Getting a Price Estimate 

How Much Will My Care Cost?

This question is top-of-mind for many of our patients. Here we provide some resources to help you make a more informed decision about your care and to help you better understand any out-of-pocket costs you may incur.

We know that navigating health care costs can be confusing, so we invite you to call us. And if you need help understanding our financial plans available for your care, we can start that conversation too.

Request an Estimate

Call Us: 618.643.2361 ext. 5215

When calling, please be prepared to provide the following information to ensure a quicker response time:

  • Patient name and contact information
  • Patient insurance information
  • Physician ordering test/procedure
  • CPT code(s)

A coding system, defined in the publication Content Procedural Terminology, for medical procedures that allows for compatibility in pricing, billing and utilization review. If you do not have the CPT code for your procedure, our patient accounts representatives can provide this information with an exact description of the service. If you are unable to provide a description, you can obtain this code by contact your provider’s office.

Items affecting your out-of-pocket expenses:

  • Deductible – The amount of money you must pay annually before your health insurance plan begins to pay for other medical expenses.
  • Co-Insurance – A cost-sharing requirement in which you are responsible for paying a certain percentage of the cost and the insurance company is responsible for the remaining percentage of the covered medical expenses after your deductible is met.
  • Co-Payment – Also known as a co-pay, this refers to a specific flat fee for each health service.

Items impacting the accuracy of the estimation of liability:

  • Accuracy of CPT(s)
  • Additional testing ordered
  • Patient remaining for observation/in patient after a procedure
  • Cost/quantity of medications
  • Changes in patient deductible due to timing of insurance claims processing

Our standard charges are available to review below; however, circumstances affecting your out-of-pocket expense are unique to you. Please contact a patient accounts representative a 618.643.2361 ext. 5215 who can help you understand the services and associated charges.

Note: All estimates are an approximation of your out-of-pocket hospital billing expenses. This does not include any estimation for professional billing (physicians, pathology, radiologists, etc.). If you have detailed questions about how your insurance carrier will process your claim, please contact your insurance carrier. Any estimation of liability is not considered a guarantee of benefits (or coverage of the test under your specific insurance plan).

