Charge Code Description Price Medicare CPT 400481 OR 481 TO 540 MIN 9100 SURG 400777 SUTURES-RUN 92 400778 SUTURE-POP OFF 128 400779 SUTURE-REEL 33 400780 SUTURE-TIES 84 440002 STALEVO 150 11.2 3000817 PNEUM VACCINE ADMINI 57 G0009 3000819 CA SCREEN; PELVIC/BR 103 G0101 3000823 COLORECTAL SCR SCOPE 1030 G0105 3001087 APPLICATION FOREARM 200 29085 3001104 TECH COMP EXC DEB 42 376 11042 3001297 HIPPS 0 MANUL 3001740 CENTRAL VENOUS LINE 1500 36556 3001741 TECH COMP REPLACMENT 1500 36580 3001742 TECH COMP REMOVAL HI 1000 36589 3001745 TECH COMP GASTROSTOM 325 3001746 TECH COMP I&D SCROTA 1700 55100 3001913 PRIVATE ROOM W/BATH 982 3002874 SEMI-PRIVATE 960 3002879 TECH COMP TUBE THORA 900 32551 3002882 TECH COMP REPLACEMEN 1500 36580 3003298 CVP TECHNICAL COMPON 1500 36556 3003882 ADMIN BLD/BLD PRDUCT 565 36430 3004250 TECH COMP INS ART LN 515 36245 3004251 CVP TECHNICAL COMPON 1500 36556 3004253 TECH COMP REPLACEMEN 1500 36580 3004256 TECH COMP BX 45100 3300 45100 3004259 TECH COMP PARACENTES 815 49082 3004261 INSERTION TEMP BLADD 200 51702 3004263 DILATION URETHRA SUB 275 53621 3004264 TECH COMP DILATION U 150 53661 3004538 NURSERY/SICK BABY 450 3004850 TREATMENT ROOM LVL 1 150 99211 3004853 TREATMENT RM LVL 3 250 99213 3004995 TECH COMP PARA REPEA 815 49082 3005022 OBS DIRECT ADMIT 1ST 600 G0379 3005110 SWING BED 441 3005209 OBSERV RM. EACH HR 50 G0378 3005845 INJ INTRA-A THERAPEU 200 96373 3005933 IMMUN ADMIN ONE VACC 53 90471 3005938 IV INF HYDRATION INI 215 96360 3005939 IV INF HYDRATION EAC 65 96361 3005940 IV INF THER PROPH DI 300 96365 3005941 IV INF THER PROPH DX 73 96366 3005942 IV INF THER PROPH DX 73 96367 3005943 INFUSION EACH ADD CO 50 96368 3005944 INJ IM/SQ TX PROPH 73 96372 3005945 INJ INTRA-A TX PROPH 200 96373 3005946 INJ IV SING INI < 15 200 96374 3005947 INJ THER PROPH DIAG 35 96376 3010061 DEXTROSTIX 12 82962 3014555 TECH COMP INS CH TUB 900 32551 3016140 TC INS ART CA 36140 550 36140 3016558 TC INS TUNN CV 36558 3800 36558 3017597 DEBRIDEMENT NON-EXC 325.36 97597 3202588 CARDIAC MONITOR 0 93224 3300518 DISPOSABLE O2 SENSOR 32 3302880 TECH COMP INS ART LN 515 36245 3302881 CVP TECHNICAL COMPON 1500 36556 3303150 ENDOTRACH INTU ICU 325 31500 3303187 CVP TECHNICAL COMPON 1500 36556 3303965 INTENSIVE CARE UNIT 1871 3406360 IV INFUSE/HYDRATION 215 96360 3406361 IV INFUSE/HYDRA EA H 65 96361 3406365 IV INF INI 1HR 96365 300 96365 3406366 IV INFUSE EA ADDL HR 73 96366 3406367 SEQUENTIAL IV 1 HR 73 96367 3406368 CONCURRENT IV INFUSE 50 96368 3406372 IM/SQ INJECTION 73 96372 3406374 IVP; SINGLE/INITIAL 200 96374 3406375 IVP- EA ADD'L DRUG 73 96375 3406376 IVP EA ADD'L SAME 35 96376 3406409 CHEMO IVP INITIAL 300 96409 3406411 CHEMO IVP EA ADD DRU 128 96411 3406413 CHEMO IV INITIAL 1HR 364 96413 3406415 CHEMO IV INFUS EA HR 73 96415 3406417 CHEMO SEQUENTIAL 1HR 128 96417 3406523 PORT FLUSH 150 96523 3406549 CHEMO CONCURRENT 73 96549 3409201 OV NEW PROB FOCUS 187 99201 3409202 NEW PT EXPANDED PROB 222.11 99202 3409203 NEW PT DETAILED 294.84 99203 3409204 NEW PT COMPREHENSIVE 370.16 99204 3409205 NEW PT/COMPREHE HIGH 484.65 99205 3409211 OV EST PT PROB FOCUS 150 99211 3409212 OVEST PT EXPAND PROB 175 99212 3409213 EST PT DETAILED 250 99213 3409214 EST PT COMPREHENSIVE 300 99214 3409215 EST PT COMPREH HIGH 370.16 99215 3409901 OV NEW PT PROB FOCUS 187 99201 3409902 NEW PT EXPAND PROB 222.11 99202 3409903 NEW PT DETAILED 294.84 99203 3409904 NEW PT-COMPREHENSIVE 375 99204 3409905 NEW PT COMPREHENSIVE 485 99205 3409911 OV EST PT PROB FOCUS 150 99211 3409912 OVEST PT EXPAND PROB 175 99212 3409913 EST PT -DETAILED 250 99213 3409914 EST PT-COMPRHENSIVE 300 99214 3409915 EST PT-COMP- HIGH 370.16 99215 3419201 PF OV NEW PROB FOCUS 187 99201 3419202 PF NEW EXP PROB FOC 222.11 99202 3419203 PF NEW PT DETAILED 294.84 99203 3419204 PF NEW COMPREHENSIVE 370.16 99204 3419205 PF NEW COMP HIGH 484.65 99205 3419211 PF OV EST PROB FOCUS 150 99211 3419212 PF OVEST EXPAND PROB 175 99212 3419213 PF OV EST DETAILED 250 99213 3419214 PF OV EST COMP 300 99214 3419215 PF OV EST HIGH COM 370.16 99215 3421044 DEBRIDE BONE 1100 11044 3503557 NON STRESS TEST OB 243 59025 3504225 PROGRESS ROOM 481 3504514 PHY FEE NORMAL DEL W 3600 59400 3504516 PHY FEE VAGINAL DELI 3600 59409 3504517 PF NORM DEL 59410 3600 59410 3504518 DELIVERY PLACENTA 3600 59414 3504523 PHY FEE C-SECTION W 3707 59510 3504524 PHY FEE ASSISTED C-S 3707 59510 3504525 PHY FEE C-SECTION DE 3707 59514 3504526 PHY FEE C-SECTION W 3707 59515 3504999 PHILLIPS ABD STRAPS 3 3600061 DEXTROSTIX NURSERY 12 82962 3602043 BILILIGHT PER SHIFT 40 3602834 TC REM EXT DIGIT NB 155 11200 3603507 NURSERY 375 3604694 PPH HEMORRHOIDECTOMY 5000 46947 3605407 PHENYLKETONURIA PKU 41 84030 3608344 PF REM EXT DIGIT NB 3000 28344 3611140 EXC LES TRK/EXT11406 2300 11406 3611142 TC EXC LES B9 11423 2300 11423 3611203 REPAIR LAYERED 12032 425 12032 3611420 TC EXC BEN LES 11042 1100 11420 3614376 CHANGE GASTRO 288.6 SURG 3619120 EXC LESION BRS 19120 3300 19120 3619652 TECH COMP DECLOT VAS 325 36593 3810021 ASPIRATION NEEDLE 242 10021 3810022 DEBRID OPN WND 194.95 97597 3810023 ARTERIAL CATHER/CANN 113.8 36620 3810260 INJ SACROILIAC JOINT 1200 G0260 3810382 PF TELEMED PE 90791 275 90791 3811017 LEAVE OF ABSENCE DAY 0 3811041 PF EXC DEBR 97598 183.9 97598 3811043 PF EXC DEB 11043 400 11043 3811045 PF EA ADDTL 20 SQ CM 150 11045 3811140 PF EXC BEN LES SMALL 600 11400 3811300 PF SHAVING DERMAL LE 155 11300 3811470 SENIOR CARE/ROOM-BOA 1257 3812222 PF PSYCH TELE 25 245 G0407 3812223 PF PSYCH TELE 35 MN 255 G0408 3812950 CPR 529 92950 3812958 PF APP UNNA BT 29580 375 29580 3813753 PF GASTRIC INTUB 200 43753 3814093 SKILLS ASSESSMENT 117 1003F 3814094 DIDACTIC EDUCATION G 117 99078 3814095 SKILLS THERAPY/GRP 117 99078 3814096 SKILLS THERAPY INDIV 150 97535 3814098 ROUTINE PSYCHOLOGICA 824 90885 3814099 HEALTH TEACHING GROU 117 99078 3814100 TREATMENT PLANNING/P 138 3814101 SPECIAL CLINICAL MAN 138 3814104 PSYCHOLOGICAL ASSESS 138 90885 3814105 INDIVIDUAL THERAPY/H 206 3814106 FAMILY THERAPY 90847 200 90847 3814107 GROUP THERAPY 90853 200 90853 3814112 PF EXC SEB CYST11042 376 11042 3814180 DRAIN GUM LES 41800 300 41800 3815005 PF I&D RECTAL ABSCES 3000 45005 3815565 FX RADIAL/ULNA 225 25565 3815948 PF TELE INI PE 275 90791 3815949 PSYCHOTHERAPY 30 MIN 84 90832 3815950 PSYCHOTH 45MIN 90834 250 90834 3815951 PSYCHOTHERAPY FAMILY 122 90847 3815952 OUTPATIENT GRP THERA 50 90853 3816025 PF 2ND DEG BURN MED 300 16025 3816030 PF 2ND DEG BURN-LG 300 16030 3816140 PF INS ART CA 36140 550 36140 3816156 PF INI PE 275 90791 3816157 PF INITIAL PE HOSP 275 99222 3816158 PF INI III HI 378 99223 3816159 PF IP PSYCHVIS 99231 100 99231 3816160 PF IOP SUB VIS 99232 150 99232 3816161 PF IP PSYCHVIS 99233 200 99233 3816162 PF PSYCH DDMGT 99238 250 99238 3816163 PF PSY DD MGT >30MIN 275 99239 3816535 PF REPAIR JOINT FNG 6000 26535 3816558 PF INST TUNN CV36558 3800 36558 3816559 PF OBS SERVICE BRIEF 200 99218 3816560 PF OBS SERVICE LIM 250 99219 3816561 PF OBS SERVICE EXT 300 99220 3816562 PF OBS DISCHARGE 150 99217 3816660 PF SUBS VISIT 99232 150 99232 3816662 PF DD MGT 99238 250 99238 3816663 PF CX FOR SC ADMT 250 99254 3817788 TX FIBULAR FX W/MAN 265 27788 3817818 PF FX TRIMALL ANKL 788 27818 3817825 CLSD TX TIBIA FX MAN 2500 27825 3817938 REMOVE FB EYELID 600 67938 3819055 PF CAST SHOULDER SPI 315 29055 3819082 PF PARACENTESIS ABD 815 49082 3819083 PSYCHOTH 60MIN 90837 250 90837 3819202 PF OFF VISIT 99202 222.11 99202 3819211 PF OFF VISIT 99211 175 G0463 3819212 PF OFF VST 99212 175 G0463 3819213 PF OFF VST 99213 250 G0463 3819214 PF OBS IP SD 99234 255 99234 3819215 PF OBS IP LIMITED 335 99235 3819216 PF OBS IP SD EXTEND 417 99236 3819222 PSYCH TELE SUB 99232 150 99232 3819223 PSYCH TELE SUB 99232 150 99232 3819382 PF PSYCH TELE SC 15 200 G0406 3819425 CAST SHORT LEG WALK 315 29425 3819450 PF REPLACE PEG TUBE 800 49450 3819505 LONG LEG SPLINT 200 29505 3821043 DEBRIDE MUSCLE 400 11043 3821140 TC EXC BEN LES 11404 2300 11404 3821622 TC-BRONCHOSPY W/WASH 1900 31622 3822013 REPAIR EYEBROW LAC 203 12013 3822554 TC-THORACENTESIS 900 32554 3822560 TC PLEURODESIS 900 32560 3823160 TC LT CLS WND 13160 3300 13160 3823242 TC THORACENTESIS WTU 900 32554 3823255 TC-THORACENTESIS -US 900 32555 3823491 TECH COMP THORACENTE 900 32554 3823659 TECH COMP THORA32421 900 32554 3823760 TECH COMP CHG GASTRO 300 3827000 BX LIVER NDLE PERCU 1410 47000 3829083 PARACENTESIS W/IMAG 815 49083 4000030 SENSICARE GLOVES 6.0 7.5 4000033 LINEAR CUTTER STANDA 2419 4000035 LINEA CUTTER VASCULA 2419 4000042 LINEA STAP ARTICULAT 740 4000061 DEXTROSTIX - ER 12 82962 4000083 SUTURE PROLENE 6.0 19.5 4000087 CATH 24F 30CC RIB BA 33 4000093 FOLEY CATH TRAY #16 55 4000100 YANKAUER TIP 8 4000118 BLADES SCALPEL SZ 11 4 4000121 OR 121 TO 180 MIN 4900 SURG 4000181 OR 181 TO 240 MIN 5600 SURG 4000241 OR 241 TO 300 MIN 6300 SURG 4000301 OR 301 TO 360 MIN 7000 SURG 4000315 SUTURE 4.0 VICRYL 3 4000361 OR 361 TO 420 MIN 7700 SURG 4000379 TABLE COVER 12 4000421 OR 421 TO 480 MIN 8400 SURG 4000434 SUCTION CANN 1200CC 15 4000442 SUTURE 3.0 VICRYL 3 4000443 SUTURE 2.0 VICRYL 3 4000449 SUTURE 6.0 VICRYL 3 4000454 CLOSURE KIT 340 4000460 TISSUE SPECIMEN TRAP 37 4000461 WOUND RETRACTOR ALEX 601.68 4000462 WOUND RETRACTOR ALEX 308 4000464 DISP ACTIVE CORD 54 4000466 ENDOFLO IRRIGATOR 140 4000467 SHOWERHEAD TIP 54 4000468 SPLASH SHIELD 6.5 300 4000500 SUTURE 5.0 VICRYL 3 4000512 ELASTIC BANDAGE MATR 17 4000519 ENDO ANCHOR 1020 4000521 ENDOCATH GOLD 379 4000527 EMS HERNIA STAPLER 523 4000541 OR 541 TO 600 MIN 9800 SURG 4000661 SUTURE 5.0 ETHILON 3 4000662 SUTURE 4.0 ETHILON 3 4000663 SUTURE 3.0 ETHILON 3 4000664 SUTURE ETH2.0 FS BLK 3 4000697 SUTURE 6.0 NYLON 3 4000728 BLADDER IRRG SIMPLE 134 4000776 LIGACLIP 20X20 230 4000777 LINEAR STAPLER 90MM 348 4000778 LINEA CUT RL3.0X 4.5 195 4000779 LINEAR STAPLER 60MM 348 4000780 ENDOPATH GRASPER 413 4000781 ENDOLOOP 106.75 4000787 CAUTERY EXTENSION 17 4000790 HANDSWITCHING PENCIL 22 4000791 FOOT CONT COAGULATOR 48 4000793 CAUTERY PEN 14.45 4000796 CAUTERY PAD (RETURN 11 4000800 CADAVER FASCIA LATA 2833 4000812 SUTURE 0 CHROMIC 3 4000814 BITE BLOCK 6 4000922 UNIVERSAL STER DRAPE 84 4000923 SURGICEL 4 X 8 275 4000924 SURGICEL HST 2 X 14 275 4000993 FOLEY CATH TRAY #18 61 4000999 POOLE SUCTION TIP 9 4001000 VAR LENGTH STENT 368.13 4001001 ABD PAD STERILE 5.25 4001036 SURGEONS GLOVES LATE 7 4001049 INCHQUE BOWIE DICK 0 4001061 MULTI PROCEDURE O.R. 1 SURG 4001072 NITROUS OXIDE PER HO 10 4001094 I&D HEMATOMA,SEROMA 1598 10140 4001095 DEBRIDEMENT;SKIN,& S 376 11042 4001096 DEBRIDEMNT;SKIN,SQ,M 1100 11044 4001097 SHAVING EPI/DERM LES 155 11300 4001098 SHAVING OF EPI/DERM 155 11301 4001099 SHAVING EPI/DERMAL L 155 11302 4001100 SHAVE LES FACE/MUC M 155 11310 4001101 EXC BENIGN LESION TR 600 11400 4001102 EXC BENIGN LESION TR 600 11401 4001103 REMOVAL OF SKIN LESI 2300 11406 4001104 EXC BEN LES SCALP,NE 1100 11420 4001105 EXC BENIGN LESION SC 1100 11421 4001106 EXC BENIGN LESION SC 1100 11422 4001107 EXC BEN LES SCALP,NE 3100 11426 4001108 EXC BENIGN LESION FA 600 11440 4001109 EXC BENIGN LESION FA 600 11441 4001110 EXC M.LES TRNK/ARM/L 600 11601 4001111 EXC MA LES;TRK/ARM/L 600 11602 4001112 EXC M.LESION; SNHFG 1100 11621 4001113 EXC M.LESION S/N/H/F 1100 11622 4001114 EXC MAL LES FC 11641 1100 11641 4001115 EXC MAL LES FC 11642 1100 11642 4001116 EXC MAL LES 2 11643 1100 11643 4001117 REMOVAL OF SKIN LESI 2300 11644 4001118 REMOVAL SKIN LESION 3100 11646 4001119 REPAIR LAYER CLOSURE 400 12031 4001120 LAYER CLOSURE OF WOU 425 12032 4001121 REP INTERM 7.7 12034 425 12034 4001122 LAYER CLOSE WOUND NE 425 12042 4001123 REPAIR LAYER CLOSE 7 425 12044 4001124 LAYER CLOSE WNDS;FAC 425 12051 4001125 LAYER CLOSURE WOUND 425 12052 4001126 SKIN TISSUE REARRANG 2100 14040 4001128 SPLIT GRAFT FACE,SCA 3300 15120 4001129 SKIN FULL GRAFT 3300 15240 4001130 REMOVAL SUTURES W/AN 376 15851 4001131 DESTRUCT ANY METHOD; 155 17000 4001132 DESTR LES ANY METHOD 65 17003 4001133 EXC CYST,FIBRO,BREAS 3300 19120 4001134 EXC BR LESION W/PREO 3300 19125 4001135 BILAT/EXC BR LESION 3300 19125 4001136 EA ADD LESION SEP ID 3300 19126 4001139 EXC, ABD WALL TUMOR, 3300 22900 4001140 TENDON SHEATH INCISI 2500 26055 4001141 EXC LES TENDON SH/CA 2500 26160 4001142 LARYNGOSCOPY,FLEX FI 300 31575 4001143 BRONCHOSCOPY;DIAG,W/ 1900 31622 4001144 BRONCHOSCOPY; WITH B 1900 31623 4001145 REM PERM PACEMAKER P 4600 33233 4001146 REPAIR BLOOD VESSEL 5500 35206 4001147 PLACEMENT CENTRAL VE 1500 36569 4001149 INSERT IMPLANT VENOU 5000 36563 4001150 EXCISION SUBMANDIBUL 5487.94 42440 4001151 UGI ENDOSCOPY;DIAG,W 1200 43235 4001152 SPHINCTEROTOMY;ANAL 3300 46080 4001153 FISTULECTOMY/FISTULO 3300 46270 4001154 ANOSCOPY W/ABLATION 3300 46615 4001155 BX LIVER ADD ON 500 47001 4001156 LAPAROSCOPE LIVER 3436 SURG 4001157 LAPAROSCOPY,SURG;CHO 2673 SURG 4001158 LAP CHOLECYSTECTOMY 2673 SURG 4001159 LAPAROSCOPY W/BIOPSY 729 SURG 4001160 REPAIR RECURR INCISI 5000 49566 4001161 IMPLANT MESH INCISIO 5000 49568 4001162 LAPAR,SURG,REPAIR IN 2521 SURG 4001163 CYSTOURETHROSCOPY, W 4000 52214 4001164 CYSTO OP W OTHER RX 1600 SURG 4001165 CYSTO WITH OTHER RX 702 SURG 4001166 EXC/FULGURATION;URET 3200 53275 4001167 EXC LESION SPERMATIC 3100 55520 4001168 BX,PROSTATE;NEEDLE/P 3600 55700 4001169 D&C DIAG &/OR THERAP 3200 58120 4001170 CARPAL TUNNEL RELEAS 2600 64721 4001190 SKIN STAPLES 35 WIDE 81 4001200 BOUNDARY PREP PADS 3 4001201 PPH STAPLER 1192.6 4001208 PRO TACK 5MM 906 4001234 CONE TIP URETER CATH 2.67 4001235 STANDARD FLOW CASSET 23 4001298 EXTRACT SPECIMEN BAG 275 4001302 LINEAR CUTTER ENDOSC 471 4001315 INTRODUCER SUPRAPUBI 236.16 4001316 COLOSTOMY BAG 4 4001318 COLOSTOMY WAFER 2 3/ 6 4001320 PACEMAKER SIGMA 9290 4001342 LINEAR CUTTER RELOAD 236 4001348 MULTIFIRE GIA 60 (55 575 4001351 LINEA CUT 35 STAN RL 430 4001352 LINEA CUT REL 45 VAS 430 4001353 LINEA CUT RELOAD 4.1 237 4001354 LINEAR CUTTER THICK 853 4001360 VASCULAR LINEAR STAP 360 4001361 VASC LINEAR RELOAD 237 4001384 PERFIX PLUG LARGE 2236 4001415 PONSKY KIT PEG CHG 341 4001416 UNIVERSAL FEEDING AD 32.4 4001418 SNARE SMALL OVAL 71 4001419 SNARE MEDIUM OVAL 71 4001420 SNARE LARGE OVAL 71 4001421 PONSKY BALLOON REP 246 4001422 BIOPSY FORCEPS 151 4001423 BIOPSY FORCEP HOT 94 4001426 HERNIA MESH DAVOL 18 3500 C1781 4001428 ENDOFOG 23 4001457 LAPAROSCOPIC IRRIGAT 106.6 4001460 GUIDEWIRE PEG 199 4001461 IRRIGATION SYRINGE 9 4001469 CADAVER FASCIA LATA 2704 4001483 MARLEX MESH 2 X 12 250 C1781 4001484 MARLEX MESH KEYHOLE 600 C1781 4001487 MARLEX MESH 1 X 4 475 C1781 4001488 3DMAX MESH LARGE LEF 375 C1781 4001489 3DMAX MESH LARGE RIG 528 C1781 4001490 MODIFIED KUGEL 7.5CM 500 C1781 4001491 MODIFIED KUGEL 10CM 550 C1781 4001492 MODIFIED KUGEL 11.5C 750 C1781 4001493 TEMP COVERS 3 4001494 LINEAR CUTTER 3.5 MM 979 4001495 LINEAR CUTTER 7.5 MM 627 4001496 LINEAR RELOAD 1359 4001497 LINEAR CUTTER RELOAD 1466 4001498 SUTURE 0 DEXON 35 4001499 WAFER 1-3/4 INCH 11.2 4001500 ELASTICON TAPE 3"XFT 25.8 4001534 CADAVER FASCIA LATA 2704 4001549 INSUFFLATION TUBING 71.15 4001709 REDUCER CAP 25 4001714 BAG DECANTER 6 4001716 SOILEAU TITANUM TUBE 90 4001763 AVITENE 189 4001764 ENDO AVITENE 5MM 119 4001872 CATHETER FILIFORM 4F 33 4001949 BX OF SKIN,SUBQ,MUC 155 4001975 DERMATONE CARRI 1.5 20 4001980 CEEA 31 806 4001982 CEEA 28 889 4002003 STAPLER LDS 15 DISP 833.8 4002011 MARLEX MESH 10 X 14 450 C1781 4002047 BLOOD WARMER TUBING 0 4002065 EXC BNG LESION 0.6-1 1100 11421 4002072 PACEMAKER INSERTION 8000 33210 4002074 CATHETER EMBOLECTOMY 210 4002103 YANKAUER SUCTION 8 4002167 VEIN STRIPPER 29 4002193 TC REM LIP BK 21930 2600 SURG 4002478 SCALPEL DISPOSABLE 12 4002510 TC WRIST LES 25110 3200 25110 4002511 TC WRIST LES 25111 3200 25111 4002606 DESTR FLAT WARTS, MO 155 17110 4002657 COLOSTOMY CLAMP 3 4002796 .9 100CC BAG 43.5 J7042 4002804 .9 NACL 1000 CC BAG 20 J7030 4002826 GLYCINE 3000 CC 54 4002831 CYSTO SET 34 4002832 TUR BLADDER SET Y 43 4002835 ANESTHESIA EXT SET 3 4002849 SENSICARE GLOVES 6.5 7.5 4002850 SENSICARE GLOVES 7.0 7.5 4002851 SENSICARE GLOVES 7.5 7.5 4002852 SENSICARE GLOVES 8.0 7.5 4002855 .9 NACL IRRIG 1000CC 43 J7030 4002917 SPECIMEN TRAP 17 4002940 PORT A CATH KIT 376.35 C1788 4002941 PORT-A-CATH KIT NUMB 900 C1788 4002997 BREATHING CIRC ADULT 15 4003013 DERMATONE CARR 3-1 20 4003017 ESOPHAGEAL STETHESCO 26 4003084 PENROSE DRAIN 1 INCH 9 4003085 NONSTERILE MARKING P 6 4003122 CATHETER REDDICK W/N 189 4003126 CATHETER REDDICK WIT 198 4003129 SNARE WIRES 28 4003395 STERILE TOWELS 2 22 4003443 CYSTO PACK 60 4003447 SPLIT SHEET 22 4003471 CSECTION BIRTH PACK 123 4003484 UPPER EXTREMITY DRAP 45 4003488 LINEA CUT 3.0 X 4.5 460 4003493 STERI STRIPS 3 4003559 ESOPHAGEAL BOUGIE 40 600 4003579 TECH COMP CYSTO WITH 2300 52281 4003600 DILATION URETH MALE 460 53600 4003683 BREATHING CIRC PEDI 17.25 4003723 TROCHAR ENDO 11 NB 221 4003780 RADIAL ARTERY SETUP 6500 34111 4003797 ENDOZYME SPONGE 5 4003813 IDENTI-LOOP RED MAXI 11 4003814 IDENTI-LOOP RED MINI 11 4003815 IDENTI-LOOP BLUE MAX 11 4003816 IDENTI-LOOP BLUE MIN 11 4003859 TECH COMP I&D 10060 93 SURG 4003860 TECH COMP COMPLEX I& 2480.52 10180 4003862 HARMONIC SCAPEL DISP 1363 4003863 THORACENTESIS 900 32554 4003866 TECH COMP INS ART LN 515 36245 4003867 CVP TECHNICAL COMPON 1500 36556 4003868 PORT-A-CATH TECHNICA 5000 36561 4003869 TECH COMP PICC LINE 1500 36569 4003892 INSERTION UAC CATHET 5000 36640 4003900 TROCAR ENDO 12 NB 232 4003908 KNIFE BLADE 10 5 4003970 SIGMOIDSCOPE RIGID 636 4003971 GASTROSCOPE/0-60 MIN 1200 SURG 4003972 COLONOSCOPE/O-60 MIN 1400 SURG 4003980 ESOPHAGEAL DILATOR 765 4003988 ELECTRODES LEEP 66 4004014 VENTRIO HERNIA OV LG 3757.15 C1781 4004015 HERNIA PATCH LG 4295 C1781 4004016 VENTRIO HERNIA PT MD 3500 C1781 4004040 STERILE SKIN MARKER 4 4004043 BOSTON PEG PULL INIT 98 4004051 CIDEX 60 4004052 PREP TRAY BETADINE 26 4004054 CONTINOUS FLO SET 7.5 4004058 APRON WHITE 10 4004126 FASCIA LATA 1500 4004128 DART AIR REM SYS REC 56 4004137 BLADE ONLY SURG #11 13 4004138 BLADE ONLY SURG #21 15 4004168 LAPAROSCOPIC CHOLECY 1451 SURG 4004173 CADAVER FASCIA LATA 2704 4004186 LIGAMAX 5 1669 4004191 SUCTION CANN 300 ML 3.65 4004193 DRESSING GZ OWENS 6 4004194 MESH SURG 6 X 6 IN 600 C1781 4004196 PROTACK 5 MM 1325 4004203 VENTRIO HERNIA CR SM 2000 C1781 4004204 VASCULAR GRAFT 70CMX 2750 C1768 4004211 PATCH HERN CIRC 2.5 1800 C1781 4004212 VASCULAR GRAFT 6 MM 3500 C1768 4004229 OR 30 TO 60 MIN 1400 SURG 4004241 OR 61 TO 75 MIN 2100 SURG 4004248 OR 76 TO 90 MIN 2800 SURG 4004254 OR 91 TO 105 MIN 3500 SURG 4004260 OR 106 TO 120 MIN 4200 SURG 4004262 TECH COMP CYSTO AND 2300 52281 4004265 OR ADD ON 101 SURG 4004268 OR MINOR SET-UP 644 SURG 4004269 OR 1 TO 30 MIN 700 SURG 4004271 SIGMOIDSCOPE 466 SURG 4004273 CYSTOSCOPY W/O RX 675 SURG 4004275 CYSTOSCOPY OP W/O RX 675 SURG 4004277 BRONCHOSCOPE W-W/O A 725 SURG 4004290 GI ADD ON 101 SURG 4004326 SMOKE EVAC PREFILTER 45 4004334 ANOSCOPE 5 4004346 LMA 1.5 46 4004405 CONDENSOR HUMIDIFIER 9 4004444 BENZOCAINE SPRAY 20% 86.95 4004452 LINEA CUT VAS 2.5 MM 494 4004489 PREP TRAY CHLORHEXA 12 4004494 DISPOSABLE SURG CABL 54 4004501 SERVICE KIT 97 4004505 I&D RECTAL ABSCESS 3000 45005 4004533 STERILE SLEEVES 32.7 4004584 ENEMA KIT 26 4004590 SMOKE EVACUATOR RED 13 4004618 ADAPTOR SWIVEL FIBER 36.35 4004690 SUCT CANN GM 1500 CC 15 4004707 MEDIPORE PAD 65 4004708 TEGADERM PAD 2 X 8 4.75 4004719 C ARM DRAPE 9 4004872 CATHETER FILIFORM 5F 36 4004888 VENTRIO SM OVAL PATC 2010 4004965 LAP ING HER RP 49650 6500 49650 4004991 SYRINGE 3 CC NS 4 4004992 BLADE CUTTER REPLACE 3 4004999 TROCAR ENDO NB 5 160 4005005 LMA 2.0 46 4005006 LMA 2.5 46 4005007 LMA 3 46 4005008 LMA 4 41 4005009 LMA 5.0 41 4005011 CATH URETHRA AP 14F 4 4005013 CATH ART EMBOL 5 FR 217 C1727 4005017 SUCT CANN SM 1500 CC 4 4005019 DRAINAGE BAG 4000 CC 20.2 4005089 STERILE BASIN 9 4005151 PREP PAD 4 4005354 MAYO COVER 17 4005379 TECH COMP FEM URE SY 2300 52285 4005543 ESOPHAGEAL BOUGIE 1400 4005544 CATHETER FILIFORM 5F 36 4005545 FOLLOWER WOVEN 14FR 179 4005546 FOLLOWER WOVEN 16FR 179 4005547 FOLLOWER WOVEN 18FR 179 4005548 FOLLOWER WOVEN 20FR 179 4005549 FOLLOWER WOVEN 22FR 179 4005550 FOLLOWER WOVEN 24FR 179 4005551 DRAIN CHAN 19F W TRO 57 4005552 BRACE KNEE REDDIE LG 90 4005626 SKIN STAPLER 31 4005904 SUTURE O TICRON BLUE 38 4005905 ESOPHAGUS DILATATION 1200 43450 4005932 FLUID WARMER 40 4005941 CATHETER MID 4F SING 500 C1751 4005968 SELF SEAL POUCH 1215 5 4005992 SWANS GANZ SETUP 2349.92 93503 4005995 HALF SHET 5 4005999 BIS SENSOR 61.45 4006035 GOWN STERILE XL SURG 25 4006037 GOWN STERILE XL 3 PK 9 4006999 POUCH ET DRAIN BAG 280 4007000 PF LIVER BX 47000 1410 47000 4007127 O2/CO2 NASAL CANNULA 39 4007262 PRESSURE INFUSION SY 45 4007286 SENSOR ORONASAL CO2 36 4008000 INJ NEEDLE TIP REPL 1131 4008001 CATH GROSH MRI IMPLA 1500 C1788 4008850 SENSICARE GLOVES 8.5 7.5 4009003 CHEST TUBE SIZE 40 29 4009180 PF BX ABD MASS 49180 1500 49180 4009473 ENDOPATH 10 MM 280 4009585 UMB HER REP 49585 495.85 49585 4009940 TAPE TRANSFOR 2" 3 4009998 SUTURE POP OFF VICRY 36 4009999 SUTURE TIE SILK 0 7.5 4020000 REMOVAL OF HEM CLOT 2340.98 4051005 TECH COMP EXC BEN LE 1100 11420 4104574 REC ROOM TO 30 MIN 551 4104576 REC ROOM EACH ADD 15 86 4113001 CONSCIOUS SED/UNIT 65 4113002 GENERAL ANESTHE/UNIT 65 4113003 PF CONSCIOUS SED/MIN 65 MANUL 4113004 PF GENERAL ANESTHE/M 65 MANUL 4113005 PF MC CONSCIOUS SED 65 MANUL 4113007 PF MC GENERAL ANESTH 65 MANUL 4150100 RIBS UNILAT W/CXR RT 220.5 71101 4150101 A/C JOINTS 125 73050 4150102 FINGER LEFT THUMB 105.85 73140 4150104 FINGER LEFT MIDDLE 105.85 73140 4150105 FINGER LEFT RING 105.85 73140 4150106 FINGER LEFT LITTLE 105.85 73140 4150107 FINGER RIGHT THUMB 105.85 73140 4150108 FINGER RIGHT INDEX 105.85 73140 4150109 FINGER RIGHT MIDDLE 105.85 73140 4150110 FINGER RIGHT RING 105.85 73140 4150111 FINGER RIGHT LITTLE 105.85 73140 4150112 TOE RIGHT SECOND 105.85 73660 4150113 TOE RIGHT GREAT 105.85 73660 4150114 TOE LEFT GREAT 105.85 73660 4150115 TOE LEFT SECOND 105.85 73660 4150116 TOE LEFT THIRD 105.85 73660 4150117 TOE LEFT FOURTH 105.85 73660 4150118 TOE LEFT FIFTH 105.85 73660 4150119 TOE RIGHT THIRD 105.85 73660 4150120 TOE RIGHT FOURTH 105.85 73660 4150121 OSSEOUS SURVEY INFAN 206.15 77076 4150711 EXC BY NEEDLE;SUPERF 1470 38505 4150810 GASTROGRAFIN 110.25 4150824 COLON CANCER SCREEN 284.45 G0106 4151081 MAMMOGRAM SCREEN OCT 68.35 G0402 4151084 OPTIRAY 350 INJEC. C 120.15 Q9967 4151085 OPTIRAY 320 INJECT C 271.2 Q9967 4151148 REPOSITION C V CATH/ 344 4151241 READI CAT 7.7 4151294 MISC. X-RAY 50.7 4151393 MAMMOGRAM SCRN YWCA 45.2 4152709 INJ HIP UNDER FLUORO 27.55 27093 4153703 BX,LUNG/MEDIASTINUM/ 1656 32405 4153872 INTRODUCTION NEEDLE 577.5 36140 4154798 ELBOW W/ OBL 3+ V RT 235.95 73080 4154799 EXAM, EYE,DETECT FOR 54 70030 4154802 MANDIBLE, PARTIAL/LE 126.8 70100 4154804 MANDIBLE, COMP. 4 VI 235 70110 4154805 MASTOIDS, CMPLETE 3V 133.4 70130 4154806 FACIAL BONES <3 V 133.4 70140 4154807 FACIAL BONES, COMP/M 209.45 70150 4154808 NASAL BONES,COMP. 3 142 70160 4154809 OPTIC FORAMINIA 116.85 70190 4154810 ORBITS,COMP. 4 VIEWS 167.6 70200 4154811 SINUSES,PARANSAL <3V 135 70210 4154812 SINUSES,PARANASAL 3+ 203.95 70220 4154813 SELLA TURCICA 89.3 70240 4154814 SKULL LESS THAN 4/W 168.7 70250 4154815 SKULL COMPLETE/4 VIE 337.35 70260 4154819 TEETH - 1 VIEW 54 70300 4154820 TEETH - PARTIAL 116.85 70310 4154821 TEETH - FULL MOUTH 143.3 70320 4154822 TM JNT OPEN/CLO RT 133.4 70328 4154823 TM JOINTS BILATERAL 155 70330 4154825 NECK, SOFT TISSUE 120 70360 4154827 CT HEAD/BRAIN W/O CO 1481.75 70450 4154828 CT HEAD/BRAIN W/CONT 1675 70460 4154829 CT HEAD/BRAIN W/WO C 2000 70470 4154830 CT ORB/SE/PF/O/I/MWO 895.25 70480 4154831 CT ORB/SEL/PF/O/I W/ 1050 70481 4154832 CT ORB/POST FOS W/WO 1250 70482 4154833 CT MAXILLOFACIAL W/O 1044.05 70486 4154834 CT MAXILLOFACIAL W/ 1225 70487 4154835 CT MAXILLOFACIAL W/W 1400 70488 4154836 CT SOFT NECK W/O CON 949.25 70490 4154837 CT SOFT NECK W/CONTR 1350 70491 4154838 CT SOFT NECK W/WO CO 1600 70492 4154851 CHEST, 1 VIEW, FRONT 125 71045 4154852 CHEST PKG CHEST TUBE 125 71045 4154853 CHEST 2 VIEW/ FRONTA 200 71046 4154854 CHEST W/ OBLI PRO 3V 220.5 71047 4154855 CHEST COMP MIN 4V 234.85 71048 4154856 CHEST/LATERAL DECUB, 109.15 71045 4154859 P/MAKER INSERT/FLURO 1400.15 4154860 RIBS UNILAT/2 V RT 213.9 71100 4154861 RIB/BILAT/3 VIEW 255 71110 4154862 RIB/POSTEROANT 4V 235 71111 4154863 STERNUM, 2 VIEW 115 71120 4154867 CT THORAX W/O CONTRA 1528.05 71250 4154868 CT THORAX W/ CONTRAS 1825 71260 4154869 CT THORAX W/WO CONTR 2175 71270 4154881 SPINE,ENTIRE,SURVEY 487.3 72084 4154882 SPINE, 1 V CERVICAL 153.25 72020 4154884 SPINE, CERVICAL 2-3 220.5 72040 4154885 SPINE, CERVICAL 4 VI 240 72050 4154886 SPINE,CERV/OBLIQUE/F 325 72052 4154887 SCOLIOS THORACOLUMBA 254.65 72082 4154888 SPINE, THORACIC 2 VI 206.15 72070 4154889 SPINE THORACIC, 3 VI 216.1 72072 4154890 SPINE THORACIC 4 VIE 258 72074 4154891 THORACOLUMBAR, 2 VIE 178.6 72080 4154892 SCOLIOSIS SUPINE/ERE 339.55 72083 4154893 LUMBOSACRAL SPINE, 178.6 72100 4154894 LUMBOSA SPINE MIN 4V 300 72110 4154895 LUMBO SP COMP W/BEND 345 72114 4154896 LUMBO SP BEND ONLY4V 246.95 72120 4154897 CT CERVICAL SPINE W/ 1166.45 72125 4154898 CT CERVICAL SPINE W/ 1350 72126 4154899 CT CERVICALSPINEW/WO 1500 72127 4154900 CT T-SPINE W/O CONT 1143.3 72128 4154901 CT T-SPINE W CONTRAS 1600 72129 4154902 CT L-SPINE W/O CONTR 1154.3 72131 4154903 CT L-SPINE W/CONTRAS 1350 72132 4154904 CT L-SPINE W/WO CONT 1600 72133 4154914 PELVIS 1-2 VIEWS 163.15 72170 4154915 PELVIS COMPLETE MIN 170.9 72190 4154916 CT PELVIS W/O CONTRA 1134.45 72192 4154917 CT PELVIS W/CONTRAST 1400 72193 4154918 CT PELVIS W/WO CONTR 1800 72194 4154921 SACRUM/COCCYX MIN 2 105.85 72220 4154931 CLAVICLE, COMPLETE R 105.85 73000 4154932 SCAPULA COMPLETE RT 135 73010 4154933 SHOULDER 1 VIEW RT 125 73020 4154934 SHOULDER MIN 2V RT 189.65 73030 4154935 SHOULDER ARTHROG RT 540.65 73040 4154936 HUMERUS MIN 2 V RT 145 73060 4154937 ELBOW 2 VIEWS RT 150 73070 4154938 FOREARM 2 VIEWS RT 145 73090 4154939 UPPER EXT INFANT RT 110.25 73092 4154940 WRIST 2 VIEWS RT 145 73100 4154941 WRIST 3 OR MORE V RT 166.45 73110 4154942 HAND 2 VIEWS RT 135 73120 4154944 HAND 3 VIEWS RT 150 73130 4154945 FINGER LEFT INDEX 105.85 73140 4154946 CT UPPER EXT W/O RT 895.25 73200 4154947 CT UPPER EXT W/ RT 1013.2 73201 4154954 