ALL HOSPITAL CHARGES 2020

Charge Description CPT-4 code Price "L" PLATES - LEFT C1713 $645.47

(PT) CONTACT PRODUCT 85730 $14.67 (TB) DIRECT SMEAR 87206 $13.18 **FB REMOVAL RECTUM 45307 $6,043.36 .062 X 7 LONG GUIDE WIRE C1713 $86.25 .99MM TURBO ELITE LASER CATH C1885 $3,150.00 .99MM TURBO ELITE LASER CATHETER C1887 $2,200.00 .MTP JNT CAPSULOTOMY;EA SNG JN 28270 $7,057.23 0 27 GUT CHROMIC SH $14.87 0 30 ETHIBOND BRAIDED CT-1 $103.50 0 30 PROLENE MONO CTX $105.10 0 36 ETHIBOND BRAIDED V-7 $310.52 0 54 COATED VICRYL $33.80 0 54 GUT CHROMIC $33.02 0 54 GUT CHROMIC PLAIN $54.98 0 8-18 ETHIBOND EXTRA GRN MO-7 $240.30 0 8-18ETHIBOND EXTRA GRN CT-2 $206.51 0 PROLENE BL SH $129.30 0 SILK SUTUPAK 13 STRANDS 24 C1713 $35.55 0.8MM OFFSET PLATE C1713 $636.00 0.9MM CATH RAPD-EXCHANGE 150CM C1885 $3,150.00 0.9MM CATH X-80, CONT.ON RAPID-EXCHG 150 C1885 $3,150.00 02 SATURATION DIRECT 82810 $21.49 1 25-OH2D 82652 $94.12 1 27 GUT CHROMIC CT-1 $155.71 1 30 ETHIBOND BRAIDED DS-8 $157.52 1 30ETHIBOND BRAIDED CT-1 $87.92 1 36 GUT CHROMIC CTX $120.57 1 36 IN COATED VICRYL CTX $96.06 1 36 PDS II MONO CT $85.41 1 PDS II MONON TP-1 $72.48 1 PROLENE CTX $103.46 1 VERT MUSCLE 67314 $4,989.01 1 VICRYL 27CTB-1 $143.21 1.0MM 4 HOLE LARGE XLONG GAP C1713 $1,006.50 1.0MM 7HOLE PLATE STRGHT PLATE C1713 $1,158.00 1.1MM GUIDE WIRE C1713 $43.04 1.2 GUIDEWIRE C1713 $322.50 1.3 GUIDE PIN C1713 $30.12 1.3MM DRILL BIT MINI QC 55MM X C1713 $169.50 1.3MM TI T-PLATE C1713 $469.50 1.3MMTPLATE4HOLEHEAD/8HOLESHFT C1713 $562.50 1.4MM CATH 80HZ, CONT.ON RAPID-EX 150CM C1885 $4,200.00 1.4MM CATH OTW LASER 157L C1885 $3,150.00 1.4MM CATH RAPD-EXCHANGE 150CM C1885 $4,200.00 1.4MM CATHETER OTW LASER 157L C1885 $3,150.00 1.5 MM X50MM 5MM STOP BIT C1713 $78.75 1.5 MM X50MM 5MM STOP BIT $78.75 1.5mm Tapered Router $195.47 1.6x150MM WIRE C1713 $469.50 1.7 SUTUREFIX DISPOS DRILL BIT C1713 $338.34 1.7MM CATH 80HZ CONT.ON RAPID-EX RX 150C C1885 $3,150.00 1.7MM CATH 80HZ, CONT.ON OTW 150CM C1885 $3,150.00 1.7MM CATH OVER THE WIRE 150CM C1885 $3,150.00 1.7MM CATH RAPD-EXCHANGE 150CM C1885 $3,150.00 1.8M OLIVE WIRES C1713 $44.00 1.8MM SMOOTH WIRE 3/PK C1713 $111.00 1/2 CIRCLE TAPER NEEDLE MALE C2618 $494.96 1/2 CIRCLE VICRYL#1 SUTURE C1713 $225.92 1/2 CYLINDER 5MM-SILICONE SPONGE IMPLANT C1784 $75.90 1/2 NORMAL SALINE 250ML IV $0.39 1/3 RING - LARGE C1713 $1,228.50 1/8 X3 GEN TROCER PINS C1713 $34.92 1-0 30" ETHIBOND BRAIDED DS C1713 $157.52 10 HOLE CLAMP C1713 $1,263.38 10 X 20 WALL STENT $1,549.68 10-0 PROLENE BL MONO SUTURE C1713 $63.07 100MM CURVED CANNULA 10/BX A4615 $531.00 10CC SLS 21G 1 1/2 $0.99 10CC SLS ONLY $0.38 10CC VITOSS C1713 $7,110.45 10F NEPH CATHETER C1726 $114.98 10FR 97CM TRIPLE LUMEN CATH C1757 $656.93 10FR PINN INTRO SHEATH W/POUCH C1769 $321.75 10FR24CM DBLE PIGTAIL STNT SET C2617 $191.40 10FR26CM DBLE PIGTAIL STNT SET C2617 $167.64 10MM HUMERAL STEM $3,601.67 10MM/130 LEFT TROCH FIXATION NAIL C1713 $1,959.00 10MM/130 X 360MM TROCH NAIL $511.00 10x23 BIO INT SCREW C1713 $346.50 1-131 NAI ORAL SOLN EACH ADL 1 A9529 $116.90 11MM TI CANN TROCH FIXATION NAIL C1713 $2,124.00 11MM/130 X 170MM TROCH FIX NAIL C1713 $1,989.00 11x235MM TI CANN TRACH NAIL STRL C1713 $1,602.00 12 X 125MM, 26MM HEAD NEER C1776 $3,157.50 12/14 FEMORAL HEAD 36MM C1776 $1,564.50 12/14 TO TAPER SLEEVE C1776 $140.40 12MM NONBIAS SCREW C1713 $1,049.20 12MM SELF DRILL/ST SCREW C1713 $150.00 12MM SELF DRILLING SCREW C1713 $217.50 12MM SPIN SCREW C1713 $300.00 12MM VARIABLE SCREWS C1713 $300.00 12X12 COATED VICRYL MESH KNITTED C1781 $3,697.43 12X12 COATED VICRYL MESH WOVEN C1781 $3,697.43 12X12X7 PEEK C1713 $1,492.50 12X20X80 PTA BAL CATH OTW VASC C1725 $510.00 13.5 X 21MM CAGE C1713 $2,700.00 132 NECK ANGLE HIP STEM C1776 $3,600.00 14 DISTAL CENTRALIZER C1776 $147.15 14 HOLE PLATE C1713 $399.72 14-HOLE STEM C1713 $399.72 14MM SCREW C1713 $217.50 14MM SPHERE C1713 $780.00 14MM TRINICA VARABLE SCREW C1713 $300.00 150MM CRVE CANN W/ACTVE TIP C1725 $652.50 15CC MACRO MORSELS VITOSS C1713 $1,327.50 15MM ENDOBUTTON ULTRA CLFIXBUT C1749 $494.55 16 SYNERGY STEM C1776 $5,852.25 16FREPLACE GTUBE STRGHT ENTRL A4616 $51.65 16x3.0MM CANNULATED SCREW C1713 $429.00 17 HYDROXY PROGESTERONE 83498 $66.42 17 KETOGENIC STEROID/URINE 83582 $34.65 17 KETOSTEROIDS/URINE 83586 $31.28 17 OH CORTICOSTEROIDS 83491 $42.83 17-HYDROXYCORTICOSTEROIDS 24HR 83491 $42.83 17MM WASHER C1713 $399.00 17-OH-PREGNENOLONE 84143 $55.75 18FR SIGMOIDOSCOPIC SUCT INSTR A4624 $61.50 18G X0.038 ANGIOGRAPHIC NEEDLE C2618 $78.38 18-HYDROXYCORTICOSTERONE 82528 $55.04 18-OH-CORTICOSTERONE 82528 $55.04 1CC SLS INSULIN 29GX1/2 $0.24 1CC SLS TUBERCULIN 25GX5/8 $0.28 1ST /SBSQ PSYC COLLAB CARE 99494 $300.00 1ST DEGREE BURN-INIT TX 16000 $450.45 1ST PSYC COLLAB CARE MGMT 99492 $300.00 1ST PSYC COLLAB CARE MGMT YR 2 99492 $300.00 1STG DSTL HYPSPAD REP W/SIMP M 54322 $7,781.86 1x8 SUBCOMPACT LEAD KIT C1778 $3,585.00 2 30ETHIBOND BRAIDED LR LR $112.22 2 PAIRED SUBDERM ELECTROD-EAR A4556 $138.00 2' REPR/SUTR LEG FLEXOR TENDON 27659 $15,421.60 2 Single Stinging Insect Venoms 95146 $97.92 2.0 CARBIDE BURR C1713 $413.13 2.0 KWIRE C1713 $13.40 2.0 LCKING PLATE L, 2/4 HOLE; RIGHT/LEFT C1713 $558.00 2.0 X 10MM SCREW C1713 $225.00 2.0 X 14 LOCKING SCREWS C1713 $550.50 2.0MM CATH (OTW) 150CM C1885 $4,200.00 2.0MM CATH RAPID-EXCHANG 150CM C1885 $3,150.00 2.0MM CATHETER 80HZ CONT.ON OTW 150CM C1885 $4,200.00 2.0MM LCP PLATE 7HOLES SHAFT C1713 $607.50 2.0MM NON-LOCKING SCREW C1713 $787.50 2.0MM X 8MM NONLOCKING SCREW C1713 $133.50 2.15MM FLUTED ROUTER CUT BURS C1713 $149.04 2.2 DRILL BIT C1713 $175.50 2.2MM DRILL C1713 $393.00 2.3 PENCIL BURR C1713 $159.08 2.3 SUTURE ANCHR W1 UB COBRAID C1713 $508.31 2.3 X 12MM NON LOCKING SCREW C1713 $177.00 2.3MM CATH OTW LASER ABLAT TUBO ELITE C1885 $3,150.00 2.3MM CATH OTW LASER ABLATION C1885 $3,150.00 2.3MM DURG BURR DIA HEAD HILAN C1713 $142.10 2.3mm Tapered Router $195.47 2.3x16.3mm Tapered Router $159.08 2.5 DRILL BIT C1713 $642.00 2.5 WER PLATE C1713 $963.00 2.5 WER PLATE C1713 $963.00 2.5" MED MESH SURG HERN PTCH C1781 $1,117.50 2.5FIXOS MARK TIP TROCAR KWIRE C1769 $55.12 2.5MM DIAMOND C1725 $139.73 2.5MM T PLATE C1713 $865.50 2.5MM TURBO ELITE LASER CATH C1885 $3,000.00 2.5MM TURBO ELITE LASER CATHETER C1887 $3,000.00 2.5X100 POLAR DCATH BALLOON C1725 $1,350.00 2.5X100 POLAR DCATH BALLOON, EA C1725 $1,350.00 2.6 DRILL C1713 $211.50 2.7FR SINGLE LUMEN CV CATHETER C1757 $312.08 2.7MM CORTICAL BONE SCREW X C1713 $124.32 2.7MM CORTICAL BONE SCREW x VARIOUS C1713 $1,456.37 2.7MM DRILL BIT C1713 $136.29 2.7MM LOCK SCREW, 20MM C1713 $118.13 2.7MM LOCKING SCREW 18MM C1713 $241.50 2.7MM LOCKING SCREW X 18MM C1713 $195.00 2.7MM LOCKING SCREWS C1713 $241.50 2.7MM LOCKING SCREWS 36MM C1713 $157.50 2.7MM X 18MM MD SCREW C1713 $327.00 2.9MM LOCKING SCREW C1713 $315.00 2/0 18 ETHILON MONO PS $187.37 2/0 27 CHROMIC SH $106.92 2/0 27 GUT CHROMIC CT-1 $102.08 2/0 27COATED VICRYL 0S-6 $123.47 2/0 30 ETHIBOND BRAIDE $155.03 2/0 30 ETHIBOND BRAIDED CT-1 $104.84 2/0 30 PROLENE MONO SH $119.85 2/0 30ETHICON MONO KS,628H $75.74 2/0 30SILK BRAIDED KS $1.94 2/0 36 PDS II MONO CT $138.11 2/0 36PROLENE MONO $256.27 2/0 48PROLENE MONO SHSH $205.95 2/0 54 GUT CHROMIC $64.20 2/0 54 GUT PLAIN $39.20 2/0 54COATED VICRYL $30.86 2-0 18" SILK BLACK BRAID PS-2 C1713 $159.10 2-0 30 ETHIBOND BRAID LRX496T C1713 $112.22 2-0 30" ETHIBOND BRAIDED CT-1 C1713 $104.84 2-0 30" V-7 SUTURE SILK NDL B C1713 $134.26 2-0 36" GUT CHROMIC #903H $105.71 2-0 COATED VICRYL RAPIDE 27 $42.54 2-0 COATED VICRYL RAPIDE 36 $45.30 2-0 FS SILK NEEDLE BLK BRD C2618 $84.14 2-0 SILK BLK BRD 24" SH NEEDLE C2618 $171.56 2-0 SILK BLK BRD CP-1 36MM CI C1713 $73.36 2-0 SILK PS NEEDLE 18"-45CM BL C2618 $186.29 2-0 SILK PSLX $5.95 2-0 SILK SH $135.47 2-0 SILK' SUTUPAK 13 STRAND 34 C1713 $106.65 2-0 SILK TIES $64.49 2-0 TAPER T-12 SUTURES W/FIBER C1713 $33.00 20 X 24G ANGLED STEPPED PROBE C2618 $290.00 20fr 8mm Vega Puncture Set $544.50 20MM CERVICAL PLATE C1713 $1,425.00 20MM ENDOBUTTON C1749 $494.55 20MM MINI AT2 SCREW C1713 $792.00 20MM TRINICA PLATE C1713 $1,500.00 2-0VICRYL +CIRCLE VIOLET BRAID C1713 $188.30 22MM STANDARD AT2 SCREW C1713 $792.00 22MM TRINICA PLATE C1713 $1,500.00 23G ADJST INTUTVE LASRPROBE C2618 $315.00 23G Greishabe Backflsh Sft Tip $912.87 23G VALVED ENTRY SYSTEM 4MM C1713 $864.00 23G X 3/4 HYPODERMIC NEEDLE C2618 $0.10 24MM CERVICAL PLATE C1713 $1,650.00 24MM HD LFT ANATOMIC RAD HD SYS CHROMIUM C1776 $3,000.00 24MM LOCKING SCREW C1713 $210.19 24MM TRINICA PLATE C1713 $1,875.00 25.4MM DIAMOND DISC C1713 $393.75 25G 8.0 SOFT TIP NEEDLE 10/BX C2618 $300.00 25G Trocar Plug $468.00 25mm Circular Staplr DST Serie $4,670.78 25mm ORVIL Circul Guide Staplr $1,034.19 25-OHD 82306 $72.36 25TUB INFLOW SET FLUID MGMT A4624 $97.65 26MM PLATE C1713 $1,725.00 28-30MM CROSSLINK C1713 $1,996.50 28MM +0 TAPER FEMORAL HEAD C1776 $781.65 28MM +4 FEMORAL HEAD C1776 $1,500.00 28MM +8 TAPER FEMORAL HEAD C1776 $781.65 28MM 12/14 TAPER FEMORAL HEAD C1776 $781.65 28MM ACP PLATE $4,041.00 2AGUS NRV BLCK OBESE ANL REPRG 0317T $108.79 2APAROSCOPE PROC INTESTINE 44238 $12,461.42 2MM CATH 80HZ CONT.CON RAPID-EX 150CM C1885 $3,150.00 2ND CLOS SURG WND/DEH;EXTENS 13160 $4,183.48 2PC INTRATHECAL CATHETER C1755 $1,042.50 2UTPAT E/M ESTAB MODHI;25MIN 99214 $403.00 2W FOLEY CATHETER 16FR 12/BX A4344 $16.15 2-WAY FOLEY 5CC, 16FR COUDE TIP C2627 $185.90 2WAY FOLEY CATH SILICON 12/BX A4344 $59.40 2X2+2HOLES, 3D PLATE C1713 $1,125.60 3 GUIDEWIRE 300CMX.014 5/BX C1769 $213.00 3 HOLE PLATE C1713 $1,520.44 3 HOLE PLATE HOMERUS L8699 $1,520.45 3 PIECE ASPHERIC IOL C1780 $120.00 3 Single Stinging Insect Venoms 95147 $153.91 3.0 CARBIDE BURR C1713 $413.13 3.0 GUIDE ROAD 950MM C1713 $222.00 3.0 MATCHSTICK BURR C1713 $413.13 3.0 X 32MM SCREW C1713 $442.50 3.0MM BIOCOMP SUTRETAK 5BX; EA C1713 $687.00 3.0MM TITANIUM ELASTIC NAIL C1713 $432.00 3.2MM CALIBRATED GUIDE WIRE C1769 $181.33 3.2MM KWIRE C1713 $67.89 3.2X 450 K-WIRE C1713 $135.00 3.3 X 25MM DRILLS C1713 $121.50 3.5 CORTICAL SCREW 14MM C1713 $25.88 3.5 CORTICAL SCREW X 14 C1713 $135.00 3.5 CORTICAL SCREW x VARIOUS C1713 $1,948.50 3.5 LOCKING SCREW C1713 $213.75 3.5 LOCKING SCREW X C1713 $311.62 3.5 X SCREW C1713 $627.00 3.5 X14MM TI SYNAPSE SCREW C1713 $1,575.00 3.5MM CORTEX SCREW SELFTAP C1713 $31.97 3.5MM CORTEX SCREW SELF-TAPPING 10MM C1713 $58.50 3.5MM CORTEX SCRW SELF-TAPP C1713 $58.50 3.5MM LOCKING COMPRESSION PLATE 9-HOLE C1713 $1,291.20 3.5MM LOCKING SCREW C1713 $517.50 3.5MM LOW PROF NON-LOCK SCREW C1713 $213.75 3.5MM NON-LOCKING SCREW X C1713 $121.50 3.5MM NONLOCKING x VARIOUS C1713 $240.00 3.5MM SELF TAPPING LOCKING SCREW C1713 $259.50 3.5MM SHAFT SCREW C1713 $30.75 3.5MM TIBIA PLATE 8 HOLES/RT C1713 $1,384.50 3.5X 14MM CONT C1713 $118.12 3.7 X 32 SCREW C1713 $1,453.50 3/0 18 PDS II MONO PS-2 $76.98 3/0 18ETHILON MONO PS-2 $164.98 3/0 27 GUT CHROMIC SH $152.87 3/0 27 IN PDS II MONO RB-1 $130.95 3/0 27GUT PLAIN CT-1 $129.11 3/0 27GUT PLAIN FS-2 $131.97 3/0 30 EHTIBOND BRAIDED SH $103.65 3/0 30 ETHILON MONO KS $76.01 3/0 30 ETHILON MONO RS $165.16 3/0 54 COATED VICRYL $33.01 3/0 54 GUT CHROMIC $37.67 3/0 8-18 SILK BRAIDED SH $134.61 3-0 30" SILK BRAIDED KS#622H $2.22 3-0 COAT VICRYLPLS SUTRE ANTIB C1713 $94.05 3-0 MONOCRYL PS1 $225.00 3-0 NEUROLON 8-18" BLACK BRAID C1713 $253.34 3-0 NUROLON 8-18" SH NDL SUTRE C1713 $186.19 3-0 PROLENE SH SH $201.75 3-0 PROLENE SUTURES 8632G C1713 $80.04 3-0 SILK BLKBRD SUTUPK 13 STR C1713 $106.65 3-0 SILK RB-1 $151.19 3-0 SILK TIES $76.60 30 STRGHT 5BX PERIPH GUIDEWIRE C1769 $1,350.00 3-0 TAPER SUTURES C1713 $33.00 3-0 VICRYL + 18SH VIOLT BRAID C1713 $192.38 3-0 VICRYL CT2 18 VIOLET BRAID C1713 $185.90 3-0 VICRYL PS-2 $176.90 30CCLIVER CATH.LATEX MED.POLYO C1887 $174.78 3-0CT UNDYE VICRYL RAPD NEEDLE C2618 $89.22 30GA CANNULA AIR INJECTION C2618 $27.00 3-0GUT CHROM 27"STRGHT60MM CUT C1769 $163.80 30MM INTRAFIX TIBIAL SHEATH C1713 $502.50 30MM SHPERILAR SCREW L8699 $192.00 36MMX10 POLYETHYL INSERT LINER C1713 $1,200.00 38MM LEVEL PLATE C1713 $1,950.00 38MM TRINICA PLATE C1713 $1,875.00 3CC SLS 21GX1 1/2 $0.22 3CMEXTRA STIFF GUIDWIRE FLXTIP C1773 $94.11 3D MAX LIGHT MESH C1781 $315.90 3D MAX LIGHT MESH MED 3.1X5.3 C1781 $472.50 3D MAXLGHT MESH LRGE RT4.1X6.2 C1781 $500.85 3MM BIOCOMPOSITE SUTURETAK #2FWTW C1713 $480.00 3MM FLUTED MATCHSTICK BURR C1713 $282.00 3MM T WRENCH C1713 $434.40 3WAY FOL LUBRICATH MED RD TIP A4346 $400.68 3WAY FOLEY 24FR RND TIP CATH A4340 $153.90 3WAY FOLEY LUBRICATH RND TIP A4346 $160.92 3WAY FOLEY ROUND TIP CATH12/BX A4346 $292.81 3WAY FOLEY ROUND TIP CATH12/CS A4346 $26.24 3-WAYFOL CATH LUBRI MED RD TIP A4346 $157.50 3WAYFOL CATH LUBRI MED RND TIP A4346 $157.50 3X100 POLARCATH BALLOON, EA C1725 $1,296.00 3X1000MM WIRE GUIDE C1713 $285.91 4 DISTAL CONTRACTOR C1776 $147.15 4 HOLE LEFT ANT LAT DISTAL TIBIAL PLATE C1713 $2,283.00 4 HOLE PLATE C1713 $1,006.50 4 HOLE PRE BENT C1713 $1,006.50 4 Single Stinging Insect Venoms 95148 $153.91 4.0 CANNULATED SCREW X C1713 $146.25 4.0 CARBIDE BURR C1713 $413.13 4.0MM CANCELLOUS BONE SCRW C1713 $37.29 4.0MM CANNUL SCREWSHORT THREAD C1713 $358.05 4.0X 12 SCREW VARIABLE C1713 $217.50 4.0x100 SCHANZ SCREW C1713 $178.50 4.5 CONN C1713 $1,321.75 4.5 MED PROX TIBIA PLATE 6HOLE C1776 $2,272.50 4.5 TWINFIX ULTRA PK C1713 $352.50 4.5MM MEDIAL PROXIMAL TIB PLATE; 6 HOLES C1713 $2,272.50 4.5MM TIBIA PLATE 2 HOLES/RT C1713 $1,799.49 4.5MM TIBIA PLATE 4 HOLES/LT C1713 $1,538.00 4.5MM TIBIA PLATE 6 HOLES/RT C1713 $2,272.50 4.8FR CLOSED TIP URETERAL STENT, 24CM C2617 $255.00 4/0 18 COATED VICRYL P-3 $60.57 4/0 18 ETHILON MONO $165.62 4/0 18 ETHILON MONO PS-2 $165.62 4/0 18 PDS II MONO P-3 $81.32 4/0 18 PROLENE MONO P-3 $77.27 4/0 18MONOCRYL UNDYED MONO P-3 $77.63 4/0 18RAPIDE P-3 $78.68 4/0 18SILK BRAIDED $89.94 4/0 27 GUT CHROMIC RB-1 $132.93 4/0 27COATED VICRYL RB-1 $80.48 4/0 27GUT CHROMIC $111.72 4/0 27GUT PLAIN RB-1 $134.00 4/0 27PDS II MONO RB-1 $126.06 4/0 30 ETHIBOND BRAIDED V-5 $290.87 4/0 30 ETHILON MONO RS $86.94 4/0 36 PROLENE MONO RB-1 RB-1 $271.69 4/0 8-18 SILK BRAIDED SH $160.37 4/0 8-18SILK BRAIDED SH $5.62 4-0 8-18" SILK BRAID SH CO14D C1713 $160.37 4-0 CHROMIC GUT SUTURE 12/BX' C1713 $108.32 40 DLP VENA CAVA FILTER SYS C1880 $1,492.50 4-0 IN COATED VICRYL PS-2 $82.76 4-0 MONOCRYL PS-2 $225.00 4-0 SILK BKL P-3 $56.13 4-0 SILK SUTUPAK 13 STRAND 24 C1713 $105.08 4-0 TAPR SUTRE W/FIBRWIRE NEED C1769 $33.00 4-0 VICRYL REEL $31.04 40MM ENDOBUTTON C1749 $483.22 40MM EXTENSION C1776 $5,359.20 40MM PLATE C1713 $1,875.00 4-0NUR SUTRE NYLN BL RB1 NEEDL C1713 $236.18 43-46, 28MM BIPOLAR C1776 $199.80 43-46, 28MM BIPOLAR C1776 $199.80 44 BIPOLAR HEAD C1713 $1,123.20 45MM CERVICAL PLATE C1713 $1,950.00 45MM LCP CURVED CONDULR PLATE 14HOLE C1713 $4,018.50 480MM ROD; EXPEDIUM PLUS TI C1713 $588.75 49MM BIOPOLAR SHELL C1776 $1,123.20 4F NEFF SET $7,125.00 4FR PINNACLE INTRODUCER SHEATH C1894 $32.18 4FRENCH OMNI FLUSH CATHETER C1887 $975.00 4HOLE LCP PROX MEDIAL TIB PLATE C1713 $2,041.50 4-HOLE PLATE C1713 $1,029.37 4-HOLE PLATE C1713 $1,029.38 4PAIR SUBDERM ELECTROD-PAROTID A4556 $207.00 4URG COMPL INCOMPLETE AB 59812 $6,440.19 4x40MM CANNULATED SCREW C1713 $429.00 4X5 DURA GRAFT SINGLE SPONGE C1768 $1,924.44 5 ETHIBOND LR LR $132.50 5 HOLE CLAMP C1713 $864.45 5 HOLE PLATE C1713 $1,081.50 5% DEXTROSE/WATER 500ML J7060 $5.14 5.0 CARBIDE BURR C1713 $413.13 5.0MM LOCKING SCREW - SYNTHES BRAND C1713 $247.67 5.0x150MM SELF-DRILLING SCREW C1713 $261.00 5.0x175 SELF DRILLING SCHANE SCREW C1713 $261.00 5.0x200MM PIN C1713 $201.00 5.5 MM X 45MM LORDOCTIC ROD C1713 $495.00 5.5 SPEEDSCREW IMPLANT C1713 $682.50 5.5 SWIVEL LOCK C1713 $600.00 5.5 X 50 POLY SCREW C1713 $937.50 5.5 X 50MM SCREW C1713 $1,321.75 5.5 X 8MM ROD C1713 $337.50 5.5MM X 45 POLY SCREW C1713 $937.50 5.5MM X 50MM SCREW C1713 $937.50 5/0 18 EHTILON MONO PS-3 $162.38 5/0 18 PDS II MONO PS-2 $77.57 5/0 18 RAPIDE P-3 $77.85 5/0 18COATED VICRYL P-3 $182.97 5/0 18GUT PLAIN P-3 $77.63 5/0 18SILK BRAIDED PS-2 $60.71 5/0 27 GUT CHROMIC RB-1 $160.64 5/0 30 ETHIBOND BRAIDED C-1 $310.37 5/0 30SILK BRAIDED RB-1 $68.36 5/0 36 ETHIBOND BRAIDED RB-1 $230.76 5/BX SUPER STIFF EX GUIDEWIRE C1769 $324.90 5-0 18" SUTURE BLACK 36/BX C1713 $165.56 5-0 18"PROLENE MONO C-1 C-1 $9.54 5-0 27" GUT.CHR E-812H 36/BX* C1713 $4.18 5-0 MONOCRYL PC-3 $82.17 5-0 PDS RB-1 TAPERED NEEDLE C2618 $119.35 50MM REFLECTION SHELL C1776 $2,250.00 5-0PROLENE SUT MONO RB1 NEEDLE C2618 $130.28 51 BIPOLAR SHELL C1713 $435.00 51 BIPOLAR SHELL C1776 $1,123.20 55MM LORDOTIC BULLETED ROD C1713 $300.00 58MM,SP 3 HOLE REFLEXION C1776 $2,782.50 5CC BDM PUTTY C1713 $217.50 5CC LIVER 16F POLYCATH LATEX C1887 $223.38 5CC LIVER 18F POLYCATH LATEX C1887 $223.38 5CC SLS 21G 1 1/2 $0.42 5CC SLS ONLY $0.39 5CCLIVER 22F CATH.LATEX MED.PO C1887 $212.22 5CCLIVER POLYCATH.RED LATEX CO C1887 $223.38 5F EXPO MULTIPK 5FR FL4 FR4 ANGIOGRAPHIC $83.13 5F EXPO MULTIPK 5FR FL4 FR4 DIAGNOSTIC C $83.13 5F EXPO MULTIPK 5FR FL6 ANGIOGRPH CATH D $83.13 5FR STRAIGHT GLIDECATH 5/BX C1787 $90.30 5FRENCH INTRODUCER SHEATH C1894 $31.01 5-HIAA 83497 $31.53 5-HOLE CLAMP C1713 $864.45 5-HYDROXYINDOLEACETIC ACID 24H 83497 $31.53 5MM ALLOGRFT CANCELOUS CORE BONE 14x12MM C1713 $1,425.00 5MM BALL ELECTRODES 5/CS A4556 $24.28 5MM HALF PIN 165x25MM C1713 $157.50 5MM Lone Star Elastic Stays $94.76 5MMENDPTHEXCEL OPTVIEW BLADLSS C1713 $69.44 5'-NUCLEOTIDASE 83915 $27.26 5-ROM STEM 18X13 $7,121.69 5X5CM PLASTIC SURGERY MATRIX C1763 $724.50 6 ACCC CEMENTED HIP STEM C1776 $2,325.00 6 DEGREE FEMORAL HEAD 28MM C1776 $1,560.55 6 HOLE PLATE C1713 $1,067.62 6 HOLE PLATE CURVED C1713 $1,067.63 6.0 CARBIDE BURR C1713 $413.13 6.5 SCREW X C1713 $386.32 6.5 SCREW x VARIOUS C1776 $687.00 6.5 TWINFIX ULTRA PK anchor C1713 $481.50 6.5 X 55MM SCREW C1713 $1,312.50 6.5MM POLY SCREW C1713 $1,050.00 6.5X35 EXPEDIUM SCREW C1713 $1,582.50 6/0 18 PROLENE MONO BV-1 BV-1 $560.69 6/0 24 ETHIBOND BRAIDED BV-1 $479.93 6/0 27GUT CHROMIC FS-2 $44.22 6/0 36 ETHIBOND BRAIDED C-1 $318.44 6/127 NECK ANGLE HIP STEM C1776 $3,600.00 6-0 18" SUTURE SILK BLCK BRAID C1713 $15.68 6-0 NYLON P-1 $165.62 6-0COAT VICRYL CT VIOLET BRAID C1713 $176.78 60MM SP3 SHELL C1776 $1,200.00 60MM SP3 SHELL C1776 $1,200.00 60mm Tristaple Med/Thick Reld C1713 $4,209.75 6FR CLOSE TIP URETERL STNT KIT C2617 $202.71 6FR PINNACLE INTRO SHEATH 10BX C1894 $32.17 6-HOLE PLATE C1713 $1,067.63 6MM ALLOGRFT CANCELOUS CORE BONE 14x12MM C1713 $1,425.00 6MM ALLOGRFT CANCELOUS CORE BONE;14x12MM C1713 $1,425.00 6MM FLUTED BALL C1725 $149.04 6MM FLUTED BALL CUTTING BURS C1713 $183.38 7 HOLE PLATE C1713 $684.68 7.0 TRACH A4624 $161.85 7.0x150 HUMERAL NAIL C1776 $1,575.00 7.5 X 45MM SCREW C1713 $937.50 7/0 18 PROLENE MONO BV-1 BV-1 $503.09 7/0 18ETHIBOND BRAIDED BV-1 $510.33 7/0 30PROLENE MONO C-1 C-1 $334.37 70MM K-WIRE C1713 $36.12 70MM K-WIRE C1713 $36.12 7FR 65CM DUAL LUMEN CATH C1887 $485.93 7FR DRAIN WITH TROCAR 10/CS C1729 $216.00 7FR GUID CATH TURBO ELITE 3/BX C1887 $750.00 7FR GUIDE CATH 1.4&1.7 TURBO ELITE, C1885 $750.00 7FR GUIDING CATH 1.4&1.7 TURBO ELITE C1885 $750.00 7FR SILICONE DRAIN 10/CS C1729 $165.00 7-HOLE, NARROW T-PLATE C1713 $114.75 7MM OP SHT ROTAT STOPCOCK&26163DO OB C1894 $1,098.00 7X35 EXPEDIUM SCREW C1713 $1,125.00 8" REVERSE CUT CHROM GUT SUTUR C1713 $100.50 8.0 TRACH A4624 $114.68 8-0 NYLON SUTURE 12/BX" C1713 $17.21 8MM X 65MM CAN C1713 $392.62 8MMX20MM WALL STENT C1876 $1,831.50 8MMX40MM-75CM 6F UNISTEP PLUS C1876 $1,761.00 8X20MM BIOSURE REGENESORB SCRW C1713 $492.00 8x65MM CANNULATED SCREW C1713 $24.00 9 ROUND BUR 4.0MM C1713 $48.65 9-0 VICRYL SUTURE TG140-8 12/BX C1713 $234.75 9FR 65CM DUAL LUMEN CATHETER C1757 $454.58 9FR EHL PROBE FOR AEH-4 3/BX C2618 $977.37 9-HOLE LEFT DISTAL FEMUR $1.00 9MM SL GRFTCH LORD CORT SPACER L8670 $1,434.37 9MM TI CANNULATED HUMERAL NAIL C1713 $2,683.50 9POLY TIB INSRT TOT STAB TRIAT C1776 $3,450.00 AB CMV IGM 86645 $41.18 AB EB VCA 86665 $44.35 AB ID; LEUKOCYTE AB 86021 $36.81 AB ID; PLATELET AB 86022 $44.90 AB ID; PLATELET IG ASSAY 86023 $30.45 AB ISOAGGLUT'N TITER 86940 $20.04 AB SCREEN BY IF 86022 $44.90 AB SCREEN-SPECIAL METHOD 86970 $86.20 AB SH; NOT AUTOG 36830 $11,849.09 AB TO EA-EB VIRUS 86663 $32.08 AB TO EBNA 86664 $37.38 AB; HELICOBACTER PYLORI 86677 $37.07 AB; HSV NON-SPECIFIC 86694 $35.18 AB; HTLV OR WB 86689 $47.32 AB; LYME'S DISEASE 86618 $41.62 AB; TETANUS 86774 $36.17 AB; TOXOPLASMA IGM 86778 $35.22 AB;-1 & -2 SGL ASSAY 86703 $33.51 AB;COCCIDIOIDES 86635 $28.05 AB;FUNGUS NES 86671 $29.96 AB;HELMINTH NES 86682 $31.79 AB;RSV 86756 $34.96 AB;TOXOPLASMA 86777 $35.18 ABACAVIR 20MG/ML ORAL LIQ $1.24 ABACAVIR/LAMIVUD/ZIDOVUDINE J3490 $21.50 ABACAVIR-LAMIVUDINE 600/300 TB J3490 $32.79 ABARELIX 100MG IM $0.02 ABBOKINASE 250.000U INJ 5ML VI J3365 $1,187.52 ABBOKINASE 5000UN INJ 1ML VIAL $124.54 ABC BEND A BEAM 6" 10/CS C1758 $1,108.16 ABCIXIMAB 10MG INJ J0130 $3,268.32 ABD 8.5CM LONG STRGHT CUTNEEDL C2618 $494.96 ABD PARACENTESIS(DX/TX);WO IMG 49082 $2,026.11 ABD PARACENTESIS;DX/TX;W IMG G 49083 $2,026.11 ABD US B-SCAN COMPLETE 76700 $288.95 ABDMINAL PARACNTESIS W IMAGE 49083 $2,026.11 ABDOM HYSTCTMY INC P/ VAGNCTMY 58200 $2,948.79 ABDOM PARACENTESIS;DX/TX 49082 $2,026.11 ABDOMEN AP/ KUB 1 VIEW 74018 $205.74 ABDOMEN COMPLETE US 76700 $288.95 ABDOMEN CT WITH AND WITHOUT CO 74170 $469.77 ABDOMEN CT WITH CONTRAST 74160 $469.77 ABDOMEN CT WITHOUT CONTRAST 74150 $288.95 ABDOMEN FLAT / UPRIGHT/SERIES 74022 $288.95 ABDOMEN LIMITED (SINGLE ORGAN) 76705 $288.95 ABDOMEN MRA 74185 $1,100.00 ABDOMEN MRA / MRCP 74185 $1,100.00 ABDOMEN MRCP 74185 $1,100.00 ABDOMEN MRI WITH AND WITHOUT 74183 $984.43 ABDOMEN MRI WITH CONTRAST 74182 $984.43 ABDOMEN MRI WITHOUT CONTRAST 74181 $600.78 ABDOMEN RETROPERITONEAL / COMP 76770 $288.95 ABDOMEN RETROPERITONEAL /LIMI 76775 $288.95 ABDOMENCOMPLETE 74021 $288.95 ABDOMINAL DUPLEX PELVIC 93975 $600.78 ABDOMINAL HYSTERECTOMY 58150 $2,209.28 ABDOMINAL/PELVIC DUPX US 93976 $288.95 ABILIFY MAINTENA - 300MG INJ E J0401 $759.00 ABILIFY MAINTENA - 400MG INJ E J0401 $1,012.00 ABILIFY MAINTENA 300MG INJ J0401 $1,120.00 ABLAT SOFT TIS INF TURBNTES; U 30802 $3,478.64 ABLATE INF TURBINATE;SUPERFIC 30801 $3,478.64 ABLATE SOFT TIS INF TURBNTE; S 30801 $3,478.64 ABO TYPE 86900 $281.09 ABORTION BY 1+ INJ 59850 $832.88 ABORTION BY 1+ INJ. W D&C 59851 $894.17 ABORTION BY 1+ SUPPOSIT W. D&C 59856 $1,064.16 ABORTION BY 1+ SUPPOSITORY 59855 $906.95 ABP MONITORING 24+ HRS; RECORD 93786 $281.09 ABP MONITORING 24+ HRS; SCAN A 93788 $281.09 ABRADER 2.9MM BURR 6/BX C1713 $716.63 ABRADER STRGHT BURRS C1713 $106.31 ABRASION OF SINGLE LESION 15786 $450.45 ABRASION; EA ADDITIONAL 4 les 15787 $38.48 ABRAXANE 1MG J9264 $36.37 ABSCESS CULTURE 87070 $21.05 ABSORB ADHES BARRIER INTERCEED GYN C1765 $489.13 ABSORB ADHES BARRIER INTERCEED GYNECARE C1765 $489.13 Abtmt supp cast mtl crown-base D6063 $420.00 Abtmt supp cast mtl crown-hinob D6062 $420.00 Abtmt supp cast mtl crown-noble D6064 $420.00 Abtmt supp porc fused to hi-nob D6059 $420.00 Abtmt supp porc fused-mtl crown D6061 $420.00 Abtmt supp ret for porc/cer FPD D6068 $1,330.00 ABUT SPPRT CRWN-PORC FU TIT AL D6097 $420.00 ABUT SPPRT RETAIN-PORCELAIN FUS TIT D6195 $1,330.00 Abut sup ret-cast mtl FPD-base D6073 $1,330.00 Abut sup ret-cast mtl FPD-hinob D6072 $1,330.00 Abut sup ret-cast mtl FPD-noble D6074 $1,330.00 Abut sup ret-cast mtl FPD-titan D6194 $1,130.00 Abut sup ret-porc fsd mtl FPDbm D6070 $1,330.00 Abut sup ret-porc fsd mtl FPDhn D6069 $1,330.00 Abut sup ret-porc fsd mtl FPDno D6071 $1,330.00 ABUT SUPP PORCELAIN FUSED METAL CROWN D6060 $420.00 ABUTMENT FLX LOCK-CATEG 1 $5,673.48 ABUTMENT SUP PORCLN FUSED METAL CROWN D6060 $420.00 Abutment supp crown - titanium D6094 $1,096.00 Abutment supported porc/cer crn D6058 $420.00 AC GRAFTROPE C1768 $1,042.50 ACAMPROSATE 333MG TAB $0.96 ACANTHAMOEBA 87102 $20.55 ACC 2.0MM COCR CABLE & W/CLAMP C1713 $506.10 ACCESS SHEATH DILATORS C1714 $207.00 ACCESSORY KIT $236.25 ACCOLADE #2 STEM 30MMx127 DEGREE NECK C1776 $3,450.00 ACCOLADE #4.5 TMZ PLUS HIP STEM 35x129MM C1776 $75.00 ACCOLADE HFX SIZE #1 C1776 $2,011.35 ACCOLADE HFX SIZE#2 C1776 $2,011.35 ACCOLADE PLUS TMZF HIP STEM C1776 $3,450.00 ACCOLADE PLUS TMZF HIP STEM #3.5 C1776 $75.00 ACCOLADE STEM 127 DEG NECK- C1776 $3,450.00 ACCOLADE TMZ PLUZ HIP STEM C1776 $3,450.00 ACCOLADE TMZ+HIP STEM#3 ALUMINA SHEL INS C1768 $2,010.00 ACCOLADE#4 TMZ PLUZ HIP STM V40TM 35MMx C1776 $75.00 ACCOLDE STEM TRIDENT CUP LFTHD C1776 $5,933.61 ACCUDRAIN EXT CSF DRAIN SYSTEM C1729 $385.46 ACCUPRIL 10MG TAB $3.85 ACCUPRIL 20MG TAB $3.85 ACCURUS ANT PK 30K 0.9ABS FLARED C1780 $367.50 ACCURUS SURG CHANDELIER WIDE C1713 $2,291.58 ACCURUS TOT+VITRECTOMY W/PROBE C2618 $478.50 ACETABLAR SHLL; PSL HA CLUSTR 52MM C1776 $1,200.00 ACETABLR SHLL, TRIDNT PSL HA CLUSTR 50MM C1776 $1,200.00 ACETABULAR CUP OSTEOME IN SYS 56MM C1776 $389.70 ACETABULAR DRILL SCREW 15CM C1713 $138.60 ACETABULAR LINER C1776 $2,032.50 ACETABULAR LINER - 32MM C1776 $1,102.50 ACETABULAR LINER 32MM C1776 $1,102.50 ACETABULAR SCREW C1713 $172.20 ACETABULAR SHELL C1713 $1,200.00 ACETABULAR SHELL C1776 $1,200.00 ACETABULAR SHELL; VARIOUS SZ C1776 $1,171.50 ACETABUR CUP OSTEOTOME INS SYS C1713 $389.70 ACETAMINOPHEN 80329 $66.71 ACETAMINOPHEN 1000MG/100ML INJ J3490 $0.36 ACETAMINOPHEN 120MG SUPPOS J3490 $0.65 ACETAMINOPHEN 160MG/3.75ML SYR J3490 $1.00 ACETAMINOPHEN 160MG/5ML SUSP P J3490 $0.21 ACETAMINOPHEN 325MG TAB J3490 $0.14 ACETAMINOPHEN 650MG SUPPOS J3490 $0.83 ACETAMINOPHEN 80MG SUPPOS J3490 $0.76 ACETAMINOPHEN 80MG/2.5ML SYRIN J3490 $0.91 ACETAMINOPHEN INFANT DROPS J3490 $2.82 ACETAMINOPHEN IV (<50KG) J0131 $0.45 ACETAMINOPHENSUSP 160MG/5ML $0.01 ACETAMNPHEN 160MG/5ML LIQ J3490 $0.44 ACETAMNPHEN 325MG TAB J3490 $0.16 ACETAMNPHEN SUPP 120MG J3490 $1.13 ACETAZLMIDE 250MG TAB J8499 $8.21 ACETAZOLAMIDE 250MG TAB J3490 $0.53 ACETAZOLAMIDE 500MG INJECTION J1120 $32.07 ACETAZOLAMIDE 500MG SEQ CAP J3490 $1.68 ACETIC ACID 0.25% IRRIGATION $11.95 ACETIC ACID 2% OTIC J3490 $10.63 ACETIC ACID 5% $154.40 ACETIC ACID EXTERNAL 1000ML $23.28 ACETONE 82009 $11.04 ACETYCHOLINESTERASE 82013 $27.30 ACETYLCHOLINE AB 84238 $89.39 ACETYLCHOLINE CL 1% EYE DROP J3490 $38.25 ACETYLCHOL-RECPTR AB 86256 $29.46 ACETYLCISTEINE 200MG/ML IV J0132 $91.10 ACETYLCYSTEIN IV 20% (50MG/ML) $22.00 ACETYLCYSTEIN IV 20% (7MG/ML) $9.99 ACETYLCYSTEINE NON-COMP 1GM J7608 $9.17 ACETYLCYSTEINE SOL 20% 30ML J7608 $2.36 ACETYLCYSTINE 10% 30 ML. FOR INHALATION $7.57 ACG UP TO 48 HOURS RECORD SCAN 93224 $143.88 ACHILL ALLGRFT TEND W/CALC BNE C1713 $2,227.50 ACHILLES TENDON W/CALCANEUS L8699 $2,227.50 ACID FAST STAIN 87206 $13.18 ACID PHOSPHATASE STAIN 84066 $23.61 ACID P'TASE PROST 84066 $23.61 ACID P'TASE TOTAL 84060 $18.06 ACIFT SOLOFUSE IMPLANT 5MM C1713 $3,465.00 ACITRETIN 10MG CAP $9.58 ACITRETIN 25MG CAP $14.09 ACL CRUCIATE RECONST TOOL BOX $27,225.00 ACL KIT REAMER LOW PROFILE C1713 $418.50 ACL TIGHT ROPE RIGHT C1713 $1,320.00 ACMI CYSTOURETHROSCOPE SHEATH 23FR C1894 $737.10 ACMI MASTOID DIAM SURG CUT BUR C1713 $77.66 ACNE SURG 10040 $450.45 ACOUSTIC REFLEX DECAY TEST 92570 $356.66 ACOUSTIC REFLEX DECAY TEST 92570 $356.66 ACOUSTIC REFLEX TESTING 92568 $86.20 ACOUSTIC REFLEX TESTING 92568 $86.20 ACOUSTIC REFLEX TESTING 92568 $86.20 ACRAGUN ACRACLIP SCALP CLIP SYS C1713 $60.00 ACRMIOPLSTY SURETAC II PAC FIX DEV SHLDR C1713 $340.59 ACRMIOPLSTY/ACRMIONCTMY; PART 23130 $7,057.23 ACROM-CLAV. JTS 73050 $205.74 ACRYSOF IOL TORIC LENSE 1.5D V2787 $742.50 ACRYSOF IOL TORIC LENSE 2.25D V2787 $742.50 ACRYSOF IOL TORIC LENSE 3.00D V2787 $742.50 ACRYSOF IOL TORIC LENSE 3.75D V2787 $742.50 ACRYSOF SPHERIC IOL V2632 $120.00 ACTEAMINOPHEN INFANT 80MG/0.6ML $1.82 ACTH 82024 $94.40 ACTH C34 82024 $94.40 ACTH STIMULATION TEST 82533 $39.84 ACTH STIMULATION TEST 80400 $79.73 ACTHAR H.P. 80U/ML IM 5ML $6.50 ACTINOTHERAPY 96900 $91.68 ACTIVASE 100MG INJ J2997 $2,298.73 ACTIVATED CLOTTING TIME 85730 $14.67 ACTIVATED PROTEIN C RESISTANCE 85307 $37.47 ACUJECT VARIABLE INJ NEEDLE C2618 $52.50 ACUPUNTURE W/O ELEC STIM 15 MI 97810 $104.64 ACUPUNTURE W/O ELEC STIM EA AD 97811 $32.70 ACUTE HEPATITIS PANEL 80074 $116.45 ACUTE VENOUS THROMBOSIS IMAGIN 78456 $3,279.74 ACUTRAK 2 MINI .045 K-WIRE C1713 $22.50 ACUTRAK 2 MINI BONE SCREW 22MM C1713 $784.50 ACUTRAK 2 MINI BONE SCREW 30MM C1713 $438.00 ACUTRAK 2 MINI BONE SCREW 30MM C1713 $687.00 ACUTRAK 2 MINI BONE SCREW 30MM STERILE C1713 $438.00 ACUTRAK 2 MINI GUIDEWIRE C1713 $22.50 ACUTRAK 2 STAND 22MM BONE SCRW C1713 $784.50 ACUTRAK FUSION SCREW WASTED 32MM C1713 $492.00 ACUTRAK FUSION SCRW WASTE 32MM C1713 $492.00 ACUTRAK2 FIX SYS MINI DRIL BIT C1713 $438.00 ACYCLOVIR 10 MG INJ $261.54 ACYCLOVIR 200MG/5ML ORAL SYR $26.00 ACYCLOVIR 400MG TABLET U-D J3490 $1.93 ACYCLOVIR LEVEL 80299 $41.01 Adapter Head Metasul LDH w/Tap C1776 $259.50 ADAPTER LOCK CONT FLOW C1713 $393.12 ADAPTER TUOY-BORST-CATEG 1 $1,936.20 ADAPTIVE BEHAVIOR TX BY TECH 97153 $381.81 ADATO SILICONE SIL-OL 5000 1ML C1780 $628.43 Add clasp, exist part denture D5660 $239.00 ADD EVAL EPISODE SAME SITE 88177 $54.82 ADD JNT UP EXTRM ORTHSIS,ANY MATRL;PR JT L3956 $220.00 ADD LW EXT DRSFLX/PLNTR ASST EA JNT L2220 $95.80 ADD LW EXT FT PLAT MOLD PT STIRUP L2250 $801.90 Add tooth to exist part denture D5650 $168.00 ADDITIONAL SPINE FUSION 22585 $705.10 ADDITIONAL TOUCH PREP 88334 $95.20 Addl prc-new crn undr exs dent D2971 $600.00 ADD'L SLIDES MULT. 5 88162 $127.53 ADEFOVIR (HESPERA) 10 MG. PO $80.99 ADENOCARD PER 1MG J0153 $14.73 ADENOIDECTMY;SCNDRY;UNDER 12 42835 $6,752.59 ADENOIDECTOMY PRIM; UNDER AGE 42830 $6,752.59 ADENOIDECTOMY;2NDARY;AGE12< 42836 $6,752.59 ADENOIDECTOMY;PRIMARY;12/ 14020 $4,183.48 ADJ TIS TRAN TRUNK;D10 SQ CM/> 14000 $4,183.48 ADJ TIS TRNSFR; ANY 30.1-60.0 14301 $7,675.54 ADJ TIS TRNSFR; TRUNK 10.1-30. 14001 $4,183.48 ADJ TRANS CHIN AX&/FT;10.1-30. 14041 $4,183.48 ADJ TRANS EYELD/&LIP; 10 SQ CM 14060 $4,183.48 ADJUNCT PROCEDURE D9999 $182.00 ADJUNCTIVE PROCED D9999 $182.00 ADJUNCTIVE PROCEDURE D9999 $182.00 ADJUSTABLE CLAMP C1713 $600.00 ADJUSTABLE SUTURE 67335 $319.70 ADJUSTMENT - COMPLETE/DENTURE MAND. D5411 $80.00 ADJUSTMENT - COMPLETE/DENTURE MAX. D5410 $80.00 ADJUSTMENT - PARTIAL / DENTURE MAND. D5422 $80.00 ADJUSTMENT - PARTIAL / DENTURE MAX. D5421 $80.00 ADMELOG 100 UNITS/ML $0.10 ADMIN OF HEPATITIS B VACCINE M G0010 $14.42 ADMIN OF INFLUENZA VIRUS VACCI G0008 $14.42 ADMIN OF PNEUMOCCAL VACCINE MC G0009 $14.42 ADMIRAL PTA BALL CATH OTW C1725 $202.50 ADMIRAL PTA BALL CATH OTW VASC C1725 $202.50 ADMIRAL PTA BALL CATH OTW0.035 C1725 $510.00 ADMIRAL PTA BALL CATH0.035 OTW C1725 $225.00 ADMIRAL VASC PTA BALL CATH-OTW C1725 $225.00 ADMN FLU VAC NO FEE SCHED SAME G0008 $106.73 ADMN HEP B VAC NO FEE SCHD SAM G0010 $106.73 ADMN PNEUMCOC VAC NO FEE SCHED G0009 $106.73 ADMN PNEUMCOC VAC NO FEE SCHED G0009 $106.73 AdMtlsubstrctacrlfuldntperarch D5876 $239.00 ADRENAL CORTEX AND/OR MEDULLA 78075 $3,279.74 ADRENALECTOMY/EXPL TRANS ABD/L 60540 $2,328.46 ADRENALIN 1:1000 IV 30ML $1.96 Adult-Acyclovir 1000 mg J3490 $0.12 ADV MALE SLING SYS CX C1813 $6,150.00 ADVANCE 18LP PTA BALL CATH RE C1725 $472.50 ADVANCE MALE SLING KIT C1771 $7,282.50 ADVANCE MALE SLING SYSTEM CX C1813 $6,150.00 ADVANCE PTA BALL CATHETER C1725 $618.75 ADVIL (IBUPROFEN) 200 MG TAB J3490 $0.05 ADVNCE MALE SLING KIT C1771 $7,282.50 AEROGEN ALBUTEROL SYRINGE 20ML $25.00 AEROSOL INHALA PENTAMIDINE PC 94642 $474.25 AEROSOL MASK 94640 $474.25 AEROSOL/VAPOR INHALA; INIT DEM 94664 $474.25 AEROSOL/VAPOR INHALA; SUBSQT 94640 $474.25 AF02 LEGEND (B-1) 2.4MM STEM C1776 $1,679.18 AFFINITY SR PMKR C1786 $6,474.40 AFP (MATERNAL)-SERUM 82105 $41.01 AFP (TUMOR MARKER) 86316 $50.89 AFP(MATERNAL)-AMN FL 82106 $41.01 AGENERASE 15 MG/ML SOL $0.35 AGENERASE 150MG CAPSULE $1.72 AGENERASE 50MG CAPSULE $1.08 AHG ANTIGEN TYPING 86905 $730.62 AHMED GLAUCOMA VALVE ADLT FLEX PLATE C1783 $892.50 AICD OTHER THAN SING/DUAL C1882 $29,289.69 AIR MATTRESS (DISP) $260.67 AIRBORNE750I DOM 120VTRANS INC $19,773.00 AIRWAY RESISTANCE. 94726 $652.50 AIRWAY TRAY $71.50 AIRWAY TUBE 10FR $2.97 AIRWAY TUBE 3FR $2.77 AIRWAY TUBE 4FR $2.77 AIRWAY TUBE 5FR $19.20 AIRWAY TUBE 6FR $0.55 AIRWAY TUBE 7FR $2.97 AIRWAY TUBE 8FR $2.97 AIRWAY TUBE 9FR $0.48 AKREOS POSTERIOR CHAMBER IOL V2632 $262.50 ALBATE BONE TUMOR(S) PERQ 20982 $15,421.60 ALBENDAZOLE 200MG PO TABLET J3490 $100.00 ALBUEROL 0.083% INHALATION SOL J7609 $1.14 ALBUMIN 82040 $12.10 ALBUMIN (HUMAN) 25%, 20ML P9046 $49.48 ALBUMIN (HUMAN) 25%, 50ML P9047 $117.57 ALBUMIN (HUMAN) 5%, 250ML P9045 $120.38 ALBUMIN (HUMAN) 5%, 50ML P9041 $25.96 ALBUMIN 25% IV 100ML $127.57 ALBUMIN 25% IV 50ML P9047 $94.06 ALBUMIN 5% IV 250ML P9045 $63.24 ALBUMIN 5% IV 50ML P9041 $21.52 ALBUMIN BF 82040 $12.10 ALBUMIN BF... 82042 $17.12 ALBUMIN(MICRO) URINE 82043 $14.12 ALBUMIN. 82040 $12.10 ALBUMIN; QUAN 82042 $17.12 ALBUMIN; URIN/OTH SOURCE QUAN 82042 $17.12 ALBUT SUL / IPRAT INHALER $0.01 ALBUT SUL 3 mg/ IPRAT 0.5mg (D J3490 $0.45 ALBUTEROL 2.5MG & IPRATROPIUM J7620 $4.82 ALBUTEROL 5MG/ML 20ML FOR INHA $1.76 ALBUTEROL 90MCG INH PED USE $0.06 ALBUTEROL 90MCG INHALER J7613 $63.36 ALBUTEROL HFA MDI INHALER J7620 $6.51 ALBUTEROL INHAL SOL CONC-1/0.5 J7613 $2.71 ALBUTEROL SULF NEBULIZER SOLUT J3490 $2.06 ALBUTERSOL SULF 2MG/ML ORAL SY J3490 $0.08 ALC/DRUG GROUP COUNSELING 90853 $316.00 ALC/DRUG GRROUP COUNSELING H00 90853 $300.00 ALC/DRUG INTERVENTION PER 15MI 99408 $300.00 ALC/SUBS ABUSE COUNSELING 99408 $300.00 ALCHL/DRUG SCREEN >30 MINS G0397 $325.00 ALCHL/DRUG SCREEN 15 TO30 MIN G0396 $325.00 ALCHOL/SUBS INTER >30 MIN G0397 $207.38 ALCHOL/SUBS INTER 13-30 MIN G0396 $87.69 ALCLOMETASONE 0.05% CR TOP $92.73 ALCOHOL AND/OR DRUG SCREENING 90791 $300.00 ALCOHOL ETHYL 80320 $11.99 ALCOHOL OR DRUG ASSESSMENT 90791 $300.00 ALCOHOL PADS $0.06 ALCOHOL/DRUG SCREEN 15 MINS 99408 $300.00 ALCOHOL/DRUG SCREENING >30MINS G0397 $300.00 ALCOHOL/DRUG SCREENING 15 TO 3 G0396 $300.00 ALCOHOL/DRUG SERVICES H0014 $300.00 ALCOHOL/DRUG; METHADONE TX H0020 $245.25 ALDESLEUKIN 22MMU VIAL J9015 $2,066.02 ALDESLEUKIN,SINGLE USE VIAL J9015 $12,364.70 ALDOLASE 82085 $23.74 ALDOSTERONE SERUM 82088 $99.62 ALDOSTERONE SUPPRESSION EVAL P 80408 $306.77 ALDOSTERONE URINE 82088 $99.62 ALEMTUZUMAB 10MG/ML AMPULE J0202 $22,000.00 ALENDRONATE 5MG TAB $7.15 ALENDRONATE 70MG TABLET $45.08 ALENDRONATE SODIUM 70MG TAB $45.08 ALFENTANIL 500MCG/ML $11.57 ALIMTA 10MG INJECCT J9305 $192.41 ALISKIREN (TEKTURA) 150MG. PO $2.58 ALK PHOS ISOENZYMES 84080 $36.15 ALKALINE P'TASE 84075 $12.65 ALKERAN 2MG TAB $3.74 ALL DRESS 4X4 $13.50 ALL DRESS 6X6 $21.84 ALL DRESS 6X8 $30.45 ALL POLY PATELLA L8699 $1,084.20 ALL POLY PATELLA STNDRD SZ#29 8MM THICK C1776 $1,414.53 ALL POLY PATELLA SZ.32MM $1,925.00 ALLERCAN SILICONE BREAST IMP 120-550 C1789 $1,390.50 ALLERG SP IGE;QUAN OR SEMIQUAN 86003 $12.76 ALLERGAN BRST IMP SILICONE SMOOTH RD C1789 $1,350.00 ALLERGAN SILICONE BREAST IMPL C1789 $1,350.00 ALLERGAN SILICONE BRST IMP STYLE C1789 $1,350.00 ALLERGEN IMMN 1INSECT VENOM 95130 $20.92 ALLERGEN IMMN 2 INSECT VENOMS 95131 $29.19 ALLERGEN IMMN 3 INSECT VENOMS 95132 $33.57 ALLERGEN IMMN 4 INSECT VENOMS 95133 $37.93 ALLERGEN IMMUN 5 INSECT VENOMS 95134 $42.28 ALLERGY TSTS INTRDRML ALERGENC 95028 $2.87 ALLO MATRIX INJECTABLE PUTTY $1,289.63 ALLOGRFT STRUCTRL SPINE ONLY 20931 $237.60 ALLOMATRIX 3CC BOND PUTTY C9359 $1,816.50 ALLOSKIN PER 1 SQ CM Q4115 $10.09 ALLOWRAP DS OR DRY PER SQ CM Q4150 $2,250.00 ALOE VESTA(2% MICONAZOLE NITRATE+ALOE) $0.25 ALOPURINOL 100MG TAB J3490 $0.19 ALOPURINOL 300MG TAB J3490 $0.50 ALPHA 1 ANTITRYPSIN 82104 $35.35 ALPHA SUBUNIT 83519 $40.48 ALPHA SUBUNIT(A-PGH) 83520 $37.99 ALPHA-1 ANTITRYPSIN. 82103 $32.85 ALPHA-1-ANTITRYPSIN 82103 $32.85 ALPHA-1-ANTITRYPSIN PHENOTYPE 82104 $35.35 ALPHACOR DEVICE L8610 $10,425.00 ALPHACOR DEVICE L8610 $10,425.00 ALPHA-FETOPROTEIN AMNIOTIC 82106 $41.01 ALPRAZOLAM 0.25MG TAB J3490 $0.80 ALPRAZOLAM 0.5MG TAB J3490 $0.82 ALPRAZOLAM 1MG TAB PO $2.49 ALT 84460 $12.96 ALTEPLASE (ACTIVASE) 50MG j2997 $4,268.00 ALTEPLASE 10 MG/50 ML NS SYRINGE $50.00 ALTEPLASE 2MG INJ J2997 $152.45 ALUMINUM (SERUM) 82108 $62.28 ALUMINUM CARB 400MG/5ML PO SUSP $0.04 ALUMINUM CARB 400MG/5ML SUSP $0.57 ALUMINUM CARBONATE 500MG TABL $0.44 ALUMINUM HYDROX 300MG TABLET $0.18 ALUMINUM HYDROX 320MG/ML ORAL SUSP $0.72 ALUMINUM STIMULATION TEST 82108 $62.28 ALUPENT 200PU INHALER 14GM $34.10 ALVEOLOPLASTY EA QUADRANT 41874 $6,752.59 Alveoloplasty w/ext 1-3 th/quad D7311 $262.00 Alveoloplsty w/o ex 1-3 th/quad D7321 $412.00 ALVEOLUS CLOSED REDUCTN STABILZN TEETH D7771 $2,204.00 ALVEOLUS CLSD REDUCTN MAY INC STAB TEETH D7670 $1,413.00 Alveolus-open reduction D7671 $2,661.00 Alveolus-stabilize teeth, open D7770 $2,856.00 ALVEOPLASTY - PER QUARDANT D7310 $364.00 AMALGAM -1 SURFACE D2140 $154.00 AMALGAM 4 SURFACES D2161 $252.00 AMALGAM-THREE SURFACES D2160 $210.00 AMALGAM-THREE SURFACES, D2160 $210.00 AMALGAM-TWO SURFACES D2150 $175.00 AMANTADINE 100MG CAP G9017 $1.38 AMANTADINE 50 MG/5 ML G9017 $0.28 AMBIODRY HUM AMNIO MEMB 2X3CM GRAFT V2790 $892.50 AMBISONE 10MG IV J0289 $128.70 AMBULATORY SURG BOOT EA L3260 $106.65 AMBULATORY SURG UNIT 106-120MI $4,316.40 AMBULATORY SURG UNIT 121-135MI $3,569.13 AMBULATORY SURG UNIT 136-150MI $5,395.50 AMBULATORY SURG UNIT 151-165MI $5,935.05 AMBULATORY SURG UNIT 16-30MINS $793.14 AMBULATORY SURG UNIT 166-180MI $6,474.60 AMBULATORY SURG UNIT 181-195MI $7,014.15 AMBULATORY SURG UNIT 196-210MI $7,553.70 AMBULATORY SURG UNIT 211-225MI $8,093.25 AMBULATORY SURG UNIT 226-240MI $8,632.80 AMBULATORY SURG UNIT 241-255MI $9,172.35 AMBULATORY SURG UNIT 256-270MI $9,711.90 AMBULATORY SURG UNIT 271-285MI $10,251.45 AMBULATORY SURG UNIT 286-300MI $10,791.00 AMBULATORY SURG UNIT 301-315MI $11,330.55 AMBULATORY SURG UNIT 31-45MINS $1,189.71 AMBULATORY SURG UNIT 316-330MI $11,870.10 AMBULATORY SURG UNIT 331-345MI $12,409.65 AMBULATORY SURG UNIT 346-360MI $12,949.20 AMBULATORY SURG UNIT 361-375MI $13,488.75 AMBULATORY SURG UNIT 376-390MI $14,028.30 AMBULATORY SURG UNIT 391-405MI $14,567.85 AMBULATORY SURG UNIT 406-415MI $15,107.40 AMBULATORY SURG UNIT 416-430MI $15,646.95 AMBULATORY SURG UNIT 431-445MI $16,186.50 AMBULATORY SURG UNIT 446-460MI $16,726.05 AMBULATORY SURG UNIT 461-475MI $17,265.60 AMBULATORY SURG UNIT 46-60MINS $1,586.28 AMBULATORY SURG UNIT 476-495MI $17,805.15 AMBULATORY SURG UNIT 496-510MI $18,344.70 AMBULATORY SURG UNIT 511-525MI $18,884.25 AMBULATORY SURG UNIT 526-540MI $19,423.80 AMBULATORY SURG UNIT 541-555MI $19,963.35 AMBULATORY SURG UNIT 556-570MI $20,502.90 AMBULATORY SURG UNIT 571-585MI $21,042.45 AMBULATORY SURG UNIT 586-600MI $21,582.00 AMBULATORY SURG UNIT 61-75MINS $1,982.85 AMBULATORY SURG UNIT 76-90MINS $2,379.42 AMBULATORY SURG UNIT 91-105MIN $2,775.99 AMBULATORY SURGERY UNIT<15 MIN $396.57 AMEBIASIS SEROLOGY 87449 $29.30 AMICAR 250MG/ML SYRUP $1.01 AMIDATE 2MG/ML 10ML IV J3490 $7.83 AMIFOSTINE 500MG INJ J0207 $907.92 AMIKACIN 80150 $36.85 AMIKACIN 100MG/2ML IV J3490 $22.60 AMIKACIN 500MG/100ML IV BAG J0278 $49.85 AMIKACIN 500MG/2ML IV $30.32 AMILORIDE 5MG TAB $0.56 AMINO ACID QUANTITATIVE 82139 $41.23 AMINO ACID SCREEN 82131 $50.56 AMINO ACID SCREEN(B) 82128 $33.90 AMINO ACID SCREEN(U) 82128 $33.90 AMINO ACIDS; SINGLE QUAL EA 82127 $33.90 AMINOCAPROIC ACID 250MG/ML IV J3490 $0.89 AMINOCAPROIC ACID 500 MG TABLET $2.05 AMINOCENTESIS TRAY $133.59 AMINOGLUTETHIMIDE 250MG $0.68 AMINOLEVULINIC ACID 82135 $40.22 AMINOPHYLLIN 5MG/ML NICU $6.50 AMINOPHYLLINE 100MG TAB $0.12 AMINOPHYLLINE 250MG/10ML IV J0280 $0.23 AMINOSALICYLIC ACID 4GM PACLET $1.76 AMIODARONE 80299 $41.01 AMIODARONE 150MG IV PER 30MG J0282 $18.33 AMIODARONE 150MG/100ML IV SOLU J0282 $35.00 AMIODARONE 360MG/200ML PREMIX J0282 $42.15 AMIODARONE 5MG/ML ORAL SYRINGE $55.00 AMIODARONE HCL 200MG TAB $4.11 AMIODARONE HCL INJ PER 30MG J0282 $18.33 AMITIZA 8 MCG. PO $8.83 AMITRIPTYLINE 80335 $11.99 AMITRIPTYLINE 100MG TAB $0.47 AMITRIPTYLINE 10MG TAB J3490 $0.18 AMITRIPTYLINE 25MG TAB J3490 $0.30 AMITRIPTYLINE 50MG TAB J3490 $0.43 AMITRIPTYLINE 75MG TAB $0.46 AMLODIPINE 1MG/ML NICU CHR SY $0.56 AMLODIPINE/BENAZEPRIL10MG/20MG CAP $7.31 AMMONIA 82140 $35.62 AMMONIA AROM SPIRIT 30ML $0.05 AMNIO MEMBRANE AMNIOGRAFT SZ-B 2x1.5CM L8610 $1,342.50 AMNIO MEMBRNE; AMNIOGRFT SZ C 3.5x3.5CM L8610 $1,342.50 AMNIOCENTESIS ANY METHD 59000 $1,645.97 AMNIOCENTESIS; TX FLUID REDUCT 59001 $697.93 AMNIOTIC FLUID SCAN 82143 $20.57 AMNIOTIC FLUID SPECTROPH 82143 $20.57 AMNIOTIC MEMBRANE F, SIZE A (THICKER) V2790 $1,155.00 AMNIOTIC MEMBRANE F, SIZE A THICKER V2790 $1,155.00 AMOBARBITAL LEVEL URINE 80345 $11.99 AMODARONE HCL 50MG/ML IV $106.54 AMOX TRI/CLAVUL ES 600 75ML J3490 $2.43 AMOXAPINE 50MG TAB $3.04 AMOXICILLIN 125MG/5ML-150ML $0.72 AMOXICILLIN 250MG UD CAPSULE J3490 $0.53 AMOXICILLIN 250MG/5ML - 150ML J3490 $0.88 AMOXICILLIN 500MG CAPSULE J3490 $0.63 AMOXICILLIN 500-MG CAPSULE J8499 $1.09 AMPH DEEP PTA BALL CATHOTWVASC C1725 $457.50 AMPHET ASP/AMPHET/D-AMPHET 5MG $1.86 AMPHET ASP/AMPHET/D-AMPHET10MG $1.83 AMPHET ASP/AMPHET/D-AMPHET20MG $1.79 AMPHET ASP/AMPHET/D-AMPHET30MG $2.92 AMPHETAMINE LEVEL 80324 $11.99 AMPHETAMINE QUANT URINE 80324 $11.99 AMPHETAMINE/METHAMPHETAMINE 80324 $11.99 AMPHI DEEP BALL CATH PTA OTW C1725 $517.50 AMPHI DEEP PTA BALL CATH OTW C1725 $457.00 AMPHIRI DEEP PTA BALL CATH OTW C1725 $510.00 AMPHOGEL 675MG/5ML 30ML UD $0.04 AMPHOTERICIN B 0.5mcg/ml (OPH) $0.10 AMPHOTERICIN B INJ $15.57 AMPHOTERICIN LEVEL PEAK 80299 $41.01 AMPHOTERICIN LEVEL RANDOM 80299 $41.01 AMPHOTERICIN LEVEL TROUGH 80299 $41.01 AMPICILLIN 125MG/5ML SUSP $0.25 AMPICILLIN 1GM ADD VANTAGE J3490 $12.40 AMPICILLIN 1GM IV $2.44 AMPICILLIN 250MG CAPSULE $0.25 AMPICILLIN 2GM ADD VANTAGE J3490 $19.77 AMPICILLIN 2GM IV $2.49 AMPICILLIN 500MG CAPSULE J3490 $0.48 AMPICILLIN 500MG IV $5.26 AMPICILLIN SODIUM 250MG VIAL J0290 $0.82 AMPICILLIN TRIH 250MG/5ML PO $1.80 AMPICILLIN/SUB 3GM ADD VANT J3490 $79.38 AMPICILLIN/SULB 1.5GM ADD VANT J3490 $66.34 AMPLATZ RENAL SHEATH DILATOR C1725 $329.64 AMPLATZ SUPER STIFF GW XCH 035/180 C1769 $310.65 AMPLATZ SUPER STIFF GW XCH 035/260 C1769 $310.65 AMPLATZ SUPER STIFF J TIP GW C1769 $315.11 AMPLATZ SUPER STIFF-CATEG 1 C1769 $187.50 AMPLATZ SUPER STIFF-CATEG 2 C1769 $167.79 AMPLATZ SUPER TORQUE-CATEG 1 $1,152.17 AMPLATZ TYPE 30FR RENAL SHEATH C1894 $59.04 AMPLATZ-CATEG 1 C1769 $308.34 AMPLATZER VASC PLUG II SIZE 20 C1781 $1,575.00 AMPLIF NA PROBE NOS AGENT 87798 $85.78 AMPLIFIED PROB TECHNIQUE EA OR 87798 $85.78 AMP-RT-ASSAY 82030 $63.07 AMPUTA FING/TH SGL;W DIR CLOSE 26951 $7,057.23 AMPUTATE FING/TH SGL; W LOC AD 26952 $7,057.23 AMPUTATE FNG/TH;SING;DIRECT CL 26951 $7,057.23 AMPUTATE FOOT;TRANSMETATARSAL 28805 $7,057.23 AMPUTATE METATRSL W TOE;SINGLE 28810 $7,057.23 AMPUTATE PENIS; PARTIAL 54120 $7,781.86 AMPUTATE TOE; IP JOINT 28825 $7,057.23 AMPUTATE TOE;MTP JOINT 28820 $7,057.23 AMPUTATION MC W FING/THUMB 26910 $7,057.23 AMPUTATION OF CERVIX 57530 $11,012.14 AMYLASE 82150 $15.84 AMYLASE BF 82150 $15.84 AMYLASE ISOENZYME 82664 $135.30 AMYLASE UR HR 82150 $15.84 AMYLASE UR RANDOM 82150 $15.84 AMYLASE/LIPASE/PROTEASE J3490 $5.71 ANA (SCREEN) 86038 $29.55 ANA (TITER) 86039 $27.28 ANA CROWN EXP 4 OR> PER QUAD D4230 $550.00 ANAER ABCESS CULT 87075 $23.14 ANAER BODY FL CULT 87075 $23.14 ANAER SENSITIVITY 87186 $21.14 ANAER TISSUE CULT 87075 $23.14 ANAEROB BACT CULTURE W ID 87075 $23.14 ANAEROBIC WOUND CULT 87075 $23.14 ANAGESIC BALM $0.17 ANAL PUMP W/O REPROGRAM 62367 $698.41 ANAL PUMP W/REPROGRAM 62368 $698.41 ANAL PUMP W/REPROGRAMING 62368 $698.41 ANAL PUMP WO REPROGRAM 62367 $698.41 ANALGESIA, NITROUS OXIDE D9230 $280.00 ANALGESIC INJ FOR OBGYN $0.10 ANASTROZOLE 1MG (ARIMIDEX) TAB $11.06 ANCA 86021 $36.81 ANCHOR SHOULDER-CATEG 1 C1713 $946.91 ANCHOR SPACER 7MM C1713 $4,447.92 ANCHOR SUPER-CATEG 1 C1713 $687.50 ANCHOR, BIOFASTIN-CATEG 1 C1713 $382.50 ANDROGEN RECEPTORS 84235 $156.71 ANDROSTANEDIOL GLUCU 82154 $70.49 ANDROSTENEDIONE 82157 $71.57 ANDROSTENEDIONE 82157 $71.57 ANESTHESIA TIME < 15 MINUTES $59.95 ANESTHESIA TIME 106 - 120 MIN $479.60 ANESTHESIA TIME 121 - 135 MIN $539.55 ANESTHESIA TIME 136 - 150 MIN $599.50 ANESTHESIA TIME 151 - 165 MIN $659.45 ANESTHESIA TIME 16 - 30 MINUT $119.90 ANESTHESIA TIME 166 - 180 MIN $719.40 ANESTHESIA TIME 181 - 195 MIN $779.35 ANESTHESIA TIME 196 - 210 MIN $839.30 ANESTHESIA TIME 211 - 225 MIN $899.25 ANESTHESIA TIME 226 - 240 MIN $959.20 ANESTHESIA TIME 241 - 255 MIN $1,019.15 ANESTHESIA TIME 256 - 270 MIN $1,079.10 ANESTHESIA TIME 271 - 285 MIN $1,139.05 ANESTHESIA TIME 286 - 300 MIN $1,199.00 ANESTHESIA TIME 301 - 315 MIN $1,258.95 ANESTHESIA TIME 31 - 45 MINUT $179.85 ANESTHESIA TIME 316 - 330 MIN $1,318.90 ANESTHESIA TIME 331 - 345 MIN $1,378.85 ANESTHESIA TIME 346 - 360 MIN $1,438.80 ANESTHESIA TIME 361 - 375 MIN $1,498.75 ANESTHESIA TIME 376 - 390 MIN $1,558.70 ANESTHESIA TIME 391 - 405 MIN $1,618.65 ANESTHESIA TIME 406 - 415 MIN $1,678.60 ANESTHESIA TIME 416 - 430 MIN $1,738.55 ANESTHESIA TIME 431 - 445 MIN $1,798.50 ANESTHESIA TIME 446 - 460 MIN $1,858.45 ANESTHESIA TIME 46 - 60 MINUT $239.80 ANESTHESIA TIME 461 - 475 MIN $1,918.40 ANESTHESIA TIME 476 - 495 MIN $1,978.35 ANESTHESIA TIME 496 - 510 MIN $2,038.30 ANESTHESIA TIME 511 - 525 MIN $2,098.25 ANESTHESIA TIME 526 - 540 MIN $2,158.20 ANESTHESIA TIME 541 - 555 MIN $2,218.15 ANESTHESIA TIME 556 - 570 MIN $2,278.10 ANESTHESIA TIME 571 - 585 MIN $2,338.05 ANESTHESIA TIME 586 - 600 MIN $2,398.00 ANESTHESIA TIME 61 - 75 MINUT $299.75 ANESTHESIA TIME 76 - 90 MINUT $359.70 ANESTHESIA TIME 91 - 105 MINU $419.65 ANGIO 6FR PTA 120CM DILAT CATH C1725 $397.50 ANGIO 6FR PTA 50CM DILAT CATH C1725 $382.50 ANGIO 6FR PTA 75CMD ILAT CATH C1725 $544.50 ANGIO ADRENAL BILAT SELECT-RAD 75733 $7,144.43 ANGIO ADRENAL UNILAT SELECT-RA 75731 $4,205.10 ANGIO INT MAMMARY-RAD S & I 75756 $7,144.43 ANGIO PULM-NONSELECT CATH-RAD 75746 $4,205.10 ANGIO SEAL-CATEG 1 C1760 $1,125.00 ANGIO SELECT EA ADD VESSEL-S&I 75774 $55.00 ANGIO SPINAL SELECT-RAD S & I 75705 $11,849.09 ANGIO THRU EXISTING CATH 75898 $4,205.10 ANGIOFILL-CATEG 1 $1,125.00 ANGIOGRAPHY /NECK CT W&W/O CON 70498 $469.77 ANGIOMAX 250MG J0583 $559.65 ANGIOOPTIC ST STRGHT CATH 10BX C1887 $234.00 ANGIOSEAL C1760 $4,350.00 ANGIOTENSIN II (GIAPEZA) 2.5MG/ML $0.10 ANGIOTENSION CONV ENZYME 82164 $35.68 ANGLE GLDECATH 5FR/65CM HYDROPHLC COATED C1887 $536.25 ANGLE GLIDEWIRE .035/150CM C1769 $282.89 ANGLE GLIDEWIRE .035/150CM - 3CM TIP C1769 $282.89 ANGLED SELECT CATH 4FR 5/BX C1887 $135.00 ANION GAP $17.45 ANK-FT ORTHOSIS PLSTC CUST-FAB L1940 $43.98 ANK-FT ORTHOSIS PLSTC PREFAB L1930 $43.98 ANKLE AP / LAT 2 VIEWS 73600 $205.74 ANKLE COMPLETE 3+ VIEWS 73610 $205.74 ANKLE/FOOT STRAPPING 29540 $344.76 ANNA-1 (ANTI-HU) 86255 $29.46 ANNA-2 (ANTI-RI) 86255 $29.46 ANOPLASTY FOR STRICTURE; ADULT 46700 $6,043.36 ANORECTAL MANOMETRY 91122 $605.57 ANOSCOPY DX W/WO SPECIMENS 46600 $281.09 ANOSCOPY W BX;SING/MULTI 46606 $2,588.89 ANOSCOPY W DILATION 46604 $2,588.89 ANOSCOPY W DILATION 46604 $2,588.89 ANOSCOPY W REM FB 46608 $1,969.31 ANOSCOPY; DX W/WO SPECIMENS 46600 $281.09 ANOSCOPY; W BX;SING/MULTI 46606 $2,588.89 ANOSCOPY; W REM FB 46608 $1,969.31 ANOSCOPY;REM SING T/P/L;SNARE 46611 $1,969.31 ANOSCOPY;SNARE TO REM TUM/POL 46611 $1,969.31 ANOSCOPY;W BLEED CONTROL 46614 $2,588.89 ANOSCOPY;W REM MULTI TUM/POL/L 46615 $6,043.36 ANOSCOPY;W REM TUM/POL/LES;HBF 46610 $6,043.36 ANOSCPY W ABLATION OF T/P/L 46615 $6,043.36 ANOSCPY W BLEED CONTROL 46614 $2,588.89 ANOSCPY W REM MULTI T/P/L;ANY 46612 $6,043.36 ANOSCPY W REM T/P/L;HBX/BIP CA 46610 $6,043.36 ANOSCPY;W REM MULTI T/P/L;HBF/ 46612 $6,043.36 ANT COLPORRHAPHY REP CYSTOCELE 57240 $11,012.14 ANT TAP 65800 $5,212.42 ANT TIBIAL TUBERCLEPASTY 27418 $15,421.60 ANT VESICOURETHROPEXY; SIMPLE 51840 $1,495.27 ANT. STROMAL PUNCT 65600 $4,989.01 ANTEGRA SACRAL 41MM PLATE C1713 $8,662.50 ANTERIOR CHAMBER CANNULA 23G A4615 $27.00 ANTERIOR COMPOSITE RESIN - 1 SURFACE D2330 $175.00 ANTERIOR COMPOSITE RESIN - 2 SURFACES D2331 $189.00 ANTERIOR COMPOSITE RESIN - 3 SURFACE D2332 $224.00 ANTERIOR COMPOSITE RESIN - 4 SURFACE D2335 $280.00 ANTHRAX VACCINE,SUBCUT CLINIC 90581 $99.99 ANTI ENA (SM+RNP) 86235 $43.85 ANTI ENDOMYSIAL AB 86256 $29.46 ANTI GLIADIN AB 86256 $29.46 ANTI HYALURONIDASE 83519 $40.48 ANTI ISLET CELL AB 86341 $51.85 ANTI JO-1 AB 86235 $43.85 ANTI PLATELET AB 86022 $44.90 ANTI RNP 86235 $43.85 ANTI SCL-70 AB 80299 $41.01 ANTI SM-MUSCLE AB 86256 $29.46 ANTI STRIATIONAL MUSCLE 86256 $29.46 ANTI TPO 86376 $35.57 ANTI-ADREANL AB 86256 $29.46 ANTIB; HTLV I 86687 $20.50 ANTIB; HTLV-II 86688 $34.23 ANTIB; TOXOPLASMA IGM 86778 $35.22 ANTIBIOTIC BLD LEVEL 80299 $41.01 ANTIBODY ABSORPTION 86978 $86.20 ANTIBODY ID COLD 86970 $86.20 ANTIBODY ID ENZYME 86971 $730.62 ANTIBODY ID ROUTINE 86870 $730.62 ANTIBODY ID WARM 86970 $86.20 ANTIBODY ID-SPECIAL METHOD 86970 $86.20 ANTIBODY INHIBITION 86977 $369.93 ANTIBODY TETANUS 86774 $36.17 ANTIBODY;2 86702 $33.04 ANTI-CARDIOLIPIN 86147 $62.22 ANTI-DNA AB 86225 $33.59 ANTIDNASE B TITER 86215 $32.38 ANTIGEN SCREEN CHG 86902 $730.62 ANTIGEN THERAPY SERVICES 5 VENOMS 95149 $153.91 ANTIGENS;WH BODY EXTRBITING IN 95170 $97.92 ANTIGENS-ALLERGEN IMMUN;SGL/MUL 95165 $97.92 ANTIGENTYPING-UNIT 86902 $730.62 ANTIGLOMERULAR BASEMNT MEMBRAN 83520 $37.99 ANTI-HISTONE AB 86235 $43.85 ANTI-LA TEST (SSB) 86235 $43.85 ANTI-LIVER/KIDNEY AB 86376 $35.57 ANTI-MITO AB 86256 $29.46 ANTI-MYOCARDIAL ANTIBODY 86255 $29.46 ANTI-NEUTROPHIL AB 86021 $36.81 ANTIPARIETAL CELL ABS 83516 $28.18 ANTI-PHOSPHATIDYLSERINE AB 86148 $39.27 ANTIPYRINE/BZOCAIN/GLY EAR DROP $2.40 ANTI-RIBONUCLEOPROTEIN ANTIBOD $11.99 ANTI-RO TEST (SSB) 86235 $43.85 ANTI-SPERM AB IGA 89325 $26.09 ANTI-SPERM AB IGG 89325 $26.09 ANTI-SPERM AB IGM 89325 $26.09 ANTITHROMBIN 111 ACTIVITY 85300 $28.97 ANTI-THROMBIN III ANTIGEN 85301 $26.42 ANTITHROMBIN III(HUMAN)PER IU J7197 $10.25 ANTI-THYROGLOBULIN 86800 $38.87 ANTITHYROGLOBULIN AB 86800 $38.87 Antl crown exposure,1-3th/quad D4231 $500.00 ANUSOL 1% OINTMENT J3490 $5.46 ANUSOL HC 2.5% CREAM $4.20 AORTA IVC DUPX US 93979 $288.95 AORTOGRAM ABDOMINAL 75625 $7,144.43 AORTOGRAM THORACIC 75605 $11,849.09 AORTOGRAPHY ABD+BIL ILIOFEM-S 75630 $7,144.43 AORTOGRPHY THORACIC WO SERIALO 75600 $7,144.43 AP ALLERGAN IMPLANT LAP BAND SMALL L8699 $4,960.50 AP IMPLANT LAP BAND LARGE ALLERGAN L8699 $4,960.50 APC RESISTANCE 85307 $37.47 Apexification/recalcif, final D3353 $315.00 Apexification/recalcif, initial D3351 $280.00 Apexification/recalcif, interim D3352 $98.00 Apically positioned flap D4245 $420.00 APICOECTOMY - ANTERIOR D3410 $420.00 APICOECTOMY-BICUSPID, FIRST ROOT D3421 $420.00 APICOECTOMY-MOLAR, FIRST ROOT D3425 $525.00 APIXABAN 2.5MG TABLETS J3490 $3.45 APIXABAN 5MG TABLETS J3490 $3.44 APLIGRAF SOFT WOUNT HEALING THERAPY Q4101 $2,461.50 APOGEE W/INTEXN; PORCINE CLLGN MTRX CAPE C1763 $3,580.50 APOLIPOPROTEIN A-1 82172 $46.40 APOLIPOPROTEIN B 82172 $46.40 APOLIPOPROTEIN E 82172 $46.40 APOLIPOPROTEIN EACH 82172 $46.40 APP CHILD F/N/H/F/G/ SKN SUB G 15277 $4,183.48 APP F/N/H/F/G SKN SUB GFT 15275 $4,183.48 APPL LONG LEG SPLINT 29505 $344.76 APPL SHORT LEG SPLINT 29515 $344.76 APPL SKIN GFT SUB;T/A/L ADD ON 15272 $38.35 APPLIANCE REMOVAL INC REMOVAL OF ARCHBAR D7997 $377.00 APPLIC CLUBFOOT CAST W/MOLD/MA 29450 $344.76 APPLIC CYLIND CAST 29365 $592.46 APPLIC CYLINDER CAST 29365 $592.46 APPLIC FINGER SPLINT; STATIC 29130 $141.83 APPLIC LONG LEG CAST 29345 $592.46 APPLIC LONG LEG CAST BRACE 29358 $592.46 APPLIC LONG LEG SPLINT 29505 $344.76 APPLIC MODAL 1/> AREA; VASPNEU 97016 $26.84 APPLIC MODAL 1/> AREAS; ELEC S G0283 $29.88 APPLIC MODAL 1/> AREAS; ELEC S 97032 $32.38 APPLIC MODAL 1/> AREAS; HOT/CO 97010 $137.35 APPLIC MODAL 1/> AREAS; HUBBRD 97036 $76.32 APPLIC MODAL 1/> AREAS; IONTOP 97033 $45.25 APPLIC MODAL 1/> AREAS; PARAFF 97018 $12.83 APPLIC MODAL 1/> AREAS; TRACTI 97012 $33.13 APPLIC MODAL 1/> AREAS; ULTRAS 97035 $31.48 APPLIC MODAL 1/> AREAS; WHIRLP 97022 $38.92 APPLIC MODAL 1/>AREAS;ELC STM 97032 $32.38 APPLIC MODAL 1/>AREAS;ELEC STM 97014 $37.84 APPLIC MODAL 1/>AREAS;HOT/COLD 97010 $137.35 APPLIC MODAL 1/>AREAS;PARAFFIN 97018 $12.83 APPLIC MODAL 1/>AREAS;TRACTION 97012 $33.13 APPLIC MODAL 1/>AREAS;ULTRASOU 97035 $31.48 APPLIC MODAL 1/>AREAS;ULTRASOU 97036 $76.32 APPLIC MODAL 1/>AREAS;VASOPNEU 97016 $26.84 APPLIC MODAL 1/>AREAS;WHIRLPOO 97022 $38.92 APPLIC SHORT LEG CAST 29405 $592.46 APPLIC SHORT LEG CAST; WALKING 29425 $592.46 APPLIC SHORT LEG SPLINT 29515 $344.76 APPLIC; ELBOW TO FINGER 29075 $592.46 APPLIC; ELBOW TO FNGER 29075 $592.46 APPLIC; HAND & LOWER FOREARM 29085 $344.76 APPLIC; PLASTER VELPEAU 29058 $592.46 APPLIC; SHLDER SPICA 29055 $592.46 APPLIC; SHLDER TO HAND 29065 $592.46 APPLIC; SHOULDER SPICA 29055 $592.46 APPLIC; SHOULDER TO HAND 29065 $592.46 APPLICATION OF MODALITIES HTCL 97010 $137.35 APPLICATION SHORT LEG CAST WAL 29425 $592.46 APPLIER CLIP-CATEG 3 $329.35 APPLY BONE FIX DEV; 1ARM CAST 29065 $592.46 APPLY LONG ARM SPLINT 29105 $344.76 APPLY LONG LEG CAST 29345 $592.46 APPLY LONG-ARM CAST 29065 $592.46 APPLY LONG-ARM SPLINT 29105 $344.76 APPLY MULTILAY COMPRSSION SYS; 29581 $344.76 APPLY MULTILAYER COMPRS SYST;L 29581 $344.76 APPLY RIGID TOTAL CONTACT LEG 29445 $592.46 APPLY SHORT ARM CAST 29075 $592.46 APPLY SHORT ARM SPLINT 29125 $281.09 APPLY SHORT ARM SPLINT; DYNAMI 29126 $281.09 APPLY SHORT ARM SPLINT; STATIC 29125 $281.09 APPLY SHORT ARM SPLINT;STATIC 29125 $281.09 APPLY SHORT LEG CAST 29405 $592.46 APPLY SHORT LEG SPLINT 29515 $344.76 APPLY SHRT ARM SPLINT;DYNAMIC 29126 $281.09 APPLY SHRT ARM SPLNT - DYNAMIC 29126 $281.09 APPLY SKIN GFT SUB:T/A/L 15271 $4,183.48 APPLY SPLINT LONG LEG 29505 $344.76 APPLY SPLINT SHLDR TO HAND 29105 $344.76 APPLY SPLINT SHORT LEG 29515 $344.76 APPLY SPLINT; THIGH TO ANKLE/T 29505 $344.76 APPLY STATIC FINGER SPLINT 29130 $141.83 APPLY-GAUNTLET CAST 29085 $344.76 APPROACH CTO WIRE GUIDE 300CM C1713 $229.50 APPROACH CTO WIREGUIDE 190CM C1713 $229.50 APPY;DONE INDICAT PRPSE ATTIME 44955 $181.81 APRACLONIDINE HCL 1% $190.89 APREPITANT 125MG CAP $22.41 APREPITANT 80MG CAP $30.71 APRIPIPRAZOLE 5MG/5ML ORAL $3.57 APTT 85730 $14.67 AQUANOT RNDDISC FLOOR SUCT DEV A4624 $296.96 AQUATIC THERAPEUTIC EXERC 15MI 97113 $84.35 AQUEOUS SHUNT $1,207.50 AQUEOUS SHUNT EYE W/O GRAFT 66179 $9,843.75 AQUEOUS SHUNT-EXTRAOCULAR RESE 66180 $9,843.75 AR GUIDE C1769 $3,505.50 ARANESP 1MCG INJECT (NON ESRD) J0881 $20.43 ARANESP 40 MCG. $1,246.74 ARDUAN 10MG VIAL 10ML $119.20 AREDIA 30MG VIAL IV $295.60 AREDIA 60MG VIAL IV $488.89 AREDIA 90MG VIAL IV $524.11 ARENA L 11MM IMPLANT C1713 $4,650.00 ARGATROBAN 125MG/125ML NORMAL SALINE $5.67 ARGATROBAN 250/2.5 MG PO $345.41 ARGATROBAN 50MG/50mL INJ $185.00 ARGYLE SALEM SUMP TUBE 6FR PED A4624 $73.50 ARGYLE TROCAR CATHETER10FR C1887 $295.95 ARICEPT 5MG UD TAB J3490 $6.60 ARIPIPRAZOLE 10 MG (ABILIFY) TAB PO $14.43 ARIPIPRAZOLE 15MG (ABILIFY)TAB J0401 $15.04 ARIPIPRAZOLE 20MG (ABILIFY) TA J0401 $21.18 ARIPIPRAZOLE 2MG TABLET J3490 $20.77 ARIPIPRAZOLE 5MG (ABILIFY) TAB J0401 $14.69 ARIPIPRAZOLE MAINTENA 400MG IN J0401 $1,406.65 ARIPIPRAZOLE30MG (ABILIFY) TAB PO $21.73 ARISTOCORT/KENALOG 0.5% 15GM J3490 $5.79 Arm Sling buckle closure Large $20.04 Arm Sling buckle closure Small $20.49 ARMADA 14 PTA DILAT CATH C1725 $637.50 ARMADA 35 PTA DILAT CATH C1725 $300.00 ARMADA BDC LL PTA DILAT CATH C1725 $412.50 ARMADA PTA DILATATION CATHETER C1725 $487.50 ARMSTRONG VENT TUBE W/WIRE A4624 $44.10 ARPIPRAZOE 0.75 MG/1.3 ML INJ. $1.05 ARSENIC (BLOOD) 82175 $46.38 ARSENIC (URINE) 82175 $46.38 ART CATH PROLONG INFUS TX CUTD 36640 $7,144.43 ART CATH-SAMPL-SEP PROC; PERQ 36620 $98.16 ART EMBOLECTOMY CATH 5FR/80CM C1757 $39.00 ART INSEMINTRA UTER 58322 $428.08 ART OCCLUSIVE DEVICE PLCMT G0269 $291.36 ART PRESSURE WAVEFORM ANALYS 93050 $59.25 ART PUNCT WITHDRAWAL BLD DX 36600 $281.09 Art reld w/TriStple 30mm Vasc C1713 $4,302.27 ART SURF; STRIPED YLW - 10MM H C1776 $6,155.58 ARTERIAL BLOOD GAS 36600 $281.09 ARTERIAL BLOOD GAS. 94690 $86.20 ARTERIAL PUNCTURE 36600 $281.09 ARTERIOGRAM BILATERAL EXTREMIT 75716 $7,144.43 ARTERIOGRAM UNILATERAL EXTREMI 75710 $7,144.43 ARTERIOGRAM VISCERAL 75726 $11,849.09 ARTESUNATE $0.91 ARTHOCARE 2.8MM QFIX SHLDR DIS C1713 $765.00 ARTHOCARE 2.8MM Q-FIX SUTURE C1713 $919.50 ARTHOCARE 2.8MM Q-FIX SUTURE C1713 $919.50 ARTHODESIS; TRIPLE 28715 $30,680.34 ARTHOSC KNEE; W MEN REP MEDLAT 29882 $7,057.23 ARTHR AID TIBIL FX PRX UNICNDR 29855 $15,421.60 ARTHRCNTSIS ASPIR INJ SM JNT 20600 $674.85 ARTHREX 2.9MM DISP KIT PUSHLCK C1713 $262.50 ARTHREX NEEDLE #2 FIBER LOOP C1713 $75.00 ARTHREX PERCUT INSERT PUSHLOCK C1713 $330.00 ARTHRO GHJ JEMIARTHOPLASTY 23470 $30,680.34 ARTHRO GT IP JNT W EHL TRANSFE 28760 $15,421.60 ARTHRO KNEE W IMPL AUTOGRFT 29866 $15,421.60 ARTHRO POST CRUCIATE LIG REP/A 29889 $30,680.34 ARTHRO WRIST; WRLS TRNSV CARP 29848 $3,494.24 ARTHROCEN ASPIR&/INJ; INTERMED 20605 $674.85 ARTHROCENTESIS D7870 $344.00 ARTHROCENTESIS ASPIR&/INJ; SM 20600 $674.85 ARTHROCENTESIS/ASPIR/INJ; MAJO 20610 $674.85 ARTHROD IP JNT W AGRAFT EA ADD 26863 $496.39 ARTHROD IP JNT W AUTOGFT 26862 $7,057.23 ARTHROD IP JOINT W/WO FIXATION 26860 $7,057.23 ARTHROD IP JOINT; EA ADDTL IP 26861 $224.31 ARTHROD MCP JNT W AUTOGFT 26852 $15,421.60 ARTHROD MT/TMT;W OSTEOMY 28735 $30,680.34 ARTHRODESIS GREAT TOE; MTP JNT 28750 $15,421.60 ARTHRODESIS MT/TME; SINGLE JNT 28740 $15,421.60 ARTHRODESIS W TNDN LENGTH MID 28737 $30,680.34 ARTHRODESIS WRST; LMTD WO BN 25820 $15,421.60 ARTHRODSIS; MT/TNT MULTI/TRAN 28730 $30,680.34 ARTHROID MCP INT W/WO INT FIX 26850 $15,421.60 ARTHROPL GHJ TOT SHLDR REPL 23472 $3,154.95 Arthroplasty D7865 $10,434.00 ARTHROPLASTY ANKLE 27700 $15,421.60 ARTHROPLASTY MCP JOINT/EA JOIN 26530 $15,421.60 ARTHROPLASTY PATELLA; W PROSTH C1713 $9,415.51 ARTHROPLASTY PATELLA; W PROSTH 27438 $30,680.34 ARTHROSC KNEE;DRILL FOR OD LES 29886 $7,057.23 ARTHROSC KNEE;DRILL OD LES W I 29887 $15,421.60 ARTHROSC KNEE;EXC OSCHON DEFEC 29891 $7,057.23 ARTHROSC KNEE;FOR INF/LAVAGE/D 29871 $7,057.23 ARTHROSC; SHLDR; W LYSIS ADH 29825 $7,057.23 ARTHROSCOPE TX IC KNEE FX 29850 $3,494.23 ARTHROSCOPY ANKLE;SMPL DEBRID 29897 $7,057.23 ARTHROSCOPY ANKLE;W REM FB 29894 $7,057.23 ARTHROSCOPY SHLDR; W REM FB/LB 29819 $7,057.23 ARTHROSCOPY WRIST;EXC/REP CART 29846 $7,057.23 ARTHROSCOPY;BICEPS TENDOESIS 29828 $15,421.60 Arthroscopy-diag, w/ w/o biopsy D7872 $3,681.00 Arthroscopy-surgic: debridement D7877 $6,626.00 Arthroscopy-surgic: synovectomy D7875 $6,964.00 Arthroscopy-surgical: adhesions D7873 $4,432.00 Arthroscopy-surgical: disc rep D7874 $6,357.00 Arthroscopy-surgical:discectomy D7876 $7,508.00 ARTHROSCPY ELBOW;DEBRID LIMITE 29837 $7,057.23 ARTHROSCPY SHLDR;SYNOVEC PRTL 29820 $15,421.60 ARTHROSIS ANKLE/FOOT-CATEG 1 $1,486.33 ARTHROSP ANK; EXT DEBRIDEM 29898 $7,057.23 ARTHROSP ANK; PART SYNOVECTOMY 29895 $7,057.23 ARTHROT KNEE W MENISC;MED & LA 27333 $7,057.23 ARTHROT KNEE WMENISC/MED OR LA 27332 $7,057.23 ARTHROT KNEE;JNT EXPL/BX/REM F 27331 $7,057.23 ARTHROTOMY ANKLE W SYNOVECTOMY 27625 $7,057.23 ARTHROTOMY OPEN TMJ SURGERY D7860 $6,475.00 ARTHROTOMY W BIOPSY; HIP JNT 27052 $3,494.24 ARTHROTOMY W SYNOVCTMY; KNEE 27334 $7,057.23 ARTHRPLSTY IP JOINT; W PROSTH 26536 $15,421.60 ARTHRPLSTY KNEE C&P; MED.LAT 27446 $30,680.34 ARTHRSCP KNEE;W MEN REP MEDLAT 29883 $7,057.23 ARTHRSCPY KNEE; W FEM FB/LB 29874 $7,057.23 ARTHRSCPY KNEE;LIM SYNOVECTOMY 29875 $7,057.23 ARTHRSCPY SHLDR; DEBRID LMTED 29822 $7,057.23 ARTHRSCPY/SRGRY KNEE 29881 $7,057.23 ARTHSCPY AIDED ACL REPR/AUG/RE 29888 $15,421.60 ARTHSCPY SHLDR;SYNOVEC COMPLET 29821 $7,057.23 ARTICULAR SURFACE $3,091.00 ARTICULAR SURFACE SIZE; C1776 $2,434.50 ARTICULAR SURFACE SZ. 12MM $2,860.71 ARTICULAR SURFACE SZ-YWL/C.D 12MM $9,658.94 ARTICULATING PIN CLAMP C1713 $697.50 ARTICULATING PIN CLAMP C1713 $697.50 ARTIFICIAL ANTERIOR CHAMBER C1780 $168.00 ARTIFICIAL INSEMINATION 58322 $428.08 ARTIFICIAL INSEMINATION; INTRA 58321 $697.93 ARTIFICIAL LARYNX ANY TYPE L8500 $225.00 ARTIFICIAL TEARS $3.04 ARTRSCPY SHLDR; DEBRID EXTENS 29823 $7,057.23 ASAHI ASTATO 300CM PERI GWIRE C1713 $1,350.00 ASAHI MIRACLEBROS 3 GW C1769 $213.00 ASCORBIC ACID (VIT C) 82180 $24.16 ASCORBIC ACID INJ 500MG/ML $2.02 ASENAPINE 5MG TAB $27.59 ASEPTIC SMART BATTERY PACK9.6V $349.65 ASIALO GM1 IGG 83520 $37.99 ASIALO GM1 IGM 83520 $37.99 ASITHROMYCIN ADDVANTAGE VIAL 5 J0456 $16.70 ASLO 86060 $17.84 ASNISIII 4MM THREAD GUIDEWIRE C1713 $178.87 ASP BY PATHOLOGIST 10021 $823.72 ASP INTERMED JT/BURSA 20605 $674.85 ASPARAGINASE 10,000 UNIT INJ $145.00 ASPARAGINASE, 10,000 UNITS J9020 $133.00 ASPERGILLUS ANTIBODY IGG CONVA 86606 $36.81 ASPERGILLUS ANTIBODY IGG+IGM 86606 $36.81 ASPERGILLUS ANTIBODY IGM ACUTE 86606 $36.81 ASPERGILLUS IMM DIF 86606 $36.81 ASPIR HYDROCELE 55000 $1,572.63 ASPIR/INJ; THYROID CYST 60300 $1,572.63 ASPIRAT &/OR INJ THYROID CYST 60300 $1,572.63 ASPIRAT BLADDER BY NEEDLE 51100 $605.57 ASPIRAT BLADDER; BY TROCAR/INT 51101 $2,343.26 ASPIRAT BLADDER; W/INSRT SUPRA 51102 $4,567.09 ASPIRAT BLDR; W/INS SUPRAPUBIC 51102 $4,567.09 ASPIRAT VITREOUS/SUBRETINAL FL 67015 $5,212.42 ASPIRAT&/INJ RENAL CYST/PELV-N 50390 $1,572.63 ASPIRATE FOR O&P 87177 $21.76 ASPIRATE PLEURA;W IMAGING GUID 32555 $1,625.47 ASPIRATE PLEURA;W/IMAGING GUID 32555 $1,625.47 ASPIRATE PLEURA;W/O IMAGE 32554 $1,625.47 ASPIRATE PLEURA;WO IMAGE 32554 $1,625.47 ASPIRATE/INJ GANGLION CYST 20612 $674.85 ASPIRATING LASER PROBE STRGHT C2618 $1,890.00 ASPIRATION-ASSISTED 88172 $369.93 ASPIRIN 300MG SUPP J3490 $0.47 ASPIRIN 325MG TAB $1.26 ASPIRIN 325MG TABLET U-D J3490 $0.21 ASPIRIN 81MG CHEWBABLE TAB J3490 $0.09 ASPIRIN CHEWABLE 81MG TAB J3490 $0.26 ASPIRIN DESENSITIZATION $0.01 ASPIRIN EC 81MG TABLET J3490 $0.23 ASPIRIN ENTERIC COATED 81MG TA J3490 $0.34 ASPIRIN/DIPYRIDAMOL 25-200 MG. $3.19 ASPI-UNASSISTED 88173 $127.53 ASP-MAJOR JT/BURSA 20610 $674.85 ASPRATE/INJ GANGLION CYST 20612 $674.85 ASPRATE/INJECT GANGLION CYST 20612 $674.85 ASPRN 325MG TAB J8499 $0.39 ASP-SM JT/BURSA/GANGLION 20600 $674.85 ASSAY FOR CALPROTECTIN FECAL 83993 $47.98 ASSAY IGA/IGD/IGG/IGM EACH 82784 $22.75 ASSAY OF IGE 82785 $40.24 ASSAY OF SERUM ALBUMIN 82040 $12.10 ASSAY OF THIAMINE(VITAMIN B-1) 84425 $51.90 ASSESS APHASIA W/I&R PER HR 96105 $225.46 ASSESS HLTH/BEHAV INIT 96150 $300.00 ASSESS HLTN/BEHAV SUBSEQ 96151 $300.00 ASSURANT COBALT STENT C2625 $2,167.50 ASSURANT COBALT STENT 30CM LNG C1876 $2,092.50 AST DISK METHOD 87184 $16.85 ASTHMA ED; 2-4 PATS PER 30MIN 98961 $26.38 ASTHMA ED; 5-8 PATS PER 30MIN 98962 $26.38 ASTHMA ED; INDIV PAT PER 30MI 98960 $47.96 ASYMM PATELLA TRIATHLON X3 C1776 $715.50 ASYMMETRIC PATELLA X3 11MMxA38 C1776 $715.50 ASYMMETRIC PATELLA X3 11MMxA40 C1776 $715.50 ASYMMETRIC PATELLA X3 TRIATH C1776 $715.50 ASYMMETRIC PATELLA X3 TRIATHION 9MMxA29 C1776 $715.50 ATARAX 50MG/ML INJ 1ML J3410 $6.67 ATAZANAVIR (REYATAZ) 300MG J3490 $29.00 ATAZANAVIR 100MG (REYATAZ) CAP PO $17.80 ATAZANAVIR 150MG CAP $17.87 ATAZANAVIR-COBICISTAT300-150MG J3490 $52.80 ATAZANVIR 200MG (REYATAZ) CAP J3490 $17.81 ATENOLOL 100MG TAB J8499 $2.13 ATENOLOL 100MG. PO $2.68 ATENOLOL 25MG TAB PO J3490 $1.00 ATENOLOL 50MG TAB J3490 $0.95 ATEZOLIZUMAB (TECENTRIQ) 10MG J9022 $202.26 ATGAM INJECTION $52.45 ATHERECTOMY ILIAC ARTERY 0238T $41,093.65 ATIVAN 0.5MG TABLET J3490 $1.00 ATOMOXETINE 10MG (STRATTERA) CAP $4.46 ATOMOXETINE 18MG (STRATTERA) CAP $6.73 ATOMOXETINE 25MG (STRATTERA) CAP $4.98 ATOMOXETINE 40MG (STRATTERA) CAP $6.56 ATOMOXETINE 60MG (STRATTERA) CAP $5.87 ATORPINE 1MG AMP INJ J0461 $1.33 ATOVAQUONE PO SUSP 750MG/5ML $9.26 ATOVAQUONE/PROGU(MALARONE)250/ J3490 $21.98 ATR LEAD $2,325.15 ATROPINE 0.1MG INJ/1ML 10ML AB J0461 $2.41 ATROPINE 0.4MG INJ, 1ML VIAL J0461 $9.24 ATROPINE SULFATE 0.1MG/ML 10ML $2.35 ATROPINE SULFATE 0.4MG/ML 1ML J0461 $0.15 ATROPINE SULFATE 0.4MG/ML SYRINGE $3.52 ATROPINE SULFATE 1% OPTH 15ML J3490 $1.18 ATROPINE SULFATE 1% OPTH 3.5GM $4.16 ATROPINE SULFATE 1%/5ML J0461 $56.10 ATROVENT INHALER 200 PUFF 14GM J3490 $69.09 ATROVENT NEBU SOL 0.02% 2.5ML $3.36 ATT F/M/C/G/H/F/N/A;D10 SQ CM/ 14040 $4,183.48 ATTENUATION PET W/ CT. LIMITED 78814 $3,720.51 AUDIOMETRY AIR AND BONE 92553 $356.66 AUDIOMTRY AIR & BONE 92553 $356.66 AUDITORY EVOKED POTENTIAL CMPR 92585 $652.50 AUDITORY EVOKED POTENTIAL CMPR 92585 $652.50 AUDITORY EVOKED POTENTIAL LMTD 92586 $356.66 AUGMENTIN 125MG/5ML SUSP 75ML J3490 $3.48 AUGMENTIN 200MG/5ML SUSP 100ML J3490 $5.45 AUGMENTIN 250MG TAB J3490 $4.75 AUGMENTIN 250MG/5ML SUSP 75ML J3490 $11.65 AUGMENTIN 400MG/5ML SUSP 100ML J3490 $13.62 AUGMENTIN 500MG TAB J3490 $6.18 AUGMENTIN 875MG TAB J3490 $7.36 Autgen con tiss graft Each Add D4283 $300.00 AUTO CRYO FIBRIN GLU 86890 $369.93 AUTOGENOUS HARVEST BONE GRAFT 20902 $15,421.60 AUTOLOGOUS SURCHARGE 86890 $369.93 AUTOLOGOUSPROCESSFEE 86890 $369.93 AUTOMATED DIFFERENTIAL 85025 $18.99 AVA10DK VARE ANGLE DK DRILL C1713 $4,579.80 AVANCE NERV GRFT 2-3 MMDIA30MM C1768 $3,637.50 AVANCE NERV GRFT 3-4MM DIA50MM C1768 $5,737.50 AVANCE NERVE GRAFT 3-4 MM DIA C1768 $5,437.50 AVANCE NERVE GRAFT 4-5 MM DIA C1768 $2,925.00 AVANCE NERVE GRAFT 4-5 MM DIA C1768 $7,237.50 AVENTYL/PAMELOR 10MG/5ML $0.26 AVIATOR PLATE 26MM C1713 $1,712.35 AVIATOR PLATE 30MM C1713 $1,969.56 AVITENE FLOUR 1 GRAM 6/CS** C1760 $190.06 AVONEX 30MCG INJ Q3027 $3,322.44 AV-SHUNT 36821 $7,144.43 AVUL NAIL PLAT PART/CMPL SMPL 11730 $450.45 AVUL NAIL PLAT PART/CMPL SMPL; 11730 $450.45 AVUL NAIL PLATE SMPL-1 11730 $450.45 AVUL PLAT PART/CMPL SMPL;EA AD 11732 $38.43 AVULSION NAIL PLATE; PART/COMP 11732 $38.43 AWL TAPERED 3.8 C1713 $168.00 AWV PPPS SUBSEQ VISIT; MCARE O G0439 $274.85 AXILLARY FEM VASC GRAFT 8MMx70CM C1768 $3,180.00 AXILLARY LYMPHADENECTOMY; COMP 38745 $12,461.42 AXILLARY LYMPHADENECTOMY; SUPE 38740 $12,461.42 AXILLARY NERVE BLOCK 64417 $2,093.48 AXLE C1713 $1,816.80 AXLLRY NERVE BLOCK 64417 $2,093.48 AXOGUARD NERV PROT PERIPHERAL C1714 $2,587.50 AXOGUARD NERV PROTECT PERIPHER C1714 $3,075.00 AXOGUARD NERV PROTECTR PERIPH C1714 $3,075.00 AXT ARTIC BLCK W/REINFRCE 6BX C1713 $5,830.83 AZACTAM 2 GM INJECTION $43.00 AZACTAM 500 MG VIAL J3490 $10.69 AZATHIOPRINE,PARENTERAL,100 MG J7501 $660.00 AZATHIOPRINE-ORAL,TAB,50 MG J7500 $4.90 AZELASTINE 137MCG NASAL SPRAY $7.72 AZITHROMYCIN 1G PACKET $41.20 AZITHROMYCIN 1GRAM PACKET Q0144 $68.49 AZITHROMYCIN 250MG TAB $8.10 AZITHROMYCIN 250-MG TAB Q0144 $17.12 AZITHROMYCIN 500MG INJ J0456 $34.97 AZITHROMYCIN 500MG PO(FOR SCC Q0144 $7.48 AZMACORT INHALER 20GM $72.05 AZTREONAM 1GM IV J3490 $18.86 AZTREONAM 2GM IV J3490 $38.88 B-2 MICROGLOBULIN 82232 $39.53 Babcock w/Ratchet Handle 10mm $2,739.04 BABY SHAMPOO $8.12 BACIC METABOLIC PANEL 80048 $20.68 BACID (FOR SCC ONLY) $0.61 BACID (LACTOBACILLUS) CAP $0.01 BACITRACIN 500 UNIT/1GM OPHTH. $0.53 BACITRACIN 50000U VIAL IV J3490 $7.75 BACITRACIN OPTH OINT 3.5GM $4.39 BACITRACIN ZINC OINT PACKET J3490 $0.65 BACITRACIN ZNC OINT. FOIL/PKT/GROSS/BOX $0.53 BACLOFEN 20MG TAB J3490 $1.02 BACLOFEN(LIORISAL)INTRATHECAL J0475 $319.80 BACT CULT AER ISOL ADDL 87077 $19.73 BACT CULTURE-URINE;QUAN COUNT 87086 $19.73 BACTERIAL AG DETECT 86403 $25.39 BACTERIAL CULTURE-OTHER SOURCE 87070 $21.05 BACTERIOLOGY SENS 87184 $16.85 BACTISEAL CLEAR EVD CATH SET C1751 $1,140.00 BACTISEAL CLEAR W/BARIUM CATH C1751 $1,086.90 BACTISEAL PERITON DISTL CATH C1887 $759.00 BACTOCILL 2 GM J2700 $62.75 BACTRIM/SEPTRA(200MG/40MG/5ML) J3490 $1.11 BACTROBAN 2% OINTMENT 15MG J3490 $5.11 BAHA RENTAL DRILL KIT C1713 $1,650.00 BALL DISSECTOR VEIN STRP 240CC A4344 $540.75 BALL ELECTRODE 3MM 5/CS A4556 $138.00 BALL TIPPED GUIDE WIRE C1713 $106.53 BALLOON CATH 5.8FR, 75CM 7MMx4 C1725 $549.00 BALLOON CATHETER C1725 $406.50 BALLOON DILAT CATH 6MM SHRT DIALYSIS C1725 $400.50 BALLOON DILATION CATH C1725 $408.32 BALLOON DILATION CATH KIT 4CMx24FR C1726 $523.05 Balloon Dissec Sys pacemaker + $854.93 BALLOON, UDT-CATEG 1 $2,500.00 BALO ANGIOP CTR DIALYSIS SEG 36907 $322.41 BANDAGE PLASTER 2 A4580 $27.75 BANDAGE PLASTER 3 A4580 $27.75 BANDAGE PLASTER 4 A4580 $27.75 BANDAGE PLASTER 5 A4580 $27.75 BANDAGE PLASTER 6 A4580 $27.75 BANDAGE WEBRIL 2X4 $25.01 BANDAGE WEBRIL 3X4 $16.95 BANDAGE WEBRIL 4X4 $24.95 BANDAGE WEBRIL 6X4 $20.24 BANGAY OINTMENT $0.12 BAR TO BAR COUPLING C1713 $813.76 BARBITURATE SCREEN URINE 80307 $142.23 BARBITURATES 80307 $142.23 BARD BIOPSY INSTRUMNT 14GX10CM $900.00 BARD COLLAMEND IMPLANT 7"X9", C1781 $9,037.50 BARD COLLAMEND IMPLANT PATCH 6"X8", C1763 $5,787.00 BARD COLLAMEND PATCH IMPLANT 8"X10", C1763 $8,533.50 BARD COLLMEND IMPLANT 4"X6" C1763 $3,654.00 BARD COLLMEND IMPLANT 4"X6", C1763 $3,654.00 BARD COMPOSIX KUGEL 10X13CM C1781 $3,992.28 BARD COMPOSIX KUGEL 14X18CM C1781 $1,991.51 BARD COMPOSIX KUGEL 8X10CM C1781 $3,195.06 BARD COMPOSIX L/P MESH 8"X10", 1/CS C1781 $2,394.00 BARD IMPLANT MRI LOW PROFILE PORT 6.6F C1788 $451.92 BARD MESH FLAT SHEET 6 X 6" C1781 $253.12 BARD MESH FLAT SHEET 6 X 6" C1781 $253.13 BARD RECONIX 20CMX30CM RECT C1781 $2,526.00 BARD RECONIX-CATEG 1 C1781 $360.00 BARD SOFT MESH C1781 $288.00 BARD URETEX SLING KIT C1771 $975.00 BARD VASCULAR IMPLANT SUPPLIES C1874 $195.00 BARDEX LUBCATH FOL CATH 14/5CC A4344 $5.07 BARDEX LUBRICATH FOLEY CATH A4340 $60.84 BARE METAL STENT C1876 $1,567.50 BARIUM 2.1% ADULT 750ML PO J3490 $19.65 BARIUM 2.1% PED 250ML PO $74.93 BARIUM ENEMA R/O INTUSSUSCEPTI 74283 $469.77 BARIUM ENEMA WITH AIR 74280 $469.77 BARIUM ENEMA/KUB 74270 $469.77 BARIUM SULFATE (E-Z PASTE CREAM) $0.03 BARREL BURR 2.9 6/BX C1713 $1,246.50 BARTONELLA HENSELEA IGG 86609 $31.48 BARTONELLA HENSELEA IGM 86609 $31.48 BARTONELLA QUINTANA IGG 86609 $31.48 BARTONELLA QUINTANA IGM 86609 $31.48 BASAGLAR $0.10 BASEPLATE C1776 $2,465.86 BASIC METABOLIC PANEL W/CA 80048 $20.68 BASIC METABOLIC PANEL. 80048 $20.68 BASIC METABOLIC PANEL; IONIZED 80047 $30.21 BASIC PACK I $263.79 BASIC PACK II $460.38 BASIC RAD DOSIMETRY CALCULAT-B 77300 $326.37 BASIC VESTIBULAR EVALUATION 92540 $356.66 Batch Prochlorperazine 10mg/100mL $88.00 BB-Tak smooth $64.50 B-CELL EVAL-FLOW CYTOMETRY $39.57 BCG LIVE (INTRAVESICAL),PER VI J9031 $414.65 BCG VACCINE, PERCUT 90585 $383.20 BCG VACCINE,INTRAVESICAL,BLADR CA CLINIC 90586 $383.20 BCG VACCINE,PERCUT,TB CLINIC 90585 $383.20 BD SPINAL QINCKE NEEDLE 22GX7 C2618 $544.98 BD VISITEC SINSKEY IOL MANIPUL V2630 $29.34 BE COLORECTAL CA SCREENING G0106 $469.77 BEADED CABLE/SLEEVE SET 2.0MM C1713 $574.35 BECONASE/VANCENASE AQ $83.07 BEEPEN-VK 125MG/5ML SUSP 100ML J3490 $0.85 BEHAV CHANGE SMOKING 3 TO 10 M 99406 $74.09 BEHAV CHNG SMOKING > 10 MIN 99407 $74.09 BEHAV CHNG SMOKING>10 MIN GROU 99407 $74.09 BEHAVRL/QUALIT ANALYS OF VOICE 92524 $196.86 BEHAVRL/QUALIT ANLYS OF VOICE 92524 $196.86 BEKESY AUDIOMETRY DIAGNOSIS 92561 $281.09 BEKESY AUDIOMETRY;SCREEN 92560 $128.62 BELIMUMAB 120MG VIAL J0490 $1,050.37 BELIMUMAB 400MG VIAL J0490 $3,501.12 BELIMUMAB INJECTION 10MG J0490 $117.45 BELLADONNA ALK/PHENOBARB 5ML E J3490 $0.47 BELLADONNA ALKA/PHENOBAR ELIXIR $0.23 BELOW KNEE CAST 29355 $592.46 BENADRYL 12.5MG/5ML ELIXER UD $0.01 BENADRYL 50MG/ML INJ 1ML J1200 $0.18 BENAZEPRIL 40MG TAB $2.57 BENCE JONES PROTEIN URINE 86335 $71.74 BENDAMUSTINE 100MG INJ J9033 $4,752.00 BENDAMUSTINE INJ 1 MG J9033 $78.45 BENEFIBER 1 GM $1.10 BENEMID 500MG TAB $2.27 BENGAL IMPLANT STD 7 DEG X $1,842.75 BENZAMYCIN GEL 23.30GM $2.82 BENZOCA/LANOL/ALO SPRAY $4.50 BENZOCAINE (HURRICANE) 20% $20.39 BENZOCAINE GEL (TOPICALE) 3/PAK $20.39 BENZODIAZEPINES 80346 $11.99 BENZOIN COMPOUND TINCT 60ML $0.05 BENZOIN OF TINCTURE SWABSTICKS 50/BX $11.79 BENZONATATE 100MG CAP $1.60 BENZOYL PEROXIDE 10% GEL42.5GM $1.72 BENZOYL PEROXIDE 5% GEL 42.5GM $0.73 BENZTROPINE 1MG/ML INJ 2ML $42.68 BENZTROPINE MESYL 0.5MG TAB J3490 $0.45 BENZTROPINE MESYLATE 1MG TAB J3490 $0.53 BENZTROPINE MESYLATE 2MG TAB J3490 $0.49 BERACTANT (SURVANTA) 4ML $458.28 BERENSTEIN CATHETER C1887 $135.00 BETA 2 GLYCOPROTEIN I AB EA 86146 $62.22 BETA-2-GLYCO-PROTEIN-1 LGG 86147 $62.22 BETADINE MEDICATED DOUCHE 30ML $2.90 BETAMETH DIPRO/PROP GLY 0.05% J3490 $4.27 BETAMETHASONE 0.1% CREAM 15GM $3.13 BETAMETHASONE 6MG/ML INJ J0702 $2.36 BETAMETHASONE DIPROP 0.5% OINT J3490 $2.49 BETHANECHOL 10MG TAB J3490 $0.21 BETHANECHOL 25MG TAB $1.20 BETHANECHOL 5MG TAB J3490 $0.44 BETHANECHOL 5MG.ML INJ 1ML $12.36 BETOPTIC 0.5% OPTH DROPS 5ML $8.62 BETOPTIC S 0.25% OPTH SUSP 5ML $21.07 BEVACIZUMAB 25 MG/ML IV J9035 $186.63 BEVACIZUMAB INJ 10MG/ML J9035 $210.39 BEVEL GROMMET TUBE FLUROPLASTC A4624 $1,765.50 BEVEZISUMIDE (AVASTIN) SYRINGES $378.13 BEXSERO 90620 $900.90 B-HEXOSAMINIDASE EA ASSAY 83080 $41.23 B-HEXOSAMINIDASE EA ASSAY 88189 $207.45 B-HYDROXYBUTYRIC ACID 82010 $19.98 BIAXIN 125MG/5ML 100ML SUSP $16.38 BIAXIN 250MG TAB $6.00 BIAXIN 250MG/5ML 100ML SUSP $2.53 BIAXIN 500MG TAB J3490 $6.06 BICALUTAMIDE 50MG TAB $17.12 BICILLIN CR 1.2MU TUBEX IM $26.08 BICILLIN CR 100000 UNITS J0558 $212.83 BICILLIN CR 2.4MU TUBEX IM 4ML $45.31 BICILLIN CR 600,000U TUBEX IM $0.02 BICILLIN LA 100,000 UNITS/1ML J0561 $220.58 BICILLIN LA 100000 IM TUBEX 2M J0561 $5.53 BICILLIN LA 2.4MU TUBEX IM 4ML J0561 $103.31 BICILLIN LA 600,000U TUBEX 1ML $11.75 BIKTARVY J3490 $95.30 BILATERAL PULMONARY ANGIO 75743 $7,144.43 BILE ACIDS 82239 $41.87 BILE BAG $9.70 BILE STOOL 82252 $11.13 BILI DUCT STONE EXTRACT VIA T- 47544 $348.92 BILI ENDO VIA T-TBE; W/ STENT 47556 $12,461.42 BILI ENDO VIA T-TBE; WO STENT 47555 $8,015.96 BILIARY BALLOON 4X4" C1726 $427.50 BILIARY BALLOON 6X4" C1726 $427.50 BILIARY BALLOON 6X4" C1726 $427.50 BILIARY BIOPSY (ENDOSCOPY CODE 47553 $8,015.96 BILIARY ENDO;PRECU VIA T-TUBE; 47552 $8,015.96 BILIARY ENDOSCOPY WITH REMOVAL 47554 $12,461.42 BILILRUBIN TOTAL BG 82247 $12.25 BILIRUBIN DIRECT 82248 $12.25 BILIRUBIN DIRECT BF 82248 $12.25 BILIRUBIN INDIRECT 82248 $12.25 BILIRUBIN TOTAL 82247 $12.25 BILIRUBIN TOTAL BF 82247 $12.25 BIMAN IRRIG CANN 21G OPEN TIP C1713 $79.95 BIMANUAL ASPIRATION CANNULA A4615 $135.90 BIMATOPROST 0.03% OPH DROP $56.46 BINDER ABDOM-CATEG 2 $67.40 BIO AVS UNILIF $4,342.50 BIO COMPOSITE 5.5 SWIVELOCK C1713 $705.00 BIO COMPOSITE 5.5 SWIVELOCK C1713 $705.00 BIO COMPOSITE INTERFSCREW C1713 $405.00 BIO COMPOSITE SCREW 9x23 C1713 $405.00 BIO INTERFERENCE SCREW 8x23" C1713 $405.00 BIO INTERFERENCE SCREW 9x23" C1713 $405.00 Bio mat, sft&osseous tiss regen D4265 $210.00 BIO MODULAR SHOULDER 10 MX 115 $471.25 BIO SURE SCREW C1713 $492.00 BIO-A FIST PLUS9CM TUBES; 16MM DISK IMP C1781 $1,263.00 BIO-A FISTULA PLUG SIX 9CM TU C1781 $1,263.00 BIOCAPTOR 2.9MM W/1 ULTRABRAID C1713 $445.17 BioCell Full Height Text/Shape C1789 $1,200.00 BIOCELLULOSE MSK $132.00 BIOCOMPOSITE PUCHLCK 2.9MM C1713 $600.00 BIOCOMPOSITE SWIVELCK C6.25MM C1713 $600.00 BIODESIGN HERN GRFT SRGISIS 13x15 C1763 $6,838.50 BIODESIGN SURGISIS FISTULA RECTAL PLUG C1763 $1,612.50 BIOFASTIN ANCHOR C1713 $382.50 BIOFEEDBACK 90901 $104.24 BIOFEEDBACK ANY MODALITY 90901 $87.89 BIOLOX CERAM FEM HD SYS TAPER C1776 $3,462.78 BIOP NAIL UNIT ANY METHOD 11755 $1,572.63 BIOP OF PENIS (SEP PROC) 54100 $3,538.61 BIOPRAPTOR KNOTLSS SUTRE ANCHR C1713 $598.50 BIOPST INTRANSAL 30100 $3,478.64 BIOPSY - CORNEA 65410 $4,989.01 BIOPSY (1) GROSS & MICRO 88304 $127.53 BIOPSY (2) GROSS & MICRO 88305 $127.53 BIOPSY (3) GROSS & MICRO 88307 $730.62 BIOPSY (4+) GROSS & MICRO 88309 $1,619.51 BIOPSY DEEP CERVICAL LYMPH NO 38510 $7,810.24 BIOPSY EAR 69100 $524.99 BIOPSY EXTERNAL AUDITORY CANAL 69105 $3,478.64 BIOPSY EXTERNAL EAR 69100 $524.99 BIOPSY FOR O+P 87210 $12.80 BIOPSY LIP 40490 $524.99 BIOPSY MOUTH FLOOR 41108 $3,538.61 BIOPSY MUSCLE DEEP 20205 $5,978.15 BIOPSY MUSCLE SUPERFIC 20200 $3,538.61 BIOPSY NAIL UNIT ANY METHOD 11755 $1,572.63 BIOPSY NERVE 64795 $4,432.54 BIOPSY OF CONJUNCTIVA 68100 $4,989.01 BIOPSY OF EYELID 67810 $697.33 BIOPSY OF FLOOR OF MOUTH 41108 $3,538.61 BIOPSY OF LIP 40490 $524.99 BIOPSY OF PALATE UVULA 42100 $3,478.64 BIOPSY OF PENIS (SEP PROC) 54100 $3,538.61 BIOPSY OF TISSUE/HARD D7285 $910.00 BIOPSY PALATE UVULA 42100 $3,478.64 BIOPSY SOFT TISSUE NECK 21550 $3,538.61 BIOPSY SOFT TISSUE SHOULDER S 23065 $3,538.61 BIOPSY THYROID PERCUTANEOUS NE 60100 $1,572.63 BIOPSY TONGUE POSTERIOR ONETHI 41105 $6,752.59 BIOPSY TONGUE; POST ONE-THIRD 41105 $6,752.59 BIOPSY TONGUE;ANT 2/3 41100 $1,138.76 BIOPSY URETHRASTATE DILATION 53200 $4,567.09 BIOPSY VESTIBLE MOUTH 40808 $1,138.76 BIOPSY VESTIBULE MOUTH 40808 $1,138.76 BIORAPTOR KNOTLESS SUTRE ANCHR C1713 $631.58 BIORAPTR 2.3MM CURV ULTRABRAID C1713 $499.50 BIOSURE 10X25MM REGENSOR SCREW C1713 $492.00 BIOSURE HA 10X30MM INTER SCREW C1713 $409.31 BIOSURE HA 8X30MM INTERFE SCRW C1713 $396.90 BIOSURE HA INTEFERENCE SCREW C1713 $396.90 BIOSURE HA INTERFERENCE SCREW C1713 $396.90 BIOSURE SYNC 9MM X 10MM C1713 $331.50 BIOSURE-HA 10MM X 25MM C1713 $396.90 BIOSURE-HA 7MM X 20MM C1713 $492.00 BIOSURE-HA 7MM X 25MM C1713 $396.90 BIOSUREHA INTRFRNCE SCRW TAPER C1713 $396.90 Biotin 300 mcg tablet $0.08 BIPAP 94660 $474.25 BIPOLAR 46MM $1.00 BIPOLAR CHIP SHELL 22MM C1776 $675.00 BIPOLAR CONVENE LINER 43-48 C1776 $199.80 BIPOLAR CUP 49MM C1776 $1,150.50 BIPOLAR CUP SHELL 28MM C1776 $43.04 BIPOLAR CUP SHELL 28MM C1776 $709.50 BIPOLAR CUP SHELL 43MM C1776 $675.00 BIPOLAR CUP SHELL 46MM C1776 $1,203.00 BIPOLAR CUP SHELL SZ 46MM C1776 $1,203.00 BIPOLAR HEAD C1776 $1,050.00 BIPOLAR LINER 50MM TANDEM, 28 ID C1776 $577.50 BIPOLAR SHELL 44MM C1776 $1,123.20 BIPOLAR SHELL 47MM C1776 $1,123.20 BIPOLAR SHELL 47MM C1776 $1,123.20 BIPOLAR SHELL LINEAR 47-51 C1776 $199.80 BIPOLAR SHELL LINEAR 47-51 C1776 $199.80 BIPOLAR SHELL SIZE 44MM C1776 $1,123.20 BIPOLAR STEM 45MM C1776 $1,123.20 BIPOLAR STEM 45MM C1776 $1,123.20 BIPOLAR/UNIVERSAL HEAD C1776 $1,050.00 BIPOLR SEALR DISP ELETRSRG DEV A4649 $769.50 BISACODYL 10MG SUPP J3490 $0.46 BISACODYL 5MG TAB J3490 $0.14 BISMUTH SUBSALICYLATE PO SUSP J3490 $1.08 BIT PERFORATOR LARGE 14/11MM^ C1713 $322.88 BIT PERFORATOR LARGE 14/11MM^ $322.88 BIVALRUDIN PER 1MG J0583 $10.00 BIVONA CUFFED PEDS TRACH TUBE A4624 $268.62 BIVONA LARYNGECTOMY TUBE NS+ A7520 $151.53 BIVONA LARYNGECTOMY TUBE NS+ A7520 $151.53 BIVONA LARYNGECTOMY TUBE NS+ A7520 $151.53 BL DRAW <3 YRS SCALP VEIN 36405 $33.88 Black Arti reld w/TriStap 60m C1713 $4,850.64 Black reld w/triStpl Tech45mm C1713 $4,718.61 BLADDER INSTIL ANTI CAR AGENT 51720 $605.57 BLADDER INSTILLATION OF ANTICA 51720 $605.57 BLADDER IRRIGATION 51700 $605.57 BLADDER IRRIGATION SIMPLE 51700 $605.57 Blade Arthroscopy Synov 5.5mm $491.40 BLADE RUNNER C1713 $249.50 Blade Sins Endo Diam burr Irr $594.14 Blade Sins Endo Irrg Crv3.0mm $560.25 Blade Sins EndoFlut burr Irrig $830.13 blade tip elec Edg insulsleeve $494.25 BLAKE DRAIN 10 FR ROUND 1/8 C1729 $887.52 BLASTOMYCES IMM DIF 86612 $31.55 BLD BANK STUD-OTHER 86999 $59.25 BLD CT; HG & PLATELET CT AUTOM 85027 $15.80 BLD CT; HG AUTO & MANUL DIFF W $21.58 BLD CT; HG/PLATELET AUTO/PART 85025 $18.99 BLD OCCLT PEROX ACTV; QUAL FEC 82270 $9.64 BLD SMEAR PERIPHRL INTRPT W/RE 85060 $59.57 BLD TYPE;RBC AG NOT ABO/RHD 86905 $730.62 BLEACHING PER ARCH D9972 $284.00 BLEACHING PER TOOTH D9973 $32.00 BLEEDING TIME 85002 $11.02 BLEEDINGTIME 85002 $11.02 BLEOMYCIN 15 UNIT INJ $271.50 BLEOMYCIN SULFATE 15 UNITS J9040 $151.00 BLEPHAROPL LL;W EXT HERN FAT 15821 $4,183.48 BLEPHAROPL UL; W EXCESS SKIN 15823 $4,183.48 BLEPHAROPLASTY LOWER EYELID 15820 $4,183.48 BLEPHAROPLASTY UPPER EYELID 15822 $4,183.48 BLEPHAROPLASTY;UPPR EYELID 15822 $4,183.48 BLEPHAROTOMY DRAIN ABSC EYELID 67700 $697.33 BLEPHAROTOMY DRAIN ABSC EYELID 67700 $697.33 BLEPHAROTOMY; DRAIN ABSC EYELI 67700 $697.33 BLOOD (WHOLE) FOR TRANSFUSION P9010 $279.82 BLOOD COLLECTION 36415 $7.19 BLOOD CULTURE 87040 $25.23 BLOOD GAS 82803 $57.35 BLOOD GAS 82803 $57.35 BLOOD GAS ANAL CSICU 94690 $86.20 BLOOD GAS ANAL MSICU 94690 $86.20 BLOOD GAS ANAL OR 94690 $86.20 BLOOD GAS ANAL OTHER 94690 $86.20 BLOOD GAS ANAL PCU 94690 $86.20 BLOOD GAS ANAL PICU 94690 $86.20 BLOOD GAS ANAL RESPI 94690 $86.20 BLOOD GAS ANALYSIS. 