CPT ITEM NUMB DESCRIPTION REVENUE PRICE
0249T   140249 HEMORRHOIDECTOMY INTERNAL ULTRASOUND 361 1248.21
0249T 14140249 P-HEMORRHOIDECTOMY-INT BY ULTRASOUND 982 909.20
10021    10062 ASPIRATION W/O IMAGE GUIDANCE 981 536.55
10022    10063 ASPIRATION W/IMAGE GUIDANCE 981 536.55
10060    16006 I & D ABSCESS SIMPLE IN OP SETTING 420 152.25
10060    10060 I & D OF ABSC 361 547.50
10060    10162 I & D OF ABSC, SIMPLE, SINGLE 450 224.70
10060    11061 PHYS-INC&DRAINAGE ABSCESS 981 372.75
10061    10163 I & D OF ABSC, COMPLICATED, MULTIPLE 450 224.70
10061    10061 I & D OF ABSC, COMPLICATED, MULTIPLE 981 372.75
10081    10081 INCISION & DRAINAGE OF PILONIDAL CYST-CO 981 227.85
10081    10080 INCISION & DRAINAGE OF PILONIDAL CYST-SI 981 227.85
10120    69213 INCISION & REMOVAL F.B. SUB TISSUE, SIMP 450 224.70
10120    10120 INCISION & REMOVAL F.B. SUB TISSUE, SIMP 981 227.85
10140    10140 I & D OF HEMATOMA, SEROMA, FLUID COLL 981 256.20
10140    10141 I & D OF HEMATOMA, SEROMA, FLUID COLL 450 1740.90
10140    16008 I&D OF HEMATOMA, SEROMA OR FLUID COLLECT 420 152.25
10140    11064 PHYS-I&D OF HEMATOMA SEROMA OR FLUID 981 372.75
10160    10161 PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA 450 160.65
10160    10160 PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA 981 227.85
11000    16007 DEBRIDE/REMOVAL OF ACZEMATOUS TISSUE 420 152.25
11000    11000 EXCISIONAL DEBRIDEMENT 361 250.00
11000    11062 PHYS-DEBRIDE/REMOVAL OF TISSUE 981 372.75
11001    11001 DEBRIDE/REMOVAL OF ACZEMATOUS TISSUE 420 152.25
11001    11063 PHYS-DEBRIDE/REMOVAL OF TISSUE 981 372.75
11040    10164 DEBRIDEMENT SKIN, PART THICK 450 256.20
11040    11040 DEBRIDEMENT SKIN, PART THINK 981 144.90
11042    11041 DEBRIDE SUBQ TISSUE FIRST 20 CM 361 827.40
11042    11042 DEBRIDE SUBQ TISSUE FIRST 20 CM 761 827.40
11042    11049 PHYS-DEBRIDEMENT 982 372.75
11043    11043 DEBRIDE MUSCLE/FASCIA FIRST 20 CM 761 152.25
11043    11051 PHYS-DEBRIDEMENT MUSCLE 981 372.75
11044    11044 DEBRIDE BONE FIRST 20 CM 761 152.25
11044    11053 PHYS-DEBRIDE BONE 981 372.75
11045    11045 DEBRIDE SUBQ TISSUE EA ADDITIONAL 20 CM 761 152.25
11045    11048 DEBRIDE SUBQ TISSUE EA ADDITIONAL 20 CM 361 152.25
11045    11050 PHYS-DEBRIDEMENT 981 372.75
11046    11046 DEBRIDE MUSCLE/FASCIA EACH ADDITIONAL 20 761 152.25
11046    11052 PHYS-DEBRIDEMENT MUSCLE 981 372.75
11047    11047 DEBRIDE BONE EACH ADDITIONAL 20CM 420 152.25
11047    11054 PHYS-DEBRIDE BONE 981 372.75
11100    11100 BIOPSY SKIN, SUBCUTANEOUS 420 152.25
11100    11055 PHYS-BIOPSY 981 372.75
11402    11402 EXC LESION, 1.1 TO 2.0 981 116.55
11406  1411106 P-REMOVAL GROWTH(4+CENT)TRUNK,ARMS,LEGS 982 1632.00
11406   111406 REMOVAL OF GROWTH(4.0CENT) TRUNK,ARMS/LE 361 2040.00
11423  1411423 P-REMOVAL OF GROWTH (2.1-3.0)CM SCALP,NE 982 625.00
11423    11423 REMOVAL OF GROWTH (2.1-3.0)CM SCALP,NECK 361 975.00
11426  1411426 P-REMOVAL GROWTH +4CM SC;HANDS;FEET;GEN 982 1129.16
11426    11426 REMOVAL GROWTH +4CM SC;HAND;FEET 361 2175.00
11441  1411441 P-REMOVAL GROWTH .6-1M;FACE,EARS,EYELD.. 982 525.16
11441    11441 REMOVAL GROWTH .6-1CM ;FACE,EARS,EYELD.. 361 1075.00
11720    11720 DEBRIDEMENT OF NAILS 981 46.20
11730    11731 AVULSION-NAIL PLT PARTIAL OR COMPLETE 450 171.15
11730    11730 AVULSION-NAIL PLT PARTIAL OR COMPLETE 981 227.85
11730    11406 AVULSION-NAIL PLT PARTIAL OR COMPLETE 981 366.45
11730    11407 AVULSION-NAIL PLT PARTIAL OR COMPLETE 450 452.55
11732    11732 AVULSION-EACH ADDITIONAL NAIL PLT 981 94.50
11732    11736 AVULSION-EACH ADD’L NAIL PLT 450 131.25
11740    11741 INC & DRAINAGE SUBUNGUAL HEMATOMA 981 65.10
11740    11740 INC AND DRAINAGE SUBUNGUAL HEMATOMA 450 65.10
11750    11750 REMOVAL OF NAILS 981 372.75
11760    11760 REPAIR OF NAIL BED 981 266.07
12001    12001 2.5/LESS SIM REP SC/NK/AX/GEN/TK/EXT 981 264.60
12001    21051 2.5/LESS SIM REP SC/NK/AX/GEN/TK/EXT 450 268.80
12002    21052 2.6/7.5 SIM REP SC/NK/AX/GEN/TK/EXT 450 296.10
12002    12002 2.6/7.5 SIM REP SC/NK/AX/GEN/TK/EXT 981 326.55
12002    12067 20.1/30.0 SIM REP SC/NK/AX/GEN/TK/EXT 450 296.10
12004    21053 7.6/12.5 SIM REP SC/NK/AX/GEN/TK/EXT 450 393.75
12004    12004 7.6/12.5 SIM REP SC/NK/AX/GEN/TK/EXT 981 396.90
12005    12005 SUTURE LAEFLEG 981 264.60
12006    12006 20.01/30.0 SIM REP SC/NK/AX/GEN/TK/EXT 981 396.90
12007    12007 SIMPLE REPAIR OVER 30CM 450 672.06
12011    21054 0-2.5/LESS SIM REP FC/ER/EY/NS/LP/MM 450 268.80
12011    13150 1.0/LESS COM REP EY/NS/ER/LP 981 722.40
12011    12227 1.0/LESS COM REP EY/NS/ER/LP 450 820.05
12011    12011 2.5/LESS SIM REP FC/ER/EY/NS/LP/MM 981 326.55
12011    12020 SIMPLE REPAIR WOUND DEHESIENCE 450 393.75
12013    21055 2.6/5.0 SIM REP FC/ER/EY/NS/LP/MM 450 332.85
12013    12013 2.6/5.0 SIM REP FC/ER/EY/NS/LP/MM 981 372.75
12014    12014 5.1/7.5 SIM REP FC/ER/EY/NS/LP/MM 981 396.90
12014    21056 5.1/7.5 SIM REP FC/ER/EY/NS/LP/MM 450 422.10
12015    12210 7.6/12.5 SIM REP FC/ER/EY/NS/LP/MM 450 393.75
12015    12015 7.6/12.5 SIM REP FC/ER/EY/NS/LP/MM 981 516.60
12016    12016 SIMPLE REPAIR 12.6 TO 20.0 CM 981 546.00
12017    12018 20.0 TO 30.0 SIMP REP OF FACE, EARS, EYE 450 305.55
12017    12017 20.1 TO 30 SIMP REP FACE, EARS EYELIDS, 981 326.55
12031    21057 2.5/LESS INT REP SC/AX/TK/EXT 450 305.55
12031    12031 2.5/LESS INT REP SC/AX/TK/EXT 981 326.55
12032    12032 2.6/7.5 INT REP SC/AX/TK/EXT 981 372.75
12032    21058 2.6/7.5 INT REP SC/AX/TK/EXT 450 393.75
12034    12034 7.6/12.5 INT REP SC/AX/TK/EXT 981 541.80
12034    21059 7.6/12.5 INT REP SC/AX/TK/EXT 361 1518.68
12034  1421059 P-REPAIR WOUND (7.6 TO 12.5CM) 982 632.50
12035    12035 20.0/LESS INT REP SC/AX/TK/EXT 361 1830.00
12035  1412035 P-REPAIR WOUND -20CM/SC;AX;TX;EXT 982 735.00
12036    12036 LAYER CLOSURE OF WOUND 20.1-30.0cm 361 2037.00
12036  1412036 P-REMOVAL OF LYMPH NODES AT GROIN 982 1389.00
12041    12211 2.5/LESS INT REP NK/HN/FT/GEN 450 305.55
12041    12041 2.5/LESS INT REP NK/HN/FT/GEN 981 326.55
12042    12212 2.6/7.5 INT REP NK/HN/FT/GEN 450 393.75
12042    12042 2.6/7.5 INT REP NK/HN/FT/GEN 981 948.00
12042  1412042 P-REPAIR NECK,HANDS,FEET 2.6-7.5 982 787.00
12044    12044 7.6/12.5 INT REP NK/HN/FT/GEN 981 516.60
12044    12213 7.6/12.5 INT REP NK/HN/FT/GEN 450 559.65
12051    12214 2.5/LESS INT REP FC/ER/EY/NS/LP/MM 450 305.55
12051    12051 2.5/LESS INT REP FC/ER/EY/NS/LP/MM 981 372.75
12052    12215 2.6/5.0 INT REP RC/ER/EY/NS/LP/MM 450 393.75
12052    12052 2.6/5.0 INT REP RC/ER/EY/NS/LP/MM 981 516.60
12053    12216 5.1/7.5 INT REP FC/ER/EY/NS/LP/MM 450 559.65
12053    12053 5.1/7.5 INT REP FC/ER/EY/NS/LP/MM 981 591.15
12054    12217 7.6/12.5 INT REP FC/ER/EY/NS/LP/MM 450 703.50
12054    12054 7.6/12.5 INT REP FC/ER/EY/NS/LP/MM 981 722.40
12055    12218 12.6/20.0 INT REP FC/ER/EY/NS/LP/MM 450 877.80
12055    12055 12.6/20.0 INT REP FC/ER/EY/NS/LP/MM 981 880.95
12056    12219 20.1/30.0 INT REP FC/ER/EY/NS/LP/MM 450 1097.25
12056    12056 20.1/30.0 INT REP FC/ER/EY/NS/LP/MM 981 1180.20
12057    12057 OVER 30.0 INTERMEDIATE REPAIR 981 1332.45
12057    12220 OVER 30.0 INTERMEDIATE REPAIR 450 1370.25
13100    13100 1.1/2.5 REP COM REP TRUNK 981 516.60
13100    12221 1.1/2.5 REP COM REP TRUNK 450 820.05
13101    13101 2.6/7.5 COM REP TRUNK 981 663.60
13101    12222 2.6/7.5 COM REP TRUNK 450 1026.90
13120    13120 1.1/2.5 COM REP SC/AR/LE 981 516.60
13120    12223 1.1/2.5 COM REP SC/AR/LE 450 820.05
13121    13121 2.6/7.5 COM REP SC/AR/LE 981 722.40
13121    12224 2.6/7.5 COM REP SC/AR/LE 450 1026.90
13122    13122 ADDITIONAL SUTURES 450 100.80
13131    13131 1.1/2.5 COM REP FH/CH/CN/MT/NK/AX/GN 981 591.15
13131    12225 1.1/2.5 COM REP FH/CH/CN/MT/NK/AX/GN/H/F 450 820.05
13132    13132 2.6/7.5 COM REP FH/CH/CN/MT/NK/AX/GN 981 817.95
13132    12226 2.6/7.5 COM REP FH/CH/CN/MT/NK/AX/GN/H/F 450 1026.90
13133    13133 ADD’L 5 CM OR  LESS 450 229.95
13133    13134 ADD’L 5 CM OR LESS 981 237.30
13151    13151 1.1/2.5 COM REP EY/NS/ER/LP 981 722.40
13151    12228 1.1/2.5 COM REP EY/NS/ER/LP 450 820.05
13152    12229 2.6/7.5 COM REP EY/NS/ER/LP 450 1026.90
13152    13152 2.6/7.5 COM REP EY/NS/ER/LP 981 1107.75
13153    13153 ADDT’L 5CM COM REP EY/NS/ER/LP 450 579.24
14040    14040 SKIN REPAIR 981 1296.75
15200    15200 SKIN GRAFT FULL THICKNESS 981 1456.35
15271    15279 APPLICATION GRAFT LEG 420 152.25
15271    15271 PHYS-APPLICATION GRAFT LEGS 981 372.75
15272    15280 APPLICATION GRAFT LEG EACH ADDITIONAL 420 152.25
15272    15272 PHYS-APPLICATION GRAFT LEGS ADDITIONAL 981 372.75
15273    15281 APPLICATION GRAFT LEG EACH ADDITIONAL 420 152.25
15273    15273 PHYS-APPLICATION GRAFT LEGS ADDITIONAL 981 372.75
15274    15282 APPLICATION GRAFT LEG EACH ADDITIONAL 420 152.25
15274    15274 PHYS-APPLICATION GRAFT LEGS ADDITIONAL 981 372.75
15275    15283 APPLICATION GRAFT FEET 420 152.25
15275    15275 PHYS-APPLICATION GRAFT FEET 981 372.75
15276    15284 APPLICATION GRAFT FEET EACH ADDITIONAL 420 152.25
15276    15276 PHYS-APPLICATION GRAFT FEET ADDITIONAL 981 372.75
15277    15285 APPLICATION GRAFT FEET EACH ADDITIONAL 420 152.25
15277    15277 PHYS-APPLICATION GRAFT FEET 981 372.75
15278    15286 APPLICATION GRAFT FEET EACH ADDITIONAL 420 152.25
15278    15278 PHYS-APPLICATION GRAFT FEET ADDITIONAL 981 372.75
16000    16002 INITIAL TX FIRST DEGREE BURN OP SETTING 420 152.25
16000    16001 INTIAL TREATMENT ER 1ST DEGREE BURN 450 131.25
16000    16000 INTIAL TREATMENT-1ST DEGREE-LOCAL TX ONL 981 158.55
16000    11057 PHYS-INITAL TX 1ST DEGREE BURN 981 372.75
16020    16010 DRESSING &/OR DEBRIDEMENT, SMALL 981 144.90
16020    16021 DRESSING &/OR DEBRIDEMENT, SMALL 450 171.15
16020    16020 DRESSING CHANGE W/O ANESTHESIA 981 215.25
16020    16003 DRESSING CHNG AND/OR DEBRIDE PARTIAN THI 420 152.25
16020    11058 PHYS-DRSG CHG AND/OR DEBRIDE 981 372.75
16025    16025 DRESSING &/OR DEBRIDEMENT, MED 981 144.90
16025    16026 DRESSING &/OR DEBRIDEMENT, MED 450 171.15
16025    16004 DRESSING CHNG AND/OR DEBRIDE PARTIAN THI 420 152.25
16025    11059 PHYS-DRSG CHG AND/OR DEBRIDE 981 372.75
16030    16005 DRESSING CHNG AND/OR DEBRIDE PARTIAN THI 420 152.25
16030    11060 PHYS-DRSG CHG AND/OR DEBRIDE 981 372.75
17250    11101 CHEMICAL CAUTERIZATION OF GRANULATION TI 761 152.25
17250    11056 PHYS-CHEMICAL CAUTERIZATION OF TISSUE 981 372.75
19020    19020 MASTOTOMY /DRAINAGE OF ABSCESS 361 1868.20
19020  1419020 P-MASTOTOMY W/ ABSESS DRAINAGE 982 1250.84
19110    19110 EXPLORATION OF BREAST NIPPLE 361 2353.83
19110  1419110 P-EXPLORATION BREAST NIPPLE 982 1059.96
19120    19120 EXC OF CYST,FIBR-BENGN/MALIGN-BRST/NIPPL 361 2444.85
19120  1419120 P-ESC OF CYST,FIBR,BNG/MALIGN BRST/NIPPL 982 1279.32
19300  1419300 P-REMOVAL EXTRA BREAST TISSUE 982 1272.72
19300    19300 REMOVAL EXTRA BREAST TISSUE 361 2594.50
19301    19301 PARTIAL REMOVAL OF BREAST 361 3286.00
19301  1419301 P-PARTIAL REMOVAL OF BREAST 982 2050.00
20102    20102 EXPLORATION/PENETRATING WOUND, ABD,FLANK 361 2352.00
20102  1420102 P-EXPL PENENETRAT WOUND ABD, FLANK,BACK 982 1285.00
20103    20104 EXPLORATION OF WOUND 450 1653.75
20103    20103 EXPLORATION OF WOUND EXTREMITY 981 901.95
20552  3020552 CL-INJECTION TRIGGER POINTS 521 156.33
20610    20605 ARTHROCENTESIS/INJ TO INTERMED JOINT 981 158.55
20610    20606 ARTHROCENTESIS/INJ TO INTERMED JOINT 450 353.85
20610    20610 ARTHROCENTESIS/INJ TO MAJOR JOINT 981 158.55
20610    20611 ARTHROCENTESIS/INJ TO MAJOR JOINT 450 353.85
20822    20823 REATTACHMENT OF FINGER 450 4211.55
20822    20822 REATTACHMENT OF FINGER 981 5380.20
21554    21554 EXCISION OF GROWTH NECK 360 1599.15
21931    21931 EXCISION OF BACK & FLANK >3CM 360 2348.00
21931  1421931 P-EXCISION OF BACK & FLANK >3CM 982 1456.32
21933    21933 EXCISION OF BACK & FLANK >5CM 360 1527.10
21933  1421933 P-EXCISION OF BACK & FLANK >5CM 982 1527.10
22903  1422903 P-REMOVAL 3+CM TISS GRTH BENEATH ABD SKI 982 1365.00
22903    22903 REMOVAL 3+CM TISSUE GRTH BENEATH ABD SKI 361 2196.00
23500    23500 TREATMENT OF CLAVICLE FRACTURE W/O MANIP 981 733.95
23500    23501 TREATMENT OF CLAVICLE FX WO MANIPULATION 450 324.45
23540    23540 CLOSED TX OF SHOULDER DISCLOCATION W/O 981 390.60
23650    29111 SHOULDER DISLOCATION W/O ANESTHESIA 450 261.45
23650    23650 SHOULDER DISLOCATION W/O ANESTHESIA 981 733.95
23655    23655 SHOULDER DISLOCATION WITH ANESTHESIA 981 964.95
23655    29112 SHOULDER DISLOCATION WITH ANESTHESIA 450 2280.60
23930    23930 I & D UPPER ARM OR ELBOW AREA 981 372.75
24000    24000 I & D ELBOW FOR INFECTION W REMOVAL OF F 981 372.75
24600    29113 ELBOW DISLOCATION W/O ANESTHESIA 450 261.45
24600    24600 ELBOW DISLOCATION W/O ANESTHESIA 981 722.40
24605    24605 ELBOW DISLOCATION WITH ANESTHESIA 981 880.95
24605    29114 ELBOW DISLOCATION WITH ANESTHESIA 450 2280.60
24640    24640 REDUCTION OF NURSEMAID ELBOW W MANIPULAT 981 236.25
24670    24670 CAST APPLICATION ULNAR FX WO MANIPULATIO 981 785.40
25505    25505 CLOSED REDUCTION FX RADIUS W MANIPULATIO 981 1061.55
25565    25565 CLOSED TREATMENT OF RADIAL & ULNAR FRACT 450 1628.55
25600    25600 CLOSED TX OF DISTAL RADIAL FX 981 931.35
25605    25605 CLOSED TX OF DISTAL RADIAL FRACTURE 450 1082.40
26010    26010 I & D OF FINGER ABSESS SIMPLE 981 362.25
26011    26011 I & D OF FINGER ABSESS COMPLICATED 981 362.25
26075    26075 ARTHROTOMY W/EXPL & REMOVAL FOREIGN BODY 981 492.45
26607    26607 UNDER FRACTURE AND/OR DISLOCATION HAND 450 1389.00
26641    26730 CLOSED REDUCTION THUMB DISLOCATION W/MAN 981 767.62
26670    29115 CARPOMET DISLOC W/O ANESTH EA JOINT 450 261.45
26670    26670 CARPOMET DISLOC W/O ANESTH EA JOINT 981 591.15
26675    29116 CARPOMET DISLOC WITH ANESTH EA JOINT 450 261.45
26675    26675 CARPOMET DISLOC WITH ANESWTH EA JOIN 981 1035.30
26700    26700 CLOSED TX OF METACARPOPHALANGEAL DISC 981 475.65
26700    26701 CLOSED TX OF METACARPOPHALANGEAL DISCL 450 541.80
26725    26725 CLOSED REDUCTION FX PHALANX EACH 981 469.35
26750    26750 CLOSED TX OF INTERPHALANGEAL FINGER/THUM 450 675.27
26755    26756 CLOSED TX OF DISTAL PHALANGEAL FRACTURE 450 977.55
26755    26755 CLOSED TX OF INTERPHALANGEAL JOINT DISLO 981 569.10
26770    26726 CLOSED REDUCTION INTERPHALANGAL JOINT SI 981 469.35
27266    27266 CLOSED TX OF POST HIP DISLOCATION W/ANES 450 800.10
27337  1427337 P-REMOVAL 3+CM TISSUE GROWTH 982 1722.00
27337    27337 REMOVAL 3+ CMISSUE GROWTH 361 2778.00
27550    29117 CLOSED KNEE DISLOC W/O ANESTHA 450 261.45
27550    27550 CLOSED KNEE DISLOC W/O ANESTHA 981 998.55
27552    27552 CLOSED KNEE DISLOC WITH ANESTH 981 1290.45
27552    29118 CLOSED KNEE DISLOC WITH ANESTH 450 2280.60
27562    27562 PATELLA CLOSED TX W/ANEST 981 1290.45
27603    27604 INC & DRAINAGE, LEG AND ANKLE 981 1107.75
27603    27603 INC & DRAINAGE, LEG OR ANKLE, DEEP ABSCE 450 1221.15
27762    27752 CLOSED TREATMENT OF BROKEN TIBIAL SHAFT 450 1740.40
27762    27763 REDUCTION FRACTURE MEDIAL MALLEOTUS 450 281.40
27762    27762 REDUCTION FRACTURE MEDIAL MALLEOTUS 981 357.00
27788    27788 ANKLE FRACTURE TREATMENT 450 1546.12
27810    27810 CLOSED TX OF ANKLE, W/ MANIPULATION 981 812.70
27810    27811 CLOSED TX OF ANKLE, W/MANIPULATION 450 812.70
27810    27818 CLOSED TX OF ANKLE, W/O MANIPULATION 450 812.70
27840    29119 ANKLE DISLOC, CLOSED W/O ANESTH 450 261.45
27840    27840 ANKLE DISLOCATION, CLOSED W/O ANESTHESIA 981 733.95
27842    29220 ANKLE DISLOC, CLOSED WITH ANESTH 450 2280.60
27842    29243 ANKLE DISLOC, CLOSED WITH ANESTH 450 2280.60
27842    27842 ANKLE DISLOCATION, CLOSED WITH ANESTHESI 981 964.95
28190    28190 REMOVAL FOREIGN BODY FOOT SUBCUTANEIOUS 981 256.20
28515    28515 REDUCTION FRACTURE TOE 450 247.80
28515    28512 REDUCTION FRACTURE TOE 981 278.25
28540    28540 CLOS TX OF TARSAL BONE DISLOC WO ANE 981 289.80
28540    29221 CLOS TX OF TARSAL BONE DISLOC WO ANESTH 450 261.45
28545    28545 CLOS TX OF TARSAL BONE DISLOC W ANES 981 443.10
28545    29222 CLOS TX OF TARSAL BONE DISLOC W ANESTH 450 3987.90
28660    28660 CLOSED TX OF INTERPHALANGEAL JT WO ANES 981 234.15
28660    28661 CLOSED TX OF INTERPHALANGEAL JT WO ANEST 450 294.00
29065    29065 APPLICATION OF LONG ARM CAST 981 168.00
29075    29075 APPLICATION OF SHORT ARM CAST 981 144.90
29085    29085 CAST APPLICATION TO HAND & LOWER FOREARM 981 158.55
29105    29106 APPLICATION OF LONG ARM SPLINT 450 166.95
29105    29105 APPLICATION OF LONG ARM SPLINT 981 180.60
29125    29125 APPLICATION OF SHORT ARM SPLINT 981 158.55
29125    29107 APPLICATION OF SHORT ARM SPLINT 450 166.95
29126    29126 APPL FOREARM SPLINT / DYNAMIC 981 158.55
29130    29130 APPLICATION OF FINGER SPLINT STATIC 981 121.80
29130    29108 APPLICATION OF FINGER SPLINT STATIC 450 166.95
29131    29131 APPLICATION OF FINGER SPLINT DYNAMIC 981 94.50
29240    29240 APPLICATION OF SHOULDER STRAP 981 176.40
29240GO    29247 OT STRAPPING SHOULDER 420 65.10
29240GP    29540 PT STRAPPING ANKLE 420 65.10
29240GP    29242 PT STRAPPING LOW BACK 420 65.10
29240GP    29241 PT STRAPPING SHOULDER 420 65.10
29260    29260 APPLICATION OF STRAP-ELBOW OR WRIST 981 176.40
29260GO    29244 OT STRAPPING ELBOW / WRIST 420 65.10
29260GO    29245 OT STRAPPING HAND/FINGER 420 65.10
29355    29355 APPL LONG LEG CAST WALKER TYPE 981 264.60
29405    29405 APPL SHORT LEG CAST 981 168.00
29425    29425 APPL SHORT LEG CAST WALKER TYPE 981 180.60
29505    29109 APPL OF LONG LEG SPLINT 450 166.95
29505    29505 APPL OF LONG LEG SPLINT 981 180.60
29515    29515 APPLICATION OF SHORT LEG SPLINT 981 158.55
29515    29110 APPLICATION OF SHORT LEG SPLINT 450 166.95
29530GP    29530 PT STRAPPING KNEE 420 96.60
29580    29580 COMPRESSION DRESSING 420 177.45
29580    11065 PHYS-APPLICATION OF UNNA BOOT 981 372.75
29580LT    16009 APPLICATION OF UNNA BOOT LT 420 152.25
29580RT    16011 APPLICATION OF UNNA BOOT RT 420 152.25
29581    11066 PHYS-APP OF WOUND COMP LWR LEG 981 372.75
29581LT    29581 APP OF MULTILAYER VENOUS WND LWR LEG LT 420 152.25
29581RT    29582 APP OF MULTILAYER VENOUS WND LWR LEG RT 420 152.25
29705    29705 CAST REMOVAL FULL ARM OR LEG 981 121.80
30300    30301 F. B. REMOVAL NOSE 450 94.50
30300    30300 F. B. REMOVAL NOSE 981 180.60
30901    30901 NASAL PACKING-ANTERIOR 981 227.85
30901    30902 NASAL PACKING-ANTERIOR IN ER 450 184.80
30905    30903 NASAL PACKING-POSTERIOR 450 184.80
30905    30905 NASAL PACKING-POSTERIOR 981 506.10
31500    85100 EMERGENCY INTUBATION 450 378.00
31500    31500 EMERGENCY INTUBATION 981 384.30
31500    85101 INPATIENT INTUBATION 370 378.00
31500    94240 INTUBATION 361 455.70
31603    31603 EMERGENCY TRACHEOSTOMY 981 1035.30
31603    31604 EMERGENCY TRACHEOSTOMY IN ER 450 1180.20
32422    32002 THORACENTESIS W CHEST TUBE INSERTION 981 411.60
32422    32003 THORACENTESIS W CHEST TUBE INSERTION-ER 450 735.00
32551    32552 TUBE THORACOSTOMY 450 273.00
32551    32551 TUBE THORACOSTOMY-ER 981 735.00
32554    32554 THORACENTESIS 450 189.00
32556    32557 PLEURAL DRAINAGE, PERCUTANEOUS, W/INS OF 450 189.00
35201    35201 REPAIR OF BLOOD VESSEL,DIRECT;NECK 981 2114.70
35207    35207 REPAIR OF BLOOD VESSEL,HAND, FINGER 981 2114.70
35221    35221 REPAIR OF VEIN 981 273.00
35221    35222 REPAIR OF VEIN FACILITY 450 273.00
35226    35226 REPAIR OF BLOOD VESSEL, DIRECT; LOWER 981 2114.70
36000    36000 INTRO OF NEEDLE OR INTRACATHETER, VEIN 981 273.00
36000    36001 INTRO OF NEEDLE OR INTRACATHETER, VEIN 450 273.00
36406    36406 VENOUS CATHETER UNDER 3 YRS OF AGE 981 35.70
36415    81049 INSERTION >3 (MIDLINE) 300 67.84
36415    81050 VENIPUNCTURE 300 28.35
36415    83626 WCRC ALCOHOL URINE 300 50.00
36415    83629 WCRC ALLERGY PROFILE 5 PANEL 300 40.00
36415    83645 WCRC ANTIMITCHONDRIAL 300 29.40
36415    83649 WCRC BENZODIAZEPHINE BLOOD 300 112.35
36415    83164 WCRC BLOOD/BLOOD PRODUCT ADMIN 300 105.00
36415    83654 WCRC BRUCELLA ABORTUS IGG 300 26.25
36415    83656 WCRC BRUCELLA ABORTUS IGG 300 26.25
36415    83659 WCRC CA 125II 300 27.30
36415    83662 WCRC CA/CREA RATIO 300 24.15
36415    83666 WCRC CARDIOLIPIN AB SCN 300 56.70
36415    83667 WCRC CATACHOLAMINES 24 HOUR UR 300 31.50
36415    83670 WCRC CELICA DISEASE PROFILE 300 94.50
36415    83676 WCRC CHROMIUM URINE 300 102.90
36415    87962 WCRC CHROMOGRANIN A 300 127.05
36415    83458 WCRC IgE 300 28.00
36415    83135 WCRC IMMUNOFIXATION 300 40.00
36415    83273 WCRC LEUKOREDUCED BLOOD 300 262.19
36415    83792 WCRC MICROALBUMIN 300 21.00
36415    83274 WCRC PLATELETPHERESIS 300 542.85
36415    83607 WCRC PRENATAL 300 33.60
36415    87312 Z-PROCALCITONIN 300 51.45
36416    82506 CAPILLARY PUNCTURE (FINGER, TOE STICK) 300 29.40
36420    32556 PLEURAL DRAINAGE, PERCUTANEOUS W/INS OF 981 217.35
36420    36421 VENIPUNCTURE CUTDOWN, LESS THAN 1 YEAR 450 29.40
36420    36420 VENIPUNCTURE CUTDOWN, LESS THAN 1 YEAR 981 217.35
36425    36426 VENIPUNCTURE CUTDOWN, > THAN 1 YEAR 450 29.40
36425    36425 VENIPUNCTURE CUTDOWN, > THAN 1 YEAR 981 158.55
36430    36430 BLOOD ADMINISTRATION 391 538.65
36430    22081 BLOOD ADMINISTRATION IN ER 391 538.65
36430    36410 BLOOD ADMINISTRATION IN TX RM 391 538.65
36430    81080 ZZ BLOOD PRODUCT ADMINISTRATION 391 538.65
36556    51709 CENTRAL VENOUS CATH 981 372.75
36556    51708 CENTRAL VENOUS CATH 450 1744.05
36556    36556 PICC PLACEMENT 370 1383.90
36568    36568 INJ PICC LINE INSERT >5 YEARS W/O IMAGIN 360 870.00
36569    36570 INJ PICC LINE INSERT 5+ YEARS W/O IMAGIN 761 586.95
36569    36569 INJ PICC LINE INSERT 5+ YEARS W/O IMAGIN 761 870.00
36572    36572 PICC LINE INSERTION 5+ W/IMAGING 360 1870.00
36573    36973 INJ PICC LINE INSERT 5+ YEARS W IMAG-US 360 1970.85
36573    36573 INJ PICC LINE INSERT 5+ YEARS WO -US 761 1970.85
36584    36584 REPLACE, COMPLETE PICC 370 1020.60
36593    36593 DECLOT BY THROMBOLYTIC 370 228.90
36600    80101 ARTERIAL PUNCTURE W/DRAWAL OF BLOOD 361 37.80
36680    36680 INTRAOSSEUS INFUSION 450 171.15
36680    36681 INTRAOSSEUS INFUSION-PHYS 981 94.50
37618    37609 LIGATION OR BIOPSY, TEMPORAL ARTERY 981 1583.40
37618    37618 LIGATION, MAJOR ARTERY-EXTREME 981 1712.55
37799  1437799 P-VASCULAR BLOOD VESSEL/ARTERY SURGERY 982 1095.50
37799    37799 VASCULAR BLOOD VESSEL/ARTERY SURGERY 361 3131.00
38220    81180 BONE MARROW; ASPIRATION ONLY 310 866.25
38760  1438760 P-REMOVAL OF LYMPH NODES AT GROIN 982 4247.00
38760    38760 REMOVAL LYMPH NODES AT GROIN 361 4247.00
40830    40830 SUTURE OF MOUTH 2.5 CM OR LESS 981 722.40
41250    41250 MOUTH/TONGUE SUTURE 981 362.25
43200     9220 UPPER ENDOSCOPE 360 675.15
43235    43235 EGD,FLEXIBLE,TRANSORAL,DIAG 361 2469.46
43235  1443235 P-EGD FLEXIBLE,TRANS DIAG 982 712.28
43239  1443239 P-EGD W/BIOPSY,SINGLE OR MULT 982 577.80
43239    43239 UPPER GASTROINTESTINAL ENDO W/BIOPSY 361 2215.49
43239     9247 UPPER GASTROINTESTINAL ENDOSCOPY 361 2215.49
43246  1443246 P-INSERTION OF STOMACH TUBE W/ ENDO SCOP 982 840.00
43246    43246 PLACEMENT OF G-TUBE 360 3542.00
43250    43250 EGD W/REMOVAL TUMORS,POLYPS,GROWTHS 361 2564.22
43250  1443250 P-EGD W/REMOVAL TUMORS,POLYPS,GROWTH 982 712.50
43752    43752 P-INSERTION NG TUBE 981 105.00
43760    43830 P-CHANGE OF GASTROSTOMY TUBE 981 1526.70
43881     9364 SURGERY ENTERRA II NEUROSTIMULATOR 750 19293.75
44388    44388 DIAG LG BOWEL W/ENDOSCOPE W/ABDOM INCISI 361 1875.00
44388  1444388 P-DIAG LG BOWEL W/ENDOSCOPE W/ABDOM. INC 982 1051.60
45171  1445171 P-REMOVAL OF RECTAL GROWTH 982 1854.00
45171    45171 REMOVAL OF RECTAL GROWTH 360 2990.00
45300    45300 DIAG EXAM RECTUM & LG BOWEL W/ENDOSCOPE 361 1051.00
45300  1445300 P-DIAG EXAM RECTUM & LG BOWEL W/ ENDO 982 1050.00
45305     9243 COLSCPY W/BIOPSY-SINGLE OR MULTIPLE 361 2226.00
45320     9211 COLSCPY W/ABLATION OF TUMORS OR POLYPS 360 1948.80
45330  1445330 P-DIAGNOSTIC EXAM OF LARGE BOW W/ENDOSCO 982 372.19
45330    45330 SIGMOIDOSCOPY FLEX DIAGNOSTIC 360 763.06
45331    45331 BIOPSY OF LG BOWEL W/ENDOSCOPE 361 1655.48
45331  1445331 P-BIOPSY LG BOWEL W/ ENDO 982 1050.00
45378    45378 DIAGNOSTIC COLONOSCOPY 361 2685.85
45378  1445378 P-DIAGNOSTIC COLONOSCOPY 982 773.96
45380    45380 COLSCPY AND BIOPSY 361 2878.97
45380  1445380 P-COLONOSCOPY W/BIOPSY, SINGLE OR MULT 982 629.10
45382     9228 COLSCPY W/CONTROL  BLEED 361 1948.80
45384     9242 COLONOSCOPY W/LESION REMOVAL 361 2698.67
45384    45384 COLSCPY AND BIOPSY HOT 360 2698.67
45384  1445384 P-COLSCPY AND BIOPSY HOT 982 718.74
45385     9244 COLSCPY W/LESION REMOVAL 361 2358.30
45385  1445385 P-COLONOSCOPY W/REMOVAL,TUMOR/POLP/LESIO 982 1065.60
46040    46040 P-I&D PERI RECTAL ABSCESS 981 733.95
46050    46050 I&D PERIANAL ABSCESS 981 362.25
46083    46083 INCISION HEMORRHOID, EXTERNAL 981 168.00
46083    46084 INCISION HEMORRHOID, EXTERNAL 450 611.50
46945    46945 HEMORRHOIDECTOMY INTERNAL BY LIGATION 361 1245.80
46945  1446945 P-HEMORRHOIDECTOMY-INT BY LIGATION NON B 982 909.20
46948    46948 HEMORRHOIDECTOMY INTERNAL BY TRANS DEART 361 1445.00
46948  1446948 P-HEMORRHOIDECTOMY-INT BY TRANS HEM DEAR 982 896.00
47562    47562 LAPARASCOPY SURGICAL CHOLECYSTECTOMY 360 1245.80
47562  1447562 P-LAPAROSCOPY,SURGICAL;CHOLECYSTECTOMY 982 1375.56
47563    47563 LAPARASCOPY SURGICAL CHOLECYSTECTOMY 750 1025.85
49041    49021 DRAIN ABDOMINAL ABSCESS 981 372.75
49083    49083 ABDOM PARACENTESIS DX/THER W/IMAGING 360 1389.92
49083 14049083 P-ABDOM PARACENTESIS DX/THER W/IMAGING 982 442.88
49320    49320 DIAG EXAM OF ABDOMEN USING ENDOSCOPE 361 1091.50
49320  1449320 P-DIAGNOSTIC EXAM OF ABDOMEN USING ENDOS 982 1091.50
49460    49460 MECHANICAL REMOVAL OF OBSTRUCTION 450 1599.15
49505  1449505 P-REPAIR HERNIA INGUINAL 982 1083.66
49505    49505 REPAIR HERNIA INGUINAL 5+ YEARS 361 4305.00
49507  1449507 P-REPAIR HERNIA INGUINAL,INCARCER/STRANG 982 2443.00
49507    49507 REPAIR HERNIA INGUINAL INCARCER OR STRAN 361 2443.00
49521  1449521 P-REPAIR RECURRENT INCARC ING HERNIA 982 1495.00
49521    49521 REPAIR HERNIA INGUINAL 5+ YEARS 361 2450.00
49553  1449553 P-REPAIR HERNIA INGUINAL,INCARCER/STRANG 982 2639.00
49553    49553 REPAIR HERNIA INGUINAL INCARCER OR STRAN 361 2639.00
49561  1449561 P-REPAIR TRAPPED INCIS/ABDOM HERNIA 982 3900.00
49561    49561 REPAIR TRAPPED INCIS/ABDOM HERNIA 361 4715.00
49568    49568 PLACEMENT OF MESH TO REPAIR HERNIA 361 1828.00
49568  1449568 P-PLACEMNT MESH TO REPAIR INCI/ABD HERNI 982 1150.00
49585    49585 REPAIR UMBILICAL HERNIA 750 634.20
49650    49650 LAPARASCOPY SURGICAL,REPARI, INGUINAL HE 750 3589.50
49650  1449650 P-LAPAROSCOPY,REPAIR,SURGICAL,REPAIR, IN 982 3589.50
49651    49651 LAPARASCOPY SURGICAL,REPARI, REC..ING HE 361 3741.08
49651  1449651 P-LAPAROSCOPY,RECURR,SURGICAL,REPAIR, IN 982 3741.08
49652    49652 LAPARASCOPY SURGICAL,REPARI,VENTRAL,UMBI 750 2333.07
49652  1449652 P-LAPAROSCOPY,REPAIR,VENTRAL,UMBIL, SPIG 982 2333.07
49653    49653 LAPARASCOPY SURGICAL CHOLECYSTECTOMY 750 4627.50
49653  1449653 P-LAPAROSCOPY,HERNIA INCARCERATED/STRANG 982 1943.06
49655    49655 LAPARASCOPY SURGICAL,REPAIR,INCIS, HERNI 750 3242.76
49655  1449655 P-LAPAROSCOPY, SUG,REPAIR, INCIS,HERNIA 982 3242.76
51701    51701 STRAIGHT CATHETERIZATION 450 94.50
51701    51702 STRAIGHT CATHETERIZATION 981 130.20
51702    51707 FOLEY CATHETERIZATION, SIMPLE 450 94.50
51702    53670 FOLEY CATHETERIZATION, SIMPLE 981 130.20
51703    51703 FOLEY CATHETERIZATION, COMPLICATED 450 169.05
51703    51704 FOLEY CATHETERIZATION, COMPLICATED 981 169.05
51798    51798 BLADDER SCAN 450 91.35
55175    55175 SUTURE OF THE SCROTUM 981 365.40
55250  1455250 P-REMOVAL OF SPERM DUCT 982 1495.00
55250    55250 REMOVAL OF SPERM DUCT 361 2364.00
55520    55520 EXCISION OF LESION SPERMATIC CORD 361 939.20
55520  1455520 P-EXCISION OF LESION 982 939.20
56405    56406 I & D OF ABSC 450 224.70
56405    56405 I & D OF ABSC 981 227.85
56420    56420 I & D OF GLAND ABSC 450 224.70
59409    59409 UNCOMPLICATED DELIVERY, VAGINAL 981 3373.65
59409    59410 UNCOMPLICATED DELIVERY, VAGINAL IN ER 450 3203.55
62270    62270 SPINAL PUNCTURE, LUMBAR 981 256.20
62270    62271 SPINAL PUNCTURE, LUMBAR 450 507.15
62272    64450 INJECTION NERVE BLOCK 981 110.25
62272    62272 SPINAL PUNCTURE, LUMBAR FOR DRAINAGE 981 264.60
62272    62273 SPINAL PUNCTURE, LUMBAR FOR DRAINAGE 450 507.15
64415    64415 BRACHIAL PLEXUS SINGLE 450 262.50
64450    64451 INJ OF NERVE BLOCK PHYS 450 74.55
64999    64999 EXCISION OF ILIOINGUINAL NERVE 361 4904.00
64999  1464999 P-EXCISION ILIOINGUINAL NERVE 982 939.20
65205    69212 F. B. REMOVAL CONJUNCTIVA SUPERVICIAL 450 180.60
65205    65205 F.B. REMOVAL CONJUNCTIVA SUPERVICIA 981 158.55
65210    62206 REMOVAL OF FB IN EYELID 981 326.55
65220    65220 REMOVAL FOREIGN BODY CORNEA 981 94.50