HIP 1 VIEW RT 151.05 73501 4154955 HIP 2 VIEWS RT 179.7 73502 4154956 BILATERAL HIPS PELVI 241.45 73523 4154957 PELVIS/HIPS CHILD BL 94.5 73521 4154958 FEMUR 2 VIEWS RT 180 4154959 KNEE 1-2 VIEWS RT 166.45 73560 4154960 KNEE MIN 3 VIEWS RT 175.3 73562 4154961 TIBIA FIBULA-2 V RT 172 73590 4154962 LOWER EXT INFANT RT 110.25 73592 4154963 ANKLE 2 VIEWS RT 135 73600 4154964 ANKLE 3+ VIEWS RT 162.05 73610 4154965 FOOT 2 VIEWS RT 135 73620 4154966 FOOT 3+ VIEWS RT 162.05 73630 4154967 CALCANEUS, 2V RT 125 73650 4154968 TOE RIGHT FIFTH 105.85 73660 4154971 CT LOWER EXT W/O RT 1013.2 73700 4154972 CT LOWER EXT W/ RT 1200 73701 4154973 CT LOWER EXT W/WO RT 1400 73702 4154981 ABDOMEN, SINGLE VIEW 172 74018 4154982 ABD W/ERECT &/OR DEC 240.35 74019 4154983 ABD, ACUTE W/PA CHES 323.05 74022 4154985 CT ABDOMEN W/O CONTR 1400.15 74150 4154986 CT ABDOMEN W/CONTRAS 1600 74160 4154987 CT ABDOMEN W/WO CONT 1800 74170 4154993 BARIUM SWALLOW 267.9 70370 4154994 BARIUM SWALLOW/MODIF 267.9 74230 4154995 G.I. W/O KUB 298.75 74240 4154996 U.G.I. SERIES 455.35 74241 4154997 G.I. SERIES/SBFT 682.45 74245 4154998 AIR CONTRAST U.G.I. 518.15 74247 4154999 A/C UGI-SMALL BOWEL 818.05 74249 4155000 SMALL BOWEL SERIES 538 74250 4155001 BARIUM ENEMA 753 74270 4155002 B.ENEMA, AIR CONTRAS 780.55 74280 4155003 THERAPEUTIC ENEMA BA 538 74283 4155004 GALL BLADDER 170.9 74290 4155005 CHOLECYSTOGRAM REPEA 106.95 4155006 CHOLANGIOGRAM, OPERA 245.85 74300 4155007 CHOLANGIOGRAM-POST O 452 47531 4155008 CHOLANGIOGRAPHY PERC 800.25 47532 4155009 G. I. TUBE PLACEMENT 313.1 74340 4155010 PEG PLACEMENT RADIOL 1323 49440 4155011 SC JOINTS 3V 135 71130 4155012 IVP 668.1 74400 4155013 I.V.P. 668.1 74410 4155014 SI JOINTS 3V 163.15 72202 4155015 CYSTOGRAM, COMPLETE 298.75 74430 4155016 VOIDING URETHROCYSTO 369.35 74455 4155020 HYSTEROSAL PINGOGRAM 597.55 74740 4155028 ARTERIOGRAM, ABD. LA 2096.95 75625 4155029 BILAT FEMUR ARTERIOG 2096.95 75630 4155030 VENOGRAM UNI RT EXT 1412.7 75820 4155031 VENEGRAM BILAT EXT 1412.7 75822 4155032 SUP CAVAL VENOGRAM 1412.7 75827 4155033 PERCUT.BILIARY DRAIN 635.05 47533 4155035 GUID DRAINAGE PERCUT 595.35 75989 4155036 FLUORO GUIDE CV ACCE 477.4 77001 4155038 FLUOROSCOPY UP TO 1 507.15 76000 4155039 FLUORO GUID SPINAL 594.25 77002 4155040 FLUOROSCOPIC GUIDANC 92.6 4155041 CHILD, FB-SINGLE FIL 105.85 76010 4155042 BONE AGE STUDIES 135.6 77072 4155044 OSSEOUS SURVEY, COMP 679.15 77075 4155046 FISTULAGRAM 477.4 76080 4155050 LOCALIZ BREAST RT 375.95 77002 4155051 BREAST SPECIMEN 800.25 76098 4155055 CT SCAN NEEDLE BX 2081.5 77012 4155056 RECONSTRUCTION 1137.8 4155057 CT LIMITED OR F/U 878.7 76380 4155060 ANKLE 3+ VIEWS LT 162.05 73610 4155061 ANKLE 2 VIEWS LT 135 73600 4155062 CT LOWER EXT W/ LT 1200 73701 4155063 CT LOWER EXT W/WO LT 1400 73702 4155064 CT LOWER EXT W/O LT 1013.2 73700 4155065 CT UPPER EXT W/ LT 1013.2 73201 4155066 CT UPPER EXT W/O LT 895.25 73200 4155067 ELBOW W/ OBL 3+ V LT 235.95 73080 4155068 ELBOW 2 VIEWS LT 150 73070 4155069 FEMUR 2 VIEWS LT 180 73552 4155071 FOOT 2 VIEWS LT 135 73620 4155072 FOOT 3+ VIEWS LT 162.05 73630 4155073 FOREARM 2 VIEWS LT 145 73090 4155074 HAND 2 VIEWS LT 135 73120 4155075 HAND 3 VIEWS LT 150 73130 4155076 HIP 1 VIEW LT 151.05 73501 4155077 HIP 2 VIEWS LT 179.7 73502 4155078 HUMERUS MIN 2 V LT 145 73060 4155079 TM JNT OPEN/CLO LT 133.4 70328 4155080 KNEE MIN 3 VIEWS LT 175.3 73562 4155081 KNEE 1-2 VIEWS LT 166.45 73560 4155082 LOCALIZ BREAST LT 375.95 77002 4155083 LOWER EXT INFANT LT 110.25 73592 4155084 MAM/UNILAT CONE DN L 106.95 4155085 RIBS UNILAT/2 V LT 213.9 71100 4155086 SHOULDER ARTHROG LT 540.65 73040 4155087 SHOULDER MIN 2V LT 189.65 73030 4155088 SHOULDER 1 VIEW LT 125 73020 4155089 TIBIA FIBULA-2 V LT 172 73590 4155090 UPPER EXT INFANT LT 110.25 73092 4155091 VENOGRAM UNI LT EXT 1412.7 75820 4155092 WRIST 2 VIEWS LT 145 73100 4155093 WRIST 3 OR MORE V LT 166.45 73110 4155094 SPINE, 1 V THORACIC 153.25 72020 4155095 SPINE, 1 V LUMBAR 153.25 72020 4155096 CALCANEUS, 2V LT 125 73650 4155097 CLAVICLE, COMPLETE L 105.85 73000 4155098 SCAPULA COMPLETE LT 135 73010 4155099 RIBS UNILAT W/CXR LT 220.5 71101 4156078 EEG- 24HR RECORDING 1700 95950 4156079 FLUOROSCOPY > 1 HR 577.35 4156080 CT ABD/PELVIS W/O 1600 74176 4156081 CT ABD/PELVIS WITH 1800 74177 4156082 CT ABD/PELVIS W/WO 2600 74178 4156083 CT THORAX ANGIO-PE 2400 71275 4157000 ANKLE 2 VIEWS BILATE 190 73600 4157001 ANKLE 3+ VIEWS BILAT 243.05 73610 4157002 CALCANEUS, 2 V BILAT 158.75 73650 4157003 CLAVICLE, COMP BILAT 158.75 73000 4157004 ELBOW 2 VIEWS BILATE 319.15 73070 4157005 ELBOW W/OBL 3+ BILAT 353.9 73080 4157006 FEMUR 2 VIEWS BILAT 265 73552 4157007 FOOT 2 VIEWS BILATE 190 73620 4157008 FOOT 3+ VIEWS BILAT 243.05 73630 4157009 FOREARM 2 VIEWS BIL 254.65 73090 4157010 HAND 2 VIEWS BILATE 175 73120 4157011 HAND 3 VIEWS BILATE 243.05 73130 4157012 HIP BILATERAL 1 VIE 226.55 4157013 HIP 2 VIEWS BILATER 269.55 73525 4157014 HUMERUS 2+ V BILAT 254.65 73060 4157015 KNEE MIN 3 V BILAT 260 73562 4157016 KNEE 1-2 VIEWS BILA 250 73560 4157017 KNEE UNILATERAL 4V 275 73564 4157018 LOCALIZE BREAST BILA 563.9 77002 4157019 LOWER EXT INFANT BIL 220.5 73592 4157020 SCAPULAS BILATERAL 170 73010 4157021 SHOULDERS BILAT 1V 158.75 73020 4157022 SHOULDERS BILAT 2V 284.45 73030 4157023 TIBIA FIBULA BILAT 2 213.3 73590 4157024 UP EXT INFANT BILAT 220.5 73092 4157025 WRIST BILAT 2 VIEWS 236.45 73100 4157026 WRIST BILAT 3 VIEWS 249.7 73110 4157202 DIG MAMMO ANNUAL SCR 260 77067 4157204 DIG MAMMO DX BILATE 285 77066 4157206 DIG MAMMO UNILATERAL 145 77065 4157356 BOTH KN STAND 73565 131.25 73565 4157708 BONE DENS AXL 77080 220 77080 4157777 DIG MAMMO PROMO NOV 105 77067 4200642 US BREAST LIMITED RT 100 76642 4201642 US BREAST LIMITED LT 100 76642 4201882 US LIMITED AXILLA LT 100 76882 4204922 ULTRASOUND, SACRAL - 262.4 76999 4205060 US THYROID 277.85 76536 4205062 US CHEST 229.3 76604 4205063 US BREAST RT 266.8 76641 4205064 US ABDOMEN (MULTI OR 639.45 76700 4205065 US SINGLE ORGAN 420.05 76705 4205067 US RETROPERITONEAL 433.3 76770 4205068 RETROPERITONEAL LTD 249.15 76775 4205069 U/S OB <14 WEEKS 262.4 76801 4205070 US OB COMPLETE 390.3 76805 4205071 US OB COMPLETE/ MULT 482.9 76810 4205072 US OB LIMITED 145.55 76815 4205073 US OB FOLLOW UP 262.4 76816 4205074 US TRANSVAGINAL OB 573.3 76817 4205075 FETAL BIOPHYSICAL PR 297.65 76818 4205076 US TRANSVAGINAL NON- 573.3 76830 4205077 US PELVIS NON-OB 454.25 76856 4205078 US PELVIS LIMITED 117.95 76857 4205079 US SCROTUM & CONTENT 277.85 76870 4205080 US TRANSRECTAL 305.4 76872 4205082 EXTREMITY NON VAS RT 229.3 76881 4205084 US GUIDED PAR.& THO 595.35 75989 4205085 ULTRASOUND VISU. VAS 136.7 76937 4205086 US GUIDED ASPIRATION 510.45 76942 4205087 US GUIDANCE 510.45 76942 4205088 UNLIST U/S SURGICAL 732.05 76999 4205989 ECHOCARDIOGRAM 638.35 93307 4205990 ECHO/DOPPLER 304.3 93320 4205991 COLOR DOPPLER 203.95 93325 4205997 CAROTID PROFILE-BILA 732.05 93880 4205998 CAROTID UNILAT RT 364.9 93882 4206000 ART FLOW ABI RT 361.05 93922 4206001 ART FLOW EXT RT 339.55 93923 4206002 ANKLE/BRACHIAL INDIC 361.05 93922 4206003 DUPLEX LOWER ART BIL 638.35 93925 4206004 DUPLEX SCAN UPPER BI 664.8 93930 4206005 DUPLEX SCAN LOWER RT 364.9 93926 4206006 DUPLEX SCAN UPPER BI 664.8 93930 4206007 DUPLEX SCAN UPPER RT 364.9 93931 4206008 BILATERAL VENOUS PRO 732.05 93970 4206009 UNILAT VENOUS PRO RT 364.9 93971 4206010 DUPLEX SCAN ART ABD 608.6 93975 4206011 DUPLEX SCAN OF AORTA 570 93978 4206012 ART FLOW ABI LT 361.05 93922 4206013 ART FLOW EXT LT 339.55 93923 4206014 CAROTID UNILAT LT 364.9 93882 4206015 DUPLEX SCAN LOWER LT 364.9 93926 4206016 DUPLEX SCAN UPPER LT 364.9 93931 4206017 EXTREMITY NON VAS LT 229.3 76881 4206018 UNILAT VENOUS PRO LT 364.9 93971 4206019 US BREAST LT 266.8 76641 4206020 US BREAST BILATERAL 350 76641 4206021 US OB DETAILED COMPL 482.9 76811 4206022 ECHO W/DOPPLER, COMP 1135.55 93306 4206023 US AXILLARY LIMITED 138.5 76882 4206024 U/S GUIDANCE,INTRAOP 510.45 76998 4206025 U/S POST-VOID RESIDU 110.25 51798 4206776 US DUP DOPP TX KIDNE 367.5 76776 4206882 US LIMITED AXILLA RT 100 76882 4207642 US BREAST LIMITED 150 76642 4207676 US AORTA SCREENING 226 76706 4214635 MEDRONATE, UP TO 30M 175.3 A9503 4214636 VQ SCAN PUL PER/VENT 1150 78582 4214637 MEBROFENIN 216.1 A9537 4214638 DTPA/ PENTETATE 157.65 A9567 4214639 THYROID IMAGING W/UP 513.75 78014 4214640 I123/100MCI 136.7 A9516 4214641 PARATHYROID SCAN 783.85 78070 4214642 SESTAMIBI UP TO 40MC 241.45 A9500 4214643 PERTECHNETATE PER MC 87.1 A9512 4214644 BONE AND/OR JOINT IM 539.1 78300 4214645 TCM99M MAA MICROAGG. 233.1 A9540 4214646 GASTRIC EMPTYING STU 1373.7 78264 4214647 SULFUR COLLOID EGG, 525 A9541 4214648 GI BLEED SCAN 1153.2 78278 4214649 TC99 LABELED RBCS 963.6 A9560 4214702 KINEVAC 5MCG/VIAL 404.6 J2805 4215045 BONE SCAN 928.3 78305 4215096 THYROID SCAN 332.95 78012 4215097 HEPATOBILIARY W KINE 2350 78227 4215098 BONE AND/OR JOINT WH 1435.45 78306 4215099 BONE SCAN 3 PHASE 1526.95 78315 4215100 RENAL SCAN 735.35 78707 4215101 LUNG SCAN PERFUS VEN 1150 78582 4215102 TC99M MERTIATIDE 646.05 A9562 4215103 PULMONARY PERFUSION 975 78580 4215104 NUCLEAR STRESS TEST 1296.55 78452 4215105 STRESS TEST TREADMIL 359.4 93015 4215106 MYOVIEW, PER STUDY 22.05 A9502 4215107 INJ LEXISCAN 0.1MG 220.5 J2785 4215108 LIVER IMAGING STATIC 565.55 78201 4215109 LIVER IMAGING SPECT 565.55 78205 4215110 HIDA SCAN W/O KINEV 2049.55 78226 4234824 TM JOINT 2243.6 70336 4234840 NECK/FACE/ORBITS W/O 2243.6 70540 4234841 MRI ORBITS W/WO CONT 2641.6 70543 4234842 MRA HEAD WITHOUT CON 2243.6 70544 4234843 MRA HEAD WITH CONTRA 2508.2 70545 4234844 MRA HEAD W/WO 2641.6 70546 4234845 MRA NECK WITHOUT CON 2243.6 70547 4234846 MRA NECK W & W/O CON 2641.6 70549 4234847 BRAIN W STEM W/O CON 2243.6 70551 4234848 BRAIN W STEM WITH CO 2508.2 70552 4234849 BRAIN W STEM W/WO CO 2641.6 70553 4234870 MRI CHEST/LUNGS WO 2243.6 71550 4234871 MRI CHEST WITH CONT 2508.2 71551 4234872 MRI CHEST W/WO 2641.6 71552 4234880 MRI PELVIS W/WO 2641.6 72197 4234905 C SPINE W/O CONTRAST 2243.6 72141 4234906 C SPINE W CONTRAST 2508.2 72142 4234907 T SPINE W/O 2243.6 72146 4234908 T SPINE W 2508.2 72147 4234909 L SPINE W/O CONTRAST 2243.6 72148 4234910 L SPINE WITH CONTRAS 2508.2 72149 4234911 C SPINE W/WO CONTRAS 2641.6 72156 4234912 T SPINE W/WO 2641.6 72157 4234913 L SPINE W/WO CONTRAS 2641.6 72158 4234919 MRI PELVIS W/O CONT 2243.6 72195 4234920 PELVIS WITH CONTRAST 2508.2 72196 4234948 UPPER EXT W JOINT RT 2508.2 73222 4234949 MRI UP EX NO J W/O R 2243.6 73218 4234950 UPPER EXT NO J RT W 2508.2 73219 4234951 UP EXT WO J W/WO RT 2641.6 73220 4234952 UPPER EXT W/JO RT 2243.6 73221 4234953 UP EXT W/JO W/WO RT 2641.6 73223 4234954 UPPER EXT W/JOINT BI 2794.85 73222 4234955 UP EXT NO J W/O BI 2794.85 73218 4234956 UP EXT NO J W BILAT 2866.5 73219 4234957 UP EXT NO J W/WO BIL 2866.5 73220 4234958 UP EXT W JOINT BILAT 2794.85 73221 4234959 UP EXT W JO W/WO BIL 2866.5 73223 4234960 LOWER EXT OTHER BIL 2789.3 73718 4234961 LOW EXT W/WO BILAT 2866.5 73720 4234962 LO EXT W J W/O BILAT 2789.3 73721 4234963 LO EXT W J W/O BILAT 2794.85 73723 4234974 LOWER EXT OTHER RT 2243.6 73718 4234975 LOWER EXT W/WO RT 2641.6 73720 4234976 LOW EXT/W JOINT WO R 2243.6 73721 4234977 LOWER EXT W JO W/0 R 2641.6 73723 4234978 LOWER EX MRA W/CONTR 2243.6 C8912 4234979 LOWER EXT MRA W/O CO 2243.6 C8913 4234989 ABDOMEN W/O CONTRAST 2243.6 74181 4234990 ABDOMEN W/WO 2508.2 74183 4234991 MRA ABDOMEN W/O CONT 2243.6 C8901 4234992 MRA ABDOMEN WITH CON 2641.6 C8900 4234993 LOWER EXT OTHER LT 2243.6 73718 4234994 LOWER EXT W/WO LT 2641.6 73720 4234995 LOW EXT/W JOINT WO L 2243.6 73721 4234996 LOWER EXT W JO WO L 2641.6 73723 4234997 MRI UP EX NO J W/O L 2243.6 73218 4234998 UPPER EXT W JOINT LT 2508.2 73222 4234999 UP EXT WO J W/WO LT 2641.6 73220 4235000 UP EXT W/JO W/WO LT 2641.6 73223 4235001 UPPER EXT W/JO LT 2243.6 73221 4235002 UPPER EXT NO J LT 2508.2 73219 4235050 MRA UPPER EXT W/WO 2243.6 73225 4238441 MRI FAC NECK ORBIT W 2508.2 70542 4300001 MAN RETIC CNT 85044 25 85044 4300002 SED RATE AUTOMATED 50 85652 4300003 STREP B DNA AMP PROB 96.28 87653 4300173 HALOPERIDOL LEVEL 35 G0480 4300445 NURSING HOME DRUG SC 56.65 4300446 BCID PER ORGANISM 0 87150 4300448 MOL PATH LEV 4 350 81403 4300451 D-DIMER QUANTITATIVE 94.75 85379 4300453 MOL PATH LEV 5 650 81404 4300467 MOL PATH LEV 6 650 81405 4300472 MOL PATH LEV 8 550 81407 4300486 HER COL CA DIS 1600 81435 4300491 HER COL CA DUP 81436 1600 81436 4300504 UNLIST MOL PATH 350 81479 4300518 APOLIPOPROTEIN 82172 50 82172 4300523 LIPOPROTEIN A2 93.04 83698 4300537 DEF DRUG CLASS 83992 50 83992 4300556 IMM COMP ASSAY 86332 80 86332 4300561 RA FX QUANT 86431 20 86431 4300575 THYROGLOB ANTI 86800 50 86800 4300580 CHLAMY TRACH 87491 100 87491 4300581 CHLAMYDIA 43.8 86631 4300582 CHLAMYDIA IGM 46.98 86632 4300820 CANCER SCREEN PROSTA 71.05 G0102 4300821 PSA-SCREENING 71.05 G0103 4300825 CA SCREEN FECAL BLOO 26.8 4300826 COLON CA SCREEN NOT 1016.06 G0121 4301187 PLATLET LEUKOCYTE FI 186 4301324 STUDENT TB TEST 5.15 4301387 CROSSMATCH 2 UNITS* 0 4301388 CROSSMATCH 3 UNITS* 0 4301389 CROSSMATCH 4 UNITS* 0 4301727 IGG/ALBUMIN RATIO CS 54.6 82784 4301728 HOLTER MON CONNECT 208.05 93225 4301729 HOLTER ANALYSIS 219.4 93226 4301755 PHENOBARB LEVEL 74.15 80184 4303880 VENOUS BLOOD COLLECT 6 36415 4303881 FINGER/HEEL/EAR STIC 6 36416 4304270 BNP - PROBRAIN NATRI 238.95 83880 4304274 BARTON.HENSELAE, IGG 32.95 86611 4304275 BARTON.HENSELAE, IGM 32.95 86611 4304276 CAT SCRATCH FEVER AB 0 4304278 COCCIDIOIDES ABS, IG 0 4304279 METANEPHRINES 45.14 83835 4304287 TYPHUS FEVER ABS, IG 0 4304288 IGG SUBCLASSES (1,2, 0 4304291 IGG INDEX 0 4304299 CPPJ DOT/BLOOD ALCOH 83.45 4304377 CYCLIC CITRULLINATED 50.45 86200 4304539 PARTICLE AGGLUTINATI 10.3 86403 4304540 BACTERIAL ANTIGEN PA 0 4304541 PTH RELATED PEPTIDE 177.15 83519 4304542 CARNITINE, FREE & TO 92.7 82379 4304543 VWF MULTIMER ANALYSI 624.2 85247 4304544 HLA-B27 149.35 86812 4304545 ARSENIC, URINE OR BL 68 82175 4304546 LAMBDA QT FREE LIGHT 175.1 83883 4304547 BLASTOMYCES ANTIBODI 134.95 86612 4304548 ASPERGILLUS ANTIBODI 61.8 86606 4304549 LEGIONELLA ABS IGG T 0 86713 4304550 GERM TUBE TEST 53.55 87106 4304551 HEPARIN ASSOCIATED A 620.05 86022 4304552 COPPER 106.1 82525 4304553 SOMATOMEDIN-C/IGF-1 151.4 84305 4304554 VITAMIN D - 1,25 DIH 540.75 82652 4304555 KAPPA QT FREE LIGHT 176.15 83883 4304556 LAMOTRIGINE LEVEL 36.36 80175 4304557 KEY ENERGY QUICK UDS 19.55 4304558 KEY ENERGY QUICK ALC 19.55 4304559 CRP- HIGH SENSITIVIT 41.2 86141 4304560 OLIGOCLONAL BANDS CS 161.7 83916 4304561 CERULOPLASMIN 318.25 82390 4304562 METHADONE 191 80358 4304563 PORPHYRINS, SER TOT 69 82542 4304564 CARDIOLIPIN ANTIBODI 77.25 86147 4304565 CARDIOLIPIN ABS, IGM 0 4304566 ANTI-MITOCHONDRIAL A 50.45 86255 4304567 ENTEROVIRUS BY PCR 660.25 87498 4304568 METHOTREXATE SENS BY 324.45 87186 4304569 BETA-2 TRANSFERRIN 0 4304570 IFE-SERUM 61.3 86334 4304571 IFE-FLUID 169.95 86335 4304572 FACTOR XA ACTIVITY 433.65 85520 4304573 CARNITINE, FREE 50.45 83789 4304803 TESTOSTERONE, F & B 0 4305000 ASCORBIC ACID 30.5 82180 4305142 ELECTROLYTE PANEL 65.9 80051 4305144 CHROMOSOME ANALYSIS 775.6 88299 4305148 FMR1 GENE ANALYSIS 475 81243 4305152 ORGANIC ACIDS - URIN 141 83918 4305153 METABOLIC SCREEN-URI 267 82139 4305156 VALPORIC ACID LEVEL 98.9 80164 4305157 BASIC META PANEL BMP 120.5 80048 4305159 COMPREHENSIVE METABO 151.4 80053 4305161 LIPID PROFILE 78.3 80061 4305162 RENAL FUNCTION PANEL 142.15 80069 4305164 HEPATITIS PANEL-ACUT 238.95 80074 4305165 HEPATIC FUNCTION PAN 131.85 80076 4305166 ROCHE PROFILE/EMPLOY 20.6 4305167 DRUG SCREEN URINE 71 80305 4305168 DRUG CONFIRMATION, E 83.45 4305169 ETHYL GLUCURONIDE 182.3 4305172 AMIKACIN/AMIKIN 116.4 80150 4305173 ANTIDEPRESS. TRICYCL 235 80335 4305174 CLONAZEPAM LEVEL 50 80346 4305175 BENZODIAZEPINES 235 80346 4305176 TEGRETOL LEVEL 103 80156 4305177 CYCLOSPORIN 55.6 80158 4305178 DESIPRAMINE LEVEL 235 80335 4305179 ETHOSUXIMIDE 38.1 80168 4305180 GENTAMICIN LEVEL 91.65 80170 4305181 GENTAMICIN, EACH ADD 11.6 80170 4305182 TOFRANIL LEVEL 235 80335 4305183 DILANTIN LEVEL, FREE 66.95 80186 4305184 PRIMIDONE / MYSOLINE 46.35 80188 4305186 TACROLIMUS LEVEL 153.45 80197 4305187 VANCOMYCIN LEVEL 100.95 80202 4305188 VANCOMYCIN, EACH ADD 100.95 80202 4305190 PYRUVATE KINASE 66.95 84220 4305191 KEPPRA-LEVETIRACETAM 36.36 80177 4305192 QUANTITATION OF DRUG 94.75 4305193 TAMBOCAR LEVEL 83.45 80299 4305194 ANALGESICS,NONOPIOID 49.54 80329 4305195 COGENTIN /BENZTROPIN 124.65 80299 4305196 AMIODARONE & METABOL 116.4 80299 4305197 OXCARBAZEPINE / TRIL 36.36 80183 4305198 OLIGLCLONAL BANDING 111.25 83916 4305199 ACETYLCH RECEP PANEL 0 4305200 ACETYLCHOLINE RECP B 152.65 83519 4305201 ACETYLCHO RCP BL AB 152.65 83519 4305202 IMMUNOASSAY FOR ANAL 184.35 83519 4305203 MYELIN BASIC PROTEIN 65.9 83873 4305211 URINALYSIS 43.25 81001 4305212 URINALYSIS, EA ADDIT 43.25 81001 4305213 URINALYSIS WITHOUT M 35 81003 4305214 SPECIFIC GRAVITY, UR 20.6 81005 4305216 URINE MICROSCOPIC ON 25.75 81015 4305217 PREGNANCY TEST, URIN 81.35 81025 4305220 VOLUME MEASUREMENT/T 12.35 81050 4305221 STONERISK DIAGNOSTIC 0 4305226 CLINITEST 11.35 81005 4305237 ACETAMINOPHEN LEVEL 49.54 80329 4305238 KETONE QUANTITATIVE 32.95 82010 4305239 SALICYLATE LEVEL 49.54 80329 4305240 ADRENOCORTICOTROPIC 174.05 82024 4305241 ALBUMIN, SERUM 32.95 82040 4305242 ALBUMIN, URINE OR OT 25.75 82042 4305243 MICROALBUMIN, URINE 70.05 82043 4305244 ALBUMIN, URINE (DIPS 20.6 82044 4305245 ALCOHOL/ETHANOL, NOT 140 G0480 4305246 ALCOHOL, SALIVA (DOT 70 80320 4305247 URINE ALCOHOL 70 80320 4305248 ALCOHOL, BREATH 39.15 82075 4305249 ALDOLASE 71.05 82085 4305250 ALDOSTERONE, SERUM O 89.6 82088 4305251 ALPHA-1-ANTITRYPSIN 31.95 82103 4305252 ALUMINUM 89.6 82108 4305255 AMINO ACIDS, PLASMA 183.35 82139 4305256 CYSTINE/HOMOCYSTINE, 65.9 83090 4305257 AMMONIA 131.85 82140 4305258 AMYLASE 79.3 82150 4305259 AMYLASE ISOENZYMES 90.65 82150 4305260 AMYLASE, URINE 32.95 82150 4305261 ANDROSTERONE 63.85 82160 4305263 ANGIOTENSIN CONVERTI 85.5 82164 4305264 LIPOPROTEIN A 38.1 83695 4305265 BARBITURATE, QUANTIT 235 80345 4305266 BETA 2 MICROGLOBULIN 79.3 82232 4305267 BILIRUBIN, NEONATAL 0 4305268 BILIRUBIN, TOTAL 42.25 82247 4305269 BILIRUBIN, DIRECT 44.3 82248 4305270 HEMOCCULT, FECAL 25.75 82272 4305271 HEMOCCULT SCREENING 25 82270 4305272 25-OH VITAMIN D-3 108.15 82306 4305273 CALCIUM 42.25 82310 4305274 CALCIUM, IONIZED 47.4 82330 4305275 URINE CALCIUM, TIMED 53.55 82340 4305276 C02 LEVEL/BICARBONAT 42.25 82374 4305277 CARBON MONOXIDE 59.75 82375 4305278 CATECHOLAMINES; TOTA 89.6 82382 4305279 CATECHOLAMINES, PLAS 62.85 82384 4305280 CHLORIDE, BLOOD 58.7 82435 4305281 URINE CHLORIDE 32.95 82436 4305282 CHOLESTEROL 44.3 82465 4305283 PSEUDOCHOLINDOTEROSE 58.7 82480 4305284 MEXILITENE LEVEL 49.54 80299 4305285 STIMULANTS SYNTHETIC 49.54 80371 4305286 ANTIDRESSSANT, SERTO 235 80332 4305287 DIURETIC SURVEY 189.5 4305288 CITRATE 81.35 82507 4305289 CORTISOL, URINARY FR 66.95 82530 4305290 CORTISOL LEVEL 65.9 82533 4305291 CPK 64.9 82550 4305292 CK ISOENZYMES 97.85 82552 4305293 CKMB 94.75 82553 4305294 CKMB, EACH ADDITIONA 94.75 82553 4305295 CREATININE, SERUM 39.15 82565 4305296 CREATININE CLEARANCE 110.2 82575 4305297 CRYOGLOBULIN 42.25 82595 4305298 CYANIDE LEVEL 83.45 82600 4305299 B-12 65.9 82607 4305300 CYSTINE/HOMOCYSTINE, 65.9 82615 4305301 DHEA 71.05 82626 4305302 DHEA-S 71.05 82627 4305303 DIBUCAINE LEVEL 79.3 82638 4305304 DIGOXIN LEVEL 91.65 80162 4305305 DRUG SCREEN-COMPREHE 350.2 4305306 LIDOCAINE LEVEL 91.65 80176 4305307 ERYTHROPOIETIN 82.4 82668 4305308 ESTRADIOL 100.95 82670 4305309 ESTROGEN LEVEL 150.4 82672 4305310 ESTRIOL 46.35 82677 4305311 ETHYLENE GLYCOL 82.4 82693 4305312 FECAL FAT STAIN-STOO 32.95 89125 4305313 FERRITIN, SERUM 91.65 82728 4305314 FIBRINOGEN, QUANT 50.45 85384 4305315 FOLIC ACID LEVEL 60.75 82746 4305316 IMMUNOGLOBULIN, M 78.3 82784 4305317 IG SUBCLASS-IGG4 32.95 82787 4305318 IMMUNOGLOBULIN A 78.3 82784 4305319 IMMUNOGLOBULIN, E 78.3 82785 4305320 IG SUBCLASS - IGG1 32.95 82787 4305321 IMMUNOGLOBULIN, G 44.3 82784 4305322 IG SUBCLASS - IGG2 32.95 82787 4305323 IG SUBCLASS - IGG3 32.95 82787 4305325 PH, BODY FLUID 42.25 83986 4305327 GASTRIN LEVEL\AFTER 99.9 82938 4305328 GASTRIN LEVEL 99.9 82941 4305329 GLUCOSE,BODY FLUID,N 50.45 82945 4305330 GLUCOSE SERUM 37.1 82947 4305331 GLUCOSE, EA ADTL SAM 37.1 82947 4305332 DEXTROSTIX-FINGER ST 12 82962 4305333 O'SULLIVAN TEST 50.45 82950 4305334 GLUCOSE TOLERANCE TE 133.9 82951 4305335 SGOT 58.7 84450 4305336 GGT 61.8 82977 4305337 GLUCOSE 6 PD 50.45 82955 4305338 FOLLICLE STIM. HORMO 58.7 83001 4305339 GROWTH HORMONE 89.6 83003 4305340 HAPTOGLOBIN 83.45 83010 4305343 HEAVY METAL PANEL 6U 0 83015 4305347 HEMOGLOBIN ELECTROPH 86.5 83020 4305348 GLYCOHEMOGLOBIN A/C 59.75 83036 4305349 METHEMOGLOBIN, QUANT 50.45 83050 4305350 HEMOGLOBIN, PLASMA 27.8 83051 4305351 HEMOGLOBIN, URINE 27.8 83069 4305356 5-HIAA(HYDROXYINDOLE 85.5 83497 4305357 MUSK ANTIBODIES 793.1 83519 4305358 LE(DNP) ANTIBODIES, 43.25 83516 4305359 TISSUE TRANSGLUT IGA 30.9 83516 4305360 TISSUE TRANSGLUT IGG 86.5 83516 4305361 BLADDER TUMOR ASSO. 94 88120 4305362 INSULIN, TOTAL 49.7 83525 4305363 IRON LEVEL 45.3 83540 4305364 TIBC 44.3 83550 4305365 URINE CREATNINE 59.75 82570 4305366 LACTATE/LACTIC ACID 39.15 83605 4305368 LDH 74.15 83615 4305369 LDH ISOENZYMES 91.65 83625 4305370 SPINAL FLUID LDH 32.95 83615 4305371 LEAD 55.6 83655 4305372 LIPASE 78.3 83690 4305373 CHYLOMICRONS 61.8 4305374 CHOLESTEROL, HDL 42.25 83718 4305375 CHOLESTEROL, LDL 42.25 83721 4305376 LITHIUM LEVEL 58.7 80178 4305377 LUTEINIZING HORMONE 104.05 83002 4305378 MAGNESIUM LEVEL 65.9 83735 4305380 METANEPHRINES- URINE 175.1 83835 4305381 MYOGLOBIN 83.45 83874 4305382 EXTRACT DNA 56.65 86225 4305383 ENZYMATIC DIGESTION 41.2 91020 4305384 FACTOR V LEIDEN-DNA 397.45 81241 4305385 SEPARATION BY GEL EL 14.4 86331 4305386 NUCLEIC ACID PROBE, 20.6 87450 4305387 AMPLIFICATION OF PT 74.15 87449 4305388 MUTATION SCANNING SI 41.2 81201 4305389 MUTATION ID BY SEQUE 20.6 4305390 MOL DX, INTERPRETATI 49.45 4305391 OPIATES 235 80361 4305392 OSMOLALITY, SERUM 49.45 83930 4305393 OSMOLALITY, URINE 55.6 83935 4305394 OXALATE 71.05 83945 4305395 PARATHYROID HORMONE 103.4 83970 4305407 PHENYLKETONURIA PKU 42.25 84030 4305408 DILANTIN LEVEL, TOTA 87.55 G0480 4305409 ACID PHOSPHATASE 42.25 84060 4305410 PROSTATIC ACID PHOSP 61.8 84066 4305412 ALKALINE PHOSPHATASE 44.3 84075 4305414 PHOSPHORUS 46.35 84100 4305415 URINE PHOSPHORUS 32.95 84105 4305416 URINE PORPHYRINS 124.65 84120 4305417 POTASSIUM 32.95 84132 4305418 URINE POTASSIUM 32.95 84133 4305419 PREALBUMIN 43.25 84134 4305420 PROCAINAMIDE LEVEL 45.96 80192 4305421 PROGESTERONE 103 84144 4305422 PROLACTIN 124.65 84146 4305423 PSA-FREE 94.75 84154 4305424 PROTEIN, TOTAL SERUM 46.35 84155 4305425 PROTEIN, OTHER NOT U 32.95 84157 4305426 PROTEIN ELECTROPHORE 29.46 84165 4305427 PROTEIN ELECTROPHORE 88.6 84166 4305428 THORACIC FLD PROTEIN 32.95 84157 4305429 URINE PROTEIN 32.95 84156 4305430 BENCE JONES PROTEIN 58.7 86325 4305431 SPINAL FLUID PROTEIN 32.95 84157 4305432 ERYTHROCYTE (PROTO)P 74.15 84202 4305433 VITAMIN B6 71.05 84207 4305435 QUINIDINE LEVEL 76.2 80194 4305437 RENIN 73.15 84244 4305440 5-HTP/SEROTONIN (SER 104.05 84260 4305441 SEX HORMONE BINDING 86.5 84270 4305442 SODIUM 58.7 84295 4305443 URINE SODIUM 58.7 84300 4305444 FRUCTOSE,SUGARS,CHRO 31.95 84375 4305445 REDUCING SUBSTANCES 28.85 84376 4305446 SULFATE, URINE 32.95 84392 4305447 TESTOSTERONE LEVEL, 154.5 84403 4305448 THEOPHYLLINE LEVEL 91.65 80198 4305449 VITAMIN B-1 (THIAMIN 122.55 84425 4305450 T4, TOTAL (THYROXIN 58.7 84436 4305452 THYROXINE/T4 FREE 58.7 84439 4305453 THYROID STIM HORMONE 83.45 84443 4305454 VITAMIN E /ALPHA TOC 38.1 84446 4305456 SGPT 58.7 84460 4305457 TRANSFERRIN 37.1 84466 4305458 TRIGLYCERIDES 42.25 84478 4305459 T3 OR T4 UPTAKE 58.7 84479 4305460 TOTAL T3 82.4 84480 4305461 T3 FREE 50.45 84481 4305462 TRYPSIN (STOOL) 24 Q 64.9 84490 4305463 BUN 34 84520 4305464 URINE BUN 32.95 84540 4305465 UREA CLEARANCE 122.55 84545 4305466 URIC ACID, SERUM 50.45 84550 4305468 URIC ACID,OTHER SOUR 52.55 84560 4305469 VMA 89.6 84585 4305470 ANTI-DIURETIC HORMON 61.8 84588 4305471 ALCOHOLS 45 80320 4305472 ORGANIC ACID 11.82 83921 4305473 ZINC 31.95 84630 4305474 C-PEPTIDE 39.15 84681 4305475 BETA HCG-TUMOR 76.2 84702 4305476 QUANTATIVE BETA HCG 100.95 84702 4305477 PREGNANCY TEST, SERU 100.95 84703 4305478 TOBRAMYCIN LEVEL 94.75 80200 4305481 POTASSIUM, URINE 11.82 84133 4305483 TROPONIN I 87.55 84484 4305484 TROPONIN I, EACH ADD 87.55 84484 4305485 MANUAL DIFF 23.7 85007 4305486 BLEEDING TIME 32.95 85002 4305489 WHITE CELL COUNT W/D 28.85 85048 4305491 HEMATOCRIT 25.75 85014 4305493 HEMOGLOBIN, WHOLE BL 26.8 85018 4305494 INDICIES, BLOOD 0 4305495 CBC W/DIFF & PLT - A 73 85025 4305496 CBC W/DIFF, EACH ADD 73 85025 4305497 ROCHE COUNT/EMPLOYEE 11.35 4305499 CBC WITHOUT DIFF 62.85 85027 4305500 RED BLOOD CELL COUNT 25.75 85041 4305501 RETICULOCYTE COUNT 37.1 85045 4305502 WHITE CELL COUNT W/O 28.85 85048 4305505 TC PATHOLOGY SMEAR 120.5 85060 4305615 BONE MARROW 83.45 4305617 FACTOR VIII ACTIVITY 74.15 85240 4305618 RCF-VON WILLEBRAND F 108.15 85245 4305619 VON WILLEBRAND FACTO 154.5 85246 4305620 FACTOR IX ACTIVITY 97.85 85250 4305621 ANTI THROMBIN III,PR 0 85300 4305622 PROTEIN C&S PROFILE 0 85302 4305623 APC RESISTANCE PROFI 44.3 85307 4305625 CLOTTING TIME 32.95 85345 4305628 FIBRIN DEGREDATION P 50.45 85362 4305629 D-DIMER QUALITATIVE 94.75 85378 4305630 KLEIHAUER-BETKE TEST 27.8 85460 4305631 LEGIONELLA, DIRECT F 89.6 87206 4305632 LEUKOCYTE ALKALINE P 15.45 85540 4305633 LYSOZYME 28.85 85549 4305634 PLATELET FUNCTION AN 92.7 85576 4305635 PLATELET COUNT, AUTO 42.25 85049 4305636 PLATELET COUNT, MANU 42.25 85032 4305637 PRO TIME PT 50.45 85610 4305638 PRO TIME, EACH ADD. 50.45 85610 4305639 SED RATE 45.3 85651 4305640 SICKLE CELL TEST-BB* 95.8 85660 4305641 THROMBIN TIME 47.4 85670 4305642 LUPUS ANTICOAGULANT 192.6 85705 4305643 PTT 81.35 85730 4305644 PTT, EACH ADDITIONAL 81.35 85730 4305645 VISCOSITY, SERUM 27.8 85810 4305649 TULAREMIA AGG. 18.18 87081 4305650 ANTIGLOMERULAR BASEM 278.1 83520 4305651 ANTINEUTROPHIL CYTOP 216.3 86255 4305652 COLD AGGLUTINATION 32.95 86157 4305653 ANTIBODY SCREEN* 124.65 86850 4305654 ANTIBODY ID* 313.1 86870 4305655 ANCA (NEUTROPHIL CYT 198.8 86021 4305657 COOMBS, INDIRECT* 88.6 86885 4305658 COOMBS, DIRECT* 88.6 86880 4305659 ASO 39.15 86060 4305660 STREPTOZYME 53.55 86403 4305661 BLOOD TYPING ABO 25.75 86900 4305662 RHO-GHAM WORK-UP 150.4 86999 4305664 C-REACTIVE PROTEIN 32.95 86140 4305665 CARDIOLIPIN ANTIBODI 77.25 86147 4305666 CEA LEVEL 105.05 82378 4305667 COMPLEMENT C1 ESTERA 71.05 86160 4305668 C-1 ESTERASH INHIB. 