94690 $86.20 BLOOD GAS HAECOM 94690 $86.20 BLOOD GAS/CO-OX ARTERIAL 82805 $173.29 BLOOD GAS/CO-OX VENOUS 82805 $173.29 BLOOD L/R CMV-NEG UNIT P9051 $413.80 BLOOD L/R FROZEN/DEGLY/WASHE P9054 $618.35 BLOOD L/R IRRADIATED UNIT P9056 $447.28 BLOOD PARASITES 87207 $14.65 BLOOD PLASMA-CATEG 1 $1,252.50 BLOOD PLATELETS $907.50 BLOOD SPLIT UNIT P9011 $295.81 BLOOD TYPING;ABO 86900 $281.09 BLOOD TYPING;RH D 86901 $86.20 BLOOD UA $5.34 BLOOD YTYPE SET #1873-68 $5.89 BLOOD(SPLIT UNIT)PER ML P9011 $295.81 BLOOD/COMP ADMIN.FEE 36430 $1,000.38 BLOOD/COMP TRANSFUSION 36430 $1,000.38 BLOODCOMP/ADMINFEE 36430 $1,000.38 BLUE CANNULA 5 X 76MM 10/BX A4615 $396.90 BLUEMAX BALLOON CATH 5.8FR C1725 $330.00 BLUNT DISSECT PROBE W/RND HNDL C2618 $159.75 BLUNT OBTURATOR A7520 $255.00 BNE IMPL TEMPRL; PERQ ATTCH S 69714 $30,680.34 BODY FLUID-CYTOLOGY 89051 $13.46 BOLD 14CM CANNULATED SCREW C1713 $386.30 BOLT LOCKING-CATEG 1 $3,750.00 BONANO SUPRA BLADR DRAIN CATH C1729 $419.10 BONE AGE STUDY 77072 $288.95 BONE BIOPSY OPEN DEEP 20245 $5,978.15 Bone Cement and mixer pack C1713 $262.50 Bone Cement KyphoPak w/introdr C1713 $5,284.50 Bone Cement Mixer MixEvac 3 C1713 $906.00 BONE DENSITY STUDY 1+ SITE 77078 $205.74 BONE DENSITY: SPA 78350 $88.00 BONE GRAFT TO HOLE OR MAXILLA 21210 $12,504.78 BONE GRAFT;MINOR/SM 20900 $15,421.60 BONE GRFT INECTABLE MIIGX3; 15CC C1713 $3,742.50 BONE GRFT;FEM HD NECK IT OR 27170 $2,550.46 Bone Harvest for Grafting D7295 $300.00 BONE IMAGING (3D) 78803 $253.00 BONE IMAGING 3 PHASE 78315 $949.04 BONE IMAGING LIMITED AREA 78300 $949.04 BONE IMAGING WHOLE BODY 78306 $949.04 BONE JOINT MULTIPLE AREAS 78305 $949.04 BONE LENGTH 77073 $288.95 BONE MARROW BIOP; NDLE/TROCR 38221 $3,538.61 Bone Marrow biopsy tray needle $403.50 BONE MARROW BX NEEDLE/TROCAR 38221 $3,538.61 BONE MARROW IMAGING BODY 78104 $949.04 BONE MARROW IMAGING LTD 78102 $949.04 BONE MARROW IMAGING MULT 78103 $949.04 BONE MARROW PREP 38220 $3,538.61 BONE MARROW SMEAR INTERPRETATI 85097 $1,619.51 BONE MARROW; ASPIRAT ONLY 38220 $3,538.61 BONE MARROW; ASPIRAT ONLY 38220 $3,538.61 BONE PICK SHARP HOOK SM TAPER $158.36 BONE PLATE 1/3TUBULAT SMLL FRG C1713 $149.62 Bone repl grft ridge prsv/site D7953 $210.00 Bone replace graft-1st site/qu D4263 $420.00 Bone replace graft-each add/qu D4264 $210.00 BONE SCREW 6.5MM 25MM C1713 $241.50 BONE SCREW 6.5x25MM C1713 $241.50 BONE SCREW 80/35 C1713 $237.60 BONE SCREWS 2.3x8MM C1713 $241.50 BONE SURVEY COMPLETE 77075 $288.95 BONE SURVEY INFANT 77076 $288.95 BONE SURVEY LIMITED 77074 $288.95 BORDETELLA PERTUSSIS ANTIBODY 86615 $32.23 BORIC ACID POWDER $0.08 BORRELIA SEROLOGY 86619 $32.69 BORTEZOMIB 3.5 MG. (VELCADE) INJ. $49.23 BOTULINUM TOXIN - TYPE A, PER J0585 $15.87 BOTULIUM TOXIN A (BOTOX COSMETIC) 100U $656.25 BPAS GFT OTH THN VEIN AORTLIAC 35637 $3,581.49 BPAS GFT OTH THN VEIN ILIOFEMO 35665 $2,538.65 BPAS GFT OTH THN VEIN SBCLVAUX 35616 $2,378.46 BPAS GFT OTH THN VEIN; AORTFEM 35646 $3,711.33 BPAS GFT OTH THN VEIN; FEMORAL 35656 $2,336.84 BPAS GFT OTHR THN VEIN SUBCLAV 35612 $2,252.07 BRACE PATELLA/FEM-CATEG 1 $463.75 BRACHIAL PLEXUS 64415 $2,093.48 Brain Access Speculum 17x11mm $892.50 Brain Access Speculum 21x15mm $892.50 Brain Access Speculum 28x20mm $892.50 BRAIN CT WITH AND WITHOUT CONT 70470 $469.77 BRAIN CT WITH CONTRAST 70460 $469.77 BRAIN CT WITHOUT CONTRAST 70450 $288.95 BRAIN FLOW IMAGING ONLY 78610 $1,216.78 BRAIN IMAG LIMIT PROC W VASC F 78601 $949.04 BRAIN IMAG LIMITED PROC STATI 78600 $949.04 BRAIN IMAG POSITRON TOMOG; MET 78608 $3,720.51 BRAIN IMAGING (3D) STATIC 78803 $253.00 BRAIN IMAGING COMP / FLOW STAT 78606 $1,216.78 BRAIN IMAGING COMPLT STUDY; ST 78605 $1,216.78 BRAIN MRI WITH AND WITHOUT CON 70553 $984.43 BRAIN MRI WITH CONTRAST 70552 $984.43 BRAIN MRI WITHOUT CONTRAST 70551 $600.78 BRAIN/INTER AUDITORY CANAL MRI 70551 $600.78 BRAIN/INTER AUDITORY CANAL MRI 70553 $984.43 BRAIN/INTERNAL AUDITORY CANAL 70552 $984.43 BrainLab Marker Sphere reflect A4648 $1,051.88 BrainLab Stylet PRECALIBRATED $5,580.00 BREAST / MIRALUMA SCAN 78801 $949.04 BREAST ASPIRATION MAMMO 19000 $1,572.63 BREAST IMPL SILCN RND 600CC; STYLE 120 C1789 $1,390.50 BREAST IMPLANT SILICONE C1789 $1,390.50 BREAST MRI W&W/O CONTRAST BILA C8908 $984.43 BREAST RECONST W TIS EXPAN 19357 $35,714.23 BREAST RECONSTRUCT W OTHR 19366 $13,501.86 BREAST ROUND SILICON-45 460CC C1789 $1,162.50 BREATH PATTERN RECORD INFANT 94772 $1,251.91 BREATHING RESPONSE TO CO2 94400 $356.66 BRENTUXIMB VEDOTN ADCETRIS 1MG J9042 $436.65 BRETHINE 1MG/ML AMP INJ 1ML $14.92 BRETYLOL 500MG VIAL 10ML INJ $1.67 BRIDGE PORCELAIN/CERAMIC D6245 $644.00 BRIEF EMOTINAL/BEHAV ASSMNT 96127 $37.09 BRILINTA(TIGAGRELOR) 90MG J8499 $4.35 BRIMONIDINE 0.2% EYE DROP J3490 $6.98 BRIMONIDINE TART 0.15% EYE DR $46.34 BRIMONIDINE TARTRATE 0.15% $39.89 BRINZOLAMIDE 1% OPHTHALMIC DROPS $37.62 BROAD BONE PLATE 6.5 C1713 $901.95 BROAD BONE PLATE SIZE 10" C1713 $901.95 BRONCH EBUS DX/TX PERIPH LES 31654 $148.98 BRONCH EBUS SAMPL; 3+ NODES 31653 $7,571.41 BRONCH EBUS SAMPLE; 1-2 NODES 31652 $7,571.41 BRONCH RIGD/FLEX W RAD GUIDAN 31645 $3,688.15 BRONCH/BRONCHIAL ALVEOLAR LA 31624 $3,688.15 BRONCH/DESTR TUMOR CRYOTHERPA 31641 $7,571.41 BRONCHOSCOPY REMOVAL FB 31635 $3,688.15 BRONCHOSCOPY W NEEDLE BX ADD 31633 $140.07 BRONCHOSCOPY WITH BRUSHING 31623 $3,688.15 BRONCHOSCOPY WITH NDL ASP 31629 $7,571.41 BRONCHOSCOPY/TRACH DILIT & STE 31631 $14,025.37 BRONCHOSCOPY; W/BX 31625 $3,688.15 BRONCHOSCOPY; W/LUNG BX W/WO F 31628 $7,571.41 BRONCHOSCP W FLURO GUIDE W/LUN 31632 $109.60 BRONCHOSCPY FLEXI W/WO CELLWAS 31622 $3,688.15 BRONCHOSCPY WITH BIOPSY 31625 $3,688.15 BRONCHOSCPY/LUNG BIOPSY;SING 31628 $7,571.41 BRONCHOSPASM EVAL W/SPIROMETRY 94070 $652.50 BRONCHOSPSM EVAL: SPIRO-BRONCH 94060 $652.50 BRONXHSCPY; FLEXI DX W/WO CELL 31622 $3,688.15 BROVIAC SNGL LUM CENTRLVENCATH C1757 $411.83 BRST RECONST W FREE FLAP 19364 $6,003.62 BRUCELLA 86622 $21.82 BRUCELLA ANTIBODY 86622 $21.82 BRUCELLA ANTIBODY TITER 86622 $21.82 Brush biopsy-transepith sample D7288 $112.00 BRUSH/WASH SIMPLE FILTER 88106 $59.25 BRUSH/WSH SIMPLE FILTER 88106 $59.25 BRUSHES 88104 $86.20 B-SCAN PELV US-COMPLETE 76856 $288.95 BSS 15ML J3490 $30.73 BSS 30ML J3490 $30.73 BSS OPTH SOL 15ML $7.75 BTB TIGHTROPE C1713 $637.50 BUDESONIDE {PULMICORT}INHAL $1.71 BUDESONIDE 3MG CAPSULE PO J3301 $33.00 BUDESONIDE INHAL 0.5MG/2ML $3.04 BUFFY COAT-ABN.CELLS 85009 $11.15 BUGBEE ELECTRODE 5FR 58CM 2/PK A4556 $175.50 BUMETADINE 25MG/ML INJ J3490 $8.85 BUMETANIDE 0.5MG TAB $0.34 BUMETANIDE 1MG TAB J3490 $0.46 BUMETANIDE 2MG (BUMEX) TAB PO $6.03 BUNION CORRECT W MTRSLBONE INC 28296 $7,057.23 BUNION CORRECTION 28297 $15,421.60 BUNION; BY PHALYNX OSTEOTOMY 28298 $15,421.60 BUPIVACAINE 0.25% INJ J3490 $5.30 BUPIVACAINE 0.5% INJ J3490 $0.23 BUPIVACAINE 0.5% INJ J3490 $2.93 BUPIVACAINE 0.75% INJ $7.45 BUPIVACAINE/EPINEPH 0.25% INJ J3490 $4.82 BUPIVCAINE LIPOSML (EXPAREL) 1 J3490 $3.18 BUPREN HCL/ NALOX 2MG-0.5MG TAB $4.02 BUPREN HCL/ NALOX 8MG-2MG TAB $6.53 BUPRENORPHINE 80348 $11.99 BUPRENORPHINE 0.3MG/ML INJ. J0592 $6.73 BUPROPION 100MG TAB J3490 $3.09 BUPROPION 150MG TAB $3.40 BUPROPION 300MG XL J8499 $4.77 BUR BARREL-CATEG 1 $603.00 BUR CARB FG 330PEAR SHPE 100PK C1713 $26.91 BUR CARB FG CLINIC #6RD 100/BG C1713 $184.79 BUR CARB FG CLINIC 2RND 100/BG C1713 $217.07 BUR CARB FG CLNC #4 RND 100/BG C1713 $184.79 BUR CARB FG CLNC 169L TAPR FIS C1713 $181.34 BUR CARB FG CLNC 330PEAR 100BG C1713 $217.07 BUR CARB HP/RA #4 RND 100/BG C1713 $224.10 BUR CARB HP/RA #6 RND 100/BX C1713 $177.60 BUR CARB HP/RA #8 RND 100/BG C1713 $180.00 BUR CARBIDE FG PEAR 10/PK MW C1713 $19.88 BUR CARBIDE RA #6 RD 10/PK C1713 $24.60 BUR PRECISION ROUND C1713 $375.63 BUR SURG 3MM RND DIAM EXTRA C1713 $212.09 BUR SURG HEAD TAPR RND DIAM C1776 $212.09 BUR SURG HEAD TAPR RND EXT SFT C1776 $212.09 BUR SURG NEURO 3.0MM DIA ROUND C1713 $294.05 BUR SURG NEURO 3.5MM DIA STRKR $287.28 BUR SURG NEURO DIA STRYKR CORE C1713 $287.28 BUR SURG OVAL EGG 4MM DIA C1713 $21.75 BUR SURG RD FLUTEX10 SFT TOUCH C1713 $212.09 BUR SURG ROUTER TAPR STRLE C1713 $191.64 BUR SURG1.1X6.0MM STRGHT ROUTR C1713 $212.09 BUR SURGICAL 5.0M COARSE DIAM C1713 $212.09 BUR TAPER CARBIDE 1.6 CYL RD C1713 $7.43 BUR TRANSNASAL 3MM MATCHSTICK C1713 $671.79 BUR TRANSNASAL 3MM ROUND FLUTE C1713 $671.79 BUR TRANSNASAL 3MMRND DIAM CRS C1713 $671.79 BUR TRANSNASAL 4.5MM RND DIAM C1713 $671.79 BUR TRANSNASAL 4MM ROUND FLUTE C1713 $671.79 BUR TRANSNASAL 4MMRND DIAM CRS C1713 $671.79 BURN DSG/DEBR S ANES-LG 16030 $823.72 BURN DSG/DEBR S ANES-MED 16025 $450.45 BURN DSG/DEBR S ANES-SM 16020 $450.45 BURN PACK / BLANKET $99.00 BUROWS SOLUTION 480ML $9.35 Burr 10mm purple matchstck 3mm $205.80 Burr 10mm purpleball diam 5mm $257.25 Burr 14mm green mtch flut3mm $236.67 Burr 14mm greenball Diam 5mm $296.94 Burr 14mm greenball flute 4mm $255.78 Burr 14mm greenball flute 5mm $261.66 Burr 14mm greenball flute 6mm $279.30 BURR 3MM FLUTE MATCHSTICK BURR C1713 $351.00 Burr Carbide Round 4.0mm $413.13 Burr Carbide Round 6.0mm $413.13 Burr Cranio handpiece med NSK $148.50 Burr Crse Diam shrt 3.0mm NSK $142.50 Burr Crse Diam shrt 5.0mm NSK $142.50 Burr Crse Diam super lg 3.0mm $178.82 Burr Crse Diam super lg 4.0mm $178.82 Burr Dyonic Elite Abrade 4.0mm $733.95 Burr Dyonic Elite Abrade 5.5mm $733.95 Burr Elite Rd Diam xtra Crse4m $212.09 Burr Elite Tapr Rd diam crse 3 $212.09 Burr Elite Tapr Rd SftTch 3mm $212.09 Burr ENT Mastoid Diam 6.0x70mm $77.66 Burr Flute Matchstck black 3mm $351.00 Burr HiLine XS Barrel II 4.0mm $243.12 Burr HiLine XS Barrel II 5.0mm $243.12 Burr HiLine XS Barrel II 6.0mm $197.10 Burr HiLine XS CutterIII 3.1mm $155.01 Burr Hi-Line XS Rosen II 2.3mm $142.10 Burr HiLine XS Rosen III 3.1mm $155.01 Burr HiLine XS Rosen III 5.0mm $146.24 Burr HiLine XXS Rosen III 3mm $194.67 Burr Mast Diam Stainless 80mm $77.66 Burr Mastoid Diam 1.5x80mm $77.66 Burr Mastoid Diam 4.0x70mm $76.77 Burr Mastoid Diam 5.0x70mm $76.77 Burr Mastoid Diam Stn 1.5x70mm $76.77 Burr Mastoid Diamond 1.0x80mm $77.66 Burr Mastoid Diamond 1.0x90mm $77.66 Burr Mastoid Diamond 2.0x80mm $77.66 Burr Mastoid Diamond 2.5x90mm $76.77 Burr Mastoid Diamond 3.0x80mm $77.66 Burr Mastoid Diamond 5.5x70mm $75.05 Burr Mastoid Diamond 6.0x70mm $74.28 Burr Mastoid Diamond 6.5x70mm $74.28 Burr Mastoid Rd Cut 1.0x90mm $76.77 Burr Mastoid Rd Cut 4.5x70mm $76.77 Burr Mastoid Rd Cutt 0.5x90mm $76.77 Burr Mastoid Rd Cutt 2.5x90mm $76.77 Burr Mastoid Rd Cutt 70mm $77.66 Burr Mastoid Rnd Cutt 2.5x80mm $76.77 Burr Match Flute TransNasskull $671.79 Burr Micro Strg CrssCt Carbide C1713 $11.25 Burr Midas 10mm purpleball 3mm $213.15 Burr Midas 10mm purpleball 4mm $249.90 Burr Midas 10mm purpleball 5mm $230.79 Burr Midas 7.5cm Diamond 5mm $234.00 Burr Midas Black Diam Lng .6mm $246.00 Burr Midas Black Diam Lng. 8mm $246.00 Burr Midas Leg 9mm ball flute $249.90 Burr Midas Legend 9mmballflute $233.60 Burr Midas Rex 7.5cm Diam 6mm $246.00 Burr Midas Rex Leg 8mm tap $195.75 Burr Midas Rex Legend 8mm tapr $174.87 Burr Mill Bit inser tip 2.0mm $259.50 Burr MIS Neuro 3.0mm $287.28 Burr MIS Round 3.0mm $294.05 Burr Neuro Crse Diam SuprLg3mm $178.82 Burr Neuro long 3.0mm NSK $148.50 Burr Neuro Med 3.0mm NSK $148.50 Burr Precision Acorn 6.0mm $204.75 Burr Precision Acorn 7.5mm $204.75 Burr Precision Round 4.0mm $375.63 Burr Precision Round 5.0mm $375.63 Burr Precision Round 6.0mm $375.63 Burr Rd Diam Extra Crse 5.0mm $212.09 Burr Rd Flute Soft Touch 2.0mm $212.09 Burr Rd Flute Soft Touch 4.0mm $212.09 Burr Rd Flute Soft Touch 5.0mm $212.09 Burr Rd Flute xtraShrt 7.0mm $151.20 Burr Rd Fluted long 3.0mm NSK $138.41 Burr Rd Fluted Soft Touch 3mm $212.09 Burr Rd Taper Soft Touch 2.0mm $212.09 Burr RdDiam TrnsNas SklBase3mm $671.79 Burr RdDiam TrnsNsl SklBase4mm $671.79 Burr RdDiam TrnsNsl SklBs4.5mm $671.79 Burr RdFlut TrnsNas SklBase3mm $671.79 Burr RdFlut TrnsNsl SklBase4mm $671.79 Burr Stapes Cutting 1.3mm $164.43 Burr Stapes Cutting 2.0mm $164.43 Burr Stapes Diamond 1.3mm $162.81 Burr Stapes Diamond 2.3mm $164.43 Burr Strght Rtr 1.1x6mm $212.09 Burr Strkr Elit Rd DiamTprCrse $212.09 Burr Stryker Elite Rd Dia 4mm $212.09 Burr Stryker Elite Rd Dia 5mm $212.09 Burr Stryker Elite Rd Dia 6mm $212.09 Burr Strykr Elit Rd Dia Crs2mm $212.09 Burr Strykr Elit Rd Dia Crs3mm $212.09 Burr Strykr Elit Rd Dia Crs5mm $212.09 Burr Strykr Elit Rd Dia Crs6mm $212.09 Burr Strykr Rd Diam xCrse 3mm $212.09 BURR SURG 80MM MAST DIAM DRLL C1713 $77.66 Burr Taper Rtr 1.7x16mm $191.64 Burr TPS Elite Rd Fluted 2.0mm $413.13 Burr TPS Elite Rd Fluted 3.0mm $413.13 Burr TPS Elite Rd Fluted 5.0mm $413.13 Burr TPS Elite StrghtRtr 1.5mm $212.09 BURS CARBIDE SURG FG 702 10/PK C1713 $43.28 BUSPERONE 10MG TABLET J3490 $1.69 BUSPERONE 5MG TABLET J3490 $0.94 BUSULFAN,ORAL 2MG J8510 $61.83 BUTFLY SL BLOOD COL.25G(SH) $1.92 BUTOCONAZOLE 2% VAG CREAM $9.48 BUTORPHANOL (STADOL) 1MG/1ML $52.65 BUTORPHANOL 2MG/ML INJ $18.55 BUTRFLY SL BLOOD COL.23G $1.92 BUTRFLY SL BLOOD COL.25G $1.92 BUTRFLY SL BLOOD COL21G $1.92 BUTTON-CATEG 1 $365.00 BX ABD/RETROPERITON MASS PERQ 49180 $3,538.61 BX BONE TROCAR/NEEDLE; DEEP 20225 $3,538.61 BX BONE TROCAR/NEEDLE; SUPERF 20220 $3,538.61 BX BREAST; OP INCIS 19101 $7,810.24 BX BREAST; PERQ W/O GUID -SEP 19100 $3,538.61 BX BRST W DVCE; 1ST LESION MR 19085 $3,538.61 BX BRST W DVCE; 1ST LESION STE 19081 $3,538.61 BX BRST W DVCE; 1ST LESION US 19083 $3,538.61 BX BRST W DVCE; EA ADD LES MR 19086 $202.14 BX BRST W DVCE; EA ADD LES STE 19082 $185.00 BX BRST W DVCE; EA ADD LES US 19084 $172.48 BX CONJUNC 68100 $4,989.01 BX DONE W COLPOSCOPY ADD-ON 58110 $89.91 BX EYELID 67810 $697.33 BX INTRANASAL 30100 $3,478.64 BX LACRIMAL GLAND 68510 $4,989.01 BX LIVER NDLE; DONE W/OTH MAJ 47001 $226.07 BX LIVER NEEDLE; PERCUT 47000 $3,538.61 BX LUNG/MEDIASTINUM PERCUT NEE 32405 $3,538.61 BX MUSCL PERCUT NEEDLE 20206 $3,538.61 BX NAIL UNIT 11755 $1,572.63 BX OF LIVER; WEDGE 47100 $1,839.62 BX OF TESTIS; NEEDLE 54500 $5,978.15 BX OVARY UNILAT/BILAT (SEPART 58900 $6,440.19 BX PANCREAS PERCUT NEEDLE 48102 $3,538.61 BX PLEURA; PERCUT NEEDLE 32400 $3,538.61 BX PROS; NDLE/PUNCH 1/MX ANY A 55700 $4,567.09 BX PROS;NDLE/PUNCH ANY APPRCH 55700 $4,567.09 BX SALIVARY GLAND; INCS 42405 $3,478.64 BX SINGLE/MX/LOC EXC LES W/WO 57500 $1,645.97 BX SINGLE/MX/LOC EXC LES W/WO 57500 $1,645.97 BX SOFT TISS LEG/ANK AREA; SUP 27613 $3,538.61 BX SOFT TISSUE HIP/PEL DEEP 27041 $3,538.61 BX SOFT TISSUE HIP/PEL SUPERF 27040 $3,538.61 BX SPINAL CORD PERCUT NEEDLE 62269 $3,538.61 BX THYROID PERCUT CORE NEEDLE 60100 $1,572.63 BX TONGUE; ANT TWO-THIRDS 41100 $1,138.76 BX VAG MUCOS; EXTEN REQUIRING 57105 $6,440.19 BX VAG MUCOS; SIMPL (SEPART PR 57100 $1,645.97 BX VAGINA EXTENSIVE;REQUIRING 57105 $6,440.19 BX VAGINAL MUCOSA; SIMPLE 57100 $1,645.97 BX VUL/ PERIN EA ADDTL 56606 $64.88 BX VUL/PERIN EA ADDTL 56606 $64.88 BX VULVA/PERINEUM (S/ PROC); 1 56605 $1,645.97 BX VULVA/PERINEUM (SEPART PROC 56605 $1,645.97 BX/EXC LN;DEEP CERV W EXC SFP 38520 $7,810.24 BX/EXC LYMPH NODE OP; INT MAMM 38530 $7,810.24 BX/EXC LYMPH NODE(S) OP; SUPER 38500 $7,810.24 BX/EXC LYMPH NODE; BY NEEDLE S 38505 $3,538.61 BX/EXC LYMPH NODE;BY NEEDLE SU 38505 $3,538.61 BX; NASOPHARYNX VISIBLE LES SI 42804 $6,752.59 BX; OPEN SUPFIC BONE 20240 $5,978.15 BX; OROPHARYNX 42800 $3,478.64 BX;NASOPHARYNX UNKNOWN PRIMRY 42806 $6,752.59 BX;PROSTRATE SATURAT SAMPLING 55706 $7,781.86 C REP F G H F 1-2.5CM 13131 $823.72 C REP F G H F 2.6-7.5CM 13132 $1,281.35 C REP TRUNK 1.1 CM TO 2.5 CM 13100 $1,281.35 C REP TRUNK 2.6-7.5CM 13101 $1,281.35 C REP TRUNK EA ADDTL 5CM OR L 13102 $158.97 C.DIFF.LATEX TEST 87230 $48.25 C.F OUTER SHEATH C1892 $1,521.00 C1-C2 PUNCTURE; WO INJECTION 61050 $674.85 C1INHIBIT-ESTERASE 86160 $29.33 C1Q BINDING 86332 $59.58 C1Q IMMUNE COMPLEX DETECTION 86332 $59.58 C3A COMPLEMENT PROTEIN 86160 $29.33 C4 COMPONENT 86161 $29.33 C5 COMPLEMENT 86160 $29.33 CA 125. 86316 $50.89 CA 125... 86304 $50.89 CA 15-3. 86316 $50.89 CA 15-3... 86300 $50.89 CA 19-9. 86316 $50.89 CA 19-9... 86301 $50.89 CA 27.29 86316 $50.89 CA 27.29.. 86300 $50.89 CABAZITAXEL 60MG/1.5MLVIAL J9043 $20,494.54 CABAZITAXEL INJ 1MG J9043 $461.03 CABERGOLINE 0.5 MG.TABLET $76.15 CABLE GRIP-CATEG 1 $4,532.50 CABLE GRIP-CATEG 2 $1,069.33 CABLE PLUG C1713 $100.41 CABLE SLEEVE-CATEG 1 $648.38 CABLE SLEEVE-CATEG 2 $844.64 CABLE-CATEG 1 $637.58 CADMIUM LEVEL 82300 $56.58 CAFERGOT SUPP 12 PACK $17.66 CAFFEINE CIT 2MG/ML IV 5ML SYR $65.00 CAFFEINE CITR 20MG/ML IV J0706 $9.66 CAFFEINE CITR 20MG/ML ORAL SOL $23.46 CAFFEINE CITRATE 5MG/ML IV 2ML J0706 $65.02 CAL. GLUCONATE 1g,/D10%W 250ML $50.00 CAL. GLUCONATE 1g,/D5%W 250ML $49.88 CAL. GLUCONATE 500MG/D10%W $39.69 CALAMINE LOTION $5.17 CALAMINE LOTION 120ML J3490 $0.42 CALAMN LOTION $5.17 CALC GLUBION 1.8GM/5ML OR SYR $3.17 CALCANEAL PLATE - SM PARAMETER FRACTURE C1713 $1,707.00 CALCANEAL PLATE SMLL PARAFRACT C1713 $1,707.00 CALCANEUS 2+ VIEWS 73650 $205.74 CALCANEUS MESH PLATE, MEDIUM C1781 $1,327.50 CALCELLOUS SCREW FTH 4.0 X NON-LOCKING C1713 $60.00 CALCIJEX 1MCG/ML AMP 1ML INJ $6.59 CALCIMAR 200U/ML 2ML VIAL INJ $29.82 CALCITONIN 82308 $65.49 CALCIUM 82310 $12.61 CALCIUM ACETATE $4.20 CALCIUM ACETATE 667MG TAB $0.30 CALCIUM ACETATE CAPSULE J3490 $0.40 CALCIUM BF 82310 $12.61 CALCIUM CAR W/VIT D 250-125 TAB $0.10 CALCIUM CARBONATE 1250MG/5ML S J3490 $0.13 CALCIUM CHLORD 1000MG/10ML VIAL INJ $17.60 CALCIUM CHLORIDE 10% ABBOJECT J3490 $2.12 CALCIUM GLUC 10% 10ML VIAL INJ J0610 $13.51 CALCIUM GLUCINATE 500MG NICU $65.00 CALCIUM GLUCONATE 10% 100ML J0610 $19.40 CALCIUM GLUCONATE 1000MG NICU $65.02 CALCIUM GLUCONATE 500MG TAB $0.30 CALCIUM GLUCONATE100MG/ML NICU $64.84 CALCIUM LEVEL BODY FLUID 82310 $12.61 CALCIUM UR RANDOM 82340 $14.74 CALCIUM UR T.V. 82340 $14.74 CALCIUM; TOTAL 82310 $12.61 CALCU; X-RAY DIFFRACTION 82370 $30.62 CALDWELL-LUC WO REM ANTROCH PO 31030 $12,504.78 CALDWELL-LUC;W REM ANTROCH POL 31032 $12,504.78 CALIBRATED REAMER 2MM C1713 $489.00 Calibration sys VISIGI3D w/bul $1,188.75 CALORIC VESTBLR TEST; BITHERMA 92537 $356.66 CALORIC VESTBLR TEST; MONOTHER 92538 $356.66 CALORIC VESTIBULAR TEST 92533 $35.97 CAMPYLOBACTER PYLO 86625 $32.08 CAN SHRT CRVD LUER LOCKW/THUMB C1713 $78.75 Canal prep/fit of dowel/post D3950 $186.00 CANALITH REPOSITIONING PROC 1 95992 $102.87 CANCELLOUS BONE CHIPS 15CC C1713 $371.25 CANCELLOUS BONE CHIPS 30CC C1713 $573.75 CANCELLOUS BONE CHIPS 5CC C1713 $189.00 CANCELLOUS BONE SCREW C1713 $162.90 CANCELLOUS BONE SCREW 6.5x25MM C1713 $162.90 CANCELLOUS BONE SCREW FULLY THREADED C1713 $37.29 CANCELLOUS SCREW 6.5MM X C1713 $61.20 CANCELLOUS SCREW 6.5MM x VARIOUS C1713 $162.90 CANCELOUS BONE CHIP 15CC; MTF FREEZE DRY C1713 $459.00 CANDESARTAN 16MG TABLET PO J3490 $1.95 CANDESARTAN 32MG TAB PO $2.50 CANDESARTAN 4MG TABLET PO $1.95 CANDESARTAN 8MG TABLET PO $2.06 CANDESARTAN/HCTZ 16-12.5 $6.27 CANDIA ALBICANS SKIN TEST 1ML $20.80 CANDIDA AB DETECT 86628 $29.35 CANDIDA ANTIGEN 87449 $29.30 CANDIDIASIS ANTIBODY 86628 $29.35 CANE ALL MATERIAL ADJUSTABLE/FIXED W/TIP E0100 $7.52 CANE QUAD/3-PRONG ALL MATL W/TIPS E0105 $29.62 CANE WOODEN-CATEG 3 $883.19 CANN 40CM W/CURV INTRD 5FRCATH C1713 $136.97 Cann Ant Chambr strght 23GA C1713 $27.00 Cann Anter Cham curv 23GA thin C1713 $27.00 Cann Cohen Uterine Spring Load $804.00 Cann PassPort Butt arthroscopy C1713 $48.00 CANN SCRW 6.5MM C1713 $386.32 Cann Sft Tip w/silicone end C1713 $372.60 Cann Soft Tip silicon end 25GA C1713 $300.00 Cann SysClear Arthros thread C1713 $624.00 CANNUL COMPRESN SCRW 2.5X 28MM C1713 $571.50 Cannul PassPrt But arthros 4cm C1713 $48.00 Cannul PassPrt But arthros 5cm C1713 $48.00 CANNULA 20G X 1-1/8IN, FLUTED A4615 $59.67 CANNULA 20ML SYR 3K TIP CURVE A4615 $135.00 CANNULA 5.5 X 72MM A4615 $781.05 CANNULA 5.75 X 7" A4615 $187.50 CANNULA 6MM RTBL DBL VLV SLEEV C1713 $1,176.00 CANNULA 7MM X 7CM W/ TWIST-IN A4615 $37.50 CANNULA 8.25 X 7" A4615 $63.00 CANNULA 8.5 X 90MM 10/BX A4615 $491.40 CANNULA ANT CHAMBER-CATEG 1 $68.40 CANNULA BEND-CATEG 1 $51.00 CANNULA COBRA K ALUM HANDLE A4615 $240.00 CANNULA COBRAK + - CATEG 1 $80.71 CANNULA CRVD OD LUER LCK A4615 $67.50 CANNULA DISP-CATEG 1 $82.50 CANNULA DISP-CATEG 2 $81.25 CANNULA H.F DGNST RTBL DBL VLV A4615 $1,176.00 CANNULA INFANT W/TUBING-CATEG 1 $377.92 CANNULA INNER-CATEG 1 $18.63 CANNULA J-SHAPED-CATEG 1 $6,789.38 Cannula TwistIn arthroscopy pt C1713 $63.00 Cannula Vitreoretinal.9x28mm C1713 $59.67 CANNULA-CATEG 1 $96.82 CANNULATED BIT C1713 $151.05 CANNULATED BIT C1713 $151.05 CANNULATED COMPRESSION SCREW C1713 $571.50 CANNULATED DRILL 3.5 X 60MM C1713 $693.00 CANNULATED DRILL BIT 4.4MM C1713 $243.00 CANNULATED DRILL W/AO COUPLING C1713 $518.62 CANNULATED LOCKING SCREW 4.0x40MM C1713 $490.50 CANNULATED LOCKING SCREW 4MMxVARIOUS C1713 $490.50 CANNULATED LOCKING SCREW 5.0MM C1713 $286.50 CANNULATED LOCKING SCREW; SIZE=VARIOUS C1713 $490.50 CANNULATED SCREW 3.5x36MM C1713 $146.25 CANNULATED SCREW 3.75 X 36MM C1713 $429.00 CANNULATED SCREW 4.0MM C1713 $291.37 CANNULATED SCREW 4.0MM Xvarious C1713 $490.50 CANNULATED TIB NAIL 10MM TP C1713 $2,124.00 CANTHOPLASTY 67950 $4,989.01 CANTHOTOMY 67715 $4,989.01 CAP END-CATEG 1 $1,644.41 CAP ULNA THREADED-CATEG 1 C1757 $4,168.75 CAPCALCITRIOL 0.25MG CAP J3490 $1.63 CAPECITABINE ORAL 500 MG J8521 $86.06 CAPECITABINEORAL150MG J8520 $25.82 CAPIO SLIM SUTURE CAPTUR DEV C1713 $779.63 CAPREOMYCIN 1 GM. $26.60 CAPREOMYCIN SULF 1GM INJ $31.95 CAPSAICIN 0.025% CREAM TOP J3490 $6.50 CAPSLCTMY/CAPSLTMY; INTERPHALN 26525 $3,494.24 CAPSLRRHAPHY GLENOHUMRL JNT; 23465 $15,421.60 CAPSULORRHAPHY ANT; W CPT 23462 $15,421.60 CAPSULOTOMY; IP JOINT; EACH 28272 $3,494.24 CAPTOPRIL 12.5 MG J3490 $3.44 CAPTOPRIL 12.5MG TAB J3490 $0.80 CAPTOPRIL 12.5MG TAB J8499 $2.64 CAPTOPRIL 25MG PO J8499 $4.54 CAPTOPRIL 25MG TAB J3490 $0.88 CAPTOPRIL 50MG TAB $1.60 CAPTOPRIL 50MG/ML NICU PO SUS $0.78 CAPUSULORRHAPHY; BANKART 23455 $15,421.60 CAPUSULORRHAPHY; PUTTI-PLATT/M 23450 $15,421.60 CARAFATE 1GM TAB J3490 $1.02 CARAFATE SUSP 1GM/10ML UD J3490 $1.57 CARBAMAZEPINE 80156 $35.60 CARBAMAZEPINE 200MG TAB J3490 $0.58 CARBAMAZEPINE XR 200MG $2.08 CARBAMIDE 6.5% OTIC DROPS J3490 $5.13 CARBIDE ROUND 44.5MM X 1.2MM C1713 $7.88 CARBIDOPA/LEVODOPA 10-100MG TAB $0.86 CARBIDOPA/LEVODOPA 25-100MG TA J3490 $0.89 CARBIDOPA/LEVODOPA 25-250MG TAB $1.60 CARBOCAINE 3% CARTRIDGE 50/BOX J3490 $3.82 CARBON CONNECTING ROD; 200MM C1713 $333.00 CARBON CONNECTING ROD; 350MM C1713 $333.00 CARBON MONOXIDE DIFFUSING CAPA 94729 $21.84 CARBOPLATIN 450MG INJ $320.69 CARBOPLATIN 50 MG J9045 $21.78 CARBOPLATIN 50MG INJ $375.45 CARBOPROST 250MCG/1ML J3490 $85.70 CARBOXYHEMOGLOBIN 82375 $30.12 CARD PLANAR 1ST PASS MULTI 78483 $1,216.78 CARD.PET PERFUS; MULTIPLE 78492 $3,720.51 CARDCATH REDUCE TIP BAR IMPREG C1887 $345.60 CARDIAC BLD POOL IMAG; MX STUD 78473 $949.04 CARDIAC CARE UNIT (CCU) $3,575.00 CARDIAC CATH LAB < 15 MINUTES $539.55 CARDIAC CATH LAB 106 - 120 MI $4,316.40 CARDIAC CATH LAB 121 - 135 MI $4,855.95 CARDIAC CATH LAB 136 - 150 MI $5,395.50 CARDIAC CATH LAB 151 - 165 MI $5,935.05 CARDIAC CATH LAB 16 - 30 MINU $1,079.10 CARDIAC CATH LAB 166 - 180 MI $6,474.60 CARDIAC CATH LAB 181 - 195 MI $7,014.15 CARDIAC CATH LAB 196 - 210 MI $7,553.70 CARDIAC CATH LAB 211 - 225 MI $8,093.25 CARDIAC CATH LAB 226 - 240 MI $8,632.80 CARDIAC CATH LAB 241 - 255 MI $9,172.35 CARDIAC CATH LAB 256 - 270 MI $9,711.90 CARDIAC CATH LAB 271 - 285 MI $10,251.45 CARDIAC CATH LAB 286 - 300 MI $10,791.00 CARDIAC CATH LAB 301 - 315 MI $11,330.55 CARDIAC CATH LAB 31 - 45 MINU $1,618.65 CARDIAC CATH LAB 316 - 330 MI $11,870.10 CARDIAC CATH LAB 331 - 345 MI $12,409.65 CARDIAC CATH LAB 346 - 360 MI $12,949.20 CARDIAC CATH LAB 361 - 375 MI $13,488.75 CARDIAC CATH LAB 376 - 390 MI $14,028.30 CARDIAC CATH LAB 391 - 405 MI $14,567.85 CARDIAC CATH LAB 406 - 415 MI $15,107.40 CARDIAC CATH LAB 416 - 430 MI $15,646.95 CARDIAC CATH LAB 431 - 445 MI $16,186.50 CARDIAC CATH LAB 446 - 460 MI $16,726.05 CARDIAC CATH LAB 46 - 60 MINU $2,158.20 CARDIAC CATH LAB 461 - 475 MI $17,265.60 CARDIAC CATH LAB 476 - 495 MI $17,805.15 CARDIAC CATH LAB 496 - 510 MI $18,344.70 CARDIAC CATH LAB 511 - 525 MI $18,884.25 CARDIAC CATH LAB 526 - 540 MI $19,423.80 CARDIAC CATH LAB 541 - 555 MI $19,963.35 CARDIAC CATH LAB 556 - 570 MI $20,502.90 CARDIAC CATH LAB 571 - 585 MI $21,042.45 CARDIAC CATH LAB 586 - 600 MI $21,582.00 CARDIAC CATH LAB 61 - 75 MINU $2,697.75 CARDIAC CATH LAB 76 - 90 MINU $3,237.30 CARDIAC CATH LAB 91 - 105 MIN $3,776.85 CARDIAC CATH PACK $402.60 CARDIAC GUIDE WIRE C1769 $170.50 CARDIAC SHUNT DETECTION 78428 $949.04 CARDIOLIPIN ANTIBODY SCREEN 86147 $62.22 CARDIOMEMS DEVICE $31,500.00 CARDIOPULMONARY RESUSCITATION 92950 $652.50 CARDIOVERS ELEC-CONVER ARRHY; 92960 $1,383.01 CARDIOVERTER DEFIBRILLATOR SGL C1722 $23,119.43 CARDIZEM (DILTIAZEM) 90 MG TAB J3490 $1.34 CARDON FIBER ROD 11x0250MM C1713 $303.00 CARDURA 1MG TAB $1.29 CARDURA 2MG TAB $1.30 CARDURA 4MG TAB $1.30 CARDURA 8MG TAB $1.49 CARE MGMT SVC BHVL HLTH COND 99484 $87.69 CARE OF VESTICOT 53899 $605.57 CARMUSTINE 100 MG J9050 $6,962.71 CARMUSTINE 100MG INJECTION J9050 $440.55 CARNITINE 82131 $50.56 CARNITINE... 82379 $41.23 CAROT ARTRY STNT SHNT KIT TBE C2625 $519.03 CAROTENE 82380 $22.55 CARPAL EXC CRPL SCAPHD WO MNP 25630 $555.94 CARPAL SCAPHOID FX WO MANIPUL 25622 $555.94 CARPECTOMY; ALL BNS PROXML ROW 25215 $7,057.23 CARROL BONE HOOK 7/16" $202.43 CARTILAGE GRFT; NAS SEPT 20912 $7,675.54 CARVEDILOL 1.56MG TABLET J3490 $0.20 CARVEDILOL 12.5MG TABLET $2.46 CARVEDILOL 25MG TAB (COREG) J3490 $3.17 CARVEDILOL 3.125MG TAB J3490 $2.53 CARVEDILOL 6.25MG TAB J3490 $2.35 CASCARA 450 MG. PO $0.05 CASCARA SAGRADA FL EXTR $0.53 CASCARA SAGRADA TABLET $0.19 CASE MANAGE MONTHLY T2022 $225.00 CASE MANAGE PER MONTH T2022 $225.00 CASE MANAGE PER-MONTH T2022 $225.00 CASE MANAGE PER-MONTH T2022 $225.00 CASE MANAGEMENT MONTHLY T2022 $225.00 CASE MANAGEMENT PER MONTH T2022 $225.00 CASE MANAGEMENT PER/MONTH T2022 $225.00 CASE MANAGEMENT PER-MONTH T2022 $225.00 CASE MANAGEMENT, PER MONTH T2022 $225.00 CASE MANAGEMENT-PER MONTH T2022 $225.00 CASE MGMT APPT BARRIE D9991 $182.00 CASE MGMT APPT BARRIER D9991 $182.00 CASE MGMT APPT BARRIERS D9991 $182.00 CASE MGMT PER MONTH T2022 $225.00 CASE-MANAGEMENT PER MONTH T2022 $225.00 CASPOFUNGIN 50MG (CANCIDIS) IV J0637 $453.72 CASPOFUNGIN 70MG VIAL IV J0637 $330.92 CAST POST / CORE IN ADD'N TO CROWN D2952 $427.00 CAST RETAINER ACID ETCH BRIDGE D6545 $840.00 CASTING 29799 $344.76 CASTOR OIL 60ML $0.87 CATARACT SURGE W IOL 1 STAGE I 66983 $5,212.42 CATARACT SURGERY COMPLEX 66982 $5,212.42 CATECHOL TOTAL 82384 $61.73 CATECHOLAMINES FRACTIONED 82384 $61.73 CATECHOLAMINES TOTAL URINE 82382 $60.06 CATECHOLAMINES; BLD 82383 $63.98 CATECHOLAMINES-BLOOD(FRACTIONA 82384 $61.73 CATECHOLAMINES-URINE(FRACTIONA 82384 $61.73 CATH 5FR ANGLE GLIDECATH 100CM C1713 $536.25 CATH 8FR 2.7MM, 23CM LONG C1751 $295.95 Cath Admir Xtreme PTA Ball 8mm C1725 $510.00 Cath Angio Softu Flush pigtail C1769 $270.00 Cath Angio SoftVu Rim hightorq C1769 $135.00 Cath Angiog SoftVu Sos Omni 3 $135.00 Cath CXI Supp angl 2.6FRx150cm C1887 $277.50 Cath CXI Supp angle 2.6FRx90cm C1887 $277.50 Cath CXI Support 2.6FR x 90cm C1887 $277.50 Cath CXI Supprt angle 4Fx150cm C1887 $277.50 Cath Dual Lumn Uret 10FRx54cm A4351 $104.55 Cath Embol Emboshld Protct Sys C1884 $2,325.00 Cath Embolc Embshld Protct Sys C1884 $2,325.00 Cath Embolectomy OTW 3FRx80cm C1725 $136.50 Cath Embolectomy OTW 4FRx80cm C1725 $136.50 Cath Foley Coud 2way 22F 30cc A4338 $174.78 Cath Foley Coude 2way 18F 30cc A4338 $174.78 Cath Foley Coude 2way 22F 5cc A4338 $212.22 Cath Foley Council 2way 16F A4338 $223.38 Cath Foley Council 2way 18F A4338 $223.38 Cath Foley Council 2way 20FR A4338 $223.38 Cath Foley Council 2way 22FR A4338 $223.38 Cath Hemo GlidePath LgTrm19cm C1752 $465.00 Cath Hemo GlidePath LgTrm23cm C1752 $465.00 Cath Hemo GlidePath LgTrm35cm C1752 $465.00 Cath ICP Hummingbird vent Neur A4300 $1,042.50 Cath ICPSys Hummingbrd parench A4300 $1,042.50 Cath Intro Novy corn curve 5FR C1713 $136.97 Cath kit/tray Foley Silic 16FR A4315 $20.27 Cath Lumbr Ext Drain sil 46cm C1729 $337.50 CATH MALE EXTERNAL A4349 $6.85 Cath Neph Percu LckLp28.3cm C1729 $116.85 Cath Nephro PercflxLockLp10.3F C1729 $135.30 Cath Nephro Percuflex LockLoop C1729 $116.85 CATH OCCLUSION C2628 $538.50 CATH OPEN END TIP URETERAL C1758 $290.28 Cath Pain Mgmt On-Q Silversoak $330.00 Cath Passer mal VP shunt shrt C1713 $1,117.50 Cath Passport Balloon Dilat C1725 $405.90 Cath Passr mallea VP shunt lg C1713 $1,219.50 Cath Periton w/Bactiseal 120cm $759.00 CATH PLATFRM DBX SOLID CROWN C1714 $4,942.50 CATH PLCMT SUBCLAV ARTERY (LI 36215 $465.61 Cath Polarcath Dilat Balloon18 C1725 $1,296.00 Cath PV balloon 10FR x 140cm C2628 $664.50 Cath PV Dorado PTA 5x40mm 5FR C1725 $307.50 Cath PV Glidecath XP coat 5FR C1713 $536.25 Cath PV Mustang PTA OTW 75cm C1725 $472.50 Cath PV OTW 7.0x20mmx75cm.035 C1725 $472.50 Cath Rutner Universal Wedge 1 C1758 $189.98 Cath Rutner Universal Wedge 2 C1758 $189.98 CATH SET-PIGTAIL, LCA, RCA $385.00 CATH SOFT VU PIGTAIL CATH 10BX C1887 $291.37 CATH SOFT-VU SOS OMNI 2 5FX80C C1887 $135.00 Cath Supra Bladder Drain Tray C2627 $419.10 Cath Thoracic Straight 32FR C1729 $10.52 CATH TRANSL ATHERECT ROTATN C1724 $4,890.68 Cath Trocar Argyl Sharp Tip10F $295.95 Cath Ureth Redrubber Ster 20FR A4351 $0.71 CATH URETH W/WHISTLE TIP 10/CS C1758 $125.55 CATH URETHRA; SIMPL 51701 $281.09 CATH URETHRAL SELF, MALE 30CS C1758 $21.93 Cath Vasc Hemo dual valve 22cm C1752 $1,875.00 Cath Vasc Hemo dual valve 24cm C1752 $1,875.00 Cath Vasc Hemo dual valve 28cm C1752 $1,875.00 Cath Vasc Hemo dual valve 32cm C1752 $1,875.00 Cath Vasc Hemo dual valve 36cm C1752 $1,875.00 Cath Vascutrak PTA 5FR C1725 $1,012.50 Cath Venous Acces Dual-Lum 7FR C1751 $485.93 Cath Venous Acces Dual-Lum 9FR C1751 $454.58 Cath Venous Acces SglLmn 6.6FR C1751 $411.82 Cath Venous Acces Triple 10FR C1751 $656.93 Cath Venous Access Brov SglLmn A4300 $312.08 Cath Vent CSF Duet Kit w/inj C1713 $599.04 Cath Vent Exter Drain Sys3 clr A4300 $241.50 Cath Vent Extern Drain Sys 3 A4300 $1,140.00 CATH VENTRICULAR ANTIMICROBIAL C1751 $664.50 CATH&INJ CONTR/SALIN;HYSTEROS/ 58340 $125.07 CATH&INJ CONTR/SALIN;HYSTEROS/ 58340 $125.07 CATHE BALLOON DILATION-CATEG 1 C1725 $787.50 CATHER BH-CATEG 1 $21.75 CATHETER 2 CHNL DISP-CATEG 1 C1750 $525.00 CATHETER 2 SENSOR DISP-CATEG 1 C1750 $525.00 CATHETER 4 CHNL WATER PERF-CATEG 1 $397.50 CATHETER 4FR ALI 100CM C1887 $18.75 CATHETER ABCESS DRAIN 8/10 FR C1729 $600.00 CATHETER ABCSS DRAINAGE-CATEG 1 C1729 $600.00 CATHETER ALL PURPOSE DRAIN-CATEG 1 C1729 $102.56 CATHETER ALL PURPOSE-CATEG 1 C1758 $12,329.61 CATHETER ANGIO-CATEG 2 C1885 $3,150.00 CATHETER ANGIO-CATEG 3 C1885 $3,243.75 CATHETER BALLOON AVIATOR-CATEG 1 C1725 $690.00 CATHETER BALLOON DIAMOND-CATEG 1 $2,841.96 CATHETER BALLOON INTRA AORTIC-CATEG 1 $1,345.32 CATHETER BALLOON INTRA AORTIC-CATEG 2 $1,312.50 CATHETER BALLOON OPTA LP-CATEG 1 C1725 $630.00 CATHETER BALLOON SYMMETRY-CATEG 1 C1725 $551.88 CATHETER BALLOON ULTR ENDO-CATEG 1 C1726 $712.50 CATHETER BALLOON VIPER-CATEG 1 $200.00 CATHETER BALLOON-CATEG 1 C1715 $521.63 CATHETER BALLOON-CATEG 2 C1725 $417.08 CATHETER BALLOON-CATEG 3 C1725 $1,500.00 CATHETER BALLOON-CATEG 4 C1757 $657.59 CATHETER BH-CATEG 1 $20.25 CATHETER BILIARY-CATEG 1 C1726 $427.50 CATHETER BLUE MAX-CATEG 2 C1725 $390.60 CATHETER CHUANG 'B'-CATEG 1 $29.25 CATHETER CHUANG 'C'-CATEG 1 $36.00 CATHETER CI 65-CATEG 1 C1751 $121.88 CATHETER CNTRL VENOUS SILICN-CATEG 1 C1751 $113.25 Catheter coated strght tapr 5FR C1769 $536.25 CATHETER CONE TIP-CATEG 1 $180.00 CATHETER CONTRAST EASE-CATEG 1 $534.00 CATHETER CORDIS-CATEG 1 $1,393.75 CATHETER CORONARY-CATEG 1 $15.00 CATHETER CORONARY-CATEG 2 $305.25 CATHETER CORONARY-CATEG 3 $1,798.44 Catheter CTO Crosser RX 146cm C1714 $4,458.00 Catheter CXI Support 4FRx135cm C1887 $277.50 CATHETER DBL LUMEN-CATEG 1 C1751 $318.03 CATHETER DBL LUMEN-CATEG 3 C1751 $303.00 CATHETER DIAMOND BLN-CATEG 1 C1725 $354.22 CATHETER DILATOR-CATEG 1 $645.83 CATHETER DILATOR-CATEG 2 $175.77 CATHETER DRAIN BILL-CATEG 1 C1729 $220.00 CATHETER DRAINAGE-CATEG 1 C1729 $477.36 CATHETER D-TIP-CATEG 1 $191.43 CATHETER DUAL LUMEN ANG EMB-CATEG 1 $562.50 CATHETER EMBOLECTOMY-CATEG 2 $76.65 CATHETER FIXATION DEVICE C1755 $847.50 CATHETER FIXATION DEVICE-CATEG 1 C1755 $5,307.14 CATHETER FLUSH-CATEG 1 $14.63 CATHETER FOGARTY EMBOL-CATEG 1 C1757 $76.65 CATHETER FOGARTY IRRIG-CATEG 1 $33.71 CATHETER FOGARTY THRU LUMN-CATEG 1 C1757 $112.58 Catheter Foley 2way 24FR 30cc A4344 $69.84 CATHETER FOLEY 2W-CATEG 1 A4344 $55.39 CATHETER FOLEY 2W-CATEG 2 A4344 $67.73 CATHETER FOLEY 3W-CATEG 1 A4346 $273.65 CATHETER FOLEY 3W-CATEG 2 A4346 $161.36 CATHETER FOLEY COUDE-CATEG 1 A4340 $99.67 CATHETER FOLEY COUDE-CATEG 2 A4340 $200.16 CATHETER FOLEY LATEX FREE-CATEG 1 A4344 $60.89 CATHETER FOLEY W/STYLET-CATEG 1 A4338 $45.18 CATHETER FOLEY-CATEG 1 A4338 $73.31 CATHETER FOLEY-CATEG 2 A4338 $60.84 CATHETER GENL-CATEG 1 C1725 $456.90 CATHETER GLIDE-CATEG 1 $933.80 CATHETER GOLDSTEIN-CATEG 1 $217.50 CATHETER GUIDING-CATEG 1 C1887 $3,911.37 CATHETER H STICK-CATEG 1 $11,300.00 CATHETER HI-CATEG 1 $1,225.00 CATHETER IMPLANT 62350 $14,202.34 CATHETER INFINITI-CATEG 1 $37.69 CATHETER INFUSION-CATEG 1 C1751 $599.97 CATHETER INTRA UTERINE-CATEG 1 $309.63 CATHETER IRRIGATION-CATEG 1 $187.50 CATHETER JUDKINS-CATEG 2 $148.13 CATHETER KUMPE-CATEG 1 $24.75 Catheter Mach 1 Lima C1887 $159.00 Catheter Mach 1 RDC C1887 $159.00 CATHETER MALECOT-CATEG 1 $109.80 CATHETER NEPHROSTOMY-CATEG 1 C1729 $205.00 CATHETER OMNI-CATEG 1 $161.89 CATHETER OPERATIVE CHOLANG-CATEG 1 $585.00 CATHETER OPUS VENT-CATEG 1 $475.00 Catheter Peritoneal 120cm $289.50 CATHETER PERMA-CATEG 1 C1750 $1,025.12 CATHETER PIGTAIL-CATEG 1 $29.63 CATHETER PIGTAIL-CATEG 2 C1729 $203.75 CATHETER POWERFLEX-CATEG 1 C1725 $241.25 CATHETER POWERFLEX-CATEG 2 C1725 $367.50 CATHETER PTA POWERFLEX-CATEG 1 C1725 $0.01 CATHETER PTA SAVVY-CATEG 1 C1725 $1,012.50 CATHETER SIMI-CATEG 1 $29.25 CATHETER SINGLE LUMEN-CATEG 1 C1751 $307.42 CATHETER SINGLE LUMEN-CATEG 2 C1751 $174.00 CATHETER SINGLE LUMEN-CATEG 4 C1751 $525.00 CATHETER SKATER DRAIN-CATEG 1 C1729 $725.00 CATHETER STRAIGHT-CATEG 1 C1887 $618.75 CATHETER SUPRA PUBIC-CATEG 1 C2627 $2,375.00 CATHETER SYMMETRY-CATEG 1 C1725 $533.25 CATHETER TENCKOFF PERIT-CATEG 1 C1750 $67.62 CATHETER TESIO-CATEG 1 C1750 $2,837.50 CATHETER TIEMANN FOLEY-CATEG 1 $3,025.00 CATHETER TRACH-CATEG 1 $717.00 CATHETER TRACH-CATEG 2 $488.88 CATHETER TROCAR-CATEG 1 $239.40 CATHETER ULTRA THIN-CATEG 1 C1725 $104.92 CATHETER UMBILICAL-CATEG 1 $307.50 CATHETER URETERAL-CATEG 1 C1758 $228.92 CATHETER URETHRAL CONE TIP-CATEG 1 C1758 $244.04 CATHETER URETHRAL-CATEG 1 C1758 $251.63 CATHETER URETHRAL-CATEG 2 C1758 $209.15 CATHETER URODYNMC TRIPLE LUM-CATEG 1 C1751 $5,070.93 CATHETER UROLOGICAL-CATEG 1 $127.50 CATHETER-CATEG 1 $6,679.75 CATHETER-CATEG 2 $84.83 CATHETER-CATEG 3 C1714 $3,399.38 CATHETER-CATEG 6 $344.25 CATHETER-CATEG 8 $611.55 CATHETERIZATION AD/PED W/CORON 36830 $11,849.09 CATHETERIZATION BLADDER INSERT 51701 $281.09 CAUT CERV CRYOCAUTERY INIT/REP 57511 $697.93 CAUT CERV CRYTERY INIT/RPT 57511 $697.93 CAUT CERV; CRYOCAUTERY INIT/RE 57511 $697.93 CAUTERIZATION OF CERVIX 57510 $6,440.19 Cautery Low Temp Fine Tip Oph $144.45 CAUTERY OF CERVIX;LASER ABLATI 57513 $6,440.19 CAUTERY TYMPANIC MEMB 69610 $3,478.64 CAVERNOSOMETRY DYNAMICY PROCE 54231 $605.57 CAXSACKIE A IGG 86658 $31.83 CBC MANUAL DIFF 85007 $8.40 CBC ROUTINE 85025 $18.99 CBC W/ INDICES & DIFF 85025 $18.99 CBT EACH ADDL HOUR 94645 $18.13 CCP 86235 $43.85 CCP ANTIBODY 86200 $31.66 CCTA W/ WO DISEASE STRXR 75573 $469.77 CCTA W/ WO DYE 75574 $469.77 CCTA W/ WO QUAN CALCIUM 75574 $469.77 CCTA W/ WO STRXR 75574 $469.77 CCTA W/ WO STRXR QUAN CALC 75574 $469.77 CCULT BLOOD QUAL-FECES 82270 $9.64 CE FRULIC $204.60 CEA 82378 $46.35 CEFACLOR (CECLOR) 500MG CAP $8.51 CEFALEXIN 125MG/5ML PO SUSP J3490 $1.51 CEFALEXIN 250MG/5ML PO SUSP J3490 $4.69 CEFAZOLIN 1GM ADD VANTAGE J0690 $3.00 CEFAZOLIN 1GM INJ $3.08 CEFAZOLIN 20MG/ML NICU INJ J0690 $13.00 CEFAZOLIN IVPB 100MG/ML PEDS $0.10 CEFAZOLIN SODIUM 1GM/50ML J0690 $4.34 CEFAZOLINE 1GM ADDVANTAGE INJ J0690 $2.91 CEFAZOLINE 1GM/10ML INTELIFIL J3490 $25.00 CEFAZOLINE 2G/50ML IV BAG J0690 $7.00 CEFEPIME 1GM ADD VANTAGE J0692 $16.58 CEFEPIME 2GM ADD VANTAGE J0692 $18.41 CEFEPINE 1 GM. VIAL $44.73 CEFOTAXIME 10GM VIAL J0698 $20.00 CEFOTAXIME 2GM ADD VANTAGE J0698 $25.25 CEFOTAXIME 500 MG VIAL J0698 $36.08 CEFOTAXIME 50MG/ML 3ML PEDS J0698 $63.77 CEFOTAXIME SODIUM PER GM J0698 $9.58 CEFOTETAN 1GM INJ $16.11 CEFOTETAN 2GM INJ $30.69 CEFOXITIN 1GM INJ $15.30 CEFOXITIN 1GM/50ML DEXTROSE BA J0694 $26.11 CEFOXITIN 2GM INJ $31.49 CEFPODOXOPIME 100MG/ML SUSP J3490 $3.00 CEFPODOXOPIME 50MG/5ML SUSP $2.36 CEFTAROLINE 400MG VIAL J0712 $3.70 CEFTAZEDIME 1GM ADD VANTAGE J3490 $13.39 CEFTAZEDIME 2GM ADD VANTAGE J3490 $32.69 CEFTAZIDIME 50MG/ML 2ML PEDS J0713 $20.00 CEFTAZIDIME INTRAVITREAL 2MG/0.1ML $49.18 CEFTAZIDIME&AVIBACTAM 2.5g VIAL(Avycaz) $241.17 CEFTAZIDINE 2G ADDVANTAGE VIAL J3490 $3.25 CEFTIN 250MG UD TAB J3490 $5.38 CEFTIN 500MG UD TAB J3490 $9.81 CEFTOLOXANE/TAZOBACTUM 1.5GRAM $60.49 CEFTRIAXONE 1GM ADD VANTAGE J0696 $22.98 CEFTRIAXONE 1GM INJ J0696 $10.77 CEFTRIAXONE 1GM/10ML NS SYR J3490 $30.00 CEFTRIAXONE 1MG INJ $59.87 CEFTRIAXONE 250MG J0696 $59.14 CEFTRIAXONE 250MG INJ $18.91 CEFTRIAXONE 2GM ADD VANTAGE J0696 $58.04 CEFTRIAXONE 2GM INJ J0696 $68.75 CEFTRIAXONE 2MG INJ $122.73 CEFTRIAXONE 500MG INJ J0696 $6.85 CEFUROXIME 1.5GM ADDVANTAGE $14.10 CEFUROXIME 1.5GM INJ J0697 $17.36 CEFUROXIME 1.5GM INJ $174.36 CEFUROXIME 1.5GM INJECTION J0697 $36.83 CEFUROXIME 750MG ADD VANTAGE J0697 $8.86 CEFUROXIME 750MG INJ $6.88 CELEBREX 100MG CAPSULE J3490 $2.32 CELEBREX 200MG CAPSULE J3490 $3.91 CELEXA 20MG TAB J3490 $21.07 CELIAC PLEXUS NV DSTR SYMP NRV 64680 $2,093.48 CELL BLOCK 88305 $127.53 CELLCEPT 250 MG CAP J7517 $69.76 CELLCEPT 500MG PO J7517 $6.78 CELONTIN 80339 $48.82 CEMENTED TIBIAL KNEE $1,145.00 CEMPLIMAB (LIBTAYO) 350MG J9999 $24,024.00 CENT VENOUS CATH TRAY 3FR 8CM C1751 $90.75 CENT VENOUS CATH TRAY 5FR 15CM C1751 $99.28 CENTRAL C-V HEMODYNAMICS 78414 $1,216.78 CENTRAL VENUS CATHETER PLMT PE 36569 $4,205.10 CENTRALIZER DISTAL POST-CATEG 2 C1713 $257.44 CEPHALEXIN 250MG CAP J3490 $1.29 CEPHALEXIN 500MG CAPSULE J8499 $4.34 CEPHALOGRAM ORTHODONTIC 70350 $205.74 CERAMIC FEM HEAD BIOLOX DELTA S-ROM 32MM C1776 $3,103.20 CERAMIC FEMOR HEAD BIOLOX 32MM C1776 $3,103.20 CERAMIC ON POLY CASE STEM SYS C1776 $8,250.00 CERAMIC ON POLY CASE STEM SYS C1776 $8,250.00 CERAMIC RETAINER FOR BONDED PROSTHETICS D6548 $531.00 CERAMIC V40 FEMORAL HEAD 28MM C1776 $1,200.00 CERAMIC X3; ACCCOLADE STM/TRIDNT INS HIP C1776 $7,241.51 CERAX3ACCOL STM/TRI INS HP CUP C1776 $7,241.50 CERCLAGE CERV DURING PG; VAG 59320 $6,440.19 CERCLAGE UTERINE CERV NON-OB 57700 $6,440.19 CEREBR SEIZURE 16\>CH; EA 24 H 95951 $2,602.91 CEREBRAL BLOOD FLOW IMAGING 78610 $1,216.78 CEREBROSP FL FLOW IMAG; CISTER 78630 $1,216.78 CEREBROSP FL FLOW IMAG; SHNT E 78645 $1,216.78 CERULOPLASMIN 82390 $26.25 CERV COLLR SEMI-RIGD FOAM 2 PIECE L0172 $287.10 CERV COLP W EC CURETT 57456 $697.93 CERV CONIZATOIN;COLD KNIFE LAS 57520 $6,440.19 CERV MX POST COLLR SUPPS ADJ L0180 $311.30 CERV/VAG CANCR SCR;PELV&CLN BR G0101 $207.38 CERVIC COLP W CERVIX BX 57455 $697.93 CERVICAL COLPOSCOPY;LEEP;W BX 57460 $6,440.19 CERVICAL DISC PROSTHESIS C1713 $6,750.00 CERVICAL DISC PROSTHESIS $6,750.00 CERVICAL FLEXIBLE NONADJUSTABLE L0120 $45.99 CERVICAL LYMPHADENECTOMY 38724 $3,145.93 CERVICAL PLATE 38MM C1713 $1,425.00 CERVICAL SPINE 2-3 VIEWS 72040 $205.74 CERVICAL SPINE COMPLETE 4 -5 V 72050 $288.95 CERVICAL SPINE CT WITH CONTRAS 72126 $984.43 CERVICAL SPINE CT WITH/WITHOUT 72127 $469.77 CERVICAL SPINE CT WITHOUT CONT 72125 $288.95 CERVICAL SPINE FLEXION/EXTENSI 72052 $288.95 CERVICAL SPINE MRI W&W/O CONT 72156 $984.43 CERVICAL SPINE MRI WITH CONTR 72142 $984.43 CERVICAL SPINE MRI WITHOUT CO 72141 $600.78 CERVICAL SPINE OBLIQUE 6+ VIEW 72052 $288.95 CERVICOPLASTY 15819 $4,183.48 CERVIDIL $258.37 CESAREAN DELIVERY ONLY 59514 $1,969.66 CETAPHIL LOTION $6.24 CETIRIZINE 1MG/ML ORAL SYR PO $0.25 CETIRIZINE HCL 10MG TAB $2.42 CETIRIZINE HCL 5MG TAB $2.34 CETIRIZINE HCL 5MG TABS $5.49 CETUXIMAB 100MG/50ML IV $707.57 CFS W/VENT CATH EXT DRAIN SYS C1729 $241.50 CG MCG; INT & REP 88291 $78.73 CHALAZION EXC MULT DIFF LIDS 67805 $697.33 CHALAZION EXCISION SINGLE 67800 $697.33 CHALIZION EXC MULT SAME LID 67801 $2,080.39 CHAN CLEAN TUBE PROX CON WASH A4616 $133.86 Chan Clean. Tube Prox Connect $133.86 CHANGE CYSTOST TUBE;SIMPLE 51705 $605.57 CHANGE CYSTOSTOMY TUBE; SIMPL 51705 $605.57 CHANGE EXT/INT URETER STENT; P 50387 $4,567.09 CHANGE NEPHROSTOMY/PYELOSTOMY 50435 $4,567.09 CHANGE URETER STENT; PERQ 50382 $4,567.09 CHANGE URETEROSTOMY TUBE 50688 $4,567.09 Channel Cleaning & Open. Brush $175.50 CHARCOAL WITH SORBITOL 50 GM J3490 $5.14 CHECK FLO PERFORM 5FR INTRO C1887 $52.02 CHECKFLO PERFORM 5FR GUID SHTH C1887 $52.02 CHELATION BAND KEROPAHTY 65436 $4,989.01 CHEM CAUT GRANULATION TIS 17250 $450.45 CHEM CAUT GRANULATION TISS 17250 $450.45 CHEM CAUT GRANULATION TISSUE 17250 $450.45 CHEM CAUTERIZATION (1 LESION) 11055 $450.45 CHEM CAUTERIZATION > 4 LESSIO 11057 $450.45 CHEM PEEL FACIAL; EPIDERML 15788 $450.45 CHEM PEEL; NONFACIAL EPIDERMAL 15792 $823.72 CHEM PLEURODESIS 32560 $1,625.47 CHEMICAL CAUT GRAN TISSUE 17250 $450.45 CHEMICAL PEEL; FACIAL DERMAL 15789 $1,281.35 CHEMICAL PEEL; NONFACIAL DERMA 15793 $823.72 CHEMICL PEEL FACIAL; EPIDERML 15788 $450.45 CHEMO ANTI-NEOPL SQ/IM 96401 $167.76 CHEMO DENERV MUSC IN NERV FACI 64612 $674.85 CHEMO HORMON ANTINEOPL SQ/IM 96402 $167.76 CHEMO IV INFUS EACH ADDL SEQ=< 96417 $167.76 CHEMO IV PUSH ADDL DRUG 96411 $167.76 CHEMODENERV 1 EXTREM EA AD; 5 64645 $177.67 CHEMODENERV 1 EXTREM; 5+ MUSC 64644 $1,611.39 CHEMODENERV ECCRINE GLANDS BOT 64650 $674.85 CHEMODENERV ECCRINE GLANDS OTH 64653 $674.85 CHEMODENERV MUSC; INNERV FACIA 64612 $674.85 CHEMODENERV TRUNK MUSC; 1-5 MU 64646 $1,611.39 CHEMODENERV TRUNK MUSC; 6+ MUS 64647 $1,611.39 CHEMODENERV; 1 EXTREM EA AD 1- 64643 $154.99 CHEMODENERV; 1 EXTREM; 1-4 MUS 64642 $1,611.39 CHEMODENERVATION - ANAL MUSCLE 46505 $2,588.89 CHEMODENERVATION EXTRAOCULAR M 67345 $697.33 CHEMODENRV MUSC; MIGRAINE BIL 64615 $674.85 CHEMODENRVTION-EXTRAOCULAR MUS 67345 $697.33 CHEMOTHERAPY ADMIN CNS W/LUMB 96450 $857.76 CHEMOTHERAPY ADMIN INTRA-ARTR 96422 $550.84 CHEMOTX ADM IV INFUS W/PUMP 96416 $857.76 CHEMOTX ADMIN INTRA-ART; PUSH 96420 $857.76 CHEMOTX ADMIN IV; INFUSION TEC 96413 $791.96 CHEMOTX ADMIN IV; PUSH TECH 96409 $550.84 CHEMOTX INJ SUBARACH-1/MX AGEN 96542 $550.84 CHEMOTX INTRA-ART; 1-8 HR EA A 96423 $106.73 CHEMOTX INTRA-ART;PROLONGED W/ 96425 $857.76 CHEST 1 VIEW AP/ PA 71045 $205.74 CHEST COMPLETE 4+ VIEWS 71048 $288.95 CHEST CT WITH AND WITHOUT CONT 71270 $469.77 CHEST CT WITH CONTRAST 71260 $469.77 CHEST CT WITHOUT CONTRAST 71250 $288.95 CHEST DRAINAGE UNIT $374.00 CHEST DRAINGE/CLOSED $80.00 CHEST MRA WITH CONTRAST 71555 $1,100.00 CHEST MRA WITHOUT CONTRAST 71555 $1,100.00 CHEST MRI WITH AND WITHOUT CO 71552 $984.43 CHEST MRI WITH CONTRAST 71551 $1,755.16 CHEST MRI WITHOUT CONTRAST 71550 $600.78 CHEST PA / LAT 2 VIEWS 71046 $205.74 CHEST PA / RIBS BILATERAL 4+ V 71111 $288.95 CHEST PA / RIBS UNILATERAL 3+ 71101 $288.95 CHEST PHYSIOTHERAPY(CPT) 94667 $281.09 CHEST US 76604 $288.95 CHEST WALL MANIPULATION SUBSQT 94668 $281.09 CHILD APPLY SKIN GFT SUB;TOTAL 15273 $7,675.54 CHILD DT - COLLATERAL 90847 $316.00 CHLAMYDIA AMPLIF NA PROBE 87491 $85.78 CHLAMYDIA ANTIBODY 86631 $28.91 CHLAMYDIA CULTURE 87110 $47.89 CHLAMYDIA DNA PROBE 87490 $50.05 CHLAMYDIA ISOLATION 87110 $47.89 CHLAMYDIA T AMPLIF NA PROBE 87491 $85.78 CHLAMYDIA T DIR NA PROBE 87490 $50.05 CHLAMYDIA TRACHOMATIS IGM 86631 $28.91 CHLORAL HYDR 500MG/5ML ORAL SYRP $2.46 CHLORAMPHENICOL 82415 $30.98 CHLORAMPHENICOL LEV 82415 $30.98 CHLORAPROMAZINE HCL 5MG ORAL Q0161 $5.76 CHLORDIAZEPOXIDE 10MG CAP J3490 $0.38 CHLORDIAZEPOXIDE 25MG CAP J3490 $0.29 CHLORDIAZEPOXIDE 5MG CAP $0.30 CHLORDIAZEPOXIDE HCL TO 10O MG J1990 $22.37 CHLORHEXADINE GLUCONATAE 480ML J3490 $1.98 CHLORHEXIDINE GLU CLEANSER $1.79 CHLORIDE 82435 $11.24 CHLORIDE FLUID 82438 $11.95 CHLORIDE STOOL 82438 $11.95 CHLORIDE UR RAN 82436 $12.65 CHLORIDE UR TV 82436 $12.65 CHLORIDE; BLOOD 82435 $11.24 CHLOROMYCETIN 1GM VIAL INJ $15.38 CHLOROQUINE PHOS 500MG TAB J3490 $6.57 CHLOROTHIAZIDE 250MG/ML ORAL $0.06 CHLORPHENIRAMINE MAL 4MG TAB $0.24 CHLORPROMAZINE 80299 $41.01 CHLORPROMAZINE 50MG/0.5ML ORAL SYR $2.90 CHLORPROMAZINE HCL 100MG TAB $0.93 CHLORPROMAZINE HCL 200MG TAB $1.25 CHLORPROMAZINE HCL 50MG TAB Q0161 $0.84 CHLORPROMAZINE HCL, 5MG TAB $0.70 CHLORPROMAZINE HCL; 5MG TAB Q0161 $0.76 CHLORPROMAZINE INJ 50MG J3230 $30.83 CHLORTHALIDONE 25MG TAB $0.18 CHLORTHALIDONE 50MG TAB $0.20 CHMDNRVTN MUSC(S);CRVCL SPNL M 64616 $674.85 CHMDNRVTN OF MUSC(S);CRVCL SPN 64616 $674.85 CHMOTX ADM IV INFUS 1-8 HR 96415 $167.76 CHNG G-TUBE - G/J-TUBE; PERQ 49446 $4,015.00 CHNG NEPHROSTOMY/PYELOSTOMY TU 50435 $4,567.09 CHOLANG CATH 5.5 FR TIP/18 INCH LGT C1887 $585.00 CHOLANGIOGRAM CATHETER C1887 $585.00 CHOLANGIOGRAPHY; INTRAOP-RAD S 74300 $43.28 CHOLANGIOGRPHY; ADD SET-INTRAO 74301 $24.90 CHOLECYSTECTOMY 47600 $2,324.21 CHOLECYSTOGRAPHY ORAL CONTRAST 74290 $469.77 CHOLEDOCHOTOMY; WO TD SPHINCTR 47420 $2,915.88 CHOLERA VACCINE (Vaxchora) $0.10 CHOLERA VACCINE LIVE ORAL 90625 $594.00 CHOLESTEROL 82465 $10.65 CHOLESTEROL LDL 83721 $23.32 CHOLESTEROL-HDL 83718 $20.02 CHOLESTYRAMINE/SUCR 4GM $2.18 CHOLESTYRAMINE-QUESTRAN 4 GM $65.00 CHOLINE MAG TRISALICYL 500MG TAB $0.42 CHOLINE MAG TRISALICYL 750MG TAB $0.86 CHOLINEMAGNESIUM TRISALIYLATE LIQ (SCC) $108.33 CHOMOSOME ANALY;ADD HIGH RESOL 88289 $84.17 CHONDROITIN/SOD HYALURON KIT J3490 $269.12 CHORIONIC VILLUS SAMPLE 59015 $1,645.97 CHROM ANAL BL-BKG 88245 $423.32 CHROM ANAL BL-FX 88248 $423.32 CHROM ANAL BL-KAR STD 88262 $304.68 CHROM ANAL BL-LEUK 88280 $73.63 CHROM ANAL BL-MOSAIC 88248 $423.32 CHROM ANAL BL-STD 88230 $284.77 CHROM ANAL FLUID 88239 $360.60 CHROM ANAL;CT 45 CEL MOSA 2 KA 88263 $367.38 CHROM ANAL-45 CELL 88263 $367.38 CHROM ANAL-ADD CELL 88285 $59.20 CHROM ANAL-ADD KARY 88285 $59.20 CHROM ANAL-BONE 88237 $316.25 CHROM ANAL-HIGH RES ST 88289 $84.17 CHROM ANAL-SPEC STAIN 88283 $167.68 CHROM ANAL-TISSUE 88233 $343.99 CHROM ANALY BASELINE BREAKAGE 88248 $423.32 CHROM ANALY BREAK SYDROME;SCE 88245 $423.32 CHROM ANALY; 15-20 CELLS 88262 $304.68 CHROM ANALY; ADD CELLS COUNTED 88285 $59.20 CHROM ANALY; ADD KARYOTYPES EA 88280 $73.63 CHROM ANALY; ADD SPECIALIZED B 88283 $167.68 CHROM ANALY;20-25 CELLS 88264 $318.14 CHROM ANALY;ADDTL KARYOT EA ST 88280 $73.63 CHROM ANALY;CT 15-20 CELL 2 KA 88262 $304.68 CHROM ANALY;SITU AF CELLS FROM 88269 $406.58 CHROMIUM (BLOOD) 82495 $49.57 CHROMIUM (URINE) 82495 $49.57 CHROMIUM 4MCG/ML IV $0.55 CHROMO ANALY; CT 15-20 CELL 2 88262 $304.68 CHROMOGENIC SUBSTRATE ASSAY 85130 $29.06 CHROMOGRANIN A 83519 $40.48 CHROMOSOME ANAL(AM FL) 88262 $304.68 CHROMOSOME ANALYSIS 88230 $284.77 CHROMOSOME ANALYSIS 88262 $304.68 CHROMOSOME ANALYSIS FOR AF/CVF 88267 $439.45 CHROMOTUBATION OVIDUCT INCL MA 58350 $11,012.14 CICLOPIROX 0.77% CREAM TOP $5.28 CIDEX $12.38 CIDOFOVIR 75MG/ML VIAL $390.72 CILIARY BDY DESTRUC; CYCLOPHOT 66710 $4,989.01 CILIARY BODY DESTRCT; CRYOTHER 66720 $4,989.01 CILOSTAZOL 100MG (PLETAL) TAB $2.06 CILOSTAZOL 100MG TAB $1.39 CILOSTAZOL 50MG (PLETAL) TAB $4.02 CILOXAN 0.3% OPTH DROPS 5ML J3490 $13.28 CIMETIDINE 300MG/5ML PO LIQ $1.25 CIMETIDINE 400MG TAB $3.67 CIMETIDINE 800MG TAB $6.40 CINACALCET 30MG TAB J0604 $12.62 CINACALCET 60MG TAB $2.20 CINACALCET 60MG TABLET $25.85 CINACALCET 90MG TAB $38.44 CINERADIOGRAPHY EX WHERE SPEC 76120 $288.95 CINERADIOGRAPHY-COMPLEMENT ROU 76125 $44.00 CIPRO 400MG IV J0744 $5.72 CIPRO 500MG TAB J8499 $8.25 CIPRODEX OTIC SOLUTION 0.3% $463.32 CIPROFLOXACIN 250MG TAB J0744 $5.60 CIPROFLOXACIN 500MG TAB J0744 $6.78 CIPROFLOXACIN 50MG/ML J0744 $0.06 CIPROFLOXACIN 750MG TAB J0744 $7.57 CIPROFLOXACIN/D5W 200MG IV $22.36 CIPROFLOXACIN/D5W 400MG IV $47.30 CIPROFLOXACIN/DEXA 0.3-0.1% OT J3490 $113.53 CIRC NO CLAMP/DORSL SLIT; NOT 54161 $4,567.09 CIRC NOT CLAMP DEVC/DORSL SLIT 54160 $1,434.75 CIRC USING CLAMP/OTH DEVICE; N 54150 $4,567.09 CIRCUMCISION NEONATAL;28 DAYS 54160 $1,434.75 CIRCUMCISION W REGIONAL BLCK 54150 $4,567.09 CISPLATIN 10 MG J9060 $9.53 CISPLATIN 100MG/100ML AQ $7.33 CISPLATIN 50MG/50ML AQ $2.81 CISPLATINPOWDER OR SOL 10 MG J9060 $9.53 CISTERNAL PUNCT; W/INJ DRUG/OT 61055 $674.85 CISTERNOGRAPHY POS CONTRAST-RA 70015 $1,755.16 CITALOPRAM 10MG TAB O J3490 $2.95 CITALOPRAM 10MG/5ML PO SOL $0.44 CITALOPRAM 40MG TABLET J3490 $3.77 CITRATE (SERUM) 82507 $67.96 CITRATE (URINE) 82507 $67.96 CITRATE OF MAGNESIA ORAL SOLN $0.04 CITRIC ACID/SOD CITRAT PO SOL J3490 $0.04 CK-MB (IMMUNO) 82553 $28.23 CK-MB-INDEX $28.77 CL LACERAT MOUTH VESTIB;2.5CM 40831 $1,138.76 CL LACERATION MOUTH VESTIB;2.5 40830 $524.99 CL TX 1 MP DISLOC S ANES 26700 $555.94 CL TX ACLAV DISLOC;W MANIP 23545 $555.94 CL TX ANKLE DISLOC W ANESTH 27842 $3,383.95 CL TX ANKLE DISLOC W ANESTH 27842 $3,494.24 CL TX ANKLE DISLOC; WO ANESTH 27840 $555.94 CL TX ART FX MCP/IP JNT;WO MAN 26740 $555.94 CL TX ARTFX MCP/IP JNT;W MANIP 26742 $3,494.24 CL TX ARTIC FX MCP/IP JNT;W MA 26742 $3,494.24 CL TX BIMALLE ANKL FRACT WOMNP 27808 $555.94 CL TX C HUMERUS FX;MED/LAT;W M 24577 $3,494.24 CL TX C HUMERUS RX W MANIP 24577 $3,494.24 CL TX CALCAN FX-NO MANIP 28400 $555.94 CL TX CALCANEAL FRACT; W MANIP 28405 $555.94 CL TX CALCANEAL FX;W MANIP 28405 $555.94 CL TX CARPAL BNE FX WO MANIP;E 25630 $555.94 CL TX CARPL BONE FX W MANIP; E 25635 $3,494.24 CL TX CLAVICULAR FX W MANIP 23505 $3,494.24 CL TX CMC DISLOC THUMB W MANIP 26641 $555.94 CL TX CMC DISLOC THUMB W MANIP 26641 $555.94 CL TX CMC DISLOC W MANIP; WO A 26670 $555.94 CL TX CMC FX DISLOC THUMB W MA 26645 $3,494.24 CL TX D PHAL FX FGR/THMB;WO MA 26750 $555.94 CL TX DISL IP JNT W MANIP; W A 26775 $592.46 CL TX DISLOC THUMB CMC FX; W M 26645 $3,494.24 CL TX DIST FIB FX;W MANIP 27788 $555.94 CL TX DIST PHAL FX FINGER/THMB 26755 $555.94 CL TX DIST TIB;WO MANIP;W/WO A 27824 $555.94 CL TX DISTL PHAL FX; FNGR/THMB 26755 $555.94 CL TX DSTL FIB FX WO MANIP 27786 $555.94 CL TX DSTL RADIAL FX/EPIPHYSL 25605 $3,494.24 CL TX DSTL RADIOULNAR DISLOC W 25675 $555.94 CL TX EC HUMERUS FX;WO MANIP 24560 $555.94 CL TX ELBOW DISLOC;WO ANESTH 24600 $555.94 CL TX FEMUR FX OR EPIPHYS SEP 27510 $3,494.24 CL TX FINGR/THMB DIST PHAL FX; 26750 $555.94 CL TX FX EC HUMERUS; W MANIP 24565 $3,494.24 CL TX FX GRT PHALANX;WO MANIP 28490 $555.94 CL TX FX GT PHALANX; W MANIP 28495 $555.94 CL TX FX NASAL BONE; W STABLIZ 21320 $6,752.59 CL TX FX PHALYNX/PHALANG WO MA 28510 $555.94 CL TX FX PROX HUMRL; W MANIP 23605 $3,494.24 CL TX HUMERUS FD W/MANIP 24505 $3,494.24 CL TX HUMERUS FX W/O MANIP 24500 $555.94 CL TX HUMRL CONDYL FX WO MANIP 24576 $555.94 CL TX IP JNT DISL W MANIP;SING 26770 $555.94 CL TX IP JOINT DISL WO ANESTH 28660 $555.94 CL TX KNEE DISLOC; W ANESTH 27552 $3,494.24 CL TX KNEE DISLOC; WO ANESTH 27550 $555.94 CL TX LUNATE DISLOC W MANIP 25690 $3,494.24 CL TX LUNATE DISLOC W MANIP 25690 $3,494.24 CL TX MAND/MAXILL AL VEOLAR RI 21440 $6,752.59 CL TX MC FX SGL;W MANIP 26605 $555.94 CL TX MC FX SING/ WO MANIP EA 26600 $555.94 CL TX MC FX W M+F EA 26607 $7,057.23 CL TX MCP DISLOC SING W MANIP 26705 $3,494.24 CL TX MCP DISLOC W MANIP; W/ A 26705 $3,494.24 CL TX MCP DISLOC W MANIP;SINGL 26700 $555.94 CL TX MED MALL FX S MANP 27760 $555.94 CL TX MED MALLEOLLUS FX;W MANI 27762 $3,494.24 CL TX MEDIAL ANKLE FX;WO MANIP 27760 $555.94 CL TX METACARPL FX W MANIP EXT 26607 $7,057.23 CL TX METATARSAL FX; W MANIP 28475 $555.94 CL TX METATARSAL FX;WO MANIP 28470 $555.94 CL TX MTP JNT DISLOC WO ANESTH 28630 $555.94 CL TX MTP JNT DISLOC; W ANESTH 28635 $3,494.24 CL TX MTP JOINT DISLO;W ANESTH 28635 $3,494.24 CL TX NAS FX W/WO STABIL 21337 $6,752.59 CL TX NASAL BONE FX WO MANIPUL 21310 $555.94 CL TX NASAL BONE FX;W/STABILIZ 21320 $6,752.59 CL TX NASAL SEPTAL FX 21337 $6,752.59 CL TX NAVICULAR FX;WO MANIP 25622 $555.94 CL TX 'NURSEMAID ELBOW' W MANI 24640 $555.94 CL TX OF MALLET FINGER 26432 $3,494.24 CL TX OF MAND FX W ID FIX 21453 $12,504.78 CL TX OF NASAL BONE FX;WO STAB 21315 $3,478.64 CL TX ORIX HUMERAL FX;W MANIP 23605 $3,494.24 CL TX PAT DISLOC-NO ANES 27560 $555.94 CL TX PATELLAR DISLOC;WO ANEST 27560 $555.94 CL TX PHAL SHAFT FX/ W MANIPUL 26725 $555.94 CL TX PHALNX/PHALNG FX WO MANI 28510 $555.94 CL TX PHANG SHAFT FX; W MANIP 26725 $555.94 CL TX POST ANKLE FX W/MNPJ 27768 $3,494.24 CL TX POST HIP DISLC WO ANESTH 27265 $555.94 CL TX POST MALLEOLUS FX;WO MAN 27767 $555.94 CL TX POSTOP HIP DISLOC W ANES 27266 $3,494.24 CL TX PROX FIB/SHAFT FX WO MAN 27780 $555.94 CL TX PROX FIB/SHFT FX; W MANI 27781 $3,494.24 CL TX PROX HUMERAL FX WO MANIP 23600 $555.94 CL TX PROX HUMERAL FX; W/O MAN 23600 $555.94 CL TX PROX TIBIAL FX W SK TRAC 27752 $3,494.24 CL TX PROX TIBIAL FX;WO MANIP 27530 $555.94 CL TX RAD HD/NK FX WO MANIP 24650 $555.94 CL TX RADIAL & ULNAR SHFT FX/ 25560 $555.94 CL TX RADIAL HD/NECK FX W/MANI 24655 $3,494.24 CL TX RADIAL HD/NECK FX; W MAN 24655 $3,494.24 CL TX RADIAL SHFT FX W MANIP 25505 $3,494.24 CL TX RADIAL/ULNR FX W MANIP 25565 $3,494.24 CL TX RADIO/INTRCRPL DISLC; 1+ 25660 $555.94 CL TX SC/TC HUM SHFT FX; W MAN 24535 $3,494.24 CL TX SC/TC HUMERUS FX;WO MANI 24530 $555.94 CL TX SCAPULAR FX; WITH MANIP 23575 $3,494.24 CL TX SCAPULAR FX;WO MANIP 23570 $555.94 CL TX SHLDR DISL W MANIP W ANE 23665 $3,494.24 CL TX SHLDR DISL W MANIP;W ANE 23655 $3,494.24 CL TX SHLDR DISLOC W GT FX; W/ 23665 $3,494.24 CL TX SHLDR DISLOC W MANIP;WO 23650 $555.94 CL TX SHLDR DISLOC; W NK FX W 23675 $3,494.24 CL TX TALOTARSL JT DIS WO ANES 28570 $555.98 CL TX TALUS FX; W MANIP 28435 $3,494.24 CL TX TIB SHFT FX;W/O MANIP 27750 $555.94 CL TX TIBIAL SHFT FX;W MANIP 27752 $3,494.24 CL TX TMT JNT DISLOC; WO ANEST 28600 $555.94 CL TX TRAUMTIC HIP DISLOC; WO 27250 $555.94 CL TX TRIMALL ANKLE FX W/O MAN 27816 $555.94 CL TX TRIMALLEOLAR FX;WO MANIP 27816 $555.94 CL TX TRIMALLR ANKLE FX; W MAN 27818 $3,494.24 CL TX TRNS-SCPLR FX/DISLOC; W 25680 $555.94 CL TX ULNAR FX PROXML END W M 24675 $3,494.24 CL TX ULNAR SHAFT FX; WO MANIP 25530 $555.94 CL TX ULNAR SHFT FX W MANIP 25535 $555.94 CL TX ULNAR SHFT FX W/MANIP 25535 $555.94 CL TX ULNAR SHJFT FX;WO MANIP 25530 $555.94 CL TX ULNAR STYLIOD FX 25650 $555.94 CL TX WB DISTL TIB W MANIP; W/ 27824 $555.94 CL TX WB TIB FX W/WO ANESTH; W 27825 $3,494.24 CL WND SUCT EVAC 100CC W/Y CON A4624 $8.01 CLADRIBINE 1MG/ML INJ $39.56 CLAFORAN 1GM VIAL INJ $14.19 CLAFORAN 2GM VIAL INJ $4.74 CLAMP COMBINA-CATEG 1 $970.07 CLAMP, RING-TO-ROD-CATEG 1 $890.00 CLAMP-CATEG 1 $1,371.91 CLARFYING CLAY MASQUE $134.20 CLASS I MALOCCLUSION D8070 $2,100.00 CLASS II MALOCCLUSION D8080 $2,100.00 CLASS II MALOCCLUSION_ D8080 $2,100.00 CLASS III MALOCCLUSION D8090 $2,100.00 CLAVE EXT W/T-CONNCTOR C1751 $562.32 CLAVE EXTENSION SET C1751 $544.79 CLAVE EXTENSION SET#12241-01 $2.00 CLAVE MALE ADAPTER#11956-01 $1.32 CLAVE OMNI-FLOW #11820-01 $4.66 CLAVE PIGGYBACK MICRO#11962-68 $7.78 CLAVE PLUM W/FILTER#11947-12 $5.87 CLAVE PLUMSET#11943-12 $4.66 CLAVE PRIM. PIGGYBACK#11961-68 $7.05 CLAVE SOLUSET#11964-02 $587.52 CLAVICLE 73000 $205.74 CLAVICULECTOMY; PARTIAL 23120 $7,057.23 Clean/insp of maxl prt denture D9934 $80.00 CLEANERXT THROMBCTOMY CATH C1757 $825.00 CLEARVIEW MANDIBLE C1713 $4,509.00 CLEOCIN 1% TOPICAL SOL 30ML J3490 $2.51 CLEUPREX 100ML $362.50 CLINDAMYCIN 150MG CAP J3490 $1.17 CLINDAMYCIN 150MG CAPSULE J8499 $1.37 CLINDAMYCIN 1MG/0.1ML $55.00 CLINDAMYCIN 300MG ADD VANTAGE $3.95 CLINDAMYCIN 300MG ADDVANTAGE INJ S0077 $5.80 CLINDAMYCIN 300MG/2ML INJ $0.36 CLINDAMYCIN 300MG/50ML D5W $4.45 CLINDAMYCIN 300MG/50ML IV S0077 $17.31 CLINDAMYCIN 600MG ADD VANTAG $11.29 CLINDAMYCIN 600MG ADD VANTAGE $6.74 CLINDAMYCIN 600MG/4ML INJ $20.95 CLINDAMYCIN 600MG/50ML IV S0077 $4.04 CLINDAMYCIN 75MG/ML ORAL SOL J3490 $1.47 CLINDAMYCIN 900MG/50ML D5W $10.49 CLINDAMYCIN 900MG/6ML INJ $28.91 CLINDAMYCIN PHOS 300MG/2ML $0.19 CLING BANDAGE $15.40 CLINIC 86689 $47.32 CLINIC G0176 $300.00 CLINIC G0176 $300.00 CLINIC G0177 $300.00 CLINIC G0410 $300.00 CLINIC 90791 $316.00 CLINIC 90832 $316.00 CLINIC 90834 $316.00 CLINIC 90834 $316.00 CLINIC 90846 $316.00 CLINIC 90846 $316.00 CLINIC 90847 $316.00 CLINIC 90847 $316.00 CLINIC 90849 $316.00 CLINIC 90849 $316.00 CLINIC 90853 $316.00 CLINIC 90853 $316.00 CLINIC 90853 $316.00 CLINIC 90865 $316.00 CLINIC 90889 $316.00 CLINIC 99201 $325.00 CLINIC 99211 $325.00 CLINIC 99401 $325.00 CLINIC 99401 $325.00 CLINIC 99401 $325.00 CLINIC 99401 $325.00 CLINIC 99202 $342.00 CLINIC 99212 $342.00 CLINIC 99402 $342.00 CLINIC 99402 $342.00 CLINIC 99402 $342.00 CLINIC 99402 $342.00 CLINIC 99203 $373.00 CLINIC 99213 $373.00 CLINIC 99403 $373.00 CLINIC 99403 $373.00 CLINIC 99403 $373.00 CLINIC 99403 $373.00 CLINIC 90911 $378.98 CLINIC 99204 $403.00 CLINIC 99214 $403.00 CLINIC 99404 $403.00 CLINIC 99404 $403.00 CLINIC 99404 $403.00 CLINIC 99404 $403.00 CLINIC 99205 $436.00 CLINIC 99215 $436.00 CLINIC 99211 $586.42 CLINIC 99212 $586.42 CLINIC 99213 $586.42 CLINIC 99214 $586.42 CLINIC 99215 $586.42 CLINIC 99201 $640.38 CLINIC 99201 $640.38 CLINIC 99202 $640.38 CLINIC 99202 $640.38 CLINIC 99203 $640.38 CLINIC 99203 $640.38 CLINIC 99204 $640.38 CLINIC 99204 $640.38 CLINIC 99205 $640.38 CLINIC 99205 $640.38 CLINIC 99211 $640.38 CLINIC 99211 $640.38 CLINIC 99211 $640.38 CLINIC 99211 $640.38 CLINIC 99211 $640.38 CLINIC 99212 $640.38 CLINIC 99212 $640.38 CLINIC 99212 $640.38 CLINIC 99212 $640.38 CLINIC 99212 $640.38 CLINIC 99213 $640.38 CLINIC 99213 $640.38 CLINIC 99213 $640.38 CLINIC 99213 $640.38 CLINIC 99213 $640.38 CLINIC 99214 $640.38 CLINIC 99214 $640.38 CLINIC 99214 $640.38 CLINIC 99214 $640.38 CLINIC 99214 $640.38 CLINIC 99215 $640.38 CLINIC 99215 $640.38 CLINIC 99215 $640.38 CLINIC 99215 $640.38 CLINIC 99215 $640.38 CLINIC 99401 $640.38 CLINIC 99401 $640.38 CLINIC 99401 $640.38 CLINIC 99401 $640.38 CLINIC 99402 $640.38 CLINIC 99402 $640.38 CLINIC 99402 $640.38 CLINIC 99402 $640.38 CLINIC 99403 $640.38 CLINIC 99403 $640.38 CLINIC 99403 $640.38 CLINIC 99403 $640.38 CLINIC 99404 $640.38 CLINIC 99404 $640.38 CLINIC 99404 $640.38 CLINIC 99404 $640.38 CLINIC 99404 $640.38 CLINIC 96116 $643.62 CLINIC 27428 $30,680.34 CLINIC GROUP SESSION (7) 90853 $316.00 CLINICAL EVAL OF SWALLOWING FU 92610 $189.82 Clip Applier Ligaclip Medium C1713 $42.68 Clip Applier Ligamax lapar 5mm C1713 $731.54 CLIP GUN KIT 10/PK* C1713 $1,104.38 CLIP HADA-CATEG 1 $3,107.09 Clip Scalp raney AcraClip gun C1713 $60.00 Clip Scalp raney Clipgun C1713 $109.73 CLIP TITAN-CATEG 1 $1,463.82 CLNSCOPY VIA STOM;W TUM REM SN 44394 $2,588.89 CLO LACRIMAL PUNCTUM; BY PLUG 68761 $697.33 CLO LACRIMAL PUNCTUM; THERMOCA 68760 $697.33 CLO TX MC FX SING/ W MANIP EA 26605 $555.94 CLO TX NASAL BONE FX/WO STAB 21315 $3,478.64 CLO TX NASAL BONE FX; W/STABIL 21320 $6,752.59 CLO TX PHAL SHAFT FX; WO MANIP 26720 $555.94 CLO TX RADIAL & ULNAR FX W WNP 25565 $3,494.24 CLO TX SHOULDER DISLOC W/MANIP 23650 $555.94 CLOBAZAM 10MG TABLETS J3490 $7.33 CLOBAZAM 5MG TABLETS $3.92 CLOBETASOL PROP 0.05% CREAM J3490 $19.35 CLOMIPRAMINE 80299 $41.01 CLOMIPRAMINE 75MG CAP $10.80 CLOMIPRAMINE HCL 25MG CAPSULE $1.02 CLOMIPRAMINE HCL 50MG CAPSULE $1.38 CLONAZEPAM 80299 $41.01 CLONAZEPAM 0.5MG TAB J3490 $1.07 CLONAZEPAM 1MG TAB J3490 $1.46 CLONAZEPAM ORAL SOL CHERRY J3490 $0.48 CLONIDINE 0.1MG TAB J8499 $0.20 CLONIDINE 0.2MG TAB J8499 $0.80 CLONIDINE 1MG TAB $0.42 CLONIDINE HCL 0.2MG TABLET $0.42 CLONIDINE HCL 0.3MG TABLET U-D $0.66 CLONIDINE HCL ORAL; 1MG J0735 $9.89 CLONIDINE TTS1 PATCH $22.01 CLONIDINE TTS2 PATCH $38.40 CLONIDINE TTS3 PATCH $67.78 CLOPIDODREL TAB - 300MG J8499 $61.25 CLOPIDODREL TAB - 75MG J8499 $15.31 CLOPIDOGREL 75MG TAB J8499 $4.42 CLORAX SOLUTION 3840ML $0.01 CLORAZEPATE DIP 7.5MG TAB PO $4.69 CLORAZEPATE LEVEL 80346 $11.99 CLOS RECTOVAGNL FIST;VAG/TRNSA 57300 $6,440.19 CLOS TX ANKLE DISLOC;WO ANESTH 27840 $555.94 CLOS TX CMC DISLOC W MANIP W A 26675 $3,494.24 CLOS TX DIST RADIAL FX; REQ MA 25605 $3,494.24 CLOS TX DISTAL FIB FX WO MANIP 27786 $555.94 CLOS TX EX HUMERUS FX; WO MANI 24565 $3,494.24 CLOS TX FX GRT PHALANX;W MANIP 28495 $555.94 CLOS TX NASAL BN FX; WO MANIP 21310 $555.94 CLOS TX PATELLAR FX;WO MANIP 27520 $555.94 CLOS TX RADIAL HEAD SUBLUX CHI 24640 $555.94 CLOS TX VERT BDY FX NO MANIP W 22310 $555.94 CLOS TX VERT FX/DISLOC W/CAST 22315 $7,057.23 CLOS URETHROSTOMY FISTULA; MAL 53520 $10,909.23 CLOSE CYSTOSTOMY 51880 $7,541.33 CLOSE GASTROSTOMY; SURG 43870 $7,731.72 CLOSE LACRIMAL FISTULA 68770 $4,989.01 CLOSE URETHROVAGINAL FISTULA 57310 $17,283.97 CLOSE VESICOVAGINL FISTULA; VA 57320 $11,012.14 CLOSED DRAINAGE FOLEY SYS 16FR A4340 $20.27 CLOSED MAXILLA FRACTURE D7560 $3,037.00 CLOSED RED DISLOCATION D7820 $885.00 CLOSED RED MANDIBLE FX D7640 $4,052.00 CLOSED RED MANDIBLE FX COMPD D7740 $4,130.00 CLOSED TC TMJ DISLOC;INITIAL 21480 $555.94 CLOSED THOROCOTOMY TRAY $71.50 CLOSED TREAT NASAL BONE FRAC W 21315 $3,478.64 CLOSED TREATMENT OF DISTAL FIB 27788 $555.94 CLOSED TX FEMORAL FX;WO MANIP 27508 $555.94 CLOSED TX PHALAX 28515 $555.94 CLOSED TX ULNAR FR PROXIMO END 24670 $555.94 CLOSED TX ULNR STYLOID FX 25650 $555.94 CLOSURE LAC VESTIBULE OF MOUTH 40830 $524.99 CLOSURE OF SALIVARY FISTULA D7983 $2,677.00 CLOSURE SALIVARY FISTULA 42600 $6,752.59 CLOT RETRACTION 85170 $35.86 CLOTING;FACTOR V 85220 $43.14 CLOTRIMAZOLE 1% CREAM 15GM J3490 $15.61 CLOTRIMAZOLE 10MG TROCHE J3490 $37.91 CLOTTING FUNCT ACTIVITY 85397 $67.89 CLOTTING INHIBITOR PROTEIN S F 85306 $37.47 CLOTTING; FACTOR IX 85250 $46.55 CLOTTING; FACTOR X111-FS 85290 $39.93 CLOTTING;FACTOR II PROTHROMBIN 85210 $31.75 CLOTTING;FACTOR XIII SCREEN SO 85291 $21.74 CLOWARD VERTEBRA SPREADER 85MM $150.00 CLOZAPINE 80159 $45.21 CLOZAPINE 50MG TABLET J3490 $1.65 CLOZAPINE LEVEL 80346 $11.99 CLOZARIL 100MG TAB J3490 $4.48 CLOZARIL 25MG TAB J3490 $1.91 CLSD DRAINAGE BAG $3.59 CLSD TX ACLAV DISLOC; W/ MANIP 23545 $555.94 CLSD TX CLAV FX NO MANIP 23500 $555.94 CLSD TX FING FX-NO MANIP 26720 $555.94 CLSD TX IP DISLOC W ANES 26775 $592.46 CLSD TX MT FX W/O MANIP 28470 $555.94 CLSD TX SCAPH FX W MANIP 25624 $3,494.24 CLSD TX TMJ DISLOCATION 21480 $555.94 CLTX CARPL BONE EX W MNP EA BO 25635 $3,494.24 CLTX DSTL RADIAL FX/EPIPHYSL S 25600 $555.94 CLTX MED ANKLE FX; W MANIP 27762 $3,494.24 CLTX POST HIP ARTHRPLSTY DISLC 27265 $555.94 CLUBFT CAST W MLD/MANIP; LNG/S 29450 $344.76 CLUSTER ACETA HIP SHELL GCUP C1776 $1,200.00 CLUSTER ACETABULAR SHELL C1776 $1,200.00 CLUSTER ACETABULAR SHELL 48MM D CUP C1776 $1,200.00 CLUSTER ACETABULAR SHELL 54MM F CUP C1776 $1,200.00 CLUSTER ACETABULAR SHELL 58MM G CUP C1776 $1,200.00 CLYNDAMYCIN 900 MG ADD VANT $12.31 CMC TENDON TRNSFR/TRNSPLNT 26480 $7,057.23 CMPL BI D SCAN EXT VEIN 93970 $600.78 CMPLX REP E/N/E/L; 1.1-2.5CM 13151 $1,281.35 CMPLX REP E/N/E/L; 2.6-7.5CM 13152 $1,281.35 CMPLX REP F/G/H/F; 1.1-2.5CM 13131 $823.72 CMPLX REP F/G/H/F; 2.6-7.5CM 13132 $1,281.35 CMPLX REP H/A/G/EXTR; EA ADD 5 13133 $280.41 CMPLX REP S/A/L; 1.1-2.5CM 13120 $1,281.35 CMPLX REP TRUNK;1.1-2.5CM 13100 $1,281.35 CMPLX REP; S/A/L 2.6-7.5CM 13121 $1,281.35 CMPLX RPR S/A/L; 1.1-2.5CM 13120 $1,281.35 CMPLX RPR S/A/L; 2.6-7.5CM 13121 $1,281.35 CMPLX RPR TRUNK; 1.1-2.5CM 13100 $1,281.35 CMPLX RPR TRUNK; 2.6-7.5CM 13101 $1,281.35 CMPLX SUTURE LIV WND/INJ 47360 $4,080.43 CMV ANTIBODY 86644 $35.18 CMV CULTURE 87254 $47.81 CMV DNA BY PCR 87496 $85.78 CMV IGG 86644 $35.18 CMV IGM IFA 86645 $41.18 CMV NEG &/OR SIC NEG UNITS 86644 $35.18 CMV-CF 86644 $35.18 CMV-NEG LR IRRAD RBC EA PEDS P9058 $542.92 CMVNEGATIVEUNIT 86644 $35.18 CNTRL NASL HEMOR POSTR INITIAL 30905 $281.09 CNTRL NASL HEMOR POSTR INTIAL 30905 $281.09 CNTRL NASL HEMR ANTER COMPLEX 30903 $281.09 CNTRL NASL HEMR ANTER COMPLEX 30903 $281.09 CNTRL NOSE BLEED-ANT/SMP 30901 $281.09 CNTRL OROPHARYN HEMORRH; COMP 42961 $903.19 CNTRL OROPHARYNGEAL HEM;REQ SU 42962 $6,752.59 CNTRL OROPHARYNGEAL HEMORRH;SI 42960 $1,138.76 CNTRL VEN CATH TRY 3FR 8CM C1751 $90.77 CNTRL VEN CATH TRY 5FR 15CM C1751 $99.29 CO DIFFUSING CAPACITY 94729 $21.84 CO2 82374 $11.95 CO2 BF 82374 $11.95 CO2 BREATHING RESPONSE CARE 94400 $356.66 CO2 DETERMINATION 94400 $356.66 CO2 EXPIRED GAS DETERM-INFRARE 94770 $356.66 CO2 OMNIGUIDE LASER C1713 $1,567.50 COAPTITE INJECTABLE 1ML SYRINGE L8606 $549.45 COARSE BUR, EXTRA SHORT 7.0MM C1713 $151.20 COARSE DIAM BUR SUPER LNG 4.0M C1713 $178.82 COARSE DIAMON BUR SUPER LONG C1713 $178.82 COARSE DIAMON BUR, SHORT 5.0MM C1713 $142.50 COARSE DIAMOND BUR, SHORT C1713 $142.50 coartem(artemeth/lumefantri) $0.10 COAT GUIDEWIRE STRGHT FLEX TIP C1713 $16.47 Cobla Wand 4.2mm/90 deg suct $375.00 Coblat Wand 3.75mm/90 deg suct $375.00 Coblation Wand Evac 70Xtra ade $383.39 COBRA GLIDE CATH 4FRXC2 65CM C1769 $536.25 COBRA IMAGER CATH II 5FR C1758 $135.30 COCAINE HCL 4% SOLUTION 4ML $5.14 COCAINE OR METABOLITE ASSAY 80353 $11.99 COCAINE W/ METABOLITES 80307 $142.23 COCCIDIOIDES IMM DIF 86635 $28.05 COCHLEAR IMPL EXAM&PROG; <7 YR 92601 $356.66 COCHLEAR IMPL EXAM&PROG; 7+ YR 92603 $356.66 COCHLEAR IMPL REPROG; <7 YRS 92602 $356.66 COCHLEAR IMPL REPROG; 7+ YRS 92604 $356.66 COCHLEAR SUPPLY L8690 $4,041.94 CODA BALL CATH.035 COMPL POST C1725 $664.50 CODA BALLOON CATHETER 10FR C1725 $664.50 CODEINE PHOS 30MG/ML INJ $1.50 CODEINE PHOS/APAP 120MG/12MG 5 J3490 $0.44 CODEINE PHOS/APAP 30-300MG #3 J3490 $0.75 CODEINE SCREEN URINE 80307 $142.23 CODEINE SULFATE 15MG TAB J3490 $0.54 CODEINE SULFATE 30MG TAT $0.71 CODMAN MIRCO SENSOR SKULL BOLT C1713 $1,110.08 CO-ENZYME Q-10 $0.78 COFIELD 2 HUMERAL STEM C1776 $3,832.50 COFIELD HUM STEM 6MMx115MM C1776 $3,832.50 COGNITIVE TEST BY HC PRO 96125 $406.57 COLACE 100MG/10ML UD LIQ J3490 $0.16 COLCHICINE 80299 $41.01 COLCHICINE 0.6MG TAB J3490 $0.27 COLD AGGLUTININ 86940 $20.04 COLD AGGLUTININ TITER 86157 $19.71 COLD AGGLUTININS 86738 $32.36 COLD AGGLUTININS TITER 86738 $32.36 COLD AGGLUT'N SCREEN 86156 $17.75 COLD AGGLUT'N TITER 86157 $19.71 COLD STOOL FOR O+P 87177 $21.76 COLGN CROSS-LINK CRN MED SEP 0402T $4,989.55 COLLAGEN CROSS LINKS 82523 $45.67 COLLAGEN CROSS LINKS ANY METHO 82523 $45.67 COLLAGEN DRESSING A6022 $97.62 COLLAR-CATEG 1 $147.50 COLON SCRN;BE ALTERN TO COLONS G0120 $984.43 COLONOS W HOT BX BIPOLAR 45384 $2,588.89 COLONOSCOPY AND BIOPSY 45380 $2,589.20 COLONOSCOPY FLEX; DX-SEP PROC 45378 $1,969.31 COLONOSCOPY FLEX; W/BX 1/MX 45380 $2,588.89 COLONOSCOPY FLEX; W/REMV LES-S 45385 $2,588.89 COLONOSCOPY LASER BIOPSY 45382 $2,588.89 COLONOSCOPY STOMA 44388 $1,969.31 COLONOSCOPY VIA STOM;WBX;SING 44389 $2,588.89 COLONOSCOPY W BALLOON DIL;1/ 13102 $158.97 COMPLICATED SYTURE - UP TO 5CM D7911 $525.00 COMPLX DYNAMIC PHARYNGEAL 70371 $600.78 COMPLX UROFLOWMETRY 51741 $356.66 COMPONENT FEM KNEE-CATEG 1 C1776 $5,677.89 COMPONENT HEAD-CATEG 1 C1776 $2,288.32 COMPONENT HEAD-CATEG 3 C1776 $4,834.38 COMPONENT PATELLAR-CATEG 1 C1776 $1,437.31 COMPONENT STEM-CATEG 1 C1776 $4,639.40 COMPONENT STEM-CATEG 2 C1776 $8,855.29 COMPONENT TIBIA-CATEG 1 C1776 $3,614.26 COMPOS MESH LOW PROF POLY&PTFE C1781 $570.00 COMPOSIX 7.2X9.2 C1781 $1,863.00 COMPOSIX 7.2X9.2 C1781 $1,986.00 COMPREHENSIVE HEARING TEST 92557 $356.66 COMPREHENSIVE METABOLIC PANEL 80053 $25.83 COMPREHENSIVE METABOLIC PANEL 80053 $25.83 COMPREHENSIVE ORAL EVALUATION D0150 $252.00 COMPREHENSIVE ORAL EXAM D0160 $224.00 COMPREHENSIVE PERIDONTAL EVALUA D0180 $252.00 COMPREHENSIVE-HEARING TEST 92557 $356.66 COMPRESS-CATEG 1 $143.40 Compression Facial Garment $45.00 COMPRESSION GUIDE C1713 $645.46 COMPRESSION SCREW C1713 $37.50 COMPRESSION SCREWS HEADLESS 30x22MM C1713 $630.00 COMPRESSOR AIR POWER SOURCE EQUIPMENT E0565 $9.00 COMPTR OPHTH DX IMG ANT SEGMT 92132 $161.31 COMRESSION SCRW HEADLESS3.0MM C1713 $399.00 CONDITIONING PLAY AUDIOMETRY 92582 $356.66 CONDITIONING PLAY-AUDIOMETRY 92582 $356.66 CONDUIT TCP 30CC C1713 $1,890.00 Condylectomy D7840 $7,361.00 CONE BEAM CT CAPT & INTERP D0364 $200.00 CONE BEAM CT CAPT BOTH JAWS D0383 $200.00 CONE BEAM CT CAPT LIMITED D0380 $200.00 CONE BEAM CT CAPT MANDIBLE D0381 $200.00 CONE BEAM CT CAPT MAXILLA D0382 $200.00 CONE BEAM CT CAPTURE TMJ D0384 $200.00 CONE BEAM CT INTERP BOTH JAW D0367 $200.00 CONE BEAM CT INTERPRETE MAN D0365 $200.00 CONE BEAM CT INTERPRETE MAX D0366 $200.00 CONE BEAM CT INTERPRETE TMJ D0368 $200.00 CONE TIP 5FR URET CATH POLY C1758 $131.25 CONE-CATEG 1 $2,749.67 CONFIDENCE SPINAL CEMENT SYST C1713 $4,995.00 CONIZA CERV W/WO D&C; LOOP ELE 57522 $6,440.19 CONIZATION CERV W/WO D&C; KNIF 57520 $6,440.19 CONIZATION CERVIX W SCOPE;LEEP 57461 $6,440.19 CONIZATION CERVIX; LEEP 57522 $6,440.19 CONIZATION CERVX W/SCOPE;LEEP 57461 $6,440.19 CONJ ESTROGENS INJECT-25MG J1410 $85.57 CONJ FLAP PATIAL 68360 $8,061.64 CONJ FLAP TOTAL 68362 $4,989.01 CONJUCTIVAL GRAFT 68320 $4,989.01 CONJUCTIVORHINOSTOMY;WO TUBE I 68745 $8,061.64 CONJUNCTVPLSTY;W GFT/REARRANGM 68326 $8,061.64 Connect Accuflo strght 11mm C1713 $186.00 Connect Accuflo strght metal C1713 $153.00 CONNECTIVE TISSUE/IMPLANT REPAIR C1763 $0.01 Connector bar D6920 $350.00 CONNECTOR-CATEG 1 $447.50 Connor Anes Cannula 2 C1713 $276.00 CONNOR ANESTHESIA CANNULA 27GA A4615 $31.50 CONNOR CANNULA SUB-TENON ANEST A4615 $276.00 CONQUEST FEM STEM 13 C1776 $2,470.50 CONQUEST FEM STEM SZ13 C1776 $2,470.50 CONQUEST FX - STEM SZ 12 C1776 $2,470.50 CONQUEST FX - STEM SZ 18 C1776 $2,470.50 CONQUEST FX STEAM 18 C1776 $2,470.50 CONQUEST FX STEM SZ#14 C1776 $2,470.50 CONQUEST FX, STEM 12 $3,294.00 CONSTELL SYS 25GA TROCAR PLUGS C1781 $468.00 CONSTR IM ADHES MED TARSORRHAP 67880 $4,989.01 CONSTRUCT INTERMARGINAL ADHESI 67880 $4,989.01 CONSULT-REF SLIDES 88325 $127.53 CONSULT-REF SLIDES PREP ELSW 88321 $86.20 CONSULT-SLIDES ONLY 88321 $86.20 CONSULT-WET TISSUE 88323 $127.53 CONT EAR PULSE OXIMETRY 94762 $356.66 CONT EAR/PULSE OXIMETRY 94762 $356.66 CONT ECG MONITOR-24 HR 93224 $143.88 CONT GLUC MNTR PT PROV EQP 95249 $141.83 CONT INHALATION TRTMT 1ST HOUR 94644 $281.09 CONT INTRAOP NEURO MONITOR;OR 95940 $77.34 CONT MED PHYSICS CNSLT PER WK 77336 $326.37 CONTACT EMG ENDOTRACH TUBE 8MM A4624 $454.50 CONTACT LENS FITTING;TX 92071 $80.74 CONTACT LENS PMM BIFOCAL V2502 $281.60 CONTIGEN BARD COLLAGEN IMPLANT INJ L8603 $524.93 CONTRAST BATH EA 15 MIN 97034 $33.00 CONTRAST INJ EVAL CVAD 36598 $473.68 CONTRAST MEDIA $3,569.38 CONTRL NASAL HEMORR-ANT-SIMPL 30901 $281.09 CONTROL BONE SCREW 80/35 C1713 $1,134.00 CONTROL BONE SCREW 80/35 C1713 $1,134.00 CONTROL NASAL HEMORRH ANT;COMP 30903 $281.09 CONTROL NASAL HEMORRH;ANT;SIMP 30901 $281.09 CONTROL OROPHARYGNEAL HEMRHGE 42960 $1,138.76 CONTROL OROPHARYNGEAL HEMORRH; 42960 $1,138.76 CONTRST INJ ABSC PREV CATH SEP 49424 $84.72 COOMBS DIRECT 86880 $86.20 COOMBS TEST (AHG TITER-NON-PRE 86886 $369.93 COOMBS TEST (AHG TITER-PREG. O 86886 $369.93 COOMBS TEST INDIRECT TITER 86886 $369.93 COORDINATION EXERCISES 97112 $76.85 COPAXONE J1595 $327.80 COPPER 82525 $30.34 COPPER BLOOD 82525 $30.34 COPPER IN RBC'S 82525 $30.34 CORACOACROMIAL LIGAMENT RELEAS 23415 $15,421.60 CORE BUILDS UP WITH PINS D2950 $280.00 CORE STERI SHRT FIX PIN HEX C1713 $5,934.00 CORING TUBING A4624 $697.50 CORKSCREW 3.5MM SUTURE ANCHOR#2 C1713 $292.50 CORKSCRW,SUTRE ANCHR,FIBRWRE C1713 $292.50 CORNARL TRANSPLANT ANT LAMELLA 65710 $9,843.75 CORNEA V2785 $292.50 CORNEA OPH BURR 0.5MM COMP SET C1713 $262.50 CORNEAL RELAXING INCS-ASTIGMAT 65772 $2,080.39 CORNEAL TISSUE-CATEG 1 V2785 $9,329.41 CORNEAL TOPOGRAPHY 92025 $161.31 CORNEAL TRANSPLANT IN APHAKIA 65750 $9,843.75 CORNEAL TRANSPLANT IN PSEUDOPH 65755 $9,843.75 CORNEAL TRNSPL ENDOTHELIAL 65756 $9,843.75 CORNEL OF TOPOGRAPHY 92499 $50.36 COROENT XL 10X18X55 C1713 $8,205.60 COROENT XL 10X22X50 C1713 $11,121.00 CORONARY ART/GRFT ANGIO S&I 93455 $7,347.23 CORONARY ARTERY ANGIO S&I 93454 $7,347.23 Coronectomy-part tooth removal D7251 $250.00 Coronectomy-part tooth removal D7251 $455.00 Coronoidectomy D7991 $6,076.00 CORONOIDECTOMY 21070 $12,504.78 CORPORA CAVERNOSOGRAPHY-RAD S 74445 $288.95 CORRECT BUNION W/WO SESMDCTMY 28299 $15,421.60 CORRECT COCKUP 5TH TOE W PLSTC 28286 $7,057.23 CORRECT EVERTED PUNCTUM CAUTER 68705 $697.33 CORRECT EYELID W IMPLANT 67912 $4,989.01 CORRECT HAMMERTOE 28285 $7,057.23 CORRECT LID RETRACTION 67911 $4,989.01 CORRECT TRICHIASIS; EPILAT-FOR 67820 $281.09 CORTENEMA 100MG/60ML 60ML $0.42 CORTEX SCREW 2.4, 20MM C1713 $161.25 CORTEX SCREW 2.4/20MM C1713 $96.75 CORTEX SCREW 2.4x18MM C1713 $159.00 CORTEX SCREW 3.5 C1713 $159.00 CORTEX SCREW 3.5MM C1713 $25.88 CORTEX SCREW 3.5MM SELF-TAPPING 30MM C1713 $32.63 CORTEX SCREW 3.5MM SELF-TAPPING 36MM C1713 $28.47 CORTEX SCREW 3.5MM SELF-TAPPING 40MM C1713 $32.63 CORTEX SCREW 3.5MMx12MM C1713 $267.75 CORTEX SCREW 3.5x20MM C1713 $28.50 CORTEX SCREW 3.5x28MM C1713 $25.88 CORTEX SCREW 4.5MMx36MM C1713 $30.75 CORTEX SCREW 4.5MMx40MM C1713 $39.38 CORTEX SCREW 4.5x90MM C1713 $360.00 CORTEX SCREW SELF-TAPPING 3.5x26MM C1713 $60.38 CORTEX SCREW SS 2.4MMx34MM C1713 $96.75 CORTICAL BLCK SPINALGRAFT TECH C1768 $1,582.50 CORTICAL BONE SCREW 120/40MM C1713 $192.00 CORTICAL BONE SCREW 2.3MM C1713 $237.60 CORTICAL BONE SCREW 3.5 X C1713 $118.12 CORTICAL BONE SCREW 3.5x28MM C1713 $237.60 CORTICAL BONE SCREW 70/20 C1713 $237.60 CORTICAL BONE SCREW 90 X C1713 $237.60 CORTICAL BONE SCREW 90xVARIOUS C1713 $237.60 CORTICAL SCREW 1.7MM X C1713 $124.32 CORTICAL SCREW 2.4x12MM C1713 $237.60 CORTICAL SCREW 2.5x10MM C1713 $237.60 CORTICAL SCREW 3.2 C1713 $255.00 CORTICAL SCREW 3.5 X 14 C1713 $70.12 CORTICAL SCREW 3.5 X VARIOUS C1713 $37.29 CORTICAL SCREW 3.5MMx36MM C1713 $37.29 CORTICAL SCREW NON-LOCKING 3.5MMxVARIOUS C1713 $59.40 CORTICAL SCREW SELF TAP 4.5MM C1713 $46.86 CORTICAL SCRW NONLOCKING 3.5MM C1713 $76.80 CORTICAL SCRW SS SELF TAP 2.7 C1713 $40.17 CORTICOSTERONE 82528 $55.04 CORTISOL 82533 $39.84 CORTISOL FREE (URINE) 82530 $40.85 CORTISOL/PLASMA 82533 $39.84 CORTISOL/PLASMA OTHE 82533 $39.84 CORTISOL; FREE 82530 $40.85 CORTISOL; FREE 82530 $40.85 CORTOSS 5CC $1,500.00 CORTROSYN 0.25MG VAIL $129.92 CORTROSYN 0.25MG(FOR IV PUSH O J0834 $281.37 COTAZYM CAP $1.03 COUMADIN 80299 $41.01 COUMADIN 10MG TAB J3490 $1.68 COUMADIN 1MG TAB J3490 $1.06 COUMADIN 2.5MG TAB J3490 $1.22 COUMADIN 2MG TAB J3490 $1.10 COUMADIN 5MG TAB J3490 $1.21 Covac 50 3.0mm 50 deg Suction A4624 $655.50 COVER EYE W AMNIOTIC MEMBRNE W 65779 $8,061.64 COVER EYE W/ MEMBRANE 65778 $2,080.39 COVID19 LAB TEST NON CDC U0002 $220.00 COVID19 LAB TEST NONCDC HITECH U0004 $220.00 COXSACKIE A IGM 86658 $31.83 COXSACKIE A VIRUS ANTIBODY 86658 $31.83 COXSACKIE B IGG 86658 $31.83 COXSACKIE B IGM 86658 $31.83 COXSACKIE B VIRUS ANTIBODY 86658 $31.83 CPAP VENTILATION INIT&MANAGEME 94660 $474.25 CPEP BRIEF EVALUATION E&M SF L 99281 $1,225.00 CPEP BRIEF EVALUATION E/M LOW 99282 $1,225.00 CPEP CRISIS OTRCH E/M HIGH SEV 99284 $1,225.00 CPEP CRISIS OTRCH E/M HIGH SEV 99285 $1,225.00 CPEP CRISIS OTRCH E/M MOD SV 99283 $1,225.00 CPEP FULL EVAL E/M HIGH SER UR 99284 $1,225.00 CPEP FULL EVAL E/M HIGH SEV SI 99285 $1,225.00 CPEP FULL EVAL E/M MOD SERVER 99283 $1,225.00 CPEP INTERIM CRISIS E/M HGH SE 99285 $1,225.00 CPEP INTERIM CRISIS E/M HIGH S 99284 $1,225.00 CPEP INTERIM CRISIS E/M MOD SE 99283 $1,225.00 C-PEPTIDE 84681 $50.89 CPK 82550 $15.91 CPK ISOENZYME 82552 $32.74 CPK ISOENZYMES 82550 $15.91 CPK TOTAL 82550 $15.91 CPK; MB FRACTION ONLY 82553 $28.23 CPK-MB ISOENZYME 82553 $28.23 CPLX REP E/N/E/L 2.6-7.5 CM_ 13152 $1,281.35 CPR 92950 $652.50 CPR RESPONSE 92950 $652.50 CPTR-ASST DIR MS PX 20985 $318.16 CRANBERRY 450 MG TAB $0.25 CRANIECTOMY W EXC TUM/BONE LES 61500 $2,807.82 CRANIOPLASTY FOR SKULL DFCT W 62145 $3,011.73 CRANIOTOME HANDPIECE BUR, MED C1713 $148.50 CRE WIRE GUIDED BALOON DILAT 15-18MM C1726 $348.81 CRE WIRE GUIDED BALOON DILATOR 10-12MM C1726 $339.27 CRE WIRE GUIDED BALOON DILATOR 15-18MM C1726 $348.81 C-REACTIVE PROTEIN 86140 $12.65 C-REACTIVE PROTEIN HS 86141 $31.66 CREATE AV FISTULA-SP; AUTOG GF 36825 $11,849.09 CREATE PERICARDIAL WINDOW/PART 33025 $1,661.15 CREATININE 82565 $12.52 CREATININE (BF) 82570 $12.65 CREATININE BODY FLUID 82570 $12.65 CREATININE CLEAR 82575 $23.12 CREATININE UR RANDOM 82570 $12.65 CREATININE UR T.V. 82570 $12.65 CREATININE; NOT BLOOD 82570 $12.65 CRESTOR 10 MG. PO $4.30 CRESTOR 20 MG. PO $3.45 CREWIRE GUID ESO/PYL BALL DILA C1726 $348.81 CRICOTHROIDOTOMY TRAY $93.50 Cris fol-up f-f 2p resp 90mp15 H2011 $103.95 CRISIS INTERV/15 MIN 90839 $76.74 CRISIS INTERVENT/15 MIN 90839 $76.74 CRISIS INTERVENT/PER HOUR 90839 $1,225.00 CRISIS INTERVENT/PER IEM 90840 $1,225.00 CRISIS INTERVENTION/DIEM 90840 $1,225.00 CRISIS INTERVENTION/PER HR 90839 $1,225.00 CRISIS INTERVENTION;PER 15MIN 90839 $1,225.00 CRISIS INTERVENTION;PER HOUR 90839 $1,225.00 CRISIS INTERVENTION-PER 15MIN 90839 $1,225.00 CRISIS INTERVENTION-PER HOUR 90839 $1,225.00 CRITICAL CARE E&M; 1ST 30-74 M 99291 $2,462.00 CRITICAL CARE EVAL/MGMNT; 1ST 99291 $2,462.00 CRITICAL CARE-1ST 30-74 99291 $2,462.00 CRITICAL CARE-ADDL 30 99292 $450.00 CROMOLYN OPHTH SOL 4% J3490 $24.23 CROMOLYN SODIUM 4% DROPS 10ML J3490 $7.55 CROSS 50DEGREE PROBE W/SUCT C2618 $305.55 CROSS MATCH 86805 $416.92 CROSS MATCH TEST. 86922 $369.93 CROSSCUT FISSRE RNDTIP CARBBUR C1713 $12.42 CROSSEROTW RECANALIZATION CATH C1887 $4,458.00 CROSSMATCH DTT 86999 $59.25 CROSSMATCH SEMIFINAL LRD 86999 $59.25 CROSSMATCH-AHG 86922 $369.93 CROSSMATCH-CAD FINAL 86999 $59.25 CROSSMATCH-IS 86920 $369.93 CROSSMATCH-LRD 86805 $416.92 CROSSMATCH-LRD FINAL 86999 $59.25 CROSSPIN SELF TAP LOCK SCREW C1713 $138.99 CROSSPIN SELFTAP 2.0X5MM SCREW C1713 $76.59 CROSSPIN SELFTP 5MM EMERG SCRW C1713 $99.29 CROSSPIN SLFTAP 2.3X8M LCKSCRW C1713 $93.62 CROSSPIN SLFTAP EMERGLCKSCRW C1713 $178.71 CROSSPN SELF TAP EMERG SCREW C1713 $99.29 CROSSPN SELF TAP SCRW 1.2X10MM C1713 $95.03 CROSSPN SLFTAP 2.7X8M EMERSCRW C1713 $104.96 CROWN 3/4 CAST BASED METAL D6781 $630.00 CROWN 3/4 CAST NOBLE METAL D6782 $630.00 CROWN 3/4 PORCELAIN/CERAMIC D6783 $630.00 CROWN BUILDUP W/PINS D2980 $140.00 CROWN FULL CAST D2790 $980.00 CROWN FULL CAST D6790 $1,264.00 CROWN LENGTHENING HARD TISSUE D4249 $630.00 CROWN PORCELAIN/CERAMIC D6740 $565.00 CROWN RESIN/LAB D2710 $399.00 CROWN TITANIUM D2794 $770.00 CROWN TITANIUM RETAINER D6794 $784.00 Crown-3/4 cast high noble metl D2780 $1,000.00 Crown-3/4 cast most base metal D2781 $950.00 Crown-3/4 cast noble metal D2782 $950.00 Crown-3/4 porcelain/ceramic D2783 $900.00 Crown-3/4 resin-based comp-ind D2712 $420.00 Crown-full cast base metal D2791 $1,000.00 Crown-full cast noble metal D2792 $840.00 CROWN-PFM D2750 $1,120.00 CROWN-PORC FUSE TIT/TIT ALLOYS D2753 $1,120.00 Crown-porc fused noble metal D2752 $1,050.00 Crown-porc fused to base metal D2751 $1,050.00 Crown-porcelain/ceramic D6740 $791.00 Crown-porcelain/ceramic substr D2740 $980.00 Crown-resin w/ most base metal D2721 $600.00 Crown-resin w/high noble metal D2720 $600.00 Crown-resin with noble metal D2722 $600.00 CRTCHES FORARM VARIOUS MATL PAIR E0110 $27.35 CRTCHES UNDARM OTH THAN WOOD PAIR E0114 $129.20 CRTCHS UNDARM WOOD PAIR ADJSTBL/FIX E0112 $27.35 CRUCIATE RETAINING FEMORAL RIGHT SZ#3 C1776 $1,400.28 CRUTCH ATTACHMENT WALKER EA E0157 $105.80 CRYO DEPLT FROZ PLAS P9017 $184.23 CRYOFIBRINOGEN 82595 $15.80 CRYOGLOBULIN 82595 $15.80 CRYOGLOBULIN-QUAL/SEMI QUAN 82595 $15.80 CRYOGLOBULINS UR/BLD 82595 $15.80 CRYOPRECIPITATE 82595 $15.80 CRYOPRECIPITATE REDUCED PLASMA P9044 $201.08 CRYOPRECIPITATE UNIT P9012 $110.95 CRYOPRESERVE-FREEZE-STORE EA 88240 $28.75 CRYOTHERAPY-ACNE 17340 $86.20 CRYPTOCOCCAL ANTIBODY 86641 $35.22 CRYPTOCOCCAL ANTIGEN 86403 $25.39 CRYPTOCOCCAL CSF 86403 $25.39 CRYPTOCOCCAL TITER 86406 $26.00 CRYPTOCOCCUS NEOFORM AG EIA 87327 $29.52 CRYPTOSPORIDIUM AG 87272 $29.30 CRYSTALIDENT 89060 $17.49 CSD SCRW 14MM TI ANT CRV PLATE C1713 $394.87 CSF 89051 $13.46 CSF ALBUMIN 86329 $34.34 CSF CULTURE 87070 $21.05 CSF FLOW VENTRICULOGRAPHY 78635 $1,216.78 CSF LEAKAGE IMAGING 78650 $3,279.74 CSF SPECT 78803 $253.00 CSF-OLIGOCLONAL BAND 83916 $60.26 CSLP SMALL STATURE PLATE C1713 $1,537.50 CT ABD & PELVIS W/O CONTRAST 74176 $600.78 CT ABD&PELVIS 1+SECTION/REGNS 74178 $984.43 CT ABDOMEN & PELVIS W/CONTRAST 74177 $984.43 CT ANGIOGRAPHY / PELVIS W&W/O 72191 $469.77 CT ANGIOGRAPHY /ABDOMEN W & W/ 74175 $469.77 CT ANGIOGRAPHY/CHEST W & W/O C 71275 $469.77 CT ANGIOGRAPHY/HEAD W&W/O CONT 70496 $469.77 CT ANGIOUPEXTR C+&C- 73202 $469.77 CT GUIDANCE FOR PERCUTANEOUS D 75989 $88.00 CT GUIDANCE STEREOTACTIC LOCAL 77011 $148.75 CT GUIDANCE/ PLACEMENT RAD THE 77014 $105.77 CT GUIDANCE; TISSUE ABLATION 77013 $198.00 CT GUIDED ASPIRATION 77012 $198.00 CT GUIDED BIOPSY 77012 $198.00 CT GUIDED LOCALIZATION AND IN 77012 $198.00 CT HEAD W/O CONTRAST; STROKE P 70450 $288.95 CT HEART FUNCT ADD-ON 75571 $205.74 CT HEART W/ WO DYE FUNCT 75572 $469.77 CT HEART WO DYE;QUAL CALC CALC 75571 $205.74 CT IMAGE RENDER W POSTPROCESS 76377 $220.00 CT IMAGE RENDER W/O POSTPROCES 76376 $220.00 CT LIMITED / LOCALIZATION FOLL 76380 $205.74 CT TX CMC DISLOC W MANIP NO AN 26670 $555.94 CTA ABD-AIFP-RAD S&I-W/WO CONT 75635 $469.77 CTA CHEST W/ CONTRAST; PE PROT 71275 $469.77 CTA LWR EXTREM W AND WO CONTR 73706 $469.77 CTA UP EXTREM W/ & WO CONTRAST 73206 $469.77 C-TAPER LFIT HEAD 26MM C1776 $1,500.00 CTRY/ABLTN SPF MCSA INF TURBNT 30801 $3,478.64 CUFFED FLEX DIC TRACH 10MM ID A4624 $39.50 CUFFED FLEX DIC TRACH 6MM ID A4624 $39.50 CUFFED FLEX DIC TRACH 7MM ID A4624 $39.50 CUFFED FLEX DIC TRACH 9MM ID A4624 $39.50 CULT TB/AFB ANY SOURCE W/ISOL 87116 $26.40 CULTURE OTHER (C.DIPTHERIAE CU 87070 $21.05 CULTURE OTHER (THROAT) 87070 $21.05 CULTURE P PATHOG- SCREEN 87081 $16.19 CULTURE R/O MRSA 87081 $16.19 CULTURE; IF EA ANTISERUM 87140 $13.62 CUP BIPOLAR ACET-CATEG 1 $1,125.00 CUP BIPOLAR FEM-CATEG 1 C1776 $4,245.63 CUP BIPOLAR-CATEG 1 $1,848.13 CURRETAGE POSTPARTUM 59160 $6,440.19 CURV VACURETTE SUCT TIP 12MM A4624 $15.07 CURVE VACURETTE SUCT TIP 9MM A4624 $10.27 CURVED CEMENTED STEM C1776 $4,950.00 CURVED TIP NEEDLE C2618 $67.50 CURVED VACURETTE SUCT TIP A4624 $10.27 CURVED VACURETTE SUCT TIP 14MM A4624 $87.38 CUSHING INTERVERTEBRAL-CATEG 1 $6,750.00 CUSHIONS HEEL-CATEG 1 $1,171.50 CUST ARTHROSCOPY PACK $219.29 CUST BASIC EYE PACK $462.00 CUST BASIC PACK $80.67 CUST C-SECTION PACK $274.14 CUST CYSTO PACK $302.34 CUST LITHOTOMY PACK $53.10 CUST LOWER EXTERMITY PACK $192.62 CUST OB/GYN PACK $308.25 CUST PEDIATRIC SHEET $114.60 CUSTOM ABUTMENT - INCLUDES PLACEMENT D6057 $560.00 CUSTOM LAPAROSCOPY PACKS $648.27 Custom Pack KNEE - Medline $378.99 Custom Pack MAJOR - Medline $486.96 CUT WIRE 2.4MM MAX VITAL DBLE C1769 $766.38 CV STRESS TEST W/TREADMILL; TR 93017 $652.50 CV STRESS TST W/PHARM; INTRPT 93015 $143.88 CV-2 THX 26 SUTURE, 12/BX C1713 $450.00 CV6 SUTRE NDLE 76MM TAPR SUTRE C2618 $1,291.50 CV-6 TTC-09 TAPER SUTURE 12/BX C1713 $481.50 CV-7 TT-13 SUTURE 3DZ/BX C1713 $1,305.00 CVC 4FR TWO LUMEN CATH C1752 $45.06 CVC 4FR TWO LUMEN CATH 5/BX C1887 $45.06 CXI SUP CATH 2.6FR 150CM ANGL C1887 $277.50 CXI SUPP CATH 2.6FR 90CM ANGLE C1887 $277.50 CXI SUPP CATH 2.6FR90CM STRGHT C1887 $277.50 CXI SUPP CATH 4.0FR STRAIGHT C1887 $277.50 CXI SUPPORT CATH 150CM STRGHT C1714 $277.50 CXI SUPPORT CATH 2.3FR STRGHT C1887 $277.50 CXI SUPPORT CATH 4.0FR ANGLED C1887 $277.50 CYANIDE 82600 $47.41 CYANOCOBALAMIN 100MCG/ML 1ML J3420 $15.61 CYANOCOBALAMINE 1000MCG P J3420 $0.05 CYANOKIT 5G KIT J3490 $518.59 CYCLIC AMP 82030 $63.07 CYCLIC AMP URINE 82030 $63.07 CYCLIC CITRULLINE PEP IGG 83520 $37.99 CYCLOBENZAPRIL 5MG PO J3490 $2.22 CYCLOBENZAPRINE 10MG TAB J3490 $0.96 CYCLOGYL 0.5% OPTH DROPS 2ML J3490 $3.76 CYCLOGYL 1% OPTH DROPS 5ML J3490 $11.63 CYCLOMYDRIL(CYCLOPENPHENYL)2ML J3490 $73.48 CYCLOPENTOLATE HCL 1% DROPS $32.49 CYCLOPENTOLATE HCL 2% 2ML J3490 $10.56 CYCLOPHOSPHAMIDE -100 MG J9070 $752.77 CYCLOPHOSPHAMIDE 100MG J9070 $1,718.27 CYCLOPHOSPHAMIDE 200 MG J9070 $348.09 CYCLOPHOSPHAMIDE 25MG TAB $3.90 CYCLOPHOSPHAMIDE 500MG INJ J9070 $18.63 CYCLOPHOSPHAMIDE 50MG TAB $4.08 CYCLOPHOSPHAMIDE LYOPH 100 MG J9070 $181.30 CYCLOPHOSPHAMIDE LYOPHI 200 MG J9070 $181.30 CYCLOPHOSPHAMIDE LYOPHI 500 MG J9070 $181.30 CYCLOPHOSPHAMIDE LYOPHILIZ 2 G J9070 $181.30 CYCLOPHOSPHAMIDE LYOPHILIZED 1 J9070 $181.30 CYCLOPHOSPHAMIDE ORAL 25 MG J8530 $20.59 CYCLOPHOSPHAMIDE, 100MG J9070 $181.30 CYCLOPHOSPHAMIDE;100MG J9070 $867.24 CYCLOPHOTOCOAGULATION*CB 66710 $4,989.01 CYCLOSPORIN 100MG CAP J7502 $6.52 CYCLOSPORIN 25MG CAP J7502 $1.94 CYCLOSPORINE 80158 $44.13 CYCLOSPORINE 100MG (SANDIMMUNE J3490 $8.17 CYCLOSPORINE 250MG AMPULE $165.00 CYCLOSPORINE 25MG (SANDIMMUNE) CAP $2.30 CYCLOSPORINE 50MG/ML (SANDIMMUNE) IV $14.87 CYCLOSPORINE,ORAL,100MG J7502 $12.09 CYLINDER SPACER 4" FOR HIP POS C1713 $262.34 CYPROHEPTADINE HCL 4MG TAB $0.63 CYRAMZA 5MG/10ML J9308 $146.48 CYRAMZA 5MG/50ML J9308 $146.48 CYST W INS OF INDWELLING URETE 52332 $7,781.86 CYSTICERCOSIS AB 86682 $31.79 CYSTICERCOSIS ABS 86682 $31.79 CYSTINE 24 HOUR URINE 82131 $50.56 CYSTINE RANDOMURINE 82615 $21.01 CYSTO TX FEMALE URETHRL SYNDRO 52285 $1,434.75 CYSTO W BIOPPSY/FULG URET/RENA 52354 $10,909.23 CYSTO W CALCULUS REM 52320 $7,781.86 CYSTO W CHEMODENERVATION BLADD 52287 $4,567.09 CYSTO W DIL OF URETHRL STRICTU 52281 $4,567.09 CYSTO W DILATION BLDR;GEN ANES 52260 $4,567.09 CYSTO W DIR VISION INT URETHRO 52276 $4,567.09 CYSTO W FRAGMENT OF CALCULUS 52325 $10,909.23 CYSTO W FULG BLADDR TUM;2.0-5. 