65220    65222 REMOVAL FOREIGN BODY CORNEA W/SLIT LAMP 450 267.56
65220    65221 REMOVAL OF FB, CORNEAL 450 106.05
66180    66180 AHMED TYPE AQUEOUS SHUNT, EXT; W/GRAFT 360 3620.00
66761    66761 IRIDOTOMY/IRIDECTOMY BY LASER 360 1415.50
66821    66821 DESTRUCTION OF LENS PERCUTANEIOUS APPROA 360 634.20
66821     9271 YAG LASER 360 1019.55
66982    66982 CATARACT SURG W/IOL 1 STAGE/IRIS EXPAN 360 2449.00
66984    66984 CATARACT SURG W/IOL 1 STAGE 360 2332.05
67921    67921 REPAIR ENTROPION RT LOWER LID 361 2190.33
67938    67938 REMOVAL OF EMBEDDED FOREIGN BODY IN EYE 450 483.00
67961  1467961 P-REMOVAL UP TO 1/4 EYELID INVOLV LID MA 982 1350.00
67961    67961 REMOVAL UP TO 1/4 OF EYELID W/LID MARGIN 361 2745.00
68115    68115 GROWTH REMOVAL +1CM 361 1995.50
68115  1468115 P-GROWTH REMOVAL 1+CM 982 728.50
68840    68840 PROBING OF LACRIMAL CANALICULI W OR WO I 360 2073.75
69200    69201 REMOVAL FB EAR CANAL 450 176.40
69200    69200 REMOVAL FOREIGN BODY EAR CANAL 981 94.50
69209    69208 REMOVAL CERUMEN BY IRRIGATION 450 94.50
69209    69209 REMOVAL CERUMEN BY IRRIGATION 981 94.50
69210    69210 F. B. REMOVAL EAR (WAX REMOVAL) 981 94.50
69210    69211 F. B. REMOVAL EAR (WAX REMOVAL) 450 94.50
70030    71096 WATERS VIEW FOR FOREIGN BODY 320 144.90
70110    70080 MANDIBLE MIN 4V 320 291.90
70130LT    70121 MASTOID MIN 3V LT 320 320.25
70130RT    70120 MASTOID MIN 3V RT 320 320.25
70134    70130 AUDITORY CANALS COMP 320 291.90
70150    70030 FACIAL 3V 320 282.45
70150    70070 MAXILLA 3V 320 291.90
70150    70050 ZYGOMA 3V 320 268.80
70150    70060 ZYGOMATIC ARCH 3V 320 268.80
70160    70040 NASAL 3V 320 259.35
70200LT    70111 ORBIT MIN 4V LT 320 268.80
70200RT    70110 ORBIT MIN 4V RT 320 268.80
70220    70020 SINUSES 3V 320 282.45
70240    70140 SELLA TURCICA 2V 320 291.90
70250    70010 SKULL LESS THAN 4V 320 259.35
70260    70000 SKULL 4V 320 285.60
70328LT    70091 TEMPROMANDIBULAR JTS UNI LT 320 291.90
70328RT    70090 TEMPROMANDIBULAR JTS UNI RT 320 291.90
70330    70100 TEMPROMANDIBULAR JTS BIL 320 353.85
70336LT    70337 MRI TMJ LT 610 2638.65
70336RT    70336 MRI TMJ RT 610 2638.65
70360    70226 SOFT TISSUE NECK 320 225.75
70450    71071 CT HEAD WO CONT 351 1660.05
70460    71070 CT HEAD W CONT 351 2150.40
70460    71067 CT SINUSES ORBIT W CONT 351 2406.60
70470    71069 CT HEAD WWO CONT 351 2406.60
70470    71076 CT SINUSES ORBIT WWO CONT 351 2662.80
70480    71079 CT INT AUDITORY CANAL 351 1359.75
70480    71093 CT MASTOIDS WO CONT 351 1852.20
70480    71089 CT ORBITS WO CONT 351 1660.05
70480    71075 CT SINUSES ORBIT WO CONT 351 1915.20
70481    70481 CT IAC W/CONTRAST 351 1976.10
70482    71092 CT INTER AUDIO CANALS WWO CONT 351 1976.10
70482    71090 CT ORBITS WWO CONT 351 2406.60
70482    71091 CT PITUITARY WWO CONT 351 2406.60
70486    71095 CT FACIAL BONES WO CONT 351 1660.05
70486    70482 CT TEMPORAL MANDIBULAR JOINTS 351 1660.05
70487    71068 CT FACIAL W CONT 351 1523.55
70488    71088 CT FACIAL BONES WWO CONT 351 2406.60
70490    71063 CT NECK WO CONT 359 1402.80
70491    71062 CT NECK W CONT 359 1896.30
70492    71061 CT NECK WWO CONT 359 2150.40
70496    70496 CTA HEAD WWO CONTRAST 351 2481.15
70498    70498 CTA NECK W CAROTID 351 2150.40
70540    71400 MRI ORBIT FACE NECK WO CONT 610 2638.65
70543    71401 MRI ORBIT FACE NECK WWO CONTRAST 610 3951.15
70544    70541 MRA BRAIN WO CONT 611 2638.65
70544    70421 MRV BRAIN WO CONT 611 2638.65
70546    70545 MRA HEAD WWO 611 3951.15
70546    74543 MRV WWO CONTRAST 611 3951.15
70547    70542 MRA NECK WO CONTRAST 610 2638.65
70551    71402 MRI BRAIN W STEM WO CONT 611 2638.65
70552    71403 MRI BRAIN W STEM W CONTRAST 611 3951.15
70553    71404 MRI BRAIN W STEM WWO CONT 611 3951.15
71030    70190 CARDIAC SERIES MIN 4V 320 291.90
71045    70161 CHEST 1V COAL MINE 320 50.00
71045TC    70160 CHEST 1V 320 204.75
71045TC    70162 WCRC CHEST 1V 320 28.35
71046    70150 CHEST 2V 320 258.30
71046    70152 CHEST 2V ALLIANCE-HAM CO COAL 320 79.00
71046    70151 CHEST 2V COAL MINE 320 78.75
71046    70153 CHEST 2V CONSTRUCTION 320 157.50
71047  2471047 CHEST 3 VIEW 320 300.00
71100LT    70188 RIBS 1 SIDE 2V LT 320 240.45
71100RT    70185 RIBS 1 SIDE 2V RT 320 240.45
71101LT    70187 RIBS 3V LT INC CXR 320 380.10
71101RT    70186 RIBS 3V RT INC CXR 320 380.10
71111    70181 RIBS BI-LATERAL W/CHEST 320 513.00
71111    70180 RIBS BOTH SIDES 4V 320 306.60
71120    70170 STERNUM 2V 320 217.35
71130    71130 STERNOCLAVICULAR JTS MIN 3V 320 259.35
71250    71058 CT CHEST WO CONT 352 1660.05
71260    71057 CT CHEST W CONT (NOT PE) 352 2150.40
71270    71056 CT CHEST WWO CONT 352 2406.60
71275    71275 CT (CTA) CHEST (PE) 352 2481.15
71275    71272 CT ANGIO CHEST W/CONT 350 1495.00
71550    71610 MRI CHEST W AND WO CONTRAST 610 2638.65
71550    71405 MRI CHEST WO CONTRAST 610 2638.65
71555    71555 MRA CHEST WO CONT 610 2638.65
72020    70225 CERVICAL SPINE 1V 320 144.90
72020    70269 LUMBAR SPINE 320 405.30
72020    70261 LUMBAR SPINE 1V 320 236.25
72020    70268 LUMBAR SPINE COAL MINE 320 150.00
72020    70199 THORACIC SPINE 1V 320 172.20
72040    70220 CERVICAL SPINE 3V 320 282.45
72052    70210 CERVICAL SPINE 5V 320 343.35
72052    70200 CERVICAL SPINE 7V 320 366.45
72069    72069 THORACIC SPINE STANDING 1V 320 144.90
72070    70230 THORACIC SPINE 2V 320 259.35
72072    70240 THORACIC SPINE 3V 320 291.90
72074    70250 THORACIC SPINE 4 OR 5V 320 310.80
72081    72077 SCOLIOSIS SERIES 320 144.90
72100    70260 LUMBAR SPINE 3V 320 306.60
72100    72100 LUMBAR SPINE STANDING 2V 320 282.45
72110    70270 LUMBAR W OBLIQUES 5V 320 353.85
72114    70134 LUMBAR SPINE COMPLET 8VIEWS 320 436.80
72125    71073 CT CERVICAL SPINE 352 1852.20
72127    72127 CT C SPINE WWO CONT 352 2698.00
72128    71072 CT THORACIC SPINE 352 1915.20
72130    72130 CT T- SPINE WWO CONT 352 2698.00
72131    71074 CT LUMBAR SPINE WO CONT 352 1976.10
72132    71011 CT LUMBAR SPINE W CONT 352 2244.90
72133    72133 CT LUMBAR SPINE WWO CONT 352 2670.15
72141    71406 MRI SPINE CERV WO CONT 612 2638.65
72141    71407 MRI SPINE CERVICAL WO 612 2638.65
72146    71408 MRI SPINE THORA WO CONT 612 2638.65
72148    71410 MRI SPINE LUMBAR WO CONT 612 2638.65
72149    71422 MRI SPINE LUMBAR W CONT 612 2638.65
72156    71412 MRI SPINE CERV VWS WWO CONT 612 3951.15
72157    71413 MRI SPINE THORA VWS WWO CONT 612 3521.70
72158    71414 MRI SPINE LUMBAR VWS WWO CONT 612 3951.15
72170    70310 PELVIS 1V 320 202.65
72190    72190 PELVIS MULTIPLE VIEWS 320 386.40
72192    71066 CT PELVIS WO CONT 352 1666.35
72193    71064 CT PELVIS W CONT 352 2161.95
72194    71065 CT PELVIS WWO CONT 352 2416.05
72195    71415 MRI PELVIS WO CONTRAST 610 2638.65
72196    72196 MRI PELVIS W CONTRAST 610 2638.65
72197    71114 MRI PELVIS WWO CONT 610 3951.15
72202    70300 SACROILIAC JTS 3V 320 283.50
72220    70290 COCCYX 2V 320 259.35
72220    70280 SACRUM COCCYX MIN 2V 320 390.00
73010LT    70671 SCAPULA 2V LT 320 197.40
73010RT    70670 SCAPULA 2V RT 320 197.40
73030LT    70651 SHOULDER 2V LT 320 217.35
73030LT    70652 SHOULDER MIN 4V LT 320 376.95
73030RT    70650 SHOULDER 2V RT 320 217.35
73030RT    70653 SHOULDER MIN 4V RT 320 376.95
73050LT    70761 ACROMIO CLAVI JTS LT 320 217.35
73050RT    70760 ACROMIO CLAVI JTS RT 320 217.35
73060LT    70643 HUMERUS 2V LT 320 197.40
73060RT    70640 HUMERUS 2V RT 320 197.40
73070LT    71037 ELBOW 2V LT 320 197.40
73070RT    70620 ELBOW 2V RT 320 197.40
73080LT    71038 ELBOW 3V LT 320 217.35
73080RT    70630 ELBOW 3V RT 320 217.35
73090LT    70611 FOREARM 2V LT 320 197.40
73090RT    70610 FOREARM 2V RT 320 197.40
73100LT    70605 CARPAL NAVICULAR SERIES LT 320 197.40
73100RT    70604 CARPAL NAVICULAR SERIES RT 320 197.40
73110LT    70601 WRIST 3V LT 320 197.40
73110LT    70602 WRIST W CARPAL VIEWS LT 320 322.35
73110RT    70600 WRIST 3V RT 320 197.40
73110RT    70603 WRIST W CARPAL VIEWS RT 320 322.35
73130LT    70591 HAND 3V LT 320 197.40
73130RT    70590 HAND 3V RT 320 197.40
73140F1    70586 FINGER 2ND DIGIT LT 320 197.40
73140F2    70587 FINGER 3RD DIGIT LT 320 197.40
73140F3    70588 FINGER 4TH DIGIT LT 320 197.40
73140F4    70589 FINGER 5TH DIGIT LT 320 197.40
73140F5    70580 FINGER THUMB RT 320 197.40
73140F6    70581 FINGER 2ND DIGIT RT 320 197.40
73140F7    70582 FINGER 3RD DIGIT RT 320 197.40
73140F8    70583 FINGER 4TH DIGIT RT 320 197.40
73140F9    70584 FINGER 5TH DIGIT RT 320 197.40
73140FA    70585 FINGER THUMB LT 320 197.40
73200    71100 CT UPPER EXT WO CONT 359 1791.30
73200LT    71039 CT EXT UPPER LT 359 1402.80
73200RT    71081 CT EXT UPPER RT 359 1402.80
73201LT    71035 CT UPPER EXT W CONT LT 359 1896.30
73201RT    71087 CT UPPER EXT W CONT RT 359 1896.30
73202LT    71036 CT UPPER EXT WWO CONT LT 359 2150.40
73202RT    71086 CT UPPER EXT WWO CONT RT 359 2150.40
73218LT    73219 MRI UPPER EXT LT 610 2638.65
73218RT    73218 MRI UPPER EXT RT 610 2638.65
73220LT    73221 MRI UPPER EXT W AND WO CONTRAST RT 610 2638.65
73220RT    73220 MRI UPPER EXT W AND WO CONTRAST LT 610 2638.65
73221LT    71423 MRI UPPER EXT ANY JOINT LT 610 2638.65
73221RT    71417 MRI UPPER EXT ANY JOINT RT 610 2638.65
73223LT    73224 MRI UPPER EXT LT JOINT W & W/O CONTRAST 610 2638.65
73223RT    73223 MRI UPPER EXT RT JOINT W & W/O CONTRAST 610 2638.65
73502    73502 PELVIS WITH UNI LATERAL HIP XRAY 320 318.75
73502LT    70321 HIP 2V LT 320 222.60
73502RT    70320 HIP 2V RT 320 222.60
73523    73523 PELVIS WITH BI LATERAL HIP XRAY 320 485.25
73530LT    70362 HIP PIN 4+ C-ARM  LT 320 648.00
73530LT    70353 HIP PINNING UP TO 4 LT 320 529.20
73530RT    70361 HIP PIN 4+ C-ARM RT 320 648.00
73530RT    70360 HIP PINNING 5V RT 320 50.40
73530RT    70350 HIP PINNING UP TO 4 RT 320 529.20
73552LT    70741 FEMUR 2V LT 320 217.35
73552RT    70740 FEMUR 2V RT 320 217.35
73560LT    70731 KNEE 3V LT 320 259.35
73560LT    70721 KNEE AP LAT LT 320 197.40
73560RT    70730 KNEE 3V RT 320 259.35
73560RT    70720 KNEE AP LAT RT 320 197.40
73564LT    70732 KNEE 4V LT 320 431.55
73564RT    70733 KNEE 4V RT 320 431.55
73565    73565 KNEES STANDING ANTEROPOSTERIOR 320 413.70
73590LT    70711 LEG LOWER 2V LT 320 197.40
73590RT    70710 LEG LOWER 2V RT 320 197.40
73610LT    70701 ANKLE 3V LT 320 197.40
73610LT    70706 ANKLE 3V LT 320 197.40
73610RT    70700 ANKLE 3V RT 320 197.40
73630LT    70691 FOOT 3V LT 320 197.40
73630RT    70690 FOOT 3V RT 320 197.40
73650LT    70751 CALCANEUS 2V LT 320 197.40
73650RT    70750 CALCANEUS 2V RT 320 197.40
73660T1    70686 TOES 3V 2ND DIGIT LT 320 197.40
73660T2    70687 TOES 3V 3RD DIGIT LT 320 197.40
73660T3    70688 TOES 3V 4TH DIGIT LT 320 197.40
73660T4    70689 TOES 3V 5TH DIGIT LT 320 197.40
73660T5    70680 TOES 3V GREAT TOE RT 320 197.40
73660T6    70681 TOES 3V 2ND DIGIT RT 320 197.40
73660T7    70682 TOES 3V 3RD DIGIT RT 320 197.40
73660T8    70683 TOES 3V 4TH DIGIT RT 320 197.40
73660T9    70684 TOES 3V 5TH DIGIT RT 320 197.40
73660TA    70685 TOES 3V GREAT TOE LT 320 197.40
73700LT    71009 CT FEMUR LT 359 1712.55
73700LT    71109 CT HIP LT 352 1712.55
73700LT    71103 CT LOWER EXT LT 359 1402.80
73700LT    71101 CT LOWER EXT WO CONT LT 359 1361.85
73700RT    71059 CT FEMUR RT 359 1712.55
73700RT    71060 CT HIP RT 352 1712.55
73700RT    71082 CT LOWER EXT RT 359 1402.80
73700RT    71102 CT LOWER EXT WO CONT RT 359 1361.85
73701LT    71033 CT LOWER EXT W CONT LT 359 1896.30
73701RT    71085 CT LOWER EXT W CONT RT 359 1896.30
73702LT    71034 CT LOWER EXT WWO CONT LT 359 2150.40
73702RT    71084 CT LOWER EXT WWO CONT RT 359 2150.40
73706    73706 CTA LOWER EXTREMITY W/WO CONTRAST 352 2370.00
73718LT    73718 MRI LOWER EXT LT WO CONT 610 2638.65
73718RT    73719 MRI LOWER EXT RT WO CONT 610 2638.65
73720LT    71105 MRI LOWER EXT LT WWO CONT 610 2638.65
73720RT    71418 MRI LOWER EXT RT WWO CONT 610 2638.65
73721LT    71106 MRI LOWER EXT ANY JOINT LT 610 2638.65
73721RT    71419 MRI LOWER EXT ANY JOINT RT 610 2638.65
73722LT    73722 MRI LOWER EXT LT W/CONT 610 2638.65
73722RT    73723 MRI LOWER EXT RT W/CONT 610 2638.65
73723LT    71112 MRI LOWER EXT WWO CONT JT LT 610 3951.15
73723RT    71113 MRI LOWER EXT WWO CONT JT RT 610 3951.15
73725    70544 MRA LOWER EXTREMITIES 610 2638.65
74018    70390 K U B 320 227.85
74019    70400 ABDOMEN 2V 320 291.90
74022    70410 ABDOMEN COMP 4V 320 396.90
74150    71055 CT ABDOMEN WO CONT 352 1922.55
74160    71053 CT ABDOMEN W CONT 352 2416.05
74170    71054 CT ABDOMEN WWO CONT 352 2670.15
74174    74174 CT (CTA) ABDOMEN PELVIS W/WO CONTRAST 351 3761.00
74176    74176 CT ABD AND PELV WO CONTRAST 352 2871.75
74177    74177 CT ABD AND PELV W CONTRAST 352 3661.35
74177    73206 CTA UPPER EXTREMITY W/WO CONTRAST 352 2370.00
74178    74178 CT ABD AND PELV WWO CONTRAST 352 4068.75
74181    71420 MRI ABDOMEN WO CONTRAST 610 2638.65
74182    74182 MRI ABDOMEN W CONTRAST 610 2638.65
74183    70543 MRI ABDOMEN WWO CONT 610 2638.65
74185    74185 MRA ABD W AND WO CONTRAST 610 2815.05
74220    70520 BARIUM SWALLOW 320 396.90
74240    71008 UGI BARIUM SWALLOW 320 680.40
74240    70500 UPPER GI SERIES 320 506.10
74250    70510 SMALL BOWEL SERIES 320 411.60
74270    70530 BARIUM ENEMA 320 714.00
74280    70560 AIR W CONT BARIUM ENEMA 320 764.40
74280    70540 BARIUM ENEMA W GASTROGRAFIN 320 494.55
74290    70480 GALLBLADDER 320 353.85
74291    70490 GALLBLADDER REPEAT 320 259.35
74300    70371 OR CHOLANGIOGRAM (1) C-ARM 320 632.00
74300    70370 OR CHOLANGIOGRAM 1 SET 320 494.55
74301    70380 OR CHOLANGIOGRAM ADD SET 320 291.90
74305    70470 T TUBE CHOLANGIOGRAM 320 494.55
74320    70460 IV CHOLANGIOGRAM 320 494.55
74410    70440 INFUSION IVP DRIP MUL VIEW 320 771.75
74420    70340 RETROGRADE PYELOGRAM 320 315.00
74430    70450 CYSTOGRAM COMP 320 494.55
74455    70452 STRESS INCONTINENCE VCUG 320 585.90
75635    75635 CTA AORTA W RUNOFF 352 2370.90
75820LT    70571 VENOGRAPHY EXT UNI LT 320 529.20
75820RT    70570 VENOGRAPHY EXT UNI RT 320 529.20
75998    75998 FLOUROSCOPY GUIDED PICC PLCMT 370 541.00
76000    70382 FLOUROSCOPY 320 176.40
76080    70405 FISTULA SINUS TRACT COMP 320 525.00
76091    71051 MM MAMMO BIL 401 88.00
76096    71031 MM MAMMO NEEDLE LOCAL 402 425.25
76098    76098 MM MAMMOGRAPHY SPECIMEN 320 256.20
76376    71083 3D RENDERING W/INTERPRETATION 351 52.50
76536    70672 US SOFT TISSUE HEAD NECK 402 492.45
76536    71021 US THYROID 402 492.45
76604    70002 US CHEST 402 525.00
76641LT    71032 US BREAST UNI LT (COMP) 402 492.45
76641LT    71006 US BREAST UNI LT (LTD) 402 492.45
76641RTTC    70942 US BREAST UNI RT (COMP) 402 492.45
76642RT    71005 US BREAST UNI RT (LTD) 402 492.45
7664550    71049 BREAST US DO NOT USE 402 781.20
76645LT    71001 US KOMEN-BREAST LT (COMP) 402 112.35
76645LT    71007 US KOMEN-BREAST LT (LTD) 402 112.35
76645RT    71002 US KOMEN-BREAST RT (COMP) 402 112.35
76645RT    71004 US KOMEN-BREAST RT (LTD) 402 112.35
76700    70940 US ABDOMINAL COMP 402 712.95
76705    70950 US ABDOMINAL LTD 402 431.55
76705    70995 US COMMON BILE DUCT XRAY 402 477.75
76705    71000 US GALLBLADDER 402 492.45
76705    70970 US LIVER 402 477.75
76705    70980 US PANCREAS 402 477.75
76705    70990 US SPLEEN 402 477.75
76770    71030 US AORTA 402 492.45
76770    70960 US KIDNEY 402 477.75
76800    76800 US SPINAL CANAL AND CONTENTS 402 401.10
76805    71010 US PELVIC OB COMP 402 735.00
76815    76815 US PELVIC OB (LIMITED) 402 637.35
76830    71019 US TRANSVAGINAL SONOGRAM 402 492.45
76856    71020 US PELVIS NON OBSTETRIC BLADDER 402 492.45
76870    71048 US SCROTUM 402 492.45
76870    70961 US TESTICULAR 402 225.75
76870    74021 WABASH US SCROTUM 402 73.50
76881    70003 US EXTREMITY NON VASC 402 492.45
76882TC    70005 US NON VASC EXT OTHER 402 492.45
76937    76937 ULTRASOUND GUIDED PICC PLCMT 402 1383.90
76942    70001 US GUIDANCE NEEDLE PLMNT 320 1123.50
76999TC    70004 US NON VASC OTHER 402 492.45
77001    77001 SURGICAL C-ARM FLOUROSCOPY 320 220.50
77012    77012 CT GUIDED BIOPSY 359 1688.40
77051    71595 MM COMP AIDED USE W/DIAGNOSTIC 403 39.90
77051    77051 MM COMP AIDED USE W/DIAGNOSTIC 403 39.90
77052    77052 MM MAMMO COMPUTER AIDED W/SCREENING 403 27.00
77055LT    71104 MM MAMMO UNI LT 401 86.00
77055RT    71050 MM MAMMO UNI RT 401 86.00
77061TC    77061 MM BREAST TOMO UNILAT 401 57.00
77062TC    77062 MM BREAST TOMO BILAT 614 57.00
77063TC    77063 MM BREAST SCREEN TOMO 403 104.36
77065    77064 MM 3D BRST IM DX LT 403 244.65
77065LT    77070 MM 3D DIAG MAMMO LT 403 244.65
77065LT    77056 MM DIGITAL DIAG UNILATERAL LT 401 244.65
77065LT    71003 MM KOMEN DIAGNOSTIC UNILAT LT 401 136.50
77065LT    71594 MM KOMEN DIAGNOSTIC UNILAT LT 401 136.50
77065RT    77068 MM 3D BRST IMPLANT DX RT 403 244.65
77065RT    71590 MM 3D SPOT COMPRESSION BREAST RT 401 100.80
77065RT    77057 MM DIGITAL DIAG UNILATERAL RT 401 244.65
77065RT    71593 MM KOMEN DIAGNOSTIC UNILATERAL RT 401 136.50
77065RT    77058 MM KOMEN DIAGNOSTIC UNILATERAL RT 401 136.50
77065RT    71080 MM SPOT COMPRESSION BREAST RT 401 100.80
77065RTTC    77065 MM 3D DIAGNOSTIC MAMMO RT 401 244.65
77066    77066 MM 3D BRST IMPLANT DX 403 273.00
77066    77055 MM DIGITAL DIAG BILATERAL 401 273.00
77066    77059 MM KOMEN DIAG MAMMOGRAM 401 173.25
77066LT    71591 MM 3D SPOT COMPRESSION BREAST LT 401 100.80
77066LT    70189 MM SPOT COMPRESSION BREAST LT 401 100.80
77066TC    77069 MM 3D DIAGNOSTIC MAMMO 401 273.00
77067    77060 MM 3D DIGITAL SCREENING 403 244.65
77067    77054 MM DIGITAL SCREENING 403 244.65
77067    71350 MM MAMMO SCREENING SPECIAL 403 35.00
77067    70122 MM MAMMOGRAM KOMEN-SCREENING 403 143.85
77067    71592 MM MAMMOGRAM KOMEN-SCREENING 403 143.85
77067TC    77067 MM BRST IMPLANT SCREENING 403 273.00
77067TC    71052 MM MAMMO SCREENING 403 88.00
77072    77072 BONE AGE 320 78.75
77080    70331 BONE DENSITY STUDY 320 469.35
78006    71306 NM THYROID IMAGE & UPTAKE (SINGLE) 341 775.00
78010    71319 NM THYROID-I-123 (IMAGE ONLY) 341 1114.05
78011    71302 NM THYR SCAN VASCULAR FLOW 341 417.00
78012    71320 NM THYROID IMAGE AND UPTAKE MULTIPLE 341 1125.60
78070    71311 NM PARATHYROID SCAN 341 700.00
78071    78071 NM PARATHYROID W/SPECT 341 1599.15
78226    71313 NM HEPATOBILIARY SCAN 341 1092.00
78227    71303 NM GALL BLADDER W/EJEC FX (HIDA) 341 1231.65
78264    71314 NM GASTRIC EMPTYING SCAN 341 1052.10
78278    71318 NM GI BLEED SCAN 341 1092.00
78290    71307 NM MECKELS DIVERTICULUM 341 1097.25
78300    71309 NM BONE (LTD, SINGLE AREA) 341 925.05
78306TC    71300 NM BONE SCAN TOTAL BODY 341 1125.60
78315    71312 NM BONE OR JOINT 3 PHASE 341 1197.00
78320    71316 NM TOMOGRAPHY (SPECT) 341 825.00
78451    71310 NM CARDIAC REST OR STRESS (SINGLE STUDY) 341 2111.55
78452    71317 NM CARDIAC REST AND STRESS 341 4784.85
78579    91284 NM LUNG PERFUSION AND LUNG VENTILATION 341 1206.45
78580    78580 OS-NM LUNG PERFUSION 341 681.00
78587    78587 NM OFFSITE LUNG VENT MULTI PR 341 487.00
78707    71098 NM RENAL FUNCTION (mag3) 341 1125.60
78708    71315 NM RENAL FUNCTION W/INTERVENTION (CAPTOP 341 1197.00
78803TC    71321 NM BONE SCAN BONE SPEC 341 1336.00
80048    80291 BASIC LAB CORP 300 347.55
80048    80125 BMP/CHEM 8 300 252.00
80048    80081 ZZZ DO NOT USE 300 138.00
80050    80082 ZZZ DO NOT USE 300 266.00
80051    80083 ELECTROLYTE PANEL (L.P.1) 300 168.00
80053    80126 CMP/CHEM 14 300 362.25
80053    80771 COMPREHENSIVE LAB CORP 300 362.25
80061    80086 LIPID CASCADE 300 98.00
80061    80088 LIPID LAB CORP 300 134.40
80061    80089 LIPID PANEL (HDL,CHOL,TRIG) 300 134.40
80061    83031 Z LIPID PANEL) 300 25.20
80069    80215 RENAL FUNCTION PANEL 300 458.85
80074    80074 HEPATITIS ACUTE PANEL A,B,C 300 291.90
80076    80127 HEPATIC PANEL 300 324.45
80100    82503 DRUG ABUSE 5 NON DOT (FOR ) 300 32.00
80100    80193 DRUG PROFILE BLOOD (7 DRUGS) 300 286.65
80100    82462 DRUG SCREEN,QUAL; MULTIPLE CLASS 300 42.00
80101    80224 CANNABINOID (MARIJUANA) SCREEN, BLOOD 300 159.60
80101    80108 DRUG NON DOT COC 300 35.70
80101    82460 DRUG SCREEN (ECSTACY METABALITE) 300 283.50
80101    82461 DRUG SCREEN QUAL; SINGLE CLASS 300 42.00
80101    80222 DRUGS OF ABUSE, SCREEN URIN-AMPHETAMINE 300 26.00
80101    80220 DRUGS OF ABUSE, SCREEN URIN-BARBITUATES 300 26.00
80101    80221 DRUGS OF ABUSE, SCREEN URIN-BARBITUATES 300 50.40
80101    80219 DRUGS OF ABUSE, SCREEN URIN-BARBITURATES 300 50.40
80101    80218 DRUGS OF ABUSE, SCREEN URIN-BENZODIAZEPI 300 50.40
80101    80217 DRUGS OF ABUSE, SCREEN URIN-CANNOBINODS 300 50.40
80101    80207 DRUGS OF ABUSE, SCREEN URIN-COCAINE META 300 50.40
80101    80208 DRUGS OF ABUSE, SCREEN URIN-METHADONE 300 50.40
80101    80209 DRUGS OF ABUSE, SCREEN URIN-OPIATES 300 50.40
80101    80211 DRUGS OF ABUSE, SCREEN URIN-PHENCYCHIDIN 300 50.40
80101    82507 DRUGS OF ABUSE, SCREEN URIN-PROPOXYPHENE 300 50.40
80101    83663 WCRC CANNABINOIDS BLOOD 300 107.10
80152    82015 AMITRIPTYLINE 300 248.85
80156    81300 CARBAMAZEPINE (TEGRETOL) 300 134.40
80156    80561 CARBAMAZEPINE AND METABOLIC 300 236.25
80156    80192 CARBAMAZEPINE AND METABOLITE 300 122.00
80157    83702 CARBAMAZEPINE, FREE 300 172.20
80158    80414 CYCLOSPORINE (WHOLE BLOOD) 300 415.80
80158    80415 CYCLOSPORINE, FPIA 300 415.80
80159    80203 CLOZAPINE CLOZARIL 310 218.40
80160    80062 DESIPRAMINE 300 128.10
80160    80175 DESIPRAMINE & IMIPRAMINE 300 130.20
80162    80460 DIGOXIN 300 134.40
80164    81800 VALPROIC ACID (DEPAKENE) 300 118.65
80164    83921 WCRC DEPAKOTE VALPROIC ACID 300 29.00
80166    83915 DOXEPIN 300 60.00
80168    80187 ETHOSUXIMIDE (ZARONTIN) 300 91.35
80170    80197 GENTAMICIN PEAK 300 158.55
80170    80198 GENTAMICIN TROUGH 300 158.55
80170    83461 WCRC GENT PEAK 300 42.00
80170    83770 WCRC GENTAMYCIN TROUGH 300 42.00
80174    80174 IMIPRAMINE & DESIPRAMINE 300 130.20
80177    82494 LEVETIRACETAM (KEPPRA) 310 264.60
80178    81630 LITHIUM 300 86.10
80182    83748 NORTRIPTYLINE 300 264.60
80184    80690 PHENOBARBITAL 300 143.85
80185    80470 DILANTIN 300 134.40
80185    80473 PTN SEND OUT 300 134.40
80186    80471 FREE & TOTAL DILANTIN 300 94.50
80186    80475 FREE PHENYTOIN 300 151.00
80188    81670 PRIMIDONE 300 74.00
80194    81760 QUINIDINE 300 75.60
80195    80297 SIROLIMUS (RAPAMUNE) 300 302.40
80197    82011 TACROLIMUS (FK506) TROUGH 300 378.00
80198    80950 THEOPHYLLINE 300 134.40
80200    81802 TOBRAMYCIN NEBCIN TROUGH 300 171.15
80201    81801 TOPIRAMATE 300 158.55
80202    80002 VANCOMYCIN PEAK 300 352.80
80202    80001 VANCOMYCIN TROUGH 300 352.80
80202    83704 WCRC VANCOMYCIN PEAK 300 21.00
80230    82117 INFLIXIMAB & INFLIXIMAB AB 300 854.70
80235    82079 LACOSAMIDE 300 449.40
80299    82701 AMIODARONE 300 396.90
80299    81461 CLOMIPRAMINE 300 50.40
80299    81462 DESMETHYLCLOMIPRAMINE 300 50.40
80299    81112 KEPPRA 300 236.25
80299    81192 LAMOTRIGINE  LAMICTAL 300 163.80
80299    82409 MIRTAZAPINE 300 250.95
80299    81301 NEURONTIN 300 217.00
80299    83400 NEURONTIN (GABAPENTIN) 300 148.05
80299    83421 OX CARBZAEPINE 300 261.45
80299    83746 OXCARBAZPINE 300 213.15
80299    80043 PROZAC (FLUOXETINE) 300 104.00
80299    83749 SULFONYLUREA 300 316.05
80299    80404 TRILEPTAL LEVEL 300 187.95
80299    83138 WCRC KEPPRA 300 31.50
80299    82702 WCRC-AMIODARONE 300 31.32
80299    80299 ZONEGRAN 300 298.20
80305    80674 ADVANCED SERVICES IN HOUSE DRUG 300 63.00
80305    80672 COAL MINE JESSE CREEK URINE 300 63.00
80305    80673 COAL MINE STAR MINE URINE 300 63.00
80305    80107 DRUG ABUSE 10, NON DOT (FOR) 300 42.00
80305    80279 INDUSTRIAL URINE DRUG SCREEN 300 60.00
80306    82501 DRUG SCREEN STAT 300 220.50
80307    87303 CHAIN OF COMMAND 11 PANEL AND MDMA 300 57.75
80307    87943 CHAIN OF COMMAND BUPRENOPHINE URINE 300 57.75
80307    87302 CHAIN OF COMMAND MEPHEDRONE MDPV 300 57.75
80307    89431 CHAIN OF COMMAND SUBOXONE BUPRENORPHINE 300 57.75
80307    87304 CHAIN OF COMMAND SYNTHETIC CANNABINOIDS 300 57.75
80307    81405 DRUG NIDA 5 (FED) 300 103.95
80307    80301 DRUG SCREEN 10 PANEL SERUM 300 841.05
80307    89472 HAIR DRUG TEST 300 120.75
80307    81401 HAMILTON CO UNIT #10 DOT 300 81.00
80307    80309 NICOTINE AND METABOLITE UA 300 2310.00
80307    80306 NON DOT 5 PANEL 300 57.75
80320    81210 ALCOHOL, ETHYL 300 204.75
80323    82114 NICKEL PLASMA 300 170.10
80323    82543 NICOTINE & METABOLITE 300 177.45
80324    82145 METHAMPHEDAMINE AMPHESAMINE PANEL 300 310.80
80329    81191 ACETAMINOPHEN-SERUM 300 184.80
80329    80005 SALICYLATES 300 123.90
80330    82510 BLOOD C/S 1ST TEST 300 160.65
80330    80308 JENNCHEM URINALYSIS 300 71.40
80330    80307 PAIN MGMT SCREENING PROFILE 11 DRUGS URI 300 292.95
80339    80339 ESLICARB AZEPINE 300 162.75
80346    81047 CLONAZEPAN  SERUM 300 246.75
80346    80346 LIBRIUM CHLORDIAZEPOXIDE 300 52.50
80346    83427 WCRC LIBRIUM 300 26.25
80350    80292 INDUSTRIAL K-2 300 50.00
80371    80293 INDUSTRIAL BATH SALTS 300 50.00
81001    80375 THIOPURINE METABOLYTE 300 413.70
81001    81000 URINE MICROSCOPIC 300 30.45
81002    81606 URINE BMP 300 137.55
81003    81003 EOSINOPHILS NASAL SMEAR 300 86.10
81003    81602 URINALYSIS 300 44.10
81050    81015 TOTAL VOLUME URINE/24 HOUR COLLECTION 300 42.00
81162    81162 BRCA 1/2 COMPREHENSIVE – GENE ANALYSIS 310 8344.00
81162    85516 BREAST CA 1&2 FULL SEQUENCE & DUPLICATES 300 5006.52
81206    85513 BCR ABL 1 DETECTION CML & ALL 300 1224.30
81206    81206 BCR ABL 1 MAJOR BREAKPOINT 300 612.15
81207    81207 BCR ABL 1 MINOR BREAKPOINT 300 612.15
81217    85514 BRCA-2 300 1064.70
81220    83902 CYSTIC FIBROSIS PROFILE DNA ANALYSIS 300 805.35
81235    81235 EGFR 300 873.60
81240    83201 FACTOR II (PROTHROMBIN) DNA ANALYSIS 300 296.10
81241    83913 FACTOR V LEIDEN MUTATION 300 296.10
81243    80275 FRAGILE AND SYNDROME,DNA ANALYSIS 300 252.00
81254    81642 MUMPS VIRAL CULTURE 300 365.40
81256    81257 HEMOCHROMATOSIS DNA ANALYSIS 300 225.50
81256    81256 HEREDITORY HEMOCHROMATOSIS DNA ANALYSIS 300 425.25
81270    81270 JAK2 – MUTATION ANALYSIS, QUANTITATIVE 300 540.00
81275    81275 KRAS W/O MICRODISECTION 310 532.35
81291    83887 MD: ENZYMATIC DIGEST 300 130.20
81291    83912 MOLECULAR DIAG INTERPRETATION 300 130.20
81291    83891 MOLECULAR DIAGNOSTICS ISOLATION OF NUCLE 300 153.30
81291    81061 MOLECULAR DIAGNOSTICS SEPARATION BY GEL 300 79.00
81291    83898 MOLECULAR DIAGNOSTICS, AMPLIFICATION OF 300 130.20
81291    81291 MTHFR GENE ANALYSIS 300 226.80
81321    85517 PTEN GENE ANALYSIS FULL SEQUENCE ANALYSI 300 1208.00
81323    85518 GENE ANALYSIS DUPLICATION DELITION VARIA 300 264.25
81374    81010 HLA B-27 300 128.10
81406    84106 CHROMOSOMAL MICROASSAY ANALYSIS 300 2430.75
81406    83677 WCRC CHROMOSOME ANALYSIS 300 472.50
81420    89341 INFORMASEQ PRENATAL TEST 300 1593.90
81479    81479 INTERLEUKIN 28B 300 575.40
81596    86921 HEPATITIS C VIRUS FIBROSURE 300 644.70
82009    82013 ACETONE SERUM QUALITATIVE 300 33.60
82009    82018 ACETONE URINE QUALITATIVE 300 33.60
82009    82500 Z KETONES SERUM 300 380.10
82010    81008 ACETONE – URINE 300 101.00
82010    81441 BETA HYDROXYBUTYRIC 300 224.70
82017    82099 ACYLCARNITINE PROFILE 300 328.65
82024    83705 24 HR ACTH UA 300 451.00
82024    81011 ADRENOCORTICOTROPHIC HORMONE 300 273.00
82040    80030 ALBUMIN 300 44.10
82042    82042 ALBUMIN BODY FLUID 300 61.95
82043    82043 24 HR MICROALBUMIN 300 291.90
82043    80302 MICROALBUMIN RANDOM 300 90.30
82043    82045 X MICROALBUMIN RAND UR 300 187.95
82055    82055 ALCOHOL COC 300 26.00
82055    81221 ALCOHOL JJR COC 300 46.20
82075    80531 BREATH ALCOHOL 300 27.30
82085    81220 ALDOLASE 300 48.30
82088    82300 24 HR ALDOSTERONE UA 300 541.80
82088    82088 ALDOSTERONE 300 207.90
82088    82089 ALDOSTERONE/RENIN RATIO 300 81.00
82103    83755 ALPHA – 1 – ANTITRYPSIN QN 300 217.35
82103    82103 ALPHA 1 ANTITRYPSIN STOOL 300 452.55
82104    82104 ALPHA 1 ANTITRYPSIN PHENOTYPE 300 169.05
82105    82105 AFP MATERNAL SERUM 300 227.85
82105    80114 ALPHA-FETOPROTEIN TUMOR MARKER 300 206.85
82105    83619 WCRC AFP 300 29.00
82108    82108 ALUMINUM PLASMA OR SERUM 300 84.00
82127    82127 24 HR UA CYSTINE QUANT 300 206.85
82131    20022 AMINO ACID 270 94.50
82136    82136 AMINO ACID PROFILE 300 865.20
82140    81240 AMMONIA 300 152.25
82140    83003 Z AMMONIA 300 20.66
82150    80070 AMYLASE 300 86.10
82150    89051 AMYLASE BOYD FLUID 300 74.55
82150    82151 MACROAMYLASE 300 179.55
82150    82152 PANCREATIC ISOAMYLASE 300 92.00
82150    82150 SALIVARY ISOAMYLASE 300 92.00
82157    82157 ANDROSTENEDIONE 300 177.45
82157    83639 WCRC ANDROSTENEDIONE 300 52.00