59.75 86161 4305669 COMPLEMENT ENZ. ACTI 81.35 86162 4305670 COMPLIMENT LEVEL (C3 58.7 86160 4305671 COMPLIMENT LEVEL (C4 58.7 86160 4305672 COXSACKIE B1-B6 192.6 86658 4305674 STRIATED MUSCLE SCRE 37.1 86255 4305675 DNASE ANTIBODY 47.4 86215 4305676 DOUBLE-STRAND DNA AN 49.45 86225 4305677 SINGLE-STRAND DNA AN 77.25 86226 4305678 RNP ANTIBODIES 34 86235 4305679 SM ANTIBODIES 34 86235 4305680 SSA(RO)(ENA) ANTIBOD 34 86235 4305681 SSA(LA)(ENA) ANTIBOD 34 86235 4305682 ALPHA-FETOPROTEIN, S 71.05 82105 4305683 ANA 31.95 86038 4305684 ANTI-SMOOTH MUSCLE A 99.9 86255 4305685 EHRLICHIA ANTIBODIES 150.4 86666 4305687 ANTI-THYROID ANTIBOD 109.2 86800 4305688 HEPATITIS B SURF. AG 47.4 87340 4305689 HEP B CORE AB, IGM 47.4 86705 4305690 HEP B SURFACE ANTIBO 32.95 86706 4305691 HEPATITIS A, IgG & I 61.8 86708 4305692 HEPATITIS A, IgM 65.9 86709 4305693 MONO TEST 36.05 86308 4305694 CA 19-9 43.25 86301 4305695 HEPATITIS C ANTIBODY 92.7 86803 4305696 HEP. C-CONFIRMATION 117.52 87522 4305697 CA 125 47.4 86304 4305698 CA 15-3 43.25 86300 4305699 HETEROPHIL ANTIBODIE 50.45 86310 4305700 HIV 88.6 87389 4305701 PSA-DIAGNOSTIC 71.05 84153 4305702 RSV ANTIGEN - NASAL 83.45 86317 4305703 RSV ANTIBODIES - SER 82.4 86256 4305704 IMMUNOELECTROPHORESI 116.4 86334 4305705 IMMUNOELECTROPHORESI 116.4 86325 4305706 COMPLEMENT C 65.9 86160 4305707 ANTI PM-1 31.94 86235 4305708 INSULIN ANTIBIOTIES 151.4 86337 4305709 ISLET CELL ANTIBODY 191.6 86341 4305710 CD4 ABSOLUTE 100.95 86361 4305711 THYROID PEROXIDASE ( 26.8 86376 4305713 STREP A SCREEN 32.95 87880 4305714 CRYPTOCOCCUS ANTIGEN 71.05 86403 4305715 PNEUMOCOCCUS ANTIGEN 121.55 86403 4305716 R.A.S.T. (UP TO 5) 266.75 86003 4305717 ALLERGY TEST (REGION 343 4305718 RA 71.05 86430 4305720 SKIN TEST; CONTROL 32.95 86485 4305721 HISTOPLASMA SKIN TES 42.25 86510 4305722 PPD/INTRADERMAL TB S 32.95 86580 4305723 RPR/VDRL 46.35 86592 4305724 RPR/VDRL TITER 32.95 86593 4305725 TYPHUS FEVER AB, IGG 53.1 86757 4305726 TYPHUS FEVER AB, IGM 38.1 86757 4305727 BORD.PERTUSSIS, IGG 0 4305728 BORD.PERTUSSIS IGA 41.2 86615 4305729 BORD.PERTUSSIS IGG 41.2 86615 4305730 BORD.PERTUSSIS IGM 41.2 86615 4305731 LYME'S DISEASE 42.5 86617 4305732 BRUCELLA ANTIBODIES 39.15 86622 4305733 COCCIDIOIDES IGG 22.65 86635 4305734 COCCIDIOIDES IGM 22.65 86635 4305735 CMV, IGG 97.85 86644 4305736 CMV, IGM 109.2 86645 4305737 FTA 47.4 86780 4305738 WEST NILE VIRUS IGG 118.45 86789 4305739 TREPONEMA PALLIDUM 68 86780 4305740 EPSTEIN BAR VIRUS 316.2 87797 4305741 GIARDIA ANTIGEN 74.15 87329 4305742 HELICOBACTER PYLORI 76.2 86677 4305743 TOXACARA ANTIBODIES, 100.95 86682 4305744 HTLV I ANTIBODIES /E 39.15 86687 4305745 HTLV II ANTIBODIES 37.1 86688 4305746 AB CONFIRM, WESTERN 103 86689 4305747 HERPES SIMPLEX AB, 1 0 86694 4305748 HERPES SIMP AB 1/2 48.4 86694 4305749 HISTOPLASMA ANTIBODI 59.75 86698 4305750 INFLUENZA A AB 47.4 86710 4305751 INFLUENZA B AB 47.4 86710 4305752 MUMPS VIRUS AB, IGG 32.95 86735 4305753 MYCOPLASMA AB, IGG & 0 4305754 MYCOPLASMA PNEU IGG 50.75 86738 4305755 MYCOPLASMA PNEU IGM 50.75 86738 4305756 MENINGIOCOCCUS ANTIG 103 86741 4305757 PARVOVIRUS B-19 AB, 0 4305758 PARVOVIRUS B19 AB, I 64.9 86747 4305759 PARVOVIRUS B19 AB, I 64.9 86747 4305760 MALARIA ANTIBODIES 314.15 86750 4305761 ROTAVIRUS, ANTIBODY 121.55 86759 4305762 RUBELLA ANTIBODY 31.95 86762 4305763 MEASLES (RUBEOLA) 91.65 86765 4305764 TRICHINELLA AB. 42.25 86784 4305765 VARICELLA-ZOSTER TIT 97.85 86787 4305766 VIRUS, DETECTION OTH 118.45 86790 4305767 YERSINIA ANTIBODIES, 58.7 86793 4305768 YERSINIA ABS TOTAL 0 4305769 THYROGLOBULIN ANTIBO 237.95 86800 4305770 HLA B27 149.35 86812 4305772 SLE PANEL 1 132 85730 4305773 ANTIBODY ELUTION * 296.65 86860 4305774 AUTOLOGOUS BLOOD* 331.65 86890 4305775 BLOOD TYPING Rh(D) 25.75 86901 4305776 ANTIGEN SCREEN/EACH* 77.25 86902 4305777 IMMEDIATE SPIN TECH* 70.05 86920 4305778 INCUBATION TECHNI* 89.6 86921 4305779 ANTIGLOBULIN TECHNI* 91.65 86922 4305780 THAWED, NOT GIVEN* 28.85 86927 4305781 IRRIDATION OF BLOOD* 60.75 86945 4305782 POOLING OF PLATELETS 25.75 86965 4305783 ADSORPTION PROCEDURE 139.05 86978 4305784 UNLISTED TRANS MED * 295.6 86999 4305786 MALARIA SMEARS 63.85 87207 4305792 BLOOD CULTURE 158 87040 4305793 BLOOD CULTURE, EACH 108.15 87040 4305794 STOOL CULTURE, SAL & 145 87045 4305795 STOOL CULTURE, ADD P 47.4 87046 4305802 THROAT CULTURE 150 87070 4305803 KIRBY BAUER 25 87184 4305804 NOSE CULTURE 58.7 87081 4305809 SPUTUM CULTURE 150 87070 4305810 CULTURE 101.95 87070 4305811 API-BACTERIA ID 41.2 87077 4305812 API, EACH ADDITIONAL 41.2 87077 4305813 CLOTEST 83.45 87081 4305814 ANAEROBIC CULTURE 125 87075 4305815 GC CULTURE 45.3 87081 4305816 CULTURE, SCREENING 30.9 87081 4305817 URINE CULTURE 100 87086 4305818 FUNGUS CULTURE, SKIN 135 87101 4305819 FUNGUS CULTURE, SPUT 145 87102 4305820 FUNGUS CULTURE, BLOO 141 87103 4305821 FUNGAS CULTURE, OTHE 135 87102 4305822 CULTURE, CHLAMYDIA 99.9 87110 4305823 AFB BLOOD CULTURE 122.55 87116 4305824 AFB, CULTURE 125 87118 4305825 IDENTIFICATION ORGAN 41.2 87077 4305826 ADDITIONAL ORGAN ID 41.2 87077 4305827 CLOS DIFFICILE TOXIN 149.35 87324 4305828 OVA & PARASITE-STOOL 88.6 87177 4305829 GEN PROBE/CHLAM-GC 71.05 87591 4305830 SENSITIVITY, BACTERI 32.95 87181 4305831 SENSITIVITY, BACT AD 32.95 87181 4305832 MIN INHIB C UP TO 5 166.85 87181 4305833 SUSCEPTIBILITY, YEAS 132.85 87186 4305834 ROCKY MT SPOT FEVER 109.2 86757 4305835 GRAM STAIN 100 87205 4305836 GRAM STAIN, EACH ADT 53.55 87205 4305837 WRIGHT'S STAIN - STO 26.8 89055 4305838 AFB SMEAR 32.95 87206 4305839 INDIA INK PREP 39.15 87210 4305840 WET PREP 39.15 87210 4305841 FERN TEST 15.45 87210 4305842 KOH 25.75 87220 4305843 VIRAL CULTURE 99.9 87252 4305844 BORDETELLA DFA SMEAR 64.9 87265 4305845 HELICOBACTER PYLORI 158.6 87338 4305846 HISTOPLASMA ANTIGEN 180.25 87385 4305847 INFLUENZA ANTIGEN 125 87502 4305848 ROTAVIRUS, ANTIGEN S 121.55 87425 4305849 HEPATITIS C (RNA) QU 343 87521 4305850 HERPES SIMPLEX VIRUS 111.25 87529 4305851 H PYLORI BREATH83013 80 83013 4305852 ST PNEUM ANTIGEN CSF 54.6 86403 4305853 HCV GENOTYPING 503.65 87902 4305863 TZANCK SMEAR 96.8 88160 4305868 DNA PARAFFIN BLOCK 254.4 88182 4305869 TISSUE CULT FOR NND; 201.9 88230 4305870 CHROMOSOME COUNT 364.4 88262 4305871 CHROMOSOME ANALYSIS, 201.9 88280 4305872 CYTOGEN INTERP & REP 201.9 88291 4305873 CYTOGENETICS 0 4305885 FROZEN SECTION 208.05 88331 4305886 CEFINASE 20 87185 4305887 TISSUE GRIND FOR CX 35 87176 4305888 H PYLORI BREATH83014 25 83014 4305910 CELL COUNT-FLUID 32.95 89050 4305911 CELL COUNT-FLUID W/D 113.3 89051 4305912 CRYSTAL I.D. ANY FLU 58.7 89060 4305917 SPINAL FLUID GLUCOSE 37.1 82947 4305922 NASAL SMEAR FOR EOS 32.95 89190 4305923 GASTRIC FOR OCCULT B 25.75 82271 4305924 STOOL, WRIGHT'S STAI 25.75 89055 4305925 SPERM PRESENCE/ABS 58.7 89310 4305987 EVENT MONITOR HOOKUP 208.05 93270 4305988 EVENT MONITOR ANALYS 435 93271 4306014 CLOS DIFFICILE PCR 100 87493 4306029 DRUG SCRN COL FEE 17.5 99001 4306030 ALCOHOL/PROCESSING F 26.8 84999 4306031 DRUG SCRN/DOT/NONDOT 131.85 4306032 TOWN OF HOMER URINE 30.9 4306033 TOWN OF HOMER BLOOD 32.95 4306034 JO-1 ANTIBODY 105.05 86235 4306035 ANTI-GAD ANTIBODY 95 86341 4306036 CBC W/ MAN DIFF 0 4306037 URINE EOSINOPHILS 93.75 87205 4306038 F2 GENE ANALYSIS 135 81240 4306041 SPECIMEN HANDLING 26.8 99001 4306042 THYROGLOBULIN 108.15 84432 4306043 HIV VIRAL LOAD QUANT 433.1 87536 4306044 HIV PHENOTYPE COMP 1409.45 87903 4306045 COXSACKIE A9 ANTIBOD 52.1 86658 4306046 PNEUMOCYSTIS DFA 128.4 87281 4306047 MANGANESE 56.1 83785 4306048 JAK2 ISOLATION 46.15 4306049 JAK2 AMPLIFICATION 193 4306050 JAK2 NUCLEIC ACID PR 46.15 4306051 JAK2 INTERP/REPORT 50 81270 4306052 JAK2 GENE V617F QT P 0 4306053 SOLU TRANSFERRIN RCP 80.65 84238 4306054 TOXOPLASMA, IGM 92.7 86778 4306055 TOXOPLASMA, IGG 92.7 86777 4306056 EAST EQUINE ENCEP AB 37.95 86652 4306057 ST LOUIS ENCEPH AB 37.95 86653 4306058 WEST EQUIN ENCEP AB 37.95 86654 4306059 WEST NILE VIRUS IGM 118.45 86788 4306060 CALIF ENCEPH AB 37.95 86651 4306061 LYMPHO CHORIOMENING 37.05 86727 4306062 MENINGIOENCEPH PANEL 0 4306063 AMINOLEVULINIC ACID 150.5 82135 4306064 PORPHOBILINOGEN URIN 112.65 84110 4306065 CORTISOL, SERUM FREE 209 82530 4306066 PREGNENOLONE 62.2 84140 4306067 SEROTONIN, SERUM 104.05 84260 4306068 METHYLMALONIC ACID 103 83921 4306069 BABESIA IGG & IGM 0 4306070 PROTOZOA ANTIBOD NOS 104.85 86753 4306071 EIA EACH DRUG CLASS 39.05 G0480 4306072 THYROID STIM IMMUNO 415.55 84445 4306073 CALCITONIN 118 82308 4306075 BETA-2-GLYCOPROT AB 82.4 86146 4306076 NMR LIPOPROFILE TEST 287.35 83704 4306077 CALCULUS,QT CHEMICAL 240 82360 4306078 ESTRONE 102.6 82679 4306079 ALPHA2 MACROGLOBULIN 129.2 83883 4306080 FIBROSURE HCV 0 4306081 C TELOPEPTIDE 346.85 82523 4306082 ZONISAMIDE 354.1 80203 4306083 ADAMTS 13 ACTIVITY 670.5 85397 4306084 SCL-70 ANTIBODIES 79.1 86235 4306085 LEPTOSPIRA ANTIBODY 88.15 86720 4306086 LEGIONELLA AG, URINE 93.7 87449 4306087 CLOS DIFFICL ANTIGEN 149.35 87449 4306088 VENOM VIPER, DILUTED 55.9 85613 4306089 PTT SUBSTITUTION 55.9 85732 4306090 STREP PNEU AG URINE 225.5 87899 4306091 PHOSPHOLIPID NEUTRAL 55.9 85597 4306092 REVERSE T3 138.65 84482 4306093 MYCOPLAS PNEU BY PCR 362.5 87581 4306094 ALPHA SUBUNIT 92.7 82397 4306095 QUANTIFERON-TB 374.9 86480 4306096 PLATELET ANTIBODIES 312 86022 4306097 PARIETAL CELL ANTIBO 98.3 86255 4306098 TRYPTASE 441.3 83520 4306099 CHROMOGRANIN A 295.7 86316 4306100 ALK PHOS ISOENZYMES 76.25 84080 4306101 ARBOVIRUS AB IGM CSF 769.2 4306102 CENTROMERE ANTIB IGG 74.05 86235 4306103 NIACIN / VITAMIN B3 304.65 84591 4306104 CLOS DIFFICILE PCR 100 87493 4306105 ANTI THROMBIN III AG 102.9 85301 4306106 ANTI THROM III ACTIV 110.2 85300 4306107 PROTEIN C FUNCTIONAL 104.15 85303 4306108 PROTEIN S FUNCTIONAL 164.8 85306 4306109 JAK2 GENE V617F MUT 478.25 81270 4306110 HSV TYPE 1 IGG 67.4 86695 4306111 HSV TYPE 2 IGG 67.4 86696 4306112 CADMIUM 52.55 82300 4306113 MERCURY 49.45 83525 4306114 MTHFR 463.5 81291 4306115 TESTOSTERONE, FREE 61.65 84402 4306116 CALPROTECTIN 432.6 83993 4306117 HEPATITIS B GENOTYPE 1248.35 87912 4306118 HEPATITIS B DNA PCR 324.45 87517 4306119 CYTOMEGALOVIRUS PCR 370.8 87496 4306120 AQUAPORIN NMO AB 878.85 86255 4306121 MULLERIAN HORMONE AB 367.25 83520 4306122 INFLU A ANTIGEN DFA 52.65 87276 4306123 INFLU B ANTIGEN DFA 52.65 87275 4306124 PARAINFLUENZAE AG 52.65 87279 4306125 RESP SYNCYTIAL AG 52.65 87280 4306126 ADENOVIRUS ANTIGEN 52.65 87260 4306127 ALLERGEN SPEC IGE EA 27 86003 4306129 RESP VIRUS PANEL DFA 0 4306130 VITAMIN A/RETINOL 63.93 84590 4306131 BORDATEL PERTUSS PCR 243.21 87798 4306155 THERAPEUTIC PHLEBOTO 150 99195 4306156 ALLERGEN SPEC IGG 27 86001 4309000 RESP VIRAL PANEL 1703.25 87633 4309001 DETECT INF AGENT 143.4 87798 4309002 MYCOPLASM PNEUMONIAE 143.4 87486 4309003 BORDETELLA PERTUSSIS 143.4 87581 4309004 RESPIRATORY PANEL 0 4309005 GI PANEL 1703.25 87507 4309006 BCID PER ORGANISM 96.5 87150 4309007 BCID PANEL 0 4309008 STREP B 55 87653 4309009 CFTR CYSTIC FIBROSIS 1600 81220 4309010 AORTIC DYSFX/DILATIO 1260 81410 4309011 AORTIC DYSFX/DILATIO 3375.48 81411 4309012 HIV PROBE 108.33 87535 4309100 HEMOCHROMATOSIS HFE 201.73 81256 4345858 CYTOLOGY SMEAR 70.96 88104 4345859 CYTOLOGY FILTER PREP 100.9 88106 4345860 CYTOLOGY SMEAR & FIL 120.48 88106 4345861 CYTOLOGY CYTOSPIN 91.1 88108 4345862 PAP TEST THIN PREP T 48 88142 4345864 CYTOLOGY OTHER 54.94 88160 4345865 CYTO TOHER PREP/STAI 59.46 88161 4345866 CYTO EXTENDED STUDY 84.08 88162 4345867 PAP TEST TRADITIONAL 29.94 88164 4345874 TISSUE EXAM I 39.86 88300 4345875 TISSUE EXAM II 87.34 88302 4345876 TISUE EXAM III 104.66 88304 4345877 TISSUE EXAM IV 135.56 88305 4345878 TISSUE EXAM VI 374.34 88309 4345879 DECALCIFICATION 12.74 88311 4345880 SPECIAL STAINS I 150.62 88312 4345881 SPECIAL STAINS II 125.76 88313 4345882 HISTOCHEMICAL STAIN 131.74 88314 4345883 CHEMCIAL HISTOCHEM S 161.18 88313 4345884 ENZYME HISTOCHEM STA 228.24 88319 4345886 OR CONSULT W/RAPID M 59.46 88331 4345887 ADDITIONAL RAPID MIC 21.04 88332 4345888 IMMUNOPEROXIDASE STA 118.98 88342 4345889 IMMUNOFLUORESCENT ST 116.72 88346 4345890 IMMUNOFLUORESCENT ST 76.78 4345891 ELECTRON MICROSCOPY 1141.84 88348 4345892 MORPHOMETRIC ANALYSI 277.96 88355 4345893 MORPHOMETRIC ANALYSI 300.44 88356 4345894 MORPHOMETRIC ANALYSI 61.72 88358 4345895 NERVE TEASING 326.06 88362 4345896 TISSUE IN SITU HYBRI 211 88365 4345897 CYTO SELEC CELL INHA 89.6 88112 4345898 FLOW CYTO TC ADDITIO 87.68 88185 4345899 FLOW CYTO TC 1ST MAR 144.98 88184 4345900 MORPHOMET ANALY,TUMO 172.7 88361 4345901 MORPHO ANALYS INSITU 577.85 88368 4346049 TISSUE EXAM V 100.92 88307 4348304 PF PATH 88304 110 88304 4348305 PF PATH 88305 110 88305 4348312 PF PATH 88312 110 88312 4354667 PLASMA FRESH FROZEN* 170 P9017 4354668 PLATELET PHERE-LEU* 1653 P9035 4354669 CRYOPRECIPITATE EA* 121 P9012 4354670 PRBC,LEUKORED ISSUE* 633 P9016 4400001 SOLU-MEDROL 1GM VIAL 15.4 J2930 4400002 185177130 4 4400003 BISOP5 4 4400004 ABILIFY 15MG TAB 4 4400005 PHENOBARB 4 4400006 MEPERIDINE 25 20 J2175 4400007 ACCUZYME OINT 11 4400008 MEROPENEM 1000 24.16 J2185 4400009 MEROPENEM 500 4.25 J2185 4400010 LANOLIN CREAM 30GM 5 4400011 ECONOPRED OPTH DROPS 20.05 4400012 PROPRAN40 4 4400013 NITROGLYCERIN SL ER 23.45 4400014 NSG PT TAKI OWN MEDS 20 4400015 HUMULIN R 32.11 J1817 4400016 HUMULIN-N 32.11 4400017 HUMULIN 70/30 32.11 4400018 HUMALOG 296.65 4400019 ALENDRONATE 25 MG 61.45 4400020 MANNITOL 20% 500 ML 68.6 4400021 CREON 10 32.75 4400022 SODIUM CHL 15ML NEB 1.33 J7040 4400023 CHLORPROMAZINE 10 MG 12.6 Q0161 4400024 ALREX 0.2% OPTH SUSP 4.7 4400025 SELEGILINE 5 MG 6.9 4400026 CHLORPROMAZINE 100MG 37.5 4400027 AMIDATE 2MG/ML 10ML 23.3 J3490 4400028 AMIODARONE 50MG/ML I 1.7 J0282 4400029 BENZTROPINE 1MG TAB 4 4400030 ACYCLOVIR 800MG TAB 11 4400031 ALBURX 5% SOLN 64.8 4400032 VAZOBID SUSP 5ML 20 4400033 SINEMET 10-100MG TAB 4 4400034 ATROPINE 1% OPTH SOL 46.1 4400035 CRESTOR 20MG TAB 25.9 4400036 AUGMENTIN ES-600 75M 114.5 4400037 MEMANTINE 5MG TAB 18.3 4400038 MEMANTINE 10MG TAB 18.3 4400039 MELOXICAM 7.5MG TAB 4 4400040 DEXTROSE-NACL 5-0.45 20 4400041 AVODART 0.5MG CAP 18.1 4400042 STADOL 1MG/ML INJ 20.25 J0595 4400043 FLORASTOR CAPSULE 4 4400044 MEPERIDINE 75 MG/ML 20.75 J2175 4400045 ZIPRASIDONE 80 MG 32.6 4400046 EXELON 4.6MG PATCH 77.65 4400047 DEXTROSE-NACL 5-0.2% 20 4400048 DOPAMINE D5W 1.6-5 7.12 4400049 ELTA CREAM 23.45 4400050 EPIFOAM 291.25 4400051 LITHIUM ER 450MG TAB 4 4400052 MORPHINE 2MG/ML INJ1 20 J2270 4400053 MELATONIN 5MG TAB 4 4400054 NEUPOGEN 480MCG/0.8 4.98 4400055 PFIZERPEN 5000000 UN 45.55 4400056 RAPAFLO 4MG CAPS 24.95 4400057 SODIUM CHLORIDE 1 GM 4 4400058 TIAGABINE 4MG TAB 23.8 4400059 TRIFLUOPERAZINE 5MG 7.6 4400060 VASOPRESSIN 20 UNIT 20 4400061 ALFUZOSIN ER 10MG 12.65 4400062 JUVEN PACK 6.85 4400063 SANTYL 250UN OINT 812.7 4400064 SENSIPAR 60MG TAB 142.25 4400065 ENOXAPARIN 40MG INJ 5.4 J1650 4400066 ENOXAPARIN 100MG INJ 7.16 J1650 4400067 ENOXAPARIN 30MG INJ 7.17 J1650 4400068 ENOXAPARIN 60MG INJ 7.16 J1650 4400069 ENOXAPARIN 80MG INJ 7.16 J1650 4400070 AZACTAM 1GM VIAL 104.4 4400071 ADVAIR 100/50 MCG 546.2 4400072 EUCERIN LOTION 37.75 4400073 ELTA CREME 160Z 88.25 4400074 PROCTOCREAM 1% 250.25 4400075 PEPTO BISMOL 0.01 4400076 PEPTO BISMOL 4 4400077 ALBUTEROL 0.083% 0.01 4400078 ALBUTEROL 0.083% 4 4400079 LORAZEPAM INJ 20 J2060 4400080 RISPERDAL CONSTA 37. 2448.8 4400081 DILTIAZEM ER 240MG 4.3 4400082 LETROZOLE 2.5MG 54.4 4400083 ISOSORBIDE DIN 10MG 4 4400084 ONDANSETRON 4MG ODT 69.35 4400085 HYDROMORPHONE 2MG 9.36 J1170 4400086 CONSULT RX AB REVIEW 0.01 4400087 VITAMIN D3 1000 4 4400088 AQUAPHOR OINTMENT 23.95 4400089 CHLORPHENIRAMINE 4MG 4 4400090 TAMOXIFEN 10MG TAB 4 4400091 PAMIDRONATE 30MG 67.65 4400092 CONTOUR TEST STRIP 4 4400093 CHARCOAL 50GM 121.45 4400094 DIMETAPP COUGH/COLD 4 4400095 LIOTHYRONINE 5MCG 12 4400096 MORPHINE 4MG INJ 20 J2270 4400097 HYDROMORPHONE 2 MG 20 J2270 4400098 RISPERDAL CONSTA12.5 816.3 J2794 4400099 FLUZONE (> 6 MO) 20 Q2038 4400100 METOPROTERENOL SYRUP 4 4400101 RISPERIDONE 0.5 MG 6.55 4400102 NULL 0.01 4400103 LEVOTHYROXINE 112MCG 4 4400104 HZTC 12.5MG TABLET 4 4400105 AURO EAR DROPS 18 4400106 ARIXTRA 7.5MG INJ 28.58 J1652 4400107 SUFENTANIL 0.01 4400108 VALISONE 0.1% CREAM 83.9 4400109 BETADINE SCRUB 4OZ 4.45 4400110 BETAMETH DP AUG 0.05 113.85 4400111 ARIXTRA 2.5MG INJ 36.43 J1652 4400112 MERCAPTOPURINE 24.55 4400113 THEOPHYLLINE 400MG 4.05 4400114 0.45% NS 500ML 20 4400115 MORPHINE 8MG INJ 20 J2270 4400116 BUSPIRONE 10MG TAB 4 4400117 PRANDIN 2MG TABLET 10.95 4400118 HYDROCORTISONE 5MG 4.9 4400119 CEFEPIME 2GM 8.83 4400120 UROGESIC BLUE 13.8 4400121 ENTRESTO 49/51 27.8 4400122 ESTRATEST HS.625/1.2 14.4 4400123 CALCIUM GLUCONATE 4 4400124 ESTRADIOL 0.05 PATCH 69.6 4400125 MILRINONE 10MG/10ML 72 4400126 FLUORESCEIN STRIPS 4 4400127 XARELTO 20MG TAB 50.3 4400128 SYMBICORT 160 INHALR 800.4 4400129 LIBRIUM 10MG CAP 4 4400130 CALCIUM CARBONAT 600 4 4400131 NULL 0.01 4400132 NULL 0.01 4400133 TENORMIN 25MG TABLET 4 4400135 CLEOCIN 600MG PREMIX 22.25 4400136 CLONAZEPAM 0.25 4 4400137 CLEOCIN 900MG PREMIX 18.12 4400138 HIBICLENS LIQUID 4 6.3 4400139 XARELTO 15MG TAB 50.3 4400140 NOLVADEX 10MG 5.65 S0187 4400141 SENOKOT S TAB. 4 4400142 HABITROL 21MG/DAY 6.4 4400143 ENTRESTO 24-26 MG 27.8 4400144 HYCET 5ML 21.2 4400145 SYNTHROID 137 MCG 4.25 4400146 TAMBOCOR 50MG 12.15 4400147 PAXIL 20MG TABLET 8.15 4400148 NULL 0.01 4400149 ZOSTRIX CREAM 49.5 4400150 INFLUENZA ADULT VACC 136.85 Q2034 4400151 TUDORZA INH 614.7 4400152 FLUCONAZOLE 100MG/50 30.6 4400153 THORAZINE 25MG/ML 90.2 4400154 NEUPOGEN 300 MCG/M I 811.5 4400155 CEREBYX 100MG/2ML 59.7 Q2009 4400156 LIDOCAINE 2% 5 ML 4 4400157 BENZTROPINE 0.5MG PO 4 4400158 COUMADIN 7.5 MG TA 11.1 4400159 FERROUS SULFATE 5ML 4 4400160 CEFTAZIDIME 2 GM INJ 8.46 4400161 PHENYTOIN 250MG/5ML 4 4400162 COUMADIN 2 MG TAB 7.75 4400163 AMMONIA INHAL. .33 4 4400164 NICOTINE PATCH 7MG 6.4 4400165 FE C TABLET 4 4400166 RANITIDINE ORAL SOLN 35.4 4400167 VITAMIN C 500MG TA 4 4400168 LUNESTA 3MG TAB 35 4400169 MAXZIDE-25 4 4400170 MIDAZOLAM 50MG/10ML 2.12 J2250 4400171 CEREFOLIN 19.3 4400172 DOXEPIN 10MG/ML 4 4400173 INFLUENZA VACCINE 16 111.85 4400174 TRIAMCIN .025% CREAM 9 4400175 I.N.H. 300MG 4 4400176 PREPARATION H OINT 20.2 4400177 IBUPROFEN 100MG 2 4400178 TRANDATE 100MG TAB 4 4400179 GENTAMICIN 40MG/ML 20 J1580 4400180 METHOTREXATE INJ 25.75 4400181 MILRINONE 50ML 55.8 4400182 GENTAMICIN 120MG INJ 6.67 J1580 4400183 VICTOZA PEN 6MG/ML 968 4400184 IMIPRAMINE 50MG 4 4400185 ONGLYZA 48.95 4400186 MINOCIN 50MG 5 4400187 UNASYN 3.0GM 16.2 J0295 4400188 PREDNISONE 5MG/5ML 12 J7512 4400189 0.25% ACETIC ACID 21.8 4400190 PLASMA-LYTE A 45.7 4400191 CEFAZOLIN 500MG INJ 20 J0690 4400192 CLINIMIX E 4.25/5 135.35 B4189 4400193 ESGIC PLUS 4 4400194 VIT E 400IU CAP 4 4400195 RIFAMPEN 300MG 6.05 4400196 HYDROXYUREA 400MG 4 4400197 QUINAGLUTE DURA TA 4.1 4400198 APAP 160MG/5ML 11.35 4400199 TORADOL 10 MG TABLET 6.45 4400200 SOD.BICARB TAB 10G 4 4400201 LEVSIN DROPS 15ML 119.35 4400202 PROZAC LIQD 20MG/5ML 355.05 4400203 DEXAMETHASONE ELIXIR 4 4400204 CARBAMAZEPINE ER 200 12.1 4400205 ARIPIPRAZOLE 10MG 96.35 4400206 INFED 50MG/ML 47.73 J1750 4400207 METHYLPREDNISOLONE 4 4.25 4400208 PILOCARPINE OPTH 4 317.05 4400209 ARTIFICIAL TEARS 5 4400210 DUONEB 6.55 J7620 4400211 AMIKACIN 250MG/ML 8.82 J0278 4400212 TOBREX OPTH. OINT. 771.7 4400213 RISPERIDONE 1MG/ML 457.65 4400214 TOBREX OPHTH DROPS 43.7 4400215 PHENOBARBITAL 65MG 74.9 J2560 4400216 VITAMIN B12 1000MCG 4 4400217 FOLIC ACID 400MCG 4 4400218 CATAPRESS TTS-3 PA 232.3 4400219 VORICONAZOLE 200MG 457.75 J3465 4400220 BRETHINE 1 MG/1ML 20 J7681 4400221 DOPAMINE 40MG/ML 20 J1265 4400222 TUBERCULIN PPD 29.2 4400223 BRIDION 100MG/ML INJ 342 J3490 4400224 PHENOBARB INJ 130M 194.35 J2560 4400225 IMITREX 6MG INJ 255 J3030 4400226 DANTROLENE SODIUM 5.8 4400227 CLINIMIX E 2.75/5 2L 189.9 B4189 4400228 IMIPRAMINE 25MG 4 4400229 VITAMIN B12 2500MCG 4 4400230 CIMETIDINE 300MG 4.8 4400231 FLUOXETINE 20MG/5ML 36 4400232 KETOCONAZOLE 2% 92.7 4400233 ACIDOPHILUS 4 4400234 RELAFEN 500MG TAB 4 4400235 PROVENTIL SOL 20ML 24 J7613 4400236 PROVENTIL SOL 3ML 4 J7609 4400237 MORPHINE 10MG 20 J2274 4400238 CEFTAZIDIME 1GM 9.44 J0713 4400239 TOUJEO 446.8 J1815 4400240 BUMETANIDE 2.5MG10ML 10 S0171 4400241 SECTRAL 200MG 4 4400242 ESMOLOL 100MG/10ML 26.4 4400243 POTASSIUM CHL 10MEQ 4 4400244 ETRAFON 2-10 TAB 4 4400246 PHENYTOIN 50MG TAB 4 4400247 ROPINIROLE 7.5 4400248 BUTRANS 241.6 4400249 INTRALIPID 20% 500ML 13.1 B4185 4400250 ISMO 20MG 4 4400251 ATOVAQUONE 22.2 4400252 COARTEM 18.4 4400253 CEFZIL 250MG TABS 13.1 4400254 CEFZIL 125/5 SUSP 63.2 4400255 CEFZIL 250/5ML SUSP 117.25 4400256 BIAXIN 500MG TAB 18.05 4400257 PANCREASE CAP. 4 4400258 DIPHENHYDRAME 25 5.5 4400259 VANCOMYCIN 500MG INJ 25.2 J3370 4400260 CLINIMIX E 4.25/25 2 267.4 4400261 NORVASC 5MG TABLET 4 4400262 GLUCOSAMINE/CHONDRO 4 4400263 POTASSIUM CHLOR 10ME 4 4400264 LOTENSIN 10 MG 4 4400265 DIPHEN & ZINC CREAM 11.95 4400266 CLEOCIN 600MG INJ 20 S0077 4400267 CIMETIDINE 300MG 4.8 4400268 VENTOLIN HFA 90MCG 193.45 4400269 MELATONIN 5MG 4 4400270 NITROFURANTOIN 100MG 10.15 4400271 ALOE VESTA OINTMENT 18.8 4400272 DESYREL 50 MG TAB 4 4400273 VALSARTAN 40MG TAB 12 4400274 ACYCLOVIR 500MG INJ 0.2 J0133 4400275 SULFACET/PRED 10% OP 56.25 4400276 NEXIUM 40MG INJ 125.65 4400277 SOLU-MEDROL 40MG INJ 21.65 J2920 4400278 CREON 4.45 4400279 MYRBETRIQ 25MG 42.3 4400280 HYSINGLA ER 30MG 45.3 4400281 MINOXIDIL 6.35 4400282 TRONOLANE CREAM 4 4400283 LINZESS 46.45 4400284 MAGNESIUM OXIDE 0.01 4400285 HABITROL 14 PATCH 6.4 4400286 MOVANTIK 41.4 4400287 NICARDIPINE 0.01 4400288 NIFEDIPINE 0.01 4400289 HYDREA 500MG CAP 4 4400290 GLUCAGEN 617.75 J1610 4400291 PSEUDOEPHEDRINE LIQD 4 4400292 MACROBID CAP 15.3 4400294 RONDEC DROPS 30ML 65.95 4400295 MONOPRIL 10MG TAB 4 4400296 PRAVACHOL 10MG TAB 8.65 4400297 ETHYL CHLORIDE 92.55 4400298 EXCEDRIN MIGRAINE 4 4400299 LEVOTHYROXINE 125MCG 4 4400300 COLOCORT ENEMA 37.9 4400301 LITHIUM 150MG 4 4400302 CALAMINE LOTION 12.55 4400303 CARDURA 2MG TAB 11.25 4400304 FLUZONE 128.45 Q2038 4400305 NEOSTIGMINE 8.28 J2710 4400306 KENALOG ORABASE 5 241.75 4400307 VICKS VAPOR RUB 4 4400308 MEROPENEM 1GM 7.92 4400309 MERREM 500MG IVPB 11.72 J2185 4400311 MACRODANTIN 100MG 11.45 4400312 MUCOMYST 20% 4ML 11.5 4400313 BACMIN TAB 4 4400314 MAGNESIUM OXIDE 400 4 4400315 ROCEPHIN 1GM 10.44 J0696 4400316 LINZESS 145MCG CAPS 46.45 4400317 ROCEPHIN 2GM IVPB 8.2 J0696 4400318 ACCUPRIL 20 MG TAB 4 4400319 JEVITY 1.0 7.1 B4150 4400320 POLYTRIM OPTH SOL 38.6 4400321 PULMOCARE LIQUID 7.9 B4154 4400322 MYCOMYST 20% 10ML 4.35 4400323 LEVOPHED 4ML AMP. 31.5 J3490 4400324 INHALER SPACER 28.6 4400325 BENADRYL 1% CREAM 8.4 4400326 LITHIUM ER 300MG 4 4400327 1 10 4400329 LACRI LUBE OPHT OI 19.45 4400330 KCL 10MEQ/50ML IVPB 4 J3480 4400331 VITAMIN B-6 50MG 4 4400332 METHIMAZOLE 10MG 4 4400333 MORPHINE 10MG ORAL 4.9 4400334 HYDROMORPHONE SOLN 4 4400336 PAMIDRONATE 90MG 43.02 J2430 4400337 ASCORBIC ACID 500MG 325.75 4400338 VASOPRESSIN 20 UNITS 602.1 4400339 LEVOTHYROXINE INJ 380.1 4400341 HEPARIN 100U/ML 250M 1.2 4400342 LYRICA 100MG 26.75 4400343 PAPAVERINE 150MG 4 4400344 OPTI PRONOLOL 0.3% 76.15 4400345 DOXEPIN 150MG 10.15 4400346 HYDROMORPHONE 10MG 20 4400347 CARDIZEM CD 120MG 4 4400348 CAPSAICIN CREAM .025 29.8 4400349 GENTAMICIN 100MG 10 J1580 4400350 DEXTROSE 50% 500ML 44.45 4400351 CALAN SR 180MG TAB 4 4400352 DEBROX EARWAX KIT 19.65 4400354 FERRO-SEQUELS 4 4400355 MEFOXIN 1GM 21.6 J0694 4400356 PYRAZIRAMIDE(PZA) 50 19.45 4400357 PNEUMOCOCCAL VAC. 340.25 90732 4400358 OCUVITE TAB UD 4 4400359 ONDANSETRON INJ 20ML 7.06 J2405 4400360 HEPATITIS VAC 165.05 4400361 SLO MAGNESIUM 4 4400362 THYROID 0.5GR 4 4400363 GLYNASE 3MG UD 4 4400364 MORPHINE 2MG 20 4400365 CALAMINE LOTION 4.75 4400366 GATIFLOXACIN 354.5 4400367 RHEUMATREX TAB 2.5 O 18.7 4400368 TRANDOLAPRIL 2MG 4 4400369 PROMOTE 4 4400370 ZOLOFT 50 TAB 4 4400371 LONITEN 2.5MG TAB 4 4400372 LIDOCAINE 1% 2ML 10 4400374 NITROGLYCERIN 6.5MG 4 4400375 COGENTIN 2MG/2ML I 88.13 J0515 4400376 MORPHINE 4MG/ML 20 J2270 4400377 MORPHINE 8MG/ML 20 J2270 4400378 DECADRON 4MG TAB 4 4400379 SOLU MEDROL 500MG 20.8 J2930 4400380 NEOMYCIN 500MG 4.85 4400381 SYRPALTA SYRUP 5CC 4 4400382 PROCTO CREAM HC 180.45 4400383 CLAFORAN 500MG INJ 21.6 J0698 4400384 MORPHINE 10MG/ML 20 J2270 4400385 TOPROL XL 50MG TAB 4 4400386 CLINIMIX 5-20 1000 142.4 4400387 KEPPRA 500MG INJ 0.76 J1953 4400388 DILTIAZEM 50MG/10ML 20 4400389 MOXIFLOXACIN 400MG 81.55 4400390 MEPHYTON 5MG 211.55 4400391 FLUCONAZOLE 200MG IV 43.5 J1450 4400392 GENTAMICIN 80MG IVPB 20 J1580 4400393 AMPHOTERICIN B 50MG 136.8 J0285 4400394 DEMECLOCYCLINE 150MG 31.9 4400395 QUININE 5GR CAP 23.55 4400396 NYSTATIN/TRIAMCINOLO 335.8 4400397 MESALAMINE 800MG 32.15 4400398 NAFCILLIN 1GM 43.5 4400399 NYSTATIN ORAL SUSP 50.8 4400400 AMOXICILLIN 4 4400401 LORAZEPAM 2MG/ML ORA 4 4400402 SEVELAMER 800MG 18.25 4400403 TRELEGY INHALER 889.15 4400404 MEDROXYPROGESTERONE 4 4400405 EUCERIN LOTION 4OZ 16.45 4400406 GUAIFENESIN/CODEINE 4 4400407 NEOSPORIN GU AMP 39.35 4400408 PROMOD 0.01 4400410 BENZOIN COMP. TNC. 9 4400417 ROMAZICON 0.5MG/5ML 48.75 J3490 4400420 SYNTHROID 0.05MG 4 4400421 KLONOPIN 1MG TAB 4 4400424 ALTACE 2.5MG CAP 5.8 4400429 ROCALTROL 0.25MG 4 4400430 TRIMPEX 100MG TAB 22.45 4400435 CARBOCAINE 1% 30ML S 6.67 J0670 4400437 CARDIZEM CD 180 CAP 4 4400441 CIPRODEX OTIC SUSP 379.45 4400442 DEXFERRUM INJ PER 50 113.1 J1750 4400447 ARIXTRA 5MG INJ 42.87 J1652 4400449 COREG 12.5MG TAB 6.4 4400451 CRESTOR 10MG TAB 26.8 4400452 CRIXIVAN 400MG TAB 9.1 4400453 ARIXTRA 10MG INJ 21.44 J1652 4400455 RELISTOR 12MG INJ 392.4 J2212 4400456 CYMBALTA 30MG CAP 5.75 4400460 ROBAXIN 500MG TABLET 4 4400461 NULL 287.15 4400482 DEPAKOTE ER 250MG TA 5.8 4400483 DEPAKOTE 500MG TAB 11.5 4400484 DESONIDE .05% CREAM 64.8 4400488 RYTHMOLSR 325MG CAP 25.65 4400494 DIFLUCAN 400MG IVPB 37.45 J1450 4400495 DIGOXIN IMMUNE FAB 4 12780 J1162 4400498 SENSIPAR 60 MG TAB 131.75 4400500 TEST CODE 60 4400501 DOVONEX 0.005% CREAM 793 4400503 SUSTIVA 600MG TABLET 62.7 4400504 COMBIVIR 150-300 TAB 46.55 4400505 DURAGESIC PATCH 75MC 177.95 4400506 DURAHIST PE TAB 4 4400508 DYNACIRC CR 5MG TAB 9 4400509 NEUPOGEN 480MCG INJ 2.28 J1442 4400516 STALEVO 150 TABLET 17.3 4400518 BYSTOLIC 10MG TABLET 5.95 4400524 NONFORMULARY DRUG 0.01 4400525 ELIDEL CREAM 30GM 777.85 4400528 EPOGEN 2000 UNIT VIA 46.38 J0885 4400529 EPOGEN 20 VIAL 46.39 J0885 4400531 PERATIVE 8OZ CAN 11.7 B4153 4400535 HYDROXYZINE HCL 10MG 4 4400714 PROSTAT 887ML BOTTLE 20 4400715 ADACEL TDP VACCINE 157.9 90715 4400716 CLOZARIL 100MG TAB 10.25 4400769 CLOZARIL 25MG TABLET 4 4400771 PALGIC 4MG TABLET 4 4400781 VOLTAREN 1% GEL 164.45 4400782 ERYTH OPTH OINT 1GM 30.65 4400783 ALTABAX 5GM OINTMENT 128.55 4400797 CELEBREX 100MG CAPS 13.1 4400806 FORTAZ 1GM IVPB 50.75 J0713 4400809 VANTIN 200MG TABLET 26.15 4400810 DEXTROSE 500ML BOTTL 20 J7040 4400811 DURAPHEN II TABLET 4 4400812 GI COCKTAIL 45ML 45 4400815 GUAIFENESIN 400MG TA 4 4400816 PREDNISONE 1MG TAB 4 4400832 AMITIZA 8MCG CAPSULE 14.65 4400834 SANCTURA 20MG TABLET 8.5 4400889 TICLID 250MG TABLET 5.75 4400893 RYTHMOL SR 225MG CAP 20.1 4400904 AEROBID 7GM INHALER 294.1 4400905 HYDROCORTISONE 20MG 6.25 4400909 IMITREX 50MG TABLET 75.4 4400910 INVANZ 1GM(500MG VL) 231.58 J1335 4400911 FLECTOR PATCH 34.75 4400914 LIDOCAIN 2% EPIDURAL 1 C9285 4400916 EXELON 9.5MG PATCH 77.65 4400956 ARIMIDEX 1MG TABLET 6.2 S0170 4400959 DIAMOX 500MG CAPSULE 15 4401000 NURSING PROCEDURE 4 4401002 CEPHADYN TABLET 4 4401005 LEVBID 0.375MG TAB 4.85 4401007 ASMANEX 110MCG TWIST 332.35 4401009 LIDA MANTLE CREAM 161.3 4401010 LYSINE 500MG TABLET 4 4401020 LOVENOX 40MG INJ 7.14 J1650 4401021 LOVENOX 80MG INJ 7.16 J1650 4401024 LUMIGAN 0.03% OP SOL 403.9 4401025 RECLAST 100ML IV 252 J3489 4401033 B&O 30MG SUPPOSITORY 76.4 4401034 BUPIVACAINE/EPI 0.5% 37 C9290 4401036 VIVITROL 10.94 J2315 4401041 VIVACTIL 5MG TABLET 7.85 4401042 MELATONIN 3MG 4 4401045 MICARDIS HCT 80/12.5 7.75 4401046 VERSED 2MG/ML SYRUP 10.3 4401047 ALBUTEROL 1.25MG/3ML 4.95 4401062 SYMMETREL 100MG CAPS 6.05 4401064 DEXT 5% 100ML BOTTLE 38.2 J7060 4401065 DEXT 5% 500ML BOTTLE 20 J7060 4401067 NAMENDA 5MG TAB 18.7 4401068 NAMENDA 10MG TAB 20.35 4401072 HEP B VACC-PEDIATRIC 76.45 90744 4401074 PROTONIX IV 40MG/VIA 25.5 C9113 4401075 ROZEREM 8MG TABLET 9.9 4401081 COMPLEAT NUTR 1000ML 60.25 4401082 OMEGA 3 FATTY ACID 1 4 4401083 CEFDINIR 300MG CAP 21 4401084 VOLTAREN 25MG TABLET 4.25 4401101 PROBENECIDCOLCHICINE 4 4401111 BRILINTA 90 MG TAB 21.15 4401114 CEFEPIME 1GM VIAL 30.5 J0692 4401115 TRICOR 48 MG 8.05 4401121 MAXALT 10 MG 124.3 4401124 CLINIMIX 2.75/5 125.3 4401171 GLUCERNA 1.2 CAN 2.53 B4154 4401173 CEREFOLIN NAC TABLET 4.85 4401174 KADIAN 10MG CAPSULE 21 4401175 OXYCODONE HCL 5MG TA 4 4401178 NS 250ML ADV BAG 20 J7050 4401182 BIDIL 20-37.5 TABLET 6.75 4401184 SOD CHL.45-20KCL BAG 2.23 J3480 4401196 UTA CAPSULE 11.15 4401198 SILVASORB 1.5OZ GEL 92.9 4401201 CLEOCIN 600MG PREMIX 45.2 S0077 4401202 PRENATAL VITAMIN TAB 4 4401203 PREVACID OS PAK 30MG 17.2 4401204 PREVACID I V 30MG 85.35 J3490 4401205 MIDODRINE HCL 2.5MG 4 4401207 RANEXA 500MG TABLET 21.4 4401212 TESTOSTERONE CYPIONA 85.9 4401216 PROCRIT 2000UNT VIAL 4 J0885 4401217 BUDESONIDE 0.25MG/2M 28.25 J7626 4401218 BUDESONIDE 0.5MG/2ML 33.2 J7626 4401219 PROCRIT 10000 UNITS 926 J0885 4401220 PRADAXA 75MG 24.05 4401221 SUPRAX 400MG TAB 127.05 4401232 HEPAGAM B ADLT SDV 548.4 J1573 4401233 INVEGA 3 MG TABLET 47.15 4401234 PILOCARPINE 5MG TAB 5.45 4401243 MANNITOL 250ML BAG 75.8 J2150 4401246 RESTASIS 0.05% OPTH 25.6 4401248 RHINOFLEX 50/500MG T 4 4401250 RISPERDAL 0.25MG TAB 11.65 4401251 RISPERIDONE INJ. 25M 892 J2794 4401252 RISPERDAL CONSTA 37. 