McKenzie Health System

Category Item Number Item Description Item Standard Charge Ambulance 3400140 ACLS INTERCEPT$ 1,111.00 Ambulance 3400018 ADV LIFE SUPPORT ALS2$ 1,748.00 Ambulance 3411888 AMB MILES BEYOND NEAREST FACILITY$ 20.00 Ambulance 3400300 AMBULANCE INTERCEPT$ 391.00 Ambulance 3400066 AMBULANCE MILEAGE PER MILE$ 20.00 Ambulance 3455555 AMBULANCE SANCTIONED STANDBY$ 50.00 Ambulance 3400420 AMBULANCE WAITING TIME, PER 1/2 HR$ 75.00 Ambulance 3400033 BASE BASIC EMERGENCY$ 1,016.00 Ambulance 3400034 BASE BASIC NON-EMERG$ 635.00 Ambulance 3400157 BASE PARAMEDIC EMERGENCY$ 1,208.00 Ambulance 3400159 BASE PARAMEDIC NON-EMERGENCY$ 763.00 Ambulance 3400019 SPECIAL CARE TRANSPPORT SCT$ 2,064.00 Diagnostic Imaging 2477062 3D MAMMOGRAPHY DIAGNOSTIC BILATERAL+$ 150.00 Diagnostic Imaging 2477061 3D MAMMOGRAPHY DIAGNOSTIC UNILATERAL+$ 117.00 Diagnostic Imaging 2477063 3D MAMMOGRAPHY SCREENING+$ 201.00 Diagnostic Imaging 2403564 4 VIEW KNEE LEFT$ 160.00 Diagnostic Imaging 2473564 4 VIEW KNEE RIGHT$ 160.00 Diagnostic Imaging 2473312 ABD ACUTE 3VIEWS$ 182.00 Diagnostic Imaging 2473304 ABDOMEN 1 VIEW$ 97.00 Diagnostic Imaging 2473305 ABDOMEN 1 VIEW FREQ$ 97.00 Diagnostic Imaging 2474010 ABDOMEN 2 VIEW$ 145.00 Diagnostic Imaging 2474011 ABDOMEN 2 VIEW FREQ$ 145.00 Diagnostic Imaging 2472652 ACROMICOCLAVICULAR JOINT$ 145.00 Diagnostic Imaging 2473190 ANKLE 2 VIEW RT$ 121.00 Diagnostic Imaging 2473189 ANKLE 2 VIEW LT$ 121.00 Diagnostic Imaging 2473197 ANKLE 3 VIEW LT$ 125.00 Diagnostic Imaging 2473198 ANKLE 3 VIEW RT$ 125.00 Diagnostic Imaging 2473615 ARTHROGRAM ANKLE+$ 428.00 Diagnostic Imaging 2473580 ARTHROGRAM KNEE+$ 471.00 Diagnostic Imaging 2473040 ARTHROGRAM SHOULDER+$ 409.00 Diagnostic Imaging 2407311 ARTHROGRAM WRIST+$ 436.00 Diagnostic Imaging 2473445 BARIUM ENEMA$ 555.00 Diagnostic Imaging 2473452 BARIUM ENEMA AND AIR$ 869.00 Diagnostic Imaging 2475549 BONE AGE STUDIES$ 97.00 Diagnostic Imaging 2477080 BONE DENSITY AXIAL SKELETON$ 169.00 Diagnostic Imaging 2477081 BONE DENSITY PERIPHERAL EXTREMITY$ 115.00 Diagnostic Imaging 2475556 BONE LENGTH STUDIES$ 148.00 Diagnostic Imaging 2475572 BONE SURVEY$ 265.00 Diagnostic Imaging 2475580 BONE SURVEY INFANT$ 396.00 Diagnostic Imaging 2441138 BREAST LT SURG SPECIMEN$ 69.00 Diagnostic Imaging 2441137 BREAST RT SURG SPECIMEN$ 69.00 Diagnostic Imaging 2472058 CERV SPINE AP & LATERAL$ 94.00 Diagnostic Imaging 2472074 CERV SPINE COMPLETE$ 184.00 Diagnostic Imaging 2471019 CHEST 1V XRAY$ 93.00 Diagnostic Imaging 2471020 CHEST 1V XRAY FREQ$ 93.00 Diagnostic Imaging 2471027 CHEST 2 VIEW XRAY$ 114.00 Diagnostic Imaging 2471028 CHEST 2 VIEW XRAY FREQ$ 114.00 Diagnostic Imaging 2471035 CHEST 4 VIEW FLORO+$ 341.00 Diagnostic Imaging 2471037 CHEST 4 VIEW XRAY$ 171.00 Diagnostic Imaging 2473502 CHOLANGIOGRAM OR$ 233.00 Diagnostic Imaging 2472504 CLAVICLE LEFT$ 112.00 Diagnostic Imaging 2472505 CLAVICLE RIGHT$ 112.00 Diagnostic Imaging 2206377 CT 3D VITREA$ 479.00 Diagnostic Imaging 2206376 CT 3D WITH INTERPRETATION$ 154.00 Diagnostic Imaging 2204177 CT ABD & PELVIS W ORAL & IV CONTRAST+$ 2,051.00 Diagnostic Imaging 2204176 CT ABD & PELVIS W/ ORAL CONTRAST+$ 1,333.00 Diagnostic Imaging 2274178 CT ABD & PELVIS WITH & W/O CONTRAST+$ 2,326.00 Diagnostic Imaging 2274177 CT ABD & PELVIS WITH IV CONTRAST ONLY+$ 2,051.00 Diagnostic Imaging 2274176 CT ABD & PELVIS WITHOUT CONTRAST$ 1,333.00 Diagnostic Imaging 2245039 CT ABDOMEN W & W/O CONTRAST+$ 1,727.00 Diagnostic Imaging 2274160 CT ABDOMEN W ORAL & IV CONTRAST+$ 1,519.00 Diagnostic Imaging 2245021 CT ABDOMEN W/ IV CONTRAST ONLY+$ 1,519.00 Diagnostic Imaging 2274150 CT ABDOMEN W/ ORAL CONTRAST+$ 994.00 Diagnostic Imaging 2245013 CT ABDOMEN W/O CONTRAST$ 994.00 Diagnostic Imaging 2243018 CT CERV SP W/O CONTRAST$ 1,097.00 Diagnostic Imaging 2242127 CT CERV SP W/WO CONT+$ 1,779.00 Diagnostic Imaging 2243026 CT CERVICAL SPINE W/CONTRAST+$ 1,507.00 Diagnostic Imaging 2275989 CT GUIDANCE$ 809.00 Diagnostic Imaging 2241038 CT HEAD WITH & W/O CONTRAST+$ 1,269.00 Diagnostic Imaging 2241020 CT HEAD WITH CONTRAST+$ 1,070.00 Diagnostic Imaging 2241012 CT HEAD WO CONTRAST$ 770.00 Diagnostic Imaging 2275571 CT HEART W/O CONTRAST W QUANT EVAL$ 283.00 Diagnostic Imaging 2245022 CT IAC W/CONTRAST+$ 1,816.00 Diagnostic Imaging 2245024 CT IAC W/WO CONTRAST+$ 1,816.00 Diagnostic Imaging 2245023 CT IAC WITH CONTRAST$ 1,816.00 Diagnostic Imaging 2274080 CT IAC WO CONTRAST$ 980.00 Diagnostic Imaging 2208032 CT LOW DOSE LUNG CANCER SCREENING$ 428.00 Diagnostic Imaging 2273701 CT LOW EXT LT W CONT+$ 1,488.00 Diagnostic Imaging 2244057 CT LOW EXT LT W&W/O CONTRAST+$ 1,802.00 Diagnostic Imaging 2244058 CT LOW EXT RT W CONT+$ 1,488.00 Diagnostic Imaging 2244065 CT LOW EXT RT W/WO CON+$ 1,802.00 Diagnostic Imaging 2244041 CT LOWER EXT RT W/O CONTRAST+$ 1,072.00 Diagnostic Imaging 2244040 CT LOWER EXT LEFT W/O CONTRAST+$ 1,072.00 Diagnostic Imaging 2242143 CT LUMBAR SP W/WO CONT+$ 1,777.00 Diagnostic Imaging 2243067 CT LUMBAR SPINE W/CONTRAST+$ 1,505.00 Diagnostic Imaging 2243059 CT LUMBAR SPINE W/O CONTRAST$ 1,072.00 Diagnostic Imaging 2270482 CT MASTOIDS W & W/O CONTRAST+$ 1,982.00 Diagnostic Imaging 2270481 CT MASTOIDS W/CONTRAST+$ 1,816.00 Diagnostic Imaging 2270480 CT MASTOIDS W/O CONTRAST$ 1,170.00 Diagnostic Imaging 2241095 CT MAXILLOFACIAL W/WO+$ 1,354.00 Diagnostic Imaging 2241087 CT MAXILLOFACIAL W+$ 1,114.00 Diagnostic Imaging 2241079 CT MAXILLOFACIAL/SINUS W/O$ 924.00 Diagnostic Imaging 2277012 CT NEEDLE GUIDANCE$ 835.00 Diagnostic Imaging 2241061 CT ORBIT SELLA W& W/O CONTRAST+$ 1,982.00 Diagnostic Imaging 2241053 CT ORBIT W CONTRAST+$ 1,816.00 Diagnostic Imaging 2241046 CT ORBIT W/O CONTRAST$ 1,170.00 Diagnostic Imaging 2243091 CT PELVIS W & W/O CONTRAST+$ 1,713.00 Diagnostic Imaging 2243083 CT PELVIS W/ IV CONTRAST ONLY+$ 1,488.00 Diagnostic Imaging 2272193 CT PELVIS W/ ORAL & IV CONTRAST+$ 1,488.00 Diagnostic Imaging 2272192 CT PELVIS W/ ORAL CONTRAST+$ 967.00 Diagnostic Imaging 2243075 CT PELVIS W/O CONTRAST+$ 967.00 Diagnostic Imaging 2246094 CT SCOUT VIEW W/O$ 734.00 Diagnostic Imaging 2241111 CT SOFT TISSUE NECK W/CONTRAST+$ 1,554.00 Diagnostic Imaging 2241103 CT SOFT TISSUE NECK W/O CONTRAST$ 1,170.00 Diagnostic Imaging 2241129 CT SOFT TISSUE NECK W/WO+$ 1,830.00 Diagnostic Imaging 2242135 CT T SPINE W/WO CONT+$ 1,792.00 Diagnostic Imaging 2243042 CT THORACIC SPINE W/CONTRAST+$ 1,509.00 Diagnostic Imaging 2243034 CT THORACIC SPINE W/O CONTRAST$ 1,072.00 Diagnostic Imaging 2242028 CT THORAX W/CONTRAST+$ 1,510.00 Diagnostic Imaging 2242010 CT THORAX W/O CONTRAST$ 1,079.00 Diagnostic Imaging 2242036 CT THORAX W/WO CONTRAST+$ 1,810.00 Diagnostic Imaging 2244024 CT UPPER EXT LEFT W/CONTRAST+$ 1,466.00 Diagnostic Imaging 2244016 CT UPPER EXT LEFT W/O CONTRAST+$ 1,072.00 Diagnostic Imaging 2244032 CT UPPER EXT LEFT W/WO CONTRAST+$ 1,823.00 Diagnostic Imaging 2244025 CT UPPER EXT RIGHT W/CONTRAST+$ 1,466.00 Diagnostic Imaging 2244017 CT UPPER EXT RIGHT W/O CONTRAST+$ 1,072.00 Diagnostic Imaging 2244033 CT UPPER EXT RIGHT W/WO CONTRAST+$ 1,823.00 Diagnostic Imaging 2274175 CTA ABDOMEN W & W/O CONTRAST+$ 2,024.00 Diagnostic Imaging 2274174 CTA ABDOMEN/PELVIS W & W/O CONTRAST+$ 2,561.00 Diagnostic Imaging 2275635 CTA AORTO-ILIOFEMORAL RUNOFF+$ 2,351.00 Diagnostic Imaging 2270496 CTA HEAD W & W/O IV CONTRAST+$ 1,941.00 Diagnostic Imaging 2275574 CTA HEART ANGIOGRAPHY W 3D IMAGING+$ 1,573.00 Diagnostic Imaging 2275572 CTA HEART W CONTRAST W 3D TO EVAL+$ 1,258.00 Diagnostic Imaging 2275573 CTA HEART W CONTRAST W 3D W CONGENITAL+$ 1,610.00 Diagnostic Imaging 2273706 CTA LOWER EXTREMITY W/WO CONTRAST+$ 2,145.00 Diagnostic Imaging 2270498 CTA NECK W & W/O CONTRAST+$ 1,935.00 Diagnostic Imaging 2272191 CTA PELVIS W & W/O CONTRAST+$ 2,014.00 Diagnostic Imaging 2271275 CTA THORAX+$ 1,978.00 Diagnostic Imaging 2273206 CTA UPPER EXTREMITY+$ 2,145.00 Diagnostic Imaging 2473684 CYSTOGRAM+$ 156.00 Diagnostic Imaging 2400206 DIGITAL MAMM DIAGNOSTIC UNILATERAL$ 551.00 Diagnostic Imaging 2400204 DIGITAL MAMM DIAGNOSTIC BILATERAL$ 694.00 Diagnostic Imaging 2400202 DIGITAL MAMM SCREENING BILATERAL$ 344.00 Diagnostic Imaging 2103350 DOBUTAMINE STRESS ECHO+$ 1,181.00 Diagnostic Imaging 2593325 DOPPLER ECHO COLOR FLOW$ 135.00 Diagnostic Imaging 2593320 DOPPLER ECHO PULSED WAVE$ 289.00 Diagnostic Imaging 2193306 ECHOCARDIOGRAPHY$ 1,459.00 Diagnostic Imaging 2108929 ECHOCARDIOGRAPHY W/CONTRAST+$ 1,811.00 Diagnostic Imaging 2472751 ELBOW 2 VIEW LT$ 111.00 Diagnostic Imaging 2472752 ELBOW 2 VIEW RT$ 111.00 Diagnostic Imaging 2472769 ELBOW 3 VIEW LEFT$ 126.00 Diagnostic Imaging 2472770 ELBOW 3 VIEW RIGHT$ 126.00 Diagnostic Imaging 2473353 ESOPHAGUS+$ 363.00 Diagnostic Imaging 2470268 FACIAL BONES COMPLET$ 169.00 Diagnostic Imaging 2473552 FEMUR LEFT$ 133.00 Diagnostic Imaging 2403552 FEMUR RIGHT$ 133.00 Diagnostic Imaging 2475739 FINGERS XRAY LT$ 126.00 Diagnostic Imaging 2475740 FINGERS XRAY RT$ 126.00 Diagnostic Imaging 2475630 FISTULA STUDY+$ 229.00 Diagnostic Imaging 2477001 FLUORO GUIDANCE FOR CENTR VEN ACC$ 119.00 Diagnostic Imaging 2441194 FLUORO UP TO 1 HOUR$ 193.00 Diagnostic Imaging 2473222 FOOT 2 VIEW RIGHT$ 107.00 Diagnostic Imaging 2473221 FOOT 2V LEFT$ 107.00 Diagnostic Imaging 2473239 FOOT 3 VIEW LT$ 117.00 Diagnostic Imaging 2473240 FOOT 3 VIEW RT$ 117.00 Diagnostic Imaging 2472801 FOREARM XR DIAG LT$ 105.00 Diagnostic Imaging 2472802 FOREARM XR DIAG RT$ 105.00 Diagnostic Imaging 2476010 FOREIGN BODY, CHILD, NOSE TO RECTUM XRAY$ 107.00 Diagnostic Imaging 2473120 HAND 2 VIEW LEFT$ 107.00 Diagnostic Imaging 2473121 HAND 2 VIEW RIGHT$ 107.00 Diagnostic Imaging 2472918 HAND 3 VIEW LEFT$ 124.00 Diagnostic Imaging 2472919 HAND 3 VIEW RIGHT$ 124.00 Diagnostic Imaging 2403501 HIP 1 VIEW LT$ 120.00 Diagnostic Imaging 2413501 HIP 1 VIEW RT$ 120.00 Diagnostic Imaging 2483502 HIP 2 RT Wor w/o/PELVIS$ 169.00 Diagnostic Imaging 2403502 HIP 2 V LT Wor w/o/PELVIS$ 169.00 Diagnostic Imaging 2473521 HIP BILAT with or w/o pelvis$ 161.00 Diagnostic Imaging 2472702 HUMERUS 2 VIEWS LEFT$ 117.00 Diagnostic Imaging 2472703 HUMERUS 2 VIEWS RIGHT$ 117.00 Diagnostic Imaging 2473932 HYSTOSALPOGRAM COMP+$ 306.00 Diagnostic Imaging 2779337 I-123/100 UCI CAP NSA$ 280.00 Diagnostic Imaging 2496374 INJ IV PUSH SINGLE OR INITIAL$ 270.00 Diagnostic Imaging 2473635 IVP XRAY DIAG+$ 441.00 Diagnostic Imaging 2473106 KNEE 2V LEFT$ 125.00 Diagnostic Imaging 2473107 KNEE 2V RIGHT$ 125.00 Diagnostic Imaging 2473114 KNEE 3 VIEW LEFT$ 146.00 Diagnostic Imaging 2473115 KNEE 3 VIEW RIGHT$ 146.00 Diagnostic Imaging 2473171 LOWER EXT INFANT LT$ 113.00 Diagnostic Imaging 2473172 LOWER EXT INFANT RT$ 113.00 Diagnostic Imaging 2472020 LUMBAR SINGLE VIEW$ 91.00 Diagnostic Imaging 2472132 LUMBOSACRAL AP & LAT$ 144.00 Diagnostic Imaging 2472157 LUMBOSACRAL COMPLETE$ 200.00 Diagnostic Imaging 2419281 MAMM GUIDED WIRE LOCALIZATION$ 999.00 Diagnostic Imaging 2470151 MANDIBLE COMPLETE$ 155.00 Diagnostic Imaging 2470219 MASTOIDS COMPLETE$ 223.00 Diagnostic Imaging 2436410 MIDLINE CATHETER PLACEMENT+$ 103.00 Diagnostic Imaging 2470300 NASAL BONES COMPLETE$ 133.00 Diagnostic Imaging 2420206 NEEDLE BIOPSY OF MUSCLE ACCESS THRU SKIN$ 500.00 Diagnostic Imaging 2473759 NEPHROTOMOGRAM$ 556.00 Diagnostic Imaging 2778451 NM RESTING CARDIOLITE+$ 1,931.00 Diagnostic Imaging 2782787 NM BLOOD LOSS STUDY$ 1,970.00 Diagnostic Imaging 2778305 NM BONE IMAGING MULTIPL+$ 1,306.00 Diagnostic Imaging 2783157 NM BONE SCAN 3 PH TECHN+$ 1,957.00 Diagnostic Imaging 2783058 NM BONE SCAN LMTD+$ 1,306.00 Diagnostic Imaging 2783066 NM BONE SCAN WHOLE BODY+$ 1,426.00 Diagnostic Imaging 2783207 NM BONE SPECT+$ 1,292.00 Diagnostic Imaging 2778472 NM CARD BLD POOL/SGL ST$ 1,298.00 Diagnostic Imaging 2787406 NM CYSTOGRAM+$ 1,227.00 Diagnostic Imaging 2782647 NM GASTRIC EMPTY+$ 1,883.00 Diagnostic Imaging 2782621 NM GASTRO REFLUX+$ 1,378.00 Diagnostic Imaging 2778226 NM HEPATOBIL IMAG W/O FUNCTION$ 1,869.00 Diagnostic Imaging 2778227 NM HEPATOBIL IMAG WITH FUNCTION$ 2,036.00 Diagnostic Imaging 2787109 NM KIDNEY IMG SPEC+$ 1,131.00 Diagnostic Imaging 2778702 NM KIDNEY IMG W/VAS+$ 1,316.00 Diagnostic Imaging 2778708 NM KIDNEY IMG/W LASIX+$ 992.00 Diagnostic Imaging 2782019 NM LIVER IMAGING+$ 1,058.00 Diagnostic Imaging 2782050 NM LIVER IMG SPECT+$ 1,195.00 Diagnostic Imaging 2782027 NM LIVER IMG W/FLOW+$ 1,137.00 Diagnostic Imaging 2782159 NM LIVER/SPLEEN+$ 1,097.00 Diagnostic Imaging 2784031 NM MUGA HEART IMG+$ 1,298.00 Diagnostic Imaging 2784692 NM MYOCARDIAL IMAGING$ 1,280.00 Diagnostic Imaging 2780708 NM PARATHYROID IMG+$ 1,689.00 Diagnostic Imaging 2785806 NM PERFUSION LUNG IMAGING+$ 1,352.00 Diagnostic Imaging 2778582 NM PULM VENT (AEROSOL) & PERFUSION IMAG+$ 1,893.00 Diagnostic Imaging 2738792 NM SENTINEL NODE LOCALIZATION$ 492.00 Diagnostic Imaging 2778452 NM STRESS CARDIOL 1 DAY REST &MULTI STU+$ 2,671.00 Diagnostic Imaging 2748013 NM THYROID IMAGING+$ 1,073.00 Diagnostic Imaging 2778012 NM THYROID UPTAKE, SINGLE OR MULTIPLE+$ 444.00 Diagnostic Imaging 2255555 OFF-SITE CT SCAN$ 1,023.00 Diagnostic Imaging 2470030 ORBITS FOREIGN BODY DETECTION$ 113.00 Diagnostic Imaging 2473262 OSCALCIS LT$ 111.00 Diagnostic Imaging 2473263 OSCALCIS RT$ 111.00 Diagnostic Imaging 2473296 PATELLA LT$ 125.00 Diagnostic Imaging 2473297 PATELLA RT$ 125.00 Diagnostic Imaging 2403521 PELVIS & HIP BILAT, 2V MIN$ 161.00 Diagnostic Imaging 2472207 PELVIS AP ONLY$ 129.00 Diagnostic Imaging 2436573 PICC LINE INSERTION+$ 1,521.00 Diagnostic Imaging 2436584 PICC LINE REPLACEMENT+$ 490.00 Diagnostic Imaging 2473650 RETROGRADE+$ 544.00 Diagnostic Imaging 2471514 RIBS BIL 3 VIEWS$ 154.00 Diagnostic Imaging 2471111 RIBS BIL W PA CHEST$ 196.00 Diagnostic Imaging 2471101 RIBS UNI W PA CHEST LT$ 150.00 Diagnostic Imaging 2471102 RIBS UNI W PA CHEST RT$ 150.00 Diagnostic Imaging 2471506 RIBS UNILAT LT$ 136.00 Diagnostic Imaging 2471507 RIBS UNILAT RT$ 136.00 Diagnostic Imaging 2472272 SACRIOLIAC JOINTS$ 136.00 Diagnostic Imaging 2472280 SACRUM AND COCCYX$ 115.00 Diagnostic Imaging 2472553 SCAPULA XR DIAG LT$ 122.00 Diagnostic Imaging 2472554 SCAPULA XR DIAG RT$ 122.00 Diagnostic Imaging 2472080 SCOLIOSIS SURVEY/THORACOLUMBAR JUNCT$ 125.00 Diagnostic Imaging 2438792 SENTINEL NODE LOCALIZATION INJECTION$ 171.00 Diagnostic Imaging 2473020 SHOULDER 1 VIEW LT$ 94.00 Diagnostic Imaging 2473021 SHOULDER 1 VIEW RT$ 94.00 Diagnostic Imaging 2472611 SHOULDER COMP LEFT$ 118.00 Diagnostic Imaging 2472612 SHOULDER COMP RIGHT$ 118.00 Diagnostic Imaging 2470490 SINUSES LESS THAN 3$ 120.00 Diagnostic Imaging 2470508 SINUSES PARANSAL CO$ 154.00 Diagnostic Imaging 2470607 SKULL COMPLETE$ 189.00 Diagnostic Imaging 2470599 SKULL LESS THAN 4$ 148.00 Diagnostic Imaging 2473411 SMALL BOWEL ONLY$ 424.00 Diagnostic Imaging 2470771 SOFT TISS NECK XRAY$ 115.00 Diagnostic Imaging 2472120 SPINE XR BENDING VIEWS, 2 OR 3 VIEWS$ 164.00 Diagnostic Imaging 2471753 STERNACLAVICULAR JOINT$ 148.00 Diagnostic Imaging 2471704 STERNUM 2 VIEWS$ 176.00 Diagnostic Imaging 2193350 STRESS ECHO+$ 1,181.00 Diagnostic Imaging 2779303 TC99 CARDOLITE/DOSE$ 351.00 Diagnostic Imaging 2795130 TC99 CHOLETEC 15 MCI/DOSE$ 314.00 Diagnostic Imaging 2795159 TC99 DTPA 25 MCI/DOSE$ 357.00 Diagnostic Imaging 2730100 TC99 LABEL RBC 30 MCI/DOSE$ 465.00 Diagnostic Imaging 2795190 TC99M MAA 10 MCI/DOSE$ 404.00 Diagnostic Imaging 2779360 TC99M MDP 30 MCI/DOSE$ 336.00 Diagnostic Imaging 2779329 TC99M PER 1 MCI NSA$ 178.00 Diagnostic Imaging 2795201 TC99M SUL COLL 20 MCI/DOSE$ 841.00 Diagnostic Imaging 2470714 TEMPOROMANDIBULAR JOINT$ 192.00 Diagnostic Imaging 2472108 THORACIC SPINE AP AND LA$ 140.00 Diagnostic Imaging 2472116 THORACO /LUMBAR$ 125.00 Diagnostic Imaging 2473155 TIBIA AND FIBULA LT$ 116.00 Diagnostic Imaging 2473156 TIBIA AND FIBULA RT$ 116.00 Diagnostic Imaging 2475721 TOES XRAY LT$ 114.00 Diagnostic Imaging 2475722 TOES XRAY RT$ 114.00 Diagnostic Imaging 2593312 TRANSESOPHAGEAL ECHOCARDIOGRAPHY+$ 1,637.00 Diagnostic Imaging 2473387 UGI W/KUB+$ 482.00 Diagnostic Imaging 2473092 UPPER EXTR INF 2V XR LT$ 111.00 Diagnostic Imaging 2473093 UPPER EXTR INF 2V XR RT$ 111.00 Diagnostic Imaging 2473395 UPPER GI & SMALL BOWEL+$ 751.00 Diagnostic Imaging 2473403 UPPER GI AIR CONTRAST$ 521.00 Diagnostic Imaging 2474240 UPPER GI W/O AIR CONTRAST+$ 465.00 Diagnostic Imaging 2473718 URETH COMP RETROGRAD$ 334.00 Diagnostic Imaging 2576882 US SOFT TISSUE LIMITED RT$ 197.00 Diagnostic Imaging 2500389 US AAA SCREEN$ 613.00 Diagnostic Imaging 2549083 US ABD PARACENTESIS W IMAGING GUIDANCE$ 1,575.00 Diagnostic Imaging 2574302 US ABDOMEN COMPLETE$ 653.00 Diagnostic Imaging 2574260 US ABDOMEN LIMITED$ 487.00 Diagnostic Imaging 2593922 US ABI, EXTREMITY ARTERIAL STUDIES$ 471.00 Diagnostic Imaging 2593923 US ARTERIAL CUFF TEST$ 735.00 Diagnostic Imaging 2593925 US ARTERIAL DUPLEX BIL$ 1,007.00 Diagnostic Imaging 2593926 US ARTERIAL DUPLEX UNI LT$ 813.00 Diagnostic Imaging 2593927 US ARTERIAL DUPLEX UNI RT$ 813.00 Diagnostic Imaging 2570319 US BIOPHYSICAL W/O STRESS$ 478.00 Diagnostic Imaging 2570318 US BIOPHYSICAL W/STRESS$ 656.00 Diagnostic Imaging 2576041 US BREAST COMPLETE BILATERAL$ 574.00 Diagnostic Imaging 2576641 US BREAST COMPLETE LT$ 574.00 Diagnostic Imaging 2570641 US BREAST COMPLETE RT$ 574.00 Diagnostic Imaging 2419000 US BREAST CYST ASPIRATION W US GUIDANCE$ 242.00 Diagnostic Imaging 2576042 US BREAST LIMITED BILATERAL$ 473.00 Diagnostic Imaging 2576642 US BREAST LIMITED LT$ 473.00 Diagnostic Imaging 2570642 US BREAST LIMITED RT$ 473.00 Diagnostic Imaging 2598368 US CAROTID VERBR DUPLEX$ 1,014.00 Diagnostic Imaging 2593976 US DUPLEX RENAL ARTERIAL LTD STUDY$ 870.00 Diagnostic Imaging 2574519 US GUIDE NON TRANSCRIBE+$ 328.00 Diagnostic Imaging 2574518 US GUIDE TRANSCRIBED$ 328.00 Diagnostic Imaging 2576937 US GUIDE VASCULAR$ 169.00 Diagnostic Imaging 2519083 US GUIDED CORE BX BREAST+$ 3,567.00 Diagnostic Imaging 2510006 US GUIDED FINE NEEDLE ASPIR, EA ADDL$ 544.00 Diagnostic Imaging 2510005 US GUIDED FINE NEEDLE ASPIRATION$ 1,087.00 Diagnostic Imaging 2538505 US GUIDED LYMPH NODE CORE BIOPSY+$ 266.00 Diagnostic Imaging 2519285 US GUIDED NEEDLE LOCALIZATION$ 2,726.00 Diagnostic Imaging 2576885 US HIP LT$ 564.00 Diagnostic Imaging 2576886 US HIP RT$ 564.00 Diagnostic Imaging 2576801 US OB 1ST TRIM ABD+$ 660.00 Diagnostic Imaging 2576802 US OB 1ST TRIM ADD FETU$ 354.00 Diagnostic Imaging 2574385 US OB COMPLETE+$ 986.00 Diagnostic Imaging 2574377 US OB FOLLOW UP+$ 618.00 Diagnostic Imaging 2576812 US OB FUP EA ADD FETUS$ 1,112.00 Diagnostic Imaging 2574369 US OB LIMITED+$ 452.00 Diagnostic Imaging 2577817 US OB TRANS VAG$ 522.00 Diagnostic Imaging 2574351 US PELVIC COMPLETE$ 585.00 Diagnostic Imaging 2574278 US PELVIC LIMITED$ 258.00 Diagnostic Imaging 2577776 US PELVIC TRANSVAGINAL$ 650.00 Diagnostic Imaging 2510035 US PLACEMNT SOFT TISSUE LOCALIZATION DEV$ 1,093.00 Diagnostic Imaging 2576872 US PROSTATE TRANSRECTAL$ 502.00 Diagnostic Imaging 2576873 US PROSTATE TRANSRECTAL VOLUME STUDY$ 902.00 Diagnostic Imaging 2574294 US RETROPERITONEAL COMPLETE$ 604.00 Diagnostic Imaging 2574252 US RETROPERITONEAL LMTD$ 313.00 Diagnostic Imaging 2541228 US SCROTUM$ 363.00 Diagnostic Imaging 2593924 US SEGMENTAL PRESSURE WITH EXERCISE$ 1,018.00 Diagnostic Imaging 2576880 US SOFT TIS COMPLETE RIGHT$ 609.00 Diagnostic Imaging 2576883 US SOFT TIS LIMITED LEFT$ 197.00 Diagnostic Imaging 2576881 US SOFT TIS. COMPLET LEFT$ 609.00 Diagnostic Imaging 2576999 US SOFT TISSUE$ 372.00 Diagnostic Imaging 2576604 US SOFT TISSUE CHEST WALL$ 356.00 Diagnostic Imaging 2574039 US SOFT TISSUE HEAD/NECK/THYROID/PARATHY$ 617.00 Diagnostic Imaging 2593965 US VENOUS DUPL BIL$ 984.00 Diagnostic Imaging 2593971 US VENOUS DUPL UNI LT$ 640.00 Diagnostic Imaging 2593972 US VENOUS DUPL UNI RT$ 640.00 Diagnostic Imaging 2540000 VASCULAR SCREENING$ 55.00 Diagnostic Imaging 2472850 WRIST 2V XRAY LEFT$ 117.00 Diagnostic Imaging 2472851 WRIST 2V XRAY RIGHT$ 117.00 Diagnostic Imaging 2472868 WRIST 3 VIEW LEFT$ 145.00 Diagnostic Imaging 2472869 WRIST 3 VIEW RIGHT$ 145.00 ED Professional 3649082 ABD PARACENTESIS W/O IMAGING GUIDE$ 143.00 ED Professional 3649083 ABD PARACENTESIS WITH IMAGING GUIDE$ 209.00 ED Professional 3697810 ACUPUNCTURE, 1 OR MORE NEEDLE, 1ST 15MIN$ 58.00 ED Professional 3646600 ANOSCOPY DIAGNOSTIC, W or W/O SPECIMEN C$ 187.00 ED Professional 3629505 APP LONG LEG SPLINT (THIGH-ANKLE-TOES)$ 97.00 ED Professional 3629075 APPL CAST ELBOW TO FINGER (SHORT ARM)$ 90.00 ED Professional 3629130 APPL FINGER SPLINT, STATIC$ 55.00 ED Professional 3629345 APPL LONG LEG CAST (THIGH TO TOES)$ 193.00 ED Professional 3617250 APPLICATION OF CHEMICAL AGENT$ 71.00 ED Professional 3636620 ARTERIAL CATH OR CANNULATION$ 85.00 ED Professional 3636600 ARTERIAL PUNCTURE, BLOOD FOR DX$ 30.00 ED Professional 3620610 ARTHROCENT ASP&/OR INJ MAJOR JOINT/BURSA$ 67.00 ED Professional 3620605 ARTHROCENTESIS INTERMED JOINT OR BURSA$ 55.00 ED Professional 3620600 ARTHROCENTESIS/ASPIRATION/INJECT, SMALL$ 52.00 ED Professional 3620611 ASPIRATION/INJECT JOINT WITH US GUIDANCE$ 89.00 ED Professional 3699407 BEHAVIOR CHANGE INTERVENTION, >10 MIN$ 35.00 ED Professional 3699409 BEHAVIOR CHG INTERVENTION, INDIV, >30MIN$ 126.00 ED Professional 3651100 BLADDER ASPIRATION BY NEEDLE$ 75.00 ED Professional 3651102 BLADDER ASPIRATION W INSERT SUPRAPUB CAT$ 279.00 ED Professional 3616020 BURNS D&D PART THICK <5% INIT OR SUBS$ 105.00 ED Professional 3616000 BURNS INITIAL TX 1ST DEG LOCAL TX REQUIR$ 67.00 ED Professional 3616030 BURNS LARGE > 10%$ 259.00 ED Professional 3616025 BURNS MED 5-10%$ 214.00 ED Professional 3692950 CARDIOPULM RESUSCITATION/CARDIAC ARREST$ 356.00 ED Professional 3692960 CARDIOVERSION ELECTIVE ELECT CONV EXT$ 221.00 ED Professional 3628400 CL TX HEEL BONE FX$ 434.00 ED Professional 3628430 CL TX TALUS FX, W/O MANIPULATION$ 399.00 ED Professional 3640831 CLOS LAC VESTIBULE MOUTH, >2.5CM COMPLEX$ 436.00 ED Professional 3627840 CLOS TX ANKLE DISLOC W/O ANES$ 708.00 ED Professional 3628630 CLOS TX DISLOCATED FOOT BONE$ 210.00 ED Professional 3626755 CLOS TX DIST PHALANG FX W/MANIP EACH$ 519.00 ED Professional 3626750 CLOS TX DIST PHALANG FX W/O MANIP EACH$ 351.00 ED Professional 3627502 CLOS TX FEMORAL SHAFT W MANIP$ 1,455.00 ED Professional 3627268 CLOS TX FX UPPER PORTION/HEAD THIGH MANI$ 1,034.00 ED Professional 3626770 CLOS TX INTERPH JOINT DIS W/MAN W/O ANES$ 484.00 ED Professional 3628660 CLOS TX INTERPHAL JOINT DISLOC W/O ANES$ 169.00 ED Professional 3627520 CLOS TX KNEE CAP FX$ 562.00 ED Professional 3627760 CLOS TX MEDIAL MALLEOUS FX W/O MANIP$ 439.00 ED Professional 3626600 CLOS TX METACARPAL FX, SINGLE W/O MANIP$ 399.00 ED Professional 3628470 CLOS TX METATARSAL FRAC W/O MANIP EA$ 295.00 ED Professional 3621315 CLOS TX NASAL BONE FRACX W/O STABILITY$ 287.00 ED Professional 3621310 CLOS TX NASAL BONE FX W/O MANIPULATION$ 52.00 ED Professional 3627562 CLOS TX PATELLAR DISLOC W/ANESTHESIA$ 927.00 ED Professional 3627560 CLOS TX PATELLAR DISLOC W/O ANESTHESIA$ 639.00 ED Professional 3627786 CLOS TX PROXIMAL DISTAL FIB FX W/O MANIP$ 412.00 ED Professional 3627780 CLOS TX PROXIMAL FIB/SHAFT FX W/O MANIP$ 531.00 ED Professional 3624640 CLOS TX RAD HEAD SBLX CHILD ELBOW W/MAN$ 148.00 ED Professional 3625565 CLOS TX RADL & ULNAR SHAFT W/MANIP$ 888.00 ED Professional 3625535 CLOS TX ULNAR SHAFT FX W MANIPULATION$ 859.00 ED Professional 3625530 CLOS TX ULNAR SHAFT FX W/O MANIPULATION$ 452.00 ED Professional 3621480 CLOSED REDUCT JAW$ 61.00 ED Professional 3625630 CLOSED TX FX WRIST BONE$ 535.00 ED Professional 3625650 CLOSED TX ULNAR STYLOID FX$ 570.00 ED Professional 3627752 CLS TX BROKEN SHIN BONE$ 943.00 ED Professional 3623500 CLS TX CLAVICULAR W/MANIP$ 422.00 ED Professional 3626670 CLS TX DISLOCATED HAND BONE$ 588.00 ED Professional 3626700 CLS TX DISLOCATED HAND JOINT W MANIP$ 577.00 ED Professional 3625605 CLS TX DISTAL RADIAL FRACTURE W/MANIP$ 972.00 ED Professional 3625600 CLS TX DISTAL RADIAL FRACTURE W/O MANIP$ 448.00 ED Professional 3624600 CLS TX ELBOW DISLOCATION W/O ANESTHESIA$ 636.00 ED Professional 3628490 CLS TX FX GREAT TOE PHALANX W/O MANP$ 239.00 ED Professional 3628510 CLS TX FX PHALANX OR PHALANGES W/O MANP$ 229.00 ED Professional 3627818 CLS TX FX TRIMALLEOLAR ANKLE$ 826.00 ED Professional 3627824 CLS TX FX WEIGHT BEAR ART DIST TIBIA W/O$ 582.00 ED Professional 3627250 CLS TX HIP REPLMNT TRAUMA W/ANES$ 345.00 ED Professional 3624576 CLS TX HUMERAL CONDYLAR FX, W/O MANIPUL$ 582.00 ED Professional 3624505 CLS TX HUMERAL SHAFT W/MANIP$ 854.00 ED Professional 3624530 CLS TX HUMERUS FX W/O MANIP$ 657.00 ED Professional 3627550 CLS TX KNEE DISLOCATION W/O ANES$ 907.00 ED Professional 3626720 CLS TX PHANLANGEAL SHAFT FX, W/O MANIP$ 351.00 ED Professional 3627265 CLS TX POST HIP ARTHRO DISLOC W/O ANES$ 763.00 ED Professional 3623605 CLS TX PROX HUMERAL FX W/MANIP$ 808.00 ED Professional 3623600 CLS TX PROX HUMERAL FX W/O MANIPUL$ 444.00 ED Professional 3623650 CLS TX SHOULDER DISLOC W/O ANESTHESIA$ 549.00 ED Professional 3623655 CLS TX SHOULDER DISLOCATION W ANES$ 768.00 ED Professional 3624500 CLS TX UPPER ARM FX$ 622.00 ED Professional 3627808 CLSD TX BIMALLEOLAR ANKLE FX, W/O MANIP$ 571.00 ED Professional 3627788 CLSD TX BROKEN ANKLE WITH MANIPULATION$ 732.00 ED Professional 3626705 CLSD TX DISLOC HAND JT WITH MANIP & ANES$ 722.00 ED Professional 3624650 CLSD TX RADIAL HEAD or NECK FX; W/O MANI$ 346.00 ED Professional 3623675 CLSD TX SHOULDER DISLOCATION W MANIP$ 955.00 ED Professional 3627750 CLSD TX TIBAL SHAFT FX W/O MANIPULATION$ 606.00 ED Professional 3694770 CO2 EXP GAS DETERMINATION$ 14.00 ED Professional 3642960 CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE$ 323.00 ED Professional 3699291 CRITICAL CARE E&M 1ST 30-74 MINUTES$ 420.00 ED Professional 3699292 CRITICAL CARE E&M EA ADDTL 30 MINUTES$ 211.00 ED Professional 3611010 DEBRIDE REM FOREIGN MAT W/OPEN FX$ 546.00 ED Professional 3611042 DEBRIDE SKIN & SUBCUT TISSUE$ 119.00 ED Professional 3623545 DISLOCATION SHOULDER W MANIPULATION$ 591.00 ED Professional 3641800 DRAIN ABSC,CYST,HEMATO FR DENTOAL STRUCT$ 289.00 ED Professional 3640800 DRAINAGE ABSCESS/CYST/HEMATOMA MOUTH SIM$ 254.00 ED Professional 3669000 EAR DRAINAGE EXT ABSC/HEMATOMA SIMPLE$ 226.00 ED Professional 3631500 ENDOTRACHEAL INTUBATION ER PROCEDURE$ 271.00 ED Professional 3651702 ER INSERT TEMP CATH INDWELLING SIMPLE$ 50.00 ED Professional 3699281 ER PHYSICIAN 99281$ 40.00 ED Professional 3699282 ER PHYSICIAN 99282$ 78.00 ED Professional 3699283 ER PHYSICIAN 99283$ 117.00 ED Professional 3699284 ER PHYSICIAN 99284$ 221.00 ED Professional 3699285 ER PHYSICIAN 99285$ 326.00 ED Professional 3611740 EVACUATION OF SUBUNGAL HEMATOMA$ 47.00 ED Professional 3664402 FACIAL NERVE BLOCK$ 159.00 ED Professional 3610021 FNA W/O IMAGING GUIDANCE$ 101.00 ED Professional 3627810 FRACTURE &/OR DISLOC W/MANIP$ 805.00 ED Professional 3628515 FX/DISLOCATION W MANIPULATION, EACH$ 272.00 ED Professional 3691105 GASTRIC INTUBATION & ASPIRATION ER PHYS$ 42.00 ED Professional 3610061 I&D ABSCESS MULTIPLE OR COMPLEX$ 260.00 ED Professional 3646040 I&D ABSCESS, TRANSANAL, UNDER ANESTHESIA$ 799.00 ED Professional 3656420 I&D BARTHOLIN GLAND CYST$ 172.00 ED Professional 3626010 I&D FINGER SIMPLE$ 263.00 ED Professional 3610140 I&D HEMATOMA, SEROMA OR FLUID COLLECT$ 172.00 ED Professional 3655100 I&D OF SCROTAL WALL ABSCESS$ 321.00 ED Professional 3656405 I&D VULVA OR PERINEAL ABSCESS$ 205.00 ED Professional 3690471 IMMUNIZATION ADMN SINGLE VACCINE$ 29.00 ED Professional 3610060 INC&DRAIN ABCESS SIMPLE OR SINGLE$ 141.00 ED Professional 3610080 INC&DRAIN PILONIDAL CYST$ 148.00 ED Professional 3610121 INC&REM F/BODY SUBCUT TISSUES COMPLEX$ 354.00 ED Professional 3610120 INC&REM F/BODY SUBCUT TISSUES SIMPLE$ 198.00 ED Professional 3646050 INCISION & DRAINAGE PERIANAL ABSCESS$ 187.00 ED Professional 3610081 INCISION & DRAINAGE PILONIDAL CYST, COMP$ 246.00 ED Professional 3699220 INIT OBS DAY HIGH COMPLEXITY$ 286.00 ED Professional 3699218 INIT OBS DAY LOW COMPLEXITY$ 153.00 ED Professional 3699219 INIT OBS DAY MOD COMPLEXITY$ 209.00 ED Professional 3664455 INJ ANES AGENT COMMON DIGITAL NERVE$ 67.00 ED Professional 3664400 INJ ANES AGT TRIGEMINAL NERVE$ 138.00 ED Professional 3664405 INJ ANES GREATER OCCIPITAL NERVE$ 122.00 ED Professional 3620552 INJECTION OF TRIGGER POINTS, 1 OR 2 MUSC$ 73.00 ED Professional 3620550 INJECTION TENDON SHEATH, LIGAMENT, MUSC$ 57.00 ED Professional 3654235 INJECTION TO INDUCE ERECTION$ 142.00 ED Professional 3664450 INJECTION TO OTHER PERIPHERAL NERVE$ 66.00 ED Professional 3634140 INSERT ARTERIOVENOUS LINE$ 175.00 ED Professional 3636140 INSERT ARTERIOVENOUS LINE$ 175.00 ED Professional 3636571 INSERT CENTRAL VENOUS LINE$ 598.00 ED Professional 3651701 INSERT NON-INDWELLING BLADDER CATH$ 37.00 ED Professional 3636556 INSERT NON-TUNNEL VENOUS CATH 5YRS&UP$ 188.00 ED Professional 3649440 INSERT STOMACH TUBE USING FLURO GUIDE$ 399.00 ED Professional 3651703 INSERT TEMP INDWELLING BLAD CAT COMPLEX$ 149.00 ED Professional 3699236 IP/OBS SAME DAY ADM HIGH COMP$ 412.00 ED Professional 3699234 IP/OBS SAME DAY ADM LOW COMP$ 251.00 ED Professional 3699235 IP/OBS SAME DAY ADM MOD COMP$ 319.00 ED Professional 3696523 IRRIGATION IMPLANT VENOUS ACCESS DEV$ 53.00 ED Professional 3631505 LARYNGOSCOPY INDIRECT DIAGNOSTIC$ 93.00 ED Professional 3631511 LARYNGOSCOPY W/REM FOREIGN BODY$ 249.00 ED Professional 3699156 MODERATE SEDATION BY PHYS (not perform)$ 158.00 ED Professional 3699152 MODERATE SEDATION BY PHYS, FIRST 15 MIN$ 25.00 ED Professional 3611750 NAIL MATRIX EXCISION