82164    80004 ANGIOTENSIN-1 COVERTING ENZYME 300 215.25
82164    83646 WCRC ANGIOTENSIN CONV ENZYME 300 23.00
82172    83894 APO E GENOTYPE ELCTROPHORESIS 300 340.20
82172    89894 APO E GENOTYPE ELECTROPHORESIS 300 340.20
82172    81949 APOLIPOPROTEIN B 300 117.60
82172    81948 LIPOPROTEIN (a) 300 123.90
82172    81016 LIPOPROTEIN, APO A1 300 156.45
82175    81955 ARSENIC 300 362.25
82180    80488 VITAMIN C 300 111.30
82205    82205 BARBITUATES 300 27.30
82232    82232 BETA 2 MICROGLOBULIN 300 69.30
82232    83651 WCRC BETA 2 MICROGLOBULIN 300 39.90
82247    80140 BILIRUBIN TOTAL 300 44.10
82247    82247 TOTAL BILI BODY FLUID 300 246.75
82248    80130 BILIRUBIN DIRECT 300 44.10
82271    80661 GASTRIC OCCULT BLOOD 301 31.50
82271    80660 OCCULT BLOOD FECES – DIAGNOSTIC0 300 50.40
82271    82509 OCCULT BLOOD FECES SCREEN 1 300 50.40
82271    82511 OCCULT BLOOD FECES SCREEN 2 300 50.40
82271    82513 OCCULT BLOOD FECES SCREEN 3 300 50.40
82272    82272 ZHEMACULT 301 50.40
82273    81940 ZZZ DO NOT USE 300 25.00
82274    82277 FIT FECAL IMMUNOASSAY 300 39.90
82274QW    82274 IFOB DIAGNOSTIC 300 287.70
82300    81954 CADMIUM 300 287.70
82306    82307 VIT D 25 HYDROXY FRACTIONATED 300 413.70
82306    83504 VITAMIN D 300 171.15
82306    81119 VITAMIN D 25 HYDROXY 300 401.00
82306    83817 WCRC VITAMIN D 300 41.96
82306    83542 Z VITAMIN D 300 41.96
82308    80811 CALCITONIN 300 370.65
82310    80170 CALCIUM 300 44.10
82330    82100 IONIZED CALCIUM 300 86.10
82330    83452 WCRC IONIZED CALCIUM 300 26.25
82340    83752 24 HR CALCIUM UA 300 105.00
82340    81070 CALCIUM (URINE) RANDOM 300 74.55
82340    83661 WCRC CALCIUM IONIZED 300 26.25
82355    81170 STONE ANALYSIS 301 128.10
82374    80180 CO2 300 44.10
82374    82775 HCO3 (BICARB) 300 74.55
82375    81964 CARBOXYHEMOGLOBIN BLOOD 300 194.25
82378    81310 CEA 300 215.25
82379    82379 CARNITINE (TOTAL & FREE), QUANTITATIVE 300 166.00
82380    82380 CAROTENE 300 59.85
82383    80402 EPHEDRINE 300 240.45
82384    82384 24 HR UA CATECHOLAMINES 300 192.15
82384    80019 CATECHOLAMINE, FRAC 300 176.40
82390    83754 CERULOPLASMIN 300 153.30
82397    83297 ANTI MULLERIAN HORMONE 300 300.30
82397    82111 CHEMILUMINECENT ASSAY 300 71.40
82397    83655 PARATHYROID HORMONE RELATED PEPTIDE 300 300.30
82397    82397 PTH RELATED PEPTIDE LAB CORP 503380 300 200.55
82435    80210 CHLORIDE; BLOOD 300 44.10
82436    82000 24 HOUR CHLORIDE URINE 300 84.00
82436    81990 CHLORIDE UA RANDOM 300 33.60
82436    83674 WCRC CHL URINE 300 38.85
82465    80230 CHOLESTEROL 300 44.10
82491    82492 DIAMOX 300 258.30
82491    82657 ERYTHROCYTES UROPORPHYIN 300 887.25
82491    82493 FELBAMATE 300 107.10
82491    82495 QUETIAPINE 300 199.50
82491    82490 UROPORPHUNOGEN OECARBOXYLESE 300 887.25
82491    82491 VITAMIN E GAMMA-TOCOPHEROL 300 65.10
82491    82496 VORICONAZOLE LEVEL 300 300.30
82495    82113 CHROMIUM PLASMA 300 170.10
82495    83675 WCRC CHROMIUM BLD 300 43.05
82507    83987 24 HR CITRATE UA 300 176.40
82507    83739 24 HR CITRIC ACID UA 300 508.20
82525    82784 24 HR UA COPPER 300 130.20
82525    82523 C LELOPEPTIDE 300 322.35
82525    82786 COPPER 300 58.80
82530    83737 24 HR CORTISOL BY HPLC FREE UA 300 264.60
82530    82530 24 HR UA CORTISON 300 203.70
82533    83736 CORTISOL AM 300 240.45
82533    81453 CORTISOL FREE AND TOTAL 300 224.70
82533    83738 CORTISOL P M 300 240.45
82533    82533 CORTISOL SALIVA (ONE SPECIMEN) 300 240.45
82533    83217 WCRC CORTISOL 300 26.25
82540    80214 24 HOUR UA CREATINE 300 110.00
82542    82542 ARIPIPRAZOLE 300 329.70
82542    82544 CHROMATOGRAPHY/BILE ACIDS,FRACTIONATED 300 338.00
82542    82065 CLOMIPRAMINE SERUM 300 112.35
82542    82109 ITRACONAZOLE LEVEL 300 663.60
82542    82549 LEFLUNOMIDE 300 336.00
82542    82009 MARIJUANA METABOLITES BY GC/MS(U) 300 236.25
82542    82110 MYCOPHENOLIC ACID METABOLITE MPA 300 282.45
82542    82064 THIOPURINE METHYLTRANSFERASE ERYTHROCYTE 300 704.55
82550    80280 CPK-TOTAL 300 78.75
82552    83747 CREATINE KINAU TROENZYMES 300 104.00
82553    80290 MMB 300 88.20
82553    83678 WCRC CKMB 300 21.00
82565    80300 CREATININE 300 44.10
82570    81963 24 HOUR CREATININE URINE 300 117.60
82570    81069 CREATININE UA RANDOM 300 84.00
82570    84157 URINE PROTEIN/CREAT RATIO 300 89.00
82575    80305 24 HOUR CREATININE CLEARANCE URINE 300 121.80
82585    82585 CRYOFIBRINOGEN 300 37.80
82595    82595 CRYOGLOBULIN 300 39.90
82600    80008 CYANIDE 300 185.85
82607    81810 VITAMIN B12 300 171.15
82607    82607 Z B12 #001503 300 25.20
82610  2880008 CYSTATIN C 300 364.50
82626    83734 DEHYDROEPIANDROSTERONE UNCONJUGATED 300 541.80
82627    80116 DHEA SULFATE 300 312.90
82633    82633 DESOXYCORTICOSTERONE 300 72.45
82634    82634 DEOXYCORTIZOL 300 72.45
82651    82651 DIHYDROTESTOSTERONE 300 222.60
82652    81130 VITAMIN D 1 25 DIHYDROXY 300 185.85
82652    84722 WCRC VITAMIN D 25 HYDROXY 300 36.00
82656    82656 PANCREATIC ELASTASE 1 300 721.35
82656    83766 PANCREATIC ELASTASE, FECAL 300 346.50
82657    82659 TPMT 300 242.55
82668    82003 ERYTHROPOIETIN 300 285.60
82670    82044 ESTRADIOL SENSITIVE 300 336.00
82672    80023 ESTROGEN TOTAL 300 184.80
82677    80117 ESTRIOL 300 69.00
82679    82679 ESTRONE 300 179.55
82705    83756 FECAL FAT, QUALITATIVE 300 156.45
82710    81431 FECAL FAT QUANT 300 84.00
82728    81430 FERRITIN 300 163.80
82742    83782 WCRC FOLIC ACID 300 24.00
82746    81450 FOLIC ACID (FOLATE) 300 153.30
82746    82746 Z FOLATE #002014 300 25.20
82747    82408 FOLIC ACID RBC 300 306.60
82784    82399 IgD 300 82.95
82784    82404 IgM 300 69.30
82784    80582 IGM IMMUNGLOBULIN 300 55.65
82784    80465 IMMUNOGLOBULIN A (IgA) 300 84.00
82784    80753 IMMUNOGLOBULIN G 300 55.65
82785    81559 IMMUNOGLOBIN, IGE 300 187.95
82787    82787 IMMUNOGLOBULIN SUBLCASS 300 50.40
82800    80681 BLOOD GAS PH ONLY 300 118.65
82803    80100 ARTERIAL BLOOD GAS 300 310.80
82820    82820 HgB OXYGEN AFFINITY 300 48.30
82941    82004 GASTRIN SERUM 300 87.15
82943    82943 GLUCAGON 300 312.90
82945    82792 BODY FLUID GLUCOSE 300 43.05
82945    82782 GLUCOSE (CSF) 300 74.55
82947    80491 6 HR PP GLUCOSE 300 44.10
82947    80490 GLUCOSE (FBS) 300 44.10
82951    80499 GLUCOSE TOLERANCE (1ST 3 SPEC) 300 257.25
82952    80520 GLUCOSE TOLERANCE ABOVE 3 SPEC 300 41.00
82955    81066 GLUCOSE – 6 – PHOSPHATE 300 163.80
82977    81920 GGT 300 44.10
82980    82980 GLUTETHIMIDE 300 27.30
82985    80493 FRUCTOSAMINE 300 61.95
83001    81455 FSH 300 189.00
83001    83449 Z FSH 300 48.30
83002    81976 LH 300 215.25
83003    81966 GROWTH HORMONE 300 124.95
83010    81058 HAPTOGLOBIN 300 84.00
83010    83767 WCRC HAPTOGLOBIN 300 28.35
83018    82112 COBALT PLASMA 300 170.10
83021    83451 HEMOGLOBIN VARIANT A2 QUANT 300 87.15
83021    83448 HEMOGLOBIN VARIANT REFLUX ELECTROPHORES 300 87.15
83036    81965 GLYCOHEMOGLOBIN (A 1 C HEMOGLOBIN) 300 116.55
83036    81971 HEMOGLOBIN Hb A1C WITH EAG 300 22.05
83070    83424 HEMOSIDREN URINE 300 179.55
83088    83088 24 HR U A HISTAMINE 300 468.30
83090    80097 HOMOCYSTEINE 300 338.10
83491    83423 24 HR UA 17 HYDROXYCORTICOSTEROIDS 300 527.10
83497    81056 24 HOUR URINE 5-HIAA 300 95.55
83497    81530 5-HIAA RANDOM UA 300 94.50
83497    83609 WCRC 5-HIAA 24 HR URINE 300 23.10
83498    84145 17 HYDROXY PROGESTERONE 300 154.35
83498    83420 HYDROXYPROGESTERONE, 17 ALPHA 300 156.45
83500     3516 HYDROXYPROLINE; FREE 300 117.60
83505    80037 HYDROXYPROLIN 300 72.00
83516    83522 ALPHA-GAL 300 152.25
83516    83516 ANTI CHROMATIN ANTIBODIES IgG 300 134.40
83516    83512 BOWEL DISORDERS EVAL RULE OUT CASCADE 300 247.80
83516    83514 BULLOUS PEMPHIGOID 180 300 556.50
83516    83513 BULLOUS PEMPHIGOID 230 300 556.50
83516    83521 BULLOUS PEMPHIGOID 230 300 856.50
83516    83759 MITOCHONDRIAL ANTIBODIES 300 210.00
83516    83760 SMOOTH MUSCLE ANTIBODIES 300 240.45
83516    83518 TISSUE TRANSGLUTAMINASE tTg IgA 300 194.25
83516    83517 TRANSGLUTAMINASE SERUM Igg 300 220.50
83519    83519 GLUTAMIC ACID DECABOXYLASE 300 332.85
83519    80651 MELANOCYTE-STIMULATING HORMONE 300 200.55
83519    80652 TRYPSIN 300 168.00
83520    83508 ALPHA BETA UNICAP TOTAL TRYPTASE 300 270.90
83520    83501 ANTI GLOMERULAR BASEMENT MEMBRANE IgG 300 159.60
83520    80508 ANTI PROTEIN AS 3 PR3 ANTIBODIES 300 158.55
83520    80524 ANTI SULFATIDE 300 815.85
83520    80598 ANTIMYELOPEROXIDASE MPO 300 134.40
83520    80521 CYCLIC CITRULLINATED PEPTIDE IgG ANTIBOD 300 305.55
83520    80511 ELASTASE STOOL 300 1525.65
83520    80523 ETA PROTEIN 14 3 3 (SERUM) 300 366.45
83520    83503 GLOMERULAR FILTRATION RATE CYSTATIN C 300 189.00
83520    80509 PLATELET FACTOR 4 300 618.45
83520    82418 RIBOSOMAL P PROTEIN AUTOANTIBODIES 300 168.00
83520    80657 THYROTROPIN RECEPTOR ANTIBODY 300 162.75
83520    83507 TRYPTASE 300 261.45
83520TC  2883520 IGFBP-3(INSULIN LIKE GROWTH FACTOR 300 88.80
83525    81135 INSULIN SERUM 300 61.95
83540    81570 IRON, TOTAL 300 72.45
83550    81580 IRON BINDING CAP, (IBC) 300 159.60
83586    81054 17 – KETOSTEROIDS, FRAC, UR 300 144.90
83586    81590 17- KETOGENIC STERIODS 300 202.65
83605    82401 LACTIC ACID 300 206.85
83615    80601 BODY FLUID LDH 300 43.05
83615    80600 LDH 300 42.00
83625    83625 LDH ISOENZYMES 300 171.15
83631    83631 LACTOFERRIN STOOL 300 372.75
83655    81621 24 HOUR URINE-LEAD 300 48.30
83655    81613 LEAD LAB CORP ADULT 300 35.70
83655    81612 LEAD LAB CORP PEDIATRIC 300 44.10
83655    81610 LEAD, IDPH BLOOD 300 118.65
83655    81620 LEAD, URINE 300 156.45
83690    80610 LIPASE 300 50.40
83690    80612 LIPASE BODY FLUID 300 140.70
83698    83698 LIPOPROTEIN-ASSOCIATED PHOSPHILIPASE A2 300 446.25
83698    83699 PLAC 300 455.70
83701    89701 LIPOPROTEIN BLOOD ELEC HRF 300 172.20
83718    81520 HDL CHOLESTEROL 300 79.80
83721    81953 DIRECT LDL 300 105.00
83735    83731 24 HR MAGNESIUM UA 300 124.95
83735    81640 MAGNESIUM 300 75.60
83735    81641 MAGNESIUM, RBC 300 37.80
83735    83019 Z MAGNESIUM 234 29.40
83785    83785 MANGANESE BLOOD 300 273.00
83825    81956 MERCURY 300 287.70
83825    80061 MERCURY URINE 300 273.00
83835    81051 24 HR UA METANEPHRINES 300 95.55
83835    83835 METANEPHRINE FRACTIONATAL FREE PLASMA 300 669.90
83835    81052 METANEPHRINES FRACTIONATED PLASMA FREE 300 532.35
83840    83840 METHADONE (DOLOPHINE) SERUM 300 225.75
83874    80624 MYOGLOBIN 300 270.90
83880    83333 BNP (B-TYPE NATRIURETIC PEPTIDE) 300 185.85
83880    83334 BNP (LABCORP) 300 344.40
83880    83335 PRO BNP (LABCORP) 300 259.40
83880    83652 WCRC BNP 300 50.00
83880    83336 WCRC PRO BNP (LABCORP) 300 64.85
83880   883763 WCRC PRO BNP LABCORP 300 64.85
83883    83889 FREE LIGHT CHAIN PANEL SERUM 300 138.60
83883    83886 FREE LIGHT CHAIN PANEL URINE 300 138.60
83883    83883 KAPPA LIGHT CHAIN 300 88.20
83883    83884 LAMDA LIGHT CHAIN 300 88.20
83890    83890 MD: ISOLATION/EXTRAC 300 130.20
83892    83892 APO E GENOTYPE ENZYMATIC DIGESTION 300 340.20
83892    81063 ENZHMATIC DIGESTION (D) 4 OF 4 300 195.30
83894    83895 GEL ELECTROPHORESIS 300 130.20
83894    83888 MD: GEL ELEC 300 130.20
83896    83896 MOLECULAR DIAGNOSTICS NUCLEIC ACID PROBE 300 153.30
83897    83897 MOLECULAR DIAGNOSTICS NUCLEIC ACID TRANS 300 153.30
83898    81062 NUCLEIC PROB W/ PCR (C)   3 OF 4 300 101.00
83900    83900 MD FIRST TWO NUC ACID 300 95.55
83901    83901 MD EACH ADD NUC ACID 300 95.55
83903    83903 MOLECULAR SCANNING 300 55.65
83904    83904 MOLECULAR MUTATION ID 300 68.25
83907    83910 MOLECULAR DIAGNOSTICS LYSIS OF CELLS 300 84.00
83908    83907 AMPLIFICATION, SINGLE EACH NUCLEIC ACID 300 55.65
83909    83909 MD SEP AND ID BY HRT 300 95.55
83914    83914 MD MUTATION ID 300 95.55
83915    83790 NUCLEOTIDASE, 5′ 300 156.45
83918    83791 METHYLMALONIC ACID (mma) QUANT 300 456.75
83919    83919 ORGANIC ACID, URINE 300 390.60
83925    83925 HYDROCODONE LEVEL 300 222.60
83925    83926 OPIATE CONFIRMATION 300 112.35
83930    81680 OSMOLALITY SERUM 300 112.35
83935    81137 URINE OSMOLALITY 300 144.90
83937    83937 OSTEOCALCIN 300 152.25
83945    83745 24 HR UA OXALATE 300 204.75
83970    82413 PARATHYROID INTACT 300 189.00
83970    80073 PARATHYROID N TERMINAL 300 556.50
83970    83795 WCRC PTH INTACT 300 39.90
83970    83813 WCRC ZPTH 300 58.51
83986    83986 PH BODY FLUID, NOT BLOOD 300 22.05
83986    83920 STOOL PH 300 26.25
83993    83993 CALPROTECTIN, STOOL 300 652.05
84022    80065 FLUPHENAZINE (PROLIXIN) 300 248.85
84022    81851 PROLIXIN LEVEL 300 291.90
84030    81720 P K U 300 148.05
84060    81200 ACID PHOS 300 101.85
84075    80050 ALK PHOSPHATASE 300 44.10
84075    83635 WCRC ALKP ISOENZYMES 300 27.00
84080    81224 ALKALINE PHOSPHATASE ISOENZYMES 300 100.00
84100    81710 PHOSPHOROUS 300 44.10
84105    80055 24 HOUR UA PHOSPHORUS 300 84.00
84105    81071 URINE PHOSPHORUS RANDOM 300 41.00
84120    80038 PORPHYRIN,FRACTIONATED URINE 300 155.00
84120    84120 PORPHYRINS, URINE QUANTITATIVE 300 112.35
84132    80720 POTASSIUM 300 44.10
84133    82002 24 HR POTASSIUM UA 300 84.00
84133    81019 POTASSIUM RANDOM UA FREE 300 41.50
84134    81369 PREALBUMIN 300 128.10
84140    80734 PREGNENOLONE 300 132.00
84143    84143 17 HYDROXYPREGNENOLONE 300 72.45
84144    80007 PROGESTERONE 300 189.00
84145    81852 PROCALCITONIN 300 95.55
84146    81850 PROLACTIN 300 256.20
84153    81116 PSA FREE TOTAL RATIO REFLEX 300 90.30
84153    81755 PSA TOTAL 300 143.85
84153    83797 WCRC PSA FREE 300 26.25
84154    81113 PSA FREE (add PSA TOTAL) 300 293.00
84155    81978 PROTEIN TOTAL RANDOM UA 300 84.00
84155    83701 TOTAL PROTEIN (BLOOD) 300 61.95
84155    82781 TOTAL PROTEIN (CSF) 300 74.55
84155    81068 TOTAL PROTEIN RANDOM URINE 300 69.30
84155    80740 T-PROTEIN 300 44.10
84156    84153 24 HR TOTAL PROTEIN UA 300 43.05
84156    84172 24 HR UA IMMUNOFIX AND PROT ELEC 300 43.05
84156    84152 FISH BLADDER CANCER 300 27.30
84156    84156 PROTEIN ELEC RAND UA W/REFLEX 300 27.30
84156    83576 WCRC 24HR UA PROTEIN ELECTRO W/REFLEX 300 44.10
84156    83575 WCRC PROTEIN ELECTROPHORESIS RANDOM 300 28.35
84157    84154 BODY FLUID PROTEIN 300 43.05
84157    84155 TOTAL PROTEIN BODY FLUID 300 42.00
84165    81740 PROTEIN ELECTROPHORESIS URINE 300 185.85
84165    84165 PROTEIN ELECTROPHORESIS W/REFEX 300 100.80
84166    84166 24 HR UA PROTEIN ELECT/REFLEX TO IFE 300 121.80
84181    84181 ANTI MAG W/WESTERN BLOT 300 326.55
84202    81225 PROTOPORPHYRIN FREE EMTHROCYTE 300 236.25
84206    81136 PROINSULIN 300 131.25
84207    84207 VITAMIN B6 300 153.30
84233    81410 ESTROGEN RECEPTOR ASSAY 310 579.00
84238    80024 ACETYLCHOLINE BIND RECEPTOR ANTIBODY 300 256.20
84238    81950 ACETYLCHOLINE RECEPTOR BLOCKING ANTIBOD 300 516.60
84238    84238 TRANSFERRIN RECEPTOR SOLUBLE 300 312.90
84244    84244 RENIN ACTIVITY PLASMA 300 66.00
84252    84252 VITAMIN B2 RIBOFLAVIN 300 110.25
84260    83422 HYDROXYTRYPTAMINE, 5 300 260.40
84270    81017 SEX HORMONE BINDING GLOBULIN 300 187.95
84295    80880 SODIUM 300 44.10
84300    84732 24 HR SODIUM UA 300 117.60
84300    83732 SODIUM UA RANDOM 300 117.60
84302    84302 SODIUM FECAL 300 179.55
84305    82046 INSULIN LIKE GROWTH FACTOR 300 150.00
84311    84309 PHOSPHOLIPID SERUM 300 59.85
84377    84378 FECAL REDUCING SUBSTANCE 300 35.70
84377    84377 REDUCING SUBSTANCE STOOL 300 51.45
84392    84392 24 HR SULFATE UA 270 68.25
84392    84255 SELENIUM 300 187.95
84402    82230 TESTOSTERONE FREE 300 478.80
84403    80045 TESTOSTERONE  TOTAL 300 306.60
84403    83812 WCRC TESTERONE 300 36.59
84425    81814 VITAMIN B1 300 160.65
84425    84425 WCRC VIT B1 300 48.53
84432    84433 THYROGLOBULIN COMPREHENSIVE W/REFLEX 300 63.00
84436    80930 T4 TOTAL (DONE AT HOSPITAL) 300 101.85
84436    80931 THYROXINE (T4) 300 96.60
84439    81132 FREE T4 300 158.55
84443    80981 THYROID CASCADE PROFILE 300 175.35
84443    80980 TSH 300 78.75
84443    80982 TSH W/REFLEX TO FT4 300 78.75
84445    80658 THYROID STIMULATING IMMUNOGLOBINS 300 218.40
84446    84446 VITAMIN E GAMMA-TOCOPHEROL 300 65.10
84450    80830 AST (SGOT) 300 44.10
84450    80831 AST (SGOT) SEND OUT 300 44.10
84460    80840 ALT (SGPT) 300 44.10
84460    80841 ALT (SGPT) SEND OUT 300 44.10
84466    80915 TRANSFERRIN 300 105.00
84478    80970 TRIGLYCERIDE 300 44.10
84479    80920 T3 UPTAKE (LABCORP) 300 101.85
84480    84480 TOTAL T3 300 38.00
84481    81880 T 3 FREE (OUTSIDE HOSPITAL) 300 324.45
84482    84482 RT3, REVERSE TRIIODOTHYRONINE 300 160.65
84484    80623 TROPONIN 300 159.60
84484    80620 TROPONIN T 300 167.00
84484    83806 WCRC TROPONIN 300 55.00
84484    84484 Z TROPONIN 300 46.20
84490    84490 CHYMOTRYPSIN 300 183.75
84520    80160 BUN 300 44.10
84540    81960 24 HR UA UREA NITROGEN 300 117.60
84540    80034 UREA NITROGEN (URINE) 300 115.50
84550    80990 URIC ACID 300 44.10
84560    80053 24 HOUR URIC ACID URINE RANDOM 300 71.40
84560    84560 SYNOVIAL FLUID/URICACID 300 260.40
84560    80059 URIC ACID BODY FLUID 300 28.35
84585    81820 24 HR UA VMA 300 86.10
84588    80161 ANTIDIURETIC HORMONE (ADH) 300 258.30
84590    84590 VITAMIN A SERUM 300 90.30
84597    84597 VITAMIN K 300 468.30
84600    84600 VOLATILES 300 27.30
84630    81189 ZINC 300 112.35
84681    81001 C-PEPTIDE, SERUM 300 124.95
84681    83657 WCRC C PEPTIDE 300 29.40
84702    81280 HCG, QUANT 300 199.50
84702    80115 HCG-QUANT (TUMOR MARKER) 300 320.25
84703    80730 BETA HCG QUAL SERUM 300 90.30
84703    80732 BETA HCG QUAL URINE 300 90.30
84999    84989 OSMOLALITY FECAL 300 179.55
84999    84999 POTASSIUM FECAL 300 179.55
85014    80560 HCT 300 31.50
85018    80570 HGB 300 31.50
85027    80250 CBC 300 97.65
85027    80580 HEMAGRAM 300 74.55
85027    80304 JENNCHEM CBC 300 71.40
85041    80770 RBC 300 33.60
85045    80780 RETIC COUNT 300 50.40
85048    82410 EOSINOPHIL COUNT (BLOOD) 300 82.95
85048    81020 W B C 300 33.60
85049    80710 PLATELET COUNT 300 84.00
85220    82405 FACTOR V, ACTIVITY 300 401.10
85230    85242 FACTOR VII 300 249.90
85240    85241 FACTOR VIII ACTIVITY 300 393.75
85240  2885241 FACTOR VIII ACTIVITY-NON REFLEX 300 527.00
85244    85244 FACTOR VIII ANTIGEN 300 372.75
85245    82545 FACTOR VIII VW FACTOR RISTOCETIN COFACTO 300 393.75
85246    81816 VON WILLEBRAND FACTOR AGENT 300 237.30
85300    82403 ANTITHROMBIN III ACTIVITY 300 426.30
85300    85303 FACTOR 12 300 422.10
85301    85301 ANTITHROMBIN III ANTIGIN 300 298.20
85301    83644 WCRC ANTITHROMBIN III ANTIGEN 300 52.50
85302    85302 PROTEIN C 300 299.25
85302    83643 WCRC ANTITHROMBIN III ACTIVITY 300 52.50
85303    80463 PROTEIN C FUNCTIONAL PL 300 366.45
85303    82407 PROTIN C, ACTIVITY 300 382.20
85305    80462 PROTEIN S ANTIGEN 300 210.00
85305    83134 WCRC SPE 225920 300 21.00
85306    82406 PROTIN S, FUNCTIONAL 300 401.10
85307    85307 ACTIVATED PROTEIN C RESISTANCE 300 179.55
85379    80416 D-DIMER 300 179.55
85379    83729 WCRC D DIMER 300 45.00
85384    81440 FIBRINOGEN 300 74.55
85420    85421 FIBRINOLYTIC PLASMINOGEN 300 67.20
85520    85520 HEPARIN ANTI XA 300 344.40
85540    81134 LEUKOCYTE ALKALINE PHOS(LAP) 300 158.55
85549    85549 LYSOZYME SERUM 300 194.25
85597  2885597 ANTIPHOSPHOLIPID SYNDROM(APS) COMPREHENS 300 1860.00
85610    80750 PT 300 84.00
85613    85614 RVVT DIL CONFIRM 300 32.00
85613    85613 RVVT DIL SCREEN 300 32.00
85651    80810 SEDIMENTATION RATE 300 86.10
85660    81314 Hgb SOLUBILITY W/REFLEX TO Hgb FRACTIONA 300 73.50
85660    81813 SICKLE CELL SCREEN 300 46.20
85705    85705 THROMBOPLASTIN INHIBITION TISSUE 300 75.60
85730    80670 PTT 300 90.30
85730    85670 THROMBIN TIME PLASMA 300 29.40
85732    85733 PTT SUBSTITUTION CONFIRM 300 21.00
85732    85732 PTT SUBSTITUTION MIXING 300 49.00
85810    81138 VISCOSITY SERUM 300 177.45
86000    81420 FEBRILE AGGLUTININS 300 260.00
86003    81427 ALLERGEN – CORN SMUT 300 37.80
86003    86760 ALLERGEN ALMOND 300 55.65
86003    86687 ALLERGEN ASH ARIZONA 300 74.55
86003    86700 ALLERGEN ASPERGILLUS AMSTELODAM 300 74.55
86003    86701 ALLERGEN ASPERGILLUS NIDULANS 300 74.55
86003    86702 ALLERGEN ASPERGILLUS TERREUS 300 74.55
86003    86703 ALLERGEN ASPERGILLUS VERSICOLOR 300 74.55
86003    86692 ALLERGEN CANARY FEATHERS 300 74.55
86003    81471 ALLERGEN CANDIDA ALBICANS 300 53.55
86003    86715 ALLERGEN CLAM 300 55.65
86003    86688 ALLERGEN COCKROACH AMERICAN 300 74.55
86003    86689 ALLERGEN COCKROACH GERMAN 300 74.55
86003    86717 ALLERGEN CRAB 300 55.65
86003    86713 ALLERGEN CRAYFISH-FRESHWATER 300 55.65
86003    86690 ALLERGEN DOG EPITHELIUM 300 74.55
86003    86691 ALLERGEN DOG HAIR/DANDER 300 74.55
86003    86696 ALLERGEN FALSE RAGWEED 300 74.55
86003    86704 ALLERGEN FUSARIUM CULMORUM 300 74.55
86003    86705 ALLERGEN FUSARIUM OXYSPORUM 300 74.55
86003    86712 ALLERGEN GLUTEN 300 55.65
86003    86757 ALLERGEN HAZELNUT 300 55.65
86003    86706 ALLERGEN HELMINT HOSPORIUM INTERSEMINATU 300 74.55
86003    86707 ALLERGEN HELMINT HOSPORIUM SATIVUM 300 59.85
86003    86710 ALLERGEN HOUSE DUST GREENLABS 300 74.55
86003    81470 ALLERGEN LAMBS QUARTER 300 53.55
86003    86716 ALLERGEN LOBSTER 300 55.65
86003    86758 ALLERGEN MACADAMIA NUT 300 55.65
86003    86711 ALLERGEN MAPLE BOX ELDON 300 74.55
86003    86679 ALLERGEN MAPLE REDC 300 74.55
86003    86708 ALLERGEN MUCOR PLUMBEUS 300 74.55
86003    86025 ALLERGEN MULBERRY WHITE 300 52.50
86003    86680 ALLERGEN OAK LIVE 300 74.55
86003    86681 ALLERGEN OAK RED 300 74.55
86003    86682 ALLERGEN OAK WHITE 300 74.55
86003    86714 ALLERGEN OYSTER 300 55.65
86003    86693 ALLERGEN PARROTT FEATHERS 300 74.55
86003    86709 ALLERGEN PENCILLIN BREVICOMO 300 74.55
86003    86683 ALLERGEN PINE AUSTRALIAN 300 74.55
86003    86684 ALLERGEN PINE LOBLOLLY 300 74.55
86003    86685 ALLERGEN PINE WESTERN WHITE 300 74.55
86003    86686 ALLERGEN PINE WHITE 300 74.55
86003    86759 ALLERGEN PISTACHIO NUT 300 55.65
86003    86047 ALLERGEN PROFILE FOOD-MEAT 300 291.00
86003    81762 ALLERGEN PROFILE RESPIRATORY AREA 8 300 1496.25
86003    86695 ALLERGEN ROUGH PIGWEED 300 74.55
86003    86718 ALLERGEN SCALLOP 300 55.65
86003    86697 ALLERGEN SHORT COMMON RAGWEED 300 74.55
86003    86698 ALLERGEN SLENDER RAGWEED 300 74.55
86003    86694 ALLERGEN TURKEY FEATHERS 300 74.55
86003    86699 ALLERGEN WESTERN RAGWEED 300 74.55
86003    86016 ALLERGEN-ALTERMARIA TENUIS IGE 300 37.80
86003    86213 ALLERGEN-ALTERNARIA ALTERNATE IgE 300 37.80
86003    81724 ALLERGEN-AMOXICILLIN 300 35.70
86003    81722 ALLERGEN-AMPICILLIN 300 35.70
86003    86018 ALLERGEN-ASPERGILLUS FUMIGATUS IGE 300 37.80
86003    86013 ALLERGEN-ASPERGILLUS NIGES IGE 300 37.80
86003    86753 ALLERGEN-AUREOBASIDIUM PULLULANS 300 74.55
86003    86032 ALLERGEN-BAHIA GRASS IGE 300 37.80
86003    81733 ALLERGEN-BEEF 300 35.70
86003    86033 ALLERGEN-BERMUDA GRASS IGA 300 37.80
86003    86742 ALLERGEN-BIRCH WHITE 300 37.80
86003    86750 ALLERGEN-BLUEBERRY 300 50.40
86003    86210 ALLERGEN-BLUEGRASS, KENTUCKY BLUE Ige 300 37.80
86003    86010 ALLERGEN-BOX ELDER IGE 300 37.80
86003    81435 ALLERGEN-BREWERS YEAST 300 55.65
86003    83515 ALLERGEN-CASHEW NUT 300 46.20
86003    86039 ALLERGEN-CAT DANDER IGE 300 37.80
86003    86726 ALLERGEN-CEDAR MOUNTAIN 300 37.80
86003    86019 ALLERGEN-CEPHALOSPORIUM ACREMONUIM IGE 300 37.80
86003    81734 ALLERGEN-CHEDDAR CHEESE 300 35.70
86003    81778 ALLERGEN-CHICKEN 300 35.70
86003    86036 ALLERGEN-CHICKEN FEATHERS IGE 300 37.80
86003    81730 ALLERGEN-CHOCOLATE 300 35.70
86003    86211 ALLERGEN-CLADOSPORIUM HERBARUM IgE 300 37.80
86003    86005 ALLERGEN-COCKLEBUR IGE 300 37.80
86003    86031 ALLERGEN-COCKSFOOT/ORCHARD GRASS IGE 300 37.80
86003    86029 ALLERGEN-COCROACH IGE 300 37.80
86003    86603 ALLERGEN-CODFISH 300 37.80
86003    81732 ALLERGEN-CORN 300 35.70
86003    86723 ALLERGEN-COTTONWOOD 300 37.80
86003    86041 ALLERGEN-COW DANDER IGE 300 37.80
86003    81736 ALLERGEN-COW’S MILK 300 35.70
86003    83212 ALLERGEN-CUPERGILLUS FUMIGATUS IgE 300 37.80
86003    86042 ALLERGEN-DERMATOPHAGOIDES FARINAE IGE 300 37.80
86003    86043 ALLERGEN-DERMATOPHAGOIDES PTERONYSSINUE 300 37.80
86003    86038 ALLERGEN-DOG DANDER IGE 300 37.80
86003    86035 ALLERGEN-DUCK FEATHERS IGE 300 37.80
86003    86661 ALLERGEN-EGG WHITE 300 50.40
86003    86660 ALLERGEN-EGG YOKE 300 50.40
86003    86215 ALLERGEN-ELM IgE 300 37.80
86003    86003 ALLERGEN-ENGLISH PLANTAIN IGE 300 37.80
86003    86020 ALLERGEN-EPICOCCUM PURPURASCEME IGE 300 37.80
86003    86014 ALLERGEN-FUSARIUM PROILIFORME IGE 300 37.80
86003    86004 ALLERGEN-GIANT RAGWEED IGE 300 37.80
86003    86037 ALLERGEN-GOOSE FEATHERS IGE 300 37.80
86003    86006 ALLERGEN-GOOSEFOOT LAMBS QUARTER IGE 300 37.80
86003    86602 ALLERGEN-HAZELNUT 300 37.80
86003    86015 ALLERGEN-HELMINTHOSPORUIM HOLSDEE IGE 300 37.80
86003    81434 ALLERGEN-HOPS 300 55.65
86003    86754 ALLERGEN-HORMODENDRUM HORDEI 300 74.55
86003    86040 ALLERGEN-HORSE DANDER IGE 300 37.80
86003    86034 ALLERGEN-JOHNSON GRASS IGE 300 37.80
86003    86017 ALLERGEN-MUCOR RACEMOSIS IGE 300 37.80
86003    81777 ALLERGEN-MUSHROOM 300 35.70
86003    86637 ALLERGEN-NETTLE 300 37.80
86003    86007 ALLERGEN-OAK IGE 300 37.80
86003    86720 ALLERGEN-ONION YELLOW 300 39.90
86003    86752 ALLERGEN-PEACH 300 50.40
86003    81727 ALLERGEN-PEANUT 300 35.70
86003    86008 ALLERGEN-PECAN(HICKORY)IGE 300 37.80
86003    81723 ALLERGEN-PENICILLIN-G 300 35.70
86003    81725 ALLERGEN-PENICILLIN-Y 300 35.70
86003    86012 ALLERGEN-PENICILLIUM FREQUENTANCE IGE 300 37.80
86003    86021 ALLERGEN-PENICILLIUM NOTATUM IGE 300 37.80
86003    86755 ALLERGEN-PHOMA BETAE 300 74.55
86003    86011 ALLERGEN-PINE IGE 300 37.80
86003    81726 ALLERGEN-PORK 300 35.70
86003    86635 ALLERGEN-RED CEDAR 300 37.80
86003    86634 ALLERGEN-RED MULBERRY 300 37.80
86003    86217 ALLERGEN-ROUGHMARSHELDER IgE 300 37.80
86003    86722 ALLERGEN-RUSSIAN THISTLE 300 37.80
86003    86721 ALLERGEN-SESAME SEED 300 37.80
86003    86632 ALLERGEN-SHEEP SORREL 300 37.80
86003    86216 ALLERGEN-SHORT COMMON RAGWEED IgE 300 37.80
86003    81728 ALLERGEN-SHRIMP 300 35.70
86003    86214 ALLERGEN-SILVER BIRCH IgE 300 37.80
86003    81731 ALLERGEN-SOYBEAN 300 35.70
86003    86633 ALLERGEN-STEMPHYLIUM BOTRYOSUM 300 37.80
86003    81737 ALLERGEN-SWEET GUM 300 35.70
86003    86724 ALLERGEN-SYCAMORE AMERICAN 300 37.80
86003    86030 ALLERGEN-TIMOTHY IGE 300 37.80
86003    81433 ALLERGEN-TOMATOE 300 55.65
86003    86719 ALLERGEN-TUNA 300 39.90
86003    81779 ALLERGEN-TURKEY 300 35.70
86003    86725 ALLERGEN-WALNUT TREE 300 37.80
86003    86751 ALLERGEN-WATERMELON 300 50.40
86003    81729 ALLERGEN-WHEAT 300 35.70
86003    86009 ALLERGEN-WHITE ASH IGE 300 37.80
86003    81735 ALLERGEN-WHOLE EGG 300 35.70
86003    86046 ALLERGY LAMB IGE 300 37.80
86003    86045 ALLERGY TURKEY IGE 300 37.80
86003    81791 ASPERGILLUS FLAVUS IgE 300 122.85
86003    81421 COMMON PIGWEED IgE 300 48.30
86003    86048 GELATIN BEEF IGE 300 37.80
86003    86001 HORMODENDRUM HORDEI 300 37.80
86003    81423 HOUSE DUST,HOLLISTER-STIER IgE 300 48.30
86003    81422 MAPLE LEAF SYCAMORE LONDON PLANE IgE 300 48.30
86003    86044 PORK GELATIN IGE SERUM 300 117.80
86003    86002 RAST CORN SMUT 300 37.80
86005    86678 ALERGEN MIA SCREEN 300 60.00
86021    83502 ANCA TOTAL AUTOABS & PATTERN 300 171.15
86021    83313 NEUTROPHIL ASSOCIATED ANTIBODIES 300 171.15
86021    83638 WCRC ANCA 300 47.00
86022    86026 HEPARIN INDUCED ANTIBODY 300 330.75
86022    80712 PLATELET ANTIBODIES 300 348.60
86022    82276 PLATELET ANTIOBODY DIRECT 300 662.55
86022    80711 PLATELET GLYCOPROTEIN 300 373.00
86038    81982 ANA 300 123.90
86038  2886420 ANA ANTIBODIES BY IFA REFLUX 300 1364.00
86038    86971 ANA CASCADE 300 123.90
86038    86420 ANA REFLUX 300 123.90
86060    80110 ASO TITER 300 88.20
86063    86063 STREPTOZYME 300 55.65
86140    80668 C-REACTIVE PROTEIN 300 94.50
86141    83442 C-REACTIVE PROTEIN ULTRA QUANT 300 217.35
86146    86148 BETA 2 GLYCOPROTEIN AB IGA IGG IGM 300 137.55
86146    86146 BETA 2 GLYCORPROTEIN I ANTIBODY 300 42.00
86147    86147 CARDIOLIPIN IgA ANTIBODY 300 152.00
86147    82400 CARDIOLIPIN IGG ANTIBODY 300 298.20
86147    82402 CARDIOLIPIN IGM ANTIBODY 300 298.20
86147    83665 WCRC CARBOXYHEMGLOBIN 300 28.35
86157    80240 COLD HEMAGGLUTININS 300 74.55
86160    80563 COMPLEMENT C1 INHIBITOR 300 160.65
86160    80497 COMPLEMENT C1q QUANT 300 160.65
86160    80469 COMPLEMENT C2 300 171.15
86160    80468 COMPLEMENT C3 300 171.15
86160    80562 COMPLEMENT COMPONENT C4 300 195.30
86160    80498 HEREDITARY ANGIOADEMA 300 269.85
86160    83683 WCRC COMPLEMENT C3 300 30.45
