 621 62100017 HC COOK 14FR MALECOT DR SET 621 62100018 HC COOK COPE LOOP BIL DR SET 621 62100019 HC EMESIS BASIN 621 62100020 HC EVAC-U-KIT 621 62100021 HC GLIDEWIRE 621 62100022 HC COOK GUIDEWIRE 621

51 62100023 HC CORDIS GUIDEWIRE 621 62100024 HC HYSTEROSALPNGOGRM TRAY 621 62100025 HC INJECTION COVER 621 62100026 HC MEDITECH ONE ST INTR SYS 621 62100027 HC MEDITECH VON SONN SUMP 621 62100028 HC COOK NEPHES PIG CATH ONLY 621 62100029 HC O2 CANNULA 621 62100030 HC O2 TUBING 621 62100031 HC PERC ENTRY NEEDLE 621 62100032 HC USCI SHEATH 621 62100033 HC SPEC PROC STERILE SETUP 621 62100034 HC STOPCOCK 2-WAY 621 62100035 HC STOPCOCK 3-WAY 621 62100036 HC TRANSDUCERS(NAMIC) 621 62100037 HC VASCULAR NEEDLE 621 62100039 HC DISPOSABLE BX DEVICE 621 76136450 HC SPIDER VEIN TREATMENT 761 36468 76136470 HC INJECTION SCLEROS SOL SNG VEI 761 36470 76136471 HC INJECT SCLEROS SOL MULT VEIN 761 36471 76136475 HC RF CLOSURE SAPHENOUS VEIN 361 36475 17200001 HC NEWBORN CARE LEVEL II 172 17300001 HC NEWBORN CARE LEVEL III 173 17400001 HC NEWBORN CARE LEVEL IV 174 36036510 HC UMBILICAL VEIN CATHERIZATION 761 36510 36136620 HC ARTERIAL CATH FOR ABGS 761 36620 36136660 HC UMBILICAL ARTERY CATHERIZATIO 761 36660 72354150 HC CIRCUMCISION 723 54150 76100113 HC INTUBATION 761 31500 90002019 HC TBS RN 1:1 PER 15 MINS 900 H2019 76100119 HC NG/ORO-GASTRIC TUBE PLACEMENT 761 30600001 HC AFB CONCENTRATION 306 87015 40276936 HC US CMPRN REPAIR ARTL PSEUDOARYSM/FSTL 402 76936 30600005 HC STOOL CAMPYLOBACTER 306 87046 30600006 HC ROUTINE CULTURE/CSF 306 87070 90000005 HC SUD GROUP PER 15 MINS LISW/LSW 900 H0005 90000006 HC ALCOHOL AND OR DRUG SERVICES CASE MGMT PER900 15 MIN LISWH0006 LSW 30600021 HC BACT CULT ID/ANAEROBE 306 87076 30600022 HC BACT CULT ID DEFINITIVE 306 87076 90000015 HC SUD IOP GROUP LISW/LSW 900 H0015 30062748 HC ALCOHOL &/OR OTHER DRUG TEST COLLECT & HANDLE918 LISW/LSWH0048 40177061 HC DIGITAL BREAST TOMOSYNTHESIS UNILATERAL SCREEN401 77061 30600043 HC STREP C AGGLUTINATION 306 87147 30600044 HC STREP F AGGLUTINATION 306 87147 30600045 HC STREP G AGGLUTINATION 306 87147 30600046 HC STREP B OR STAPH AGGLUTINATIO 306 87147

52 30600052 HC E TEST 3 306 87181 40377063 HC SCREENING DIGITAL BREAST TOMOSYNTHESIS BILAT403 77063 30600053 HC OXACILLIN/VANCOMYCIN AGAR SCREEN 306 87181 30600054 HC SENSITIVITY/KB 306 87184 30600055 HC BETA LACTAMASE 306 87185 30600056 HC SENSITIVITY/MIC 306 87186 30600057 HC GRAM STAIN 306 87205 36131652 HC BRNCHSC EBUS GUIDED SAMP 1 OR MORE NODE STAT/STRUX361 31652 30600060 HC TRICHROME STAIN 306 87209 36131654 HC BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH361 LES 31654 91420785 HC PSY TX COMPLEX INTERACTIVE (ADD-ON) LPCC LPC914 90785 91430785 HC PSY TX COMPLEX INTERACTIVE (ADD-ON) LIDCC LCDC914 III LCDC90785 II 90020791 HC PSYCH DIAGNOSTIC EVALUATION LPCC/LPC 900 90791 90030791 HC PSYCH DIAGNOSTIC EVALUATION LICDC/LCDC III/LCDC900 II 90791 43420010 HC O.T.IND.PSYCH TREATMENT 16-37 MINS LPCC/LPC434 90832 91402000 HC INDIVIDUAL THERAPY 16-37 MINS LPCC/LPC 914 90832 17100001 HC NEWBORN CARE LEVEL I 171 91420832 HC PT 1:1 OR W FAM 16-37 MIN LPCC/LPC 914 90832 39136450 HC EXCHANGE TRANSFUSION 391 36450 91430832 HC PT 1:1 OR W FAM 16-37 MIN LICDC/LCDC III/LCDC914 II 90832 91420834 HC PT 1:1 OR W FAM 38-52 MIN LPCC/LPC 914 90834 91430834 HC PT 1:1 OR W FAM 38-52 MIN LICDC/LCDC III/LCDCII914 90834 12100001 HC ROOM DAILY CHARGE 121 91420837 HC PT 1:1 OR W FAM > 53 MINS LPCC/LPC 914 90837 91430837 HC PT 1:1 OR W FAM > 53 MINS LICDC/LCDCIII/LCDCII914 90837 20600001 HC ROOM DAILY STEPDOWN 206 26096360 HC IV HYDRAT THER INIT 31MIN-1HR (96360) 260 96360 26096361 HC IV INFUSION HYD EA ADD'L HR (96361) 260 96361 26096365 HC IV MED INIT OR SNGL DRG 1ST H (96365) 260 96365 26096366 HC IN INFUS,TX,DX,PROP EA ADD HR (96366) 260 96366 26096367 HC ADD'S SEQUENT INF UP TO 1 HR (96367) 260 96367 26096368 HC CONCURRENT INFUSION (96368) 260 96368 90020840 HC PSYCHOTHERAPY FOR CRISIS,EA ADD'L 30 MIN LPCC/LPC900 90840 36119020 HC I & D BREAST ABCESS 761 19020 90020340 HC PSYCHOTHERAPY FOR CRISIS,EA ADD'L 30 MIN LICDC/LCDC900 III/LCDC90840 II 91420846 HC FAMILY THERAPY WO PT 50 MIN LPCC/LPC 916 90846 91430846 HC FAMILY THERAPY WO PT 50 MIN LICDC/LCDCIII/LCDCII916 90846 91620847 HC FAM & PT 50 MIN LPCC/LPC 916 90847 36144500 HC N/G TUBE INSERTION 761 44500 91630847 HC FAM & PT 50 MIN LICDC/ LCDC III/LCDC II 916 90847 91620849 HC MULTI-FAMILY GROUP THERAPY LPCC/LPC 916 90849 91630849 HC MULTI-FAMILY GROUP THERAPY LICDC/LCDC III/LCDC916 II 90849 45036680 HC PLCMT FOR INTRAOSSEOUS INFUSE 761 36680 45051701 HC URETHERAL CATH/STRAIGHT 761 51701 91520853 HC GROUP THERAPY NOT MULTI-FAMILY LPCC/LPC 915 90853

53 45062270 HC LUMBAR PUNCTURE 761 62270 45069210 HC CERUMEN REMOVAL, REQ INSTRUMENT, UNILATERAL761 69210 45096374 HC IVP INJECTION INITIAL (96374) 260 96374 45096375 HC EA ADD'L SEQ IV PUSH NEW DRUG (96375) 260 96375 45096376 HC EA ADD'L SEQ IV PUSH SAME DRU (96376) 260 96376 48092960 HC CARDIOVERSION- 480 92960 91530853 HC GROUP THERAPY NOT MULTI-FAMILY LICDC/LCDC915 III/LCDC II 90853 94520853 HC THREE HOUR GROUP THERAPY LPCC/LPC 915 90853 51011042 HC DEBRID SKIN & SUBQ 1ST 20SQCM 510 11042 94530853 HC THREE HOUR GROUP THERAPY LICDC.LCDCIII,LCDCII915 90853 51011043 HC DEBRID SKN,SUB TISS,MUSCL 510 11043 94520002 HC TWO HOUR GROUP THERAPY LPCC/LPC 915 90853 94530002 HC TWO HOUR GROUP THERAPY LICDC/LCDC111/LCDCII915 90853 51097605 HC VAC DRESSING < 50CM 761 97605 91502003 HC CONTINUING CARE-GRP-OP LPCC/LPC 915 90853 51097606 HC VAC DRESSING > 50CM TRACKING 761 97606 91530003 HC CONTINUING CARE-GRP-OP LICDC/LCDC111/LCDC11915 90853 91520004 HC GROUP THERAPY LPCC/LPC 915 90853 73093041 HC EKG (LEAD II) DONE IN CCU / B 730 93041 90002005 HC SUD GROUP PER 15 MINS LPCC/LPC 900 H0005 76100100 HC ANALYSIS/REFILL/MIXTURE PUMP 761 76100101 HC APPLY SPLINTING 761 90003005 HC SUD GROUP PER 15 MINS LICDC/LCDCIII.LCDCII 900 H0005 90002006 HC ALCOHOL AND OR DRUG SERVICES CASE MGMT PER900 15 MIN LPCCH0006 LPC 90003006 HC ALCOHOL AND OR DRUG SERVICES CASE MGMT PER900 15 MIN LCDCIIIH0006 LCDCII 90002015 HC SUD IOP GROUP LPCC/LPC 900 H0015 90003015 HC SUD IOP GROUP LICDC/LCDCIII/LCDCII 900 H0015 76100118 hc nerve block diagnostic or ther 761 90022020 HC MH DAY TREATMENT GROUP ACTIVITIES-PER DEIM900 LPCC/LPC H2020 76100127 HC BRONCHOSCOPY ENDOSHEATH-BEDSI 761 76116000 HC BURN TREATMENT 1ST DEGREE 761 16000 76116020 HC BURN DEBRIDEMENT< 5% 761 16020 30188790 HC LEAD, VENOUS 301 83655 76116025 HC BURN 2ND DEGREE 5-10% 761 16025 76116030 HC BURN LARGE > 10% 761 16030 76120600 HC ASPIR & OR INJECT SMALL JOINT W/O US GUID 761 20600 76120605 HC ASPIRATE & OR INJECT INTER JT W/O US GUID 761 20605 76120610 HC ASPIRATI & OR/INJECT LG JOINT W/O US GUID 761 20610 76123500 HC CLOSED TX CLAVICAL FX,W/O MAN 761 23500 76123650 HC CLSD TX OF SHLDR DISCLOC,NO A 761 23650 76128090 HC FB REMOVAL FOOT 761 28190 76169200 HC REMOVE FOREIGN BODY EAR 761 69200 76201000 HC OBSER MED/SURG PER HOUR 762 76201001 HC ISOL OBSER PER HR 762 76201003 HC STEPDOWN OBSERV PER HR 762

54 76201004 HC CCU OBSERVATION PER HR 762 76201005 HC DIRECT ADMIT TO OBSERVATION 762 G0379 77190472 HC ADD'L IM/SQ VACCINE IMMUN INJ 771 90472 92000111 HC ESOPHAGUS,GASTROESP REF TEST 920 91034 34178099 HC UNLISTED NUC MED ENDOCRINE PROCEDURE 341 78099 92095807 HC THER.OXY.PNEUMOCARDIOGRAM = T 920 95807 92495044 HC ALLERGY PATCH TESTING - INCLU 924 95044 34178800 HC RP LOCLZJ TUMOR/DSTRBJ AGENT LIMITED AREA341 78800 27207072 HC WORLEY CSG SAFE SHEATH 109M 272 C1892 30105021 HC TRYPTASE 301 83520 27801506 HC MEDTRONIC TYRX ABSORBABLE ANTIBACT ENVELOPE278 12200001 HC ROOM DAILY CHARGE 122 30105022 HC FECAL REDUCING SUB 301 84376 27207073 HC THERMO COOL SMART TOUCH CONTACT SENSING 272CATHETER SFC1732 36000012 HC D & C (DILATATION & CURETTAGE 360 36058600 HC BPS OUTPATIENT OCCURENCE 360 58600 36058605 HC BPS, DURING POSTPARTUM HOSPIT 360 58605 36100001 HC INCISION & DRAIN ABCESS 361 36146320 HC EXTERNAL THROMBY HEMORRHOIDEC 761 46320 36159000 HC AMNIOCENTESIS 402 59000 36159320 HC CERCLAGE OF CERVIX (INCLUDES 360 59320 37000001 HC GENERAL ANES 1ST HALF HR 370 48033221 HC INSERT PACEMAKER GENERATOR ONLY W EXISTING480 MULTIPLE LEADS33221 37000004 HC REG. ANES EA ADD'L 1/4 HR 370 35261270 HC CT CHEST LIMITED W W/O CONTRAST 352 71270 40276815 HC OB U.S. LIMITED 402 76815 27207074 HC ANGIOJET DVT ZELANTE 272 C1757 40276816 HC OB U.S. REPEAT EXAM 402 76816 40276817 HC US TRANSVAGINAL IMAGING-OB 402 76817 27207075 HC JETSTREAM XC 272 C1724 40276946 HC US FOR AMNIOCENTESEIS 402 76946 45099291 HC CRITICAL CARE 1ST 75 MINUTES 450 99291 30182270 HC FECAL GUAIAC COLORECTAL NEOPLASM SCREENING301 82270 45099292 HC CRITICAL CARE ADD 30 MINUTES 450 99292 51010060 HC I & D SIMPLE ABCESS 761 10060 51010061 HC I & D OF ABCESS,COMPLEX 361 10061 51010140 HC DRAINAGE OF SEROMA/HEMATOMA 510 10140 51010180 HC I&D COMPLEX POSTOP WOUND INFE 361 10180 30182272 HC FECAL GUAIAC GENERAL BLOOD CHECK 301 82272 71000003 HC OB RECOVERY I 1ST 1/2 HR 710 71000004 HC OB RECOVERY I ADD'L 1/4HR 710 36119300 HC MASTECTOMY FOR GYNECOMASTIA 361 71000005 HC OB RECOVERY II 1ST 1/2 HR 710 71000006 HC OB RECOVERY II ADD'L 1/4H 710 34178808 HC INJECT PROCEDURE FOR DRUG LOCAL NON IMAGE341 PROBE STUDY,78808 IV

55 71000007 HC OB RECOVERY III 1ST 1/2HR 710 71000008 HC OB RECOVERY III ADD'L 1/4 710 63609999 HC PURAPLY OR PURAPLY AM WASTAGE PER SQ CM 636 Q4195 72100004 HC INDUCTION - FIRST HOUR 721 72159200 HC INSERT CERVICAL DILATOR 721 59200 72200001 HC VAGINAL DELIVERY (NOW INCLUDE 722 72200002 HC VAG DELIVERY COMPLICATED 722 72200004 HC C-SECTION DELIVERY (NOW INCLU 729 72200005 HC C-SECT DELIVERY COMPLICATED 729 72259414 HC DELIVERY OF PLACENTA ONLY (IN 722 59414 76162273 HC INJECT, EPIDUR BLOOD.CLOT PAT 761 62273 92059025 HC NON STRESS TEST (NST) 920 59025 26096521 HC REFILL & MAINTENANCE PORT PUM 260 96521 26096523 HC IRRIGAT IMPLTED CVAD DRUG DEL 260 96523 29004280 HC ADHES SKIN ATTACH BREAST PROT 290 A4280 30036415 HC LAB DRAW/VENIPUNCTURE 300 36415 31000910 HC CD 117 IHC QUANTIATIVE 310 88360 30036416 HC BLOOD DRAW CAPILLARY 300 36416 30036591 HC BLOOD COLLECT VEN ACC DEV 300 36591 31000911 HC CD 138 IHC QUANTIATIVE 310 88360 30036592 HC COLLECTION OF BLOOD FROM PICC 300 36592 33196401 HC CHEMO, S-Q/IM,NON HORMN ANTIN 331 96401 31000912 HC CD 134 IHC QUANTIATIVE 310 88360 33196402 HC CHEMO SQ IM HORMONAL & NEOPL 331 96402 33377280 HC SIMULATION SIMPLE 333 77280 33377285 HC SIMULATION INTERMEDIATE 333 77285 33377290 HC SIMULATION COMPLEX 333 77290 33377295 HC SET RADIATION THERAPY FIELD 3D 333 77295 33377300 HC BASIC DOSIMETRY CALC 333 77300 33377301 HC IMRT PLAN 333 77301 33377310 HC ISODOSE PLAN INTERMEDIATE 333 77310 33377331 HC THERMO/MICRO DOSIMETRY 333 77331 33377332 HC TREATMENT DEVICE SIMPLE 333 77332 33377333 HC TREATMENT DEVICE INTERMEDIATE 333 77333 33377334 HC TREATMENT DEVICE COMPLEX 333 77334 30600990 HC HEPATITIS C NS5A DRUG RESISTANCE 306 87902 33377336 HC CONTINUING PHYSICS 333 77336 33377338 HC DESIGN MLC DEVICE FOR IMRT 333 77338 33377370 HC SPECIAL PHYSIC CONSULT 333 77370 75043260 HC ERCP PROCEDURE 750 75043274 HC ERCP STENT PLCMT BILIARY/ PANCR DUCT 750 75043275 HC ERCP REMOVE FOREIGN BODY STENT/BILIARY/PANC750 DUCT 33377412 HC TX-COMPLEX GREATER THAN 1 MEV 333 77412 75043276 HC ERCP BILIARY/PANCR DUCT STENT EXCHANGE W 750DIL & WIRE 75043277 HC ERCP BALLOON DILATE BILIIARY PANC DUCT AMPULLA750 EA

56 33377417 HC PORT IMAGE VERIFICATION 333 77417 33377418 HC IMRT TREATMENT DELIVERY 333 77418 27403808 HC WHFO RIGID W/O JOINTS 274 L3808 33377470 HC SPECIAL TREAT PROCEDURE 333 77470 27403925 HC FO PIP DIP JOINT.SPRING PRE OTS 274 L3925 33596409 HC CHEMO, IV PUSH 335 96409 33596411 HC CHEMO IVP,EA ADD'L SUBST/DRUG 335 96411 27403906 HC WHO W/O JOINTS CF 274 L3906 33596413 HC CHEMO, IV UP TO 1 HR 335 96413 33596415 HC CHEMO,EA ADDL HR UP TO 8 335 96415 27403933 HC FO W/O JOINTS CF 274 L3933 33596416 HC CHEMO IV TX,DX,> 8 HRS W/ PUM 335 96416 33596417 HC EA ADDL SEQ CHEMO INFUS 1ST H 335 96417 27403763 HC EWHO RIGID W/O JOINTS CF 274 L3763 35077014 HC CT TREATMENT PLANNING 350 77014 27403806 HC WHFO W JOINT(S) CUSTOM FAB 274 L3806 51051720 HC BLADDER INSTILL OF ANTICA AGN 510 51720 27403927 HC PIP DIP NO JOINT 274 L3927 51099202 HC OUTPATIENT VISIT NEW LVL II 510 99202 51099203 HC OUTPATIENT VISIT NEW LVL III 510 99203 51099204 HC OUTPATIENT VISIT NEW LVL IV 510 99204 51099205 HC OUTPATIENT VISIT NEW LVL V 510 99205 51099211 HC O/P VISIT EST LEV I 510 99211 51099212 HC O/P VISIT EST LEV II 510 99212 51099213 HC O/P VISIT EST LEV III 510 99213 51099214 HC O/P VISIT EST LEV IV 510 99214 27501810 HC COMPIA MRI QUAD CRT-D DTMC 1 QQ 275 C1882 51099215 HC O/P VISIT EST LEV V 510 99215 30600986 HC GENITAL CULTURE NON VAGINAL 306 87081 62100001 HC CONTOUR 621 62100002 HC PERMANENT MARKING 621 30200953 HC TREPONEMA PALLIDUM ANTIBODY 302 86780 30200954 HC : RAPID PLASMA REAGIN SERUM (AKA VDRL) REFLEX302 86592 30200955 HC RAPID PLASMA REAGIN SERUM (AKA VDRL) REFLEX302 TITER 86593 36000036 HC PAIN PROCEDURE (PACU) 360 71000009 HC MONITOR/INJECTION 710 71000010 HC RECVRY LEVEL 1 1ST 1/2 HR 710 71000011 HC RECVRY LEV 1 EA ADD 1/4HR 710 71000012 HC RECVRY LEVEL 2 1ST 1/2 HR 710 71000013 HC RECVRY LEV 2 EA ADD 1/4HR 710 71000014 HC RECVRY LEVEL 3 1ST 1/2 HR 710 71000015 HC RECVRY LEV 3 EA ADD 1/4HR 710 90190870 HC ELECTRO SHOCK PROCEDURE 901 90870 51120552 HC TRIGGER POINT INJ. 1 OR 2 MUS 761 20552 51120553 HC TRIGGER POINT INJ. 3> MUS 761 20553

57 51164405 HC GREATER OCCIPITAL NERVE BLOCK 761 64405 51164420 HC INTERCOASTAL NERVE BLOCK INJ 761 64420 30601000 HC STOOL E COLI 157 MOD 59 306 87046 51164421 HC INJ ANESTH INTERCOST NRV MUL 761 64421 51164425 HC NERVE BLOCK-ILIOING/ILIOHYOGA 761 64425 30101066 HC LAMBDA SERUM MOD 59 301 83883 51164445 HC SCIATIC NERVE,SINGLE 761 64445 30101067 HC LAMBDA FREE URINE MOD 59 301 83883 30200960 HC CARDIOLIPIN IGG SO MOD 59 302 86147 30200961 HC CARDIOLIPIN IGM SO MOD 59 302 86147 30100572 HC KRAS AMPLIFICATION 1 301 83898 30200962 HC C1 ESTERASE INHIBITOR SO MOD 59 302 86160 30100573 HC KRAS AMPLIFICATION 2 301 83898 30100574 HC KRAS SEQUENCING 1 301 83904 30200963 HC COMPLEMENT C4 MOD 59 302 86160 30100575 HC KRAS SEQUENCING 2 301 83904 30100576 HC KRAS LYSIS 301 83907 30200964 HC ANTI-ENA/RNP SO MOD 59 302 86235 30100577 HC KRAS INTERP & REPORT 301 83912 30100578 HC PTHI PRE-INCISION 301 83970 30200965 HC ANTI-ENA/SM SO MOD 59 302 86235 30100579 HC PTHI PRE EXCISION 301 83970 30100580 HC PTHI POST 1 301 83970 30200966 HC ANTI-SSB SO MOD 59 302 86235 30100581 HC PTHI POST 2 301 83970 30100582 HC PTHI POST 3 301 83970 30200967 HC SSA 52 (RO) ENA AB IGG MOD 59 302 86235 30100583 HC PTHI POST 4 301 83970 31000007 HC SURGPATH CONSULT SO 310 88321 30101068 HC NEPHELOMETRY LAMBDA MOD 59 301 83883 31000008 HC KI 67 IMMUNOHISTOCHEMISTRY 310 88360 31000011 HC HER-2/NEU BY FISH ADD'L PROBE 310 88377 31200002 HC SURG PATH EX BIOPSY LEVEL IV 312 88305 31200003 HC GROSS EXAM, TISSUE ONLY 312 88300 31200004 HC SURG PATH EXAM LEVEL II SO 312 88302 31200005 HC HISTOLOGY LEVEL 2 312 88302 31200006 HC HISTOLOGY LEVEL 3 312 88304 31200007 HC BONE MARROW PATHOLOGY 312 88305 31200008 HC HISTOLOGY LEVEL 4 312 88305 31200009 HC BONE DECALCIFICATION 312 88311 31200010 HC HISTOLOGY LEVEL 6 312 88309 31200011 HC BONE DECALCIFICATION 312 88311 31200012 HC SPECIAL STAINS,GRP I 312 88312 31200013 HC STAIN SILVER 312 88312 31200014 HC IRON, TISSUE SO 312 88313

58 31200015 HC SPECIAL STAINS 1 SO 312 88313 31200018 HC SPECIAL STAINS, GRP II 312 88313 31200022 HC FROZEN SECTION 312 88331 31200026 HC IMMUNOPEROXIDASE STAIN 312 88342 31200027 HC IMMUNFLUORESCENT STAIN SO 312 88346 51099490 HC CHRONIC CARE MGMT SVS 20MIN PER MONTH 510 99490 27509022 HC BSCI DYNAGEN X4 CRT-D #G156 275 C1882 51099487 HC COMPLEX CHRONIC CARE W/O PT VISIT (60 MIN PER510 MONTH) 99487 27202077 HC CLEARSITE 272 76162304 HC MYELOGRAPHY LUMBAR INJ INCLUDES RS&I 761 62304 76162302 HC MYLELOGRAM VIA LUMBAR PUNCT/INCL RS&I CERV761 62302 31200034 HC IMMUNFLUORESCENT STAIN SO 312 88350 31200035 HC IMMUNOFLUROSCENT STAIN SO 312 88346 27202076 HC FLOTRAC 272 31200036 HC ELECTRON MICROSCOPY 312 88348 76162305 HC MYELOGRAPHY LUMBAR INJ 2 OR > REG INCLUD RS&I761 62305 76162303 HC MYLEOGRAPHY VIA LUMBAR PUNCT W/RS&I THORACIC761 62303 94209436 HC ALL DAY LAMAZE CLASS 942 S9436 36122513 HC KYPHOPLASTY 1 VERT BODY UNI OR BILAT THORACIC361 22513 94209437 HC REFRESHER LAMAZE 942 S9437 36122515 HC KYPOPLASTY 1 VERT BODY EACH ADD 361 22515 36122514 HC KYPHOPLASTY 1 VERT BODY UNI OR BILAT LUMBAR361 22514 92092250 HC FUNDUS PHOTOGRAPHY WITH INT & REPORT 920 92250 32077086 HC VERT FX ASSESSMENT DEXA 320 77086 34100008 HC MYOCARD IMG PALNER-SNGLE STUD 341 32056085 HC DEXA BONE DENISTY STUDY INCLUDE VERT FX ASSESSMENT320 77085 36100200 HC SACROLASTY PERCUT INJ UNILAT W/DEVICE 361 0200T 36100201 HC SACROPLASTY PERCUT BILAT INJ W/DEVICE 361 0201T 30200968 HC CRP SYNOVIAL FLUID 302 86140 46094726 HC PULM FUNCT TST PLETHYSMOGRAP 460 94726 76120604 HC DRAIN/INJECT SM JOINT/ BURSA W US 761 20604 46094727 HC NITROGEN WASHOUT CURVE 460 94727 76120606 HC DRAIN/INJECT INTERMED JOINT/BURSA W/US 361 20606 94200270 HC MNT-INDIVIDUAL PER 15 MIN 942 G0270 30101069 HC SYNOVIAL FLUID SPHECTOPHOTOMETRY 301 84311 76120611 HC DRAIN/INJECT MAJOR JOINT/BURSA W/US (ARTHOCENT)761 20611 30036417 HC POC PROTIME 305 85610 34309577 HC MULTIHANCE PER 1 ML 636 A9577 76199184 HC HYPOTHERMIA ILL NEONATE 761 99184 34309579 HC GADOLINIUM PER 1 ML 636 A9579 30101070 HC SYNOVIAL FLUID IMMUNOASSAY MULTISTEP 301 83516 39000004 HC HEMASEEL 2ML (TISSEEL) 390 P9012 39000005 HC HEMASEEL 5ML (TISSEEL) 390 P9012 40200346 HC US ELASTOGRAPHY 402 0346T 30101071 HC BUPRENORPHINE URINE SCREEN W/ REFLEX 301 80307

59 40276641 HC US BREAST UNILAT W/IMAGE DOC INC AXILLA WHEN402 DONE COMPLETE76641 40276642 HC US BREAST UNILAT W/IMAGE DOC AXILLA WHEN DONE402 LIMITED76642 36100340 HC CRYOABLATION PULM TUMOR PERCUT W/IMAGE361 0340T 34409606 HC RADIUM RA-223 DICHLORIDE THEUR PER UCI (XOFIGO)344 A9606 76100106 HC CHEST TUBE INSERTION 761 32551 76151705 HC SUPRAPUBIC CATHETER CHANGE 761 51705 36147383 HC CRYOABLATION 1 OR MORE LIVER TUMOR(S) PERCUTANEOUS361 47383 36111201 HC REMOVAL SKIN TAGS EA ADD'L TEN ADD ON 361 27801019 HC MEDTRONIC REVEAL LINQ LOOP RECORDER 278 C1764 36145999 HC UNLISTED PROCEDURE,RECTUM 361 27207054 HC EV3 ENTEER REENTRY CATH 272 C1887 48093260 HC PRGRMING DEV EVAL IMPLTBL SYS 480 93260 48133270 HC INSERT/REPLACE SUBQ DEFIB 481 33270 30100606 HC BLOOD GAS ANALYZE *** 301 82803 91896127 HC BRIEF EMOTIONAL/BEHAV ASSMT 918 96127 36144799 HC UNLISTED PROCEDURE,SMALL INTESTINE 361 41000238 HC THERAPEUTIC RESP FUNCTION 1:1 410 G0238 41000239 HC THERAPEUTIC RES FUNCTION GROU 410 G0239 30101021 HC DRUG SCREEN-URIN 5 PANEL 301 80307 30101022 HC DRUG SCREEN URINE 7 PANEL 301 80307 30101026 HC PAIN MGMT DRUG CLASS ADD'L 301 80307 30101025 HC PAIN MGMT DRUG SCREEN CLASS B 301 80307 30101024 HC PAIN MGMT DRUG SCREEN CLASS A 301 80307 30101023 HC DRUG SCREEN PAIN MGMT 301 80307 30101027 HC DRUG SCREEN BLOOD 301 80307 30101028 HC DRUG SCREEN PAIN MGMT 7 PANEL 301 80307 30101029 HC AMPHETAMINE SCREEN URINE 301 80307 30101030 HC DRUG SCREEN URINE 301 80307 27501788 HC ENDURITY PACEMAKER GENERATOR PM2160 275 C1785 46094375 HC FLOW VOLUME LOOP 460 94375 46094729 HC C0/MEMBANE DIFFUSE CAPACITY 460 94729 46094761 HC PULSE OX MULTIPLE 460 94761 91896110 HC DEVELOPMENTAL SCREEN - THER SERV 918 96110 30106377 HC POC A1C (GLYCO HEMOGLOBIN) 301 83036 51099387 HC HEALTH SCREENING 65 YRS+ 510 99387 73030005 HC ECG 12 LEAD COMPLETE 730 93005 30101031 HC BARBITURATE URINE 301 80307 30101032 HC MARIJUANA URINE CONFIRMATION 301 80349 30101033 HC OPIATE QUALITATIVE URINE 301 80307 94800424 HC PULM REHAB W/EXER 1 HR 948 G0424 74095805 HC MULTI SLEEP LATENCY TEST 740 95805 30101035 HC ASSAY PREGNENOLONE BY LC-MS/MS 301 84140 74095810 HC PSG ONLY (HAS NO CPAP) 740 95810 74095811 HC PSG WITH CPAP 740 95811 92095800 HC SLEEP STUDY UNATTENDED 920 95800

60 92095801 HC SLEEP STUDY UNATTENDED W/ ANALYSIS 920 95801 30101037 HC BENZODIAZEPINE QUALITATIVE URINE 301 80307 92095806 HC SLEEP STUDY UNATT & RESP EFFT 920 95806 92295860 HC EMG ONE EXTREMITY 922 95860 30101038 HC COCAINE URINE CONFIRMATION 301 80353 92295861 HC EMG TWO EXTREMITITES 922 95861 92295863 HC EMG THREE EXTREMITIES 922 95863 92295864 HC EMG FOUR EXTREMITIES 922 95864 76164505 HC NERVE BLOCK SPENOPALATINE GANGLION 761 64505 92295867 HC EMG CRAN SPPLY UNILATERAL 922 95867 92295868 HC EMG CRAN SUPPLY BILATERAL 922 95868 92295869 HC EMG THORACIC PAPRASPNL MUSC 922 95869 45000024 HC CLOSED TX ANKLE FRACT,DISLOC 450 92295870 HC EMG LIMITED STUDY-1 EXTREMITY 922 95870 92295900 HC MOTOR W/O WAVE 922 95900 76200164 HC ISOL PER HOUR PSYCH 762 92295904 HC NERVE STUDY SENSORY OR MIXED 922 95904 42095992 HC CANALITH REPOSITIONING PROC 420 95992 92295934 HC NERVE STUDY H-REFLEX 922 95934 92295937 HC NRV NEURP JUNCTION TESTING 922 95937 27001000 HC MINOR DRESSING CHARGE 270 34078428 HC CARDIAC SHUNT IMAGING 340 78428 31200913 HC IMMUNOPEROXIDASE STAIN ADDITIONAL 312 88341 27501811 HC VIVA XT CRT-D DTBA 1D1 275 C1882 30600991 HC CRE SCREENING 306 87081 30101040 HC IMMUNOASSAY NONANTIBODY 301 83516 30600970 HC CYTOMEG DNA QUANT BY PCR 306 87497 30200949 HC CHROMOGRANIN A 302 86316 30101072 HC PROCALCITONIN 301 84145 30200951 HC ALLERGEN SPECIFIC IGE, QUAT OR SEMIQUANT EA302 ALLERGEN 86003 30101041 HC IMMUNOGLOBIN E 301 82785 30200971 HC REFLEX RPR TITER 302 86593 30000100 HC ASPERGILLUS GALACTOMANNAN ANTIGEN 300 87305 48201000 HC OEHS STRESS TEST 482 93017 27100007 HC ARM SLING & SWATHE 271 36149999 HC PERITONEAL DIALYSIS CATH REPAIR 361 27100014 HC BINDER ABDOMINAL S/XL 271 27100015 HC BIOSEN EXTRENAL REFERENC PATC 271 27100019 HC CLAVICAL STRAP 271 27100027 HC EAR MOLDS NON DISPOSABLE 271 V5264 27403905 HC WHO W NONTORSION JNT(S) CF 274 L3905 27100029 HC FECAL COLLECTOR 271 27403913 HC HFO W/O JOINTS CF 274 L3913 40266641 HC US BREAST BILAT W/IMAGE DOC INC AXILLA WHEN402 DONE COMPLETE76641 27100032 HC MEDTRONIC HDR CARTRIDGES 271

61 27100033 HC MEDTRONIC RED CARTRIDGES 271 40266642 HC US BREAST BILAT W/IMAGE DOC AXILLA WHEN DONE402 LIMITED 76642 27403921 HC HFO W/JOINT(S) CF 274 L3921 27100037 HC INFANT METALBOL SCREEN TEST + 271 30600961 HC MYCOPLASMA PNEUMONIAE BY PCR 306 87581 27801507 HC GOLD FIDUCIAL MARKER 1.2X5.0MM,20CM 278 A4648 27100045 HC KNEE IMMBOLIZER 271 30188748 HC TITANIUM QUANTITATIVE 301 83018 30188749 HC CHROMIUM 301 82495 31100921 HC CHROMOSOME ANAL ADD'L KARYOTYPE 311 88280 30188750 HC COBALT 301 83018 30205013 HC NUCLEAR ANTIBODY (ANA) BY IFA, IGG 302 86039 31000913 HC MORPHOMETRIC ANALYSIS FISH MANUAL 310 88368 27100054 HC MIAMI J CERVICAL COLLAR ALL S 271 30188751 HC PANCREATIC ELASTASE, FECAL 301 83520 27100062 HC MAQUET AXIUS BLOWER MISTER 271 30188752 HC MERCAPTOPURINE AND METABOLITE QUANT 301 80299 27100063 HC QUEST MEDICAL RETRACT O TAPE 271 31000914 HC MORPHOMETRIC ANALYSIS FISH SINGLE PROBE 310 88369 27100064 HC MEDTRONIC OCTOPUS URCHIN KIT 271 30188753 HC RISPERIDONE AND METABOLITE 301 80342 31000915 HC MORPHOMETRIC ANALYSIS FISH MULTIPLEX 310 88377 30205008 HC SMITH (ENA) ANTIBODY, IGG 302 86235 30205009 HC RNP (ENA) ANTIBODY IGG 302 86235 30205010 HC SSA (RO) (ENA) ANTIBODY, IGG 302 86235 30205011 HC SSB (LA) (ENA) ANTIBODY, IGG 302 86235 30205012 HC JO-1 ANTIBODY, IGG 302 86235 27100073 HC MEDTRONIC DLP PRESSURE DISPLAY SET 271 30205014 HC SCLERODERMA (ENA) ANTIBODY, IGG 302 86235 76164415 HC SINGLE NERVE BLOCK INJECTION ARM NERVE 761 64415 30188754 HC CENTROMERE ANTIBODY, IGG 301 83516 30188755 HC FENTANYL AND MEATABOLITE, QUANT. URINE 301 80354 27100085 HC SPLINT,ANKLE AIR 271 76164449 HC INJ LUMBAR PLEXUS POST CONT NFS CATH 761 64449 76120950 HC COMPARTMENT MONITORING 761 20950 27100102 HC TUBING PCEA CS/20 #220098 271 27100105 HC VAC CANNISTER 271 27100106 HC VAC WOUND PUMP 271 41094667 HC MANJ CH WALL FACILITATE LNG FUNCTJ 1 DEMO/EVAL410 94667 27100107 HC VAGINAL DIALATOR 271 27100109 HC WRIST/4ARM SPLINT W/ ABD THUM 271 36022510 HC VERTEBROPLASTY, CERVIOCOTHORACIC 360 22510 27100111 HC BAIR HUGGER UNDER BODY BLANKE 271 36022511 HC VERTEBROPLASTY, LUMBOSACRAL 360 22511 36022512 HC VERTEBROPLASTY, EACH ADDITIONAL VERTEBRAL360 BODY 22512

62 27801136 HC EKOSONIC INFUSION CATHETER 272 C1751 27109282 HC CRAN PROTH tier ii 271 A9282 27200008 HC SILVERHAWK PERIPHERIAL CATH 272 C1714 27200009 HC EV3 TURBOHAWK-HAWK I 272 C1714 27200011 HC MAMMOTOME 14GA PROBE W/VACUUM 272 27200012 HC ROTALINK PLUS 272 C1724 27200013 HC ROTALINK BURS 272 C1724 32065822 HC CL VENOGRAM,BILAT,UP OR LOW EXTR 320 75822 27200014 HC PATHWAY JETSTREAM G2 ATHERECT 272 C1724 27200019 HC SJM EP BALL CATH BVCS6180 272 C1725 27200020 HC EV3 EVERCROSS BALLOON 272 C1725 27200021 HC COOK PTA BALLOON ADVANCE 351P 272 C1725 27201770 HC VP 150 CM GUIDEWIRE 272 C1769 27200022 HC BSCI ULTRA-THIN SDS BALLOON 272 C1725 27201771 HC VP 260 CM GUIDEWIRE 272 C1769 27200024 HC SPECTRANETICS QC SUPPORT CATH 272 C1725 27201772 HC VP CPK XX-11 272 27200025 HC MEDTRONIC SPRINTER NC BALLOON 272 C1725 34309567 HC TC99M PENTETATE AEROSOL (DTPA) PER DOSE 343 A9567 27200027 HC GUIDANT AGILTRAC BALLOON 272 C1725 27200029 HC COOK PTA BALLOON ADVANCE 18LP 272 C1725 27200031 HC CATH,TRANSLUM ANGIOPLASTY ,NO 272 C1725 36164615 HC CHEMODENRV MUSC MIGRAINE 761 64615 27200033 HC BSCI STERLING MONORAIL BALLOO 272 C1725 27200034 HC AVIATOR PLUS BALLOON 272 C1725 27200035 HC OPTA PRO BALLOON CORDIS 272 C1725 27200036 HC NANOCROSS BALLOON 272 C1725 27200037 HC CONQUEST BALLOON 272 C1725 30603015 HC MEASLES STAIN 306 87254 27200038 HC EV3 NANOCROSS BALLOON 272 C1725 27200039 HC COOK PTA BALLOON ADVANCE 14LP 272 C1725 30205016 HC ALLERGEN, MULTI SCREEN QUAL 302 86005 27200040 HC FOX PTA BALLOON CATH-SHORT 272 C1725 30603016 HC TRICHOMONAS VAGINALIS BY TMA 306 87661 27200041 HC CATH BALLOON DIL OTW 272 C1725 30500917 HC PROTEIN S FREE, ANTIGEN 305 85306 27200043 HC CATH BALLOONS BOSTON SCIENIFI 272 C1725 30500918 HC HEPARIN ANTI-XA, UNFRACTIONATED 305 85520 27200044 HC FOX PTA BALLOON CATHETER LONG 272 C1725 30188756 HC LIVER CYTOSOLIC ANTIGEN TYPE 1 AB. IGG 301 83516 27200047 HC BALLON SAVVY PTA 272 C1725 30188757 HC SOLUBLE LIVER ANTIGEN ANTIBODY IGG 301 83516 27200049 HC ABBOTT ARMADA 14 PTA CATHETER 272 C1725 27200050 HC SUBMARINE OR AMPHIRION BALLOO 272 C1725 30205017 HC ANTI-NEUTROPHIL CYTOPLASMIC AB IGG 302 86255

63 27200052 HC ANGIOSCULPT EX,US PTCA CATH 272 C1725 27200054 HC ANGIOSCULPT OTW PTA PER CATH 272 C1725 27200056 HC BSI CUTTING BALLOON 2.5MM 272 C1725 27200057 HC FX MINIRAIL BALLOON DIL CATH 272 C1725 27200058 HC OUTBACK RE-ENTRY CATH 272 C1725 27200059 HC CORDIS PTA BALLOON CATH-PREDA 272 C1725 27200063 HC NONVASC BALLN TISS DISECTR CA 272 C1727 27200065 HC CATHETER DRAINAGE 272 C1729 27200066 HC DRAINAGE CATHETER 272 C1729 27200067 HC ST JUDE EP CATHETER 272 C1730 27200069 HC SJM SUPREME DECAPOLAR 401864 272 C1730 76164416 HC INJECTION ANES BRACHIAL PLEXUS CONT INFS CATH761 64416 27200072 HC SJM CATHETER REF# 401137 272 C1730 27202623 HC BARD LUTONIX 035 DRUG COATED CATH 272 C2623 27200073 HC BIOSEN CS CATH.# BD710DF282R 272 C1730 27200076 HC BSCI EP BLAZER II ABLAT CATH 272 C1730 27201273 HC MEDTRONIC CEMENT DELIVERY SYSTEM 272 27201274 HC MEDTRONIC CEMENT DELIVERY CARTRIDGES 272 76147556 HC BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT761 47556 27200083 HC BIOSEN EZ STEER THER COOL CAT 272 C1732 27201275 HC EUPHORA BALLOON 272 C1725 40468816 HC PET NAF-WHOLE BODY SCAN NOPR 404 78816 27200095 HC EZ STEER ABLAT CATH 175TCF E 272 C1733 27200098 HC PICC CATHETER 272 C1751 27200099 HC INFUSION CATHETER 272 C1751 27200101 HC POWER PICC 272 C1751 27200102 HC GROSHONG CATH,SINGLE LUMEN 272 C1751 27200103 HC GROSHONG CATH,DUAL LUMEN 272 C1751 27200104 HC SHORT TERM DIALYSIS CATHETER 272 C1752 27200105 HC ATLATIS PRO IVUS CATHETER 272 C1753 27200106 HC CATHETER,IVUS 272 C1753 27200107 HC VOLCANO IVUS CATHETER 272 C1753 27200108 HC IVUS VISIONS PV 8.2 CATHETHER 272 C1753 27200109 HC MEDTRONIC PIONEER CATHETER 272 C1753 27200110 HC PATHWAY JETSTREAM G2 THROMBEC 272 C1754 27200111 HC CATH THROMBECTOMY/EMBOLECTOMY 272 C1757 27200114 HC ATRIUM X-PRESS WAY EXTRACT CA 272 C1757 27200115 HC MEDTRONIC EXPORT ASPIRA CATH 272 C1757 27200116 HC CATHETER,THROMBEC/EMBOLECTOMY 272 C1757 27200119 HC BSCI ULTRA ICE INTRACARD ECHO 272 C1759 27200120 HC BARD GFT10976-20 POLE CATH 272 C1759 27200121 HC BIOSEN WEB SS 3D DIAG US CATH 272 C1759 27200122 HC ANGIOSEAL 272 C1760 30101042 HC AKALINE PHOSPHATASE BONE SPECIFIC 301 84080 27200123 HC SHUTTLE SHEATH FLEX 272 C1766

64 27200124 HC COOK J WIRE 35-180 EP 272 C1769 27200125 HC GUIDEWIRES 272 C1769 27200126 HC EXCHANGE GUIDEWIRE 272 C1769 36147801 HC INSERTION OF CHOLEDUCTUAL STENT 361 37801 27200128 HC IABP GUIDEWIRE 272 C1769 27200129 HC GUIDEWIRE 150CM ANG 272 C1769 27200130 HC GUIDEWIRE GLIDEWIRE GR3508 272 C1769 27200131 HC GUIDEWIRE 272 C1769 27200133 HC GUIDEWIRE CORDIS 272 C1769 27200136 HC GUIDEWIRE 180CM ANG 272 C1769 27200137 HC GLIDE WIRE 272 C1769 27200138 HC ABBOT ASAHI PRO H2O FLEX GWIR 272 C1769 27200141 HC STOR Q WIRE CORDIS 272 C1769 27200143 HC CHOICE FLOPPY GUIDEWIRE W/ICE 272 C1769 34409543 HC ZEVALIN THERAPEUTIC PER TX DOSE UP TO 40 MCI344 A9543 27200144 HC CORDIS REGATTA SB GUIDEWIRE 272 C1769 36121550 HC BIOPSY SOFT TISSUE OF NECK OR THORAX 361 21550 27200146 HC WHOLEY HI-TORQUE WIRE 272 C1769 27200148 HC 517-214 SHINOBI .014"X180CM 272 C1769 27200151 HC TERUMO RUN THROUGH WIRE 272 C1769 27200152 HC GUIDEWIRE - 517-214XSHINOBI 272 C1769 27200153 HC GUIDEWIRE SHINOBI REFLEX 272 C1769 27200155 HC BOSTON SCIENTIFIC GUIDEWIRES 272 C1769 27200156 HC CHOICE ES 182 CM 272 C1769 27801137 HC ATTAIN PERFORMA 4298 LEAD 275 C1900 27200157 HC 180 PLATINUM PLUS WIRE 272 C1769 27200158 HC CHOICE FLOPPY 300CM 272 C1769 27200159 HC ABBOTT ASAHI XT GUIDWIRE 272 C1769 27200160 HC CORDIS STEERABLR GW 272 C1769 27200164 HC COOK GUIDEWIRE APPROACH CTO-6 272 C1769 27200165 HC TERUMO GUIDEWIRE VPERWIRE 272 C1769 27200167 HC GLIDEWIRE BSCI 272 C1769 27200168 HC MEDTR EP ATTAIN G-WIRE 419678 272 C1769 27200169 HC ROTAWIRE FLOPPY 272 C1769 94700020 HC BED ROTEC VERSATECH LOW 600 W/MATTRESS 947 27200170 HC BSCI TERUMO GLIDEWIRE GOLD TI 272 C1769 27200171 HC SOFT/GRAND ASAHI PTCA GUIDEWI 272 C1769 94700021 HC BED ROTEC VERSATECHBARIATRIC LOW 1100 W/MATTRESS947 27200172 HC CONFIANZA ASAHI PTCA GUIDWRE 272 C1769 27200173 HC VOLCANO PRIMEWIRE 272 C1769 94700022 HC MATTRESS SURFACE THERAPY P500 947 27200174 HC VOLCANNO SMART WIRE 272 C1769 94700023 HC MATTRESS FREEDOM WAVE 947 27200176 HC RETRIEVAL (SNARE) DEVICE 272 C1773 27200178 HC EMBOLIZATION COIL 272

65 94700024 HC MATTRESS FREEDOM WAVE BARIATRIC 48 IN 947 27200179 HC EMBOLIZATION PROTECTIVE SYSTE 272 C1884 27200180 HC LANGSTON PIGTAIL CATH 272 C1885 74095933 HC ORBICULARIS OCULI (BLINK)REFLEX,BY ELECTRONIC740 TESTING95933 27200182 HC CATHETERS 272 C1887 30101073 HC INSULIN LIKE GROWTH FACTOR WITH Z SCORE 301 84305 27200183 HC TERUMO DX CATH 6FR 272 C1887 27200184 HC GUIDING CATH MEDTRONIC 272 C1887 27200185 HC GUIDING CATH VIKING 272 C1887 27200186 HC CORDIS GUIDING CATHS 272 C1887 27200187 HC TERUMO HEARTRAIL III 272 C1887 27201276 HC CATHETER EP SOUNDSTAR 10F ECO 272 C1759 27200188 HC GUIDANT GUIDING CATH 272 C1887 27200189 HC ANGLE GLIDECATH 272 C1887 27200190 HC STRAIGHT GLIDECATH 272 C1887 27200191 HC BSCI GUIDING CATH 272 C1887 27801337 HC BSCI SYNERGY EVEROLIMUS ELUDING STENT VAR278 SIZES C1874 27200194 HC VISTA BRITE TIP GUID CATH 272 C1887 27200195 HC TRAILBLAZER SUPPORT CATH 272 C1887 27200196 HC GUIDING CATH RE-S 8FR 55CM 272 C1887 27801338 HC BSCI PROMUS PREMIER EVEROLIMUS STENT VAR SIZES278 C1876 27200197 HC MEDTRONIC ATTAIN CATH 6250-MB 272 C1887 27200198 HC COOK ROYAL FLUSH PIG CATH 272 C1887 27200199 HC MEDTRIC ATAIN SELECT 6248 CAT 272 C1887 27200201 HC BSCI ACUITY SHEATH 272 C1887 27801339 HC BSCI REBEL BARE METAL STENT VAR SIZES 278 C1876 27200202 HC ACUITY BREAKAWAY SHEATH 272 C1887 27200203 HC SJM CPS AIM SL SUB-ACU VALVE 272 C1887 27200204 HC RENEGADE MICROCATH 150 272 C1887 27200205 HC GUIDE LINER CATHETER 272 C1887 27207076 HC BSCI EMERGE CATH BALLOON MONORAIL VAR SIZES272 C1725 27200206 HC TERUMO FINECROSS CATHETER 272 C1887 30205021 HC SSA 52 (RO) ENA AB IGG 302 86235 27200207 HC SJM CPS DIR SL GUIDE CATH EP 272 C1887 30205022 HC SSA 60 (RO) ENA AB IGG 302 86235 27207077 HC BSCI NC EMERGE DILATION CATH VAR SIZES 272 C1725 27200210 HC VENACURE EVLT PROCEDURE KIT 272 C1888 30188759 HC VITAMIN C 301 82180 27200213 HC OSCAR PACEMAKER INTRODUCERS 272 C1892 27200214 HC INTRODUCER PEEL AWAY 272 C1892 27200215 HC INTRODUCER/SHEATH GUIDING 272 C1892 27200216 HC SAFE SHEATH INRODUCERS 272 C1892 27200219 HC COOK INTRODUCER 272 C1893 27207079 HC BSCI GUIDEWIRE MARVEL OR SAMURAI 272 C1769 27200220 HC BSCI LEAD DELIVERY KIT IS-1 272 C1893

66 27200221 HC TERUMO DESTINATION SHEATH 272 C1893 27202078 HC BSCI EMERGE BALLOON CATH OTW VAR SIZES 272 C1725 27200222 HC SJM SEPT FAST CATH 272 C1893 27200223 HC ST JUDE EP GUIDING CATH 272 C1893 36032561 HC INSTILLATION,VIA CHEST TUBE/CATH,AGENT FOR361 FIBRINOLYSIS32561 INITIAL DAY 27200224 HC SHEATH 6250-MBV LV MEDTRONIC 272 C1893 27200225 HC ST JUDE CPS DIRECT SL OUT CAT 272 C1893 36032562 HC INSTILLATION,VIA CHEST TUBE/CATH,AGENT FOR361 FIBRINOLYSIS32562 SUBQ DAY 27200231 HC SHEATHS 272 C1894 27200234 HC TERUMO GLIDESHEATH A KIT 272 C1894 27200236 HC SUPERARROW FLEX PER SH INTRO 272 C1894 27200237 HC INTRODUCER/SHEATH, NON GUIDIN 272 C1894 76164643 HC CHEMODENERV OF 1 EXTREMITY 1-4 MUS, EA ADD761 EXT 64643 27200239 HC INTRODUCER/SHEATH 272 C1894 27200241 HC BSCI 9FR SAFESHEATH LONG 25CM 272 C1894 27200242 HC ROTALINK ADVANCER 272 C1894 76164644 HC CHEMODENERV OF 1 EXTREMITY 5 OR MORE MUS761 64644 27200243 HC CRYOPROBE 272 C2618 27801340 HC MEDTRONIC RESOLUTE ONYX DES SIZES 2.25MM-4.49MM278 VAR LENGTHSC1874 76164645 HC CHEMODENERV OF 1 EXTREMITY,5 OR MORE MUS,761 EA ADD 64645 76164646 HC CHEMODENERV OF TRUNK MUS, 1-5 MUS 761 64646 27801341 HC MEDTRONIC RESOLUTE ONYX DES SIZES 4.50MM-5.00MM278 VAR LENGTHSC1874 30188760 HC VALPROIC ADIC, FREE 301 80165 30603025 HC STREP A MOLECULAR 306 87651 27501792 HC BS VALITUDE U128 CRT-P 275 C2621 27202079 HC ARMADA PERIP CATH BALLOONS PTA .014 VAR SIZES272 C1725 47192595 HC HEARING AID RECEIVER 471 27200266 HC MGMT SYSTEM FISTULA & WND MIN 272 27501793 HC BS DEFIBRILLATOR ICD INOGEN QUAD X4 CRT-D DF1/DF4275 G146/G148C1882 27200268 HC VIP SWAN GANZ 272 27202080 HC ARMADA PERIP CATH BALLOONS PTA .018 VAR SIZES272 C1725 27200270 HC VENA CAVA TEMP PACER #100382 272 27202081 HC ARMADA PERIP CATH BALLOONS PTA .035 VAR SIZES272 C1725 32060030 HC PRE MRI ORBIT SCREENING 320 70030 27200273 HC ARTERIAL LINE SETUP 272 27200275 HC A-LINE INSERTION KIT #100843 272 76119499 HC BREAST UNLISTED PROCEDURE 761 19499 27200277 HC TUBE-CHEST INSERTION 272 27202082 HC ARMADA PERIP CATH BALLOONS PTA .35LL VAR SIZES272 C1725 27200283 HC CRRT INITIAL SET UP SUPPLIES 272 27200287 HC CATH,VASC 12.5CM XPT114IJC 278 C1752 27200289 HC CATH,VASC 20CM XPT118CT 278 C1752 36164486 HC TAP BLOCK UNILATERAL BY INJECTION 361 64486 36164487 HC TAP BLOCK UNILATERAL BY INFUSION 361 64487 27200294 HC CATHETER THORMBECTOMY ANGIOJET 272 C1757

67 27200295 HC GLIDESHEATH ACCESS KIT, TERUM 272 C1766 27200296 HC TERUMO GUIDEWIRE GR3503 272 C1769 36164488 HC TAP BLOCK BILATERAL BY INJECTION 361 64488 27200711 HC VOLCANO TRAK BACK II DISPOSAB 272 27200714 HC MISC. CATH. SUPPLIES 272 36164489 HC TAP BLOCK BILATERAL BY INFUSION 361 64489 27200719 HC ACCUNET DISTAL PROTECTION DEV 272 27200723 HC BSCI MAGNET EXCHANGE DEVICE 272 27200724 HC MEDTRONIC SLITTER 6232ADJ 272 27200725 HC BSCI RLDS RAPID LEAD DELIVERY 272 27200726 HC BSCI FLUID DOCK NEEDLE #9915 272 27200727 HC BSCI 3FT ABLAT POD TO PIN CBL 272 27501794 HC ESSENTIO SR PACEMAKER GENERATOR #L100 275 C1786 27200729 HC BSCI REMINGTON DISP SURG CABL 272 36169111 HC ENDOSCOPIC EVAL OF SM INTESTINAL POUCH WITH361 BIOPSY SINGLE44386 OR MULTI 27200730 HC BSCI UNIVERSAL CUTTER 7060 272 27200731 HC BSCI LEAD CAP KIT 272 27200733 HC BARD SURELINK EXTENSION CABLE 272 27200734 HC BARD GFT11654 CABLE HOOK-UP 272 27200736 HC BIOSENSE REFSTAR PLUS QWIKPAT 272 27200741 HC VIPERSLIDE LUBRICANT 20ML VIA 272 27200742 HC BALLOON VENOGRAM 6215-80 MEDT 272 C1725 27200743 HC CS DYNAMIC DECA XT BARD CATH 272 27200744 HC ST JUDE EP CABLE EXT 272 27200745 HC ST JUDE ABLATION CABLE LIVEWI 272 27200746 HC ST JUDE IMPLANT KIT 272 27200747 HC SJM EP 8.5 F(2.8CM)GUIDE INTR 272 27200748 HC 4F CATH & SNARE GOOSENECK 272 27200749 HC 6F CATH & SNARE GOOSENECK 272 27200750 HC MICROPUNCTURE SET MPIS-501-NT 272 27200751 HC 150CM STR GUIDEWIRE 272 27200752 HC VORTEX COIL 18 272 27200829 HC BIODIRECTIONAL TORQUE WRENCH 272 27200830 HC BIOSENSE WEB INTERFACE CABLE 272 27501796 HC ESSENTIO DR PACEMAKER GENERATOR #L101 275 C1785 27200832 HC BSCI 6FR BALLOON CATH #6747 272 C2628 36195887 HC PLACE OF INTERSTITIAL DEVICE FOR RAD TX GUIDANCE361 49411 36195888 HC ENDOVAS REP INFRAN ABD AORT,USING AORTO-AORTIC361 TUBE PROSTHESIS34800 27200835 HC BSI LEAD CAP KIT 272 27200845 HC SJM CPS DUAL SYLET SOFT 272 27200851 HC ANESTH GAS MOIST & WARMER 272 27200852 HC BABY SAFE RESUSCITATOR 272 27200857 HC TUBE CHANGE,PED,C-CAE-11.0-83 272 27200858 HC PROBE,TEMP,ESOPHAGEAL ES400-1 272 63614124 HC OASIS TRI-LAYER WND MATRIX PER 1 SQ CM (7X10CM)636 Q4124

68 27200865 HC BLOOD WARMER 272 27200868 HC ABBOTT DIAL-A-FLO, 1671 272 27200869 HC BAXTER BLOOD SET 27C614 272 27200870 HC BAXTER 3WAY IV ADAPTER 272 27200871 HC BAXTER MINIDRIP SET 272 27200872 HC ARROW CENTRAL CATH KIT 272 27200873 HC ARROW CATH VESSEL AK04510 272 27200875 HC ABBOT TRANSPAC4 MANFLD KT 272 27200879 HC TERUMO H/L X-COATED PRESCIPTIVE FX PACK 272 27200880 HC QUEST MEDICAL VRV-LL VALVE 272 63614102 HC OASIS DRESS FENS PER 1 SQ CM (3X7CM) 636 Q4102 27200881 HC GENESEE MED 44MM MYOCARDIAL TEMP PROB 272 27200882 HC TERUMO FRESENIUS ATF 40 KIT 272 27200883 HC 1000ML AUTOLOGOUS TRANSFER PA 272 27200884 HC 2000ML AUTOLOGOUS TRANSFER PA 272 27200885 HC BLOOD ADM. FILTER 272 27200886 HC SORIN HEMOCONCENTRATOR KIT 272 27200889 HC 1/4 STERILE TUBING 6 FT 272 27200891 HC TERUMO 3/8 X 6FT STERILE TUBING 272 27200892 HC 3/8" STERILE TUBING 10 FT 272 27200893 HC TERUMO 1/2 X 6FT STERILE TUBING 272 27200894 HC CELLSAVER COLLECTION SYST 272 27200895 HC EDWARDS 16 FR. FEMORAL ARTERIA 272 27200896 HC EDWARDS 18 FR. FEMORAL ARTERIAL 272 27200897 HC DLP 20 FR. WEIGHTED 272 27200900 HC SORIN CPG ADMINISTRATION ADAPTER 272 27200901 HC EDWARDS 29/29 FR. DS 272 27200904 HC OCTOBASE SUTURE HOLDING INSERTS 272 27200905 HC MEDTRONIC URCHIN HEART POSITIONER 272 27509005 HC MEDTRONIC EVERA S VR ICD GENERATOR #DVBC3D4275 C1722 27200906 HC OCTOPIS TISSUE STABILIZER 272 27200907 HC MEDTRONIC CLEARVIEW 2.0 MM SHUNT 272 27509006 HC MEDTRONIC EVERA XT DR ICD GENERATOR #DDBB1D4275 C1721 27200908 HC MEDTRONIC DLP 22 FR. SS STRAIGHT 272 36135190 HC REPAIR AV FISTULA EXREMITIES 361 35190 27200910 HC MEDTRONIC DLP 16 FR. LV VENT 272 27200911 HC MAQUET INSERTION KIT 8 FR. 50CC IAB 272 36136831 HC OPEN THROMBECT AV FISTULA 361 36831 27200912 HC MEDTRONIC DLP 20 FR. SOFT OSTIAL 272 27509007 HC BSI DYNAGEN CRT-D G150 BI-V ICD GENERATOR 275 C1882 27200914 HC MEDTRONIC 20 FR. EOPA 272 27200915 HC MEDTRONIC GUNDRY 13 FR. MANUAL INFLATE 272 27200916 HC MEDTRONIC DLP 12GA / 9 FR. ROOT WITH VENT 272 27200917 HC VENOUS VACUUM RETURN 272 27200918 HC PRUITT IRRIGATION OCCLUSION CATH 9 FR. 272

69 27200920 HC CARDIOVATION QUICK DRAW 272 27200921 HC AXILLARY CANNULA GRAFT 8MM 272 27200922 HC NEEDLE INTRACOMPARTMENTAL 272 27200923 HC CATH GUIDE 272 27200924 HC COUDE CATHETER 272 27200925 HC TUBING,LASER SUCTION CAN. 272 27200929 HC ATRIUM CHEST DRAIN 272 27200930 HC ATRIUM SUCTION BULB 272 30188762 HC IODINE, SERUM 301 83018 30205025 HC MEASLES (RUBEOLA) ABS IGG & IGM 302 86765 30188764 HC OXYCODONE QUANTITATIVE 301 80365 27207056 HC 1S-1 PLUG #6998 272 27207057 HC BSI STYLET 45 CM / 52 CM #6505/6585 272 27200955 HC TUBE, TRACH, STERILE (M) 272 30188766 HC AMPHETAMINES 1 OR 2 301 80325 30188767 HC METHYLENEDIOXYAMPHETAMINES 301 80359 27200959 HC VAC DRESSING SMALL/BLACK 272 27200960 HC VAC DRESSING MEDIUM/BLACK 272 27200961 HC VAC DRESSING LARGE/BLACK 272 27200962 HC VAC DRESSING XLARGE/BLACK 272 27200963 HC VAC DRESSING SMALL/SILVER 272 27200964 HC VAC DRESSING MEDIUM/SILVER 272 27200965 HC VAC DRESSING ROUND 272 27200966 HC VAC DRESSING THIN 272 27207058 HC FLEXTEND FIXATION TOOL #6616 272 27200967 HC VAC DRESSING WHITE FOAM/SMALL 272 27200968 HC VAC DRESSING WHITE FOAM/LARGE 272 76164510 HC NERVE BLOCK STELLATE GANGLION (CERVICAL SYMPATHETIC)761 64510 27200969 HC VAC TRAC PAD 272 27200970 HC VAC DRESSING HEEL 272 27207059 HC BIOSEN WEBSTER QUADRAPOLAR EP CATH #D6FR252RT272 C1730 27200971 HC VAC DRESS-SMALL SIMPLACE 272 27200972 HC VAC DRESS-MEDIUM SIMPLACE 272 27207060 HC BIOSEN WEBSTER CS 6F CS-D CURVE NON NAV CATH272 #D135303C1730 27200973 HC ABTHERA DRESSING 272 27200974 HC ABTHERA PUMP 272 27501798 HC CAPSURE 5076 NOVUS LEAD 275 C1898 27200975 HC ABTHERA CANNISTER 272 27207061 HC ACUITY PRO INNER GUIDE CATH #8103 272 C1887 27200977 HC BLOOD PRESS CUFF DISP 272 36164448 HC INJECT,ANESTHETIC AGENT,FEM NERVE,CONT INFUS361 BY CATH 64448 27200978 HC BONANNO SUPRAPUBIC CATH 272 27200980 HC CATH FOLEY 3-WAY 272 27200981 HC CATH FOLEY 30CC 272 27200982 HC CATH MALECOT 272

70 36156605 HC BIOPSY OF VULVA OR PERINEUM SEP PX 1 LESION361 56605 27200983 HC CATH SILASTIC FOLEY 272 27200984 HC CATHETER COUDE' 272 27200985 HC CATHETER COUNCIL 272 27200986 HC CATHETER THORACIC 272 27207063 HC ABBOTT HI TORQUE VASCULAR WHISPER WIRE #1005359H272 C1769 32375731 HC ANGIOGRAPHY-ADRENAL UNILATERAL SELECTIVE 323 75731 36153899 HC UNLISTED PROCEDURE URINARY SYSTEM 361 53899 36131575 HC LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC361 DIRECT 31575 27200998 HC CONTACT ISOLATION SUPPLIES 272 27207064 HC SJM DISPOSABLE SURGICAL CABLES #4051L 272 27501799 HC VIVA S CRTD BI-V ICD #DTBB1D4 275 C1882 53098925 HC OSTEPATHIC MAN TREATMENT 1-10 REGIONS 530 27201006 HC TUBE SHILEY TRACH 272 27201014 HC LONG SET-AIRWAY 272 27201019 HC NEPHRO-URETERAL STENT W/COAT W/O DELIVERY278 SYS C1875 27201021 HC 8GA MAMMOTOME DEVICE 272 27201023 HC MICROPUNCTURE SET 272 27201024 HC ASH SPLIT REPAIR KIT 272 27201029 HC MAMMOTOME HAND HELD PROBE W/V 272 27201032 HC ULTRATHANE NEPHRO-URETERO STE 272 27201035 HC BONE BX DEVICE 272 27201036 HC MIST THERAPY SUPPLIES 272 27201047 HC ANGIOJET POWER PULSE KIT Y-SET 272 27201050 HC CATHETER GUIDING BIOTRONIK 272 C1887 27204358 HC NEPHROSTOMY DRAINAGE BAG 272 A4358 27204649 HC D-STAT 272 A4649 27207040 HC ONE WAY CHEST DRAIN VALVE 272 A7040 27207041 HC VAC DRAIN BTTLE & TUBE CHST T 272 A7041 27400013 HC WRIST DROP ORTHOSIS 274 27400628 HC LSO LUMBO SACRAL CUSTOM 274 L0628 27403002 HC FOOT,INSERT REMOVE MOLD TO PA 274 L3002 27408000 HC MASTECTOMY BRA BREAST PROTHES 274 L8000 27408001 HC BRA INTEGRATE PRO FORM UNILAT 274 L8001 27408002 HC BRA W/ INTEGRAT PRO FORM BILA 274 L8002 27408020 HC LEISURE OR SWIM FOAM FORM 274 L8020 27408030 HC BREAST PROTH SILICONE OR = 274 L8030 27500001 HC REV CODE 275 NS PACEMAKER 275 27500003 HC BIOTRONIK LUMAX 540DR-T ICD G 275 C1721 27500005 HC SJM FORTIFY DR CARD/DEFIB 275 C1721 27500007 HC BSCI TELIGEN DR E110 ICD 275 C1721 27500012 HC SJM FORTIFY VR CD 1231 275 C1722 27500016 HC BIOTRONIK DR PACEMAKER 275 C1785 27500017 HC BIOTRONIK PHILOS II DR GENER 275 C1785 27500018 HC GUIDANT INSIGNA DR 1296 PCMKR 275 C1785

71 27500020 HC RECALL GUIDANT DR PACEMAKER 275 C1785 27500021 HC BSCI ALTRA 20 GENERATOR DR 275 C1785 27500023 HC MEDTRONIC PACEMAKER GEN E2DRO 275 C1785 27500024 HC MEDTRONIC ADDR01 PACEMAKER 275 C1785 27500027 HC PACESETT IDENTITY GEN ADXXL D 275 C1785 27500028 HC PACESETTER VICTORY GEN 5816 D 275 C1785 27500030 HC ST.JUDE GENERATOR ZEPHER #58 275 C1785 27500032 HC ST JUDE FRONTIER IIDDDRV 5586 275 C1785 27500033 HC ST.JUDE GEN ZEPHYR XL DR 582 275 C1785 27500034 HC ADAPTA ADDRS 1 PACEMAKER 275 C1785 27500035 HC BIOTRONIK CYLOS DR PACEMAKER 275 C1785 27500057 HC BIOTRONIK CYLOS VR 275 C1786 27500058 HC GUIDANT INSIGNA PCMKR 1198 275 C1786 27500059 HC BSCI ALTRUA 20/40/60 SR GTR 275 C1786 27500060 HC MEDTRONIC ADSR01 GENERATOR EP 275 C1786 27500061 HC VICTORY ST JUDE PCMR #5610 275 C1786 27500062 HC PACESETTER PCMR 5180 ADXSR 275 C1786 27500064 HC ST J PCMKR GEN ZEPHYR XLSR562 275 C1786 27500065 HC ADAPTA ADSR3 GENERATOR 275 C1786 27500080 HC INTEGRITY SR 5136 PACEMAKER 275 C1786 27500081 HC BSCI COGNIS N118/N119 BI V 275 C1882 27500083 HC ST JUDE CD3211-36Q PROMOTE+ 275 C1882 27500084 HC SJM EP UNIFY CARDIO DEFIB 275 C1882 27500092 HC BSCI RELIANCE G 0184/0185 275 C1895 27500093 HC RV SPRINT QUATTRO SECURE 275 C1895 27500094 HC ST JUDE RV/V LEAD DURANTA7120 275 C1895 27500101 HC MEDTRON EP NOVUS CAPSUR LEAD 275 C1898 27500102 HC GUIDANT PACE LEAD 275 C1898 27500103 HC GUIDANT PACER LEAD MODEL #447 275 C1898 27500104 HC GUIDANT PACE LEAD # 4473 275 C1898 27500105 HC MEDTRONIC A LEAD 275 C1898 27500106 HC MEDTRONIC V LEAD 275 C1898 27500107 HC RV LEAD SPRINTER MEDTRONIC 275 C1898 27500108 HC PACE SETTER LEAD 1488 T 275 C1898 27500109 HC PACESETTER LEAD 1688T 275 C1898 27500111 HC BSCI DEX LEAD 4135/4136/4137 275 C1898 27500112 HC DEXTRUS 4137 V LEAD 275 C1898 27500125 HC 1488T/52 SDX TEDRIL PACESETT 275 C1898 27500128 HC LEAD CORONARY VENOUS 275 C1900 27500133 HC INSYNC III 8042 GENERATOR 275 C2621 27500140 HC SJM ANTHEM RF PACEMAKER 275 C2621 27500143 HC PACEMAKER 275 27500144 HC LEAD CARDVRTR/DEFIB MEDTRONIC 275 C1777 27500145 HC SJM UNIFY QUADRA ICD GENERATO 275 C1882 27500685 HC GUIDANT TAPERED ACCULINK STEN 278

72 27801000 HC Z STEER BI DIR BN7TCFJ8L 278 C1732 27801003 HC HEMODIALYSIS CATH LONG TERM 278 C1750 27801004 HC POWER PICC GROSHONG ASS'D 278 C1751 27801006 HC ANGIOSEAL 6FR,8FR 278 C1760 27801007 HC STAR CLOSE CLOSURE DEVICE-ABB 278 C1760 27801008 HC VASOSEAL VASCULAR HEMOSTASIS 278 C1760 27801009 HC PERCLOSE 278 C1760 27801010 HC MYNX VASCULAR CLOSURE DEVICE 278 C1760 27801011 HC CORDIS EXOSEAL CLOSURE DEVICE 278 C1760 27801012 HC VASCULAR CLOSURE DEVICE 278 C1760 27801014 HC IMPLANTABLE LOOP RECORDER 278 C1764 27801015 HC TRANSOMA SLEUTH AT 278 C1764 27801042 HC INDWELLING PORT 278 C1788 27801043 HC VIABAHN STENT 50MM 278 C1874 27801044 HC VIABAHN STENT 100MM 278 C1874 27801045 HC ABBOTT XIENCE V STENT 278 C1874 27801046 HC ATRIUM I CAST COVERED STENT 278 C1874 27801047 HC EV3 THROMBUS EXTRACTION CATH 278 C1874 27801048 HC CYPHER DRUG ELUDING STENT 278 C1874 27801049 HC BSCI DES TAXUS EXPRESS STENT 278 C1874 27801050 HC BSCI PROMUS DES 278 C1874 27801052 HC MEDTRONIC ENDEAVOR STENT 278 C1874 27801053 HC WALLSTENT 278 C1874 27801055 HC STENT COATED CVRD W/DELIVERY 278 C1874 27801056 HC JOSTENT CSG 278 C1875 27801058 HC EVERFLEX STENT 278 C1876 27801059 HC XCEED ABBOTT VAS SHORT STENT 278 C1876 27801060 HC LONG XCEED ABBOTT STENT 278 C1876 27801061 HC CAROTID STENT 278 C1876 27801062 HC BSCI EXPRESS PERIPHERAL STENT 278 C1876 27801063 HC GUIDANT PERIPHERAL STENT 278 C1876 27801064 HC VISION STENT GUIDANT 278 C1876 27801065 HC BSCI LIBERTE BARE METAL STENT 278 C1876 27801066 HC BARE METAL STENT 278 C1876 27801067 HC CORDIS PALMAZ BLUE BILARY STE 278 C1876 27801068 HC STENT SMART CORDIS 278 C1876 27801069 HC IDEV SUPERA TRANSHE BIL STENT 278 C1876 27801070 HC MEDTRONIC DRIVER STENT 278 C1876 27801071 HC MEDTRONIC BILI LONG OTW STENT 278 C1876 27801072 HC MEDTRONIC BILI SHORT OTW STEN 278 C1876 27801073 HC COOK ZILVER VASC STENT 278 C1876 27801074 HC COOK RENAL BALLOON STENT 278 C1876 27801076 HC STENT SMART NITINOL CORDIS 278 C1876 27801077 HC WALL STENT TIPS 278 C1876 27801078 HC STENT NONCOATED NONCOVERED W/ 278 C1876

73 27801080 HC STENT NON-COAT/COV W/O DEL 278 C1877 27801081 HC ABBOTT EXPERT STENT 278 C1877 27801082 HC GENESIS CORDIS STENTS 278 C1877 27801084 HC URETERAL STENT 278 C1877 27801087 HC LOCALIZATION CLIP 278 A4648 27801088 HC TISSUE MARKER 278 A4648 27801090 HC OPTEASE 55CM KIT 466-F220A 278 C1880 27801091 HC CORDIS TRAPEASE IVC FILTER 278 C1880 27801092 HC COOK UNI-CELECT VENA CAVA FLT 278 C1880 27801095 HC VENA CAVA FILTERS 278 C1880 27801096 HC DIALYSIS ACCESS SYSTEM(IMPLAN 278 C1881 27801097 HC GUIDANT LEAD PORT PLUG #6998I 278 C1883 27801098 HC CATHETER,TRANSLUM ANGIO,LASER 278 C1885 27801099 HC SJM CSL LONG CATH EP # 40186 278 C1900 27801101 HC BSCI LV LEAD ACUITY SPIR/STEE 278 C1900 27801102 HC BSCI LV LEAD EASY TRACK 2/3 278 C1900 27801103 HC MEDTR EP C S/V LEAD LFG155840 278 C1900 27801104 HC CS ATTAIN ABILITY 4196-78 278 C1900 27801105 HC ST JUDE QUICKFLEX 1156T/75 LE 278 C1900 27801106 HC SJM EP LEAD 1158T/75 278 C1900 27801107 HC SJM CSL LONG CATH EP # 401863 278 C1900 27801108 HC SJM LONG CSL LEAD # 401381 278 C1730 27801109 HC LV LEAD EP 278 C1900 27801116 HC YTRIUM90 PER SOURCE 278 C2616 27801117 HC PROSTH IMPL NOS 278 L8699 27801118 HC PROSTHETIC IMPLANT, NOS 278 L8699 27801120 HC EV3 VISI-PRO STENT SYSTEM 278 C1876 27801121 HC ANCHOR/SCREWS 278 C1713 27807042 HC IMPLANTED PLUERAL CATH 272 C1729 76000002 HC PAP SUPPLIES 760 29000009 HC BINAURAL DISPENSING FEE 290 V5160 29000010 HC DISPENSING FEE MONAURAL 290 V5241 29000012 HC DIGITAL MONAURAL CIC TECH II 290 V5254 29000013 HC DIGITAL MONAURAL CIC TECH III 290 V5254 29000014 HC DIGITAL MONAURAL CIC TECH IV 290 V5254 29000016 HC DIGITAL MONAURAL CANAL TECH I 290 V5255 29000017 HC DIGITAL MONAURAL CANAL TECH II 290 V5255 29000018 HC DIGITAL MONARL CANAL TECH III 290 V5255 29000019 HC DIGITAL MONAURAL CANAL TECH IV 290 V5255 29000020 HC DIGITAL MONAURAL ITE TECH I 290 V5256 29000021 HC DIGITAL MONAURAL ITE TECH II 290 V5256 29000022 HC DIGITAL MONAURAL ITE TECH III 290 V5256 29000023 HC DIGITAL MONAURAL ITE TECH IV 290 V5256 29000025 HC DIGITAL MONAURAL BTE TECH I 290 V5257 29000026 HC DIGITAL MONAURAL BTE TECH II 290 V5257

74 29000027 HC DIGITAL MONAURAL BTE TECH III 290 V5257 29000028 HC DIGITAL MONAURAL BTE TECH IV 290 V5257 29000030 HC DIGITAL BINAURAL CIC TECH II 290 V5258 29000031 HC DIGITAL BINAURAL CIC TECH III 290 V5258 29000032 HC DIGITAL BINAURAL CIC TECH IV 290 V5258 29000033 HC DIGITAL BINAURAL CANAL TECH I 290 V5259 29000034 HC DIGITAL BINAURAL CANAL TECH II 290 V5259 29000035 HC DIGITAL BINARAL CANAL TECH III 290 V5259 29000036 HC DIGITAL BINAURAL CANAL TECH IV 290 V5259 29000038 HC DIGITAL BINAURAL ITE TECH I 290 V5260 29000039 HC DIGITAL BINAURAL ITE TECH II 290 V5260 29000040 HC DIGITAL BINAURAL ITE TECH III 290 V5260 29000041 HC DIGITAL BINAURAL ITE TECH IV 290 V5260 29000044 HC DIGITAL BINAURAL BTE TECH I 290 V5261 29000045 HC DIGITAL BINAURAL BTE TECH II 290 V5261 29000046 HC DIGITAL BINAURAL BTE TECH III 290 V5261 29000047 HC DIGITAL BINAURAL BTE TECH IV 290 V5261 42000014 HC WH ELECTRIC STIMULATION THERAPY 1+ AREAS 420 97014 42000110 HC THERAPEUTIC EX PER 15 MIN 420 97110 42000150 HC WH PT THER REHAB GROUP 420 97150 42000283 HC PT E-STIM UNATTEND NON WOUND 420 G0283 42000635 HC PT WORK SIMULATION EA HR BWC 420 W0635 42000637 HC PT ON-SITE/TRANS WORK/HR BWC 420 W0637 42000638 HC PT BACK SCHOOL-BWC 420 W0638 42000644 HC PT JOB STE ERGO ANYS/HR BWC 420 W0644 42000645 HC PT JOB ANALYSIS BWC 420 W0645 42000702 HC PT WRK HRD/RECON INIT 2 HR/BW 420 W0702 42000703 HC PT WORK HARD ADD'L HR BWC 420 W0703 42000710 HC PT PHYSICAL RECON EA HR-BWC 420 W0710 42000750 HC PHYSICAL PERFORM EA 15M 420 97750 42029530 HC PT STRAPPING KNEE 420 29530 42029540 HC PT ANKLE STRAPPING 420 29540 42097034 HC PT CONTRAST BATH 420 97034 42097036 HC HUBBARD TANK 420 97036 42097545 HC PT WORK HARDENING INIT 2 HRS 420 97545 42097546 HC PT WORK HARDENING EA ADDTL HR 420 97546 42097750 HC PT PHYSICAL PERFORM EA 15M 420 97750 43000033 HC OT IONTOPHORESIS 430 97033 43000283 HC OT E-STIM UNATTEND NON WOUND 430 G0283 43000700 HC OT PHYS RECOND ADD'L HR-BWC 430 W0700 43029131 HC OT APPLI FINGER SPLINT DYNAMI 430 29131 43029240 HC OT STRAPPING OF SHOULDER 430 29240 47000010 HC HEARING AID REPAIR-BASIC 470 V5014 47000011 HC HEARING AID REPAIR-RUSH 470 V5014 47192540 HC BASIC VESTIBULAR EVALUATION 471 92540

75 47192541 HC SPONTANEOUS NYSTAGMUS TST 471 92541 47192542 HC POSITIONAL 471 92542 47192544 HC OPTOKINETIC NYSTAG. TEST 471 92544 47192545 HC OSCILLATING TRACKING 471 92545 47192551 HC SCREEN TEST PURE TONE AIR ONL 471 92551 47192552 HC PURE TONE AUDIOM(AIR ONLY 470 92552 47192553 HC PURE TONE AIR & BONE 471 92553 47192555 HC SPEECH AUDIO THERSHOLD 470 92555 47192557 HC BASIC COM AUDIOMETRY 471 92557 47192559 HC INDUSTRIAL TESTING 471 92559 47192563 HC TONE DECAY TEST 471 92563 47192567 HC IMPEDANCE TEST 471 92567 47192568 HC ACOUSTIC REFLEX TESTING 471 92568 47192579 HC VISUAL REINF AUD 470 92579 47192582 HC PLAY AUDIOMETRY 470 92582 47192588 HC OTOACOUSTIC EMISSION TEST 471 92588 47192590 HC HEARING AID EVALUATION 471 92590 47192592 HC HEARING AID CHECK MONAURA 471 92592 47192593 HC HEARING AID CHECK BINAURA 471 92593 91790901 HC BIOFEEDBACK-ANY MODALITY 917 90901 30100326 HC POC WET PREP 306 87210 30100329 HC POC RAPID STREP 306 87880 30700006 HC POC MICROSCOPIC UA 307 81015 32070030 HC EYE FOREIGN BODY 320 70030 32070110 HC MANDIBLE-MIN 4 VIEWS 320 70110 32070130 HC MASTOIDS MIN 3 VIEWS 320 70130 32070140 HC FACIAL BONES < 3 VIEWS 320 70140 32070150 HC FACIAL BONES MIN 3 VIEWS 320 70150 32070160 HC NASAL BONE MIN 3 VIEW 320 70160 32070200 HC ORBITS MIN 4 VIEWS 320 70200 32070210 HC SINUSES LESS THAN 3 VIEWS 320 70210 32070220 HC SINUSES MIN 3 VIEWS 320 70220 32070250 HC SKULL LESS THAN 4 VIEWS 320 70250 32070260 HC SKULL COMPLETE-MIN 4 VIEWS 320 70260 32070328 HC TM JOINTS UNILAT OPEN/CLOS 320 70328 32070330 HC TM JOINTS BILAT OPEN/CLOSE 320 70330 32070360 HC SOFT TISSUE NECK 320 70360 32071100 HC RIBS UNILATERAL 2 VIEWS 320 71100 32071101 HC RIBS-UNILAT W/PA CHT-MIN 4 VI 320 71101 32071110 HC RIBS BILAT MIN 3 VIEWS 320 71110 32071111 HC RIBS-BILAT W/PA CHT MIN 4 VIE 320 71111 32071120 HC STERNUM MINIMUM 2 VIEWS 320 71120 32071130 HC STERNOCLAV JOINTS MIN 3 VIEWS 320 71130 32072020 HC SPINE-SINGLE VIEW 320 72020 32072050 HC CERVICAL SPINE MIN 4 VIEWS 320 72050

76 32072052 HC CERV SPINE COMPLETE W/FLEX-EX 320 72052 32072070 HC THORACIC SPINE-2VIEWS 320 72070 32072072 HC THORACIC SPINE 3 VIEWS 320 72072 32072074 HC THORACIC SPINE MIN 4 VIEWS 320 72074 32072080 HC THOROCOLUMBAR SPINE 2 OR > VIEWS 320 72080 32072110 HC LUMBAR SPINE-MIN 4 VIEWS 320 72110 32072114 HC LUMBAR SPINE INCLD BEND VI 320 72114 32072120 HC LUMBAR SPINE BEND ONLY 2 OR 3 VIEWS 320 72120 32072170 HC PELVIS 1 OR 2 VIEWS 320 72170 32072200 HC SACOLILIAC JTS<3 VIEWS 320 72200 32072202 HC SACOILIAC JTS-3 OR MORE VIEWS 320 72202 32072220 HC SACRUM/COCCYX MIN 2 VIEWS 320 72220 32073000 HC CLAVICLE 320 73000 32073010 HC SCAPULA 320 73010 32073020 HC SHOULDER 1 VIEW 320 73020 32073030 HC SHOULDER MIN 2 VIEWS 320 73030 32073060 HC HUMERUS 2 VIEWS 320 73060 32073070 HC ELBOW- 2 VIEWS 320 73070 32073080 HC ELBOW MINIMUM 3 VIEWS 320 73080 32073090 HC FOREARM 2 VIEWS 320 73090 32073092 HC INFANT UPPER EXTREM MIN 2 VIE 320 73092 32073100 HC WRIST 2 VIEWS 320 73100 32073110 HC WRIST LT MIN 3 VIEWS 320 73110 32073120 HC HAND 2 VIEWS 320 73120 32073130 HC HAND MIN 3 VIEWS 320 73130 32073140 HC FINGER(S) MINIMUM 2 VIEWS 320 73140 32073560 HC KNEE- 1 OR 2 VIEWS 320 73560 32073562 HC KNEE- 3 VIEWS 320 73562 32073564 HC KNEE 4 OR MORE VIEWS 320 73564 32073565 HC KNEES-BILATERAL STANDING 320 73565 32073590 HC LEG- 2 VIEW 320 73590 32073592 HC INFANT LOWER EXTREM MIN 2 VIE 320 73592 32073600 HC ANKLE 2 VIEWS 320 73600 32073610 HC ANKLE- 3 VIEWS 320 73610 32073620 HC FOOT 2 VIEW 320 73620 32073630 HC FOOT- MIN 3 VIEWS 320 73630 32073650 HC OS CALCIS 320 73650 32073660 HC TOE(S) MINIMUM 2 VIEWS 320 73660 32074022 HC ABDOMEN-ACUTE SERIES 320 74022 32076010 HC ABDOMEN-CHEST-CHILD- 1 VIEW F 320 76010 32077072 HC BONE AGE 320 77072 32077073 HC LEG LENGTH STUDY 320 77073 32077074 HC BONE SURVEY LIMITED 320 77074 32077075 HC BONE SURVEY 320 77075 32077076 HC BONE SURVEY-CHILD/INFANT 320 77076

77 32273050 HC ACROMIOCLAVICULAR JOINTS 320 73050 51600002 HC REMOVAL FOREIGN BODY, EAR 516 51600005 HC APPLY LEG SPLINT W/SPLINT MAT 516 51600006 HC APPLY ARM SPLINT/W SPLNT MAT' 516 51600008 HC CONTROL NASAL HEMMOR SIMPLE 516 51600009 HC INCISION AND DRAINAGE 516 51600015 HC CLOSED TX FINGER FX,DISLOCAT 516 51600016 HC REDUCTION PROCEDURE 516 51600021 HC INTRANASAL FOREIGN BODY REMOV 516 51600023 HC REMOVAL FOREIGN BODY SUBCUT 516 51600028 HC CLOSED TX TOE,FX,DISLOCATION 516 51664450 HC INJECT,ANESTHETIC AGENT,OTHER PERIPHERAL NERVE361 64450 51010000 HC INJECT INTO SKIN LESIONS =<7 510 51010120 HC INCIS & REM OF F.B.SUBCUT TIS 510 10120 51010160 HC PUNCT ASPIR OF ABCESS,HEMA 510 10160 51011040 HC DEBRID SKIN PARTIAL THICKNESS 510 11040 51011041 HC DEBRID SKIN FULL THICKNESS 510 11041 51011044 HC SKIN/SUB-Q/MUSCLES/BONES 510 11044 51011045 HC DEBRIDE,SUBQ ADD'L 20 SQ CM 510 11045 51011046 HC DEBRIDE MUSCLE ADD'L 20 SQ CM 510 11046 51011047 HC DEBRIDE BONE EA ADD'L 20 SQ C 510 11047 51011055 HC PARING OF CALLUS OR CORN SING 510 11055 51011402 HC EXCISION 1.1-2.0CM TRK,LEG,AR 510 11402 51011403 HC EXCISE BEN LES T/A/L 2.1-3.0C 361 11403 51011720 HC TOE NAIL TRIM 1-5 NAILS 510 11720 51011721 HC TOE NAIL TRIM 6-10 NAILS 510 11721 51011730 HC AVULSION 361 11730 51012001 HC SIM REPAIR WOUND 2.5CM OR LES 510 12001 51012002 HC SIMP REPR OF WNDS 2.6CM-7.5CM 510 12002 51012020 HC TX SUPERFI WOUND DIHISCE-SMPL 510 12020 51012031 HC LAY CLSRE TRUNK/EXTRM/2.5CM < 510 51012041 HC INTER REP NCK,HND,FT 2.5CM OR 510 12041 51012042 HC LAYERED CLOS.NK,HD 2.6CM-7.5C 510 12042 51013160 HC SECONDARY CLSRE WOUND,EXTENS 361 13160 51015002 HC SURG PREP TRNK,ARMS,LGS,1ST10 510 15002 51015003 HC SURG PREP EA ADD'L 100CM,TAL 510 15003 51015004 HC SURG PREP 1ST 100CM FACE,EARS 510 15004 51015005 HC SURG PREP ADD 100CM FACE,EARS 510 15005 51015050 HC PINCH GRAFT 510 15050 51015271 HC SKIN SUB GRAFT TRNK/ARM/LEG 510 15271 51015272 HC SKIN SUB GRAFT T/A/L ADD-ON 510 15272 32471045 HC CHEST X-RAY SINGLE VIEW 324 71045 51015275 HC SKIN SUB GRAFT FACE/NK/HF 510 15275 51015276 HC SKIN GRAFT F/N/FT ADD'L 25SQCM 510 15276 32471046 HC CHEST X-RAY 2 VIEWS 324 71046

78 51016035 HC ESCHAROTOMY 510 16035 51017250 HC CHEMICAL CAUT OF GRANUL TISSU 510 17250 32471047 HC CHEST X-RAY 3 VIEWS 324 71047 51020612 HC ASPIRATE AND/OR INJECT CYST 510 20612 51020670 HC CLSD TX INTERPHAL JOINT W/O A 510 20670 32471048 HC CHEST X-RAY 4 VIEWS 324 71048 51021925 HC BX,SFT TISS BACK OR FLANK,DEE 510 21925 51027603 HC I & D ,LEG OR ANKLE,DEEP ABCE 510 27603 32074018 HC X-RAY ABDOMEN ONE VIEW 320 74018 51027614 HC SOFT TISSUE BX, DEEP LEG/ANKL 510 27614 51028002 HC I & D SUBFACIA, FOOT 361 28002 32074019 HC X-RAY ABDOMEN TWO VIEWS 320 74019 51028005 HC INCISION,BONE CORETEX 361 28005 51028050 HC ARTHROTOMY WITH BIOPSY 361 28050 32074021 HC X-RAY ABDOMEN THREE OR MORE VIEWS 320 74021 51028090 HC EXCIS OF LESION,TENDON,CAP FT 361 28090 51028505 HC OPEN TX OF FRACTURE TOE 510 28505 51029580 HC RT UNNABOOT DRESSING 510 29580 32401001 HC OEHS CHEST X-RAY ONE VIEW 324 71045 51029581 HC APPLY MULITLAY COMP LWR LE 510 29581 32401002 HC OEHS CHEST X-RAY TWO VIEW 324 71046 76136465 HC NJX NONCOMPNCL SCLERSANT SINGLE INCMPTNT761 VEIN 36465 70029405 HC SHORT CAST-RIGHT LEG 700 29405 70029425 HC WALKING CAST-LEFT LEG 700 29425 36164446 HC INJECT ANESTH AGENT SCIATIC NERVE CONT INFUS361 BY CATH INCL64446 CATH PCMT 70029445 HC CONTACT CAST 700 29445 92193922 HC UPR/L XTREMITY ART 2 LEVELS 921 93922 76136466 HC NJX NONCOMPNCL SCLERSANT MULTI INCMPTNT761 VEINS 36466 73100497 HC XTNRNL PT ACT ECG W/O ATTN MTNR IN-OFFICE 731CONN 0497T 42097763 HC PT ORTHOTICS/PROSTH MGMT & TRAINING SBSQ420 ENCTR EA 1597763 MIN 43097763 HC OT ORTHOTICS/PROSTH MGMT & TRAINING SBSQ430 ENCTR EA 1597763 MIN 46094618 HC PULM STRESS TEST INCL MEAS HEART RATE,OXIMETRY460 & OXYGEN94618 TITRATION 76138222 HC DX BONE MARROW BIOPSIES & ASPIRATIONS 761 38222 27509012 HC BSI ACCOLADE DR #L301 275 C1785 34309569 HC TECHNETIUM TC-99M EXAMETAZIME AUTO WBC,DX,PER343 STUDYA9569 DOSE (CERETEC) 27201780 HC CANNULA RETROGRADE GUNDRY 13FR. 12.5 IN 272 27201781 HC EDAWRDS 21 FR. EZ GLIDE 272 33357155 HC INSERT OF UTERINE TANDEM AND/OR VAG OVOIDS333 BRACHYTHERAPY57155 33357156 HC INSERT OF VAGINAL RADIATION AFTER DEVICE LOADED333 FOR BRACHTHERAPY57156 27207065 HC EV3 CRAGG-MCNAMARA INFUSION CATH 20 CM 272 C1751 27207066 HC EV3 CRAGG-MCNAMARA INFUSION CATH 50 CM 272 C1751 27801717 HC BRACHYTX, NON-STR,HDR IR-192 SOURCE 278 C1717 48008929 HC 2D TTE W/WO CONTRAST DOPPLER 480 93306 39100391 HC TRANSFUSE BLOOD OR BLOOD COMPONENTS UNTIMED391 36430 30101050 HC DRUG SCREEN URINE 9 PANEL 301 80307

79 35277078 HC CT BONE DENSITY, 1 OR MORE SITES, AXIAL 352 77078 48008928 HC TTE W OR W/O CON FOLLOW W/CON. STRESS 480 93350 45069209 HC CERUMEN REMOVAL, IRRIGAT/LAVAGE, UNILATERAL761 69209 31200914 HC PDL-1 IMMUNOHISTOCHEMISTRY 312 88360 30101051 HC BILE ACIDS, TOTAL 301 82239 27509013 HC MEDTRONIC EVERA MRI XT VR ICD #DVMB1D4 275 C1722 47192537 HC CALORIC VESTIBULAR TEST, BILAT, 1 WARM 1 COOL,471 4 IRRIG 92537 30188769 HC LACTOSE TOLERANCE, 3 SPECIMENS 301 82951 30188770 HC LACTOSE TOLERANCE, ADD'L SPECIMENS 301 82952 32072082 HC SPINE ENTIRE THORACIC & LUMBAR 2 OR 3 VIEWS320 72082 32072081 HC SPINE ENTIRE THORACIC & LUMBAR 1 VIEW 320 72081 32072083 HC SPINE ENTIRE THORACIC & LUMBAR 4 OR 5 VIEWS320 72083 32072084 HC SPINE ENTIRE THORACIC & LUMBAR 6 OR > VIEWS320 72084 32073501 HC HIP UNILAT W PELVIS 1 VIEW 320 73501 32073503 HC HIP UNILAT W PELVIS MIN 4 VIEWS 320 73503 32073521 HC PELVIS BOTH HIPS 2 VIEWS 320 73521 32073522 HC PELVIS BOTH HIPS 3-4 VIEWS 320 73522 32073523 HC PELVIS BOTH HIPS 5 OR > VIEWS 320 73523 32073502 HC HIP UNILAT W PELVIS 2-3 VIEWS 320 73502 32073551 HC FEMUR 1 VIEW 320 73551 32073552 HC FEMUR 2 OR > VIEWS 320 73552 48137252 HC IVUS NON CORNRY S&I INIT 481 37252 48137253 HC IVUS NON CRNARY S&I EA ADD 481 37253 34309528 HC I-131 SOD IODN PER MCI 1-6, DX 343 A9528 34319528 HC I-131 SOD IODN EA ADD MCI > 6, DX 343 A9528 35200297 HC LDCT FOR LUNG CA SCREEN 352 G0297 35200296 HC VISIT TO DETERM LDCT ELIG 352 G0296 30180081 HC OB PANEL INCLUDES HIV ANTIBODY 301 80081 32010035 HC PERQ DEV SOFT TISS 1ST IMG 761 10035 32010036 HC PERQ DEV SOFT TISS ADD'L IMG 761 10036 36147531 HC INJ FOR CHOLANGIOGRAM S&I EXT ACCESS 361 47531 36147532 HC INJ FOR CHOLANGIOGRAM S&I NEW ACCESS 361 47532 36147533 HC PLMT BILIARY DRAIN CATH S&I EXTERNAL 361 47533 36147534 HC PLMT BILIARY DRAIN CATH S&I INTERNAL/EXTERNAL361 47534 36147535 HC CONV EXT BIL DRG CATH S&I 361 47535 36147536 HC EXCHANGE BIL DRG CATH S&I 361 47536 36147537 HC REMOVAL BIL DRG CATH S&I 361 47537 36147538 HC PERQ PLMT BILE DUCT STENT, EA, EXTIST ACCESS361 47538 36147539 HC PERQ PLMT BILE DUCT STENT, EA, NEW ACCESS 361 47539 36147540 HC PERQ PLMT BILE DUCT STENT, EA, NEW ACCESS, 361EXTERNAL OR47540 IN/EXTERNAL 36147541 HC PLMT ACCESS BIL TREE SM BWL S&I NEW ACCESS 361 47541 36147542 HC DILATE BIL DUCT/AMPULLA S&I, EA DUCT 361 47542 36147543 HC ENDOLUMINAL BX BIL TREE S&I, SING OR MULTI 361 47543 36147544 HC REMOVAL DUCT GLBLDR CALCULI S&I 361 47544 36149185 HC SCLEROTX FLUID COLLECT S&I 361 49185

80 36150430 HC NJX PX NFROSGRAM&/URTRGRM, COMP DX, S&I,361 NEW ACCESS50430 36150431 HC NJX PX NFROSGRAM&/URTRGRM, COMP DX, S&I,361 EXIST ACCESS50431 36150432 HC PLMT NEPHROSTOMY CATH S&I 361 50432 36150433 HC PLMT NEPHROSTOMY CATH S&I, NEW ACCESS 361 50433 36150434 HC CONVERT NEPHROSTOMY CATH S&I, PRE EXIST NEPHRO361 TRACT50434 36150435 HC EXCHANGE NEPHROSTOMY CATH S&I 361 50435 36150606 HC ENDOLUMINAL BX URTR RNL PLVS S&I 361 50606 36150693 HC PLMT URTR STENT PRQ, S&I, PRE EXIST NEPHRO 361TRACT 50693 36150694 HC PLMT URTR STENT PRQ, S&I, NEW ACCESS 361 50694 36150695 HC PLMT URTR STENT PRQ, S&I, NEW ACCESS W SEP361 NEPH CATH 50695 36150705 HC URTR EMBOLIZATION/OCCL S&I 361 50705 36150706 HC BALLOON DILATE URTRL STRIX S&I 361 50706 61474712 HC MRI FETAL SNGL/1ST GESTATION 361 74712 61474713 HC MRI FETAL EA ADD'L GESTATION 361 74713 33377767 HC HDR RDNCL SKN SURF BRACHYTX 1 CHANNEL 333 77767 33377768 HC HDR RDNCL SKN SURF BRACHYTX 2 OR > CHANNELS333 77768 33377770 HC HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHANNEL 333 77770 33377771 HC HDR RDNCL NTRSTL/ICAV BRCHTX 2-12 CHANNELS333 77771 33303940 HC HDR ELCTRNC SKN SURF BRCHYTX 333 0394T 33303950 HC HDR ELECTR NTRST/NTRCV BRCHTX 333 0395T 27509014 HC BSI IONGEN EL ICD VR D140 275 C1722 92295874 HC GUIDE NERV DESTR NEEDLE EMG 922 95874 76164999 HC UNLISTED PX, NERVOUS SYS 761 64999 30188771 HC MAGNESIUM RBC 301 83735 30188772 HC METHYLPHENIDATE & METABOLITE URINE, QUANT301 80360 30603017 HC RESPIRATORY VIRUS PANEL PCR 306 87632 30188774 HC UMBILICAL CORD, SINGLE CLASS 301 80307 30188775 HC UMBILICAL CORD, PRESUMPTIVE 301 80307 27501803 HC MEDTRONIC ADVISA SR MRI A3SR01 PMKR 275 C1786 27509015 HC BSI INOGEN EL DR DUAL ICD GEN 275 C1721 36127613 HC BIOPSY SOFT TISSUE LEG OR ANKLE SUPERFICIAL361 27613 27801093 HC OPTEASE 90CM VENA CAVA FILTER 278 C1880 27801500 HC INNOVA SELF EXP STENT 40-120MM 278 C1876 27801501 HC INNOVA SELF EXP STENT 150MM 278 C1876 27801502 HC INNOVA SELF EXP STENT 200MM 278 C1876 27201785 HC DIAMONDBACK 360 CORONARY PLAQUE CATH 272 C1724 61075557 HC CMR FOR MORPHOLOGY & FUNCTION W/O CONTRAST610 75557 61075561 HC CMR FOR MORPHOLOGY & FUNCTION W/ & W/O610 CONTRAST 75561 61075565 HC CMR FOR VELOCITY FLOW MAPPING 610 75565 27201786 HC HALO XP EP CATH 272 C1731 36037607 HC LIGATION OR BANDING OF ANGIOACCESS AV FISTULA360 37607 30600971 HC B. PERTUSSIS 306 87798 30101052 HC PYRUVIC ACID 301 84210 30101053 HC 5' NUCLEOTIDASE 301 83915 30101055 HC LEAD INDUSTRIAL 301 83655