PARTIAL OR COMPLETE$ 147.00 ED Professional 3611730 NAIL PLATE AVULSION PART/COMP SING/SIMPL$ 80.00 ED Professional 3630903 NASAL CONT HEMORRHAGE ANTERIOR COMPLEX$ 150.00 ED Professional 3630901 NASAL CONT HEMORRHAGE ANTERIOR SIMPLE$ 108.00 ED Professional 3630905 NASAL CONT HEMORRHAGE POSTERIOR$ 201.00 ED Professional 3664418 NERVE BLOCK, SUPRASCAPULAR NERVE$ 119.00 ED Professional 3699217 OBS CARE DISC DAY MGMT$ 138.00 ED Professional 3698925 OMT 1-2 BODY REGIONS INVOLVED$ 29.00 ED Professional 3633010 PERICARDIOCENTESIS, INITIAL$ 208.00 ED Professional 3649084 PERITONEAL LAVAGE INCLUDING IMAGING GUID$ 210.00 ED Professional 3636680 PLCMNT OF NEEDLE INTRAOSSEOUS INFUSION$ 113.00 ED Professional 3699354 PROLONGED OFFICE/OUTPT SERVICE$ 230.00 ED Professional 3610160 PUNC ASPIR ABSCESS HEMA,BULLA OR CYST$ 138.00 ED Professional 3626725 REDUCTION FX FINGER$ 577.00 ED Professional 3626605 REDUCTION METACARPAL FX$ 558.00 ED Professional 3665220 REM F/BODY CORNEAL W/O SLIT LAMP$ 81.00 ED Professional 3665222 REM F/BODY CORNEAL WITH SLIT LAMP$ 99.00 ED Professional 3669200 REM F/BODY EAR W/O GEN ANESTHESIA$ 90.00 ED Professional 3665210 REM F/BODY EXTERNAL EYE$ 76.00 ED Professional 3630300 REM F/BODY INTRANASAL; OFFICE TYPE PROC$ 200.00 ED Professional 3665205 REM F/BODY SUPERFIC EXT EYE CONJ$ 84.00 ED Professional 3669210 REM IMPACTED CERUMEN 1 OR 2 EAR(S)$ 47.00 ED Professional 3669209 REM IMPACTED EAR BY WASHING$ 27.00 ED Professional 3641805 REMOVAL FB SOFT TISSUE OF TOOTH BONE$ 362.00 ED Professional 3632556 REMOVAL FLUID FROM CHEST VIA INSERT CATH$ 236.00 ED Professional 3632555 REMOVAL FLUID FROM CHEST W IMAGING GUIDE$ 215.00 ED Professional 3628190 REMOVAL FOREIGN BODY, FOOT, SUBCUTANEOUS$ 257.00 ED Professional 3611976 REMOVAL IMPLANTABLE CONTRACEPTIVE$ 179.00 ED Professional 3611000 REMOVAL INFLAMED/INFECTED SKIN$ 42.00 ED Professional 3632554 REMOVAL OF FLUID FROM CHEST CAVITY$ 173.00 ED Professional 3629705 REMOVAL OR REPAIR OF CAST$ 90.00 ED Professional 3613122 REP @ADD 5CM/< SCALP,ARMS,LEGS CMPLX$ 165.00 ED Professional 3600332 REP 2.6-5.0 FACE,EARS,NOSE,EYELIDS,LIPS$ 415.00 ED Professional 3613121 REP 2.6-7.5 SCALP,ARMS &OR LEGS COMPLEX$ 514.00 ED Professional 3613132 REP COMPLEX FOREHEAD/CHEEKS/CHIN/MOUTH$ 605.00 ED Professional 3612054 REP FACE/EAR/EYELID/NOSE/LIPS 7.6-12.5CM$ 427.00 ED Professional 3612044 REP INT WOUND 7.6-12.5 NECK,HANDS,FT,GEN$ 413.00 ED Professional 3612042 REP INTM WOUND 2.6-7.5 NECK,HANDS,FT,GEN$ 385.00 ED Professional 3612037 REP INTM WOUNDS > 30.0 EXC HANDS/FEET$ 478.00 ED Professional 3612035 REP INTM WOUNDS 12.6-20.0 EXC HANDS,FEET$ 349.00 ED Professional 3612041 REP INTM WOUNDS 2.5OR< NECK,HANDS,FT,GEN$ 289.00 ED Professional 3612036 REP INTM WOUNDS 20.1-30.0 EXC HANDS/FEET$ 408.00 ED Professional 3640830 REP LAC VESTIBULE OF MOUTH 2.5 CM OR LES$ 323.00 ED Professional 3641252 REP LACERATION TONGUE FLR MOUTH >2.6 CM$ 406.00 ED Professional 3612016 REP SPRF WOUND 12.6-20 FACE,EARS,EYE,NOS$ 244.00 ED Professional 3612011 REP SPRF WOUNDS 2.5OR< FACE,EARS,EYELID$ 105.00 ED Professional 3612013 REP SPRFC WOUND 2.6-5.0 FACE,EARS,EYELID$ 111.00 ED Professional 3612014 REP SPRFC WOUNDS 5.1-7.5 FACE,EARS,EYELD$ 143.00 ED Professional 3612007 REP SUPERFIC WOUNDS > 30.0 EXCL FACE$ 280.00 ED Professional 3612005 REP SUPERFIC WOUNDS 12.6-20.0 EXCL FACE$ 181.00 ED Professional 3612001 REP SUPERFIC WOUNDS 2.5 OR< EXCL FACE$ 85.00 ED Professional 3612002 REP SUPERFIC WOUNDS 2.6-7.5 EXCL FACE$ 112.00 ED Professional 3612006 REP SUPERFIC WOUNDS 20.1-30.0 EXCL FACE$ 223.00 ED Professional 3612004 REP SUPERFIC WOUNDS 7.6-12.5 EXCL FACE$ 139.00 ED Professional 3613131 REP WOUND 1.1 TO 2.5 CM$ 481.00 ED Professional 3612051 REP WOUNDS 2.5 OR< FACE,EARS,NOSE,EYELID$ 329.00 ED Professional 3612031 REP WOUNDS 2.5 OR< INTM EXCL HANDS/FEET$ 223.00 ED Professional 3612052 REP WOUNDS 2.6-5.0 FACE,EARS,NOSE,EYELI$ 392.00 ED Professional 3612032 REP WOUNDS 2.6-7.5 INTM EXCL HANDS/FEET$ 283.00 ED Professional 3612053 REP WOUNDS 5.1-7.5 FACE,EARS,NOSE,EYELI$ 419.00 ED Professional 3612034 REP WOUNDS 7.6-12.5 INTM EXCL HANDS/FEET$ 303.00 ED Professional 3613133 REPAIR COMPLEX WOUNDS$ 253.00 ED Professional 3640650 REPAIR OF LIP AND BOARDER$ 574.00 ED Professional 3611760 REPAIR OF NAIL BED$ 217.00 ED Professional 3626350 REPAIR/RECONSTRUCTION OF HAND/FINGERS$ 1,344.00 ED Professional 3643762 REPLACEMENT STOMACH STOMA TUBE$ 73.00 ED Professional 3699053 SERVICE PROVIDED 10 PM TO 8 AM$ 23.00 ED Professional 3612015 SIMPLE WOUND REPAIR 7CM -12 CM$ 179.00 ED Professional 3699406 SMOKING/TOBAC CESSATION <3MIN UPTO 10MIN$ 17.00 ED Professional 3662270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC$ 150.00 ED Professional 3629105 SPLINT APP LONG ARM, SHOULDER$ 113.00 ED Professional 3629126 SPLINT APP SHORT ARM$ 93.00 ED Professional 3629125 SPLINT APP SHORT ARM FOREARM TO HAND$ 76.00 ED Professional 3629515 SPLINT APPL SHORT LEG (CALF-FOOT)$ 95.00 ED Professional 3629260 STRAPPING ELBOW OR WRIST$ 37.00 ED Professional 3629280 STRAPPING HAND OR FINGER$ 39.00 ED Professional 3629240 STRAPPING SHOULDER (SHOULDER IMMOB)$ 36.00 ED Professional 3629200 STRAPPING SHOULDER EG, VELPEAU$ 36.00 ED Professional 3699226 SUBSEQUENT OBSERVATION CARE$ 161.00 ED Professional 3699224 SUBSEQUENT OBSERVATION CARE LOW$ 61.00 ED Professional 3699225 SUBSEQUENT OBSERVATION CARE MODERATE$ 112.00 ED Professional 3651705 SUPRAPUBIC CATH REPLACEMENT$ 101.00 ED Professional 3692953 TEMPORARY TRANSCUTANEOUS PACING$ 2.00 ED Professional 3637195 THROMBOLYSIS CEREBRAL BY IV INFUSION$ 372.00 ED Professional 3692977 THROMBOLYSIS,CORONARY;INTRAVEN INFUSION$ 109.00 ED Professional 3631605 TRACHEOSTOMY ER PROC CRICOTHYROID MEM$ 642.00 ED Professional 3636430 TRANSFUSION OF BLOOD OR BLD COMPONENTS$ 67.00 ED Professional 3632551 TUBE THORACOSTOMY INCL WATER SEAL$ 303.00 ED Professional 3612020 TX SUPERF WOUND DEHISCENCE SIMP CLOSURE$ 361.00 ED Professional 3612021 TX SUPERF WOUND DEHISCENCE W/PACKING$ 265.00 ED Professional 3628450 TX TARSAL BONE FX W/O MANIPULATION$ 365.00 ED Professional 3651798 ULTRASOUND OF BLADDER CAPACITY$ 30.00 ED Professional 3643247 UPPER GI ENDO W/REMOVAL FOREIGN BODY$ 348.00 ED Professional 3643239 UPPER GI ENDOSCOPY W/BIOPSY$ 271.00 ED Professional 3659409 VAGINAL DELIVERY ONLY$ 1,975.00 ED Professional 3636410 VENIPUNCTURE REQUIRED PHYS >3 YRS OLD$ 18.00 ED Professional 3611765 WEDGE EXC SKIN OR NAIL FOLD (EG INGROWN)$ 135.00 ED Professional 3600168 WOUND CLOSURE TISSUE ADHESIVE(S)ONLY$ 54.00 EKG 2951046 EKG HOLTER HOOKUP+$ 322.00 EKG 2951012 EKG HOLTER HOSPITAL CHARGE$ 461.00 EKG 2951087 EKG RHYTHM STRIP$ 160.00 EKG 2951004 EKG+ $ 104.00 EKG 2902960 EXTENDED HOLTER HOOKUP (72 HRS-14 DAYS)+$ 322.00 EKG 2902970 EXTENDED HOLTER HOSP (72 HRS-14 DAYS)$ 707.00 EKG 2952044 SIGNAL AVERAGE EKG$ 374.00 Emergency Dept 3394762 02 SAT CONTINUOUS MONITORING$ 115.00 Emergency Dept 3394761 02 SAT MULTIPLE NON-INVASIVE$ 23.00 Emergency Dept 3349083 ABD PARACENTESIS, W IMAGING GUIDE$ 1,575.00 Emergency Dept 3349082 ABD PARACENTESIS, W/O IMAGING GUIDE$ 932.00 Emergency Dept 3397810 ACUPUNCTURE 1 OR MORE NEEDLES, 1ST 15MIN$ 98.00 Emergency Dept 3300100 ADMIN ER HEPATITIS B VACCINE$ 75.00 Emergency Dept 3300008 ADMIN ER INFLUENZA VACCINE$ 15.00 Emergency Dept 3300009 ADMIN ER PNEUMONIA VACCINE$ 70.00 Emergency Dept 3390471 ADMIN FOR IMMUNIZATION$ 120.00 Emergency Dept 3390732 ADMIN FOR PNEUM IMMUNIZATION$ 94.00 Emergency Dept 3390472 ADMIN IMMUNIZATION, EACH ADDITIONAL$ 61.00 Emergency Dept 3346600 ANOSCOPY DIAGNOSTIC, W OR W/O SPECIMEN C$ 430.00 Emergency Dept 3329075 APPL CAST ELBOW TO FINGER (SHORT ARM)$ 311.00 Emergency Dept 3329130 APPL FINGER SPLINT, STATIC$ 204.00 Emergency Dept 3329345 APPL LONG LEG CAST (THIGH TO TOES)$ 507.00 Emergency Dept 3329505 APPL LONG LEG SPLINT (THIGH-ANKLE-TOE)$ 409.00 Emergency Dept 3329126 APPL MOVEABLE SHORT ARM SPLINT$ 180.00 Emergency Dept 3317250 APPLICATION OF CHEMICAL AGENT$ 190.00 Emergency Dept 3336620 ARTERIAL CATH OR CANNULATION$ 263.00 Emergency Dept 3336600 ARTERIAL PUNCTURE, WITHDRAWL BLD FOR DX$ 156.00 Emergency Dept 3320610 ARTHROCENT ASP&/OR INJ MAJOR JOINT/BURSA$ 299.00 Emergency Dept 3320605 ARTHROCENTESIS INTMED JOINT OR BURSA$ 249.00 Emergency Dept 3320600 ARTHROCENTESIS, ASPIRATION/INJECT, SMALL$ 236.00 Emergency Dept 3320611 ASPIRATION/INJ JOINT WITH US GUIDANCE$ 196.00 Emergency Dept 3351102 BLADDER ASPIRATION W INSERT SUPRAPUB CAT$ 1,117.00 Emergency Dept 3351100 BLADDER ASPIRATION W NEEDLE$ 305.00 Emergency Dept 3351702 BLADDER CATH INDWELLING SIMPLE$ 341.00 Emergency Dept 3351700 BLADDER IRRIAGATION SIMPLE LAVAGE/INSTIL$ 408.00 Emergency Dept 3316020 BURNS D&D PART THICK <5% INIT OR SUBSQ$ 398.00 Emergency Dept 3316000 BURNS INIT TX 1ST DEG LOCAL TX REQ'D$ 339.00 Emergency Dept 3399465 CARDIO RESUSCITATION BIRTH THRU 28DAYS$ 765.00 Emergency Dept 3392950 CARDIOPULM RESUSCITATION/CARDIAC ARREST$ 1,502.00 Emergency Dept 3392960 CARDIOVERSION ELECT ELECTR CONV EXT$ 1,010.00 Emergency Dept 3328400 CL TX HEEL BONE FX$ 1,128.00 Emergency Dept 3328430 CL TX TALUS FX, W/O MANIPULATION$ 1,045.00 Emergency Dept 3340831 CLOS LAC VESTIBULE MOUTH, >2.5CM COMPLEX$ 1,142.00 Emergency Dept 3327840 CLOS TX ANKLE DISLOC W/O ANES$ 1,834.00 Emergency Dept 3328630 CLOS TX DISLOCATED FOOT BONE$ 338.00 Emergency Dept 3326755 CLOS TX DIST PHALANG FX W/MANIP EACH$ 1,348.00 Emergency Dept 3326750 CLOS TX DIST PHALANG FX W/O MANIP EACH$ 903.00 Emergency Dept 3325600 CLOS TX DISTAL RADIAL W/O MANIP$ 1,604.00 Emergency Dept 3327502 CLOS TX FEMORAL SHAFT W MANIP$ 3,859.00 Emergency Dept 3327825 CLOS TX FX JT OF SHIN BONE$ 1,206.00 Emergency Dept 3327268 CLOS TX FX UPPER PORTION/ HEAD THIGH MAN$ 1,167.00 Emergency Dept 3326770 CLOS TX INTERPH JOINT DIS W/MAN W/O ANES$ 1,354.00 Emergency Dept 3328660 CLOS TX INTERPHAL JOINT DISLOC W/O ANES$ 446.00 Emergency Dept 3327520 CLOS TX KNEE CAP FX$ 1,587.00 Emergency Dept 3327550 CLOS TX KNEE DISLOCATION W/O ANES$ 1,236.00 Emergency Dept 3327760 CLOS TX MEDL MALLEOUS FX W/O MANIP$ 1,640.00 Emergency Dept 3327250 CLOS TX OF HIP REPLMT TRAUMA W/ANES$ 931.00 Emergency Dept 3327562 CLOS TX PATELLAR DISLOC W/ANESTHESIA$ 2,342.00 Emergency Dept 3327560 CLOS TX PATELLAR DISLOC W/O ANESTHESIA$ 1,654.00 Emergency Dept 3327265 CLOS TX POST HIP ARTHRO DISL W/O ANES$ 1,987.00 Emergency Dept 3327786 CLOS TX PROXIMAL DISTAL FIB FX W/O MANIP$ 1,555.00 Emergency Dept 3327780 CLOS TX PROXIMAL FIB/SHAFT FX W/O MANIP$ 1,374.00 Emergency Dept 3325565 CLOS TX RADL & ULNAR SHAFT W/MANIP$ 2,568.00 Emergency Dept 3325535 CLOS TX ULNAR SHAFT FX W MANIPULATION$ 2,417.00 Emergency Dept 3325530 CLOS TX ULNAR SHAFT FX W/O MANIPULATION$ 1,282.00 Emergency Dept 3321480 CLOSED REDUCT JAW$ 483.00 Emergency Dept 3325630 CLOSED TX FX WRIST BONE$ 1,499.00 Emergency Dept 3326600 CLOSED TX METACARPAL FX, SINGLE W/O MANI$ 1,437.00 Emergency Dept 3327750 CLOSED TX TIBAL SHAFT FRAC W/O MANIP$ 1,571.00 Emergency Dept 3325650 CLOSED TX ULNAR STYLOID FX$ 1,573.00 Emergency Dept 3327752 CLS TX BROKEN SHIN BONE$ 1,317.00 Emergency Dept 3323500 CLS TX CLAVICULAR FX W/MANIP$ 1,076.00 Emergency Dept 3326670 CLS TX DISLOCATED HAND BONE$ 1,525.00 Emergency Dept 3326700 CLS TX DISLOCATED HAND JT W MANIP$ 700.00 Emergency Dept 3325605 CLS TX DISTAL RADIAL FRACTURE W/MANIP$ 2,703.00 Emergency Dept 3324600 CLS TX ELBOW DISLOCATION W/O ANESTHESIA$ 1,800.00 Emergency Dept 3328490 CLS TX FX GREAT TOE PHALANX W/O MANIP$ 715.00 Emergency Dept 3328510 CLS TX FX PHALANX OR PHALANGES$ 612.00 Emergency Dept 3327818 CLS TX FX TRIMALLEOLAR ANKLE W MANIPULAT$ 2,163.00 Emergency Dept 3327824 CLS TX FX WEIGHT BEAR ART DIST TIBIA W/O$ 1,508.00 Emergency Dept 3324576 CLS TX HUMERAL CONDYLAR FX, W/O MANIPUL$ 1,665.00 Emergency Dept 3324505 CLS TX HUMERAL SHAFT FX, W/MANIP$ 2,466.00 Emergency Dept 3324530 CLS TX HUMERUS FX, W/O MANIP$ 1,871.00 Emergency Dept 3328470 CLS TX METATARSAL FRAC W/O MANIP EA$ 1,082.00 Emergency Dept 3321310 CLS TX NASAL BONE FX W/O MANIPULATION$ 638.00 Emergency Dept 3321315 CLS TX NASAL BONE FX W/O STABILIZATION$ 1,357.00 Emergency Dept 3326720 CLS TX PHANLANGEAL SHAFT FX W/O MANIP$ 967.00 Emergency Dept 3327260 CLS TX POST HIP ARTHROPLASTY DISC W/O AN$ 1,987.00 Emergency Dept 3323605 CLS TX PROXIMAL HUMEREAL W/MANIP$ 2,292.00 Emergency Dept 3323600 CLS TX PROXIMAL HUMEREAL W/O MANIP$ 1,603.00 Emergency Dept 3324640 CLS TX RAD HEAD SBLX CHILD ELBOW W/MANIP$ 660.00 Emergency Dept 3323650 CLS TX SHOULDER DISLOC W/O ANESTHESIA$ 1,545.00 Emergency Dept 3323655 CLS TX SHOULDER DISLOCATION W ANES$ 871.00 Emergency Dept 3324500 CLS TX UPPER ARM FX$ 1,759.00 Emergency Dept 3327808 CLSD TX BIMALLEOLAR ANKLE FX, W/O MANIP$ 1,641.00 Emergency Dept 3327788 CLSD TX BROKEN ANKLE WITH MANIPULATION$ 1,030.00 Emergency Dept 3326705 CLSD TX DISLOC HAND JOINT W MANIP & ANES$ 986.00 Emergency Dept 3324650 CLSD TX RADIAL HEAD or NECK FX, W/O MANI$ 1,280.00 Emergency Dept 3323675 CLSD TX SHOULDER DISLOCATION WITH MANIP$ 1,184.00 Emergency Dept 3394770 CO2 EXP GAS DETERMINATION INFRA$ 38.00 Emergency Dept 3336591 COLLECT BLD SPEC IMPL VEN DEVICE$ 110.00 Emergency Dept 3313133 COMPLEX REPAIR WOUNDS$ 296.00 Emergency Dept 3342960 CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE$ 866.00 Emergency Dept 3394660 CPAP CONT POSITIVE AIRWAY PRESSURE VENT$ 311.00 Emergency Dept 3399292 CRITICAL CARE E&M EA ADDTL 30 MINUTES$ 613.00 Emergency Dept 3399291 CRITICAL CARE E&M UP TO 74 MINUTES$ 911.00 Emergency Dept 3311010 DEBRIDE REM FOREIGN MAT W/OPEN FX$ 2,407.00 Emergency Dept 3311042 DEBRIDE SKIN & SUBCUT TISSUE$ 568.00 Emergency Dept 3323545 DISLOCATED SHOULDER W MANIPULATION$ 1,672.00 Emergency Dept 3341800 DRAIN ABSC,CYST,HEMATO FR DENTOAL STRUCT$ 739.00 Emergency Dept 3340800 DRAINAGE ABSCESS/CYST/HEMATOMA MOUTH SIM$ 666.00 Emergency Dept 3316030 DRESS & DEBRIDE LG ( >10%)$ 914.00 Emergency Dept 3316025 DRESS & DEBRIDE MED 5-10%$ 727.00 Emergency Dept 3369000 EAR DRAINAGE EXT ABSC/HEMATOMA SIMPLE$ 919.00 Emergency Dept 3331500 ENDOTRACHEAL INTUBATION ER PROCEDURE$ 565.00 Emergency Dept 3399281 ER ROOM 99281$ 167.00 Emergency Dept 3399282 ER ROOM 99282$ 236.00 Emergency Dept 3399283 ER ROOM 99283$ 395.00 Emergency Dept 3399284 ER ROOM 99284$ 637.00 Emergency Dept 3399285 ER ROOM 99285$ 818.00 Emergency Dept 3311740 EVACUATION OF SUBUNGAL HEMATOMA$ 240.00 Emergency Dept 3364402 FACIAL NERVE BLOCK - ER ROOM$ 640.00 Emergency Dept 3310021 FNA W/O IMAGING GUIDANCE$ 603.00 Emergency Dept 3327810 FRACTURE &/OR DISL W/MANIP$ 2,312.00 Emergency Dept 3328515 FX/DISLOCATION W MANIPULATION, EACH$ 708.00 Emergency Dept 3391105 GASTRIC INTUBATION ASPIRATION LAVAGE$ 112.00 Emergency Dept 3346040 I & D ABSCESS, TRANSANAL, UNDER ANES$ 2,085.00 Emergency Dept 3310061 I&D ABSCESS MULTIPLE OR COMPLEX$ 1,016.00 Emergency Dept 3356420 I&D BARTHOLIN GLAND CYST$ 597.00 Emergency Dept 3310180 I&D COMPLEX POST OP WOUND INFECTION$ 869.00 Emergency Dept 3326010 I&D FINGER SIMPLE$ 1,276.00 Emergency Dept 3310140 I&D HEMATOMA, SEROMA OR FLUID COLLECT$ 798.00 Emergency Dept 3355100 I&D OF SCROTAL WALL ABSCESS$ 1,068.00 Emergency Dept 3356405 I&D VULVA OR PERINEAL ABSCESS$ 540.00 Emergency Dept 3390465 IMMUNIZATON ADM <19YRS OLD 1ST INJ$ 120.00 Emergency Dept 3390466 IMMUNIZATON ADMIN <19YRS EA ADDTL INJECT$ 63.00 Emergency Dept 3310060 INC&DRAIN ABSCESS SIMPLE OR SINGLE$ 575.00 Emergency Dept 3310080 INC&DRAIN PILONIDAL CYST$ 869.00 Emergency Dept 3310121 INC&REM F/BODY SUBCUT TISSUES COMPLEX$ 1,343.00 Emergency Dept 3310120 INC&REM F/BODY SUBCUT TISSUES SIMPLE$ 738.00 Emergency Dept 3346050 INCISION & DRAINAGE PERIANAL ABSCESS$ 980.00 Emergency Dept 3310081 INCISION AND DRAINAGE PILONIDAL CYST$ 1,313.00 Emergency Dept 3364405 INJ ANES AGENT GREATER OCCIPITAL NERVE$ 497.00 Emergency Dept 3364455 INJ ANES AGENT,COMMON DIGITAL NERVE$ 239.00 Emergency Dept 3364400 INJ ANES AGT TRIGEMINAL NERVE$ 625.00 Emergency Dept 3396372 INJ EA IM/SQ THER/PROPH OR DIAG$ 120.00 Emergency Dept 3396375 INJ IV PUSH SEQ DIFF DRUG EACH$ 107.00 Emergency Dept 3396376 INJ IV PUSH SEQ SAME DRUG EACH$ 84.00 Emergency Dept 3396374 INJ IV PUSH SINGLE OR INITIAL$ 270.00 Emergency Dept 3320550 INJECT TENDON SHEATH, LIGAMENT, MUSC MEM$ 291.00 Emergency Dept 3354235 INJECT TO INDUCE ERECTION$ 448.00 Emergency Dept 3320552 INJECTION OF TRIGGER POINTS, 1 OR 2 MUSC$ 120.00 Emergency Dept 3364450 INJECTION TO OTHER PERIPHERAL NERVE$ 391.00 Emergency Dept 3336140 INSERT ARTERIOVENOUS LINE$ 2,120.00 Emergency Dept 3336571 INSERT CENTRAL VENOUS LINE$ 6,304.00 Emergency Dept 3343752 INSERT NASAL OR ORAL STOMACH TUBE$ 103.00 Emergency Dept 3351701 INSERT NON-INDWELLING BLADDER CATH$ 267.00 Emergency Dept 3336556 INSERT NON-TUNNEL VENOUS CATH 5YRS&UP$ 1,153.00 Emergency Dept 3349440 INSERT STOMACH TUBE USING FLURO GUID$ 1,973.00 Emergency Dept 3351703 INSERT TEMP INDWELLING BLAD CAT COMPLEX$ 638.00 Emergency Dept 3336245 INSERTION OF CATH INTO ABDOMINAL ARTERY$ 3,024.00 Emergency Dept 3396523 IRRIGATION IMPLANT VENOUS ACCESS DEV$ 117.00 Emergency Dept 3396368 IV CONCURRENT INFUS (USE ONLY 1 W/96365)$ 100.00 Emergency Dept 3396367 IV INF ADDTL SEQ INFUSION EACH$ 147.00 Emergency Dept 3396361 IV INF HYDRATION EACH ADDTL HOUR$ 73.00 Emergency Dept 3396366 IV INF THERAPY PROPHL DX EA ADDTL HR$ 91.00 Emergency Dept 3306365 IV INF THERAPY PROPHL, DX TO 1 HR$ 329.00 Emergency Dept 3396365 IV INF THERAPY PROPHL, DX TO 1 HR$ 329.00 Emergency Dept 3396360 IV INFUSION INIT HYDRATION 31 MIN -1 HR$ 271.00 Emergency Dept 3331505 LARYNGOSCOPY INDIRECT DIAGNOSTIC$ 408.00 Emergency Dept 3331511 LARYNGOSCOPY W/REMOVAL FOREIGN BODY$ 1,050.00 Emergency Dept 3399156 MODERATE SEDATION BY PHYS (not perform)$ 169.00 Emergency Dept 3399152 MODERATE SEDATION BY PHYS, FIRST 15 MIN$ 119.00 Emergency Dept 3311750 NAIL MATRIX EXCISION PARTIAL OR COMPLETE$ 879.00 Emergency Dept 3311730 NAIL PLATE AVULSION PART/COMP SING/SIMPL$ 485.00 Emergency Dept 3330903 NASAL CONT HEMORRHAGE ANTERIOR COMPLEX$ 1,080.00 Emergency Dept 3330901 NASAL CONT HEMORRHAGE ANTERIOR SIMPLE$ 473.00 Emergency Dept 3330905 NASAL CONT HEMORRHAGE POSTERIOR$ 1,326.00 Emergency Dept 3364418 NERVE BLOCK; SUPRASCAPULAR NERVE$ 713.00 Emergency Dept 3394760 O2 SAT SINGLE NON-INVASIVE$ 14.00 Emergency Dept 3300200 OBS ROOM, PER HOUR$ 72.00 Emergency Dept 3300300 OBS TELEMETRY ROOM, PER HOUR$ 99.00 Emergency Dept 3398925 OMT 1-2 BODY REGIONS INVOLVED$ 156.00 Emergency Dept 3392953 PACING TEMPORARY TRANSCUTANEOUS$ 57.00 Emergency Dept 3333010 PERICARDIOCENTESIS, INITIAL$ 620.00 Emergency Dept 3349084 PERITONEAL LAVAGE INCLUDING IMAGING GUID$ 559.00 Emergency Dept 3336680 PLCMNT OF NEEDLE INTRAOSSEOUS INFUSION$ 302.00 Emergency Dept 3399354 PROLONGED OFFICE/OUTPT SERVICE$ 247.00 Emergency Dept 3310160 PUNC ASPIR ABSCESS HEMA,BULLA OR CYST$ 575.00 Emergency Dept 3326725 REDUCTION FX FINGER$ 1,656.00 Emergency Dept 3326605 REDUCTION METACARPAL FX$ 1,443.00 Emergency Dept 3365220 REM F/BODY CORNEAL W/O SLIT LAMP$ 285.00 Emergency Dept 3369200 REM F/BODY EAR W/O GEN ANESTHESIA$ 485.00 Emergency Dept 3365210 REM F/BODY EXTERNAL EYE$ 167.00 Emergency Dept 3330300 REM F/BODY INTRANASAL; OFFICE TYPE PROC$ 907.00 Emergency Dept 3365205 REM F/BODY SUPERFIC EXT EYE CONJ$ 274.00 Emergency Dept 3369210 REM IMPACTED CERUMEN 1 OR 2 EAR(S)$ 245.00 Emergency Dept 3369209 REM IMPACTED EAR WAX BY WASHING$ 60.00 Emergency Dept 3365222 REMOVAL FB CORNEAL W SLIT LAMP$ 327.00 Emergency Dept 3341805 REMOVAL FB SOFT TISSUE OF BONE$ 607.00 Emergency Dept 3332556 REMOVAL FLUID FROM CHEST VIA INSERT CATH$ 1,182.00 Emergency Dept 3332555 REMOVAL FLUID FROM CHEST, WITH IMAGING G$ 623.00 Emergency Dept 3328190 REMOVAL FOREIGN BODY, FOOT, SUBCUTANEOUS$ 1,269.00 Emergency Dept 3311976 REMOVAL IMPLANTABLE CONTRACEPTIVE$ 703.00 Emergency Dept 3311000 REMOVAL INFLAMED/INFECTED SKIN$ 118.00 Emergency Dept 3332554 REMOVAL OF FLUID FROM CHEST CAVITY$ 982.00 Emergency Dept 3329705 REMOVAL OR REPAIR CAST$ 125.00 Emergency Dept 3313122 REP @ADD 5CM/< SCALP,ARMS LEGS CMPLX$ 654.00 Emergency Dept 3313121 REP 2.6-7.5 SCALP,ARMS & OR LEGS COMPLX$ 2,087.00 Emergency Dept 3312054 REP FACE/EAR/EYELID/NOSE/LIP 7.6 -12.5CM$ 1,763.00 Emergency Dept 3312044 REP INT WOUND 7.6-12.5 NECK,HANDS,FT,GEN$ 1,750.00 Emergency Dept 3312042 REP INTM WOUND 2.6-7.5 NECK,HANDS,FT,GEN$ 1,411.00 Emergency Dept 3312037 REP INTM WOUNDS > 30.0 EXC HANDS/FEET$ 2,347.00 Emergency Dept 3312035 REP INTM WOUNDS 12.6-20.0 EXC HANDS/FEET$ 1,869.00 Emergency Dept 3312041 REP INTM WOUNDS 2.5OR< NECK,HANDS,FT,GEN$ 1,154.00 Emergency Dept 3312036 REP INTM WOUNDS 20.1-30.0 EXC HANDS/FEET$ 2,066.00 Emergency Dept 3340830 REP LAC VESTIBULE OF MOUTH 2.5CM OR LESS$ 839.00 Emergency Dept 3341252 REP LACERATION TONGUE FLR MOUTH >2.6 CM$ 1,076.00 Emergency Dept 3312016 REP SPRF WOUNDS 12.6-20 FACE,EAR,EYE,NOS$ 1,015.00 Emergency Dept 3312011 REP SPRF WOUNDS 2.5OR< FACE,EARS,EYELID$ 534.00 Emergency Dept 3312013 REP SPRFC WOUNDS 2.6-5.0 FACE,EARS,EYELD$ 559.00 Emergency Dept 3312014 REP SPRFC WOUNDS 5.1-7.5 FACE,EARS,EYELD$ 657.00 Emergency Dept 3312007 REP SUPERFIC WOUNDS > 30.0 EXCL FACE$ 1,105.00 Emergency Dept 3312005 REP SUPERFIC WOUNDS 12.6-20.0 EXCL FACE$ 795.00 Emergency Dept 3312001 REP SUPERFIC WOUNDS 2.5 OR< EXCL FACE$ 434.00 Emergency Dept 3312002 REP SUPERFIC WOUNDS 2.6-7.5 EXCL FACE$ 531.00 Emergency Dept 3312006 REP SUPERFIC WOUNDS 20.1-30.0 EXCL FACE$ 945.00 Emergency Dept 3312004 REP SUPERFIC WOUNDS 7.6-12.5 EXCL FACE$ 628.00 Emergency Dept 3313131 REP WOUND 1.1 TO 2.5 CM$ 835.00 Emergency Dept 3312051 REP WOUNDS 2.5 OR< FACE,EARS,NOSE,EYELID$ 1,260.00 Emergency Dept 3312031 REP WOUNDS 2.5 OR< INTM EXCL HANDS/FEET$ 1,152.00 Emergency Dept 3312052 REP WOUNDS 2.6-5.0 FACE,EARS,EYELID,NOSE$ 1,438.00 Emergency Dept 3312032 REP WOUNDS 2.6-7.5 INTM EXCL HANDS/FEET$ 1,475.00 Emergency Dept 3312053 REP WOUNDS 5.1-7.5 FACE,EARS,EYELID,NOSE$ 1,685.00 Emergency Dept 3312034 REP WOUNDS 7.6-12.5 INTM EXCL HANDS/FEET$ 1,521.00 Emergency Dept 3313132 REPAIR COMPLEX FOREHEAD/CHEEKS/CHIN/MOUT$ 2,334.00 Emergency Dept 3340650 REPAIR OF LIP AND BORDER$ 1,511.00 Emergency Dept 3311760 REPAIR OF NAIL BED$ 946.00 Emergency Dept 3326350 REPAIR/RECONSTRUCTION OF HAND/FINGERS$ 1,530.00 Emergency Dept 3343762 REPLACEMENT STOMACH STOMA TUBE$ 461.00 Emergency Dept 3312015 SIMPLE WOUND REPAIR 7CM - 12CM$ 797.00 Emergency Dept 3362270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC$ 781.00 Emergency Dept 3329105 SPLINT APP LONG ARM, SHOULDER$ 433.00 Emergency Dept 3329125 SPLINT APP SHORT ARM FOREARM TO HAND$ 316.00 Emergency Dept 3329515 SPLINT APPL SHORT LEG (CALF-FOOT)$ 355.00 Emergency Dept 3329260 STRAPPING ELBOW OR WRIST$ 145.00 Emergency Dept 3329280 STRAPPING HAND OR FINGER$ 147.00 Emergency Dept 3329540 STRAPPING OF ANKLE OR FOOT$ 59.00 Emergency Dept 3329240 STRAPPING SHOULDER (SHOULDER IMMOB)$ 145.00 Emergency Dept 3329200 STRAPPING SHOULDER EG, VELPEAU$ 145.00 Emergency Dept 3396369 SUBQ INFUS INIT UP TO 1 HR INCL PUMP SET$ 910.00 Emergency Dept 3396370 SUBQ INFUSION FOR THERAPY EACH ADD HR$ 72.00 Emergency Dept 3351705 SUPRAPUBIC CATH REPLACEMENT$ 444.00 Emergency Dept 3303014 TELEHEALTH FACILITY FEE$ 67.00 Emergency Dept 3337195 THROMBOLYSIS, CEREBRAL BY IV INFUSION$ 1,972.00 Emergency Dept 3392977 THROMBOLYSIS,CORONARY;INTRAVEN INFUSION$ 295.00 Emergency Dept 3331605 TRACHEOSTOMY ER PROC CRICOTHYROID MEM$ 947.00 Emergency Dept 3336430 TRANSFUSION BLOOD OR BLD COMPONENTS$ 181.00 Emergency Dept 3300391 TRAUMA ACTIVATION - LEVEL 4$ 1,605.00 Emergency Dept 3300390 TRAUMA ACTIVATION W/ CRIT CARE - LEVEL 4$ 1,605.00 Emergency Dept 3332551 TUBE THORACOSTOMY INCL WATER SEAL$ 875.00 Emergency Dept 3312020 TX SUPERF WOUND DEHISCENCE SIMP CLOSURE$ 1,420.00 Emergency Dept 3312021 TX SUPERF WOUND DEHISCENCE W/PACKING$ 824.00 Emergency Dept 3328450 TX TARSAL BONE FX W/O MANIPULATION EACH$ 955.00 Emergency Dept 3351798 ULTRASOUND OF BLADDER CAPACITY$ 27.00 Emergency Dept 3343247 UPPER GI ENDO W/REMOVAL FOREIGN BODY$ 2,027.00 Emergency Dept 3343239 UPPER GI ENDOSCOPY W/BIOPSY$ 1,925.00 Emergency Dept 3359409 VAGINAL DELIVERY ONLY$ 4,172.00 Emergency Dept 3336410 VENIPUNCTURE REQUIRED PHYS >3YRS OLD$ 84.00 Emergency Dept 3311765 WEDGE EXC SKIN OR NAIL FOLD (EG INGROWN)$ 809.00 Emergency Dept 3300168 WOUND CLOS USING TISSUE ADHESIVE(S)ONLY$ 491.00 Inpatient Room & Board Private Room, Med/Surg, per day$ 1,600.00 Inpatient Room & Board Semi Private, Med/Surg, per day$ 1,500.00 Inpatient Room & Board Semi Private, Swing Bed, per day$ 1,500.00 Inpatient Room & Board Semi Private, Telemetry Monitoring, per day$ 2,050.00 Laboratory 1882962 ACCU CHECK GLUCOSE$ 17.00 Laboratory 1880329 ACETAMINOPHEN LEVEL$ 58.00 Laboratory 1882497 ACETONE SERUM$ 24.00 Laboratory 1880624 ALBUMIN$ 38.00 Laboratory 1880320 ALCOHOL$ 91.00 Laboratory 1882075 ALCOHOL BREATH$ 53.00 Laboratory 1882950 ALKALINE PHOSPHATASE$ 40.00 Laboratory 1882140 AMMONIA$ 111.00 Laboratory 1880756 AMYLASE$ 49.00 Laboratory 1884501 APTT $ 46.00 Laboratory 1883354 AST SGOT$ 40.00 Laboratory 1884330 AUTO PLATELET COUNT$ 34.00 Laboratory 1882607 B12 $ 115.00 Laboratory 1880491 BASIC METABOLIC$ 65.00 Laboratory 1860048 BASIC METABOLIC (PICCOLO)$ 65.00 Laboratory 1886902 BB ABO BLOOD GROUP$ 22.00 Laboratory 1886922 BB AHG$ 44.00 Laboratory 1884634 BB ANTIBODY SCREEN$ 30.00 Laboratory 1885003 BB DIRECT COOMBS$ 42.00 Laboratory 1886927 BB FFP THAWING (FRESH FROZEN PLASMA)$ 10.00 Laboratory 1886928 BB FRESH FROZEN PLASMA$ 217.00 Laboratory 1886920 BB IMM SPIN$ 34.00 Laboratory 1809038 BB PACKED RED BLOOD CELLS; IRRADIATED$ 708.00 Laboratory 1809016 BB PACKED RED CELLS$ 551.00 Laboratory 1885995 BB PLATELET PHERESIS IRRADIATED$ 1,743.00 Laboratory 1836513 BB PLT PHERESIS NON IRRADIATED$ 227.00 Laboratory 1886910 BB RH (D) TYPE$ 22.00 Laboratory 1884881 BB TRANSFUSION SERV CHARGE$ 181.00 Laboratory 1884709 BETA HCG$ 159.00 Laboratory 1880889 BILIRUBIN DIRECT$ 39.00 Laboratory 1880871 BILIRUBIN TOTAL$ 39.00 Laboratory 1888841 BLOOD CULTURE$ 45.00 Laboratory 1881507 BLOOD GAS PH ONLY$ 65.00 Laboratory 1822733 BODY FLUID OCCULT BL$ 20.00 Laboratory 1883446 BUN $ 30.00 Laboratory 1880939 CALCIUM$ 37.00 Laboratory 1880152 CARBAMAZEPINE$ 111.00 Laboratory 1823756 CARBON DIOXIDE$ 38.00 Laboratory 1865027 CBC NO DIFFERENTIAL$ 36.00 Laboratory 1886802 CHARGE ABO BLOOD GROUP$ 22.00 Laboratory 1885029 CHARGE CBC AUTO.DIFF$ 60.00 Laboratory 1885027 CHARGE HEMOGRAM$ 36.00 Laboratory 1886820 CHARGE IMM SPIN$ 34.00 Laboratory 1886810 CHARGE RH (D) TYPE$ 22.00 Laboratory 1881101 CHLORIDE$ 32.00 Laboratory 1881127 CHOLESTEROL TOTAL$ 34.00 Laboratory 1825520 CK MB $ 53.00 Laboratory 1887493 CLOSTRIDIUM DIFFICILE$ 268.00 Laboratory 1880541 CMP $ 81.00 Laboratory 1881234 CPK $ 50.00 Laboratory 1884857 C-REACTIVE PROTEIN$ 40.00 Laboratory 1887489 CREATININE 24HR URINE$ 36.00 Laboratory 1881259 CREATININE SERUM$ 37.00 Laboratory 1882945 CSF GLUCOSE$ 30.00 Laboratory 1884157 CSF PROTEIN$ 29.00 Laboratory 1885379 D-DIMER QUANTITIVE$ 69.00 Laboratory 1800164 DEPAKENE$ 104.00 Laboratory 1865104 DIGOXIN$ 102.00 Laboratory 1802990 DNA/PATERNITY - COLLECTION ONLY$ 25.00 Laboratory 1880509 DRAWING/COLLECTION/SWAB FEE$ 20.00 Laboratory 1887116 DRUG SCREEN CHAIN OF CUSTODY DOT$ 25.00 Laboratory 1800005 DRUG SCREEN COC NON-DOT URINE$ 25.00 Laboratory 1800531 ELECTROLYTE PANEL$ 36.00 Laboratory 1883630 FECAL LEUKOCYTES (LACTOFERRIN)$ 54.00 Laboratory 1882728 FERRITIN$ 105.00 Laboratory 1882746 FOLATE$ 112.00 Laboratory 1884481 FREE T3$ 129.00 Laboratory 1884436 FREE T4$ 69.00 Laboratory 1865302 GENTAMICIN LEVEL$ 72.00 Laboratory 1865303 GENTAMICIN PEAK$ 72.00 Laboratory 1865304 GENTAMICIN TROUGH$ 72.00 Laboratory 1882943 GLUCOSE$ 30.00 Laboratory 1883207 GLUCOSE 1HR POST 50 GM$ 33.00 Laboratory 1883206 GLUCOSE 2HR PP$ 30.00 Laboratory 1830360 GLYCOHGB$ 74.00 Laboratory 1888809 GRAM STAIN$ 43.00 Laboratory 1887205 GRAM STAIN CHARGE (FOR BLOOD CULTURE)$ 43.00 Laboratory 1810014 GTT 2 HOUR$ 99.00 Laboratory 1810015 GTT 3 HOUR+$ 99.00 Laboratory 1810016 GTT 4 HOUR+$ 99.00 Laboratory 1810017 GTT 5 HOUR+$ 99.00 Laboratory 1810018 GTT 6 HOUR+$ 99.00 Laboratory 1883248 GTT SPECIMEN ADDITIONAL$ 31.00 Laboratory 1881176 HDL CHOLESTEROL$ 63.00 Laboratory 1883685 HEMATOCRIT$ 17.00 Laboratory 1883669 HEMOGLOBIN$ 17.00 Laboratory 1800085 HEPATIC FUNCTION$ 36.00 Laboratory 1887806 HIV 1&2 AG/AB COMBO$ 64.00 Laboratory 1887502 INFLUENZA A & B PCR$ 293.00 Laboratory 1887631 INFLUENZA A/B & RSV PANEL PCR$ 373.00 Laboratory 1883541 IRON $ 49.00 Laboratory 1883550 IRON BIND$ 66.00 Laboratory 1883540 IRON/TIBC+$ 49.00 Laboratory 1809604 LAB TRAVEL ALLOWANCE$ 25.00 Laboratory 1883605 LACTATE/LACTIC ACID$ 45.00 Laboratory 1863605 LACTATE/LACTIC ACID (PICCOLO)$ 45.00 Laboratory 1883721 LDL CHOL - DIRECT$ 72.00 Laboratory 1882653 LIPASE$ 52.00 Laboratory 1800614 LIPID PANEL$ 99.00 Laboratory 1880178 LITHIUM$ 50.00 Laboratory 1882711 MAGNESIUM$ 51.00 Laboratory 1863735 MAGNESIUM (PICCOLO)$ 51.00 Laboratory 1885007 MANUAL DIFF$ 22.00 Laboratory 1882044 MICROALBUMIN$ 43.00 Laboratory 1885102 MONO TEST$ 40.00 Laboratory 1880870 NEONATAL BILIRUBIN$ 39.00 Laboratory 1883880 N-TERMINAL PRO BRAIN NATRIURETIC PEPTIDE$ 260.00 Laboratory 1886324 OCCULT BLD BODY FLUID$ 20.00 Laboratory 1882274 OCCULT BLOOD HEMOSURE DIAGNOSTIC$ 121.00 Laboratory 1800328 OCCULT BLOOD HEMOSURE SCREENING$ 121.00 Laboratory 1883970 PARATHYROID HORMONE$ 317.00 Laboratory 1880525 PHENYTOIN TOTAL$ 102.00 Laboratory 1883008 PHOSPHORUS$ 32.00 Laboratory 1884100 PHOSPHORUS (PICCOLO)$ 32.00 Laboratory 