1356 J2794 4401253 ROCEPHIN 2GM IVPB 35.29 J0696 4401254 FLUOCINONIDE 0.05% 126 4401256 SMITH PASTE 4 4401258 PULMICORT FLEXHALER 448.75 4401297 PROCRIT 20,000 UNITS 1851.95 J0885 4401304 PROCRIT 3000 UNITS 76.57 J0885 4401306 PROCRIT 4000 UNITS 73 J0885 4401307 HEPARIN 1000 U 20 J1644 4401308 FAMVIR 250MG TABLET 18.95 4401309 SKELAXIN 800MG TAB 14.65 4401314 SPIRIVA HANDIHALER 6 283.55 4401315 LEVEMIR INSULIN 20 J1815 4401320 GLYCOPYRROLATE 48.75 4401321 ROBINUL 2MG TABLET 6.55 4401324 VYVANSE 30MG CAP 20.9 4401329 VYVANSE 70MG CAP 14.65 4401334 BYSTOLIC 5MG TAB 16 4401341 ADDERALL XL 30MG CAP 17.35 4401344 GRIFULVIN 500MG TAB 13.15 4401348 TRILEPTAL 300MG SUSP 10.85 4401355 COMBIGAN 372 4401364 UROXATRAL 10MG TAB 12.65 4401366 VENOFER 20MG/ML 1.8 J1756 4401367 ZIPSOR 25 MG CAP 19.55 4401373 CIPRO 400MG PREMIX 10 J0744 4401374 VIGAMOX OPTH DROPS 421.9 4401375 VISTARIL 25MG/ML (J3 72.6 J3410 4401376 VIT B-12 2500 MCG SL 4 4401381 WELLBUTRIN XL 150MG 14.3 4401382 WELLBUTRIN XL 300MG 14.3 4401386 TRIAMCINOLONE ACETON 18 4401395 ZETIA 10MG TAB 30.85 4401396 DOMEBOROS SOLUTION 28.75 4401398 ZOSYN 3.375GM VIAL 21.75 J2543 4401399 ZOSYN 2.25MG IVPB 6.41 J2543 4401400 ZOSYN 3.375 GM/50ML 85.85 J2543 4401402 ZYPREXA I.M. 10MG 140.6 S0166 4401444 ACETADOTE INJ 1 GM 11.28 J7608 4401445 MYCOPHENOLATE 250 MG 11.9 4401447 MYCOPHENOLATE 250 MG 0.02 4401454 DOBUTREX 250MG/20M 20 J1250 4401455 IMDUR 30MG TABS 5 4401462 DAKIN'S SOL(1/2 ST 34 4401465 ARAVA 20MG TABLET 49.2 4401480 ASA 81MG EC TABLET 4 4401481 VITAMIN E OIL 20 4401493 ARICEPT 23MG TABLET 44.95 4401498 CORDARONE 200MG TAB 4 4401499 ATACAND 16MG TABLET 12.8 4401503 AZASITE 1% EYE DROPS 280.25 4401511 NYST/LIDO VISC 3:1 0.07 4401515 DEXTROSE 70 % 500 ML 45.95 4401521 VANCOMYCIN ORAL SOL 248 4401522 RIFAMIN 9.7 4401523 TPN ELECTROLYTES 20 4401531 HALFLYTELY 2 L 236 4401533 IMDUR 60MG 4.1 4401535 CELEBREX 200MG CAP/U 12.55 4401539 TAPAZOLE 10MG TAB 4 4401540 TENEX 2 MG 2 4401546 POTASSIUM ACETATE 20 J3490 4401549 TNKASE 50MG KIT 422.05 J3101 4401551 TUCKS PADS 7.4 4401552 NORVASC 10MG TABLET 7.1 4401556 ZITHROMAX 200/5ML 20.92 4401558 HEPATITIS A VAC 14 227 S5000 4401559 ZITHROMAX 100/5ML 20.92 4401561 ZITHROMAX 250MG TA 22.15 Q0144 4401562 EVISTA 60MG TAB 10 21.35 4401563 PROZAC 10 MG 7.25 4401566 COMPAZINE 5MG/ML 1 20 J0780 4401569 HEPATITIS B (ADULT) 205.65 90746 4401572 DIGIBIND 38MG/VIAL/I 1228 J1162 4401573 URISPAS 100MG TAB 4.4 4401574 ESKALITH CR 450 MG 4 4401575 ARICEPT 5MG TABS 23.35 4401576 IMMUNE GLOBULIN IV 1 219 J1556 4401579 MICARDIS 40MG TAB 23.95 4401582 FLEETS ENEMA PED. 4.55 4401583 FLEETS W/MINERAL OIL 4 4401584 FOLIC ACID 5MG/ML 20 4401585 GLUCOTROL XL 5MG TAB 4 4401586 GLUCOTROL XL 10 TAB 4 4401589 TETANUS/DIPTHERIA TO 75 90471 4401592 DYRENIUM CAPS 50MG 12.55 4401593 ULTRACAL DIETARY S 7.4 4401595 STADOL NASAL SPRAY 237.8 4401596 MUCOMYST 10% UD 9.2 J7608 4401597 MEGACE 40MG TAB 4 4401602 MIRAPEX 0.25MG TAB 8.75 4401608 DECADRON 0.75MG TA 4 4401610 FLORINEF 0.1MG 4.75 4401616 PROLIXIN DEC 25MG 78 J2680 4401623 DIFLUCAN 100 MG TA 29.1 4401625 QUESTRAN LIGHT 4GM 10.05 4401628 FLANDERS OINTMENT 19.7 4401629 CANDIDA SKIN TEST 22 4401630 NEUTRA-PHOS PK. 4.25 4401633 FERRLECIT 62.5MG VL 22.9 J2916 4401635 CUBICIN 500MG VIAL 2.55 J0878 4401637 CENTRUM TABLET 4 4401639 KETALAR 50MG/CC 2 J3490 4401642 LEVSIN 0.125 SUBLI 4 4401643 ZARONTIN 250 MG CA 4 4401644 INFLUENZA VACCINE OV 43.1 G0008 4401646 NEULASTA 6MG INJ 16078.85 J2505 4401649 ARISTOCORT 4MG TAB 4 4401652 DIAMOX 500MG/VL IN 84.38 J1120 4401653 MYAMBUTOL 400 MG TAB 4 4401656 ZYRTEC 10MG TABS 7.4 4401660 MYAMBUTOL 100MG TA 4 4401662 MAXZIDE-25 TABLET 4 4401663 TIMOPTIC-XE 0.5% O 175.5 4401664 NEURONTIN 100MG CA 4 4401665 NEURONTIN 400MG CA 4 4401666 NEURONTIN 300MG 4 4401667 GLUCOPHAGE 850MG 4.4 4401668 ELOCON LOTION 0.1% 89.55 4401671 CHOICE DM 8OZ/CAN 11.55 4401672 PLAVIX 75MG TABS 4 4401673 AMIODARONE 150/3 VL 4 J0282 4401677 ZOCOR 20MG TABS 14.75 4401679 ZOCOR 5MG TAB 7 4401686 PRIMAXIN 500MG VIAL 45 J0743 4401691 KLONOPIN 0.5MG TAB 4 4401694 ROCEPHIN 1GM VIAL 13.13 J0696 4401695 ROCEPHIN 2GM VIAL 11.72 J0696 4401699 TIGAN SUPP 200MG 34.8 4401704 NITROGLYCN 50MG/25 69.55 4401731 TYLENOL 120MG SUPP 4 4401732 TYLENOL 325MG SUPP 4 4401733 TYLENOL 650MG SUPP 4 4401736 ASA TAB. 325MG (5G 4 4401738 AQUA MEPHYTHON .5M 20 J3430 4401743 ASA SUPP 600MG 4.5 4401744 TRIAMCIN .5% CREAM 33.3 4401750 ANECTINE INJ 20MG/ML 6.91 J0330 4401752 PEPTO BISMOL 8OZ 7.75 4401753 AMOXIL DROPS 15ML 9.8 4401754 SULAR 8.5MG TABLET 47.6 4401755 TARCEVA 150MG TABLET 459.3 4401756 ATROPINE 0.1 MG INJ 4 J0461 4401760 MICRONASE 5MG TABLET 4 4401761 BENADRYL 50MG CAP 4 Q0163 4401762 BENADRYL 25MG TAB 4 4401763 ADDERALL XR 15 CAP 17.35 4401764 SAVELLA 50 MG TABLET 12.35 4401765 BETADINE OINT 30G 19.15 4401776 KRISTALOSE 20 GM PKT 26.2 4401777 BETASERON 0.3MG PFS 632.45 4401781 TETANUS IMMUNE GLO/U 188 J1670 4401782 COLCHICINE 0.6MG T 24.4 4401784 DILANTIN 125MG/5ML 4 J1165 4401785 DILANTIN 100/2 INJ 10 J1165 4401786 DIMETAPP ELX 5ML 4 4401787 KEFLEX 500MG CAPSULE 4.05 4401789 DEXTROSE 25% PFS 30.1 J7060 4401790 EES 400 LIQUID/DOS 4 4401792 EES 200 LIQUID/DOS 4 4401793 EPI 1:1000 1ML VIAL 52.5 J0171 4401794 ENSURE CL STR 8OZ 4.35 B4152 4401795 TRANSDERM SCOP DIS 76.65 4401796 FLEXERIL TAB 10MG 4 4401797 GARAMYCIN OPTH OIN 106.3 4401798 GO-LYTELY 4000ML 8 69 4401799 GLYCERINE SUPP ADU 4 4401800 GLYCERINE SUPP INF 4 4401801 HEPARIN LOCK FLUSH 2 J1642 4401802 HYDROCORT 1% CREAM 8.95 4401803 SORBITOL 70% 30/UD 6.7 4401805 INDERAL INJ 10MG 22.5 J1800 4401807 IPECAC SYRUP 1OZ. 13.75 4401811 NIZORAL CREAM 15GM 393.95 4401814 LASIX 20MG INJ 22 J1940 4401815 LUBRIDERM 8 OZ 7.6 4401816 DURAGESIC 100MCG/HR 160.25 4401819 LIDOCAINE 1% INJ. 4.58 J2001 4401821 MICRO K 10MEQ TABLET 4 4401825 SYMLIN 600 MCG 740.2 J1815 4401827 VERAMYST NASAL SPRAY 304.9 4401829 MILK OF MAGNESIA 30M 7 4401832 DILAUDID 4MG/ML C/ 22 J1170 4401837 NARCAN .4 MG AMPUL 46.8 J2310 4401838 NEOSPORIN OPTH OINT 28.6 4401839 STRATERRA 25MG CAP 16.2 4401840 METROGEL 60 GM 531.7 4401841 OSCAL, 500 MG 4 4401843 MTE-5 46.85 J3490 4401848 LOTEMAX OPTH SUSP 95 4401850 OPANA 10MG TABLET 18.9 4401856 DRAMAMINE 50MG TAB 4 4401857 PHENERGAN 25MG SUPP 53.1 4401858 PHENERGAN 12.5 SUPP 53.1 4401860 LORCET PLUS 4 4401867 RESTORIL 15MG CAP 4 4401870 VIRACEPT 625MG TAB 18.9 4401872 STAVUDINE 40MG CAP 20.5 4401877 THIAMINE 100MG/ML VL 18.65 J3411 4401887 TYLENOL DROPS 15ML 12.5 4401888 TYLENOL 325MG TABLET 4 4401889 TYLENOL 500MG TABLET 4 4401890 VALTREX 500MG TAB 21.65 4401896 SANCTURA XR 60MG CAP 15.05 4401903 EPIVIR 150MG TABLET 21.6 4401908 VISTARIL 50MG CAP 4 4401909 VISTARIL 25MG CAP 4 4401912 GLUCAN PRO 3000 CRM 118.5 4401914 PRISTIQ 50MG TABLET 34.9 4401915 GARAMYCIN OPTH DRO 57.55 4401920 LIDOCAINE GEL 30ML 74.4 4401922 LIDOCAINE 1% 20ML 1 J2001 4401924 VIMPAT 200MG TAB 25.4 4401925 AROMASIN 25MG TAB 37.15 S0156 4401928 ZOVIRAX 200MG CAP 4.55 4401929 MORPHINE SULF.,4MG 9 J2270 4401930 DEMEROL 25MG/ML C/ 20 J2175 4401931 DEMEROL 50MG AMPULE 22.15 J2175 4401933 DEMEROL 75 MG/ML 20 J2175 4401934 DEMEROL 50 MG TAB 9.05 4401936 PERCODAN TABLETS 4 4401937 SUBLIMAZE .1MG INJ 20 J3010 4401939 EPHEDRINE SULF 50 158.3 J3490 4401940 PHENOBARB 30MG TAB 4 4401942 TYLENOL #3 TABLET 4 4401943 PHENERGAN SUPP 50M 107.3 4401944 LOMOTIL TABLETS 4 4401945 XANAX 1MG TABLET 4 4401946 XANAX 0.25MG TABLET 4 4401947 TRANXENE 3.75 MG TAB 6.1 4401949 METRO TOPICAL GEL 45 959.05 4401951 DARVOCET N-100 TAB 4 4401955 TYLENOL-CODIENE ELX 4 4401956 TUSSIONEX SUSP 5ML 9.75 4401958 VALIUM 10 MG PER 5 4.25 J3360 4401959 VALIUM 5MG TABLET 4 4401960 VALIUM 2MG TABLET 4 4401961 PENTOTHAL 500MG RT 149.2 4401962 LORTAB 5/500 TABLET 4 4401965 LIDOCAINE JELLY SY 20.7 4401966 THEO-24 100MG CAP 5 4401967 MANDELOMINE 1GM TA 4 4401968 FLEET PHOSPASODA 9.7 4401973 ENDAL CD 5 ML 4.4 4401974 THROMBIN 5000 UNITS 0.05 4401976 KADIAN 50MG CAPSULE 42.2 4401978 CORTISPORIN OTIC S 281.3 4401979 DR SMITH ZOSTER CRM 4 4401982 ZEMPLAR 4MCG CAPSULE 110.5 4401984 VASELINE, TUBE 7.7 4401985 TOBRAMYCIN 80MG VIAL 20 J3260 4401987 VANTIN 100 MG TABLET 20.2 4401989 HALCION 0.25 MG TAB 11 4401990 VYVANSE 50MG CAPSULE 17.05 4401992 MUCOMYST 20% 30ML 4 J7608 4401993 RHO-GAM INJECTION/ON 378.4 J2790 4401994 ZEMPLAR 1MCG CAPSULE 46.85 4401995 PRISTIQ 100 MG TABLE 13.5 4401997 GLUCERNA 1.2CAL 1000 1.81 B4154 4401999 A & D OINTMENT 2OZ 9.65 4402000 KONDREMUL 30CC/UD 4 4402001 PULMOCARE 1000ML BOT 1.28 B4154 4402004 PERATIVE 1000ML BTL 54.35 B4153 4402005 ERYTH OPTH OIN 3.5GM 56.95 4402009 DILTIAZEM 125MG VIAL 40.95 J3490 4402011 JEVITY 1CAL 1000ML 1.75 B4150 4402012 DOPAMINE\PRE-MIX 400 5.06 J1265 4402013 TWO CAL 1000ML BOTTL 1.08 B4152 4402015 JEVITY 1.5 1000ML 1.08 B4152 4402017 B-12 1MG/ML VL 26.2 J3420 4402018 MG217 TAR OINTMENT 28.8 4402020 ADVAIR HFA 45/21 551.6 4402022 HEPARIN 300U/3ML PFS 0.67 J1642 4402028 MESTINON 60MG TABLET 4.45 4402030 COMPAZINE 10MG/2ML 66.6 J0780 4402032 SOD CHL 14.6% VL 20 J3490 4402033 DEPACON 500MG/5ML 24.1 J2790 4402035 LINDANE LOTION 60 ML 410.6 4402038 PREMARIN 0.3 MG TAB 19.25 4402039 DURICEF 250MG/5ML 182.4 4402041 CALDOLOR 400MG IV 6.9 4402047 MULTAQ 400MG TABLET 34.05 4402048 B & O SUPP. NO. 1 100.35 4402050 AFRIN NASAL SPRAY 6.15 4402052 INDERAL LA 80 CAP 75.6 4402055 PANCREAZE 10,500 CAP 7.55 4402059 LIPIDS 20% 100 ML 86.65 B4185 4402060 MAALOX 30ML 8.35 4402063 AZOPT 1% OPTH SUSP 366.1 4402068 STALEVO 75 TAB 10.35 4402070 DOXEPIN 100MG CAPSU 4 4402071 NS IRRIGATION 1000ML 12.4 4402072 GENT 800MG/20ML VIAL 20 J1580 4402074 MOTRIN 200MG SUSP 4.35 4402075 MORPHINE 5MG/ML VIAL 20 J2270 4402077 CYTOTEC 100 MCG TA 4 4402078 XYLOCAINE 5% OINT 71.95 4402079 BACTRIM IV 5ML 20 S0039 4402080 LIBRIUM 25MG 4 4402081 DELSYSM 3 OZ SUSP 28.6 4402084 BLISTEX 4 4402085 LOTREL 2.5/10MG CA 10.7 4402086 NITROGLYCERIN OINT 8.25 4402092 DIAMOX 250 MG TAB 9.85 4402093 LOTREL 5/10 CAPSULE 8.1 4402097 ZESTRIL 5MG TABLET 4 4402100 CALCIUM CHL 10% IN 24.4 J3490 4402101 ACTVTD CHARCOAL 25 50.1 4402102 UNNA PASTE BOOT 36.65 4402103 FOCALIN XR 5 MG CAP 14.8 4402105 ZONALON 5% CREAM 404.35 4402106 PERCOCET TAB 4.1 4402111 MS-CONTIN 30MG TAB 9.5 4402113 RISPERDAL CONSTA 50 3265.15 J2794 4402114 QUINIDINE 200 MG TAB 4 4402116 TWOCAL HN 240ML 1.58 B4152 4402118 ATROVENT HFA 17GM 851.35 J7635 4402119 BONIVA 150MG TABLET 416.6 4402120 LOMOTIL LIQUID 5ML 21 4402121 PREVNAR VACCINE 647.7 90670 4402122 HYDRALAZINE 10MG TAB 4 4402123 COLISTIN 150MG 100.75 J0770 4402127 PANCREASE 4 4 4402128 ABILIFY INJECTION 2.57 J0400 4402129 STERILE WATER 10CC I 20 A4216 4402134 ALDACTONE 25MG TAB 4 4402135 TETANUS TOXOID ADS 32 J1670 4402136 ARANESP 25MCG PFS 18.76 J0881 4402139 NALOXONE 1MG/ML PFS 59.4 J2310 4402142 NICARDIPINE IV 25MG 79.7 J3490 4402144 PERMETHRIN 1% LOTION 38.2 4402149 ARTANE 2MG TABLET 4 4402151 PHENOBARBITAL 20MG/5 4 4402154 FERROUS SULF 220MG/5 4 4402155 COUMADIN 2.5 MG TA 8 4402156 BACTRIM SUSP 200/40/ 14.3 4402163 OPANA ER 5MG CAP 6.8 4402164 PHENOBARB 100MG TAB 4 4402165 PHENERGAN 75 MG AM 8.45 J2550 4402166 LORTAB LIQUID 10ML 11.45 4402169 COENZYME Q10 200MG 4 4402201 CELLCEPT 500MG TAB 11.88 J7517 4402202 XANAX 0.5MG TABLET 4 4402203 ZIAC 5/6.25MG 16.15 4402206 ONGLYZA 2.5MG TAB 48.95 4402207 ISONIAZID 100MG 4 4402208 ORAJEL 20% CREAM 4 4402210 CLINDAMCYIN GEL 1% 114.4 4402212 SLOPHYLLIN 80 MG/1 9.95 4402214 TIMOPTIC OPTN .25% 45 4402215 PERI-COLACE LIQ 30/6 5 4402216 TIMOPTIC 0.5% 5ML 22.2 4402219 MECLIZINE 12.5MG 4.25 J8597 4402221 DONNATAL ELIXIR 5M 54.25 4402223 DEPAKOTE 250MG TAB 5.3 4402224 REPREXAIN 10-200 TAB 4 4402225 MVI INJ. 36.4 J3490 4402226 ATROPINE 0.4MG/ML VL 13.13 J7636 4402229 LOPRESSOR 50MG 4 4402231 BACTRIM DS TAB 4 4402232 KANANA BANANA 3 4402233 MINIPRESS 1MG 4 4402235 AQUAPHOR OINT 1.7 47.95 4402238 THORAZINE 50/2ML INJ 103.35 J3230 4402243 FLAGYL 500MG IVPB 20 S0030 4402248 XYLOCAINE 2% 2ML VL 5 J2001 4402250 ISOPROTRNL 1:50M 1 21.05 J7657 4402251 LUPRON DEPOT 7.5MG 1110.3 J1950 4402253 COLACE LIQ 50MG/5ML 4 4402255 VITAMIN D-3 2000IU 4 4402256 GRANISETRON INJ 20 J1626 4402257 INS-HUMALOG 50/50 0.29 J1815 4402262 LEUKINE 250MCG 157.33 J2820 4402264 NACL 0.45% 250ML ADD 20 4402265 DIOVAN 160MG TAB 15.65 4402267 SPECTRAZOLE CREAM 1% 92.75 4402268 PRAVACHOL 40MG TAB 14.35 4402270 PAMELOR 10MG CAP 4 4402271 MINERAL OIL STERILE 50.1 4402275 FERROUS GLUC 325 TAB 4 4402277 SEROQUEL XR 50MG 14.6 4402280 LOPRESSOR 25MG TAB 4 4402285 ABREVA CREAM 55.65 4402286 TYLENOL LIQ 160/5M 7.3 4402287 MOTRIN SUSP 100/5ML 4 4402294 PRAMOSONE 2.5% CR 30 379.9 4402295 MAGNESIUM SULF 1GMPB 14.65 4402296 INAPSINE 1ML AMP. 22 J1790 4402297 VIVONEX T.E.N. PK 26.65 4402298 SUDAFED 30MG 4 4402299 HALDOL DEC 100MG/ML 92.68 J1631 4402301 PERSANTINE 25MG 4 4402302 POTASSIUM PHOS IV 52.45 J3490 4402303 MAG SULF 4GM/100ML 3.58 J3475 4402304 BLEPHAMIDE OPH OIN 499.3 4402305 DEPAKOTE DR 500MG TA 4.25 4402307 SOD CHL 0.9% 10ML 4 A4216 4402308 TOVIAZ 4MG TAB 37.9 4402311 QUINIDINE SULF 300MG 4 4402312 VIROPTIC 1% 7.5ML OP 413.55 4402314 REMINYL 4 MG TAB 9.5 4402315 TRICOR 145MG TABLET 17.15 4402316 MACRODANTIN 50MG 6.4 4402318 SANTYL 30GRAM COLLAG 668.75 4402320 DERMAGRAN OINTMENT 36 4402322 BENADRYL 25MG ELIX 4 4402323 MAG SULFATE 50% 5G 2 J3475 4402324 NUVIGIL 50MG TAB 20.05 4402325 LAMICTAL 150MG TAB 15.6 4402328 DECADRON 20/5ML MDV 3 J1094 4402330 BICILLIN LA 1.2 M U 124.63 J0561 4402332 PHENERGAN 25MG TAB 4 4402336 ALLEGRA-D 60MG/120MG 4 4402338 APIDRA 3ML INS PEN 257.1 S5571 4402342 ANTABUSE 250MG TAB 11.35 4402344 GAMMAGARD 20GM IV 223.94 J1569 4402345 DDAVP NASAL SPRAY 1273.55 4402395 VIT B-2 100MG TAB 4 4402404 CEFAZOLIN 1GM INJ 11.25 J0690 4402405 PHENERGAN SYRUP 5ML 4 4402408 GAMMAGARD 10GM IV 223.94 J1569 4402410 EULEXIN 125 CAP 6.25 4402413 WELLBUTRIN 75MG 4.6 4402414 WELLBUTRIN 100MG T 5.9 4402415 PROTAMINE 10MG/ML 5M 5.3 J2720 4402418 DURICEF 500MG CAP 11.15 4402420 NITRO 0.1MG/HR PATCH 5.55 4402421 ZOVIRAX OINT 2GM 448.15 4402422 PROLIXIN DEC 25MG/ML 388.1 J2680 4402423 GYNE LOTRIMIN CREAM 36 4402424 SOD BICARB 50ML PFS 38 J3490 4402429 NITRO .3MG/HR PATCH 20 4402434 ZYLOPRIM 300MG TAB 4 4402437 LANOXIN .25MG TABLET 5.05 4402441 SENSORCAINE/EPI 0.5% 14 4402443 TEGRETOL 100MG TAB 4.25 4402446 FOLIC ACID 1MG U.D 4 4402447 IMURAN 50MG ORAL TAB 7 J7500 4402448 POLYSPORIN POWDER 26 4402449 LOVENOX 60MG PFS 15.84 J1650 4402450 MYCAMINE 50MG VIAL 6.73 J2248 4402451 HCTZ 25MG U.D. 4 4402453 LOVENOX 100MG PFS 7.16 J1650 4402454 MYCAMINE 100MG VIAL 6.73 J2248 4402455 INDERAL 20MG 4 4402459 POLYSPORIN ONIT 15 14.95 4402470 CLARITIN 10MG TAB 4 4402475 ERYTHROMYCIN 500MG V 42.35 J1364 4402479 AMOXIL 125 MG/5ML 9.35 4402481 SILVER SULFADIAZIN 26.95 4402482 ISORDIL 10MG TAB 5.75 4402484 ISORDIL 20MG TAB 4 4402489 ACTIGALL 300MG CAP 22.05 4402490 ANTIVERT 25MG TABLET 4 4402492 TESSALON PEARLS 1O 4 4402494 DITROPAN 5MG TAB 4 4402495 BIAXIN SUSP 250/5M 460.25 4402496 URECHOLINE 25MG TAB 5.35 4402498 GLYCERIN USP 4OZ 24.1 4402500 EES 200MG/5ML SUSP 831.2 4402502 ABBOKINASE OC 5000 212 J3364 4402504 MYOFLEX CREAM 12.05 4402505 LACTULOSE 30ML 8.9 4402509 DEPAKENE SYRUP 250 4 4402513 CALAN 80 MG TAB 4 4402515 DEPAKOTE SPRINKLE 12 4.25 4402516 ERYTHROMYCIN BASE 32.25 4402522 ROBITUSSIN SYR 100MG 4 4402524 LIPIDS 20% 250ML 29.63 B4185 4402527 REPREXAIN 5-200 TAB 10.3 4402529 PEDIATEX TD DROPS 30 223.9 4402531 SOD BICARB 4.2% IN 38.9 J3490 4402538 HYTRIN 1 MG 4.3 4402539 PATADAY OPTH DROPS 506.9 4402540 EFFIENT 10MG TABLET 42.65 4402542 ATARAX SYR. 10MG/5ML 4 4402548 DALIRESP 500MCG TAB 42.05 4402549 ULORIC 40MG TAB 38.45 4402550 LIBRAX CAPSULE 15.4 4402551 FML OPTH SUSPENSION 205.9 4402552 LABETALOL 4ML INJ 24.35 J3490 4402554 VASOPRESSIN 20U/1ML 20 J3490 4402556 LORTAB 5/325 MG 4 4402558 PRO-STAT 30ML UD 5.95 4402561 SENSORCAINE .5% 50ML 20 J3490 4402562 DICLOXACILLIN 250MG 4 4402565 FENTANYL 12MCG PATCH 60.9 4402566 ZONISAMIDE 50 MG 4 4402568 MORPHINE 4MG INJ 20 J2270 4402572 CARBATROL 100MG CAP 5.95 4402574 VIVONEX RTF 250ML 21.25 4402575 REGLAN LIQ.5MG/5ML 1 6.65 4402577 CASTOR OIL 2OZ/DOS 8.2 4402578 METOCLOPRAMIDE UP TO 22 J2765 4402579 NEXTERONE 150MG IV 24.97 J0282 4402580 ZENPEP 5,000 CAPSULE 4.65 4402584 NEXTERONE 360MG IV 13.84 J0282 4402590 CALDOLOR 800MG VIAL 43.1 J1741 4402592 MUCINEX DM TABLET 4 4402595 L-METHYLFOLATE 7.5 7.8 4402596 HYDROCORTISONE 2.5% 34.7 4402598 CITRATE OF MAGNESI 5.8 4402599 LEUCOVORIN CAL./50 M 247.05 J0640 4402600 ALLEGRA 180MG TAB 7.25 4402601 LYRICA 150MG CAP 22.75 4402603 CYMBALTA 30MG CAP 23.3 4402605 DDAVP 0.1MG TABLET 9.05 4402606 FENTANYL 50ML VIAL 2.52 J3010 4402608 CARAFATE 1GM TAB 4 4402610 DILOR G LIQUID 5ML 4 4402611 VOLTAREN 50MG TAB 4.4 4402612 THORAZINE 10MG TAB 4 4402613 MARCAINE 0.25% 30C 20 S0020 4402614 MARCAINE 0.5% 30ML 22.7 S0020 4402615 SENSORCAINE .25 EPI 43.1 4402616 MARCAINE 0.5% /EPI 29.75 S0020 4402619 NEO-SYNEPH 10MG/ML 43.2 J2370 4402620 VIT B-2 100MG 4 4402622 EFFEXOR 75MG TABS 6.55 4402623 NEO SYNEPHRINE 1% 11.8 4402624 NEO SYNEPHRINE 0.5 11.35 4402625 ZAROXOLYN 5MG TABLET 11.2 4402628 CIPRO 500MG TABLET 15.3 4402631 DIFICID 200MG TAB 561.65 4402632 GLUTOSE GEL 15GM 4.7 4402637 PLAAQUENIL 200 MG 13.15 4402638 AMPICILLIN 2GM INJ 11.94 J0290 4402640 GLUCERNA 1.5 1000ML 2.26 B4154 4402642 ATIVAN 4MG INJ 10 J2060 4402643 NUBAIN 20MG/ML AMP 20 J2300 4402644 ACTONEL 150MG TAB 395.75 4402647 IMODIUM 2MG 4.1 4402652 LABETALOL 20ML VIAL 93.75 J3490 4402653 REMICADE PER 10 MG 334.17 J1745 4402655 AUGMENTIN 500 MG T 11.35 4402657 GLY-0XIDE 15ML SOL 15.3 4402661 LAMICTAL 100MG TAB 14.25 4402664 LASIX 20MG TABLET 4 4402665 KEPPRA 5ML LIQUID 20.6 4402666 CYTOXAN 1GM VIAL 263.7 J9070 4402668 ALBUTEROL 2MG TAB 52.7 4402670 CALAN SR 120MG TAB 16.1 4402674 ROBAXIN INJ 100MG/ML 103.85 J2800 4402676 ULTANE 250ML INH/AN 489.6 J3490 4402678 PEPCID 20MG 7.25 4402682 AMITRIPTYLINE 25MG 4 4402683 AMITRIPTYLINE 50MG 4 4402684 LASIX 40MG INJ 20 J1940 4402685 BUMEX 0.5MG TAB 4 4402686 CIPRO IV 200MG 43.85 J0744 4402691 BUMEX 1MG TAB 4 4402692 MAG-OXIDE TABS 400 4 4402693 TENEX 1MG 4.25 4402694 PREMARIN VAG CR/AP 520.85 4402698 VANCOMYCIN 750MG VL 13.17 J3370 4402699 SODIUM ACETATE 20ML 20 J3490 4402700 HYDROGEN PEROXIDE 3% 4 4402709 DIFLUCAN 100MG IVPB 36 J1450 4402710 SODIUM PHOSPHATE IV 52.45 A9563 4402713 MYTREX CREAM 335.8 4402714 ZOVIRAX IV 1GM VIAL 0.16 J0133 4402717 ATROVENT INHALER 246.9 J7644 4402718 AZACTAM 1GM VIAL 118.6 S0073 4402719 NS 25ML BAG 20 J7050 4402722 TRADJENTA 5MG TAB 49.35 4402726 VIBRATABS 100MG 13.6 4402727 CHLOROTHIAZIDE 500 374.25 J1205 4402729 PROLIA 60MG PFS 52.89 J0897 4402730 NITROSTAT 1/150GR SL 4 4402731 DILAUDID 2MG TABLET 4 4402742 URISED TABLET 4 4402743 CLEOCIN 150MG CAP 4 4402747 PEPTO BISMOL TABLET 4 4402748 CLINIMIX 5-15 1000ML 119.6 B4189 4402750 MEFOXIN 2GM 18 J0694 4402751 MEGACE 400/10ML SUS 12.65 4402753 CLONIDINE 0.1MG TA 4 4402754 CLONIDINE 0.2MG TA 4 4402758 NORFLEX 100MG TABLET 6.55 4402763 PROCAINAMIDE SR 50 4 4402764 EDECRIN SODIUM 50M 10368.75 J3490 4402765 ZINC OXIDE OINT 9.85 4402766 PERIDEX MOUTH WASH 31.2 4402767 NEUMEGA 5MG INJ 1159.9 J2355 4402777 FLAXSEED OIL 1200 MG 4 4402781 HEPARIN PREMIX 25,00 1.19 J1644 4402782 KCL 20MEQ/100ML IVPB 2 J3480 4402783 DOPAMINE PREMIX 200M 70.2 J1265 4402784 LIDOCAINE 500ML BAG 20.95 J2001 4402785 CO Q-10 100MG CAP 4 4402805 LORTAB 7.5-325 TAB 4 4402806 LVF- D5-1/2NS-20KCL 2 J3480 4402807 LVF D5-1/2NS-40KCL 6.03 J3480 4402808 LVF NS-20KCL 3.01 J3480 4402809 LVF NS-40KCL 6.79 J3480 4402810 MORPH SULF 8MG/ML VL 20 J2270 4402811 MORPH SULF 2MG CPJ 20 J2270 4402812 SODIUM CHL 3% INH 4 4402813 LVF D5-LR-20KCL 34.65 J7120 4402814 LVF D5-LR-40KCL 42.7 J7120 4402815 XYLOCAINE 1% 5ML VL 4 J2001 4402816 SODIUM CHLORIDE 23.4 20 4402818 LVF D5-NS-20KCL 3.01 J3480 4402819 LVF D5-NS-40KCL BAG 5.57 J3480 4402821 TRAVASOL E 2.75-5 138.65 B4189 4402822 TRAVASOL 4.25%/DEX 416 4402823 TRAVASOL E 4.25-10 149.55 B4189 4402824 CHLORTHALIDONE 25MG 6.85 4402848 OSMITROL PREMIX 20% 63.2 J2150 4402849 SEROQUEL XR 150 29.35 4402856 KYTRIL 1MG IV 7.08 J1626 4402857 CEFAZOLIN 1GM FZN IV 10.5 J0690 4402858 ROCEPHIN 1GM IVPB 40.31 J0696 4402862 ZOSYN 4.5GM/100ML BA 164.25 J2543 4402863 NIFEDIPINE 10MG CAP 5.9 4402876 GRIFULVIN SUSP 125 9.75 4402879 CLINIMIX 4.25-10 BAG 120.3 B4189 4402883 NPLATE 250MCG VIAL 193.9 J2796 4402884 CORGARD 40MG TAB 4 4402885 LUMIGAN 0.01% SOL 647.6 4402888 ASPIRIN 300MG SUPP 4.35 4402894 CARDIZEM 30MG TAB 4 4402896 CARDIZEM 60MG TAB 4 4402898 MOTRIN 600MG TABLET 4 4402901 MAXZIDE U.D. 4 4402903 GLUCOTROL 5MG TABLET 4 4402905 VISINE 15ML 8.95 4402907 ALTACE 1.25MG CAP 5.65 4402910 NEO SYNEPHRINE NAS 11.35 4402911 TIMENTIN 3.1GM VL 48 S0040 4402915 PITOCIN AMP 53.65 J2590 4402916 PEPCID 20MG/2CC VIAL 20 S0028 4402917 KETOPROFEN 75MG CAP 4 4402920 MIDODRINE 5MG TAB 8.1 4402921 CAPOTEN 25MG TAB 5.5 4402923 MYLICON 80 4 4402928 MORPHINE 15MG/ML VIA 22.25 J2274 4402929 KCL 20% LIQUID 40MEQ 4 4402931 COLYTE 4 LITER 73.3 4402932 LOZOL 2.5MG U.D. 4.6 4402933 VASOTEC 5MG TABLET 4.6 4402935 HYTRIN 5MG 4.8 4402936 VASOTEC 10MG TABLET 4 4402937 PARAFON FORTE DSC 4 4402938 DESYREL 150MG 4.35 4402939 CORVERT 1MG VIAL 1628.15 J1742 4402944 FIORICET 325-50-40MG 5.05 4402952 GEMCITABINE 200MG 385.2 J9201 4402974 NIPRIDE 50MG 5CC I 990 4402977 UNASYN 3GM 84 J0295 4402978 GEMCITABINE 1000MG 385.2 J9201 4402980 SODIUM CHLORIDE 0.9% 4 J7040 4402986 ELOCON CREAM .1% 1 72.9 4402994 RISPERDAL 1MG TAB 6.95 4403002 CENTRUM LIQ. MULTIVI 4 4403003 ALOXI 0.25MG 141.48 J2469 4403011 NUEDEXTA 39.5 4403015 ZANTAC 150MG TABLET 4 4403016 AMITIZA 8MCG 22.25 4403018 VITAL 1.0 CAL CAN 14.75 4403019 MEVACOR 20MG 4 4403020 KENALOG 40MG INJ 8.43 J3301 4403025 DIFLUCAN 150MG TAB 41.8 4403027 CLEOCIN 900MG INJ 6.67 S0077 4403029 ZOMETA 4MG VIAL 806.05 J3489 4403030 KEFLEX 250/5 SUSP 56.7 4403033 VIT B12 1000IU TAB 4 4403039 THORAZINE 25 MG TAB 33.2 4403043 CARAFATE 1GM SUSP 31.2 4403044 AMPICILLIN 1GM INJ 10.63 J0290 4403050 THEODUR 200MG 4 4403061 MYLICON DROPS 10.5 4403064 VIT A 10,000IU 4 4403071 ZAROXOLYN 2.5MG TAB 9.85 4403076 ZESTRIL 20MG TABLET 4 4403078 VANCENASE AQ 486.4 4403079 BENGAY 2OZ 12.45 4403083 CHLORPHEN MAL 4MG 4 4403091 PROZAC 20MG 7.45 4403097 STELAZINE 2MG TAB 4 4403098 FER-GEN-SOL DRPS 15.7 4403101 ABRAXANE 100MG VL 36.34 J9264 4403104 DEBROX OTIC DROPS 15.35 4403107 KCL 10% LIQUID 20MEQ 55.8 4403109 LOPRESSOR 5MG/5ML 20 4403111 NEORAL 25MG CAPSULE 4.55 J7515 4403114 ZOVIRAX OINT. 30GM 421.1 4403116 SYNTHROID 0.1MG 4 4403118 NAPROSYN 375MG TAB 4 4403119 SINEMET CR 25/100 4 4403120 COCAINE 4% TOPICAL 532.2 4403123 SYSTANE