52235 $7,781.86 CYSTO W FULG BLDR TUM;0.5<2CM 52234 $7,781.86 CYSTO W FULG MINOR LES;0.5CM/> 52224 $4,567.09 CYSTO W FULGRTN LRG BLDR TUM 52240 $10,909.23 CYSTO W INJ IMPL MATERIAL 52327 $10,909.23 CYSTO W INT URETHROTOMY;MALE 52275 $4,567.09 CYSTO W LITHTRIPSY 52353 $10,909.23 CYSTO W MULTI OBSTR CLOT REM 52001 $7,781.86 CYSTO W REM FB/STNT URETH/BLDR 52310 $4,567.09 CYSTO W REM FB/STNT;URET/BLDR/ 52315 $4,567.09 CYSTO W REM FB/STNT;URETH/BLDR 52310 $4,567.09 CYSTO W RESCT/FULG ECTOP URETE 52301 $7,781.86 CYSTO W STEROID INJ INTO STRIC 52283 $4,567.09 CYSTO W UP STICTURE TX 52342 $7,781.86 CYSTO W URET CATH & BRUSH BX 52007 $7,781.86 CYSTO W URETER STRICTURE TX 52341 $7,781.86 CYSTO W URETOSC W URETER STRCI 52344 $7,781.86 CYSTO W WIL URETHRAL STRICTURE 52281 $4,567.09 CYSTOGRAPHY MINI 3 VIEWS-RAD S 74430 $984.43 CYSTOGRFIN 18%/300 ML Q9958 $0.28 CYSTOLITHOTOMY;W REM STONE;WO 51050 $10,909.23 CYSTOMETROGRAM W URETHRAL PRES 51727 $1,434.75 CYSTOMETROGRAM W/URETHRAL PRES 51727 $1,434.75 CYSTOMETROGRAM W/VP 51728 $1,434.75 CYSTOMETROGRM W/VP & UP 51729 $1,434.75 CYSTORRHAPHY; SUTURE BLADDER; 51860 $10,909.23 CYSTOSCOPIC 5FR INJECT NEEDLE C2618 $31.05 CYSTOSTMY W/DRAINAGE 51040 $4,567.09 CYSTOSTOMY CYSTOSTOMY W DRAINAGE 51040 $4,567.61 CYSTOSTOMY CYSTOSTOMY W DRAINAGE 51040 $4,567.61 CYSTOSTOMY CYSTOTOMY W/DRAINAG 51040 $4,567.09 CYSTOSTOMY TUBE CHANGE COMPLI 51710 $1,434.75 CYSTOTOMY W INS URETERAL CATH/ 51045 $4,567.09 CYSTOURETHROSCOPY 52204 $4,567.09 CYSTOURETHROSCOPY (SEP PROC) 52000 $1,434.75 CYSTOURETHROSCOPY (SEPART PROC 52000 $1,434.75 CYSTOURETHROSCOPY W/INSRT STEN 52332 $7,781.86 CYSTOURETHROSCOPY W/URETERAL C 52005 $4,567.09 CYSTOURETHROSCOPY WITH BIOPSY 52282 $7,781.86 CYSTOURETHROSCOPY WITH REMOVAL 52352 $7,781.86 CYSTOURETHROSCOPY-SEP PROC; SI 52310 $4,567.09 CYSTOURETHROSCPY; W MEATOTMY; 52290 $4,567.09 CYSTOURETHRSCOPY FULGURATIN TR 52214 $4,567.09 CYSTOURETHRSCPY FULGURATN TRGN 52214 $4,567.09 CYSTOURETHRSCPY W INSRT GW THR 52334 $7,781.86 CYSTOURTHRSCPY URETR/PYELSCPY 52355 $10,909.23 CYSTOURTHRSCPY URETR/PYELSCPY 52356 $10,909.23 CYSTOURTHRSCPY W URETRSCPY TX 52345 $7,781.86 CYST-RES/FULG ORTH URET UNI/BI 52300 $7,781.86 CYTAL PER SQ CM Q4166 $1,173.00 CYTARABINE 100MG J9100 $2.42 CYTARABINE 500 MG J9100 $13.79 CYTARABINE LIPOSOMAL10MG J9098 $1,564.99 CYTOGENETICS ANLZ 3-5 CEL FISH 88272 $89.54 CYTOGENETICS DNA PROBE FISH 88271 $52.36 CYTOGENICS 89240 $127.53 CYTOGENTC ANLZ 100-300 CEL FSH 88275 $112.62 CYTOGENTCS ANLZ 10-30 CEL FISH 88273 $78.54 CYTOGENTCS ANLZ 25-99 CEL FISH 88274 $93.24 CYTOLOGY (EACH) 88161 $59.25 CYTOLOGY MULTIPLE STAINS (5+) 88162 $127.53 CYTOLOGY OF WASHES 88104 $86.20 CYTOMEGALOVIRUS DFA 87271 $29.52 CYTOMEGALOVIRUS NA QUAN 87497 $104.72 CYTOPATH CONC TECH SMERS&INTEP 88108 $86.20 CYTOSAR-U 100MG VIAL J9100 $11.05 CYTOSMEAR SCREEN/INTERP 88160 $59.25 CYTOSMEAR SCRN/INTERP 88160 $59.25 CYTOTOXIC AB SCREENING 86807 $173.03 CYTOVENE 500MG CAPSULE $12.15 CYTPTH SLIDE CERV/VAG; MNL-SUP 88150 $32.98 CYTRA-K SOLUTION $0.59 D 5% 0.45% NS WITH KCL 40MEQ J7060 $2.50 D10%W+NS+K.PO4+K.ACETATE 20MEQ. 1000ML $25.00 D11% W 1000 ML $50.00 D3.5% WITH ELECTROLYTE 1000 ML $50.00 D5% 1/2 NS + 30MEQ KCLÓLVP 1000 ML $1.79 D5% 1/2 NS WITH 1OMEQ KCL 1000 J7060 $4.11 D5% 1/3 NS + KCL 10 meq. 1000 ml/bag $24.94 D5%W 100ML ADDVANTAGE BAG J7060 $1.55 D5%W 250ML ADDVANTAGE BAG J7060 $2.78 D5%W 50ML ADDVANTAGE BAG J7060 $1.49 DABIGATRAN (PRADAXA) 150MG J3490 $2.56 DABIGATRAN (PRADAXA) 75MG. PO $1.75 DACARBAZINE 200 MG J9130 $49.89 DACARBAZINE, 100 MG INJ J9130 $99.79 DACLATASVIR 60MG TAB $1,606.00 DACRIOSE IRRIGATION 15ML OPHTH $9.39 DACRYOCYSTOGRAPHY NLD RAD S&I 70170 $600.78 DACTINOMYCIN 0.5MG VIAL J9120 $22.30 DACTINOMYCIN, 0.5MG J9120 $4,056.25 DALTEPARIN 2500 UNITS SQ J1645 $21.84 DALTEPARIN SODIUM 5000U/.2 J1645 $38.53 D-AMPHETAMINE SULF 5MG TAB $0.58 DANOCRINE 200MG CAP $4.17 DANTROLENE 250 MG (Ryanodex) $498.09 DANTROLENE 25MG CAP $1.02 DANTROLENE SOD. 20MG/VIAL INJ. $63.00 DAPSONE 100MG TABLET $0.51 DAPSONE 25MG TABLET $0.21 DAPTOMYCIN 500MG VIAL INJ J3490 $240.27 DARAPRIM 25MG TAB $2.40 DARBEPOETIN 100MCG/ML $1,222.65 DARBEPOETIN 25MCG/ML $314.60 DARBEPOETIN 300MCG/ML $3,667.95 DARBEPOETIN 60MCG/ML $733.57 DARK ADAPTATION EXAM W/I&R 92284 $951.29 DARK FIELD EX SRC; INCL SPEC C 87164 $26.25 DARK FLD EX SRC INCL SPEC CLCT 87164 $26.25 DARTFIRE COMPRS SCRW; HDLSS 3.0x24MM C1713 $592.50 DARUNAVIR $15.34 DARUNAVIR 400MG. TABLET $14.15 DARUNAVIR 600MG. TABLET $15.05 DAUNORUBICIN 5MG/ML 10ML VIAL J9150 $943.33 DAUNORUBICIN CITR LIPO FORM 10 J9151 $607.20 DAUNORUBICIN HCL, 10MG J9150 $177.06 DAVOL DULEX PATCH 1/CS C1781 $2,526.00 DAVOL DULEX PATCH 3.1 X 3.9 C1781 $360.00 DAVOL DULEX PATCH 3.1 X 4.7 C1781 $463.50 DAVOL DULEX PATCH 3.1 X 4.7 C1781 $463.50 DAVOL DULEX PATCH 3.1x3.9 C1781 $360.00 DAVOL DULEX PATCH 5.9 X 7.5 C1781 $1,207.50 DAVOL DULEX PATCH 5.9 X 7.5 C1781 $1,207.50 DAVOL DULEX PATCH 7.9"x11.8" C1781 $2,526.00 DBL.REFR.BODY 81000 $8.84 DBX PUTTY 10CC C1713 $2,340.00 DBX PUTTY 5CC** C1713 $1,387.50 DCM CERVICAL DIS M6.5 $6,750.00 DDAVP 0.1% NASAL SPRAY 5ML $139.08 DDAVP 4MCG/ML INJ 1ML J2597 $17.36 D-DIMER FDP 85362 $16.83 DEB BONE 20 CM OR LESS 11044 $3,538.61 DEB MUSC/FASCIA 20 SQ CM/< 11043 $1,281.35 DEB SKIN BONE AT FX SITE 11012 $5,978.15 DEBR INFECT SKIN-10% BDY 11000 $1,281.35 DEBR NECROTIZ STISS-ABD WALL 11005 $1,694.15 DEBRDMNT SUBQ TIS; 20 CM SQ OR 11042 $823.72 DEBRID EXT ECZEM/INF SKIN;TO 1 11000 $1,281.35 DEBRID MAST CAVITY COML 69222 $1,138.76 DEBRID MASTOIDEC CAVITY SIMPL 69220 $450.45 DEBRID NAIL(S) ANY METHD(S); O 11720 $141.83 DEBRID NAIL(S) ANY METHD(S); S 11721 $141.83 DEBRID NAIL(S)ANY METHOD 6 OR 11721 $141.83 DEBRID; SKIN & SUBQ TISS 11042 $823.72 DEBRIDE NAIL; 1-5 11720 $141.83 DEBRIDE SKIN AT FX SITE 11010 $1,572.63 DEBRIDE/REM FB AT FX SITE 11010 $1,572.63 DEBRIDE;SKIN TO MUSCLE 11043 $1,281.35 DEBRIDEMENT OF SKIN & SUBQ TIS 11042 $823.72 DEBRIDEMENT SYSTEM-CATEG 1 $209.00 DEBRIDESUBCU MUSCLE 11043 $1,281.35 DEBRIDMNT EXZ/INF SKIN;UP TO 1 11000 $1,281.35 DECADRON 0.5MG/5ML LIQID UD $0.26 DECADRON 4MG TAB $0.17 DECADRON 4MG/ML 1ML VIAL J1100 $1.43 DECA-DURABOLIN 200MG/ML 1ML $61.71 DECALCIFICATION 88311 $31.08 Decalcification Procedure D0475 $30.00 DECARBAZINE 200MG INJ J9130 $75.31 DECLOMYCIN 300MG TAB $26.65 DECLOT VASCULAR DEVICE 36593 $798.14 DECOFED/SUDAFED 30MG/ML $0.30 DECOMPRESS FASCIOTOMY 27603 $5,978.15 DECOMPRESS SPINAL CORD; ADD-ON 63057 $685.70 DECOMPRESS SPINAL CORD; LUMBAR 63056 $15,421.60 DEEP FB REM-FOREARM/WRIST 25248 $3,494.24 DEEP INC FOOT;BONE CORTEX 28005 $7,057.23 DEEP INC HAND/FINGER 26034 $3,494.24 DEEP PTA BALL CATH OTW VASC C1725 $510.00 DEEP PTA BALL CATH OTW0.014VAS C1725 $600.00 DEEP ROOT SCALING/PER Q D4341 $266.00 DEEP SED/GEN ANESTH-EA 15MN INCREMENT D9223 $182.00 Deep sedat/Gen anesth 1st 15m D9222 $200.00 DEF ANAER ID-EA ORG 87076 $19.73 DEF BACT ID EACH ORG 87077 $19.73 DEF FUNG ID-EACH ORG 87106 $25.23 DEF MYCO ID-EACH ORG 87118 $32.14 DEF URIN ID-EACH ORG 87088 $19.78 DEFIB/PACING PAD $849.78 DEFICID (FIDAXOMICIN) 200MG PO $1,405.17 DEFINITY (REFRIGERATED) Q9957 $49.50 DEGARELIX INJ 1 MG J9155 $16.11 DEGLYCING CHARGE EACH UNIT 86931 $730.62 DEHYDRATED ALCOHOL 98% 1ML INJ J3490 $712.70 DEKTA CERANUC V40 FEMORAL HEAD 36MM C1776 $1,960.20 DELAVIRDINE 100MG TAB PO $1.11 DELAVIRDINE 200MG. $3.57 DELAY FLAP; EL/NS/ER/LIP 15630 $4,183.48 DELAY FLAP; SCALP/ARMS/LEGS 15610 $4,183.48 DELFLEX 1.5% 2000 CC $9.08 DELFLEX 4.25% 2000 CC $49.50 DELIVER PLACENTA 59414 $6,440.19 DELIVERY OF PLACENTA 59414 $6,440.19 DELTA 16MM C1713 $129.15 DELTA AMINOLEVULINIC ACID 82135 $40.22 DELTA CERAMIC V40 HEAD 36MM C1776 $1,200.00 DELTA SHUNT ASSEM LEVEL 2.0REG $2,701.44 DELTA SHUNT ASSEMBLY LEVEL 1.5 $2,796.48 DELTA V40 CERAM HEAD 36MM-0MM C1776 $1,200.00 DELTA V40 CERAMIC HEAD 32MM C1776 $2,041.88 DELTASONE 50MG TAB, PER 1MG $0.29 DELTASONE 5MG/5ML ORAL PER 1MG $0.97 DELYD INSERT BRST PROSTHESIS 19342 $20,973.70 DEMECLOCYCLINE 10MG CAPS $8.46 DENILEUKIN DIFTITOX, 300MCG J9160 $683.32 denosumab 120mg (Xgeva) $0.10 DENOSUMAB 120MG(XGEVA)PER 1MG J0897 $52.18 DENOSUMAB 60MG(PROLIA) PER 1MG J0897 $56.26 denosumab 60mg/mL (1mL)Prolia $0.10 DENT APPL DESENSITIZING MED D9910 $21.00 DENTAL - FOLLOW-UP D9430 $182.00 DENTAL ADHESIVE CREAM $22.00 DENTAL AMALGAM-FOUR SURFACES D2161 $252.00 DENTAL AMALGAM-ONE SURFACE,PER D2140 $154.00 DENTAL AMALGAM-TWO SURFACES,PER D2150 $175.00 DENTAL DIAGNOSTIC CASTS D0470 $140.00 DENTAL EMERGENCY VISIT D0140 $139.00 DENTAL IMPLANT SUPPORTED CONN BAR D6055 $420.00 DENTAL RADIOGRAPHS BITE WINGS-1 D0270 $49.00 DENTAL RADIOGRAPHS BITE WINGS-2 D0272 $76.00 DENTAL RADIOGRAPHS BITE WINGS-3 D0273 $36.00 DENTAL RADIOGRAPHS BITE WINGS-4 D0274 $106.00 DENTAL RADIOGRAPHS CEPHALOMETR D0340 $154.00 DENTAL RADIOGRAPHS OCCLUSAL D0240 $60.00 DENTAL RADIOGRAPHS PANORAMIC D0330 $70.00 DENTAL RADIOGRAPHS-COMPLETE SE D0210 $252.00 DENTAL SPEC A 41800 $281.09 DENTAL-ALVEOPLASTY D7320 $525.00 DENTAL-BIOPSY SOFT TISSUE D7286 $490.00 DENTAL-CONSULTATION D9310 $140.00 DENTAL-CONTINUING TREATMENT D8690 $1,400.00 DENTAL-CROWN-PFM D6750 $1,310.00 DENTAL-FIXED APPLAINCE THERAPY D8220 $1,365.00 DENTAL-HOSPITAL VISIT D9420 $280.00 DENTAL-PALLIATIVE TREATMENT (E D9110 $90.00 DENTAL-RADIOGRAPHS PERIAP/EACH D0230 $32.00 DENTAL-RADIOGRAPHS PERIAP/FIRS D0220 $41.00 DEOXYCORTICOSTERONE 82633 $75.75 DEOXYCORTISOL-11 82634 $71.57 DEPAKOTE 250MG TAB J3490 $1.61 DEPAKOTE 250MG. ERT TABLET $2.48 DEPAKOTE 500MG TAB J3490 $2.83 DEPHENHYDRAMINE 50MG CAP $0.18 DEPO 40MG J1030 $27.89 DEPO 80MG J1040 $48.43 DEPODUR 10MG/ML $906.66 DEPOTESTOSTERONE, PER 1 MG J1071 $0.25 DEPOTESTOSTRONE, PER 1MG J1071 $0.25 DEPUY MITEK LOCKING BONE SCREW C1713 $340.50 DERM MATRIX ALLOGRFT 12x16CM Q4128 $9,952.50 DERM MATRIX ALLOGRFT 6x12CM Q4128 $3,619.50 DERM MATRIX ALLOGRFT 8x16CM Q4128 $6,258.00 DERMABRASION; SEGMENTAL FACE 15781 $1,572.63 DERMABRASION; SUPERFICIAL ANY 15783 $823.72 DERMABRASION; TOTAL FACE 15780 $5,978.15 DERMA-FAT-FASCIA GRAFT 15770 $7,675.54 DERMAGRAFT PER 1 SQ CM Q4106 $44.97 DERMICEL TAPE 1 A4450 $0.71 DERMICEL TAPE 2 A4450 $1.42 DERMICEL TAPE 3 A4450 $2.14 DES CUT VASC LES <10SQ CM LASE 17106 $823.72 DESCEND THOR AORTA GRAFT W/WO 33875 $5,924.05 DESCOVY 200/25MG TABLET J3490 $50.00 DESENSITIZ BACTRIM 0.02/0.004MG $65.00 DESENSITIZAT BACTRIM 2/0.4MG $55.85 DESENSITIZATION PCN 0.5MG/ML $42.42 DESENSITIZATION PCN 5MG/ML $59.83 DESFERAL 500MG INJ VIAL $24.60 DESFLURANE LIQUID 240ML $168.00 DESIPRAMINE 80335 $11.99 DESIPRAMINE 50MG TAB $1.36 DESIPRAMINE HCL 25MG TAB $0.46 DESIPRAMINE HCL 75MG TAB $0.53 DESITIN OINTMENT J3490 $2.12 DESMOPRESSIN 0.1MG. TABLET $5.28 DESMOPRESSIN 4MCG/MLVIAL INJ J2597 $0.01 DESONIDE 0.05% OINT 60 GM $2.46 DESOXYCORTICOSTERONE (DOC) 82633 $75.75 DEST IN HEMORRHOIDS W THERM EN 46930 $2,588.89 DEST LES PENIS SIMPLE;LASER 54057 $4,183.48 DEST LES/SCAR PHYS METH;VESTIB 40820 $6,752.59 DEST RETNA LES LCL CRYOTX/DTHR 67208 $697.33 DEST VAGINAL LES;SIMP 57061 $6,440.19 DEST W NEURLOYTIC OTHER PERPH 64640 $2,093.48 DEST W/AGENT;SUP HYPOGASTRIC P 64681 $2,093.48 DEST. FACET CERV/THOR 64633 $4,432.54 DEST. PARAVERT ECH ADD 64636 $131.54 DESTCT W AGNT; TRIGEMINAL NERV 64600 $2,093.48 DESTINATION GUIDE SHEATH 1/BX C1887 $214.50 DESTR LES PENIS;SIMPLE;SURG EX 54060 $4,183.48 DESTR MAL LES ERS;2.1-3.0CM 17283 $823.72 DESTR MAL LES FCE ERS; >4.0 CM 17286 $1,281.35 DESTR MAL LES FCE ERS;0.5 CM/< 17280 $450.45 DESTR MAL LES FCE ERS;0.6-1.0C 17281 $823.72 DESTR MAL LES FCE ERS;1.1-2.0C 17282 $823.72 DESTR MAL LES FCE ERS;3.1-4.0C 17284 $1,281.35 DESTR MAL LES SCLP; 0.5CM/LESS 17270 $450.45 DESTR MAL LES SCLP; 0.6-1.0 CM 17271 $450.45 DESTR MAL LES SCLP; 1.1-2.0 CM 17272 $450.45 DESTR MAL LES SCLP; 2.1-3.0CM 17273 $823.72 DESTR MAL LES SCLP; 3.1-4.0CM 17274 $823.72 DESTR MAL LES SCLP;MORE 4.0 CM 17276 $823.72 DESTR MAL LES TRUNK 3.4-4.0CM 17264 $823.72 DESTR MALIG LES TRUNK >4.0CM 17266 $823.72 DESTR MALIG LES TRUNK 0.5CM/< 17260 $450.45 DESTR MALIG LES TRUNK;0.6-1.0C 17261 $450.45 DESTR MALIG LES TRUNK;1.1-2.0C 17262 $450.45 DESTR MALIG LES TRUNK;2.1-3.0C 17263 $450.45 DESTR NEUROLYTIC AGNT INTERCOS 64620 $2,093.48 DESTR PENIS LESION(S);EXTENSIV 54065 $4,183.48 DESTR W NEUROLYTIC CELIAC PLEX 64680 $2,093.48 DESTR WART MOLLUSC/MILIA;UP 14 17110 $450.45 DESTR. INTERCOSTAL 64620 $2,093.48 DESTR. NEUROLYTIC 64610 $4,432.54 DESTR. PARAVERTEBRAL 64635 $4,432.54 DESTRCT ANAL LESION CRYOSURGY 46916 $450.45 DESTRCT ANAL LESION ELECTROD 46910 $4,183.48 DESTRCT ANAL LESION EXTENSIVE 46924 $6,043.36 DESTRCT ANAL LESION LASER SURG 46917 $6,043.36 DESTRCT ANAL LESION SURGL EXCS 46922 $6,043.36 DESTRCT BEN/PREMALIG LES;2-14E 17003 $4.66 DESTRCT LES ANUS SIMPL; CHEM 46900 $823.72 DESTRCT LES CORNEA-CRYOTHERAPY 65450 $697.33 DESTRCT LES LID MARGIN 67850 $2,080.39 DESTRCT LES PENIS SIMPL; CRYOS 54056 $450.45 DESTRCT LES PENIS SIMPL; LASER 54057 $4,183.48 DESTRCT LES RETINA; CRYOTHERAP 67208 $697.33 DESTRCT LES RETINA; PHOTOCOAGU 67210 $1,306.87 DESTRCT LES VULVA; SIMPL ANY M 56501 $4,183.48 DESTRCT PENILE LESION CHEMCL 54050 $823.72 DESTRCT PENILE LESION ELECTROD 54055 $4,183.48 DESTRCT PENILE LESION EXTENSVE 54065 $4,183.48 DESTRCT RECTAL TUMOR ANY MTD 45190 $6,043.36 DESTRCT RETINOPATHY; CRYOTHERA 67227 $8,061.64 DESTRCT RETINOPATHY; PHOTOCOAG 67228 $1,306.87 DESTRCT VAG LES; SIMPL ANY MET 57061 $6,440.19 DESTRCT VAGINAL LESION EXTENSV 57065 $6,440.19 DESTROY ANAL LESION SIMPLE; CH 46900 $823.72 DESTROY C/TH FACET JNT ADDL 64634 $150.00 DESTROY VULVA LESIONS; SIMPLE 56501 $4,183.48 DESTRU LESION 15 OR MORE 17111 $450.45 DESTRUC BEN/PREMALIG LES; 1 LE 17000 $450.45 DESTRUC BEN/PREMALIG LES; 15/> 17004 $823.72 DESTRUC BEN/PREMALIG LES; 2-14 17003 $4.66 DESTRUC MAL LES FCE ERS; > 4.0 17286 $1,281.35 DESTRUC MAL LES FCE ERS; 0.5 C 17280 $450.45 DESTRUC MAL LES FCE ERS; 0.6-1 17281 $823.72 DESTRUC MAL LES FCE ERS; 1.1-2 17282 $823.72 DESTRUC MAL LES FCE ERS; 2.1-3 17283 $823.72 DESTRUC MAL LES FCE ERS; 3.1-4 17284 $1,281.35 DESTRUC MAL LES SCLP; 0.5 CM/L 17270 $450.45 DESTRUC MAL LES SCLP; 0.6-1.0 17271 $450.45 DESTRUC MAL LES SCLP; 1.1-2.0 17272 $450.45 DESTRUC MAL LES SCLP; 2.1-3.0 17273 $823.72 DESTRUC MAL LES SCLP; 3.1-4.0 17274 $823.72 DESTRUC MAL LES SCLP; MORE 4.0 17276 $823.72 DESTRUC MALIG LES TRUNK; > 4.0 17266 $823.72 DESTRUC MALIG LES TRUNK; 0.5 C 17260 $450.45 DESTRUC MALIG LES TRUNK; 0.6-1 17261 $450.45 DESTRUC MALIG LES TRUNK; 1.1-2 17262 $450.45 DESTRUC MALIG LES TRUNK; 2.1-3 17263 $450.45 DESTRUC MALIG LES TRUNK; 3.1-4 17264 $823.72 DESTRUC WART MOLLUSC/MILIA; UP 17110 $450.45 DESTRUCT ANAL LESION CRYOSURGY 46916 $450.45 DESTRUCT ANAL LESION ELECTROD 46910 $4,183.48 DESTRUCT ANAL LESION EXTENSIVE 46924 $6,043.36 DESTRUCT ANAL LESION LASER SUR 46917 $6,043.36 DESTRUCT ANAL LESION SURGL EXC 46922 $6,043.36 DESTRUCT BENIGN LES; UP TO 14 17110 $450.45 DESTRUCT LESION 15 OR MORE 17111 $450.45 Destruct lesion-phys/chem B/R D7465 $613.00 DESTRUCT OF VULVA LESIONS EXTE 56515 $4,183.48 DESTRUCT OF VULVA LESIONS EXTE 56515 $4,183.48 DESTRUCT PENILE LESION CHEMCL 54050 $823.72 DESTRUCT PENILE LESION ELECTRO 54055 $4,183.48 DESTRUCT PENILE LESION EXTENSI 54065 $4,183.48 DESTRUCT RECTAL TUMORANY MTD 45190 $6,043.36 DESTRUCT VAGINAL LESION EXTENS 57065 $6,440.19 DESTRUCT WART MOLLUSC MILIA;UP 17110 $450.45 DESTRUCTION LESION CHOROID 67220 $1,306.87 DETACHABLE TEMP FIX PIN C1713 $306.00 DETECTION NA/QUAN;1 87536 $208.01 DETERM ARWAY CLO VOL 1 BREATH 94726 $652.50 DETERM MALDISTRIBUTION INSPIRE 94727 $356.66 DETERM REFRACTIVE STATE 92015 $346.62 DETOXIFICATION PRIVATE ROOM $1,900.00 DETOXIFICATION SEMI PRIVATE RM $1,150.00 DETROL (TOLTERODINE) 2 MG TAB $3,322.44 DETROL LA 2mg $7.63 DETRUCT LES PENIS SIMPL;CRYOSU 54056 $450.45 DEVEL TEST PHYS/QHP 1ST HR 96112 $350.28 DEVEL TEST PHYS/QHP EA ADDL 96113 $126.92 DEVELOP TEST PHYS/QHP 1ST HR 96112 $350.28 DEVELOP TEST PHYS/QHP EA ADDL 96112 $126.92 DEVELOPMENTAL TESTING; LTD W/I 96110 $244.71 DEVMENTAL TEST LTD W/IR 96110 $244.71 DEVMENTAL TESTING;LTD W/IR 96110 $300.00 DEVMTAL TESTING;LTD W/I/R 96110 $300.00 DEX 10% INJ 1000 #7930-09 $1.43 DEX 10% INJ 500 #7930-03 $1.21 DEX 5% INJ 100 #7923-37 $1.39 DEX 5% INJ 250 #1522-02 $5.30 DEX 5% INJ 50 #7923-13 $1.39 DEX 5% LCT RG 1000 #7929-09 $1.53 DEX 5% LCT RG 500 #7929-03 $1.26 DEX 5% WTR 1000 #7922-09 $1.25 DEX 5% WTR 250 #7922-02 $1.25 DEX 5% WTR 500 #7922-03 $1.13 DEX 5%/.9% CL 1000 #7941-09 $1.41 DEX 5%/.9% CL 500 #7941-03 $1.16 DEX 5%/45% CL 1000#7926-09 $1.46 DEX 5%/45% CL 500 #7926-03 $1.16 DEXA 1/MORE SITES; APPENDICULA 77081 $205.74 DEXA BODY COMP 1/> SITES 76499 $205.74 DEXA BONE DENSITY / BMD 1+ SIT 77080 $288.95 DEXAMETH SOD PHOS 0.05% EYE OINT $4.55 DEXAMETHAS PHOS 0.1% EYE DROP $5.41 DEXAMETHASONE 0.25MG TAB J8540 $0.82 DEXAMETHASONE 0.75MG PO J8540 $0.10 DEXAMETHASONE 1 MG TAB J8540 $0.36 DEXAMETHASONE 10MG INJ J1100 $13.83 DEXAMETHASONE 10MG IV J1100 $8.96 DEXAMETHASONE 10MG/2.5ML SOLUT J1100 $18.83 DEXAMETHASONE 1MG/ML INTELEFILL SYR $20.34 DEXAMETHASONE 2 MG TAB J8540 $5.93 DEXAMETHASONE 4MG/50ML PREMIXE J3301 $37.35 DEXAMETHASONE PO TAPER DOSE $0.06 DEXAMETHASONE SOD PHOSP 4MG/ML J1100 $3.26 DEXAMETHASONE SUPPRESSION TEST 82533 $39.84 DEXMETOMIDINE J3490 $76.47 DEXRAZOXANE 500MG INJ J1190 $1,185.21 DEXT 5% 100ML ADV#7100-23 $1.80 DEXT 5% 250ML ADV#7100-02 $2.57 DEXT 5% 50ML ADV#7100-13 $1.80 DEXTRAN 40 IN D5W J7100 $33.61 DEXTROMETHORPHAN 80299 $41.01 DEXTROSE 10% 0.45%NS IV $58.22 DEXTROSE 10% 1000mL IV bag $0.67 DEXTROSE 10% EL NO.48 250ML IV $10.42 DEXTROSE 10% IN WATER $14.51 DEXTROSE 10% IN WATER SOLN 250 ML $2.20 DEXTROSE 10% WATER 1L IV $0.01 DEXTROSE 10% WATER 500ML IV J7060 $15.24 DEXTROSE 12.5% / ELEC 48 250ML $0.30 DEXTROSE 12.5% WATER IV $19.83 DEXTROSE 15% / ELEC 48 250ML $0.19 DEXTROSE 15% WATER IV $0.15 DEXTROSE 17.5% / ELEC 48 250ML $0.30 DEXTROSE 17.5% WATER IV $0.10 DEXTROSE 25% ABBOJECT SYR 10ML $19.90 DEXTROSE 3% WATER IV $0.10 DEXTROSE 3.5% WATER IV $8.32 Dextrose 5% in Water for IV Room $0.38 DEXTROSE 5% NS 0.33%(D51/3NS)1 J7060 $9.55 DEXTROSE 5% WATER 100ML IV J7060 $4.46 DEXTROSE 5% WATER 1L IV $0.01 DEXTROSE 5% WATER 250ML IV J7060 $8.35 DEXTROSE 5% WATER 500ML IV J7060 $5.85 DEXTROSE 5% WATER 50ML IV J7060 $7.87 DEXTROSE 5%/WATER50% INJ ABBOJ J7060 $16.55 DEXTROSE 5%-0.45% SALINE INJ J7799 $0.02 DEXTROSE 5%-1/4NS IV SOL J7060 $0.45 DEXTROSE 5%-LACTATED RINGERS J7042 $2.59 DEXTROSE 5%-NORMAL SAL .9% INJ J7042 $2.23 DEXTROSE 5%-WATER IV SOLN. J7060 $0.34 DEXTROSE 50% ABBOJECT J7060 $7.64 DEXTROSE 50% ABBOJECT SYR 50ML $1.49 DEXTROSE 50% INJ 50ML VIAL $6.44 DEXTROSE 50% SYRINGE J3490 $16.55 DEXTROSE 7.5% WATER IV $0.10 DEXTROSE IN WATER 20% 500ML. $0.02 DEXTRUS BI-POSTV VENTRICULAR LEAD C1900 $2,268.75 DHEA 82626 $61.78 DHEA-S 82627 $54.36 DIAG PAP SCREENED + RESCREENED 88165 $92.88 DIAG PAP SCREENED BETHESDA 88164 $32.98 DIAG TUBE 1 BLCK CHROMPLTE TIP A4624 $72.00 DIAGNOSTIC ANOSCOPY 46601 $281.09 DIAGNOSTIC ANOSCOPY 46601 $281.09 DIAGNOSTIC ANOSCOPY & BIOPSY 46607 $2,588.89 DIAGNOSTIC ANOSCOPY & BIOPSY 46607 $2,588.89 DIAGNOSTIC ANOSCOPY SPX 46600 $281.09 DIAGNOSTIC LARYNGOSCOPY 31575 $403.61 DIALATION OF ESOPHAGUS (BOUGIE 43450 $2,026.11 DIALYSIS CIRCUIT EMBOLJ 36909 $441.45 DIAM 3.0MM CUT DCR BURR 18DEG C1713 $560.25 DIAM SOLO DISP RND END TAP C1725 $47.35 DIAMND BACK CATH FOR ATHERECT C1725 $4,492.50 DIAMND BALLOON CATH 40CM 5MMx10/5FR C1725 $324.00 DIAMND BALLOON CATH 75CM 5MMx10/5FR C1725 $406.50 DIAMND BALLOON CATH 75CM 5MMx2/5FR C1725 $406.50 DIAMND BALLOON CATH 75CM 6MMx2/5FR C1725 $324.00 DIAMON BALL CATH 75CM6MMX6/5FR C1725 $324.00 DIAMOND 3.0MM CUTTING DCR BURR C1713 $594.14 DIAMOND BACK CATH FOR ATHERECT C1714 $4,492.50 DIAMOND BACK CATH.014VIPERWIRE C1713 $255.00 DIAMOND BALL CATH C1725 $317.52 DIAMOND BALLOON CATH C1725 $324.00 DIAMOND BALLOON CATH C1725 $406.50 DIAMOND BALLOON CATH 75CM C1725 $406.50 DIAMOND BALLOON CATH 75CM 6MMX6/5FR C1725 $324.00 DIAMOND BALLOON CATH 75CM 8MMX8/5.8FR C1727 $324.00 DIAMOND BALLOON CATH 75CM 9MMx4/5.8FR C1725 $406.50 DIAMOND DT C1725 $324.00 DIAMOND DT 10X4X75 7FR C1725 $324.00 DIAMOND DT 7X4X75 6FR C1725 $324.00 DIAMOND FG 855 C 6 TPR RD 5PK C1769 $33.15 DIAMOND PREDATOR CATHETER C1724 $4,492.50 DIAMONDBACK 360MICRO CROWN 4FR C1714 $5,092.50 Diamondback 360Periph 1.25 Sol C1724 $5,092.50 DIAPHRAGM/CERV CAP FITTING W/I 57170 $428.08 DIAST BP .= 90 MM HG 3080F $0.10 DIAST BP < 80 MM HG 3078F $0.10 DIAST BP 80-89 MM HG 3079F $0.10 DIATR MEG/DIAT SOD6%-10% SOL J3490 $0.62 DIATRIZOATE 30% 250ML $21.50 DIATRIZOATE MEGULMINE18%-300ML $31.05 DIATRIZOATE ORAL SOL J3490 $0.93 DIAZEPAM - 5MG TAB J8499 $0.43 DIAZEPAM 10MG/2ML (VALIUM) INJ J3360 $3.40 DIAZEPAM 2MG TAB $0.31 DIAZEPAM 5MG TAB J3490 $0.35 DIAZEPAM 5MG/5ML SOLN J3490 $1.30 DIAZEPAM LEVEL 80346 $11.99 DIAZEPAM RECTAL BEL 10 MG $172.11 DIAZEPAM RECTAL GEL 2.5 MG $214.59 DIBUCAINE 1% OINTMENT 30GM $3.22 DICLOFENAC 1% GEL $63.58 DICLOXACILLIN 250MG CAP $0.55 DICLOXACILLIN 500MG CAP J3490 $0.89 DICLOXACILLIN 62.5MG/5ML ORAL SUSP $0.01 DICYCLOMINE 10MG CAPSULE $1.20 DIDAN/CAL CB(ALK)MG SL 50MG CHEW $2.82 DIDANOSINE (VIDEX) 150 MG $8.45 DIDANOSINE 100MG CHEW TAB $2.45 DIDANOSINE 10MG/ML PEDS SUSP $1.01 DIDANOSINE CHEW TABLET 200MG $0.01 DIDANOSINE EC 200MG CAP PO $7.58 DIDANOSINE EC 250MG CAP PO $8.89 DIDANOSINE EC TABLET 125 MG $6.81 DIDANOSINE EC TABLET 400 MG $11.48 DIFFERENTIAL MANUAL 85007 $8.40 DIFLORASONE DIAC 0.05% TOP $115.60 DIFLORAZONE OINTMENT $67.98 DIFLUCAN 100MG TAB $10.76 DIFLUCAN 150MG TAB $54.64 DIFLUCAN 200MG TAB $16.62 DIFLUCAN 40MG/ML SUSP 35ML $15.78 DIFLUCAN 50MG TAB $6.60 DIGIBIND INJ J1162 $812.12 DIGITAL ANALYSIS OF EEG 95957 $248.75 DIGITAL ANLYS EEG;PRMRY PROCED 95957 $248.75 DIGITAL BRST TOMOSYNTHSIS BIL 77063 $22.24 DIGOXIN 80162 $32.45 DIGOXIN IMM FAB(OVINE)PER VIAL J1162 $7,941.34 DIHYDROTESTOSTERONE. 80327 $85.09 DIL URETH STRICT MALE INIT FIL 53620 $1,434.75 DIL URETH STRICT MALE SUBS FL 53621 $605.57 DIL URETHRAL STRICTR ; MALE W 53605 $4,567.09 DIL&CURETTAGE OF CERVICAL STUM 57558 $6,440.19 DILANTIN 80185 $32.41 DILANTIN 100MG CAP J3490 $0.51 DILANTIN 125MG/5ML SUSP 240ML $0.35 DILANTIN 250MG/5ML INJ 5ML J1165 $0.96 DILANTIN 50MG TAB J3490 $0.74 DILANTIN 50MG/ML 2ML AMP $2.57 DILAT & CATH SALIVARY DUCT W/W 42660 $1,138.76 DILAT & CURET DX &/OR THERAP ( 58120 $6,440.19 DILAT ESOPH OVER GUIDE WIRE 43453 $4,015.00 DILAT LACRIMAL PUNCTUM W/WO IR 68801 $937.35 DILAT NEPHROST/URETERS/URETHRA 74485 $4,567.09 DILAT URETHRAL STRICT-MALE; SU 53601 $281.09 DILAT URETHRAL STRICTURE-INI M 53600 $605.57 DILAT URETHRAL STRICTURE-MALE; 53600 $605.57 DILATE ANAL SPHNCTER UNDER ANE 45905 $2,588.89 DILATE ESOPHAGUS;BALLOON/DILAT 43213 $4,015.00 DILATING TIP-CATEG 1 $1,545.00 DILATION 57800 $6,440.19 DILATION CATETHER 7FR, 200CM C1725 $85.85 DILATION CERVICAL CANAL;INSTRU 57800 $6,440.19 DILATION OF RECTAL NARROWING 45910 $2,588.89 Dilator Amplatz Renl 10FRx35cm C1726 $63.96 Dilator Renal Amplatz 8FRx35cm C1726 $63.96 Dilator Ureter Nottingham 1 Step C1713 $190.65 Dilator/Sheath Set Renal 35cm C1725 $329.64 DILATOR-CATEG 1 $340.20 DILAUDID 2MG TAB BULK J3490 $0.44 DILTIAZEM 100MG IV ADVANTAGE J3490 $16.21 DILTIAZEM 25MG/5ML INJ 5ML J3490 $5.03 DILTIAZEM 30MG TAB J3490 $0.68 DILTIAZEM 360MG 24HR CAP CD PO J3490 $3.98 DILTIAZEM 60MG ER CAP PO $1.83 DILTIAZEM 60MG TAB J3490 $1.13 DILTIAZEM CD 120MG CAP J3490 $1.88 DILTIAZEM CD 180MG CAP J3490 $2.03 DILTIAZEM CD 240MG/24H TAB J3490 $2.58 DILTIAZEM CD 300MG CAP J3490 $3.38 DILTIAZEM PREMIX BAG 100MG/100ml IV $41.30 DILUTE PROTHROMBIN TIME 85611 $9.64 DILUTION DROP (PE/TROP/CYCLO/KETOR) 1ML $28.60 DIMETHICONE/PETROLATUM,WHITE $3.96 DINOPROSTONE 0.5MG/3GM $165.86 DIP/PERT/TET/HAEM VACCINE $95.85 DIPENHYDRAMINE 25MG INJ J1200 $2.81 DIPENHYDRAMINE 50MG CAP Q0163 $0.20 DIPENHYDRAMINE 50MG/ML VIAL J1200 $4.59 DIPHEHYDRAMINE HCL 5ML ELIXIR Q0163 $3.76 DIPHEN HYDROCH 50MG ORAL ANTEM Q0163 $0.29 DIPHENHYDRAM 12.5MG/5ML ELIX $0.15 DIPHENHYDRAMIDE HCL 50MG ORAL Q0163 $0.90 DIPHENHYDRAMINE 25MG CAP Q0163 $0.15 DIPHENHYDRAMINE 50MG CAP $0.34 DIPHENHYDRMINE 50MG TAB Q0163 $0.20 DIPHENHYDRMINE 50MG TABLET Q0163 $0.29 DIPHENOXYL W/ATROPINE TAB J3490 $2.25 DIPHTH/PERTUS ACELEL/TET PED $93.02 DIPHTH/TET TOX/ACELL PERTUS DTAP CLINIC 90700 $75.00 DIPHTH/TET TOX/ACELL PERTUSS VAC-IM 90700 $75.00 DIPHTHER,PERTUSS,TETANUS PEDS 90700 $22.49 DIPIVEFRIN HCL 0.1% EYE DROP $18.30 DIPROSONE 0.05% LOT J3490 $0.27 DIPTHERIA AB 86648 $37.18 DIPYRIDAMOL 5MG/ML 10ML J1245 $7.02 DIPYRIDAMOLE 10MG J1245 $10.45 DIPYRIDAMOLE 25MG TAB $0.25 DIR REP ANEUR; OCCL DZ ABD AOR 35081 $3,742.62 DIRECT ADMIT TO OBSERVATION ST G0379 $1,501.39 DIRECT ANTIGEN TYPING 86905 $730.62 DIRECT COOMBS 86880 $86.20 DIRECT GROUP A TEST 87880 $36.37 DIREXION+FATHOM GW C1763 $1,396.50 DIS SITE TELE SERV RHC/FQHC G2025 $250.00 Disc repair D7852 $7,279.00 DISCISSION 2ND CATARACT; LASER 66821 $1,306.87 DISCISSION 2ND CATARACT; STAB 66820 $5,212.42 DISCISSION VITREOUS PARS PLA 67030 $5,212.42 DISKOGRAPHY CERV/THOR RAD S&I 72285 $4,432.54 DISKOGRAPHY LUMBAR-RAD S & I 72295 $4,432.54 DISOPYRAMIDE LEVEL 80299 $41.01 Disp kit 2.4mm SutureTak Perc C1713 $333.00 Disp kit 2.9mm Pushlock Percut C1713 $330.00 Disp kit 3mm SutureTak Percut C1713 $418.50 DISP SNAP Y SET $69.75 DISPOSABLE CANNULA 9MM A4615 $49.50 DISPOSABLE TUBING KIT 18"&72" A4331 $24.44 DISTAFLO MINICUFF BYPASS GRAFT C1768 $4,185.00 DISTAL CENTRALIZER 13MM C1776 $171.00 DISTAL CENTRALIZER 9MM C1776 $147.15 DISTAL FEMORAL COMPONENT GMRS C1776 $12,662.40 DISTAL OR PRIMARY WEDGE D4274 $490.00 DISTAL RADIOUS FIXATOR & DIST MODULE C1776 $3,937.17 DISTAL RADIUS FIXAT W/DISTRACT C1713 $3,937.17 DISTANT SITE TEL SERV RHC/FQHC G2025 $250.00 DISTRACT PIN SCREW STERLE 12MM C1713 $795.00 DISTRACT PIN SCREWS STER 10BX C1713 $795.00 DISTRACT PIN SCREWS STERL 16MM C1713 $292.50 Distract Screw Disp Stealth C1713 $292.50 Distract/Retain Screw ProDisc C1713 $750.00 DISTRACTION PIN SCREWS 14MM; STEALTH C1713 $795.00 Distraction/Retainer Screw C1713 $750.00 DISULFIRAM 250MG TAB $129.72 DIVALPROEX 125M TAB J3490 $0.46 DIVALPROEX SOD 500MG ER TAB $4.52 DIVALPROEX SPRINKLE 125MG $0.86 DIVIDEBLOODCOMPONENTENT 86985 $369.93 DM SLF-MGMT TRN SRVC GRP-30 MI G0109 $34.39 DM SLF-MGMT TRN SRVC INDV 30MI G0108 $126.49 DM SS BEAD CABLE/SLEEVE SET C1713 $382.90 DMSA VIAL <= 10 MCI A9551 $175.48 DNA AB 86215 $32.38 DNA IMAGE ANALYSIS 88358 $369.93 DOBUTAMINE 500MG/250ML D5W IV J1250 $12.01 DOBUTAMINE 60MG/100ML IV J1250 $53.52 DOBUTAMNE HCL 12.5/ML INJ J1250 $0.73 DOBUTREX 250MG/20ML INJ $1.45 DOCETAXEL 1 MG J9171 $41.74 DOCUSATE 50MG CAP $0.03 DOCUSATE SODIUM 100MG CAP J3490 $0.19 DOFETILIDE 0.125MG CAPSULE $3.31 DOFETILIDE 0.25MG CAPSULE $7.28 DOFETILIDE 0.5MG CAPSULE $21.44 DOLASETRON 100MG Q0180 $167.73 DOLASETRON MESYLATE 100MG Q0180 $252.13 DOLOPHINE 10MG TAB J3490 $0.47 DOLOPHINE 10MG/ML INJ 20ML $0.97 DOLOPHINE 5MG TABLET J3490 $0.47 DOLUTEGRAVIR 50MG TABLETS J3490 $39.87 DONEPEZIL 10MG TAB $5.84 DONNATAL TAB $4.90 DONOVON BODY TEST 87205 $10.45 DOPAMINE 400MG IV BAG PER 40MG J1265 $3.02 DOPAMINE 400MG IV PB J1265 $23.77 DOPAMINE 60MG/100ML D5W NICUIV J1265 $5.00 DOPAMINE INJ;PER 250MG J1265 $1.40 DOPPLER ECHO COLOR FLOW VELOCI 93325 $7.04 DOPPLER ECHO CONT WAVE; CMPL 93320 $40.37 DOPPLER ECHO CONT WAVE; F/U-LT 93321 $16.17 DOPPLER ECHO FETAL-CV SYS; CMP 76827 $288.95 DOPPLER ECHO FETAL-CV SYS; REP 76828 $288.95 DOPPLER PROBE PENCIL 11.5CM C2618 $1,642.50 DOPPLER UMBILICAL ARTERY 76820 $288.95 DORADO PTA 5X4CM DILATAT CATH C1752 $307.50 DORNASE 5 MG/ 50ML NS SYRINGE $50.00 DORSAL DISTAL RADIUS PLATE C1713 $849.00 DORZOLAMIDE HCL 2% EYE DROP J3490 $11.01 DORZOLOMIDE HCL EYE DROPS 2% $146.96 DOUBLE J STENT 6FX26 C2617 $202.71 DOUBLE J STENT 6FX28 C2617 $202.71 DOVONEX 0.005% OINT 30GM $312.55 DOXEPIN (SINEQUAN) 80335 $11.99 DOXEPIN HCL 100MG CAP $0.75 DOXEPIN HCL 10MG CAP $0.37 DOXEPIN HCL 25MG CAP $0.27 DOXEPIN HCL 75MG CAP $1.20 DOXERCALCIFEROL 2.5MCG $3.48 DOXORUBICIN HCL 10 MG J9000 $128.74 DOXORUBICIN HCL 10MG IV $72.77 DOXORUBICIN HCL 50MG IV $173.40 DOXORUBICIN HCL LIPOSOME 10MG/ Q2050 $504.00 DOXORUBICIN HCL,HCL LIPID,10MG Q2050 $1,279.08 DOXYC100MG/100MLD5WBNRYCONNCTR J3490 $19.23 DOXYCYCLINE 100MG CAP J3490 $1.34 DOXYCYCLINE 100MG CAPS J8499 $10.00 DOXYCYCLINE 50MG CAP $0.59 DOXYCYCLINE ORAL SUSP 25MG/5ML $2.00 DR ABS CYST HEAMT-MOUTH;SIMPLE 40800 $1,572.63 DR ABSC CYST HEMAT-MOUTH; COMP 40801 $1,138.76 DR ABSC CYST HEMATOM-DENTOALVE 41800 $281.09 DR EXT EAR ABSCESS/HEMATOMA;CO 69005 $3,538.61 DRAIN 15FR RND HUBLESS TROCAR C1729 $887.52 DRAIN ABSC/HEMATMA; NASAL INTR 30000 $524.99 DRAIN ABSC/HEMATOMA NASAL INT 30000 $524.99 DRAIN ABSCESS PAROTID SIMPLE 42300 $3,295.73 Drain Bag CSF EDS3 Codman A4315 $346.50 DRAIN BLDR; W CATH INSERTIONQ 51102 $4,567.09 DRAIN CATHETER VARIOUS C1729 $720.00 Drain Chest PleurX Drain Line C1729 $240.00 Drain Chest PleurX Valve Cap $75.00 Drain CSF Ext clear vent cath A4315 $474.00 Drain CSF Extern Sys AccuDrain A4315 $385.46 Drain CSF Extern Sys w/o cath A4331 $340.50 DRAIN EXT AUDITORY CANAL ABSC 69020 $1,572.63 DRAIN EXT EAR ABSC/HEMA;SIMP 69000 $1,572.63 Drain Extrn Sys w/lumbr cath C1729 $811.50 DRAIN FINGER ABSC;SIMPLE 26010 $450.45 DRAIN FNGR ABSCS;COMPLICATED 26011 $3,538.61 DRAIN HEMOTOMA/ABSC NASAL;INT 30000 $524.99 Drain Jackson-Pratt 20cm 15FR C1729 $110.33 DRAIN J-VAC-CATEG 1 $308.19 DRAIN LN ASCESS/INFECTION; EXT 38305 $5,978.15 DRAIN MAJOR JOINT/BURSA W US G 20611 $674.85 DRAIN MAJOR JOINT/BURSA W/ US 20611 $674.85 DRAIN MALECOT-CATEG 1 $70.59 DRAIN OVARIAN ABSC; VAG APPROA 58820 $6,440.19 DRAIN PALMAR BURSA; SNGL BURSA 26025 $7,057.23 DRAIN PERIRENAL/RENAL ABSC; OP 50020 $4,567.09 DRAIN PERITONEAL ABSC; OPEN 49020 $3,463.42 Drain PleurX cath kit 66cm C1729 $862.50 DRAIN RETROPERITONEAL ABSC; OP 49060 $2,394.26 DRAIN SILIC 19FR RND,FUL FLUTE C1729 $796.29 DRAIN SILICONE-CATEG 1 $4,315.47 DRAIN SUBDIAPHRAGMATIC ABSC; O 49040 $2,177.87 DRAIN TUBING 3/8 12L C1729 $138.00 DRAIN TUBING 5/8 12IN 50BX 4CS C1729 $138.00 DRAIN/INJ INTER JOINT/BURSA W/ 20606 $1,611.39 DRAIN/INJ INTERM JNT/BURSA 20605 $674.85 DRAIN/INJ MAJOR JNT/BURSA 20610 $674.85 DRAIN/INJ MAJOR JOINT/BURSA W/ 20610 $674.85 DRAINAGE CATH 8F-16F C1729 $570.00 DRAINAGE DEEP ABSCESS THIGH OR 27301 $5,978.15 DRAINAGE EXT AUDITORY CANAL AB 69020 $1,572.63 DRAINAGE EXT AUDITORY CANAL AB 69020 $1,572.63 DRAINAGE FINGER ABSCESS; SIMPL 26010 $450.45 DRAINAGE LYMPH NODE ABSCESS; S 38300 $5,978.15 DRAINAGE OVARIAN ABSCESS; ABD 58822 $1,554.67 DRAINAGE PERIVESICAL/PREVESICA 51080 $5,978.15 DRAINAGE SCROTAL WALL ABSC 55100 $3,538.61 DRAINAGE SYSTEM EXTERNAL-CATEG 1 $272.50 DRAIN-CATEG 1 $198.00 DRAING ABSC/HEMTMA NASL SEPTM 30020 $1,138.76 DRAING ABSCS/HEMTMANASL SEPTM 30020 $1,138.76 Drape Arthroscopy T-Drape $302.22 DRAW BLOOD FROM PICC 36592 $281.09 DRAW BLOOD FROM VAD 36591 $281.09 DRC 68720 $8,061.64 DRESS EZ DERM MESHED 3X4 SHEET C1781 $558.36 DRESS EZ DERM XENOGRFT SHEET C1781 $770.19 DRESS/DEBRD PART-TICK BURN;5<% 16020 $450.45 DRESS/DEBRID P THICK BURN L 16030 $823.72 DRESSING $0.01 DRESSING CHANGE 15852 $1,281.35 DRESSING TRANSPARENT-CATEG 1 $508.13 DRIL UPPER EXTRM HEMODIALYSIS 36838 $11,849.09 DRILL BIT C1713 $260.10 Drill Bit 1.3mmx55mm Mini QC C1713 $169.50 DRILL BIT 1.6 C1713 $397.50 Drill Bit 1.9mm S SUTUREFIX C1713 $472.50 Drill Bit 1/8" Triath Knee Sys C1713 $386.10 DRILL BIT 1/8TH C1713 $386.10 DRILL BIT 10MM C1713 $489.60 Drill Bit 115mm Rainbow 35mm C1713 $390.68 Drill Bit 180mm AOFit Plte Sys C1713 $293.63 DRILL BIT 2.0MM C1713 $200.82 DRILL BIT 2.1 C1713 $185.74 DRILL BIT 2.5MM C1713 $181.69 DRILL BIT 2.5MM C1713 $257.20 Drill Bit 2.5mmx230mm AO Fitt C1713 $262.02 DRILL BIT 3.2 C1713 $242.90 DRILL BIT 3.2MM C1713 $262.02 DRILL BIT 3.2MM SHORT C1713 $262.02 DRILL BIT 3.5 X 60 C1713 $531.00 DRILL BIT 3.5MM C1713 $181.69 DRILL BIT 3.5MM, AO DIA SCALED C1713 $417.00 Drill Bit 4.5 Endo Can Endobtn C1713 $204.75 DRILL BIT 4.5MM LONG C1713 $293.63 Drill Bit 50mm 5mm Wrkng Lgth C1713 $178.98 Drill Bit 50mm working Length C1713 $189.09 Drill Bit 58mm Stryker End 20m C1713 $202.08 Drill Bit AO Fit VariAx Plate C1713 $211.50 DRILL BIT FLEX 2.3 CURVED C1713 $219.96 DRILL BIT LONG C1713 $438.00 Drill Bit Long Acutrak 2 Mini C1713 $415.50 DRILL BIT QUICKREAD CONNECT C1713 $136.13 DRILL GUIDE 2.0MM C1713 $180.00 DRILL PERFORAT D'ERRICO 3-3/8" C1713 $416.96 DRILL PIN 3.7MM C1713 $750.00 Drill Pin Retrobutton C1713 $172.50 DRILL TIP GUIDEWIRE 2.5 C1769 $99.45 Drill Widening 3mm 04.1mm $303.75 Drill Widening 4mm 04.1mm $303.75 DRILL/BIT/BURR/TIP $316.98 DRILLBIT AO DIA2.6X135MM SCALE C1713 $438.00 DRILLGUIDE CURVE FOR 2.3 SA C1713 $831.00 DRN OVAR CYST UNI/BIL-SEP PROC 58800 $6,440.19 DRN OVAR CYST UNI/BIL-SEP PROC 58805 $6,440.19 DRONABINOL 2.5MG ANTI-EMETIC Q0167 $12.96 DRONABINOL 5MG CAPSULE PO $7.76 DROTRECOGIN 20MG (XIGRIS) VIAL $3,021.48 DRRESSING CHG NOT FOR BURN 15852 $1,281.35 DRS/DEBRID PRT-TICK BURN;MEDIU 16025 $450.45 DRUG ADMIN & HEMODYNMIC MEAS 93463 $217.10 DRUG DELIVERY SYS<=50ML A4306 $326.46 DRUG SCREEN SGL CLASS 80307 $142.23 DRUG SCRN 1+ CLASS NONCHROMO 80307 $142.23 DRUG-ELUTING STENT C1874 $2,692.50 DSCHRG MED/CURRENT MED MERGE 1111F $0.10 DSG&/DEBRID INIT/SUBSQT;W/O AN 16020 $450.45 DT ADSORBED-USE INDIVID < 7 YRS-IM 90702 $125.04 DT ADSORBED-USE INDIVID <7 YRS-IM CLINIC 90702 $125.04 DTaP VACCINE, LESS THAN 7 YRS, IM 90700 $75.00 DTAP-HEPB-IPV,IM CLINIC 90723 $94.68 DTAP-HEPB-IPV,IM CLINIC (ADULT) 90723 $94.68 DTAP-HEPB-IPV,IM CLINIC (IMMUNOSUPPRESD) 90723 $94.68 DTAP-HEPB-IPV,IM CLINIC (PEDS/ADOLES) 90723 $94.68 DTAP-HIB IP VACCINE, IM 90698 $218.78 DTAP-IPV VACC 4-6 YR IM 90696 $128.96 DUAL CATHETERS (LANGSTON) $1,192.50 DUAL LUMEN 5FR CATHETER C1757 $372.00 DUAL LUMEN CATH C1887 $337.50 DUAL LUMEN CATHETER C1758 $337.50 DUAL LUMEN GASTRIC TUBES 8FR B4087 $88.71 DUAL LUMEN URETERAL CATH C1757 $47.82 DUAL MESH PLUS 26CMX34CM C1781 $825.00 DUAL PORT ACCESS 10FR ST405L A4301 $771.11 DUAL URETER CATH UDEX10X150MM C1758 $104.55 DUET EXTERNAL DRAINAGE &MONITR C1729 $599.04 DULERA 100/5 INH J3535 $102.23 DULERA 200/5 INH J3535 $102.23 DULOXETINE 20MG CAPSULE $4.74 DULOXETINE 30MG CAPSULE J3490 $4.62 DULOXETINE 60MG CAPSULE J3490 $4.60 DUO-TRACH KIT 5 EA $59.80 DUPLEX AORTA 93978 $600.78 DUPLEX HEMODIALYSIS ACCESS 93990 $288.95 DUPLEX SCAN LOWR EXT ART; UNI/ 93926 $288.95 DUPLEX SCAN LOWR EXTREM ART; C 93925 $600.78 DUPLEX SCAN PENIL VES; F/U-LTD 93981 $288.95 DUPLEX SCAN PENILE VESSELS; CM 93980 $288.95 DUPLEX SCAN UPPR EXT ART; UNI/ 93931 $288.95 DUPLEX SCAN UPPR EXTREM ART; C 93930 $600.78 DURAFLOW 15.5FR X 28CM BASIC STRG KIT CA C1881 $358.50 DURAFLOW 15.5FR X 32CM BASIC STRG KIT CA C1881 $358.50 DURAFLOW BASIC PRE-CURVE CATH 15.5FR X32 C1730 $450.00 DURAFLOW PRE-CURVE KIT CATH 15.5X32CM C1730 $450.00 DURAFORM 1X3 SPONGE DURAL GRFT C1768 $2,443.47 DURAFORM 2X2 SPONGE DURAL GRFT C1768 $2,756.31 DURAFORM 3X3 DURAL GRAFT SPONG C1768 $5,228.22 DURAGEN SUTUR DURAL REGEN 1X3" C1713 $724.77 DURAGEN SUTUR DURAL REGEN 2X2" C1713 $759.95 DURAGEN SUTUR DURAL REGEN 3X3" C1713 $1,380.93 DURAGEN SUTUR DURAL REGEN 4X5" C1713 $2,322.08 DURAGEN SZ 1X1 COLLAGN DOMESTC $327.21 DURAMAX 24/20CM STACK TIP STRG C1887 $1,875.00 DURAMAX STACK TIP STRGHT CATH C1887 $1,875.00 DURAMAX STRGHT DIALYSIS CATH C1887 $1,875.00 DURASEAL SPINE SEALANT BRAIN A4649 $7,498.50 DURVALUMAB 10MG INJ. J9173 $193.51 DUTASTERIDE (AVODAR) 0.5 MG. $1.49 DVR ANATOMIC DVRA PLATE SYS C1713 $1,268.40 DVR ANATOMIC; DVRA PLATE SYSTEM C1713 $1,268.40 DVR CROSSLOCK WIDE PLATE RIGHT C1713 $1,665.00 DVR LOCK NARROW L C1713 $1,665.00 DVR LOCK STANDARD L C1713 $1,665.00 DW 5% IV BAG FOR FLOOR STOCK J7060 $0.27 DX BONE MARROW BX & ASPIR 38222 $5,978.15 DX BRONCHOSCOPE/BRUSH 31623 $3,688.15 DX BRONCHOSCOPE/LAVAGE 31624 $3,688.15 DX BRONCHOSCOPE/WASH 31622 $3,688.15 DX CYSTO W URETER/PYELO 52351 $7,781.86 DX DIG BRST TOMOSYNTHESIS; BIL 77062 $71.20 DX DIG BRST TOMOSYNTHESIS;UNIL 77061 $71.20 DX KNEE ARTHROSCPY 29870 $7,057.23 DX LARYNGSCPY;EXCLD NEWBORN 31525 $3,688.15 DX LMBR SPI PNXR W/FLOUR/CT 62328 $1,611.56 DX LMBR SPI PNXR W/FLUOR/CT 62328 $1,611.56 DX MAMMO INCL CAD BI 77066 $109.87 DX MAMMO INCL CAD UNI 77065 $89.08 DX MAMMO INCL CAD/UNI 77065 $89.08 DX SPINAL PUNCTURE - LUMBAR 62270 $1,611.39 DX;HYSTEROSCOPY 58555 $6,440.19 DX;PROCTOSIGMOIDOSCOPY; RIGID 45300 $1,969.31 DXA BONE STUDY; AXIAL SKLTON 77085 $288.95 DXTIC LUMB SPINAL PUNCT 62270 $1,611.39 D-XYLOSE 84620 $28.95 D-XYLOSE POWDER 25GM $0.82 DYCLONINE HCL 0.5% SOL $2.40 DYNAMIC FINGER SPLINT 29131 $141.83 DYNAMIC SPLINT 29126 $281.09 DYNAMIC SPLINT; SHORT ARM 29126 $281.09 DYNAMO 90 PROBE 3.5MMX5.5MM C2618 $305.55 DYONIC RF RND 60 DEGREE PROBE C1713 $291.00 DYONIC RF RND 60 DEGREE PROBE C2618 $291.00 DYONICS ELITE ABRADER BURR C1713 $733.95 DYRENIUM 50 MG. PO $1.33 E 904H GUT CHR $120.35 E LUMINEX VASC/BILLARY STNT C1877 $1,650.00 E LUMINEXX VASC& BILLARY STENT C1876 $1,650.00 E LUMINEXX VASC& BILLARY STENT C1876 $1,650.00 E. D. - RABIES VACCINE-IM USE 90675 $632.04 E. D. - SIMPL REPR SCLP&/TRUNK 12001 $450.45 E. D. - TX CLO ELBOW DISLOC; W 24600 $555.94 E. D.-SIMPL REPR FACE&/MUCOUS; 12011 $450.45 E. HYSTOLYTICA ANTIGEN 87336 $35.20 E.D - CNTRL NASL HEMOR POSTR I 30905 $281.09 E.D - CNTRL NASL HEMR ANTER CO 30903 $281.09 E.D - EVACUATION SUBUNGUAL HEM 11740 $281.09 E.D. - SPIROMETRY 94010 $356.66 E.D. - TBE THORACOSTMY W/WO WA 32551 $4,205.10 E.E.S. 200MG/5ML 100ML J3490 $0.04 Ea add'l fabr post-same tooth D2953 $75.00 Each + prefab post-same tooth D2957 $176.00 EAR & THROAT EXAM UNDER ANESTH 92502 $1,138.76 EAR CULTURE 87070 $21.05 EAR MICROSCOPY EXAM 92504 $22.62 EAR PIERCING 69090 $163.50 EAR PROTECTOR EVALUATION 92596 $86.20 EARS CT WITH AND WITHOUT CONTR 70482 $469.77 EARS CT WITH CONTRAST 70481 $469.77 EARS CT WITHOUT CONTRAST 70480 $288.95 ECG- MONITORING & ANALYSIS 93271 $292.40 ECG UP TO 48 HRS SCAN ANALYSIS 93226 $281.09 ECG UP TO 48 HRS; RECORDING 93225 $281.09 ECG W 12 LEADS TRACE ONLY NO I 93005 $141.83 ECG-ROUTINE 12 LEAD; W/INTRPT 93000 $35.97 ECHINOCOCCUS ANTIBODY 86003 $12.76 ECHO FETAL-CV SYS-REAL TIME W/ 76825 $1,241.53 ECHO FETAL-CV SYS-REAL TIME; R 76826 $600.78 ECHO TIP ULTRA 25 GAUGE NEEDLE C2618 $345.00 ECHO TRANSESOPH; PLCMT PROBE O 93313 $1,241.53 ECHO TRANSESOPHAGEAL; I&R ONLY 93314 $198.77 ECHO TRANSESOPHGL; PROBE PLACE 93313 $1,241.53 ECHO TRNSESOPH; W/PROBE PLCMT- 93312 $1,241.53 ECHO TRNSTHORAC REAL-TIME; CMP 93307 $600.78 ECHO TRNSTHORAC REAL-TIME; F/U 93308 $600.78 ECHO W/REST & STRESS-INTERP & 93350 $1,241.53 ECOTRIN EC 325MG TAB J3490 $0.10 ECX SUBMANDIBULAR GLAND 42440 $12,504.78 ED VISIT E/M - LOW MODALITY SE 99282 $580.00 ED VISIT E/M - MODERATOR SERVE 99283 $726.00 EDETATE CALC DISODIUM 200MG ML $40.85 EDOXABAN (SAVAYSA) 15MG TABLET $15.53 EDOXABAN (SAVAYSA) 30MG TABLET $15.53 EDOXABAN (SAVAYSA) 45MG TABLET $15.53 EDS CSF EXT DRAIN SYS W/0 CATH C1729 $340.50 EDS LUMBAR EXTERNAL CATH DRAIN C1729 $337.50 EDS3 DRAIN SYS W/CLR VENT CATH C1729 $474.00 EDS3 LEVEL DEV EXTRNL DRAIN A4315 $60.00 EDS3 LEVEL DEV; EXT DRAIN SYS C1729 $60.00 EDS3 LUMBAR CATHETER KIT II C1887 $811.50 EECP PER TREATMENT G0166 $281.09 EEG ALL NIGHT SLEEP ONLY 95827 $1,280.99 EEG ASLEEP ONLY 95822 $652.50 EEG BRAIN DEATH EVALUATION 95824 $1,251.91 EEG DURING NONINTRACRANIAL SUR 95955 $129.13 EEG EXTEND MONITOR; UP TO 1 HR 95812 $652.50 EEG INCL RECORDING AWAKE&DROWS 95816 $652.50 EEG MONITORING >ONE HOUR 95813 $652.50 EEG RCRD/INTRPRT-PRTBL EA 24H 95953 $1,280.99 EEG RCRDNG/INTRPRTN EA 24HR 95950 $1,280.99 EEG WITH MEDICATIONS 95954 $1,251.91 EEG;ALL NIGHT RECORDING 95827 $1,280.99 EFAV/EMTRICITABINE/TENOVIR600/ J3490 $50.44 EFAVIRENZ 100MG CAP $117.03 EFAVIRENZ 200MG CAP $6.16 EFAVIRENZ 600 TAB PO $20.57 EFFERDENT TAB $2.20 EFFIENT 5 mg. $6.96 EGD BALLOON DIL ESOPH 30+MM 43233 $4,015.00 EGD ENDO-MUCOSAL RESECTION 43254 $4,015.00 EGD ENDOSCOPIC STENT PLACE 43266 $12,325.10 EGD FLEX; DX BRUSH/WASH 43235 $2,026.11 EGD FLEX; ESOPH DILAT W/BALLN 43233 $4,015.00 EGD FOR GT PLACEMENT 43246 $4,015.00 EGD W/ ENDO MUCOSAL RESECTION 43254 $4,015.00 EGD WITH BIOPSY OF SMALL INTES 44100 $2,026.11 EGD WITH LASER ABLATION OF TUM 43270 $4,015.00 EGD WITH POLYPECTOMY 43251 $4,015.00 EGG BUR 4.0MM^* C1713 $96.41 EIA ANA SCREEN 86235 $43.85 EIA ANTI-HBS 86706 $26.25 EIA FOR HBEAG 87350 $28.18 EIA FOR HBSAG 87340 $25.26 EIA HTLV-1 86687 $20.50 EIA-ANTI-HBC 86704 $29.46 EIA-ANTI-HBE 86707 $28.27 EIA-H/A-1/H/A-2 AB 86703 $33.51 EIA-HEPT A ANTI-HAV-IGG 86708 $30.27 EIA-HEPT A-IGM 86709 $27.52 EKG TRACING 93005 $141.83 EKG/ECG ELECTRODE A4556 $80.58 ELASTIC BANDAGE 2 $0.47 ELASTIC BANDAGE 3 $0.62 ELASTIC BANDAGE 4 $0.74 ELASTIC BANDAGE 6 A6450 $1.08 ELAVIL 10MG/ML INJ 10ML VIAL $2.11 ELBOW AP / LAT 2+ VIEWS 73070 $205.74 ELBOW COMPLETE 3+ VIEWS 73080 $205.74 ELBOW SPLINT 29260 $86.20 ELBOW/WRIST STRAPPING 29260 $86.20 ELCTRO ANLYS SPNE INF PUMP W/R 62370 $698.41 ELEC STIM 1 OR MORE AREA PRT G0283 $34.91 ELEC-OCULOGRAPHY W/I&R 92270 $302.79 ELECT ANAL NEUROSTIM 95970 $281.09 ELECT ANAL NEUROSTIM WITH PROG 95971 $292.40 ELECTIVE EXT CARDIOVERS 92960 $1,383.01 ELECTRICAL STIMULATION 97014 $37.84 ELECTRICAL STIMULATION ATT 15M 97032 $32.38 ELECTRICAL STIMULATOR GUIDANCE 95873 $48.04 ELECTRO HEARING AID TEST BOTH 92595 $228.90 ELECTRO HEARING AID TEST ONE 92594 $128.62 ELECTRO HEARING AID TEST-BOTH 92595 $228.90 ELECTRO HEARING AID TEST-ONE E 92594 $128.62 ELECTRO STIM BONE; INVASIVE 20975 $381.70 ELECTROCEPHALOGRAM 95819 $652.50 ELECTROCOCHLEOGRAPHY 92584 $356.66 ELECTROCOCHLEOGRAPHY 92584 $356.66 ELECTROCORTICOGM AT SURG S/PRC 95829 $799.97 ELECTROCORTIGRAM AT SURGERY 95829 $799.97 Electrode Coag Sterile White A4556 $695.25 ELECTRODE PCO2. 1304 1306 13 $74.02 ELECTRODES (APNEA MONITOR) PER PAIR A4556 $24.29 ELECTROENCEPHALOGRM SLEEP ONLY 95822 $652.50 ELECTROLYTE PANEL 80051 $17.14 ELECTROLYTE PANEL 80051 $17.14 ELECTROLYTE-M/5%DEXTROSE IV $2.28 ELECTRON MICRO DIAG 88348 $1,619.51 ELECTRON MICROSCOPIC STUDY 88348 $1,619.51 ELECTRONIC CROSSMATCH 86923 $369.93 ELECTROPHORESIS SERUM 84165 $26.25 ELECTROPHORESIS UR 84165 $26.25 ELECTROPHYSIOLOGY EVAL 93644 $323.58 ELEMENTAL CALCIUM 260MG J3490 $0.23 ELEMENTAL CALCIUM 500MG J3490 $0.20 ELETROCARDIOGRAM TRACING 93005 $141.83 ELISA FOR ROTAVIRUS 87425 $29.30 ELISA VIR AB TEST IGM 86709 $27.52 ELIXOPHYLLIN 80MG/15ML UD 15ML $0.19 ELLIPTICAL ST MESH 6X8" W/ECHO C1781 $1,952.70 ELUTION PREP/ACID 86860 $369.93 EMBOLECTOMY 3FR CATH 6X80CM GW C1757 $136.50 EMBOLECTOMY 4FR CATH C1757 $39.00 EMBOLECTOMY 4FR CATH 10X80CMGW C1757 $136.50 EMBOLECTOMY 5FR PLUS CATHETER C1757 $136.50 EMBOLECTOMY 6FR CATH C1757 $91.50 EMBOLECTOMY/THROMBECTOMY ARTE 34203 $11,849.09 EMBOLECTOMY/THROMBECTOMY VENO 34421 $7,144.43 Emboliz Sys AZURHydrocoil fram $1,500.00 EMER DEPT VISIT E&M SELF LIMIT 99281 $450.00 EMERG DIALYSIS ESRD PATIENT G0257 $1,723.88 EMERG DIALYSIS ESRD PT G0257 $1,723.88 EMERG ENDOTRACH INTUB 31500 $524.99 Emergency tracheotomy D7990 $2,454.00 EMG ANAL OR URETERAL SPHINCTER 51784 $356.66 EMG ANAL SPHINCT NOT NEEDLE 51784 $356.66 EMG PATCH 51784 $356.66 EMLA CREAM 5X5GM TUBES J3490 $22.29 EMLA{LIDO/PRILOCAINE}2.5% CRM, 30GM TUBE $18.70 EMP EVC CONT 1000 #1614-05 $4.08 EMP EVC CONT 500 #1614-03 $1.80 EMP EVC CONT 500 #1614-03-CATEG 1 $1,750.00 EMTRICITAB/TENOFOVIR 200/300MG J3490 $33.84 EMTRICITABINE 200MG (EMPRIVA) CAP $13.35 ENA ANY METHOD 86235 $43.85 ENALAPRIL 1.25 MG/ML, 1ML INJ $10.83 ENALAPRIL 1.25MG ML 2ML INJ J3490 $10.83 ENALAPRIL 10MG TAB J3490 $1.47 ENALAPRIL 1MG/ML NICU BIC/OSW $0.07 ENALAPRIL 2.5MG TAB J3490 $1.18 ENALAPRIL 20MG TAB J3490 $1.97 ENALAPRIL 5MG TAB J3490 $1.64 ENALAPRIL 5MG TABLET J8499 $2.13 ENALAPRILAT 1.25MG/ML INJ 1ML J3490 $21.71 Enamel microabrasion D9970 $49.00 ENCAINIDE 80299 $41.01 END CAP C1713 $27.30 ENDEAVOR SPRNT CORNRY STENT 3.0X15MM C1874 $2,385.00 ENDEAVOR SPRNT CORNRY STENT 3.0X18MM C1874 $2,310.00 ENDEAVOR SPRNT CORNRY STENT 3.5X30MM C1874 $2,587.50 ENDO BAG-CATEG 1 $552.29 ENDO CATH-BILI DUCTAL SYST-RAD 74328 $66.00 ENDO CATH-PANCREAT DUCT SYS-S 74329 $66.00 ENDO COLON RETRO IMAGING C1749 $835.42 ENDO INJ OF IMPLANT MATERIAL 51715 $7,781.86 ENDO LIGACLIP ROT MULT CLIP C1713 $128.01 ENDO LIGACLP ROT 10MM MULT C1713 $417.72 Endo Retract Fan Retractor10mm $1,724.31 ENDO UGI W REM FB 43247 $2,026.11 ENDO UGI;BALLOON DIL ESOPH 30> 43249 $4,015.00 ENDO ULTRAVERES NEEDLE 120MM C2618 $339.39 ENDO;ESOPHAGUS CAPSULE 91111 $2,026.11 ENDO-ANCHOR HERNIA DEVICE 5MM C1713 $428.18 ENDO-ANCHOR HERNIA DEVICE 5MM, C1713 $428.18 ENDOCERVIC CURETTAGE 57505 $1,645.97 ENDOCERVICAL CURET 57505 $1,645.97 ENDODONTIC EACH ADDITIONL ROOT D3426 $322.00 Endodontic endosseous implant D3460 $1,400.00 ENDODONTICS RETREAT ANTERIOR D3346 $490.00 ENDODONTICS RETREAT BICUSPID D3347 $560.00 ENDODONTICS RETREAT MOLAR D3348 $700.00 ENDOLYMPHATIC SAC OP; W SHUNT 69806 $12,504.78 ENDOMET BX W/WO ENDOCRV BX-SEP 58100 $428.08 ENDOMET BX W/WO ENDOCRV BX-SEP 58100 $428.08 ENDOMETRIAL ASPIRATION 88108 $86.20 ENDOMETRIAL BIOPSY WITH COLPO 58110 $89.91 ENDOMETRIAL CRYOALBATION W US 58356 $11,012.14 ENDOSCOPIC 4.5 DRILL BIT C1713 $204.75 ENDOSCOPIC ANTEGRADE URETERAL 50553 $10,909.23 ENDOSCOPIC BILLARY STENT SET C1876 $780.00 ENDOSCOPIC PANCREATOSCOPY 43273 $264.40 ENDOSCOPIC PLANTAR FASCIOTOMY 29893 $7,057.23 ENDOSCOPIC US EXAM - UGI 43237 $4,015.00 ENDOSCPY;GI TRACT CAPSULE 91110 $2,026.11 ENDOSTAT FIBERWIRE STRIPP LASR C1713 $337.50 ENDOTOXIN ASSAY (LAL) $11.43 ENDOTRCH TUB REINFRC CONTCTTUB A4624 $454.50 ENDOTRCT TUB 6.0FR $2.99 ENDOTRCT TUB 6.5FR $2.93 ENDOTRCT TUB 7.0FR $3.10 ENDOTRCT TUB 7.5FR $2.99 ENDOTRCT TUB 8.0FR $2.93 ENDOTRCT TUB 8.5FR $2.99 ENDOTRCT TUB 9.0FR $11.97 ENDOTRCT TUB 9.5FR $2.93 ENDOVASC AAA BIFURCATED GRAFT C1768 $3,517.50 ENDOVASC PLCMT ILIAC ARTERY OC 34808 $431.29 ENDOVASC REP THORAC AORTA;INCL 33880 $3,878.73 ENDOVEN ALBATE THER;LASER EXT; 36478 $7,144.43 ENDOVEN ALBATE THER;RF;1ST VEI 36475 $7,144.43 ENDOVENOUS ABLAT TX;ADD-ON 36476 $293.39 ENDROPHONIUM CL 10MG/ML $81.14 ENEMA BAG $1.34 ENFUVIRIDE $1,394.40 ENFUVIRTIDE 90MG SQ KIT $2,707.00 ENOXAPARIN 100MG/ML PFS J1650 $61.22 ENOXAPARIN 10MG/ML INJ $1.16 ENOXAPARIN 60MG/0.6ML SYR INJ J1650 $200.50 ENOXAPARIN 80MG/0.8ML SYR INJ J1650 $48.96 ENOXPRIN 120MG (LOVENOX) INJ S $82.02 ENOXPRIN 150MG (LOVENOX) INJ S J1650 $101.75 ENSEAL G2 ARTICULAT TISS SEALR A4649 $5,301.33 Enseal Laparoscopc Tissue 45cm A4649 $5,301.33 ENSEAL TRIO 3MM 35CM TISS SEAL A4649 $4,680.41 ENT Mastoid Diam 3.0x70mm $77.66 ENT TRAY $38.50 ENTACAPONE 200MG TAB $5.94 ENTECAVIR 0.5mg ORAL $27.95 ENTECAVIR 1 MG TABLET $1.50 ENTEROLYSIS 44005 $2,376.29 ENTEROSCOPY 44380 $2,026.11 ENTEROTEST (GIARDIA) 87177 $21.76 ENTEROVIRUS SCREEN 87140 $13.62 ENTROPION REPAIR EXTENSIVE 67924 $4,989.01 ENTROSCOPY >2ND DUOD 44360 $4,015.00 ENUC EYE W IMP & MUSCLE ATTCHM 65105 $8,061.64 ENUC EYE W IMPLANT WO MSCL ATT 65103 $8,061.64 ENUCLEATE EYE W/O IMPLANT 65101 $8,061.64 ENULOSE/CEPHULAC 10GM/15ML480M J3490 $0.15 ENV INTERVEN-W/AGENCIES/INSTIT 90882 $83.93 ENVIRNMENTAL MGEMENT 90882 $83.93 ENVIRONMENTAL CULTURE 87081 $16.19 ENVIRONMENTAL MANAGEMENT 90882 $83.93 ENZ IMM DETECT-RSV 86317 $36.63 EO, DBL UPRT FORARM/ARM CUFFS, EXT/FLXN L3730 $1,905.18 EO, DBL UPRT FORARM/ARM CUFS, FREE MTN L3720 $1,413.28 EODB UPRT 4ARM/ARM CF ADJ+LCK W ACT CTRL L3740 $2,139.94 EOM MEASUREMENT PVT ONLY 95851 $47.19 EOSINOPHIL COUNT 85999 $17.99 EOSINOPHIL COUNT-NASAL SMEAR 89190 $12.74 EOSINOPHIL SMEAR 85999 $17.99 EOSINOPHIL SMEAR FECAL 85999 $17.99 EOSINOPHIL SMEAR NASAL 89190 $12.74 EOSINOPHIL SMEAR SPUTUM 85999 $17.99 EOSINOPHIL URINE 81015 $7.46 EOSINOPHILES-URINE 87205 $10.45 EOVIST 181.43 MG/ML 10ML $343.20 EP EVAL CD LEADS; INIT IMPL/RE 93640 $388.61 EP STEERABLE GUIDING INTRODUCR/SHEAT C1766 $1.00 EPCLUSA Sofosbuvir400mg/Velpatasvir100mg $0.10 EPHEDRINE 50MG INJ J3490 $76.66 EPHEDRINE SULF 50MG/ML INJ $9.10 EPHEDRINE SULFATE 10MG/ML SYRI J3490 $1.00 EPIDURAL/LUMBA/ SACRAL NV DESR 62282 $2,093.48 EPIDURL CERVICL THORAC NRV DES 62281 $2,093.48 EPIDUROGRAPHY RAD S&I 72275 $93.09 EPILATION OF TRICHIASIS 67820 $281.09 EPILATION PROC OTHER THAN FORC 67825 $697.33 EPINEPHRINE 0.1MG 1ML,10MLABBO J0171 $3.85 EPINEPHRINE 0.1MG/ML ABBO 10ML $4.54 EPINEPHRINE 0.5% EYE DROP $6.80 EPINEPHRINE 1% EYE DROP $3.31 EPINEPHRINE 1MG/1ML INJ J3490 $0.27 EPINEPHRINE 1MG/250ML INJECTION $30.00 EPINEPHRINE 1MG/ML INJ J0171 $0.71 EPINEPHRINE 2% EYE DROP $7.15 EPINEPHRINE 4MG/250ML PREMIX J3490 $25.00 EPIRUBICIN HCL2MG J9178 $4.85 EPISIOTOMY OR VANGINAL REPAIR 59300 $6,440.19 EPIVIR 10MG/ML SOLUTION J3490 $0.40 EPIVIR 150MG TAB J3490 $6.57 EPIVIR 300MG. PO (FOR SCC ONLY) $31.71 EPLERENONE 25MG. TABLET $9.02 EPOETIN ALPHA 20,000 UNITS SQ J0885 $371.67 EPOETIN ALPHA 40,000 UNITS INJ $0.01 EPOETIN(NON ESRD USE)/1000 UNT J0885 $43.78 EPOGEN FOR NICU(PREPARED BY IV J0885 $8.79 EPOGEN/PROCRIT 10000U/ML 1ML J0885 $29.85 EPOGEN/PROCRIT PER 40,000 UNT(FOR SCC $1,392.93 EPOTIN ALFA(NON ESRD) PER 1000 J0885 $67.91 EPSTEIN BARR SCREEN 86663 $32.08 EPSTEINBARR-VIRUS AB ASSAY-VCA 86665 $44.35 EQUALIZER BALLOONS 33 X 65 C1726 $372.00 EQUALIZER BALLOONS 33 X 65 C2628 $372.00 EQUI-FLOW VALVE SYS REG. PERF $2,260.86 ER VISIT E&M HIGH SEVER URGENT 99284 $970.00 ER VISIT E&M HIGH-SEVER SIG TH 99285 $1,297.00 ERBITUS 10 MG (CETUXIMAB) J9055 $173.35 ERCP DUCT STNT PLACEMENT 43274 $12,325.10 ERCP EA DUCT/AMPULLA DILATE 43277 $7,731.72 ERCP W ALBATION TUM/POLYP/LES 43278 $7,731.72 ERCP W BX; SING/MULTI 43261 $7,731.72 ERCP W REM FB/STNT; BILARY/PAN 43275 $7,731.72 ERCP W REM/EXCH STNT; DILAT G 43276 $12,325.10 ERCP/ENDOSCOPIC CATH/PANCREAS 74330 $79.20 ERCP; BALLN DILAT AMPULA BILI& 43277 $7,731.72 ERCP; DESTRUC LITH CALCU/CALCU 43265 $12,325.10 ERCP; DX W/WO CLCT SPEC SEP PR 43260 $7,731.72 ERCP; REMV CALCU BILI&/PANC DU 43264 $7,731.72 ERCP; STENT EXCHNG W/DILATION 43276 $12,325.10 ERCP; W/REM FB PANCREAS DUCT 43275 $7,731.72 ERCP; W/SPHINCTEROTOMY/PAPILLO 43262 $7,731.72 ERGOCALCIFEROL 200UNIT/DROP J3490 $0.69 ERGOCALCIFEROL 50000 INT UNIT J3490 $1.88 ERGOCALCIFEROL Oral Solution $23.33 ERGONOVINE MAL 0.2MG/ML INJ J1330 $8.37 ERGOTAMINE TART/CAFFEINE TAB $0.85 ERTAPENCU 1GM J1335 $50.47 ERTAPENEM 1GM ADDVANTAGE VIAL J1335 $64.51 ERYTHROCIN 1GM VIAL INJ $38.30 ERYTHROCIN 500MG VIAL INJ $4.44 ERYTHROMYCIN 1GM ADD VANTAG $11.28 ERYTHROMYCIN 250MG TAB J3490 $0.39 ERYTHROMYCIN 400MG/5ML 100 ML SUSPENSION $0.09 ERYTHROMYCIN 500 MG TAB J3490 $0.55 ERYTHROMYCIN 500MG ADD VANTAGE J1364 $9.43 ERYTHROMYCIN BASE EYE OINT J3490 $3.68 ERYTHROMYCIN OPHTH. OINT. 0.5% (5MG/G) $22.48 ERYTHROPOIETIN 82668 $45.94 ERYTHRO-PROTOPORPH 84202 $35.07 ES SILVERHAWK PERIPH CATH C1714 $5,992.50 ESCALATE LAMINOPLASTY PLATE C1713 $1,362.90 ESCITALOPRAM OXALATE 10MG J3490 $3.62 ESCITALOPRAM OXALATE 20MG J3490 $6.19 ESKALITH CR 450 MG TAB J3490 $0.86 ESL BLOOD COL NDL 21G $0.32 ESL BLOOD COL.22GX 1 1/4 $0.34 ESMOLOL 10MG/ML 10ML INJ J3490 $184.32 ESMOLOL 2500MG/250ML PREMIX J3490 $146.45 ESMOLOL 250MG/ML 10ML INJ $121.36 ESMOLOL HCL 10MG/ML 250ML BAG $3.83 ESO REM TUM BY SNARE 43217 $4,015.00 ESO W HOT BX/B CAUTERY 43216 $4,015.00 ESO W REPAIR BLEED 43227 $4,015.00 ESOMEPRAZOLE 20MG (NEXIUM) CAP DR $8.79 ESOMEPRAZOLE 40MG(NEXIUM) CAP C9113 $5.27 ESOMPRAZOLE 40MG IV $27.86 ESOPH FLEX SPEC COLLECTION 43200 $2,026.11 ESOPH MOTILITY 78258 $949.04 ESOPH SCOPE W/SUBMUCOUS INJ 43201 $4,015.00 ESOPH SCOPE W/SUBMUCOUS INJ 43201 $4,015.00 ESOPH W BAND LIGAT VARICES 43205 $4,015.00 ESOPH W BX SGL/MULTI 43202 $4,015.00 ESOPHAGEAL BALLOON DILATION 43220 $4,015.00 ESOPHAGEAL CAPSULE ENDO 91111 $2,026.11 ESOPHAGEAL STENT C1874 $6,500.00 ESOPHAGOGASTROSCOPYBX;SING/MUL 43202 $4,015.00 ESOPHAGOSCOPY DIAGNOSTIC 43200 $2,026.11 ESOPHAGOSCOPY RIGID TRNSO 43180 $11,399.45 ESOPHAGOSCOPY RIGID/FLEX; W/RE 43215 $4,015.00 ESOPHAGOSCOPY W GUIDE WIRE 43226 $4,015.00 ESOPHAGOSCOPY W US FNA/BX 43232 $4,015.00 ESOPHAGOSCOPY; FLEXIBLE BRUSH 43200 $2,026.11 ESOPHAGOSCOPY; INSRT TUBE/STEN 43212 $12,325.10 ESOPHAGOSCOPY; RIGID DX 43191 $4,015.00 ESOPHAGOSCOPY; W US EXAM 43231 $4,015.00 ESOPHAGOSCP GUIDE WIRE DILAT 43196 $7,731.72 ESOPHAGOSCP RIG TRNSO BIOPSY 43193 $4,015.00 ESOPHAGOSCP RIG TRNSO REM FB 43194 $4,015.00 ESOPHAGOSCP RIG TRNSO REM FB 43194 $4,015.00 ESOPHAGOSCPY FLEX; DILAT W/BAL 43214 $4,015.00 ESOPHAGOSCPY; TRNSNASAL FLEX 43197 $2,026.11 ESOPHAGSCOPIC FB REMOVAL 43215 $4,015.00 ESOPHAGSCOPY FB REMOVAL 43215 $4,015.00 ESOPHAGUS 74220 $469.77 ESOPHAGUS ( PHARYNX / CERVICA 74210 $469.77 ESOPHAGUS MOTILITY STUDY 91010 $1,251.91 ESOPHAGUS UNLISTED PROCEDURE 43499 $2,026.11 ESPGHOGEAL SCLEROTHERAPY 43204 $4,015.00 ESPOHAGOSCOPY/BX/CYTOLOGY 43202 $4,015.00 ESSO X REM TUM/PLP SNARE 43217 $4,015.00 EST PAT E/M - 10MIN (PO) 99212 $342.00 EST PAT E/M - 15MIN (PO) 99213 $373.00 EST PAT E/M - 25MIN (PO) 99214 $403.00 EST PAT E/M - 40MIN (PO) 99215 $436.00 EST PAT E/M - 5MIN (PO) 99211 $325.00 ESTRADERM 0.05MG/24H PATCH $610.25 ESTRADERM 0.1 MG PATCH $13.60 ESTRADIOL (E2) 82670 $68.29 ESTRADIOL 0.01% VAGINAL CR J3490 $45.56 ESTRADIOL 1MG TABLET $0.92 ESTRAMUST PHOS SOD 140MG CAP $12.36 ESTRIOL (E3) 82677 $59.11 ESTRIOL FREE 82677 $59.11 ESTRIOL LEVEL 82677 $59.11 ESTRIOL LEVEL URINE 82677 $59.11 ESTROGEN + PROGESTERONE RECEP 84233 $193.34 ESTROGEN RECEPTOR 84233 $193.34 ESTROGEN TOTAL 82672 $53.04 ESTROGENS CONJ 0.3MG TAB $1.23 ESTROGENS CONJ 1.25MG TAB $1.69 ESTROGENS; FRACTIONED 82671 $78.96 ESTRONE 82679 $61.01 ESTRONE E1 82679 $61.01 ETHAMBUTOL 100MG TAB $0.74 ETHAMBUTOL 400MG TAB J3490 $2.24 ETHANOLAMINE 5% INJ J1430 $564.31 ETHANOLAMINE OLEATE 5% AMPULES J1430 $280.00 ETHICON SUTURE C1781 $1,911.54 ETHICON ULTRAPRO COMFORT PLUG C1781 $1,393.73 ETHICON ULTRAPRO COMFORT PLUG C1781 $1,393.73 ETHICON ULTRAPRO MESH 6 X 6" 3/BX C1781 $172.50 ETHICON ULTRAPRO MESH 6X6 3/BX C1781 $172.49 ETHILON SUTURE 18"(45CM) C1713 $54.72 ETHIONAMIDE 250MG SC TABLET $3.27 ETHMOIDECTOMY;INTRANASAL;ANTER 31200 $12,504.78 ETHMOIDECTOMY;INTRANASAL;TOTAL 31201 $3,478.64 ETHOSUXIMIDE 80168 $39.93 ETHYL CHLORD SPRAY J3490 $77.00 ETHYL CHLORIDE SPRAY 105ML $2.37 ETHYLENE GLYCOL LEVEL 82693 $36.43 ETHYOL 500MG INJ VIAL J0207 $2,803.64 ETOMIDATE 2MG/ML INJ J3490 $1.94 ETONOGESTREL IMPLANT SYSTEM J7307 $2,036.81 ETOPOSIDE 20MG/ML INJ $23.33 ETOPOSIDE 50 MG J9181 $5.00 ETOPOSIDE 50MG CAP J8560 $140.30 ETOPOSIDE ORAL 50 MG J8560 $220.97 ETOPOSIDE, 10MG J9181 $4.96 ETRAVIRINE 100MG (INTELENCE) $6.86 ETRETINATE 10MG CAP $5.19 EUGLOBULIN TIME 85360 $20.55 EVAC EXTRNL THROMBOSED HEMORRH 46083 $605.57 EVAC SUBUNGUAL HEMATOMA 11740 $281.09 EVACUATION SUBUNGUAL HEMATOMA 11740 $281.09 EVAL AND/OR FITTING VOICE PROS 92597 $160.18 EVAL AUD REHAB STATUS; 1ST HR 92626 $356.66 EVAL AUD REHAB STATUS; EA ADDL 15 MIN 92627 $0.01 EVAL CARDIOVASC FUNCT W/TILT T 93660 $1,251.91 EVAL CENT AUDTRY FUNC W/RPT +A 92621 $32.70 EVAL CENT AUDTRY FUNC W/RPT IN 92620 $356.66 EVAL FINE NEEDL ASP; INTRPT & 88173 $127.53 Eval for Deep Sedat/gen anesth D9219 $100.00 EVAL OF SPEECH FLUENCY 92521 $246.84 EVAL- SPEECH DEVICE; 1HR 92607 $281.18 EVAL SPEECH PRODUCTION 92522 $201.39 EVAL SPEECH SOUND/LANG COMPRE 92523 $423.52 EVAL SPEECH SOUND/LANG COMPREH 92523 $423.52 EVAL SWALLOWING & ORAL FUNCT-F 92610 $189.82 EVAL TO USE/FIT VOICE PROSTH 92597 $160.18 EVALUATION OF FINE NEEDLE ASPI 88172 $369.93 EVENT RECORD CARDIAC C1764 $6,967.50 EVENT RECORDER CARDIAC C1764 $7,267.50 EVICEL SEALANT C1765 $374.93 EVISERATE OCULAR CONTENTS W IM 65093 $8,061.64 EVISTA 60MG TABLET $3.17 EVOKED AUDITORY TEST COMPREHEN 92588 $652.50 EVOKED AUDITORY TEST LIMITED 92587 $652.50 EVOKED AUDITORY TEST-COMPREHEN 92588 $652.50 EVOKED AUDITORY TEST-LIMITED 92587 $652.50 EVOKED OTOACOUSTIC EMISSNS;COM 92588 $652.50 EVOLVE - HEAD C1776 $2,460.00 EVOLVE - STEM C1776 $2,902.50 EX FOR SPEECH DEVICE RX ADDL 3 92608 $112.84 Ex malig tumor-diam <= 1.25 cm D7440 $1,898.00 Ex malig tumor-diam > 1.25 cm D7441 $2,950.00 EXAM SYNOVIAL FLUID CRYSTALS 89060 $17.49 EXC & REPR EYELID > 1/4 LID MA 67966 $4,989.01 EXC & REPR EYELID; UP TO 1/4 L 67961 $4,989.01 EXC 5. TAG PAPILLECTOMY 46220 $2,588.89 EXC ABD TUM;OPEN;DIAM 10CM OR 49205 $3,794.98 EXC AURAL POLYP 69540 $3,478.64 EXC B9 LES FACE/MM;2.1-3 CM 11443 $3,538.61 EXC B9 LES S/N/EX/G;.5 CM OR L 11420 $3,538.61 EXC B9 LESION T/A/L;3.1-4 CM 11404 $3,538.61 EXC B9 LESION TRNK/EXTREM; 11402 $1,572.63 EXC B9 TUM/CYST OF MAXILLA/ZYG 21030 $12,504.78 EXC B9 TUM; CRANIAL BONE; WO O 61563 $4,191.13 EXC BARTH GLAND/CYST 56740 $6,440.19 EXC BEN CYST/TUMOR MANDIB; SIM 21040 $6,752.59 EXC BEN LES EAR LIP;0.5CM/LESS 11440 $1,572.63 EXC BEN LES FACE EAR LIP;0.5CM 11440 $1,572.63 EXC BEN LES FACE EAR LIP;0.6-1 11441 $1,572.63 EXC BEN LES FACE EAR LIP;1.1-2 11442 $1,572.63 EXC BEN LES FACE/MM;3.1-4 CM 11444 $3,538.61 EXC BEN LES FCE EAR LIP; 0.6-1 11441 $1,572.63 EXC BEN LES FCE EAR LIP; 1.1-2 11442 $1,572.63 EXC BEN LES FCE EAR LIP; 2.1-3 11443 $3,538.61 EXC BEN LES FCE EAR LIP; 3.1-4 11444 $3,538.61 EXC BEN LES FCE EAR LIP; OVR 4 11446 $5,978.15 EXC BEN LES FCE EAR LIP;0.5 CM 11440 $1,572.63 EXC BEN LES S/N/EX/G;.6-1 CM 11421 $1,572.63 EXC BEN LES SCLP HND FT; 0.6-1 11421 $1,572.63 EXC BEN LES SCLP HND FT; 1.1-2 11422 $3,538.61 EXC BEN LES SCLP HND FT; 2.1-3 11423 $3,538.61 EXC BEN LES SCLP HND FT; 3.1-4 11424 $3,538.61 EXC BEN LES SCLP HND FT; OVR 4 11426 $5,978.15 EXC BEN LES SCLP HND FT;0.5 CM 11420 $3,538.61 EXC BEN LES T/A/L;2.1-3 CM 11403 $1,572.63 EXC BEN LES TRNK ARM/LEG;0.6-1 11401 $823.72 EXC BEN LES TRNK ARM/LEG;1.1-2 11402 $1,572.63 EXC BEN LES TRNK ARM/LEG;2.1-3 11403 $1,572.63 EXC BEN LES TRNK ARM/LEG;3.1-4 11404 $3,538.61 EXC BEN LES TRUNK/ARMS/LEGS; 0 11400 $1,572.63 EXC BEN LES TRUNK/ARMS/LEGS; O 11406 $3,538.61 EXC BEN LESION S/N/EX/G;3.1-4 11424 $3,538.61 EXC BEN MANDIBL TUMR W OSTEOT 21046 $12,504.78 EXC BENIGN LES S/N/EX/G;1.1-2 11422 $3,538.61 EXC BENIGN LES TRNK/EXTREM; 11401 $823.72 EXC BENIGN LESION FACE/MM;OVER 11446 $5,978.15 EXC BENIGN LESION S/N/EX/G;OVE 11426 $5,978.15 EXC BENIGN LESION T/A/L;OVR4CM 11406 $3,538.61 EXC BENIGN MANDIBL TUMR W EOO 21047 $12,504.78 EXC BLES S/N/EX G; 1.1-2.0CM 11422 $3,538.61 EXC BN CYST/BEN TUM; PHALANGE 28108 $3,494.24 EXC BN CYST/TUM;CARPAL BONES 25130 $7,057.23 EXC BONE/MANDIBLE OSTEOMYELITI 21025 $12,504.78 EXC BONE; FACIAL BONE 21026 $12,504.78 EXC BONE; MANDIBLE 21025 $12,504.78 EXC BRANCH CLFT CYST/VEST;BELO 42815 $12,504.78 EXC BRANCHIAL CLEFT CYST/VESTI 42810 $6,752.59 EXC BRST CYST TUMR/LES OPN M/F 19120 $7,810.24 EXC BRST LES ID RAD MARKR OPN; 19125 $7,810.24 EXC CERVICAL STUMP;VAGINAL APP 57550 $11,012.14 EXC CHALAZION; MX DIFF LIDS 67805 $697.33 EXC CHALAZION; MX SAME LID 67801 $2,080.39 EXC CHALAZION; SNGL 67800 $697.33 EXC CHALZION W ANESTH/HOSP; S 67808 $4,989.01 EXC CHEST WALL TUMOR INCL RIBS 21601 $6,701.65 EXC CYCST/TUM FINGER PHALANX 26210 $3,494.24 EXC CYST HYGROMA WO DEEP NEURO 38550 $7,810.24 EXC CYST/BENIGN TUM RADIUS 24120 $7,057.23 EXC CYST/GANGLION - TOES 28092 $3,494.24 EXC CYST/TUMOR FING PHALANX W 26215 $7,057.23 EXC CYST/TUMOR METACRPL 26200 $3,494.24 EXC DEEP TMR FACE/SCLP 2 26115 $3,538.61 EXC HAND TUMOR;DEEP/1.5 CM/> 26116 $3,538.61 EXC HEEL TALUS/CALCAN CYST/TUM 28100 $7,057.23 EXC HIDRAD AXIL; SIMP/INTRMED 11450 $5,978.15 EXC HIDRAD PERI/UMBIL S/I REP 11470 $5,978.15 EXC HIDRAD UMBLCL; CMPLX 11471 $5,978.15 EXC HIDRAD UMBLCL; SIMP/INTERM 11470 $5,978.15 EXC HIDRAD; AXIL; CMPLX REP 11451 $5,978.15 EXC HIDRAD; INGUINAL; CMPLX RE 11463 $5,978.15 EXC HYDROCEL SPERM CRD UNI-SEP 55500 $7,781.86 EXC HYDROCELE OF SPRM CRD;UNIL 55500 $7,781.86 EXC HYPERPLASTIC TISSUE D7970 $732.00 EXC I P ULCER W 1' SUTURE 15940 $5,978.15 EXC INFECTED GRAFT; EXTREMITY 35903 $7,144.43 EXC INTERDIG MORTON NEUROMA;EA 28080 $3,494.24 EXC LACRIMAL GLND TUMR;FRNT AP 68540 $4,989.01 EXC LACRIMAL SAC 68520 $8,061.64 EXC LACTIFEROUS DUCT FISTULA 19112 $7,810.24 EXC LCL LES OF EPIDIDYMIS 54830 $4,567.09 EXC LCL;ULCER/BENIGN TUM STOMA 43610 $2,131.87 EXC LEG/ANKLE TUM;DEEP;5CM/> 27619 $5,978.15 EXC LEG/ANKLE TUMOR;SUBQ;3CM/> 27618 $3,538.61 EXC LES CONJUNC; UP TO 1 CM 68110 $4,989.01 EXC LES CONJUNCTIVA OVER 1CM 68115 $4,989.01 EXC LES CORNEA EX PTERYGIUM 65400 $2,080.39 EXC LES LID NO CLOS/W SMPL DIR 67840 $2,080.39 EXC LES MENISCUS/CAPSULE;KNEE 27347 $7,057.23 EXC LES MOUTH VESTI;CPLX W EXC 40816 $6,752.59 EXC LES MOUTH VESTIB W CMPLX R 40814 $6,752.59 EXC LES MOUTH VESTIBULE W SIMP 40812 $3,478.64 EXC LES PALATE/UVULA;W LOCAL F 42107 $12,504.78 EXC LES/TMR DENTOALVEOLAR W CM 41827 $12,504.78 EXC LES/TUM DENTOALVEOLAR W SI 41826 $6,752.59 EXC LES; CONJNCTVA W ADJ SCLER 68130 $4,989.01 EXC LES; MAL S/N/H/F/G/MRG; 1. 11622 $1,572.63 EXC LES; MAL S/N/H/F/G/MRG; 4. 11646 $5,978.15 EXC LES;MOUTH VEST; SIMP REP 40812 $3,478.64 EXC LES;MOUTH VESTIBULE;WO REP 40810 $6,752.59 EXC LESION DENOALVEOLAR 41825 $6,752.59 EXC LESION OF SPERMATIC CORD 55520 $7,781.86 EXC LESION;PALATE/UVULA;WO CLO 42104 $6,752.59 EXC LINGUAL FRENUM 41115 $3,478.64 EXC LIP; FULL THICK RECONST W 40525 $6,752.59 EXC LIP; TRANSVRS WEDGE 40510 $6,752.59 EXC LOP;V-EXC W PRIMARY DIR 40520 $6,752.59 EXC MAL LES F/E/E/N/L; 1.1-2.0 11642 $1,572.63 EXC MAL LES F/E/E/N/L; 2.1-3.0 11643 $3,538.61 EXC MAL LES F/E/E/N/L; 3.1-4.0 11644 $3,538.61 EXC MAL LES FACE; 0.6 TO 1.0CM 11641 $1,572.63 EXC MAL LES MRG/S/N/H/F/G 1 1- 11622 $1,572.63 EXC MAL LES S/H/N/F/G/MARG;0.5 11620 $3,538.61 EXC MAL LES SCLP/NK/HN/FT/G; 0 11621 $1,572.63 EXC MAL LES SCLP/NK/HN/FT/G; 2 11623 $3,538.61 EXC MAL LES SCLP/NK/HN/FT/G; 3 11624 $3,538.61 EXC MAL LES SCLP/NK/HN/FT/G; 4 11626 $5,978.15 EXC MAL LES TNK/ARM/LEG; 0.6-1 11601 $1,572.63 EXC MAL LES TNK/ARM/LEG; 2.1-3 11603 $1,572.63 EXC MAL LES TNK/ARM/LEG; 4.0CM 11606 $3,538.61 EXC MAL LES TRNK/A/L/MARG;1.1- 11602 $823.72 EXC MAL LES TRUNK; 0.5 CM/LESS 11600 $1,572.63 EXC MALG LES TRUNK;0.6 TO 1.0C 11601 $1,572.63 EXC MALGNT LES FACE; LESS THAN 11640 $1,572.63 EXC MALIG LES FACE; 0.5 CM/LES 11640 $1,572.63 EXC MALIG LES FACE; 0.6 TO 1.0 11641 $1,572.63 EXC MALIG LES FACE; 1.1 TO 2.0 11642 $1,572.63 EXC MALIG LES FACE; 2.1 TO 3.0 11643 $3,538.61 EXC MALIG LES FACE; 3.1 TO 4.0 11644 $3,538.61 EXC MALIG LES SCLP; 0.5 CM/LES 11620 $3,538.61 EXC MALIG LES SCLP; 0.6 TO 1.0 11621 $1,572.63 EXC MALIG LES SCLP; 2.1 TO 3.0 11623 $3,538.61 EXC MALIG LES SCLP; 3.1 TO 4.0 11624 $3,538.61 EXC MALIG LES SCLP; OVER 4.0 C 11626 $5,978.15 EXC MALIG LES TRUNK; 0.5 CM/LE 11600 $1,572.63 EXC MALIG LES TRUNK; 0.6 TO 1. 11601 $1,572.63 EXC MALIG LES TRUNK; 1.1 TO 2. 11602 $823.72 EXC MALIG LES TRUNK; 2.1 TO 3. 11603 $1,572.63 EXC MALIG LES TRUNK; 3.1 TO 4. 11604 $1,572.63 EXC MALIG LES TRUNK; OVER 4.0 11606 $3,538.61 EXC MAXILLA TUMOR CMPLX 21048 $12,504.78 EXC MAXILLARY TORUS PALATINUS 21032 $6,752.59 EXC NAIL/MATRIX PART/COMPLT PE 11750 $823.72 EXC NAIL/MATX PRT/COMP PRM REM 11750 $823.72 EXC NASAL POLYP(S); EXTENSIVE 30115 $6,752.59 EXC NASAL POLYP(S);SIMPLE 30110 $3,478.64 EXC NECK TUM; DEEP; 5 CM/> 21556 $5,978.15 EXC NECK TUMOR; SUBQ; 3CM/> 21555 $3,538.61 EXC NEUROFBRMA/NERULEMMOMA; EX 64792 $14,202.34 EXC NEUROFIBRO;MAJ PERIPH NRVE 64790 $4,432.54 EXC NEUROFIBROMA;CUTANEOUS NER 64788 $4,432.54 EXC NEUROMA HND/FOOT NOT DIG N 64782 $4,432.54 EXC NEUROMA MAJ PERIPH NRV NOT 64784 $4,432.54 EXC NEUROMA; CUTANEOUS NRV SU 64774 $4,432.54 EXC NYDROCELE; UNILATERAL 55040 $8,015.96 EXC OF TARSAL COALITION 28116 $7,057.23 EXC OR FULGURATE URETHRL POLYP 53260 $4,567.67 EXC OR FULGURATE; SKENE'S GLAN 53270 $4,567.09 EXC PAROTID TMR/GLND;TOT; W DI 42420 $12,504.78 EXC PAROTID TUM/GLAND;LL; W DI 42415 $12,504.78 EXC PAROTID TUM/GLND;LL; WO NR 42410 $12,504.78 EXC PENILE POST CIRCUMCISION A 54162 $4,567.09 EXC PILONDAL CYST/SINUS; COMPL 11772 $5,978.15 EXC PILONID CYST; COMPL 11772 $5,978.15 EXC PILONID CYST; SIMPLE 11770 $5,978.15 EXC PILONID CYST; SMPLE 11770 $5,978.15 EXC PILONIDAL CYST/SINUS; SIMP 11770 $5,978.15 EXC PILONIDAL CYST;EXTENSIVE 11771 $5,978.15 EXC PREPATELLAR BURSA 27340 $7,057.23 EXC RECTAL TUM;TRANSANAL;FULL 45172 $6,043.36 EXC RECTL TUM;TRNSANAL;NO PART 45171 $6,043.36 EXC RECURRENT GANGLION WRIST 25112 $3,494.24 EXC S P ULCER; W 1' SUTURE 15931 $5,978.15 EXC S/N/EX/G B9 & MARGIN;2.1-3 11423 $3,538.61 EXC SFT TIS LES EXTERN AUD CAN 69145 $5,978.15 EXC SKIN ABD 15830 $13,501.86 EXC SKIN ABD ADD-ON 15847 $4,693.32 EXC SKIN FOR HIDRAD CPLX REP 11451 $5,978.15 EXC SKIN HIDRADEN AX; SMPL/INT 11450 $5,978.15 EXC SKIN HIDRADEN ING;SMPL/INT 11462 $5,978.15 EXC SKIN/SUBQ TIS HIDRADNTITIS 11462 $5,978.15 EXC SKIN/SUBQ TIS HIDRADNTITIS 11463 $5,978.15 EXC SPERMATOCELE;W/WO EPIDIDIM 54840 $4,567.09 EXC SUBLINGUAL GLAND 42450 $12,504.78 EXC SUBLINGUAL SALIVARY CYST 42408 $6,752.59 EXC SUBMANDIBULAR GLAND 42440 $12,504.78 EXC SYNOVIAL CYST POPLITEAL SP 27345 $7,057.23 EXC TALUS/CALCNEUS TUMOR/CYST 28103 $15,421.60 EXC TARSA/METARS CYST/TUMOR 28104 $7,057.23 EXC TEND H/F W ROD; EA 26390 $15,421.60 EXC TENDON SHEATH LES FOREARM/ 25110 $3,494.24 EXC TENDON SHTH LESION LEG/ANK 27630 $7,057.23 EXC THYROGLOSSAL DUCT CYST/SIN 60280 $12,461.42 EXC THYROGLOSSAL DUCT CYST/SIN 60281 $12,461.42 EXC THYROID CYST/ADENOMA/TRANS 60200 $12,461.42 EXC TIB/FIB BONE CYST/TUMOR 27635 $7,057.23 EXC TMR ABDOMEN 3CM OR LESS 22902 $3,538.61 EXC TMR ARM/ELBOW 3< CM 24071 $5,978.15 EXC TMR DEEP SHLDR 5< CM 23073 $5,978.15 EXC TMR FACE/SCALP 2< CM 21012 $3,538.61 EXC TNDN SHEATH LES-HND/FNGR 26160 $3,494.24 EXC TONGUE LES W CLOS; ANT2/3 41112 $6,752.59 EXC TONGUE LES W CLOS;POST 1/3 41113 $6,752.59 EXC TONGUE LES WO CLOSURE 41110 $6,752.59 EXC TORUS MANDIBULARIS 21031 $6,752.59 EXC TRNK/EXTREM B9 & MARGIN; 11400 $1,572.63 EXC TUM ABD WALL; SUBQ; LESS T 22902 $3,538.61 EXC TUM BACK/FLANK; SUBQ; LESS 21930 $3,538.61 EXC TUM DEEP ABDOMEN 5< CM 22901 $5,978.15 EXC TUM DEEP ARM/ELBOW 5< CM 24073 $5,978.15 EXC TUM DEEP SHLDR 5CM OR LESS 23076 $5,978.15 EXC TUM FACE/SCALP <2CM 21011 $3,538.61 EXC TUM FACE/SCLP; SUBQ; LESS 21011 $3,538.61 EXC TUM FOOT/TOE; 1.5THORAX 3< CM 21552 $5,978.15 EXC TUM NECK; SUBQ; LESS THAN 21555 $3,538.61 EXC TUM PELVIS/HIP; SUBQ; LESS 27047 $5,978.15 EXC TUM PELVIS;3 < CM 27043 $5,978.15 EXC TUM SHOULDER; SUBQ; LESS T 23075 $3,538.61 EXC TUM SOFT TIS LEG/ANKLE S 27632 $5,978.15 EXC TUM SOFT TIS PELVIS/HIP 27047 $5,978.15 EXC TUM THIGH/KNEE; DEEP CM/> 27328 $5,978.15 EXC TUM THIGH/KNEE; SUBQ; LESS 27327 $3,538.61 EXC TUM UPARM/ELBOW; SUBQ; LES 24075 $3,538.61 EXC TUM;THIGH/KNEE; 3 27048 $5,978.15 EXC TUMOR ABDOMEN 3< CM 22903 $5,978.15 EXC TUMOR ABDOMINAL DEEP;5CM/> 22900 $5,978.15 EXC TUMOR ARM/ELBOW; SQ; 3CM/> 24075 $3,538.61 EXC TUMOR ARM/ELBOW;DEEP/5CM/> 24076 $5,978.15 EXC TUMOR BACK 3< CM 21931 $3,538.61 EXC TUMOR BACK/FLANK; SUBQ;3CM 21930 $3,538.61 EXC TUMOR DEEP BACK 5< CM 21933 $5,978.15 EXC TUMOR HAND 1.5< CM 26111 $3,538.61 EXC TUMOR SHLDR 3< CM 23071 $3,538.61 EXC TUMOR SHOULDER;SUBQ;3>CM 23075 $3,538.61 EXC TUMOR THIGH/KNEE;SQ;3CM/> 27327 $3,538.61 EXC URACHAL CYST/SINUS 51500 $12,461.42 EXC URETHRAL DIVERTICULUM; FEM 53230 $10,909.23 EXC VAGINAL CYST/TUMOR 57135 $6,440.19 EXC VARICOCL/LIG SPERM VN;SEP 55530 $7,781.86 EXC VARICOCL/LIG SPRM VEIN W/ 55540 $8,015.96 EXC VARIOCEL/LIG OF SPRM VEIN; 55535 $8,015.96 EXC/CURET BONE CYST/B9 TUM RAD 25120 $7,057.23 EXC/DESTRCT INTRANASAL LES;EXT 30118 $6,752.59 EXC/DESTROY PHARYNX LES 42808 $6,752.59 EXC/PLANE NOSE FOR RHINOPHYMA 30120 $6,752.59 EXC/TRANSPOS PTERYGUM W GRAFT 65426 $4,989.01 EXC/TRANSPOSITION PTERYGIUM; W 65420 $4,989.01 EXC; LES PALATE/UVULA; SIMP CL 42106 $6,752.59 EXCERCISING STRESS TESTING 94621 $652.50 EXCHANGE BILIARY DRAIN CATH; W 47536 $8,015.96 EXCHANGE TRANSFUSION;BLOOD;NEW 36450 $1,000.38 EXCHG OF AN IOL 66986 $5,212.42 EXCHNG ABSC/CYST CATH-RAD GUID 49423 $4,015.00 EXCIS MAL LES TRNK;3.1 TO 4.0C 11604 $1,572.63 EXCIS MALIG LES FACE;0.5CM/LES 11640 $1,572.63 EXCIS MALIG LES FACE;1.1-2.0CM 11642 $1,572.63 EXCIS MALIG LES FACE;2.1-3.0CM 11643 $3,538.61 EXCIS MALIG LES FACE;3.1-4.0CM 11644 $3,538.61 EXCIS MALIG LES SCLP;0.5CM/LES 11620 $3,538.61 EXCIS MALIG LES SCLP;0.6-1.0CM 11621 $1,572.63 EXCIS MALIG LES SCLP;2.1-3.0CM 11623 $3,538.61 EXCIS MALIG LES SCLP;3.1-4.0CM 11624 $3,538.61 EXCIS MALIG LES SCLP;OVER 4.0C 11626 $5,978.15 EXCIS MALIG LES TRUNK;1.1-2.0C 11602 $823.72 EXCIS MALIG LES TRUNK;OVER 4.0 11606 $3,538.61 EXCISE EXCESS SKIN TIS; LEG 15833 $5,978.15 EXCISE EXCESS SKIN TISSUE FAT 15838 $5,978.15 EXCISE EXCESS SKIN TISSUE;OTHR 15839 $5,978.15 EXCISE EXCESS SKIN&TISSUE; ARM 15836 $5,978.15 EXCISE EXCESS SKIN&TISSUE; BUT 15835 $5,978.15 EXCISE HYDROCELE; BILATERAL 55041 $8,015.96 EXCISE INFERIOR TURBINATE 30130 $6,752.59 EXCISE OLECRANON BURSA 24105 $7,057.23 EXCISE OR DESTROY LINGUAL TONS 42870 $12,504.78 EXCISE OSSEOUS TUBEROSITIES DE 41823 $12,504.78 EXCISE TENDON FOREARM/WRIST 25109 $7,057.23 EXCISE TUMOR 28043 $3,538.61 EXCISION AURAL POLYP 69540 $3,478.64 EXCISION BARTHOLIN'S GLAND/CYS 56740 $6,440.19 EXCISION BENIGN LESION > 1.25CM D7411 $1,837.00 Excision benign lesion,complic D7412 $2,043.00 EXCISION LESION/FLOOR OF MOUTH 41116 $6,752.59 Excision malig lesion,complic D7415 $2,184.00 Excision malig lesion<=1.25cm D7413 $1,387.00 Excision malig lesion>1.25cm D7414 $2,061.00 EXCISION NASAL POLYP SIMP 30110 $3,478.64 EXCISION NASAL POLYP SIMPLE 30110 $3,478.64 Excision of salivary gland, B/R D7981 $7,392.00 EXCISION OF SUPERNUMERY DIGIT 26951 $7,057.23 EXCISION PERICORONAL GINGIVA D7971 $232.00 EXCISN BARTHOLIN'S GLAND/CYST 56740 $6,440.19 EXCISN BREST LESION RADIOLGIC 19126 $348.68 EXCNL BX PALATE W/LOCAL CLOSUR 42106 $6,752.59 EXCNL BX PALATE W/LOCAL FLAP 42107 $12,504.78 EXCS MAL LES TRUNK;2.1 TO 3.0C 11603 $1,572.63 EXENESTABE 25MG TAB $10.16 EXERCISE W/HEMODYNAMIC MEAS 93464 $196.13 Exfoliative cyt sample collectn D7287 $150.00 EXHALED AIR ANALYSIS O2 94680 $356.66 EXHALED AIR ANALYSIS O2/CO2 94681 $652.50 EXHALED NITRIC OXIDE MEASUREMN 95012 $86.20 EXL SILVERHK EXT SM VES EXT LG TIP C1714 $5,992.50 EXP BILLARY SD STENT PMTD 5X15X90CM C1876 $2,092.50 EXPANDABLE VALVUTOME 1.8MM C1751 $5,992.50 EXPDIUM 5.50UNIEXT TABULR SCRW C1713 $1,496.25 EXPEDIUM 5.50UNI EXT TABULAR SCREW C1713 $1,496.25 EXPEDIUM SCREW C1781 $1,125.00 EXPEDIUM TI SI POLYAXL SCREW 5MMxVARIOUS C1713 $1,125.00 EXPEDIUM TI SI POLYAXL SCREW 7MMxVARIOUS C1713 $1,417.50 EXPEDIUM TI SI POLYAXL SCRW 7X C1713 $1,417.50 EXPIRED GAS CLCT QUAN SINGLE P 94250 $141.83 EXPL LAPAROTMY/CELIOTMY;W/WO B 49000 $1,671.74 EXPL P WND; CHEST 20101 $4,183.48 EXPL PEN WND; ABD/FLANK/BK 20102 $4,183.48 EXPL PENETR WND; EXT 20103 $1,572.63 EXPL PENETRAT WOUND-SEP PROC; 20100 $1,138.76 EXPL PENETRATING WND; CHEST 20101 $4,183.48 EXPL PENETRATING WND; EXTREM 20103 $1,572.63 EXPL POSTOP HEMOR/THROMB/INF;N 35800 $1,562.18 EXPL W DR/REM FB-MTP FOOTJOINT 28022 $7,057.23 EXPL W DRAIN/REM FB; IT/MT FOO 28020 $7,057.23 EXPL W REM DEEP FB; FOREARM/WR 25248 $3,494.24 EXPL/DRAIN/REM FB CMC JOINT 26070 $3,494.24 EXPL/DRN/REM FB IPH JNT; EA 26080 $3,494.24 EXPLOR/TREAT ANKLE JOINT 27620 $7,057.23 EXPLORE FOR UNDESCENDED TESTIS 54550 $8,015.96 EXPLORE PENETRAT WND;NECK 20100 $1,138.76 EXPO CATH KIT C1887 $123.20 EXPRESS BILIARY LD STENT PREMOUNTED C1876 $2,063.10 EX-PRESS MINI GLAUCOMA SHUNT C1788 $1,342.50 EXPRESS SD STENT C1877 $2,092.50 EXPRESS SHUNT PRELOAD ON EDS C1788 $1,492.50 EXPRESS SHUNT PRELOADED ON EDS C1783 $1,492.50 EXT BRST LES BY N LOC;SINGLE 19125 $7,810.24 EXT CANNULA DECLOT (SP); WO BA 36860 $1,625.47 EXT CANNULA DECLOT-SP; W/BALLN 36861 $11,849.09 EXT CEPHALIC VERSION W/WO TOCO 59412 $6,440.19 EXT DRAIN PSEUDOCYST PANCREAS; 49405 $3,538.61 EXT ECG RECORDING 0296T $141.83 EXT ECG SCAN W/REPORT 0297T $281.09 EXT MALE CATH-LGE (DISP) A4349 $0.69 EXT MALE CATH-MED (DISP) A4349 $0.69 EXT MALE CATH-SM (DISP) A4349 $0.63 EXT OCULAR PHOTO W/I&R DOC MED 92285 $161.31 EXT SET TWIN SITE #4522-58 $1.18 EXT SET W/ T-CONNECTOR 4612-04 $4.69 EXTEN TEND REP W/O GRAFT 26433 $7,057.23 EXTENSIVE ECTROPION REPAIR 67917 $4,989.01 EXTENSIVE MIDFOOT CAPSULOTOMY 28262 $15,421.60 EXTENSIVE REP ENTROPION 67924 $4,989.01 EXTENSOR TENDON REPAIR; EA 26418 $3,494.24 EXTERNAL AUDITORY CANAL 69105 $3,478.64 EXTERNAL CEPHALIC VERSION 59412 $6,440.19 EXTERNAL RECHARG SYS L8689 $3,585.00 EXTND ASSESMENT-75MIN 90791 $316.00 EXTNSR TNDN REP; W FR GRFT;EAC 26420 $7,057.23 EXTRA STIFF WIRE GUIDES C1713 $140.63 EXTRACAPSULAR CATARACT REMV IO 66984 $5,212.42 EXTRACRANIAL ARTERIES COMPL BI 93880 $600.78 EXTRACRANIAL ARTERIES COMPL UN 93882 $288.95 EXTRACRANIAL ARTERIES COMPL UN 93882 $288.95 EXTRACRANIAL ARTERIES COMPL UN 93882 $288.95 EXTRACRANIAL ARTERIES COMPLETE 93880 $600.78 EXTRACRANIAL ARTERIES COMPLETE 93880 $600.78 EXTRACT NUCLEAR ANTIGEN ANTIBO 86235 $43.85 EXTRACT NUCLR ANTIG ANTIB ANY 86235 $43.85 EXTRACTION D7140 $210.00 Extraction crnl remnts-decid th D7111 $140.00 EXTRACTION DEVICE BALL-CATEG 1 $1,770.83 EXTRACTOR DBL LUMEN ESCORT-CATEG 1 $133.95 EXTRAORAL I&D SUBLINGUAL 41015 $1,138.76 EXTRAORAL I&D SUBMENTAL 41017 $6,752.59 Extraoral-first film D0250 $81.00 EXTREMITY VEINS COMPLETE BILAT 93970 $600.78 EXTREMITY VEINS COMPLETE BILAT 93970 $600.78 EXTREMITY VEINS LIMITED UNILAT 93971 $288.95 EXTREMITY VEINS LIMITED UNILAT 93971 $288.95 EYE EXAM/EVAL W GEN ANESTH; RO 92018 $4,989.01 EYE EXAM/EVAL W GEN ANESTH; RO 92019 $4,989.01 EYE WASH SOLUTION $7.48 EYES CULTURE 87070 $21.05 EYLEA (AFLIBERCEPT) 2MG/0.05ML J0178 $3,056.85 Eylea 2mg/0.05ML INJ $0.10 EYLEA 40MG/ML 0.05ML INJ $4,335.94 EZETIMIBE 10MG TAB J3490 $3.50 F X3 10DEG POLY INSRT 36MM C1776 $1,200.00 F.A.N.A. 86038 $29.55 F/U OFF/OP VIST E/M 10MIN 99212 $342.00 F/U OFF/OP VIST E/M 15 MIN 99213 $373.00 F/U OFF/OP VIST E/M 25 MIN 99214 $403.00 F/U OFF/OP VIST E/M 40MIN 99215 $436.00 F/U OFF/OP VIST E/M 5 MIN 99211 $325.00 FA I&D-DP ABSC/HEMATOMA 25028 $7,057.23 Fabricate athletic mouthguards D9941 $144.00 FACE NRV MUSCLES;CHEMODENRV 64612 $674.85 Facial bone-complicated reduct D7680 $9,209.00 FACIAL BONES <3 VIEWS 70140 $205.74 FACIAL BONES CT W&W/O CONTRAST 70488 $469.77 FACIAL BONES CT WITH CONTRAST 70487 $469.77 FACIAL BONES CT WITHOUT CONTRA 70486 $288.95 FACIAL BONES/ZYGOMA 3+ VIEWS 70150 $288.95 FACIAL MRI WITH AND WITHOUT CO 70543 $984.43 FACIAL MRI WITH CONTRAST 70542 $984.43 FACIAL MRI WITHOUT CONTRAST 70540 $600.78 FACIAL NERVE BLOCK 64999 $302.79 FACIAL NERVE FUNCTION STUDY 92516 $392.96 FACTOR IX 85250 $46.55 FACTOR IX DILUTED 85250 $46.55 FACTOR IX,COMPLEX,PER IU J7194 $3.14 FACTOR V 85220 $43.14 FACTOR VII 85230 $43.76 FACTOR VIIA 1MCG J7189 $4.55 FACTOR VIII 85240 $43.76 FACTOR VIII DILUTED 85240 $43.76 FACTOR VIII(PORCINE),PER IU J7191 $2.88 FACTOR VIII-ANT-HEMO FACT HUMN J7192 $4.33 FACTOR VIII-ANT-HEMO RECOMBINA J7192 $4.33 FACTOR X 85260 $43.76 FACTOR XI 85270 $43.76 FACTOR XI DILUTED 85270 $43.76 FACTOR XII 85280 $47.30 FACTOR XIII ASSAY 85290 $39.93 FACTOR XIII SCREEN 85291 $21.74 FACTREL 100MCG INJ VAIL $467.74 FAM PSYCHOTHERAPY WO PT PRES 90846 $316.00 FAM PSYCHOTHERPY WO PT PRES 90846 $316.00 FAM PSYCHOTHERPY WO PT PRES 90846 $316.00 FAM PSYCHTHRPY W/PT PRES 90847 $316.00 FAM PSYCHTHRPY W/PT PRES 90847 $316.00 FAM PSYCHTHRPY W/PT PRES 90847 $316.00 FAMCICLOVIR 125MG TAB $12.26 FAMCICLOVIR 250MG TAB $4.25 FAMCICLOVIR 500MG TAB J3490 $10.35 FAMILY PSY THERAPY W/PT PRES 90847 $262.69 FAMILY PSYCHOTHERAPY ADOL ONLY 90849 $262.69 FAMILY PSYCHOTHERAPY W/O PT 90846 $316.00 FAMODIPINE 29MG/50ML BAG J3490 $7.00 FAMOTIDINE 20 MG S0028 $1.92 FAMOTIDINE 20MG TAB J3490 $1.52 FAMOTIDINE 20MG TABLET J8499 $3.33 FAMOTIDINE 20MG/2ML INJ J3490 $0.93 FANSIDAR PO $9.49 FASCIA LATA SZ 2x3CM; HUMAN TISSUE C1762 $817.50 FASCIALATA EYELD BIO ELV; HUMAN TIS C1762 $727.50 FASCIOTOMY HIP/THIGH/ANY TYPE 27025 $1,991.18 FAT EMULSIONS 20% 200ML $0.55 FATTY ACIDS FREE 82725 $41.29 FB REM - RECTUM 45307 $6,043.36 FB REMOVAL EAC W/O GA 69200 $281.09 FB REMOVAL LARYNGOSCOPY 31511 $403.61 FCTN CRTCL/SBCRT MP-BY STM A/O 95962 $412.77 FDG-18 <= 45 MCI A9552 $359.70 FDG-18 CAR <=45 MCI A9552 $359.70 FE EXT URIN CLCT DEVICE; POUCH EA A4328 $10.92 FECAL FAT 82715 $50.53 FECAL FAT QUALITATIVE 82705 $12.45 FECAL FAT QUANTITATIVE 82710 $41.07 FECAL LEUKOCYTE STAIN 89055 $10.45 FECAL PRESERV KIT 87177 $21.76 FEED TUB 8FR INFNT $0.89 FEED TUBE,5FR,INFANT,PREMIUM C1713 $159.51 FELBAMATE 80299 $41.01 FELBAMATE 400MG TAB (FELBATOL) $5.19 FELBAMATE 600MG TAB $3.70 FELBAMATE 600MG/5ML PO SOLN $4.45 FELODIPINE 10MG TAB SA $2.38 FELODIPINE 2.5MG TAB SA $1.16 FELODIPINE 5MG TAB SA $1.32 FEM COMP POROUS; SZ-D LEFT C1776 $7,137.00 FEM COMPONENT POROUS SIZE: E/LEFT C1776 $7,137.00 FEM COMPONENT SZ-G; RIGHT C1776 $5,211.00 FEM HEAD 11/13 TAPER 32MM C1776 $8,580.00 FEM HEAD 12/14 TAPER 3.5x30MM C1776 $8,584.95 FEM HIP SIZE-13.5; RIGHT C1776 $7,950.00 FEM HIP STEM SZ-12; LEFT C1776 $7,950.00 FEM STEM 12/14 NECK TAPER SZ-11 C1776 $9,624.00 FEM STEM 12/14 NECK TAPER SZ-13 C1776 $8,604.00 FEM STEM 12/14 NECK TAPER SZ-14 C1776 $8,604.00 FEM STEM INSRTR/EXTRCTR-CATEG 1 C1776 $1,618.52 FEM STM NCK TAPR STD NCK OFFST 12/128MM C1776 $7,071.00 FEM/POPL REVASC W/ATHER 37225 $25,544.29 FEM/POPL REVASC W/STENT 37226 $25,544.29 FEMALE LUER LOCK 303SS ADAPTR C1713 $133.98 FEMALE LUER LOCK 303SS THREAD C1713 $102.15 FEMALE LUER LOCK ADAPTER C1713 $103.50 FEMALE POST 4 HOLE C1713 $108.00 FEMALE POST 4 HOLE C1713 $108.00 FEMLE PROLPSE REP DEV; SUBFASCL HAMMCK C1771 $6,765.00 FEMOR COMP PSN ASF PS 16MM C1776 $2,636.25 FEMOR COMPONENT FEMUR TRIATH C1776 $2,092.50 FEMOR HEAD 11/13 TAPER 32MM C1776 $1,248.00 FEMOR HEAD FROZEN 44MM OR LRGR C1776 $2,029.50 FEMOR VASC AXILARY GRFT 8X70CM L8670 $3,180.00 FEMORA COMPONENT CEMENT TRIATH C1776 $2,092.50 FEMORAL COMPONENT [RECOAT SIZE E C1776 $5,245.50 FEMORAL COMPONENT 14 C1776 $4,014.25 FEMORAL COMPONENT OPTION SZ-D LEFT $6,158.12 FEMORAL COMPONENT POROUS SIZE 3/RIGHT C1776 $7,137.00 FEMORAL COMPONENT PORUS C1776 $7,255.50 FEMORAL COMPONENT RIGHT C1776 $4,013.18 FEMORAL COMPONENT SIZE E. LEFT $10,172.40 FEMORAL COMPONENT SZ D C1776 $7,137.00 FEMORAL COMPONENT SZ E C1776 $7,071.00 FEMORAL COMPONENT SZ E F C1776 $2,646.00 FEMORAL COMPONENT SZ#15; STNDRD OFFSET C1776 $6,142.50 FEMORAL COMPONENT SZ#5 C1776 $1,650.00 FEMORAL COMPONENT SZ.C RIGHT $6,921.83 FEMORAL COMPONENT SZ-G RIGHT C1776 $4,013.18 FEMORAL HEAD C1776 $1,140.00 FEMORAL HEAD C1776 $1,500.00 FEMORAL HEAD +80 32MM C1776 $1,102.50 FEMORAL HEAD +80/32MM C1776 $1,102.50 FEMORAL HEAD 12/14 TAPER 28MM C1776 $781.65 FEMORAL HEAD 12/14 TAPER 28MM HEAD C1776 $781.65 FEMORAL HEAD 36MM $3,097.50 FEMORAL HEAD 38MM C1776 $1,500.00 FEMORAL HEAD 45 MM C1776 $1,586.25 FEMORAL HEAD 6 DEGREE TAPER C1776 $1,560.56 FEMORAL HEAD C- TAPER C1776 $1,800.15 FEMORAL HEAD LFIT V40 22MM C1776 $750.00 FEMORAL HIP CERAMIC-CATEG 1 $4,613.91 FEMORAL HIP SIZE 12 LEFT $6,600.00 FEMORAL HIP SIZE 13.5 RIGHT $13,250.00 FEMORAL IMPLANTS LEFT UNIT C1776 $1,357.50 FEMORAL IMPLANTS RIGHT UNIT C1776 $1,357.50 FEMORAL JOINT PATELLA COMPONENT C1776 $1,627.50 FEMORAL KNEE COMPONENT C1776 $4,418.93 FEMORAL KNEE SIZE 3 $627.65 FEMORAL PLATE LCP 6 HOLE C1773 $1,872.00 FEMORAL PLATE LCP 6-HOLE C1713 $1,872.00 FEMORAL PREP KIT C1713 $300.00 FEMORAL PREP KIT SIZE 7 C1776 $300.00 FEMORAL PROSTHESIS C1776 $7,255.50 FEMORAL SELECTION PLUS-CATEG 1 C1726 $1,183.97 FEMORAL STEAM NECK TAPER $12,567.17 FEMORAL STEM C1776 $8,365.00 FEMORAL STEM C1776 $9,253.50 FEMORAL STEM 12/14 NECK TAPER C1776 $9,624.00 FEMORAL STEM 12/14 NECK TAPER SZ12 125MM C1776 $2,851.50 FEMORL COMP,PS CEMNT #1 RIGHT C1776 $2,092.50 FEMUR CORTCL STRUT THRDS 200MM C1725 $1,215.00 FEMUR P/S S2 8 RIGHT $1,541.93 FEMUR PLATE C1713 $2,434.62 FEMUR POSTERIOR STAB SZ.10 RT. $14,340.00 FENO DETERMINATION 95012 $86.20 FENOLDOPAM EDES 10MG/ML $468.89 FENTANYL 80307 $142.23 FENTANYL 100MCG/25ML INFUSION SYRINGE $50.00 FENTANYL 100MCG/2ML INJ J3010 $2.55 FENTANYL 100MCG/HR PATCH J3010 $70.58 FENTANYL 12MCG PATCH J3490 $13.80 FENTANYL 25MCG/HR PATCH J3010 $18.71 FENTANYL 50MCG/HR PATCH J3010 $20.91 FENTANYL 75MCG/HR PATCH $51.12 FENTANYL CITRATE 0.05MG/ML 50M J3010 $37.50 FENTANYL DRIP 200MCG/25ML $50.00 FENTANYL IVPB J3010 $125.21 FENTANYL SCREEN 80354 $260.74 FEP RINGED GRAFT 8MM 50CM RS X 100CM $2,661.00 FEP RINGED GRAFT T6MM 50CM RS X 100CM C1768 $2,533.50 FERINSOL 75MG/0.6ML DROPS 50ML J3490 $2.12 FERRIC SUBSULFATE SOLN J3490 $1.98 FERRITIN 82728 $33.33 FERRITIN LAB 82728 $33.33 FERRLECIT 12.5 MG J2916 $16.79 FERRLECIT 62.5 MG J2916 $16.79 FERRLECIT 62.5MG 5ML J2916 $19.44 FERROUS GLUCONATE 300MG TAB $0.25 FERROUS SULF 300MG/5ML ORAL LI J3490 $0.35 FERROUS SULFATE 220MG/5ML $2.17 FERROUS SULFATE 325MG UD TAB J3490 $0.19 FETAL BIOPHYS PROFILE US 76818 $288.95 FETAL BIOPHYSICAL PROFILE US 76818 $288.95 FETAL FIBRONECTIN 82731 $157.45 FETAL FIBRONECTIN (RAPID) 82731 $157.45 FETAL FLUID DRAINAGE W US 59074 $697.93 FETAL HEMOGLOBIN 83030 $23.63 FETAL INVAS PX W US 59897 $428.08 FETAL MID CEREBRL ARTRY ECHO 76821 $288.95 FETAL NON-STRESS TEST 59025 $428.08 FETAL SCREEN 86941 $29.59 FETAL SCREEN 86880 $86.20 FETAL SHUNT PLACEMNT W US 59076 $697.93 FETL BIOPHYS PROFILE; W/O NST 76819 $288.95 FEVERALL SUPPOSITORY-CATEG 1 $2,000.00 FFG - FAC NRV PARALYSIS 15840 $7,675.54 FG PKG, ANGIOJET PUMP SET C1772 $375.00 FIBER O TRACHEBRNCHO 31615 $1,138.76 FIBER O TRACHEBRONCHO 31615 $1,138.76 FIBER STICK #2 FIBERWIRE C1713 $75.00 FIBERLINK # BRAIDED PB SUTURE C1713 $82.50 FIBEROPTIC 15CMX30MM RETRACTOR $1,035.36 FIBEROPTIC ESOPHAGOGASTROSCOPY 43200 $2,026.11 FIBERWIRE #5 12/BX C1713 $60.00 FIBERWIRE BRAID SUTURE NEEDLE C1713 $33.00 FIBERWIRE#2 BRAIDED W/O NEEDLE C2618 $4.38 FIBRIN DEGRAD. PROD. 85362 $16.83 FIBRIN SPLIT PRODUCTS 85362 $16.83 FIBRINOGEN 85384 $21.38 FIBRINOGEN: CIEP 86327 $65.82 FIBROPTC LGHT CABL 3.5MMX735FT $580.79 FIBULAR 6 HOLE PLATE C1713 $1,067.62 FIBULAR PLATE 3-HOLE C1713 $1,029.37 FIBULAR PLATE 6 HOLE C1713 $3,000.00 FIBULAR PLATE 6-HOLE C1713 $3,000.00 FILGRASTIM 300MCG/ML J1442 $9.33 FILGRASTIM 30MCG/0.1ML NICU SY $13.00 FILGRASTIM 480MCG/ML INJ J1442 $1.94 FILGRASTIM, PER 1MCG J1442 $2.93 FILTER KIDNEY STN $4.82 FILTERED SPEECH HEARING TEST 92571 $86.20 FINASTERIDE 5MG TAB J3490 $3.62 FINE NDL ASP;DEEP TISSW/RAD GD 10005 $1,572.63 FINE NDLE ASP;DEEPTISSW/RADGUI 10005 $1,572.63 FINE NEEDL ASP DEEP TISS W/RAD 10005 $1,572.63 FINE NEEDLE ASPIR W/O IMAGE 10021 $823.72 FINE NEEDLE ASPIRAT ORBITAL CO 67415 $4,989.01 FINE NEEDLE ASPIRATE DEEP 88173 $127.53 FINE NEEDLE ASPIRATE SUPERFICI 88173 $127.53 FINE NEEDLE ASPIRATION 10021 $823.72 FINE NEEDLE ASPIRATION MAMMO 10021 $823.72 FINGER CAST 29086 $344.76 FINGER CAST APPLICATION 29086 $344.76 FINGER SPLINT 29280 $86.20 FINGER SPLINT APPL; DYNAMIC 29131 $141.83 FINGER/THUMB DISLC INTRPHALNGL 26770 $555.94 FINGERS 2+ VIEWS 73140 $205.74 FIREHEAD FLAP W/VASC PEDICLE 15731 $7,675.54 FIRST LANSOPRAZOLE 3MG/ML 90ML SUSP $0.37 FIRST PASS IMAGING 78481 $1,216.78 FIRSTPASS ST SGL USE SUTRE PASSR SELF C1713 $283.50 FIRSTPASS ST SINGLE SUTRE PASS C1713 $283.50 FISHMOUTH DRILL TIP C1713 $772.50 FISHMOUTH DRILL TIP C1713 $772.50 FISTULA OR SINUS TRACT STUDY 76080 $1,241.53 FISTULIZ SCLER; TRABECULECT AB 66170 $5,212.42 FISTULIZAT SCLERA; TRABECULECT 66172 $5,212.42 FIT CONTACT LENS;MANAGMT 92072 $373.87 FIT OR INSERT PESSARY 57160 $428.12 FIT&INSRT PESSARY-OTH SUPPORT 57160 $428.08 FIT/INSRT PESSARY/INTVAGNL SUP 57160 $428.08 FITTING OF SPCTCLE MOUTED LOW 92354 $91.68 FITTING OF TELESCP OTH COMP L 92355 $91.68 Fix Dev Securestrap Aboston $4,725.56 FIX G/COLON TUBE W/DEVICE 49460 $2,026.11 Fixat Kit SwiveLock ACL disp C1713 $900.00 FIXATION NAIL 12x235; 130DEGREE STR C1713 $1,728.00 FIXED 12X 4.2MM SCRW GOLD/SLVR C1713 $300.00 Fixed partial