1883016 POTASSIUM$ 36.00 Laboratory 1884145 PROCALCITONIN$ 80.00 Laboratory 1884155 PROTEIN 24HR URINE$ 29.00 Laboratory 1884345 PROTHROMBIN TIME$ 31.00 Laboratory 1884152 PSA SCREENING$ 142.00 Laboratory 1884153 PSA TOTAL$ 142.00 Laboratory 1880069 RENAL FUNCTION PANEL$ 66.00 Laboratory 1884402 RETICULOCYTES COUNT$ 32.00 Laboratory 1886431 RHEUMATOID FACTOR QUANTITATIVE$ 17.00 Laboratory 1886593 RPR TITER$ 34.00 Laboratory 1886592 RPR WITH REFLEX$ 34.00 Laboratory 1888329 SALICYLATE$ 58.00 Laboratory 1884410 SEDIMENTATION RATE$ 20.00 Laboratory 1887769 SERUM PREGNANCY TEST$ 43.00 Laboratory 1883370 SGPT (ALT)$ 40.00 Laboratory 1885008 SLIDE REVIEW$ 22.00 Laboratory 1883172 SODIUM$ 36.00 Laboratory 1888635 SPECIFIC GRAVITY$ 16.00 Laboratory 1889321 SPERM PRESENCE/MOTILITY POST-VASECTOMY$ 93.00 Laboratory 1887651 STREP A PCR$ 112.00 Laboratory 1883032 TOTAL PROTEIN$ 29.00 Laboratory 1884480 TOTAL T3$ 109.00 Laboratory 1865443 TOTAL T4$ 52.00 Laboratory 1883404 TRIGLYCERIDES$ 44.00 Laboratory 1844844 TROPONIN-I$ 74.00 Laboratory 1865450 TSH $ 127.00 Laboratory 1884443 TSH W/ REFLEX TO FT4$ 127.00 Laboratory 1881001 UA PERFORM MICROSCOPIC$ 24.00 Laboratory 1883479 URIC ACID$ 35.00 Laboratory 1810050 URINALYSIS CHG$ 24.00 Laboratory 1881028 URINALYSIS W/O MICRO$ 16.00 Laboratory 1887488 URINE CREATININE$ 36.00 Laboratory 1881267 URINE CREATININE CLEARANCE$ 67.00 Laboratory 1880300 URINE DRUG SCREEN$ 97.00 Laboratory 1880305 URINE DRUG SCREEN 5 PANEL$ 97.00 Laboratory 1887751 URINE PREGNANCY TEST$ 48.00 Laboratory 1884154 URINE PROTEIN RANDOM$ 29.00 Laboratory 1880202 VANCOMYCIN$ 104.00 Laboratory 1880203 VANCOMYCIN PEAK$ 104.00 Laboratory 1880204 VANCOMYCIN TROUGH$ 104.00 Laboratory 1836415 VENIPUNCTURE COLLECTION OF BLOOD$ 8.00 Laboratory 1882306 VITAMIN D 25-OH$ 226.00 Laboratory 1810506 VOLUME COLLECT 24HR$ 23.00 Laboratory 1881050 VOLUME MEASUREMENT FOR TIMED URINE COLLE$ 23.00 Laboratory 1883644 WBC COUNT$ 19.00 Laboratory 1888817 WET MOUNT$ 34.00 Laboratory - Reference Lab 16163520 RL 14.3.3 ETA PROTEIN 305313$ 154.00 Laboratory - Reference Lab 16183593 RL 17 KETOSTEROID FRACTION UR$ 171.50 Laboratory - Reference Lab 16183586 RL 17 KETOSTEROIDS 24 HR UA$ 79.00 Laboratory - Reference Lab 16183498 RL 17-HYDROXY PROGESTERONE$ 75.00 Laboratory - Reference Lab 16183491 RL 17-HYDROXYCORTICOSTEROIDS 24HR URINE$ 104.00 Laboratory - Reference Lab 16183497 RL 5-HIAA 24 HR UA$ 74.00 Laboratory - Reference Lab 16183915 RL 5-NUCLEOTIDASE$ 143.00 Laboratory - Reference Lab 16186900 RL ABO GROUP$ 52.00 Laboratory - Reference Lab 16182164 RL ACE 300866$ 64.00 Laboratory - Reference Lab 16108359 RL ACETYLCHOLINE BINDING AB$ 72.00 Laboratory - Reference Lab 16108361 RL ACETYLCHOLINE BLOCK AB$ 72.00 Laboratory - Reference Lab 16108360 RL ACETYLCHOLINE MOD AB$ 134.00 Laboratory - Reference Lab 16184060 RL ACID PHOS TOTAL$ 27.00 Laboratory - Reference Lab 16182024 RL ACTH$ 82.00 Laboratory - Reference Lab 16105307 RL ACTIVATED PROTEIN C RESISTANCE$ 84.00 Laboratory - Reference Lab 16107798 RL ADENOVIRUS DNA BY RAPID PCR$ 344.00 Laboratory - Reference Lab 16108458 RL ADH/AVH ARGININE VASOPRESSIN HORMO$ 76.00 Laboratory - Reference Lab 16107077 RL AEROBIC BACTERIAL ID$ 139.00 Laboratory - Reference Lab 16108708 RL AEROBIC CULTURE+$ 64.00 Laboratory - Reference Lab 16187184 RL AEROBIC SUSEPTIBILITY$ 97.00 Laboratory - Reference Lab 16108716 RL AEROBIC/ANAEROBIC CULTURE+$ 57.00 Laboratory - Reference Lab 16187116 RL AFB$ 73.00 Laboratory - Reference Lab 16187206 RL AFB SMEAR ONLY MODIFIED$ 56.00 Laboratory - Reference Lab 16182105 RL AFP SERUM 331153$ 63.00 Laboratory - Reference Lab 16182040 RL ALBUMIN 330137$ 54.00 Laboratory - Reference Lab 16182042 RL ALBUMIN LEVEL, BODY FLUID$ 61.00 Laboratory - Reference Lab 16182085 RL ALDOLASE 303978$ 67.00 Laboratory - Reference Lab 16182088 RL ALDOSTERONE$ 73.00 Laboratory - Reference Lab 16184075 RL ALK PHOS 303991$ 54.00 Laboratory - Reference Lab 16184080 RL ALK PHOS BONE$ 89.00 Laboratory - Reference Lab 16104080 RL ALK PHOS ISOENZYME(S)$ 58.00 Laboratory - Reference Lab 16104075 RL ALK PHOS TOTAL(S)$ 58.00 Laboratory - Reference Lab 16105054 RL ALMOND IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16182103 RL ALPHA 1 ANTITRYPSIN$ 69.00 Laboratory - Reference Lab 16105068 RL ALPHA LACTALBUMIN IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16182104 RL ALPHA1 ANTITRYPSIN PHENOTYPE$ 117.00 Laboratory - Reference Lab 16184460 RL ALT$ 55.00 Laboratory - Reference Lab 16105028 RL ALTERNARIA TENUIS IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16182108 RL ALUMINUM (SERUM)$ 63.00 Laboratory - Reference Lab 16180150 RL AMIKACIN LEVEL$ 64.00 Laboratory - Reference Lab 16182139 RL AMINO ACIDS URINE$ 156.00 Laboratory - Reference Lab 16108277 RL AMIODORONE$ 66.00 Laboratory - Reference Lab 16182140 RL AMMONIA PLASMA$ 66.00 Laboratory - Reference Lab 16182150 RL AMYLASE$ 55.00 Laboratory - Reference Lab 16192150 RL AMYLASE LEVEL, BODY FLUID$ 56.00 Laboratory - Reference Lab 16102150 RL AMYLASE URINE$ 62.00 Laboratory - Reference Lab 16186039 RL ANA IFA RFLX$ 59.00 Laboratory - Reference Lab 16108626 RL ANA TITER/PATTERN-BILLING ONLY 330542$ 57.00 Laboratory - Reference Lab 16186038 RL ANA WITH REFLEX 330457$ 53.00 Laboratory - Reference Lab 16187075 RL ANAEROBIC CULTURE 301487$ 65.00 Laboratory - Reference Lab 16186255 RL ANCA SCREEN$ 84.00 Laboratory - Reference Lab 16182157 RL ANDROSTENEDIONE$ 69.00 Laboratory - Reference Lab 16186850 RL ANTIBODY SCREEN (RBC)$ 58.00 Laboratory - Reference Lab 16107186 RL ANTIMICROBIAL SUSEPTIBILITY$ 137.00 Laboratory - Reference Lab 16183020 RL ANTI-MULLERIAN HORMONE$ 100.00 Laboratory - Reference Lab 16185300 RL ANTITHROMBIN III 330050$ 60.00 Laboratory - Reference Lab 16185301 RL ANTITHROMBIN III AG$ 63.00 Laboratory - Reference Lab 16188160 RL AP BILL SMEARS ANY SOUCE BUT CX/VAG$ 87.00 Laboratory - Reference Lab 16188162 RL AP BILL SMEARS ANY SOUCE BUT CX/VAG>5$ 77.00 Laboratory - Reference Lab 16181201 RL APC GENE SEQUENCE(S)$ 1,644.00 Laboratory - Reference Lab 16108217 RL APOLIPOPROTEIN A1$ 63.00 Laboratory - Reference Lab 16182172 RL APOLIPOPROTEIN B 300871$ 68.00 Laboratory - Reference Lab 16101401 RL APOLIPOPROTEIN E GENO ALZHEIMER RISK$ 180.00 Laboratory - Reference Lab 16105047 RL APPLE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16182175 RL ARSENIC BLOOD$ 70.00 Laboratory - Reference Lab 16102175 RL ARSENIC URINE$ 157.00 Laboratory - Reference Lab 16186063 RL ASO SCREEN 330510$ 56.00 Laboratory - Reference Lab 16186060 RL ASO TITER (BILLING ONLY)$ 50.00 Laboratory - Reference Lab 16105017 RL ASPERGILLUS FUMIGATUS IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16186606 RL ASPERGILLUS FUMIGATUS IGG$ 95.00 Laboratory - Reference Lab 16184450 RL AST$ 54.00 Laboratory - Reference Lab 16105004 RL AUREOBASIDIUM PULLULANS IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105048 RL AVOCADO IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16182607 RL B12$ 54.00 Laboratory - Reference Lab 16187077 RL BACT ID 330521$ 53.00 Laboratory - Reference Lab 16187153 RL BACTERIAL DNA SEQUENCING$ 233.00 Laboratory - Reference Lab 16176973 RL BAHIA GRASS IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105049 RL BANANA IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105050 RL BARLEY IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16146611 RL BARTONELLA HENSELAE IGG (S)$ 63.00 Laboratory - Reference Lab 16156611 RL BARTONELLA HENSELAE IGM (S)$ 63.00 Laboratory - Reference Lab 16166611 RL BARTONELLA QUINTANA IGG (S)$ 63.00 Laboratory - Reference Lab 16176611 RL BARTONELLA QUINTANA IGM (S)$ 63.00 Laboratory - Reference Lab 16186885 RL BB ABID/EACH REAGENT CELL ARC$ 60.00 Laboratory - Reference Lab 16106900 RL BB ABO TYPE, ARC$ 65.00 Laboratory - Reference Lab 16186870 RL BB ANTIBIODY ID, EACH PANEL ARC$ 110.00 Laboratory - Reference Lab 16106850 RL BB ANTIBIODY SCREEN EACH MEDIA, ARC$ 85.00 Laboratory - Reference Lab 16186978 RL BB DIFFERENTIAL/AUTO ADS OF SERUM ARC$ 110.00 Laboratory - Reference Lab 16106880 RL BB DIRECT ANTIGLOBULIN TEST ARC$ 70.00 Laboratory - Reference Lab 16186860 RL BB ELUTION ARC$ 120.00 Laboratory - Reference Lab 16106970 RL BB GEL, REDCELL PREP ARC$ 56.00 Laboratory - Reference Lab 16186970 RL BB PRE-RX RBC W CHEM/DRUGS ARC$ 96.00 Laboratory - Reference Lab 16186905 RL BB RBC AG, OTHER THAN ABO OR D, ARC$ 82.00 Laboratory - Reference Lab 16186902 RL BB RED CELL ANTIGEN TYPING, EACH ARC$ 175.00 Laboratory - Reference Lab 16186906 RL BB RH PHENOTYPING COMPLETE, ARC$ 110.00 Laboratory - Reference Lab 16106901 RL BB RH TYPE, ARC$ 64.00 Laboratory - Reference Lab 16188361 RL BCL 1 IHC$ 156.00 Laboratory - Reference Lab 16105095 RL BEAN NAVY IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105051 RL BEEF IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16101480 RL BENZODIAZEPINES GC/MS CONFIRM$ 71.00 Laboratory - Reference Lab 16176993 RL BERMUDA GRASS IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16186146 RL BETA 2 GLYCOPROTEIN ANTIBODY(S)$ 57.00 Laboratory - Reference Lab 16182010 RL BETA HYDROXY BUTYRATE$ 58.00 Laboratory - Reference Lab 16105069 RL BETA LACTOGLOBULIN IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16182232 RL BETA-2-MICROGLOBULIN$ 64.00 Laboratory - Reference Lab 16184702 RL BHCG$ 66.00 Laboratory - Reference Lab 16182239 RL BILE ACIDS TOTAL$ 64.00 Laboratory - Reference Lab 16184999 RL BIOAVAILABLE TESTOSTERONE(S)$ 78.00 Laboratory - Reference Lab 16187799 RL BK VIRUS DNA QUANT PCR$ 152.00 Laboratory - Reference Lab 16187040 RL BLOOD C/S 330488$ 65.00 Laboratory - Reference Lab 16187150 RL BLOOD CULTURE ID$ 64.00 Laboratory - Reference Lab 16105052 RL BLUE MUSSEL IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16180048 RL BMP$ 55.00 Laboratory - Reference Lab 16108306 RL BODY FLUID CELL COUNT$ 56.00 Laboratory - Reference Lab 16108725 RL BODY FLUID CULTURE+$ 74.00 Laboratory - Reference Lab 16127798 RL BORDATELLA HOLMSEII (s)$ 71.00 Laboratory - Reference Lab 16177798 RL BORDATELLA PARAPERTUSSIS(s)$ 71.00 Laboratory - Reference Lab 16167798 RL BORDATELLA PERTUSSIS(s)$ 71.00 Laboratory - Reference Lab 16187476 RL BORRELIA BURGDORFERI BY PCR 304243$ 177.00 Laboratory - Reference Lab 16105018 RL BOX ELDER/MAPLE TREE IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16143516 RL BP 180 IGG (S)$ 126.00 Laboratory - Reference Lab 16153516 RL BP 230 IGG (S)$ 126.00 Laboratory - Reference Lab 16105053 RL BRAZIL NUT IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16108723 RL BREATH H PYLORI$ 114.00 Laboratory - Reference Lab 16105056 RL BROCCOLI IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16176983 RL BROME GRASS IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16183880 RL BTNP 330372$ 74.00 Laboratory - Reference Lab 16105055 RL BUCKWHEAT IGE ALLERGEN$ 59.00 Laboratory - Reference Lab 16184520 RL BUN$ 54.00 Laboratory - Reference Lab 16180338 RL BUPROPION (WELLBUTRIN)$ 102.00 Laboratory - Reference Lab 16187324 RL C DIFF TOXIN$ 80.00 Laboratory - Reference Lab 16184681 RL C PEPTIDE 331151$ 68.00 Laboratory - Reference Lab 16106631 RL C PNEUMONIAE IGG TITER 300495$ 63.00 Laboratory - Reference Lab 16182374 RL C02$ 54.00 Laboratory - Reference Lab 16106161 RL C1Q COMPLEMENT$ 101.00 Laboratory - Reference Lab 16186161 RL C1Q FUNCTIONAL$ 87.00 Laboratory - Reference Lab 16106159 RL C2 COMPLEMENT FUNCTIONAL$ 119.00 Laboratory - Reference Lab 16186160 RL C3 COMPLEMENT$ 56.00 Laboratory - Reference Lab 16108610 RL C4 COMPLEMENT$ 56.00 Laboratory - Reference Lab 16108618 RL C5 COMPLEMENT$ 97.00 Laboratory - Reference Lab 16186304 RL CA 125 331054$ 68.00 Laboratory - Reference Lab 16186300 RL CA 15.3 303877$ 71.00 Laboratory - Reference Lab 16186301 RL CA 19.9$ 67.00 Laboratory - Reference Lab 16146300 RL CA 27-29$ 70.00 Laboratory - Reference Lab 16105057 RL CABBAGE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16182300 RL CADMIUM BLOOD$ 67.00 Laboratory - Reference Lab 16182310 RL CALCIUM$ 54.00 Laboratory - Reference Lab 16182340 RL CALCIUM 24 HR UA 330363$ 55.00 Laboratory - Reference Lab 16182330 RL CALCIUM IONIZED 330371$ 55.00 Laboratory - Reference Lab 16142340 RL CALCIUM URINE RANDOM$ 56.00 Laboratory - Reference Lab 16183993 RL CALPROTECTIN$ 205.00 Laboratory - Reference Lab 16187046 RL CAMPLOBACTER CULTURE 331041$ 55.00 Laboratory - Reference Lab 16187449 RL CAMPYLOBACTER ATIGEN$ 190.00 Laboratory - Reference Lab 16106318 RL C-ANCA (PR3)$ 68.00 Laboratory - Reference Lab 16105011 RL CANDIDA ALBICANS IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16187480 RL CANDIDA DNA PROBE 330568$ 65.00 Laboratory - Reference Lab 16180156 RL CARBAMAZEPINE$ 62.00 Laboratory - Reference Lab 16180157 RL CARBAMAZEPINE FREE$ 70.00 Laboratory - Reference Lab 16182375 RL CARBOXYHEMOGLOBIN/CARBON MONOXIDE$ 156.00 Laboratory - Reference Lab 16108617 RL CARDIOLIPIN IGA$ 81.00 Laboratory - Reference Lab 16108615 RL CARDIOLIPIN IGG$ 73.00 Laboratory - Reference Lab 16186147 RL CARDIOLIPIN IGM$ 67.00 Laboratory - Reference Lab 16182379 RL CARNITINE TOTAL SERUM$ 81.00 Laboratory - Reference Lab 16105058 RL CARROT IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105059 RL CASHEW IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105019 RL CAT EPI AND DANDER IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16182384 RL CATECHOLAMINES 24 HR URINE(S)$ 72.00 Laboratory - Reference Lab 16108238 RL CATECHOLAMINES PLASMA$ 72.00 Laboratory - Reference Lab 16102570 RL CATECHOLAMINES URINE RANDOM(S)$ 72.00 Laboratory - Reference Lab 16187070 RL CATH TIP CULTURE 330474$ 64.00 Laboratory - Reference Lab 16105097 RL CAULIFLOWER IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16100025 RL CBC - NO DIFF$ 55.00 Laboratory - Reference Lab 16185025 RL CBC W AUTO DIFF$ 61.00 Laboratory - Reference Lab 16186200 RL CCP IGG/IGA ANTIBODY 301342$ 60.00 Laboratory - Reference Lab 16116356 RL CD20 B CELL (S)$ 196.00 Laboratory - Reference Lab 16126355 RL CD20 B CELL (S)$ 252.00 Laboratory - Reference Lab 16186360 RL CD4/CD8 (T4/T8 HELPER/SUPRESS RATIO)$ 98.00 Laboratory - Reference Lab 16182378 RL CEA 330170$ 65.00 Laboratory - Reference Lab 16105060 RL CELERY IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16108627 RL CENTROMERE AB$ 60.00 Laboratory - Reference Lab 16196003 RL CEPHALOSPORIUM IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16182390 RL CERULOPLASMIN$ 60.00 Laboratory - Reference Lab 16186162 RL CH50$ 67.00 Laboratory - Reference Lab 16105061 RL CHEESE CHEDDAR IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105062 RL CHEESE MOLD IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105063 RL CHERRY IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105064 RL CHICKEN IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16107491 RL CHLAMYDIA AMPLIFIED SWAB$ 63.00 Laboratory - Reference Lab 16187491 RL CHLAMYDIA AMPLIFIED URINE 330592$ 63.00 Laboratory - Reference Lab 16187110 RL CHLAMYDIA CULTURE$ 65.00 Laboratory - Reference Lab 16176632 RL CHLAMYDIA PNEUMONIAE IGM (S)$ 60.00 Laboratory - Reference Lab 16196632 RL CHLAMYDIA PSITTACI IGM (S)$ 60.00 Laboratory - Reference Lab 16186632 RL CHLAMYDIA TRACHOMATIS IGM (S)$ 60.00 Laboratory - Reference Lab 16182435 RL CHLORIDE$ 48.00 Laboratory - Reference Lab 16182436 RL CHLORIDE URINE RANDOM$ 53.00 Laboratory - Reference Lab 16105065 RL CHOCOLATE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16182465 RL CHOLESTEROL$ 54.00 Laboratory - Reference Lab 16103518 RL CHROMATIN AB$ 110.00 Laboratory - Reference Lab 16182495 RL CHROMIUM SERUM$ 71.00 Laboratory - Reference Lab 16186316 RL CHROMOGRANIN A$ 102.00 Laboratory - Reference Lab 16188237 RL CHROMOSOME ANALYSIS PERIPHER$ 210.00 Laboratory - Reference Lab 16158346 RL CHRONS (S)$ 83.00 Laboratory - Reference Lab 16188350 RL CHRONS (S)$ 83.00 Laboratory - Reference Lab 16193520 RL CHRONS (S)$ 118.00 Laboratory - Reference Lab 16141401 RL CHRONS (S)$ 188.00 Laboratory - Reference Lab 16182507 RL CITRATE URINE 24HR$ 81.00 Laboratory - Reference Lab 16182552 RL CK ISOENZYMES$ 80.00 Laboratory - Reference Lab 16182553 RL CKMB$ 58.00 Laboratory - Reference Lab 16140883 RL CL ESTERASE INHIBITER, ANTIGEN$ 68.00 Laboratory - Reference Lab 16160520 RL CL ESTERASE INHIBITOR, FUNCT ASSAY$ 81.00 Laboratory - Reference Lab 16105041 RL CLAM IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16180339 RL CLOBAZAM AND METABOLITES$ 152.00 Laboratory - Reference Lab 16180346 RL CLONAZEPAM (KLONOPIN)$ 64.00 Laboratory - Reference Lab 16100159 RL CLOZAPINE (CLOZARIL)$ 90.00 Laboratory - Reference Lab 16180053 RL CMP 330236$ 63.00 Laboratory - Reference Lab 16187497 RL CMV DNA QUANTITATION BY PCR$ 133.00 Laboratory - Reference Lab 16186644 RL CMV IGG 331146$ 62.00 Laboratory - Reference Lab 16186645 RL CMV IGM$ 69.00 Laboratory - Reference Lab 16136256 RL CNS DEM DISEASE RFLX (BILLING ONLY)$ 125.00 Laboratory - Reference Lab 16176255 RL CNS DEMYELINATING DISEASE (S)$ 460.00 Laboratory - Reference Lab 16103018 RL COBALT$ 90.00 Laboratory - Reference Lab 16180353 RL COCAINE METABOLITE SERUM$ 122.00 Laboratory - Reference Lab 16186635 RL COCCIDIOIDES AB$ 65.00 Laboratory - Reference Lab 16105066 RL COCONUT IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105035 RL COD IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16105067 RL COFFEE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16186157 RL COLD AGGULTININS$ 60.00 Laboratory - Reference Lab 16105020 RL COMMON RAGWEED IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105021 RL COMMON SILVER BIRCH IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16102525 RL COPPER RBC$ 68.00 Laboratory - Reference Lab 16182525 RL COPPER SERUM 302866$ 61.00 Laboratory - Reference Lab 16108252 RL COPPER URINE$ 63.00 Laboratory - Reference Lab 16105042 RL CORN / MAIZE IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16186104 RL CORN IGG ALLERGEN$ 78.00 Laboratory - Reference Lab 16108253 RL CORTISOL AM 330375$ 58.00 Laboratory - Reference Lab 16182530 RL CORTISOL FREE 24 HR URINE$ 66.00 Laboratory - Reference Lab 16102530 RL CORTISOL FREE(S)$ 85.00 Laboratory - Reference Lab 16108254 RL CORTISOL PM$ 58.00 Laboratory - Reference Lab 16162530 RL CORTISOL SALIVA$ 108.00 Laboratory - Reference Lab 16182533 RL CORTISOL TOTAL 330375$ 58.00 Laboratory - Reference Lab 16102533 RL CORTISOL TOTAL(S)$ 85.00 Laboratory - Reference Lab 16147081 RL CORYNEBACTERIUM DIPTHERIAE CULTURE$ 104.00 Laboratory - Reference Lab 16105008 RL COTTONWOOD TREE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16186658 RL COXSACKIE A VIRUS ABS (S)$ 63.00 Laboratory - Reference Lab 16100658 RL COXSACKIE B ANTIBIODIES (S)$ 74.00 Laboratory - Reference Lab 16182550 RL CPK$ 55.00 Laboratory - Reference Lab 16105070 RL CRAB IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16182565 RL CREATININE$ 54.00 Laboratory - Reference Lab 16182575 RL CREATININE CLEARANCE$ 56.00 Laboratory - Reference Lab 16182570 RL CREATININE UA$ 55.00 Laboratory - Reference Lab 16172570 RL CREATININE URINE(S)$ 53.00 Laboratory - Reference Lab 16186140 RL CRP QUANTATIVE 330182$ 55.00 Laboratory - Reference Lab 16182595 RL CRYOGLOBULIN$ 61.00 Laboratory - Reference Lab 16187327 RL CRYPTOCOCCAL ANTIGEN SERUM$ 59.00 Laboratory - Reference Lab 16187328 RL CRYPTOSPORIDIUM AG BY EIA 331044$ 71.00 Laboratory - Reference Lab 16108715 RL CSF CULTURE$ 60.00 Laboratory - Reference Lab 16102523 RL C-TELOPEPTIDE BETA CROSS$ 130.00 Laboratory - Reference Lab 16105071 RL CUCUMBER IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16180158 RL CYCLOSPORINE$ 76.00 Laboratory - Reference Lab 16182610 RL CYSTATIN C$ 118.00 Laboratory - Reference Lab 16108918 RL CYSTIC FIBROSIS MUTATION PANEL$ 125.00 Laboratory - Reference Lab 16182131 RL CYSTINE QUANTITATIVE URINE 24 HR$ 140.00 Laboratory - Reference Lab 16188262 RL CYTOGENETIC COUNT (S)$ 182.00 Laboratory - Reference Lab 16188230 RL CYTOGENETIC CULTURE (S)$ 182.00 Laboratory - Reference Lab 16188108 RL CYTOLOGY FLUID$ 74.00 Laboratory - Reference Lab 16188161 RL CYTOLOGY MISC NON GYN$ 51.00 Laboratory - Reference Lab 16188104 RL CYTOLOGY URINE$ 74.00 Laboratory - Reference Lab 16188112 RL CYTOLOGY W/CELLULAR ENHANCEMENT$ 77.00 Laboratory - Reference Lab 16186880 RL DAT$ 41.00 Laboratory - Reference Lab 16185379 RL D-DIMER$ 56.00 Laboratory - Reference Lab 16188311 RL DECALCIFICATION 330411$ 59.00 Laboratory - Reference Lab 16182626 RL DHEA$ 71.00 Laboratory - Reference Lab 16182627 RL DHEA SULFATE 331154$ 65.00 Laboratory - Reference Lab 16107480 RL DIAZEPAM (VALIUM)$ 72.00 Laboratory - Reference Lab 16180162 RL DIGOXIN$ 58.00 Laboratory - Reference Lab 16100480 RL DIHYDROTESTOSTERONE SERUM$ 107.00 Laboratory - Reference Lab 16180185 RL DILANTIN$ 58.00 Laboratory - Reference Lab 16180186 RL DILANTIN FREE 302203$ 65.00 Laboratory - Reference Lab 16105613 RL DILUTE RUSSEL VIPER VENOM$ 63.00 Laboratory - Reference Lab 16182248 RL DIRECT BILIRUBIN$ 54.00 Laboratory - Reference Lab 16183721 RL DIRECT LDL$ 59.00 Laboratory - Reference Lab 16186225 RL DNA DS AB 303673$ 66.00 Laboratory - Reference Lab 16105022 RL DOG DANDER IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16140307 RL DRUG SCREEN 11 PANEL URINE - MEDICAL$ 68.00 Laboratory - Reference Lab 16130307 RL DRUG SCREEN 8 PANEL URINE - MEDICAL$ 70.00 Laboratory - Reference Lab 16150307 RL DRUG SCREEN CANNABINOIDS MEDICAL URIN$ 53.00 Laboratory - Reference Lab 16155307 RL DRUG SCREEN COCAINE MEDICAL URINE$ 53.00 Laboratory - Reference Lab 16100101 RL DRUG SCREEN URINE 10$ 58.00 Laboratory - Reference Lab 16100103 RL DRUG SCREEN URINE 11 COC W/ETOH$ 69.00 Laboratory - Reference Lab 16180377 RL DRUG SCREEN, URINE - COMPREHENSIVE$ 153.00 Laboratory - Reference Lab 16187335 RL E COLI STOOL 330590$ 57.00 Laboratory - Reference Lab 16108713 RL EAR CULTURE+$ 69.00 Laboratory - Reference Lab 16186663 RL EBV EARLY AG IGG$ 103.00 Laboratory - Reference Lab 16186664 RL EBV NA IGG 300896$ 59.00 Laboratory - Reference Lab 16108666 RL EBV VCA IGG 300889$ 59.00 Laboratory - Reference Lab 16186665 RL EBV VCA IGM 300890$ 59.00 Laboratory - Reference Lab 16105036 RL EGG WHITE IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16156003 RL EGG YOLK IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105023 RL ELM TREE IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16156239 RL ENA J01 (S)$ 59.00 Laboratory - Reference Lab 16156238 RL ENA RNP(S)$ 59.00 Laboratory - Reference Lab 16186239 RL ENA SCL70 (S)$ 59.00 Laboratory - Reference Lab 16156237 RL ENA SM (S)$ 59.00 Laboratory - Reference Lab 16156235 RL ENA SSA (S)$ 59.00 Laboratory - Reference Lab 16156236 RL ENA SSB (S)$ 59.00 Laboratory - Reference Lab 16108255 RL ENDOMYSIAL IGA ANTIBODIES 302722$ 63.00 Laboratory - Reference Lab 16100255 RL ENDOMYSIAL IGG ANTIBODIES$ 106.00 Laboratory - Reference Lab 16105016 RL ENGLISH PLANTAIN IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16187015 RL ENTEROH E COLI CONC 330591$ 57.00 Laboratory - Reference Lab 16187498 RL ENTEROVIRUS PCR NON-BLOOD$ 188.00 Laboratory - Reference Lab 16165048 RL EOSINOPHIL COUNT, TOTAL BLOOD$ 57.00 Laboratory - Reference Lab 16100051 RL EOSINOPHIL URINE$ 56.00 Laboratory - Reference Lab 16106003 RL EPICOCCUM PURPURASCENS IGE ALLERGEN$ 56.00 Laboratory - Reference Lab 16182668 RL ERYTHROPOIETIN$ 65.00 Laboratory - Reference Lab 16182670 RL ESTRADIOL 330323$ 61.00 Laboratory - Reference Lab 16104270 RL ESTRADIOL FREE$ 222.00 Laboratory - Reference Lab 16182677 RL ESTRIOL SERUM 303277$ 67.00 Laboratory - Reference Lab 16182671 RL ESTROGENS FRACTIONATED 303488$ 93.00 Laboratory - Reference Lab 16182672 RL ESTROGENS TOTAL 303990$ 73.00 Laboratory - Reference Lab 16182679 RL ESTRONE$ 94.00 Laboratory - Reference Lab 16180168 RL ETHOSUXIMIDE LEVEL$ 61.00 Laboratory - Reference Lab 16100479 RL ETHYL GLUCURONIDE SCR & CO$ 85.00 Laboratory - Reference Lab 16180169 RL EVEROLIMUS$ 82.00 Laboratory - Reference Lab 16108712 RL EYE CULTURE+$ 69.00 Laboratory - Reference Lab 16185307 RL FACTOR V LEIDEN 330042$ 60.00 Laboratory - Reference Lab 16181241 RL FACTOR V LEIDEN MUTATION ANA$ 82.00 Laboratory - Reference Lab 16185240 RL FACTOR VIII ASSAY$ 72.00 Laboratory - Reference Lab 16182710 RL FECAL FAT QUANTATIVE$ 106.00 Laboratory - Reference Lab 16182728 RL FERRITIN$ 58.00 Laboratory - Reference Lab 16185384 RL FIBRINOGEN 330008$ 57.00 Laboratory - Reference Lab 16188374 RL FISH MULTIPLEX PROBE NEO$ 496.00 Laboratory - Reference Lab 16188184 RL FLOW CYTOMETRY 1ST MARKER$ 121.00 Laboratory - Reference Lab 16188185 RL FLOW CYTOMETRY EA ADDTL MARKER$ 18.00 Laboratory - Reference Lab 16188172 RL FNA IMMEDIATE READ$ 80.00 Laboratory - Reference Lab 16188173 RL FNA NON GYN$ 77.00 Laboratory - Reference Lab 16182746 RL FOLATE$ 58.00 Laboratory - Reference Lab 16181243 RL FRAGILE X WITH REFLEX METHYLATION ANL$ 301.00 Laboratory - Reference Lab 16160186 RL FREE PHENYTOIN (S)$ 74.00 Laboratory - Reference Lab 16184439 RL FREE T4 330174$ 59.00 Laboratory - Reference Lab 16164439 RL FREE T4 BY EQUILIBRIUM DIALYSIS$ 91.00 Laboratory - Reference Lab 16104402 RL FREE TESTOSTERONE(S)$ 78.00 Laboratory - Reference Lab 16182985 RL FRUCTOSAMINE$ 69.00 Laboratory - Reference Lab 16183001 RL FSH 330332$ 55.00 Laboratory - Reference Lab 16186781 RL FTA-ABS SYPHILIS$ 78.00 Laboratory - Reference Lab 16187102 RL FUNGAL CULTURE$ 66.00 Laboratory - Reference Lab 16182955 RL G6PD$ 70.00 Laboratory - Reference Lab 16180171 RL GABAPENTIN/NEURONTIN 300914$ 69.00 Laboratory - Reference Lab 16108363 RL GAD AB$ 106.00 Laboratory - Reference Lab 16187510 RL GARDNERELLA DNA PROBE 330569$ 65.00 Laboratory - Reference Lab 16105072 RL GARLIC IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16182941 RL GASTRIN$ 63.00 Laboratory - Reference Lab 16108711 RL GENITAL CULTURE 330479$ 61.00 Laboratory - Reference Lab 16180170 RL GENTAMICIN LEVEL RANDOM$ 59.00 Laboratory - Reference Lab 16108018 RL GENTAMICIN PEAK$ 59.00 Laboratory - Reference Lab 16108017 RL GENTAMICIN TROUGH$ 59.00 Laboratory - Reference Lab 16105024 RL GERMAN COCKROACH IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16182977 RL GGT 330107$ 57.00 Laboratory - Reference Lab 16187329 RL GIARDIA AG 302248$ 63.00 Laboratory - Reference Lab 16108354 RL GLIADIN IGA 301086$ 76.00 Laboratory - Reference Lab 16155517 RL GLIADIN IGA (S)$ 68.00 Laboratory - Reference Lab 16108353 RL GLIADIN IGG 301087$ 76.00 Laboratory - Reference Lab 16155516 RL GLIADIN IGG (S)$ 68.00 Laboratory - Reference Lab 16193516 RL GLOMERULA BASEMENT MEMBRANE$ 89.00 Laboratory - Reference Lab 16182943 RL GLUCAGON PLASMA$ 86.00 Laboratory - Reference Lab 16182947 RL GLUCOSE$ 53.00 Laboratory - Reference Lab 16182950 RL GLUCOSE 1 HR 50 GM$ 53.00 Laboratory - Reference Lab 16108294 RL GLUCOSE 2 HR PP$ 53.00 Laboratory - Reference Lab 16182945 RL GLUCOSE BODY FLUID$ 54.00 Laboratory - Reference Lab 16182951 RL GLUCOSE TOLERANCE$ 59.00 Laboratory - Reference Lab 16105073 RL GLUTEN IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16183036 RL GLYCOHGB (A1C) 330331$ 55.00 Laboratory - Reference Lab 16167591 RL GONORRHOEAE AMPLIFIED SWAB$ 63.00 Laboratory - Reference Lab 16187591 RL GONORRHOEAE AMPLIFIED URINE 330594$ 63.00 Laboratory - Reference Lab 16100081 RL GONORRHOEAE CULTURE$ 65.00 Laboratory - Reference Lab 16187430 RL GP A STREP CULTURE$ 67.75 Laboratory - Reference Lab 16187205 RL GRAM STAIN 330482$ 53.00 Laboratory - Reference Lab 16183003 RL GROWTH HORMONE$ 75.00 Laboratory - Reference Lab 16182952 RL GTT SPECIMEN ADDTL$ 50.00 Laboratory - Reference Lab 16187338 RL H PYLORI AG STOOL 304027$ 98.00 Laboratory - Reference Lab 16186677 RL H PYLORI IGG$ 70.00 Laboratory - Reference Lab 16183010 RL HAPTOGLOBIN$ 59.00 Laboratory - Reference Lab 16105074 RL HAZELNUT IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16187340 RL HBSAG 330459$ 57.00 Laboratory - Reference Lab 16184703 RL HCG SERUM QUALITATIVE$ 58.00 Laboratory - Reference Lab 16185014 RL HCT$ 53.00 Laboratory - Reference Lab 16187902 RL HCV GENOTYPE 303406$ 189.00 Laboratory - Reference Lab 16187522 RL HCV RNA PCR QUANT 302876$ 122.00 Laboratory - Reference Lab 16183718 RL HDL$ 48.00 Laboratory - Reference Lab 16105009 RL HELMINTHOSPORIUM IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16181256 RL HEMOCHROMATOSIS HEREDITARY$ 162.00 Laboratory - Reference Lab 16143020 RL HEMOGLOBINOPATHY EVALUATION$ 81.00 Laboratory - Reference Lab 16186708 RL HEP A AB$ 58.00 Laboratory - Reference Lab 16186709 RL HEP A AB IGM$ 61.00 Laboratory - Reference Lab 16186705 RL HEP B CORE IGM$ 61.00 Laboratory - Reference Lab 16186704 RL HEP B CORE TOTAL IGG IGM 331165$ 58.00 Laboratory - Reference Lab 16187517 RL HEP B DNA PCR QUANT$ 139.00 Laboratory - Reference Lab 16186706 RL HEP B SURFACE AB QUAL/QUANT 330460$ 58.00 Laboratory - Reference Lab 16187341 RL HEP B SURFACE AG CONFIRMATION$ 86.00 Laboratory - Reference Lab 16186803 RL HEP C AB 330517$ 60.00 Laboratory - Reference Lab 16180076 RL HEPATIC FUNCTION$ 61.00 Laboratory - Reference Lab 16108076 RL HEPATIC FUNCTION PANEL$ 55.00 Laboratory - Reference Lab 16106707 RL HEPATITIS Be ANTIBODY$ 63.00 Laboratory - Reference Lab 16107350 RL HEPATITIS Be ANTIGEN$ 63.00 Laboratory - Reference Lab 16186804 RL HEPATITIS C AB CONFIRMATION$ 66.00 Laboratory - Reference Lab 16187521 RL HEPATITIS C RNA QUALITATIVE PCR$ 125.00 Laboratory - Reference Lab 16180074 RL HEPATITIS PANEL 330546$ 68.00 Laboratory - Reference Lab 16178361 RL HER BREAST IHC$ 