81 30101056 HC ZINC PROTOPORPHYRIN 301 84202 42001635 HC PT WORK SIMULAT. EA HR BWC 420 W0635 43001635 HC OT WORK SIMULAT. EA HR BWC- 430 W0635 42001637 HC PT ON-SITE/TRANS WORK/HR BWC- 420 W0637 43001637 HC OT ON-SITE/TRANS WORK/HR BWC- 430 W0637 42001644 HC PT JOB STE ERGO ANYS/HR BWC- 420 W0644 43001644 HC OT JOB STE ERGO ANYS/HR BWC 430 W0644 42001645 HC PT JOB ANALYSIS BWC- 420 W0645 42001702 HC PT WRK HRD/RECON INIT 2 HR- 420 W0702 43001702 HC OT WRK HRD/RECON INIT 2 HR- 430 W0702 42001703 HC PT WORK HARD ADD'L HR BWC- 420 W0703 43001703 HC OT WORK HARD ADD'L HR BWC- 430 W0703 42001710 HC PT WH PHYSICAL RECON EA HR-BWC- 420 W0710 43001710 HC OT WH PHYSICAL RECOND EA HR-BWC - 430 W0710 30600999 HC RSV MOLECULAR 306 87801 27500180 HC PERCEPTA CRT-1 MMQM MEDTRONIC 275 C2621 27202083 HC LATTITUDE PROGRAMMER SYS ACCESS KIT 272 76132994 HC ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION761 32994 27403908 HC WRIST HAND OTHOSIS(WHO) NON MOLD PRE OTS274 L3908 45027265 HC CLOSED TREATMENT HIP DISLOCATION W/O ANESTHESIA450 27403702 HC ELBOW ORTHOTIC W/O JOINTS CF 274 L3702 27201730 HC POWERMIDLINE TRIMABLE 4FR SINGLE LUMEN BARRIER272 KIT 30601001 HC INFLUENZA A&B MOLECULAR 306 87502 48093668 HC PERIPHERIAL ARTERIAL DISEASE(PAD) REHAB PER 480SESSION 93668 27202084 HC SYSTEM SUPPLEMENTAL NURSING 272 27202085 HC SYMPHONY HARMONY DOUBLE PUMP BREAST KIT272 27202086 HC SINGLE HANDED MANUAL BREAST PUMP 272 27202087 HC MEDTRONIC KYPHON KURVE BONE FILLER 272 30100840 HC MATERNAL SERUM SCREEN,AFP ONLY 301 82105 36046606 HC ANOSCOPY WITH BIOPSY OR DILATION 360 27202088 HC ANGIODYNAMICS MICRO SET 5 FR STIFFENED 272 27202089 HC CLARIVEIN CATHETER 272 27500181 HC VISIONIST CRT-P U226 BSI 275 C2621 76151710 HC CHANGE OF CTSTOMTOMY TUBE COMPLICATED 761 51710 27403764 HC ELBOW ORTHOTIC WITH JOINTS CF 274 L3764 27509023 HC AZURE XT MRI SURE SCAN PPM GEN 275 C1785 30022748 HC ALCOHOL &/OR OTHER DRUG TEST COLLECT & HANDLE918 LPCC/LPCH0048 30032748 HC ALCOHOL &/OR OTHER DRUG TEST COLLECT & HANDLE918 LICDC/LCDCIII/LCDCIIH0048 27209004 HC BUNDLED CVC CATHETER KIT 16-20CM 272 C1751 76136482 HC ENDOVEN ABLI THER CHEM ADHESIVE 1ST VEIN 761 36482 76136483 HC ENDOVEN ABLI THER CHEM ADHESIVE SBSQ VEIN 761 36483 90040791 HC PSYCH DIAGNOSTIC EVALUATION RN 900 90791 36015120 HC SPLIT THICKNESS AUTOGRAFT 360 27803005 HC CFP CLOSUREFAST PROCEDURE PK 272 C1888 27209006 HC MICRO INTRODUCER SHEATH SET 272 C1894

82 27209007 HC VENASEAL ADHESIVE 272 30107325 HC HEALTH FAIR LAB PANEL 301 27209008 HC SUPERCORE NEEDLE 272 27209009 HC CO AXIAL NEEDLE 272 30000914 HC HLA ANTIBODY 300 86828 30000915 HC HEPATITIS C VIRUS GENOTYPE 300 87902 30000916 HC HCV NS3/4A GENOSURE 300 87900 30000918 HC QUETIAPINE SERUM OR PLASMA 300 80342 30600065 HC GRAM STAIN 1ST ADDITIONAL 306 87205 30600069 HC GRAM STAIN 2ND ADDITIONAL 306 87205 27209010 HC TELEFLEX PLEURA EVAC KIT 272 62400003 HC DES SINOMED BUMA SUPREME 624 C1874 48100387 HC TRANSCATHETER INSERTION/REPLACEMENT OF PERMANENT481 LEADLESS33274 PACEMAKER 48100388 HC TRANSCATHETER REMOVAL PERMANENT LEADLESS481 PACEMAKER33275 48000389 HC PROGRAMMING DEVICE EVAL REVIEW REPORT LEADLESS480 PACEMAKER0389T SYSTEM 48000390 HC PERI-PROCEDURAL DEVICE EVAL PROGRAMMING LEADLESS480 PACEMAKER0390T SYSTEM 27511786 HC MICRA LEADLESS PACEMAKER 275 C1786 27501894 HC MICRA LEADLESS INTRODUCER 275 C1894 27209011 HC MEDTRONIC GUIDING CATHETER 272 C1887 27509024 HC MEDTRONIC SELECT SECURE LEAD 275 C1898 94298960 HC EDUCATION AND TRAINING FOR PATIENT SELF MANAGEMENT942 3098960 MINUTES 27509025 HC CAPSURE SENSE MRI SURE SCAN LEAD 275 C1898 30180299 HC LEFLUNOMIDE METABOLITE 301 80299 27209012 HC EDWARDS 21 FR. EZ GLIDE WITH LUER 272 27209013 HC EDWARDS 20 FR. FEMORAL ARTERIAL 272 27209014 HC MEDTRONIC DLP 22 FR. SS ANGLED 272 27209015 HC MEDTRONIC DLP 28 FR. SS STRAIGHT 272 27209021 HC MEDTRONIC DLP 28 FR. SS ANGLED 272 27209017 HC MEDTRONIC DLP 32 FR. SS STRAIGHT 272 27209018 HC SORIN 22 FR. RAP FEMORAL VENOUS 272 27209040 HC MEDTRONIC MIAR 12GA 9 FR. ROOT 272 27209041 HC SORIN 12GA 9 FR. ROOT 272 27209022 HC EDWARDS 14 FR. AUTO-INFLATE 272 27209042 HC VITALCOR 9/18 FR. OSTIAL RT ANGLE 272 27209023 HC TERUMO CPG INFUSION LINE 272 27209024 HC SORIN 1/2 X 1/2 B-CARE 5 ADAPTER 272 27209025 HC TERUMO CAPIAOX FX25 OXYGENATOR 272 27209026 HC TERUMO CAPIOX FX15 OXYGENATOR 272 27209027 HC TERUMO SARNS CENTRIFUGAL PUMPHEAD 272 27209028 HC TERUMO FRESENIUSATF 40 KIT WITH AT3 272 27209029 HC TERUMO FRESENIUS ATR 40 RESERVOIR 272 27209030 HC TERUMO FRESENIUS ATS SUCTION LINE 272 27209045 HC MEDTRONIC 22 FR. EOPA 272 27209047 HC EDWARDS 29/37 FR. DS 272 27209031 HC MAQUET MEGA 7.5 FR. 30CC KIT 272

83 27209032 HC MAQUET INSERTION KIT 7.5 FR. 40CC IAB 272 27209033 HC ICU MED TRANSPAC IV PRESSURE TRANSDUCER KIT272 27109289 HC MEDTRONIC HMS ACT CLOTTRAC CONTROLS 271 27109290 HC MEDTRONIC HMS RED CONTROLS 271 27109291 HC MEDTRONIC HMS SILVER CONTROLS 271 27209035 HC EDWARDS PERCUTANEOUS INSERTION KIT VENOUS272 27209036 HC EDWARDS PERCUTANEOUS INSERTION KIT ARTERIAL272 27209037 HC MEDTRONIC 5OFT UNSTERILE 3/8 TUBING 272 27209039 HC PALL AUQASAFE WATER FILTER 272 27209044 HC MEDTRONIC DLP 17 FR. SOFT OSTIAL 272 27209046 HC MEDTRONIC DLP 20 FR. UNWEIGHTED 272 27209048 HC MEDTRONIC CLEARVIEW 1.5MM SHUNT 272 36000047 HC MAQUET SENSATION PLUS 7.5 FR. 40CC F O KIT 360 27109299 HC MEDTRONIC SILVER CARTRIDGES 271 27200951 HC TERUMO 1/4 MALE SWIVEL CONNECTOR 272 27400450 HC HEART HUGGER 274 L0450 30205031 HC QUANTIFERON TB GOLD PLUS 302 86480 27408032 HC Z FLEX FLUIDIZED BOOT 274 27209444 HC PACIFIC BALLON 272 C1725 30687328 HC HCV BY QUANTITATIVE NAAT 306 87522 30687329 HC HCV QUANT WITH REFLEX TO HCV GENOTYPE 306 87522 76199185 HC EXCISION SUBQ SPACE VASCULAR MALFORMATION761 37799 27509045 HC AZURE XT SR MRI SURE SCAN PPM GENERATOR 275 C1786 94700040 HC BED SENTINEL 2 BARIATRIC 850LBS 947 94700041 HC MATTRESS SKIN GUARD BARI EXPANDABLE 947 36120205 HC BIOPSY MUSCLE, DEEP 361 20205 27201773 HC VARITHENA ADM PACK 272 30107326 HC HEALTH FAIR PANEL #2 301 30188791 HC PSA HEALTH FAIR SCREENING 301 30205032 HC QUANTIFERON TB GOLD PLUS 4 TUBE 302 86480 94700042 HC SPIRIT SELECT LO BED 947 27509046 HC MOMENTUM EL DR CARDIO DEFIB DUAL CHAMBER275 C1721 27201058 HC DIGNISHIELD KIT 272 30200973 HC HIV 1 BY QUANTITATIVE NAAT PLASMA 306 87536 30200972 HC HEPATITIS B VIRUS HBV BY QUANTITATIVE NAAT 306 87517 27209049 HC CORONARY DIAMONDBACK ATHERECTOMY SYSTEM272 C1724 27209050 HC CORONARY GUIDEWIRE 272 C1769 77100007 HC ADDITIONAL IM INFLUENZA AND PNE ONLY 771 90472 27809375 HC BOSTON SCIENTIFIC PROMUS ELITE STENT 278 C1874 27509047 HC ASSURITY MRI PM DR 275 C1785 26095991 HC REFILL/MAINT IMPNTBLE PUMP 260 95991 30100584 HC IONIZED CALCIUM 301 82330 30100585 HC BLOOD GAS ANALYZE 301 82803 30100587 HC GLUCOSE (ABG OH) 301 82947 30100588 HC POTASSIUM (ABG) 301 84132

84 30100589 HC SODIUM (ABG OH) 301 84295 32074420 HC PYELOGRAM/RETROGRADE 320 74420 36000006 HC CARDIO THORAC SURGERY 1ST HAL 360 36000007 HC CARDIOTHOR SRGY EA ADD'L 1/4H 360 36000009 HC ROBOTIC SURGERY EA ADD'L 1/4H 360 36000010 HC NEUROSURGERY BASE 1ST HALF HR 360 36000011 HC NEUROSURGERY EA ADD'L 1/4 HR 360 36000015 HC ARTHROTOMY GHJ W JNT EXPL 360 36000019 HC ARTHRO SHOULDER MUMFORD PROC 360 36000021 HC ARTHROSCOPY, SHOULDER, SURGIC 360 36000022 HC ARTHROSCOPY BICEPS TENODESIS 360 36000023 HC ARTHROSCOPY WRIST W RLS TRNS 360 36000026 HC UGI BALLOON DIL ESOPH - < 30 360 36000029 HC TYMPANOSTOMY 360 36000034 HC CARDIO THOR SURG 1ST HALF HR 360 36000035 HC CARDIOTHOR SURG EA ADD'L 15 M 360 36000039 HC AUTOTRANSFUSION USAGE 1ST 200 360 36000040 HC AUTOTRANSFUSION USAGE ADDITIO 360 36000041 HC MEDTRONIC ACT CARTRIDGES 305 85347 36000044 HC VAD USAGE PER 8 HOURS 360 36000045 HC MAQUET SENSATION PLUS 8 FR. 50CC F O KIT 360 36023412 HC REP RUPTURED MUSCULOTEND CUFF 360 23412 36024586 HC OPEN TREATMENT OF PERIARTICUL 360 24586 36052235 HC CYSTOURETHROSCOPY, WITH FULGU 360 52235 36100015 HC BX/EXCISION LYMPH NODE(S),OPE 361 36100016 HC BX/EXCISE LYMPH NODE(S),NEEDL 361 36100017 HC BRONCHOSCOPY 361 31622 36100019 HC REPAIRS-SIMPLE 2.5 CM OR LESS 361 36100020 HC REPAIRS SIMPLE-2.6 CM -7.5 CM 361 36100033 HC BONE MARROW BIOPSY 361 36100035 HC INCISION & DRAINAGE, SIMPLE 361 36100036 HC INCISION & DRAINAGE, COMPLEX 361 36100037 HC REMOVAL FB, SUBQ, SIMPLE 361 36100039 HC PUNCTURE ASP HEMATOMA/ABSCESS 361 36100042 HC ANAL DILATION 361 36100045 HC EXCISION,LESION,.6 TO 1CM 361 36100046 HC EXCISION,LESION 361 36100048 HC NASO/GASTRO TUBE PLACEMENT 361 36100049 HC REMOVE OF CENT VEN CATH W/POR 361 36100050 HC REVISION OF INFUSAPORT 361 36100051 HC BREAST BIOPSY 361 36100052 HC BREAST BIOPSY LEFT 361 36100054 HC EXCISION,LESION 2.1 TO 3.0 CM 361 36100055 HC EXCISION,LESION,3.1 TO 4.0 CM 361 36100060 HC EXCISION,LESION,1.1 TO 2.0 CM 361

85 36100061 HC EXC MLES T/A/L 0.5CM 361 36100062 HC REPAIR INTERMED-LYRD 2.6-7.5C 361 36100063 HC REPAIR,TRUNK,COMPLEX 361 36100064 HC REPAIR,TRUNK,CPLX,EA ADD'L 5C 361 36100065 HC REPAIR,CPLX,4HEAD,FACE,HAND,F 361 36100067 HC ADJACENT TISSUE TRANSFER 361 36100068 HC URETERAL CATHERIZATION-SIMPLE 361 36100069 HC EXCIS MAL LES S/N/H/F 1.1-2.0 361 36100070 HC PICC LINE INSERTION 361 36100071 HC CHEST TUBE ABSCESS/EMPYEMA 361 36100072 HC THORACENTESIS PROCEDURE 361 36100073 HC BONE MARROW PROCEDURE 361 36100074 HC PARACENTESIS PROCEDURE 361 36100110 HC BIOPSY, BONE, TROCAR, OR NEED 361 36100111 HC LIVER BIOPSY 361 36100077 HC INJECTION(S)SNG-MULT TRG PTS 361 36100112 HC BX, SOFT TISUE,BACK/FLANK SUF 361 36100113 HC BRONCHOSCOPY - DIAGNOSTIC (WI 361 31622 36100114 HC BRONCHOSCOPY EACH ADD'L 361 36100115 HC TRANSCBRON ASPIR EA ADD'L LOB 361 36100116 HC EGD-GASTRO W/ STENT PLACEMENT 361 36100117 HC ESOPHAGOSCOPY W/ ARGON COAGUL 361 36100118 HC EGD-GASTRO - 361 36100119 HC ESOPHAGOSCOPY W/ COLD BIOPSY 361 36100120 HC ESOPHAGOSCOPY W/ SAVORY DILA 361 36100121 HC ESOPHAGEAL DILATATION ONLY 361 36100095 HC SIMOIDOSCOPY W/ BALLOON DILAT 361 36100096 HC SIGMOIDSCPY/FLEXIBLE WITH CON 361 36100097 HC SIGMOIDSCPY/FLEXIBLE W/ HOT B 361 36100098 HC ANOSCOPY DIAGNOSTIC 361 36100099 HC INJ.ANESTH AGENT SCIAT NRV SN 361 36100100 HC SCRN COLONOSCOPY ON HI RISK P 361 36100101 HC DRAIN/INJ MAJOR JNT/BURSA 361 36100102 HC UNLISTED PROCEDURE, ARTHROSCO 361 36100103 HC COLONOSCOPY FLEX DX 361 36100104 HC INJECT PARAVERTEB F JNT L/S 1 361 36100109 HC DILATE ESOPH UNGUIDED SND/BOUG 361 36111300 HC SHAVE LESION <.5CM-2.0CM 361 36120206 HC BIOPSY,MUSCLE,PERCUT NEEDLE 361 20206 36131502 HC TRACH TUBE CHANGE 361 31502 36131627 HC SUPERDIMENISON NAVIGATION 361 31627 36136575 HC REPAIR CVA TUNNELED/NONTUNNEL 361 36575 36143239 HC EGD BIOPSY SINGLE/MULTIPLE 361 43239 36144340 HC REVISION OF COLOSTOMY SIMPLE 361 44340 36146255 HC HEMORRHOIDECTOMY, INT/EXT SIM 361 46255

86 36200001 HC CORNEA, IMPLANT (HUM TISSUE) 362 39000003 HC HEMASEEL 2ML 390 P9012 39009012 HC REV CODE 390 HCHPS P9012 390 P9012 48093660 HC TILT TABLE EVALUATION 480 93660 63604100 HC REV CODE 636 HCPCS Q4100 636 Q4100 75091010 HC EMS - ESOPHAGEAL MOTILITY STU 750 91010 75091034 HC PH PROBE ONLY 750 91034 74095857 HC TENSILION TEST WO EMG 920 95857 16406230 HC ROOM PSYCH ISOLATION 164 16406198 HC ROOM REHAB ISOLATION 164 16400011 HC NEWBORN CARE LEV I ISOLATION 164 16400012 HC ROOM NEWBORN LEV II ISOLATION 164 16400013 HC NEWBORN LEV III ISOLATION 164 16406158 HC ROOM CVIU ISOLATION STEPDOWN 206 16400014 HC NEWBORN LEV IV ISOLATION 164 16406159 HC ROOM CCU ISOLATION 210 16406220 HC ROOM BH 4E ISOLATION 164 39100100 HC BLOOD REPLACEMENT 391 36430 39100101 HC BLOOD ADM DISCONTINUED 391 36430 27800685 HC GUIDANT TAPERED ACCULINK STENT 278 C1876 43097014 HC OT ELECTRIC STIM TX 1+ AREAS 430 97014 43000635 HC OT WORK SIMULATION EA HR BWC 430 W0635 43000637 HC OT ON-SITE/TRANS WORK/HR BWC 430 W0637 43000638 HC OT BACK SCHOOL-BWC 430 W0638 43000644 HC OT JOB SITE ERGO ANYS/HR BWC 430 W0644 43000645 HC OT JOB ANALYSIS BWC 430 W0645 43000702 HC OT WRK HRD/RECON INIT 2HR/BWC 430 W0702 43000703 HC OT WORK HARD ADD'L HR-BWC 430 W0703 43000710 HC OT PHYSICAL RECOND EA HR-BWC 430 W0710 43097545 HC OT WORK HARDENING INIT 2 HRS 430 97545 43097546 HC OT WORK HARDENING EA ADD'L HR 430 97546 76206220 HC OBSER PSYCH HOURLY 762 76206230 HC OBSER HOURLY EXT STAY PSYCH 762 43079537 HC OT COMMUNITY/WORK REINTEGRATION 430 97537 42097535 HC PT ADL SELF CARE EA 15 MIN 420 97535 43097016 HC OT VASOPNEUMATIC DEVICE 430 97016 43097034 HC OT CONTRAST BATH 430 97034 43097112 HC OT NEUROMUSCULAR RE-EDUCATION 430 97112 43097124 HC OT MASSAGE THER 430 97124 43097542 HC OT WHEELCHAIR TRAINING 430 97542 43097602 HC OT NONSELECTIVE DEBRIDEMENT 430 97602 43097761 HC OT PROSTHETIC TRAINING 430 97761 42097018 HC PT PARAFFIN BATH 420 97018 42097760 HC PT ORTHOTIC FIT/TRAINING EA 15 MIN 420 97760 92295885 HC NEEDLE EMG EA.EXTREME LIMITD W/NC 922 95885

87 92295886 HC NEEDLE EMG EA EXTREME W/NCV=>5 MUSCLES 922 95886 51015277 HC SKIN SUB GRAFT F/N/HF/G 1ST 100SQ CM 510 15277 27100118 HC SCD MED KNEE SLEEVE 271 26100004 HC I-FLOW PUMP OB/GYN 261 36162639 HC PAIN PUMP ANALYSIS/REPROG/FILL 361 62639 36101270 HC PAIN PUMP W/MD REPROG/REFILL 361 62370 27200300 HC GUIDE WIRE ABBOTT 272 C1769 27200301 HC BSCI MACH 1 PERIPHERAL CATH 272 C1887 27200302 HC BSCI RUNWAY GUIDE CATH 272 C1887 27200303 HC BSI COYOTE CATH 272 C1725 27200304 HC TRANSEPTAL NEEDLE-BAYLIS MED 272 27500149 HC BIOTRONIK LUMAX 540 HF-T ICD 275 C1882 27200307 HC TRAY SUTURE SPECIAL 272 48093351 HC STRESS ECHO W CONT ECG MONITOR 480 93351 94700003 HC BED SCALES FROM KCI 947 94700004 HC BED-DELTA ROTOREST 947 94700005 HC BED-TOTALCARE SPORT 947 94700007 HC BED-CLINITRON RITE HITE 947 94700009 HC BED-BIG TURN 39 IN 947 94700010 HC BED-BIG TURN 48 IN 947 94700011 HC BED-TRIFLEX II W/FM SC&TR 947 94700012 HC BED ROTOPRONE 947 94700013 HC BED REHAB PLATFORM SW1000 947 30100307 HC URINE UREA NTIROGEN 301 84540 94700016 HC BED-TOTALCARE PLUS W/AIR 500L 947 94700017 HC BED-TOTALCARE PLUS W/AIR PULM 947 94700018 HC BED-NET POSEY 947 94700019 HC TOTALCARE BARI GEN/GEN II GS 947 48093786 HC AMBULATORY BP RECORDING 24+HR 480 93786 48093788 HC AMBULATORY BP ANALYSIS 24+ HR 480 93788 34178223 HC HEPATOLIBARY DUCTAL SYS IMAGI 341 78223 36147382 HC ABLATION 1/MORE TUMORS-PERCUT 361 47382 40400235 HC PET NOT OTHERWISE SPECIFIED 404 G0235 41000237 HC THERAPEUTIC ENDURANCE 1:1 410 G0237 27200311 HC O2 BIS MONITOR 272 30088738 HC HBG QUANT TRANSCUTANEOUS 300 88738 48093279 HC PACER DEVICE PROGRAM EVAL SNG 480 93279 48093280 HC PACER DEVICE PROGRAM EVAL DUA 480 93280 48093281 HC PACER DEVICE PROGRM EVAL MULT 480 93281 48093282 HC ICD DEVICE PROGRAM EVAL 1 SNG 480 93282 48093283 HC ICD DEVICE PROGRAM EVAL DUAL 480 93283 48093284 HC ICD DEVICE PROGRAM EVAL MULT 480 93284 48093291 HC LOOP INTERROGATION DEVICE EVA 480 93291 47000507 HC AURAL REHAB 470 92507 34300500 HC CARDIOLITE UP TO 40 MCI 343 A9500

88 30100063 HC SIROLIMUS SO* 301 80195 90501000 HC INTENSIVE OUT PATIENT PROGRAM 905 S9480 30100838 HC METHLYMALONIC ACID 301 83921 48133285 HC INSERT SUBQ CARDIAC RHYTHM MONITOR INCL PROGRAMMING481 33285 48133286 HC REMOVAL SUBQ CARDIAC RHYTHM MONITOR 481 33286 36143762 HC GASTROSTOMY TUBE REPLACEMENT WITHOUT IMAGING361 43762 92183970 HC DUPLEX VEINS BILAT CC6740 921 93970 92183971 HC DUPLEX EXT VEINS UNIL/LIMIT CC6740 921 93971 91896130 HC PSYCHOLOGICAL TESTING EVALUATION 1ST 60 MINUTES918 96130 91896131 HC PSYCHOLOGICAL TESTING EVALUATION ADD'L 60 MINUTES918 96131 91896112 HC DEVELOPMENTAL TESTING 1ST 60 MINUTES 918 96112 91896113 HC DEVELOPMENTAL TESTING ADD'L 30 MINUTES 918 96113 91896121 HC NEUROBEHAVIORAL STATUS EXAM ADD'L 60 MINUTES918 96121 91896132 HC NEUROPSYCHOLOGICAL TESTING EVALUATION 1ST918 60 MINUTES96132 91896133 HC NEUROPSYCHOLOGICAL TESTING EVALUATION ADD'L918 60 MINUTES96133 76111102 HC TANGENTIAL BIOPSY OF SKIN SINGLE LESION 761 11102 76111104 HC PUNCH BIOPSY SINGLE LESION 761 11104 76111106 HC INCISIONAL BIOPSY SINGLE LESION 761 11106 76111103 HC TANGENTIAL BIOPSY OF SKIN EACH ADDITIONAL LESION761 11103 76111105 HC PUNCH BIOPSY EACH ADDITIONAL LESION 761 11105 36127369 HC INJ FOR CONTRAST OR ENHANCED KNEE ARTHROGRAPHY361 27369 36150436 HC DILATION OF EXISTING , PERCUTANEOUS , FOR ENDOUROLOGIC361 50436 PROCEDURE 36150437 HC DILATION EXISTING TRACT W/POST PROC TUBE REPLACEMENT361 50437 ICL NEW ACCESS 29000051 HC AUDEO MONAURAL M30 BTE 290 V5257 29000052 HC MONAURAL M50 BTE 290 V5257 29000053 HC MONAURAL M70 BTE 290 V5257 29000054 HC MONAURAL M90 BTE 290 V5257 29000055 HC AUDEO BINAURAL M30 BTE 290 V5261 29000056 HC AUDEO BINAURAL M50 BTE 290 V5261 29000057 HC AUDEO BINAURAL M70 BTE 290 V5261 29000058 HC AUDEO BINAURAL M90 BTE 290 V5261 27209051 HC WORLEY ADVANCE GUIDE CSG 272 C1892 76111107 HC INCISIONAL BIOPSY OF SKIN ADDITIONAL LESION 761 11107 36110005 HC FINE NEEDLE ASPIRATION BIOPSY US GUIDANCE 1ST361 LESION 10005 36110006 HC FINE NEEDLE ASPIRATION BIOPSY NEEDLE US GUIDANCE361 ADDITIONAL10006 LESIONS 36110007 HC FINE NEEDLE ASPIRATION BIOPSY FLOUROSCOPIC361 GUIDANCE 1ST10007 LESION 36110008 HC FINE NEEDLE ASPIRATION BIOPSY FLOUROSCOPIC361 GUIDANCE ADD'L10008 LESIONS 36110009 HC FINE NEEDLE ASPIRATION BIOPSY CT GUIDANCE 1ST361 LESION 10009 36110010 HC FINE NEEDLE ASPIRATION BIOPSY CT GUIDANCE ADDITIONAL361 LESION10010 77100001 HC IMMUNIZATION ADM ONE VACCINE 771 90471 77100008 HC INFLUENZA VACCINE 771 90471 36110011 HC FINE NEEDLE ASPIRATION BIOPSY MR GUIDANCE 1ST361 LESION 10011 36110012 HC FINE NEEDLE ASPIRATION BIOPSY MR GUIDANCE ADDITIONAL361 LESION10012 12300001 HC DAILY ROOM PEDS 123 32075957 HC ENDO REPAIR DESCEND THOR ANEUR 320 75957

89 27200753 HC BSCI EXPO ANGIOGRAPHIC CATH 272 C1887 80100100 HC CRRT DAILY DIALYSIS 801 27201040 HC BIOTRONIK SELECTRA ACCESSORY KIT 272 48133990 HC INSERTION VENTRICULAR ASSIST IMPELLA DEVICE481 33990 48133992 HC REMOVAL OF PERCUTANEOUS VENTRICULAR ASSIST481 DEVICE 33992 48133993 HC REPOSITION OF PERCUTANEOUS VENTRICULAR ASSIST481 DEVICE33993 48103999 HC UNLISTED PROCEDURE, CARDIAC SURGERY, IMPELLA481 RP 33999 48134812 HC OPEN FEMORAL ARTERY EXPOSURE FOR DELIVERY481 ENDOVASCULAR34812 PROSTHESIS 27209052 HC IMPELLA CP PUMP SET 272 63604196 HC PURAPLY AM PER SQ CM 636 Q4196 27800101 HC QUICKFLEX 1156/1158T CS LEAD 278 C1900 27200350 HC CORDIS PERP GUIDE CATH 6,7 FR 272 C1887 63604195 HC PURAPLY PER SQ CM 636 Q4195 32076499 HC BRONCHOSCOPY PLANNING 320 76499 76200098 HC CCU INPATIENT, HOURLY, 1ST HR 234 76200099 HC CCU IP, HOURLY, EACH ADD'L HR 234 27800152 HC PERITONEAL DIALYSIS ACCESS SY 278 40200121 HC OB BEDSDIE ULTRASOUND 402 76815 32074880 HC FLURO GUIDANCE CATH/STENT PLM 320 74480 36000238 HC ATHERECTOMY/W S&I/ILIAC ARTER 360 0238T 36100269 HC PLACEMENT VASCULAR CLOSURE DE 361 G0269 46000001 HC CONTINUOUS PULSE OXIMETRY 460 94762 76200097 HC CCU OBSERVATION, EA ADD'L HOU 762 92495028 HC INTRADERMAL TESTS WITH ALLEGERIN 924 95028 26100005 HC I-FLOW POST-OP PAIN PUMP 261 27200320 HC SJM PEEL AWAY INTRO KIT 272 C1892 30100701 HC ALCOHOL,ETHYL,BLOOD 301 84460 99900702 HC ALT 301 82232 30100704 HC BHCG-SO 301 84702 30100706 HC BLOOD GAS W/ CO-OXIMETRY 301 82805 30100707 HC BLOOD GAS W/ CO-OXIMETRY **** 301 30100730 HC FAT/QUANT SO 301 82710 30100734 HC FRAG.X ENZYMATIC DIG 1 301 83892 30100735 HC FRAG.X ENZYMATIC DIG 2 301 83890 30100736 HC FRAG.X MOLECULAR ISO 301 82955 27109300 HC PREVENA CANISTER 271 30100747 HC IGG - CSF SO (PART OF MS 301 82784 30100748 HC IGG 1 301 82787 30100749 HC IGG 4 301 82787 61008915 HC MRA PELVIS WITH AND/OR WITHOUT CONTRAST 610 72198 30100752 HC LAMBDA SERUM 301 83883 30100754 HC POC FINGER STICK BLOOD SUGAR 301 84132 30100755 HC POTASSIUM (LYTES) PART OF ABG 301 84132 47100001 HC AUDITORY REHAB STATUS EVAL 471 92626 47100002 HC AUDITORY REHAB STATUS EACH ADDITIONAL 15 MINUTES471 92627

90 47100003 HC UNLISTED OTORHINOLARYNGOLOGICAL SERVICE OR471 PROCEDURE92700 30100760 HC SELENIUM 301 84260 27509048 HC IPERIA 7 HF T 275 C1882 30100764 HC SODIUM, RANDOM URINE 301 84300 30100767 HC T3 UPTAKE SO 301 84480 30100773 HC TOLERANCE TEST,ADD'L 3 HR 301 82952 30100774 HC TOLERANCE TEST,ADD'L 3 HR 301 82952 30100775 HC TOLERANCE TEST,ADD'L 4 HR 301 82952 30100776 HC TOLERANCE TEST-ADD'L 5 HR 301 82952 30100779 HC TRIGLYCERIDE VAP 301 84478 30100789 HC ANIT-NUCLEAR AB CASCADE 302 86039 30100790 HC ANTI-NUCLEAR TITER 302 30100794 HC CRYPTOCOCCUS AG-CS 302 30100797 HC MONO TEST 302 86308 30100800 HC ANTI THROMBIN III ACTIVIT SO 305 85300 30100801 HC ANTI-THROMBIN III,ENZ.SO* 305 85307 30100802 HC APC RESISTANCE REF.FACTOR V 305 85730 30500803 HC APTT SO 305 85730 30500805 HC DRVVT:1:1 MIX REFLEX 305 85613 30100806 HC FACTOR II SO 305 85220 27100002 HC DERMAGRAN HYDROPHILIC B EX OINTMENT 271 30100808 HC FACTOR VII SO 305 85291 30100809 HC FACTOR XIII/UREA SOL SO 305 85520 36104080 HC URETERAL STENT REMOVAL 361 50384 30100812 HC LYSOZYME, SERUM/BF SO 305 85420 30100813 HC PLASMINOGEN SO 305 85597 30500814 HC PLATELET NEUTRALIZATION 305 85597 30100815 HC PROTEIN C SO 305 85303 30100816 HC PROTEIN C, FUNC. SO* 305 85305 30100817 HC PROTEIN S SO 305 85306 30100818 HC PROTEIN S, FUNC. SO* 305 85610 30500819 HC PROTIME SO 305 85610 30500820 HC PTT HEPARIN NUETRALIZATION 305 85730 30500821 HC PTT-D 1:1 MIX REFLEX 305 85732 30500822 HC RBC SOLUBILITY 305 85635 30100823 HC REPTILASE SO 305 85613 30500824 HC RUSSELL VENOM TIME SO 305 85613 30100825 HC TISSUE THROMBOPLASTIN SO 305 85810 94209466 HC MNT INITIAL ASSESSMENT AND INTERVENTION EACH942 15 MIN 97802 94209467 HC MNT RE-ASSESSMENT AND INTERVENTION EACH 15942 MIN 97803 32076000 HC FLUOROSCOPY ONLY 320 76000 32077002 HC FLURO GUIDANCE FOR NDLE PLMT 320 77002 44092626 HC EVAL FOR AUDITORY REHAB STATUS 1ST HOUR 440 92626 44092630 HC AUDITORY REHAB PRELINGUAL HEARING LOSS 440 92630 44092633 HC AUDITORY REHAB POST LINGUAL HEARING LOSS 440 92633

91 32072041 HC SPINE CERVICAL 2 OR 3 VIEWS 320 72040 32072101 HC SPINE LUMBOSACRAL 2 OR 3 VIEWS 320 72100 32070101 HC MANDIBLE-LESS THAN 4 VIEWS 320 70100 51610031 GB CERUMEN REMOVAL, REQ INSTRUMENT, UNILATERAL516 69210 27501777 HC RELIANCE 4 FRONT LEAD 275 C1777 27509049 HC CLARIA MRI QUAD CRT-D SURE SCAN 275 C1882 94500003 HC THREE HOUR GROUP THERAPY 945 90853 94500002 HC TWO HOUR GROUP THERAPY 945 90853 42029420 HC PT STRAPPING OF SHOULDER 420 29240 40300302 HC UNILAT SCREEN MAMMO NO CAD 403 G0202 30600904 HC AFB CULTURE URINE 306 87116 30600907 HC FUNGAL CULTURE SKIN 306 87101 30600915 HC C. DIFFICILE TOXIN 306 87324 30600916 HC HPV-HIGH RISK 306 87624 30500902 HC SICKLE CELL SOLUBILITY 305 85660 30100906 HC GLUCOSE TOLERANCE 4 HR 301 82951 30100907 HC CHOLESTEROL-PLEURAL FLUID 301 84999 30100913 HC IGG 3 301 82787 30100916 HC IGG-SERUM SO (PART OF MS) 301 82784 30100917 HC IGG 2 301 82787 30100918 HC CORTISOL#3 301 82533 30100919 HC FRAG.X SPECTREPHOTOMY 301 84311 30100920 HC GLUCOSE (ABG OH) PART OF ABG 301 82947 30100923 HC CRYOFIBRINOGEN 301 82585 30100201 HC BARBITURATES SERUM QUANT 301 80345 30700903 HC PREG TEST-POC 307 81025 30600918 HC BACT CULT ID DEFINITIVE 306 87077 30100929 HC METHYLENETRAHYDROL ISOLTION S 301 83891 31100904 HC CD3 SO 311 88184 31100905 HC CD4 SO 311 88185 31100906 HC CD8 SO* 311 88185 31100907 HC CD1 LEUK/LYMPH SO 311 88184 31100908 HC CD2-LEUK/LYMPH SO 311 88185 31100909 HC NEUTROPHIL OXIDATIVE ADD'L 311 88185 31000901 HC KARYOTYPE CULTURE 310 88230 30600920 HC HIV PHENOTYPE ADD'L DRUG 1 306 87904 30600921 HC HIV PHENOTYPE ADD'L DRUG 2 306 87904 30600922 HC HIV PHENOTYPE ADD'L DRUG 3 306 87904 30600923 HC HIV PHENOTYPE ADD'L DRUG 4 306 87904 30600924 HC HIV PHENOTYPE ADD'L DRUG 5 306 87904 30600925 HC HIV PHENOTYPE ADD'L DRUG 6 306 87904 30600926 HC HIV PHENOTYPE ADD'L DRUG 7 306 87904 30600927 HC HIV PHENOTYPE ADD'L DRUG 8 306 87904 27109281 HC CRAN PROTH TIER I 271 A9282 27109283 HC CRAN PROTH TIER III 271 A9282

92 27109284 HC CRAN PROTH TIER IV 271 A9282 27109285 HC CRAN PROTH TIER V 271 A9282 27109286 HC CRAN PROTH TIER VI 271 A9282 27109287 HC CRAN PROTH TIER VII 271 A9282 27109288 HC CRAN PROTH TIER VIII 271 A9282 30600919 HC GC 306 87591 30600928 HC INFLUENZA B ANTIGEN 306 87400 34178290 HC BOWEL IMAGING 341 78290 40276536 HC US THYRD/SOFT TISSUE HEAD/NECK 402 76536 73293229 HC REMOTE 30 DAY ECG TECH SUPP 732 93229 48093296 HC PM/ICD REMOTE TECH SERV=<90DAY 480 93296 30100930 HC MARIJUANA SERUM QUANT 301 80349 30600930 HC STREP A AGGLUTINATION 306 87147 30200905 HC ABSORPTION RBC SO 302 86978 34308505 HC TI-201 THALLOUS PER MCI 343 A9505 92183965 HC QUANT VENOUS FLOW STUDY 921 93965 92173965 HC UPPER LIMB VENOUS STUDY 921 93965 92163965 HC PHYSILOGIC ANALYSIS 921 93965 26089366 HC IV INFUS,TX,PROP,DX > 8 HRS 260 C8957 31000902 HC NAIL SOFTENING 310 88399 31100911 HC CELL BLOCK/CYTOLOGY 312 88305 36147490 HC CHOLECYSTOSTOMY-PERCUTANEOUS-INCLUDES IMAGING361 47490 30500909 HC CBC WITH AUTO DIFF 305 85025 30200910 HC ANTIBODY ELUTION SO 302 86860 30500910 HC DRVVT CONFIRMATION REFLEX 305 85613 30600932 HC BACT CULT ID-PRESUMPTIVE 306 87088 31200901 HC HER-2NEU 312 88360 36162291 HC DISCOGRAPHY, EA LEV, CERV/THOR 361 62291 32077003 HC FLUOR GUIDANCE FOR SPINE INJ 320 77003 30781002 HC URINE DIP POC 307 81002 51111730 HC NAIL AVULSION-BILAT 510 11730 42067033 HC WH PT IONTOPHORESIS 420 97033 43067033 HC WH OT IONTOPHORESIS 430 97033 42067035 HC WH PT ULTRASOUND TX PER 15 MIN 420 97035 43067035 HC WH OT ULTRASOUND TX PER 15 MIN 430 97035 42067110 HC WH PT THERAPEUTIC EX PER 15 MIN 420 97110 43067110 HC WH OT THERAPEUTIC EX PER 15 MIN 430 97110 43067150 HC WH OT THER REHAB GROUP 430 97150 42067537 HC WH PT COMMUNITY/WORK TRAING EA 15M 420 97537 43067537 HC WH OT COMMUNITY/WORK TRAING EA 15M 430 97537 42067545 HC WH PT WORK HARDENING INIT 2 HRS 420 97545 43067545 HC WH OT WORK HARDENING INIT 2 HRS 430 97545 42067546 HC WH PT WORK HARDENING EA ADDTL HR 420 97546 43067546 HC WH OT WORK HARDENING EA ADDTL HR 430 97546 43067550 HC WH OT PHYSICAL PERFORM EA 15M 430 97750

93 42067750 HC WH PT PHYSICAL PERFORM EA 15M 420 97750 42067702 HC WH PT WRK HRD/RECON INIT 2 HR/BW 420 W0702 43067702 HC WH OT WRK HRD/RECON INIT 2 HR/BW 430 W0702 42067703 HC WH PT WORK HARD ADDIT HR BWC 420 W0703 43067703 HC WH OT WORK HARD ADDIT HR -BWC 430 W0703 42067710 HC WH PT PHYSICAL RECOND EA HR-BWC 420 W0710 43067710 HC WH OT PHYSICAL RECOND EA HR-BWC 430 W0710 42067140 HC WH PT MANUAL THERAPY PER 15 MIN 420 97140 33367418 HC VMAT TREATMENT DELIVERY 333 77418 33367301 HC VMAT PLAN 333 77301 30100931 HC BLOOD GAS ANALYZE RESP 301 82803 30100932 HC BLOOD GAS W CO-OX ONLY RESP 301 82805 27209053 HC EDWARDS 16 FR OPTISITE ARTERIAL 272 32300900 HC CL AORTOGRAM-THORACIC, RAD S & I 323 75600 32300901 HC CL AORTOGRAPHY-ABDOMINAL 323 75625 27209054 HC EDWARDS 18 FR OPTISITE ARTERIAL 272 32300902 HC CL AORTOGRAPHY-ABD W/BIL LLIOFEM 323 75630 32300903 HC CL ARCH STUDY 323 75650 27209055 HC EDWARDS 20 FR OPTISITE ARTERIAL 272 32300904 HC CL UNILAT EXTERNAL CAROTID 323 75660 32300905 HC CL ANGIO BILAT EXTERNAL CAROTID 323 75662 27209056 HC MEDTRONIC DLP 24 FR SS STRAIGHT 272 32300906 HC CL UNILATERAL CEREBRAL ARTE 323 75665 32300907 HC CL ANGIOGRAPHY,CAR,CERB,BIL S & I 323 75671 27209057 HC MEDTRONIC DLP 15 FR MANUAL INFLATE 272 32300908 HC CL ANGIOGRAPHY,CAROTID,VER UNI S & I 323 75676 27209058 HC MEDTRONIC DLP 12 FR BASKET TIP OSTIAL 272 32300911 HC CL ANGIOGRAPHY UNIL EXT RAD S&I 323 75710 27209059 HC MEDTRONIC DLP CPG MANAGEMENT SET 272 32300912 HC CL BIL ANGIOGRAPHY EXT RAD S & I 323 75716 27100068 HC MEDTRONIC CLEARVIEW MISTER/BLOWER 271 32300914 HC CL ANGIOGRAM/PULMONARY BILA S & I 323 75743 32300915 HC CL ANGIOGRAPHY,SEL,EA ADD VES S 323 75774 27209060 HC MEDTRONIC CLEARVIEW 1.0MM SHUNT 272 32000900 HC CL VENOGRAM UNILAT UPPER EXTREM 320 75820 32000901 HC CL VENOGRAM-BILAT 320 75825 27209061 HC MEDTRONIC CLEARVIEW 1.25MM SHUNT 272 27209062 HC MEDTRONIC CLEARVIEW 1.75MM SHUNT 272 32000905 HC CL ANGIOPLASTY PERIP ARTERY S & 320 75962 27209063 HC MEDTRONIC CLEARVIEW 2.5MM SHUNT 272 32000906 HC CL PLASTY EA ADD'L PERP ART S&I 320 75964 27100069 HC QUEST MEDICAL SADDLELOOP 271 32000908 HC CL ANGIO EA ADD'L REN/VIS RAD S& 320 75968 27209064 HC ARTHREX ANGEL PRP KIT 272 27801123 HC ABBOTT MULTI-LINK COR STENT SYSTEM 278 C1876

94 27801124 HC MEDTRON RESOLUTE DES STENT 278 C1874 40266604 HC FAST US CHEST 402 76604 40266705 HC - FAST US TRANSABDOMINAL LIMITED 402 76705 48083308 HC FAST CARDIAC LIMITED 480 93308 40266937 HC BS US GUIDANCE FOR VAS ACC DEV 402 76937 27209065 HC ARTHREX ANGEL BMA KIT 272 27209066 HC ARTHREX ANGEL SPRAY APPLICATOR KIT 272 36129103 HC PERCUTANEOUS BX OF BREAST D/C 361 19081 35061250 HC CT CHEST LMTD STUDY W/O CO 350 71250 35261260 HC CT CHEST/LMTD W/CONTRAST 352 71260 31088360 HC IHC QUANTITIVE 310 88360 76111623 HC EXC S/N/H/F/G, MAL+MRG 2.1-3CM 761 11623 35065572 HC CT HEART STRUCTURE & MORPH 350 75572 40478716 HC PET-EVALUATE BONE METS W/F-18 404 78816 36195886 HC NEEDLE EMG EA EXT W/NCV=>5 MUSCULES 761 95886 27801125 HC BONE CEMENT-KYPHON HV-R 278 C1713 32066000 HC CL FLUOROSCOPY ONLY 320 76000 27200351 HC COOK CENTIMETER SIZING CATH 272 27200353 HC APPROACH GUIDE WIRES ALL SIZES 272 C1769 27200355 HC ABBOTT ARMADA PTA CATH 35 LL 272 C1725 27200356 HC CATHETER,JETSTREAM NAVITUS 272 C1724 27200357 HC CXI SUPPORT CATHETER,COOK 272 C1769 27500156 HC INDENTITY PACEMAKER ADXR DR35380 275 C1785 27200354 HC PEDAL ACCESSORY SET ALL SIZES 272 27200358 HC RR811-RAD REST,ARM REST 272 27200352 HC QUIKCLOT BANDAGE,Z-MEDICAL 272 30687278 HC LEGIONELLA URINE 306 87278 27809379 HC CARDIOFORM SEPTAL OCCLUDER 278 C1817 48193580 HC PTC OF CONGENTIAL INTERATRIAL COMMUNICATION481 WITH IMPLANT93580 39009073 HC PLATELETS, PHERESIS, PATHOGEN REDUCED 390 P9073 36032999 HC UNLISTED PROCEDURE LUNGS AND PLEURA 360 32999 33596549 HC UNLISTD CHEMO/CONCURRENT INFUS 335 96549 76111740 HC EVACUATION OF SUBUNGUAL HEMATOMA 761 11740 72059412 HC EXTERNAL CEPHALIC VERSION 720 59412 36157022 HC I&D VAGINAL HEMATOMA 361 57022 36129000 HC US BREAST PUNC/ASP CYST 361 19000 36129001 HC US PUNCT ASP BRST CYST - EA ADDTL 361 19001 31200902 HC ERA-PB 312 88360 31200903 HC PRA-PB 312 88360 31100912 HC PAP SMEAR,DIAGNOSTIC 311 88164 31100913 HC PAP SMEAR,SCREEN 311 88164 31100914 HC THIN PREP-NON CERV./VAG 311 88112 31100915 HC THIN PREP PAP TEST, DIAGNOSTI 311 88175 31100916 HC THIN PREP PAP TEST,SCREEN 311 88175 31200904 HC HISTOLOGY LEVEL 5 312 88307

95 31100917 HC FINE NEEDLE ASP BIOPSY * 311 88173 31100918 HC OTHER SMEAR/SCRAPE 311 88160 30106371 HC IONIZED CALCIUM-PERFUSION 301 82330 30106372 HC BLOOD GAS ANALYZE--PERFUSION 301 82803 30106373 HC GLUCOSE (ABG OH)-PERFUSION 301 82947 30106374 HC POTASSIUM (ABG)-PERFUSION 301 84132 30106375 HC SODIUM (ABG OH)-PERFUSION 301 84295 30106376 HC BLOOD GAS W/ CO-OXIMETRY-PERFUSION 301 82805 30006140 HC POC BLOOD DRAW CAPILLARY 300 36416 30100935 HC BLOOD GAS W/ CO-OXIMETRY 301 82805 33596446 HC CHEMO ADM PERITONEAL VIA PORT 335 96446 51099386 HC HEALTH SCREENINGS 40-64 YRS 510 99386 30006141 HC POC BLOOD COLLECT VEN ACC DEV 300 36591 30006142 HC POC COLLECTION OF BLOOD FROM PICC 300 36592 21006321 HC ROOM DAILY CVOR/CCU 210 32045984 HC CT GUIDANCE TUBE CHANGE 320 75984 27200359 HC ARTIC GEL PAD 272 31200905 HC SPECIAL STAINS 2 SO 312 88313 31200906 HC SPECIAL STAINS 3 SO 312 88313 91480816 HC INDIV PT I/P OR PH 20-30M WO E/M 6269 914 90816 91680846 HC FAMILY THERAPY WO PT 6269 914 90846 91480847 HC FAMILY THERAPY W PT 6269 914 90847 91680847 HC FAMILY THERAPY W PT 6269 916 90847 91580008 HC EXPRESSIVE THERAPY GROUP 6269 915 90853 91886102 HC PSYCHL TESTING BY TECHNICIAN 6269 918 96102 30087169 HC PARASITE EXAM, MACROSCOPIC 300 87169 32066080 HC CT FISTULOGRAM (SINUSGRAM) 320 76080 44092612 HC FEES BY CINE/VIDEO RECORDING 440 92612 44092616 HC FEES & LARYNX SESIT W/VIDEO 440 92616 27500158 HC SJM ELLIPSE DR ICD GENERATOR 275 C1721 27500159 HC SJM TENDRIL STS LEAD 2088TC 275 C1898 94200010 HC 1-16 OPEN GYM EXCERCISE SESSIONS 942 32025989 HC GUIDANCE FOR PERCU DRAINAGE IN US 320 75989 30200913 HC ABO TYPE-GEL 302 86900 30200914 HC RH TYPE GEL 302 86901 30200915 HC ABO TYPE-RXN 302 86900 30200916 HC RH TYPE-RXN 302 86901 30200917 HC ABO TYPE-CORD 302 86900 30200918 HC RH TYPE-CORD 302 86901 16402410 HC NEWBORN CARE LEVEL I ISOLATIO 164 16402420 HC NEWBORN CARE LEV II ISOLATION 164 16402430 HC NEWBORN CARE LEV III ISOLATIO 164 16402440 HC NEWBORN CARE LEV IV ISOLATION 164 16402640 HC NEWBORN CARE LEVEL IV ISOL HR 164 94700043 HC SKINGUARD FLOAT MATTRESS, LAL/AP 500LB 947 E0193

96 47092626 HC EVAL OF AUDITORY REHABILITATION STATUS 1ST HOUR470 92626 47092627 HC EVAL OF AUDITORY REHABILITATION EACH ADDITIONAL470 15MINUTES92627 47092700 HC UNLISTED OTORHINOLARYNGOLOGICAL SERVICE OR470 PROCEDURE92700 47192601 HC DIAGNOSTIC ANALYSIS COCHLEAR IMPLANT WITH471 PROGRAMMING92601 <7YRS OF AGE 47192602 HC DIAGNOSTIC ANALYSIS OF COCHLEAR IMPLANT SUBSEQUENT471 REPROGRAMMING92602 <7 YRS OF AGE 47192603 HC DIAGNOSTIC ANALYSIS OF COCHLEAR IMPLANT W/PROGRAMMING471 92603 >7YRS OF AGE 47192604 HC DIAGNOSTIC ANALYSIS OF COCHLEAR IMPLANT W/SUBSEQUENT471 92604 REPROGRAMMING >7YRS OF AGE 27209077 HC PERIVAC KIT 272 C1887 47192558 HC EVOKED OTOACOUSTIC EMISSIONS, SCREENING 471 92558 27109301 HC BOOT PROTECTOR HEEL UNIVERSAL W/ANTI ROTATION271 WEDGE 36140206 HC CT BIOPSY,MUSCLE,PERCUT NEEDLE 361 20206 36137000 HC US BIOPSY PERC NEEDLE LIVER 361 47000 36164479 HC TRANSFORAMINAL EPIDURAL INJ W/IMAGE GUIDANCE361 64479 27200360 HC US DRAINAGE CATHETER 272 C1729 36106112 HC PICC LINE INSERTION-VAT 361 36573 27209067 HC PHILIPS GLIDE LIGHT SHEATH 12 14 16 FR 272 C2629 27209068 HC PHILIPS LLD EZ LEAD LOCKING STYLET 272 C1773 27209069 HC PHILIPS VISISHEATH DIALATOR SHEATH SM MED OR272 LG C1893 27209070 HC PHILIPS TIGHT RAIL MECHANICAL SHEATH 11FR 13FR272 C1773 27209071 HC PHILIPS TIGHT RAIL SUB C 11FR 13FR 272 C1773 27209072 HC PHILIPS BRIDGE OCCLUSION BALLOON 20MM 272 C2628 27209073 HC PHILIPS BRIDGE ACCESSORY KIT 272 C1769 27209074 HC COOK LEAD CLIPPERS 272 27209075 HC COOK BULLDOG LEAD EXTENDER 272 27209076 HC COOK NEEDLES EYE SNARE & WORKSTATION 13MM272 20MM C1773 27209078 HC COOK ONE TIE COMPRESSION COIL 272 27209079 HC COOK CURVED FEMORAL INTRODUCER SHEATH SET272 16FR C1893 63601010 HC EPIFIX 18MM DISK 636 Q4186 63601011 HC EPIFIX 2CM X 2CM SHEET 636 Q4186 63601012 HC EPIFIX 2CM X 3CM SHEET 636 Q4186 63601013 HC EPIFIX 2CM X 4CM SHEET 636 Q4186 63601014 HC EPIFIX 4CM X 4CM SHEET 636 Q4186 63601015 HC EPIFIX 3.5CM X 3.5CM MESH SHEET 636 Q4186 63601016 HC EPIFIX 4.5CM X 4.5CM MESH SHEET 636 Q4186 27809380 HC OSCOR LEAD ADAPTER UNIPOLAR 278 C1883 30180197 HC TACROLIMUS 301 80197 30105000 HC AMITRIPTYLINE SO 301 80335 30105001 HC PRIMIDONE 301 80188 30105002 HC AMIODARONE SO 301 80299 30105003 HC BCR/ABL T(9;22) QUANTITATIVE 301 81206 30105004 HC H CHEMOCH MUTATION DETECT HERD S 301 81256 30105005 HC JAK2(V617F)MUTATION BY PCR 301 81270 30105006 HC METHYLENE. REDUCTASE MUTAT SO 301 81291 30105007 HC IL28B-ASSOC. VARIANTS, 2 SNP 301 81401 28000498 HC CHEMO ADMINISTRATION INITIATION/ & CONTINUATION280 PORTABLEG0498 PUMP

97 30105008 HC MICROALBUMIN 301 82043 30105009 HC ALK.PHOS.ISOENZYMES SO 301 84080 30105010 HC CYSTINE,URINE QUANT SO 301 82131 30105011 HC GLUCOSE TOLERANCE: 5 HR * 301 82951 30105012 HC LACTOSE TOLERANCE * SO 301 82951 30105013 HC HOMOVANILLIC ACID * SO 301 83150 30105014 HC INSULIN FREE 301 83527 30105015 HC PROTHROMBIN NUCL GENE MUTAT S 301 81240 30105016 HC CORTISOL STIMULATION 30/60 MI 301 80400 30105017 HC GLUCOSE 2HR POST 75 GRAMS ** 301 82950 30105018 HC THYROGLOBULIN BATTERY SO* 301 84432 30205000 HC SEROTONIN RELEASE ASSAY 1 302 86022 30205001 HC NEUTROPHIL OXIDATIVE BURST 302 86352 30205002 HC CD4/CD8 ABSOLUTE COUNT*SO 302 86360 30205003 HC ADENOVIRUS IGG ANTIBODY 302 86603 30205004 HC CHLAMYDIA & GC AMPLIFIED M4 306 87491 48082980 HC STENT WITH PLASTY 480 92980 31005001 HC HER-2/NEU BY FISH* 310 88367 80206159 HC DIALYSIS CCU 802 30200919 HC ANTIGEN TYPING UNIT SO 1 302 86902 27500160 HC SJM ELLIPSE VR CD1311-36Q ICD GENERATOR 275 C1722 30003004 HC EOSINOPHIL SMEAR 300 89190 30103000 HC BCR/ABL 1, MAJOR P210,QUANT 301 81206 30103001 HC PROTEIN ELECTROPHORESIS REF 301 84165 30103002 HC PROT ELECT CSF * SO 301 84166 30103003 HC PROTEIN ELECT/ 24 HR * 301 84166 30103006 HC GLUCOSE TOLERANCE: 3 HR * 301 82951 30203000 HC IMMUNOFIX REFLEX PANEL SERUM 302 86334 30203001 HC HERPES SIMPLEX TYPING HSV 1 306 87140 30203002 HC HERPES SIMPLEX VIRUS CULTURE 306 87252 30203003 HC CELL COUNT-SYNOVIAL FLUID 300 89051 30503000 HC CBC W/MANUAL DIFF 305 85027 30603000 HC STOOL CULTURE * 306 87045 30603001 HC EAR CULTURE * 306 87070 30603002 HC EYE CULTURE * 306 87070 30603003 HC ROUTINE CULTURE/BF-TIS * 306 87070 30603004 HC WOUND CULTURE * 306 87070 30603005 HC VAG/URETH CULTURE * 306 87081 30603006 HC AFB CULTURE,BF/TISSUE * 306 87116 30603007 HC AFB CULT,SPUTUM/BRONCH * 306 87116 30603008 HC AFB CULTURE/CSF * 306 87116 30603009 HC INFLUENZA A ANTIGEN 306 87400 30603010 HC HIV PHENOTYPE COMPREHENSIVE* 306 87903 30603011 HC ROUTINE CULTURE/CSF * 306 87070 30603012 HC DIALYSIS FLD CULTURE * 306 87070

98 76164530 HC INJECTION, ANESTHESIA AGENT - CELIAC PLEXUS761 W/ RAD MG64530 30600935 HC STOOL E COLI 157 306 87046 63604101 HC APLIGRAFT PER 1 SQ CM 636 Q4101 63604102 HC OASIS DRESS FENS PER 1 SQ CM (3X3.5CM) 636 Q4102 30006143 HC POC VENIPUNTURE 300 36415 92000100 HC EVOKES PROCEDURE 920 27500161 HC SJM FORTIFY ASSURA VR 40 DF4 275 C1722 27200367 HC TERUMO NAVICROSS SUPPORT CATHETER 272 C1887 27200368 HC TERUMO RADIFOCUS GLIDEWIRE ADVANTAGE 272 C1769 27200369 HC SJM ACCESSORY KIT 272 27200370 HC MEDTRONIC ADMIRAL XTREME PTA BALLOON CATH272 C1725 31000908 HC IN SITU HYBRIDIZATION MANUAL 310 88368 30100936 HC DIAZPAM/NORDIAZEPAM 301 80346 30100937 HC DIAZEPAM PANEL 301 80346 27500162 HC SJM FORTIFY ASSURA DR 40 DF4 275 C1721 30100938 HC CARBAMAZEPINE, TOTAL 301 80156 30100939 HC CARBAMAZEPINE FREE 301 80157 30200920 HC PAROXYSMAL NOCTURNAL HGB X 7 302 86356 30100940 HC TITAN ANTIBODY 301 83516 30600938 HC HIV 1 RAPID 306 87390 30600939 HC HIV 2 RAPID 306 87390 30600940 HC VIRUS CULTURE,NON-RESPIRATORY 306 87252 30600941 HC VIRUS CULTURE,RESPIRATORY 306 87252 30000911 HC STREP PNEUMO AB IGG 14 SEROTYPES 300 86317 30600942 HC CHLAMYDIA CULTURE SO 306 87110 30600943 HC CHLAMYDIA STAIN 306 87140 30100942 HC PHENYTOIN TOTAL 301 80186 30100943 HC PHENYTOIN LEVEL FREE 301 80185 36128825 HC AMPUTATE TOE, IP JOINT 361 28825 76120982 HC RADIOFREQUENCY ABLATION OF BONE TUMOR W/CT761 20982 27001033 HC TURNER PIGTAIL PNEUMOTHORAX KIT-W/DRAINAGE270 CATH C1729 29000049 HC OASIS DRY SUCTION CHEST TUBE CANISTER 272 A7000 30100944 HC PROTEIN ELECT/SERUM 301 84165 76120526 HC CARPAL TUNNEL TX INJ 761 20526 30600945 HC HIV REPEAT RAPID TEST 2 306 87391 30600946 HC HIV REPEAT RAPID TEST 1 306 87390 27200371 HC OASIS CHEST DRAIN SYSTEM 272 27200372 HC RUSCH 3 WAY COUVELAIR TIP CATH 272 27200373 HC RUSCH SUPARPUBIC INTRODUCER 272 30200921 HC ANTIBODY SCREEN-SO 302 86850 27200374 HC BSCI XXL VASC. LG. BALLOON DIL CATH 272 36137201 HC INFUSION FOR THROMBOLYSIS 361 37201 27501144 HC VIGILANT X4 CRT-D 275 C1882 27503222 HC ALLURE CRT-P 3222 275 C2621 36051703 HC INSERTION OF INDWELLING BLADDER CATH COMPLICATED360 51703

99 27403765 HC EWHFO RIGID W/O JOINTS CF 274 C3765 27801722 HC VIGILANT EL ICD DF-4 VR 278 C1722 76100022 HC SCLEROTHERAPY 30 MINUTE SESSION 761 36064635 HC LUMBAR OR SACRAL SINGLE FACET 360 64635 36064636 HC LUMBAR OR SACRAL FACET EACH ADDITIONAL 360 64636 27509030 HC ASSURITY MRI SR PM 1272 275 C1786 36044705 HC PREPARATION OF FECAL INSTILLATION 360 G0455 36044799 HC UNLISTED PROCEDURE SMALL INTESTINE 360 44799 27500164 HC MEDTRONIC PROTECTA D314DRG 275 C1721 27500165 HC MEDTRONIC PROTECTA D314TRM 275 C1882 30100945 HC SUBOXONE 301 80348 36045399 HC UNLISTED PROCEDURE COLON 360 45399 27200375 HC COOK APPROACH HYDRO WIRE GUIDE 272 C1769 30100946 HC AFP,MATERNAL SERUM 301 82105 30600947 HC STREP PNEUMO. ANTIGEN URINE 306 87899 30600948 HC STREP PNEUMO. ANTIGEN CSF 306 87899 29000050 HC HEARING AID ACCESSORY 290 30000912 HC IA INFECTIOUS AGENT AB QUAN 300 86317 36000100 HC GREENLIGHT LASER RENTAL 360 48192920 HC P.T.A 481 92920 48192921 HC P.T.A EA ADD'L BRANCH 481 92921 48192924 HC ATHERECTOMY (INCL PTA) 481 92924 48192925 HC ATHERECTOMY (INCL PTA) EA ADD'L BRANCH 481 92925 48192928 HC STENT (INCL PTA) 481 92928 48192929 HC STENT INCL PTA EA ADD L BRANCH 480 92929 48192933 HC STENT & ATHERECTOMY (INCL PTA) 481 92933 48192934 HC STENT & ATHERECTOMY (INCL PTA) EA ADD'L BRANCH481 92934 48192937 HC COR. REVASC. CABG 480 92937 48192938 HC COR. REVASC. CABG EA ADD'L BRANCH 481 92938 48192941 HC REVASC. STEMI 480 92941 48192943 HC COR. REVASC C.T.O 480 92943 48192944 HC COR. REVASC C.T.O EA ADD'L BRANCH 480 92944 48109600 HC P.T.A/STENT 481 C9600 48109601 HC P.T.A /STENT EA ADD'L BRANCH 481 C9601 48109602 HC PTA/ATHERECTOMY/STENT 481 C9602 48109603 HC PTA/ATHERECTOMY/STENT EA ADD'L BRANCH 481 C9603 48109604 HC COR. REVASC. CABG MC 481 C9604 48109605 HC COR. REVASC. CABG EA ADD'L BRANCH MC 481 C9605 48109606 HC REVASC. STEMI MC 480 C9606 48109607 HC COR. REVASC C.T.O MC 480 C9607 48109608 HC COR. REVASC C.T.O EA ADD'L BRANCH MC 481 C8908 36136221 HC NON SELECTIVE CAROTID STUDY 361 36221 36136222 HC SEL EXT COM CAROTID/INOM UNILAT IPISLAT 361 36222 36136223 HC SEL INTRACRAN COM CAROTID/INOM UNI/IPIS 361 36223 36136224 HC SEL INTERNAL CAROTID UNI/IPIS 361 36224

100 36136225 HC SEL SUBCLAVICAN/INOM.UNILAT/IPIS 361 36225 36136226 HC SEL VERTEBRAL UNILATERAL/IPISLATERNAL 361 36226 36136227 HC SEL EXTERNAL CAROTID UNI/IPIS ADD ON 361 36227 36137197 HC TRANS.CATH RETRIEVAL INTRAVAS F.B. 361 37197 36137211 HC ART. THROMBOLYSIS NON.COR. INITIAL DAY 361 37211 36137212 HC VENOUS THROMBOLYSIS INITIAL DAY 361 37212 36137213 HC ART OR VEN THROMBOLYSIS SUBSEQ DAY 361 37213 36137214 HC CESSATION THROMBOLYSIS 361 37214 48193653 HC COM.EPS W/ATRIAL ABL.SING.FOCUS 481 93653 48193654 HC COM.EPS W/ATRIAL ABL.3-D,LV P&R 481 93654 48193655 HC ABLATION ADD.DISCRETE ARRTHYMIA 481 93655 48193656 HC EPS W P.V.I FOR AFIB ICL TRANSEP 481 93656 48193657 HC ADD. LT OR RT ATRIAL FOCUS FOR A-FIB 481 93657 34178071 HC PARATHYROID-W/SUBTRACT/ SPECT IF DONE 341 78071 34178072 HC PARATHYROID-W/SUBTRACT/CT SPECT IF DONE 341 78072 34409517 HC IODINE 131 SODIUM IODINE CAPSULE,THERAPEUTIC,344 PER MILLICURIEA9517 27801083 HC HALYARD GASTROINTESTINAL ANCHOR SET 278 27201060 HC PHILLIPS ELCA ATHRECTOMY CATHETER 272 C1714 27201043 HC MEDTRONIC CONFIDA BRECKER GUIDEWIRE 272 C1769 27201045 HC BARD TRUE FLOW VAVULOPLASTY PERFUSION CATHETER272 C1725 27201059 HC SAPPHIRE BALLOON 272 C1725 48192986 HC PERCUTANEOUS BALLOON VALVULOPLASTY AORITIC481 VALVE 92986 27500220 HC BOSTON SCIENTIFIC VIGILANT EL ICD DF4-DR 275 C1721 63609399 HC ASCLERA 636 27201061 HC HEARTSPAN FIXED CURVED BRAIDED TRANSEPTAL272 SHEATH C1894 27000021 HC SUPPLEMENT PIVOT 1.5 CAL RTH 270 27000022 HC VITAL AF 1.5 CAL RTH 1.0L 270 27000023 HC VITAL HIGH PROTEIN LOW FAT 1000ML 270 27201062 HC MEDTRONIC PLASMA BLADE 272 27201070 HC THERAHONEY 272 35005635 HC CTA TEVAR WITH AND WITHOUT CONTRAST GATED350 EXAM 75635 36046999 HC UNLISTED PROCEDURE ANUS 360 46999 36031632 HC BRONCH WITH TRANSBRONCHIAL LUNG BIOPSY EACH360 ADDITIONAL31632 LOBE 27801882 HC DYNAGEN X4 CRT D 278 C1882 27800022 HC MOMENTUM X4 CRT D 278 C1882 76106119 HC MANIPULATION ROOM 761 30600949 HC THROAT CULTURE BETA STREP ONLY 306 87081 32001000 HC OHS PHYSICAL XRAY CHEST 1 VIEW 320 32001001 HC OHS PHYSICAL X-RAY CHEST 2 VIEW 320 71020 32001002 HC OHS X-RAY LUMBAR SPINE 320 92295907 HC NVR CNDJ TST 1-2 STUDIES 922 95907 92295908 HC NVR CNDJ TST 3-4 STUDIES 922 95908 92295909 HC NVR CNDJ TST 5-6 STUDIES 922 95909 92295910 HC NVR CNDJ TST 7-8 STUDIES 922 95910 92295911 HC NVR CNDJ TST 9-10 STUDIES 922 95911

101 92295912 HC NVR CNDJ TST 11-12 STUDIES 922 95912 92295913 HC NVR CNDJ TST 13 OR MORE STUDIES 922 95913 74095782 HC PSG <6 YRS 4> PARAMTRS 740 95782 74095783 HC PSG <6 YRS CPAP/BILVL 740 95783 91490832 HC PT 1:1 OR W FAM 16-37 MIN LISW/LSW 914 90832 91490834 HC PT 1:1 OR W FAM 38-52 MIN LISW/LSW 914 90834 91490837 HC PT 1:1 OR W FAM > 53 MINS LISW/LSW 914 90837 90090791 HC PSYCH DIAGNOSTIC EVALUATION LISW/LSW 900 90791 91490785 HC PSY TX COMPLEX INTERACTIVE (ADD-ON)LISW/LSW914 90785 90090853 HC GROUP THERAPY NOT MULTI-FAMILY 915 90853 51000299 HC ESW WOUND HEALING INIT WOUND 510 0299T 51000300 HC ESW WOUND HEALING ADDL WOUND 510 0300T 36031633 HC BRONCH WITH TRANSBRONCHIAL NEEDLE ASPIRATION360 EACH ADDITIONAL31633 LOBE 27801201 HC XIENCE SIERRA STENT 278 C1874 27201110 HC IFR TELEPORT MICROCATHETER 272 C1887 36019371 HC PERIOPERATIVE CAPSULECTOMY BREAST 360 19371 30687633 HC RESP VIRUS 12-25 TARGETS 306 87633 30687486 HC CHYLMD PNEUM DNA AMP PROBE 306 87486 30687581 HC IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE306 TQ 87581 36046600 HC DIAGNOSTIC ANOSCOPY SPX 360 46600 36044366 HC ENTEROSCOPY 2ND PRTN WITH CONTROL BLEEDING360 44366 31001150 HC RESPIRATORY PATHOGEN RP PANEL 310 0115U 32033016 HC PERICARDIOCENTESIS WITH IMAGING 320 33016 32074240 HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST320 STUDY 74240 32074248 HC RADIOLOGIC SMALL INTESTINE FOLLOW THROUGH320 STUDY 74248 32074246 HC RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST320 STUDY 74246 32033017 HC PERQ PRCRD DRG 6YR+ WITHOUT CONGENITAL CAR320 ANOMALY33017 32033018 HC PERQ PRCRD DRG 0-5YR ANY AGE WITH CGEN CAR320 ANOMALY 33018 34108803 HC RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING341 78803 34178831 HC RP LOCLZJ TUM SPECT 2 AREA 1D IMG 1 AREA IMG341 2D 78831 34178305 HC BONE AND JOINT IMAGING MULTIPLE AREAS 341 78305 34178801 HC RP LOCLZJ TUM PLNR 2 AREA 1D IMG 1 AREA IMG341 2D 78801 34178802 HC RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING341 78802 91790912 HC BFB TRAING WITH EMG AND MANOMETRY 1ST 15 420MIN CNTCT 90912 91790913 HC BFB TRAING WITH EMG AND MANOMETRY EA ADDL420 15 MIN CNTCT90913 48002066 HC INTERROGATION DEVICE REMOTE UP TO 30 DAYS480 G2066 74095726 HC EEG COMPLETE STD PHYS QHP GREATER 84 HR WITH740 VEEG 95726 74095700 HC EEG CONT REC WITH VIDEO BY TECH MIN 8 CHANNELS740 95700 42097129 HC THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES 420PT 97129 42097130 HC THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES420 PT 97130 43097129 HC THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES 430OT 97129 43097130 HC THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES430 OT 97130 44097129 HC THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES 440SP 97129 44097130 HC THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES440 SP 97130 92093985 HC DUPLEX SCAN ARTL INFL AND VEN OVERFLOW HEMO920 COMPL BI93985 STD

102 92093986 HC DUPLEX SCAN ARTL INFL AND VEN OVERFLOW HEMO920 COMPL UNI93986 STD 27202090 HC FLOSEAL HEMOSTATIC MATRIX 5ML 272 27202091 HC FLOSEAL HEMOSTATIC MATRIX 10ML 272 48005710 HC INSJ/RPLCMT ICDS SS ELTRD 480 0571T 48005720 HC INSERTION SS DFB ELECTRODE 480 0572T 48005730 HC REMOVAL SS DFB ELECTRODE 480 0573T 48005740 HC REPOS PREV SS IMPL DFB ELTRD 480 0574T 48005750 HC PRGRMG DEV EVAL ICDS SS IP 480 0575T 48005760 HC INTERROG DEV EVAL ICDS SS IP. 480 0576T 48005770 HC EPHYS EVAL ICDS SS 480 0577T 48005780 HC REM INTERROG DEV ICDS PHYS 480 0578T 48005800 HC RMVL SS IMPL DFB PG ONLY 480 0580T 27204001 HC ULTRA SCORE BALLOON 272 C1726 30585576 HC VERIFYNOW PRU 305 85576 30182565 HC CREATININE POC 301 82565 30003600 HC VENIPUNCTURE POC 300 36415 30184445 HC THYROID STIMULATING IMMUNOGLOBIN TSI 301 84445 30184156 HC TOTAL PROTEIN URINE 301 84156 30286335 HC IMMUNOFIX ELECTROPHORESIS OTHER FLUIDS 302 86335 30184166 HC PROTEIN ELECTROPHORESIS FXJ AND QUAN FLUS301 CONCENTRATE84166 30183520 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS 301 83520 27801022 HC MOMENTUM EL ICD VR D120 278 C1722 27801023 HC AMPLATZER SEPTAL OCCLUDER 278 C1817 27801024 HC AMPLATZER TREVISO 278 27801025 HC AMPLATZER GUIDEWIRE 278 C1769 27201113 HC VIZIGO BIDIRECTIONALGUIDING SHEATH D138502272 C1766 27201010 HC CONQUEST PTA BALLOONS 75CM X 5MM X 2CM CQ7552272 C1725 27201011 HC CONQUEST PTA BALLOON 75CM X 5MM X 4CM CQ7554272 C1725 27201012 HC CONQUEST PTA BALLOON 75CM X 6MM X 2CM CQ7562272 C1725 27201066 HC CONQUEST PTA BALLOON 75CM X 6MM X 4CM CQ7564272 C1725 27201067 HC CONQUEST PTA BALLOON 75CM X 7MM X 2CM CQ7572272 C1725 27201068 HC CONQUEST PTA BALLOON 75CM X 7MM X 4CM CQ7574272 C1725 76162328 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC FLUOROSCOPIC761 OR CT62328 GUIDANCE 76162329 HC SPINAL PUNCTURE THERAPEUTIC DRAINAGE CEREBROSPINAL761 FLUID62329 FLUOROSCOPIC OR CT GUIDANCE 27204264 HC COONS TAPER DILATOR G04264 272 27501015 HC MICRA LEADLESS PACEMAKER MC1AVR1 275 C1786 48093356 HC MYOCARDIAL STRAIN IMAGING 480 93356 76164454 HC INJECTION AA AND STEROID GENICULAR NERVE BRANCHES761 WITH64454 IMAGING 30070002 HC CORONAVIRUS ANY TECHNIQUE MULTIPLE TYPES 300OR SUBTYPESU0002 NON CDC 27802000 HC MISAGO SELF EXPANDING PERIPHERAL STENT SXR07100R278 C1876 30087635 HC COVID 19 NAA 300 U0003 30017635 HC COVID 19 REFERENCE LAB RESULT 300 U0003 30186769 HC SARS COV 2 IGG PLASMA 301 86769 27820001 HC WATCHMAN TRUSEAL ACCESS SGL 278 C1889 27820002 HC WATCHMAN TRUSEAL ACCESS DBL 278 C1889

103 27820003 HC WATCHMAN TRUSEAL ACCESS ANT 278 C1889 27820004 HC WATCHMAN LAA DEVICE 278 C1889 27820005 HC WATCHMAN TRUSEAL ACCESS SYSTEM 278 C1889 27820006 HC 21MM WATCHMAN LAA CLOSURE DEVICE 278 C1889 27820007 HC 24MM WATCHMAN LAA CLOSURE DEVICE 278 C1889 27820008 HC 27MM WATCHMAN LAA CLOSURE DEVICE 278 C1889 27820009 HC 30MM WATCHMAN LAA CLOSURE DEVICE 278 C1889 27820010 HC 33MM WATCHMAN LAA CLOSURE DEVICE 278 C1889 48133340 HC PERQ CLSR TCAT L ATR APNDGE WITH ENDOCARDIAL481 IMPLNT 33340 30286162 HC COMPLEMENT ACTIVITY TOTAL CH50 302 86162 30007635 HC SARS COV 2 RAPID MOLECULAR TEST 300 87635 27204005 HC TERUMO CROSSTELLA MELACROSS BALLOON DILATION272 CATHETERC1725 30106769 HC SARS COV 2 IGG IGM PLASMA 301 86769 27200703 HC NEPTUNE SMOKE EVACUATION PENCIL 0703047000272 27804625 HC ILIVIA 7VR T DF 1 REF 404625 278 C1722 30180355 HC GABAPENTIN URINE 301 80355 27802123 HC QUADRA ALLURE MP PM3562 278 C2621 36034201 HC EMBLC THRMBC FEMORAL POPLITEAL AORTO ILIAC360 ART 34201 27204010 HC COOK 22 FR ENDOFLATOR DILATOR SET 272 27204011 HC GORE 25 FR FLEX INTRODUCER SHEATH 272 C1894 27204012 HC INARI MEDICAL TRIEVER 24 272 C1757 27204013 HC SHOCKWAVE M5 IVL CATHETER 272 C1726 27204014 HC LITHOPLASTY BDC 272 C1726 27804022 HC BOSTON SCIENTIFIC ELUVIA STENT 278 C1874 30183993 HC ASSAY FOR CALPROTECTIN FECAL 301 83993 30286316 HC CHROMOGRANIN A SERUM 302 86316 30103520 HC PANCREATIC ELASTASE FECAL ELISA 301 83520 90090792 HC PSYCHIATRIC DIAGNOSTIC EVAL WITH MEDICAL SERVICES900 90792 61006498 HC MRI BRAIN RADIATION ONCOLOGY PLANNING 610 76498 30010003 HC SARS COV 2 BY NAA 300 U0003 27804020 HC COBALT MRI QUAD CRT D IS4DF4 278 C1882 27804021 HC COBALT MRI QUAD CRT D IS4DF1 278 C1882 27804026 HC COBALT MRI CRT D IS1DF4 278 C1882 27804027 HC COBALT MRI CRT D IS1DF1 278 C1882 27510001 HC COBALT MRI ICD DF4 DUAL ICD 275 C1721 27510011 HC COBALT MRI ICD DF1 DUAL ICD 275 C1721 27510012 HC COBALT MRI ICD DF4 SINGLE ICD 275 C1722 27510023 HC COBALT MRI ICD DF1 SINGLE ICD 275 C1722 27804044 HC CARDIVA VASCADE MVP 800612C 278 C1760 36043460 HC ESOPG GSTR TAMPONADE WITH BALLOON SENGSTAKEN761 43460 27200976 HC ABTHERA ADVANCE 272 36131653 HC BRONCH EBUS SAMPLNG 3 OR MORE NODE 361 31653 27204022 HC BOSTON SCIENTIFIC GUIDEZILLA 272 C1769 30020003 HC SARS COV 2 REAL TIME PCR 300 U0003 27802011 HC BOSTON SCIENTIFIC LUX DX INSERTIBLE CARDIAC278 MONITOR C1764

104 27202012 HC INARI CLOT TRIEVER CATHETER 272 C1757 27202013 HC INARI CLOT TRIEVER SHEATH 272 C1893 27004022 HC COLPAC 270 27204023 HC VAC DERMATAC DRAPE 272 36011982 HC REMOVE DRUG IMPLANT DEVICE 360 11982 36064451 HC INJECTION AA STRD NERVES NRVTG SI JOINT WITH360 IMAGING 64451 27204024 HC VERSA CROSS RF WIRE 272 C1769 27204025 HC VERSA CROSS TRANS SEPTAL SHEATH 272 C1766 51064455 HC BLOCK INJ PLANTAR DIGITAL NERVE 510 64455 27204026 HC EMBLEM ELECTRODE DELIVERY SYSTEM EXTRACTOR272 PRO DL 12 TO 15 MM 27204027 HC MEDTRONIC PLASMA BLADE LIGHTED 272 30002400 HC SARS COV2 AND FLU TARGET PANEL 300 0240U 30002410 HC SARS COV2 FLU AND RSV TARGET PANEL 300 0241U 27102020 HC PREVENA PLUS 14 DAY PUMP 150ML CANISTER 271 27202021 HC PREVENA PLUS PEEL AND PLACE 20CM 272 27202022 HC PREVENA PEEL AND PLACE 13CM 272 27202023 HC PREVENA PLUS CUSTOMIZABLE 80CM 272 27202024 HC PREVENA PLUS RESTOR BELLA FORM 24X22CM 272 27102021 HC PREVENA PLUS CANISTER 272 30604001 HC RESPIRATORY VIRUS 12 TO 25 TARGETS 306 87633 30604002 HC BORDETELLA PERTUSSIS 306 87798 30604003 HC BORDETELLA PARAPERTUSSIS B BRONCHISEPTICA306 87798 30604004 HC BORDETELLA HOLMESII 306 87798 26000239 HC BAMLANIVIMAB INTRAVENOUS INFUSION AND POST260 ADMIN MONITORINGM0239 30100349 HC CELIAC DISEASE DUAL AG 301 83516 30700008 HC URINE DIP STICK 307 81002 30100394 HC MEPHEDRONE & MDPV STIMULANTS 301 83789 30100274 HC VASOPRESSIN HORMONE 301 84588 30700003 HC URINALYSIS W/MICRO REFLEX 307 81000 30200789 HC ANIT-NUCLEAR AB CASCADE 302 86038 30600072 HC C.DIFFICLE DNA AMPLIFICATION 306 87493 30600036 HC MOLD ID 306 87107 30200077 HC RHEUMONATOID FACTOR BODY FLUI 302 86431 30200229 HC SEP. BY DENSITY GRADIENT SO 302 86972 30200067 HC ISLET CELL ANTIBODY IGG 302 86341 30100358 HC ANTI-MULLERIAN HORMONE 301 83520 30500908 HC APPT-MIXING STUDY 305 85730 30200122 HC STRONGLOIDES ANTIBODY IGG 302 86682 30600059 HC AFB STAIN 306 87206 30100750 HC IGG SO 301 82784 30100927 HC IGM SO 301 82784 30100290 HC IGA SO 301 82784 30100716 HC CHEM.ANALYSIS,CALCULI SO 301 82365 30200114 HC EBV AB. TO NUCLEAR AG.IGG 302 86664 30200233 HC BILE CRYSTALS 300 89060

105 30100223 HC T4 FREE CASCADE 301 84439 30100182 HC TOTAL PROTEIN SO 301 84160 46094780 HC CAR SEAT/BED TEST 60 MIN 460 94780 30100766 HC T3 TOTAL CASCADE 301 84480 30200089 HC BORDETELLA IGG 302 86615 30100158 HC PSA,TOTAL DIAGNOSTIC REFLEX 301 84153 30100041 HC ALPRAZOLAM 301 80346 30200079 HC QUANTIFERON-TB GOLD 302 86480 30200033 HC ANTI-ENA/RNP SO 302 86235 30200210 HC BK VIRUS, QUANTITATIVE PCR 300 87799 30100280 HC ESTRADIOL 301 82670 30600030 HC STAPH CULTURE 306 87081 30200172 HC MOULD SUSCEPTIBILITY 306 87186 30500906 HC THROMBIN TIME-MIXING STUDY 305 85670 76100126 HC TRACH AT BEDSIDE INSERT NEW 761 31600 30200068 HC IA-2 ANTIBODY 302 86341 30200105 HC CMV IGM IFA SO 302 86645 27200250 HC DIRECTVISION CATH KIT 272 30200113 HC EBV AB TO EARLY D AG IGG 302 86663 30200904 HC INHIBIN A 302 86336 30100202 HC SELENIUM 301 84255 35060486 HC CT MAXXILLOFACIAL W/O CONT 350 70486 36090100 HC GSC INJECTION,SNGL TENDON,SHEATH,LIG 360 36090101 HC GSC INJECTION,SNGL OR MULTIPLE 360 36090102 HC GSC ARTHROCENTESIS,ASPIRATE &/O 360 36090104 HC GSC REMOVE SPINE NEUROSTIM ELE 360 36120220 HC BONE BIOPSY, SUPERFICIAL 361 20220 36149422 HC REMOVE TUNNELED IP CATH 361 49422 36151040 HC CYSTOSTOMY CYSTOTOMY W DRAINA 361 51040 36151700 BLADDER IRRIGATION,SIMPLE 361 51700 36162370 HC PAIN PUMP ANALYSIS BY PHYSICIAN WI 361 62370 36162369 HC PAIN PUMP ANALYSIS WITH REPROGRAMM 361 30100401 HC MYELIN BASIC PROTEIN 301 83873 30100904 HC CHOLESTROL-PLEURAL FLUID 301 84999 30100354 HC NEURONAL NUCLEAR YO IGG REF 301 83516 30200048 HC PURINJE CELL TITER REFLEX 302 86256 30100353 HC NEURONAL NUCLEAR AB IGG REF 301 83516 30100243 HC TSH 301 84443 30100217 HC 25-HYDROXYVITAMIN D2 D3 301 82306 30100365 HC PTH RELATED PEPTIDE 301 82542 30200050 HC ANNA IGG TITER REFLEX 302 86256 30200051 HC DSDNA AB.IGG IFA 302 86256 30100273 HC SULFONYLUREA HYPOGLYCEMICS 301 80377 30100196 HC PROINSULIN 301 84206 30100367 HC ALPHA SUBUNIT OF PITUITARY 301 83520

106 30100206 HC SALIVA CORTISOL 301 82533 30100039 HC LORAZEPAM 301 80346 46094781 HC CAR SEAT/BED TEST + 30 MIN 460 94781 30100780 HC TRIGLYCERIDE-BODY FLUID 301 84478 30100238 HC CREATININE-BODY FLUID 301 82570 30100356 HC RIBOSOMAL P PROTEIN ANTIBODY 301 83516 30100095 HC BCR/ABL 1, MAJOR P210,QUANT 301 81206 30600933 HC VIRAL CULTURE,RESPIRATORY 306 87252 30100900 HC CORTISOL-RANDOM 301 82533 30100771 HC TESTOSTERONE SO 301 84403 30600934 HC STREP CULTURE A ONLY 306 87081 30600936 HC STREP SCREEN GROUP B REFLEX 306 87081 30100106 HC IL28B-ASSOC. VARIANTS, 2 SNP 301 81401 27200251 HC DIRECTVISION CATHETER 272 36569 30188720 HC TC BILI 301 88720 30100215 HC VITAMIN D, 25 HYDROXY 301 82306 73093005 HC EKG 730 93005 30100901 HC BISMUTH BLOOD 301 83018 30100112 HC ACETONE/KETONE QUANTITATIVE 301 82010 30000905 HC POST EJACULATION URINE TEST 300 89331 30100903 HC CYCLOSPORIN LEVEL 301 80158 30100787 HC SIROLIMUS LEVEL 301 80195 30500810 HC HEPARIN ANTI-XA,LMW HEPARIN 305 85520 30100154 HC PROLACTIN 301 84146 118818 Plate VA-LCP Volar Distal Rad 2-Col Lt 2.4 x 45mm 2H278 ShaftHCPCS 6H HeadC1713 118819 Plate VA-LCP Volar Distal Rad 2-Col Rt 2.4 x 54mm 3H278 ShaftHCPCS 6H HeadC1713 118820 Plate VA-LCP Volar Distal Rad 2-Col Lt 2.4 x 54mm 3H278 ShaftHCPCS 6H HeadC1713 118821 Plate VA-LCP Volar Distal Rad 2-Col Rt 2.4 x 66mm 4H278 ShaftHCPCS 6H HeadC1713 118822 Plate VA-LCP Volar Distal Rad 2-Col Lt 2.4 x 66mm 4H278 ShaftHCPCS 6H HeadC1713 118823 Plate VA-LCP Volar Distal Rad 2-Col Rt 2.4 x 75mm 5H278 ShaftHCPCS 6H HeadC1713 118824 Plate VA-LCP Volar Distal Rad 2-Col Lt 2.4 x 75mm 5H278 ShaftHCPCS 6H HeadC1713 118825 Plate VA-LCP Volar Distal Rad 2-Col Rt 2.4 x 47mm 2H278 ShaftHCPCS 7H HeadC1713 118826 Plate VA-LCP Volar Distal Rad 2-Col Lt 2.4 x 47mm 2H278 ShaftHCPCS 7H HeadC1713 118827 Plate VA-LCP Volar Distal Rad 2-Col Rt 2.4 x 55mm 3H278 ShaftHCPCS 7H HeadC1713 118828 Plate VA-LCP Volar Distal Rad 2-Col Lt 2.4 x 55mm 3H278 ShaftHCPCS 7H HeadC1713 118829 Plate VA-LCP Volar Distal Rad 2-Col Rt 2.4 x 68mm 4H278 ShaftHCPCS 7H HeadC1713 118830 Plate VA-LCP Volar Distal Rad 2-Col Lt 2.4 x 68mm 4H278 ShaftHCPCS 7H HeadC1713 118831 Plate VA-LCP Volar Distal Rad 2-Col Rt 2.4 x 77mm 5H278 ShaftHCPCS 7H HeadC1713 118832 Plate VA-LCP Volar Distal Rad 2-Col Lt 2.4 x 77mm 5H278 ShaftHCPCS 7H HeadC1713 118847 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 8mm278 HCPCS C1713 118848 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 10mm278 HCPCS C1713 118849 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 12mm278 HCPCS C1713 118850 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 14mm278 HCPCS C1713 118851 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 16mm278 HCPCS C1713 118852 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 18mm278 HCPCS C1713

107 118853 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 20mm278 HCPCS C1713 118854 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 22mm278 HCPCS C1713 118855 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 24mm278 HCPCS C1713 118856 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 26mm278 HCPCS C1713 118857 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 28mm278 HCPCS C1713 118858 Pin Buttress Locking VA-LCP w/Stardrive 1.8 x 30mm278 HCPCS C1713 118859 Screw Locking VA-LCP w/Stardrive 2.4 x 8mm 278 HCPCS C1713 118860 Screw Locking VA-LCP w/Stardrive 2.4 x 10mm 278 HCPCS C1713 118861 Screw Locking VA-LCP w/Stardrive 2.4 x 12mm 278 HCPCS C1713 118862 Screw Locking VA-LCP w/Stardrive 2.4 x 14mm 278 HCPCS C1713 118863 Screw Locking VA-LCP w/Stardrive 2.4 x 16mm 278 HCPCS C1713 118864 Screw Locking VA-LCP w/Stardrive 2.4 x 18mm 278 HCPCS C1713 118865 Screw Locking VA-LCP w/Stardrive 2.4 x 20mm 278 HCPCS C1713 118866 Screw Locking VA-LCP w/Stardrive 2.4 x 22mm 278 HCPCS C1713 118867 Screw Locking VA-LCP w/Stardrive 2.4 x 24mm 278 HCPCS C1713 118868 Screw Locking VA-LCP w/Stardrive 2.4 x 26mm 278 HCPCS C1713 118869 Screw Locking VA-LCP w/Stardrive 2.4 x 28mm 278 HCPCS C1713 118870 Screw Locking VA-LCP w/Stardrive 2.4 x 30mm 278 HCPCS C1713 118871 Screw Locking Self-Tap LCP w/Stardrive 3.5 x 65mm278 HCPCS C1713 118872 Screw Locking Self-Tap LCP w/Stardrive 3.5 x 70mm278 HCPCS C1713 118873 Screw Locking Self-Tap LCP w/Stardrive 3.5 x 75mm278 HCPCS C1713 118874 Screw Locking Self-Tap LCP w/Stardrive 3.5 x 80mm278 HCPCS C1713 118875 Screw Locking Self-Tap LCP w/Stardrive 3.5 x 85mm278 HCPCS C1713 118876 Screw Locking Self-Tap LCP w/Stardrive 3.5 x 90mm278 HCPCS C1713 118877 Screw Locking Self-Tap LCP w/Stardrive 3.5 x 95mm278 HCPCS C1713 118878 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 40mm278 HCPCS C1713 118879 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 45mm278 HCPCS C1713 118880 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 50mm278 HCPCS C1713 118881 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 55mm278 HCPCS C1713 118882 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 60mm278 HCPCS C1713 118883 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 65mm278 HCPCS C1713 118884 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 70mm278 HCPCS C1713 118885 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 75mm278 HCPCS C1713 118886 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 80mm278 HCPCS C1713 118887 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 85mm278 HCPCS C1713 118888 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 90mm278 HCPCS C1713 118889 Screw Conical Self-Tap LCP Fully Threaded 3.5 x 95mm278 HCPCS C1713 118890 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 40mmHCPCS C1713 118891 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 45mmHCPCS C1713 118892 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 50mmHCPCS C1713 118893 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 55mmHCPCS C1713 118894 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 60mmHCPCS C1713 118895 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 65mmHCPCS C1713 118896 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 70mmHCPCS C1713 118897 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 75mmHCPCS C1713

108 118898 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 80mmHCPCS C1713 118899 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 85mmHCPCS C1713 118900 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 90mmHCPCS C1713 118901 Screw Conical Self-Tap LCP Partially Threaded 3.5 x278 95mmHCPCS C1713 118788 Mesh Patch Hernia Ventralight ST 18 x 23cm Elipse 278 HCPCS C1781 118789 Mesh Patch Hernia Ventralight ST 20 x 25cm Elipse 278 HCPCS C1781 118787 Tissue Graft Dermal Acellular AlloMax 16 x 20cm 278 HCPCS C1781 118903 Transection Device MollRing Cutter 5.0mm/44cm Sterile272 Endarterectomy 118904 Transection Device MollRing Cutter 6.0mm/44cm Sterile272 Endarterectomy 118905 Transection Device MollRing Cutter 7.0mm/44cm Sterile272 Endarterectomy 118906 Transection Device MollRing Cutter 8.0mm/44cm Sterile272 Endarterectomy 118907 Transection Device MollRing Cutter 9.0mm/44cm Sterile272 Endarterectomy 118908 Transection Device MollRing Cutter 10.0mm/44cm Sterile272 Endarterectomy 118786 Sling Transvaginal Mid-Urethral Advantage Fit System.278 HCPCS C1771 108533 Pad and Wrap for Stulberg Leg Positioner Sterile Disposable272 Non-Sterile 119033 Glenoid SOLAR # 5 278 HCPCS C1776 119034 Glenoid SOLAR # 7 278 HCPCS C1776 119035 Glenoid SOLAR # 9 278 HCPCS C1776 119036 Glenoid Keeled SOLAR # 5 278 HCPCS C1776 119037 Glenoid Keeled SOLAR # 7 278 HCPCS C1776 119038 Glenoid Keeled SOLAR # 9 278 HCPCS C1776 119039 Glenoid Keeled SOLAR #11 278 HCPCS C1776 119040 Head Humeral Modular SOLAR 22mm NK+0 278 HCPCS C1776 119041 Head Humeral Modular SOLAR 22mm NK+2 278 HCPCS C1776 119042 Head Humeral Modular SOLAR 22mm NK+4 278 HCPCS C1776 119043 Head Humeral Bipolar SOLAR 40mm 278 HCPCS C1776 119044 Head Humeral Bipolar SOLAR 45mm 278 HCPCS C1776 119045 Head Humeral Bipolar SOLAR 50mm 278 HCPCS C1776 119046 Head Humeral Bipolar SOLAR 55mm 278 HCPCS C1776 119047 Head Humeral SOLAR 40 x 12mm 278 HCPCS C1776 119048 Head Humeral SOLAR 40 x 15mm 278 HCPCS C1776 119049 Head Humeral SOLAR 40 x 18mm 278 HCPCS C1776 119050 Head Humeral SOLAR 40 x 21mm 278 HCPCS C1776 119051 Head Humeral SOLAR 45 x 12mm 278 HCPCS C1776 119052 Head Humeral SOLAR 45 x 15mm 278 HCPCS C1776 119053 Head Humeral SOLAR 45 x 18mm 278 HCPCS C1776 119054 Head Humeral SOLAR 45 x 21mm 278 HCPCS C1776 119055 Head Humeral SOLAR 45 x 24mm 278 HCPCS C1776 119056 Head Humeral SOLAR 50 x 15mm 278 HCPCS C1776 119057 Head Humeral SOLAR 50 x 18mm 278 HCPCS C1776 119058 Head Humeral SOLAR 50 x 21mm 278 HCPCS C1776 119059 Head Humeral SOLAR 50 x 24mm 278 HCPCS C1776 119060 Head Humeral SOLAR 50 x 28mm 278 HCPCS C1776 119061 Head Humeral SOLAR 55 x 18mm 278 HCPCS C1776 119062 Head Humeral SOLAR 55 x 21mm 278 HCPCS C1776

109 119063 Head Humeral SOLAR 55 x 24mm 278 HCPCS C1776 119064 Head Humeral SOLAR 55 x 28mm 278 HCPCS C1776 119065 Head Humeral SOLAR 55 x 34mm 278 HCPCS C1776 119066 Head Humeral Offset SOLAR 40 x 15mm 278 HCPCS C1776 119067 Head Humeral Offset SOLAR 40 x 18mm 278 HCPCS C1776 119068 Head Humeral Offset SOLAR 45 x 15mm 278 HCPCS C1776 119069 Head Humeral Offset SOLAR 45 x 18mm 278 HCPCS C1776 119070 Head Humeral Offset SOLAR 45 x 21mm 278 HCPCS C1776 119071 Head Humeral Offset SOLAR 50 x 15mm 278 HCPCS C1776 119072 Head Humeral Offset SOLAR 50 x 18mm 278 HCPCS C1776 119073 Head Humeral Offset SOLAR 50 x 21mm 278 HCPCS C1776 119074 Stem Humeral SOLAR 7mm 278 HCPCS C1776 119075 Stem Humeral SOLAR 8mm 278 HCPCS C1776 119076 Stem Humeral SOLAR 9mm 278 HCPCS C1776 119077 Stem Humeral SOLAR 10mm 278 HCPCS C1776 119078 Stem Humeral SOLAR 11mm 278 HCPCS C1776 119079 Stem Humeral SOLAR 12mm 278 HCPCS C1776 119080 Stem Humeral SOLAR 13mm 278 HCPCS C1776 119081 Stem Humeral SOLAR 14mm 278 HCPCS C1776 119082 Stem Humeral SOLAR 15mm 278 HCPCS C1776 119083 Stem Humeral SOLAR 16mm 278 HCPCS C1776 119084 Stem Humeral SOLAR 17mm 278 HCPCS C1776 119085 Stem Humeral SOLAR 200 x 9mm 278 HCPCS C1776 119086 Stem Humeral SOLAR 200 x 11mm 278 HCPCS C1776 119087 Stem Humeral SOLAR 200 x 13mm 278 HCPCS C1776 119088 Stem Humeral Fracture SOLAR 7mm 278 HCPCS C1776 119089 Stem Humeral Fracture SOLAR 8mm 278 HCPCS C1776 119090 Stem Humeral Fracture SOLAR 9mm 278 HCPCS C1776 119091 Stem Humeral Fracture SOLAR 10mm 278 HCPCS C1776 119092 Stem Humeral Fracture SOLAR 11mm 278 HCPCS C1776 119093 Stem Humeral Fracture SOLAR 12mm 278 HCPCS C1776 119094 Stem Humeral Fracture SOLAR 13mm 278 HCPCS C1776 119095 Stem Humeral Fracture SOLAR 14mm 278 HCPCS C1776 119096 Stem Humeral Fracture SOLAR 15mm 278 HCPCS C1776 119097 Stem Humeral Fracture SOLAR Long 8mm 278 HCPCS C1776 119098 Stem Humeral Fracture SOLAR Long 10mm 278 HCPCS C1776 119099 Stem Humeral Fracture SOLAR Long 12mm 278 HCPCS C1776 119100 Stem Humeral REUNION HA Fracture 7mm 278 HCPCS C1776 119101 Stem Humeral REUNION HA Fracture 8mm 278 HCPCS C1776 119102 Stem Humeral REUNION HA Fracture 9mm 278 HCPCS C1776 119103 Stem Humeral REUNION HA Fracture 10mm 278 HCPCS C1776 119104 Stem Humeral REUNION HA Fracture 11mm 278 HCPCS C1776 119105 Stem Humeral REUNION HA Fracture 12mm 278 HCPCS C1776 119106 Stem Humeral REUNION HA Fracture 13mm 278 HCPCS C1776 119107 Stem Humeral REUNION HA Fracture 14mm 278 HCPCS C1776