86160    83684 WCRC COMPLEMENT C4 300 30.45
86161    80066 COMP C ESTERASE INHIBITOR FUNCTIONAL 300 227.00
86162    80098 COMPLEMENT,(CH50) 300 128.10
86162    83685 WCRC COMPLEMENT CH50 300 30.45
86200    86200 CYCLIC CITRULLINATED PEPTIDE 300 71.40
86200    86201 CYCLIC CITRULLINATED PEPTIDE ANTIBODIES 300 71.40
86215    81521 ANTI-DNASE-B 300 100.80
86215    83642 WCRC ANTI-DNASE B TITIER 300 33.00
86225    86225 ANA COMPREHENSIVE PANEL 300 82.95
86225    86226 ANA COMPREHENSIVE PANEL 300 222.34
86225    83500 ANTI DS DNA 300 82.95
86235    86236 ANTI HISTONE ABS 300 202.65
86235    83446 ANTIEXTRACTABLE NUCLEAR ANTIGEN 300 96.60
86235    86235 ANTI-JO-1-ABS 300 202.65
86235    82422 SCL 70 IgG AUTOANTIBODIES 300 128.10
86235    83445 SS-A IgG AUTOANTIBODIES 300 30.00
86235    83444 SS-B IgG AUTOANTIBODIES 300 30.00
86235    83447 U 1 RNP/SNRNP IgG AUTOANTIBODIES 300 101.85
86255    81024 ANTI HU ANTIBODIES 300 340.20
86255    86258 ANTIADRENAL ANTIBODIES QUANT 300 72.45
86255    86266 ANTI-ENDOMYCIAL 300 220.50
86255    86255 CENTROMERE AUTOANTIBODIES 300 257.25
86255    81023 STRIATIONAL ANTIBODIES 300 80.00
86255    83124 WCRC ANTI ADRENAL ANTIBODY 300 25.00
86256    86257 ENDOMYSIAL IgA AUTOANTIBODIES 300 134.40
86256    86256 PARIETAL CELL TOTAL 300 68.25
86300    80078 CA 27 29 300 246.75
86300    81842 CANCER ANTIGEN 15-3 300 246.75
86301    81025 CA 19-9 300 270.90
86304    81905 CA 125 II 300 270.90
86305    86305 HUMAN EPIDIDYMIS PROTEIN 4 300 301.35
86308    86308 HETEROPHILE ANTIBODIES 300 55.65
86308    80640 MONO TEST 300 84.00
86308    86309 MONO TEST QUALITATIVE WITH REFLEX 300 84.00
86316    86316 SQUAMOUS CELL CARCINOMA AG 300 731.85
86317    86317 TETANUS DIPTHERIA ANTIBODY PROFILE 300 71.40
86325    81563 IMMUNOFIXATION (IFE)-URINE 300 423.15
86331    86331 PNEUMONITIS SENSITIVITY PANEL 300 326.55
86334    81812 24 HOUR IMMUNOFIXATION URINE 300 326.55
86334    83505 MOMOCLONAL GAMMOPATHIES URINE 300 128.10
86334    83506 MONOCLONAL GAMMOPATHIES 300 105.00
86336    86336 INHIBIN A 300 487.20
86337    86337 INSULIN AUTOANTIBODIES IAA 300 199.50
86337    86335 OTHER FLUIDS W/CONCENTRATION 300 57.75
86340    83011 INTRINSIC FACTOR BLOCKING ANTIBODY 300 237.30
86341    86341 ANTIPANCREATIC ISLET CELL 300 122.85
86341    86342 IA2 AUTOANTIBODIES 300 243.60
86344    86344 LEUKOCYTE PHAGOCYTOSIS 300 100.80
86355    86355 LYMPHOCYTE B COUNT 300 132.30
86357    86357 MONONUCLEAR NATURAL KILLER 300 132.30
86359    86359 T CELLS; TOTAL COUNT 300 65.10
86359    86321 T LYMPH HELPER SUPPRESSOR 300 122.85
86360    86360 CD4/CD8 HELPER/SUPPRESSOR 300 128.10
86360    83621 T4 T8 ANALYSIS 300 122.85
86361    86311 HELPER T-LYMPHOCYTE MARKER CD4 300 220.50
86376    86376 LIVER KIDNEY MICROSOMAL ANTIBODIES 300 88.20
86376    80656 THYROID PEROXIDASE AUTO ANTIBODIES 300 213.15
86382    86382 RABIES NEUTRALIZATION AB TITER 300 144.90
86403    80323 STREP PNEUMA AG 300 516.60
86430    80760 RA QUALITATIVE 300 90.30
86431    86431 RA FACTOR 300 71.40
86480    86480 QUANTIFERON GOLD INCUBATED 300 336.00
86480    86481 QUANTIFERON GOLD TB 300 63.00
86580   301451 TUBERSOL (PPD) INJ 5 TU/0.1ML 1ML VIAL 250 71.50
86592    80800 RPR 300 88.20
86592    86592 VDRL 300 58.80
86602    81797 ANTIBODY ACTINOMYCES 300 32.00
86606    81795 ASPERGILLUS FLAVUS IgG AB 300 93.45
86609    86772 ANTIBODY; BACTERIUM 300 66.15
86609    86773 PNEUMOCOCCAL AB TITER IGG 300 501.90
86609    86778 STREPTOCOCCUS PNEUMONIA TYPE 14 300 47.00
86609    86779 STREPTOCOCCUS PNEUMONIA TYPE 18C 300 47.00
86609    86780 STREPTOCOCCUS PNEUMONIA TYPE 19F 300 47.00
86609    86781 STREPTOCOCCUS PNEUMONIA TYPE 23F 300 47.00
86609    86775 STREPTOCOCCUS PNEUMONIA TYPE 4 300 47.00
86609    86776 STREPTOCOCCUS PNEUMONIA TYPE 6B 300 47.00
86609    86777 STREPTOCOCCUS PNEUMONIA TYPE 9V 300 47.00
86611    82441 BARTONELLA HENSELAE IgG 300 260.40
86611    82443 BARTONELLA HENSELAE IgM 300 260.40
86611    82440 BARTONELLA QUINTANA IgG 300 134.00
86611    82442 BARTONELLA QUINTANA IgM 300 260.40
86612    86613 BLASTOMYCES C & S 300 121.80
86612    86612 BLASTOMYCES ID 300 121.80
86615    82415 BORDETELLA PERTUSSIS ANTIBODY IGA 2 OF 3 300 71.00
86615    82414 BORDETELLA PERTUSSIS ANTIBODY IGG 1 OF 3 300 71.00
86615    82469 BORDETELLA PERTUSSIS ANTIBODY IgG, IgM 300 89.25
86615    82416 BORDETELLA PERTUSSIS ANTIBODY IGM 300 71.00
86615    86615 BORDETELLA PERTUSSIS IgM 300 247.80
86615    83653 WCRC B PERTUSIS IGG AB 300 30.45
86617    81222 LYME DISEASE IgG ANTIBODY BY WESTERN BLO 300 153.30
86617    81223 LYME DISEASE IgM ANTIBODY BY WESTERN BLO 300 153.30
86618    80625 LYME DISEASE IGG IGM 300 269.85
86618    80629 LYMES IGM/TOTAL/RLX WST BLOT 300 269.85
86618    80003 X LYME DISEASE ANTIBODY SCREEN IgM & IgG 300 298.20
86628    86629 CANDIDA ANTIBODIES IgA 300 130.20
86628    86628 CANDIDA ANTIBODIES IgG 300 130.20
86628    86630 CANDIDA ANTIBODIES IgM 300 130.20
86631    86644 CHLAMYDIA ANTIBODIES IgG 300 206.85
86635    87321 COCCIDOIDES 300 37.80
86635    89421 COCCIDOIDES ANTIBODY 300 37.80
86638    86638 Q FEVER ANTIBODIES, IgG 300 235.20
86644    80063 CYTOMEGALOVIRUS IGG 300 187.95
86644    83681 WCRC CMV IGG 300 21.00
86645    81350 CYTOMEGALOVIRUS  IGM 300 148.00
86645    86645 CYTOMEGALOVIRUS (CMV) ANTIBODIES, IgM QU 300 107.10
86645    80069 CYTOMEGALOVIRUS IGM 300 35.00
86658    83312 ECHO VIRUS ANTIBODY PANEL 300 415.80
86663    80029 EPSTEIN BARR WITH VCA EA IgG 300 220.50
86664    86658 COXSACKIE A VIRUS TITER 300 409.50
86664    86659 COXSACKIE B VIRUS TITER 300 654.15
86664    80035 EBV NUCLEAR ANTIGEN IgG ANTIBODIES 300 74.55
86665    80033 EPSTEIN-BARR VIRUS AB VCA IGG 300 75.60
86665    80031 EPSTEIN-BARR VIRUS AB VCA IGM 300 75.60
86666    80189 HGE IGM 300 137.55
86666    80178 HME IGG 300 137.55
86666    80188 HME IGG 300 137.55
86666    80165 HME IGM 300 137.55
86668    80225 FRANCISELLA TULAREMIA IgG 300 148.05
86668    80226 FRANCISELLA TULAREMIA IgM 300 148.05
86668    80206 TULAREMIA AGGLUTININ 300 105.00
86671    86673 FUNGUS NOT SPECIFIED 300 40.00
86671    86672 SACCHAROMYCES IgG 300 237.30
86671    86671 STREP PNEUMO IGG 14 SERO 300 237.30
86677    86677 CLO-TEST 300 68.25
86677    80064 H. PYLORI IgA 300 256.20
86677    82502 H. PYLORI IgG 300 269.85
86677    80067 H. PYLORI IgM 300 256.20
86677    82599 WCRC H PYLORI 300 67.00
86677    83497 Z H. PYLORI IgG 234 53.55
86684    86621 HAEMOPHILUS INFLUENZA B, IgG 300 399.00
86687    82016 HTLV I, II 300 160.65
86688    82017 HTLV II 300 160.65
86689    81120 HIV CONFIRMATION WESTERN BLOT 300 324.45
86692    87533 HEPATITIS DELTA ANTIBODY TOTAL 300 181.00
86694    81181 HERPES SIMPLEX IgM 300 149.10
86695    81184 HERPES SIMPLEX TYPE 1 IGG      1 300 256.20
86695    81186 HERPES SIMPLEX TYPE 1 IgM Ab 300 256.20
86696    83742 HERPES SIMPLEX TYPE 2 IgG AB 300 197.40
86696    83735 HERPES SIMPLEX TYPE 2 IgM Ab INDIRECT 300 197.40
86698    86207 HISTOPLASMA ANTIBODIES 300 58.80
86698    86203 HISTOPLASMA MYCELIAL C & S 300 81.90
86698    86204 HISTOPLASMA MYCELIAL ID 300 81.90
86698    86205 HISTOPLASMA YEAST C & S 300 81.90
86701    81951 HIV-1 and 2 ANTIBODY SCREEN 300 184.80
86702    81042 HIV-2 ANTIBODIES 300 260.40
86703    81962 HIV SCREEN 300 144.90
86704  2808010 HEPATITIS B CORE ANTIBODY IGM 300 97.00
86704    81041 HEPATITIS B CORE ANTIBODY TOTAL 300 134.40
86705    81034 HEP B CORE ANTIBODY IGM 300 97.00
86706    80052 HEPATITIS B SURFACE AB 300 128.10
86707    83771 HEPATITIS Be ANTIBODY 300 59.85
86708    83753 HEPATITIS A AB  TOTAL 300 195.30
86708    83605 WCRC HEPATITIS PANEL 300 69.00
86709    81491 HEPATITIS A ANTIBODY-IGM 300 204.75
86713    82051 LEGIONELLA PNEUMOPHILA ANTIOBDY 300 92.40
86735    82050 MUMPS VIRUS IGG 300 101.85
86735    86735 MUMPS VIRUS IgM 300 43.05
86738    82302 MYCOPLASMA PNEUMONIAE IgG AB 300 86.10
86738    82303 MYCOPLASMA PNEUMONIAE IgM AB 300 86.10
86747    83443 PARVOVIRUS B19 IgG 300 35.00
86747    83441 PARVOVIRUS B19 IgM 300 35.00
86753    81457 BABESIA MICROTI IgG AND IgM 300 140.70
86757    81452 ROCKY MOUNTAIN SPOTTED FEVER IgG 300 236.25
86757    81451 ROCKY MOUNTAIN SPOTTED FEVER IGM 300 271.95
86762    80176 RUBELLA ANTIBODIES,IgM 300 218.40
86762    80119 RUBELLA IGG 300 105.00
86765    86765 RUBEOLA 300 59.85
86765    86766 RUBEOLA IgM 300 59.85
86765    83496 Z RUBEOLA IgG 234 42.00
86769 86769 ANTIBODY; COVID-19 IgG 300 272.00
86774    86774 TETANUS TOXOID IgG ANTIBODIES 300 122.85
86777    80751 TOXOPLASMA AB IGM/IGG 300 187.95
86777    86799 TOXOPLASMA ANTIBODY EVALUATION IgA 300 83.00
86778    83733 TOX IGM AB EIA 300 121.80
86780    80611 TREPONEMA PALLIDUM TOTAL ANTIBODIES FTA 300 30.00
86781    81302 FTA – ABS 300 36.00
86787    82005 VARICELLA ZOSTER ANTIBODY IGM, IFA 300 245.70
86787    82419 VARICELLA ZOSTER IGG 300 71.40
86787    80204 VARICELLA ZOSTER VIRUS (SHINGLES) IGM 300 245.70
86787    83498 Z VARICELLA ZOSTER IgG 234 42.00
86787    83491 Z VARICELLA ZOSTER IgM 234 51.45
86790    86794 HHV-6  IgG ANTIBODIES 300 46.20
86790    86795 HHV-6  IgM ANTIBODIES 300 219.45
86790    86791 WEST NILE VIRUS IgG 300 187.95
86790    86792 WEST NILE VIRUS IgM 300 187.95
86800    84432 THYROGLOBULIN 300 203.70
86800    84241 THYROGLOBULIN ANTIBODY AND THYROGLOBULIN 300 105.00
86800    82420 THYROGLOBULIN AUTOANTIBODIES 300 71.40
86803    81036 HEPATITIS C ANTIBODY 300 162.75
86803    81038 HEPATITIS C VIRUS ANTIBODY (HCV) 300 162.75
86850    80090 ZZ ANTIBODY SCREEN 300 121.80
86860    80028 ZZ ANTIBODY ELUTION 300 180.60
86870    80025 ZZ RBC ANITBODY IDENTIFICATION 300 156.45
86880    80260 COOMBS DIRECT 300 112.35
86880    80026 ZZ COOMBS TEST 300 46.20
86885  2808001 ANTIBODY ID/RGT CELL (1) 390 60.00
86885  2808002 ANTIBODY ID/RGT CELL (2) 390 120.00
86885  2808003 ANTIBODY ID/RGT CELL (3) 390 180.00
86885  2808004 ANTIBODY ID/RGT CELL (4) 390 240.00
86885  2808008 ANTIBODY ID/RGT CELL (8) 390 480.00
86885  2808009 ANTIBODY ID/RGT CELL (9) 390 540.00
86885    80270 INDIRECT COOMBS QUAL 300 84.00
86886    86886 AHG INDIRECT 300 322.35
86900    80000 ABO 300 48.30
86901    80790 RH FACTOR 300 48.30
86903    80022 ZZ BLOOD TYPING ANTIGEN SCREEN 300 123.90
86905    80027 ZZ RBC ANTIGENS 300 42.00
86906    80020 ZZ PH PHENOTYPE COMPLETE 300 74.55
86920    80040 IMMEDIATE SPIN TECHNIQUE 300 104.00
86920    80012 ZZ IMMEDIATE SPIN TECHNIQUE 300 96.60
86921    80013 ZZ INCUBATION PHASE 300 96.60
86922    80014 ZZ ANTI-HUMAN GLOBULIN PHASE 300 96.60
86927    80016 ZZ FRESH FROZEN PLASMA THAWING 300 121.80
86970    86970 PRETREATMENT OF RBC 300 289.80
86972  2808000 SEPERATION BY DENSITY GRADIENT RETICS 390 492.00
86976    86976 PRETREAT SERUM BY DILUTION 300 94.50
87015    80199 CRYPTOSPORIDIUM 306 166.95
87040    80330 CULT BLOOD 1ST SET 300 160.65
87040    80171 CULT BLOOD 2ND SET 300 160.65
87040    80172 CULT BLOOD 3RD SET 300 160.65
87045    80400 CULT STOOL 300 101.85
87045    80006 YERSINIA- STOOL 300 53.00
87046    87046 CULTURE STOOL ADDITIONAL PATHOGENS 300 101.85
87046  2887046 CULTURE STOOL VIBRO ONLY 300 164.00
87070    87062 AEROBIC ANEROBIC TISSUE CULT 300 71.40
87070    81600 BONE MARROW CULTURE 300 153.30
87070    87070 BORDETELLA PERTUSSIS CULTURE 300 71.40
87070    80184 CULT BODY FLUID 300 160.65
87070    80406 CULT CSF 300 250.95
87070    80183 CULT EAR 300 160.65
87070    80182 CULT EYE 300 160.65
87070    80405 CULT GENITAL 300 101.85
87070    80179 CULT NOSE 300 101.85
87070    80395 CULT SPUTUM 300 101.85
87070    80173 CULT THROAT 300 101.85
87070    80181 CULT WOUND 300 160.65
87070    80390 CULT-THROAT OR NOSE 300 53.00
87070    80315 CULT-WOUND OR EYE OR EAR 300 83.00
87075    82508 CULT ANAEROBIC 300 61.95
87075    80310 CULT ANAEROBIC 300 65.00
87076    82504 ID OTHER ANAEROBE 300 200.00
87077    81605 ID AEROBIC X1 300 55.65
87077    87077 LAB CORP AEROBIC ID & SNS 300 56.70
87081    80380 GC CULTURE 300 101.85
87081    80382 MRSA MSSA 300 31.50
87081    80381 MRSA SCREEN 300 31.50
87086    80410 CULT URINE 300 118.65
87088    80412 ID-URINE ONLY 300 48.30
87102    81370 CULT FUNGUS 300 130.20
87106    80264 FUNGAL ID PURE ISOLATE 300 48.30
87106    80201 YEAST ID 300 44.10
87107    87107 ORGANISM IDENTIFICATION, MOLD (FUNGUS) 300 128.10
87116    81055 ACID FAST BROTH BASED CULTURE AND SMEAR 300 283.50
87116    81072 AFT CULT & SMEAR REFLUX TO ID & SENS 300 96.60
87118    81360 CULT AFB-ID 300 89.00
87169    87169 PARASITE ID 008219 300 69.30
87172    81811 PIN WORM PREPARATION 300 84.00
87177    81700 OVA & PARASITES 300 56.00
87177    83793 WCRC OVA & PARASITE 300 23.10
87181    81359 OXACILLIN/BETA LACTASE 300 33.60
87186    80630 MIC SENSITIVITY X1 300 84.00
87205    80550 GRAM STAIN 300 50.40
87205    80391 SCRAPING / SKIN 300 116.55
87205    80850 SMEAR, FUNGUS 300 69.30
87205    83761 STOOL WBC 300 72.45
87205    81057 URINE EOSINOPHIL CT 300 39.90
87205    84721 WCRC URINE PROTEIN CREAT RATIO 300 28.35
87206    87206 CRYPTOSPORIDIUM 306 55.65
87207    80626 MALARIA ORGANISM DETECTION 300 128.10
87209    87209 SMEAR COMPLEX SPECIAL STAIN FOR O&P 300 55.65
87210    80870 WET PREP 300 50.40
87220    81575 KOH 300 71.40
87252    81111 HERPES SIMPLES VIRUS CUL (A) 300 153.30
87252    87252 VIRAL CULTURE 300 121.80
87254    87254 VARICELLA ZOSTER VIRUS DFA 300 256.20
87255    87255 HERPES CULTURE 300 217.35
87274    83758 HERPES SIMPLEX VIRUS CUD (B) 300 153.30
87275    80322 HAEMOPHILUS INFLUENZA B AG 300 201.00
87278    80512 LEGIONELLA IGM 300 289.80
87299    80321 STREP B AG DIRECT 300 269.85
87301    87301 ADENO VIRUS ANTIGEN 300 44.10
87329    87327 GIARDIA DIR DET 300 168.00
87337    87337 ENTAMEOBA  HISTOLYTICA STOOL 300 208.00
87338    87338 H PYLORI STOOL ANTIGEN 300 352.80
87340    81128 HEP B SURFACE AG 300 118.65
87340    83757 HEPATITUS B SURFACE ANTIGEN 300 148.05
87350    81044 HEP Be AG 300 69.00
87385    87386 BLASTOMYCES DERM AG BLOOD 300 224.70
87385    87387 HISTOPLASMA AG SERUM 300 191.10
87385    87385 HISTOPLASMA ANTIGEN UA CODE 823203 300 240.45
87389    87389 HIV 1/0/2 4TH GENERATION AG/AB 300 560.70
87389    83998 WCRC HIV 1/2 300 24.00
87400    82200 FLU QUICK TEST 300 47.00
87400    82202 H. FLU TYPE A 300 90.30
87400    82201 H. FLU TYPE B 300 90.30
87400    83455 WCRC FLU QUICK TEST 300 30.00
87420    84030 RESPIRATORY SYNCYTIAL VIRUS 300 163.80
87420    87421 RSV ANTIGEN 300 163.80
87425    87425 ROTAVIRUS ANTIGEN 300 101.85
87449    87450 BLASTOMYCES DERM AG URINE 300 224.70
87449    87449 LEGIONELLA PNEUMOPHILA URINARY ANTIGEN 300 222.60
87449    80627 N MENINGITIDIS ACY W 135 AG 300 206.85
87449    80628 N MENINGITIDIS B/E COLI AG 300 269.85
87471    87471 BARTONELLA PCR 300 416.85
87476    87476 LYME DISEASE BY PCR 300 683.55
87480    87480 CANDIDA SPECIES DIRECT PROBE TECHNIC 300 60.90
87481    87481 CANDIDA SPECIES AMPLIFIED PROBE TECH 300 82.95
87490    80205 CHLAMYDIA DNA PROBE 300 63.00
87490    80151 CHLAMYDIA/NG NAAT URINE 300 113.72
87491    82541 CHLAMYDIA TRACHOMATIS 300 35.00
87491    87491 PAP SMEAR SCREEN/CHLAMYDIA/TRIC AMPLIFD 300 240.00
87493    87493 CDIFF PCR 300 107.10
87493    81959 CLOSTRIDIUM DIFF PCR 300 172.00
87497    87497 CMV QUAL BY PCR 300 817.95
87497    83682 WCRC CMV IGM 300 24.15
87502    87522 INFLUENZA VIRUS MULTIPLE TYPES 300 232.05
87505    87505 BACTERIAL STOOL PATHOGENS 310 193.20
87507    87507 STOOL PANEL GASTROINTESTINAL PANEL 310 677.25
87510    87510 GARDNERELLA VAGINALIS DIRECT PROBE TECH 300 60.90
87516    87516 HEPATITIS B VIRUS ULTRA QUAL 300 851.55
87517    87518 HEPATITIS B DNA QUANT PCR W REFLEX 300 909.30
87521  2887521 HEPATITIS C VIRUS RNA (QUANT) W/REFLEX 300 787.64
87521    87521 HEPATITIS C VIRUS, RNA QUALITIVE 300 647.85
87522    81032 HEP C RNA QUANT BY PCR 300 488.25
87522    81013 HEPATITIS C VIRUS RNA (QUANTITATION) 300 652.05
87529    87529 HERPES SIMPLEX VIRUS TYPES 1 2 DNA PCR 300 673.05
87529    87528 HSV 1 AND 2 WITH VZV 300 673.05
87536    81059 HIV-RNA ULTRAQUANT 300 644.70
87590    83440 NEISSERIA GONORRHOEAE SWAB 300 43.00
87591    82540 N. GONORRHOEAE 300 35.00
87591    87591 PAP SMEAR SCREEN/NEISSERIA GONORRHEA AMP 300 240.00
87624    87624 HPV 310 99.75
87633    87633 RESP VIRUS PROFILE 300 1250.55
87651    87651 BETA STREP A PCR 300 122.85
87651    87652 STREP COMPLETE 300 122.85
87653    87653 GROUP B STREP SCREEN 300 69.30
87660    87660 TRICHOMONAS VAGINALIS DIRECT PROBE TECHQ 300 60.90
87661    87663 TRICHOMONAS (NOT USED) 306 69.30
87661    87661 TRICHOMONAS URINE 306 69.30
87798    87722 EHRLICHIOSIS HUMAN GRANULOCYTIC PCR 300 338.10
87798    87723 EHRLICHIOSIS HUMAN MONOCYTIC PCR 300 338.10
87798    87720 H1N1 PCR 300 110.25
87798    87798 MICROSPORIDIA DNA 306 412.00
87798    87721 PARVOVIRUS B 19 DNA 300 476.70
87799    87800 BK VIRUS QUANT BLOOD REAL TIME PCR QUANT 300 849.45
87799    87799 BK VIRUS QUANT URINE REAL TIME PCR QUANT 300 849.45
87799    87788 EBV QN PCR 300 575.40
87880    80320 STREP A QUICK TEST 300 90.30
87899    87899 CRYPTOCCUS ANTEGEN 300 185.85
87899    87872 STREPTOCOCCUS PNEUM ANTIGEN URINE 300 185.85
87900    87900 INFECTIOUS AGENT PHENO PREDICTION 300 439.95
87901    87901 INFECTIOUS AGENT GENOTYPE DNA/RNA 300 748.65
87902  2887902 HEPATITIS C VIRUS GENO NS5A RESISTANCE 300 1375.00
87902    87902 HEPATITIS C VIRUS SUBTYP R PLUS 300 1205.40
87905    87905 INFECTIOUS AGENT SIALIDASE 300 55.65
87999    81022 I D INSECT 300 55.65
88108TC    88108 CYTOSPIN 310 164.00
88112    88112 CYTOPATHOLOGY SEL CELLULAR ENHANCEMENT 300 158.55
88175    88175 PAP SMEAR 310 48.30
88180    81322 FLOW CYTOMETRY CD103 300 130.20
88180    81355 FLOW CYTOMETRY CD19 300 273.00
88180    81356 FLOW CYTOMETRY CD20 300 273.00
88180    81366 FLOW CYTOMETRY CD33 300 273.00
88180    81368 FLOW CYTOMETRY CD5 300 273.00
88180    81362 FLOW CYTOMETRY CD52/19 DUAL POS 300 273.00
88180    81323 FLOW CYTOMETRY CD56 300 130.20
88180    81364 FLOW CYTOMETRY CD71 300 273.00
88180    81354 FLOW CYTOMETRY CDIO 300 273.00
88180    82423 FLOW CYTOMETRY HLA-Dr 300 136.50
88180    81522 NEURONAL IgG AUTOANTIBODIES 300 197.40
88184    88184 FLOWCYTOMETRY FIRST MARKER 300 136.50
88185    81652 FLOW CYTOMETRY CD10 300 273.00
88185    82425 FLOW CYTOMETRY CD117 300 136.50
88185    82431 FLOW CYTOMETRY CD11c 300 136.50
88185    82430 FLOW CYTOMETRY CD13 300 136.50
88185    81363 FLOW CYTOMETRY CD14 300 273.00
88185    82429 FLOW CYTOMETRY CD15 300 136.50
88185    81653 FLOW CYTOMETRY CD16 300 136.50
88185    82435 FLOW CYTOMETRY CD2 300 136.50
88185    81361 FLOW CYTOMETRY CD23 300 273.00
88185    82428 FLOW CYTOMETRY CD25 300 136.50
88185    81367 FLOW CYTOMETRY CD3 300 273.00
88185    82427 FLOW CYTOMETRY CD34 300 136.50
88185    82426 FLOW CYTOMETRY CD38 300 136.50
88185    82434 FLOW CYTOMETRY CD4 300 136.50
88185    81365 FLOW CYTOMETRY CD45 300 273.00
88185    82433 FLOW CYTOMETRY CD7 300 136.50
88185    82432 FLOW CYTOMETRY CD8 300 136.50
88185    82424 FLOW CYTOMETRY FMC-7 300 136.50
88185    81357 FLOW CYTOMETRY KAPPA 300 273.00
88185    81358 FLOW CYTOMETRY LAMBDA 300 273.00
88185    88185 FLOWCYTOMETRY EACH ADDITIONAL 300 136.50
88189    81353 FLOWCYTOMETRY INTERPRETATION 16 OR MORE 300 206.85
88230    82417 TISSUE CULTURE NON-NEOPLASTIC 3 OF 3 300 352.00
88262    82411 CHROMOSOME ANALYSIS 15 – 20 CELLS 2 OF 3 300 352.00
88271    88271 MOLECULAR CYTOGENETICS DNA PROBE 300 191.10
88274    88274 INTERPHASE IN SITU HYBRIDIZATION ANALYSI 300 282.45
88291    82412 CYTOGENETICS INTERPRETATION 1 OF 3 300 352.00
88300    88300 SURGICAL PATH GROSS LEVEL I 310 39.90
88302    88302 SURGICAL PATHOLOGY LEVEL II 310 84.00
88304    88304 TISSUE EXAM BY PATHOLOGIST LVL III 310 175.35
88305TC    88305 TISSUE EXAM BY PATHOLOGIST LVL IV 310 238.35
88307    88306 TISSUE EXAM BY PATHOLOGIST LVL V 310 236.25
88307    88307 TISSUE EXAM BY PATHOLOGIST LVL V 310 532.35
88309    88309 SURGICAL PATHOLOGY LVEL VI 310 742.35
88311    88311 DECALCIFY TISSUE 300 24.15
88312TC    88312 SPECIAL STAINS II 310 221.55
88313TC    88313 SPECIAL STAINS 310 184.80
88314    81140 FROZEN ANALYSIS 310 124.95
88314    83275 WCRC FRESH FROZEN PLASMA 300 55.00
88323    81352 FLOWCYTOMETRY OUTSIDE CARE W/SA 300 152.25
88323    81351 FLOWCYTOMETRY P OUTSIDE CARE W/ 300 384.30
88341TC    88341 GP IHC ANTIBODY 5 W INTERP 310 217.35
88342TC    88342 IMMONOHISTOCHEMISTRY EACH ANTIBODY 310 128.10
88347    88347 IMMUNOFLOURECENT STUDY EACH ANTIBODY IND 300 84.00
88360TC    88360 MORPHOMETRIC ANALYSIS 310 314.40
88365TC    88365 SITU HYBRIDIZATION PROBE 300 493.00
88368    88368 MORPHOMETRIC ANALYSIS MANUAL 300 383.25
88377    88377 FISH MANUAL MULTIPLEX TC ONLY 310 695.10
89050    82783 CELL COUNT (CSF) 300 101.85
89050    89050 WBC/DIFF BODY FLUID 300 184.80
89051    80451 BODY FLUID CELL COUNT 300 179.55
89051    80450 DIFF SYNOVIAL 300 22.00
89060    81952 CRYSTALS SYNOVIAL FLUID 300 185.85
89130    89130 GASTRIC INTUBATION AND ASPIRATION 450 137.55
89240    81018 EOSINOPHIL SMEAR SPUTUM 300 85.80
89310    80900 SPERM CHECK (PRESENCE) 300 50.40
89320    80820 SEMEN STUDY COMPL. 300 213.15
89320    80910 SPERM COUNT 300 116.55
90371   301940 …HEPATITIS B IMMUNE GLOBULIN 5ML VIAL 636 2715.00
90460    22096 IMMUNIZATION /VAC THRU 18 771 68.25
90461    22097 EACH ADD’L IMMUNIZATION ADMIN THRU 18 771 35.70
90471    91109 IMMUNIZATION ADMINISTRATION 761 68.25
90471    22087 IMMUNIZATION ADMINISTRATION IN ER 771 68.25
90471    90223 IMMUNIZATION ADMIN-PHYSICIAN 981 78.75
90472    22088 EACH ADD’L IMMUNIZATION ADMIN IN ER 771 35.70
90472    91110 EACH ADD’L IMMUNIZATION ADMIN IN TX RM 761 35.70
90472    90224 EACH ADD’L IMMUNIZATION ADMIN-PHYSICIAN 981 46.20
90473    22098 IMMUNIZATION ADMIN INTRANASAL OR ORAL 771 68.25
90474    22099 EACH ADD’L IMMUNI INTRANASAL OR ORAL 771 35.70
90620  3300050 CL-MENINGOCOCCAL B (HMH) (BEXSERO) 636 348.00
90620   303460 MENINGOCOCCAL B (HMH) (BEXSERO) 636 287.50
90653   303494 FLUAD 65+(HMH) 18-19  0.5ML PFS 636 94.00
90653   304003 FLUAD 65+(HMH) 19-20  0.5ML PFS 636 95.50
90656   301752 …FLUZONE (INFLUENZA)VACCINE 636 22.50
90658   302863 …FLUZONE  PED12-13 (HMH): 0.5ML PF SYR 636 22.50
90658   302829 …FLUZONE VAX 11-12 (HMH): 0.5ML PF SYR 636 22.50
90658   302833 …FLUZONE VAX 11-12 (VFC): 0.5ML PF SYR 636 22.50
90658   302864 …FLUZONE VAX 12-13 (HMH): 0.5ML PF SYR 636 22.50
90658   302865 …FLUZONE VAX 12-13(HMH): 0.5ML PFSYRID 636 22.50
90658   302905 …FLUZONE VAX 13-14 (HMH): 0.5ML PF SYR 636 22.50
90658   302831 …FLUZONE VAX HD11-12(HMH):0.5ML PF SYR 636 22.50
90658   302906 …FLUZONE VAX PED13-14(HMH): 0.5ML PF 636 22.50
90658   302867 …FLUZONE VAXHIDO 12-13(HMH): 0.5ML SYR 636 22.50
90658   302830 ..FLUZONE VAX PED11-12(HMH):0.5ML PF SYR 636 22.50
90658   302832 ..FLUZONE VAX PED11-12(VFC):0.5ML PF SYR 636 22.50
90658   301318 FLUAD 65+(HMH) 16-17  0.5ML PFS 636 72.50
90658   302976 FLUAD 65+(HMH) 17-18  0.5ML PFS 636 89.50
90658   301267 FLUCELVAX QUAD 16-17(HMH)  0.5ML PFS 636 41.50
90658   302955 FLUCELVAX QUAD 17-18(HMH)  0.5ML PFS 636 43.00
90658   300054 FLUZONE QV PED 14-15(HMH): 0.5ML PF 636 23.50
90658   300437 FLUZONE QV PED 15-16(HMH): 0.25ML PF 636 26.50
90658   301240 FLUZONE QV PED 16-17(HMH)  0.25ML PF 636 54.50
90658   303052 FLUZONE QV PED 17-18(HMH)  0.25ML PF 636 43.50
90662   301320 FLUZONE 65+ HIDOSE 16-17(HMH)  0.5ML SYR 636 85.50
90662   300051 FLUZONE VAX HIDOSE 14-15(HMH): 0.5ML SYR 636 23.50
90662   300438 FLUZONE VAX HIDOSE 15-16(HMH): 0.5ML SYR 636 42.00
90674   304031 FLUCELVAX QUAD 19-20(HMH)  0.5ML PFS 636 45.50
90685   303497 FLUZONE QV PED 18-19(HMH)  0.25ML PF 636 43.50
90686   302911 ..FLUARIX QUAD 13-14 (HMH): 0.5ML PF SYR 636 22.50
90686   301268 FLUARIX QV 16-17 (HMH)  0.5ML PF SYR 636 42.50
90686   304021 FLUARIX QV 19-20 (HMH)  0.5ML PF SYR 636 43.50
90686   303498 FLUCELVAX QUAD 18-19(HMH)  0.5ML PFS 636 40.50
90686   300052 FLUZONE QV 14-15 (HMH): 0.5ML PF SYR 636 23.50
90686   300455 FLUZONE QV 15-16 (HMH): 0.5ML MDV 636 26.50
90686   300423 FLUZONE QV 15-16 (HMH): 0.5ML PF SYR 636 26.50
90686   301273 FLUZONE QV 16-17 (HMH)  0.5ML MDV 636 42.00
90686   301251 FLUZONE QV 16-17 (HMH)  0.5ML PF SYR 636 43.50
90686   303053 FLUZONE QV 17-18 (HMH)  0.5ML PF SYR 636 43.50
90686   303496 FLUZONE QV 18-19 (HMH)  0.5ML PF SYR 636 43.50
90707  3300051 CL-MMR(HMH) (MMRII SDV) 0.5ML 636 157.50
90710   303518 MMRV (PROQUAD) (HMH) 0.5ML 636 438.00
90713  3300040 CL-IPOL (HMH) (POLIO) 5ML MDV 636 65.50
90714   302372 …DECAVAC (DIPHTH-TET) VACCINE 250 120.00
90714   302922 Td (HMH) (TENIVAC) 0.5ML PFS 636 103.43
90714    90714 TETANUS AND DIPHTERIA TOXOID INJ 636 68.25
90715   302828 Tdap(HMH) (BOOSTRIX PFS) 0.5ML 636 75.00
90732   301443 PNEUMOVAX 23(PNEUMOCOCCAL)(HMH) 636 200.50
90734  3300048 CL-MCV4 (HMH) (MENACTRA) 636 269.00
90746   301367 RECOMBIVAX HB Adult(HEPATITIS B VAX) 1ML 636 430.50
90765    91108 IV ANTIBIOTIC INJECTION IN TX RM 260 100.80
90766    91103 IV ANTIBIOTIC INJECTION IN TX RM 260 100.80
90791    90801 PSYCH EVALUATION/ASSESSMENT 914 561.00
90792    90792 PSYCH EVALUATION/ASSESSMENT 900 561.00
90832    90804 INDIVIDUAL THERAPY 20-30 MIN 914 264.00
90834    90806 INDIVIDUAL THERAPY 45-50 MIN 914 396.00
90837    90808 INDIVIDUAL THERAPY 75-80 MIN 914 608.00
90846    90846 FAMILY THERAPY WO PATIENT 916 371.00
90847    90847 FAMILY THERAPY W PATIENT 916 431.00
90847    90849 FAMILY THERAPY W PATIENT-30 MIN 916 258.00
90853    90853 GROUP THERAPY 1 HOUR 915 431.00
91105    91105 GASTRIC INTUBATION IN ER 450 222.60
91105    90229 GASTRIC LAVAGE-PHYSICIAN 981 52.50
91123    91123 ENEMA 450 52.50
92506GN    92000 ST INTIAL EVAL EA. 444 182.70
92506GN    92003 ST RE-EVALUATION 444 134.40
92507GN    92010 ST SUBSEQUENT THE. 440 151.20
92507GN    92013 ST SUBSEQUENT THER LEV 4 440 225.75
92507GN    92011 ST SUBSEQUENT THER LEVE 2 440 184.80
92507GN    92012 ST SUBSEQUENT THER LEVE 3 440 206.85
92510GN    92015 ST AURAL REHAB FOLLOWING COCHLEAR IMPLAN 440 469.35
92521GN    92521 ST EVAL OF SPEECH FLUENCY 440 182.70
92522GN    92522 ST EVAL OF SPEECH SOUND PRODUCTION 440 182.70
92523GN    92523 ST EVAL OF SOUND PROD W/LANGUAGE COMPREH 440 182.70
92524GN    92524 ST EVAL & BEHAVIORAL & QUALITATIVE ANALY 440 182.70
92526GN    92002 ST SWALLOW TXT PER 15 MIN 440 61.95
92526GN    92016 ST TREAT OF SWALLOWING DYSFUNCTION AND/O 440 61.95
92551    94171 COAL MINE SPIROMETRY DOT 460 105.00
92551    94181 COAL MINE SPIROMETRY GMS 460 105.00
92551    94169 COAL MINE/ALLIANCE HAM CO SPIROMETRY 460 100.00
92551    94176 HEARING SCREEN COAL MINE 460 50.00
92551    94177 HEARING SCREENING GMS 460 52.50
92551    94182 NIOSH SPIROMETRY DOT 460 50.00
92551GN    92007 ST AIR ONLY SCREENING TEST PURE TONE 440 121.80
92552    94173 HEARING SCREENING 470 87.15
92552GN    92008 ST PURE TONE AUDIMETRY THRESHOLD AIR ONL 440 121.80
92557GN    92009 ST COMPREHENSIVE AUDIMETRY THRESHOLD EVA 440 317.10
92610GN    92001 ST SWALLOW EVAL 444 182.70
92950    92951 BASIC CPR IN ER 450 378.00
92950    92950 BASIC CPR IN ER 981 591.15
92950    94465 CODE BLUE-RESPIRATORY (HR) 480 1927.80
92953    22093 TEMP TRANSCUTAN PACING IN ER 450 426.30
92953    90227 TEMP TRANSCUTAN PACING-PHYSICIAN 981 35.70
92960    93799 CARDIOVERSION IN ER 450 159.60
92960    92960 CARDIOVERSION IN ER 981 443.10
92977    90228 THOMBOLYSIS-PHYSICIAN 981 925.05
92977    22094 THROMBOLYSIS IN ER 450 324.45
93000    93000 EKG WITH INTERPRETATION 730 224.70
93005    93005 EKG 1ST OF DAY INITIAL 730 190.05
93005    93010 EKG CARDIAC REHAB 730 257.25
93005     8090 EKG MONITOR-ER 730 158.55
93005    93023 EKG PED 730 190.05
93005    93024 STRESS EKG 730 190.05
9300576    93012 EKG REPEAT SAME PHY SAME DAY 730 190.05
9300577    93013 EKG REPEAT DIFF PHY SAME DAY 730 190.05
93016    93025 SUPERVISION-STRESS TEST 482 70.35
93017    93017 STRESS TEST TRACING ONLY WO INTERPRETATI 482 1035.30
93041    93007 EKG RHYTHM STRIP 730 190.05
93041    22091 EKG-3 LEADS IN ER 450 135.45
93041     9500 TELEMETRY 730 326.55
93224    70192 TELEMETRY;RECRD, ANALYSIS/REPT, REV & IN 731 545.00
93225    90050 CARDIAC MONITOR 710 136.50
93225    93015 HOLTER MONITORING 731 808.50
93225    70191 TELEMETRY;CONNECTION, RECORDING, DISCONN 731 236.25
93225    93016 WCRC HOLTER MONITOR 731 110.25
93226    93011 HOLTER MONITOR VISUAL 731 365.40
93226    70193 TELEMETRY;SCANNING W/ANALYSIS REPORT 731 236.25
93226    93009 WCRC HOLTER MONITOR VISIUAL 731 110.25
93227    70194 TELEMETRY;REVIEW & INTERETATION 731 236.25
93270    93008 30 DAY CARDIAC EVENT MONITOR 731 204.75
93306    71040 US ECHOCARDIOGRAM 480 1205.40
93308    93304 US ECHO LIMITED 480 747.60