OPTHAL SOL 60 4403124 COMPAZINE 5MG TAB 4 4403125 AMINOPHYLLINE 250 VL 40.9 J0280 4403127 PREDNISONE 10MG 4 4403128 CLONIDINE 0.3MG TA 4 4403130 AMINOPHYLLINE 500 VL 10 J0280 4403143 KEFLEX 125MG/5ML 1 71.25 4403145 DOPAMINE 400MG VIA 2 J1265 4403146 REGLAN 10MG TABLET 4 4403151 METHADONE 10MG TAB 4 4403152 CALCIUM GLUCONATE 32.95 J0610 4403156 OXANDRIN 2.5MG TAB 20.05 4403158 OFLOXACIN 0.3% OPTH 62.8 4403162 LANOXIN 0.5MG INJ 22.4 J1160 4403166 ROBINUL 0.4MG/2ML SD 86.25 J7642 4403167 ESTRATEST TAB 14.4 4403169 KETOROLAC 0.4% OPTH 320.6 4403170 HEPARIN 5000 UNITS 4 J1644 4403171 ISOSORBIDE SR 40MG 4 4403172 CEFTIN 250MG TAB 17 4403176 LIORESAL 10MG 4 4403183 GLUCERNA 1.5 CAN 3.15 4403184 NEOSPORIN PAK U.D. 4 4403186 CEREBYX 500MG VL 17.28 Q2009 4403189 CALAN 120MG 4 4403190 DILANTIN SUSP 125MG 25.9 4403191 NEOSTIGMINE 1:1000 1 1.38 J2710 4403192 LAMICTAL 25MG 9.55 4403196 KCL POWDER 20MEQ PKT 4 4403197 KOMBIGLYZE 5-1000 35.45 4403199 ARICEPT 10MG TAB 4 4403200 TOPAMAX 100MG TAB 18.6 4403202 COUMADIN 3MG TAB 8 4403205 VITAL AF 1.2 237ML 6.57 B4153 4403208 LATUDA 80MG 146.8 4403209 PARLODEL 2.5MG 18.8 4403211 CHLORASEPTIC SPRAY 8.9 4403212 ALBUTEROL HFA INH 77.1 4403213 PULMOCARE CAN 1.63 4403217 LIPITOR 40MG TAB 4 4403221 THEO-24 200MG 7.3 4403222 THEO-24 300MG 7.4 4403230 GUAIFENESIN-DEXTRO 0.01 4403231 ROBITUSSIN DM 10ML 4 4403232 VELCADE 3.5 MG 163.03 J9041 4403233 LOTRISONE CREAM 15 92.15 4403235 DECADRON 0.5MG TAB 4 4403237 AUGMENTIN 125MG/5M 1503 4403238 VICODIN TUSS SYR 5ML 4 4403239 IMODIUM LIQ 5ML 5.35 4403240 AUGMENTIN 250MG/5M 326.15 4403243 FERROUS SULFATE 5G 4 4403244 CEFTIN 250MG/5ML 50M 113 J0696 4403245 HYDROXYZINE 25 MG TA 4 4403246 VISTARIL 50MG INJ 10 J3410 4403253 ACETYLCYSTEINE CAPS 4 4403256 INDERAL LA 60MG 4 4403260 LASIX 20MG/2ML AMP 20 J1940 4403262 TEARS, ARTIFICIAL 31.15 4403268 COMPAZINE 25MG SUP 36.75 4403270 TENORMIN 50MG TABLET 4 4403271 PREMARIN IV 25MG/V 1068.5 J1410 4403274 PROTOPAM CHL 1GM INJ 312.1 J2730 4403277 MYSOLINE 50MG TAB 4 4403287 BUMEX .5MG/2CC VIA 20 S0171 4403288 BUMEX 1MG/4ML IV 10 J3490 4403298 RENAGEL 800MG 25.4 4403299 ZANTAC SYR 150MG/10M 20.75 4403300 CELESTONE SOLUSPAN 6 37.1 J0702 4403302 TRENTAL 400 TABLET 4.45 4403304 SEREVENT DISKUS 50MC 308.8 4403306 EPOGEN 10,000 UNIT 46.39 J0885 4403307 SYNTHROID 0.088MG 4 4403308 SOD BICARB 50ML VIAL 34.85 J3490 4403313 DEXTROSE 50% 50ML 20 J7799 4403315 TAMIFLU 75MG CAP B/P 54.65 4403316 RENAGEL 400MG CAP 9.55 4403318 DEMADEX 20MG TAB 4 4403319 DEMADEX 20MG/2ML I 13.7 J3265 4403320 LIDOCAINE VISC 20ML 4.3 4403321 DEMADEX 50MG/5ML A 7.73 J3265 4403322 EPI 0.1MG/ML PFS 2.16 J0171 4403327 ALPHAGAN OPTH SOL 181.7 4403328 LIDOCAINE 2% 100MG 2 J2001 4403329 APRESOLINE IV 20MG 33.75 J0360 4403332 KCL 20MEQ/10ML INJ 2 J3480 4403333 DULCOLAX SUPP 4 4403334 KCL PER 2 MEQ 1 J3480 4403338 EFFEXOR XR150 CAP. 13.7 4403345 CETAPHIL CLEANSER 11.15 4403354 FLOVENT INH. 44MCG 311.45 4403355 ROCEPHIN 250MG VIAL 20 J0696 4403356 LAMISIL 1% CRM 15 40.05 4403358 ROCEPHIN 500MG VIAL 11.25 J0696 4403359 HYDRALAZINE 25MG U 4 4403360 SINEMET 25-100 4 4403362 ROXANOL 20MG/ML 30ML 4 4403363 PEN VK 250MG 4 4403364 PEN VK 500MG 6.05 4403368 COGENTIN 1MG TAB 4 4403370 ASA 1.25GR (BABY) 4 4403372 NYSTATIN CREAM 15GM 52.5 4403377 LIPITOR 20MG TABLET 4 4403381 METROLOTION 0.75% 2O 741.4 4403382 PROVIGIL 100MG TAB 66.2 4403389 EPOGEN 40,000UN/ML 54.15 J0885 4403392 AMPICILLIN 250 INJ 20 J0290 4403402 PRINIVIL 10MG 4 4403404 AVANDIA 8MG TAB 23.9 4403405 DEPO-MEDROL 40MG/ML 22 J1030 4403406 DEPO-MEDROL 80 MG IN 33.03 J1040 4403407 DIPHENHYDRAMINE 50MG 22 Q0163 4403408 DEPO-ESTRADL 5MG/M 22 J1000 4403411 ACTOS 30MG TAB 26.05 4403415 NORCURON 10MG/10ML 31.85 J3490 4403416 REGLAN 5MG TABLET 4 4403417 LIDODERM 5% PATCH 5P 28.1 4403418 NEURONTIN 600MG CAP 7.25 4403426 CALAN SR 240 TAB 4 4403432 VALIUM 5MG/ML INJ 49.23 J3360 4403433 ZITHROMAX 500MG IV 20 J0456 4403436 LABETALOL 40ML 24.5 J3490 4403439 MEROPENUM 1 GM IV 212.25 J2185 4403443 GLUCO/CHRON. 500/400 4 4403446 TRAVASOL E 2.75-10 139.9 B4189 4403448 KEPPRA 500MG CAP 10.55 4403449 NYSTATIN POWDER 54 4403450 BIAXIN XL 500MG 20.85 4403451 CENESTIN 1.25MG TAB 6.3 4403459 ZYVOX 600MG IVPB 93.6 J2020 4403461 NIZORAL SHAMPOO 4O 83.25 4403466 SYNRHROID 0.025MG 4 4403468 ZYPREXA ZYDIS 5MG TA 42.75 4403469 ZYPREXA ZYDIS 10MG T 62.95 4403470 MEDROL 4MG DOSEPAK 103.9 4403472 TRILEPTAL 300MG TAB 8.25 4403475 CARDIZEM 25MG/5ML VL 20 J3490 4403477 WELCHOL 625MG TAB 11.95 4403483 EXELON 4.5MG 14.15 4403485 LEVAQUIN 750MG IV 15.6 J1956 4403486 COLACE 100MG CAP 4 4403487 FOSAMAX 70MG TAB 61.1 4403535 DETROL LA 2MG CAP 36.25 4403540 PREDNISOLONE 15MG/5M 5.75 J7510 4403547 MARINOL 2.5MG GELCAP 35.75 4403554 ZIDOVUDINE 300 MG 17.5 4403571 BENTYL 10MG CAP 4 4403577 LORTAB 10/325 MG TAB 4 4403580 REMERON SOLTAB 15MG 10.3 4403590 FLEETS ENEMA 4 4403598 DIPRIVAN 1% 200/20ML 21 J2704 4403610 SENOKOT TABLET 4 4403611 POTASSIUM GLUCONATE 4 4403613 PAXIL 10MG TAB 8.45 4403619 NITRO .2MG/HR PATCH 5 4403620 DAKIN'S SOL(FULL S 34 4403621 SINGULAIR 10MG TAB 16.95 4403622 SINGULAIR 5MG TABLET 15.05 4403623 DEPO-PROVERA 150MG 62.58 4403624 VINEGAR/WATER DOUC 4 4403628 DOXYCYCLINE 100MG VL 86.95 4403659 UNASYN 1.5GM AV 49.1 J0295 4403662 NITRO .4MG/HR PATCH 5.5 4403663 SELSUN LOTION/SHAMPO 59.4 4403665 VERAPAMIL 5MG IV 63.5 J2790 4403666 LITHIUM CARB. 300M 4 4403668 THIAMINE 100MG TAB 4 4403672 PROLIXIN 5MG TABLET 32 4403677 HEPLOCK FL 30ML 10 0.67 J1642 4403684 ADVAIR DISKUS 250/50 546.2 4403685 ADVAIR DISKUS 500/50 890.25 4403686 HALDOL 2MG TABLET 4 4403688 TRAVATAN 0.004% 2.5M 612.9 4403689 GRANULEX 2OZ SPRAY 37.75 4403699 NIACIN SR 250 CAP. 4 4403701 RACEPHRINE 2.25% UD 4 4403706 XOPENEX 1.25MG/3ML U 6 J7614 4403708 DUONEB 2.5-0.5MG/3ML 6.55 J7620 4403710 GEODON 20MG CAPSULE 26.9 4403711 GEODON 60MG CAP 18.1 4403712 LESCOL XL 80MG TAB 23.45 4403714 ALPHAGAN-P OPHTH SOL 317.75 4403715 NATRECOR 1.5MG/ SDV 254.04 J2325 4403716 ZYRTEC-D 12HR TABLET 4 4403717 MICRO K 20MEQ TAB 4 4403719 CATHFLO ACTIVASE 2MG 275.5 J2997 4403720 ULTRACET TABLET 4 4403726 TAMIFLU 12MG/ML SUSP 30.75 4403728 TAMIFLU 6MG/ML 491.5 4403732 ASACOL 400MG TABLET 7.55 4403734 MYCELEX TROCHES 4.25 4403735 PROSCAR 5MG 9.45 4403736 XIGRIS 5MG VL 1092 4403737 XIGRIS 20MG VL 4994.65 4403738 CASCARA LIQ. 50MG/15 4 4403739 MIRALAX 17GM PACKET 5.65 4403741 PREVACID 30 SOLUTAB 49.8 4403743 CLARINEX TB 5MG 15.35 4403746 NOCTEC LIQUID 4 4403750 TOPROL XL 25MG 4 4403751 RONDEC DM DROPS 30ML 179.8 4403754 FOLTX TAB 4 4403755 DARVON 65 CAPSULE 4 4403757 PAXIL CR 12.5MG TAB 15.15 4403758 PAXIL CR 25MG TAB 15.8 4403759 BENICAR 20MG TAB 25.1 4403766 ACTONEL 35MG TAB WEE 292.55 4403770 HYDROXYZINE 25MG INJ 22.45 J3370 4403771 HYDROXYZINE 50MG INJ 21 J3410 4403772 NORMAL SALINE FLUSH 20 A4216 4403776 DEFEROXAMINE 2GM VL 54.33 J0895 4403778 ECOTRIN 325MG TAB 4 4403779 GEODON 20MG/ML SDV I 89.43 J3486 4403781 LEXAPRO 10MG TAB 13.15 4403783 AUGMENTIN XR 1000MG 12.95 4403784 ZOVIRAX 500MG/10ML V 0.16 J0133 4403787 TOBRADEX OPHTH DROPS 182.05 4403788 TOBRA DEX OINT 775.05 4403791 ZYVOX 600MG TABLETS 549 4403792 ZYVOX 100MG/5ML SUS 3350.3 4403793 ZYRTEC SYRUP 5MG/5ML 7.9 4403795 PERIACTIN 4MG 4 4403798 CHROMAGEN CAP 4 4403800 RYTHMOL 150MG TABLET 4 4403802 HALOPERIDOL CONC. 2M 8.9 4403805 COMBIVENT INH 14.7 778.7 4403806 ALPHAGAN 0.2% O.S. 97.95 4403807 JUVEN NUTRITION MIX 6.85 B4155 4403809 PROCARDIA XL 30 U. 4 4403810 PROCARDIA XL 60MG 6.85 4403811 COMBIVENT RESPIMAT 1341.05 4403812 RISPERDAL M-TAB 0.5M 14.75 4403817 TIGAN 300MG CAPS 4 4403823 DECADRON 10MG/ML 10M 258.5 J1094 4403825 BUSPAR 5MG TAB 4 4403828 PRED FORTE 1% 5ML 165.8 4403830 MAGNESIUM SULFATE 21 J3475 4403831 METHYLDOPATE 250MG I 49.1 J0210 4403833 RISPERIDONE L-A INJ. 1712.95 J2794 4403835 PROPYLTHIOURACIL 5 4 4403840 DERMOPLAST SPRAY 16.3 4403841 ACTIVASE 100MG VIAL 316.81 J2997 4403844 LEVAQUIN 750MG TAB 99.65 4403845 GLUCOTROL 10MG TAB 4 4403848 SOLUCORTEF 100MG 20 J1720 4403849 MIACALCIN NASAL SP 355.6 4403855 UNASYN 1.5GM REG T 36.5 J0295 4403864 KETOROLAC 30MG INJ 10 J1885 4403865 KETOROLAC 60MG INJ 5.63 J1885 4403871 DYTAN D SUSP 5ML 4.25 4403874 VESICARE 10MG TABLET 41.15 4403875 BACITRACIN OINT 1/2O 8.65 4403877 NEOSPORIN OINT 15GM 14.65 4403879 BETAMETH DP 15GM CR 158.5 4403891 DOXEPIN 25MG CAP 4 4403899 NAPROSYN 500MG TAB 4 4403904 BACTROBAN 2% OINT UD 61.45 4403905 NEPRO NUTRITNL SUP 3.52 B4154 4403911 PRECOSE 50MG TAB 4 4403914 PROLIXIN 5MG/ML 10 5.6 J2680 4403917 HALDOL 5MG INJ. 21.55 J1630 4403919 LASIX ORAL SOLN 60 31.15 4403920 VOLTAREN OPTH O.1% O 109.55 4403922 ENSURE PLUS 8OZ 6.45 4403925 ACTOS 15MG TAB 21 4403927 ENDAL HD 5ML 4 4403928 DEXTROSE 50ML PFS 36 J7060 4403932 LANOXIN .125MG TAB 5.05 4403933 CHROMAGEN FA CAP 4.2 4403935 ALBUMIN 25% 100ML 324 P9047 4403936 SYNTHROID 0.075MG 4 4403938 COUMADIN 1 MG 7.4 4403941 CARDIZEM CD 300 CAP 8.05 4403942 CARDIZEM CD 240 CAP 5.3 4403948 GENTAMYCIN CREAM 1% 11.15 4403949 ESTRADERM 0.1MG PA 29.5 4403953 DITROPAN XL 5MG TAB 9.2 4403958 LAC HYDRIN 12% LOT 54.2 4403959 ANUCORT HC 25MG SU 67.9 4403971 URECHOLINE 5 MG TAB 4 4403981 DELTASONE 2OMG TAB 4 J7512 4403983 SPS SUSP 15GM/60ML 33.75 4403984 ATROVENT 0.02 4 J7644 4403986 INS-HUMULIN 70/30 0.2 J1815 4403991 MOTRIN 400MG TABLET 4 4403992 ATROPINE 1% OPHTH 13.05 4403993 TRIAMCIN .1% CR 15GM 16.75 4403995 HISTUSSIN HC 5ML/D 4 4403996 INDERAL 10MG 4 4404008 AMOXIL 250MG/5ML S 15.95 4404014 GLUCERNA SELECT CAN 10.8 B9998 4404015 NARCAN 0.02MG/ML 21.05 J2310 4404016 PLETAL 100MG TAB 6 5.45 4404018 LASIX 40MG TABLET 4 4404019 FIBERCON TABS 4 4404023 PONTOCAINE 0.5% 2M 8.45 4404026 HYOSCINE 0.25% OPTH 83.25 4404028 SULFACETAMIDE OPTH 166.95 4404031 MAXITROL OPHTH OIN 132 4404035 ULTRAM 50MG TABLET 4 4404036 TEGRETOL 200MG U.D 4 4404037 EFFEXOR XR CAPS 75MG 12.55 4404043 COUMADIN 5MG TAB 8.3 4404044 VITAMIN B COMPLEX 4 4404045 PREMARIN 0.625 UD 19.25 J1410 4404046 OMNICEF 125MG/5ML 153 4404047 BETAPACE 80MG TAB 7.7 4404048 EMLA CREAM 5GM 26.55 4404062 BACTROBAN OINT. 22GR 33.7 4404063 SPORANOX CAPS 27.9 4404064 EPSOM SALT 4 4404067 WELLBUTRIN SR 100MG 5.05 4404068 WELLBUTRIN SR 150M 5.8 4404072 EXELON 1.5MG CAP 12.7 4404074 DILTIAZEM FOR INJ 10 29.25 J3490 4404075 ALDOMET 250MG TAB 4 4404084 DULCOLAX 5MG TAB 4 4404085 PAMELOR 25MG UD 4 4404091 DYAZIDE CAP 4 4404092 SKIN PREP TRAY 26 4404097 LOTRIMIN CRM 1% 15 25.5 4404115 ESTRACE 1MG 4 4404116 ZOFRAN 4MG TAB 79.7 Q0162 4404117 CILOXAN .3% OPTH OIN 434.7 4404122 DELTASONE 5MG TAB 4 4404130 ONDANSETRON 4MG/ML I 89.45 J2405 4404141 INDOCIN 25MG 4 4404142 SILVERDENE 400GM 194.85 4404143 CIPRO 200MG INJ 63.15 J0744 4404144 CIPRO 400MG INJ 127.8 J0744 4404150 DILANTIN 100MG CAP 4 4404151 SURFAK 240MG CAPSULE 4 4404159 ZEMURON 10MG/ML VIAL 24.4 J3490 4404161 PROVERA TABS 2.5MG 4 4404162 AURALGAN OTIC SOL 38.75 4404164 LAMISIL 250MG TAB 39.2 4404167 CILOXAN OPTH SOL 2 25.8 4404184 ELDEPRYL 5MG 8.6 4404185 CYANIDE ANTIDOTE P 1379.05 J3490 4404187 ATIVAN 0.5MG TABLET 4 4404190 AVEENO BATH PER PA 4 4404194 ALTACE 5MG CAPSULE 5.65 4404195 PRANDIN 2MG TAB 18.65 4404196 AVANDIA 4MG TAB 14.05 4404197 PROCTO-FOAM HC 349.8 4404198 CLAFORAN 1GM REG V 98.3 J0698 4404199 CLAFORAN 2GM REG V 98.3 J0698 4404205 CLAFORAN 1GM INJ 20 J0698 4404280 MINERAL OIL 30ML 4 4404285 TUMS TABLET 4 4404286 BACID CAP 4 4404290 LIDOCAINE MPF 2% INJ 0.5 J2001 4404297 BETOPTIC-S OPTH SO 349.65 4404301 SARNA LOTION 7.5 O 24.3 4404306 FLAGYL VAGINAL GEL 101.1 4404313 PHOSLO TAB 4 4404319 PHENERGAN W/COD 5ML 4 4404325 CORTANE-B OTIC DRP 87.7 4404327 LIPITOR 10MG TABLET 4 4404328 COZAAR 25MG TABLET 6.45 4404336 HYZAAR 50-12.5 TAB 7.8 4404337 COZAAR 50MG TAB 6.75 4404340 METAMUCIL PACKET 4 4404341 PROCAINAMIDE 1GM/1 310.95 J2690 4404342 TUBERCULIN (PPD) 22.6 4404345 AGGRASTAT 12.5MG PRE 37.28 J3246 4404349 SINGULAR 4MG CHEWTAB 16.95 4404351 BENZOIN COMP TN 1/ 9 4404359 TRIAMCINOLONE NASAL 293.5 4404361 DIOVAN/HCTZ 160MG/12 7.7 4404364 AMBIEN 5MG TAB 13.85 4404365 AMBIEN 10MG 4 4404368 ZOSYN 2.25GM VIAL 12.6 J2543 4404369 ZOSYN PER 1.125GM 60.4 J2543 4404370 ZOSYN 4.5GM VIAL 16.31 J2543 4404374 HALDOL 5MG TABLET 4 4404379 SYMMETREL 50MG/5ML 5 4 4404381 METHYLENE BLUE 1% 1M 22.5 Q9968 4404382 NIFEREX 150MG CAPS 4 4404383 LIDOCAINE 4% TOPICAL 144 4404384 LIDOCAINE-EPI 1% 20M 1 J2001 4404385 LIDOCAINE-EPI 2% 20M 0.5 J2001 4404387 XYLOCAINE 0.5% 50M 0.2 J2001 4404399 EPOGEN S3 3000IU/M 46.38 J0885 4404400 HESPAN 500ML BAG 58.55 J3490 4404404 AZULFIDINE 500MG TAB 4 4404405 LOVAZA 7.9 4404407 ACULAR 0.5% OPTH S 343.6 4404413 NAPROSYN 500MG E.C 5.8 4404414 BLEPHAMIDE OPHTH S 320.4 4404415 COSOPT OPHTH SOLN 10 367.8 4404418 PROLIXIN 2.5MG/ML 572.6 J2680 4404419 CANCIDAS 50MG IV 121.58 J0637 4404420 CANCIDAS 70MG VIAL 90.23 J0637 4404421 MAGINEX DS PACKET 4 4404422 RISPERDAL CONSTA INJ 1632.45 J2794 4404423 OCTREOTIDE 100MCG IN 80 J2354 4404425 OCTREOTIDE 25MCG INJ 21 J2354 4404426 XENADERM OINT 60GM 84.4 4404427 ENABLEX 7.5MG TABLET 25.35 4404428 LITHIUM CITRATE 8MEQ 4 4404430 JANUVIA 100MG TABLET 51.55 4404431 COREG CR 20MG CAP 13.65 4404433 TEKTURNA 150MG TAB 13.7 4404434 COREG CR 10MG CAP 20.8 4404435 DOXAPRAM 20MG/ML INJ 198 J3490 4404436 VITAMIN D-3 400 IU T 4 4404437 DEMECLOCYLINE 300MG 51.15 4404438 NAFCILLIN 2GM VIAL 81 S0032 4404440 HALOPERIDOL CONC. 10 13.7 J1630 4404441 CHANTIX 0.5MG TABLET 8.8 4404442 CHANTIX 1MG TABLET 7.3 4404443 VIT B-12 100MCG TAB 4 4404444 BENZOCAINE 20% SPRAY 94.05 4404445 MAGNESIUM SUSPENSION 4 4404446 LYRICA 25MG CAPSULE 7.7 4404447 ALBUTEROL SULF 0.25/ 4 J7611 4404449 INSULIN HUMULIN PER 2 J1815 4404451 INS-HUMULIN 70-30 2 J1815 4404454 PHYTONADIONE 10MG IN 17.37 J3430 4404456 DRAMAMINE 50MG INJ 36.1 J1240 4404457 PHENERGAN 25MG INJ 20 J2550 4404458 STADOL 2MG/ML INJ 20 J0595 4404459 ALLOPURINOL 100MG TA 4 4404460 VERSED 2MG/2ML INJ 10 J2250 4404462 VERSED 10MG/2ML INJ 2 J2250 4404463 XOPENEX 0.31 MG/3 ML 20.1 J7614 4404464 AMITIZA 24MCG CAP 22.25 4404465 FELODIPINE 2.5MG 4.55 4404466 INS-HUMULIN R 20 J1815 4404467 INS-HUMULIN N 0.2 J1815 4404468 AZACTAM 1GM IVPB 124.75 S0073 4404469 DOBUTAMINE 500MG/500 31.33 J1250 4404470 CEFOXITIN 1GM INJ 60 J0694 4404471 CEFOXITIN 2GM INJ 72.1 J0694 4404472 INS- LANTUS 4 J1815 4404473 INSHUMALOG 70/30 MIX 0.29 J1815 4404476 ABILIFY 5 MG 96.35 4404478 TIGECYCLINE 50 M 7.3 J3243 4404479 DIFLUCAN 200MG IVPB 26.45 J1450 4404480 ASMANEX 220MCG INH 63.9 4404481 INS-HUMALOG 75/25 2.45 J1815 4404482 INS-HUMALOG 0.29 J1815 4404483 CHLORPROMZN 100MG 42.05 J3230 4404490 ASTELIN NASAL 137M 315.7 4404492 ZANAFLEX 4MG TAB/1 4.55 4404495 LEVAQUIN 500MG TAB 50.45 4404499 BETADINE SOL'N 4OZ 4.55 4404501 ELIQUIS 5MG TAB 25.15 4404502 LEVAQUIN 500MG IV 18.75 J1956 4404505 CLAFORAN 1GM IM/IV 98.3 J0698 4404506 MOBIC 7.5MG TABLET 9.4 4404509 TOPAMAX 25MG TAB 6.05 4404513 EPI 1:1000 30ML 212.4 J0171 4404515 MAVIK 4MG TABLET 4 4404522 ZYPREXA 5MG TAB UD 32.65 4404544 BONIVA 3MG/3ML 632.9 4404581 SILVER NITRATE STI 4 4404586 EPOGEN 4000 UN/ML 46.39 J0885 4404588 FLOMAX 0.4 MG CAPS 12.65 4404593 SOMA 350MG TABLET 4 4404594 PYRIDIUM 200MG TAB 10.8 4404595 HYGROTON 50MG 4 4404601 LORTAB 10/500 TABLET 4 4404615 ORABASE-B 12 4404622 LEVSIN 0.125 ELIXIR 4.25 4404625 UROQUID ACID NO2 4 4404626 K-PHOS NEUTRAL 250MG 4 4404630 NEPHROCAPS EACH 4 4404652 CASODEX 50MG TAB 55.7 4404656 LODINE 400MG 4.4 4404657 ESTRACE VAGINAL CRM 930.65 4404659 MSIR 15MG TAB 4 4404663 CIPRO HC OTIC SUSP 1 656.3 4404675 MORPHINE PCA 30ML 2.38 J2270 4404676 MORPH SUL 1MG/ML 3 29.5 J2274 4404677 DEMEROL PCA 300/30ML 10 J2175 4404678 RITALIN 5MG 4 4404682 MS CONTIN 60MG TAB 15.95 4404684 MS CONTIN 15MG TAB 5 4404686 DURAGESIC PATCH 25 43.3 4404687 DURAGESIC PATCH 50 116.65 4404694 MEPERGAN FORTIS CA 4 4404695 SUBLIMAZE 0.25MG INJ 20 J3010 4404697 DILAUDID 2MG/ML INJ 20 J1170 4404698 DILAUDID 1MG/ML C/ 21.05 J1170 4404699 MORPHINE SUL 2MG/M 8.45 J2274 4404706 AMARYL 2MG TABLET 4 4404707 AMARYL 4MG TAB 4 4404710 OXYCONTIN 10MG TAB 13.55 4404713 OXYCOTIN 20MG TAB 25.3 4404720 BICILLIN CR 900/30 118 J0558 4404726 VASOTEC 1.25MG/ML IN 20 J3490 4404727 DIOVAN 80MG TABLET 13.9 4404735 MECLIZINE 25MG CHE 4 J8597 4404738 PATANOL 0.1% O/S 5 769.5 4404742 AGGRASTAT PER 0.25 M 32.96 J3246 4404743 AMPICILLIN 500 MG IN 20 J0290 4404744 CEFAZOLIN 500 MG (J0 60 J0690 4404745 AQUAMEPHYTON 28.1 J3430 4404747 ATIVAN 2MG INJECTION 20 J2060 4404748 BENADRYL 50 MG INJ 20 J1200 4404749 BICILLIN CR 900/300 63 J0558 4404750 BICILLIN CR 900/300 114.5 J0558 4404751 BICILLIN CR 900/300 195 J0558 4404752 CASPOFUNGIN 5MG IV 125.6 J0637 4404753 CEFTAZIDIME 500 M 35.6 J0713 4404754 CEFTRIAXONPER 250 MG 77.3 J0696 4404758 DECADRON PER 1 MG 20 J1094 4404759 DEMEROL 100MG AMP 20 J2175 4404760 DEPO-MEDROL 20 MG/ML 10.5 J1020 4404761 DILAUDID 21 J1170 4404763 FORTAZ 1 GM VIAL 10 J0713 4404764 GENTAMICIN 80MG VIAL 20 J1580 4404765 GEODON PER 10 MG INJ 21.95 J3486 4404767 INSULIN PER 5 UNITS 2.5 J1815 4404768 TRIAMCIN .1% CR 80GM 41.8 4404769 LEVAQUIN 250MG IV 25.9 J1956 4404770 ENOXAPARIN 10MG 24.56 J1650 4404771 LEUPROLIDE ACETATE P 850 J1950 4404772 MANNITOL 25%/50ML 20 J2150 4404773 MORPHINE 10 MG INJ 20 J2270 4404774 NATRECOR PER 0.1 MG 108.33 J2325 4404775 NORFLEX 60 MG INJ 66.6 J2360 4404776 NUBAIN 10 MG/ML 20 J2300 4404777 PENICILLIN UP TO 1.2 31 J0558 4404778 PENICILLIN UP TO 2.4 62 J0558 4404779 PENICILLIN UP TO 600 15.5 J2510 4404780 PHENERGAN 25 MG 21 J2550 4404781 PREDNISONE PER 1 MG 4.25 J7512 4404782 REGLAN 10MG/2ML INJ 20 J2765 4404783 RETAVASE PER 18.1 MG 7817.8 J2993 4404784 ROCEPHIN 250 MG 63 J0696 4404785 SOLUMEDROL 125MG INJ 34.85 J2930 4404786 METHYLPRED 20 10.5 J7509 4404787 STADOL 1 MG 11.25 J0595 4404789 TETANUS DIPTH VAC 117.5 90714 4404790 TIGECYCLINE PER 1 MG 3.4 J3243 4404791 TORADOL 15 MG 19.98 J1885 4404792 VALIUM 10 MG 21 J3360 4404793 VANCOMYCIN 500 MG 63 J3370 4404794 VERSED 1 MG/M 21 J2250 4404795 WYCILLIN PER 600,000 119.5 J2510 4404796 ZOFRAN 4MG/2ML VIAL 5 J2405 4404797 ZYVOX 200MG IV 121.35 J2020 4404817 VIT E 200IU CAPSULE 4 4404839 NYSTATIN ORAL SUSP 50.8 4404857 ADENOCARD INJ 6MG 39.4 J0153 4404864 AMPICILLIN 250MG/5CC 4 4404866 LOPID 600MG 4 4404873 FLONASE NASAL SPRA 255.8 4404875 AMOXICILLIN 500MG 4 4404877 DILOR-G 200/200 TAB 4 4404904 GLUCERNA SHAKE 1.67 B4154 4404923 CEFTAZIDIME 1GM INJ 98.3 J0713 4404924 ISOSORBIDE 2.5MG S 4 4404929 ZINC SULFATE 220MG 4 4404952 DEXFERRUM INJ PER 50 67.5 J1750 4404988 GLUCAGON 1MG KIT 920.35 J1610 4405011 NEVANAC OPTH SUSP 0. 654.85 4405017 LYRICA 50MG CAPSULE 29.4 4405018 VASOTEC 2.5MG/2ML VI 20 J3490 4405019 LYRICA 75MG CAPSULE 29.4 4405024 VANCOMYCIN 1GM VIAL 28.63 J3370 4405025 CATAPRES TTS-1 PAT 99.35 4405026 CATAPRES TTS-2 PAT 167.45 4405052 PROCARDIA XL 90 12.5 4405059 CELEXA 20MG TABLET 8.05 4405081 SEROQUEL 25MG TAB 4 4405083 SEROQUEL 100MG TAB 20.55 4405093 FLOVENT INH 220mcg 685.6 4405103 MUCINEX 600 TABLET 4 4405106 BACITRACIN OPHTH O 208 4405170 REMERON 15mg TAB 1 8.55 4405189 DIFLUCAN 10MG/ML SUS 103.7 4405204 NASONEX 17GM SPRAY 312.4 4405205 COREG 3.125MG TAB 5.8 4405206 COREG 6.25MG TAB 1 6.4 4405222 REQUIP 0.5MG TAB 7.5 4405227 BUSPAR 15MG TABLET 6.35 4405228 GLUCOPHAGE 500MG XR 4 4405232 TRAVASOL E 4.25-25 153.4 B4189 4405275 GENTAMICIN 20 MG INJ 20 J1580 4405396 ZADITOR OPTH. SOL 0. 23.35 4405434 ELIMITE CREAM 5% 60G 371.25 4405479 PROTONIX 40MG TAB UD 4 4405492 ELAVIL 10MG TABLET 4 4405511 POLYSPORIN POWDER 28.45 4405541 FERAHEME INJECTION 6.27 Q0138 4405547 H-CODONE/APAP2.5-167 10.1 4405550 VISTARIL 100MG/2ML 0.02 4405616 ATIVAN 1MG TABLET 4 4405624 PRIMIDONE 250MG TAB 4 4405645 ZOCOR 10 MG TAB 8.35 4405646 DIPRIVAN 100ML BOTTL 105.15 J2704 4405647 AGGRENOX CAP EA 31.3 4405656 GLUCOTROL XL 2.5 TAB 4 4405693 STALEVO 50 MG TABLET 10.35 4405719 BUMETANIDE 25MG/ML M 26.5 S0171 4405771 CLAFORAN 2GM INJ 98.3 J0698 4405851 INS-HUMALOG 75/25 0.29 J1815 4405854 KYTRIL 1MG 127.8 J1626 4405897 CLEOCIN PREMIX 600MG 79.55 S0077 4405898 CLEOCIN PREMIX 900MG 79.55 S0077 4405900 ARTHROTEC 75MG TAB 8.45 4405906 CROFAB(SNAKE BIT) 11512.8 J0840 4405927 RISPERDAL 1MG/ML OS 558.9 4405929 LOTRISONE LOTION 445.7 4405934 FLAGYL 500MG TABS 4 4405935 PROBENECID 500 MG 4 4405956 ACETIC ACID SOL 1% 7.8 4405961 AGRYLIN 0.5MG CAPS 1 17.55 4405965 TRUSOPT 2% OPTH SO 200.4 4405967 OCEAN NASAL SPRAY 6.4 4405969 AUGMENTIN 875MG TAB 15.15 4405970 STARLIX 120MG TAB 6.2 4405986 XALATAN OPTH SOL. 58.3 4405989 XIBROM 0.09% OPHTH 367.5 4405996 EFFEXOR XR 37.5MG 4 4406018 PREVACID 30 MG CAP 7.6 4406019 UNIVASC 15MG TABLET 4.35 4406026 XOPENEX 0.63/3ML UD 20.1 J7614 4406034 DEMADEX 100MG TAB 8.65 4406038 MEXITIL 150 MG CAPS 7.6 4406039 AVAPRO 150MG TAB U 10.05 4406077 ADVAIR DISKS 100/50M 393.45 4406083 ROBAXIN-750 4 4406085 GLUCOPHAGE 500MG T 4 4406105 LONITEN 10MG TAB 4 4406113 ZIAC 10MG TAB 4 4406114 ALLEGRA 60mg CAPSU 4.55 4406117 PAPAVERINE 30MG/ML 112.3 J2440 4406172 SULAR 10MG TABS U/ 6.8 4406175 LOVENOX 30MG INJ 15.83 J1650 4406177 JEVITY 1.5CAL 237ML 4.75 B4152 4406178 OPTIVAR EYE DROPS 522.55 4406179 DRISDOL CAPSULE 5.9 4406661 ABILIFY 2 MG TABLET 96.35 4406666 NITHIODOTE 10.2 4406669 MONISTAT CREAM 2% 25.75 4406775 ADVAIR INHALE 115/21 1021.4 4406895 SITREX PD LIQ 5 ML 4 4407774 TRILIPIX 135 MG 20.7 4407775 XGEVA 120 MG INJ 52.89 J0897 4407777 BICILLIN C-R 900/300 249.05 J0558 4407778 XARELTO 10 MG 50.3 4407877 CLINIMIX 4.25/25 PLA 100.7 B4189 4407960 SILINDAFIL 20 MG TAB 49.4 4408228 FELBATOL 600 MG TAB 9.1 4408348 SOLUCORTEF 500 INJ 35.78 J1720 4408357 HYDROCORTISONE 100 35.8 4408412 GLEEVEC 400 MG TAB 550.6 4408511 MORPHINE PCA 30ML 28.7 J2270 4408640 SYMBICORT INHALER 695.8 4408877 PERCOCET 10-325 MG 10.65 4408878 LORTAB ELIX 5/216 MG 24.05 4408879 NULL 4 4408887 NYSTATIN SUS U/D 4.6 4408888 PENTAMIDINE INHAILED 355.5 J2545 4409113 DOCETAXEL INJECTION 94.19 J9171 4409211 MAG PREMIX 2GRAMS 14.43 J3475 4409222 AMPICILLIN 250 MG 4 4409223 AMPILCILLIN 500 4 4409333 FENOFIBRATE 54MG TAB 4 4409424 ALDEX D SUSP 5 ML 9.25 4409453 LOTEMAX 0.5% OPHTH 617.75 4409628 UNASYN 1500 MG 20 J0295 4409632 UTI-STAT 4 4409965 MAG SULF 1 GM 10 4409977 DOBUTAMINE 1MG/ML 13.85 4409983 FEMARA 2.5 MG TABLET 73 4409991 TEMOVATE CREAM 0.05% 769.3 4409997 COMTAN 200MG TAB 14.8 4409998 SULAR 17 MG TAB 30.8 4409999 TEST 4 4451357 KCL 0.45% NA CL INJ 60 J3480 4451702 D5 IN H2O 250CC GL 26 J7042 4451703 D5 IN H20 500ML GLAS 32 J7042 4451705 .9 NACL 250ML GLASS 32 J7050 4451706 .9 NACL 500ML GLAS 43 J7040 4451723 D5 100CC ADV BAG 26 4451724 N/S 100CC ADV BAG 20 J7050 4451981 STERILE WATER 2000 54 4452768 SOD CHL 0.9% 50ML 26 J7030 4452769 SOD CHL 0.9% 100ML 20 J7050 4452770 D5 IN H2O 250 ML BAG 20 J7042 4452771 D5 IN WATER 250CC 20 J7042 4452772 D5 IN H20 500ML BAG 20 J7042 4452773 D5 IN WATER 500CC 54 J7042 4452774 D5 IN WATER 1000CC 20 J7042 4452775 D5 IN WATER 4/50CC 104 J7042 4452776 D5 IN WATER 4/100C 104 J7042 4452777 D5 W 50CC SINGLE 26 J7042 4452778 D5 W 100CC SINGLE 26 J7070 4452779 D10 AND H20 1000CC 23.3 J7042 4452780 D5 IN 0.2% NACL 500M 40 J7070 4452785 2% DEXTROSE & .45 NA 54 J7030 4452786 D5 AND .9NACL 1000 20 J7042 4452787 D5 IN 0.45 NACL 500M 20 J7030 4452788 D5 .45 NACL 500CC 54 J7042 4452789 D5 AND .45 NACL 1000 20 J7042 4452790 D5 AND .2 NACL 250CC 26 J7042 4452791 D5 IN 0.2% NACL 500M 54 J7070 4452792 D5 AND .2 NACL 500 20 J7042 4452793 .9 SOD CHL 4/50CC 104 J7050 4452794 .9 SOD CHL 4/100CC 104 J7050 4452795 .9 NACL 50CC SINGLE 20 J7050 4452796 .9 NACL 100CC SINGLE 20 J7050 4452797 .45 NACL 500CC BAG 20 J7030 4452798 .45 NACL 1000CC BAG 20 J7030 4452799 .9% NACL IRRIG 250CC 26 J7050 4452800 .9 NACL 250CC 20 J7050 4452801 .9 NACL 250CC 54 J7050 4452802 .9% NACL 500ML BAG 40 J7040 4452803 .9 NACL 500CC BAG 20 J7040 4452804 .9 NACL 1000CC BAG 20 J7030 4452805 .35 NACL 500CC 20 J7030 4452810 LACT RINGERS 500ML 20 J7120 4452811 LACTATED RINGERS & 5 20 4452812 D5 ELECTROLYTE 48 10 43 4452815 LACTATED RINGERS IRR 26 J7120 4452816 LACTATED RINGERS IRR 54 J7120 4452817 LACTATED RINGRS 1000 20 J7120 4452820 PLASMA-LYTE 56 20 4452824 STERILE WATER 3000 20 4452825 .9% NACL IRRIGATION 54 J7030 4452827 VIAFLEX 250ML EMPTY 12.5 4452833 VENTED CONTINU-FLO S 26 4452853 STERILE WATER 500ML 43 4452854 CLINIMIX 2.755 40 4452855 .9% NACL IRRIG 1000C 43 J7030 4452856 NACL IRRIGATI0N 1000 43 A4216 4454226 D5W 50CC ADV BAG 26 J7070 4454227 N/S 50CC ADV BAG 26 4454371 D5 AND PLASMALYTE 48 4455230 SOD CHL 0.9% 100ML M 52 J7030 4455231 SOD CHL 0.9% 50ML MI 20 J7050 4456375 IVP EA ADDL DIF DRUG 73 96375 4459000 SHAVE SKIN LESION 422.38 11302 4459001 SHAVING OF LESION 422.38 11307 4459002 SHAVING OF A LESION 422.38 11301 4459003 SHAVING OF A LESION 777 11303 4470000 PRISMA MATRIX 4.34 50 A6021 4470001 SPINAL NEEDLE 4.6875 10 4470002 INSERTS JAW FOGARTY 35 4470003 TUBE CHEST 28 FR 51 4470004 DRESSING SURE PRESS 27 4470005 MESH COMPOSOX 8 X 10 3750 4470006 BIOPSY PORT SEAL 25 4470007 LUMBOSACRAL SUPP UNI 155 4470008 SCALPEL HARMONIC 23P 1200 4470009 ENDO STAP CURV 4.7MM 1037.35 4470010 ACUCAIR MATTRESS AC2 64 4470011 ACUCAIR MATTRESS CON 79 4470012 TUBE NG SALEM SP 18 57 4470013 TUBE NG SALEM SP 16F 57 4470014 AIR BED 109 4470015 THORACENTESIS KIT 136.2 C1729 4470016 PNEUMOTHORAX KIT 345.6 4470017 PERCUTANEOUS CAV. DR 241 4470018 QUAD-LUMEN C.VENOUS 414.18 C1751 4470019 ARTERIAL LINE KIT 89 C1751 4470020 JUGULAR PUNCTURE KIT 64 4470021 PERCUTANEOUS SHEAT I 120 4470022 TRIPLE LUMEN CATH KI 80 C1751 4470023 VALVE SALEM SP UNIV 17.45 4470024 FILTER LINE SET 22 4470025 SUTURE RETEN BRIDGE 25 4470026 BRUSH DUAL HD CHANNE 6 4470027 SUGIMESH LG BG 1500 C1781 4470028 SUTURE 5.0 PLAIN 15.48 4470029 CATHETER PICC 5F 646.2 C1751 4470031 RETAINER VISCERA 189 4470032 BACK BRACE 388 4470033 LINEAR CUTTER STANDA 2419 4470034 FORCEPS BIOPSY 54 4470035 LINEAR CUTTER VASCUL 2419 4470036 MOUTHPIECE ENDOSCOPI 5 4470037 CATH PERITONEAL 15.5 330 C1729 4470038 SHUNT DENVER DBL11.5 1730 4470039 TUBING CONNECTOR NYL 201.15 4470040 RETRIEVE SYS SPECI 5 498 4470041 SPINAL NEEDLE 22 X 5 12 4470042 ARTICULATING LINEAR 624 4470043 LINEAR STAPLER 1899 4470046 SITZ BATH PAN 23 4470047 OXYGEN MASK, ADULT 15 4470048 NEBULIZER, HOPE 25 4470049 SUSPENSORY, SMALL 26 4470050 SUSPENSORY, MEDIUM 26 4470051 SUSPENSORY, LARGE 36 4470052 SUSPENSORY, X-LARGE 43 4470053 SUSPENSORY, X-LARGE 26 4470054 TUBE TAMER 8 4470055 ELLIK BLADDER EVACUA 31 4470056 CATH. ALL PURPOSE UR 2 4470057 CATHETER, 10FR FOLEY 31 4470058 CATHETER, 12FR URETH 31 4470059 CATHETER, 14FR COUDE 14 4470060 CATHETER, 