210.00 Laboratory - Reference Lab 16188365 RL HER-2 / NEU FISH$ 172.00 Laboratory - Reference Lab 16168271 RL HER2 BREAST TUMOR FISH$ 320.00 Laboratory - Reference Lab 16188377 RL HER-2/NEU FISH$ 237.00 Laboratory - Reference Lab 16181228 RL HEREDITARY COLON CANCER CGH(S)$ 884.00 Laboratory - Reference Lab 16181448 RL HEREDITARY SPASTIC PARAPLEGIA NEUROPA$ 1,970.00 Laboratory - Reference Lab 16106694 RL HERPES 1 & 2 IGM 300921$ 75.00 Laboratory - Reference Lab 16185018 RL HGB$ 53.00 Laboratory - Reference Lab 16183516 RL HISTONE AB IGG$ 66.00 Laboratory - Reference Lab 16187385 RL HISTOPLASMA AG URINE$ 142.00 Laboratory - Reference Lab 16186701 RL HIV 1 SUPPLEMENTAL (S)$ 87.00 Laboratory - Reference Lab 16186702 RL HIV 2 SUPPLEMENTAL (S)$ 87.00 Laboratory - Reference Lab 16186703 RL HIV ANTIBODY/ANTIGEN 331263$ 67.00 Laboratory - Reference Lab 16187535 RL HIV-1 RNA QUAL$ 121.00 Laboratory - Reference Lab 16187536 RL HIV-1 RNA ULTRA QUANT 302875$ 150.00 Laboratory - Reference Lab 16186812 RL HLA B27 300894$ 87.00 Laboratory - Reference Lab 16183090 RL HOMOCYSTEINE 331055$ 62.00 Laboratory - Reference Lab 16105103 RL HONEYBEE VENOM ALLERGEN$ 57.00 Laboratory - Reference Lab 16105025 RL HORMODENDRUM IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16187624 RL HPV HIGH RISK 331056$ 76.00 Laboratory - Reference Lab 16186141 RL HSCRP 330373$ 55.00 Laboratory - Reference Lab 16176694 RL HSV 1 & 2 IGMG AB (S)$ 59.00 Laboratory - Reference Lab 16186695 RL HSV 1 IGG G SPECIFIC AB 300900$ 75.00 Laboratory - Reference Lab 16176695 RL HSV 1 IGG AB (S)$ 59.00 Laboratory - Reference Lab 16107529 RL HSV 1 PCR(S) 302298$ 75.00 Laboratory - Reference Lab 16186696 RL HSV 2 IGG G SPEFICIC AB 300901$ 75.00 Laboratory - Reference Lab 16176696 RL HSV 2 IGG AB (S)$ 59.00 Laboratory - Reference Lab 16117529 RL HSV 2 PCR(S) 302299$ 75.00 Laboratory - Reference Lab 16186305 RL HUMAN EPIDIDYMIS PROTEIN 4$ 205.00 Laboratory - Reference Lab 16100080 RL HYDROCODONE$ 254.00 Laboratory - Reference Lab 16146606 RL HYPERSENSITIVITY PNEUMONITIS (S)$ 72.00 Laboratory - Reference Lab 16186609 RL HYPERSENSITIVITY PNEUMONITIS (S)$ 72.00 Laboratory - Reference Lab 16140520 RL IBD SGI DIAGNOSTIC (S)$ 82.00 Laboratory - Reference Lab 16142397 RL IBD SGI DIAGNOSTIC (S)$ 82.00 Laboratory - Reference Lab 16146140 RL IBD SGI DIAGNOSTIC (S)$ 82.00 Laboratory - Reference Lab 16148346 RL IBD SGI DIAGNOSTIC (S)$ 82.00 Laboratory - Reference Lab 16148350 RL IBD SGI DIAGNOSTIC (S)$ 82.00 Laboratory - Reference Lab 16161479 RL IBD SGI DIAGNOSTIC (S)$ 82.00 Laboratory - Reference Lab 16106335 RL IFE(S)$ 105.00 Laboratory - Reference Lab 16182784 RL IGA$ 56.00 Laboratory - Reference Lab 16172784 RL IGD SERUM 303989$ 63.00 Laboratory - Reference Lab 16108184 RL IGE RECEPTER AB 1st(S)$ 113.00 Laboratory - Reference Lab 16108185 RL IGE RECEPTER AB EACH ADDITIONAL(S)$ 84.00 Laboratory - Reference Lab 16182785 RL IGE TOTAL 330572$ 63.00 Laboratory - Reference Lab 16182397 RL IGF BP3$ 69.00 Laboratory - Reference Lab 16184305 RL IGF-1 SOMATOMEDIN 331163$ 71.00 Laboratory - Reference Lab 16108278 RL IGG 330184$ 56.00 Laboratory - Reference Lab 16102784 RL IGM 330185$ 56.00 Laboratory - Reference Lab 16158361 RL IHC NEO$ 144.00 Laboratory - Reference Lab 16186334 RL IMMUNOFIX SERUM$ 85.00 Laboratory - Reference Lab 16106334 RL IMMUNOFIX URINE$ 76.00 Laboratory - Reference Lab 16188342 RL IMMUNOPEROXIDASE STAIN 330414$ 278.00 Laboratory - Reference Lab 16188341 RL IMMUNOPEROXIDASE STAIN ADD$ 91.00 Laboratory - Reference Lab 16130299 RL INFLIXIMAB QUANT W REFLEX$ 265.00 Laboratory - Reference Lab 16187502 RL INFLUENZA A/B PCR PANEL$ 140.00 Laboratory - Reference Lab 16186336 RL INHIBIN A$ 86.00 Laboratory - Reference Lab 16187168 RL INSECT IDENTIFICATION$ 68.00 Laboratory - Reference Lab 16183525 RL INSULIN 331152$ 66.00 Laboratory - Reference Lab 16186337 RL INSULIN AUTO AB$ 104.00 Laboratory - Reference Lab 16183527 RL INSULIN FREE$ 66.00 Laboratory - Reference Lab 16186340 RL INTRINSIC FACTOR BLOCKING AB$ 62.00 Laboratory - Reference Lab 16183789 RL IODINE$ 88.00 Laboratory - Reference Lab 16183540 RL IRON$ 55.00 Laboratory - Reference Lab 16183550 RL IRON BIND$ 55.00 Laboratory - Reference Lab 16188364 RL ISH ADDITIONAL, TECHNICAL ONLY$ 135.00 Laboratory - Reference Lab 16108365 RL ISH INITIAL, TECHNICAL ONLY$ 135.00 Laboratory - Reference Lab 16186341 RL ISLET CELL AB$ 68.00 Laboratory - Reference Lab 16150299 RL ITRACONAZOLE$ 140.00 Laboratory - Reference Lab 16181270 RL JAK 2 MUTATION ANALYSIS$ 172.00 Laboratory - Reference Lab 16106236 RL JO-1 AB$ 69.00 Laboratory - Reference Lab 16105013 RL JOHNSON GRASS IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16163883 RL KAPPA FREE SERUM(s)$ 71.00 Laboratory - Reference Lab 16100883 RL KAPPA FREE URINE(S)$ 105.00 Laboratory - Reference Lab 16108280 RL KEPPRA/LEVETIRACETAM 301345$ 66.00 Laboratory - Reference Lab 16105075 RL KIWI IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16187220 RL KOH PREP$ 32.00 Laboratory - Reference Lab 16165730 RL LAC PNL APTT(S)$ 67.00 Laboratory - Reference Lab 16165613 RL LAC PNL DRVVT (S)$ 67.00 Laboratory - Reference Lab 16165610 RL LAC PNL PT (S)$ 67.00 Laboratory - Reference Lab 16185732 RL LAC PNL REFLEX APTTM$ 114.00 Laboratory - Reference Lab 16165390 RL LAC PNL REFLEX CCC2$ 96.00 Laboratory - Reference Lab 16165611 RL LAC PNL REFLEX PTMX$ 125.00 Laboratory - Reference Lab 16165670 RL LAC PNL REFLEX TT$ 100.00 Laboratory - Reference Lab 16100542 RL LACOSAMIDE (VIMPAT)$ 140.00 Laboratory - Reference Lab 16183605 RL LACTIC ACID$ 55.00 Laboratory - Reference Lab 16183630 RL LACTOFERRIN FECAL$ 73.00 Laboratory - Reference Lab 16100951 RL LACTOSE- 1st SPECIMEN (S)$ 65.00 Laboratory - Reference Lab 16100952 RL LACTOSE- EACH ADD SPECIMEN (S)$ 65.00 Laboratory - Reference Lab 16105006 RL LAMB IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16103883 RL LAMBDA FREE SERUM(s)$ 71.00 Laboratory - Reference Lab 16103884 RL LAMBDA FREE URINE(S)$ 105.00 Laboratory - Reference Lab 16166003 RL LAMB'S QUARTERS IGE ALLERGEN$ 56.00 Laboratory - Reference Lab 16108281 RL LAMICTOL/LAMOTRIGINE 300912$ 67.00 Laboratory - Reference Lab 16183615 RL LD BODY FLUID$ 53.00 Laboratory - Reference Lab 16108362 RL LDH 330141$ 54.00 Laboratory - Reference Lab 16183625 RL LDH ISOENZYMES$ 44.00 Laboratory - Reference Lab 16183655 RL LEAD BLOOD 301348$ 60.00 Laboratory - Reference Lab 16156789 RL LEAD BLOOD FILTER PAPER$ 65.00 Laboratory - Reference Lab 16186713 RL LEGIONELLA$ 83.00 Laboratory - Reference Lab 16107449 RL LEGIONELLA ANTIGEN URINE$ 65.00 Laboratory - Reference Lab 16105076 RL LETTUCE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16183002 RL LH 330334$ 55.00 Laboratory - Reference Lab 16136003 RL LIMA BEAN IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16183690 RL LIPASE$ 56.00 Laboratory - Reference Lab 16180061 RL LIPID PANEL$ 58.00 Laboratory - Reference Lab 16183695 RL LIPOPROTEIN (a)$ 68.00 Laboratory - Reference Lab 16102465 RL LIPOPROTEIN (S)$ 62.00 Laboratory - Reference Lab 16174478 RL LIPOPROTEIN (S)$ 64.00 Laboratory - Reference Lab 16103718 RL LIPOPROTEIN (S)$ 68.00 Laboratory - Reference Lab 16183700 RL LIPOPROTEIN (S)$ 73.00 Laboratory - Reference Lab 16182177 RL LIPOPROTEIN (S)$ 82.00 Laboratory - Reference Lab 16180178 RL LITHIUM$ 57.00 Laboratory - Reference Lab 16143883 RL LIVER FIBROSIS (S)$ 97.00 Laboratory - Reference Lab 16172172 RL LIVER FIBROSIS (S)$ 97.00 Laboratory - Reference Lab 16172247 RL LIVER FIBROSIS (S)$ 97.00 Laboratory - Reference Lab 16172977 RL LIVER FIBROSIS (S)$ 97.00 Laboratory - Reference Lab 16173010 RL LIVER FIBROSIS (S)$ 97.00 Laboratory - Reference Lab 16174460 RL LIVER FIBROSIS (S)$ 97.00 Laboratory - Reference Lab 16106376 RL LIVER-KIDNEY MICROSOMAL ANITBODY$ 66.00 Laboratory - Reference Lab 16185520 RL LMW HEPARIN ASSAY 330040$ 72.00 Laboratory - Reference Lab 16105077 RL LOBSTER IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16100323 RL LSD URINE CONFIRM$ 162.00 Laboratory - Reference Lab 16185613 RL LUPUS ANTICOAG SCREEN W REFLEX LAC$ 58.00 Laboratory - Reference Lab 16185390 RL LUPUS ANTICOAGULANT PNL RFLX$ 95.00 Laboratory - Reference Lab 16175670 RL LUPUS ANTICOAGULANT PNL RFLX$ 100.00 Laboratory - Reference Lab 16185611 RL LUPUS ANTICOAGULANT PNL RFLX$ 125.00 Laboratory - Reference Lab 16186618 RL LYMES AB TOTAL$ 62.00 Laboratory - Reference Lab 16106618 RL LYMES DISEASE AB W/REFLEX$ 61.00 Laboratory - Reference Lab 16186617 RL LYMES IGG WB 300639$ 69.00 Laboratory - Reference Lab 16106617 RL LYMES IGM WB$ 69.00 Laboratory - Reference Lab 16185549 RL LYSOZYME SERUM$ 77.00 Laboratory - Reference Lab 16180051 RL LYTES$ 56.00 Laboratory - Reference Lab 16183735 RL MAGNESIUM$ 60.00 Laboratory - Reference Lab 16103735 RL MAGNESIUM 24 HR UA$ 60.00 Laboratory - Reference Lab 16100735 RL MAGNESIUM RBC$ 60.00 Laboratory - Reference Lab 16183785 RL MANGANESE$ 69.00 Laboratory - Reference Lab 16106765 RL MEASLES IGG$ 75.00 Laboratory - Reference Lab 16106766 RL MEASLES IGM$ 75.00 Laboratory - Reference Lab 16105078 RL MELON IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16183825 RL MERCURY$ 57.00 Laboratory - Reference Lab 16108382 RL MERCURY URINE$ 57.00 Laboratory - Reference Lab 16108383 RL METANEPHRINES PLASMA$ 133.00 Laboratory - Reference Lab 16183835 RL METANEPHRINES URINE 24 HR(S)$ 72.00 Laboratory - Reference Lab 16103835 RL METANEPHRINES URINE RANDOM(S)$ 70.00 Laboratory - Reference Lab 16183921 RL METHYLMALONIC ACID 302209$ 76.00 Laboratory - Reference Lab 16187186 RL MIC SENSITIVITY 330520$ 55.00 Laboratory - Reference Lab 16182043 RL MICROALBUMIN$ 55.00 Laboratory - Reference Lab 16172043 RL MICROALBUMIN URINE 24HR$ 55.00 Laboratory - Reference Lab 16105037 RL MILK IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16105026 RL MITES D FARINAE IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16105027 RL MITES D PTERONYSSINUS IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16108629 RL MITOCHONDRIAL AB SCREEN 300847$ 61.00 Laboratory - Reference Lab 16183608 RL MONO SCREENING 330454$ 21.00 Laboratory - Reference Lab 16108701 RL MRSA(s) 331277$ 90.00 Laboratory - Reference Lab 16108721 RL MTHFR GENOTYPING 331179$ 86.00 Laboratory - Reference Lab 16105015 RL MUCOR RACEMOSUS IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16186735 RL MUMPS IGG AB$ 70.00 Laboratory - Reference Lab 16106735 RL MUMPS IGM$ 65.00 Laboratory - Reference Lab 16100016 RL MUSK QUANTITATIVE TITER AB IMMUNOASSA$ 885.00 Laboratory - Reference Lab 16100019 RL MUSK QUANTITATIVE TITERS ANTIBODY RIA$ 885.00 Laboratory - Reference Lab 16187556 RL MYCOBACTERIUM TUBERCULOSIS DNA BY PCR$ 250.00 Laboratory - Reference Lab 16180180 RL MYCOPHENOLIC ACID$ 100.00 Laboratory - Reference Lab 16186738 RL MYCOPLASMA IGG$ 61.00 Laboratory - Reference Lab 16108673 RL MYCOPLASMA IGM$ 61.00 Laboratory - Reference Lab 16183874 RL MYOGLOBIN SERUM/PLASMA$ 65.00 Laboratory - Reference Lab 16184591 RL NIACIN (VITAMIN B3)$ 187.00 Laboratory - Reference Lab 16180323 RL NICOTINE AND METABOLITES QUANT URINE$ 80.00 Laboratory - Reference Lab 16183704 RL NMR LIPOPROTEIN PROFILE$ 120.00 Laboratory - Reference Lab 16137798 RL NOROVIRUS 1(s)$ 83.00 Laboratory - Reference Lab 16147798 RL NOROVIRUS 2(s)$ 83.00 Laboratory - Reference Lab 16170480 RL NORTRIPTYLINE (PAMELOR)$ 69.00 Laboratory - Reference Lab 16182523 RL N-TELOPEPTIDE URINE$ 107.00 Laboratory - Reference Lab 16105079 RL OAT IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16100328 RL OCC BLOOD ULTRA SCREEN$ 71.00 Laboratory - Reference Lab 16102272 RL OCCULT BLOOD DIAGNOSTIC$ 71.00 Laboratory - Reference Lab 16140480 RL OPIATE PANEL SERUM$ 155.00 Laboratory - Reference Lab 16105080 RL ORANGE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105030 RL ORCHARD GRASS IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16183930 RL OSMOLALITY SERUM 330342$ 58.00 Laboratory - Reference Lab 16183935 RL OSMOLALITY URINE 330343$ 58.00 Laboratory - Reference Lab 16187177 RL OVA & PARASITES+ 302324$ 54.00 Laboratory - Reference Lab 16187209 RL OVA&PARASITE SMEAR COMPLEX 302325$ 54.00 Laboratory - Reference Lab 16181503 RL OVA1$ 720.00 Laboratory - Reference Lab 16183945 RL OXALATE 24 HR UA$ 62.00 Laboratory - Reference Lab 16150480 RL OXYCODONE (OXYCONTIN) SERUM$ 70.00 Laboratory - Reference Lab 16105081 RL OYSTER IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16103519 RL P-ANCA (MPO)$ 68.00 Laboratory - Reference Lab 16182656 RL PANCREATIC ELASTASE - 1$ 142.00 Laboratory - Reference Lab 16105082 RL PAPAYA IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16187169 RL PARASITE WORM IDENTIFICATION$ 68.00 Laboratory - Reference Lab 16105083 RL PARSLEY IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16186747 RL PARVOVIRUS B 19 IGG$ 62.00 Laboratory - Reference Lab 16108647 RL PARVOVIRUS B 19 IGM$ 75.00 Laboratory - Reference Lab 16188300 RL PATH GROSS EXAM 330434$ 58.00 Laboratory - Reference Lab 16188302 RL PATH LVL 2$ 63.00 Laboratory - Reference Lab 16188304 RL PATH LVL 3 330436$ 75.00 Laboratory - Reference Lab 16188305 RL PATH LVL 4 330437$ 73.00 Laboratory - Reference Lab 16188307 RL PATH LVL 5$ 79.00 Laboratory - Reference Lab 16108305 RL PAXIL / PAROXETINE$ 161.00 Laboratory - Reference Lab 16105084 RL PEA IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105038 RL PEANUT IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16176003 RL PENICILLIUM NOTATUM IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16185008 RL PERIPHERAL SMEAR PATH REVIEW$ 73.00 Laboratory - Reference Lab 16183986 RL PH BODY FLUID$ 57.00 Laboratory - Reference Lab 16171003 RL PH URINE$ 53.00 Laboratory - Reference Lab 16180184 RL PHENOBARBITAL$ 56.00 Laboratory - Reference Lab 16184105 RL PHOS 24 HOUR UA$ 55.00 Laboratory - Reference Lab 16180321 RL PHOSPHATIDYLETHAND (PETH)$ 167.00 Laboratory - Reference Lab 16164311 RL PHOSPHOLIPIDS$ 87.00 Laboratory - Reference Lab 16184100 RL PHOSPHORUS$ 54.00 Laboratory - Reference Lab 16105005 RL PIGWEED IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16187172 RL PINWORM ID$ 64.00 Laboratory - Reference Lab 16185032 RL PLATELET COUNT$ 55.00 Laboratory - Reference Lab 16105085 RL PLUM IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105086 RL PORK MEAT IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16184311 RL PORPHYRINS PROFILE PLASMA$ 68.00 Laboratory - Reference Lab 16184132 RL POTASSIUM$ 54.00 Laboratory - Reference Lab 16184133 RL POTASSIUM UA 24 HR$ 55.00 Laboratory - Reference Lab 16144133 RL POTASSIUM URINE RANDOM$ 53.00 Laboratory - Reference Lab 16105087 RL POTATO IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16181331 RL PRADER-WILLI/ANGELMAN SYNDROME$ 419.00 Laboratory - Reference Lab 16184134 RL PREALBUMIN 330106$ 59.00 Laboratory - Reference Lab 16184140 RL PREGNENOLONE$ 83.00 Laboratory - Reference Lab 16180188 RL PRIMIDONE (MYSOLINE)+$ 72.00 Laboratory - Reference Lab 16103880 RL PRO BNP NT$ 145.00 Laboratory - Reference Lab 16184145 RL PROCALCITONIN$ 142.00 Laboratory - Reference Lab 16184144 RL PROGESTERONE 330632$ 60.00 Laboratory - Reference Lab 16184206 RL PROINSULIN$ 86.00 Laboratory - Reference Lab 16184146 RL PROLACTIN 330176$ 66.00 Laboratory - Reference Lab 16108310 RL PROPAFENONE$ 75.00 Laboratory - Reference Lab 16188344 RL PROSTATE TRIPLE STAIN IHC$ 196.00 Laboratory - Reference Lab 16184066 RL PROSTATIC ACID PHOS$ 35.00 Laboratory - Reference Lab 16184156 RL PROTEIN 24 HR$ 56.00 Laboratory - Reference Lab 16184157 RL PROTEIN BODY FLUIDS$ 54.00 Laboratory - Reference Lab 16185302 RL PROTEIN C ANTIGEN$ 77.00 Laboratory - Reference Lab 16185303 RL PROTEIN C FUNCTIONAL$ 94.00 Laboratory - Reference Lab 16184166 RL PROTEIN ELEC URINE$ 71.00 Laboratory - Reference Lab 16184165 RL PROTEIN ELECTROPHORESIS SRM 304171(S)$ 59.00 Laboratory - Reference Lab 16104155 RL PROTEIN ELECTROPHORESIS URINE 304170$ 59.00 Laboratory - Reference Lab 16185305 RL PROTEIN S ANTIGEN$ 85.00 Laboratory - Reference Lab 16185306 RL PROTEIN S FUNCTIONAL$ 103.00 Laboratory - Reference Lab 16174156 RL PROTEIN URINE(S)$ 53.00 Laboratory - Reference Lab 16108720 RL PROTHROMBIN 20210A GENE MUTATION$ 85.00 Laboratory - Reference Lab 16108307 RL PROZAC / FLUOXETINE 301083$ 81.00 Laboratory - Reference Lab 16184153 RL PSA$ 72.00 Laboratory - Reference Lab 16184154 RL PSA FREE 331157$ 61.00 Laboratory - Reference Lab 16180103 RL PSA SCREENING$ 60.00 Laboratory - Reference Lab 16182480 RL PSEUDOCHOLINESTERASE SERUM$ 87.00 Laboratory - Reference Lab 16108562 RL PT INR$ 55.00 Laboratory - Reference Lab 16105610 RL PT THERAPUTIC$ 55.00 Laboratory - Reference Lab 16183970 RL PTH INTACT 331053$ 59.00 Laboratory - Reference Lab 16133519 RL PTH RELATED PEPTIDE$ 90.00 Laboratory - Reference Lab 16185730 RL PTT$ 55.00 Laboratory - Reference Lab 16103020 RL QUANT BY ELECTROPHORESIS(S)$ 74.00 Laboratory - Reference Lab 16163021 RL QUANT BY HPLC(S)$ 74.00 Laboratory - Reference Lab 16186480 RL QUANTIFERON TB GOLD 302810$ 100.00 Laboratory - Reference Lab 16182747 RL RBC FOLATE$ 61.00 Laboratory - Reference Lab 16105031 RL REDTOP BENTGRASS IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16184376 RL REDUCING SUBSTANCES STOOL$ 67.00 Laboratory - Reference Lab 16180069 RL RENAL FUNCTION PANEL$ 63.00 Laboratory - Reference Lab 16184244 RL RENIN DIRECT$ 78.00 Laboratory - Reference Lab 16108710 RL RESPIRATORY CULTURE$ 64.00 Laboratory - Reference Lab 16185044 RL RETIC COUNT$ 54.00 Laboratory - Reference Lab 16186430 RL RF QUANT 330513$ 54.00 Laboratory - Reference Lab 16186901 RL RH TYPE$ 52.00 Laboratory - Reference Lab 16186431 RL RHEUMATOID FACTOR QUANT FLUID$ 58.00 Laboratory - Reference Lab 16105012 RL RHIZOPUS NIGRICANS IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105088 RL RICE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16108263 RL RNP AB$ 61.00 Laboratory - Reference Lab 16187425 RL ROTAVIRUS$ 61.00 Laboratory - Reference Lab 16105032 RL ROUGH MARSH ELDER IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16186592 RL RPR WITH REFLEX$ 54.00 Laboratory - Reference Lab 16186762 RL RUBELLA IGG QUALITATIVE$ 60.00 Laboratory - Reference Lab 16100762 RL RUBELLA IGG QUANTITATIVE$ 60.00 Laboratory - Reference Lab 16106762 RL RUBELLA IGM QUALITATIVE$ 60.00 Laboratory - Reference Lab 16105089 RL RYE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16187640 RL S AUREUS(s) 331278$ 90.00 Laboratory - Reference Lab 16105090 RL SALMON IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105043 RL SCALLOP IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16106237 RL SCL-70 AB$ 71.00 Laboratory - Reference Lab 16185651 RL SEDRATE 330017$ 55.00 Laboratory - Reference Lab 16184255 RL SELENIUM LEVEL 300591$ 70.00 Laboratory - Reference Lab 16108308 RL SEROQUEL / QUETIAPINE$ 136.00 Laboratory - Reference Lab 16184260 RL SEROTONIN SERUM$ 82.00 Laboratory - Reference Lab 16166307 RL SERUM DRUG SCREEN COMPREHENSIVE(S)$ 95.00 Laboratory - Reference Lab 16167307 RL SERUM DRUG SCREEN COMPREHENSIVE(S)$ 95.00 Laboratory - Reference Lab 16105091 RL SESAME SEED IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16184270 RL SHBG$ 66.00 Laboratory - Reference Lab 16100270 RL SHBG F & C$ 66.00 Laboratory - Reference Lab 16105044 RL SHRIMP IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16105660 RL SICKLE CELL SCREEN$ 57.00 Laboratory - Reference Lab 16180195 RL SIROLIMUS/RAPAMYCIN$ 84.00 Laboratory - Reference Lab 16108622 RL SM (SMITH) AB$ 63.00 Laboratory - Reference Lab 16108625 RL SMOOTH MUSCLE (ACTIN) AB 300867$ 64.00 Laboratory - Reference Lab 16184295 RL SODIUM$ 53.00 Laboratory - Reference Lab 16184300 RL SODIUM 24 HR UA$ 54.00 Laboratory - Reference Lab 16105039 RL SOYBEAN IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16188312 RL SPECIAL STAIN 1$ 178.00 Laboratory - Reference Lab 16188313 RL SPECIAL STAIN 2$ 159.00 Laboratory - Reference Lab 16186235 RL SSA IGG$ 62.00 Laboratory - Reference Lab 16108623 RL SSB (s)$ 62.00 Laboratory - Reference Lab 16105475 RL STACHYBOTRYS PANEL$ 91.00 Laboratory - Reference Lab 16182365 RL STONE ANALYSIS$ 74.00 Laboratory - Reference Lab 16108714 RL STOOL CULTURE+ 330472$ 58.00 Laboratory - Reference Lab 16107205 RL STOOL WBC$ 50.00 Laboratory - Reference Lab 16186711 RL STRATIFY JCV W REFLX TO INHIBITATION$ 1,537.00 Laboratory - Reference Lab 16105092 RL STRAWBERRY IGE ALLERGEN$ 59.00 Laboratory - Reference Lab 16106317 RL STREP PNEUMO EA$ 53.00 Laboratory - Reference Lab 16176317 RL STREPTEX$ 62.00 Laboratory - Reference Lab 16187899 RL STREPTOCOCCUS PNEUNOMIA AG URINE$ 107.00 Laboratory - Reference Lab 16186682 RL STRONGYLOIDES ANTIBODY IGG SERUM$ 88.00 Laboratory - Reference Lab 16182787 RL SUBCLASS IGG$ 54.00 Laboratory - Reference Lab 16162140 RL SUPERSATURATION AMMONIUM (S)$ 60.00 Laboratory - Reference Lab 16162340 RL SUPERSATURATION CALCIUM (S)$ 58.00 Laboratory - Reference Lab 16162436 RL SUPERSATURATION CHLORIDE (S)$ 58.00 Laboratory - Reference Lab 16162507 RL SUPERSATURATION CITRATE EXCRETION (S)$ 58.00 Laboratory - Reference Lab 16152570 RL SUPERSATURATION CREATININE (S)$ 58.00 Laboratory - Reference Lab 16163735 RL SUPERSATURATION MAGNESIUM (S)$ 58.00 Laboratory - Reference Lab 16163935 RL SUPERSATURATION OSMOLALITY(S)$ 58.00 Laboratory - Reference Lab 16163945 RL SUPERSATURATION OXALATE(S)$ 58.00 Laboratory - Reference Lab 16163986 RL SUPERSATURATION PH (S)$ 58.00 Laboratory - Reference Lab 16164105 RL SUPERSATURATION PHOSPHORUS (S)$ 58.00 Laboratory - Reference Lab 16164133 RL SUPERSATURATION POTASSIUM (S)$ 58.00 Laboratory - Reference Lab 16164300 RL SUPERSATURATION SODIUM (S)$ 58.00 Laboratory - Reference Lab 16164392 RL SUPERSATURATION SULFATE (S)$ 58.00 Laboratory - Reference Lab 16164540 RL SUPERSATURATION UREA NITROGEN (S)$ 60.00 Laboratory - Reference Lab 16164560 RL SUPERSATURATION URIC ACID (S)$ 58.00 Laboratory - Reference Lab 16188309 RL SURGICAL PATH LEVEL VI GROSS&MICROS$ 86.00 Laboratory - Reference Lab 16105010 RL SYCAMORE TREE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16189060 RL SYNOVIAL FLUID CRYSTALS$ 54.00 Laboratory - Reference Lab 16186780 RL SYPHILIS ANTIBODY 331270$ 75.00 Laboratory - Reference Lab 16184481 RL T3 FREE$ 59.00 Laboratory - Reference Lab 16184482 RL T3 REVERSE 304605$ 76.00 Laboratory - Reference Lab 16184480 RL T3 TOTAL 330178$ 58.00 Laboratory - Reference Lab 16184436 RL T4 $ 56.00 Laboratory - Reference Lab 16108019 RL TACROLIMUS 300891$ 73.00 Laboratory - Reference Lab 16106361 RL T-CELL SUBSET (S)$ 174.00 Laboratory - Reference Lab 16136359 RL T-CELL SUBSETS (S)$ 174.00 Laboratory - Reference Lab 16108440 RL TESTOSTERONE FEMALE/CHILD 302300$ 63.00 Laboratory - Reference Lab 16184402 RL TESTOSTERONE FREE 300893$ 65.00 Laboratory - Reference Lab 16100402 RL TESTOSTERONE FREE WOMEN/CHILDREN$ 65.00 Laboratory - Reference Lab 16184403 RL TESTOSTERONE MALE 331155$ 63.00 Laboratory - Reference Lab 16186774 RL TETANUS AB IGG$ 92.00 Laboratory - Reference Lab 16183018 RL THALLIUM$ 138.00 Laboratory - Reference Lab 16170349 RL THC (CANNABINOIDS) CONFIRMATION URINE$ 112.00 Laboratory - Reference Lab 16180349 RL THC (CANNABINOIDS) SERUM$ 66.00 Laboratory - Reference Lab 16180198 RL THEOPHYLLINE$ 59.00 Laboratory - Reference Lab 16188175 RL THIN LAYER PAP DIAG 330445$ 72.00 Laboratory - Reference Lab 16100145 RL THIN LAYER PAP SCREEN 330445$ 73.00 Laboratory - Reference Lab 16108709 RL THROAT CULTURE$ 60.00 Laboratory - Reference Lab 16185670 RL THROMBIN CLOTTING TIME$ 93.00 Laboratory - Reference Lab 16186800 RL THYROGLOBULIN AB 331181$ 58.00 Laboratory - Reference Lab 16184432 RL THYROGLOBULIN QUANT 331180$ 58.00 Laboratory - Reference Lab 16186376 RL THYROID PEROXIDASE AB 331158$ 64.00 Laboratory - Reference Lab 16184445 RL THYROID STIMULATING IMMUNOGLO 300585$ 108.00 Laboratory - Reference Lab 16188520 RL THYROTROPIN RECEPTOR ANTIBODY$ 79.00 Laboratory - Reference Lab 16105014 RL TIMOTHY GRASS IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16155519 RL TISSUE TRANSGLUTAMINASE IGG (S)$ 68.00 Laboratory - Reference Lab 16155518 RL TISSUE TRANSGLUTIMASE IGA (S)$ 68.00 Laboratory - Reference Lab 16186593 RL TITER RPR$ 30.00 Laboratory - Reference Lab 16180200 RL TOBRAMYCIN PEAK$ 59.00 Laboratory - Reference Lab 16102800 RL TOBRAMYCIN TROUGH$ 64.00 Laboratory - Reference Lab 16105093 RL TOMATO IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16180201 RL TOPIRAMATE (TOPAMAX) 302233$ 69.00 Laboratory - Reference Lab 16182247 RL TOTAL BILIRUBIN$ 54.00 Laboratory - Reference Lab 16160185 RL TOTAL PHENYTOIN (S)$ 74.00 Laboratory - Reference Lab 16184155 RL TOTAL PROTEIN$ 59.00 Laboratory - Reference Lab 16104403 RL TOTAL TESTOSTERONE(S)$ 78.00 Laboratory - Reference Lab 16186777 RL TOXOPLASMA IGG$ 62.00 Laboratory - Reference Lab 16186778 RL TOXOPLASMA IGM$ 63.00 Laboratory - Reference Lab 16162542 RL TPMT (S)$ 138.00 Laboratory - Reference Lab 16182657 RL TPMT (S)$ 138.00 Laboratory - Reference Lab 16152542 RL TPMT ENZYME CHROM QUANT (S)$ 138.00 Laboratory - Reference Lab 16162657 RL TPMT ENZYME NONRAD SUBS (S)$ 138.00 Laboratory - Reference Lab 16180373 RL TRAMADOL CONFIRMATION (BILLING ONLY)$ 80.00 Laboratory - Reference Lab 16160307 RL TRAMADOL SCREEN URINE$ 94.00 Laboratory - Reference Lab 16184466 RL TRANSFERRIN 300352$ 59.00 Laboratory - Reference Lab 16187660 RL TRICHOMONAS DNA PROBE 330570$ 65.00 Laboratory - Reference Lab 16187661 RL TRICHOMONAS VAGINALIS, RNA QUALITATIV$ 130.00 Laboratory - Reference Lab 16180299 RL TRILEPTAL/10-HYDROXYCARBAZAPINE$ 76.00 Laboratory - Reference Lab 16184484 RL TROPONIN$ 59.00 Laboratory - Reference Lab 16183520 RL TRYPTASE$ 140.00 Laboratory - Reference Lab 16184443 RL TSH 3RD GEN$ 61.00 Laboratory - Reference Lab 16104443 RL TSH W/ REFLEX TO FT4$ 62.00 Laboratory - Reference Lab 16108351 RL TTG IGA$ 66.00 Laboratory - Reference Lab 16108352 RL TTG IGG$ 66.00 Laboratory - Reference Lab 16105094 RL TUNA IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16199003 RL UA COMPLETE W CULTURE IF INDICATED$ 55.00 Laboratory - Reference Lab 16191003 RL UA WITH CULTURE IF INDICATED$ 55.00 Laboratory - Reference Lab 16101003 RL UA WITH MICRO$ 55.00 Laboratory - Reference Lab 16184540 RL UREA NITROGEN URINE$ 54.00 Laboratory - Reference Lab 16187109 RL UREA/ MYCOPLASMA CULTURE$ 64.00 Laboratory - Reference Lab 16184550 RL URIC ACID 330139$ 54.00 Laboratory - Reference Lab 16184560 RL URIC ACID 24 HR UA$ 54.00 Laboratory - Reference Lab 16181003 RL URINALYSIS$ 54.00 Laboratory - Reference Lab 16162570 RL URINE CREATININE 24 HR$ 55.00 Laboratory - Reference Lab 16132570 RL URINE CREATININE RANDOM$ 55.00 Laboratory - Reference Lab 16108707 RL URINE CULTURE 330466$ 57.00 Laboratory - Reference Lab 16181025 RL URINE PREGNANCY QUALITATIVE$ 58.00 Laboratory - Reference Lab 16134156 RL URINE PROTEIN (RANDOM)$ 53.00 Laboratory - Reference Lab 16100164 RL VALPROIC ACID FREE$ 90.00 Laboratory - Reference Lab 16180164 RL VALPROIC ACID TOTAL$ 59.00 Laboratory - Reference Lab 16100202 RL VANCOMYCIN PEAK$ 59.00 Laboratory - Reference Lab 16180202 RL VANCOMYCIN RANDOM$ 60.00 Laboratory - Reference Lab 16102022 RL VANCOMYCIN TROUGH$ 59.00 Laboratory - Reference Lab 16108678 RL VARICELLA ZOSTER IGG$ 63.00 Laboratory - Reference Lab 16186787 RL VARICELLA ZOSTER IGM$ 63.00 Laboratory - Reference Lab 16157798 RL VARICELLA ZOSTER VIRUS PCR$ 95.00 Laboratory - Reference Lab 16184586 RL VASOACTIVE INTEST PEPTIDE$ 114.00 Laboratory - Reference Lab 16187252 RL VIRAL CULTURE$ 128.00 Laboratory - Reference Lab 16184590 RL VITAMIN A 303971$ 71.00 Laboratory - Reference Lab 16184425 RL VITAMIN B-1 THIAMIN 304121$ 74.00 Laboratory - Reference Lab 16184207 RL VITAMIN B6 303983$ 79.00 Laboratory - Reference Lab 16182180 RL VITAMIN C$ 83.00 Laboratory - Reference Lab 16182652 RL VITAMIN D 1,25-DIHYDROXY$ 84.00 Laboratory - Reference Lab 16182306 RL VITAMIN D 25-OH 302904$ 59.00 Laboratory - Reference Lab 16184446 RL VITAMIN E 303996$ 75.00 Laboratory - Reference Lab 16184597 RL VITAMIN K$ 85.00 Laboratory - Reference Lab 16184585 RL VMA URINE$ 66.00 Laboratory - Reference Lab 16185245 RL VON WILLEBRAND ACTIVITY$ 104.00 Laboratory - Reference Lab 16185246 RL VON WILLEBRAND ANTIGEN$ 88.00 Laboratory - Reference Lab 16185397 RL VON WILLEBRAND PNL ACTIVITY (S)$ 137.00 Laboratory - Reference Lab 16165246 RL VON WILLEBRAND PNL ANTIGEN (S)$ 137.00 Laboratory - Reference Lab 16175240 RL VON WILLEBRAND PNL FACTOR VIII (S)$ 137.00 Laboratory - Reference Lab 16170299 RL VORICONAZOLE ANTIFUNGAL$ 170.00 Laboratory - Reference Lab 16105003 RL WALNUT IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16185048 RL WBC COUNT$ 30.00 Laboratory - Reference Lab 16186790 RL WEST NILE VIRUS IGG$ 72.00 Laboratory - Reference Lab 16108679 RL WEST NILE VIRUS IGM$ 72.00 Laboratory - Reference Lab 16105040 RL WHEAT IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16105007 RL WHITE ASH TREE IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105100 RL WHITE FACED HORNET ALLERGEN$ 57.00 Laboratory - Reference Lab 16105029 RL WHITE OAK TREE IGE ALLERGEN$ 55.00 Laboratory - Reference Lab 16105096 RL YEAST IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105098 RL YELLOW FACED HORNET IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16105102 RL YELLOW JACKET VENOM IGE ALLERGEN$ 57.00 Laboratory - Reference Lab 16104630 RL ZINC RBC WHOLE BLOOD$ 60.00 Laboratory - Reference Lab 16184630 RL ZINC SERUM/PLASMA 302869$ 61.00 Laboratory - Reference Lab 16108304 RL ZONEGRAN / ZONISAMIDE$ 112.00 Medical/Surgical Supplies 90005103 ACHILLES SPEEDBRIDGE$ 4,150.00 Medical/Surgical Supplies 90005104 ACHILLES SUTURE BRIDGE$ 3,000.00 Medical/Surgical Supplies 1567007 ACROMIONIZER 4.0MM$ 151.00 Medical/Surgical Supplies 1567008 ACROMIONIZER 5.5MM$ 151.00 Medical/Surgical Supplies 1501053 AIRWAY NASOPH 20F$ 11.00 Medical/Surgical Supplies 80904954 AIRWAY NASOPH 22F$ 7.00 Medical/Surgical Supplies 80904955 AIRWAY NASOPH 24F$ 13.00 Medical/Surgical Supplies 1560170 AIRWAY NASOPH 26F$ 13.00 Medical/Surgical Supplies 1560174 AIRWAY NASOPH 28F$ 31.00 Medical/Surgical Supplies 90004896 AIRWAY NASOPH 30F$ 13.00 Medical/Surgical Supplies 90004824 AIRWAY NASOPH 32F$ 13.00 Medical/Surgical Supplies 90004825 AIRWAY NASOPH 34F$ 13.00 Medical/Surgical Supplies 90005338 ANCHOR 2-0$ 813.00 Medical/Surgical Supplies 90005339 ANCHOR 4-0$ 813.00 Medical/Surgical Supplies 1500931 ANCHOR 5.0 ALL THREAD$ 1,068.00 Medical/Surgical Supplies 1501095 ANCHOR 6.5 ALL THREAD$ 1,152.00 Medical/Surgical Supplies 1560212 ANCHOR ROTATE SZ 2$ 690.00 Medical/Surgical Supplies 90005333 ANTERIOR VITRECTOMY PROBE$ 475.00 Medical/Surgical Supplies 90004878 APEX SHOULDER BRACE$ 283.00 Medical/Surgical Supplies 1560115 APLIGRAPH SKIN TISSU$ 4,531.00 Medical/Surgical Supplies 90005100 AQUAMANTYS SEALER$ 1,611.00 Medical/Surgical Supplies 1500517 BELT RIB FEMALE MED.