93308    93308 US ECHO LIMITED W/CONTRACT 480 1605.40
93308    93306 US ECHO W/CONTRAST 480 1605.40
93320    71041 US CARDIAC W DOPPLER COMP 480 988.05
93325    70442 US COLOR FLOW MAPPING 480 240.45
93798    93798 PHYS MONITORING OF CARDIAC REHAB W CONT 943 201.60
93880    71042 US CAROTID DUPLEX IMAGING 921 988.05
93923TC    71045 US ARTERIAL SEG LIMB LOWER PRESSURE 921 988.05
93923TC    71044 US ARTERIAL SEG LIMB UPPER PRESSURE 921 988.05
93924    71107 US ABI WITH EXERCISE 921 1062.00
93925    71047 US ARTERIAL LOWER IMAGING 921 988.05
93926    71013 WABASH US ARTERIES AND ARTERIAL 921 211.05
93926LT    71028 US ART DUPL LOWER UNI STUDY LT 921 988.05
93926RT    71023 US ART DUPL LOWER UNI STUDY RT 921 988.05
93930    71046 US ARTERIAL UPPER DUPLEX BIL 921 988.05
93931LT    71027 US ART UNI LTD UPPER STUDY LT 921 988.05
93931RT    71026 US ART UNI LTD UPPER STUDY RT 921 988.05
93970    71024 US EXT VENOUS STUDY BIL 921 988.05
93970    71043 US VENOUS DUPLEX IMAGING BIL 921 1367.00
93971LTTC    71029 US VENOUS UNI LTD STUDY LT (LOWER) 921 988.05
93971LTTC    93971 US VENOUS UNI LTD STUDY LT (UPPER) 921 988.05
93971RT    71012 WABASH US VENOUS UNI LTD STUDY RT LOWER 921 211.05
93971RTTC    71025 US VENOUS UNI LTD STUDY RT (LOWER) 921 988.05
93971RTTC    93972 US VENOUS UNI LTD STUDY RT (UPPER) 921 988.05
93975    71022 US DOPP W ABD PELV KIDNEY COMP 921 735.00
93975    70941 US RENAL ARTERY SONOGRAM 921 591.15
94002    94201 VENTILATOR PER DAY 410 1086.75
94010    94170 SPIROMETERY 460 282.45
94060    94161 SPIROMETERY W/BRONCHODILATION 460 457.80
94200    94202 MAXIMAL VOLUNARY VENTILATION 460 148.05
94618    94230 HOME O2 EVALUATION (6 MIN WALK) 410 144.90
94640    94464 HHN 2.5mg ALB/0.5 mg PULMICORT 410 100.80
94640    94642 HHN 2.5mg ALB/400 mg MUCOMYST 410 49.35
94640    94641 HHN 2.5mg ALB/800 mg MUCOMYST AIRWAY TX 410 63.00
94640    94643 HHN BROVANA 15mg/0.5mg Pulmocort 410 151.20
94640    94232 NEBULIZER TREATMENT 410 52.50
94642    94003 HHN PENTAMIDINE 410 180.60
94644    94644 CONTINUOUS INHALATION TX 1ST HR 410 121.80
94645    94645 CONTINUOUS INHALATION TX ADDL HR 410 42.00
94660    94660 BIPAP/CPAP 410 431.55
94660    94727 Vapotherm 410 431.55
94664    94081 HHN INITIAL – EVALUATE PATIENT USE 410 35.70
94667    94120 CPT/ACAPELLA/VEST INITIAL TX 410 117.60
94668    94235 ACAPELLA TREATMENT 410 84.00
94668    94231 CPT TREATMENT 410 84.00
94668    94234 VEST THERAPY 410 84.00
94680    94021 02 W/FACE TENT (SET UP CHG) 410 27.00
94680    94020 AEROSOL/COLD 272 189.00
94680    94460 AEROSOL/HEATED 272 189.00
94680    94031 O2 W/TRACH. MASK (SET UP CHG) 410 23.00
94680    94041 O2 W/VENT. MASK (SET UP CHG) 410 23.00
94726    94726 PLETHYSMOGRAPHY 460 393.75
94726    94360 RESISTANCE TO AIRFLOW (RAW) 460 250.95
94726    94260 THORACIC GAS VOLUME 460 148.05
94729    94720 CARBON MONOXIDE DIFFUSING CAPACITY DLCO 460 222.60
94760    21036 OXIMETER-SPOT CHECK 410 48.30
94760    94490 SP O2 SINGLE TEST 460 48.30
94761    22092 PULSE OX MULTIPLE IN ER 450 175.35
94770    94770 CARBON DIOXIDE, EXPIRED GAS DETERMINATIO 460 202.65
95004    95004 …PERCUTANEOUS  W/ALLERGENIC EXTRACTS 924 25.00
95010    95010 …PERCUTANEOUS , SEQUENTIAL & INCREME 924 42.00
95810    95810 POLYSONAGRAM STUDY 920 4137.00
95811    95811 CPAP STUDY 920 4432.05
96105GN    92006 ST APHASIA THERAPY PER 15 MIN 440 56.70
96125GN    96125 SP STANDARDIZED COGNITIVE PERFORMANCE TE 440 201.60
96360    96360 INTRAVENOUS INFUSION, HYDRATION; INITIAL 260 140.70
96360    90760 IV TX HYDRATION ONLY IN ER 31-60 MIN 260 222.60
96361    96361 INTRAVENOUS INFUSION, HYDRATION; ADDITIO 260 53.55
96361    22083 IV THERAPY HYDRATION EA ADD’L HR IN ER 260 115.50
96365    90765 INTRAVENOUS INFUSION IN ER 260 284.55
96365    96365 INTRAVENOUS INFUSION, INITIAL UP TO 1 HR 260 284.55
96365    22082 IV THERAPY 1ST HOUR 761 222.60
96366    96366 INTRAVENOUS INFUSION, EACH ADD’L 260 115.50
96366    90766 IV THERAPY EA ADD’L HR THERAPEUTIC IN ER 260 115.50
96367    96367 INTRAVENOUS INFUSION, ADD’L SEQ INF 260 115.50
96367    90767 IV THERAPY ADD’L SEQUENTIAL INFUSION 450 115.50
96368    90768 CONCURRENT INFUSION 450 56.70
96368    96368 INTRAVENOUS INFUSION, FOR THERAPY 260 53.55
96369    96369 SUBQ INFUSION FOR THERAPY;INITIAL UP TO 260 284.55
96370    96370 SUBQ INFUSION FOR THERAPY;EACH AD 260 115.50
96371    96371 SUBQ INFUSION FOR THERAPY OR PROPHYLAX 260 160.65
96372    90782 IM/SQ INJECTION 981 35.70
96372    22084 IM/SQ INJECTION 260 100.80
96372    90783 IM/SQ INJECTION 940 100.80
96372    91106 IM/SQ INJECTION IN TX RM 761 100.80
96372    96372 INJECTION SUBQ OR IM 260 100.80
96372    90785 INTRAMUSCULAR INJ OF ANTIBIOTIC 981 35.70
96372    90788 INTRAMUSCULAR INJ OF ANTIBIOTIC 940 74.55
96372    22086 IV ANTIBIOTIC INJECTION IN ER 260 100.80
96372    90222 IV ANTIBIOTIC INJECTION-PHYSICIAN 981 78.75
96373    96373 INJECTION, THERAPEUTIC, PROPHYLACTIC 260 100.80
96374    96374 INJECTION, SINGLE OR INITIAL 260 160.65
96374    90784 INTRAVENOUS INJECTION 260 160.65
96374    22085 IV INJECTION IN ER 260 160.65
96374    91107 IV INJECTION IN TX RM 260 160.65
96374    90221 IV INJECTION-PHYSICIAN 981 160.65
96375    96375 INJECTION, EACH ADD’L 260 95.55
96375    90775 IV PUSH IN ER 260 95.55
96376    96376 INJECTION, EACH ADD’L SAME SUBSTANCE 260 95.55
96523    96523 PORT FLUSH TX ROOM 940 69.30
97001    97544 PT EARLY INTERVENTION EVAL 420 343.35
97010    97084 COLPAK 1/2 SIZE 420 268.80
97010    97082 COLPAK NECK CONTOUR 420 268.80
97010    97083 COLPAK STANDARD 420 268.80
97010    97079 HYDROCOLLATOR PACK NECK CONTOUR 420 118.65
97010    97081 HYDROCOLLATOR PACK OVERSIZE 420 228.90
97010    97080 HYDROCOLLATOR PACK STANDARD 420 96.60
97010    97067 PHYS THEA CONTOUR CERVICAL HOT PACK 420 228.90
97010    97008 PT ICE COMPRESS 420 21.00
97010    97010 PT WARM/COLD PACK 420 21.00
97010GO    97011 OT WARM/COLD PACK 430 21.00
97012GP    97213 PT CERV/PELV MOTORIZED TRACT 420 115.50
97012GP    97212 PT MOTORIZED TRACTION 420 115.50
97012GP    97007 PT TRACTION/TRAPEZE SET UP 420 85.00
97018GO    97017 OT PARAFFIN BATH 430 84.00
97018GP    97018 PT PARAFFIN BATH 420 84.00
97022GO    97534 OT WHIRLPOOL/ FLUDIOTHERAPY 15 MIN 430 101.85
97022GO    97033 WPL EXTREMITY NON MEDICATED WITH DRESSIN 420 115.50
97022GP    97533 PT WP/FLUIDOTHERAPY 15 MIN 420 101.85
97022GP    97021 WPL EXTREMITY MED WITH DRESSING 420 115.50
97022GP    97019 WPL EXTREMITY NON MEDICATED WITH DRESSIN 420 107.10
97022GP    97023 WPL LOWBOY MED WITH DRESING 420 160.65
97022GP    97022 WPL LOWBOY NO MEDICATED WITH DRESNG-OT 420 156.45
97024GO    97026 OT DIATHERMY 430 128.10
97024GP    97024 PT DIATHEREMY 420 128.10
97026GO    97136 OT INFRARED, ONE OR MORE AREAS 430 117.60
97026GP    97135 INFRARED, ONE OR MORE AREAS 420 63.00
97026GP    97137 PT INFRARED, ONE OR MORE AREAS 420 117.60
97033GO    97519 OT IONTOPHORESIS 430 65.10
97033GP    97127 PT IONTOPHORESIS, EACH 15 MIN 420 65.10
97034GO    97177 OT CONTRAST BATH 420 118.65
97034GP    97126 PT CONTRAST BATH, EACH 15 MIN 420 118.65
97035    97130 PT US & GALVANIC STIM 420 151.20
97035GO    97035 OT ULTRASOUND 430 96.60
97035GP    97166 OT PHONOPHORESIS, EACH 15 MINUTES 420 128.10
97035GP    97125 PT PHONOPHORESIS, EACH 15 MINUTES 420 128.10
97035GP    97128 PT ULTRASOUND, EACH 15 MINUTES 420 96.60
97039GP    97006 PT CPM DAILY CHRG-MODALITY 420 148.05
97042GO    97444 OT LARGE DRESSING CHANGE 430 90.30
97110    97002 PT DOOR TRACTION, EACH 15 MINUTES 420 75.60
97110GO    97121 OT THERAP EXER 0-15 MIN 430 86.10
97110GO    97111 OT THERAPY EXERCISE 430 90.30
97110GO    29248 OT THEREAPY EXER W/ANODYNE THERAPY 420 113.40
97110GP    97535 PT HM EXER PROG 420 87.15
97110GP    97109 PT THERAP EXER 0-15 MIN 420 86.10
97110GP    97120 PT THERAP EXER WITH ANODYNE THERAPY 420 113.40
97110GP    97039 PT TREADMILL 420 79.80
97112GO    97531 OT BALANCE/COORDIN ACT 430 87.15
97112GO    97515 OT NEUROMUSCULAR RE-ED 430 87.15
97112GP    97115 PT BALANCE/COORDIN ACT 420 87.15
97112GP    97113 PT NEURO RE-ED/PROPRIO ACT 420 87.15
97113GO    97103 OT AQUATIC THERAPY W/THER EX 430 86.10
97113GP    97190 PT AQUATIC THERAPY W/THER EX 420 86.10
97116GP    97116 PT GAIT TRAINING 420 82.95
97124GO    97538 OT MASSAGE 430 87.15
97124GP    97124 PT MASSAGE 420 87.15
97127    97556 OT COGNITION 430 61.95
97140GO    97141 OT MANUAL TRACT/JOINT MOB 430 101.85
97140GP    97239 PT JOBST STOCKING MEASURE FEE 420 115.50
97140GP    97140 PT MANUAL TRACT/JOINT MOB 420 101.85
97140GP    97003 PT MYOFASCIAL RELEASE 420 101.85
97161GP    97501 PT INITIAL EVAL LEVEL 1 424 182.70
97162GP    97502 PT INITIAL EVAL LEVEL 2 424 200.55
97163GP    97159 PT INITIAL EVAL LEVEL 3 424 219.45
97164    97503 PT RE-EVALUATION 424 128.10
97165GO    97513 OT INITIAL EVAL LEVEL 1 434 182.70
97166GO    97514 OT INITIAL EVAL LEVEL 2 434 200.55
97167GO    97516 OT INITIAL EVAL LEVEL 3 434 227.85
97168    97510 OT RE EVALUATION 434 128.10
97530GO    97530 OT THERAPEUTIC ACT 430 97.65
97530GP    97545 PT EARLY INTERVENTION TXT 420 84.00
97530GP    97114 PT THERAPEUTIC ACT 420 97.65
97530GP    97541 PT TRANSFER TRAINING, EACH 15 MINUTES 420 97.65
97532GN    97350 SP DEV COGN SKILLS 15 MIN 440 123.90
97533GN    97351 SP SENSORY INTERG TECH 15 MIN 440 123.90
97533GO    97521 SENSORY INTEGRATION TECHNIQUES OT 430 118.65
97535GO    97539 OT SELF HOME MGMT 430 87.15
97535GP    97110 PT BACK SCHOOL TRAINING 420 21.00
97542GO    97542 OTWHEELCHAIR MGMT, EACH 15 MIN 420 61.95
97542GP    97154 PT WHEELCHAIR MGMT, EACH 15 MIN 420 82.95
97545GO    97560 OT WORK CONDITIONING/HARDENING INITIAL 2 420 281.40
97545GP    97546 PT WK HARDING/INITIAL 2HRS 420 281.40
97546    97570 PT WORK HARDENING EA/HOUR 420 124.95
97546OT    97571 OT WORK HARDENING EA/HOUR 430 124.95
97597    97012 DEBRIDE FIRST 20 CM 420 152.25
97597    97603 PHYS-DEBRIDEMENT 981 372.75
97597GO    97034 OT DEPRIDEMENT BY OT 420 152.25
97597GP    97119 PT DEBRIDEMENT BY RPT 420 152.25
97598    97015 DEBRIDE ADDITIONAL 20 CM 420 152.25
97598    97604 PHYS-DEBRIDEMENT 981 372.75
97602    97602 ACTIVE WOUND MGMT 761 152.25
97605    97605 NPWT < 50 SQ CM WOULD VAC APP 420 152.25
97605    11067 PHYS-NPWT <50SQ CM WOUND VAC APP 981 372.75
97606    97606 NPWT > 50 SQ CM WOULD VAC APP 420 152.25
97606    11068 PHYS-NPWT >50SQ CM WOUND VAC APP 981 372.75
97750    97528 PT FUNCTIONAL CAPACITY ASMT-15 MIN 420 67.20
97750GO    97752 OT FUNCTIONAL CAPACITY ASMT-15 MIN 420 67.20
97750GO    97750 OT TEST/MEASUREMENT 430 30.45
97750GP    97751 PT TEST/MEASUREMENT 420 30.45
97760GO    97139 OT ORTHOTIC FITTING/TRAINING 430 87.15
97760GP    97504 PT ORTHOTIC FITTING/TRAINING 420 87.15
97762    97520 PT PROSTHETIC TRAINING 420 87.15
97799GO    97518 OT SMALL DRESSING CHANGE 430 61.95
97799GP    97043 PT DRESSING 420 61.95
97802    22003 MNT INITIAL ASSESSMENT INDIVIAL 15 MINS 942 39.90
97802    22007 MNT INITIAL ASSESSMENT ONE TIME CHARGE 942 74.55
97803    22004 MNT REASSESSMENT INDIVIDUAL 15 MINS 942 39.90
97804    22006 MNT GROUP EACH 30 MINS 942 46.20
99000    85480 FIRST 1/2 HOUR 370 605.00
99100    99100 LEVEL 1 CARE 761 331.80
99143    91111 CONS SEDATION IV/IM/INHAL TX ROOM 370 332.85
99143    90225 MOD SED <5 YR, 1ST 30 MIN-PHYS 981 137.55
99144    91112 CONS SEDATION ORAL/RECT/NASAL IN TX RM 370 332.85
99144    90226 CONS SEDATION ORAL/RECT/NASAL-PHYSICIAN 981 101.85
99144    22090 MOD SED 5/5+YR, 1ST 30 MIN 370 332.85
99145    99145 MOD SED EA ADDL 15 MIN 370 162.75
99148    99148 MOD SED NOT ATTND <5,1ST 30 MIN 370 326.55
99149    99149 MOD SED NOT ATTND 5/5+YR, 1ST 30 MIN 370 326.55
99150    99150 MOD SED NOT ATTND, EA ADDL 15 MIN 370 162.75
99151    22095 MOD SED <5 YR, 1ST 15 MIN 370 148.02
99152    22089 MOD SED >=5 YR, 1ST 15 MIN 370 148.02
99153    99153 MOD SED >=<5 YR, NEXT 15 MIN 450 31.08
99195    99195 PHLEBOTOMY, THERAPEUTIC 940 215.25
99195    83769 WCRC PHLEBOTOMY THERAPEUTIC 300 93.45
99201    99211 DR NEW PT VISIT LEVEL 1 510 256.20
99201    99201 NEW PT VISIT LEVEL 1 761 331.80
99202    99202 NEW PT VISIT LEVEL 2 761 331.80
99203    99203 NEW PT VISIT LEVEL 3 761 331.80
99204    99204 NEW PT VISIT LEVEL 4 761 331.80
99205    21027 1 HOUR NEW PATIENT VISIT 761 184.80
99205    99215 DR NEW PT VISIT LEVEL 4 981 256.20
99205    99205 NEW PT VISIT LEVEL 5 450 331.80
99211    99261 DR EST PT VISIT LEVEL 1 981 256.20
99211    99210 EST PT VISIT LEVEL 1 761 331.80
99211    21014 O/P VISIT UP TO 10 MINUTES 761 117.60
99211    21035 OUTPATIENT TREATMENT ROOM 761 159.60
99212    99262 DR EST PT VISIT LEVEL 2 981 256.20
99212    99209 EST PT VISIT LEVEL 2 450 331.80
99212    99212 EST. PATIENT PROBLEM FOCUSED 914 256.20
99212    21011 O/P VISIT UP TO 20 MIN 761 184.80
99212    21016 O/P VISIT UP TO 20 MINUTES 761 148.05
99213    99263 DR EST PT VISIT LEVEL 3 981 256.20
99213    99213 EST PATIENT – EXP. PROBLEM 510 256.20
99213    99208 EST PT VISIT LEVEL 3 450 331.80
99213    21017 O/P VISIT UP TO 30 MIN 761 168.00
99214    99264 DR EST PT VISIT LEVEL 4 981 256.20
99214    99214 EST PATIENT DETAILED VISIT 914 256.20
99214    99207 EST PT VISIT LEVEL 4 450 331.80
99214    21018 O/P VISIT UP TO 40 MIN 761 184.80
99215    99265 DR EST PT VISIT LEVEL 5 981 256.20
99215    99206 EST PT VISIT LEVEL 5 450 331.80
99215    21019 O/P VISIT > 40 MIN 761 204.75
99217    99217 OBS CARE DISCHARGE 982 158.55
99218    99218 OBS CARE 982 158.55
99219    99219 INITIAL OBS CARE 982 176.40
99220    99220 INITIAL OBS CARE 982 299.25
99221    99221 INITIAL HOSPITAL CARE/LOW 983 115.50
99222    99222 INITIAL HOSPITAL CARE/MOD 982 231.00
99223    99223 INITIAL HOSPITAL CARE/HIGH 983 231.00
99224    99224 OBS DISCHARGE 982 52.50
99225    99225 OBS DISCHARGE 982 84.00
99231    99231 SUBSEQUENT HOSPITAL CARE/LOW 982 52.50
99232    99232 SUBSEQUENT HOSPITAL CARE/MOD 982 84.00
99233    99233 SUBSEQUENT HOSPITAL CARE/HIGH 982 115.50
99234    99234 OBS HOSPITAL CARE 982 162.75
99235    99235 OBS HOSPITAL CARE 982 194.25
99236    99236 OBS HOSPITAL CARE 982 241.50
99238    99238 IP DISCHARGE 982 84.00
99239    99239 IP DISCHARGE 982 84.00
99251    99251 DR INPATIENT E/M 20 MINUTES 981 233.50
99252    99252 DR INPATIENT E/M 40 MINUTES 981 233.50
99253    99253 DR INPATIENT E/M 981 325.50
99254    99254 DR INPATIENT E/M80 MINUTES 981 521.00
99255    99255 DR INPATIENT E/M 80 MINUTES 981 636.00
99271SE    97549 PT IFSP DEV/EARLY INTERVENT 420 84.00
99281    22005 DR ER MINOR 981 204.75
99281    21015 ER LEVEL 1 450 162.75
99281    21200 NON-EMERGENCY/SCREENING-IPA 451 162.75
99282    22010 DR ER LOW/MODERATE SEVERITY 981 256.20
99282    21210 EMERGENCY LEVEL II-IPA 450 396.90
99282    22700 NOT EMPLYD DR ER LOW/MODERATE SEVERITY 981 256.20
9928225    21020 ER LEVEL 2 450 260.40
99283    22015 DR ER MODERATE SEVERITY 981 312.90
99283    21025 ER LEVEL 3 450 331.80
99284    22020 DR ER MODERATE COMPLEXITY 981 384.30
99284    21030 ER LEVEL 4 450 533.40
99285    22022 DR ER HIGH COMPLEXITY 981 481.95
99285    21031 ER LEVEL 5 450 827.40
99291    22025 DR ER CRITICAL CARE 30-74 MINUTES 981 845.25
99291    21220 EMERGENCY LEVEL I-IPA 450 712.95
99291    21032 ER CRITICAL CARE 30-74 MINUTES 450 1029.00
99292    22026 DR ER CRITICAL CARE EA ADDL 30 MIN 981 362.25
99292    21033 ER CRITICAL CARE EA ADDL 30 MIN 450 376.95
99304    99304 SWING INITIAL CARE LOW 982 84.00
99305    99305 SWING INITIAL CARE 982 84.00
99306    99306 SWING INITIAL CARE 982 84.00
99307    99307 SWING SUBSEQUENT CARE 982 84.00
99308    99308 SWING SUBSEQUENT CARE 982 84.00
99309    99309 SWING SUBSEQUENT CARE 982 84.00
99310    99310 SWING SUBSEQUENT CARE 982 84.00
99315    99315 SWING DC LESS THAN 30 MIN 982 84.00
99316    99316 SWING DC MORE THAN 30 982 110.00
A4641    70557 NM TC 99 MAA (LUNG SCAN) 343 90.00
A4641    70559 NM TC DTPAMTC AEROSOL LUNG 343 90.00
A4641    71585 X-RAY OMINSCAN 20ML VIALS WAS/MAGNEVIST 343 190.00
A4641    71589 X-RAY VISIPAQUE 320MG 100ML V562 343 81.90
A4647    91279 OFFSITE (NUC MED) 636 989.10
A9500    72734 NM 99m Tc CARDIOLITE (Mibi) SINGLE 343 264.00
A9500    70563 NM 99m Tc SESTAMIBI (CARDIOLITE) 343 252.00
A9503    70554 NM 99m Tc MDP 343 149.10
A9512    70564 NM 99 Tc PERTECHNETATE 342 64.00
A9516    70566 NM I 123 (IODINE) 342 180.00
A9537    72359 NM 99m Tc MEBROFENIN (CHOLETEC) 343 268.80
A9540    70562 NM 99m Tc MAA 342 134.00
A9541    70572 NM 99m Tc SULFUR COLLOID 343 88.00
A9560    70568 NM 99m Tc ULTRATAGE RED BLOOD CELLS 342 120.00
A9562    70561 NM 99m Tc MAG3 636 250.00
A9567    70569 NM 99m Tc DTPA (AEROSOL) 341 134.00
C1751      375 PICC 4 FR SINGLE LUMEN 1174108D 270 592.20
C9803 280021 COVID-19 COLLECTION OUTPATIENT 300 23.46
G0008    81033 ADMINISTRATION OF FLU VACCINE 771 26.00
G0009    81035 ADMINISTRATION OF PNEUMOCOCCAL 771 26.00
G0103    82505 PSA TOTAL MEDICARE SCREEN 300 143.85
G0103    83261 Z PSA 300 27.30
G0104    22027 COLOREC CANCER SCRN, SIGMO NOT HIGH RISK 361 1066.65
G0104   140104 P-COLORECTAL CANCER SCREEN-HIGH RISK 982 935.80
G0105    22008 DIAGNOSTIC COLONOSCOPY 361 1856.40
G0105   140105 P-DIAGNOSTIC COLONOSCOPY-HIGH RISK 982 1856.40
G0108    22001 DIABETES O/P TRAINING INDIV 30 MINS 942 79.80
G0109    22002 DIABETES O/P TRAINING GROUP 30 MINS 942 51.45
G0121    22009 COLORECTAL CANCER SCREEN, NOT HIGH RISK 361 1540.40
G0121   140121 P-COLORECTAL CANCER SCREEN-HIGH RISK 982 935.80
G0237    97222 THERAPEUTIC PROCEDURE PULMONARY REHAB 948 341.25
G0238    97223 THERAPEUTIC PROCEDURE PULMONARY REHAB 948 341.25
G0283    97129 PT ELECTROCAL STIM LEVEL 1 420 119.70
G0283GO    97555 OT ELEC STIM 430 119.70
G0283GO    97532 OT ELEC STIM LEVEL 2 430 131.25
G0283GP    97144 PT ELECTROCAL STIM LEVEL 2 420 131.25
G0328QW    82275 IFOB SCREEN 300 44.10
G0378    10044 OBSERVATION – 44 HR 762 41.64
G0378    10048 OBSERVATION – 48 HR 762 40.58
G0378    10049 OBSERVATION – 49 HR 762 40.52
G0378    10050 OBSERVATION – 50 HR 762 40.55
G0378    10052 OBSERVATION – 52 HR 762 40.34
G0378    10053 OBSERVATION – 53 HR 762 40.24
G0378    10054 OBSERVATION – 54 HR 762 40.13
G0378    10055 OBSERVATION – 55 HR 762 40.05
G0378    10056 OBSERVATION – 56 HR 762 39.99
G0378    10057 OBSERVATION – 57 HR 762 39.80
G0378    10058 OBSERVATION – 58 HR 762 39.66
G0378    10059 OBSERVATION – 59 HR 762 39.60
G0378    10001 OBSERVATION 1 HR 762 345.45
G0378    10002 OBSERVATION 2 HR 762 211.57
G0378    10046 OBSERVATION -46 HR 762 41.16
G0378    10047 OBSERVATION- 47 HR 762 40.72
G0378    10051 OBSERVATION- 51 HR 762 40.48
G0378    10010 OBSERVATION-10 HR 762 71.08
G0378    10011 OBSERVATION-11 HR 762 66.72
G0378    10012 OBSERVATION-12 HR 762 62.21
G0378    10013 OBSERVATION-13 HR 762 58.32
G0378    10014 OBSERVATION-14 HR 762 55.65
G0378    10015 OBSERVATION-15 HR 762 53.69
G0378    10016 OBSERVATION-16 HR 762 51.51
G0378    10017 OBSERVATION-17 HR 762 49.35
G0378    10018 OBSERVATION-18 HR 762 47.78
G0378    10019 OBSERVATION-19 HR 762 45.98
G0378    10020 OBSERVATION-20 HR 762 44.68
G0378    10021 OBSERVATION-21 HR 762 43.75
G0378    10022 OBSERVATION-22 HR 762 42.19
G0378    10023 OBSERVATION-23 HR 762 41.27
G0378    10024 OBSERVATION-24 HR 762 40.56
G0378    10025 OBSERVATION-25 HR 762 41.29
G0378    10026 OBSERVATION-26 HR 762 42.85
G0378    10027 OBSERVATION-27 HR 762 44.06
G0378    10028 OBSERVATION-28 HR 762 44.10
G0378    10029 OBSERVATION-29 HR 762 45.55
G0378    10003 OBSERVATION-3 HR 762 160.65
G0378    10030 OBSERVATION-30 HR 762 46.62
G0378    10031 OBSERVATION-31 HR 762 46.91
G0378    10032 OBSERVATION-32 HR 762 46.92
G0378    10033 OBSERVATION-33 HR 762 46.20
G0378    10034 OBSERVATION-34 HR 762 45.58
G0378    10035 OBSERVATION-35 HR 762 45.21
G0378    10036 OBSERVATION-36 HR 762 44.95
G0378    10037 OBSERVATION-37 HR 762 44.21
G0378    10039 OBSERVATION-38 HR 762 43.48
G0378    10038 OBSERVATION-38 HR 762 43.74
G0378    10040 OBSERVATION-40 HR 762 42.95
G0378    10041 OBSERVATION-41 HR 762 42.77
G0378    10042 OBSERVATION-42 HR 762 42.33
G0378    10043 OBSERVATION-43 HR 762 41.83
G0378    10045 OBSERVATION-45 HR 762 41.51
G0378    10004 OBSERVATION-4HR 762 137.81
G0378    10005 OBSERVATION-5HR 762 122.01
G0378    10006 OBSERVATION-6HR 762 103.08
G0378    10007 OBSERVATION-7 HR 762 92.10
G0378    10008 OBSERVATION-8HR 762 82.82
G0378    10009 OBSERVATION-9HR 762 76.42
G0424    97221 PULMONARY REHABILITATION INC EXERCISE IN 948 288.75
G0434QW    82752 CARMI 5 PANEL URINE DRUG 300 31.50
G0481    80365 DRUG TEXT TOX DEFINATIVE 8-14 DRUGS 300 2887.50
G0483    80364 DRUG TEXT TOX DEFINATIVE 22 OR MORE 300 3465.00
G2024 280022 COVID NURSING HOME COLLECTION 300 23.46
G8992    92048 PT OTHER PRIMARY FUNCTIONAL LIMITATION 420 134.40
G8995    92080 OT OTHER SUBSEQ FUNCTIONAL LIMITATION 430 128.10
H0048    81412 COLLECTION CHARGE PRE-EMPLOYMENT 300 22.05
H0048    81413 NON DOT COLLECTION 300 22.05
J0131   302849 ACETAMINOPHEN (OFIRMEV) 10MG/ML 100ML VL 250 75.00
J0132   302790 …ACETADOTE 200MG/ML 30ML 250 606.00
J0132   302307 ACETYLCYSTEINE (MUCOSIL)  20% 30ML 250 32.50
J0133   302191 ACYCLOVIR (ZOVIRAX) 500 MG VIALS 250 76.13
J0150   300120 ADENOSINE (ADENOCARD) VL 12MG/4ML 250 48.00
J0171   300012 EPINEPHrine (ADRENALIN)  1MG/ML AMP 250 90.00
J0280   300045 AMINOPHYLLINE 250MG/10ML VIAL 250 24.15
J0282   302154 AMIODARONE (CORDARONE) 150MG/3ML AMP 250 36.00
J0290   302893 AMPICILLIN 1GM INJ 250 27.50
J0290   300565 AMPICILLIN 2GM VIAL 250 33.50
J0456   302680 AZITHROMYCIN (ZITHROMAX) 500MG VL 636 33.50
J0461   302548 ATROPINE 0.4MG 1ML VIALS 250 39.50
J0461   300104 ATROPINE INJ 1MG/ML SDV 250 59.00
J0461   300105 ATROPINE SYRINGE 1MG/10ML 250 80.00
J0515   300209 BENZTROPINE (COGENTIN)  2MG/ML AMP 250 68.25
J0558   300143 BICILLIN CR TUBEX 1.2 MILLION UNITS 250 950.50
J0610   300176 CALCUIM GLUCONATE 10%  10ML VL 250 84.50
J0690   300578 ceFAZolin (KEFZOL) 1 GM VIAL 250 23.50
J0690   300473 ceFAZolin 2GM/NS 50ML PREMIX**** 250 60.50
J0692   300583 CEFEPIME (MAXIPIME) 1 GM VIAL 250 38.50
J0692   302166 CEFEPIME (MAXIPIME) 2 GM VIAL 250 60.00
J0694   300474 cefOXitin (MEFOXIN) 2GM VIAL 250 58.00
J0694   303049 CEFOXITIN (MEFOXIN) INJ 1GM 250 53.50
J0694   302649 cefOXitin PREMIX 1GM/50ML****** 250 78.50
J0696   300687 cefTRIAXone (ROCEPHIN) 1GM INJ 250 26.00
J0696   302782 cefTRIAXone (ROCEPHIN) 2GM INJ 250 66.50
J0696   300387 cefTRIAXone (ROCEPHIN) 500MG VL 250 23.00
J0713   302348 cefTAZidime (FORTAZ/TAZICEF) 500MG VL 250 26.78
J0713   302918 cefTAZidime (TAZICEF/FORTAZ) 1GM INJ 250 39.50
J0743   301297 PRIMAXIN(IMIPENEM-CILASTATIN) 500 MG 250 95.00
J0875   302962 DALBAVANCIN (DALVANCE) 500MG VIAL 250 4834.31
J0878   302658 DAPTOmycin (CUBICIN) INJ 500MG 250 1215.00
J0881   302898 ARANESP(DARBEPOETIN)N-ESRD  40MCG PFS 250 1215.00
J0881   302424 ARANESP(DARBEPOETIN)N-ESRD 100MCG INJ 250 2456.00
J0881   302445 ARANESP(DARBEPOETIN)N-ESRD 300MCG INJ. 250 2816.50
J0882   302444 ARANESP(DARBEPOETIN)ESRD 100MCG INJ. 250 72.98
J0882   302437 ARANESP(DARBEPOETIN)ESRD 300MCG INJ. 250 2515.00
J0882   302899 ARANESP(DARBEPOETIN)ESRD 40MCG PFS 250 1308.50
J0882   302449 ARANESP(DARBEPOETIN)ESRD150MCG INJ. 250 2515.00
J0885   302766 PROCRIT (EPOETIN) 20000 UNITS non-ESRD 250 113.00
J0886   302059 PROCRIT (EPOETIN) 20000 UNITS ESRD 250 113.93
J0886   302056 PROCRIT (EPOETIN) 40000 UNITS ESRD 250 77.24
J0895   301260 DESFERAL (DEFEROXAMINE)  500 MG VL 250 115.00
J1030   300253 DEPO-MEDROL IM(methylPRED)  40MG/ML VL 250 66.50
J1100   300237 DEXAMETHASONE (DECADRON) INJ  4MG/ML VL 250 23.00
J1120   302886 acetaZOLAMIDE (DIAMOX) 500MG INJ 258 165.90
J1200   300135 diphenhydrAMINE (BENADRYL) 50MG/ML INJ 250 23.00
J1265   300295 …DOPAMINE 40MG/ML     5ML VL 250 22.00
J1335   302655 ERTAPENEM (INVanz) 1GM INJ 250 492.50
J1440   301254 …NEUPOGEN (RG-CSF) : 300 MCG /1ML VIAL 250 689.50
J1442   303676 NEUPOGEN 300MCG/0.5ML PFS 250 1260.00
J1442   301242 NEUPOGEN 480MCG/0.8ML PFS 250 2222.50
J1450   300309 FLUCONAZOLE (DIFLUCAN)  200MG/100ML RTU 250 67.00
J1580   302089 GENTAMICIN 80MG/2ML VL 250 23.00
J1610   300440 GLUCAGON 1MG INJ. 250 652.50
J1750   302241 DEXFERRUM INJ.  50MG/ML  1ML VIAL 250 70.35
J1885   300785 KETOROLAC (TORADOL) 30MG/ML VL 250 23.00
J1885   300786 KETOROLAC (TORADOL) 60MG/2ML VL 250 23.00
J1956   302669 LEVAQUIN 250MG PREMIX***** 250 28.00
J1956   302283 LEVAQUIN 500MG PREMIX***** 250 31.00
J1956   302295 LEVAQUIN 750MG/150ML PREMIX**** 250 32.00
J2010  4000006 CL-LINCOMYCIN (LINCOCIN) 600MG/2ML VL 250 204.00
J2010   300622 LINCOMYCIN (LINCOCIN) 600MG/2ML VL 250 58.28
J2060  3300053 CL-INJ LORAZEPAM 2MG 636 28.50
J2248   302513 MICAFUNGIN (MYCAMINE) 100MG VIAL 250 561.00
J2360   301057 ORPHENAdrine (NORFLEX) 30MG/ML VL 250 40.00
J2505   302427 NEULASTA(PEGFILGRASTIM):6MG/0.6ML INJ. 250 9357.08
J2543   302744 PIP/TAZO (ZOSYN) 4.5GM VL 250 142.80
J2543   302778 ZOSYN (PIP/TAZO) 2.25GM 250 55.00
J2543   302777 ZOSYN (PIP/TAZO) 3.375GM 250 70.50
J2550   301008 PROMETHAZINE IM (PHENERGAN) 25MG/ML 250 23.00
J2690   301321 …PROCAINAMIDE INJ:1GM/10ML 250 113.00
J2700   301402 OXACILLIN (PROSTAPHLIN) 2GM INJ 250 80.33
J2760   300667 PHENTOLAMINE MESYLATE (REGITINE) INJ 5MG 250 416.85
J2805    70558 NM 99m Tc CHOLETEC AND KINEVAC 250 405.00
J2920   301129 solu-MEDROL(methylPREDNISolone) 40MG/ML 250 51.50
J2930   301951 solu-MEDROL(methylPREDNISolone)125MG/2ML 250 73.00
J2995   301263 …STREPTASE (STREPTOKINASE):250,000UNIT 250 329.00
J2997   302847 ALTEPLASE (ACTIVASE) 100MG VL 250 16380.50
J3095   301947 TELAVANCIN (VIBATIV) 750MG VIAL 250 1831.00
J3101   302175 TENECTEPLASE (TNKASE) 50MG VIAL 250 15143.10
J3301   300580 TRIAMCINOLONE (KENALOG) 40MG/ML INJ. 250 71.00
J3370   301198 VANCOMYCIN 1GM VIAL 250 40.50
J3370   301319 VANCOMYCIN 500MG VIAL 250 35.50
J3370   300590 VANCOMYCIN 750MG VIAL 250 64.50
J3420   300367 CYANOCOBALAMIN (VIT B-12) 1000MCG/ML VL 250 39.00
J3475   303602 MAGNESIUM SULFATE PREMIX 10MG/ML  100ML 250 47.00
J3475   302904 MAGNESIUM SULFATE PREMIX 40MG/ML  100ML 250 47.00
J3485   302630 ZIDOVUDINE (RETROVIR) 10MG/ML VL 250 123.00
J3490   302789 AZTREONAM (AZACTAM) 1GM VIAL 250 217.00
J7605   302788 ARFORMOTEROL (BROVANA) 15MCG/2ML***** 250 36.23
J7605    90404 HHN BROVANA 410 74.55
J7608    94009 HHN MUCOMYST 1 Unit Dose (800mg) 250 37.80
J7608    94007 HHN MUCOMYST 1/2 Unit Dose (400 mg) 410 24.15
J7614    94008 HHN XOPENEX (0.63 mg) 250 37.80
J7614    94005 HHN XOPENEX (1.25 mg) 410 35.70
J7626    94004 HHN PULMICORT (0.50 mg) 250 74.55
J7644    94018 HHN ATROVENT (0.5mg) 410 24.15
P3000    81150 PAP SMEER SCREEN 310 48.30
P9016    80015 ZZ LEUKOCYTE POOR BLOOD (UNIT) 390 601.65
P9016   280016 ZZ LEUKOCYTE POOR BLOOD 2ND(UNIT) 390 601.65
P9016   280017 ZZ LEUKOCYTE POOR BLOOD 3RD(UNIT) 390 601.65
P9016   280018 ZZ LEUKOCYTE POOR BLOOD 4TH(UNIT) 390 601.65
P9016   280019 ZZ LEUKOCYTE POOR BLOOD 5TH(UNIT) 390 601.65
P9016   280020 ZZ LEUKOCYTE POOR BLOOD 6TH(UNIT) 390 601.65
P9017    80017 ZZ ONE DONOR FRESH FROZEN PLASMA 390 194.25
P9034    80011 ZZ PLATELATE PHERESIS 390 1561.35
P9041   303710 ALBUMIN 5% (ALBUTEIN) SDV 250ML 636 310.00
Q2038   302415 …FLUVIRON VACCINE 09-10 : 0.5ML PF SYR 636 22.50
Q2038   302753 …FLUZONE VACCINE 10-11 : 0.5ML PF SYR 636 22.50
Q2038   302907 …FLUZONE VAX HID 13-14(HMH): 0.5ML SYR 636 22.50
Q3009    70546 NM YY TC 99M HDP 341 37.00
Q3014    21029 TELEHEALTH ORIG SITE FEE 780 29.40
Q5106   301667 PROCRIT (EPOETIN) 10000 UNITS ESRD 636 1094.00
Q9957    71564 X-RAY DEFINITY VIAL DE16 320 400.00
Q9958    70552 ISOVUE 300 100ML 636 205.00
Q9958    70539 X-RAY OMIPAQUE 350 100 ML WAS/ISOVUE 370 250 59.85
U0002 87635 COVID-19  300 400.00
    301683 ……APIXABAN (ELIQUIS)   2.5MG TAB 250 51.50
    303918 ….APIXABAN (ELIQUIS) 5MG TAB 250 41.50
    302712 …ADVAIR DISKUS 500/50 250 671.00
    300022 …AEROBID INHALER:7GM 250 64.74
    302389 …AGRYLIN (ANAGRELIDE) : 0.5 MG TAB 250 41.00
    302219 …ALOCRIL (NEDOCROMIL):2% OPHTH.SOL.5ML 250 211.50
    302621 …AMIDATE (ETOMIDATE)ANES: 2MG/ML10MLVL 258 63.00
    302165 …AMIKACIN : 1 GM / 4ML VIAL 250 140.00
    300049 …AMOXICLLIN SUSP:250MG/5ML (150ML) 250 92.50
    302756 …AMPIC/SULBACTAM (UNASYN):1.5 GM ADV 250 106.50
    302755 …AMPICILLIN/SULBACTAM (UNASYN):3GM ADV 250 106.50
    302208 …ATIVAN (LORAZEPAM): 2MG/ML 1ML VIALS 250 28.00
    301726 …ATROVENT NASAL SPRAY(IPRATROPIUM)0.6% 250 58.30
    302181 …AUGMENTIN ES SUSP: 600MG/5ML  75ML 250 105.00
    300108 …AUGMENTIN SUSP.:125MG/5ML 75ML 250 131.50
    300110 …AURALGAN OTIC SOL. 250 25.00
    300119 …AZMACORT INHALER 20GM 250 165.00
    302094 …BACTINE 4 OZ 250 24.50