16FR URETH 25 C1758 4470061 CATHETER, 18FR URETH 30 C1758 4470062 CATHETER, 12FR RIBBE 40 4470063 16FR 5CC RIBBED BALL 40 4470064 22FR 5CC 3 WAY CATHE 36 4470065 26FR 5CC 3-WAY SHORT 33 4470066 22FR 5CC 3-WAY CATHE 23 4470067 3CC FR RIBBED BALLOO 23 4470068 12FR 5CC RIBBED CATH 23 4470069 14FR 5CC RIBBED BALL 23 4470070 16FR 5CC BALLOON CAT 23 4470071 18FR 5CC RIBBED BALL 23 4470072 20FR 5CC 2-WAY FOLEY 23 4470073 22FR 5CC 2-WAY CATHE 23 4470074 CATH FOLEY PED 8FR 3 22 A4346 4470075 12FR 5CC RIBBED BALL 23 4470076 14FR 30CC RIBBED BAL 23 4470077 16FR 30CC 2-WAY FOLE 23 4470078 18FR 30CC RIB BAL LU 23 4470079 20FR 30CC 2-WAY CATH 23 4470080 22FR 30CC RIBBED BAL 23 4470081 24FR 30CC RIBBED BAL 23 4470082 CATHETER 26FR BALLOO 23 4470083 16FR 30CC RIB BAL 3 33 4470084 18FR 30CC BALLOON 3- 34 4470085 20FR 30CC BIOCATH 3- 38 4470086 22FR 30CC 3-WAY CATH 33 4470088 CATH SILICONE FOLEY 18 4470089 NON CORING NEEDLE 9 4470090 MID-STREAM CATCH KIT 14 4470091 FOLEY CATH TRAY A RF 21 4470092 FOLEY CATH TRAY A RF 21 4470093 FOLEY CATH TRAY 16FR 55 4470094 INFLATION SYSTEM ADU 56 4470095 INFLATION SYSTEM CHI 58 4470096 INFLATION SYSTEM LAR 77 4470097 BAG-INFLAT ADULT SIN 30 4470098 BAG INFLATION & CUFF 77 4470099 TUBING EXTENDING 8 23 4470100 TRACH CARE 14FR 38 4470101 CANNULA THREADED LOC 1 4470102 LEVER LOCK CANNULA 1 4470103 3CC SYRINGE CANNULA 1 4470104 SPINAL NEEDLE 25 X 3 4.45 4470105 BONE MARROW BIOPSY N 93 4470106 THERAPY BED PER DA 239 4470111 INTERLINK CANNULA 5 4470112 THREADED LOCK CANNUL 1 4470113 SYRINGE 10CC 5 4470114 CATHETER INTRODUCE 3 4470116 EZ SCRUB 106 - SURG 4 4470117 BLADES, SCALPEL SZ 1 1 4470119 SCALPEL SZ 10 12 4470120 SCALPEL #11 12 4470121 SCALPEL SZ 15 12 4470122 SCALPEL SZ 21 12 4470123 BLADE, SCALPEL SAFET 1 4470124 SCALPEL, SAFETYLOCK 12 4470125 ADULT BRIEFS ULTRASH 18 4470126 BOOT BUCK'S SKIN TRA 19 4470127 TRACTION BUCK'S SKIN 8 4470128 SUTURE REMOVAL KIT 26 4470129 PWR PORT MRI IMPLANT 1680 4470141 IV STAT LOCK START 17 4470148 BLUNT TIP TROCAR 1 250 4470155 MONOPTY BIOPSY INS 123.9 4470156 DRESSING FOAM SACRUM 12.3 4470157 DIGNISHIELD COLL BAG 10.35 4470158 DIGNISHIELD STOOL SY 344.85 4470186 TRACH CARE KIT 46 4470442 CLINITRON CII 139 4470443 CLINITRON ELEXIS 330 4470444 CLINITRON RITEHITE 239 4470446 LAERDAL ONE WAY VALV 13 4470447 CPR FACE MASK 39 4470453 RUSSELL GASTROSTOMY 190 4470455 POUCH SELF SEAL 1 4470464 DISPOSABLE ACTIVE CO 54 4470465 BILE BAG REGULAR 38 4470466 IRRIGATOR SIMPLUSE S 140 4470467 SHOWERHEAD TIP SET 54 4470470 PROBE TRUMPET VALVE 170 4470471 SUCTION IRRIGATOR 75 4470472 SHOWERHEAD IRRIGATIO 54 4470473 PERCUTANEOUS INTRODU 0 4470474 CATHETER URETHRAL 23 4470475 URETHRAL CATHETER 10 23 4470476 URETHRAL CATHETER 12 23 4470477 URETHRAL CATHETER 14 23 4470478 URETHRAL CATHETER 16 23 4470479 BALLOON DISSECTOR 547 4470480 ENDOSCOPIC DISSECTOR 270 4470485 E-Z INFUSION SET 1 4470488 PRESSURE RELIEF SH 140 4470489 ACAPELLA DISPOSABLE 116 4470490 PALM CUP, SMALL 8 4470498 CENTRAL VENOUS CATHE 14 4470499 MITTEN HAND CONTROL 41.1 4470500 MITTEN HAND CONTROL 29 4470503 DELTRAN II 41.55 4470504 ENDOSHEARS 362 4470509 SPECIMEN CUPS 5 4470510 6-IN-1 Y CONNECTOR 5 4470511 DENTURE CUP 4 4470513 PAN SET 110 4470514 ESMARCH BANDAGE 17 4470515 TRACHESTOMY CARE TRA 5 4470516 BULB SYRINGE 9 4470519 ENDO ANCHOR 1020 4470520 EASY CAP II CO2 DETE 32 4470521 MEDIPOR DSG SM 2 X 2 3 4470522 EFFERDENT TABLETS 4 4470523 EFICA CC W/O SCALE 328 4470524 EFICA CC W/SCALE 369 4470531 ENDO POUCH 133 4470575 CATHETER MID FULL 18 240 C1751 4470577 IV SECUREMENT PADDIN 13 4470699 ENDO LIGACLIP APPLIC 340 4470771 DERMABOND 74 4470772 MULTIFIRE ENDOPATH S 696 4470773 PROLENE MESH 6 X 6 286.5 C1781 4470774 SKIN STAPLE EXTRACTO 18 4470775 LINEAR CUTTER 75MM 389 4470778 LINEAR CUTTER RELOAD 195 4470781 ENDO LOOP 456 4470783 GOLD SEAL GEL MASK 100 4470784 BIPAP FULL FACE MASK 210 4470785 COMFORT FLAP 15 4470786 WHISPER SWIVEL 74 4470788 CAUTERY EXTENSION 17 4470789 CAUTERY TIP 5 4470791 DISPOSABLE SUCT CO 18 4470794 LAPAROSCOPIC HANDP 313 4470795 LAP HANDSWITCH ELE 112 4470797 LAP CHOLE KITS 992 4470804 TOOTHPASTE 0 4470807 ROSS FEEDING BAG O 31 4470891 HAIRBRUSHES 8 4470895 VAGINAL PACKING 4-1/ 9 4470896 VAGINAL PACKING 2 9 4470897 DROPPER, 5ML 3 4470898 SHAVING CREAM 5 4470899 HHN NEBULIZER T-UP 8 4470900 ASSESS PEAK FLOW 29 4470901 PEAK FLOW METER/HOME 37 4470902 IMT DISPOSABLE DEVIC 39 4470904 ADAPTOR WITH O2 PORT 4 4470911 INRAN PLUS 87 4470912 TWO LUMEN CATHETER 17 4470913 COMBS 7 4 4470914 IRRIGATION BOTTLE 51 4470916 LAP GALL BLADDER PAC 110 4470917 TUBULAR STOCKINETTE 4 4470918 TUBULAR STOCKINETTE 4 4470919 TUBULAR STOCKINETTE 4 4470920 LAPROSCOPIC ABD PA 92 4470921 STERILE FIELD 6 4470925 ADAPTIC 3 X 3 4 4470926 ADAPTIC 3 X 8 6 4470927 SURGI PAD 5 X 9 11 4470928 SURGIPAD 8 X 10 4 4470929 SPONGE, STERILE 2 X 6 4470930 4 X 4 GAUZE SPONGES 9 4470931 3 X 3 GAUZE SPONGES 9 4470932 DRESSING 3X3 GAUZE S 6 4470933 DRAIN SPONGE 4 4470934 RAYTEC SPONGES 9 4470935 RAYTEC SPONGES 4 X 4 9 4470936 RAYTEC SPONGES 4 X 4 9 4470937 BAND AID 1 2 4470938 MONTGOMERY STRAPS 17 4470939 DERMICEL TAPE 1/2 6 4470940 DERMICEL TAPE 1 6 4470941 DERMICEL TAPE 2 9 4470942 DERMICEL TAPE 3 9 4470943 ELASTIKON TAPE 12 4470944 BAND-AID X-LARGE 5 4470945 KLING 2 4 4470946 KLING 3 4 4470947 KLING 4 11 4470948 KLING 6 4 4470949 NU GAUZE PLAIN 9 4470950 EYE PAD 2 1/8 X 2 5/ 4 4470951 K-Y JELLY 4 4470952 DISPOSABLE RAZOR 9 4470954 MIST TENT CANOPY 45 4470955 MIST TENT CANOPY, PE 20 4470956 JEJUSTOMY KIT 84 4470959 IV CATHETER JELCO 16 30 C1751 4470960 IV CATHETER JELCO 20 30 C1751 4470961 IV CATHETER JELCO 22 30 C1751 4470962 IV CATHETER JELCO 24 30 C1751 4470963 IV CATHETER JELCO 18 30 C1751 4470964 FOLEY CATHETER BAG 8 4470965 KCI CANISTER KIT W/L 120 4470966 KCI VAC DRESSING KIT 108 4470967 KCI VAC DRESSING KIT 86 4470968 KCI TUBING FOR VAC 55 4470969 KCI VAC WOUND CLOSUR 219 E2402 4470970 DIAPERS, INFANT SMAL 8 4470971 BIPAP HEADGEAR 101 4470972 BIPAP TUBING 109 4470973 LUMBAR TRAY, PEDIA 32 4470974 TELFA, 8 X 3 4 4470975 SPONGE 2 X 2 8 PLY 0.25 4470976 TELFA DRESSING 2X 3 4470977 TELFA DRESSING 3 X 4 3 4470978 T E D HOSE, SMALL 51 4470979 SUCTION CATHETER, 5 8 4470980 SUCTION CATHETER, 12 8 4470981 T E D HOSE THIGH, SM 22 4470982 SUCTION CATHETER, 14 8 4470983 SUCTION CATHETER, 18 8 4470984 URETHRAL CATHETER TR 30 C1758 4470985 T E D HOSE THIGH, ME 22 4470986 URINARY LEG BAG 8 4470987 T E D HOSE THIGH LG 22 4470988 T E D HOSE THIGH XL 31 4470989 THORACENT TRAY 16 84 4470990 THORACENT TRAY 14 92 4470991 FOLEY CATH TRAY #16 61 4470992 TELFA DRESSING 2 X 3 4 4470993 FOLEY CATH TRAY #18 61 4470994 URINE DRAINAGE BAG 4 60 4470995 URIMETER 34 4470996 T E D HOSE KNEE SM 25 4470997 T E D HOSE KNEE MED 11 4470998 TRIPADS/UNDERPADS 34 4471000 YANKAUER SUCTION TIP 8 4471001 ABD PAD STERILE 5 4 4471002 ADULT BRIEFS (CHH) 11 4471005 ULTRAVISION HARMONIC 848 4471007 LAP DISC 1009 4471010 AIRWAY LMA SIZE 1 48 4471011 AIRWAY LMA SIZE 1.5 48 4471012 AIRWAY LMA SIZE 2 48 4471013 AIRWAY LMA SIZE 2.5 48 4471014 AIRWAY LMA SIZE 3 43 4471015 AIRWAY LMA SIZE 4 43 4471016 AIRWAY LMA SIZE 5 43 4471023 LIGACLIP, LARGE 144.75 4471024 FOAM HEAD CRADLE 9 4471025 SPINAL BRACE TLSO CA 1323 4471026 STOCKINETTE, STERILE 11.25 4471027 SUCTION TUBING 12 26 4471028 SALEM SUMP TUBE 18FR 26 4471029 ACE BANDAGE 3 11 4471030 ACE BANDAGE 6 13 4471031 ICE BAG, DISPOSABLE 18 4471032 MAGNUM II THERAP BED 225 4471033 DISPOSABLE NEEDLE 120 4471037 SOOTHE & COOL OINTME 0 4471038 CHLORAPREP APPLICATO 5 4471039 ALCOHOL, PINT 4 4471040 OR DRAPE 23X24 IN FE 220 4471041 GAITE BELT 22 4471047 UTERINE EXPLORER 3 15 4471048 SAGGITAL SAW BLADE 107 4471051 DONUT 38 4471052 READYBATH BODY CLEAN 4 4471053 READYBATH SHAMPOO/CO 4.65 4471054 SOOTHE & COOL MOISTU 5 4471055 DONUT 38 4471056 ALOE TOUCH WIPES 7 4471057 LIGACLIP ENDO CLIP 216.5 4471059 INVALID RING W/COVER 61 4471060 MORGAN LENS 48 4471064 STOCKINETTE, STERILE 10 4471065 20 FR SILICON T-BA 234 4471073 MECONIUM ASPIRATOR 9 4471075 PRN ADAPTER SHORT 9 4471076 CONNECTING TUBING 4 4471077 O2 CANNULA 15 4471078 PEDIATRIC TRACH TU 128 4471079 OB PADS 9 4471080 STERILE VAGINAL EX 51 4471092 ORAL IRRIGATION KIT 86 4471093 OPERATIVE CHOLANGI 63 4471135 BIOPSY NEEDLE BREAST 99 4471139 VENOJECT LUER ADAPT 3 4471141 STENT URETERAL SOFT 400 C2617 4471142 GUIDEWIRE PTFE 75 C1769 4471143 CATH URETERAL FLEX 200 C1758 4471154 O2 SENSOR DISPOSABLE 27.5 4471173 OXYHOOD SET UP 72 4471174 OXYGEN PROBES (NEONA 38 4471178 FLOW SENSOR BI-DIR 15 4471179 PCA PUMP & CONTROL 101 4471180 WATER PITCHER 0 4471184 PICC KIT 3FR 216 4471185 PICC KIT 4FR 216 4471186 PICC KIT 5FR 216 4471188 PROLENE MESH 3 X 6 248.15 C1781 4471189 PROLENE MESH 12 X 12 275 C1781 4471191 PICC LINE INTRODUCER 28 4471192 PICC LINE INTRODUCER 28 4471193 PICC LINE INTRODUCER 28 4471194 INSUFFLATION NEEDL 71 4471195 SUCTION TUBING 6FT 26 4471196 SUCTION TUBING 10F 26 4471199 ANKLE RESTRAINT LEAT 130 4471201 PPH STAPLER 837 4471209 SUCTION CATH 14FR W/ 18.7 4471210 SUCTION CATH CONTROL 8 4471211 SUCTION CATH 10FR W/ 18.7 4471212 SUCTION CATH CONTROL 8 4471213 SUCTION CATH 18FR W/ 18.7 4471214 SUCTION CATH 6FR PED 8 4471215 SUCTION CATH 8FR PED 7 4471216 PULMONEX DYN AIR THE 141 4471219 FLOW SENSOR 12 4471220 FLOW SENSOR BI DIREC 15 4471221 NON-REBREATHING MA 15 4471222 ADULT TRACH MASK 15 4471226 SURGICAL SCRUB BRU 32 4471227 OXYGEN MASK, CHILD 15 4471228 MICRO ABG KITS 5 4471234 ARM STRAPPING 13 4471237 CATH W/NEEDLE INT 150 C1751 4471238 REDDICK CYSTIC DUC 344.85 4471239 LEUKOCYCTE FILTER 107 4471242 WOOD SHOE POST OP LA 40 4471243 BIOGEL GLOVES 6 4471244 FEEDING BAG EXT W BO 13.7 4471255 REDDICK SCREW RETR 123 4471258 OXYGEN EAR CUSHIONS 4 4471259 BRIGGS 11 4471270 CODE BLUE SUPPLIES 231 4471272 AEROCHAMBER, PEDI 61 4471273 BALLARD SUCTION 81 A4355 4471274 COLLINS DC-1 BARRI 12 4471275 RESCAL, INSPIRATOR 8 4471277 CONCHA H2O 12 4471278 CONCHA COLUMN 38 4471279 STERILE SPECIMEN T 15 4471280 AMBU BAG 52.5 4471281 OXYGEN PROBE 49 4471284 INCENTIVE SPIROM 34 4471287 URINE STRAINER 4 4471288 TOOTHETTE PLUS SINGL 4 4471289 LIP MOISTURIZER 4 4471290 TOOTHETTE SUCTION OR 6 4471291 COMFORT BATH CLEANSI 5 4471292 COMFORT SHIELD INCON 8 4471293 COMFORT BATH HAIR CA 6 4471295 TENDER GRIP 4 4471298 EXTRACT POUCH, 10MM 275 4471300 COMP DEVICE TUBING 7 4471301 COMP DEVICE CALF LG 260 4471302 COMP DEV THIGH LG 274 4471303 STERILE DOCK PEDI-PA 88 4471304 DEVILLISS NEBULIZER 369 4471306 NASOPHARYN AIRWA 24F 27 4471307 NASOPHARYN AIRWA 28F 27 4471308 SALEM SUMP TUBE 10 F 8 4471313 GEO MAT 88 4471315 SURGIPRO MESH 750 C1781 4471316 COLOSTOMY BAG 4 4471317 SENSI CARE MOISTURE 16 4471319 FILTER, BLOOD TRANSF 16 4471325 JACKSON PRATT RESERV 50 C1729 4471326 JACKSON PRATT DRAIN 15 C1729 4471327 JACKSON PRATT DRAIN 51 C1729 4471328 JACKSON PRATT RESERV 75 C1729 4471329 SWISS SYSTEM W/BAG 83 4471334 SUCTION TUBING 6FT 26 4471335 SALEM SUMP TUBE 16FR 26 C1729 4471336 ACE BANDAGE 2 9 4471337 ACE BANDAGE 4 12 4471338 EPISTAXIS CATHETER ( 114 4471341 TOOTHBRUSH 0 4471342 LOADING UNIT FOR LIN 236 4471343 TELEMETRY PACK 22 4471344 TELEMETRY PACK 20 4471348 MULTIFIRE GIA 60 (55 575 4471349 TOTAL SUPPORT THERAP 305 4471350 TRANSPORT BAG 24 4471351 LINEAR CUTTER RELOAD 430 4471352 LINEAR CUTTER RELOAD 430 4471353 LINEAR RELOAD 237 4471354 LINEAR CUTTER 853 4471355 TRACHEOSTOMY TUBE HO 6.4 4471357 ODORPLEX 4 4471358 WOUND GEL 1 OZ 30 4471359 PERIFOAM 8 OZ 14 4471361 CALCIUM ALGINATE DRE 15 4471362 ABDOMINAL BINDER X-L 38 4471365 V-CUE MATTRESS 259 4471367 VENODYNE/DAY 84 4471368 SENSI CARE PROTECTIV 16 4471369 VERSIVA 3.5X3.5 DRES 16 4471370 VERSIVA CE DRESSING 36.85 4471371 AQ HYDROFIBER DRESSI 28 4471372 DUODERM SIGN DRSACRM 65 4471373 COMBIDERM ACD DRESSI 16 4471379 VENODYNE SLEEVES 270 4471380 VAGINAL SPECULA 5 4471383 ADULT BRIEFS LARGE 19.65 4471385 IV EXTENSION SET 9 4471390 SALEM SUMP TUBE 14FR 26 4471391 SALEM SUMP TUBE 12FR 26 4471392 STOCKINETTE, STERILE 23.85 4471396 ZONEAIRE SLEEP SURF. 131 4471397 ZONEAIRE SLEEP SURFA 158 4471408 FLEXICAIR LOW AIRLOS 120 4471409 FLEXICAIR MC3 W/SCAL 183 4471410 ECLIPSE MRS 45 4471411 FLEXICAIR ECLIPSE UL 131 4471412 FLEXICAIR ECLIPSE PL 104 4471413 DRESSING COMBI 5X9 14 4471414 JEJUNAL FEEDING/GA 358.5 B4087 4471416 UNIVERSAL FEEDING 15 4471417 ELICK EVAC 26 4471424 SHAMPOO 1 4471425 VENTRAL HERNIA MESH 2500 C1781 4471427 HERNIA PATCH 2150 C1781 4471428 END-O-FOG 23 4471429 KNIFE BLADE 12 5 4471430 KNIFE BLADE 21 5 4471431 KNIFE BLADE 22 5 4471432 KNIFE BLADE 23 5 4471433 KEYHOLE MARLEX MES 208 4471434 MASK A - SIMPLE OXYG 15 4471435 MASK NONREBREATHING 25 4471436 MASK AEROSOL FACE 15 4471437 MASK - AEROSOL FACE 17 4471438 MASK - TRACH 15 4471439 MASK - VENTI 23 4471440 MASK - PEDI SIMPLE O 15 4471441 OXYGEN TUBING 4 4471442 NASAL CANNULA 4 4471443 AERSOL TUBING 9 4471444 TRACH T CONNECTOR 0 4471445 IPPB CIRCUIT 6 4471447 FILTER, BACTERIAL/ 15 4471448 AERSOL NEBULIZER 15 4471451 AEROCHAMBER, ADULT H 18 4471456 PEDIATRIC NASAL CANN 15 4471459 DRESSING 4 X 4 9 4471463 VENT CIRCUIT 14 4471465 BARIATRIC BED PAN 45 4471466 LAPAROSCOPIC ELECT 107 4471467 L HOOK ELECTRODE 170 4471471 SACRO BELT 10 71 4471472 MULTIFIRE PREM TA 3. 447 4471473 MILTIFIRE TA 60 3.5 214 4471474 MULTIFIRE PREM TA 60 440 4471475 MULTIFIRE TA 60 4.8 391 4471476 MULTIFIRE PREM TA 90 444 4471477 MULTIFIRE TA 90 4.8 391 4471481 BARD MARLEX MESH 1 X 150 C1781 4471482 BARD MARLEX MESH 10 500 C1781 4471485 BARD MESH KEYHOLE 700 C1781 4471486 BARD MARLEX MESH MED 850 C1781 4471493 MIC-KEY SKIN LV GA 234 4471494 MIC-KEY SKIN LV GA 234 4471496 BARD COMPOSIX EX MES 2000 C1781 4471497 MIC-KEY MEASURING 12 4471503 TA PREMIUM 55-3.5 277 4471504 CATHETER, 08FR CATH 23 4471505 ROTICULATOR 55 509 4471540 LACERATION TRAY 22 4471541 KOPANS NEEDLE 44 4471542 GIA DISP LOADING U 262 4471543 MULTIFIRE GIA 60 3.8 1455 4471544 MULTIFIRE GIA 60 3.8 266 4471545 DISPOSABLE LOADING 333 4471546 LOADING UNIT DISP 336 4471547 MULTIFIRE ENDO GIA 701 4471548 MULTIFIRE ENDO GIA 701 4471553 GELFOAM SPONGE 35 4471560 DEODORANT 5 4471564 KOPANS SPRING HOOK 43 4471580 CIRCUMCISION TRAY 17 4471586 COMP SLEEVE DEV XL 225 4471611 I STAT G3 CARTRIDGE 15 4471620 CATHETER #24 3CC-30C 52 4471633 METAL DIALATORS 9 4471634 SURGIGRIP 5MM 29 4471635 RADIOLUCENT TROCAR 234 4471646 CENTRAL SUPPLY CAR 0 4471647 CENTRAL SUPPLY CAR 0 4471648 CENTRAL SUPPLY CAR 0 4471657 AUTO SUT RELOAD (D 703 4471670 SUTURE REGULAR 72 4471684 LDS15W STAPLER 514 4471700 ADMIT KIT 0 4471701 LINGEMAN PROCEDURE 83 4471707 EVACUATED CONTAINER 16.2 4471708 3-LEAD EXTENSION SET 9 4471710 EPIDURAL TRAY 180 4471711 SPINAL TRAY/22G LID 31 4471712 SPINAL TRAY/22G TETR 31 4471713 BED PAN 0 4471715 REUTER BOBBIN 31 4471717 SIOLEAU TITANUM TU 110 4471718 SOILEAU TITANUM TUBE 150 4471719 DISP CANNULA TRACH S 85 4471720 DISP INNER CANNULA S 69 4471721 IODOFOAM GAUZE 9 4471722 PERSONAL CARE KIT 0 4471730 IRRIG CAP W SYRINGE 7.5 4471735 SUPPORT HOSE KNEE LE 155 4471740 EMESIS BAG 4 4471750 DRESS 4 LAYER COMP 36 4471751 DRESS ALLE FOAM 4X4 12 4471757 FETABAND 6 4471766 ENCLOSED TOE SOFT MA 14 4471780 ARGYLE TROCAR CATH 77 4471809 FLATUS BAGS 9 4471822 CATHETER FLEXIBLE SU 31 4471825 SNYDER DRAIN & ADA 67 4471826 PRIMARY SET 25 4471827 DRAIN SPONGES, EAC 3 4471836 LUER LOCK, T-PORT 17 4471839 CATHETER SUBCLAVIAN 50 C1751 4471840 BLOOD IV AND PUMP 26 4471845 MULTI FLO ADAPTER 43 4471848 IRRIJET IRRIGATION S 46.8 4471849 COTTON TIP SWABS STE 5 4471850 POVIDONE IODINE SWAB 4 4471852 CYTOLOGY BRUSH 43 4471855 BIOPSY NEEDLE STAND 43 4471870 ARM SLING WITH PAD 20.4 4471871 URETHRAL DILATORS 9 4471873 CATH BALLOON DIL 26F 319.5 4471874 STERILE MARKING PE 17 4471875 INFLATION DEVICE 135 4471877 CURETTE DISP 7 MM 7.55 4471881 ISOLATION SET-UP/S 9 4471884 AMNIHOOK 6 4471885 CURETTE DISP 4 MM 7.55 4471888 DIAPERS ADULT 2XL 32.3 4471892 DSG ALGINET TEGADERM 27 4471894 GOMCO SUCTION 9 4471896 TUR SET 43 4471897 ENTERAL FEEDING TU 60 4471898 BLOOD SET 23 4471899 SECONDARY SET 26 4471900 MINI DROP SET 26 4471901 IV EXTENSION SET/PED 9 4471902 TRANSFER SET 26 4471903 TUBING/SOL PLEXITR 26 4471906 WALL SUCTION/SHIFT 9 4471912 SUPER SPONGE KERLI 8 4471917 CATHETER TEXAS FOLEY 17 4471919 PARACENTESIS TRAY 390.95 C1729 4471947 CLAVICLE SPLINT 38 4471953 PAMPERS, SINGLE 3 4471973 THROMBIN THROMBOST 1069.9 4471974 N-TERFACE 18 4471975 DERMATONE CARRIER 20 4471976 DERMATONE BLADE 315 4471979 URIMETER CATH. TRA 60 4471980 CEEA 31 806 4471982 CEEA 28 889 4471985 CATHETER STRAIGHT 20 4471986 HEELBO & VENTILATED 18 4471989 TRACTION SET\UP\SH 1 4471990 SUCTION MACHINE\SH 1 4471994 LUMBAR TRAY, NEONA 36 4471995 CHEST TUBE 45.6 A7041 4471996 EYE SHEET 5 4471997 SYRINGE 50CC 3 4472000 COMP DEV CALF MD 154 4472001 I.V. CONNECTOR LOO 9 4472002 LSU DRESSING TRAY 38 4472004 HEATING PAD 63.45 4472007 BIOPSY PUNCH 9 4472008 RIB BELT FEMALE LG 42 4472009 UMBILICAL TAPE 22 4472010 FINGER METAL SPLINT 6 4472012 COMP DEV THIGH MD 227 4472013 QUICK-WRAP 15 4472014 SPINAL DIAGNOSTIC 84 4472015 STONE RETRIEVER 244 4472018 LUMBOSACRAL SUPP MED 84 4472019 D.V. VASCULAR GRAF 540 4472020 GORTEX VASCULAR GR 2313 4472022 SUCTION DAILY 23 4472023 TUBERCULIN SYRINGE 1 4472024 CAST SHOE 72 4472025 DOUCHE BAG 17 4472026 FOGARTHY INSERT SE 184.05 4472027 SUCTION CANNISTER 80 15 4472028 PERI BOTTLE 4 4472035 FOAM PAD (36 X 22) 34 4472036 RETENTION SUTURE BRI 26 4472037 I.V. FILTER 23 4472038 I.V. BURETOL SET 23 4472041 PERI-LAMP/SHIFT 1 4472042 FRACTURE PAN 17 4472043 BILI-LIGHT/SHIFT 40 4472044 FOOT CRADLE/SHIFT 1 4472045 SUTURE BOOTS 9 4472046 VAS-TIES 9 4472047 BLOOD/IVF WARMER/ 15 4472049 CATHETER RADIAL ARTE 43 4472053 RIB BELT MALE MD 20 4472056 THERMO DILUTION CA 77 4472058 EGG CRATE MATTRESS 60 4472061 PCA PUMP/SHIFT 11 4472063 NG STRIP 5 4472066 CHEST TUBE TRAY 127 4472067 PRESSURE INFUSOR B 43 4472068 MASK - FACE TENT 15 4472074 CATHETER EMBOLECTOMY 125 C1757 4472075 CATHETER SUPRAPUBIC 84 4472078 STYLET PEDIATRIC LUF 9 4472079 TRANSDUCER STRAP/O 7 4472083 FINGER COTTON DRESSI 8 4472089 VENTILATOR MONTIOR 31 4472095 METAL CLAMP 8 4472103 YANKAUER SUCTION 8 A4355 4472104 STOP COCK 23 4472105 SHILEY TRACH TUBE 67.55 4472113 PACIFIER 4 4472114 BABY WIPES 7 4472118 SLING & SWATHE 38 4472121 BILI-MASK 6 4472131 ABDOMEN BINDER 26 4472142 SUSPENSOR 17 4472143 SPRING WIRE GUIDE 31 4472144 ARTERIAL WRIST SUPPO 38 4472152 BABY DIAPERS, SING 3 4472157 FINGER/FOAM SPLINT 13.75 4472163 PORT A CATH NEEDLE G 23 4472164 PERC GASTROSTOMY T 231 4472169 BETADINE SOLUTION 3 4472170 METAL ARM SPLINT 8 4472171 K-LOCK SMALL 3 4472203 CATHETER FOGARTY 3F 130 C1757 4472204 CATHETER FOGARTY 4FR 130 C1757 4472205 CATHETER FOGARTY 5FR 130 C1757 4472206 MOLESKIN ADDHESIVE 3 4472208 SHUR CLENS 8 4472209 SHUR-CLENS 100 ML 8 4472210 SHUR-CLENS WOUND CLE 5 4472212 COMP DEV CALF SM 154 4472213 ANKLE SPLINT 38 4472218 AIRWAY GUEDEL ADULT 6 4472220 ANKLE BRACE 38 4472224 WRIST SPLINT 31 4472230 WRIST BRACE 31 4472232 OPTIPORE SCRUB SPO 3 4472239 WRIST RESTRAINT 26 4472241 PELVIC TRACTION BE 43 4472247 ASEPTO KIT, NEWBOR 12 4472255 BETADINE SWABS PKG 3 4472256 BULB SYRINGE, NEWBOR 7 4472275 FOOTPRINTER, NEWBO 4 4472295 SHIRTS, NEWBORN 17 4472302 TRIPLE DYE NURSERY 7 4472303 TISSUE EXPANDER/ANAT 3208 4472308 UNDERPADS, NURSERY 14 4472309 SURGICLIPS 107 4472310 SURGICLIPS 127 4472311 SURGICLIPS 13.0 186 4472317 FLEX. FEED. PUMP/S 11 4472324 EMESIS BASIN 5 4472325 HYDROCULATOR TREAT 9 4472334 EMERGENCY ROOM TRA 54 4472338 K-LOCK LARGE 6 4472341 VENTILATOR/HOOK-UP 170 4472346 VAPORIZER\DAY 14 4472347 OXYGEN/INITIAL SETUP 12 4472351 O2 TENT/DAILY 29 4472353 VENT CIRCUIT 34 4472354 VENTILATOR SET UP 155 4472356 ROCKER BOOT LARGE 31 4472363 MASK SIMPLE (DISP) 22 4472364 MASK VENTURI 25 4472373 HH NEBULIZER REPLACE 22 4472378 STYLET PED CARDINAL 12 4472383 AEROSOL SET UP 43 4472384 AEROSOL TUBING 6FT 9 4472385 AEROSOL MASK 4 4472386 AEROSOL FACE TENT 22 4472387 BRIGGS 11 4472389 METERED DOSE INHALER 18 4472399 BONE MARROW TRAY 60 4472401 VEST RESTRAINT XL 95.25 4472408 GASTRIC LAVAGE 60 4472409 GORE TEX SOFT TUSS 2721 4472412 EYE TRAY 15 4472416 BARRIER DRAPE, STE 6 4472419 BAND-AID, 8 X 6 6 4472430 BAND AID, 4 X 6 5 4472432 CAL-STAT 4 4472438 BAND AID 3/4 1 4472444 CIRCUMCISION BELL 14 4472449 SAF CLENS WOUND CLEA 26 4472450 SAF CLENS WOUND CLEA 26 4472453 BILE BAGS 9 4472454 EYE PAD 4 4472476 BONE MARROW NEEDLE 38 4472478 SCALPEL/KNIFE,DISPOS 12 4472483 KNIFE/BLADE 5 4472499 F/CAST, ADULT LONG A 123 4472502 SPINAL NEEDLE 18GX3 4.25 4472510 PLASTER CAST, ADULT 100 4472518 F/CAST, ADULT SHORT 107 4472523 PLASTER CAST, CHILD 84 4472527 MESALT DRESSING 5 4472528 POST SPLINT, ADULT S 77 4472533 POST SPLINT, ADULT L 92 4472539 PLASTER CAST, ADULT 140 4472540 EPI-LOCK 4 X 4 11 4472543 F/CAST, ADULT LONG L 155 4472545 PLASTER CAST, ADULT 115 4472548 LYOFOAM 2 X 2 11 4472549 LYOFOAM 4 X 4 20 4472551 F/CAST, ADULT SHORT 140 4472557 16FR 5CC SILICONE 22 4472558 POST SPLINT, ADULT S 92 4472561 POST SPLINT, ADULT L 115 4472562 DIAL-A-FLO 17 4472565 ADULT CAST, HEEL O 46 4472566 KALTOSTAT PACKING 17 4472567 KALTOSTAT SHEET 17 4472568 KALTOSTAT 7.5 X 12CM 14 4472572 MITRAFLEX PLUS 4 X 15 4472573 MITRAFLEX PLUS 4X8 26 4472574 MITRAFLEX PLUS 2X2 5 4472576 ADULT LEG, F/CAST 61 4472579 HYDRASORB DRESSING 23 4472580 THUMB SPLINT WITH VE 54 4472584 CATHETER STERILE 5 4472585 INTRODUCER, 17FR 100 4472586 RUSSELL GASTROSTOM 254 4472587 GASTROSTOMY KIT, RUS 308 4472594 ENDOSTITCH 2.0 POLYS 69 4472602 SURGIPORT 5MM, TRO 176 4472603 SURGIPORT 10MM, TR 212 4472611 F/CAST, CHILD LONG A 115 4472612 SURGINEEDLE 120MM 71 4472628 PLASTER CAST, CHILD 92 4472629 SURGIGRIP 10MM SLE 22 4472630 ENDOSTITCH 1200 4472631 ENDO GRASP 5MM INS 254 4472640 F/CAST, CHILD SHORT 100 4472641 MULTIFIRE ENDO HER 124 4472642 MULTIFIRE ENDOHERN 418 4472644 SPRING GRIP 22 4472645 SURGIGRIP 5MM SLEE 22 4472646 SURGIGRIP 5MM SLEE 22 4472648 T-ADAPTER W/VALVE 8 4472650 ENDO MINI-SHEARS 5 254 4472652 PLASTER CAST, ADULT 77 4472653 PORT SURGIPORT 5.5 M 18 4472657 COLOSTOMY CLIP 4 4472658 POST SPLINT, CHILD S 61 4472661 ENDO SHEARS 5MM 271 4472662 ENDO DISSECT 5MM I 254 4472663 ENDOCLIP II 397 4472665 POST SPLINT, CHILD L 84 4472666 HUDSON NEBULIZER 15 4472668 AQUACEL 29 4472669 AQUACEL WOUND PACKIN 18 4472671 F/CAST, CHILD LONG L 140 4472677 PLASTER CAST, CHILD 115 4472679 PORT VERSAPORT 239 4472681 PREMIUM SURGIPORT 239 4472687 CATHETER TRAY URETHR 6 4472688 PLASTER CAST, CHILD 100 4472695 F/CAST, CHILD SHORT 132 4472698 POST SPLINT, CHILD L 77 4472699 POST SPLINT, CHILD S 61 4472703 HEEL ON P/CAST CHI 38 4472705 F/CAST, HEEL ON CH 61 4472709 W.IRON, CHILD P/CA 46 4472710 ARM BOARD PEDIATRIC 6 4472712 W.IRON, F/CAST CH 69 4472714 DUODERM HYDROACTIVE 25 4472715 DUODERM CGF 4X4 15 4472716 COMBIDERM ACD 5-1/4 10 4472719 DUODERM CGF 4X5 TRIA 12 4472720 DUODERM X-THIN 4X6 13 4472721 DUODERM X-THIN 4X4 13 4472722 CAST PADDING 2 8 4472724 CAST PADDING, 4 9 4472727 CATHETER FOLEY INDWE 61 4472728 GOULD DISP. PRES. 170 4472735 TRANSDUCER/ARTERIA 170 4472737 SEGOMOSTOMY KIT 84 4472744 CVP DRESSING TRAY 22 4472748 CATHETER DOUBLE LUME 50 C1751 4472749 FITA THERM HME FIL 12 4472750 CATHETER KIT MULTILU 254 4472752 VIVONEX JEJUNOSTOM 89 4472756 TEGADERM 4 X 4 18 4472762 SURGICEL/EACH 92 4472777 MASK HARNESS 36 4472778 CATH BRONCH LEFT 37F 148 C1751 4472779 PERIPHERAL NERVE STI 495 4472780 BATTERY/MINI STIM 1B 48 4472781 MESH COMPOSIX 4X6 1068 4472782 CORD URO TURP 3390 4472783 GUIDEWIRE STIFF .035 1160 4472784 GUIDEWIRE STRAIGHT 795 4472828 VENTED SPIKE ADAPTER 3 4472829 TPN SET W/FILTER 10.25 4472830 ADMINS TUBING SET 85 5 4472834 CONTINU FLO SOLUTION 6 4472836 CONTINU FLO SOLUTION 8 4472837 Y-TYPE BLOOD SET 9 4472838 SECONDARY SET 5 4472839 SECONDARY SET 5 4472840 BURETROL SOLUTION SE 12.85 4472841 NITRO PUMP TUBING 17 4472842 VENTED NITRO SET 17 4472843 Y-TYPE BLOOD SOLUT 6 4472844 Y-TYPE SOLUTION SET 18.15 4472845 NEEDLE LOCK DEVICE 5 4472846 CONTINU FLO SOLUTION 8 4472847 OXYGEN HUMIDIFIER 15 4472854 STERILE WATER 1000CC 5.5 4472863 NEONATAL AMBU BAG 56 4472864 MASK OXYGEN, TODDLER 9 4472865 TRU CUT BIOPSY NEE 57 4472866 INTERLINK T-CONNECTO 14 4472867 HIGH FLOW RATE EXTEN 5 4472868 INTERLINK LOCK 8 4472869 UNIVERSAL VIAL ADAPT 5 4472870 INTERLINK INJECTION 14 4472871 T-CONNECTOR CLEARLIN 14 4472872 T-CONNECTOR CLEARLIN 14 4472873 PORT FOR IV ACCESS 4 4472875 PEP DISPOSABLE DEVIC 48 4472876 OP-SITE 17 4472883 BABY OIL 1 4472885 SHOE, POST OP HARD S 28 4472886 SHOE, POST OP HARD S 38 4472890 SUSPENSORY, SMALL 44 4472891 SUSPENSORY, MEDIUM 38.75 4472892 ADAPTIC 3X3 9 4472895 FEEDING TUBE, #5 14 4472900 JET LAVAGE TRAY 170 4472904 FEEDING PUMP DAY 17 4472907 XERFORM GAUZE 9 4472927 CATHETER #22 3CC-30C 52 4472939 CATHETER EXTERNAL 17 4472942 IRRIGATION Y-SET 43 4472978 SLIPPERS NON SKID LG 0 4472979 SLIPPERS NON SKID, X 0 4472987 SCRUB TRAY 9 4472989 CATH FOLEY 3-WAY 43 4472993 TUR TRAY 43 4473000 TRACH TUBE 8 NO CUFF 83.45 4473001 TRACH TUBE DISP 4 NO 95 4473002 TRACH TUBE 6 NO CUFF 95 4473003 TEMP STRIP 9 4473005 LTA KIT 17 4473009 SPINAL TRAY 84 4473013 DERMATONE CARRIER 20 4473014 RETRACTION GRASPER 3000 4473015 CATHETER TIP SYRIN 9 4473016 COACH 2 INCENTIVE SP 23 4473021 CATHETER ADD TO ADA 3 4473026 DCI FILTER 12 4473028 PUEDENDAL TRAY 120 4473029 INCENTIVE SPIROMETER 23 4473035 DISPOSABLE GOWN PACK 34 4473042 ACTIVE LIFE COLOST 1 4473048 DISCARD A PAD 17 4473053 MOUTHWASH 0 4473064 HEMOVAC 85 C1729 4473065 LAP SPONGES 12 4473068 HY-TAPE 23 4473069 SUCTION TUBING 4 4473070 DSG MEPILEX 4X4 PLN 12 4473071 DRS TEGADERM CHG 19 4473092 ASEPTO SYRINGE 9 4473096 COVER ROLL 2 X 10 YD 46 4473097 COVER ROLL 4 X 10 YD 46 4473101 STOCKINETTE 1/2 1 4473103 SUTURES 38 4473113 SUTURES 22 4473120 CLEAN CATCH CUP 14 4473121 NYLON DRESSING 3 4473123 REDDICK NEEDLE INTRO 34 4473140 VASELINE INT. CARE L 6 4473147 CATHETER STRAIGHT 23 4473155 RICHARD'S MODIFIED 35 4473157 DISPOSABLE SKIN STAP 60 4473177 ILA STAPLES 127 4473181 PI STAPLES 127 4473182 ADULT BRIEFS 22 4473183 HYPEREXTENSION BAR 771 4473194 BREAST LOCALIZATION 56 4473197 SKIN MARKING PENCI 6 4473205 UNIVERSAL CONNECTOR 8 4473206 UNIVERSAL CONNECTOR 77 4473207 ROUND DRAIN 32 4473208 ROUND DRAIN 34 4473212 COMP DEV THIGH SM 223 4473248 DUAL PUMP DAY 77 4473250 INSUFFALTOR TUBE S 61 4473257 INSERT ONLY, GRASPIN 619 4473278 SALEM SUMP TUBE 18 F 15 4473295 MAMMARY IMPLANT 350- 1707 4473296 MAMMARY IMPLANT 530- 1707 4473301 FILTER VENA CAVA SET 4185 C1880 4473309 CATHETER CHOLANGIOGR 55 4473361 GIGLI SAW BLADE 44 4473374 POSEY ECONOMY MITT 27 4473396 STERILE TOWELS/4 22 4473400 SPINAL NEEDLE 22 X 3 3.35 4473419 CAMERA DRAPE 26 4473430 LAP PACK 28 4473431 LAPAROSCOPY PACK 20 4473465 OB PACK 48 4473488 MULTIFIRE TA 30 4. 