dent. repair B/R D6980 $175.00 FLAGYL 500MG INJ 100ML BAG J3490 $3.25 FLAGYL 500MG TAB J3490 $1.04 FLECAINIDE ACETATE 100MG. PO $2.73 FLECANIDE 80299 $41.01 FLEET PHOSPHO SODA - ORAL LIQ $0.59 FLEX ALLOPTCH MATRX HD PR SQCM Q4128 $9,521.79 FLEX OSTEOTOME GRAY REV SYSTEM C1713 $453.60 Flexible Passing Pin disp 2.4m C1713 $892.50 FLEXIBLE SIGMOID ABALATION OF 45346 $2,588.89 FLEXIBLE SIGMOIDOSCOPY W BIOPS 45331 $1,969.31 FLEXIBLE SIGMOIDOSCOPY W POLY 45333 $1,969.31 FLEXIFLO BAG W/ QUANTUM PUMP $7.00 FLEXIFLO QUNTUM PUMP SET $5.24 FLEXIMA URETHRAL CATHETER C1758 $290.28 FLEXOR ANSEL GUIDSHEATH ENDTPR C1887 $150.00 FLEXOR INTRODUC 10F 40CMX.038 C1729 $95.10 FLEXOR INTRODUCER 7F 45CMX.038 C1729 $66.15 FLEXOR SHUT 5FR TIB GUIDSHEATH C1887 $150.00 FLEXR ANSLHIGH FLX6FR55CM GUID C1887 $88.50 FLEXR ANSLHIGH FLX6FR70CM GUID C1887 $103.50 FLEXR ANSLHIGH FLX7FR55CM GUID C1887 $96.00 FLEXR ANSLHIGH FLX7FR70CM GUID C1887 $111.00 FLEXR SHUT TIB 110CM GUID SHTH C1887 $150.00 FLEXTOME CUTTING BALLOON C1725 $2,035.00 FLIPCUTTER II SHORT 7.5MM C1713 $487.50 FLIPCUTTER II SHORT 7MM C1713 $487.50 FLIPCUTTER II SHORT 8.5MM C1713 $487.50 FLIPCUTTER II SHORT 8MM C1713 $487.50 FLIPCUTTER II SHORT 9.5MM C1713 $487.50 FLIPCUTTER II SHORT 9MM C1713 $487.50 FlipCutter ll ACL 11mm $487.50 FlipCutter ll ACL 8.5mm $487.50 FlipCutter ll ACL 8mm $487.50 FlipCutter ll ACL 9.5mm $487.50 FlipCutter ll ACL 9mm $487.50 FlipCutter ll ACL short 11mm $487.50 FlipCutter ll ACL short 7.5mm $487.50 FlipCutter ll ACL short 7mm $487.50 FlipCutter ll ACL short 8.5mm $487.50 FlipCutter ll ACL short 8mm $487.50 FlipCutter ll ACL short 9.5mm $487.50 FlipCutter ll ACL short 9mm $487.50 FLONASE NASAL SPRAY $106.33 FLOURESCEIN 10% INJ $110.48 FLOUROGUIDE FOR VEIN DEVICE 77001 $46.20 FLOVENT 110MCG INHALER 13GM $79.17 FLOVENT 220MCG INHALER 13GM $124.30 FLOVENT 44MCG INHALER 13GM $61.05 FLOW CYTO DNA/CELL CYCLE 88182 $127.53 FLOW CYTO EA CELL 88189 $207.45 FLOW CYTOMETRY EACH AB 88189 $207.45 FLOW VOLUME LOOP 94375 $652.50 FLOWABLE HEMOSTAT C1760 $808.50 FLOWCRDIA 142S CRSSR REVAN CATH PERIPH C1714 $3,292.50 FLOXIN 0.3% J3490 $11.02 FLOXIN 200MG TAB J3490 $0.65 FLOXIN 300MG TAB $10.89 FLOXIN 400MG TAB $11.48 FLOXURIDINE, 500MG J9200 $314.16 FLU VAC INJ, 4 VAL, 3+ YEARS (FLUARIX) 90686 $19.03 FLU VAC INTRNSL, 4 VAL, 2+ YRS (FLUMIST) 90672 $59.60 FLU VAC; INJ 3+ YRS (FLULAVAL) Q2036 $17.70 FLU VIR VACC-SPLIT 3 YR / > IM/JET 90658 $3.00 FLU VIR VACC-SPLIT 3YR / > IM/JET CLINIC 90658 $3.00 FLU VIR VACC-SPLIT 6-35MOS IM/JET CLINIC 90657 $3.00 FLU VIRUS VAC QUADIIV4 6-35MOS 90685 $21.81 FLU VIRUS VACC LIVE INTRANASL 90660 $59.60 FLU VIRUS VACC LIVE INTRANASL USE CLINIC 90660 $20.70 FLU VIRUS VACC-WHOLE VIRUS IM/JET $3.00 FLU VIRUS VACC-WHOLE VIRUS IM/JET CLINIC $3.00 FLUBLOK 0.5ML INJECTION 90673 $72.60 FLUCONAZOLE 100MG. INJECTION $1.30 FLUCONAZOLE 400MG/200ML NS INJ J1450 $1.80 FLUCONAZOLE 800MG IVPG J1450 $0.07 FLUCONAZOLE/DEX 200MG IV J1450 $48.25 FLUCONAZOLE/DEX 400MG IV J1450 $194.62 FLUCYTOSINE 250MG CAP $3.66 FLUCYTOSINE 500MG CAP $7.28 FLUDARABINE 50MG VIAL J9185 $564.75 FLUDARABINE PHOSPHATE 50 MG J9185 $249.48 FLUDROCORTISONE ACET 0.1MG TAB $6.71 FLUENCY/WALLFLEX COATED/CVRD STNT C1874 $4,795.80 FLUIDS 88108 $86.20 FLUIDS CULTURE 87070 $21.05 FLUMAZENIL 0.1MG/ML INJ 10ML $28.84 FLUMAZENIL 0.1MG/ML INJ 5ML J3490 $92.90 FLUMAZENIL 0.5MG 5ML INJ J3490 $17.87 FLUOCINOLONE 0.025% CRM TOP $1.58 FLUOCINOLONE ACETONIDE TOPICAL SOL SCC) $116.18 FLUOCINONIDE CREAM 15GM J3490 $5.51 FLUOCINONIDE OINT 15GM $2.88 FLUOR AB AGAINST VA-INDUCED ME 86256 $29.46 FLUOR I - STRIPS $0.27 FLUOR-1-STRIP AT PACK 300EA J3490 $8.28 FLUORASCEIN SOD. 0.25% - 0.4% $35.64 FLUORESCEIN ANGIOGRAPHY W/I&R 92235 $717.26 FLUORESCEIN ANGIOSCOPY W/I&R 92230 $1,280.99 FLUORESCENT AB; SCRN EA AB 86255 $29.46 FLUORESCITE 10% INJ 5ML AMP J3490 $6.58 Fluoride gel carrier D5986 $148.00 FLUORO EXAM G/COLON TUBE 49465 $600.78 FLUORO GUID NEEDLE-SPINE INJ P 77003 $55.00 FLUOROMETH FORTE 0.25% EYE DRO J3490 $13.57 FLUOROMETH FORTE 1% EYE DROP J3490 $12.99 FLUOROMETHOLONE 0.1% $163.11 FLUOROSCOPY UP TO 1HOUR INTRA 76000 $600.78 FLUOROSCOPY UP TO 1HR INTRAOP 76000 $600.78 FLUOROURACIL 500MG/10ML INJ $3.44 FLUOROURACIL CREAM $10.20 FLUOROURACIL, 500MG J9190 $14.65 FLUOXETENE 10MG TAB PO $6.23 FLUOXETINE 80299 $41.01 FLUOXETINE (PROZAC) 80299 $41.01 FLUOXETINE 10MG CAP J3490 $5.39 FLUOXETINE 20MG/5ML ORAL SOL $2.03 FLUPHENAZINE 80299 $41.01 FLUPHENAZINE 100MG J2680 $34.92 FLUPHENAZINE 10MG TAB $0.27 FLUPHENAZINE 10MG TAB J2680 $1.80 FLUPHENAZINE 2.5MG TAB $1.03 FLUPHENAZINE 2.5MG/ML LIQ $1.53 FLUPHENAZINE 25MG J2680 $12.49 FLUPHENAZINE 50MG J2680 $82.36 FLUPHENAZINE 5MG TAB J2680 $1.50 FLUPHENAZINE 5MG/ML ORAL LIQ $0.92 FLUPHENAZINE DECANOATE 25MG J2680 $63.88 FLUPHENAZINE DECNTE 25MG J2680 $63.88 FLURAZERAM LEVEL 80346 $11.99 FLURBUPROFEN EYE DROP J3490 $8.27 FLURESS OPTH DROPS 5ML J3490 $2.29 FLUSH SELECT CATH 4FR PIGTAIL C1887 $270.00 FLUSHIELD VACCINERIVALENT $10.05 FLUTAMIDE 125MG CAP $2.94 FLUTE BALL CUT BURR SPINE TIP C1713 $121.50 FLUTE BAR BURR 4.2MM BIT 60DEG C1713 $830.13 FLUTE RTER SILVR ATTCH CUT BUR C1713 $282.00 FLUTED HDLSS PINS-KNEE INS DISP 3.2x89MM C1713 $1,085.70 FLUTED PINS C1713 $680.40 FLUTED STEM C1776 $1,755.60 FLUTED STEM C1776 $1,755.60 FLUTICAS/SALMET 100-50MCG DISC $95.17 FLUTICAS/SALMET 250-50MCG DISC $107.06 FLUTICAS/SALMET 500-50MCG DISC $147.06 FLUTICASONE 100MCG/VILANT 25MC J3301 $5.12 FLUTICASONE 200MCG/VILANT 25MC J3301 $5.12 FLUTICASONE HFA 110MCG INH J3535 $25.30 FLUTICASONE HFA 220MCG INH J3535 $42.80 FLUTICASONE HFA 44MCG INH J3535 $24.77 FLUTICASONE NASAL SPRAY J3490 $21.00 FLUTICASONE PED INH 110MCG HFA $0.67 FLUTICASONE PED INH 44MCG HFA $0.50 FLUVASTATIN 80MG (LESCOL) XL CAP SA $7.33 FLUVOXAMINE 100MG TAB $2.65 FLUVOXAMINE 50MG TAB $2.53 FLX ENDOSCOPC EVAL SWALL FUNCT 92612 $431.13 FLX ENDOSCPC EVAL SWAL FNCTN-F 92616 $468.07 FLX ENDOSCPC EVAL SWALL FUNCT 92612 $431.13 FLXR TNDN REP NOT ZONE 2; WO G 26350 $7,057.23 FNA BX W/CT GDN 1ST LES 10009 $1,492.72 FNA BX W/US GDN 1ST LES 10005 $1,572.63 FNA BX W/US GDN EA ADDL 10006 $108.75 FNA W/ IMAGE 10005 $1,572.63 FNA W/O IMAGE 10021 $823.72 FNCTN CRTCL/SBCRT MAP-STM A/O 95961 $2,343.26 FO, FINGER KNUCKLE BENDER L3925 $45.00 FO, SAFETY PIN, MODIFIED L3925 $24.77 FO, SAFETY PIN, SPRING WIRE L3925 $24.77 FOCAL LASER 67210 $1,306.87 FOGARTY THRU LUMEN CATHETER 4F C1757 $135.32 FOGARTY THRU LUMEN EMBLZTION CATH C1757 $135.32 FOLATE SERUM 82746 $35.95 FOLCATH 2WAY SIL W/STYLET 12CS A4338 $54.78 FOLEY CATH 2WAY COUDE TIP LATX A4340 $190.80 FOLEY CATH 3WAY A4313 $238.86 FOLEY CATH SILIC 12/BX RIB BAL A4344 $59.40 FOLEY CATHETER 2 WAY A4344 $18.83 FOLEY CATHETER TRAY $38.50 FOLEY CATHETERIZATION COMPLICA 51703 $356.66 FOLEY INSERT TRAY A4310 $75.90 FOLEYCATH 2WAY COUDE TIP LATEX A4340 $29.22 FOLIC ACID 1 MG/ 0.2ML SYRINGE J3490 $55.00 FOLIC ACID 1MG TAB J3490 $0.27 FOLIC ACID INJ; PER 1MG J3490 $3.21 FOLIC ACID/VITAMIN B W-C 1MG C $0.26 FOLIC ACID1MG/0.9%SODCHLOR50ML J3490 $40.00 FOLIC ACIDE 1MG/ML SOLN $0.06 FOLVITE 5MG/ML INJ 10ML VIAL J3490 $1.69 FOLY 10FR RR/PL A4351 $0.72 FOLY 10FR RR/PL 12EA/CS A4338 $0.72 FOLY 12FR RR/PL A4351 $0.75 FOLY 12FR RR/PL 12EA/CS A4338 $0.75 FOLY 14FR RR/PL A4351 $1.24 FOLY 14FR RR/PL 12EA/CS A4338 $1.24 FOLY 16FR RR/PL A4351 $1.24 FOLY 16FR RR/PL 12EA/CS A4338 $1.25 FOLY 18FR RR/PL A4351 $0.71 FOLY 18FR RR/PL 12EA/CS A4338 $0.70 FOLY 20FR RR/PL $0.75 FOLY 20FR RR/PL 12EA/CS A4338 $0.71 FOLY 2W 30CC 12FR CATH $1.31 FOLY 2W 30CC 14FR CATH $1.31 FOLY 2W 30CC 16FR CATH $1.31 FOLY 2W 30CC 18FR CATH $1.57 FOLY 2W 30CC 20FR CATH $1.31 FOLY 2W 30CC 22FR CATH $1.57 FOLY 2W 30CC 24FR CATH $1.31 FOLY 2W 30CC 26FR CATH $1.31 FOLY 2W 30CC 28FR CATH $1.31 FOLY 2W 5CC 10FR CATH $922.95 FOLY 2W 5CC 12FR CATH A4344 $950.01 FOLY 2W 5CC 14FR CATH A4344 $5.54 FOLY 2W 5CC 16FR CATH A4344 $4.62 FOLY 2W 5CC 18FR CATH A4344 $5.54 FOLY 2W 5CC 20FR CATH A4338 $0.88 FOLY 2W 5CC 22FR CATH $1.60 FOLY 2W 5CC 24FR CATH $0.88 FOLY 2W 5CC 26FR CATH $1.17 FOLY 2W 5CC 28FR CATH $1.26 FOLY 2W 5CC 30FR CATH $1.09 FOLY 2W 5CC 8FR CATH $556.17 FOLY 3W 30CC 18FR $0.08 FOLY 3W 30CC 20FR CATH $0.08 FOLY 3W 30CC 22FR CATH $110.85 FOLY 3W 30CC 24FR CATH $267.81 FOLY 3W 30CC 26FR CATH $675.09 FOLY 5CC 20FR CATH $9.06 FOLY 5CC 22FR CATH $9.06 FOLY 5CC 24FR CATH $8.84 FOLY 5CC 26FR CATH $9.06 FOLY 5CC 8FR RR/CDE $6.00 FOLY 8FR RR/PL $0.74 FOLY 8FR RR/PL 12EA/CS A4338 $0.73 FOLY CATH 2WAY 10FR SILICONE A4344 $78.03 FOLY CATH 2WAY 24FR BAL 30CC A4344 $69.84 FOLY CATH 2WAY BALL 12FR 5CC A4344 $5.07 FOLY CATH 2WAY BALL 3CC 10FR A4344 $9.87 FOLY CATH 2WAY BALL COATED C1726 $60.84 FOLY CATH 2WAY COUDE TIP LATEX A4344 $190.80 FOLY CATH 2WAY LATEX COUDE TIP C1725 $15.90 FOLY CATH 5CC SILICON RIB BALL A4344 $65.34 FOLY CATH SILIC 12FR RIB BALL C1726 $4.95 FOLYCATH 2WAY 16FRBALL 5CC LUB A4344 $5.07 FOLYCATH 2-WAY 24FR COUDE TIP A4344 $190.80 FOMEPIZOLE 1GM/ML INJ J1451 $567.38 FONDAPARINUX 7.5MG INJECTION J1652 $35.22 FONDAPORINEX 10mg $35.30 FONDAPORINEX 2.5 MG. $29.20 FOOT AP / LAT 2 VIEWS 73620 $205.74 FOOT COMPLETE 3+ VIEWS 73630 $205.74 FOOTPRNT ANCHR SUTURE W/AWL C1713 $78.00 FOREARM 2 VIEWS 73090 $205.74 FORESKIN MANIP INCL LYSIS ADHE 54450 $605.57 FORESKIN MANIPULATION 54450 $605.57 FORTAZ 1GM VIAL $16.36 FORTAZ 2GM VIAL INJ $34.55 FORTIFIED CEFAZOLIN 50MG/ML DR $13.00 FORTIFIED CEFAZOLINE EYE DROP $50.00 FORTIFIED GENTAMICIN 15MG/ML EYE DROP $65.00 FORTIFIED TOBRAMY 15MG/ML EYE DROP $48.59 FORZEN PLASMA POOLED SD UNIT P9023 $176.29 FOSAMAX 10MG TAB $2.69 FOSAMPRENAVIR 700MG (LEXIVA) T J3490 $13.29 FOSCAVIR 12MG/0.5ML 1ML J1455 $0.39 FOSCAVIR 24MG/ML J1455 $0.59 FOSFOMYCIN 3 GRAMS $0.10 FOSPHENYTOIN 100MG/2ML $53.75 FOSPHENYTOIN 500MG/10ML $34.79 FOSPHENYTOIN, 50 MG Q2009 $19.80 FQHC VISIT- EST MH PAT G0470 $250.00 FQHC VISIT- EST PATIENT G0467 $265.00 FQHC VISIT- IPPE/AWV G0468 $300.00 FQHC VISIT- NEW MH PAT G0469 $270.00 FQHC VISIT; EST MH PAT G0470 $300.00 FQHC VISIT; EST PATIENT G0467 $288.85 FQHC VISIT; IPPE/AWV G0468 $327.00 FQHC VISIT; NEW MH PAT G0469 $300.00 FQHC VISIT; NEW PATIENT G0466 $310.65 FQHC VISIT-NEW PATIENT G0466 $285.00 FRA ANTER NARROW LORDOTIC 13MM $6,435.00 FRAZIER 18FR SURG SUCT INST A4624 $112.50 FRAZIER SUCTION CATH 10FR A4624 $112.50 FRAZIER SUCTION CATH 12FR 50CS A4624 $112.50 FRAZIER SUCTION TUBE 7 ANG 7FR A4624 $23.61 FRAZIER SUCTION TUBE 7 ANG 7FR A4624 $23.61 FRE $0.10 FREE DILANTIN 80186 $33.64 FREE LIGHT CHAIN DET 86331 $29.28 FREE PROTEIN S 85306 $37.47 FREE PSA 84153 $44.97 FREE SKIN FLAP W ANAST 15757 $4,962.96 FREE T4 84439 $22.04 FREE T4 THYROXINE 84439 $22.04 FREEZETHAWRBCCHARGE 86931 $730.62 FRENECTOMY 41115 $3,478.64 FRENOPLASTY 41520 $6,752.59 FRENULECTOMY D7960 $300.00 Frenuloplasty D7963 $514.00 FRENULOTOMY OF PENIS 54164 $4,567.09 FRENULOTOMY; PENIS 54164 $4,567.09 FRESH FROZEN PLASMA ONE DONOR P9017 $184.23 FRESH FROZEN PLASMA UNIT P9060 $109.96 FRONTLIS SUSPEN SET SS NEEDLES C2618 $63.82 FROZEN SECTION (1) 88331 $369.93 FROZEN SECTION (2+) 88332 $76.88 FRUCTOSAMINE 82985 $36.87 FSH SERUM 83001 $45.43 FSH URINE 83001 $45.43 FT SUTURE ANCHOR 4.5 METAL C1713 $345.00 FT SUTURE ANCHOR 5.5 METAL C1713 $345.00 FT SUTURE ANCHOR FIX DEVICE C1713 $427.50 FT SUTURE ANCHR PEEK CORKSCREW C1713 $633.00 FTA-ABS 86780 $32.36 FULL GRFT;SCLP/A/L 20SQ CM OR 15220 $4,183.48 FULL HEIGHT BIO CELL TEXTURE&SHAPE C1789 $1,200.00 Full mouth debridemnt,eval/diag D4355 $175.00 FULL SKIN GRFT E/N/E/LIP 20/> 15260 $4,183.48 FULL THICK SKIN GRFT; TRNK EA 15201 $169.80 FULL THICK SKIN GRFT; TRUNK 2 15200 $4,183.48 FULL THICKNESS CORNEA TRANSPLNT TISS V2785 $5,700.00 FULL THRD PEG 2.5MM LCK FRAG PLATE SYS C1713 $152.64 FULL-DOSE RHIG-IM USE 90384 $92.00 FULLER SHIELD $20.96 FULPHILA Q5108 $7,507.50 FULVESTRANT 250MG/5ML INJ J9395 $437.14 FULVESTRANT 25MG J9395 $211.20 FUNCT RESIDUAL CAPACITY/VOL 94726 $652.50 FUNCTL ACTIV EA COMP 86161 $29.33 FUNDUS PHOTOGRAPHY W/I&R 92250 $302.79 FUNGAL ANTIBODY 86612 $31.55 FUNGAL ANTIBODY CSF 86612 $31.55 FUNGAL SEROLOGY 86671 $29.96 FUNGAL SMEAR 87220 $10.45 FUNGL SMEAR-ALL OTHERS 87210 $12.80 FUROSEMIDE 10MG/ML ORAL SYR $64.39 FUROSEMIDE 1MG/ML $3.95 FUROSEMIDE 20MG INJ J1940 $2.02 FUROSEMIDE 20MG TAB J8499 $0.37 FUROSEMIDE 40MG TAB J8499 $0.37 FUROSEMIDE 80MG TAB PO $5.78 FUROSEMIDE DRIP J1940 $5.00 FUROSEMIDE INJECTION 40MG/4ML J1940 $7.98 FUSION BIG TOE JOINT 28755 $15,421.60 FUSION UV DEFENSE; SPF 50 $136.40 FUSION WRIST JOINT WO GRAFT 25800 $15,421.60 F-V LOOP W/BRONCHOD 94375 $652.50 G GLUT TRANSFERASE 82977 $17.60 G-6-PHOS DEHYDROGENASE 82960 $14.78 G707 PH ELECTRODE $4,650.00 GA-67 CITRATE 6 MC INJECTION P A9556 $57.55 GA-67 GALLIUM CITRATE PER MCI A9556 $57.55 GA-67 RADPRM DX GALLIUM / PER A9556 $57.55 GABAPENT. OR SOL 250MG/5ML $0.99 GABAPENTIN 300MG CAP J3490 $2.02 GABAPENTIN 300MG TAB $1.10 GABAPENTIN 600MG TAB J3490 $2.57 GABAPENTIN 800MG TAB J3490 $2.84 GABAPENTIN ORAL SOL-ORASWEET $0.05 GABARENTIN LEVEL 80299 $41.01 GADAVIST (GADOBUTROL) 0.10 ML A9585 $2.19 GADOBUTROL 1 MMOL/ML 10 ML $21.91 GADOBUTROL 1MMOL/ML 7.5 ML $21.91 GADOXETATE DISODIUM INJ 1ML-EOVIST A9581 $36.04 GAIT TRAINING EA 15 MIN 97116 $66.09 GALACTO SINGLE DUCT 19030 $170.37 GALASTOSE-1-PHOSPHATE 84378 $28.18 GALLIUM NITR 25MG/ML (GANITE) VIAL IV $102.96 GAMIMUNE N 10GM 100ML VIAL J1568 $336.16 GAMIMUNE N 5GM 50ML VIAL J1561 $367.92 GAMMA 10X170 C1713 $2,508.24 GAMMA 3 CLOSED TUBE CLIP C1713 $223.77 GAMMA NAIL C1713 $3,362.18 GAMMA NAIL DIS SCREW 6.28x35MM C1713 $195.00 GAMMA NAIL KIT TI TROCHANTERIC 11x180MM C1713 $2,810.25 GAMMA NAIL TI TROCHANTERIC C1713 $1,977.52 GAMMA SCREW TI.LAG C1713 $807.08 GAMMA SCREW; LONG 90MM C1713 $2,145.00 GANCICLOVIR 200MCG/0.01ML INTRAVITlL INJ $134.20 GANCICLOVIR 250MG CAP $5.40 GANCICLOVIR 2MG/0.1 ML INJ $55.00 GANCICLOVIR 500MG IV $65.43 GANCICLOVIR,4.5MG,LON-ACT IMPL J7310 $314.04 GARDASIL - 9 90651 $510.85 GAS+DIRECT 02 SAT X17 82805 $173.29 GAS+DIRECT 02 SAT X5 82805 $173.29 GASES BLD ANY COMBO-PH/PCO2/PO 82803 $57.35 GASES BLOOD ANY COMBO 82803 $57.35 GASTRCTMY; PART DIST W GASTROD 43631 $3,153.37 GASTRIC ANAL.SINGLE 82930 $14.76 GASTRIC ANAL.STIMUL. 43755 $356.66 GASTRIC EMPTYING STUDY 78264 $949.04 GASTRIC INTUB/ASP FOR TX 43753 $652.50 GASTRIC MOTILITY STUDY 91020 $1,251.91 GASTRIC WASHING 88108 $86.20 GASTRIN SERUM 82941 $43.10 GASTRO FEED TUBE 18FR STER RND C1713 $56.07 GASTROCNEMIUS RECESSION 27687 $7,057.22 GASTROESOPH REFLUX W MUCOSAL P 91035 $1,251.91 GASTROESOPH RELFUX W NASAL PH 91034 $1,251.91 GASTROESOPHAGEAL REFLUX EXAM 78262 $949.04 GASTROSTOMY OP;WO CREATE GASTR 43830 $4,015.00 GASTROTOMY;W EXPLORE/REM FB 43500 $1,704.38 GASTROVIEW 120ML Q9963 $183.35 GATIFLOXACIN 0.3% EYE DROP $13.95 GC DNA PROBE 87590 $59.14 GD1A IGM 83520 $37.99 GD1B IGG 83520 $37.99 GD1B IGM 83520 $37.99 GEBAUER PAIN EASE J3490 $33.86 GELFOAM 6 PACK $253.85 GELSOFT PLUS 14x7MM C1768 $1,207.50 GELSOFT PLUS 16x8MM C1768 $1,207.50 GELSOFT PLUS 20x10MM C1768 $1,207.50 GELSOFT VASC 22 X 11MM GRAFT C1768 $1,025.33 GELSOFT VASC GRFT 22x11MM C1768 $1,025.33 GEMCITABINE 1GM INJ $673.78 GEMCITABINE HCL 200 MG J9201 $31.81 GEMFIBROZIL 600MG TAB $1.28 GEMINI UNIVERS LIGHT GUIDE 4MM C1713 $661.50 GEMINI UNIVERSAL LIGHT GUIDE C1713 $661.50 GENATAMICIN SULFATE OPHTH OINT J1580 $94.27 GENERAL HEALTH PANEL 80050 $61.15 GENERATOR NEURO RECHG BAT SYS C1820 $27,000.00 GENERATOR, NEURO NON-RECHARGE C1767 $16,976.25 GENESIS CON MID-LGTH BASKET C1713 $485.78 GENET VIRUS ISOLATE HSV 87255 $82.76 GENETIC COUNSELING 30 MINUTES 96040 $70.85 GENIOPLASTY; AUGMENTATION 21120 $12,504.78 GENIOPLASTY; SLID OSTEOTMY; SI 21121 $6,752.59 GENIOPLSTY; 2+ OSTEOTMIES SLID 21122 $12,504.78 GENIOPLSTY; SLIDING W/ BONE GR 21123 $6,752.59 GENITAL CULTURE 87070 $21.05 GENOTYPE DNA REVERSE T 87901 $629.31 GENTAMICIN 80170 $40.04 GENTAMICIN 0.8MG/ML NICU SYR J1580 $3.27 GENTAMICIN 100MG/100ML IVPB J1580 $7.75 GENTAMICIN 120MG PB PREMIX J1580 $10.67 GENTAMICIN 20MG/2ML PED INJ J1580 $1.55 GENTAMICIN 60MG 50ML NS PREMIX J1580 $5.88 GENTAMICIN 60MG/100ML IVPB J1850 $12.10 GENTAMICIN 80MG PB PREMIX J1580 $37.98 GENTAMICIN 80MG/NS 100ML IVPB J1580 $6.22 GENTAMICIN SUL. 0.1% OINT. $119.75 GENTAMICIN SULF 0.3% EYE DROPS J3490 $3.51 GENTAMICIN SULF 80MG/2ML J1580 $4.80 GENTAMICIN SULF 80MG/2ML INJ J1580 $4.80 GENTAMICIN SULF EYE OINT $13.82 GENTAMICIN SULFATE 80MG/2ML J1580 $1.05 GENTIAN VIOL/BRILIANT GREEN $45.50 GENTLE CLEANSER; 750ML $88.00 GENVOYA 150/150/200/10MG TABLE J3490 $85.00 GI BLOOD LOSS IMAGING 78278 $949.04 GI DUODENOGRAPHY HYPOTONIC 74251 $88.00 GI TRACT CAPSULE ENDOSCOPY 91110 $2,026.11 GI TRACT SCAN 78261 $949.04 GI WIRELESS CAPSULE MEASUREMEN 91112 $2,026.11 GIARDIA ANTIGEN 87328 $30.40 GIARDIA ANTIGEN DETECTION 87328 $30.40 GIGLI SAW GUIDE 12" CURVED $105.09 GIGLI SAW GUIDE 12" STRAIGHT $105.09 GIGLI SAW HANDLE SOLIT T HANDL $140.93 GII QUICK ANCHOR PLUS; DEPUY C1713 $763.50 Ging flap,root pln, 4+ per quad D4240 $560.00 GINGIVAL CURETT EACH D4241 $490.00 GINGIVAL CURETTAGE/PER D4241 $490.00 GINGIVECTOMY/PER QUADRA D4210 $350.00 GINGIVECTOMY;EXC GINGIVA;EA QU 41820 $6,752.59 Gingivectomy-1-3 contig th/quad D4211 $315.00 GLAUCOM VALVE ADULT FLEX PLATE C1713 $892.50 GLAUCOMA SCREEN G0117 $91.68 GLIADIN ANTIBODY 86674 $35.97 GLIDE CATH 4FR STR 120CMx0.97MM C1887 $536.25 GLIDE CATH 4FR STRAIGHT C1769 $536.25 GLIDE CATH 4FR X ANGLE 65CM C1713 $107.25 GLIDE CATH 4FR X ANGLED, 5/BX C1769 $107.25 GLIDE CATH 5FRx65CM COBRA C1887 $536.25 GLIDE CATHETER 5FR C1769 $536.25 GLIDE WIRE ANGLED $475.05 GLIDE WIRE SMALL VESSEL .018/150CM TIP S C1769 $492.00 GLIDE WIRE-CATEG 2 $226.47 GLIDE WIRE-CATEG 4 C1769 $360.17 GLIDECATH ANGLE 5FR 5/BX C1769 $451.50 GLIDECATH XP 5FR C2-TIP SHAPE C1887 $536.25 GLIDESHEATH ACCES SLENDR INTRO C1769 $937.50 GLIDEWIRE C1769 $330.00 GLIDEWIRE 0.035X180CM STRAIGHT C1713 $476.48 GLIDEWIRE 035/260CM STRT 5/BX C1769 $395.79 GLIDEWIRE ADVANTAGE .014"D C1769 $480.00 GLIDEWIRE ADVANTAGE .018"D C1769 $472.50 GLIDEWIRE ADVANTAGE 1/BX C1769 $367.50 Glidewire Advantage Angl .014" C1769 $480.00 Glidewire Advantage Angl .018" C1769 $472.50 GLIDEWIRE ANGLE STIFF SHFT 5BX C1769 $554.85 GLIDEWIRE ANGLE/STIFF SHFT 5BX C1769 $100.65 GLIDEWIRE ANGLE/STRAIGHT 5/BX C1769 $231.91 GLIDEWIRE ANGLED C1769 $475.05 GLIDEWIRE ANGLED TIP 5/BX C1769 $503.25 GLIDEWIRE FLEXI ANGLE .038/150 C1887 $330.00 Glidewire Gold 45deg angle 3cm C1769 $337.50 GLIDEWIRE GOLD TIP 45DEG ANGL C1769 $337.50 Glidewire Radiofoc Stnd Strght C1769 $476.48 GLIDEWIRE SMALL TIP SHAPE 5BX C1769 $119.22 GLIDEWIRE STANDARD STRAIGHT C1769 $492.98 GLIDEWIRE STIFF ANGLE .035 X 150CM C1769 $503.25 GLIDEWIRE STNDRD ANGLRADIOFOCS C1769 $441.38 GLIDEWIRE STRAIGHT 5/BX C1769 $441.37 GLIMEPRIDE 1MG (AMARYL) TAB PO $0.51 GLIMEPRIDE 2MG (AMARYL) TAB PO $0.83 GLIMEPRIDE 4MG (AMARYL) TAB PO $1.39 GLIPIZIDE 10MG TAB J3490 $0.99 GLIPIZIDE 5MG TAB J3490 $0.51 GLIPIZIDE XL 10MG TAB J3490 $1.29 GLIPIZIED 2.5MG (GLUCOTROL) XL J3490 $0.78 GLOSSECTOMY;LESS THAN 1/2 OF T 41120 $12,504.78 GLU; BLD REAGENT STRIP 82948 $11.09 GLUCAGON 82943 $34.94 GLUCAGON 1MG INJ J1610 $85.50 GLUCAGON EMERGENCY KIT 1MG $3,300.00 GLUCAGON HCL 1MG IM J1610 $453.02 GLUCAGON LEVEL 82943 $34.94 GLUCLOSE BLD REGNT STRIP 82948 $11.09 GLUCOL SOL 180ML BOT $6.49 GLUCOSE 82947 $9.61 GLUCOSE 2 HR P.P. 82947 $9.61 GLUCOSE 4GRAM TABLET PT J3490 $0.12 GLUCOSE BF 82947 $9.61 GLUCOSE BF... 82945 $9.61 GLUCOSE BLD REAGENT STRIP 82948 $11.09 GLUCOSE BODY FLUID 82945 $9.61 GLUCOSE CSF 82947 $9.61 GLUCOSE CSF... 82945 $9.61 GLUCOSE MONITOR CONT; 72+ HRS 95250 $298.87 GLUCOSE QUAL URINE 81002 $7.66 GLUCOSE QUAL. 81005 $5.30 GLUCOSE TABS $0.36 GLUCOSE TOLER 3 SAMP 82951 $31.46 GLUCOSE TOLER 4 SAMP 82951 $31.46 GLUCOSE TOLER 8 SAMP 82952 $9.59 GLUCOSE TOLERANCE TEST SOL. BOTTLE $22.00 GLUCOSE TOLERANCE(UR) 82951 $31.46 GLUCOSE UR RANDOM 82947 $9.61 GLUCOSE UR RANDOM... 82945 $9.61 GLUCOSE UR T.V. 82947 $9.61 GLUCOSE UR T.V.... 82945 $9.61 GLUCOSE;BLD BY MONITOR DEVICE 82962 $7.22 GLUCOSE;BLOOD REAGENT STRIP 82948 $11.09 GLUCOTROL XL 5MG TAB J3490 $0.72 GLUTAMIC ACID DECABOXYLASE 83519 $40.48 GLY IRRG 1.5% 3000 #7974-08 $13.93 GLYBURIDE 2.5MG TAB J3490 $0.69 GLYBURIDE 5MG TAB $0.85 GLYBURIDE/METFORMIN 2.5/500 MG. PO $3.23 GLYCATED ALBUMIN 82985 $36.87 GLYCERINE ADULT SUPPOSITORY J3490 $0.19 GLYCERINE PED SUPPOSITORY J3490 $0.44 GLYCOPYROLATE 0.2MG/1ML INJ J7643 $34.32 GLYCOPYROLATE 1MG PO J3490 $1.31 GLYCOPYRROLATE 0.02MG/0.1ML IN $10.00 GLYCOPYRROLATE 0.2MG/ML 1ML VI J3490 $5.13 GLYCOSYLATED HB HOME DEVICE 83037 $23.74 GLYCOSYLATED HB HOME DEVICE 83037 $26.38 GM1 IGG 83520 $37.99 GM1 IGM 83520 $37.99 Gold foil-one surface D2410 $200.00 Gold foil-three surfaces D2430 $275.00 Gold foil-two surfaces D2420 $225.00 GONADOTROPIN CHORIONIC; QUAL 84703 $18.39 GONADOTROPN RLSE HORMONE STIM 80426 $362.78 GONIOCOPY 92020 $302.79 GONIOSCOPY (SEPART PROC) 92020 $302.79 GONIOSOL $17.89 GONIOTOMY 65820 $9,843.75 GORE 12FR SHEATH C1894 $127.50 GORE TEX GRAFT - THIN; 6x50CM C1768 $1,078.50 GORE TEX GRAFT THIN 6 X 50CM L8670 $1,078.50 GORE VIABAH ENDOPROSTHESES C1874 $5,505.00 GORE VIABAH ENDOPROSTHESES C1894 $5,505.00 GORE-TEXT 18FR SHEATH C1894 $195.00 GOSERELIN ACETATE IMPLT 3.6MG J9202 $1,597.20 GRAFT BIO-TISSUE-CATEG 1 $4,476.09 GRAFT BONE; NOSE/MAXIL/MALAR 21210 $12,504.78 GRAFT COMPOSITE 15760 $4,183.48 GRAFT FACE CHINE EAR AUTO GRAF 21230 $12,504.78 GRAFT FASCIA-CATEG 1 $592.50 GRAFT GEL SOFT + - CATEG 2 $757.50 GRAFT GORETEX VASC-CATEG 1 C1874 $7,288.13 GRAFT GORETEX VASC-CATEG 2 C1768 $1,621.80 GRAFT JACKET NOW MATRIX Q4107 $4,717.50 GRAFT JACKET PER 1 SQ CM Q4107 $2,784.00 Graft Knife ACL disp 10mm $3,135.00 GRAFT PATCH-CATEG 1 $4,076.55 GRAFT PUROS BONE-CATEG 1 $2,732.75 GRAFT STRETCH VASC STANDARD-CATEG 1 C1768 $8,845.08 GRAFT STRETCH-CATEG 1 $2,374.18 GRAFT STRETCH-CATEG 3 C1768 $3,931.26 GRAFT VASCULAR-CATEG 1 C1768 $20,856.53 GRAFT VASCULAR-CATEG 2 C1768 $1,120.95 GRAFT WALL STANDARD-CATEG 1 $625.00 GRAFT; EAR CARTILAGE 21235 $12,504.78 GRAFT;COMPOSITE 15760 $4,183.48 GRAFTCH 6MM SL LORD CORT SPACR C1768 $1,434.38 GRAFTEC LORDOTIC CORTICL SPACR C1768 $1,434.38 GRAFTECH 5MM LL CORTICL SPACR C1768 $1,434.38 GRAFTECH LORD CORT SPACR YELL C1768 $1,434.38 GRAFTECH R 8MM LORD CORT SPACR C1768 $1,434.38 GRAFTECH7MM LL LORD CORT SPACR C1768 $1,434.38 GRAFTON MATRIX 2.5CM X 10CM Q4117 $3,589.12 GRAFTON MATRIX 2.5CM X 5CM Q4117 $2,224.87 GRAFTON ORTHOBLEND SMLL DEFCT Q4117 $1,912.50 GRAFTON PUTTY 10CC C1713 $1,581.00 GRAFTON PUTTY 1CC C1713 $255.00 GRAFTON PUTTY 2.5CC BONE DBM C1713 $561.00 GRAFTON-DEMINERALIZED BONE MAT $2,379.30 GRAM SMEAR 87205 $10.45 GRANISETRON HYDROCHL 1MG ANTEM Q0166 $129.83 GRANULEX SPRAY $0.16 GRANULOC-PROCESS FEE 86950 $369.93 GRANULOC-PROCESSFEE 86950 $369.93 GRANULOCYTES PHERESIS UNIT P9050 $3,641.32 GRAY REV. INST SYS INSERT TIP C1713 $546.30 GREATER OCCIPITAL NERVE 64405 $674.85 GRFT FACE NRV PARALYSIS;REG MT 15845 $7,675.54 GRFT JACKET REGENER TIS MATRIX L8670 $4,717.50 GRFT SURG MESH REPAIR SFT RECT C1781 $579.00 GRFT SURG VENT HERN LRGE W/HOL C1781 $258.75 GRIFULVIN V 125MG/5ML 120ML J3490 $5.24 GRISEOFULVIN MIC 500MG TAB $2.04 GRISEOFULVIN ULTRA MIC 250MG TAB $2.62 GROUP ACTIVITY 23 TO 37 MIN 97150 $40.08 GROUP ACTIVITY 38 TO 52 MIN 97150 $40.08 GROUP ACTIVITY 8 TO 22 MIN 97150 $40.08 GROUP AUDIOMETRIC TESTING 92559 $130.80 GROUP NUTR-TELEPHONE 11-20MIN 97804 $36.05 GROUP NUTR-TELEPHONEá 5-10MIN 97804 $36.05 GROUP PSYCHOTHERAPY 60MIN 90853 $316.00 GROUP PSYCHOTHERAPY-7 SESSIONS 90853 $316.00 GROUP PSYCHOTHERAPY-FU 90853 $316.00 GROUP SMKING CESS; 10+MIN 99407 $74.09 GROUP THERAPY; NOT MULTI-FAM 90853 $300.00 GROUP THERAPY; NOT MULTI-FAMIL 90853 $300.00 GROUP TX; NOT MULTI-FAMILY 90853 $300.00 GROWTH HORMONE 83003 $40.74 GROWTH HORMONE AB 86277 $38.48 GROWTH HORMONE STIM TEST 80428 $163.06 GRP NUTRITION THERAPY; EA 30M 97804 $36.05 GRP NUTRITION THERAPY; EA 30M 97804 $36.05 GRP NUTRITION THERAPY; EA 30M 97804 $36.05 GRP PSYCHOTHERAPY- 7 SESSIONS 90853 $262.69 GRP THERAPY; NOT MULTI-FAMILY 90853 $300.00 GTT URINE BATTERY 82951 $31.46 GUAIFEN/DM J3490 $0.16 GUAIFENESIN DM 100/10 5ML UD J3490 $0.30 GUAIFENESIN PLAIN SYRUP PO J3490 $0.60 GUAIFENESIN SYRUP 5ML $0.64 GUAIFENESIN/DEXTROMETHORPHAN $0.07 GUANFACINE 1MG TAB PO $2.43 GUANFACINE 2MG TAB PO $3.71 guanfacine ER 1 mg $0.10 GUIDE CATH FLUID DRAIN 10030 $1,572.63 GUIDE CATH-CATEGORY1 C1887 $76.50 GUIDE CATH-CATEGORY2 C1887 $76.50 GUIDE CATH-CATEGORY3 C1887 $76.50 GUIDE CATH-CATEGORY4 C1887 $76.50 GUIDE CATHET FLUID DRAINAGE 10030 $1,572.63 GUIDE DRILL 3+4MM C1713 $337.50 Guide Drill 3+4mm 02.3mm C1713 $337.50 Guide K-wire .062 x 102mm C1769 $56.25 Guide K-wire 0.8 x 100mm C1769 $56.25 Guide K-wire 1.4mm C1769 $43.05 Guide K-wire SS 1.25mm C1769 $12.44 Guide K-wire SS 2.0mm C1769 $13.40 Guide Kwire w/blunt Tip 100mm C1769 $36.12 Guide Kwire w/Trocar Tip Acu C1769 $22.50 GUIDE WIRE C1713 $266.79 GUIDE WIRE 2.0MM C1713 $129.00 GUIDE WIRE 2.5 C1769 $58.87 GUIDE WIRE 2.5x285MM C1769 $58.88 GUIDE WIRE AMPLATZ-CATEG 1 C1769 $142.76 GUIDE WIRE ANGLED $592.50 GUIDE WIRE ANGLED-CATEG 1 C1769 $325.28 GUIDE WIRE ANGLED-CATEG 2 C1769 $492.00 GUIDE WIRE BENTSON-CATEG 2 C1769 $203.07 GUIDE WIRE BH-CATEG 2 C1769 $21.00 GUIDE WIRE COIL-CATEG 1 $2,885.61 GUIDE WIRE CORDIS-CATEG 1 C1769 $466.07 GUIDE WIRE J-CATEG 1 C1769 $522.50 GUIDE WIRE MAGICTQ 035/180 C1769 $88.83 GUIDE WIRE ROADRUNNER-CATEG 1 $971.83 GUIDE WIRE STIFF-CATEG 1 $324.09 GUIDE WIRE STRAIGHT-CATEG 1 C1769 $185.00 GUIDE WIRE STRAIGHT-CATEG 2 $227.50 GUIDE WIRE SUPER STIFF-CATEG 1 C1769 $564.87 GUIDE WIRE TFE COATED CURVED-CATEG 1 C1769 $400.00 GUIDE WIRE THREADED-CATEG 1 $143.40 GUIDE WIRE; BALL TIP 3x800MM C1769 $212.03 GUIDE WIRE-CATEG 1 C1769 $137.25 GUIDE WIRE-CATEG 1 C1769 $272.61 GUIDE WIRE-CATEG 2 C1769 $91.78 GUIDE WIRE-CATEG 3 C1769 $332.81 GUIDE WIRE-CATEG 4 C1769 $1,084.18 GUIDE WIRE-CATEG 5 C1769 $412.50 GUIDE WIRE-CATEG 7 C1769 $637.50 GUIDE WIRE-CATEG 8 $278.28 Guided tiss regen-nonresorb-per D4267 $455.00 Guided tiss regen-resorb-per D4266 $420.00 GUIDELINER VX CATHETER 6F C1887 $987.80 GUIDEWIRE 0.014X300CM STRAIGHT C1769 $313.50 GUIDEWIRE 0.38cm, 145 CM C1769 $282.89 GUIDEWIRE 1.5MM C1769 $209.00 GUIDEWIRE 180CM 5/BX EACH C1769 $277.50 GUIDEWIRE 2.5 C1713 $135.00 GUIDEWIRE CATEG 5 C1769 $362.90 Guidewire CTO flop tip 25gr C1769 $229.50 Guidewire CTO floppy tip 18gr C1769 $229.50 Guidewire Dream StrghtTip stif C1769 $558.78 Guidewire Fix Core flex tip C1769 $22.76 Guidewire Fixed Core flex tip C1769 $16.47 Guidewire J Fix 3mm tip 150cm C1769 $183.12 GUIDEWIRE PACK C1713 $1,687.50 Guidewire Porter .014x195cm C1769 $1,657.50 Guidewire Porter .014x300cm C1769 $1,657.50 GUIDEWIRE PTFE .035 FLOPPY 5BX C1769 $196.80 Guidewire Roadrunner GI 480cm C1769 $217.50 Guidewire SS floppy tip 25gr C1769 $229.50 GUIDEWIRE STIF STRGHT TIP150CM C1713 $503.25 Guidewire straight .035x180cm C1769 $120.77 Guidewire straight .038x150cm C1769 $213.05 Guidewire straight tip 300cm C1769 $1,350.00 GUIDEWIRE STRGHT 5/BX C1769 $155.68 GUIDEWIRE VASC BENSON 035" C1713 $120.77 GUIDEWIRE VASC BENSON 038" C1713 $213.05 GUIDEWIRE ZEBRA C1769 $376.38 Guidewire Zebra nit strght tip C1769 $424.35 Guidewire ZIPwir stndrd strght C1769 $282.89 GUIDEWIRE ZIPWIRE ANGLED 5/BX C1769 $70.60 GUIDEWIRE; CATEGORY 1 C1769 $69.18 GUIDEWIRE; CATEGORY 2 C1769 $206.11 GUIDEWIRE; CATEGORY 3 C1769 $507.73 GUIDEWIRES STRGHT FLEXIBLE TIP C1713 $307.50 GUIDEWIRES ZIPWIRE 035/260 ANGLED C1769 $70.61 GuidewireZebra nitinl angl tip C1769 $711.08 GURYS DIEGO OTOLOGY TUBE SET A4624 $179.79 GUT CHR. $88.29 GW 0.035" X 150CM STANDARD STRAIGHT C1769 $213.05 GW 0.035" X 180CM STANDARD ANGLE C1769 $374.42 GW ADDWIRE EXTENSION WIRE .014/145CM C1769 $765.60 GW ASAHI MIRCLEBROS 3 - 180CM C1769 $250.25 GW ASAHI PROWATER 180CM C1769 $255.75 GW CHOICE FLOPPY .014" X 182CM C1769 $742.50 GW CHOICE PT W/ ICE HYDROPHILIC COATING C1769 $742.50 GW COUGAR XT STRABLE 190CM (.014")STRGHT C1769 $585.75 GW DOC EXTENSION .014/145CM C1769 $148.50 GW DX 0.035 FC J3MM 150CM TEF C1769 $18.02 GW FILTER WIRES EZ SYSTEM 190CM C1884 $2,391.00 GW HI-TORQUE 190CM BAL MID WEIGHT UNIV C1769 $412.50 GW HI-TORQUE FLOPPY .014/190CM C1769 $412.50 GW HI-TORQUE WHISPER MS 190CM C1769 $802.50 GW HI-TORQUE WIGGLE W/ MICROGLD COATING C1769 $412.50 GW LUGE W ICE 182CM MODERATE SUPPORT C1769 $734.55 GW MAILMAN SUPER SUPPORT - 300CM C1769 $675.00 GW PT2 MODERATE SUPPORT 185CM STRAIGHT C1769 $622.50 GW RUNTHROUGH .014 EXTRA FLOPPY 180CM C1769 $1,031.25 GW SAFE-T-J EXCHANGE HEPARIN COATED C1769 $25.53 GW STRAIGHT 145CM C1769 $16.80 GW STRAIGHT FIXED CORE C1769 $23.00 GW TEFLON COATED CURVED C1769 $20.00 GW TFE COATED T-J CURVED, FIXED CORE C1769 $37.05 GW TFLN .063/160CM PTFE ANGLED C1769 $412.50 GW VASCLR FIXED CORE .025"/260CML/3MM C1769 $16.80 GW WHOLEY HI-TORQUE FLOPPY C1769 $171.09 GYN CYTOLOGY THIN PREP 88142 $49.52 GYN MORCELLEX TISS MORCELLATOR C1782 $5,884.91 GYNECARE TVT DEVICE MESH C1781 $1,192.50 GYNECARE TVT DEVICE MESH SZ 1.1CM X 45CM C1771 $1,192.50 GZE SPNG N/STRL 4X4 A6216 $7.34 GZE SPNG N/STRL 4X8 $13.22 GZE SPNG STRL 2X2 A6402 $2.01 GZE SPNG STRL 4X4 A6402 $2.63 GZE XRAY 4X4 STRL A6403 $0.94 H INFLUENZA B AB TITER 86684 $38.72 H. DUCREYI SMEAR 87205 $10.45 H. PYLORI AB 86677 $37.07 H.I.P. PAP CONSULT 88321 $86.20 H.M.W. KININOGEN 85293 $46.29 H.PYLORI AG QL STOOL 87338 $35.16 H/A PCR QUANTITATIVE 87536 $208.01 H1N1 (SWINE FLU) 0.5 ML SYRINGE $0.01 H1N1 (SWINE FLU) 5ML VIAL $0.01 H1N1 (SWINE FLU) NASAL SPRAY $0.01 HABITROL 14MG/24HR PATCH J3490 $6.12 HABITROL 21MG/HR PATCH J3490 $5.84 HABITROL 7MG/24HR PATCH J3490 $6.21 HAEMOPH B OLIGO V-DIPH PRT VACC $31.64 HAIR REM; ELECTROLYSIS per 30 17380 $1,281.35 HAKIM MEDOS PERITONEAL CATH C1887 $289.50 HALDO 5MG/ML INJ 1ML $11.74 HALDOL 0.5MG TAB $0.22 HALDOL 10MG TAB J1630 $0.74 HALDOL 1MG TAB J1630 $0.32 HALDOL 2MG TAB J1630 $0.48 HALDOL 5MG TAB J1630 $0.55 HALDOL DECANOATE 100MG/ML 1ML $71.20 HALDOL DECANOATE 50MG/ML 1ML $52.02 HALDOL-ASSAY (HALOPERIDOL) 80299 $41.01 HALLUX VALGUS; W/METATARSAL OS 28296 $7,057.23 HALO PROC CERV HALO IN JACKT VEST L0810 $5,816.80 HALO PROC CERV HALO INC INTO JACKET VEST L0810 $5,816.80 HALOPERIDOL 100MG J1631 $117.39 HALOPERIDOL 150MG J1631 $176.08 HALOPERIDOL 1MG/0.1ML ORAL SYR J3490 $1.16 HALOPERIDOL 200MG J1631 $234.78 HALOPERIDOL 250MG J1631 $293.48 HALOPERIDOL 2MG.ML PO LIQUID $0.01 HALOPERIDOL 2MG/ML (HALDOL) PO CUP $3.90 HALOPERIDOL 50MG J1631 $52.80 HALOPERIDOL DECNOATE 100MG INJ J1631 $106.70 HALOPERIDOL LACTATE 5MG/ML10ML J1630 $0.01 HAM TEST 85475 $21.69 HAMMERTOE; CORRECT ONE TOE 28285 $7,057.23 HAND 3+ VIEWS 73130 $205.74 HAND EVALUATION 95834 $127.67 HAND SPLINT 29280 $86.20 HAND WO COMPARISON TO NORMAL 95852 $40.96 HAND/FINGER STRAPPING 29280 $86.20 HANDL/CONVEY SPECMN-OFFIC TO L 99000 $29.98 HANDL/CONVEY/OTHER SERV INVOLV DEVICES 99002 $56.00 HANDLE W/TRUMPET VALVE CANNULA A4615 $645.00 HANDLING AND CONVEYANCE 99000 $80.33 HAPTOGLOBIN 83010 $30.73 HAPTOGLOBIN; QUANTITATIVE 83010 $30.73 Harmon Scalp Ace curvshear45cm $5,119.95 HB A2... 83021 $44.13 HB CHHROMATOGRAPHY 83021 $44.13 HB ELECTROPHORESIS 83020 $31.46 HB F 83021 $44.13 HBIG FOR IM USE 90371 $249.72 HCG QUALITATIVE 84702 $36.81 HCG QUANTITATIVE 84702 $36.81 HCTZ/TRIAMT 25-37.5MG TAB $0.75 HCTZ/TRIAMT 50-75MG TAB $1.52 HCV GENOTYPING 87902 $629.31 HEAD - 33593503 C1776 $1,320.20 HEAD 28MM $1,042.20 HEAD BIOMODULAR-CATEG 1 $1,706.25 HEAD BIPOLAR-CATEG 1 C1776 $4,802.65 HEAD COMPONENT 58MM C1713 $525.00 HEAD C-TAPER-CATEG 1 C1776 $750.00 HEAD FEM DISTAL AUGMENT-CATEG 1 $2,883.42 HEAD FEM MAXIM POSTERIOR-CATEG 1 $3,117.36 HEAD FEM POSTERIOR AUGMENT-CATEG 1 $8,939.81 HEAD FEMORAL-CATEG 1 C1776 $2,270.21 HEAD FEMORAL-CATEG 2 C1776 $5,688.39 HEAD FEMORAL-CATEG 3 C1776 $2,982.03 HEAD HUMERAL-CATEG 1 C1176 $4,683.22 HEAD METAL BALL-CATEG 1 $2,280.66 HEAD MOD.-CATEG 1 $9,847.13 HEAD MOD.-CATEG 2 $14,117.50 HEAD MRA WITH AND WITHOUT CONT 70546 $984.43 HEAD MRA WITH CONTRAST 70545 $984.43 HEAD MRA WITHOUT CONTRAST 70544 $600.78 HEAD NEUTRAL-CATEG 1 C1776 $3,737.50 HEAD TRIAL +0MM X 36MM INST C1776 $240.00 HEAD UNIPOLAR-CATEG 1 C1776 $3,522.72 HEAD UNIVERSAL-CATEG 1 $1,750.00 HEAD/NECK HIP STEM C1713 $3,884.10 HEAD/NECK HIP STEM C1776 $3,884.10 HEAD/SOFT TISS ULTRASND 76536 $288.95 HEAD/SOFT TISSUE ULTRASOUND___ 76536 $288.95 HEAD-CATEG 1 C1776 $1,435.63 HEADED NAIL 3/4" PIN C1713 $135.00 HEADED NAIL 3/4" PIN C1713 $135.00 HEADED PINS NAILS - 1 1/2" C1713 $126.90 HEADED SCREW 3.5 C1713 $150.00 HEADED SCREW 3.5x32MM DART FIRE C1713 $150.00 HEADED SCREW DART FIRE C1713 $150.00 HEADLESS COMPRES SCRW THREAD C1713 $1,462.50 HEADLESS SCREW 3.0MM X 20MM C1713 $630.00 HEADLSS SCRW DARTFIRE COMPRES C1713 $552.00 HEALICOI SUTRE ANCH W/ULTRATPE C1713 $1,125.00 HEALICOIL PK 4.5MM SUTRE ANCHR C1713 $1,125.00 HEALICOIL W/ TAPE COBRAID BLUE C1713 $570.00 Healing Cap w/ Plug .030mm $25.50 HEALOS FX DELIV DEV;BONE GRFT C1713 $267.75 HEARING AID CHECK BOTH EARS 92593 $194.02 HEARING AID CHECK ONE EAR 92592 $143.88 HEARING AID CHECK-BOTH EARS 92593 $194.02 HEARING AID CHECK-ONE EAR 92592 $143.88 HEARING AID EXAM BOTH EARS 92591 $209.83 HEARING AID EXAM ONE EAR 92590 $191.84 HEARNG AID EXM BOTH EAR 92591 $209.83 HEARNG AID EXM ONE EAR 92590 $191.84 HEART CATH TRAY $1,262.21 HEART FIRST PASS ADD ON 78496 $365.20 HEART IMAGE PET SINGLE 78491 $3,720.51 HEART MUSCLE IMAGING PET 78459 $3,279.74 HEAVY METAL SCREEN 83655 $29.59 HEAVY METAL SCREEN URINE 83655 $29.59 HEEL PAD $8.27 HEINLICH CHEST DRAIN VALV STRL C1729 $45.87 HEINZ BODIES 85441 $10.27 HEINZ BODY STAIN $4.03 HELICOBACTER PYLORI AB 86677 $37.07 HELIOX THERAPY 1 HR 94644 $281.09 HEMADSORPTION 87253 $49.39 HEMATOCRIT 85014 $5.79 HEMETRIC LG STYLE VENTRIC CATH C1751 $217.25 HEMIE-PATELLA TENDON BONE $4,252.50 HEMIN FOR INJECTION 313MG/VIAL J1640 $2,505.64 HEMIS SHELL CUP TRIDENT TRITAN C1713 $5,134.50 Hemisection, no root can ther D3920 $409.00 HEMISPHERCL 56 CUP TRIDENT TRITANIU C1776 $1,950.00 HEMODIALYSIS ACC DUPLEX US 93990 $288.95 HEMODIALYSIS PROC W/SNGL PHYS 90935 $1,723.88 HEMODIALYSIS-SNGL EVAL 90935 $1,723.88 HEMOGLOBIN 83069 $9.66 HEMOGLOBIN A1C 83036 $23.74 HEMOGLOBIN FREE 85018 $5.79 HEMOGLOBIN FREE URINE 83069 $9.66 HEMOGLOBIN MANUAL 85018 $5.79 HEMOGLOBIN URINARY 83069 $9.66 HEMOPHIL FLU B VAC PRP-OMP CONJ CLINIC 90647 $76.09 HEMOPHIL FLU B VAC PRP-T CONJ-IM CLINIC 90648 $18.00 HEMOPHIL FLU B VACC PRP-OMP CONJ-IM 90647 $76.09 HEMOPHIL FLU B VACC PRP-T CONJUG-IM 90648 $76.09 HEMORRHOIDECTOMY BY SIMPL LIG 46221 $1,969.31 HEMORRHOIDECTOMY INT & EXT SIM 46255 $6,043.36 HEMOSIDERIN 83070 $11.59 HEMOSIDERIN STAIN QUAL URINE 83070 $11.59 HEMOSIDERIN STAIN QUANT URINE $8.44 HEMOSIDERIN; QUALITATIVE 83070 $11.59 HEMOSTATIC CLIP FIX W/CLIP DEV C1713 $300.00 HEP A VACCINE ADULT-IM USE CLINIC 90632 $167.90 HEP A VACCINE PED/ADOLES DOSE-2-IM 90633 $167.90 HEP A VACCINE PED/ADOLES DOSE-3-IM 90634 $79.24 HEP A VACCINE PED/ADOLES-2DOSE-IM CLINIC 90633 $167.90 HEP A VACCINE PED/ADOLES-3DOSE-IM CLINIC 90634 $79.24 HEP A VIR VAC 25UNITS//ML (VAQTA) PED $48.15 HEP A/B ADULT-IM CLINIC 90636 $99.99 HEP B DIAL/IMMUNOSUP PT-4 DOS-IM 90747 $129.43 HEP B DIAL/IMMUNOSUP,4 DOSE,IM CLINIC 90747 $129.43 HEP B VAC 5MCG/0.5ML $37.70 HEP B VAC ADULT-IM CLINIC 90746 $42.30 HEP B VAC DIAL/IMMUNOSUP,3DOSE,IM CLINIC 90740 $129.43 HEP B VAC PED/ADOLES,2DOSE,IM CLINIC 90743 $53.46 HEP B VAC PED/ADOLES,3DOSE,IM CLINIC 90477 $62.10 HEP B VAC RECOM 10MCG/ML (RECO $75.79 HEP B VACC PED/ADOLES DOSE IM USE 90744 $58.80 HEP B VACCINE 0.5ML VFC USE PF 90744 $73.02 HEP B VIR VAC 50UNTS//ML (VAQTA) ADULT $96.30 HEP B VIR/H-B POLY-MEN P VAC $60.70 HEP B/HEMOPHILUS FLU B VACC IM USE 90748 $52.27 HEP C GENOTYPING 87522 $104.72 HEP LOCK FLUSH 1UNIT/ML NICU J1642 $7.80 HEP WRITTEN 97139 $148.24 HEPA FLUID FILTR W/ACTVE CARBN $610.28 HEPAGRAM IVIG (HEPATITIS B IVIG) $630.76 HEPARIN 1,000 UNITS/ML, 10ML V J1644 $11.44 HEPARIN 1000 UNITS/500 ML NS J3490 $63.98 HEPARIN 1000UNITS/500ML IV BAG J1644 $145.26 HEPARIN 50 UNITS/50 ML NS J1642 $3.90 HEPARIN BEEF 1000U/ML 10ML J1644 $0.34 HEPARIN DEPEND. AB 86023 $30.45 HEPARIN DEPENDENT PLATELET AB 86022 $44.90 HEPARIN FLSH J1644 $11.44 HEPARIN LOCK FLUSH 500UNITS/5M J1642 $0.62 HEPARIN SOD/45%NACL D5W 250ML J1644 $23.97 HEPARIN SODIUM 1000U/ML 1ML J1644 $0.96 HEPARIN SODIUM 5000U/ML 10ML J1644 $6.49 HEPARIN SODIUM 5000U/ML 1ML J1644 $2.78 HEPARIN SODIUM/D5W 100U/ML J1642 $9.29 HEPARINLOCKFLUSH 100U/ML 250ML J1644 $0.97 HEPATIC FUNCTION PANEL W/PRO 80076 $19.98 HEPATIC VENOGRAPHY W/EVAL-RAD 75889 $7,144.43 HEPATIC VENOGRPHY WO EVAL-RAD 75891 $7,144.43 HEPATITIS A ANTIBODY 86708 $30.27 HEPATITIS A VACCINE ADULT DOSE-IM USE 90632 $167.90 HEPATITIS A VIR VACC 1440 UNIT/1ML $70.74 HEPATITIS A VIR VACC 720 UNIT/0.5ML $42.52 HEPATITIS B CORE ANTIBODY 86704 $29.46 HEPATITIS B FOR NICU/NSY ONLY 90744 $0.01 HEPATITIS B IMM GLOB 1ML VIAL 90371 $182.52 HEPATITIS B IMM GLOB 5ML VIAL 90371 $763.15 HEPATITIS B IMMUNE GLOBULIN HUMAN-IM USE 90371 $249.72 HEPATITIS B PCR (QUANTITATIVE) 87517 $104.72 HEPATITIS B VACCINE PEDS, DOSE $97.50 HEPATITIS B VACCN ADULT-IM USE 90746 $42.30 HEPATITIS B VIR VACC 20MCG/ML 90371 $42.99 HEPATITIS B VIRAL DNA QUAL 87517 $104.72 HEPATITIS BE AG EIA 87350 $28.18 HEPATITIS C - DNA OR RNA 87902 $629.31 HEPATITIS C AB (RIBA) 86804 $37.86 HEPATITIS C AB-2 86803 $34.87 HEPATITIS C ANTIBODY; CONFIRM 86804 $37.86 HEPATITIS C GENOTYPING 87522 $104.72 HEPATITIS C PCR (QUANTITATIVE) 87522 $104.72 HEPATITIS D ANTIBODY 86692 $41.95 HEPATITIS D ANTIBODY IGM 86692 $41.95 HEPATITIS D ANTIGEN 87380 $40.39 HEPATITIS PANEL 80074 $116.45 HEPATOBILIARY SYST IMAGE W/DRU 78227 $1,216.78 HEPATOBILIARY SYSTEM IMAGING 78226 $949.04 HEPATOT; OPEN DRAIN ABSC 1/2 S 47010 $2,630.43 HEPATOT; PERC DRAIN ABSC 1/2 S 49405 $3,538.61 HEP-B AMPLIF NA PROBE 87516 $85.78 HEPB VACC 2 DOSE - ADULT IM 90739 $129.44 HEPB-HIB VAC IM CLINIC 90748 $52.27 HEPB-HIB VAC IM CLINIC (ADULT) 90748 $52.27 HEPB-HIB VAC IM CLINIC (IMMUNOSUPPRESD) 90748 $52.27 HEPB-HIB VAC IM CLINIC (PEDIAT/ADOLES) 90748 $52.27 HEP-C AMPLIF NA PROBE 87521 $85.78 HEP-C NA QUAN 87522 $104.72 HEP-LOCK FL 100U/ML 1ML VIAL J1642 $1.37 HEPT B CORE IGM ANTI 86705 $28.78 HER-2/NEU 83950 $157.45 HERN MOD KUG LG CIR W/STRP 2CS C1781 $913.50 HERN PATCH VENTRALX; MED CRCL 6.4x6.4CM C1781 $1,910.10 HERNIA GRFT BIODESIGN 20X20 C1781 $12,513.00 HERNIA GRFT SURGISIS 13X15 C1781 $6,838.50 HERNIA MOD KUGEL LG CIRCLE W/STRAP C1781 $913.50 HERNIA MOD KUGEL MED CIRCLE W/STRAP C1781 $919.29 HERNIA MOD KUGEL SM CIRCLE W/STRAP C1781 $786.42 HERNIA MOD KUGEL SM/OVAL 8X12CM W/STRAP C1781 $411.75 HERNIA PATCH MESH SURG PTCH AB C1781 $1,476.00 HERNIA PATCH SM OVAL MESH SURG C1781 $1,306.95 HERNIA PATCH VENTRALEX; SM 4.3x4.3" C1781 $890.66 HERNIA PROLENE SYS MESH; MEDIUM C1781 $1,304.76 HERNIA PROLENE SYSTEM MESH C1781 $1,304.76 HERNIA REPAIR GFT 13X15" SURGISIS GOLD C1781 $1,080.00 HERNIA REPAIR GRAFT 13X15 C1768 $1,323.00 HERNIA REPAIR GRAFT 13X22" C1768 $1,638.00 HERNIA REPAIR GRAFT 13X22" C1763 $9,166.50 HERNIA REPAIR GRAFT 7X10" GOLD C1781 $906.00 HERNIA REPAIR GRAFT 7X10" GOLD L8670 $906.00 HERNIA REPAIR W/MESH 49568 $580.76 HERPES ANTIBODY NON-SPECIFIC T 86694 $35.18 HERPES IGG ANTIBODY 86695 $32.23 HERPES S AMPLIF NA PROBE 87529 $85.78 HERPES SIMPLEX 1 AG IF 87274 $29.30 HERPES SIMPLEX 2 AG BY IF 87273 $29.30 HERPES SIMPLEX CF AB 86694 $35.18 HERPES SIMPLEX TPNG 87253 $49.39 HERPES SIMPLEX TYPG 86695 $32.23 HERPES SIMPLEX VIRUS IGM 86317 $36.63 HERPES SIMPLEX VIRUS PCR (QUAN 87530 $104.72 HERPES TYPE I IGG 86695 $32.23 HERPES TYPE I IGM 86695 $32.23 HERPES TYPE II IGG 86695 $32.23 HERPES TYPE II IGM 86695 $32.23 HESPAN 500ML BAG J3490 $7.17 HEWSON SUTURE RETRIEVER BLACK C1713 $69.00 HEXABRIX 20ML Q9967 $3.70 HEXAVITAMIN LIQUID $0.28 HFO, COMPOSITE ELASTIC L3929 $143.62 HFO, FINGER EXTENSION W/3 L3929 $113.04 HFO, FINGER EXTENSION, WITH CLOCK SPRING L3929 $113.04 HFO, FLXN GLOVE W LASTIC FINGER CONTROL L3912 $153.69 HFO, KNCKL BNDR, TWO SEGMT TO FLEX JNTS L3931 $49.50 HFO, KNUCKLE BENDER L3929 $49.50 HFO, KNUCKLE BENDER, WITH OUTIGGER L3929 $49.50 HFO, REVERSE KNUCKLE BENDER, W OUTRIGGER L3929 $49.50 HFO, REVERSE KNUCLE BENDER L3929 $49.50 HFO, SPREADING HAND L3923 $127.93 HGB AIC 83036 $23.74 HGB FRACTIONAT & QUANTITAT: EL 83020 $31.46 HGB/RBC FETAL-HEMORR; DIFF LYS 85460 $18.90 HI FLO INSUFLATTION TUBING A4624 $15.48 HI FLOW PIGTAIL CATH 6F C1887 $202.40 HI FLOW PIGTAIL CATH 6FR C1887 $132.00 HI TORQUE BMW GW C1769 $160.50 HIGH DOSE INFLUENZA VACCINE $25.00 HIGH PERFORMANCE BONE DRILL C1713 $145.35 HIGHFLOW NASAL CANNULA 94799 $356.66 HI-LINE XS BUR SURG NEURO III C1713 $155.01 HI-LINE XS DISP.BARREL BURR II C1713 $197.10 HI-LINE XS DISP.BARREL BURR II C1713 $243.12 HI-LINE XS DISP.ROSEN BURR 3.1 C1713 $155.01 HI-LINE XS ROSEN BUR III NEURO C1713 $146.24 HI-LINE XS ROSEN BUR XLI 6.0MM C1713 $273.75 HI-LINE XS ROSEN SURG BUR C1713 $146.24 HI-LINE XXS DISP.ROSEN BURRIII C1713 $194.67 HIP BALL ARTICULAR-CATEG 1 $6,513.30 HIP IMPLANT SLEEVE C1776 $4,215.75 HIP PACK $486.96 HIP PROCEDURE CHARGES C1776 $750.00 HIP STEM C1776 $2,470.50 HIP STEM #8 $5,031.10 HIP SYST BUILD UP BLOCK W/2SCRWS C1713 $755.70 HIPREX 1GM TAB $1.70 HIPYLORI CULTURE 87070 $21.05 HISTAMINE LEVEL 83088 $72.18 HISTAMINE RANDOM URINE 83088 $72.18 HISTOCHEM STAIN W/FROZEN SECT 88314 $55.75 HISTOCHEM STAIN+SEC 88314 $55.75 HISTOPLASMA AG UR 86698 $30.54 HISTOPLASMA ANTIBODY CSF 86698 $30.54 HISTOPLASMA ANTIGEN 87385 $29.30 HISTOPLASMA ANTIGEN CSF 87278 $34.32 HISTOPLASMA ANTIGEN IMMUNOASSA 87385 $29.30 HISTOPLASMA ANTIGEN URINE 87385 $29.30 HISTOPLASMA IGG 86698 $30.54 HISTOPLASMA IGM 86698 $30.54 HISTOPLASMA IMM DIF 86698 $30.54 HISTOPLASMA IMMUNO 86698 $30.54 HI-TORQ WIGG GWIRE MICROGLDE C1713 $412.50 HLA ABC&DR 86817 $233.51 HLA B27 86812 $63.07 HLA B27 TYPING; A B OR C SINGL 86812 $63.07 HLA TESTING FOR PLATELETPHERES 86813 $141.77 HLA TYPING; A B/C MX ANTIG 86813 $141.77 HLA TYPING; DR/DQ MX ANTIG 86817 $233.51 HLA-ABC 86813 $141.77 HLA-ABC TYPING 86813 $141.77 HLA-ABC+DR TYPING 86999 $59.25 HLA-DR 86817 $233.51 HLA-DR TYPING 86817 $233.51 HMPAO A4641 $209.83 HOLE HEMI RECON PLATE 34DG LFT C1713 $2,062.71 HOLE HEMI RECON PLATE 6X17 C1713 $2,062.71 HOMATROPINE HBR 5% $38.15 HOME VISIT HIGH COMPLEXITY 60M 99350 $469.59 HOME VISIT LOW COMPLEXITY 25MI 99348 $228.50 HOME VISIT MOD COMPLEXITY 40MN 99349 $346.62 HOME VIST STRT FWD MED DECS15M 99347 $155.04 HOMOCYSTEINE (BLOOD) 82131 $50.56 HOMOCYSTEINE (BLOOD)... 83090 $41.23 HOMOCYSTINE (URINE) 82131 $50.56 HOMOCYSTINE (URINE)... 83090 $41.23 HOMOGENIZ TISS FOR CULTURE 87176 $14.39 HOMOGENTISIC ACID 81005 $5.30 HOMOGENTISIS ACID RANDOM URINE 83919 $40.22 HOMOVANILLIC ACID 83919 $40.22 HOMOVANILLIC ACID 83150 $49.30 HOMOVANILLIC ACID 83150 $49.30 HOOK 5.0MM SCREW HOLES W/OSLAP C1713 $269.58 HOOK 6.5MM SCREW HOLES W/OSLAP C1713 $269.58 HOOK FOR SCRW HOLES W/O SLAP C1713 $269.58 HOPD COVID19 SPEC COLL C9803 $126.50 HOPD COVID19 SPEC COLLECT C9803 $126.50 HORMONAL EVAL/MATURATION INDEX 88155 $32.23 HOSPICE SEMI PRIVATE ROOM $3,175.00 HPV VACCINE QUADRIVALENT 90649 $423.39 HPV-Q-VIAL VACC.20-40/0.5ML $311.50 HPYLORI STOOL EIA 87338 $35.16 HRHK TIBIA ROT COMPONENT XS/SM/MED C1776 $5,364.00 HSV 1/2 IGG HERPESELECT 86696 $47.32 HSV TYPE 1-AB 86695 $32.23 HSV TYPE 2-AB 86694 $35.18 HT MUSCLE IMAGE PLANAR MULT 78454 $3,279.74 HT MUSCLE IMAGE PLANAR SING 78453 $3,279.74 HT MUSCLE IMAGE SPECT MULT 78452 $3,279.74 HT MUSCLE IMAGE SPECT SING 78451 $3,279.74 HTLV CONFIRM (RIPA) 86689 $47.32 HTLV I 86687 $20.50 HTLV-1 86687 $20.50 HTLV-2 86688 $34.23 HTLVI ANTIBODY 86790 $31.48 HTLVII ANTIBODY 86790 $31.48 HUMAN TIG FOR IM USE 90389 $1,096.57 HUMATIN 250MG CAP $3.42 HUMERAL HEAD 22x44 C1776 $1,807.50 HUMERAL HEAD 40x12MM SOLAR SHOULDER C1776 $1,304.33 HUMERAL SOCKET INSERT C1776 $1,575.00 HUMERAL SOCKET SHELL C1776 $3,112.50 HUMERAL STEM C1776 $2,440.63 HUMERAL STEM 6x130MM C1776 $4,561.50 HUMERAL STEM 8x145 C1776 $4,561.50 HUMERL HEAD 16x38 C1776 $1,807.50 HUMERUS 2+ VIEWS 73060 $205.74 HUMMINGBIRD BOLT VENTRICU CATH A4300 $1,192.50 HUMMINGBIRD BOLT VENTRICU CATH C1887 $1,192.50 HUMMINGBIRD PARENCHYMA CATHETR C1887 $1,042.50 HUMPHRY 30-224-230/60-2 VSUL 92083 $373.87 HURRICAIN BILIARY BALLOON CATH C1726 $448.50 HURRICAINE 20% SPRAY 60ML J3490 $9.29 HURRICAINE TOPICAL SPRAY $20.39 HYALGAN PER DOSE J7321 $501.60 HYALOMATRIX PER 1 SQ CM Q4117 $1.00 HYALURONATE SODIUM SYRINGE 20M J7321 $217.80 HYALURONIDASE 150 UNIT INJ J3470 $17.91 HYDRA BALM $33.00 HYDRA BLM $33.00 HYDRA WIRE .035 X 450CM 2/BX C1713 $558.78 HYDRALAZINE 10MG TABLET J0360 $0.13 HYDRALAZINE 1MG/ML SUS PO $1.53 HYDRALAZINE 20MG INJ J0360 $2.48 HYDRALAZINE 20MG/ML INJ J0360 $6.83 HYDRALAZINE 25MG TAB J0360 $0.43 HYDRALAZINE 25MG TABLT J8499 $1.11 HYDRALAZINE 50MG TAB J0360 $0.54 HYDRATE IV INFUSION ADD-ON 96361 $98.25 HYDRATED DERMAL ALLOGFT 12x24CM Q4128 $15,168.00 HYDRATING B5 MASQUE $154.00 HYDRATNG B5 MASQUE $154.00 HYDRO INJECT HA BONE SUBST CEM C1713 $6,706.80 HYDRO STRAIGHT WIRE C1713 $258.00 HYDROCERIN CREAM J3490 $1.22 HYDROCHLOROTHIAZIDE 1MG/ML $0.55 HYDROCHLOROTHIAZIDE 25MG TAB J3490 $0.35 HYDROCHLOROTHIAZIDE 50MG TAB $0.50 HYDROCHLORTHIAZIDE 12.5 MG CAP J3490 $1.08 HYDROCHLORTHIAZIDE 50MG/5ML $0.21 HYDROCORTIS 100MG/0.8ML SYR $0.65 HYDROCORTISONE 0.5% CREAM 30GM $0.43 HYDROCORTISONE 1% CREAM 30GM J3490 $0.25 HYDROCORTISONE 1% LOTION $5.70 HYDROCORTISONE 1% OINT 30GM J3490 $1.26 HYDROCORTISONE 10 mg/ml PEDS $6.60 HYDROCORTISONE 1000MG INJ $39.20 HYDROCORTISONE 10MG TAB J3301 $0.49 HYDROCORTISONE 2.5% (GM) 28.35 J3490 $4.84 HYDROCORTISONE 20MG TAB J3301 $0.36 HYDROCORTISONE CREAM 1% $24.20 HYDROCORTISONE PO LIQ 10MG/5ML $0.53 HYDROCORTISONE SUPPOSITORY 25 MG $0.50 HYDRODISSECTION CANNULA 25GA A4615 $63.30 HYDROGEN PEROXIDE SOL 480ML J3490 $0.63 HYDROGEN PRXIDE SOLUTION BOTTLE $1.05 HYDROMORPHONE 0.5% INJ J1170 $2.09 HYDROMORPHONE 0.6MG/0.6ML SYRI J1170 $14.08 HYDROMORPHONE 10MG/ML 50ML VIAL $5.05 HYDROMORPHONE 2 mg/0.2ml SYR $0.10 HYDROMORPHONE 20mg/100mL PCA $0.10 HYDROMORPHONE 2MG/ML INJ $1.99 HYDROMORPHONE 3MG RECTAL SUPPOS $11.57 HYDROMORPHONE 8mg PO $0.50 HYDROMORPHONE HCL 10MG/ML 1ML J1170 $18.20 HYDROMORPHONE HCL 4MG TAB U-D $1.00 HYDROMORPHONE INJ 4MG SYRNG J1170 $5.71 HYDROPH NITINL GUIDEWIRE ANGLE C1773 $450.00 HYDROPHILIC OINTMENT $0.83 HYDROSE INJCT CEMNT H BONE SUB C1713 $2,445.13 HYDROSET INJECT CEMNT BONE SUB C1713 $4,673.70 HYDROSET INJECTABLE CEMENT 8G BONE SUB C1713 $2,445.14 HYDROSET INJECTABLE CEMENT 8GA BONE SUB C1713 $2,445.14 HYDROXYAMPH/TROPIC EYE DROP $16.21 HYDROXYCHLOROQUINE 200MG TAB J3490 $2.43 HYDROXYPROLINE FREE 83500 $55.37 HYDROXYPROLINE TOTAL 83505 $59.42 HYDROXYPROP/METH CELL EYE DROP $1.21 HYDROXYPROPYLMETHYLCELL 2.5% DROPS J3490 $7.80 HYDROXYUREA 500MG CAP J9999 $1.56 HYDROXYUREA 50MG/mL SOLUTION $0.01 HYDROXYZINE 25MG ORAL LIQ J8999 $1.10 HYDROXYZINE 25MG VIAL INJ $1.54 HYDROXYZINE HCL 10MG TAB J3490 $0.24 HYDROXYZINE HCL 10MG/5ML ORAL J3490 $0.21 HYDROXYZINE HCL 25MG TAB J3490 $0.34 HYDROXYZINE HCL 50MG TAB $0.86 HYDROXYZINE PAM 25MG CAP $0.55 HYDROXYZINE PAMOATE 25MG CAP Q0177 $0.72 HYDROXYZINE PAMOATE 25MG ORAL Q0177 $1.12 HYMENOTOMY 56442 $6,440.19 HYP-ALLER PAPER TAPE 1" A4450 $0.41 HYPERAB 300IU/ML (5ML VIAL) J3490 $387.93 HYPERFLEXION PLATE $2,740.50 HYPERFLX TRACH TUBE FIXED CUFF A4624 $165.15 HYPERGEL 0.17 OZ. (5GM) $72.03 HYPERTHERMIA EXT GEN; SUPERF 4 77600 $609.33 HYPERTHERMIA GEN BY INTRACAVIT 77620 $1,389.12 HYPERTHYROID THERAPY INITIAL 79005 $612.04 HYPERTHYROID THERAPY REPEAT 79005 $612.04 HYPO-ALLER PAPER TAPE A4450 $0.69 HYPO-ALLER PAPER TAPE 3 A4450 $1.27 HYPOXIA RESPONSE CURVE 94450 $356.66 HYPRTHRM GEN INTRSTI PRB<5 APP 77610 $1,389.12 HYPRTHRM GEN INTRSTI PRB>5 APP 77615 $1,389.12 HYSTCTMY W/COLPO-URTHROCYSTPXY 58152 $2,743.69 HYSTER ENDOMAT TUBW/PRESS DOME A4624 $152.49 HYSTEROSALPINGOGRAPHY 74740 $600.78 HYSTEROSC;W DIV/RESECT INTRAUT 58560 $11,012.14 HYSTEROSCOPY BILAT STERILIZATI 58565 $11,012.14 HYSTEROSCOPY DIAG 58561 $11,012.14 HYSTEROSCOPY DX (SEPART PROC) 58555 $6,440.19 HYSTEROSCOPY;W BX ENDOM/POLYPE 58558 $6,440.19 HYSTEROSCPY SURG; W/BX &/ POLY 58558 $6,440.19 HYSTEROSCPY;W ENODMET ALBATION 58563 $11,012.14 HYSTEROSCPY;W LYSIS INTRAUT AD 58559 $11,012.14 HYSTEROSCPY;W REM IMBEDDED FB 58562 $6,440.19 HYSTEROSONOGRPHY W/WO COLOR DO 76831 $600.78 HYTONE 2.5 % LOTION $1.23 HYTONE 2.5% CREAM 30GM TUBE J3490 $4.99 HYTRIN (TERAZOSIN) 10 MG TAB $2.64 HYTRIN 1MG CAP $2.48 HYTRIN 5MG CAP $2.36 HYZAAR 50-12.5MG TAB $3.32 HYZZAR 100/12.5 MG. PO $2.55 I & ABSCESS;COMPLEX/MULTI 10061 $823.72 I & D ABSC/CYST TONGUE FOM;LIN 41000 $1,138.76 I & D ABSCESS AURI COMPLE 69005 $3,538.61 I & D ASBC;SIMPLE/SINGLE 10060 $450.45 I & D BREAST ABSCESS 19020 $3,538.61 I & D CPLX POSTOP WD INFECTION 10180 $5,978.15 I & D HEMATOMA/FLUID 10140 $3,538.61 I & D INFECTED BUR COMPLIC 28002 $3,494.24 I & D INFECTED BUR SIMPLE 28001 $3,538.61 I & D INFECTED BURSA; FOOT 28001 $3,538.61 I & D PERIRECT ABSCESS 46040 $2,588.89 I & D PILONID CYST -COMPLEXI 10081 $1,572.63 I&B VULVA/PERINEAL ABSCESS 56405 $697.93 I&D ABCESS; PERITONSILLAR 42700 $524.99 I&D ABSC/CYST/HEMA;TONG/FOM;SU 41008 $6,752.59 I&D ABSC;RETROPHARYNGEAL;INT A 42720 $6,752.59 I&D ABSCESS; COMPLIC/MX 10061 $823.72 I&D ABSCESS; SIMPL/SNGL 10060 $450.45 I&D ABSCESS;RETROPHARYNGEAL;IN 42720 $6,752.59 I&D APPENDICEAL ABSC; PERCUT 49406 $3,538.61 I&D BARTHOLIN GLAND ABSC 56420 $428.08 I&D BARTHOLIN'S GLAND ABSCESS 56420 $428.08 I&D COMPLX POSTOP WOUND INFEC 10180 $5,978.15 I&D DEEP NECK THORAX HEMATO 21501 $5,978.15 I&D DEEP SUPRALEVATOR ABSCESS 45020 $6,043.36 I&D EAC ABSCESS 69020 $1,572.63 I&D EPIDIDYMIS TESTIS SCROTAL 54700 $4,567.09 I&D HEMATOMA/SEROMA/FL COLLECT 10140 $3,538.61 I&D HEMATOMA/SEROMA/FLUID COLL 10140 $3,538.61 I&D HEMTOMA/SEROMA/FLUID 10140 $3,538.61 I&D IPIDIDYMIS TESTIS/SCROTAL 54700 $4,567.09 I&D PELVIS/HIP JOINT DEEP 26990 $7,057.23 I&D PENIS DEEP 54015 $3,538.61 I&D PERIANAL ABSCESS 46050 $1,969.31 I&D PERIANAL ABSCESS SUPERF 46050 $1,969.31 I&D PERIRECTL/ISCHIAL ABSCSS 46040 $2,588.89 I&D PILONIDAL CYST; COMPLIC 10081 $1,572.63 I&D PILONIDAL CYST;SIMPLE 10080 $1,572.63 I&D PILONIDAL CYST-COMP 10081 $1,572.63 I&D PILONIDAL CYST-SIMPLE 10080 $1,572.63 I&D PILONIDAL CYST-SMPL 10080 $1,572.63 I&D POST-OP WOUND INF;COMPLX 10180 $5,978.15 I&D SCROTAL WALL ABSCESS 55100 $3,538.61 I&D SHOULDER; DEEP ABSCESS/HEM 23030 $5,978.15 I&D SKIN ABSCESS-COMP 10061 $823.72 I&D SKIN ABSCESS-SIMPLE 10060 $450.45 I&D SUBMUC RECT ABSCESS 45005 $2,588.89 I&D SUBMUCOSAL ABSCESS RECTUM 45005 $2,588.89 I&D SUPERF ABSC;PERI/ISCHEAL 46045 $6,043.36 I&D SUPERF PERIANAL ABSC 46050 $1,969.31 I&D THYROGLOSSAL DUCT CYST; IN 60000 $3,478.64 I&D VULVA/PERINEAL ABSC 56405 $697.93 I&D VULVA/PERINEAL ABSCESS 56405 $697.93 I&D; BARTHONLIN'S GLAND ABSCES 56420 $428.08 I&D; ISCHIORECTAL 46060 $6,043.36 I&D; UPPER ARM/EBLOW; BURSA 23931 $3,538.61 I.V. CATH AUTGRD 18GX1.16 $2.43 I.V. CATH AUTGRD 20GX1.16 $2.43 I.V. CATH AUTGRD 22GX1.0 $2.43 I.V. CATH AUTGRD 24GX.75 $2.43 I/D ABSCESS / EXTRAORAL SOFT TISSUE D7520 $1,536.00 I/D ABSCESS AURI CMPLE 69005 $3,538.61 I/D OF ABSCESS / INTRAORAL SOFT TISSUE D7510 $322.00 I-123 RADPHRM DW WHOLE BODY/1U A9509 $413.66 I-123 RADPHRM DX SODIUM IODIDE A9516 $93.52 I-123 RADPHRM DX SODIUM IODIDE A9516 $113.31 I-131 RADPHRM TX SODIUM IODIDE A9517 $45.67 I-131 RADPM TX SOD IODN CAP/MC A9517 $45.67 I-131 SODIUM IODIDE SOLUTION A9530 $29.85 IA BY EIA- MULTI STEP 87449 $29.30 IA INFECTIOUS AGENT AB QUAN 86317 $36.63 IA NFCT AB SARS COV2 COVID19 86328 $10.00 IADL TRAINING EA 15MINS 97537 $71.50 IBANDRONATE (BONIVA) 2.5 MG. $0.01 IBANDRONATE 3MG/3ML INJ J1740 $56.13 IBUPROFEN 100MG/5ML SUSP $10.12 IBUPROFEN 100MG/5ML UD CUP J3490 $0.38 IBUPROFEN 400MG TAB J3490 $0.36 IBUPROFEN 400MG TAB J3490 $0.52 IBUPROFEN 600MG TABLET PO J3490 $3.34 IBUPROFEN 75MG ORAL SYRUP J3490 $0.98 IBUPROFEN 800MG. PO (FOR SCC ONLY) $0.70 IBUPROFEN ORAL SUSP 100MG/5ML J3490 $0.16 IBUTILIDE FUMARATE 1 MG J1742 $94.23 ICAST COVER STNT-7X80CM L-38MM C1874 $3,862.50 ICAST COVER STNT-7X80CM L-59MM C1874 $4,162.50 ICD DEVICE INTERROGATE 93289 $93.46 ICD DEVICE PROG EVAL 1 SINGL 93282 $93.46 ICD DEVICE PROGR EVAL DUAL 93283 $93.46 ICD DEVICE PROGR EVAL MULT 93284 $93.46 ICG ANGIOGRAPHY UNI-BI 92240 $652.56 ICM DEVICE EVAL 93290 $93.46 ICM DEVICE INTERROGAT REMOTE 93297 $58.87 ICM/ILR REMOTE TECH SERV 93299 $108.79 ID VIRAL ISOL-NEUTRALIZATION 87253 $49.39 ID<RLZTN CRBRL SZR FCS EEG R 95950 $1,280.99 IDARUBICIN HCL 1MG/ML VIAL J9211 $2,143.50 IDARUBICIN HYDROCHLORIDE,5 MG J9211 $203.94 IDARUCIZUMAB 50MG/ML VIAL $2,333.33 IDL WIRING FOR OTHER THAN FX 21497 $3,478.64 IDU OTHER 86999 $59.25 ID-VIRAL ISOL HAI 87253 $49.39 IFEX 1GM INJ $134.85 IF-VIR AB TEST IGG 86255 $29.46 IF-VIR AB TEST IGM 86255 $29.46 IGE SERUM 82785 $40.24 IGFBP-1 BYRIA 83519 $40.48 IGFBP-3 83520 $37.99 IGG CSF 82784 $22.75 IGG SUBCLASSES 82787 $19.60 IIV4 VACCINE SPLT 0.5ML IM 90688 $17.83 ILEOSCOPY THRU STOMA 44380 $2,026.11 ILEOSCOPY-STOMA; W/BX 1/MX 44382 $2,026.11 ILIAC REVASC W STENT 37221 $25,544.29 ILIAC REVASC W/ STENT ADD-ON 37223 $462.22 ILIAC REVASC; INIT VES UNILAT 37220 $12,771.31 ILIAC REVASCUL ADD ON 37222 $404.47 ILIAC/FEM ART ANGIO CARDIAC CA G0278 $29.77 ILIOINGUINL ILIOHYPOGASTRC NRV 64425 $1,611.39 ILLUMINATOR ASPIRAT LASR PROBE C2618 $2,517.00 ILR DEVICE EVAL PROGR 93285 $93.46 ILR DEVICE INTERROGATE 93291 $59.25 IM ADM < 8YR PHYS CSL 1ST VAC 90473 $167.76 IM ADM < 8YR PHYS CSL EA ADD O 90474 $29.86 IM ADM>18YR PHYS COUNSEL 1VAC 90460 $19.46 IM ADM>18YR PHYS COUNSEL EA AD 90461 $29.86 IM ANTIBIOTIC 96372 $167.76 IM FLU VACC NO PRESERV 3YR / > 90656 $19.77 IM INJ ANTIBIOTIC 96372 $167.76 IM SPLT VRS FLU VACN, 6-35 MO 90655 $15.24 IM TDAP VACCINE AGE 7YR 90715 $52.10 IMADM ANY ROUTE 1ST VAC/TOX 90460 $47.98 IMADM ANY ROUTE ADDL VAC/TOX<= 90461 $29.86 IMAG SUPERVS I&R-CATH; VENT/AT 93565 $97.57 IMAGE CATH FLUID DRAIN TRANSVA 49407 $3,538.61 IMAGER 11 CATHETER PIGTAIL C1729 $19.65 IMAGER II CATH 5BX UROLOGY TOR C1758 $135.30 IMATINAB 400 MG. $293.33 Imd Mand partcast metl w/resin D5224 $1,200.00 Imd Max part-cast metl w/resin D5223 $1,200.00 IMDS (HEEL STICK) 36416 $10.68 IM-GUIDE FLUID CATH DRAIN 10030 $1,572.63 IMIPEN/CILAST 5MG/ML NICU SYR $2.33 IMIPENEM/CILASTATIN 500MG INJ $41.50 IMIPENUM/CILISTAT 250MG IV $25.68 IMIPENUM/CILISTAT 500MG ADD VA J0743 $45.76 IMIPRAMINE 80335 $11.99 IMIPRAMINE HCL 25MG TAB $0.14 IMIPRAMINE HCL 50MG TAB $0.23 IMIQUIMOD CREAM 5% $12.97 IMITREX 25MG TAB $23.55 IMITREX 50MG PO J3030 $6.50 IMITREX 6MG /0.5ML INJ $139.62 IMMED INS BRST PROSTH S/P M 19340 $13,501.86 Immed mand partl dent w/resin D5222 $1,200.00 Immed maxil partl dent w/resin D5221 $1,200.00 IMMED. LOWER DENTURE D5140 $1,400.00 IMMEDIATE UPPER DENTURE D5130 $1,400.00 IMMOBILIZER UNIV SHOULDER-CATEG 1 $1,496.88 IMMUNE COMPLEX ASSAY 86332 $59.58 IMMUNE GLOBULIN 1GM NICU IV $0.01 IMMUNE GLOBULIN 2.5GM VIAL $50.07 IMMUNE GLOBULIN IGG 5GM IV $504.00 IMMUNFIX-E-PHORSIS/URINE/CSF 86335 $71.74 IMMUNIZATION ADMIN; 1 VACCINE 90471 $167.76 IMMUNIZATION ADMIN; 1 VACCINE 90471 $167.76 IMMUNIZATION ADMIN; EA ADD VAC 90472 $76.30 IMMUNIZATION ADMIN; EA ADDL CL 90472 $76.30 IMMUNIZATION ADMIN; INTRANASAL 90473 $167.76 IMMUNIZATION ADMIN;ADDL INTRAN 90474 $29.86 IMMUNIZATION-1 VACCINE 90471 $167.76 IMMUNIZATION-EA ADDL 90472 $76.30 IMMUNOAS ANALYTE QUAN; RADIOPH 83519 $40.48 IMMUNOASSAY ANALYTE QUAN; NOS 83520 $37.99 IMMUNOASSAY NONANTIBODY 83516 $28.18 IMMUNOASSAY NONANTIBODY 83516 $28.18 IMMUNOASSAY QUANT NOS NONAB 83520 $37.99 IMMUNOCHEM PER ANTIB 88342 $369.93 IMMUNOCHEMISTRY 88342 $369.93 IMMUNOCYTOCHEM TISSUE ESTROGE 88342 $369.93 IMMUNOCYTOCHEM TISSUE PROGEST 88342 $369.93 IMMUNOCYTOCHEMISTRY 88342 $369.93 IMMUNOELECROPHORESIS 84155 $8.95 IMMUNOFIXATION 86334 $54.63 IMMUNOFL.SKIN TEST 88346 $730.62 IMMUNOFLUOR; EA ADD ANTB STAIN 88350 $71.12 IMMUNOFLUORESCENCE 88346 $730.62 IMMUNOFLUORESCENT STUDY 88346 $730.62 IMMUNOGLOBULIN A 82784 $22.75 IMMUNOGLOBULIN G 82784 $22.75 IMMUNOGLOBULIN LEVEL 86329 $34.34 IMMUNOGLOBULIN M 82784 $22.75 IMMUNOHISTO/CYTO CHEM 1ST STAI 88342 $369.93 IMMUNOHISTO/CYTO CHEM EA ADDL 88341 $70.19 IMODIUM 1 MG / 5ML SOLN U/D $0.74 IMODIUM 1MG-5ML SOLN U/D $4.99 IMODIUM 2MG CAP J3490 $0.48 IMOGAM RABIES 150U/ML 10ML SYR $976.73 IMOGAM RABIES 150U/ML 2ML SYR $217.77 IMOVAX RABIES VACCINE 90675 $197.56 Imp collagen DuraGen Plus 1x1 $1,955.42 Imp Knee femoral component XS C1776 $7,255.50 Imp Suture Anch SureFix Ultra C1713 $742.50 IMPACT TOOTH COMP BONY D7240 $693.00 IMPACT TOOTH COMP W/ SURG COMP D7241 $713.00 IMPACTED CERUMEN REMOVAL 69210 $141.83 IMPELLA DEVICE $2,530.00 IMPERVIOUS SPLIT SHEET 60X70" C1781 $3.34 Impervious U-Drape 54" $3.34 Impl Allograft SemiTendn frozn $3,052.50 Impl Allogrft Fem Cort Strut T C1725 $637.50 Impl Applebaum Incudo Joint LG L8613 $510.78 Impl Applebaum Incudo Joint SM L8613 $510.78 Impl Bipolr Hip Universal Shel C1776 $1,123.20 Impl Bone Graft INFUSE XSm Kit $2,775.00 Impl Bone Screw mandi CrossPin C1713 $95.03 Impl Bone Scrw CrssPn SelfDrll C1713 $147.00 Impl Bone Scrw CrssPnLck 12m C1713 $178.71 Impl Bone Scrw mand CrossPin C1713 $99.29 Impl Bone Scrw mand lck Crss C1713 $138.99 Impl Bone Scrw mand lock Cross C1713 $138.99 Impl Bone Scrw mand selfCrssPn C1713 $104.96 Impl Bone Scrw mand slftp Crss C1713 $76.59 Impl Bone Scrw PedFuse 7x40mm C1713 $1,200.00 Impl Bone Scrw slftp CrssPin C1713 $93.62 Impl Cath Vent CSF Hermetic TM A4300 $217.25 Impl Cath VP Shnt cardiac dist $345.60 Impl Cath VP Shunt w/Bactiseal $1,086.90 Impl Cerv Disc ProDisc C med $7,963.50 Impl Cerv Spacer 7degree 6mm C1713 $1,434.38 Impl Cerv Spacer Graftech Cor C1713 $1,434.38 Impl Cerv Spacer Graftech Cort C1713 $1,434.38 IMPL COCHLEAR DEVICE; W/WO MAS 69930 $85,354.06 Impl collagen DuraG Sutur 1x3" $724.77 Impl collagen DuraG Sutur 2x2" $759.95 Impl collagen DuraG Sutur 3x3" $1,380.93 Impl collagen DuraG Sutur 4x5" $2,322.08 Impl CSF Cath Connect rt angle C1713 $120.96 Impl CSFVent Reserv Side 28mm A4300 $629.28 Impl Emboliz PV Vasc Plug II $1,575.00 Impl Endobutton CL Ultra 10mm C1713 $465.00 IMPL EXTENS PACING LEAD/NEUROSTIM C1883 $664.88 Impl EZDERM Porc Graft 17x46cm Q4136 $770.19 Impl EZDERM Porc graft 8x10cm Q4136 $558.36 Impl Graft PV Mini-Cuff Bypass C1768 $4,185.00 Impl Graft Vasc Propaten Stdrd C1768 $411.82 Impl Graft Vasc removable ring $2,533.50 Impl Grft Vasc 8mm remvbl ring $2,248.50 Impl Hip Fem Head taper 6 deg C1776 $1,560.56 Impl Hip Linr Reflct XLPE32x50 C1776 $1,538.25 Impl Knee Fem Spacr Mold C1713 $3,555.00 Impl Knee Tib Baseplate Size A C1776 $180.00 Impl Knee Tib Baseplate Size C C1776 $180.00 Impl Knee Tib Baseplate Size D C1776 $180.00 Impl Knee Tib Baseplate Size E C1776 $180.00 Impl Knee Tib Baseplate Size F C1776 $180.00 Impl Knee Tib Ins blu C 10m Lt C1776 $187.50 Impl Knee Tib Ins blu C 10m Rt C1776 $187.50 Impl Knee Tib Ins blu C 12m Lt C1776 $187.50 Impl Knee Tib Ins blu C 12m Rt C1776 $187.50 Impl Knee Tib Ins blu C 14m Lt C1776 $187.50 Impl Knee Tib Ins blu C 14m Rt C1776 $187.50 Impl Knee Tib Ins blu C 16m Lt C1776 $187.00 Impl Knee Tib Ins blu C 16m Rt C1776 $187.00 Impl Knee Tib Ins blu C 18m Lt C1776 $187.00 Impl Knee Tib Ins blu C 18m Rt C1776 $187.00 Impl Knee Tib Ins blu C 20m Rt C1776 $187.00 Impl Knee Tib Ins blu D 10m Lt C1776 $187.00 Impl Knee Tib Ins blu D 10m Rt C1776 $187.50 Impl Knee Tib Ins blu D 12m Lt C1776 $187.00 Impl Knee Tib Ins blu D 12m Rt C1776 $187.00 Impl Knee Tib Ins blu D 14m Lt C1776 $187.50 Impl Knee Tib Ins blu D 14m Rt C1776 $187.00 Impl Knee Tib Ins blu D 16m Lt C1776 $187.00 Impl Knee Tib Ins blu D 16m Rt C1776 $187.00 Impl Knee Tib Ins blu D 18m Lt C1776 $187.00 Impl Knee Tib Ins blu D 18m Rt C1776 $187.00 Impl Knee Tib Ins blu D 20m Lt C1776 $187.00 Impl Knee Tib Ins blu D 20m Rt C1776 $187.00 Impl Knee Tib Ins blu E 10m Lt C1776 $187.50 Impl Knee Tib Ins blu E 10m Rt C1776 $187.50 Impl Knee Tib Ins blu E 12m Lt C1776 $187.50 Impl Knee Tib Ins blu E 12m Rt C1776 $187.00 Impl Knee Tib Ins blu E 14m Lt C1776 $187.00 Impl Knee Tib Ins blu E 14m Rt C1776 $187.00 Impl Knee Tib Ins blu E 16m Lt C1776 $187.00 Impl Knee Tib Ins blu E 16m Rt C1776 $187.00 Impl Knee Tib Ins blu E 18m Lt C1776 $187.00 Impl Knee Tib Ins blu E 18m Rt C1776 $187.00 Impl Knee Tib Ins blu E 20m Lt C1776 $187.00 Impl Knee Tib Ins blu E 20m Rt C1776 $187.00 Impl Knee Tib Ins gre E 10m Lt C1776 $187.50 Impl Knee Tib Ins gre E 10m Rt C1776 $187.50 Impl Knee Tib Ins gre E 12m Lt C1776 $187.00 Impl Knee Tib Ins gre E 12m Rt C1776 $187.00 Impl Knee Tib Ins gre E 14m Lt C1776 $187.00 Impl Knee Tib Ins gre E 14m Rt C1776 $187.00 Impl Knee Tib Ins gre E 16m Lt C1776 $187.00 Impl Knee Tib Ins gre E 16m Rt C1776 $187.00 Impl Knee Tib Ins gre E 18m Lt C1776 $187.00 Impl Knee Tib Ins gre E 18m Rt C1776 $187.00 Impl Knee Tib Ins gre E 20m Lt C1776 $187.00 Impl Knee Tib Ins gre E 20m Rt C1776 $187.00 Impl Knee Tib Ins gre F 10m Lt C1776 $187.00 Impl Knee Tib Ins gre F 10m Rt C1776 $187.00 Impl Knee Tib Ins gre F 12m Lt C1776 $187.00 Impl Knee Tib Ins gre F 12m Rt C1776 $187.50 Impl Knee Tib Ins gre F 14m Lt C1776 $187.00 Impl Knee Tib Ins gre F 14m Rt C1776 $187.00 Impl Knee Tib Ins gre F 16m Lt C1776 $187.00 Impl Knee Tib Ins gre F 16m Rt C1776 $187.00 Impl Knee Tib Ins gre F 18m Lt C1776 $187.00 Impl Knee Tib Ins gre F 18m Rt C1776 $187.00 Impl Knee Tib Ins gre F 20m Lt C1776 $187.00 Impl Knee Tib Ins gre F 20m Rt C1776 $187.00 Impl Knee Tib Ins rd SzB16m Lt C1776 $187.50 Impl Knee Tib Ins red B 10m Lt C1776 $187.00 Impl Knee Tib Ins red B 10m Rt C1776 $187.00 Impl Knee Tib Ins red B 12m Rt C1776 $187.00 Impl Knee Tib Ins red B 14m Lt C1776 $187.00 Impl Knee Tib Ins red B 14m Rt C1776 $187.00 Impl Knee Tib Ins red B 16m Rt C1776 $187.00 Impl Knee Tib Ins red B 18m Rt C1776 $187.00 Impl Knee Tib Ins red B 20m Lt C1776 $187.00 Impl Knee Tib Ins red B 20m Rt C1776 $187.00 Impl Knee Tib Ins red C 10m Rt C1776 $187.50 Impl Knee Tib Ins red C 12m Lt C1776 $187.50 Impl Knee Tib Ins red C 12m Rt C1776 $187.00 Impl Knee Tib Ins red C 14m Lt C1776 $187.00 Impl Knee Tib Ins red C 14m Rt C1776 $187.00 Impl Knee Tib Ins red C 16m Lt C1776 $187.50 Impl Knee Tib Ins red C 16m Rt C1776 $187.00 Impl Knee Tib Ins red C 18m Lt C1776 $187.00 Impl Knee Tib Ins red C 18m Rt C1776 $187.00 Impl Knee Tib Ins red C 20m Lt C1776 $187.00 Impl Knee Tib Ins red C 20m Rt C1776 $187.00 Impl Knee Tib Ins red D 10m Lt C1776 $187.50 Impl Knee Tib Ins red D 10m Rt C1776 $187.50 Impl Knee Tib Ins red D 12m Lt C1776 $187.00 Impl Knee Tib Ins red D 12m Rt C1776 $187.50 Impl Knee Tib Ins red D 14m Lt C1776 $187.50 Impl Knee Tib Ins red D 14m Rt C1776 $187.00 Impl Knee Tib Ins red D 16m Lt C1776 $187.00 Impl Knee Tib Ins red D 16m Rt C1776 $187.00 Impl Knee Tib Ins red D 18m Lt C1776 $187.00 Impl Knee Tib Ins red D 20m Lt C1776 $187.00 Impl Knee Tib Ins red D 20m Rt C1776 $187.00 Impl Knee Tib Ins red SzB Lft C1776 $187.50 Impl Knee Tib Ins red SzC Lft C1776 $187.50 Impl Knee Tib Ins ye SzB12m Lt C1776 $187.50 Impl Knee Tib Ins yel A 10m Lt C1776 $187.00 Impl Knee Tib Ins yel A 10m Rt C1776 $187.00 Impl Knee Tib Ins yel A 12m Lt C1776 $187.00 Impl Knee Tib Ins yel A 12m Rt C1776 $187.00 Impl Knee Tib Ins yel A 14m Lt C1776 $187.00 Impl Knee Tib Ins yel A 14m Rt C1776 $187.00 Impl Knee Tib Ins yel A 16m Lt C1776 $187.00 Impl Knee Tib Ins yel A 16m Rt C1776 $187.00 Impl Knee Tib Ins yel A 18m Lt C1776 $187.00 Impl Knee Tib Ins yel A 18m Rt C1776 $187.00 Impl Knee Tib Ins yel A 20m Lt C1776 $187.00 Impl Knee Tib Ins yel A 20m Rt C1776 $187.00 Impl Knee Tib Ins yel B 10m Lt C1776 $187.00 Impl Knee Tib Ins yel B 12m Rt C1776 $187.50 Impl Knee Tib Ins yel B 14m Lt C1776 $187.50 Impl Knee Tib Ins yel B 14m Rt C1776 $187.00 Impl Knee Tib Ins yel B 16m Lt C1776 $187.00 Impl Knee Tib Ins yel B 16m Rt C1776 $187.00 Impl Knee Tib Ins yel B 18m Lt C1776 $187.00 Impl Knee Tib Ins yel B 18m Rt C1776 $187.00 Impl Knee Tib Ins yel B 20m Rt C1776 $187.00 Impl Knee Tib Ins yell Sz B Rt C1776 $187.50 Impl Knee Tib Spacr Mold 65mm C1713 $1,798.50 Impl Lt-Cure Flow Comp Syr Dir $52.35 Impl Lt-Cure Flow Comp Syringe $66.90 Impl Macroplastique Ureth Bulk $5,325.00 IMPL MAIN PROC REM PROS CLN / RESRT PROS D6080 $98.00 Impl Mesh Hern Rep Comp rd10cm C1781 $503.27 Impl Mesh Hern Rep Plug 40mm C1781 $1,393.73 Impl Mesh Hern Repair Plug55mm C1781 $1,393.73 Impl Mesh VentralexST Circle C1781 $931.20 Impl Mesh Ventralght ellpse C1781 $4,228.20 Impl Mesh Ventralght ST sys C1781 $1,422.15 Impl Mesh Ventralight 6x8" C1781 $2,567.70 Impl Mesh Ventralight ST 8x10" C1781 $4,074.45 Impl Mesh VentralightST 12x14" C1781 $5,319.75 Impl Mesh Ventrio ST oval C1781 $1,306.95 Impl Mesh Ventrio ST oval C1781 $3,836.10 Impl Mesh Ventrio ST oval 10 C1781 $3,828.45 Impl Mesh Ventrio ST oval 13" C1781 $4,766.25 Impl Mesh Ventrio ST ovl 7.0" C1781 $2,444.70 Impl Micron Adj Centr TORP 10m L8613 $445.74 Impl Micron Adj Offcentr PORP L8613 $445.74 Impl Micron Adj Offcntr TORP L8613 $445.74 Impl Micron Adjst Centr PORP5m L8613 $445.74 Impl Molar Brdge Stain Steel $11.25 Impl Molar Bridge Stainl Steel $11.25 Impl Molar Bridge Stainless 14 $16.94 Impl Molar Bridge Stainless St $11.25 Impl Nerv Protct AxoGd 3.5x40m $3,075.00 Impl Nerve Grft Avnce 3-4x70mm C1768 $5,437.50 Impl Nerve Grft Avnce 4-5x30mm C1768 $2,925.00 Impl Nerve Grft Avnce 4-5x70mm C1768 $7,237.50 Impl Nerve Protct AxoGd 5x20mm $2,587.50 Impl Nerve Protct AxoGd 7x40mm $3,075.00 Impl Nerve Protct AxoGrd 5x40m $3,075.00 IMPL NEUROELECTRODES 64575 $49,702.82 IMPL NEUROELECTRODES PERIPHERL 64575 $49,702.82 Impl Nrve Protctr AxoGrd 10x40 $3,075.00 Impl orbit floor/wall MTB Medp $1,900.50 Impl Plate Cerv ACF Trin 36mm C1713 $1,875.00 Impl Plate CLAW U med 26x30mm C1713 $3,204.00 Impl Plate CMF Univ Neu strght C1713 $461.30 Impl Plate Distal Ant Tib rght C1713 $2,148.75 Impl Plate Mesh titanium 6x6" C1781 $1,135.14 Impl PV Stent Lifestent XL 6F C1876 $2,400.00 Impl PV Stent LifestentXL 80mm C1876 $2,400.00 Impl PV Stent LifestntXL 120mm C1876 $2,775.00 Impl RetroButton loop XL 11mm C1713 $397.50 Impl Richard Bucket Handle $297.18 Impl Richards Bucket Handle L8613 $297.18 Impl Screw Interfer BIO 8x30mm C1713 $396.90 Impl Screw Interfer RCI 9x35mm C1713 $275.81 Impl Screw Interfere BIOSURE C1713 $409.31 Impl Screw Interference 7x25mm C1713 $301.31 Impl Screw Interference 9x35mm C1713 $405.57 Impl Screw Interference RCI C1713 $267.77 Impl Scrw Interf BIOSUR HA20mm C1713 $396.90 Impl Scrw Interf BIOSUR HA25mm C1713 $396.90 Impl Scrw Interference BIOSURE C1713 $396.90 Impl Scrw Interference BIOSURE C1713 $396.90 Impl Smart de la Cruz Pistons L8613 $433.95 Impl SmartdelCruz Piston 4.5mm L8613 $433.95 Impl Spinal Rod Exped titan $442.50 IMPL SPPRT RETAIN FPD-POR F NB D6099 $1,330.00 IMPL SPPRT RETAIN METL FPD-BAS D6121 $1,330.00 IMPL SPPRT RETAIN METL FPD-NOB D6122 $1,330.00 IMPL SPPRT RETAIN METL FPD-TIT D6123 $1,130.00 IMPL SPPRT RETAIN-PORC FUS BAS D6098 $1,330.00 IMPL SPPRT RETAN-PORC FUSE TIT D6120 $1,330.00 Impl Stapl Spike Ligament knee C1713 $210.00 Impl Stent Coblt iliac 130cm C1876 $2,092.50 Impl Stent GI Wallgrft Endo $2,925.00 Impl Stent GI Wallgrft Endo Un $2,925.00 Impl Stent GI Wallgrft Endopr $3,202.50 Impl Stent PercPlus Uret 8FR C1876 $171.00 Impl Stent Percuflex +Uret7FR C1876 $171.00 Impl Stent Percuflex Urinary C1876 $291.51 Impl Stent Self Exp PV OTW6FR C1876 $1,612.50 Impl Stent Self Expd PV OTW6F C1876 $1,762.50 Impl Stent SelfExp PV OTW 6FR C1713 $1,612.50 Impl Stent SfFlex Dble Pig Ure C1713 $191.40 Impl Stent Univ Sft Uret 8FR C1713 $155.10 Impl Stent Univ Sft Uret Hydro C1876 $155.10 Impl Stent Univers Soft Ureter C1713 $167.10 Impl Stent Univr Sft Urete 8FR C1713 $167.10 Impl Stent Uret PercPlus 8FR C1876 $171.00 Impl Stent Ureteral Percuflex C1876 $171.00 Impl Stent Valeo bil 9x26mm C1876 $1,650.00 Impl Stent Vas/Bil 9x40mm 6FR C1876 $1,650.00 Impl Stent Vas/Bil 9x60mm 6FR C1876 $1,650.00 Impl Stent VasBil 8x100mm 6FR C1876 $1,650.00 Impl StentVas/Bil 9x100mm 6FR C1876 $1,650.00 IMPL SUPPRT CROWN-PORCELN FUSE D6082 $420.00 IMPL SUPPRT CRWN-BASE ALLOYS D6086 $420.00 IMPL SUPPRT CRWN-NOBLE ALLOY D6087 $420.00 IMPL SUPPRT CRWN-PORCL F ALLOY D6084 $1,330.00 IMPL SUPPRT CRWN-PORCLN F NOBL D6083 $420.00 IMPL SUPPRT CRWN-TIT ALLOYS D6088 $1,096.00 Impl Sutre Anch 4.5mm w/UltraT C1713 $570.00 Impl Sutre Anch 4.75mm w/UTape C1713 $600.00 Impl Sutre Anch Bio SwiveLck C C1713 $600.00 Impl Sutre Anch Corkscrw 4.5mm C1713 $345.00 Impl Sutre Anch Corkscrw 5.5mm C1713 $345.00 Impl Sutre Anch Healic PK4.5mm C1713 $1,125.00 Impl Sutre Anch Healic PK5.5mm C1713 $1,125.00 Impl Sutre Anch MiniQuickanch+ C1713 $793.50 Impl Sutre Anch MultifixS5.5mm C1713 $577.50 Impl Sutre Anch Osteo Crv 2.3m C1713 $647.33 Impl Sutre Anch PEEK Cork4.5mm C1713 $427.50 Impl Sutre Anch PEEK Cork5.5mm C1713 $427.50 Impl Sutre Anch PEEK Corkscrew C1713 $633.00 Impl Sutre Anch PEEK Push2.9mm C1713 $540.00 Impl Sutre Anch PEEK Push3.5mm C1713 $540.00 Impl Sutre Anchr TwinFix Ultra C1713 $415.50 Impl SutreAnch Healcoil 4.75mm C1713 $624.00 Impl Suture Anch Dilatr thred C1713 $307.13 Impl Suture Anch MiniLok+ C1713 $871.50 Impl Suture Anch Ultrabraid x2 C1713 $570.15 Impl Suture Anchor 2Ultrabraid C1713 $567.00 Impl Suture Anchor BioRaptor C1713 $598.50 Impl Suture Anchor TwinFix C1713 $564.00 Impl Suture Anchr Osteo 2.3mm C1713 $500.85 Impl Suture Anchr TwinFix4.5mm C1713 $564.00 IMPL SYSBIO-COMP ARCHIL MIDSUB C1713 $2,089.50 IMPL TAPERED SCREW VENT 4.7 C1713 $394.80 Impl Tendon Allogrft GraftRope $1,042.50 Impl Tib Nail Troch can 11x235 $1,602.00 Impl TightRope ACL titanium C1713 $525.00 Impl TightRope Button extender C1713 $337.50 Impl Vent Cath Ares antimicro A4300 $664.50 Impl Voice Prosth Provox XtraF L8509 $138.00 Impl Xenfrm SF Tis Repar Matrx C1763 $2,877.93 IMPL,SPONGE,VAISE OVAL SILIC C1784 $64.50 IMPL/REPL EM CONDCT HEAR DEV 69710 $911.24 IMPL/REVIS/POS EPID CATH FOR P 62351 $15,421.60 IMPLANON INSERTION 11981 $281.09 IMPLANT ALLO MATRIX INJ PUTTY $2,312.74 IMPLANT ARTICULAR SURFACE-CATEG 1 $1,255.50 Implant Bipolar Hip Shell/Linr C1776 $577.50 IMPLANT BREAST SALINE-CATEG 1 C1789 $1,847.47 IMPLANT BREAST SALINE-CATEG 2 L8600 $949.03 IMPLANT BREAST-CATEG 1 C1789 $2,421.16 IMPLANT BREAST-CATEG 3 C1789 $1,221.25 IMPLANT CARDIAC DEFIBRILLATOR 33240 $58,554.39 IMPLANT CATHETER 62350 $14,202.34 Implant Chondral Dart 18mm C1713 $259.50 Implant Classic Stapes C1713 $289.64 Implant collagen DURAform 1x1" C1713 $1,275.60 Implant collagen DURAform 1x3" C1713 $2,443.47 Implant collagen DURAform 2x2" C1713 $2,756.31 Implant collagen DURAform 3x3" C1713 $5,228.22 Implant collagen DURAform 4x5" C1713 $1,924.44 Implant collagen DuraGen+ 1x3" C1713 $608.87 IMPLANT COLLAGEN-CATEG 1 L8603 $3,180.00 IMPLANT COLLAGEN-CATEG 2 $76.50 Implant Corneal Ring Sym large $75.00 Implant Corneal Ring Sym med $75.00 Implant Corneal Ring Sym small $75.00 IMPLANT CORTICAL CANC BN CHIPS-CATEG 1 $3,799.10 IMPLANT CORTICAL CANC BN TISSUE-CATEG 1 $238.19 Implant Cranial cement C1713 $2,295.00 Implant CSF Pressure Valve $1,960.80 Implant CSF Vent SideIn 1.5cm A4300 $634.01 Implant CSF Vent w/cath2.5cm A4300 $665.70 IMPLANT DEFIBRILATOR C1721 $25,162.50 Implant DuraSeal 5cc C1713 $7,498.50 Implant End Cap Humeral Nail $264.00 IMPLANT ENDOSTEAL D6010 $1,400.00 IMPLANT EYE POSTERIOR-CATEG 1 V2632 $320.84 IMPLANT FASCIA-CATEG 1 C1762 $1,372.22 IMPLANT GRAFTON DEMINER BONE-CATEG 1 C1713 $2,682.65 Implant Hip Fem Stem Trabecul C1776 $9,624.00 Implant Knee Patell SAIPH 34mm C1776 $937.50 Implant Knee Patell SAIPH 38mm C1776 $937.50 IMPLANT LCD PULSE GENERATOR ON 33240 $58,554.39 IMPLANT LOOP RECORD PLACEMENT C1713 $7,267.50 IMPLANT MEDPOR-CATEG 1 $222.50 Implant Meniscal DartStick 12m $240.00 Implant Mesh PerFix Plug small C1781 $1,237.50 Implant Molar Bridge 14 Ea $17.40 IMPLANT NONPRO PUMP 62360 $42,579.79 IMPLANT ORTHO-CATEG 1 C1713 $1,856.42 IMPLANT OSTEO SET BONE VOID FILL-CATEG 1 C1713 $1,668.91 IMPLANT OSTEO SET BONE VOID FILL-CATEG 2 $447.50 IMPLANT PARAGON-CATEG 1 C1713 $226.26 IMPLANT PRE-OSTEON-CATEG 1 C1713 $3,832.20 IMPLANT PROGRAM PUMP 62362 $42,579.79 IMPLANT PROGRAMABLE PUMP 62362 $42,579.79 Implant removal, by report D6100 $238.00 Implant Screw Inter Bio 8x20mm C1713 $492.00 IMPLANT SPINAL TRANS 63685 $75,068.84 IMPLANT SPINE FUSION PUMP 62361 $42,579.79 Implant supp porc/cer crown D6065 $1,330.00 IMPLANT SUPP PORCELAIN FUSED METAL CROWN D6066 $1,330.00 Implant supp ret-cast metal FPD D6077 $1,330.00 Implant supp ret-ceramic FPD D6075 $1,330.00 Implant supported metal crown D6067 $1,330.00 Implant Suture Anch Ultrabraid C1713 $567.00 Implant Suture Anchr Footprint C1713 $527.81 IMPLANT TAPER SCRW VENT SBM4.7 C1713 $394.80 IMPLANT TUTOPLAST PERICARD-CATEG 1 $9,764.79 IMPLANTABLE TISSUE MARKER A4648 $506.25 IMPLANT-CATEG 1 C1785 $2,650.68 IMPLANT-EYE AHMAD-CATEG 1 V2630 $1,917.76 IMPLANT-EYE BAERVELDT-CATEG 1 $2,277.73 IMPLANT-EYE KONTOUR-CATEG 1 $1,797.01 IMPLANT-EYE VOLK-CATEG 1 $4,809.17 IMPLANT-EYE, AC-CATEG 1 $194.38 IMPLANT-EYE, BICONVEX-CATEG 1 $78.00 IMPLANT-EYE, KK POST SCLRSTMY-CATEG 1 $166.05 IMPLANT-EYE, MTA3U0 $65.01 IMPLANT-EYE, POSTERIOR-CATEG 1 V2632 $130.00 IMPLANT-EYE, SURGIDEV-CATEG 1 $817.50 IMPLANT-EYE-CATEG 1 V2630 $268.36 IMPLANT-IOL DIOPTER +20 - CATEG 1 $312.50 IMPLANT-IOL VTRCTMY, MACHMR-CATEG 1 $365.63 IMPLANT-IOL, ACRYSOF-CATEG 1 V2787 $1,007.81 IMPLANT-IOL, MA30BA-CATEG 1 $400.00 IMPLANT-IOL, SA60AT-CATEG 1 $558.33 IMPLANT-IOL-CATEG 1 V2630 $365.41 Implant-mandib/augmentation,B/R D7996 $3,150.00 IMPLANT-ORTH-CATEG 1 C1713 $1,362.71 IMPLNT BIOLOGIC IMPLNT; ADD-ON 15777 $470.69 Implnt Knee Fem SpacrMold 70mm C1713 $3,790.50 Implnt Knee Patella SAIPH 23mm C1776 $937.50 Implnt Knee Patella SAIPH 42mm C1776 $937.50 IMPLNT SPINAL TRANS 63685 $75,068.84 Implnt supp ret-prc fuse mtlFPD D6076 $1,330.00 IMRT W GUIDE/TRCK; CMPLX 77386 $1,389.12 IMRT W GUIDE/TRCK; SIMP 77385 $1,389.12 IMS (HEEL STICK) 36416 $122.08 IMURAN 50MG TAB $1.52 IN 111RADPHRM DX CAPRMB PNDTE/ A9507 $4,810.99 IN SITU (HYBRID)FISH UT TRT SP 88121 $730.62 IN SITU AF CELLS 88269 $406.58 IN SITU HYBRID(FISH) UR TRT SP 88120 $369.93 IN SITU HYBRID-QUANTITATIVE CO 88367 $730.62 IN SITU HYBRID-QUANTITATIVE MA 88368 $730.62 IN-111 OCTREASCAN <= 3 MCI A9572 $5,206.66 IN-111 OCTREOSCAN UD <= 6 MCI A9572 $5,206.66 IN-111 OXYQUINOLINE PER 0.5 M A9547 $931.62 IN-111 PLATELET LABELING STUDY A9571 $1,038.65 IN-111 RDPHRM DX AGT PNTTTE DI A9548 $797.88 IN-111 WHITE BLOOD CELLS A9570 $2,068.28 INACTIVATED JE VACC IM 90738 $656.17 INAMRINONE 5MG/ML INJ $5.23 INAPSINE 2.5MG/ML INJ 2ML VIAL J1790 $2.04 INC & REM FB SQ -COMPLEX 10121 $3,538.61 INC & REM FB SW - SIMPLE 10120 $823.72 INC ACHILLES TENDON W GEN ANES 27606 $7,057.23 INC ADHES ANT SEG EYE NOT GONI 65870 $5,212.42 INC ANKLE-POST CAPSUL RELEASE 27612 $7,057.23 INC ANKLEW EXPL-INFECT/REM FB 27610 $6,759.28 INC ASHESIONS ANT SEG EYE POST 65875 $5,212.42 INC FTS WRIST 25001 $7,057.23 INC IMPL NEUROELECTRODES 64581 $15,950.57 INC IMPL NEUROMUSCULAR ELECTRO 64580 $49,702.82 INC LABIAL FRENUM; MTH VEST 40806 $1,138.76 INC LABIAL FRENUM;TONGUE/FOM 41010 $3,478.64 INC OF LINGUAL FRENUM 41010 $3,478.64 INC THROMBOSED EXT PILE 46083 $605.57 INCAL BX SKN EA SEP/ADDL 11107 $69.52 INCAL BX SKN SINGLE LES 11106 $809.24 INCAL BX SKN SINGLE LES 11106 $823.72 INCAL BX SKN SINGLE LES 11106 $823.72 INCIS DRAIN ABSCS PERITONSL 42700 $524.99 Incis&drain abscs-ext soft comp D7521 $1,687.00 Incis&drain abscs-int soft comp D7511 $487.00 INCISE FOOT/TOE FASCIA 28008 $7,057.23 INCISE THROMBOSED HEMORRHOID;E 46083 $605.57 INCISION EXT TENDON SHEATH WRI 25000 $3,494.24 INCISION OF CONJUCTIVE 68020 $2,080.39 INCISION OF FIBULA 27707 $7,057.23 INCISIONAL BIOPSY 19101 $7,810.24 INCISN DRAING ABSCS PERITNSL 42700 $524.99 INCISN DRAING ABSCS PERITONSL 42700 $524.99 INCISN DRAINGE PILONIDAL CYST 10080 $1,572.63 INCOMETHACIN 0.1MG/ML NICU SYR $391.29 Incomplt endo ther-inopbl/unres D3332 $644.00 INCS & REMOV FB SUBQ TISS; COM 10121 $3,538.61 INCS & REMOV FB SUBQ TISS; SIM 10120 $823.72 INCS DRAINAGE LACRIMAL SAC 68420 $4,989.01 INDAPAMIDE 1.25MG TAB PO $2.54 INDAPAMIDE 2.5MG TABLET U-D $1.74 INDERAL 1MG/ML 1ML AMP $18.66 INDERAL 80 MG TAB $0.87 INDIA INK PREP CSF 87210 $12.80 INDICAT DILUT STDY; W/CARD OTP 93561 $101.60 INDIGOTINDISULFONATE NA .8% AM $8.64 INDINAVIR SULF 200MG CAP $1.73 INDINAVIR SULF 400MG CAP $3.47 INDIRECT COOMBS 86885 $369.93 INDIV COUNSEL; BRIEF - 25 MIN 90832 $316.00 INDIV SMKING CESS; 10+ MIN 99407 $74.09 INDIV SMKING CESS; 3-10MIN 99406 $74.09 INDOMETHACIN 25MG CAP J3490 $0.72 INDOMETHACIN ORAL SOL $2.48 INDOMETHACIN RECTAL SUPP 50MG J3490 $9.89 INDOMETHACIN SOD TRIHY 1MG IV $120.50 INDUCED AB BY DILAT & CURET 59840 $6,440.19 INDUCED AB BY DILAT & EVACUATI 59841 $6,440.19 INDUCED ABORTION BY DIL & CUT 59840 $6,440.19 INDURA INTRATHECAL CATHETER C1758 $1,042.50 INDWELLING SLIT CATHETER SET STRYKER IN A4301 $148.25 INF AGT-DNA/RNA NOS; AMP PROBE 87798 $85.78 INF AGT-DNA/RNA; HEP C-DIRECT 87520 $68.68 INF AGT-DNA/RNA; MYCOBACT-AMP 87551 $106.13 INF AGT-DNA/RNA; NEISSR GNRRHE 87590 $59.14 INF AGT-IMMUNOFLUOR; CHLAMYDIA 87270 $29.30 INF AGT-IMMUNOFLUOR; HERPES SI 87274 $29.30 INFANT HIPS ULTRASOUND 76885 $205.74 INFANT WHOLE BODY X-RAY R/O FB 76010 $205.74 INFEC AG-IMMUNOASSAY; STREP GR 87430 $36.98 INFEC AGT-DNA/RNA; HEP C-DIREC 87520 $68.68 INFECT AGENT DETCT NUCLEIC ACD 87635 $154.00 INFECT AGENT DETECT BY DNA/RNA 87505 $313.59 INFED 50MG/ML 2ML J1750 $11.04 INFERIOR VENA CARVOGRAM 75825 $7,144.43 INFINITI CATH 4FR C1887 $37.58 INFLATION DEVICE ADVANTAGE-CATEG 1 $9,271.25 INFLIXIMAB 100MG IV J1745 $744.06 INFLUENZA A ANTIBODY 86710 $33.13 INFLUENZA A IGM 86710 $33.13 INFLUENZA A LGG 86710 $33.13 INFLUENZA ADULT VACC 5ML VIAL 90656 $0.01 INFLUENZA ADULT VACCINE 0.5 ML SYRINGE $72.00 INFLUENZA ADULT VACCINE 2006/2007 $20.25 INFLUENZA B ANTIBODY 86710 $33.13 INFLUENZA B IGG 86710 $33.13 INFLUENZA B IGM 86710 $33.13 INFLUENZA DNA AMP PROB 1+ 87501 $125.44 INFLUENZA DNA AMP PROBE 87502 $210.76 INFLUENZA PED VAC 0.25ML(IIV4) 90685 $15.89 INFLUENZA PEDS VACCINE 2006/2007 $8.77 INFLUENZA VAC 0.5ML FLUZONE 90656 $20.48 INFLUENZA VACCINE QUADRIVALENT 90686 $18.85 INFLUENZA VACCINE TRIVALENT $0.01 INFLUENZA VIRUS VACC IIV 65YR+ 90662 $53.37 INFNT/CHIL APP SKN GFT SUB;T/A 15274 $98.96 INFUS ALBUMIN (HUMAN) 5% 50 ML P9041 $61.63 INFUS ALBUMN (HUMAN) 25% 10 ML P9046 $49.48 INFUS NORMAL SALINE SOL 1000 C J7030 $0.22 INFUS NORMAL SALINE SOL 500ML J7040 $0.24 INFUS TUB DISP W/O DRAPE CHAMB A4624 $22.35 INFUS TX OTH THAN CHEMO RX VIS 96360 $269.89 INFUSE BONE GRAFT XSMALL C1768 $2,775.00 INFUSION (CONTINUED) 96370 $106.73 INFUSION CANNULA 6.0MM A4615 $168.00 INFUSION CANNULA DISP 12/BX A4615 $39.00 INFUSION D5W 1000 CC J7070 $1.40 INFUSION SUB/DRUG (1 HOUR) 96369 $550.84 ING AVASTIN (BEVACIZUMAB) 0.25 C9257 $525.98 INGEST CHALLENGE TEST;ADDL 60M 95079 $162.70 INGEST CHALLENGE TEST;INITIAL 95076 $1,251.91 INHALA BRONCH CHALLENG; W/HIST 95070 $1,251.91 INHIBIN A 83520 $37.99 INHIBIN A 86336 $38.10 INHIBITOR STUDY 85335 $31.46 INICIBODY PLATE C1713 $835.50 INIT NUTRITION THERAPY;EACH15M 97802 $77.12 INIT PREV E/M NEW PT;18-39 99385 $373.00 INIT PREV E/M NEW PT;40-64 99386 $373.00 INIT PREV EXAM SCREEN ECG TRAC G0404 $50.36 INIT PREV EXAM SCREEN ECG W IN G0403 $93.53 INIT PREV MED E&M NEW PT; INFA 99381 $373.00 INIT PREV MED E/M NEW PT;12-17 99384 $373.00 INIT PREV MED E/M NEW PT;1-4YR 99382 $373.00 INIT PREV MED E/M NEW PT;18-39 99385 $373.00 INIT PREV MED E/M NEW PT;40-64 99386 $373.00 INIT PREV MED E/M NEW PT;5-11Y 99383 $373.00 INIT PREV MED E/M NEW PT;65/>Y 99387 $373.00 INIT PREVEN E/M NE WPT;65/>YR 99387 $373.00 INIT PREVEN MEDS E&M NEW PT; 1 99382 $373.00 INIT PREVEN MEDS E&M NEW PT; 1 99384 $373.00 INIT PREVEN MEDS E&M NEW PT; 1 99385 $373.00 INIT PREVEN MEDS E&M NEW PT; 4 99386 $373.00 INIT PREVEN MEDS E&M NEW PT; 5 99383 $373.00 INIT PREVEN MEDS E&M NEW PT; 6 99387 $373.00 INIT PRV MED E/M NEW PT;12-17Y 99384 $373.00 INIT PRV MED E/M NEW PT;1-4YR 99382 $373.00 INIT PRV MED E/M NEW PT;18-39Y 99385 $373.00 INIT PRV MED E/M NEW PT;5-11YR 99383 $373.00 INIT SW VISIT PER 15MINUTES 96150 $300.00 INIT SW VISIT PER 15MINUTES 96150 $300.00 INIT TX 1ST DEGREE BURN 16000 $450.45 INJ ACETAZOLAMIDE SODIUM TO 50 J1120 $109.56 INJ ADENOSINE PER 1 MG J0153 $34.32 INJ ADENOSINE PER 1MG J0153 $171.60 INJ ADENOSINE, PER 1MG J0153 $5.72 INJ ADRENALIN EPINEPH UP 1ML A J0171 $6.70 INJ ADRENLIN EPINEPH UP 1 ML A J0171 $6.70 INJ AIR/CONTRST IN PERITON CAV 49400 $204.34 INJ ALEMTUZUMAD (LEMTRADA) 1 M J0202 $5,301.12 INJ ALTEPLASE RECOMBINANT 1 MG J2997 $232.32 INJ AMINOPHYLLIN 250MG J0280 $3.28 INJ AMPCLLN SODIM/SULBACTAM-1. J0295 $20.05 INJ AMPHOTERICIN B LIPID 10 MG J0287 $28.46 INJ AMPHOTERICIN B,LIPID,50MG J0287 $185.48 INJ AMPICILLIN 500MG J0290 $7.92 INJ AMPICILLIN SODIUM 500 MG J0290 $9.20 INJ ANES AGENT; CELIAC PLEXUS 64530 $2,093.48 INJ ANES AGENT; CERV PLEXUS 64999 $1,566.35 INJ ANES AGENT; STELLATE GANGL 64510 $2,093.48 INJ ANES AGNT CELIAC PLEXUS 64530 $2,093.48 INJ ANES AGNT STELLATE GANGL 64510 $2,093.48 INJ ANES SUP HYPOGASTRIC PLEXU 64517 $2,093.48 INJ ANESTH AGENT CERV PLEXUS 64999 $1,616.47 INJ ANESTH BRACHAL FLEXUS SING 64415 $2,093.48 INJ ANESTH CATH BRACHAL FLEXUS 64416 $2,093.48 INJ ANESTH CATH FEMORAL NERVE 64448 $2,093.48 INJ ANESTH FACIAL NERVE 64999 $302.79 INJ ANESTH FEMORAL NERVE SING 64447 $1,611.39 INJ ANESTH FEMORAL NERVE SINGL 64447 $1,611.39 INJ ANESTH GREATER OCCIPITAL N 64405 $674.85 INJ ANESTH ILIOING/ILIOHYPOGAS 64425 $1,611.39 INJ ANESTH INTERCOSTAL NERVE S 64420 $1,611.39 INJ ANESTH LUMB/THOR(SYMPATHET 64520 $2,093.48 INJ ANESTH LUMBAR FLEXUS CATH 64449 $2,093.48 INJ ANESTH OTHER PERIPHERAL IN 64450 $1,611.39 INJ ANESTH PARACERVICAL(UTERIN 64435 $1,611.39 INJ ANESTH SCIATIC NERVE SINGL 64445 $1,611.39 INJ ANESTH TRIGERMINAL NERVE 64400 $674.85 INJ ANESTH; TRIGEMINAL NERVE 64400 $674.85 INJ ANESTH;HYPOGASTRIC PLEXUS 64517 $2,093.48 INJ ANT CHAMB EYE SEP PROC; AI 66020 $5,212.42 INJ ANTERIOR CHAMBER MEDICATIO 66030 $5,212.42 INJ ATROPINE SULFATE TO 0.1 MG J0461 $5.45 INJ BENZTROPINE MESYLATE 1MG J0515 $64.62 INJ BETAMETHSN ACTAT&SOD PHOSP J0702 $27.19 INJ BUPIVACAINE 0.25% J3490 $2.51 INJ BUSULFAN 1MG J0594 $91.08 INJ CALCITRIOL 1 MCG AMP J0636 $20.62 INJ CEFAZOLIN SODIUM 500 MG J0690 $6.83 INJ CEFOXITIN SODIUM 1 GM J0694 $26.27 INJ CEFTAZIDIME PER 500 MG J0713 $15.64 INJ CEFTRIAXONE SODIUM PER 250 J0696 $11.00 INJ CILASTATIN SODIM IMIPENEM- J0743 $43.09 INJ CLINDAMYCIN 300MG ADDVANTA S0077 $4.25 INJ CORPORA CAVERNOSA W/PHARM 54235 $605.57 INJ CORPORA CAVERNOSA WTH PHAR 54235 $605.57 INJ DESMOPRESSIN ACETATE PER 1 J2597 $53.55 INJ DIAZEPAM TO 5 MG J3360 $36.10 INJ DIETHYLSTILBESTROL 250MG J9165 $33.37 INJ DIGOXIN TO 0.5 MG J1160 $16.44 INJ DIPHENHYDRAMINE HCL TO 