$ 44.00 Medical/Surgical Supplies 1500509 BELT RIB FEMALE SMAL$ 9.00 Medical/Surgical Supplies 1500541 BELT RIB FEMALE XXL$ 11.00 Medical/Surgical Supplies 1500566 BELT RIB MALE MEDIUM$ 9.00 Medical/Surgical Supplies 1500558 BELT RIB MALE SMALL$ 9.00 Medical/Surgical Supplies 1500582 BELT RIB MALE XXL$ 11.00 Medical/Surgical Supplies 1500590 BELT RIB UNIVERSAL$ 21.00 Medical/Surgical Supplies 90005148 BINDER ABDOMINAL 12$ 44.00 Medical/Surgical Supplies 1506500 BINDER ABDOMINAL 30-45$ 32.00 Medical/Surgical Supplies 90005126 BINDER ABDOMINAL 46-62$ 38.00 Medical/Surgical Supplies 80905542 BIOPSY DEVICE MAX-CORE$ 95.00 Medical/Surgical Supplies 1570042 BIPOLAR FORCEP W/JAW$ 296.00 Medical/Surgical Supplies 80904912 BLADE 4MM X 15MM X 0.4 STANDARD$ 228.00 Medical/Surgical Supplies 80904911 BLADE 6MM X 10MM X 0.4 STANDARD$ 228.00 Medical/Surgical Supplies 80904913 BLADE 8MM X 20MM X 0.4 STANDARD$ 228.00 Medical/Surgical Supplies 1500361 BLADE GIGLI 12 28081$ 26.00 Medical/Surgical Supplies 80905664 BLADE MAC 1$ 10.00 Medical/Surgical Supplies 80905665 BLADE MAC 2$ 10.00 Medical/Surgical Supplies 80905666 BLADE MAC 3$ 10.00 Medical/Surgical Supplies 80905667 BLADE MAC 3.5$ 10.00 Medical/Surgical Supplies 80905671 BLADE MAC 4$ 10.00 Medical/Surgical Supplies 80905669 BLADE MILLER 0$ 10.00 Medical/Surgical Supplies 80905661 BLADE MILLER 1$ 10.00 Medical/Surgical Supplies 80905670 BLADE MILLER 1.5$ 10.00 Medical/Surgical Supplies 80905662 BLADE MILLER 2$ 10.00 Medical/Surgical Supplies 80905663 BLADE MILLER 3$ 10.00 Medical/Surgical Supplies 90005493 BLADE MYRINGOTOMY$ 29.00 Medical/Surgical Supplies 1560081 BLADE OSCLT 5023-160$ 40.00 Medical/Surgical Supplies 1560073 BLADE OSCLT 5023-162$ 23.00 Medical/Surgical Supplies 1560133 BLADE OSCLT 5023-164$ 40.00 Medical/Surgical Supplies 90005371 BLADE RADENOID$ 391.00 Medical/Surgical Supplies 1501126 BLADE SAG 5023-139$ 42.00 Medical/Surgical Supplies 1500348 BLADE SAG 5023-142$ 40.00 Medical/Surgical Supplies 1560089 BLADE SAGIT 5023-138$ 24.00 Medical/Surgical Supplies 1560085 BLADE SAGITTAL 5023-132$ 40.00 Medical/Surgical Supplies 1560077 BLADE SAGITTAL 5023-141$ 41.00 Medical/Surgical Supplies 1500841 BLADE SAW 519.210S$ 135.00 Medical/Surgical Supplies 1500853 BLADE STRK 4125-89-90$ 249.00 Medical/Surgical Supplies 1500854 BLADE STRYKER 4125-127-90$ 107.00 Medical/Surgical Supplies 90005461 BLADE TURBINATE 2.0 INFERIOR$ 548.00 Medical/Surgical Supplies 90005510 BONE BASE 15CC FD ASP$ 750.00 Medical/Surgical Supplies 90005509 BONE BASE 5CC FD ASP$ 300.00 Medical/Surgical Supplies 90005389 BONE CUTTER 5.5MM$ 229.00 Medical/Surgical Supplies 1501129 BONE WAX$ 20.00 Medical/Surgical Supplies 90004991 BOOT LEEDER MUTI-USE$ 153.00 Medical/Surgical Supplies 1500723 BRACE ACEROMIO UNVSL$ 29.00 Medical/Surgical Supplies 1501188 BRACE HUMERAL FULL$ 224.00 Medical/Surgical Supplies 1500769 BRACE HUMERAL LARGE$ 209.00 Medical/Surgical Supplies 1500767 BRACE HUMERAL MEDIUM$ 199.00 Medical/Surgical Supplies 1500768 BRACE HUMERAL SMALL$ 199.00 Medical/Surgical Supplies 1500770 BRACE HUMERAL XLARGE$ 209.00 Medical/Surgical Supplies 90004831 BRACE IROM LONG$ 296.00 Medical/Surgical Supplies 90004838 BRACE IROM SHORT$ 296.00 Medical/Surgical Supplies 1500826 CABLE W/CRIMP 1.0/75$ 1,432.00 Medical/Surgical Supplies 1500844 CABLE W/CRP 1.7MM$ 1,599.00 Medical/Surgical Supplies 1501028 CAST BOOT LARGE$ 13.00 Medical/Surgical Supplies 1501010 CAST BOOT MEDIUM$ 13.00 Medical/Surgical Supplies 1501002 CAST BOOT SMALL$ 13.00 Medical/Surgical Supplies 1501036 CAST BOOT XL$ 13.00 Medical/Surgical Supplies 90004837 CAST WALKER LARGE$ 19.00 Medical/Surgical Supplies 90004836 CAST WALKER MEDIUM$ 19.00 Medical/Surgical Supplies 1560515 CATH 20G RADIAL ARTY$ 55.00 Medical/Surgical Supplies 90005446 CATH BALLOON 10-12MM$ 388.00 Medical/Surgical Supplies 90005447 CATH BALLOON 12-15MM$ 388.00 Medical/Surgical Supplies 90005448 CATH BALLOON 15-18MM$ 388.00 Medical/Surgical Supplies 90005449 CATH BALLOON 18-20MM$ 388.00 Medical/Surgical Supplies 90005445 CATH BALLOON 8-10MM$ 388.00 Medical/Surgical Supplies 90005158 CATH BARTHOLIN 10F$ 52.00 Medical/Surgical Supplies 1560494 CATH CHEST TUBE 32F$ 38.00 Medical/Surgical Supplies 1512235 CATH CHOLANGIOGRAM$ 130.00 Medical/Surgical Supplies 1560406 CATH CRE 10-12MM$ 471.00 Medical/Surgical Supplies 1560405 CATH CRE 12-15MM$ 680.00 Medical/Surgical Supplies 1560404 CATH CRE 15-18MM$ 680.00 Medical/Surgical Supplies 1560403 CATH CRE 8-10MM$ 743.00 Medical/Surgical Supplies 1502277 CATH FOLEY 10F$ 13.00 Medical/Surgical Supplies 1502285 CATH FOLEY 12F$ 10.00 Medical/Surgical Supplies 1560267 CATH FOLEY 14F$ 10.00 Medical/Surgical Supplies 1560270 CATH FOLEY 16F$ 13.00 Medical/Surgical Supplies 1500112 CATH FOLEY 18F 30CC 3-WAY$ 30.00 Medical/Surgical Supplies 1502319 CATH FOLEY 18F 5CC$ 10.00 Medical/Surgical Supplies 1512326 CATH FOLEY 20F 30CC 3WAY$ 30.00 Medical/Surgical Supplies 1502327 CATH FOLEY 20FR 5CC$ 4.00 Medical/Surgical Supplies 1502335 CATH FOLEY 22F 5CC$ 9.00 Medical/Surgical Supplies 1502343 CATH FOLEY 24F 5CC$ 4.00 Medical/Surgical Supplies 1502350 CATH FOLEY 28F 5CC$ 4.00 Medical/Surgical Supplies 1502269 CATH FOLEY 8F$ 19.00 Medical/Surgical Supplies 1512003 CATH FOLEY COUDE 12F$ 29.00 Medical/Surgical Supplies 1512052 CATH FOLEY COUDE 14F$ 29.00 Medical/Surgical Supplies 1512078 CATH FOLEY COUDE 16F$ 37.00 Medical/Surgical Supplies 80905466 CATH FOLEY COUDE 18F$ 37.00 Medical/Surgical Supplies 1512102 CATH FOLEY COUDE 20F$ 35.00 Medical/Surgical Supplies 90005467 CATH FOLEY TEMP SENSING 16F$ 43.00 Medical/Surgical Supplies 1502574 CATH UMBILICAL 5F$ 89.00 Medical/Surgical Supplies 1502632 CATH URTHL 10F$ 4.00 Medical/Surgical Supplies 1502657 CATH URTHL 12F$ 4.00 Medical/Surgical Supplies 1502665 CATH URTHL 14F$ 4.00 Medical/Surgical Supplies 1502673 CATH URTHL 16F$ 4.00 Medical/Surgical Supplies 1512680 CATH URTHL 18F$ 4.00 Medical/Surgical Supplies 1512698 CATH URTHL 20F$ 4.00 Medical/Surgical Supplies 1502624 CATH URTHL 8FR$ 4.00 Medical/Surgical Supplies 90005379 CATHETER AXXCESS$ 27.00 Medical/Surgical Supplies 1502228 CATHETER DBL LUMEN$ 160.00 Medical/Surgical Supplies 1570659 CATHETER INJ NEEDLE$ 86.00 Medical/Surgical Supplies 1500946 CATHETER IV 16G$ 5.00 Medical/Surgical Supplies 80905554 CATHETER MIDLINE$ 425.00 Medical/Surgical Supplies 90005378 CATHETER OPEN 6FX70CM$ 38.00 Medical/Surgical Supplies 80905472 CATHETER TRPL LUMEN$ 92.00 Medical/Surgical Supplies 1500827 CERCLAGE BUTTON 3.5M$ 148.00 Medical/Surgical Supplies 1500828 CERCLAGE BUTTON 4.5M$ 163.00 Medical/Surgical Supplies 1500845 CERCLAGE PIN 298802S$ 237.00 Medical/Surgical Supplies 1500830 CERCLAGE WIRE COIL 1.2$ 84.00 Medical/Surgical Supplies 1500829 CERCLAGE WIRE COIL1.0$ 84.00 Medical/Surgical Supplies 90004893 CERVIX 3/8 CIRCLE$ 4.00 Medical/Surgical Supplies 80905428 CHEST TUBE 20F THAL QUICK$ 301.00 Medical/Surgical Supplies 80905429 CHEST TUBE 24F THAL QUICK$ 346.00 Medical/Surgical Supplies 80905430 CHEST TUBE 28F THAL QUICK$ 356.00 Medical/Surgical Supplies 80905431 CHEST TUBE 32F THAL QUICK$ 346.00 Medical/Surgical Supplies 80905432 CHEST TUBE 36F THAL QUICK$ 346.00 Medical/Surgical Supplies 1501226 COLLAR CERVICAL LARG$ 12.00 Medical/Surgical Supplies 1501218 COLLAR CERVICAL MED.$ 11.00 Medical/Surgical Supplies 1501200 COLLAR CERVICAL SMALL$ 11.00 Medical/Surgical Supplies 1501275 COLLAR STIFNECK BABY$ 22.00 Medical/Surgical Supplies 1501283 COLLAR STIFNECK PED$ 23.00 Medical/Surgical Supplies 1500362 COLLAR STIFNECK SELECT$ 35.00 Medical/Surgical Supplies 1560139 COMBI TUBE 2908$ 119.00 Medical/Surgical Supplies 90005247 CONTACT CAST 3$ 295.00 Medical/Surgical Supplies 90005310 CONTACT CAST 4$ 295.00 Medical/Surgical Supplies 90005064 CRICOTHYROTOMY CATHETER SET$ 1,021.00 Medical/Surgical Supplies 90005474 CURETTE QUIK-USE$ 42.00 Medical/Surgical Supplies 90004987 DBX MIX 5CC$ 4,750.00 Medical/Surgical Supplies 1560230 DERMABOND$ 93.00 Medical/Surgical Supplies 90005165 DERMABOND PRINEO$ 980.00 Medical/Surgical Supplies 90005164 DRAIN FLAT 10MM$ 25.00 Medical/Surgical Supplies 90005163 DRAIN FLAT 7MM$ 26.00 Medical/Surgical Supplies 1503622 DRAIN PENROSE 1$ 11.00 Medical/Surgical Supplies 1503614 DRAIN PENROSE 1/2$ 11.00 Medical/Surgical Supplies 1503606 DRAIN PENROSE 1/4$ 13.00 Medical/Surgical Supplies 1501882 DRESSING AQUACEL$ 27.00 Medical/Surgical Supplies 1500938 DRESSING AQUACEL SILVER$ 28.00 Medical/Surgical Supplies 1560015 DRESSING GELOCAST 3$ 14.00 Medical/Surgical Supplies 1560020 DRESSING GELOCAST 4$ 14.00 Medical/Surgical Supplies 90005312 DRESSING SORBACELL 4X4$ 7.00 Medical/Surgical Supplies 1500974 DRILL BIT 2.7MM QC 315.28$ 413.00 Medical/Surgical Supplies 80904990 DRILL BIT 2.8MM QC 310.288$ 321.00 Medical/Surgical Supplies 80904940 DRILL BIT 3.5MM 310.37$ 312.00 Medical/Surgical Supplies 1500360 DRILL BIT 310.67$ 1,596.00 Medical/Surgical Supplies 1500975 DRILL BIT QC 3.5 310.68$ 1,185.00 Medical/Surgical Supplies 1500695 DRILL BT 1.1X10 SHAN 2318-011-10$ 127.00 Medical/Surgical Supplies 1500692 DRILL BT 1/2 5977-10$ 309.00 Medical/Surgical Supplies 1501177 DRILL BT 3.2 310.32$ 235.00 Medical/Surgical Supplies 1500299 DRILL BT 4115-0035$ 63.60 Medical/Surgical Supplies 1500302 DRILL BT ECT 231820$ 153.00 Medical/Surgical Supplies 1500570 DRILL BT GD 2.5 310.25$ 260.00 Medical/Surgical Supplies 90005484 DRILL BT GD 2.5X180 310.23$ 260.00 Medical/Surgical Supplies 1500751 DRILL BT QC 1.5 310.11$ 238.00 Medical/Surgical Supplies 1500752 DRILL BT QC 1.5 310.15$ 242.00 Medical/Surgical Supplies 1500662 DRILL BT QC 2.0 310.19$ 255.00 Medical/Surgical Supplies 1500647 DRILL BT QC 2.0/100M$ 201.00 Medical/Surgical Supplies 1500753 DRILL BT QC 2.7 310.26$ 242.00 Medical/Surgical Supplies 1500303 DRILL BT QC 2410-20$ 67.00 Medical/Surgical Supplies 1500304 DRILL BT QC 2410-25$ 73.00 Medical/Surgical Supplies 1500316 DRILL BT QC 2410-32$ 73.00 Medical/Surgical Supplies 1500305 DRILL BT QC 2410-35$ 67.00 Medical/Surgical Supplies 1500663 DRILL BT QC 3.2 310.31$ 238.00 Medical/Surgical Supplies 1500484 DRILL BT QC 3.2/225$ 230.00 Medical/Surgical Supplies 1500571 DRILL BT QC 3.5 310.35$ 275.00 Medical/Surgical Supplies 1500664 DRILL BT QC 4.5 310.44$ 214.00 Medical/Surgical Supplies 1500485 DRILL BT QC 4.5/145$ 106.00 Medical/Surgical Supplies 1500446 DRILL BT QC 4.5/225$ 309.00 Medical/Surgical Supplies 1500696 DRILL BT SH 2318-015-00$ 135.00 Medical/Surgical Supplies 1500697 DRILL BT SH 2318-020-00$ 127.00 Medical/Surgical Supplies 1500698 DRILL BT SH 2318-025-00$ 142.00 Medical/Surgical Supplies 1500699 DRILL BT SH 2318-027-00$ 153.00 Medical/Surgical Supplies 1500700 DRILL BT SH 2318-032-00$ 127.00 Medical/Surgical Supplies 1500701 DRILL BT SH 2318-035-00$ 127.00 Medical/Surgical Supplies 1500702 DRILL BT SH 2318-045-00$ 127.00 Medical/Surgical Supplies 90005512 EASY CLIP$ 1,693.00 Medical/Surgical Supplies 90005370 ELECTRODE BUGBEE$ 168.00 Medical/Surgical Supplies 80905433 ELECTRODE CPR-STAT PAD$ 137.00 Medical/Surgical Supplies 1560412 ENDO ANCHORS$ 826.00 Medical/Surgical Supplies 90005033 ENDO CLIP III$ 1,240.00 Medical/Surgical Supplies 80905201 ENDO GIA 60/2.5MM$ 492.00 Medical/Surgical Supplies 90005023 ENDO MULTICLIP LIGAMAX$ 767.00 Medical/Surgical Supplies 90005360 EPIX SCISSOR 5MM$ 95.00 Medical/Surgical Supplies 90005291 EPIX SET W/PROBE$ 78.00 Medical/Surgical Supplies 90004874 FINGER PROTECTORS PADDED 3.5$ 6.00 Medical/Surgical Supplies 90004875 FINGER SPLINT BASEBALL LEWIN 5$ 7.00 Medical/Surgical Supplies 90004899 FINGER SPLINT FOAM 18 X 1$ 5.00 Medical/Surgical Supplies 90004898 FINGER SPLINT FOAM 18 X 3/4$ 18.00 Medical/Surgical Supplies 1500941 FLOSEAL$ 969.00 Medical/Surgical Supplies 1500942 FLOSEAL APPLICATOR$ 141.00 Medical/Surgical Supplies 80905602 FORCEP COLD BIOPSY$ 18.00 Medical/Surgical Supplies 90005450 FORCEP HOT BIOPSY$ 40.00 Medical/Surgical Supplies 1560258 FORCEP HOT BIOPSY$ 213.00 Medical/Surgical Supplies 90005057 GASTROTOMY TUBE 28F$ 555.00 Medical/Surgical Supplies 80905668 HANDLE LARYNGOSCOPE$ 19.00 Medical/Surgical Supplies 80905200 HANDPIECE EGIA U STND$ 978.00 Medical/Surgical Supplies 1560246 HANDPIECE INTERPULSE$ 137.00 Medical/Surgical Supplies 90005256 HARMONIC FOCUS+SHEARS$ 1,230.00 Medical/Surgical Supplies 1560436 IMMOBILIZER HEAD$ 14.00 Medical/Surgical Supplies 90005321 IMMOBILIZER KNEE 19 -OR$ 235.00 Medical/Surgical Supplies 90004844 IMMOBILIZER KNEE 24$ 108.00 Medical/Surgical Supplies 90005322 IMMOBILIZER KNEE 28 -OR$ 298.00 Medical/Surgical Supplies 80905678 IMMOBILIZER KNEE CUTAWAY 16$ 40.00 Medical/Surgical Supplies 80905679 IMMOBILIZER KNEE CUTAWAY 20$ 41.00 Medical/Surgical Supplies 80905680 IMMOBILIZER KNEE CUTAWAY 24$ 49.00 Medical/Surgical Supplies 80905675 IMMOBILIZER KNEE TRI-PANEL 16$ 26.00 Medical/Surgical Supplies 80905676 IMMOBILIZER KNEE TRI-PANEL 19$ 27.00 Medical/Surgical Supplies 80905677 IMMOBILIZER KNEE TRI-PANEL 24$ 30.00 Medical/Surgical Supplies 80905681 IMMOBILIZER SHOULDER$ 22.00 Medical/Surgical Supplies 90005323 IMMOBILIZER SHOULDER$ 128.00 Medical/Surgical Supplies 1501191 INCISOR 4.5MM$ 179.00 Medical/Surgical Supplies 1567004 INCISOR 5.5MM$ 151.00 Medical/Surgical Supplies 90005019 IRIS RETRACTORS$ 45.00 Medical/Surgical Supplies 80905607 K-WIRE 292.600$ 101.00 Medical/Surgical Supplies 90004877 K-WIRE 5 X 0.28 TROCAR POINT$ 23.00 Medical/Surgical Supplies 90005511 LATERA IMPLANT SYSTEM$ 3,313.00 Medical/Surgical Supplies 90005143 LEAD PACEMAKER$ 1,375.00 Medical/Surgical Supplies 90004827 LENS INTRAOCULAR$ 375.00 Medical/Surgical Supplies 90004848 LIGAMENT CHISEL HOOK$ 355.00 Medical/Surgical Supplies 1560896 MASK LMA SZ 4$ 600.00 Medical/Surgical Supplies 90005313 MESH 3 X6$ 105.00 Medical/Surgical Supplies 90005317 MESH 8X10 ELIPPSE$ 3,054.00 Medical/Surgical Supplies 90005331 MESH MED CIRCLE 6.cm$ 1,084.00 Medical/Surgical Supplies 90005336 MESH OVAL 10.8X13.7$ 6,702.00 Medical/Surgical Supplies 90005334 MESH OVAL 5.4X7.0$ 2,463.00 Medical/Surgical Supplies 90005335 MESH OVAL 8.7X10.7$ 4,064.00 Medical/Surgical Supplies 90005337 MESH OVAL MEDIUM VENTRIO$ 1,946.00 Medical/Surgical Supplies 90005304 MESH PCDB1$ 943.00 Medical/Surgical Supplies 90005264 MESH PHYSIO 2030R$ 6,009.00 Medical/Surgical Supplies 90005265 MESH PHYSIO 3035R$ 8,194.00 Medical/Surgical Supplies 1560414 MESH PROLENE PHSL$ 1,302.00 Medical/Surgical Supplies 90005255 MESH ULTRAPRO LARGE$ 1,406.00 Medical/Surgical Supplies 90005316 MESH VENTRALIGHT CIRCLE 4.5$ 985.00 Medical/Surgical Supplies 90005102 MINI TIGHTROPE 2.7$ 1,485.00 Medical/Surgical Supplies 1560355 NEEDLE BIOPSY 14G$ 103.00 Medical/Surgical Supplies 90005066 NEEDLE BIOPSY 14X10 MAGNUM$ 66.00 Medical/Surgical Supplies 90005067 NEEDLE BIOPSY 18X10 MAGNUM$ 48.00 Medical/Surgical Supplies 90004826 NEEDLE BIOPSY MAXCORE 14G$ 63.00 Medical/Surgical Supplies 1505056 NEEDLE BONE MARROW 16G$ 14.00 Medical/Surgical Supplies 80904890 NEEDLE BREAST BIOPSY HOMER 10CM$ 86.00 Medical/Surgical Supplies 80904889 NEEDLE BREAST BIOPSY HOMER 7.5CM$ 86.00 Medical/Surgical Supplies 80905541 NEEDLE GUIDE ENDOCAVITY$ 35.00 Medical/Surgical Supplies 1560487 NOVASURE ABLATION$ 3,294.00 Medical/Surgical Supplies 1500048 OST DRAIN POUC 1 3/4$ 4.00 Medical/Surgical Supplies 1500045 OST DRAIN POUC 2 3/4$ 4.00 Medical/Surgical Supplies 1500047 OST DRAIN POUCH$ 5.00 Medical/Surgical Supplies 1500049 OST DRAIN POUCH 4$ 5.00 Medical/Surgical Supplies 1500052 OST STOMACH WAF 4$ 12.00 Medical/Surgical Supplies 1500044 OST WAFER 2 3/4$ 7.00 Medical/Surgical Supplies 90005142 PACEMAKER$ 12,500.00 Medical/Surgical Supplies 90005260 PALACOS SINGLE$ 153.00 Medical/Surgical Supplies 90005261 PALACOS W/GENTAMICIN$ 550.00 Medical/Surgical Supplies 90005314 PATCH VENTRALEX ST$ 899.00 Medical/Surgical Supplies 1500124 PEAK FLOW-LOW RANGE$ 27.00 Medical/Surgical Supplies 90005443 PEG KIT 20F PULL$ 199.00 Medical/Surgical Supplies 90005444 PEG KIT 24F PULL$ 199.00 Medical/Surgical Supplies 80905327 PICC KIT$ 712.00 Medical/Surgical Supplies 1501157 PIN RUSH SM 7$ 169.00 Medical/Surgical Supplies 1501158 PIN RUSH SM 7.5$ 169.00 Medical/Surgical Supplies 1500236 PIN STEIN 187-01-59$ 15.00 Medical/Surgical Supplies 80905122 PIN STEIN 187-02-59$ 26.00 Medical/Surgical Supplies 1500237 PIN STEIN 187-03-59$ 9.00 Medical/Surgical Supplies 1500239 PIN STEIN 187-05-59$ 11.00 Medical/Surgical Supplies 1500709 PIN STEIN 2.0 X 229$ 34.00 Medical/Surgical Supplies 1500708 PIN STEIN 2.4 X 229$ 34.00 Medical/Surgical Supplies 1500707 PIN STEIN 2.8 X 229$ 34.00 Medical/Surgical Supplies 1500706 PIN STEIN 3.2 X 229$ 34.00 Medical/Surgical Supplies 1500705 PIN STEIN 3.6 X 229$ 34.00 Medical/Surgical Supplies 1500704 PIN STEIN 4.0 X 229$ 34.00 Medical/Surgical Supplies 1500703 PIN STEIN 4.8 X 229$ 34.00 Medical/Surgical Supplies 1500233 PIN STEIN TH 187-07-59$ 12.00 Medical/Surgical Supplies 1500238 PIN STEIN TH 2620-02$ 18.00 Medical/Surgical Supplies 1500232 PIN STEIN TH 2620179$ 18.00 Medical/Surgical Supplies 1500234 PIN STEIN TH 2620-27$ 19.00 Medical/Surgical Supplies 1500600 PLAT NR 12HL 4.5 224.62$ 315.00 Medical/Surgical Supplies 1500747 PLAT STR 3HL 2.0 243.13$ 89.00 Medical/Surgical Supplies 1500748 PLAT STR 4HL 2.0 243.14$ 98.00 Medical/Surgical Supplies 1500749 PLAT STR 5HL 2.0 243.15$ 213.00 Medical/Surgical Supplies 1500563 PLATE 1/3 TB 241.36$ 134.00 Medical/Surgical Supplies 1500564 PLATE 1/3 TB 241.37$ 179.00 Medical/Surgical Supplies 1500565 PLATE 1/3 TB 241.38$ 129.00 Medical/Surgical Supplies 1500714 PLATE 1/3 TB 241.40$ 114.00 Medical/Surgical Supplies 1500557 PLATE 3.5 10HL 233.60$ 275.00 Medical/Surgical Supplies 1501185 PLATE 3.5 241.064$ 1,365.00 Medical/Surgical Supplies 1501187 PLATE 3.5 241.068$ 1,464.00 Medical/Surgical Supplies 1501173 PLATE 3.5 5HL 245.15$ 681.00 Medical/Surgical Supplies 1500553 PLATE 3.5 6HL 223.56$ 236.00 Medical/Surgical Supplies 1501174 PLATE 3.5 6HL 245.16$ 789.00 Medical/Surgical Supplies 1500554 PLATE 3.5 7HL 223.57$ 245.00 Medical/Surgical Supplies 1501175 PLATE 3.5 7HL 245.17$ 831.00 Medical/Surgical Supplies 1501176 PLATE 3.5 8HL 245.18$ 864.00 Medical/Surgical Supplies 90004905 PLATE 3.5/111MM 8 HOLE 223.581$ 1,125.00 Medical/Surgical Supplies 90004906 PLATE 3.5/124MM 9 HOLE 223.591$ 1,276.00 Medical/Surgical Supplies 90004907 PLATE 3.5/137MM 10 HOLE 223.601$ 993.00 Medical/Surgical Supplies 90004908 PLATE 3.5/163MM 12 HOLE 223.621$ 1,101.00 Medical/Surgical Supplies 90004909 PLATE 3.5/189MM 14 HOLE 223.641$ 1,647.00 Medical/Surgical Supplies 90004903 PLATE 3.5/72MM 5 HOLE$ 798.00 Medical/Surgical Supplies 90004904 PLATE 3.5/85MM 6HOLE 223.561$ 1,119.00 Medical/Surgical Supplies 1501049 PLATE 6H 226.56$ 642.00 Medical/Surgical Supplies 1501184 PLATE 6HL 241.062$ 1,365.00 Medical/Surgical Supplies 1501081 PLATE 8H 135D 281.180$ 1,951.00 Medical/Surgical Supplies 1501186 PLATE 8H 3.5 241.066$ 1,464.00 Medical/Surgical Supplies 1500555 PLATE 8HL 3.5 223.58$ 258.00 Medical/Surgical Supplies 1501181 PLATE 95D 14H 281.93$ 2,061.00 Medical/Surgical Supplies 1501182 PLATE 95D 16H 281.94$ 2,202.00 Medical/Surgical Supplies 1500455 PLATE 95D 6HL 281.960$ 1,410.00 Medical/Surgical Supplies 1500456 PLATE 95DG 8HL 281.980$ 1,410.00 Medical/Surgical Supplies 1500556 PLATE 9HL 3.5 223.59$ 269.00 Medical/Surgical Supplies 1500602 PLATE BD 10HL 4.5 226.60$ 483.00 Medical/Surgical Supplies 1500603 PLATE BD 12HL 4.5 226.62$ 854.00 Medical/Surgical Supplies 1500604 PLATE BD 14HL 4.5 226.14$ 432.00 Medical/Surgical Supplies 1500601 PLATE BD 8HL 4.5 226.58$ 804.00 Medical/Surgical Supplies 1500499 PLATE BRL 135D 4H 281.140$ 1,468.00 Medical/Surgical Supplies 80905207 PLATE BRL 135D 4H 281.540$ 1,694.00 Medical/Surgical Supplies 1500500 PLATE BRL 135D 6HL 281.160$ 1,861.00 Medical/Surgical Supplies 80905687 PLATE BRL 140D 4H 281.240$ 1,468.00 Medical/Surgical Supplies 80905212 PLATE BRL 140D 6H 281.260$ 1,694.00 Medical/Surgical Supplies 80905208 PLATE BRL 145D 4H 281.340$ 1,694.00 Medical/Surgical Supplies 80905209 PLATE BRL 145D 5H 281.350$ 1,694.00 Medical/Surgical Supplies 80905001 PLATE BRL 145D 6H 281.360$ 1,351.00 Medical/Surgical Supplies 80905210 PLATE BRL 150D 4H 281.840$ 1,694.00 Medical/Surgical Supplies 1500501 PLATE BRL 150D 4HL 281.440$ 1,468.00 Medical/Surgical Supplies 80905211 PLATE BRL 150D 5H 281.450$ 1,694.00 Medical/Surgical Supplies 1500502 PLATE BRL 150D 6HL 281.460$ 1,468.00 Medical/Surgical Supplies 1500914 PLATE BRL 5HL 281.150$ 1,785.00 Medical/Surgical Supplies 1500326 PLATE ECT 4HL 2462-04$ 160.00 Medical/Surgical Supplies 1500325 PLATE ECT 5HL 2462-005$ 160.00 Medical/Surgical Supplies 1500220 PLATE FORE 2461-04$ 132.00 Medical/Surgical Supplies 1500241 PLATE FORE 2461-07$ 99.00 Medical/Surgical Supplies 1500357 PLATE FORE 6HL 2429-06$ 148.00 Medical/Surgical Supplies 90004956 PLATE HUMEROUS 114MM 241.903$ 4,317.00 Medical/Surgical Supplies 90004955 PLATE HUMEROUS 90MM 241.901$ 4,567.00 Medical/Surgical Supplies 1500599 PLATE NR 10HL 4.5 224.60$ 378.00 Medical/Surgical Supplies 1500597 PLATE NR 6HL 4.5 224.56$ 251.00 Medical/Surgical Supplies 1500598 PLATE NR 8HL 4.5 224.58$ 288.00 Medical/Surgical Supplies 90004925 PLATE OB-L 3.5/52MM 241.931$ 963.00 Medical/Surgical Supplies 90004926 PLATE OB-L 3.5/63MM 241.941$ 1,011.00 Medical/Surgical Supplies 90004927 PLATE OB-L 3.5/74MM 241.951$ 1,050.00 Medical/Surgical Supplies 90004928 PLATE OB-L 3.5/96MM 241.971$ 1,143.00 Medical/Surgical Supplies 90004921 PLATE OB-R 3.5/52MM 241.031$ 963.00 Medical/Surgical Supplies 90004922 PLATE OB-R 3.5/63MM 241.041$ 1,011.00 Medical/Surgical Supplies 90004923 PLATE OB-R 3.5/74MM 241.051$ 1,050.00 Medical/Surgical Supplies 90004924 PLATE OB-R 3.5/96MM 241.071$ 1,143.00 Medical/Surgical Supplies 90004916 PLATE RA 50MM 241.131$ 846.00 Medical/Surgical Supplies 90004919 PLATE RA 56MM 241.141$ 879.00 Medical/Surgical Supplies 90004917 PLATE RA 67mm 241.151$ 969.00 Medical/Surgical Supplies 90004920 PLATE RA 78MM 241.161$ 1,131.00 Medical/Surgical Supplies 90004918 PLATE RA 87MM 241.171$ 1,416.00 Medical/Surgical Supplies 90004913 PLATE RECON 3.5/112MM 245.081$ 1,491.00 Medical/Surgical Supplies 90004914 PLATE RECON 3.5/140MM 245.101$ 1,942.00 Medical/Surgical Supplies 90004915 PLATE RECON 3.5/168MM 245.121$ 1,677.00 Medical/Surgical Supplies 90004910 PLATE RECON 3.5/70MM 245.051$ 1,176.00 Medical/Surgical Supplies 90004911 PLATE RECON 3.5/84MM 245.061$ 1,541.00 Medical/Surgical Supplies 90004912 PLATE RECON 3.5/98MM 245.071$ 1,884.00 Medical/Surgical Supplies 80901698 PLATE SEMI 7HL 2364-07$ 89.00 Medical/Surgical Supplies 1500713 PLATE SM T 3HL 241.13$ 188.00 Medical/Surgical Supplies 1500559 PLATE SM-T 5HL 241.15$ 216.00 Medical/Surgical Supplies 1501050 PLATE T 240.18$ 1,217.00 Medical/Surgical Supplies 1500328 PLATE T 2451-120-06$ 336.00 Medical/Surgical Supplies 1500750 PLATE T 2HL 2.0 243.41$ 108.00 Medical/Surgical Supplies 1500746 PLATE T 3HL 2.7 242.41$ 219.00 Medical/Surgical Supplies 1500773 PLATE T 4HL 240.14$ 757.00 Medical/Surgical Supplies 1500843 PLATE T 4HL 240.44$ 534.00 Medical/Surgical Supplies 1500842 PLATE T 4HL 240.54$ 534.00 Medical/Surgical Supplies 1500605 PLATE T 6HL 4.5 240.16$ 874.00 Medical/Surgical Supplies 1500650 PLATE TIB LT 6H 240.006S$ 1,824.00 Medical/Surgical Supplies 1500651 PLATE TIB RT 240.007S$ 1,941.00 Medical/Surgical Supplies 80905023 PLATE TROCH LONG$ 1,588.00 Medical/Surgical Supplies 80905022 PLATE TROCH SHORT$ 1,864.00 Medical/Surgical Supplies 1500745 PLATE TUBE 6HL 242.06$ 132.00 Medical/Surgical Supplies 90004933 PLATE W/COLLAR 117MM 241.401$ 489.00 Medical/Surgical Supplies 90004934 PLATE W/COLLAR 141MM 241.421$ 507.00 Medical/Surgical Supplies 90004929 PLATE W/COLLAR 57MM 241.351$ 519.00 Medical/Surgical Supplies 90004930 PLATE W/COLLAR 69MM 241.361$ 606.00 Medical/Surgical Supplies 90004931 PLATE W/COLLAR 81MM 241.371$ 620.00 Medical/Surgical Supplies 90004932 PLATE W/COLLAR 93MM 241.381$ 595.00 Medical/Surgical Supplies 1500981 PORT TITANIUM DOME$ 1,568.00 Medical/Surgical Supplies 90004850 PROBE BIPOLAR ABLATION$ 526.00 Medical/Surgical Supplies 90005356 PROBE COOLCUT$ 325.00 Medical/Surgical Supplies 90004846 PROBE ELECTROTHERMAL$ 955.00 Medical/Surgical Supplies 1567005 RADIUS FULL 4.5MM$ 151.00 Medical/Surgical Supplies 1567006 RADIUS FULL 5.5MM$ 151.00 Medical/Surgical Supplies 1500920 RASP MICRO LARGE$ 213.00 Medical/Surgical Supplies 1500860 RASP MICRO SMALL$ 132.00 Medical/Surgical Supplies 1500863 RELOAD EC60 BLUE$ 739.00 Medical/Surgical Supplies 1500858 RELOAD EC60 GREEN$ 739.00 Medical/Surgical Supplies 90005054 RELOAD EC60 WHITE$ 739.00 Medical/Surgical Supplies 90005341 RELOAD TR90$ 246.00 Medical/Surgical Supplies 90005342 RELOAD TRH90$ 269.00 Medical/Surgical Supplies 1500684 ROD 4.0 CARBON 60MM$ 67.00 Medical/Surgical Supplies 1500685 ROD 4.0 CARBON 80MM$ 67.00 Medical/Surgical Supplies 1500686 ROD 4.0 CARBON 100MM$ 71.00 Medical/Surgical Supplies 1500687 ROD 4.0 CARBON 120MM$ 87.00 Medical/Surgical Supplies 1500688 ROD 4.0 CARBON 140MM$ 108.00 Medical/Surgical Supplies 1500689 ROD 4.0 CARBON 160MM$ 92.00 Medical/Surgical Supplies 1500690 ROD 4.0 CARBON 180MM$ 92.00 Medical/Surgical Supplies 1500691 ROD 4.0 CARBON 200MM$ 92.00 Medical/Surgical Supplies 1501088 ROTH NET RETRIEVAL$ 235.00 Medical/Surgical Supplies 1560218 SCAPEL HARM CURV 32CM$ 434.00 Medical/Surgical Supplies 1560008 SCAPEL HARMONIC$ 1,793.00 Medical/Surgical Supplies 1560514 SCISSOR CURVED UNI 5MM$ 313.00 Medical/Surgical Supplies 90005128 SCORPION NEEDLE$ 425.00 Medical/Surgical Supplies 1500765 SCREW CAN 4.0/4.4 207.644$ 706.00 Medical/Surgical Supplies 1500675 SCREW CAN 6.5/40M 218.040$ 63.00 Medical/Surgical Supplies 1500572 SCREW CAN 16TH 6.5/40 216.040$ 51.00 Medical/Surgical Supplies 1500573 SCREW CAN 16TH 6.5/45 216.045$ 51.00 Medical/Surgical Supplies 1500574 SCREW CAN 16TH 6.5/50 216.050$ 77.00 Medical/Surgical Supplies 1500575 SCREW CAN 16TH 6.5/55 216.055$ 51.00 Medical/Surgical Supplies 1500576 SCREW CAN 16TH 6.5/60 216.060$ 66.00 Medical/Surgical Supplies 1500577 SCREW CAN 16TH 6.5/65 216.065$ 77.00 Medical/Surgical Supplies 1500578 SCREW CAN 16TH 6.5/70 216.070$ 51.00 Medical/Surgical Supplies 1500579 SCREW CAN 16TH 6.5/75 216.075$ 51.00 Medical/Surgical Supplies 1500580 SCREW CAN 16TH 6.5/80 216.080$ 51.00 Medical/Surgical Supplies 1500581 SCREW CAN 16TH 6.5/85 216.085$ 54.00 Medical/Surgical Supplies 1560175 SCREW CAN 207.612$ 465.00 Medical/Surgical Supplies 1560178 SCREW CAN 207.614$ 634.00 Medical/Surgical Supplies 1580183 SCREW CAN 207.618$ 634.00 Medical/Surgical Supplies 1560186 SCREW CAN 207.620$ 592.00 Medical/Surgical Supplies 1560189 SCREW CAN 207.622$ 662.00 Medical/Surgical Supplies 1560192 SCREW CAN 207.624$ 662.00 Medical/Surgical Supplies 1560198 SCREW CAN 207.628$ 405.00 Medical/Surgical Supplies 1560201 SCREW CAN 207.630$ 592.00 Medical/Surgical Supplies 1560207 SCREW CAN 207.634$ 592.00 Medical/Surgical Supplies 1560210 SCREW CAN 207.636$ 592.00 Medical/Surgical Supplies 1501048 SCREW CAN 3.5/ 12 205.012$ 500.00 Medical/Surgical Supplies 1501038 SCREW CAN 3.5/10 205.010$ 500.00 Medical/Surgical Supplies 1501039 SCREW CAN 3.5/14 205.014$ 500.00 Medical/Surgical Supplies 1501040 SCREW CAN 3.5/16 205.016$ 500.00 Medical/Surgical Supplies 1501041 SCREW CAN 3.5/18 205.018$ 678.00 Medical/Surgical Supplies 1500949 SCREW CAN 3.5/20 205.020$ 500.00 Medical/Surgical Supplies 1500950 SCREW CAN 3.5/22 205.022$ 564.00 Medical/Surgical Supplies 1500951 SCREW CAN 3.5/24 205.024$ 500.00 Medical/Surgical Supplies 1500952 SCREW CAN 3.5/26 206.026$ 462.00 Medical/Surgical Supplies 1500953 SCREW CAN 3.5/28 205.028$ 500.00 Medical/Surgical Supplies 1500948 SCREW CAN 3.5/30 205.030$ 678.00 Medical/Surgical Supplies 1500955 SCREW CAN 3.5/32 205.032$ 500.00 Medical/Surgical Supplies 1500956 SCREW CAN 3.5/34 205.034$ 678.00 Medical/Surgical Supplies 1500957 SCREW CAN 3.5/36 205.036$ 564.00 Medical/Surgical Supplies 1500958 SCREW CAN 3.5/38 205.038$ 500.00 Medical/Surgical Supplies 1500959 SCREW CAN 3.5/40 205.040$ 500.00 Medical/Surgical Supplies 1500954 SCREW CAN 3.5/42 205.042$ 539.00 Medical/Surgical