460 4473489 DRESSING 4 X 4 10 4473490 STERI STRIP 1/8 X 3 4 4473491 STERI STRIP 1/4 X 3 4 4473492 STERI STRIP 1/4 X 1/ 4 4473493 STERI STRIP 1/2 4 4473494 STERI DRAPE 11 4473495 STERI-DRAPE 23.5 X 12 4473496 STERI-DRAPE 35 3/8 18 4473497 STERI STRIP BENZOIN 4 4473498 DRESSING COBAN 1 IN 4 4473499 DRESSING COBAN 2 IN 5 4473500 DRESSING COBAN #4 9 4473501 TEGADERM 2 3/8 X 2 3 4 4473502 TEGADERM 4 X 4 4 4473503 TEGADERM 6 X 8 18 4473504 TEGADERM PAD 4 4473505 TEGASORB THIN 18 4473506 RAZOR HEAD 9 4473508 CAUTERY TIP CLEANE 3 4473509 INFLATOMATIC TOURN 38 4473510 AIRWAY 50MM 6 4473511 AIRWAY 70MM 6 4473512 AIRWAY 80MM 6 4473513 AIRWAY 90MM BERMAN M 6 4473514 AIRWAY 60MM 6 4473515 AIRWAY 100MM 6 4473521 DELIVERY/LABOR ROOM 683 MANUL 4473530 BARIATRIC MATTRESS 105 4473538 FETAL MONITOR 0 59050 4473569 TONSIL SPONGES 26 4473586 BABY WASH 1 4473595 SYRINGE CANNULA 1 4473600 DIAPERS, INFANT NEWB 5 4473602 CATHETER PROTECT IV1 25 4473611 CATHETER PROTECTIV 2 25 4473612 CATHETER PROTECT IV2 25 4473615 CATHETER PROTECT IV 25 4473616 CATHETER PROTECT IV2 25 4473617 CATHETER PROTECT IV 25 4473660 LITE SLEEVE 6 4473661 SHARPS DISPOSAL 17 4473692 CASTILE SOAP 1 4473696 MCNEELY VISCERAL R 54 4473697 MCNEELY VISCERAL R 31 4473713 KARAYA DRAIN OSTOMY 6 4473728 GRADUATE 4 4473729 INTRODUCERS 276 4473730 LEAD 1425 4473733 SIGMOID SUCTION 38 A4355 4473756 DUODERM 4 X 4 25 4473761 STYLETS 66 4473769 CATHETER FOLEY INDWE 61 4473774 HEPARIN LOCK 17 4473800 ABD BINDER XXL 26.6 4473801 ABD BINDER LARGE 13 4473802 ABD BINDER MEDIUM 24 4473803 DIAPERS, PREMATURE 5 4473804 ABD BINDER SMALL 13 4473805 ABD BINDER XXX-LARGE 19 4473811 HEPARIN J-LOOP 17 4473838 CATHETER KIT FEMALE 4.5 4473846 TROCAR 5MM 106 4473847 TROCAR DILATING TIP 184 4473862 SCALPEL HARMONIC (DI 1363 4473902 VI DRAPE 31 4473907 VI DRAPE 31 4473909 KNIFE BLADE 11 5 4473910 KNIFE BLADE 15 5 4473912 CUSTOM SUCTION K CAN 15 4473915 AIR SPLINT, HALF L 22 4473916 SIMPULSE SUCT IRRI 108 4473923 IV START KIT W/CHLOR 22 4473924 N-TERFACE 18 4473925 PORT PROTECTOR STRIP 10 4473940 BUTTERFLY IV INTRACA 20 4473962 DISP CANNULA TRACH S 96 4473963 DISP INNER CANNULA S 69 4473964 SHILEY TUBE TRACHEOS 154 4473966 CATHETER INTRAUTERIN 107 4473967 LEMON/GLYCERIN SWABS 7 4473977 ALOE VESTA PERINEAL 5 4473978 ALOE VESTA ANTIFUNGA 12 4473979 ALOE VESTA PROTECTIV 17 4473988 ELECTRODES, PHILLIPS 66 4473997 SUCTION KIT 10 15 4473998 SUCTION KIT 12FR 15 4473999 SUCTION KIT 14FR 15 4474000 SUCTION KIT 16FR 15 4474001 SUCTION KIT 18FR 15 4474002 SUCTION KIT 8FR 14 4474003 MATERNITY CARE KIT 14 4474004 BILIARY PROBE (FOGER 139 4474005 BILIARY PROBE (FOGER 139 4474006 DUODERM SIG DRSNHEEL 65 4474007 SUTURE PROLENE 3.0 9 4474008 BARD MESH 2 X 12 315 4474034 CATHETER IRRIGATION 17 4474039 PONSKY NONBALLOON RE 287.5 4474050 BREAST PUMP 16 4474051 LUMBAR TRAY, ADULT 43 4474053 DISCARD A PAD 17 4474066 CVP MONITOR 23 4474079 CATHETER LEG STRAP 12 4474080 BREAST SHIELDS 4 4474081 PREP TRAY 26 4474082 PREP TRAY 26 4474083 PREP TRAY 26 4474108 VAXCEL PICC KIT 5FR 151 4474111 MASK (FLEX) 5 4474134 LEVINE TUBE 20 4474154 THORACENTESIS SET 26 C1729 4474171 CRUTCHES 61 4474172 HEEL/ANKLE PROTECTOR 11.85 4474182 CATH-N-GLOVE SUCTION 17 4474189 PLEUR EVAC 235 C1729 4474207 ENDOTRACH 5 MM 9 4474208 ENDOTRACH 5.5 MM 9 4474209 ENDOTRACH 6 MM 9 4474210 ENDOTRACH 6.5 MM 9 4474211 ENDOTRACH 7 MM 9 4474212 ENDOTRACH 7.5 MM 9 4474213 ENDOTRACH 8 MM 9 4474214 ENDOTRACH 8.5 MM 9 4474215 ENDOTRACH 9 MM 9 4474216 ENDOTRACH 12 MM 9 4474217 TRACH TUBE 2.5MM 9 4474218 ENDOTRACH 3 MM 9 4474219 ENDOTRACH 3.5 MM 9 4474220 ENDOTRACH 4 MM 9 4474221 ENDOTRACH 4.5 MM 9 4474222 MOSS GASTROSTOMY TUB 605 B4087 4474223 ENDOPATH 5 MM 261 4474289 SYRINGE ASSEMBLY 93 4474294 PATIENT POSITIONER 43 4474295 I.V. 3-WAY STOP COCK 9 4474296 TEMP TREND INDICAT 6 4474300 TROCAR 11MM 308 4474302 TROCAR ENDOPATH TR 250 4474303 TROCAR 12 MM 996 4474307 PULL-ON HAND CONTR 60 4474308 DUAL SPIKE FLUID SET 41 4474309 FAN SPRAY TIP 26 4474310 INTRAMEDULLARY TIP 29 4474311 ATTENDS 1 4474318 BAIR HUGGER, UPPER 61 4474320 HEMOCLIPS, MEDIUM 34 4474321 HEMOCLIPS, LARGE 34 4474322 HEMOCLIPS, LARGE 34 4474324 BAIR HUGGER, LOWER 61 4474326 SMOKE EVACUATOR PRE- 45 4474329 MCSWAIN DART 84 4474331 HEMOVAC 84 4474335 SIGMOID SPECULUM 38 4474346 LMA SIZE 1.5 46 4474347 DISPOSABLE PEEP VALV 16 4474350 KERLIX 11 A6443 4474352 LUER LOCK FILTER, AD 20 4474366 KLEENEX 3 4474367 RAPID RHINO ANTERIOR 107.7 4474375 BAIR HUGGER, ADULT U 61 4474402 KOTEX 9 4474405 CONDENSOR/HUMIDIFIER 9 4474406 POSEY SPLIT SIDERAIL 11 4474410 ACHIEVER IDS BAL/E 432 4474411 ACHIEVER DIS BAL. 432 4474450 DISPISABKE TB RAZOR 9 4474486 LEMON GLYCERIN SWABS 4 4474487 VAGINAL SPECULA W/SH 11.45 4474488 VAGINAL SPECULA W/SH 11.45 4474489 VAGINAL SPECULA W/SH 11.45 4474496 DISPOSABLE TTS BALLO 504 4474497 DISPOSABLE TTS BALLO 504 4474507 VASELINE INT. CARE L 6 4474530 SHILEY XLT INNER CAN 10.77 4474535 ARM BOARD LONG 9 4474536 DISP CANNULA TRACH S 85 4474537 DISP INNER CANNULA S 69 4474577 KRONNER MANIPUJECTOR 84 4474580 CATHETER HICKMAN 350 C1751 4474582 KNEE BRACE 93.75 L1830 4474584 ENEMA KIT 4 4474585 DIAPERS, INFANT LG 2 11 4474590 SMOKE EVACUATOR REDU 13 4474591 SMOKE EVACUATOR TUBI 44 4474592 MATERNITY BELT 6 4474597 POSEY SURE STAY HEEL 19 4474608 POSEY ELAST MESH HEE 13 4474624 ALOE VESTA PERINEAL 5 4474627 NEEDLES ALL SIZES 7.5 4474628 FOGARTY INSERT SE 34 4474654 ALCARE 9 4474660 POSEY BED CRADLE FRA 11 4474661 POSEY FOOT SUPPORT C 23 4474665 OPSITE WOUND DRAPE 6 4474666 02 WATER 15 4474672 COMBIDERM ACD STERIL 17 4474673 COMBIDERM ACD 4X4 14 4474683 POSEY FOOT ELEVATOR 50.85 4474700 PAMPERS 16 4474703 IOBAN 2 (IODOPHOR) 39 4474708 POWDER 0 4474715 SUTURE O SILK 22 4474716 PREP TRAY 26 4474719 BIPAP CIRCUIT W FILT 36 4474728 OB PACK 48 4474739 ALOE VESTA PROTECTIV 17 4474741 ARM BOARD SHORT 11.5 4474788 VASCULAR GRAFT 70CMX 3600 C1768 4474800 BABY LOTION 1 4474878 DISPOSABLE RAZOR 4 4474879 FILTER, 7200 EX 19 4474926 KARAYA SEAL DRN SP 83 4474930 SHEEPSKIN, DECUBIC 51 4474953 PODOUS BOOT XL 190 4474980 SPECIPAN 4 4474999 ADULT BRIEFS XL 23.05 4475000 NS FOR IRRIG 3000CC 49.85 4475001 CATH FOLEY 28FR 13 4475002 MASK FOGFREEWSPLSHLD 78 4475005 LMA SIZE 2.0 46 4475006 LMA SIZE 2.5 46 4475007 LMA SIZE 3 41 4475008 LMA SIZE 4.0 41 4475009 LMA SIZE 5.0 41 4475010 LMA UNIQUE SIZE 1 95 4475011 CATHETER ALLPURP14FR 3 4475012 DIAPERS BABY SIZE 3 10 4475014 SPRNG WIREGDW/ARRADV 29 4475015 IODOFOAM GAUZE 1/2" 7 4475016 DRSG TEGADERM 2X2 PD 4 4475018 FINGER SPLINT ROLL 46 4475020 COLOSTOMY BAG 1 3/4 14 4475021 COLOSTOMY WAFER 13/4 5 4475022 COLOSTOMY WAFER1 1/2 5 4475023 RAPID RHINO POSTERIE 107.7 4475024 COLOSTOMY WAFER2 1/4 5 4475025 COLOSTOMY BAG 2 1/4 4 4475026 RAPID RHINO 4.5CMANT 64 4475030 IRRIGATION TRAY 4 4475031 CAST PADDING 6" 4 4475032 PLEURX DRAIN KIT 500 161 4475033 PLEURX DRAIN KIT1000 209.95 4475034 PLEURX PERITONEALCAT 1725 4475035 MASK PEDI AEROSOLFAC 6 4475037 SUTURE REMOVAL 26 4475050 CAP,PRNINJECTIONSIT 4 4475051 DIAPERS BABY SIZE 2 13 4475052 DIAPERS BABY SIZE 5 14 4475053 OPTI-VENT SPACER DEV 11 4475054 STATLOCK PICCPLUS 12.45 4475056 CATH 3WAY 26FR 30CC 29 C1751 4475089 STERILE BASIN 9 4475094 DRAINABLE POUCH CL 48 4475095 STERILE GLOVES/PAI 9 4475100 CATHETER MALE MED 5 4475107 TRACH TUBE LOW PRE 212 4475108 DISP CANNULA TRACH S 96 4475109 DISP INNER CANNULA S 69 4475111 KNEE SPLINT, 3-PANEL 55 L1830 4475112 UROSTOMY POUCH 1.5 10 4475113 KCI GRANUFOAM SILVER 303 4475114 UROSTOMY WAFER 1.5 7 4475115 KCI HEEL DRESSING CO 219 4475116 AMBU BAG, INFANT 49.15 4475117 KCI Y CONNECTOR 6 4475118 CATHETER, 5FR WITH G 14 4475119 KCI GRANUFOAM DRESSI 217 4475120 CATH KIT, 8FR 13 C2627 4475121 KCI GRANUFOAM DRS SM 142 4475122 CATHETER, URETEHRAL, 23 4475123 KCI WHITE FOAM DRSSM 77 4475124 JELCO, 14 GAUGE 5 4475125 KCI CANNISTER GEL 50 120 4475126 NASOPHARYN AIRWA 20F 27 4475127 EXCEL CARE ES FRAME 428 4475128 KCI GRANUFOAM DRESSI 324 4475129 KCI STOMAHESIVE PAST 17 4475130 KCI VAC DRAPE 11 4475131 NASOPHARYN AIRWA 22F 27 4475132 KCI TRAC PAD 58.75 4475133 KCI VAC DRESSING KIT 182 4475134 ELECTRODES, EKG BLUE 29 4475135 INTRAOSSEOUS NEEDLE, 134 4475136 INTRAOSSEOUS NEEDLE, 192.6 4475137 SPINAL TRAY BUPIVACA 43 4475138 DSG MEPILEX BORD 3X3 8 4475139 UTERINE EXPLORA CURE 19 4475140 ACTICOAT DRESSING, 4 53 4475141 BIOPATCH ANTIBACTERI 24 4475143 INTUBATION SETRET14F 402.65 4475145 INTUBATION SET RE6FR 436.45 4475146 TUBE STATLOCK PICC P 13 4475147 BETADINE SKIN PREP 26 4475149 SPIRAL INTERNAL EL 46 4475150 LEG PLATE STRAP/OB 7 4475154 KNEE SPLINT, 3-PANEL 75 L1830 4475155 KNEE SPLINT, 3-PANEL 86 L1830 4475163 DRESSING KIT CVC WIT 51 4475200 SPINALNEEDLE22GX31/2 5 4475201 PLASTER SPLINT 4" 3 4475207 Q TIP LARGE 5 4475210 DISSECTOR SPONGE 6 4475211 MEDIPOR DSG MD 3 X 3 3 4475212 MEDIPOR DSG LG 3 X 5 4 4475218 HEEL & ELBOW PROTECT 18 4475220 UROSTOMY POUCH 2.25 10 4475221 UROSTOMY WAFER 2.25 20 4475222 UROSTOMY POWDER 27 4475223 ANKLE SUPPORT SMALL 52 4475224 ANKLE SUPPORT MED 52 4475225 ANKLE SUPPORT LG 52 4475234 TRANSVAGINAL ANCHOR 1234 4475235 TRANSVAGINAL ANCHOR 1580 4475236 TRANSVAGINAL ANCHOR 1625 4475253 VEST RESTRAINT, SMAL 137.85 4475254 VEST RESTRAINT, LARG 75 4475262 BIPOLAR ENDOSTASIS 451 4475300 PLASTER SPLINT 3IN 3 4475301 LEVIN TUBE 12FR 4 4475302 LEVINE TUBE 14FR 4 4475303 LEVINE TUBE 16FR 4 4475326 POSEY ALARM SENSOR U 11 4475341 JEJUNSTOMY NEEDLE 84 4475342 CERVICAL COLLAR,SM 22 L0120 4475344 CERVICAL COLLAR, MED 23 L0120 4475345 CERVICAL COLLAR,LG 22 L0120 4475346 CERVICAL COLLAR,XL 22 L0120 4475352 CATHETER SWANZ 340 C1751 4475353 CATHETER SWANS GANZ 340 C1751 4475355 NYLON DRESSING 3 4475367 POSEY SITTER SELECT 29 4475379 TABLE COVER 12 4475397 SYRINGE 5CC 1 4475398 ARM SLING, SMALL D 17 4475399 ARM SLING, MEDIUM 17 4475400 ARM SLING, LARGE D 17 4475401 SHOULDER IMMOBILIZER 23 L3650 4475402 SHOULDER IMMOBLIZER, 23 L3650 4475403 SHOULDER IMMOBILIZER 23 L3650 4475404 ARM SLING, SM ECONO 52 4475405 ARM SLING, MED ECON 52 4475406 ARM SLING, LG ECON 52 4475411 ARM WEB SLING, SM 15 4475413 SLING & SWATHE, UN 40 4475436 SLING & SWATHE, SM 38 4475438 SLING & SWATHE, MED 38 4475439 SLING & SWATHE, LG 38 4475487 CLAVICLE SPLINT, S 29 4475488 CLAVICLE SPLINT, M 29 4475498 CLAVICLE HEAVY PAD, 32 4475538 HH TEGADERM 4 X 4 18 4475648 SYRINGE 20CC 4 4475785 SYRINGE 30CC 4 4475787 UNIVERSAL WRIST 7 32 4475788 COCK UP SPLINT 1 38 4475789 COCK UP SPLINT 10 38 4475791 WRIST SUPPORT RIGH 32 4475796 WRIST SUPPORT LEFT 32 4475797 WRIST/FOREARM SUPPOR 35 L3908 4475798 WRIST/FOREARM SUP. 37 L3908 4475799 WRIST/FOREARM SUP. 37 L3908 4475800 WRIST/FOREARM SUP. 37 L3908 4475801 WRIST/FOREARM SUP. 37 L3908 4475803 WRIST/FOREARM SUPPOR 35 L3908 4475805 WRIST/FOREARM SUP. 37 L3908 4475806 WRIST/FOREARM SUP. 37 L3908 4475807 WRIST/FOREARM SUP. 37 L3908 4475808 WRIST/FOREARM SUP. 32 L3908 4475819 BARD MESH CIRC 8X3.2 3500 C1781 4475855 SYRINGE 60CC 5 4475856 SALEM SUMP TUBE 8 FR 17.15 4475898 STERILE WATER 250 CC 6 4475899 STERILE NS 250 CC BT 6 4475901 STERILE GLOVE, MEDIU 5 4475902 STERILE GLOVE, LARGE 5 4475903 KANGAROO PUMP SET 6 4475905 DUO TUBE 58 4475907 TEMP KIT 0 4475908 ELECTRODES PACING AD 157 4475909 ELECTRODES, PACING P 123 4475913 RIB BELT MALE SM 22 4475914 RIB BELT UNIV XXXL 36 4475915 RIB BELT MALE DEL LG 22 4475916 RIB BELT MALE DEL XL 40.5 4475918 RIB BELT FEMALE SM 22 4475919 RIB BELT FEMALE MD 22 4475920 RIB BELT DELUXE LG 22 4475921 RIB BELT FEMALE XL 22 4475928 HHN SET UP KIT 10 4475930 NIPPLE SHIELD 10 4475931 TROCAR APPLE 71 4475953 ENDOSCOPIC KITTNER 54 4475954 VEST RESTRAINT, MED 75 4475955 LEAD PATIENT CABLE 234 4475957 PENROSE DRAIN 1/4 4 4475963 PERI GYN PACK 16 4475966 TRI PADS 6 4476000 AIRWAY 110MM 2 4476001 J SPLINT 2" 5 4476002 J SPLINT 3" 6.85 4476003 J SPLINT 4" 7.65 4476004 J SPLINT 6" 12 4476012 URINAL 9 4476015 LAPARATOMY SHEET 18 4476016 CORD CLAMPS 3 4476035 GOWN 25 4476081 VASELINE GAUZE 4 4476086 CATHETER PLUG 5 4476088 VAGINAL IRRIGATION S 17 4476111 WASH BASIN 0 4476118 WEE BAG 11 4476129 SACRO BELT LP/LK 69 4476202 DSG FIBRACOL ALGINAT 33 4476206 DSG MEPILEX DRS SLV 30.5 4476207 MEPITEL DSG TX 6 X 6 20.35 4476530 BARIATRIC BED 195 4476930 ACTICOAT DRESSING 102 4477022 MOUTHPIECE FLOW MTR 4 4477024 TUBE ADAPTER HUDSON 4 4477025 FLOW METER VALUE PK 25 4477026 PEAK FLOW METER - ER 0 4477200 ANASEPT SPRAY 8 OZ 24 4477201 ANASEPT GEL WOUND CR 60 4477211 DRESSING BORDER 2X2 4 4477212 DRESSING BORDER 4X4 4 4477247 HEADGEAR LARGE 48 4477248 HEADGEAR SMALL 48 4477257 GRIP LOCK UNIVERSAL 6 4477276 DRY WASHCLOTH 4 4477295 HYPERGEL WND DRSING 34.1 A6248 4478000 TRACH TUBE ET 3.0 CU 25 4478001 TRACH ET TUBE 3.5 19 4478002 TRACH ET TUBE 4.0 CU 42 4478003 TRACH ET TUBE 4.5 CU 37 4478004 TRACH ET TUBE 5.0 CU 29 4478005 TRACH ET TUBE 5.5 CU 29 4478006 TRACH ET TUBE 6.0 CU 30 4478007 TRACH ET TUBE 6.5 CU 39 4478008 TRACH ET TUBE 7.0 CU 37 4478009 TRACH ET TUBE 7.5 CU 39 4478010 TRACH ET TUBE 8.0 CU 39 4478011 TRACH KIT 7 PERC 575 4478012 TRACH KIT 8 PERC PER 575 4478013 TRACH REPL TUBE 7 8 4478014 TRACH REPL CANNULA 575 4478015 TRACH PER 7 REP TUBE 122 4478016 TRACH PER 8 REP TUBE 373.45 4478044 TRACH PERC CANN REP 8 4478070 TRACH PER REP CAN 7 14.85 4478400 COPA FOAM DRESSING 7 4478401 LYOFOAM 6 X 8 25 4478500 SLING & SWATHE PEDI 18 4478501 SPECIMEN CUP UNSTERI 3 4479000 TRACH ET TUBE 8.5CU 25 4479001 TRACH ET TUBE 9.0CUF 12 4479002 LOTION 4 4479004 TUBE RECTAL 24FR 20" 7.05 4479005 CONTINU-FLO SOL60GTT 10 4479010 PCA SET W/INJECTOR 13.7 4479011 STYLET ADULT 12 4479020 ADAPTORINTERLINKVIAL 3 4479021 CONNECTINGTUBING18" 4 4479022 WALKING BELT MEDIUM 34 4479026 DRESSING COBAN 4 IN 6 4479028 IV EXT SET W T CONNE 3 4479030 BACK SUPPORT LARGE 45 4479031 CATH ALL PURPOSE18FR 4 C1751 4479032 CATH 16FR 5CC 3WAY 28 4479033 CATH 30FR 5CC BALLOO 11 4479034 BRIEFS ADULT MED 17 4479035 SCALPEL #12 4.5 4479036 FILTER TRIMMED ADDON 5 4479040 STOMAHESIVE PASTE 17 4479041 PICC 5 FR TRIPLE LUM 749.1 C1751 4479042 RADSTIC 5 FR KIT 90 C1894 4479043 BIOPATCH FOR PICC 15 C1894 4479044 CATHETER MID KIT 18 357 C1751 4479095 BAG LEG DRAIN 36 4479096 BAG LEG DRAIN EXTEN 12.5 4479100 CATH LAP CHOLANGIOGM 336 C1751 4479118 J CURVE GUIDEWIRE 28 4479455 VLINK ADAPTOR IV 7.5 4479593 PODOUS BOOT REG 180 4479595 VLINK CONNECTOR IV 11.25 4479855 DRS TEGADERM 3 X3.75 7.5 4479875 CURETTE DISP 2 MM 9 4479900 DRESSING COBAN 2 LAY 36 4479901 MEDIPORE TAPE 2 INCH 10 4479985 HYDROFERA BLUE DRESS 197 4479996 SUTURE 2.0 VICRYL 6 4479997 SUTURE 3.0 ETHIBOND 7.5 4479999 CATHETER EXTERNAL MD 6 4480000 TED HOSE KNEE LARGE 12 4480001 TED HOSE KNEE MED 11 4480002 TED HOSE KNEE SM 25 4480003 TED HOSE KNEE XL 29 4480004 TED HOSE KNEE XLLONG 27 4480005 TED HOSE LARGE LONG 26 4480006 TED HOSE MED SHORT 15 4480007 TED HOSE THIGH XLMED 26 4480008 TED HOSE THIGH XL SH 31 4480009 TED HOSE THIGH, MED 22 4480010 TED HOSE THIGH, SM 22 4480011 TED HOSE, SMALL 51 4480012 TED HOSE LARGE SHORT 34 4480013 TED HOSE THIGH LG 22 4485984 STRESS TEST/TREADMIL 326 93017 4500000 NEW EMPLOYEE SCREEN 0 4500001 NEW HIRE BLOOD 2.28 36415 4500002 NEW HIRE HEP B 12.5 86706 4500003 NEW HIRE RUBELLA 12.15 86762 4500004 NEW HIRE MEASLES 34.82 86765 4500005 NEW HIRE VARICELLA 37.18 86787 4500006 ARTERIAL CATH/CANN 113.8 36620 4500009 TREAT HIP DISLOCATIO 537.25 4500010 TREAT HIP DISLOCATIO 468.65 27250 4502193 TC EXC LIP BK 21930 2600 21930 4509010 CYST ASPIRATION 611.75 20612 4509011 PF CYST ASPIRATION 750 4530001 CODE:BLOOD ADMIN 467.22 36430 4530002 CODE:MD BEDSIDE PROC 0 4530004 CODE:CPR PROCEDURE 529 92950 4530007 CODE-IV INFUSION 1ST 300 96365 4530008 CODE-IV INFUS ADD HR 73 96366 4530009 CODE-IV PUSH, PER EA 73 96367 4530115 BIPAP 325 94660 4530900 MASK HARNESS ADULT 41 4530903 MASK HARNESS CHILD 41 4531000 NASOPHAR AIRWAY 26F 27 4531001 AIRWAY 28F NASOPHARY 27 4531002 NASOPHARY AIRWAY 28F 43 4531050 AEROSOL DRAINAGE BAG 4 4531260 OXYGEN PER DAY 216 4531639 NEBULIZER T CONNECTO 3 4531726 EKG 115 93005 4531914 VAPORIZER/SHIFT 52 4532000 STABIL TUBE 21 4532001 O2/CO2 NASAL CANNULA 40 4532002 MASK LG ACAPELLA GRE 117 4532003 ACAPELLA W/LARGEMASK 117 4532004 ACAPELLA W/ MASK MED 117 4532339 IPPB SUBSEQUENT TX 58 94645 4532340 OXYGEN/HOUR 9 4532342 RT ASSISTANCE QTR 150 94667 4532344 ENDOTRACH INTU ER 325 31500 4532345 ENDOTRACH INTU OR 325 31500 4532349 SPIROGRAM 60 4532357 VENTILATOR ADAPTER 12 4532359 ORALAIRWAY CARE RESP 150 94640 4532360 INTUBATION RESP 46 31500 4532361 EXTUBATION RESP 77 31500 4532362 OXYGEN SET UP 50 94760 4532365 MASK REBREATHING 25 4532366 OXYGEN IN E.R. 50 94760 4532367 SPUTUM COLLECT RESP 58 94664 4532368 SPUTUM INDUCT RESP 58 89220 4532369 VAPORIZER SET UP 25 4532370 IS INI TX 325 94010 4532371 IS SUBS TX 100 94010 4532372 HHN INITIAL TREATMEN 58 94664 4532374 CPT/ACAPELLA SUBSEQ 150 94668 4532375 POSTURAL DRAINAGE 25 4532376 BREATHING EX 58 94664 4532377 IPPB-INITIAL TREATME 150 94640 4532379 IPPB-CIRCUIT DISP 58 94664 4532380 PFT-LOOP 325 94375 4532381 PFT SPIROMETRY 325 94010 4532382 PFT-PRE & POST 400 94060 4532384 TUBING BLUE CORRUGAT 4 4532388 TRACHE CARE 50 94760 4532390 MIST TENT SETUP 9 4532391 OXYGEN SERVICE CHARG 50 94760 4532392 OXYGEN TRANSPORT 36 4532393 RT INSTRUCT O2/MIST 58 94664 4532395 PULSE OXIMETRY 24 HO 200 94762 4532402 CONTINOUS AERSOL ADD 150 94645 4532955 BLUE CORREG TUBING 11 4533000 MASKPEDNONREBREATHER 4 4533889 ART PUNCT COLLECTION 200 36600 4534000 NEBULIZER HAND HELD 4 4534009 RT INST/REINST RT EQ 58 94664 4534109 HME MOISTER/HEAT EXC 14 A4483 4534112 EVALUATION CONSULT R 150 94667 4534113 TUBE COMBI 37-FRENCH 234 4534114 TUBE COMBI 41-FRENCH 234 4534119 AEROCHAMBER WITH LAR 54 4534120 AEROCHAMBER WITH SMA 54 4534121 FLOW SENSOR (EVENT) 56 4534135 PULSE OX SINGLE 50 94760 4534140 HOLDER ET TUBE HOLLI 25 4534400 CONT AEROSOL FIRSTHR 250 94644 4534600 ENDOTRACH INTU RESP 325 31500 4535100 AEROCHAMBER WITH MED 54 4535324 ARTERIAL BLOOD GASES 115 82803 4536000 RSV COLLECTION 58 94664 4536003 PULSE OX MULTI/P&P 100 94761 4536004 VENT WEAN PARAMETERS 77 4536013 VENT ASSIST MGT 1STD 700 94002 4536014 VENT ASST MGT SUBSEQ 700 94003 4536020 HHN/MDI/DPI INITIAL 150 94640 4536021 HHN/MDI/DPI SUBSEQ 150 94640 4536022 IPPB TREATMENT INITI 58 94664 4536025 CPT/ACAPELLA INITIAL 150 94667 4536026 PENTAMIDINE TREATMNT 300 94642 4536500 NT STER SUCTION RESP 150 94640 4537023 CONNECTOR OMNIFLEX 10.5 4537250 PERCUSSOR CUP PEDIAT 12.3 4537251 PERCUSSOR CUP MEDIUM 25 4537252 PERCUSSOR CUP LARGE 30 4537815 VENT CIRC NEWPORT 33 4539948 MASK RESP OXYMASK 12 4539999 PF HOLTER REV INT 100 93227 4540830 THERAPEUTIC PROCEDUR 70.75 G0239 4541254 ABG KIT 5 4541261 HHN INITIAL 150 94664 4541262 HHN SUBSEQUENT 150 94640 4541263 CPT 150 94667 4541264 PFT, SIMPLE 325 94010 4541265 PFT WITH PRE & POST 400 94060 4541266 MDI 150 94664 4541267 PULSE OX, SINGLE 50 94760 4541268 PULSE OX, MULTIPLE 100 94761 4541283 ARTERIAL BLOOD GAS P 115 82803 4541286 OP INI EVAL OR RE-A 150 99211 4546102 SELF CARE/HOME MANAG 150 97535 4590004 EXCISION OF LESION 292.62 11602 4600002 SM REPAIR WD 2.6-7.5 203 12002 4600069 CONTROL NAS HEM REPE 155 30906 4600103 TC EXPLORE WD, EXTR 1700 20103 4600120 TECH COM REM FB10120 349.65 SURG 4600260 INJ SACROILIAC JOINT 400 20552 4600534 TECH COMP I&D 10060 198 SURG 4600535 TECH COMP I&D 10061 190 10061 4600536 TECH COMP I&D 10080 135 SURG 4600537 INCISION&REMOVAL FOR 349.65 SURG 4600538 INC AND DRAIN 10140 1598 10140 4600539 PUNCTURE DRAINAGE WO 349.65 10160 4600540 ER DEBRIDEMENT INFEC 139 11000 4600541 DEBRIDE SKIN 97597 325.36 97597 4600542 DEBRIDEMENT;SKIN,FUL 183.9 97598 4600543 DEBRID,SKIN & SUBCUT 376 11042 4600544 DEBRIDEMENT TISSUE/M 400 11043 4600545 ER BIOPSY SKIN LESIO 206 4600546 ER REMOVAL OF SKIN T 155 11200 4600547 SHAVING OF DERMAL LE 155 11300 4600548 SHAVING EPIDERMAL OR 155 11310 4600549 EXC BEN LES 11100 206 4600550 REM BENIGN SKIN LESI 600 SURG 4600551 EXC BENIGN SKIN LESI 600 11402 4600552 EXCISION BENIGN LESI 1100 SURG 4600553 EXCISION TRUNK ARM L 2300 11404 4600554 EXCISION LESION DIA 2300 11406 4600555 EXC BEN LES SCALP,NE 1100 11420 4600556 EXC BEN LES SCALP/HA 1100 11421 4600557 EXCISION,BENIGN LESI 2300 11423 4600558 EXC BEN LES SCALP,NE 3100 11426 4600559 EXCISION BENIGN LESI 600 11440 4600560 EXCISION OTHER BEN L 600 11441 4600561 EXCISION LESION FACE 1100 11442 4600562 EXC BEN LESION FACE 1100 11443 4600563 EXCISION MALIGNANT L 600 11601 4600564 EXCISION LESION DIS 600 11602 4600565 EXCISION MAL LESION 1100 11603 4600566 ER EXC MAL LES 11620 1100 11620 4600567 EXCISION, MALIGNANT 1100 11621 4600568 EXCISION MAL LESION, 1100 11622 4600569 EXCISION MAL LESION 2300 11624 4600570 EXCISION MAL LESION 1100 11640 4600571 EXC MAL LES FC 11641 1100 11641 4600572 DEBRIDEMENT OF NAIL( 150 11720 4600573 ER REMOVAL NAIL PLAT 261 11730 4600574 EVACUATION SUBUNGUAL 123 11740 4600575 EXCISION NAIL BED 600 SURG 4600576 WEDGE EXC SKIN NAIL 155 11765 4600577 REP WD 0-2.5 12001 203 SURG 4600578 REP SIMPLE WND 12002 203 SURG 4600579 REPAIR WOUND 12004 203 12004 4600580 REPAIR SIMP WD 12005 203 12005 4600581 REPAIR SIMPLE WND 20 300 12006 4600582 REPAIR SIMPLE WOUND 203 12007 4600583 REPAIR LAC FC 12011 203 SURG 4600584 REPAIR SUPERFICIAL W 152 4600585 REPAIR LACER 12013 203 SURG 4600586 REPAIR SIMPLE WOUND 203 12014 4600587 REPAIR SIMPLE WOUND 203 12015 4600588 REPAIR SIMPLE WND 12 203 12016 4600589 REPAIR SIMPLE WND 20 203 12017 4600590 REPAIR SIMPLE WOUND 203 12018 4600591 CLOSURE OF SPLIT WOU 425 12021 4600592 REPAIR LAYER CLOSURE 400 12031 4600593 REPAIR LAYER CLOSURE 425 12032 4600594 REP LAYER CLOS 12034 425 12034 4600595 REPAIR LAYER CLOSE 1 800 12035 4600596 REPAIR LAYER CLOSE 2 800 12036 4600597 REPAIR LAYER CLOSURE 800 12037 4600598 REPAIR LAYER CLOSURE 800 12041 4600599 REPAIR LAYER CLOSURE 425 12042 4600600 REPAIR LAYER CLOSE 7 425 12044 4600601 REPAIR LAYER CLOSE 1 425 12045 4600602 REPAIR LAYER CLOSE 2 425 12046 4600603 REPAIR LAYER CLOSURE 800 12047 4600604 REPAIR LAYER CLOSURE 425 12051 4600605 REPAIR LAYER CLOSURE 425 12052 4600606 REPAIR LAYER CLOSE 5 425 12053 4600607 REPAIR LAYER CLOSE 7 425 12054 4600608 REPAIR LAYER CLOSE 1 425 12055 4600609 REPAIR LAYER CLOSE 2 425 12056 4600610 REPAIR LAYER CLOSURE 425 12057 4600611 REPAIR OF WOUND OR L 800 13101 4600612 REPAIR WOUND/LESION, 600 13102 4600613 REPAIR COMPLEX SCALP 800 13121 4600614 REPAIR COMPLEX SCALP 203 13122 4600615 REPAIR,COMPLEX FACE/ 425 13131 4600616 REPAIR SK WND 13132 800 13132 4600617 REPAIR OF WOUND OR L 800 13152 4600618 SKIN SPLIT GRAFT 3300 15120 4600619 INIT TX 1ST DEGREE B 155 16000 4600620 INITIAL TREATMENT, B 210 SURG 4600622 PUNCTURE ASPIRATION 800 19000 4600623 INCISION OF BREAST L 3000 19020 4600624 EMERGENCY ROOM 800 19100 4600625 BIOPSY BREAST OPEN/I 3300 19101 4600626 REMOVAL OF BREAST LE 3300 19120 4600627 EXPLORATION OF PENET 1100 20100 4600628 EXPLORE WOUND,ABDM/F 3300 20102 4600629 EXPLORATION OF PENET 1700 SURG 4600630 BIOPSY MUSCLE PERC. 1400 20206 4600631 INJ SINUS TRACT;DIAG 1100 20500 4600632 REM FB MUSCLE/TEN 1200 20520 4600633 INJ TENDN SH/LIG/TRI 400 20550 4600634 INJ TENDON ORIGIN/IN 400 20551 4600635 SINGLE OR MULTI TRIG 400 20552 4600636 INJECT TRIGGER PTS, 400 20553 4600637 ARTHROCEN,ASPIR,INJ 400 20600 4600638 ARTHROCEN,ASPIR,INJ 400 20605 4600639 ARTHRO/ASPIR/INJ MAJ 400 20610 4600640 RESET DISLOCATED JAW 155 21480 4600641 EXCISION TUMOR, NECK 2300 21555 4600642 BX SFT TISS BK 21920 1100 21920 4600643 INJECTION SH 20610 400 20610 4600644 TX CLAVICLE FX 23500 275 23500 4600645 CLOSED TREAT DISLOC 650 23545 4600646 CLOSED TX OF SCAPULA 225 23570 4600647 CLOSED TREATMENT SHO 282 23650 4600648 EXC LES ARM/EL 24075 2300 24075 4600649 TX CLOSED ELBOW DISL 225 24600 4600650 TX ELBOW DISLOC24640 225 24640 4600651 TREAT RAD FX 24650 225 24650 4600652 REPAIR FOREARM TENDO 4000 25270 4600653 TREAT FRACTURE RADIU 225 25500 4600654 TREAT FX OF ULNA 225 25530 4600655 TX FX RAD ULNA 25600 226 25600 4600656 CLOS TX DISTAL RAD F 900 25605 4600657 TREAT WRIST DISLOCAT 226 25675 4600658 DRAINAGE OF FINGER A 300 26010 4600659 PARTIAL EXCISION BON 2500 26236 4600660 CLOSD TX METACARPAL 300 26605 4600661 TREAT THUMB DISLOCAT 300 26641 4600662 CLOSED TX CARPOMETAC 225 26670 4600663 TC KNUCKLE DIS 26700 225 SURG 4600664 CLOSED TX PHALANGEAL 225 26720 4600665 TREAT FINGER FRACTUR 300 26725 4600666 CLOSD TX IP JOINT DI 226 26770 4600668 CLOSED TX FEM FX DIS 243 27508 4600669 CLOSED TX OF FRACTUR 300 27538 4600670 TREAT KNEE DISLOCATI 300 27550 4600671 CLOSED TX OF PATELLA 226 27560 4600672 CLOSED TX PATELLAR D 2100 27562 4600674 CLSD TRTMENT, TIBIA 2500 27752 4600675 CLOSED TX DISTAL FIB 226 27786 4600676 REM FB 28190 1200 28190 4600677 TREAT METATARSAL FX 300 28470 4600679 APPLICATION SHORT AR 315 29075 4600680 APPLY HAND/WRIST CAS 200 29085 4600681 APPLY FINGER CAST 200 29086 4600682 APPLICATION LONG ARM 200 29105 4600683 FOREARM SPLINT 29125 200 29125 4600684 APPLICATION SHORT AR 145 SURG 4600685 APPLICAT. FINGER SPL 145 29130 4600686 STRAPPING; SHOULDER 145 29240 4600687 APPLICATION OF LONG 315 29345 4600688 APP SH LEG CT 29405 315 29405 4600689 APPLICATION OF LONG 200 29505 4600690 APPL SHORT LEG SPLIN 315 29515 4600691 STRAPPING; HIP 145 29520 4600692 STRAPPING;UNNA BOOT 350 29580 4600693 CONTROL NASAL HEMORR 161 30901 4600694 CONTROL NASAL HEMORR 161 30905 4600696 PF ENDOTRACH INTU 325 31500 4600697 DIAGNOSTIC LARYNGOSC 3100 31525 4600698 LARYNGOSCOPY FLEX FI 300 31575 4600700 THORACENTESIS,PUNCTU 750 32554 4600701 TECH COMP CHEST TUBE 900 32551 4600702 REPAIR BLOOD VESSEL 5000 35190 4600703 REPAIR BLOOD VESSEL 5000 35206 4600704 REPAIR BLOOD VESSEL 6500 35207 4600705 INTRODUCE NEEDLE/INT 4 36000 4600706 PLACEMENT CV CATHETE 1500 36556 4600707 EMERGENCY ROOM 373 4600708 INSERT NON-TUNNEL CV 1500 36556 4600709 INSERT PICC W/O PORT 1500 36569 4600710 BONE MARROW BX; NEED 1300 38221 4600711 INS CATH PLEURAL W/O 570.8 32556 4600712 ER/LACERATION OF MOU 1100 41252 4600714 DRAINAGE OF SALIVARY 456.4 42310 4600715 BX OF SALIVARY GLAND 1623 42400 4600716 UGI ENDOS W/PECUT GA 2000 43246 4600717 NASO/ORO-GASTRIC TUB 300 43752 4600718 CHANGE OF GASTRO ER 325 4600719 REPOSITION