50 J1200 $2.81 INJ DIPYRIDAMOLE 10MG J1245 $5.54 INJ DOBUTAMINE HCL PER 250 MG J1250 $10.89 INJ DOLASETRON MESYLATE10 MG J1260 $15.47 INJ DRUG;INTRAVITREAL 67028 $798.14 INJ DX/TX AGNT PARAVERT W/US; 0213T $2,093.48 INJ DX/TX AGNT PARAVERT W/US; 0216T $2,093.48 INJ DX/TX PARAVERT FAC JNT C/T 64490 $2,093.48 INJ DX/TX PARAVERT FCT JNT C/T 64492 $133.80 INJ DX/TX PARAVERT FJNT C/T 2N 64491 $132.29 INJ ENOXAPARIN SODIUM 10 MG J1650 $21.87 INJ EPIDURAL BLD/CLOT PATCH 62273 $1,611.39 INJ EPIDURAL-BLOOD/CLOT PATCH 62273 $1,611.39 INJ FOR CYSTOGRAPHY 51600 $97.77 INJ FUROSEMIDE 20MG J1940 $16.31 INJ FUROSEMIDE TO 20 MG J1940 $16.31 INJ GADAVIST;0.1ML A9585 $2.19 INJ GAMMA GLOBULIN 1CC J1460 $121.24 INJ GAMMA GLOBULIN IM OVER 10 J1560 $121.25 INJ GANCICLOVIR SODIUM 500 MG J1570 $223.45 INJ GARAMYCIN GENTAMICIN TO 80 J1580 $9.04 INJ HALOPERDL DECANOATE 50MG J1631 $74.14 INJ HALOPERDL DECNTE 50MG J1631 $74.14 INJ HALOPERIDOL TO 5 MG J1630 $2.48 INJ HALOPERIDOL UP TO 5 MG J1630 $6.18 INJ HEP B IMMUNE GLOB 90371 $233.51 INJ HEPARIN SODIUM PER 10 UNT J1642 $0.31 INJ HEPARIN SODIUM PER 1000 UN J1644 $10.58 INJ HYDROCORTISON SOD PHOS TO 50 MG J1710 $22.62 INJ HYDROCORTISONE ACETATE TO J1700 $5.76 INJ HYDROCORTISONE SOD SUC 100 J1720 $22.62 INJ HYDROCORTSON SOD SUCC TO 1 J1720 $22.62 INJ HYDROXYZINE HCL TO 25 MG J3410 $53.24 INJ IMMUNE GLOB IV 500 MG J1561 $144.72 INJ IN FACIAL NRV; ANESTHETIC 64999 $302.79 INJ INSULIN PER 5 UNITS J1815 $3.28 INJ INSULIN TO 100 UNITS J1815 $3.28 INJ INTERFERON ALFACON-1; 9MCG J9212 $31.55 INJ INTERFERON-ALFACON-1 1MCG J9212 $31.55 INJ INTRALES; MORE THAN 7 LES 11901 $450.45 INJ INTRALESIONL UP2 W/71 11900 $450.45 INJ IRON DEXTRAN 50 MG J1750 $36.72 INJ IRON DEXTRAN 50MG (INFED) J1750 $36.72 INJ IRON SUCROSE 1MG J1756 $1.32 INJ IV UROKINASE 250000 IU VIA J3365 $1,139.60 INJ KETOROLAC TROMETHAMINE PER J1885 $7.59 INJ KINEVAC 5 MCG J2805 $267.08 INJ LEUPROLIDE ACET PER 3.75MG J1950 $3,232.59 INJ LIDOCAINE 1% J2001 $1.92 INJ LIDOCAINE HCL 50% J2001 $9.00 INJ LORAZEPAM 2MG J2060 $8.93 INJ MAGNESIUM SULFATE PER 500 J3475 $0.58 INJ MANNITOL 50 ML J2150 $5.77 INJ MEDROXYPROGESTERONE ACETAT J1050 $1.49 INJ MEPERIDINE HCL 100 MG J2175 $16.63 INJ METHADONE HCL TO 10 MG J1230 $46.20 INJ METHOCARBAMOL TO 10 ML J2800 $53.07 INJ METHYLPRDNISOLON SODIM TO J2920 $15.88 INJ METHYLPREDNISOLONE ACETATE J1020 $17.45 INJ METHYPREDNISOLONE ACET 40 J1030 $24.22 INJ METHYPREDNISOLONE ACET 80 J1040 $45.93 INJ METOCLOPRAMIDE HCL 10MG J2765 $5.80 INJ METOCLOPRAMIDE HCL TO 10MG J2765 $5.80 INJ MIDAZOLAM HCL PER 1 MG J2250 $0.84 INJ MITOXANTRNE HYDRCHLRDE 5MG J9293 $269.44 INJ MORPHINE SULFATE TO 10MG J2270 $5.56 INJ NALOXONE HCL PER 1 MG J2310 $45.25 INJ NALOXONE HCL PER 1MG(NARCA J2310 $43.56 INJ NANDROLONE DECANOATE TO 20 J2320 $37.40 INJ NEUROLYTIC EPIDRL/LUMB/CAU 62282 $2,093.48 INJ NEUROLYTIC EPIDURAL/CERV/T 62281 $2,093.48 INJ ONABOTULINUMTOXIN PER UNIT J0585 $17.47 INJ OPRELVEKIN 5MG J2355 $1,163.62 INJ PALONOSETRON HCL 25MCG J2469 $119.59 INJ PAMIDRONATE DISDM PER30MG J2430 $49.61 INJ PANTOPRAZOLE SODIUM, VIAL C9113 $18.70 INJ PARAVERT F JNT C/T 1 LEV 64490 $2,093.48 INJ PARAVERT F JNT C/T 2 LEV 64491 $132.29 INJ PARAVERT F JNT C/T 3 LEV 64492 $133.80 INJ PARICALCITOL 5 MCG J2501 $31.99 INJ PCN G BENZ&PROCAINE UP 100 J0561 $220.58 INJ PCN G BENZ/PROCAIN UP 1000 J0561 $441.15 INJ PEN G BENZATHINE TO 100000 J0561 $220.58 INJ PEN G BENZATHINE TO 100000 J0561 $441.15 INJ PEN G BENZATHINE TO 100000 J0561 $441.15 INJ PERQ TX EXTRM PSEUDOANEURY 36002 $1,625.47 INJ PHENOBARBITAL SODIUM TO 12 J2560 $138.00 INJ PHENYTOIN SODIUM PER 50 MG J1165 $1.66 INJ PHYTONADIONE (VIT K) PER 1 J3430 $12.73 INJ PHYTONADIONE (VIT K) PER 1 J3430 $12.73 INJ PIPERACILLIN/TAZOBACTAM 1. J2543 $15.95 INJ POTASSIUM CHLORIDE PER 2 M J3480 $1.78 INJ PROC ANK ARTHROGRAPHY 27648 $115.28 INJ PROC ART-OCCLUD AV MALFORM 62294 $2,093.48 INJ PROC CONTRAST VENOGRAPHY 36005 $104.68 INJ PROC CORPORA CAVERNOSOGRAP 54230 $173.58 INJ PROC DISKOGRAPHY EA LEVEL; 62290 $366.10 INJ PROC DISKOGRAPHY;EA LEVEL 62290 $366.10 INJ PROC ELBOW ARTHROGRAPHY 24220 $149.20 INJ PROC HIP ARTHROGRAPHY; WO 27093 $152.72 INJ PROC RETROGRADE URETHROCYS 51610 $140.98 INJ PROC SHOULDER ARTHROGRAPHY 23350 $112.53 INJ PROC SIALOGRAPHY 42550 $140.16 INJ PROC SPLENOPORTOGRAPHY 38200 $295.15 INJ PROC WRIST ARTHROGRAPHY 25246 $164.05 INJ PROC; ID SENTINEL NODE 38792 $949.04 INJ PROC; LYMPHANGIOGRAPHY 38790 $178.57 INJ PROCAINAMIDE HCL TO 1 GM J2690 $46.44 INJ PROC-CATH; LT VENT/ATRIAL 93565 $97.57 INJ PROC-CONTRAST URETHROCYSTO 51605 $84.85 INJ PROC-DISKOGRAPHY EA LEVEL; 62291 $349.38 INJ PROC-EVAL PERITON-VENOUS S 49427 $86.46 INJ PROCHLORPERAZINE TO 10 MG J0780 $47.68 INJ PROC-MYELOGRAPHY &/OR CAT- 62284 $190.23 INJ PROC-URETEROGRAPHY THRU CA 50684 $110.20 INJ PROC-VISUALIZ ILEAL CONDUI 50690 $154.20 INJ PROMAZINE HCL TO 25 MG J2950 $4.88 INJ PROMETHAZINE HCL TO 50 MG J2550 $9.50 INJ PROPRANOLOL HCL TO 1 MG J1800 $21.12 INJ PROTAMINE SULFATE PER 10 M J2720 $3.89 INJ PROTONIX IV 40 MG S0164 $13.20 INJ PUDENDAL NERVE 64430 $2,093.48 INJ RANITIDINE HCL 25 MG J2780 $18.06 INJ RISPERIDONE,LG ACTING,0.5M J2794 $23.94 INJ SCLEROSG SOLU MULTI VEN 36471 $823.72 INJ SCLEROSG SOLU; SINGL VEN 36470 $823.72 INJ SI JOINT 27096 $182.82 INJ SINGL TENDON SHEATH/LIG 20550 $674.85 INJ SINUS TRACT; DX 20501 $83.97 INJ SINUS TRACT; THERAP (SEPAR 20500 $3,478.64 INJ SPHENOPALATINE GANGLION 64505 $674.85 INJ STERL CEFUROXIME SODIUM-75 J0697 $14.88 INJ STREPTOKINASE PER 250000 I J2995 $206.25 INJ SUMATRIPTAN SUCCINATE 6 MG J3030 $428.41 INJ SUPRASCAPULAR NERVE 64418 $1,611.39 INJ TENDON SHEATH ORIGIN/INSER 20551 $674.85 INJ TERBUTALINE SULFATE TO 1 M J3105 $10.56 INJ THERAP AGENT INTO TENON'S 67515 $697.33 INJ TOBRAMYCIN SULFATE TO 80 M J3260 $10.21 INJ TRIAMCINOLONE ACETATE 10MG J3301 $14.25 INJ TRIG PTS; 3 OR MORE MUSCLE 20553 $674.85 INJ TRIGGER POINT 1/2 MUSCLES 20552 $674.85 INJ TX/DX PARAVERT F JNT L/S 3 64495 $115.57 INJ TX/DX PARAVERT FAC JNT L/S 64494 $114.05 INJ TX/DX PARAVERT FAC JNT L/S 64494 $114.05 INJ TX/DX PARAVERT FAC JNT L/S 64495 $115.57 INJ TX/DX PARAVERT FCT JNT L/S 64493 $2,093.48 INJ TX/DX PARAVERT FCT JNT L/S 64493 $2,093.48 INJ UROKINASE 5000 IU VIAL J3364 $1,187.52 INJ VANCOMYCIN HCL 500 MG J3370 $21.22 INJ VELCADE 0.1MG J9041 $1,209.12 INJ VIT B-12 CYNOCOBLMN TO 100 J3420 $18.26 INJ VITAMIN K PHYTONADIONE 1MG J3430 $12.73 INJ VITREOUS SUBSTITUTE-SEP PR 67025 $5,212.42 INJ, BUPIVACAINE LIPOSOME 1MG C9290 $3.57 INJ, NIVOLUMAB 1MG, 10ML VIAL J9299 $69.21 INJ, NIVOLUMAB 1MG, 4ML VIAL J9299 $69.21 INJ,DEXAMETHASONE ACETATE, 1MG J1094 $3.43 INJ,FENTANYL CITRATE,<= 2 ML J3010 $2.65 INJ,GADAVIST,0.1ML A9585 $2.19 INJ,GONADORELIN HCL,100 MCG J1620 $105.13 INJ,GRANISETRON HCL,100 MCG J1626 $8.44 INJ,IMMUNE GLOBULIN, 500 MG J1561 $144.72 INJ,LEUCOVORIN CALCIUM,50 MG J0640 $26.40 INJ,MELPHALAN HYDROCHLRDE 50MG J9245 $1,317.36 INJ,OCTREOTIDE,DEPOT,1MG J2353 $126.72 INJ,RESP VIR IMM GLOB,IV,50 MG 90378 $373.45 INJ,RHO IMM GLOB,HUMAN, 300 MCG DOSE J2790 $114.52 INJ,RHO IMMUNE GLOBULIN, 300 MCG J2790 $277.51 INJ,TET IMM GLOB,HUMAN,<=250 U J1670 $1,468.89 INJ,TIROFIBAN HCL,0.25MG J3246 $39.17 INJ. DURVALUMAB 10MG J9173 $193.51 INJ; TENDON SHEATH LIG GANG CY 20550 $674.85 INJCTN COLLAGN FILL MAT 1.1 11951 $1,281.35 INJCTN COLLAGN FILLING MAT 1.1 11951 $1,281.35 INJ-DEFEROXAMINE MESYLATE-500 J0895 $34.19 INJ-DEXAMETHASONE SOD PHOSPHAT J1100 $0.81 INJEC C/CATH FR PULM ANGIOGRF 93568 $102.56 INJEC,DEXRAZOX HYDROCHLO 250MG J1190 $724.02 INJECT ANES AGENT CERV PLEXUS 64999 $1,616.47 INJECT ANES OTH PN 64450 $1,611.39 INJECT CONGENITAL CARD CATH 93563 $126.04 INJECT DX CHOLANGIOGRM; EXIST 47531 $8,015.96 INJECT DX CHOLANGIOGRM; NEW AC 47532 $8,015.96 INJECT HRT CONGNTL ART/GRFT 93564 $132.64 INJECT MAGNESIUM SULFATE 500MG J3475 $6.42 INJECT PULM ART HRT CATH 93568 $102.56 INJECT R VENTR/ATRIAL ANGIO 93566 $100.23 INJECT SCLEROSG SOLU MULTI VEN 36471 $823.72 INJECT SCLEROSG SOLU;SINGL VEN 36470 $823.72 INJECT SI JOINT 27096 $182.82 INJECT SUPRVLV AORTOGRAPHY 93567 $114.09 INJECT, RETEPLASE, 18.1MG J2993 $8,124.56 INJECT,ONDANSETRON HCL PER 1MG J2405 $1.33 INJECTION CARPAL TUNNEL 20526 $674.85 INJECTION FOR CHOLANGIOGRAM 47531 $8,015.96 INJECTION HEPARIN SODIUM 10 UN J1642 $0.37 INJECTION IN CARPEL TUNNEL 20526 $674.85 INJECTION INTO SKIN LESIONS=<7 11900 $450.45 INJECTION PROC TMJ ARTHROGRAPH 21116 $102.06 INJECTION TENDON SHEATH ORIGIN 20551 $674.85 INJECTION THERAP IV 96374 $473.68 INJECTION, CLADRIBINE, PER 1MG J9065 $92.40 INJECTION, IFOSFAMIDE 1GM J9208 $175.25 INJECTION, MESNA 200MG J9209 $15.84 INJECTION, PERTUZUMAB, 1MG J9306 $33.26 INJECTION,AMIFOSTINE,500MG J0207 $1,242.89 INJECTION,SARGRAMOSTIM,50 MCG J2820 $145.44 INJECTMORPHINE SULFATE10 MG J2274 $3.53 INJECTN INTO TURBINTE THERPTC 30200 $1,138.76 INJECTN INTO TURBINTETHERAPTC 30200 $1,138.76 INJECTN INTRALESIONL UP2 W/7Il 11900 $450.45 INJEPTIFIBATIDE5MG J1327 $83.73 INJINFLIXIMAB10MG J1745 $308.30 INJ-MILRINONE LACTATE-5 MG J2260 $7.47 INJRHO D IMM GLOBHUM100 I.U J2792 $69.67 INLAY PROCELAIN - 1 SURFACE D2610 $630.00 INLAY PROCELAIN - 2 SURFACE D2620 $665.00 INLAY PROCELAIN - 2 SURFACES D2620 $665.00 Inlay-cast high nob met,3+surf D6603 $315.00 Inlay-cast high nobl met,2surf D6602 $300.00 Inlay-cast noble metal 3+ surf D6607 $290.00 Inlay-cast noble metal, 2 surf D6606 $280.00 Inlay-cast predomnt base 2surf D6604 $280.00 Inlaycast predomnt base,3+surf D6605 $290.00 Inlay-metallic-one surface D2510 $630.00 Inlay-porcel/ceramic-1 surface D2610 $630.00 Inlay-porcelain/ceramic 2 surf D6600 $280.00 Inlay-porcelain/ceramic 3+surf D6601 $290.00 Inlay-resin based composite-1s D2650 $140.00 Inlay-resin based composite-2s D2651 $145.00 Inlay-resin based composite3+s D2652 $150.00 Inlay-titanium D6624 $300.00 INNOMED EXTRACTION C1713 $1,200.00 INORGANIC PHOSPHORUS 84100 $11.59 INPATIENT OBSERVATION $425.00 INS ANT SEGMNT DFRAIN INTRNL 0191T $9,843.75 INS BLADDER CATH COMPLEX;TEMP 51703 $356.66 INS CANNULA-HEMODIAL;AV 36815 $11,849.09 INS CATH RENAL ART 2ND+ ORDER; 36254 $7,144.43 INS CATH RENAL ART;UNILAT;2 PR 36253 $11,849.09 INS CATH RENAL ARTERY;UNILAT;1 36251 $7,144.43 INS CATH;RENAL ARTERY;BILATERA 36252 $7,144.43 INS DEV PERQ ABD/PLVC RAD TX 49411 $3,210.50 INS IMPL INTRA-ARTERY INF PUMP 36260 $11,849.09 INS MESH REP PELVIC FLOOR DEFC 57267 $556.40 INS MULTI-COMPONENT PENIS PROS 54405 $45,306.12 INS NASAL SEPTAL PROSTH(BUTTON 30220 $3,478.64 INS NONTUNNL CV CATH; 5+ YRS 36556 $4,205.10 INS OI 2 AFTR EVISC SLERAL SHL 65130 $7,666.07 INS OR REPL OF TEMP PACEMAKER 33210 $19,700.89 INS PCK FOR NON-OB VAG HEMORRH 57180 $428.08 INS PENILE PROSTH; INFLATABLE 54401 $45,306.12 INS PERIPH CVAD;SUBQ PORT AGE 36571 $7,144.43 INS PICC AGE 5 YRS/> 36569 $4,205.10 INS PICVAD CATH; <5 YRS 36570 $7,144.43 INS PRELOADED IOL INJ SYS C1780 $202.50 INS SPINE FIX DEVICE 2-3 SEGME 22845 $1,562.07 INS SQ RSVR/PUMP/INFUS TO VENT 61215 $14,202.34 INS SUBQ IMPLNTABL DEFIB ELECT 33271 $19,700.89 INS TEMP BLADDER CATH;SIMPLE 51702 $281.09 INS TUN IP CATH; PERQ 49418 $8,015.96 INS TUN IP CATH; W PORT 49419 $11,849.09 INS TUNNEL CV CATH(2) W SQ POR 36566 $11,849.09 INS TUNNELED CV CATH AGE/> 36558 $7,144.43 INS TUNNELED CV CATH;AGE 5 & O 36558 $7,144.43 INS TUNNELED CV CATH;AGE 5 OLD 36479 $296.85 INS TUNNELED CVAD W PORT AGE 5 36561 $7,144.43 INS TUNNELED CVAD W SUBQ PORT 36561 $7,144.43 INS TUNNELED CVAD W SUBQ PORT 36563 $11,849.09 INS TUNNLD CV CATH W SQ PORT; 36560 $7,144.43 INS VAG BRACHYTX DEVICE 57156 $697.93 INS/REDO PERIPH/GASTRIC NS PG/ 64590 $49,702.82 INS/RP PM PCMK W/TRNSVNS ATRIL 33206 $26,429.74 INS/RP PM PCMK W/TRNSVNS VNTRI 33207 $26,429.74 INS/RP PM PCMK W/TV ATRIL/VNTR 33208 $26,429.74 INS/RP/REPOS PERMTRNSV DUAL CH 33217 $19,700.89 INS/RP/REPOS PERMTRNSV SING CH 33216 $19,700.89 INSERT ADULT-CATEG 1 $1,200.00 INSERT ART & VEIN CANNULA 36823 $3,032.17 INSERT BLADDER CATH 51701 $281.09 INSERT CERVICAL DILATOR 59200 $697.93 INSERT DRUG IMPLANT 11981 $281.09 INSERT EXT AV CANNULA 36810 $7,144.43 INSERT FLOW DIR CATH 93503 $4,205.10 INSERT FOLEY CATH 51702 $281.09 INSERT FOLEY CATH TEMP 51702 $281.09 INSERT IUD 58300 $99.88 INSERT LEVONORGESTREL RELEAS I S4981 $140.26 INSERT NON-TUNNEL<5 YRS 36555 $4,205.10 INSERT OF PERMNT PACEMAKER VE 33207 $26,429.74 INSERT OF PERMNT PACEMAKER VE 33208 $26,429.74 INSERT OI2 AFTER ENUC WO MUSCL 65135 $8,061.64 INSERT PICC CATH 36568 $1,625.47 INSERT PLEURAL CATH W CUFF 32550 $8,015.96 INSERT POLY-CATEG 1 C1776 $2,186.11 INSERT TEMP TV ELECTRODE 33210 $19,700.89 INSERT TESTICULAR PROSTHESIS 54660 $10,909.23 INSERT UTERI TANDEM/OVOIDS 57155 $11,012.14 INSERT-CATEG 1 C1776 $5,231.43 INSERTER IN-FAST-CATEG 1 $425.49 INSERTER TIP MED DEEP 5MM PRO $259.50 INSERTER/EXTRACTOR FEM. STEM $3,301.50 INSERTION DRAINAGE CATHETER 49421 $8,015.96 INSERTION OF CENTRAL VENOUS CA 36556 $4,205.10 INSERTION OF INTR-AORTIC BALL 33967 $560.91 INSERTION OF LCD PULSE GENERAT 33249 $83,225.43 INSERTION OF PERIPHERAL VENOUS 36569 $4,205.10 INSJ BIOMECHANICAL DEV 22854 $719.31 INSJ BIOMECHANICAL DEVICE 22853 $555.46 INSJ PICC RS&I 5 YR+ 36573 $4,205.10 INSJ SUBQ CAR RHYTHM MNTR 33285 $19,700.89 INSPAN INTERSPINOUS PLATE C1713 $5,124.00 INSPAN SLIM 12MM C1713 $4,800.00 INSRT & PLCMT FLO DIREC CATH-M 93503 $4,205.10 INSRT ANT DRAINAGE DEVICE 66183 $9,843.75 INSRT CERV DILAT (SEPART PROC) 59200 $697.93 INSRT DEV FOR RAD TX GUIDE; PE 32553 $3,210.50 INSRT GFT AORTA/GT VES;WO SHNT 33330 $3,075.42 INSRT HEPATIC SHUNT (TIPS) 37182 $1,820.02 INSRT IMPLNT CONTRACEPTIVE CAP 11981 $281.09 INSRT INTRAUTERINE DEVICE 58300 $99.88 INSRT TUNN CV 2XCATH W SQ PORT 36566 $11,849.09 INSRT VEN ACCESS DEV W/WO RESV 36565 $7,144.43 INSRT VEN ACCS DEV W/WO RESVOI 36565 $7,144.43 INSRT VENA CAVA FILTR;ENDOVASC 37191 $11,849.09 INSRT/ REP PCEMKR SINGL CHAMBR 33212 $19,700.89 INSRT/REP PCEMKR DUAL CHAMBER 33213 $26,429.74 INSTRUMENT SUCTION FRAZIER-CATEG 1 $15,000.00 INSUFFLATOR TUB HFLOW W/SWIVEL A4624 $320.03 INSULIN 83525 $27.94 INSULIN 70/30, HUMAN RECOM 100 $0.14 INSULIN ANTIBODIES 86337 $52.34 INSULIN ASPART 100U/ML (NOVOLO J1815 $0.17 INSULIN DETEMIR J1815 $0.01 INSULIN DRIP REGULAR IV J3490 $52.83 INSULIN FOR ADMIN THRU DME 50U J1817 $31.24 INSULIN GLARGINE 100 UNITS INJ J1815 $0.14 INSULIN L HUMAN RECOM 100 UNIT $3.15 INSULIN LISPRO 100UNIT/ML $4.30 INSULIN NPH, HUMAN RECOM 100 U $0.52 INSULIN REG. RECOMB. IV DRIP J1815 $70.00 INSULIN REGULAR 100U/ML J1815 $0.01 INSULIN REGULAR 500 UNITS/ML J1815 $0.86 INSULIN REGULAR HUMAN INJ J1815 $0.71 INSULIN TOLERANCE 83525 $27.94 INSULIN, HUMAN L INJ $0.01 INT LIGAT HEMORRHOID(S);W RUB 46221 $1,969.31 INT OFF/OP VISIT E/M 10MN 99201 $325.00 INT OFF/OP VISIT E/M 20MN 99202 $342.00 INT OFF/OP VISIT E/M 30MN 99203 $373.00 INT OFF/OP VISIT E/M 45MN 99204 $403.00 INT OFF/OP VISIT E/M 60MN 99205 $398.00 Int root repair of perf defects D3333 $214.00 INT WND REP N/H/F/G;12.6-20 CM 12045 $1,281.35 INTAL INHALER 8.1GM $64.37 INTAL NEBU SOL 2ML $0.36 INTEGRA MOZAIK STRIP C9362 $3,855.00 INTEGRILIN 0.75MG/ML J1327 $294.91 INTEGRILIN 2MG/ML J1327 $79.35 INTENSIVE CARE UNIT (ICU) $3,575.00 INTENSIVE OUTPT PSYCH PER DAY 90837 $316.00 INTENSTY MODUL RADIOTHRPY-TREA 77301 $3,210.50 Intentional replant, inc splint D3470 $1,043.00 INTER DEVC REMOTE 30D G2066 $93.45 INTER HLTH/BEHAV FAM W/PT 96154 $300.00 INTERBODY PLATE 7MM C1713 $1,425.00 INTERCARPAL FUSION; W AUTOGRAF 25825 $15,421.60 INTERCEPTIVE ORTHODONTIC TRMT PRMY DENT D8050 $5,880.00 INTERCOSTAL NERVE SINGLE BLOCK 64420 $1,611.39 INTERCOSTAL NRV MULTI REGN BLK 64421 $2,093.48 INTERCOSTAL NRV MULTP REGN BLK 64421 $2,093.48 INTERF B-1A/ALB 44MCG/0.5ML PFS $836.84 INTERFERENCE SCREW 9x23 C1713 $346.50 INTERFERON ALF-2BREC 3 MILL UN $78.39 INTERFERON BETA-1B 0.3MG SQ J1830 $355.76 INTERFERON GAMMA 1-B 3 MILL J9216 $4,469.52 INTERFERON,ALFA 2-A,RECOM,3MIL J9213 $80.78 INTERFERON,ALFA 2-B,RECOM,1MIL J9214 $81.12 INTERIM - MANDIBULAR (FLIPPER) D5821 $578.00 INTERIM - MAXILLARY (FLIPPER) D5820 $545.00 Interim caries arresting meds D1354 $28.00 Interim comp denture (mand) D5811 $757.00 Interim comp denture (maxil) D5810 $704.00 INTERLOCK BOW IM STEM W/SCREW C1713 $2,001.00 INTERLOCK BOWED IM STEM W/SCREW C1776 $2,001.00 Interm Compr Calf Sleeve Large $22.13 Interm Compr Calf Sleeve Med $15.39 Interm Restorat Material Ivory $87.00 INTERM URINARY CATH A4351 $260.23 INTERMD REP WND F/E/E/N/L/MM;1 12055 $823.72 INTERMD WND REP FACE/MM; 2.5CM 12051 $823.72 INTERMD WND REP FACE/MM; 2.6-5 12052 $823.72 INTERMED TRNSFR PEDICLE FLAP 15650 $4,183.48 INTERMED WND REP S/A/T/EXTRM 1 12035 $823.72 Internal bleaching-per tooth D9974 $242.00 INTERNAL PADDLES $125.40 INTERP + RPT OF FNA 88173 $127.53 INTERPHALANG TOE JNTEXC;EA 28160 $7,057.23 INTERRGTE DEV EVAL; IMPLT SUBQ 93261 $93.46 INTERST COLLOID RPHARM RX 79300 $612.04 INTERSTITIAL RAD SOURCE APPLIC 77778 $1,909.09 INTERVENE HLTH/BEAHV GROUP 96153 $79.21 INTERVENE HLTH/BEHAV INDIV 96152 $300.00 INTERVENTION INDIVIDUAL15MINS 96152 $300.00 INTERVENTION INDIVIDUAL15MINS 96152 $300.00 INTILL TX AGENT; RENAL/PLVS/UR 50391 $605.57 INTMD WND REP F/E/N/E/L/MM 20. 12056 $823.72 INTMD WND REP FACE/MM;2.6-5CM 12052 $823.72 INTMD WND REP N/H/F/G;2.5 CM/> 12041 $823.72 INTMD WND REP S/A/TR/EX;7.6-12 12034 $823.72 INTMD WND REP; N/H/F/G 12.6-20 12045 $1,281.35 INTMD WND REP; S/A/T/EXT 12036 $1,281.35 INTMD WND REPAIR FACE MM 12.6- 12055 $823.72 INTMD WOUND REP FACE/MM;2.5CM> 12051 $823.72 INTMD WOUND REP N/H/F/G;7.6-12 12044 $1,281.35 INTMD WOUND REP S/A/TR/EXT;2.5 12031 $823.72 INTR NEEDLE/INTRACATH; EXT ART 36140 $194.79 INTR NEEDLE/INTRACATHETER VEIN 36000 $47.96 Intr Sheath Navig Uret Access C1725 $772.44 INTRA ABDOMINAL VOIDING PRESSU 51797 $88.64 INTRA AORT BALLOON PUMP CATH 7.5FR C1727 $1,312.50 INTRA ARTICULAR RPHARM RX 79440 $612.04 INTRACAVITARY RAD SOURCE APPLI 77761 $1,389.12 INTRACAVITARY RAD SOURCE APPLI 77763 $1,909.09 INTRACAVITARY RADIOACTIVE COLL 79200 $612.04 INTRADRM TST;ALLRGY TITR ARBRN 95027 $0.66 INTRAFIX SCREW C1713 $483.00 INTRALESIONAL INJ <=7 11900 $450.45 INTRALESIONAL INJECT <=7 11900 $450.45 INTRALIPIDS 20% NICU SYR $65.00 INTRALSIONAL INJ <=7 11900 $450.45 INTRALUMINAL DILAT STRICT-RAD 74360 $88.00 INTRAMURAL CAUTERY OF TURBINAT 30802 $3,478.64 INTRANASAL LIVE FLU VACCINE 90660 $56.96 INTRAOP ID SENTNEL LYMPH NODE 38900 $299.86 INTRAOPERATIVE MONITORING $107.83 INTRAORAL IMAGES D0350 $70.00 INTRAQ W/ALLERG EXTRCT-SPEC#TE 95024 $3.54 INTRAQ W/ALRG EXTRT SPEC#TST 95024 $3.54 INTRAUTERINE COPPER CONTRACEPTIVE J7300 $2,335.08 INTRAUTERINE CORDOCENTESIS 59012 $697.93 INTRAUTERINE TRANSFUSION FETAL 36460 $1,000.38 INTRAVASCULAR ULTRASOUND NON 37252 $196.75 INTRAVASCULAR US NON- EACH ADD 37253 $157.76 INTRAVEN MOD(CONS) SED/ANAL-EA 15MIN D9243 $182.00 Intraven ModSedat/Analg 1st15m D9239 $200.00 INTRAVENOUS INJ 96374 $550.84 INTRAVENOUS INJECTION 96374 $550.84 Intravenous sedation D9240 $358.00 INTRAVITREAL INJ PHARMACOLOGIC 67028 $798.14 INTRAVITREAL INJECTION OF DRUG 67028 $798.14 INTRCAV RAD SOURCE APPLIC; INT 77762 $1,389.12 INTRCPT ORTHDONTIC TX TRNSTNL DENTITION D8060 $2,100.00 INTRINSIC FACTOR AB 86340 $36.85 INTRINSIC FACTOR ABS 86340 $36.85 INTRNL NEURLYSIS W OP MICROSCO 64727 $395.19 INTRO CATH AORTA 36200 $303.05 INTRO CATH DIALYSIS CIRCUIT 36901 $4,205.10 INTRO CATH DIALYSIS CIRCUIT 36902 $12,771.31 INTRO CATH IN VEIN 36000 $47.96 INTRO CATH RT HEART/MAIN PULM 36013 $269.21 INTRO CATH SUPER/INFERIOR VENA 36010 $240.15 INTRO INTRACATH-RENAL PELVIS-D 50432 $4,567.09 INTRO LONG GI TUBE (SEPART PRO 44500 $2,026.11 INTRO LONG GI TUBE W/MX FILMS- 74340 $44.00 INTRO NEEDLE/AORTIC TRANSLUMBA 36160 $274.38 INTRO NEEDLE/INTRACATH CAROTID 36100 $330.31 INTRO NEEDLE/INTRACATHETER VEI 36000 $47.96 INTRO NEEDLE/INTRACATHETER; EX 36140 $194.79 Intro Sheath Ansel dilat 55cm C1725 $88.50 Intro Sheath Ansel dilat 70cm C1725 $103.50 Intro Sheath Ansl high dilat C1725 $96.00 Intro Sheath Ansl highflex dil C1725 $111.00 Intro Sheath dblewall 6FRx10cm C1725 $937.50 Intro Sheath Flex CheckFlo 4FR C1725 $95.10 Intro Sheath Flex Shttle 4FR C1725 $150.00 Intro Sheath Flex Shttle 5FR C1725 $150.00 Intro Sheath Flex Shttle SL5FR C1725 $150.00 Intro Sheath Flexor 7FRx45cm C1725 $66.15 Intro Sheath Nav HD Uret 46cm C1725 $185.88 Intro Sheath Navg Ure Acc46cm C1725 $185.88 Intro Sheath Navg uret Acc28cm C1725 $185.88 Intro Sheath Navg Uret Acc36cm C1725 $185.88 Intro Sheath Navi HD Uret 36cm C1725 $185.88 Intro Sheath Naviga Uret 46cm C1725 $185.88 Intro Sheath Navigat Uret 36cm C1725 $185.88 Intro Sheath Perfor w/guide5FR C1725 $52.02 Intro Sheath Performer 5FR C1725 $52.02 Intro Sheath Peritone CSF 46cm C1725 $353.73 INTROD SHEATH 7FR GWIRE C1887 $171.75 Introd Sheath Ansel w/CheckFlo C1725 $150.00 Introd Sheath Flexor Shuttle C1725 $150.00 Introd Sheath Penumbra 19 Fr. C1725 $1,872.23 INTRODUCER BRITE TIP-CATEG 1 C1713 $452.08 INTRODUCER KIT 7F C1894 $75.00 INTRODUCER SET C1894 $29.36 Introducer Sheath Perform30cm C1725 $106.56 Introducer Sheath Pinnacl 5FR C1725 $502.50 Introducer Sheath Pinnacl 6FR C1725 $502.50 Introducer Sheath Pinnacl 7FR C1725 $502.50 INTRODUCER SHEATH-CATEG 1 C1894 $2,162.50 INTRODUCER W/O WIRE-CATEG 1 C1894 $652.08 INTRODUCER/SHEAT C1892 $528.69 INTRODUCER-CATEG 1 C1894 $151.46 INTRON A 5MMU VIAL $318.16 INTUBAT ENDOTRACH EMERG PROC 31500 $524.99 INTUBATION ENDOTRACHEAL EMER P 31500 $524.99 INVANCE MALE COAT SLING SYS C1771 $6,150.00 INVANCE MALE COAT SLING SYSTEM C1751 $6,150.00 INVEGA 117MG J2426 $535.86 INVEGA 156MG J2426 $687.96 INVEGA 234MG J2426 $1,031.94 INVEGA 39MG J2426 $178.23 INVEGA 78MG J2426 $356.46 INVEGA SUSTENNA 117MG INJ J2426 $1,652.82 INVEGA SUSTENNA 234MG INJ J2426 $4.73 INVEGA SUSTENNA 39MG INJ J2426 $2,749.27 INVEGA SUSTENNA 78MG INJ J2426 $2,749.44 INVEGA SUSTENNA, PER 1MG J2426 $28.23 IO ANAL GAST N-STIM SUBSQ 95981 $281.09 IO GA N-STIM SUBSQ W/REPROG 95982 $93.46 IOBAN-CATEG 3 $676.02 IOHEXOL(OMNIPAQUE) 240MG/50ML $32.38 IOL 19.5 DIAMETER V2630 $202.50 IOL 6.0MM x 13MM V2632 $202.50 IOL 6.5MM BICONVEX 14.0MM C1780 $202.50 IOL 6.5MM x 14MM V2632 $202.50 IOL 6MMx13MM BICONVEX V2632 $202.50 IOL CONVEXPLANO 6MMx13.5MM V2632 $202.50 IOL POSTERIOR CHAMBER LENS V2632 $202.50 IONIZED CA SERUM 82330 $33.44 IONIZED CA++ 82330 $33.44 IONIZED CALCIUM 82330 $33.44 IONIZED MAGNESIUM 83735 $16.37 IONTOPHORESIS EA 15 MIN 97033 $45.25 IOPIDINE 0.5% OPTH DROPS 5ML $17.96 IOPIDINE 1% OPTH DROPS 1ML $94.02 IP AUD EVOKD POTNT/TESTCNS;COM 92585 $652.50 IP JNT ARTHROPLASTY;EACH 26535 $7,057.23 IP ORTHOT FIT&TRN UP LOW&/TRUN 97760 $107.07 IP PROSTH TRAIN-UP/LOW EXTREM 97761 $91.21 IPECAC ADMIN-EMESIS&OBS 99175 $248.52 IPECAC SYRUP 30ML $0.15 IPOL POLIOVIRUS VACCINE INJ 90713 $39.53 IPPB NEWBORN 94640 $474.25 IPPB TX AIR/02; INIT DEMO/EVAL 94640 $474.25 IPPB TX AIR/O2 W/WO NEBULIZ ME 94640 $474.25 IPPE; NEW BENEFICIARY MCARE ON G0402 $327.71 IPRATROPIUM 0.06% NASAL SOLUTION 15 ML $159.81 IPRATROPIUM HFA INHALER J3535 $71.14 IPRATRPIUM BROMIDE INHALATION J7645 $2.67 IRBESARTAN 150MG. PO $3.38 IRIDECTOMY; SECTOR FOR GLAUCOM 66630 $5,212.42 IRIDOCTOMY/IRIDECTOMY 66761 $1,306.87 IRIDOPLASTY 66762 $1,306.87 IRIDOPLASTY BY PHOTOCOAGULATIO 66762 $1,306.87 IRIDOPLASTY W SUTURE 66682 $5,212.42 IRIDOTOMY STAB INC NO TRANSFIX 66500 $5,212.42 IRIDOTOMY/IRIDECTOMY BY LASER 66761 $1,306.87 IRINOTECAN 20 MG J9206 $33.00 IRINOTECAN HCL 20MG/ML 5ML J9206 $196.21 IRON 83540 $15.82 IRON BIND. CAPACITY 83550 $21.36 IRON BINDING CAPACITY TOTAL 83550 $21.36 IRON POLSAC 150MG CAP (FORTE) $0.40 IRON STAIN 85536 $15.80 IRON SUCROSE 200MG/10ML VIAL $0.10 IRON SUCROSE CMPLX 20MG/ML IV J1756 $0.02 IRON SUCROSE100MG/100ML NSPRMX $0.10 IRON SUCROSE200MG/100MLNSPRMIX $0.10 IRRAD PLATELET CONCENTRATE 86945 $86.20 IRRAD WHL PKD & PHER PRODUCTS 86945 $86.20 IRRADIATEBLOODCOMPONENTNT 86945 $86.20 IRRG BULB SYR TRAY A4320 $1.44 IRRG PIST SYR TRAY A4320 $0.44 IRRIG DRUG DELIVERY DEVICE 96523 $163.40 IRRIGATE CRPRA CAVRNSA PRIAPIS 54220 $605.57 IRRIGATE VAG W MEDS 57150 $141.83 IRRIGATION CANNULA 19GA A4615 $25.50 IRRIGATION OF VAGINA/MED TREAT 57150 $141.83 ISCHMC LMB EXRCS TST W SRL SPC 95875 $356.66 ISLAND PEDICLE FLAP 15740 $4,183.48 ISOCARBOXAZID 10MG TAB $3.15 ISOCOOL BIPOLAR HANDLE FLAT $596.99 ISOCOOL GL TIPS 8.5L 3.5WL 1MM C1713 $672.00 ISOCOOL TIP LPT 8.5L3.5WL 1MML C1713 $693.00 ISOCOOL TIP LPT 9.5L 4.5WL1MML C1713 $693.00 ISOCOOL TIP LPT9.5L 4.5WL.5MML C1713 $693.00 ISOCOOL TIPS LPT 9.5L 4.5WL2MM C1713 $672.00 ISOKINETIC EXERCISE 97139 $148.24 ISONIAZID 100MG TABLET U-D $0.13 ISONIAZID 100MG/ML INJ $54.78 ISONIAZID 300MG TABLET U-D J3490 $0.38 ISONIAZID 50MG/5ML SYRUP 480ML $0.35 ISOPROPANOL LEVEL 84600 $39.31 ISOPROTERENOL 0.2MG/ML INJ 1ML $3.80 ISOPROTERENOL 0.2MG/ML INJ 5ML $65.00 ISOPTO ATROPINE 0.5% OPTH $7.55 ISOPTO CARBACHOL 3% OPTH 15ML $7.30 ISOPTO HOMATROPINE 2% OPTH 5M $7.98 ISOPTO HOMATROPINE 5% OPTH 5ML $22.63 ISOPTO HYOSCINE 0.25% OPTH5ML $19.46 ISOPTO HYSCINE 0.25% $1.91 ISOSORBIDE DINIT 2.5MG SUB LING $0.36 ISOSORBIDE DINITR 10MG TAB J3490 $0.29 ISOSORBIDE DINITR 5MG TAB J3490 $0.36 ISOSORBIDE DINITRATE 20MG. PO $0.22 ISOSORBIDE MONONITRATE 120MG J3490 $2.91 ISOSORBIDE MONONITRATE 30MG J3490 $2.51 ISOSORBIDE MONONITRATE 60MG TA J3490 $2.33 ISOSULFAN BLUE 1% INJ Q9968 $10.00 ISRADIPINE (DYNACIRC ) 5 MG. PO $3.18 ISRADIPINE 1MG/ML NICU CH SYR $13.00 I-STOP FEMALE SLING C1771 $1,042.50 ITRACONAZOLE 100MG CAP $12.49 ITRACONAZOLE 10MG/ML KIT $548.46 ITRACONAZOLE 10MG/ML ORAL SOL $0.96 IUD SUPPLY (MIRENA) J7298 $1,959.73 IUD SUPPLY (PARAGARD) J7300 $756.80 IV Catheter PTFE 14GA $1,395.89 IV CORONARY THROMBOLYSIS 92977 $798.14 IV DOPPLER;EA ADD'L VESSEL 93572 $115.08 IV DOPPLER;INITIAL VESSEL 93571 $159.19 IV INFUS THERAPY/DX-BY PHYS;EA 96366 $90.16 IV INFUS THERAPY/DX-BY PHYS;TO 96365 $550.84 IV INFUS TX ONE HR 96365 $550.84 IV INFUS TX-1 HOUR 96360 $550.84 IV INFUS TX-1 HR 96360 $550.84 IV INFUS TX-EA ADDL HR 96361 $106.73 IV INFUS TX-ONE HOUR 96365 $550.84 IV INFUSION TX-1 HR 96360 $550.84 IV INFUSION TX-EA ADDL HOUR 96361 $106.73 IV INFUSION TX-EA ADDL HR 96361 $106.73 IV INJECT 96374 $550.84 IV INJECTION 96374 $550.84 IV PUSH (SAME MEDICATION) 96376 $157.79 IV PUSH NEW MEDICATION 96375 $106.73 IV US CORONARY VES;EA ADDL 92979 $165.99 IV US CORONARY VES;INITIAL 92978 $206.16 IVERMECTIN 3MG TAB PO J3490 $5.70 J WIRE .038 150CM 2/BX* C1713 $183.12 JANUVIA 100MG PO J3490 $5.78 JANUVIA 25MG PO J3490 $8.07 JC VIRUS BY PCR 87798 $85.78 JEJUNOSTOMY CATH 12FR PED C1725 $209.33 JETSTREAM G3 SF 1.85 CATH C1724 $4,950.00 JETSTREAM NAVITUS L CATH C1724 $4,950.00 JOINT MOBILIZATION 1 UNIT 97140 $61.49 JOINT MOBILIZATION EA 15MIN 97140 $61.49 Joint reconstruction D7858 $15,191.00 JOURNEY BCS ARTICU INSRT RGHT C1713 $1,425.00 JOURNEY BCS SIZE 4,FEMORAL C1713 $4,425.00 JOURNEY GW 0.014x300CM STRAIGHT C1769 $313.50 JT SURVEY SNGL VIEW 1/MORE JT 77077 $288.95 JUGGERKNOT SZ2 ANCHR SNGLELOAD C1713 $394.50 JUVEDERM ULTRA J3490 $211.50 Juverderm Ultra (1mL) $0.10 K WIRE C1713 $179.78 K WIRE 0.9MM C1713 $61.50 K WIRE 1.2MM C1713 $15.00 K WIRE 1.6MM C1713 $179.78 K WIRE 2.0x228MM C1713 $15.00 K WIRE 2.5x270MM C1713 $240.00 K WIRE 3.2x450MM C1713 $179.78 K- WIRE 4X.062 DOUBLE TROCAR C1713 $22.50 K WIRE VARIOUS SIZE C1713 $15.00 K WIRES C1713 $43.05 K WIRES .028"DX6"L DBLE TROCAR C1713 $5.94 K WIRES .035 DOUBLE TROCAR C1713 $5.94 K WIRES 6" DOUBLE TROCAR .062 C1713 $5.94 K WIRES SMOOTH C1713 $6.20 K/L RATIO 82784 $22.75 KAFO 1 UPRT SOLID STIRUP CSTM L2000 $2,288.00 KAFO FEM FX CAST THERMOPLSTC CSTM F L2126 $2,473.90 KANAMYCIN LEVEL $66.33 KANAMYCIN SULF 1GM/3ML INJ $3.31 KANAMYCIN SULF 500MG/2ML INJ $24.97 KAOLIN-PECTIN SUSPENSION $2.45 KAOPECTATE ORAL SUSP 180ML $0.07 KAYEXALATE SUSP 15GM/60ML 60ML J3490 $9.46 KAYPLAST-CATEG 1 $168.69 K-B STAIN FOR FETAL HGB 85460 $18.90 KCENTRA (PCC) 500 UNIT VIAL J3490 $779.57 KCL 20MEQ/100ML 1/2NS J3480 $5.22 KCL 20MEQ/10ML INJ 10ML VIAL J3480 $3.30 KCL 20MEQ/15ML ORAL LIQUID J3490 $0.47 KCL ORAL SYRINGE $0.01 K-DUR/MICRO-K 10MEQ TAB/CAP J3490 $0.56 KEFLEX 500MG CAP J3490 $2.19 KELLER/MCBRIDE/MAYO BUNION COR 28292 $7,057.23 KENALOG/ARISTOCORT 0.025% 15G J3490 $9.11 KENALOG/ARISTOCORT 0.025% 15GM J3490 $0.76 KENALOG/ARISTOCORT 0.5% 15GM $5.65 KENALOG/ARISTOCORT 0.5% 15GM $5.96 KEOFEED TUB 9FR $21.00 KEPPRA 1000 MG PO (SCC ONLY) $12.23 KEPPRA 1000MG/100ML IV SOLUTIO J1953 $30.00 KEPPRA 1500MG/100ML IV SOLUTIO J3490 $39.96 KERATOPROTHESIS 7.2MM LENSE WIDE FIELD C1818 $600.00 KERATOPROTHESIS 8.2MM WIDE FIELD LENSE C1818 $600.00 KERLIX SPNG STRL 2'S $0.59 KETALAR 10MG/ML INJ 20ML $1.12 KETAMINE 100MG/10ML INJ J3490 $8.36 KETAMINE 500MG/10ML J3490 $4.58 KETAMINE 50MG/ML $2.05 KETOCONAZOLE 2% CREAM 15GM J3490 $5.90 KETOCONAZOLE 2% SHAMPOO J3490 $22.30 KETOCONAZOLE 200MG TB $3.87 KETOCONAZOLE LEVEL $196.54 KETOCONAZOLE LEVEL PEAK $196.54 KETOCONAZOLE LEVEL TROUGH $196.54 KETONE (ACETONE) 82009 $11.04 KETOROLAC 0.5 % J3490 $107.21 KETOROLAC 0.5% EYE DROP J3490 $54.90 KETOROLAC 15MG/ML INJ $0.01 KETOROLAC 30MG/ML INJ $6.55 KETOROLAC INJ 60MG.2ML J1885 $0.72 KETROLAC 0.45% EYE DROP $7.46 KETROLAC 30MG INJ J1885 $9.23 KEYSTONE HIP BODY 16.5MM C1776 $7,804.50 KIDNEY FLOW & FUNCTION MULTIPL 78709 $1,216.78 KIDNEY FLOW & FUNCTION SINGLE 78707 $1,216.78 KIDNEY FLOW & FUNCTION SINGLE 78708 $1,216.78 KIDNEY FUNT NON-IMAGE RADIOISO 78725 $949.04 KIDNEY IMAGING (3D) 78803 $253.00 KIDNEY IMAGING STATIC (GHA) 78700 $949.04 KIDNEY IMAGING; W/VASCULAR FLO 78701 $949.04 KIDNEY IMMUNOFLUORESCENSE 88346 $730.62 KIDNEY TRANSPLT FEE 50300 $2,218.15 KIT ACL TRANSTIBIA-CATEG 1 $1,494.55 KIT ACL-CATEG 1 $552.27 KIT ADULT(RALTEGRAVIR/TRUVADA) J3490 $305.00 KIT BALLOON UROMAX-CATEG 1 C1726 $423.71 KIT BROVIAC-CATEG 1 C1751 $468.83 KIT CATHETER-CATEG 1 $675.00 KIT CATHETER-CATEG 2 $588.75 Kit Drill BAHA Rental C1713 $1,650.00 KIT DTPA-CATEG 1 $800.25 KIT EDM LUMBAR DRAINAGE CLOSED C1729 $427.68 KIT EMERG IRRIG-CATEG 1 $237.50 KIT HDP-CATEG 1 $368.24 Kit Hip Arthroscopy disposable $397.50 KIT HIP BASE-CATEG 1 $288.42 KIT INTRA AORTIC-CATEG 1 $16,336.00 KIT MICRO TIP-CATEG 1 C1724 $8,487.50 KIT MICRO TIP-CATEG 2 $708.46 KIT MIX-CATEG 1 $98.62 KIT NEPHRO-CATEG 1 C1729 $13,000.00 KIT P.E.A.-CATEG 1 $1,250.00 KIT PACING-CATEG 1 $62.50 KIT PEG-CATEG 1 C1713 $282.31 KIT PEG-CATEG 2 $7,082.50 KIT PERFLURON-CATEG 1 $1,763.01 KIT PICC-CATEG 1 C1751 $108.75 KIT PYP-CATEG 1 $1,800.00 KIT RETRACTOR-CATEG 1 $3,039.47 KIT SHEATH INTRODUCER AVANTI-CATEG 1 C1894 $222.68 KIT SHEATH INTRODUCER-CATEG 1 $4,470.00 Kit Sling Uretex C1773 $457.50 Kit Snare Amplatz Goose Neck 2 C1773 $457.50 KIT STENT BILIARY-CATEG 1 C1876 $235.22 KIT TECHNESCAN-CATEG 1 $182.17 KIT TECHNESCAN-CATEG 2 $156.53 KIT VASCULAR-CATEG 1 $3,625.00 KIT WOUND MGMT-CATEG 1 $502.78 KIT WRENCH-CATEG 1 $179.74 KLEIHAUER BETKE 85460 $18.90 KLEIHAUER-BETKE TEST 85460 $18.90 KLING BNDGE 2 STRL $0.52 KLING BNDGE 3 STRL $0.65 KLING BNDGE 4 STRL $0.58 KLING BNDGE 6 STRL $1.07 KNEE AP / LAT 1-2 VIEWS 73560 $205.74 KNEE AP LAT OBL 3 VIEWS 73562 $205.74 KNEE ARTHO REM LF/FB DIF COMPR G0289 $187.81 KNEE ARTHROSC; W LYSIS ADHESI 29884 $7,057.23 KNEE ARTHRSCPY W LAT RELEASE 29873 $7,057.23 KNEE ARTHRSCPY/SRGRY 29880 $7,057.23 KNEE ARTHRSCPY/SRGRY;2G 58550 $12,461.42 LAP;VENT/ABD HERN REP;REDUC 49652 $12,461.42 LAP;VENT/ABD HERNIAL REP;COMP 49653 $12,461.42 LAP;W DESTRUCTION OVIDUCTS 58670 $12,461.42 LAP;W FIMBRIOPLASTY 58672 $12,461.42 LAP;W REM ADNEXAL STRUCTURES 58661 $12,461.42 LAP;W SALPINGOSCOPY 58673 $12,461.42 LAP;WITH LYSIS OF ADHESIONS 58660 $12,461.42 LAPARO RADICAL PROSTATECTOMY 55866 $21,689.23 LAPAROSCOPE PROC BLA 51999 $12,461.42 LAPAROSCOPE PROC URETER 50949 $12,461.42 LAPAROSCOPIC 5MM ABC PROBE C2618 $1,439.18 LAPAROSCOPY PACK $648.27 LAPAROSCOPY; PYELOPLASTY 50544 $21,689.23 LAPAROSCOPY;ABLATE RENAL CYSTY 50541 $12,461.42 LAPAROSCP;REP RECUR INGUIN HER 49651 $12,461.42 LAPARSCPY SURG; CHOLCTSTCTMY 47564 $12,461.42 LAPARSCPY SURGICAL; W/FULG OVI 58670 $12,461.42 LAPIDUS 3.5MM LOCKING SCREW C1713 $210.20 LAPIDUS PLATE LEFT C1713 $2,088.54 LAPIDUS PLATE LEFT C1713 $2,088.54 LAPIDUS PLATE RIGHT C1713 $2,088.54 LAPIDUS PLATE RIGHT C1713 $2,088.54 LAPRO SURG; GASTRO WO CNSTRCT 43653 $12,461.42 LAPROSC;ABD/PERIT/OMENTUM W AS 49322 $12,461.42 LAPROSCOPIC PROCEDURE LIVER 47379 $12,461.42 LAPROSCOPTIC ENTEROLYSIS 44180 $12,461.42 LAPROSCOPY;ORCHIECTOMY 54690 $12,461.42 LAPROSCOPYL APPENDECTOMY 44970 $12,461.42 LARGE COMBINATION CLAMPS C1713 $986.70 LARGE MULTICLIP APPLIER 6/BX' C1713 $513.42 LARGE VENTRALEX 8CM DIAMETER, 2/CS C1781 $1,062.90 LARGETTING SCREW C1713 $292.50 LARGSC W/RMVL FOREIGN BDY(S) 31577 $974.23 Laryn Tube Size 6 A7520 $66.08 Laryng Tube Bivo 11.0mm 55mm A7520 $151.53 Laryng Tube Bivo 13.0mm 85mm A7520 $151.53 Laryng Tube Bivon 9.5mm 55mm A7520 $151.53 LARYNGEAL FUNCT STUDIES 92520 $281.09 Laryngectomy Tube Blom 36mm A7520 $337.37 LARYNGECTOMY TUBE, SIZE 8 A7520 $66.08 LARYNGO FLEX; DX 31575 $403.61 LARYNGO W FB REM 31531 $7,571.41 LARYNGO W FB REMOVAL 31577 $974.23 LARYNGOPLASTY MEDIALIZATION 31591 $12,504.78 LARYNGOSC W VCL CRD INJ 31571 $7,571.41 LARYNGOSCOP BLADE 2-CHILD DISP $4.58 LARYNGOSCOPE BLADE 3-MED. DISP $3.87 LARYNGOSCOPE BLADE 4-LGE DISP. $3.87 LARYNGOSCOPE W/VC INJ 31570 $7,571.41 LARYNGOSCOPY DIRECT OR W/BX 31535 $7,571.41 LARYNGOSCOPY DIRECT; DX EX NEW 31525 $3,688.15 LARYNGOSCOPY DX; EXCLD NEWBORN 31525 $3,688.15 LARYNGOSCOPY FLEC;W REM FB 31577 $974.23 LARYNGOSCOPY FLEX;DIAGNOSTIC 31575 $403.61 LARYNGOSCOPY FLEX;W REM LESION 31578 $7,571.41 LARYNGOSCOPY FLEX;WITH BX 31576 $3,688.15 LARYNGOSCOPY FLEXIBLE FIBEROPT 31575 $403.61 LARYNGOSCOPY IND;W FB REM 31511 $403.61 LARYNGOSCOPY IND;W REM OF FB 31511 $403.61 LARYNGOSCOPY IND;W VC INJ 31513 $974.23 LARYNGOSCOPY IND;W/BIOPSY 31510 $7,571.41 LARYNGOSCOPY INDIRECT DIAGNOST 31505 $403.61 LARYNGOSCOPY INDIRECT; DX (SEP 31505 $403.61 LARYNGOSCOPY INDIRECT; W/BX 31510 $7,571.41 LARYNGOSCOPY W/BX&OP SCOPE 31536 $7,571.41 LARYNGOSCOPY W/FB REMOVAL 31530 $3,688.15 LARYNGOSCP REM CARTILG;W SCOPE 31561 $14,025.37 LARYNGOSCPY FLEX; W BX 31576 $3,688.15 LARYNGOSCPY W EXC TUMOR 31540 $7,571.41 LARYNGOSCPY W TUMOR EXC&SCOPE 31541 $7,571.41 LARYNGOSCPY W VOC CORD INJ 31570 $7,571.41 LARYNGOSCPY W/BIOPSY 31535 $7,571.41 LARYNGOSCPY W/BX & OPER SCOPE 31536 $7,571.41 LARYNGOSCPY W/FB REMOVAL 31530 $3,688.15 LARYNGOSCPY W/WO TRACHEOSCPY 31515 $974.23 LARYNGOSCPY W/WO TRACHEOSCPY; 31515 $974.23 LARYNGOSCPY;IND;DX 31505 $403.61 LARYNGOTOMY; W REM TUMOR/CORDE 31300 $6,752.59 LARYNGSCPY DIRCT W/WO TRACH; 31529 $7,571.41 LARYNGSCPY DX;W OPER SCOPE 31526 $3,688.15 LARYNGSCPY FLEX FIBEROPTIC W 31578 $7,571.41 LARYNGSCPY FLEX/RGD W STRBSCP 31579 $974.23 LARYNGSCPY FLEX/RIG FIBPTC W/S 31579 $974.23 LARYNGSCPY INDIRCT; W BX 31510 $7,571.41 LASA 86316 $50.89 LASER HAIR REMOVAL BACK 17999 $450.45 LASER HAIR REMOVAL BEARD 17999 $450.45 LASER HAIR REMOVAL BIKINI 17999 $450.45 LASER HAIR REMOVAL EARS 17999 $450.45 LASER HAIR REMOVAL LEG/CHIN 17999 $450.45 LASER HAIR REMOVAL LIP 17999 $450.45 LASER HAIR REMOVAL UNDERARMS 17999 $450.45 LASER PROPHYLAXIS RD 67145 $1,306.87 LASER SKIN RESURF ARMS 1-14 le 17110 $450.45 LASER SKIN RESURF BACK/SHLDR 1 17110 $450.45 LASER SKIN RESURF CHEST 1-14 l 17110 $450.45 LASER SKIN RESURF HANDS 1-14 l 17110 $450.45 LASER SKIN RESURF LEGS 1-14 le 17110 $450.45 LASER SKIN RESURF NECK 1-14 le 17110 $450.45 LASER SKIN RESURF SEGMNT FACE 17110 $450.45 LASER SKIN RESURF TTL FACE 1-1 17110 $450.45 LASER TATTOO REM 30 sq cm 17999 $450.45 LASER TATTOO REM 30sq cm EACH 17999 $450.45 LASER TATTOO REM 31 sq cm SECT 17999 $450.45 LASER TATTOO REM31 sq cm EA AD 17999 $450.45 LASER TREATMENT EA ADDITIONAL 36479 $296.85 LASER TREATMENT FIRST LEG VEIN 36478 $7,144.43 LASER VAPORIZATION OF PROSTATE 52648 $10,909.23 LaserFiber NeverTouch-FRS $417.00 LaserProbe aspirati curve 20GA C1725 $2,517.00 LASIX 10MG/ML DROPS 60ML $0.18 LASIX 20MG TAB J3490 $0.31 LASIX 20MG/2ML INJ 2ML J1940 $0.29 LASIX 40MG TAB J3490 $0.34 LASIX 40MG/5ML LIQUID $1.04 LASR ANT SEG ADHES 65860 $1,306.87 LASSO 25 DEGREE CURVE TO LEFT C1713 $210.00 LASSO 25 DEGREE CURVE TO RIGHT C1713 $210.00 LASSO SUTRE 90DEGRE LFT STRGHT C1713 $210.00 LASSO SUTRE 90DEGREE RT STRGHT C1713 $210.00 LASSO SUTURE STRGHT 90 DEGREE C1713 $210.00 LATANOPROST OPHTH DROPS J3490 $35.10 LATERAL TIBIA PLATE C1713 $1,489.50 LATEX AGGLU CRYPTOCC 86403 $25.39 LATEX VIR AB IGG 86403 $25.39 LAVAGE BY CANNULATION; MAXIL S 31000 $524.99 LAVAGE TUBE 18G LATEX FREE A4616 $76.85 LAYER CLOS FACE&/LIPS; 5.17-7. 12053 $823.72 LAYER CLOS FACE&/LIPS; 7.6-12. 12054 $823.72 LAYER CLOS NECK FT&/GENIT; < 2 12041 $823.72 LAYER CLOS NECK&/GENIT; > 30.0 12047 $4,183.48 LAYER CLOS NECK&/GENIT; 2.6-7. 12042 $823.72 LAYER CLOS NECK&/GENIT; 7.6-12 12044 $1,281.35 LAYER CLOS SCLP&/TRUNK; < 2.5 12031 $823.72 LAYER CLOS SCLP&/TRUNK; > 30.0 12037 $4,183.48 LAYER CLOS SCLP&/TRUNK; 7.6-12 12034 $823.72 LAYER CLOSURE <2.6 CM 12051 $823.72 LAYER CLOSURE >30 CM 12057 $823.72 LAYER CLOSURE 2.5-7.5CM 12032 $823.72 LAYER CLOSURE 2.6-5 CM 12052 $823.72 LAYER CLOSURE 2.6-7.5CM 12042 $823.72 LAYER CLOSURE 5-7.5 CM 12053 $823.72 L-CARNITINE 250MG. PO $0.63 LCKING SCREW 2.4MM W/14MM STARDRV RECESS C1713 $175.50 LCKING SCREW 2.4MM W/18MM STARDRV RECESS C1713 $175.50 LCKING SCREW 2.4MM W/STARDIV RECESS 14MM C1713 $175.50 LCKING SCREW 3.5MM W/60MM STARDRV RECESS C1713 $174.30 LCKING SCRW SELF-TAP W/STRDRV 3.5x12MM C1713 $259.50 LCP 1/3 TUB PLATE W/COLLAR 7HOLES 81 MM C1713 $408.00 LCP DISTAL RADIUS PLATE C1713 $523.50 LCP LATERAL DISTAFIBULA PLATE C1713 $1,489.50 LCP POSTEROLATERL DIST HUM PALTE 3.5MM C1713 $1,479.00 LCS 3 PEG PATELLA P.C STD $1,220.00 LCS ROTATE TIBIA $3,172.53 LCS TIBIA PC.RP. LG $1.00 LDH 83615 $14.76 LDH BF 83615 $14.76 LDH CSF 83615 $14.76 LDH ISOENZYMES 83625 $31.28 LDH ISOENZYMES 83625 $31.28 LEAD 9770165 SPEC SURESCAN MRI C1713 $9,000.00 LEAD AICD ENDO SINGLE COIL C1777 $4,866.00 LEAD AICD NON SING/DUAL C1896 $41,550.00 LEAD ATRIAL-CATEG 1 C1898 $5,104.50 LEAD CHEST-CATEG 1 $12,261.28 LEAD OCTAD 1x8 LZ 4MM SP 60MM ID C1778 $3,585.00 LEAD PMKR TRANSVENOUS VDD C1779 $1.00 LEAD SERUM 83655 $29.59 LEAD UR 83655 $29.59 LEAD UR 83655 $29.59 LEAD VENTRICULAR-CATEG 1 C1898 $2,231.03 LEAD, NEUROSTIMULATOR C1778 $4,615.91 LEFLUNOMIDE 20MG TAB PO $16.42 LeFort II/III-no bone graft D7948 $18,106.00 LeFort II/III-with bone graft D7949 $25,472.00 LEFORTE 1 RECON 1 PIECE 21141 $2,933.99 LEFORTE 1 RECON 2 PIECES 21142 $3,015.52 LEFORTE 1 RECON 3 OR MORE PIEC 21143 $3,132.23 LEFORTE II FX - COMPLEX 21347 $2,202.51 LEFT HRT CATH W/VENTRCLGRPHY 93452 $7,347.23 LEFT MARROW POLAR PLATE C1713 $1,134.00 LEG BAG URINE-LARGE A4358 $2.23 LEG BAG URINE-MED A4358 $2.17 LEG EXTENSIONS WALKER PER SET OF 4 E0158 $36.75 LEGACY NEXGEN FEM COMP; SZ-D C1776 $10,539.00 LEGACY NEXGEN FEMORAL COMPONENT C1776 $5,211.00 LEGIONELLA AB 86713 $37.40 LEGIONELLA AB TITER 86713 $37.40 LEGIONELLA ANTIBODY 86713 $37.40 LEGIONELLA ANTIGEN (URINE) 87278 $34.32 LEGIONELLA ANTIGEN URINE 87449 $29.30 LENGTH/RELS ABD HALLUCIS MSCL 28240 $7,057.23 LENGTH/SHORT TENDON LEG/ANKLE 27685 $7,057.23 LENGTHEN FLEXOR TENDON 26478 $7,057.23 LEPIRUDIN, 50 MG J1945 $140.96 LEPTOSPIRA 86720 $35.64 LEPTOSPIRA ANTIBODY 86720 $35.64 LESCOL 20MG CAP $2.59 LETROZOLE 2.5MG TAB $13.27 LEUCINE AMINOPEPTIDASE 83670 $22.40 LEUCOVORIN 350MG VIAL J0640 $10.97 LEUCOVORIN 5MG TAB $2.28 LEUKERAN 2MG TABLET $2.45 LEUKINE 50 MCG VIAL $487.76 LEUKO CONC 86950 $369.93 LEUKOAGGLUTININS 86021 $36.81 LEUKOCYTE ALK.PHOS 85540 $21.03 LEUKOCYTE PEROXIDASE 88319 $1,619.51 LEUKOCYTES IN STOOL 89051 $13.46 LEUKOCYTES STOOL 89051 $13.46 LEUPROLIDE 22.5MG KIT $0.10 LEUPROLIDE ACED DEPOT 3.75MG I J1950 $663.22 LEUPROLIDE ACET DEPOT 7.5MG J9217 $809.33 LEUPROLIDE ACETATE 22.5MG KIT J9217 $5,367.30 LEUPROLIDE ACETATE 7.5 MG J9217 $1,192.46 LEUPROLIDE ACETATE, PER 1 MG J9218 $158.99 LEVALBUTEROL HCL 0.31MG INH $5.20 LEVALBUTEROL HCL 0.63MG INH $4.19 LEVALBUTEROL HCL 1.25MG INH $5.55 LEVAMISOL 50MG TAB $13.99 LEVEEN/ SHUNT PATENCY EXAM 78291 $949.04 LEVETIRACETAM 100MG/ML J3490 $2.96 LEVETIRACETAM 250MG TABLET J3490 $2.36 LEVETIRACETAM 500MG TAB J3490 $2.94 LEVETIRACETAM 500MG/ML J1953 $25.00 LEVETIRACETAM PED ORAL SYRINGE $20.65 LEVETIRACETAM(KEPPRA) 500MG VI J1953 $39.52 LEVETIRACETAMA 750MG TAB J3490 $4.07 LEVOBUNOLOL 0.5% SOLUTION INHALATION $64.59 LEVOBUPIVACAINE 0.5% INJ $0.79 LEVOCARNITINE (CARNITOR) 100MG/ML $0.27 LEVOCARNITINE 1GM/5ML INJ J1955 $0.83 LEVOCARNITINE 330MG TAB $2.13 LEVOFLOXACIN 0.5% OPH DROPS $23.89 LEVOFLOXACIN 250MG IV BAGS J1956 $12.81 LEVOFLOXACIN 250MG TAB J0744 $9.89 LEVOFLOXACIN 500MG INJ BAGS J1956 $43.13 LEVOFLOXACIN 500MG TAB J0744 $12.08 LEVOFLOXACIN 750MG (LEVAQUIN) J0744 $28.78 LEVOFLOXACIN 750MG/150ML (LEVA J1956 $60.01 LEVONORGESTREL 0.75 MG. PO $20.28 LEVONORGESTREL(PLAN B)1.5MG J7298 $36.00 LEVOTHROID 175MCG TAB PO $0.28 LEVOTHYROXINE 100MCG J3490 $31.91 LEVOTHYROXINE 125MCG TAB J3490 $0.70 LEVOTHYROXINE 150MCG. PO $0.27 LEVOTHYROXINE 25MCG TAB J3490 $0.54 LEVOTHYROXINE ORAL SUSP $3.03 LEVOTHYROXINE SODIUM 75MCG J3490 $0.54 LEVOTHYROXINE SODIUM 88MCG TAB J3490 $0.64 LEVSIN 0.125 MG. PO $2.05 LEXISCAN 0.1 MG J2785 $0.01 LEXISCAN 0.1MG INJ J2785 $128.28 LEXISCAN INJ J2785 $246.87 LFIT ANATOMIC V40 36MM FEMORAL HEAD C1776 $1,614.53 LFIT V40 FEM HEAD 26MM C1776 $750.00 LFIT V40 FEM HEAD 28MMx+4MM C1776 $750.00 LFIT V40 FEMORAL HEAD +0 C1713 $750.00 LH SERUM 83002 $45.25 LH URINE 83002 $45.25 LIBRIUM 100MG INJ AMP $44.75 LICODAINE 1% W/ EPI $4.65 LIDEX SOLUTION 60ML J3490 $0.45 LIDOCAINE 80176 $35.90 LIDOCAINE .5%/EPI 1:200,000 $12.45 LIDOCAINE 1% STERILE PK 10ML J2001 $14.14 LIDOCAINE 1% STRL PACK J2001 $6.20 LIDOCAINE 1% W/EPI 0.001% INJ J3490 $1.52 LIDOCAINE 1%; 10ML VIAL J2001 $48.90 LIDOCAINE 1%; 2ML INJ J2001 $60.00 LIDOCAINE 2% (5 ML) $0.10 LIDOCAINE 2% 20ML VIAL J2001 $2.51 LIDOCAINE 2% VISCOUS ORAL SOL J3490 $0.74 LIDOCAINE 2% W/EPI 0.001% INJ J3490 $2.12 LIDOCAINE 2% WITH EPI VIAL $32.74 LIDOCAINE 20MG ABBJECT J2001 $3.08 LIDOCAINE 20MG UROJET J3490 $16.82 LIDOCAINE HCL 2% STERILE JELLY J3490 $1.97 LIDOCAINE JELLY 2% TUBE $171.62 LIDOCAINE LEVEL 80176 $35.90 LIDOCAINE MPF 4% 40MG/1ML INJ (TOPICAL) $13.20 LIDOCAINE MPF 4% INJ IV J2001 $0.46 LIDOCAINE PRILOCAINE CREAM 2.5 % $17.69 LIDOCAINE STERILE PACK 1% J2001 $6.20 LIDOCAINE STERILE PACK 2% J2001 $7.23 LIDOCAINE W/ EPI 2% CARTRIDGES 100/BOX $6.55 LIDOCAINE/EPI/TETRACAINE J3490 $9.97 LIDOCNE 2% VISCOUS ORAL CUP $2.38 LIDODERM PATCH J3490 $3.00 LIG & DIV & STRIP LONG SAPH VE 37722 $7,144.43 LIG & DIV LG SAPH VEIN CLSTR; 37700 $7,144.43 LIG COMMON ILIAC VEIN 37660 $2,853.66 LIG DIV &OR EXC VEIN CLUSTER 37785 $7,144.43 LIG FALLOP TUBE;POSTPARTUM;VAG 58605 $729.28 LIG FALLOP TUBE;VAG/ABD APPR;U 58600 $6,440.19 LIG FEMORAL VEIN 37650 $7,144.43 LIG VEIN;RADICAL;W GRF;1 LEG 37760 $7,144.43 LIG&DIV SHRT SAPHN VEIN; SAPHP 37780 $4,205.10 LIG&STRPSAPHVW/RADEXCULCR/GRFT 37735 $7,144.43 LIG/BX TEMPORAL ART 37609 $3,538.61 Ligaclip laparoscopc rotat 10m C1713 $1,777.88 LIGAMAX ENDO 5MM CLIP APPLIER C1713 $731.54 LIGAMNT AUGMNT KNEE; EXTRA-ART 27427 $15,421.60 LIGASURE 5MM LAPAROSCOPIC ADVANCE A4649 $7,704.00 Ligasure Advance Pistol Grip $7,404.57 LIGASURE IMPACT VESL SEAL INST FORCETRI A4649 $7,440.50 LIGASURE V SEALER/DIVIDER FORCETRIAD A4649 $703.10 LIGATION INFERIOR VENA CAVA 37619 $11,849.09 LIGATION MAJOR ART; NECK 37615 $4,205.10 LIGATION MAJOR ARTERY;EXTREMIT 37618 $839.30 LIGATION OF HEMORRHOID(S) 46221 $1,969.31 LIGATION PERFRT VEIN SUBFASC; 37761 $4,205.10 LIGATION/BAND ANGIOACESS AVFIS 37607 $7,144.43 LIGSURE ATLAS HANDSWST 37CMFORCETRIAD A4649 $808.15 Limited ortho treat, adolescent D8030 $5,880.00 Limited ortho treat, adult dent D8040 $5,880.00 Limited ortho trt, primary dent D8010 $5,880.00 Limited ortho trt, transitional D8020 $5,880.00 LIMITED PEDIATRIC ECHO 93304 $1,241.53 Limited re-evaluation estab pat D0170 $70.00 LINDANE 1% SHAMPOO J3490 $118.40 LINDANE 1% TOPICAL LOTION $0.94 LINER ACETEB-CATEG 1 $1,835.18 LINER ACETEB-CATEG 2 $2,482.50 LINER ACETEB-CATEG 3 C1776 $3,239.54 LINER BIPOLAR-CATEG 1 C1776 $333.00 LINER REFLECTION-CATEG 1 $3,506.25 Liner Rim Elevated 20 degrees C1776 $742.50 LINER-CATEG 1 C1776 $8,213.46 LINER-CATEG 2 C1776 $2,799.00 LINEZOLID 100MG/5ML SUSPEN. $13.65 LINEZOLID 200MG/100ML (ZYVOX) $4.00 LINEZOLID 600MG INJ. J2020 $112.24 LINEZOLID 600MG TABLETS J3490 $83.27 LINEZOLID IV 200 MG J2020 $4.72 LINK BOTTOM-CATEG 1 $1,082.76 LINK TOP-CATEG 1 $1,300.00 LINVATEC SPHERICAL HS BURS C1713 $12.00 LIORESAL 10MG UD TAB J3490 $0.56 LIOTHYRONINE 25MCG TABLET $0.50 LIPASE 83690 $16.83 LIPID PANEL 80061 $32.74 LIPIODOL ULTRA FLUID 480MG/ML (10ML) $547.00 LIPITOR 10MG TAB J3490 $3.07 LIPITOR 20MG TABLET J3490 $4.54 LIPITOR 40 MG TAB J3490 $4.43 LIPOPROT.ELECTROPH. 83700 $27.52 LIPOPROTEIN DIRECT MEASUR; LDL 83721 $23.32 LIPOPROTEIN DIRECT MEASUR; VLD 83719 $28.45 LIPOPROTEIN ELECTROPHORESIS 83700 $27.52 LIPOSUCT CANN QUICK DISC HANDL A4624 $142.50 LIPOSYN 10% 200 ML #9786-01 $10.64 LIPOSYN 20% 200 ML #9789-01 $19.29 LIQUI-CHAR 50GM LIQUID 240ML J3490 $10.65 LIQUID-BASED SLIDE PREP 88112 $127.53 LISINOPRIL 10MG TABLET PO J3490 $1.29 LISINOPRIL 2.5MG TABLET PO J3490 $0.87 LISINOPRIL 20MG TABLET PO J3490 $1.26 LISINOPRIL 40MG TABLET PO $3.64 LISINOPRIL 5MG TAB J8499 $2.11 LITHIUM 80178 $16.17 LITHIUM CARBONATE 150 MG CAP J3490 $0.21 LITHIUM CARBONATE UD CAP J3490 $0.35 LITHIUM CITRA 8MEQ/5ML SYR CUP $0.17 LITHOBID 300 MG TAB J3490 $0.72 LITHOLAPAXY BLDR W REM FB;2.5< 52318 $7,781.86 LITHOLAPAXY;IN BLAD&REM FRAG;2 52317 $7,781.86 LITHONATE 300MG/5ML SYR 500ML $0.20 LIVER & SPLEEN IMAGE FLOW 78216 $949.04 LIVER & SPLEEN IMAGE STATIC 78215 $949.04 LIVER ELASTOGRAPHY 91200 $356.66 LIVER IMAGE STATIC ONLY 78201 $3,279.74 LIVER IMAGING (3D) 78803 $253.00 LIVER IMAGING W FLOW3D (HEMANG 78803 $275.00 LIVER IMAGING WITH FLOW STATIC 78202 $3,279.74 LIVER-ELASTOGRAPHY 91200 $356.66 LNG SHRT MULTI LEG/ANKLE TEND 27686 $7,057.23 LOC ANES NO CONJ WITH OPER OR SURG PROC D9210 $35.00 Local anesthesia D9215 $42.00 Local deliv antimicrb ag-th B/R D4381 $84.00 LOCING SCREW 5.0MM X 46MM C1713 $336.00 LOCK SCREW 2.3xVAROPIS C1713 $143.45 LOCK SCREW 2.7xVARIOUS C1713 $684.68 LOCK SCREWS 2.7 X C1713 $163.50 LOCKING 5X40MM SCRW FULL THRED C1713 $267.75 LOCKING CANNULATED SCREW 5.0 C1713 $531.00 LOCKING CAPS C1713 $75.00 LOCKING SCREW C1713 $267.75 LOCKING SCREW 2.3 X C1713 $143.44 LOCKING SCREW 2.4MM/24MM C1713 $144.75 LOCKING SCREW 2.4x16MM C1713 $340.50 LOCKING SCREW 2.7x24MM C1713 $327.00 LOCKING SCREW 3.5MM x VARIOUS C1713 $25.88 LOCKING SCREW 4.0x36MM C1713 $202.73 LOCKING SCREW 4.0x38MM C1713 $190.50 LOCKING SCREW 4.0x70MM C1713 $174.30 LOCKING SCREW 4.0x75MM C1713 $202.73 LOCKING SCREW 4.0xVARIOUS C1713 $202.73 LOCKING SCREW 5.0MMxVARIOUS C1713 $247.67 LOCKING SCREW 5.0x34MM C1713 $273.00 LOCKING SCREW 5.0x60MM C1713 $144.75 LOCKING SCREW 5.5x55MM C1713 $157.50 LOCKING SCREW 5x30MM C1713 $279.00 LOCKING SCREW 5x36MM C1713 $319.50 LOMBARD TEST 92700 $59.25 LONG GAMMA NAIL C1713 $3,362.17 LONG GAMMA NAIL 11x420MM C1713 $2,145.00 LONG GAMMA NAIL LT 11x360/13 C1713 $2,145.00 LONG LEG CAST 29345 $592.46 LONG LEG CAST-WALKER 29355 $592.46 LONG SHANK SCREW 3.5x26MM C1713 $1,564.88 LONG SPLINT 29105 $344.76 LONG THREAD SCREW 4.5x55MM C1713 $412.50 LONG THREAD SCREW 7.5MM X 55MM C1713 $412.50 LOOP CUTTING-CATEG 1 $325.00 LOPERAMIDE 2MG CAP J3490 $2.30 LOPRESSOR 1MG/ML 5ML INJ J3490 $7.20 LORATADINE 10MG TABLET PO J2780 $3.36 LORATADINE TABLET 10MG J2780 $0.60 LORATADINE/PSUE 24HR TB PO $8.01 LORATIDINE 10MG TAB J8499 $1.88 LORAZEPAM 80299 $41.01 LORAZEPAM 0.4MG/0.4ML ORAL SOLUTION $1.52 LORAZEPAM 0.5MG TAB J8499 $1.37 LORAZEPAM 1MG TABLET J3490 $1.53 LORAZEPAM 2MG TAB $1.69 LORAZEPAM 2MG/ML INJ $14.29 LORAZEPAM 4MG/ML INJ $56.50 LORAZEPAM CONC.ORAL SOLUTION 1MG/0.5ML $5.50 Lorazepam liquid oral solution $13.79 LORCAIN/NORLORCAIN 80299 $41.01 LORDOTIC CR SPACER C1713 $4,800.00 LORDOTIC SR CORTICL BLOCK 5X14 $1,582.50 LORDOTIC SR CORTICL BLOCK 6X14 $1,582.50 LOSARTAN 100MG TABS $7.01 LOSARTAN 25MG TAB J3490 $2.05 LOSARTAN 50MG TAB J3490 $2.09 LOTENSIN 10MG TAB $1.15 LOTENSIN 20MG TAB $2.57 LOTENSIN 5MG TAB $2.31 LOTRIMIN 1% 30 ML J3490 $2.39 LOUDNESS BALANCE TEST 92562 $356.66 LOVASTATIN 20MG TAB $5.90 LOVENOX 30MG/0.3ML TUBEX 0. $21.54 LOVENOX 40MG J1650 $24.17 LOW BACK DISC SURGERY 63030 $15,421.60 LOW DOSE CT FOR LUNG CANCER SC G0297 $205.74 LOW IMPEDANCE EXTENSION KIT C1883 $1,042.50 LOWER EXTREM NON-JOINT MRI W&W 73720 $984.43 LOWER EXTREMITY CT WITH CONTRA 73701 $469.77 LOWER EXTREMITY CT WITH/WITHOU 73702 $469.77 LOWER EXTREMITY CT WITHOUT CON 73700 $288.95 LOWER EXTREMITY INFANT 2+ VIEW 73592 $205.74 LOWER EXTREMITY JOINT MRI W&W/ 73723 $984.43 LOWER EXTREMITY JOINT MRI WITH 73722 $1,755.16 LOWER EXTREMITY JOINT WITHOUT 73721 $600.78 LOWER EXTREMITY MRA 73725 $1,100.00 LOWER EXTREMITY NON-JOINT MRI 73718 $600.78 LOWER EXTREMITY NON-JOINT MRI 73719 $984.43 LOWER PARTIAL-ACRYLIC D5212 $1,050.00 LOWER PARTIAL-CAST BASE D5214 $1,190.00 LOXAPINE 80299 $41.01 LOXAPINE 10MG CAP $2.08 LOXAPINE 25MG/ML ORAL LIQUID $4.97 LOXAPINE 50MG/ML IM $25.65 LOXAPINE 5MG CAP $0.83 LOZAZA (OMEGA 3 ACID) ETHYL ESTER PO $0.09 L-PLATE 2.4MM LCP C1713 $645.47 LRE PERFORMER GUID SHEATH C1887 $178.55 LRG OVAL HERNIA KUGEL 9.5x13CM C1781 $1,005.81 LS SECONDARY SET $1.08 LSO FLEXIBLE $33.00 LSO FULL CORSET L0976 $33.00 LT NARROW VALUR PLATE C1713 $1,243.12 LUBRICANT EYE DROPS (Preservative Free) $0.10 LUBRICATH 18FR RIBB BALL CATH C1725 $156.06 LUBRICATH FOLY CATH SZ 18/5CC A4344 $60.84 LUBRIDERM EMMOLLIENT LOTION $9.92 LUBRIFLEX 6FR URETERL STENT C1876 $112.94 LUBRIFLEX 6FR, URETERAL STENT C1876 $112.94 LUBRIFLEX 8.5FR URETERAL STENT C1876 $115.83 LUCENTIS 0.3MG/0.05MLOPHTH DRP J2778 $2,574.00 LUCENTIS0.5MG/0.05MLOPHTH DRPS J2778 $4,290.00 LUKI ASPR TUBE $8.38 LUMBAR DISC ASPIRATIONNJECTION 62287 $4,432.54 LUMBAR PNCT, CHILD $17.36 LUMBAR SPINE CT WITH CONTRAS 72132 $984.43 LUMBAR SPINE CT WITH/WITHOU 72133 $469.77 LUMBAR SPINE CT WITHOUT CONT 72131 $288.95 LUMBAR SPINE FLEXION / EXTENSI 72114 $288.95 LUMBAR SPINE FUSION 22612 $30,680.34 LUMBAR SPINE FUSION ANTERIOR 22558 $3,303.81 LUMBAR SPINE FUSION/ POSTERIOR 22630 $3,363.67 LUMBAR SPINE MRI W&W/O CONTRA 72158 $984.43 LUMBAR SPINE MRI WITH CONTRAS 72149 $984.43 LUMBAR SPINE MRI WITHOUT CONT 72148 $600.78 LUMBAR SPINE OBLIQUE COMPLETE 72110 $288.95 LUMBAR THORACIC SYMPATHTC BLK 64520 $2,093.48 LUMBR PNCT TRAY INFANT $17.20 LUMBR PNCT TRAY-ADULT $21.46 LUMEN MECH REM OBSTR CVAD 36596 $4,205.10 LUNG PERF & VENT DIFFERENTIAL 78598 $1,216.78 LUNG PERFUSION DIFFERENTIAL 78597 $949.04 LUNG PERFUSION IMAGING 78580 $949.04 LUNG VENT & PERF IMAGING 78582 $1,216.78 LUNG VENTILATION IMAGING 78579 $949.04 LUPRON DEPOT INJ 22.5MG J9217 $12,272.79 LUPUS ANTICOAGULANT 85597 $43.93 LURASIDONE (LATUDA) 80 MG $44.53 LURASIDONE 20MG TABLET $29.60 LURASIDONE 40MG TABLET $58.02 LVI INTRODUCERS C1892 $880.00 LYME AB CSF 86618 $41.62 LYME AB SERUM 86618 $41.62 LYME DISEASE IGA 86618 $41.62 LYME DISEASE IGG 86618 $41.62 LYME DISEASE IGM 86617 $37.86 LYME IMMUNOBLOT (CONFIRM TEST) 86617 $37.86 LYME PCR 87476 $85.78 LYMP/ANTITHYMOCYTE GLOB,250 MG J7504 $4,633.00 LYMPH SYSTEM IMAGING 78195 $1,216.78 LYMPHANGIO EXTRM ONLY BIL RAD 75803 $4,205.10 LYMPHANGIOG EXTREM ONLY UNI-S& 75801 $1,625.47 LYMPHANGIOGRAPHY PELVIC/ BILAT 75807 $7,144.43 LYMPHANGIOGRAPHY PELVIC/UNILAT 75805 $4,205.10 LYMPHANGIOTOMY/OTHER OP LYMPH 38308 $7,810.24 LYMPHOCYTE CD4 COUNTS 86360 $114.84 LYMPHOCYTE IMMUNE GLOBULIN (ATGAM) 5 ML $115.39 LYMPHOCYTES MITOGEN STUDIES 86353 $119.83 LYSE CHEST FIBRIN; INIT DAY 32561 $1,625.47 LYSE CHEST FIBRIN; SUBSQNT DAY 32562 $1,625.47 LYSIS INTRANASAL SYNECHIA 30560 $1,138.76 LYSIS INTRANSL SYNECHIA 30560 $1,138.76 LYSIS INTRNASAL SYNECHIA 30560 $1,138.76 LYSOZYME (URINE) 85549 $45.83 LYSOZYME SERUM 85549 $45.83 M TUBERCULOSIS BY PCR 87551 $106.13 M.R.I. IMPLANT PORT $480.00 MAALOX SINGLE DOSE CUP $0.48 MACH 1 CATHETER 6FR LIMA C1887 $159.00 MACH 1 CATHETER 6FR RDC C1887 $159.00 MACRODANTIN 100MG CAP $1.65 MACRODANTIN 50MG CAP $0.66 MACROSCOPIC EXAM ARTHROPOD 87168 $10.45 MAG HYD/ALUM HYD 200/125 SUSP $0.56 MAG IGM 83520 $37.99 MAG/ALUM SIMETH PLUS SUSP J3490 $0.36 MAGIC MOUTH WASH $0.30 MAGNESIUM (RBC) 83735 $16.37 MAGNESIUM (UR) 83735 $16.37 MAGNESIUM CITRATE (LO-SO PREP) J3490 $1.82 MAGNESIUM GLUCNATE 500MG INJ J3475 $2.89 MAGNESIUM GLUCONATE 500MG TAB J3490 $0.24 MAGNESIUM OXIDE 400MG TAB $0.51 MAGNESIUM RBC 83735 $16.37 MAGNESIUM SERUM 83735 $16.37 MAGNESIUM SUL 50% INJ 10ML J3475 $0.96 MAGNESIUM SUL 50% INJ 2ML VIAL J3475 $0.79 MAGNESIUM SUL 500MG J3475 $3.31 MAGNESIUM SULF 1%/100ML D5W IV J3475 $9.14 MAGNESIUM SULFATE 2G IVPB J3475 $6.37 MAGNESIUM UR TV 83735 $16.37 MAGNETIC RESONANCE SPECTROSCOP 76390 $1,027.54 MAGNEVIST INJECTION, PER UNIT A9579 $5.54 MAGNSEIUM SULFATE 20GM/500 PB J3475 $3.24 MAHURKAR DUAL-CATEG 1 C1752 $683.15 MAHURKAR Q PLUS DUAL LUMEN HIGHFLOW CATH C1751 $836.22 MAJ THOR W CARD MASSAGE 32160 $1,716.02 MAKENA- INJ 10MG J1726 $21.19 MAKENA INJECTION 250MG/ML (5ML VIAL) $600.00 MALAR AND/OR ZYGOMATIC ARCH OPEN REDUCTN D7650 $3,069.00 MALAR AUGMENTATION W PROSTH MA 21270 $12,504.78 Malar/zygomatic arch-close red D7760 $2,108.00 MALARIA THICK SMEAR 87207 $14.65 MALE LUER LOCK B/C ADAPTER C1713 $396.59 MALE SLING OPERATION 53440 $20,799.33 MALE SLING URINARY KIT C1771 $5,392.50 MALECOT DRAIN CATH 18FR 6/CS C1729 $109.80 MALECOT DRAIN CATHETER 4-WING C1729 $109.80 MALECOT DRAIN CATHETER 6/CS C1729 $18.30 MALLET 350G HAMMER $765.39 MAMMAPLASTY AUGMEN; W/PROSTH I 19325 $20,973.70 MAMMAPLASTY AUGMEN; WO PROSTH 19324 $20,973.70 MAMMARY GALACTOGRAM (MULTIPLE 77054 $600.78 MAMMARY GALACTOGRAM (SINGLE DU 77053 $600.78 MAMMARY IMPLANT STYLE 168 180C C1789 $1,575.00 MAMMARY IMPLANT STYLE 2600 SI $11,992.50 MAMMO GUIDED NEEDLE LOCAL 1ST 19281 $1,572.63 MAMMPL; W PROSTHETIC 19325 $20,973.70 Mand partial-flex base incl cl D5226 $1,120.00 MANDAELAMINE/UREX 500MG TAB $0.50 MANDIBLE BONE GRAFT 21215 $12,504.78 MANDIBLE COMPLETE 4+ VIEWS 70110 $288.95 MANDIBLE PARTIAL <4 VIEWS 70100 $205.74 MANDIBULAR PART DENTURE FLEX D5226 $1,120.00 Mandibular resection w/ flange D5934 $7,143.00 Mandibular resection w/o flange D5935 $6,215.00 MANIFOLD SUC 4PORT NEPT 2STND A4605 $750.00 MANIP ANKLE W GEN ANESTH 27860 $7,057.23 MANIP CHEST WALL; 1ST DEMO/EVA 94667 $281.09 MANIP ELBOW W ANESTH 24300 $3,494.24 MANIP FNGR JNT;W ANESTH/EA JNT 26340 $3,494.24 MANIP KNEE JOINT UNDER ANESTH 27570 $3,494.24 MANIP SHLDR DIS REQ ANES 23655 $3,494.24 MANIP SHLDR DIS-NO ANES 23650 $555.94 MANIP SHLDR JNT UNDER ANESTH 23700 $3,494.24 MANIP UNDER ANES D7830 $507.00 MANIPULATE WRIST W ANESTH 25259 $3,494.24 MANIPULATION OF FORESKIN 54450 $605.57 MANITOL 20% 500ML #7715-03 $17.62 MANNITOL 20% 500ML IV J2150 $7.14 MANNITOL 25% INJ 12.5GM 50ML J2150 $2.88 MANOMETER CVP $6.86 MANUAL PLASMAPHER'S 36514 $3,412.31 MANUAL SCREENING BY MD P3001 $76.64 MANUAL THER TECH-1/>;MYOFASCI 97140 $61.49 MANUAL THERAP TECH-1/> REGIONS 97140 $61.49 MANUAL THERAPY 23 TO 37 MIN 97140 $61.49 MANUAL THERAPY 38 TO 52 MIN 97140 $61.49 MANUAL THERAPY 8 TO 22 MIN 97140 $61.49 MANUAL THERAPY TECH-1/>REGIONS 97140 $61.49 MANUAL TUMOR IM HISTOCHEM EAAB 88360 $369.93 MARAVIROC 150MG TABLET J3490 $14.61 MARAVIROC 300 MG. TABLET $14.62 MARCAINE .25% S0020 $0.95 MARCAINE 0.5 % J3490 $8.71 MARCAINE 0.5% W/ EPI CARTRIDGE 50/BOX J3490 $8.71 MARINOL 2.5MG CAP $3.83 MARKED SPRING WIRE GUIDE C1769 $342.00 MARKED SPRING WIRE GUIDE 25/BX C1713 $342.00 MARKER PIGTAIL 5FR CATH 5/BX C1877 $712.50 MARKER PIGTAIL 6FR CATH/.036 C1887 $180.00 MARKER PIGTAIL 6FR CATH/.036 C1887 $180.00 MARSUP BARTHOLINS GLAND CYST 56440 $6,440.19 MARSUPIALIZATION BARTHOLIN'S G 56440 $6,440.19 MARSUPIALIZATION BARTHOLIN'S G 56440 $6,440.19 MARSUPIALIZATION;CYST/LIVER AB 47300 $2,455.64 MARSUPIALIZE SUBLING SALIVARY 42409 $6,752.59 MASDTOID DIAMOND BURR 1.0X90MM C1713 $77.66 MASK INFANT-CATEG 1 $320.00 MASK NASAL-CATEG 1 $9,463.20 MASKW/EYESHEILD $249.00 MASSAGE EA 15 MIN 97124 $63.71 MASTEC GYNECOMASTIA 19300 $7,810.24 MASTEC SIMPL COMPLT 19303 $13,501.86 MASTECTOMY RADICAL 19305 $2,465.14 MASTOID DIAM BURR 1.50X7.0MM C1713 $76.77 MASTOID DIAMOND BURR C1713 $76.77 MASTOID DIAMOND BURR 1.5X8.0MM C1713 $77.66 MASTOID DIAMOND BURR 2.0X80MM C1713 $77.66 MASTOID DIAMOND BURR 2.5X9.0MM C1713 $76.77 MASTOID DIAMOND BURR 3.0 C1713 $77.66 MASTOID DIAMOND BURR 4.0X70MM C1713 $76.77 MASTOID DIAMOND BURR 5.5X70MM C1713 $75.05 MASTOID DIAMOND BURR 6.0X7.0MM C1713 $74.28 MASTOID DIAMOND BURR 6.5X7.0MM C1713 $74.28 MASTOID RND CUT BURR 2.5X80MM C1713 $76.77 MASTOID RND CUT BURR 3.0X70MM C1713 $77.66 MASTOID RND CUT BURR 6.0X70MM C1713 $77.66 MASTOID RND CUT BURR 80X1.0MM C1713 $77.66 MASTOID RND CUTT BURR 1.0X90MM C1713 $76.77 MASTOID RND CUTTING BURR 70MM C1713 $76.77 MASTOIDECTOMY; COMPLETE 69502 $12,504.78 MASTOIDS <3 VIEWS 70120 $288.95 MASTOIDS COMPLETE 3+ VIEWS 70130 $288.95 MASTOPEXY 19316 $13,501.86 MASTOTOMY W EXPL DEEP 19020 $3,538.61 MASTOTOMY W/EXPLORATN/DRAINGE 19020 $3,538.61 MASTPXY 19316 $13,501.86 MATERNAL FETAL HB 88189 $207.45 MATERNAL HEMOGLOBIN FLOW CYTOM 88189 $207.45 MATRISTEM 500MG MICROMATRIX C1776 $2,035.50 MATRISTEM 500MG MICROMATRIX Q4118 $2,035.50 MATRISTEM 60MG MICROMATRIX WOUND CARE Q4118 $195.33 MATRISTEM MICROMATRIX Q4118 $2,909.11 MATRISTEM MULTILAYER WND SHEET C1781 $1,725.00 MATRISTEM PLASTIC SURG MATRIX C1763 $3,307.50 MATRISTEM WOUND SHEET 5/BX C1763 $2,040.00 MATRIX PER 1 SQ CM Q4110 $38.38 MAVRICK MONORAIL PTCA DILAT CATH C1725 $262.50 MAXCESS KIT $3,116.10 MAXFIRE ZIPLOOP MAXBRAID SUTRE C1713 $495.00 Maxil partial-flex base incl cl D5225 $1,120.00 Maxilla-closed red(teeth immob) D7620 $3,682.00 Maxilla-closed reduction D7720 $4,052.00 Maxilla-open red (teeth immob) D7610 $4,910.00 MAXILLARY PART DENTURE FLEX D5225 $1,120.00 MAXIM POROUS TIBIAL TRAY $350.00 MAXIMUN BREATHING CAPACITY 94200 $141.83 MAXIPINE 2GM INJECTION J0692 $25.63 MAXITROL OPHTH SUSP J3490 $52.88 MAXITROL OPTH OINT 3.5GM J3490 $20.70 MAYO HAGAR NEDDLE HOLDER 200MM $30.59 MBC 87187 $88.37 MC TEAM-PSY BEHV MOD/SUPP45-50 90853 $316.00 MCG; IP SITU 100-300 CELLS 88275 $112.62 MCG; IP SITU 25-99 CELLS 88274 $93.24 MCG; SITU HYBRID 3-5 CELLS 88272 $89.54 MCG;DNA PROBE EA 88271 $52.36 MCGAHAN 68 SALINE-BREAST IMP 330-360CC C1789 $825.00 MCGAHAN 68 SALINE-BREAST IMP 360-390CC C1789 $825.00 MCGAHAN 68 SALINE-BREAST IMP 390-420CC C1789 $54.00 MCKENZIE DRILL PERFORATING 4 C1713 $309.74 MCKENZIE DRILL PERFORATING 4" C1713 $309.74 MCP ARTHROPL W IMPLANT; EA JNT 26531 $15,421.60 MCT OIL $3.84 MD QUICK EVAL NEEDLE BX 88172 $369.93 MDMA AND METAB SCREEN UR 80307 $142.23 MEASLES AB IGG 86765 $31.48 MEASLES AB IGG 86765 $31.48 MEASLES AB IGM 86765 $31.48 MEASLES MUMPS RUBELLA&VARCELLA 90710 $474.02 MEASLES MUMPS RUBELLA/VARCELLA CLINIC 90710 $474.02 MEASLES/MUMPS/RUBELLA VAC LIVE-SUBQ/JET 90707 $164.79 MEATOTOMY INFANT 53025 $4,567.09 MEATOTOMY NONINFANT 53020 $4,567.09 MEBENDAZOLE 100MG CHEW TAB J3490 $6.36 MECH VENT CPAP PSV ADULT EA 94003 $1,197.57 MECH VENT CPAP PSV INFANT/PEDS 94660 $474.25 MECH VENT OSILLATORY 3100A 1 D 94003 $1,197.57 MECH VENT PRESSURE INFNT/PEDS 94003 $1,197.57 MECH VENT VOLUME ADULT 1 DAY 94003 $1,197.57 MECH VENT VOLUME NEONATE 1 DA 94003 $1,197.57 MECHANICAL VENT VOL; INFANT/P 94003 $1,197.57 MECHLORETHAMINE HCL 10MG INJ J9230 $374.88 MECHLORETHAMINE HCL10MG J9230 $393.15 MECKEL'S DIVERT EXAM 78290 $949.04 MECLIZINE 12.5MG TAB J8597 $0.54 MECLIZINE HCL 25MG TAB J3490 $0.64 MECLIZINE TAB 25MG J8597 $1.11 MED NUTRITION THERAPY INDIV 1 G0270 $65.30 MED NUTRTION THERAPY GRP 30 M G0271 $36.05 MED SERV EVE/WKEND/HOLIDAY 99051 $300.00 MEDIAL PLATE C1713 $6,180.00 MEDIASTINOSCPY W LYMPH NODE BX 39402 $12,461.42 MEDIASTINOTMY EXPL/DR/REM FB;C 39000 $1,073.64 MEDICAL SURG OTHER (AIDS)SEMI $3,175.00 MEDICAL SURGICAL GYN PRIVATE ROOM $3,700.00 MEDICAL SURGICAL GYN SEMI PRIV $3,175.00 MEDICAL SURGICAL OTHER (AIDS) PRIVATE RM $3,700.00 MEDICARE DEFINITY, 2 ML VIAL Q9957 $250.89 MEDICATION TRAINING AND SUPPOR H0034 $300.00 MEDIHONEY J3490 $14.66 MEDIUM GRIP PLATE x 150MM C1713 $2,741.55 MEDPOR IMPLANT 38MM X 50 MM $1.00 MEDROL 16 MG TAB J7509 $2.96 MEDROL 2 MG TAB J7509 $0.82 MEDROXYPROG/ESTRADIOL 5MG/25MG INJ $17.23 MEDROXYPROGEST 2.5MG TAB $0.31 MEDROXYPROGESTER 5MG TAB $0.57 MEDROXYPROGESTERONE 10MG TAB J1050 $0.32 MEDROXYPROGESTERONE 150MG INJ $2.48 MEFILM 4X5 $1.52 MEFLOQUINE 250MG TAB $12.02 MEGESTROL 40MG/ML ORAL SUSP $3.21 MEGESTROL ACET 40MG TAB $1.24 MEG-FOR EVKD MGNTC FLDS; EA AD 95967 $445.27 MEG-FOR EVKD MGNTC FLDS;SNGL M 95966 $2,343.26 MEG-FOR SPONTANEOUS BRAIN MGNT 95965 $2,343.26 MELANIN URINE 81005 $5.30 MELATONIN 1MG TAB $0.03 MELATONIN 5 MG. PO $0.12 MELGISORB 4X4 $5.61 MELLARIL 80342 $51.34 MELLARIL 100MG/ML ORA 120ML $0.31 MELLARIL 30MG/ML ORAL 120ML $0.29 MELLARIL 50 TAB $0.40 MELLARIL-S 25MG/5ML SUSP 473ML $0.31 MELPHALAM ORAL 2 MG J8600 $26.86 MEMANTINE (NAMENDA) 10 MG J3490 $2.50 MEMANTINE (NAMENDA) 5 MG J3490 $2.51 MEMBRANE AMNIOTIC-CATEG 1 V2690 $2,009.61 MEMBRANE DIFFUSION CAPACITY 94729 $21.84 MENB-FHBP VACC 2/3 DOSE IM 90621 $163.42 MENINGOCOC GRP BVAC(BEXSERO) 90733 $3,295.05 MENINGOCOCCAL CONJ VACC, IM 90734 $297.44 MENINGOCOCCAL VACCINE $12.32 MENINGOCOCOCCAL POLYSACCH VAC-SUB CLINIC 90733 $324.83 MENINGOCOCOCCAL POLYSACCH VAC-SUBQ 90733 $324.83 MENISCUS AGGR-CATEG 1 $199.17 MENISCUS ARROW IMPLANT SCREWS 1.1x10MM C1713 $240.00 MENISCUS HOOK 7 1/4" $187.50 MENISCUS MENDER 11 SCREW SET C1713 $220.50 MENISCUS MENDER 11 SCREW SET C1713 $220.50 Menivac 45 3.0mm 45deg Suction A4624 $655.50 MENNIGO VACCINE $54.08 MENTAL HEALTH ASSESS NOT MD H0031 $300.00 MENTHOL/CAMPHOR LOTION $0.04 MENTHOL/CETYLPYRID THROAT LOZ J3490 $0.30 MENVEO (A/C/Y/W-135) $1,150.60 MEPERIDINE (DEMEROL) 80361 $11.99 MEPERIDINE 10MG/ML PCA 30ML J2175 $0.03 MEPERIDINE HCL 100MG/ML INJ $1.25 MEPERIDINE HCL 25MG/ML INJ $1.00 MEPERIDINE HCL 50MG TAB $0.45 MEPERIDINE HCL 50MG/ML INJ $3.69 MEPERIDINE HCL 75MG/ML INJ $1.25 MEPRON 750MG/5ML SUSP J3490 $15.84 MERCAPTOPURINE 50MG TABLET $4.84 MERCURY (BLOOD) 83825 $39.73 MERCURY URINE 83825 $39.73 MEROPENEM 1G BINARY CONNECTOR J2185 $8.90 MEROPENEM 1G VIAL J2185 $11.05 MEROPENEM/VABORBACTAM $341.00 MEROPENUM 500MG INJ $23.72 MERSILENE 5-0 WHITE BRAID SUT C1713 $215.65 MESALAMINE 1000MG. SUPPOSITORY $3.53 MESALAMINE 250MG CAP $0.66 MESALAMINE 400MG TABLET EC $2.25 MESALAMINE 500MG. PO $1.80 MESH BARD-CATEG 1 C1781 $622.14 MESH BARD-CATEG 2 C1781 $565.92 MESH BARD-CATEG 4 C1781 $2,694.48 MESH COMPOSITE C1781 $1,743.53 MESH COMPOSIX-CATEG 1 C1781 $1,773.44 MESH DERMABOND-CATEG 1 C1781 $1,476.60 MESH DYNAMIC RIGID-CATEG 1 $1,229.55 MESH HERNIA MED PRFIX LGHT PLG C1781 $3,008.70 MESH HERNIA PERFIX LGHT PLUG C1781 $3,037.50 MESH HERNIA PRT ABS RECON CIRC C1781 $2,091.00 MESH HERNIA-CATEG 1 C1781 $1,978.04 MESH INTEXEN-CATEG 1 C1763 $3,292.50 MESH KAYPLAST-CATEG 1 $413.10 MESH MARLEX POLY FLAT C1781 $146.25 MESH MARLEX-CATEG 1 C1781 $357.00 MESH MARLEX-CATEG 2 C1781 $630.00 MESH PERFIX PLUG C1781 $411.00 MESH PERFIX PLUG 1.3X1.55" MEDIUM, C1781 $411.00 MESH PERFIX PLUG LARGE C1781 $215.25 MESH POLYESTER-CATEG 1 $750.00 MESH PROLENE-CATEG 3 $2,487.50 MESH STRETCH VASC-CATEG 1 C1781 $2,273.63 MESH SURG PTCH 1.7"SM W/CIRCLE C1781 $931.20 MESH SURG XLARGE OVAL10.8X13.7 C1781 $4,766.25 MESH ULTRAPRO PLUG LARGE, 6/BX C1781 $287.23 MESH ULTRAPRO PLUG MEDIUM 6/BX C1781 $344.20 MESH ULTRAPRO PLUG MEDIUM, C1781 $344.21 MESH ULTRAPRO PLUG SMALL, C1781 $340.75 MESH ULTRAPRO PLUG SMALL, 6/BX C1781 $340.75 MESH VENTRALEX-CATEG 1 C1781 $1,812.50 MESHSURGXLRGEPRFIXPLUGLGHTHERN C1781 $3,552.30 MESNA 100MG/ML VIAL 10ML J9209 $24.38 MESORIDAZINE BESYLATE 50MG TAB $1.45 MET HB. 83045 $14.28 METACARPAL CL FX WO MANIP BONE 26600 $555.94 METAL ON FEMORAL HEAD 36MM C1776 $1,836.00 METALLIC INLAY - 2 SURFACE D2520 $700.00 METALLIC INLAY - 3 SURFACE D2530 $770.00 METALLIC ONLAY - 2 SURFACE D2542 $840.00 METALLIC ONLAY - 3 SURFACE D2543 $910.00 METANEPHRINES 83835 $41.40 METANEPHRINES (UR) 83835 $41.40 METANEPHRINES RANDOM URINE 83835 $41.40 METAPROTERENOL 10MG/5ML SYRP $0.09 METAPROTERENOL SULF 10MG TAB $0.35 METFORMIN 1000MG TAB PO $8.36 METFORMIN HCL 500MG TAB J3490 $1.18 METFORMIN HCL 850MG TAB J3490 $2.04 METHADONE 80358 $11.99 METHADONE 10MG/5ML LIQUID PO $0.63 METHADONE HCL 40MG TAB DISPER $0.81 METHADONE ORAL SOLUTION 0.5MG/0.5ML $5.95 METHADONE SERUM 80358 $11.99 METHAMPHETAMINE SCREEN URINE 80324 $11.99 METHANOL 84600 $39.31 METHAZOLAMIDE 25MG TAB $0.65 METHAZOLAMIDE 50MG TAB J3490 $0.89 METHAZOLAMIDE25MG TAB $0.63 METHEMOGLOBIN 83050 $18.04 METHEMOGLOBIN QUAL 83050 $18.04 METHERGINE 0.2MG TAB J3490 $0.82 METHERGINE 0.2MG/ML INJ $4.06 METHIMAZOLE 10MG TAB J3490 $1.06 METHIMAZOLE 5MG TAB $0.58 METHOCARBAMOL 500MG TAB J3490 $0.28 METHOCARBAMOL 750MG TAB J3490 $0.43 METHOHEXITAL SOD 500MG INJ $71.30 METHOTREXATE 80299 $41.01 METHOTREXATE 1GM INJ VIAL J9250 $79.90 METHOTREXATE 250MG/10ML VIAL J9250 $4.51 METHOTREXATE 25MG/ML IM ONLY J9250 $26.54 METHOTREXATE 50MG/2ML INJ J9250 $2.95 METHOTREXATE ORAL 2.5 MG J8610 $7.84 METHOTREXATE SODIUM 5 MG J9250 $9.46 METHOTREXATE SODIUM ORAL; 5MG J8610 $17.83 METHYLDOPA 250MG TAB J0360 $0.37 METHYLDOPA 500MG TAB J0360 $0.47 METHYLDOPATE 250MG/5ML 10ML $0.53 METHYLENE BLUE 1% INJ Q9968 $9.04 METHYLENE BLUE INJ Q9968 $44.31 METHYLENEDIOXYAMPHETAMINS; MDA 80359 $11.99 METHYLMALONIC ACID 84999 $96.88 METHYLPHENIDATE HCL 10MG TAB $4.88 METHYLPHENIDATE HCL 10MG TAB $5.00 METHYLPHENIDATE HCL 5MG TAB $1.01 METHYLPHENIDATE SA 18MG J3490 $4.32 METHYLPHENIDATE SA 36MG $9.51 METHYLPHENIDATE SA 54MG $6.22 METHYLPHENINDATE 27MG SA PO $4.31 METHYLPREDISOLONE 40MG INJ J1030 $2.40 METHYLPREDNISLN NA 125MG/ML VI J2930 $25.77 METHYLPREDNISOLONE 1000MG INJ $19.44 METHYLPREDNISOLONE 40MG/ML INJ $6.10 METHYLPREDNISOLONE 4MG TAB $1.28 METHYLPREDNISOLONE 62.5MG/10ML J3490 $2.05 METHYLPREDNISOLONE 80MG/ML INJ $14.78 METHYLPREDNISOLONE ORAL PER 4M J7509 $3.14 METHYLPREDNISOLONESODSUCC500MG J2920 $0.09 METHYPREDNISOLONE NA SUCC 40MG J2920 $13.20 METHYPREDNISOLONE TAPER DOSE J7509 $0.06 METOCLOPRAMIDE 10MG TAB $0.55 METOCLOPRAMIDE 5MG TAB $0.48 METOCLOPRAMIDE HCL 5MG/ML 10ML J2765 $0.01 METOLAZONE 2.5MG TAB J3490 $1.87 METOLAZONE 5MG TAB $2.27 METOPROLOL (TOPROL XL) 100MG J3490 $1.68 METOPROLOL (TOPROL XL) 200MG $2.26 METOPROLOL (TOPROL XL) 25MG J3490 $1.09 METOPROLOL (TOPROL XL) 50MG J3490 $1.03 METOPROLOL 1MG/ML $7.59 METOPROLOL 25MG TAB J8499 $2.72 METOPROLOL 50MG TAB J8499 $2.44 METOPROLOL 5MG/5ML INJ J3490 $5.10 METOPROLOL SUCCINATE12.5MG TAB J3490 $0.20 METOPROLOL TART 100MG TAB $1.31 METOPROLOL TART 25MG TAB J3490 $0.48 METOPROLOL TARTR 50MG TAB J3490 $0.73 METOPROLOL TARTRATE 12.5MG TAB J3490 $0.20 METROGEL 0.75% CR $7.85 METRONIDAZL 250MG TAB J8499 $1.27 METRONIDAZOL 500MG TAB J8499 $1.60 METRONIDAZOLE 0.75% GEL J3490 $15.00 METRONIDAZOLE 0.75% VAGINAL GE J3490 $4.60 METRONIDAZOLE 1% TOPICAL GEL $1.91 METRONIDAZOLE 250MG TAB J3490 $1.04 METRONIDAZOLE 500 MG S0030 $0.06 METRONIDAZOLE 500MG TAB J8610 $4.38 METRONIDAZOLE PO SUSP $0.01 MEXILETINE 80299 $41.01 MEXILETINE 200MG CAPSULE $3.03 MEXITIL 150MG CAP $1.40 MI PLANAR SPECT 78469 $3,279.74 MI PLANAR W EF 1ST PASS 78468 $1,216.78 MIACALCIN 200 IU/DOSE NASAL $562.40 MIC 87186 $21.14 MIC GASTROSTOMY FEEDING TUBE C1713 $56.09 MICARDIS 40MG. PO $9.46 MICONAZOLE NITRATE 7 VAGINAL CRM $1.06 MICRO AT2 DRILL C1713 $792.00 MICRO DERMABRASION; SEGMNT FAC 17999 $450.45 MICRO DERMABRASION; TOTAL FACE 17999 $450.45 MICRO POLSH $215.60 MICRO QUICKANCHR PLUS ORTHCORD C1713 $841.50 MICRO WET MOUNT 87210 $12.80 MICRO XL VERTE SUPP CATH PERIP C1887 $22.50 MICROCATHETER $717.75 MICRODISSEC NEEDLE 3CM L STER C2618 $70.13 MICROFIX QA+ 3-0 ORTHOCORD BRAID C1713 $552.00 MICROFIX QA+ 3-0 ORTHOCORD BRAID; QA310 C1713 $552.00 MICROFIX QUICK ANCHORS PLUS C1713 $750.00 MICROFIX QUICK ANCHORS PLUS #2 C1713 $760.50 MICROGLOBULIN BETA-2(CSF) 82232 $39.53 MICRONASE 1.25 MG TAB $0.67 MICROPEEL 20 SOLUTION; 120ML $191.40 MICROPEEL 30 SOLUTION; 120ML $213.40 MICROPEEL PLUS 20 SOLUTION; 120ML $191.40 MICROPEEL PLUS 30 SOLUTION; 120ML $213.40 MICROPEEL SENSITIVE SKIN SOLUTION; 120ML $158.40 MICROPUNCTURE INTRODUCER SET 4FR C1894 $54.90 MICROSHEATH STAND INTROD KIT C1769 $720.00 MICROSHEATH XL SUP CATH PERI C1769 $412.50 MICROSHEATH XLT TAPP SUPP CATH C1769 $412.50 MICROSHTH STRD INTRO KIT GWIRE C1894 $720.00 MICROSOMAL AB EACH 86376 $35.57 MID EAR EXPL VIA POSTAU/EAR CA 69440 $6,752.59 MIDAS 6MM DIAM BALL DISSECTBUR C1713 $246.00 MIDAS REX 10CM3MM DISSECT TOOL C1727 $205.80 MIDAS REX 14CM3MM DISSECT TOOL C1727 $236.67 MIDAS REX 5MM DIAMOND TIP BUR C1713 $234.00 MIDAS REX 7.5CM 4MMBAL DISSECT C1727 $246.00 MIDAS REX 7.5CM BALL DISSECT C1727 $217.50 MIDAS REX 7.5CMSYMTRI BALL DIS C1727 $270.00 MIDAS REX LEG 9CM 6MM DISSECT C1727 $233.60 MIDAS REX LEGEND 9CM DISSECT C1727 $249.90 MIDAS REX7.5CMBALL DISSCT TOOL C1727 $234.00 MIDASREX 14CM4MM LEGND DISSEC C1727 $255.78 MIDASREX 14CM5MM LEGND BA DISS C1727 $261.66 MIDASREX 14CM6MM LEGND BA DISS C1727 $279.30 MIDAZOLAM 100MG/100ML IV J2250 $2.51 MIDAZOLAM 2MG INJ J2250 $1.68 MIDAZOLAM 2MG/ML INJ 2ML $0.94 MIDAZOLAM 4MG/50ML IVPB J2250 $25.00 MIDAZOLAM 5MG/ML INJ 2ML $0.94 MIDAZOLAM DRIP 2MG/25ML J2250 $50.00 MIDAZOLAM HCL 5MG/ML VIAL 10ML J2250 $19.82 MIDAZOLAM IVPB J2250 $55.05 MIDODRINE (PROAMATINE) 5MG J3490 $12.77 MIDRNG AIR CUFF ADLT TRACHTUBE A4624 $110.30 MIDRNGE AIR CUF ADLT TRACH TUB A4624 $110.30 MIDRNGE AIR CUF HYPERFLX TRACH A4624 $279.54 MIFEPRISTONE 200MCG S0190 $6.00 MILARONE LACT 0.2MG/ML IN 100M J2260 $11.75 MILK OF MAGNESIA SUSP 480ML J3490 $0.13 MILK OF MAGNESIUM 30ML $1.83 MILLEX SYRINGE FG FILT UN 25MM C2618 $5.76 MILRINONE LACT 1MG/ML INJ J2260 $10.56 MINERAL OIL 480ML BOT J3490 $0.07 MINERAL OIL ENEMA J3490 $0.15 MINERAL OIL STERILE 10ML VIAL $1.75 MINERAL OIL/PETRO HY-PHIL OINT $5.95 MINI BIO-ANCHOR W/NEEDLE 2.4 C1713 $435.00 MINI BONE SCREW C1713 $792.00 MINI LONG DRILL BIT C1713 $415.50 MINI TEG DISTAL-CATEG 1 $30.00 MINI-DOSE RHIG-IM USE 90385 $92.00 MINILOK QA PLUS W/#2/0 ORTHOCORD, 2MM C1713 $1,594.13 MINILOK QUICKANCHOR PLUS #0 C1713 $871.50 MINOCIN 100mg. INJECTION $156.60 MINOXDIL 2.5MG TAB J3490 $0.74 MINOXDIL 5MG TAB J3490 $1.47 MIOSTAT OPTH VIAL 1.5ML J3490 $20.42 MIRALAX 17GM (PEG) J3490 $20.01 MIRTAZAPINE 15MG TAB J3490 $3.14 MIRTAZAPINE 15MG TABLET $5.71 MIRTAZAPINE 30MG TABLET J3490 $3.46 MIRTAZAPINE 45MG TAB $3,501.12 MIRTAZEPINE 45 MG. PO $2.26 MIS CANNULATED X-TAB 6MM TI X C1713 $2,781.90 MISC (NOT IN COMPEN - TOPICAL) $1.30 MISC (NOT IN COMPEND) $1.30 MISC (NOT IN COMPEND-LVP) $1.30 MISC DIAGNOSTIC NUC. PROCEDURE 78999 $949.04 MISC INVESTIGATIONAL DRUG PMFES2 LVL#1 $0.05 MISC NON FORMULARY J3490 $0.02 MISC UNIT DOSE $1.30 MISCELLANEOUS INSULIN PUMP ORDER $65.00 MISOPROSTOL 100MCG TAB $1.24 MISOPROSTOL 200MCG S0191 $2.63 MISOPROSTOL 200MCG TAB $1.92 MISOPROSTOL VAGINAL TABLET 5 MG. $1.03 MISSED AB TX-1ST TRIMEST 59820 $6,440.19 MITOMYCIN 0.4MG/ML OPTH DROPS $6,461.40 MITOMYCIN 20MG INJ J9280 $152.77 MITOMYCIN 5 MG J9280 $1,913.12 MITOMYCIN 5MG INJ J9280 $154.00 MITOMYCIN OPHTH SOL 0.2MG/ML $110.00 MITOMYCIN, 5MG J9280 $417.12 MITOMYCIN;5 MG J9280 $1,557.20 MITOXANTRONE HCL J9293 $150.25 MIVACRON 2MG/ML INJ $3.61 MIX TIPS LUER $450.00 MIXER VAC #3 BONE CEMENT C1713 $906.00 MIXING CONTACT PROD 85732 $15.80 MIXING PTT 85732 $15.80 MIXTER VENT NEEDLE 14G C2618 $835.50 MLK F/U OFF/OP VIST E/M 10MIN 99212 $342.00 MLK F/U OFF/OP VIST E/M 15MIN 99213 $373.00 MLK F/U OFF/OP VIST E/M 25MIN 99214 $403.00 MLK F/U OFF/OP VIST E/M 40MIN 99215 $436.00 MLK F/U OFF/OP VIST E/M 5 MIN 99211 $325.00 MLK INT OFF/OP VISIT E/M 10MIN 99201 $325.00 MLK INT OFF/OP VIST E/M 20MIN 99202 $342.00 MLK INT OFF/OP VIST E/M 30M 99203 $373.00 MLK INT OFF/OP VIST E/M 45M 99204 $403.00 MLK INT OFF/OP VIST E/M 60M 99205 $436.00 MLK P/P OFF/OP VIST E/M 10MIN 99212 $342.00 MLK P/P OFF/OP VIST E/M 15MIN 99213 $373.00 MLK P/P OFF/OP VIST E/M 25MIN 99214 $403.00 MLK P/P OFF/OP VIST E/M 40MIN 99215 $436.00 MLK P/P OFF/OP VIST E/M 5MIN 99211 $325.00 MMR VAC LIVE,SUBQ/JET CLINIC 90707 $164.79 MMR VACCINE 90707 $41.24 MMSU RIDL TI 5.5MMxVARIOUS C1713 $486.75 MNT GROUP EA 30 MIN 97804 $36.05 MNT REASSESSMENT INDIV EA 15MI 97803 $65.30 MNTR F/A SCREW 3.5DIA x; MOUNTAINEER C1713 $1,594.13 MNTR F/A SCRW 3.5DIA X;MOUNTAI C1713 $1,594.12 MNTRNG LCLZTN CRBRL SZR FCS 16 95956 $1,280.99 Mob Cris res perdiem min3h Lic S9485 $2,177.28 Mob Cris resp 90-180m 2p w/Lic S9485 $1,632.96 Mob Cris resp per diem 3h face S9485 $1,477.44 Mob Crisresp90-180 2pL/Unl/cer S9485 $1,108.08 MobCris 2p respLi/unl/Cer90p15 H2011 $123.12 Mobile Cris resp 2p lic to 90m H2011 $181.44 MOBILN OF ERUPT MALPOS TOOTH AID ERUPT D7282 $343.00 Mod of remvble prosth-post surg D5875 $182.00 MOD RAD MASTECTOMY 19307 $13,501.86 MOD SED OTH PHYS/QHP <5 YR 99155 $36.59 MOD SED OTH PHYS/QHP 5/YRS 99152 $36.59 MOD SED SAME PHYS/QHP EA 99153 $36.59 MODAFINIL 100MG $22.00 MODAFINIL 200MG $62.26 MODIFICATION OF VOICE PROSTHTC 92609 $236.59 MODLR HUMERAL STEM #12 128MM REUNIN TSA C1776 $9,081.00 MODULAR FEMORAL HEAD 46MM W/SLEEVE C1776 $414.38 MODULAR HIP SYSTEM C1713 $7,132.65 MODULAR HIP SYSTEM 155X15MM C1713 $5,110.35 MODULAR HUMERAL STEM C1776 $10,195.50 MODULAR HUMERAL STEM SZ.14 C1776 $9,081.00 MODULAR HUMERAL STEM SZ.14 133 C1776 $9,081.00 MODULAR REAMER HEAD C1776 $475.26 MOLINDONE 10MG TAB $2.11 MOLINDONE 25MG TAB $3.15 MOLINDONE 50MG TAB $4.20 MOLINDONE 5MG TAB $1.96 MOMETASONE 220MCG INH #120 J3490 $85.16 MOMETASONE FUR 0.1% CREAM 15GM $2.58 MOMETASONE FUR 0.1% OINT 45GM $3.48 MONISTAT 2% CREAM 30GM $3.11 MONIT LCLZ CRBR SZR FCS 16>EEG 95953 $1,280.99 MONITORGLOCALIZTNCERBRL SEZR 95951 $2,602.91 MONO SPOT TEST 86308 $12.65 MONOPOLR INCREMNT STIMULA PRBE C2618 $768.00 MONOPRIL 10MG TAB J3490 $1.23 MONOPRIL 20MG TAB $1.34 MONOPRIL 40MG TAB J3490 $1.80 MONORAIL BALLOON CATH 8MMx5MM C1725 $396.00 MONOTUBE TRIAX STER WRIST KIT A4624 $2,491.88 MONTELUKAST 4MG TAB $3.87 MONTELUKAST 5MG TAB $3.80 MONTELUKAST SODIUM 10MG J3490 $3.75 MOORE-GRAVE SPECULUM 1"X3 1/4" $52.50 MORCELLATOR C1782 $1.00 MORPHINE 0.5ML ORAL SYRINGE 0.4MG/ML $24.51 MORPHINE 100MG/100ML PCA J3490 $100.00 MORPHINE 10MG/10ML IV DRIP $5.26 MORPHINE 15MG IR TAB 25PAK J3490 $0.35 MORPHINE 5MG/ML INJECTION J2270 $1.63 MORPHINE 8MG/ML 1ML INJECTION J2270 $0.40 Morphine concentrated oral solution $0.69 MORPHINE ORAL SYRINGE 0.1MG/1ML $16.00 MORPHINE SO4 PCA 30ML J2270 $64.81 MORPHINE SUL 10MG/5ML ORAL100M $0.61 MORPHINE SULF 25MG/ML 4ML INJ J2270 $10.75 MORPHINE SULFATE 100MG/100ML D J2270 $11.00 MORPHINE SULFATE 10MG/ML 10ML J2270 $10.40 MORPHINE SULFATE 2MG/ML $2.02 MORPHINE SULFATE 30MG RECTAL SUPPOS $5.26 MORPHINE SULFATE 4MG INJECTION J2270 $1.10 MORPHINE SULFATE; TUBEX 10MG $5.34 MORPHINE SULFTE 2MG/ML J2270 $7.57 MORPHINE(DURAMORPH)1MG/1ML SYR $0.10 MORPHOMET ANA-TUMOR 88358 $369.93 MOSQUITO SCREW 6.0 X 40MM C1713 $1,350.00 MOSS NASAL TUBE 18FR A4616 $307.50 MOTILITY CELLS 81015 $7.46 MOTILITY STUDIES; GASTRIC 91020 $1,251.91 MOTION ANALYSIS VIDEO/3D 96000 $1,280.98 MOTION FLOURO;SWAL FUNCT CINE 92611 $200.62 MOTRIN (IBUPROFEN ) 600 MG TAB $0.01 MOXIFLOXACIN 400MG TAB $14.69 MOXIFLOXACIN 400MG/250ML IV J2280 $44.06 MOXIFLOXICIN OPHTHALMIC SOLUTI J3490 $39.76 MP + IP FLEXION CONTROL $259.29 MP FLEXION CONTROL $189.42 MPO-ANTIBODY ID 86021 $36.81 MR GUID NEEDLE PLCMT RAD S&I 77021 $1,100.00 MRH FEMUR C1713 $9,100.80 MRI ANGIO CHEST W/WO CONTRAST 71555 $1,100.00 MRI BONE MARROW BLD SUPPLY 77084 $600.78 MRI BREAST W/O CONTRAST; BI 77047 $600.78 MRI BREAST W/W/O CNTRST;CAD;UN 77048 $1,100.00 MRI BREAST W/W/O CNTRST;CAD;UN 77049 $1,100.00 MRI BREAST W/W/O CONTRAST; UNI 77046 $600.78 MRI BREAST WO &/OR W/CONTRAST; C8908 $984.43 MRI BREAST WO &/OR W/CONTRAST; C8908 $984.43 MRI ELASTOGRAPHY 76391 $600.78 MRI ELECTRODES A4556 $156.60 MRI EXT/BRACHIAL PLEXUS W CONT 73219 $984.43 MRI EXT/BRACHIAL PLEXUS W&W/O 73220 $984.43 MRI EXT/BRACHIAL PLEXUS W/O CO 73218 $600.78 MRI HEAD/POSTERIOR FOSSA W&W/O 70546 $984.43 MRI HEAD/POSTERIOR FOSSA WITH 70545 $984.43 MRI HEAD/POSTERIOR FOSSA WITHO 70544 $600.78 MRI HEAD/SELLA TURCICA W&W/O C 70546 $984.43 MRI HEAD/SELLA TURCICA WITH CO 70545 $984.43 MRI HEAD/SELLA TURCICA WITHOUT 70544 $600.78 MRI HEAD/SINUSES WITH & WITHOU 70546 $984.43 MRI HEAD/SINUSES WITH CONTRAST 70545 $984.43 MRI HEAD/SINUSES WITHOUT CONTR 70544 $600.78 MRI IMPLANT CV CATH 9.5FR W/GROSHONG A4301 $480.00 MRI IMPLNT CV CATH 9.5 W/GROSH C1887 $480.00 MRI-BRAIN MRV C- 70551 $600.78 MRI-NECK SOFT C+&C- 70543 $984.43 MS CONTIN 15MG TAB J3490 $1.32 MS CONTIN 30MG TAB J3490 $2.51 MS CONTIN 60MG TAB $5.45 MSR POST-VOID URIN&/BLADD CAPC 51798 $141.83 MTL ACOLDE STM TRIDNT CUP LFIT HD&X3 INS C1776 $1,360.16 MTPCP PLATE RIGHT C1713 $4,665.00 MUC SCREW 7.0 X 80MM C1713 $1,971.00 MUC SCREW 7.0x16MM C1713 $1,971.00 MUCIN CLOT BODY FLUID 83872 $14.32 MUGA SPECT W WM AND EF 78494 $949.04 MULT EAR/PULSE OXIMETRY 94761 $32.37 MULTAQ 400MG. PO $4.32 MULTI LINK VISION CORONARY STENT C1876 $1,005.00 MULTI-FAM GROUP THERAPY 90849 $300.00 MULTI-FAMILY GROUP THERAPY 90849 $300.00 MULTI-FAMILY GROUP TX 90849 $300.00 MULTI-FAMILY GRP THERAPY 90849 $300.00 MULTIFETAL PREGNANCY REDUCTION 59866 $697.93 MULTIGATED (E.F) SCAN 78472 $949.04 MULTIGATED (E.F) SCAN-OPD 78472 $949.04 MULTIGATED(EF)SCAN FIRST PASS 78472 $949.04 MULTIPACK INFINITI 4FR DIAGNOSTIC CATHET $372.00 MULTIPACK INFINITI 5FR DIAGNOSTIC CATHET $372.00 MULTIPIECE LEFORTE 1 D7947 $11,627.00 MULTIPIN CLAMP C1713 $631.50 MULTIPLE SLEEP LATENCY TEST 95805 $1,251.91 MULTIPLE WAKEFULNESS TEST 95805 $1,251.91 MULTIPOLR BIPLR CUP SHELL 52MM C1776 $1,203.00 MULTIVITAMIN W/FE DROPS PO $22.46 MULTIVITAMINS CONC INJ 5ML J3490 $1.28 MULTIVITAMINS FOR TPN USE ONLY $0.45 MULTIVITAMINS,THER W-MINERALS $0.10 MULTIVITAMINS,THERAP 120ML $0.10 MULTIVITAMINS,THERAP TAB U $0.15 MULTIVITE/MVI TAB J3490 $0.20 MUMPS AB IGG 86735 $31.90 MUMPS AB IGG 86735 $31.90 MUMPS AB IGM 86735 $31.90 MUMPS ANTIBODY 86735 $31.90 MUMPS IGG 86735 $31.90 MUMPS IGM 86735 $31.90 MUMPS SKIN TEST ANTIGEN 1ML $169.45 MUMPS VACCINE,LIVE VIAL $45.43 MUPIROCIN 2% CREAM TOP $37.70 MURPHY RETRACTOR SHARP 4 PRONG $46.38 MUSC TEST MNL W/RPT; EXTREM/TR 95831 $76.57 MUSC TSTMAN W/RPT BODY EX HND 95833 $96.54 MUSC TSTMAN W/RPT BODY W/HAND 95834 $127.67 MUSC TSTNG MAN WRPT;EXTRM(EXC 95831 $76.57 MUSC TSTNG MAN WRPT;HND W/WO 95832 $75.18 MUSC TSTNG MAN WRPT;TOT BDY 95834 $127.67 MUSC TSTNG MAN WRPT;TOT BDY E 95833 $96.54 MUSCLE BX;PERC NDL 20206 $3,538.61 MUSCLE FLAP; LOWER EXTREMITY 15738 $7,675.54 MUSCLE FLAP; UPPER EXTREM 15736 $4,183.48 MUSCLE TEST; ESTREM OR TNK 95831 $76.57 MUSCLE TEST; EXTREM OR TRUNK 95831 $76.57 MUSCLE TESTING 95832 $75.18 MUSTANG BAL DILATION CATH 75CM C1752 $472.50 MUSTANG BALL 5FR DILATION CATH C1752 $472.50 MX-FAMILY GROUP PSY THERAPY 90849 $262.69 MYCELEX VAGINAL CREAM 45GM J3490 $15.83 MYCO/UREAPL ISOL AGAR PLATES 87109 $37.62 MYCOB BLOOD CULT 87015 $16.32 MYCOB BLOOD CULTURE 87015 $16.32 MYCOB BM CULT 87015 $16.32 MYCOB BOWEL MOVEMENT CULT 87015 $16.32 MYCOB CSF CULT 87015 $16.32 MYCOB CSF CULTURE 87015 $16.32 MYCOB FLUID CULT 87015 $16.32 MYCOB FLUID CULTURE 87015 $16.32 MYCOB MISC CULTURE 87015 $16.32 MYCOB MISC CULTURE 87015 $16.32 MYCOB RESPIR CULTURE 87015 $16.32 MYCOB SENSITIVITY 87190 $16.08 MYCOB STOOL CULTURE 87015 $16.32 MYCOB STOOL CULTURE. 87015 $16.32 MYCOB TISSUE CULTURE.. 87015 $16.32 MYCOB URINE CULT 87015 $16.32 MYCOB URINE CULTURE.. 87015 $16.32 MYCOB WOUND/ABSCESS 87015 $16.32 MYCOB WOUND/ABSCESS.. 