110 119108 Stem Humeral REUNION HA Fracture 15mm 278 HCPCS C1776 119109 Stem Humeral REUNION HA Fracture Long 8 x 200mm278 HCPCS C1776 119110 Stem Humeral REUNION HA Fracture Long 10 x 200mm278 HCPCS C1776 119111 Stem Humeral REUNION HA Fracture Long 12 x 200mm278 HCPCS C1776 109771 Device Assist Enclose2 272 118967 Pin Temporary Fixation Vectra ACP 272 118968 Plate Anterior Cervical Vectra TI 1-Level 14mm 278 118969 Plate Anterior Cervical Vectra TI 1-Level 16mm 278 118970 Plate Anterior Cervical Vectra TI 1-Level 18mm 278 118971 Plate Anterior Cervical Vectra TI 1-Level 20mm 278 118972 Plate Anterior Cervical Vectra TI 1-Level 22mm 278 118973 Plate Anterior Cervical Vectra TI 1-Level 24mm 278 118974 Plate Anterior Cervical Vectra TI 1-Level 26mm 278 118975 Plate Anterior Cervical Vectra One TI 1-Level 10mm278 HCPCS C1713 118976 Plate Anterior Cervical Vectra One TI 1-Level 12mm278 HCPCS C1713 118977 Plate Anterior Cervical Vectra One TI 1-Level 14mm278 HCPCS C1713 118978 Plate Anterior Cervical Vectra One TI 1-Level 16mm278 HCPCS C1713 118979 Plate Anterior Cervical Vectra One TI 1-Level 18mm278 HCPCS C1713 118980 Plate Anterior Cervical Vectra One TI 1-Level 20mm278 HCPCS C1713 118981 Plate Anterior Cervical Vectra One TI 1-Level 22mm278 HCPCS C1713 118982 Plate Anterior Cervical Vectra One TI 1-Level 24mm278 HCPCS C1713 118983 Plate Anterior Cervical Vectra TI 2-Level 28mm 278 HCPCS C1713 118984 Plate Anterior Cervical Vectra TI 2-Level 30mm 278 HCPCS C1713 118985 Plate Anterior Cervical Vectra TI 2-Level 32mm 278 HCPCS C1713 118986 Plate Anterior Cervical Vectra TI 2-Level 34mm 278 HCPCS C1713 118987 Plate Anterior Cervical Vectra TI 2-Level 36mm 278 HCPCS C1713 118988 Plate Anterior Cervical Vectra TI 2-Level 38mm 278 HCPCS C1713 118989 Plate Anterior Cervical Vectra TI 2-Level 40mm 278 HCPCS C1713 118990 Plate Anterior Cervical Vectra TI 2-Level 42mm 278 HCPCS C1713 118991 Plate Anterior Cervical Vectra TI 2-Level 44mm 278 HCPCS C1713 118992 Plate Anterior Cervical Vectra TI 2-Level 46mm 278 HCPCS C1713 118993 Plate Anterior Cervical Vectra One TI 2-Level 26mm278 118994 Plate Anterior Cervical Vectra One TI 2-Level 28mm278 118995 Plate Anterior Cervical Vectra One TI 2-Level 30mm278 118996 Plate Anterior Cervical Vectra One TI 2-Level 32mm278 118997 Plate Anterior Cervical Vectra One TI 2-Level 34mm278 118998 Plate Anterior Cervical Vectra One TI 2-Level 36mm278 118999 Plate Anterior Cervical Vectra One TI 2-Level 38mm278 119000 Plate Anterior Cervical Vectra One TI 2-Level 40mm278 119001 Plate Anterior Cervical Vectra TI 3-Level 45mm 278 HCPCS C1713 119002 Plate Anterior Cervical Vectra TI 3-Level 48mm 278 HCPCS C1713 119003 Plate Anterior Cervical Vectra TI 3-Level 51mm 278 HCPCS C1713 119004 Plate Anterior Cervical Vectra TI 3-Level 54mm 278 HCPCS C1713 119005 Plate Anterior Cervical Vectra TI 3-Level 57mm 278 HCPCS C1713 119006 Plate Anterior Cervical Vectra TI 3-Level 60mm 278 HCPCS C1713

111 119007 Plate Anterior Cervical Vectra TI 3-Level 63mm 278 HCPCS C1713 119008 Plate Anterior Cervical Vectra TI 3-Level 66mm 278 HCPCS C1713 119009 Plate Anterior Cervical Vectra TI 3-Level 69mm 278 HCPCS C1713 119010 Plate Anterior Cervical Vectra TI 4-Level 100mm 278 119011 Plate Anterior Cervical Vectra TI 4-Level 60mm 278 119012 Plate Anterior Cervical Vectra TI 4-Level 64mm 278 119013 Plate Anterior Cervical Vectra TI 4-Level 68mm 278 119014 Plate Anterior Cervical Vectra TI 4-Level 72mm 278 119015 Plate Anterior Cervical Vectra TI 4-Level 76mm 278 119016 Plate Anterior Cervical Vectra TI 4-Level 80mm 278 119017 Plate Anterior Cervical Vectra TI 4-Level 84mm 278 119018 Plate Anterior Cervical Vectra TI 4-Level 88mm 278 119019 Plate Anterior Cervical Vectra TI 4-Level 92mm 278 119020 Plate Anterior Cervical Vectra TI 4-Level 96mm 278 119021 Screw ACP Self-Drilling Vectra TI Fixed Angle 4x14mm278 HCPCS C1713 119022 Screw ACP Self-Drilling Vectra TI Fixed Angle 4x16mm278 HCPCS C1713 119023 Screw ACP Self-Drilling Vectra TI Fixed Angle 4x18mm278 HCPCS C1713 119024 Screw ACP Self-Drilling Vectra TI Variable Angle 4x14mm278 HCPCS C1713 119025 Screw ACP Self-Drilling Vectra TI Variable Angle 4x16mm278 HCPCS C1713 119026 Screw ACP Self-Drilling Vectra TI Variable Angle 4x18mm278 HCPCS C1713 119027 Screw ACP Self-Drilling Vectra TI Fixed Angle Rescue278 4.5x14mmHCPCS C1713 119028 Screw ACP Self-Drilling Vectra TI Fixed Angle Rescue278 4.5x16mmHCPCS C1713 119029 Screw ACP Self-Drilling Vectra TI Fixed Angle Rescue278 4.5x18mmHCPCS C1713 119030 Screw ACP Self-Drilling Vectra TI Variable Angle Rescue278 4.5x14mmHCPCS C1713 119031 Screw ACP Self-Drilling Vectra TI Variable Angle Rescue278 4.5x16mmHCPCS C1713 119032 Screw ACP Self-Drilling Vectra TI Variable Angle Rescue278 4.5x18mmHCPCS C1713 119137 Mesh Patch Hernia Ventralight ST 15 x 20cm Elipse 278 HCPCS C1781 119138 Mesh Patch Hernia Ventralight ST 25 x 33cm Elipse 278 HCPCS C1781 119789 Sheath Tunneler A/V Access Yellow/Small 30 x 7mm272 HCPCS C1894 119790 Tray Catheter Insertion Suprapubic 12Fr Foley 272 119791 Set Amplatz Renal Dilator 8Fr-70cm/Sheath 10Fr-35cm272 119816 Needle Insufflation 14G 15cm 272 101325 Blade Osteotome 10mm Flex Flat 272 101327 Blade Osteotome 15mm Flex Curved 272 101328 Blade Osteotome 15mm Flex Flat 272 110354 Tube Ear Paparella 1.27mm 278 119870 Shunt Kit Non-Invasive AxiEM Cranial Stealth Navigation272 119871 Accessory Kit Epidural Needle 14GA x 6in Neurostimulation272 119872 Accessory Kit Screening Cable External Neurostimulator272 119873 Battery Neurostimulator RestoreSENSOR 278 HCPCS C1820 119874 Programmer Patient External for Restore and Prime 278NeurostimulatorHCPCS C1787 119875 Charging System External for Restore Neurostimulator272 119876 Trial Lead Kit Subcompact 1 x 8 Neurostimulator 278 HCPCS C1897 119518 Screw Hex CLAW 3.5 x 24mm 278 HCPCS C1713 119151 Bit Drill Ortholoc 2.0/2.4 1.3mm 272

112 119152 Bit Drill Ortholoc 2.0/2.4 1.6mm 272 119154 Bit Drill MFS System AO 2.0mm 272 119155 Bit Drill MRS System AO 2.5mm 272 119156 Bit Drill for Dart-Fire 2.0mm Cannulated 272 119157 Bit Drill for Dart-Fire 2.2mm Cannulated 272 119158 Bit Drill for Dart-Fire 2.7mm Cannulated 272 119159 Bit Drill CLAW 2.0mm 272 119160 Bit Drill CLAW 2.0mm for 2.7mm Plate 272 119161 Bit Drill CLAW 2.5mm 272 119163 Bit Drill Darco Headed 3.5mm 272 119164 Bit Drill Darco Headed 4.0mm 272 119165 Bit Drill Darco Headed 4.5mm 272 119166 Bit Drill Darco Headed 6.5mm 272 119167 Bit Drill Darco Headed 7.5mm 272 119168 Bit Drill Cannulated 3.0mm for 4.3mm Screw 272 119169 Bit Drill Cannulated 2.0mm for 3.0mm Screw 272 119170 Bone Wedge Allograft Allopure 12 X 38mm Evans 278 119171 Bone Wedge Allograft Allopure 6mm Cotton 278 119172 Drill 5mm Cannulated for 7.0 MUC Screw 272 119173 Drill Cannulated Head for 3.0mm Screw 272 119174 Drill Cannulated Head for 4.3mm Screw 272 119175 Graft Bone Injectable Pro-Dense 10cc 278 119176 Guide Rod Suture Loop G-Force 272 119177 Implant Subtalar BIOARCH 10mm 278 119178 Implant Subtalar BIOARCH 11mm 278 119179 Implant Subtalar BIOARCH 12mm 278 119180 Implant Subtalar BIOARCH 8mm 278 119181 Implant Subtalar BIOARCH 9mm 278 119182 K-Wire Blunt/Trocar 1.1 x 150mm 272 119183 K-Wire Darco Headed 1.2mm - 150mm Long Smooth272 Tip 119184 K-Wire Darco Headed 1.6mm - 150mm Long Smooth272 Tip 119185 K-Wire Darco Headed 2.5mm - 270mm Long Smooth272 Tip 119186 K-Wire Darco Headed 3.0mm - 270mm Long Smooth272 Tip 119187 K-Wire Darco Headed 2.5mm - 270mm Long Thread 272Tip 119188 K-Wire Darco Headed 3.0mm - 270mm Long Thread 272Tip 119189 K-Wire Threaded 2.5 x 230mm for 7.0 MUC 272 119190 K-Wire 1.1 x 140mm - Single Trocar Smooth 272 119191 Osteoset Graft Bone 5cc 4.8mm Pellet Filler 278 119216 Plate CLAW Foot/Ankle 3.5 x 20mm 2-Hole 278 HCPCS C1713 119219 Plate CLAW Foot/Ankle 3.5 x 20mm 4-Hole 278 HCPCS C1713 119201 Pin Fixation Temporary 1.1mm 272 119192 Osteoset Graft Bone 5cc 3.0mm Pellet Filler 278 119193 Osteoset Pellet Injector 3.0mm 1.25cc 278 119194 Osteoset Pellet Injector 4.8mm 5.0cc 278 119195 Osteoset Graft Bone 10cc 3.0mm Pellet Filler 278

113 119196 Osteoset 2 DBM Graft Bone 5cc 3.0mm 278 119197 Osteoset 2 DBM Pellet Injector 4.8mm 5.0cc 278 119198 Osteoset 2 DBM Graft Bone 10cc 4.8mm 278 119199 Osteoset 2 DBM Graft Bone 10cc 3.0mm 278 119200 Osteoset 2 DBM Graft Bone 20cc 4.8mm 278 119202 Plate MTP Fusion Std Right 278 119203 Plate MTP Fusion Std Left 278 119204 Plate MTP Fusion Ext Right 278 119205 Plate MTP Fusion Ext Left 278 119206 Plate MTP Fusion Small Right 278 119207 Plate MTP Fusion Small Left 278 119208 Plate MTP Fusion Std Right Slim 278 119209 Plate MTP Fusion Std Left Slim 278 119210 Plate MTP Fusion Ext Right Slim 278 119211 Plate MTP Fusion Ext Left Slim 278 119212 Plate Compression CLAW Foot/Ankle Arthodesis 2.7 278x 25mmHCPCS SS C1713 119213 Plate MPJ Darco Small 28mm 278 119214 Plate MPJ Darco Medium 35mm 278 119215 Plate MPJ Darco Large 45mm 278 119217 Plate CLAW Foot/Ankle 3.5 x 25mm 2-Hole 278 HCPCS C1713 119218 Plate CLAW Foot/Ankle 3.5 x 30mm 2-Hole 278 HCPCS C1713 119220 Plate CLAW Foot/Ankle 3.5 x 25mm 4-Hole 278 HCPCS C1713 119221 Plate CLAW Foot/Ankle 3.5 x 30mm 4-Hole 278 HCPCS C1713 119222 Plating System Ortholoc Ray 1st Plate 4 Hole 278 119223 Plating System Ortholoc Akin Plate 3 Hole 278 119224 Plating System Ortholoc Straight Plate 3 Hole 278 119225 Plating System Ortholoc Straight Plate 4 Hole 278 119227 Plating System Ortholoc L Plate 278 119228 Plating System Ortholoc T Plate 7 Hole 278 119229 Plating System Ortholoc T Plate 6 Hole 278 119230 Putty Bone Allomatrix 5.0cc 278 HCPCS C1713 119231 Putty Bone Allomatrix DR 3cc 278 HCPCS C1713 119232 Putty Injectable Allomatrix 5.0cc 278 HCPCS C1713 119233 Putty Injectable Allomatrix 1.0cc 278 HCPCS C1713 119234 Putty Injectable Allomatrix 10.0cc 278 HCPCS C1713 119235 Putty Injectable Allomatrix 20.0cc 278 HCPCS C1713 119236 Rod Alignment BIOARCH 272 119237 Screw TI Non-Locking Ortholoc 2.0 x 8mm 278 HCPCS C1713 119238 Screw TI Non-Locking Ortholoc 2.0 x 10mm 278 HCPCS C1713 119239 Screw TI Non-Locking Ortholoc 2.0 x 12mm 278 HCPCS C1713 119240 Screw TI Non-Locking Ortholoc 2.0 x 14mm 278 HCPCS C1713 119241 Screw TI Non-Locking Ortholoc 2.0 x 16mm 278 HCPCS C1713 119242 Screw TI Non-Locking Ortholoc 2.0 x 18mm 278 HCPCS C1713 119243 Screw TI Non-Locking Ortholoc 2.0 x 20mm 278 HCPCS C1713 119244 Screw TI Non-Locking Ortholoc 2.4 x 8mm 278 HCPCS C1713

114 119245 Screw TI Non-Locking Ortholoc 2.4 x 10mm 278 HCPCS C1713 119246 Screw TI Non-Locking Ortholoc 2.4 x 12mm 278 HCPCS C1713 119247 Screw TI Non-Locking Ortholoc 2.4 x 14mm 278 HCPCS C1713 119248 Screw TI Non-Locking Ortholoc 2.4 x 16mm 278 HCPCS C1713 119249 Screw TI Non-Locking Ortholoc 2.4 x 18mm 278 HCPCS C1713 119250 Screw TI Non-Locking Ortholoc 2.4 x 20mm 278 HCPCS C1713 119251 Screw TI Non-Locking Ortholoc 2.4 x 22mm 278 HCPCS C1713 119252 Screw TI Non-Locking Ortholoc 2.4 x 24mm 278 HCPCS C1713 119253 Screw TI Non-Locking Ortholoc 2.4 x 26mm 278 HCPCS C1713 119254 Screw TI Non-Locking Ortholoc 2.4 x 28mm 278 HCPCS C1713 119255 Screw TI Non-Locking Ortholoc 2.4 x 30mm 278 HCPCS C1713 119256 Screw MTP Fusion 3.2 x 14mm 278 HCPCS C1713 119257 Screw MTP Fusion 3.2 x 16mm 278 HCPCS C1713 119258 Screw MTP Fusion 3.2 x 18mm 278 HCPCS C1713 119259 Screw MTP Fusion 3.2 x 20mm 278 HCPCS C1713 119260 Screw MTP Fusion 3.2 x 22mm 278 HCPCS C1713 119261 Screw MTP Fusion 3.2 x 24mm 278 HCPCS C1713 119262 Screw MTP Fusion 2.7 x 8mm 278 HCPCS C1713 119264 Screw MTP Fusion 2.7 x 12mm 278 HCPCS C1713 119265 Screw MTP Fusion 2.7 x 14mm 278 HCPCS C1713 119266 Screw MTP Fusion 2.7 x 16mm 278 HCPCS C1713 119267 Screw MTP Fusion 2.7 x 18mm 278 HCPCS C1713 119268 Screw MTP Fusion 2.7 x 20mm 278 HCPCS C1713 119269 Screw MTP Fusion 2.7 x 22mm 278 HCPCS C1713 119270 Screw MTP Fusion 2.7 x 24mm 278 HCPCS C1713 119271 Screw MTP Fusion 3.2 x 8mm 278 HCPCS C1713 119272 Screw MTP Fusion 3.2 x 10mm 278 HCPCS C1713 119273 Screw MTP Fusion 3.2 x 12mm 278 HCPCS C1713 119274 Screw MTP Hex 2.7 x 8mm 278 HCPCS C1713 119275 Screw MTP Hex 2.7 x 10mm 278 HCPCS C1713 119276 Screw MTP Hex 2.7 x 12mm 278 HCPCS C1713 119277 Screw MTP Hex 2.7 x 14mm 278 HCPCS C1713 119278 Screw MTP Hex 2.7 x 16mm 278 HCPCS C1713 119279 Screw MTP Hex 2.7 x 18mm 278 HCPCS C1713 119280 Screw MTP Hex 2.7 x 20mm 278 HCPCS C1713 119281 Screw MTP Hex 2.7 x 22mm 278 HCPCS C1713 119282 Screw MTP Hex 2.7 x 24mm 278 HCPCS C1713 119283 Screw MTP Hex 3.2 x 8mm 278 HCPCS C1713 119284 Screw MTP Hex 3.2 x 10mm 278 HCPCS C1713 119285 Screw MTP Hex 3.2 x 12mm 278 HCPCS C1713 119286 Screw MTP Hex 3.2 x 14mm 278 HCPCS C1713 119287 Screw MTP Hex 3.2 x 16mm 278 HCPCS C1713 119288 Screw MTP Hex 3.2 x 18mm 278 HCPCS C1713 119289 Screw MTP Hex 3.2 x 20mm 278 HCPCS C1713 119290 Screw MTP Hex 3.2 x 22mm 278 HCPCS C1713

115 119291 Screw MTP Hex 3.2 x 24mm 278 HCPCS C1713 119292 Screw TI Non-Locking Ortholoc 3.5 x 20mm 278 HCPCS C1713 119293 Screw TI Non-Locking Ortholoc 3.5 x 22mm 278 HCPCS C1713 119294 Screw TI Non-Locking Ortholoc 3.5 x 24mm 278 HCPCS C1713 119295 Screw TI Non-Locking Ortholoc 3.5 x 26mm 278 HCPCS C1713 119296 Screw TI Non-Locking Ortholoc 3.5 x 28mm 278 HCPCS C1713 119297 Screw TI Non-Locking Ortholoc 3.5 x 30mm 278 HCPCS C1713 119298 Screw TI Non-Locking Ortholoc 3.5 x 32mm 278 HCPCS C1713 119299 Screw TI Non-Locking Ortholoc 3.5 x 34mm 278 HCPCS C1713 119300 Screw TI Non-Locking Ortholoc 3.5 x 36mm 278 HCPCS C1713 119301 Screw TI Non-Locking Ortholoc 3.5 x 38mm 278 HCPCS C1713 119302 Screw TI Non-Locking Ortholoc 3.5 x 40mm 278 HCPCS C1713 119303 Screw TI Non-Locking Ortholoc 3.5 x 42mm 278 HCPCS C1713 119304 Screw TI Non-Locking Ortholoc 3.5 x 44mm 278 HCPCS C1713 119305 Screw TI Non-Locking Ortholoc 3.5 x 46mm 278 HCPCS C1713 119306 Screw TI Non-Locking Ortholoc 3.5 x 48mm 278 HCPCS C1713 119307 Screw TI Non-Locking Ortholoc 3.5 x 50mm 278 HCPCS C1713 119308 Screw TI Non-Locking Darco 2.7 x 8mm 278 HCPCS C1713 119309 Screw TI Non-Locking Darco 2.7 x 10mm 278 HCPCS C1713 119310 Screw TI Non-Locking Darco 2.7 x 12mm 278 HCPCS C1713 119311 Screw TI Non-Locking Darco 2.7 x 14mm 278 HCPCS C1713 119312 Screw TI Non-Locking Darco 2.7 x 16mm 278 HCPCS C1713 119313 Screw TI Non-Locking Darco 2.7 x 18mm 278 HCPCS C1713 119314 Screw TI Non-Locking Darco 2.7 x 20mm 278 HCPCS C1713 119315 Screw TI Non-Locking Darco 2.7 x 22mm 278 HCPCS C1713 119316 Screw TI Non-Locking Darco 2.7 x 24mm 278 HCPCS C1713 119317 Screw TI Non-Locking Darco 2.7 x 26mm 278 HCPCS C1713 119318 Screw TI Non-Locking Darco 2.7 x 28mm 278 HCPCS C1713 119319 Screw TI Non-Locking Darco 2.7 x 30mm 278 HCPCS C1713 119320 Screw TI Locking Ortholoc 2.0 x 8mm 278 HCPCS C1713 119321 Screw TI Locking Ortholoc 2.0 x 10mm 278 HCPCS C1713 119322 Screw TI Locking Ortholoc 2.0 x 12mm 278 HCPCS C1713 119323 Screw TI Locking Ortholoc 2.0 x 14mm 278 HCPCS C1713 119324 Screw TI Locking Ortholoc 2.0 x 16mm 278 HCPCS C1713 119325 Screw TI Locking Ortholoc 2.0 x 18mm 278 HCPCS C1713 119326 Screw TI Locking Ortholoc 2.0 x 20mm 278 HCPCS C1713 119327 Screw TI Locking Ortholoc 2.4 x 8mm 278 HCPCS C1713 119328 Screw TI Locking Ortholoc 2.4 x 10mm 278 HCPCS C1713 119329 Screw TI Locking Ortholoc 2.4 x 12mm 278 HCPCS C1713 119330 Screw TI Locking Ortholoc 2.4 x 14mm 278 HCPCS C1713 119331 Screw TI Locking Ortholoc 2.4 x 16mm 278 HCPCS C1713 119332 Screw TI Locking Ortholoc 2.4 x 18mm 278 HCPCS C1713 119333 Screw TI Locking Ortholoc 2.4 x 20mm 278 HCPCS C1713 119334 Screw TI Locking Ortholoc 2.4 x 22mm 278 HCPCS C1713 119335 Screw TI Locking Ortholoc 2.4 x 24mm 278 HCPCS C1713

116 119336 Screw TI Locking Ortholoc 2.4 x 26mm 278 HCPCS C1713 119337 Screw TI Locking Ortholoc 2.4 x 28mm 278 HCPCS C1713 119338 Screw TI Locking Ortholoc 2.4 x 30mm 278 HCPCS C1713 119339 Screw Compression Headed Dart-Fire 2.0 x 10mm 278 HCPCS C1713 119340 Screw Compression Headed Dart-Fire 2.0 x 12mm 278 HCPCS C1713 119341 Screw Compression Headed Dart-Fire 2.0 x 14mm 278 HCPCS C1713 119342 Screw Compression Headed Dart-Fire 2.0 x 16mm 278 HCPCS C1713 119343 Screw Compression Headed Dart-Fire 2.0 x 18mm 278 HCPCS C1713 119344 Screw Compression Headed Dart-Fire 2.0 x 20mm 278 HCPCS C1713 119345 Screw Compression Headed Dart-Fire 2.0 x 22mm 278 HCPCS C1713 119346 Screw Compression Headed Dart-Fire 2.0 x 24mm 278 HCPCS C1713 119347 Screw Compression Headed Dart-Fire 2.5 x 10mm 278 HCPCS C1713 119348 Screw Compression Headed Dart-Fire 2.5 x 12mm 278 HCPCS C1713 119349 Screw Compression Headed Dart-Fire 2.5 x 14mm 278 HCPCS C1713 119350 Screw Compression Headed Dart-Fire 2.5 x 16mm 278 HCPCS C1713 119351 Screw Compression Headed Dart-Fire 2.5 x 18mm 278 HCPCS C1713 119352 Screw Compression Headed Dart-Fire 2.5 x 20mm 278 HCPCS C1713 119353 Screw Compression Headed Dart-Fire 2.5 x 22mm 278 HCPCS C1713 119354 Screw Compression Headed Dart-Fire 2.5 x 24mm 278 HCPCS C1713 119355 Screw Compression Headed Dart-Fire 2.5 x 26mm 278 HCPCS C1713 119356 Screw Compression Headed Dart-Fire 2.5 x 28mm 278 HCPCS C1713 119357 Screw Compression Headed Dart-Fire 2.5 x 30mm 278 HCPCS C1713 119358 Screw Compression Headed Dart-Fire 2.5 x 32mm 278 HCPCS C1713 119359 Screw Compression Headed Dart-Fire 2.5 x 34mm 278 HCPCS C1713 119360 Screw Compression Headed Dart-Fire 2.5 x 36mm 278 HCPCS C1713 119361 Screw Compression Headed Dart-Fire 2.5 x 38mm 278 HCPCS C1713 119362 Screw Compression Headed Dart-Fire 3.0 x 10mm 278 HCPCS C1713 119363 Screw Compression Headed Dart-Fire 3.0 x 12mm 278 HCPCS C1713 119364 Screw Compression Headed Dart-Fire 3.0 x 14mm 278 HCPCS C1713 119365 Screw Compression Headed Dart-Fire 3.0 x 16mm 278 HCPCS C1713 119366 Screw Compression Headed Dart-Fire 3.0 x 18mm 278 HCPCS C1713 119367 Screw Compression Headed Dart-Fire 3.0 x 20mm 278 HCPCS C1713 119368 Screw Compression Headed Dart-Fire 3.0 x 22mm 278 HCPCS C1713 119369 Screw Compression Headed Dart-Fire 3.0 x 24mm 278 HCPCS C1713 119370 Screw Compression Headed Dart-Fire 3.0 x 26mm 278 HCPCS C1713 119371 Screw Compression Headed Dart-Fire 3.0 x 28mm 278 HCPCS C1713 119372 Screw Compression Headed Dart-Fire 3.0 x 30mm 278 HCPCS C1713 119373 Screw Compression Headed Dart-Fire 3.0 x 32mm 278 HCPCS C1713 119374 Screw Compression Headed Dart-Fire 3.0 x 34mm 278 HCPCS C1713 119375 Screw Compression Headed Dart-Fire 3.0 x 36mm 278 HCPCS C1713 119376 Screw Compression Headed Dart-Fire 3.0 x 38mm 278 HCPCS C1713 119377 Screw Compression Headed Dart-Fire 3.0 x 40mm 278 HCPCS C1713 119378 Screw Compression Headed Dart-Fire 3.5 x 10mm 278 HCPCS C1713 119379 Screw Compression Headed Dart-Fire 3.5 x 12mm 278 HCPCS C1713 119380 Screw Compression Headed Dart-Fire 3.5 x 14mm 278 HCPCS C1713

117 119381 Screw Compression Headed Dart-Fire 3.5 x 16mm 278 HCPCS C1713 119382 Screw Compression Headed Dart-Fire 3.5 x 18mm 278 HCPCS C1713 119383 Screw Compression Headed Dart-Fire 3.5 x 20mm 278 HCPCS C1713 119384 Screw Compression Headed Dart-Fire 3.5 x 22mm 278 HCPCS C1713 119385 Screw Compression Headed Dart-Fire 3.5 x 24mm 278 HCPCS C1713 119386 Screw Compression Headed Dart-Fire 3.5 x 26mm 278 HCPCS C1713 119387 Screw Compression Headed Dart-Fire 3.5 x 28mm 278 HCPCS C1713 119388 Screw Compression Headed Dart-Fire 3.5 x 30mm 278 HCPCS C1713 119389 Screw Compression Headed Dart-Fire 3.5 x 32mm 278 HCPCS C1713 119390 Screw Compression Headed Dart-Fire 3.5 x 34mm 278 HCPCS C1713 119391 Screw Compression Headed Dart-Fire 3.5 x 36mm 278 HCPCS C1713 119392 Screw Compression Headed Dart-Fire 3.5 x 38mm 278 HCPCS C1713 119393 Screw Compression Headed Dart-Fire 3.5 x 40mm 278 HCPCS C1713 119394 Screw Compression Headed Dart-Fire 3.5 x 42mm 278 HCPCS C1713 119395 Screw Compression Headed Dart-Fire 3.5 x 44mm 278 HCPCS C1713 119396 Screw Compression Headed Dart-Fire 3.5 x 46mm 278 HCPCS C1713 119397 Screw Compression Headed Dart-Fire 3.5 x 48mm 278 HCPCS C1713 119398 Screw Compression Headed Dart-Fire 3.5 x 50mm 278 HCPCS C1713 119399 Screw Compression Headed Dart-Fire 3.5 x 52mm 278 HCPCS C1713 119400 Screw Compression Headed Dart-Fire 3.5 x 56mm 278 HCPCS C1713 119401 Screw Compression Headed Dart-Fire 3.5 x 60mm 278 HCPCS C1713 119402 Screw Compression Headed Dart-Fire 4.0 x 10mm 278 HCPCS C1713 119403 Screw Compression Headed Dart-Fire 4.0 x 12mm 278 HCPCS C1713 119404 Screw Compression Headed Dart-Fire 4.0 x 14mm 278 HCPCS C1713 119405 Screw Compression Headed Dart-Fire 4.0 x 16mm 278 HCPCS C1713 119406 Screw Compression Headed Dart-Fire 4.0 x 18mm 278 HCPCS C1713 119407 Screw Compression Headed Dart-Fire 4.0 x 20mm 278 HCPCS C1713 119408 Screw Compression Headed Dart-Fire 4.0 x 22mm 278 HCPCS C1713 119409 Screw Compression Headed Dart-Fire 4.0 x 24mm 278 HCPCS C1713 119410 Screw Compression Headed Dart-Fire 4.0 x 26mm 278 HCPCS C1713 119411 Screw Compression Headed Dart-Fire 4.0 x 28mm 278 HCPCS C1713 119412 Screw Compression Headed Dart-Fire 4.0 x 30mm 278 HCPCS C1713 119413 Screw Compression Headed Dart-Fire 4.0 x 32mm 278 HCPCS C1713 119414 Screw Compression Headed Dart-Fire 4.0 x 34mm 278 HCPCS C1713 119415 Screw Compression Headed Dart-Fire 4.0 x 36mm 278 HCPCS C1713 119416 Screw Compression Headed Dart-Fire 4.0 x 38mm 278 HCPCS C1713 119417 Screw Compression Headed Dart-Fire 4.0 x 40mm 278 HCPCS C1713 119418 Screw Compression Headed Dart-Fire 4.0 x 42mm 278 HCPCS C1713 119419 Screw Compression Headed Dart-Fire 4.0 x 44mm 278 HCPCS C1713 119420 Screw Compression Headed Dart-Fire 4.0 x 46mm 278 HCPCS C1713 119421 Screw Compression Headed Dart-Fire 4.0 x 48mm 278 HCPCS C1713 119422 Screw Compression Headed Dart-Fire 4.0 x 50mm 278 HCPCS C1713 119423 Screw Compression Headed Dart-Fire 4.0 x 52mm 278 HCPCS C1713 119424 Screw Compression Headed Dart-Fire 4.0 x 56mm 278 HCPCS C1713 119425 Screw Compression Headed Dart-Fire 4.0 x 60mm 278 HCPCS C1713

118 119426 Screw TI Locking Darco 2.7 x 12mm 278 HCPCS C1713 119427 Screw TI Locking Darco 2.7 x 14mm 278 HCPCS C1713 119428 Screw TI Locking Darco 2.7 x 16mm 278 HCPCS C1713 119429 Screw TI Locking Darco 2.7 x 18mm 278 HCPCS C1713 119430 Screw TI Locking Darco 2.7 x 20mm 278 HCPCS C1713 119431 Screw TI Locking Darco 2.7 x 22mm 278 HCPCS C1713 119432 Screw TI Locking Darco 2.7 x 24mm 278 HCPCS C1713 119433 Screw TI Locking Darco 2.7 x 26mm 278 HCPCS C1713 119434 Screw TI Locking Darco 2.7 x 28mm 278 HCPCS C1713 119435 Screw TI Locking Darco 2.7 x 30mm 278 HCPCS C1713 119436 Screw Locking CLAW Plate Compression 2.7 x 12mm278 SS HCPCS C1713 119437 Screw Locking CLAW Plate Compression 2.7 x 14mm278 SS HCPCS C1713 119438 Screw Locking CLAW Plate Compression 2.7 x 16mm278 SS HCPCS C1713 119439 Screw Locking CLAW Plate Compression 2.7 x 28mm278 SS HCPCS C1713 119440 Screw Locking CLAW Plate Compression 2.7 x 30mm278 SS HCPCS C1713 119441 Screw Headed Darco 4.0 x 8 Fu 278 HCPCS C1713 119442 Screw Headed Darco 4.0 x 8 Long 278 HCPCS C1713 119443 Screw Headed Darco 4.0 x 8 Short 278 HCPCS C1713 119444 Screw Headed Darco 4.0 x 10 Full 278 HCPCS C1713 119445 Screw Headed Darco 4.0 x 10 Long 278 HCPCS C1713 119446 Screw Headed Darco 4.0 x 10 Short 278 HCPCS C1713 119447 Screw Headed Darco 4.0 x 12 Full 278 HCPCS C1713 119448 Screw Headed Darco 4.0 x 12 Long 278 HCPCS C1713 119449 Screw Headed Darco 4.0 x 12 Short 278 HCPCS C1713 119450 Screw Headed Darco 4.0 x 14 Full 278 HCPCS C1713 119451 Screw Headed Darco 4.0 x 14 Long 278 HCPCS C1713 119452 Screw Headed Darco 4.0 x 14 Short 278 HCPCS C1713 119453 Screw Headed Darco 4.0 x 16 Full 278 HCPCS C1713 119454 Screw Headed Darco 4.0 x 16 Long 278 HCPCS C1713 119455 Screw Headed Darco 4.0 x 16 Short 278 HCPCS C1713 119456 Screw Headed Darco 4.0 x 18 Full 278 HCPCS C1713 119457 Screw Headed Darco 4.0 x 18 Long 278 HCPCS C1713 119458 Screw Headed Darco 4.0 x 18 Short 278 HCPCS C1713 119459 Screw Headed Darco 4.0 x 20 Full 278 HCPCS C1713 119460 Screw Headed Darco 4.0 x 20 Long 278 HCPCS C1713 119461 Screw Headed Darco 4.0 x 20 Short 278 HCPCS C1713 119462 Screw Headed Darco 4.0 x 22 Full 278 HCPCS C1713 119463 Screw Headed Darco 4.0 x 22 Long 278 HCPCS C1713 119464 Screw Headed Darco 4.0 x 22 Short 278 HCPCS C1713 119465 Screw Headed Darco 4.0 x 24 Full 278 HCPCS C1713 119466 Screw Headed Darco 4.0 x 24 Long 278 HCPCS C1713 119467 Screw Headed Darco 4.0 x 24 Short 278 HCPCS C1713 119468 Screw Headed Darco 4.0 x 26 Full 278 HCPCS C1713 119469 Screw Headed Darco 4.0 x 26 Long 278 HCPCS C1713 119471 Screw Headed Darco 4.0 x 28 Full 278 HCPCS C1713

119 119472 Screw Headed Darco 4.0 x 28 Long 278 HCPCS C1713 119473 Screw Headed Darco 4.0 x 28 Short 278 HCPCS C1713 119474 Screw Headed Darco 4.0 x 30 Full 278 HCPCS C1713 119475 Screw Headed Darco 4.0 x 30 Long 278 HCPCS C1713 119476 Screw Headed Darco 4.0 x 30 Short 278 HCPCS C1713 119477 Screw Headed Darco 4.0 x 32 Full 278 HCPCS C1713 119478 Screw Headed Darco 4.0 x 32 Long 278 HCPCS C1713 119479 Screw Headed Darco 4.0 x 32 Short 278 HCPCS C1713 119480 Screw Headed Darco 4.0 x 34 Full 278 HCPCS C1713 119481 Screw Headed Darco 4.0 x 34 Long 278 HCPCS C1713 119483 Screw Headed Darco 4.0 x 36 Full 278 HCPCS C1713 119484 Screw Headed Darco 4.0 x 36 Long 278 HCPCS C1713 119485 Screw Headed Darco 4.0 x 36 Short 278 HCPCS C1713 119486 Screw Headed Darco 4.0 x 38 Full 278 HCPCS C1713 119487 Screw Headed Darco 4.0 x 38 Long 278 HCPCS C1713 119488 Screw Headed Darco 4.0 x 38 Short 278 HCPCS C1713 119489 Screw Headed Darco 4.0 x 40 Full 278 HCPCS C1713 119490 Screw Headed Darco 4.0 x 40 Long 278 HCPCS C1713 119491 Screw Headed Darco 4.0 x 40 Short 278 HCPCS C1713 119492 Screw Headed Darco 4.0 x 42 Full 278 HCPCS C1713 119493 Screw Headed Darco 4.0 x 42 Long 278 HCPCS C1713 119494 Screw Headed Darco 4.0 x 42 Short 278 HCPCS C1713 119495 Screw Headed Darco 4.0 x 44 Full 278 HCPCS C1713 119496 Screw Headed Darco 4.0 x 44 Long 278 HCPCS C1713 119497 Screw Headed Darco 4.0 x 44 Short 278 HCPCS C1713 119498 Screw Headed Darco 4.0 x 46 Full 278 HCPCS C1713 119499 Screw Headed Darco 4.0 x 46 Long 278 HCPCS C1713 119500 Screw Headed Darco 4.0 x 46 Short 278 HCPCS C1713 119501 Screw Headed Darco 4.0 x 48 Full 278 HCPCS C1713 119502 Screw Headed Darco 4.0 x 48 Long 278 HCPCS C1713 119503 Screw Headed Darco 4.0 x 48 Short 278 HCPCS C1713 119504 Screw Headed Darco 4.0 x 50 Full 278 HCPCS C1713 119505 Screw Headed Darco 4.0 x 50 Long 278 HCPCS C1713 119506 Screw Headed Darco 4.0 x 50 Short 278 HCPCS C1713 119507 Screw Headed Darco 4.0 x 55 Full 278 HCPCS C1713 119508 Screw Headed Darco 4.0 x 55 Long 278 HCPCS C1713 119509 Screw Headed Darco 4.0 x 55 Short 278 HCPCS C1713 119510 Screw Headed Darco 4.0 x 60 Full 278 HCPCS C1713 119511 Screw Headed Darco 4.0 x 60 Long 278 HCPCS C1713 119512 Screw Headed Darco 4.0 x 60 Short 278 HCPCS C1713 119513 Screw Hex CLAW 3.5 x 14mm 278 HCPCS C1713 119514 Screw Hex CLAW 3.5 x 16mm 278 HCPCS C1713 119515 Screw Hex CLAW 3.5 x 18mm 278 HCPCS C1713 119516 Screw Hex CLAW 3.5 x 20mm 278 HCPCS C1713 119517 Screw Hex CLAW 3.5 x 22mm 278 HCPCS C1713

120 119519 Screw Hex CLAW 3.5 x 26mm 278 HCPCS C1713 119520 Screw Hex CLAW 3.5 x 28mm 278 HCPCS C1713 119521 Screw Hex CLAW 3.5 x 30mm 278 HCPCS C1713 119522 Screw Hex CLAW 3.5 x 32mm 278 HCPCS C1713 119523 Screw Hex CLAW 3.5 x 34mm 278 HCPCS C1713 119524 Screw Hex CLAW 3.5 x 36mm 278 HCPCS C1713 119525 Screw Hex CLAW 3.5 x 38mm 278 HCPCS C1713 119526 Screw Hex CLAW 3.5 x 40mm 278 HCPCS C1713 119527 Screw Compression Headless Dart-Fire 2.0 x 10mm 278 HCPCS C1713 119528 Screw Compression Headless Dart-Fire 2.0 x 12mm 278 HCPCS C1713 119529 Screw Compression Headless Dart-Fire 2.0 x 14mm 278 HCPCS C1713 119530 Screw Compression Headless Dart-Fire 2.0 x 16mm 278 HCPCS C1713 119531 Screw Compression Headless Dart-Fire 2.0 x 18mm 278 HCPCS C1713 119532 Screw Compression Headless Dart-Fire 2.0 x 20mm 278 HCPCS C1713 119533 Screw Compression Headless Dart-Fire 2.0 x 22mm 278 HCPCS C1713 119534 Screw Compression Headless Dart-Fire 2.0 x 24mm 278 HCPCS C1713 119535 Screw Compression Headless Dart-Fire 2.0 x 26mm 278 HCPCS C1713 119536 Screw Compression Headless Dart-Fire 2.0 x 28mm 278 HCPCS C1713 119537 Screw Compression Headless Dart-Fire 2.0 x 30mm 278 HCPCS C1713 119538 Screw Compression Headless Dart-Fire 2.0 x 32mm 278 HCPCS C1713 119539 Screw Compression Headless Dart-Fire 2.0 x 34mm 278 HCPCS C1713 119540 Screw Compression Headless Dart-Fire 2.0 x 36mm 278 HCPCS C1713 119541 Screw Headed Darco 4.5 x 12 Full 278 HCPCS C1713 119542 Screw Headed Darco 4.5 x 12 Long 278 HCPCS C1713 119543 Screw Headed Darco 4.5 x 12 Short 278 HCPCS C1713 119544 Screw Headed Darco 4.5 x 14 Full 278 HCPCS C1713 119545 Screw Headed Darco 4.5 x 14 Long 278 HCPCS C1713 119546 Screw Headed Darco 4.5 x 14 Short 278 HCPCS C1713 119547 Screw Headed Darco 4.5 x 16 Full 278 HCPCS C1713 119548 Screw Headed Darco 4.5 x 16 Long 278 HCPCS C1713 119549 Screw Headed Darco 4.5 x 16 Short 278 HCPCS C1713 119550 Screw Headed Darco 4.5 x 18 Full 278 HCPCS C1713 119551 Screw Headed Darco 4.5 x 18 Long 278 HCPCS C1713 119552 Screw Headed Darco 4.5 x 18 Short 278 HCPCS C1713 119553 Screw Headed Darco 4.5 x 20 Full 278 HCPCS C1713 119554 Screw Headed Darco 4.5 x 20 Long 278 HCPCS C1713 119555 Screw Headed Darco 4.5 x 20 Short 278 HCPCS C1713 119556 Screw Headed Darco 4.5 x 22 Full 278 HCPCS C1713 119557 Screw Headed Darco 4.5 x 22 Long 278 HCPCS C1713 119558 Screw Headed Darco 4.5 x 22 Short 278 HCPCS C1713 119559 Screw Headed Darco 4.5 x 24 Full 278 HCPCS C1713 119560 Screw Headed Darco 4.5 x 24 Long 278 HCPCS C1713 119561 Screw Headed Darco 4.5 x 24 Short 278 HCPCS C1713 119562 Screw Headed Darco 4.5 x 26 Full 278 HCPCS C1713 119563 Screw Headed Darco 4.5 x 26 Long 278 HCPCS C1713

121 119564 Screw Headed Darco 4.5 x 26 Short 278 HCPCS C1713 119565 Screw Headed Darco 4.5 x 28 Full 278 HCPCS C1713 119566 Screw Headed Darco 4.5 x 28 Long 278 HCPCS C1713 119567 Screw Headed Darco 4.5 x 28 Short 278 HCPCS C1713 119568 Screw Headed Darco 4.5 x 30 Full 278 HCPCS C1713 119569 Screw Headed Darco 4.5 x 30 Long 278 HCPCS C1713 119570 Screw Headed Darco 4.5 x 30 Short 278 HCPCS C1713 119571 Screw Headed Darco 4.5 x 32 Full 278 HCPCS C1713 119572 Screw Headed Darco 4.5 x 32 Long 278 HCPCS C1713 119573 Screw Headed Darco 4.5 x 32 Short 278 HCPCS C1713 119574 Screw Headed Darco 4.5 x 34 Full 278 HCPCS C1713 119575 Screw Headed Darco 4.5 x 34 Long 278 HCPCS C1713 119576 Screw Headed Darco 4.5 x 34 Short 278 HCPCS C1713 119577 Screw Headed Darco 4.5 x 36 Full 278 HCPCS C1713 119578 Screw Headed Darco 4.5 x 36 Long 278 HCPCS C1713 119580 Screw Headed Darco 4.5 x 38 Full 278 HCPCS C1713 119581 Screw Headed Darco 4.5 x 38 Long 278 HCPCS C1713 119582 Screw Headed Darco 4.5 x 38 Short 278 HCPCS C1713 119583 Screw Headed Darco 4.5 x 40 Full 278 HCPCS C1713 119584 Screw Headed Darco 4.5 x 40 Long 278 HCPCS C1713 119586 Screw Headed Darco 4.5 x 42 Full 278 HCPCS C1713 119587 Screw Headed Darco 4.5 x 42 Long 278 HCPCS C1713 119588 Screw Headed Darco 4.5 x 42 Short 278 HCPCS C1713 119589 Screw Headed Darco 4.5 x 44 Full 278 HCPCS C1713 119590 Screw Headed Darco 4.5 x 44 Long 278 HCPCS C1713 119591 Screw Headed Darco 4.5 x 44 Short 278 HCPCS C1713 119592 Screw Headed Darco 4.5 x 46 Full 278 HCPCS C1713 119593 Screw Headed Darco 4.5 x 46 Long 278 HCPCS C1713 119595 Screw Headed Darco 4.5 x 48 Full 278 HCPCS C1713 119596 Screw Headed Darco 4.5 x 48 Long 278 HCPCS C1713 119597 Screw Headed Darco 4.5 x 48 Short 278 HCPCS C1713 119598 Screw Headed Darco 4.5 x 50 Full 278 HCPCS C1713 119599 Screw Headed Darco 4.5 x 50 Long 278 HCPCS C1713 119600 Screw Headed Darco 4.5 x 50 Short 278 HCPCS C1713 119601 Screw Headed Darco 4.5 x 55 Full 278 HCPCS C1713 119602 Screw Headed Darco 4.5 x 55 Long 278 HCPCS C1713 119604 Screw Headed Darco 4.5 x 60 Full 278 HCPCS C1713 119606 Screw Headed Darco 4.5 x 60 Short 278 HCPCS C1713 119607 Screw TI Locking Ortholoc 3.5 x 20mm 278 HCPCS C1713 119608 Screw TI Locking Ortholoc 3.5 x 22mm 278 HCPCS C1713 119609 Screw TI Locking Ortholoc 3.5 x 24mm 278 HCPCS C1713 119610 Screw TI Locking Ortholoc 3.5 x 26mm 278 HCPCS C1713 119611 Screw TI Locking Ortholoc 3.5 x 28mm 278 HCPCS C1713 119612 Screw TI Locking Ortholoc 3.5 x 30mm 278 HCPCS C1713 119613 Screw TI Locking Ortholoc 3.5 x 32mm 278 HCPCS C1713

122 119614 Screw TI Locking Ortholoc 3.5 x 34mm 278 HCPCS C1713 119615 Screw TI Locking Ortholoc 3.5 x 36mm 278 HCPCS C1713 119617 Screw TI Locking Ortholoc 3.5 x 40mm 278 HCPCS C1713 119618 Screw TI Locking Ortholoc 3.5 x 42mm 278 HCPCS C1713 119619 Screw TI Locking Ortholoc 3.5 x 44mm 278 HCPCS C1713 119620 Screw TI Locking Ortholoc 3.5 x 46mm 278 HCPCS C1713 119621 Screw TI Locking Ortholoc 3.5 x 48mm 278 HCPCS C1713 119622 Screw TI Locking Ortholoc 3.5 x 50mm 278 HCPCS C1713 119623 Screw Compression Headless Dart-Fire 3.0 x 10mm 278 HCPCS C1713 119624 Screw Compression Headless Dart-Fire 3.0 x 12mm 278 HCPCS C1713 119625 Screw Compression Headless Dart-Fire 3.0 x 14mm 278 HCPCS C1713 119626 Screw Compression Headless Dart-Fire 3.0 x 16mm 278 HCPCS C1713 119627 Screw Compression Headless Dart-Fire 3.0 x 18mm 278 HCPCS C1713 119628 Screw Compression Headless Dart-Fire 3.0 x 20mm 278 HCPCS C1713 119629 Screw Compression Headless Dart-Fire 3.0 x 22mm 278 HCPCS C1713 119630 Screw Compression Headless Dart-Fire 3.0 x 24mm 278 HCPCS C1713 119631 Screw Compression Headless Dart-Fire 3.0 x 26mm 278 HCPCS C1713 119632 Screw Compression Headless Dart-Fire 3.0 x 28mm 278 HCPCS C1713 119633 Screw Compression Headless Dart-Fire 3.0 x 30mm 278 HCPCS C1713 119634 Screw Compression Headless Dart-Fire 3.0 x 32mm 278 HCPCS C1713 119635 Screw Compression Headless Dart-Fire 3.0 x 34mm 278 HCPCS C1713 119636 Screw Compression Headless Dart-Fire 3.0 x 36mm 278 HCPCS C1713 119637 Screw Compression Headless Dart-Fire 3.0 x 38mm 278 HCPCS C1713 119638 Screw Compression Headless Dart-Fire 3.0 x 40mm 278 HCPCS C1713 119639 Screw Headed Darco 6.5 x 100 x 32 278 HCPCS C1713 119640 Screw Headed Darco 6.5 x 100 x 16 278 HCPCS C1713 119641 Screw Headed Darco 6.5 x 105 x 32 278 HCPCS C1713 119642 Screw Headed Darco 6.5 x 105 x 16 278 HCPCS C1713 119643 Screw Headed Darco 6.5 x 110 x 32 278 HCPCS C1713 119644 Screw Headed Darco 6.5 x 110 x 16 278 HCPCS C1713 119645 Screw Headed Darco 6.5 x 115 x 32 278 HCPCS C1713 119646 Screw Headed Darco 6.5 x 115 x 16 278 HCPCS C1713 119647 Screw Headed Darco 6.5 x 120 x 32 278 HCPCS C1713 119648 Screw Headed Darco 6.5 x 120 x 16 278 HCPCS C1713 119649 Screw Headed Darco 6.5 x 35 x 16 278 HCPCS C1713 119650 Screw Headed Darco 6.5 x 40 x 16 278 HCPCS C1713 119653 Screw Headed Darco 6.5 x 55 x 16 278 HCPCS C1713 119654 Screw Headed Darco 6.5 x 60 x 16 278 HCPCS C1713 119656 Screw Headed Darco 6.5 x 70 x 32 278 HCPCS C1713 119657 Screw Headed Darco 6.5 x 70 x 16 278 HCPCS C1713 119658 Screw Headed Darco 6.5 x 75 x 32 278 HCPCS C1713 119660 Screw Headed Darco 6.5 x 80 x 32 278 HCPCS C1713 119662 Screw Headed Darco 6.5 x 85 x 32 278 HCPCS C1713 119663 Screw Headed Darco 6.5 x 85 x 16 278 HCPCS C1713 119664 Screw Headed Darco 6.5 x 90 x 32 278 HCPCS C1713

123 119665 Screw Headed Darco 6.5 x 90 x 16 278 HCPCS C1713 119666 Screw Headed Darco 6.5 x 95 x 32 278 HCPCS C1713 119667 Screw Headed Darco 6.5 x 95 x 16 278 HCPCS C1713 119668 Screw Headed Darco 7.5 x 100 x 32 278 HCPCS C1713 119669 Screw Headed Darco 7.5 x 100 x 16 278 HCPCS C1713 119670 Screw Headed Darco 7.5 x 105 x 16 278 HCPCS C1713 119671 Screw Headed Darco 7.5 x 110 x 32 278 HCPCS C1713 119672 Screw Headed Darco 7.5 x 110 x 16 278 HCPCS C1713 119673 Screw Headed Darco 7.5 x 115 x 32 278 HCPCS C1713 119674 Screw Headed Darco 7.5 x 115 x 16 278 HCPCS C1713 119675 Screw Headed Darco 7.5 x 120 x 32 278 HCPCS C1713 119676 Screw Headed Darco 7.5 x 120 x 16 278 HCPCS C1713 119677 Screw Headed Darco 7.5 x 35 x 16 278 HCPCS C1713 119678 Screw Headed Darco 7.5 x 40 x 16 278 HCPCS C1713 119679 Screw Headed Darco 7.5 x 45 x 16 278 HCPCS C1713 119680 Screw Headed Darco 7.5 x 50 x 16 278 HCPCS C1713 119681 Screw Headed Darco 7.5 x 55 x 16 278 HCPCS C1713 119682 Screw Headed Darco 7.5 x 60 x 16 278 HCPCS C1713 119683 Screw Headed Darco 7.5 x 65 x 16 278 HCPCS C1713 119684 Screw Headed Darco 7.5 x 70 x 32 278 HCPCS C1713 119685 Screw Headed Darco 7.5 x 70 x 16 278 HCPCS C1713 119686 Screw Headed Darco 7.5 x 75 x 32 278 HCPCS C1713 119687 Screw Headed Darco 7.5 x 75 x 16 278 HCPCS C1713 119689 Screw Headed Darco 7.5 x 80 x 16 278 HCPCS C1713 119690 Screw Headed Darco 7.5 x 85 x 32 278 HCPCS C1713 119691 Screw Headed Darco 7.5 x 85 x 16 278 HCPCS C1713 119692 Screw Headed Darco 7.5 x 90 x 32 278 HCPCS C1713 119694 Screw Headed Darco 7.5 x 95 x 32 278 HCPCS C1713 119695 Screw Headed Darco 7.5 x 95 x 16 278 HCPCS C1713 119696 Screw Snap Off 2.0mm x 11mm 278 HCPCS C1713 119697 Screw Snap Off 2.0mm x 12mm 278 HCPCS C1713 119698 Screw Snap Off 2.0mm x 14mm 278 HCPCS C1713 119699 Screw Snap Off 2.7mm x 13mm 278 HCPCS C1713 119700 Screw Snap Off 2.7mm x 15mm 278 HCPCS C1713 119701 Screw Snap Off 2.7mm x 17mm 278 HCPCS C1713 119702 Screw Snap Off 2.0mm x 13mm 278 HCPCS C1713 119703 Screw Snap Off 2.0mm x 15mm 278 HCPCS C1713 119704 Screw Snap Off 2.7mm x 11mm 278 HCPCS C1713 119705 Screw Snap Off 2.7mm x 12mm 278 HCPCS C1713 119706 Screw Snap Off 2.7mm x 14mm 278 HCPCS C1713 119707 Screw MUC 3.0 x 10mm 278 HCPCS C1713 119708 Screw MUC 3.0 x 12mm 278 HCPCS C1713 119709 Screw MUC 3.0 x 14mm 278 HCPCS C1713 119710 Screw MUC 3.0 x 16mm 278 HCPCS C1713 119711 Screw MUC 3.0 x 18mm 278 HCPCS C1713

124 119712 Screw MUC 3.0 x 20mm 278 HCPCS C1713 119713 Screw MUC 3.0 x 22mm 278 HCPCS C1713 119715 Screw MUC 3.0 x 26mm 278 HCPCS C1713 119714 Screw MUC 3.0 x 24mm 278 HCPCS C1713 119716 Screw MUC 3.0 x 28mm 278 HCPCS C1713 119717 Screw MUC 3.0 x 30mm 278 HCPCS C1713 119718 Screw MUC 3.0 x 32mm 278 HCPCS C1713 119719 Screw MUC 3.0 x 34mm 278 HCPCS C1713 119720 Screw MUC 4.3 x 14mm Short 278 HCPCS C1713 119721 Screw MUC 4.3 x 16mm Short 278 HCPCS C1713 119722 Screw MUC 4.3 x 18mm Short 278 HCPCS C1713 119723 Screw MUC 4.3 x 20mm Short 278 HCPCS C1713 119724 Screw MUC 4.3 x 22mm Short 278 HCPCS C1713 119725 Screw MUC 4.3 x 24mm Short 278 HCPCS C1713 119726 Screw MUC 4.3 x 26mm Short 278 HCPCS C1713 119727 Screw MUC 4.3 x 28mm Short 278 HCPCS C1713 119728 Screw MUC 4.3 x 30mm Short 278 HCPCS C1713 119729 Screw MUC 4.3 x 32mm Short 278 HCPCS C1713 119730 Screw MUC 4.3 x 34mm Short 278 HCPCS C1713 119731 Screw MUC 4.3 x 36mm Short 278 HCPCS C1713 119732 Screw MUC 4.3 x 38mm Short 278 HCPCS C1713 119733 Screw MUC 4.3 x 40mm Short 278 HCPCS C1713 119734 Screw MUC 4.3 x 42mm Short 278 HCPCS C1713 119735 Screw MUC 4.3 x 44mm Short 278 HCPCS C1713 119736 Screw MUC 4.3 x 46mm Short 278 HCPCS C1713 119737 Screw MUC 4.3 x 48mm Short 278 HCPCS C1713 119738 Screw MUC 4.3 x 50mm Short 278 HCPCS C1713 119739 Screw MUC 4.3 x 36mm Long 278 HCPCS C1713 119740 Screw MUC 4.3 x 38mm Long 278 HCPCS C1713 119741 Screw MUC 4.3 x 40mm Long 278 HCPCS C1713 119742 Screw MUC 4.3 x 42mm Long 278 HCPCS C1713 119743 Screw MUC 4.3 x 44mm Long 278 HCPCS C1713 119744 Screw MUC 4.3 x 46mm Long 278 HCPCS C1713 119745 Screw MUC 4.3 x 48mm Long 278 HCPCS C1713 119746 Screw MUC 4.3 x 50mm Long 278 HCPCS C1713 119747 Screw MUC 4.3 x 55mm Long 278 HCPCS C1713 119748 Screw MUC 4.3 x 60mm Long 278 HCPCS C1713 119749 Screw Interference Peek 4 x 10mm 278 HCPCS C1713 119750 Screw Interference Peek 4 x 15mm 278 HCPCS C1713 119751 Screw Interference Peek 5 x 10mm 278 HCPCS C1713 119752 Screw Interference Peek 5 x 15mm 278 HCPCS C1713 119753 Screw Interference Peek 6 x 15mm 278 HCPCS C1713 119754 Screw Interference Peek 6 x 20mm 278 HCPCS C1713 119755 Screw Interference Peek 7 x 25mm 278 HCPCS C1713 119756 Screw Interference Peek 8 x 25mm 278 HCPCS C1713

125 119757 Screw MUC 7.0 100 x 16mm 278 HCPCS C1713 119758 Screw MUC 7.0 100 x 32mm 278 HCPCS C1713 119759 Screw MUC 7.0 105 x 16mm 278 HCPCS C1713 119760 Screw MUC 7.0 105 x 32mm 278 HCPCS C1713 119761 Screw MUC 7.0 110 x 16mm 278 HCPCS C1713 119762 Screw MUC 7.0 110 x 32mm 278 HCPCS C1713 119763 Screw MUC 7.0 40 x 16mm 278 HCPCS C1713 119764 Screw MUC 7.0 45 x 16mm 278 HCPCS C1713 119765 Screw MUC 7.0 50 x 16mm 278 HCPCS C1713 119766 Screw MUC 7.0 55 x 16mm 278 HCPCS C1713 119767 Screw MUC 7.0 60 x 16mm 278 HCPCS C1713 119768 Screw MUC 7.0 65 x 16mm 278 HCPCS C1713 119769 Screw MUC 7.0 70 x 16mm 278 HCPCS C1713 119770 Screw MUC 7.0 75 x 16mm 278 HCPCS C1713 119771 Screw MUC 7.0 75 x 32mm 278 HCPCS C1713 119772 Screw MUC 7.0 80 x 16mm 278 HCPCS C1713 119773 Screw MUC 7.0 80 x 32mm 278 HCPCS C1713 119774 Screw MUC 7.0 85 x 16mm 278 HCPCS C1713 119775 Screw MUC 7.0 85 x 32mm 278 HCPCS C1713 119776 Screw MUC 7.0 90 x 16mm 278 HCPCS C1713 119777 Screw MUC 7.0 90 x 32mm 278 HCPCS C1713 119778 Screw MUC 7.0 95 x 16mm 278 HCPCS C1713 119779 Screw MUC 7.0 95 x 32mm 278 HCPCS C1713 119785 Washer Oblique for 7.0 MUC 278 119786 Washer Straight for 7.0 MUC 278 119787 Wire Single Trocar 1.0 x 150mm 272 119788 Wire Single Trocar 1.6 x 150mm 272 119616 Screw TI Locking Ortholoc 3.5 x 38mm 278 HCPCS C1713 119605 Screw Headed Darco 4.5 x 60 Long 278 HCPCS C1713 119904 Curette Latitude Size 2 T-Tip 272 119936 Bone Allograft DBM Putty Stimublast 10cc 278 HCPCS C1713 119952 Suture Anchor Shoulder Healicoil SA PK 5.5mm with278 2 UltrabraidHCPCS C1713 #2 Sutures 119953 Suture Anchor Shoulder Healicoil SA PK 5.5mm with278 3 UltrabraidHCPCS C1713 #2 Sutures 119954 Anchor Twinfix HA 6.5mm with Two #2 Sutures 278 HCPCS C1713 119955 Anchor Twinfix HA 6.5mm with Three #2 Sutures 278 HCPCS C1713 119951 Anchor Twinfix Ti 6.5mm with Two #2 Sutures 278 HCPCS C1713 119950 Anchor Twinfix Ti 5.5mm with Two #2 Sutures 278 HCPCS C1713 119949 Anchor Twinfix Ti 4.5mm with Two #2 Sutures 278 HCPCS C1713 119948 Anchor Footprint Ultra PK 5.5mm 278 HCPCS C1713 119989 Screw Cancellous 6.5mm x 60mm Thread 16mm 278 HCPCS C1713 119990 Screw Cancellous 6.5mm x 65mm Thread 16mm 278 HCPCS C1713 119991 Screw Cancellous 6.5mm x 70mm Thread 16mm 278 HCPCS C1713 119992 Screw Cancellous 6.5mm x 75mm Thread 16mm 278 HCPCS C1713 119993 Screw Cancellous 6.5mm x 80mm Thread 16mm 278 HCPCS C1713 119994 Screw Cancellous 6.5mm x 85mm Thread 16mm 278 HCPCS C1713

126 119995 Screw Cancellous 6.5mm x 90mm Thread 16mm 278 HCPCS C1713 119996 Screw Cancellous 6.5mm x 95mm Thread 16mm 278 HCPCS C1713 119997 Screw Cancellous 6.5mm x 100mm Thread 16mm 278 HCPCS C1713 119988 Screw Cancellous 6.5mm x 55mm Thread 16mm 278 HCPCS C1713 119946 Fiber Laser Single Use Holmium High Power Flexiva 272TracTip 200 Micron 119982 Fixator Large External Ankle Frame 272 119983 Fixator Large External Pelvic Frame 272 119984 Fixator Large External Trauma Kit 272 120009 Blade Sinus Tricut ENT Navigation Trackable 272 120010 Packing Sinus Slim-Profile Sponge w/String Sterile 2/BG272 102016 Knife Carpal Tunnel 272 113565 Bit Drill 2.9mm Cannulated 272 103359 Bit Drill Cannulated 272 101484 Needle Endoscopic Sidekick 21G x 14.6in 272 101485 Urethral Bulking Agent Coaptite Injectable in 1ML Syringe278 HCPCS L8606 101496 Dressing Surgical Aquacel AG w/Silver 9 x 25cm Sterile272 101498 Kit Patient Care for Hana Arthroscopy Table 272 102120 Pin Positioning Cerclage Threaded 4.5mm Sterile 278 HCPCS C1713 102121 Pin Positioning Cerclage Threaded 3.5mm Sterile 278 HCPCS C1713 105776 Punch Aortic 2.5mm Short Handle 272 105779 Punch Aortic 4.5mm 272 105781 Punch Aortic 4.8mm 272 101977 Suture V-Loc 90 Barbed Maxon 2-0 Absorbable 12in on272 GS-21 Ndl VLOCM0315 101994 BIT DRILL CANNULATED JACOBS CHUCK 4.5MM X 135MM272 101993 Guidewire 2.0mm x 240mm 272 HCPCS C1769 101618 Nozzle Humeral for Revolution Bone Cement Cartridge272 Gun 102268 Tip Rumi Uterine Manipulator Orange 6.7mm x 12cm272 Sterile Disposable 102269 Tip Rumi Uterine Manipulator Yellow 5.1mm x 3.75cm272 Sterile Disposable 102270 Sleeve Rumi Uterine Manipulator KOH-Efficient 2.5cm272 102271 Sleeve Rumi Uterine Manipulator KOH-Efficient 3.0cm272 102272 Sleeve Rumi Uterine Manipulator KOH-Efficient 3.5cm272 102274 Sleeve Rumi Uterine Manipulator KOH-Efficient 4.0cm272 120030 Dressing Surgical Aquacel AG w/Silver 9 x 10cm 272 120031 Bit Drill Hex Coupling 1.3mm 3mm Stop 272 120076 Dressing Surgical Aquacel AG w/Silver 9 x 15cm 272 120077 Suture Capio Dexon-Vicryl 0 48in Double Armed TC 272 120078 Plate Clavicle 3.5mm LCP Superior 6 Hole 85mm Right278 HCPCS C1713 120079 Plate Clavicle 3.5mm LCP Superior 6 Hole 85mm Left278 HCPCS C1713 120080 Plate Clavicle 3.5mm LCP Superior 7 Hole 100mm Right278 HCPCS C1713 120081 Plate Clavicle 3.5mm LCP Superior 7 Hole 100mm Left278 HCPCS C1713 120082 Plate Clavicle 3.5mm LCP Superior 8 Hole 115mm Right278 HCPCS C1713 120083 Plate Clavicle 3.5mm LCP Superior 8 Hole 115mm Left278 HCPCS C1713 120084 Plate Clavicle 3.5mm LCP Superior Lateral Ext 6 Hole278 105mmHCPCS Right C1713 120085 Plate Clavicle 3.5mm LCP Superior Lateral Ext 6 Hole278 105mmHCPCS Left C1713 120086 Plate Clavicle 3.5mm LCP Superior Lateral Ext 7 Hole278 120mmHCPCS Right C1713

127 120087 Plate Clavicle 3.5mm LCP Superior Lateral Ext 7 Hole278 120mmHCPCS Left C1713 120088 Plate Clavicle 3.5mm LCP Superior Lateral Ext 8 Hole278 130mmHCPCS Right C1713 120089 Plate Clavicle 3.5mm LCP Superior Lateral Ext 8 Hole278 130mmHCPCS Left C1713 120092 Tubing Set High Pressure 3 Meter KAIRison Disposable272 120132 Liner Acetabular AltrX 32 x 48mm Neutral 278 HCPCS C1776 120133 Liner Acetabular AltrX 32 x 50mm Neutral 278 HCPCS C1776 120134 Liner Acetabular AltrX 36x 52mm Neutral 278 HCPCS C1776 120135 Liner Acetabular AltrX 36x 54mm Neutral 278 HCPCS C1776 120136 Stem Femoral Corail Amt Collar Size 8 278 HCPCS C1776 120137 Stem Femoral Corail Amt Collar Size 9 278 HCPCS C1776 120138 Stem Femoral Corail Amt Collar Size 10 278 HCPCS C1776 120139 Stem Femoral Corail Amt Collar Size 11 278 HCPCS C1776 120140 Stem Femoral Corail Amt Collar Size 12 278 HCPCS C1776 120141 Stem Femoral Corail Amt Collar Size 13 278 HCPCS C1776 120142 Stem Femoral Corail Amt Collar Size 14 278 HCPCS C1776 120143 Stem Femoral Corail Amt Collar Size 15 278 HCPCS C1776 120144 Stem Femoral Corail Amt Collar Size 16 278 HCPCS C1776 120145 Stem Femoral Corail 2 Std Collar Size 8 278 HCPCS C1776 120146 Stem Femoral Corail Amt Collar Size 18 278 HCPCS C1776 120147 Stem Femoral Corail 2 Std Collar Size 9 278 HCPCS C1776 120148 Stem Femoral Corail 2 Std Collar Size 10 278 HCPCS C1776 120149 Stem Femoral Corail 2 Std Collar Size 11 278 HCPCS C1776 120150 Stem Femoral Corail 2 Std Collar Size 12 278 HCPCS C1776 120151 Stem Femoral Corail 2 Std Collar Size 13 278 HCPCS C1776 120152 Stem Femoral Corail 2 Std Collar Size 14 278 HCPCS C1776 120153 Stem Femoral Corail 2 Std Collar Size 15 278 HCPCS C1776 120154 Stem Femoral Corail 2 Std Collar Size 16 278 HCPCS C1776 120155 Stem Femoral Corail 2 Std Collar Size 18 278 HCPCS C1776 120156 Stem Femoral Corail 2 Std Collar Size 20 278 HCPCS C1776 120157 Stem Femoral Corail Amt Collar Size 20 278 HCPCS C1776 120158 Stem Femoral Corail 2 Coxa Vara Size 9 278 HCPCS C1776 120159 Stem Femoral Corail 2 Coxa Vara Size 10 278 HCPCS C1776 120160 Stem Femoral Corail 2 Coxa Vara Size 11 278 HCPCS C1776 120161 Stem Femoral Corail 2 Coxa Vara Size 12 278 HCPCS C1776 120162 Stem Femoral Corail 2 Coxa Vara Size 13 278 HCPCS C1776 120163 Stem Femoral Corail 2 Coxa Vara Size 14 278 HCPCS C1776 120164 Stem Femoral Corail 2 Coxa Vara Size 15 278 HCPCS C1776 120165 Stem Femoral Corail 2 Coxa Vara Size 16 278 HCPCS C1776 120166 Stem Femoral Corail 2 Coxa Vara Size 18 278 HCPCS C1776 120167 Stem Femoral Corail 2 Coxa Vara Size 20 278 HCPCS C1776 120168 Stem Femoral Corail 2 Std Non Collar Size 6 278 HCPCS C1776 120169 Stem Femoral Corail 2 Non Collar Hi Offset Size 9 278 HCPCS C1776 120170 Stem Femoral Corail 2 Non Collar Hi Offset Size 10 278 HCPCS C1776 120171 Stem Femoral Corail 2 Non Collar Hi Offset Size 11 278 HCPCS C1776 120172 Stem Femoral Corail 2 Non Collar Hi Offset Size 12 278 HCPCS C1776

128 120173 Stem Femoral Corail 2 Non Collar Hi Offset Size 13 278 HCPCS C1776 120174 Stem Femoral Corail 2 Non Collar Hi Offset Size 14 278 HCPCS C1776 120175 Stem Femoral Corail 2 Non Collar Hi Offset Size 15 278 HCPCS C1776 120176 Stem Femoral Corail 2 Non Collar Hi Offset Size 16 278 HCPCS C1776 120177 Stem Femoral Corail 2 Non Collar Hi Offset Size 18 278 HCPCS C1776 120178 Stem Femoral Corail 2 Non Collar Hi Offset Size 20 278 HCPCS C1776 120179 Adapter Touhy-Borst 6Fr 272 120180 Adapter Touhy-Borst 6Fr with Side Arm 272 120181 Guidewire Super Stiff Amplatz .035in x 145cm x 3.5cm272 FlexibleHCPCS TipC1769 108504 Guidewire Super Stiff Amplatz .038in x 145cm x 6cm272 HCPCS C1769 120011 Guidewire Super Stiff Amplatz .038in x 75cm x 6cm 272StraightHCPCS Tip C1769 120182 System Pumping Single Action Non-Continuous Irrigating271 120205 Bit Drill Cranial 1.5mm x 4mm Stryk J Latch 272 120206 Bit Drill Cranial 1.5mm x 6mm Stryk J Latch 272 120218 Head Femoral Total Hip COCR LFIT C-Taper 32MM/+7.5MM278 HCPCS C1776 120214 Head Femoral Total Hip COCR LFIT C-Taper 32MM/-2.5MM278 HCPCS C1776 120217 Head Femoral Total Hip COCR LFIT C-Taper 32MM/+2.5MM278 HCPCS C1776 120189 Valve Mitral Porcine Carpentier-Edwards Bioprosthesis278 27mm 120190 Valve Mitral Porcine Carpentier-Edwards Bioprosthesis278 29mm 120191 Valve Mitral Porcine Carpentier-Edwards Bioprosthesis278 31mm 120192 Valve Mitral Porcine Carpentier-Edwards Bioprosthesis278 33mm 120255 Sling Suprapubic Mid-Urethral Lynx System with Advantage278 HCPCS Mesh C1771 120233 Spacer Vertebral CFRP Cage 4mm Lordotic 7d Bengal278 Interbody Fusion 120234 Spacer Vertebral CFRP Cage 5mm Lordotic 7d Bengal278 Interbody Fusion 120235 Spacer Vertebral CFRP Cage 6mm Lordotic 7d Bengal278 Interbody Fusion 120236 Spacer Vertebral CFRP Cage 7mm Lordotic 7d Bengal278 Interbody Fusion 120237 Spacer Vertebral CFRP Cage 8mm Lordotic 7d Bengal278 Interbody Fusion 120238 Spacer Vertebral CFRP Cage 9mm Lordotic 7d Bengal278 Interbody Fusion 120239 Plate Anterior Cervical Fusion UniPlate2 1 Level 16mm278 HCPCS C1713 120240 Plate Anterior Cervical Fusion UniPlate2 1 Level 18mm278 HCPCS C1713 120241 Plate Anterior Cervical Fusion UniPlate2 1 Level 20mm278 HCPCS C1713 120242 Plate Anterior Cervical Fusion UniPlate2 1 Level 22mm278 HCPCS C1713 120244 Plate Anterior Cervical Fusion UniPlate2 2 Level 32mm278 HCPCS C1713 120245 Plate Anterior Cervical Fusion UniPlate2 2 Level 34mm278 HCPCS C1713 120246 Plate Anterior Cervical Fusion UniPlate2 2 Level 36mm278 HCPCS C1713 120247 Plate Anterior Cervical Fusion UniPlate2 2 Level 38mm278 HCPCS C1713 120248 Plate Anterior Cervical Fusion UniPlate2 2 Level 40mm278 HCPCS C1713 120249 Screw Anterior Cervical Plating UniPlate2 Self-Drilling278 4.6x12mmHCPCS C1713 120250 Screw Anterior Cervical Plating UniPlate2 Self-Drilling278 4.6x13mmHCPCS C1713 120251 Screw Anterior Cervical Plating UniPlate2 Self-Drilling278 4.6x14mmHCPCS C1713 120252 Screw Anterior Cervical Plating UniPlate2 Self-Drilling278 4.6x15mmHCPCS C1713 120253 Screw Anterior Cervical Plating UniPlate2 Self-Drilling278 4.6x16mmHCPCS C1713 120254 Pin Temporary Fixation Anterior Cervical Plating UniPlate2272 120112 Kit Patient Care for Axis Jackson Spine Table 271 103687 Catheter Nephrostomy Imager2 Bern 5Fr x 65cm 272

129 120326 Kit Nephrostomy Balloon Cath NephroMax 10mm/15cm272 w/Infl/20mmHCPCS C1726 PTFE Sheath 120328 Catheter Nephrostomy Drainage Re-entry Malecot 20Fr272 8FrHCPCS Tip C1729 120329 Kit Balloon Catheter 6mm x 10cm on 5.8Fr 75cm Cath272 w/LaVeenHCPCS C1726 Inflator 120330 Adapter Tubing 30cm Nephrostomy Catheter to Drainage272 Bag 120331 Kit Nephrostomy Balloon Cath NephroMax 10mm/12cm272 w/Infl/17mmHCPCS C1726 Clear Sheath 120332 Sheath Ureteral Access Navigator HD 12Fr 36cm 272 HCPCS C1894 120333 Sheath Ureteral Access Navigator HD 12Fr 46cm 272 HCPCS C1894 120337 Endoprosthesis AAA Contralateral Leg Excluder 23mm/10cm278 120340 Endoprosthesis AAA Contralateral Leg Excluder 27mm/10cm278 120338 Endoprosthesis AAA Contralateral Leg Excluder 23mm/12cm278 120339 Endoprosthesis AAA Contralateral Leg Excluder 23mm/14cm278 120341 Endoprosthesis AAA Contralateral Leg Excluder 27mm/12cm278 120342 Endoprosthesis AAA Contralateral Leg Excluder 27mm/14cm278 120386 Probe Ultrasound LithoClast Ultra 3.8mm 272 120387 Catheter Percuflex Nephrostomy Locking Loop Fader272 Tip HCPCS8Fr C1729 120365 Kyphoplasty Bone Biopsy Tool 10G 272 120366 Kyphoplasty Cement Cannula Verteport 10G 272 120367 Kyphoplasty Hand Drill 10G 272 120368 Kyphoplasty Cement Mixer PCD/HV Cement Short Tube272 120369 Kyphoplasty Balloon Vertebral Augmentation Access272 System 15-2 iVAS 10G 120370 Kyphoplasty Balloon Vertebral Augmentation Access272 System 10-2 iVAS 10G 120453 Catheter Balloon Dilation Peripheral PTA Conquest 75cm272 HCPCSx 7mm C1725x 6cm 120454 Catheter Balloon Dilation Peripheral PTA Conquest 75cm272 HCPCSx 8mm C1725x 6cm 120416 Stent Peripheral Vascular Self-Expand Nitinol Zilver 278635 6HCPCS x 40mm C1876 120417 Introducer Flexor Check-Flo 7Fr x 0.35in 55cm ANL1272 CurveHCPCS C1894 120456 Stapler Endo GIA Ultra Short 6cm Shaft 272 120457 Reload Endo GIA Ultra Stapler 45mm Articulating Medium/Thick272 Tan 120458 Reload Endo GIA Ultra Stapler 60mm Articulating Medium/Thick272 Purple 120450 Catheter Percuflex Nephrostomy Locking Loop Fader272 Tip HCPCS10Fr C1729 120451 Basket Stone Extractor Perc NCircle Nitonol 10Fr 38cm272 2cm Basket PCNL 101308 Binder Abdominal Dale 60-72 Inch 271 118626 Binder Abdominal Dale 46-60 Inch 271 120485 Stapler Endo GIA Ultra Standard 16cm Shaft 272 120487 Spray Tip Extended Pleural Sealant ProGEL 11in 272 103070 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM AR1 SH272 HCPCS C1887 103071 Catheter Guide Vista-Brite Tip 8Fr HS 272 HCPCS C1887 103072 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM AR1 272 HCPCS C1887 103073 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM JL4.5 272 HCPCS C1887 103088 Catheter Guide Vista-Brite Tip 6Fr .070 100cm JR3.5272 SH HCPCS C1887 103089 Catheter Guide Vista-Brite Tip 6Fr 100cm XBRCA 272 HCPCS C1887 103092 Catheter Guide Vista-Brite Tip 6Fr .070 100cm XBLAD272 HCPCS C1887 103095 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JL5SH272 HCPCS C1887 103096 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JL4 ST272 HCPCS C1887 103097 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JL5 ST272 HCPCS C1887 103098 Catheter Guide Vista-Brite Tip 7Fr .078 100cm XB4.5272 HCPCS C1887

130 103099 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JR3.5272 HCPCS C1887 103100 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JR3.5272 SH HCPCS C1887 103101 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JR5 272 HCPCS C1887 103103 Catheter Guide Vista-Brite Tip 7Fr .078 100cm IMA 272 HCPCS C1887 103107 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM AL1 SH272 HCPCS C1887 103104 Catheter Guide Vista-Brite Tip 7Fr .078 100cm MPA1272 HCPCS C1887 103105 Catheter Guide Vista-Brite Tip 7Fr .078 100cm HS SH272 HCPCS C1887 103640 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM AR2 272 HCPCS C1887 103641 Catheter Guide Vista-Brite Tip 8Fr 100cm XB3.5 272 HCPCS C1887 103646 Catheter Guide Vista-Brite Tip 6Fr 100cm XBLAD 272 HCPCS C1887 103652 Catheter Guide Vista-Brite Tip 8Fr .088 55cm 272 HCPCS C1887 103660 CATHETER GUIDE VISTA-BRITE TIP 6FR 100CM AR1 272 HCPCS C1887 103669 CATHETER GUIDE VISTA-BRITE TIP 6FR 100CM MPA1 272 HCPCS C1887 103631 Catheter Guide Vista-Brite Tip 6Fr .070 100cm AR2 272 HCPCS C1887 103632 Catheter Guide Vista-Brite Tip 7Fr .078 100cm HS 272 HCPCS C1887 103633 Catheter Guide Vista-Brite Tip 7Fr .078 90cm IM 272 HCPCS C1887 103634 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JL3.5272 HCPCS C1887 103635 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JR4 SH272 HCPCS C1887 103637 Catheter Guide Vista-Brite Tip 7Fr .078 100cm XB3 272 HCPCS C1887 103638 Catheter Guide Vista-Brite Tip 7Fr .078 100cm XB3.5272 HCPCS C1887 103639 Catheter Guide Vista-Brite Tip 7Fr .078 100cm XB4 272 HCPCS C1887 103644 Catheter Guide Vista-Brite Tip 6Fr .070 100cm XB4 272 HCPCS C1887 103647 Catheter Guide Vista-Brite Tip 6Fr .070 100cm JL4 272 HCPCS C1887 103648 Catheter Guide Vista-Brite Tip 6Fr .070 100cm JR4 272 HCPCS C1887 103649 Catheter Guide Vista-Brite Tip 6Fr .070 100cm XB 3.5272 HCPCS C1887 103650 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JL4 272 HCPCS C1887 103651 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JR4 272 HCPCS C1887 103655 Catheter Guide Vista-Brite Tip 6Fr .070 100cm HS 272 HCPCS C1887 103656 Catheter Guide Vista-Brite Tip 6Fr .070 100cm IM 272 HCPCS C1887 103657 Catheter Guide Vista-Brite Tip 6Fr .070 100cm LCB 272 HCPCS C1887 103659 Catheter Guide Vista-Brite Tip 6Fr .070 90cm IM 272 HCPCS C1887 103662 Catheter Guide Vista-Brite Tip 6Fr .070 100cm JL3.5272 HCPCS C1887 103663 Catheter Guide Vista-Brite Tip 6Fr .070 100cm JL3.5272 ST HCPCS C1887 103664 Catheter Guide Vista-Brite Tip 6Fr 100cm JL4 ST 272 HCPCS C1887 103665 Catheter Guide Vista-Brite Tip 6Fr 100cm JL4.5 272 HCPCS C1887 103666 Catheter Guide Vista-Brite Tip 6Fr .070 100cm JL5 272 HCPCS C1887 103667 Catheter Guide Vista-Brite Tip 6Fr 100cm JL6 272 HCPCS C1887 103668 Catheter Guide Vista-Brite Tip 6Fr .070 100cm JR4 SH272 HCPCS C1887 103670 Catheter Guide Vista-Brite Tip 6Fr .070 100cm MPA1272 HCPCS C1887 103678 CATHETER GUIDE VISTA-BRITE TIP 8FR 90CM IM 272 HCPCS C1887 103679 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM AL1 272 HCPCS C1887 103680 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM AL1.5 272 HCPCS C1887 103682 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM AR2 SH272 HCPCS C1887 103683 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM JL3.5 272 HCPCS C1887 103684 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM JL4 ST272 HCPCS C1887

131 103681 Catheter Guide Vista-Brite Tip 8Fr 100cm AL2 272 HCPCS C1887 110004 CATHETER GUIDE VISTA-BRITE TIP 8FR 100CM JL4SH272 HCPCS C1887 103671 Catheter Guide Vista-Brite Tip 6Fr .070 100cm RCB 272 HCPCS C1887 103673 Catheter Guide Vista-Brite Tip 7Fr .078 100cm LCB 272 HCPCS C1887 103674 Catheter Guide Vista-Brite Tip 7Fr .078 100cm ALR 1.2272 HCPCS C1887 103675 Catheter Guide Vista-Brite Tip 7Fr .078 100cm AR2 272 HCPCS C1887 103677 Catheter Guide Vista-Brite Tip 7Fr .078 100cm AR1 SH272 HCPCS C1887 103685 Catheter Guide Vista-Brite Tip 8Fr 100cm JR4 272 HCPCS C1887 105508 Catheter Guide Vista-Brite Tip 6Fr .070 100cm XB4.5272 HCPCS C1887 105509 Catheter Guide Vista-Brite Tip 6Fr .070 100cm JR3.5272 HCPCS C1887 105512 Catheter Guide Vista-Brite Tip 7Fr .078 100cm JL5 272 HCPCS C1887 105518 Catheter Guide Vista-Brite Tip 7Fr .078 100cm AL.75272 HCPCS C1887 107743 Catheter Guide Vista-Brite Tip 7Fr .078 100cm AL3 272 HCPCS C1887 107754 Catheter Guide Vista-Brite Tip 7Fr .078 100cm RCB 272 HCPCS C1887 107827 Catheter Guide Vista-Brite Tip 6Fr .070 100cm 3DRC272 HCPCS C1887 107836 Catheter Guide Vista-Brite Tip 7Fr .078 100cm AR2SH272 HCPCS C1887 108692 Catheter Guide Vista-Brite Tip 6Fr .070 100cm XB3 SH272 HCPCS C1887 109222 Catheter Guide Vista-Brite Tip 6Fr .070 100cm AL1 272 HCPCS C1887 109223 CATHETER GUIDE VISTA-BRITE TIP 6FR .070 100CM AL1SH272 HCPCS C1887 109224 Catheter Guide Vista-Brite Tip 6Fr .070 100cm AL2 272 HCPCS C1887 109225 Catheter Guide Vista-Brite Tip 6Fr .070 100cm AL75272 HCPCS C1887 109226 Catheter Guide Vista-Brite Tip 6Fr .070 100cm AR1 272 HCPCS C1887 109227 Catheter Guide Vista-Brite Tip 6Fr .070 100cm JL4 SH272 HCPCS C1887 109229 Catheter Guide Vista-Brite Tip 6Fr .070 100cm XB3 272 HCPCS C1887 110002 Catheter Guide Vista-Brite Tip 7Fr .078 100cm AL1 272 HCPCS C1887 110003 Catheter Guide Vista-Brite Tip 8Fr .088 95cm H1 272 HCPCS C1887 110005 Catheter Guide Vista-Brite Tip 8Fr 100cm XB4 272 HCPCS C1887 111580 Catheter Guide Vista-Brite Tip 7Fr .078 100cm AL2 272 HCPCS C1887 113998 Catheter Guide Vista-Brite Tip 6Fr .070 100cm JR5 272 HCPCS C1887 119944 Catheter Guide Vista-Brite Tip 7Fr .078 100cm XBLAD3.5272 HCPCS C1887 120396 Catheter Guide Vista-Brite Tip 7Fr .078 100cm XBLAD4.0272 HCPCS C1887 120491 Allograft Dowel Facet Stabilization Threaded 6.5mm278 Freeze-Dried 105212 Shunt Carotid Internal 3mm x 5mm 278 120502 Positioning Guide/Cut Blk Signature Pt Specific Vanguard272 Total Knee Arthros 120494 Shunt Carotid Sundt Internal Str 3/4mm x 10cm 278 120495 Shunt Carotid Sundt Internal Str 3.5/4.5mm x 10cm278 120509 Set Introducer Percutaneous Drainage Chiou Suprapubic272 FoleyHCPCS Cath C1769 120514 Set Entry Needle 18G and Introducer 20cm PCNL Procedure272 120515 Reload Vascular Articulating 45mm Medium Curve Tip272 Signia 120516 Reload Endo GIA Ultra Stapler 60mm Articulating Extra272 Thick Black 120518 Snare Stent Retrieval Urinary Tract NSnare 2.4Fr 115cm272 120070 Dilator Urethral Set Straight 8.0-24.0Fr 272 120544 Suture Gore-Tex CV-7 30in TTc-9/TTc-9 7M02B 272 115741 Suture Gore-Tex CV-5 36in TTc-13/TTc-13 6N04 272 111705 Catheter Valved Infusion Cragg-McNamara 5Fr 100cm272 HCPCS C1887

132 120573 Reservoir Holter Selker Vendtriculostomy Large 18mm272 120441 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr x 27mm278 xHCPCS 30mm C1876 120442 Stent Peripheral Balloon-Expanding Visi-Pro 7Fr x 17mm278 xHCPCS 20mm C1876 120443 Stent Peripheral Balloon-Expanding Visi-Pro 7Fr x 27mm278 xHCPCS 30mm C1876 120444 Stent Peripheral Balloon-Expanding Visi-Pro 8Fr x 17mm278 xHCPCS 20mm C1876 120445 Stent Peripheral Balloon-Expanding Visi-Pro 8Fr x 27mm278 xHCPCS 30mm C1876 120446 Stent Peripheral Balloon-Expanding Visi-Pro 8Fr x 37mm278 xHCPCS 40mm C1876 120448 Stent Peripheral Balloon-Expanding Visi-Pro 10Fr x 27mm278 HCPCS x 30mm C1876 120449 Stent Peripheral Balloon-Expanding Visi-Pro 10Fr x 37mm278 HCPCS x 40mm C1876 110180 Ring Annuloplasty 40mm Carpentier-Edwards Classic278 111539 Pillow Positioning Intubation Disposable Obese Non-Sterile270 120632 Knife Myringotomy Lance Blade w/Handle Sterile 272 110376 Valve Mitral Perimount Plus Pericardial 25mm 6900P25278 110377 Valve Mitral Perimount Plus Pericardial 27mm 6900P27278 110378 Valve Mitral Perimount Plus Pericardial 29mm 6900P29278 110379 Valve Mitral Perimount Plus Pericardial 31mm 6900P31278 110380 Valve Mitral Perimount Plus Pericardial 33mm 6900P33278 117110 Plate LCP T-Plate Right Angle 3.5 x 50mm 3 Hole Shaft278 4 Hole Head 117107 Plate LCP T-Plate Right Angle 3.5 x 77mm 6 Hole Shaft278 3 Hole Head 117147 Screw Cannulated 6.5 x 130mm x 16mm Thread 278 HCPCS C1713 117148 Screw Cannulated 6.5 x 135mm x 16mm Thread 278 HCPCS C1713 119226 Plating System Ortholoc Straight Plate 6 Hole 278 119263 Screw MTP Fusion 2.7 x 10mm 278 HCPCS C1713 120625 Graft Vascular Propaten w/Heparin Thin Walled 8mm278 x 40cmHCPCS C1768 120626 Graft Vascular Propaten w/Heparin Standard Walled278 TaperHCPCS 4-7mm C1768 x 45cm 120628 Graft Vasc Gore-Tex Stretch Thin wall Bifurcated 14-7mm278 HCPCS x 40cm C1768 120629 Graft Vasc Gore-Tex Stretch Thin wall Bifurcated 16-8mm278 HCPCS x 40cm C1768 120630 Graft Vasc Gore-Tex Stretch Thin wall Bifurcated 18-9mm278 HCPCS x 40cm C1768 120631 Graft Vasc Gore-Tex Stretch Thin wall Bifurcated 20-10mm278 HCPCS x 40cm C1768 105646 Tube Endobronchial Bronco-Cath 37Fr Right 272 105647 Tube Endobronchial Bronco-Cath 39Fr Left 272 105648 Tube Endobronchial Bronco-Cath 41Fr Left 272 103352 Bit Drill Twist 2.9mm 272 103350 Bit Drill Wire Pass Med 1.5mm 272 103353 Bit Drill Wire Pass Med 2.0mm 272 108149 Blade Microdebrider Sinus Inferior Turbinate Straight272 2mm M4 Rotatable 108181 Blade Microdebrider Sinus RAD60 X-Treme Curve 4mm272 M4 Rotatable 111500 Catheter Ash Split 40cm 278 HCPCS C1750 113042 Catheter Balloon Cryoplasty PolarCath 2.0 x 40mm x272 135cmHCPCS C1725 113043 Catheter Balloon Cryoplasty PolarCath 4.0 x 20mm x272 135cmHCPCS C1725 112798 Catheter Balloon Dilation ATB Advance ATB-38-80-10-4.0272 HCPCS C1725 103877 Cuff Tourniquet 12 x 2in 2-Port 1-Bladder 272 103886 Cuff Tourniquet 9 x 1.75in 2-Port 1-Bladder 272 109556 DEFIBRILLATOR CARDIAC RESYNCH HI-ENERGY COGNIS270 100-DCustom 2700100 104322 Immobilizer Knee Foam Tricot 19in 2XLarge 271

133 101568 Kit Catheter Cricothyrotomy Melker 4.0mm x 4.2cm272 111444 Knife Cold Half Moon Blade for use w/USA Elite System272 120243 Plate Anterior Cervical Fusion UniPlate2 1 Level 24mm278 HCPCS C1713 102379 Reamer Coring 9mm LF 272 105189 Sheath Introducer Pinnacle 10Fr x 10cm x .035in 272 HCPCS C1894 105186 Sheath Introducer Pinnacle 7Fr 25cm Guidewire 272 HCPCS C1894 110208 Sheath Introducer Pinnacle 7Fr 6cm w/o Wire 272 HCPCS C1894 101001 Sleeve SCD Thigh Small 271 106678 Sleeve SCD Knee Large 271 108664 Guidewire Glidewire .035in x 150cm Stiff Angle Tip 272 HCPCS C1769 104268 Guidewire Glidewire .035in x 260cm Stiff Straight Tip272 GS3504.HCPCS C1769 104269 Guidewire Glidewire .035in x 260cm Stiff Angle Tip 272 HCPCS C1769 120736 Port Smart CT with 8Fr Polyurethane Catheter & Valved278 IntroducerHCPCS C1788 120737 Kit Transanal Hemorrhoidal Dearterialization SLIDEONE272 120751 Cutter Linear Endo Articulating Powered 28cm Shaft272 60mm Unloaded Disp 120753 Retractor Colectomy Wound Alexis X-Small 2-4cm Disposable272 120258 Retractor AlexisO Lg C-Section/Protector Surgical 9 272x 14cm Incision 120266 Retractor AlexisO XLg C-Section 11 x 17cm Incision 272 120825 Suture V-Loc 180 Barbed Maxon 3-0 Absorbable 9in on272 CV-23 Ndl VLOCL0844 120766 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 6x27mmHCPCS C1876x 135cm 120767 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 6x37mmHCPCS C1876x 135cm 120774 tent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 8x27mmHCPCS x C1876 135cm 120782 Catheter Balloon Peripheral EverCross 4.0x40mm Bln272 135cmHCPCS .035 C1725 OTW 120783 Catheter Balloon Peripheral EverCross 4.0x80mm Bln272 135cmHCPCS .035 C1725 OTW 120784 Catheter Balloon Peripheral EverCross 4.0x100mm Bln272 135cmHCPCS .035 C1725 OTW 120785 Catheter Balloon Peripheral EverCross 4.0x120mm Bln272 135cmHCPCS .035 C1725 OTW 120787 Catheter Balloon Peripheral EverCross 5.0x40mm Bln272 135cmHCPCS .035 C1725 OTW 120788 Catheter Balloon Peripheral EverCross 5.0x80mm Bln272 135cmHCPCS .035 C1725 OTW 120789 Catheter Balloon Peripheral EverCross 5.0x120mm Bln272 135cmHCPCS .035 C1725 OTW 120791 Catheter Balloon Peripheral EverCross 6.0x40mm Bln272 135cmHCPCS .035 C1725 OTW 120792 Catheter Balloon Peripheral EverCross 6.0x80mm Bln272 135cmHCPCS .035 C1725 OTW 120793 Catheter Balloon Peripheral EverCross 6.0x120mm Bln272 135cmHCPCS .035 C1725 OTW 120795 Catheter Balloon Peripheral EverCross 7.0x40mm Bln272 135cmHCPCS .035 C1725 OTW 120796 Catheter Balloon Peripheral EverCross 7.0x80mm Bln272 135cmHCPCS .035 C1725 OTW 120798 Catheter Balloon Peripheral EverCross 8.0x20mm Bln272 135cmHCPCS .035 C1725 OTW. 120799 Catheter Balloon Peripheral EverCross 8.0x80mm Bln272 135cmHCPCS .035 C1725 OTW 120810 Catheter Balloon Peripheral NanoCross Elite 2.0x120mm272 HCPCSBln .014 C1725 150cm 120811 Catheter Balloon Peripheral NanoCross Elite 2.0x40mm272 BlnHCPCS .014 C1725150cm 120812 Catheter Balloon Peripheral NanoCross Elite 3.0x120mm272 HCPCSBln .014 C1725 150cm 120813 Catheter Balloon Peripheral NanoCross Elite 3.0x40mm272 BlnHCPCS .014 C1725150cm 120815 Catheter Balloon Peripheral NanoCross Elite 4.0x120mm272 HCPCSBln .014 C1725 150cm 120816 Catheter Balloon Peripheral NanoCross Elite 4.0x20mm272 BlnHCPCS .014 C1725150cm 120817 Catheter Balloon Peripheral NanoCross Elite 4.0x40mm272 BlnHCPCS .014 C1725150cm 120818 Filter Vena Cava Embolic Protection SpiderFX 3mm 272Filter on 190/320cm Wire 120819 Filter Vena Cava Embolic Protection SpiderFX 4mm 272Filter on 190/320cm Wire

134 120820 Filter Vena Cava Embolic Protection SpiderFX 5mm 272Filter on 190/320cm Wire 120821 Filter Vena Cava Embolic Protection SpiderFX 6mm 278Filter on 190/320cm Wire 120822 Filter Vena Cava Embolic Protection SpiderFX 7mm 272Filter on 190/320cm Wire 120823 Catheter Peripheral Plaque Excision TurboHawkTH LX-C272 SURGHCPCS Lg C1714 vessal 9cm tip 120824 Catheter Peripheral Plaque Excision TurboHawk SX-C272 Sm HCPCSVessal 5.9cmC1714 Tip 120827 Seal Myosure Hysteroscope 272 103257 Anchor Super Quick w/#2 Ethibond Suture 278 HCPCS C1713 120838 Valve Cerebrospinal Fluid Control Polaris Adjustable278 30-200 w/Burr Hole 120849 Kit Aspira Pleual Drainage Complete 272 120856 CUTTER LINEAR ENDO ARTICULATING POWERED 34CM272 SHAFT 60MM UNLOADED DISP 120932 Plate Anterior Cervical Fusion UniPlate2 3-Level 51mm278 120933 Plate Anterior Cervical Fusion UniPlate2 3-Level 54mm278 120934 Plate Anterior Cervical Fusion UniPlate2 3-Level 57mm278 120935 Plate Anterior Cervical Fusion UniPlate2 3-Level 60mm278 120936 Plate Anterior Cervical Fusion UniPlate2 3-Level 63mm278 120937 Plate Anterior Cervical Fusion UniPlate2 3-Level 66mm278 120928 Catheter Passer Tunneler Device 38cm 270 120929 Lead Kit Surgical Specify 5-6-5 16-Electrode 65cm Spinal270 Cord Stimulation 120953 Suture Force Fiber Blue/White Co-braided Size 3-4 No272 Needle 120888 Mesh Patch Hernia Ventralight ST/EchoPS 6x8in (15x20cm)278 HCPCS Ellipse C1781 120889 Mesh Patch Hernia Ventralight ST/EchoPS 7x9in (18x23cm)278 HCPCS Ellipse C1781 120890 Mesh Patch Hernia Ventralight ST/EchoPS 6x10in (15x25cm)278 HCPCS Oval C1781 120891 Mesh Patch Hernia Ventralight ST/EchoPS 8x10in (20x25cm)278 HCPCS Ellipse C1781 120892 Mesh Patch Hernia Ventralight ST/EchoPS 10x13in (25.4x33cm)278 HCPCS EllipseC1781 120893 Mesh Patch Hernia Ventralight ST/EchoPS 12x14in (30x36cm)278 HCPCS Rectangle C1781 120969 Needle Spinal Quincke 18G x 6in Metal Hub Sterile 272 120977 Stent Thoracic Endoprosthesis CTAG 37mm x 15cm 272 120978 Stent Thoracic Endoprosthesis CTAG 37mm x 10cm 272 120979 Catheter Balloon Tri-Lobe 26-42mm 272 121040 Guidewire Peripheral Glidewire .035in Stiff 180cm Straight272 HCPCS Tip C1769 121041 Guidewire Peripheral Glidewire .035in Stiff 180cm Angled272 HCPCS Tip C1769 121042 Sheath Introducer Coronary Pinnacle TIFTip 5Fr x 10cm272 xHCPCS .038in C1894 121043 Sheath Introducer Coronary Pinnacle TIFTip 6Fr x 10cm272 xHCPCS .038in C1894 121044 Sheath Introducer Coronary Pinnacle TIFTip 7Fr x 10cm272 xHCPCS .038in C1894 121045 Guidewire Glidewire Advantage.035in x 180cm Angled272 Tip.HCPCS C1769 120989 Catheter Angiographic Soft-Vu 5Fr x 100cm .035in Headhunter272 HCPCS 1 C1887 120990 Catheter Angiographic Soft-Vu 5Fr x 100cm .035in Headhunter272 HCPCS 3 C1887 120991 Catheter Angiographic Soft-Vu 5Fr x 80cm .035in Sos272 OmniHCPCS 0 C1887 120992 Catheter Angiographic Soft-Vu 5Fr x 65cm .038in Kumpe272 HCPCS C1887 120993 Catheter Angiographic Soft-Vu 5Fr x 65cm .035in Cobra272 1HCPCS C1887 120994 Catheter Angiographic Soft-Vu 5Fr x 65cm .035in OmniFlush272 HCPCS 0 C1887 120995 Catheter Angiographic Accu-Vu 5Fr x 70cm .035in OmniFlush272 HCPCS 20cm C1887 seg 120996 Catheter Angiographic Accu-Vu 5Fr x 100cm .035in OmniFlush272 HCPCS 20cm C1887 seg 120997 Catheter Angiographic Mariner 5Fr x 100cm .038in OmniFlush272 HCPCS C1887 120998 Catheter Angiographic Mariner 5Fr x 100cm .035in Headhunter272 HCPCS 1C1887