Supplies 1500961 SCREW CAN 3.5/44 205.044$ 500.00 Medical/Surgical Supplies 1500962 SCREW CAN 3.5/46 205.046$ 500.00 Medical/Surgical Supplies 1500963 SCREW CAN 3.5/48 205.048$ 500.00 Medical/Surgical Supplies 1500964 SCREW CAN 3.5/50 205.050$ 539.00 Medical/Surgical Supplies 1500594 SCREW CAN 4.0/14M 207.014$ 54.00 Medical/Surgical Supplies 1500595 SCREW CAN 4.0/16 207.016$ 54.00 Medical/Surgical Supplies 1500596 SCREW CAN 4.0/18M 207.018$ 24.00 Medical/Surgical Supplies 1500763 SCREW CAN 4.0/4.0 207.640$ 592.00 Medical/Surgical Supplies 1500766 SCREW CAN 4.0/4.6 207.646$ 706.00 Medical/Surgical Supplies 1500760 SCREW CAN 4.0/4.8 207.648$ 360.00 Medical/Surgical Supplies 1500761 SCREW CAN 4.0/5.0 207.650$ 634.00 Medical/Surgical Supplies 1500536 SCREW CAN 4/55M 206.055$ 25.00 Medical/Surgical Supplies 1500671 SCREW CAN 6.5/110 217.110$ 54.00 Medical/Surgical Supplies 1500672 SCREW CAN 6.5/2.5 218.025$ 66.00 Medical/Surgical Supplies 1500673 SCREW CAN 6.5/30M 218.030$ 63.00 Medical/Surgical Supplies 1500674 SCREW CAN 6.5/35 218.035$ 66.00 Medical/Surgical Supplies 1500715 SCREW CAN 6.5/60M 217.060$ 77.00 Medical/Surgical Supplies 1500710 SCREW CAN 6.5/90M 216.090$ 74.00 Medical/Surgical Supplies 1500762 SCREW CANCL 4.0/3.8 207.638$ 439.00 Medical/Surgical Supplies 1500764 SCREW CANCL 4.0/4.2 207.642$ 360.00 Medical/Surgical Supplies 1560181 SCREW CANNUL 207.616$ 522.00 Medical/Surgical Supplies 1560195 SCREW CANNULA 207.626$ 592.00 Medical/Surgical Supplies 1560204 SCREW CANNULA 207.632$ 360.00 Medical/Surgical Supplies 1500583 SCREW CLS 16TH 6.5/95 216.095$ 54.00 Medical/Surgical Supplies 1500584 SCREW CLS 16TH6.5/100 216.100$ 54.00 Medical/Surgical Supplies 1500585 SCREW CLS 16TH6.5/105 216.105$ 54.00 Medical/Surgical Supplies 1500587 SCREW CLS 32TH 6.5/45 217.045$ 71.00 Medical/Surgical Supplies 1500588 SCREW CLS 32TH 6.5/50 217.050$ 71.00 Medical/Surgical Supplies 1500589 SCREW CLS 32TH 6.5/55 217.055$ 51.00 Medical/Surgical Supplies 1500591 SCREW CLS 32TH 6.5/65 217.065$ 51.00 Medical/Surgical Supplies 1500592 SCREW CLS 32TH 6.5/70 217.070$ 97.00 Medical/Surgical Supplies 1500593 SCREW CLS 32TH 6.5/75 217.075$ 55.00 Medical/Surgical Supplies 1500666 SCREW CLS 32TH 6.5/80 217.080$ 74.00 Medical/Surgical Supplies 1500667 SCREW CLS 32TH 6.5/85 217.085$ 78.00 Medical/Surgical Supplies 1500668 SCREW CLS 32TH 6.5/90 217.090$ 54.00 Medical/Surgical Supplies 1500521 SCREW CLS 4.0 206.010$ 67.00 Medical/Surgical Supplies 1500538 SCREW CLS 4.0/10M 207.10$ 54.00 Medical/Surgical Supplies 1500539 SCREW CLS 4.0/12M 207.012$ 54.00 Medical/Surgical Supplies 1500523 SCREW CLS 4.0/14M 206.014$ 63.00 Medical/Surgical Supplies 1500524 SCREW CLS 4.0/16M 206.016$ 67.00 Medical/Surgical Supplies 1500525 SCREW CLS 4.0/18 206.018$ 63.00 Medical/Surgical Supplies 1500526 SCREW CLS 4.0/20 206.020$ 60.00 Medical/Surgical Supplies 1500542 SCREW CLS 4.0/20M 207.020$ 51.00 Medical/Surgical Supplies 1500543 SCREW CLS 4.0/22 207.022$ 47.00 Medical/Surgical Supplies 1500527 SCREW CLS 4.0/22M 206.022$ 60.00 Medical/Surgical Supplies 1500544 SCREW CLS 4.0/24 207.024$ 51.00 Medical/Surgical Supplies 1500528 SCREW CLS 4.0/24M 206.024$ 60.00 Medical/Surgical Supplies 1500529 SCREW CLS 4.0/26M 206.026$ 60.00 Medical/Surgical Supplies 1500545 SCREW CLS 4.0/26M 207.026$ 54.00 Medical/Surgical Supplies 1500530 SCREW CLS 4.0/28M 206.028$ 37.00 Medical/Surgical Supplies 1500546 SCREW CLS 4.0/28M 207.028$ 32.00 Medical/Surgical Supplies 1500531 SCREW CLS 4.0/30M 206.030$ 67.00 Medical/Surgical Supplies 1500547 SCREW CLS 4.0/30M 207.030$ 51.00 Medical/Surgical Supplies 1500548 SCREW CLS 4.0/35 207.035$ 47.00 Medical/Surgical Supplies 1500532 SCREW CLS 4.0/35M 206.035$ 67.00 Medical/Surgical Supplies 1500533 SCREW CLS 4.0/40M 206.040$ 67.00 Medical/Surgical Supplies 1500549 SCREW CLS 4.0/40M 207.040$ 47.00 Medical/Surgical Supplies 1500550 SCREW CLS 4.0/45 207.045$ 60.00 Medical/Surgical Supplies 1500534 SCREW CLS 4.0/45M 206.045$ 67.00 Medical/Surgical Supplies 1500551 SCREW CLS 4.0/50 207.050$ 60.00 Medical/Surgical Supplies 1500535 SCREW CLS 4.0/50M 206.050$ 53.00 Medical/Surgical Supplies 1500537 SCREW CLS 4.0/60M 206.060$ 53.00 Medical/Surgical Supplies 1500670 SCREW CLS 6.5/100M 217.100$ 54.00 Medical/Surgical Supplies 1500645 SCREW CLS 6.5/16/30M 216.030$ 51.00 Medical/Surgical Supplies 1500646 SCREW CLS 6.5/16/35M 216.035$ 66.00 Medical/Surgical Supplies 1500669 SCREW CLS 6.5/95M 217.095$ 54.00 Medical/Surgical Supplies 1500177 SCREW COMP 1131-30$ 46.00 Medical/Surgical Supplies 1500498 SCREW COMP 36M 280.990$ 104.00 Medical/Surgical Supplies 1500148 SCREW CORT 2319-52$ 23.00 Medical/Surgical Supplies 1500722 SCREW CRTX ST 1.5/11M 200.811$ 38.00 Medical/Surgical Supplies 1500724 SCREW CRTX ST 1.5/12M 200.812$ 102.00 Medical/Surgical Supplies 1500725 SCREW CRTX ST 1.5/14M 200.814$ 102.00 Medical/Surgical Supplies 1500726 SCREW CRTX ST 1.5/16M 200.816$ 60.00 Medical/Surgical Supplies 1500717 SCREW CRTX ST 1.5/6M 200.806$ 38.00 Medical/Surgical Supplies 1500718 SCREW CRTX ST 1.5/7 200.807$ 38.00 Medical/Surgical Supplies 1500719 SCREW CRTX ST 1.5/8M 200.808$ 120.00 Medical/Surgical Supplies 1500720 SCREW CRTX ST 1.5/9M 200.809$ 38.00 Medical/Surgical Supplies 1500729 SCREW CRTX ST 2.0/10M 201.810$ 120.00 Medical/Surgical Supplies 1500730 SCREW CRTX ST 2.0/12M 201.812$ 120.00 Medical/Surgical Supplies 1500731 SCREW CRTX ST 2.0/14M 201.814$ 116.00 Medical/Surgical Supplies 1500732 SCREW CRTX ST 2.0/16M 201.816$ 116.00 Medical/Surgical Supplies 1500733 SCREW CRTX ST 2.0/18M 201.818$ 116.00 Medical/Surgical Supplies 1500734 SCREW CRTX ST 2.0/20M 201.820$ 39.00 Medical/Surgical Supplies 1500727 SCREW CRTX ST 2.0/6M 201.806$ 39.00 Medical/Surgical Supplies 1500728 SCREW CRTX ST 2.0/8M 201.808$ 39.00 Medical/Surgical Supplies 1500737 SCREW CRTX ST 2.7/10M 202.810$ 121.00 Medical/Surgical Supplies 1500738 SCREW CRTX ST 2.7/12M 202.812$ 121.00 Medical/Surgical Supplies 1500739 SCREW CRTX ST 2.7/14M 202.814$ 121.00 Medical/Surgical Supplies 1500740 SCREW CRTX ST 2.7/16M 202.816$ 117.00 Medical/Surgical Supplies 1500741 SCREW CRTX ST 2.7/18M 202.818$ 113.00 Medical/Surgical Supplies 1500742 SCREW CRTX ST 2.7/20M 202.820$ 39.00 Medical/Surgical Supplies 1500743 SCREW CRTX ST 2.7/22M 202.822$ 43.00 Medical/Surgical Supplies 1500744 SCREW CRTX ST 2.7/24M 202.824$ 43.00 Medical/Surgical Supplies 1500735 SCREW CRTX ST 2.7/6M 202.806$ 39.00 Medical/Surgical Supplies 1500736 SCREW CRTX ST 2.7/8M 202.808$ 39.00 Medical/Surgical Supplies 1500503 SCREW CRTX ST 3.5/10M 204.810$ 81.00 Medical/Surgical Supplies 1500504 SCREW CRTX ST 3.5/12M 204.812$ 55.00 Medical/Surgical Supplies 1500505 SCREW CRTX ST 3.5/14M 204.814$ 55.00 Medical/Surgical Supplies 1500506 SCREW CRTX ST 3.5/16M 204.816$ 81.00 Medical/Surgical Supplies 1500507 SCREW CRTX ST 3.5/18M 204.818$ 81.00 Medical/Surgical Supplies 1500508 SCREW CRTX ST 3.5/20M 204.820$ 81.00 Medical/Surgical Supplies 1500716 SCREW CRTX ST 3.5/22M 204.822$ 81.00 Medical/Surgical Supplies 1500510 SCREW CRTX ST 3.5/24M 204.824$ 72.00 Medical/Surgical Supplies 1500511 SCREW CRTX ST 3.5/26M 204.826$ 81.00 Medical/Surgical Supplies 1500512 SCREW CRTX ST 3.5/28M 204.828$ 81.00 Medical/Surgical Supplies 1500513 SCREW CRTX ST 3.5/30M 204.830$ 70.00 Medical/Surgical Supplies 1500514 SCREW CRTX ST 3.5/32M 204.832$ 72.00 Medical/Surgical Supplies 1500515 SCREW CRTX ST 3.5/34M 204.834$ 81.00 Medical/Surgical Supplies 1500516 SCREW CRTX ST 3.5/36M 204.836$ 72.00 Medical/Surgical Supplies 1500711 SCREW CRTX ST 3.5/38M 204.838$ 81.00 Medical/Surgical Supplies 1500518 SCREW CRTX ST 3.5/40M 204.840$ 67.00 Medical/Surgical Supplies 1500519 SCREW CRTX ST 3.5/45M 204.845$ 39.00 Medical/Surgical Supplies 1500520 SCREW CRTX ST 3.5/50M 204.850$ 81.00 Medical/Surgical Supplies 80905600 SCREW CRTX ST 3.5/55M 204.855$ 53.00 Medical/Surgical Supplies 80905615 SCREW CRTX ST 3.5/60M 204.860$ 53.00 Medical/Surgical Supplies 1500606 SCREW CRTX ST 4.5/14M 214.814$ 39.00 Medical/Surgical Supplies 1500607 SCREW CRTX ST 4.5/16M 214.816$ 45.00 Medical/Surgical Supplies 1500608 SCREW CRTX ST 4.5/18M 214.818$ 45.00 Medical/Surgical Supplies 1500609 SCREW CRTX ST 4.5/20M 214.820$ 45.00 Medical/Surgical Supplies 1500610 SCREW CRTX ST 4.5/22M 214.822$ 45.00 Medical/Surgical Supplies 1500611 SCREW CRTX ST 4.5/24M 214.824$ 39.00 Medical/Surgical Supplies 1500612 SCREW CRTX ST 4.5/26M 214.826$ 45.00 Medical/Surgical Supplies 1500613 SCREW CRTX ST 4.5/28M 214.828$ 63.00 Medical/Surgical Supplies 1500614 SCREW CRTX ST 4.5/30M 214.830$ 63.00 Medical/Surgical Supplies 1500615 SCREW CRTX ST 4.5/32M 214.832$ 66.00 Medical/Surgical Supplies 1500616 SCREW CRTX ST 4.5/34M 214.834$ 80.00 Medical/Surgical Supplies 1500617 SCREW CRTX ST 4.5/36M 214.836$ 80.00 Medical/Surgical Supplies 1500618 SCREW CRTX ST 4.5/38M 214.838$ 80.00 Medical/Surgical Supplies 1500619 SCREW CRTX ST 4.5/40M 214.840$ 82.00 Medical/Surgical Supplies 1500620 SCREW CRTX ST 4.5/42M 214.842$ 80.00 Medical/Surgical Supplies 1500621 SCREW CRTX ST 4.5/44M 214.844$ 77.00 Medical/Surgical Supplies 1500622 SCREW CRTX ST 4.5/46M 214.846$ 77.00 Medical/Surgical Supplies 1500623 SCREW CRTX ST 4.5/48M 214.848$ 77.00 Medical/Surgical Supplies 1500624 SCREW CRTX ST 4.5/50M 214.850$ 63.00 Medical/Surgical Supplies 1500625 SCREW CRTX ST 4.5/52M 214.852$ 63.00 Medical/Surgical Supplies 1500626 SCREW CRTX ST 4.5/54M 214.854$ 63.00 Medical/Surgical Supplies 1500627 SCREW CRTX ST 4.5/56M 214.856$ 77.00 Medical/Surgical Supplies 1500628 SCREW CRTX ST 4.5/58M 214.858$ 30.00 Medical/Surgical Supplies 1500629 SCREW CRTX ST 4.5/60M 214.860$ 52.00 Medical/Surgical Supplies 1500630 SCREW CRTX ST 4.5/62M 214.862$ 30.00 Medical/Surgical Supplies 1500631 SCREW CRTX ST 4.5/64M 214.864$ 30.00 Medical/Surgical Supplies 1500632 SCREW CRTX ST 4.5/66M 214.866$ 42.00 Medical/Surgical Supplies 1500633 SCREW CRTX ST 4.5/68M 214.868$ 30.00 Medical/Surgical Supplies 1500634 SCREW CRTX ST 4.5/70M 214.870$ 30.00 Medical/Surgical Supplies 1500486 SCREW LAG 12.7/100M 280.000$ 932.00 Medical/Surgical Supplies 1500487 SCREW LAG 12.7/105M 280.050$ 531.00 Medical/Surgical Supplies 1500488 SCREW LAG 12.7/110M 280.100$ 531.00 Medical/Surgical Supplies 1500489 SCREW LAG 12.7/115M 280.150$ 531.00 Medical/Surgical Supplies 1500490 SCREW LAG 12.7/60M 280.600$ 932.00 Medical/Surgical Supplies 1500491 SCREW LAG 12.7/65M 280.650$ 932.00 Medical/Surgical Supplies 1500492 SCREW LAG 12.7/70M 280.700$ 1,080.00 Medical/Surgical Supplies 1500493 SCREW LAG 12.7/75M 280.750$ 1,080.00 Medical/Surgical Supplies 1500494 SCREW LAG 12.7/80M 280.800$ 1,041.00 Medical/Surgical Supplies 1500495 SCREW LAG 12.7/85M 280.850$ 1,140.00 Medical/Surgical Supplies 1500496 SCREW LAG 12.7/90M 280.900$ 1,189.00 Medical/Surgical Supplies 1500497 SCREW LAG 12.7/95M 280.950$ 980.00 Medical/Surgical Supplies 80905138 SCREW LOCK 3.5$ 61.00 Medical/Surgical Supplies 1500640 SCREW MAL 4.5/50M 215.050$ 63.00 Medical/Surgical Supplies 1500635 SCREW MAL 4.5/25M 215.025$ 63.00 Medical/Surgical Supplies 1500636 SCREW MAL 4.5/30M 215.030$ 63.00 Medical/Surgical Supplies 1500637 SCREW MAL 4.5/35M 215.035$ 63.00 Medical/Surgical Supplies 1500638 SCREW MAL 4.5/40M 215.040$ 67.00 Medical/Surgical Supplies 1500639 SCREW MAL 4.5/45M 215.045$ 63.00 Medical/Surgical Supplies 1500641 SCREW MAL 4.5/55M 215.055$ 73.00 Medical/Surgical Supplies 1500642 SCREW MAL 4.5/60M 215.060$ 63.00 Medical/Surgical Supplies 1500643 SCREW MAL 4.5/65M 215.065$ 67.00 Medical/Surgical Supplies 1500644 SCREW MAL 4.5/70M 215.070$ 73.00 Medical/Surgical Supplies 90004935 SCREW RECESS 10MM 212.101$ 327.00 Medical/Surgical Supplies 90004936 SCREW RECESS 12MM 212.102$ 327.00 Medical/Surgical Supplies 90004937 SCREW RECESS 14MM 212.103$ 450.00 Medical/Surgical Supplies 90004938 SCREW RECESS 16MM 212.104$ 358.00 Medical/Surgical Supplies 90004939 SCREW RECESS 18MM 212.105$ 450.00 Medical/Surgical Supplies 90004940 SCREW RECESS 20MM 212.106$ 450.00 Medical/Surgical Supplies 90004941 SCREW RECESS 22MM 212.107$ 450.00 Medical/Surgical Supplies 90004942 SCREW RECESS 24MM 212.108$ 450.00 Medical/Surgical Supplies 90004943 SCREW RECESS 26MM 212.109$ 450.00 Medical/Surgical Supplies 90004944 SCREW RECESS 28MM 212.110$ 327.00 Medical/Surgical Supplies 90004945 SCREW RECESS 30MM 212.111$ 450.00 Medical/Surgical Supplies 90004946 SCREW RECESS 32MM 212.112$ 450.00 Medical/Surgical Supplies 90004947 SCREW RECESS 34MM 212.113$ 450.00 Medical/Surgical Supplies 90004948 SCREW RECESS 36MM 212.115$ 450.00 Medical/Surgical Supplies 90004949 SCREW RECESS 38MM 212.116$ 450.00 Medical/Surgical Supplies 90004950 SCREW RECESS 40MM 212.117$ 450.00 Medical/Surgical Supplies 90004951 SCREW RECESS 45MM 212.119$ 327.00 Medical/Surgical Supplies 90004952 SCREW RECESS 50MM 212.121$ 327.00 Medical/Surgical Supplies 90004953 SCREW RECESS 55MM 212.123$ 327.00 Medical/Surgical Supplies 90004954 SCREW RECESS 60MM 212.124$ 327.00 Medical/Surgical Supplies 80904941 SCREW SCHANZ 5.0MM 294.56$ 260.00 Medical/Surgical Supplies 1500772 SCREW SCHN 4.0/3.0/8 294.30$ 133.00 Medical/Surgical Supplies 1500655 SCREW SD 4.0/20/80M 294.771$ 248.00 Medical/Surgical Supplies 1500586 SCRW CLS 16TH 6.5/110 216.110$ 54.00 Medical/Surgical Supplies 1500522 SCRW CLS 4.0/12M 206.012$ 48.00 Medical/Surgical Supplies 1500721 SCRW CRTX ST 1.5/10M 200.810$ 120.00 Medical/Surgical Supplies 1500181 SCRW HERBERT 1154-18$ 369.00 Medical/Surgical Supplies 1500182 SCRW HERBERT 1154-20$ 369.00 Medical/Surgical Supplies 1500183 SCRW HERBERT 1154-20$ 369.00 Medical/Surgical Supplies 1500184 SCRW HERBERT 1154-24$ 369.00 Medical/Surgical Supplies 1500185 SCRW HERBERT 1154-26$ 558.00 Medical/Surgical Supplies 1500186 SCRW HERBERT 1154-28$ 558.00 Medical/Surgical Supplies 1500187 SCRW HERBERT 1154-30$ 558.00 Medical/Surgical Supplies 1500180 SCRW LAG 1181-15-20$ 369.00 Medical/Surgical Supplies 1500179 SCRW LAG 1181-15-22$ 369.00 Medical/Surgical Supplies 1500178 SCRW LAG 1181-15-25$ 369.00 Medical/Surgical Supplies 1500173 SCRW PELV TRC 186501$ 137.00 Medical/Surgical Supplies 90005275 SECURE STRAP20$ 1,565.00 Medical/Surgical Supplies 90005293 SECURESTRAP25$ 1,096.00 Medical/Surgical Supplies 1575791 SET ARTHROSCOPY$ 48.00 Medical/Surgical Supplies 90004957 SET CRICOTHYROTOMY 6MM$ 372.00 Medical/Surgical Supplies 1500041 SET ER PNEUMOTHORAX$ 325.00 Medical/Surgical Supplies 90005363 SET SELDINGER METHOD$ 404.00 Medical/Surgical Supplies 1504220 SHOE POSTOP FEMAL LG$ 21.00 Medical/Surgical Supplies 1504212 SHOE POSTOP FEMAL MD$ 21.00 Medical/Surgical Supplies 1504204 SHOE POSTOP FEMALE SM$ 21.00 Medical/Surgical Supplies 1504279 SHOE POSTOP MALE LG$ 21.00 Medical/Surgical Supplies 1504261 SHOE POSTOP MALE MD$ 21.00 Medical/Surgical Supplies 1504253 SHOE POSTOP MALE SM$ 21.00 Medical/Surgical Supplies 1501189 SHOE POSTOP MALE XL$ 21.00 Medical/Surgical Supplies 1560012 SLING & SWATHE LARGE$ 24.00 Medical/Surgical Supplies 1504386 SLING ARM LARGE$ 9.00 Medical/Surgical Supplies 1504378 SLING ARM MEDIUM$ 9.00 Medical/Surgical Supplies 1504360 SLING ARM SMALL$ 7.00 Medical/Surgical Supplies 1500114 SLING PT LIFT DIS XL$ 82.00 Medical/Surgical Supplies 1500115 SLING PT LIFT LG$ 90.00 Medical/Surgical Supplies 90004842 SLING PT LIFT MEDIUM$ 78.00 Medical/Surgical Supplies 80905601 SNARE POLPY ACU-SNARE$ 22.00 Medical/Surgical Supplies 1570682 SNARE POLYPECTOMY$ 66.00 Medical/Surgical Supplies 90005237 SPEEDBRIDGE IMPLANT SYSTEM$ 4,350.00 Medical/Surgical Supplies 90005442 SPHERE INFLATION DEVICE$ 88.00 Medical/Surgical Supplies 1504634 SPLINT AIR ANKLE LEFT$ 60.00 Medical/Surgical Supplies 1504618 SPLINT AIR ANKLE RIGHT$ 60.00 Medical/Surgical Supplies 80905685 SPLINT AIR ANKLE UNVL$ 56.00 Medical/Surgical Supplies 90004828 SPLINT AIR FOOT AND ANKLE$ 34.00 Medical/Surgical Supplies 1560517 SPLINT AIR FULL ARM$ 37.00 Medical/Surgical Supplies 90004830 SPLINT AIR FULL LEG AND FOOT$ 37.00 Medical/Surgical Supplies 1560518 SPLINT AIR HALF ARM$ 27.00 Medical/Surgical Supplies 90004829 SPLINT AIR HALF LEG$ 42.00 Medical/Surgical Supplies 1560519 SPLINT AIR HAND & WRIST$ 34.00 Medical/Surgical Supplies 1501133 SPLINT COLLES CHILD$ 20.00 Medical/Surgical Supplies 90005491 SPLINT DOYLE NASAL$ 49.00 Medical/Surgical Supplies 90001869 SPLINT FINGER STAX-#4$ 5.00 Medical/Surgical Supplies 90001879 SPLINT FINGER STAX-#5$ 5.00 Medical/Surgical Supplies 90001925 SPLINT FINGER STAX-#6$ 5.00 Medical/Surgical Supplies 90002012 SPLINT FINGER STAX-#7$ 5.00 Medical/Surgical Supplies 90001325 SPLINT FINGER 3 1/2$ 21.00 Medical/Surgical Supplies 90001403 SPLINT FINGER ALUMINUM FOAM$ 19.00 Medical/Surgical Supplies 90002291 SPLINT FINGER PROTECT 3$ 4.00 Medical/Surgical Supplies 90001138 SPLINT FINGER STAX-#2$ 5.00 Medical/Surgical Supplies 90001228 SPLINT FINGER STAX-#3$ 5.00 Medical/Surgical Supplies 90005459 SPLINT NASAL AIRWAY$ 75.00 Medical/Surgical Supplies 80905695 SPLINT THUMB/WRIST$ 31.00 Medical/Surgical Supplies 80905683 SPLINT WRIST LEFT$ 17.00 Medical/Surgical Supplies 1504626 SPLINT WRIST LEFT$ 33.00 Medical/Surgical Supplies 80905682 SPLINT WRIST RIGHT$ 17.00 Medical/Surgical Supplies 1505459 STAPLER 25MM CEEA$ 1,327.00 Medical/Surgical Supplies 1500857 STAPLER ECHELON 60$ 1,668.00 Medical/Surgical Supplies 1506101 STAPLER GIA-55$ 460.00 Medical/Surgical Supplies 1506200 STAPLER GIA-75$ 686.00 Medical/Surgical Supplies 1506002 STAPLER PMW35$ 13.00 Medical/Surgical Supplies 1506218 STAPLER RELOAD GIA 75$ 366.00 Medical/Surgical Supplies 1506119 STAPLER RELOAD GIA-55$ 142.00 Medical/Surgical Supplies 1505483 STAPLER SG EEA 28$ 1,327.00 Medical/Surgical Supplies 1505491 STAPLER SG EEA31$ 842.00 Medical/Surgical Supplies 1560054 STAPLER SKIN 3M$ 13.00 Medical/Surgical Supplies 1505038 STAPLER TX60B$ 830.00 Medical/Surgical Supplies 90005382 SUCTION COAGULATOR$ 12.00 Medical/Surgical Supplies 1560527 SURG VEST W/O SZ 5$ 110.00 Medical/Surgical Supplies 1506427 SURGICEL 2X3$ 150.00 Medical/Surgical Supplies 90005492 SURGICEL 4X8$ 134.00 Medical/Surgical Supplies 90005508 SURGIFLO$ 396.00 Medical/Surgical Supplies 90005497 SUTURE #0 ORTHOCORD$ 103.00 Medical/Surgical Supplies 90005496 SUTURE #2 ORTHOCORD$ 95.00 Medical/Surgical Supplies 90005498 SUTURE #2-0 ORTHOCORD$ 103.00 Medical/Surgical Supplies 1520043 SUTURE 1629H 4-0 18 ETHILON$ 11.00 Medical/Surgical Supplies 1501085 SUTURE 1637G$ 20.00 Medical/Surgical Supplies 90005457 SUTURE 1643G 4-0 CHROMIC$ 21.00 Medical/Surgical Supplies 1520112 SUTURE 1654G 4-0 CHROMIC$ 22.00 Medical/Surgical Supplies 1520114 SUTURE 1663G 3-0 ETHILON$ 19.00 Medical/Surgical Supplies 90004976 SUTURE 1666H 5-0 ETHILON$ 11.00 Medical/Surgical Supplies 1520117 SUTURE 1667H 4-0 ETHILON$ 19.00 Medical/Surgical Supplies 1520125 SUTURE 1669H 3-0 ETHILON$ 19.00 Medical/Surgical Supplies 1520080 SUTURE 1671H 3-0 ETHILON$ 8.00 Medical/Surgical Supplies 90005094 SUTURE 1674H 2-0 NYLON$ 8.00 Medical/Surgical Supplies 1500921 SUTURE 1684G 3-0 SILK$ 11.00 Medical/Surgical Supplies 90005141 SUTURE 1698G ETHILON$ 19.00 Medical/Surgical Supplies 90005456 SUTURE 1824H 4-0 PLAIN$ 11.00 Medical/Surgical Supplies 1520107 SUTURE 443H 2-O SILK$ 8.00 Medical/Surgical Supplies 90004980 SUTURE 562H 4-0 ETHILON$ 19.00 Medical/Surgical Supplies 1520105 SUTURE 623H 2-O SILK$ 8.00 Medical/Surgical Supplies 1520106 SUTURE 624H O SILK$ 8.00 Medical/Surgical Supplies 90005460 SUTURE 627H 3-0 ETHILON$ 6.00 Medical/Surgical Supplies 1520077 SUTURE 636H 3-0 27 CHROMICGUT$ 8.00 Medical/Surgical Supplies 90004051 SUTURE 661G 5-0 ETHILON 18$ 8.00 Medical/Surgical Supplies 1520048 SUTURE 662G ETHILON$ 8.00 Medical/Surgical Supplies 1520041 SUTURE 663G 3-0 18 ETHILON$ 8.00 Medical/Surgical Supplies 90005455 SUTURE 663H 3-0 ETHILON$ 6.00 Medical/Surgical Supplies 1520026 SUTURE 664G 2-0 ETHILON$ 8.00 Medical/Surgical Supplies 1520049 SUTURE 667G 6-0 18 ETHILON$ 8.00 Medical/Surgical Supplies 1520031 SUTURE 677G 2-0 18 SILK$ 8.00 Medical/Surgical Supplies 1520108 SUTURE 678G O SILK$ 8.00 Medical/Surgical Supplies 1520130 SUTURE 687G 5-0 CHROMIC$ 22.00 Medical/Surgical Supplies 1520111 SUTURE 698H 5-0 ETHILON$ 19.00 Medical/Surgical Supplies 1520122 SUTURE 7-413 3-0 TEVDEK$ 26.00 Medical/Surgical Supplies 1520133 SUTURE 769G 6-0 SILK$ 35.00 Medical/Surgical Supplies 80904893 SUTURE 7757G$ 48.00 Medical/Surgical Supplies 1501064 SUTURE 7760G 9-0 NYLON$ 53.00 Medical/Surgical Supplies 1520044 SUTURE 811H 2-0 27 CHROMICGUT$ 8.00 Medical/Surgical Supplies 1520040 SUTURE 812H 0 27 CHROMICGUT$ 8.00 Medical/Surgical Supplies 1520034 SUTURE 8423H 2-0 PROLENE$ 8.00 Medical/Surgical Supplies 1520078 SUTURE 8424H 0 30 PROLENECT$ 8.00 Medical/Surgical Supplies 1520089 SUTURE 8424H 0-PROLENE$ 8.00 Medical/Surgical Supplies 1520096 SUTURE 8425H 1 PROLENE$ 8.00 Medical/Surgical Supplies 1520097 SUTURE 8455H 1 PROLENE$ 8.00 Medical/Surgical Supplies 1501120 SUTURE 8557H 4-0 PROLENE$ 19.00 Medical/Surgical Supplies 1501121 SUTURE 8558H 3-0 PROLENE$ 19.00 Medical/Surgical Supplies 1501119 SUTURE 8559H 2-0 PROLENE$ 19.00 Medical/Surgical Supplies 1520093 SUTURE 8832H 3-0 PROLENE$ 8.00 Medical/Surgical Supplies 1520090 SUTURE 8833H 2-0 PROLENE$ 8.00 Medical/Surgical Supplies 1520116 SUTURE 8889H 6-0 PROLENE$ 23.00 Medical/Surgical Supplies 1520055 SUTURE A183H 4-0 12-18 SILKBRA$ 8.00 Medical/Surgical Supplies 90005051 SUTURE A184H 3-0 SILK$ 8.00 Medical/Surgical Supplies 1520056 SUTURE A305H 2-0 SILK$ 11.00 Medical/Surgical Supplies 1520079 SUTURE CD424 0 SURGIDAC$ 22.00 Medical/Surgical Supplies 1520072 SUTURE CL843 2-0 POLYSORB$ 8.00 Medical/Surgical Supplies 90005152 SUTURE CO21D$ 29.00 Medical/Surgical Supplies 90005266 SUTURE CX21D ETHIBOND$ 37.00 Medical/Surgical Supplies 90005267 SUTURE CX27D ETHIBOND$ 36.00 Medical/Surgical Supplies 90005050 SUTURE D6870 5-0 PROLENE$ 128.00 Medical/Surgical Supplies 1520033 SUTURE G122H 3-0 27 CHROMICGUT$ 19.00 Medical/Surgical Supplies 1520058 SUTURE G123H 2-0$ 8.00 Medical/Surgical Supplies 1520046 SUTURE G123H 2-0 CHROMICGUT$ 8.00 Medical/Surgical Supplies 1520076 SUTURE G322H 3-0 27 PLAINGUT$ 8.00 Medical/Surgical Supplies 1520060 SUTURE J205G 3-0$ 8.00 Medical/Surgical Supplies 1520035 SUTURE J206G 2-0$ 8.00 Medical/Surgical Supplies 1501086 SUTURE J218H 4-0 VICRYL$ 8.00 Medical/Surgical Supplies 1520083 SUTURE J219H 3-0 VICRYL$ 8.00 Medical/Surgical Supplies 1520087 SUTURE J258H 3-0 VICRYL$ 8.00 Medical/Surgical Supplies 1500935 SUTURE J270H O-VICRYL$ 8.00 Medical/Surgical Supplies 1500861 SUTURE J284G 4-0 VICRYL$ 8.00 Medical/Surgical Supplies 1520091 SUTURE J317H 2-0 POLYSORB$ 8.00 Medical/Surgical Supplies 1520061 SUTURE J341H VICRYL$ 8.00 Medical/Surgical Supplies 1520094 SUTURE J416H 3-0 VICRYL$ 8.00 Medical/Surgical Supplies 1501082 SUTURE J433H 5-0 VICRYL$ 8.00 Medical/Surgical Supplies 1520001 SUTURE J570G 6-0 VICRYL$ 43.00 Medical/Surgical Supplies 1520013 SUTURE J840D O VICRYL$ 37.00 Medical/Surgical Supplies 1520017 SUTURE K832H 3-0 SILK$ 8.00 Medical/Surgical Supplies 1520039 SUTURE K833H 2-0 30 SILK$ 8.00 Medical/Surgical Supplies 1520101 SUTURE K834H O-SILK$ 8.00 Medical/Surgical Supplies 90005172 SUTURE K882H 3-0 SILK$ 8.00 Medical/Surgical Supplies 1501083 SUTURE K883H$ 8.00 Medical/Surgical Supplies 90004965 SUTURE MAXBRAID 2$ 69.00 Medical/Surgical Supplies 90004966 SUTURE MAXBRAID 2-0$ 50.00 Medical/Surgical Supplies 90005226 SUTURE MAXBRAID 3-0$ 58.00 Medical/Surgical Supplies 1500862 SUTURE MAXBRAID PE$ 69.00 Medical/Surgical Supplies 90005184 SUTURE QUILL RA-1029Q$ 68.00 Medical/Surgical Supplies 90005185 SUTURE QUILL RX-1029Q$ 68.00 Medical/Surgical Supplies 90005186 SUTURE QUILL RX-1062Q$ 74.00 Medical/Surgical Supplies 90005187 SUTURE QUILL RX-1066Q$ 78.00 Medical/Surgical Supplies 90005343 SUTURE QUILL VLM2003$ 30.00 Medical/Surgical Supplies 90005188 SUTURE QUILL YA-1015Q$ 57.00 Medical/Surgical Supplies 90005154 SUTURE QUILL YA-2022Q$ 78.00 Medical/Surgical Supplies 1500943 SUTURE RS22 5MM MERSILENE$ 107.00 Medical/Surgical Supplies 1520073 SUTURE SN1663 5-0 MONOSOF$ 23.00 Medical/Surgical Supplies 90005451 SUTURE ULTRABRAID$ 49.00 Medical/Surgical Supplies 1520000 SUTURE V449G 9-0 VICRYL$ 58.00 Medical/Surgical Supplies 90005166 SUTURE VCP195H$ 8.00 Medical/Surgical Supplies 1520028 SUTURE VCP259H 2-0 VICRYL$ 8.00 Medical/Surgical Supplies 1520066 SUTURE VCP260H 0 VICRYL+AN$ 8.00 Medical/Surgical Supplies 80904903 SUTURE VCP316H$ 11.00 Medical/Surgical Supplies 1520059 SUTURE VCP317H 2-0 27 VICRYL$ 8.00 Medical/Surgical Supplies 90005173 SUTURE VCP333H CTD VICRYL$ 8.00 Medical/Surgical Supplies 1520018 SUTURE VCP338H 3-0 27 VICRYL$ 8.00 Medical/Surgical Supplies 1520030 SUTURE VCP340H 0 27 VICRYL$ 8.00 Medical/Surgical Supplies 1520068 SUTURE VCP423H 3-0 VICRYL$ 11.00 Medical/Surgical Supplies 1520128 SUTURE VCP493H 5-0 18 VICRYL$ 19.00 Medical/Surgical Supplies 1520135 SUTURE VCP494H 4-0 18 VICRYL+A$ 19.00 Medical/Surgical Supplies 1520131 SUTURE VCP496H 4-0 ETHILON$ 19.00 Medical/Surgical Supplies 1520082 SUTURE VCP603H 0 27 VICRYL$ 8.00 Medical/Surgical Supplies 90005167 SUTURE VR416$ 11.00 Medical/Surgical Supplies 90005168 SUTURE VR417 2-0 VICRYL$ 11.00 Medical/Surgical Supplies 1520074 SUTURE X183H 4-0 12-18$ 8.00 Medical/Surgical Supplies 1520075 SUTURE X185H 2-0 12-18$ 20.00 Medical/Surgical Supplies 1501072 SUTURE X412H 0-ETHIBOND$ 8.00 Medical/Surgical Supplies 1520095 SUTURE Y316H 3-0 MONOCRYL$ 21.00 Medical/Surgical Supplies 1520127 SUTURE Y496G 4-0 18 MONOCRYL$ 19.00 Medical/Surgical Supplies 1520062 SUTURE Y605H 2-0 MONO$ 8.00 Medical/Surgical Supplies 1520063 SUTURE Y606H O MONO$ 8.00 Medical/Surgical Supplies 1501070 SUTURE Y814G 4-0 MONOCRYL$ 20.00 Medical/Surgical Supplies 1501069 SUTURE Y845G 4-0 MONO$ 19.00 Medical/Surgical Supplies 1520129 SUTURE Y935H 4-0-27 MONOCRYL$ 19.00 Medical/Surgical Supplies 1560161 SUTURE YELLOW$ 11.00 Medical/Surgical Supplies 1520104 SUTURE Z259H 2-0 PDS II$ 8.00 Medical/Surgical Supplies 1500937 SUTURE Z303H 5-0 PDS$ 8.00 Medical/Surgical Supplies 1520085 SUTURE Z315H 4-0 PDS$ 8.00 Medical/Surgical Supplies 1500936 SUTURE Z334H PDS2$ 8.00 Medical/Surgical Supplies 1520098 SUTURE Z347H 1 PDS II$ 8.00 Medical/Surgical Supplies 1520138 SUTURE Z990G PDS2$ 19.00 Medical/Surgical Supplies 90005251 SWIVELOCK 4.75X19.1$ 1,000.00 Medical/Surgical Supplies 1500359 TAP 311.63$ 924.00 Medical/Surgical Supplies 1500833 TAP CANCEL 311.34$ 182.00 Medical/Surgical Supplies 1501134 TAP CANCELL 311.66$ 366.00 Medical/Surgical Supplies 1500965 TAP CANN 3.5 SCREW 146MM$ 1,270.00 Medical/Surgical Supplies 1500832 TAP CORTEX 311.32$ 318.00 Medical/Surgical Supplies 1500831 TAP CORTEX 311.46$ 333.00 Medical/Surgical Supplies 1500754 TAP CRTX SCR 1.5/50M 311.15$ 299.00 Medical/Surgical Supplies 1500755 TAP CRTX SCR 2.0/54M 311.19$ 194.00 Medical/Surgical Supplies 1500756 TAP CRTX SCR 2.7/100 311.26$ 335.00 Medical/Surgical Supplies 1501135 TAP DHS/DCS 338.17$ 588.00 Medical/Surgical Supplies 1560060 TENT 02 10X10X8$ 20.00 Medical/Surgical Supplies 1560376 TENT O2 24X24X24$ 39.00 Medical/Surgical Supplies 80901751 TIBIA BOLT 1/8 1508-00$ 63.00 Medical/Surgical Supplies 1560506 TRACH 10 CUFFED$ 113.00 Medical/Surgical Supplies 1560505 TRACH 6 CUFFED$ 113.00 Medical/Surgical Supplies 1560503 TRACH 8 CUFFED$ 113.00 Medical/Surgical Supplies 80905286 TRACH DECANN PLUG SZ 6$ 15.00 Medical/Surgical Supplies 80905290 TRACH INNER CANN FEN SZ 6$ 11.00 Medical/Surgical Supplies 90005069 TRACH SHILEY #6 UNFEN$ 116.00 Medical/Surgical Supplies 90005068 TRACH SHILEY #8 UNFEN$ 116.00 Medical/Surgical Supplies 1560100 TUBE FEEDING DOBBHOF$ 30.00 Medical/Surgical Supplies 1500977 TUBE FLEX TIP 8.0$ 88.00 Medical/Surgical Supplies 1509330 TUBE GASTROTOMY$ 74.00 Medical/Surgical Supplies 1501052 TUBE TRACH SHILEY SZ 6$ 126.00 Medical/Surgical Supplies 1560491 VALVE BIOPSY$ 8.00 Medical/Surgical Supplies 90005372 VENT TUBE 1.14MM$ 48.00 Medical/Surgical Supplies 90005485 VENT TUBE GOODE$ 23.00 Medical/Surgical Supplies 90004971 VULCAN ELITE 4.5$ 617.00 Medical/Surgical Supplies 1500676 WASHER 13.0MM 219.99$ 78.00 Medical/Surgical Supplies 1500552 WASHER 7.0MM 219.98$ 67.00 Medical/Surgical Supplies 1503189 WASHER ECT 7MM 2344-07$ 52.00 Medical/Surgical Supplies 1500363 WASHER SPIKED 13.5M 319.95S$ 84.00 Medical/Surgical Supplies 1567002 WHISKER TURBO 4.5MM$ 151.00 Medical/Surgical Supplies 1500848 WIRE GUID 2.5 MM 900.723$ 162.00 Medical/Surgical Supplies 90004960 WIRE KIRSCH 0.035X9' T.P.$ 19.00 Medical/Surgical Supplies 90004961 WIRE KIRSCH 0.045X9 T.P.$ 19.00 Medical/Surgical Supplies 90004962 WIRE KIRSCH 0.063X9 T.P.$ 19.00 Medical/Surgical Supplies 90004901 WIRE KIRSCH 1.6/150MM T.P. 292.71$ 54.00 Medical/Surgical Supplies 90004902 WIRE KIRSCH 2.0/150MM T.P.