87015 $16.32 MYCOL WND/ABSC CULT 87102 $20.55 MYCOLOG (NYSTATIN/TRAIM) CR J3490 $0.41 MYCOLOG (NYSTATIN/TRAIM) OINT J3490 $0.92 MYCOLOGY B/F CULT 87102 $20.55 MYCOLOGY BLOOD CULT 87103 $45.01 MYCOLOGY BM CULT 87102 $20.55 MYCOLOGY CSF CULT 87102 $20.55 MYCOLOGY EYE CULT 87102 $20.55 MYCOLOGY HAIR CULT 87102 $20.55 MYCOLOGY MOUTH CULT 87102 $20.55 MYCOLOGY NAIL CULT 87102 $20.55 MYCOLOGY OTHER 87102 $20.55 MYCOLOGY OTHER CULT 87102 $20.55 MYCOLOGY RESP CULT 87102 $20.55 MYCOLOGY SKIN CULT 87101 $18.83 MYCOLOGY TISSUE CULT 87102 $20.55 MYCOLOGY URINE CULT 87102 $20.55 MYCOLOGY VAG CULT 87102 $20.55 MYCOPHENOLIC ACID DR 180MG TAB J7518 $3.93 MYCOPHENOLIC ACID DR 360 MG $3.70 MYCOPLASMA ANTIBODY 86738 $32.36 MYCOPLASMA IGG 86738 $32.36 MYCOPLASMA IGM 86738 $32.36 MYCOPLASMA ISOLATION 87109 $37.62 MYCOPLASMA PNEU CF 86738 $32.36 MYELIN ASSOC GLYCOPROTEIN 83520 $37.99 MYELIN BASIC PROTEIN 83873 $42.06 MYELIN BASIC PROTEIN CEREBROSP 83873 $42.06 MYELOGRAPHY CERV-RAD S & I 72240 $1,755.16 MYELOGRAPHY ENTIRE SP CANAL RA 72270 $1,755.16 MYELOGRAPHY LMBR INJ; 2 + SITE 62305 $1,755.16 MYELOGRAPHY LMBR INJ; 2+ SITES 62305 $1,755.16 MYELOGRAPHY LUMB INJ 62304 $1,755.16 MYELOGRAPHY LUMBAR INJECTION 62304 $1,755.16 MYELOGRAPHY LUMBOSACRAL-RAD S 72265 $1,755.16 MYELOGRAPHY POST FOSSA-RAD S & 70010 $984.43 MYELOGRAPHY THORACIC-RAD S & I 72255 $1,755.16 MYLERAN 2MG TAB J8510 $6.51 MYLICON 80MG TAB J3490 $0.25 MYOBLOC (TYPE B) 100 UNITS J0587 $30.67 MYOCARDIAL IMAG-PET-METABOLIC 78459 $3,279.74 MYOCARDIAL STRAIN IMAGING 93356 $163.50 MYOCRD CONTRAST PRFUJ ECHO 0439T $163.50 MYOFASCIAL RELEASE 1 UNIT 97140 $61.49 MYOFASCIAL RELEASE EA 15 MIN 97140 $61.49 MYOGLOBIN 83874 $31.57 MYOGLOBIN SERUM 83874 $31.57 MYOGLOBIN URINE 83874 $31.57 MYOMECTOMY EXCS LEIUM VAGN APP 58145 $6,440.19 MYOMECTOMY EXCS OF LEIUMYOMATE 58140 $2,031.08 MYOMECTOMY;VAG APPR:1-4 MYOMAS 58145 $6,440.19 Myotomy D7856 $5,330.00 MYRINGOPLASTY (DRUMHEAD & DONO 69620 $6,752.59 MYRINGOTOMY INCL ASP&/EUSTACH 69421 $6,752.59 MYRINGOTOMY INCL ASPIRAT REQ G 69421 $6,752.59 MYRINGOTOMY W/ASPIRAT&/EUSTACH 69420 $524.99 MYRINGOTOMY W/ASPIRT/EUSTACH T 69420 $524.99 MYSOLINE 250 MG. PO $0.57 MYSOLINE 250MG TAB $0.58 MYSOLINE 250MG/5ML SUSP 240ML $0.95 MYSOLINE 50MG TAB $0.43 MYTHYLENE BLUE 0.5% 5MG.ML INJ J3490 $265.83 N.S 0.9% WITH 40MEQ KCL 1000ML J7060 $0.34 N.S 250 ML ADDVANTAGE BAG $1.48 NA BIPHOS/POTASSIUM PHOSPHATE J3490 $0.51 NA PHOS MB/DIB PEDIARTIC ENEM J0702 $1.41 NA PHOSM-B/NA PHOSDI-BA J3490 $1.70 NA. PHOSPHATE 15 M.MOL/250ML $11.67 NABUMETONE(RELAFEN)750MG PO J3490 $0.24 NAFCILLIN 1GM ADD VANTAGE J3490 $8.59 NAFCILLIN 2GM ADD VANTAGE $11.68 NAFCILLIN 40MG/ML NICU 6ML SYR $36.92 NAFCILLIN SOD 1GM INJ $3.18 NAFCILLIN SOD 2GM INJ $6.52 NAFCILLIN SODIUM 500MG VIAL $8.11 NAIL C1713 $1,350.00 NAIL 011x180MMx125D C1713 $1,350.00 NAIL 12x340MM C1713 $1,350.00 NAIL BED REPAIR 11760 $1,281.35 NAIL DEBRIDEMENT; 1-5 11720 $141.83 NAIL END CAP-CATEG 1 $438.85 NAIL ENDERS-CATEG 1 $440.00 NAIL GAMMA-CATEG 1 C1713 $3,973.01 NAIL HUMERAL-CATEG 1 C1713 $4,463.72 NAIL LABRAL-CATEG 1 $3,903.03 NAIL TIBIA-CATEG 1 C1713 $4,064.31 NAIL-CATEG 1 C1713 $4,155.00 NALBUPHINE 10MG/ML AMP INJ $3.00 NALOXONE INTRANASAL 2MG/2MG SY J2310 $29.50 NALTREXONE 50MG TABLET J8499 $4.26 NAPHAZOLINE 0.012% OPT DROP $1.49 NAPHCON-A OPTH DROPS 15ML J3490 $7.10 NAPROSYN 250MG TAB J3490 $0.94 NAPROSYN 500MG TAB J3490 $1.22 NARCAN 0.02MG/ML NEONAT 2ML $1.09 NARCAN 0.4MG/ML INJ 10ML VIAL J2310 $3.21 NARCAN 0.4MG/ML INJ 1ML VIAL $1.86 NAROPIN 2MG/ML 0.2% INJ J2310 $6.06 NAROPIN 5MG/ML INJ 0.5% J2795 $18.22 NAS/ORO-GAS TUBE PLC-NEED PHYS 43752 $937.35 NAS/SINUS ENDO W BALLN DIL 31296 $14,025.37 NASAL BONES 3+ VIEWS 70160 $205.74 NASAL CANNULA 94799 $356.66 NASAL ENDO DX MAXIL SINUSOT 31233 $974.23 NASAL ENDO DX UNILAT/BILAT (SE 31231 $403.61 NASAL ENDO DX UNILAT/BILT SEP 31231 $403.61 NASAL ENDO ETHMOIDECTOMY;PARTL 31254 $14,025.37 NASAL ENDO W ETHMOIDECTOMY;TOT 31255 $14,025.37 NASAL ENDO W MAXILL ANTROSTOMY 31256 $7,571.41 NASAL ENDO; W BLOOD CONTROL 31238 $3,688.15 NASAL ENDO; W DACRYOCYSTORHINO 31239 $7,571.41 NASAL ENDO;W CONCHA BULA RESEC 31240 $3,688.15 NASAL ENDOSCOPY CONTROL OF NAS 31238 $3,688.15 NASAL ENDOSCOPY SURG; W/BX 31237 $3,688.15 NASAL ENDOSCOPYSURGICL; W/BX 31237 $3,688.15 NASAL FUNCTION STUDIES 92512 $652.50 Nasal Splint Biv Fluoro Stdrd $498.00 Nasal Splint Custom Silic1.0mm $97.50 Nasal Splint Denver Lg 66x45mm $439.10 Nasal Splint Denver Med64x36mm $439.10 Nasal Splint External Small $382.50 Nasal Splint Reuter Biv Fluoro $502.50 NASAL/SINUS ENDO W BLD CNTROL 31238 $3,688.15 NASL ENDO W MA;W REM TISUE MAX 31267 $14,025.37 NASL/SINUS ENDO W FRONTL SINUS 31276 $14,025.37 NASL/SINUS ENDO W REM TIS SPHE 31288 $14,025.37 NASL/SINUS ENDO W SPHENOIDOTOM 31287 $14,025.37 NASOLACR DUCT PROBE GEN ANESTH 68811 $4,989.01 NASOPHARYNGOSCOPY 92511 $403.61 NASOPHARYNX;BX;VISIBLE LES;SIM 42804 $6,752.59 NATRIURETIC PEPTIDE 83880 $86.37 N-AUTOM URINALYS W/O MICRO 81002 $7.66 NAVANE 80299 $41.01 NAVIGAT HD URETER ACCES SHEATH C1894 $185.88 NAVIGAT HD URETER ACCSS SHEATH C1894 $185.88 NAVIGATIONAL BRONCHOSCOPY 31627 $212.96 NCPAP (NEONATE/PEDS) 94660 $474.25 ND ELCTMYGRP;LMT STD MUSC 1 EX 95870 $141.83 ND ELCTMYGRP;THRC PRSPNL MUS-E 95869 $356.66 NDL 21G X 1 1/2 SHER $0.25 NDL ELECTROMYOGRAPHY; LARYNX 95865 $281.09 NDLE 25G X 5/8 $47.70 NDLE ELCTRMYGRPHY;EA EXTRM;0-4 95885 $45.18 NDLE ELCTRMYGRPHY;EA EXTRM;5TIGER LOOP C2618 $75.00 NEEDLE 19G X 1/2 THIN WALL A4215 $0.47 NEEDLE ASPIRATION BREAST 19000 $1,572.63 Needle Biopsy Magnum Core Tiss $555.00 NEEDLE BIOPSY-CATEG 1 $487.30 NEEDLE CORE BIOPSY PERCUTANEO 19100 $3,538.61 NEEDLE CURVED TIP-CATEG 1 $765.00 Needle Del Sys FastFix360 disp C1713 $480.00 Needle Del Sys FastFix360 strg C1713 $711.90 NEEDLE DISP ENTRY-CATEG 1 $2,750.00 NEEDLE ELECTROMYOGRAPHY EYE M 92265 $161.31 NEEDLE EMG CRAN NERV SUPP MUSC 95867 $356.66 NEEDLE EMG CRAN NERV SUPP MUSC 95868 $356.66 NEEDLE EMG FOR GUIDANCE WITH C 95874 $47.72 NEEDLE EMG STDY ANAL/URETHRAL 51785 $605.57 NEEDLE EMG W/QUAN MEAS EA MUSC 95872 $356.66 NEEDLE EMG; 1 EXTREM W/WO PARA 95860 $281.09 NEEDLE EMG; 2 EXTREM W/WO PARA 95861 $281.09 NEEDLE EMG; 3 EXTREM W/WO PARA 95863 $356.66 NEEDLE EMG; 4 EXTREM W/WO PARA 95864 $356.66 NEEDLE EMG; THORACIC PARASPINA 95869 $356.66 NEEDLE EPIDURAL-CATEG 1 $150.00 NEEDLE FINE-CATEG 1 $484.79 NEEDLE GERTE MARX-CATEG 1 $650.00 Needle Guide 3.5 x 20cm $517.50 Needle Guide ultrasnd UltraPro $712.50 NEEDLE INSUFFLATOR/ACCESS-CATEG 1 $400.00 NEEDLE JAMISHIDI-CATEG 1 $890.85 NEEDLE JAMSHIDI BN MARROW-CATEG 1 $6,875.00 NEEDLE MONOPOLAR-CATEG 1 $1,050.00 NEEDLE NEUROTRACE-CATEG 1 $6,582.96 Needle Norian Delivery $55.50 NEEDLE PLACEMENT /BIOPSY 77002 $55.00 NEEDLE PLCMNT; INTRAOSSEOUS IN 36680 $937.35 NEEDLE PORT-A-CATH-CATEG 1 $0.01 Needle Precision Glide hypo 30 $10.47 NEEDLE PUNCH BX-CATEG 1 $6.38 NEEDLE SEIRIN-CATEG 1 $1,030.23 NEEDLE SINGLE WALL-CATEG 1 $495.00 NEEDLE SPHINCTERTOME-CATEG 1 $805.00 NEEDLE SPINAL 22G1X 1/2 A4215 $2.35 NEEDLE SPINAL-CATEG 1 $775.00 NEEDLE, MAGNUM, DISP 18GX20 C2618 $555.00 NEEDLE/INTRACATH INTRO;EXTREME 36140 $194.79 NEEDLE-CATEG 1 $256.93 NEEDLES 20G X1-1/2 (BD) A4215 $0.04 NEEDLES 25GX1-1/2 (BD) A4215 $0.05 NEEDLES 25GX5/8 (BD) A4215 $47.70 NEEDLES 26GX1/2 (BD) A4215 $0.21 NEEDLES SPINAL 18X2-1/2 (BD) A4215 $1.77 NEEDLES SPINAL 18X3 (BD) A4215 $1.66 NEEDLES SPINAL 18X3-1/2 (BD) A4215 $2.13 NEEDLES SPINAL 19X3-1/2 (BD) A4215 $1.61 NEEDLES SPINAL 20X1-1/2 (BD) A4215 $2.29 NEEDLES SPINAL 20X2-1/2 (BD) A4215 $2.35 NEEDLES SPINAL 20X3 (BD) A4215 $219.09 NEEDLES SPINAL 20X3-1/2 (BD) A4215 $2.12 NEEDLES SPINAL 22X2-1/2 (BD) A4215 $2.34 NEEDLES SPINAL 22X3 (BD) A4215 $2.03 NEEDLES SPINAL 22X3-1/2 (BD) A4215 $2.08 NEFAZODONE 100MG TAB $1.24 NEFAZODONE 150MG TAB $2.73 NEFAZODONE HCL 200MG TAB $2.73 NEGATIVE PRESSURE VENTILATION 94662 $1,197.57 NEISSERIA AMPLIF NA PROBE 87591 $85.78 NELFINAVIR 50MG/ML ORAL SOLN $5.50 NELFINAVIR MES 625MG TAB J3490 $7.37 NELFINAVIR MESYL 250MG TAB $2.90 NELFINAVIR MESYLATE 50MG/SCOOP $0.59 NEO/POLY B SULF./HC OTIC SUSP 10ML $180.95 NEO-CALGLUCON 1.8GM/5ML 480ML $0.10 NEOMY SULF/PLYMX B HC EYE DROP $3.08 NEOMY/BACITR/POLYMIX EYE OINT J3490 $5.48 NEOMY/PLYMX B HC EAR SOLUTION J3490 $9.34 NEOMY/PLYMX B HC EAR SUSPENSION $31.20 NEOMY/POLYMIX B/HC CREAM TOP $100.90 NEOMYC SUL/DEXA SOD PHOS EYE DR $12.08 NEOMYCIN SULFATE 500MG TAB $0.78 NEOMYCIN/POLYMIXIN/BACIT/HYDRO.OPH.OINT. $2.06 NEOPROFEN INJECTION $1,351.50 NEOSPORIN OPHTH. DROP $74.91 NEOSPORIN OPTH DROPS 10ML $29.55 NEOSTIGMINE 1:1000 INJ 10ML VIAL $2.05 NEOSTIGMINE 5MG/5ML SYRINGE J3490 $5.00 NEOSTIGMINEMETHYLSULFATE1:2000 J2710 $5.25 NEO-SYNEPHRIN 1% INJ 1ML VIAL J2370 $5.95 NEO-SYNEPHRINE 0.5% NASAL J3490 $1.07 NEPHELOMETRY EA ANALYTE NES 83883 $33.24 NEPHRO 10FRPERCUT LOOPCATH DRN C1726 $116.85 NEPHRO 8FR PERCUTAN CATH DRAIN C1729 $123.00 NEPHRO 8FR PERCUTAN LOOP CATH C1726 $116.85 NEPHRO CATH 10FR LOCK LOOP C1726 $135.30 NEPHRO REENTRY MALECO CATH DRN C1758 $110.70 NEPHROURETHRO STENT C2625 $9,302.40 NEPHRO-VITE $0.15 NEPTAZINE 25 MG TAB $0.53 NERV TEASING PREP 88362 $1,619.51 NERVE DESTR-PUDENDAL NERVE BLK 64430 $2,093.48 NERVE DESTR-TRIGEMINA NERVE 64600 $2,093.48 NERVE TEASING 88362 $1,619.51 NERVEANA SURGICAL KIT ET TUBE A4624 $1,361.25 NESACAINE 2% INJ 30ML VIAL $0.53 NESACAINE 3% INJ 30ML VIAL $1.91 NESIRITIDE 0.5MG VIAL INJ J2325 $627.76 NET DISP FIBER OPTIC-CATEG 1 $2,122.07 NEULASTA 6MG INJECT J2505 $16,449.99 NEUPOGEN 80MCG./ML $118.53 NEURO AGNT DEST SUP HYPOGASTRI 64681 $2,093.48 NEURO BR, LONG 3.0MM C1713 $148.50 NEURO BUR, MEDIUM 3.0MM C1713 $148.50 NEURO COARSE DIAM BUR/SUPR LNG C1713 $178.82 NEUROBEH STATUS EXW/INTER 96116 $643.62 NEUROBHVRL STATUS EX W/INTER 96116 $643.62 NEUROLASTY MEDIAN NERVE AT CAR 64721 $4,432.54 NEUROMUSC JUNC TST EA NERV 1 M 95937 $356.66 NEUROMUSCULAR IMP NEUROSTIM EL 64580 $49,702.82 NEUROMUSCULAR RE-ED 23-37MIN 97112 $76.85 NEUROMUSCULAR RE-ED 38-52MIN 97112 $76.85 NEUROMUSCULAR RE-ED 53-68MIN 97112 $76.85 NEUROMUSCULAR RE-ED 8-22 MIN 97112 $76.85 NEUROMUSCULAR RE-ED 8-22 MIN 97112 $76.85 NEURONTIN 100MG CAP J3490 $0.96 NEURONTIN 400MG CAP J3490 $2.51 NEUROPLASTY MAJ PERIPH NRV;ARM 64708 $4,432.54 NEUROPLASTY ULNAR NRV AT ELBOW 64718 $4,432.54 NEUROPLASTY UNLAR NRV AT WRIST 64719 $4,432.54 NEUROPLASTY; BRACHIAL PLEXUS 64713 $4,432.54 NEUROPLASTY; DIGITAL 1/BOTH SA 64702 $4,432.54 NEUROPLASTY; MEDIAN @ CARPAL T 64721 $4,432.54 NEUROSTIMULATOR ANALYSIS (PULS 95970 $281.09 NEUTRAPHOS 50MG/3ML $3.93 NEVIRAPINE 50MG/5ML 240ML $0.61 NEXGEN ALLPLY PAT SZ32MMx8.5MM KNEE SOL C1776 $1,702.13 NEXGEN FEM COMP PRECOAT SZ-F; LT C1776 $4,181.10 NEXGEN STEM EXT STR 13MM DIA x 100L C1776 $2,001.00 NEXIUM 20 MG. $11.00 NEXIUM IV INFUSION BAG $33.64 NG TUBE PLC W FLUORO 43752 $937.35 NIACIN 1000MG (NIASPAN) TAB PO $3.89 NIACIN 100MG $0.03 NIACIN 250MG TAB $0.89 NIACIN 500MG (NIASPAN) TAB PO $3.46 NIACIN 750MG (NIASPAN) TAB PO $2.94 NICARDEPINE 25MG/10ML IV J3490 $284.38 NICARDIPINE 20MG/ 200ML $53.00 NICARDIPINE 20MG/200ML IN NORM J3490 $13.46 NICARDIPINE 30 MG CAP $1.52 NICARDIPINE IV 20MG/200ML J3490 $1.34 NICOTINE GUM 2MG J3490 $0.43 NICOTINE LEVEL 80323 $11.99 NICU/PED3% HYPRTONC CHLR OR SO $0.99 NIFEDIPINE 10MG CAP $0.65 NIFEDIPINE 30MG TAB J8499 $2.91 NIFEDIPINE 60MG TAB SA OSM U-D J3490 $4.12 NILANDRON 50 MG TAB $6.42 NIMBEX 2MG/ML 10ML INJ $1.44 NIMODIPINE 30MG CAP J3490 $9.54 NIMODIPINE 60MG/20ML ORAL SOLUTION $1.61 NIMODIPINE 60MG/2ML; PHRM ORAL SOLN $25.00 NIPPLE EXPL W/WO EXC DUCT 19110 $7,810.24 NIPPLE/AREOLA RECON 19350 $7,810.24 NIPRIDE 50MG/2ML INJ 2ML VIAL J3490 $4.52 NISOLDIPINE 10MG TABLET PO $2.65 NISOLDIPINE 20MGTABLET PO $2.55 NISOLDIPINE 30MG TABLET PO $2.04 NISOLDIPINE 40MG TABLET PO $3.80 NITAZOXANIDE (ALINIA) 500MG. PO $22.76 NITINOL WIRE 12 X 45CM C1713 $81.00 NITINOL WIRE 12 X 45CM C1769 $81.00 NITROFURANTOIN 25MG/5ML ORAL S J3490 $0.92 NITROFURANTOIN 25MG/ML ORAL DROPS $2.70 NITROFURANTOIN MACRO 100MG J3490 $3.90 NITROGLY TRANSDRM 0.1MG/HR PAT J3490 $2.34 NITROGLY TRANSDRM 0.2MG/HR PAT J3490 $2.98 NITROGLY TRANSDRM 0.3MG/HR PATCH $2.77 NITROGLY TRANSDRM 0.4MG/HR PATCH $3.42 NITROGLYCERIN 50MG, IN, 10ML VIAL J3490 $37.67 NITROGLYCERIN INJ 50MG/10ML $71.45 NITROGLYCERIN IV 5% J3490 $46.38 NITROGLYCERIN OINT 2% $5.52 NITROGLYCERIN OINT 2% 30GMS J3490 $6.14 NITROGLYCERINE 0.2MG/ML 250ML J3490 $9.34 NITROGLYCERINE 04.MG TAB (1/15 J8499 $1.58 NITROPRUSSIDE 50MG/2ML INJ J3490 $686.40 NITROSTAT 0.3MG SL TAB 100 BOT $0.15 NITROSTAT 0.4MG SL TAB 100BOT J3490 $0.22 NJX INTERLAMINAR CRV/THRC 62321 $1,611.39 NJX INTERLAMINAR LMBR/SAC 62323 $1,611.39 NJX INTERLAMINAR LMBR/SAC 62326 $2,093.71 NJX PLATELET PLASMA 0232T $937.35 NJX PX NFROSGRM &/URTRGRM 50431 $1,434.75 NJX PX NFROSGRM &/URTRGRM 50430 $1,448.70 NMED-MYOCARDIAL 78466 $949.04 NO DRILL BIT 3.5 X 60 C1713 $531.00 NO Suture Silk 4-0 Pop-off C1713 $160.37 NOCT URETH TUMESCENCE 54250 $605.57 NOCTEC 500MG CAP $0.25 NON-ARTHROSCOPIC LYSIS AND LAVAGE D7871 $690.00 NON-CARDIAC VASCULAR FLOW IMAG 78445 $949.04 NON-DRUG DEPENDENT PLATELET AB 86022 $44.90 NON-INTRAVENOUS CONSCIOUS SEDATION D9248 $60.00 NONINVAS OXIMETRY;OVERNITE-SEP 94762 $356.66 NONINVAS OXIMETRY-O2 SAT; 1 DE 94760 $4.14 NONINVAS OXIMETRY-O2 SAT; MX D 94761 $32.37 NONINVAS STDY XTRACRAN ART BIL 93880 $600.78 NONINVAS STDY-UP/LO EXTM ART 1 93922 $281.09 NONINVAS STDY-UP/LO EXTM ART M 93923 $356.66 NONINVASIV PHYSIOL STDY-LO EXT 93924 $356.66 NON-LOCKING SCREW 2.3MM X 10 C1713 $124.32 NONLOCKING SCREW 22MM C1713 $43.04 NONMEDICARE DEFINITY Q9957 $250.89 NONPRESS INHALA TX ACUT AIRWAY 94640 $474.25 NON-RAD DX ANESTH < 15 MINUTES $59.95 NON-RAD DX ANESTH 106 - 120 M $479.60 NON-RAD DX ANESTH 121 - 135 M $539.55 NON-RAD DX ANESTH 136 - 150 M $599.50 NON-RAD DX ANESTH 151 - 165 M $659.45 NON-RAD DX ANESTH 16 - 30 MIN $119.90 NON-RAD DX ANESTH 166 - 180 M $719.40 NON-RAD DX ANESTH 181 - 195 M $779.35 NON-RAD DX ANESTH 196 - 210 M $839.30 NON-RAD DX ANESTH 211 - 225 M $899.25 NON-RAD DX ANESTH 226 - 240 M $959.20 NON-RAD DX ANESTH 241 - 255 M $1,019.15 NON-RAD DX ANESTH 256 - 270 M $1,079.10 NON-RAD DX ANESTH 271 - 285 M $1,139.05 NON-RAD DX ANESTH 286 - 300 M $1,199.00 NON-RAD DX ANESTH 301 - 315 M $1,258.95 NON-RAD DX ANESTH 31 - 45 MIN $179.85 NON-RAD DX ANESTH 316 - 330 M $1,318.90 NON-RAD DX ANESTH 331 - 345 M $1,378.85 NON-RAD DX ANESTH 346 - 360 M $1,438.80 NON-RAD DX ANESTH 361 - 375 M $1,498.75 NON-RAD DX ANESTH 376 - 390 M $1,558.70 NON-RAD DX ANESTH 391 - 405 M $1,618.65 NON-RAD DX ANESTH 406 - 415 M $1,678.60 NON-RAD DX ANESTH 406 - 415 M $1,798.50 NON-RAD DX ANESTH 446 - 460 M $1,858.45 NON-RAD DX ANESTH 46 - 60 MIN $239.80 NON-RAD DX ANESTH 461 - 475 M $1,918.40 NON-RAD DX ANESTH 476 - 495 M $1,978.35 NON-RAD DX ANESTH 496 - 510 M $2,038.30 NON-RAD DX ANESTH 511 - 525 M $2,098.25 NON-RAD DX ANESTH 526 - 540 M $2,158.20 NON-RAD DX ANESTH 541 - 555 M $2,218.15 NON-RAD DX ANESTH 556 - 570 M $2,278.10 NON-RAD DX ANESTH 571 - 585 M $2,338.05 NON-RAD DX ANESTH 586 - 600 M $2,398.00 NON-RAD DX ANESTH 61 - 75 MIN $299.75 NON-RAD DX ANESTH 76 - 90 MIN $359.70 NON-RAD DX ANESTH 91 - 105 MI $419.65 NON-REBREATH OXYGN FACE MASK;P 94450 $356.66 NON-RENAL EM 88348 $1,619.51 NON-ROUTINE BLOOD DRAW; 3+YRS 36410 $20.57 NON-SEL WND DEBR-NO ANES 97602 $450.45 NONSELECTIVE CATH INTRO - AORT 36200 $303.05 NON-SELECTIVE CATH PLACEMENT I 36000 $47.96 NOREPINEPHRINE 4MG/4ML INJ J3490 $29.04 NOREPINEPHRINE BIT 1MG/ML INJ 4ML $17.43 NOREPINEPHRINE IV 16MG J3490 $50.05 NOREPINEPHRINE PREMIXED IV J3490 $53.04 NORG/ETHINYL ESTRADIOL $1.81 NORGEST-ET ESTRA 0.5/0.05 BC TB $1.61 NORIAN DELIVERY NEEDLE C2618 $55.50 NORMLGEL 0.17 OZ. (5GM) $61.66 NORPACE 80299 $41.01 NORTRIPTYLINE HCL 10MG CAP $0.55 NORTRIPTYLINE HCL 25MG CAP J3490 $0.84 NORTRIPTYLINE HCL 50MG CAP $1.68 NORTRIPTYLINE HCL 75MG CAP $2.21 NORTRIPYLINE 80335 $11.99 NORVASC 10MG TAB J3490 $3.01 NORVASC 2.5MG TAB J3490 $2.22 NORVASC 5MG TAB J3490 $2.16 NORVIR 100MG CAP $2.77 NOT IN USE $45.81 NOVOLIN 70/30 INSULIN VIAL J1815 $36.35 NRG CEMENTED FEMUR&TIB X3 INS&PATELLA C1776 $5,649.98 NRMSL M/DEX 5% 1000 #7965-09 $2.58 NRMSL M/DEX 5% 500 #7965-03 $1.97 NRPSYC TST EVAL PHYS/QHP EA 96133 $381.81 NRV CONDUCT TEST;>13 STUDIES 95913 $1,251.91 NRV CONDUCT TEST;11-12 STUDIES 95912 $1,251.91 NRV CONDUCT TEST;1-2 STUDIES 95907 $356.66 NRV CONDUCT TEST;3-4 STUDIES 95908 $652.50 NRV CONDUCT TEST;5-6 STUDIES 95909 $652.50 NRV CONDUCT TEST;7-8 STUDIES 95910 $652.50 NRV CONDUCT TEST;9-10STUDIES 95911 $1,251.91 NRV GRFT SING ARM/LEG; UP TO 64892 $14,202.34 NRV REP W ALLOGRAFT; EACH 64910 $14,202.34 NRV RPR W/NRV ALGRFT 1ST 64912 $14,202.34 NRV RPR W/NRV ALGRFT EA ADDL 64913 $390.83 NRVEGRAFT 2-3MM DIA 50MM LNGTH C1768 $3,225.00 NS 100ML ADDVANTAGE BAG J7060 $1.50 NS 50ML ADDVANTAGE BAG J7060 $1.50 NS+KPO4 20MEQ+K.ACETATE 20MEQ J3490 $50.00 NSL/SINS NDSC SPHN TISS RMVL 31259 $14,025.37 NSL/SINS NDSC TOT W/SPHENDT 31257 $14,025.37 NSL/SINS NDSC TOTAL 31253 $14,025.37 NSL/SINUS ENDO; W BX POLYCTMY 31237 $3,688.15 NSL/SNUS ENDO W MED&INF ORBTL 31293 $14,025.37 NSL/SNUS ENDO W MED/INF ORBTL 31292 $14,025.37 NSTM ANAL-PLS GN/TRANS W INTRO 95971 $292.40 NSTM ANL-PLS GN/TRN W INTROP/S 95972 $292.40 NTG 0.125 (6 GRAM) OINTMENT $0.10 NUCALA INJ 1MG J2182 $79.75 NUMERAL HEAD 16 X 38 $575.00 NUMERAL STEM 8 X 145 $3,577.50 NURSERY $525.00 NURSERY LEVEL 4 (NICU) $3,225.00 NUT LOCK-CATEG 1 $345.04 NUT OUTER-CATEG 1 $390.00 NUTRISOURCE FIBER $0.50 NUTRITION - TELEPHONE 11-20MI 97803 $65.30 NUTRITION COUNSELING 97802 $77.12 NUTRITION COUNSELING 97802 $77.12 NUTRITION COUNSELING 97802 $77.12 NUTRITION -TELEPHONE 21-30MIN 97804 $36.05 NUTRITION TELEPHONE 5-10 MIN 97802 $77.12 NUTRITIONAL COUNSELING D1310 $78.00 NUTRITION-TELEPHONE 21-30 MIN 97802 $77.12 NUTRITION-TELEPHONEá 11-20 MIN 97802 $77.12 NYLON BLACK MONO $80.03 NYSTATIN 100,000 UNIT/GM OINT 15GM $3.80 NYSTATIN 100,000 UNIT/ML ORAL J3490 $1.10 NYSTATIN 100,000 UNITS/G. TOPICAL POWDER $4.66 NYSTATIN 100,000 UNITS/ML $4.40 NYSTATIN 100,000UNIT/GM CREAM 15GM $4.31 NYSTATIN 500,000 UNIT PO TABLET $2.47 NYSTATIN VAGINAL TABLET $3.22 O. R. - TBE THORACOSTMY W/WO W 32551 $4,205.10 O/P SURGERY < 15 MINUTES $539.55 O/P SURGERY 106 - 120 MINUTES $4,316.40 O/P SURGERY 121 - 135 MINUTES $4,855.95 O/P SURGERY 136 - 150 MINUTES $5,395.50 O/P SURGERY 151 - 165 MINUTES $5,935.05 O/P SURGERY 16 - 30 MINUTES $1,079.10 O/P SURGERY 166 - 180 MINUTES $6,474.60 O/P SURGERY 181 - 195 MINUTES $7,014.15 O/P SURGERY 196 - 210 MINUTES $7,553.70 O/P SURGERY 211 - 225 MINUTES $8,093.25 O/P SURGERY 226 - 240 MINUTES $8,632.80 O/P SURGERY 241 - 255 MINUTES $9,172.35 O/P SURGERY 256 - 270 MINUTES $9,711.90 O/P SURGERY 271 - 285 MINUTES $10,251.45 O/P SURGERY 286 - 300 MINUTES $10,791.00 O/P SURGERY 301 - 315 MINUTES $11,330.55 O/P SURGERY 31 - 45 MINUTES $1,618.65 O/P SURGERY 316 - 330 MINUTES $11,870.10 O/P SURGERY 331 - 345 MINUTES $12,409.65 O/P SURGERY 346 - 360 MINUTES $12,949.20 O/P SURGERY 361 - 375 MINUTES $13,488.75 O/P SURGERY 376 - 390 MINUTES $14,028.30 O/P SURGERY 391 - 405 MINUTES $14,567.85 O/P SURGERY 406 - 415 MINUTES $15,107.40 O/P SURGERY 416 - 430 MINUTES $15,646.95 O/P SURGERY 431 - 445 MINUTES $16,186.50 O/P SURGERY 446 - 460 MINUTES $16,726.05 O/P SURGERY 46 - 60 MINUTES $2,158.20 O/P SURGERY 461 - 475 MINUTES $17,265.60 O/P SURGERY 476 - 495 MINUTES $17,805.15 O/P SURGERY 496 - 510 MINUTES $18,344.70 O/P SURGERY 511 - 525 MINUTES $18,884.25 O/P SURGERY 526 - 540 MINUTES $19,423.80 O/P SURGERY 541 - 555 MINUTES $19,963.35 O/P SURGERY 556 - 570 MINUTES $20,502.90 O/P SURGERY 571 - 585 MINUTES $21,042.45 O/P SURGERY 586 - 600 MINUTES $21,582.00 O/P SURGERY 61 - 75 MINUTES $2,697.75 O/P SURGERY 76 - 90 MINUTES $3,237.30 O/P SURGERY 91 - 105 MINUTES $3,776.85 O2 CONC CAPABL 85%/> O2 @PRSC RATE E1390 $1,066.40 O2 UPTAKE EXPIRED GAS; REST-SP 94690 $86.20 OB US; NUCHAL MEAS; 1 GEST 76813 $288.95 OB US; NUCHAL MEAS; EA ADDL GE 76814 $55.00 OBSERVATION OVER 8 HOURS G0378 $225.00 OBSTETRICS PRIVATE ROOM $3,900.00 OBSTETRICS SEMI PRIVATE ROOM $2,250.00 OBTAIN SCREEN PAP SMEAR Q0091 $59.25 OBTURATOR FLEX CRV DRILL GUIDE C1713 $223.50 OBTURATOR FLEX,CURV DRILL GUID C1713 $223.50 Obturator prosthesis, interim D5936 $6,980.00 Obturator prosthesis, surgical D5931 $4,190.00 Obturator prosthesis,definitive D5932 $7,837.00 OBTURATOR TWIST CANN 8.5X72MM C1713 $624.00 Occlsl grd-hrd applnce fularch D9944 $490.00 Occlsl grdsft applnce fullarch D9945 $490.00 OCCLUDE FALLOPIAN TUBES BY DEV 58615 $6,440.19 Occlusal adjustment-complete D9952 $644.00 Occlusal adjustment-limited D9951 $115.00 Occlusal analysis-mounted case D9950 $252.00 OCCLUSAL ORTHOTIC APPLIANCE D7880 $827.00 OCCULT BLD FECES 1-3 TESTS 82272 $9.31 OCCULT BLOOD GASTRIC FLUID 82270 $9.64 OCCULT BLOOD STOOL 82270 $9.64 OCCULT BLOOD STOOL 82270 $9.64 OCCULT BLOOD STOOL. 82270 $9.64 OCCULT BLOOD URINE 82270 $9.64 OCCULT BLOOD URINE 82271 $11.70 Ocrelizumab 300 mg/10mL $0.10 OCREVUS 1MG J2350 $143.00 OCT/GDX SCAN COMP DIAG IMAGING 92133 $161.31 OCTREOTIDE 200MCG/ML INJ J2354 $50.11 OCTREOTIDE ACETATE (SANDOSTATIN) 30MG. $8,160.48 OCTREOTIDE ACETATE (SANTODTATIN) 10MG. $4,276.91 OCTREOTIDE ACETATE (SANTODTATIN) 20 MG $4,588.89 OCUL RECONST LIMBL STEM CELL A 65781 $9,843.75 OCUL SURF RECONST AM TRANSPL 65780 $8,061.64 OCULAR LIMBAL CONJ AUTOGRAFT 65782 $8,061.64 ODC HIP STEM $512.50 ODEFSEY $30.00 Odontoplasty 1-2 teeth-rmv enam D9971 $62.00 OFC/OUTPT E&M ESTAB 5 MIN 99211 $325.00 OFC/OUTPT E&M ESTAB 5 MIN 99211 $325.00 OFC/OUTPT E&M ESTAB 5 MIN 99211 $325.00 OFC/OUTPT E&M ESTAB 5 MIN 99211 $325.00 OFC/OUTPT E&M ESTAB LOW-MOD 15 99213 $373.00 OFC/OUTPT E&M ESTAB MINOR 10 M 99212 $342.00 OFC/OUTPT E&M ESTAB MINOR 10 M 99212 $342.00 OFC/OUTPT E&M ESTAB MINOR 10 M 99212 $342.00 OFC/OUTPT E&M ESTAB MINOR 10 M 99212 $342.00 OFC/OUTPT E&M ESTAB MOD-HI 25 99214 $403.00 OFC/OUTPT E&M ESTAB MOD-HI 40 99215 $436.00 OFC/OUTPT E&M NEW LOW-MOD 20 M 99202 $342.00 OFC/OUTPT E&M NEW LOW-MOD 20 M 99202 $342.00 OFC/OUTPT E&M NEW LOW-MOD 20 M 99202 $342.00 OFC/OUTPT E&M NEW LOW-MOD 20 M 99202 $342.00 OFC/OUTPT E&M NEW MINOR 10 MIN 99201 $325.00 OFC/OUTPT E&M NEW MOD-HI 45 MI 99204 $403.00 OFC/OUTPT E&M NEW MOD-HI 60 MI 99205 $436.00 OFC/OUTPT E&M NEW MOD-SEVER 30 99203 $373.00 OFF HOUR SRV EVE/WKND/HOLIDAY 99051 $316.10 OFF SITE E/M ESTAB LOW-MOD 15M 99213 $373.00 OFF SITE E/M ESTAB MINOR 10MIN 99212 $342.00 OFF SITE E/M ESTAB MOD-HI 25MI 99214 $403.00 OFF SITE E/M ESTAB MOD-HI 40MI 99215 $436.00 OFF SITE OUTPT E/M ESTAB 5 MIN 99211 $325.00 OFFIC SERV PROVID-EMER BASIS 99058 $83.93 Office visit-after regular hrs D9440 $210.00 OFFSET LINERS 7MM C1776 $1,995.00 OFLOXACIN 0.3% EYE DROP J3490 $55.09 OFLOZACIN EYEDROPS 0.3% J3490 $51.57 OHD SERUM 82306 $72.36 OLANZAPINE (ZYPREXA) 10MG TAB J3490 $11.46 OLANZAPINE 10MG (ZYPREXA) 10MG J3490 $26.62 OLANZAPINE 10MG (ZYPREXA-ZYDIS J3490 $15.22 OLANZAPINE 10MG CAP $17.51 OLANZAPINE 15MG (ZYPREXA-ZYDIS J3490 $21.99 OLANZAPINE 15MG TAB (ZYPREXA) J3490 $8.46 OLANZAPINE 2.5MG TAB J3490 $8.27 OLANZAPINE 20MG (ZYPREXA-ZYDIS J3490 $29.54 OLANZAPINE 20MG TAB (ZYPREXA) J3490 $31.98 OLANZAPINE 5MG (ZYPREXA-ZYDIS) J3490 $10.24 OLANZAPINE 5MG CAP J3490 $3.53 OLANZAPINE 7.5MG CAP $3.72 OLIGOCLONAL BANDS 83916 $60.26 OLOPATADINE 0.1% EYE DROP $19.10 OLOPATADINE DROPS 0.1% J3490 $627.00 OMEGA PLUS LAG SCREW C1713 $459.00 OMEPRAZOLE 40 MG. PO $0.26 OMEPRAZOLE 40 MG/SOD.BICRB. POWER $6.82 OMERPRAZOLE 20MG CAP $5.40 OMIFLO SEC SET #1139-48 $172.11 OMISCAN 20ML PREFILLED SYRINGE A9579 $125.58 OMN MAX ARCH BAR C1713 $892.50 OMNI MAX SCREW C1713 $292.50 OMNIFIT HIP STEM C-TAPER 25MM C1776 $1,265.81 OMNIPAQUE 200-299MG IODINE,1ML Q9966 $2.07 OMNIPAQUE 240MG/50 ML Q9966 $2.07 OMNIPAQUE 300-399MG IODINE,1ML Q9967 $2.45 OMNIPAQUE 300MG/50ML Q9967 $2.45 OMNIPAQUE 300MGL/ML,500ML PLUS Q9967 $2.67 OMNIPAQUE 350MG/100ML Q9967 $0.33 OMNIPAQUE 350MG/150ML Q9967 $2.45 OMNIPAQUE 350MG/50ML Q9967 $2.67 OMNIPAQUE 350MGL/ML, 500ML PLU Q9967 $0.33 OMNISCAN 20 ML VIALS A9579 $123.53 OMNISCAN INJECTION SOLUTION, PER UNIT A9579 $7.27 OMNISCAN INJECTION, PER UNIT A9579 $7.27 ONCAGENE EXPRESSION 88342 $369.93 ONDANESTRON HYDROLCHL 8MG Q0162 $80.66 ONDANSETRON 2MG/ML (20MG VIAL) Q0162 $0.31 ONDANSETRON 4MG TABLET $45.25 ONDANSETRON ODT 4MG PO Q0162 $9.33 ONDASETRON 2MG/2.5ML LIQUID Q0162 $6.12 ONLAY PORCELAIN/CERAMIC 2 SURFACES D2642 $735.00 ONLAY PORCELAIN/CERAMIC 3 SURFACES D2643 $770.00 Onlay-cast high nob met 3+surf D6611 $290.00 Onlay-cast high nobl met,2surf D6610 $280.00 Onlay-cast noble metal 3+ surf D6615 $290.00 Onlay-cast noble metal, 2 surf D6614 $280.00 Onlay-cast predomnt base 2surf D6612 $280.00 Onlaycast predomnt base,3+surf D6613 $290.00 Onlay-metallic-four + surfaces D2544 $980.00 Onlay-porcel/ceram-4 + surface D2644 $840.00 Onlay-porcelain/ceramic 2 surf D6608 $280.00 Onlay-porcelain/ceramic 3+surf D6609 $290.00 Onlay-resin base composite-4+s D2664 $200.00 Onlay-resin based composite-2s D2662 $150.00 Onlay-resin based composite-3s D2663 $175.00 Onlay-titanium D6634 $300.00 ON-Q CATHETER PUMP C1772 $412.50 ON-Q PAIN BUSTER 100ML,2ML/HR C1751 $180.00 ON-Q SILVERSOAK 2.5" CATHEEXPANS KIT C1751 $76.69 ON-Q SILVERSOAKER 2.5" CATH EXPAN KIT C1751 $76.69 ON-Q SILVERSOAKER CATH EXPANS KIT 5.0 C1751 $93.00 ON-Q SILVERSOAKR CATH KIT 5" 400MLX4ML A4306 $443.70 ON-Q SILVERSOKR CATH KIT 5 270MLX4ML A4306 $269.63 ON-Q SILVRSOAKR 400ML CATH KIT C1887 $443.70 ON-Q SILVRSOAKR 5 CATH EXP KIT C1887 $93.00 ON-Q SOAKER 6.5 PUMP MGMT SYS C1772 $220.80 ON-Q SOAKER PUMP 400MLX5ML 10"CATH C1751 $517.50 ON-Q SOAKER PUMP MANGMENT SYSTEM C1772 $220.80 ON-Q SOAKER PUMP MGMT SYS C1772 $517.50 On-Q Soaker Pump Mgmt Sys 3 A4306 $517.50 ON-Q SOAKER PUMP MGMT SYSTEM A4306 $262.50 ON-Q SOAKER PUMP MGMT SYSTEM C1772 $330.00 ON-Q SOAKER PUMP MGMT SYSTEM 270ML C1772 $255.30 ON-Q SOAKER PUMP MGMT SYSTEM 5/BX C1772 $330.00 ON-Q SOAKER PUMP MGMT SYSTMEM 400ML A4306 $2,287.50 ONSJ PICC RS&I 5 YR+ 36573 $4,205.10 OOD Conner Anes Cannula 1 C1713 $31.50 OOD Curved Cannula 3mm C1713 $78.75 OOD Dilator Provox C1726 $107.00 OOD Fiber PDT Extend Insert C1713 $742.50 OOD Fixation Bolt $363.00 OOD Hoffer Marker A4648 $385.50 OOD Liner Metal C1776 $2,850.00 OOD Merlin Applicator 39mL $204.20 OOD MICRO AT2 DRILL C1713 $792.00 OOD On-Q Soaker 2 A4306 $220.80 OOD Pad Arm Board L3740 $203.85 OOD Pad Electrosurgical Univ $147.00 OOD Proceed Mesh 7.5x15cm C1781 $470.91 OOD Protector Scope Guard C1714 $63.00 OOD Ring 165mm $534.00 OOD Sheath Replacement Coil C1725 $93.36 OOD Sleeve Taper $140.40 OOD Sling System FGS Sparc C1771 $1,192.50 OOD Suction Tip Poole A4626 $111.39 OOD Trach Tube Ped Neo A4624 $47.40 OOD Trocar Transobturator C1713 $245.78 OOD Tube Salem Sump 1 $149.51 OOPHORECTOMY;MALIGNANCY 58943 $2,543.71 OP AV ANASTOM;UP ARM;CEPHALIC 36818 $11,849.09 OP BX/EXC LYMPH NODES;DEEP;AXI 38525 $7,810.24 OP EXC ABD TUMOR;DIAM 5CM OR L 49203 $2,597.67 OP ILIAC ART-DELIV PROSTH/OCCL 34820 $756.82 OP INC FINGER FLEXOR 26455 $3,494.24 OP INC FOOT/TOE EXT TENDON 28234 $3,494.24 OP REPR AO ANEUR; AORTO-BIFEMO 34832 $4,090.48 OP REVISE AV FIST W THROMBECT 36833 $11,849.09 OP REVISE TENDON;ELBOW TO SHLD 24310 $7,057.23 OP TREAT FX RADIAL; 3SCAPULA; PARTIAL 23190 $7,057.23 OSTEO 2.3 SUT ANCH W/1UB CURV C1713 $150.00 OSTEO 2.3MM CURVE W/ULTRABRAID C1713 $622.13 OSTEO SET BONE VOID FILLER PEL $1,245.13 OSTEOCALCIN 86318 $39.80 OSTEOCALCIN 83937 $72.95 OSTEOCALCIN LAB 83937 $72.95 OSTEOCHNDR ALLGRF KNEE W SCOPE 29867 $30,680.34 OSTEON RND BUR 6.0MM FLUTE SFT C1713 $212.09 OSTEONICS CALCELLOUS BONE SCREW 20MM C1713 $162.90 OSTEOPATHIC MANIP 1-2 BODY REG 98925 $77.34 OSTEOPATHIC MANIP 3-4 BODY REG 98926 $77.34 OSTEOPATHIC MANIP 5-6 BODY REG 98927 $77.34 OSTEOPATHIC MANIP 7-8 BODY REG 98928 $77.34 OSTEOPATHIC MANIP 9-10 BODY RE 98929 $77.34 OSTEOPLASTY FACIAL BONES; AUG 21208 $12,504.78 OSTEOPLASTY MANDIBLE D7940 $4,900.00 OSTEOPLSTY; FACIAL BONES; REDU 21209 $12,504.78 OSTEORAPTOR 2.3 W. UB COBRAID C1713 $500.85 OSTEORAPTOR 2.3MMCURVW/ULTRABR C1887 $647.33 OSTEOTOME $297.93 OSTEOTOME STRGHT GRAY C1713 $346.50 OSTEOTOMY LEFORTE 1 D7946 $13,803.00 OSTEOTOMY MANDBLE; SEGMNTAL 21198 $12,504.78 OSTEOTOMY MANDIBLE SEGMENTAL 21198 $12,504.78 OSTEOTOMY MAXILLA SEGMENTAL 21206 $12,504.78 OSTEOTOMY MAXILLA; SEGMNTAL 21206 $12,504.78 OSTEOTOMY RAMUS EXTRAORAL OPEN D7941 $10,839.00 OSTEOTOMY SEGMENTAL D7944 $10,066.00 OSTEOTOMY; METACARPAL EA 26565 $7,057.23 OSTEOTOMY;CALCANEUS 28300 $15,421.60 OSTEOTOMY;TIBIA 27705 $15,421.60 Osteotomy-body of mandible D7945 $11,169.00 Osteotomy-mand rami w/ graft D7943 $11,290.00 OSTMY 2PC 1-3/4BARRIER $1.48 OSTMY 2PC 2-1/4BARRIER A4414 $1.18 OSTMY 2PC 2-3/4BARRIER A4414 $1.18 OSTMY 2PC 4BARRIER A4415 $2.56 OSTMY BAG 1-3/4 2PC $0.94 OSTMY BAG 2-1/4 2PC $0.93 OSTMY BAG 2-3/4 2PC $0.74 OSTMY BAG 42 PC A5063 $1.14 OSTMY BAG CLAMP $2.55 OSTMY BARRIER-CATEG 1 $5,292.89 OT EVAL HIGH COMPLEX 45 MIN 97167 $197.25 OT EVAL HIGH COMPLEX 45 MIN 97167 $197.25 OT EVAL LOW COMPLEX 20 MIN 97165 $198.00 OT EVAL MOD COMPLEX 30 MIN 97166 $197.25 OT EVAL MOD COMPLEX 30 MIN 97166 $197.25 OT RE-EVAL EST PLAN CARE 97168 $136.44 OT RE-EVAL EST PLAN CARE 97168 $136.44 OTHER O+P 87177 $21.76 OTHER PERIPHERAL NERVE BRANCH 64450 $1,611.39 OTHER PERIPHERAL NERVE DESTRC 64640 $2,093.48 Other TMJ films, by report D0321 $252.00 OTOLARYNGOLOGIC EXAM W/ANESTH 92502 $1,138.76 OTOLOGICAL VENT TUBE W/OUTWIRE A4624 $67.50 OTPLSTY PROTRUDING EAR W/WO SZ 69300 $6,752.59 OTW FEMORAL SYS. GREENFIELD FILTER $2,327.50 OUTPAT E/M ESTAB - 5 MIN 99211 $325.00 OUTPAT E/M ESTAB LOW MOD;15MIN 99213 $373.00 OUTPAT E/M ESTAB LOW-MOD - 15 99213 $373.00 OUTPAT E/M ESTAB LOW-MOD - 15 99213 $373.00 OUTPAT E/M ESTAB LOW-MOD - 15 99213 $373.00 OUTPAT E/M ESTAB LOW-MOD - 15 99213 $373.00 OUTPAT E/M ESTAB MINOR - 10 M 99212 $342.00 OUTPAT E/M ESTAB MINOR;10MIN 99212 $342.00 OUTPAT E/M ESTAB MOD-HI - 25 99214 $403.00 OUTPAT E/M ESTAB MOD-HI - 25 99214 $403.00 OUTPAT E/M ESTAB MOD-HI - 25 99214 $403.00 OUTPAT E/M ESTAB MOD-HI - 25 99214 $403.00 OUTPAT E/M ESTAB MOD-HI - 40 99215 $436.00 OUTPAT E/M ESTAB MODHI;40MIN 99215 $436.00 OUTPAT E/M ESTAB MODHI;40MIN 99215 $436.00 OUTPAT E/M ESTAB MODHI;40MIN 99215 $436.00 OUTPAT E/M ESTAB MODHI;40MIN 99215 $436.00 OUTPAT E/M ESTAB;5MIN 99211 $325.00 OUTPAT E/M NEW LOW MOD 20MIN 99202 $342.00 OUTPAT E/M NEW LOW-MOD - 20 M 99202 $342.00 OUTPAT E/M NEW MINOR - 10 MIN 99201 $325.00 OUTPAT E/M NEW MINOR;10MIN 99201 $325.00 OUTPAT E/M NEW MINOR;10MIN 99201 $325.00 OUTPAT E/M NEW MINOR;10MIN 99201 $325.00 OUTPAT E/M NEW MINOR;10MIN 99201 $325.00 OUTPAT E/M NEW MOD SEVER 30MIN 99203 $373.00 OUTPAT E/M NEW MOD SEVER 30MIN 99203 $373.00 OUTPAT E/M NEW MOD SEVER 30MIN 99203 $373.00 OUTPAT E/M NEW MOD SEVER 30MIN 99203 $373.00 OUTPAT E/M NEW MOD-HI - 45 MI 99204 $403.00 OUTPAT E/M NEW MOD-HI - 60 MI 99205 $436.00 OUTPAT E/M NEW MODHI;45MIN 99204 $403.00 OUTPAT E/M NEW MODHI;45MIN 99204 $403.00 OUTPAT E/M NEW MODHI;45MIN 99204 $403.00 OUTPAT E/M NEW MODHI;45MIN 99204 $403.00 OUTPAT E/M NEW MODHI;60MIN 99205 $436.00 OUTPAT E/M NEW MODHI;60MIN 99205 $436.00 OUTPAT E/M NEW MODHI;60MIN 99205 $436.00 OUTPAT E/M NEW MODHI;60MIN 99205 $436.00 OUTPAT E/M NEW MOD-SEVER - 30 99203 $373.00 OVAL CARBIDE BUR 4.0MM C1713 $48.65 OVAL CARBIDE BURS 4.0MM C1713 $51.98 OVARIAN CYSTECTOMY;UNI/BILATER 58925 $11,012.14 Overdenture Complete Manib D5865 $1,000.00 Overdenture Complete Max D5863 $1,000.00 Overdenture Partial Mandib D5866 $750.00 Overdenture Partial Max D5864 $750.00 OXACILLIN 1GM ADDVANTAGE VIAL J2700 $13.61 OXACILLIN 50MG/ML NICU 5ML $13.00 OXACILLIN SOD 1GM INJ $5.98 OXALATE (UR) 83945 $31.79 OXALIPLATIN 0.5 MG INJECT J9263 $2.64 OXALIPLATIN 50MG IV $14.65 OXCARBAZEPINE 80299 $41.01 OXCARBAZEPINE 150MG TAB J3490 $1.47 OXCARBAZEPINE 300MG TABLET U-D J3490 $3.84 OXCARBAZEPINE 600MG TAB $4.94 OXCARBAZEPINE PO LIQ 300MG/5ML J3490 $2.60 OXCARBAZEPINE; QUANT 80183 $32.41 OX-CELL HEMOLYSIS TEST 86309 $15.80 OXINIUM HEAD 32MM C1776 $2,900.63 OXYBUTYNIN 10MG TAB PO SA $9.46 OXYBUTYNIN 15MG TAB PO SA $9.70 OXYBUTYNIN 5MG TAB PO SA $3.80 OXYBUTYNIN CHLORIDE 5MG TAB J3490 $0.49 OXYCODONE 80307 $142.23 OXYCODONE 160MG TB PO $36.41 OXYCODONE HCL 80MG SR UD 12H $11.70 OXYCODONE IR 30MG PO $0.50 OXYCODONE IR 5MG C. J3490 $0.45 OXYCONTIN 10MG SR UD TAB. 12H J3490 $1.91 OXYCONTIN 20MG TAB UD J3490 $3.67 OXYCONTIN 30MG TABLET J3490 $12.80 OXYCONTIN 40MG SR TAB $6.34 OXYGEN VIA VENTURI MASK 94799 $356.66 OXYMETAZOLINE NASAL SPRAY J3490 $12.44 OXYTOCIN 10 UNIT/500ML IVPB J2590 $26.54 OXYTOCIN 10 UNITS/500 ML LACTA $25.00 OXYTOCIN 30 UNIT/1000ML IVPB J2590 $46.37 OXYTOCIN 30 UNITS/ML 1000ML LR J2590 $20.00 OXYTOCIN CHALLENGE TEST 59020 $428.08 P/P OFF/OP VIST E/M 10MIN 99212 $342.00 P/P OFF/OP VIST E/M 15 MIN 99213 $373.00 P/P OFF/OP VIST E/M 25 MIN 99214 $403.00 P/P OFF/OP VIST E/M 40MIN 99215 $436.00 P/P OFF/OP VIST E/M 5 MIN 99211 $325.00 P24 AG 87390 $52.93 P24 ANTIGEN;1 87390 $52.93 P-32 CHROMIC PHOSPHATE 15 MCI A9564 $170.60 P-32 SODIUM PHOSPHATE 5 MCI A9563 $1,606.07 P3-ANTIBODY ID 86021 $36.81 PAC GUIDEWIRE PAC LATEX FREE C1713 $415.80 PACEMAKER IMPLANTABLE-CATEG 1 C1785 $21,262.85 PACEMAKER OTHER THAN SGL/DUAL C2621 $11,347.50 PACEMAKR PREPERITON BALL DISEC C1785 $2,780.93 PACHYMETRY 76514 $59.25 PACK ALGO COLORADO-CATEG 1 $822.50 Pack Eye Panel w/utility drape $7.01 PACK PIK-PAK EYE-CATEG 1 $231.00 PACKS HOT-CATEG 1 $805.00 PACKS-CATEG 1 $6,659.38 PACLITAXEL PER 1 MG J9267 $1.18 PACLITAXEL SEMI SYNTH 30MG/5ML $56.11 PACLITAXEL SEMI SYNTH PER 1MG $8.85 PAD TELFA-CATEG 1 $4,666.67 PAD-OVAL EYE $0.28 PADS BREAST $0.11 PAK BASIC-CATEG 1 $325.00 PAKS CYSTO-CATEG 1 $862.50 PAKS VFC INJCTR/EXTRCTN-CATEG 1 $417.86 PALATOPHARYNGOPLASTY 42145 $12,504.78 PALIPERIDONE (INVEGA ) 3 MG. $13.42 PALIPERIDONE (INVEGA ) 6 MG. $13.30 PALIPERIDONE (INVEGA) 9 MG. $19.62 PALIVIZUMAB 100MG/1ML IM $1,981.25 PALIVIZUMAB 50MG/0.5ML IM $1,865.33 PALIVIZUMAG 100MG VIAL IM $1,778.40 PALIVIZUMAG 50MG VIAL IM $784.14 PALM RELEASE W/EA ADDTL DIGIT 26125 $592.39 PALM W SGL DIGIT RELEASE 26123 $7,057.23 PALMAZ STNT 40MM UNMOUNTED; XL C1877 $2,700.00 PALMAZ-SCHATZ STENT 6-10MM C1877 $2,700.00 PALONOSETRON (ALOXI) J2469 $13.50 PANCREATCTMY WO PANCREATJEJUNO 48140 $3,398.38 PANCREATIC POLYPEPTIDE 84110 $20.64 PANCRELIPASE PO $9.42 PANCURONIUM 2MG/ML $4.20 PANHEMATIN, PER 1MG J1640 $59.60 PANTOPRAZOLE 40 MG/50ML $0.50 PANTOPRAZOLE 40MG SUSPENSION $1.75 PANTOPRAZOLE 40MG TAB PO C9113 $0.17 PANTOPRAZOLE 80MG/100ML IV BAG C9113 $3.00 PANTOPRAZOLE IV 40MG C9113 $24.64 PAP AUT THIN LAY PREP MAN SCRN 88143 $50.69 PAP INTERPRETATION BY MD 88141 $76.64 PAP SMEAR 88150 $32.98 PAP:REPEAT SCREEN AND RESCREEN 88153 $52.87 PAPAIN/UREA OINTMENT $2.46 PAPAVERINE 30MG INJ J2440 $49.77 PAPAVERINE 30MG/ML 2ML AMP J2440 $1.83 PAPAVERINE HCL150 SR CAP $0.55 PAPILLOMAVIRUS AMPLIF NA PROBE 87624 $85.78 PARACENT ANT EYE; W REM BLOOD 65815 $5,212.42 PARACENTESIS/REMOV/OF ANT HYA 65810 $5,212.42 PARACERVICAL NERVE 64435 $1,611.39 PARAFFIN BATH 97018 $12.83 PARAGARD-CATEG 1 A4264 $2,982.96 PARASITE IDENT 87177 $21.76 PARASITIC SEROLOGY 86317 $36.63 PARATHYROID AUTOTRANSPLNTATION 60512 $526.81 PARATHYROID IMAGING 78070 $949.04 PARATHYROID NUCLEAR IMAGING 78070 $949.04 PARATHYROIDECT 60500 $12,504.78 PARATHYROIDECTOMY/EXPL RE-EXPL 60502 $12,504.78 PAREGORIC LIQ 2MG/5ML 480ML $0.90 PARICALCITOL 1MCG J2501 $31.99 PARICALCITOL 2MCG/ML VIAL IV J2501 $10.12 PARICALCITOL 5MCG/ML VIAL IV J2501 $27.15 PARIETEX COMPOSITE MESH C1781 $875.18 PARIETEX COMPOSITE MESH C1781 $875.18 PARIETEX COMPOSITE MESH C1781 $905.80 PARIETEX COMPOSITE MESH C1781 $905.81 PARIETEX COMPOSITE MESH PTX 20x15CM 8/6 C1781 $1,403.93 PARIETEX OPTIMIZED COMPOSITE 15CM ROUND C1781 $1,185.60 PARIETEX OPTIMIZED COMPOSITE MESH PCO15X C1781 $905.81 PARIETEX OPTIMIZED COMPOSTE 12CM RND 4.8 C1781 $905.81 PARIETEX OPTIMIZED COMPOSTE MESH C1781 $870.00 PARIETEX OPTIMIZED COMPOSTE MESH 9CM RND C1781 $870.00 PARIETEX PROGRIP MESH PRTX 15x15CM 12MM C1781 $538.25 PARIETEXOPTIMIZED COMPOSIT MESH 15x10CM C1781 $905.81 PARING OR CUT OF BENIGN LESION 11055 $450.45 PARING OR CUT OF BENIGN LESN>4 11057 $450.45 PARING/CUTTING BEN LES; 1 LES 11055 $450.45 PARING/CUTTING BEN LES; 2-4 LE 11056 $450.45 PARLODEL 2.5MG TAB $4.23 PAROTID COMPLEX 42305 $6,752.59 PAROTID SIMPLE 42300 $3,478.64 PAROXETINE 10MG/5ML SUSP PO $2.62 PAROXETINE HCL 10MG TAB J3490 $3.74 PAROXETINE HCL 30MG TAB J3490 $4.66 PAROXETINE LEVEL 80299 $41.01 PART EXC 5TH METATRSL HEAD 28110 $7,057.23 PART EXC ANKLE/HEEL BONE 28120 $7,057.23 PART EXC BN FEMUR PROX TIB/F 27360 $7,057.23 PART EXC BONE;DISTAL PHALANX 26236 $3,494.24 PART EXC OLECRANON PROCESS BON 24147 $7,057.23 PART EXC PHALANX TOE BONE 28124 $7,057.23 PART MASTECTOMY W LN REM 19302 $13,501.86 PART THYROID LOBECTOMY UNILATE 60210 $12,461.42 PARTIAL EXC - HUMERUS BONE 24140 $7,057.23 PARTIAL EXC MCP BONE 26230 $7,057.23 PARTIAL EXC RIB 21600 $15,421.60 PARTIAL HYMENECTOMY/REVISION 56700 $6,440.19 PARTIAL MASTECTOMY 19301 $7,810.24 Partial pulpototomy apexogen D3222 $140.00 PARTIAL REM FOOT-PLANTAR FACIA 28060 $7,057.23 PARTIAL THYROID LOBECTOMY UNIL 60212 $12,461.42 PARTICLE AGGULTINATION TITER 86406 $26.00 PARTL EXC MDL PHALANX BONE 26235 $3,494.24 PARTL EXC TARSL/METATRSL BONE 28122 $7,057.23 PARVOVIRUS B19 (EIA) IGG 86747 $36.74 PARVOVIRUS B19 (EIA) IGM 86747 $36.74 PARVOVIRUS B19 LGG CONFIRM 84181 $41.62 PARVOVIRUS B19 LGM CONFIRM 84181 $41.62 PASS SUTRE NEEDLE HUTTLE STRL C2618 $1,098.53 PASSER CATHETER 38CM DISP C1887 $233.28 PASSER CATHETER 60CM DISP C1887 $249.12 PASSPORT BUTTON CANNULA A4615 $48.00 PASSPORT BUTTON CANNULA 8X3 A4615 $48.00 PASSPORT BUTTON CANNULA 8X4 A4615 $48.00 PAT. REC SPIROMETRY RECORD ON 94015 $652.50 PATCH HERNIA-CATEG 1 C1781 $1,018.66 PATCH/APPLIC TEST(S) 95044 $29.29 PATELLA C1776 $180.00 PATELLA 30MM C1776 $180.00 PATELLA 34MM C1776 $180.00 PATELLA 38MM C1776 $180.00 PATELLA 42MM C1776 $180.00 PATELLA CLAMP C1773 $610.20 PATELLA CUTTER C1713 $481.50 PATELLA LOW DOME-CATEG 1 C1776 $2,196.25 PATELLA MAXIM-CATEG 1 C1776 $1,362.05 PATELLA POLY-CATEG 1 C1776 $3,113.16 PATELLA REAMER BLADE C1713 $288.00 PATELLA REAMER BLADE C1713 $288.00 PATELLA SIZE 23MM C1776 $180.00 PATELLA-ALL POLY SZ.35MM $3,735.67 PATH BILL HIST IMMUNOFOURESCEN 88346 $730.62 PATIENT OWN MEDICATIONS $0.94 PATIENT RECORDED SPRIOMETRY CO 94014 $937.35 PAXIL 20MG TABLET J3490 $4.08 PC1 PLAIN 13MM 3/8 CIRCL SUTRE C1713 $9.58 PCB 82441 $14.67 PCCA 86255 $29.46 PED TRACH TUBE A4624 $47.40 PED TRACHEOSTOMY TUBE SIZE 3.5 A4624 $47.40 PED TRACHEOSTOMY TUBE, SIZE 3 A4624 $47.40 PEDFUSE 7.0 X 35MM C1713 $1,200.00 PEDFUSE PEDICLE SCRW 6.0X35MM C1713 $1,303.50 PEDFUSE SCREW 6.0 X 40MM C1713 $1,449.00 PEDFUSE SCREW 7.0 X 45MM C1713 $1,620.00 PEDFUSE SET SCREW 5-7MM X C1713 $253.50 PEDIARIX $69.00 Pediatric part'l denture fixed D6985 $140.00 PEDIATRIC PRIVATE ROOM $3,500.00 PEDIATRIC SEMI PRIVATE ROOM $3,075.00 PEDIATRIC TRACH TUBE SIZE 5.0 A4624 $47.40 PEDIAZOLE SUSP 100ML $8.40 PEDICATRIC ICU $3,575.00 PEDICLE ACCESS NDLE GUIDE TUBE C2617 $4,171.05 PEDICLE ACCESS NEEDLEGUIDE TUB C1713 $4,171.05 PEDICLE FAP; EL/N/ER/LIP 15576 $4,183.48 PEDICLE FLAP F/N/AXIL/G/H/F 15574 $4,183.48 PEDICLE FLAP SCALP/ARM/LEG 15572 $7,675.54 PEDICLE FLAP W/WO TRNSFR TRUNK 15570 $4,183.48 Pedicle soft tissue graft proc D4270 $560.00 PEEK CUST CRANIAL IMPL MEDIUM C1713 $11,992.50 PEEK SPACER C1713 $2,335.23 PEEK TENODESIS SCREW 5.5x8MM STERILE C1713 $933.00 PEEL NEUTRALIZER; 473ML $66.00 PEFIER SCREW 25MM C1713 $172.50 PEGASPARGASE,SINGLE DOSE VIAL J9266 $7,110.66 PEGFIGRASTIM (NEULASTA) 6MG $1,465.20 PEGINTERFERON A 2-A 180MCG VIAL $73.00 PEGINTERFERON ALFA 2-A 180MCG $0.01 PELVIC ANGIOGRAM 75736 $11,849.09 PELVIC EXAM UNDER ANES 57410 $6,440.19 PELVIC EXAMINATION 57410 $6,440.19 PELVIC EXENTERATION GYN MALIGN 58240 $6,331.60 PELVIC GRAFT SOFT 8X12 C1768 $1,875.00 PELVIMETRY W/WO PLACENTAL LOCA 74710 $205.74 PELVIS 1-2 VIEW 72170 $288.95 PELVIS COMPLETE ULTRASOUND 76856 $288.95 PELVIS CT WITH AND WITHOUT 72194 $469.77 PELVIS CT WITH CONTRAST 72193 $469.77 PELVIS CT WITHOUT CONTRAST 72192 $288.95 PELVIS MRA 72198 $1,100.00 PELVIS MRI WITH AND WITHOUT 72197 $984.43 PELVIS MRI WITH CONTRAST 72196 $984.43 PELVIS MRI WITHOUT CONTRAST 72195 $600.78 PEMBROLIZUMAB INJ 1MG J9271 $128.35 PEMETREXED 500MG IV $6,316.75 PEN G POT/DEXTR-H2O 1MMU/50ML J2540 $0.47 PEN G POT/DEXTR-H2O 2MMU/50ML J2540 $0.54 PEN G POT/DEXTR-H2O 3MMU/50ML J2540 $9.32 PENCLLN G POTSSIUM 5M UNITS IN J2540 $92.78 PENETRAT KERATOPLASTY 65730 $9,843.75 PENICILL V POTASSIUM 250MG TAB J8499 $2.13 PENICILLIN G POT 5MU INJ VIAL $32.48 PENICILLIN G POT 600000U INJ V $0.01 PENICILLIN G POTASSIUM 1MMU J2540 $4.78 PENICILLIN G SODIUM 5MU INJ $57.46 PENICILLIN POT 250MG/5ML PO SU J3490 $1.34 PENICILLIN SYRINGE 200,000UNIT $13.00 PENICILLIN V K 500MG TAB J3490 $0.59 PENICILLIN V POTAS 250MG TAB J3490 $0.31 PENICILLINAMINE 125MG PO $1.78 PENICILLINAMINE 250MG PO $0.10 PENILE PLETHYSMOGRAPHY 54240 $356.66 PENIS OP STR CHORD/1ST STG HYP 54304 $7,781.86 PENROSE DRAIN TUBING C1729 $138.00 PENTAM 300 MG VIAL $0.12 PENTAMIDINE 300MG VIAL $120.40 PENTAMIDN ISETHIONAT INH SOL-3 J2545 $440.59 PENTOBARBITAL 80299 $41.01 PENTOBARBITAL 50MG/ML IV $2.32 PENTOSTATIN, PER 10 MG J9268 $5,824.65 PENTOTAL 50 MG SYRINGE J2515 $21.19 PERAMIVIR 200MG/20ML INJ J2547 $160.00 PERC ARTERIAL CATH 36620 $98.16 PERC CVC PLACE-PT >2YRS 36556 $4,205.10 PERC D-E COR STENT ATHER S C9602 $41,093.65 PERC DRUG-EL COR STENT BRAN C9601 $163.50 PERC PLACEMENT OF ENTEROCLYSIS 44015 $308.90 PERC RELEASE-DEPUYTRENS CNTRCT 26040 $3,494.24 PERC RETROPERIT DRAINAGE 49406 $3,538.61 PERC SK FIX CMC DISLOC;EA JNT 26676 $7,057.23 PERC SK FIX MTP JNT DISLOC; W 28636 $7,057.23 PERC SK FIX UNST PHAL SHFT FX; 26727 $7,057.23 PERC SKTL DIX DIST PHLANG FX;F 26756 $7,057.23 PERC TX NASOETHMD COMPLX FX W 21340 $6,752.59 PERCOCET 5-325MG TAB J3490 $0.89 PERCU URODIVROPENTIP PERC STNT C1876 $291.51 PERCUFLEX + URETER STENTW/WIRE C1876 $171.00 PERCUFLEX PLUS 6FR URETER STNT C1876 $171.00 PERCUFLEX PLUS URETER STENT C1874 $215.56 PERCUFLEX PLUS URETERAL STENT C1874 $171.00 PERCUFLEX+7FRX30CM STENT URETE C1876 $171.00 PERCUT ASPIRAT SPINAL CORD CYS 62268 $2,093.48 PERCUT CHOLECYSTOSTOMY 47490 $8,015.96 PERCUT LYSIS ADHENSION 62263 $2,093.48 PERCUT PLCMT ENTEROCLYSIS TUBE 74355 $88.00 PERCUT PLCMT GASTROSTOMY TUBE 43246 $4,015.00 PERCUT PORTAL VEIN CATH BY ANY 36481 $730.73 PERCUTAN TRACH INTROD SET 8FR A4624 $570.72 PERCUTANEOUS BILIARY STENT 74363 $176.00 Percutaneous Cannula 7.0mm C1713 $3.98 Percutaneous Cannula 8.0mm C1713 $3.98 PERCUTANEOUS DRAINAGE 75989 $88.00 PERCUTANEOUS ENDO GASTROSTMY B4087 $132.83 PERCUTANEOUS IMPLANT 63650 $15,950.57 PERCUTANEOUS IMPLNT 63650 $15,950.57 PERCUTANEOUS TUBE/DRAINAGE CAT 75984 $66.00 PERDONTL SCAL / RT PLN 1-3 TEETH EA QUAD D4342 $210.00 PERF SURGISIS 13X22 GOLD HERN GRFT 8PLY C1763 $9,166.50 PERFIT REPLACE PERCUT TRACHTUB A4624 $175.07 PER-FIT TRACH KIT W/TRACH TUBE 7.0MM A4625 $440.22 PER-FIT TRACH KIT W/TRACH TUBE 8.0MM A4625 $440.22 PER-FIT TRACH KIT W/TRACH TUBE 9.0MM A4625 $440.22 PERFIT TRACHEA KIT 9.0MM A4625 $175.07 PERFIX HERNIA PLUG SM2.5X3.4CM C1781 $1,237.50 PerFix Light Plug Large C1781 $3,037.50 PerFix Light Plug Medium $3,008.70 PERFIX PLUG X-LARGE 6/CS* C1781 $1,482.75 PERGOLIDE (PERMAX) 0.05MG TAB $2.75 PERGOLIDE (PERMAX) 0.25MG TAB $4.55 PERGOLIDE (PERMAX) 1MG TAB $8.38 PERIACTIN 2MG/5ML SYRUP 480ML $0.67 PERICARDIOCENTESIS 33010 $4,016.56 PERICARDIOCENTESIS W/IMAGING 33016 $4,205.56 PERICARDIOCENTESIS; INIT 33010 $4,016.56 PERICARDIOCENTESIS; SUBSQT 33011 $4,016.56 PERICARDIOCENTESIS-INIT 33010 $4,016.56 PERIDEX ORAL RINSE 473ML J3490 $0.22 PERIGEE W/INTEXEN PROLAPSE REP C1781 $3,292.50 PERINEOGRAM 74775 $600.78 PERINEOPLASTY-RPR PERINEUM;NON 56810 $6,440.19 PERIO MAINTENANCE D4910 $182.00 PERIODIC ORAL EXAM D0120 $83.00 PERIODIC ORTHODONTIC TREATMENT VISIT D8670 $350.00 PERIPHERAL GUIDE WIRE 5/BX C1769 $1,350.00 PERIPHERAL IRIDECTOMY 66625 $5,212.42 PERIPHERICAL DILATA CATH.035GW C1726 $1,467.00 PERIPROSTH CAPSULECT BREAST 19371 $7,810.24 PERITONEAL CATH 90CM STNDRD C1887 $181.65 PERITONEAL CATH STNDRD NO SLIT C1887 $264.96 PERITONEAL CATHETER 110CM C1781 $136.50 PERITONEAL INTRO SHEATH 46CM C1769 $353.73 PERITONEAL INTRODU SHEATH 61CM C1894 $237.00 PERITONEAL INTRODUCER SHEATH C1894 $237.00 PERITONEAL LAVAGE 49084 $2,026.11 PERITONEAL VENOUS SHUNT PATENC 78291 $949.04 PERITONEOGRAM-RAD S & I 74190 $1,241.53 PERM BIRTH CONTROL SYSTEM 5/BX A4264 $1,948.50 PERM BRTH CONTRL SYS 1BX 2COIL A4264 $2,775.00 PERMA CATHETER 40CM 5KT A4301 $1,386.72 PERMA HAND SILK BLK130"SH 1 $103.72 PERMAHAND SLK SUTRE BLCK BRAID C1713 $21.27 PERMETHRIN 5% TOPICAL CREAM 60 J3490 $53.03 PERPHENAZINE 2MG TAB $0.78 PERPHENAZINE 4MG TAB $0.96 PERPHENAZINE 8MG TAB $1.31 PERPHENAZINE-ASSAY 80299 $41.01 PERPHENZAINE 4MG ANTI-EMETIC Q0175 $5.25 PERQ &INTRAQ ALLERGY TST VENOM 95017 $2.19 PERQ ABLAT 1+ LIVER TUM RAD FR 47382 $12,461.42 PERQ CADIAC ANGIOPLST;1 ARTERY 92920 $12,771.31 PERQ CARD STNT/ANTHRCT/ANGIO;1 92933 $41,093.65 PERQ CARDIAC ANTHRCT W/ANGIOPS 92924 $25,544.29 PERQ CARP/MTCRPL FX DISCLO THU 26650 $7,057.23 PERQ CERVICOTHORACIC INJECT 22510 $7,057.23 PERQ DEV SOFT TISS 1ST IMAG 10035 $1,572.63 PERQ DISKECTOMY 62287 $4,432.54 PERQ FIX DIST RADIAL FX W/MANI 25606 $7,057.23 PERQ FIX IP JNT DISLOC SNGL W 26776 $7,057.23 PERQ IMP PERIPH NRV NEUROSTIM 64555 $15,950.57 PERQ IMPL NEUROELECTRODES 64561 $15,950.57 PERQ IMPL NEUROELECTRODES SACR 64561 $15,950.57 PERQ IMPL NEUROSTIM ELCTRD PER 64555 $15,950.57 PERQ INTRACARD STNT W ANGIOPLS 92928 $25,544.29 PERQ LUMBOSACRAL INJECTION 22511 $7,057.23 PERQ NEPHROSTOLITHOTOMY; 2+ CM 50081 $20,799.33 PERQ NEPHROSTOLITHOTOMY; UP TO 50080 $20,799.33 PERQ PLACE GASTROSTOMY TUBE 43246 $4,015.00 PERQ REVASC BYPASS GRFT;1 VSL 92937 $25,544.29 PERQ REVASC MYOCARD INFARCT;1V 92941 $1,438.32 PERQ SACRPLSTY BILAT INJ(S) 0201T $15,421.60 PERQ SACRPLSTY UNILAT INJ(S) 0200T $15,421.60 PERQ SK FIXATION MC FX;EACH 26608 $7,057.23 PERQ SKELTL FIX DISTAL RADIAL 25606 $7,057.23 PERQ SKELTL FIX METATRSL FX W 28476 $7,057.23 PERQ SKTL FIX DIST PHALNG FX; 26756 $7,057.23 PERQ TRACH INTRO SET 8FR C1769 $570.72 PERQ TRANSCATH DRUG EL COR STE C9600 $25,544.29 PERQ TRANSHEPAT PORTOG NO EVAL 75887 $4,205.10 PERQ TRANSHEPAT PORTOG W/EVAL- 75885 $7,144.43 PERQ W ALLERG EXTRCT SPEC#TEST 95004 $29.29 PERQ W/ALLERG EXTRAC-SPEC #TST 95004 $29.29 PERQ&INTRAQ ALLRGY TST;DRG/BIO 95018 $4.53 PERTONEAL LAVAGE W IG 49084 $2,026.11 PERTUZUMAB 30MG/ML VIAL J9306 $9,235.38 PESSARY: SILICONE,KITS,KNOBS,W/WO SUPPRT A4562 $48.66 PETROLATUM PACKETS $0.10 PETROLEUM JELLY FOIL PACKETS/GROSS/BOX $0.58 PF TISSUE SITU HYBRID INTERP+ 88291 $78.73 PH 83986 $8.76 PH 82800 $24.20 PH GASTRIC FLUID 83986 $8.76 PH STOOL 83986 $8.76 PH URINE 81002 $7.66 PH URINE 83986 $8.76 PHARMACIST INTERVENTION $0.05 PHARMACOLOGIC MGMNT W PSYCHTX 90863 $316.00 PHARMACOLOGIC MGMNT W/PSYCHTX 90863 $316.00 PHARMACY $135.00 PHARYNGOPLASTY 42950 $12,504.78 PHENAZOPYRIDINE 100MG TAB J3490 $0.39 PHENAZOPYRIDINE 200MG TAB J3490 $0.81 PHENELZINE 15MG TABLET $1.19 PHENERGAN 25MG/ML INJ 1ML AMP J2550 $0.91 PHENOBARBITAL 80184 $33.66 PHENOBARBITAL 80184 $33.66 PHENOBARBITAL 10MG/1ML SYRINGE J2560 $23.89 PHENOBARBITAL 130MG/ML TUBEX $5.19 PHENOBARBITAL 15MG TAB $0.15 PHENOBARBITAL 20MG/5ML 480ML J3490 $0.26 PHENOBARBITAL 30MG TAB J3490 $0.10 PHENOBARBITAL 30MG/ML TUBEX $5.01 PHENOBARBITAL 60MG/ML TUBEX $3.13 PHENOTYPE DNA W/CLT;EA ADDL DR 87904 $63.73 PHENOTYPE DNA W/CULTURE;1-10 D 87903 $1,194.49 PHENOTYPING FLOW CYTOMETRY-LYM 88346 $730.62 PHENOXYBENZAMINE HCL 10MG $8.62 PHENYLALANINE 84030 $13.44 PHENYLALANINE URINE 82131 $50.56 PHENYLEPH/CYCLOPEN 1-0.2% EYE $8.88 PHENYLEPH/CYCLOPEN 1-0.2% EYE $22.13 PHENYLEPH/HARD FAT HEMORR SUPP J3490 $0.33 PHENYLEPHRIN 0.5% NASAL SOLUTION $6.71 PHENYLEPHRINE 0.25% NASAL DROP J3490 $3.78 PHENYLEPHRINE 1% NASAL DRIP $7.30 PHENYLEPHRINE 2.5% EYE DROP $29.90 PHENYLEPHRINE 2.5% EYE DROPS J3490 $27.49 PHENYLEPHRINE PREMIXED IV J3490 $50.83 PHENYTOIN 100MG/4ML PO SUSP J3490 $1.74 PHENYTOIN LEVEL FREE 80186 $33.64 PHENYTOIN LEVEL FREE+TOTAL 80185 $32.41 PHENYTOIN;FREE 80186 $33.64 PHERESIS THERAPEUTIC 36514 $3,412.31 PHLEB VERICOSE VEINS 1 EXTRM;2 37766 $7,144.43 PHLEBOTOMY THERAP 99195 $222.73 PHLEBOTOMY THERAP (SEPART PROC 99195 $222.73 PHLEBOTOMY THERAPEUTIC 99195 $222.73 PHLORETN CF $222.20 PHONE E/M PHYS/QHP 11-20 MIN 99442 $51.65 PHONE E/M PHYS/QHP 21-30 MIN 99443 $82.30 PHONE E/M PHYS/QHP 5-10 MIN 99441 $27.63 PHOSPH UR T.V. 84105 $12.72 PHOSPH.UR RANDOM 84105 $12.72 PHOSPHOLINE IODIDE 0.03% OPTH $13.27 PHOSPHOLINE IODIDE 0.06% 5ML $13.90 PHOSPHOLINE IODIDE 0.125% 5ML $87.85 PHOSPHOLINE IODIDE 0.25% 5ML $17.58 PHOSPHORUS LEVEL BODY FLUID 84110 $20.64 PHOTOCHEMO;TAR AND UVB 96910 $161.31 PHOTODYNAMIC TX APPL LGHT 30M 96570 $122.76 PHOTODYNAMIC TX EA ADD 15 MIN 96571 $57.46 PHOTOPOROHYRIN-EP 84202 $35.07 PHRENIC NERVE BLOCK 64999 $2,768.63 PHRM/PHYSCL ACTV RQ MD ATNDNC 95954 $1,251.91 PHYS PRFRM TEST/MEASUR W/REPOR 97750 $75.92 PHYSICIAN REVIEW & INTERPRETAT 94016 $60.67 PHYSIOMESH 10X15CM OVAL COMP C1781 $706.87 PHYSIOMESH 20X25CM, OVAL SHAPE C1781 $2,079.03 PHYSIOMESH COMP 15X20CM OVAL C1781 $2,023.51 PHYSIOMESH OPEN FLEX COMP MESH C1781 $503.27 PHYSOSTIGMINESALICYLATE 1MG/ML $8.98 PHYTO PLUS; 55ML $110.00 PHYTONADIONE 10MG/ML INJ 1ML $8.77 PHYTONADIONE 1MG/0.5/ML INJ1ML $3.71 PHYTONADIONE 5MG TAB J8499 $147.37 PHYTONADONE 5MG TAB J3490 $2.18 PICC CATH INSERT;UNDER 5YRS AG 36568 $1,625.47 PICC CATH REPLACEMENT 36584 $4,205.10 PICC CATHETER-CATEG 1 C1751 $678.75 PICC LINE KIT 5 FRENCH C1751 $660.00 PIGMENT BALANCING PEEL $277.20 PIGMNT BALANCING PEEL $277.20 PILOCARPIN 1% $216.83 PILOCARPINE 0.5% OPH. SOLUTION $9.42 PILOCARPINE 1% EYE DROP J3490 $3.58 PILOCARPINE 2% EYE DROP $12.36 PILOCARPINE 3% EYE DROP $9.75 PILOCARPINE 4% EYE DROP $9.08 PILOCARPINE 5MG TABLETS J3490 $2.75 PILOCARPINE 6% EYE DROP $15.40 PILOCARPINE HCL 2% $216.83 PILOCARPINE HCL 4% EYE DROPS $216.83 PIN ANCHOR-CATEG 1 $765.00 PIN FIXATION/BITS-CATEG 1 $442.40 PIN FIXATION-CATEG 1 C1713 $370.83 PIN FIXATION-CATEG 2 $4,719.78 PIN GUIDE-CATEG 1 $314.43 Pin retention-/tooth, (+ rest) D2951 $75.00 PIN ULNAR STYLOID FX 25651 $7,057.23 PIN VARIOUS C1713 $232.36 PINABALL PRELOADED PINS C1713 $680.40 PIN-CATEG 1 $662.26 PINN DESTIN 6FRGUIDESHTH W/DIL C1894 $214.50 PINNACLE 7FR W/RO 10/BX C1894 $102.75 PINNACLE 8F 10/BX C1894 $42.68 PINNACLE ALRX 36 X 56ID X OD C1776 $4,743.00 PINNACLE INTRO SHEATH 6FRx10x035 C1894 $19.50 PINNACLE INTRO SHEATH GW 7FRx11x0.35 C1894 $171.75 PINNACLE INTRODUCE SHEATH 10BX C1894 $31.00 PINNACLE INTRODUCER SHEATH 4FR C1894 $17.18 PINNACLE INTRODUCER SHEATHS C1729 $102.75 PINNACLE MULTIHOLE 54 SZ MM C1713 $5,625.00 PINNACLE SCREW 15MM C1713 $202.50 PINNACLE SHEATH 10CM.038D C1894 $502.50 PINNACLE SHEATH 6FR CRSSCUT MULTIPRPSE C1887 $214.50 PINNDIST 7FR GUIDESHTH W/DILAT C1894 $214.50 PINWORM EXAM 87172 $10.45 PIOCARPINE/EPI BIT-2 EYE DROP $2.05 PIOCARPINE/EPI BIT-4 EYE DROP $4.86 PIOGLITAZONE (ACTOS) 15MG TAB $4.72 PIOGLITAZONE (ACTOS) 30MG TAB $7.35 PIOGLITAZONE (ACTOS) 45MG TAB $7.99 PIPERAC/TAZO 3.375GM ADD VANT $23.80 PIPERAC/TAZOB 4.5GM ADD VANTAG J3490 $15.95 PIPERAC/TAZOBAC 2.25GM INJ $24.00 PIPERAC/TAZOBAC 3.375GM INJ $33.66 PIPERACIL/TAZOBACT 4.5GM INJ J2543 $30.25 PIPERACILLN-TAZOBACTM EMERSTAT $0.11 PIPERACT/TAZOB 2.25GM ADD VANT J3490 $15.80 PIPERONYL BUTOX/PYRETHRIN SHAMP $0.25 PIRBUTEROL 0.2MG AER ADP INH $19.13 PITOCIN/SYNTOCINON 10U/ML 1ML J2590 $1.22 PK STRP IOD 1/2X 5 $4.82 PK STRP IOD 1/4X5 $4.54 PK STRP IOD 1X5 $5.64 PK STRP IODL 2X5 $7.70 PK STRP PL 1/2X5 $4.06 PK STRP PL 1/4X5 $4.13 PK STRP PL 1X5 $4.68 PK STRP PL 2X5 $7.49 PKD CELL-PROCESS FEE P9021 $307.45 PL REP AV ANEUR 36832 $11,849.09 PLACE AMNIO MEMBRNE ON CORNEA 65778 $2,080.39 PLACE BILIARY DRAIN CATH; EXTR 47533 $8,015.96 PLACE BILIARY DRAIN CATH; INTR 47534 $8,015.96 PLACE CATH CAROTID INOM ART 36223 $11,849.09 PLACE CATH CAROTID/INOM ART 36222 $7,144.43 PLACE CATH THORACIC AORTA 36221 $7,144.43 PLACE CATH;CARTOID ARTERY 36224 $11,849.09 PLACE CATH;CARTOID/INNOM EXTRA 36222 $7,144.43 PLACE CATH;CARTOID/INNOM INTRA 36223 $11,849.09 PLACE CATH;EXTRN CARTOID ART 36227 $253.59 PLACE CATH;SUBCLAV/INNOM ART 36225 $7,144.43 PLACE CATH;THORACIC AORTA 36221 $7,144.43 PLACE CATH;VERTEBRAL ART 36226 $11,849.09 PLACE DEV/MRKR; PROSTATE RAD T 55876 $3,210.50 PLACE DUOD/JEJ TUBE; PERQ 49441 $4,015.00 PLACE GASTROSTMY TUBE;PERQ 49440 $4,015.00 PLACE GASTROSTOMY TUBE; PERC W 49440 $4,015.00 PLACE NEEDLE INTRAOSSEOUS INFU 36680 $937.35 PLACE NEEDLE;INTRAOSSEOUS INFU 36680 $937.35 PLACE NEEDLES - PELVIC FOR RT 55920 $11,012.14 PLACE OF DEVICE FAC ERUPT IMPACT TOOTH D7283 $150.00 PLACE PERQ BRST DEV; 1ST LES M 19287 $1,572.63 PLACE PERQ BRST DEV; 1ST LES S 19283 $1,572.63 PLACE PERQ BRST DEV; 1ST LES U 19285 $1,572.63 PLACE PERQ BRST DEV; EA ADD LE 19286 $96.14 PLACE PERQ BRST DEV; EA ADD LE 19284 $113.39 PLACE PERQ BRST DEV; EA ADD LE 19288 $143.29 PLACE PERQ BRST LOCAL DEV; EA 19282 $111.78 PLACE SETON 46020 $6,043.36 PLASMA CONCENTRA W/GPSIII TUBE A4624 $751.50 PLASMA CORTISOL 82533 $39.84 PLASMA EXCHANGE/PHER 36514 $3,412.31 PLASMA FROZEN WITHIN 24 HRS U P9059 $166.98 PLASMA HB 83051 $17.86 PLASMA HEPARIN LEVEL 85520 $32.01 PLASMA PROTEIN FRACT 5% 250ML P9048 $245.70 PLASMA PROTEIN FRACT 5% 50ML P9043 $40.55 PLASMA VOL RADIOPHARM-SEP PROC 78111 $3,279.74 PLASMINOGEN 85421 $24.90 PLASTC REP SALIVARY DUCT;SIMPL 42500 $12,504.78 PLASTIC OPERATION OF PENIS FOR 54440 $7,781.86 PLASTIC REP INTROITUS 56800 $6,440.19 PLASTIC REPR CANALICULI 68700 $4,989.01 PLASTIC SURG TO FIX PENIS ANGL 54360 $7,781.86 PLASTIC SURGERY MATRIX C1763 $2,028.60 PLAT AGGREG DILUTED 85576 $54.80 PLATE "L"-CATEG 1 C1713 $3,063.19 PLATE 16MM ANT CERV PLATE C1713 $1,434.37 PLATE 4 HOLE WITH LARGE BAR C1713 $418.95 PLATE 4 HOLE WITH SMALL BAR C1713 $418.95 PLATE 4-HOLE C1713 $418.95 PLATE 7 HOLE C1713 $684.67 PLATE BASE-CATEG 1 C1713 $2,454.62 PLATE BASE-CATEG 2 $3,855.81 PLATE BONE HOLE2 CRANIO NEURO C1713 $240.23 PLATE BONE HOLE2 CRANIOMAXILLO C1713 $240.23 PLATE BONE LOW-PROF MED 1.5MM C1713 $478.13 PLATE CANCANEAL; X-SMALL C1713 $865.50 PLATE CERV-CATEG 1 C1713 $3,621.83 PLATE COMP-CATEG 1 C1713 $1,799.06 PLATE HIP SCREW-CATEG 1 $450.00 PLATE ORBITAL-CATEG 1 C1713 $1,990.00 PLATE SQUARE-CATEG 1 $913.57 PLATE STRAIGHT-CATEG 1 C1713 $1,732.56 PLATE THREAD-LOCK-CATEG 1 $241.46 PLATE TIBIA-CATEG 1 C1713 $1,835.20 PLATE TITANIUM-CATEG 1 C1713 $522.50 PLATE VARIOUS - STRYKER C1713 $717.20 PLATE VHS-CATEG 1 $1,257.50 PLATEBONE MED HOLE TITAN HND C1713 $478.13 PLATELET P9019 $237.64 PLATELET AB SCREEN 86255 $29.46 PLATELET AB SCREEN-CHLOROQUINE 86022 $44.90 PLATELET AB SCRN 86022 $44.90 PLATELET AGGRE WH BL 85576 $54.80 PLATELET AGGREGATION 85576 $54.80 PLATELET AGGREGATION 85576 $54.80 PLATELET APH/PHER LR - UNIT P9035 $1,099.01 PLATELET APH/PHER LR UNIT P9035 $1,099.01 PLATELET CONC LR IRRADIATED P9033 $477.62 PLATELET CONC LR UNIT P9031 $277.95 PLATELET COUNT 85049 $10.93 PLATELET COUNT CITRATED 85049 $10.93 PLATELET COUNT PRP 85049 $10.93 PLATELET CROSSMATCH 86922 $369.93 PLATELET CROSS-MATCH 86999 $59.25 PLATELET DIRECT IF 86023 $30.45 PLATELET ESTIMATE $4.03 PLATELET INDICES $4.56 PLATELET PLA1 TYPING 86999 $59.25 PLATELET RICH PLASMA UNIT P9020 $310.68 PLATELET; MANUAL CT 85032 $10.54 PLATELETS HLA-M L/R UNIT P9052 $1,879.50 PLATELETS IRRADIATED UNIT P9032 $307.21 PLATELETS LEUKOCYTES REDUCED P9031 $277.95 PLATELETS LEUKOREDUCED IRRADIA P9033 $477.62 PLATELETS PHERESIS IRRADIATED P9036 $1,523.06 PLATELETS PHERESIS LEUKORED IR P9037 $1,396.16 PLATELETS PHERESIS LEUKOREDUCE P9035 $1,099.01 PLATELETS PHERESIS UNIT P9034 $712.76 PLATELETS UNIT P9019 $237.64 PLATFORM ATTACHMENT WALKER EA E0154 $134.15 PLAVIX 300MG PO J8499 $19.25 PLCE INTRSCK BIODRSS HEM/CLT P D7922 $90.00 Plcmnt of intrm impl endosteal D6012 $1,400.00 PLCMT CENT VENOUS CATH; CUTDN 36557 $11,849.09 PLCMT CENT VENOUS CATH; CUTDWN 36569 $4,205.10 PLCMT CHOLEDOCHAL STENT 47801 $2,423.34 PLCMT FEM PROS GFT DUR ANEUR R 34813 $512.64 Pledget PTFE felt 1x4 C1768 $1,080.00 Pledget PTFE felt 4x4 C1758 $1,372.50 PLETHYSMOGRAPHY TOT BODY; TRAC 94726 $652.50 PLETHYSMOGRAPHY TOTAL BODY; W/ 94726 $652.50 PLEURAL DRAIN W CATH INS; NO G 32556 $4,015.00 PLEURAL DRAIN W CATH INS; W GU 32557 $4,205.10 PLEURX DRAINAGE CATH C1729 $885.00 PLEURX LOCKABLE DRAINAGE LINE C1729 $240.00 PLEURX PLEURAL CATHETER KIT C1887 $862.50 PLICAMYCIN 2500MCG INJ $217.23 PLMT NEPHROURETERAL CATH 50433 $7,781.86 PLMT NEPHROURETERAL CATHETER 50433 $7,781.86 PLMT URETERAL STENT PRQ 50693 $7,781.86 PLMT URETERAL STENT PRQ 50694 $7,781.86 PLSTC REP UTERINE CERVIX;VAGIN 57720 $6,440.19 PLT APH/PHER L/R CMV-NEGATIVE P9055 $1,067.26 PLT PHER L/R CMV IRRADIATE P9053 $1,104.82 PLT/6 HL STRT W/ BAR MAND LOCK C1713 $1,269.33 PLT/6 HL STRT W/ BAR MAND LOCK C1713 $1,269.33 PLT/STANDARD ANCHOR T-SHP LNG C1713 $230.96 PLT/STANDARD ANCHOR T-SHP.LNG C1713 $230.96 PLUG-CATEG 1 $2,002.08 PLUG-CATH $0.64 PLUM IV NITRO SET #2427-48 $18.67 PLUNGER DELIVERY KIT 4" $630.00 PLYSMNGRPHY 4>ADD PRMTRS W/CPA 95811 $2,343.26 PM DEVICE EVAL IN PERSON 93288 $93.46 PM DEVICE PROGR EVAL DUAL 93280 $93.46 PM DEVICE PROGR EVAL MULTI 93281 $93.46 PM DEVICE PROGR EVAL SINGL 93279 $93.46 PM PHONE R-STRIP DEVICE EVAL 93293 $93.46 PM/ICD REMOTE TECH SERV 93296 $93.46 PMKR, M/N 1270 $11,386.23 PNEUMOCOCCAL 86317 $36.63 PNEUMOCOCCAL AB 86318 $39.80 PNEUMOCOCCAL ANTIBODY IGG 86609 $31.48 PNEUMOCOCCAL CHILD VAC IM $91.93 PNEUMOCOCCAL VACCINE 90732 $50.99 PNEUMONOSTOMY; W/PERCUT DRAIN 49405 $3,538.61 PNEUMOTHORAX THERAP-INTRAPLEUR 32960 $1,625.47 PNEUMOVAX VACCINE 90732 $96.33 PNEUMOVAX VACCNE 90732 $96.33 PODOFILOX 0.05% $143.00 PODOPHYLLM 25% TOPICAL LIQUID $269.50 PODOPHYLLUM IN BENZOIN TINCT $2.60 PODOPHYLLUM RESIN POWDER 25GM $9.77 POLARCATH .035 5X80X120 C1725 $1,080.00 POLARCATH BALL DILAT 5X40X120M C1725 $900.00 POLARCATH BALLON 4.0 6FR 120CM C1725 $900.00 POLARCATH BALLOON .014 6X60X135 6FR C1727 $1,296.00 POLARCATH BALLOON 2.5X60X150 C1725 $1,296.00 POLARCATH BALLOON 3.5x40x150 C1725 $1,296.00 POLARCATH BALLOON 3x60x150CM C1725 $1,296.00 POLARCATH BALLOON 4.0X6FRX120CM C1725 $900.00 POLARCATH BALLOON 5.0 6FR C1725 $900.00 POLARCATH BALLOON 6.0 7FR 120CM C1725 $900.00 POLARCATH BALLOON 6X40X120 C1725 $900.00 POLARCATH BALLOON 7.0 7FR 80CM C1725 $900.00 POLARCATH BALLOON 7FR/7.0/80CM C1725 $900.00 POLARCATH BALLOON 8.0 8FR 80CM C1725 $900.00 POLARCATH BALLOON 8FR/8.0/80CM C1725 $900.00 POLARCATH DILATATION BALL CATH C1726 $1,296.00 POLARCATH PERIPHER DILATA CATH C1714 $930.00 POLIDOCANOL 0.5% INJ J3490 $44.88 POLIDOCANOL 1% INJ J3490 $29.04 POLIOVIRUS TITER 86658 $31.83 POLIOVIRUS VACCINE INACT,IPV,SUBQ CLINIC 90713 $79.66 POLRCATH 5FR 40x135 DILATRION BALL CATH C1725 $1,296.00 POLRCATH BALL DILAT 5.0MMX40MMX120MM C1725 $900.00 POLY PATELLA KNEE SOLUTION C1776 $1,702.12 POLYBRENE PANEL 86886 $369.93 POLYCITRA SYRUP $0.08 POLYETHYLENE GLYCOL 4000ML J3490 $12.47 POLYMIXIN B 500KU INJECTION $10.91 POLYMIXIN B/TMP EYE DROP J3490 $35.51 POLYMYXIN B SULFATE/TMP 10ML $28.38 POLYSOMNOGRAPHY 4 OR MORE ADD 95810 $2,343.26 POLYSOMNOGRAPHY; W/4-MORE ADD 95810 $2,343.26 POLYSPMNOGRAPHY 1-3 ADDL PRMT 95808 $2,343.26 POLYSPORIN OPH OINT J3490 $5.79 POLYSPORIN POWDER $9.96 POLYVINYL ALCOHOL 1.4% 15M J3490 $7.00 POLY-VITAMIN DROPS 50ML $4.44 PONTIC TITANIUM D6214 $644.00 Pontic-cast high noble metal D6210 $840.00 Pontic-cast noble metal D6212 $600.00 Pontic-cast predominantly base D6211 $150.00 Pontic-indirect res based comp D6205 $125.00 PONTIC-PFM D6240 $840.00 PONTIC-PORCELAIN FUSE TITANIUM D6243 $840.00 Pontic-porcelain fused to base D6241 $600.00 Pontic-porcelain fused to nobl D6242 $600.00 Pontic-resin w/ high noble met D6250 $300.00 Pontic-resin w/ predomnt base D6251 $300.00 Pontic-resin with noble metal D6252 $300.00 PONTOCAINE 2% SPRAY 30ML TOPICAL USE $13.73 POOLBLOODCOMPONENTNT 86965 $369.93 POPHOBILINOGEN QUAL URINE 84110 $20.64 PORCELAIN INLAY - 3 SURFACE D2630 $700.00 PORCELAIN VENEER-LAB D2962 $770.00 PORPHOBILINOGEN 84110 $20.64 PORPHOBILINOGEN DEAMINASE $83.32 PORPHOBILINOGEN UR 84110 $20.64 PORPHOBLINOGEN 84106 $12.80 PORPHOBLINOGEN UR 84106 $12.80 PORPHYRIN QUANT (UR) 84120 $35.97 PORPHYRINES QUANT 84120 $35.97 PORPHYRINS 24HOUR URINE 84120 $35.97 PORT ACCESS INFUSION SET; KAWASUMI C1788 $344.10 PORT MBS-CATEG 1 $0.01 PORT MRI IMPLANT-CATEG 1 C1788 $26,938.52 PORT PLASTIC-CATEG 1 $8,517.25 PORT VASC ACCESS TI-CATEG 1 C1788 $330.00 PORTA CATH 5FR ST305P C1714 $255.00 PORTA CATH 5FR ST305P C1752 $255.00 PORTABLE PEAK FLOW METER S8096 $10.30 PORT-A-CULT TUBE $6.09 PORTCATH INTRO SNGL LUMEN TITN C1752 $427.50 PORTER GUIDEWIRES .014" C1713 $1,657.50 POSACONAZOLE 200MG/5ML SUSPENSION $7.06 POSITIONAL NYSTAGMUS TEST 92532 $261.60 POSITIONAL NYSTAGMUS TEST WO 92542 $281.09 POST CAPSULAR KNEE;INTRA-ARTIC 27435 $7,057.23 POST COLPORRHAPHY;RPR RECTOCEL 57250 $11,012.14 POST OP FOLLOW-UP VISIT 99024 $433.82 POST PARTUM VISIT - SUPP 59430 $300.83 Post removal (not with endo) D2955 $280.00 POST TIB NEUROSTIM PERQ NDLE E 64566 $674.85 POST, EXTENSION ARMS OUTRIGGER C1713 $242.55 POSTER STABILIZE FEMRL #7RTFEM C1776 $2,092.50 POSTERIOR COMPOSITE RESIN - 1 SURFACE D2391 $175.00 POSTERIOR COMPOSITE RESIN - 2 SURFACE D2392 $210.00 POSTERIOR COMPOSITE RESIN - 3 SURFACE D2393 $252.00 POSTERIOR COMPOSITE RESIN - 4 SURFACE D2394 $280.00 POSTERIOR CONTROL SUB 30906 $524.99 POSTERIOR CONTROL SUBS 30906 $524.99 POSTERIOR FOSS CT WITH CONTRAS 70481 $469.77 POSTERIOR FOSSA CT W&W/O CONTR 70482 $469.77 POSTERIOR FOSSA CT WITHOUT CON 70480 $288.95 POSTOP F/U VISIT INCLD GLOBAL 99024 $346.62 POSTUROGRAPHY 92548 $281.09 POT CL 10MEQ/1L D5-0.225 NACL IV $28.58 POT CL/NA CHLOR .9% 20MEQ/L J3480 $5.31 POTAS PHOS DIBASIC TAB $0.22 POTASS CHLORIDE 20MEQ TAB/CAP J3490 $0.90 POTASSIUM 84132 $11.24 POTASSIUM 20mEQ/00mL 1/2 NaCl $0.10 POTASSIUM 40MEQ/1L NS IV J3480 $0.01 POTASSIUM ACETATE 2MEQ/ML 20ML $0.15 POTASSIUM BF 84132 $11.24 POTASSIUM CHLOR 20MEQ/1L D5/ 0.33NS $24.13 POTASSIUM CHLORIDE 0.1 MCG/ML J3490 $2.41 POTASSIUM CHLORIDE 10MEQ/0.1L J3480 $21.54 POTASSIUM CHLORIDE 2 MEQ/ML 20 J3480 $0.03 POTASSIUM CHLORIDE 20MEQ/0.1L J3480 $5.96 POTASSIUM CHLORIDE 40MEQ/15ML ORAL SOLN $0.37 POTASSIUM CHLORIDE/D5NS20MEQ/L J3480 $3.18 POTASSIUM CL 0.5MEQ SYRINGE J3480 $65.00 POTASSIUM CL 20MEQ D5W 1L IV J3480 $21.77 POTASSIUM CL/D5-.25NACL 20ME J3480 $50.88 POTASSIUM CL/D5-.45NACL 20ME J3480 $27.42 POTASSIUM HYDROXIDE 20% W/ D50% Q0112 $31.57 POTASSIUM LEVEL BODY FLUID 84999 $15.59 POTASSIUM PHOS 15MMOL/250 IV J3490 $10.25 POTASSIUM PHOS 45mmol/15mL vial $0.01 POTASSIUM PHOSPHATE 3MM/ML $0.14 POTASSIUM STOOL 84133 $10.54 POTASSIUM UR RANDOM 84133 $10.54 POTASSIUM UR T.V. 84133 $10.54 POUCH-CATEG 1 C1781 $1,342.47 POVIDINE - IODINE SOLUTION $4.19 POVIDONE IODINE 5% OPH SOL J3490 $6.90 POVIDONE-IODINE FOIL PACK J3490 $0.08 POVIDONE-IODINE SOLUTION 473ML J3490 $5.10 POVIDONE-IODINE SURG SCRB 473ML $0.01 PPPS INITIAL VISIT; MCARE ONLY G0438 $404.98 PRA-FULL 86807 $173.03 PRA-SHORT 86808 $72.56 PRASUGREL HCL 10MG TAB J8499 $36.31 PRASUGREL TABLET 10 MG. $6.94 PRATT SILIC DRAIN 15FR TROCAR C1729 $110.33 PRAVASTATIN 10MG TAB J3490 $2.43 PRAVASTATIN 20MG TAB J3490 $3.50 PRAVASTATIN 40MG TAB J3490 $6.23 PRAVASTATIN 80MG TABS $14.09 PRCTCTMY; CMPLT ABDMNPERINEAL 45110 $3,997.29 PREALBUMIN 84134 $35.66 PRE-ALBUMIN 84134 $35.66 PREC PIN 10BX THREAD STERILE C1713 $1,125.00 PRECEED SURGICAL MESH OVAL 8X10" C1781 $2,073.09 Precision attachment, B/R D5862 $500.00 PRECISION GLIDE NEEDL 30GX1/2 C2618 $10.47 PRECISON ATTACHMENT D6950 $680.00 PRED FORTE 1% OPTH DROPS 5ML J3490 $12.01 PREDATOR CATH .014 PLATFRM DBX SLD CRWN C1724 $4,942.50 PREDISONLONE 15MG/5ML SYR J7510 $3.30 PREDNISNE 10MG TAB, PER 1MG J7512 $0.53 PREDNISNE 20MG TAB, PER 1MG J7512 $0.56 PREDNISNE 5 MG TAB, PER 1MG J7512 $0.49 PREDNISOLNE ACETATE OPHTH DROP J2650 $0.76 PREDNISOLON 1% $121.70 PREDNISOLONE 1% EYE DROP $17.85 PREDNISOLONE 15MG ORAL LIQ J7510 $0.18 PREDNISOLONE MILD 0.12% EYE DR J3490 $25.50 PREDNISOLONE NA PHOS 15MG/5ML J7510 $2.21 PREDNISOLONE ORAL, 5MG J7510 $0.49 PREDNISOLONE SYRUP,5ML J7510 $1.41 PREDNISONE 1 MG TAB, PER 1MG J7512 $0.32 PREDNISONE 10 MG TAB, PER 1MG J7512 $0.21 PREDNISONE 20MG TAB, PER 1MG $0.20 PREDNISONE 5MG TAB, PER 1MG $0.12 PREDNISONE, ORAL, PER 1 MG J7512 $0.56 PREFAB ABUTMENT INCLUDES PLACEMENT D6056 $560.00 PREFAB POST / CORE D2954 $364.00 PREFAB RESIN CROWN D2932 $231.00 Prefab stain steel crown-perm D2931 $630.00 Prefab stl crown w/resinwindow D2933 $300.00 Prefb esth ctd stnl stl crn-prm D2934 $405.00 PREG UTERUS >1ST TRIM US 76801 $288.95 PREG UTERUS FETAL ANATOMIC EXA 76811 $600.78 PREG UTERUS FETAL EXAM ADD GES 76812 $79.20 PREG UTERUS US-COMPLETE 76805 $288.95 PREG UTERUS/TRANSVAGINAL US 76817 $288.95 PREGABALIN 100MG CAPSULE $4.07 PREGABALIN 150MG CAPSULE $5.65 PREGABALIN 200MG CAPSULE $4.14 PREGABALIN 25MG CAPSULE $6.42 PREGABALIN 50MG CAPSULE J3490 $2.82 PREGABALIN 75MG CAPSULE J3490 $2.68 PREGNANCY (URINE) 81025 $18.94 PREGNANCY (URINE) VISUAL COLR 81025 $18.94 PREGNANCY TEST URINE 81025 $18.94 PREGNANEDIOL (UR) 84135 $46.79 PREGNANETRIOL (UR) 84138 $46.31 PREGNANT UTERUS / TRANSVAGINAL 76817 $288.95 PREGNANT UTERUS /FOLLOW UP US 76816 $288.95 PREGNANT UTERUS > 1ST TRIMESTE 76801 $288.95 PREGNANT UTERUS >14 WEEKS / CO 76805 $288.95 PREGNANT UTERUS >14 WEEKS / CO 76805 $288.95 PREGNANT UTERUS >14 WEEKS ADD 76810 $90.20 PREGNANT UTERUS >14 WEEKS ADD 76810 $90.20 PREGNANT UTERUS FETAL ANATOMIC 76811 $600.78 PREGNANT UTERUS FETAL EXAM ADD 76812 $79.20 PREGNANT UTERUS/ADD GESTATION> 76802 $90.20 PREGNANT UTERUS/LIMITED/EVAL O 76815 $288.95 PREGNANT UTERUS/LIMITED/EVALUA 76815 $288.95 PREKALLIKREIN 85292 $46.29 PREMARIN 0.625MG TAB $0.82 PREMARIN 2.5 MG TAB $2.00 PREMARIN VAGINAL CREAM 43GM $2.54 PRENATAL VIT/W-CA,FE,FA 1+1 TAB $0.26 PRE-OP ICD DEVICE EVAL 93287 $50.97 PRE-OP PM DEVICE EVAL 93286 $34.06 PRE-ORTHODONTIC VISIT D8660 $427.00 PREP (DESCOVY TB 200-25MG) J3490 $154.69 PREP CORNEAL ENDOTHL ALLOGRAFT; ADDON 65757 $0.01 PREP ORAL SURGICAL SPLINT 21085 $524.99 PREP SET GEN SURG $8.27 PRE-PEN 0.25MG AMPULE $968.00 PRESS VALVE IN SG UNT BAC DCTH $2,766.96 PRESSURE VALVE IN SG UNT BAC $2,766.96 PRESSURE VALVE IN SG UNT BAC L $2,766.96 PREV COUNS/RISK RED 45MIN 99403 $286.67 PREV MED CNSL GRP PROC;60 99412 $256.70 PREV MED CNSL GRP-SEP PROC; 60 99412 $256.70 PREV MED COUN GRP;30MIN 99411 $244.71 PREV MED COUNS/RISK RED 45 MIN 99403 $286.67 PREV MED COUNS/RISK RED 60 MIN 99404 $316.65 PREV MED COUNSEL GRP ; 30 MIN 99411 $244.71 PREV MED E/M ESTAB PT;12-17YR 99394 $373.00 PREV MED E/M ESTAB PT;1-4YR 99392 $373.00 PREV MED E/M ESTAB PT;18-39YR 99395 $373.00 PREV MED E/M ESTAB PT;40-64YR 99396 $373.00 PREV MED E/M ESTAB PT;5-11YR 99393 $373.00 PREV MED E/M ESTAB PT;65/>YR 99397 $373.00 PREVEN E/M ESTAB PT:40-64 YR 99396 $373.00 PREVEN E/M ESTAB PT;18-39 YR 99395 $373.00 PREVEN E/M ESTAB PT;65/> YR 99397 $373.00 PREVEN MEDS E&M ESTAB PT; 12-1 99394 $373.00 PREVEN MEDS E&M ESTAB PT; 1-4 99392 $373.00 PREVEN MEDS E&M ESTAB PT; 18-3 99395 $373.00 PREVEN MEDS E&M ESTAB PT; 40-6 99396 $373.00 PREVEN MEDS E&M ESTAB PT; 5-11 99393 $373.00 PREVEN MEDS E&M ESTAB PT; 65/> 99397 $373.00 PREVEN MEDS E&M ESTAB PT; INFA 99391 $373.00 PREVENT MED CNSL PROC;30 99402 $256.70 PREVENT MED CNSL-SEP PROC; 15 99401 $244.71 PREVENT MED CNSL-SEP PROC; 30 99402 $256.70 PREVENT MED CNSL-SEP PROC; 45 99403 $286.67 Preventive Restoration Perm Th D1352 $140.00 PREVNAR VACCINE $0.01 PREVNAR-13 $108.75 PREVNAR13 VACCINE 90670 $549.62 PREZCOBIX 800MG/150MG TABLET $46.50 PREZISTA(DARUNAVIR) 800MG TAB J3490 $36.00 PRIM ART MRCH THROMBECTOMY INI 37184 $25,544.29 PRIM ART MRCH THROMBECTOMY; AD 37185 $357.57 PRIM TIBIAL BASEPLATEûCEMENT C1776 $2,212.50 PRIMAQUINE 15MG BASE TAB $1.28 PRIMAQUINE 1MG/ML SUSP $2.20 PRIMARY CLOSURE OF A SINUS PERFORATION D7261 $825.00 PRIMARY REPAIR RUPT ACHILLES 27650 $15,421.60 PRIMARY TIBIAL BASEPLATE C1776 $1,237.50 PRIMARY TIBIAL BASEPLATE - CEMENTED #3 C1776 $2,212.50 PRIMARY TIBIAL BASEPLATE - CEMENTED #5 C1776 $2,212.50 PRIMIDONE 80188 $40.57 PRIMIDONE C231 80188 $40.57 PRIMOPAC CATHETER INF. 4FR W/CSI $68.34 PRINIVIL/ZESTRIL 5MG TAB J3490 $1.17 PRISCOLINE 25MG/ML INJ 4ML $9.09 PRO VASCULAR135CM STENT SYSTEM C2625 $2,175.00 PROB NASLCRML DCT W/WO IRRG; 68815 $4,989.01 PROBE APC-CATEG 1 $768.33 PROBE BLACK N2 DE, AEGLE C2618 $35.55 Probe Chandelier 25GA C1725 $2,291.58 Probe Decomp Perc Lumbr Disect C2618 $3,084.00 PROBE HEMOSTASIS-CATEG 1 $44.50 PROBE LAP-CATEG 1 $4,737.50 PROBE NLD 68810 $697.33 PROBE VITRECTOMY-CATEG 1 C1781 $2,298.77 PROBING LACRIMAL CANALICULI W/ 68840 $697.33 PROBING NASOLACRIMAL DUCT W/WO 68810 $697.33 PROBING OF LACRM CANALCULI 68840 $697.33 PRO-BNP 83880 $86.37 PROC SURG MESH SQRE15X15CM 1BX C1781 $755.13 PROC VENT PTCH 1.7 PVP DEV 2BX C1781 $556.86 PROC VENT PTCH 2.5 PVP DEV2BX C1781 $666.01 PROCAINAMIDE 100MG CH SYR $1.59 PROCAINAMIDE 500MG CAP $0.29 PROCAINAMIDE HCL 1G/10ML J2690 $11.60 PROCAINAMIDE HCL 250MG CAP $0.20 PROCAINAMIDE LEVEL 80192 $40.94 PROCAINAMIDE W METABOLITES 80192 $40.94 PROCAINAMIDE/NAPA 80192 $40.94 PROCALCITONIN 84145 $65.49 PROCARDIA XL 30MG TAB J3490 $2.34 PROCARDIA XL 90MG TAB J3490 $3.77 Proceed Mesh 5x10cm Impl Mesh C1781 $374.06 PROCEED MESH 8X2" (20X30CM) 1/BX; ETHICO C1781 $2,369.45 PROCEED MESH ORVAL 6X8 C1781 $1,281.66 PROCEED SURG MESH 10X13" OVAL C1781 $3,356.14 Proceed Surg Mesh 10x20cm 4x8" C1781 $719.90 PROCEED SURG MESH 4"X6" OVAL C1781 $741.70 PROCEED SURG MESH OVAL 10X15CM 4X6 C1781 $741.71 PROCEED SURG MESH OVAL 15X20CM 6X8" C1781 $1,342.47 PROCEED SURG MESH RECTANGLE C1781 $374.06 PROCEED SURG MESH RECTANGLE C1781 $470.91 PROCEED SURGIC MESH 10X14 1/BX C1781 $3,315.88 PROCEED SURGIC MESH 12X12 1/BX C1781 $3,205.12 PROCEED SURGIC MESH 8X12 1BX C1781 $2,369.44 PROCEED SURGICAL MESH 10"X14" 1/BX; ETHI C1781 $3,315.89 PROCEED SURGICAL MESH 12X12 1/BX; ETHICO C1781 $3,205.13 PROCEED SURGICAL MESH 6X8 OVAL C1781 $1,281.66 PROCEED SURGICAL MESH OVAL 10X13" C1781 $3,356.15 PROCEED SURGICAL MESH RECTANGL C1781 $719.90 PROCEED SURGICAL MESH SQUARE 15X15CM C1781 $755.13 PROCEED VENTRAL PATCH 1.7" PVP DEVICE C1781 $556.87 PROCEED VENTRAL PATCH 2.5" PVP DEVICE C1781 $666.02 PROCHLOR MALEATE 5MG ANT-EMETC Q0164 $1.30 PROCHLORPER MALEATE 10MG TAB Q0164 $1.82 PROCHLORPERAZINE 10MG TAB $1.26 PROCHLORPERAZINE 2.5MG SUPPOS $2.79 PROCHLORPERAZINE 25MG SUPPOS $4.07 PROCHLORPERAZINE 5MG SUPPOS $3.54 PROCHLORPERAZINE 5MG TABLET $0.87 PROCHLORPERAZINE 5MG/ML INJ 2M $6.14 PROCHLORPERAZINE 5MG/ML ORAL $0.68 PROCHLORPERAZINE MALEATE 5MG O Q0164 $1.35 PROCHLORPERZ 10MG INJ J0780 $47.86 PROCRIT/EPOGEN 2000U/ML 1ML J0885 $15.60 PROCRIT/EPOGEN 3000U/ML 1ML J0885 $25.97 PROCRIT/EPOGEN 4000U/ML 1ML J0885 $19.23 PROCSIGMOSCOPY RIGID; DX-SEP P 45300 $1,969.31 PROCTOPLASTY;PROLAPSE MUC MEM 45505 $6,043.36 PROCTOSIG/POLYP REMOVAL 45309 $2,588.89 PROCTOSIG;RIGID;W ALBT TUM/POL 45320 $6,043.36 PROCTOSIGMOIDOSCOPY RIGID; W/B 45305 $2,588.89 PROCTSIGMDSCPY; RIGID W REM MU 45315 $2,588.89 PROF SRVC IMMUNOTX INCL EXT; 2/>INJ 95125 $40.06 PROF SRVC IMMUNOTX W/O EXT; 1 INJ 95115 $97.92 PROF SRVC IMMUNOTX W/O EXT; 2/> INJ 95117 $97.92 PROFILE SILICONE IMPLANTS C1789 $1,350.00 PROFSRVC IMMUNOTX INCL EXT; 1 INJ 95120 $40.06 PROG DEV EVAL; IMPLNTBLE SUBQ 93260 $93.46 PROG VALVE HAKIM W/SPHNGD C1713 $8,094.00 PROG/MOD OF VOICE PROSTHETIC 92609 $236.59 PROGESTERONE 50 MG/ML INJ J2675 $8.23 PROGESTERONE 8% (PROCHIEVE) VAG GEL $29.70 PROGESTERONE PROMETRIUM 100MG $1.35 PROGESTERONE RECEPTOR 84234 $158.60 PROGESTERONE SERUM 84144 $51.00 PROGRAM INTAKE ASSESSMENT 99366 $316.10 PROGREAT COAXIAL MICROCATH C1887 $957.00 PROGRIP MESH PRTX 15X15CM 12MM C1781 $538.24 PROHANCE (GADOTERIDOL) PER 1ML A9576 $15.36 PROINSULIN 84206 $58.72 PROKERA AMNIOTIC MEMBRNE 15MM V2790 $1,492.50 PROLACTIN SERUM 84146 $47.37 PROLAPSE REP; PERIGEE W/INTEXEN C1763 $3,292.50 PROLENE MESH 3" X 6" 6/BX C1781 $79.00 PROLENE SUTRE BL MON RB2 NEEDL C1713 $239.00 PROLENE SUTURE 18"(45CM) 5-0 B C1713 $427.82 PROLENE SUTURE 36"(90CM) 3-0 B C1713 $232.29 PROLIXIN 80299 $41.01 PROLIXIN 2.5MG/ML INJ 10ML $9.91 PROLIXIN DECANOATE 25MG/ML 5ML J2680 $18.61 PROLONG EVAL-BRONCHOSPASM MX D 94070 $652.50 PROLOPRIM/TRIMPEX 200 MG TAB $4.89 PROMACTA 25MG $85.00 PROMETHAZINE 80299 $41.01 PROMETHAZINE HCL 25MG TAB $0.19 PROMETHAZINE HYDROCHL 12.5MG Q0169 $1.07 PRONESTYL 100MG/ML INJ 10ML J2690 $11.81 PROPANTHELINE BROM 15MG TAB $0.85 PROPARACAINE EYE DROP J3490 $5.71 PROPARACNE 0.5% (REFRIG) $96.51 PROPHYLAXIS / ADULT D1110 $181.00 PROPHYLAXIS / CHILD D1120 $125.00 PROPHYLAXIS RET DETACH; PHOTOC 67145 $1,306.87 PROPHYLAXIS RETINAL DETACH; CR 67141 $697.33 PROPOFOL 10MG/ML 20ML $10.91 PROPOFOL 10MG/ML INJ J2704 $0.77 PROPOFOL 10MG/ML VIAL 100ML J2704 $33.58 PROPOFOL 200MG/20ML VIAL INJ J2704 $0.62 PROPOXY NAP/APAP (N 100) PO $1.47 PROPOXYPHENE NAP 100MGPO $2.20 PROPOXYPHENE SCREEN 80299 $41.01 PROPOXYPHENE SCREEN URINE 80299 $41.01 PROPRANOLOL 80299 $41.01 PROPRANOLOL 1MG/ML ORA SWT $0.15 PROPRANOLOL HCL 10MG TAB J3490 $0.31 PROPRANOLOL HCL 40MG TAB J3490 $0.82 PROPRANOLOL HCL20MG TAB J3490 $0.37 PROPYLTHIOURACIL 50MG TABLET J3490 $0.25 PROS SMART DELACRUZ PISTON.6MM C1725 $433.95 PROSTATE / FOR BRACHYTHERAPY 76873 $288.95 PROSTATE CA SCRN DIG RECTAL EX G0102 $20.94 PROSTATE NEEDLE PUNCH; BX 55700 $4,567.09 PROSTATE SPEC ANTIGEN 84153 $44.97 PROSTH REPL TRAPEZIUM BONE 25445 $15,421.60 PROSTH TRAIN-UP &/LOW EXTREM E 97761 $91.21 PROSTHETIC TRAINING EA 15 MIN 97761 $91.21 PROSTIN E2 VAGINAL SUPPOSITORY $307.18 PROSTIN VR PEDS 500MCG/ML 1ML J0270 $870.08 PROSTRATE LASER ENUCLEATION 52649 $10,909.23 PROTAMINE SULFATE 50MG/5ML J2720 $2.01 PROTEIN BODY FLUID 84157 $8.95 PROTEIN C ACTIVITY 85303 $33.81 PROTEIN C ANTIGEN 85302 $29.37 PROTEIN C ANTIGEN 85302 $29.37 PROTEIN C TOTAL 85303 $33.81 PROTEIN CSF 84157 $8.95 PROTEIN ELECTROPHORESIS 84165 $26.25 PROTEIN ELECTROPHORESIS CSF 84166 $43.58 PROTEIN ELECTROPHORESIS URINE 84166 $43.58 PROTEIN S ANTIGEN 85305 $28.38 PROTEIN S TOTAL 85306 $37.47 PROTHROMB TIME 85610 $9.61 PROTHROMBIN TIME 85610 $9.61 PROTHROMBIN-FACTOR 11 85210 $31.75 PROTOPAM 1GM INJ J2730 $69.79 PROTOPORPHYRIN RBC; QUAN 84202 $35.07 PROUS HA SYNERGY STEM 15HO C1776 $8,775.00 Provisional crown D2799 $630.00 Provisional pontic D6253 $600.00 Provisional retainer crown D6793 $500.00 PROVISIONAL SPLINTING EXTRAORAL D4321 $294.00 Provisional splinting-intracor D4320 $336.00 PROVOX 2 VOICE PROSTHESIS 8MM L8509 $396.00 PROVOX 2VOICE PROSTHESIS SIZE 10MM L8509 $385.50 PROVOX GUIDE WIRE C1713 $85.50 PROX TIB PLATE C1713 $1,992.82 PROXIMAL HUMERAL BASE PLATE C1713 $1,840.65 PROXIMAL HUMERUS PLATE C1713 $1,840.65 PROXIMAL RELEASE ESOPHAGEAL ST $1,326.50 PROXIMAL TIB PLATE (4HOLE/RIGHT LCP) C1713 $1,948.50 PROXIMAL TIB PLATE 3.5MM LCP C1713 $1,770.00 PROXIMARL TIB PLATE; 2-HOLE C1713 $1,992.83 PROZAC 20MG CAP J3490 $3.09 PRP 67228 $1,306.87 PRQ CARD STENT W/ANGIO 1 VSL 92928 $25,544.29 PRQ CARD STENT W/ANGIO ADDL 92929 $163.50 PRQ REVASC CHRONIC TOT OCC;1VS 92943 $25,544.29 PRSC & FIT CONTACT LENS;NOT AP 92310 $359.70 PRSC & FIT CONTACT; APHAKIA-1 92311 $951.29 PRSC RX ORAL NONCHEMOTHAPEUTIC J8499 $99.99 PRTL REM FT BONE METATRSL HD 28288 $7,057.23 PRUITT INAHARA CAROTID SHUNT 8FR W/T-POR C1875 $955.50 PRUITT INAHARA CAROTID SHUNT 9FR W/T-POR C1875 $982.50 PRV MED CNSL GRP-SEP PROC;60MI 99412 $256.70 PRV MED COUNS 60MIN 99404 $316.65 PRV MED COUNS/RISK RED 45 MIN 99403 $286.67 PRV MED COUNS/RISK RED 60MIN 99404 $316.65 PRV MED COUNSEL GRP;30 MIN 99411 $244.71 PRV MED E/M ESTAB PT;12-17YR_ 99394 $373.00 PRV MED E/M ESTAB PT;1-4 YR 99392 $373.00 PRV MED E/M ESTAB PT;18-39YR 99395 $373.00 PRV MED E/M ESTAB PT;5-11YR 99393 $373.00 PRVENT MED CNSL PROC; 15 MIN 99401 $244.71 PRVENT MED CNSL-SEP PROC;15MIN 99401 $244.71 PRVENT MED CNSL-SEP PROC;30MIN 99402 $256.70 PS FEMORAL COMPONENT - CEMENTED #2 RIGHT C1776 $2,092.50 PS FEMORAL COMPONENT - CEMENTED #3 LEFT C1776 $2,092.50 PS FEMORAL COMPONENT - CEMENTED #5 LEFT C1776 $2,092.50 PS FEMORAL COMPONENT CEMENTED #5 RIGHT C1776 $2,092.50 PS TIBIAL INSERT - X3 #3 - 9MM C1776 $1,378.50 PS TIBIAL INSERT; X3 #1 - 11MM C1776 $1,378.50 PS TIBIAL INSERT; X3 #6 - 19MM C1776 $2,567.40 PS/7FR/10/038 W/O WIRE INTRO C1894 $277.50 PS7FR.10038W/OWIRE INTROSHEATH C1894 $277.50 PSA FREE 84154 $44.97 PSA FREE 84154 $44.97 PSA TOTAL 84153 $44.97 PSEUDOCHOLINESTERASE 82480 $19.25 PSEUDOEPHDE 30MG TAB $0.15 PSEUDOEPHEDRINE 9.4MG DROPS PO $0.01 PSITACOSIS CF 86171 $24.46 PSY PT&/OR FAM; 45 MINSRVCS 90834 $316.00 PSY PT/ FAM; 45 MIN 90834 $316.00 PSY THERAPY PT/FAMILY; 45 MINS 90834 $300.00 PSY TX COMPLEX INTERACTIVE 90785 $316.00 PSY TX CRISIS EA ADD 30MIN 90840 $316.00 PSY TX CRISIS INITIAL 60MIN 90839 $316.00 PSY TX PAT/FAM W/E&M; 45 MINS 90836 $300.00 PSY TX PAT/FAMILY - 45 MINS 90834 $300.00 PSY TX PT/FAM W/E&M; 45 MINS 90836 $300.00 PSYCH DIAG EVAL W MED SRVCS 90792 $316.00 PSYCH DIAG EVAL W/MED SRVCS 90792 $316.00 PSYCH DIAG EVALUATION 90791 $316.00 PSYCH DIAGNOSTIC EVAL 90791 $316.00 PSYCH DIAGNOSTIC EVAL W/MED 90792 $316.00 PSYCH DIAGNOSTIC EVAL W/MED 90792 $316.00 PSYCH DIAGNOSTIC EVALUATION 90791 $316.00 PSYCH DX EVAL W/MED SRVCS 90792 $316.00 PSYCH PT&/OR FAM 45 MIN 30 MIN 90834 $316.00 PSYCH PT/OR FAM; 45 MINSS 90792 $316.00 PSYCH TX CRISIS;EA ADD'L 30MIN 90840 $583.00 PSYCH TX CRISIS;EA ADD'L 30MIN 90840 $583.00 PSYCH TX CRISIS;INT'L 60 MIN 90839 $1,225.00 PSYCH TX CRISIS;INT'L 60 MIN 90839 $1,225.00 PSYCH TX; PT/FAM; 30M 90832 $316.00 PSYCH TX; PT/FAM; 45M 90834 $316.00 PSYCH WARD $1,350.00 PSYCH; DX EVALUATION 90791 $316.00 PSYCHIATRIC DIAGNOSTIC EVAL 90791 $316.00 PSYCHIATRIC DIAGNOSTIC EVAL 90791 $316.00 PSYCHIATRIC PRIVATE ROOM $2,700.00 PSYCHIATRIC SEMI PRIVATE ROOM $1,550.00 PSYCHO TX PAT/FAM; 45 MINS 90834 $300.00 PSYCHOTHERAPY 30 MINS ADD-ON 90833 $316.00 PSYCHOTHERAPY 30 MINS ADD-ON 90833 $316.00 PSYCHOTHERAPY 45 MINS ADD-ON 90836 $316.00 PSYCHOTHERAPY 45 MINS ADD-ON 90836 $316.00 PSYCHOTHERAPY W/O PATIENT 90846 $316.00 PSYCHT PT FAM; 45 MINS0 MINS 90834 $316.00 PSYCHTX CRISIS- EA ADDL 30 MIN 90840 $316.00 PSYCHTX CRISIS EA ADDL 30 MINS 90840 $316.00 PSYCHTX CRISIS- INITIAL 60 MIN 90839 $316.00 PSYCHTX PT FAM; 45 MINSNS 90834 $316.00 PSYCHTX PT/OR FAM 45 MINS 90834 $316.00 PSYCHTX PT/OR FAM; 45 MINS 90791 $316.00 PSYCHTX W E&M PAT AND/OR FAM;6 90838 $316.00 PSYCHTX W E/M; PT&/OR FAM 30MI 90833 $316.00 PSYCHTX W E/M; PT&/OR FAM 30MI 90833 $316.00 PSYCHTX W E/M; PT&/OR FAM 45MI 90836 $316.00 PSYCHTX W E/M; PT&/OR FAM 60MI 90838 $316.00 PSYCHTX;PAT &/OR FAM;60 MINS 90837 $316.00 PSYCHTX;PAT&/0R FAM-30MINS 90832 $316.00 PSYCHTX;PAT&/0R FAM-30MINS 90832 $316.00 PSYCHTX;PAT&/0R FAM-45MINS 90834 $316.00 PSYCHTX;PT &/OR FAM;30 MINS 90832 $316.00 PSYCHTX;PT &/OR FAM;45 MINS 90834 $316.00 PSYCHTX;PT&/0R FAM-30MINS 90832 $316.00 PSYCHTX;PT&/0R FAM-45MINS 90834 $316.00 PSYCHTX;W EM;PT&/OR FAM;30 MIN 90833 $316.00 PSYCHTX;W EM;PT&/OR FAM;45 MIN 90836 $316.00 PSYCHTX;W EM;PT&/OR FAM;60 MIN 90838 $316.00 PSYCL TST EVAL PHYS/QHP 1ST 96130 $381.81 PSYLLIUM/HYDROCIL/METAMUCIL J3490 $0.35 PSYTHERAPY PAT/FAMILY; 45 MINS 90834 $300.00 PSYTX INTERACTIVE COMPLEX;ADD 90785 $316.00 PSYTX INTERACTIVE COMPLEXITY A 90785 $316.00 PSYTX PAT/FAM W/E&M; 45 MINS 90836 $300.00 PSYTX PT/FAM W/E&M; 45 MINS 90836 $300.00 PSYTX-CRISIS INITIAL 60-MIN 90839 $316.00 PT ADPT&TRAINING USE SPCH GEN 92609 $236.59 PT DEMND REC;TRNSMS PHYS REV&I 93268 $143.88 PT EVAL HIGH COMPLEX 45 MIN 97163 $186.67 PT EVAL HIGH COMPLEX 45 MIN 97163 $186.67 PT EVAL LOW COMPLEX 20 MIN 97161 $186.67 PT EVAL LOW COMPLEX 20 MIN 97161 $186.67 PT EVAL MOD COMPLEX 30 MIN 97162 $186.67 PT EVAL MOD COMPLEX 30 MIN 97162 $186.67 PT EVAL-SCRIPT SPEECH GEN DEVI 92607 $281.18 PT PROGR NEUROSTIM C1787 $1,500.00 PT RE-EVAL EST PLAN CARE 97164 $128.13 PT RE-EVAL EST PLAN CARE 97164 $128.13 PT/PTT 85610 $9.61 PTA 4FR BALLON DILATATION CATH C1726 $618.75 PTA BALL CATH OTW 0.035 VASC C1725 $202.50 PTCA DILATION CATH 2.5MMx12MM C1725 $262.50 PTERYGIUM EXCISION 65420 $4,989.01 PTERYGIUM EXCISION W/GRAFT 65426 $4,989.01 PTFE COAT GUIDEWIRE 3CM FIXCOR C1769 $16.47 PTFE COATED GUIDEWIRE 15CM C1769 $22.76 PTFE NITINOL GWIRE ANGLED C1713 $313.65 PTFE NITINOL GWIRE STRGHT C1713 $390.11 PTFE WIRE .035/150 5/BX; ACMI C1713 $94.11 PTFE/HPRN COATED GW JFC/.035/150/3/3MM C1769 $16.47 PTH 83970 $100.89 PTH 83970 $100.89 PTH (INTACT) 83970 $100.89 PTH C TERMINAL 83970 $100.89 PTH N TERMINAL $50.36 PTH SERUM 83970 $100.89 PTT;PLASMA OR WHOLE BLOOD 85730 $14.67 PULM COMPLIANCE STUDY ANY METH 94750 $356.66 PULM. COMPLIANCE STUDY 94750 $356.66 PULMO STRESS TEST/6MIN WLK TST 94618 $281.09 PULMOZYME (DORNASE) INHAL SOLU $74.10 PULP CAP-DIRECT D3110 $70.00 PULP CAP-INDIRECT D3120 $56.00 PULPAL DEBRIDEMENT PRIMARY OR PERM TEETH D3221 $140.00 Pulpal Regeneration Complete D3357 $100.00 Pulpal Regeneration Initial D3355 $100.00 Pulpal Regeneration Interim D3356 $100.00 PULPAL THERAPY RESOR FILL PRMY TOOTH ANT D3230 $186.00 PULPAL THERAPY RESOR FILL PRMY TOOTH PST D3240 $200.00 PULPOTOMY D3220 $140.00 PULSE OXIMETRY 94760 $4.14 PULSE OXIMETRY CONTINUOUS 94762 $356.66 PULSE OXIMETRY ROOM AIR 94760 $4.14 PULSE OXIMETRY-02 SAT 94760 $4.14 Pump Synchromed II C1772 $16,800.00 PUNCH 7' 40DEG UP THIN FT 1MM $678.17 PUNCH BX SKIN EA SEP/ADDL 11105 $57.88 PUNCH BX SKIN SINGLE LESION 11104 $450.45 PUNCH BX SKIN SINGLE LESION 11104 $450.45 PUNCH GRAFT HAIR TRNSPLANT; 1- 15775 $823.72 PUNCH GRAFT HAIR TRNSPLANT; 15 15776 $823.72 PUNCH STRGHT W/CENTR SUCT CHAN A4624 $889.14 PUNCT ASP -ABSC/HEMAT/CYST 10160 $823.72 PUNCT ASP BRST CYST- EA ADDTL 19001 $47.94 PUNCT ASP BRST CYST- INITIAL 19000 $1,572.63 PUNCT ASPIR ABSC HEMAT BULLA/C 10160 $823.72 PUNCT ASPIRAT CYST BREAST; EA 19001 $47.94 PUNCT SHUNT TUBE/RESERVOIR-ASP 61070 $1,611.39 PUNCTAL CAUTERY 68760 $697.33 PUNCTAL DILATIO W OR W/O IRRI 68801 $937.35 PUNCTAL PLUG PROCEDURE 68761 $697.33 PUNCTURE ASP CYST BREAST 19000 $1,572.63 PUNCTURE ASP SKIN LESION 10160 $823.72 PUNCTURE ASPIRATION CYST BREAS 19001 $47.94 PUNCTURE SUTURE CLOSURE DEVICE C1713 $16.80 PURE TONE AUDIOMETRY AIR 92552 $281.09 PURE TONE AUDIOMETRY; AIR 92552 $281.09 PURE TONE HEARING TEST 92551 $12.73 PURGED STOOL 87177 $21.76 PUROS, BONE GRAFT L8699 $105.00 PUSHLOCK 3.5 PEEK C1713 $540.00 PVC DRAIN 10FR RESERVOIR KIT C1729 $148.08 PYLORIC DILATION 43245 $4,015.00 PYRIDINOLINE $40.50 PYRIDOSTIGMINE 60MG TAB J3490 $1.21 PYRIDOXINE 100 MG TAB $0.13 PYRIDOXINE 5MG/ML ORAL SOL. FOR NICU $1.10 PYRIMETHAMINE-LEUCOVORIN 50/20 J0640 $1.25 PYRUVATE 84210 $31.86 PYRUVATE KINASE 84220 $23.08 PYRUVIC ACID 84210 $31.86 PZA/PYRAZINAMIDE 500MG TAB $1.75 Q FEVER 86638 $29.63 Q FEVER ANTIBODY 86638 $29.63 Q.I. IGA-NEPH 82784 $22.75 Q.I. IGD-RID 82784 $22.75 Q.I. IGE-NEPH 82785 $40.24 Q.I. IGG-NEPH 82784 $22.75 Q.I. IGM-NEPH 82784 $22.75 QCKANCH PLS 3-0 ORTHCORBRAID C1713 $672.00 QUAD CORTICAN SCREW C1713 $2,025.00 QUADRICEPSPLASTY 27430 $15,421.60 QUAN MASS SPECT EA SPECIM 83789 $53.04 QUANTIT ORGANIC ACIDS EA SPECI 83918 $51.92 QUANTITATIVE BLOOD CULTURE 87040 $25.23 QUANTUM MAVRCK 2.0x8MM PTCA DILAT CATH C1725 $360.00 QUELICIN/ANECTINE 20MG/ML 10ML $0.18 QUETIAPINE 300MG TAB PO J3490 $11.09 QUETIAPINE 400MG TABLET J3490 $1.48 QUETIAPINE FUMARATE 100MG TAB J3490 $4.34 QUETIAPINE FUMARATE 200MG TAB J3490 $8.25 QUETIAPINE FUMARATE 25MG TAB J3490 $2.55 QUICK CAT EXTRACTION CATH 6FR C1757 $675.00 QUICK CAT EXTRACTION CATHETER** C1757 $675.00 QUICK CONN TUB 10FT SMRT PUMP C1772 $66.26 QUICK CROSS CATH .014X135CM, C1887 $250.50 QUICK CROSS CATH .014X150CM, C1887 $250.50 QUICK CROSS CATH .018X135CM C1887 $250.50 QUICK CROSS CATH .035X135CM C1887 $250.50 QUICK CROSS CATH .035X150CM C1887 $250.50 QUICK CROSS CATH .035x65CM C1887 $1,252.50 QUICK CROSS CATH .035X65CM C1887 $1,252.50 QUICK CROSS CATH .035X90CM C1887 $250.50 QUICK CROSS CATH .18 X 90CM C1887 $250.50 QUICK CROSS CATH 5/BX C1887 $250.50 QUICK CROSS CATH.018X150CM C1887 $250.50 QUICK CROSS EXT ANGLED CATH 035X135CM C1887 $250.50 QUICK CROSS EXTREME ANGLE CATH C1887 $1,522.50 QUICKANCHR ORTHOCORD 2MM DRILL C1713 $873.00 QUICKCROSS EXTREME STRGHT CATH C1887 $1,477.50 QUICKCRS EXTREME ANGL CATH 5BX C1714 $304.50 QUINAPRIL (ACCUPRIL) 40MG TAB $3.85 QUINAPRIL (ACCUPRIL) 5MG TAB $3.85 QUINDINE GLUCONATE 324MG TAB $0.59 QUINIDINE 80194 $35.68 QUINIDINE GLUCONATE 80MG/ML10M $2.01 QUINIDINE SULFATE 200MG TAB $0.14 QUININE SULFATE 260MG TAB $0.83 QUININE SULFATE 324MG CAP $0.30 QUINUPRISTIN/DALFOPRISTIN J2770 $1,071.00 QVAR (beclomethasone dip HFA) $220.00 R & B EOB $1,550.00 R HRT ART/GRFT ANGIO 93457 $7,347.23 R HRT CORONARY ARTERY ANGIO 93456 $7,347.23 R&B DETOX - ALC LEVEL 1 $1,150.00 R&B DETOX ALC LEVEL 2 $1,150.00 R&B MATERNITY - ALC LEVEL 1 $2,250.00 R&B MATERNITY ALC LEVEL 2 $2,250.00 R&B MED/SURG ALC LEVEL 1 $3,175.00 R&B MED/SURG ALC LEVEL 2 $3,175.00 R&B NEONATAL ICU (BORDER BABY) $3,225.00 R&B PEDIATRICS ALC LEVEL 1 $3,075.00 R&B PEDIATRICS ALC LEVEL 2 $3,075.00 R&B PSYCHIATRY - ALC LEVEL 1 $1,550.00 R&B PSYCHIATRY - ALC LEVEL 2 $1,550.00 R&B REHABILITATION ALC LEVEL 1 $1,150.00 R&B REHABILITATION ALC LEVEL 2 $1,150.00 R&L HRT ART/GRAFT/VENTRICLE AN 93461 $7,347.23 R&L HRT ART/VENTRICLE ANGIO 93460 $7,347.23 R&L HRT CATH W/VENTRCLGRPHY 93453 $7,347.23 R/B I/D MONITORING ALC LEVEL 1 $1,850.00 R/B I/D MONITORING ALC LEVEL 2 $1,850.00 R/O GRP A BETA STREP 87081 $16.19 R/O N. GONORRHOEAE 87081 $16.19 R00M & BOARD - BORDER BABY $525.00 RA TRACER ID OF SENTINL NODE 38792 $949.04 RABEPRAZOLE 20MG TAB PO $12.47 RABIES IG INJECTION 90375 $693.18 RABIES IMMUNE GLOBULIN 10ML VI 90375 $1,922.21 RABIES IMMUNE GLOBULIN 2ML VIA 90375 $305.74 RABIES IMMUNE GLOBULIN-IM //SUBQ 90375 $693.18 RABIES VACCINE-IM USE 90675 $850.87 RABIES VACCINE-IM USE CLINIC 90675 $850.87 RABIES VACCINE-INTRADERMAL USE CLINIC 90676 $99.99 RAD 2 TX AREAS-3/> PORTS 5 MEV 77407 $609.33 RAD EX SM INTESTINE; VIA ENTER 74251 $469.77 RAD EX TEETH; PART EX < FULL M 70310 $600.78 