135 120999 Catheter Angiographic Mariner 5Fr x 100cm .038in Headhunter272 HCPCS 3C1887 121000 Catheter Angiographic Mariner 5Fr x 80cm .035in Sos272 OmniHCPCS 0 C1887 121001 Catheter Angiographic Mariner 5Fr x 65cm .038in Kumpe272 HCPCS C1887 121002 Catheter Chronic Hemodialysis Dura-Flow Basic Kit 28cm278 HCPCSPre-Curve C1750 121003 Catheter Chronic Hemodialysis Dura-Flow Basic Kit 32cm278 HCPCSPre-Curve C1750 120972 Bur Router Core Sumex Duraguard Tapered 1.7 x 25mm272 120973 Bur Core Sumex Precision Round 7.5mm 272 120974 Bur Router Core Sumex Straight 1.1mm 272 120975 Bur Core Sumex Precision Round 3.0mm 272 120976 Bur Core Sumex Perforator Large 14/11mm 272 120970 Bur Core Sumex Neuro Less Aggressive 3 x 3.8mm 272 121070 Stent-Graft Peripheral SFA Viabahn 6x50mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 121073 Stent-Graft Peripheral SFA Viabahn 7x50mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 121076 Stent-Graft Peripheral SFA Viabahn 8x50mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 121071 Stent-Graft Peripheral SFA Viabahn 6x100mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 121074 Stent-Graft Peripheral SFA Viabahn 7x100mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 121077 Stent-Graft Peripheral SFA Viabahn 8x100mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 121078 Stent-Graft Peripheral SFA Viabahn 8x150mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 121075 Stent-Graft Peripheral SFA Viabahn 7x150mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 121072 Stent-Graft Peripheral SFA Viabahn 6x150mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 121127 Blade Bone Mill Medium 5mm Disposable 272 121118 Probe Surgical Pedicle Screw-Stimulator 200mm Teflon272 Shaft 3mm BallTip Disp 121153 Introducer Flexor Check-Flo 6Fr x 0.35in 55cm ANL1272 CurveHCPCS C1894 121150 Wand Topaz Microdebrider w/Finger Switch for Foot272 and Ankle Arthroscopy 121149 Needle Percutaneous Nephrostomy Access 18G 20cm272 2-Part Trocar Pt 120685 Stent Vascular Self-Expanding Absolute Pro 6Fr 6.0 x278 40mmHCPCS x 135cm C1876 Shaft 120686 Stent Vascular Self-Expanding Absolute Pro 6Fr 6.0 x278 60mmHCPCS x 135cm C1876 Shaft 120687 Stent Vascular Self-Expanding Absolute Pro 6Fr 6.0 x278 80mmHCPCS x 135cm C1876 Shaft 120688 Stent Vascular Self-Expanding Absolute Pro 6Fr 6.0 x278 100mmHCPCS x 135cm C1876 Shaft 120689 Stent Vascular Self-Expanding Absolute Pro 6Fr 7.0 x278 40mmHCPCS x 135cm C1876 Shaft 120690 Stent Vascular Self-Expanding Absolute Pro 6Fr 7.0 x278 80mmHCPCS x 135cm C1876 Shaft 120691 Stent Vascular Self-Expanding Absolute Pro 6Fr 7.0 x278 100mmHCPCS x 135cm C1876 Shaft 120692 Stent Vascular Self-Expanding Absolute Pro 6Fr 8.0 x278 30mmHCPCS x 135cm C1876 Shaft 120693 Stent Vascular Self-Expanding Absolute Pro 6Fr 8.0 x278 40mmHCPCS x 135cm C1876 Shaft 120694 Stent Vascular Self-Expanding Absolute Pro 6Fr 9.0 x278 20mmHCPCS x 135cm C1876 Shaft 120695 Stent Vascular Self-Expanding Absolute Pro 6Fr 9.0 x278 40mmHCPCS x 135cm C1876 Shaft 120696 Stent Vascular Self-Expanding Absolute Pro 6Fr 10.0278 x 20mmHCPCS x 135cm C1876 Shaft 120697 Stent Vascular Self-Expanding Absolute Pro 6Fr 10.0278 x 40mmHCPCS x 135cm C1876 Shaft 121266 Stent Vascular Self-Expanding Absolute Pro 6Fr 8.0 x278 40mmHCPCS x 80cm C1876 Shaft 121267 Stent Vascular Self-Expanding Absolute Pro 6Fr 8.0 x278 60mmHCPCS x 80cm C1876 Shaft 121268 Stent Vascular Self-Expanding Absolute Pro 6Fr 8.0 x278 80mmHCPCS x 80cm C1876 Shaft 121269 Stent Vascular Self-Expanding Absolute Pro 6Fr 9.0 x278 40mmHCPCS x 80cm C1876 Shaft 121270 Stent Vascular Self-Expanding Absolute Pro 6Fr 9.0 x278 60mmHCPCS x 80cm C1876 Shaft 121271 Stent Vascular Self-Expanding Absolute Pro 6Fr 10.0278 x 40mmHCPCS x 80cm C1876 Shaft 121272 Stent Vascular Self-Expanding Absolute Pro 6Fr 10.0278 x 60mmHCPCS x 80cm C1876 Shaft

136 121273 Stent Vascular Self-Expanding Absolute Pro 6Fr 7.0 x278 60mmHCPCS x 135cm C1876 Shaft 121104 Pain Pump Elastomeric ON-Q 5 Days 100ML Fixed 2ML/Hr272 2.5in Ag Soaker Cath 121145 Implant Assy Vertebral ACIF Zero-P Ti Plate-PEEK 7mm278 LordoticHCPCS C1713Spacer 121146 Implant Assy Vertebral ACIF Zero-P Ti Plate-PEEK 8mm278 LordoticHCPCS C1713Spacer 121147 Implant Assy Vertebral ACIF Zero-P Ti Plate-PEEK 9mm278 LordoticHCPCS C1713Spacer 121148 Screw Vertebral ACIF Zero-P 3.7x14mm Ti Self-Drilling278 VariableHCPCS AngleC1713 121156 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 5mm xC1725 10cm 121157 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 5mm xC1725 12cm 121158 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 5mm xC1725 14cm 121159 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 5mm xC1725 2cm 121160 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 5mm xC1725 4cm 121161 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 5mm xC1725 6cm 121162 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 5mm xC1725 8cm 121163 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 6mm xC1725 10cm 121164 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 6mm xC1725 12cm 121165 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 6mm xC1725 14cm 121166 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 6mm xC1725 2cm 121167 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 6mm xC1725 4cm 121168 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 6mm xC1725 6cm 121169 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 6mm xC1725 8cm 121170 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 7mm xC1725 10cm 121171 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 7mm xC1725 12cm 121172 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 7mm xC1725 14cm 121173 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 7mm xC1725 2cm 121174 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 7mm xC1725 4cm 121175 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 7mm xC1725 6cm 121176 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 7mm xC1725 8cm 121177 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 8mm xC1725 10cm 121178 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 8mm xC1725 12cm 121179 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 8mm xC1725 14cm 121180 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 8mm xC1725 2cm 121181 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 8mm xC1725 4cm 121182 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 8mm xC1725 6cm 121183 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 8mm xC1725 8cm 121184 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 9mm xC1725 10cm 121185 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 9mm xC1725 12cm 121186 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 9mm xC1725 14cm 121187 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 9mm xC1725 3cm 121188 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 9mm xC1725 4cm 121189 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 9mm xC1725 6cm 121190 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 9mm xC1725 8cm 121191 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 10mm C1725x 10cm 121192 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 10mm C1725x 12cm 121193 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 10mm C1725x 14cm 121194 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 10mm C1725x 3cm

137 121195 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 10mm C1725x 4cm 121196 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 10mm C1725x 6cm 121197 Catheter Balloon Peripheral PTA Advance 35LP 5Fr .035in272 HCPCS 10mm C1725x 8cm 121198 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2mm C1725 x 12cm 121199 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2mm C1725 x 16cm 121200 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2mm C1725 x 2cm 121201 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2mm C1725 x 20cm 121202 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2mm C1725 x 4cm 121203 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2.5mm C1725 x 12cm 121204 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2.5mm C1725 x 16cm 121205 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2.5mm C1725 x 2cm 121206 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2.5mm C1725 x 20cm 121207 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2.5mm C1725 x 4cm 121208 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2.5mm C1725 x 6cm 121209 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2.5mm C1725 x 8cm 121210 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2mm C1725 x 6cm 121211 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 2mm C1725 x 8cm 121212 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 3mm C1725 x 12cm 121213 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 3mm C1725 x 16cm 121214 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 3mm C1725 x 2cm 121154 Guidewire Microwire Approach CTO Peripheral .014in272 x 300cmHCPCS 6gm C1769 Tip Load 121155 Guidewire Microwire Approach CTO Peripheral .014in272 x 300cmHCPCS 18gm C1769 Tip Load 121099 Guidewire Microwire Approach CTO Peripheral .014in272 x 300cmHCPCS 12Gm C1769 Tip Load 121100 Guidewire Microwire Approach CTO Peripheral .014in272 x 300cmHCPCS 25gm C1769 Tip Load 121151 Catheter Support Peripheral Crossing CXI 2.6Fr .018in272 x 150cmHCPCS StrC1887 Tip 121152 Catheter Support Peripheral Crossing CXI 4.0Fr .035in272 x 135cmHCPCS StrC1887 Tip 121053 Kit Needle EMG Neurovision M5 272 121054 Clip Dynamic Stim Neurovision M5 272 121055 Jamshidi IPAS III Neurovision M5 272 121328 Breast Tissue Expander CPX4 350cc Medium Height 272 121329 Breast Tissue Expander CPX4 550cc Medium Height 272 121330 Breast Tissue Expander CPX3 w/Suture Tabs 450cc Medium272 Height 121331 Breast Tissue Expander CPX3 w/Suture Tabs 550cc Medium272 Height 121332 Breast Tissue Expander CPX3 w/Suture Tabs 650cc Medium272 Height 121333 Breast Tissue Expander CPX3 w/Suture Tabs 350cc Tall272 Height 121334 Breast Tissue Expander CPX3 w/Suture Tabs 450cc Tall272 Height 121335 Breast Tissue Expander CPX3 w/Suture Tabs 550cc Tall272 Height 121336 Breast Tissue Expander CPX3 w/Suture Tabs 650cc Tall272 Height 121344 Sheath Introducer Pinnacle 4Fr x 10cm x .035in 272 HCPCS C1894 121350 Endoprosthesis AAA Trunk Ipsilateral Leg Excluder 31x14.5mm/13cm278 C3 Deliver 121458 Extend Tip 8cm for Duraseal 272 121459 Kit Dilators Neurovision M5 XLIF Disposable Sterile 272 121460 Light Cable Angles Tip MAXCESS XLIF Disposable Sterile272 121342 Knife Annulotomy Bayonet Maxess Disposable 272 121343 Sling System Mid-Urethral Obtryx w/Advantage Mesh278 & Transobturator/HaloHCPCS C1771 Ndl

138 121467 Allograft Tissue Matrix Conexa 100 - 5 x 10cm 278 121468 Allograft Tissue Matrix Conexa 200 - 5 x 10cm 278 121472 Tunneler and Sheath 17G x 8in On-Q Pain Pump 272 121473 Stem Summit Basic Cemented Size 2 278 HCPCS C1776 121474 Stem Summit Basic Cemented Size 3 278 HCPCS C1776 121475 Stem Summit Basic Cemented Size 4 278 HCPCS C1776 121476 Stem Summit Basic Cemented Size 5 278 HCPCS C1776 121477 Stem Summit Basic Cemented Size 6 278 HCPCS C1776 121478 Stem Summit Basic Cemented Size 7 278 HCPCS C1776 121479 Stem Summit Basic Cemented Size 8 278 HCPCS C1776 121480 Stem Summit Basic Pressfit Size 2 278 HCPCS C1776 121481 Stem Summit Basic Pressfit Size 3 278 HCPCS C1776 121482 Stem Summit Basic Pressfit Size 4 278 HCPCS C1776 121483 Stem Summit Basic Pressfit Size 5 278 HCPCS C1776 121484 Stem Summit Basic Pressfit Size 6 278 HCPCS C1776 121485 Stem Summit Basic Pressfit Size 7 278 HCPCS C1776 121486 Stem Summit Basic Pressfit Size 8 278 HCPCS C1776 121370 Femoral Component Vanguard CR Total Knee Ilok Right278 65mmHCPCS C1776 121371 Femoral Component Vanguard CR Total Knee Ilok Right278 67.5mmHCPCS C1776 121372 Femoral Component Vanguard CR Total Knee Ilok Right278 70mmHCPCS C1776 121373 Femoral Component Vanguard CR Total Knee Ilok Right278 72.5mmHCPCS C1776 121374 Femoral Component Vanguard CR Total Knee Ilok Right278 75mmHCPCS C1776 121375 Femoral Component Vanguard CR Total Knee Ilok Right278 80mmHCPCS C1776 121376 Femoral Component Vanguard CR Total Knee Ilok Left278 55mmHCPCS C1776 121377 Femoral Component Vanguard CR Total Knee Ilok Left278 57.5mmHCPCS C1776 121378 Femoral Component Vanguard CR Total Knee Ilok Left278 60mmHCPCS C1776 121379 Femoral Component Vanguard CR Total Knee Ilok Left278 62.5mmHCPCS C1776 121380 Femoral Component Vanguard CR Total Knee Ilok Left278 65mmHCPCS C1776 121351 Blade Saw System 6 Oscillating 90 x 21 x 1.27mm 272 121352 Tibial Plate Total Knee CoCr Interlock Fixed I-Beam 278Tray HCPCS63mm C1776 121353 Tibial Plate Total Knee CoCr Interlock Fixed I-Beam 278Tray HCPCS67mm C1776 121354 Tibial Plate Total Knee CoCr Interlock Fixed I-Beam 278Tray HCPCS71mm C1776 121355 Tibial Plate Total Knee CoCr Interlock Fixed I-Beam 278Tray HCPCS75mm C1776 121356 Tibial Plate Total Knee CoCr Interlock Fixed I-Beam 278Tray HCPCS79mm C1776 121357 Tibial Plate Total Knee CoCr Interlock Fixed I-Beam 278Tray HCPCS83mm C1776 121358 Tibial Plate Total Knee CoCr Interlock Fixed I-Beam 278Tray HCPCS87mm C1776 121359 Tibial Plate Total Knee Fixed I-Beam Cruciate Tray 63mm278 HCPCS C1776 121360 Tibial Plate Total Knee Fixed I-Beam Cruciate Tray 67mm278 HCPCS C1776 121361 Tibial Plate Total Knee Fixed I-Beam Cruciate Tray 71mm278 HCPCS C1776 121362 Tibial Plate Total Knee Fixed I-Beam Cruciate Tray 75mm278 HCPCS C1776 121363 Tibial Plate Total Knee Fixed I-Beam Cruciate Tray 79mm278 HCPCS C1776 121364 Tibial Plate Total Knee Fixed I-Beam Cruciate Tray 83mm278 HCPCS C1776 121365 Tibial Plate Total Knee Fixed I-Beam Cruciate Tray 91mm278 HCPCS C1776 121366 Femoral Component Vanguard CR Total Knee Ilok Right278 55mmHCPCS C1776 121367 Femoral Component Vanguard CR Total Knee Ilok Right278 57.5mmHCPCS C1776

139 121368 Femoral Component Vanguard CR Total Knee Ilok Right278 60mmHCPCS C1776 121369 Femoral Component Vanguard CR Total Knee Ilok Right278 62.5mmHCPCS C1776 121381 Femoral Component Vanguard CR Total Knee Ilok Left278 67.5mmHCPCS C1776 121382 Femoral Component Vanguard CR Total Knee Ilok Left278 70mmHCPCS C1776 121383 Femoral Component Vanguard CR Total Knee Ilok Left278 72.5mmHCPCS C1776 121384 Femoral Component Vanguard CR Total Knee Ilok Left278 75mmHCPCS C1776 121385 Femoral Component Vanguard CR Total Knee Ilok Left278 80mmHCPCS C1776 121386 Tibial Bearing Vanguard CR Total Knee Poly 10mm x 27863/67HCPCS C1776 121387 Tibial Bearing Vanguard CR Total Knee Poly 12mm x 27863/67HCPCS C1776 121388 Tibial Bearing Vanguard CR Total Knee Poly 14mm x 27863/67HCPCS C1776 121389 Tibial Bearing Vanguard CR Total Knee Poly 16mm x 27863/67HCPCS C1776 121390 Tibial Bearing Vanguard CR Total Knee Poly 18mm x 27863/67HCPCS C1776 121391 Tibial Bearing Vanguard CR Total Knee Poly 10mm x 27871/75HCPCS C1776 121392 Tibial Bearing Vanguard CR Total Knee Poly 12mm x 27871/75HCPCS C1776 121393 Tibial Bearing Vanguard CR Total Knee Poly 14mm x 27871/75HCPCS C1776 121394 Tibial Bearing Vanguard CR Total Knee Poly 16mm x 27871/75HCPCS C1776 121395 Tibial Bearing Vanguard CR Total Knee Poly 18mm x 27871/75HCPCS C1776 121396 Tibial Bearing Vanguard CR Total Knee Poly 10mm x 27879/83HCPCS C1776 121397 Tibial Bearing Vanguard CR Total Knee Poly 12mm x 27879/83HCPCS C1776 121398 Tibial Bearing Vanguard CR Total Knee Poly 14mm x 27879/83HCPCS C1776 121399 Tibial Bearing Vanguard CR Total Knee Poly 16mm x 27879/83HCPCS C1776 121400 Tibial Bearing Vanguard CR Total Knee Poly 18mm x 27879/83HCPCS C1776 121401 Tibial Bearing Vanguard CR Total Knee Poly 10mm x 27887/91HCPCS C1776 121402 Tibial Bearing Vanguard CR Total Knee Poly 12mm x 27887/91HCPCS C1776 121403 Tibial Bearing Vanguard CR Total Knee Poly 14mm x 27887/91HCPCS C1776 121404 Tibial Bearing Vanguard CR Total Knee Poly 16mm x 27887/91HCPCS C1776 121405 Tibial Bearing Vanguard CR Total Knee Poly 18mm x 27887/91HCPCS C1776 121406 Tibial Bearing Vanguard PS 10mm x 63/67 278 HCPCS C1776 121407 Tibial Bearing Vanguard PS 12mm x 63/67 278 HCPCS C1776 121408 Tibial Bearing Vanguard PS 14mm x 63/67 278 HCPCS C1776 121409 Tibial Bearing Vanguard PS 16mm x 63/67 278 HCPCS C1776 121410 Tibial Bearing Vanguard PS 18mm x 63/67 278 HCPCS C1776 121411 Tibial Bearing Vanguard PS 20mm x 63/67 278 HCPCS C1776 121412 Tibial Bearing Vanguard PS 10mm x 71/75 278 HCPCS C1776 121413 Tibial Bearing Vanguard PS 12mm x 71/75 278 HCPCS C1776 121414 Tibial Bearing Vanguard PS 14mm x 71/75 278 HCPCS C1776 121415 Tibial Bearing Vanguard PS 16mm x 71/75 278 HCPCS C1776 121416 Tibial Bearing Vanguard PS 18mm x 71/75 278 HCPCS C1776 121417 Tibial Bearing Vanguard PS 20mm x 71/75 278 HCPCS C1776 121418 Tibial Bearing Vanguard PS 10mm x 79/83 278 HCPCS C1776 121419 Tibial Bearing Vanguard PS 12mm x 79/83 278 HCPCS C1776 121420 Tibial Bearing Vanguard PS 14mm x 79/83 278 HCPCS C1776 121421 Tibial Bearing Vanguard PS 16mm x 79/83 278 HCPCS C1776 121422 Tibial Bearing Vanguard PS 18mm x 79/83 278 HCPCS C1776 121289 Catheter Chronic Hemodialysis Dura-Flow Basic Kit 36cm278 HCPCSPre-Curve C1750

140 121290 Catheter Chronic Hemodialysis Dura-Flow Basic Kit 40cm278 HCPCSPre-Curve C1750 119967 Vascular Closure AngioSeal VIP 8Fr 278 HCPCS C1760 121337 Screw Vertebral ACIF Zero-P 3.7x16mm Ti Self-Drilling278 VariableHCPCS AngleC1713 121338 Screw Vertebral ACIF Zero-P 3.7x12mm Ti Self-Tapping278 VariableHCPCS C1713Angle 121339 Screw Vertebral ACIF Zero-P 3.7x14mm Ti Self-Tapping278 VariableHCPCS C1713Angle 121340 Screw Vertebral ACIF Zero-P 3.7x16mm Ti Self-Tapping278 VariableHCPCS C1713Angle 121341 Screw Vertebral ACIF Zero-P 3.7x18mm Ti Self-Tapping278 VariableHCPCS C1713Angle 121470 Suture Force Fiber Blue/White Co-braided Size 3-4 Tapered272 Needle 121488 Catheter Balloon Occulusion Occluder 7Fr x 100cm Catheter272 HCPCS 34Fr C2628 Balloon 108704 Catheter Balloon Peripheral NanoCross Elite 2.0x80mm272 BlnHCPCS .014 C1725150cm 108709 Catheter Balloon Peripheral NanoCross Elite 2.0x150mm272 HCPCSBln .014 C1725 150cm 108719 Catheter Balloon Peripheral NanoCross Elite 3.0x80mm272 BlnHCPCS .014 C1725150cm 108722 Catheter Balloon Peripheral NanoCross Elite 3.0x150mm272 HCPCSBln .014 C1725 150cm 108727 Catheter Balloon Peripheral NanoCross Elite 4.0x80mm272 BlnHCPCS .014 C1725150cm 108730 Catheter Balloon Peripheral NanoCross Elite 4.0x150mm272 HCPCSBln .014 C1725 150cm 108736 Catheter Balloon Peripheral EverCross 4.0x60mm Bln272 135cmHCPCS .035 C1725 OTW 108740 Catheter Balloon Peripheral EverCross 5.0x60mm Bln272 135cmHCPCS .035 C1725 OTW 108741 Catheter Balloon Peripheral EverCross 5.0x100mm Bln272 135cmHCPCS .035 C1725 OTW 108742 Catheter Balloon Peripheral EverCross 5.0x150mm Bln272 135cmHCPCS .035 C1725 OTW 108743 Catheter Balloon Peripheral EverCross 5.0x200mm Bln272 135cmHCPCS .035 C1725 OTW 108744 Catheter Balloon Peripheral EverCross 6.0x60mm Bln272 135cmHCPCS .035 C1725 OTW 108745 Catheter Balloon Peripheral EverCross 6.0x100mm Bln272 135cmHCPCS .035 C1725 OTW 108751 Catheter Balloon Peripheral EverCross 6.0x150mm Bln272 135cmHCPCS .035 C1725 OTW 108752 Catheter Balloon Peripheral EverCross 6.0x200mm Bln272 135cmHCPCS .035 C1725 OTW 108753 Catheter Balloon Peripheral EverCross 7.0x60mm Bln272 135cmHCPCS .035 C1725 OTW 108758 Catheter Balloon Peripheral EverCross 7.0x100mm Bln272 135cmHCPCS .035 C1725 OTW 108762 Catheter Balloon Peripheral EverCross 8.0x40mm Bln272 135cmHCPCS .035 C1725 OTW 108763 Catheter Balloon Peripheral EverCross 8.0x60mm Bln272 135cmHCPCS .035 C1725 OTW 115389 Guidewire Glidewire .035in x 260cm Straight Tip. 272 HCPCS C1769 112196 Sheath Introducer Guiding Destination 7Fr 90cm Str272 CurveHCPCS CC Valve C1894 112192 Sheath Introducer Guiding Destination 7Fr 65cm Str272 CurveHCPCS CC Valve C1894 120620 Catheter Guide TrailBlazer .014in x 150cm 272 HCPCS C1887 101502 Catheter Guide TrailBlazer .018in x 135cm 272 HCPCS C1887 101504 Catheter Guide TrailBlazer .035in x 90cm 272 HCPCS C1887 119945 Catheter Guide TrailBlazer .035in x 135cm 272 HCPCS C1887 119976 Catheter Peripheral Plaque Excision TurboHawk LX-M272 SmoothHCPCS Cutter C1714 Lg Vessel 119975 Catheter Peripheral Plaque Excision TurboHawk LS-C272 SuperHCPCS Cutter C1714 Lg Vessel 121423 Tibial Bearing Vanguard PS 20mm x 79/83 278 HCPCS C1776 121424 Tibial Bearing Vanguard PS 10mm x 87/91 278 HCPCS C1776 121425 Tibial Bearing Vanguard PS 12mm x 87/91 278 HCPCS C1776 121426 Tibial Bearing Vanguard PS 14mm x 87/91 278 HCPCS C1776 121427 Tibial Bearing Vanguard PS 16mm x 87/91 278 HCPCS C1776 121428 Tibial Bearing Vanguard PS 18mm x 87/91 278 HCPCS C1776 121429 Tibial Bearing Vanguard PS 20mm x 87/91 278 HCPCS C1776 121430 Patella Total Knee Series A Standard 25mm 278 HCPCS C1776

141 121431 Patella Total Knee Series A Standard 28mm 278 HCPCS C1776 121432 Patella Total Knee Series A Standard 31mm 278 HCPCS C1776 121433 Patella Total Knee Series A Standard 34mm 278 HCPCS C1776 121434 Patella Total Knee Series A Standard 37mm 278 HCPCS C1776 121435 Patella Total Knee Series A Standard 40mm 278 HCPCS C1776 121436 Tibial Bearing Vanguard CR Total Knee E-Poly 10mm278 x 63/67HCPCS C1776 121437 Tibial Bearing Vanguard CR Total Knee E-Poly 12mm278 x 63/67HCPCS C1776 121438 Tibial Bearing Vanguard CR Total Knee E-Poly 14mm278 x 63/67HCPCS C1776 121439 Tibial Bearing Vanguard CR Total Knee E-Poly 16mm278 x 63/67HCPCS C1776 121440 Tibial Bearing Vanguard CR Total Knee E-Poly 18mm278 x 63/67HCPCS C1776 121441 Tibial Bearing Vanguard CR Total Knee E-Poly 10mm278 x 71/75HCPCS C1776 121442 Tibial Bearing Vanguard CR Total Knee E-Poly 12mm278 x 71/75HCPCS C1776 121443 Tibial Bearing Vanguard CR Total Knee E-Poly 14mm278 x 71/75HCPCS C1776 121444 Tibial Bearing Vanguard CR Total Knee E-Poly 16mm278 x 71/75HCPCS C1776 121445 Tibial Bearing Vanguard CR Total Knee E-Poly 18mm278 x 71/75HCPCS C1776 121446 Tibial Bearing Vanguard CR Total Knee E-Poly 10mm278 x 79/83HCPCS C1776 121447 Tibial Bearing Vanguard CR Total Knee E-Poly 12mm278 x 79/83HCPCS C1776 121448 Tibial Bearing Vanguard CR Total Knee E-Poly 14mm278 x 79/83HCPCS C1776 121449 Tibial Bearing Vanguard CR Total Knee E-Poly 16mm278 x 79/83HCPCS C1776 121450 Tibial Bearing Vanguard CR Total Knee E-Poly 18mm278 x 79/83HCPCS C1776 121451 Tibial Bearing Vanguard CR Total Knee E-Poly 10mm278 x 87/91HCPCS C1776 121452 Tibial Bearing Vanguard CR Total Knee E-Poly 12mm278 x 87/91HCPCS C1776 121453 Tibial Bearing Vanguard CR Total Knee E-Poly 14mm278 x 87/91HCPCS C1776 121454 Tibial Bearing Vanguard CR Total Knee E-Poly 16mm278 x 87/91HCPCS C1776 121455 Tibial Bearing Vanguard CR Total Knee E-Poly 18mm278 x 87/91HCPCS C1776 121509 Spacer Vertebral PEEK Cross-Fuse Lordotic 14x50x11mm278 HCPCS6d C1713 121510 Spacer Vertebral PEEK Cross-Fuse 14x55x11mm 0d 278 HCPCS C1713 121511 Spacer Vertebral PEEK Cross-Fuse Lordotic 14x55x11mm278 HCPCS6d C1713 121512 Spacer Vertebral PEEK Cross-Fuse Lordotic 18x80x11mm278 HCPCS6d C1713 121513 Spacer Vertebral PEEK Cross-Fuse Lordotic 18x60x9mm278 6dHCPCS C1713 121514 Spacer Vertebral PEEK Cross-Fuse Lordotic 14x40x11mm278 HCPCS6d C1713 121515 Spacer Vertebral PEEK Cross-Fuse Lordotic 18x55x9mm278 6dHCPCS C1713 121516 Illuminator Lumitex Surgical 270 HCPCS A4649 121517 Probe Pedicle XL Screw Insulated 278 HCPCS C1713 121518 Guidewire Quantum MIS 272 HCPCS C1769 121519 Nerve Stim Cable Assembly Quantum MIS 278 Custom 27801816 121520 Syringe Bone Graft Delivery Clarity 278 HCPCS C9359 121521 Spinous Process Spacer Implant Assembly BacFuse Ti278 8mmHCPCS Posterior C1713 Fusion 121522 Spinous Process Spacer Implant Assembly BacFuse Ti278 10mmHCPCS Posterior C1713 Fusion 121523 Spinous Process Spacer Implant Assembly BacFuse Ti278 16mmHCPCS Posterior C1713 Fusion 121524 Bone Void Filler nanOss Bioactive 5cc 278 HCPCS C9359 121525 Bone Void Filler nanOss Bioactive 10cc 278 HCPCS C9359 121526 Bone Void Filler nanOss Bioactive Loaded 10cc Syringe278 HCPCS C9359 121527 Adapter Cap nanOss Loaded 272 121528 Allograft DBM Demineralized Bone Matrix Bioset Flow278 1.0ccHCPCS FD C9359

142 121529 Allograft Cellular Bone Matrix Osteocel Pro Small w/Stem278 Cells Fresh-Frozen 121530 Allograft Cellular Bone Matrix Osteocel Pro Med w/Stem278 Cells Fresh-Frozen 121531 Allograft Cellular Bone Matrix Osteocel Pro Large w/Stem278 Cells Fresh-Frozen 121557 Cannula Radiofrequency Curved 100mm x 20G 10mm272 Active Tip 121558 Bit Drill Quick Coupling 1.5mm x 96mm 272 121559 Hemostat Absorbable Surgicel SNoW 2 x 4in 272 121560 Hemostat Absorbable Surgicel SNoW 4 x 4in 272 121617 Head Femoral Component 36mm -2.0 12/14 Tapered278 HCPCS C1776 121562 Bur Core Sumex Rasp Helicoidal 3.2 x 18.3mm 272 121563 Bur Core Sumex Neuro Precision Matchstick 3.0mm 272 121618 Graft Vascular Propaten w/Heparin Standard Walled278 8mmHCPCS x 40cm C1768 119829 Delivery Kit for SuperDimension Fiducial Markers 272 119802 Marker Fiducial superDimension superLock Cobra 272 121564 Spacer Vertebral Interbody PEEK CoRoent XL-XW 8x26x50mm278 HCPCS C1713 121565 Spacer Vertebral Interbody PEEK CoRoent XL-XW 8x26x55mm278 HCPCS C1713 121566 Spacer Vertebral Interbody PEEK CoRoent XL-XW 8x26x60mm278 HCPCS C1713 121567 Spacer Vertebral Interbody PEEK CoRoent XL-XW 10x26x50mm278 HCPCS C1713 121568 Spacer Vertebral Interbody PEEK CoRoent XL-XW 10x26x55mm278 HCPCS C1713 121569 Spacer Vertebral Interbody PEEK CoRoent XL-XW 10x26x60mm278 HCPCS C1713 121570 Spacer Vertebral Interbody PEEK CoRoent XL-XW 12x26x50mm278 HCPCS C1713 121571 Spacer Vertebral Interbody PEEK CoRoent XL-XW 12x26x55mm278 HCPCS C1713 121572 Spacer Vertebral Interbody PEEK CoRoent XL-XW 12x26x60mm278 HCPCS C1713 121573 Spacer Vertebral Interbody PEEK CoRoent XL-Wide 8x22x50mm278 HCPCS C1713 121574 Spacer Vertebral Interbody PEEK CoRoent XL-Wide 8x22x55mm278 HCPCS C1713 121575 Spacer Vertebral Interbody PEEK CoRoent XL-Wide 8x22x60mm278 HCPCS C1713 121576 Spacer Vertebral Interbody PEEK CoRoent XL-Wide 10x22x50mm278 HCPCS C1713 121577 Spacer Vertebral Interbody PEEK CoRoent XL-Wide 10x22x55mm278 HCPCS C1713 121578 Spacer Vertebral Interbody PEEK CoRoent XL-Wide 10x22x60mm278 HCPCS C1713 121579 Spacer Vertebral Interbody PEEK CoRoent XL 8x18x50mm278 HCPCS C1713 121580 Spacer Vertebral Interbody PEEK CoRoent XL 8x18x55mm278 HCPCS C1713 121581 Spacer Vertebral Interbody PEEK CoRoent XL 8x18x60mm278 HCPCS C1713 121582 Spacer Vertebral Interbody PEEK CoRoent XL 10x18x50mm278 HCPCS C1713 121583 Spacer Vertebral Interbody PEEK CoRoent XL 10x18x55mm278 HCPCS C1713 121584 Spacer Vertebral Interbody PEEK CoRoent XL 10x18x60mm278 HCPCS C1713 121585 Spacer Vertebral Interbody PEEK CoRoent Small 7x14x11mm278 HCPCS C1713 121586 Spacer Vertebral Interbody PEEK CoRoent Small 8x14x11mm278 HCPCS C1713 121587 Spacer Vertebral Interbody PEEK CoRoent Lg Oblique278 8x10x25mmHCPCS C1713 5d 121588 Spacer Vertebral Interbody PEEK CoRoent Lg Oblique278 8x10x30mmHCPCS C1713 5d 121589 Spacer Vertebral Interbody PEEK CoRoent Lg Oblique278 8x10x35mmHCPCS C1713 5d 121590 Spacer Vertebral Interbody PEEK CoRoent Lg Oblique278 10x10x25mmHCPCS C1713 5d 121591 Spacer Vertebral Interbody PEEK CoRoent Lg Oblique278 10x10x30mmHCPCS C1713 5d 121592 Spacer Vertebral Interbody PEEK CoRoent Lg Oblique278 10x10x35mmHCPCS C1713 5d 121593 Spacer Vertebral Interbody PEEK CoRoent XL 8x18x60mm278 HCPCS 10d C1713 121594 Spacer Vertebral Interbody PEEK CoRoent XL 10x18x60mm278 HCPCS 10d C1713 121595 Plate Anterior Cervical Helix Mini 1-level 20mm 278

143 121596 Plate Anterior Cervical Helix Mini 1-level 22mm 278 121597 Plate Anterior Cervical Helix Mini 1-level 24mm 278 121598 Plate Anterior Cervical Helix Mini 1-level 26mm 278 121599 Plate Anterior Cervical Helix Mini 2-level 36mm 278 121600 Plate Anterior Cervical Helix Mini 2-level 38mm 278 121601 Plate Anterior Cervical Helix Mini 2-level 40mm 278 121602 Plate Anterior Cervical Helix Mini 2-level 42mm 278 121603 Plate Anterior Cervical Helix Mini 2-level 44mm 278 121604 Screw ACP Self-Drilling Variable Ang Helix Mini 4.0 x11mm278 HCPCS C1713 121605 Screw ACP Self-Drilling Variable Ang Helix Mini 4.0 x13mm278 HCPCS C1713 121606 Screw ACP Self-Drilling Fixed Ang Helix Mini 4.0 x13mm278 HCPCS C1713 121607 Screw ACP Self-Tapping Variable Ang Helix Mini 4.0 x15mm278 HCPCS C1713 121608 Screw ACP Self-Drilling Fixed Ang Helix-T 4x13mm 278 HCPCS C1713 121609 Screw ACP Self-Drilling Fixed Ang Helix-T 4x15mm 278 HCPCS C1713 121613 Spacer Cervical Allograft Cortical Cancellous Lordotic278 TriadHCPCS 6x11x14mm C1713 121614 Spacer Cervical Allograft Cortical Cancellous Lordotic278 TriadHCPCS 7x11x14mm C1713 121615 Spacer Cervical Allograft Cortical Cancellous Lordotic278 TriadHCPCS 8x11x14mm C1713 121616 Spacer Cervical Allograft Cortical Cancellous Lordotic278 TriadHCPCS 9x11x14mm C1713 121612 Plate Anterior Cervical Helix Translational 2-level 44mm278 121611 Plate Anterior Cervical Helix Translational 1-level 28mm278 121610 Pin Temporary Fixation Helix-T 278 121619 Screw Malleolar 4.5mm x 25mm 278 HCPCS C1776 121620 Screw Malleolar 4.5mm x 30mm 278 HCPCS C1776 121656 Valve Mitral Porcine Carpentier-Edwards Bioprosthesis278 35mm 116088 Screw Interference Biosure HA 6.0 x 25mm Bioabsorbable272 ACL Repair Sterile 116089 Screw Interference Biosure HA 7.0 x 20mm Bioabsorbable272 ACL Repair Sterile 116090 Screw Interference Biosure HA 8.0 x 25mm Bioabsorbable272 ACL Repair Sterile 116091 Screw Interference Biosure HA 11.0 x 25mm Bioabsorbable272 ACL Repair Sterile 121748 Fiber Laser Single Use Holmium High Power Flexiva 272FlatTip 200 Micron 121761 Suture V-Loc 180 Barbed Maxon 0 Absorbable 6in on272 GS-21 Ndl VLOCL0306 121622 Anchor Shoulder Instability Gryphon P BR DS w/Orthocord278 HCPCS dbl Bioreplaceable C1713 121623 Anchor Shoulder Instability Gryphon P BR w/Orthocord278 BioreplaceableHCPCS C1713 121624 Screw Interference Milagro Advance 7x23mm Biocomposite278 HCPCS C1713 121625 Screw Interference Milagro 5x23mm Bioreplaceable278 ACL ReconstructionHCPCS C1713 121626 Screw Interference Milagro 5x30mm Bioreplaceable278 ACL ReconstructionHCPCS C1713 121627 Screw Interference Milagro 7x30mm Bioreplaceable278 ACL ReconstructionHCPCS C1713 121628 Screw Interference Milagro 6x23mm Bioreplaceable278 ACL ReconstructionHCPCS C1713 121629 Screw Interference Milagro 6x30mm Bioreplaceable278 ACL ReconstructionHCPCS C1713 121630 Screw Interference Milagro 8x30mm Bioreplaceable278 ACL ReconstructionHCPCS C1713 121631 Screw Interference Milagro 7x15mm Bioreplaceable278 ACL ReconstructionHCPCS C1713 121632 Screw Interference Milagro 8x15mm Bioreplaceable278 ACL ReconstructionHCPCS C1713 121633 Screw Interference Milagro 8x30mm Bioreplaceable278 ACL ReconstructionHCPCS C1713 121634 Screw Interference Milagro Advance 9x23mm Biocomposite278 HCPCS C1713 121635 Screw Interference Milagro 9x30mm Bioreplaceable278 ACL ReconstructionHCPCS C1713 121636 Screw Interference Milagro 9x35mm Bioreplaceable278 ACL ReconstructionHCPCS C1713

144 121637 Screw Interference Milagro Advance 10x23mm Biocomposite278 HCPCS C1713 121638 Screw Interference Milagro 10x30mm Bioreplaceable278 ACLHCPCS Reconstruction C1713 121639 Screw Interference Milagro 10x35mm Bioreplaceable278 ACLHCPCS Reconstruction C1713 121640 Screw Interference Milagro 11x30mm Bioreplaceable278 ACLHCPCS Reconstruction C1713 121641 Screw Interference Milagro 11x35mm Bioreplaceable278 ACLHCPCS Reconstruction C1713 121642 Screw Interference Milagro 12x30mm Bioreplaceable278 ACLHCPCS Reconstruction C1713 121643 Screw Interference Milagro 12x35mm Bioreplaceable278 ACLHCPCS Reconstruction C1713 121644 Screw Bio-IntraFix Tapered 6-7x30mm Bioreplaceable278 ACLHCPCS Reconstruction C1713 121645 Screw Bio-IntraFix Tapered 7-9x30mm Bioreplaceable278 ACLHCPCS Reconstruction C1713 121646 Screw Bio-IntraFix Tapered 8-10x30mm Bioreplaceable278 ACLHCPCS Reconstruction C1713 121647 Screw Bio-IntraFix Tapered 6x8x30mm Bioreplaceable278 ACLHCPCS Reconstruction C1713 121648 Sheath Tibial Bio-IntraFix 30mm Large Bioreplaceable272 ACLHCPCS Reconstruction C1894 121649 Sheath Tibial Bio-IntraFix 30mm Bioreplaceable ACL272 ReconstructionHCPCS C1894 121650 Drill Passing Pin Calibrated 272 121651 Suture Shuttle Ideal 25d Left 272 121652 Suture Shuttle Ideal 45d Left 272 121653 Suture Shuttle Ideal 45d Right 272 121654 Suture Shuttle Ideal 90d Up 272 121655 Suture Shuttle Ideal Str Crescent 272 120930 Plate Anterior Cervical Fusion UniPlate2 3-Level 45mm278 120931 Plate Anterior Cervical Fusion UniPlate2 3-Level 48mm278 121820 Suture Orthopedic ORTHOCORD 2-0 Violet MO-7 272 120013 Tray Balloon Kyphoplasty Xpander II 15/3 1st Fracture278 15mm Bln OneStep 109872 Set Catheterization Femoral Arterial 20G 272 Custom 27200376 121833 Suture Force Fiber White Size 3-4 No Needle 272 121854 Guidewire Peripheral Nitrex Nitinol 0.014in 300cm 5cm272 15dHCPCS Intermediate C1769 Tip 121862 Suture Prolene 6-0 24in BV-1 BV-1 8805H 272 102968 Tube Goode 12mm Silicon T-Shape 278 121688 Tip Soft Tissue Superlong Endo Str Sonopet Ultrasonic272 Surg Aspirator 121689 Tip Bone Superlong Payner 360 Sonopet Ultrasonic Surg272 Aspirator 121690 Tip Soft Tissue Spetzler Baracuda Sonopet Ultrasonic272 Surg Aspirator 121691 Tip Soft Tissue Spetzler Baracuda Lg Dia Sonopet Ultrasonic272 Surg Aspirator 121692 Tip Soft Tissue Straight Sonopet Ultrasonic Surg Aspirator272 121693 Liner Suction Canister Sonopet Ultrasonic Surg Aspirator272 121694 Tubing Set w/Ext Filter Sonopet Ultrasonic Surg Aspirator272 121695 Filter Blood Platelet Concentration QuickCell Point-of-Care272 121703 Catheter Expansion Kit On-Q Silversoaker 5in w/6in 272T-Peel Needle 121704 Catheter Expansion Kit On-Q Silversoaker 10in w/8in272 T-Peel Needle 121215 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 3mm C1725 x 20cm 121216 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 3mm C1725 x 4cm 121217 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 3mm C1725 x 6cm 121218 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 3mm C1725 x 8cm 121219 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 4mm C1725 x 16cm 121220 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 4mm C1725 x 2cm 121221 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 4mm C1725 x 20cm

145 121222 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 4mm C1725 x 4cm 121223 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 4mm C1725 x 6cm 121224 Catheter Balloon Dilatation Peripheral PTA Advance 27214LPHCPCS 4Fr 4mm C1725 x 8cm 121225 Stent Peripheral Bilary Self-Expand Nitonol Zilver 635278 5 xHCPCS 30mm C1876 121226 Stent Peripheral Bilary Self-Expand Nitonol Zilver 635278 5 xHCPCS 40mm C1876 121227 Stent Peripheral Bilary Self-Expand Nitonol Zilver 635278 5 xHCPCS 60mm C1876 121228 Stent Peripheral Bilary Self-Expand Nitonol Zilver 635278 5 xHCPCS 80mm C1876 121229 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 5 x 100mm C1876 121230 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 5 x 120mm C1876 121231 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 5 x 140mm C1876 121232 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 6 x 100mm C1876 121233 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 6 x 120mm C1876 121234 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 6 x 140mm C1876 121235 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 7 x 100mm C1876 121236 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 7 x 120mm C1876 121237 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 7 x 140mm C1876 121238 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 8 x 100mm C1876 121239 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 8 x 120mm C1876 121240 Stent Peripheral Bilary Self-Expand Nitonol Zilver Flex278 35HCPCS 8 x 140mm C1876 121241 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS6 x 20mm C1876 121242 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS6 x 30mm C1876 121243 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS6 x 60mm C1876 121244 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS6 x 80mm C1876 121245 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS7 x 20mm C1876 121246 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS7 x 30mm C1876 121247 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS7 x 40mm C1876 121248 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS7 x 60mm C1876 121249 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS7 x 80mm C1876 121250 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS8 x 20mm C1876 121251 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS8 x 30mm C1876 121252 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS8 x 40mm C1876 121253 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS8 x 60mm C1876 121254 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS8 x 80mm C1876 121255 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS9 x 20mm C1876 121256 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS9 x 30mm C1876 121257 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS9 x 40mm C1876 121258 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS9 x 60mm C1876 121259 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS9 x 80mm C1876 121260 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS10 x 20mm C1876 121261 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS10 x 30mm C1876 121262 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS10 x 40mm C1876 121263 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS10 x 60mm C1876 121264 Stent Peripheral Vascular Self-Expand Nitonol Zilver278 635 HCPCS10 x 80mm C1876 121865 Patch Hemostatic Absorbable Fibrin Sealant TachoSil278 4.8 x 4.8cm 121883 Port LowProfile CT with 6.6Fr Polyurethane Catheter278 andHCPCS Valved C1788 Introducer

146 121891 Packing Nasal Merocel Doyle 8 x 1.5cm w/Airway and272 Drawstring Sterile 121909 Probe cryoICE Ablation Malleable Cardiac MAZE AF 272 121910 Clamp Isolator Synergy Ablation Long Jaw Transpolar272 RF Cardiac MAZE AF 121930 Catheter Airway Exchange 11Fr x 100cm 272 121827 Tray Balloon Kyphoplasty Xpander II 20/3 1st Fracture278 20mm Bln OneStep 121931 Catheter Airway Exchange 14Fr x 100cm 272 121996 Bur Core Sumex Neuro Diamond 3.0mm 272 121997 Bur Core Sumex Neuro Diamond Coarse 3.0mm 272 122801 Graft Tissue Porcine Collagen XenMatrix 10 x 20cm Non-cross-linked278 HCPCS C1781 122802 Graft Tissue Porcine Collagen XenMatrix 10 x 28cm Non-cross-linked278 HCPCS C1781 122803 Graft Tissue Porcine Collagen XenMatrix 15 x 25cm Non-cross-linked278 HCPCS C1781 122804 Graft Tissue Porcine Collagen XenMatrix 19 x 28cm Non-cross-linked278 HCPCS C1781 122805 Graft Tissue Porcine Collagen XenMatrix 19 x 35cm Non-cross-linked278 HCPCS C1781 122806 Graft Tissue Porcine Collagen XenMatrix 20 x 20cm Non-cross-linked278 HCPCS C1781 122807 Graft Tissue Human Collagen Allomax 4 x 16 x 1cm Non-cross-linked278 HCPCS C1781 122000 Trocar Endo 11 x 100mm Kii Fios First Entry Advanced272 Fixation Sleeve 122003 Trocar Endo 5 x 100mm Kii Fios First Entry Advanced272 Fixation Sleeve Dual Pk 122002 Trocar Endo 11 x 100mm Kii Bladed Z-thread Sleeve272 122001 Trocar Endo 5 x 100mm Kii Bladed Z-thread Sleeve 272 122810 Trocar Endo 12 x 150mm Kii Optical Fios Z-thread Sleeve272 105399 Stent Endopylotmy Retromax + 14Fr - 7Fr x 24cm 278 HCPCS C1877 120404 Kit CVC Bundle Catheter Central Venous 16cm 272 121892 Screw Cortex 2.7mm x 8mm 278 HCPCS C1713 121894 K-wire 1.25mm x 100mm with Threaded Tip 272 121895 K-wire 1.6mm x 100mm with Threaded Tip 272 121896 Bit Drill Quick Coupling Mini 2.0mm x 65mm 272 121897 Drill Guide Threaded 1.5mm with Depth Gauge 272 121904 Screw Compression Headless 4.5 x 46mm Short Thread278 HCPCS C1713 121905 Screw Compression Headless 4.5 x 52mm Short Thread278 HCPCS C1713 121906 Bit Drill Cannulated 3.2mm 272 121944 Plate Clavicle 3.5mm LCP Superior TI 6 Hole 85mm 278RightHCPCS C1713 121945 Plate Clavicle 3.5mm LCP Superior TI 6 Hole 105mm278 RightHCPCS C1713 100898 Needle Biopsy Bone Marrow Jamshidi 11G x 6in Sterile272 109462 Ring Tricuspid Heart Valve Repair 26mm 278 109463 Ring Tricuspid Heart Valve Repair 28mm 278 109464 Ring Tricuspid Heart Valve Repair 30mm 278 109465 Ring Tricuspid Heart Valve Repair 32mm 278 109466 Ring Tricuspid Heart Valve Repair 34mm 278 109467 Ring Tricuspid Heart Valve Repair 36mm 278 122930 Needle Cystoscopic Injection InjeTAK 70cm 23G Adj272 0-5mm Depth Needle 122922 Sensor Bilateral BIS Bispectral Index Brain Monitoring272 122923 Sensor Oximetry Invos SomaSensor Cerebral/Somatic272 Adult Disposable 115924 Tube Ear Ventilation Armstrong Beveled Grommet 1.14mm278 122046 Tourniquet Orthopedic 18in Sterile 272 122798 Suture Nurolon 1 CTX Control Release Black Braided272 8-18in C550D

147 122264 Tendon Patellar 10/10mm 278 HCPCS C1762 122265 Tendon Patellar 9/10mm 278 HCPCS C1762 122266 Tendon Anterior Ribialis 278 HCPCS C1762 122267 Tendon Patellar 278 HCPCS C1762 122268 Tendon Achilles 11mm 278 HCPCS C1762 122269 Tendon Posterior 278 HCPCS C1762 122271 Guidepin 6.5mm 278 HCPCS C1713 122272 Guidewire 6.5 278 122274 Endobutton 4 x 12mm 278 122275 Button Fixation 17mm 272 122276 Guidewire Cannu-Flex 272 122277 Tip Drill Wire 2.4mm 272 122278 Strap Foot Ankle 272 122279 Guidewire Blunt Tip 1.5mm 272 122280 Tool Smoother 7.9mm 272 122281 Tool Smoother 9.5mm 272 122282 Guidewire 1.5mm x 12 272 122283 Washer 278 122284 Guidepin Trocar Point 272 122285 Screw Softsilk Clear-Trac 1.5 x 8 x 20mm 278 HCPCS C1713 122286 Bonecutter Electroblade 5.5 272 122287 Blade Dyonics BoneCutter 5.5mm Full Radius 272 122288 Screw Softsilk 1.5 x 7 x 25mm 278 HCPCS C1713 122289 Screw Softsilk 1.5 x 8 x 25mm 278 HCPCS C1713 122290 Screw Softsilk 1.5 x 9 x 25mm 278 HCPCS C1713 122291 Screw ClearTrac Cann 9mm 278 HCPCS C1713 122292 Tip Drill Wire 2.4mm Passing Pin 272 122293 Endobutton 25mm 278 122294 Endobutton CL 30mm 278 122295 Anchor Twinfix 5.0mm w/Two #2 Ultrabraid Sutures278 and Needles 122296 Anchor Twinfix 6.5mm w/Two #2 Ultrabraid Sutures278 and Needles 122297 Anchor Twinfix AB 6.5mm w/Two #2 Ultrabraid Sutures278 and Needles 122298 Suture Ultrabraid #2 White 38in 272 122299 Suture Ultrabraid #2 38in 272 122300 Cinch Soft Tissue Whipknot #5 278 122301 Endobutton CL Ultra Fixation Device 55mm 278 122302 Anchor Twinfix Ti 3.5mm w/Two #2 Ultrabraid Sutures278 122303 Anchor Twinfix AB 6.5mm w/Two #2 Ultrabraid Sutures278 and Needles 122304 Anchor MINITAC 2.0mm Ti w/2 Durabraid Sutures 3-0278 122305 Cannula Arthroscopic Shoulder Clear-Trac w/Obturator272 8.5 x 90mm Threaded 122306 Kit TRUFIT BGS Plug 7 x 18mm 278 122307 Kit TRUFIT BGS Plug 9 x 18mm 278 122308 Kit TRUFIT BGS Plug 11 x 18mm 278 122309 Suture Passer TWINFIX Ti 12in Sterile 272 122310 Pin Passing Drill 2.4mm Sterile 272

148 122311 Anchor RAPTORMIT 3.0mm PEEK w/2 Ultrabraid Sutures278 0HCPCS C1713 122312 Drill and Guide 2.6mm for RAPTORMITE 3.0 272 122313 Pin Drill Tendon 1.5mm 272 122314 Screw BIOSURE PK 8 x 25mm 278 122315 Screw BIOSURE PK 10 x 25mm 278 122316 Kit BICEPTOR Tenodesis 7 x 15mm 278 HCPCS C1713 122317 Kit BICEPTOR Tenodesis 8 x 15mm 278 HCPCS C1713 122318 Kit BICEPTOR Tenodesis 9 x 15mm 278 HCPCS C1713 122319 Kit BICEPTOR Tenodesis 7 x 25mm 278 HCPCS C1713 122320 Kit BICEPTOR Tenodesis 8 x 25mm 278 HCPCS C1713 122321 Kit BICEPTOR Tenodesis 9 x 25mm 278 HCPCS C1713 122322 Meniscal Repair Fast-Fix 360d Straight 278 122323 Meniscal Repair Fast-Fix 360d Curved 278 122324 Meniscal Repair Fast-Fix 360d Reverse Curved 278 122325 Meniscal Repair Fast-Fix 360d Straight Knot Pusher/Cutter272 122326 Device Tibial Fixtion BIOSURE SYNC 7-8mm 278 122327 Device Tibial Fixtion BIOSURE SYNC 9-10mm 278 122328 Endobutton CL Ultra PAC 1.2mm 278 122329 Endobutton Direct 8mm w/Sutures 278 122330 Drill Flexible Twist for 2.3mm Curved Anchor 272 122331 Kit Leg Stabilization SPIDER 272 122332 Anchor BIORAPTOR 2.3 PK 278 HCPCS C1713 122333 Endobutton CL Ultra 10mm 278 122334 Blade Saw Micro Dual Cut Oscillating 9 x 0.5 x 25mm272 122335 Blade Saw Short 18 x 5.5mm 272 122336 Pin Ankle 2.5 x 100mm 278 HCPCS C1713 122337 Biofiber Disc 8mm BX/4 278 HCPCS C1781 122338 Biofiber Strip 13 x 23mm 278 HCPCS C1781 122339 Biofiber Disc 8mm 278 HCPCS C1781 122340 Biofiber 20 x 30mm 278 HCPCS C1781 122341 Drill Acromioclavicular Lockdown 2.4mm 272 122342 Cortical Tap Acromioclavicular Lockdown 3.5mm 272 122343 Gauge Length Acromioclavicular Lockdown 272 122344 Screw Cortical and Washer Acromioclavicular Lockdown278 22mm 122345 Screw Cortical and Washer Acromioclavicular Lockdown278 24mm 122346 Screw Cortical and Washer Acromioclavicular Lockdown278 26mm 122347 Screw MTP Non-Lock 2.7 x 18mm 278 HCPCS C1713 122348 Screw MTP Non-Lock 2.7 x 20mm 278 HCPCS C1713 122349 Screw MTP Non-Lock 3.2 x 16mm 278 HCPCS C1713 122350 Screw MTP Non-Lock 3.2 x 18mm 278 HCPCS C1713 122351 Plate MTP Recon Size 2 Right 278 HCPCS C1713 122352 Pin Compression NexFix 278 HCPCS C1713 122353 Screw Compression NexFix 3.0 x 10mm 278 HCPCS C1713 122354 Screw Compression NexFix 3.0 x 12mm 278 HCPCS C1713 122355 Screw Compression NexFix 3.0 x 14mm 278 HCPCS C1713

149 122356 Screw Compression NexFix 3.0 x 16mm 278 HCPCS C1713 122357 Screw Compression NexFix 3.0 x 18mm 278 HCPCS C1713 122359 Screw Compression NexFix 3.0 x 22mm 278 HCPCS C1713 122360 Screw Compression NexFix 3.0 x 24mm 278 HCPCS C1713 122361 Screw Compression NexFix 3.0 x 26mm 278 HCPCS C1713 122362 Screw Compression NexFix 3.0 x 28mm 278 HCPCS C1713 122363 Screw Compression NexFix 3.0 x 30mm 278 HCPCS C1713 122364 Screw Compression NexFix 3.0 x 32mm 278 HCPCS C1713 122365 Screw Compression NexFix 3.0 x 34mm 278 HCPCS C1713 122366 Screw Compression NexFix 4.5 x 24 x 8mm 278 HCPCS C1713 122367 Screw Compression NexFix 4.5 x 30 x 10mm 278 HCPCS C1713 122368 Screw Compression NexFix 4.5 x 50 x 17mm 278 HCPCS C1713 122369 Screw Compression NexFix 4.5 x 55 x 18mm 278 HCPCS C1713 122370 Screw Compression NexFix 6.5 x 65 x 20mm 278 HCPCS C1713 122371 Screw Compression NexFix 6.5 x 70 x 20mm 278 HCPCS C1713 122372 Screw Compression NexFix 6.5 x 75 x 20mm 278 HCPCS C1713 122373 Bit Drill 2.2mm NexFix 272 122374 Bit Drill 3.3mm Nexfix 272 122375 Bit Drill 4.6mm Nexfix Cannulated 272 122377 Guide Pin NexFix 1.6 x 175mm 278 HCPCS C1713 122378 Guide Pin NexFix 2.5 x 225mm 278 HCPCS C1713 122379 Screw Snap-Off NexFix 2.7 x 15mm 278 122380 Osteocure Drill Sleeve 11mm 272 122381 Osteocure Bone Graft Plug 7mm 278 122382 Osteocure Bone Graft Plug 9mm 278 122383 Osteocure Bone Graft Plug 11mm 278 122384 Implant Soft Tissue Fixation Piton 2.8mm Double Loaded272 122387 Implant Mid-Phalanx Stayfuse 3.8 x 6.0mm Blue 2.5mm278 Hex 122388 Implant Mid-Phalanx Stayfuse 3.8 x 6.0mm Grey 3.0mm278 Hex 122389 Implant Mid-Phalanx Stayfuse 5.0 x 5.0mm Grey 3.omm278 Hex 122390 Implant Distal Stayfuse 5.5mm 278 122391 Implant Proximal Stayfuse 2.8mm 278 122392 Implant Proximal Stayfuse 3.3mm 278 122393 Implant Proximal Stayfuse 3.8mm 278 122394 Implant Proximal Stayfuse 6.5mm 278 122395 K-Wire .045 x 5in 272 122396 Screw Cortical Locking CLAW 2.7 x 14mm 278 HCPCS C1713 122397 Screw Cortical Locking CLAW 2.7 x 16mm 278 HCPCS C1713 122398 Screw Cortical Locking CLAW 2.7 x 18mm 278 HCPCS C1713 122399 Screw Cortical Locking CLAW 2.7 x 20mm 278 HCPCS C1713 122400 Screw Cortical Locking CLAW 2.7 x 22mm 278 HCPCS C1713 122401 Screw Cortical Locking CLAW 2.7 x 24mm 278 HCPCS C1713 122402 Screw Cortical Locking CLAW 2.7 x 26mm 278 HCPCS C1713 122403 Screw Cortical Locking CLAW 3.5 x 16mm 278 HCPCS C1713 122404 Screw Cortical Locking CLAW 3.5 x 18mm 278 HCPCS C1713

150 122405 Screw Cortical Locking CLAW 3.5 x 20mm 278 HCPCS C1713 122406 Screw Cortical Locking CLAW 3.5 x 22mm 278 HCPCS C1713 122407 Screw Cortical Locking CLAW 3.5 x 24mm 278 HCPCS C1713 122409 Screw Cortical Locking CLAW 3.5 x 28mm 278 HCPCS C1713 122410 Screw Cortical Locking CLAW 3.5 x 30mm 278 HCPCS C1713 122412 Plate CLAW II 2-Hole 15mm 278 HCPCS C1713 122413 Plate CLAW II 2-Hole 20mm 278 HCPCS C1713 122414 Plate CLAW II 2-Hole 25mm 278 HCPCS C1713 122415 Plate CLAW II 4-Hole 20mm 278 HCPCS C1713 122416 Plate T CLAW II 3-Hole 20mm 278 HCPCS C1713 122417 Plate CLAW II Straight 20 x 20mm 278 HCPCS C1713 122418 Plate CLAW II U Small 278 HCPCS C1713 122419 Plate CLAW II Tack 278 HCPCS C1713 122420 Bit Drill CLAW II 2.0mm 272 122421 Bit Drill CLAW II 2.8mm 272 122423 Plate Lisfranc 4-Hole 278 HCPCS C1713 122424 Bone Wedge Cancello-Pure 12 x 38 x 22mm 278 122425 Bit Drill 1.3mm 272 122426 Bit Drill 1.6mm 272 122427 Plate O Lapidus 278 HCPCS C1713 122428 Screw Locking Ortholoc 2.7 x 12mm 278 HCPCS C1713 122429 Screw Locking Ortholoc 2.7 x 14mm 278 HCPCS C1713 122430 Screw Locking Ortholoc 2.7 x 16mm 278 HCPCS C1713 122431 Screw Locking Ortholoc 2.7 x 18mm 278 HCPCS C1713 122432 Screw Locking Ortholoc 2.7 x 20mm 278 HCPCS C1713 122433 Screw Locking Ortholoc 2.7 x 22mm 278 HCPCS C1713 122434 Screw Locking Ortholoc 3.5 x 14mm 278 HCPCS C1713 122435 Screw Locking Ortholoc 3.5 x 16mm 278 HCPCS C1713 122436 Screw Locking Ortholoc 3.5 x 18mm 278 HCPCS C1713 122437 Screw Locking Ortholoc 3.5 x 20mm 278 HCPCS C1713 122438 Screw Locking Ortholoc 3.5 x 22mm 278 HCPCS C1713 122439 Screw Locking Ortholoc 3.5 x 26mm 278 HCPCS C1713 122440 Screw Non-Locking Ortholoc 2.7 x 14mm 278 HCPCS C1713 122441 Screw Non-Locking Ortholoc 2.7 x 16mm 278 HCPCS C1713 122442 Screw Non-Locking Ortholoc 2.7 x 18mm 278 HCPCS C1713 122443 Screw Non-Locking Ortholoc 2.7 x 20mm 278 HCPCS C1713 122444 Screw Non-Locking Ortholoc 2.7 x 22mm 278 HCPCS C1713 122445 Screw Non-Locking Ortholoc 3.5 x 22mm 278 HCPCS C1713 122446 Pin Olive Temp Fix 1.1mm 272 122447 Pin Olive Temp Fix Long 272 122448 Bit Drill 2.8 x 60mm 272 122449 Bit Drill 2.0 x 24mm 272 122450 Bit Drill Darco Headed 2.7mm 272 122451 Bit Drill 4.4 272 122453 K-Wire 1.2mm 272

151 122454 K-Wire 2.5mm 272 122455 Pen Threaded 2.5 272 122456 Bit Drill 2.3mm 272 122457 Screw 4.0 x 26mm Short 278 HCPCS C1713 122458 Screw 4.0 x 34mm Short 278 HCPCS C1713 122459 Screw 4.5 x 36mm Short 278 HCPCS C1713 122460 Screw 4.5 x 40mm Threaded 278 HCPCS C1713 122461 Screw 4.5 x 46mm Short 278 HCPCS C1713 122462 Screw 4.5 x 55mm Short 278 HCPCS C1713 122463 Screw 6.5 x 45mm Med Short Thread 278 HCPCS C1713 122464 Screw 6.5 x 55mm Headed 278 HCPCS C1713 122465 Screw 6.5 x 65mm Short 278 HCPCS C1713 122466 Screw 6.5 x 75mm 278 HCPCS C1713 122467 Screw 6.5 x 80mm Short 278 HCPCS C1713 122468 Screw 7.5 x 80 x 32mm 278 HCPCS C1713 122469 Screw 7.5 x 90 x 16mm 278 HCPCS C1713 122472 Screw Canc 2.0 x 18mm 278 HCPCS C1713 122473 Screw Canc 2.7 x 14mm 278 HCPCS C1713 122474 Implant Toe Swanson Flex Hinge 278 122475 Implant Hammertoe Pro-Toe Small 278 122476 Implant Hammertoe Pro-Toe Large 278 122477 Kit Instrument Pro-Toe 272 122478 Screw Locking 2.0 x 18mm 278 HCPCS C1713 122479 Screw Locking 2.0 x 22mm 278 HCPCS C1713 122480 Plate MTP Fusion Small Left 278 HCPCS C1713 122481 Plate MTP 0d Small Right 278 HCPCS C1713 122482 Plate MTP 5d Small Left 278 HCPCS C1713 122483 Plate MTP 0d Medium Right 278 HCPCS C1713 122484 Plate Fibular Small Right 278 HCPCS C1713 122485 Putty Bone Allomatrix DBM/Chips 278 HCPCS C1781 122486 Putty Bone Allomatrix 278 HCPCS C1713 122488 Plate Darco LPS 4-Hole No Step 278 HCPCS C1713 122489 Plate Darco LPS 4-Hole 2mm Step 278 HCPCS C1713 122490 Plate Darco UPS 4-Hole 18mm 278 HCPCS C1713 122491 Screw Locking 3.5 x 18mm 278 HCPCS C1713 122492 Screw Locking 3.5 x 20mm 278 HCPCS C1713 122493 Screw Locking 3.5 x 22mm 278 HCPCS C1713 122494 Screw Locking 3.5 x 24mm 278 HCPCS C1713 122495 Screw Locking 3.5 x 30mm 278 HCPCS C1713 122496 Screw TI Locking Darco 2.7 x 10mm 278 HCPCS C1713 122497 Screw Cannulated Driver Star #10 272 122498 Bit Drill for Dart-Fire 1.7mm Cannulated 272 122499 Bit Drill for Dart-Fire 2.5mm Cannulated 272 122500 Bit Drill for Dart-Fire 3.0mm Cannulated 272 122501 Bit Drill for Dart-Fire 3.2mm Cannulated 272

152 122502 K-Wire 0.9 x 150mm 272 122503 K-Wire 1.4 x 150mm 272 122505 Screw Counter Sink 5mm 272 122506 Implant Toe Flex Hinge 278 122507 Implant Toe Hinge 278 122508 BIT DRILL CANNULATED 4.5 272 122509 K-WIRE 1.6MM 278 HCPCS C1713 122510 GUIDEPIN 7.5 278 HCPCS C1713 122511 Screw Headed Darco 3.5 x 48 Short 278 HCPCS C1713 122513 Device Balloon Inflation Sinus Acclarent 272 122515 Cold Pad Ortho Therapy Iceman Clearcube Knee Combo272 122518 Catheter Irrigation Sinus Relieva Vortex 2 272 122519 Handle Guide Catheter Sinus Relieva Sidekick 272 122521 Reservoir Flat Penile Implant 100mm 278 HCPCS C1813 122522 Kit Accessory Penile Implant AMS 700 278 122523 System Scrotal Retract Skin for Penile Implant 272 122524 Penile Implant Rte CX Preconnect 12 278 HCPCS C1813 122527 Wire Passing Suture ARTHREX INC 272 122528 Implant Transfix Fixation/Reconstructional 5mm x 50mm278 122530 Screw BioComposite 5.5 x 15mm 278 HCPCS C1713 122532 Screw BioComposite 7 x 23mm 278 HCPCS C1713 122533 Screw BioComposite 8 x 23mm 278 HCPCS C1713 122534 Sling Lateral Traction Cushioned 272 122536 Kit Instrument Disposable Bio-Tenodesis 272 122537 Kit Transtibial/ACL w/o Saw Blade Disposable 272 122538 Kit Repair AC TightRope 278 HCPCS C1713 122539 Inserter Button ARTHREX INC 272 122540 SutureLasso SD Wire Loop Nitinol 272 122541 SutureLasso SD 45d Curve Left 272 122542 SutureLasso SD 90d Curve Left 272 122543 Cannula Expanula with No Squirt Cap 272 122544 Suture Fiberwire #2 38in (1 Blue 1-White/Black) 272 122545 Suture FiberLoop #2 w/Straight Needle 20in (Blue) 76mm272 Needle w/7mm Loop 122546 Suture FiberLoop #2 w/Curved Needle 20in (Blue) 1/2272 Circle 122547 Suture FiberLink #2 FiberWire 26in (Blue) w/Closed 272Loop 122548 Suture FiberTape 2mm 7in (Blue) 272 122549 Suture TigerTape 2mm 7in (White /Black) 272 122550 Kit Repair TightRope Syndesmosis 272 122551 Suture Passer FirstPass Needle and Capture 272 122553 Implant Elbow ToggleLoc 278 122554 Device Fixation ToggleLoc #7 ZipLoop 278 122555 Drill ToggleLoc 4.5mm 272 122556 Pin Femoral 3/32 278 122557 Pin Passing 2.4mm 272 122558 K-Wire 2.4mm Drill Point 272

153 122559 Suture Anchor Juggerknot 2.9mm 278 122560 Suture Anchor Juggerknot 1.4mm 278 122561 Bit Drill Juggerknot 1.4mm (Peel Pouched) 272 122562 it Drill Rigid Juggerknot 1.4mm 272 122563 Kit Instrument Guide Drill and Obturator 272 122564 Suture Anchor Juggerknot 2.9mm 2MB 278 122565 Kit Disposable Instrument for Juggernot 2.9mm 272 122566 Suture Anchor Juggerknot 1.4mm Short 278 122567 Bit Drill Juggerknot 1.4mm Short 272 122568 Bit Drill Juggerknot 2.9mm 272 122569 Spacer CMC Artelon Large 278 122570 Spacer CMC Artelon Regular 278 122586 Drill Wire Pass 1.5mm 272 122587 Bur 5.5 x 95mm Oval Carbide Long 272 122588 Bur 3.0 x 44.5mm Round Carbide 272 122589 Bur 3.2 x 55mm Round Osteotomy Fast Cutting 272 122590 Blade Saw Sagittal Wide Large 70 x 25mm 272 122606 Bur Oral Oval Carbide 4.0mm 272 122613 Marker GI Spot 272 122626 Laser Fiber GreenLight XPS MoXy 180 Watt 272 122628 Cable Adaptor NeuroTherm 272 122630 Catheter Epidural NeuroCath 19G x 18in 272 122631 Catheter Epidural NeuroCath 18G x 21in 272 122634 Electrode Radiofrequency NeuroTherm Simplicity III272 Disposable 122639 Cannula Radiofrequency Curved 150mm x 20G with 27210mm Active Tip 122006 Trach Quick Cricothyrotomy Single Use 2.0mm 272 122007 Trach Quick Cricothyrotomy Single Use 4.0mm 272 122009 Gown Warming Adult Bair Paws Non-Sterile 272 122013 Stent Endopylotmy Retromax + 14Fr x 26cm 278 HCPCS C2617 122014 Positioner Stent Ureteral 6Fr x 45cm 278 HCPCS C2617 122015 Stent Ureteral Contour 6Fr x 20cm 278 HCPCS C2617 122016 Stent Ureteral Contour 6Fr x 22cm 278 HCPCS C2617 122017 Stent Ureteral Contour 6Fr x 24cm 278 HCPCS C2617 122018 Stent Ureteral Contour 6Fr x 26cm 278 HCPCS C2617 122019 Stent Ureteral Contour 6Fr x 28cm 278 HCPCS C2617 122020 Stent Ureteral Contour 6Fr x 30cm 278 HCPCS C2617 122021 Catheter Balloon Uromax-Ultra 24Fr x 4cm 272 122022 Dilator Ureteral Nottingham Tapered 6/10Fr 272 122023 Guidewire Super Stiff Amplatz .038in x 145cm x 3.5cm272 FlexibleHCPCS TipC1769 122024 Inflator Balloon Encore 26 272 122026 Lead Trial Kit Infinion 1x16 for Precision Spinal Cord278 StimulationHCPCS C1897 122027 Splitter Kit 2x8 for Precision Spinal Cord Stimulation272 122028 Cable OR for Precision Spinal Cord Stimulation 272 122029 Needle Insertion 5in forPrecision Spinal Cord Stimulation272 122030 Tunneling Tool Long 35cm Precision Spinal Cord Stimulation272

154 122031 Wrench Hex for Precision Spinal Cord Stimulation 272 122032 Wrench Hex 3in for Precision Spinal Cord Stimulation272 122033 Suture Sleeve Splint 2.3cm for Precision Spinal Cord272 Stimulation 122034 Anchor Lead SC-4312 Fixation Clik Spinal Cord Stimulation278 122035 Anchor Lead SC-4316 Fixation Clik Spinal Cord Stimulation278 122036 Surgical Medical Adhesive Med A for Precision Spinal272 Cord Stimulation 122037 Introducer Kit for Precision Spinal Cord Stimulation 272 HCPCS C1894 122038 Stylet Kit w/Cap 50cm for Precision Spinal Cord Stimulation272 122039 IPG Port Plug for Precision Spinal Cord Stimulation 272 122040 Charging System Kit Precision Spectra Pulse Genenerator272 Spinal Cord Stim 122041 PATIENT TRIAL KIT FOR PRECISION SPINAL CORD STIMULATION272 122047 Needle Epidural RX Straight 18G 3.5in 272 122062 Electrode Radiofrequency 10cm Disposable 272 122069 Suction Surgiflex Wave Irrigation Probe w/Spike 272 122070 Catheter Beacon Tip Torcon NB Advantage 5Fr x 0.038in272 x 40cm KMP 122071 Catheter Airway Exchange 8Fr x 45cm 272 122072 CATHETER BEACON TIP KUMPE ACCESS 5FR X 65CM 272 122076 K-Wire 2.0mm x 6in Half Bayonet 272 122077 Washer 3.5 Low Pro Cortical 278 122078 Screw Low Pro Cortical 3.5 x 30mm 278 HCPCS C1713 122079 Screw Low Pro Cortical 3.5 x 36mm 278 HCPCS C1713 122080 Plate Distal Humerus 64mm 7 Hole Left 278 HCPCS C1713 122081 Plate Olecranon 79mm 10 Hole Small 278 HCPCS C1713 122082 Bit Drill Calib 2.7mm 272 122083 Screw Cortical 3.5 X 14mm 278 HCPCS C1713 122084 Screw Cortical 3.5 X 18mm 278 HCPCS C1713 122085 Screw Cort Lock 3.5mm 16mm 278 HCPCS C1713 122086 Screw Cort Lock 3.5mm 18mm 278 HCPCS C1713 122087 Screw Cort Lock 3.5mm 22mm 278 HCPCS C1713 122088 Screw Cort Lock 3.5mm 24mm 278 HCPCS C1713 122089 Screw Cort Lock 3.5mm 30mm 278 HCPCS C1713 122090 Screw Cort Lock 3.5mm 38mm 278 HCPCS C1713 122091 Screw Cort Lock 3.5mm 48mm 278 HCPCS C1713 122092 Screw Cort Lock 3.5mm 54mm 278 HCPCS C1713 122093 Screw Multi-Direct 3.5mm 18mm 278 HCPCS C1713 122094 Screw Multi-Direct 3.5mm 20mm 278 HCPCS C1713 122095 Screw Multi-Direct 3.5mm 38mm 278 HCPCS C1713 122096 Screw Multi-Direct 3.5mm 50mm 278 HCPCS C1713 122097 Bit Drill Low Ext 2.5mm 272 122098 Tap Cannulated 4.0 x 70mm 272 122099 Circumferential Probe FiAPC 2.3mm x 6Ft 9in 272 122102 Implant Ankle HyProCure 9mm Non-Sterile 278 122110 Suture Wire 18G Ethi-Pack Size 7 12 Strands/Tube 12278 Tubes/Box DS-18. 122111 Suture Wire 26G Ethi-Pack Size 0 50 Strands/Tube 12278 Tubes/Box 122113 Tray Epidural Single Shot Dr Kokoloski 272

155 122114 T-Grommet Baxter Beveled 1.27mm 278 122115 Tube Ear Ventilation Armstrong Modified Beveled Grommet272 1.14mm 122116 Splint Nasal Airway Doyle II Silicon 272 122117 Blade Microdebrider Sinus Inferior Turbinate Straight272 2.9mm M4 Rotatable 122118 Kit Lead Cap Accessory Neurostimulator Sacral Nerve278 InterstimHCPCS C1778 122119 Kit Screen Cable Accessory Neurostimulator Sacral Nerve272 Interstim 122120 Trial Lead Kit Compact Neurostimulator Sacral Nerve278 Interstim 122121 Sutureless Pump Connector Neurostimulator Sacral 278Nerve Interstim 122122 Restore PrimeADVANCED IPG Neurostimulator Sacral278 NerveHCPCS Interstim C1820 122123 Battery Neurostimulator RestoreADVANCED 278 HCPCS C1820 122125 Programmer Patient External MyStim for Neurostimulator272 122127 Bumpy Anchor Neurostimulator Sacral Nerve Interstim278 HCPCS C1820 122128 Kit Accy Needle Curved Tip 3.5 in Neurostimulator Sacral272 Nerve Interstim 122129 Kit Accessory Neurostimulator Sacral Nerve Interstim272 122130 Kit Anchor Accessory Neurostimulator Sacral Nerve Interstim272 122131 Kit Lead Perc Subcompact Neurostimulator Sacral Nerve278 HCPCSInterstim C1778 122132 Kit Lead Perc Compact 1 x 8 x 45cm Neurostimulator278 SacralHCPCS Nerve C1778 Interstim 122133 Kit Lead Perc Compact 1 x 8 x 60cm Neurostimulator278 SacralHCPCS Nerve C1778 Interstim 122134 Trial Lead Kit Compact 1 x 8 Neurostimulator 272 122135 Kit Accessory Neurostimulator Sacral Nerve Interstim272 122136 Pump SynchroMed II Intrathecal Drug Delivery 40ml 278Neurostimulator 122138 Drape Microscope 272 122142 Bit Drill Lupine Stabilization 272 122143 Bit Drill Gryphon 2.4mm 272 122144 Bit Drill GII 2.4mm 272 122145 Suture Passer Percutaneous Chia Percpasser Shoulder272 Arthroscopy 122146 Drill Pin ACL w/Eye .094 x 14in 272 122147 Anchor Healix3 Peek w/Orthocord 5.5mm 278 HCPCS C1713 122148 Implant System Healix Transtend BR/1 278 122149 Implant System Healix Transtend BR/2 278 122150 Implant System Healix Transtend PEEK/2 278 122151 Anchor Healix Knotless BR 4.75mm 278 HCPCS C1713 122152 Anchor Healix Knotless Peek 4.75mm 278 HCPCS C1713 122153 Anchor Healix Advance BR w/Orthocord 5.5mm 278 HCPCS C1713 122154 Anchor Healix Advance BR3-Suture w/Orthocord 5.5mm278 HCPCS C1713 122155 Suture Orthocord Violet without Needle 272 122156 Needle Repair Omnispan Meniscal 12d 272 122157 Suture Orthocord 2-0 withDouble Meniscal Needle 272 122158 Reamer Acorn 7mm Sterile 272 122159 COR Disposable System w/Perp 6mm 278 122160 COR Disposable System w/Perp 8mm 278 122161 COR Disposable System w/Perp 10mm 278 122162 Guidewire Absolute Nitinol 1.1mm x 15in 272 HCPCS C1769 122163 Tubing Arthroscopy Intermediary FMS SOLO Disposable272 Sterile 122164 Tubing Arthroscopy FMS DUO Outflow Patient Set Reusable272 Setup Sterile

156 122171 Drill Biotrak 272 122172 Guidewire 0.045 x 6in St 272 HCPCS C1769 122173 Guidewire 0.035 x 6in St 272 HCPCS C1769 122174 Screw Acutrak 2 - 50.0mm - 5.5 278 HCPCS C1713 122175 Screw Acutrak 2 - 35.0mm - 4.7 278 HCPCS C1713 122176 Screw Acutrak 2 - 40.0mm - 4.7 278 HCPCS C1713 122177 Screw Biotrak 16mm 278 HCPCS C1713 122178 Screw Biotrak 20mm 278 HCPCS C1713 122179 Screw Biotrak 24mm 278 HCPCS C1713 122180 Screw Biotrak Mini 24mm 278 HCPCS C1713 122181 Plate Acumed 8-Hole Right 278 HCPCS C1713 122182 Plate Clavical Acumed 10-Hole Left 278 HCPCS C1713 122183 Plate Clavical Acumed 10-Hole Right 278 HCPCS C1713 122184 Plate Clavical Acumed 6-Hole Left 278 HCPCS C1713 122185 Plate Clavical Acumed 8-Hole Right 278 HCPCS C1713 122186 Drill Micro Acutrak Long 272 122187 Guidewire Acutrak Single Trocar .062 x 8 272 HCPCS C1769 122188 Drill Acutrak 4.7mm Long 272 122189 Guidewire Acutrak .062 x 9.25in 272 HCPCS C1769 122190 Screw Bone Acutrak 40mm - 4/5 278 HCPCS C1713 122191 Screw Bone Acutrak 45mm - 4/5 278 HCPCS C1713 122192 Screw Acutrak 2 Micro 16mm 278 HCPCS C1713 122193 Screw Acutrak 2 Micro 20mm 278 HCPCS C1713 122194 Drill Acutrak 2 Long 272 122195 Screw Acutrak 2 Mini 24mm 278 HCPCS C1713 122196 Screw Acutrak 2 Mini 26mm 278 HCPCS C1713 122197 Screw Acutrak 2 Mini 28mm 278 HCPCS C1713 122198 Screw Acutrak 2 Mini 30mm 278 HCPCS C1713 122199 Screw Acutrak 2 Standard 30mm 278 HCPCS C1713 122200 Screw Acutrak 2 Standard 32mm 278 HCPCS C1713 122201 Screw Acutrak 2 Standard 34mm 278 HCPCS C1713 122202 Screw Cortical AcuLok 3.5 x 14mm 278 HCPCS C1713 122203 Screw Cortical Non-Locking 3.5 x 20mm 278 HCPCS C1713 122204 Screw Cortical Non-Locking 3.5 x 24mm 278 HCPCS C1713 122205 Screw Cortical 2.7 x 14mm 278 HCPCS C1713 122206 Screw Cortical 2.7 x 22mm 278 HCPCS C1713 122207 Screw Cortical 3.5 x 10mm 278 HCPCS C1713 122208 Screw Cortical 3.5 x 12mm 278 HCPCS C1713 122209 Screw Cortical 3.5 x 16mm 278 HCPCS C1713 122210 Screw Cortical Locking 3.5 x 10mm 278 HCPCS C1713 122211 Screw Cortical Locking 3.5 x 12mm 278 HCPCS C1713 122212 Screw Cortical Locking 3.5 x 14mm 278 HCPCS C1713 122213 Screw Cortical Locking 3.5 x 16mm 278 HCPCS C1713 122214 Bit Drill Acumed Quick Release 2.8mm x 5in 272 122215 Bit Drill Acumed Quick Release 3.5mm 272

157 122216 Drill Acumed 2.0 x 5in 272 122217 Guidewire Acutrak 2 Micro .035 x 6in 272 HCPCS C1769 122219 System Cascade Autologous Platelet 272 122221 Knife Myringotomy Sickle Blade Round Handle 272 122222 Seal Cystoscope Self Sealing Silicone White 272 122224 Screw 3.0mm x 24mm 278 HCPCS C1713 122225 Screw 3.0mm x 26mm 278 HCPCS C1713 122226 Screw 3.0mm x 28mm 278 HCPCS C1713 122227 Bone Allograft Grafton DBM Putty 5cc 278 122228 Biocomposite Tissue Plexur Cylinder 9 x 25mm 278 122234 Splint Conformable 3 x 35in 272 122243 Boot Walker Tracker EX XLarge Closed Heel 272 122693 Suture Prolene 5-0 C1 8720H 272 122704 Support Surgi-Bra 4XLarge 46-48in 272 122795 Positioning Guide/Cut Blk Signature Pt Specific Oxford272 Uni Knee Arthros Sml 122796 Positioning Guide/Cut Blk Signature Pt Specific Oxford272 Uni Knee Arthros Med 122797 Positioning Guide/Cut Blk Signature Pt Specific Oxford272 Uni Knee Arthros Lrg 122914 Tray Balloon Kyphoplasty Express II 15/2 Thoracic 1st278 Fracture OneStep 122940 Cement Bone Kyphon Xpede with Mixer 278 122959 Clip Aneurysm Neuro Yasagil Titanium Mini Perm Str272 7mm 122960 Clip Aneurysm Neuro Yasagil Titanium Std Perm Slt-Cvd272 15.3mm 122961 Clip Aneurysm Neuro Yasagil Titanium Std Perm Slt-Cvd272 13.7mm 122771 Screw Interference Milagro Advance 8x23mm Biocomposite278 HCPCS C1713 122781 Needle Insufflation Pneumoperitoneum 14G x 12cm272 123181 Positioning Guide/Cut Blk Signature Pt Specific Oxford272 Uni Knee Arthros XLg 122862 Introducer SafeSheath UltraLite 10Fr 13cm Tear Away272 ValvedPort Insertion 122861 Introducer SafeSheath UltraLite 8.5Fr 13cm Tear Away272 ValvedPort Insertion 122945 Kit Prevena Incision Management Peel & Place 20cm272 122946 Canister Prevena 45ML 125 Therapy Unit 272 123093 Glenosphere Versa-Dial 36mm Std Comprehensive Reverse278 HCPCS Shoulder C1776 123094 Glenosphere Versa-Dial 36mm+3 Comprehensive Reverse278 HCPCSShoulder C1776 123095 Glenosphere Versa-Dial 36mm+6 Comprehensive Reverse278 HCPCSShoulder C1776 123096 Glenosphere Versa-Dial 41mm Std Comprehensive Reverse278 HCPCS Shoulder C1776 123097 Glenosphere Versa-Dial 41mm+3 Comprehensive Reverse278 HCPCSShoulder C1776 123098 Glenosphere Versa-Dial 41mm+6 Comprehensive Reverse278 HCPCSShoulder C1776 123099 Humeral Tray 44mm Std CoCr Comprehensive Reverse278 ShoulderHCPCS C1776 123100 Humeral Tray 44mm+5 CoCr Comprehensive Reverse278 ShoulderHCPCS C1776 123101 Humeral Tray 44mm+10 CoCr Comprehensive Reverse278 ShoulderHCPCS C1776 123010 Stem Humeral Fracture 4mm Comprehensive Shoulder278 HCPCS C1776 123011 Stem Humeral Fracture 6mm Comprehensive Shoulder278 HCPCS C1776 123012 Stem Humeral Fracture 8mm Comprehensive Shoulder278 HCPCS C1776 123013 Stem Humeral Fracture 10mm Comprehensive Shoulder278 HCPCS C1776 123014 Stem Humeral Fracture 12mm Comprehensive Shoulder278 HCPCS C1776 123015 Stem Humeral Fracture 14mm Comprehensive Shoulder278 HCPCS C1776 123016 leeve Humeral Fracture 6mm Comprehensive Shoulder278 HCPCS C1776

158 123017 leeve Humeral Fracture 7mm Comprehensive Shoulder278 HCPCS C1776 123018 leeve Humeral Fracture 8mm Comprehensive Shoulder278 HCPCS C1776 123019 leeve Humeral Fracture 9mm Comprehensive Shoulder278 HCPCS C1776 123020 leeve Humeral Fracture 10mm Comprehensive Shoulder278 HCPCS C1776 123021 leeve Humeral Fracture 11mm Comprehensive Shoulder278 HCPCS C1776 123022 leeve Humeral Fracture 12mm Comprehensive Shoulder278 HCPCS C1776 123023 leeve Humeral Fracture 13mm Comprehensive Shoulder278 HCPCS C1776 123024 leeve Humeral Fracture 14mm Comprehensive Shoulder278 HCPCS C1776 123025 leeve Humeral Fracture 15mm Comprehensive Shoulder278 HCPCS C1776 123026 leeve Humeral Fracture 16mm Comprehensive Shoulder278 HCPCS C1776 123027 leeve Humeral Fracture 17mm Comprehensive Shoulder278 HCPCS C1776 123028 tem Humeral Primary Mini Length 4mm Comprehensive278 ShoulderHCPCS C1776 123029 tem Humeral Primary Mini Length 5mm Comprehensive278 ShoulderHCPCS C1776 123030 tem Humeral Primary Mini Length 6mm Comprehensive278 ShoulderHCPCS C1776 123031 tem Humeral Primary Mini Length 7mm Comprehensive278 ShoulderHCPCS C1776 123032 tem Humeral Primary Mini Length 8mm Comprehensive278 ShoulderHCPCS C1776 123033 tem Humeral Primary Mini Length 9mm Comprehensive278 ShoulderHCPCS C1776 123034 tem Humeral Primary Mini Length 10mm Comprehensive278 HCPCSShoulder C1776 123035 tem Humeral Primary Mini Length 11mm Comprehensive278 HCPCSShoulder C1776 123036 tem Humeral Primary Mini Length 12mm Comprehensive278 HCPCSShoulder C1776 123037 tem Humeral Primary Mini Length 13mm Comprehensive278 HCPCSShoulder C1776 123038 tem Humeral Primary Mini Length 14mm Comprehensive278 HCPCSShoulder C1776 123039 tem Humeral Primary Mini Length 15mm Comprehensive278 HCPCSShoulder C1776 123040 tem Humeral Primary Mini Length 16mm Comprehensive278 HCPCSShoulder C1776 123041 tem Humeral Primary Mini Length 17mm Comprehensive278 HCPCSShoulder C1776 123042 tem Humeral Primary Mini Length 18mm Comprehensive278 HCPCSShoulder C1776 123043 tem Humeral Primary Mini Length 19mm Comprehensive278 HCPCSShoulder C1776 123044 tem Humeral Primary Mini Length 20mm Comprehensive278 HCPCSShoulder C1776 123045 tem Humeral Primary Std Length 4mm Comprehensive278 ShoulderHCPCS C1776 123046 tem Humeral Primary Std Length 5mm Comprehensive278 ShoulderHCPCS C1776 123047 tem Humeral Primary Std Length 6mm Comprehensive278 ShoulderHCPCS C1776 123048 tem Humeral Primary Std Length 8mm Comprehensive278 ShoulderHCPCS C1776 123049 tem Humeral Primary Std Length 8mm Comprehensive278 ShoulderHCPCS C1776 123050 tem Humeral Primary Std Length 9mm Comprehensive278 ShoulderHCPCS C1776 123051 tem Humeral Primary Std Length 10mm Comprehensive278 ShoulderHCPCS C1776 123052 tem Humeral Primary Std Length 11mm Comprehensive278 ShoulderHCPCS C1776 123053 tem Humeral Primary Std Length 12mm Comprehensive278 ShoulderHCPCS C1776 123054 tem Humeral Primary Std Length 13mm Comprehensive278 ShoulderHCPCS C1776 123055 tem Humeral Primary Std Length 14mm Comprehensive278 ShoulderHCPCS C1776 123056 tem Humeral Primary Std Length 15mm Comprehensive278 ShoulderHCPCS C1776 123057 tem Humeral Primary Std Length 16mm Comprehensive278 ShoulderHCPCS C1776 123058 tem Humeral Primary Std Length 17mm Comprehensive278 ShoulderHCPCS C1776 123059 tem Humeral Primary Std Length 18mm Comprehensive278 ShoulderHCPCS C1776 123060 tem Humeral Primary Std Length 19mm Comprehensive278 ShoulderHCPCS C1776 123061 tem Humeral Primary Std Length 20mm Comprehensive278 ShoulderHCPCS C1776

159 123062 Adapter Versa-Dial Taper Comprehensive Shoulder 278 123064 Head Humeral Versa-Dial 38/21/38mm Comprehensive278 ShoulderHCPCS C1776 123065 Head Humeral Versa-Dial 42/18/46mm Comprehensive278 ShoulderHCPCS C1776 123066 Head Humeral Versa-Dial 42/21/43mm Comprehensive278 ShoulderHCPCS C1776 123067 Head Humeral Versa-Dial 42/24/42mm Comprehensive278 ShoulderHCPCS C1776 123068 Head Humeral Versa-Dial 46/18/53mm Comprehensive278 ShoulderHCPCS C1776 123069 Head Humeral Versa-Dial 46/21/50mm Comprehensive278 ShoulderHCPCS C1776 123070 Head Humeral Versa-Dial46/24/47mm Comprehensive278 ShoulderHCPCS C1776 123071 Head Humeral Versa-Dial 46/27/46mm Comprehensive278 ShoulderHCPCS C1776 123072 Head Humeral Versa-Dial 50/21/57mm Comprehensive278 ShoulderHCPCS C1776 123073 Head Humeral Versa-Dial 50/24/52mm Comprehensive278 ShoulderHCPCS C1776 123074 Head Humeral Versa-Dial 50/27/50mm Comprehensive278 ShoulderHCPCS C1776 123075 Head Humeral Versa-Dial 54/21/64mm Comprehensive278 ShoulderHCPCS C1776 123076 Head Humeral Versa-Dial 54/24/58mm Comprehensive278 ShoulderHCPCS C1776 123077 Head Humeral Versa-Dial 54/27/55mm Comprehensive278 ShoulderHCPCS C1776 123078 Head Humeral Versa-Dial 58/24/64mm Comprehensive278 ShoulderHCPCS C1776 123079 Head Humeral Versa-Dial 58/27/61mm Comprehensive278 ShoulderHCPCS C1776 123080 Glenoid Base Modular Hybrid Small Comprehensive Shoulder278 123081 Glenoid Base Modular Hybrid Medium Comprehensive278 Shoulder 123082 Glenoid Base Modular Hybrid Large Comprehensive 278Shoulder 123083 Glenoid Post Modular Hybrid Polyethylene Comprehensive278 Shoulder 123084 Glenoid Post Modular Hybrid Regenerex Comprehensive278 Shoulder 123085 Bearing Humeral ArComXL 44-36mm Std Comprehensive278 HCPCSReverse C1776 Shoulder 123086 Bearing Humeral ArComXL 44-36mm Std+3 Comprehensive278 HCPCS Reverse C1776 Shoulder 123087 Bearing Humeral ArComXL 44-36mm Rtnv+3 Comprehensive278 HCPCS Reverse C1776 Shoulder 123088 Bearing Humeral ArComXL 44-41mm Std Comprehensive278 HCPCSReverse C1776 Shoulder 123089 Bearing Humeral ArComXL 44-41mm Std+3 Comprehensive278 HCPCS Reverse C1776 Shoulder 123090 Bearing Humeral ArComXL 44-41mm Rtnv+3 Comprehensive278 HCPCS Reverse C1776 Shoulder 123091 Baseplate Mini w/Taper Adapter 25mm Comprehensive278 Reverse Shoulder 123092 Baseplate Glenoid 28mm Comprehensive Reverse Shoulder278 123102 Screw Central 6.5x20mm Comprehensive Reverse Shoulder278 HCPCS C1713 123103 Screw Central 6.5x25mm Comprehensive Reverse Shoulder278 HCPCS C1713 123104 Screw Central 6.5x30mm Comprehensive Reverse Shoulder278 HCPCS C1713 123105 Screw Central 6.5x35mm Comprehensive Reverse Shoulder278 HCPCS C1713 123106 Screw Central 6.5x40mm Comprehensive Reverse Shoulder278 HCPCS C1713 123107 Screw Central 6.5x45mm Comprehensive Reverse Shoulder278 HCPCS C1713 123108 Screw Central 6.5x50mm Comprehensive Reverse Shoulder278 HCPCS C1713 123109 Screw Fixed Locking 4.75x15mm Comprehensive Reverse278 HCPCS Shoulder C1713 123110 Screw Fixed Locking 4.75x20mm Comprehensive Reverse278 HCPCS Shoulder C1713 123111 Screw Fixed Locking 4.75x25mm Comprehensive Reverse278 HCPCS Shoulder C1713 123112 Screw Fixed Locking 4.75x30mm Comprehensive Reverse278 HCPCS Shoulder C1713 123113 Screw Fixed Locking 4.75x35mm Comprehensive Reverse278 HCPCS Shoulder C1713 123114 Screw Fixed Locking 4.75x40mm Comprehensive Reverse278 HCPCS Shoulder C1713 123115 Screw Fixed Locking 4.75x45mm Comprehensive Reverse278 HCPCS Shoulder C1713 123116 Screw Fixed Non-Locking 4.75x15mm Comprehensive278 ReverseHCPCS Shoulder C1713

160 123117 Screw Fixed Non-Locking 4.75x20mm Comprehensive278 ReverseHCPCS Shoulder C1713 123118 Screw Fixed Non-Locking 4.75x25mm Comprehensive278 ReverseHCPCS Shoulder C1713 123119 Screw Fixed Non-Locking 4.75x30mm Comprehensive278 ReverseHCPCS Shoulder C1713 123120 Screw Fixed Non-Locking 4.75x35mm Comprehensive278 ReverseHCPCS Shoulder C1713 123121 Screw Fixed Non-Locking 4.75x40mm Comprehensive278 ReverseHCPCS Shoulder C1713 123122 Screw Fixed Non-Locking 4.75x45mm Comprehensive278 ReverseHCPCS Shoulder C1713 123123 Steinmann Pin 9in Comprehensive Reverse Shoulder278 HCPCS C1713 123124 Drill Bit 3.2mm Central Screw Comprehensive Reverse272 Shoulder 123125 Drill Bit 2.7mm Peripheral Screw Comprehensive Reverse272 Shoulder 123063 Head Humeral Versa-Dial 38/19/39mm Comprehensive278 ShoulderHCPCS C1776 123126 Bone Plug Femoral Small 278 123127 Bone Plug Femoral Medium 278 123128 Bone Plug Femoral Large 278 123129 Bone Plug Femoral X-Large 278 123130 Bone Plug Femoral XX-Large 278 122766 Drill Mini Acutrak Long 272 103747 Catheter Vascular 20cm Straight Duo-Flow 278 HCPCS C1752 103746 Catheter Vascular 15cm Straight Duo-Flow 278 HCPCS C1752 123276 Catheter Valved Infusion Cragg-McNamara 5Fr 135cm272 .038inHCPCS 50cm C1887 Inf 123275 Catheter Valved Infusion Cragg-McNamara 5Fr 135cm272 .038inHCPCS 20cm C1887 Inf 123283 Suture Quill YA-1012Q Monoderm 2-0 14x14cm on Dbl272 Arm 18mm DiaPt 3/8 Circle 123298 Catheter Balloon Uromax-Ultra 18Fr x 4cm 272 123303 Pad Grounding Radiofrequency for NeuroTherm 272 123306 Screw Softsilk 1.5 x 7 x 30mm 278 HCPCS C1713 123307 Screw Softsilk 1.5 x 8 x 20mm 278 HCPCS C1713 123308 Screw Softsilk 1.5 x 8 x 30mm 278 HCPCS C1713 123189 Spacer Thoracic-Lumbar Small VBR Ti 12mm Dia x 10-13mm278 HCPCS Ht C1713 123190 Spacer Thoracic-Lumbar Small VBR Ti 12mm Dia x 12-17mm278 HCPCS Ht C1713 123191 Spacer Thoracic-Lumbar Small VBR Ti 12mm Dia x 16-25mm278 HCPCS Ht C1713 123192 Spacer Thoracic-Lumbar Small VBR Ti 12mm Dia x 16-25mm278 HCPCS Ht 6dC1713 123193 Spacer Thoracic-Lumbar Small VBR Ti 12mm Dia x 24-40mm278 HCPCS Ht C1713 123194 Spacer Thoracic-Lumbar Small VBR Ti 12mm Dia x 24-40mm278 HCPCS Ht 6dC1713 123195 Spacer Thoracic-Lumbar Small VBR Ti 12mm Dia x 39-65mm278 HCPCS Ht C1713 123196 Spacer Thoracic-Lumbar Small VBR Ti 12mm Dia x 39-65mm278 HCPCS Ht 6dC1713 123197 Spacer Thoracic-Lumbar Small VBR Ti 14mm Dia x 10-13mm278 HCPCS Ht C1713 123198 Spacer Thoracic-Lumbar Small VBR Ti 14mm Dia x 12-17mm278 HCPCS Ht C1713 123199 Spacer Thoracic-Lumbar Small VBR Ti 14mm Dia x 16-25mm278 HCPCS Ht C1713 123200 Spacer Thoracic-Lumbar Small VBR Ti 14mm Dia x 16-25mm278 HCPCS Ht 6dC1713 123201 Spacer Thoracic-Lumbar Small VBR Ti 14mm Dia x 24-40mm278 HCPCS Ht C1713 123202 Spacer Thoracic-Lumbar Small VBR Ti 14mm Dia x 24-40mm278 HCPCS Ht 6dC1713 123203 Spacer Thoracic-Lumbar Small VBR Ti 14mm Dia x 39-65mm278 HCPCS Ht C1713 123204 Spacer Thoracic-Lumbar Small VBR Ti 14mm Dia x 39-65mm278 HCPCS Ht 6dC1713 123205 Spacer Thoracic-Lumbar Small VBR Ti 16mm Dia x 10-13mm278 HCPCS Ht C1713 123206 Spacer Thoracic-Lumbar Small VBR Ti 16mm Dia x 12-17mm278 HCPCS Ht C1713 123207 Spacer Thoracic-Lumbar Small VBR Ti 16mm Dia x 16-25mm278 HCPCS Ht C1713