$ 282.00 Medical/Surgical Supplies 1560144 WIRE KIRSCHR 1860414$ 10.00 Medical/Surgical Supplies 1560172 WIRE KIRSCHR 186-279$ 7.00 Medical/Surgical Supplies 1560148 WIRE KIRSCHR 186-44$ 19.00 Medical/Surgical Supplies 1560140 WIRE KIRSCHR 186-60$ 20.00 Medical/Surgical Supplies 1560154 WIRE KIRSCHR 18674$ 12.00 Medical/Surgical Supplies 1560160 WIRE KIRSCHR 186-76$ 20.00 Medical/Surgical Supplies 1560163 WIRE KIRSCHR 186-90$ 11.00 Medical/Surgical Supplies 1560169 WIRE KIRSCHR 2620-35$ 18.00 Medical/Surgical Supplies 1560157 WIRE KIRSCHR 2620-37$ 18.00 Medical/Surgical Supplies 1567001 WIRE KIRSCHR 2620-39$ 18.00 Medical/Surgical Supplies 1560166 WIRE KIRSCHR 262-13$ 18.00 Medical/Surgical Supplies 1500665 WIRE KRSH TI 2.0/150 492.20$ 150.00 Medical/Surgical Supplies 1500567 WIRE KT PT 1.25/150M 292.12$ 32.00 Medical/Surgical Supplies 1500568 WIRE KT PT 1.6/150M 292.16$ 27.00 Medical/Surgical Supplies 1500569 WIRE KT PT 2.0/150M 292.20$ 29.00 Medical/Surgical Supplies 1500654 WIRE KT15MPT 2.5/150M 292.75$ 33.00 Medical/Surgical Supplies 1560525 WOUND VAC CANNISTER$ 158.00 Medical/Surgical Supplies 1560524 WOUND VAC DRESS KIT MED$ 192.00 Medical/Surgical Supplies 1560532 WOUND VAC DRESS KIT SMALL$ 154.00 Medical/Surgical Supplies 90004958 WOUND VAC GRANUFOAM LARGE$ 232.00 Medical/Surgical Supplies 90004963 WOUND VAC TRAC PAD$ 75.00 Medical/Surgical Supplies 1500137 WOUND VAC VERSAFOAM LARGE$ 61.00 Pharmacy 2374371 ABILIFY 10MG TAB (ARIPIPRAZOLE)$ 75.00 Pharmacy 2370016 ACETADOTE 200MG/ML VL (ACETYLCYSTENE)$ 250.00 Pharmacy 2375186 ACETIC ACID 5% TOPICAL SOLUTION (NSA)$ 8.00 Pharmacy 2375616 ACTHIB (HAEMOPH B/CONJ-TET TOX) VIAL 5CT$ 25.00 Pharmacy 2370021 ACTIDOSE/SORB & CHERRY FLAV 240ML NSA$ 48.00 Pharmacy 2370020 ACTIDOSE-AQUA 50GM 240ML BOTTLE NSA$ 35.00 Pharmacy 2370001 A-D OINTMENT TUBE$ 10.00 Pharmacy 2372276 ADACEL (Tdap) VACCINE, >ADOLESCENT-ADULT$ 84.00 Pharmacy 2370025 ADENOCARD I.V. 6MG/2ML (ADENOSINE)$ 22.00 Pharmacy 2370026 ADENOSCAN 90MG/ NS 30ML(ADENOSINE)-NUC$ 829.00 Pharmacy 2374995 ADVAIR DISKUS 250/50 14 CT$ 305.00 Pharmacy 2370033 ADVAIR DISKUS 500/50 28 COUNT INHALER$ 916.00 Pharmacy 2370035 AFRIN 0.05% SINUS NASAL SPRAY(OXYMETAZO$ 9.00 Pharmacy 2372242 ALBUMIN HUMAN 25% (25GM/100ML) VIAL$ 205.00 Pharmacy 2372234 ALBUTEROL 1.25MG/3ML PEDIATRIC UD+$ 8.00 Pharmacy 2370046 ALBUTEROL 2.5MG/3ML ADULT UD$ 8.00 Pharmacy 2372635 ALBUTEROL UD PREDEFINE (TEST ITEM)$ 8.00 Pharmacy 2371119 ALDACTAZIDE 25/25 TAB(SPIRONOLACT/HCTZ)$ 8.00 Pharmacy 2371120 ALDACTONE 25MG TAB(SPIRONOLACTONE)$ 8.00 Pharmacy 2376038 ALDACTONE 50MG TAB(SPIRONOLACTONE)$ 8.00 Pharmacy 2310164 ALTACE 5MG CAP (RAMIPRIL)$ 8.00 Pharmacy 2370055 AMBIEN 5MG TAB(ZOLPIDEM)$ 8.00 Pharmacy 2372367 AMBULANCE GLUCOSE TEST STRIPS$ 8.00 Pharmacy 2370056 AMIDATE 2MG/ML VL 10ML- RSI DRUG$ 22.00 Pharmacy 2374329 AMINOPHYLLINE 250MG/10ML VIAL$ 26.00 Pharmacy 2370071 AMMONIA INHALANT CRUSHABLE$ 8.00 Pharmacy 2370077 AMOXICILLIN SUSP 250MG/5ML(80ML BOTTLE)$ 8.00 Pharmacy 2310175 AMOXIL 250MG CHEW TAB (AMOXICILLIN)$ 8.00 Pharmacy 2376144 AMOXIL 400MG/5ML ORAL SUSPENSION$ 8.00 Pharmacy 2370081 AMOXIL 500MG CAP(AMOXICILLIN)$ 8.00 Pharmacy 2375480 AMPHADASE 150 UNITS/ML VL(HYALURONIDASE)$ 80.00 Pharmacy 2370084 AMPHADASE 150U/ML VL(WYDASE) EYE SURGERY$ 78.00 Pharmacy 2370086 AMPICILLIN 1GM VIAL$ 22.00 Pharmacy 2375727 ANCEF 1GM ADDVANTAGE VIAL(CEFAZOLIN)$ 22.00 Pharmacy 2370196 ANCEF 1GM VIAL(CEFAZOLIN)$ 22.00 Pharmacy 2370749 ANTIVERT 25MG (MECLIZINE HCL)$ 8.00 Pharmacy 2370942 ANTRILIUM 1MG/ML(PHYSOSTIGMIN) 2ML$ 100.00 Pharmacy 2370994 ANUSOL HC 2.5% CRM RECTAL(HYDROCORTISONE$ 135.00 Pharmacy 2371194 APLISOL 5TU 1ML 10 TEST$ 22.00 Pharmacy 2370568 APRESOLINE 20MG/ML IV VIAL(HydrALAZINE$ 28.00 Pharmacy 2374446 APRESOLINE 25MG TAB(HYDRALAZINE)$ 8.00 Pharmacy 2370570 APRESOLINE 50MG TAB(HYDRALAZINE)$ 8.00 Pharmacy 2310172 ARICEPT 10MG TAB(DONEPEZIL)$ 18.00 Pharmacy 2310159 ARICEPT 5MG TAB(DONEPEZIL)$ 20.00 Pharmacy 2370111 ASPIRIN 325MG TAB$ 8.00 Pharmacy 2370115 ASPIRIN 81MG CHEW TAB$ 8.00 Pharmacy 2372261 ASPIRIN 81MG EC TABLET$ 8.00 Pharmacy 2300079 ASPIRIN CHEW TAB 81MG (ER)X4$ 12.00 Pharmacy 2370110 ASPIRIN EC 325MG TAB$ 8.00 Pharmacy 2370112 ASPIRIN RECTAL SUPP 600MG$ 8.00 Pharmacy 2370118 ASTRAMORPH PF 1MF/ML 10mlAMP(EPIDURAL)$ 29.00 Pharmacy 2370119 ASTRINGYN 8GM/VIAL (FERRIC SUBSULF)$ 35.00 Pharmacy 2300071 ATARAX 10MG TAB(HydrOXYZINE HCL)$ 8.00 Pharmacy 2370581 ATARAX 25MG TAB (HydrOXYZINE)$ 8.00 Pharmacy 2370580 ATARAX LIQ 10MG/5ML(HYDROXYZINE HCL)$ 8.00 Pharmacy 2376075 ATIVAN 10MG/ NS 50ML IV DRIP (0.5MG/ML)$ 75.00 Pharmacy 2310503 ATIVAN 1MG TAB(LORAZEPAM)$ 8.00 Pharmacy 2370716 ATIVAN 2MG/ML INJ (LORAZEPAM)--frigerate$ 22.00 Pharmacy 2375564 ATROPINE 0.4MG/ML 1ML VIAL$ 22.00 Pharmacy 2370123 ATROPINE 0.4MG/ML INJ 20ML MDV$ 72.00 Pharmacy 2370122 ATROPINE SYRINGE 0.1MG/ML (10ML)$ 22.00 Pharmacy 2370624 ATROVENT 0.5MG /2.5ML UD (IPRATROPIUM)+$ 10.00 Pharmacy 2370126 ATROVENT HFA MDI INHALER(IPRATRPIUM)$ 741.00 Pharmacy 2370129 AUGMENTIN 250MG/5ML ORAL SUSP(AMOX/CLAU$ 140.00 Pharmacy 2375952 AUGMENTIN 400MG/57MG/5ML ORAL SUSP 50ML$ 15.00 Pharmacy 2370073 AUGMENTIN 875MG TAB(AMOX/CLAVUL)$ 8.00 Pharmacy 2372504 AVELOX 400MG/ NS 250ML IV(MOXIFLOXACIN)$ 121.00 Pharmacy 2373692 AZACTAM 1GM VIAL (AZTREONAM)$ 64.00 Pharmacy 2373068 AZACTAM 2GM VL (AZTREONAM)$ 150.00 Pharmacy 2310161 AZULFIDINE 500MG TAB (SULFASALAZINE)$ 8.00 Pharmacy 2372608 BACITRACIN ANTIBIOTIC OINTMENT UD$ 8.00 Pharmacy 2310197 BACITRACIN VIAL 50,000 UNITS$ 22.00 Pharmacy 2310112 BACTERIOSTATIC SOD CHL 0.9% 20ML$ 22.00 Pharmacy 2371130 BACTRIM DS 800MG/160MG TAB(Sulfa/TRIMETH$ 8.00 Pharmacy 2371133 BACTRIM ORAL SUSP 200MG/40MG/5ML$ 8.00 Pharmacy 2370822 BACTROBAN 2% OINT(MUPIROCIN)$ 16.00 Pharmacy 2370147 BAL IN OIL 100MG/ML AMP INJ$ 201.00 Pharmacy 2372645 B-COMPLEX W/ VITAMIN C$ 10.00 Pharmacy 2370367 BENADRYL 12.5MG/5ML UD SYRUP(DIPHENHYDRA$ 8.00 Pharmacy 2370152 BENADRYL 2% SPRAY (DiphenhydrAMINE)$ 10.00 Pharmacy 2370372 BENADRYL 25MG CAPSULE (DIPHENhydrAMINE)$ 8.00 Pharmacy 2370369 BENADRYL 50MG/1ML VL(DIPHENHYDRAMINE)$ 22.00 Pharmacy 2370350 BENTYL 20MG TAB(DICYCLOMINE)$ 8.00 Pharmacy 2370153 BENTYL 20MG/2ML INJ (DICYCLOMINE)$ 158.00 Pharmacy 2310181 BETAPACE 80MG TAB(SOTALOL)$ 8.00 Pharmacy 2370159 BETOPTIC S 0.25% OPTH(BETAXOLOL) NSA$ 672.00 Pharmacy 2375709 BEXSERO VACCINE(MENINGOCOCCAL B)$ 333.00 Pharmacy 2370161 BICILLIN C-R 1.2MMU/2ML(PEN G BENZ/PROCA$ 180.00 Pharmacy 2372474 BICILLIN LA 1,200,000 UNITS /2ML IM(BENZ$ 340.00 Pharmacy 2372450 BICILLIN LA 600,000 UNITS/ 1ML(IM)$ 149.00 Pharmacy 2310200 BICITRA 15ML ORAL(SOD CITRATE/CITRIC$ 8.00 Pharmacy 2371132 BLEPH-10 OPTH DROPS(SULFACETAMIDE) EYE$ 87.00 Pharmacy 2372612 BOOSTRIX (Tdap) VL TETANUS, DIPTH,PERTUS$ 97.00 Pharmacy 2371155 BRETHINE 1MG/ML INJ VIAL(TERBUTALINE)$ 22.00 Pharmacy 2370429 BREVIBLOC 10MG/ML IV(ESMOLOL HCL )-ANEST$ 22.00 Pharmacy 2375608 BREVIBLOC 2500MG/250ML (10MG/ML) ESMOLOL$ 710.00 Pharmacy 2375018 BRIDION 200MG/2ML (SUGAMMADEX) INJ ANEST$ 240.00 Pharmacy 2370168 BSS OPTH SOLN 15ML (eye) NSA$ 15.00 Pharmacy 2375524 BUD BEER$ 8.00 Pharmacy 2370170 BUMEX 0.25MG/ML 10ML VL(BUMETANIDE)$ 22.00 Pharmacy 2370171 BUMEX 1MG TAB(BUMETANIDE)$ 8.00 Pharmacy 2375530 BUMEX 1MG/4ML SDV (BUMETANIDE) IV$ 22.00 Pharmacy 2300064 BUMEX 2MG TAB (BUMETANIDE)$ 8.00 Pharmacy 2375833 BUPIVACAINE 0.75% INJ 10ML$ 22.00 Pharmacy 2370172 BUSPAR 10MG TAB(BUSPIRONE)$ 8.00 Pharmacy 2373198 BUSPAR 15MG TAB (BUSPIRONE)$ 8.00 Pharmacy 2372384 CAFFEINE CITRATE 20MG/ML INJ 3ML VIAL$ 74.00 Pharmacy 2370917 CALCIUM 500MG TAB$ 8.00 Pharmacy 2370177 CALCIUM CHLORIDE INJ 10% 10ML SYRINGE$ 23.00 Pharmacy 2370179 CALCIUM GLUCONATE VL 10% =1GRAM/ 10ML$ 22.00 Pharmacy 2372170 CALMOSEPTINE OINTMENT$ 10.00 Pharmacy 2300039 CALTRATE + D (CALC. 600MG/VIT D3 )$ 8.00 Pharmacy 2310078 CARAFATE 1 GM TAB (SUCRALFATE)$ 8.00 Pharmacy 2374592 CARAFATE SUSP 1GM/10ML UD (SUCRALFATE)$ 23.00 Pharmacy 2370186 CARBOCAINE 1.5% INJ 15MG/ML 30ML$ 22.00 Pharmacy 2373049 CARDENE 25MG/10ML IV(NICARDIPINE) STROKE$ 51.00 Pharmacy 2370362 CARDIZEM 50MG/10ML VIALS (DILTIAZEM)$ 22.00 Pharmacy 2372472 CARDIZEM BOLUS VIAL 25MG/5ML(DILTIAZEM)$ 22.00 Pharmacy 2374513 CARDIZEM BOLUS VL 50MG/10ML(DILTIAZEM)$ 22.00 Pharmacy 2310066 CARDIZEM CD 120MG CAP(DILTIAZEM)$ 8.00 Pharmacy 2310067 CARDIZEM CD 180MG CAP(DILTIAZEM)$ 8.00 Pharmacy 2310068 CARDIZEM CD 240MG CAP(DILTIAZEM)$ 8.00 Pharmacy 2372592 CARDIZEM IV 125MG/25ML(DILTIAZEM)$ 22.00 Pharmacy 2310079 CARDIZEM TAB 30MG(DILTIAZEM)$ 8.00 Pharmacy 2374008 CARDURA 4MG TAB(DOXAZOSIN)$ 8.00 Pharmacy 2370253 CATAPRESS 0.1MG TAB(CLONIDINE)$ 8.00 Pharmacy 2373661 CEFTIN 500MG TAB (CEFUROXIME)$ 10.00 Pharmacy 2310010 CELEBREX 200MG CAP(CELECOXIB)$ 18.00 Pharmacy 2310030 CELEXA 20MG TAB(CITALOPRAM)$ 8.00 Pharmacy 2370215 CEPACOL LOZ 16 ES$ 8.00 Pharmacy 2372985 CEPACOL NO SUGAR LOZENGES$ 8.00 Pharmacy 2370220 CEPHALEXIN 250MG/5ML (KEFLEX)$ 63.00 Pharmacy 2370224 CETACAINE 14-2-2% SPRAY(BENZO/BUTAM NSA$ 145.00 Pharmacy 2370239 CIPRO 250MG TAB(CIPROFLOXACIN HCL)$ 8.00 Pharmacy 2370240 CIPRO 500MG TAB(CIPROFLOXACIN HCL)$ 8.00 Pharmacy 2375622 CIPROFLOXACIN 0.3% OPTH$ 20.00 Pharmacy 2375179 CIPROFLOXACIN OTIC SOLUTION 0.2%$ 19.00 Pharmacy 2370707 CLARITIN 10MG TAB(LORATADINE)$ 8.00 Pharmacy 2370246 CLEOCIN 150MG CAP(CLINDAMYCIN HCL)$ 8.00 Pharmacy 2300038 CLEOCIN 300MG CAP(CLINDAMYCIN)$ 8.00 Pharmacy 2372297 CLEOCIN 300MG/ D5W 50ML IV PREMIX$ 22.00 Pharmacy 2372563 CLEOCIN 300MG/2ML VL (CLINDAMYCIN)$ 22.00 Pharmacy 2310028 CLEOCIN 600MG /D5W 50ML IV PREMIX$ 44.00 Pharmacy 2300037 COGENTIN 1MG TAB (BENZTROPINE)$ 8.00 Pharmacy 2370378 COLACE 100MG CAP (DOCUSATE SOD)$ 8.00 Pharmacy 2372547 COLCRYS 0.6MG TAB(COLCHICINE)$ 16.00 Pharmacy 2375579 COLOCORT 100MG/60ML RECTAL SUSP$ 24.00 Pharmacy 2372614 COMBIVENT RESPIMAT 100/20MCG INHALATION$ 600.00 Pharmacy 2300017 COMPAZINE 10MG TAB(PROCHLORPERAZ MAL)$ 8.00 Pharmacy 2370989 COMPAZINE 10MG/2ML IV (PROCHLORPERAZIN$ 29.00 Pharmacy 2372512 CORDARONE (450mg/9ml) VIAL FOR DRIP$ 22.00 Pharmacy 2372241 CORDARONE 150MG/100ML PREMIX (NEXTERONE)$ 81.00 Pharmacy 2372240 CORDARONE 150MG/3ML INJ VL (AMIODARONE)$ 22.00 Pharmacy 2370708 CORDARONE 200MG TAB(AMIODARONE)$ 8.00 Pharmacy 2372238 CORDARONE 360MG/200ML PREMIX(NEXTERONE)$ 107.00 Pharmacy 2370265 COREG 25MG TAB(CARVEDILOL)$ 8.00 Pharmacy 2300041 COREG 6.25MG TAB(CARVEDILOL)$ 8.00 Pharmacy 2370269 CORTISPORIN 1% OTIC SOLN EAR (CORTOMYCI)$ 190.00 Pharmacy 2370268 CORTISPORIN EYE SUSP(NEO/POLY/HC) NSA$ 234.00 Pharmacy 2310021 COUMADIN 1MG TAB(WARFARIN)$ 8.00 Pharmacy 2370271 COUMADIN 2.5MG TAB(WARFARIN)$ 8.00 Pharmacy 2370272 COUMADIN 2MG TAB(WARFARIN)$ 8.00 Pharmacy 2370274 COUMADIN 5MG TAB(WARFARIN)$ 8.00 Pharmacy 2310022 COZAAR 25MG TAB(LOSARTAN POTASSIUM)$ 8.00 Pharmacy 2310507 COZAAR 50MG TAB (LOSARTAN)$ 8.00 Pharmacy 2372565 CRESTOR 20MG TAB (ROSUVASTIN)$ 14.00 Pharmacy 2375793 C-TOPICAL 4%(COCAINE TOPICAL SOLN)$ 412.00 Pharmacy 2372433 CUBICIN 500MG VIAL(DAPTOMYCIN) INJ$ 1,052.00 Pharmacy 2375155 CYANIDE ANTIDOTE KIT( NITHIODOTE) NSA$ 400.00 Pharmacy 2370284 CYCLOGYL OPTH 1%(CYCLOPENTOLATE 1%) NSA$ 48.00 Pharmacy 2370286 CYMBALTA 20MG CAP(DULOXETINE)-NF$ 8.00 Pharmacy 2300048 CYMBALTA 30MG CAP(DULOXETINE)$ 9.00 Pharmacy 2300047 CYMBALTA 60MG CAP(DULOXETINE)$ 10.00 Pharmacy 2370334 D25% PEDIATRIC SYRINGE$ 22.00 Pharmacy 2310121 D5 0.3% NS 1000ML$ 22.00 Pharmacy 2372324 D5 0.9NS & 20MEQ KCL 1000ML$ 22.00 Pharmacy 2370327 D5 1/2 NS 1000ML$ 22.00 Pharmacy 2370318 D5 1/2NS & KCL 40MEQ 1000ML$ 22.00 Pharmacy 2370330 D5 1/4 NS 1000ML$ 22.00 Pharmacy 2375717 D5 1/4 NS 250ML IV BAG$ 22.00 Pharmacy 2370337 D5 250ML IV$ 22.00 Pharmacy 2370338 D5 500ML IV$ 22.00 Pharmacy 2310119 D5 LR 1000ML IV$ 22.00 Pharmacy 2370328 D5 NS 0.9 1000ML IV$ 22.00 Pharmacy 2370336 D5W 1000ML IV$ 22.00 Pharmacy 2372137 D5W 100ML$ 22.00 Pharmacy 2375560 D5W 150ML IV$ 22.00 Pharmacy 2370342 D5W 50ML IV$ 22.00 Pharmacy 2372378 DANTRIUM (DANTROLENE) 20MG INJ$ 165.00 Pharmacy 2370288 DAPTACEL VIAL 0.5ML$ 54.00 Pharmacy 2372414 DDAVP 4MCG/ML INJ(DESMOPRESSIN)-ER FRIG$ 105.00 Pharmacy 2370397 DEBROX 6.5% OTIC SUSP(CARBAMIDE PEROX)$ 11.00 Pharmacy 2370323 DECADRON 4MG/ML 1ML VIAL(DEXAMETH SOD)$ 22.00 Pharmacy 2370321 DECADRON 4MG/ML 5ML VL(DEXAMETH SOD PHO$ 22.00 Pharmacy 2372595 DEFINITY INJ (KEEP REFRIGERATED)$ 232.00 Pharmacy 2371173 DEMADEX 20MG TAB(TORSEMIDE)$ 8.00 Pharmacy 2371201 DEPAKENE 250MG/5ML SYRUP (VALPROIC ACID)$ 8.00 Pharmacy 2310024 DEPAKOTE EC 250MG TAB(DIVALPROEX)$ 8.00 Pharmacy 2370301 DEPAKOTE 'ec=DR' 500MG TAB(DIVALPROEX ec$ 8.00 Pharmacy 2310025 DEPAKOTE ER 250MG TAB(DIVALPROEX ER$ 8.00 Pharmacy 2370302 DEPAKOTE 'er=XR' 500MG TAB(DIVALPROEX)$ 8.00 Pharmacy 2370304 DEPO-MEDROL 40MG/ML VIAL 1ML$ 22.00 Pharmacy 2370307 DEPO-MEDROL 80MG/ML VIAL INJ$ 30.00 Pharmacy 2370292 DESFERAL 500MG INJ (DEFEROXAMINE MESYLA$ 22.00 Pharmacy 2370315 DESITIN DIAPER RASH CREAM$ 10.00 Pharmacy 2371180 DESYREL 50MG TAB(TRAZODONE)$ 8.00 Pharmacy 2376175 DEXTROSE 10% 1000ML IV BAG$ 22.00 Pharmacy 2374962 DEXTROSE 10% IV 500ML$ 22.00 Pharmacy 2370326 DEXTROSE 50%(25GM/50ML) 50ML$ 22.00 Pharmacy 2373298 DIASTAT RECTAL GEL 20MG (DIAZEPAM)$ 850.00 Pharmacy 2372278 DIFLUCAN 150MG TAB (FLUCONAZOLE)$ 8.00 Pharmacy 2370482 DIFLUCAN 200MG TAB(FLUCONAZOLE)$ 8.00 Pharmacy 2370360 DILANTIN 100MG CAP(PHENYTOIN)$ 8.00 Pharmacy 2372166 DILAUDID 0.2MG/ML PCA 30ML(HYDROMORPH)$ 65.00 Pharmacy 2375597 DILAUDID 0.5MG/0.5ML SYRINGE$ 22.00 Pharmacy 2372569 DILAUDID 1MG/ ML INJ (HYDROmorphone)$ 22.00 Pharmacy 2370366 DIOVAN 160MG TAB[VALSARTAN]$ 10.00 Pharmacy 2310069 DIOVAN 80MG TAB(VALSARTAN)$ 11.00 Pharmacy 2372210 DIPRIVAN [PROPOFOL] 10MG/ML 20ML- EDTA$ 22.00 Pharmacy 2375523 DIPRIVAN IV EMULSION 100MG/10ML$ 22.00 Pharmacy 2370915 DITROPAN 5MG TAB(OXYBUTYNIN)$ 8.00 Pharmacy 2372615 DOBUTAMine 250MG/NS 250ML PRED*STR LAB$ 22.00 Pharmacy 2372604 DOBUTAMINE 500MG/ 250ML D5W (2000MCG/ml)$ 66.00 Pharmacy 2370095 DONNATOL 32.4MG/10ML SYRUP UD(BELDNA/PB)$ 48.00 Pharmacy 2372922 DOPAMINE 800MG/500ML D5W PREMIX BAG$ 22.00 Pharmacy 2374547 DOXYLAMINE 25MG TABLET -ER STOCK$ 8.00 Pharmacy 2370365 DRAMAMINE 50MG TAB(DimenhyDRINATE)$ 8.00 Pharmacy 2370163 DULCOLAX 10MG SUPP(BISACODYL EVAC)$ 8.00 Pharmacy 2370165 DULCOLAX 5MG TAB(BISACODYL)$ 8.00 Pharmacy 2375539 DUONEB UD 3ML VIAL$ 8.00 Pharmacy 2375705 DURACLON COCKTAIL DRIP-DR.DOMINGO$ 250.00 Pharmacy 2375700 DURACLON EPIDURAL SOLUTION 0.1MG/1ML$ 52.00 Pharmacy 2370441 DURAGESIC 50MCG/HR PATCH(FENTANYL)$ 8.00 Pharmacy 2375893 DURICEF 500MG CAP(CEFADROXIL)$ 8.00 Pharmacy 2310092 DYAZIDE 37.5/25 CAP(TRIAMTERINE HCTZ)$ 8.00 Pharmacy 2310526 EDTA - ETHYLENE DIAMINE TETRA (EDETATE)$ 241.00 Pharmacy 2372272 EFFEXOR 37.5MG TAB(VENLAFAXINE)$ 8.00 Pharmacy 2300021 EFFEXOR XR 150MG CAP (VENLAFAXINE ER)$ 14.00 Pharmacy 2300022 EFFEXOR XR 37.5MG CAP(VENLAFAXINE ER)$ 13.00 Pharmacy 2371272 EFFEXOR XR 75MG CAP(VENLAFAXINE ER)$ 11.00 Pharmacy 2300024 ELAVIL 25MG TAB(AMITRIPTYLINE)$ 8.00 Pharmacy 2370931 ELIMITE 5% CREAM(PERMETHRIN)$ 147.00 Pharmacy 2373717 ELIQUIS 2.5MG TAB (APIXABAN)$ 14.00 Pharmacy 2375999 ELIQUIS 5MG TAB(APIXABAN)$ 13.00 Pharmacy 2370805 ELOCON 0.1% 15GM(MOMETASONE FUR)$ 14.00 Pharmacy 2370678 EMLA CREAM 2.5-2.5% GM(LIDOC/PRILOC)$ 17.00 Pharmacy 2300023 ENABLEX 7.5MG TAB(DARIFENACIN)-NF$ 8.00 Pharmacy 2372377 ENGERIX-B 10MCG/0.5ML PEDIATRIC$ 38.00 Pharmacy 2371028 ENGERIX-B ADULT 20MCG/ML (HEPATITIS B)$ 113.00 Pharmacy 2370413 EPHEDRINE SULF 50MG/ML$ 132.00 Pharmacy 2375459 EPI 1MG / NS 1000ML 0.9% IV PREDEFINE$ 22.00 Pharmacy 2370420 EPINEPHRINE 1MG/ML MDV (MUST DILUTE)$ 482.00 Pharmacy 2370418 EPINEPHRINE INJ 1MG/ML 1:1000$ 38.00 Pharmacy 2370415 EPINEPHRINE SYRINGE 1:10,000 1MG/10ML$ 22.00 Pharmacy 2370028 EPINEPHRINE TOPICAL SOL 1:1000$ 233.00 Pharmacy 2373213 EPIPEN 0.3MG/0.3ML ADULT (AMBULANCE)$ 354.00 Pharmacy 2373212 EPIPEN JR. 0.15MG/0.3ML KIT (AMBULANCE)$ 354.00 Pharmacy 2300026 ESKALITH 300MG CAPSULE(LITHIUM CARBONA)$ 8.00 Pharmacy 2374253 ESTRACE 0.5MG TAB (ESTRADIOL)$ 8.00 Pharmacy 2370312 EUCERIN CREAM TUBE (EMOLLIENT)$ 11.00 Pharmacy 2372177 EUFLEXXA KNEE INJECTION 1% SYRINGE$ 803.00 Pharmacy 2372647 EXPAREL 1.3% 266MG/ML (FOR OR)-IN FRIG$ 800.00 Pharmacy 2370437 EYE-WASH IRRIGATION SOLN$ 8.00 Pharmacy 2376150 FENTANYL 25MCG/1ML PREFILLED SYRINGE$ 22.00 Pharmacy 2310192 FENTANYL 50 MCG/ML 2ML$ 22.00 Pharmacy 2370445 FENTANYL 50MCG/ML 5ML AMP(SUBLIMAZE$ 22.00 Pharmacy 2370459 FERROUS SULFATE 325MG TAB$ 8.00 Pharmacy 2372308 FISH OIL 1000MG SOFTGELS$ 8.00 Pharmacy 2370788 FLAGYL 250MG TAB(METRONIDAZOLE)-NF$ 8.00 Pharmacy 2372299 FLAGYL 500MG TAB (METRONIDAZOLE)$ 8.00 Pharmacy 2370783 FLAGYL IV 500MG/100ML PREMIXED$ 22.00 Pharmacy 2370461 FLEET ADULT 133ML(SALINE ENEMA)$ 8.00 Pharmacy 2370465 FLEET MINERAL OIL RECTAL ENEMA 133ML$ 8.00 Pharmacy 2370462 FLEET PEDIATRIC ENEMA 66ML$ 8.00 Pharmacy 2370283 FLEXERIL 10MG TAB(CYCLOBENZAPRINE)$ 8.00 Pharmacy 2370470 FLOMAX 0.4MG CAP (TAMSULOSIN)$ 8.00 Pharmacy 2370490 FLONASE NASAL SPRAY(FLUTICASONE)$ 23.00 Pharmacy 2372409 FLORAJEN THREE (PROBIOTIC) CAPSULES$ 8.00 Pharmacy 2300033 FLORINEF 0.1MG TAB(FLUDORCORTSONE)$ 8.00 Pharmacy 2372768 FLOSEAL HEMOSTATIC MATRIX W/ ADAPTR NSA$ 486.00 Pharmacy 2375182 FLOXIN OTIC SOLN 0.3% (OFLOXACIN-EAR)5ML$ 312.00 Pharmacy 2376121 FLU VACCINE 2019-2020 QUAD (HOSP)$ 44.00 Pharmacy 2376123 FLUCELVAX QUAD 2019/20 4YRS &OLDER SYR$ 44.00 Pharmacy 2376122 FLUCELVAX QUAD 2019/2020 MDV 4YRS &OLDER$ 41.00 Pharmacy 2376169 FLULAVAL QUAD >6MO SYRINGE(CLINIC ONLY)$ 42.00 Pharmacy 2370485 FLUMAZENIL 0.1MG/ML 5ML VIAL$ 22.00 Pharmacy 2376157 FLUZONE QUAD >6mo MDV 2019-20 CLINIC ONL$ 42.00 Pharmacy 2376143 FLUZONE QUAD >6MO SYRINGE 2019-20(CLINIC$ 45.00 Pharmacy 2376128 FLUZONE QUAD >6MO VACCINE (CLINIC) SDV$ 42.00 Pharmacy 2370491 FOLIC ACID 1MG TAB$ 8.00 Pharmacy 2370493 FOLIC ACID INJ 5MG/ML [10ML VIAL]$ 50.00 Pharmacy 2375522 FOSPHENYTOIN VL 500MG PE IN 10ML$ 62.00 Pharmacy 2310500 GARAMYCIN 0.3%OPTH SOL 5ML(GENTAMICIN)$ 13.00 Pharmacy 2370511 GARDASIL 0.5ML(QH PAPILLOMAVIRUS)$ 512.00 Pharmacy 2375324 GARDASIL 9 (HUMAN PAPIL 9-VAL VACCINE)$ 470.00 Pharmacy 2373837 GARDASIL 9 VACCINE$ 444.00 Pharmacy 2375570 GENTAMICIN 100MG/ NS 100ML IV PREMIX$ 22.00 Pharmacy 2376111 GENTAMICIN 80MG/ 50ML PREMIX$ 22.00 Pharmacy 2370529 GENTAMICIN 80MG/2ML ADULT VIAL INJ$ 22.00 Pharmacy 2372374 GENTAMYCIN OPTH OINT (GENTAK) EYE$ 22.00 Pharmacy 2373120 GENTIAN VIOLET 1% TOPICAL SOLN$ 15.00 Pharmacy 2372600 GEODON 20MG/ML(ZIPRASIDONE) IM$ 106.00 Pharmacy 2372452 GI COCKTAIL(DONA10ML-LIDVIS10ML-MALX3OM$ 24.00 Pharmacy 2372413 GLUCAGON 1MG INJ VIAL(GREEN-WHITE BX)NSA$ 250.00 Pharmacy 2373513 GLUCERNA TUBE FEEDING$ 15.00 Pharmacy 2300060 GLUCOPHAGE 1000MG TAB(METFORMIN HCL)$ 8.00 Pharmacy 2370759 GLUCOPHAGE 500MG TAB(METFORMIN HCL)$ 8.00 Pharmacy 2370534 GLUCOTROL 5MG TAB(GLIPIZIDE)$ 8.00 Pharmacy 2370540 GLUTOSE 40% ORAL GEL (TUBE)$ 8.00 Pharmacy 2310403 GLYCERIN ADULT SUPP$ 8.00 Pharmacy 2371047 GLYCERIN PED SUPP$ 8.00 Pharmacy 2310204 GUAIFENESIN 400MG TABLETS$ 8.00 Pharmacy 2300066 HALDOL 2MG TAB (HALOPERIDOL)$ 8.00 Pharmacy 2370551 HALDOL INJ 5MG/ML(HALOPERIDOL) IM ONLY$ 44.00 Pharmacy 2300094 HALLS COUGH DROPS$ 8.00 Pharmacy 2300092 HALLS SUGAR FREE COUGH DROPS$ 8.00 Pharmacy 2371208 HAVRIX (HEP A VAC)PEDS. 25U/0.5ML VAQTA$ 140.00 Pharmacy 2370553 HAVRIX VL ADULT USE (VAQTA ADULT)$ 160.00 Pharmacy 2310393 HEALON 10MG/ML CANNULA(HYALURONATE)$ 127.00 Pharmacy 2370564 HEPARIN 25,000 UNIT/250ML D5W PREMIX$ 24.00 Pharmacy 2375390 HEPARIN 5,000 UNITS/ML IV PUSH$ 22.00 Pharmacy 2370563 HEPARIN 5,000 UNITS/ML SUBCUTANEOUS$ 22.00 Pharmacy 2310395 HEPATITIS B IMMUN GLOB (NABI-HB)INJ 1 ML$ 372.00 Pharmacy 2370565 HETA STARCH/NS 6-0.9% 500ML$ 36.00 Pharmacy 2370566 HIBICLENS 4% SOLN$ 11.00 Pharmacy 2372386 HIBICLENS 4% SOLN 15ML PACKET$ 8.00 Pharmacy 2374486 HUMALOG ED INSULIN STOCK 3ML$ 1.00 Pharmacy 2370604 HUMALOG INSULIN 100 UNITS/ML(LISPRO) 3ML$ 34.00 Pharmacy 2370611 HUMULIN N INSULIN 100 UNITS/ML 3ML$ 104.00 Pharmacy 2375583 HUMULIN R DRIP ED 100UNIT/ NS 100MLIV$ 100.00 Pharmacy 2374488 HUMULIN R ED STOCK 3ML INSULIN$ 1.00 Pharmacy 2370612 HUMULIN R INSULIN 100 UNITS/ ML 3ML$ 34.00 Pharmacy 2372517 HYALGAN 10MG/ML SYRINGE 2ML$ 331.00 Pharmacy 2370571 HYDRODIURIL TAB 25MG (HCTZ)$ 8.00 Pharmacy 2375834 HYPERRAB INJ SOLN 300IU/1ML$ 9,800.00 Pharmacy 2370149 HYPERTET SYRINGE(IMMUNE GLOBULIN)$ 1,326.00 Pharmacy 2370575 HYTONE 1% 30GM CRM (HYDROCORTISONE)$ 10.00 Pharmacy 2370578 HYTONE 2.5% CRM(HYDROCORTISONE)$ 10.00 Pharmacy 2310051 HYTRIN 1MG CAP(TERAZOSIN)$ 8.00 Pharmacy 2310049 HYTRIN 2MG CAP(TERAZOSIN)$ 8.00 Pharmacy 2310050 HYTRIN 5MG CAP(TERAZOSIN)$ 8.00 Pharmacy 2370428 ILOTYCIN OPTH OINT( ERYTHROMYCIN)$ 34.00 Pharmacy 2370627 IMDUR 30MG TAB (ISOSORBIDE monoNITRATE)$ 8.00 Pharmacy 2370628 IMDUR 60MG TAB(ISOSORBIDE monoNITRATE)$ 8.00 Pharmacy 2370593 IMITREX INJ 6MG/0.5ML$ 29.00 Pharmacy 2370706 IMODIUM 2MG (LOPERAMIDE HCL)$ 8.00 Pharmacy 2370599 INDERAL 1MG/ML AMP(PROPRANOLOL HCL)$ 22.00 Pharmacy 2310311 INDERAL 20MG TAB (PROPRANOLOL)$ 8.00 Pharmacy 2310312 INDERAL LA 60MG CAP(PROPRANOLOL)$ 8.00 Pharmacy 2310308 INDOCIN 25MG CAP(INDOMETHACIN)$ 8.00 Pharmacy 2372275 INFANRIX (DTAP) INJ, UP TO 7 YRS$ 53.00 Pharmacy 2370602 INFED INJ 50MG/ML$ 65.00 Pharmacy 2310398 INFLUENZA ADULT VACC 0.5ML (FLUZONE)$ 39.00 Pharmacy 2310397 INFLUENZA PEDIATRIC VACCINE$ 51.00 Pharmacy 2372174 INSULIN REG DRIP(100UNIT R INS/100ML NS)$ 100.00 Pharmacy 2370619 INTRALIPID 20% IV 100 ML-RR CC & ANESTHE$ 67.00 Pharmacy 2374655 INVANZ 1GM VL (ERTAPENEM)$ 277.00 Pharmacy 2370622 IPOL 5ML 10DOSE (OFFICE USE)$ 69.00 Pharmacy 2372323 ISORDIL 20MG TAB (ISOSORB diNITRATE)$ 8.00 Pharmacy 2374773 IV SAMPLE PRICING UPDATE$ 22.00 Pharmacy 2372397 JANUVIA 100MG TAB(SITAGLIPTIN PHOSPHATE)$ 18.00 Pharmacy 2372514 KALETRA 200/50 MG TAB (PEP)$ 17.00 Pharmacy 2375958 KAYEXALATE 15GM/60ML(PWD TO DISSOLVE)$ 29.00 Pharmacy 2370651 K-DUR 20MEQ TAB (POTASSIUM)$ 8.00 Pharmacy 2370222 KEFLEX 500MG CAP(CEPHALEXIN)$ 8.00 Pharmacy 2371181 KENALOG 0.025% CREAM(TRIAMCIN ACETON)$ 14.00 Pharmacy 2310298 KENALOG 0.1% CREAM(TRIAMCIN ACETON)$ 14.00 Pharmacy 2370637 KENALOG INJ 40MG/ML 1ML$ 22.00 Pharmacy 2310306 KEPPRA 500MG TAB(LEVETIRACETAM)$ 8.00 Pharmacy 2374576 KEPPRA 500MG/5ML IV (LEVETIRACETAM)$ 22.00 Pharmacy 2372631 KETAMINE 500MG/5ML VIAL (100MG/ML)$ 22.00 Pharmacy 2374899 KETAMINE 50MG/0.5ML (0.5ml in 6ml syr.)$ 22.00 Pharmacy 2375224 KETOROLAC OPTH 0.5% SOLN (EYE) NSA$ 30.00 Pharmacy 2370650 KINEVAC 5MCG INJ 10VL$ 212.00 Pharmacy 2372277 KINRIX (DTAP-IPV/HIB(DIPH/TET/PERT/POL)$ 102.00 Pharmacy 2375568 KLONOPIN 1MG TAB (CLONAZEPAM)$ 8.00 Pharmacy 2372380 KLOR CON 10MEQ TAB(POTASSIUM)$ 8.00 Pharmacy 2370633 K-PHOS ORIGINAL 500MG TAB$ 8.00 Pharmacy 2370655 LACTATED RINGERS 1000ML$ 22.00 Pharmacy 2375548 LACTULOSE SOLN 10GM/15ML UD$ 8.00 Pharmacy 2310281 LAMICTAL 100MG TAB(LAMOTRIGINE)$ 8.00 Pharmacy 2372164 LAMICTAL 25MG TAB (LAMOTRIGINE)$ 11.00 Pharmacy 2370356 LANOXIN 0.125MG TAB(DIGOXIN)$ 8.00 Pharmacy 2370660 LANOXIN 0.25MG TAB(DIGOXIN)$ 8.00 Pharmacy 2370662 LANOXIN 0.5MG/2ML AMP(DIGOXIN)$ 22.00 Pharmacy 2370609 LANTUS INSULIN 100 UNIT/ML VIAL(GLARGINE$ 590.00 Pharmacy 2370505 LASIX 20MG TAB(FUROSEMIDE)$ 8.00 Pharmacy 2370500 LASIX 20MG/2ML VL (FUROSEMIDE)$ 22.00 Pharmacy 2370507 LASIX 40MG TAB(FUROSEMIDE)$ 8.00 Pharmacy 2370504 LASIX 40MG/4ML VIAL (FUROSEMIDE)$ 22.00 Pharmacy 2310283 LEVAQUIN 250MG TAB(LEVOFLOXACIN)$ 28.00 Pharmacy 2370667 LEVAQUIN 500MG TAB(LEVOFLOXACIN)$ 8.00 Pharmacy 2380001 LEVAQUIN IV 250MG/D5W 50ML$ 27.00 Pharmacy 2370669 LEVAQUIN IV 500MG/D5W 100ML$ 22.00 Pharmacy 2372389 LEVAQUIN IV 750MG/D5W 150ML$ 22.00 Pharmacy 2370670 LEVOPHED BITART 1MG/ML 4 ML VIAL IV$ 43.00 Pharmacy 2310038 LEXAPRO 10MG TAB(ESCITALOPRAM)$ 9.00 Pharmacy 2310039 LEXAPRO 20MG TAB(ESCITALOPRAM)$ 10.00 Pharmacy 2372572 LEXISCAN 0.08MG/ML PF INJ= 0.4MG/5ML$ 519.00 Pharmacy 2374293 LIBRIUM 25MG CAP (CHLORDIAZEPOXIDE)$ 8.00 Pharmacy 2375532 LIBRIUM 5MG CAP(CHLORDIAZEPOXIDE)$ 8.00 Pharmacy 2372523 LIDOCAINE 1% VIAL 20ML$ 22.00 Pharmacy 2370685 LIDOCAINE 2% VIAL 20ML$ 22.00 Pharmacy 2375250 LIDOCAINE 1% 2ML VIAL-PRESERVATIVE FREE$ 22.00 Pharmacy 2376124 LIDOCAINE 1% 30ML PRES FREE SINGLE DOSE$ 22.00 Pharmacy 2375391 LIDOCAINE 2% 5ML PF VIAL$ 22.00 Pharmacy 2372441 LIDOCAINE 2% JELLY JET$ 11.00 Pharmacy 2370693 LIDOCAINE 2% WITH EPI 20 ML$ 22.00 Pharmacy 2370683 LIDOCAINE 2%(CARDIAC) SYRINGE 20MG/ML$ 22.00 Pharmacy 2373433 LIDOCAINE 4% AMPS 5ML (40MG/ML)$ 22.00 Pharmacy 2372625 LIDOCAINE VISC 2% ORAL SOLN 15ML UD$ 8.00 Pharmacy 2370691 LIDOCAINE/D5W 2GM/500ML BAG (4mg/ml) IV$ 22.00 Pharmacy 2376013 LIDODERM PATCH 5% (LIDOCAINE)$ 8.00 Pharmacy 2372248 LIORESAL 10MG TAB(BACLOFEN)$ 8.00 Pharmacy 2372519 LIORISAL 20MG TABLET (BACLOFEN)$ 8.00 Pharmacy 2370696 LIPITOR 10MG TAB(ATROVASATIN CALCIUM)$ 8.00 Pharmacy 2310037 LIPITOR 40MG TAB (ATORVASTATIN CALCIUM)$ 8.00 Pharmacy 2370700 LIQUI-DOSS(MINERAL OIL)$ 8.00 Pharmacy 2370374 LOMOTIL 2.5MG/0.025MG TAB(DIPHENOX/ATR)$ 8.00 Pharmacy 2370516 LOPID 600MG TAB(GEMFIBROZIL)$ 8.00 Pharmacy 2370779 LOPRESSOR 1MG/ML 5ML(METOPROLOL)$ 22.00 Pharmacy 2310084 LOPRESSOR 25MG TAB (METOPROLOL TART)$ 8.00 Pharmacy 2370781 LOPRESSOR 50MG TAB(METOPROLOL TART)$ 8.00 Pharmacy 2372587 LOTENSIN 20MG TAB (BENZAPRIL)$ 8.00 Pharmacy 2370257 LOTRIMIN 1% CREAM(CLOTRIMAZOLE)$ 10.00 Pharmacy 2375808 LOVENOX 100MG/ML SYRINGE(ENOXAPARIN)$ 22.00 Pharmacy 2372649 LOVENOX 120MG/0.8ML INJ (ENOXAPARIN)$ 45.00 Pharmacy 2370717 LOVENOX 150MG/1ML SYRINGE(ENOXAPARIN)$ 50.00 Pharmacy 2372345 LOVENOX 300MG/3ML MDV (ENOXAPARIN)$ 66.00 Pharmacy 2370718 LOVENOX 30MG/0.3ML SYRINGE(ENOXAPARIN)$ 22.00 Pharmacy 2370719 LOVENOX 40MG/0.4ML SYRINGE(ENOXAPARIN)$ 22.00 Pharmacy 2370720 LOVENOX 60MG/0.6ML SYRINGE(ENOXAPARIN)$ 23.00 Pharmacy 2370721 LOVENOX 80MG/0.8ML SYRINGE(ENOXAPARIN)$ 30.00 Pharmacy 2370722 LUGOLS 5% 14 ML'S$ 8.00 Pharmacy 2373270 LYRICA 100MG CAP (PREGABALIN)$ 18.00 Pharmacy 2372292 LYRICA 25MG CAP(PREGABALIN)$ 17.00 Pharmacy 2370725 LYRICA 50MG CAP(PREGABALIN)$ 18.00 Pharmacy 2370734 MAALOX 30ML(MAG-AL) UD$ 8.00 Pharmacy 2310213 MACROBID 100MG CAP(NITROFURANTOIN)$ 8.00 Pharmacy 2310211 MACRODANTIN 50MG CAP(NITROFURANTO)-NF$ 8.00 Pharmacy 2372309 MAGNESIUM 1GM/ D5 100ML IV PREMIXED$ 23.00 Pharmacy 2375533 MAGNESIUM 1GM/2ML VIAL (PICK PREMIX BAG)$ 22.00 Pharmacy 2300096 MAGNESIUM 250MG TAB$ 8.00 Pharmacy 2375774 MAGNESIUM 5GM/10ML VIAL(PICK PREMIX BAG)$ 22.00 Pharmacy 2310114 MAGNESIUM CITRATE ORAL SOLN$ 8.00 Pharmacy 2370736 MAGNESIUM OXIDE 400MG TAB$ 8.00 Pharmacy 2372602 MAGNESIUM SULF 10 GM/ 20ML VIAL$ 22.00 Pharmacy 2370912 MANNITOL 12.5g/50ML VIAL in CRASH CART$ 58.00 Pharmacy 2370744 MANNITOL 25GM/ /167ML D5W IV PRDF(15%)$ 22.00 Pharmacy 2372132 MARCAINE 0.25% & EPI 30 ml$ 22.00 Pharmacy 2374230 MARCAINE 0.25% NERVE BLK ON-Q$ 725.00 Pharmacy 2372422 MARCAINE 0.25% PF 10ML$ 22.00 Pharmacy 2371055 MARCAINE 0.25% PF 30ML VIAL (plain)$ 22.00 Pharmacy 2374636 MARCAINE 0.25% WITH EPI GENERIC 10ML$ 22.00 Pharmacy 2372411 MARCAINE 0.5% & EPI PF 10ML$ 22.00 Pharmacy 2371244 MARCAINE 0.5% PF$ 22.00 Pharmacy 2370746 MARCAINE 0.75% INJ 30ML$ 22.00 Pharmacy 2310196 MARCAINE(BUPIV) SPINAL 0.75% 2ML$ 22.00 Pharmacy 2372549 MAXIPIME 1GM IM (CEFEPIME)PREDEFINE$ 22.00 Pharmacy 2375758 MAXIPIME 2GM VIAL (CEFEPIME)PREDEFINE$ 23.00 Pharmacy 2370846 MAXITROL 0.1% OPHTH OINT(NEOMYC/POLY NSA$ 42.00 Pharmacy 2370848 MAXITROL EYE DROP (NEO/POLY/DEX) NSA$ 42.00 Pharmacy 2310229 MAXZIDE 75/50 TAB(TRIAMTERENE HCTZ)$ 8.00 Pharmacy 2370773 MEDROL DOSE PACK 4MG 21TB$ 50.00 Pharmacy 2310188 MEFOXIN 1GM IV VIAL (CEFOXITIN)$ 23.00 Pharmacy 2375781 MEFOXIN 2GM VIAL (CEFOXITIN)$ 28.00 Pharmacy 2370753 MEGACE 40MG/ML ORAL SUSP(MEGESTROL)$ 8.00 Pharmacy 2372206 MENACTRA VACCINE[MENINGOCCOCAL/DIPTH]$ 279.00 Pharmacy 2372513 MENVEO VACCINE(MENINGOCOC GRP A,C,Y,W)$ 223.00 Pharmacy 2310319 MEPHYTON 5MG TAB (PHYTONADIONE)$ 139.00 Pharmacy 2372333 MERREM 1GM INJ VIAL(MEROPENEM)$ 56.00 Pharmacy 2370836 METAMUCIL POWD 10OZ REG(NATURAL FIBER)$ 8.00 Pharmacy 2370768 METHYLENE BLUE 0.5% ( 5MG/ML)$ 464.00 Pharmacy 2370793 MIACALCIN 200 UNIT/ML INJECT VL -ER FRIG$ 207.00 Pharmacy 2376086 MIDODRINE 10MG TAB$ 8.00 Pharmacy 2374507 MIDODRINE 5MG TAB$ 8.00 Pharmacy 2375000 MILK OF MAG SUSP 30ML UD$ 8.00 Pharmacy 2310115 MINERAL OIL$ 8.00 Pharmacy 2370802 MIOSTAT 0.01% OPTH SOLN NSA$ 28.00 Pharmacy 2375538 MIRALAX 17 GM PACKET UD$ 8.00 Pharmacy 2375866 MIRALAX BOWEL PREP BOTTLE(GAVILAX)$ 28.00 Pharmacy 2310206 MIRAPEX 0.25MG TAB(PRAMIPEXOLE)$ 8.00 Pharmacy 2374297 MIRAPEX 1MG TAB (PRAMIPEXOLE)$ 8.00 Pharmacy 2370726 M-M-R II VACC/DILU VIALS$ 174.00 Pharmacy 2310225 MOBIC 15MG TAB(MELOXICAM)$ 11.00 Pharmacy 2370815 MORPHINE 2MG/ML INJ$ 22.00 Pharmacy 2370817 MORPHINE 4MG/ML INJ$ 22.00 Pharmacy 2370809 MORPHINE 10MG/ML$ 22.00 Pharmacy 2375500 MORPHINE 5MG/1ML SYRINGE$ 22.00 Pharmacy 2375501 MORPHINE 8MG/1ML SYRINGE$ 22.00 Pharmacy 2310412 MORPHINE PCA 1MG/ML 30ML$ 65.00 Pharmacy 2370587 MOTRIN 400MG TAB(IBUPROFEN)$ 8.00 Pharmacy 2370590 MOTRIN 600MG TAB(IBUPROFEN)$ 8.00 Pharmacy 2372538 MOTRIN 800MG TAB (IBUPROFEN)$ 8.00 Pharmacy 2375543 MOTRIN ORAL SUSP 100MG/5ML UD$ 8.00 Pharmacy 2310128 MUCOMYST 20% ORAL 200MG/ML{RENAL} ACETYL$ 318.00 Pharmacy 2370729 MVI ADULT IV 10ML VIAL(S)$ 22.00 Pharmacy 2375105 MYCELEX TROCHE 10MG(CLOTRIMAZOLE)$ 8.00 Pharmacy 2300018 MYCOLOG CRM(NYSTATIN/TRIAMCINOLONE)-NF$ 183.00 Pharmacy 2370900 MYCOSTATIN POWDER (NYSTATIN)$ 54.00 Pharmacy 2375895 MYDFRIN 2.5% (FRIDGE) OPTH DROPS (EYE)$ 208.00 Pharmacy 2370036 MYDFRIN 2.5% OPTH DROPS (EYE)$ 225.00 Pharmacy 2371193 MYDRIACYL 1% OPTH DROPS(TROPICAMIDE) NSA$ 27.00 Pharmacy 2371062 MYLICON 80MG CHEW(SIMETHICONE)$ 8.00 Pharmacy 2372542 MYSOLINE 250MG TAB (PRIMIDONE-NF$ 8.00 Pharmacy 2310326 NAMENDA 10MG TAB(MEMANTINE HCL)$ 15.00 Pharmacy 2370831 NAPROSYN 250MG TAB(NAPROXEN)$ 8.00 Pharmacy 2370829 NARCAN 1MG/ML SYRINGE(NALOXONE) 2ML$ 70.00 Pharmacy 2370833 NAROPIN 0.2% (2MG/ML) 100ML SD PF$ 94.00 Pharmacy 2376159 NAROPIN 0.2% 10ML VL (ROPIVACAINE)$ 22.00 Pharmacy 2372526 NAROPIN 0.2% 200ML (ROPIVACAINE) VIAL$ 154.00 Pharmacy 2376028 NAROPIN 0.5% 5MG/ML 20ML VIAL$ 22.00 Pharmacy 2370834 NAROPIN 0.5% 5MG/ML VIAL 30ML$ 22.00 Pharmacy 2374238 NAROPIN 200MG/100ML PREMIX BAG$ 85.00 Pharmacy 2374401 NEOMYCIN 500MG TABLET$ 8.00 Pharmacy 2310504 NEOSPORIN EYE DROP(NEO/POLY/GRM)EYE NSA$ 114.00 Pharmacy 2370856 NEOSPORIN EYE OINT (EYE) 