RAD EXAM 1 PLNE BOD SECT-NOT W 76100 $288.95 RAD EXAM ANK ARTHROGRAPHY-RAD 73615 $984.43 RAD EXAM COMPLX MOTION BODY; B 76102 $288.95 RAD EXAM COMPLX MOTION BODY; U 76101 $288.95 RAD EXAM ELBOW ARTHROGRAPHY-RA 73085 $984.43 RAD EXAM EYE DETECTION FB 70030 $205.74 RAD EXAM HAND; 2 VIEWS 73120 $288.95 RAD EXAM HIP ARTHROGRAPHY-RAD 73525 $984.43 RAD EXAM INT AUDITORY MEATI CO 70134 $1,241.53 RAD EXAM KNEE ARTHROGRAPHY-RAD 73580 $984.43 RAD EXAM PELVIS; COMPLT 3+ VI 72190 $288.95 RAD EXAM S I JT ARTHROGRAPHY R 27096 $182.82 RAD EXAM SALIVARY GLAND CALCU 70380 $205.74 RAD EXAM SHOULDER ARTHROGRAPHY 73040 $984.43 RAD EXAM SPINE LUMBOSACRAL 2-3 72120 $288.95 RAD EXAM SPINE; THOR 3 VIEWS 72072 $288.95 RAD EXAM STRESS VIEW ANY JT 77071 $205.74 RAD EXAM TEETH; COMPLT FULL MO 70320 $600.78 RAD EXAM TEETH; SNGL VIEW 70300 $205.74 RAD EXAM WRIST ARTHROGRAPHY-RA 73115 $984.43 RAD EXAM; PHARYNX INCL FLUORO 70370 $205.74 RAD EXAM-RENAL CYST-TRNSLUMB-S 74470 $1,241.53 RAD EXC WRIST/FOREARM EXTENSOR 25116 $7,057.23 Rad resectn-maxilla or mandible D7490 $8,995.00 RAD TX DEL-1 TX AREA 1 PRT;TO 77402 $316.34 RAD TX DELIV SUP/OR ORTHO VOLT 77401 $316.34 RAD TX DELIV-3/MORE AREAS; TO 77412 $609.33 RADCL EXCISN BENIGN TUMOR>1.25 D7461 $1,732.00 RADIAL HD ARTHROPLSTY W IMPLAN 24366 $30,680.34 RADIAL HEAD PROSTHESIS C1776 $5,659.50 RADIAL JAW BIOP FORCEP W/O NDL $600.00 RADIAL KERATOTOMY 65771 $989.46 RADIAL STYLOIDECTOMY 25230 $7,057.23 RADIATION TRTMNT MGMNT 5 TRTMT 86225 $33.59 RADICAL ABDOMINAL HYSTRECTOMY 58210 $3,954.98 RADICAL EXC EXTRN AUDTRY CANAL 69150 $12,504.78 RADICAL EXCISION <1.25 D7410 $1,075.00 RADICAL EXCISION BENIGN TUMOR <1.25 D7460 $1,075.00 RADICAL REMOV FOOT PLANTAR FAS 28062 $7,057.23 RADIO BONE CEMNT W/GENTA STRL C1776 $477.37 RADIO EXAM- ABDOM;3ORMORE VIEW 74021 $288.95 RADIO EXAM-CHST;4 OR MORE VIEW 71048 $288.95 RADIO PHARM I-131 IODIDE CAP A9517 $45.67 Radiograph/surg impl index B/R D6190 $232.00 RADIOLOGIC EXAM- CHEST;2 VIEWS 71046 $205.74 RADIOLOGIC EXAM- CHEST;3 VIEWS 71047 $205.74 RADIOLOGIC EXAM-ABDOM; 1 VIEWS 74018 $205.74 RADIOLOGIC EXAM-ABDOM; 2 VIEWS 74019 $288.95 RADIOLOGIC EXAM-CHEST; 1 VIEW 71045 $205.74 RADIOPHARM DACRYOCYSTOGRAPHY 78660 $949.04 RADIOPHARM LOCALIZ TUMOR; LTD 78800 $949.04 RADIOPHARM THERAP CHRONIC LEUK 79005 $612.04 RADIOPHARM TX; INTRA-ART 79445 $612.04 RADIOPHARMACENTICAL THERAPY(NO 79101 $612.04 RADIOULNAR JNT FUSION W ULNA R 25830 $15,421.60 RAIL COMPRESSION-CATEG 1 $1,113.33 RAIL-CATEG 1 $2,300.00 RAIL-CATEG 2 $1,290.00 RAJI CELL TITER 86332 $59.58 RALTEGRAVIR 100MG CHEWABLE TAB J3490 $3.94 RALTEGRAVIR 100MG GRANULES $0.34 RALTEGRAVIR 25MG CHEWABLE TAB J3490 $1.35 Raltegravir 600 mg $25.26 RALTEGRAVIR K 400MG TABLET J3490 $16.31 RAMELTEON 8MG TAB (ROZEREM) J3490 $4.41 RAMIPRIL 1.25MG CAPSULE PO $0.90 RAMIPRIL 10MG CAPSULE PO J3490 $2.00 RAMIPRIL 2.5MG CAPSULE PO $1.84 RAMIPRIL 5MGCAPSULE PO J3490 $2.01 RANEXA 500MG PO J3490 $0.01 RANEY CLIP GUN KIT 1/PK* C1713 $109.73 RANITIDINE 15MG/ML ORAL SYR J3490 $13.44 RANITIDINE 50MG IVPB PREMIX $9.29 RANITIDINE PED SYRINGE IN 1/2 N>S.IV $0.50 RANITIDINE SYRUP 15MG/ML $0.65 RAP PAC Cruciate Accessory Kit C1725 $428.28 RAPAMUNE 2 MG. PO $38.54 RAPAMYCIN 80299 $41.01 RAPID AG DET-RSV (EIA) 87420 $30.60 RAPID TEST EIA -1/-2 AB 86703 $33.51 RAPIDVAC SMOKE TUB 1X3CM 38X10 A4624 $16.72 RASBURICASE 1.5MG VIAL J2783 $564.34 RAST TEST (QUANTITATIVE) 86003 $12.76 RBC DEGLYCEROLIZED UNIT P9039 $704.92 RBC FOLATE 82747 $42.35 RBC FRZ/DEG/WSH L/R IRRADIATED P9057 $531.56 RBC IRRADIATED UNIT P9038 $419.76 RBC L/R CMV NEG IRRADIATED UN P9058 $542.92 RBC LEUKO REDUCED IRRADIATED P9040 $578.01 RBC LEUKOCYTES REDUCED UNIT P9016 $414.33 RBC WASHING 86999 $59.25 RCI 7X25 SCREW METAL STERILE C1713 $301.31 RCI 8X25 SCREW METAL C1713 $301.31 RCI 8X35 SCREW METAL C1713 $307.31 RCI SCREW 10 X25 MM C1713 $240.00 RCI SCREW 7X35MM WITH 8MM HEAD C1713 $267.77 RCI SCREW 9X25 TITANIUM STERLE C1713 $270.00 RCI SCRW FIX CANNULAT 9X35X2MM C1713 $275.81 RCNSTR MANDIBLE WO INTRNL RIGI 21195 $12,504.78 RE ASSES NUTRá TELEPHONE 5-10 97803 $65.30 RE ASSES NUTR-TELEPHONEá 21-30 97803 $65.30 READI-CAT 2, 450ML (BANANA SMOOTHIE) Q9951 $5.76 READI-CAT 2,250ML (BANANA SMOO Q9966 $5.60 REALIGNMENT EXTENSION TENDON 26437 $7,057.23 REAMER $952.42 REAMER PLOTTED HEAD 6.5MM C1713 $439.50 REAMER SHAFT C1713 $432.22 Reamer Small joint concave16mm C1713 $1,180.20 RE-ASSESS NUTRITION THER;EA15M 97803 $65.30 RE-ASSESS NUTRITION THER;EA15M 97803 $65.30 RE-ASSESS NUTRITION THER;EA15M 97803 $65.30 REASSESSMENT PER 15 MINUTES 96151 $300.00 REASSESSMENT PER 15 MINUTES 96151 $300.00 Rebase complete mand denture D5711 $300.00 Rebase complete maxil denture D5710 $300.00 Rebase mand partial denture D5721 $300.00 Rebase maxil partial denture D5720 $300.00 REBLD OUTER EAR CANAL 69310 $12,504.78 RECEMENT CROWN / INLAY D2920 $126.00 Recement impl/abt supt crown D6092 $63.00 Recement inlay/onlay/partial D2910 $82.00 RECEMENT PARTIAL BRIDGE D6930 $154.00 Recemnt cast or prefab pst/cor D2915 $82.00 RECEMNT/BOND BI SPACE MAIN-MAX D1551 $94.00 RECLAST; per 1MG J3489 $92.21 RECMNT/BND UNI SPCE MAIN-PR QD D1553 $94.00 RECMNT/BOND BI SPACE MAIN-MAND D1552 $94.00 RECON / IMPLANT 21248 $12,504.78 RECON EXT AUDITORY CANAL (SEPA 69310 $12,504.78 RECON LID; TOT LID LOWER 1 STA 67973 $4,989.01 RECON MANDIBLE W/INTRNL RIGID 21196 $3,112.23 RECON MANDIBULAR RAMUS W/O BN 21193 $12,504.78 RECON PLATE 4-HOLE C1713 $418.95 RECON PLATE 4-HOLE C1713 $418.95 RECON POLYDACTYLUS DIGT SFT TI 26587 $7,057.23 RECON PST TIB TNDN W EXC NAVIC 28238 $15,421.60 RECON ZYG ARCH/AUTO GRAFT 21255 $2,995.37 RECONS COMPLT SHLDR CUFF AVULS 23420 $15,421.60 RECONST DISLOC PATELLA W MSCL 27422 $15,421.60 RECONST INFRAPATELLAR TENDON 27381 $15,421.60 RECONST MAND/MAXILLAR; PARTIAL 21245 $11,399.45 RECONST MANDIMAXILLA; COMPL 21249 $12,504.78 RECONST NAIL BED W GRAFT 11762 $4,183.48 RECONSTR IP JNT COLLAT LIG EAC 26545 $7,057.23 RECONSTR MAND/MAXILLA; PARTIAL 21248 $12,504.78 RECONSTR MCP JNT COLLAT LIG;W 26541 $7,057.23 RECONSTR TOE(S); POLYDACTYLY 28344 $7,057.23 RECONSTRCT MIDFACT; LEFORTE 2 21142 $3,015.52 RECONSTRCT ULNA/RADIOULNR JNT 25337 $15,421.60 RECONSTRUCT DISLOCATING PATELL 27420 $15,421.60 RECONSTRUCT EYELID SECOND STAG 67975 $4,989.01 RECONSTRUCT NIPPLE/AREOLA 19350 $7,810.24 RECONSTRUCT ORBIT W OSTEO; W B 21256 $12,504.78 RECOVERY ROOM < 15 MINUTES $49.64 RECOVERY ROOM 106 - 120 MINUTE $397.11 RECOVERY ROOM 121 - 135 MINUTE $446.75 RECOVERY ROOM 136 - 150 MINUTE $496.39 RECOVERY ROOM 151 - 165 MINUTE $546.02 RECOVERY ROOM 16 - 30 MINUTES $99.28 RECOVERY ROOM 166 - 180 MINUTE $595.66 RECOVERY ROOM 181 - 195 MINUTE $645.30 RECOVERY ROOM 196 - 210 MINUTE $694.94 RECOVERY ROOM 211 - 225 MINUTE $744.58 RECOVERY ROOM 226 - 240 MINUTE $794.22 RECOVERY ROOM 241 - 255 MINUTE $843.86 RECOVERY ROOM 256 - 270 MINUTE $893.49 RECOVERY ROOM 271 - 285 MINUTE $943.13 RECOVERY ROOM 286 - 300 MINUTE $992.77 RECOVERY ROOM 301 - 315 MINUTE $1,042.41 RECOVERY ROOM 31 - 45 MINUTES $148.92 RECOVERY ROOM 316 - 330 MINUTE $1,092.05 RECOVERY ROOM 331 - 345 MINUTE $1,141.69 RECOVERY ROOM 346 - 360 MINUTE $1,191.33 RECOVERY ROOM 361 - 375 MINUTE $1,240.97 RECOVERY ROOM 376 - 390 MINUTE $1,290.60 RECOVERY ROOM 391 - 405 MINUTE $1,340.24 RECOVERY ROOM 406 - 415 MINUTE $1,389.88 RECOVERY ROOM 416 - 430 MINUTE $1,439.52 RECOVERY ROOM 431 - 445 MINUTE $1,489.16 RECOVERY ROOM 446 - 460 MINUTE $1,538.80 RECOVERY ROOM 46 - 60 MINUTES $198.55 RECOVERY ROOM 461 - 475 MINUTE $1,588.44 RECOVERY ROOM 476 - 495 MINUTE $1,638.07 RECOVERY ROOM 496 - 510 MINUTE $1,687.71 RECOVERY ROOM 511 - 525 MINUTE $1,737.35 RECOVERY ROOM 526 - 540 MINUTE $1,786.99 RECOVERY ROOM 541 - 555 MINUTE $1,836.63 RECOVERY ROOM 556 - 570 MINUTE $1,886.27 RECOVERY ROOM 571 - 585 MINUTE $1,935.91 RECOVERY ROOM 586 - 600 MINUTE $1,985.54 RECOVERY ROOM 61 - 75 MINUTES $248.19 RECOVERY ROOM 76 - 90 MINUTES $297.83 RECOVERY ROOM 91 - 105 MINUTES $347.47 RECTAL BIOPSY 45100 $6,043.36 RECTAL FOREIGN BODY REMOVAL 46608 $1,969.31 RECTAL SENSATION TEST 91120 $356.66 RECTAL SUCT BX 45100 $6,043.36 RED BLD CELLS LEUKOCYTES REDUC P9016 $414.33 RED BLOOD CELL COUNT 85041 $7.37 RED BLOOD CELLS LR AS-1 P9016 $414.33 RED BLOOD CELLS LR AS-3 P9016 $414.33 RED BLOOD CELLS UNIT P9021 $307.45 RED CELL SURVIVAL STUDY; DIFF 78135 $949.04 RED CELL VOLUME DETERM; MX SAM 78121 $1,216.78 RED MASSETER M&B EXTRAORAL 21295 $3,478.64 RED TORSION TESTIS SURG W/WO 54600 $7,781.86 REDO ENDOVAS VENA CAVA FILTR 37192 $7,144.43 REDUC PROCIDENTIA UNDER ANESTH 45900 $1,969.31 REDUCER CAP ONE SEAL 6/BX A4649 $7.39 REDUCING SUBSTANCE 84376 $13.44 REDUCING SUBSTANCE STOOL 84376 $13.44 REDUCING SUBSTANCE URINE 81005 $5.30 REDUCING SUBSTANCES URINE 81002 $7.66 REDUCTION MAMMAPLASTY 19318 $13,501.86 REDUCTION OVERCORRECTION PTOSI 67909 $4,989.01 RE-EVAL OF SPEECH DEVICE 1ST 92607 $281.18 RE-EVAL POST-OP VISIT D0171 $101.00 REFIL&MAINT IMPL PUMP/RESERVOI 96522 $550.84 REFILL IMPL PUMP SPINL/BRN; P 95991 $505.84 REFILL IMPL PUMP SPINL/BRN; W 95990 $818.63 REFLUDAN 50MG INJECTION J1945 $180.48 REGITIN 5MG INJ J2760 $41.92 REGLAN 10MG 2ML J2765 $9.97 REGLAN 5 MG/ML INJ 2ML VIAL J2765 $2.51 REGLAN 5MG/5ML SOL J8597 $0.09 REGONOL/MESTINON 5MG/ML 2ML $1.46 REGRANEX GEL $106.33 REHAB FOR COCHLEAR IMPLANT 92633 $621.30 REHABILITATION PRIVATE ROOM $1,600.00 REHABILITATION SEMI PRIVATE RM $1,150.00 REINFORCE RELD W/TRISTAPLE 6BX C1713 $5,161.05 REINSERT OCUL IMP W/WO CONJ GR 65150 $8,061.64 REINSERT RUPT BI/TRICEPS TENDO 24342 $15,421.60 REINSRT OCLR IMPL; W REINFRC/A 65155 $8,061.64 REL EXT SCAR TIS WO DET EO MUS 67343 $4,989.01 RELATIVE VISCOSITY 85810 $28.53 RELEASE EXTNSR TENDON/HAND/FNG 26445 $7,057.23 RELEASE FLXSOR RENDON;PALM/FIN 26440 $3,494.24 RELEASE INTRINSIC MUSCLES-HAND 26593 $7,057.23 RELEASE MCP JOINT EACH 26520 $7,057.23 RELEASE SGL TIB FIB ANKLE FLEX 27680 $7,057.99 RELEASE THENAR MUSCLE; THMB CO 26508 $7,057.23 RELEASE TRSL TNNL (POST TIB NR 28035 $4,432.54 Reline complete mand (lab) D5751 $420.00 Reline complete maxillary (lab) D5750 $420.00 Reline mandibular partial (lab) D5761 $350.00 Reline maxillary partial (lab) D5760 $350.00 RELINES-CHRSD MAXIL, CMPLT DENTURE D5730 $280.00 RELINES-CHRSD MNDBLR, CMPLT DENTURE D5731 $280.00 RELINES-CHRSDE MAXILLARY PARTIAL DENTURE D5740 $210.00 RELINES-CHRSE MANDIB PARTIAL DENTURE D5741 $210.00 RELOAD HEAVY WIRE 90MM C1769 $1,030.46 REM ADENOIDS;PRIMARY; UNDER 12 42830 $6,752.59 REM ANAL FISSURE 46200 $6,043.36 REM ANAL FISTUAL; COMPLEX 46280 $6,043.36 REM ANAL FISTULA.INTERSPHINCTE 46275 $6,043.36 REM ANAL SETON OTHER MARKER 46030 $2,588.89 REM BREAST LESION/ 1 OR MORE 19120 $7,810.24 REM CORNEAL EPITHEL; W/WO CHEM 65435 $2,080.39 REM CVD LUMEN OBSTR 75902 $45.06 REM DEEP FB FOOT 28192 $3,538.61 REM DIGIT NERV LES 1-2SAME DIG 64776 $4,432.54 REM EMB FB FROM DENTOALV;SFT T 41805 $3,478.64 REM EMB FB;DENTOALVEOLAR;BONE 41806 $3,478.64 REM EMB FB;DENTOALVEOLAR;SFT 41805 $3,478.64 REM EMBEDDED FB MOUTH VEST;SIM 40804 $2,026.11 REM EMBEDDED FB MOUTH VESTIB S 40804 $2,026.11 REM EMBEDDED FB MOUTH VESTIB;C 40805 $1,138.76 REM ENDOVAS VENA CAVA FILTR 37193 $7,144.43 REM EXT FIX SYS W ANESTH 20694 $3,494.24 REM EXT HEMRRH; GROUPS 2/< 46250 $6,043.36 REM FB CONJUCTIVA;SUPERFICIAL 65205 $281.09 REM FB CORNEAL WO SLIT LAMP 65220 $937.35 REM FB EMBEDDED - EYELID 67938 $697.33 REM FB EMBEDDED MOUTH VESTIB;S 40804 $2,026.11 REM FB EXT AUDITRY CANAL; W AN 69205 $3,538.61 REM FB EXT AUDITRY CANAL;WO AN 69200 $281.09 REM FB EXTRN AUD CANAL W GEN A 69205 $3,538.61 REM FB FOOT SQ 28190 $1,572.63 REM FB FROM DEEP PENILE TISSUE 54115 $5,978.15 REM FB INTRANASAL; OFFICE 30300 $281.09 REM FB INTRANASAL; W ANESTH 30310 $6,752.59 REM FB INTRANASAL; W ANESTH 30310 $6,752.59 REM FB INTRAOCULAR; ANT CHAMBR 65235 $5,212.42 REM FB MUSCLE DEEP 20525 $5,978.15 REM FB MUSCLE' SIMPLE 20520 $3,538.61 REM FB MUSCLE/TNDN; SIMPLE 20520 $3,538.61 REM FB PELVIS/HIP;SUBQ 27086 $5,978.15 REM FB PHARYNX 42809 $937.35 REM FB SHOULDERS SQ 23330 $1,572.63 REM FB UP ARM OR ELBOW; SQ 24200 $3,538.61 REM FB UPPER ARM/ELBOW;SUBQ 24200 $3,538.61 REM FB/DACRYOLITH LACRIMAL PAS 68530 $697.33 REM FB; DEEP THIGH/KNEE 27372 $5,978.15 REM FB; DEEP UPPER ARM/ELBOW 24201 $5,978.15 REM FB; EXT EYE - CORNEA W/ SL 65222 $281.09 REM FECAL IMPACT/FB W ANESTH 45915 $2,588.89 REM FINGER TENDON; EACH 26180 $3,494.24 REM FOREIGN BODY PHARYNX 42809 $937.35 REM FOREIGN BODY SOFT TISSUE 41805 $3,478.64 REM FULL ARM/LEG CAST 29705 $592.46 REM GAUNTLET BOOT OR BODY CAST 29700 $592.46 REM HEMORRHOID CLOT 46320 $2,588.89 REM HEMRRHOID INT/EXT W FISTUL 46258 $6,043.36 REM HEPATIC SHUNT (TIPS) 37183 $12,771.31 REM IMACTED EAR WAX 1-2 EARS 69210 $141.83 REM IMP FRM FINGER/HAND 26320 $3,538.61 REM IMP MATRL POST SEGM INTRAO 67121 $5,212.42 REM IMPL INTRA-ARTERIAL INFUS 36262 $7,692.85 REM IMPLANT; DEEP 20680 $5,978.15 REM IMPLANTED CATHETER 62355 $4,432.54 REM IMPLANTED PUMP 62365 $14,202.34 REM IMPLNT INFUSION PUMP 36590 $1,625.47 REM INT HEMRRHD BY LIGATION 46945 $6,043.36 REM INT&EXT HEM;GRP 2/<;W FIST 46262 $6,043.36 REM INT&EXT HEMORRHOID;GRP 2/< 46260 $6,043.36 REM INT&EXT HEMORRHOID;SING 46255 $6,043.36 REM INT/EXT HEMORRH;2+GRPS & F 46261 $6,043.36 REM INTRA-NAS LES; INT APPR 30117 $6,752.59 REM INTRAVASC FB;W IMAG GUID 37197 $7,144.43 REM IOL 65920 $5,212.42 REM LENS FRAGMENT 66840 $5,212.42 REM LENS MATERIAL INTRACAPSULA 66920 $5,212.42 REM LENS MATERIAL;EXTRACAPSULA 66940 $5,212.42 REM LUNG CATH 32552 $1,625.47 REM MAMMARY IMP MATERIAL 19330 $7,810.24 REM MAMMARY IMPLANT 19328 $7,810.24 REM OBSTRUCTN FROM CVD 75901 $56.14 REM PROSTATE REGROWTH 52630 $10,909.23 REM RENAL TUBE W FLUORO GUIDAN 50389 $1,434.75 REM REPLC INTERN DWELL URETRL 50385 $4,567.09 REM ROD W INS G HND/FING 26392 $14,685.55 REM SKIN TAGS ADDON<10 LESIONS 11201 $35.86 REM SKIN TAGS;15 LES OR LESS 11200 $450.45 REM SPINE ELECTRODE PLATE 63662 $8,116.88 REM STENT VIA TRANSCURETHRAL A 50386 $4,567.09 REM SUTURES W ANESTH;OTH SURG 15851 $4,183.48 REM TIS EXPAN WO PROSTH INSERT 11971 $5,978.15 REM TONSILS&ADENOIDS; UNDER 12 42820 $12,504.78 REM TUNNLD IP CATH 49422 $7,144.43 REM URETER STENT; PERQ 50384 $4,567.09 REM VAGINAL IMPLACTED FB;W ANE 57415 $6,440.19 REM WRIST BONE 1 BONE 25210 $7,057.23 REM&REPLC PERM PACE MAKER;DUAL 33228 $26,429.74 REMI FENTANYL 5 MG. $413.60 REMINYL 12MG TAB $6.29 REMINYL 4MG TAB $6.29 REMINYL 4MG/ML PO SOL $4.20 REMINYL 8MG TAB $6.29 REML OF FORGN BODY DEEP 25248 $3,494.24 REML OF FORGN BODY DEEP THIGH 27372 $5,978.15 REMOTE AFTERLOAD BRACHYTHERAP; 77770 $1,909.09 REMOTE AFTERLOAD BRACHYTHERAP; 77771 $1,909.09 REMOTE AFTERLOAD BRACHYTHERAP; 77772 $1,909.09 REMOTE DX RETINAL IMAGING 92227 $91.68 REMOTE PT 30 DAY ECG REV/REPOR 93270 $93.46 REMOV CORNEAL EPITHEL; W/WO CH 65435 $2,080.39 REMOV FB CONJUNCT SUPERFICIAL 65205 $281.09 REMOV FB EXT EYE; CONJUNC SUPE 65205 $281.09 REMOV FB EXT EYE; CORNEAL W/SL 65222 $281.09 REMOV FB FT; SUBQ 28190 $1,572.63 REMOV FB INTRANASAL; LAT RHINO 30320 $3,478.64 REMOV FB INTRANASAL; OFFIC TYP 30300 $281.09 REMOV FB INTRANASAL;OFIC TYPE 30300 $281.09 REMOV FB INTRNASL; OFFIC TYPE 30300 $281.09 REMOV FB MUSCL/TENDON SHEATH; 20520 $3,538.61 REMOV FB-EXT AUDITORY CANAL; W 69200 $281.09 REMOV IMPLNT CONTRACEPTIVE CAP 11976 $1,572.63 REMOV IMPLNT IV INFUSION PUMP 36590 $1,625.47 REMOV IMPLNT MAT POST SEGMT; E 67120 $5,212.42 REMOV IMPLNT; DEEP 20680 $5,978.15 REMOV IMPLNT; SUPERF (SEPART P 20670 $3,538.61 REMOV INT HEMRRHD LIGATION;2/< 46946 $6,043.36 REMOV INTRAUTERINE DEVICE 58301 $697.93 REMOV LENS MATRL INTRACAPS DIS 66930 $9,843.75 REMOV POST SEGMT INSTRUM 22852 $1,505.90 REMOV SKIN TAGS ANY AREA; EA A 11201 $35.86 REMOV SUTURES UNDER ANES OTHER 15851 $4,183.48 REMOV SUTURES UNDER ANES SAME 15850 $1,281.35 REMOV TONSILS&ADENOIDS:12/ 97598 $26.98 REMV FB ESOPH W/BALLN CATH-RAD 74235 $132.00 REMV FB EXT EYE; CONJUNC EMBED 65210 $937.35 REMV LENS MAT; PARS PLANA APPR 66852 $9,843.75 REMV LENS MAT; PHACOFRAGMENTAT 66850 $5,212.42 REMV SKIN TAGS; TO & INCL 15 L 11200 $450.45 REMV SKIN TAGS; TO & INCL 15 L 11200 $450.45 REMV UNI PT DENT-1 PC FLX-PR Q D5284 $1,120.00 REMV UNI PT DENT-1 RESIN-PR QD D5286 $1,200.00 REMV VITREOUS ANT; SUBTL REMOV 67010 $5,212.42 REMV/BIVALV; SHOULDR/HIP SPICA 29710 $592.46 REMVL FB INTRAOCULAR POST MANG 65260 $5,212.42 REMVL FB INTRAOCULAR POSTERIOR 65265 $5,212.42 RENAL BX; PERCUT BY TROCAR/NEE 50200 $3,538.61 RENAL ENDO NEPHROS W REMOV. FB 50561 $10,909.23 RENAL FUNCTION PANEL 80069 $21.23 RENAL LITHOTRIPSY-ESWL 50590 $7,781.86 RENIN ACTIVITY 84244 $53.77 REP 2NDADRY RUP ACHILLES TNDN 27654 $15,421.60 REP ANORECTAL FIST W PLUG 46707 $6,043.36 REP BLD VES W GRFT NOT VEIN;UP 35266 $11,849.09 REP BLEPHAROPT SUP RECTUS TECH 67906 $8,061.64 REP BLEPHAROPT TLR/ADV EXTERNA 67904 $4,989.01 REP BLEPHAROPTOSIS TLR/ADV INT 67903 $4,989.01 REP BLOCKED UMBIL HERN; LESS T 49582 $8,015.96 REP BLOOD VESSEL DIR;HAND FING 35207 $7,144.43 REP BLOOD VESSEL DIRECT;NECK 35201 $11,849.09 REP BROKE COMP DENT BASE MAN D5511 $112.00 REP BROKE COMP DENT BASE MAX D5512 $112.00 REP CAST PART FRAME MAN D5621 $252.00 REP CAST PART FRAME MAX D5622 $252.00 REP CHOANAL ATRESIA;INTRANASAL 30540 $12,504.78 REP CMPLX E/N/E/L 2.6-7.5CM 13152 $1,281.35 REP CMPLX E/N/E/L; 1.1-2.5CM 13151 $1,281.35 REP COLLAT LIG MCP/IP JNT 26540 $7,057.23 REP COMP F/A/G/H/F;1.1-2.5CM 13131 $823.72 REP COMP S/A/L EA ADD 5CM OR L 13122 $183.63 REP CONGENITAL AVFIST; HEAD&NC 35180 $1,625.47 REP CVA CATH 36575 $1,625.47 REP DISLOCATED PERONEAL TENDON 27675 $7,057.23 REP DUOD/JEJ TUBE; PERQ W GUID 49451 $2,026.11 REP ELBOW W DEBRIDE OPEN 24358 $7,057.23 REP ENTEROCELE;VAGINAL APPROAC 57268 $11,012.14 REP ENTROPION EXC TARSAL WEDGE 67923 $4,989.01 REP EPIGASTRIC HERN;INCARCERAT 49572 $8,015.96 REP EXT TNDN HND PR/SEC WO GFT 26410 $3,494.24 REP EXTNSR TENDN DISTL INSERT 26433 $7,057.23 REP EXTNSR TENDN; LEG; PRIM WO 27664 $15,421.60 REP EXTROPIAN;EXC TARSAL WEDGE 67916 $4,989.01 REP EYELID DFCT W AUTOLOGOUS F 67902 $8,061.64 REP FIBULA NONUNION;W INT FIX 27726 $15,421.60 REP FIST; OROMAXILLARY 30580 $12,504.78 REP FLX TEND ZONE 2 DIGTL; W/O 26356 $7,057.23 REP FLXR TNDN NOT ZONE 2;W GFT 26352 $15,421.60 REP FLXR TNDN ZONE 2 2NDRY W G 26358 $15,421.60 REP FLXR TNDN/NOT ZONE2;WO GRF 26350 $7,057.23 REP FLXR TNDN/ZONE2; WO GRFT;E 26356 $7,057.23 REP FLXR TNDN; LEG WO GFT; EA 27658 $7,057.23 REP FLXR TNDN; ZONE 2 WO GFT; 26357 $7,057.23 REP FOOT EXTENSOR TENDON EA 28208 $7,057.23 REP HUMERUS MALUNION W AUTOGRA 24435 $30,680.34 REP HYPOSP COMPLICATIONS;SIMPL 54340 $7,781.86 REP INCOMPLETE CIRCUMCISION 54163 $4,567.09 REP ING HERN BLCKD;PRE 50 FLR MOUTH/ANT 41250 $281.09 REP LAC ANT TONG-<2.6 CM 41250 $281.09 REP LAC POST TONG-<2.6CM 41251 $524.99 REP LAC TONGUE >2.6 CM 41252 $524.99 REP LAC;CORNEA NONPERFOR;W/WO 65275 $8,061.64 REP LACERATION FACE <2.5CM 12011 $450.45 REP LACERATION FACE >2.5-5.0CM 12013 $450.45 REP LACRTION; CONJUNCT FLAP DI 65270 $4,989.01 REP LIP FULL THICKNESS; VERMI 40650 $1,138.76 REP NASAL SEPTAL PERFORATIONS 30630 $6,752.59 REP NONUNION RADIUS/ULNA W AUT 25405 $15,421.60 REP NU/MU METATARSAL;W/WO BN G 28322 $15,421.60 REP OVAL WINDOW FISTULA 69666 $6,752.59 REP PENIS PROSTH;MULTI-COMPONE 54408 $10,909.23 REP PRIM DISRPT LIG ANKL; BOTH 27696 $15,421.60 REP PROFUNDUS TENDON;PRIMARY E 26370 $7,057.23 REP RECNSTCT FNGR VOLAR PLT 26548 $7,057.23 REP RECTOCELE 45560 $6,043.36 REP RECURRENT FEM HERN;REDUCIB 49555 $8,015.96 REP RECURRENT HERN BLCK; ANY A 49521 $8,015.96 REP RECURRENT INC HERN; BLCKD 49566 $12,461.42 REP RESIN PART DENT BASE MAN D5611 $172.00 REP RESIN PART DENT BASE MAX D5612 $172.00 REP ROTATOR CUFF CHRONIC 23412 $15,421.60 REP RUPT ACHILLES TNDN W GRFT 27652 $15,421.60 REP S/A/L;COMPLEX 1.1-2.5CM 13120 $1,281.35 REP SCLERAL STAPHYLOMA;W GRAFT 66225 $9,843.75 REP SHOULDER SLAP LESION 29807 $15,421.60 REP TEN/MUSC EXTNSR FA/W EACH 25270 $7,057.23 REP TENDN/MSCL - FARM.WRIST 25260 $7,057.23 REP TMT JNT DISLOC;W INT FIX 28615 $15,421.60 REP TNDN/MUSC FLXR FOREARM/W 25260 $7,057.23 REP TORN COLLAT ANKLE LIG 27698 $15,421.60 REP TORN CRUCIATE LIGAMNT 27407 $15,421.60 REP TS FA/WR W FREE GRAFT 25275 $7,057.23 REP TUNICA VAGINALIS HYDROCELE 55060 $7,781.86 REP UMBILICAL BLCKD HERN; 5+YR 49587 $8,015.96 REP WND E/F/E/N/L/MM;SIMP;12.6 12016 $823.72 REPAGLINIDE 0.5 MG TAB PO $1.43 REPAGLINIDE 1MG TAB PO $1.45 REPAGLINIDE 2 MG TAB PO $3.70 REPAIR ANT PALATE INCL VOMR FL 42235 $12,504.78 REPAIR BLEPHAROPTOSIS W RESECT 67908 $4,989.01 REPAIR COLLAT LIGAMENT MCP/IP 26540 $7,057.23 REPAIR DETACHED RETINA PC 67105 $1,306.87 REPAIR DEV, URIN, INCONT, W SLING GRAFT C1771 $6,150.00 REPAIR DUAL CHAMBER ELECTRODES 33220 $7,692.85 REPAIR ECTROPION SUTURE 67914 $4,989.01 REPAIR ELBOW DEBRID/REATTACH O 24359 $7,057.23 REPAIR ENTROPION SUTURE 67921 $4,989.01 REPAIR EPIGASTRIC HERNIA;REDUC 49570 $8,015.96 REPAIR FISTULA; ORONASAL 30600 $11,399.45 REPAIR FOOT FLXSR TENDON; EA 28200 $7,057.23 REPAIR HALLUX RIGIDUS 28289 $7,057.23 Repair implant abutment, B/R D6095 $210.00 Repair implant sup prosth, B/R D6090 $140.00 REPAIR ING HERN BLCKD; 5+ YR 49507 $8,015.96 REPAIR KNEECAP TENDON 27380 $15,421.60 REPAIR LUMBAR HERNIA 49540 $12,461.42 REPAIR NAIL BED 11760 $1,281.35 REPAIR NASAL STENOSIS 30465 $12,504.78 REPAIR NONUNION CARPAL NAVICUL 25440 $15,421.60 REPAIR NONUNION HAND 26546 $15,421.60 REPAIR NONUNION OF RADIUS/ULNA 25400 $15,421.60 REPAIR NU/MU TIBIA; WO GRAFT 27720 $15,421.60 REPAIR OF NAILBED 11760 $1,281.35 Repair or replace broken clasp D5630 $224.00 REPAIR RETINAL DETATCHMENT COM 67113 $9,843.75 REPAIR ROUND WINDOW FISTULA 69667 $6,752.59 REPAIR TOE DISLOCATION 28645 $7,057.23 REPAIR TORN COLLATERAL KNEE LI 27405 $15,421.60 REPAIR UA/ELBOW TENDON/MUSCLE 24341 $15,421.60 REPAIR UN/ELBOW; TENDON/MUSCLE 24341 $15,421.60 REPAIR WRIST JOINT CARTILAGE 25107 $7,057.23 REPAIR WRIST JOINTS 25447 $7,057.23 Repair/Reline of occlusal guard D9942 $116.00 REPL D TIP TO ST 20822 $3,494.24 REPL MCP TO FLXR SUB TENDON 20816 $4,472.05 REPL PERIPH VAD W PORT 36585 $7,144.43 REPL TEMP BN WO MASTOIDECTOMY 69717 $15,421.60 REPL TIS EXPAND W PERM PROSTH 11970 $15,421.60 REPLAC GTUB STRGHT ENTERL FEED C1713 $51.65 REPLAC GTUBE 20FR CURV RT ANGL C1725 $51.65 REPLACE - MISSING / BROKEN TEETH D5520 $112.00 Replace all th&acrylic-mand D5671 $300.00 Replace all th&acrylic-maxil D5670 $300.00 Replace broken teeth-per tooth D5640 $105.00 REPLACE CATH ONLY OF CVAD 36578 $7,144.43 REPLACE CATH;VAD 36578 $7,144.43 REPLACE G/C TUBE PERC 49450 $2,026.11 REPLACE NONTUNNL CV CATH 36580 $4,205.10 REPLACE PICC CATH 36584 $4,205.10 REPLACE TUNNELED CV CATH 36581 $7,144.43 REPLACE TUNNELED CVAD W PUMP 36583 $11,849.09 REPLACEMENT COIL SHEATH C1894 $93.36 REPLACEMENT OF BILIARY CATHETE 75984 $66.00 REPLACMNT G/C TUBE;PERQ 49450 $2,026.11 REPLANT DIGIT NOT THUMB TOTAL 20822 $3,494.24 REPLC DUOD/JEJ TUBE; PERQ 49451 $2,026.11 REPLC NON-TUNNELED CATH 36580 $4,205.10 REPLC TUNNELED CVAD W PORT 36582 $7,144.43 Replcmt prec attachmt-part/full D5867 $175.00 REPOSIT GASTRIC FEED TUBE THRU 43761 $605.57 REPOSITION GASTROSTOMY TUBE 43761 $605.57 REPOSITION IOL PROSTH W INCISI 66825 $5,212.42 REPOSITION L VENTRIC LEAD 33226 $7,144.43 REPR 1 ELEC 1 CHAMB PACERMKR/D 33218 $7,692.85 REPR BLD VESSEL DIRECT; LOWER 35226 $1,572.63 REPR BLD VESSEL W/VEIN GFT; LO 35256 $11,849.09 REPR BROW PTOSIS 67900 $4,989.01 REPR ELBOW LAT LIGMNT W/TISS 24343 $7,057.23 REPR EPIGASTRIC HERN; RDUC-SEP 49570 $8,015.96 REPR EXT TEND HAND PRIM/SEC; W 26410 $3,494.24 REPR EXTEN TENDON FINGER 26418 $3,494.24 REPR FOOT FLEXOR TENDON EA 28200 $7,057.23 REPR INIT INCS/VENTRAL HERNIA; 49560 $8,015.96 REPR INIT ING HERNIA 5YR/MORE; 49505 $8,015.96 REPR INIT ING HERNIA 6MO-<5YR; 49500 $8,015.96 REPR LACERAT; APPLIC TISS GLUE 65286 $5,212.42 REPR LACERAT; CORNEA PERFORATI 65280 $9,843.75 REPR RECUR ING HERN ANY AGE; 49520 $8,015.96 REPR RET DETACH; INJ AIR/OTH G 67110 $5,212.42 REPR RETINAL DETACH; PHOTOCOAG 67105 $1,306.87 REPR RETINAL DETACH; W/VITRECT 67108 $9,843.75 REPR THORACOABD AORTIC ANEURY 33877 $7,820.69 REPR UMBIL HERNIA 5YR/OVER; RD 49585 $8,015.96 REPR UMBILICAL HERNIA < 5 YR; 49580 $8,015.96 REPTILASE TIME 85635 $24.07 RESECT CONFYL; DISTL PHALNX; E 28153 $7,057.23 RESECT FOOT/TOE TUMOR;3CM/> 28046 $5,978.15 RESECT INFERIOR TURBINATE 30140 $6,752.59 RESECT LIP;WO RECONSTRCT;1/4< 40530 $6,752.59 RESECT NECK THORAX TUMOR<5CM 21557 $5,978.15 RESECT NECK TUMOR; 5CM OR MOR 21558 $5,978.15 RESECT PALATE/EXTEN RESECT LES 42120 $12,504.78 RESECT SCROTUM 55150 $7,781.86 RESECT TALUS/CALCANEUS TUM 27647 $7,057.23 RESECT TUM FOREARM/WRIST 3> CM 25077 $5,978.15 RESECTOR CUTTER-CATEG 1 $631.79 RESECTSCOPE TUB SET W/CON-STRL A4624 $302.18 Reservoir BioFlx Titn w/Lockou C1813 $2,212.50 RESERVOIR SUCT SILIC BULB EVAC A4624 $63.51 RESET HIP/PELV TUM 5 CM/> 27059 $5,978.83 RESIDUAL VOLUME 94726 $652.50 RESIN-BASED COMPOSITE CROWN ANTERIOR D2390 $294.00 RESPIRATOR SILICONE FULL FACE-CATEG 1 $7,515.00 RESPIRATORY FLOW VOLUM LOOP 94375 $652.50 RESTORATION MOD STEM CONICAL C1776 $5,110.35 RESTORATION MODULAR CONE BODY C1776 $12,750.00 RESTORE PLUS 4 X 4 A6234 $22.50 RESTORE PLUS 6X8 A6235 $49.50 RESTORE PRIME ADVANC NEUROSTIM C1713 $1,650.00 RESTORIL 15MG CAP J3490 $0.32 RESTRICTOR CEMENT-CATEG 1 $5,308.49 RESULTS EXPL TO FAMILY 90887 $300.00 RESULTS EXPLAINED TO FAM 90887 $300.00 RESULTS EXPLAINED TO FAMILY 90887 $300.00 RESULTS EXPLNED TO FAM 90887 $300.00 RET DEV INSERTABLE C1773 $1.00 Retainer crn3/4 cast h nob met D6780 $500.00 Retainer crn-full cast base D6791 $550.00 Retainer crn-full cast nob met D6792 $980.00 Retainer crn-indir res-bas com D6710 $500.00 Retainer crn-porc fusebase met D6751 $500.00 Retainer crn-porc fusednob met D6752 $500.00 Retainer crn-res w/ hi nob met D6720 $500.00 Retainer crn-resin w/ base met D6721 $500.00 Retainer crn-resin w/ nob met D6722 $500.00 RETAINER CROWN-3/4-TITANIUM AL D6784 $500.00 RETAINER CROWN-PORC FUSE TITAN D6753 $1,310.00 RETAINER RING 3/8" ULTRA POSIT $6.00 RETAINER SCREW 3.5 X 14MM C1713 $368.28 RETAINER SCREW 3.5X12M STERILE C1713 $750.00 RETAINER SCREW 3.5X14MM STERIL C1713 $750.00 RETENTION D8680 $420.00 RETENTIONS DENTAL D8680 $420.00 RETEXTURING ACTIVATOR; 55ML $103.40 RETICULOCYTE COUNT 85044 $10.54 RETICULOCYTE CT AUTO 85045 $9.77 RETIN-A 0.025% CREAM 20GM $6.75 RETIN-A 0.05% CREAM 20GM $7.92 RETIN-A 0.1% CREAM 45GM $7.70 RETINOL 1.0 BOOSTR $99.00 RETINOL BINDING PROTEIN 86329 $34.34 Retract kit w/trocr O Wnd med $150.00 RETRACTOR C1713 $900.00 RETRACTOR ORTHO 6MMW BONE2.0DB $284.01 RETRACTOR ORTHOPEDIC 8MMW BONE $300.27 Retractor Ring Disp 22cm $94.76 Retractor Ring Disp 25.3cm $94.76 Retractor Ring Disp 28.3cm $94.76 RETRACTOR TITANIUM 42CM $4,455.00 Retractr Alexis Wnd flex small $390.00 Retrieval Basket ZeroTip 4wire $268.50 RETRIEVED ARCH 88363 $59.25 RETROBULBAR INJ; ALCOHOL 67505 $697.33 RETROBULBAR INJ; MEDS 67500 $697.33 RETROBULBAR INJECTION:ALCOHOL 67505 $697.33 RETROBULBAR INJECTION:MEDICATI 67500 $697.33 RETROBUTTON DRILL PIN C1713 $172.50 RETROGRADE FILLING PER D3430 $140.00 REUNION HE FRACTURE STEM HUMERAL COMP C1776 $5,389.43 REV AQUEOUS SHUNT XTRAOCULR RE 66185 $5,212.42 REV COLOSTOMY;W REP PC HERNIA 44346 $2,572.22 REV OPN AV FIST; W/O THROMB-GF 36832 $11,849.09 REV SKIN POCKET CARDIOVERT-DEF 33223 $4,183.48 REV TOT HIP ARTHROPL;BOTH COMP 27134 $4,158.07 REV/REP OP WND ANT SEG EARLY/L 66250 $4,989.01 REV/REP STRESS INCONT SLING 57287 $6,440.19 REVASC ENDOVASC; OP/PERQ TIB 37228 $25,544.29 REVASC FEM/POPL STENT & ANTHER 37227 $41,093.65 REVASC FEM/POPL W/TLA 37224 $12,771.31 REVASC OP/PRQ TIB/PERN ART; W 37234 $620.00 REVASC TIB PERNL ART W STENT 37230 $41,093.65 REVASC TIB PERNL ART; ADD-ON 37232 $436.83 REVASC TIB/PER ART W/TRNSLUM S 37235 $875.31 REVASC TIB/PERNEAL ART W/ATHER 37233 $709.72 REVATIO 20MG TABLET $19.88 REVIS IMPLNT IV INFUSION PUMP 36576 $4,205.10 REVIS VEN ACCESS DEVIC&/RESERV 36576 $4,205.10 REVIS/REM SPINAL TRANS 63688 $8,116.88 REVIS/REPR OPERATIVE WOUND ANT 66250 $4,989.01 REVIS/RMV SPINAL TRANS 63688 $8,116.88 REVISE ARTIFICIAL DISC; LUMBAR 22862 $4,892.29 REVISE GASTROPLASTY 43848 $4,209.11 REVISE RECONSTRUCTED BREAST 19380 $13,501.86 REVISE SPINE ELECTRD PLATE 63664 $49,702.82 REVISE SPINE ELECTRDE PERQ ARR 63663 $15,950.57 REVISE SPINE ELECTRODE PERQ AR 63663 $15,950.57 REVISE VAG GRAFT VIA VAGINA 57295 $6,440.19 REVISE/REM CRANIAL NS PLS GEN/ 61888 $15,950.57 REVISE/REMOVE NEUROELECTRODES 64585 $8,116.88 REVISE/RMV NEUROELECTRODES 64585 $8,116.88 REVISION MASTOIDECTOMY COMPLET 69601 $12,504.78 REVISION MODULAR FEMUR- RIGHT $725.00 REVISION OF AQUEOUS SHUNT 66184 $5,212.42 REVISION OF TRACHEO SCAR 31830 $6,752.59 REWIND SCREW 5.0 X 35MM C1713 $2,025.00 RF HEDGEHOG PROBE C2618 $291.00 RF J HOOK PROBE 30 DEGRESS C2618 $282.27 RH TYPE 86901 $86.20 RHC & RETROGR LHC CONGENITAL 93531 $7,347.23 RHC & TS LHC CONG- INTACT SEPT 93532 $7,347.23 RHC & TS LHC CONG- OPEN SEPTUM 93533 $7,347.23 RHC FOR CONG ANOMALY 93530 $7,347.23 Rhein Open cannula 19 gauge C1713 $75.00 RHEUMATOID FACTOR QUAL 86431 $13.86 RHEUMATOID FACTOR QUANT 86431 $13.86 RHEUMATOID FACTOR QUANT 86431 $13.86 RHEUMATOID FACTOR; QUAL 86430 $13.86 RHIGIV 90386 $92.00 RHINO PRIM; LAT&ALAR CART&/ELE 30400 $12,504.78 RHINOPL 2NDRY TO CCL/CCP;TIP/S 30462 $12,504.78 RHINOPLASTY;MAJOR REVIS;2NDRY 30450 $12,504.78 RHINOPLSTY; INTERMED REVISION 30435 $12,504.78 RHINOPLSTY; MINOR REVISION SE 30430 $12,504.78 RHNOPLST; COMPLETE; EXT PARTS 30410 $12,504.78 RHNOPLST; PRIM;W MAJ SEPTL REP 30420 $12,504.78 RHOGAM HUMAN FULL-DOSE IM USE_ 90384 $92.00 RHYTHM ECG 1-3 LEADS TRACING 93041 $141.83 RHYTHM ECG 1-3 LEADS; W/INTERP 93040 $11.99 RHYTHM ECG W I&R 93040 $11.99 RHYTIDECT; CK/CN/NK 15828 $7,675.54 RHYTIDECTOMY FOREHEAD 15824 $4,183.48 RHYTIDECTOMY NECK WITH TIGHTEN 15825 $7,675.54 RHYTIDECTOMY; FROWN LINES 15826 $7,675.54 RHYTIDECTOMY; SMAS FLAP 15829 $7,675.54 RIA NONANTIBODY 83519 $40.48 RIBAVIRIN 200MG CAPSULE PO $9.38 RIBBED BALL-CATEG 1 $510.13 RIBOFLAVIN 5 PHOS OPTH <=3ML J2787 $7,500.00 RIBOFLAVIN 5 PHOS OPTH <=3ML J2787 $7,500.00 RIBOSOMAL-P ANTIBODY 86235 $43.85 RIBS BILATERAL 3 VIEWS 71110 $288.95 RIBS UNILATERAL 2 VIEWS 71100 $205.74 RIFABUTIN 150MG CAP J3490 $8.22 RIFADIN 600MG INJ $98.62 RIFADIN/RIMACTANE 150MG CAP $2.07 RIFADIN/RIMACTANE 300MG CAP J3490 $2.26 RIFAMPIN 10MG/ML SUSPENSION $0.05 RIFAXIMIN 200MG. PO. $6.03 RIFAXIMIN 550MG PO J3490 $23.52 RIGHT 15 HOLE C1713 $1,520.44 RIGHT DISTAL RADIUS PLATE C1713 $1,437.00 RIG-HT FOR IM/SUBCU USE 90376 $761.86 RIGHT HEART CATH 93451 $7,347.23 RIGHT STANDARD POLAR PLATE C1713 $1,134.00 RIGHT VENTRICLE/ATRIAL ANGIOGR 93566 $100.23 RILPIVIRINE (EDURANT)25MG PO J3490 $21.41 RING 165MM, 3/4" C1713 $534.00 Ring Support Extern Thin Wall C1768 $2,581.50 RING-CATEG 1 $2,343.50 RINGED GFT T8MM 50CMx100CM C1768 $2,661.00 RINGED GRAFT T8MM 50CMRSX100CM C1768 $2,661.00 RINGERS LACTATED TO 1000cc J7120 $6.67 RINGERS SOLN LACTATED 500ML J7120 $7.99 RISEDRONATE SOD 30MG TAB $52.98 RISEDRONATE SOD 5MG TAB $7.57 RISPERDAL 0.5MG UD TABLETS J3490 $4.41 RISPERDAL CONSTA - 12.5MG J2794 $86.00 RISPERDAL CONSTA - 25MG J2794 $172.00 RISPERDAL CONSTA - 37.5MG J2794 $258.00 RISPERDAL CONSTA - 50MG J2794 $344.00 RISPERDAL CONSTA 12.5MG INJ J2794 $140.34 RISPERDAL CONSTA 12.5MG INJ VA J2794 $299.20 RISPERDAL CONSTA 25MG INJ VIAL J2794 $598.40 RISPERDAL CONSTA 37.5MG INJ VI J2794 $897.60 RISPERDAL CONSTA 50MG INJ VIAL J2794 $1,196.80 RISPERDAL CSNTA 0.5MG INJ VIAL J2794 $23.94 RISPERIDONE 80299 $41.01 RISPERIDONE 0.25MG TABLET J3490 $4.20 RISPERIDONE 1MG TAB J3490 $4.93 RISPERIDONE 2MG TAB J3490 $8.27 RISPERIDONE 3MG TAB J3490 $9.81 RISPERIDONE 4MG TAB J3490 $13.03 RISPERIDONE CONC 1MG/ML-30ML $5.91 RISPERIDONE CONSTA 25MCG/2ML J2794 $235.77 RISPERIDONE CONSTA 37.5MCG/2ML J2794 $351.04 RISPERIDONE CONSTA 50MCG/2ML J2794 $465.43 Risperidone ODT 0.25 mg $4.48 RISPERIDONE-M 0.5MG TAB PO $5.18 RISPERIDONE-M 1MG TAB PO J3490 $6.19 RISPERIDONE-M 2MG TAB PO J3490 $5.12 RISPERIDONE-M 3MG $11.29 RITALIN 80299 $41.01 RITALIN LEVEL 80299 $41.01 RITONAV/LOPINAV 400/100 PO LIQ $4.95 RITONAVIR 100MG TABLET ORAL J3490 $10.28 RITONAVIR 80MG/ML ORAL SOLN $7.17 RITONAVIR/LOPINAVIR 33.3-133.3 $3.87 RITONAVIR/LPINAVIR 50/200 MG $8.30 RITUXIMAB 100MG/10ML VIAL J9310 $379.24 RITUXIMAB 10MG INJECTION J9312 $248.28 RITUXIMAB 10MG/ML VIAL 10ML J3490 $16.90 RIVASTIGMINE 1.5MG CAP $2.92 RIVASTIGMINE 2MG/ML PO SOL $6.91 RMSF/TYPHYUS IGG/IGM 86757 $47.32 RMV BILIARY DRAIN CATH; W RAD 47537 $2,026.11 RMV BY CONTOUR OF B9 TUM FACE 21029 $6,752.59 RMV FB; UPPER ARM/ELBOW SUBQ 24200 $3,538.61 RMV FECAL IMPACT/FB; UNDER ANE 45915 $2,588.89 RMV IMPACTD EAR WAX; UNILAT; I 69209 $141.83 RMV IMPLANTED CATHETER 62355 $4,432.54 RMV IMPLANTED PUMP 62365 $14,202.34 RMV NON-BIODEGRD DRUG DELIVERY 11982 $937.35 RMV SPINE ELECTRODE PERQ ARRA 63661 $4,432.54 RMVL & REPLC PULSE GEN 1 LEAD 33262 $58,554.39 RMVL & RPLCMT DFB GEN 2 LEAD 33263 $58,554.39 RMVL & RPLCMT DFB GEN MLT LD 33264 $83,225.43 RMVL BENIGN ODONTOGENIC CYST/LSN <1.25 D7451 $1,688.00 RMVL BENIGN ODONTOGENIC CYST/LSN >1.25 D7461 $1,732.00 RMVL EMBED FB CONJUNCT 65210 $937.35 RMVL PERM PERITON CATH 49422 $7,144.43 RMVL SUBQ CAR RHYTHM MNTR 33286 $1,572.63 RO B PERTUSSIS (DFA) 87260 $31.75 RO C DIFFICILE 87230 $48.25 RO CRYPTOSPORIDIUM 87207 $14.65 RO L PNEUMOPHILA-DFA 87278 $34.32 RO PNEUMO CARINII 87299 $35.42 ROADRUNNER WIREGUIDE C1713 $217.50 ROBAXIN 100MG/ML VIAL 10ML $5.59 ROBINUL 0.2MG/ML VIAL 1ML J3490 $1.22 ROBITUSSIN-DM 200-30 SYRUP PO $0.05 ROBOTIC ASSISTED SURGERY ADD-ON S2900 $0.01 ROCHALIMAEA HENSELAE ANTIBODY 86611 $24.88 ROCKY MT SP FEV IGG 86609 $31.48 ROCKY MT SP FEV IGM 86609 $31.48 ROCKY MTN SPOT FEVER 86317 $36.63 ROCKY MTN SPOTTED FEVER ANTIBO 86757 $47.32 ROCURONIUM 50MG/5ML SYRNG J3490 $15.05 ROD 3.5x120MM MOUNTAINEER C1713 $487.50 ROD CARBON FIBER-CATEG 1 $361.40 ROD RADIUS-CATEG 1 $6,266.21 ROD REAMING-CATEG 1 $1,225.74 ROD-CATEG 1 $787.37 ROD-CATEG 3 $1,142.03 ROFLUMILAST 500MCG TABLET $7.60 ROI-A ANCHORING PLATE S ORIG C1713 $2,250.00 ROI-A ANCHORING PLATE S ORIG C1713 $2,250.00 ROI-C IMPLANT 8MM ANCHOR PLATE C1713 $3,000.00 ROM EACH EXTREMITY EXCLUDNG HN 95851 $47.19 ROM HAND 95852 $40.96 ROM HAND PVT ONLY 95852 $40.96 ROM MSMTS/RPT EA EXTR(EXCL HND 95851 $47.12 ROM MSMTS/RPT HAND W/WO CMPR 95852 $40.96 ROM&RPT-SEP PROC;EA EXTREM/TRN 95851 $47.19 ROMIPLOSTIM 250MCG INJ $14,014.00 ROOT AMPUTATION D3450 $140.00 ROOT CANAL THERAPY - ANTERIOR D3310 $560.00 ROOT CANAL THERAPY - BICUSPID D3320 $700.00 ROOT CANAL THERAPY - MOLAR D3330 $910.00 ROOT FORM IMPLANT - PER TOOTH D7272 $885.00 ROPINIROLE 0.25MG TABLET PO $2.43 ROPINIROLE 1MG TABLET PO $2.43 ROPINIROLE 2MG TABLET PO $2.23 ROPINIROLE 3MG TABLET PO $2.90 ROPINIROLE 4MG TABLET PO $2.74 ROPINIROLE 5MG TABLET PO $2.74 ROPIVACAINE 0.2% 200ML PF J2795 $74.14 ROSIGLITAZONE ( 2MG) TAB PO $2.61 ROSIGLITAZONE (8MG) TAB PO $6.29 ROSIGLITAZONE4MG TAB $0.30 ROTATOR CUFF REP ARTHRSCPY 29827 $15,421.60 ROTAVIRUS 90680 $206.07 ROTAVIRUS RAPID TST 87425 $29.30 ROTAVIRUS VACC 2 DOSE ORAL 90681 $206.07 ROTAVIRUS VACCNE,TETRAVLNT,LVE CLINIC 90680 $206.07 ROTAVIRUS VACCNETETRAVLNTLVEVE 90680 $206.07 ROTOVIRUS $51.39 ROUND BUR 1.8MM C1713 $12.42 ROUND CARBIDE BUR 3.0MM^ C1713 $55.88 ROUND FLUTED BUR, LONG 3.0MM C1713 $138.41 ROUTINE CHROM ANALYSIS 88262 $304.68 ROUTINE ECG W I&R 93000 $35.97 ROUTINE VENIPUNCT-COLLEC SPECM 36415 $7.19 ROUTINE VENIPUNCTURE 36415 $7.19 ROWASA 4GM ENEMA 60ML $0.39 RP LOCLZJ TUM SSPECT W/CT2 78832 $3,720.92 RPHARM MONOCLONIAL AB THERAPY 79403 $612.04 RPLACE G-J TUBE; PERCU 49452 $2,026.11 RPLC G TUBE NO REV J TRC 43762 $605.57 RPLC GTUBE NO REVJ TRC 43762 $605.57 RPLC GTUBE REVJ GSTRST TRC 43763 $605.57 RPR BLD VESSEL DIRECT; LWR EXT 35226 $1,572.63 RPR DTCHD RETINA CRYOTX/DIATHR 67101 $5,212.42 RPR EYELID DEFECT W SUTURE/OTH 67901 $4,989.01 RPR ING HERN BLCKD;0.5 < 5 YR 49501 $8,015.96 RPR LAC;APP TISS GLUE;WND SCL/ 65286 $5,212.42 RPR LIP FULL THICK; UP TO HALF 40652 $1,138.76 RPR OF IRIS CILIARY BODY 66680 $5,212.42 RPR PARAVAGINAL DEFECT;VAG APP 57285 $17,282.03 RPR RECURRENT INC HER; REDUC 49565 $12,461.42 RPR RETINAL DETCHMNT SCLERAL B 67107 $9,843.75 RPR UMBILICAL HERN; BLCKD;5+YR 49587 $8,015.96 RSA LOWER EXTREMITY 0350T $205.74 RSA SPINE EXAM 0348T $288.95 RSA UPPER EXTREMITY 0349T $288.95 RSV ANTIBODY $57.87 RSV ANTIGEN 87420 $30.60 RSV IGG $57.87 RSV IGM $57.87 RT TROCHANTERIC FIX NAIL 11MM/130x360 C1713 $1,959.00 RUBBER DAM CLAMP #14 SS C1713 $17.40 RUBBER DAM CLAMP SATIN FINISH C1713 $15.00 RUBBER DAM CLAMP SATIN FNSH 2 C1713 $16.43 RUBBER DAM CLMP SATIN FNSH 12A C1713 $16.43 RUBBER DAM CLMP SATN FINSH 13A C1713 $16.43 RUBBING ALCOHOL 70%480M $0.01 RUBELLA AB (RUBASCAN) IGG 86762 $35.18 RUBELLA AB IGG 86762 $35.18 RUBELLA AB IGMEIA 86280 $20.02 RUBELLA AB PR (HAI) 86762 $35.18 RUBELLA AB SGL (HAI) 86762 $35.18 RUBELLA ANTIBODY 86762 $35.18 RUBELLA VACCINE $18.63 RUBEOLA ANTIBODY 86765 $31.48 RUGGLES DRILL PERFOR D'ERRICO C1713 $416.96 RUGGLES GIGLI SAW GUIDE 12" C1769 $105.09 RUSCH SUPRAFOLEY SP INTROD16FR A4340 $27.45 RUSSELL VIPER VENOM TIME;DILUT 85613 $23.41 RVVT; DILUTED 85613 $23.41 RX CONTACT;CORNEAL BOTH EYES 92310 $359.70 RYTHMOL 150MG UD TAB $2.06 S.T. SCREW 14MM TI; SKYLINE ANT PLATE C1713 $370.50 S-2/RACEPINEPHRINE NEB 15ML J3490 $13.61 SACROILIAC JOINT BIOPSY 27050 $3,494.24 SACROILIAC JOINTS <3 VIEWS 72200 $288.95 SACROILIAC JOINTS COMPLETE 3+ 72202 $288.95 SACROSPINOUS LIGAM FIX FOR PRO 57282 $17,282.03 SACRUM / COCCYX 2+ VIEWS 72220 $205.74 SACUBITRIL-VALSARTAN24-26mg(Entresto) $7.51 SACUBITRIL-VALSARTAN49-51mg(En J3490 $7.51 SACUBITRIL-VALSARTAN97-103mg(Entresto) $7.51 SAFESHEATH INTRODUCER 7FR C1892 $438.75 SAFESHEATH INTRODUCER 9FR C1892 $438.75 SAFESHEATH TEAR AWAY W/SIDE PORT C1892 $112.50 SALICYLATE 80329 $23.38 SALINE 0.65% NOSE DROPS 50ML J3490 $2.80 SALINE BREAST IMP 163/440CC STYLE C1789 $1,200.00 SALINE BREAST IMP 163/530CC STYLE C1789 $1,200.00 SALINE BREAST IMP 168/150CC C1789 $712.50 SALINE BREAST IMP 168/210CC C1789 $712.50 SALINE BREAST IMP 168/240CC C1789 $712.50 SALINE BREAST IMP 168/270CC C1789 $712.50 SALINE BREAST IMP 168/300CC C1789 $772.50 SALINE BREAST IMP 168/360CC C1789 $712.50 SALINE BREAST IMP 168/450CC C1789 $712.50 SALINE BREAST IMP 168/510CC C1789 $733.88 SALINE BREAST IMP 20/325CC C1789 $1,390.50 SALINE BREAST IMP 363LF/330-350 C1789 $1,236.00 SALINE BREAST IMP 363LF/410-430 C1789 $1,200.00 SALINE BREAST IMP 363LF/450-475 C1789 $1,200.00 SALINE BREAST IMP 68HP/500-540CC C1789 $825.00 SALINE BREAST IMP 68HP/550-590CC C1789 $1,236.00 SALINE BREAST IMP 68MP/300CC C1789 $67.50 SALINE BREAST IMP 68MP/330CC C1789 $862.50 SALINE BREAST IMP 68MP/390CC C1789 $862.50 SALINE BREAST IMP 68MP/450CC C1789 $888.00 SALINE BREAST IMPL 168 STYLE C1789 $733.87 SALINE BREAST IMPL 20/325CC C1789 $1,390.50 SALINE BREAST IMPL 68/150-420 C1789 $577.50 SALINE BREAST IMPL 68/450CC C1789 $888.00 SALINE BREAST IMPLANT C1789 $712.50 SALINE BREAST IMPLANT 163 C1789 $1,200.00 SALINE BREAST IMPLANT 168/180CC C1789 $577.50 SALINE BREAST IMPLANT 168/390CC C1789 $712.50 SALINE BREAST IMPLANT 168/420CC C1789 $712.50 SALINE BREAST IMPLANT 168/480CC C1789 $712.50 SALINE BREAST IMPLANT 168/510CC C1789 $712.50 SALINE BREAST IMPLANT 168/550 C1789 $712.50 SALINE BREAST IMPLANT 168/600 C1789 $733.88 SALINE BREAST IMPLANT 260CC C1789 $1,200.00 SALINE BREAST IMPLANT 300CC C1789 $1,236.00 SALINE BREAST IMPLANT 363LF C1789 $1,200.00 SALINE BREAST IMPLANT 68 STYLE C1789 $862.50 SALINE BREAST IMPLANT 68HP C1789 $825.00 SALINE BREAST IMPLANT 68MP C1789 $862.50 SALINE BREAST IMPLANT STYLE 363LF/450 C1789 $1,200.00 SALINE BREAST IMPLANT STYLE 363LF/510 C1789 $1,200.00 SALINE BREAST IMPLANT STYLE 363LF/560 C1789 $1,200.00 SALINE BREAST IMPLANT STYLE 68/120CC C1789 $862.50 SALINE BREAST IMPLANT STYLE 68/150CC C1789 $825.00 SALINE BREAST IMPLANT STYLE 68MP/180CC C1789 $862.50 SALINE BREAST IMPLANT STYLE 68MP/210CC C1789 $862.50 SALINE BREAST IMPLANT STYLE 68MP/240CC C1789 $862.50 SALINE BREAST IMPLANT STYLE 68MP/270CC C1789 $862.50 SALINE BREAST IMPLANT STYLE 68MP/360CC C1789 $862.50 SALINE BREAST IMPLANT STYLE 68MP/420CC C1789 $888.00 SALINE BREAST IMPLANT W/BIOCEL C1789 $1,236.00 SALINE BREAST IMPLNT 168 STYLE C1789 $712.50 SALINE BRST IMP 363LF/450CC STY W/BIOCEL C1789 $1,236.00 SALINE BRST IMP 370CC/363LF STY W/BIOCEL C1789 $1,236.00 SALINE BRST IMP 410CC/363LF STY W/BIOCEL C1789 $1,236.00 SALINE BRST IMP 510CC/363LF STY W/BIOCEL C1789 $1,236.00 SALINE BRST IMP 620CC/363LF STY W/BIOCEL C1789 $1,236.00 SALINE BRST IMP 690CC/363LF STY W/BIOCEL C1789 $1,236.00 SALINE BRST IMPT SIZER STYLE 68 510CC C1789 $67.50 SALINE-FILL BREAST IMPLNT C1789 $825.00 Saliography D0310 $252.00 SALIVARY GLAND FUNCTION 78232 $949.04 SALIVARY GLAND IMAGING 78230 $949.04 SALIVARY GLAND NEEDLE BIOPSY 42400 $1,572.63 SALIVARY GLAND/SERIAL IMAGING 78231 $949.04 SALIVRY GLAND NEEDLE BIOPSY 42400 $1,572.63 SALMETEROL XIN 50MCG DISK $2,867.52 SALMONELLA AGGLUTININS 86768 $32.23 SALPINGECTOMY;COMPL/PART;UNI/B 58700 $1,725.28 SALPINGO-OOPHOR;COMPL/PART/UNI 58720 $1,627.60 SANDIMMUNE 100MG/ML SOL $36.79 SANDOSTATIN 100MCG INJ $18.90 SANDOSTATIN 1MG J2353 $859.34 SANDOSTATIN 500MCG INJ $44.46 SANDOSTATIN 50MCG INJ $10.36 SANDOSTATIN KIT LAR 30MG J2353 $11,608.93 SANQUINAVIR 200MG CAP $1.47 SANTYL COLLAGENASE OINT 30GM J3490 $4.82 SAQUINAVIR 200MG CAP $2.52 SAQUINAVIR 500MG TAB $8.32 SARS-COV2 COVID19 ANTIBODY 86769 $10.00 SARS-COV-2 FOR CDC LAB TESTING U0001 $79.00 SARS-COV-2 FOR NONCDC LAB TEST U0002 $220.00 SARS-COV2-COVID19 AMPPRBHITECH U0003 $220.00 SBSQ PSYC COLLAB CARE MGMT 99493 $300.00 SBSQ PSYC COLLAB CARE MGMT YR2 99493 $300.00 SC THER INFUSION ADDL HR 96370 $106.73 SC THER INFUSION RESET PUMP 96371 $167.76 SC THER INFUSION RESET PUMP 96371 $167.76 SC THER INFUSION UP TO 1HR 96369 $550.84 Scaling pres gingival inflamma D4346 $200.00 SCALP CLIP APPLICATOR DISP C1713 $662.16 SCALP CLIP APPLICATOR DISP C1713 $662.16 Scalpel Ace curved shears 36cm $4,904.69 SCAN PROC SPINAL 61783 $496.08 SCAN PROC. CRANIAL/INTRADURAL 61781 $497.86 SCAN PROCEDURE CRANIAL/EXTRADU 61782 $379.35 SCANNG COMPTZD OPHTHLMC DX IMG 92134 $161.31 SCAPULA 73010 $288.95 SCARRING OF EOM 67332 $717.93 SCC (CARCINOMA AG) 86316 $50.89 SCIATIC NERVE BLOCK 64445 $1,611.39 SCLERAL REINFRCMNT; W GRAFT 67255 $5,212.42 SCLEROSING SOLN INJ; 2+ VEIN S 36471 $823.72 SCLEROSING SOLN INJ; SING VEIN 36470 $823.72 SCLEROSOL INTRAPLEURAL AEROSOL $95.00 SCLEROTHER OF VEINS LIMB OR TR 36468 $450.45 SCOPE KNEE SURG; ABRASION ARTH 29879 $7,057.23 SCOPE KNEE SURG; DEBRID/SHAVE 29877 $7,057.23 SCOPE KNEE SURG;W/MENISCECT ME 29880 $7,057.23 SCOPE KNEE SURG;W/MENISCECT ME 29881 $7,057.23 SCOPE KNEE; SYNOVECT LTD SEP P 29875 $7,057.23 SCOPE SHOULDER; DECOMP SUBACRO 29826 $379.32 SCOPOLAMINE 1.5MG/72H PATCH J3490 $9.01 SCOPOLMNE HYDROBROMIDE 0.25% $9.54 SCORPIO TOTAL STABILIZER FEMORAL C1776 $7,100.10 SCORPION NEEDLE C2618 $360.00 SCOTT DISP VENT CANNULA 8FR C1713 $773.39 SCOTT DISP VENTRI CANNULA 8FR A4615 $773.39 SCR 1.7MM EMERGENCYS C1713 $108.17 SCR 1.7MM EMERGENCYS C1713 $108.17 SCR MAMMO BI INCL CAD 77067 $83.14 SCRAPING CORNEA DX SMEAR &/OR 65430 $937.35 SCRAPING OF CORNEA DIAGNOSTIC 65430 $937.35 SCREEN CERV/VAG THIN LAYER G0123 $49.52 SCREEN COLONOSCOPY NOT HIGH RI G0121 $1,969.31 SCREEN OF PATIENTS D0190 $182.00 SCREENING OF PATIENTS D0190 $182.00 SCREENING PAP BETHESDA BY CT P3000 $32.98 SCREENING PAP BETHESDA BY MD 88141 $76.64 SCREENING PATIENTS D0190 $182.00 SCREENING TEST VISUAL ACUITY-Q 99173 $54.50 SCREW 16MM C1713 $467.28 SCREW 3.5x22MM C1713 $627.00 SCREW 4.0 X 50MM C1713 $237.60 SCREW 6.5x110MM C1713 $386.33 SCREW 7.5MM X 35MM C1713 $1,312.50 SCREW ACETEB-CATEG 1 $2,142.42 SCREW AUTOPILOT-CATEG 1 $85.63 SCREW BIO INTERFER-CATEG 1 C1713 $1,058.21 SCREW BONE SELF TAP-CATEG 1 C1713 $381.10 SCREW BONE-CATEG 1 C1713 $436.25 SCREW BONE-CATEG 2 C1713 $309.00 SCREW BONE-CATEG 3 C1713 $359.17 SCREW BREAK OFF-CATEG 1 $737.50 SCREW CANCELL BONE-CANC 1 C1713 $240.79 SCREW CANCELL-CATEG 1 C1713 $254.79 SCREW CANCELL-CATEG 2 C1713 $801.92 SCREW CANN. CANC-CATEG 1 C1713 $803.87 SCREW CANNUL SHEATH-CATEG 1 C1713 $737.46 SCREW CENTRE DRIVE-CATEG 1 $97.50 SCREW COMPRESS-CATEG 1 C1713 $300.67 SCREW CORTEX SELF TAP-CATEG 1 C1713 $153.81 SCREW CORTEX-CATEG 1 C1713 $191.56 SCREW CORTICAL BONE-CATEG 1 C1713 $65.45 SCREW CORTICAL BONE-CATEG 2 C1713 $2,067.90 SCREW CORTICAL-CATEG 2 C1713 $183.82 SCREW CROSS-CATEG 1 C1713 $195.00 SCREW DISTAL-CATEG 1 C1713 $494.88 SCREW FIX CANNULATED STERILE C1713 $275.81 SCREW GAMMA 10.5X 90MM TI.LAG C1713 $807.07 SCREW HEX-CATEG 1 $544.16 SCREW IMPLANT; VARIOUS SIZES C1713 $531.00 SCREW INFAST-CATEG 1 $110.75 SCREW INNER-CATEG 1 $568.37 SCREW LAG-CATEG 1 C1713 $876.16 SCREW LAG-CATEG 2 C1713 $1,009.63 SCREW LOCKING-CATEG 1 C1713 $465.75 SCREW MINI-CATEG 1 C1713 $1,289.75 SCREW MULTI AXIAL-CATEG 1 C1713 $2,197.79 SCREW PHANTOM-CATEG 1 $1,718.13 SCREW POLY-CATEG 1 C1713 $2,127.92 SCREW SELF DRLL-CATEG 1 C1713 $633.92 SCREW SELF-TAPPING 1.3MM X C1713 $171.00 SCREW SET-CATEG 1 $873.78 SCREW SLEEVE C1713 $235.12 SCREW SLEEVE C1713 $235.13 SCREW SMART-CATEG 1 $509.88 SCREW T WRENCH BONE-CATEG 1-CATEG 1 $369.91 SCREW TAPERSCREW-CATEG 1 $536.76 SCREW TI HEX-CATEG 1 $538.57 SCREW TI HEX-CATEG 2 $11,739.00 SCREW TI SELF-TAPPING 1.0MM X C1713 $151.50 SCREW TI SELF-TAPPING 2.0MM X C1713 $71.62 SCREW TI-CATEG 1 C1713 $532.55 SCREW TRANSVERSE-CATEG 1 C1713 $124.50 SCREW VARIOUS-CATEG 1 C1713 $559.95 SCREW-CATEG 1 C1713 $876.46 SCREW-CATEG 2 C1713 $227.75 SCREW-CATEG 3 C1713 $2,608.13 SCREWS DFFERENT SIZES C1713 $217.50 SCREWS NUTS, ETC-CATEG 1 $658.36 SCRIPT W/FIT BY TECH; LENS-APH 92315 $302.79 SCRN CERV VAG THIN LYR G0123 $49.52 SCRN COLONOSCOPY PT NOT HI RIS G0121 $1,969.31 SCRN COLONOSCOPY;HIGH RISK PT G0105 $1,969.31 SCROTAL EXPLORATION 55110 $7,781.86 SCROTOPLASTY; SIMPLE 55175 $7,781.86 SCROTUM US 76870 $288.95 SCRW BONE NONLOCKING 2.7MM DIA C1713 $106.87 SCRW,NUT,BOLT,PLATE,DRLL,SUPPL C1713 $1.50 SD SCR 1.55X4MM CROSS PIN C1713 $147.00 SD SCR 1.55X4MM CROSS PIN C1713 $147.00 SD SCR 1.5X5MM W/ NEW HEAD C1713 $110.31 SD SCR 1.5X5MM W/ NEW HEAD C1713 $110.31 SEALANT-TOOTH D1351 $146.00 Seamgrd Bioabs Staple LineRein C1713 $3,171.00 SECND ART MRCH THROMBECTOMY; A 37186 $532.09 SECND CL SURG WND/DEH; EXTNSIV 13160 $4,183.48 SECOBARBITAL LEVEL 80345 $11.99 SECONDARY IMPLANT 66985 $5,212.42 SEDATION-IV/IM/INHAL $299.75 SEDATIVE FILLING D2940 $120.00 SEDIMENTATION RATE 85651 $9.39 SED-SCHISTOSOMIASIS 87177 $21.76 SEL CATH PLCMT ART; EA 1ST ABD 36245 $519.38 SEL CATH PLCMT SEG PLUM ART 36015 $381.06 SEL CATH PLCMT VENOUS; 1ST ODR 36011 $345.51 SEL CATH PLCMT VENOUS; 1ST ORD 36011 $345.51 SEL CATH PLCMT VENOUS; 2ND ORD 36012 $380.97 SEL CATH PLMT ART 1ST ORD THOR 36215 $465.61 SEL CATH PLMT ART 2ND ORD THOR 36216 $594.09 SEL CATH PLMT ART 2ND ORDR ABD 36246 $551.43 SEL CATH PLMT ART 3RD ORD THOR 36217 $714.25 SEL CATH PLMT ART 3RD ORDR ABD 36247 $659.41 SEL CATH PLMT ARTADD 2/3D BEYD 36218 $112.84 SEL CATH PLMT ARTADD 2/3RD ABD 36248 $107.58 SELECT CATH PLCMT LT/RT PULM A 36014 $333.89 SELECT PICTURE AUDIOMETRY 92583 $86.20 SELEGELINE 5 MG. PO $4.62 SELENIUM (BLOOD) 84255 $62.41 SELENIUM (URINE) 84255 $62.41 SELENIUM 40MCG/ML IV $0.62 SELENIUM SULF 2.5% LOTION TOP $0.19 SELENIUM SULFIDE 120ML SHAMPOO $2.12 SELENIUM SULFIDE 2.5% LOT TOP $1,038.70 SELF CARE TRAIN 97535 $74.40 SELF CARE TRAIN-1 ON 1-EA 15 M 97535 $74.40 SELF CARE TRAINING 97535 $74.40 SELF PRESSURIZ GLENOID SIZE 44 C1713 $5,904.00 SELF TAPPING LOCKING SCREW 3.5x16MM C1713 $259.50 SELF-CARE MGMT TRAINING 23-37M 97535 $74.40 SELF-CARE MGMT TRAINING 38-52M 97535 $74.40 SELF-CARE MGMT TRAINING 53-68M 97535 $74.40 SELF-CARE MGMT TRAINING 8-22MI 97535 $74.40 SELF-CARE TRAINING 97535 $74.40 SELFDRILL SCRW BONE 1.5X4MM C1713 $147.00 SELF-DRILLING PIN 4x90x10MM C1713 $450.00 SELF-HELP/PEER SVC PER 30MIN H0038 $300.00 SELF-TAPPING LOCKING SCREW 3.5x16MM C1713 $259.50 SELLA CT WITH AND WITHOUT CONT 70482 $469.77 SELLA CT WITH CONTRAST 70481 $469.77 SELLA CT WITHOUT CONTRAST 70480 $288.95 SELLA TURCICA 70240 $205.74 SEMEN ANALYSIS 89320 $29.46 SEMEN COUNT 89320 $29.46 SEMEN COUNT. 89320 $29.46 SENNA 187MG (8.6MG SENNOSID) T J3490 $0.22 SENNA/SUCROSE PREP LIQUID 74ML J3490 $0.89 SENSORIMOTOR EXAM 92060 $161.31 SENSORIMOTOR EXM W/INTERPRETN 92060 $161.31 SENSORINEURAL ACUITY TEST 92575 $86.20 SENSORY INTEGRATION 97533 $112.31 SENSRY INTEGRAT TECH-1:1-EA 15 97533 $112.31 SENTINAL NODE ID; RAD TRACER 38792 $949.04 SEO MB A 1SP A/H SP OHD LB 4A/H SL SP E2630 $990.00 SEP ACC MECH REM OBSTR CVAD 36595 $7,144.43 SEPART LAB ADHES 56441 $6,440.19 SEPRAFILM ADHESION BARRIER 5"X6" C1765 $436.39 SEPTOPLASTY/SUBMUCOS RES W/GFT 30520 $6,752.59 SEPTOPLASTY/SUBMUCOUS RESECT 30520 $6,752.59 SEPTRA/BACTRIM 400-80MG/5ML5ML $4.08 SEQUESTRECTOMY FOR OSTECTOMY D7550 $1,960.00 SERENTIL 10MG TAB $1.98 SERENTIL 25MG TAB $1.25 SERIAL TONOMETRY 92100 $81.58 SERIAL TONOMETRY-SEP PROC W/I& 92100 $81.58 SEROMYCIN 250 MG. PO $19.80 SEROMYCIN 250MG CAP $4.76 SEROPHENE/CLOMED 50MG TAB $19.34 SEROQUEL 50mg (SCC ONLY) $10.60 SEROQUEL XR 150 MG PO J3490 $3.51 SEROQUEL XR 200 MG PO J3490 $6.68 SEROQUEL XR 300 MG PO J3490 $8.53 SEROQUEL XR 400 MG PO J3490 $10.18 SEROQUEL XR 50 MG PO J3490 $1.67 SEROTONIN LEVEL 84260 $75.75 SERUM BACT SCHLICHTER 87197 $36.72 SERUM IMMUNOELECTRO. 86320 $65.82 SERUM IMMUNOFIXATION ELECTROPH 86334 $54.63 SERUM LEVEL (FUNGAL) 80299 $41.01 SERUM LOG-IN 86999 $59.25 SERUM PROTEIN ELECTROPHORESIS 84165 $26.25 SESAMOIDECTOMY; FIRST TOE 28315 $7,057.23 SET CALCIUM SULFATE TAB-CATEG 1 $4,562.50 SET CATH SNGL LUMEN-CATEG 1 $525.00 SET CATHETER EPIDURAL-CATEG 1 $222.96 SET CATHETER-CATEG 1 $807.00 SET CLIP FIXING DEVICE-CATEG 1 $1,004.23 SET FILTER/EXT-CATEG 1 $231.58 SET INFUSION-CATEG 1 $7,082.81 SET PICC-CATEG 1 C1751 $113.72 SET SCREW C1713 $112.50 SET SPINAL-CATEG 1 C1820 $8,103.71 SET SURGERY-CATEG 1 $2,091.00 SET TUBE ARTHRO-CATEG 1 $535.00 SEVELAMER (RENAGEL) 400MG TAB $1.01 SEVELAMER (RENAGEL) 800MG TAB $2.14 SEVELAMER 403MG GELCAP PO $1.69 SEVELAMER CARBONATE 800 MG J3490 $5.00 SEVERING ADHES ANT SEG LASR TE 65860 $1,306.87 SEVERING VITREOUS STRANDS-LASE 67031 $1,306.87 SEWHO ABDUCT POSITION, AIRPLANE DSIGN L3960 $1,221.62 SEWHO ABDUCT POSITION, ERBS PALSY DSIGN L3962 $1,162.72 SEWHO MLD SHLD,ARM,4ARM,WRST W ART LB JT L3978 $2,950.99 SEX DETERMINATION SCREENING 64999 $43.93 SEX HORMONE BINDING GLOBULIN 84270 $53.13 SEXA BONE DENSITY PERIPH G0130 $288.95 SGL/MULTI INJ SPIDER VEIN; LIM 36468 $450.45 SGMDSC W/BAND LIGATION 45350 $2,588.89 SGOT 84450 $12.65 SGPG IGM 83520 $37.99 SGPT 84460 $12.96 SHAFT ANGLED STIFF-CATEG 1 $789.42 SHAV 1 LES FACE EAR LIP; 1.1-2 11312 $823.72 SHAV 1 LES FACE EAR LIP;0.5 CM 11310 $450.45 SHAV 1 LES FCE EAR LIP;0.5CM/L 11310 $450.45 SHAV 1 LES FCE EAR LIP;1.1-2.0 11312 $823.72 SHAV 1 LES TRNK ARM/LEG; 0.6-1 11301 $450.45 SHAV EPID/DER SCLP NECK HND>2. 11308 $823.72 SHAV EPID/DER TRNK ARM LEG >2. 11303 $823.72 SHAV EPID/DER TRNK ARM LEG 1.1 11302 $450.45 SHAV SKIN LESION 0.61-1.0CM 11311 $450.45 SHAVE S/N/H/F/G; SING LES 0.5c 11305 $450.45 SHAVE S/N/H/F/G; SING LES 0.6- 11306 $450.45 SHAVE S/N/H/F/G; SING LES over 11308 $823.72 SHAVE S/N/H/F/G; SINGLE LES 1. 11307 $450.45 SHAVE T/A/L; SING LES 0.5cm or 11300 $450.45 SHAVE T/A/L; SINGLE LESION 0.6 11301 $450.45 SHAVE T/A/L; SINGLE LESION 1.1 11302 $450.45 SHAVE T/A/L; SINGLE LESION ove 11303 $823.72 SHAVG SKIN LESION >2.0CM 11313 $823.72 SHAVING SKIN LES .6-1CM 11306 $450.45 SHAVING SKIN LES <.6CM 11305 $450.45 SHAVING SKIN LES 1.1-2CM 11307 $450.45 SHAVING SKIN LESION >2.0CM 11313 $823.72 SHAVING SKIN LESION 0.6-1.0CM 11311 $450.45 Sheath Amplatz Renal 30FR C1725 $59.04 SHEATH INTRO FLX-CATEG 1 $805.00 SHEATH INTRO-CATEG 1 $187.50 SHEATH INTRODUCER-CATEG 1 $830.98 SHEATH PEEL AWAY-CATEG 1 $287.50 SHEATH PINNACLE-CATEG 1 C1894 $5,543.13 SHEATH-CATEG 1 $187.50 SHELL 44MM C1776 $1,149.00 SHELL 44MM C1776 $1,149.00 SHELL ACET 38MM C1776 $2,307.26 SHELL ACETAB-CATEG 1 C1776 $4,113.21 SHELL BIPOLAR-CATEG 1 C1776 $15,686.97 SHELL BIPOLAR-CATEG 2 C1813 $1,247.50 SHELL FLARED-CATEG 1 C1813 $4,455.00 Shell Liner C1776 $199.80 SHELL UNI-CATEG 1 C1776 $1,015.74 SHELL VIAL TECHNIQUE 87252 $63.73 SHELL W/CLUSTER HOLES C1776 $5,544.00 SHELL W/CLUSTER HOLES 54MM C1776 $1,200.00 SHELL W/CLUSTER HOLES 58MM C1776 $3,801.00 SHELL W/CLUSTER HOLES 66MM C1776 $2,971.50 SHELL WITH CLUSTER HOLES 58MM C1776 $3,801.00 SHERPA NX ACTIVE CATH C1887 $67.50 SHIGA-LIKE TOXIN DETECTION 87427 $29.30 SHILEY 4.0 NEONATAL TRACH TUBE A4624 $47.40 SHINGRIX (ZOSTER VAC RECOMB) 90750 $40.00 SHLDR ARTHRSCP/SURGERY 29826 $379.32 SHLDR CAPSULOR ARTHROSCOPY 29806 $15,421.60 SHLDR MUMFORD PROCEDURE 29824 $7,057.23 SHORT ARM DYNAMIC SPLINT 29126 $281.09 SHORT LEG CAST 29405 $592.46 SHORT NEEDLE ELECTRODE 40/BX C2618 $66.95 SHORT SCREW 5.5 MMxVARIOUS C1713 $425.25 SHORT SCREW 5.5MM X C1713 $425.25 SHORT SCREW 5.5MMxVARIOUS C1713 $425.25 SHORT SCREW 7MM X C1713 $513.45 SHORT SCREW 7MMxVARIOUS C1713 $513.45 SHORT THREAD SCREW 7.5MMX65MM C1713 $412.50 SHORT THREAD SCREW 7.5x65MM C1713 $412.50 SHORTEN METATRSAL;NOT 1ST MT 28308 $7,057.23 SHORTENING OF RADIUS OR ULNA 25390 $15,421.60 SHORT-LATENCY SOMATOSENSRY 95925 $652.50 SHOULDER 1 VIEW 73020 $205.74 SHOULDER ANCHORS C1713 $592.50 SHOULDER ARTHROSCOPY DX 29805 $7,057.23 SHOULDER COMP 2+ VIEWS 73030 $205.74 SHOULDER HUMERAL COMP 11MMx7 STEM C1776 $6,885.00 SHOULDER HUMERAL HEAD C1776 $1,475.10 SHOULDER PEGGED #5 GLENOID COMPONENT C1776 $1,356.30 SHOULDER STRAPPING 29240 $281.09 SHOULDR HUMERL COMP 11MMX7STEM C1776 $6,885.00 SHRTEN FLEXR TENDON HAND/FING; 26479 $7,057.23 SHTLTNCY SOMT EPS STMNRV/SKN S 95925 $652.50 SHTLTNCY SOMT EPS STMNRV/SKN S 95926 $652.50 SHTLTNCY SOMT EPS STMNV/SKN SI 95927 $356.66 SHUNTOGM-PREV PLCED NONVASC-RS 75809 $288.95 SI ENDO W ABALATION TUM/POLYP/ 44369 $4,015.00 SI POLYAXL EXT TAB SCREW 6MM X C1713 $1,575.00 SI POLYAXL SCREW 6MM EXPEDIUM TI C1713 $1,582.50 Sialodochoplasty D7982 $2,804.00 SIALOGRAPHY-RAD S & I 70390 $600.78 SIALOLITHOTMY; SUBMANDIB; COMP 42335 $6,752.59 SIALOLITHOTOMY D7980 $1,042.00 SIALOLITHOTOMY; SUBMANDIB; UNC 42330 $6,752.59 SICKLE CELL TEST 85660 $13.46 SICKLING OF RBC REDUCTION 85660 $13.46 SIDEROCYTES PERIPH-B 85536 $15.80 SIG W/BALLOON DIL;1+STRICTURES 45340 $2,588.89 SIGMA HP TROCHLEA SIZE 3 RT C1776 $4,800.00 SIGMOID ABLATION OF TUMOR/LASE 45346 $2,588.89 SIGMOID CONTROL OF BLEED 45334 $2,588.89 SIGMOID FB REMOVE 45332 $2,588.89 SIGMOID WREM PLYP SNARE 45338 $2,588.89 SIGMOIDOSCOPY FLEX; DX-SEP PRO 45330 $1,969.31 SIGMOIDOSCOPY W/ RESECTION 45349 $6,043.36 SIGMOIDOSCOPY W/US GUIDE BX 45342 $2,588.89 SIGMOIDOSCOPY;W SUBMUC INJ 45335 $1,969.31 SIGMOIDOSCPY W FB REMOV 45332 $2,588.89 SIGMOIDOSCPY; W ULTRASOUND END 45341 $1,969.31 SIGN LANG/INTERPRETER/15 MIN T1013 $300.00 SIGNAL AVERAGE EKG 93278 $141.83 SILFAMYLON CREAM 60GM $0.40 SILIC KNEE 70 FEM STAGE 1CEMNT C1776 $3,790.50 SILICONE FLAT DRAIN 7MM 15FR C1729 $110.33 SILICONE IMPLANTS SIZE 40 C1789 $1,350.00 SILICONE IMPLANTS SIZE 40 C1789 $1,350.00 SILICONE SHEET 0.25MM, 10/BX* C1781 $31.20 SILICONE SHEETING C1781 $303.00 Silikon 1000 Oil 8.5mL C1814 $768.50 SILITHMY SBMNDR (SBMAX SBLGL P 42330 $6,752.59 SILK, BLACK BRAIDED C1713 $11.34 SILKNEETIB STGE1 CEM SPACR MLD C1776 $3,192.00 SILVER NITR STICKS 100/TUBE $1.46 SILVER NITRATE STICKS J3490 $0.10 SILVER SULFADIAZ 1% CREAM 50 G J3490 $8.95 SILVER SULFADIZE CREAM 1% $21.96 SILVERHAWK PERIPH CATH LS6CM TIP P-ART C1714 $5,992.50 SILVERHAWK PERIPH CATH MS 6CM P-ARTERIES C1714 $5,992.50 SILVERHK PERIPH CATH SS 2.6 CM P-ART C1714 $5,992.50 SILVERHK PERIRAL CATH SX 4.3CM FOR P-ART C1714 $5,992.50 SIMETHICONE 333MG/5ML J3490 $0.35 SIMETHICONE 40MG/0.6ML PO DROP J3490 $0.94 SIMP REP WND F/E/N/E/L/MM;2.6- 12013 $450.45 SIMP RPR WND F/E/N/EL/MM;2.5CM 12011 $450.45 SIMP RPR WND S/N/A/G/T/EXT;7.6 12004 $450.45 SIMPL CYSTOMETROGRAM 51725 $605.57 SIMPL REPR FACE&/MUCOUS; < 2.5 12011 $450.45 SIMPL REPR FACE&/MUCOUS; > 30. 12018 $450.45 SIMPL REPR SCLP&/TRUNK; < 2.5 12001 $450.45 SIMPL REPR SCLP&/TRUNK; > 30.0 12007 $450.45 SIMPL REPR SCLP&/TRUNK; 2.6-7. 12002 $450.45 SIMPL RPR F/E/E/N/L/MM;7.6-12. 12015 $450.45 SIMPL UROFLOWMETRY 51736 $281.09 SIMPLE BLADDER IRRIGATE LAVAGE 51700 $605.57 SIMPLE I&D EAR ABSC/HEMA 69000 $1,572.63 SIMPLE I&D EAR ABSC/HEMA 69000 $1,572.63 SIMPLE I/D EAR ABSC HEMA 69000 $1,572.63 SIMPLE INC&RMVL SUBCU FB 10120 $823.72 SIMPLE UFR 51736 $281.09 SIMPLE URETHRAL CATH 51701 $281.09 SIMPLE WND REP 12.6-20CM 12005 $823.72 SIMPLE WND REP 2.5-7.5CM 12002 $450.45 SIMPLE WND REP 2.6-5 CM 12013 $450.45 SIMPLE WND REP 20-30 CM 12006 $823.72 SIMPLE WND REP 5-7.5 CM 12014 $450.45 SIMPLEX P WITH TOBRAMYCIN STRYKER J3260 $0.62 SIMVASTATIN (ZOCOR) 10MG TAB J3490 $3.25 SIMVASTATIN (ZOCOR) 20MG TAB J3490 $5.71 SIMVASTATIN (ZOCOR) 40MG TAB J3490 $4.93 SINCALIDE 5MCG INJ $59.16 SINCALIDE 5MCG INJ (KINEVAC) J2805 $267.08 SINEMET CR 25/100 MG TAB $1.49 SINEMET CR 50/200MG TAB $2.29 SINEQUAN/ADAPIN 50MG CAP $0.61 SING/DUAL LUMEN PICC C1751 $216.30 SINGL SITE LAPAROS SEAL CAP A4649 $1,080.00 SINGLE LUMEN 4FR CT PICC 80CM GW 5/BX C1751 $210.00 SINGLE LUMEN CATH PERC KIT C1729 $411.82 Single Lumen Cath Set 65cm C1713 $265.50 SINGLE RADIUS HUMERAL HEAD C1776 $4,384.50 Sinus augmentation w/bone D7951 $1,400.00 SINUS ENDO W/BALLOON DIL FRONT 31296 $14,025.37 SINUS ENDO W/BALLOON DIL MAX S 31295 $14,025.37 SINUS ENDO W/BALLOON DIL SPHEN 31297 $14,025.37 SINUSES CT WITH AND WITHOUT CO 70488 $469.77 SINUSES CT WITH CONTRAST 70487 $469.77 SINUSES CT WITHOUT CONTRAST 70486 $288.95 SINUSES PARANASAL COMPLETE 70220 $205.74 SINUSES PARANASAL PARTIAL <3 V 70210 $205.74 SINUSOIDAL ROTATIONAL TEST 92546 $356.66 SINUSOTOMY FRONT;OBLIT WO BROW 31080 $12,504.78 SINUSOTOMY FRONTAL;EXTERN;SIMP 31070 $12,504.78 SINUSOTOMY SPHENOID; W/WO BX 31050 $12,504.78 SINUSTMY; SPENOID; W/WO BX; W 31051 $12,504.78 SINUSTOMY MAXILLRY;INTRANASAL 31020 $6,752.59 SIROLIMUS 1 MG. PO $12.71 SISI HEARING TEST 92564 $59.25 SITAGLIPTIN 50MG TABLET J3490 $6.86 SIZE GxLPE 20 DEGREE LINER C1776 $1,725.00 SIZE J LINER #59950900 $1.00 SIZER $157.33 SJOGREN'S ANTIBODY 86235 $43.85 SKIN FULL GRFT F/G/HF/A;20 SQ 15240 $4,183.48 Skin grafts, by report D7920 $3,620.00 SKIN SPLT GRFT TRNK/ARM/LEG 00 15100 $4,183.48 SKIN SUB GRFT F/N/HF/G; ADDL 15276 $56.63 SKIN SUB GRFT F/N/HF/G;UP TO 15275 $4,183.48 SKIN SUB GRFT TRNK/A/L; UP TO 15271 $4,183.48 SKIN TEST INTRADERMAL TB 86580 $59.25 SKIN TEST INTRADML TB 86580 $59.25 SKIN TEST; CANDIDA 86485 $59.25 SKIN TEST; TB INTRADERMAL 86580 $59.25 SKIN TEST; TUBERCULOSIS INTRAD 86580 $59.25 SKIN TEST; TUBERCULOSIS TINE T 86580 $59.25 SKIN TEST; UNLISTED ANTIGEN EA 86486 $59.25 SKIN TIS REARRANG/TRNSFR; ADDL 14302 $475.95 SKIN TONER CONDITIONING SLTN $59.40 SKINTEGRITY-CATEG 1 $3,534.22 SKN SUB GRFT TRNK/A/L; ADD-ON 15272 $38.35 Skull Bolt Kit Microsensor Mtl $1,110.08 SKULL COMPLETE 4+ VIEW 70260 $288.95 SKULL PARTIAL <4 VIEWS 70250 $288.95 SKY 2 LEVEL ANTER CERV PLATE C1713 $1,911.00 SKY 3 LEVEL ANTER CERV PLATE C1713 $2,076.75 SKY 3 LEVEL TI SKYLINE; ANT CERV PLATE C1713 $2,076.75 SKY CNSTRND S-D SCRW14MM TI; ANT CRV PLT C1713 $394.88 SKY VARI CSD SCRW TI; ANT CERV PLATE C1713 $58.50 SKY VARIABLE SCRW TI ANT PLATE C1713 $394.87 SKY VARIB S-D SCRW 16MM TI; ANT CERV PLT C1713 $394.88 SKY1 LVL PLT 12MM TI SKYLINE ANT CRV PLT C1713 $394.88 SKY1 LVL PLT 16MM TI SKYLINE ANT CRV PLT C1713 $1,755.00 SKY1 LVL PLT 20MM TI SKYLINE ANT CRV PLT C1713 $1,755.00 SKY2 LVL TI SKYLINE ANT CERV PLATE C1713 $1,911.00 SL GRAFTCH R5MM LORD CORT SPCR C1768 $1,434.38 SLCTV WIND DEBRIDMEN 20 CM OR 97597 $487.01 SLEEP STUDY ATTENDED 95807 $1,251.91 SLEEP STUDY UNATTENDED 95806 $356.66 SLEEVE CENTRALIZE-CATEG 1 $35.63 SLEEVE SHOULD TRACT ADD ROT6CS C1713 $150.00 SLEEVE TAPER-CATEG 1 C1776 $1,240.11 SLEEVE UNIPOLAR-CATEG 1 $234.00 SLGRAFTEC R 6MMLORD CORT SPACR C1768 $1,434.38 SLIDE REV W/SL PREP 88323 $127.53 SLIDE REV+RPT REF SLIDES 88321 $86.20 SLIDE REVIEW W/RECORDS 88325 $127.53 SLIDE TEST CHLAMYDIA 87206 $13.18 S-LIFT IMPLANT 10X 38 C1713 $1,291.50 SLING OP-STRESS INCONTINENCE(F 57288 $11,012.14 Sling -T Sterile Single Use $5,437.50 SLING/MESH FGS C1781 $750.00 SLING/MESH FGS C1781 $750.00 SLING-CATEG 1 C1813 $3,012.16 SLINGS A4565 $6.89 SLIT PREPUCE DORSAL OR LAT; NO 54001 $4,567.09 SLITTING PREPUCE DORS/LAT; NEW 54000 $7,781.86 SLO-BID 300MG CAP $1.55 SLO-NIACIN 250 MG TAB $0.08 SLOTTED WIRE FIXATION BOLT* C1713 $363.00 SM INT ENDOSC W ILEUM W BX;SNG 44377 $4,015.00 SM INTEST ENDO W BLEED CONTROL 44366 $4,015.00 SM INTEST ENDO; W/GASTRO TO JE 44373 $4,015.00 SM INTESTINAL ENDO NOT ILEUM; 44361 $4,015.00 SM INTESTINE ENDO W REM T/P/L 44364 $4,015.00 SM INTST ENDO; DX W/WO SPEC CO 44376 $4,015.00 SM JNT/BRSA; DRAIN/INJECT 20600 $674.85 SM-153 RADPHRM TX LEXIDRONAM A9604 $35,289.23 SMALL BOWEL/MULTIPLE FILMS 74250 $469.77 SMALL FEMUR C1776 $2,092.50 SMART BILIARY STENT 6x120MM; CORDIS C1876 $2,900.25 SMART CONTROL ELIAC STENT 6x40ML; CORDIS C1876 $2,097.75 SMART CTRL ELIAC STENT 6x100ML; CORDIS C1876 $2,645.25 SMART PORT LOW PROFILE C1788 $556.20 SMART STENT 10x40MM CONTROL ELIAC VASC C1876 $2,097.75 SMART STENT 7FR 12X30MM VASC C1876 $2,617.50 SMART STENT 7x40 CORDIS C1876 $2,097.75 SMARTSLING OSSUR XS13.25-15.75 $63.83 SMOKE EVACUATR TUBING ST STRL A4624 $310.65 SMOKING CESSATION >10MIN GROUP 99407 $74.09 SMOKING CESSATION 3-10 MIN 99406 $74.09 SMOKING CESSATION MORE THAN10M 99407 $74.09 SMPL CHANGE CYSTOST TUBE 51705 $605.57 SMPL DRAIN FING ABSCESS 26010 $450.45 SMPL REP WND S/A/N/G/T/E;20.1- 12006 $823.72 SMPL RPR WND E/F/E/N/L/MM;5.1- 12014 $450.45 SMPL WND REP 7.5-12.5 CM 12004 $450.45 SMPL WND REP 7.6-12.5 CM 12015 $450.45 SNARE DISP-CATEG 1 $991.83 Snare En Snare Endovasc std 7F C1773 $607.50 SNGL EAR/PULSE OXIMETRY 94760 $4.14 SNIP INCS LACRIMAL PUNCTUM 68440 $697.33 SNS LEAD KIT INSTERSTIM C1778 $4,740.00 SNSRY TSTING W FLX/ENDO SWLW F 92614 $321.31 SOD BICARBNATE 8.4% INJ J3490 $555.72 SOD CHL 9% 100ML ADV#7101-23 $2.50 SOD CHL 9% 250ML ADV#7101-02 $2.93 SOD CHL 9% 50ML ADV#7101-13 $2.12 SOD CL .9% INJ. $9.57 SOD CL 5% 500 $7.77 SOD CL 9% POR 250 #6138-02 $1.37 SOD CL 9% POR 500 #6138-03 $1.50 SOD CL NEBULIZING SOL 0.9% 3ML J3490 $0.30 SOD CL NEBULIZING SOL 3% 15ML J3490 $0.11 SOD CL.45%INJ 1000 #7985-09 $1.52 SOD CL.45%INJ 500 #7985-03 $1.35 SOD CL.9%INJ 100 #7984-23 $1.99 SOD CL.9%INJ 1000 #7983-09 $2.99 SOD CL.9%INJ 250 $1.12 SOD CL.9%INJ 3000 $9.33 SOD CL.9%INJ 50 #7984-13 $1.99 SOD CL.9%INJ 500 #7983-03 $1.22 SOD HYALURONATE 10MG/ML 0.85ML J3490 $158.40 SOD POLYST SULF ENEMA $2.60 SOD POLYSTYRENE ENEMA J3490 $18.07 SOD THIOSULF/SOD NIT/AMYL NIT $604.03 SODIUM 84295 $11.77 SODIUM ACETATE 150 mEq/1000 mL $47.00 SODIUM BF 84295 $11.77 SODIUM BICAR 4.2% 10ML $8.54 SODIUM BICAR 650MG TAB J3490 $0.16 SODIUM BICAR 7.5% 50ML $5.58 SODIUM BICAR 8.4% INJ 50ML $2.74 SODIUM BICARBONATE 2.1% 500ML $65.00 SODIUM BICARBONATE 5% 500ML $15.72 SODIUM BICARBONATE 8.4% 10ml $8.50 SODIUM BICARBONATE 8.4% 50ML J3490 $49.88 SODIUM BICARBONATE INJ 8.4% 100 ML $0.10 SODIUM BICARBONATE PERIFERAL I J3490 $17.15 SODIUM BICARBONATE VIAL $55.00 SODIUM CHLOR 0.9% 1000ML J7040 $1.50 SODIUM CHLORD 0.9% INJ. 10ML $1.80 SODIUM CHLORIDE (NACL) 0.9% 3ML SYR $0.20 SODIUM CHLORIDE 0.45% 500ML IV $0.01 SODIUM CHLORIDE 0.45% BOLUS 1000 ML $1.39 SODIUM CHLORIDE 0.45% INJ J3490 $4.32 SODIUM CHLORIDE 0.9% (NACL) 50 J7040 $0.57 SODIUM CHLORIDE 0.9% 1000ML J7030 $4.05 SODIUM CHLORIDE 0.9% 100ML IV J3480 $4.00 SODIUM CHLORIDE 0.9% 250ML IV J7050 $1.30 SODIUM CHLORIDE 0.9% 500ML IV J7040 $3.12 SODIUM CHLORIDE 0.9% INJ J7030 $3.14 SODIUM CHLORIDE 0.9% INJ 10ML $0.15 SODIUM CHLORIDE 1GM TAB $0.20 SODIUM CHLORIDE 2% EYE DROPS J3490 $17.25 SODIUM CHLORIDE 23.4% INJ 30ML $5.43 SODIUM CHLORIDE 3% J7131 $2.01 SODIUM CHLORIDE 5% EYE DROPS $11.89 SODIUM CHLORIDE FLUSH $0.01 SODIUM CITRATE + CITRIC ACID-ORAL PEDS $1.54 SODIUM CL IRRIG 0.9% 1000ML $3.50 SODIUM FLUORIDE F-18 <= 30 MCI A9580 $1.09 SODIUM HYPOCHLORITE 0.25% (HALF STR) $0.58 SODIUM HYPOCHLORITE 0.5% (FULL STR) $0.04 SODIUM MORRHUATE 50MG/ML 30ML $48.27 Sodium Nitrite 30mg/ml Injection $0.40 SODIUM PHOSPHATE 3MM/ML 15ML $1.17 SODIUM STOOL 84300 $11.88 SODIUM TETRADECYL 3% IV $68.75 SODIUM THIOSULFATE25% 50ML INJ J3490 $1.94 SODIUM UR RANDOM 84300 $11.88 SODIUM UR T.V. 84300 $11.88 SODIUM/POTAS/SOD CHLOR EYE DRO J3490 $5.88 SODIUM/POTASSIUM 84132 $11.24 SOF-FLEX 10FRDBLE PIGTAIL STNT C1876 $191.40 SOFOSBUVIR 400MG TAB $2,200.00 SOFT 14X12 POLY MESH 3/BX C1781 $2,049.12 SOFT TIPS 23 GUAGE NEEDLE DISP C2618 $372.60 SOFT TIS BX; BCK/FLANK/ DEEP 21925 $3,538.61 Soft tissue allograft D4275 $840.00 SOFT TISSUE NECK MRA W&W/O CON 70549 $984.43 SOFT TISSUE NECK MRA WITH CONT 70548 $984.43 SOFT TISSUE NECK MRA WITHOUT C 70547 $600.78 Soft Trocar Thoracoport 12mm C1713 $934.02 SOFT URETER STENT W/WIR GUIDE C1876 $155.10 SOFT URETER STNT 8FR WIREGUIDE C1713 $167.10 SOLGANAL 50MG/ML INJ 10ML VIAL $36.89 SOLIFENACIN 10MG TABS $17.86 SOLIRIS 300MG INJ J1300 $13,645.87 SOLU-CORTEF 100MG INJ $3.97 SOLU-MEDROL 125MG INJ $6.24 SOLU-MEDROL 125MG INJECT J2930 $25.59 SOMATOMEDIN-C 84305 $51.99 SOMOPHYLLIN 105MG/5ML 240ML $0.10 SORBITOL SOLUTION 70% $0.01 SOTALOL (BETAPACE) 160MG TAB $6.73 SOTALOL (BETAPACE) 80MG TAB $2.23 SP PUNCT TX DRAIN CEREBROSP FL 62272 $1,611.39 SP3 REFLECTION L8699 $2,625.00 Space Maintain Bilat Fix Mand D1517 $665.00 Space Maintain Remov bil mand D1527 $812.00 Space Maintainer Bilat Fix Max D1516 $665.00 SPACE MAINTAINER FIXED UNILATE D1510 $434.00 Space Maintainer Remov bil max D1526 $812.00 SPACE MAINTAINR UNILAT REMOVBL D1520 $630.00 SPACER 2" HIP POSIT EXT KNOB4" C1713 $338.76 SPACER ACF-CATEG 1 $2,670.76 SPACR BAG/RESRVOR METRD DOSE INHAL A4627 $118.10 SPATULA-BRAIN LRG 5.8MM MALL $245.45 SPATULA-BRAIN MED 3.8MM MALL $245.45 SPATULA-BRAIN SMALL 2.2MM MALL $245.45 SP-DECLOTTINGTHROMBO 36593 $798.14 SPEC ANT SEGMT PHOTO; W/MICRO/ 92286 $302.79 SPEC DOSIMETRY-PRESCRIB BY TX 77331 $326.37 SPEC ENZYME HISTOCHEMISTRY 88319 $1,619.51 SPEC STAINS-GROUP I 88312 $127.53 SPEC STAINS-GROUP II 88313 $86.20 SPEC TELETHERAP PORT PLAN PART 77321 $864.05 SPECIAL MED RADIATION PHYSICS 77370 $326.37 SPECIAL STAINS-MICROORGANISMS 88312 $127.53 SPECIAL STAINS-OTHERS 88313 $86.20 SPECIAL TX PROC 77470 $1,389.12 SPECIAL VIROLOGY FOLLOW UP 86689 $47.32 SPECIAL VIROLOGY SCREEN 86701 $21.71 SPECIF GRAVITY EX UR 84315 $7.22 SPECIFIC GRAVITY 84315 $7.22 SPECIFIC GRAVITY BODY FLUID 84315 $7.22 SPECIFIC GRAVITY URINE 81005 $5.30 SPECIFIC GRAVITY URINE AUTOMAT $5.34 SPECIFIC GRAVITY URINE DIPSTIC $5.34 SPECIMEN COLLECT COVID19 G2023 $51.61 SPECIMEN TRANSPORT 99001 $23.98 SPECTAZOLE 1% CR $2.01 SPEECH AUDIOMETRY COMPLETE 92556 $86.20 SPEECH AUDIOMETRY THRESHOLD; 92555 $86.20 SPEECH EVAL COMPLEX 92611 $200.62 SPEECH EVAL COMPLEX 92611 $200.62 SPEECH LANG EVAL CINERADIO VID 70371 $600.78 SPEECH THRESHOLD-AUDIOMETRY 92555 $86.20 SPEECH/HEARING THERAPY GROUP 92508 $54.43 SPEECH/HEARING THERAPY INDIV 92507 $173.40 SPEECH/HEARING THERAPY,INDIV 92507 $173.40 SPEED LYSER CATHETER 15FR X 20CM C1881 $240.00 SPEEDBRG IMP SYS BIOCOM SWVLK C1713 $2,610.00 SPERM; CERV MUCOS PENETRAT 89330 $24.18 SPHENOPALATINE GANGLION 64505 $674.85 SPHERICAL HEAD SCREW 15MM C1713 $192.00 SPHERICAL SCREW 25MM C1713 $192.00 SPIN/FILTER PC P9016 $414.33 SPINAL CAGE $6,202.39 SPINAL CANAL MRA 72159 $1,100.00 SPINAL CANAL ULTRASOUND 76800 $288.95 SPINAL DISK SURG DISCECTOMY NE 63075 $15,421.60 SPINAL DISK SURG DISCTEMY NECK 63076 $527.56 SPINAL PUNCT LUMBAR DX 62270 $1,611.39 SPINE 1VIEW SPECIAL LEVEL 72020 $205.74 SPINE BONE ALLOGRFT MORSEL; AD 20930 $163.50 SPINE BONE AUTOGRFT LOCAL; ADD 20936 $163.50 SPINE DISK SURG ADD ON; EA ADD 63035 $410.32 SPINE FUSE&REMV CERV BELW C2 22552 $851.80 SPINE FUSION W/O DECOMPR CSERV 22554 $30,680.34 SPINEWAVE 6.5MM PED SCREW X C1713 $1,342.50 SPIRAL TAP CANNULATED 6.0 A4615 $693.00 SPIROMETRY 94010 $356.66 SPIROMETRY W/BRONCHO 94060 $652.50 SPIROMTRY W/RECRD-VC-EXPIR FLO 94010 $356.66 SPIRONALACTONE 50MG. PO $1.79 SPIRONOLACTONE 100MG TAB PO J3490 $2.11 SPIRONOLACTONE 12.5MG TABLET J3490 $0.10 SPIRONOLACTONE 1MG/ML ORAL SYNGE $0.05 SPIRONOLACTONE 25MG TAB J3490 $0.54 SPL AVULSE NP; EA ADDTL 11732 $38.43 SPLEEN IMAGING ONLY 78185 $949.04 SPLENOPORTOGRAPHY-RAD S & I 75810 $4,205.10 SPLINT WRIST-CATEG 1 $5,100.91 SPLIT CATH III-IMPL DIALSYS SYS C1750 $492.75 SPLIT POLYSOMONOGRAPHY 95811 $2,343.26 SPLT GRFT; NOT TRUNK 100 SQCM 15120 $7,675.54 SPNE/BRAIN PUMP REFIL/MAINTENA 95991 $674.85 SPNG LAP PAK 18X18 W/RING $2.35 SPNL PUNCT TX; DRAIN CSF (NDD 62272 $1,611.39 SPONTANEOUS NYSTAGMUS TEST 92531 $130.80 SPONTANEOUS NYSTAGMUS TEST W/R 92541 $281.09 SPR STIFF GUIDEWIRE STRGHT 5BX C1769 $40.75 SPUTUM CULTURE 87070 $21.05 SPUTUM CYTOLOGY 88108 $86.20 SPUTUM FOR O & P 87177 $21.76 SPUTUM OBST SPEC AROSL INDUCD 89220 $369.93 SQ COLLAGEN;1 CC OR LESS 11950 $450.45 SR-89 RADPHRM DX CHLORIDE / PE A9600 $4,500.54 SREP F E N L MM 12.6-20.0CM 12016 $823.72 SREP F E N L MM 20.1- 1-30.0CM 12017 $823.72 SREP S/N/EX/G/T/A;2.6-7.5 CM 12002 $450.45 SRG TX ECT PREG TUB/OVAR REQ/S 59120 $1,741.45 S-ROM TOTAL HIP SYS FEMOR STEM C1776 $5,820.00 SSKI 1GM/ML SOLUTION 30ML $12.85 SST SILVERHAWK PERIPHERAL CATH SET C1714 $5,992.50 ST 4X6 MESH SURGICAL PATCH C1781 $1,422.15 ST JNT INJ ANESTH/STERIOD G0260 $1,611.39 ST STIM SP CORD PERC WO OTH OP 63610 $4,432.54 ST. LOUIS ENCEPHALITIS ANTIBOD 86653 $32.23 STAB PHLEB VEINS;1 EXTREM;10-2 37765 $7,144.43 STABILIZE FEMOR TRIATH POSTER C1713 $2,092.50 STABILIZED #3 FEM RT TRIATHLON POSTERIOR C1776 $2,092.50 STABILIZER SGW-CATEG 1 $4,859.17 STABILIZER WIRE-CATEG 1 $95.00 STAGE 1 CEMNT KNEE FEM SPACER C1776 $3,555.00 STAGGERED SPONDIAC WORD TEST 92572 $356.66 STAINLESS STEEL CONNECT STRGHT C1751 $138.24 STAINLESS STEEL CROWN D2930 $238.00 STALEVO 25/100/200MG TABLET $3.75 STAMARIL(YELLOW FEVER VACCINE) $0.10 STANDARD COG PERFORM TEST HOUR 96125 $238.35 STANDARD GLIDEWIRE 3CM STRGHT C1769 $282.89 STANDARD LOCKED PLATE LEFT C1713 $1,665.00 STANDARD RIGHT PLATE C1713 $1,437.00 STAPDCTMY/OTMY W OSSCLR W/WO M 69661 $12,504.78 STAPDCTMY/STAPDTMY W OSSCLR; W 69660 $12,504.78 STAPE RND CUT BURR 1.3MM DIA C1713 $164.43 STAPES DIAM BURR SYNERGY 2.3MM C1713 $164.43 STAPES DIAMOND BURR 1.3MM DIA C1713 $162.81 STAPES RND CUT BURR 2.0MM DIA C1713 $164.43 Stapler Endo Intralu Crv 21mm $1,470.89 Stapler Endos Intralu Crv 33mm $1,492.95 Stapler Linear Cutter Echel $1,825.26 Stapler Linear Cuttr endo 45mm $1,552.77 Stapler RELOAD Linear 60mm $3,014.49 Stapler RELOAD Linear Cut 60mm $3,014.49 Stapler RLD LinearCut vasc35mm $2,777.85 Stapler Septal ENTact $742.50 Stapler skin 35 Wide Proximate $7.61 Staplr Line Cuttr endo articul $1,825.26 Staplr Linear Cut endovasc35mm $1,584.24 STARTER PTFE/HPRN COAT GWIRE C1769 $183.12 STAT FLO BRISTLE TIPS 19G C1713 $66.75 STAT-1 LYTES 80051 $17.14 STAT-1 LYTES 82803 $57.35 STAT-2 LYTES 82803 $57.35 STAT-2-LYTES 80051 $17.14 STAVUDINE 1/ML ORAL LIQUID $0.37 STAVUDINE 15MG CAP $5.92 STAVUDINE 20MG CAP $6.92 STAVUDINE 30MG CAP $6.46 STAVUDINE 40MG CAP $6.94 STEINMANN PINS W/CENTRAL THREAD 5x225MM C1713 $26.78 STEM C1713 $3,600.00 STEM BIPOLAR-CATEG 1 $1,536.75 STEM EXT-CATEG 1 C1776 $821.31 STEM EXTENSION REPLACEMENT SCREW C1713 $151.50 STEM HIP-CATEG 1 C1776 $5,097.07 STEM OFFSET-CATEG 1 $2,155.20 STEM-CATEG 1 C1776 $5,168.67 STEMMED TIB COMP SZ-3 C1776 $3,607.50 STEMMED TIBIAL COMPONENT SZ-3 $5,280.92 STENGER TEST PURE TONE 92565 $86.20 STENGER TEST SPEECH 92577 $1,251.91 STENGER TEST-PURE TONE 92565 $86.20 STENT AA-CATEG 1 C1874 $3,750.00 STENT BALLOON-CATEG 1 C1725 $1,211.40 STENT BILIARY-CATEG 1 C1877 $4,425.19 STENT BILIARY-CATEG 2 C1876 $2,200.59 STENT CORINTHIAN 15MM IQ $10,237.50 STENT CORINTHIAN-CATEG 1 $1,045.13 STENT ESOPHAG-CATEG 1 $3,900.00 STENT POLARIS-CATEG 1 C1725 $1,750.00 STENT REPHROURETERAL-CATEG 1 C2617 $182.97 STENT URETERAL-CATEG 1 C2617 $193.53 STENT WALL-CATEG 1 C1874 $5,013.00 STER COLLECTEVAC,CONN TUB/END A4624 $14.38 STERIJECT 33GX13MM PREM NEEDLE C2618 $56.93 STERIOD STUDY-OTHER 83582 $34.65 STERIPAK SHRT FIX,PINS,HEX&PIN C1713 $5,934.00 STERI-STRP 1/2 X 4 $0.73 STERI-STRP 1/4 X 3 $0.73 STERL BALL CATH OTW ES 1.5X20X142 C1725 $262.50 STERL BALL CATH OTW ES 4FR 2.5X20X143 C1725 $667.50 STERL BALL CATH OTW ES 4FR 2.5X40X145 C1725 $667.50 STERL BALL CATH OTW ES 4FR 2X20X142 C1725 $567.38 STERL BALL CATH OTW ES 4FR 2X40X144 C1725 $567.38 STERL BALLOON CATH DILATATION C1726 $592.87 STERLING 3X20X135 BALLOON DILATA CATH C1725 $592.88 STERLING 4X60X135 BALLOON DILATAT CATH C1725 $567.38 STERLING 5X40X135 BALLOON DILATAT CATH C1725 $567.38 STERLING BALL 3.5X40X135 CATH DILATAT C1725 $592.88 STERLING BALLOON 3.5X20X135 CATH DILAT C1725 $592.88 STERLING BALLOON 3X60X135 CATH DILAT C1725 $592.88 STERLING BALLOON 4X20X135 CATH DILATAT C1725 $735.00 STERLING BALLOON 4X40X135 CATH DILATAT C1725 $711.00 STERLING BALLOON DILAT CATH 4X10X135 C1725 $567.38 STERLING BALLOON DILAT CATH 4X10X80 C1725 $567.38 STERLING BALLOON DILATAT CATH 5X10X135 C1725 $567.38 STERLING BALLOON DILATATI CATH 5X10X80 C1725 $711.00 STERLING SL 2.5x80x150 L/P BALL CATH OTW C1725 $567.38 STERNOCLAVICULAR JOINT 3+ VIEW 71130 $205.74 STERNUM 2+ VIEWS 71120 $205.74 STEVENS SUPER CUT CURVED 4-1/2 C1713 $353.49 STIFF MICRO INTRO GW KIT C1769 $900.00 STIFF MICRO INTRO KIT 10BX GUI C1769 $900.00 STIFF SHAFT GLIDEWIRE ANGLED C1769 $412.05 STIM EVOKED RESPONSE 51792 $141.83 STIVARGA (Regorafenib 40 mg ) $0.10 STNT PLACMT RETROGRD TX; CAROT 37217 $2,336.82 STOCKINETTE 2 $12.36 STOCKINETTE 3 N/STRL $10.25 STOCKINETTE 4 N/STRL $13.25 STOMACH TUB 16FR $1.10 STOMACH TUB 18FR $1.10 STONE ANALYSIS 82360 $31.46 Stone Retriev Baskt Zero Tip $307.50 Stone Retrieval Basket 4 wire $283.50 Stone Retrieval Basket 4wire $280.44 Stone Retrieval Basket ZeroTip $307.50 STOOL ADDITIONAL PATHOGENS 87046 $23.08 STOOL CULTURE 87045 $23.08 STOP PINS 50MM 10/BX OPERATIVE C1713 $1,575.00 STOPCOCK 3-WAY $0.70 STOPCOCK 4 WAY $0.72 STOPCOCK SS303 EXT MALE THREAD C1713 $119.48 Str Thru Guidewire 300cmx.014" C1769 $185.25 STRABISMUS SURG SUPER OBLIQUE 67318 $4,989.01 STRABISMUS SURG; 1 HORIZONTAL 67311 $4,989.01 STRABISMUS SURG; 2 HORIZONTAL 67312 $8,061.64 STRABISMUS SURG; 2/MORE VERTIC 67316 $4,989.01 STRABISMUS SURGERY BY POST FIX 67334 $652.81 STRABISMUS W EXPLR/REP EXTRAOC 67340 $775.68 STRAIGH PLATE 2.0 $1,457.20 STRAIGHT CLAW PLATE C1713 $3,204.00 STRAIGHT PLATE C1713 $2,484.00 STRAPPING OF TOES 29550 $141.83 STRAPPING; ANK 29540 $344.76 STRAPPING; LOW BACK 29799 $344.76 STRAPPING; SHOULDER 29240 $281.09 STRAPPING; THORAX 29200 $344.76 STRAPPING; UNNA BOOT 29580 $344.76 STRAPPING-ANKLE 29540 $344.76 STRAPPING-ELBOW/WRIST 29260 $86.20 STRAPPING-HAND/FINGER 29280 $86.20 STRAPPING-KNEE 29530 $281.09 STRAPPING-SHOULDER 29240 $281.09 STRAPPING-TOES 29550 $141.83 STRAPPING-UNNA BOOT 29580 $344.76 STREP A AG EIA 87430 $36.98 STREP A IA W DOO 87880 $36.37 STREPTOMYCIN 1 GM INJECTION J3000 $0.01 STREPTOMYCIN INJ TO 1GM J3000 $206.25 STREPTOMYCIN SULFATE 1G VIAL J3000 $10.56 STREPTOZOCIN, 1GM J9320 $921.97 STREPTOZYME 86063 $14.10 STREPTOZYME SCREEN 86063 $14.10 STRESS BREAKER D6940 $349.00 STRESS TTE COMPLETE 93351 $1,241.53 STRETCH THIN GRAFT 6MM X 50CM $4,860.00 STRETCH VASCULAR GRAFT STANDAR $3,637.50 STRGHT GUIDEWIRE .035 15X150CM C1713 $21.31 STRGHT-IN DEV WI/ INTEPRO LITE FEM; AMS C1781 $1,726.69 STRIBILD 150MG/150MG/200MG/300MG TAB $76.00 STRL WTR IRR 500ML #6139-02 $1.44 STROMECTOL 6MG TAB $16.03 STRONG IODINE/LUGOLS 480ML $0.01 STRPPING UNNA BOOT 29580 $344.76 STRTCH AXIL BIFEMOR VASC GRFT C1768 $4,032.00 STRYKEFLOW SUCT IRRIGATOR DISP A4624 $569.96 STRYKER ACETABULAR SHELL C1776 $1,200.00 STRYKER BONE LOCKING SCREW C1713 $265.50 STRYKER BONE SCREW LOCKING C1713 $265.50 STRYKER CAP BIPOLAR HIP C1776 $717.20 STRYKER CLIP C1713 $265.50 STRYKER END 16MM DRLL 5MM STOP C1713 $178.98 STRYKER END 16MM DRLL 7MM STOP C1713 $189.09 STRYKER END 16X115MM DRLL 35MM C1713 $390.68 STRYKER END DRILL 26MM C1713 $202.08 STRYKER GAP PLATE BONE 25SCREW C1713 $216.30 STRYKER HEAD C1776 $717.20 STRYKER K WIRE; ORTHO C1713 $55.13 STRYKER PIN C1713 $191.25 STRYKER SCREW C1713 $157.58 STRYKER WASHER C1713 $52.59 STYLET-CATEG 1 $90.63 STYLETTES - ADULT (DISP) A4212 $3.98 SUB SKIN GRFT;T/A/L;100SQ CM 15273 $7,675.54 SUB SKN GRFT F/N/H/F/G/;100SQC 15277 $4,183.48 SUBARACHNOID NERVE DESTRUCTION 62280 $2,093.48 SUBCONJUNCTIVAL INJ 68200 $281.09 SUBCONJUNCTIVAL INJ:MEDICATION 68200 $281.09 SUBCU/IM INJECT 96372 $167.76 SUBCU/IM INJECTION 96372 $167.76 SUBCU-IM INJECT 96372 $167.76 SUBDURAL PUNCT ININ 61000 $1,611.39 SUBDURAL PUNCT SUBSEQ 61001 $1,611.39 SUBEPITHELIAL CONN. TISSUE GRAFT D4273 $770.00 SUBLIMAZE 0.05MG/ML 2ML AMP J3010 $0.98 SUBMANDIBULAR SPACE 41008 $6,752.59 SUBMAX INTRAORAL 42310 $1,138.76 SUBOXONE 2MG/0.5MG FILM J0572 $12.60 SUBOXONE 2MG/0.5MG FILMTAB J0572 $3.94 SUBOXONE 8MG/2MG FILMTAB J3490 $7.00 SUBQ HORMONE PELLET IMPLNT 11980 $937.35 SUBQ INJ FILLING MAT; 5.1 - 10 11952 $1,281.35 SUBQ INJ FILLING MAT; over 10. 