161 123208 Spacer Thoracic-Lumbar Small VBR Ti 16mm Dia x 16-25mm278 HCPCS Ht 6dC1713 123209 Spacer Thoracic-Lumbar Small VBR Ti 16mm Dia x 24-40mm278 HCPCS Ht C1713 123210 Spacer Thoracic-Lumbar Small VBR Ti 16mm Dia x 24-40mm278 HCPCS Ht 6dC1713 123211 Spacer Cervical-Thoracic w/Plates ADDplus 12mm Dia278 x 13-18mmHCPCS C1713 Ht 0d 123212 Spacer Cervical-Thoracic w/Plates ADDplus 12mm Dia278 x 17-26mmHCPCS C1713 Ht 6d 123213 Spacer Cervical-Thoracic w/Plates ADDplus 12mm Dia278 x 25-41mmHCPCS C1713 Ht 12d 123214 Spacer Cervical-Thoracic w/Plates ADDplus 12mm Dia278 x 40-65mmHCPCS C1713 Ht 18d 123215 Screw Anterior Cervical Spacer Osmium w/Bolt Ti 5x14mm278 HCPCS C1713 123216 Screw Anterior Cervical Spacer Osmium w/Bolt Ti 5x16mm278 HCPCS C1713 123217 Screw Anterior Cervical Spacer Osmium w/Bolt Ti 5x18mm278 HCPCS C1713 123218 Screw Anterior Cervical Spacer Osmium w/Bolt Ti 4x14mm278 HCPCS C1713 123219 Screw Anterior Cervical Spacer Osmium w/Bolt Ti 4x16mm278 HCPCS C1713 123220 Screw Anterior Cervical Spacer Osmium w/Bolt Ti 4x18mm278 HCPCS C1713 123221 Cassette Head Expander for ADDplus/SmallVBR Vertebral272 Spacers 12mm 123222 Cassette Head Expander for ADDplus/SmallVBR Vertebral272 Spacers 14mm 123223 Cassette Head Expander for ADDplus/SmallVBR Vertebral272 Spacers 16mm 123224 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x11x7mm278 HtHCPCS 5d C1713 123225 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x11x8mm278 HtHCPCS 5d C1713 123226 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x11x9mm278 HtHCPCS 5d C1713 123227 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x11x10mm278 HCPCSHt 5d C1713 123228 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x11x11mm278 HCPCSHt 5d C1713 123229 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x11x12mm278 HCPCSHt 5d C1713 123230 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x11x13mm278 HCPCSHt 5d C1713 123231 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x11x14mm278 HCPCSHt 5d C1713 123232 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x14x7mm278 HtHCPCS 5d C1713 123233 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x14x8mm278 HtHCPCS 5d C1713 123234 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x14x9mm278 HtHCPCS 5d C1713 123235 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x14x10mm278 HCPCSHt 5d C1713 123236 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x14x11mm278 HCPCSHt 5d C1713 123237 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x14x12mm278 HCPCSHt 5d C1713 123238 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x14x13mm278 HCPCSHt 5d C1713 123239 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 29x14x14mm278 HCPCSHt 5d C1713 123240 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 34x16x7mm278 HtHCPCS 5d C1713 123241 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 34x16x8mm278 HtHCPCS 5d C1713 123242 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 34x16x9mm278 HtHCPCS 5d C1713 123243 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 34x16x10mm278 HCPCSHt 5d C1713 123244 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 34x16x11mm278 HCPCSHt 5d C1713 123245 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 34x16x12mm278 HCPCSHt 5d C1713 123246 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 34x16x13mm278 HCPCSHt 5d C1713 123247 Spacer Thoracic-Lumbar PEEK Cage Pezo-T 34x16x14mm278 HCPCSHt 5d C1713 123248 Screw Locking Ti Obelisc Thoracic-Lumbar Spacer 278 HCPCS C1713 123249 Spacer Thoracic-Lumbar Ti Obelisc Center 20mm Dia278 x 20-28mmHCPCS C1713 Ht 123250 Spacer Thoracic-Lumbar Ti Obelisc Center 20mm Dia278 x 23-31mmHCPCS C1713 Ht 123251 Spacer Thoracic-Lumbar Ti Obelisc Center 20mm Dia278 x 27-38mmHCPCS C1713 Ht 123252 Spacer Thoracic-Lumbar Ti Obelisc Center 20mm Dia278 x 32-47mmHCPCS C1713 Ht

162 123253 Spacer Thoracic-Lumbar Ti Obelisc Center 20mm Dia278 x 40-62mmHCPCS C1713 Ht 123254 Spacer Thoracic-Lumbar Ti Obelisc Center 20mm Dia278 x 53-87mmHCPCS C1713 Ht 123255 Spacer Thoracic-Lumbar Ti Obelisc Center 20mm Dia278 x 76-132mmHCPCS C1713 Ht 122899 Cable Assembly Nerve Stimulating Large Clip 272 122864 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x10mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122865 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x12mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122866 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x14mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122867 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x16mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122868 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x18mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122869 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x20mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122870 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x22mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122871 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x24mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122872 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x26mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122873 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x28mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122874 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x30mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122875 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x36mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122876 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x42mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122877 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x48mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122878 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x10mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122879 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x12mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122880 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x14mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122881 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x16mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122882 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x18mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122883 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x20mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122884 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x22mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122885 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x24mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122886 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x26mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122887 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x28mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122888 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x30mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122889 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x36mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122890 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x42mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122891 Screw Pedicle Polyaxial StreamlineCT Ti 4.0 x48mm278 PosteriorHCPCS Cerv/Thor C1713 Fixtn 122892 Rod StreamlineCT CoCr 120mm Posterior Cervical Fixation278 HCPCS C1713 122893 Rod StreamlineCT CoCr 120mm Posterior Cervical Fixation278 HCPCS C1713 122894 Rod StreamlineCT CoCr 240mm Posterior Cervical Fixation278 HCPCS C1713 122895 Locking Cap Pedicle Screw StreamlineCT Ti Posterior278 CervicalHCPCS Fixation C1713 122896 Spacer Vertebral PEEK Cross-Fuse 14 x 55 x 13mm 0d278 HCPCS C1713 122897 Spacer Vertebral PEEK Cross-Fuse 14 x 40 x 11mm 6d278 HCPCS C1713 122898 Spacer Vertebral PEEK Cross-Fuse 14 x 45 x 13mm 6d278 HCPCS C1713 122900 Pin Clarity Lateral Long Blade 278 HCPCS C1713 122901 Pin Clarity Lateral Short Blade 278 HCPCS C1713 122902 Bone Void Filler nanOss Bioactive 2cc 278 HCPCS C1713 123277 Xenograft Vascular Artegraft Bovine Collagen 6mm x278 15cmHCPCS C1768 123278 Artegraft Vascular Bovine Collagen 6mm x 30cm 278 HCPCS C1768 123279 Xenograft Vascular Artegraft Bovine Collagen 6mm x278 40cmHCPCS C1768

163 123280 Xenograft Vascular Artegraft Bovine Collagen 6mm x278 45cmHCPCS C1768 123281 Xenograft Vascular Artegraft Bovine Collagen 6mm x278 50cmHCPCS C1768 123282 Xenograft Vascular Artegraft Bovine Collagen 7mm x278 40cmHCPCS C1768 120422 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2724x60mm/135cmHCPCS C1725 .035in St 120426 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2725x40mm/135cmHCPCS C1725 .035in St 120427 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2725x60mm/135cmHCPCS C1725 .035in St 120428 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2725x100mm/135cmHCPCS C1725 .035in St 120432 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2726x60mm/135cmHCPCS C1725 .035in St 120433 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2726x100mm/135cmHCPCS C1725 .035in St 123788 Spacer Vertebral Interbody Cage CeSpaceXP PEEK Coated278 HCPCS 11.5 x C1713 14 x 5mm 5d 123783 Screw Self Tapping Ti Pl-AGE Anterior Cervial Fusion278 4 5 xHCPCS 12mm C1713 123782 Screw Self Drilling/Tapping Ti Pl-AGE Anterior Cervial278 FusionHCPCS 4 x C1713 12mm 123784 Spacer Interbody/Plate Ti PL-AGE Anterior Cervical 278FusionHCPCS 14x14x6x5mm C1713 Lordt 123785 Screw Anterior Cervical Plating Quintex Constrained278 4x12mmHCPCS C1713 123786 Fixation Pin Anterior Cervical Plating Quintex Hybrid272 123787 Plate Anterior Cervical Plating Quintex Hybrid 2-Level278 40mm 123789 Spacer Vertebral Interbody Cage CeSpaceXP PEEK Coated278 HCPCS 11.5 x C1713 14 x 6mm 5d 123790 Spacer Vertebral Interbody Cage CeSpaceXP PEEK Coated278 HCPCS 13.5 x C1713 16 x 7mm 5d 123791 Screw Pedicle Polyaxial 5 x 40mm Aesculap S4 Element278 LumbarHCPCS ImplantC1713 123792 Screw Pedicle Polyaxial 5 x 45mm Aesculap S4 Element278 LumbarHCPCS ImplantC1713 123793 Screw Pedicle Polyaxial 6 x 35mm Aesculap S4 Element278 LumbarHCPCS ImplantC1713 123794 Screw Pedicle Polyaxial 6 x 40mm Aesculap S4 Element278 LumbarHCPCS ImplantC1713 123795 Screw Pedicle Polyaxial 6 x 45mm Aesculap S4 Element278 LumbarHCPCS ImplantC1713 123796 Rod Pre-bent 5.5 x 30mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 123797 Rod Pre-bent 5.5 x 35mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 123798 Rod Pre-bent 5.5 x 40mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 123799 Rod Pre-bent 5.5 x 45mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 123800 Rod Pre-bent 5.5 x 90mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 123801 Rod Straight 5.5 x 120mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 123802 Rod Straight 5.5 x 50mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 123803 Screw Pedicle Monoaxial 6 x 45mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 123804 Screw Pedicle Monoaxial 7 x 40mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 123805 Screw Pedicle Polyaxial 6 x 30mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 123806 Screw Pedicle Polyaxial 6 x 35mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 123807 Screw Pedicle Polyaxial 6 x 40mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 123808 Screw Pedicle Polyaxial 6 x 45mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 123809 Screw Pedicle Polyaxial 6 x 50mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 123810 Set Screw Aesculap S4 Spinal Implant System 278 HCPCS C1713 123811 Spacer Vertebral Interbody PEEK CoRoent Large Wide278 10 HCPCSx 11 x 30mmC1713 123812 Disc Replacement Cervical Spine PCM V 6.5mm Small278 HCPCS C1713 123813 Disc Replacement Cervical Spine PCM V 6.5mm Medium278 HCPCS C1713 123814 Disc Replacement Cervical Spine PCM V 7.2mm Medium278 HCPCS C1713 123815 Screw Distraction MaXcess-C 14mm 278 HCPCS C1713 123816 Screw ACP Self-Tapping Variable Ang Helix 4.5 x 13mm278 HCPCS C1713 123817 Plate Anterior Cervical Helix 1-Level 24mm 278

164 123818 Plate Anterior Cervical Helix ACP 2-Level 36mm 278 123819 Plate Anterior Cervical Helix ACP 3-Level 58mm 278 123820 Screw ACP Self-Drilling Variable Ang Helix-T 4.0 x 13mm278 HCPCS C1713 123821 Screw ACP Self-Drilling Variable Ang Helix-T 4.0 x 15mm278 HCPCS C1713 123822 Plate Anterior Cervical Helix Mini 1-Level 34mm 278 123823 Plate Anterior Cervical Helix Translational 1-Level 26mm278 123824 Plate Anterior Cervical Helix Translational 2-Level 42mm278 123825 Plate Anterior Cervical Helix Translational 3-Level 60mm278 123826 Rod Pre-bent 35mm Vertebral Romeo 5 4 278 HCPCS C1713 123827 Rod Pre-bent 70mm Vertebral Romeo 5 4 278 HCPCS C1713 123828 Set Screw Vertebral Romeo MIS Polyaxial Pedicle Screw278 HCPCS C1713 123829 K-Wire Blunt Romeo MIS Implant 272 123830 Screw Vertebral Pedicle Romeo MIS Polyaxial 5.0 x 40mm278 HCPCS C1713 123831 Screw Vertebral Pedicle Romeo MIS Polyaxial 6.0 x 35mm278 HCPCS C1713 123832 Screw Vertebral Pedicle Romeo MIS Polyaxial 6.0 x 45mm278 HCPCS C1713 123833 Screw Vertebral Pedicle Romeo MIS Polyaxial 6.0 x 50mm278 HCPCS C1713 123834 Rod Pre-bent 30mm Vertebral Romeo MIS Polyaxial Pedicle278 HCPCS Screw C1713 123835 Rod Pre-bent 35mm Vertebral Romeo MIS Polyaxial Pedicle278 HCPCS Screw C1713 123836 Rod Pre-bent 40mm Vertebral Romeo MIS Polyaxial Pedicle278 HCPCS Screw C1713 123837 Rod Pre-bent 45mm Vertebral Romeo MIS Polyaxial Pedicle278 HCPCS Screw C1713 123838 Rod Pre-bent 50mm Vertebral Romeo MIS Polyaxial Pedicle278 HCPCS Screw C1713 123839 Rod Pre-bent 55mm Vertebral Romeo MIS Polyaxial Pedicle278 HCPCS Screw C1713 123840 Rod Pre-bent 60mm Vertebral Romeo MIS Polyaxial Pedicle278 HCPCS Screw C1713 123841 Rod Pre-bent 70mm Vertebral Romeo MIS Polyaxial Pedicle278 HCPCS Screw C1713 123842 Rod Pre-bent 80mm Vertebral Romeo MIS Polyaxial Pedicle278 HCPCS Screw C1713 123843 Spacer Cervical Cage PEEK Tryptik 12 x 14 x 5mm Lordotic278 HCPCS Interbody C1713 Fusion 123844 Spacer Cervical Cage PEEK Tryptik 12 x 14 x 6mm Lordotic278 HCPCS Interbody C1713 Fusion 123845 Spacer Cervical Cage PEEK Tryptik 12 x 14 x 7mm Lordotic278 HCPCS Interbody C1713 Fusion 123846 Spacer Cervical Cage PEEK Tryptik 12 x 14 x 8mm Lordotic278 HCPCS Interbody C1713 Fusion 123847 Spacer Cervical Cage PEEK Tryptik 14 x 16 x 6mm Lordotic278 HCPCS Interbody C1713 Fusion 123848 Spacer Cervical Cage PEEK Tryptik 14 x 16 x 7mm Lordotic278 HCPCS Interbody C1713 Fusion 123849 Spacer Cervical Cage PEEK Tryptik 14 x 16 x 8mm Lordotic278 HCPCS Interbody C1713 Fusion 123899 Connector Accu-Flo Right Angle for Hakim Hydrocephalus272 Shunt 123902 Mesh Vaginal Wall Upsylon Y-Mesh Lightweight Blue 278M0068318200CPT® C1763 123904 Plate Anterior Cervical Helix Translational 1-level 30mm278 123905 Tubing Arthroscopy Dyonics 25 In/Outflow Tube Set 271Single Suction 123906 Tubing Arthroscopy Dyonics 25 In/Outflow Tube Set 271Dual Suction 123850 Suture Device FiXate Tissue Band Spinal Cord Stimulation272 Leads 123851 Pulse Generator Implantable Precision Spectra Spinal278 CordHCPCS Stimulation C1767 123852 Lead Contact Extension Kit Precision Linear 8-Contact278 35cmHCPCS Spinal C1778 Cord Stim 123853 Passing Elevator Spinal Cord Stimulation 272 123854 Remote Control/Programmer Precision Spectra RC Pulse278 HCPCSGenerator C1787 SCS 123855 Lead Kit Permanent Surgical Artisan 2 x 8-Contact 50cm278 SpinalHCPCS CordC1897 Stim 123856 Lead Kit Permanent Surgical Artisan 2 x 8-Contact 70cm278 SpinalHCPCS CordC1897 Stim 102327 Tray Percutaneous Trach Blue Rhino w/Shiley Cuffed272 Tube PERC6

165 102328 Tray Percutaneous Trach Blue Rhino w/Shiley Cuffed272 Tube PERC8 123960 Screw Acutrak 2 - 25.0mm - 5.5 278 HCPCS C1713 123961 Screw Acutrak 2 - 30.0mm - 5.5 278 HCPCS C1713 123962 Screw Acutrak 2 - 35.0mm - 5.5 278 HCPCS C1713 123963 Screw Acutrak 2 - 40.0mm - 5.5 278 HCPCS C1713 123964 Screw Acutrak 2 - 45.0mm - 5.5 278 HCPCS C1713 123965 Screw Acutrak 2 - 50.0mm - 5.5 278 HCPCS C1713 123966 Screw Acutrak 2 - 55.0mm - 5.5 278 HCPCS C1713 123967 Screw Acutrak 2 - 60.0mm - 5.5 278 HCPCS C1713 123968 Screw Acutrak 2 - 20.0mm - 4.7 278 HCPCS C1713 123969 Screw Acutrak 2 - 22.0mm - 4.7 278 HCPCS C1713 123970 Screw Acutrak 2 - 24.0mm - 4.7 278 HCPCS C1713 123971 Screw Acutrak 2 - 26.0mm - 4.7 278 HCPCS C1713 123972 Screw Acutrak 2 - 28.0mm - 4.7 278 HCPCS C1713 123973 Screw Acutrak 2 - 30.0mm - 4.7 278 HCPCS C1713 123974 Screw Acutrak 2 - 45.0mm - 4.7 278 HCPCS C1713 123975 Screw Acutrak 2 - 50.0mm - 4.7 278 HCPCS C1713 123976 Screw Acutrak 2 - 40.0mm - 7.5 278 HCPCS C1713 123977 Screw Acutrak 2 - 45.0mm - 7.5 278 HCPCS C1713 123978 Screw Acutrak 2 - 50.0mm - 7.5 278 HCPCS C1713 123979 Screw Acutrak 2 - 55.0mm - 7.5 278 HCPCS C1713 123980 Screw Acutrak 2 - 60.0mm - 7.5 278 HCPCS C1713 123981 Screw Acutrak 2 - 65.0mm - 7.5 278 HCPCS C1713 123982 Screw Acutrak 2 - 70.0mm - 7.5 278 HCPCS C1713 123983 Screw Acutrak 2 - 75.0mm - 7.5 278 HCPCS C1713 123984 Screw Acutrak 2 - 80.0mm - 7.5 278 HCPCS C1713 123985 Screw Acutrak 2 - 85.0mm - 7.5 278 HCPCS C1713 123986 Screw Acutrak 2 - 90.0mm - 7.5 278 HCPCS C1713 123987 Screw Acutrak 2 - 95.0mm - 7.5 278 HCPCS C1713 123988 Screw Acutrak 2 - 100.0mm - 7.5 278 HCPCS C1713 123989 Screw Acutrak 2 - 105.0mm - 7.5 278 HCPCS C1713 123990 Screw Acutrak 2 - 110.0mm - 7.5 278 HCPCS C1713 123991 Screw Acutrak 2 - 115.0mm - 7.5 278 HCPCS C1713 123992 Screw Acutrak 2 - 120.0mm - 7.5 278 HCPCS C1713 124043 Screw Bone Acutrak 2 Micro 8.0mm 278 HCPCS C1713 124044 Screw Bone Acutrak 2 Micro 9.0mm 278 HCPCS C1713 124045 Screw Bone Acutrak 2 Micro 10.0mm 278 HCPCS C1713 124046 Screw Bone Acutrak 2 Micro 11.0mm 278 HCPCS C1713 124047 Screw Bone Acutrak 2 Micro 12.0mm 278 HCPCS C1713 124048 Screw Bone Acutrak 2 Micro 13.0mm 278 HCPCS C1713 124049 Screw Bone Acutrak 2 Micro 14.0mm 278 HCPCS C1713 124050 Screw Bone Acutrak 2 Micro 16.0mm 278 HCPCS C1713 124051 Screw Bone Acutrak 2 Micro 18.0mm 278 HCPCS C1713 124052 Screw Bone Acutrak 2 Micro 20.0mm 278 HCPCS C1713 124053 Screw Bone Acutrak 2 Mini 16.0mm 278 HCPCS C1713

166 124054 Screw Bone Acutrak 2 Mini 18.0mm 278 HCPCS C1713 124056 Screw Bone Acutrak 2 Mini 20.0mm 278 HCPCS C1713 124057 Screw Bone Acutrak 2 Mini 22.0mm 278 HCPCS C1713 124058 Screw Bone Acutrak 2 Mini 24.0mm 278 HCPCS C1713 124059 Screw Bone Acutrak 2 Mini 26.0mm 278 HCPCS C1713 124060 Screw Bone Acutrak 2 Mini 28.0mm 278 HCPCS C1713 124061 Screw Bone Acutrak 2 Mini 30.0mm 278 HCPCS C1713 124062 Screw Bone Acutrak 2 Standard 16.0mm 278 HCPCS C1713 124063 Screw Bone Acutrak 2 Standard 18.0mm 278 HCPCS C1713 124064 Screw Bone Acutrak 2 Standard 20.0mm 278 HCPCS C1713 124065 Screw Bone Acutrak 2 Standard 22.0mm 278 HCPCS C1713 124066 Screw Bone Acutrak 2 Standard 24.0mm 278 HCPCS C1713 124067 Screw Bone Acutrak 2 Standard 26.0mm 278 HCPCS C1713 124068 Screw Bone Acutrak 2 Standard 28.0mm 278 HCPCS C1713 124069 Screw Bone Acutrak 2 Standard 30.0mm 278 HCPCS C1713 124070 Screw Bone Acutrak 2 Standard 32.0mm 278 HCPCS C1713 124071 Screw Bone Acutrak 2 Standard 34.0mm 278 HCPCS C1713 122790 Cold Therapy Iceman Clear (Unit only) 272 122791 Cold Pad Ortho Therapy Iceman Clearcube Shoulder272 Small Combo 122792 COLD PAD ORTHO THERAPY ICEMAN SHOULDER LARGE272 124090 Restore PrimeADVANCED MRI Safe Neurostimulator Sacral278 HCPCS Nerve C1820Interstim 124091 Battery Neurostimulator SureScan RestorADVANCED 278MRI SafeHCPCS C1820 124092 Battery Neurostimulator SureScan RestoreSENSOR MRI278 SafeHCPCS C1820 124093 Battery Neurostimulator SureScarn RestoreULTRA MRI278 SafeHCPCS C1820 124094 Recharger Patient for SureScan RestoreSENSOR 272 124095 Programmer Patient External SureScan MyStim for Neurostimulator272 123994 Cannula Assembly Acutrak Short 272 124010 Screw Base Acutrak 2 Large 2 x 2 278 HCPCS C1713 124012 Drill Acutrak 4.7mm Profile 272 124013 Drill Acutrak 2 - AT Large 5.5 Profile 272 124014 Drill Acutrak 2 - AT Large 5.5 Long 272 124017 Guidewire Acutrak .094 x 9.25in 272 HCPCS C1769 124018 Guidewire Acutrak .094 x 9.25in Threaded 272 HCPCS C1769 124019 Drill Acutrak 2 - 7.5mm Profile 272 124020 Drill Acutrak 2 - 7.5mm Long 272 124024 Probe Guidewire 1.6mm 272 HCPCS C1769 124025 Probe Guidewire 2.4mm 272 HCPCS C1769 124038 Drill Acutrak 2 Micro 272 124039 Drill Acutrak 2 Profile 272 124055 Drill Mini Acutrak 272 124081 Guidewire Acutrak 2 Standard .045 x 6in 272 HCPCS C1769 124097 Neck Profemur Neutral Short Cobalt Chrome 278 HCPCS C1776 124098 Neck Profemur A/R Var/Val 2 Short Cobalt Chrome 278 HCPCS C1776 124099 Neck Profemur A/R 8DG Short Cobalt Chrome 278 HCPCS C1776 124100 Neck Profemur Var/Val 8DG Short Cobalt Chrome 278 HCPCS C1776

167 124101 Tubing Irrigation XPS Straightshot M4 Fusion ENT Navigation272 System 104305 Hemostat Avitene Flour 1 Gram 272 124102 Kit Applicator PRP GPS III with No Tips 272 124103 Kit Platelet Separation PRP GPS III Disposable 272 124224 Mixer Tip PRP Thrombin 272 124406 Lead Electrode Tined Quadrapolar 41cm Neurostimulator278 HCPCS InterStim C1778 II 124316 Guidewire Nitinol PleuriStik NanoFx 1mm 272 HCPCS C1769 124317 Handle Guide NanoFx 15d Non-Sterile 272 124315 Retractor Thumb for NanoFx Non-Sterile 272 124440 Steinmann Pin Access Threaded 3.2mm x 9in 278 HCPCS C1713 124441 Patella Vanguard PFR Partial Knee 3 Peg Series A Std278 25 xHCPCS 8.0mm C1776 124442 Patella Vanguard PFR Partial Knee 3 Peg Series A Std278 28 xHCPCS 8.0mm C1776 124443 Patella Vanguard PFR Partial Knee 3 Peg Series A Std278 31 xHCPCS 8.0mm C1776 124444 Patella Vanguard PFR Partial Knee 3 Peg Series A Std278 34 xHCPCS 8.5mm C1776 124445 Patella Vanguard PFR Partial Knee 3 Peg Series A Std278 37 xHCPCS 10mm C1776 124446 Patella Vanguard PFR Partial Knee 3 Peg Series A Std278 40 xHCPCS 10mm C1776 124447 Femoral Component Vanguard PS Total Knee Open Box278 RightHCPCS 60mm C1776 124448 Femoral Component Vanguard PS Total Knee Open Box278 RightHCPCS 62.5mm C1776 124449 Femoral Component Vanguard PS Total Knee Open Box278 RightHCPCS 65mm C1776 124450 Femoral Component Vanguard PS Total Knee Open Box278 RightHCPCS 67.5mm C1776 124451 Femoral Component Vanguard PS Total Knee Open Box278 RightHCPCS 70mm C1776 124452 Femoral Component Vanguard PS Total Knee Open Box278 RightHCPCS 72.5mm C1776 124453 Femoral Component Vanguard PS Total Knee Open Box278 RightHCPCS 75mm C1776 124454 Femoral Component Vanguard PS Total Knee Open Box278 LeftHCPCS 60mm C1776 124455 Femoral Component Vanguard PS Total Knee Open Box278 LeftHCPCS 62.5mm C1776 124456 Femoral Component Vanguard PS Total Knee Open Box278 LeftHCPCS 65mm C1776 124457 Femoral Component Vanguard PS Total Knee Open Box278 LeftHCPCS 67.5mm C1776 124458 Femoral Component Vanguard PS Total Knee Open Box278 LeftHCPCS 70mm C1776 124459 Femoral Component Vanguard PS Total Knee Open Box278 LeftHCPCS 72.5mm C1776 124460 Femoral Component Vanguard PS Total Knee Open Box278 LeftHCPCS 75mm C1776 124461 Tibial Bearing Vanguard CR Lipped Total Knee Poly 10mm278 HCPCS x 63/67 C1776 124462 Tibial Bearing Vanguard CR Lipped Total Knee Poly 12mm278 HCPCS x 63/67 C1776 124463 Tibial Bearing Vanguard CR Lipped Total Knee Poly 14mm278 HCPCS x 63/67 C1776 124464 Tibial Bearing Vanguard CR Lipped Total Knee Poly 16mm278 HCPCS x 63/67 C1776 124465 Tibial Bearing Vanguard CR Lipped Total Knee Poly 18mm278 HCPCS x 63/67 C1776 124466 Tibial Bearing Vanguard CR Lipped Total Knee Poly 10mm278 HCPCS x 71/75 C1776 124467 Tibial Bearing Vanguard CR Lipped Total Knee Poly 12mm278 HCPCS x 71/75 C1776 124468 Tibial Bearing Vanguard CR Lipped Total Knee Poly 14mm278 HCPCS x 71/75 C1776 124469 Tibial Bearing Vanguard CR Lipped Total Knee Poly 16mm278 HCPCS x 71/75 C1776 124470 Tibial Bearing Vanguard CR Lipped Total Knee Poly 18mm278 HCPCS x 71/75 C1776 124471 Tibial Bearing Vanguard CR Lipped Total Knee Poly 10mm278 HCPCS x 79/83 C1776 124472 Tibial Bearing Vanguard CR Lipped Total Knee Poly 12mm278 HCPCS x 79/83 C1776 124473 Tibial Bearing Vanguard CR Lipped Total Knee Poly 14mm278 HCPCS x 79/83 C1776 124474 Tibial Bearing Vanguard CR Lipped Total Knee Poly 16mm278 HCPCS x 79/83 C1776 124475 Tibial Bearing Vanguard CR Lipped Total Knee Poly 18mm278 HCPCS x 79/83 C1776

168 124476 Tibial Bearing Vanguard AS Total Knee Poly 10 x 63mm278 HCPCS C1776 124477 Tibial Bearing Vanguard AS Total Knee Poly 12 x 63mm278 HCPCS C1776 124478 Tibial Bearing Vanguard AS Total Knee Poly 14 x 63mm278 HCPCS C1776 124479 Tibial Bearing Vanguard AS Total Knee Poly 16 x 63mm278 HCPCS C1776 124480 Tibial Bearing Vanguard AS Total Knee Poly 18 x 63mm278 HCPCS C1776 124481 Tibial Bearing Vanguard AS Total Knee Poly 20 x 63mm278 HCPCS C1776 124482 Tibial Bearing Vanguard AS Total Knee Poly 10 x 67mm278 HCPCS C1776 124483 Tibial Bearing Vanguard AS Total Knee Poly 12 x 67mm278 HCPCS C1776 124484 Tibial Bearing Vanguard AS Total Knee Poly 14 x 67mm278 HCPCS C1776 124485 Tibial Bearing Vanguard AS Total Knee Poly 16 x 67mm278 HCPCS C1776 124486 Tibial Bearing Vanguard AS Total Knee Poly 18 x 67mm278 HCPCS C1776 124487 Tibial Bearing Vanguard AS Total Knee Poly 20 x 67mm278 HCPCS C1776 124488 Tibial Bearing Vanguard AS Total Knee Poly 10 x 71mm278 HCPCS C1776 124489 Tibial Bearing Vanguard AS Total Knee Poly 12 x 71mm278 HCPCS C1776 124490 Tibial Bearing Vanguard AS Total Knee Poly 14 x 71mm278 HCPCS C1776 124491 Tibial Bearing Vanguard AS Total Knee Poly 16 x 71mm278 HCPCS C1776 124492 Tibial Bearing Vanguard AS Total Knee Poly 18 x 71mm278 HCPCS C1776 124493 Tibial Bearing Vanguard AS Total Knee Poly 20 x 71mm278 HCPCS C1776 124494 Tibial Bearing Vanguard AS Total Knee Poly 10 x 75mm278 HCPCS C1776 124495 Tibial Bearing Vanguard AS Total Knee Poly 12 x 75mm278 HCPCS C1776 124496 Tibial Bearing Vanguard AS Total Knee Poly 14 x 75mm278 HCPCS C1776 124497 Tibial Bearing Vanguard AS Total Knee Poly 16 x 75mm278 HCPCS C1776 124498 Tibial Bearing Vanguard AS Total Knee Poly 18 x 75mm278 HCPCS C1776 124499 Tibial Bearing Vanguard AS Total Knee Poly 20 x 75mm278 HCPCS C1776 124500 Tibial Bearing Vanguard AS Total Knee Poly 10 x 79mm278 HCPCS C1776 124501 Tibial Bearing Vanguard AS Total Knee Poly 12 x 79mm278 HCPCS C1776 124502 Tibial Bearing Vanguard AS Total Knee Poly 14 x 79mm278 HCPCS C1776 124503 Tibial Bearing Vanguard AS Total Knee Poly 16 x 79mm278 HCPCS C1776 124504 Tibial Bearing Vanguard AS Total Knee Poly 18 x 79mm278 HCPCS C1776 124505 Tibial Bearing Vanguard AS Total Knee Poly 20 x 79mm278 HCPCS C1776 124506 Tibial Bearing Vanguard AS Total Knee Poly 10 x 83mm278 HCPCS C1776 124507 Tibial Bearing Vanguard AS Total Knee Poly 12 x 83mm278 HCPCS C1776 124508 Tibial Bearing Vanguard AS Total Knee Poly 14 x 83mm278 HCPCS C1776 124509 Tibial Bearing Vanguard AS Total Knee Poly 16 x 83mm278 HCPCS C1776 124510 Tibial Bearing Vanguard AS Total Knee Poly 18 x 83mm278 HCPCS C1776 124511 Tibial Bearing Vanguard AS Total Knee Poly 20 x 83mm278 HCPCS C1776 124512 Tibial Bearing Vanguard PS Plus 10mm x 63/67 278 HCPCS C1776 124513 Tibial Bearing Vanguard PS Plus 12mm x 63/67 278 HCPCS C1776 124514 Tibial Bearing Vanguard PS Plus 14mm x 63/67 278 HCPCS C1776 124515 Tibial Bearing Vanguard PS Plus 16mm x 63/67 278 HCPCS C1776 124516 Tibial Bearing Vanguard PS Plus 18mm x 63/67 278 HCPCS C1776 124517 Tibial Bearing Vanguard PS Plus 20mm x 63/67 278 HCPCS C1776 124518 Tibial Bearing Vanguard PS Plus 10mm x 71/75 278 HCPCS C1776 124519 Tibial Bearing Vanguard PS Plus 12mm x 71/75 278 HCPCS C1776 124520 Tibial Bearing Vanguard PS Plus 14mm x 71/75 278 HCPCS C1776

169 124521 Tibial Bearing Vanguard PS Plus 16mm x 71/75 278 HCPCS C1776 124522 Tibial Bearing Vanguard PS Plus 18mm x 71/75 278 HCPCS C1776 124523 Tibial Bearing Vanguard PS Plus 20mm x 71/75 278 HCPCS C1776 124524 Tibial Bearing Vanguard PS Plus 10mm x 79/83 278 HCPCS C1776 124525 Tibial Bearing Vanguard PS Plus 12mm x 79/83 278 HCPCS C1776 124526 Tibial Bearing Vanguard PS Plus 14mm x 79/83 278 HCPCS C1776 124527 Tibial Bearing Vanguard PS Plus 16mm x 79/83 278 HCPCS C1776 124528 Tibial Bearing Vanguard PS Plus 18mm x 79/83 278 HCPCS C1776 124529 Tibial Bearing Vanguard PS Plus 20mm x 79/83 278 HCPCS C1776 124530 Tissue Sealer Enseal G2 Articulat Bipolar Cvr Jaw 5mm272 x 35cm 107067 Bit Drill 2.4mm ACL Fixation Post System Disposable272 Sterile 124533 Screw Anterior Cervical Plating Quintex Constrained278 4x14mmHCPCS C1713 124534 Screw Anterior Cervical Plating Quintex Semi-Constrained278 HCPCS 4x12mm C1713 124535 Plate Anterior Cervical Plating Quintex Hybrid 2-Level278 37mm 124536 Screw Pedicle Polyaxial 6 x 50mm Aesculap S4 Element278 LumbarHCPCS ImplantC1713 124537 Screw Pedicle Polyaxial 6 x 55mm Aesculap S4 Element278 LumbarHCPCS ImplantC1713 124538 Rod Pre-bent 5.5 x 55mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 124539 Rod Pre-bent 5.5 x 60mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 124540 Rod Pre-bent 5.5 x 70mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 124541 Rod Pre-bent 5.5 x 100mm Aesculap S4 Lumbar Implant278 SystemHCPCS C1713 124612 Cord Bovie Bipolar Disposable for daVinci 272 110205 Sheath Intro Set 6/45 Cl07645 272 124613 Insert Fogarty Hydragrip Safejaw-Hydrajaw 61mm 272 124614 Insert Fogarty Hydragrip Safejaw-Hydrajaw 86mm 272 124616 Anchor Knotless BIORAPTOR 29 Shoulder Suture 278 HCPCS C1713 124656 Bit Drill BIORAPTOR Spade 2.9mm 272 124662 Kit Tubing FMS DUO Sterile (Temporary Replacement272 for Reusable Setup) 124714 Suture Endostitch Load Polysorb 2-0 Violet 48in 170053272 124723 Anchor Healix Transtend PEEK 3.4mm 278 124724 Anchor Healix Transtend BR 3.4mm 278 124725 Graft Vascular Access ACUSEAL 6mm x 40cm 278 HCPCS C1768 124731 Anchor Healix Advance BR w/Orthocord 4.5mm 278 HCPCS C1713 124732 Anchor Healix Advance BR3-Suture w/Orthocord 4.5mm278 HCPCS C1713 124760 Bone Void Filler Injectable Synthetic Resorbable geneX278 2.5ccHCPCS C1713 124761 Bone Void Filler Injectable Synthetic Resorbable geneX278 5.0ccHCPCS C1713 124764 Guidewire Non-Threaded 1.25mm x 150mm for 3.5 272and 4.0mm Cannulated Screws 124766 Drainage Bag System CSF External MoniTorr ICP 272 124776 Kit Lead Compact 1 x 8 x 60cm Neurostimulator Vectris278 SureScanHCPCS C1778 124782 Trocar Endo 12 x 130mm Blunt-Tip Hasson Balloon Sleeve272 124792 Kit Lead Compact 1 x 8 x 60cm Neurostimulator Vectris278 HCPCS C1778 124793 Dressing Wound Mepilex Border AG 4 x 8in Antimicrobial272 124794 Dressing Wittman Patch Staged Abdominal Repair Hook272 and Loop 120265 Needle Aspiration Transbronchial (TBNA) 22G 40mm272 for EBUS Scope w/Syr&Valve 121984 Connector Auxiliary Water Port EndoGator Irrigation272 Pump 121107 Adapter Airway CAPNOFlex Adult/Pediatric LF 272

170 101497 Cannula Nasal Oxygen Delivery Adult w/ET CO2 Sampling272 CAPNOFlex 101505 Atomizer Nasal/Mucosal Medication Administration 272without Syringe 124799 Balloon Endobronchial Ultrasound Scope Bronchoscope272 124801 Suture Prolene 0 Mono 8-18in MO-7 CR Needle C841G272 124802 Immobilizer Knee 20in XXlarge 271 114093 Care Kit Clearify Visual Laparoscope Warmer/Defogger/Cleaner272 114063 Suture Phatom Fiber Violet Size 2 with Needles 272 114064 Suture Phatom Fiber White Size 2 without Needles 272 114069 Retrieval Device Remote Endarterectomy EndoHelix272 44cm Sterile 124765 Dissector Martin Remote Endarterectomy 40cm Sterile272 103578 Catheter Flush Omni Soft-Vu 5Fr x 100cm x .038in 272 HCPCS C1887 103579 Catheter Flush Straight Soft-Vu 5Fr x 65cm x .035in272 HCPCS C1887 103624 Catheter Flush Racket Soft-Vu 5Fr x 100cm x .038in272 HCPCS C1887 105495 Fiber Reusable for Lumenis/Dual Slimline 365Um Laser272 System 114111 Lead Electrode Tined Quadrapolar 33cm Neurostimulator278 HCPCS InterStim C1778 II 114193 Suture NiceLoop Size 5 White 272 114194 Suture NiceLoop Size 5 White/Green 272 114211 Plate CLAW II 2-Hole 30mm 278 HCPCS C1713 114220 Screw Cannulated 4.0mm x 60mm Short Thread 278 HCPCS C1713 114222 Screw Locking Ortholoc 2.7 x 10mm 278 HCPCS C1713 114225 Screw Non-Locking Ortholoc 3.5 x 30mm 278 HCPCS C1713 114226 Plate Ortholoc Straight Midfoot Fusion 278 HCPCS C1713 114228 Screw 3.5 x 44mm Short Thread 278 HCPCS C1713 114229 Screw 3.5 x 40mm Short Thread 278 HCPCS C1713 114230 Cold Pad Ortho Iceman Clearcube Ankle Wrap On Combo272 114236 Suture Passer Hewson Retriever Ortho/Trauma 272 114270 Plate Ortholoc MDCO 278 HCPCS C1713 114279 Screw Cannulated 7.3 x 100mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 114280 Screw Cannulated 7.3 x 105mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 114281 Screw Cannulated 7.3 x 115mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 114287 Stent-Graft Peripheral SFA Viabahn 5x50mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 114315 Drill-Reamer 2.9/5.0mm QC 145mm - 4mm Angular 272Stable Lock Screw 114316 Drill-Reamer 3.9/6.0mm QC 145mm - 5mm Angular 272Stable Lock Screw 114317 Drill-Reamer 4.9/7.0mm QC 145mm - 6mm Angular 272Stable Lock Screw 114318 Drill Bit 3-Fluted 2.9/3.2mm QC 150mm - 4mm Angular272 Stable Lock Screw 114319 Drill Bit 3-Fluted 3.9/4.2mm QC 150mm - 5mm Angular272 Stable Lock Screw 114320 Drill Bit 3-Fluted 4.9/5.0mm QC 150mm - 6mm Angular272 Stable Lock Screw 114321 Drill Bit 3-Fluted 2.9/3.2mm QC 331/100mm - 4mm272 Angular Stable Lock Screw 114322 Drill Bit 3-Fluted 3.9/4.2mm QC 331/100mm - 5mm272 Angular Stable Lock Screw 114323 Drill Bit 3-Fluted 4.9/5.0mm QC 331/100mm - 6mm272 Angular Stable Lock Screw 114324 Drill-Reamer 2.9/5.0mm QC 268mm - 4mm Angular 272Stable Lock Screw 114325 Drill-Reamer 3.9/6.0mm QC 288mm - 5mm Angular 272Stable Lock Screw 114326 Drill-Reamer 4.9/7.0mm QC 288mm - 6mm Angular 272Stable Lock Screw 114327 Screw Angular Stable Lock 4x26mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114328 Screw Angular Stable Lock 4x28mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster

171 114329 Screw Angular Stable Lock 4x30mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114330 Screw Angular Stable Lock 4x32mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114331 Screw Angular Stable Lock 4x34mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114332 Screw Angular Stable Lock 4x36mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114333 Screw Angular Stable Lock 4x38mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114335 Screw Angular Stable Lock 4x40mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114336 Screw Angular Stable Lock 4x42mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114337 Screw Angular Stable Lock 4x44mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114338 Screw Angular Stable Lock 4x46mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114339 Screw Angular Stable Lock 4x48mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114340 Screw Angular Stable Lock 4x50mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114341 Screw Angular Stable Lock 4x52mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114342 Screw Angular Stable Lock 4x54mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114343 Screw Angular Stable Lock 4x56mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114344 Screw Angular Stable Lock 4x58mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114345 Screw Angular Stable Lock 4x60mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114346 Screw Angular Stable Lock 4x62mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114347 Screw Angular Stable Lock 4x64mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114348 Screw Angular Stable Lock 4x66mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114349 Screw Angular Stable Lock 4x68mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114350 Screw Angular Stable Lock 4x70mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114351 Screw Angular Stable Lock 4x72mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114352 Screw Angular Stable Lock 4x74mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114353 Screw Angular Stable Lock 4x76mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114355 Screw Angular Stable Lock 4x78mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114356 Screw Angular Stable Lock 4x80mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114357 Screw Angular Stable Lock 5x30mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114358 Screw Angular Stable Lock 5x32mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114360 Screw Angular Stable Lock 5x34mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114363 Screw Angular Stable Lock 5x36mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114364 Screw Angular Stable Lock 5x38mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114365 Screw Angular Stable Lock 5x40mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114366 Screw Angular Stable Lock 5x42mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114367 Screw Angular Stable Lock 5x44mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114368 Screw Angular Stable Lock 5x46mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114369 Screw Angular Stable Lock 5x48mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114371 Screw Angular Stable Lock 5x50mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114372 Screw Angular Stable Lock 5x52mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114373 Screw Angular Stable Lock 5x54mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114374 Screw Angular Stable Lock 5x56mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114375 Screw Angular Stable Lock 5x58mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114376 Screw Angular Stable Lock 5x60mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114377 Screw Angular Stable Lock 5x62mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114378 Screw Angular Stable Lock 5x64mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114379 Screw Angular Stable Lock 5x66mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster

172 114380 Screw Angular Stable Lock 5x68mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114381 Screw Angular Stable Lock 5x70mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114382 Screw Angular Stable Lock 5x72mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114383 Screw Angular Stable Lock 5x74mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114384 Screw Angular Stable Lock 5x76mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114385 Screw Angular Stable Lock 5x78mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114386 Screw Angular Stable Lock 5x80mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114387 Screw Angular Stable Lock 5x85mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114388 Screw Angular Stable Lock 5x90mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114390 Screw Angular Stable Lock 5x95mm T25 Blunt Tip - Ti278 CannHCPCS IM Nail C1713 Ster 114391 Screw Angular Stable Lock 5x100mm T25 Blunt Tip -278 Ti CannHCPCS IM NailC1713 Ster 114392 Screw Trochanteric Fixation Nail 11x80mm Ti Sterile278 HCPCS C1713 114395 Screw Trochanteric Fixation Nail 11x85mm Ti Sterile278 HCPCS C1713 114396 Screw Trochanteric Fixation Nail 11x90mm Ti Sterile278 HCPCS C1713 114397 Screw Trochanteric Fixation Nail 11x95mm Ti Sterile278 HCPCS C1713 114398 Screw Trochanteric Fixation Nail 11x100mm Ti Sterile278 HCPCS C1713 114400 Screw Trochanteric Fixation Nail 11x105mm Ti Sterile278 HCPCS C1713 114401 Screw Trochanteric Fixation Nail 11x110mm Ti Sterile278 HCPCS C1713 114403 Screw Trochanteric Fixation Nail 11x115mm Ti Sterile278 HCPCS C1713 114404 Screw Trochanteric Fixation Nail 11x120mm Ti Sterile278 HCPCS C1713 114410 Graft Vasc Knitted Straight AlboGraft 6mm-40cm Poly/Collagen278 HCPCS C1768 114432 Graft Vasc Knitted Straight AlboGraft 7mm-60cm Poly/Collagen278 HCPCS C1768 114433 Graft Vasc Knitted Straight AlboGraft 8mm-100cm Poly/Collagen278 HCPCS C1768 114435 Graft Vasc Knitted Straight AlboGraft 10mm-60cm Poly/Collagen278 HCPCS C1768 114436 Graft Vasc Knitted Bifurcated AlboGraft 12x7mm-50cm278 Poly/CollagenHCPCS C1768 114437 Graft Vasc Knitted Bifurcated AlboGraft 14x7mm-50cm278 Poly/CollagenHCPCS C1768 114438 Graft Vasc Knitted Bifurcated AlboGraft 16x8mm-50cm278 Poly/CollagenHCPCS C1768 114439 Graft Vasc Knitted Bifurcated AlboGraft 18x9mm-50cm278 Poly/CollagenHCPCS C1768 114440 Graft Vasc Knitted Bifurcated AlboGraft 20x10mm-50cm278 Poly/CollagenHCPCS C1768 114441 Graft Vasc Knitted Bifurcated AlboGraft 22x11mm-50cm278 Poly/CollagenHCPCS C1768 114442 Graft Vasc Knitted Bifurcated AlboGraft 24x12mm-50cm278 Poly/CollagenHCPCS C1768 114444 Graft Vasc Knitted Straight AlboGraft 16mm-30cm Poly/Collagen278 HCPCS C1768 114445 Graft Vasc Knitted Straight AlboGraft 18mm-30cm Poly/Collagen278 HCPCS C1768 114446 Graft Vasc Knitted Straight AlboGraft 20mm-30cm Poly/Collagen278 HCPCS C1768 114447 Graft Vasc Knitted Straight AlboGraft 22mm-30cm Poly/Collagen278 HCPCS C1768 114473 Bur Core Sumex Neuro Elite Diamond Extra Coarse Round272 6.0mm 124827 Head Humeral Aequalis Ascend Flex CoCr 46x17mm 2781.5mm-OffsetHCPCS C1776 124828 Head Humeral Aequalis Ascend Flex CoCr 43x16mm 278High-OffsetHCPCS C1776 124829 Head Humeral Aequalis Ascend Flex CoCr 50x19mm 278High-OffsetHCPCS C1776 124830 Insert Aequalis Ascend Flex Revision Reversed +36mm278 Dia 6/12.5 124831 Insert Aequalis Ascend Flex Revision Reversed +36mm278 Dia 9/12.5 124832 Insert Aequalis Ascend Flex Revision Reversed +42mm278 Dia 6/12.5 124833 Insert Aequalis Ascend Flex Revision Reversed +42mm278 Dia 9/12.5 124834 Humeral Tray Aequalis Ascend Flex Reversed 40 Dia 278High-Offset+0HCPCS C1776 124835 Humeral Tray Aequalis Ascend Flex Reversed 40 Dia 278High-Offset+6HCPCS C1776

173 124836 Stem Humeral Aequalis Ascend Flex Long Press-fit PTC278 SizeHCPCS 1B C1776 124837 Stem Humeral Aequalis Ascend Flex Long Press-fit PTC278 SizeHCPCS 2B C1776 124838 Stem Humeral Aequalis Ascend Flex Long Press-fit PTC278 SizeHCPCS 3B C1776 124839 Stem Humeral Aequalis Ascend Flex Long Press-fit PTC278 SizeHCPCS 4B C1776 124840 Stem Humeral Aequalis Ascend Flex Long Press-fit PTC278 SizeHCPCS 5B C1776 124841 Stem Humeral Aequalis Ascend Flex Long Press-fit PTC278 SizeHCPCS 6B C1776 124867 Screw Cannulated 7.3 x 110mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124866 Screw Cannulated 7.3 x 105mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124865 Screw Cannulated 7.3 x 100mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124864 Screw Cannulated 7.3 x 95mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124863 Screw Cannulated 7.3 x 90mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124862 Screw Cannulated 7.3 x 85mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124861 Screw Cannulated 7.3 x 80mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124860 Screw Cannulated 7.3 x 75mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124859 Screw Cannulated 7.3 x 70mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124858 Screw Cannulated 7.3 x 65mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124857 Screw Cannulated 7.3 x 60mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124856 Screw Cannulated 7.3 x 55mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124855 Screw Cannulated 7.3 x 50mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124854 Screw Cannulated 7.3 x 45mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124853 Screw Cannulated 7.3 x 40mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124852 Screw Cannulated 7.3 x 35mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124851 Screw Cannulated 7.3 x 30mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124850 Screw Cannulated 7.3 x 25mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124849 Screw Cannulated 7.3 x 20mm x Fully Threaded Self-Drill/Tap278 HCPCS SS C1713 124868 Screw Cannulated 7.3 x 115mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124869 Screw Cannulated 7.3 x 120mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124870 Screw Cannulated 7.3 x 125mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124871 Screw Cannulated 7.3 x 130mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124872 Screw Cannulated 7.3 x 135mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124873 Screw Cannulated 7.3 x 140mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124874 Screw Cannulated 7.3 x 145mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124875 Screw Cannulated 7.3 x 150mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124876 Screw Cannulated 7.3 x 155mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124877 Screw Cannulated 7.3 x 160mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124878 Screw Cannulated 7.3 x 165mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124879 Screw Cannulated 7.3 x 170mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124880 Screw Cannulated 7.3 x 175mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124881 Screw Cannulated 7.3 x 180mm x Fully Threaded Self-Drill/Tap278 HCPCS SSC1713 124882 Screw Cannulated 7.3 x 45mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713 124883 Screw Cannulated 7.3 x 50mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713 124884 Screw Cannulated 7.3 x 55mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713 124885 Screw Cannulated 7.3 x 60mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713 124886 Screw Cannulated 7.3 x 65mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713 124887 Screw Cannulated 7.3 x 70mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713

174 124888 Screw Cannulated 7.3 x 75mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713 124889 Screw Cannulated 7.3 x 80mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713 124890 Screw Cannulated 7.3 x 85mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713 124891 Screw Cannulated 7.3 x 90mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713 124892 Screw Cannulated 7.3 x 95mm x 32mm Threaded Self-Drill/Tap278 HCPCS SSC1713 124893 Screw Cannulated 7.3 x 100mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124894 Screw Cannulated 7.3 x 105mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124895 Screw Cannulated 7.3 x 110mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124896 Screw Cannulated 7.3 x 115mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124897 Screw Cannulated 7.3 x 120mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124898 Screw Cannulated 7.3 x 125mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124899 Screw Cannulated 7.3 x 130mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124900 Screw Cannulated 7.3 x 135mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124901 Screw Cannulated 7.3 x 140mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124902 Screw Cannulated 7.3 x 145mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124903 Screw Cannulated 7.3 x 150mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124904 Screw Cannulated 7.3 x 155mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124905 Screw Cannulated 7.3 x 160mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124906 Screw Cannulated 7.3 x 165mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124907 Screw Cannulated 7.3 x 170mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124908 Screw Cannulated 7.3 x 175mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 124909 Screw Cannulated 7.3 x 180mm x 32mm Threaded Self-Drill/Tap278 HCPCS C1713 SS 127340 Anchor Healix Knotless BR 6.5mm 278 HCPCS C1713 127392 Needle Stimuplex Ultra Nerve Block Insulated 20G x272 4in w/Extension Set 127434 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x10mm278 Poly-AxialHCPCS C1713 127435 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x12mm278 Poly-AxialHCPCS C1713 127436 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x14mm278 Poly-AxialHCPCS C1713 127437 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x16mm278 Poly-AxialHCPCS C1713 127438 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x18mm278 Poly-AxialHCPCS C1713 127439 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x20mm278 Poly-AxialHCPCS C1713 127440 Screw Pedicle Polyaxial StreamlineCT Ti 3.5 x22mm278 Poly-AxialHCPCS C1713 127441 Locking Cap Pedicle Screw StreamlineCT 278 HCPCS C1713 127442 Bone Void Filler nanOss Bioactive 1cc 278 HCPCS C1713 127466 Spacer Thoracic-Lumbar Titianium Cage tezo-T 34x16x14mm278 HCPCS Ht C17135d 127465 Spacer Thoracic-Lumbar Titianium Cage tezo-T 34x16x13mm278 HCPCS Ht C17135d 127464 Spacer Thoracic-Lumbar Titianium Cage tezo-T 34x16x12mm278 HCPCS Ht C17135d 127463 Spacer Thoracic-Lumbar Titianium Cage tezo-T 34x16x11mm278 HCPCS Ht C17135d 127462 Spacer Thoracic-Lumbar Titianium Cage tezo-T 34x16x10mm278 HCPCS Ht C17135d 127461 Spacer Thoracic-Lumbar Titianium Cage tezo-T 34x16x9mm278 HCPCS Ht 5dC1713 127460 Spacer Thoracic-Lumbar Titianium Cage tezo-T 34x16x8mm278 HCPCS Ht 5dC1713 127459 Spacer Thoracic-Lumbar Titianium Cage tezo-T 34x16x7mm278 HCPCS Ht 5dC1713 127458 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x14x14mm278 HCPCS Ht C17135d 127457 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x14x13mm278 HCPCS Ht C17135d 127456 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x14x12mm278 HCPCS Ht C17135d 127455 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x14x11mm278 HCPCS Ht C17135d

175 127454 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x14x10mm278 HCPCS Ht C17135d 127453 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x14x9mm278 HCPCS Ht 5dC1713 127452 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x14x8mm278 HCPCS Ht 5dC1713 127451 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x14x7mm278 HCPCS Ht 5dC1713 127450 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x11x14mm278 HCPCS Ht C17135d 127449 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x11x13mm278 HCPCS Ht C17135d 127448 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x11x12mm278 HCPCS Ht C17135d 127447 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x11x11mm278 HCPCS Ht C17135d 127446 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x11x10mm278 HCPCS Ht C17135d 127445 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x11x9mm278 HCPCS Ht 5dC1713 127444 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x11x8mm278 HCPCS Ht 5dC1713 127443 Spacer Thoracic-Lumbar Titianium Cage tezo-T 29x11x7mm278 HCPCS Ht 5dC1713 127467 Bit Drill S4C Drill 2.4mm 272 127468 Set Screw Aesculap S4C Posterior Cervical Fixation 278 HCPCS C1713 127469 Screw Pedicle Smooth Shank 4.0 x 8mm - 16mm Thread278 S4CHCPCS Posterior C1713 Cervical 127471 Rod Aesculap S4C Posterior Cervical Fixation 3.5x60mm278 HCPCS C1713 127472 Screw Pedicle Polyaxial 5 x 40mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 127473 Screw Pedicle Polyaxial 5 x 45mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 127474 Screw Pedicle Polyaxial 6 x 55mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 127475 Screw Pedicle Polyaxial 7 x 40mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 127476 Screw Pedicle Polyaxial 7 x 45mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 127513 Mesh Hernia Phasix Synthetic Resorbable 6 x 8in 278 HCPCS C1781 127514 Mesh Hernia Phasix Synthetic Resorbable 8 x10in 278 HCPCS C1781 127515 Mesh Hernia Phasix Synthetic Resorbable 10 x 12in 278 HCPCS C1781 124819 Catheter Balloon Radio Freq Ablation 31mm Barrx 360272 Medical Halo 124820 Balloon Soft Sizing Barrx 360 Medical Halo 272 124821 Catheter Focal Radio Freq Ablation Barrx 60 Medical272 Halo 124822 Catheter Focal Radio Freq Ablation Barrx 90 Medical272 Halo 124823 Cap Cleaning Small Angle Barrx RFA Medical Halo 272 124824 Guidewire Endoscopic .035in Barrx RFA Medical Halo272 HCPCS C1769 124825 Catheter Focal Ultra-long Radio Freq Ablation Barrx272 Medical Halo 124826 Catheter Channel Endoscopic Barrx RFA Medical Halo272 124818 Catheter Balloon Radio Freq Ablation 28mm Barrx 360272 Medical Halo 124817 Catheter Balloon Radio Freq Ablation 25mm Barrx 360272 Medical Halo 124816 Catheter Balloon Radio Freq Ablation 22mm Barrx 360272 Medical Halo 124815 Catheter Balloon Radio Freq Ablation 18mm Barrx 360272 Medical Halo 127531 Tray Balloon Kyphoplasty Express II 20/2 Thoracic 1st278 Fracture OneStep 127560 Plate LCP Hook 3.5mm x 62mm 3 Hole SS Sterile 278 HCPCS C1713 124800 Tube Gastrostomy Feeding MIC 20Fr Sterile 272 127562 Shell Acetabular Cup Dynasty BF 3-Hole 52mm Group278 D HCPCS C1776 127563 Shell Acetabular Cup Dynasty BF 3-Hole 54mm Group278 E HCPCS C1776 127564 Shell Acetabular Cup Dynasty BF 3-Hole 56mm Group278 F HCPCS C1776 127565 Shell Acetabular Cup Dynasty BF 3-Hole 58mm Group278 G HCPCS C1776 127566 Shell Acetabular Cup Dynasty BF 3-Hole 60mm Group278 G HCPCS C1776 127567 Shell Acetabular Cup Dynasty BF 3-Hole 62mm Group278 G HCPCS C1776

176 127568 Shell Acetabular Cup Dynasty BF 3-Hole 64mm Group278 H HCPCS C1776 127569 Shell Acetabular Cup Dynasty BF 3-Hole 66mm Group278 H HCPCS C1776 127570 Shell Acetabular Cup Dynasty BF 3-Hole 68mm Group278 H HCPCS C1776 127571 Electrode Bugbee Coagulating Ball 3Fr x 110cm Sterile272 127638 Cutting Loop 24Fr Monopolar Angled 0.35mm Yellow272 Sterile 127639 Cutting Loop 27Fr Monopolar Angled 0.35mm Brown272 Sterile 127640 Electrode 24Fr Monopolar Coagulating Pointed Yellow272 Sterile 127641 Electrode 24Fr Monopolar Coagulating 3mm Ball Yellow272 Sterile 127643 Screw Cannulated 7.3 x 30mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127644 Screw Cannulated 7.3 x 35mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127645 Screw Cannulated 7.3 x 40mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127646 Screw Cannulated 7.3 x 45mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127647 Screw Cannulated 7.3 x 50mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127648 Screw Cannulated 7.3 x 55mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127649 Screw Cannulated 7.3 x 60mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127650 Screw Cannulated 7.3 x 65mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127651 Screw Cannulated 7.3 x 70mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127652 Screw Cannulated 7.3 x 75mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127653 Screw Cannulated 7.3 x 80mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127654 Screw Cannulated 7.3 x 85mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127655 Screw Cannulated 7.3 x 90mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127656 Screw Cannulated 7.3 x 95mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713Socket 127657 Screw Cannulated 7.3 x 110mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 127658 Screw Cannulated 7.3 x 120mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 127659 Screw Cannulated 7.3 x 125mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 127660 Screw Cannulated 7.3 x 130mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 127661 Screw Cannulated 7.3 x 135mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 127662 Screw Cannulated 7.3 x 140mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 127663 Screw Cannulated 7.3 x 145mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 127664 Screw Cannulated 7.3 x 150mm/16mm Thread Self Drill/Tap278 HCPCS Hex C1713 Socket 112646 Needle Blunt Hawkins-Akins 18Ga x 15cm 272 127693 Mesh Hernia Phasix Synthetic Resorbable 3 x 3in 278 HCPCS C1781 127694 Mesh Hernia Phasix Synthetic Resorbable 4 x 6in 278 HCPCS C1781 127701 Anchor Gryphon BR w/ProKnot 278 127708 Clip Ligating Polymer Hem-O-Lok X-Large Tan Sterile272 (6/cartridge) 127766 Screw Universal Glenoid Baseplate Ti Central 6.5 x 20mm278 HCPCS C1713 127767 Screw Universal Glenoid baseplate Ti Central 6.5 x 25mm278 HCPCS C1713 127768 Screw Universal Glenoid Baseplate Ti Peripheral Locking278 HCPCS4.5 x 24mm C1713 127769 Screw Universal Glenoid Baseplate Ti Peripheral Locking278 HCPCS4.5 x 30mm C1713 127770 Screw Universal Glenoid Baseplate Ti Peripheral Locking278 HCPCS4.5 x 36mm C1713 127771 Screw Universal Glenoid Baseplate Ti Peripheral Locking278 HCPCS4.5 x 42mm C1713 127772 Screw Universal Glenoid Baseplate Ti Peripheral Locking278 HCPCS4.5 x 42mm C1713 127710 Stem Humeral UniversRevers Size 5 Monoblock 135d278 36mmHCPCS Cup CaPOC1776 Coated 127711 Stem Humeral UniversRevers Size 5 Monoblock 155d278 36mmHCPCS Cup CaPOC1776 Coated 127712 Stem Humeral UniversRevers Size 6 CaPO Coated 278 HCPCS C1776

177 127713 Stem Humeral UniversRevers Size 7 CaPO Coated 278 HCPCS C1776 127714 Stem Humeral UniversRevers Size 8 CaPO Coated 278 HCPCS C1776 127715 Stem Humeral UniversRevers Size 9 CaPO Coated 278 HCPCS C1776 127716 Stem Humeral UniversRevers Size 10 CaPO Coated 278 HCPCS C1776 127717 Stem Humeral UniversRevers Size 11 CaPO Coated 278 HCPCS C1776 127718 Stem Humeral UniversRevers Size 12 CaPO Coated 278 HCPCS C1776 127719 Stem Humeral UniversRevers Size 13 CaPO Coated 278 HCPCS C1776 127720 Cup Humeral UniversRevers 36mm Neutral CaPO Coated278 127721 Cup Humeral UniversRevers 36mm +2mm Left CaPO278 Coated 127722 Cup Humeral UniversRevers 36mm +2 Right CaPO Coated278 127723 Cup Humeral UniversRevers 39mm Neutral CaPO Coated278 127724 Cup Humeral UniversRevers 39mm +2mm Left CaPO278 Coated 127725 Cup Humeral UniversRevers 39mm +2 Right CaPO Coated278 127726 Cup Humeral UniversRevers 42mm Neutral CaPO Coated278 127727 Cup Humeral UniversRevers 42mm +2mm Left CaPO278 Coated 127728 Cup Humeral UniversRevers 42mm +2 Right CaPO Coated278 127729 Liner Humeral UniversRevers PE 36+3mm 278 127730 Liner Humeral UniversRevers PE 36+3mm Constrained278 127731 Liner Humeral UniversRevers PE 36+6mm 278 127732 Liner Humeral UniversRevers PE 36+6mm Constrained278 127733 Liner Humeral UniversRevers PE 39+3mm 278 127734 Liner Humeral UniversRevers PE 39+3mm Constrained278 127735 Liner Humeral UniversRevers PE 39+6mm 278 127736 Liner Humeral UniversRevers PE 39+6mm Constrained278 127737 Liner Humeral UniversRevers PE 42+3mm 278 127738 Liner Humeral UniversRevers PE 42+3mm Constrained278 127739 Liner Humeral UniversRevers PE 42+6mm 278 127740 Liner Humeral UniversRevers PE 42+6mm Constrained278 127741 Spacer Humeral UniversRevers Ti 36+6mm 278 127742 Spacer Humeral UniversRevers Ti 36+9mm 278 127743 Spacer Humeral UniversRevers Ti 36+12mm 278 127744 Spacer Humeral UniversRevers Ti 36+15mm 278 127745 Spacer Humeral UniversRevers Ti 39+6mm 278 127746 Spacer Humeral UniversRevers Ti 39+9mm 278 127747 Spacer Humeral UniversRevers Ti 39+12mm 278 127748 Spacer Humeral UniversRevers Ti 39+15mm 278 127749 Spacer Humeral UniversRevers Ti 42+6mm 278 127750 Spacer Humeral UniversRevers Ti 42+9mm 278 127751 Spacer Humeral UniversRevers Ti 42+12mm 278 127752 Spacer Humeral UniversRevers Ti 42+15mm 278 127753 Baseplate Universal Glenoid Small CaPO Coated 278 127754 Baseplate Universal Glenoid Medium CaPO Coated 278 127755 Baseplate Universal Glenoid Large CaPO Coated 278 127756 Glenosphere UniversRevers 36 278 127757 Glenosphere UniversRevers 36 +2.5 Inferior 278

178 127758 Glenosphere UniversRevers 36 +4 Lateral 278 127759 Glenosphere UniversRevers 39 278 127760 Glenosphere UniversRevers 39 +2.5 Inferior 278 127761 Glenosphere UniversRevers 39 +4 Lateral 278 127762 Glenosphere UniversRevers 42 278 127763 Glenosphere UniversRevers 42 +2.5 Inferior 278 127764 Glenosphere UniversRevers 42 +4 Lateral 278 127765 Screw Universal Glenoid Baseplate Ti Central 6.5 x 15mm278 HCPCS C1713 127814 Bit Drill Quick Coupling Mini 1.1mm x 75mm 272 127815 Bit Drill Quick Coupling Mini 1.5mm x 65mm 272 127773 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 6mm278 HCPCS C1713 127774 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 7mm278 HCPCS C1713 127775 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 8mm278 HCPCS C1713 127776 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 9mm278 HCPCS C1713 127777 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 10mm278 HCPCS C1713 127778 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 11mm278 HCPCS C1713 127779 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 12mm278 HCPCS C1713 127780 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 13mm278 HCPCS C1713 127781 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 14mm278 HCPCS C1713 127782 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 15mm278 HCPCS C1713 127783 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 16mm278 HCPCS C1713 127784 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 18mm278 HCPCS C1713 127785 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 20mm278 HCPCS C1713 127786 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 22mm278 HCPCS C1713 127787 Screw Locking Self-Tap Mini Frag w/Stardrive 1.5 x 24mm278 HCPCS C1713 127788 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 6mm278 HCPCS C1713 127789 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 7mm278 HCPCS C1713 127790 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 8mm278 HCPCS C1713 127791 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 9mm278 HCPCS C1713 127792 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 10mm278 HCPCS C1713 127793 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 11mm278 HCPCS C1713 127794 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 12mm278 HCPCS C1713 127795 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 13mm278 HCPCS C1713 127796 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 14mm278 HCPCS C1713 127797 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 15mm278 HCPCS C1713 127798 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 16mm278 HCPCS C1713 127799 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 18mm278 HCPCS C1713 127800 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 20mm278 HCPCS C1713 127801 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 22mm278 HCPCS C1713 127802 Screw Cortex Self-Tap Mini Frag w/Stardrive 1.5 x 24mm278 HCPCS C1713 127803 Plate LCP 1.5mm 4 Hole with Guides 278 HCPCS C1713 127804 Plate LCP Adaption 1.5mm 6 Hole with Guides 278 HCPCS C1713 127805 Plate LCP 1.5mm 6 Hole with Guides 278 HCPCS C1713 127806 Plate LCP Adaption 1.5mm 12 Hole with Guides 278 HCPCS C1713 127807 Plate LCP T-Plate 1.5mm 3 Hole Head 8 Hole Shaft with278 GuidesHCPCS C1713

179 127808 Plate LCP T-Plate 1.5mm 4 Hole Head 8 Hole Shaft with278 GuidesHCPCS C1713 127809 Plate LCP Extended H-Plate 1.5mm Left with Guides278 HCPCS C1713 127810 Plate LCP Extended H-Plate 1.5mm Right with Guides278 HCPCS C1713 127811 Plate LCP Y-Plate 1.5mm 3 Hole Head 8 Hole Shaft with278 GuidesHCPCS C1713 127812 Plate LCP Condylar Plate 1.5mm 3 Hole Head 6 Hole278 ShaftHCPCS with C1713Guides 127819 Screw Compression Headless 3.0 x 10mm Short Thread278 HCPCS C1713 127820 Screw Compression Headless 3.0 x 11mm Short Thread278 HCPCS C1713 127821 Screw Compression Headless 3.0 x 12mm Short Thread278 HCPCS C1713 127822 Screw Compression Headless 3.0 x 13mm Short Thread278 HCPCS C1713 127823 Screw Compression Headless 3.0 x 14mm Short Thread278 HCPCS C1713 127824 Screw Compression Headless 3.0 x 15mm Short Thread278 HCPCS C1713 127825 Screw Compression Headless 3.0 x 16mm Short Thread278 HCPCS C1713 127826 Screw Compression Headless 3.0 x 17mm Short Thread278 HCPCS C1713 127827 Screw Compression Headless 3.0 x 18mm Short Thread278 HCPCS C1713 127828 Screw Compression Headless 3.0 x 19mm Short Thread278 HCPCS C1713 127829 Screw Compression Headless 3.0 x 20mm Short Thread278 HCPCS C1713 127830 Screw Compression Headless 3.0 x 21mm Short Thread278 HCPCS C1713 127831 Screw Compression Headless 3.0 x 22mm Short Thread278 HCPCS C1713 127832 Screw Compression Headless 3.0 x 23mm Short Thread278 HCPCS C1713 127833 Screw Compression Headless 3.0 x 24mm Short Thread278 HCPCS C1713 127834 Screw Compression Headless 3.0 x 25mm Short Thread278 HCPCS C1713 127835 Screw Compression Headless 3.0 x 26mm Short Thread278 HCPCS C1713 127836 Screw Compression Headless 3.0 x 27mm Short Thread278 HCPCS C1713 127837 Screw Compression Headless 3.0 x 28mm Short Thread278 HCPCS C1713 127838 Screw Compression Headless 3.0 x 29mm Short Thread278 HCPCS C1713 127839 Screw Compression Headless 3.0 x 30mm Short Thread278 HCPCS C1713 127840 Screw Compression Headless 3.0 x 32mm Short Thread278 HCPCS C1713 127841 Screw Compression Headless 3.0 x 34mm Short Thread278 HCPCS C1713 127842 Screw Compression Headless 3.0 x 36mm Short Thread278 HCPCS C1713 127843 Screw Compression Headless 3.0 x 38mm Short Thread278 HCPCS C1713 127844 Screw Compression Headless 3.0 x 40mm Short Thread278 HCPCS C1713 127845 Screw Compression Headless 3.0 x 16mm Long Thread278 HCPCS C1713 127846 Screw Compression Headless 3.0 x 17mm Long Thread278 HCPCS C1713 127847 Screw Compression Headless 3.0 x 18mm Long Thread278 HCPCS C1713 127848 Screw Compression Headless 3.0 x 19mm Long Thread278 HCPCS C1713 127849 Screw Compression Headless 3.0 x 20mm Long Thread278 HCPCS C1713 127850 Screw Compression Headless 3.0 x 21mm Long Thread278 HCPCS C1713 127851 Screw Compression Headless 3.0 x 22mm Long Thread278 HCPCS C1713 127852 Screw Compression Headless 3.0 x 23mm Long Thread278 HCPCS C1713 127853 Screw Compression Headless 3.0 x 24mm Long Thread278 HCPCS C1713 127854 Screw Compression Headless 3.0 x 25mm Long Thread278 HCPCS C1713 127855 Screw Compression Headless 3.0 x 26mm Long Thread278 HCPCS C1713 127856 Screw Compression Headless 3.0 x 27mm Long Thread278 HCPCS C1713 127857 Screw Compression Headless 3.0 x 28mm Long Thread278 HCPCS C1713 127858 Screw Compression Headless 3.0 x 29mm Long Thread278 HCPCS C1713

180 127859 Screw Compression Headless 3.0 x 30mm Long Thread278 HCPCS C1713 127860 Screw Compression Headless 3.0 x 32mm Long Thread278 HCPCS C1713 127861 Screw Compression Headless 3.0 x 34mm Long Thread278 HCPCS C1713 127862 Screw Compression Headless 3.0 x 36mm Long Thread278 HCPCS C1713 127863 Screw Compression Headless 3.0 x 38mm Long Thread278 HCPCS C1713 127864 Screw Compression Headless 3.0 x 40mm Long Thread278 HCPCS C1713 127865 Guidewire Non-Threaded 1.2 x 150mm for 3.0mm Cannulated272 Screws 127866 Bit Drill Quick Coupling Mini 2.0mm x 150mm 272 127875 Anchor Mini Quick Plus w/2-0 Orthocord V-5 278 HCPCS C1713 127879 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 7x57mmHCPCS C1876x 80cm 127880 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 8x57mmHCPCS C1876x 80cm 127881 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 9x27mmHCPCS C1876x 80cm 127882 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 9x37mmHCPCS C1876x 80cm 127876 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 6x17mmHCPCS C1876x 80cm 127877 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 6x37mmHCPCS C1876x 80cm 127878 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 7x37mmHCPCS C1876x 80cm 127883 Kit Catheter Cricothyrotomy Melker 3.5mm x 4.2cm272 Pediatric 128055 Kit Distal Biceps Repair 278 HCPCS C1713 127975 Needle Reverse Cutting 1/2 Circle w/Nitinol Loop Shoulder272 Arthro AR-7280 114411 Kit MaXcessIV Disposables Sterile 272 114418 Plate Anterior Cervical Helix 1-Level 22mm 278 HCPCS C1713 114419 Plate Anterior Cervical Helix 1-Level 26mm 278 HCPCS C1713 114420 Plate Anterior Cervical Helix 1-Level 32mm 278 HCPCS C1713 114421 Plate Anterior Cervical Helix 2-Level 40mm 278 HCPCS C1713 114422 Plate Anterior Cervical Helix 2-Level 44mm 278 HCPCS C1713 114423 Screw ACP Self-Drilling Variable Ang Helix Mini 4.0 x278 15mmHCPCS C1713 114424 Plate Anterior Cervical Helix Translational 2-Level 46mm278 HCPCS C1713 114425 Plate Anterior Cervical Helix Translational 2-Level 50mm278 HCPCS C1713 114426 Plate Anterior Cervical Helix Translational 3-Level 62mm278 HCPCS C1713 114428 Plate Anterior Cervical Helix Revolution 3-Level 60mm278 HCPCS C1713 114429 Screw ACP Self-Drilling Fixed Ang Helix-Revolution 4.0278 x 13mmHCPCS C1713 114430 Spinous Process Clamp Assy Affix II 45mm Posterior Lumbar278 HCPCS Fusion C1713 114431 Screw ACP Self-Drilling Variable Ang Helix-Revolution278 4.0HCPCS x 13mm C1713 114412 Spacer Cervical Allograft Cortical Cancellous Lordotic278 TriadHCPCS 10 x C1713 11 x 14mm 114413 Spacer Vertebral Interbody PEEK CoRoent XL-XW 8 x278 26 xHCPCS 55mm C171310d 114414 Spacer Vertebral Interbody PEEK CoRoent XL-W 8 x 27822 x 50mmHCPCS 10d C1713 114415 Spacer Vertebral Interbody PEEK CoRoent XL-W 10 x278 22 xHCPCS 55mm C171310d 114416 Spacer Vertebral Interbody PEEK CoRoent XL-W 10 x278 22 xHCPCS 60mm C171310d 114417 Reamer PCM Cervical Disk TPSE 278 HCPCS C1713 128114 Blade 4.5mm BoneCutter Full Radius Platinum 270 128115 Blade 5.5mm BoneCutter Synovator 270 104847 Catheter Balloon Apex MR 4.0 x 12mm 272 HCPCS C1725 113331 Kit Amplatz Gooseneck Snare 25mm x 120cm Cath 6Fr272 102cmHCPCS C1769 124542 Screw Pedicle Monoaxial 7 x 45mm Aesculap S4 Spinal278 ImplantHCPCS System C1713 127470 Screw Pedicle Smooth Shank 4.0 x 11mm - 16mm Thread278 HCPCSS4C Posterior C1713 Cervical

181 127679 RigidLoop 20mm Fixed Loop 278 127680 RigidLoop 25mm Fixed Loop 278 127681 RigidLoop 30mm Fixed Loop 278 127682 RigidLoop 35mm Fixed Loop 278 127683 RigidLoop 40mm Fixed Loop 278 127684 RigidLoop XL 278 127678 RigidLoop 15mm Fixed Loop 278 127685 Kit RigidLoop ACL 272 114269 Screw Non-Locking Ortholoc 3.5 x 24mm 278 HCPCS C1713 123311 Screw Softsilk 1.5 x 9 x 30mm 278 HCPCS C1713 128120 Mesh Patch Hernia Ventralight ST/EchoPS 4.5in (11.cm)278 CircleHCPCS C1781 128121 Mesh Patch Hernia Ventralight ST/EchoPS 4x6in (10x15cm)278 HCPCS Elipse C1781 128122 Mesh Patch Hernia Ventralight ST/EchoPS 6in (15cm)278 CircleHCPCS C1781 128123 Mesh Patch Hernia Ventralight ST/EchoPS 8in (20cm)278 CircleHCPCS C1781 128156 Endoprosthesis AAA Trunk Ipsilateral Leg Excluder 35x14.5mm/16cm278 C3 delivry 128157 Endoprosthesis AAA Trunk Ipsilateral Leg Excluder 35x14.5mm/18cm278 C3 delivry 128160 Blade TurboWhisker 4.5mm for EP-1 272 128164 Electrode 24Fr Monopolar Coagulating 5mm Ball Yellow272 Sterile 128378 Disc Replacement Cervical Spine Mobi-C 13x15x5mm278 HCPCS L8699 128387 Disc Replacement Cervical Spine Mobi-C 15x17x5mm278 HCPCS L8699 128398 Anchor Swivelock Tenodesis Biocomposite 7 x 19.5mm278 HCPCS C1713 128399 Anchor Suture Biocomposite Swivel 4.75 x 24.5mm 278 HCPCS C1713 128397 Blade Incisor Plus 4.5mm Elite 270 128458 Screw Pedicle Polyaxial Ti 7.5x35mm Expedium 5.5 278 HCPCS C1713 128459 Screw Pedicle Polyaxial Ti 7.5x40mm Expedium 5.5 278 HCPCS C1713 128460 Screw Pedicle Polyaxial Ti 7.5x45mm Expedium 5.5 278 HCPCS C1713 128461 Screw Pedicle Polyaxial Ti 7.5x50mm Expedium 5.5 278 HCPCS C1713 128462 Screw Pedicle Polyaxial Ti 7.5x55mm Expedium 5.5278 HCPCS C1713 128463 Screw Pedicle Polyaxial Ti 8.0x40mm Expedium 5.5 278 HCPCS C1713 128464 Screw Pedicle Polyaxial Ti 8.0x45mm Expedium 5.5 278 HCPCS C1713 128465 Screw Pedicle Polyaxial Ti 8.0x50mm Expedium 5.5 278 HCPCS C1713 128466 Rod Pedicle Ti Straight 120mm Hex End Expedium 5.5278 128467 Rod Pedicle Ti Straight 480mm Hex End Expedium 5.5278 128468 Rod Pedicle Ti Pre-bent 35mm Expedium 5.5 278 128469 Rod Pedicle Ti Pre-bent 40mm Expedium 5.5 278 128470 Rod Pedicle Ti Pre-bent 45mm Expedium 5.5 278 128471 Rod Pedicle Ti Pre-bent 55mm Expedium 5.5 278 128472 Rod Pedicle Ti Pre-bent 65mm Expedium 5.5 278 128473 Rod Pedicle Ti Pre-bent 75mm Expedium 5.5 278 128474 Rod Pedicle Ti Pre-bent 85mm Expedium 5.5 278 128475 Rod Pedicle Ti Pre-bent 95mm Expedium 5.5 278 128476 Cross Connector Pedicle Ti Adj Sz A4 37-41mm Expedium278 SFX 5.5 128477 Cross Connector Pedicle Ti Adj Sz A5 41-49mm Expedium278 SFX 5.5 128478 Cross Connector Pedicle Ti Adj Sz A6 49-66mm Expedium278 SFX 5.5 128479 Cross Connector Pedicle Ti Adj Sz A7 66-100mm Expedium278 SFX 5.5

182 128413 Plate Anterior Cervical Fusion Skyline 1-Level 12mm278 Ti 128414 Plate Anterior Cervical Fusion Skyline 1-Level 14mm278 Ti 128415 Plate Anterior Cervical Fusion Skyline 1-Level 16mm278 Ti 128416 Plate Anterior Cervical Fusion Skyline 1-Level 18mm278 Ti 128417 Plate Anterior Cervical Fusion Skyline 1-Level 20mm278 Ti 128418 Plate Anterior Cervical Fusion Skyline 1-Level 22mm278 Ti 128419 Plate Anterior Cervical Fusion Skyline 1-Level 24mm278 Ti 128420 Plate Anterior Cervical Fusion Skyline 1-Level 26mm278 Ti 128421 Plate Anterior Cervical Fusion Skyline 1-Level 28mm278 Ti 128422 Plate Anterior Cervical Fusion Skyline 1-Level 30mm278 Ti 128423 Plate Anterior Cervical Fusion Skyline 2-Level 30mm278 Ti 128424 Plate Anterior Cervical Fusion Skyline 2-Level 32mm278 Ti 128425 Plate Anterior Cervical Fusion Skyline 2-Level 34mm278 Ti 128426 Plate Anterior Cervical Fusion Skyline 2-Level 36mm278 Ti 128427 Plate Anterior Cervical Fusion Skyline 2-Level 38mm278 Ti 128428 Plate Anterior Cervical Fusion Skyline 2-Level 40mm278 Ti 128429 Plate Anterior Cervical Fusion Skyline 3-Level 42mm278 Ti 128430 Plate Anterior Cervical Fusion Skyline 3-Level 45mm278 Ti 128431 Plate Anterior Cervical Fusion Skyline 3-Level 48mm278 Ti 128432 Plate Anterior Cervical Fusion Skyline 3-Level 51mm278 Ti 128433 Plate Anterior Cervical Fusion Skyline 3-Level 54mm278 Ti 128434 Plate Anterior Cervical Fusion Skyline 3-Level 57mm278 Ti 128435 Plate Anterior Cervical Fusion Skyline 3-Level 60mm278 Ti 128436 Screw Anterior Cervical Plating Skyline Self-Drill Variable278 HCPCS Angle 12mmC1713 Ti 128437 Screw Anterior Cervical Plating Skyline Self-Drill Variable278 HCPCS Angle 14mmC1713 Ti 128438 Screw Anterior Cervical Plating Skyline Self-Drill Variable278 HCPCS Angle 16mmC1713 Ti 128439 Screw Anterior Cervical Plating Skyline Self-Drill Variable278 HCPCS Angle 18mmC1713 Ti 128440 Screw Anterior Cervical Plating Skyline Lg-Dia Rescue278 VariableHCPCS Ang C1713 12mm Ti 128441 Screw Anterior Cervical Plating Skyline Lg-Dia Rescue278 VariableHCPCS Ang C1713 14mm Ti 128442 Screw Anterior Cervical Plating Skyline Lg-Dia Rescue278 VariableHCPCS Ang C1713 16mm Ti 128443 Screw Anterior Cervical Plating Skyline Lg-Dia Rescue278 VariableHCPCS Ang C1713 18mm Ti 128444 Screw Pedicle Polyaxial Ti 5.0x30mm Expedium 5.5 278 HCPCS C1713 128445 Screw Pedicle Polyaxial Ti 5.0x35mm Expedium 5.5 278 HCPCS C1713 128446 Screw Pedicle Polyaxial Ti 5.0x40mm Expedium 5.5 278 HCPCS C1713 128447 Screw Pedicle Polyaxial Ti 5.0x50mm Expedium 5.5 278 HCPCS C1713 128448 Screw Pedicle Polyaxial Ti 6.0x30mm Expedium 5.5 278 HCPCS C1713 128449 Screw Pedicle Polyaxial Ti 6.0x35mm Expedium 5.5 278 HCPCS C1713 128450 Screw Pedicle Polyaxial Ti 6.0x40mm Expedium 5.5 278 HCPCS C1713 128451 Screw Pedicle Polyaxial Ti 6.0x50mm Expedium 5.5 278 HCPCS C1713 128452 Screw Pedicle Polyaxial Ti 6.0x55mm Expedium 5.5 278 HCPCS C1713 128453 Screw Pedicle Polyaxial Ti 7.0x35mm Expedium 5.5 278 HCPCS C1713 128454 Screw Pedicle Polyaxial Ti 7.0x40mm Expedium 5.5 278 HCPCS C1713 128455 Screw Pedicle Polyaxial Ti 7.0x45mm Expedium 5.5 278 HCPCS C1713 128456 Screw Pedicle Polyaxial Ti 7.0x50mm Expedium 5.5 278 HCPCS C1713 128457 Screw Pedicle Polyaxial Ti 7.0x55mm Expedium 5.5 278 HCPCS C1713

183 128493 Marker Tissue Biopsy Margin Marker 6-Ink Color Kit Non-Sterile272 128494 Bulb/Bladder Insufflation for Endoscope Sterile 272 108511 HoverMatt Disposable Sheet Non-Sterile 271 128564 Graft DuraGenPlus Onlay 1 x 1in Type 1 Collagen Fiber278 Dura Substitute 128565 Graft DuraGenPlus Onlay 3 x 3in Type 1 Collagen Fiber278 Dura Substitute 100657 Tube Trach Shiley Size 10 Lo Pro Cuff 272 100659 Tube Trach Shiley Size 4 Lo Pro Cuff 272 100661 Tube Trach Shiley Size 6 Lo Pro Cuff 272 102974 Tube Trach Shiley 6mm Extra Length Proximal w/Cuff272 102975 Tube Trach Pediatric 3.0mm 272 102976 Tube Trach Pediatric 3.5mm 272 102977 Tube Trach Pediatric 4.0mm 272 102978 Tube Trach Shiley Size 4 Cuffless 272 102980 Tube Trach Shiley Size 6 Cuffless 272 109629 Tube Trach Shiley 7mm Extra Length Distal w/Cuff 272 109630 Tube Trach Shiley 7mm Extra Length Proximal w/Cuff272 112270 Tube Trach Shiley Size 8 Cuffless 272 109633 Tube Trach Shiley 8mm Extra Length Distal w/Cuff 272 110341 Tube Trach Shiley 6mm Extra Length Distal w/Cuff 272 113323 Tube Trach Shiley Size 6 Cuffless with Disposable Inner272 Cannula 117524 Tube Trach Shiley 6mm Extra Length Distal Cuffless 272 128603 Blade Saw System 6 Oscillating 90 x 13 x 1.07mm 272 128730 Screw Pedicle Polyaxial Ti 8.0x55mm Expedium 5.5 278 HCPCS C1713 128760 Transducer BK Robotic Drop-In 272 128759 Accessory Pack Vasoview Hemopro EVH Kit 272 128875 Applicator Arista AH FlexiTip XL 38cm 272 128876 Hemostatic Absorbable Particles Arista AH 3Gm 272 128890 Suture Ethilon 8-0 Black 5in V130-3 Needle 2897G 272 128891 Suture Ethilon 10-0 Black 5in BV130-5 Needle 2810G272 128892 Suture Ethilon 9-0 Black 5in BV130-3 Needle 2819G 272 124781 Suture V-Loc 180 Barbed Maxon 3-0 Absorbable 9in on272 V-20 Ndl VLOCL0644 128289 Catheter Balloon Peripheral PTA EverCross 6.0x40mm272 BlnHCPCS 80cm .035C1725 OTW 128290 Catheter Balloon Peripheral PTA EverCross 6.0x60mm272 BlnHCPCS 80cm .035C1725 OTW 128291 Catheter Balloon Peripheral PTA EverCross 6.0x80mm272 BlnHCPCS 80cm .035C1725 OTW 128299 Catheter Balloon Peripheral PTA EverCross 7.0x40mm272 BlnHCPCS 80cm .035C1725 OTW 128300 Catheter Balloon Peripheral PTA EverCross 7.0x60mm272 BlnHCPCS 80cm .035C1725 OTW 128301 Catheter Balloon Peripheral PTA EverCross 7.0x80mm272 BlnHCPCS 80cm .035C1725 OTW 128308 Catheter Balloon Peripheral PTA EverCross 8.0x40mm272 BlnHCPCS 80cm .035C1725 OTW 128309 Catheter Balloon Peripheral PTA EverCross 8.0x60mm272 BlnHCPCS 80cm .035C1725 OTW 128310 Catheter Balloon Peripheral PTA EverCross 8.0x80mm272 BlnHCPCS 80cm .035C1725 OTW 128313 atheter Balloon Peripheral PTA EverCross 9.0x40mm272 Bln 80cmHCPCS .035 C1725 OTW 128314 Catheter Balloon Peripheral PTA EverCross 9.0x60mm272 BlnHCPCS 80cm .035C1725 OTW 128316 Catheter Balloon Peripheral PTA EverCross 10.0x20mm272 BlnHCPCS 80cm C1725 .035 OTW 128318 Catheter Balloon Peripheral PTA EverCross 10.0x40mm272 BlnHCPCS 80cm C1725 .035 OTW 128319 Catheter Balloon Peripheral PTA EverCross 10.0x60mm272 BlnHCPCS 80cm C1725 .035 OTW

184 128321 Catheter Balloon Peripheral PTA EverCross 12.0x40mm272 BlnHCPCS 80cm C1725 .035 OTW 128322 Catheter Balloon Peripheral PTA EverCross 12.0x60mm272 BlnHCPCS 80cm C1725 .035 OTW 128330 Stent Peripheral Balloon-Expanding Visi-Pro 6Fr .035in278 9x57mmHCPCS C1876x 80cm 128372 Stent Peripheral Self-Expanding Protege GPS 12 x 80mm278 xHCPCS 80cm C18766Fr .035 128902 Suture Force Fiber Blue Pre-cut 36in Size 2 272 128923 Suture Ethilon 10-0 Black 5in BV130-3 Needle 2820G272 129011 Cap Protective for 6.0mm Fixation Pins Lg Ext Fixator272 Set 129012 Bit Drill Jacobs Chuck 3.5mm x 180mm 272 129013 Bit Drill Quick Coupling 4.5mm x 195mm 272 129014 Bit Drill Jacobs Chuck 4.5mm x 180mm 272 129016 Steinmann Pin 4.5x120mm Large Ext Fixator 272 129017 Steinmann Pin 4.5x150mm Large Ext Fixator 272 129018 Steinmann Pin 4.5x180mm Large Ext Fixator 272 129019 Steinmann Pin 4.5x250mm Large Ext Fixator 272 129020 Steinmann Pin 4.5x275mm Large Ext Fixator 272 129021 Steinmann Pin 4.5x300mm Large Ext Fixator 272 129022 Steinmann Pin 4.5x225mm Large Ext Fixator 272 129023 Steinmann Pin 5.0x150mm Large Ext Fixator 272 129024 Steinmann Pin 5.0x180mm Large Ext Fixator 272 129025 Steinmann Pin 5.0x200mm Large Ext Fixator 272 129026 Steinmann Pin 5.0x300mm Large Ext Fixator 272 129027 Steinmann Pin 5.0x225mm Large Ext Fixator 272 129028 Steinmann Pin 5.0x275mm Large Ext Fixator 272 129029 Steinmann Pin w/Central Thread 4.5x150mm Large 278Ext FixatorHCPCS C1713 129030 Steinmann Pin w/Central Thread 4.5x180mm Large 278Ext FixatorHCPCS C1713 129031 Steinmann Pin w/Central Thread 5.0x175mm Large 278Ext FixatorHCPCS C1713 129032 Steinmann Pin w/Central Thread 4.5x200mm Large 278Ext FixatorHCPCS C1713 129033 Steinmann Pin w/Central Thread 5.0x200mm Large 272Ext Fixator 129034 Steinmann Pin w/Central Thread 4.5x225mm Large 272Ext Fixator 129035 Steinmann Pin w/Central Thread 4.5x250mm Large 272Ext Fixator 129036 Steinmann Pin w/Central Thread 4.5x275mm Large 272Ext Fixator 129037 Steinmann Pin w/Central Thread 4.5x300mm Large 272Ext Fixator 129038 Steinmann Pin w/Central Thread 5.0x225mm Large 272Ext Fixator 129039 Steinmann Pin w/Central Thread 5.0x250mm Large 272Ext Fixator 129040 Steinmann Pin w/Central Thread 5.0x275mm Large 272Ext Fixator 129041 Steinmann Pin w/Central Thread 5.0x300mm Large 272Ext Fixator 129042 Steinmann Pin 3.5x120mm Traction 272 129043 Steinmann Pin 3.5x150mm Traction 272 129044 Steinmann Pin 4.0x150mm Traction 278 HCPCS C1713 129045 Steinmann Pin 4.0x180mm Traction 278 HCPCS C1713 129046 Steinmann Pin 4.0x200mm Traction 278 HCPCS C1713 129047 Steinmann Pin w/Central Thread 4.0x150mm Traction278 HCPCS C1713 129048 Steinmann Pin x/Central Thread 4.0x180mm Traction278 HCPCS C1713 129049 Steinmann Pin w/Central Thread 4.0x200mm Traction278 HCPCS C1713 129050 Steinmann Pin Transfixation 6.0x225mm 272

185 129051 Screw Schanz Blunt Trocar Point 4.5x80mm SS Large272 Ext Fixator 129052 Screw Schanz Blunt Trocar Point 4.5x100mm SS Large272 Ext Fixator 129053 Screw Schanz Blunt Trocar Point 4.5x125mm SS Large272 Ext Fixator 129054 Screw Schanz Blunt Trocar Point 4.5x150mm SS Large272 Ext Fixator 129055 Screw Schanz Blunt Trocar Point 4.5x175mm SS Large272 Ext Fixator 129056 Screw Schanz Blunt Trocar Point 4.5x200mm SS Large272 Ext Fixator 129057 Screw Schanz Blunt Trocar Point 5.0x100mm SS Large272 Ext Fixator 129058 Screw Schanz Blunt Trocar Point 5.0x125mm SS Large272 Ext Fixator 129059 Screw Schanz Blunt Trocar Point 5.0x150mm SS Large272 Ext Fixator 129060 Screw Schanz Blunt Trocar Point 5.0x170mm SS Large272 Ext Fixator 129061 Screw Schanz Blunt Trocar Point 5.0x200mm SS Large272 Ext Fixator 129062 Screw Schanz Blunt Trocar Point 5.0x250mm SS Large272 Ext Fixator 129063 Screw Schanz Trocar Point 4.0/2.5x65mm SS Large Ext272 Fixator 129064 Screw Schanz Trocar Point 4.0/2.5x80mm SS Large Ext272 Fixator 129065 Screw Schanz Trocar Point 4.0/3.0x80mm SS Large Ext272 Fixator 129066 Screw Schanz Spade Point 4.0x60mm SS Large Ext Fixator272 129067 Screw Schanz Spade Point 4.0x80mm SS Large Ext Fixator272 129068 Screw Schanz Spade Point 4.0x100mm SS Large Ext 272Fixator 129069 Screw Schanz Spade Point 4.0x120mm SS Large Ext 272Fixator 129070 Screw Schanz Spade Point 4.0x150mm SS Large Ext 272Fixator 129071 Screw Schanz Spade Point 6.0x100mm SS Large Ext 272Fixator 129072 Screw Schanz Spade Point 6.0x130mm SS Large Ext 272Fixator 129073 Screw Schanz Spade Point 6.0x160mm SS Large Ext 272Fixator 129074 Screw Schanz Spade Point 6.0x190mm SS Large Ext 272Fixator 129075 Screw Schanz Self-Drilling 4.0/2.5x80 w/20mm Thread272 SS Large Ext Fixator 129076 Screw Schanz Self-Drilling 4.0/3.0x80 w/20mm Thread272 SS Large Ext Fixator 129077 Screw Schanz Self-Drilling 4.0/3.0x100 w20mm Thread272 SS Large Ext Fixator 129078 Screw Schanz Self-Drilling 4.0/3.0x65 w/18mm Thread272 SS Large Ext Fixator 129079 Screw Schanz Self-Drilling 4.0x60 w/20mm Thread SS272 Large Ext Fixator 129080 Screw Schanz Self-Drilling 4.0x80 w/20mm Thread SS272 Large Ext Fixator 129081 Screw Schanz Self-Drilling 4.0x100 w/30mm Thread272 SS Large Ext Fixator 129082 Screw Schanz Self-Drilling 4.0x125 w/40mm Thread272 SS Large Ext Fixator 129083 Screw Schanz Self-Drilling 4.0x150 w/40mm Thread272 SS Large Ext Fixator 129084 Screw Schanz Self-Drilling 4.0x175 w/40mm Thread272 SS Large Ext Fixator 129085 Screw Schanz Self-Drilling 5.0x100 w/30mm Thread272 SS Large Ext Fixator 129086 Screw Schanz Self-Drilling 5.0x125 w/40mm Thread272 SS Large Ext Fixator 129087 Screw Schanz Self-Drilling 5.0x150 w/60mm Thread272 SS Large Ext Fixator 129088 Screw Schanz Self-Drilling 5.0x175 w/60mm Thread272 SS Large Ext Fixator 129089 Screw Schanz Self-Drilling 5.0x200 w/80mm Thread272 SS Large Ext Fixator 129090 Screw Schanz Self-Drilling 5.0x250 w/80mm Thread272 SS Large Ext Fixator 129091 Screw Schanz Self-Drilling 6.0x100 w/30mm Thread272 SS Large Ext Fixator 129092 Screw Schanz Self-Drilling 6.0x125 w/40mm Thread272 SS Large Ext Fixator 129093 Screw Schanz Self-Drilling 6.0x150 w/60mm Thread272 SS Large Ext Fixator 129094 Screw Schanz Self-Drilling 6.0x175 w/60mm Thread272 SS Large Ext Fixator 129095 Screw Schanz Self-Drilling 6.0x200 w/80mm Thread272 SS Large Ext Fixator

186 129096 Screw Schanz Self-Drilling 6.0x250 w/80mm Thread272 SS Large Ext Fixator 129010 Cap Protective for 5.0mm Fixation Pins Lg Ext Fixator272 Set 129009 Cap Protective for 4.5mm Fixation Pins Lg Ext Fixator272 Set 129008 Cap Protective for 4.0mm Fixation Pins Lg Ext Fixator272 Set 129007 Cap Protective for 11mm Tubes & CF Rods Lg Ext Fixator272 Set 129006 Rod Carbon Fiber Crv 11 x 499mm 135d Lg Ext Fixator272 Set 129005 Rod Carbon Fiber Crv 11 x 382mm 90d Lg Ext Fixator272 Set 129004 Rod Carbon Fiber Crv 11 x 207mm 45d Lg Ext Fixator272 Set 129003 Rod Carbon Fiber Crv 11 x 540mm 180d Lg Ext Fixator272 Set 129002 Rod Carbon Fiber Str 11 x 650mm Lg Ext Fixator Set272 129001 Rod Carbon Fiber Str 11 x 600mm Lg Ext Fixator Set272 129000 Rod Carbon Fiber Str 11 x 550mm Lg Ext Fixator Set272 128999 Rod Carbon Fiber Str 11 x 500mm Lg Ext Fixator Set272 128998 Rod Carbon Fiber Str 11 x 450mm Lg Ext Fixator Set272 128997 Rod Carbon Fiber Str 11 x 400mm Lg Ext Fixator Set272 128996 Rod Carbon Fiber Str 11 x 350mm Lg Ext Fixator Set272 128995 Rod Carbon Fiber Str 11 x 300mm Lg Ext Fixator Set272 128994 Rod Carbon Fiber Str 11 x 250mm Lg Ext Fixator Set272 128993 Rod Carbon Fiber Str 11 x 200mm Lg Ext Fixator Set272 128992 Rod Carbon Fiber Str 11 x 150mm Lg Ext Fixator Set272 128991 Rod Carbon Fiber Str 11 x 125mm Lg Ext Fixator Set272 128990 Rod Carbon Fiber Str 11 x 100mm Lg Ext Fixator Set272 128983 Outrigger Post 90d 11mm Lg Ext Fixator Set 272 128982 Outrigger Post 30 degree 11mm Lg Ext Fixator Set 272 128981 Outrigger Post Straight 11mm Lg Ext Fixator Set 272 128980 Clamp Large Pin 6-Position Lg Ext Fixator Set 272 128979 Clamp Large Pin 4-Position Lg Ext Fixator Set 272 128978 Clamp Large Open Adjustable Lg Ext Fixator Set 272 128977 Clamp Tube-to-Tube Lg Ext Fixator Set 272 128976 Clip Dynamization Lg Ext Fixator Set 272 128975 Clamp Large Combination Lg Ext Fixator Set 272 128974 Clamp Large Multi-pin 4-Position Lg Ext Fixator Set 272 128973 Rod Attachment for Large Multi-pin Clamp Lg Ext Fixator272 Set 128972 Clamp Large Multi-pin 6-Position Lg Ext Fixator Set 272 129102 Graft Cardiovascular Gelsoft Bifurcate 14 x 7mm 278 HCPCS C1768 129103 Graft Cardiovascular Gelsoft Bifurcate 16 x 8mm 278 HCPCS C1768 129104 Graft Cardiovascular Gelsoft Bifurcate 18 x 9mm 278 HCPCS C1768 129105 Graft Cardiovascular Gelsoft Bifurcate 20 x 10mm 278 HCPCS C1768 129106 Graft Cardiovascular Gelsoft Bifurcate 22 x 11mm 278 HCPCS C1768 129107 Graft Cardiovascular Gelsoft Bifurcate 24 x 12mm 278 HCPCS C1768 129108 Graft Cardiovascular Gelsoft Straight 8 x 60cm 278 HCPCS C1768 129109 Graft Cardiovascular Gelsoft Straight 10 x 60cm 278 HCPCS C1768 129110 Graft Cardiovascular Gelsoft Straight 12 x 60cm 278 HCPCS C1768 129111 Graft Cardiovascular Gelweave Straight 8 x 30cm 278 HCPCS C1768 129112 Graft Cardiovascular Gelweave Straight 12 x 30cm 278 HCPCS C1768