3.5GM$ 112.00 Pharmacy 2370858 NEOSTIGMINE 0.5MG/10ML$ 196.00 Pharmacy 2370843 NEO-SYNEPHRINE 1% IV (PHENYLEPHRINE) VL$ 22.00 Pharmacy 2372280 NEO-SYNEPHRINE NASAL DROP(PHENYL$ 11.00 Pharmacy 2375590 NEO-SYNEPHRINE NASAL SPRAY(PHENYLEPHRINE$ 8.00 Pharmacy 2372601 NESACAINE-MPF 3% 20ML VL(CHLOROPROCAINE)$ 38.00 Pharmacy 2310097 NEURONTIN 100MG CAP(GABAPENTIN)$ 8.00 Pharmacy 2370509 NEURONTIN 300MG CAP(GABAPENTIN)$ 8.00 Pharmacy 2310324 NEURONTIN 400MG CAP(GABAPENTIN )$ 8.00 Pharmacy 2310333 NEURONTIN 600MG TAB(GABAPENTIN)$ 8.00 Pharmacy 2370860 NEW SKIN LIQ SPRAY$ 8.00 Pharmacy 2370861 NEXIUM 40MG IV/ VIAL(ESOMEPRAZOLE)$ 23.00 Pharmacy 2310156 NF-ALTACE 2.5MG CAP(RAMIPRIL)$ 8.00 Pharmacy 2300105 NF-COLACE SYRUP 60MG/15ML(DOCUSATE SOD)$ 8.00 Pharmacy 2370523 NF-GARAMYCIN 0.1% CRM TOPICAL$ 40.00 Pharmacy 2370255 NF-LOTRISONE CRM(CLOTRIM/BETAMETH)$ 47.00 Pharmacy 2372138 NF-OMNICEF 125MG/5ML ORAL SUSP$ 56.00 Pharmacy 2375130 NF-PROVERA 10MG TAB(MEDROXYPROGESTERONE$ 8.00 Pharmacy 2310096 NF-TALWIN NX 50MG/0.5MG TAB(PENTAZOCL$ 8.00 Pharmacy 2375887 NF-TAMIFLU SUSP 6MG/ML ORAL(OSELTAMIVIR)$ 153.00 Pharmacy 2310233 NF-TOPAMAX 100MG TAB(TOPIRAMATE)$ 12.00 Pharmacy 2310235 NF-TOPROL XL 200MG TAB (METOPROLOL SU$ 8.00 Pharmacy 2371268 NF-ZOVIRAX 5% OINTMENT (ACYCLOVIR)$ 586.00 Pharmacy 2372284 NICOTINE 2MG GUM$ 8.00 Pharmacy 2372285 NICOTINE 4MG GUM$ 8.00 Pharmacy 2370863 NICOTINE PATCH 14MG/24H$ 8.00 Pharmacy 2370864 NICOTINE PATCH 21MG/24H$ 8.00 Pharmacy 2376064 NITRO-BID 2% UD OINTMENT PACKET$ 8.00 Pharmacy 2370869 NITRO-BID OINT 2% TUBE$ 8.00 Pharmacy 2370871 NITROGLY 50MG/250ML D5W IV BTL$ 22.00 Pharmacy 2310088 NITROGLYCERIN SPRAY 400MCG/MIST$ 330.00 Pharmacy 2370882 NITROPRESS 25MG/ML 2ML(NITROPRUSSID)$ 709.00 Pharmacy 2370884 NITROQUICK TAB 0.4MG SUBLINGUAL$ 8.00 Pharmacy 2300055 NIX 1% LOTION LICE TREATMNT(PERMETHRIN)$ 22.00 Pharmacy 2372577 NORCO 10MG/325MG TAB (HYDROCOD/ACETAMIN$ 8.00 Pharmacy 2372576 NORCO 5MG/325MG TAB(HYDROCOD/ACETAMIN)$ 8.00 Pharmacy 2372920 NORCO 7.5/325 TAB (HYDROCODONE/APAP)$ 8.00 Pharmacy 2310334 NORFLEX 100MG TAB(ORPHENADRINE CIT)$ 8.00 Pharmacy 2372383 NORFLEX 60MG/2ML (ORPHENADRINE)$ 22.00 Pharmacy 2372783 NORMADYNE 100MG TAB (LABETOLOL)$ 8.00 Pharmacy 2370653 NORMADYNE 100MG/20ML (LABETALOL)$ 1.00 Pharmacy 2370886 NORVASC 5MG TAB(AMLODIPINE BESYLATE)$ 8.00 Pharmacy 2374487 NOVOLOG ED STOCK 10ML VIAL$ 1.00 Pharmacy 2372121 NOVOLOG INSULIN 100 UNITS/ ML (ASPART)$ 110.00 Pharmacy 2372327 NOVOLOG INSULIN DRIP 100 UNITS/NS 100ML$ 100.00 Pharmacy 2371082 NS 0.45% 1000ML$ 22.00 Pharmacy 2371086 NS 0.9% 1000ML$ 22.00 Pharmacy 2372135 NS 0.9% 100ML$ 22.00 Pharmacy 2375728 NS 0.9% 100ML ADD-VANTAGE$ 22.00 Pharmacy 2371100 NS 0.9% 100ML MNBG+$ 22.00 Pharmacy 2371094 NS 0.9% 10ML PRES. FREE$ 22.00 Pharmacy 2371102 NS 0.9% 50ML IVPB$ 22.00 Pharmacy 2371091 NS 0.9% IV 250 ML$ 22.00 Pharmacy 2371092 NS 0.9% IV 500ML$ 22.00 Pharmacy 2371101 NS 0.9% MNBG+ 50ML$ 22.00 Pharmacy 2370966 NS 0.9%/20MEQ KCL 1000ML PREMIX$ 22.00 Pharmacy 2310118 NS 0.9%/40MEQ KCL 1000ML PREMIX$ 22.00 Pharmacy 2371106 NS 3% 500ML IV BAG$ 22.00 Pharmacy 2372419 NULYTELY BOWEL PREP ORAL SOLN NSA$ 31.00 Pharmacy 2371184 NU-LYTELY(TRILYTE) ORAL 4000ML$ 28.00 Pharmacy 2376183 NUPERCAINAL HEMORRHOIDAL OINT(DIBUCAINE$ 10.00 Pharmacy 2370892 NYSTATIN 100,000U/GM CREAM 15GM$ 26.00 Pharmacy 2370898 NYSTATIN 100,000U/ML ORAL SUSP$ 18.00 Pharmacy 2371045 OCEAN NASAL SPRAY 0.65% 45ML$ 8.00 Pharmacy 2370488 OCUFEN OPHTH DROP 0.03% 2.5ML(FLURBI NSA$ 102.00 Pharmacy 2372558 OCUFLOX OPHTH DROPS 0.3%[OFLOXACIN]$ 23.00 Pharmacy 2390002 OFIRMEV ACETAMINOPHEN INJ 1GM/100ML$ 95.00 Pharmacy 2370906 OMNICEF 300MG CAP(CEFDINIR)$ 8.00 Pharmacy 2372379 OMNIPAQUE 350mg'I'/ML INJECTION 100 ml$ 22.00 Pharmacy 2372348 OMNIPAQUE IV 300MG/ML 100ML INJ$ 22.00 Pharmacy 2371008 OPHTHETIC OPTH 0.5%(PROPARACAINE) NSA$ 99.00 Pharmacy 2370908 ORA-PLUS 16OZ$ 8.00 Pharmacy 2372147 ORA-PLUS LIQUID$ 8.00 Pharmacy 2370431 PAIN EASE SPRAY(GEB. ETHYL CHLORIDE) NSA$ 8.00 Pharmacy 2310094 PAMELOR 25MG CAP(NORtripTYLINE)$ 8.00 Pharmacy 2370921 PAXIL 20MG TAB (PAROXETINE HCL)$ 8.00 Pharmacy 2372449 PCA FENTANYL 10 Mcg/ML 30ML$ 50.00 Pharmacy 2372407 PEDIAPRED 15MG/5ML UD ORAL(PREDNISOLONE)$ 8.00 Pharmacy 2370924 PEDIARIX 0.5ML(syringe)(DIPTH/TET/HEPB/P$ 182.00 Pharmacy 2310564 PEDVAXHIB (MENINGOCOCCAL VAC) 0.5ML VL$ 58.00 Pharmacy 2372300 PEN VK 125MG/5ML ORAL SOLUTION$ 17.00 Pharmacy 2310134 PEN VK 500MG TAB (PENICILLIN)$ 8.00 Pharmacy 2372424 PENTACEL VACCINE$ 212.00 Pharmacy 2374046 PEPCID 20MG TAB(FAMOTIDINE)$ 8.00 Pharmacy 2370929 PEPTO-BISMOL 262MG CHEW TAB$ 8.00 Pharmacy 2374466 PERCOCET 10MG/325MG TAB$ 8.00 Pharmacy 2310410 PERCOCET 5/325MG TAB(OXYCODONE/ACETAMIN)$ 8.00 Pharmacy 2300019 PEROXIDE 3% SOL$ 8.00 Pharmacy 2370932 PETROLATUM 144X5GMUD FOILPK$ 8.00 Pharmacy 2310251 PHENERGAN (PLN) SYR 6.25MG/5ML(PROMETHA$ 8.00 Pharmacy 2371004 PHENERGAN 25MG SUPP ADULT$ 21.00 Pharmacy 2310249 PHENERGAN 25MG TAB(PROMETHAZINE)$ 8.00 Pharmacy 2371000 PHENERGAN 25MG/ML INJ (PROMETHAZINE)$ 22.00 Pharmacy 2370997 PHENERGAN W/COD SYR 6.25MG/10MG/5ML$ 8.00 Pharmacy 2371275 PHENOBARBITAL 32.4MG TAB-NF-NEED OWN$ 8.00 Pharmacy 2372598 PHENOL,USP 92% (Topical use only)$ 15.00 Pharmacy 2310138 PHOSLO GELCAPS 667MG$ 8.00 Pharmacy 2370946 PITOCIN 10U/ML 1ML(OXYTOCIN)$ 22.00 Pharmacy 2370947 PLAN B 0.75MG 2UU BLSTR TAB$ 84.00 Pharmacy 2370949 PLAVIX 75MG TAB(CLOPIDOGREL)$ 8.00 Pharmacy 2310271 PLENDIL 5MG TAB(FELODIPINE)$ 8.00 Pharmacy 2370951 PNEUMOVAX 23 VACCINE (PNEUMONIA)$ 236.00 Pharmacy 2372125 POLYMYXIN B 500,000 UNITS INJ$ 28.00 Pharmacy 2376014 POLYTRIM OPH SOLN(EYE)$ 177.00 Pharmacy 2370955 PONTOCAINE 2% TOPICAL SOLN 30ML NSA$ 35.00 Pharmacy 2370954 PONTOCAINE AMP 1% 2ML SPNL$ 92.00 Pharmacy 2370956 POTASS PHOSPHATE 15mMOL/5ML VIAL$ 22.00 Pharmacy 2370795 POTASSIUM 10MEQ CAP EXT REL$ 8.00 Pharmacy 2310098 POTASSIUM 10MEQ/ NS 100ML IV$ 22.00 Pharmacy 2372618 POTASSIUM 20MEq EFFERVESCENT TAB$ 8.00 Pharmacy 2370963 POTASSIUM 20MEQ/10ML IV ADDITIVE$ 22.00 Pharmacy 2372366 POTASSIUM 25MEQ EFFERVESCENT TABS$ 8.00 Pharmacy 2370957 POTASSIUM ACET 2MEQ/ML 20ML$ 22.00 Pharmacy 2372637 POTASSIUM PHOSPHATES 3mM/ ML 15ML VIAL$ 22.00 Pharmacy 2372227 PPN CLINIMIX E 4.25% AA/ D10 1000ML$ 83.00 Pharmacy 2376178 PRECEDEX 200MCG/2ML(DEXMEDITOMIDINE)$ 22.00 Pharmacy 2370975 PRED FORTE 1% OPTH(PrednisoLONE ACE)$ 111.00 Pharmacy 2370969 PRED-G 1% 5ML OPTH SUSP NSA$ 347.00 Pharmacy 2370977 PREDNISONE 20MG TAB$ 8.00 Pharmacy 2370978 PREDNISONE 5MG TAB$ 8.00 Pharmacy 2370980 PREMARIN 25MG INJ 1VL IN ER FRIG$ 720.00 Pharmacy 2374405 PREVACID SOLUTAB 30MG (LANSOPRAZOLE)$ 29.00 Pharmacy 2374231 PREVNAR 13 VACCINE (PNEUMONIA)$ 438.00 Pharmacy 2370903 PRILOSEC 20MG CAP DR(OMEPRAZOLE)$ 8.00 Pharmacy 2370985 PRIMAXIN 500MG VIAL IV(IMIPEN/CILAST)$ 23.00 Pharmacy 2374514 PRIMAXIN 500MG/500MG VIAL$ 23.00 Pharmacy 2370701 PRINIVIL 10MG TAB (LISINOPRIL)$ 8.00 Pharmacy 2370704 PRINIVIL 5MG TAB (LISINOPRIL)$ 8.00 Pharmacy 2310382 PROCAN 1GM/10ml INJ(PROCAINAMIDE)$ 148.00 Pharmacy 2375242 PROCARDIA 10MG CAP(NIFEDIPINE)$ 8.00 Pharmacy 2310099 PROCARDIA XL 30MG TAB(NIFEDIPINE)$ 8.00 Pharmacy 2376042 PROCRIT 20,000U/ML INJ(EPOETIN ALFA)$ 1,264.00 Pharmacy 2370995 PROGESTERONE/OIL 50MG/ML 10ML$ 85.00 Pharmacy 2370375 PROPOFOL 10MG/ML-20ML[CONTAINS SULFATE]$ 22.00 Pharmacy 2371012 PROSCAR 5MG TAB(FINASTERIDE)$ 8.00 Pharmacy 2371013 PROTAMINE SULF 10MG/ML INJ 25ML$ 22.00 Pharmacy 2371014 PROTONIX 40MG TAB(PANTOPRAZOLE)$ 8.00 Pharmacy 2300072 PROTOPAM CHL 1GM INJ (PRALIDOXIME CHL)$ 217.00 Pharmacy 2372888 PROZAC 10MG CAP(FLUOXETINE)$ 8.00 Pharmacy 2370487 PROZAC 20MG CAP(FLUOXETINE)$ 8.00 Pharmacy 2371018 PULMICORT 0.25MG/2ML UD(BUDESONIDE)$ 17.00 Pharmacy 2371019 PULMICORT 0.5MG/2ML UD(BUDESONIDE)$ 24.00 Pharmacy 2310135 PYRIDIUM 200MG TAB(PHENAZOPYRIDINE)$ 8.00 Pharmacy 2371020 PYRIDOXINE 100MG/ML INJ(VITAMIN B-6)$ 22.00 Pharmacy 2375526 QVAR REDIHALER 80MCG$ 540.00 Pharmacy 2302961 RABAVERT 2.5 UNIT VACCINE INJ$ 692.00 Pharmacy 2370594 RABIES IMMUNE GLOB 150 INT UNIT/ML 10ML$ 5,425.00 Pharmacy 2370595 RABIES IMMUNE GLOBULIN 150 UNIT/ML 2ML$ 1,725.00 Pharmacy 2371044 RACEPINEPHRINE INHAL SOLN(S-2)+$ 8.00 Pharmacy 2372610 RECLAST 5MG/100ML IV (ZOLEDRONIC ACID )$ 378.00 Pharmacy 2372369 RECOMBIVAX PED 10mcg/0.5ml$ 53.00 Pharmacy 2370654 REFRESH EYE DROPS UD PRES FREE (TEARS)$ 8.00 Pharmacy 2376067 REFRESH PM OPHTH OINTMENT 42.5%-57.3%$ 22.00 Pharmacy 2376068 REFRESH PM OPHTH OINTMENT 42.5%-57.3%$ 22.00 Pharmacy 2374920 REFRESH PM OPHTH OINTMENT 42.5%-57.3%$ 23.00 Pharmacy 2370774 REGLAN 10MG TAB(METOCLOPRAMIDE)$ 8.00 Pharmacy 2370776 REGLAN 10MG/2ML INJ (METOCLOPRAMIDE)$ 22.00 Pharmacy 2310245 REMERON 30MG TAB(MIRTAZAPINE)$ 8.00 Pharmacy 2374093 REQUIP 0.5MG TAB(ROPINIROLE)$ 8.00 Pharmacy 2310347 REQUIP 3MG TAB(ROPINIROLE)$ 8.00 Pharmacy 2373542 REQUIP ORAL TABLET 0.5MG$ 8.00 Pharmacy 2374007 RIFAMPIN 300MG ORAL CAPSULE$ 8.00 Pharmacy 2372662 RISPERDAL 0.25MG TAB (RISPERIDONE)$ 8.00 Pharmacy 2310241 RISPERDAL 1MG TAB (RISPERIdone)$ 8.00 Pharmacy 2372556 RISPERDAL 4MG TAB (RISPERIDONE)$ 12.00 Pharmacy 2310253 ROBAXIN 500MG TAB (METHOCARBAM$ 8.00 Pharmacy 2370544 ROBINUL INJ 0.2MG/ML(GLYCOPYRROLATE)$ 22.00 Pharmacy 2375451 ROBITUSSIN AC 5ML(SUGAR FREE)$ 8.00 Pharmacy 2310110 ROBITUSSIN DM 10ML UD$ 8.00 Pharmacy 2370545 ROBITUSSIN PLN 200MG/10ML (GUAIFEN)$ 8.00 Pharmacy 2375586 ROCEPHIN 1GM IM VIAL (CEFTRIAXONE)$ 22.00 Pharmacy 2370207 ROCEPHIN 1GM VIAL (CEFTRIAXONE)$ 22.00 Pharmacy 2310019 ROCEPHIN 1GM/NS 50ML IVPB (CEFTRIAXONE)$ 22.00 Pharmacy 2310189 ROCEPHIN 2GM VIAL (CEFTRIAXONE)$ 22.00 Pharmacy 2310016 ROCEPHIN 2GM W/LIDOCAINE IM (CEFTRIAXON$ 22.00 Pharmacy 2375701 ROCEPHIN 2GM/DEXTROSE 50ML IV PREMIX$ 52.00 Pharmacy 2375686 ROCEPHIN 2GM/NS 100ML IVPB (CEFTRIAXONE)$ 22.00 Pharmacy 2370211 ROCEPHIN 500MG IM VIAL (CEFTRIAXONE)$ 22.00 Pharmacy 2370210 ROCEPHIN IM 250MG VIAL(CEFTRIAXONE)$ 22.00 Pharmacy 2373211 ROMAZECON 0.1MG/ML 10ML VIAL$ 22.00 Pharmacy 2372700 ROPIVACAINE 0.2% NERVE BLK BAG$ 200.00 Pharmacy 2372387 ROPIVACAINE 2MG/ML BULB(REGION. NERV BLK$ 200.00 Pharmacy 2372363 ROPIVACAINE 2MG/ML/ PCEA BAG$ 50.00 Pharmacy 2372423 ROTARIX ORAL VACCINE NSA$ 268.00 Pharmacy 2372205 ROTATEQ VACCINE[ROTAVIRUS LIVE, ORAL]$ 176.00 Pharmacy 2310237 RYTHMOL 150MG TAB(PROPAFENONE)$ 8.00 Pharmacy 2374870 SAF-GEL (HYDRATING DERMAL WOUND DRES$ 34.00 Pharmacy 2374050 SANTYL(COLLAGENASE)OINT 250 UNITS/GM$ 485.00 Pharmacy 2374005 SENNA LAX 8.6MG TAB$ 8.00 Pharmacy 2310408 SENNA-S 50MG/8.6M TAB(DOCUSATE SODIUM)$ 8.00 Pharmacy 2371054 SENNA-S TAB 8.6-50MG(senna/docusate)$ 8.00 Pharmacy 2375677 SENSORCAINE 0.25% 50ML MDV$ 26.00 Pharmacy 2310124 SENSORCAINE 0.5% 10 ml's (BUPIVACAINE)$ 22.00 Pharmacy 2372621 SENSORCAINE-MPF 0.25% 30ML$ 22.00 Pharmacy 2372622 SENSORCAINE-MPF 0.25% STER PAK 30ML$ 22.00 Pharmacy 2371058 SENSORCAINE-MPF 0.5% STER PK 30ML(BUPIV$ 22.00 Pharmacy 2371056 SENSORCAINE-MPF VIAL 0.25% 10ML$ 22.00 Pharmacy 2371986 SEROQUEL 100MG TAB(QUETIAPINE)$ 8.00 Pharmacy 2372244 SEROQUEL 200MG TAB(QUETIAPINE)$ 19.00 Pharmacy 2371987 SEROQUEL 50MG TAB(QUETIAPINE)$ 12.00 Pharmacy 2371061 SILVADENE 1% CREAM$ 21.00 Pharmacy 2310266 SINEMET 25/100 IMMED. TAB(CARB/LEVODOPA)$ 8.00 Pharmacy 2371064 SINGULAIR 10MG TAB(MONTELUKAST SOD)$ 8.00 Pharmacy 2310154 SKELAXIN 800MG TAB(METAXALONE)$ 13.00 Pharmacy 2310259 SLOW MAG 64MG TAB (MAGNESIUM CHLORIDE)$ 8.00 Pharmacy 2372571 SOD BICARB 8.4% 10ML PED NSA$ 27.00 Pharmacy 2371077 SODIUM BICARB ADULT 8.4%[50ML =50mEq]NSA$ 22.00 Pharmacy 2375510 SODIUM BICARB PED 8.4% INJ 10ML VIAL$ 36.00 Pharmacy 2374586 SODIUM BICARB PEDIATRIC 8.4%10MLSYR NSA$ 27.00 Pharmacy 2372596 SODIUM BICARB TAB 10GR (650MG)$ 8.00 Pharmacy 2310263 SODIUM CHLORIDE 1GM TAB$ 8.00 Pharmacy 2371099 SODIUM CL 0.9% 100ML IVPB$ 22.00 Pharmacy 2371110 SOLU CORTEF 100MG/2ML VIAL(HYDROCORTISON$ 28.00 Pharmacy 2310388 SOLU CORTEF 250MG/2ML VL(HYDROCORTISONE)$ 22.00 Pharmacy 2371113 SOLU MEDROL 125MG/2ML INJ VIAL(METHYLPRE$ 22.00 Pharmacy 2371114 SOLU MEDROL 1GM VIAL(METHYLPREDNISOLON$ 98.00 Pharmacy 2371115 SOLU MEDROL 40MG INJ VIAL(METHYLPREDNISO$ 22.00 Pharmacy 2371116 SOLU MEDROL 500MG/4ML VIAL(METHYLPREDN$ 50.00 Pharmacy 2371118 SPIRIVA HANDIHALER 18MCG CAP(TIOTROPIUM$ 140.00 Pharmacy 2370174 STADOL 2MG/ML INJ(BUTORPHANOL)$ 22.00 Pharmacy 2310120 STERILE WATER 1000ML$ 22.00 Pharmacy 2371230 STERILE WATER 1000ML INJ VF$ 22.00 Pharmacy 2373710 STRESS B-COMPLEX W/ZINC TABLET-NF$ 8.00 Pharmacy 2370092 SUCCINYLCHOLINE 20MG/ML 10ML VL-REFRIG$ 43.00 Pharmacy 2371016 SUDAFED 30MG TAB(PSEUDOEPHED)$ 8.00 Pharmacy 2371127 SUDAFED SYRUP 15MG/5ML(PSEUDOEPHEDRIN$ 8.00 Pharmacy 2376030 SUPARTZ FX 25MG/2.5ML SINGLE$ 534.00 Pharmacy 2377777 SUPRANE INHALATION PER CASE NSA$ 128.00 Pharmacy 2372353 SYMBICORT 160/4.5 ORAL INHALER(BUD/FORM)$ 546.00 Pharmacy 2372358 SYMBICORT 80/4.5 ORAL INHALER(BUDE/FORM)$ 302.00 Pharmacy 2310101 SYNTHROID 0.025MG TAB(LEVOTHYROID)$ 8.00 Pharmacy 2371141 SYNTHROID 0.05MG TAB (LEVOTHYROXINE)$ 8.00 Pharmacy 2370674 SYNTHROID 0.075MG TAB(LEVOTHYROXINE)$ 10.00 Pharmacy 2310149 SYNTHROID 0.088MG TAB(LEVOTHYROXINE)$ 8.00 Pharmacy 2370671 SYNTHROID 0.112MG TAB (LEVOTHYROXINE)$ 8.00 Pharmacy 2372863 SYNTHROID 0.112MG TAB (LEVOTHYROXINE)$ 8.00 Pharmacy 2310150 SYNTHROID 0.125MG TAB(LEVOTHYROXINE)$ 8.00 Pharmacy 2310151 SYNTHROID 0.137 MG TAB(LEVOTHYROXINE)$ 8.00 Pharmacy 2371140 SYNTHROID 0.15MG TAB(LEVOTHRYROXINE)$ 8.00 Pharmacy 2371139 SYNTHROID 0.1MG TAB(LEVOTHYROXINE)$ 8.00 Pharmacy 2376039 SYNTHROID 100MCG/VIAL (LEVOTHYROXINE)$ 167.00 Pharmacy 2372653 SYNTHROID 100MCG/VIAL IV PUSH$ 208.00 Pharmacy 2370676 SYNTHROID 200mcg(LEVOTHYROXINE) IV$ 177.00 Pharmacy 2373289 TAMBOCOR 50MG TAB (FLECAINIDE)$ 8.00 Pharmacy 2375888 TAMIFLU 30MG CAP(OSELTAMIVIR)$ 17.00 Pharmacy 2371147 TAMIFLU 75MG CAPSULE (OSELTAMIVIR)$ 27.00 Pharmacy 2372155 TAP WATER ENEMA (HHH)$ 8.00 Pharmacy 2373512 TAP WATER FOR PEG TUBE FLUSH$ 8.00 Pharmacy 2372552 TAPAZOLE 5MG TAB (METHIMAZOLE)$ 8.00 Pharmacy 2370838 TEARS NATURALE FREE AMPULE-FOR EYES$ 8.00 Pharmacy 2310218 TEGRETOL 100MG CHEWTAB(CARBAMAZEPINE)$ 8.00 Pharmacy 2310221 TEGRETOL 200MG TAB(CARBAMAZEPINE)$ 8.00 Pharmacy 2370291 TENIVAC (TD) >7 YR OLD$ 69.00 Pharmacy 2370120 TENORMIN 25MG TAB(ATENOLOL)$ 8.00 Pharmacy 2370121 TENORMIN 50MG TAB(ATENOLOL)$ 8.00 Pharmacy 2372408 TESSALON 100MG CAP (BENZONATATE)$ 8.00 Pharmacy 2370024 TETANUS SYRINGE (DECAVAC)0.5ML$ 49.00 Pharmacy 2371160 TETRACAINE HCL OPTH 0.5% 2 ML NSA$ 12.00 Pharmacy 2310353 TETRACYCLINE CAP 500 MG$ 8.00 Pharmacy 2372617 TETRACYCLINE POWDER FOR WOUND 25GM NSA$ 39.00 Pharmacy 2374774 THEODUR 400MG ER TAB(THEOPHYLLINE)$ 8.00 Pharmacy 2310103 THEODUR ER 300MG TAB$ 8.00 Pharmacy 2374550 THEOPHYLLINE 600MG ER TABLET$ 8.00 Pharmacy 2371162 THERAPEUTIC-M TAB(MULTI VITAMIN)$ 8.00 Pharmacy 2371225 THIAMINE 100MG TAB (VITAMIN B1)$ 8.00 Pharmacy 2371163 THIAMINE INJ 100MG/ML 2ML(VITAMIN B-1)$ 25.00 Pharmacy 2371164 THROMBIN TOPICAL KIT W/DIL- NSA$ 427.00 Pharmacy 2371185 TIGAN 300MG CAP(TRIMETHOBENZ)$ 8.00 Pharmacy 2372401 TNKASE 50MG IV FOR AMI TENECTPL-IN FRIG$ 13,842.00 Pharmacy 2375525 TOBRADEX OPHTH OINT NSA$ 506.00 Pharmacy 2372293 TOBRADEX OPTH DROPS (TOBRA/DEXAMETH) NSA$ 125.00 Pharmacy 2373964 TOBRAMYCIN 80MG/2ML IV$ 22.00 Pharmacy 2371168 TOBREX OPTH DROPS 0.3% -EYE$ 9.00 Pharmacy 2372193 TOPAMAX 25MG TAB(TOPIRAMATE)$ 10.00 Pharmacy 2310217 TOPROL XL 25MG TAB(METOPROLOL SUCCINATE)$ 8.00 Pharmacy 2310214 TOPROL XL 50MG TAB(METOPROLOL SUCCINATE)$ 8.00 Pharmacy 2370641 TORADOL 10MG TAB(KETOROLAC)$ 8.00 Pharmacy 2370643 TORADOL INJ 15MG/ML 1ML(KETOROLAC)$ 22.00 Pharmacy 2370647 TORADOL INJ 30MG/ML 1ML(KETOROLAC)$ 22.00 Pharmacy 2310391 TORADOL INJ 60MG/2ML (KETOROLAC)$ 22.00 Pharmacy 2372546 TPA- [ALTEPLASE 100MG INJ] STROKE -pink$ 20,780.00 Pharmacy 2372217 TPN CLINIMIX E 5% AMIN ACD/ D25W 2000ML$ 165.00 Pharmacy 2372652 TPN ELECTROLYTES 20ML SINGLE DOSE VIAL$ 22.00 Pharmacy 2371175 TPN ELECTROLYTES II 20ML$ 22.00 Pharmacy 2372791 TRANEXAMIC ACID 1000MG (CYKLOKAPRON) IV$ 80.00 Pharmacy 2371178 TRANSDERM SCOP PATCH 1.5MG/72HR(SCOPAL$ 43.00 Pharmacy 2372344 TRILEPTAL 300MG (OXCARBAZEPINE)$ 8.00 Pharmacy 2371191 TRIPLE ANTIBIOTIC TOPICAL 1/32OZUD$ 8.00 Pharmacy 2375518 TRUMENBA INTRAMUSCULAR SUSP 120MCG/0.5ML$ 334.00 Pharmacy 2372515 TRUVADA TAB (PEP TRTMNT)$ 110.00 Pharmacy 2375775 TUBERSOL 5TU/0.1ML 50 TEST VIAL$ 22.00 Pharmacy 2370226 TUMS 500MG CHEWTAB(CALCIUM CARB)$ 8.00 Pharmacy 2370005 TYLENOL 120MG PED SUPP(ACEPHEN)$ 8.00 Pharmacy 2371195 TYLENOL 325MG TAB(ACETAMINOPHEN)$ 8.00 Pharmacy 2310083 TYLENOL 500MG EXT STR TAB (ACETAMINOPHE$ 8.00 Pharmacy 2370007 TYLENOL 650MG SUPP (ACETAMINOPHEN)$ 8.00 Pharmacy 2375587 TYLENOL 80MG CHEWABLE TAB$ 8.00 Pharmacy 2370013 TYLENOL SUPP 325MG(ACETAMINOPHEN)$ 8.00 Pharmacy 2375542 TYLENOL SUSP 160MG/5ML UD$ 8.00 Pharmacy 2370012 TYLENOL W/COD 120MG/12MG/5ML SYRUP UD$ 8.00 Pharmacy 2370011 TYLENOL W/COD 300MG/30MG TAB$ 8.00 Pharmacy 2366666 ULTANE INHALATION PER CASE NSA$ 220.00 Pharmacy 2371177 ULTRAM 50MG TAB(TRAMADOL HCL)$ 8.00 Pharmacy 2371198 UNASYN VIAL 1.5GM(AMPICILLIN/SULBACTAM)$ 22.00 Pharmacy 2371199 UNASYN VIAL 3GM (AMPICILLIN/SULBACTAM)$ 22.00 Pharmacy 2310222 URECHOLINE 25MG TAB (BETHANECHOL)$ 8.00 Pharmacy 2370349 VALIUM 10MG/2ML IV (5MG/ML)SYR$ 56.00 Pharmacy 2370347 VALIUM 5MG TAB (DIAZEPAM)$ 8.00 Pharmacy 2375982 VANCOMYCIN 125MG CAPSULE$ 29.00 Pharmacy 2376099 VANCOMYCIN 125MG/ 2.5ML ORAL SOLN$ 8.00 Pharmacy 2375998 VANCOMYCIN 1GM/ 200ML PREMIX IV$ 70.00 Pharmacy 2371205 VANCOMYCIN 1GM/ VIAL IV$ 38.00 Pharmacy 2375902 VANCOMYCIN 1MG/0.1ML BSS EYE INJECTION$ 88.00 Pharmacy 2371206 VANCOMYCIN 500MG IV VIAL$ 22.00 Pharmacy 2371210 VARIVAX VACC 1VLW/DIL FZN DSHP$ 321.00 Pharmacy 2375044 VASOSTRICT 20 UNIT/ML(VASOPRESSIN)$ 370.00 Pharmacy 2370406 VASOTEC 1.25MG/ML VIAL(ENALAPRILAT)$ 22.00 Pharmacy 2370404 VASOTEC 5MG TAB(ENALAPRIL)$ 8.00 Pharmacy 2371215 VENOFER 20MG/ML ( 5 ML VIAL)$ 100.00 Pharmacy 2372597 VENTOLIN HFA MDI (ALBUTEROL)$ 122.00 Pharmacy 2371217 VERAPAMIL INJ 5MG/2ML$ 65.00 Pharmacy 2372288 VERSED 10MG/2ML INJ(MIDAZOLAM)$ 22.00 Pharmacy 2370797 VERSED 2MG/2ML INJ VIAL[MIDAZOLAM]$ 22.00 Pharmacy 2375860 VERSED 5MG/5ML VL(MIDAZOLAM) AMBULANCE$ 22.00 Pharmacy 2376069 VERSED 5MG/ML 1ML VIALS(FOR AMBULANCE)$ 22.00 Pharmacy 2375488 VERSED SYRUP 10MG/5ML UD(MIDAZOLAM) NSA$ 15.00 Pharmacy 2370383 VIBRAMYCIN 100MG CAP(DOXYCYCLINE HYCL)$ 13.00 Pharmacy 2371220 VISCOAT 40-30 MG/ML 0.5ML NSA$ 156.00 Pharmacy 2371222 VISINE OPTH DROP 0.05%(TETRAHYDROZOLINE)$ 8.00 Pharmacy 2370582 VISTARIL 25MG CAP(HydrOXYzine PAM)$ 8.00 Pharmacy 2372268 VITAMIN B12 1000MCG TAB(CYANOCOBALAMIN)$ 8.00 Pharmacy 2370280 VITAMIN B-12 INJ 1000MCG$ 22.00 Pharmacy 2374539 VITAMIN B-6 100MG TAB(PYRIDOXINE)$ 8.00 Pharmacy 2372627 VITAMIN C-250MG TABLET (ASCORBIC ACID)$ 8.00 Pharmacy 2375005 VITAMIN D3 1000 IU (25MCG) TABLET$ 8.00 Pharmacy 2310369 VITAMIN E 400 INT. UNIT$ 8.00 Pharmacy 2375689 VITAMIN K 1MG/0.5ML IV (PHYTONADIONE)$ 22.00 Pharmacy 2372393 VITRASE 200 USP UNITS/ML OVINE NSA$ 224.00 Pharmacy 2372247 VODKA (40% ALCOHOL/VOL)$ 20.00 Pharmacy 2310363 WELLBUTRIN SR 100MG TAB(BuPROPion-BID)$ 8.00 Pharmacy 2300031 WELLBUTRIN SR 150MG TAB[BuPROPion]$ 8.00 Pharmacy 2310355 WELLBUTRIN XL 150MG TAB-BUPROPION 24HR$ 9.00 Pharmacy 2390756 WW FLU VACCINE$ 24.00 Pharmacy 2370050 XANAX 0.25MG TAB (ALPRAZOLAM)$ 8.00 Pharmacy 2370051 XANAX 0.5MG TAB (ALPRAZOLAM)$ 8.00 Pharmacy 2371238 XOPENEX 0.63MG/3ML VIAL INHALATION+$ 15.00 Pharmacy 2371239 XOPENEX 1.25MG/3ML INHAL (LEVALBUTEROL)+$ 15.00 Pharmacy 2375477 XYLOCAINE 0.5% IV 50ML W/PRESERVATIVE$ 22.00 Pharmacy 2372628 XYLOCAINE 0.5% W/ EPI 50ML VIAL$ 22.00 Pharmacy 2375634 XYLOCAINE 0.5%-MPF PARABEN FREE 50ML$ 32.00 Pharmacy 2375676 XYLOCAINE 1% W/ EPI 20ML VIAL$ 22.00 Pharmacy 2375659 XYLOCAINE 2% 10ML (anesthesia pyxis only$ 22.00 Pharmacy 2375763 XYLOCAINE -MPF 2% 5ML VIAL SINGLE DOSE$ 22.00 Pharmacy 2371027 ZANTAC SYRUP 75MG/5ML (RANITIDINE)$ 8.00 Pharmacy 2374964 ZANTAC VIAL 150MG/6ML (RANITIDINE)$ 34.00 Pharmacy 2371026 ZANTAC VIAL 50MG/2ML (RANITIDINE)$ 39.00 Pharmacy 2370778 ZAROXOLYN 5MG TAB(METOLAZONE)$ 8.00 Pharmacy 2371251 ZEMURON 10MG/ML INJ 5ML (ROCURONIUM)$ 22.00 Pharmacy 2370702 ZESTRIL 20MG TAB(LISINOPRIL)$ 8.00 Pharmacy 2310356 ZETIA 10MG TAB(EZETIMIBE)$ 10.00 Pharmacy 2310362 ZIAC 10/6.25MG TAB(BISOPROLOL/HCTZ)$ 8.00 Pharmacy 2373581 ZITHROMAX 100MG/5ML ORAL SUSP (AZITH)$ 31.00 Pharmacy 2371254 ZITHROMAX 200MG/5ML ORAL [AZITHROMYCIN]$ 29.00 Pharmacy 2371255 ZITHROMAX 250MG TAB(AZITHROMYCIN)$ 8.00 Pharmacy 2371256 ZITHROMAX 500MG VIAL(AZITHRO)$ 22.00 Pharmacy 2371063 ZOCOR 20MG TAB(SIMVASTATIN)$ 8.00 Pharmacy 2310042 ZOCOR 80MG TAB(SIMVASTATIN)$ 8.00 Pharmacy 2376026 ZOFRAN 4MG ODT(FOR AMBULANCE BAGS)$ 8.00 Pharmacy 2370907 ZOFRAN 4MG/2ML INJ VIAL (ONDANSETRON)$ 22.00 Pharmacy 2372171 ZOFRAN 8MG ODT TABLET(ONDANSETRON)$ 8.00 Pharmacy 2372605 ZOFRAN ORAL SOLN 4MG/5ML(ONDANSETRON$ 30.00 Pharmacy 2371261 ZOLOFT 50MG TAB(SERTRALINE)$ 8.00 Pharmacy 2371262 ZOSTAVAX SINGE PF W/DIL DSHP$ 604.00 Pharmacy 2372264 ZOSYN 2.25GM/ VIAL(PIPERACILLIN/TAZO)$ 22.00 Pharmacy 2371264 ZOSYN 3.375GM/ VIAL (PIPRACILLIN/TAZOBA$ 31.00 Pharmacy 2372250 ZOSYN 4.5GM/VIAL(PIPERACI/TAZOBACTAM)$ 40.00 Pharmacy 2310292 ZOVIRAX 400MG TAB(ACYCLOVIR)$ 8.00 Pharmacy 2370023 ZOVIRAX 500MG VIAL(ACYCLOVIR)$ 118.00 Pharmacy 2370022 ZOVIRAX 500MG/10ML (ACYCLOVIR SOD)$ 22.00 Pharmacy 2370049 ZYLOPRIM 100MG TAB(ALLOPURINOL)$ 8.00 Pharmacy 2310360 ZYLOPRIM 300MG TAB(ALLOPURINOL)$ 8.00 Pharmacy 2310367 ZYPREXA 20MG TAB (OLANZAPINE)$ 15.00 Rehab 3197113 OT AQUA THERAPY$ 146.00 Rehab 3197034 OT CONTRAST BATH PER 15 MINUTES$ 61.00 Rehab 3100033 OT ELECTRIC SIMULATION 15 MINUTES$ 61.00 Rehab 3197167 OT EVALUATION, HIGH COMPLEXITY$ 277.00 Rehab 3197165 OT EVALUATION, LOW COMPLEXITY$ 277.00 Rehab 3197166 OT EVALUATION, MODERATE COMPLEXITY$ 277.00 Rehab 3100022 OT EXERCISE 15 MINUTES$ 110.00 Rehab 3197010 OT HOT PACK PER 15 MINUTES$ 88.00 Rehab 3197033 OT IONTOPHORES 15 MINUTES$ 89.00 Rehab 3197140 OT MANUAL THERAPY EACH 15 MINUTES$ 102.00 Rehab 3100023 OT MASSAGE 15 MINUTES$ 90.00 Rehab 3100024 OT NEURO RE-EDUCATION 15 MINUTES$ 114.00 Rehab 3197760 OT ORTH FITTING/TRNG$ 127.00 Rehab 3197763 OT ORTHOTIC/PROSTHETIC MGT TRAINING$ 104.00 Rehab 3100034 OT PARAFIN BATH 15 MINUTES$ 37.00 Rehab 3197168 OT RE-EVALUATION$ 277.00 Rehab 3100025 OT SELFCARE/HOME 15M$ 114.00 Rehab 3100014 OT SUPERVISED ICE MASSAGE$ 88.00 Rehab 3100026 OT THERAP ACT 15 MINUTES$ 118.00 Rehab 3197127 OT THERAPEUTIC INTERV COGNITIVE FUNCTION$ 158.00 Rehab 3100029 OT ULTRASOUND 15 MINUTES$ 44.00 Rehab 3100002 OT WHEELCHAIR MGT, 15 MIN$ 106.00 Rehab 3100028 OT WHEELCHAIRMGT 15M$ 106.00 Rehab 3100013 OT WHIRLPOOL$ 77.00 Rehab 3000080 PT AQUA THERAPY$ 146.00 Rehab 3095992 PT CANALITH REPOSITIONING TECH$ 150.00 Rehab 3000338 PT COLD PACKS$ 88.00 Rehab 3097034 PT CONTRAST BATH 15MIN$ 61.00 Rehab 3000239 PT ELEC MUSCLE$ 61.00 Rehab 3097163 PT EVALUATION, HIGH COMPLEXITY$ 259.00 Rehab 3097161 PT EVALUATION, LOW COMPLEXITY$ 259.00 Rehab 3097162 PT EVALUATION, MODERATE COMPLEXITY$ 259.00 Rehab 3000676 PT EXERCISE$ 110.00 Rehab 3000254 PT GAIT TRAINING$ 98.00 Rehab 3000650 PT HOT PACKS$ 88.00 Rehab 3000651 PT IONTOPHORESIS$ 89.00 Rehab 3000022 PT MANUAL THERP TECH$ 102.00 Rehab 3000643 PT MASSAGE$ 90.00 Rehab 3000678 PT NEURO RE-EDUCATIO$ 114.00 Rehab 3000024 PT ORTHO FITTNG/TRNG$ 127.00 Rehab 3097763 PT ORTHOTIC/PROSTHETIC MGT TRAINING$ 104.00 Rehab 3000213 PT PARAFFIN$ 37.00 Rehab 3000026 PT PROSTHETIC TRAING$ 112.00 Rehab 3097164 PT RE-EVALUATION$ 144.00 Rehab 3000035 PT REM D/TISSUE<20CM$ 252.00 Rehab 3000032 PT SENSR INTEGR TECH$ 100.00 Rehab 3000028 PT THERAPEU ACTIVITY$ 118.00 Rehab 3000031 PT TRACTION$ 54.00 Rehab 3000023 PT ULTRASOUND 15 MIN$ 44.00 Rehab 3070716 PT VASOPNEUMATIC$ 64.00 Rehab 3097542 PT WHEELCHAIR MGT/ASSMT/FIT/TRAIN,15 MIN$ 106.00 Rehab 3000478 PT WHIRLPOOL$ 77.00 Rehab 3292524 ST BEHAVIORAL QUAL ANAL VOICE/RESONANCE$ 211.00 Rehab 3292610 ST CLINICAL SWALLOW/DYSPHAGIA EVAL$ 200.00 Rehab 3292522 ST EVAL OF SPEECH SOUND PRODUCTION$ 217.00 Rehab 3292523 ST EVAL SPEECH SOUND PROD W LANG COMP$ 453.00 Rehab 3292507 ST SPEECH VISIT$ 185.00 Rehab 3297127 ST THERAPEUTIC INTERVEN COGNITIVE FUNCTI$ 158.00 Rehab 3292526 ST TX SWALLOWING DYSFUNCTION$ 201.00 Respiratory Therapy 2894618 6 MINUTE WALK TEST$ 240.00 Respiratory Therapy 2894667 ACAPELLA$ 108.00 Respiratory Therapy 2882805 ARTERIAL BLOOD GAS+$ 160.00 Respiratory Therapy 2836600 ARTERIAL PUNCTURE (WITHDRAWL OF BLOOD)$ 156.00 Respiratory Therapy 2894726 BODY PLETHYSMOGRAPHY W THORACIC GAS$ 220.00 Respiratory Therapy 2894770 CARBON DIOXIDE ANALYZER$ 38.00 Respiratory Therapy 2882375 CARBOXYHEMOGLOBIN$ 95.00 Respiratory Therapy 2893798 CARDIAC REHAB - W/ CONT EKG$ 249.00 Respiratory Therapy 2893797 CARDIAC REHAB (NO EKG)$ 249.00 Respiratory Therapy 2894644 CONTINUOUS INHALATION THERAPY 1ST HR$ 180.00 Respiratory Therapy 2894645 CONTINUOUS INHALATION THERAPY,EA ADDL HR$ 58.00 Respiratory Therapy 2894660 CPAP VENT CONT POSITIVE AIRWAY PRESSURE$ 311.00 Respiratory Therapy 2893270 CPT EVENT MONITOR HOOKUP$ 38.00 Respiratory Therapy 2894729 DLCO DIFFUSING CAPACTIY SINGLE BRTH CO2$ 226.00 Respiratory Therapy 2885018 HEMOGLOBIN$ 17.00 Respiratory Therapy 2841006 INHALATION THERAPY$ 75.00 Respiratory Therapy 2894664 MEDISPACER (DEMO AND/OR EVAL OF PT USE)$ 35.00 Respiratory Therapy 2894761 MULTIPLE PULSE OX$ 23.00 Respiratory Therapy 2800928 PEAKFLOW$ 53.00 Respiratory Therapy 2894010 PFT BASIC--COMPLETE IF INDICATED$ 151.00 Respiratory Therapy 2894541 PFT COMPLETE+$ 254.00 Respiratory Therapy 2800424 PULMONARY REHAB, COPD, PER HR$ 61.00 Respiratory Therapy 2800237 PULMONARY REHAB, EDUC OTHER INDIV,15 MIN$ 19.00 Respiratory Therapy 2800239 PULMONARY REHAB, EXER OTHER GROUP$ 25.00 Respiratory Therapy 2800238 PULMONARY REHAB, EXER OTHER INDIV,15 MIN$ 20.00 Respiratory Therapy 2894760 PULSE OX - SINGLE$ 14.00 Respiratory Therapy 2894762 PULSE OX - CONTINUOUS$ 115.00 Respiratory Therapy 2893949 STRESS TEST$ 592.00 Respiratory Therapy 2894668 SUBSEQUENT ACAPELLA$ 119.00 Respiratory Therapy 2836415 VENIPUNCTURE COLLECTION OF BLOOD$ 8.00 Respiratory Therapy 2802805 VENOUS BLOOD GAS+$ 160.00 Respiratory Therapy 2894656 VENTILATION INIT DAY$ 410.00 Respiratory Therapy 2894657 VENTILATION SUBSEQUENT ASSIST$ 295.00 Surgical Services 3700010 ADMN HEPATITIS B VACCINE MEDICARE$ 75.00 Surgical Services 3700008 ADMN INFLUENZA VACCINE$ 15.00 Surgical Services 3700009 ADMN PNEUMONIA VACCINE$ 70.00 Surgical Services 1700084 ANES BASE UNITS GENERAL$ 159.00 Surgical Services 1700019 ANES BASE UNITS REGIONAL$ 188.00 Surgical Services 1700027 ANESTHESIA FACILITY CHARGE$ 246.00 Surgical Services 3720610 ASPIRATION/INJECTION, JOINT OR JOINT CAP$ 126.00 Surgical Services 3751702 BLADDER CATH INDEWLLING SIMPLE$ 341.00 Surgical Services 3736592 COLLECT BLD SPEC CENTRAL/PERIPHERAL VEN$ 123.00 Surgical Services 3736591 COLLECT BLD SPEC FROM IMPL VEN DEV$ 110.00 Surgical Services 1700076 CRNA PER MINUTES UNIT GENERAL$ 10.00 Surgical Services 1700035 CRNA PER MINUTES UNIT REGIONAL$ 12.00 Surgical Services 3700014 DIABETIC COUNSELING$ 106.00 Surgical Services 3700053 HEPATITIS B VAC 3 SE$ 665.00 Surgical Services 3790471 IMMUNIZATION ADMINISTRATION CLINIC ROOM$ 120.00 Surgical Services 3790724 INFLUENZA VIRUS VACCINE$ 41.00 Surgical Services 3790772 INJ DIAG/THERA/PROP SUBCUT/INTRAMUSCULAR$ 120.00 Surgical Services 3796376 INJ IV PUSH SEQ SAME DRUG EACH$ 84.00 Surgical Services 3796374 INJ IV PUSH SINGLE OR INITIAL$ 270.00 Surgical Services 3796523 IRRIGATION OF IMPLANTED VENOUS ACC DEV$ 117.00 Surgical Services 3796361 IV HYDRATION EACH ADDITIONAL HOUR$ 73.00 Surgical Services 3796360 IV HYDRATION INITIAL - 31 MIN TO 1 HR$ 271.00 Surgical Services 3790781 IV INFUSION EA ADDTL HOUR$ 91.00 Surgical Services 3790767 IV THER ADDT SEQ IVF$ 147.00 Surgical Services 3790768 IV THER CONCURE IVF$ 72.00 Surgical Services 3790780 IV THERAPY 1ST HOUR$ 329.00 Surgical Services 3790775 IVP EA ADDTL/SEQUENTIAL NEW DRUG/SUB$ 107.00 Surgical Services 3790774 IVP SINGLE OR INITIAL SUB/DRUG$ 270.00 Surgical Services 3700012 NUTRITIONAL CONSULT$ 105.00 Surgical Services 1200101 OR LEVEL 1 - 1st 30 MIN$ 568.00 Surgical Services 1200301 OR LEVEL 1 - EACH ADD 15 MIN$ 113.00 Surgical Services 1200102 OR LEVEL 2 - 1st 30 MIN$ 947.00 Surgical Services 1200302 OR LEVEL 2 - EACH ADD 15 MIN$ 170.00 Surgical Services 1200103 OR LEVEL 3 - 1st 30 MIN$ 1,438.00 Surgical Services 1200303 OR LEVEL 3 - EACH ADD 15 MIN$ 247.00 Surgical Services 1200104 OR LEVEL 4 - 1st 30 MIN$ 2,348.00 Surgical Services 1200304 OR LEVEL 4 - EACH ADD 15 MIN$ 398.00 Surgical Services 1200105 OR LEVEL 5 - 1st 30 MIN$ 3,938.00 Surgical Services 1200305 OR LEVEL 5 - EACH ADD 15 MIN$ 663.00 Surgical Services 3799195 PHLEBOTOMY THERAPEUTIC (SEPARATE PROC)$ 473.00 Surgical Services 1240200 RECOVERY ROOM, 6 HRS or MORE$ 1,500.00 Surgical Services 1240100 RECOVERY ROOM, UP TO 6 HRS$ 641.00 Surgical Services 3736589 REMOVAL OF CENTRAL VENOUS CATH$ 357.00 Surgical Services 3711626 REMOVAL OF MALIGNANT GROWTH$ 875.00 Surgical Services 3711042 REMOVAL OF SKIN AND TISSUE$ 257.00 Surgical Services 3712032 REPAIR, INTERMEDIATE, WOUND$ 643.00 Surgical Services 3729580 STRAPPING, UNNA BOOT$ 133.00 Surgical Services 3736430 TX RM BLOOD ADMIN, 1 UNIT$ 558.00 Surgical Services 3706430 TX RM BLOOD ADMIN, 2 OR MORE UNITS$ 920.00 Surgical Services 3700100 TX ROOM - LEVEL 1$ 105.00 Surgical Services 3700200 TX ROOM - LEVEL 2$ 302.00 Surgical Services 3700300 TX ROOM - LEVEL 3$ 622.00