    300141 …BETADINE(POVIDINE):30GM(HOSP PK OINT) 250 35.50
    301501 …BIAXIN SUSP.(CLARITHROMYCIN)250MG/5ML 250 209.50
    301694 …BRETHAIRE INHALER 250 35.37
    301316 …CALCIMAR INJECTION:200IU/ML  2ML VIAL 250 252.00
    302274 …CALCITRIOL ORAL SOL.:1 MCG/ML 250 318.50
    301234 …CALCIUM CHLORIDE 10% I.C. SYRINGE 250 27.00
    301398 …CAPSAICIN CREAM :0.75%   2 OZ. 250 47.40
    301608 …CEFADROXIL(DURICEF):250MG/5ML 100ML S 250 135.50
    302588 …cefTRIAXone:1 GM ADVANTAGE 258 39.50
    302395 …CEFTRIAXONE:1 GM VIAL 250 82.00
    302396 …CEFTRIAXONE:2 GM VIAL 250 82.00
    301883 …CEFZIL(CEFPROZIL):500 MG TAB BULK 250 37.50
    301833 …CETAPHIL SKIN CLEANSER:16 OZ. BOTTLE 250 76.00
    302106 …CHLOROMYCETIN OPHTH.SOL.    25MG VIAL 250 61.50
    301908 …CIPROFLOXACIN (CIPRO) IV:400MG 250 100.80
    300386 …CIPROFLOXACIN (CIPRO) IV:400MG 250 256.50
    302379 …CIPROFLOXACIN (CIPRO):0.3% O.S. 2.5ML 250 53.50
    301521 …CLARITHROMYCIN (BIAXIN):500MG TAB 250 31.00
    301706 …CLEOCIN VAGINAL CR. 40 GM 250 87.00
    301930 …CLINDAMYCIN TOP. SOL1% 30 ML(EMP) 250 34.50
    301368 …COLLAGENASE (SANTYL): 15 GM OINT 250 186.50
    300214 …COLYMYCIN-S OTIC SUSP. 250 125.00
    301961 …CYANIDE ANTIDOTE KIT 250 999.50
       721 …D10 W 1000CC 7930.09 258 101.85
       712 …D5 LR 500ML: 7929-03 258 97.65
       744 …D5 NACL 0.225% 1000ML : 7924.09 258 101.85
       798 …D5 NS 0.45% KCL 10MEQ 1000ML 258 86.10
       791 …D5/LR + 40MEQKCL 1000ML 258 86.10
    301245 …DACRIOSE OPHTH. SOL. 15 ML 250 34.00
    301574 …DDAVP INTRANASAL: 2.5ML 250 138.10
    301828 …DERMAGRAN OINTMENT   4 OZ. TUBE 250 48.70
    301892 …DIAZEPAM RECTOGEL(DIASTAT):10MG 250 217.50
    301893 …DIAZEPAM RECTOGEL(DIASTAT):20 MG 250 217.50
    301972 …DIFFERIN SOL(ADAPALENE):0.1% PLEDGETS 250 46.50
    302273 …DIPROLENE(BETAMETH.DIP.):0.05%  50GM 250 232.50
    301522 …DONNAGEL SUSP:8OZ BOTTLE 250 28.00
    301705 …DOVONEX OINT(CALCIPOTRIENE):0.005% 250 142.30
    301645 …DRYSOL SOL. 60ML 250 35.50
    301517 …DUODERM 4X4 DRESSING PADS 250 31.50
    301638 …DUODERM EXTRA-THIN 4X4 PATCHES 250 21.50
    301546 …DUODERM GRANULES:5 GM TUBES 250 48.50
    302637 …DUONEB (ALBUTEROL/ATRO: 0.5/3MG UD 258 42.00
    302638 …DUONEB (ALBUTEROL/ATROV): 0.5/3MG UD 258 42.00
    301845 …DURAMORPH (MORPHINE PF):1MG/ML AMP 250 48.50
    301404 …EDECRIN (SODIUM)IV:50 MG 250 117.50
    301304 …ENLON-PLUS(EROPHONIUM CHL+ATROPINE)IV 250 37.50
    301917 …EPINEPHRINE 1:1000 INJ 30ML MDV 250 55.00
    302145 …EUCERIN TOPICAL 250 24.50
    301435 …EVAC Q KWIK 250 24.00
    301620 …FLAREX (FLUOROMRTHOLONE):0.1% O.S. 250 60.65
    300425 …FLOXIN (OFLOXACIN) IV:400MG VIAL 250 87.00
    300121 …FLUNISOLIDE (AEROBID): 7GM INHALER 250 196.50
    302129 …FLUORACAINE(FLUORESCEIN/PROPARACAINE) 250 34.00
    300446 …GYNE-LOTRIMIN(CLOTRIMAZOLE)100MG VAG 250 81.00
    301795 …HAVIRAX (HEPATITIS A):0.5ML SDV 250 74.95
    301798 …HAVIRAX (HEPATITIS A):1400 UNITS/ML 250 156.05
    302238 …HEPARIN INJ: 20,000 UNITS/ML VIAL 1ML 250 31.50
    300324 …HEPARIN LOCK FLUSH:100 UNITS/ML 250 22.00
    301835 …HEPATITIS A VACCINE:1440 EL.U./ML SYR 250 292.50
    301834 …HEPATITIS A VACCINE:720 EL.U./0.5ML 250 265.00
       706 …HESPAN 258 110.50
    301424 …HIBICLENS SKIN CLEANSER : 8 OZ BOTTLE 250 48.50
    302385 …HUMALOG PEN SYR.:100 UNITS 5X3ML PFS 250 227.00
    300543 …HUMULIN N / NOVULIN N INSULIN VIAL 250 96.50
    302376 …humuLIN N INSULIN 10ML VIAL 250 90.50
    302340 …HYDROXYZINE 100MG/2ML VIAL 250 22.00
    300515 …HYPERSTAT (DIAZOXZIDE) INJ:300MG/20ML 250 333.50
    300523 …HYPERTET(TET.IMMUNE GLOBULIN):250UNIT 250 228.50
    300527 …ILOPAN (DEXPANTHENOL) INJ.:500MG/2ML 250 39.40
    301744 …IMITREX (SUMATRIPTAN):25MG TABS 250 111.50
    301700 …IMITREX (SUMATRIPTAN):50 MG UD 250 124.50
    301372 …IMODIUM A-D LIQUID(LOPERAMIDE)1MG/5ML 250 41.50
    300551 …INSULIN NPH U-100 250 55.40
    301373 …INTAL INH. (CROMOLYN) : 8.1 GM 250 100.50
    300555 …ISOETHARINE INH. SOL. 1%:10ML BOTTLE 250 21.00
    302213 …JEVITY PLUS RTU (LACTOSE FREE)1,000ML 250 43.50
    300576 …KEFLEX (CEPHALEXIN)SUSP:125/5  100ML 250 42.00
    301394 …KERI DRY SKIN LOTION   6.5OZ. 270 37.50
    300581 …KETODIASTIX REAGENT STRIPS 250 43.50
    300594 …LANOXIN PEDIATRIC ELIXER:60ML 250 73.00
    302162 …LANTUS INSULIN : 100 UNITS/ML   10ML 250 124.50
    300421 …LASIX (FUROSEMIDE) ORAL SOL:10MG/ML 250 146.00
    302503 …LASIX(FUROSEMIDE)INJ:40MG/4ML IVP*** 250 22.00
    302365 …LEFLUNOMIDE (ARAVA): 20 MG TAB 250 86.00
    301479 …LEUCOVORIN CALCIUM INJ:50MG VIAL 250 87.15
    302362 …LEVALBUTEROL (XOPENEX): 1.25MG/3ML 250 35.50
    301906 …LEVAQUIN (LEVOFLOXACIN):500MG VIAL 250 112.86
    302620 …LEVEMIR(INSULIN DETEMIR): 10 ML VL 258 217.35
    300608 …LIBRIUM (CHLORDIAZEPOXIDE) INJ:100MG 250 46.00
    300617 …LIDOCAINE 10% ORAL SPRAY:26.8ML 250 266.50
    302248 …LOCOID(HYDROCORT BUTYRATE):0.1% 250 66.50
    300627 …LOMOTIL LIQUID:60ML 250 53.50
    300632 …LOPROX CREAM 1% 15GM 250 58.00
    301513 …LORABID CAPSULES:400MG 250 24.00
    300639 …LOXITANE (LOXAPINE) SUSP:25MG/ML 250 637.50
    300642 …LUGOL`S SOLUTION 4 OZ 250 27.00
    301561 …LUPRON DEPOT INJ : 7.5 MG 250 1671.50
    301984 …LYMERIX 30 MCG/0.5ML INJ. 250 114.00
    302366 …MAGIC MOUTHWASH : 4 OZ.BOTTLE 250 34.00
    302291 …MAGNESIUM SULF PREMIX:80MG/ML  50ML 250 51.00
    301862 …MARCAINE (BUPIVACAINE): 0.5% 30ML VL 250 28.50
    301818 …MELANEX TOP.(HYDROQUINONE):3% 30 ML 250 48.25
    300923 …MELLARIL LIQ.(THIORIDAZINE):30MG/5ML 250 177.00
    301535 …METRO-GEL VAG GEL : 0.75%  70 GM 250 44.00
    300950 …MORPHINE INJ. :8 MG TUBEX 250 21.00
    301101 …MORPHINE INJ.: 15 MG TUBEX 250 21.00
    302265 …MOXIFLOXACIN (AVELOX) :400MG TAB 250 61.00
    301857 …MUCOSIL SOL 10% 4ML VIAL 250 33.50
    301584 …MURO 128 5%: 15ML 250 42.00
    301399 …MYCELEX (CLOTRIMAZOLE) VAG. CR. 1% 250 81.00
    301103 …MYCOSTATIN (NYSTATIN):100,000UNIT VAG 250 57.00
    300968 …MYDRIACIL OPHTH SOL(TROPICAMIDE):0.5% 250 57.75
    300967 …MYDRIACIL OPHTH SOL(TROPICAMIDE)1% 250 61.45
    301442 …MYLANTA 24 OZ 250 30.70
    301498 …NALDECON PEDIATRIC DROPS 30ML BOTTLE 250 46.20
    300813 …NEBCIN (TOBRAMYCIN) INJ.    2ML 250 22.00
    301473 …NEO-DECADRON OPHTH.SOL. 5 ML 250 44.50
    300816 …NEO-DECADRON(NEOM SULF-DEX)O.O 3.5GM 250 39.00
    300815 …NEO-DECADRON(NEOMYCIN SULF-DEX)  15GM 250 72.00
    301783 …NEOSPORIN GU IRRIGANT SOL.AMP 250 81.50
    300822 …NEO-SYNEPHRINE 0.25% NASAL SPRAY 250 35.50
    300825 …NEW SKIN SPRAY 250 22.50
    300862 …NICODERM PATCH: 7MG/24HR 250 33.00
    301831 …NICOTROL NS 10MG/ML 250 114.50
    301266 …NITROGLYCERIN DRIP :100 MCG/ML 500 ML 250 97.50
    301474 …NITROGLYCERIN OINT. 2 %: 30 GM 250 56.00
    301946 …NIX CREME RINSE 2 OZ BOTTLE 250 21.00
    302112 …NIZORAL SHAMPOO(KETOCONAZOLE): 2% 4OZ 250 43.00
    301707 …NOR-Q-D (NORETHINDRONE):0.35MG TAB 250 183.00
    300548 …NOVOLIN 70/30 INSULIN:100 UNITS/ML 250 68.00
    300545 …novoLIN INSULIN 70/30 : 10 VL 250 165.50
    301433 …novoLIN N INSULIN : 10ML VL 250 170.00
    301985 …novoLIN R SLIDING SCALE 250 34.13
    302560 …novoLOG 70/30: 10 ML VIAL 250 219.00
    301580 …NYSTATIN VAGINAL TABS 250 67.00
    301619 …OCUFLOX (OFLOXACIN):0.3% O.S. 5ML 250 74.05
    302023 …OCUPRES 1% OPHTH SOL. 10ML 250 86.00
    302765 …OFLOXACIN(OCUFLOX) 0.3% OTIC SOL 10ML 250 284.00
    300872 …OTOBIOTIC OTIC SOLUTION   15ML 250 97.50
    302142 …PATANOL(OLOPATADINE)O.S.:0.1% DR.C 250 284.00
    301072 …PEDIACARE DECONGESTANT DROPS 0.5OZ 250 41.00
    302234 …PEDIACARE L.A. COUGH/COLD: 4OZ BOTTLE 250 23.00
    302010 …PEDIALYTE(generic): LITER BOTTLE 250 22.00
    302138 …PENLAC (CICLOPIROX) NAIL LACQ:8% 6ML 250 287.50
    301980 …PENTOTHAL(THIOPENTAL SOD)2.5GM/2% KIT 250 29.50
    302149 …PERSANTINE (DIPYRIDAMOLE):5MG/ML10MVL 250 274.00
    301730 …PHOSPHOLINE IODIDE OPHTH.SOL. 3MG/5ML 250 158.50
    301632 …PILOCAR(PILOCARPINE):3% O.S. 15ML 250 79.50
    301560 …PILOCARPINE OPHTH. SOL. : 4 % – 15ML 250 46.50
    301349 …PILOCARPINE OPHTH.SOL.: 0.5%  15 ML 250 63.00
    302152 …PITRESSIN (VASOPRESSIN):20UT/ML 1MAMP 250 41.00
    301658 …POLIO VACCINE 250 63.00
    302135 …POLOCAINE MPF(MEPIVACAINE):1%  30MLVL 250 35.00
    302134 …POLOCAINE MPF(MEPIVACAINE:1.5% 30M VL 250 47.50
    302095 …POLYSPORIN SHAKER VIAL 250 46.00
    301024 …PONTOCAINE (TETRACAINE) 15ML VIAL 250 207.00
    302136 …PONTOCAINE(TETRACAINE):1% (2ML AMP) 250 28.00
    302183 …POT CHL 40 MEQ PREMIX (NACL):1000 ML 250 88.00
    301026 …POT CHLORIDE (KCL) INJ:20mEq/10ML 250 21.00
    301027 …POT CHLORIDE (KCL) INJ:30mEq/15ML 250 22.00
    300244 …PREDNISONE INTENSOL 30ML:5MG/1ML 250 126.00
    302085 …PREGNYL 10,000 UNITS/VIAL  10ML MDV 250 161.50
    301750 …PREVACID (LANSOPRAZOLE):15 MG CAP 250 22.50
    301717 …PREVACID(LANSOPRAZOLE):30MG CAP 250 22.50
    301068 …PRILOSEC (OMEPRAZOLE) CAP:20MG 250 22.00
    301046 …PROCAINIMIDE INJ:1GM/2ML 250 74.50
    301041 …PROCTOFOAM HC  10GM 250 121.00
    302240 …PROPOFOL INJ.:10MG/ML  20ML VIAL 250 56.50
    300651 …QUELICIN SYRINGE:100MG (20MG/ML  5ML) 250 60.00
    301736 …QUESTRAN 4 GM: 378 GMS 250 68.25
    300657 …quiNIDine GLUCONATE INJ:80MG/ML  10ML 250 134.50
    302032 …RAPLON (RAPACURONIUM):100MG/5ML VIAL 250 93.00
    301647 …RECOMBIVAX HB PED 2.5MCG SDV 250 145.50
    302281 …RELENZA (ZANAMIVIR):5 MG DISKHALER 250 171.50
    302402 …RELPAX(ELETRIPTAN):20 MG 250 66.00
    301817 …RENOVA CR.(TRETINOIN): 0.05%  60 GM 250 160.65
    302086 …REPRONEX 75 INJ. 250 536.00
    300690 …RETIN A CREAM 0.05%   20GM 250 74.55
    301573 …RETIN-A (TRETINOIN) CREAM: 0.025% 250 129.80
    301463 …RETIN-A GEL 0.01% 15GM 250 58.00
    301827 …REZULIN (TROGLITAZONE) 200MG TAB 250 21.00
    301743 …RHINOCORT INHALER : 7 GM 250 54.10
    301979 …RHINOCORT NASAL INHALER 7 G 250 86.00
    302679 …RIVASTIGMINE(EXELON):9.5MG/24HR PATCH 250 36.00
    300679 …ROBAXIN (METHOCARBAMOL) INJ:10ML 250 30.00
    301905 …ROCEPHIN (CEFTRIAXONE SOD) INJ:1GM 250 101.50
    301500 …ROCEPHIN (CEFTRIAXONE):250 MG VIAL 250 67.00
    301958 …ROFERON-A INJ.  9 MILLION UNITS VIAL 250 188.50
    301308 …SCARLET RED   5X9 250 115.00
    302223 …SELSUN SHAMPOO : 2.5%  4OZ 250 52.50
    301390 …SEREVENT INHALER 6.5GM 250 87.00
    302912 …SILDENAFIL (REVATIO) 20MG TAB 250 82.00
    302146 …SOD BICARBONATE: 4.2% PEDIATRIC 10ML 250 65.50
    302009 …SPACER-ELIPSE 250 78.00
    301303 …SPARINE (PROMAZINE) 50MG/2ML 250 27.05
    301130 …SPARINE (PROMAZINE):25MG/ML 10ML MDV 250 108.70
    301264 …STREPTASE (STREPTOKINASE)750,000UNIT 250 600.00
    301265 …STREPTASE (STREPTOKINASE)INJ.1.5MILL 250 858.00
    301135 …STREPTASE(STREPTOKINASE):1.5MILL UNIT 250 678.55
    301134 …STREPTASE(STREPTOKINASE):750,000 I.U. 250 395.85
    301142 …SULAMYD (SUFACETAMIDE):10% OPHTH. OIN 250 26.50
    301161 …SUPRAX (CEFIXIME): 400 MG TABLET 250 25.35
    301162 …SUPRAX (CEFIXIME):100MG/5ML SUSP50ML 250 177.50
    301145 …SUSPHRINE (EPENEPHRINE SUSP):0.3 ML 250 29.50
    301237 …TALWIN INJ. (PENTAZOCINE): 30 MG AMP 250 23.00
    302067 …TAZORAC GEL(TAZAROTENE GEL):0.1% 30GM 250 116.50
    301733 …TEMOVATE CREAM 0.05% 30 GM 250 81.10
    302144 …TERAZOL 7 (TERCONAZOLE):0.4% VAG.CR. 250 116.00
    300707 …TETANUS & DIPTHERIA INJ  0.5ML 250 61.50
    300728 …THORAZINE (CHLORPROMAZINE)SUPP:100MG 250 22.00
    302326 …THROMBIN-JMI : 20,000 U.S. UNITS 250 382.50
    300735 …TIGAN(TRIMETHOBENZAMIDE)AMP:200MG/2ML 250 42.00
    302671 …TIGECYCLINE (TYGACIL):50MG VL 250 254.00
    301279 …TIMENTIN(TICARCILLIN/CLAVULANTE)3.1GM 250 124.50
    302074 …TIMOPTIC-XE : 0.5%  5ML 250 78.00
    300795 …TINVER LOTION   4OZ. 250 76.40
    301763 …TOBRADEX OPTH OINT:3.5GM. 250 110.50
    301585 …TOBRADEX OPTHALMIC SUSPENSION:2.5ML 250 126.00
    300798 …TORECAN(THIETHYLPERAZINE)INJ:10MG/ML 250 25.50
    301974 …TPA 100MG VIAL 250 4755.00
    301344 …TPA 50 MG  VIAL 250 2496.00
    301640 …TRIAMCINOLONE INJ.:40MG/ML 5ML-MDV 250 79.00
    302327 …TRIAZ (BENZOYL H202): 6% PADS 250 347.22
    301143 …TRIPLE SULFA VAGINAL CREAM 78 GM TUBE 250 34.00
    301631 …TRUSOPT (DORZOLAMIDE HCL):2% O.S10ML 250 135.50
    301895 …TRUSOPT 5ML BOTTLE 250 47.50
    301921 …TRUSOPT EYE DROPS 250 33.00
    300784 …TYMPAGESIC OTIC SOLUTION  13ML 250 108.50
    301179 …UNASYN(AMP/SULBACTAM):1.5GM**** 250 56.00
    302747 …UNASYN(AMP/SULBACTAM):3GM/NS 100ML* 250 59.00
    302224 …UNASYN(AMPICILLIN/SULBACTAM):15GM 250 39.00
    301651 …UROKINASE : 5,000 I.U. 1ML VIAL 250 238.50
    301089 …VANCERIL (BECLOMETHASONE) INH 17 GM 250 86.00
    301197 …VANCOCIN (VANCOMYCIN) ORAL SOL 1GM VL 250 191.00
    302151 …VANCOMYCIN : 250 MG CAPSULES 250 58.50
    302590 …VANCOMYCIN 1GM ADVANTAGE 258 144.50
    301907 …VANCOMYCIN INJ:1GM VIAL 250 74.00
    302115 …VANIQUA CREAM 13.9%    30GM 250 81.00
    301338 …VASOXYL INJ:20MG/ML  1ML AMP 250 130.50
    301880 …VECURONIUM INJ.   10 ML VIAL 250 68.50
    302049 …VENLAFAXINE XR (EFFEXOR XR): 75MG CAP 250 22.00
    301097 …VERSED (MIDAZOLAM) INJ:1MG/ML 250 36.50
    302033 …VERSED (MIDAZOLAM):1MG/ML 5ML VIAL 250 27.00
    301201 …WYAMINE (MEPHENTERMINE)30MG/ML 10ML 250 108.00
    301203 …WYDASE INJ(HYALURONIDASE)150 UNITS/ML 250 41.50
    301841 …XYLOCAINE 5% c GLUCOSE 7.5MG 2CC VIAL 250 56.00
    301593 …ZANTAC (RANITIDINE) INJ: 25MG/ML 6ML 250 33.00
    301340 …ZOSYN (PIPRACIL & TAZOBACT):3.375GM 250 51.84
    301532 …ZOSYN INJ:3.375GM 250 152.25
    302823 …ZOSYN VIAL: 2.25GM 250 33.50
    301603 …ZOVIRAX (ACYCLOVIR):1 GM VIALS 250 265.00
    301583 …ZOVIRAX INJ.(ACYCLOVIR): 500 MG  10ML 250 147.00
    302407 ..ANORO 62.5MCG/25MCG 250 195.14
    301723 ..CALCITONIN(MIACALCIN) NASAL SPY: 3.7ML 250 267.00
    302619 ..LEVEMIR(INSULIN DETEMIR):100 UNITS/ML 258 53.55
     90160 02 (PER 1/4 HOUR) 270 28.35
     94001 02 W/MASK (SET UP CHG) 270 78.75
     90020 1/4HR–MORE THAN ONE HOUR RECOVERY 710 168.00
     84167 24 HR UA PROTEIN W/CREATININE 300 132.05
     80744 9 PANEL NON DOT 300 38.85
    300001 A & D OINTMENT  60GM 250 24.50
      1114 ABDOMINAL BINDER 62-74 XL 270 27.30
      1115 ABDOMINAL BINDER 72-84 XX-LG 270 27.30
       801 ABDOMINAL BINDER ELASTIC 30-45 270 130.20
       871 ABDOMINAL BINDER ELASTIC 46-62 270 130.20
       800 ABDUCTION HIP PILLOW 270 436.80
    302141 ACE AEROSOL CLOUD ENHANCER SPACER (INH) 250 84.53
      3434 ACETABULAR C-LINER 3015-2850 274 3321.15
      3433 ACETABULAR SHELL   3000-1050 274 6340.95
    300781 ACETAMIN 300MG/COD 30MG (TYLENOL #3) TAB 250 28.00
    300783 ACETAMIN/COD 120/12MG ELIX 5ML 250 28.00
    301950 ACETYLCYSTEINE (MUCOSI) 800MG 20% 4ML VL 250 25.50
     20028 ACL INSTRUMENT RENTAL DEPUY 270 1408.05
    300011 ACTIVATED CHARCOAL(AQUEOUS) 25GM 250 90.00
    300010 ACTIVATED CHARCOAL(c SORBITOL) 25GM 250 73.50
     97176 ACTIVITY PADS 270 80.00
    302839 ACYCLOVIR (ZOVIRAX) 5% CR  2GM 250 238.88
    302943 ACYCLOVIR (ZOVIRAX) 5% OINT   15GM 250 732.80
    301221 ACYCLOVIR (ZOVIRAX) 5% OINT   30GM 250 1124.55
    302821 ACYLOVIR 400MG/NS 100ML***** 250 156.45
    302768 ACYLOVIR 500MG/NS 100ML***** 250 156.45
    302879 ACYLOVIR 800MG/NS 100ML***** 250 156.45
       102 ADAPTIC 3X8 270 28.35
       686 ADAPTOR ETCO2 INTUBATED NIHON KOHDEN 270 88.20
    302341 ADVAIR DISKUS 100/50 INHALER 250 270.50
    302196 ADVAIR DISKUS 250/50 INHALER 250 270.50
     94312 AEROCHAMBER 410 25.00
       934 AEROCHAMBER 270 84.00
     94022 AEROSOL (SET UP) 410 96.60
       882 AIRWAY KING KIT SUPRAGLOTTIC LT-D 2 270 92.40
       883 AIRWAY KING KIT SUPRAGLOTTIC LT-D 2.5 270 92.40
       879 AIRWAY KING KIT SUPRAGLOTTIC LTS-D 3 270 211.96
       880 AIRWAY KING KIT SUPRAGLOTTIC LTS-D 4 270 211.96
       881 AIRWAY KING SUPRAGLOTTIC LTS-D 5 270 211.96
    301514 ALBUTEROL  5MG/ML  20ML BOTTLE 250 24.15
    301055 ALBUTEROL (VENTOLIN) HFA INHALER  8GM 250 86.00
     94013 ALBUTEROL/ATROVENT 5MG/0.5MG HHN 250 44.10
     80289 ALLIANCE-HAM CO COAL DRUG SCREEN 300 36.75
    301396 ALPHA KERI BODY OIL   8OZ. 250 39.00
    301208 ALPRAZolam (XANAX) 0.25MG TAB 250 28.00
    301840 ALPRAZolam (XANAX) 0.5MG TAB 250 28.00
    302880 AMIDATE (ETOMIDATE)ANES  2MG/ML  20ML VL 258 64.00
    302656 AMINOSYN II 4.25% IN 20% DEXTROSE 250 872.03
    300053 AMOXICILLIN SUSP 250MG/5ML 100ML 250 22.50
    301333 AMPICILLIN INJECTION:1GM VIAL 250 39.50
    301488 ANALGESIC BALM 30GM TUBE 250 24.15
     94343 ANESTH AIRWAY I-GEL SIZE 5 270 50.40
      2007 ANESTH BITE BLOCK 270 30.45
      2008 ANESTH BITEGARD 270 30.45
      5469 ANESTH CAPNOLINE PER NORM DO NOT ORDER 270 86.10
      2022 ANESTH CAPNOLINE SMART GUARDIAN 02 270 29.40
       263 ANESTH CHECK MATE VALVE 270 96.60
      2003 ANESTH CIRCUIT 60  ADULT 270 61.95
      2006 ANESTH CIRCUIT PEDI 60 270 61.95
     94350 ANESTH CO PILOT VL 3 SHEATH 270 26.25
     94351 ANESTH CO PILOT VL 4 SHEATH 270 26.25
       269 ANESTH CVP MANOMETER 35CM 270 37.80
      5473 ANESTH ELECTRODE BIS 270 29.40
      2012 ANESTH ENDOTRACHEAL TUBE INTRODUCER 270 35.70
      2002 ANESTH ESOPHAGEAL STETHESCOPE 18 FR 270 105.00
      2020 ANESTH EXTENSION SET BAXTER 2C9218 270 33.60
      2571 ANESTH GLIDESCOPE LOPROS3 270 46.20
      2572 ANESTH GLIDESCOPE LOPROS4 270 92.40
      2573 ANESTH GLIDESCOPE MAC S3 0270-0932 270 92.40
      2574 ANESTH GLIDESCOPE MACS4 0270-0933 270 92.40
      2060 ANESTH HEAD REST SLOTTED 270 58.22
      2499 ANESTH LARYMGOSCOPE HANDLE B154302 270 27.60
     94344 ANESTH LMA UNIQUE 1.0 270 73.50
     94346 ANESTH LMA UNIQUE 1.5 270 73.50
     94347 ANESTH LMA UNIQUE 2.0 270 99.75
     94348 ANESTH LMA UNIQUE 2.5 270 73.50
     94327 ANESTH LMA UNIQUE 3 270 90.30
     94328 ANESTH LMA UNIQUE 4 270 78.75
     94329 ANESTH LMA UNIQUE 5 270 90.30
      2804 ANESTH PARKER FLEX TIP 7.0 PFHV 270 141.75
      2010 ANESTH PARKER FLEX TIP 7.5 PFHV 270 141.75
      2805 ANESTH PARKER FLEX TIP 8.0 PFHV 270 141.75
       267 ANESTH SAPPHIRE PRIMARY INFUSTION SET 270 55.65
      2005 ANESTH SENSOR ADHESIVE ADULT 270 37.80
      2014 ANESTH SENSOR ADHESIVE PEDI 270 44.10
     94341 ANESTH SHEATHS DISPOSABLE #3 270 26.25
     94342 ANESTH SHEATHS DISPOSABLE #4 270 26.25
      5245 ANESTH SPINAL NEEDLE 22GAX3.5 PENCAN 270 44.10
      5246 ANESTH SPINAL NEEDLE 25GAX3.5 PENCAN 270 44.10
     85420 ANESTH SPINAL TRAY 270 158.55
     85490 ANESTHESIA  (1/4 HOUR) 370 95.55
     85491 ANESTHESIA  (1/4 HOUR) 370 258.00
     85465 ANKLE BLOCK 370 158.55
     97085 ANKLE FOOT ORTHOSIS 270 362.25
      1157 ANKLE GEL IMMOBILIZER REGULAR 270 36.75
     97194 ANKLE PROTECTOR 270 100.00
      9408 ANTI FOG W/PAD LILY PAD 270 46.20
       504 ANTI REFLUX VALVE 270 46.20
    304120 APIXABAN (ELIQUIS) 5MG TABLETS 250 29.00
    304119 APIXABAN (ELIQUIS)2.5MG TABLETS 250 29.00
    302386 APRACLONIDINE (IOPIDINE)  0.5% O.S. 250 152.50
    300073 AQUAMEPHYTON (VITAMIN K) IM 10MG/ML 250 352.50
    303013 AQUAPHOR (AQUAPHILIC OINTMENT)  396GM 250 62.50
      9190 ARGYLE SUC SMALL 270 217.35
      9490 ARISTA APPLICATOR FLEX TIP AM0010 272 202.52
      9491 ARISTA POWDER HEMOSTATIC 3 GRAM 272 789.42
       851 ARM SLING LG 270 50.40
       850 ARM SLING MED 270 50.40
       813 ARM SLING SM 270 50.40
       852 ARM SLING X-LG 270 101.85
     97183 ARM TRAY MATERIALS 270 252.00
      9191 ARROW CENTRAL VEIN CATH DOUBLE LUMEN 270 264.60
      9193 ARROW CENTRAL VEIN CATH MULTI LUMEN 270 473.68
      9189 ARROW CENTRAL VEIN CATH SINGLE LUMEN 270 158.55
      9187 ARROW RADICAL ARTERY CATHETER 270 158.55
     94180 ARTERIAL BLOOD GAS EVAL. 410 48.00
      9342 ARTHROSCOPY IN/OUT FLOW 10K150 270 140.70
      9341 ARTHROSCOPY TUBE SET 87100 270 422.10
      9007 ARTHROSCOPY W/O POUCH 8110 DO NOT REORDE 270 273.00
      9006 ARTHROSCOPY W/POUCH 8100 270 273.00
    300015 ARTIFICIAL TEARS OPHTH SOL 15ML 250 29.00
      1119 ATHLETIC SUPPORTER LARGE 270 37.80
      1118 ATHLETIC SUPPORTER MEDIUM 270 37.80
      1052 ATHLETIC SUPPORTER SMALL 270 37.80
      1058 ATHLETIC SUPPORTER X-LARGE 270 37.80
    300117 ATROVENT INHALER 14GM 250 118.50
    300109 AUGMENTIN SUSP 250MG/5ML 75ML 250 305.50
    301813 AUGMENTIN SUSP 400MG/5ML  50 ML 250 37.00
     85440 AXILLARY BLOCK 370 158.55
    300118 AZACTAM 1GM/NS 100ML***** 250 156.45
    302917 AZACTAM 250MG/NS 100ML***** 250 156.45
    301229 AZACTAM 500MG/NS 100ML***** 250 156.45
    302040 AZITHROMYCIN (ZITHROMAX):500MGDONOTUSE 250 211.50
    302087 AZITHROMYCIN SUSP(ZITHROMAX) 200MG/5ML 250 65.50
    302743 BACITRACIN 50000UNITS IRRIGANT SOL VIAL 250 48.50
    300122 BACITRACIN OINT  15 GM 250 22.00
    302614 BACITRACIN OPHTH OINT:3.5 GM TUBE 258 210.00
     97188 BACKNOBBER II 270 76.00
    300128 BACTRIM (COTRIM) IV   10X10ML 250 160.65
      9140 BAG A JET 270 35.70
      9012 BAG DECANTER 270 46.20
     80975 BAPTIST CHILDRENS HOME 5 PANEL NON DOT 300 33.60
      9005 BASIC PACK 270 94.50
     97195 BED WEDGE 270 105.00
    300016 BENZOIN SPRAY AEROSOL 250 87.68
    302332 BETADINE (POVIDINE)  5% O.S. 30ML 250 38.00
     85430 BIER BLOCK 370 158.55
       412 BILEBAGS 270 84.00
      5519 BIOFREEZE SPRAY 4OZ 270 25.20
     97016 BIOFREEZE/ILEX CRYOTHERAPY 270 42.00
      9382 BIOPSY NEEDLE (BAX) 270 144.90
      9385 BIOPSY NEEDLE SYSTEM MC1820 270 273.00
       903 BITE STICK EPISTIK 270 30.45
     91691 BLADE BEAVER 4MM MINI BANANA 6980 270 94.50
     91690 BLADE BEAVER 4MM MINI MONI 9081 270 94.50
      8012 BLANKET BAIR 315 FULL 270 163.80
      8013 BLANKET BAIR 622 UPPER 270 163.80
      8011 BLANKET BAIR LITHOTOMY UNDERBODY 270 55.65
      8009 BLANKET BAIR UNDERBODY 63500 270 100.04
     91675 BOLTS MCATEE 270 648.90
      3427 BONE CEMENT 1400-0001 274 686.70
      9097 BOUGIE TUBE 270 516.60
      5400 BRA MASECOTOMY COMPRESSION 270 180.60
     97094 BRACE WITH STAYS      BRACE W/ STAYS 274 152.00
     97096 BRACE XX-LARGE 274 152.00
     80532 BREATH ALCOHOL CONFIRMATION 300 27.30
     94480 BREATHING RETRAINING 410 23.00
     97170 BREGG ANKLE KIT 270 155.00
     97169 BREGG SHOULDER KIT 270 155.00
    302355 BRIMONIDINE (ALPHAGAN P)  0.15% O.S. 250 212.50
    302111 BRIMONIDINE (ALPHAGAN)  0.2% O.S. 250 32.00
    301790 BROMOCRIPTINE (PARLODEL): 2.5MG 258 33.00
      8020 BRONCHOSCOPE 270 202.65
     80974 BROWNS FEED STORE 5 PANEL NON DOT 300 31.50
    302409 BSS OPHTH SOL  15ML VIALS 250 22.00
    302321 BSS STERILE OPHTH IRRIGATING SOL 500 ML 250 32.50
      5081 BUBBLE TUBING 5MM CS 270 50.40
       863 BUCKS TRACTION LARGE 270 256.20
       862 BUCKS TRACTION MEDIUM 270 256.20
       861 BUCKS TRACTION SMALL 270 256.20
       864 BUCKS TRACTION X-LARGE 270 256.20
       817 BUCKS TRACTION X-SMALL 270 256.20
    302325 BUDESONIDE(PULMICORT)  0.5MG/2ML INH SOL 250 24.00
    300154 BUMETANIDE (BUMEX)  0.25MG/ML 4ML VL 250 35.50
      8030 BUMPER PADS-DAILY CHARGE 270 31.50
   1400150 BUNDLE – ABDOM PARACENTESIS 270 574.68
   1400400 BUNDLE – BILATERAL LAP UMBIL HERNIA 270 1192.98
   1400250 BUNDLE – CPT BREAST BIOPSY 270 377.96
   1400200 BUNDLE – CPT LAP CHOL W/CHOLA, COMMON DU 270 1311.78
   1400300 BUNDLE – ENDOSCOPY 270 306.84
   1400125 BUNDLE – EXCISIONAL DEBRIDMENT ABDOM 270 392.20
   1400440 BUNDLE – FOREIGN BODY 270 585.92
   1400350 BUNDLE – HEMORRHOIDECTOMY-INTERNAL 270 247.20
   1400360 BUNDLE – HEMORRHOIDECTOMY-THD 270 577.32
   1400450 BUNDLE – MASS/SOFT TISSUE 270 721.44
   1400100 BUNDLE – MINOR SURG LEVEL 1 270 315.60
   1400410 BUNDLE – OPEN INGUINAL HERNIA 270 567.68
   1400420 BUNDLE – VASECTOMY 270 238.00
      1551 BUNDLE YAG LASER 270 700.00
      1556 BUNDLE-OPTHMAL LESION EXCISION 270 220.24
    303593 BUPIVACAINE HCL W/EPI 0.5-1:200000 250 61.50
    302403 BUPRENORPHINE (BUTRANS)  5MCG/HR PATCH 250 437.00
      8040 BURN CART 270 337.05
      9002 BURR SHANNON #44 270 65.10
    300401 BUTALBITAL/APAP/CA (FIORICET) TAB 250 29.00
    303519 CAFFEINE CITRATE 20MG/ML 3MLVIAL 250 69.00
    300166 CALADRYL LOTION 250 51.00
    301235 CALCIUM CHLORIDE 10% PF SYRINGE 250 75.00
      3442 CAN REUSE # 270 781.20
     97044 CANE OFFSET 270 74.00
       185 CAPSURE FASTERNER 0113230 270 1620.00
    302535 carBAMazepine XR(TEGretol XR) 400MG TAB 250 38.50
      8051 CARDIAC MONITOR 270 168.00
      8050 CARDIAC MONITOR 270 177.45
    301173 CARISOPRODOL (SOMA PLAIN) 350MG TAB 250 28.00
     97252 CASH ORTHOSIS BRACE 420 746.55
       825 CAST ARM LG/SHT 270 171.15
       827 CAST ARM LG/SHT FIB 270 256.20
       829 CAST BODY 270 1230.60
       826 CAST LEG LG/SHT 270 240.45
       828 CAST LEG LG/SHT 270 347.55
       830 CAST REMOVAL 270 46.20
       802 CAST SHOE FEMALE 2-4 XS 270 71.40
       892 CAST SHOE FEMALE 4-6 S 270 71.40
       893 CAST SHOE MALE 5-7 XS 270 71.40
       894 CAST SHOE MALE 7-9 S 270 158.55
       897 CAST SHOE MALE 9-11 M 270 71.40
      1158 CASTING TAPE FIBERGLASS 2 270 79.80
      1159 CASTING TAPE FIBERGLASS 3 270 90.30
      1160 CASTING TAPE FIBERGLASS 4 270 101.85
      1185 CASTING TAPE FIBERGLASS 5 270 101.85
       364 CATH 6FR PEDI ULTRAMER SILICONE 270 61.95
       305 CATH FOLEY 30CC 16FR SILICONE 270 61.95
       323 CATH FOLEY 30CC 18FR 3WAY SILICONE 270 115.50
       307 CATH FOLEY 30CC 20FR SILICONE 270 115.50
       387 CATH FOLEY 30CC 22FR 3WAY SILICONE 270 37.80
       358 CATH FOLEY 30CC 24FR 3WAY SILICONE 270 71.40
       359 CATH FOLEY 30CC 26FR 3WAY 270 71.40
       345 CATH FOLEY 3CC 10FR SILICONE 270 61.95
       304 CATH FOLEY 3CC 8FR SILICONE 270 61.95
       346 CATH FOLEY 5CC 12FR SILICONE 270 61.95
       347 CATH FOLEY 5CC 14FR SILICONE 270 61.95
       348 CATH FOLEY 5CC 16FR SILICONE 270 61.95
       349 CATH FOLEY 5CC 18FR SILICONE 270 61.95
       350 CATH FOLEY 5CC 20FR SILICONE 270 61.95
       352 CATH FOLEY 5CC 24FR SILICONE 270 61.95
       340 CATH FOLEY COUDE 12FR 5CC 270 115.50
       341 CATH FOLEY COUDE 14FR 5CC 270 115.50
       342 CATH FOLEY COUDE 16FR 5CC 270 115.50
       343 CATH FOLEY COUDE 18FR 5CC 270 115.50
       344 CATH FOLEY COUDE 22FR 5CC LATEX 270 61.95
      9094 CATH PERITONEAL CURL LAVAGE 57CM 270 192.15
       328 CATH STRAIGHT 10FR PLASTIC 270 61.95
       329 CATH STRAIGHT 12FR PLASTIC 270 61.95
       330 CATH STRAIGHT 14FR PLASTIC 270 61.95
       331 CATH STRAIGHT 16FR PLASTIC 270 61.95
       332 CATH STRAIGHT 18FR PLASTIC 270 61.95
       333 CATH STRAIGHT 20FR PLASTIC 270 61.95
       303 CATH STRAIGHT 8FR PLASTIC 270 61.95
       388 CATH TRAY 14 LATEX FREE 270 55.65
       389 CATH TRAY 16 LATEX FREE 270 55.65
       390 CATH TRAY 18 LATEX FREE 270 55.65
      9121 CATH TUR IRR KIT 6536 270 28.35
       357 CATHETER FOLEY 30CC 22FR 3WAY 270 115.50
       355 CATHETER FOLEY 30CC 24FR 270 61.95
       326 CATHETER LAPAROSCOPIC CHOLANGIOGRAM 9100 270 864.15
      9154 CATHETER SUPARPUBIC BONANNO 270 362.25
    302542 CATHFLO ACTIVASE(ALTEPLASE) 2MG/2ML VIAL 250 1157.00
      1070 CAUTERY DISPOSABLE ADJ TEMP AA01 270 78.75
      1072 CAUTERY DISPOSABLE CONCEPT 270 82.95
      9273 CAUTERY ELECTRO PENCIL TEFLON 270 58.80
      9269 CAUTERY ROLLER BALL ELECTRODE 270 28.35
      9270 CAUTERY USE 270 362.25
      9155 CEEA #28 111927 270 2527.35
      9160 CEEA #31 111929 270 2527.35
    302587 ceFAZolin 1 GM ADVANTAGE 258 31.00
    302931 ceFAZolin 1GM/NS 50ML PREMIX**** 258 49.35
    302468 CEFEPIME 1 GM/NS 100 ML**** 250 22.05
    302870 CEFEPIME PREMIX 1GM/50ML****** 250 43.58
    302860 CEFEPIME PREMIX 2GM/50ML****** 250 69.30
    301549 CEFPROZIL (CEFZIL) 250MG/5ML 50ML SUSP 250 90.30
    303608 CEFTAROLINE (TEFLARO) 600MG INJ 250 1164.00
    303609 CEFTAROLINE 600MG/NS 50ML***** 258 1239.00
    300789 cefTAZidime (TAZICEF/FORTAZ) INJ:1GM 250 153.00
    302884 cefTRIAXone PREMIX  1GM/50ML****** 250 49.88
    301232 CEFUROXIME (ZINACEF) INJ:1.5GM 250 125.50
    301241 CELESTONE SOLUSPAN   6MG/ML 5ML 250 294.00
      3428 CEMENT BOWL & SPATULA 1400-0010 270 256.20
    300577 CEPHALEXIN(KEFLEX) 250MG/5ML 100ML SUSP 250 73.00
       875 CERVICAL COLLAR FOAM LG 272 217.35
       874 CERVICAL COLLAR FOAM MED 270 137.55
       804 CERVICAL COLLAR FOAM SM 270 137.55
       993 CERVICAL COLLAR FOAM X-LG 272 217.35
      5606 CERVICAL COLLAR MIAMI W/EXTRA PAD SMALL 272 780.15
       789 CERVICAL COLLAR PHILLY INFANT PINK 270 137.55
       783 CERVICAL COLLAR PHILLY LOW PURPLE 270 137.55
       787 CERVICAL COLLAR PHILLY PEDI TEAL 270 137.55
       785 CERVICAL COLLAR PHILLY REGULAR ORANGE 270 137.55
       784 CERVICAL COLLAR PHILLY SHORT BLUE 270 137.55
       786 CERVICAL COLLAR PHILLY TALL GREEN 270 137.55
     97049 CERVICAL PILLOW 420 100.00
    300190 CETACAINE SPRAY  (56GM) 250 277.20
      9074 CHLORAPREP 10.5 ML CLEAR 270 46.20