11954 $823.72 SUBTALAR ARTHRO W/EXC 29905 $15,421.60 SUBTALAR ARTHRODESIS 28725 $30,680.34 SUBTALAR MBA IMPLANT 10MM C1713 $1,342.50 SUBTTL HYSTERECTMY; W/WO TUBE/ 58180 $2,103.18 SUC CATH TRAY W/SAL 14 FR $1.98 SUCCINYLCHOLINE CHLORIDE 20MG J0330 $5.06 SUCT CATH 14FR $0.48 SUCT CONNECTING TUBE 72" STRL A4624 $0.83 SUCT IRRIG CYLIND TUBE A4624 $144.00 SUCT PUNCH UPT W/CENTRAL CHNL A4624 $984.38 Suct tip/catheter Whistle 14FR A4624 $0.61 SUCT TUBE 6.3", BARON 7 FRENCH A4624 $79.26 SUCT TUBE 6.3, BARON 9 FRENCH A4624 $46.20 SUCT TUBE BUBB NON-STRL $16.16 SUCTION ASSISTED LIPECTOMY; HE 15876 $7,675.54 SUCTION ASSISTED LIPECTOMY; LO 15879 $7,675.54 SUCTION ASSISTED LIPECTOMY; TR 15877 $7,675.54 SUCTION ASSISTED LIPECTOMY; UP 15878 $4,183.48 SUCTION CATH 8FR 50/CS A4624 $112.50 SUCTION DEVICES/AESCULAP C1713 $49.50 SUCTION LIPECTOMY; UPPER EXTRE 15878 $4,183.48 Suction Tip Frazier 12FR A4624 $112.50 Suction Tip Frazier 8FR A4624 $112.50 SUCTION TUBE 7FR MED ANGLED A4624 $20.93 SUCTION TUBE-BARON, 5" 3FRENCH A4624 $30.75 Suction Tubing A4624 $0.83 SUCTION TUBING STRL FUNNEL CO C1713 $1.80 SUCTTUBE 7FR W/FINGER CUTOFF A4624 $49.50 SUCTTUBFRAZ SEMIRIG STRGHT10FR A4624 $144.00 SUCTTUBFRAZ SEMIRIG STRGHT12FR A4624 $132.75 SUDAFED 30MG TABLET J3490 $0.17 SUDAFED 60 MG TAB $1.06 SUDAN BLACK STAIN 82705 $12.45 SUFENTA 50MCG/ML INJ 1ML AMP $11.84 SUGAMMADEX (Bridion) 200mg/2mL J3490 $186.29 SUGAMMADEX (Bridion) 500mg/5mL J3490 $170.00 SUGAR WATER TEST 85555 $16.43 SUGAR+ACETONE 81002 $7.66 SULFACET/PRED 10-0.2% EYE DROP $34.55 SULFACET/PREDNISOL 0.2% EYE DROP $41.96 SULFACETAMIDE 10% EYE DROP J3490 $20.39 SULFACETAMIDE EYE OINT $18.50 SULFACETAMIDE SODIUM 10% J3490 $128.70 SULFACETMD PREDNISOLONE SOLN 10/0.2% J3490 $128.70 SULFADIAZINE 500MG TABLET U-D $1.63 SULFADIAZINE SUSP IN CHERRY $0.05 SULFAMETHOX/TRIMETH DS TAB J3490 $0.84 SULFAMETHOX/TRIMETHOPR 10ML VI $7.43 SULFAMETHOXAZOLE LEVEL 80299 $41.01 SULFAMETHOXAZOLE/TMP IN S.W. J3490 $1.19 SULFASALAZINE 500MG TAB J3490 $0.18 SULFATIDE AUTOANTIBODY 83520 $37.99 SULFHEMOGLOBIN 83060 $20.22 SULINDAC 150MG TAB $1.15 SULINDAC 200MG TAB $4.36 SUMATRIPTAN 0.5ML/INJ J3030 $187.00 SUMP SUCT NASL GASTR TUBE A4624 $149.51 SUPER ANCHOR QA+ C1713 $402.00 SUPER SHEATH 6FR C1894 $277.50 SUPER SHEATH 9FR C1894 $171.75 SUPER SHEATH INTRODUCER C1894 $171.75 SUPER STIFF GUIDE WIRE 5/BX C1769 $354.00 SUPER STIFF GUIDEWIRE 5/BX C1769 $310.65 SUPER STIFF GW .035/180 PTFE C1769 $354.00 SUPERCRSS MICROCATH 20ANGL TIP C1769 $1,133.00 SUPEREN PLATE MED 6DEGREE STRL C1713 $8,662.50 SUPERIOR VENA CARVOGRAM 75827 $1,625.47 SUPERVS/HANDLING/LOADING RAD S 77790 $141.82 SUPPLEMENTAL ELECTRICAL TEST 92547 $311.74 SUPPLY $126.69 SUPPLY LOW VISION AIDS $321.20 Support Bra XL w/ Velcro $87.71 SUPPORT ELBOW-CATEG 1 $4,041.67 SUPPORT WRIST-CATEG 1 $6,669.20 SUPRACERVICAL ABDOM HYSTRCTOMY 58180 $2,103.18 SUPRASCAPULAR NERVE 64418 $1,611.39 SUPRAX 100MG/5ML SUSP $71.90 SUR CATHWIRE BASK 2.2FR NO TIP C1713 $244.71 SURFACE ARTICULAR-CATEG 1 $156.83 SURG ANEURY; INTRA-ART EMBOLIZ 61710 $4,543.22 SURG ANEURY; INTRACRAN ELECTRO 61708 $5,385.82 SURG BUR 3MM DIA HD RND FLUTEX C1713 $212.09 SURG BUR 6.0MM PRECISION ACORN C1713 $204.75 SURG BUR 6MM DIA HEAD RND DIAM $212.09 SURG BUR 7.5MM PRECISION ACORN C1713 $204.75 SURG BUR DIA HD RND DIAMON C1713 $212.09 SURG BUR DIA HEAD ROUND DIAMON C1713 $212.09 SURG CL TRACHEOST/FISTULA W 31825 $6,752.59 SURG CL TRACHEOST/FISTULA WO 31820 $6,752.59 SURG DX EXAM; ANORECTAL 45990 $6,043.36 SURG EXP IMPCTD TOOTH W/O ORTH D7280 $595.00 SURG EXPOSURE IMPACTED TOOTH ORTHO D7280 $595.00 SURG FR0Z SECT ADDL 88332 $76.88 SURG GRAFT 10X15 RECTANGULAR C1768 $7,291.50 SURG GRAFT 13X15 RECTANGULAR C1768 $7,770.00 Surg isolation of th w/rub dam D3910 $168.00 SURG MESH LRGE 3.2 HERN PATCH C1781 $1,193.70 SURG PATH GROSS EXAM ONLY 88300 $59.25 SURG PATH LEVEL I 88300 $59.25 SURG PATH LEVEL II 88302 $59.25 SURG PATH LEVEL III 88304 $127.53 SURG PATH LEVEL IV 88305 $127.53 SURG PATH LEVEL V 88307 $730.62 SURG PATH LEVEL VI 88309 $1,619.51 Surg place: transosteal implant D6050 $6,950.00 Surg reduc, fibrous tuberosity D7972 $862.00 Surg revision proc, per tooth D4268 $350.00 SURG RND BUR ELITE FLUTED SFT C1713 $212.09 SURG SIMP P FULL DSE BONE CEM C1713 $226.35 SURG SUCT CON TUBE W/MALECLAMP A4624 $121.13 SURG TX ANAL FISTULA; SUBQ 46270 $6,043.36 SURG TX INCOMPL ABORTION 59812 $6,440.19 SURG TX MISSED ABORTION 2ND TR 59821 $6,440.19 SURG.REMOVAL TOOTH D7210 $385.00 SURGGRFT RECTANG HUMAN COLLAG C1768 $2,790.00 SURGGRFT SQUARE HUMAN COLLAG C1768 $3,975.00 Surgic place: eposteal implant D6040 $11,197.00 Surgical discect:w/ w/o implant D7850 $6,357.00 SURGICAL MESH 8X10" OVAL, 1/BX C1781 $2,073.09 SURGICAL RDCTN OF OSSESOUS TUBEROSITY D7485 $1,114.00 SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS D7250 $305.00 Surgical reposition of teeth D7290 $563.00 SURGICAL SIMPLEX BONE CEMENT C1713 $156.83 SURGICAL SPECIMEN MAMMOGRAPHY 76098 $1,241.53 Surgical stent D5982 $725.00 SURGICAL TRAYS A4550 $3,979.50 SURGICEL 2X14" ABSORBABLE HEMOSTAT A5126 $2,290.80 SURGIFLO HEMOSTATIC MATRIX TIP $999.51 SURGILUBE FOILPAC 5GM $0.05 SURGISEAL .35ML SKIN ADHESIVE Q4106 $135.00 SURGISIS ANAL FISTULA PLUG KIT C1763 $1,387.50 SURGISIS ANL FISTULA PLUG KIT C1781 $1,387.50 SURGISIS FISTULA PLUG RECTL C1781 $1,612.50 SURGISIS GOLD HERNIA GRFT 13X22CM G13572 C1781 $9,166.50 SURGISIS GOLD HERNIA REPAIR GRAFT C1781 $1,080.00 SURGISIS GOLD HERNIA REPAIR GRAFT L8670 $1,080.00 SUSTIVA 50MG CAPSULE $3.05 Sut 2-0 Ethilon (Nylon) 30" C1713 $75.74 Sut 2-0 Perma Hand Silk18" Tpr C1713 $135.47 Sut 3-0 Perma Hand Silk ties C1713 $106.65 Sut 3-0 Stratfix Spirl Moncryl $481.14 SUTRE FACIAL NRV; EXTRACRANIAL 64864 $14,202.34 SUTRE MAJ PERIPH NRV; ARM/LEG 64857 $14,202.34 SUTRE PASSER 45DEG UPBEND ANG1 C1713 $190.50 Sutur 3-0Perm Hand Silk Ligapk C1713 $21.27 Sutur 6-0 Perma Hand SlkdblCut C1713 $15.68 Suture - 0 Ethibond CT-1 X424H $67.45 Suture - 0 Ethibond CT-2 CX27D $178.84 Suture - 0 PDS ll CT-2 Z334H $171.82 Suture - 0 Silk CT-2 CR C1713 $142.71 Suture - 0 Silk FSL 678G C1713 $29.13 Suture - 2-0 Polysorb ES-9 7" C1713 $893.16 Suture - 2-0 Prolene SH 8833H $211.84 Suture - 3-0 Chromic Gut 27" C1713 $163.80 Suture - 3-0 PDS ll SH-1 Z311H $135.66 Suture - 4-0 Ethibond V-5 dbl $363.16 Suture - 4-0 Nylon PS-4 18" C1713 $54.72 Suture - 4-0 PDS ll RB-1 Z304H $162.06 Suture - 4-0 Plain RB-1 U207H $197.01 Suture - 4-0 Plain SC-1 1824H $148.27 Suture - 4-0 Plain SC-1 dbl $379.05 Suture - 5 Ethibond LR 36" C1713 $707.63 Suture - 5-0 Vicryl S-14 dbl $15.11 Suture - 5-0 Vicryl S-14 dbl $176.77 Suture - 5mm Mersilene white $332.98 Suture - 6-0 Nylon P-1 697G 18 $265.83 Suture - 7-0 Vicryl Spatula $284.59 Suture - Endoloop PDS ll EZ10G $2,383.19 Suture 0 Perma Hand Silk ties C1713 $35.55 Suture 0 Vicryl + CT2 CR 18" C1713 $185.90 Suture 0 Vicryl Plus 18" C1713 $70.48 Suture 0 Vicryl+ CT-1 27"Tapr C1713 $87.47 Suture 0 Vicryl+ undyed 27" C1713 $88.11 Suture 0Vicryl+ undye 36"taper C1713 $91.17 Suture 1 Ethibond OS-8 30" C1713 $157.52 SUTURE 1 NERVE; MEDIAN MOTOR T 64835 $14,202.34 SUTURE 1 NERVE; ULNAR MOTOR 64836 $14,202.34 SUTURE 1 NERVE;HAND/FOOT COMMO 64834 $14,202.34 Suture 1 Prolene CTX 30" Taper C1713 $103.46 Suture 1 Stratafix Sym PDSPlus C1713 $374.12 Suture 1 Vicryl undyed 18" tap C1713 $194.64 Suture 1-0 Nylon OS-8 18" C1713 $113.37 SUTURE 12"( 30CM) 5-0 WHT 5MM C1713 $270.98 Suture 2-0 Chromic CT-1 27" C1713 $102.08 Suture 2-0 Ethibond 30"Tapr C1713 $104.84 Suture 2-0 FiberWire T-13 C1713 $33.00 Suture 2-0 Nurolon 18" 8 stran C1713 $181.43 Suture 2-0 Nurolon 18" 8strand C1713 $237.40 Suture 2-0 Perm Hand Silk 18" C1713 $159.10 Suture 2-0 Perm Hand SIlk Tapr C1713 $171.56 Suture 2-0 Perma Hand Silk 18" C1713 $186.29 Suture 2-0 Perma Hand Silk 30" C1713 $73.36 Suture 2-0 Perma Hand Silk FS C1713 $84.14 Suture 2-0 Perma Hand Silk tie C1713 $106.65 Suture 2-0 Perma Hand Silk V7 C1713 $134.26 Suture 2-0 Vicryl OS-6 undyed C1713 $150.00 Suture 2-0 Vicryl Plus CR C1713 $195.03 Suture 2-0 Vicryl Plus SH 27" C1713 $86.24 Suture 2-0 Vicryl Plus18" Anti C1713 $70.46 Suture 2-0 VicrylPlus 18" Tapr C1713 $188.12 Suture 2-0 VLOC 18"Taper C1713 $570.06 Suture 2-0Ethibond SH dbl 36" C1713 $216.05 Suture 2-0Vicryl+ 18" 8 stran C1713 $188.30 Suture 2FibrLoop strght needle C1713 $75.00 Suture 2mm FiberLink AR-7235 C1713 $82.50 Suture 3-0 Chrom Gut 27" C1713 $165.24 Suture 3-0 FiberWire T-43 18" C1713 $33.00 Suture 3-0 Monocryl PS-1 27" C1713 $225.00 Suture 3-0 Monocryl RB1 27" C1713 $105.29 Suture 3-0 Monocryl RB1 undyed C1713 $105.29 Suture 3-0 Nurolon 18" 8 strnd C1713 $186.19 Suture 3-0 Nurolon CP2 CR 18" C1713 $253.34 Suture 3-0 Nylon 30" C1713 $76.01 Suture 3-0 Nylon PS-2 18" C1713 $164.98 Suture 3-0 Prolene 18" Cutting C1713 $203.45 Suture 3-0 Prolene PS-1 18" C1713 $67.82 Suture 3-0 Prolene SH dbl 36" C1713 $232.29 Suture 3-0 Vicryl Plus 18" C1713 $67.77 Suture 3-0 Vicryl Plus undyed C1713 $94.05 Suture 3-0 Vicryl+ SH 27"Tapr C1713 $86.46 Suture 3-0Vicryl+ 18" Taper C1713 $192.38 Suture 4-0 ChromicGut PS-2 18" C1713 $108.32 Suture 4-0 FiberWire T-12 18" C1713 $33.00 Suture 4-0 Monocryl 27" Taper C1713 $97.20 Suture 4-0 Nurolon 18" 8 strnd C1713 $186.19 Suture 4-0 Perma Hand Silk tie C1713 $105.08 Suture 4-0 Vicrl LigapkReel54" C1713 $31.04 Suture 4-0 Vicryl+ 18" Taper C1713 $219.45 Suture 4-0 Vicryl+ 27" Taper C1713 $107.78 Suture 4-0 Vicryl+ Ligapak 54" C1713 $33.30 Suture 4-0Nurolon RB-1CR 18" C1713 $236.18 Suture 5-0 ChromicGut PS-3 18" C1713 $100.50 Suture 5-0 Monocryl undyed 27" C1713 $117.98 Suture 5-0 Nylon P-3 698H 18" C1713 $165.56 Suture 5-0 Nylon RD-1 749G 18" C1713 $148.64 Suture 5-0 Nylon S-24 18" C1713 $152.99 Suture 5-0 PDS+ 18" Cutting C1713 $78.89 Suture 5-0 Prolene C-1 36" Tap C1713 $444.96 Suture 5-0 Prolene C-1 dbl 18" C1713 $427.82 Suture 5-0 Prolene dbl 24" Tap C1713 $240.52 Suture 5-0 Prolene RB2 dbl 30" C1713 $239.00 Suture 5-0 Vicryl Plus undyed $106.96 Suture 5-0 Vicryl RB-1 J303H $79.89 Suture 5-0Prolene RB-1 30" C1713 $130.28 Suture 6-0 Prolene C-1 30" Tap C1713 $449.49 Suture 6-0Prolene RB-2 dbl 30" C1713 $239.00 Suture 6-0Vicryl S-14 8" C1713 $176.78 Suture 7-0 Prolene BV1 dbl 18" C1713 $561.47 Suture 7-0 Prolene dbl 24"Tapr C1713 $1,276.70 Suture 8-0 Vicryl dbl 12" C1713 $293.34 SUTURE ANCHOR 6.5MM FP PK C1713 $527.81 SUTURE ANCHOR PUSHLOCK C1713 $540.00 SUTURE DIG NRV;HND/FT;EA ADDL 64832 $732.36 SUTURE DIGITAL NRV HND/FT I NR 64831 $4,432.54 SUTURE ENDOPOUCH-CATEG 1 $4,083.33 SUTURE ENDOPOUCH-CATEG 2 $920.00 SUTURE LIGA ANKLE; COLLATERAL 27695 $15,421.60 Suture Mander System TFCC C1713 $226.31 SUTURE NYLON-CATEG 1 $73.32 SUTURE OF URETHRAL WOUND; FEMA 53502 $7,781.86 Suture Passer AccPass 45 deg $190.50 SUTURE QUA/HAMSTRING MSCL RUPT 27385 $15,421.60 SUTURE RECENT WOUND LID; FULL 67935 $4,989.01 SUTURE RECENT WOUND LID; PART 67930 $4,989.01 SUTURE REMOVAL D7999 $50.00 SUTURE REMVL TRAY $0.67 SUTURE SM INT;ULCER/WND/INJRY; 44602 $3,066.40 Suture SutreLas Tight curve lt C1713 $210.00 Suture SutreLas tight curve rt C1713 $210.00 Suture SutreLass SD 90curv lft C1713 $210.00 Suture SutreLass SD 90curv rt C1713 $210.00 Suture SutureLasso SD 90░ up C1713 $210.00 SUTURE TRACH WND/INJRY; INTRA 31805 $1,758.61 SUTURE VICRYL-CATEG 1 $810.42 SUTURE VICRYL-CATEG 2 $307.85 SUTURE WOUND > 5CM D7912 $700.00 SUTURE WOUND EYELID FULL THICK 67935 $4,989.56 SUTURE WOUND UP TO 5CM D7910 $315.00 SUTURE, ETHILON, MONO, BLK C1713 $152.99 SUTURE;2NDARY;ABD WALL EVISC/D 49900 $1,775.07 Suture2-0 Strata Spirl 12"Tapr C1713 $384.06 Suture5 FibrWire conv cutt ndl C1713 $60.00 SUTURE-CATEG 1 $495.26 SUTUREFIX 1.7 C1713 $505.74 SUTUREFIX 1.7 ANCHOR C1713 $742.50 SUTUREFIX 1.9 DRILL BIT C1713 $472.50 SUTURE-LENS-CATEG 1 $687.50 SUTURETAK 2.4 PEEK; 5/BX C1713 $412.50 SUTURETAK 2.4MM C1713 $937.50 SUTURETAK 3.0 C1713 $1,095.00 SUTURETAK 3.0 DBLE LOADED PEEK C1713 $360.00 SUTURETAK 3.0 DISP KIT C1713 $240.00 SUTURETAK 3.0 DISPOSABLES KIT C1713 $240.00 SUTURETAK GUIDE 2.4MM C1769 $333.00 SUTURETAPE 1.3MMW/TAIL 12BX EA C1713 $52.50 SUTURING FORCE-CATEG 1 $475.00 SWAN-GANZ (BIPOLAR PACING WIRE) $280.39 SWEAT CHLORIDE 89230 $127.53 SWIVELCK ANCHR 4.75 BIO COMP C1725 $705.00 SXL SILVERHAWK¢ PERIPHERAL CATHETER C1714 $5,992.50 SYMBICORT 160/4.5MCG 6GM J3535 $153.80 SYMBICORT 80/4.5MCG 6GM J3535 $133.34 SYMETRY BALLOON CATH 2X4X90 C1725 $520.50 SYMETRY BALLOON CATH 4X10X90 C1725 $520.50 SYMMETRY 2x10x90 C1725 $520.50 SYMMETRY 3x4x135 C1725 $546.00 SYMMETRY 4x4x153 C1725 $546.00 SYMMETRY 5x4x135 C1725 $546.00 SYMMETRY 6FR C1725 $1,027.50 SYMMETRY BALLOON CATH 3X10X90 C1727 $570.00 SYMMETRY SM VES BALL CATHR 2X10X135/ C1725 $546.00 SYMMETRY W/ SHAFT 1.5X10X135 C1725 $546.00 SYMMTRY VES BAL CATH 4FR 90x4x4 C1725 $520.50 SYMPHONY 10X40 STENT $3,150.00 SYMPHONY RO BILIARY 8-60/7/75 C1729 $1,818.00 SYMPHONY STENT 10MM X 40CM 75 $1,818.00 SYMPHONY STNT 8MMx44CM,7FR C1876 $1,818.00 SYMPHONY STNT 8MMx60CM,7FR C1876 $1,818.00 SYMTRY SM VES BALL CATH 3X10X135/6FR C1725 $546.00 SYMTRY SM VES BALL CATH 4X10X135/7FR C1725 $546.00 SYMTRY SM VESSEL BALL CATH 2X4X90/6FR C1725 $588.00 SYMTRY VES BALLOON CATH 90CM 3.0X4 C1725 $607.50 Symtuza $139.28 SYN MESH 12MM C1781 $4,306.50 SYN MESH 12MM X 5MM DIAMETER C1781 $2,071.50 SYNCHROMED II PUMP C1772 $16,800.00 SYNECHROLYSIS 65865 $5,212.42 SYNERCID J2770 $94.19 SYNERGY 17H C1776 $5,852.25 SYNERGY IPG C1820 $5,852.25 SYNERGY POROUS SIZE 12 C1776 $5,852.25 SYNEX IMPLANT C1713 $10,666.50 SYNGERY HIGH OFF. STEM C1776 $8,778.38 SYNOVATOR BLADE 4.5 5/BX EP-1 C1713 $491.40 SYNOVECTMY PIP JNT;EA IP JNT 26140 $3,494.24 Synovectomy D7854 $7,511.00 SYNOVECTOMY CMC JOINT 26130 $7,057.23 SYNOVECTOMY MCP JNT;EA DIGIT 26135 $7,057.23 SYNOVECTOMY WRIST JOINT 25105 $7,057.23 SYNOVECTOY TENDON SHTH RADICAL 26145 $3,494.24 SYNOVIAL BIOPSY;IP JOINT 26110 $3,494.24 SYNOVIAL BX TARSAL JOINT 28050 $7,057.23 SYNOVIAL MTP JOINT BX 28052 $7,057.23 SYNRGY - POROUS HIP PLUS HA STEM C1776 $6,142.50 SYNRGY POROUS-COATED STM; SZ-16 C1776 $5,535.00 SYNTHES ORTHO IMPLANT SUPPLIES C1713 $307.50 SYNTHES REAMER ATTACHMENT $675.68 Synthetic graft-mand/facial,B/R D7995 $4,550.00 SYNTHETIC SENTENCE TEST 92576 $86.20 SYNTHROID 0.05MG TAB J3490 $0.48 SYNTHROID 0.1MG UD TAB J3490 $0.53 SYNTHROID 112MG TAB $0.40 SYNTHROID 200MCG INJ VIAL $35.97 SYNVISC J7325 $25.72 SYPHILIS QUANT 86593 $10.76 SYPHILLIS SCREEN 86592 $10.45 SYRINGE INFLATION-CATEG 1 $2,375.00 SYST BP >=140 MM HG 3077F $0.10 SYST BP GE 130 - 139MM HG 3075F $0.10 SYST BP LT 130 MM HG 3074F $0.10 SYSTEM CLOSED DRAIN-CATEG 1 $1,979.55 SYSTEM DELIV-CATEG 1 $4,125.00 SYSTEM SLING-CATEG 1 C1771 $3,747.58 SYSTEM SUCTION-CATEG 2 $807.08 SYSTEM TISSUE RETRIEVING-CATEG 1 $977.60 SYSTEM VENA CAVA DUAL FILTER-CATEG 1 C1880 $1,375.00 T CELL SUBSET 86360 $114.84 T CELL SUBSET 86360 $114.84 T CELL SUBSET ABS CD4-CD8 CNT- 86360 $114.84 T CELL SUBSET. 88189 $207.45 T CELLS; ABSOL CD4 AND CD8 86360 $114.84 T CELLS; ABSOLUTE CD4 COUNT 86361 $65.45 T CELLS; TOT CT 86359 $92.22 T CELLS; TOTAL COUNT 86359 $92.22 T PLATE C1713 $645.46 T WRENCH FIXATOR-CATEG 1 $683.34 T&A; AGE 12 OR OVER 42821 $6,752.59 T&A; UNDER AGE 12 42820 $12,504.78 T&B CELL EVAL-FLOW CYTOMETRY 88189 $207.45 T-3 (REVERSE) 84482 $38.52 T-3 FREE 84481 $41.40 T3 THYROXINE; FREE 84439 $22.04 T3 TRIIODOTHYRONINE T3; TOTAL 84480 $34.65 T3 UPTAKE 84479 $15.80 TAB VENT TUBE TITANIUM.76ID A4624 $54.90 TACROLIMUS 80197 $33.57 TACROLIMUS (PROGRAF) 1MG TAB J7507 $5.52 TACROLIMUS 0.1% OINT $3.29 TACROLIMUS ANDYR 1MG (PROGRAF) J7507 $3.36 TACROLIMUS ANDYR 5MG (PROGRAF) J7507 $20.49 TACROLIMUS ANHY 0.5MG CAP PO $2.69 TACROLIMUS ORAL PER 1 MG J7507 $9.81 TADALAFIL 20MG TABLET $83.56 TAGAMET 300MG/2ML INJ 2ML $2.20 TAMIFLU 45MG J3490 $8.88 TAMOXIFEN 20MG TAB $100.00 TAMOXIFEN CITR 10MG TAB $2.32 TAMSULOSIN (FLOMAX) 0.4MG CAP J3490 $2.73 TANGNTL BX SKIN EA SEP/ADDL 11103 $49.32 TANGNTL BX SKIN SINGLE LES 11102 $450.45 TAP BLOCK BI INJECTION 64488 $153.97 TAP SCREW C1713 $500.94 TAP SCREW 4.5 C1713 $500.94 TAP/DRIVER/AWL/TUNNELER $565.29 TAPE OBTURATOR-CATEG 1 $2,464.77 TAPE TEST (PINWORM) 87177 $21.76 TAPER BONE SCREW 6.0x5.0; 130/30 C1713 $280.50 TAPER SCRW VENT IMPLNT 4.7X16 C1713 $374.85 TAPER SCRW VENT IMPLNT SBM4.7 C1713 $383.25 TAPER STEM PLUG C1776 $1,342.50 TAPERD SCREW VENT IMPL SBM 3.7MM C1713 $330.03 TAPERED SCREW VENT 3.7MMx10 C1713 $330.03 TAPERED SCREW VENT 3.7MMx16 C1713 $330.03 TAPERED SCREW VENT 4.7MMx10 C1713 $383.25 TAPERED SCREW VENT 4.7MMx13MM C1713 $374.85 TAPERED SCREW VENT IMPLANT SBM C1713 $330.03 TARCEVA 150MG TAB $186.07 TATTOOING; 6.0SQ CM OR LESS 11920 $1,281.35 TAXOTERE 80MG/2ML INJ 2ML VIAL J9171 $46.28 TB AG RESPONSE T-CELL SUSP 86481 $220.00 TB TEST CELL IMMUN MEASURE 86480 $151.51 TC 99M EXAMETAZINE / DOSE <=25 A9521 $877.67 TC 99M MAA / PER MCI A9540 $33.28 TC 99M RADPHRM DX DEPREOTIDE A9536 $1,107.88 TC 99M RADPHRM DX DISOFENIN/VI A9510 $149.88 TC 99M RADPHRM DX MEBROFENIN/< A9537 $61.15 TC 99M RADPHRM DX MEDRONATE / A9503 $33.28 TC 99M RADPHRM DX PENTETATE /< A9539 $62.95 TC 99M RADPHRM DX PERTECHN/PER A9512 $1.72 TC 99M RADPHRM DX PERTECHNETAT A9512 $1.72 TC 99M RADPHRM DX SESTAMIBI / A9500 $118.70 TC 99M RADPHRM DX SESTAMIBI / A9500 $118.70 TC 99M RADPHRM PYROPHOSPHATE / A9538 $149.88 TC-99 SUCCIMER (DMSA) UD <= 10 A9551 $191.95 TC-99M CERETEC WBC LABELING A9569 $950.47 TC-99M CHOLETEC UD <=15 MCI A9537 $61.15 TC-99M DTPA AEROSOL VENT STUDY A9567 $62.95 TC-99M MACROAGGREGATED ALBU 1U A9540 $33.28 TC-99M MACROAGGREGATED ALBUMIN A9540 $33.28 TC-99M PENETETATE (DTPA) UD <= A9567 $62.95 TC-99M PYROPHOSPHATE (PYP) UD A9538 $22.86 TC-99M RADPHRM DX LABELED RBC A9560 $188.84 TC-99M RADPHRM DX MERTIATIDE < A9562 $494.59 TC-99M RADPHRM DX OXIDRONATE / MCI $33.00 TC99M RADPM DX SULFUR COLLOID/ A9541 $68.34 TC-99M SULFUR COLLOID UD <= 20 A9541 $68.34 TCD EMBOLI DETECT W INJ 93893 $288.95 TCD EMBOLI DETECT W/O INJ 93892 $288.95 TCD VASOREACTIVITY STUDY 93890 $600.78 TCM W/IN 14 DAYS OF DISCHARGE 99495 $316.65 TCM W/IN 7 DAYS OF DISCHARGE 99496 $346.62 TD PRESERVATIVE FREE 7YR OR OL 90714 $68.68 Tdap VACCINE LESS THAN 7 YRS, IM 90715 $52.10 TDS Tubing Kit $297.90 TE FISTULA W INS SPEECH PROSTH 31611 $6,752.59 TECH QUICK EVAL BX 88172 $369.93 TECHNESCAN PYP KIT <=25 MCI A9538 $56.66 TEE FOR MONITORING 93318 $1,241.53 TEGRETOL 100MG TAB J3490 $0.47 TEGRETOL 100MG/5ML SUSP J3490 $0.09 TEL 11-20M SELF CARE TRAINING 97535 $74.40 TEL 11-20M SELF CARE TRAINING 97535 $74.40 TEL 21-30M SELF CARE TRAINING 97535 $74.40 TEL 21-30M SELF CARE TRAINING 97535 $74.40 TEL 5-10M SELF CARE TRAIN 97535 $74.40 TEL 5-10M SELF CARE TRAIN 97535 $74.40 Tel cris Follup Unlic ert Pr15 H2011 $20.62 Tel crisis Foll-up Lic per 15m H2011 $50.40 Tel crisis resp Lic 90min p15m H2011 $56.70 Tel crisis resp Lic 90min-3hrs S9485 $510.30 Tel crisis resp Unlic to 90min H2011 $34.02 Tel crisis resp Unlic90m-3hp15 S9485 $306.18 TELE 11-20 FAM PSYCH W/PT PRES 90847 $316.00 TELE 11-20 FAMPSYCH WO PT PRES 90846 $316.00 TELE 11-20 INIT SW VISIT PER15 96150 $300.00 TELE 11-20 INTERVENT INDIV 15M 96152 $300.00 TELE 11-20 PSYCH DIAGEVALW/MED 90792 $316.00 TELE 11-20 PSYCH DIAGNOST EVAL 90791 $316.00 TELE 11-20 PSYCHOTH 30M ADDON 90833 $316.00 TELE 11-20 PSYCHOTH 45M ADDON 90836 $316.00 TELE 11-20 REASSESS PER 15 MIN 96151 $300.00 TELE 11-20EVAL SPCHSND/LNG COM 92523 $423.52 TELE 11-20M BEHAV/QA ANLYS VOI 92524 $196.86 TELE 11-20M NEURO RE-ED 8-22M 97112 $76.85 TELE 11-20M OT EVAL HI COMP 45 97167 $197.25 TELE 11-20M OT EVAL MOD COM 30 97166 $197.25 TELE 11-20M OT REEVAL EST PLAN 97168 $136.44 TELE 11-20M PT EVAL HI COMP45M 97163 $186.67 TELE 11-20M PT EVAL LO COMP20M 97161 $186.67 TELE 11-20M PT EVAL MOD 30M 97162 $186.67 TELE 11-20M PT REEVAL EST PLAN 97164 $128.13 TELE 11-20M SELF CARE TRAINING 97535 $74.40 TELE 11-20M SPEECH EVAL COMPLE 92611 $200.62 TELE 11-20M SPEECH/HEAR THER I 92507 $173.40 TELE 11-20M THER1/>AREA/15M BA 97112 $76.85 TELE 11-20M THER1/>AREA/15M GA 97116 $66.09 TELE 11-20M THER1/>AREA15M EXE 97110 $66.86 TELE 11-20M THERAP ACTIV 8-22M 97530 $85.71 TELE 11-20M THERAP EXER 8-22M 97110 $66.86 TELE 11-20M TX DIR PT CNTC-1U 97530 $85.71 TELE 11-30M TX ACTV DIR CNT-1U 97530 $85.71 TELE 21-30 INIT SW VIST PER 15 96150 $300.00 TELE 21-30 INTER INDIV 15MINS 96152 $300.00 TELE 21-30 PSYCH 30M ADD-ON 90833 $316.00 TELE 21-30 PSYCH DIAG EVAL 90791 $316.00 TELE 21-30 PSYCH DIAGEVALW/MED 90792 $316.00 TELE 21-30 PSYCHO 45M ADD-ON 90836 $316.00 TELE 21-30 REASSESS PER 15 MIN 96151 $300.00 TELE 21-30 SPEECH EVAL COMPLEX 92611 $200.62 TELE 21-30EVAL SPCHSND/LNG CMP 92523 $423.52 TELE 21-30FAM PSYCHO WOPT PRES 90846 $316.00 TELE 21-30FAM PSYCHT W/PT PRES 90847 $316.00 TELE 21-30M BEHAV/QA ANL VOICE 92524 $196.86 TELE 21-30M NEUROMUS REED 8-22 97112 $76.85 TELE 21-30M OT EVAL MOD COM 30 97166 $197.25 TELE 21-30M OT REEVAL EST PLAN 97168 $136.44 TELE 21-30M PT EVAL HI COM 45M 97163 $186.67 TELE 21-30M PT EVAL LO COM 20M 97161 $186.67 TELE 21-30M PT EVAL MOD COM30M 97162 $186.67 TELE 21-30M PT REEVAL EST PLAN 97164 $128.13 TELE 21-30M SELF CARE TRAINING 97535 $74.40 TELE 21-30M SPEECH/HEAR THER I 92507 $173.40 TELE 21-30M THER1/>AREA/15M EX 97110 $66.86 TELE 21-30M THER1/>AREA/15M GA 97116 $66.09 TELE 21-30M THER1/>AREA/15MBAL 97112 $76.85 TELE 21-30M THERAP ACTIV 8-22M 97530 $85.71 TELE 21-30M THERAP EXER 8-22M 97110 $66.86 TELE 21-31M OT EVAL HI COM 45M 97167 $197.25 TELE 5-10 EVAL SPCH SOUND/LANG 92523 $423.52 TELE 5-10 FAM PSYCH WO PT PRES 90846 $316.00 TELE 5-10 INIT SW VISIT PER15M 96150 $300.00 TELE 5-10 NTERVENT INDIV 15MIN 96152 $300.00 TELE 5-10 PSYCH DIAGNOSTC EVAL 90791 $316.00 TELE 5-10 PSYCHOTH 30M ADD-ON 90833 $316.00 TELE 5-10 PSYCHOTH 45M ADD-ON 90836 $316.00 TELE 5-10 REASSESS PER 15MIN 96151 $300.00 TELE 5-10FAMPSYCHTHRPYW/PTPRES 90847 $316.00 TELE 5-10M BEHAV/QA ANLY VOICE 92524 $196.86 TELE 5-10M OT EVAL HI COMP 45M 97167 $197.25 TELE 5-10M OT EVAL MOD COM 30M 97166 $197.25 TELE 5-10M OT RE-EVAL EST PLAN 97168 $136.44 TELE 5-10M PT EVAL HI COMP 45M 97163 $186.67 TELE 5-10M PT EVAL LOW COM 20M 97161 $186.67 TELE 5-10M PT EVAL MOD COM 30M 97162 $186.67 TELE 5-10M PT RE-EVAL EST PLAN 97164 $128.13 TELE 5-10M SPEECH EVAL COMPLEX 92611 $200.62 TELE 5-10M SPEECH/HEAR THER IN 92507 $173.40 TELE 5-10M THER1/>AREA/15M BAL 97112 $76.85 TELE 5-10M THER1/>AREAS/15M GA 97116 $66.09 TELE 5-10M THERAP ACTIVI 8-22M 97530 $85.71 TELE 5-10M THERAP EXER 8-22M 97110 $66.86 TELE 5-10M TX ACTV DIRPTCNT-1U 97530 $85.71 TELE 5-10PSYCH DIAG EVAL W/MED 90792 $316.00 TELEDENTISTRY REAL-TIME D9995 $182.00 TELEHEALTH FACILITY FEE Q3014 $56.67 TELEHEALTH FACILITY-FEE Q3014 $56.67 TELEHEALTH FEE - FACILITY Q3014 $56.67 TELEHEALTH FEE-FACILITY Q3014 $56.67 TELEPH 5-10M NEUROM RE-ED 8-22 97112 $76.85 TELEPH 5-10M SELF CARE TRAIN 97535 $74.40 TELEPH 5-10M THER1/>AREA/15MEX 97110 $66.86 TELMISARTAN 80MG TAB $2.06 TEMAZEPAM 30MG CAP $0.84 TEMOZOLMIDE, ORAL 5MG J8700 $27.54 TEMOZOLOMIDE 140MG PO (ONCOLOG J8700 $294.41 TEMP CLOSURE EYELID BY SUTURE 67875 $2,080.39 TEMP TRANSC PACING 92953 $1,383.01 TEMPORARY CLO EYELIDS BY SUTUR 67875 $2,080.39 TEMPORARY PACEMAKER DUAL CHAMB 33211 $19,700.89 TEMPORARY TRANSCUTANEOUS PACIN 92953 $1,383.01 TEMPOROMANDIBULAR JOINT BILATE 70330 $205.74 TEMPOROMANDIBULAR JOINT UNILAT 70328 $205.74 TEMPOROMANDIBULAR JOINTS MRI 70336 $600.78 TEMSIROLIMUS 25MG VIAL J9330 $3,425.18 TENDODESIS BICEPS TENDON AT EL 24340 $15,421.60 TENDON GRFT FROM DISTANCE 20924 $15,421.60 TENDON PULLE RECONSTR/W GRAFT 26502 $7,057.23 TENDON PULLEY RECONSTRUCTION 26500 $15,421.60 TENDON SHEATH INCISION 26055 $3,494.24 TENDON SHEATH INCS 26055 $3,494.24 TENECTEPLASE (TNKASE) 50MG KIT J3101 $3,810.79 TENECTEPLASE 50 MG/VIAL J3101 $15,939.62 TENODESIS LONG TENDON BICEPS 23430 $15,421.60 TENODESIS SCREW BIOCOMPOSITE C1713 $879.00 TENODESIS SCREW BIOCOMPOSITE C1713 $879.00 TENODESIS SCRW 7X19.1MM STER C1713 $612.00 TENOFOVIR 300MG RESRCH TB PACT J3490 $0.99 TENOFOVIR 40MG/SCOOP ORAL POWD J3490 $7.00 TENOFOVIR DISOPR. 300MG TAB $20.08 TENOLYSIS FL/EX TEND FA/W EA T 25295 $7,057.23 TENOLYSIS FLXOR TNDN; PALM/FIN 26442 $7,057.23 TENONS CAPSULE INJECTION 67515 $697.33 TENORMIN 0.5MG/ML-10ML $2.60 TENOTMY OP TNDN FLEXR; TOE SI 28232 $3,494.24 TENOTOMY HIP FLEXOR(S) OPEN 27005 $1,569.77 TENOTOMY SHLDR AREA; SING TEN 23405 $15,421.60 TENSILON TEST MYASTHENIA GRAVI 95857 $652.50 Tension Ring Mor Cap 3 $268.50 TERBINAFINE 250MG TABLET $16.37 TERBINAFINE CREAM 1% (LAMISIL) $11.50 TERBUTALINE SULF 2.5MG TAB $0.57 TERIDENT PSL ACETABULAR SHELL 50MM E CUP C1776 $1,200.00 TERSION BAND 2.0 L8699 $291.00 TESTICULAR IMAGING & FLOW 78761 $949.04 TESTOSRERONE; FREE 84402 $62.26 TESTOSTERONE 5MG/HR PATCH $6.70 TESTOSTERONE CYPIONATE 1MG J1071 $0.01 TESTOSTERONE FREE 84402 $62.26 TESTOSTERONE GEL PAK 1% $3.85 TESTOSTERONE PATCH 2.5 MG (SCC) $10.25 TESTOSTERONE TOTAL 84403 $63.10 TESTOSTERONE; TOTAL 84403 $63.10 TETAN,DIPHTHERIA TOX PED< 7YR $0.01 TETANUS AB 86774 $36.17 TETANUS DIPTHERIA PED 0.5ML 90389 $25.89 TETANUS IMMUNE GLOB 250 UNIT I $113.91 TETANUS IMMUNE GLOBULIN 90389 $1,096.57 TETANUS TOXOID TUBEX 0.5ML SYR $5.17 TETANUS TOXOID/REDUCED DIPHTH 90715 $158.74 TETANUS, DIPHTHERIA(TD) ADULT 90714 $0.01 TETANUSDIPHTHER TOXOID ADULT 90715 $8.67 TETRACAINE 0.5%EYE DROPS 2ML J3490 $3.93 TETRACAINE HCL 0.5%/15ML EYE DROPS $23.10 TETRACYCLINE 250MG CAP $0.10 TETRACYCLINE 3% TOPICAL OINT $0.37 TETRACYCLINE INJ TO 250MG J0120 $6.18 TFCC FAST-FIX KIT C1713 $862.50 THALLIUM 82190 $36.43 THAM SOL 500 #1593-04 6/CS $212.07 THAW & EXPAND FROZEN CELLS EA 88241 $26.60 THAWFROZENPLASMA 86927 $369.93 THEOPHYLLIN ANHY 600MG PO $1.71 THEOPHYLLINE 80198 $34.56 THEOPHYLLINE 200MG GYROCAP $5.63 THEOPHYLLINE ANHY 200MG TAB $0.72 THEOPHYLLINE ANHYD 100MG TAB $0.18 THEOPHYLLINE ANHYD 300MG TAB $0.32 THEOPHYLLINE ANHYDROUS 100 MG ER/24HR $25.00 THEOPHYLLINE ANHYDROUS 200 MG ER/24HR $25.00 THER DIAG CONCURRENT INF 96368 $25.66 THER IVNTJ W/FOCUS COG FUNCJ 97127 $71.60 THER SP PUNCT FOR DRAIN 62272 $1,611.39 THER/DIAG CONCURRENT INF 96368 $25.66 THER/PROPH/DG IV INF ADD-ON 96366 $106.73 THER/PROPH/DIAG INJ IA 96373 $550.84 THER/PROPH/DIAG INJ SC/IM 96372 $167.76 THER/PROPH/DIAG IV INF ADDON 96366 $106.73 THER/PROPH/DIAG IV INF INIT 96365 $550.84 THERAP 1/> AREA/15 MIN; BALNC 97112 $76.85 THERAP 1/> AREA/15 MIN; BALNC/ 97112 $76.85 THERAP 1/> AREAS/15 MIN; AQUAT 97113 $84.35 THERAP 1/> AREAS/15 MIN; EXER 97110 $66.86 THERAP 1/> AREAS/15 MIN; EXERC 97110 $66.86 THERAP 1/> AREAS/15 MIN; GAIT 97116 $66.09 THERAP 1/> AREAS/15 MIN; GAIT 97116 $66.09 THERAP 1/>AREA;BLNC/COORD/FLX 97112 $76.85 THERAP 1/>AREAS/;EXERCISE-15MN 97110 $66.86 THERAP 1/>AREAS/;GAIT TRNG-15 97116 $66.09 THERAP 1/>AREAS/;UNLISTED PROC 97139 $148.24 THERAP FX;NASAL INF TURBINATE 30930 $6,752.59 THERAP GASTRIC INTUB W ASP 43753 $652.50 THERAP PROC 1/> AREAS EA 15 MI 97124 $63.71 THERAP PROC(S)-GROUP 97150 $40.08 THERAP RAD PORT FILM 77417 $47.52 THERAP RAD SIMULAT-AID FLD; CO 77290 $864.05 THERAP RAD SIMULAT-AID FLD; IN 77285 $864.05 THERAP/PROPHYLACTIC DX INJ SC/ 96372 $167.76 THERAP/PROPHYLACTIC/DX INJ; SU 96372 $167.76 THERAPEUTIC ACTIVITIE 8-22MIN 97530 $85.71 THERAPEUTIC ACTIVITIES 8-22MIN 97530 $85.71 THERAPEUTIC APHERESIS 36514 $3,412.31 THERAPEUTIC DRUG INJECTION BY REPORT D9610 $140.00 THERAPEUTIC EXERCISE 38-52MIN 97110 $66.86 THERAPEUTIC EXERCISE 53-68 MIN 97110 $66.86 THERAPEUTIC EXERCISE 8-22 MIN 97110 $66.86 THERAPEUTIC EXERCISE 8-22 MIN 97110 $66.86 THERAPEUTIC EXERCISES 23-37MIN 97110 $66.86 THERAPY PUTTY BLUE, 5LB C1713 $69.27 THERMAL ENDOMETRIAL TUM ALBATI 58353 $11,012.14 THERP PROC 1/> AREAS;MASSAGE 97124 $63.71 THIABENDAZOLE 500MG CHEW TAB $2.77 Thiamine 100mg/ 100mL (batch) J3420 $40.00 THIAMINE LEVEL 84425 $51.90 THIOCYANATE 84430 $28.45 THIORIDAZINE 10MG TAB $0.19 THIORIDAZINE 200MG TAB $0.93 THIORIDAZINE 25MG TAB $0.53 THIORIDAZINE HCL 100MG TAB $0.72 THIORTHIXENE 10MG CAP $0.90 THIORTHIXENE 2MG CAP $0.40 THIORTHIXENE 5MG CAP $0.65 THIOTEPA, 15MG J9340 $2,376.00 THIOTHIXENE HCL $77.77 THIOTHIXINE 5MG/ML ORAL LIQ $0.45 THOMPSON RETRACT INSTRUMNT SET $472.50 THORACENTSIS TRAY C1729 $37.56 THORACIC 18FR $8.00 THORACIC 20FR $8.00 THORACIC 24FR $8.70 THORACIC 28FR $9.75 THORACIC 32FR $9.75 THORACIC 32FR 10/BX C1887 $10.52 THORACIC 36FR $9.75 THORACIC 40FR $9.91 THORACIC CATHETER STERILE 24FR C1887 $117.68 THORACIC GAS VOLUM 94727 $356.66 THORACIC GAS VOLUME 94727 $356.66 THORACIC SPINE AP / LAT 2 VIEW 72070 $288.95 THORACIC SPINE COMPLETE 4+ VIE 72074 $288.95 THORACIC SPINE CT WITH CONTRA 72129 $469.77 THORACIC SPINE CT WITH/WITHOU 72130 $469.77 THORACIC SPINE CT WITHOUT CONT 72128 $288.95 THORACIC SPINE MRI W&W/O CONT 72157 $984.43 THORACIC SPINE MRI WITH CONTR 72147 $984.43 THORACIC SPINE MRI WITHOUT CO 72146 $600.78 THORACOLUMBAR 2 VIEWS 72080 $205.74 THORACOSCOPY W/BX INFILTRATE 32607 $12,461.42 THORACOTOMY; W CNTRL/REP LUNG 32110 $3,166.00 THORAZINE 80299 $41.01 THORAZINE 25MG/ML 2ML INJ J3230 $4.68 THORAZINE 30MG/ML LIQ 120ML $0.10 THROAT NOSE CULTURE 87070 $21.05 THROAT/NOSE CULTURE 87070 $21.05 THROMB ART/VEN TX;W CESS/CATH 37214 $4,205.10 THROMBECTOMY ART/VENOUS GFT; 35875 $11,849.09 THROMBECTOMY CATHETER C1757 $332.70 THROMBECTOMY DIRECT OR WITH C 34451 $3,098.33 THROMBECTOMY;AXIL&SCLV V ARM 34490 $7,144.43 THROMBIN 5000 UNITS TOPICAL $189.46 THROMBIN TIME 85670 $14.10 THROMBIN TIME; PLASMA 85670 $14.10 THROMBOLYSIS ART/VEN TX;W F/U 37213 $4,205.10 THROMBOLYSIS ATERIAL THERAPY 37211 $11,849.09 THROMBOLYSIS CEREBRAL BY IV IN 37195 $798.14 THROMBOLYSIS VENOUS INFUSION 37212 $7,144.43 THROMBOLYSIS; IC INFUSION 92975 $816.13 THROMBOLYTIC VENOUS THERAPY 37212 $7,144.43 THROMBOSTAT 20000UNITS/VIAL J3490 $65.72 THROMBOSTAT 5,OOOUNITS/VIAL $24.15 THRUWAY GWIRE SHRT TAPE STRGHT C1713 $185.25 THYRDCTOMY MALIG; W NCK DISSEC 60252 $12,504.78 THYROGLOB ANTIBODY 86800 $38.87 THYROGLOBULIN 84432 $39.25 THYROID 60MG TAB $0.01 THYROID ABLATION CARCINOMA 79005 $612.04 THYROID ANTI-MICROSOMAL 86376 $35.57 THYROID BINDING GLOB 84442 $36.15 THYROID CANCER METS TREATMENT 79005 $612.04 THYROID HORMONE UPTAKE/BINDNG 84479 $15.80 THYROID IMAG W BLD FLOW;SING/M 78014 $949.04 THYROID IMAGING W BLOOD FLOW 78013 $949.04 THYROID MET IMAGING WHOLE BODY 78018 $1,216.78 THYROID MET THERAPY 1+ SITE 77080 $288.95 THYROID MET UPTAKE 78020 $88.00 THYROID METASTASTES IMAGING 78015 $949.04 THYROID METS W ADDTL STUDIES 78016 $949.04 THYROID STIM IMMUNO 84445 $124.32 THYROID STIM IMMUNOGLOBULINS 84445 $124.32 THYROID STIM LG 84445 $124.32 THYROID STIMULATING IMMUNOGLOB 84445 $124.32 THYROID SUPPRESSSION TX FOR CA 79005 $612.04 THYROID UPTAKE MEASURE;SING/MU 78012 $949.04 THYROIDECTOMY AFTER PREV PART 60260 $12,504.78 THYROIDECTOMY TOTAL OR COMPLET 60240 $12,461.42 THYROIDECTOMY TRANSTHOR APPR 60270 $2,964.54 THYROIDECTOMY;CERVICAL 60271 $12,504.78 THYROTROPIN BINDING INHIB IG 83519 $40.48 THYROXINE (T4) 84436 $16.79 THYROXINE BINDING GLOBULIN 84442 $36.15 TI END CAP STRDRV 5MM C1713 $27.30 TI END CAP W/T40 STRDV 0MM EXT TIB NAILS C1713 $282.00 TI LOCKING SCREW 4.0x28MM C1713 $301.50 TI-201 RADPHRM DX THAL CHLOR 1 A9505 $32.37 TI-201 RADPHRM DX THALLOUS CHL A9505 $32.37 TIAGABINE 2MG TAB (GABITRIL) $3.56 TIAGABINE HCL 12MG TAB $2.05 TIAGABINE HCL 16MG TAB $1.85 TIAGABINE HCL 20MG TAB $5.10 TIAGABINE HCL 4MG TAB $1.50 TIB BASEPLATE SZ#5 C1713 $1,237.50 TIB BEAR INSERT B RED 10MM RT C1713 $187.50 TIB BEAR INSERT B YELLOW LEFT C1713 $187.50 TIB BEAR INSERT BLUE D LFT 14M C1713 $187.50 TIB BEAR INSERT C BLUE 10MM LT C1713 $187.50 TIB BEAR INSERT D RED LEFT 12M C1713 $187.50 TIB BEAR INSERT LFT B RED 12MM C1713 $187.50 TIB BEAR INSERT LFT B YELLOW C1713 $187.50 TIB BEAR INSERT LFT BLUE D 10M C1713 $187.50 TIB BEAR INSERT LFT C BLUE12MM C1713 $187.50 TIB BEAR INSERT LFT C BLUE16MM C1713 $187.50 TIB BEAR INSERT LFT C RED 10MM C1713 $187.50 TIB BEAR INSERT LFT E BLUE10MM C1713 $187.50 TIB BEAR INSERT RED B LEFT 14M C1713 $187.50 TIB BEAR INSERT RGHT C RED10MM C1713 $187.50 TIB BEAR INSERT RGHT D RED10MM C1713 $187.50 TIB BEAR INSERT RGHT RED C 12M C1713 $187.50 TIB BEAR INSERT RGHT RED C 14M C1713 $187.50 TIB BEAR INSERT RIGHT B RED C1713 $187.50 TIB BEAR INSERT RIGHT E GREEN C1713 $187.50 TIB BEAR INSERT RIGHT F GREEN C1713 $187.50 TIB BEAR INSERTLEFT 2 RED 12MM C1713 $187.50 TIB BEARING INSERT BLUE D RGHT C1713 $187.50 TIB BEARING INSERT LEFT C RED C1713 $187.50 TIB BSEPLTE TOT KNEE SYS TRIA C1776 $2,212.50 TIB IMP DRIVER C1713 $690.30 TIB INS SZ#3 13MM TOT STABLZR TRIATHN X3 C1776 $1,378.50 TIB INSERT - SZ#2 x 10MM C1713 $600.00 TIB INSERT LEFT A YELLOW C1713 $187.00 TIB INSERT RIGHT E GREEN C1713 $187.00 TIB INSERT RIGHT F GREEN C1713 $187.00 TIB INSERT TOTAL STABILIZER TRIATHION C1776 $3,450.00 TIB INSERTS LEFT B RED SIZE 16 C1713 $187.00 TIB INSERTS LEFT B RED SIZE 18 C1713 $187.00 TIB INSERTS LEFT C BLUE SIZE14 C1713 $187.00 TIB INSERTS LEFT C BLUE SIZE14 C1713 $187.00 TIB INSERTS LEFT C BLUE SIZE16 C1713 $187.00 TIB INSERTS LEFT C BLUE SIZE18 C1713 $187.00 TIB INSERTS LEFT C BLUE SIZE18 C1713 $187.00 TIB INSERTS LEFT C BLUE SIZE20 C1713 $187.00 TIB INSERTS LEFT C BLUE SIZE20 C1713 $187.00 TIB INSERTS LEFT C RED SIZE 16 C1713 $187.00 TIB INSERTS LEFT C RED SIZE 18 C1713 $187.00 TIB INSERTS LEFT D BLUE SIZE12 C1713 $187.00 TIB INSERTS LEFT D BLUE SIZE14 C1713 $187.00 TIB INSERTS LEFT D BLUE SIZE16 C1713 $187.00 TIB INSERTS LEFT D BLUE SIZE16 C1713 $187.00 TIB INSERTS LEFT D BLUE SIZE18 C1713 $187.00 TIB INSERTS LEFT D BLUE SIZE18 C1713 $187.00 TIB INSERTS LEFT D BLUE SIZE20 C1713 $187.00 TIB INSERTS LEFT D BLUE SIZE20 C1713 $187.00 TIB INSERTS LEFT D RED SIZE 10 C1713 $187.00 TIB INSERTS LEFT E BLUE SIZE12 C1713 $187.50 TIB INSERTS LEFT E GREEN SZ 12 C1713 $187.00 TIB INSERTS LEFT E GREEN SZ 14 C1713 $187.00 TIB INSERTS LEFT E GREEN SZ 16 C1713 $187.00 TIB INSERTS LEFT E GREEN SZ 20 C1713 $187.00 TIB INSERTS LEFT F GREEN SZ 10 C1713 $187.00 TIB INSERTS LEFT F GREEN SZ 12 C1713 $187.00 TIB INSERTS LEFT F GREEN SZ 14 C1713 $187.00 TIB INSERTS LEFT F GREEN SZ 16 C1713 $187.00 TIB INSERTS LEFT F GREEN SZ 18 C1713 $187.00 TIB INSERTS LEFT F GREEN SZ 20 C1713 $187.00 TIB INSERTS RIGHT A YELLOW SIZ C1713 $187.00 TIB INSERTS RIGHT B RED SIZE14 C1713 $187.00 TIB INSERTS RIGHT B RED SIZE16 C1713 $187.00 TIB INSERTS RIGHT B RED SIZE18 C1713 $187.00 TIB INSERTS RIGHT B RED SIZE20 C1713 $187.00 TIB INSERTS RIGHT C BLUE SZ 10 C1713 $187.50 TIB INSERTS RIGHT C BLUE SZ 14 C1713 $187.00 TIB INSERTS RIGHT C BLUE SZ 16 C1713 $187.00 TIB INSERTS RIGHT C BLUE SZ 18 C1713 $187.00 TIB INSERTS RIGHT C RED SIZE16 C1713 $187.00 TIB INSERTS RIGHT C RED SIZE18 C1713 $187.00 TIB INSERTS RIGHT C RED SIZE20 C1713 $187.00 TIB INSERTS RIGHT D BLUE SZ 16 C1713 $187.00 TIB INSERTS RIGHT D BLUE SZ 20 C1713 $187.00 TIB INSERTS RIGHT D RED SIZE12 C1713 $187.00 TIB INSERTS RIGHT D RED SIZE14 C1713 $187.00 TIB INSERTS RIGHT D RED SIZE16 C1713 $187.00 TIB INSERTS RIGHT D RED SIZE18 C1713 $187.00 TIB INSERTS RIGHT D RED SIZE20 C1713 $187.00 TIB INSERTS RIGHT E BLUE SZ 10 C1713 $187.50 TIB INSERTS RIGHT E BLUE SZ 12 C1713 $187.00 TIB INSERTS RIGHT E BLUE SZ 14 C1713 $187.00 TIB INSERTS RIGHT E BLUE SZ 16 C1713 $187.00 TIB INSERTS RIGHT E BLUE SZ 18 C1713 $187.00 TIB INSERTS RIGHT E BLUE SZ 20 C1713 $187.00 TIB INSRT TOT STABIL TRIATH C1713 $3,450.00 TIB PLATE C1713 $2,148.75 TIB/OPERONEAL ART REVASC STENT 37231 $41,093.65 TIB/PERONEAL ART REVASC W ATHE 37229 $41,093.65 TIBIA BASEPLTE SIZE TRIATH PKR C1713 $1,987.50 TIBIA BEARING MAXIM-CATEG 1 C1776 $2,297.50 TIBIA CANNULATED-CATEG 1 C1713 $569.13 TIBIA LEFT 32 $1,020.72 TIBIA PLATE C1713 $1,948.50 TIBIA SIZER KIT C1713 $150.00 TIBIA-FIBULA 2 VIEWS 73590 $205.74 TIBIAL BASE SIZE A C1713 $937.50 TIBIAL BASE SIZE B C1713 $937.50 TIBIAL BASE SIZE D C1713 $937.50 TIBIAL BASE TRAY SIZE F C1713 $937.50 TIBIAL BASE UNIT C1776 $937.50 TIBIAL BEAR CS INSERT SIZE #3 C1713 $2,707.65 TIBIAL BEARING CS INSTER SZ#3 C1776 $1,378.50 TIBIAL BEARING GREEN LEFT E C1713 $187.50 TIBIAL BEARING INSERT SZ#2 11MM C1776 $1,378.50 TIBIAL COMP PRECOAT; SZ-4 C1776 $1,950.00 TIBIAL COMPOMENT $5,054.50 TIBIAL COMPONENT SZ7; FEMORAL 10MM C1776 $6,942.00 TIBIAL INSERT C1713 $187.00 TIBIAL INSERT $1,896.38 TIBIAL INSERT TRIAL # 5 C1713 $204.30 TIBIAL INSERT TRIAL # 5 C1776 $204.30 TIBIAL INSERT-CATEG 1 C1776 $3,345.10 TIBIAL INSERT-CATEG 3 $1,406.25 TIBIAL INSERTS LEFT A YELLOW C1713 $187.00 TIBIAL INSERTS LEFT B YELLOW C1713 $187.00 TIBIAL INSERTS LEFT B YELLOW C1713 $187.00 TIBIAL INSERTS LEFT E GREEN C1713 $187.00 TIBIAL INSERTS RIGHT A YELLOW C1713 $187.00 TIBIAL INSERTS RIGHT B YELLOW C1713 $187.00 TIBIAL INSERTS RIGHT C BLUE C1713 $187.00 TIBIAL INSERTS RIGHT C BLUE C1713 $187.00 TIBIAL INSERTS RIGHT D BLUE C1713 $187.00 TIBIAL KNEE COMPONENT $5,785.50 TIBIAL NAIL 9x330MM C1713 $2,182.17 TIBIAL PREP KIT C1776 $300.00 TIBIAL PREP KIT #4 C1713 $300.00 TIBIAL STEM EXT-CATEG 1 $3,123.50 TIBIAL TRAY SIZE 6 RIGHT C1789 $62.50 TICAGRELOR (BRILINTA) 90MG TAB J8499 $16.46 TICARC/CLAVU 50MG/ML NICU SYR $4.26 TIGECYCLINE 50MG INJ $130.64 TIGECYCLINE 50MG IVPB J3490 $62.27 TIME TAPE PL 1 A4450 $6.75 TIME TAPE PL 1/2 A4450 $2.40 TIMED COLLECTION 81050 $8.01 TIMENTIN 3.1GM INJ $21.15 TIMOLOL MAL 0.25% EYE DROP J3490 $12.54 TIMOLOL MAL 0.5% EYE DROP J3490 $8.06 TIMOLOL MALEATE DROPS 0.5%/5ML(TIMOPTIC) $37.40 TIMOLOL/DORZOLAM 0.5-2% OP DR $22.39 TINNITUS ASSESSMENT 92625 $356.66 TIOTROPIUM BROM 18MCG INHALER $9.28 TIP SUCT TUBE W/2-PT TUBE LOCK A4624 $1.66 TIP URETERAL CATH 20/BX C1758 $290.28 TIPRANAVIR 250MG CAPSULE $12.12 TIS EXPANDER 250CC INAMED STYLE 133MV11 C1789 $2,062.50 TIS EXPANDER 300CC INAMED STYLE 133LV13 C1789 $2,062.50 TIS EXPANDER STYLE 133MX/700CC ALLERGAN C1789 $1,785.00 TIS EXPANDER STYLE 133MX/850CC ALLERGAN C1789 $1,785.00 TIS EXPANDER STYLE 133SV/500CC ALLERGAN C1789 $2,092.50 TIS EXPANDER STYLE 133SX/650CC ALLERGAN C1789 $2,092.50 TIS EXPANDER STYLE 133SX/800CC ALLERGAN C1789 $2,092.50 TISS CULT NEOPL DISORDER SOLID 88239 $360.60 TISS CULT NEOPLAS DISORDER MAR 88237 $316.25 TISS CULT NEOPLASM; MARROW BLD 88237 $316.25 TISS CULT NON-NEOPL LYMPHOCYTE 88230 $284.77 TISS CULT NON-NEOPL SKIN/SOLID 88233 $343.99 TISS CULT NON-NEOPLAS; AMNIOT 88235 $359.99 TISS IN SITU HYBRIDIZATION 88365 $369.93 TISSEEL FIBRIN SEALANT 1.0ML $179.85 Tissue condition, mandibular D5851 $70.00 Tissue condition, maxillary D5850 $70.00 TISSUE CULTURE; AMNIOTIC FLUID 88235 $359.99 TISSUE CULTURE;BM BLD CELLS 88237 $316.25 TISSUE CULTURE;LYMPHOCYTE 88230 $284.77 TISSUE CULTURE;SKIN OR SOLID B 88233 $343.99 TISSUE EXPAND STYL 133MV 500CC C1789 $1,860.00 TISSUE EXPAND STYL 133MV 600CC C1789 $1,785.00 TISSUE EXPAND STYL 133MV 700CC C1789 $2,092.50 TISSUE EXPAND STYL 133MX 500CC C1789 $1,785.00 TISSUE EXPAND STYL 133MX 600CC C1789 $1,860.00 TISSUE EXPAND STYL 133MX 700CC C1789 $1,860.00 TISSUE EXPAND STYL 133MX 850CC C1789 $1,785.00 TISSUE EXPAND STYL 133SV 450CC C1789 $1,785.00 TISSUE EXPAND STYL 133SX 500CC C1789 $1,785.00 TISSUE EXPAND STYL 133SX 650CC C1789 $1,860.00 TISSUE EXPAND STYL 133SX 800CC C1789 $2,092.50 TISSUE EXPANDER 133FV 500CC C1789 $1,762.50 TISSUE EXPANDER 133FV 600CC C1789 $1,762.50 TISSUE EXPANDER 133FV/300CC C1789 $1,762.50 TISSUE EXPANDER 850CC INAMED C1789 $2,062.50 TISSUE EXPANDER STY 133FV/400CC C1789 $2,062.50 TISSUE EXPANDER STY 133MV/600CC ALLERGAN C1789 $1,785.00 TISSUE EXPANDER STY 133MV/700CC ALLERGAN C1789 $2,092.50 TISSUE EXPANDER STY 133MX/600CC ALLERGAN C1789 $1,785.00 TISSUE EXPANDER STY 133SV/450CC ALLERGAN C1789 $1,785.00 TISSUE EXPANDER STY 133SV/550CC ALLERGAN C1789 $2,092.50 TISSUE EXPANDER STY 133SX/500CC ALLERGAN C1789 $1,785.00 TISSUE EXPANDER-CATEG 1 C1789 $3,617.52 TISSUE GRAFTS; OTHER 15769 $10,752.15 Tissue Sealer ENSEAL endo crv A4649 $4,680.41 Tissue Sealing Device Enseal $4,141.46 TISSUE TRANSGLUT AB LGA 83516 $28.18 TITAN BIOFLEX RESRVR W/LOCKOUT VLVE 75CC C1813 $2,212.50 TITAN CYLIND SET W/PUMP DEVICE C1813 $9,330.00 TITAN CYLINDER SET & PUMP C1813 $9,330.00 TITAN INFRPBIC BIOFLEX CYL ST W/OTR PMP C1813 $10,296.00 TITAN OTR SCROTAL BIOFLEX SYSTEM C1813 $10,296.00 TITAN RESERVOIR W/LOCK-OUT VALVE C1813 $1,860.00 TITAN RESRVOIR W/LOCK-OUT VALVE C1813 $1,860.00 TITANIUM ELASTIC NAIL 2.0MM C1713 $313.50 TITANIUM ELASTIC NAIL 2.0MM C1713 $313.50 TITANIUM LIGACLIP EXTRA 36/BX L8699 $4.61 TITANIUM LOCKING SCREW 2.4x20MM C1713 $144.75 TITANIUM LOCKING SCREW 5x40MM C1713 $144.75 TITANIUM MESH 6X6 STERILE C1781 $1,135.14 TMJ arthrogram, incl injection D0320 $252.00 TMJ ARTHROGRAPHY-RAD S & I 70332 $600.78 TMJ RECON AUTO GRAFTS 21247 $3,505.02 TNSLN TST-MYASTHN GRVS;W ELCTR 95857 $652.50 TOBACCO COUNSELING D1320 $71.00 TOBRA MYCIN CEMENT C1713 $561.38 TOBRADEX OPTH DROPS 5ML J3490 $48.26 TOBRADEX OPTH OINT 3.5GM $58.76 TOBRAMICN OPH. OINT. $76.60 TOBRAMYCIN 80200 $39.42 TOBRAMYCIN 80200 $39.42 TOBRAMYCIN 0.3% (TOBREX) J3490 $462.66 TOBRAMYCIN 1.2GM PDR VIAL $319.98 TOBRAMYCIN 80/100ML PREMIXED J3260 $11.40 TOBRAMYCIN LEVEL 80200 $39.42 TOBRAMYCIN SULF 0.3% EYE DROP J3490 $29.99 TOBRAMYCN SULF. 0.3%/3.5GM OINT. J3490 $462.66 TOBREX 0.3% OPTH DROPS 5ML J3490 $24.05 TOBRMYCN SULF.0.3- 0.1%/3.5GM OINT. J3490 $517.04 TOBRMYCN SULFATE/DEXA 0.1%/15ML DROPS J3490 $32.03 TOCAINIDE 80299 $41.01 TOCAR WITH BALLOON 5MMX75MM C1725 $540.00 TOCAR WITH BALLOON 5X100MM C1727 $540.00 TOE CLOSE FRACTURE 28515 $555.94 TOE WEBBING OPEN 28280 $7,057.23 TOES 2+ VIEWS 73660 $205.74 TOES STRAPPING 29550 $141.83 TOLERODINE 1MG TABLET PO LA $2.30 TOLERODINE 2MG TABLET PO $2.48 TOLNAFTATE 1% CREAM 15GM $3.15 TOLTERODINE 2MG CAP PO LA $3.60 TOLTERODINE 4MG/24H CAP $4.02 Tomographic survey D0322 $70.00 TONE DECAY HEARING TEST 92563 $86.20 TONE DECAY-HEARING TEST 92563 $86.20 TONGUE FOM 41000 $1,138.76 TONSILLECTOMY PRIM/SECNDRY; AG 42826 $6,752.59 TOOL 10CM 5MM DIAMOND C1725 $257.25 TOOL 14CM 5MM BA DIAMOND C1725 $296.94 TOOL 7.5CM 0.8MM BALL DMD L C1727 $246.00 TOOL LGN 7.5CM 0.6MM BALL DMD C1727 $246.00 TOOTH REIMPLANTATION D7270 $622.00 TOPICAL APP OF FLUORIDE D1208 $112.00 Topical fluoride varnish D1206 $105.00 TOPIRAMATE (TOPAMAX) 100MG TAB J3490 $6.18 TOPIRAMATE 15MG CAP SPRINK $2.44 TOPIRAMATE 200MG TAB (TOPAMAX) J3490 $7.22 TOPIRAMATE 25MG SPRINKLE $4.15 TOPIRAMATE 25MG TABLET J3490 $2.30 TOPIRAMATE CHERRY SYRUP 1MG/1ML $0.06 TOPOTECAN 0.1MG J9351 $70.56 TOPOTECAN 4MG IV J9351 $2,651.88 TORCH PANEL $83.93 TORQUE SCREW STANDARD ASSEMBLY C1713 $232.50 TORQUE SCREW STANDARD ASSEMBLY C1713 $232.50 Torsemide 20mg. Po $80.99 TOT HIP REPLACE COMPONENTS; SZ=VARIOUS C1776 $7,284.00 TOT KNEE ARTHROPLASTY 27447 $30,680.34 TOT KNEE SYS A35x10MM ASYM PATELLA C1776 $715.50 TOT STABILIZER #6 FEM COMP TRIATHLON C1776 $10,172.40 TOTAL BILIRUBIN-TRANSCUTANEOUS 88720 $12.25 TOTAL BODY EVALUATION 95834 $127.67 TOTAL HIP ARTHROPL 27130 $30,680.34 TOTAL HIP BALL 32MM +18 C1713 $386.30 TOTAL HIP SYSTEM C1713 $9,895.50 TOTAL KNEE CEMENTED STEM C1713 $825.00 TOTAL PARENTERAL NUTRITION $325.00 TOTAL PROTEIN 84155 $8.95 TOTAL PROTEIN BF 84155 $8.95 TOTAL PROTEIN CSF 84155 $8.95 TOTAL PROTEIN UR TV 84155 $8.95 TOTAL PROTEIN UR.RAN 84155 $8.95 TOTAL PROTEIN-SERUM 84155 $8.95 TOTAL STAB FEMORAL COMP TRIATH C1713 $10,172.40 TOTAL THYROID LOBECTOMY UNILAT 60220 $12,461.42 TOTAL VITAL CAPACITY 94150 $356.66 TOUCH PREP-INITAL SITE 88333 $1,619.51 TOXICOLOGY DRUG SCREEN 80307 $142.23 TOXO AB IGG (IFA) 86777 $35.18 TOXOPLASMOSIS LGG 86777 $35.18 TOXOPLASMOSIS LGM 86778 $35.22 TOXOPLASMOSIS-AB IGG 86777 $35.18 TPA 86316 $50.89 TPH3 FLOW COMPULA INTRO KIT C1713 $127.73 TPLATE PROFYLE HAND LOCK WIDE C1713 $645.47 TPN IV SOLUTION $7.05 TPN NEONATAL FORMULA $2.13 TPN PEDIATRIC FORMULA $0.72 TPN SINGLE LUMEN CATHETER 3.0 FR 65CM C1751 $203.01 TPN SNGL 4.0FR LUMEN CATH SET C1757 $265.50 TRABECULAR METAL MONOBLK TIB COMP SZ 3 C1776 $7,282.50 TRABECULAR METAL MONOBLK TIB COMP SZ 4 C1776 $6,942.00 TRABECULAR METAL MONOBLOCK TIB COMP SZ5 C1776 $7,282.50 TRABECULAR METAL TIB COMPONENT SZ4 C1776 $6,942.00 TRABECULAR METL MONOBLK TIB COMP SZ6/E,F C1776 $7,282.50 TRABECULAR MTL STNDRD PRIM PATLL 32x10MM C1776 $3,240.00 TRABECULOPLASTY ALT/SLT 65855 $1,306.87 TRABECULOPLSTY-LASER-1/MORE SE 65855 $1,306.87 TRABECULTOMY AB EXTERNO 65850 $5,212.42 TRACH CARE KIT A4629 $1.76 TRACH COLLAR SETUP 94640 $474.25 TRACH TUBE CHG B4 FIST TRACT 31502 $524.99 TRACH TUBE CHG B4 FISTULA TRAC 31502 $524.99 TRACH TUBE FIX A4624 $165.15 Trach Tube Shiley PedCuff 4mm A4624 $65.51 Trach Tube Shiley PedCuff 5mm A4624 $65.51 Trach Tube Shily PedCuff4.5mm A4624 $65.51 Trach Tube Shily PedCuff5.5mm A4624 $65.51 TRACH TUBE XLT W/DISP INNR CAN A4625 $122.73 TRACH UNCUFF TUB FIX FLANGE A4624 $155.67 TRACH UNCUFF TUBE A4624 $165.15 TRACH UNCUFF TUBE 6.0MM XL FIX A4624 $161.85 TRACH XLT 6.0MM TUBE UNCUFF A4625 $143.07 TRACH XLT 7.0MM PROXIMAL EXTE A4625 $93.00 TRACHEAL DILATION ENDOBRANCHI 31630 $7,571.41 TRACHEAL SUCTION CATHETER ANY TYPE EACH A4624 $461.48 TRACHEAL TUBE HI-LO MURPHY A4624 $2.45 Tracheo Tube Cuffed Flex 6.0mm A4624 $39.50 Tracheo Tube Cuffed Flex 7.0mm A4624 $39.50 Tracheo Tube Cuffed Flex 9.0mm A4624 $39.50 Tracheo Tube Cuffed Flex10.0mm A4624 $39.50 Tracheo Tube Uncuff Fenes 10mm A4624 $34.67 Tracheo Tube Uncuff Fenes 6mm A4624 $35.01 Tracheo Tube Uncuff Fenes 7mm A4624 $35.01 Tracheo Tube Uncuff Fenes 8mm A4624 $34.62 Tracheo Tube Uncuff Fenes 9mm A4624 $35.91 TRACHEOBRONCH THRU OLD INCISIO 31615 $1,138.76 TRACHEOSTOMA REV; CMPLX W FLAP 31614 $12,504.78 TRACHEOSTOMA REVIS;SIMP;WO RL 31613 $6,752.59 TRACHEOSTOMY 31605 $524.99 TRACHEOSTOMY EMERG TRANSTRACHL 31603 $3,478.64 TRACHEOSTOMY SPEAKING VALVE L8501 $100.58 TRACHEOTOMY PR TO EST FISTULA 31502 $524.99 TRACHEOTOMY TRAY $82.50 TRACHEOTOMY TUBE CHANGE 31502 $524.99 TRACHSTMY 10CFN $65.79 TRACHSTMY 10FEN $86.92 TRACHSTMY 10LPC $86.92 TRACHSTMY 4CFN $65.79 TRACHSTMY 4FEN $86.92 TRACHSTMY 4LPC $86.92 TRACHSTMY 6CFN $65.79 TRACHSTMY 6FEN $86.92 TRACHSTMY 6LPC $86.92 TRACHSTMY 8CFN $65.79 TRACHSTMY 8FEN A7521 $73.41 TRACHSTMY 8LPC $86.92 TRACHTUBE CUFF A4616 $92.34 TRACRIUM 10MG/ML VIAL 10ML $14.92 TRACT PUNCT PERQ W TT ASP/INJ 31612 $6,752.59 TRACTION MANUAL 97012 $33.13 TRACTION MECHANICAL 97012 $33.13 TRAMADOL 80373 $260.74 TRAMADOL HCL 50MG TABLET J3490 $1.38 TRANDATE/NORMODYNE 100MG TAB J3490 $0.66 TRANDATE/NORMODYNE 200MG TAB J3490 $0.93 TRANDATE/NORMODYNE 5MG/ML J3490 $11.08 TRANEXAMIC ACID INJ J3490 $17.43 TRANS CERV/THOR 1 LVL 64479 $2,093.48 TRANS CERV/THOR 1 LVL 64479 $2,093.48 TRANS CERV/THOR EA ADD 64480 $137.50 TRANS LUM/SAC 1 LVL 64483 $2,093.48 TRANS LUM/SAC 1LVL 64483 $2,093.48 TRANS LUM/SAC EA ADD 64484 $114.80 TRANS LUM/SAC EA ADD 64484 $114.80 TRANS REACT WU 86078 $369.93 TRANS/CERV THOR EA ADD 64480 $137.50 TRANSABD AMNIOINFUS W US 59070 $697.93 TRANSCATH BX 37200 $11,849.09 TRANSCATH BX-RAD S & I 75970 $94.72 TRANSCATH PLACEMT; OP/PERQ INI 37238 $25,544.29 TRANSCATH PLACEMT; OP/PERQ; EA 37239 $331.69 TRANSCATHET OCCLUSION PERQ; NO 61626 $25,544.29 TRANSCATHETER OCCLUSION PERQ; 61624 $2,474.43 TRANSCATHETER THERAPY 75894 $517.00 TRANSCERV CATH FALLOPIAN TUBE- 74742 $125.40 TRANSCERV INTRO FALLOPIAN TUBE 58345 $6,440.19 TRANSCRAN DOPPLER STDY ART; CM 93886 $600.78 TRANSCRAN DOPPLER STDY ART; LT 93888 $288.95 TRANSECT OR AVULSE OTHER SPINA 64772 $4,432.54 TRANSEPTAL FIBEROTOMY D7291 $448.00 TRANSESOPH ECHO; PROBE ONLY 93316 $1,241.53 TRANSESOPH ECHO-CONG CARD ANOM 93315 $1,241.53 TRANSFERASE; ALANINE AMINO 84460 $12.96 TRANSFERIN 84466 $31.20 TRANSFERRIN 84466 $31.20 TRANSFERRIN 84466 $31.20 TRANSFERRIN RECEPTOR RIA 83520 $37.99 TRANSFUS BLOOD/BLD COMPONENTS 36430 $1,000.38 TRANSFUSION BLD/BLD COMPONENTS 36430 $1,000.38 TRANSMASTOID ANTROTOMY; SIMPLE 69501 $12,504.78 TRANSORAL APPR FOR BX/DECOMPR 61575 $5,299.76 TRANSPARENT DRESSING 2X3 $0.43 TRANSPARENT DRESSING 4-1/2X5 A6258 $0.28 TRANSPLANT FOREARM TENDON 25310 $7,057.23 TRANSPOSITION PROC-ANY EXTRAOC 67320 $697.18 TRANSRECTAL DRAINAGE PELVIC AB 45000 $2,588.89 TRANSRECTAL US 76872 $288.95 TRANSTHOR DIAPHRAG HERN REP WO 43334 $2,701.38 TRANSTHOR DIAPHRGM HERN REP W 43335 $2,889.63 TRANSTHOR ECHO-CONG CARD ANOM; 93303 $1,241.53 TRANSTHOR ECHO-CONG CARD ANOM; 93304 $1,241.53 TRANSTIBIAL SAW BLADE IMPL DEL C1776 $337.50 TRANSUR ELECTR RESECT PROSTATE 52601 $10,909.23 TRANSURETHRAL INC PROSTRATE 52450 $7,781.86 TRANSURETHRAL RESECT OF BLDR N 52500 $7,781.86 TRANSVAGINAL US 76830 $288.95 TRANSVAGINAL US-OPD 76830 $288.95 TRANSVESICAL URETEROLITHOTOMY 51060 $4,567.09 TRANXENE 80299 $41.01 TRANYLCYPRONATE 10MG TAB $2.93 TRASTUZUMAB 440MG VIAL J9355 $780.86 TRASTUZUMAB KADCYLA 100mgPR1mg J9354 $80.85 TRASTUZUMAB, 10MG J9355 $274.28 TRAXODONE 80299 $41.01 TRAY CENTRAL VENOUS-CATEG 1 C1751 $99.26 TRAY DRESSING-CATEG 1 $83.70 TRAY FLEX-CATEG 1 $1,750.00 TRAY LAP-CATEG 1 $625.00 TRAY SPINAL-CATEG 1 $6,250.00 TRAY STERILIZ-CATEG 1 $1,892.86 TRAY SUTURE-CATEG 1 C1713 $487.50 TRAY TIBIAL-CATEG 1 $11,664.58 TRAY-SUTURING SET $6.73 TRAZODONE 100MG TAB J3490 $1.39 TRAZODONE 150MG TAB PO $7.11 TRAZODONE 50MG TAB J3490 $0.41 TREAMENT TIBIAL FRACTURE 27758 $30,680.34 TREAT CLAVICLE FRACTURE 23515 $15,421.60 TREAT FINGER DISLOCATION 26785 $7,057.23 TREAT FRACTURE OF ULNA 25545 $15,421.60 TREAT FX RAD EXTRA-ARTICUL 25607 $15,421.60 TREAT FX RAD INTRA-ARTICUL; 2 25608 $15,421.60 TREAT METACARPAL FX SING 26615 $7,057.23 TREAT METATARSAL FRACTURE 28485 $15,421.60 TREAT SKLTL FX; DISTAL/RADIAL 25606 $7,057.23 TREAT ULNAR FRACTURE 24670 $555.94 TREATMENT OF ANKLE FRACTURE 27810 $3,494.24 Treatmnt of root canal obstruct D3331 $251.00 TRENTAL 400MG TAB $0.94 TRETINOIN 10MG (VESANOID) CAP $24.40 TRH STIMULATION TEST 83519 $40.48 TRH TEST 80438 $123.22 TRI LUMEN CVP CATHETER $60.00 TRIAMCINOLN OINTMENT 0.1% 15GM $12.83 TRIAMCINOLONE 0.1% CREAM 15GM J3490 $1.77 TRIAMCINOLONE 0.1% OINTMENT 15 J3490 $0.67 TRIAMCINOLONE 10MG/ML INJ J3301 $0.84 TRIAMCINOLONE 40MG INJECTION J3301 $22.44 TRIAMCINOLONE 40MG/ML INJ $7.55 TRIAMCINOLONE ACE 0.1% LOTION J3490 $1.47 TRIAMCINOLONE ORABASE DENTAL $13.02 TRIANGULAR BANDAGE A4565 $0.56 TRIATH TIB AUGMENT HALF BLOCK C1713 $1,758.75 TRIATH TOT KNEE SYS ASYM PATEL C1713 $715.50 TRIATHLO X3 ASYMMETRIC PATELLA C1713 $715.50 TRIATHLON - PRIMRY TIB BASEPLATE C1776 $2,212.50 TRIATHLON FLUTED STEM C1713 $1,200.00 TRIATHLON PKR FEMUR, TIB & X3 INSERT C1776 $5,172.53 TRIATHLON SYMMETRIC X3 PATELLA C1776 $715.50 TRICHIMONAS CULTURE 87081 $16.19 TRICHINELLA ANTIBODY 86784 $30.71 TRICHINELLA IGG 86784 $30.71 TRICHLORACETIC ACID SOLN. 80% $148.50 TRICHOMONAS CULTURE 87081 $16.19 TRICHOMONAS VAGINALIS;AMPLF PR 87661 $85.78 TRICHOPHYTON SKIN TEST 1:500 $27.30 TRICORT ILIAC MED CRST BLCKBNE C1713 $1,708.50 TRICYCLICS 80299 $41.01 TRIESENCE J3300 $0.01 TRIESENCE 40MG/1ML J3300 $397.00 trifluoperazine 1 mg tablet $0.10 TRIFLUOPERAZINE 10MG TAB J3490 $1.88 TRIFLUOPERAZINE 10MG/ML ORAL SOL $5.26 TRIFLUOPERAZINE 2MG TAB $0.99 TRIFLUOPERAZINE 5MG TAB $1.62 TRIGEMINAL NERVE ANY BRANCH 64400 $674.85 TRIGGER POINT INJ 1 OR 2 MUSCL 20552 $674.85 TRIGGER POINT INJ 2 OR MORE MU 20553 $674.85 TRIGLYCERIDES 84478 $14.04 TRIHEXYPHENIDY HCL 2MG J3490 $0.19 TRIHEXYPHENIDYL HCL 5MG $0.70 TRILAFON 16MG/5ML ORAL $0.95 TRILOGY 20DEG ELEVATED RIM LINER C1776 $1,960.50 TRIM ND NAILS 11719 $141.83 TRIM NONDYSTROPHIC NAILS ANY N 11719 $141.83 TRIM SKIN LESIONS 2 TO 4 11056 $450.45 TRIMETHADIONE 80299 $41.01 TRIMETHBENZ HYDROCH 250MG Q0173 $3.81 TRIMETHOBENZAMIDE 100MG/ML IM $7.77 TRIMETHOBENZAMIDE HCL $4.30 TRIMETHOPRIM 100 MG TABLET $0.04 TRIMETREXATE GLUCURONATE J3305 $91.93 TRINICA PLATE 36 MM C1713 $1,875.00 TRINICA PLATE 42MM C1713 $1,875.00 TRINICA SCREW 14 FIXED C1713 $300.00 TRIPLE ANTIBIOTIC OINT 30GM J3490 $0.38 TRIPLE LUMEN CATH TRAY W/ST EXT 12FRX20C A4550 $970.10 TRIPLE LUMEN SUMP DRAIN 3/8X15 C1729 $42.21 TRIPLE SULFA VAGINAL CREAM $0.20 Trismus appliance (not TMD) D5937 $878.00 TRIUMEQ 600/50/300MG TABLET J3490 $77.84 TRLUML BALO ANGIOP 1ST ART 37246 $12,771.31 TRLUML BALO ANGIOP 1ST VEIN 37248 $12,771.31 TRLUML PERIP ATHRC BRCHIOCPH; 0237T $25,544.29 TRLUML PERIP ATHRC; OP/PERQ R 0234T $25,544.29 TRNSFR/TRNSPL SING TNDON;SUPER 27690 $15,421.60 TRNSFR/TRNSPLNT SGL LEG TNDN;D 27691 $15,421.60 TRNSLM PERIP ATHRCTMY/CUT AORT 0236T $25,544.29 TRNSLUM ATHERECT DIRECTNL CATH C1714 $5,542.50 TROCAR AND CANNULA-CATEG 1 $91.88 Trocar Endo XCEL bladeless 5mm C1713 $410.45 Trocar Endo XCEL dilat tip xl $239.40 Trocar EndoXCEL Hassn blunttip $210.10 TROCAR TIP OBTURATOR A7520 $277.50 TROCAR WITH BALLOON 12X100MM C1727 $630.00 TROCH FIX NAIL 10MMx170MM C1713 $1,959.00 TROCH MEDIUM GRIP PLATE X200MM C1713 $3,393.60 TROCHANTERIC GAMMA NAIL KIT C1713 $2,810.25 TROCHANTERIC GAMMA NAIL KIT C1713 $2,810.25 TROPHAMINE 6% INJ 500ML $10.00 TROPICAMIDE 0.5% J3490 $10.32 TROPICAMIDE 1% J3490 $7.39 TROPICMID 1% (MYDRIACYL) $1.76 TROPONIN QUANTITATIVE 84484 $27.43 TRPL LUMEN CATH TRAY CURVE EXT 12X16CM C1752 $195.63 TRUSCAN PINS C1713 $153.65 TRYPSIN STOOL 84488 $17.84 TRYPSIN STOOL 83519 $40.48 TSH 84443 $41.07 TSH THYROID STIMULATING HORMON 84443 $41.07 TSK STERIJECT 13MM PREM NEEDLE C2618 $0.33 TST ANS FNCT;SUDOMTR+1>QSART 95923 $281.09 T-STAT/ERYDERM 2% SOLUTIN 60ML $0.91 TSTNG ANS FNCTN;CARDIOVAGAL IN 95921 $356.66 TSTNG ANS FNCTN;VSOMTR ADRNRGC 95922 $281.09 TTE W/DOPPLER COMPLETE 93306 $1,241.53 TTL KNEE CEMENTED STEM 12MMx50MM C1776 $881.10 TTL THYROID LOBECTOMY;UNILAT W 60225 $12,461.42 TT-ROP TRAY CADAVER 86999 $59.25 T-TUBE 10FR 10/CS; DEAVER A4624 $101.55 TTUBE 12MM RADIOPAQ SILICNE A4625 $240.00 T-TUBE DEAVER A7520 $10.16 TTUBE SAFE 11MM RADIOPAQ SILIC A4624 $240.00 T-TUBE VENT 12MM SILICONE 5/BX C1713 $325.50 TUB TRANSNASAL BUR IRRIGATION C1713 $242.99 TUBE 8.5FR TTP 3-PORT BENT A4624 $228.84 TUBE BLAKEMORE-CATEG 1 $372.95 TUBE C-CATEG 1 $75.42 TUBE CONNECTOR #350 $0.28 TUBE ENDO LASER-CATEG 1 $2,291.67 TUBE ENDOTRACH-CATEG 2 $0.01 Tube Feed Gastroje Set dbllumn B4087 $530.55 Tube Feed Jejuno w/thumb valve B4087 $209.33 TUBE FLEX-CATEG 1 $1,750.00 Tube Gastro Endo Rt Angle20FR C1729 $51.65 Tube Gastro Endov Strght 16FR C1729 $51.65 Tube Gastro Endov Strght 18FR C1729 $51.65 Tube Gastro Endov Strght 20FR C1729 $51.65 Tube GastroKit endo Safe 20FR C1729 $328.28 Tube Gastros MIC Bolus 12FR C1729 $56.09 Tube Gastros MIC Bolus 14FR C1729 $56.09 TUBE LARYNGE SILICONE,N/S A7520 $337.37 TUBE LARYNGECTOMY CUFFLESS SZ6 A7520 $66.08 TUBE T-CATEG 1 $513.08 Tube Trach Cuff FIX FlangeXL A4624 $161.85 Tube Trach Hyprflx Adjst 9.0mm A7521 $279.55 Tube Trach MidRange Cuff Adult A4624 $114.68 Tube Trach Pediat 5.0 Cuffless A4624 $47.40 TUBE TRACH SHILEY-CATEG 1 $155.00 Tube Tracheostomy Ped 3 Cuffls A7520 $55.82 TUBE, TRACH, PEDIATRIC, CUFFED A4624 $65.51 TUBERCULIN,PURIF.PROT.DERIV. 1TU/0.1ML $4.71 TUBERCULIN,PURIF.PROT.DERIV. 5TU/0.1ML $18.37 TUBERCULLIN (PPD) 0.1ML $124.08 TUBESET 10K ARTHSCPY INOUT FLO A4624 $66.00 TUBING BLUE NON-DISP FOR ATS A4624 $90.56 Tubing Hyster Endo w/Press Dom $1,524.90 Tubing Infusion Klein w/oDrape $560.96 TUBING INFUSION-CATEG 1 $1,162.50 TUBING PENROSE-CATEG 2 $43.13 Tubing Suct Connect w/clamp 2' A4624 $121.13 Tubing Suction Connecting A4624 $1.80 Tubing transnasal burr irrigat $242.99 TUBOTUBAL ANASTOMOSIS 58750 $1,991.35 TUBULAR PLATE 1/3 4-HOLES SS C1713 $252.00 TUCKS MEDICATED DRESSING $0.05 TUCKS PADS $0.11 TUDORZA 400MCG INHALER $10.38 TULAREMIA ANTIBODY 86668 $31.15 TULAREMIA ANTIBODY TITER 86668 $31.15 TUMESCENT PUMP TDS TUB KIT C1772 $254.61 TUMOR IMAGE (PET) FULL BODY 78813 $3,720.51 TUMOR IMAGE (PET) SKULL-THIGH 78812 $3,720.51 TUMOR IMAGE PET/CT FULL BODY 78816 $3,720.51 TUMOR IMAGE PET/CT SKUL-THIGH 78815 $3,720.51 TUMOR IMAGING MULT AREAS 78801 $949.04 TUMOR IMAGING SPECT 78803 $3,279.74 TUMOR IMAGING WHOLE BODY 1 DA 78802 $3,279.74 TUMOR IMAGING(PET) LIMITED 78811 $3,279.74 TUMOR IMMUNOHISTO ER/PR/HER-2/ 88361 $730.62 TUMOR PHENOTYPE- MONOCLONAL MK 88342 $369.93 TUR;POSTOP BLDR NECK CONTRACT 52640 $7,781.86 TURBO TANDEM LASR GUIDE CATH C1887 $4,500.00 TUTOPLAST PERICARD HTISSUE L8610 $427.50 TUTOPLAST PERICARDIUM 1.5x1.5CM H-TISSUE L8610 $412.50 TWIN FIX TI ANCHOR 3.5MM C1713 $441.00 TWINFIX TI ANCHOR 5MM C1713 $403.50 TWINFIX ULTRA #2 ULTRABRAID C1713 $471.00 TWINFIX ULTRAPAK ANCHOR BLADE C1725 $505.57 TWINRIX VIAL $98.90 TX ACTV DIR PT CNTC PROV-1UNI 97530 $85.71 TX ACTV DIR PT CNTC PROV-1UNIT 97530 $85.71 TX APHERES; PLSMA &/ CELL EXCH 36514 $3,412.31 TX CL ELBOW DISLOC W ANESTH 24605 $3,494.24 TX CL ELBOW DISLOC W ANESTH 24605 $3,494.24 TX CLO ELBOW DISLOC; WO ANES 24600 $555.94 TX DEVC DESIGN&CONSTRUCT; INTE 77333 $326.37 TX DEVICES DESIGN & CONSTRUCTI 77332 $326.37 TX DEVICES DESIGN & CONSTRUCTI 77334 $864.05 TX FX RADIUS AND ULNA 25600 $555.94 TX INCMPL AB ANY TRIMESTR CMPL 59812 $6,440.19 TX MISSED AB CMPL SURG; 1ST TR 59820 $6,440.19 TX NURSEMAID ELB-CHILD 24640 $555.94 TX PATELLAR FX; CLOSED WO MAN 27520 $555.94 TX PROG RETINOPATHY;1+ SESSION 67229 $1,306.87 TX PROPHYLCTC DX INJ; INTRA-A 96373 $550.84 TX PROPHYLCTC DX INJ; IV PUSH 96376 $157.79 TX PROPHYLCTC DX INJ; IV PUSH 96374 $550.84 TX PROPHYLCTC DX INJ; SUBQ/IN 96372 $167.76 TX RAD SIM-AIDED FIELD SETTING 77295 $3,210.50 TX RAD SIMULAT-AIDED FIELD; SM 77280 $326.37 TX SPONTAN HIP DISLOC;W ANESTH 27257 $3,494.24 TX SPONTANEOUS HIP DISLOC W AN 27257 $3,494.24 TX SUP WND DEHISC; SIMP CLOS 12020 $1,281.35 TX SUPERF WOUND DEHISCENCE; SI 12020 $1,281.35 TX TARSAL BONE FX; W MANIP 28455 $3,494.24 TX TARSAL BONE FX;WO MANIP 28450 $555.94 TX TIB SHAFT FX;IM IMPLNT 27759 $30,680.34 TX WND DEHISCNC SUP; SIMP CLOS 12020 $1,281.35 TX/PRO/DX INJ NEW DRUG ADD ON 96375 $106.73 TX/PRO/DX INJ NEW DRUG ADDON 96375 $98.25 TX/PRO/DX INJ NEW DUG ADDON 96375 $106.73 TX/PRO/DX INJ SAME DRUG ADDON 96376 $157.79 TX/PROPH/DG ADDL SEQ IV INF 96367 $167.76 TX/PROPH/DG-ADDL SEQ IV INF 96367 $167.76 TYMPANOLYSIS TRANSCANAL 69450 $6,752.59 TYMPANOMETRY 92567 $86.20 TYMPANOMETRY 92567 $86.20 TYMPANOMETRY & REFLEX THRESH 92550 $356.66 TYMPANOMETRY(IMPEDANCE TESTING 92567 $86.20 TYMPANOPL W MASTOID; W INT WAL 69643 $12,504.78 TYMPANOPL W MASTOID; W INT WAL 69644 $12,504.78 TYMPANOPL W/O MASTOID INIT/REV 69631 $12,504.78 TYMPANOPLSTY W MASTDECTMY; CMP 69645 $12,504.78 TYMPANOPLSTY WO MASTOID INIT/R 69632 $12,504.78 TYMPANOSTOMY (REQR INSERTION) 69433 $1,138.76 TYMPANOSTOMY W GEN ANESTH 69436 $3,478.64 TYMPANOSTOMY(REQ INSERTION) 69433 $1,138.76 TYMPANPLSTY W ANTROT/MASTOID;O 69635 $12,504.78 TYMPNPLSTY W ANTRO/MASTDTMY W 69637 $12,504.78 TYMPNPLSTY W MASTDCTMY W OSSCL 69642 $12,504.78 TYMPNPLSTY W MASTDCTMY WO OSSC 69641 $12,504.78 TYMPNPLSTY WO MASTOIDCTMY; INI 69633 $12,504.78 TYPE AND SCREEN 86904 $86.20 TYPHOID INJ 0.5ML 90691 $233.24 TYPHOID VACCINE IM $52.33 TYPHOID VACCINE, IM 90691 $233.24 TYPHOID VACCINE, IM CLINIC 90691 $233.24 TYPHOID VACCINE, ORAL 90690 $42.82 TYPHOID VACCINE, ORAL CLINIC 90690 $42.82 TYSABRI, PER 1MG J2323 $60.29 U BAG NEWBORN STRL $1.94 U BAG PED STRL $8.18 UA DIP STICK/TABLET; AUTO W/MI 81001 $7.74 UA DIP STIK/TABLT;WO MICRO NON 81002 $7.66 UGI ENDO W GUIDE WIRE&DILATION 43248 $2,026.11 UGI ENDO W SUBMUCOS INJ 43236 $2,026.11 UGI ENDO W US FNA/BX(ESOPH) 43238 $4,015.00 UGI ENDO W USG FNA/BX 43242 $4,015.00 UGI ENDO W/ENDO ULTRASOUND EXM 43259 $4,015.00 UGI ENDO; DX W/WO CLCT SPECMN- 43235 $2,026.11 UGI ENDO; W/BX 1/MX 43239 $2,026.11 UGI ENDO; W/CONTRL BLEEDING AN 43255 $4,015.00 UGI ENDO; W/REMOV FB 43247 $2,026.11 UGI ENDOSCOPY-RMVL FB 43247 $2,026.11 UGI HOT BIOP/BIPOLAR CAUT 43250 $4,015.00 UGI W BAND LIGATION 43244 $4,015.00 UGI W BX SING/MULTI 43239 $2,026.11 UGI W BX; SING/MULTI 43239 $2,026.11 UGI W DIL GASTRIC OUTLET 43245 $4,015.00 UGI W DILATION OF GAS OUTLET 43245 $4,015.00 UGI W HOT BX REM T/P/LES 43250 $4,015.00 UGI W INJ ESO/GAS VARICES 43243 $4,015.00 UGI W REM T/P/LES HOT BX/C 43250 $4,015.00 UHR UNIV HEAD BIPOLAR COMPONENT C1776 $1,050.00 ULTRA BALLOON CATH KIT 10CMx21FR C1725 $406.50 ULTRA HA 4.5MM ANCHR C1713 $564.00 ULTRA KNOTLESS SUTRE ANCHR C1713 $498.00 ULTRA LMP ASPIRA TUB XLONG 9FT A4616 $21.90 ULTRA PK 6.5MM ANCHORW/2SUTURE C1713 $481.50 ULTRA PK KNOTLESS SUTRE ANCHR C1713 $420.00 ULTRA SENSITIVE H/A PRC 87536 $208.01 ULTRA SURG FLAT MESH 12X12 30X30CM ETH C1781 $316.52 ULTRABRAID COBRAID 38LNGTH C1713 $295.50 Ultracet (For SCC only) $3.33 ULTRAFLEX ESOPHAGEAL STENT SYS C1781 $293.83 ULTRAPRO FLAT MESH 12X12 (30X30CM ETHICO C1781 $316.52 ULTRAPRO FLAT MESH 3"X6" C1781 $136.47 ULTRAPRO FLAT MESH 3X6 1/BX C1781 $392.47 ULTRAPRO HERNIA SYSTEM 10CM-LARGE, C1781 $956.63 ULTRAPRO HERNIA SYSTEM 7.5CM-MEDIUM, C1781 $772.50 ULTRAPRO HERNIA SYSTEM-OVAL, C1781 $434.92 ULTRAPRO HERNIA SYSTEM-OVAL, 3/BX C1781 $434.92 ULTRAPRO HERNIA SYST-OVAL 3BX C1781 $434.92 ULTRAPRO II START KIT NEEDLE C2618 $712.50 ULTRAPRO SURG FLAT MESH 1/BX C1781 $316.15 ULTRASND BREAST; COMPLETE UNIL 76641 $288.95 ULTRASND BREAST; LIMTD UNILAT 76642 $205.74 ULTRASOUND BREAST GUIDED CORE 76942 $121.00 ULTRASOUND EA 15 MIN 97035 $31.48 ULTRASOUND GUID CORE BPSY 76942 $121.00 ULTRASOUND GUIDED AMNIOCENTESI 76946 $44.00 ULTRASOUND GUIDED AMNIOCENTESI 76946 $44.00 ULTRASOUND GUIDED ARTERY REPAI 76936 $652.50 ULTRASOUND GUIDED ARTERY REPR 76936 $652.50 ULTRASOUND GUIDED BIOPSY 76942 $121.00 ULTRASOUND STUDY F/U 76970 $288.95 ULTRATHIN DIAMND UDT 3-2x5x40 BALL CATH C1725 $406.50 ULTRATHIN DIAMOND BALl12X4, DT/12-4/5.8/ C1725 $406.50 ULTRAX UNIPOLAR HEAD COMPONENT C1776 $525.00 ULTR-THIN DIAMOND BALL CATH C1725 $406.50 UMBIL CORD OCCLUSN W US 59072 $697.93 UMBIL VES 3.5FR CATH $17.81 UMBIL VES 5FR CATH $17.81 UMBILECTOMY/ OMPHALECTOMY 49250 $8,015.96 UMECLIDINIUM 62.5MCG INHALER ( J3490 $7.13 UN3 BOX PLATE SMALL C1713 $289.86 UN3 BOX PLATE, SMALL C1713 $289.86 UN3 BURHOLE COVER 10MM W/TAB $364.29 UN3 BURHOLE COVER, 10MM W/ TAB C1713 $364.29 UN3 DOUBLE Y PLATE 6HOLE w/BAR C1713 $401.52 UN3 DOUBLE Y PLATE, 6 HOLE C1713 $401.52 UN3 GAP PLATE 6 HOLE LARGE C1713 $527.84 UN3 GAP PLATE, 6 HOLE, LARGE C1713 $527.84 UN3 PLATE 2 HOLE RIGID C1713 $165.80 UN3 PLATE 2 HOLE WITH TAB^ C1713 $194.00 UN3 PLATE, 2 HOLE, RIGID^ C1713 $165.80 UN3 PLATE, 2 HOLE, WITH TAB^ C1713 $194.00 UN3 STRAIGHT PLATE, 16 HOLE^ C1713 $461.30 UNASYN 1.5GM INJ $9.77 UNASYN 3GM INJ $18.60 UNCLASSIFIED DRUGS J3490 $99.99 UNCUFF DIC FENEST TRACH 6MM ID A4624 $35.01 UNCUFF DIC FENEST TRACH 7MM ID A4624 $35.01 UNCUFF DIC FENEST TRACH 8MM ID A4624 $34.62 UNCUFF DIC FENEST TRACH 9MM ID A4624 $35.91 UNCUFF DIC FENESTRATED TRACH A4624 $34.67 UNI FUSE CATH 4.3FR 135CM X 20CM C1752 $204.00 UNI FUSE CATH 4.3FR X135CMX10CM C1752 $204.00 UNI FUSE CATH 4.3FR X90CMX20CM C1757 $291.00 UNI FUSE CATH 5FR 135CM X 40CM C1757 $418.50 UNI FUSE INFUSION CATH C1714 $418.50 UNI TAPER BURR C1713 $172.50 UNI/LTD D SCAN EXT VEIN 93971 $288.95 UNILATERAL PULMONARY ANGIO 75741 $7,144.43 UNIPHYL 400MG TAB $1.28 UNIPOL HIP; FRACTR STEM & UNIPOLAR HEAD C1776 $3,013.13 UNIPOLAR ADAPTER $1,282.50 UNISTEP PLUS 10X39X75 6F C1876 $1,761.00 UNITRAX ENDO 49MM HEAD COMPONENT C1776 $960.30 UNITRAX MODULAR ENDO HEAD 53MM C1776 $960.30 UNITRAX V40 TAPER SLEEVE +4MM C1776 $75.00 UNIV HEAD 46MM BIPOLAR C1776 $1,050.00 UNIVERSAL ACE SCREWS C1713 $138.60 UNIVERSAL DISTAL CEMENT SPACER C1776 $148.50 UNIVERSAL STOPCOCK LUER LOCK C1713 $255.00 UNLIST AB MUSCULOSKELETAL OP 22999 $555.94 UNLIST CRANIOFCL/MAXILLOFCL PR 21299 $524.99 UNLIST DX GASTROENTEROLOGY PRO 91299 $356.66 UNLIST LAP PROC OVIDUCT/OVARY 58679 $12,461.42 UNLIST LAPAROSCOPY LYMPHATIC 38589 $12,461.42 UNLIST LAPROSCOPY BILIARY TRAC 47579 $12,461.42 UNLIST LAPROSCOPY PROC SPERMA 55559 $12,461.42 UNLIST MUSCULOSKELETAL OP 20999 $555.94 UNLIST NEURO/NEUROMUSC DX PROC 95999 $356.66 UNLIST OTORHINOLARYNGOLOG SERV 92700 $59.25 UNLIST PROC FEMALE GENITAL SYS 58999 $428.08 UNLIST PROC HEMIC OR LYMPHATIC 38999 $1,000.38 UNLIST PROC INNER EAR 69949 $524.99 UNLIST PROC INTESTINE 44799 $2,026.11 UNLIST PROC LARYNX 31599 $524.99 UNLIST PROC NECK/THORAX 21899 $524.99 UNLIST PROC NERVOUS SYSTEM 64999 $674.85 UNLIST PROC PELVIS/HIP JOINT 27299 $555.94 UNLIST PROC SALIVRY GLNDS/DCT 42699 $524.99 UNLIST PROC STRAP/CAST 29799 $344.76 UNLIST PROC VESTIBULE OF MOUTH 40899 $524.99 UNLIST PROC; ENDOCRINE SYSTEM 60699 $12,461.42 UNLIST PROC; PHARYNX/ADENOIDS/ 42999 $524.99 UNLIST PROC; TONGUE/FLR MOUTH 41599 $524.99 UNLIST PROC;EXC PRESSURE ULCER 15999 $1,572.63 UNLIST PROC;HUMERUS/ELBOW 24999 $555.94 UNLIST PROCEDURE FEMUR OR KNEE 27599 $555.94 UNLIST VACCINE/TOXOID 90749 $109.99 UNLIST VACCINE/TOXOID CLINIC 90749 $99.99 UNLISTD PROC SKIN MM/SUBQ TIS 17999 $450.45 UNLISTD PROC; HANDS/FINGERS 26989 $555.94 UNLISTD PROC; SKIN MM & SQ TIS 17999 $450.45 UNLISTD PROC; STRAP/CAST 29799 $344.76 UNLISTED BILIARY TRACT PROCEDU 47999 $2,026.11 UNLISTED CARDIOVASCULAR SERV/P 93799 $356.66 UNLISTED CHEMOTHERAPY PROCEDUR 96549 $106.73 UNLISTED CYTOGENETIC STUDY 88299 $127.53 UNLISTED CYTOLOGY PROCEDURE 88199 $127.53 UNLISTED DIALYSIS PROC INPT/OUTPT 90999 $0.99 UNLISTED DX RAD PROC 76499 $205.74 UNLISTED FLUORO 76496 $205.74 UNLISTED HYSTEROSCOPY PROC 58579 $428.08 UNLISTED INJECTION 96379 $106.73 UNLISTED LAP PROC ABD/PERIT/OM 49329 $12,461.42 UNLISTED LAP PROC; UTERUS 58578 $12,461.42 UNLISTED LAPRO HERNIA PROC 49659 $12,461.42 UNLISTED MISC PATH TEST 89240 $127.53 UNLISTED MODALITY 97039 $143.88 UNLISTED MUSCULOSKELETAL PROC 21499 $524.99 UNLISTED NUC. THERAPY RADIOPAR 79999 $612.04 UNLISTED OPHTH SERV/PROC 92499 $50.36 UNLISTED PROC - FOREARM /WRIST 25999 $555.94 UNLISTED PROC ABD/PERIT/OMENTU 49999 $2,026.11 UNLISTED PROC ACCESSORY SINUS 31299 $524.99 UNLISTED PROC ANT SEGMT EYE 66999 $5,212.42 UNLISTED PROC ARTHROSCPY 29999 $555.94 UNLISTED PROC BREAST 19499 $7,810.24 UNLISTED PROC CONJUCTIVA 68399 $697.33 UNLISTED PROC DENTOALVEOLAR ST 41899 $524.99 UNLISTED PROC FEMALE GENITAL S 58999 $428.08 UNLISTED PROC HANDS OR FINGERS 26989 $555.94 UNLISTED PROC INNER EAR 69949 $524.99 UNLISTED PROC LEG OR ANKLE 27899 $555.94 UNLISTED PROC MATERN CARE & DE 59899 $428.08 UNLISTED PROC MIDDLE EAR 69799 $524.99 UNLISTED PROC OUTER EAR 69399 $524.99 UNLISTED PROC SKIN MM & SQ TIS 17999 $450.45 UNLISTED PROC SPINE 22899 $555.94 UNLISTED PROC TRACHEA/BRONCHI 31899 $403.61 UNLISTED PROC; FOOT OR TOE 28899 $555.94 UNLISTED PROC; NOSE 30999 $524.99 UNLISTED PROC;ANUS 46999 $1,969.31 UNLISTED PROC;TONGUE/FLR OF MO 41599 $524.99 UNLISTED PROCEDURE EYELIDS 67999 $697.33 UNLISTED PROCEDURE NOSE 30999 $524.99 UNLISTED PROCEDURE STOMACH 43999 $2,026.35 UNLISTED PROCEDURE;RECTUM 45999 $1,969.31 UNLISTED PROCEDURE-MALE GENITA 55899 $605.57 UNLISTED PULM SERV/PROC 94799 $356.66 UNLISTED REHAB MODALITY 97039 $143.88 UNLISTED SURGICAL PATHOLOGY 88399 $127.53 UNLISTED THERAP/PROPHYLACTIC/D 96379 $106.73 UNLISTED THERAPEUTIC REHAB 97139 $148.24 UNLISTED ULTRASOUND PROC 76999 $205.74 UNLISTED VASC PROCEDURE 37799 $1,625.47 UNNA BOOT APPLICATION 29580 $344.76 UNNA BOOT UNILATERAL 29580 $344.76 UNSATURATED IRON BINDING CAPAC 83550 $21.36 Unscheduled dressing change D4920 $94.00 Unspec fixed prosth proced B/R D6999 $175.00 UNSPEC ORAL DOSE FORM CHEMO ANTI-EMET Q0181 $99.99 UNSPEC ORTHODONTIC PROCEDURE D8999 $225.50 Unspecified TMD therapy, B/R D7899 $280.00 UPGRADE IMPL PACEMKR SYST 1 TO 33214 $26,429.74 UPPER EXT./BRACHIAL PLEXUS MRI 73219 $984.43 UPPER EXT/BRACHIAL PLEXUS MRI 73218 $600.78 UPPER EXT/BRACHIAL PLEXUS MRI 73220 $984.43 UPPER EXTREM NON-JOINT MRI W&W 73220 $984.43 UPPER EXTREMITTY JOINT WITHOU 73221 $600.78 UPPER EXTREMITY CT W&W/O CONTR 73202 $469.77 UPPER EXTREMITY CT WITH CONTRA 73201 $984.43 UPPER EXTREMITY CT WITHOUT CON 73200 $288.95 UPPER EXTREMITY JOINT MRI W OR 73223 $984.43 UPPER EXTREMITY JOINT MRI W/ 73222 $1,755.16 UPPER EXTREMITY MRA W OR W/O C 73225 $1,100.00 UPPER EXTREMITY NON-JOINT MRI 73218 $600.78 UPPER EXTREMITY NON-JOINT MRI 73219 $984.43 UPPER GASTROINTESTINAL TRACT 74240 $469.77 UPPER GASTROINTESTINAL TRACT / 74240 $77.00 UPPER GASTROINTESTINAL TRACT/A 74246 $469.77 UPPER GASTROINTESTINAL/DELAY F 74246 $132.00 UPPER PARTIAL ACRYLIC D5211 $1,050.00 UPPER PARTIAL-CAST BASE D5213 $1,190.00 UR. VOL. MEASUREMENT 81050 $8.01 UREA NITROG UR RAN 84540 $12.23 UREA NITROG UR TV 84540 $12.23 UREA NITROGEN 84520 $9.66 UREA NITROGEN BF 84540 $12.23 UREA NITROGEN FL 84520 $9.66 UREA NITROGEN URINE 84520 $9.66 UREA NITROGEN; QUANTITATIVE 84520 $9.66 URECHOLIN 10 MG TAB $1.73 URET ENDO VIA URETOTMY;W URET 50972 $7,781.86 URETER ACCSS SHEATH 15FRX36CM C1894 $772.44 URETER ACESS CATH OPENEND 10BX C1758 $166.05 URETER ENDO THRU EST URETEROST 50951 $7,781.86 URETERAL BALLOON DILATORS C1727 $475.50 URETERAL CATH, OPEN END; 6FR C1758 $166.05 URETERAL DILATION RETROGRADE 52352 $7,781.86 URETERAL ENDOSCOPY WITH REMOVA 50961 $10,909.23 URETERAL FB/ CALCULUS REMOVAL 50980 $10,909.23 URETERAL REFLUX STUDY 78740 $949.04 URETERAL STENT 4.8FR CLOSED TIP 22CM C2617 $127.50 URETERIC EMBOLIZATIONON FOR VI 50955 $10,909.23 URETERONEOCYSTOSTOMY;SNG URET 50780 $2,428.38 URETEROTOMY INSRT STENT ALL TY 50605 $2,163.96 URETH CATH W/WHISTLE TIP 10/CS C1758 $130.50 URETH STRICT DILAT BY SOUND; M 53600 $605.57 URETH TRANSBURA SLING W/NEEDLE C2618 $1,117.50 URETHAL CATH TRAY $2.48 URETHMEATOPLASTY W MUC ADV 53450 $7,781.86 URETHOTOMY/URETHROSTOMY;EXT PE 53000 $4,567.09 URETHPLSTY;1STG RECNSTR MALE A 53410 $10,909.23 URETHRAL DILATION (INITIAL) 53660 $356.66 URETHRAL DILATION (REPEAT) 53661 $281.09 URETHRAL PRESS PROFILE STUDIES 51729 $1,434.75 URETHRL CATHETER, 6FR C1758 $130.50 URETHROCYSTOGRAPHY RETROGRADE- 74450 $600.78 URETHROCYSTOGRAPHY/VCU 74455 $600.78 URETHROMEATOPL W PART EXC URET 53460 $7,781.86 URETHROPLASTY; 2ND STAGE INCL 53405 $10,909.23 URETHROPLASTYTHRA 53400 $10,909.23 URIC ACID 84550 $11.04 URIC ACID BF 84560 $11.59 URIC ACID BODY FLUID 84560 $11.59 URIC ACID UR RANDOM 84560 $11.59 URIC ACID UR TV 84560 $11.59 URIC ACID URINE 82570 $12.65 URIN BLADDER RESIDUAL STUDY 78730 $55.00 URINALYSIS BY DIP STICK 81003 $5.48 URINALYSIS COMPLETE 81001 $7.74 URINALYSIS DIPSTICK 81003 $5.48 URINALYSIS MICROSCOP ONLY 81015 $7.46 URINALYSIS MICROSCOPIC 81015 $7.46 URINALYSIS MICROSCOPIC ONLY 81015 $7.46 URINALYSIS ROUTINE 81003 $5.48 URINALYSIS ROUTINE ; W/O MICR 81003 $5.48 URINARY PROSTHESIS C1815 $5,017.50 URINE CULTURE 87086 $19.73 URINE DRUG SCREEN 80307 $142.23 URINE ELECTROPHORES 84165 $26.25 URINE FOR O & P 87177 $21.76 URINE IMMUNOELECTRO 86325 $54.67 URINE MYOGLOBIN 83874 $31.57 URINE PHOSPHATE 84105 $12.72 URINE PREGNANCY VISUAL COLOR 81025 $18.94 URINE PROT ELECTR 82570 $12.65 URINE SCREEN 81007 $65.96 URINE TOTAL PROTEIN 84156 $8.95 URINEMETER A4357 $8.49 UROBILINOGEN 84578 $9.83 UROBILINOGEN ; QUALITATIVE 84578 $9.83 UROBILINOGEN URINE $5.34 UROFLOWMETRY;COMPLEX 51741 $356.66 UROGRAM/IVP 74425 $984.43 UROGRAPHY DRIP&/BOLUS; W/NEPHR 74415 $469.77 UROGRAPHY INFUSION DRIP &/ BOL 74410 $469.77 UROGRAPHY IV W/WO KUB W/WO TOM 74400 $469.77 UROGRAPHY RETROGRADE W/WO KUB 74420 $984.43 UROLOK II ADAPTOR A4300 $221.40 UROMAX 24F BALL DILAT CATH KIT C1726 $389.91 UROMAX ULTRA BAL DILATA CATH C1725 $475.50 URSODIOL 25MG/ML CHERRY SYRUP $1.96 URSODIOL 300MG CAP $2.70 URSTMY BAG 1-3/4 2PC A5073 $1.28 URSTMY BAG 2-1/4 2PC A5073 $1.28 URSTMY BAG 2-3/4 2PC A5073 $1.28 URTP TRNSPUB/PRNL; 1 STG REP 53415 $2,485.30 US GUID INTERST RADIOELEMENT A 76965 $198.00 US GUID INTRAOPERATIVE 76998 $146.88 US GUIDE TISSUE ABLATION 76940 $105.60 US GUIDE VASCULAR ACCESS 76937 $121.00 US GUIDED CVS 76945 $70.40 US GUIDS ASPIR OVA-IMAG S&I 76948 $82.25 US INFNT HIPS REAL TM; LTD ST 76886 $205.74 US PELV B-SCAN W/IMAG DOC; LTD 76857 $288.95 US PV RESIDUAL URINE 51798 $141.83 US XTR NON-VASC COMPLETE 76881 $288.95 US XTR NON-VASC LMTD 76882 $288.95 US; FETAL TRANSF/CORDOCNTESIS 76941 $85.80 US-ADB/PELVIS DUPLEX 93976 $288.95 US-AORTA IVC DUPLEX 93979 $288.95 USE 1ST TARGET LESION 76982 $288.95 USE EA ADDL TARGET LESION 76983 $315.98 USE PARENTHYMA 76981 $288.95 US-NEURO 76506 $288.95 UT DIAMND BALLOON CATH 7x2x75MM/6FR C1725 $317.52 UT DIAMOND 6X6X75 5FR C1725 $406.50 UT DIAMOND 6X6X75 5FR C1725 $406.50 UT DIAMOND BALLON CATH 7x2x75 C1725 $317.52 UT DIAMOND BALLON CATH 7X2X75 C1725 $406.50 UT DIAMOND BALLOON CATH 5X2 C1725 $406.50 UT DIAMOND BALLOON CATH 6X2 C1725 $324.00 UT DIAMOND BALLOON CATH 6X4 C1725 $324.00 UT DIAMOND BALLOON CATH 7X6 C1725 $406.50 UTERINE EVAC & CURETTAGE HYDRA 59870 $6,440.19 UVULECTOMY; EXC OF UVULA 42140 $6,752.59 V SEALER/DIVIDER FOR FORCTRIAD A4649 $703.10 V40 STANDARD TRIAL HEAD C1776 $214.50 V40 TAP BIOLOX DELTA CERMC HD C1713 $1,200.00 VAC NDL BLD COLLECTION 20X1/2 $0.12 Vacuum Curette flex tip 8mm C1713 $6.90 VAG DELIVERY ONLY 59409 $6,083.88 VAG HYST W/VAGTMY ENTEROCLE RP 58280 $2,320.56 VAG HYSTERCTMY W/ENTEROCELE RP 58263 $11,012.14 VAG HYSTERCTMY;UTERUS 2503YR W/MD SKILL-SEP PRO 36410 $20.57 VENIPUNCT >3 YR W/MD SKILL-SEP 36410 $20.57 VENIPUNCTURE (FINGER HEEL EA 36416 $10.68 VENIPUNCTURE < 3 YR; OTHER VEI 36406 $19.29 VENIPUNCTURE ROUTINE 36415 $7.19 VENIPUNCTURE RTINE 36415 $7.19 VENIPUNCTURE UNDER 3 36400 $41.45 VENIPUNCTURE->3 YRS OLD 36410 $20.57 VENLAFAXINE (EFFEXOR) 25MG TAB $1.89 VENLAFAXINE (EFFEXOR) 37.5MG UD TAB $1.92 VENLAFAXINE (EFFEXOR) 50MG TAB $2.05 VENLAFAXINE (EFFEXOR) 75MG TAB J3490 $2.02 VENLAFAXINE HCL 37.5MG $3.31 VENLAFAXINE HCL 75MG $3.56 VENLAFAXINE-XR 150MG CAP J3490 $48.45 VENO GRAM KIDNEY 75831 $7,144.43 VENOGRAM BILATERAL EXTREMITY 75822 $4,205.10 VENOGRAM UNILATERAL EXTREMITY 75820 $1,625.47 VENOGRAPHY EPIDURAL-RAD S & I 75872 $1,625.47 VENOGRAPHY ORBITAL-RAD S & I 75880 $1,625.47 VENOGRAPHY RENAL BILAT SELECT- 75833 $7,144.43 VENOGRAPHY RENAL UNILAT 75831 $7,144.43 VENOGRAPHY SINUS/JUGULAR CATH- 75860 $7,144.43 VENOGRPHY ADRENAL UNI SEL-S&I 75840 $7,144.43 VENOUS ANASTOM; PORTOCAVAL 37140 $5,037.98 VENOUS CATH PLACE / PEDS >2 YR 36556 $4,205.10 VENOUS CATH REPOSITIONING OF P 36597 $4,205.10 VENOUS CATH SELECT ORGAN BLD S 36500 $398.55 VENOUS CATHETER PLACEMENT / PE 36556 $4,205.10 VENOUS CATHETER PLACEMENT <5 Y 36555 $4,205.10 VENOUS CATHETER REMOVAL 36589 $1,625.47 VENOUS MECH THROMBECTOMY 37187 $12,771.31 VENOUS MECH THROMBECTOMY; ADD 37188 $7,144.43 VENOUS MICROPUNCT INTRO SET; 4FR C1894 $45.36 VENOUS SAMPL-CATH W/WO ANGIO-S 75893 $11,849.09 VENOUS THROMBOSIS IMAGES BILAT 78458 $949.04 VENOUS THROMBOSIS IMAGING UNIL 78457 $3,279.74 VENT LEAD C1900 $912.81 VENT MGMT INPAT SUBQ DAY 94003 $1,197.57 VENT MGMT INPT INIT DAY 94002 $1,197.57 VENTIL ASSIST&MGMT-DAY 1 94002 $1,197.57 VENTILATING TUBE REMOVAL 69424 $6,752.59 VENTILATION ASSIST & MGMT; 1ST 94002 $1,197.57 VENTILATION ASSIST & MGMT; SUB 94004 $116.68 VENTOLIN HFA 90 MCG, INHALER J3535 $2.17 VENTOLIN/PROVENTIL INHAL $36.91 VENTRALEX HERNIA PATCH MD BARD C1781 $1,005.75 VENTRALGHT ELLIPSE MESH SURG C1781 $4,228.20 VENTRALIGHT MESH ST 8X10" C1781 $4,074.45 VENTRALIGHT ST MESH WITH ECHO C1781 $2,567.70 VENTRICULAR LEAD M/N 1246T/58 $2,800.00 VENTRICULAR LEAD NOVUS FIX C1900 $967.50 VENTRICULOST KIT GHAJAR GUIDE C1713 $898.50 VENTRICULR PUNCTURE W/ INJECTN 61026 $1,611.39 VENTRIO ST LG OVAL MESH SURG C1781 $2,444.70 VENTRIO ST MED OVAL 11X4CM C1781 $1,960.35 VENTRIO ST MESH MIDLINE OVAL C1781 $3,828.45 VENTRIO ST MESH XL OVAL C1781 $3,836.10 VENTRL RECTANGULAR MESH 12X14" C1781 $5,319.75 VEP TESTING CNS-CHECKERBOARD/F 95930 $356.66 VEP TSTNG CNTRL NRVS SYSTM CHC 95930 $356.66 VERAOAMIL SR 180MG/24 HOUR $3.26 VERAPAMIL 40 MG TAB $1.19 VERAPAMIL HCL 120MG J3490 $0.70 VERAPAMIL HCL 2.5MG/ML INJ J3490 $3.47 VERAPAMIL HCL 240MG SA J3490 $1.34 VERAPAMIL HCL 80MG $0.43 VERAPAMIL SR 120 MG TAB J3490 $1.10 VERAPAMIL SR 120MG/24 HOUR $1.37 VERAPAMIL SR 180 MG TAB J3490 $2.85 VERAPAMIL-ASSAY (CALAN) 80299 $41.01 VERAPMIL HCL 5MG/2ML INJ J3490 $54.96 VERIFLEX LIBRTE BARE CORNRY METAL STENT C1876 $1,425.00 Vertical bitewings-7 to 8 films D0277 $70.00 VESSEL MAP HEMODIALYSIS ACCESS G0365 $315.98 VEST THERAPY 94640 $474.25 VESTIBULAR NRV SECT; TRANSLABY 69915 $6,752.59 VESTIBULE SIMPLE 40800 $1,572.63 VESTIBULOPLASTY D7340 $2,699.00 VESTIBULOPLASTY D7350 $8,434.00 VESTIBULOPLASTY; COMPLEX 40845 $12,504.78 VESTIVULE COMPLEX 40801 $1,138.76 VIAGRA (SILDENAFIL) 25 MG TAB $28.95 VIBRAMYCIN 100MG INJ VIAL J3490 $17.49 VICRYL 0 CLOSE/CT-1 $2.88 VICRYL 2-0 CLOSE/CT-1 $2.82 VICRYL 3-0 CLOSE/CT-1 $2.85 VICRYL 3-0 G.I./SH $2.84 VICRYL 3-0 G.I./SH-1 $2.94 VICRYL 3-0 OB-GYN/V-34 $4.72 VICRYL 4-0 G.I./SH-1 $2.95 VICRYL 5-0 UROLOG/RB-1 $2.92 VICRYL PLUS RB1 VIOLET BRAIDED C1713 $89.66 VIDARABINE 3% EYE OINTMENT $32.25 VIDAZA (AZACITADINE) 100MG J9025 $1,545.04 VIDAZA (AZACITADINE) 1MG J9025 $15.45 VIDAZA 100MG. VIAL (FOR OPT CHEMO ONLY) $1,231.74 VIDEO-EEG 8 HOURS 95951 $2,602.91 VIII: CIEP 86327 $65.82 VINBLASTINE SULFATE, 1MG J9360 $11.37 VINCRISTINE SULFATE J9370 $16.24 VINCRISTINE SULFATE -1MG J9370 $30.36 VINCRISTINE SULFATE, 1MG J9370 $15.18 VINCRISTINE SULFATE;1 MG J9370 $75.90 VINORELBINE TARTRATE /10MG J9390 $66.00 VINORELBINE10MG/ML 1ML NAVLBNE $262.97 VIP BIPOLAR PACING CATH W/KIT C1751 $280.39 VIPER SHEATH 6FR INTRO CATH C1769 $112.50 VIPER2 STRAIGHT ROD 480MM COCR $1,143.00 VIR AB C.F.-PAIRED 86171 $24.46 VIR AB C.F.-SINGLE $17.39 VIR AB C.F.-SINGLE 86171 $24.46 VIR AB H INHIB-SING $33.57 VIR AB HEM INHIB-PAIR 86280 $20.02 VIR AB HEM INHIB-SINGLE 86280 $20.02 VIR ID HEMADS 87253 $49.39 VIR ID-IFA 87253 $49.39 VIR ID-IFA-VIR TYPG 87254 $47.81 VIR.AB-NEUTRAL-PAIR 86382 $41.34 VIR.AB-NEUTRAL-SINGLE 86382 $41.34 VIRAL CULTURE 87252 $63.73 VIRAL CULTURE 87252 $63.73 VIRAL ID-RAPID TEST 87400 $31.09 VIRAMUNE 200MG TAB $6.15 VIRAOPTIC 1% OPTH DROPS 7.5ML $96.58 VIRUS ISOL SHELL VIAL TECHN 87254 $47.81 VIRUS ISOLATE;TISSUE CULT INOC 87252 $63.73 VIRUS ISOLATION 87252 $63.73 VISCOSITY 85810 $28.53 VISCOSITY 85810 $28.53 VISIPAQUE 270MG/ML 100ML CONTR Q9966 $1.14 VISIPAQUE 320MGL/ML, 100ML Q9967 $2.80 VISIUAL REINFORCE AUDIOMETRY V 92579 $356.66 VISL FIELD EXAM UNI/BIL W/I&R; 92081 $373.87 VISTA FLEX STENT 10MM X 55MM $1,792.50 VISUAL ACUITY SCREEN; BILAT Q 99173 $54.50 VISUAL EVOKED RESP/DIOPSYS 95930 $356.66 VISUAL FIELD EXAM W/I&R; INTER 92082 $327.00 VISUAL FIELD:30-2 24-2 30/60-2 92083 $373.87 VISUAL REINFORCEMENT AUDIOMETR 92579 $356.66 VIT B12 UNSAT BIND CAP 82608 $35.00 VIT D 1 25 DI-HYDROXY 82652 $94.12 VIT D 25-HYDROXY 82306 $72.36 VIT D 25-HYDROXY LEVEL 82306 $72.36 VIT E ACETATE/H2O/GLY(EM)/DMC $10.75 VIT FOR MACULAR PUCKER 67041 $9,843.75 VIT FOR MEMBRANE DISSECT 67043 $9,843.75 VITAL CAPACITY TOT (SEPART PRO 94150 $356.66 VITAMIN A 84590 $28.38 VITAMIN A 10000IU CAPSULE $0.03 VITAMIN A 25000 U CAP $0.65 VITAMIN A 50000 U CAP $14.55 VITAMIN A 5KU/0.1ML DROP $1.62 VITAMIN A LEVEL 84590 $28.38 VITAMIN ADEK ORAL SOLUTION $24.52 VITAMIN B COMPLEX $0.05 VITAMIN B1 100MG TAB J3420 $0.23 VITAMIN B1 100MG/ML INJ 1ML J3420 $8.52 VITAMIN B-1(THIAMIN) 84425 $51.90 VITAMIN B-12 82607 $36.85 VITAMIN B12 100MCG/ML INJECTIO J3420 $18.26 VITAMIN B-6 50MG TAB J3420 $0.23 VITAMIN B6 LEVEL 84207 $68.68 VITAMIN C 250MG TAB $0.21 VITAMIN C 250MG/ML IV 2ML AMP $2.98 VITAMIN C 500MG TAB J3490 $0.27 VITAMIN C LEVEL 82180 $24.16 VITAMIN C SYRUP 500MG/5ML PO $0.67 VITAMIN D 400 MG. PO (FOR SCC ONLY) $0.55 VITAMIN E 100 UNIT CAPSULE $1.52 VITAMIN E 200 IU CAP $0.04 VITAMIN E 400 IU CAP $0.30 VITAMIN E LEVEL 84446 $34.65 VITAMIN E LEVEL 84446 $34.65 VITAMIN K 84597 $33.53 VITAMINS A AND D J3490 $0.74 VITAMINS A,C,AND D $9.15 VIT-B6 INJ 100MG/ML 1ML VIAL J2590 $12.22 VITOSS BLOCKS 10CC C9359 $862.50 VITOSS MICROMORSEL C9359 $1,327.50 VITRASE 200 UNITS/ML J3471 $47.94 VITRECTOMY CUSTOM PACK 3/CS C1780 $590.90 VITRECTOMY FOR MACULAR HOLE 67042 $9,843.75 VITRECTOMY MECH PARS PLANA APP 67036 $9,843.75 VITRECTOMY MECH; W/FOCAL ENDOL 67039 $9,843.75 VITRECTOMY MECH; W/PANRETINAL 67040 $9,843.75 VITRECTOMY PACK, 3BX (#9927-50) C1780 $1,772.69 VIVITROL $0.10 VLOC 180 ABS SUTURES C1713 $499.50 VLOC 180ABS 2-0GR 18 SUTRE C1713 $570.06 VMA (UR) 84585 $37.88 VMA 24 HOUR URINE 82570 $12.65 VOICE PROSTHESIS L8509 $390.75 VOIDING PRESSURE;BLADDER 51729 $1,434.75 VOLATILE SCREEN 84600 $39.31 VOLCANO EAGLE EYE/REVOLUTION C1753 $975.00 VOLCANO PRIME WIRE PRESTIGE C1769 $1,087.50 VOLMAX 4MG $1.96 VOLMDISCTRAINKITSYR/NEEDLE/DEV C2618 $5,325.00 VON WILLEBRAND ANTIGEN 85246 $56.08 VON WILLEBRAND FACTOR 85245 $56.08 VON WILLEBRAND FACTOR ASSAY 85730 $14.67 VORCONAZOLE IVPB $65.00 VORICONAZOLE 0.1MG/0.1ML $25.00 VORICONAZOLE 200MG (VFEND) VIA J3465 $82.68 VORICONAZOLE 200MG TAB $44.38 VORICONAZOLE 50MG (VFEND) TAB $11.12 VORTX COIL 2.5 X 3CM 3/BX $897.00 VORTX COIL 2.5 X 3CM 3/BX* C1713 $897.00 VSP ORTHOOGNATHIC BUNDLE RECON $1,902.38 VULVA COLPOSCOPY;W BX 56821 $697.93 VULVA COLPOSCOPY;W/BX 56821 $697.93 VULVECTOMY SIMPLE COMPLETE C 56625 $6,440.19 VULVECTOMY SIMPLE PARTIAL 56620 $6,440.19 VWF MULTIMER STUDIES 85247 $56.08 VYTORIN 10/10 MG. $3.48 VYTORIN 10/20 MG. $3.69 VYTORIN 10/40 MG. $4.18 VYTORIN 10/80 MG $4.57 VZ AB IGG (IF) 86787 $31.48 VZ AB IGM (EIA) 86787 $31.48 VZ AB IGM (IFA) 86787 $31.48 V-Z CSF AB 86171 $24.46 WADA ACTVT TST-HMSPHR FNCT INC 95958 $2,343.26 WALKER FOLDING ADJUSTBLE/FIX HEIGHT E0135 $67.50 WALL GRAFT 10X50 C1874 $2,925.00 WALL GRAFT 8X50 C1874 $2,925.00 WALL STENT 18 DIA 60 LENGTH C1876 $2,315.33 WALL STENT GUIDEWIRES $19.50 WALL STENT PL DELIVERY SYSTEMS C1874 $3,369.75 WALLGRAFT PKG T/B 10x50; 10FR C1874 $2,925.00 WALLGRAFT PKG T/B 8X50 9FR C1874 $2,925.00 WALLSTENT 6FR ENDO PROSTHES 6X59X135 C1876 $3,202.50 WALLSTENT 75CM 6FR 10X39 LENGTH C1876 $1,549.68 WALLSTENT ILIAC ENDOPRO 6FR 7X67MM C1876 $3,202.50 WALLSTENT ILIAC ENDOPRO 6FR 8X20MM C1876 $1,831.50 WALLSTENT ILIAC ENDOPRO 6FR 8X38MM C1876 $1,549.68 WALLSTNT ILIAC 6FR 10x20x75MM ENDOPRO C1876 $1,831.50 WARFARIN 0.5MG TABLET J3490 $1.08 WARFARIN 3MG TAB PO J3490 $1.26 WARFARIN 4MG TAB PO J3490 $1.16 WARFARIN 6MG TAB PO J3490 $0.38 WARFARIN 7.5MG J3490 $0.82 WASHED RED BLOOD CELLS UNIT P9022 $835.30 WASHER C1713 $103.27 WASHER 18MM C1713 $66.75 WASHER 2.5MM C1713 $66.75 WASHER FOR 6.5/8MM SCREWS C1713 $54.51 WASHER LOCK ULTRA POSITIONING C1713 $7.50 WASHER LOCK ULTRA POSITIONING $7.50 WASHER-CATEG 1 $162.19 WASHERS FOR PALTES C1713 $255.00 WASHING RBC CHARGE 86999 $59.25 WATER CHAN ADAPTER BLUE TUBING A4616 $237.00 WATER FOR INJECTION STERILE J3490 $0.60 WATER FOR IRRIGATION STERILE J3490 $1.38 WB TUMOR IMAGING 2 DAYS OR MOR 78804 $3,279.74 WCD DEVICE INTERROGATE 93292 $93.46 WEANING PARAMETERS 1 DAY 94003 $1,197.57 WEDGE EXC OF NAIL FOLD 11765 $823.72 WEDGE EXCISE OF SKIN FOR GROWT 11765 $823.72 WEDGE RESECT/BISECT OVARY UNI 58920 $17,282.03 WELLBUTERIN 75MG TAB J3490 $2.19 WELLBUTRIN 100MG TAB J3490 $2.93 WELLCOVORIN 50MG INJ VIAL J0640 $67.34 WET/DRY DRESSING 97602 $450.45 WET/DRY DRESSING 97602 $450.45 WHEELCHAIR MGMT EA 15 MIN 97542 $72.25 WHEELCHAIR MGMT TRAIN-1 UNIT 97542 $72.25 WHIRLPOOL 97022 $38.92 WHITAKER TEST INTRARENAL PRES 50396 $1,434.75 WHITE BLD CELL COUNT 85048 $6.20 WHITE PETROLATUM FOLILPACK J3490 $0.10 WHOLE BLD ATP RELEAS 85576 $54.80 WHOLE BLD VOL DETERM-SEP PLASM 78122 $1,216.78 WHOLE BLOOD FOR TRANSFUSION U P9010 $279.82 WHOLE GLOBE GROSS & MICRO 88309 $1,619.51 WIDENING DRILL 3MM C1713 $303.75 WIDENING DRILL 4MMVISTAFIX 3 C1713 $303.75 WILSON FRAME CRNK HNDLE W/TORQ $562.50 WIND CLOSURE USING ADHESIVE G0168 $40.55 WINDOWING OF CAST 29730 $344.76 WIRE FIX KIRSCHNER 1.25MMX5.9" C1713 $12.44 WIRE GUIDE CURVED ROSEN-CATEG 1 C1726 $348.81 WIRE GUIDE-CATEG 1 $281.32 WIRE INFUSION KATSEN-CATEG 1 $3,750.00 Wire Lead Wires C1713 $236.07 WIRE OLIVE-CATEG 1 $240.65 WKND PREP-PHERESIS 86999 $59.25 WND PREP F/N/H/F/G 100SQ CM 1% 15004 $1,281.35 WND PREP F/N/HF/G ADDL 100SQ 15005 $199.43 WND PREP T/A/L 100SQ CM OR 1% 15002 $4,183.48 WND REP INTMD FACE/MM;7.6-12.5 12054 $823.72 WND REP INTMD N/H/F/G;2.6-7.5 12042 $823.72 WND REP INTMD S/A/TR/EX;2.6-7. 12032 $823.72 WND REP INTMD;S/A/T/EXT 20-1-3 12036 $1,281.35 WORK HARDENING EACH ADDTL HR 97546 $218.00 WORK HARDENING FIRST 2 HRS 97545 $392.40 WORK HARDNING/CONDITNG ADD 2HR 97545 $392.40 WORK HARDNING/CONDITNG ADDN1HR 97546 $218.00 WOUND CARE WET TO DRY ENZYMATI 97602 $487.01 WOUND CLOSURE - ADHESIVE G0168 $66.52 WOUND CLOSURE BY ADHESIVE G0168 $40.55 WOUND CULTURE 87070 $21.05 WOUND VAC CHANGE < 50 CM 97605 $450.45 WOUND VAC CHANGE <50 CM 97605 $487.01 WOUND VAC CHANGE > 50 CM 97606 $895.91 WRIST AP / LAT 2 VIEWS 73100 $205.74 WRIST ARTHROPLASTY 25332 $7,057.23 WRIST COMPLETE 3+ VIEWS 73110 $205.74 WRIST SPLINT 29260 $86.20 WRIST SYNOVECTOMY-1 COMPARTM 25118 $3,494.24 WYCILLIN 1.2M UNITS TUBEX 2ML J2510 $7.15 WYCILLIN 2.4MU TUBEX 4ML J2510 $15.25 WYDASE 150U INJ 1 VIAL $15.94 X3 TIB BEARING INSRT 11MM SZ#5 C1776 $2,405.85 XALATAN 0.005% $42.77 XARELTO 10MG TABLET J3490 $7.25 XARELTO 15MG TABLET J3490 $7.21 XARELTO 20MG TABLET J3490 $6.80 XCELL PDT BALLOON W/FIBER OPTIC C1727 $2,175.00 XCELL PDT BALLOON W/FIBER OPTICS C1727 $2,175.00 XELODA 150MG TAB J8520 $5.12 XELODA 500MG TAB J8520 $12.64 XEROFOAM GZE 1X8 A6266 $1.17 XEROFOAM GZE 5X9 A6266 $1.03 XLIF DISP KIT $1,524.90 X-RAY EXAM ENTIRE SPI 1 VW 72081 $205.74 X-RAY EXAM ENTIRE SPI 2/3 VW 72082 $288.95 X-RAY EXAM ENTIRE SPI 4/5 VW 72083 $288.95 X-RAY EXAM ENTIRE SPI 6/> VW 72084 $288.95 X-RAY EXAM HIP UNI 1 VIEW 73501 $205.74 X-RAY EXAM HIP UNI 2-3 VIEWS 73502 $205.74 X-RAY EXAM HIP UNI 4/> VIEWS 73503 $288.95 X-RAY EXAM HIPS BI 2 VIEWS 73521 $288.95 X-RAY EXAM HIPS BI 3-4 VIEWS 73522 $288.95 X-RAY EXAM HIPS BI 5+ VIEWSS 73523 $288.95 X-RAY EXAM OF ARM INFANT 2+ VI 73092 $288.95 X-RAY EXAM OF FEMUR 1 73551 $205.74 X-RAY EXAM OF FEMUR 2+> 73552 $205.74 XRAY TESTES 78761 $949.04 XRAY-BARIUM SWALLOW 74230 $469.77 XRAY-L SPINE 2/3 VIEW 72100 $288.95 XTREME 5X200X130 PTA BALL CATH C1725 $600.00 XTREME 5X250X130 PTA BALL CATH C1725 $675.00 XTREME PTA BALL CATH OTW VASC C1725 $510.00 XTR-ORL POSTRIOR DENTL RADIOGRPH IMGE D0251 $39.00 XYCLOCAINE 2% ABBOJECT 5ML SYR $2.92 XYLOCAINE 0.5% INJ J2001 $3.72 XYLOCAINE 0.5% INJ 50ML VIAL $0.38 XYLOCAINE 1% INJ 30ML MDV J2001 $12.46 XYLOCAINE 2% 30ML TUBE J3490 $13.79 XYLOCAINE 2% EPIDURAL INJ 5ML J2001 $0.58 XYLOCAINE 2% INJ 30ML MDV J2001 $0.64 XYLOCAINE 2% VISCOUS SOL 100ML $3.57 XYLOCAINE 2GM CARD IV 50ML $0.17 XYLOCAINE 4% INJ 5ML AMP $6.13 XYLOCAINE 5% OINT 36GM TUBE J3490 $11.74 XYLOCAINE CARD 1GM IV 25ML $2.12 XYLOSE (BLOOD) 84620 $28.95 XYLOSE (UR) 84620 $28.95 XYLOSE ABSORPTION TEST 84620 $28.95 YAG LASER CAPSULOTOMY 66821 $1,306.87 YANKAU SUCTW/BULB TIP FLEX STR A4624 $33.00 YELLOW FEVER VACCINE LIVE-SUBQ CLINIC 90717 $371.34 YELLOW FEVER VACCINE LIVE-SUBQ USE 90717 $371.34 YERSINIA TITERS 86793 $32.23 YMESH SURG REPAR KIT COLPASSIT C1781 $1,982.48 YO SPECIFIC PCCA 86255 $29.46 YUTOPAR 15MG/ML INJ VIAL 10ML $10.43 ZAFIRLUKAST 10MG TAB $2.48 ZAFIRLUKAST 20MG TAB $3.79 ZALCITABINE 0.375MG TAB $2.52 ZALCITABINE 0.75MG TAB $3.15 ZANAFLEX 4MG TAB J3490 $1.56 ZANTAC 150MG TAB J3490 $1.00 ZANTAC 15MG/ML SYRUP J3490 $1.18 ZANTAC 50MG/2MLINJ 2ML VIAL $5.79 ZARONTIN 250MG/5ML SYRUP 480ML $7.26 ZAROXOLYN 10 MG TAB $2.57 ZARXIO (FILGRAST300MCG) per1mg Q5101 $1.02 ZARXIO (FILGRAST480MCG) per1mg Q5101 $1.02 ZEBRA GUIDEWIRE .035 STRD STRG C1713 $424.35 ZEBRA NITINOL GWIRE ANGLED FIX C1713 $711.08 ZEMURON 10MG/ML INJ 10 ML VIAL $51.00 ZENOX TIP BASKET-CATEG 1 $1,052.50 ZETAR SHAMPOO 180ML $16.23 ZIAGEN 300MG TABLET J3490 $8.96 ZICONOTIDE ACETATE, 1MCG J2278 $21.91 ZIDOVUDINE 100MG CAP $2.62 ZIDOVUDINE 10MG/ML INJ $5.78 ZIDOVUDINE 10MG/ML ORAL SYR $0.21 ZIDOVUDINE 10MG/ML SYRUP PO $0.25 ZIDOVUDINE 300MG TAB $7.96 ZIMMER ART FEM COMP SZ-E/F C1776 $2,062.09 ZIMMER LPS FLEX ART SURF C1776 $2,100.00 ZIMMON BILIARY STENT 7FR X 10CM C2617 $98.78 ZINC 84630 $27.83 ZINC 50MG TABLET $0.05 ZINC BLOOD 84630 $27.83 ZINC OXIDE OINT 20% $1.78 ZINC OXIDE PASTE 25% $1.10 ZINC SULFATE 220MG CAP PO $0.14 ZIP REPLACE GUIDEWIRE ANGL 5BX C1769 $317.41 ZIPRASIDONE 20MG CAP $6.78 ZIPRASIDONE 40MG CAP $6.34 ZIPRASIDONE 60MG CAP J3490 $5.67 ZIPRASIDONE 80MG CAP J3490 $6.46 ZIPRASIDONE MESY 20MG INJ J3486 $18.57 ZITHROMAX 100MG/5ML SUSP 15ML $7.23 ZITHROMAX 200MG/5ML SUSP 15ML $12.07 ZITHROMAX 600MG TAB $22.97 ZOFRAN 2MG/ML INJ 2ML VIAL $12.56 ZOFRAN 4MG IN 50 ML NS $25.00 ZOFRAN 8MG PO Q0162 $57.32 ZOFRAN ODT 8 MG PO Q0162 $0.23 ZOLIPEM 5MG TAB J3490 $2.15 ZOLOFT 100MG TAB $4.09 ZOLOFT 25MG TAB J3490 $2.86 ZOLOFT 50MG TAB J3490 $3.50 ZOLPIDEM 10MG TAB $3.05 ZOMETA 1MG INJECT J3489 $92.21 ZOMETA 4 MG. INJECTION $289.73 ZONISAMIDE 100MG CAP J3490 $2.62 ZONISAMIDE 25MG CAPS J3490 $0.41 ZOSYN 2.25GM ADDVANTAGE VIAL J2543 $12.98 ZOSYN 3.375GM ADDVANTAGE VIAL J2543 $19.24 ZOVIRAX 200MG CAP J3490 $2.17 ZOVIRAX 200MG/5ML SUSP J3490 $1.09 ZOVIRAX 5% OINT 15GM J3490 $25.04 ZOVIRAX 800MG TAB J3490 $6.00 ZUELZER BONE AWL STAINLSS STEE C1776 $333.65 ZUELZER BONE STAINLESS STEEL C1713 $333.65 ZYGOMATIC ARCH FX-CLOSED REDUCTION D7660 $1,810.00