187 129113 Graft Cardiovascular Gelweave Straight 14 x 30cm 278 HCPCS C1768 129114 Graft Cardiovascular Gelweave Straight 20 x 30cm 278 HCPCS C1768 129115 Graft Cardiovascular Gelweave Straight 24 x 30cm 278 HCPCS C1768 129116 Graft Cardiovascular Gelweave Straight 26 x 30cm 278 HCPCS C1768 129117 Graft Cardiovascular Gelweave Straight 28 x 30cm 278 HCPCS C1768 129118 Graft Cardiovascular Gelweave Straight 30 x 30cm 278 HCPCS C1768 129119 Graft Cardiovascular Gelweave Straight 32 x 30cm 278 HCPCS C1768 129120 Graft Cardiovascular Gelweave Straight 38 x 30cm 278 HCPCS C1768 129121 Graft Cardiovascular Gelweave 4 Branch Plexus 24mm278 U/LHCPCS 30cm C1768 x 4@15cm 129122 Graft Cardiovascular Gelweave 4 Branch Plexus 26mm278 U/LHCPCS 30cm C1768 x 4@15cm 129123 Graft Cardiovascular Gelweave 4 Branch Plexus 28mm278 U/LHCPCS 30cm C1768 x 4@15cm 129124 Graft Cardiovascular Gelweave 4 Branch Plexus 30mm278 U/LHCPCS 30cm C1768 x 4@15cm 129125 Graft Cardiovascular Gelweave 4 Branch Plexus 32mm278 U/LHCPCS 30cm C1768 x 4@15cm 129126 Graft Cardiovascular Gelweave 4 Branch Plexus 34mm278 U/LHCPCS 30cm C1768 x 4@15cm 128159 Screw Neuro TI Low Profile Self-Drilling 3mm 278 HCPCS C1713 129167 Cold Pad Ortho Therapy Iceman Shoulder Small 272 129170 Suture Looped Nylon Cable 3-0 Supramid HEA-30 White272 12in BB Sterile 129171 Suture Looped Nylon Cable 4-0 Supramid HEA-40 White272 12in BB Sterile 127976 Tube Endobronchial EZ-Blocker Dual-Cuff Bifurcated272 Distal End 7Fr 75cm 103186 Tube Endobronchial Bronco-Cath 35Fr Right 272 103177 Tube Endobronchial Bronco-Cath 39Fr Right 272 109620 Tube Endobronchial Bronco-Cath 41Fr Right 272 110167 Retractor Soft Tissue Large 272 110168 Retractor Soft Tissue Medium 272 110169 Retractor Soft Tissue Small 272 129175 Kit Tisseel Hemostatic Sealant Fibrin 4ml Sterile 278 HCPCS C1713 129176 Kit Floseal Matrix Hemostatic Sealant 5ml w/Human272 Thrombin Sterile 129177 Kit Floseal Matrix Hemostatic Sealant 10ml w/Human272 Thrombin Sterile 129184 Mesh Hernia Progrip Tackless 15x10cm Sterile 278 HCPCS C1781 129185 Mesh Hernia Progrip Tackless 16x12cm Sterile 278 HCPCS C1781 129187 Dressing Surgical Aquacel AG w/Silver 9 x 35cm Sterile272 129189 Endoprosthesis AAA Bifurcated Endurant II 23mm x 13mm278 x 145mm Sterile 129190 Endoprosthesis AAA Bifurcated Endurant II 23mm x 13mm278 x 166mm Sterile 129191 Endoprosthesis AAA Bifurcated Endurant II 23mm x 16mm278 x 124mm Sterile 129192 Endoprosthesis AAA Bifurcated Endurant II 23mm x 16mm278 x 145mm Sterile 129193 Endoprosthesis AAA Bifurcated Endurant II 23mm x 16mm278 x 166mm Sterile 129194 Endoprosthesis AAA Bifurcated Endurant II 25mm x 13mm278 x 124mm Sterile 129195 Endoprosthesis AAA Bifurcated Endurant II 25mm x 13mm278 x 145mm Sterile 129196 Endoprosthesis AAA Bifurcated Endurant II 25mm x 13mm278 x 166mm Sterile 129197 Endoprosthesis AAA Bifurcated Endurant II 25mm x 16mm278 x 124mm Sterile 129198 Endoprosthesis AAA Bifurcated Endurant II 25mm x 16mm278 x 145mm Sterile 129199 Endoprosthesis AAA Bifurcated Endurant II 25mm x 16mm278 x 166mm Sterile 129200 Endoprosthesis AAA Bifurcated Endurant II 28mm x 13mm278 x 124mm Sterile 129201 Endoprosthesis AAA Bifurcated Endurant II 28mm x 13mm278 x 145mm Sterile 129202 Endoprosthesis AAA Bifurcated Endurant II 28mm x 13mm278 x 166mm Sterile

188 129203 Endoprosthesis AAA Bifurcated Endurant II 28mm x 16mm278 x 124mm Sterile 129204 Endoprosthesis AAA Bifurcated Endurant II 28mm x 16mm278 x 145mm Sterile 129205 Endoprosthesis AAA Bifurcated Endurant II 28mm x 16mm278 x 166mm Sterile 129206 Endoprosthesis AAA Bifurcated Endurant II 28mm x 20mm278 x 124mm Sterile 129207 Endoprosthesis AAA Bifurcated Endurant II 28mm x 20mm278 x 145mm Sterile 129208 Endoprosthesis AAA Bifurcated Endurant II 28mm x 20mm278 x 166mm Sterile 129209 Endoprosthesis AAA Bifurcated Endurant II 32mm x 16mm278 x 124mm Sterile 129210 Endoprosthesis AAA Bifurcated Endurant II 32mm x 16mm278 x 145mm Sterile 129211 Endoprosthesis AAA Bifurcated Endurant II 32mm x 16mm278 x 166mm Sterile 129212 Endoprosthesis AAA Bifurcated Endurant II 32mm x 20mm278 x 124mm Sterile 129213 Endoprosthesis AAA Bifurcated Endurant II 32mm x 20mm278 x 145mm Sterile 129214 Endoprosthesis AAA Bifurcated Endurant II 32mm x 20mm278 x 166mm Sterile 129215 Endoprosthesis AAA Bifurcated Endurant II 36mm x 16mm278 x 145mm Sterile 129216 Endoprosthesis AAA Bifurcated Endurant II 36mm x 16mm278 x 166mm Sterile 129217 Endoprosthesis AAA Bifurcated Endurant II 36mm x 20mm278 x 145mm Sterile 129218 Endoprosthesis AAA Bifurcated Endurant II 36mm x 20mm278 x 166mm Sterile 129219 Endoprosthesis AAA Bifurcated Endurant IIs 23mm x 27814mm x 103mm Sterile 129220 Endoprosthesis AAA Bifurcated Endurant IIs 25mm x 27814mm x 103mm Sterile 129221 Endoprosthesis AAA Bifurcated Endurant IIs 28mm x 27814mm x 103mm Sterile 129222 Endoprosthesis AAA Bifurcated Endurant IIs 32mm x 27814mm x 103mm Sterile 129223 Endoprosthesis AAA Bifurcated Endurant IIs 36mm x 27814mm x 103mm Sterile 129224 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 10mm x 82mm Sterile 129225 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 10mm x 93mm Sterile 129226 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 10mm x 124mm Sterile 129227 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 10mm x 156mm Sterile 129228 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 10mm x 199mm Sterile 129229 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 13mm x 82mm Sterile 129230 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 13mm x 93mm Sterile 129231 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 13mm x 124mm Sterile 129232 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 13mm x 156mm Sterile 129233 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 13mm x 199mm Sterile 129234 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 16mm x 82mm Sterile 129235 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 16mm x 93mm Sterile 129236 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 16mm x 124mm Sterile 129237 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 16mm x 156mm Sterile 129238 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 16mm x 199mm Sterile 129239 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 20mm x 82mm Sterile 129240 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 20mm x 93mm Sterile 129241 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 20mm x 124mm Sterile 129242 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 20mm x 156mm Sterile 129243 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 20mm x 199mm Sterile 129244 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 24mm x 82mm Sterile 129245 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 24mm x 93mm Sterile 129246 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 24mm x 124mm Sterile 129247 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 24mm x 156mm Sterile

189 129248 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 24mm x 199mm Sterile 129249 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 28mm x 82mm Sterile 129250 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 28mm x 93mm Sterile 129251 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 28mm x 124mm Sterile 129252 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 28mm x 156mm Sterile 129253 Endoprosthesis AAA Contralateral Leg Endurant II16mm278 x 28mm x 199mm Sterile 129254 Endoprosthesis AAA Iliac Extension Endurant II 10mm278 x 10mm x 82mm Sterile 129255 Endoprosthesis AAA Iliac Extension Endurant II 13mm278 x 13mm x 82mm Sterile 129256 Endoprosthesis AAA Iliac Extension Endurant II 20mm278 x 20mm x 82mm Sterile 129257 Endoprosthesis AAA Iliac Extension Endurant II 24mm278 x 24mm x 82mm Sterile 129258 Endoprosthesis AAA Iliac Extension Endurant II 28mm278 x 28mm x 82mm Sterile 129259 Endoprosthesis AAA Aortic Extender Endurant II23mm278 x 23mm x 49mm Sterile 129260 Endoprosthesis AAA Aortic Extender Endurant II25mm278 x 25mm x 49mm Sterile 129261 Endoprosthesis AAA Aortic Extender Endurant II28mm278 x 28mm x 49mm Sterile 129262 Endoprosthesis AAA Aortic Extender Endurant II32mm278 x 32mm x 49mm Sterile 129263 Endoprosthesis AAA Aortic Extender Endurant II36mm278 x 36mm x 49mm Sterile 129264 Endoprosthesis AAA Aortic Extender Endurant II23mm278 x 23mm x 70mm Sterile 129265 Endoprosthesis AAA Aortic Extender Endurant II25mm278 x 25mm x 70mm Sterile 129266 Endoprosthesis AAA Aortic Extender Endurant II28mm278 x 28mm x 70mm Sterile 129267 Endoprosthesis AAA Aortic Extender Endurant II32mm278 x 32mm x 70mm Sterile 129268 Endoprosthesis AAA Aortic Extender Endurant II36mm278 x 36mm x 70mm Sterile 129269 Endoprosthesis AAA AUI Endurant II 23mm x 14mm x278 102mm Sterile 129270 Endoprosthesis AAA AUI Endurant II 25mm x 14mm x278 102mm Sterile 129271 Endoprosthesis AAA AUI Endurant II 28mm x 14mm x278 102mm Sterile 129272 Endoprosthesis AAA AUI Endurant II 32mm x 14mm x278 102mm Sterile 129273 Endoprosthesis AAA AUI Endurant II 36mm x 14mm x278 102mm Sterile 129188 Endoprosthesis AAA Bifurcated Endurant II 23mm x 13mm278 x 124mm Sterile 129317 Accessory Kit Epidural Needle 14GA 15cm Crv Tip Sterile272 129318 Kit Lead Compact 1 x 8 x 75cm Neurostimulator Vectris278 SureScanHCPCS C1778 Sterile 129319 Stent Thoracic Valiant Captivia 22x22x100mm Sterile272 129320 Stent Thoracic Valiant Captivia 24x24x100mm Sterile272 129321 Stent Thoracic Valiant Captivia 26x26x100mm Sterile272 129322 Stent Thoracic Valiant Captivia 28x28x100mm Sterile272 129323 Stent Thoracic Valiant Captivia 30x30x100mm Sterile272 129324 Stent Thoracic Valiant Captivia 32x32x100mm Sterile272 129325 Stent Thoracic Valiant Captivia 34x34x100mm Sterile272 129326 Stent Thoracic Valiant Captivia 36x36x100mm Sterile272 129327 Stent Thoracic Valiant Captivia 38x38x100mm Sterile272 129328 Stent Thoracic Valiant Captivia 40x40x100mm Sterile272 129329 Stent Thoracic Valiant Captivia 42x42x100mm Sterile272 129330 Stent Thoracic Valiant Captivia 44x44x100mm Sterile272 129331 Stent Thoracic Valiant Captivia 46x46x100mm Sterile272 129332 Stent Thoracic Valiant Captivia 22x22x150mm Sterile272 129333 Stent Thoracic Valiant Captivia 24x24x150mm Sterile272 129334 Stent Thoracic Valiant Captivia 26x26x150mm Sterile272

190 129335 Stent Thoracic Valiant Captivia 28x28x150mm Sterile272 129336 Stent Thoracic Valiant Captivia 30x30x150mm Sterile272 129337 Stent Thoracic Valiant Captivia 32x32x150mm Sterile272 129338 Stent Thoracic Valiant Captivia 34x34x150mm Sterile272 129339 Stent Thoracic Valiant Captivia 36x36x150mm Sterile272 129340 Stent Thoracic Valiant Captivia 38x38x150mm Sterile272 129341 Stent Thoracic Valiant Captivia 40x40x150mm Sterile272 129342 Stent Thoracic Valiant Captivia 42x42x150mm Sterile272 129343 Stent Thoracic Valiant Captivia 44x44x150mm Sterile272 129344 Stent Thoracic Valiant Captivia 46x46x150mm Sterile272 129345 Stent Thoracic Valiant Captivia 30x30x200mm Sterile272 129346 Stent Thoracic Valiant Captivia 32x32x200mm Sterile272 129347 Stent Thoracic Valiant Captivia 34x34x200mm Sterile272 129348 Stent Thoracic Valiant Captivia 36x36x200mm Sterile272 129349 Stent Thoracic Valiant Captivia 38x38x200mm Sterile272 129350 Stent Thoracic Valiant Captivia 40x40x200mm Sterile272 129351 Stent Thoracic Valiant Captivia 42x42x200mm Sterile272 129352 Stent Thoracic Valiant Captivia 44x44x200mm Sterile272 129353 Stent Thoracic Valiant Captivia 46x46x200mm Sterile272 129354 Stent Thoracic Straight Valiant Captivia 22x22x100mm272 Sterile 129355 Stent Thoracic Straight Valiant Captivia 24x24x100mm272 Sterile 129356 Stent Thoracic Straight Valiant Captivia 26x26x100mm272 Sterile 129357 Stent Thoracic Straight Valiant Captivia 28x28x100mm272 Sterile 129358 Stent Thoracic Straight Valiant Captivia 30x30x100mm272 Sterile 129359 Stent Thoracic Straight Valiant Captivia 32x32x100mm272 Sterile 129360 Stent Thoracic Straight Valiant Captivia 34x34x100mm272 Sterile 129361 Stent Thoracic Straight Valiant Captivia 36x36x100mm272 Sterile 129362 Stent Thoracic Straight Valiant Captivia 38x38x100mm272 Sterile 129363 Stent Thoracic Straight Valiant Captivia 40x40x100mm272 Sterile 129364 Stent Thoracic Straight Valiant Captivia 42x42x100mm272 Sterile 129365 Stent Thoracic Straight Valiant Captivia 44x44x100mm272 Sterile 129366 Stent Thoracic Straight Valiant Captivia 46x46x100mm272 Sterile 129367 Stent Thoracic Straight Valiant Captivia 22x22x150mm272 Sterile 129368 Stent Thoracic Straight Valiant Captivia 24x24x150mm272 Sterile 129369 Stent Thoracic Straight Valiant Captivia 26x26x150mm272 Sterile 129370 Stent Thoracic Straight Valiant Captivia 28x28x150mm272 Sterile 129371 Stent Thoracic Straight Valiant Captivia 30x30x150mm272 Sterile 129372 Stent Thoracic Straight Valiant Captivia 32x32x150mm272 Sterile 129373 Stent Thoracic Straight Valiant Captivia 34x34x150mm272 Sterile 129374 Stent Thoracic Straight Valiant Captivia 36x36x150mm272 Sterile 129375 Stent Thoracic Straight Valiant Captivia 38x38x150mm272 Sterile 129376 Stent Thoracic Straight Valiant Captivia 40x40x150mm272 Sterile 129377 Stent Thoracic Straight Valiant Captivia 42x42x150mm272 Sterile 129378 Stent Thoracic Straight Valiant Captivia 44x44x150mm272 Sterile 129379 Stent Thoracic Straight Valiant Captivia 46x46x150mm272 Sterile

191 129380 Stent Thoracic Straight Valiant Captivia 30x30x200mm272 Sterile 129381 Stent Thoracic Straight Valiant Captivia 32x32x200mm272 Sterile 129382 Stent Thoracic Straight Valiant Captivia 34x34x200mm272 Sterile 129383 Stent Thoracic Straight Valiant Captivia 36x36x200mm272 Sterile 129384 Stent Thoracic Straight Valiant Captivia 38x38x200mm272 Sterile 129385 Stent Thoracic Straight Valiant Captivia 40x40x250mm272 Sterile 129386 Stent Thoracic Straight Valiant Captivia 42x42x200mm272 Sterile 129387 Stent Thoracic Straight Valiant Captivia 44x44x200mm272 Sterile 129388 Stent Thoracic Straight Valiant Captivia 46x46x200mm272 Sterile 129389 Stent Thoracic Taper Valiant Captivia 26x22x150mm272 Sterile 129390 Stent Thoracic Taper Valiant Captivia 28x24x150mm272 Sterile 129391 Stent Thoracic Taper Valiant Captivia 30x26x150mm272 Sterile 129392 Stent Thoracic Taper Valiant Captivia 32x28x150mm272 Sterile 129393 Stent Thoracic Taper Valiant Captivia 34x30x150mm272 Sterile 129394 Stent Thoracic Taper Valiant Captivia 36x32x150mm272 Sterile 129395 Stent Thoracic Taper Valiant Captivia 38x34x150mm272 Sterile 129396 Stent Thoracic Taper Valiant Captivia 40x36x150mm272 Sterile 129397 Stent Thoracic Taper Valiant Captivia 42x38x150mm272 Sterile 129398 Stent Thoracic Taper Valiant Captivia 46x42x150mm272 Sterile 129399 Stent Thoracic Distal Valiant Captivia 22x22x100mm272 Sterile 129400 Stent Thoracic Distal Valiant Captivia 24x24x100mm272 Sterile 129401 Stent Thoracic Distal Valiant Captivia 26x26x100mm272 Sterile 129402 Stent Thoracic Distal Valiant Captivia 28x28x100mm272 Sterile 129403 Stent Thoracic Distal Valiant Captivia 30x30x100mm272 Sterile 129404 Stent Thoracic Distal Valiant Captivia 32x32x100mm272 Sterile 129405 Stent Thoracic Distal Valiant Captivia 34x34x100mm272 Sterile 129406 Stent Thoracic Distal Valiant Captivia 36x36x100mm272 Sterile 129407 Stent Thoracic Distal Valiant Captivia 38x38x100mm272 Sterile 129408 Stent Thoracic Distal Valiant Captivia 40x40x100mm272 Sterile 129409 Stent Thoracic Distal Valiant Captivia 42x42x100mm272 Sterile 129410 Stent Thoracic Distal Valiant Captivia 44x44x100mm272 Sterile 129411 Stent Thoracic Distal Valiant Captivia 46x46x100mm272 Sterile 129412 Stent Thoracic Valiant Captivia 2 Piece Case (Bundle)272 Sterile 129413 Stent Thoracic Valiant Captivia Distal 2 Piece (Bundle)272 Sterile 129414 Stent Thoracic Valiant Captivia 3 Piece Case (Bundle)272 Sterile 129415 Stent Thoracic Valiant Captivia Distal 3 Piece (Bundle)272 Sterile 129290 Applicator Tisseel Laparoscopy Sterile 272 129291 Set Tisseel Spray Sterile 272 129296 Applicator Floseal Endoscopic 41cm Sterile 272 129499 Catheter Balloon Dilatation Peripheral OTW Coyote 272ES 2x40mm/144cmHCPCS C1725 Sterile 129500 Catheter Balloon Dilatation Peripheral OTW Coyote 2722x60mm/150cmHCPCS C1725 Sterile 129501 Catheter Balloon Dilatation Peripheral OTW Coyote 2722x80mm/150cmHCPCS C1725 Sterile 129502 Catheter Balloon Dilatation Peripheral OTW Coyote 2722x120mm/150cmHCPCS C1725 Sterile 129503 Catheter Balloon Dilatation Peripheral OTW Coyote 2722x150mm/150cmHCPCS C1725 Sterile 129504 Catheter Balloon Dilatation Peripheral OTW Coyote 2722x220mm/150cmHCPCS C1725 Sterile

192 129505 Catheter Balloon Dilatation Peripheral OTW Coyote 272ES 2.5x40mm/145cmHCPCS C1725 Ster 129506 Catheter Balloon Dilatation Peripheral OTW Coyote 2722.5x60mm/150cmHCPCS C1725 Ster 129507 Catheter Balloon Dilatation Peripheral OTW Coyote 2722.5x80mm/150cmHCPCS C1725 Ster 129508 Catheter Balloon Dilatation Peripheral OTW Coyote 2722.5x100mm/150cmHCPCS C1725 Ster 129509 Catheter Balloon Dilatation Peripheral OTW Coyote 2722.5x120mm/150cmHCPCS C1725 Ster 129510 Catheter Balloon Dilatation Peripheral OTW Coyote 2722.5x150mm/150cmHCPCS C1725 Ster 129511 Catheter Balloon Dilatation Peripheral OTW Coyote 2722.5x220mm/150cmHCPCS C1725 Ster 129512 Catheter Balloon Dilatation Peripheral OTW Coyote 2723x60mm/150cmHCPCS C1725 Ster 129513 Catheter Balloon Dilatation Peripheral OTW Coyote 2723x80mm/150cmHCPCS C1725 Ster 129514 Catheter Balloon Dilatation Peripheral OTW Coyote 2723x120mm/150cmHCPCS C1725 Ster 129515 Catheter Balloon Dilatation Peripheral OTW Coyote 2723x150mm/150cmHCPCS C1725 Ster 129516 Catheter Balloon Dilatation Peripheral OTW Coyote 2723x220mm/150cmHCPCS C1725 Ster 129517 Catheter Balloon Dilatation Peripheral OTW Coyote 2723.5x60mm/150cmHCPCS C1725 Ster 129518 Catheter Balloon Dilatation Peripheral OTW Coyote 2723.5x80mm/150cmHCPCS C1725 Ster 129519 Catheter Balloon Dilatation Peripheral OTW Coyote 2723.5x100mm/150cmHCPCS C1725 Ster 129520 Catheter Balloon Dilatation Peripheral OTW Coyote 2723.5x120mm/150cmHCPCS C1725 Ster 129521 Catheter Balloon Dilatation Peripheral OTW Coyote 2723.5x150mm/150cmHCPCS C1725 Ster 129522 Catheter Balloon Dilatation Peripheral OTW Coyote 2723.5x220mm/150cmHCPCS C1725 Ster 129523 Catheter Balloon Dilatation Peripheral OTW Coyote 2724x60mm/150cmHCPCS C1725 Ster 129524 Catheter Balloon Dilatation Peripheral OTW Coyote 2724x80mm/150cmHCPCS C1725 Ster 129525 Catheter Balloon Dilatation Peripheral OTW Coyote 2724x120mm/150cmHCPCS C1725 Ster 129526 Catheter Balloon Dilatation Peripheral OTW Coyote 2724x150mm/150cmHCPCS C1725 Ster 129527 Catheter Balloon Dilatation Peripheral OTW Coyote 2724x220mm/150cmHCPCS C1725 Ster 129529 Valve Mosaic Ultra 305U Aortic with Cinch II 19mm Sterile278 129530 Valve Mosaic Ultra 305U Aortic with Cinch II 29mm Sterile278 129531 Valve Mosaic Ultra 305C Aortic with Cinch II 21mm Sterile278 129532 Valve Mosaic Ultra 305C Aortic with Cinch II 23mm Sterile278 129533 Valve Mosaic Ultra 305C Aortic with Cinch II 25mm Sterile278 129534 Valve Mosaic Ultra 305C Aortic with Cinch II 27mm Sterile278 129535 Valve Mosaic Ultra 305C Aortic with Cinch II 19mm Sterile278 129536 Valve Mosaic Ultra 305C Aortic with Cinch II 29mm Sterile278 113915 Catheter Balloon Dilation Peripheral Sterling OTW 4272 x 60mmHCPCS .018in C1725 x135cm S 113916 Catheter Balloon Dilation Peripheral Sterling OTW 4272 x 80mmHCPCS .018in C1725 x135cm S 113917 Catheter Balloon Dilation Peripheral Sterling OTW 4272 x100mmHCPCS .018in C1725 x135cm S 113918 Catheter Balloon Dilation Peripheral Sterling OTW 5272 x 60mmHCPCS .018in C1725 x135cm S 113919 Catheter Balloon Dilation Peripheral Sterling OTW 5272 x 80mmHCPCS .018in C1725 x135cm S 113920 Catheter Balloon Dilation Peripheral Sterling OTW 5272 x 100mmHCPCS .018in C1725 x135cm 117521 Catheter Balloon Dilation Peripheral Sterling OTW 9272 x20mmHCPCS .018in C1725 x135cm S 117522 Catheter Balloon Dilation Peripheral Sterling OTW 10272 x20mmHCPCS .018in C1725 x135cm S 120375 Catheter Balloon Dilation Peripheral Sterling OTW 6272 x 100mmHCPCS .018in C1725 x135cm 120376 Catheter Balloon Dilation Peripheral Sterling OTW 6272 x 60mmHCPCS .018in C1725 x135cm S 120377 Catheter Balloon Dilation Peripheral Sterling OTW 6272 x 80mmHCPCS .018in C1725 x135cm S 129537 Catheter Balloon Dilation Peripheral Sterling OTW 5272 x 40mmHCPCS .018in C1725 x135cm 129538 Catheter Balloon Dilation Peripheral Sterling OTW 5272 x 120mmHCPCS .018in C1725 x150cm 129539 Catheter Balloon Dilation Peripheral Sterling OTW 6272 x 40mmHCPCS .018in C1725 x135cm

193 129540 Catheter Balloon Dilation Peripheral Sterling OTW 6272 x 120mmHCPCS .018in C1725 x150cm 129541 Catheter Balloon Dilation Peripheral Sterling OTW 6272 x 200mmHCPCS .018in C1725 x150cm 129542 Catheter Balloon Dilation Peripheral Sterling OTW 6272 x 150mmHCPCS .018in C1725 x150cm 129543 Electrode J-Hook Laparoscopic 5mm x 32cm Sterile272 129544 Gun Deployment Repair Omnispan Meniscal 272 129545 Needle Repair Omnispan Meniscal 27d 272 120423 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2724x100mm/135cmHCPCS C1725 .035in St 120421 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2724x40mm/135cmHCPCS C1725 .035in St 120424 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2724x150mm/135cmHCPCS C1725 .035in St 120430 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2725x200mm/135cmHCPCS C1725 .035in St 120431 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2726x40mm/135cmHCPCS C1725 .035in St 120425 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2724x200mm/135cmHCPCS C1725 .035in St 120434 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2726x150mm/135cmHCPCS C1725 .035in St 120435 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2726x200mm/135cmHCPCS C1725 .035in St 120436 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2727x40mm/135cmHCPCS C1725 .035in St 120429 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2725x150mm/135cmHCPCS C1725 .035in St 120437 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2727x60mm/135cmHCPCS C1725 .035in St 120438 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2727x100mm/135cmHCPCS C1725 .035in St 120439 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2727x150mm/135cmHCPCS C1725 .035in St 120440 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2727x200mm/135cmHCPCS C1725 .035in St 129546 Catheter Balloon Dilatation Peripheral Mustang 4Fr 2724x80mm/135cmHCPCS C1725 .035in St 129547 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2725x80mm/135cmHCPCS C1725 .035in St 129548 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2726x80mm/135cmHCPCS C1725 .035in St 129549 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2727x20mm/135cmHCPCS C1725 .035in St 129550 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2728x20mm/135cmHCPCS C1725 .035in St 129551 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2728x40mm/135cmHCPCS C1725 .035in St 129552 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2728x60mm/135cmHCPCS C1725 .035in St 129553 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2729x20mm/135cmHCPCS C1725 .035in St 129554 Catheter Balloon Dilatation Peripheral Mustang 5Fr 2729x40mm/135cmHCPCS C1725 .035in St 129555 Catheter Balloon Dilatation Peripheral Mustang 5Fr 27210x20mm/135cmHCPCS C1725 .035in St 129556 Catheter Balloon Dilatation Peripheral Mustang 5Fr 27210x40mm/135cmHCPCS C1725 .035in St 129557 Catheter Balloon Dilatation Peripheral Mustang 5Fr 27210x60mm/135cmHCPCS C1725 .035in St 129558 Catheter Balloon Dilatation Peripheral Mustang 5Fr 27212x20mm/135cmHCPCS C1725 .035in St 129559 Catheter Balloon Dilatation Peripheral Mustang 5Fr 27212x40mm/135cmHCPCS C1725 .035in St 129618 Blade Razorcut 4.5mm Sterile 270 129635 Stent Vascular Self-Expanding Absolute Pro 6Fr 6.0 x278 80mmHCPCS x 80cm C1876 Shaft St 129636 Stent Vascular Self-Expanding Absolute Pro 6Fr 6.0 x278 100mmHCPCS x 80cm C1876 Shaft St 129637 Stent Vascular Self-Expanding Absolute Pro 6Fr 7.0 x278 20mmHCPCS x 80cm C1876 Shaft St 129638 Stent Vascular Self-Expanding Absolute Pro 6Fr 7.0 x278 40mmHCPCS x 80cm C1876 Shaft St 129639 Stent Vascular Self-Expanding Absolute Pro 6Fr 7.0 x278 80mmHCPCS x 80cm C1876 Shaft St 129640 Stent Vascular Self-Expanding Absolute Pro 6Fr 8.0 x278 20mmHCPCS x 80cm C1876 Shaft St 129641 Stent Vascular Self-Expanding Absolute Pro 6Fr 9.0 x278 20mmHCPCS x 80cm C1876 Shaft St 129642 Stent Vascular Self-Expanding Absolute Pro 6Fr 9.0 x278 80mmHCPCS x 80cm C1876 Shaft St 129643 Stent Vascular Self-Expanding Absolute Pro 6Fr 10.0278 x 20mmHCPCS x 80cm C1876 Shaft St 129644 Stent Vascular Self-Expanding Absolute Pro 6Fr 10.0278 x 80mmHCPCS x 80cm C1876 Shaft St

194 129649 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x12mmHCPCS C1876x 135cm St 129650 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x16mmHCPCS C1876x 135cm St 129651 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x19mmHCPCS C1876x 135cm St 129652 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x29mmHCPCS C1876x 135cm St 129653 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x39mmHCPCS C1876x 135cm St 129654 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x59mmHCPCS C1876x 135cm St 129655 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x12mmHCPCS C1876x 135cm St 129656 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x16mmHCPCS C1876x 135cm St 129657 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x19mmHCPCS C1876x 135cm St 129658 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x29mmHCPCS C1876x 135cm St 129659 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x39mmHCPCS C1876x 135cm St 129660 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x59mmHCPCS C1876x 135cm St 129661 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 8x19mmHCPCS C1876x 135cm St 129662 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 8x29mmHCPCS C1876x 135cm St 129663 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 8x39mmHCPCS C1876x 135cm St 129664 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 8x59mmHCPCS C1876x 135cm St 129665 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 9x19mmHCPCS C1876x 135cm St 129666 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 9x29mmHCPCS C1876x 135cm St 129667 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 9x39mmHCPCS C1876x 135cm St 129668 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 9x59mmHCPCS C1876x 135cm St 129669 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 10x19mmHCPCS C1876 x 135cm St 129670 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 10x29mmHCPCS C1876 x 135cm St 129671 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 10x39mmHCPCS C1876 x 135cm St 129672 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 10x59mmHCPCS C1876 x 135cm St 129673 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x12mmHCPCS C1876x 80cm St 129674 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x16mmHCPCS C1876x 80cm St 129675 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x19mmHCPCS C1876x 80cm St 129676 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x29mmHCPCS C1876x 80cm St 129677 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x39mmHCPCS C1876x 80cm St 129678 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 6x59mmHCPCS C1876x 80cm St 129679 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x12mmHCPCS C1876x 80cm St 129680 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x16mmHCPCS C1876x 80cm St 129681 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x19mmHCPCS C1876x 80cm St 129682 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x29mmHCPCS C1876x 80cm St 129683 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x39mmHCPCS C1876x 80cm St 129684 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 7x59mmHCPCS C1876x 80cm St 129685 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 8x19mmHCPCS C1876x 80cm St 129686 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 8x29mmHCPCS C1876x 80cm St 129687 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 8x39mmHCPCS C1876x 80cm St 129688 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 8x59mmHCPCS C1876x 80cm St 129689 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 9x19mmHCPCS C1876x 80cm St 129690 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 9x29mmHCPCS C1876x 80cm St 129691 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 9x39mmHCPCS C1876x 80cm St 129692 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 9x59mmHCPCS C1876x 80cm St 129693 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 10x19mmHCPCS C1876 x 80cm St

195 129694 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 10x29mmHCPCS C1876 x 80cm St 129695 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 10x39mmHCPCS C1876 x 80cm St 129696 Stent Peripheral Balloon-Exp Omnilink Elite 6Fr .035in278 10x59mmHCPCS C1876 x 80cm St 129766 Graft Synthecel Dura Onlay 4 x 5in Cellulose Fiber Sterile278 129819 Implant Hammertoe Cannulated PHALINX 0d Ti XSmall278 SterileHCPCS C1776 129820 Implant Hammertoe Cannulated PHALINX 0d Ti Small278 SterileHCPCS C1776 129821 Implant Hammertoe Cannulated PHALINX 0d Ti Medium278 SterileHCPCS C1776 129822 Implant Hammertoe Cannulated PHALINX 0d Ti Large278 SterileHCPCS C1776 129823 Implant Hammertoe Angled PHALINX 10d Ti XSmall Sterile278 HCPCS C1776 129824 Implant Hammertoe Angled PHALINX 10d Ti Small Sterile278 HCPCS C1776 129825 Implant Hammertoe Angled PHALINX 10d Ti Medium278 SterileHCPCS C1776 129826 Implant Hammertoe Angled PHALINX 10d Ti Large Sterile278 HCPCS C1776 129827 K-Wire PHALINX 0.9 x 102mm XSmall/Small Sterile 272 129828 K-Wire PHALINX 1.1 x 102mm Medium Sterile 272 129829 K-Wire PHALINX 1.4 x 102mm Large Sterile 272 129830 Bit Drill PHALINX Cannulated 2.2mm Sterile 272 129831 Bit Drill PHALINX Non-Cannulated 2.2mm Sterile 272 129832 Bit Drill PHALINX Cannulated 2.45mm Sterile 272 129833 Bit Drill PHALINX Non-Cannulated 2.45mm Sterile 272 129834 Bit Drill PHALINX Cannualted 2.55mm Sterile 272 129835 Bit Drill PHALINX Non-Cannulated 2.55mm Sterile 272 129836 Bit Drill PHALINX Cannulated 2.65mm Sterile 272 129837 Bit Drill PHALINX Non-Cannulated 2.65mm Sterile 272 101506 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 20mmHCPCS on 150cm C1725 Shaft 129448 Catheter Balloon Peripheral PTA .035in Armada 3.0 272x 20mmHCPCS on 135cm C1725 Shaft 129449 Catheter Balloon Peripheral PTA .035in Armada 3.0 272x 40mmHCPCS on 135cm C1725 Shaft 129450 Catheter Balloon Peripheral PTA .035in Armada 5.0 272x 120mmHCPCS on C1725135cm Shaft 129451 Catheter Balloon Peripheral PTA .035in Armada 7.0 272x 80mmHCPCS on 135cm C1725 Shaft 101507 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 40mmHCPCS on 150cm C1725 Shaft 101508 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 60mmHCPCS on 150cm C1725 Shaft 129452 Catheter Balloon Peripheral PTA .035in Armada 7.0 272x 120mmHCPCS on C1725135cm Shaft 101509 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 80mmHCPCS on 150cm C1725 Shaft 101510 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 120mmHCPCS on C1725150cm Shaft 101511 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 200mmHCPCS on C1725150cm Shaft 101512 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 120mmHCPCS on C1725150cm Shaft 101514 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 200mmHCPCS on C1725150cm Shaft 129453 Catheter Balloon Peripheral PTA .035in Armada 8.0 272x 60mmHCPCS on 135cm C1725 Shaft 129454 Catheter Balloon Peripheral PTA .035in Armada 8.0 272x 80mmHCPCS on 135cm C1725 Shaft 101515 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 120mmHCPCS on C1725150cm Shaft 129455 Catheter Balloon Peripheral PTA .035in Armada 9.0 272x 60mmHCPCS on 135cm C1725 Shaft 101516 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 200mmHCPCS on C1725150cm Shaft 101517 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 20mmHCPCS on 150cm C1725 Shaft 101518 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 40mmHCPCS on 150cm C1725 Shaft 102114 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 80mmHCPCS on 150cm C1725 Shaft 129456 Catheter Balloon Peripheral PTA .035in Armada 14.0272 x 20mmHCPCS on C1725135cm Shaft

196 129457 Catheter Balloon Peripheral PTA .035in Armada 14.0272 x 40mmHCPCS on C1725135cm Shaft 102115 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 120mmHCPCS on C1725150cm Shaft 129458 Catheter Balloon Peripheral PTA .035in Armada 14.0272 x 60mmHCPCS on C1725135cm Shaft 102116 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 200mmHCPCS on C1725150cm Shaft 129459 Catheter Balloon Peripheral PTA .035in Armada 6.0 272x 80mmHCPCS on 80cm C1725 Shaft 102117 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 20mmHCPCS on 150cm C1725 Shaft 129460 Catheter Balloon Peripheral PTA .035in Armada 6.0 272x 100mmHCPCS on C172580cm Shaft 102118 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 40mmHCPCS on 150cm C1725 Shaft 129461 Catheter Balloon Peripheral PTA .035in Armada 6.0 272x 120mmHCPCS on C172580cm Shaft 102119 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 80mmHCPCS on 150cm C1725 Shaft 129462 Catheter Balloon Peripheral PTA .035in Armada 6.0 272x 150mmHCPCS on C172580cm Shaft 129463 Catheter Balloon Peripheral PTA .035in Armada 6.0 272x 200mmHCPCS on C172580cm Shaft 129464 Catheter Balloon Peripheral PTA .035in Armada 6.0 272x 250mmHCPCS on C172580cm Shaft 129465 Catheter Balloon Peripheral PTA .035in Armada 12.0272 x 60mmHCPCS on C1725135cm Shaft 129466 Catheter Balloon Peripheral PTA .035in Armada 7.0 272x 20mmHCPCS on 80cm C1725 Shaft 115561 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 4HCPCS x 20mm C1725 -135cm 129467 Catheter Balloon Peripheral PTA .035in Armada 7.0 272x 100mmHCPCS on C172580cm Shaft 129468 Catheter Balloon Peripheral PTA .035in Armada 7.0 272x 120mmHCPCS on C172580cm Shaft 129469 Catheter Balloon Peripheral PTA .035in Armada 7.0 272x 150mmHCPCS on C172580cm Shaft 115562 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 4HCPCS X 40mm C1725 -135cm 129470 Catheter Balloon Peripheral PTA .035in Armada 7.0 272x 200mmHCPCS on C172580cm Shaft 115563 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 4HCPCS X 60mm C1725 -135cm 129471 Catheter Balloon Peripheral PTA .035in Armada 8.0 272x 20mmHCPCS on 80cm C1725 Shaft 115564 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 5HCPCS X 20mm C1725 -135cm 129472 Catheter Balloon Peripheral PTA .035in Armada 8.0 272x80mmHCPCS on 80cm C1725 Shaft 115565 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 5HCPCS X 40mm C1725 -135cm 129473 Catheter Balloon Peripheral PTA .035in Armada 9.0 272x20mmHCPCS on 80cm C1725 Shaft 115566 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 5HCPCS X 60mm C1725 -135cm 129474 Catheter Balloon Peripheral PTA .035in Armada 9.0 272x40mmHCPCS on 80cm C1725 Shaft 115567 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 5HCPCS X 80mm C1725 -135cm 129475 Catheter Balloon Peripheral PTA .035in Armada 9.0 272x60mmHCPCS on 80cm C1725 Shaft 115568 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 5HCPCS X 100mm C1725 -135cm 129476 Catheter Balloon Peripheral PTA .035in Armada 9.0 272x80mmHCPCS on 80cm C1725 Shaft 115569 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 6HCPCS X 20mm C1725 -135cm 129477 Catheter Balloon Peripheral PTA .035in Armada 10.0272 x20mmHCPCS on 80cmC1725 Shaft 115570 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 6HCPCS X 40mm C1725 -135cm 115571 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 6HCPCS X 60mm C1725 -135cm 129478 Catheter Balloon Peripheral PTA .035in Armada 6.0 272x150mmHCPCS on 135cmC1725 Shaft 115572 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 6HCPCS X 80mm C1725 -135cm 115573 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 6HCPCS X 100mm C1725 -135cm 115574 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 7HCPCS X 20mm C1725 -135cm 115575 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 7HCPCS X 40mm C1725 135cm 129645 Catheter Balloon Peripheral PTA Armada 35LL 4.0 x 272150mmHCPCS Sterile C1725 115576 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 7HCPCS X 60mm C1725 -135cm 129646 Catheter Balloon Peripheral PTA Armada 35LL 5.0 x 272150mmHCPCS Sterile C1725

197 115577 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 7HCPCS X 100mm C1725 -135cm 115578 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 8HCPCS X 20mm C1725 -135cm 129647 Catheter Balloon Peripheral PTA Armada 35LL 7.0 x 272150mmHCPCS Sterile C1725 129648 Catheter Balloon Peripheral PTA Armada 35LL 7.0 x 272200mmHCPCS Sterile C1725 115579 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 8HCPCS X 40mm C1725 -135cm 115580 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 9HCPCS X 20mm C1725 -135cm 115581 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 9HCPCS X 40mm C1725 -135cm 129697 Catheter Balloon Peripheral PTA .018in Armada 2.0 272x 20mmHCPCS on 150cm C1725 Shaft 115582 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 10HCPCS X 20mm C1725 -135cm 115583 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 10HCPCS X 40mm C1725 -135cm 129698 Catheter Balloon Peripheral PTA .018in Armada 2.0 272x 40mmHCPCS on 150cm C1725 Shaft 115584 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 12HCPCS X 20mm C1725 -135cm 129699 Catheter Balloon Peripheral PTA .018in Armada 2.0 272x 60mmHCPCS on 150cm C1725 Shaft 115585 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 12HCPCS X 40mm C1725 -135cm 129700 Catheter Balloon Peripheral PTA .018in Armada 2.0 272x 80mmHCPCS on 150cm C1725 Shaft 129701 Catheter Balloon Peripheral PTA .018in Armada 2.0 272x 100mmHCPCS on C1725150cm Shaft 129702 Catheter Balloon Peripheral PTA .018in Armada 2.0 272x 120mmHCPCS on C1725150cm Shaft 129703 Catheter Balloon Peripheral PTA .018in Armada 2.0 272x 150mmHCPCS on C1725150cm Shaft 129704 Catheter Balloon Peripheral PTA .018in Armada 2.0 272x 180mmHCPCS on C1725150cm Shaft 129705 Catheter Balloon Peripheral PTA .018in Armada 2.0 272x 200mmHCPCS on C1725150cm Shaft 129706 Catheter Balloon Peripheral PTA .018in Armada 2.5 272x 20mmHCPCS on 150cm C1725 Shaft 129707 Catheter Balloon Peripheral PTA .018in Armada 2.5 272x 40mmHCPCS on 150cm C1725 Shaft 120320 Catheter Balloon Peripheral PTA Armada 35LL 4.0 x 272200mmHCPCS C1725 129708 Catheter Balloon Peripheral PTA .018in Armada 2.5 272x 60mmHCPCS on 150cm C1725 Shaft 129709 Catheter Balloon Peripheral PTA .018in Armada 2.5 272x 80mmHCPCS on 150cm C1725 Shaft 129710 Catheter Balloon Peripheral PTA .018in Armada 2.5 272x 100mmHCPCS on C1725150cm Shaft 120321 Catheter Balloon Peripheral PTA Armada 35LL 4.0 x 272250mmHCPCS C1725 129711 Catheter Balloon Peripheral PTA .018in Armada 2.5 272x 120mmHCPCS on C1725150cm Shaft 129712 Catheter Balloon Peripheral PTA .018in Armada 2.5 272x 150mmHCPCS on C1725150cm Shaft 120322 Catheter Balloon Peripheral PTA Armada 35LL 5.0 x 272200mmHCPCS C1725 129713 Catheter Balloon Peripheral PTA .018in Armada 2.5 272x 180mmHCPCS on C1725150cm Shaft 120323 Catheter Balloon Peripheral PTA Armada 35LL 5.0 x 272250mmHCPCS C1725 129714 Catheter Balloon Peripheral PTA .018in Armada 2.5 272x 200mmHCPCS on C1725150cm Shaft 120324 Catheter Balloon Peripheral PTA Armada 35LL 6.0 x 272200mmHCPCS C1725 129715 Catheter Balloon Peripheral PTA .018in Armada 3.0 272x 20mmHCPCS on 150cm C1725 Shaft 120325 Catheter Balloon Peripheral PTA Armada 35LL 6.0 x 272250mmHCPCS C1725 129716 Catheter Balloon Peripheral PTA .018in Armada 3.0 272x 40mmHCPCS on 150cm C1725 Shaft 129717 Catheter Balloon Peripheral PTA .018in Armada 3.0 272x 60mmHCPCS on 150cm C1725 Shaft 129718 Catheter Balloon Peripheral PTA .018in Armada 3.0 272x 80mmHCPCS on 150cm C1725 Shaft 129719 Catheter Balloon Peripheral PTA .018in Armada 3.0 272x 100mmHCPCS on C1725150cm Shaft 129720 Catheter Balloon Peripheral PTA .018in Armada 3.0 272x 120mmHCPCS on C1725150cm Shaft 129721 Catheter Balloon Peripheral PTA .018in Armada 3.0 272x 150mmHCPCS on C1725150cm Shaft 129722 Catheter Balloon Peripheral PTA .018in Armada 3.0 272x 180mmHCPCS on C1725150cm Shaft 120388 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 60mmHCPCS on 150cm C1725 Shaft 129723 Catheter Balloon Peripheral PTA .018in Armada 3.0 272x 200mmHCPCS on C1725150cm Shaft

198 129724 Catheter Balloon Peripheral PTA .018in Armada 4.0 272x 20mmHCPCS on 150cm C1725 Shaft 129725 Catheter Balloon Peripheral PTA .018in Armada 4.0 272x 40mmHCPCS on 150cm C1725 Shaft 129726 Catheter Balloon Peripheral PTA .018in Armada 4.0 272x 60mmHCPCS on 150cm C1725 Shaft 124246 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 40mmHCPCS on 150cm C1725 Shaft 129727 Catheter Balloon Peripheral PTA .018in Armada 4.0 272x 80mmHCPCS on 150cm C1725 Shaft 129728 Catheter Balloon Peripheral PTA .018in Armada 4.0 272x 100mmHCPCS on C1725150cm Shaft 129729 Catheter Balloon Peripheral PTA .018in Armada 4.0 272x 120mmHCPCS on C1725150cm Shaft 129730 Catheter Balloon Peripheral PTA .018in Armada 4.0 272x 150mmHCPCS on C1725150cm Shaft 129731 Catheter Balloon Peripheral PTA .018in Armada 4.0 272x 180mmHCPCS on C1725150cm Shaft 129732 Catheter Balloon Peripheral PTA .018in Armada 4.0 272x 200mmHCPCS on C1725150cm Shaft 124409 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 6HCPCS X 120mm C1725 -135cm 129733 Catheter Balloon Peripheral PTA .018in Armada 5.0 272x 20mmHCPCS on 150cm C1725 Shaft 129734 Catheter Balloon Peripheral PTA .018in Armada 5.0 272x 40mmHCPCS on 150cm C1725 Shaft 129735 Catheter Balloon Peripheral PTA .018in Armada 5.0 272x 60mmHCPCS on 150cm C1725 Shaft 124410 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 4HCPCS X 40mm C1725 -80cm 129736 Catheter Balloon Peripheral PTA .018in Armada 5.0 272x 80mmHCPCS on 150cm C1725 Shaft 124411 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 5HCPCS X 40mm C1725 -80cm 129737 Catheter Balloon Peripheral PTA .018in Armada 5.0 272x 100mmHCPCS on C1725150cm Shaft 124412 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 6HCPCS X 20mm C1725 -80cm 129738 Catheter Balloon Peripheral PTA .018in Armada 5.0 272x 120mmHCPCS on C1725150cm Shaft 124413 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 6HCPCS X 40mm C1725 -80cm 129739 Catheter Balloon Peripheral PTA .018in Armada 5.0 272x 150mmHCPCS on C1725150cm Shaft 129740 Catheter Balloon Peripheral PTA .018in Armada 5.0 272x 180mmHCPCS on C1725150cm Shaft 124414 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 6HCPCS X 60mm C1725 -80cm 129741 Catheter Balloon Peripheral PTA .018in Armada 5.0 272x 200mmHCPCS on C1725150cm Shaft 129742 Catheter Balloon Peripheral PTA .018in Armada 5.5 272x 20mmHCPCS on 150cm C1725 Shaft 124415 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 7HCPCS X 40mm C1725 -80cm 129743 Catheter Balloon Peripheral PTA .018in Armada 5.5 272x 40mmHCPCS on 150cm C1725 Shaft 129744 Catheter Balloon Peripheral PTA .018in Armada 5.5 272x 60mmHCPCS on 150cm C1725 Shaft 129745 Catheter Balloon Peripheral PTA .018in Armada 5.5 272x 80mmHCPCS on 150cm C1725 Shaft 129746 Catheter Balloon Peripheral PTA .018in Armada 5.5 272x 100mmHCPCS on C1725150cm Shaft 124416 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 7HCPCS X 60mm C1725 -80cm 129747 Catheter Balloon Peripheral PTA .018in Armada 5.5 272x 120mmHCPCS on C1725150cm Shaft 129748 Catheter Balloon Peripheral PTA .018in Armada 5.5 272x 150mmHCPCS on C1725150cm Shaft 124417 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 7HCPCS X 80mm C1725 -80cm 129749 Catheter Balloon Peripheral PTA .018in Armada 5.5 272x 180mmHCPCS on C1725150cm Shaft 129750 Catheter Balloon Peripheral PTA .018in Armada 5.5 272x 200mmHCPCS on C1725150cm Shaft 129751 Catheter Balloon Peripheral PTA .018in Armada 6.0 272x 20mmHCPCS on 150cm C1725 Shaft 124418 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 8HCPCS X 40mm C1725 -80cm 129752 Catheter Balloon Peripheral PTA .018in Armada 6.0 272x 40mmHCPCS on 150cm C1725 Shaft 124419 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 8HCPCS X 60mm C1725 -80cm 129753 Catheter Balloon Peripheral PTA .018in Armada 6.0 272x 60mmHCPCS on 150cm C1725 Shaft 124420 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 10HCPCS X 40mm C1725 -80cm 129754 Catheter Balloon Peripheral PTA .018in Armada 6.0 272x 80mmHCPCS on 150cm C1725 Shaft 129755 Catheter Balloon Peripheral PTA .018in Armada 6.0 272x 100mmHCPCS on C1725150cm Shaft

199 124421 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 12HCPCS X 40mm C1725 -80cm 129756 Catheter Balloon Peripheral PTA .018in Armada 6.0 272x 120mmHCPCS on C1725150cm Shaft 124422 Catheter Balloon Peripheral PTA .035in Armada35 Wkhs272 14HCPCS X 40mm C1725 -80cm 129757 Catheter Balloon Peripheral PTA .018in Armada 6.0 272x 150mmHCPCS on C1725150cm Shaft 129758 Catheter Balloon Peripheral PTA .018in Armada 6.0 272x 180mmHCPCS on C1725150cm Shaft 129759 Catheter Balloon Peripheral PTA .018in Armada 6.0 272x 200mmHCPCS on C1725150cm Shaft 129479 Stent Vascular Self-Expanding Elite Pro 6Fr 4.0.x 15mm278 xHCPCS 80cm ShaftC1876 129480 Stent Vascular Self-Expanding Elite Pro 6Fr 4.0.x 18mm278 xHCPCS 80cm ShaftC1876 129481 Stent Vascular Self-Expanding Absolute Pro 6Fr 6.0. 278x 20mmHCPCS x 135m C1876 Shaft 129482 Stent Vascular Self-Expanding Absolute Pro 6Fr 7.0. 278x 20mmHCPCS x 135cm C1876 Shaft 129483 Stent Vascular Self-Expanding Absolute Pro 6Fr 7.0. 278x 30mmHCPCS x 135cm C1876 Shaft 129484 Stent Vascular Self-Expanding Absolute Pro 6Fr 8.0. 278x 20mmHCPCS x 135cm C1876 Shaft 129485 Stent Vascular Self-Expanding Absolute Pro 6Fr 8.0. 278x 60mmHCPCS x 135cm C1876 Shaft 129486 Stent Vascular Self-Expanding Absolute Pro 6Fr 8.0. 278x 80mmHCPCS x 135cm C1876 Shaft 129487 Stent Vascular Self-Expanding Absolute Pro 6Fr 8.0 x278 100mmHCPCS x 135cm C1876 Shaft 129488 Stent Vascular Self-Expanding Absolute Pro 6Fr 9.0 x278 60mmHCPCS x 135cm C1876 Shaft 129489 Stent Vascular Self-Expanding Absolute Pro 6Fr 9.0 x278 80mmHCPCS x 135cm C1876 Shaft 129490 Stent Vascular Self-Expanding Absolute Pro 6Fr 9.0 x278 100mmHCPCS x 135cm C1876 Shaft 129491 Stent Vascular Self-Expanding Absolute Pro 6Fr 10.0x278 80mmHCPCS x 80cm C1876 Shaft 129420 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 20mmHCPCS on 90cm C1725 Shaft 129421 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 40mmHCPCS on 90cm C1725 Shaft 129422 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 60mmHCPCS on 90cm C1725 Shaft 129423 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 80mmHCPCS on 90cm C1725 Shaft 129424 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 120mmHCPCS on C172590cm Shaft 129425 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 200mmHCPCS on C172590cm Shaft 129426 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 20mmHCPCS on 90cm C1725 Shaft 129427 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 40mmHCPCS on 90cm C1725 Shaft 129428 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 60mmHCPCS on 90cm C1725 Shaft 129429 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 80mmHCPCS on 90cm C1725 Shaft 129430 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 120mmHCPCS on C172590cm Shaft 129431 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 200mmHCPCS on C172590cm Shaft 129432 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 200mmHCPCS on C172590cm Shaft 129433 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 40mmHCPCS on 90cm C1725 Shaft 129434 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 60mmHCPCS on 90cm C1725 Shaft 129435 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 80mmHCPCS on 90cm C1725 Shaft 129436 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 120mmHCPCS on C172590cm Shaft 129437 Catheter Balloon Peripheral PTA .014in Armada 3.0 272x 200mmHCPCS on C172590cm Shaft 129438 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 20mmHCPCS on 90cm C1725 Shaft 129439 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 40mmHCPCS on 90cm C1725 Shaft 129440 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 60mmHCPCS on 90cm C1725 Shaft 129441 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 80mmHCPCS on 90cm C1725 Shaft 129442 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 120mmHCPCS on C172590cm Shaft 129443 Catheter Balloon Peripheral PTA .014in Armada 4.0 272x 200mmHCPCS on C172590cm Shaft 129444 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 20mmHCPCS on 150cm C1725 Shaft 129445 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 60mmHCPCS on 150cm C1725 Shaft

200 129446 Catheter Balloon Peripheral PTA .014in Armada 2.5 272x 80mmHCPCS on 150cm C1725 Shaft 129447 Catheter Balloon Peripheral PTA .014in Armada 2.0 272x 60mmHCPCS on 150cm C1725 Shaft 129846 Kit Coseal Hemostatic Surgical Sealant 4mil Sterile 278 HCPCS C1713 129847 Knife Cold Round for DVIU Set Sterile 272 129927 Shell Acetabular Cup Trident PSL HA Cluster TI 48mm278 HCPCS C1776 129928 Shell Acetabular Cup Trident PSL HA Cluster TI 50mm278 HCPCS C1776 129929 Shell Acetabular Cup Trident PSL HA Cluster TI 52mm278 HCPCS C1776 129930 Shell Acetabular Cup Trident PSL HA Cluster TI 54mm278 HCPCS C1776 129931 Tibial Baseplate Universal Triathlon Cemented #3 278 HCPCS C1776 129932 Tibial Baseplate Universal Triathlon Cemented #5 278 HCPCS C1776 129933 Tibial Baseplate Universal Triathlon Cemented #6 278 HCPCS C1776 129934 Insert Tibial Total Knee Triathlon PS X3 9mm Size 3278 HCPCS C1776 129935 Insert Tibial Total Knee Triathlon PS X3 11mm Size 3278 HCPCS C1776 129936 Insert Tibial Total Knee Triathlon PS X3 9mm Size 6278 HCPCS C1776 129937 Insert Tibial Total Knee Triathlon PS X3 11mm Size 6278 HCPCS C1776 129938 Insert Tibial Total Knee Triathlon PS X3 13mm Size 6278 HCPCS C1776 129939 Stem Humeral REUNION TSA Press-Fit 13mm 278 HCPCS C1776 129940 Stem Hip Accolade II 127d Size 4 278 HCPCS C1776 129948 Screw Cortex Self-Tap Modular Hand 1.3 x 14mm 278 HCPCS C1713 129949 Screw Cortex Self-Tap Modular Hand 1.3 x 18mm 278 HCPCS C1713 129950 Countersink for 1.3MM/1.5MM Screws 272 129951 Bit Drill Quick Coupling Mini 1.0mm x 50mm 272 129952 Bit Drill Quick Coupling Mini 1.3mm x 55mm 272 129954 Guidewire Threaded 2.5mm x 230mm Spade Point 272 129848 Humeral Tray Aequalis Ascend Flex Reversed 40mm 278Dia OffsetHCPCS .1 C1776 5mm+0 129849 Stem Humeral Aequalis Ascend Flex Long Press-fit PTC278 SizeHCPCS 7B C1776 129851 Electrode Cortical Strip Cylindrical Connector 4 Platinum272 Conts Brain Map 129854 Pump Penile Preconnect MX 700CS 16cm x 12mm 278 HCPCS C1813 129855 Locking Bar Tibial Bearing Removal Vanguard Mono-Lock272 129856 Tip Extender Ultra-Drive 3 Revision Ultrasonic Cement272 Removal 180mm 129857 Curette Reverse Ultra-Drive 3 Revision Ultrasonic Cement272 Removal 5mm 129858 Rental/Implant Kit Ultra-Drive 3 Revision Ultasonic 272Cement Removal 129859 Positioning Guide Signature Total Knee Patient Special272 Vanguard 129860 Head Femoral Biolox Ceramic Taper 36mm 278 HCPCS C1776 129867 Spacer Vertebral Interbody PEEK CoRoent Small 6x11x14mm278 HCPCS 5d C1713 129868 Spacer Vertebral Core X-CORE2 Ti 18mm Dia x 35-55mm278 XLIFHCPCS Corpectomy C1713 129869 Screw ACP Self-Drilling Variable Ang Helix-Revolution278 4.0HCPCS x 15mm C1713 129870 Screw ACP Self-Drilling Fixed Ang Helix-Revolution 4.0278 x 15mmHCPCS C1713 129871 Rod Pre-bent Armada 5.5mm Ti Lumbar Fixation 35mm278 HCPCS C1713 129872 Screw Reduction Armada 5.5mm Ti Lumbar Fixation278 6.5x45mmHCPCS C1713 129873 Screw Polyaxial Armada 5.5mm Ti Lumbar Fixation 5.5x35mm278 HCPCS C1713 129874 Screw Polyaxial Armada 5.5mm Ti Lumbar Fixation 6.5x40mm278 HCPCS C1713 129875 Pedicle Access System I-PAS III Insulated Beveled Tip278 SterileHCPCS C1713 129876 Spacer Vertebral Interbody PEEK CoRoent Anterior TLIF278 10x14x30mmHCPCS C1713 0d 129877 Allograft Femoral Cortical ExtenSureH2 8mm ILIF Posterior278 Lumbar Fusion

201 129878 Allograft Femoral Cortical ExtenSureH2 10mm ILIF Posterior278 Lumbar Fusion 129879 Spacer Vertebral Core X-COREmini Ti 12mm Dia x 15-20mm278 HCPCS C1713 129880 Spacer Vertebral Interbody PEEK CoRoent XL-XW 10x26x60mm278 HCPCS 10d C1713 129881 Spacer Vertebral Interbody PEEK CoRoent Small 6x13x15mm278 HCPCS Lordotic C1713 Plus 129882 Spacer Vertebral Interbody PEEK CoRoent Small 7x13x15mm278 HCPCS Lordotic C1713 Plus 129883 Spacer Vertebral Interbody PEEK CoRoent Small 8x13x15mm278 HCPCS Lordotic C1713 Plus 129884 Spacer Vertebral Interbody PEEK CoRoent XL Wide 8x22x60mm278 HCPCS LordoticC1713 129885 Spacer Vertebral Interbody PEEK CoRoent XL Wide 10x22x50mm278 HCPCS C1713Lordotic 129886 Spacer Vertebral Interbody PEEK CoRoent XLR 12 x 34278 x 24mmHCPCS 8d C1713 129887 Spacer Vertebral Interbody PEEK CoRoent XL Wide 12x22x60mm278 HCPCS C1713Lordotic 129888 Spacer Vertebral PEEK Interfixated ACIF Brigade 12x34x24mm278 HCPCS 12d C1713 129889 Spacer Vertebral PEEK Interfixated ACIF Brigade 12x38x28mm278 HCPCS 12d C1713 129890 Spacer Vertebral PEEK Interfixated ACIF Brigade 14x38x28mm278 HCPCS 12d C1713 129891 Screw Endcap Locking Vertebral Spacer X-CORE2 Ti 278XLIF CorpectomyHCPCS C1713 129892 Plate Affix II 35mm 278 HCPCS C1713 129893 Plate Helix R 22mm 1-Level 278 HCPCS C1713 129894 Plate Helix R 40mm 2-Level 278 HCPCS C1713 129895 Plate Helix R 58mm 3-Level 278 HCPCS C1713 129896 Screw Cortical Occipital VuePoint II Ti 4.5 x 6mm Post.Cerv/Thor278 HCPCS C1713 Fixtn 129897 Screw Lock Armada 5.5mm Ti Lumbar Fixation Open278 TulipHCPCS C1713 129898 Screw Vertebral ACIF CoRoent XLR-F Ti Self-Tap/Drill278 4.5x25mmHCPCS C1713 129899 Screw Vertebral ACIF CoRoent XLR-F Ti Self-Tap/Drill278 4.5x27.5mmHCPCS C1713 129900 Set Screw Precept Vertebral Fixation 278 HCPCS C1713 129901 K-wire Nitinol Bevel Tip Precept Vertebral Fixation 272 129902 Screw Pedicle Reduction 7.5x40mm Precept Vertebral278 FixationHCPCS C1713 129903 Set Screw VuePoint II TI Occipital Screw/Laminar Hook278 PostHCPCS Cerv/Thor C1713 Fixn 129904 Screw Pedicle MultiAxial VuePoint II Ti 3.5 x12mm Post.Cerv/Thor278 HCPCS C1713 Fixtn 129905 Screw Pedicle MultiAxial VuePoint II Ti 3.5 x14mm Post.Cerv/Thor278 HCPCS C1713 Fixtn 129906 Bit Drill VuePoint II 2.45mm Post Cerv/Thor Fixation272 129908 Kit Penile Implant Assembly 272 129909 Reservoir Titan CL Penile Implant 75cc 278 HCPCS C1813 129910 Shell Acetabular Cup Pinnacle Sector Gripton 52m 278 HCPCS C1713 129911 Head Femoral CoCr Lineage Transcend 32mm Neck +3.6mm278 HCPCS Long C1776 129912 Neck Sleeve Conserve Total Short 278 HCPCS C1776 129913 Stem Femoral Profemur Plasma Z Classic Extended w/Short278 HCPCS Neck C1776 Size 3 129914 Stem Femoral Profemur Plasma Z Classic Extended w/Short278 HCPCS Neck C1776 Size 4 129915 Stem Femoral Profemur Plasma Z Classic Extended w/Short278 HCPCS Neck C1776 Size 5 129916 Stem Femoral Profemur Plasma Z Classic Extended w/Short278 HCPCS Neck C1776 Size 6 129917 Stem Femoral Profemur Plasma Z Classic Std Straight278 w/ShortHCPCS Neck C1776 Size 2 129918 Stem Femoral Profemur Plasma Z Classic Std Straight278 w/ShortHCPCS Neck C1776 Size 4 129919 Stem Femoral Profemur Plasma Z Classic Std Straight278 w/ShortHCPCS Neck C1776 Size 5 129920 Stem Femoral Profemur Plasma Z Classic Std Straight278 w/ShortHCPCS Neck C1776 Size 6 129922 Bolster Knee Tenet T-Max 272 129923 Bit Drill 3.3 x 25mm 272 129973 Plate Distal Fibula LCP 2.7/3.5 x 86mm 4 Hole Right278 HCPCS C1713

202 129989 Nail Intramedullary Humeral EX Cannulated Ti 7mm278 x 250mmHCPCS Sterile C1713 129990 Screw Locking Femoral/Tibial Nail w/T25 Stardrive 2784.0 xHCPCS 22mm C1713Sterile 129991 Sleeve Resorbable for 5mm Angular Stable Locking Screw278 HCPCS Sterile C1713 129992 Screw Cortex Self-Tap Modular Hand 1.3 x 10mm 278 HCPCS C1713 129993 Screw Cortex Self-Tap Modular Hand 1.3 x 11mm 278 HCPCS C1713 129994 Screw Cortex Self-Tap Modular Hand 1.3 x 12mm 278 HCPCS C1713 129995 Screw Cortex Self-Tap Modular Hand 1.3 x 13mm 278 HCPCS C1713 129996 Screw Cortex Self-Tap Modular Hand 1.3 x 16mm 278 HCPCS C1713 129997 Screw Lag DHS/DCS 12.7 x 75mm 278 HCPCS C1713 129998 Screw Compression DHS/DCS Fracture 36mm Sterile278 HCPCS C1713 129999 Screw Compression DHS/DCS 36mm Fracture Precompression278 HCPCS C1713 130000 Plate DHS Std Barrel 135d 3 Hole 62mm Sterile 278 HCPCS C1713 130001 Putty Cranios Reinforced 10cc Sterile 278 HCPCS C1713 130003 Obturator 5.9 mm S&N for 281026 272 130005 Cable Test Stimulation Sterile 272 130006 Cable Twist-Lock 25cm Sterile 272 130007 Neurostimulator External Verify (ENS) Sterile 278 HCPCS C1767 130008 Graft Vasc Gore-Tex Stretch Thin Wall Bifurcated 12x6mm278 HCPCS x40cm C1768 Sterile 130063 Device Hemostatic Clip Endo GI Resolution 360 Repositionable272 235cm Sterile 130033 K-Wire 1.6 x 150mm with 15mm Threaded Tip 272 128970 K-wire 1.8 x 150mm with Trocar Point 272 130034 K-Wire 2.0 x 150mm with 15mm Threaded Tip 272 130064 Xenograft Vascular Artegraft Bovine Collagen 5mm x278 40cmHCPCS C1768 127669 Catheter Guide TrailBlazer .035in x 65cm 272 HCPCS C1887 128948 Plate LCP VA Dorsal Dist Radial Column 2.4x46mm 5278 HoleHCPCS Shaft SSC1713 128949 Plate LCP VA Dorsal Dist Radial Column 2.4x57mm 6278 HoleHCPCS Shaft SSC1713 128950 Plate LCP VA Dorsal Dist Interm Column+90d 2.4x41mm278 3HoleHCPCS Shaft C1713 2H Head SS 128951 Plate LCP VA Dorsal Dist Interm Column-90d 2.4x41mm278 3HoleHCPCS Shaft C1713 2H Head SS 128952 Plate LCP VA Dorsal Dist Interm Column+90d 2.4x49mm278 4HoleHCPCS Shaft C1713 2H Head SS 128953 Plate LCP VA Dorsal Dist Interm Column-90d 2.4x49mm278 4HoleHCPCS Shaft C1713 2H Head SS 128954 Plate LCP VA L Dorsal Distal Radius +90d 2.4x37mm 2783 HoleHCPCS Shaft C1713 2H Head SS 128955 Plate LCP VA L Dorsal Distal Radius -90d 2.4x37mm 3278 HoleHCPCS Shaft C17132H Head SS 128956 Plate LCP VA L Dorsal Distal Radius +90d 2.4x51mm 2785 HoleHCPCS Shaft C1713 2H Head SS 128957 Plate LCP VA L Dorsal Distal Radius -90d 2.4x51mm 5278 HoleHCPCS Shaft C17132H Head SS 128958 Plate LCP VA L Dorsal Distal Radius +90d 2.4x37mm 2783 HoleHCPCS Shaft C1713 3H Head SS 128959 Plate LCP VA L Dorsal Distal Radius -90d 2.4x37mm 3278 HoleHCPCS Shaft C17133H Head SS 128960 Plate LCP VA L Dorsal Distal Radius +90d 2.4x51mm 2785 HoleHCPCS Shaft C1713 3H Head SS 128961 Plate LCP VA L Dorsal Distal Radius -90d 2.4x51mm 5278 HoleHCPCS Shaft C17133H Head SS 128962 Plate LCP VA L Dorsal Dist Rad Oblq +20d 2.4x41mm278 3 HoleHCPCS Shaft C1713 3H Head SS 128963 Plate LCP VA L Dorsal Dist Rad Oblq -20d 2.4x41mm 2783 HoleHCPCS Shaft C1713 3H Head SS 128964 Plate LCP VA L Dorsal Dist Rad Oblq +20d 2.4x55mm278 5 HoleHCPCS Shaft C1713 3H Head SS 128965 Plate LCP VA L Dorsal Dist Rad Oblq -20d 2.4x55mm 2785 HoleHCPCS Shaft C1713 3H Head SS 128966 Plate LCP VA T Dorsal Distal Radius 2.4x37mm 3 Hole278 ShaftHCPCS 3H Head C1713 SS 128967 Plate LCP VA T Dorsal Distal Radius 2.4x51mm 5 Hole278 ShaftHCPCS 3H Head C1713 SS 130073 Introducer Sheath Peel-Away 22Fr Sterile 272 HCPCS C1894

203 130074 Introducer Sheath Peel-Away 24Fr Sterile 272 HCPCS C1894 114212 Screw Cortical Locking CLAW 3.5 x 26mm 278 HCPCS C1713 130075 Kit Prevena Incision Management Peel & Place 13cm272 130076 Cartridge "D" Monarch III Delivery System 272 130078 Knife Slit Single Bevel 2.4mm Sterile 272 130079 Infusion Sleeve .09mm 45 Degree Sterile 272 130080 Cannula Anterior Vitrectomy Sterile 272 130111 Screw Locking Ortholoc 3.5 x 24mm 278 HCPCS C1713 130112 Screw Non-Locking Ortholoc 3.5 x 18mm 278 HCPCS C1713 130113 Screw Non-Locking Ortholoc 3.5 x 20mm 278 HCPCS C1713 130114 Bit Drill 2.5 x 60mm 272 130115 K-Wire 2.5 x 150 mm 272 130116 Bit Drill Darco Headed 2.8mm 272 130117 Plate MTP 0d Medium Left 278 HCPCS C1713 130119 Guidewire Starter Bentson .018 x 180cm x 15cm 272 HCPCS C1769 130120 Balloon Fortrex Non Compliant OTW 5 x 20+H22 272 HCPCS C1725 130121 Balloon Fortrex Non Compliant OTW 5 x 40 272 HCPCS C1725 130122 Balloon Fortrex Non Compliant OTW 5 x 80 272 HCPCS C1725 130123 Balloon Fortrex Non Compliant OTW 6 x 40 272 HCPCS C1725 130124 Balloon Fortrex Non Compliant OTW 6 x 80 272 HCPCS C1725 130125 Balloon Fortrex Non Compliant OTW 8 x 40 272 HCPCS C1725 130098 Sinuplasty System Relieva Spin Balloon 272 130099 Bit Drill Extended Acutrak 2 Headless Compression Screw272 130100 Guide Wire Double Trocar Acutrak 2 Headless Comp 272.035 HCPCSx 6in C1769 130101 Drill Fusion Acutrak 24mm 272 130102 Screw Acutrak Fusion Headless Compression 24mm 278 HCPCS C1713 130103 Guidewire Acutrak Double Tipped .062in 272 HCPCS C1769 130104 Implant System Repair of Medial Patello Femoral Ligament278 HCPCS C1776 130105 Reamer Headed Cannulated 8.5mm 272 130106 Reamer Headed Cannulated 9mm 272 130107 Anchor Suture Biocomposite Swivelock SP 5.5 x 24.5mm278 HCPCS C1713 130108 Implant Cortical Ridgeloop 278 HCPCS C1713 130109 Guide Drill Crown Tip Inline 2.9 mm 272 130110 Screw Cortical Locking CLAW 3.5 x 32mm 278 HCPCS C1713 116094 Pump ABThera Negative Pressure Therapy - Daily Charge272 116095 Dressing Kit ABThera 272 116096 Canister 1000ML ABThera 272 130127 Tool Care Biopsy System GenCut Sterile 272 130264 Head Total Hip UHR Bipolar 26x52 mm 278 HCPCS C1776 130128 Head Anatomic Total Hip Ceramic Biolox Delta Universal278 HCPCSTaper Size C1776 40 130129 Head Anatomic Total Hip Ceramic Biolox Delta Universal278 HCPCSTaper Size C1776 44 130135 Stem TRI Cemented 12 x 50 mm 278 HCPCS C1776 130136 Stem TRI Cemented 9 x 100 mm 278 HCPCS C1776 130137 Stem TRI Cemented 12 x 100 mm 278 HCPCS C1776 130138 Insert Tibial BearingTotal Knee Triathlon X3-PS Size 2781/9mmHCPCS C1776

204 130139 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 1/11mmHCPCS C1776 130140 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 1/13mmHCPCS C1776 130141 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 1/16mmHCPCS C1776 130142 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 1/19mmHCPCS C1776 130143 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 2/9mmHCPCS C1776 130144 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 2/11mmHCPCS C1776 130145 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 2/13mmHCPCS C1776 130146 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 2/16mmHCPCS C1776 130147 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 2/19mmHCPCS C1776 130150 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 3/13mmHCPCS C1776 130151 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 3/16mmHCPCS C1776 130152 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 3/19mmHCPCS C1776 130153 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 4/9mmHCPCS C1776 130156 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 4/16mmHCPCS C1776 130157 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 4/19mmHCPCS C1776 130158 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 5/9mmHCPCS C1776 130159 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 5/11mmHCPCS C1776 130160 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 5/13mmHCPCS C1776 130161 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 5/16mmHCPCS C1776 130162 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 5/19mmHCPCS C1776 130166 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 6/16mmHCPCS C1776 130167 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 6/19mmHCPCS C1776 130168 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 7/9mmHCPCS C1776 130169 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 7/11mmHCPCS C1776 130170 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 7/13mmHCPCS C1776 130171 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 7/16mmHCPCS C1776 130172 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 7/19mmHCPCS C1776 130173 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 8/9mmHCPCS C1776 130174 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 8/11mmHCPCS C1776 130175 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 8/13mmHCPCS C1776 130176 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 8/16mmHCPCS C1776 130177 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 8/19mmHCPCS C1776 130184 Shell Acetabular Trident PSL HA Cluster 40 mm 278 HCPCS C1776 130185 Shell Acetabular Trident PSL HA Cluster 42 mm 278 HCPCS C1776 130186 Shell Acetabular Trident PSL HA Cluster 44 mm 278 HCPCS C1776 130187 Shell Acetabular Trident PSL HA Cluster 46 mm 278 HCPCS C1776 130192 Shell Acetabular Trident PSL HA Cluster 56 mm 278 HCPCS C1776 130193 Shell Acetabular Trident PSL HA Cluster 58 mm 278 HCPCS C1776 130194 Shell Acetabular Trident PSL HA Cluster 60 mm 278 HCPCS C1776 130195 Shell Acetabular Trident PSL HA Cluster 62 mm 278 HCPCS C1776 130196 Shell Acetabular Trident PSL HA Cluster 64 mm 278 HCPCS C1776 130197 Shell Acetabular Trident PSL HA Cluster 66 mm 278 HCPCS C1776 130198 Shell Acetabular Trident PSL HA Cluster 68 mm 278 HCPCS C1776 130199 Shell Acetabular Trident PSL HA Cluster 70 mm 278 HCPCS C1776 130200 Shell Acetabular Trident PSL HA Cluster 72 mm 278 HCPCS C1776

205 130201 Stem Total Hip Accolade II Angle 132d Size 0 278 HCPCS C1776 130202 Stem Total Hip Accolade II Angle 132d Size 1 278 HCPCS C1776 130203 Stem Total Hip Accolade II Angle 132d Size 2 278 HCPCS C1776 130204 Stem Total Hip Accolade II Angle 132d Size 3 278 HCPCS C1776 130205 Stem Total Hip Accolade II Angle 132d Size 4 278 HCPCS C1776 130206 Stem Total Hip Accolade II Angle 132d Size 5 278 HCPCS C1776 130207 Stem Total Hip Accolade II Angle 132d Size 6 278 HCPCS C1776 130208 Stem Total Hip Accolade II Angle 132d Size 7 278 HCPCS C1776 130209 Stem Total Hip Accolade II Angle 132d Size 8 278 HCPCS C1776 130210 Stem Total Hip Accolade II Angle 132d Size 9 278 HCPCS C1776 130211 Stem Total Hip Accolade II Angle 132d Size 10 278 HCPCS C1776 130212 Stem Total Hip Accolade II Angle 132d Size 11 278 HCPCS C1776 130213 Stem Total Hip Accolade II Angle 127d Size 0 278 HCPCS C1776 130214 Stem Total Hip Accolade II Angle 127d Size 1 278 HCPCS C1776 130215 Stem Total Hip Accolade II Angle 127d Size 2 278 HCPCS C1776 130216 Stem Total Hip Accolade II Angle 127d Size 3 278 HCPCS C1776 130218 Stem Total Hip Accolade II Angle 127d Size 5 278 HCPCS C1776 130219 Stem Total Hip Accolade II Angle 127d Size 6 278 HCPCS C1776 130220 Stem Total Hip Accolade II Angle 127d Size 7 278 HCPCS C1776 130221 Stem Total Hip Accolade II Angle 127d Size 8 278 HCPCS C1776 130222 Stem Total Hip Accolade II Angle 127d Size 9 278 HCPCS C1776 130223 Stem Total Hip Accolade II Angle 127d Size 10 278 HCPCS C1776 130224 Stem Total Hip Accolade II Angle 127d Size 11 278 HCPCS C1776 130225 Head Total Hip UHR Bipolar 22x36 mm 278 HCPCS C1776 130226 Head Total Hip UHR Bipolar 22x38 mm 278 HCPCS C1776 130227 Head Total Hip UHR Bipolar 22x40 mm 278 HCPCS C1776 130228 Head Total Hip UHR Bipolar 22x41 mm 278 HCPCS C1776 130229 Head Total Hip UHR Bipolar 26x41 mm 278 HCPCS C1776 130230 Head Total Hip UHR Bipolar 22x42 mm 278 HCPCS C1776 130231 Head Total Hip UHR Bipolar 26x42 mm 278 HCPCS C1776 130232 Head Total Hip UHR Bipolar 28x42 mm 278 HCPCS C1776 130154 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 4/11mmHCPCS C1776 130155 Insert Tibial Bearing Total Knee Triathlon X3-PS Size278 4/13mmHCPCS C1776 130233 Head Total Hip UHR Bipolar 22x43 mm 278 HCPCS C1776 130234 Head Total Hip UHR Bipolar 26x43 mm 278 HCPCS C1776 130235 Head Total Hip UHR Bipolar 22x44 mm 278 HCPCS C1776 130236 Head Total Hip UHR Bipolar 26x44 mm 278 HCPCS C1776 130237 Head Total Hip UHR Bipolar 28x44 mm 278 HCPCS C1776 130238 Head Total Hip UHR Bipolar 22x45 mm 278 HCPCS C1776 130239 Head Total Hip UHR Bipolar 26x45 mm 278 HCPCS C1776 130240 Head Total Hip UHR Bipolar 28x45 mm 278 HCPCS C1776 130241 Head Total Hip UHR Bipolar 22x46 mm 278 HCPCS C1776 130242 Head Total Hip UHR Bipolar 26x46 mm 278 HCPCS C1776 130243 Head Total Hip UHR Bipolar 28x46 mm 278 HCPCS C1776 130244 Head Total Hip UHR Bipolar 22x47 mm 278 HCPCS C1776

206 130245 Head Total Hip UHR Bipolar 26x47 mm 278 HCPCS C1776 130246 Head Total Hip UHR Bipolar 28x47 mm 278 HCPCS C1776 130247 Head Total Hip UHR Bipolar 22x48 mm 278 HCPCS C1776 130248 Head Total Hip UHR Bipolar 26x48 mm 278 HCPCS C1776 130249 Head Total Hip UHR Bipolar 28x48 mm 278 HCPCS C1776 130250 Head Total Hip UHR Bipolar 32x48 mm 278 HCPCS C1776 130251 Head Total Hip UHR Bipolar 22x49 mm 278 HCPCS C1776 130252 Head Total Hip UHR Bipolar 26x49 mm 278 HCPCS C1776 130253 Head Total Hip UHR Bipolar 28X49 MM 278 HCPCS C1776 130254 Head Total Hip UHR Bipolar 32x49 mm 278 HCPCS C1776 130255 Head Total Hip UHR Bipolar 22x50 mm 278 HCPCS C1776 130256 Head Total Hip UHR Bipolar 26x50 mm 278 HCPCS C1776 130257 Head Total Hip UHR Bipolar 28x50 mm 278 HCPCS C1776 130258 Head Total Hip UHR Bipolar 32x50 mm 278 HCPCS C1776 130259 Head Total Hip UHR Bipolar 22x51 mm 278 HCPCS C1776 130260 Head Total Hip UHR Bipolar 26x51 mm 278 HCPCS C1776 130261 Head Total Hip UHR Bipolar 28x51 mm 278 HCPCS C1776 130262 Head Total Hip UHR Bipolar 32x51 mm 278 HCPCS C1776 130263 Head Total Hip UHR Bipolar 22x52 mm 278 HCPCS C1776 130266 Head Total Hip UHR Bipolar 28x52 mm 278 HCPCS C1776 130267 Head Total Hip UHR Bipolar 32x52 mm 278 HCPCS C1776 130268 Head Total Hip UHR Bipolar 22x32 mm 278 HCPCS C1776 130269 Head Total Hip UHR Bipolar 26x53 mm 278 HCPCS C1776 130270 Head Total Hip UHR Bipolar 28x53 mm 278 HCPCS C1776 130271 Head Total Hip UHR Bipolar 32x53 mm 278 HCPCS C1776 130272 Head Total Hip UHR Bipolar 22x54 mm 278 HCPCS C1776 130273 Head Total Hip UHR Bipolar 26x54 mm 278 HCPCS C1776 130274 Head Total Hip UHR Bipolar 28X54 mm 278 HCPCS C1776 130275 Head Total Hip UHR Bipolar 32x54 mm 278 HCPCS C1776 130276 Head Total Hip UHR Bipolar 22x55 mm 278 HCPCS C1776 130277 Head Total Hip UHR Bipolar 26x55 mm 278 HCPCS C1776 130278 Head Total Hip UHR Bipolar 28x55 mm 278 HCPCS C1776 130279 Head Total Hip UHR Bipolar 32x55 mm 278 HCPCS C1776 130280 Head Total Hip UHR Bipolar 22x56 mm 278 HCPCS C1776 130281 Head Total Hip UHR Bipolar 26x56 mm 278 HCPCS C1776 130282 Head Total Hip UHR Bipolar 28x56 mm 278 HCPCS C1776 130283 Head Total Hip UHR Bipolar 32x56 mm 278 HCPCS C1776 130284 Head Total Hip UHR Bipolar 22x58 mm 278 HCPCS C1776 130285 Head Total Hip UHR Bipolar 26x58 mm 278 HCPCS C1776 130286 Head Total Hip UHR Bipolar 28x58 mm 278 HCPCS C1776 130287 Head Total Hip UHR Bipolar 32x58 mm 278 HCPCS C1776 130288 Head Total Hip UHR Bipolar 22x61 mm 278 HCPCS C1776 130289 Head Total Hip UHR Bipolar 26x61 mm 278 HCPCS C1776 130290 Head Total Hip UHR Bipolar 28x61 mm 278 HCPCS C1776 130291 Head Total Hip UHR Bipolar 32x61 mm 278 HCPCS C1776

207 130292 Head Total Hip UHR Bipolar 26x64 mm 278 HCPCS C1776 130293 Head Total Hip UHR Bipolar 28x64 mm 278 HCPCS C1776 130294 Head Total Hip UHR Bipolar 32x64 mm 278 HCPCS C1776 130295 Head Total Hip UHR Bipolar 26x68 mm 278 HCPCS C1776 130296 Head Total Hip UHR Bipolar 28x68 mm 278 HCPCS C1776 130297 Head Total Hip UHR Bipolar 32x68 mm 278 HCPCS C1776 130298 Head Total Hip UHR Bipolar 26x72 mm 278 HCPCS C1776 130299 Head Total Hip UHR Bipolar 28x72 mm 278 HCPCS C1776 130300 Head Total Hip UHR Bipolar 32x72 mm 278 HCPCS C1776 130301 Bit Drill 3.3 x 40 mm 272 130302 Bit Drill 3.3 x 60 mm 272 130303 Bit Drill 4.0 x 25 mm 272 130304 Bit Drill 4.0 x 40 mm 272 130305 Bit Drill 4.0 x 60 mm 272 128968 Wire Plate Reduction 1.25mm Thread Tip w/Small Stop272 2.4mm LCP Distal Radius 130310 Guide Wire Single Trocar .035 Acutrak 2 Sterile 272 HCPCS C1769 130318 Arthroscopic Cannula Acutrak 2 Sterile 272 HCPCS C1769 130319 Medium Cannulated Driver Handle Acutrak 2 Sterile272 HCPCS C1769 130320 Micro Extension Screw Caddy Acutrak 2 Sterile 272 HCPCS C1769 130321 Micro Extension Instrument Caddy Acutrak 2 Sterile272 HCPCS C1769 130322 Micro Screw Sizer Acutrak 2 Sterile 272 HCPCS C1769 130323 .5 Solid Hex Driver Acutrak 2 Sterile 272 HCPCS C1769 130324 .5 Cannulated Hex Driver Acutrak 2 Sterile 272 HCPCS C1769 130325 Screw Compression Headless 2.4 x 10mm Short Thread278 SterileHCPCS C1713 130326 Screw Compression Headless 2.4 x 11mm Short Thread278 SterileHCPCS C1713 130327 Screw Compression Headless 2.4 x 12mm Short Thread278 SterileHCPCS C1713 130328 Screw Compression Headless 2.4 x 13mm Short Thread278 SterileHCPCS C1713 130329 Screw Compression Headless 2.4 x 14mm Short Thread278 SterileHCPCS C1713 130330 Screw Compression Headless 2.4 x 15mm Short Thread278 SterileHCPCS C1713 130331 Screw Compression Headless 2.4 x 16mm Short Thread278 SterileHCPCS C1713 130332 Screw Compression Headless 2.4 x 17mm Short Thread278 SterileHCPCS C1713 130333 Screw Compression Headless 2.4 x 18mm Short Thread278 SterileHCPCS C1713 130334 Screw Compression Headless 2.4 x 19mm Short Thread278 SterileHCPCS C1713 130335 Screw Compression Headless 2.4 x 20mm Short Thread278 SterileHCPCS C1713 130336 Screw Compression Headless 2.4 x 21mm Short Thread278 SterileHCPCS C1713 130337 Screw Compression Headless 2.4 x 22mm Short Thread278 SterileHCPCS C1713 130338 Screw Compression Headless 2.4 x 23mm Short Thread278 SterileHCPCS C1713 130339 Screw Compression Headless 2.4 x 24mm Short Thread278 SterileHCPCS C1713 130340 Screw Compression Headless 2.4 x 25mm Short Thread278 SterileHCPCS C1713 130341 Screw Compression Headless 2.4 x 26mm Short Thread278 SterileHCPCS C1713 130342 Screw Compression Headless 2.4 x 27mm Short Thread278 SterileHCPCS C1713 130343 Screw Compression Headless 2.4 x 28mm Short Thread278 SterileHCPCS C1713 130344 Screw Compression Headless 2.4 x 29mm Short Thread278 SterileHCPCS C1713 130345 Screw Compression Headless 2.4 x 30mm Short Thread278 SterileHCPCS C1713 130346 Screw Compression Headless 2.4 x 32mm Short Thread278 SterileHCPCS C1713

208 130347 Screw Compression Headless 2.4 x 34mm Short Thread278 SterileHCPCS C1713 130348 Screw Compression Headless 2.4 x 36mm Short Thread278 SterileHCPCS C1713 130349 Screw Compression Headless 2.4 x 38mm Short Thread278 SterileHCPCS C1713 130350 Screw Compression Headless 2.4 x 40mm Short Thread278 SterileHCPCS C1713 130351 Screw Compression Headless 2.4 x 9mm Short Thread278 SterileHCPCS C1713 130352 Screw Compression Headless 2.4 x 17mm Long Thread278 SterileHCPCS C1713 130353 Screw Compression Headless 2.4 x 18mm Long Thread278 SterileHCPCS C1713 130354 Screw Compression Headless 2.4 x 19mm Long Thread278 SterileHCPCS C1713 130355 Screw Compression Headless 2.4 x 20mm Long Thread278 SterileHCPCS C1713 130356 Screw Compression Headless 2.4 x 21mm Long Thread278 SterileHCPCS C1713 130357 Screw Compression Headless 2.4 x 22mm Long Thread278 SterileHCPCS C1713 130358 Screw Compression Headless 2.4 x 23mm Long Thread278 SterileHCPCS C1713 130359 Screw Compression Headless 2.4 x 24mm Long Thread278 SterileHCPCS C1713 130360 Screw Compression Headless 2.4 x 25mm Long Thread278 SterileHCPCS C1713 130361 Screw Compression Headless 2.4 x 26mm Long Thread278 SterileHCPCS C1713 130362 Screw Compression Headless 2.4 x 27mm Long Thread278 SterileHCPCS C1713 130363 Screw Compression Headless 2.4 x 28mm Long Thread278 SterileHCPCS C1713 130364 Screw Compression Headless 2.4 x 29mm Long Thread278 SterileHCPCS C1713 130365 Screw Compression Headless 2.4 x 30mm Long Thread278 SterileHCPCS C1713 130366 Screw Compression Headless 2.4 x 32mm Long Thread278 SterileHCPCS C1713 130367 Screw Compression Headless 2.4 x 34mm Long Thread278 SterileHCPCS C1713 130368 Screw Compression Headless 2.4 x 36mm Long Thread278 SterileHCPCS C1713 130369 Screw Compression Headless 2.4 x 38mm Long Thread278 SterileHCPCS C1713 130370 Screw Compression Headless 2.4 x 40mm Long Thread278 SterileHCPCS C1713 101443 Catheter Dura-Flow Straight Basic 28cm 278 HCPCS C1750 130182 TLAB Transjugular Liver Biopsy Kit Sterile 272 128402 Cartridge Cement for CDS Vetebroplasty 272 128400 Gun Cement Delivery System (CDS) for 8G Needle 272 130390 Kit SCP Knee with End-Delivery Cannula Sterile 278 102206 Needle Spinal Epidural Tuohy 18G x 6in 272 130393 Electrode VAPR Tripolar 90d Suction Sterile 272 119844 Lead Pacing Epicardial 35cm 278 HCPCS C1883 130402 FuseForce Implant 8x8 Sterile 278 130403 FuseForce Implant 10x10 Sterile 278 130404 FuseForce Implant 12x12 Sterile 278 130415 Augment Injectable 3cc Sterile 278 HCPCS C1713 130414 InternalBrace Ligament Augmentation Repair Kit Sterile278 130422 Stapler Articulating Vascular Echelon Flex Powered 272WI Sterile 130423 Reload F Vascular Echelon White Sterile 272 100843 Kit Arterial Line 20G x 5in 272 130438 Catheter Balloon Peripheral PTA .035in Armada 35 Wkhs272 4x150mmHCPCS C1725 - 80cm Strl 130439 Catheter Balloon Peripheral PTA .035in Armada 35 Wkhs272 4x200mmHCPCS C1725 - 80cm Strl 130440 Catheter Balloon Peripheral PTA .035in Armada 35 Wkhs272 4x250mmHCPCS C1725 - 80cm Strl 130441 Catheter Balloon Peripheral PTA .035in Armada 35 Wkhs272 5x20mmHCPCS C1725 - 80cm Strl 130442 Catheter Balloon Peripheral PTA .035in Armada 35 Wkhs272 5x60mmHCPCS C1725 - 80cm Strl

209 130443 Catheter Balloon Peripheral PTA .035in Armada 35 Wkhs272 5x80mmHCPCS C1725 - 80cm Strl 130444 Catheter Balloon Peripheral PTA .035in Armada 35 Wkhs272 5x100mmHCPCS C1725 - 80cm Strl 130445 Catheter Balloon Peripheral PTA .035in Armada 35 Wkhs272 5x120mmHCPCS C1725 - 80cm Strl 130446 Stent iCAST PTFE Balloon Expandable 7Fr 8 x 38mm278 x 120cmHCPCS Sterile C1874 121886 Dressing Kit VAC VeraFlo Medium 272 130456 Endoprosthesis AAA Trunk Ipsilateral Leg Excluder 35x14.5mm/14cm278 C3 Deliver 130466 Suture Quill YA-1022Q Monoderm 2-0 30x30cm Dbl Arm272 18mm DiaPt 3/8 Cir Strl 130483 Catheter Quinton Curled 57cm 272 130484 Catheter Quinton Curled 2 Cuffs 57cm 272 130485 Stylet Atraumatic Peritoneal Tunneling 272 130486 Mesh Bard Flat Sheet 10x14in Sterile 278 HCPCS C1781 130494 Knee Creations Accuport Delivery System Side Targeting272 Sterile 130495 Knee Creations Complete Knee Kit w/Accuport Side278 DeliveryHCPCS Cannula C1713 Sterile 130492 Anchor TwinFix Ti 2.8mm w/Two Ultrabraid Sutures 272and Tapered Needles 2-0 St 130493 MiniTac Ti 2.0mm w/Two Ultrabraid Sutures and Tapered272 Needles 2-0 Sterile 130496 Putty Bone Attrax Neuro 1cc Sterile 278 130497 Putty Bone Attrax Neuro 2cc Sterile 278 130498 Putty Bone Attrax Neuro 5cc Sterile 278 130499 Putty Bone Attrax Neuro 6cc Sterile 278 130500 Putty Bone Attrax Neuro 10cc Sterile 278 130501 Putty Bone Propel Neuro Small Sterile 278 130502 Putty Bone Propel Neuro Medium Sterile 278 130503 Putty Bone Propel Neuro Large Sterile 278 101567 Catheter Balloon Intra Aortic 8Fr 50cc w/Statlocks 272 100216 Catheter Swanganz Transluminal Chandler V-Pacing 272Probe 100215 Catheter Swanganz Bipolar. 272 130527 Pacing Wire Atrial Unipolar Temporary Sterile 272 130531 Introducer Kyphon Diamond Beveled Sterile 272 130536 Distal Radius Fixator Kit 200mm Rod/Schanz Screw Sterile278 HCPCS C1713 130537 Anchor Suture Biocomposite Swivelock 4.75mm x 19.1mm278 HCPCS Preloaded C1713 FiberTape 130538 Catheter Angiograph Soft-Vu 5Fr x 80cm .035in SOS 272OmniHCPCS 2 Sterile C1887 130540 Guidewire Roadrunner PC Hydrophilic Sterile 272 HCPCS C1769 130541 Catheter Dilatation ATB PTA 8mm x 4cm Sterile 272 HCPCS C1725 130550 Instrument Biopsy Full Core BioPince 18g x 20cm 272 130551 Needle Biopsy Introducer BioPince 17g x 16.8cm Sterile272 130564 Plate 4.5 VA-LCP Condylar/18 Hole/370mm/Right/Crvd278 StrlHCPCS C1713 130566 Mesh Patch Hernia Onflex Medium w/Pocket 8.6cm 278x 14.2cmHCPCS Sterile C1781 130567 Mesh Patch Hernia Onflex Large w/Pocket 10.2cm x278 15.7cmHCPCS Sterile C1781 130568 Mesh Patch Hernia Modified Onflex Med w/Pocket 8.6cm278 HCPCSx 14.2cm C1781 Sterile 130569 Mesh Patch Hernia Modified Onflex Large w/Pocket 27810.2cmHCPCS x 15.7cm C1781 Sterile 130570 Guidewire Threaded 2.5 x 300mm Drill Tip Sterile 272 HCPCS C1769 102436 Catheter Lyco HSG 5 Fr 272 130571 Catheter Lyco HSG 7Fr x 29cm Sterile 272 130582 Pack Transcystic Nathanson Bile Duct Stone Exploration272 Sterile 130583 Basket Stone Extractor NCompass Nitinol 2.47Fr 115cm272 Sterile

210 130584 Clip Multi Stage Single Use 72in x 183cm Spine Sterile272 111729 Catheter Peripheral Imaging IVUS Visions PV 0.035 8.2Fr272 90cm 108352 Versa-Kath Introducer Needle Epidural RX Coude 18G272 x 3.5in 108366 Catheter Epidural Versa-Kath 21G x 12in Single Stylet272 130589 Retractor Colectomy Wound Alexis Small 2.5 - 6cm Sterile272 102961 Tube Endotrach TaperGuard Evac 7.0Fr 272 102962 Tube Endotrach TaperGuard Evac 7.5Fr 272 102964 Tube Endotrach TaperGuard Evac 8.5Fr 272 105692 Tube Endotrach TaperGuard Evac 9.0Fr 272 130593 Tube Feeding 18fr 45cm Jejunal Transgastric 7-10ml272 Balloon Sterile 130597 Shaft Curved Metz Reposable Scissors Take-Apart Single-use272 Sterile 130598 Suture Quill RX-1066Q PDO-2 36 x 36cm Dbl Arm Sterile272 130600 Biosentry Tract Sealant System Sterile 272 130604 Graft Biocleanse Gracilis Tendon Sterile 278 HCPCS C1762 130605 Screw Fusion Acutrak System 30mm Sterile 278 HCPCS C1713 130606 Kit Accessory Neurostimulator Lead Introducer Sterile272 130607 Screw Biotrak Mini 20mm Sterile 278 HCPCS C1713 130608 Suture Anchor VersaLok Pre-Packed Sterile 278 HCPCS C1713 130609 Knife Graft ACL 10mm Sterile 272 130611 Adhesive Topical Skin Exofin 1.0ml Sterile 272 101919 Guidewire TFE Coated Straight .035in x 260cm 272 130616 Splint External Oval Septal 6.4cm x 1mm x 4.2cm Sterile272 130617 Bur Ex Coarse Round 4.0mm Sterile 272 130614 Stent-Graft Peripheral SFA Viabahn 5x10mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 130615 Stent-Graft Peripheral SFA Viabahn 5x15mm Heparin278 SurfHCPCS Endoprosthes. C1874 120cm 130618 Puncture Closure Device 14Ga Sterile 272 130619 Cable System Trochanteric Ti Reattach Device Standard278 w/CoCrHCPCS C171351mm Sterile 130620 Cable System Trochanteric Ti Reattach Device Long 278w/CoCrHCPCS 135mm C1713 Sterile 130621 Sponge Compressible OsteoAMP 8x8x10mm Small Sterile278 130622 Sponge Compressible OsteoAMP 10x10x16mm Small 278Tall Sterile 130623 Sponge Strip Compressible OsteoAMP 50x20x7mm X-Large278 Sterile 130624 Sponge Strip Compressible OsteoAMP 30x20x7mm Medium278 Sterile 130625 Sponge Strip Compressible OsteoAMP 30x10x7mm Small278 Sterile 130612 Router 2.3mm Sterile 272 130626 Screw TI Matrixneuro Emergency 4mm Sterile 278 130627 Screw TI Matrixneuro Emergency 4mm Sterile 278 130628 Screw TI Matrixneuro Emergency Self-Drilling 4mm PK/5278 Sterile 130629 Plate TI Matrixneuro Straight 2 Holes 12mm Sterile 278 130630 Plate TI Matrixneuro Straight 4 Holes Sterile 278 130631 X-Plate TI Matrixneuro Sterile 278 130632 Plate Box TI Matrixneuro 14 x 14mm Sterile 278 130633 Y-Plate TI Matrixneuro 5 Holes Sterile 278 130634 Y-Plate Double TI Matrixneuro 6 Holes 18mm Sterile278 130635 Y-Plate Double TI Matrixneuro 6 Holes 21mm Sterile278 130636 Plate Adaption TI Matrixneuro 5 Holes Sterile 278

211 130637 Plate Box TI Matrixneuro 10 x 16mm Sterile 278 130638 Burr TI Matrixneuro Hole Cover 12mm Sterile 278 130639 Burr TI Matrixneuro Hole Cover 17mm Sterile 278 130640 Mesh Contour TI Matrixneuro Malleable 38 x 45mm/0.4mm278 Sterile 130641 Mesh Contour TI Matrixneuro Rigid 38 x 45mm/0.4mm278 Sterile 130642 Module Compact Matrixneuro Sterile 278 130643 Module Instrument Matrixneuro Sterile 278 130644 Screwdriver Handle Matrixneuro w/ Hex Coupling- Medium278 Sterile 130645 Screwdriver Blade Matrixneuro w/ Hex Coupling/ Self-Retain/Short278 Sterile 130646 Screwdriver Blade Matrixneuro w/ Hex Coupling/ Self-Retain/Medium278 Sterile 130647 Burr TI Matrixneuro Hole Cover 15mm Sterile 278 130648 Mesh Contour TI Matrixneuro Rigid 100 x 100mm/0.4mm278 Sterile 130649 Mesh Contour TI Matrixneuro 100 x 100mm/0.4mm Sterile278 130695 Plate 2.7mm VA-Locking Calcaneal Small 58mm Right278 SterileHCPCS C1713 130696 Plate 2.7mm VA-Locking Calcaneal Small 58mm Left278 SterileHCPCS C1713 130697 Plate 2.7mm VA-Locking Calcaneal Medium 64mm Right278 SterileHCPCS C1713 130698 Plate 2.7mm VA-Locking Calcaneal Medium 64mm Left278 SterileHCPCS C1713 130699 Plate 2.7mm VA-Locking Calcaneal Large 70mm Right278 SterileHCPCS C1713 130700 Plate 2.7mm VA-Locking Calcaneal Large 70mm Left278 SterileHCPCS C1713 130701 Post Compression/Distraction 2.7mm for VA-Locking278 Hole Sterile 130702 Screw 4.5 x 30mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130703 Screw 4.5 x 32mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130704 Screw 4.5 x 34mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130705 Screw 4.5 x 36mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130706 Screw 4.5 x 38mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130707 Screw 4.5 x 40mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130708 Screw 4.5 x 42mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130709 Screw 4.5 x 44mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130710 Screw 4.5 x 46mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130711 Screw 4.5 x 48mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130712 Screw 4.5 x 50mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130713 Screw 4.5 x 52mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130714 Screw 4.5 x 54mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130715 Screw 4.5 x 56mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130716 Screw 4.5 x 60mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130717 Screw 4.5 x 64mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130718 Screw 4.5 x 68mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130719 Screw 4.5 x 72mm Cannulated Partially Threaded Sterile278 HCPCS C1713 130720 Washer Sterile 278 130721 Countersink for 4.5 mm Cannulated Screws Sterile 272 130724 Screw 4.5 x 32mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130725 Screw 4.5 x 34mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130726 Screw 4.5 x 40mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130727 Screw 4.5 x 42mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130728 Screw 4.5 x 44mm Cannulated Fully Threaded Sterile278 HCPCS C1713