GASTROSTO 1200 43761 4600721 INCISION & DRAINAGE 3300 46040 4600722 INCISE EXTERNAL HEMO 400 46083 4600723 EXCISION EXT HEMORR/ 3300 46230 4600726 BX LIVER NEEDLE PERC 1410 47000 4600727 PARACENTESIS ABD INI 815 49082 4600728 BLADDER IRRIG,SIMPLE 400 51700 4600729 BLADDER INSTILL ANTI 450 51720 4600730 CYSTOSCOPY 52281 2300 52281 4600731 DILATION URETHRAL ST 460 53600 4600732 DILATION URETH MALE/ 150 53601 4600733 DILATE URETHRAL STRI 1000 53620 4600734 DILATION URETH FEMAL 250 53660 4600735 DILATION FEMALE URET 150 53661 4600736 DILATION OF URETHRA 3200 53665 4600737 CATHERIZATION, URETH 55 4600738 CATHERIZATION;URETHR 131 4600739 I&D SCROTAL ABSCESS 3100 54700 4600740 DRAINAGE OF SCROTUM 1700 55100 4600741 VASECTOMY UNILATERAL 3100 55250 4600742 I & D VULVA/PERINEUM 500 56405 4600743 I & D OF BARTHOLINS 312 56420 4600744 TECHN COMP VAG REPAI 3600 59300 4600745 INJECT EPIDURAL PATC 1200 62273 4600746 INJECTION SINGLE EPI 1300 4600747 REM FB 65205 200 65205 4600748 REM FB 65220 200 65220 4600749 DRAINAGE OF EYELID A 600 67700 4600750 DRAINAGE EXT EAR, AB 320 69000 4600751 DRAIN OUTER EAR CANA 300 69020 4600752 EXCISION SOFT TISSUE 2400 69145 4600753 REM FB 69200 90 SURG 4600754 REMOVAL IMP CERUMEN 90 69210 4600757 ADMIN VACCINE/TOXOID 53 90471 4600758 GASTRIC INTUB AND AS 200 43753 4600759 CPR - ER 529 92950 4600760 CARDIOVERSION, EXTER 663.2 92960 4600761 W0UND(S) CARE SELECT 135 4600762 ER RM LEV I 99281 125 99281 4600763 ER RM LEV II 99282 175 99282 4600764 ER RM LEV III 99283 280 99283 4600765 ER RM LEV IV 99284 445 99284 4600766 ER RM LEV V 99285 660 99285 4600768 ER CRT 30-74 99291 975 99291 4600769 ER CRT EAC +30 99292 475 99292 4600772 ER RM LEV 1 99281 150 99281 4600773 ER LEV II 99282-25 175 99282 4600774 ER LEV III 99283-25 280 99283 4600775 ER LEV IV 99284-25 445 99284 4600776 ER LEV V 99285-25 660 99285 4600778 ER CRT30-74 99291-25 975 99291 4600779 ER CR EA 30 99292-25 475 99292 4600790 PF REM IMP CERUMEN 75 69209 4600799 REMOVAL IMP CERUMEN 75 69209 4600827 WOUND CLOSURE BY ADH 66 G0168 4601000 CAST BOOT ROCKER LG 17.1 4601001 CAST BOOT ROCKER MD 17.15 4601002 CAST BOOT ROCKER SM 15.65 4601006 LIGACLIP LC200 MED 204.75 4601012 REMOVAL FB 10120 349.65 10120 4601062 MULTI SCOPE CHARGE 1 4601069 NON CHARGE 0 99429 4601086 TECH COMP I&D 10060 190 10060 4601088 APPLICATION CAST HAN 200 29085 4601089 CHANGE OF GASTRO OP 325 4601090 I&D VULVA/PERINEUM 500 56405 4601140 EXC BEN LESION ER TC 600 11400 4601181 PF DBR SK PAR 97597 325.36 97597 4601223 PF DR PIL CYST 10080 211 10080 4601224 DEBRIDE SKIN 97597 325.36 97597 4601225 PF REMOVAL OF NAIL B 600 11750 4601229 PF EMER DEPT 99281 175 99281 4601231 PF EMER DEPT 99283 300 99283 4601603 TRACHEOSTOMY, EMERG 1100 31603 4601605 CRICOTHYROTOMY, EMER 1100 31605 4601701 INSERT BLAD CATH STR 200 51701 4601725 PF ELECTROCARD 93010 115 93010 4601748 PF I&D SKIN 10060 190 10060 4601749 PF DR SKIN ABS 10061 190 10061 4601754 TCI&D PIL CYST 10080 211 10080 4601768 PF REM FB 10120 349.65 10120 4601770 PF REMOVE FOREIGN BO 2220.04 10121 4601772 PF DR HEMATOMA 10140 1598 10140 4601776 PF PUNCTURE DRAINAGE 349.65 10160 4601777 PF COMPLEX DRG 10180 2480.52 10180 4601924 PF DBR SK 97597 325.36 97597 4601925 PF DBRIDE SKTIS11042 376 11042 4601927 PF DBR TISMU 11044 1100 11044 4601948 PF BIOPSY SK 11100 206 4601987 PF REMOVAL OF SKIN T 155 11200 4602000 COMBITUBE 41FR 134 4602001 COMBITUBE 37FR 132.3 4602002 TUBE DOBBHOFFFEED8FR 44 4602004 CHEST TUBE SZ12 48 4602005 CHEST TUBE SZ16 48 4602006 CHEST TUBE SZ24 133.5 4602007 RAPID RHINO 7.5 BILA 123 4602010 CHEST TUBE SIZE 36 16.45 4602011 5 AND 1 CONNECTOR 7 4602012 SIM REPAIR WD 2.5/LS 203 12011 4602013 SIM REPAIR WD 2.6-5 203 12013 4602055 PF EXC TR-EXT B9+MAR 600 11401 4602056 PF REP INT 12056 425 12056 4602057 PF EXC TR-EXT B9+MAR 1100 11403 4602059 PF EXC TR-EXT B9+MAR 2300 11406 4602064 EXC BGN LESION,0.6-1 1100 11421 4602071 PF EXC FACE-MM B9+MA 600 11440 4602119 PF EXC TR-EXT MLG+MA 600 11601 4602123 PF EXC H-F-NK-SP MLG 1100 11620 4602124 PF EXC H-F-NK-SP MLG 1100 11621 4602125 PF EXC H-F-NK-SP MLG 1100 11622 4602126 EXC MAL LES FC 11640 1100 11640 4602127 PHYSICIAN FEE 11641 1100 11641 4602128 PF EXC FACE-MM MALIG 1100 11642 4602133 PF DBR 1-5 NAIL11720 150 11720 4602136 PF REMOVAL OF NAIL P 261 11730 4602137 PF DR BLOOD NL11740 123 11740 4602138 PF REMOVAL OF NAIL B 600 11750 4602139 PF EXCISION OF NAIL 155 11765 4602172 PF REPAIR SUP 12001 203 12001 4602173 PF REPAIR SUP 12002 203 12002 4602174 PHYSICIAN FEE 12002 203 12002 4602175 PF REPAIR 12004 203 12004 4602176 PF REPAIR SUP 12005 203 12005 4602177 PF REPAIR SUPERFICIA 300 12006 4602178 PF REPAIR SUPERFICIA 203 12007 4602181 PF REPAIR SUP 12011 203 12011 4602182 PHY FEE 12012 152 4602183 PF REPAIR SF 12013 203 12013 4602184 PF REPAIR SUPERFICIA 203 12014 4602185 PF REPAIR SUPERFICIA 203 12015 4602186 PF REPAIR SUPERFICIA 203 12016 4602187 PF CLS SPLIT 12021 425 12021 4602188 PF LAYER CLOSURE OF 400 12031 4602189 PF LAYER CLOSURE OF 425 12032 4602190 PF LAYER CLOS 12034 425 12034 4602191 PF LAYER CLOSURE OF 800 12035 4602192 PF LAYER CLOSURE OF 800 12036 4602193 PF LAYER CLOSURE OF 800 12037 4602194 PF LAYER CLOSURE OF 800 12041 4602195 PF LAYER CLOSURE OF 425 12042 4602196 PF LAYER CLOSURE OF 425 12044 4602197 PF LAYER CLOSURE OF 425 12045 4602198 PF LAYER CLOSURE OF 425 12051 4602199 PF LAYER CLOSURE OF 425 12052 4602200 PF LAYER CLOSURE OF 425 12053 4602201 PF LAYER CLOSURE OF 425 12054 4602276 PF REPAIR OF WOUND O 800 13101 4602277 PF REPAIR WOUND/LESI 600 13102 4602280 PF REPAIR OF WOUND O 425 13120 4602281 PF REPAIR OF WOUND O 800 13121 4602282 PF REPAIR WOUND/LESI 203 13122 4602283 PF REPAIR OF WOUND O 425 13131 4602284 PF REPAIR OF WOUND O 800 13132 4602285 PF REPAIR WOUND/LESI 425 13133 4602289 PF REPAIR OF WOUND O 800 13152 4602470 PF SKIN SPLT GRFT, T 3300 15100 4602471 PF SKN SPLT A-GRFT F 3300 15120 4602500 EAR WICKS 9 4602501 PLAIN PACKING 1" 6.45 4602502 PLAIN PACKING 1/2" 8.4 4602503 CATHETER ADAPTER 4 4602506 PLAIN PACKING 1/4" 6 4602510 CATH FOLEY10FR3CCBAL 21 4602511 CATH FOLEY 20FR5CCBA 11 4602512 CATH STRAIGHT 12FR 4 4602513 CATH ALLPURPOSE 10FR 4 C1751 4602514 CATH ALLPURPOSE 8FR 4 C1751 4602515 CATH ALLPURPOSE 20FR 4 C1751 4602516 CATH COUDE TIP 16FR 36 A4352 4602529 PF DEBR PAR 16020 300 16020 4602540 TC STRAP ANKLE 29540 145 29540 4602605 DESTR FLAT WARTS, MO 155 17110 4602700 PF I&D TONSILLAR ABS 500 42700 4602734 PF INCISION OF BREAS 3000 19020 4602736 BIOPSY OF BREAST; NE 800 19100 4602739 PF REMOVAL OF CHEST 2300 19260 4602888 PF EXPLORE WOUND, AB 3300 20102 4602889 PF EXPLORE WOUND, EX 1700 20103 4602897 BIOPSY BONE, EXCISIO 3400 20240 4602908 PF REMOVAL OF FOREIG 1200 20520 4602911 PF INJ TENDON SHEATH 400 20550 4602912 PF INJ TENDON ORIGIN 400 20551 4602913 PF INJ TRIGGER POINT 400 20552 4602914 PF INJECT TRIGGER PO 400 20553 4602918 PF DRN INJ JT 20600 400 20600 4602919 PF DRN INJ JT 20605 400 20605 4602920 PF DRAIN/INJ JT20610 400 20610 4602991 PF RESET DISLOCATED 155 21480 4603004 PF REMOVAL OF NAIL B 600 11750 4603075 PF INJECTION FOR SHO 146 23350 4603086 PF TX CLAV FR 23500 275 23500 4603087 PF TREAT CLAVICLE W/ 900 23505 4603089 PF TREAT CLAVICLE DI 650 23545 4603093 PF TREAT HUMERUS FRA 255 23600 4603094 PF TREAT HUMERUS FRA 2500 23605 4603099 PF TREAT SHOULDER DI 282 23650 4603100 PF TREAT SHOULDER DI 2100 23655 4603133 TC COMP REPAIR 13133 425 13133 4603138 PF REMOVAL OF ARM FO 1200 24200 4603158 PF TREAT ELBOW DISLO 225 24600 4603160 PF TREAT ELBOW DISLO 2303 24605 4603164 PF TREAT ELBOW DISLO 225 24640 4603167 PF TREAT RAD FX24650 225 24650 4603168 PF TREAT RADIUS FRAC 650 24655 4603169 PF TREAT ULNAR FRACT 225 24670 4603196 PF REPAIR FOREARM TE 4000 25270 4603200 TREAT SHOULDER DISLO 750 23665 4603213 PF TREAT FRACTURE OF 225 25500 4603214 PF TREAT FRACTURE OF 900 25505 4603216 PF TREAT FRACTURE OF 225 25530 4603219 PF TREAT FRACTURE RA 225 25560 4603224 PF TX FX RAD UL25600 226 25600 4603225 PF TREAT FRACTURE RA 900 25605 4603228 PF TREAT WRIST DISLO 226 25675 4603229 PF TREAT WRIST FRACT 225 25680 4603249 PF DR FINGER 26010 300 26010 4603253 PF EXPLORE/TREAT HAN 2500 26070 4603258 PF PARTIAL REMOVAL, 2500 26236 4603275 PF TREAT METACARPAL 231 26600 4603276 PF TREAT METACARPAL 300 26605 4603280 PF TREAT THUMB DISLO 300 26641 4603281 PF TREAT HAND DISLOC 300 26670 4603282 PF TREAT KNUCKLE DIS 300 26700 4603283 PF TREAT KNUCKLE DIS 4000 26715 4603284 PF TREAT FINGER FRAC 225 26720 4603285 PF TREAT FINGER FRAC 300 26725 4603286 PF TREAT FINGER DISL 226 26770 4603335 PF TREAT KNEE DISLOC 300 27550 4603336 PF TREAT KNEECAP DIS 226 27560 4603337 PF TREAT KNEECAP DIS 2100 27562 4603348 PF TREATMENT OF TIBI 2500 27752 4603350 PF TREATMENT OF ANKL 226 27786 4603369 PF REMOVAL OF FOOT F 1200 28190 4603387 PF TREAT METATARSAL 300 28470 4603391 PF TREATMENT OF TOE 300 28515 4603420 PF APPL OF LO 29065 315 29065 4603422 PF APPL OF FO 29075 315 29075 4603423 PF APP HNDWR 29085 200 29085 4603424 PF APPLY FIN 29086 200 29086 4603425 PF APP LONG A 29105 200 29105 4603427 PF APPL FA SPL 29125 200 29125 4603428 PF APP FA SPL DYNAMI 200 29126 4603429 PF APPL OF FIN 29130 145 29130 4603434 PF STRAP SHLDR 29240 145 29240 4603438 PF APPL OF LO 29345 315 29345 4603444 PF APP SH LEG 29405 315 29405 4603453 PF APPL LONG 29505 200 29505 4603454 PF APPL LOWER 29515 315 29515 4603456 PF STRAP KNEE 29530 145 29530 4603516 STRAPPING OF KNEE 145 29530 4603517 TRTMENT TARSAL FX W/ 217 4603519 SPINAL FLUID TAP, DI 750 62270 4603520 PF SPLINT TO TIB FX 225 27530 4603522 TECH COMP I&D 10060 198 SURG 4603523 TECH COMP COMPLEX I& 2480.52 10180 4603524 EXCIS DEBRIDEMENT,SK 1355 11012 4603525 DEBRIDEMENT, SKIN TI 1100 11044 4603526 TECH COMP EXC LES T/ 1100 11403 4603527 TECH COM EXC 11440 600 11440 4603528 TECH COMP EXC MAL LE 1100 11622 4603529 EXC MALIGNANT LESION 1100 11642 4603530 EXCISION NAIL/NAILBE 600 SURG 4603531 ER REPAIR OF SIMPLE 203 12001 4603532 ER LAYER CLOSURE OF 425 12055 4603533 COMPLEX REPAIR-SCALP 425 13120 4603534 TECH COMP COMP REPAI 425 13133 4603536 CHEMO CAUTERIZE GRAN 210 17250 4603537 EXC LES CW 1-2 2300 19260 4603539 INJECTION WRIST/CARP 400 20526 4603541 CLOSED TX CLAVICAL F 900 23505 4603542 APPLICATION SPLINT T 225 24670 4603543 APPLICATION SPLINT T 0 4603544 TECH COMP 25560 225 25560 4603545 CLSD TRTMT FRACTURE, 225 26742 4603546 SPLINT TO TIBIAL FRA 225 27530 4603548 TREATMENT TARSAL FX 225 28455 4603549 CLOSED FRACTURE REDU 300 28495 4603550 TECH COMP 28515 ER 300 28515 4603551 APPLICATION SHOULDER 315 29065 4603552 STRAP ELB/WR 29260 145 29260 4603553 TECH COMP STRAPPING 145 29280 4603555 PRESSURE DRESSING AN 145 29540 4603556 STRAPPING/ BUDDY TAP 145 29550 4603558 TECH COMP REM NASAL 200 30300 4603559 REM FB 31511 250 31511 4603560 TECH COMP THORACENTE 750 32554 4603561 TECH COMP SUTURE ABD 1545 35221 4603562 TECHNICAL COMP 35226 1300 35226 4603563 TECH COMP INS ART LN 515 36245 4603564 CVP TECHNICAL COMPON 1500 36556 4603565 PORT-A-CATH TECHNICA 5000 36561 4603566 TECH COMP PICC LINE 1500 36569 4603567 TECH COMP REPLACEMEN 1500 36580 4603568 TECH COMP REMOVAL HI 1000 36589 4603570 LIGATE/DIVIDE/EXCISE 3500 37785 4603573 TECH COMP GASTROSTOM 325 4603576 TECH COMP REMOVAL AN 3000 46922 4603577 TECH COMP PARACENTES 815 49082 4603578 INSERTION TEMP BLADD 200 51702 4603582 TC DR AB SCRO 55100 1700 55100 4603584 TECH COMP SPINAL TAP 750 62270 4603585 BIOPSY EAR ER 700 69100 4603586 REP BLOOD VESS 35860 5000 35860 4603592 PF REMOVE NASAL FORE 200 30300 4603629 PF CTRL NAS HMR30901 161 30901 4603630 PF CTRL NAS HMR30905 161 30905 4603631 PF TREAT KNEE FRACTU 225 27530 4603633 PF DBR SKMUSC 11012 1355 11012 4603634 PF DBR TISMU 11044 1100 11044 4603635 PF LAYER CLOSURE OF 425 12055 4603636 PF CHEM CAUT 17250 210 17250 4603637 PF THER INJECTION, C 400 20526 4603638 PF BX OF NECK 21550 2300 21550 4603640 PF TREAT FINGER FRAC 225 26742 4603641 PF TREAT KNEE FRACTU 225 27530 4603642 PF TREAT MIDFOOT FRA 225 28455 4603643 PF TREAT BIG TOE FRA 300 28495 4603644 PF STRAP ELB/WR29260 145 29260 4603645 PF STRAP HAND 29280 145 29280 4603646 PF REMOVE FOREIGN BO 250 31511 4603647 PF REPAIR BLOOD VESS 1300 35226 4603648 PF LIGATE/DIVIDE/EXC 3500 37785 4603650 PF REMOVAL OF ANAL T 3300 46230 4603651 PF CYSTOSCOPY 52281 2300 52281 4603652 SPINAL FLUID TAP 750 62270 4603654 PF REMOVE FOREIGN BO 200 65205 4603659 TECH COMP DECLOT DEV 325 36593 4603674 PF INSERT EMERGENCY 325 31500 4603675 PF CHG TRACH 31502 222 31502 4603676 PF LARYNGOSCOPY-PHYS 3100 31525 4603693 PF THORC DR CHT32421 750 32554 4603694 PF TREATMENT OF COLL 750 32554 4603695 PF INSERTION OF CHES 900 32551 4603818 PF REPAIR BLOOD VESS 5000 35190 4603819 PF REPAIR BLOOD VESS 5000 35206 4603820 PF REPAIR BLOOD VESS 6500 35207 4603821 PF REPAIR BLOOD VESS 1545 35221 4603861 PF PLACE CATHETER IN 395 36011 4603873 PF PLACE CATHETER IN 515 36245 4603884 PF INS NONTUN 36556 1500 36556 4603885 PF INS TUNNEL 36561 5000 36561 4603886 PF INSERT PICC CATH 1550 36569 4603887 PF REPLACE CVAD CATH 1500 36580 4603888 PF REMOVAL TUNNELED 1000 36589 4603926 PF BONE MAR BX 38221 1300 38221 4603974 BRONCHOSCOPY, W--W/O 1900 31622 4603975 SPINAL PUNCTURE,THER 750 62272 4604010 PF REPAIR TONGUE LAC 1100 41252 4604039 PF DR SAL GLND 42310 456.4 42310 4604054 UGI ENDOSCOPY;DIAG,W 1200 43235 4604056 UGI ENDOSCOPY;W/BX,S 1200 43239 4604057 GASTROSCOPE WITH DIL 2000 43245 4604058 UGI ENDOSCOPY W/REMO 1200 43247 4604059 UGI ENDOSCOPY W/BALL 2000 43249 4604060 UGI ENDOSCOPY;W/REMO 2000 43251 4604061 EGD W/ABLAT OF TUMOR 1200 43250 4604071 DIL ESOPH,UNGUIDE SO 1200 43450 4604076 PF PLACE GASTROSTOMY 2000 43246 4604077 PF NASAL/OROGASTRIC 300 43752 4604078 PF PEG 43760 300 4604123 PF BX RECTUM 45100 3300 45100 4604125 SIGMOIDOSCOPY;FLEX,D 800 45330 4604126 SIGMOIDOSCOPY, FLEX; 800 45331 4604127 COLONOSCOPY,W/BX,SIN 1400 45380 4604128 COLONOSCOPE W/BX RED 1400 45388 4604129 COLONOSCOPY;W/REMOVA 1400 45384 4604136 PF INCISION OF RECTA 3300 46040 4604138 PF INCISION OF ANAL 1900 46050 4604139 PF INCISE EXTERNAL H 400 46083 4604150 CIRCUMCISION NEWBORN 3100 54150 4604156 PF EXCISION OF ANAL 3000 46922 4604157 PHOTOCOAGULATION HEM 750 46930 4604158 PHOTOCOAGULATION HEM 750 46930 4604192 PF PUNCTURE, PERITON 815 49082 4604193 PF REMOVAL OF ABDOMI 815 49082 4604230 TECH COMP I&D 10060 190 10060 4604231 TECH COMP COMPLEX I& 2480.52 10180 4604232 TECH COMP DEBRI11042 376 11042 4604233 DEB SKIN SUB TIS MSC 1100 11044 4604234 BIOPSY SKIN SUBCU 1 64 SURG 4604235 TECH COMP EXC BEN LE 1100 11403 4604236 TECH COM EXC 11440 600 11440 4604237 TECH COMP EXC MAL LE 1100 11622 4604238 TECH COMP EXC MAL LE 1100 11641 4604239 OP LAYER CLOSURE OF 425 12055 4604240 TECH COMP EXC CW LES 2300 19260 4604242 ARTHROCENTESIS MAJOR 400 20610 4604243 CLOSED TX CLAVICAL F 900 23505 4604244 TECH COMP 28515 OP 300 28515 4604245 TECH COMP APPL 29065 315 29065 4604246 TECH COMP SHOULDER S 145 29240 4604247 TECH COMP APP 29515 315 29515 4604249 TECH COMP THORACENTE 750 32554 4604252 TECH COMP PICC LINE 1500 36569 4604255 TECH COMP GASTROSTOM 300 4604258 TECH COMP REMOVAL AN 3000 46922 4604266 TECH COMP SPINAL TAP 750 62270 4604267 BIOPSY EAR OP 69100 465 69100 4604270 I&D TONSILLAR ABSCES 500 42700 4604272 THERAPEUTIC PHLEBOTO 150 99195 4604312 PF INSERT TEMP BLADD 200 51702 4604343 PF DIL URETH 53661 150 53661 4604353 CIRCUMCISION, EXCEPT 3100 54161 4604357 PF DR SCROT 54700 3100 54700 4604372 PF DR SCROT 55100 1700 55100 4604394 PF I & D OF VULVA/PE 500 56405 4604395 PF DR OF GLAND 56420 312 56420 4604499 TECH COMP 57455 465 57455 4604500 PRO FEE REM FB 65205 200 65205 4604501 TECH COM BX SK11101 155 4604510 PF EPIS VAG REP59300 3600 59300 4604511 TECH COMP BX 11101 155 4604521 PRO FEE SKIN BX11100 206 4604531 PRO FEE SKIN BX ADD 155 4604592 STRAPPING CHEST 145 29200 4604605 TRTMT ELBOW DISLOCAT 2303 24605 4604610 PF SPINAL FLUID TAP, 750 62270 4604611 INJECT EPIDURAL BLOO 1200 62273 4604612 EPIDURAL STEROID INJ 3000 62281 4604613 INJ,SINGLE,EPIDURAL; 1300 4604614 INJECTION LUMBAR, SA 1300 4604679 PF REMOVE FOREIGN BO 200 65220 4604704 QUIK CLOT FIRST 50 G 49.5 4604705 QUIK CLOT HEMOSTAT G 96.65 4604714 PF DR EYELID 67700 600 67700 4604729 PF DR EXT EAR 69000 300 69000 4604730 PF DR OUT EAR 69020 300 69020 4604731 PF BX OF EXT 69100 465 69100 4604732 PF CLEAR EAR 69200 90 69200 4604733 PF REM IMPACT CERUME 90 69210 4604942 TECH COMP PERIT CATH 509 49060 4605005 I&D RECTAL ABSCESS 3000 45005 4605555 EZIO NEEDLE SET ADUL 375 4605565 FX RADIAL/ULNA 225 25565 4605983 PF CARDIOVER 92960 663.2 92960 4606020 SM 2ND DEG DRSG/DEBR 300 16020 4606025 2ND DEG BURN DEB-MED 300 16025 4606030 2ND DEG BURN DEB-LG 300 16030 4606055 I&D TENDON SHEATH 2500 26055 4606060 I&D TENDON SHEATH 2500 26055 4606162 PF INPATIENT CONSULT 200 99252 4606163 PF INPATIENT CONSULT 250 99253 4606164 PF EM PHY LEV1 99281 175 99281 4606165 PF EM PHY LEV2 99282 200 99282 4606166 PF EM PHY LEV3 99283 300 99283 4606167 PF EM PHY LEV4 99284 460 99284 4606168 PF EM PHY LEV5 99285 675 99285 4606170 PF CRIT CRE 1ST99291 975 99291 4606171 PF CRIT CARE 99292 475 99292 4606418 REP TENDON FNG 26418 2500 26418 4606493 PF INSERT CATH 32556 2800 32556 4606535 TC ARTHROPLASTY FING 6000 26535 4607141 STYLET PEDI 10F BOU 20 4607142 STYLET ADULT 10F BOU 31.15 4607650 REP MAJOR VEIN 37650 3500 37650 4607788 TX FIBULAR FX W/MAN 265 27788 4607818 FX TRIMALLEOLAR ANKL 788 27818 4607825 CLSD TX TIBIA FX MAN 2500 27825 4607938 REMOVE FB, EYELID 600 67938 4609055 TC CAST SHOULDER SPI 315 29055 4609082 PARACENTESIS ABD 815 49082 4609144 CONSCIOUS SED HOSP 21 MANUL 4609200 REM FB EXT AUD CANAL 90 69200 4609425 APP SHORT LEG WALK 315 29425 4609450 TC REPLACE PEG TUBE 800 49450 4609540 PF STRAP ANK 29540 145 29540 4609955 EZIO NEEDLE SET PED 375 4650244 ELASTOMULL BDG 1 IN 4 4650254 ELASTOMULL BDG 2 IN 4 4650264 ELASTOMULL BDG 3 IN 4 4650274 COMPRIFOAM 10 CM 20 4650283 ELEC STIMULATION UNA 35 G0283 4650284 COMPRIFOAM 12 CM 20 4650294 TRICOFIX 10 CM 65 4650304 TRICOFIX 12 CM 70 4650314 ARTIFLEX BDG 10 CM 8 4650324 ARTIFLEX BDG 15 CM 12 4650334 COMPRILAN BDG 4 CM 18 4650344 COMPRILAN BDG 6 CM 20 4650354 COMPRILAN BDG 8 CM 25 4650364 COMPRILAN BDG 10 CM 30 4650374 COMPRILAN BDG 12 CM 30 4650384 KOMPREX FOAM 0 KIDNE 6 4652940 PT EVAL MOD 97162 150 97162 4652941 PT EVAL HIGH 97163 200 97163 4652943 BED MOBILITY 57 97022 4652944 WHIRLPOOL 57 97022 4652946 MASSAGE 41 97124 4652947 PT EXERCISE I 35 97110 4652948 COLD OR HOT PACKS 51 97010 4652949 ICE MASSAGE 41 97124 4652950 TAPING 57 97139 4652952 CONTRAST BATH 55 97034 4652953 HOME INSTRUCTIONS/SE 150 97535 4652954 DEBRIDEMENT/DRESSING 376 11042 4652955 MANUAL THERAPY 35 97140 4652956 POSTURAL EVALUATION 57 97139 4652957 JOBST MEASURE 57 97139 4652958 PT EVAL LOW 97161 100 97161 4652959 PT RE EVAL 97164 150 97164 4652960 PT GAIT TRAINING 35 97116 4652961 WHIRLPOOL-SMALL 57 97022 4652962 WHIRLPOOL 57 97022 4652963 WHIRLPOOL-SMALL STER 57 97022 4652964 EXERCISE II 57 97022 4652965 PT INI EVALUATION 100 4652966 TRANSFER TRAINING 57 97022 4652967 KNEE LENGTH SUPPORT 130 97022 4652968 P. T. MANUAL THERAPY 57 97140 4652973 FUNCTIONAL ACTIVITIE 35 97530 4656090 MECHANICAL TRACTION 35 97012 4656091 UNATTENDED ELECTRICA 51 97014 4656092 VASOPNEUMATIC DEVICE 51 97016 4656093 PARAFFIN BATH 40 97018 4656094 MANUAL ELECTRICAL ST 40 97032 4656095 IONTOPHRESIS 55 97033 4656096 ULTRASOUND PT 55 97035 4656098 NMR NEUROMUSCULAR PT 35 97112 4656099 THERAPEUTIC PROC GRO 57 97150 4656100 ORTHOTIC FITTING/TRA 51 4656101 DYNAMIC ACTIVITY IMP 138 97530 4656103 WHEELCHAIR MGMT/TRAI 35 97542 4656107 CHECKOUT ORTH/PROSTH 36 4656110 PERFORMANCE TEST/MSM 65 97750 4656111 MOBIL CURR STATUS-CH 57 G8978 4656112 MOBIL CURR STATUS-CI 57 G8978 4656113 MOBIL CURR STATUE-CJ 57 G8978 4656114 MOBIL CURR STATUS-CK 57 G8978 4656115 MOBIL CURR STAT-CL 57 G8978 4656116 MOBIL CURR STATUS-CM 57 G8978 4656117 MOBIL CURR STATUS-CN 57 G8978 4658978 MOBIL CURR STATUS-CH 57 G8978 4673050 SPEECH FLUENCY EVALU 100 92521 4673051 SPEECH ARTICU EVAL 100 92522 4673052 SP EVAL ART AND COMP 100 92523 4673054 SPEECH SWALLOWIN EVL 100 92610 4673055 SPEECH/HEARING EVALU 100 92507 4673056 SPEECH LANGUAGE TX 40 92507 4673058 SP SENSORY INTEGRATI 100 97533 4673059 COGNITIVE SKILLS DEV 40 97127 4673060 ORAL FUNCTION THERAP 40 92526 4675975 SPEECH TX SWALLOWIIN 100 92526 4675980 SPEECH FLOURO EVAL 40 92611 4675981 EVAL W/RECORDING FLU 40 92611 4694330 OT EVAL LOW 97165 100 97165 4694331 OT EVAL MOD 97166 150 97166 4694332 OT GROUP THERAPY 40 97150 4694333 OT INDIVIDUAL THERAP 40 97110 4694334 OT EVAL HIGH 97167 200 97167 4697004 OT REASSESSMENT 50 4697033 OT IONTOPHORESIS APP 40 97033 4697035 OT ULTRASOUND APPLIC 40 97035 4697110 OT THERAPEUTIC EXERC 35 97110 4697112 OT NEUROMUS REEDUCAT 35 97112 4697113 OT AQUA TX EXC 97113 45 97113 4697140 OT MANUAL THERAPY TE 35 97140 4697168 OT RE EVAL 97168 150 97168 4697530 OT THERAPEUTIC ACTIV 50 97530 4697532 OT COGNITIVE SKILLS 50 97127 4697533 OT SENSORY INTEGRATI 40 97533 4697535 OT SELF CARE HOME MG 40 97535 4697537 OT COMM WORK REINTEG 40 97127 4697542 OT WHEELCHAIR MGT 40 97542 4697661 OT PROSTHETIC TRAINI 40 97761 4697760 OT ORTHOTICS FITTING 40 97760 4697761 OT PROSTHETIC TRAINI 50 97761 4697762 OT CK ORTH USE 97762 45 97763 4705555 CATHETER MID 18 G BA 150 C1751 4715971 VISUAL BINOCULAR 305 4715972 VISUAL FLASH 297 4715973 VISUAL MONOCULAR 305 4715976 AUDITORY LONG LAT. R 305 4715977 AUDITORY MIDDLE LR 150 4715978 AUDITORY M-N CLICK 305 4715979 HEARING SCR/AUDIO BR 318 92585 4716041 PSG W/MULTI SLEEP LA 2468 95805 4716042 POLYSOMNOGRAM 2468 95810 4716043 POLYSOMNOGRAM, REDUC 1749 95810 4716044 POLYSOMNOGRAM W CPAP 2769 95811 4716045 POLY W CPAP REDUCED 1318 95811 4716046 EEG AWAKE & DROWSY 667 95816 4716047 EEG AWAKE & ASLEEP 395 95819 4716048 EEG SLEEP DEPRIVED 771 95822 4716049 EEG SLEEP DEPRIVED/E 771 95822 4716051 EEG HYPERVENTALATION 61 4716053 COGNITIVE P-300 EP 394 4716054 SURAL SENSORY/MOTOR 150 4716055 PLANTAR SENSORY/MOTO 150 4716056 MEDIAL PLANTAR SEN/M 150 4716057 LATERAL PLANTAR SEN/ 150 4716058 MEDIAN SEN./MOTOR/F- 150 4716059 PERONEAL SEN./MOTOR/ 150 4716060 RADIAL SENSORY/MOTOR 150 4716061 TIBIAL SEN./ MOTOR/F 150 4716062 ULNAR SENSORY/MTR/F- 150 4716063 POSTERIOR TIBIAL SEN 150 4716064 SSEP MEDIAN 297 95925 4716065 SSEP ULNAR 297 95925 4716066 DSSEP L5 297 95925 4716067 DSSEP S1 297 95925 4716068 SSEP RADIAL 297 95925 4716069 SSEP POSTERIOR TIBIA 297 95925 4716070 SSEP PERONEAL 297 95925 4716071 SSEP SURAL 297 95925 4716072 DSSEP C6 297 95925 4716073 DSSEP C7 297 95925 4716074 DSSEP C8 297 95925 4716075 DSSEP L4 297 95925 4716076 GASTROCNEMIUS/ H REF 150 4716077 POLY YOUNGER THAN 6 1700 95782 4716078 CPAP/BIPAP < 6 YRS 1700 95783 4716999 EEG CEREBRAL DEATH 350 95824 4750000 WOUND CARE PATIENT 0 4751001 OUTPATIENT VISIT,LTD 150 G0463 4751002 HOST FACILITY FEE 46 Q3014 4751003 INTRAV THERAPY 1HR 300 96365 4751004 DRAIN HEMATOMA/FLUID 1598 10140 4751005 PUNCTURE DRAINAGE 349.65 10160 4751006 COMPLEX DRAINAGE,WND 2480.52 10180 4751007 DRAINAGE SKIN ABCESS 190 10060 4751009 DEBRIDE SKIN 97597 325.36 97597 4751010 DEBRIDE SKIN, FULL 468.3 97598 4751011 DEBRIDE SKIN/TISSUE 376 11042 4751012 DEBRIDE TISSUE/MUSCL 400 11043 4751013 DEBRIDE/TIS/MUS/BONE 1100 11044 4751017 BIOPSY, SKIN LESION 206 4751018 APP XENOGRAFT <100 3300 15271 4751019 APP XENOGRAFT >100 4500 15273 4751020 CHEMI CAUTERY TISSUE 210 17250 4751021 OP APP OF PASTE BOOT 375 29580 4751022 OP EXTREMITY STUDY 343.85 93922 4751023 OV NEW PT PROB FOCUS 187 99201 4751024 OFFICE VISIT NEW2 222.11 99202 4751025 OFFICE VISIT NEW3 294.84 99203 4751026 OFFICE VISIT NEW4 370.16 99204 4751027 OFFICE VISIT NEW5 484.65 99205 4751028 OFFICE/OP VIST 99211 175 G0463 4751029 OFFICE/OP VIST 99212 175 G0463 4751030 OFFICE/OP VIST 99213 250 G0463 4751031 OFFICE/OP VIST 99214 300 G0463 4751032 OFFICE/OP VIST 99215 370.16 G0463 4751033 REMOVE FOREIGN BODY 349.65 10120 4751034 ACTIVE WOUND MGT 120 97602 4751035 APP MULT VEN WND COM 200 29581 4751037 DEBRIDE SUBSEQUENT 150 11045 4751038 DEBRIDE EACH ADD20CM 150 11046 4751039 DEBRIDE BONE EA ADD 150 11047 4751040 NPWT<=50 SQCM 125.4 97605 4751041 NPWT >50 SQCM 206.28 97606 4751042 APP APLIGRAF, 25SQCM 1500 15272 4751043 APP APLIGRAF ADD 25 2000 15276 4751045 OASIS MATRIX-TOTAL 8.76 Q4103 4751046 APP DERMAGRAFT FIRST 3300 15130 4751047 DERMAGRAFT TOTAL CM 79.46 Q4106 4751048 DERMAGRAFT TOTAL CM2 79.54 Q4106 4751049 APP DERMAGRAFT 1ST 3300 15130 4751050 PF APP APLIGRAF 25CM 1500 15272 4751051 REMOVAL OF SKIN TAG 155 11200 4751104 EXC DEBR 97598 183.9 97598 4751142 EXC SEBACEOUS CYST 2300 11423 4751400 IV INF ADD HR 96366 73 96366 4751402 EXCIS LESION 1.1-2CM 600 11402 4751403 EXCISION BEN LES 2-3 1100 11403 4751603 EXC BEN LESION 11603 1100 11603 4751925 PF EXC DEB SKT 11042 376 11042 4752021 OP APPL TWO UNNA BT 375 29580 4753659 TECH COMP DECLOT VAS 325 36593 4754263 DIL UR MALE SUB OP 275 53621 4754325 BURN DRESSING/DEBRID 300 16020 4754326 HYPERKERAT LESION 131.64 11055 4754918 TC ND BX PELV 49180 1500 49083 4755000 IV INF <15 INI 96374 200 96374 4755005 TC I&D REC ABS 45005 3000 45005 4756523 PORT FLUSH 150 96523 4758202 PHYS VST LVL 2 NEW 222.11 99202 4758212 PF OV LVL 2 EST 175 99212 4758213 PF OV LVL 3 EST 250 99213 4758214 PF OV LVL 4 EST 300 99214 4758215 PF OV LVL 5 EST 370.16 99215 4758825 AMPUTATION TOE INTJT 2703 SURG 4759001 BIOPSY SKIN LESION 777 4759002 BIOPSY SKIN LESION 150 4759100 BX BREAST PERCUTAN 800 19100 4759201 PF OV LVL 1 NEW 187 99201 4759203 PHYS VST LVL 3 NEW 294.84 99203 4759204 PHYS VST LVL 4 NEW 370.16 99204 4759205 PHYS VST LVL 5 NEW 484.65 99205 4759211 PF OV VST LVL 1 EST 150 99211 4759212 OP OFF VST 99212 MD 175 99212 4759213 OP OFF VST 99213 250 99213 5000329 TECH COMP ARTHRO MAJ 400 20610 5101130 SHAVE LES FC 11307 155 11307 5102193 TC EXC LIP BK 21930 2600 21930 5106025 TC DEBR BURN 16025 300 16025 6601700 AZO CRANBERRY 450 CP 4 7504324 PEG INSERTION-ENDOS 2000 43246 7618100 BIOPSY UTERUS LINING 312 58100 9751170 PF CARPAL TUNNEL REL 2600 64721 9752193 PF EXC LIP BK 21930 2600 21930 9753600 PF DILATE URETH MAL 460 53600 9753620 PF DILATE URETH STRI 1000 53620 9753621 PF DIL URETH STC SUB 275 53621 9753660 PF DIL URETH STC FEM 250 53660 9759100 PF BX EXT EAR 69100 700 69100 9759585 PF REP UMB HER 49585 5350 49585 9814502 EXC BEN SK LES 11402 600 11402 9999991 CONVERT BAL FORWARD 0