212 130729 Screw 4.5 x 46mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130730 Screw 4.5 x 50mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130731 Screw 4.5 x 52mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130732 Screw 4.5 x 56mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130733 Screw 4.5 x 64mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130734 Screw 4.5 x 68mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130735 Screw 4.5 x 72mm Cannulated Fully Threaded Sterile278 HCPCS C1713 130736 Plate TI VA-LCP T-Fusion PL/2 Hole 2.4/2.7mm Head/Short278 HCPCS Sterile C1713 130737 Plate VA-LCP Prox Tibia 3.5mm Bend 10H/177mm Small278 RightHCPCS Sterile C1713 130738 Plate VA-LCP Curved Condylar 4.5mm 14 Hole/301mm278 RightHCPCS Sterile C1713 130739 Plate VA-LCP Curved Condylar 4.5mm 12 Hole/266mm278 RightHCPCS Sterile C1713 130740 Plate VA-LCP T-Fusion PL/2 Hole 2.4/2.7mm Head/Standard278 HCPCS Sterile C1713 130741 Screw 4.0 x 26mm TI Locking W/T25 Stardrive F/IM 278NailsHCPCS Ster Sterile C1713 130742 Screw 4.0 x 42mm TI Locking W/T25 Stardrive F/IM 278NailsHCPCS Ster Sterile C1713 130743 Screw 4.0 x 60mm TI Locking W/T25 Stardrive F/IM 278NailsHCPCS Ster Sterile C1713 130744 Screw 4.5 x 60mm Fully Threaded Sterile 278 HCPCS C1713 130745 Plate VA-LCP T-Plate Distal Tibia 2.7mm 4 Hole Sterile278 HCPCS C1713 130746 Plate VA-LCP T-Plate Distal Tibia 2.7mm 6 Hole Sterile278 HCPCS C1713 130747 Plate VA-LCP L-Plate Distal Tibia 2.7mm 4 Hole Right278 SterileHCPCS C1713 130748 Plate VA-LCP L-Plate Distal Tibia 2.7mm 6 Hole Right278 SterileHCPCS C1713 130749 Plate Trochanter Stabilization Universal 131mm Sterile278 HCPCS C1713 130751 Screwdriver 4.0 Hexagonal Cannulated Sterile 278 130753 Guide Wire 2.5mm for 5.0mm Screw Sterile 272 130754 Screwdriver 3.5mm Star/Hexdrive T25 Hex/Self-Retaining278 Sterile 130756 Plate VA-LCP Curved Condylar 4.5mm 6 Hole/159mm/Right278 HCPCS Sterile C1713 130757 Plate VA-LCP Curved Condylar 4.5mm 6 Hole/159mm/Left278 HCPCS Sterile C1713 130758 Plate VA-LCP Curved Condylar 4.5mm 8 Hole/195mm/Right278 HCPCS Sterile C1713 130759 Plate VA-LCP Curved Condylar 4.5mm 8 Hole/195mm/Left278 HCPCS Sterile C1713 130760 Plate VA-LCP Curved Condylar 4.5mm 10 Hole/230mm/Right278 HCPCS Sterile C1713 130761 Plate VA-LCP Curved Condylar 4.5mm 10 Hole/230mm/Left278 HCPCS Sterile C1713 130762 Plate VA-LCP Curved Condylar 4.5mm 12 Hole/266mm/Left278 HCPCS Sterile C1713 130763 Plate VA-LCP Curved Condylar 4.5mm 14 Hole/301mm/Left278 HCPCS Sterile C1713 130764 Plate VA-LCP Curved Condylar 4.5mm 16 Hole/336mm/Right278 HCPCS Sterile C1713 130765 Plate VA-LCP Curved Condylar 4.5mm 16 Hole/336mm/Left278 HCPCS Sterile C1713 130766 Plate VA-LCP Curved Condylar 4.5mm 18 Hole/370mm/Left278 HCPCS Sterile C1713 130768 Plate VA-LCP Prox Tibia Plate 3.5mm Small Bend/4H/87mm278 HCPCS Right C1713 Sterile 130769 Plate VA-LCP Prox Tibia Plate 3.5mm Small Bend/4H/87mm278 HCPCS Left C1713 Sterile 130770 Plate VA-LCP Prox Tibia Plate 3.5mm Small Bend/6H/117mm278 HCPCS Right C1713 Sterile 130771 Plate VA-LCP Prox Tibia Plate 3.5mm Small Bend/6H/117mm278 HCPCS Left C1713 Sterile 130772 Plate VA-LCP Prox Tibia Plate 3.5mm Small Bend/8H/147mm278 HCPCS Right C1713 Sterile 130773 Plate VA-LCP Prox Tibia Plate 3.5mm Small Bend/8H/147mm278 HCPCS Left C1713 Sterile 130774 Plate VA-LCP Prox Tibia Plate 3.5mm Small Bend/12H/207mm278 HCPCS Right C1713 Sterile 130775 Plate VA-LCP Prox Tibia Plate 3.5mm Small Bend/12H/207mm278 HCPCS Left C1713 Sterile 130776 Plate VA-LCP Prox Tibia Plate 3.5mm Small Bend/14H/237mm278 HCPCS Right C1713 Sterile 130777 Plate VA-LCP Prox Tibia Plate 3.5mm Small Bend/14H/237mm278 HCPCS Left C1713 Sterile

213 130778 Kit VP Needle Set Str 13Ga Sterile 272 106975 Catheter Pruitt Aortic Occulsion 121Fr 24cm 272 HCPCS C2628 130793 Cannulae Venom RF 20-gauge 150mm Length 10mm 272Tip Sterile 130794 Cannulae Venom RF 20-gauge 100mm Length 10mm 272Tip Sterile 130795 Cannulae Monopolar RF 20-gauge 50mm Length 5mm272 Active Tip Sterile 130796 Electrodes Self-Adhesive Neutral Sterile 272 130797 Endosuture Suture Assistant Sterile 272 130798 Endosuture System Reload 6" Ethibond w/18" Needle272 Sterile 130804 Mesh Hernia Phasix Synthetic Resorbable 7x10cm Sterile278 HCPCS C1781 130808 Catheter Quinton Curled 2 Cuffs 62cm 272 130809 Screw Ti Matrixneuro Self-Drilling 4mm Sterile 278 130857 Stent Cope Nephroureterostomy Ultrathane 8.5Fr 26cm272 .038in Sterile 103182 Transducer Trifurcated 272 105138 Set Catheter Radial Artery 20G x 1.75in Radiopaque272 127979 Catheter/Drain Foley 24Fr 3-Way 30cc Latex Bln Simplastic272 Couvelaire Tip 102207 Set Spinal/Epidural Anes Needles Espocan 17Gx3.5in272 Touhy/25Gx5in Pencan 130867 Guide Pin 2.8mm (Instrument Kit) Sterile 272 130868 Screw Central Univers Revers 6.5 x 15mm Non-Locking278 SterileHCPCS C1713 130869 Screw Central Univers Revers 6.5 x 20mm Non-Locking278 SterileHCPCS C1713 130870 Screw Central Univers Revers 6.5 x 25mm Non-Locking278 SterileHCPCS C1713 130491 Suction Tube Curved Mini Kamvac Sterile (order in units272 of 20) 130878 Tubes Ear Paparella Microgel 1.02mm Sterile 278 130871 Guidewire Hi-Torque Connect 250T 300cm 0.018 Straight272 Sterile 130872 Guidewire Hi-Torque Connect Flex 300cm 0.018 Straight272 Sterile 130873 Guidewire Hi-Torque Connect 300cm 0.018 Straight 272Sterile 130875 Guidewire Hi-Torque Command ES 300cm 0.014 Shapeable272 Sterile 110109 Pack Nasal Epistaxis Merocel Pope 10cm Sterile 272 110016 Guidewire ASAHI Grand Slam 0.014 x 300cm 272 130898 Kit Tube Feeding 22Fr 45cm Jejunal Transgastric 7-10ml272 Balloon Sterile 130902 Catheter Balloon RFA Express 360 Halo Sterile 272 112191 Sheath Introducer Guiding Destination 7Fr 45cm Str272 Curve CC Valve 128969 Wire Plate Reduction 1.25mm Thread Tip w/Large Stop272 2.4mm LCP Distal Radius 130905 Sponge Compressible OsteoAMP 23x05x16mm Large 278Sterile 130906 Sponge Strip Compressible OsteoAMP 50x10x07mm Large278 Sterile 130907 Evolution MP CS Insert Size 5/3 Right Sterile 278 HCPCS C1776 130908 Evolution MP FEM CS/CR Non-Por Size 5 Primary Right278 HCPCS C1776 106634 Stent Renal Herculink Elite 5mm x 12mm x 80cm 278 HCPCS C1876 106635 Stent Renal Herculink Elite 5mm x 15mm x 80cm 278 HCPCS C1876 106636 Stent Renal Herculink Elite 6mm x 15mm x 80cm 278 HCPCS C1876 106637 Stent Renal Herculink Elite 6mm x 12mm x 80cm 278 HCPCS C1876 106638 Stent Renal Herculink Elite 6mm x 18mm x 80cm 278 HCPCS C1876 106639 Stent Renal Herculink Elite 7mm x 18mm x 80cm 278 HCPCS C1876 106640 Stent Renal Herculink Elite 7mm x 15mm x 80cm 278 HCPCS C1876 109739 Stent Renal Herculink Elite 5mm x 18mm x 80cm 278 HCPCS C1876 121062 Stent Renal Herculink Elite 5mm x 12mm x 135cm 278 HCPCS C1876

214 121063 Stent Renal Herculink Elite 5mm x 15mm x 135cm 278 HCPCS C1876 121064 Stent Renal Herculink Elite 6mm x 12mm x 135cm 278 HCPCS C1876 121065 Stent Renal Herculink Elite 6mm x 15mm x 135cm 278 HCPCS C1876 121066 Stent Renal Herculink Elite 6mm x 18mm x 135cm 278 HCPCS C1876 121067 Stent Renal Herculink Elite 7mm x 15mm x 135cm 278 HCPCS C1876 121068 Stent Renal Herculink Elite 7mm x 18mm x 135cm 278 HCPCS C1876 121069 Stent Renal Herculink Elite 5mm x 18mm x 135cm 278 HCPCS C1876 109907 Connector Hubless Bx/20 BCC1 272 129619 Stent Peripheral Self-Expanding Supera 5.0 X 20 6F 278120CMHCPCS Sterile C1876 129620 Stent Peripheral Self-Expanding Supera 5.0 X 30 6F 278120CMHCPCS Sterile C1876 129621 Stent Peripheral Self-Expanding Supera 5.0 X 40 6F 278120CMHCPCS Sterile C1876 129622 Stent Peripheral Self-Expanding Supera 5.0 X 60 6F 278120CMHCPCS Sterile C1876 129623 Stent Peripheral Self-Expanding Supera 5.0 X 80 6F 278120CMHCPCS Sterile C1876 129624 Stent Peripheral Self-Expanding Supera 5.0 X 100 6F278 120CMHCPCS Sterile C1876 129625 Stent Peripheral Self-Expanding Supera 5.0 X 120 6F278 120CMHCPCS Sterile C1876 129627 Stent Peripheral Self-Expanding Supera 6.0 X 20 6F 278120CMHCPCS Sterile C1876 129628 Stent Peripheral Self-Expanding Supera 6.0 X 30 6F 278120CMHCPCS Sterile C1876 129629 Stent Peripheral Self-Expanding Supera 6.0 X 40 6F 278120CMHCPCS Sterile C1876 129630 Stent Peripheral Self-Expanding Supera 6.0 X 60 6F 278120CMHCPCS Sterile C1876 129631 Stent Peripheral Self-Expanding Supera 6.0 X 80 6F 278120CMHCPCS Sterile C1876 129632 Stent Peripheral Self-Expanding Supera 6.0 X 100 6F278 120CMHCPCS Sterile C1876 129633 Stent Peripheral Self-Expanding Supera 6.0 X 120 6F278 120CMHCPCS Sterile C1876 129634 Stent Peripheral Self-Expanding Supera 6.0 X 150 6F278 120CMHCPCS Sterile C1876 130910 Ultra Agressive Blade Plus 4.0mm 272 130923 Blade Disposable SmartRelease ECTR Sterile 272 130959 Kit Knotless Tightrope Syndesmosis Repair Sterile 278 HCPCS C1713 130962 InterGro DBM 5cc Sterile 278 HCPCS C1781 130963 InterGro DBM 10cc Sterile 278 HCPCS C1781 130979 Handpiece VersaJet II 15d x 14mm Disposable Sterile272 130980 Handpiece VersaJet II 45d x 14mm Disposable Sterile272 130981 Handpiece VersaJet II 45d x 8mm Disposable Sterile272 130982 Suture PDS II 3-0 SH Violet Mono 8-18in Z774D Sterile272 130983 Tissue Sealer Ligasure Blunt Jaw 5mm Tip Sterile 272 130984 Tissue Sealer Ligasure Maryland Jaw 37cm Sterile 272 130986 Tissue Transector Ligasure Impact Open Jaw Sterile272 130991 Plate 2.7mm/3.5mm VA-LCP Olecranon Proximal 2 Holes278 HCPCSLeft/73 C1713 mm 130992 Plate 2.7mm/3.5mm VA-LCP Olecranon 2 Holes Right/90278 HCPCSmm C1713 130993 Plate 2.7mm/3.5mm VA-LCP Olecranon 6 Holes Right/142278 HCPCS mm C1713 130994 Plate 2.7mm/3.5mm VA-LCP Olecranon 2 Holes Left/90278 mmHCPCS C1713 130995 Plate 2.7mm/3.5mm VA-LCP Olecranon 4 Holes Left/116278 HCPCSmm C1713 130996 Plate 2.7mm/3.5mm VA-LCP Olecranon 6 Holes Left/142278 HCPCSmm C1713 130997 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 3278 HolesHCPCS Right/ C1713 75mm Short 130998 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 4278 HolesHCPCS Right/88mm C1713 Med 130999 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 4278 HolesHCPCS Left/88mm C1713 Med 131000 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 3278 HolesHCPCS Left/75mm C1713 Short

215 131001 Plate 2.7mm/3.5mm VA-LCP Post Lat Dist Humerus 2783 HolesHCPCS Right/75mm C1713 Short 131002 Plate 2.7mm/3.5mm VA-LCP Post Lat Dist Humerus 2784 HolesHCPCS Right/88mm C1713 Med 131003 Plate 2.7mm/3.5mm VA-LCP Post Lat Dist Humerus 2787 HolesHCPCS Right/127mm C1713 Long 131004 Plate 2.7mm/3.5mm VA-LCP Post Lat Dist Humerus 2789 HolesHCPCS Right/153mm C1713 X-Long 131005 Plate 2.7mm/3.5mm VA-LCP Post Lat Dist Humerus 2783 HolesHCPCS Left/75mm C1713 Short 131006 Plate 2.7mm/3.5mm VA-LCP Post Lat Dist Humerus 2783 HolesHCPCS Left/88mm C1713 Short 131007 Plate 2.7mm/3.5mm VA-LCP Post Lat Dist Humerus 2787 HolesHCPCS Left/127mm C1713 Long 131008 Plate 2.7mm/3.5mm VA-LCP Post Lat Dist Humerus 2789 HolesHCPCS Left/153mm C1713 X-Long 131009 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 1 Hole278 Right/69mmHCPCS C1713 Short 131010 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 2 Holes278 Right/83mmHCPCS C1713 Med 131011 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 4 Holes278 Right/108mmHCPCS C1713 Long 131012 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 2 Holes278 Left/82mmHCPCS C1713 Med 131013 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 4 Holes278 Left/108mmHCPCS C1713 Long 131014 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 1278 HoleHCPCS Right/72mm C1713 Short 131015 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 2278 HolesHCPCS Right/85mm C1713 Med 131016 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 4278 HolesHCPCS Right/111mm C1713 Long 131017 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 6278 HolesHCPCS Rt/137mm C1713 X-Long 131018 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 1278 HoleHCPCS Left/72mm C1713 Short 131019 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 2278 HolesHCPCS Left/85mm C1713 Med 131020 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 4278 HolesHCPCS Left/111mm C1713 Long 131021 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 2786 HolesHCPCS Left/137mm C1713 X-Long 131022 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 1 Hole278 Right/69mmHCPCS C1713 Short 131023 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 2 Holes278 Right/82mmHCPCS C1713 Med 131024 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 5 Holes278 Right/121mmHCPCS C1713 Long 131025 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 7 Holes278 Right/147mmHCPCS C1713 X-Long 131026 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 1 Hole278 Left/69mmHCPCS C1713 Short 131027 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 2 Holes278 Left/83mmHCPCS C1713 Med 131028 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 5 Holes278 Left/121mmHCPCS C1713 Long 131029 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 7 Holes278 Left/147mmHCPCS C1713 X-Long 131030 Plate 2.7mm/3.5mm VA-LCP Medial Distal Tibia 4 holes278 RightHCPCS C1713 131031 Plate 2.7mm/3.5mm VA-LCP Medial Distal Tibia 4 Holes278 LeftHCPCS C1713 131032 Plate 2.7mm/3.5mm VA-LCP Medial Distal Tibia 6 Holes278 RightHCPCS C1713 131033 Plate 2.7mm/3.5mm VA-LCP Medial Distal Tibia 6 Holes278 LeftHCPCS C1713 131034 Plate 2.7mm/3.5mm VA-LCP Medial Distal Tibia 8 Holes278 RightHCPCS C1713 131035 Plate 2.7mm/3.5mm VA-LCP Medial Distal Tibia 8 Holes278 LeftHCPCS C1713 131036 Plate 2.7mm/3.5mm VA-LCP Medial Distal Tibia 10 Holes278 HCPCSRight C1713 131037 Plate 2.7mm/3.5mm VA-LCP Medial Distal Tibia 10 Holes278 HCPCSLeft C1713 131038 Plate 2.7mm/3.5mm VA-LCP Med Dist Tibia 12 Holes278 RightHCPCS Ster C1713 131039 Plate 2.7mm/3.5mm VA-LCP Med Dist Tibia 12 Holes278 LeftHCPCS Ster C1713 131040 Plate 2.7mm/3.5mm VA-LCP Med Dist Tibia 14 Holes278 RightHCPCS Ster C1713 131041 Plate 2.7mm/3.5mm VA-LCP Med Dist Tibia 14 Holes278 LeftHCPCS Ster C1713 131042 Plate 2.7mm/3.5mm VA-LCP Anterolateral Distal Tibia278 4 HolesHCPCS Right C1713 131043 Plate 2.7mm/3.5mm VA-LCP Anterolateral Distal Tibia278 4 HolesHCPCS Left C1713 131044 Plate 2.7mm/3.5mm VA-LCP Anterolateral Distal Tibia278 6 HolesHCPCS Right C1713 131045 Plate 2.7mm/3.5mm VA-CLP Anterolateral Distal Tibia278 6 HolesHCPCS Left C1713

216 131046 Plate 2.7mm/3.5mm VA-LCP Anterolateral Distal Tibia278 8 HolesHCPCS Right C1713 131047 Plate 2.7mm/3.5mm VA-LCP Anterolateral Distal Tibia278 8 HolesHCPCS Left C1713 131048 Plate 2.7mm/3.5mm VA-LCP Anterolateral Distal Tibia278 10HCPCS Holes C1713Right 131049 Plate 2.7mm/3.5mm VA-LCP Anterolateral Distal Tibia278 10HCPCS Holes C1713Left 131050 Plate 2.7mm VA-LCP Lateral Distal Fibula 3 Holes Right278 HCPCS C1713 131051 Plate 2.7mm VA-LCP Lateral Distal Fibula 3 Holes Left278 HCPCS C1713 131052 Plate 2.7mm VA-LCP Lateral Distal Fibula 4 Holes Right278 HCPCS C1713 131053 Plate 2.7mm VA-LCP Lateral Distal Fibula 4 Holes Left278 HCPCS C1713 131054 Plate 2.7mm VA-LCP Lateral Distal Fibula 5 Holes Right278 HCPCS C1713 131055 Plate 2.7mm VA-LCP Lateral Distal Fibula 5 Holes Left278 HCPCS C1713 131056 Plate 2.7mm VA-LCP Lateral Distal Fibula 6 Holes Right278 HCPCS C1713 131057 Plate 2.7mm VA-LCP Lateral Distal Fibula 6 Holes Left278 HCPCS C1713 131058 Plate 2.7mm VA-LCP Lateral Distal Fibula 7 Holes Right278 HCPCS C1713 131059 Plate 2.7mm VA-LCP Lateral Distal Fibula 7 Holes Left278 HCPCS C1713 131060 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 10278 mmHCPCS C1713 131061 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 12278 mmHCPCS C1713 131062 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 14278 mmHCPCS C1713 131063 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 16278 mmHCPCS C1713 131064 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 18278 mmHCPCS C1713 131065 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 20278 mmHCPCS C1713 131066 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 22278 mmHCPCS C1713 131067 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 24278 mmHCPCS C1713 131068 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 26278 mmHCPCS C1713 131069 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 28278 mmHCPCS C1713 131070 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 30278 mmHCPCS C1713 131071 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 32278 mmHCPCS C1713 131072 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 34278 mmHCPCS C1713 131073 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 36278 mmHCPCS C1713 131074 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 38278 mmHCPCS C1713 131075 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 40278 mmHCPCS C1713 131076 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 42278 mmHCPCS C1713 131077 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 44278 mmHCPCS C1713 131078 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 46278 mmHCPCS C1713 131079 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 48278 mmHCPCS C1713 131080 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 50278 mmHCPCS C1713 131081 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 52278 mmHCPCS C1713 131082 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 54278 mmHCPCS C1713 131083 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 56278 mmHCPCS C1713 131084 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 58278 mmHCPCS C1713 131085 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 60278 mmHCPCS C1713 131086 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 62278 mmHCPCS C1713 131087 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 64278 mmHCPCS C1713 131088 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 66278 mmHCPCS C1713 131089 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 68278 mmHCPCS C1713 131090 Screw Metaphyseal Self-Tapping w/Stardrive 2.7 x 70278 mmHCPCS C1713

217 131091 Plate 2.4mm LCP Radial Head Rim 2 Holes Right 278 HCPCS C1713 131092 Plate 2.4mm LCP Radial Head Rim 2 Holes Left 278 HCPCS C1713 131093 Plate 2.4mm LCP Radial Head Rim 3 Holes Right 278 HCPCS C1713 131094 Plate 2.4mm LCP Radial Head Rim 3 Holes Left 278 HCPCS C1713 131095 Plate 2.4mm LCP Radial Head Neck 2 Holes 278 HCPCS C1713 131096 Plate 2.4mm LCP Radial Head Neck 3 Holes 278 HCPCS C1713 131097 Plate 4.5mm LCP Proximal Femur Hook 2 Holes/133mm278 HCPCS C1713 131098 Plate 4.5mm LCP Proximal Femur Hook 4 Holes/169mm278 HCPCS C1713 131099 Plate 4.5mm LCP Proximal Femur Hook 6 Holes/205mm278 HCPCS C1713 131100 Plate 4.5mm LCP Proximal Femur Hook 8 Holes/241mm278 HCPCS C1713 131101 Plate 4.5mm LCP Proximal Femur Hook 10 Holes/277mm278 HCPCS C1713 131102 Plate 4.5mm LCP Proximal Femur Hook 12 Holes/313mm278 HCPCS C1713 131103 Screw Lag SHS/DCS 12.7mm Thread/80mm Sterile 278 HCPCS C1713 131104 Plate 135 Deg DHS Std Barrel 2 Holes/46mm Sterile278 HCPCS C1713 131106 Merocel Pope Posterior Flex Pack 10cm Sterile 272 131107 Full Radius Blade Plus 5.0mm Sterile 272 131114 Cannulae Venom RF 18-gauge 100mm Length 10mm 272Tip Sterile 131115 Dissector Ultrasonic Sonicision Cordless Disposable 13cm272 Sterile 131116 Dissector Ultrasonic Sonicision Cordless Disposable 26cm272 Sterile 131117 Dissector Ultrasonic Sonicision Cordless Disposable 39cm272 Sterile 131118 Dissector Ultrasonic Sonicision Cordless Disposable 48cm272 Sterile 131120 Bone Putty MIS Cartridge Refill 5cc Sterile 278 131121 Bone Putty MIS Cartridge Handle Only Sterile 278 HCPCS C1713 131122 Cage Cervical Spine Truss 17x14x7 7d 278 HCPCS C1713 131123 Interbody Cervical Spine Truss 14x11x8 7d 278 HCPCS C1713 131124 Cage Posterior Spine Truss 10x32x7 6d Curved Sterile278 HCPCS C1713 131125 Cage Posterior Spine Truss 10x32x9 6d Curved Sterile278 HCPCS C1713 131126 Implant Convex Expandable StaXx XD 22x9x7mm Sterile278 HCPCS C1713 131128 Plate MatrixRib Ti 17 Holes for Right Ribs 6 & 7 278 131129 Plate MatrixRib Ti 18 Holes for Right Ribs 8 & 9 278 HCPCS C1713 131130 Plate MatrixRib Ti Universal 8 Holes 278 131131 Screw MatrixRib Ti 2.9 x 8 mm Locking Self-Tapping278 131132 Screw MatrixRib Ti 2.9 x 8 mm Locking Self-Tapping278 (5pkg) 131133 Screw MatrixRib Ti 2.9 x 10 mm Locking Self-Tapping278 131134 Screw MatrixRib Ti 2.9 x 12 mm Locking Self-Tapping278 HCPCS C1713 131135 Screw Sternal Ti 3.0 x 12 mm Self-Drilling 278 131136 Screw Sternal Ti 3.0 x 14 mm Self-Drilling 278 131137 Screw Sternal Ti 3.0 x 16 mm Self-Drilling 278 131139 Plate Adaption Ti MatrixNeuro 7 Holes 278 131140 Plate Adaption Ti MatrixNeuro 20 Holes 278 131141 Plate Strut Ti MatrixNeuro 2 x 3 Holes 278 131142 Plate Strut Ti MatrixNeuro 2 x 4 Holes 278 131143 Plate Sternal Ti Straight 12 mm Locking 278 131144 Plate Star Sternal Ti 6 Holes Locking 278 131145 Plate Star Sternal Ti 12 Holes Locking 278

218 131146 Plate T-Dbl Sternal Ti 14 Holes Locking 278 131148 Insert Evolution MP Adaptive CS Implant SZ 3/1 14 mm278 RightHCPCS Sterile C1776 131149 Insert Evolution MP Adaptive CS Implant SZ 3/1 12 mm278 LeftHCPCS Sterile C1776 131150 Insert Evolution MP Adaptive CS Implant SZ 3/1 12 mm278 RightHCPCS Sterile C1776 131151 Insert Evolution MP Adaptive CS Implant SZ 4/2 17 mm278 LeftHCPCS Sterile C1776 131152 Insert Evolution MP Adaptive CS Implant SZ 4/2 17 mm278 RightHCPCS Sterile C1776 131153 Insert Evolution MP Adaptive CS Implant SZ 4/3 10 mm278 RightHCPCS Sterile C1776 131154 Insert Evolution MP Adaptive CS Implant SZ 3/1 14 mm278 LeftHCPCS Sterile C1776 131155 Insert Evolution MP Adaptive CS Implant SZ 5/3 10 mm278 LeftHCPCS Sterile C1776 131156 Insert Evolution MP Adaptive CS Implant SZ 3/1 17 mm278 LeftHCPCS Sterile C1776 131157 Insert Evolution MP Adaptive CS Implant SZ 5/3 12 mm278 LeftHCPCS Sterile C1776 131158 Insert Evolution MP Adaptive CS Implant SZ 4/2 20 mm278 LeftHCPCS Sterile C1776 131159 Insert Evolution MP Adaptive CS Implant SZ 3/1 10 mm278 RightHCPCS Sterile C1776 131160 Insert Evolution MP Adaptive CS Implant SZ 5/3 14 mm278 LeftHCPCS Sterile C1776 131161 Insert Evolution MP Adaptive CS Implant SZ 5/3 10 mm278 RightHCPCS Sterile C1776 131162 Insert Evolution MP Adaptive CS Implant SZ 3/1 20 mm278 RightHCPCS Sterile C1776 131164 Insert Evolution MP Adaptive CS Implant SZ 5/3 12 mm278 RightHCPCS Sterile C1776 131165 Insert Evolution MP Adaptive CS Implant SZ 4/2 12 mm278 LeftHCPCS Sterile C1776 131166 Insert Evolution MP Adaptive CS Implant SZ 5/3 17 mm278 LeftHCPCS Sterile C1776 131167 Insert Evolution MP Adaptive CS Implant SZ 4/2 14 mm278 LeftHCPCS Sterile C1776 131168 Insert Evolution MP Adaptive CS Implant SZ 5/3 17 mm278 RightHCPCS Sterile C1776 131169 Insert Evolution MP Adaptive CS Implant SZ 4/2 14 mm278 RightHCPCS Sterile C1776 131170 Insert Evolution MP Adaptive CS Implant SZ 5/3 20 mm278 RightHCPCS Sterile C1776 131171 Insert Evolution MP Adaptive CS Implant SZ 6/4 12 mm278 LeftHCPCS Sterile C1776 131172 Insert Evolution MP Adaptive CS Implant SZ 6/4 12 mm278 RightHCPCS Sterile C1776 131173 Insert Evolution MP Adaptive CS Implant SZ 6/4 14 mm278 LeftHCPCS Sterile C1776 131174 Insert Evolution MP Adaptive CS Implant SZ 6/4 14 mm278 RightHCPCS Sterile C1776 131175 Insert Evolution MP Adaptive CS Implant SZ 6/4 17 mm278 LeftHCPCS Sterile C1776 131176 Insert Evolution MP Adaptive CS Implant SZ 6/4 17 mm278 RightHCPCS Sterile C1776 131177 Insert Evolution MP Adaptive CS Implant SZ 7/5 12 mm278 LeftHCPCS Sterile C1776 131178 Femoral Evolution MP CS/CR Size 3 Primary Right Sterile278 HCPCS C1776 131179 Femoral Evolution MP CS/CR Size 3 Primary Left Sterile278 HCPCS C1776 131180 Femoral Evolution MP CS/CR Size 4 Primary Left Sterile278 HCPCS C1776 131181 Femoral Evolution MP CS/CR Size 4 Primary Right Sterile278 HCPCS C1776 131182 Femoral Evolution MP CS/CR Size 5 Primary Left Sterile278 HCPCS C1776 131183 Femoral Evolution MP CS/CR Size 5 Primary Right Sterile278 HCPCS C1776 131184 Femoral Evolution MP CS/CR Size 6 Primary Left Sterile278 HCPCS C1776 131185 Femoral Evolution MP CS/CR Size 6 Primary Right Sterile278 HCPCS C1776 131186 Femoral Evolution MP CS/CR Size 7 Primary Left Sterile278 HCPCS C1776 131189 Set Screw TI NS Brk Off 4.75 Sterile 278 HCPCS C1713 131190 Bone Graft Magnifuse 1 x 10 cm Sterile 278 HCPCS C1713 131191 Rod Horizon Solera 4.75 x 30 mm Cvd Sterile 278 HCPCS C1713 131192 Rod Horizon Solera 4.75 x 90 mm Cvd Sterile 278 HCPCS C1713 131193 Rod Horizon Solera 4.75 x 500 mm Strt Sterile 278 HCPCS C1713 131194 Rod Horizon Solera 5.5 x 500 mm Strt Sterile 278 HCPCS C1713

219 131195 Screw Horizon Solera 4.5 x 30 cc Sterile 278 HCPCS C1713 131196 Screw Horizon Solera 4.5 x 35 cc Sterile 278 HCPCS C1713 131197 Screw Horizon Solera 4.5 x 40 cc Sterile 278 HCPCS C1713 131198 Screw Horizon Solera 5.5 x 50 cc Sterile 278 HCPCS C1713 131199 Screw Horizon Solera 5.5 x 55 cc Sterile 278 HCPCS C1713 131200 Screw Horizon Solera 6.5 x 55 cc Sterile 278 HCPCS C1713 131201 Screw Horizon Solera 7.5 x 40 cc Sterile 278 HCPCS C1713 131202 Screw Horizon Solera 8.5 x 35 cc Sterile 278 HCPCS C1713 131203 Screw Horizon Solera 8.5 x 40 cc Sterile 278 HCPCS C1713 131204 Screw Horizon Solera 9.5 x 35 cc Sterile 278 HCPCS C1713 131205 Screw Horizon Solera 9.5 x 50 cc Sterile 278 HCPCS C1713 131206 Screw Horizon Solera 5.5 Mas 6.5 x 40 cc Sterile 278 HCPCS C1713 131207 Screw Horizon Solera 5.5 Mas 6.5 x 50 cc Sterile 278 HCPCS C1713 131208 Screw Horizon Solera 5.5 Mas 6.5 x 55 cc Sterile 278 HCPCS C1713 131209 Screw Polaris Translation 5.5 Ti 5.5 x 35 mm Sterile278 HCPCS C1713 131210 Screw Polaris Translation 5.5 Ti 5.5 x 40 mm Sterile278 HCPCS C1713 131211 Screw Polaris Translation 5.5 Ti 5.5 x 45 mm Sterile278 HCPCS C1713 131212 Screw Polaris Translation 5.5 Ti 5.5 x 50 mm Sterile278 HCPCS C1713 131213 Screw Polaris Translation 5.5 Ti 6.5 x 35 mm Sterile278 HCPCS C1713 131214 Screw Polaris Translation 5.5 Ti 6.5 x 40 mm Sterile278 HCPCS C1713 131215 Screw Polaris Translation 5.5 Ti 6.5 x 45 mm Sterile278 HCPCS C1713 131216 Screw Polaris Translation 5.5 Ti 6.5 x 50 mm Sterile278 HCPCS C1713 131217 Plug Polaris STD Helcical Flange Sterile 278 HCPCS C1713 131218 Screw Polaris Multi-Axial 5.5 x 45 mm Sterile 278 HCPCS C1713 131219 Screw Polaris Multi-Axial 6.5 x 45 mm Sterile 278 HCPCS C1713 131220 Screw Polaris Multi-Axial 6.5 x 50 mm Sterile 278 HCPCS C1713 131221 Rod Polaris Alloy Ti 120 mm Pre-Curved Sterile 278 HCPCS C1713 131222 Rod Polaris Alloy Ti 35 mm Pre-Curved Sterile 278 HCPCS C1713 131223 Rod Polaris Alloy Ti 45 mm Pre-Curved Sterile 278 HCPCS C1713 131224 Rod Polaris Alloy Ti 50 mm Pre-Curved Sterile 278 HCPCS C1713 131225 Rod Polaris Alloy Ti 60 mm Pre-Curved Sterile 278 HCPCS C1713 131226 Rod Polaris Alloy Ti 90 mm Pre-Curved Sterile 278 HCPCS C1713 131227 Rod Polaris Alloy Ti 100 mm Pre-Curved Sterile 278 HCPCS C1713 131228 Rod Polaris Alloy Ti w/Hex 510 x 510 mm Sterile 278 HCPCS C1713 131229 Screw Polaris Multi Axial Reduction 5.5 x 40 mm Sterile278 HCPCS C1713 131234 Truespan 12 Degree Meniscal Repair System Sterile 278 HCPCS C1776 131235 Truespan 24 Degree Meniscal Repair System Sterile 278 HCPCS C1776 131239 Catheter Angiographic Soft-Vu 4Fr x 100cm x .035in272 KumpeHCPCS Sterile C1887 131240 Catheter Angiographic Mariner Hydrophilic 5Fr x 130cm272 xHCPCS .035in C1887 Sterile 131241 Needle Trocar/Beveled VP Bone Access 13g Sterile 272 131265 Kit Catheter Safe-T-Centesis 8Fr Sterile 272 HCPCS C1729 131266 Coil Embolization Nester .035in 6mm - 14cm Embolus278 7.4 Loops Sterile 131163 Catheter Soft-Vu Pigtail 4Fr x 110cm .035 Omni Flush272 MiniHCPCS Sterile C1887 131267 Sheath Introducer Guiding Destination 8Fr 45cm Str272 Curve CC Valve 131268 Glidescope GVL Stat 1 Sterile 279

220 131269 Glidescope GVL Stat 2 Sterile 279 131272 Sheath Introducer Guiding Destination 8Fr 65cm Str272 CurveHCPCS CC Valve C1887 Sterile 131273 Tray KyphoPak Express 15/2 Thoracic Additional Fracture278 Sterile 131274 Burr Barrel Tornado Plus 5.5mm Ultra-Aggressive Sterile272 131275 3.5 Full Radius Blade Plus Sterile 272 131276 Hybrid CO2 Tubing/Cap Set for Olympus Scopes Sterile279 131279 Catheter Glidecath Sim 1 4Fr x 100cm Sterile 272 HCPCS C1887 131280 Tray Chest Tube - Custom Sterile 272 131281 Suture Endostitch Surgidac Size 0 48" Green Sterile 272 131282 Suture Endostitch Surgidac Size 0 7" Green Sterile 272 131304 3.0mm Ti Sternal Lckng Screw Self-Drilling/16mm/Pack278 HCPCS C1713 131305 Chips Bone Graft Cancellous Freeze Dried 1-4mm 5cc278 Sterile 131306 Cannula Clear Threaded 8.5mm x 75mm with Obturator272 Sterile 131308 Kit NovaSure ADVANCED Endometrial Ablation Sterile272 131309 Plate 2.4/2.7mm VA-LCP First MTP Fusion 0d Right Small278 HCPCSSterile C1713 131310 Plate 2.4/2.7mm VA-LCP First MTP Fusion 0d Left Small278 SterileHCPCS C1713 131311 Plate 2.4/2.7mm VA-LCP First MTP Fusion 5d Right Small278 HCPCSSterile C1713 131312 Plate 2.4/2.7mm VA-LCP First MTP Fusion 5d Left Small278 SterileHCPCS C1713 131313 Plate 2.4/2.7mm VA-LCP First MTP Fusion 10d Right278 SmallHCPCS Sterile C1713 131314 Plate 2.4/2.7mm VA-LCP First MTP Fusion 10d Left Small278 HCPCSSterile C1713 131315 Plate 2.4/2.7mm VA-LCP First MTP Fusion 0d Right Medium278 HCPCS Sterile C1713 131316 Plate 2.4/2.7mm VA-LCP First MTP Fusion 0d Left Medium278 HCPCS Sterile C1713 131317 Plate 2.4/2.7mm VA-LCP First MTP Fusion 5d Right Medium278 HCPCS Sterile C1713 131318 Plate 2.4/2.7mm VA-LCP First MTP Fusion 5d Left Medium278 HCPCS Sterile C1713 131319 Plate 2.4/2.7mm VA-LCP First MTP Fusion 10d Right278 MediumHCPCS Sterile C1713 131320 Plate 2.4/2.7mm VA-LCP First MTP Fusion 10d Left Medium278 HCPCS Sterile C1713 131321 Plate 2.4/2.7mm VA-LCP First MTP Fusion 5d Right Large278 HCPCSSterile C1713 131322 Plate 2.4/2.7mm VA-LCP First MTP Fusion 5d Left Large278 SterileHCPCS C1713 131323 Plate 2.4/2.7mm VA-LCP First MTP Fusion 0d Right Revision278 HCPCS Sterile C1713 131324 Plate 2.4/2.7mm VA-LCP First MTP Fusion 0d Left Revision278 HCPCS Sterile C1713 131325 Plate 2.4/2.7mm VA-LCP TMT Fusion/ Standard Sterile278 HCPCS C1713 131326 Plate 2.4/2.7mm VA-LCP TMT Fusion/ Large Sterile 278 HCPCS C1713 131327 Plate 2.4/2/7mm TMT Fusion Sterile 278 HCPCS C1713 131328 Plate 2.4/2.7mm VA-LCP Cloverleaf Fusion/Short Sterile278 HCPCS C1713 131329 Plate 2.4/2.7mm VA-CLP Cloverleaf Fusion/Standard278 SterileHCPCS C1713 131330 Plate 2.4/2.7mm VA-LCP Cloverleaf Fusion/Long Sterile278 HCPCS C1713 131331 Plate 2.4/2.7mm VA-LCP T-Fusion/2 Hole Head/Short278 SterileHCPCS C1713 131332 Plate 2.4/2.7mm VA-LCP T-Fusion/2 Hole Head/Standard278 HCPCS Sterile C1713 131333 Plate 2.4/2.7mm VA-LCP T-Fusion/2 Hole Head/Long278 SterileHCPCS C1713 131334 Plate 2.4/2.7mm VA-LCP T-Fusion/3 Hole Head/X-Long278 SterileHCPCS C1713 131335 Plate 2.4/2.7mm VA-LCP L-Fusion/Short/Right Sterile278 HCPCS C1713 131336 Plate 2.4/2.7mm VA-LCP L-Fusion/Short/Left Sterile278 HCPCS C1713 131337 Plate 2.4/2.7mm VA-LCP L-Fusion/Standard/Right Sterile278 HCPCS C1713 131338 Plate 2.4/2.7mm VA-LCP L-Fusion/Stardard/Left Sterile278 HCPCS C1713 131339 Plate 2.4/2.7mm VA-LCP L-Fusion/Long/Right Sterile278 HCPCS C1713

221 131340 Plate 2.4/2.7mm VA-LCP L-Fusion/X-Long/Left Sterile278 HCPCS C1713 131341 Plate 2.4/2.7mm VA Locking X PL/X-Small Sterile 278 HCPCS C1713 131342 Plate 2.4/2.7mm VA Locking X PL/Small Sterile 278 HCPCS C1713 131343 Plate 2.4/2.7mm VA Locking X PL/Medium Sterile 278 HCPCS C1713 131344 Plate 2.4/2.7mm VA Locking X PL/Large Sterile 278 HCPCS C1713 131345 Plate 2.4/2.7mm VA-Locking Straight Fusion/2 Hole278 SterileHCPCS C1713 131346 Plate 2.4/2.7mm VA-Locking Straight Fusion/4 Hole278 SterileHCPCS C1713 131347 Plate 2.4/2.7 mm VA-Locking Opening Wedge PL/No278 SpacerHCPCS Sterile C1713 131348 Plate 2.4/2.7mm VA-Locking Opening Wedge Pl/3mm278 SpacerHCPCS Sterile C1713 131349 Plate 2.4/2.7mm VA-Locking Opening Wedge Pl/4mm278 SpacerHCPCS Sterile C1713 131350 Plate 2.4/2.7mm VA-Locking Opening Wedge Pl/5mm278 SpacerHCPCS Sterile C1713 131351 Plate 2.4/2.7mm VA-Locking Opening Wedge Pl/6mm278 SpacerHCPCS Sterile C1713 131352 Plate 2.4/2.7mm VA-Locking Opening Wedge Pl/7mm278 SpacerHCPCS Sterile C1713 131353 Plate 2.4/2.7mm VA-Locking Navicular Plate Sterile278 HCPCS C1713 131354 Plate 2.4/2.7mm VA-Locking Cuboid/Left Sterile 278 HCPCS C1713 131355 Plate 2.4/2.7mm VA-Locking Cuboid/Right Sterile 278 HCPCS C1713 131356 Plate 2.4/2.7mm VA-Locking Mesh Pl/5x12 Holes Sterile278 HCPCS C1713 131357 1.6 mm Compression Wire 10 x 150 mm Threaded Sterile278 HCPCS C1713 131358 1.6 mm Compression Wire 15 x 150 mm Threaded Sterile278 HCPCS C1713 131359 1.6 mm Compression Wire 20 x 150 mm Threaded Sterile278 HCPCS C1713 101664 Clamp Bulldog Vascu-Statt Midi Angled 45d Disposable272 Sterile 2-Pk 131360 1.6 mm Compression Wire 25 x 150 mm Threaded Sterile278 HCPCS C1713 131361 1.6 mm Compression Wire 30 x 150 mm Threaded Sterile278 HCPCS C1713 131362 1.6 mm Compression Wire 35 x 150 mm Threaded Sterile278 HCPCS C1713 131363 1.6 mm Compression Wire 40 x 150 mm Threaded Sterile278 HCPCS C1713 131364 Screw 4.5 x 20mm Cannulated Partially Threaded 278 HCPCS C1713 131365 Screw 4.5 x 22mm Cannulated Partially Threaded 278 HCPCS C1713 131366 Screw 4.5 x 24mm Cannulated Partially Threaded 278 HCPCS C1713 131367 Screw 4.5 x 26mm Cannulated Partially Threaded 278 HCPCS C1713 131368 Screw 4.5 x 28mm Cannulated Partially Threaded 278 HCPCS C1713 131369 Screw 4.5 x 76mm Cannulated Partially Threaded 278 HCPCS C1713 131370 Screw 4.5 x 80mm Cannulated Partially Threaded 278 HCPCS C1713 131371 Screw 4.5 x 20mm Cannulated Fully Threaded 278 HCPCS C1713 131372 Screw 4.5 x 22mm Cannulated Fully Threaded 278 HCPCS C1713 131373 Screw 4.5 x 24mm Cannulated Fully Threaded 278 HCPCS C1713 131374 Screw 4.5 x 26mm Cannulated Fully Threaded 278 HCPCS C1713 131375 Screw 4.5 x 28mm Cannulated Fully Threaded 278 HCPCS C1713 131376 Screw 4.5 x 30mm Cannulated Fully Threaded 278 HCPCS C1713 131377 Screw 4.5 x 36mm Cannulated Fully Threaded 278 HCPCS C1713 131378 Screw 4.5 x 38mm Cannulated Fully Threaded 278 HCPCS C1713 131379 Screw 4.5 x 48mm Cannulated Fully Threaded 278 HCPCS C1713 131380 Screw 4.5 x 54mm Cannulated Fully Threaded 278 HCPCS C1713 131382 Screw 4.5 x 76mm Cannulated Fully Threaded 278 HCPCS C1713 131383 Screw 4.5 x 80mm Cannulated Fully Threaded 278 HCPCS C1713 131385 Plate 2.7mm/3.5mm VA-LCP Med Dist Tibia 12 Holes278 RightHCPCS C1713

222 131386 Plate 2.7mm/3.5mm VA-LCP Med Dist Tibia 12 Holes278 LeftHCPCS C1713 131387 Plate 2.7mm/3.5mm VA-LCP Med Dist Tibia 14 Holes278 RightHCPCS C1713 131388 Plate 2.7mm/3.5mm VA-LCP Med Dist Tibia 14 Holes278 LeftHCPCS C1713 131389 Plate 2.7mm/3.5mm VA-LCP Med Dist Tibia 16 Holes278 RightHCPCS C1713 131390 Plate 2.7mm/3.5mm VA-LCP Med Dist Tibia 16 Holes278 LeftHCPCS C1713 131391 Plate 2.7mm/3.5mm VA-LCP Anteromedial Tibia 4 Holes278 RightHCPCS Ster C1713 131392 Plate 2.7mm/3.5mm VA-LCP Anteromedial Tibia 4 Holes278 LeftHCPCS Ster C1713 131393 Plate 2.7mm/3.5mm VA-LCP Anteromedial Tibia 6 Holes278 RightHCPCS Ster C1713 131394 Plate 2.7mm/3.5mm VA-LCP Anteromedial Tibia 6 Holes278 LeftHCPCS Ster C1713 131395 Plate 2.7mm/3.5mm VA-LCP Anteromedial Tibia 8 Holes278 RightHCPCS Ster C1713 131396 Plate 2.7mm/3.5mm VA-LCP Anteromedial Tibia 8 Holes278 LeftHCPCS Ster C1713 131397 Plate 2.7mm/3.5mm VA-LCP Anteromedial Tibia 12 278HolesHCPCS Right SterC1713 131398 Plate 2.7mm/3.5mm VA-LCP Anteromedial Tibia 12 278HolesHCPCS Left Ster C1713 131399 Plate 2.7mm/3.5mm VA-LCP Anteromedial Tibia 16 278HolesHCPCS Right SterC1713 131400 Plate 2.7mm/3.5mm VA-LCP Anteromedial Tibia 16 278HolesHCPCS Left Ster C1713 131401 Plate 2.7mm VA-LCP Lateral Distal Fibula 9 Holes Right278 HCPCS C1713 131402 Plate 2.7mm VA-LCP Lateral Distal Fibula 9 Holes Left278 HCPCS C1713 131403 Plate 2.7mm VA-LCP Lateral Distal Fibula 11 Holes Right278 HCPCS C1713 131404 Plate 2.7mm VA-LCP Lateral Distal Fibula 11 Holes Left278 HCPCS C1713 131405 Plate 2.7mm VA-LCP Lateral Distal Fibula 13 Holes Right278 HCPCS C1713 131406 Plate 2.7mm VA-LCP Lateral Distal Fibula 13 Holes Left278 HCPCS C1713 131407 Plate 2.7mm VA-LCP Lateral Distal Fibula 15 Holes Right278 HCPCS C1713 131408 Plate 2.7mm VA-LCP Lateral Distal Fibula 15 Holes Left278 HCPCS C1713 131409 Plate 2.7mm/3.5mm VA-LCP Anterolateral Dist Tibia278 12 HolesHCPCS Right C1713 131410 Plate 2.7mm/3.5mm VA-LCP Anterolateral Dist Tibia278 12 HolesHCPCS Left C1713 131411 Plate 2.7mm/3.5mm VA-LCP Anterolateral Dist Tibia278 14 HolesHCPCS Right C1713 131412 Plate 2.7mm/3.5mm VA-LCP Anterolateral Dist Tibia278 14 HolesHCPCS Left C1713 131413 Plate 2.7mm/3.5mm VA-LCP Anterolateral Dist Tibia278 16 HolesHCPCS Right C1713 131414 Plate 2.7mm/3.5 mm VA-LCP Anterolateral Dist Tibia278 16 HolesHCPCS Left C1713 131415 Plate 2.7mm/3.5 mm VA-LCP Anterolateral Dist Tibia278 18 HolesHCPCS Right C1713 131416 Plate 2.7mm/3.5mm VA-LCP Anterolateral Dist Tibia278 18 HolesHCPCS Left C1713 131417 Plate 2.7mm VA-LCP L Distal Tibia 4 Hole Left 278 HCPCS C1713 131418 Plate 2.7mm VA-LCP L Distal Tibia 6 Hole Left 278 HCPCS C1713 131419 Screw 2.7 VA w/Stardrive 2.7 x 10 mm Self-Tapping278 HCPCS C1713 131420 Screw 2.7 VA w/Stardrive 2.7 x 12 mm Self-Tapping278 HCPCS C1713 131421 Screw 2.7 VA w/Stardrive 2.7 x 14 mm Self-Tapping278 HCPCS C1713 131422 Screw 2.7 VA w/Stardrive 2.7 x 16 mm Self-Tapping278 HCPCS C1713 131423 Screw 2.7 VA w/Stardrive 2.7 x 18 mm Self-Tapping278 HCPCS C1713 131424 Screw 2.7 VA w/Stardrive 2.7 x 20 mm Self-Tapping278 HCPCS C1713 131425 Screw 2.7 VA w/Stardrive 2.7 x 22 mm Self-Tapping278 HCPCS C1713 131426 Screw 2.7 VA w/Stardrive 2.7 x 24 mm Self-Tapping278 HCPCS C1713 131427 Screw 2.7 VA w/Stardrive 2.7 x 26 mm Self-Tapping278 HCPCS C1713 131428 Screw 2.7 VA w/Stardrive 2.7 x 28 mm Self-Tapping278 HCPCS C1713 131429 Screw 2.7 VA w/Stardrive 2.7 x 30 mm Self-Tapping278 HCPCS C1713 131430 Screw 2.7 VA w/Stardrive 2.7 x 32 mm Self-Tapping278 HCPCS C1713

223 131431 Screw 2.7 VA w/Stardrive 2.7 x 34 mm Self-Tapping278 HCPCS C1713 131432 Screw 2.7 VA w/Stardrive 2.7 x 36 mm Self-Tapping278 HCPCS C1713 131433 Screw 2.7 VA w/Stardrive 2.7 x 38 mm Self-Tapping278 HCPCS C1713 131434 Screw 2.7 VA w/Stardrive 2.7 x 40 mm Self-Tapping278 HCPCS C1713 131435 Screw 2.7 VA w/Stardrive 2.7 x 42 mm Self-Tapping278 HCPCS C1713 131436 Screw 2.7 VA w/Stardrive 2.7 x 44 mm Self-Tapping278 HCPCS C1713 131437 Screw 2.7 VA w/Stardrive 2.7 x 46 mm Self-Tapping278 HCPCS C1713 131438 Screw 2.7 VA w/Stardrive 2.7 x 48 mm Self-Tapping278 HCPCS C1713 131439 Screw 2.7 VA w/Stardrive 2.7 x 50 mm Self-Tapping278 HCPCS C1713 131440 Screw 2.7 VA w/Stardrive 2.7 x 52 mm Self-Tapping278 HCPCS C1713 131441 Screw 2.7 VA w/Stardrive 2.7 x 54 mm Self-Tapping278 HCPCS C1713 131442 Screw 2.7 VA w/Stardrive 2.7 x 56 mm Self-Tapping278 HCPCS C1713 131443 Screw 2.7 VA w/Stardrive 2.7 x 58 mm Self-Tapping278 HCPCS C1713 131444 2.8mm Compression Wire 10mm Thread/200mm Length278 HCPCS C1713 131445 2.8mm Compression Wire 15mm Thread/200mm Length278 HCPCS C1713 131446 2.8mm Compression Wire 20mm Thread/200mm Length278 HCPCS C1713 131447 2.8mm Compression Wire 25mm Thread/200mm Length278 HCPCS C1713 131448 2.8mm Compression Wire 30mm Thread/200mm Length278 HCPCS C1713 131449 2.8mm Compression Wire 35mm Thread/200mm Length278 HCPCS C1713 131450 2.8mm Compression Wire 40mm Thread/200mm Length278 HCPCS C1713 131451 2.8mm Compression Wire 45mm Thread/200mm Length278 HCPCS C1713 131452 2.8mm Compression Wire 50mm Thread/200mm Length278 HCPCS C1713 131453 2.8mm Compression Wire 55mm Thread/200mm Length278 HCPCS C1713 131454 2.8mm Compression Wire 60mm Thread/200mm Length278 HCPCS C1713 131458 Plate 2.7mm/3.5mm VA-LCP Proximal Olecranon 2 Holes278 HCPCSRight/73mm C1713 131460 Plate 2.7mm/3.5mm VA-LCP Olecranon 4 Holes Right/116278 HCPCS mm C1713 131461 Plate 2.7mm/3.5mm VA-LCP Olecranon 8 Holes Right/169mm278 HCPCS Ster C1713 131462 Plate 2.7mm/3.5mm VA-LCP Olecranon 8 Holes Left/169mm278 HCPCS Ster C1713 131463 Plate 2.7mm/3.5mm VA-LCP Ex Articular Prox Ulna 6278 HolesHCPCS Right/131mm C1713 131464 Plate 2.7mm/3.5mm VA-LCP Ex Articular Prox Ulna 6278 HolesHCPCS Left/131mm C1713 131465 Plate 2.7mm/3.5mm VA-LCP Ex Articular Prox Ulna 8278 HolesHCPCS Right/157mm C1713 131466 Plate 2.7mm/3.5mm VA-LCP Ex Articular Prox Ulna 8278 HolesHCPCS Left/157mm C1713 131467 Plate 2.7mm/3.5mm VA-LCP Ex Articular Prox Ulna 10278 HolesHCPCS Right/184mm C1713 131468 Plate 2.7mm/3.5mm VA-LCP Ex Articular Prox Ulna 10278 HolesHCPCS Left/184mm C1713 131469 Plate 2.7mm/3.5mm VA-LCP Ex Articular Prox Ulna 12278 HolesHCPCS Right/211mm C1713 131470 Plate 2.7mm/3.5mm VA-LCP Ex Articular Prox Ulna 12278 HolesHCPCS Left/211mm C1713 131471 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 7278 HolesHCPCS Right C1713Long/127mm 131472 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 7278 HolesHCPCS Left Long/127mm C1713 131473 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 9278 HolesHCPCS Right C1713X-Long/153mm 131474 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 9278 HolesHCPCS Left X-Long/153mm C1713 131475 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 11278 HolesHCPCS Right C1713 Ster/179mm 107956 Shears Harmonic Focus Curve 9cm Scissor-Grip 272 131476 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 11278 HolesHCPCS Left C1713Ster/179mm 131477 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 13278 HolesHCPCS Right C1713 Ster/205mm 131478 Plate 2.7mm/3.5mm VA-LCP Postlat Dist Humerus 13278 HolesHCPCS Left C1713Ster/205mm

224 131479 Plate 2.7mm/3.5mm VA-LCP Post Lat Dist Hum 11 Holes278 RightHCPCS Ster/153mm C1713 X-Long 131480 Plate 2.7mm/3.5mm VA-LCP Post Lat Dist Hum 11 Holes278 LeftHCPCS Ster/153mm C1713 X-Long 131481 Plate 2.7mm/3.5 mm VA-LCP Post Lat Dist Humerus278 13 HolesHCPCS Right C1713 Ster/205mm 131482 Plate 2.7mm/3.5mm VA-LCP Post Lat Distal Humerus278 13 HolesHCPCS Left C1713 Ster/205mm 131483 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 6 Holes278 Right/134mmHCPCS C1713 X-Long 131484 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 6 Holes278 Left/134mmHCPCS C1713 X-Long 131485 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 8 Holes278 RightHCPCS Ster/160mm C1713 131486 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 8 Holes278 LeftHCPCS Ster/160mm C1713 131487 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 10 Holes278 HCPCSRight Ster/186mm C1713 131488 Plate 2.7mm/3.5mm VA-LCP Med Dist Humerus 10 Holes278 HCPCSLeft Ster/186mm C1713 131489 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 2788 HolesHCPCS Right C1713 Ster/163mm 131490 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 2788 HolesHCPCS Left C1713 Ster/163mm 131491 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 10278 HolesHCPCS Right C1713 Ster/189mm 131492 Plate 2.7mm/3.5mm VA-LCP Ext Med Dist Humerus 10278 HolesHCPCS Left C1713 Ster/189mm 131493 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 9 Holes278 RightHCPCS Ster/173mm C1713 131494 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 9 Holes278 LeftHCPCS Ster/173mm C1713 131495 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 11 Holes278 RightHCPCS Ster/199mm C1713 131496 Plate 2.7mm/3.5mm VA-LCP Lat Dist Humerus 11 Holes278 LeftHCPCS Ster/199mm C1713 131497 Plate 2.7mm VA-Locking Calcaneal w/Tabs Med Right/64mm278 HCPCS C1713 131498 Plate 2.7mm VA-Locking Calcaneal w/Tabs Med Left/64mm278 HCPCS C1713 131499 Plate 2.7mm VA-Locking Calcaneal w/Tabs Large Right/70mm278 HCPCS C1713 131500 Plate 2.7mm VA-Locking Calcaneal w/Tabs Large Left/70mm278 HCPCS C1713 131501 Plate 2.7 mm VA-Locking Ant Calcaneal/Short/Right/40mm278 HCPCS C1713 131502 Plate 2.7mm VA-Locking Ant Calcaneal/Short/Left/40mm278 HCPCS C1713 131503 Plate 2.7mm VA-Locking Ant Calcaneal/Long/Right/56mm278 HCPCS C1713 131504 Plate 2.7mm VA-Locking Ant Calcaneal/Long/Left/56mm278 HCPCS C1713 131505 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/4H/87mm278 HCPCS Right C1713 131506 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/4H/87mm278 HCPCS Left C1713 131507 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/6H/117mm278 HCPCS Right C1713 131508 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/6H/117mm278 HCPCS Left C1713 131509 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/8H/147mm278 HCPCS Right C1713 131510 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/8H/147mm278 HCPCS Left C1713 131511 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/10H/177mm278 HCPCS Right C1713 131512 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/10H/177mm278 HCPCS Left C1713 131513 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/12H/207mm278 HCPCS Right C1713 131514 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/12H/207mm278 HCPCS Left C1713 131515 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/14H/237mm278 HCPCS Right C1713 131516 Plate VA-LCP Prox Tibia Plate 3.5mm Large Bend/14H/237mm278 HCPCS Left C1713 131517 Screw 3.5 x 10 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131518 Screw 3.5 x 12 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131519 Screw 3.5 x 14 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131520 Screw 3.5 x 16 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131521 Screw 3.5 x 18 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131522 Screw 3.5 x 20 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131523 Screw 3.5 x 22 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713

225 131524 Screw 3.5 x 24 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131525 Screw 3.5 x 26 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131526 Screw 3.5 x 28 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131527 Screw 3.5 x 30 mm VA Locking w/T15 Stardeive Self-Tapping278 HCPCS C1713 131528 Screw 3.5 x 32 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131529 Screw 3.5 x 34 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131530 Screw 3.5 x 36 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131531 Screw 3.5 x 38 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131532 Screw 3.5 x 40 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131533 Screw 3.5 x 42 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131534 Screw 3.5 x 44 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131535 Screw 3.5 x 46 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131536 Screw 3.5 x 48 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131537 Screw 3.5 x 50 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131538 Screw 3.5 x 52 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131539 Screw 3.5 x 54 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131540 Screw 3.5 x 56 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131541 Screw 3.5 x 58 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131542 Screw 3.5 x 60 mm VA Locking w/T15 Stardeive Self-Tapping278 HCPCS C1713 131543 Screw 3.5 x 65 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131544 Screw 3.5 x 70 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131545 Screw 3.5 x 75 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131546 Screw 3.5 x 80 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131547 Screw 3.5 x 85 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131548 Screw 3.5 x 90 mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131549 Screw 3.5 x 95mm VA Locking w/T15 Stardrive Self-Tapping278 HCPCS C1713 131550 Drill Bit 2.8 x 100 mm 272 131551 Drill Bit 2.5 x 250 mm 272 131552 Drill Bit 2.8 x 250 mm 272 131553 Guide Wire 1.6 x 200 mm Drill Tip 272 131554 Plate VA-LCP Curved Condylar 4.5mm 20 Hole/405mm/Right278 HCPCS Sterile C1713 131555 Plate VA-LCP Curved Condylar 4.5mm 20 Hole/405mm/Left278 HCPCS Sterile C1713 131556 Plate VA-LCP Curved Condylar 4.5mm 22 Hole/439mm/Right278 HCPCS Sterile C1713 131557 Plate VA-LCP Curved Condylar 4.5mm 22 Hole/439mm/Left278 HCPCS Sterile C1713 131558 Screw 5.0mm Periprosthetic VA Locking Self-Tapping278 5.0 HCPCSx 8mm C1713Ster 131559 Screw 5.0mm Periprosthetic VA Locking Self-Tapping278 5.0 HCPCSx 10mm C1713 131560 Screw 5.0mm Periprosthetic VA Locking Self-Tapping278 5.0 HCPCSx 14mm C1713 131561 Screw 5.0mm Periprosthetic VA Locking Self-Tapping278 5.0 HCPCSx 14mm C1713 131562 Screw 5.0mm Periprosthetic VA Locking Self-Tapping278 5.0 HCPCSx 16mm C1713 131563 Screw 5.0mm Periprosthetic VA Locking Self-Tapping278 5.0 HCPCSx 18mm C1713 131564 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 14mm C1713 131565 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 16mm C1713 131566 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 18mm C1713 131567 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 20mm C1713 131568 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 22mm C1713

226 131569 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 24mm C1713 131570 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 26mm C1713 131571 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 28mm C1713 131572 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 30mm C1713 131573 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 32mm C1713 131574 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 34mm C1713 131575 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 36mm C1713 131576 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 38mm C1713 131577 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 40mm C1713 131578 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 42mm C1713 131579 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 44mm C1713 131580 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 46mm C1713 131581 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 48mm C1713 131582 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 50mm C1713 131583 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 55mm C1713 131584 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 60mm C1713 131585 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 65mm C1713 131586 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 70mm C1713 131587 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 75mm C1713 131588 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 80mm C1713 131589 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 85mm C1713 131590 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 90mm C1713 131591 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 95mm C1713 Ster 131592 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 100mm C1713 Ster 131593 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 105mm C1713 Ster 131594 Screw 5.0mm VA Locking Self-Tapping w/T25 Stardrive278 5.0HCPCS x 110mm C1713 Ster 131595 Screw 5.0mm VA Locking 5.0 x 20mm 278 HCPCS C1713 131596 Screw 5.0mm VA Locking 5.0 x 25mm 278 HCPCS C1713 131597 Screw 5.0mm VA Locking 5.0 x 30mm 278 HCPCS C1713 131598 Screw 5.0mm VA Locking 5.0 x 35mm 278 HCPCS C1713 131599 Screw 5.0mm VA Locking 5.0 x 40mm 278 HCPCS C1713 131600 Screw 5.0mm VA Locking 5.0 x 45mm 278 HCPCS C1713 131601 Screw 5.0mm VA Locking 5.0 x 50mm 278 HCPCS C1713 131602 Screw 5.0mm VA Locking 5.0 x 55mm 278 HCPCS C1713 131603 Screw 5.0mm VA Locking 5.0 x 60mm 278 HCPCS C1713 131604 Screw 5.0mm VA Locking 5.0 x 65mm 278 HCPCS C1713 131605 Screw 5.0mm VA Locking 5.0 x 70mm 278 HCPCS C1713 131606 Screw 5.0mm VA Locking 5.0 x 75mm 278 HCPCS C1713 131607 Screw 5.0mm VA Locking 5.0 x 80mm 278 HCPCS C1713 131608 Screw 5.0mm VA Locking 5.0 x 85mm 278 HCPCS C1713 131609 Screw 5.0mm VA Locking 5.0 x 90mm 278 HCPCS C1713 131610 Screw 5.0mm VA Locking 5.0 x 95mm Ster 278 HCPCS C1713 131611 Screw 5.0mm VA Locking 5.0 x 100mm Ster 278 HCPCS C1713 131612 Screw 5.0mm VA Locking 5.0 x 105mm Ster 278 HCPCS C1713 131613 Screw 5.0mm VA Locking 5.0 x 110mm Ster 278 HCPCS C1713

227 131614 Drill Bit 3.2 x 100 mm Calibrated 272 131615 Drill Bit 4.3 x 300 mm Calibrated 272 131616 Screw TFNA Ti 70mm Ster 278 HCPCS C1713 131617 Screw TFNA Ti 75mm Ster 278 HCPCS C1713 131618 Screw TFNA Ti 80mm Ster 278 HCPCS C1713 131619 Screw TFNA TI 85mm Ster 278 HCPCS C1713 131620 Screw TFNA Ti 90mm Ster 278 HCPCS C1713 131621 Screw TFNA Ti 95mm Ster 278 HCPCS C1713 131622 Screw TFNA Ti 100mm Ster 278 HCPCS C1713 131623 Screw TFNA Ti 105mm Ster 278 HCPCS C1713 131624 Screw TFNA Ti 110mm Ster 278 HCPCS C1713 131625 Screw TFNA Ti 115mm Ster 278 HCPCS C1713 131626 Screw TFNA Ti 120mm Ster 278 HCPCS C1713 131627 Screw TFNA Ti 125mm Ster 278 HCPCS C1713 131628 Screw TFNA Ti 130mm Ster 278 HCPCS C1713 131629 Blade TFNA Helical 70mm Ster 278 HCPCS C1713 131630 Blade TFNA Helical 75mm Ster 278 HCPCS C1713 131631 Blade TFNA Helical 80mm Ster 278 HCPCS C1713 106680 Tray Tibial Modular Cemented Size 6 278 HCPCS C1776 131632 Blade TFNA Helical 85mm Ster 278 HCPCS C1713 131633 Blade TFNA Helical 90mm Ster 278 HCPCS C1713 131634 Blade TFNA Helical 95mm Ster 278 HCPCS C1713 131635 Blade TFNA Helical 100mm Ster 278 HCPCS C1713 131636 Blade TFNA Helical 105mm Ster 278 HCPCS C1713 131637 Blade TFNA Helical 110mm Ster 278 HCPCS C1713 131638 Blade TFNA Helical 115mm Ster 278 HCPCS C1713 131639 Blade TFNA Helical 120mm Ster 278 HCPCS C1713 131640 Blade TFNA Helical 125mm Ster 278 HCPCS C1713 131641 Blade TFNA Helical 130mm Ster 278 HCPCS C1713 107163 Femoral Component Cemented Sigma PS Right Size 2784N HCPCS C1776 131642 Nail TFNA 10mm/125d Ti Cannulated/ 170mm Ster 278 HCPCS C1713 131643 Nail TFNA 10mm/130d Ti Cannulated/ 170mm Ster 278 HCPCS C1713 131644 Nail TFNA 11mm/125d Ti Cannulated/170mm Ster 278 HCPCS C1713 131645 Nail TFNA 11mm/130d Ti Cannulated/170mm Ster 278 HCPCS C1713 131646 Nail TFNA 12mm/125d Ti Cannulated/170mm Ster 278 HCPCS C1713 131647 Nail TFNA 12mm/130d Ti Cannulated/170mm Ster 278 HCPCS C1713 131648 Nail TFNA 11mm/125d Ti Cannulated/320mm/Right/278 SterHCPCS C1713 131649 Nail TFNA 11mm/125d Ti Cannulated/320mm/Left/Ster278 HCPCS C1713 131650 Nail TFNA 11mm/125d Ti Cannulated 340mm/Right/Ster278 HCPCS C1713 131651 Nail TFNA 11mm/125d Ti Cannulated 340mm/Left/Ster278 HCPCS C1713 107164 Femoral Component Cemented Sigma PS Right Size 2786 HCPCS C1776 131652 Nail TFNA 11mm/125d Ti Cannulated 360mm/Right/Ster278 HCPCS C1713 131653 Nail TFNA 11mm/125d Ti Cannulated 360mm/Left/Ster278 HCPCS C1713 131654 Nail TFNA 11mm/125d Ti Cannulated 380mm/Right/Ster278 HCPCS C1713 131655 Nail TFNA 11mm/125d Ti Cannulated 380mm/Left/Ster278 HCPCS C1713

228 131656 Nail TFNA 11mm/125d Ti Cannulated 400mm/Right/Ster278 HCPCS C1713 131657 Nail TFNA 11mm/125d Ti Cannulated 400mm/Left/Ster278 HCPCS C1713 131658 Nail TFNA 11mm/125d Ti Cannulated 440mm/Right/Ster278 HCPCS C1713 131659 Nail TFNA 11mm/125d Ti Cannulated 440mm/Left/Ster278 HCPCS C1713 131660 Nail TFNA 11mm/130d Ti Cannulated 320mm/Right/Ster278 HCPCS C1713 131661 Nail TFNA 11mm/130d Ti Cannulated 320mm/Left/Ster278 HCPCS C1713 109247 Centralizer Hip Cementralizer 11.0mm 278 HCPCS C1713 131662 Nail TFNA 11mm/130d Ti Cannulated 340mm/Right/Ster278 HCPCS C1713 131663 Nail TFNA 11mm/130d Ti Cannulated 340mm/Left/Ster278 HCPCS C1713 131664 Nail TFNA 11mm/130d Ti Cannulated 360mm/Right/Ster278 HCPCS C1713 131665 Nail TFNA 11mm/130d Ti Cannulated 360mm/Left/Ster278 HCPCS C1713 131666 Nail TFNA 11mm/130d Ti Cannulated 380mm/Right/Ster278 HCPCS C1713 131667 Nail TFNA 11mm/130d Ti Cannulated 380mm/Left/Ster278 HCPCS C1713 131668 Nail TFNA 11mm/130d Ti Cannulated 400mm/Right/Ster278 HCPCS C1713 131669 Nail TFNA 11mm/130d Ti Cannulated 400mm/Left/Ster278 HCPCS C1713 131670 Nail TFNA 11mm/130d Ti Cannulated 420mm/Right/Ster278 HCPCS C1713 131671 Nail TFNA 11mm/130d Ti Cannulated 420mm/Left/Ster278 HCPCS C1713 109250 Centralizer Hip Cementralizer 8.5mm 278 HCPCS C1713 131672 Nail TFNA 11mm/130d Ti Cannulated 440mm/Right/Ster278 HCPCS C1713 131673 Nail TFNA 11mm/130d Ti Cannulated 440mm/Left/Ster278 HCPCS C1713 131674 Nail TFNA 12mm/125d Ti Cannulated/320mm/Right/278 SterHCPCS C1713 131675 Nail TFNA 12mm/125d Ti Cannulated/320mm/Left/278 Ster HCPCS C1713 131676 Nail TFNA 12mm/125d Ti Cannulated/340mm/Right/Ster278 HCPCS C1713 131677 Nail TFNA 12mm/125d Ti Cannulated/340mm/Left/Ster278 HCPCS C1713 131678 Nail TFNA 12mm/125d Ti Cannulated/360mm/Right/Ster278 HCPCS C1713 131679 Nail TFNA 12mm/125d Ti Cannulated/360mm/Left/278 Ster HCPCS C1713 131680 Nail TFNA 12mm/125d Ti Cannulated/380mm/Right/Ster278 HCPCS C1713 131681 Nail TFNA 12mm/125d Ti Cannulated/400mm/Left/Ster278 HCPCS C1713 109251 Centralizer Hip Cementralizer 9.25mm 278 HCPCS C1713 131682 Nail TFNA 12mm/125d Ti Cannulated/400mm/Right/Ster278 HCPCS C1713 131683 Nail TFNA 12mm/125d Ti Cannulated/420mm/Left/Ster278 HCPCS C1713 131684 Nail TFNA 12mm/125d Ti Cannulated/420mm/Right/278 SterHCPCS C1713 131685 Nail TFNA 12mm/125d Ti Cannulated/440mm/Left/Ster278 HCPCS C1713 131686 Nail TFNA 12mm/130d Ti Cannulated/320mm/Right/Ster278 HCPCS C1713 131687 Nail TFNA 12mm/130d Ti Cannulated/320mm/Left/Ster278 HCPCS C1713 131688 Nail TFNA 12mm/130d Ti Cannulated/340mm/Right/Ster278 HCPCS C1713 131689 Nail TFNA 12mm/130d Ti Cannulated/340mm/Left/Ster278 HCPCS C1713 131690 Nail TFNA 12mm/130d Ti Cannulated/360mm/Right/Ster278 HCPCS C1713 131691 Nail TFNA 12mm/130d Ti Cannulated/360mm/Left/Ster278 HCPCS C1713 131692 Nail TFNA 12mm/130d Ti Cannulated/380mm/Right/Ster278 HCPCS C1713 131693 Nail TFNA 12mm/130d Ti Cannulated/380mm/Left/Ster278 HCPCS C1713 131694 Nail TFNA 12mm/130d Ti Cannulated/400mm/Right/Ster278 HCPCS C1713 131695 Nail TFNA 12mm/130d Ti Cannulated/400mm/Left/Ster278 HCPCS C1713 131696 Nail TFNA 12mm/130d Ti Cannulated/420mm/Right/Ster278 HCPCS C1713 131697 Nail TFNA 12mm/130d Ti Cannulated/420mm/Left/Ster278 HCPCS C1713

229 131698 Nail TFNA 12mm/130d Ti Cannulated/440mm/Right/Ster278 HCPCS C1713 131699 Nail TFNA 12mm/130d Ti Cannulated/440mm/Left/Ster278 HCPCS C1713 131700 Nail TFNA 14mm/130d Ti Cannulated/320mm/Right/Ster278 HCPCS C1713 131701 Nail TFNA 14mm/130d Ti Cannulated/320mm/Left/Ster278 HCPCS C1713 131702 Nail TFNA 14mm/130d Ti Cannulated/340mm/Right/Ster278 HCPCS C1713 131703 Nail TFNA 14mm/130d Ti Cannulated/340mm/Left/Ster278 HCPCS C1713 131704 Nail TFNA 14mm/130d Ti Cannulated/360mm/Right/Ster278 HCPCS C1713 131705 Nail TFNA 14mm/130d Ti Cannulated/360mm/Left/Ster278 HCPCS C1713 131706 Nail TFNA 14mm/130d Ti Cannulated/380mm/Right/Ster278 HCPCS C1713 131707 Nail TFNA 14mm/130d Ti Cannulated/380mm/Left/Ster278 HCPCS C1713 131708 Nail TFNA 14mm/130d Ti Cannulated/400mm/Right/Ster278 HCPCS C1713 131709 Nail TFNA 14mm/130d Ti Cannulated/400mm/Left/Ster278 HCPCS C1713 131459 Catheter Angiographic Soft-Vu 5Fr x 80cm .035 Braided272 MPAHCPCS Sterile C1725 131710 SmartAblate Irrigation Tubing Sterile 272 131711 Nail TFNA 11mm/125d Ti Cannulated/ 420mm/Right/Ster278 HCPCS C1713 131712 Nail TFNA 11mm/125d Ti Cannulated/ 420mm/Left/Ster278 HCPCS C1713 131723 Nail TFNA 12mm/125d Ti Cannulated/380mm/Left/278 Ster HCPCS C1713 131724 Nail TFNA 12mm/125d Ti Cannulated/380mm/Left/278 Ster HCPCS C1713 131725 Nail TFNA 14mm/130d Ti Cannulated/400mm/Right/Ster278 HCPCS C1713 131726 Nail TFNA 14mm/130d Ti Cannulated/420mm/Left/Ster278 HCPCS C1713 131727 Screw Cortex Self-Tap 26mm 2.7mm 278 HCPCS C1713 131728 Screw Cortex Self-Tap 28mm 2.7mm 278 HCPCS C1713 131729 Screw Cortex Self-Tap 30mm 2.7 278 HCPCS C1713 131730 Screw Cortex Self-Tap 32mm 2.7 278 HCPCS C1713 131731 Screw Cortex Self-Tap 34mm 2.7 278 HCPCS C1713 131732 Screw Cortex Self-Tap 36mm 2.7 278 HCPCS C1713 131733 Screw Cortex Self-Tap 38mm 2.7 278 HCPCS C1713 131734 Screw Cortex Self-Tap 40mm 2.7 278 HCPCS C1713 131735 Screw Cortex Self-Tap 45mm 2.7 278 HCPCS C1713 131736 Screw Cortex Self-Tap 50mm 2.7 278 HCPCS C1713 131737 Screw Cortex Self-Tap 55mm 2.7 278 HCPCS C1713 131713 Screw STALIF C ABO 4.0 x 14mm Sterile 278 HCPCS C1713 131714 Cage Stalif C-Ti 12 x 8.5mm Sterile 278 HCPCS C1713 131715 Cage Stalif C-Ti 14 x 5.5mm Sterile 278 HCPCS C1713 131716 Cage Stalif C-Ti 14 x 6.5mm Sterile 278 HCPCS C1713 131717 Cage Stalif C-Ti 14 x 7.5mm Sterile 278 HCPCS C1713 131718 Cage Stalif C-Ti 12 x 7.5mm Sterile 278 HCPCS C1713 131719 Cage Stalif C-Ti 12 x 6.5mm Sterile 278 HCPCS C1713 131720 Cage Stalif C-Ti 14 x 8.5mm Sterile 278 HCPCS C1713 131739 Cage Cervical Spine Truss 17W x 14D x 8H 7d Sterile278 HCPCS C1713 131741 Cage Posterior Spine Truss 10W x 32L x 11H 6d Sterile278 HCPCS C1713 131742 Cage Posterior Spine Truss 10W x 27L x 15H 6d Sterile278 HCPCS C1713 130965 Ureteroscope LithoVue Flexible Disposable - Reverse272 Deflection Sterile 131721 Catheter Angiographic Soft-Vu Mikaelsson 80cm x 6Fr272 x 0.38in Non-Braided St 131743 Catheter AngiOptic 4Fr x 90cm Straight 6 Side Holes272 SterileHCPCS C1887

230 131744 Catheter Angiographic Soft-Vu 4Fr x 90cm Cobra 2 Sterile272 HCPCS C1887 131747 3.0mm Ti Locking Screw 8mm F/Sternal Locking Plates278 HCPCS C1713 131748 3.0mm Ti Locking Screw 10mm F/Sternal Locking Plates278 HCPCS C1713 131749 3.0mm Ti Locking Screw 12mm F/Sternal Locking Plates278 HCPCS C1713 131750 3.0mm Ti Locking Screw 14mm F/Sternal Locking Plates278 HCPCS C1713 131751 3.0mm Ti Locking Screw 16mm F/Sternal Locking Plates278 HCPCS C1713 131752 3.0mm Ti Locking Screw 18mm F/Sternal Locking Plates278 HCPCS C1713 131753 3.0mm Ti Locking Screw 20mm F/Sternal Locking Plates278 HCPCS C1713 131754 3.0mm Ti Locking Screw 22mm F/Sternal Locking Plates278 HCPCS C1713 131755 3.0mm Ti Locking Screw 24mm F/Sternal Locking Plates278 HCPCS C1713 131756 3.0mm Ti Locking Screw 8mm F/Sternal Locking Plates/Pack278 HCPCS C1713 131757 3.0mm Ti Locking Screw 10mm F/Sternal Locking Plates/Pack278 HCPCS C1713 131758 3.0mm Ti Locking Screw 12mm F/Sternal Locking Plates/Pack278 HCPCS C1713 131759 3.0mm Ti Locking Screw 14mm F/Sternal Locking Plates/Pack278 HCPCS C1713 131760 3.0mm Ti Locking Screw 16mm F/Sternal Locking Plates/Pack278 HCPCS C1713 131761 3.0mm Ti Locking Screw 18mm F/Sternal Locking Plates/Pack278 HCPCS C1713 131762 3.0mm Ti Locking Screw 20mm F/Sternal Locking Plates/Pack278 HCPCS C1713 131763 3.0mm Ti Locking Screw 22mm F/Sternal Locking Plates/Pack278 HCPCS C1713 131764 3.0mm Ti Locking Screw 24mm F/Sternal Locking Plates/Pack278 HCPCS C1713 131765 3.0mm Ti Sternal Lckng Screw Self-Drilling/10mm 278 HCPCS C1713 131766 3.0mm Ti Sternal Lckng Screw Self-Drilling/18mm 278 HCPCS C1713 131767 3.0mm Ti Sternal Lckng Screw Self-Drilling/20mm 278 HCPCS C1713 131768 3.0mm Ti Sternal Lckng Screw Self-Drilling/10mm/Pack278 HCPCS C1713 131769 3.0mm Ti Sternal Lckng Screw Self-Drilling/12mm/Pack278 HCPCS C1713 131770 3.0mm Ti Sternal Lckng Screw Self-Drilling/14mm/Pack278 HCPCS C1713 131772 3.0mm Ti Sternal Lckng Screw Self-Drilling/18mm/Pack278 HCPCS C1713 131773 3.0mm Ti Sternal Lckng Screw Self-Drilling/20mm/Pack278 HCPCS C1713 131774 3.0mm Ti Sternal Locking Screw Self-Drilling/10mm278 - SterHCPCS C1713 131775 3.0mm Ti Sternal Locking Screw Self-Drilling/12mm278 - SterHCPCS C1713 131776 3.0mm Ti Sternal Locking Screw Self-Drilling/14mm278 - SterHCPCS C1713 131777 3.0mm Ti Sternal Locking Screw Self-Drilling/16mm278 - SterHCPCS C1713 131778 3.0mm Ti Sternal Locking Screw Self-Drilling/18mm278 - SterHCPCS C1713 131779 3.0mm Ti Sternal Locking Screw Self-Drilling/20mm278 - SterHCPCS C1713 131780 Plate Sternal 20 Holes Locking Straight 278 HCPCS C1713 131781 Plate Sternal 30 Holes Locking Straight - Ster 278 HCPCS C1713 131782 Plate Sternal 8 Holes Locking Straight 278 HCPCS C1713 131783 Plate Sternal 8 Holes Locking Straight - Ster 278 HCPCS C1713 131784 H-Plate Ti Sternal Locking 8 Holes Small 278 HCPCS C1713 131785 H-Plate Ti Sternal Locking 8 Holes Small - Ster 278 HCPCS C1713 131786 H-Plate Ti Sternal Locking 8 Hole Large 278 HCPCS C1713 131787 H-Plate Ti Sternal Locking 8 Hole Large - Ster 278 HCPCS C1713 131788 Star Plate Ti Sternal Locking 6 Hole - Ster 278 HCPCS C1713 131789 Star Plate Ti Sternal Locking 12 Hole - Ster 278 HCPCS C1713 131790 X-Plate Ti Sternal Locking 10 Hole 278 HCPCS C1713 131791 X-Plate Ti Sternal Locking 10 Hole - Ster 278 HCPCS C1713

231 131792 T-Plate Double Ti Sternal Locking 14 Hole - Ster 278 HCPCS C1713 131793 T-Plate Double Ti Sternal Locking 18 Hole/Tall - Ster278 HCPCS C1713 131794 Plate Ti Sternal Locking 12 Hole Angled 278 HCPCS C1713 131795 Plate Ti Sternal Locking 12 Hole Angled - Ster 278 HCPCS C1713 131796 Plate Ti Sternal Locking 13 Hole w/O Pin 278 HCPCS C1713 131797 Plate Ti Sternal Locking 13 Hole w/O Pin - Ster 278 HCPCS C1713 131798 X-Plate Ti Sternal Locking 10 Hole Wide 278 HCPCS C1713 131799 X-Plate Ti Sternal Locking 10 Hole Wide - Ster 278 HCPCS C1713 131800 Drill Bit 1.5 x 8 mm with Stop Stryker J-latch 272 131801 Drill Bit 1.5 x 10mm with Stop Stryker J-latch 272 131802 Drill Bit 1.5 x 12 mm with Stop Stryker J-latch 272 131803 Drill Bit 1.5 x 14 mm with Stop Stryker J-latch 272 131804 Drill Bit 1.5 x 16 mm with Stop Stryker J-latch 272 131805 Drill Bit 1.5 x 18 mm with Stop Stryker J-latch 272 131806 Drill Bit 1.5 x 20 mm with Stop Stryker J-latch 272 131807 Drill Bit 1.5 x 22 mm with Stop Stryker J-latch 272 131808 Drill Bit 1.5 x 24 mm with Stop Stryker J-latch 272 131809 Drill Bit 1.8 x 10 mm with Stop Stryker J-latch 272 131810 Drill Bit 1.8 x 12 mm with Stop Stryker J-latch 272 131811 Drill Bit 1.8 x 14 mm with Stop Stryker J-latch 272 131812 Drill Bit 1.8 x 16 mm with Stop Stryker J-latch 272 131813 Drill Bit 1.8 x 18 mm with Stop Stryker J-latch 272 131814 Drill Bit 1.8 x 20 mm with Stop Stryker J-latch 272 131815 Drill Bit 1.8 x 22 mm with Stop Stryker J-latch 272 131816 Drill Bit 1.8 x 24 mm with Stop Stryker J-latch 272 131817 Drill Bit 1.5 x 10 mm with Stop Hex Coupling 272 131818 Drill Bit 1.5 x 12 mm with Stop Hex Coupling 272 131819 Drill Bit 1.5 x 14mm with Stop Hex Coupling 272 131820 Drill Bit 1.5 x 16 mm with Stop Hex Coupling 272 131821 Drill Bit 1.5 x 18 mm with Stop Hex Coupling 272 131822 Drill Bit 1.5 x 20 mm with Stop Hex Coupling 272 131823 Drill Bit 1.5 x 22 mm with Stop Hex Coupling 272 131824 Drill Bit 1.5 x 24 mm with Stop Hex Coupling 272 131825 Drill Bit 1.8 x 10 mm with Stop Hex Coupling 272 131826 Drill Bit 1.8 x 12 mm with Stop Hex Coupling 272 131827 Drill Bit 1.8 x 14 mm with Stop Hex Coupling 272 131828 Drill Bit 1.8 x 16 mm with Stop Hex Coupling 272 131829 Drill Bit 1.8 x 18 mm with Stop Hex Coupling 272 131830 Drill Bit 1.8 x 20 mm with Stop Hex Coupling 272 131831 Drill Bit 1.8 x 22 mm with Stop Hex Coupling 272 131832 Drill Bit 1.8 x 24 mm with Stop Hex Coupling 272 131771 Catheter Angiographic Soft-Vu 5Fr x 65cm x .035in Rim272 BraidedHCPCS C1887Sterile 131833 Screw Pelvic Cortex 3.5 x 65 mm 278 HCPCS C1713 131834 Screw Pelvic Cortex 3.5 x 70 mm 278 HCPCS C1713 131835 Screw Pelvic Cortex 3.5 x 75 mm 278 HCPCS C1713

232 131836 Screw Pelvic Cortex 3.5 x 80 mm 278 HCPCS C1713 131837 Screw Pelvic Cortex 3.5 x 85 mm 278 HCPCS C1713 131838 Screw Pelvic Cortex 3.5 x 90 mm 278 HCPCS C1713 131839 Screw Pelvic Cortex 3.5 x 95 mm 278 HCPCS C1713 131840 Screw Pelvic Cortex 3.5 x 100 mm 278 HCPCS C1713 131841 Screw Pelvic Cortex 3.5 x 105 mm 278 HCPCS C1713 131842 Screw Pelvic Cortex 3.5 x 110 mm 278 HCPCS C1713 131849 Indigo Catheter 3Fr x 150cm Straight Tip Sterile 272 131850 Indigo Catheter 6Fr x 135cm Straight Tip Sterile 272 131851 Indigo Catheter 8Fr Torq Tip 85cm Sterile 272 131852 Indigo Catheter 8Fr Xtorq Tip 115cm Sterile 272 131853 Indigo Non-sterile Pump Max Supplies 272 131854 Indigo Max Aspiration Tubing Sterile 272 131855 Indigo Separator 3 Sterile 272 131856 Indigo Separator 6 Sterile 272 131857 Indigo Separator 8 Sterile 272 131862 Rod Horizon Solera 4.75 x 70mm Curved Sterile 278 HCPCS C1713 131863 Rod Horizon Solera 5.5 x 500mm Lined Sterile 278 HCPCS C1713 131864 Rod Horizon Solera Ti 5.5 x 90mm Curved Sterile 278 HCPCS C1713 131865 Rod Horizon Solera 5.5 x 80mm Curved Sterile 278 HCPCS C1713 131866 Rod Horizon Solera 5.5 x 70mm Curved Sterile 278 HCPCS C1713 131867 Screw Horizon Solera 5.5 MAS 5.5 x 30cc Sterile 278 HCPCS C1713 131868 Screw Horizon Solera 5.5 MAS 5.5 x 35cc Sterile 278 HCPCS C1713 131869 Screw Horizon Solera 5.5 MAS 5.5 x 45cc Sterile 278 HCPCS C1713 131870 Screw Horizon Solera 5.5 MAS 6.5 x 45cc Sterile 278 HCPCS C1713 131871 Screw Horizon Solera 5.5 MAS 7.5 x 45cc Sterile 278 HCPCS C1713 131872 Screw Horizon Solera 5.5 MAS 7.5 x 40cc Sterile 278 HCPCS C1713 131873 Catheter Angiographic Soft-Vu 4Fr x 100cm x .038 Sidewinder272 HCPCS ST1 C1887 Sterile 131874 Suction Coagulator 8Fr 6in Valley Lab Sterile 272 128206 Electrode 24Fr Monopolar Coagulating 5mm Barrel Yellow272 Sterile 121117 Dressing Hemostatic 4 x 4 QuickClot 272 131875 Tacker Hernia Fixation Laparoscopic CapSure 30 Absorbable272 Fasteners Sterile 131876 Trocar Endo 5 x 150mm Kii Advanced First Entry Sterile272 131877 Trocar Endo 12 x 150mm Kii Advanced First Entry Sterile272 131878 Trocar Endo 12 x 150mm Kii Advanced First Entry Sterile272 131879 Trocar Endo 5 x 150mm Kii Fios Z-Thread Sterile 272 109582 Insert Tibial Total Knee PFC Sigma RP Stab 2.5 x 10.0mm278 HCPCS C1776 131882 Valve Heart SJM Regent Mechanical FlexCuff 19mm 278Sterile 131883 Valve Heart SJM Regent Mechanical FlexCuff 21mm 278Sterile 131884 Valve Heart SJM Regent Mechanical FlexCuff 23mm 278Sterile 131885 Valve Heart SJM Regent Mechanical FlexCuff 25mm 278Sterile 131886 Valve Heart SJM Regent Mechanical FlexCuff 27mm 278Sterile 109583 Insert Tibial Total Knee PFC Sigma RP Stab 2.5 x 12.5mm278 HCPCS C1776 131887 Catheter GlidePath Dialysis 23cm Sterile 278 HCPCS C1750 131888 Catheter GlidePath Dialysis 27cm Sterile 278 HCPCS C1750

233 131889 Cage Velocity Expandable Biconvex 22 x 10 x 8mm Sterile278 HCPCS C1713 131891 SpeedTrap Graft Prep System 20mm White Sterile 272 131892 SpeedTrap Graft Prep System 30mm White Sterile 272 109584 Insert Tibial Total Knee PFC Sigma RP Stab 2.5 x 15.0mm278 HCPCS C1776 131893 SpeedTrap Graft Prep System 30mm Green/White Sterile272 109585 Insert Tibial Total Knee PFC Sigma RP Stab 3.0 x 10.0mm278 HCPCS C1776 131902 Rod Horizon Solera 5.5 x 60mm Curved Sterile 278 HCPCS C1713 131903 Rod Horizon Solera 5.5 x 90mm Curved Sterile 278 HCPCS C1713 131904 Rod Vertex Select 3.5 x 50mm Pre-Cut Sterile 278 HCPCS C1713 131905 Rod Horizon Solera 5.5 x 40mm Curved Sterile 278 HCPCS C1713 131906 Screw Lag DHS/DCS 12.7 x 65mm 278 HCPCS C1713 131907 Screw Lag DHS/DCS 12.7 x 70mm 278 HCPCS C1713 131908 Screw Lag DHS/DCS 12.7 x 75mm 278 HCPCS C1713 109586 Insert Tibial Total Knee PFC Sigma RP Stab 3.0 x 12.5mm278 HCPCS C1776 131909 Screw Lag DHS/DCS 12.7 x 80mm 278 HCPCS C1713 131910 Screw Lag DHS/DCS 12.7 x 85mm 278 HCPCS C1713 131911 Screw Lag DHS/DCS 12.7 x 90mm 278 HCPCS C1713 131912 Screw Lag DHS/DCS 12.7 x 95mm 278 HCPCS C1713 131913 Screw Lag DHS/DCS 12.7 x 100mm 278 HCPCS C1713 131914 Screw Lag DHS/DCS 12.7 x 105mm 278 HCPCS C1713 131915 Screw Lag DHS/DCS 12.7 x 110mm 278 HCPCS C1713 131916 Screw Lag DHS/DCS 12.7 x 115mm 278 HCPCS C1713 131917 Screw Lag DHS/DCS 12.7 x 120mm 278 HCPCS C1713 131918 Screw Lag DHS/DCS 12.7 x 125mm 278 HCPCS C1713 109587 Insert Tibial Total Knee PFC Sigma RP Stab 3.0 x 15.0mm278 HCPCS C1776 131919 Screw Lag DHS/DCS 12.7 x 130mm 278 HCPCS C1713 131920 Screw Lag DHS/DCS 12.7 x 135mm 278 HCPCS C1713 131921 Screw Lag DHS/DCS 12.7 x 140mm 278 HCPCS C1713 131922 Screw Lag DHS/DCS 12.7 x 145mm 278 HCPCS C1713 131923 Plate 135d DHS Std Barrel 3 Holes/62mm 278 HCPCS C1713 131924 Plate 135d DHS Std Barrel 4 Holes/78mm 278 HCPCS C1713 131925 Plate 135d DHS Std Barrel 5 Holes/94mm 278 HCPCS C1713 131926 Plate 135d DHS Std Barrel 6 Holes/110mm 278 HCPCS C1713 131927 Plate 140d DHS Std Barrel 2 Holes/46mm Sterile 278 HCPCS C1713 131928 Plate 140d DHS Std Barrel 3 Holes/62mm 278 HCPCS C1713 109588 Insert Tibial Total Knee PFC Sigma RP Stab 4.0 x 10.0mm278 HCPCS C1776 131929 Plate 140d DHS Std Barrel 4 Holes/78mm 278 HCPCS C1713 131930 Plate 140d DHS Std Barrel 5 Holes/94mm 278 HCPCS C1713 131931 Plate 140d DHS Std Barrel 6 Holes/110mm 278 HCPCS C1713 131933 Adhesive Topical Skin Dermabond Prineo Sterile 272 131936 Rod PRECEPT Ti 40mm Prebent Lordotic Sterile 278 HCPCS C1713 109589 Insert Tibial Total Knee PFC Sigma RP Stab 4.0 x 12.5mm278 HCPCS C1776 131937 Tulip PRECEPT Modular Sterile 278 HCPCS C1713 131938 Screw Shank PRECEPT 6.5 x 40mm Modular Sterile 278 HCPCS C1713 131939 Screw Shank PRECEPT 6.5 x 45mm Modular Sterile 278 HCPCS C1713

234 131940 Pope Beveled Grommet Vent Tubes Sterile 278 131941 K-Wire MaXcess 4 13.5" Sterile 272 109590 Insert Tibial Total Knee PFC Sigma RP Stab 4.0 x 15.0mm278 HCPCS C1776 109591 Insert Tibial Total Knee PFC Sigma RP Stab 4.0 x 17.5mm278 HCPCS C1776 131944 Codman Refill Kit 3000 Sterile 272 131946 Drill Shaft Flex Detachable 272 131947 Rod PRECEPT Ti 35mm Prebent Lordotic Sterile 278 HCPCS C1713 109592 Insert Tibial Total Knee PFC Sigma RP Stab 5.0 x 10.0mm278 HCPCS C1776 131948 Screw PRECEPT 6.5 x 45mm Polyaxial Sterile 278 HCPCS C1713 131949 Rod PRECEPT Ti 45mm Prebent Lordotic Sterile 278 HCPCS C1713 131950 Blower/Mister Axius Sterile 272 131951 Needle Aspiration Transbronchial (TBNA) 19G 40mm272 for EBUS Scope w/Syr&Valve 109593 Insert Tibial Total Knee PFC Sigma RP Stab 5.0 x 12.5mm278 HCPCS C1776 109594 Insert Tibial Total Knee PFC Sigma RP Stab 5.0 x 17.5mm278 HCPCS C1776 109706 Head Femoral Component 36mm +1.5 12/14 Tapered278 HCPCS C1776 131955 Tubing Evacuation Sterile 272 131956 Liner Cleanascope ADV SET Sterile 272 131957 Anchor Gryphon T BR w/Orthocord Sterile 278 118651 Tubing VenaCure EVLT Sterile 272 109746 Tibial Tray Keel Size 2 278 HCPCS C1776 131959 Introducer Sheath AAA DrySeal Flex 4.0mm x 4.7mm272 x 33cm 12Fr Sterile 131960 Introducer Sheath AAA DrySeal Flex 4.0mm x 4.7mm272 x 45cm 12Fr Sterile 131961 Introducer Sheath AAA DrySeal Flex 4.7mm x 5.3mm272 x 33cm 14Fr Sterile 131962 Introducer Sheath AAA DrySeal Flex 6.0mm x 6.7mm272 x 33cm 18Fr Sterile 131963 Introducer Sheath AAA DrySeal Flex 8.0mm x 8.8mm272 x 33cm 24Fr Sterile 131964 Introducer Sheath AAA DrySeal Flex 5.3mm x 6.1mm272 x 33cm 16Fr Sterile 109747 Tibial Tray Keel Size 2.5 278 HCPCS C1776 109748 Tibial Tray Keel Size 3 278 HCPCS C1776 131975 Nail TFNA 10mm/125d Ti Cannulated/300mm Rt Ster278 HCPCS C1713 131976 Nail TFNA 10mm/125d Ti Cannulated/300mm Lt Ster278 HCPCS C1713 131977 Nail TFNA 10mm/125d Ti Cannulated/320mm Rt Ster278 HCPCS C1713 131978 Nail TFNA 10mm/125d Ti Cannulated/320mm Lt Ster278 HCPCS C1713 131979 Nail TFNA 10mm/125d Ti Cannulated/340mm Rt Ster278 HCPCS C1713 131980 Nail TFNA 10mm/125d Ti Cannulated/340mm Lt Ster278 HCPCS C1713 131981 Nail TFNA 10mm/125d Ti Cannulated/360mm Rt Ster278 HCPCS C1713 109750 Tibial Tray Keel Size 5 278 HCPCS C1776 131982 Nail TFNA 10mm/125d Ti Cannulated/360mm Lt Ster278 HCPCS C1713 131983 Nail TFNA 10mm/125d Ti Cannulated/380mm Rt Ster278 HCPCS C1713 131984 Nail TFNA 10mm/125d Ti Cannulated/380mm Lt Ster278 HCPCS C1713 131985 Nail TFNA 10mm/125d Ti Cannulated/400mm Rt Ster278 HCPCS C1713 131986 Nail TFNA 10mm/125d Ti Cannulated/400mm Lt Ster278 HCPCS C1713 131987 Nail TFNA 10mm/130d Ti Cannulated/300mm Rt Ster278 HCPCS C1713 131988 Nail TFNA 10mm/130d Ti Cannulated/300mm Lt Ster278 HCPCS C1713 131989 Nail TFNA 10mm/130d Ti Cannulated/400mm Rt Ster278 HCPCS C1713 131990 Nail TFNA 10mm/130d Ti Cannulated/400mm Lt Ster278 HCPCS C1713

235 131991 Nail TFNA 10mm/130d Ti Cannulated/300mm Rt Ster278 HCPCS C1713 131992 Nail TFNA 10mm/130d Ti Cannulated/300mm Lt Ster278 HCPCS C1713 113047 Device Fetal Vacuum Delivery Kiwi ProCup 272 120988 Device Fetal Vacuum Delivery Kiwi OmniCup 272 132002 Tray ON-Q T-Bloc Continuous Block Shoulder Sterile272 132003 Tray ON-Q T-Bloc Continuous Block Lower Extremity272 Sterile 132004 Catheter Balloon Dilation Peripheral PTA Conquest 75cm272 HCPCSx 9mm C1725x 4cm Sterile 132005 Tray ON-Q T-Bloc Continuous Block w/6" Needle Sterile272 132006 Endoprosthesis AAA Contralateral Iliac Extender Endoprosthesis278 10mm/7cm Stl 132007 Endoprosthesis AAA Contralateral Leg Endoprosthesis278 12mm/14cm Sterile 110248 Stem Summit Cemented Std Size 8 278 111540 Tibial Tray Keel Size 6 278 HCPCS C1776 132015 Suture Ethilon 8-0 BV130-5 Black Monofilament 5in Sterile272 132016 Suture Ethilon 11-0 BV50-3 Black Monofilament 5in 13cm272 Sterile 132017 Graft Distaflo 6mm x 60cm w/ Flex Small Beading w/278 SmallHCPCS Cuff C1768 Sterile 132020 Needle Set Osteo-Site Murphy M2 11G 10cm Sterile 272 132021 Needle Set Osteo-Site Murphy M2 11G 15cm Sterile 272 123889 Catheter Balloon Dilation Peripheral PTA Conquest 75cm272 HCPCSx 12mm C1725 x 4cm 107384 Catheter Balloon Dilation Peripheral PTA Conquest 50cm272 HCPCSx 8mm C1725x 4cm 112816 Catheter Balloon Dilation Peripheral PTA Conquest 50cm272 HCPCSx 7mm C1725x 6cm 114116 Catheter Balloon Dilation Peripheral PTA Conquest 75cm272 HCPCSx 10mm C1725 x 2cm 123888 Catheter Balloon Dilation Peripheral PTA Conquest 75cm272 HCPCSx 10mm C1725 x 4cm 111917 Insert Tibial Stabilized 17.5mm Size 2 278 HCPCS C1776 132023 Catheter GlideCath Sim 2 4Fr x 100cm Sterile 272 HCPCS C1887 124981 Stent Peripheral Self-Expanding Supera 5.5 X 150 6F278 120CMHCPCS C1876 132018 Stay Elastic 12mm Blunt Hook Sterile 272 105823 Hip Ball Fracture 44mm Modular Cathcart 278 HCPCS C1776 106505 Spacer -3 Tapered 12/14 278 HCPCS C1776 132038 Dreamtome 44-20mm/260cm Pre-loaded w/260cm Dreamwire272 HCPCS Guidewire C1769 Sterile 132039 Jagtome RX 39-20-260-025 Sterile 272 HCPCS C1769 132040 Microknife RX 3L Needle Knife Sterile 272 132041 RX Locking Device - Olympus(Box 10) Sterile 272 132042 Dreamwire F/G .035"/Stnd/450cm/STR Sterile 272 HCPCS C1769 132043 Catheter Fixed Curve 5Fr Quad Sterile 272 HCPCS C1769 132044 NovaGold Guidewire 0.018 inches 260 cm Sterile 272 HCPCS C1769 132045 Tapered Tip Cannula 5.5ft Sterile 272 132046 Catheter Balloon Reliant Stent Graft Sterile 272 HCPCS C1725 115919 Cartridge Set Blood/IV Fluid Warmer enFlow w/IV Extension272 Set 132047 EXTRACTOR PRO RX 9-12 MM Above Sterile 272 HCPCS C1726 132048 EXTRACTOR PRO RX 12-15 MM Above Sterile 272 HCPCS C1726 132049 EXTRACTOR PRO RX 15-18 MM Above Sterile 272 HCPCS C1726 132050 RX Cytology Brush Wireguided 8F 2.1mm Sterile 272 132051 TRAPEZOID Rx LITHO COMP BASKET 2cm Sterile 272 132052 TRAPEZOID Rx LITHO COMP BASKET 2.5cm Sterile 272 132053 TRAPEZOID Rx LITHO COMP BASKET 3cm Sterile 272

236 132054 Stent Plastic Advanix RX Bili PreLoad CB 7F 5cm Sterile278 HCPCS C1876 132055 Stent Plastic Advanix RX Bili PreLoad CB 7F 7cm Sterile278 HCPCS C1876 132056 Stent Plastic Advanix RX Bili PreLoad CB 7F 9cm Sterile278 HCPCS C1876 103777 Clip Ligating Horizon Hemoclip Titanium Med/Large272 132057 Stent Plastic Advanix RX Bili PreLoad CB 7F 12cm Sterile278 HCPCS C1876 132058 Stent Plastic Advanix RX Bili PreLoad CB 7F 15cm Sterile278 HCPCS C1876 132059 Stent Plastic Advanix RX Bili PreLoad CB 10F 5cm Sterile278 HCPCS C1876 132060 Stent Plastic Advanix RX Bili PreLoad CB 10F 7cm Sterile278 HCPCS C1876 132061 Stent Plastic Advanix RX Bili PreLoad CB 10F 9cm Sterile278 HCPCS C1876 132062 Stent Plastic Advanix RX Bili PreLoad CB 10F 12cm Sterile278 HCPCS C1876 132063 Stent Plastic Advanix RX Bili PreLoad CB 10F 15cm Sterile278 HCPCS C1876 132064 Stent Metal WALLFLEX BILIARY RX UNCOVERED 10X60278 SterileHCPCS C1877 132065 Stent Metal WALLFLEX BILIARY RX UNCOVERED 10X80278 SterileHCPCS C1877 132069 Hurricane RX Dilation Balloon 8mm 4cm Sterile 272 HCPCS C1726 132070 Hurricane RX Dilation Balloon 4mm 4cm Sterile 272 HCPCS C1726 132071 Encore Inflation Device 20cc Sterile 272 HCPCS C1726 132073 Introducer Sheath with Hydrophilic Coating 16Fr x 28cm272 HCPCSSterile C1894 132075 Cage Cervical Spine Truss 14x11x7mm 7d Sterile 278 HCPCS C1713 132078 Bolt BASE Ti 5.0 x 20.0mm Variable Sterile 278 HCPCS C1713 132079 Bolt BASE Ti 5.0 x 22.5mm Variable Sterile 278 HCPCS C1713 132080 Bolt BASE Ti 5.0 x 25.0mm Variable Sterile 278 HCPCS C1713 132081 Coil Embolization Tornado Platinum 0.018 14.2cm x278 10-4mm Sterile 132082 Coil Embolization Nester Platinum 0.35 14mm 14cm278 Long Sterile 132083 Coil Embolization Nester Platinum 0.35 16mm 14cm278 Long Sterile 132084 Introducer Sheath Peel-Away 18Fr Sterile 272 132086 Blade 4.5 Incisor Plus Elite Curved Sterile 272 132091 XactTrace Snap Sensor Thorax Cable Long 200cm 272 132092 XactTrace Snap Sensor Abdomen Cable Long 200cm 272 132093 Bone Substitute Injectable Hydroset 3cc Sterile 278 HCPCS C1713 132094 Blade 4.5mm Bonecutter Platinum Sterile 272 132097 Suture Ethilon 5-0 P-3 Clear Monofilament 18in 45cm272 Sterile 132099 Kit Peg FlexFlow 20Fr Pull Sterile 272 132101 Valve Suction Disposable 11301CE Sterile 272 132102 Suture Stratafix Monocryl Plus Spiral 3-0 SXMP1B428272 Sterile 132103 Mesh Hernia Phasix ST Synthetic Resorbable 11cm Circle278 HCPCSSterile C1781 132104 Mesh Hernia Phasix ST Synthetic Resorbable 10 x 15cm278 SterileHCPCS C1781 132105 Graft Tissue Porcine Collagen XenMatrix AB Sterile 278 HCPCS C1781 132106 Mesh Hernia Phasix ST Synthetic Resorbable 20 x 25cm278 SterileHCPCS C1781 132107 Mesh Hernia Phasix ST Synthetic Resorbable 15 x 20cm278 SterileHCPCS C1781 132108 Sterrad Velocity Biological Indicator Sterile 272 132109 Suture Stratafix PDS Plus Violet Spiral 3-0 70cm SH SXPP1B421272 Sterile 132110 Suture Stratafix PDS Plus Violet Spiral CT-2 SXPP1B405272 Sterile 132111 Suture Stratafix PDS Plus Violet Spiral CT-1 SXPP1B450272 Sterile 132112 Guidewire .025in x 260cm Sterile 272 132113 Guidewire .025in x 150cm Sterile 272

237 132114 Guidewire .018in x 45cm Sterile 272 132115 Micro Introducer Sheath Set Sterile 272 132116 ClosureFast Procedure Kit Sterile 272 132121 Pad Electrode Surgical Grounding Adult Uncorded 271 132122 Nonin Xpod Pigtail Embla DF2 w/3-pin Connectors 271 132123 Advanix Pancreatic Stent 3x4 Sterile 278 HCPCS C1876 132124 Advanix Pancreatic Stent 3x5 Sterile 278 HCPCS C1876 132125 Set Common Bile Duct Exploration Sterile 272 129497 Catheter Angiographic Soft-Vu 4Fr x 40cm .038 Braided272 Berenstein 132127 Snare ENSnare Vascular Removal Multi-Use 7Fr 120cm272 18-30mm Loop Sterile 106000 Femoral Component Cemented Sigma PS Left Size 2278 HCPCS C1776 106001 Femoral Component Cemented Sigma PS Right Size 2782 HCPCS C1776 106004 Femoral Component Cemented Sigma PS Right Size 2784 HCPCS C1776 106006 Femoral Component Cemented Sigma PS Left Size 4278 HCPCS C1776 106008 Femoral Component Cemented Sigma PS Left Size 5278 HCPCS C1776 106009 Femoral Component Cemented Sigma PS Right Size 2785 HCPCS C1776 106010 Femoral Component Cemented Sigma PS Right Size 2783 HCPCS C1776 106039 Patella Oval Dome PFC Sigma 3 Peg 32mm 278 HCPCS C1776 106059 Patella Oval Dome PFC Sigma 3 Peg 38mm 278 HCPCS C1776 132234 Scissors Laparoscopic Disposable 5mm x 45cm Sterile272 106125 Patella Oval Dome PFC Sigma 3 Peg 35mm 278 HCPCS C1776 132235 Grasper Laparoscopic Disposable 5mm x 45cm Sterile272 132236 Dissector Laparoscopic Disposable 5mm x 45cm Sterile272 132304 Plate Ortholoc T-Plate 6 Hole Sterile 278 132305 Plate Ortholoc T-Plate 7 Hole Sterile 278 132306 Plate Ortholoc T-Plate 8 Hole Sterile 278 132307 Plate Ortholoc Pinch 4 Hole Straight Sterile 278 132308 Plate Ortholoc Pinch 6 Hole Straight Sterile 278 132309 Plate Ortholoc 2 Hole w/Comp Sterile 278 106128 Insert Tibial Stabilized 10.0mm Size 3 278 HCPCS C1776 132310 Plate Ortholoc 2 Hole Straight Sterile 278 132311 Plate Ortholoc 4 Hole Straight Sterile 278 132312 Plate Ortholoc 6 Hole Straight Sterile 278 132313 Plate Ortholoc 8 Hole Straight Sterile 278 132314 Plate Ortholoc 5th Met Hook Sterile 278 132315 Plate Ortholoc Jones Frac Sm Left Sterile 278 132316 Plate Ortholoc Jones Frac Sm Right Sterile 278 132317 Plate Ortholoc Jones Frac Lg Left Sterile 278 132318 Plate Ortholoc Jones Frac Lg Right Sterile 278 132319 Plate Ortholoc Y-Plate 5th Met Left Sterile 278 106129 Insert Tibial Stabilized 12.5mm Size 2 278 HCPCS C1776 132320 Plate Ortholoc Y-Plate 5th Met Right Sterile 278 132321 Drill Bit Ortholoc 2.0mm Sterile 272 132322 Drill Bit Ortholoc 2.4mm Sterile 272 132323 Drill Bit Ortholoc 1.6mm Sterile 272

238 132326 Pins Caspar ILIF Sterile 272 106130 Insert Tibial Stabilized 12.5mm Size 5 278 HCPCS C1776 132327 Bit Drill 16mm Hollow Sterile 272 132377 Breast Tissue Expander Artoura UHP 650cc Sterile 272 132378 Breast Tissue Expander Artoura UHP 700cc Sterile 272 132379 Kit Introducer Catheter Central 2 Lumen w/ Hemostasis272 Valve Sterile 132382 Bone Substitute Drillable Norian Fast Set 5cc Sterile278 102462 Dressing Wound Mepilex Border Sacrum 9.2 x 9.2in Sterile272 106131 Insert Tibial Stabilized 15.0mm Size 2 278 HCPCS C1776 132384 Insert Evolution MP Adaptive CS Implant SZ 6/4 10 mm278 LeftHCPCS Sterile C1776 132385 Insert Evolution MP Adaptive CS Implant SZ 6/4 10 mm278 RightHCPCS Sterile C1776 132386 Insert Evolution MP Adaptive CS Implant SZ 3/1 10 mm278 LeftHCPCS Sterile C1776 106133 Insert Tibial Stabilized 15.0mm Size 3 278 HCPCS C1776 132387 Insert Evolution MP Adaptive CS Implant SZ 3/1 17 mm278 RightHCPCS Sterile C1776 132388 Insert Evolution MP Adaptive CS Implant SZ 3/1 20 mm278 LeftHCPCS Sterile C1776 132389 Insert Evolution MP Adaptive CS Implant SZ 4/2 10 mm278 LeftHCPCS Sterile C1776 132390 Insert Evolution MP Adaptive CS Implant SZ 4/2 12 mm278 RightHCPCS Sterile C1776 132391 Insert Evolution MP Adaptive CS Implant SZ 4/2 20 mm278 RightHCPCS Sterile C1776 132392 Insert Evolution MP Adaptive CS Implant SZ 5/3 20 mm278 LeftHCPCS Sterile C1776 106134 Insert Tibial Stabilized 15.0mm Size 4 278 HCPCS C1776 124353 Catheter Balloon Atlas 12mm x 6cm x 75cm 272 HCPCS C1725 132397 Guidewire Endoscopic Jagwire .025 x 260cm Straight272 Tip HCPCS14Fr Sterile C1769 132398 Guidewire Endoscopic .035 x 260cm Straight Tip Sterile272 HCPCS C1769 132399 Balloon Dilator Wireguide Cre 10-12mm x 240cm Sterile272 HCPCS C1726 106144 Insert Tibial Stabilized 12.5mm Size 4 278 HCPCS C1776 132400 Dilator Endoscopic Catheter Wireguided 7.5Fr x 240cm272 x HCPCS5.5cm C1726Sterile 132401 Dilator Endoscopic Balloon Biliary .035in x 5.5cm x 272240cmHCPCS Sterile C1726 132402 Syringe KIS Inflation HP Sterile 272 106146 Insert Tibial Stabilized 17.5mm Size 4 278 HCPCS C1776 132403 Set Spinal/Epidural Anes Needle Espocan 17G x 4.5in272 Touhy/25G x 6in Pencan 106195 Insert Tibial Stabilized 10.0mm Size 4 278 HCPCS C1776 132404 Introducer Kyphon Express Osteo Device Diamond Sterile272 132405 Introducer Kyphon Express Osteo Device Beveled Sterile272 132406 Kyphon Express II Inflatable Bone Tamp 15mm Sterile272 132376 Allograft Breast Tissue FlexHD 11 x 20cm Sterile. 278 HCPCS Q4128 106197 Insert Tibial Stabilized 12.5mm Size 3 278 HCPCS C1776 101521 Canister VAC 500ML with Gel 272 132415 Cannula Venous 22Fr Right Angle 272 132418 Needle Yueh Centesis Aspiration Catheter 4Fr 10cm 272LengthHCPCS Sterile C1729 132419 Needle Yueh Centesis Catheter 4 Sideport for Percutaneous272 HCPCS Fluid C1729 7cm Sterile 132611 Suture V-Loc 180 Barbed Maxon 3-0 Absorbable 9in on272 V-30 Ndl VLOCL1544 Strl 132616 Pouch Specimen Inzii Retrieval Endo 12/15mm Introducer272 Sterile 132617 Augment Injectable 1.5cc Sterile 278 HCPCS C1713 106650 Tray Tibial Modular Cemented Size 5 278 HCPCS C1776 132637 Shears Harmonic 7 Plus w/Hemostasis 5mm x 45cm 272

239 106651 Tray Tibial Modular Cemented Size 4 278 HCPCS C1776 132638 Suture V-Loc 180 Barbed Maxon 2-0 Absorbable 9in on272 V-30 Needle VLOCL1545 132639 Payner 360 Tip 25kHz 272 132640 Bone Substitute Drillable Inject Norian 10cc Sterile 278 CPT® C1763 106652 Tray Tibial Modular Cemented Size 2 278 HCPCS C1776 132620 PhotonGuide Narrow/Flat Sterile 272 132621 PhotonGuide Wide/Flat Sterile 272 132643 Denver Nasal Splint Petite Aluminum 271 132644 Denver Nasal Splint Small/Medium Aluminum 271 132645 Denver Nasal Splint Large Aluminum 271 132646 Brush Cleaning Double Ended Thin 950mm 272 106653 Tray Tibial Modular Cemented Size 2.5 278 HCPCS C1776 130961 Catheter Balloon Atlas 12mm x 4cm x 75cm Sterile 272 HCPCS C1725 106654 Tray Tibial Modular Cemented Size 3 278 HCPCS C1776 132695 Punch Aortic 3.5 Short Handle Sterile 272 132696 Pad Pink Adv. Trendelenburg Positioning with Arm Protectors278 132697 Insert Evolution MP Adaptive CS Implant SZ 6/4 20 mm278 LeftHCPCS Sterile C1776 132698 Insert Evolution MP Adaptive CS Implant SZ 6/4 20 mm278 RightHCPCS Sterile C1776 132699 Insert Evolution MP Adaptive CS Implant SZ 7/5 10 mm278 LeftHCPCS Sterile C1776 132700 Insert Evolution MP Adaptive CS Implant SZ 7/5 10 mm278 RightHCPCS Sterile C1776 132701 Insert Evolution MP Adaptive CS Implant SZ 7/5 12 mm278 LeftHCPCS Sterile C1776 132702 Insert Evolution MP Adaptive CS Implant SZ 7/5 14 mm278 LeftHCPCS Sterile C1776 132703 Insert Evolution MP Adaptive CS Implant SZ 7/5 14 mm278 RightHCPCS Sterile C1776 132704 Insert Evolution MP Adaptive CS Implant SZ 7/5 17 mm278 LeftHCPCS Sterile C1776 132705 Insert Evolution MP Adaptive CS Implant SZ 7/5 17 mm278 RightHCPCS Sterile C1776 132706 Insert Evolution MP Adaptive CS Implant SZ 7/5 20 mm278 LeftHCPCS Sterile C1776 132707 Insert Evolution MP Adaptive CS Implant SZ 7/5 20 mm278 RightHCPCS Sterile C1776 132709 Band Sweat Flyte Comfort Pad 272 110102 Needle StimuplexA Nerve Block Insulated 20G x 6in 272w/Extension Set 128481 Needle StimuplexA Nerve Block Insulated 21G x 4in 272w/Extension Set 104242 Guidewire Spring-Wire .025in 272 HCPCS C1769 132720 Clarivein IC 65cm Sterile 272 132728 Cup Revers Suture 39 Neutral Sterile 278 132729 Guidewire Glenoid Universal 2.8mm Sterile 272 132730 Hemostat Absorbable Nu-Knit 6x9in Sterile 272 109856 Cannula Arteriotomy DLP 272 132732 Clip AtriClip FLEX Device 35mm Sterile 278 132733 Clip AtriClip FLEX Device 40mm Sterile 278 132734 Clip AtriClip FLEX Device 45mm Sterile 278 132735 Clip AtriClip FLEX Device 50mm Sterile 278 132731 Manipulator Uterine VCare Medium Cervical Cup Lap/Robotic272 Hysterectomy Strl 109241 Catheter Van Andel 10Fr - Custom-4-6 Week Leadtime272 HCPCS C1725 132739 Knife Cold Sachse Straight (PK/6) Sterile 272 132741 Head Femoral Component 36mm +12 12/14 Tapered278 SterileHCPCS C1776 132744 Needle Aspiration TBNA 21G ViziShot 2 Sterile 272

240 132745 Graft DuraGen Plus 2x2in Type 1 Collagen Fiber Dura278 Substitute Sterile 132746 Cannula Arterial Fem-Flex 20Fr Sterile 272 132751 Evacuator Bladder Ellik Disposable Sterile 272 132752 Lead Pacing Unipolar Temp Myocardial Sterile 272 132753 Graft Vascular Venaflo II 4-6mm x 40cm Stepped Sterile278 HCPCS C1768 110203 Sheath Intro 46Cm Nav 250-204 272 132754 Graft Vascular Venaflo II 6mm x 40cm Straight Sterile278 HCPCS C1768 132755 Graft Vascular Venaflo II 6mm x 50cm Straight Sterile278 HCPCS C1768 132756 Graft Vascular Venaflo II 7mm x 50cm Straight Sterile278 HCPCS C1768 132749 Heart Support Janke-Barron Sterile 272 110204 Sheath Intro Navigator 250-202 272 132757 Mesh Tissue Reinforcement BIO-A 7x10cm Sterile 278 HCPCS C1781 132758 Mesh Hernia XenMatrix AB Graft 5.9 x 7.9in Sterile 278 HCPCS C1781 129299 Stent Graft Endovascular Fluency Plus 8mm x 60mm278 SterileHCPCS C1768 132759 Mesh Hernia Phasix ST 10in x 12in Sterile 278 HCPCS C1781 132760 Plate Clavicle 3.5 LCP Superior Ant 3 Hole 69mm Right278 HCPCS C1713 132761 Plate Clavicle 3.5 LCP Superior Ant 3 Hole 69mm Left278 HCPCS C1713 132762 Plate Clavicle 3.5 LCP Superior Ant 6 Hole 108mm Right278 HCPCS C1713 132763 Plate Clavicle 3.5 LCP Superior Ant 6 Hole 108mm Left278 HCPCS C1713 132764 Plate Clavicle 3.5 LCP Superior Ant 4 Hole 81mm Right278 HCPCS C1713 132765 Plate Clavicle 3.5 LCP Superior Ant 4 Hole 81mm Left278 HCPCS C1713 132766 Plate Clavicle 3.5 LCP Superior Ant 5 Hole 94mm Right278 HCPCS C1713 132767 Plate Clavicle 3.5 LCP Superior Ant 5 Hole 94mm Left278 HCPCS C1713 132768 Plate Clavicle 3.5 LCP Superior Ant 7 Hole 123mm Right278 HCPCS C1713 132769 Plate Clavicle 3.5 LCP Superior Ant 7 Hole 123mm Left278 HCPCS C1713 132770 Plate Clavicle 3.5 LCP Superior Ant 8 Hole 135mm Right278 HCPCS C1713 132771 Plate Clavicle 3.5 LCP Superior Ant 8 Hole 135mm Left278 HCPCS C1713 132772 Plate Clavicle 3.5 LCP Superior Ant 6 Hole 94mm Right278 HCPCS C1713 132773 Plate Clavicle 3.5 LCP Superior Ant 6 Hole 94mm Left278 HCPCS C1713 132774 Plate Clavicle 3.5 LCP Superior Ant 7 Hole 110mm Right278 HCPCS C1713 132775 Plate Clavicle 3.5 LCP Superior Ant 7 Hole 110mm Left278 HCPCS C1713 132776 Plate Clavicle 3.5 LCP Superior Ant 8 Hole 120mm Right278 HCPCS C1713 132777 Plate Clavicle 3.5 LCP Superior Ant 8 Hole 120mm Left278 HCPCS C1713 132778 Plate Clavicle 3.5 LCP Medial Ant 6 Hole 79mm 278 HCPCS C1713 132779 Plate Clavicle 3.5 LCP Medial Ant 7 Hole 91mm 278 HCPCS C1713 132780 Plate Clavicle 3.5 LCP Medial Ant 8 Hole 102mm 278 HCPCS C1713 132781 Plate Clavicle 2.7/3.5mm VA-LCP Lat Ant 7 Hole 77mm278 HCPCS C1713 132782 Plate Clavicle 2.7/3.5mm VA-LCP Lat Ant 9 Hole 89mm278 HCPCS C1713 113481 Bit Drill Straight Shank 2.0mm x 12.7cm 272 132783 Plate Clavicle 2.7/3.5mm VA-LCP Lat Ant 10 Hole 101mm278 HCPCS C1713 132784 Plate Clavicle 2.7/3.5mm VA-LCP Lat Ant 11 Hole 113mm278 HCPCS C1713 132785 Plate Clavicle 2.7/3.5mm VA-LCP Lat Ant 12 Hole 124mm278 HCPCS C1713 132786 Plate VA-LCP Dorsal Dist +90d 6 Hole HD/5H Shaft Right278 HCPCS C1713 132787 Plate VA-LCP Dorsal Dist +90d 6 Hole HD/5H Shaft Left278 HCPCS C1713 132788 Plate VA-LCP Dorsal Dist +90d 7 Hole HD/5H Shaft Right278 HCPCS C1713

241 132789 Plate VA-LCP Dorsal Dist +90d 7 Hole HD/5H Shaft Left278 HCPCS C1713 132790 Plate Humerus 2.7/3.5mm VA-LCP Med Dist 1 Hole 69mm278 HCPCS Left Short C1713 132791 Screw Cortex Self-Tap 1.0 x 6mm 278 HCPCS C1713 132792 Screw Cortex Self-Tap 1.0 x 7mm 278 HCPCS C1713 101307 Binder Abdominal Dale 30-45 Inch 271 132793 Screw Cortex Self-Tap 1.0 x 9mm 278 HCPCS C1713 132794 Screw Cortex Self-Tap 1.0 x 10mm 278 HCPCS C1713 132795 Screw Cortex Self-Tap 1.0 x 11mm 278 HCPCS C1713 132796 Screw Cortex Self-Tap 1.0 x 12mm 278 HCPCS C1713 132797 Screw Cortex Self-Tap 1.0 x 13mm 278 HCPCS C1713 132798 Screw Cortex Self-Tap 1.0 x 14mm 278 HCPCS C1713 132799 Screw Cannulated 4.0mm x 64mm Short Thread 278 HCPCS C1713 132800 Screw Cannulated 4.0mm x 68mm Short Thread 278 HCPCS C1713 132801 Screw Cannulated 4.0mm x 72mm Short Thread 278 HCPCS C1713 132802 Screw Cancellous 6.5 x 25mm Thread 278 HCPCS C1713 132803 Screw Cancellous 6.5 x 30mm Thread 278 HCPCS C1713 132804 Screw Cancellous 6.5 x 35mm Thread 278 HCPCS C1713 132805 Screw Cancellous 6.5 x 40mm Thread 278 HCPCS C1713 132806 Screw Cancellous 6.5 x 45mm Thread 278 HCPCS C1713 132807 Screw Cancellous 6.5 x 50mm Thread 278 HCPCS C1713 132808 Screw Cancellous 6.5 x 55mm Thread 278 HCPCS C1713 132809 Screw Cancellous 6.5 x 60mm Thread 278 HCPCS C1713 132810 Plate LCP Metaphyseal 3.5mm 6 Hole 278 HCPCS C1713 132811 Plate LCP Metaphyseal 3.5mm 7 Hole 278 HCPCS C1713 132812 Plate LCP Metaphyseal 3.5mm 8 Hole 278 HCPCS C1713 132813 Plate LCP Metaphyseal 3.5mm 9 Hole 278 HCPCS C1713 132814 Plate LCP Metaphyseal 3.5mm 10 Hole 278 HCPCS C1713 132815 Plate LCP Curved Broad 4.5 x 229mm 12 Hole-Sterile278 HCPCS C1713 132816 Plate LCP Curved Broad 4.5 x 227mm 13 Hole-Sterile278 HCPCS C1713 132817 Plate LCP Curved Broad 4.5 x 265mm 14 Hole-Sterile278 HCPCS C1713 132818 Plate LCP Curved Broad 4.5 x 300mm 16 Hole-Sterile278 HCPCS C1713 132819 Plate LCP 2.0 Distal Ulna 7 Hole Sterile 278 HCPCS C1713 132820 Plate Tibia 3.5 LCP Medial Proximal 4 Hole 93mm Right278 SterileHCPCS C1713 132821 Plate Tibia 3.5 LCP Medial Proximal 4 Hole 93mm Left278 SterileHCPCS C1713 132822 Plate Tibia 3.5 LCP Medial Proximal 6 Hole 119mm Right278 HCPCSSterile C1713 132823 Plate Tibia 3.5 LCP Medial Proximal 6 Hole 119mm Left278 SterileHCPCS C1713 132824 Plate Tibia 3.5 LCP Medial Proximal 8 Hole 145mm Right278 HCPCSSterile C1713 132825 Plate Tibia 3.5 LCP Medial Proximal 8 Hole 145mm Left278 SterileHCPCS C1713 132826 Plate Tibia 3.5 LCP Medial Proximal 10 Hole 171mm278 RightHCPCS Sterile C1713 132827 Plate Tibia 3.5 LCP Medial Proximal 10 Hole 171mm278 Left HCPCSSterile C1713 132828 K-wire 2.5mm x 150mm 272 132829 K-wire 3.0mm x 150mm 272 132830 Screw Schanz Blunt Trocar Point 5.0x170mm HA Coated272 Sterile 132831 Bit Drill Cannulated 5.0 x 200mm 272 132832 Bit Drill Cannulated 4.3 x 200mm 272

242 104960 Screw Cancellous Self Drilling CSLP Quick-Lock 4.0mm278 x 14mmHCPCS C1713 132833 Bit Drill Cannulated 3.2 x 170mm 272 132834 Bit Drill Cannulated 4.5 x 170mm 272 132836 Cable COCR with TI Crimp 1.7 x 750mm Sterile 278 HCPCS C1713 113182 Knee Implant Oxford Partial Meniscal Bearing Left Large278 HCPCSSize 6 C1776 105414 Stent Ureteral Polaris Ultra 5Fr x 28cm .035in Glide278 HCPCS C2617 132842 Needle SonoPlex Echogenic Stimulating 20ga x 6" Sterile272 132843 Needle SonoPlex II Echogenic Stimulating 21ga x 4" 272Sterile 132844 Needle SonoPlex Echogenic Stimulating 22ga x 2" Sterile272 132845 Mesh Synecor Intraperitoneal 12cm Circle Sterile 278 HCPCS C1781 132847 Blade TFNA Helical 70mm Ster 278 HCPCS C1713 132848 Blade TFNA Helical 75mm Ster 278 HCPCS C1713 132849 Blade TFNA Helical 80mm Ster 278 HCPCS C1713 132850 Blade TFNA Helical 85mm Ster 278 HCPCS C1713 132851 Blade TFNA Helical 90mm Ster 278 HCPCS C1713 132852 Blade TFNA Helical 95mm Ster 278 HCPCS C1713 132853 Blade TFNA Helical 100mm Ster 278 HCPCS C1713 132854 Blade TFNA Helical 105mm Ster 278 HCPCS C1713 132855 Blade TFNA Helical 110mm Ster 278 HCPCS C1713 132856 Blade TFNA Helical 115mm Ster 278 HCPCS C1713 132857 Blade TFNA Helical 120mm Ster 278 HCPCS C1713 132858 Blade TFNA Helical 125mm Ster 278 HCPCS C1713 132859 Blade TFNA Helical 130mm Ster 278 HCPCS C1713 132860 Screw TFNA Ti 70mm Ster 278 HCPCS C1713 132861 Screw TFNA Ti 75mm Ster 278 HCPCS C1713 132862 Screw TFNA Ti 80mm Ster 278 HCPCS C1713 132863 Screw TFNA Ti 85mm Ster 278 HCPCS C1713 132864 Screw TFNA Ti 90mm Ster 278 HCPCS C1713 132865 Screw TFNA Ti 95mm Ster 278 HCPCS C1713 132866 Screw TFNA Ti 100mm Ster 278 HCPCS C1713 132867 Screw TFNA Ti 105mm Ster 278 HCPCS C1713 132868 Screw TFNA Ti 110mm Ster 278 HCPCS C1713 132869 Screw TFNA Ti 115mm Ster 278 HCPCS C1713 132870 Screw TFNA Ti 120mm Ster 278 HCPCS C1713 132871 Screw TFNA Ti 125mm Ster 278 HCPCS C1713 132872 Screw TFNA Ti 130mm Ster 278 HCPCS C1713 108901 Manipulator Uterine VCare Large Cervical Cup Lap/Robotic272 Hysterectomy Strl 132881 Introducer Sheath with Hydrophilic Coating 12Fr x 28cm272 HCPCSSterile C1894 132877 Cuff AMS 800 Urinary with IZ 4.5cm Sterile 278 HCPCS C1815 113233 Knee Implant Oxford Partial Tibial Component Size AA278 LMHCPCS C1776 132875 Balloon AMS 800 Pressure Regulating Sterile 278 HCPCS C1815 132876 Kit AMS 800 Urinary Accessory Sterile 278 132882 Bolt BASE Ti 5.0 x 17.5mm Variable 278 HCPCS C1713 132883 Cage BASE Ti 8 x 42 x 30mm 10d 278 HCPCS C1713 132884 Cage BASE Ti 8 x 38 x 28mm 10d 278 HCPCS C1713

243 132885 Cage BASE Ti 6 x 42 x 30mm 10d 278 HCPCS C1713 132886 Cage BASE Ti 6 x 34 x 24mm 15d 278 HCPCS C1713 132887 Spacer Vertebral Interbody PEEK CoRoent XL-XW 10278 x 26 HCPCSx 55mm C1713 10d 132888 Spacer Vertebral Interbody PEEK CoRoent XL 12 x 18278 x 55mmHCPCS 10d C1713 132889 Spacer Vertebral Interbody PEEK CoRoent XL 10 x 18278 x 55mmHCPCS 10d C1713 132890 Cage Cervical Spine Truss 17 x 14 x 5mm 7d Sterile 278 HCPCS C1713 132891 Cage Cervical Spine Truss 14 x 11 x 6mm 7d Sterile 278 HCPCS C1713 132893 Blade Peak Plasma 3.0S Sterile 278 104099 Forceps Grasp Tricep Xtra 3Fr x 120cm Hooked Prong272 103341 Basket Stone Retrieval Segura Hemi 3Fr x 120cm x 20mm278 132898 Expander Eye Ring Pupil Sterile 272 105409 Stent Ureteral Polaris Ultra 5Fr x 16cm .035in Glide278 HCPCS C2617 132899 Mesh Patch Hernia Repair Ventrio ST Large 11.4cm Circle278 HCPCS Large SterileC1781 132903 Endovive Balloon Replacement Gastrostomy Tubes 16Fr.278 132905 Peri Strip Dry 60 with Veritas Matrix Sterile 272 105411 Stent Ureteral Polaris Ultra 5Fr x 22cm .035in Glide278 HCPCS C2617 132072 Introducer Sheath with Hydrophilic Coating 14Fr x 28cm272 HCPCSSterile C1894 105415 Stent Ureteral Polaris Ultra 6Fr x 20cm .035in Glide278 HCPCS C2617 132909 Sensor T.Ox Small Patch Disposable Sterile 272 132910 Suture Stratafix PDS Plus Violet Spiral CT-1 45cm SXPP1B411272 Sterile 105416 Stent Ureteral Polaris Ultra 6Fr x 22cm .035in Glide278 HCPCS C2617 132911 Suture Stratafix PDS Plus Violet Symmetric CT-1 45cm272 OS-6 SXPP1A201 Ster 132912 Coupler Synovis GEM 1.0mm Gray Sterile 278 132913 Coupler Synovis GEM 1.5mm Blue Sterile 278 132914 Coupler Synovis GEM 2.0mm Green Sterile 278 132915 Coupler Synovis GEM 2.5mm Red Sterile 278 132916 Coupler Synovis GEM 3.0mm Gold Sterile 278 132917 Coupler Synovis GEM 3.5mm Purple Sterile 278 132918 Coupler Synovis GEM 4.0mm Orange Sterile 278 132919 Microclip Synovis GEM Ti Hemostatic Sterile 272 105418 Stent Ureteral Polaris Ultra 6Fr x 26cm .035in Glide278 HCPCS C2617 132920 Microclip Synovis GEM SuperFine Sterile 272 132921 Sheet Merican Visibility Mat Sllicone 50x25mm Green272 Sterile 132922 Clamp Biover Microvascular Green Med (single) Sterile272 132923 Clamp Biover Microvascular Green Med (dbl clamp) 272Sterile 132925 Intellis w/ Adaptive Stim Sterile 278 HCPCS C1820 132926 Intellis Recharger RTM Sterile 272 132927 Intellis Wireless Painstim ENS Sterile 272 132928 Intellis Controller PTM Sterile 272 105419 Stent Ureteral Polaris Ultra 6Fr x 28cm .035in Glide278 HCPCS C2617 132929 Stent Graft Flair 6x50x80cm Flaired Sterile 278 HCPCS C1768 132930 Stent Graft Flair 7x50x80cm Flaired Sterile 278 HCPCS C1768 132931 Stent Graft Flair 9x50x80cm Flaired Sterile 278 HCPCS C1768 132932 Stent Graft Endovascular Fluency Plus 6x60x80cm Sterile278 HCPCS C1768 132933 Stent Graft Endovascular Fluency Plus 10x60x80cm 278SterileHCPCS C1768

244 132934 Ring Mitral Annuloplasty CG Future 24mm Sterile 278 105420 Stent Ureteral Polaris Ultra 7Fr x 20cm .035in Glide278 HCPCS C2617 132935 Ring Mitral Annuloplasty CG Future 26mm Sterile 278 132936 Ring Mitral Annuloplasty CG Future 28mm Sterile 278 132937 Ring Mitral Annuloplasty CG Future 30mm Sterile 278 132938 Ring Mitral Annuloplasty CG Future 32mm Sterile 278 132939 Ring Mitral Annuloplasty CG Future 34mm Sterile 278 132940 Ring Mitral Annuloplasty CG Future 38mm Sterile 278 132941 Valve Heart Open Pivot Mechanical AP360 Size 24 Sterile278 132942 Valve Heart Open Pivot Mechanical AP360 Size 26 Sterile278 103890 Cable PSA Surgical Disposable 272 105421 Stent Ureteral Polaris Ultra 7Fr x 22cm .035in Glide278 HCPCS C2617 101277 Set Pneumothorax Turner Pigtail Additional 18G Needle272 HCPCS C1729 132411 Stent Pusher 5Fr Pancreatic Rx Advanix Sterile 272 132412 Stent Gastrointestinal Pancreatic 4Fr 4cm Sterile 278 HCPCS C2617 132945 Introducer Kyphon Express Osteo Device Diamond Sterile272 T34C 105422 Stent Ureteral Polaris Ultra 7Fr x 24cm .035in Glide278 HCPCS C2617 132946 Anchor Healix Advance w/ Perma Tape Suture 4.5 Blue278 SterileHCPCS C1713 132947 Anchor Healix Advance w/ Perma Tape Suture 4.5 White/Blue278 HCPCS Sterile C1713 132950 Reload Echelon Flex GST 60mm Green 272 132951 Valve Heart Mitral Open Pivot Mechanical AP360 Size278 28 Sterile 132952 Valve Heart Aortic Open Pivot Mechanical AP360 Size278 22 Sterile 105423 Stent Ureteral Polaris Ultra 7Fr x 26cm .035in Glide278 HCPCS C2617 132953 Valve Heart Aortic Open Pivot Mechanical AP360 Size278 20 Sterile 132954 Valve Heart Aortic Open Pivot Mechanical AP360 Size278 18 Sterile 132955 Valve Heart Aortic Open Pivot Mechanical AP350 Size278 16 Sterile 132956 Valve Heart Mitral Open Pivot Mechanical AP360 Size278 26 Sterile 132957 Valve Heart Mitral Open Pivot Mechanical AP360 Size278 24 Sterile 132958 Valve Heart Mitral Open Pivot Mechanical AP360 Size278 22 Sterile 105424 Stent Ureteral Polaris Ultra 7Fr x 28cm .035in Glide278 HCPCS C2617 132960 Introducer Sheath with Hydrophilic Coating 18Fr x 28cm272 HCPCSSterile C1894 132963 Catheter Balloon Dilation XXL 7Fr x 75cm x 14mm x 2726cm HCPCSBalloon C1725 Sterile 132965 Valve Heart Aortic Open Pivot Standard Size 27 Sterile278 132966 Valve Heart Aortic Open Pivot Standard Size 29 Sterile278 132967 Valve Heart Mitral Open Pivot Standard Size 29 Sterile278 132968 Valve Heart Mitral Open Pivot Standard Size 27 Sterile278 105425 Stent Ureteral Polaris Ultra 8Fr x 20cm .035in Glide278 HCPCS C2617 132969 Kit Fast Start ATF40 with AT3 Set Sterile 272 132970 Oxygenator CAPIOX FX15E with Fittings Sterile 272 132971 Oxygenator CAPIOX FX25E with Fittings Sterile 272 132972 Valve Aortic PERIMOUNT 19mm Carpentier Bioprosthesis278 Magna Ease Sterile 132973 Valve Aortic PERIMOUNT 21mm Carpentier Bioprosthesis278 Magna Ease Sterile 132974 Valve Aortic PERIMOUNT 23mm Carpentier Bioprosthesis278 Magna Ease Sterile 132975 Valve Aortic PERIMOUNT 25mm Carpentier Bioprosthesis278 Magna Ease Sterile 132976 Valve Aortic PERIMOUNT 27mm Carpentier Bioprosthesis278 Magna Ease Sterile

245 105426 Stent Ureteral Polaris Ultra 8Fr x 22cm .035in Glide278 HCPCS C2617 132977 Valve Aortic PERIMOUNT 29mm Carpentier Bioprosthesis278 Magna Ease Sterile 132978 Probe TruNode Gamma Sterile 272 102945 Tray Epidural Flexcath 272 105427 Stent Ureteral Polaris Ultra 8Fr x 24cm .035in Glide278 HCPCS C2617 105428 Stent Ureteral Polaris Ultra 8Fr x 26cm .035in Glide278 HCPCS C2617 102395 Balloon Postpartum Bakri 272 132989 Cannulae EZ Glide Aortic 21Fr Curved Vented Sterile272 132992 Graft Cardiovascular Gelweave Straight 22 x 30cm Sterile278 HCPCS C1768 132993 Implant Talon Single Ft X-Small Lev-One Thoracic 11mm278 Ti-6AL-4VHCPCS C1713 Sterile 132994 Implant Talon Single Ft X-Small Lev-One Thoracic 14mm278 Ti-6AL-4VHCPCS C1713 Sterile 132995 Implant Talon Single Ft Small Lev-One Thoracic 11mm278 Ti-6AL-4VHCPCS C1713 Sterile 105429 Stent Ureteral Polaris Ultra 8Fr x 28cm .035in Glide278 HCPCS C2617 132996 Implant Talon Single Ft Small Lev-One Thoracic 14mm278 Ti-6AL-4VHCPCS C1713 Sterile 132997 Implant Talon Single Ft Small Lev-One Thoracic 17mm278 Ti-6AL-4VHCPCS C1713 Sterile 132998 Implant Talon Single Ft Med Lev-One Thoracic 11mm278 Ti-6AL-4VHCPCS SterileC1713 132999 Implant Talon Single Ft Med Lev-One Thoracic 14mm278 Ti-6AL-4VHCPCS SterileC1713 133000 Implant Talon Single Ft Med Lev-One Thoracic 17mm278 Ti-6AL-4VHCPCS SterileC1713 133001 Implant Talon Single Ft Med Lev-One Thoracic 20mm278 Ti-6AL-4VHCPCS SterileC1713 133002 Implant Talon Single Ft Large Lev-One Thoracic 11mm278 Ti-6AL-4VHCPCS C1713 Sterile 133003 Implant Talon Single Ft Large Lev-One Thoracic 14mm278 Ti-6AL-4VHCPCS C1713 Sterile 133004 Implant Talon Single Ft Large Lev-One Thoracic 17mm278 Ti-6AL-4VHCPCS C1713 Sterile 133005 Implant Talon Single Ft Large Lev-One Thoracic 20mm278 Ti-6AL-4VHCPCS C1713 Sterile 103398 Blade Saw Sternum 272 133006 Kit Patient for Sternal Talon Surgery Sterile 272 133007 Kit Patient for Sternal Talon Sterile 272 117858 Torque Wrench Bidirectional #2 Orange 272 133009 Mesh Synecor Intraperitoneal 10 x 15cm Sterile 278 HCPCS C1781 101924 Guidewire TFE Coated Curve .035in x 145cm with Heparin272 Coating 133013 Mesh Synecor Preperitoneal 10 x 15cm Oval Sterile 278 HCPCS C1781 133014 Kit Arterial Percutaneous Insertion Sterile 272 133017 Sealer Blood Vessel Aquamantys Bipolar 5.0 Sterile 272 121685 AccuDrain External Drainage System Custom 272 133023 Endoprosthesis AAA Contralateral Leg Endurant II 16mm278 x 10mm x 156mm Strl 133025 Rapid Refill Injection System Sterile 272 133034 Suture Ethilon 3-0 F SLX Black Mono 30" 1673BH Sterile272 133080 Insert Tibial Total Knee PFC Sigma Stab+ 1.5 x 10mm278 HCPCS C1776 133081 Insert Tibial Total Knee PFC Sigma Stab+ 1.5 x 12.5mm278 HCPCS C1776 133082 Insert Tibial Total Knee PFC Sigma Stab+ 1.5 x 15mm278 HCPCS C1776 133083 Insert Tibial Total Knee PFC Sigma Stab+ 1.5 x 17.5mm278 HCPCS C1776 133084 Insert Tibial Total Knee PFC Sigma Stab+ 1.5 x 20mm278 HCPCS C1776 133085 Insert Tibial Total Knee PFC Sigma Stab+ 2 x 10mm 278 HCPCS C1776 133086 Insert Tibial Total Knee PFC Sigma Stab+ 2 x 12.5mm278 HCPCS C1776 133087 Insert Tibial Total Knee PFC Sigma Stab+ 2 x 15mm 278 HCPCS C1776 101603 Catheter Follower Ureth Phillips 10Fr 272

246 133088 Insert Tibial Total Knee PFC Sigma Stab+ 2 x 17.5mm278 HCPCS C1776 133089 Insert Tibial Total Knee PFC Sigma Stab+ 2 x 20mm 278 HCPCS C1776 133090 Insert Tibial Total Knee PFC Sigma Stab+ 2.5 x 10mm278 HCPCS C1776 133091 Insert Tibial Total Knee PFC Sigma Stab+ 2.5 x 12.5mm278 HCPCS C1776 133092 Insert Tibial Total Knee PFC Sigma Stab+ 2.5 x 15mm278 HCPCS C1776 133093 Insert Tibial Total Knee PFC Sigma Stab+ 2.5 x 17.5mm278 HCPCS C1776 133094 Insert Tibial Total Knee PFC Sigma Stab+ 2.5 x 20mm278 HCPCS C1776 133095 Insert Tibial Total Knee PFC Sigma Stab+ 3 x 10mm 278 HCPCS C1776 133096 Insert Tibial Total Knee PFC Sigma Stab+ 3 x 12.5mm278 HCPCS C1776 133097 Insert Tibial Total Knee PFC Sigma Stab+ 3 x 15mm 278 HCPCS C1776 101604 Catheter Follower Ureth Phillips 12Fr 272 133098 Insert Tibial Total Knee PFC Sigma Stab+ 3 x 17.5mm278 HCPCS C1776 133099 Insert Tibial Total Knee PFC Sigma Stab+ 3 x 20mm 278 HCPCS C1776 133100 Insert Tibial Total Knee PFC Sigma Stab+ 4 x 10mm 278 HCPCS C1776 133101 Insert Tibial Total Knee PFC Sigma Stab+ 4 x 12.5mm278 HCPCS C1776 133102 Insert Tibial Total Knee PFC Sigma Stab+ 4 x 15mm 278 HCPCS C1776 133103 Insert Tibial Total Knee PFC Sigma Stab+ 4 x 17.5mm278 HCPCS C1776 133104 Insert Tibial Total Knee PFC Sigma Stab+ 4 x 20mm 278 HCPCS C1776 133105 Insert Tibial Total Knee PFC Sigma Stab+ 5 x 10mm 278 HCPCS C1776 133106 Insert Tibial Total Knee PFC Sigma Stab+ 5 x 12.5mm278 HCPCS C1776 133107 Insert Tibial Total Knee PFC Sigma Stab+ 5 x 15mm 278 HCPCS C1776 101606 Catheter Follower Ureth Phillips 16Fr 272 133108 Insert Tibial Total Knee PFC Sigma Stab+ 5 x 17.5mm278 HCPCS C1776 133109 Insert Tibial Total Knee PFC Sigma Stab+ 5 x 20mm 278 HCPCS C1776 133110 Insert Tibial Total Knee PFC Sigma Stab+ 6 x 10mm 278 HCPCS C1776 133111 Insert Tibial Total Knee PFC Sigma Stab+ 6 x 12.5mm278 HCPCS C1776 133112 Insert Tibial Total Knee PFC Sigma Stab+ 6 x 15mm 278 HCPCS C1776 133113 Insert Tibial Total Knee PFC Sigma Stab+ 6 x 17.5mm278 HCPCS C1776 133114 Insert Tibial Total Knee PFC Sigma Stab+ 6 x 20mm 278 HCPCS C1776 133115 Insert Tibial Total Knee PFC Sigma Stab+ 6 x 22.5mm278 HCPCS C1776 133116 Insert Tibial Total Knee PFC Sigma Stab+ 6 x 25mm 278 HCPCS C1776 133117 Insert Tibial Total Knee PFC Sigma Stab+ 6 x 30mm 278 HCPCS C1776 133118 Insert Tibial Stab XLK 8mm Size 2 278 HCPCS C1776 133119 Insert Tibial Stab XLK 10mm Size 2 278 HCPCS C1776 133120 Insert Tibial Stab XLK 12.5mm Size 2 278 HCPCS C1776 133121 Insert Tibial Stab XLK 15mm Size 2 278 HCPCS C1776 133122 Insert Tibial Stab XLK 17.5mm Size 2 278 HCPCS C1776 133123 Insert Tibial Stab XLK 20mm Size 2 278 HCPCS C1776 133124 Insert Tibial Stab XLK 8mm Size 2.5 278 HCPCS C1776 133125 Insert Tibial Stab XLK 10mm Size 2.5 278 HCPCS C1776 133126 Insert Tibial Stab XLK 12.5mm Size 2.5 278 HCPCS C1776 133127 Insert Tibial Stab XLK 15mm Size 2.5 278 HCPCS C1776 101609 Catheter Follower Ureth Phillips 8Fr 272 133128 Insert Tibial Stab XLK 17.5mm Size 2.5 278 HCPCS C1776 133129 Insert Tibial Stab XLK 20mm Size 2.5 278 HCPCS C1776

247 133130 Insert Tibial Stab XLK 8mm Size 3 278 HCPCS C1776 133131 Insert Tibial Stab XLK 10mm Size 3 278 HCPCS C1776 133132 Insert Tibial Stab XLK 12.5mm Size 3 278 HCPCS C1776 133133 Insert Tibial Stab XLK 15mm Size 3 278 HCPCS C1776 133134 Insert Tibial Stab XLK 17.5mm Size 3 278 HCPCS C1776 133135 Insert Tibial Stab XLK 20mm Size 3 278 HCPCS C1776 133136 Insert Tibial Stab XLK 8mm Size 4 278 HCPCS C1776 133137 Insert Tibial Stab XLK 10mm Size 4 278 HCPCS C1776 133138 Insert Tibial Stab XLK 12.5mm Size 4 278 HCPCS C1776 133139 Insert Tibial Stab XLK 15mm Size 4 278 HCPCS C1776 133140 Insert Tibial Stab XLK 17.5mm Size 4 278 HCPCS C1776 133141 Insert Tibial Stab XLK 20mm Size 4 278 HCPCS C1776 133142 Insert Tibial Stab XLK 8mm Size 5 278 HCPCS C1776 133143 Insert Tibial Stab XLK 10mm Size 5 278 HCPCS C1776 133144 Insert Tibial Stab XLK 12.5mm Size 5 278 HCPCS C1776 133145 Insert Tibial Stab XLK 15mm Size 5 278 HCPCS C1776 133146 Insert Tibial Stab XLK 17.5mm Size 5 278 HCPCS C1776 133147 Insert Tibial Stab XLK 20mm Size 5 278 HCPCS C1776 133148 Insert Tibial Stab XLK 8mm Size 6 278 HCPCS C1776 133149 Insert Tibial Stab XLK 10mm Size 6 278 HCPCS C1776 133150 Insert Tibial Stab XLK 12.5mm Size 6 278 HCPCS C1776 133151 Insert Tibial Stab XLK 15mm Size 6 278 HCPCS C1776 133152 Insert Tibial Stab XLK 17.5mm Size 6 278 HCPCS C1776 133153 Insert Tibial Stab XLK 20mm Size 6 278 HCPCS C1776 133154 Tray Tibial Modular Cemented CoCr Size 1.5 278 HCPCS C1776 133155 Insert Tibial Stab XLK 8mm Size 1.5 278 HCPCS C1776 133156 Insert Tibial Stab XLK 10mm Size 1.5 278 HCPCS C1776 133157 Insert Tibial Stab XLK 12.5mm Size 1.5 278 HCPCS C1776 133158 Insert Tibial Stab XLK 15mm Size 1.5 278 HCPCS C1776 133159 Insert Tibial Stab XLK 17.5mm Size 1.5 278 HCPCS C1776 123873 Coil Embolization Nester Platinum .035in Tapered 10mm278 14cm Long 123874 Coil Embolization Nester Platinum .035in 8mm-14cm278 Embolus 5.6 Loops 123877 Coil Embolization Peripheral MReye .035in 5cm x 5mm278 Dia Inconel Coil 123878 Coil Embolization Peripheral MReye .035in 3cm x 4mm278 Dia Inconel Coil 123879 Coil Embolization Peripheral MReye .035in 5cm x 8mm278 Dia Inconel Coil 124343 Coil Embolization Nester Platinum .035in Tapered 12mm278 14cm Long 124347 Coil Embolization Retracta 10mm 278 123860 Microcoil Embolization Tornado Platinum .018in 7cm278 x 6-2mm Dia Coil Embolus 123864 Coil Embolization Tornado Platinum .035in 4.1cm x 2785-3mm Dia Taper Embolus 123865 Coil Embolization Tornado Platinum .035in 8x7-3cm278 Dia Taper Embolus 123872 Microcoil Embolization Nester Platinum .018in 14cm278 x 6mm Dia Coiled Embolus 123885 Microcoil Embolization Nester Platinum .018in 5cm 278x 2mm Dia Coiled Embolus 123886 Microcoil Embolization Nester Platinum .018in 5cm 278x 3mm Dia Coiled Embolus 123887 Microcoil Embolization Nester Platinum .018in 7cm 278x 4mm Dia Coiled Embolus 124332 Microcoil Embolization Hilal .018in 2cm x 2mm Dia Multi-Curled278

248 124348 Coil Embolization Retracta 12mm 278 124350 Microcoil Embolization Nester Platinum .018in 3cm 278x 3mm Dia Coiled Embolus 133160 Set Pin Univers Revers Sterile (includes AR-1250L AR9165K272 AR-13303-24 x2) 132413 Stent Gastrointestinal Pancreatic 4Fr 5cm Sterile 278 HCPCS C2617 132066 Stent Metal WALLFLEX BILIARY RX PARTCOVERED 10X60278 SterileHCPCS C1877 132067 Stent Metal WALLFLEX BILIARY RX PARTCOVERED 10X80278 SterileHCPCS C1877 132068 Stent Metal WALLFLEX BILIARY RX COVERED 10X60 Sterile278 HCPCS C1877 106021 Cup Bipolar Head 51mm 278 HCPCS C1776 133177 Balloon LUTONIX AV DCB 4x60mm - 75cm Long Strl 272 133178 Balloon LUTONIX AV DCB 4x100mm - 75cm Long Strl272 133179 Catheter Balloon PTA LUTONIX 035 Drug Coated 4x100mm272 - 130cm Long 5Fr Strl 133180 Catheter Balloon PTA LUTONIX 035 Drug Coated 4x150mm272 - 130cm Long 5Fr Strl 133181 Balloon LUTONIX AV DCB 5x60mm - 75cm Long Strl 272 133182 Balloon LUTONIX AV DCB 5x100mm - 75cm Long Strl272 133183 Catheter Balloon PTA LUTONX 035 Drug Coated 5x150mm272 - 130cm Long 5Fr Strl 133184 Balloon LUTONIX AV DCB 6x60mm - 75cm Long Strl 272 133185 Balloon LUTONIX AV DCB 6x100mm - 75cm Long Strl272 103318 Head Femoral Component 28mm +5.0 12/14 Tapered278 HCPCS C1776 133186 Catheter Balloon PTA LUTONIX 035 Drug Coated 6x100mm272 - 130cm Long 5Fr Strl 133187 Catheter Balloon PTA LUTONIX 035 Drug Coated 6x150mm272 - 130cm Long 5Fr Strl 133188 Balloon LUTONIX AV DCB 7x60mm - 75cm Long Strl 272 133189 Balloon LUTONIX AV DCB 8x40mm - 100cm Long Strl272 133190 Balloon LUTONIX AV DCB 8x60mm - 100cm Long Strl272 133191 Balloon LUTONIX AV DCB 9x40mm - 100cm Long Strl272 133192 Balloon LUTONIX AV DCB 9x60mm - 100cm Long Strl272 133193 Balloon LUTONIX AV DCB 10x40mm - 100cm Long Strl272 133194 Balloon LUTONIX AV DCB 10x60mm - 100m Long Strl272 133195 Balloon LUTONIX AV DCB 12x40mm - 100cm Long Strl272 133196 Catheter Balloon PTA LUTONIX 035 Drug Coated 5x100mm272 - 130cm Long 5Fr Strl 133197 Catheter Balloon PTA LUTONIX 035 Drug Coated 5x40mm272 - 130cm Long 5Fr Strl 133198 Catheter Balloon PTA LUTONIX 035 Drug Coated 6x40mm272 - 130cm Long 5Fr Strl 133199 Catheter Balloon PTA LUTONIX 035 Drug Coated 4x40mm272 - 130cm 5Fr Strl 133200 Catheter Balloon PTA LUTONIX 035 Drug Coated 5x80mm272 - 130cm Long 5Fr Strl 133201 Catheter Balloon PTA LUTONIX 035 Drug Coated 4x80mm272 - 130cm Long 5Fr Strl 133202 Catheter Balloon PTA LUTONIX 035 Drug Coated 6x80mm272 - 130cm Long 5Fr Strl 133203 Catheter Balloon PTA LUTONIX 035 Drug Coated 5x120mm272 - 130cm 5Fr Strl 133204 Catheter Balloon PTA LUTONIX 035 Drug Coated 4x120mm272 - 130cm 5Fr Strl 133205 Catheter Balloon PTA LUTONIX 035 Drug Coated 6x120mm272 - 130cm 5Fr Strl 105828 Hip Ball Fracture 49mm Modular Cathcart 278 HCPCS C1776 133209 Wand Cable Plasma Coblation Turbinate Reduction Disp272 Reflex Ultra PTR Ster 105818 Hip Ball Fracture 43mm Modular Cathcart 278 HCPCS C1776 105107 Screw 4.0mm x 36mm 278 HCPCS C1713 133254 Seal IS4000 Ports 5mm-8mm Box daVinci Sterile 272 133255 Obturator Optical Bladeless 8mm daVinci Sterile 272 133256 12 - 8mm Cannula Reducer daVinci Sterile 272

249 109378 Kit Cannula Shoulder 7mm x 76mm 272 133261 Vessel Sealer Extend daVinci Sterile 272 133262 EndoWrist Stapler 45 Green Reload daVinci Sterile 272 133263 EndoWrist Stapler 45 Blue Reload daVinci Sterile 272 133264 EndoWrist Stapler 45 White Reload daVinci Sterile 272 133265 EndoWrist Stapler 30 White Reload daVinci Sterile 272 133266 EndoWrist Stapler 30 Blue Reload daVinci Sterile 272 133267 EndoWrist Stapler 30 Green Reload daVinci Sterile 272 133268 EndoWrist Suction Irrigator 272 112716 Blade Helical 11.0 x 80mm Sterile 272 133269 Seal Ports IS4000 12mm & Stapler daVinci Sterile 272 133270 Instrument Arm Drape daVinci Sterile 272 133271 Tube Ear Triune VT Si 1.35 x 5mm Sterile 278 133272 Stapler Septal ENTACT Sterile 272 133273 Dressing Rapid Rhino Sinu-Foam Sterile 272 133274 Wand Cable Plasma Coblation Turbinate Sterile 272 112723 Blade Helical 11.0 x 115mm Sterile 272 133275 Suture Gore-Tex TTC-9 Dbl Arm CV-7 3/8 Cir 30in Sterile272 133276 Suture Gore-Tex THC-13 Taper 1/2 Cir 30in Sterile 272 133279 Blade Beaver Tympanoplasty Ear 2.5mm Straight Sterile272 133280 Blade Beaver Tympanoplasty Ear 2.5mm Angled 60d272 Sterile 133281 Balloon Biliary CRE RX Dilatation Catheter 6-7-8mm272 5.5cmHCPCS Sterile C1726 133282 Balloon Biliary CRE RX Dilatation Catheter 8-9-10mm272 5.5cmHCPCS Sterile C1726 133288 Blade Saw Micro Dual 9.0 x 0.38 x 35.0mm Sterile 272 133289 Breast Tissue Expander Mentor CPX4 Med Ht 350cc Sterile278 HCPCS L8699 133290 Breast Tissue Expander Mentor CPX4 Low Ht 250cc Sterile278 HCPCS L8699 133291 Breast Tissue Expander Mentor CPX4 Med Ht 450cc Sterile278 HCPCS L8699 133292 Breast Tissue Expander Mentor CPX4 Med Ht 550cc Sterile278 HCPCS L8699 133293 Breast Tissue Expander Mentor CPX4 Med Ht 650cc Sterile278 HCPCS L8699 130602 Catheter Peripheral Thrombectomy ZelanteDVT Sterile272 133295 Sheath Stapler EndoWrist 272 113202 Knee Implant Oxford Partial Meniscal Bearing Right 278MediumHCPCS Size C1776 5 133297 Pouch Specimen Anchor Tissue Retrieval System 125ml272 Sterile 133298 K-Wire 1.6mm x 150mm Threaded Sterile 272 133301 Binder Abdominal Dale 82-93 Inch 271 133302 Manipulator Uterine VCare Small Cervical Cup Lap/Robotic272 Hysterectomy Strl 133303 Bur 4.0mm Precision Round 272 133304 Bur 5.0mm Precision Round 272 133305 Bur 6.0mm Precision Round 272 133306 Bur 4.0mm Multi-Flute Round 272 133307 Bur 5.0mm Multi-Flute Round 272 133308 Bur 6.0mm Multi-Flute Round 272 133309 Bur 1.0mm Coarse Diamond Round 272 133310 Bur 2.0mm Coarse Diamond Round 272 133311 Bur 3.0mm Coarse Diamond Round 272

250 133312 Bur 4.0mm Coarse Diamond Round 272 133313 Bur 5.0mm Coarse Diamond Round 272 133314 Bur 0.5mm Fine Diamond Extended 272 133315 Bur 1.0mm Fine Diamond Extended 272 133316 Bur 1.5mm Fine Diamond Extended 272 133317 Bur 2.0mm Fine Diamond Extended 272 133320 Sheath Cleaning Endo-Scrub 2 4mm 0d Sterile 272 133321 Sheath Cleaning Endo-Scrub 2 4mm 30d Sterile 272 133322 Clamp Isolator Synergy Ablation Short Jaw Transpolar272 RF Cardiac MAZE AF Stl 133323 Guidewire Starter Rosen .035 x 260cm x 4cm Sterile272 HCPCS C1769 133324 Guidewire Starter Bentson .035 x 260cm x 15cm Sterile272 HCPCS C1769 102536 Suture Chromic 0 MO4 CC02G 272 129182 Harness Sternum Support Heart Hugger Large 45 - 72in274 HCPCS L0450 129183 Harness Sternum Support Heart Hugger Regular 36 -274 55inHCPCS L0450 133325 Suture PDS II 4-0 Clear Mono 18in Z494G Sterile 272 133326 Support Facial Jaw Bra Sterile 272 133327 Dressing Ear Glasscock Adult 5.5" Sterile 272 133328 Dressing Ear Glasscock Pediatric 3.5" Sterile 272 133337 Stapler Linear Reloadable 30mm Sterile 272 133341 NovaGold Guidewire 0.018in 480cm Sterile 272 HCPCS C1769 133342 Stent Palmaz Genesis Transhepatic Biliary 25 x 10 x 27812mmHCPCS Sterile C1874 133343 Stent Palmaz Genesis Transhepatic Biliary 34 x 10 x 27812mmHCPCS Sterile C1874 133344 Kit Shunt Carotid Artery Flexcel 8Fr / 10Fr / 12Fr / 27214Fr Sterile 109489 Screw Cancellous 4.0mm x 45mm Fully Threaded 278 HCPCS C1713 104979 Screw Cancellous 4.0mm x 50mm Fully Threaded 278 HCPCS C1713 105105 Screw 4.0mm x 30mm 278 HCPCS C1713 133350 Suture Prolene 7-0 BV175-8 Blue 75cm 30in EP8755H272 Double Armed Sterile 133335 BED SENTINEL 2 BARIATRIC LOW 850LB 947 133336 MATTRESS SKIN GUARD BARI EXPANDABLE 947 133353 Sealer Blood Vessel Aquamantys Bipolar 6.0 Sterile 272 133354 Cartridge Cortoss Bone Augmentation 10cc Sterile 278 133355 Gun Cortoss Delivery Sterile 272 133361 InstaClear Lens Cleaner Tubeset Standard Sterile 272 133362 Cutter/Stapler Linear Proximate 100mm Sterile 272 133363 Reload Unit Endo Linear Cutter 100mm Thick Sterile272 133364 Valve Mitral EPIC 25mm Sterile 278 133365 Valve Mitral EPIC 27mm Sterile 278 133366 Valve Mitral EPIC 29mm Sterile 278 133367 Valve Mitral EPIC 31mm Sterile 278 133368 Valve Mitral EPIC 33 mm Sterile 278 133369 Valve Aortic TRIFECTA 19mm Sterile 278 133370 Valve Aortic TRIFECTA 21mm Sterile 278 133371 Valve Aortic TRIFECTA 23mm Sterile 278 133372 Valve Aortic TRIFECTA 25mm Sterile 278 133373 Valve Aortic TRIFECTA 27mm Sterile 278

251 133375 Sheath Introducer Performance 14Fr x 45cm Sterile272 HCPCS C1894 133376 Sheath Introducer Performance 14Fr x 30cm Sterile272 HCPCS C1894 133377 Catheter Balloon CODA 10Fr x 46mm x 140cm Zenith272 AAAHCPCS Endo Stent C2628 Graft Strl 133378 Catheter Balloon CODA 10Fr x 40mm x 140cm Zenith272 AAAHCPCS Endo Stent C2628 Graft Strl 133383 Nail Humeral Proximal Cannulated 8.0x160mm Right278 SterileHCPCS C1713 133384 Nail Humeral Proximal Cannulated 8.0x160mm Left 278SterileHCPCS C1713 133385 Nail Humeral Proximal Cannulated 9.5x160mm Right278 SterileHCPCS C1713 133386 Nail Humeral Proximal Cannulated 9.5x160mm Left 278SterileHCPCS C1713 133387 Nail Humeral Cannulated 7.0x180mm Right Sterile 278 HCPCS C1713 133388 Nail Humeral Cannulated 7.0x195mm Right Sterile 278 HCPCS C1713 133389 Nail Humeral Cannulated 7.0x210mm Right Sterile 278 HCPCS C1713 133390 Nail Humeral Cannulated 7.0x225mm Right Sterile 278 HCPCS C1713 133391 Nail Humeral Cannulated 7.0x240mm Right Sterile 278 HCPCS C1713 133392 Nail Humeral Cannulated 7.0x255mm Right Sterile 278 HCPCS C1713 133393 Nail Humeral Cannulated 7.0x270mm Right Sterile 278 HCPCS C1713 133394 Nail Humeral Cannulated 7.0x285mm Right Sterile 278 HCPCS C1713 133395 Nail Humeral Cannulated 7.0x300mm Right Sterile 278 HCPCS C1713 133396 Nail Humeral Cannulated 7.0x315mm Right Sterile 278 HCPCS C1713 133397 Nail Humeral Cannulated 7.0x180mm Left Sterile 278 HCPCS C1713 133398 Nail Humeral Cannulated 7.0x195mm Left Sterile 278 HCPCS C1713 133399 Nail Humeral Cannulated 7.0x210mm Left Sterile 278 HCPCS C1713 133400 Nail Humeral Cannulated 7.0x225mm Left Sterile 278 HCPCS C1713 133401 Nail Humeral Cannulated 7.0x240mm Left Sterile 278 HCPCS C1713 133402 Nail Humeral Cannulated 7.0x255mm Left sterile 278 HCPCS C1713 133403 Nail Humeral Cannulated 7.0x270mm Left Sterile 278 HCPCS C1713 133404 Nail Humeral Cannulated 7.0x285mm Left Sterile 278 HCPCS C1713 133405 Nail Humeral Cannulated 7.0x300mm Left Sterile 278 HCPCS C1713 133406 Nail Humeral Cannulated 7.0x315mm Left Sterile 278 HCPCS C1713 133407 Nail Humeral Cannulated 8.5x180mm Right Sterile 278 HCPCS C1713 133408 Nail Humeral Cannulated 8.5x195mm Right Sterile 278 HCPCS C1713 133409 Nail Humeral Cannulated 8.5x210mm Right Sterile 278 HCPCS C1713 133410 Nail Humeral Cannulated 8.5x225mm Right Sterile 278 HCPCS C1713 133411 Nail Humeral Cannulated 8.5x240mm Right Sterile 278 HCPCS C1713 133412 Nail Humeral Cannulated 8.5x255mm Right Sterile 278 HCPCS C1713 133413 Nail Humeral Cannulated 8.5x270mm Right Sterile 278 HCPCS C1713 133414 Nail Humeral Cannulated 8.5x285mm Right Sterile 278 HCPCS C1713 133415 Nail Humeral Cannulated 8.5x300mm Right Sterile 278 HCPCS C1713 133416 Nail Humeral Cannulated 8.5x315mm Right Sterile 278 HCPCS C1713 133417 Nail Humeral Cannulated 8.5x180mm Left Sterile 278 HCPCS C1713 133418 Nail Humeral Cannulated 8.5x195mm Left Sterile 278 HCPCS C1713 133419 Nail Humeral Cannulated 8.5x210mm Left Sterile 278 HCPCS C1713 133420 Nail Humeral Cannulated 8.5x225mm Left Sterile 278 HCPCS C1713 133421 Nail Humeral Cannulated 8.5x240mm Left Sterile 278 HCPCS C1713 133422 Nail Humeral Cannulated 8.5x255mm Left Sterile 278 HCPCS C1713 133423 Nail Humeral Cannulated 8.5x270mm Left Sterile 278 HCPCS C1713

252 133424 Nail Humeral Cannulated 8.5x285mm Left Sterile 278 HCPCS C1713 133425 Nail Humeral Cannulated 8.5x300mm Left Sterile 278 HCPCS C1713 133426 Nail Humeral Cannulated 8.5x315mm Left Sterile 278 HCPCS C1713 133427 Cap End Titanium 0mm Extension Sterile 278 HCPCS C1713 133428 Cap End Titanium 2mm Extension Sterile 278 HCPCS C1713 133429 Cap End Titanium 5mm Extension Sterile 278 HCPCS C1713 133430 Cap End Titanium 10mm Extension Sterile 278 HCPCS C1713 103550 Catheter Cholangiogram 4.5Fr 18in 272 133431 Cap End Titanium 15mm Extension Sterile 278 HCPCS C1713 133432 Screw Titanium MultiLoc 4.5x20mm 278 HCPCS C1713 133433 Screw Titanium MultiLoc 4.5x22mm 278 HCPCS C1713 133434 Screw Titanium MultiLoc 4.5x24mm 278 HCPCS C1713 133435 Screw Titanium MultiLoc 4.5x26mm 278 HCPCS C1713 133436 Screw Titanium MultiLoc 4.5x28mm 278 HCPCS C1713 133437 Screw Titanium MultiLoc 4.5x30mm 278 HCPCS C1713 133438 Screw Titanium MultiLoc 4.5x32mm 278 HCPCS C1713 133439 Screw Titanium MultiLoc 4.5x34mm 278 HCPCS C1713 133440 Screw Titanium MultiLoc 4.5x36mm 278 HCPCS C1713 103622 Catheter Glidecath Cobra2 5Fr x 100cm 272 HCPCS C1769 133441 Screw Titanium MultiLoc 4.5x38mm 278 HCPCS C1713 133442 Screw Titanium MultiLoc 4.5x40mm 278 HCPCS C1713 133443 Screw Titanium MultiLoc 4.5x42mm 278 HCPCS C1713 133444 Screw Titanium MultiLoc 4.5x44mm 278 HCPCS C1713 133445 Screw Titanium MultiLoc 4.5x46mm 278 HCPCS C1713 133446 Screw Titanium MultiLoc 4.5x48mm 278 HCPCS C1713 133447 Screw Titanium MultiLoc 4.5x50mm 278 HCPCS C1713 133448 Screw Titanium MultiLoc 4.5x52mm 278 HCPCS C1713 133449 Screw Titanium MultiLoc 4.5x54mm 278 HCPCS C1713 133450 Screw Titanium MultiLoc 4.5x56mm 278 HCPCS C1713 133451 Screw Titanium MultiLoc 4.5x58mm 278 HCPCS C1713 133452 Screw Titanium MultiLoc 4.5x60mm 278 HCPCS C1713 133453 Bit Drill Hollow 10.0mm for Multiloc Humeral Nailing272 133454 Bit Drill Hollow 11.5mm for 9.5mm Multiloc Proximal272 Humeral Nail 133455 Bit Drill 3-Fluted 3.8mm QC Length 270mm for 03.019.014272 133456 Bit Drill 6.5mm Conical with Stop 272 133459 Bit Drill 2.8mm QC 165mm 272 133460 Guide Rode with Stop 2.5mm Trocar Tip 208mm Length272 for Hollow Drill Bit 133463 Reaming Rod with Stop 2.5mm Ball Tip 650mm Sterile272 103908 Inflator Balloon Encore 272 133334 Interceed Absorbable Adhesion Barrier 3x4in Sterile.272 133381 InstaClear Sheath Olympus 0d Lens Cleaner Uni Light272 Sterile 133382 InstaClear Sheath Olympus 30d Lens Cleaner Bottom272 Light Sterile 133473 Propel Contour Mometasone Furoate Implant Sterile.278 133474 Propel Mini Mometasone Furoate Implant Sterile. 278 133475 Propel Mometasone Furoate Implant Sterile. 278

253 133476 Screw Cortex Self-Tap 2.7x10mm 278 HCPCS C1713 133477 Screw Cortex Self-Tap 2.7x12mm 278 HCPCS C1713 133478 Screw Cortex Self-Tap 2.7x14mm 278 HCPCS C1713 133479 Screw Cortex Self-Tap 2.7x16mm 278 HCPCS C1713 133480 Screw Cortex Self-Tap 2.7x18mm 278 HCPCS C1713 133481 Screw Cortex Self-Tap 2.7x20mm 278 HCPCS C1713 133482 Screw Cortex Self-Tap 2.7x22mm 278 HCPCS C1713 133483 Screw Cortex Self-Tap 2.7x24mm 278 HCPCS C1713 133484 Screw Cortex Self-Tap 2.7x26mm 278 HCPCS C1713 133485 Screw Cortex Self-Tap 2.7x28mm 278 HCPCS C1713 133486 Screw Cortex Self-Tap 2.7x30mm 278 HCPCS C1713 133487 Screw Cortex Self-Tap 2.7x32mm 278 HCPCS C1713 133488 Screw Cortex Self-Tap 2.7x34mm 278 HCPCS C1713 133489 Screw Cortex Self-Tap 2.7x36mm 278 HCPCS C1713 133490 Screw Cortex Self-Tap 2.7x38mm 278 HCPCS C1713 133491 Screw Cortex Self-Tap 2.7x40mm 278 HCPCS C1713 133492 Screw Cortex Self-Tap 2.7x45mm 278 HCPCS C1713 133493 Screw Cortex Self-Tap 2.7x50mm 278 HCPCS C1713 133494 Screw Cortex Self-Tap 2.7x55mm 278 HCPCS C1713 133495 Screw Cortex Self-Tap 3.5x10mm 278 HCPCS C1713 133496 Screw Cortex Self-Tap 3.5x12mm 278 HCPCS C1713 110301 Suture Prolene 8-0 BV130-5 M8739 272 133497 Screw Cortex Self-Tap 3.5x14mm 278 HCPCS C1713 133498 Screw Cortex Self-Tap 3.5x16mm 278 HCPCS C1713 133499 Screw Cortex Self-Tap 3.5x18mm 278 HCPCS C1713 133500 Screw Cortex Self-Tap 3.5x20mm 278 HCPCS C1713 133501 Screw Cortex Self-Tap 3.5x22mm 278 HCPCS C1713 133502 Screw Cortex Self-Tap 3.5x24mm 278 HCPCS C1713 133503 Screw Cortex Self-Tap 3.5x26mm 278 HCPCS C1713 133504 Screw Cortex Self-Tap 3.5x28mm 278 HCPCS C1713 133505 Screw Cortex Self-Tap 3.5x30mm 278 HCPCS C1713 133506 Screw Cortex Self-Tap 3.5x32mm 278 HCPCS C1713 133507 Screw Cortex Self-Tap 3.5x34mm 278 HCPCS C1713 133508 Screw Cortex Self-Tap 3.5x36mm 278 HCPCS C1713 133509 Screw Cortex Self-Tap 3.5x38mm 278 HCPCS C1713 133510 Screw Cortex Self-Tap 3.5x40mm 278 HCPCS C1713 133511 Screw Cortex Self-Tap 3.5x45mm 278 HCPCS C1713 133512 Screw Cortex Self-Tap 3.5x50mm 278 HCPCS C1713 133513 Screw Cortex Self-Tap 3.5x55mm 278 HCPCS C1713 133514 Screw Locking 3.5x10mm Self-Tap with StarDrive Recess278 HCPCS C1713 133515 Screw Locking 3.5x12mm Self-Tap with StarDrive Recess278 HCPCS C1713 133516 Screw Locking 3.5x14mm Self-Tap with StarDrive Recess278 HCPCS C1713 133517 Screw Locking 3.5x16mm Self-Tap with StarDrive Recess278 HCPCS C1713 133518 Screw Locking 3.5x18mm Self-Tap with StarDrive Recess278 HCPCS C1713 133519 Screw Locking 3.5x20mm Self-Tap with StarDrive Recess278 HCPCS C1713

254 133520 Screw Locking 3.5x22mm Self-Tap with StarDrive Recess278 HCPCS C1713 133521 Screw Locking 3.5x24mm Self-Tap with StarDrive Recess278 HCPCS C1713 133522 Screw Locking 3.5x26mm Self-Tap with StarDrive Recess278 HCPCS C1713 133523 Screw Locking 3.5x28mm Self-Tap with StarDrive Recess278 HCPCS C1713 133524 Screw Locking 3.5x30mm Self-Tap with StarDrive Recess278 HCPCS C1713 133525 Screw Locking 3.5x32mm Self-Tap with StarDrive Recess278 HCPCS C1713 133526 Screw Locking 3.5x34mm Self-Tap with StarDrive Recess278 HCPCS C1713 133527 Screw Locking 3.5x35mm Self-Tap with StarDrive Recess278 HCPCS C1713 133528 Screw Locking 3.5x36mm Self-Tap with StarDrive Recess278 HCPCS C1713 133529 Screw Locking 3.5x38mm Self-Tap with StarDrive Recess278 HCPCS C1713 133530 Screw Locking 3.5x40mm Self-Tap with StarDrive Recess278 HCPCS C1713 133531 Screw Locking 3.5x42mm Self-Tap with StarDrive Recess278 HCPCS C1713 133532 Screw Locking 3.5x44mm Self-Tap with StarDrive Recess278 HCPCS C1713 133533 Screw Locking 3.5x45mm Self-Tap with StarDrive Recess278 HCPCS C1713 133534 Screw Locking 3.5x46mm Self-Tap with StarDrive Recess278 HCPCS C1713 133535 Screw Locking 3.5x48mm Self-Tap with StarDrive Recess278 HCPCS C1713 133536 Screw Locking 3.5x50mm Self-Tap with StarDrive Recess278 HCPCS C1713 133537 Screw Locking 3.5x52mm Self-Tap with StarDrive Recess278 HCPCS C1713 133538 Screw Locking 3.5x54mm Self-Tap with StarDrive Recess278 HCPCS C1713 133539 Screw Locking 3.5x55mm Self-Tap with StarDrive Recess278 HCPCS C1713 133540 Screw Locking 3.5x56mm Self-Tap with StarDrive Recess278 HCPCS C1713 133541 Screw Locking 3.5x58mm Self-Tap with StarDrive Recess278 HCPCS C1713 133542 Screw Locking 3.5x60mm Self-Tap with StarDrive Recess278 HCPCS C1713 133543 Screw Cannulated 4.0x10mm Short Thread 278 HCPCS C1713 133544 Screw Cannulated 4.0x12mm Short Thread 278 HCPCS C1713 133545 Screw Cannulated 4.0x14mm Short Thread 278 HCPCS C1713 133546 Screw Cannulated 4.0x16mm Short Thread 278 HCPCS C1713 133547 Screw Cannulated 4.0x18mm Short Thread 278 HCPCS C1713 133548 Screw Cannulated 4.0x20mm Short Thread 278 HCPCS C1713 133549 Screw Cannulated 4.0x22mm Short Thread 278 HCPCS C1713 133550 Screw Cannulated 4.0x24mm Short Thread 278 HCPCS C1713 133551 Screw Cannulated 4.0x26mm Short Thread 278 HCPCS C1713 133552 Screw Cannulated 4.0x28mm Short Thread 278 HCPCS C1713 133553 Screw Cannulated 4.0x30mm Short Thread 278 HCPCS C1713 133554 Screw Cannulated 4.0x32mm Short Thread 278 HCPCS C1713 133555 Screw Cannulated 4.0x34mm Short Thread 278 HCPCS C1713 133556 Screw Cannulated 4.0x36mm Short Thread 278 HCPCS C1713 133557 Screw Cannulated 4.0x38mm Short Thread 278 HCPCS C1713 133558 Screw Cannulated 4.0x40mm Short Thread 278 HCPCS C1713 133559 Screw Cannulated 4.0x42mm Short Thread 278 HCPCS C1713 133560 Screw Cannulated 4.0x44mm Short Thread 278 HCPCS C1713 133561 Screw Cannulated 4.0x46mm Short Thread 278 HCPCS C1713 133562 Screw Cannulated 4.0x48mm Short Thread 278 HCPCS C1713 133563 Screw Cannulated 4.0x50mm Short Thread 278 HCPCS C1713 133564 Screw Cannulated 4.0x52mm Short Thread 278 HCPCS C1713

255 133565 Screw Cannulated 4.0x54mm Short Thread 278 HCPCS C1713 133566 Screw Cannulated 4.0x56mm Short Thread 278 HCPCS C1713 101614 Catheter Irrigation 4Fr 272 HCPCS C1757 133567 Screw Cannulated 4.0x58mm Short Thread 278 HCPCS C1713 133568 Screw Cannulated 4.0x60mm Short Thread 278 HCPCS C1713 133569 Screw Cannulated 4.0x64mm Short Thread 278 HCPCS C1713 133570 Screw Cannulated 4.0x68mm Short Thread 278 HCPCS C1713 133571 Screw Cannulated 4.0x72mm Short Thread 278 HCPCS C1713 133572 Screw Cannulated Titanium 4.0x16mm Long Thread278 HCPCS C1713 133573 Screw Cannulated Titanium 4.0x18mm Long Thread278 HCPCS C1713 133574 Screw Cannulated Titanium 4.0x20mm Long Thread278 HCPCS C1713 133575 Screw Cannulated Titanium 4.0x22mm Long Thread278 HCPCS C1713 133576 Screw Cannulated Titanium 4.0x24mm Long Thread278 HCPCS C1713 133577 Screw Cannulated Titanium 4.0x26mm Long Thread278 HCPCS C1713 133578 Screw Cannulated Titanium 4.0x28mm Long Thread278 HCPCS C1713 133579 Screw Cannulated Titanium 4.0x30mm Long Thread278 HCPCS C1713 133580 Screw Cannulated Titanium 4.0x32mm Long Thread278 HCPCS C1713 133581 Screw Cannulated Titanium 4.0x34mm Long Thread278 HCPCS C1713 133582 Screw Cannulated Titanium 4.0x36mm Long Thread278 HCPCS C1713 133583 Screw Cannulated Titanium 4.0x38mm Long Thread278 HCPCS C1713 133584 Screw Cannulated Titanium 4.0x40mm Long Thread278 HCPCS C1713 133585 Screw Cannulated Titanium 4.0x42mm Long Thread278 HCPCS C1713 133586 Screw Cannulated Titanium 4.0x44mm Long Thread278 HCPCS C1713 133587 Screw Cannulated Titanium 4.0x46mm Long Thread278 HCPCS C1713 133588 Screw Cannulated Titanium 4.0x48mm Long Thread278 HCPCS C1713 133589 Screw Cannulated Titanium 4.0x50mm Long Thread278 HCPCS C1713 133590 Screw Cannulated Titanium 4.0x52mm Long Thread278 HCPCS C1713 133591 Screw Cannulated Titanium 4.0x54mm Long Thread278 HCPCS C1713 133592 Screw Cannulated Titanium 4.0x56mm Long Thread278 HCPCS C1713 133593 Screw Cannulated Titanium 4.0x58mm Long Thread278 HCPCS C1713 133594 Screw Cannulated Titanium 4.0x60mm Long Thread278 HCPCS C1713 133595 Screw Cannulated Titanium 4.0x64mm Long Thread278 HCPCS C1713 133596 Screw Cannulated Titanium 4.0x68mm Long Thread278 HCPCS C1713 133597 Screw Cannulated Titanium 4.0x72mm Long Thread278 HCPCS C1713 133598 Screw Bone Cancellous 4.0x10mm Fully Threaded 278 HCPCS C1713 133599 Screw Bone Cancellous 4.0x12mm Fully Threaded 278 HCPCS C1713 133600 Screw Bone Cancellous 4.0x14mm Fully Threaded 278 HCPCS C1713 133601 Screw Bone Cancellous 4.0x16mm Fully Threaded 278 HCPCS C1713 133602 Screw Bone Cancellous 4.0x18mm Fully Threaded 278 HCPCS C1713 133603 Screw Bone Cancellous 4.0x20mm Fully Threaded 278 HCPCS C1713 133604 Screw Bone Cancellous 4.0x22mm Fully Threaded 278 HCPCS C1713 133605 Screw Bone Cancellous 4.0x24mm Fully Threaded 278 HCPCS C1713 133606 Screw Bone Cancellous 4.0x26mm Fully Threaded 278 HCPCS C1713 133607 Screw Bone Cancellous 4.0x28mm Fully Threaded 278 HCPCS C1713 133608 Screw Bone Cancellous 4.0x30mm Fully Threaded 278 HCPCS C1713

256 CONTRACT: AETNA ANTHEM BC/BS PAYER PLAN PAYER AETNA AETNA ANTHEM STARMARK AETNA GENERIC CHESTERFIELD RESOURCES AETNA CHOICE POS II ALLIED BENEFIT AETNA HMO HEALTHSMART PAYORS ORGANIZATION AETNA HMO TRUSTMARK AETNA OPEN ACCESS GENERIC MERITAIN AETNA PPO NIPPON LIFE BENEFITS AETNA PPO GENERIC ASSURANT HEALTH AETNA SRC HEALTHSCOPE STARMARK/AETNA PPO EMPLOYEE BENEFIT MANAGEMENT SERVICESAETNA COVENTRY HEALTH CARE CHESTERFIELD RESOURCES AETNA MERITAIN ALLIED BENEFIT AETNA PPO HEALTHSMART BEN AETNA PPO TRUSTMARK/AETNA PPO MERITAIN HEALTH AETNA GENERIC NIPPON LIFE BENEFITS AETNA PPO ASSURANT HEALTH AETNA EMPLOYEE BENEFIT MGT AETNA AETNA TRINITY HEALTH HEALTHSCOPE BEN AETNA AETNA SENIOR SUPPLEMENTAL COVENTRY HEALTH CARE HEALTHAMERICA COVENTRY HEALTH MERITAIN HEALTH AETNA MERITAIN AETNA HEALTHSCOPE BEN AETNA

1 ANTHEM BC/BS ANTHEM PATHWAY EXCHANGE PPO ANTHEM PATHWAY HMO EXCHANGE PLAN PAYER PLAN PAYER ANTHEM BLUE CROSS PPOANTHEM BCBS EXCHANGE PPO ANTHEM BCBS EXCHANGE HMO ANTHEM HMO ANTHEM GENERIC

2 ANTHEM PATHWAY HMO EXCHANGE CARESOURCE OHIO MARKETPLACE PLAN PAYER PLAN CARESOURCE MARKETPLACE

3 CENPATICO BEHAVIORAL HEALTH CIGNA / GREATWEST PAYER PLAN PAYER CENPATICO BEHAVIORAL HEALTH CBH OHIO PLANS CIGNA CIGNA BOILERMAKER HEALTH PARTNERS HEALTHSCOPE FEDERATED INSURANCE BAC NALC ALLIED BENEFIT HEALTHSMART BENEFIT SOLUTIONS CONNECTICUT GENERAL LIFE INS ENTERPRISE GROUP PLANNING GMS AULTCARE

4 CIGNA / GREATWEST FIRST HEALTH PLAN PAYER BOILERMAKER/CIGNA FIRST HEALTH CIGNA MAIL HANDLERS BENEFIT PLAN CIGNA ASSURANT HEALTH CIGNA AMERICAN HEALTHCARE ALLIANCE CIGNA - GENERIC PRIMARY PHYSICIAN CARE CIGNA PPO STANDARD SECURITY LIFE CIGNA WEST VIRGINIA LABORERS TRUST SELF FUNDED PLANS GWH CIGNANATIONWIDE SPECIALTY HEALTH HEALTH PARTNERS CIGNA PEARCE ADMINISTRATION HEALTHSCOPE GWH CIGNA GMP RETIREE TRUST FEDERATED INS GWH CIGNA LIFETIME BENEFIT SOLUTIONS BAC GWH CIGNA NALC CIGNA ALLIED CIGNA PPO HEALTHSMART BEN CIGNA CONNECTICUT GEN LIFE BEECH ST EGP CIGNA GMS CIGNA PPO AULTCARE/CIGNA PPO

5 FIRST HEALTH HEALTHSMART (INCLUDES DCA / INTERPLAN / EMERALD) PLAN PAYER FIRST HEALTH GENERIC DIRECT CARE AMERICA MAIL HANDLERS/1ST HEALTH EMERALD ASSURANT HEALTH/FIRST HEALTH INTERPLAN HEALTH GROUP DCA AMERICAN HEALTHCARE/FIRST HEALTH HEALTHSMART PAYORS ORGANIZATION PRIMARY PHYSICIAN CARE/FIRST HEALTHINSURANCE ADMINISTRATOR OF AMERICA STANDARD SECURITY MULTIPLAN PHCS INFORMED STANDARD SECURITY LIFE/FIRST HEALTHACCELL WEST VIRGINIA LABORERS TRUST SIMPLICITY HEALTH PLAN PAI FIRST HEALTH WESTLAKE FINANCIAL GROUP NATIONWIDE SPECIALTY FRIST HEALTH EMPLOYEE BENEFIT CONSULTANTS PEARCE ADMIN FIRST HEALTH TEACHERS PROTECTIVE MUTUAL GMP RETIREE TRUST MCA ADMINISTRATORS LIFETIME BEN SOLUTIONS FIRST HEALTHAULTCARE HEALTHSMART BENEFIT SOLUTIONS

6 HEALTHSMART (INCLUDES DCA / INTERPLAN / EMERALD) HUMANA / CHOICECARE MC BUCKEYE PLAN PAYER PLAN PAYER DIRECT CARE AMERICA HUMANA HUMANA BUCKEYE COMMUNITY HEALTH EMERAL HEALTH NETWORK HUMANA - GENERIC HEALTHSMART GENERIC HEALTHSMART IHG DCA INTERPLAN HEALTH GROUP DCA DIRECT CARE AMERICA DIRECT CARE AMERICA HEALTHSMART ACCEL SIMPLICITY HEALTH PLAN/HEALTHSMART WESTLAKE FINANCIAL/EMERALD EBC HEALTHSMART TEACHERS PROTECTIVE HEALTHSMART MCA ADMIN HEALTHSMART AULTCARE HEALTHSMART PREFERRED HEALTHSMART BENEFIT SOLUTIONS

7 MC BUCKEYE MC CARESOURCE MC MOLINA MC UHC COMMUNITY PLAN PAYER PLAN PAYER PLAN PAYER PLAN CARESOURCE MOLINA MOLINA HEALTHCAREUNITED HEALTHCARE COMM

8 MEDICAL MUTUAL OF OHIO PAYER PLAN BENEFIT SERVICES BENEFIT SERVICES MMO SUPER MED HEALTHSCOPE HEALTHSCOPE MMO CENTRAL STATES CENTRAL STATES MMO EBMC EBMC MMO EMPLOYEE BENEFITS EMPLOYEE BENEFIT/MMO MEDICAL BENEFITS MED BENEFITS MMO MMO MMO SELF FUNDED PLANS MMO SUPERMED BAC MEDICAL MUTUAL OF OHIO EBS OF OHIO MEDICAL MUTUAL MMO RESERVE NATIONAL MMO IBEW LOCAL MMO PPO GENERIC UPMC HEALTH PLAN MMO HMO GENERIC MUTUAL HEALTH SERVICES SELF FUNDED PLANS MMO ENTERPRISE GROUP PLANNING BAC/MMO HEALTHSMART BENEFIT SOLUTIONS EBS OF OH/MMO WESTERN SOUTHERN FINANCIAL GROUPRESERVE NATIONAL /MMO IBEW LOCAL MMO MUTUAL HEALTH SRV MMO TRAD MUTUAL HEALTH MMO EGP MMO HEALTHSMART MMO UPMC HLTH PL SUPER MED MMO WESTERN SOUTHERN FINANCIAL GROUP

9 MEDICARE AND MEDICARE ADVANTAGE IP OP MOLINA MARKETPLACE PAYER PLAN PAYER MEDICARE ANTHEM HMO MEDICARE SR ADVANTAGEMOLINA MARKETPLACE MEDICARE ACCIDENT INSURANCE ANTHEM PPO MEDICARE ADVANTAGE ANTHEM MEDICARE ADVANTAGE ANTHEM MEDIBLUE TRUSTED SENIOR CARE ADVANTAGE AETNA MEDICARE ADVANTAGE MEDICARE PART A ALLWELL BUCKEYE HEALTH PLAN MEDICARE PART B COVENTRY HEALTH CARE MEDICARE ADVANTAGEMEDICARE PART A & B GATEWAY HEALTH MEDICARE ASSURED MEDICARE ACCIDENT INSURANCE HUMANA MEDICARE ADVANTAGE RAILROAD MEDICARE MEDICAL MUTUAL MEDICARE ADVANTAGEMEDICARE WITH UMWA THE HEALTH PLAN MEDICARE ADVANTAGEMEDICARE B RAC A/B REBILL UHC MEDICARE ADVANTAGE MEDICARE DME MAC JURISDICTION GENERIC UHC COMM PLAN:HMO-POS-SNP AETNA MEDICARE ADVANTAGE PPO SKILLED NURSING/HOSPICE MEDICARE PATIENTAETNA MEDICARE ADVANTAGE HMO ALLWELL BUCKEYE HEALTH PLAN COVENTRY HEALTH CARE MEDICARE ADVANTAGE GATEWAY HEALTH MEDICARE ASSURED HUMANA GOLD CHOICE HUMANA MEDICARE ADVANTAGE HUMANA MEDICARE RAC A/B HUMANA GOLD PLUS HMO MEDMUTUAL ADVANTAGE CLASSIC HEALTH PLAN SECURECARE HMO THP SECURECHOICE PPO SECURECARE SNP UHC MEDICARE ADVANTAGE SECURE HORIZONS MEDICARE ADV UNITED HEALTHCARE MEDICARE SOLUTIONS UHC DUAL COMPLETE COMM PLAN:HMO-POS-SNP (MEDICARE ADV) SKILLED NURSING/HOSPICE MEDICARE PATIENT

10 MOLINA MARKETPLACE MULTIPLAN PLAN PAYER PLAN MOLINA MARKETPLACEMULTIPLAN MULTIPLAN GENERIC EMPLOYEE BENEFITS EMPLOYEE BENEFIT/MULTIPLAN KEY BENEFIT ADMINISTRATORS INCHEALTH CHOICE + OHIO HEALTHY CARDINAL CHOICE KEY BENEFIT ADM MULTIPLAN OHIO HEALTHY

11 OHIO HEALTH CHOICE OHIOHEALTH GROUP / HEALTHREACH PAYER PLAN PAYER OHIO HEALTH CHOICE BAC OHIO HEALTH CHOICE MEDICAL BENEFITS SUMMACARE OHIO HEALTH CHOICE OHIO HEALTH GROUP/HEALTHREACH AVALON OHIO HEALTH CHOICE GENERIC AETNA BAC AVALON BENEFIT SRV/OHC UNITED MEDICAL RESOURCES SUMMACARE/OHIO HEALTH CHOICE

12 OHIOHEALTH GROUP / HEALTHREACH OPTUM BEHAVIORAL HEALTH PLAN PAYER PLAN MEDICAL BENEFITS HEALTHREACH OPTUM BEHAVIORAL HEALTHOPTUM UNITED BEHAVIORAL HEALTH OHIO HEALTH GROUP/HEALTHREACH OPTUM BEHAVIORAL HEALTH GENERIC AETNA/HEALTHREACH OH HEALTHY OPTUM UNITED MEDICAL RES HEALTHREACH

13 PRIVATE HEALTHCARE SYSTEMS (PHCS) QUALITY CARE PARTNERS (LICKING MEMORIAL) PAYER PLAN PAYER CO-ORDINATED BENEFIT AMERICAN HERITAGE LIFE PHCS MEDICAL BENEFITS HARVARD PILGRIM HEALTH CARE PHCS GENERIC AULTCARE CO-ORDINATED BENEFIT PRIVATE HEALTHCARE SYSTEM HARVARD PILGRIM HEALTH CARE MUTUAL OF OMAHA AULTCARE/PHCS ASSURANT HEALTH MUTUAL OF OMAHA/PHCS GEHA PHCS ASSURANT HEALTH / PHCS NATIONWIDE LIFE ASSURANT HEALTH/PHCS PAN AMERICAN LIFE GEHA COVENANT ADMINISTRATIVE NATIONWIDE LIFE/PHCS HEALTHE EXCHANGE PAN AMERICAN LIFE/PHCS WEB TPA CONVENANT ADMIN / PHCS SHASTA HEALTHE EXCHANGE KEY BENEFIT ADMINISTRATORS INC WEB TPA / PHCS MULTIPLAN SELECT BENEFITS ADMINISTRATORSWEB TPA GENERIC MEDICAL BENEFITS SHASTA ADM PHCS PAN AMERICAN LIFE PHCS KEY BENEFIT ADM PHCS SELECT BENEFITS ADMIN MULTIPLAN MED BEN PHCS MEDI-SHARE PHCS

14 QUALITY CARE PARTNERS (LICKING MEMORIAL) QUALITY CARE PARTNERS (QCP PLUS) PLAN PAYER PLAN MED BEN/LICKING MEMORIALAULTCARE AULTRA QCP PLUS EMPLOYEE BENEFITS AULTRA QCP MEDICAL BENEFITS AULTCARE QCP PLUS QCP AULTRA OHIO PPO CONNECT QCP OHIO PPO CONNECT EMPLOYEE BEN OH PPO CONNECT NGS AMERICAN EMPLOYEE BENEFITS QCP PLUS EBMC MED BENEFITS QCP PLUS AULTRA MED BENEFITS QCP MID AMERICA ASSOCIATES, INC.MED BEN SO EAST OHIO REG MED CTR MEDOVA MED BEN OHC QCP PLUS TRUSTMARK MED BEN QCP PLUS AMERICAN TRUST ADM QCP-GENERIC OHIO PPO CONNECT NGS CORESOURCE OH PPO CONNECT MED BEN OHIO PPO CONNECT CARE FACTOR AULTRA QCP MED BEN PARTNERS COMM HLTH PLAN QCP AULTRA OPPOC MID AMERICA ASSOCIATES, INC. MEDOVA TRUSTMARK HEALTH BENEFITS AMERICAN TRUST OHIO PPO CONNECT

15 QUALITY CARE PARTNERS HOME PREFERRED SELECT SPECIALTY HOSPITAL OF SOUTHEAST OHIO PAYER PLAN PAYER MEDICAL BENEFITSMED BENEFITS MUSKINGUM COUNTY QCPSELECT SPECIALTY HOSPITAL OF SOUTHEAST OHIO QCP PLUS OHIO PPO CONNECT QCP EBMC EBMC OHIO PPO CONNECT QCP QCP EBS HOME PLAN QCP HOME PLAN MED BEN HOME PLAN CAREFACTOR HOME PLAN

16 SELECT SPECIALTY HOSPITAL OF SOUTHEAST OHIO THE HEALTH PLAN OF THE UPPER OHIO VALLEY PLAN PAYER SELECT SPECAILTY HOSPITAL OF SEHEALTHPLAN OHIO UPPER OHIO VALLEY THP INSURANCE COMPANY WOODMEN ASSURED LIFE

17 THE HEALTH PLAN OF THE UPPER OHIO VALLEY THREE RIVERS PROVIDER NETWORK PLAN PAYER PLAN THP INS CO PPO THREE RIVERS PROVIDER NETWORK THE HEALTH PLAN HMO THP INSURANCE COMPANY WOODMEN ASSURED LIFE HOMETOWN ADMINISTRATIVE MGT SERV

18 UNITED HEALTHCARE (UHC) USA HEALTH NETWORK INC PAYER PLAN PAYER PLAN UNITED HEALTHCARE UNITED HEALTHCARE GENERIC USA NETWORKUSA NETWORK UNITED MEDICAL RESOURCESUHC GENERIC COMPASS ROSE HEALTH PLANGOLDEN RULE UHC UNITED HEALTHCARE UNITED HEALTHCARE UNITED HEALTHCARE UNITED HEALTHCARE UNITED HEALTHCARE UNITED HEALTHCARE UNITED HEALTHCARE UHC STUDENT RESOURCES UHC OF RIVER VALLEY UNITED HEALTHCARE UMR UHC UMR UHC UMR UHC UMR UHC PPO UMR UHC UMR COMPASS ROSE HEALTH PLAN UNITED HEALTH INTEGRATED UHC UHC ALL SAVERS PLAN UNITED HEALTHCARE OXFORD

19 VA CCN OPTUM PAYER PLAN DEPARTMENT OF VETERANS AFFAIRSVA CCN OPTUM

20 Blank Reason Letter Assigned A B C D E F G

1 Reason Description reimbursement is % of billed charges; no claims billed for this charge line not a separate reimburseable charge for this service type under this contract Inpatient reimbursement only applies to this line Outpatient reimbursement only applies to this line only Medicaid reimbursement applies to this line; not paid by this coding under this contract requires APC grouping to price; no claims billed for this charge line requires DRG coding to price; no oclaims billed for this charge line

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