      9078 CHLORAPREP 26 ML ORANGE 270 22.05
      9073 CHLORAPREP SWABSTICK SINGLE 270 46.20
    301512 CHLORASEPTIC SPRAY 6 OZ 250 40.95
    300607 chlordiazePOXIDE (LIBRIUM)  25MG CAP 250 28.00
    304164 chlordiazePOXIDE (LIBRIUM) 10MG CAP 250 28.00
    300605 chlordiazePOXIDE (LIBRIUM) 5MG CAP 250 28.00
    303214 CHLORDIAZEPOXIDE/CLIDINIUM 5MG/2.5MG 250 22.50
    302405 CIPRO/DEX (CIPRODEX)  0.3/0.1% OTIC SUSP 250 449.00
    302215 CIPROFLOX/HYDROCORT(CIPRO HC) OTIC SUSP 250 596.50
    302903 CLINDAMYCIN (CLEOCIN) 300MG/50ML PREMIX 250 38.00
    302022 CLINDAMYCIN (CLEOCIN) 600 MG VL 250 81.38
    300439 CLINDAMYCIN (CLEOCIN) 600MG/50ML PREMIX 250 91.50
    302818 CLINDAMYCIN (CLEOCIN): 600 MG ADV 250 77.50
    302686 CLINDAMYCIN 300MG/NS 100ML***** 250 156.45
    302746 CLINDAMYCIN 600MG/NS 100ML***** 250 156.45
    302786 CLINDAMYCIN 900MG/NS 100ML***** 250 156.45
      5078 CLINIC BASELINE MONOFILAMENT5.07 12-1670 270 35.70
    302000 CLINIMIX 4.25% /10% DEXTROSE 250 872.03
    302529 CLINIMIX 4.25%/D25 1000 ML 250 186.50
    303437 CLINIMIX E 5-15% 2000ML 250 334.50
    303550 CLINIMIX E 5-20% 1000ML 250 320.00
    303559 CLINIMIX E 5-20% 2000ML 250 320.00
    300790 CLINIMIX E 5-25% 2000ML 250 347.00
      9071 CLIPPER BLADE ASSEMBLY 270 29.40
    302330 CLOBETASOL (TEMOVATE) 0.05% 45 GM CR 250 163.28
    302852 clonazePAM (KlonoPIN)  0.5MG TAB 250 28.00
    303345 clonazePAM (KlonoPIN)  1MG TAB 250 28.00
    300393 cloNIDine (CATAPRES)  TTS-1 PATCH 250 28.00
    300394 cloNIDine (CATAPRES)  TTS-2 PATCH 250 119.18
    300395 cloNIDine (CATAPRES)  TTS-3 PATCH 250 179.55
      9236 CLOTEST 270 82.95
    300650 CLOTRI/BETAMETH (LOTRISONE) CR  15GM 250 43.50
    301466 CLOTRI/BETAMETH (LOTRISONE) CR 45 GM 250 71.00
    300447 CLOTRIMAZOLE (GYNE-LOTRIMIN)  1% VAG CR 250 135.98
    300634 CLOTRIMAZOLE (LOTRIMIN) 1%  30GM 250 26.00
       682 CO2 DETECTOR EASY CAP II 270 44.10
     80281 COAL MINE HAIR DRUG TESTING 300 115.00
       781 COCKUP SPLINT LFT LG 79-87437 270 115.50
       780 COCKUP SPLINT LFT MED 79-87435 270 115.50
       776 COCKUP SPLINT LFT SM 79-87433 270 115.50
       782 COCKUP SPLINT LFT X-LG 79-87438 270 115.50
       778 COCKUP SPLINT RT LG 79-87427 270 115.50
       777 COCKUP SPLINT RT MED 79-87425 270 115.50
       775 COCKUP SPLINT RT SM 79-87423 270 115.50
       779 COCKUP SPLINT RT X-LG 79-87428 270 115.50
     97066 COCOA BUTTER (PALMERS)L 270 98.00
      8060 CODE BLUE CART 270 979.65
      1138 CODE BLUE ESI-LAV 270 366.45
    300213 COLCHICINE  0.6MG TAB 250 21.50
      9381 COLOSTOMY RODS 270 28.35
      9241 COLSCPY W/REMOVAL OF FOREIGN BODY 360 2420.25
      9226 COLSCPY-FLEXBL,W OR W/O COLLECTION 360 1479.45
      9227 COLSCPY-RIGID OR FLEX, TRANSABDOMINAL 360 1479.45
    301897 COMBIVENT (IPRA/ALBU) INHALER 250 148.05
      9318 COMPRESSION PLATE NARROW 103MM 6HOLE 274 1021.65
      9317 COMPRESSION PLATE NARROW 118MM 7HOLE 274 1021.65
      9316 COMPRESSION PLATE NARROW 134MM 8HOLE 274 1021.65
      9321 COMPRESSION PLATE NARROW 72MM 4HOLE 274 1021.65
      9319 COMPRESSION PLATE NARROW 87MM 5HOLE 274 1021.65
    301029 CONJUGATED ESTROGEN(PREMARIN)TAB 0.625MG 250 30.00
      9092 CONSTAVAC BLOOD CONS.SYSTEM 270 1021.65
      9093 CONSTAVAC DRAIN ONLY 1/4 – 1/8 270 158.55
    300356 CORTISPORIN (CORTATRIGEN) OTIC SOL. 250 210.00
      3137 COUNTERSINK INSTRUMENT 310.89 270 455.70
      1103 COVER FOR EGG CRATE PAD 270 78.75
     97104 CPM PAD & SET UP 270 111.00
      9053 CRICOTHYROTOMY 3.5 MM 270 492.45
      9052 CRICOTHYROTOMY 4MM 270 492.45
      9051 CRICOTHYROTOMY 6MM 270 492.45
     94053 CROUPETTE (GREATER THN 2 DAYUS) 410 40.00
       918 CROUPETTE OXYGEN TENT 270 168.00
      1112 CRUTCHES MEDIUM ADULT 270 128.10
      1113 CRUTCHES TALL ADULT 270 128.10
      1012 CRUTCHES YOUTH 270 128.10
      5253 CRYO-CUFF W/COOLER MED KNEE 270 362.25
      9320 CYSTO APRON 270 35.70
      9212 CYSTO EQUIP USEAGE 270 217.35
      9252 CYSTOTOME IRRIGATING 25X5/8 270 26.25
      9085 D & C TRAY 270 168.00
       704 D5 LR 500ML  7929-03 258 123.90
       716 D5 NACL 0.3% 1000ML   7925-09 258 97.65
       797 D5 NACL 0.3% KCL 10MEQ 500ML : 7998-03 258 86.10
       720 D5 NACL 0.45% 1000ML   7926-09 258 101.85
       794 D5 NACL 0.45% KCL 20MEQ 1000ML 258 55.50
       793 D5 NACL 0.45% KCL 40MEQ 1000ML 258 32.50
       722 D5 NS 0.9% 1000ML   7941.09 258 101.85
       796 D5/LR + 20MEQKCL 1000ML 258 86.10
       715 D5/LR 1000ML   7929.09 258 100.00
       799 D5/NS 0.9% + 20MEQ KCL 1000ML 258 86.10
       725 D5/NS 0.9% + 40MEQ KCL1000ML 258 101.85
       702 D5W 1000ML   7922-09 258 45.00
    300256 D5W 100ML ADVANTAGE 250 75.00
       701 D5W 500ML   7922-03 258 45.00
    302824 DABIGATRAN (PRADAXA) 75MG CAP 250 46.50
    301807 DACRIOSE  O.S. 4 OZ BTL 250 22.00
    301611 DANTRIUM INJECTION 20MG VIAL 250 340.20
    302430 DARIFENACIN (ENABLEX)  7.5MG CAP 250 53.50
      1500 DEBRIDEMENT TRAY 270 46.20
    300232 DEBROX OTIC SOL 15ML (CARBAMIDE H2O2) 250 53.55
      5071 DEFIBULATOR PADS – FAST PATCH 270 160.65
    301875 DEPO-MEDROL (METHYLPREDNISOLONE)80MG/ML 250 32.50
    301922 DEPO-MEDROL IM (methylPRED)  80MG/ML VL 250 73.00
      9210 DERMATONE BLADES 270 130.20
    300257 DESITIN OINT. 4 OZ. 250 47.25
    300235 DEXAMETHASONE (DECADRON)  0.1% O.S. 250 183.23
    300899 DEXAMETHASONE (DECADRON) INJ  10MG/ML VL 250 24.15
    300260 DEXTROSE SYRINGE 50% 50 ML ANSYR II 250 72.50
    141021 DIAGNOSTIC COLONOSCOPY-LOW RISK 361 1856.40
    302668 DIASTAT (DIAZEPAM RECTAL GEL) 2.5MG 250 599.03
    303249 DIAZEPAM (VAILUM) INJ 50MG/10ML 250 251.50
    301092 DIAZEPAM (VALIUM) 2MG TAB 250 28.00
    301093 DIAZEPAM (VALIUM) 5MG TAB 250 28.00
    301091 DIAZEPAM (VALIUM) INJ 10MG/2ML 250 153.50
    302143 DICYCLOMINE (BENTYL)  10MG/ML 2ML AMP 250 262.00
    300271 DIGOXIN (LANOXIN) INJ. 0.5MG/2ML AMP 250 50.50
    300272 DIGOXIN (LANOXIN): 0.05MG/ML ELIX PEDI 250 169.00
    301249 DILTIAZEM (CARDIZEM) 5MG/ML  5ML VL 250 36.00
    302425 diphenhydrAMINE  25 MG OTC BOTTLE 250 1713.08
      3439 DISTAL CENTRALIZER 16MM 6259-8-160 274 372.75
    300286 DOBUTamine (DOBUTREX)  250MG VL 250 56.00
    301812 DOLUTEGRAVIR (TIVICAY) 50MG TABLETS 250 325.50
    300294 DONNATAL ELIXIR 250 129.50
    302875 DOPamine DRIP  400MG/250ML 258 42.00
       736 DOPamine DRIP  400MG/500ML 258 285.60
    302871 DOPamine DRIP  800MG/500ML 258 70.35
    302454 DORZOL/TIMOLOL (COSOPT) OS  10 ML 250 79.50
    302761 DORZOLAMIDE (TRUSOPT) 2% O.S. 250 80.00
      9188 DOUBLE LUMEN TUBE 270 130.20
    300297 DOXAPRAM (DOPRAM)  20MG/ML 20ML VL 250 462.53
    301183 DOXYCYCLINE (VIBRAMYCIN) INJ 100MG VL 250 165.50
       187 DRAIN 10FR 7MM W/TROCAR 0070310 270 27.08
       186 DRAIN 19FR W/TROCAR ROUND 0072191 270 56.60
       189 DRAIN RESERVOIR 00709000 270 35.20
      9014 DRAPE ABDONIMAL WITH POUCH 270 46.20
      9399 DRAPE ENDOCAM STERILE CAMERA 270 23.10
      9008 DRAPE ENDODRAPE 68659 270 65.10
      9023 DRAPE HAND 8005 270 27.30
      9024 DRAPE ISOLATION INTENSIFIER 89003 270 52.50
      9028 DRAPE LITHOTOMY WITH POUCH 270 46.20
      9020 DRAPE SHEET MEDIUM UTILITY 270 35.70
      1511 DRESSING CHANGE TRAY 270 46.20
      1512 DRESSING/SILICONE GEL SHEETS 272 138.00
      3380 DRILL BIT 270 710.85
      3383 DRILL PIN 18@ W/EYELET 2972-62-018 270 639.45
      3492 DRILL SET (310.143/310.113/304.577) 270 2551.50
    301236 DRONABINOL (MARINOL)  5MG CAP 250 56.50
     80202 DRUG PRE EMPLOY DOT POWELL CONSTRUCTION 300 105.00
     80232 DRUG PRE EMPLOY NON DOT POWELL CONSTRUCT 300 68.25
     84601 DRUG PROFILE II 300 545.00
     80233 DRUG RANDOM DOT POWELL CONTRUCTION 300 89.25
     80234 DRUG RANDOM NON DOT POWELL CONTRUCTION 300 52.50
     82132 DRUG SCREEN SPLIT SPECIMEN REPORT 300 121.80
      4523 DUODERM 4X4 270 30.45
      4513 DUODERM 4X6 OVAL 270 37.80
     70795 DUPLICATE FILM 320 33.60
      9067 DURAFLOW 2 24CM 270 1560.30
      9068 DURAFLOW 2 28CM 274 1560.30
      9229 EAR DRAPE SHEET 270 227.85
      1501 EAR TRAY 270 75.60
     21160 ED PAP & PELVIC 450 184.80
       106 ELAST BANDAGE 6 270 28.35
     80921 ELASTEC 5 PANEL NON DOT 300 31.50
     80977 ELASTEC URINE DRUG SCREEN 10 PANEL 300 39.90
      5931 ELECTRODE COAGULATING BALL END 27050N/6 270 469.35
      5932 ELECTRODE COAGULATING POINTED 27050L/6 270 469.35
      5933 ELECTRODE CUTTING LOOP 270 469.35
      5077 ELECTRODE QUICK PACE 270 268.80
      5083 ELECTRODE RED-DOT 270 29.40
      5960 ELECTRODE VAPR SURGERY 225312 270 805.35
      5079 ELECTRODES FAST-PATCH 270 38.00
      9263 ELEVATOR SOFIELD 2910-002 270 210.00
     90000 EMERGENCE PAR CHARGE RECOVERY 710 264.60
     85460 EMERGENCY ANESTHESIA 370 418.00
      8080 EMERSON CHEST PUMP-DAILY CHARGE 270 75.60
      1502 EMERSON PUMP SET UP 270 271.95
    302410 EMLA(LIDOCAINE2.5%/PRILOCAINE2.5%)CREAM 250 32.00
    301592 ENALAPRIL (VASOTEC) 1.25MG/ML  VL 250 42.00
      3378 END CAP 458.120 274 443.10
      9217 ENDO BIOPSY FORCEPS HOT 1503-20 270 376.95
      9181 ENDO CATCH GOLD 10MM 173050G 270 896.70
      9182 ENDO CAUTERY L-TIP 45CM  250070453 270 1127.70
      1358 ENDO CUTTER ATB45 270 6099.45
      1357 ENDO CUTTER ATW45 270 6573.00
      1360 ENDO CUTTER RELOADS TR45B 270 2276.40
      1368 ENDO CUTTER RELOADS TR45G 270 2276.40
      1359 ENDO CUTTER RELOADS TR45W 270 71.40
      9213 ENDO FORCEPS POSITRAP NR 240CM 270 940.80
      9447 ENDO GIA STRAIGHT 45 030426 270 2195.55
      9446 ENDO GIA UNIVERSAL 030449 270 2409.75
      9219 ENDO INTERJECT NDL CLEAR 25G 1831 270 353.85
      1366 ENDO LINER CUTTER 6TB45 ATS45 270 1927.80
      9440 ENDO MULTIFINE 030331 270 4330.20
      9208 ENDO OUTER SHEATH 250070460 270 163.80
      9209 ENDO PROBE 7FR 6015 STANDARD 270 940.80
      9043 ENDO PROBE MONOPOLAR ELECTRO 250040117 270 509.25
      9207 ENDO PROBE SPATULA TIP 250070441 270 580.65
      1361 ENDO TROCAR 12MM D12LT 270 1296.75
      1364 ENDO TROCAR 150MM D12XT 270 1505.70
      9436 ENDO TROCAR BLUNT 5 35NLT 270 71.40
      9433 ENDOCAP MULTISEAL 5MM MS512 270 71.40
      9426 ENDOCLIP 176625 270 1332.45
      9437 ENDOCLIP MULTI 10MM ER320 270 71.40
      9429 ENDOLOOP EL10G 270 171.15
      9428 ENDOLOOP SHEATH 600-475 270 1017.45
      9431 ENDOPATH SEAL REDUCER CAP 270 71.40
      9430 ENDOPATH TRISTAR 512 B 270 898.80
      1362 ENDOSCISSORS 31CM 176643 270 71.40
      1434 ENDOSCISSORS TIPS METZ 5MM SD396988 270 148.05
      9407 ENDOSCOPY STRYKER SET 250070500 270 541.80
       608 ENDOTRACHEAL TUBE 2.5 270 71.40
       651 ENDOTRACHEAL TUBE 3.0 CF 270 71.40
       652 ENDOTRACHEAL TUBE 3.5 CF 270 71.40
       653 ENDOTRACHEAL TUBE 4.0 CF 270 71.40
       654 ENDOTRACHEAL TUBE 4.5 CF 270 71.40
       655 ENDOTRACHEAL TUBE 5.0 HVT 270 71.40
       662 ENDOTRACHEAL TUBE 5.5 HVT 270 71.40
       656 ENDOTRACHEAL TUBE 6.0 HVT 270 71.40
       657 ENDOTRACHEAL TUBE 6.5 HVT 270 71.40
       658 ENDOTRACHEAL TUBE 7.0 HVT 270 71.40
       659 ENDOTRACHEAL TUBE 7.5 HVT 270 71.40
       660 ENDOTRACHEAL TUBE 8.0 HVT 270 71.40
       668 ENDOTRACHEAL TUBE 9.0 HVT 270 74.55
    302876 ENLON PLUS 10MG/ML AMP 250 42.00
    302046 ENOXAPARIN (LOVENOX)  100MG/ML PFS 250 79.00
    301709 ENOXAPARIN (LOVENOX)  30MG/0.3ML PFS 250 33.50
    301925 ENOXAPARIN (LOVENOX)  40MG/0.4ML PFS 250 40.00
    302002 ENOXAPARIN (LOVENOX)  60MG/0.6ML PFS 250 50.50
    303386 ENTACAPONE TABLETS 200MG 250 33.50
    302411 ENTRESTO  24MG/26MG TAB 250 41.50
    300343 ePHEDrine SO4  50MG AMP 250 118.50
    301302 ePHEDrine SO4  5MG/ML IN 10ML NS SYRINGE 250 420.00
     85425 EPIDURAL TRAY – CONTINUOUS 270 197.40
     85435 EPIDURAL TRAY – SINGLE SHOT 270 197.40
    300345 EPINEPHrine 0.1MG/ML 10ML SYRINGE 250 58.50
    301369 ERYTHROMYCIN (EES)  3.5GM O.O. 250 51.50
    300351 ERYTHROMYCIN INJ.:500MG VIAL 250 58.00
      9100 ESMARK 4 270 74.55
      9101 ESMARK 6 270 94.50
    302382 ESMOLOL (BREVIBLOC)  100MG/10ML VL 250 34.50
     97086 E-STIM FOR WOUND CARE 270 54.00
       707 EVAC EMPTY CONTAINER 1000ML 258 101.85
       311 EXTERNAL CATH WITH TUBING 270 61.95
      9004 EXTREMITY PACK II 8010S 270 44.10
      9479 EYE 15 DEGREE OASIS 272 25.20
      9470 EYE ACRYLIC LENS IMPLANT ZCB00 272 304.50
      9477 EYE AHMED SILICONE PLATE SHUNT 272 1520.40
      9463 EYE AMO ALL 272 48.30
      9461 EYE AMO STABILEYES TENSION RING 272 931.35
      9453 EYE ANIKA VISC VISCOELASTIC 272 185.85
      9480 EYE ANTERIOR CHAMBER 272 304.50
      9454 EYE CELLUGEL VISCOELASTIC 272 155.40
      9450 EYE CROUCH CORNEAL PROTECTOR E5699P 272 26.25
      9457 EYE CUSTOM EYE TRAY 272 155.40
      9458 EYE DISPOSABLE VITRECTOR 272 35.70
      9451 EYE DISPOSABLE VITRECTOR 272 541.80
      9472 EYE DOO VISC 272 243.60
      9449 EYE DRAPE 272 23.10
      9452 EYE DUOVISC VISCOELASTIC 272 296.10
      9475 EYE ENDOCOAT 272 153.30
      9473 EYE FORCEP PINNACLE 25 GA 272 383.25
      9344 EYE IMPLANT HYDROXYAPATITE SHERE 18MM 274 2222.85
      9460 EYE MALUYGIN RING 272 491.40
      9466 EYE MICRO FEATHER SCALPEL 0.30MM 7330G 272 68.25
      9478 EYE MICROSCOPE 272 256.20
      9464 EYE OVD 1% VISCOLASTIC 272 177.45
      9456 EYE PHACO TIP 272 155.40
      9455 EYE PHACO TUBING 272 123.90
      9467 EYE SIDEPORT KNIFE 272 44.10
      9459 EYE SLIT KNIFE 2.85 272 48.30
      9481 EYE STRYKER MEDPOR SPHERE IMPLANT 272 1239.00
      9474 EYE SUTURE PROLENE 10-0 788 CIF-1 272 101.85
      9468 EYE TENSION RING 272 845.25
      9469 EYE TISSEEL 2 ML FIBRIN SEALANT 272 433.65
      1503 EYE TRAY 270 75.60
      1301 EYE TUTOPLAST SCLERA 0.5X0.8 270 702.45
      9462 EYE VISCOAT SMALL 272 300.00
      9465 EYE VISION BLUE 0.06% TRYPAN SOLUTION 272 177.45
      4995 EZ CONNECT FLUID TRANSFER FEMALE LL 270 25.20
      5244 FACE SHIELD ENDOSCOPIC 270 94.50
   2885240 FACTOR VIII ASSAY – NON RELEX 370 33.00
      9003 FALLOPE RING KIT 005280-901 274 643.65
       391 FECAL MANAGEMENT SYSTEM 418000 270 245.00
       935 FEED SET RESPIRATORY 270 28.35
      8144 FEEDING PUMP DAILY CHRG 270 51.45
       605 FEEDING PUMP SET 270 71.40
       606 FEEDING TUBE WEIGHTED 8FR 270 197.40
    302719 FENOFIBRATE (TRICOR) 160MG TAB 250 21.50
    301306 fentaNYL (ANES ONLY)  100MCG/2ML AMP 250 32.50
    302826 fentaNYL (ANESTH ONLY) 0.05MG/ML 5ML AMP 250 24.15
    301305 fentaNYL (ANESTH ONLY) 25MCG/ML SYR 250 66.50
    302634 fentaNYL (DURAGESIC)  12MCG/HR PATCH 250 83.00
    302116 fentaNYL (DURAGESIC)  25 MCG/HR PATCH 250 41.00
    301310 fentaNYL (DURAGESIC)  50MCG/HR PATCH 250 49.00
    302029 fentaNYL (DURAGESIC)  75MCG/HR PATCH 250 69.50
     85150 FIBEROPTIC LARYNGOSCOPE 270 704.55
    303101 FIDAXOMICIN (DIFICID) 200MG TABLET 250 325.50
     85095 FILTER HME HEAT MOISTURE EXCHANGER 270 42.00
      7943 FILTERHEPA0-007-2-19-06-SU-52-00-Z07159A 270 1172.00
     97087 FINGER GUTTER SPLINT SET 270 55.65
      1094 FINGER SPLT ABDUCTION LG 0814-6304 270 42.00
      1093 FINGER SPLT ABDUCTION MED 0814-6303 270 42.00
      1095 FINGER SPLT ABDUCTION SM 0814-6302 270 42.00
      1096 FINGER SPLT ABDUCTION X-LG 9125-04 270 42.00
     90010 FIRST HOUR RECOVERY LESS (MIN CHG) 710 639.45
      9225 FLEX ENDOSCOPE 360 411.60
      1110 FLOWTRON BOOT LARGE 270 153.30
      1109 FLOWTRON BOOT REGULAR 270 353.85
      1108 FLOWTRON DAILY CHRG 270 35.70
      1097 FLOWTRON THIGH MEDIUM 270 112.35
    300984 FLUMAZENIL (ROMAZICON) 0.5MG/5ML 250 36.00
    302322 FLURBIPROFEN (OCUFEN) 0.03% OPHTH.SOL 250 107.10
    301562 FLUTICASONE (FLONASE) NASAL SPRAY 0.5% 250 23.50
    302051 FLUTICASONE (FLOVENT HFA)  110MCG INH 250 454.00
    302047 FLUTICASONE (FLOVENT HFA)  220MCG INH 250 699.50
    302015 FLUTICASONE (FLOVENT HFA)  44MCG INHALER 250 342.00
    300414 FOLIC ACID (FOLVITE)  5MG/ML 10ML MDV 250 32.50
      9277 FORCEP BIPOLAR CORD E0509 270 28.35
      9267 FORCEP BIPOLAR E4052CT 270 28.35
       857 FOREARM SPLINT LG LEFT 270 115.50
       860 FOREARM SPLINT LG RIGHT 270 115.50
       856 FOREARM SPLINT MED LEFT 270 115.50
       859 FOREARM SPLINT MED RIGHT 270 115.50
       816 FOREARM SPLINT SM LEFT 270 115.50
       858 FOREARM SPLINT SM RIGHT 270 115.50
     82570 FORENSIC DRUG SCREEN AND ANALYZER 300 677.25
    304032 FOSPHENYTOIN (CEREBYX) 50MG(PE)/ML 10ML 250 128.00
    301847 FOSPHENYTOIN (CEREBYX) 50MG(PE)/ML 2ML 250 36.50
      9275 FRAZIER SUCTION 270 35.70
      5958 FREEZE CRYOCONES 6MM-38MM 6/PK VERUCCA 270 46.20
    302585 FUROSEMIDE (LASIX) INJ  10MG/ML 4ML VL 258 24.00
      9370 G.B.TRAY 270 130.20
      9360 G.I.INSTRUMENTS 270 130.20
     21140 GASTRIC LAVAGE TRAY 270 117.60
       677 GASTRIC LAVAGE TUBE 40FR 48 270 159.60
     70550 GASTROGRAFIN (BOTTLE) 270 66.15
     91738 GASTROSTOMY TUBE 16FR 270 115.50
     91739 GASTROSTOMY TUBE 20FR 270 115.50
     91746 GASTROSTOMY TUBE 22FR 270 115.50
     91743 GASTROSTOMY TUBE 24FR 270 264.60
     91740 GASTROSTOMY TUBE 26FR 270 264.60
     91741 GASTROSTOMY TUBE 28FR 270 301.35
     91742 GASTROSTOMY TUBE 30FR 0100-30 270 362.25
    302776 GATIFLOXACIN (ZYMAXID) 0.5% OS 2.5ML 250 142.28
    302921 GELFOAM SPONGE 12 X 7MM 250 44.10
    301348 GELFOAM SPONGE SIZE 50 250 73.50
     81475 GENETIC (PATERNITY) DRAW 300 71.40
    300432 GENTAMICIN (GARAMYCIN)  0.1% CREAM 15GM 250 35.70
    300431 GENTAMICIN (GARAMYCIN)  0.1% OINT 15GM 250 138.00
    300434 GENTAMICIN (GARAMYCIN) O.S. 5ML 250 33.00
    300563 GENTAMICIN 100MG/NS 100ML***** 250 156.45
    300663 GENTAMICIN 80MG/D5W 100ML***** 250 156.45
    302708 GENTAMICIN 80MG/NS 100ML***** 250 156.45
    301255 GENTAMYCIN (GENTOPIC) O.O. 3.5GM TUBE 250 43.00
      9105 GIGLI SAW BLADE 270 94.50
      2569 GLIDESCOPE BFLEX 5.0 0570-0375 270 1110.00
      9404 GLIDEWIRES 109 270 301.35
      9405 GLIDEWIRES 630-111 270 301.35
     97191 GLOVE COMPRESSION (JOBST) 270 84.00
     97163 GLOVE ISOTONER 270 114.00
      1342 GLOVE NITRILE SMALL 270 75.60
      1555 GLOVE STERILE SURGICAL 6.0 LF PF 270 21.00
      1346 GLOVE STERILE SURGICAL 6.5 LF PF 270 21.00
      1557 GLOVE STERILE SURGICAL 7.0 LF PF 270 21.00
      1559 GLOVE STERILE SURGICAL 8.0 LF PF 270 21.00
      1049 GLOVE VINYL LARGE 270 75.60
      1025 GLOVE VINYL MEDIUM 270 75.60
      5082 GLOVE VINYL SMALL 270 75.60
       740 GLYCINE IRR SOL 3000 7974.08 258 140.70
    302664 GLYCOLAX GI Prep(MIRALAX) PWD  255GM 250 34.00
    301364 GLYCOPYRROLATE (ROBINUL) 0.2MG/ML VL 250 35.00
     80976 GMS 11 PANEL AND MDMA 300 52.50
     80979 GMS URINE DRUG 11 PANEL 300 57.75
    301250 GOLYTELY ORAL SOLUTION (PEG)  1 GAL 250 163.28
      8145 GOMCO SUCTIONING DAILY CHRG 270 51.45
      9015 GOWNS SURGEON DISPOSABLE LG 270 46.20
      9016 GOWNS SURGEON DISPOSABLE X-LG 270 46.20
    301087 guaiFENesin/CODEINE SF(ROBATUSSIN AC)5ML 250 28.00
      3379 GUIDE PIN THREADED 338.00 274 158.55
     20026 GUIDE WIRE 47-2237-38 270 469.35
    300318 HALOPERIDOL (HALDOL)  5MG/ML AMP 250 23.00
     80934 HAM CO COAL IN HOUSE DOA 300 36.75
      9130 HANKS DILATORS 270 28.35
     90200 HEATER (PER USE) 710 33.60
      9176 HEMOCLIPS 523170 270 121.80
      9179 HEMOCLIPS 523600 270 121.80
      9178 HEMOCLIPS 523660 270 121.80
      9177 HEMOCLIPS 523670 270 121.80
      9175 HEMOCLIPS 527100 270 121.80
      9090 HEMORRHOID TRAY 270 168.00
      1328 HEMORROID BANDS SKL80-1912 270 28.35
      9185 HEMOVAC FLT 256700010 270 227.85
    302008 HEPARIN DRIP 50 UNITS/ML  500 ML 250 64.50
    300321 HEPARIN INJ  5000UNIT VIAL 250 26.50
    300322 HEPARIN INJ 10,000 UNIT VIAL 250 28.50
    302739 HEP-LOCK FLUSH PREFILLED SYG 100UNITS/ML 250 23.00
    302740 HEP-LOCK FLUSH PREFILLED SYG 10UNITS/ML 250 23.00
       167 HERNIA KUMAR T-ANCHOR SET TA-008 270 138.60
       176 HERNIA VENTRALEX 4.5 CIRCLE 5955450 270 1227.45
       177 HERNIA VENTRALEX 4X6 W/ECHO 5955460 270 1896.20
       179 HERNIA VENTRALEX 6 CIRCLE 5955600 270 1794.45
       178 HERNIA VENTRALEX 6X8 W/ECHO 5955680 270 3423.60
       180 HERNIA VENTRALEX 8X10 5955810 270 3421.95
       175 HERNIA VENTRALEX MESH ST LARGE CIRCLE 270 1273.65
       174 HERNIA VENTRALEX MESH ST MEDIUM CIRCLE 270 995.40
       173 HERNIA VENTRALEX MESH ST SMALL 270 822.15
    301450 HESPAN 500ML 250 264.08
      9392 HEWSON SUTURE RETRIEVAL DEVICE 270 158.55
      3454 HEX HANDLE 3818-0002 274 556.50
     94034 HHN 1 unit dose Rac Epi (11.25mg) 250 25.20
     94014 HHN 1.25mg ALB/0.5mg ATRO 250 37.80
     94028 HHN 1.25mg ALB/NS 250 24.15
     94029 HHN 1/2 Unit Dose RAC EPI (5.625mg) 250 24.15
     94027 HHN 2.5mg ALB/NS 250 25.20
     94025 HHN 3 ml NS 410 24.15
     94026 HHN 5mg ALB/NS 250 26.25
     94019 HHN DUONEB 250 39.90
      9174 HICKMAN 9.0FR DOUBLE LUMEN CV CATHETER 270 842.10
      9199 HICKMAN 9.6FR SINGLE LUMEN CV CATHETER 270 907.20
     93105 HIP TRAY 270 217.35
     83363 HMNRC POST ACCIDENT DRUG SCREEN 300 30.45
     83364 HMNRC REASONABLE SUSPICION DRUG SCREEN 300 65.10
    300522 HOMATROPINE (ISOPTO) O.S. 5%  5ML 250 100.50
     97187 HOT PACK THERMOPHORE 14X27 270 183.00
      9102 HPONE – PYLORI TEST 270 74.55
       902 HUMIDIFIERS COOL AIR 270 227.85
    301949 HUMULIN N INSULIN : 3ML VL 250 173.74
    302118 HUMULIN N KWIKPEN SYG  3ML 250 60.00
    300071 hydrALAZINE (APRESOLINE)  20MG/ML VL 250 40.50
    302723 HYDROcod/APAP10 (NORCO) 10/325MG 250 28.00
    302764 HYDROcod/APAP5 (NORCO) 5/325MG 250 28.00
    302763 HYDROcod/APAP7.5 (NORCO) 7.5/325MG 250 28.00
    300067 HYDROCORTISONE (ANUSOL HC) CR 2.5% 30GM 250 71.50
    301769 HYDROCORTISONE CR 2.5%  30GM 250 22.50
    303513 HYDROmorphone (DILAUDID)  1MG/ML SDV 250 43.50
    302844 HYDROmorphone (DILAUDID)  1MG/ML TUBEX 250 40.50
    302783 HYDROmorphone (DILAUDID)  2MG TAB 250 28.00
    302874 hydrOXYzine (VISTARIL) INJ 25MG/1ML 250 24.15
    301188 hydrOXYzine (VISTARIL) INJ 50MG 250 24.15
    301771 HYPERALIMENTATION ADMIXTURE FEE 250 30.00
    301252 HYPERTONIC 3%(SODIUM CHLORIDE 3%) 500 ML 250 100.00
      1099 HYPOTHERMIA COOLING PADS 24X60 270 268.80
      1100 HYPOTHERMIA TEMP PROBE 270 148.05
    302388 HYPROMELLOSE (GONAK)  2.5% O.S. 250 72.45
    300780 HYSEPT SOL 0.5% 16OZ 250 56.00
      8100 I.V. CONTROLLER-DAILY CHARGE 270 86.10
      8110 I.V. PUMP-DAILY CHARGE 270 115.50
      3512 IMPLANT CABLE SET 2.0 6704-0-210 274 5283.60
      9347 IMPLANT DRILL KIT FOR CONT COMP DK-200 274 961.80
      9348 IMPLANT SPEED 13X10X10 SE-1310 274 2662.80
      9349 IMPLANT SPEED 15X12X12 274 3635.10
    301811 INDINAVIR (CRIXIVAN)  400MG CAP 250 24.50
    301366 INSTA-GLUCOSE  31 GM TUBE 250 34.13
    302504 INSULIN DRIP 1 UNIT/1 ML**** 250 24.15
     81565 INSURANCE COMPANY PHYSICAL DRAW 300 55.65
      3453 INTERSEAL LINER 274 3321.15
    302070 INTRALIPID 20%  250 ML 250 75.00
      1552 INTRAOCULAR LENS-ACRYLIC 276 1750.35
      1553 INTRAOCULAR LENS-SILICON 276 584.85
       906 IPPB CIRCUITS 270 33.60
    300591 IRON SUCROSE (VENOFER) 100MG/5ML 250 253.50
       313 IRRIGATION KIT 270 28.35
      1089 ISOLATION DAILY CHARGE 270 185.85
      5157 ISOLATION KIT MRSA PROT CHILD 270 79.80
      5163 ISOLATION KIT MRSA PROT LARGE ADULT 270 83.80
      5145 ISOLATION KIT MRSA PROT REGULAR 270 76.48
      5162 ISOLATION KIT MRSA PROT SM ADULT 270 79.80
     85260 IV (1000 ML) 258 31.50
     85270 IV (500 ML) 258 30.45
     85360 IV (BLOOD TUBING) 370 28.00
     85350 IV (HEMOCOIL) 370 28.00
       232 IV PORT HUBER 19 X 3/4 270 35.70
       241 IV PORT HUBER 20 X 1 1/2 270 35.70
     97099 JEWETTE BACK BRACE 270 444.00
     97106 JOINT JACK FINGER SPLINT 270 66.00
    300573 KAYEXELATE W/SORB (SPS) 15GM/60ML 250 51.50
    302584 KCL 20mEq/100ML PREMIX******** 258 37.00
    300579 KENALOG IN ORABASE 250 152.50
       108 KERLIX 270 28.35
      5487 KERLIX 2.25X3 270 28.35
    301361 KETALAR (KETAMINE)  50MG/ML  10ML VL 250 36.50
    301294 KETALAR (KETAMINE)  50MG/ML  1ML SYRINGE 250 57.50
    301383 KETOCONAZOLE (NIZORAL) 2% CREAM  15GM 250 253.58
    302024 KETOROLAC (ACULAR)  0.5% O.S. 250 130.20
     91735 KIRSCHNER WIRE SYN 274 74.55
     91734 KIRSCHNER WIRE ZIM 274 74.55
       112 KLING 6 270 28.35
       838 KNEE IMMOBILIZER LG 270 289.80
       837 KNEE IMMOBILIZER MED 270 289.80
       807 KNEE IMMOBILIZER SM 270 289.80
       839 KNEE IMMOBILIZER XLG 270 289.80
       887 KNEE IMMOBILIZER XXLG 270 289.80
     97095 KNEE ORTHOSIS W/ STAYS/IMMOBILIZER 270 186.00
     97077 KNEE SLEEVE OPEN PATELLA XXL 270 75.00
     97160 KNEE SUPPORT 270 95.00
     97161 KNEE SUPPORT UNIVERSAL HINGED 270 116.00
      3382 KNIFE GRAFT 5952-09 270 326.55
      3370 KNIFE INDIANA TOME SINGLE 270 591.15
      3176 KNOWLES PINS 274 326.55
     85230 K-PAD 370 35.00
      1034 K-PAD DISP 18 X 24 270 128.10
      1146 K-THERMIA ESOPH PROBE 270 148.05
      8141 K-THERMIA UNIT (DAILY CHRG) 270 148.05
      8120 K-UNIT-DAILY CHARGE 270 48.30
    300755 LABETALOL (TRANDATE) 5MG/ML 20ML VL 250 23.00
    302930 LABETALOL (TRANDATE) 5MG/ML 4ML CJ 250 63.50
    300647 LACRI-LUBE OPHTH OINT 3.5GM 250 37.50
    301809 LAMIVUDINE (EPIVIR)  150MG TAB 250 37.80
      9000 LAP PACK III 270 227.85
      9001 LAP PELVIC PACK 270 396.90
      9031 LAP SPONGES 18 X 18 270 35.70
      9397 LAPAROSCOPIC SMOKE EVAC SYSTEM SEL7000A 270 70.00
      8130 LAPIDUS FLOATATION MACH-DAILY 270 48.30
      1504 LAPIDUS SET-UP 270 61.95
      9418 LAPRASCOPIC TRAY 270 326.55
      2509 LARYNGOSCOPE HANDLE ADULT B154300 270 27.60
      2510 LARYNGOSCOPE HANDLE PEDI B154301 270 27.60
      9350 LARYNGOSCOPE TRAY 270 168.00
    301975 LATANOPROST (XALATAN) 0.005% OS 250 35.00
     21150 LAVACUATOR II TUBE 270 78.75
       320 LEG BAG 270 42.00
       896 LEG BRACE LG  FIXED WALKER 270 436.80
       866 LEG BRACE MED FIXED WALKER 270 436.80
       814 LEG BRACE SM  FIXED WALKER 270 436.80
     97149 LEG LIFTER STRAP 270 35.00
       870 LEG POSTERIOR SPLINT LARGE 270 332.85
       822 LEG POSTERIOR SPLINT MEDIUM 270 332.85
       821 LEG POSTERIOR SPLINT SMALL 270 332.85
      9047 LEGHOLDER DISPOSABLE PAD ARTHROSCOPIC 270 55.65
     85525 LEVEL 1 TUBING EXTENSION 270 30.00
    302857 LEVEMIR FLEXPEN SYG 3ML 250 116.00
    304087 LEVETIRACETAM (KEPPRA) 1000MG/NS 100ML 250 23.00
    303012 LEVETIRACETAM (KEPPRA) 500MG/ 5ML 250 28.00
    304086 LEVETIRACETAM (KEPPRA) 500MG/NS 100ML 250 23.00
    302856 LEVOFLOXACIN (LEVAQUIN)  750MG VIAL 250 198.45
    302848 LEVOFLOXACIN (LEVAQUIN): 250MG VIAL 250 304.00
    302855 LEVOFLOXACIN (LEVAQUIN): 500MG VIAL 250 140.50
    302924 LEVONORGESTREL 1.5MG (ONE DOSE) 250 80.50
    302916 LIDOCAINE (XYLOCAINE) 1% 2ML MDV 250 23.00
    300610 LIDOCAINE (XYLOCAINE) 2% 100 MG SYG 250 51.00
    301861 LIDOCAINE (XYLOCAINE) 2% 50ML VL 250 24.15
    300619 LIDOCAINE (XYLOCAINE) 2% JELLY 30ML 250 42.50
    301400 LIDOCAINE (XYLOCAINE) 4% TOP 50ML 250 133.00
    300609 LIDOCAINE (XYLOCAINE): 1% 50MG SYG 250 42.00
    300612 LIDOCAINE + EPINEPHRINE 1%  20ML INJ 250 28.50
    300613 LIDOCAINE + EPINEPHRINE MPF 2% 10ML 250 24.15
       735 LIDOCAINE 2GM IN 500ML D5W(0.4%)DRIP 258 285.60
    300159 LIDOCAINE 5% PATCH 250 23.50
    302127 LIDOCAINE MPF (XYLOCAINE) 2% 10ML PLYMP 250 55.13
    301935 LIDOCAINE OINT 5% 250 50.00
    301793 LIDOCAINE-MPF (XYLOCAINE) 0.5% 50ML VL 250 43.50
   1400500 LIGASURE EXACT 270 1549.18
      9215 LIGHT SOURCE 360 240.45
      1026 LIMB SHEET (EXTREMITY) 270 42.00
    303529 LINACLOTIDE CAPSULE  290MCG 250 310.00
    302675 LINEZOLID (ZYVOX) IV 600MG/300ML PM***** 250 143.50
      9010 LITHOTOMY DRAPE W/FLUID POUCH 270 94.50
     84158 LIVER FIBROSIS 300 128.00
     94335 LMA FASTTRACH 370 137.55
      3377 LOCKING BOLT 44MM 4.9MM 459.44 274 663.60
      3376 LOCKING BOLT 46MM 4.9MM 459.46 274 663.60
    300626 LOMOTIL (DIPHENOX/ATROPINE) TAB 250 28.00
      9432 LOOPS VESSEL RED MINI 01-1-001 270 171.15
    301698 LORazepam (ATIVAN)  0.5 MG TAB 250 28.00
    301565 LORazepam (ATIVAN)  1 MG TAB 250 28.00
    300103 LORazepam (ATIVAN) INJ  2MG/ML 250 28.00
    302495 LORazepam (ATIVAN) MDV INJ  2MG/ML 10ML 250 30.00
       723 LR 1000 ML  7953.09 258 101.85
    301932 LTA II KIT (LIDOCAINE) 4% SOL. 4ML SDV 250 86.10
      1123 LUMBAR PUNCTURE TRAY ADULT NEW 270 107.10
      1124 LUMBAR PUNCTURE TRAY CHILD/INFANT NEW 270 107.10
     97062 LUMBAR ROLL W/OUT STRAP 270 36.00
     97045 LUMBO-SACRAL SADDLE 270 70.00
       841 LUMBOSACREAL BELT LG 270 289.80
       840 LUMBOSACREAL BELT MED 270 289.80
       808 LUMBOSACREAL BELT SM 270 289.80
       842 LUMBOSACREAL BELT XLG 270 289.80
       884 LUMBOSACREAL BELT XXGL 270 289.80
    300985 MAALOX PLUS/ MYLANTA 30 ML UNIT DOSE 250 26.00
    300904 MAGNESIUM SO4 50% INJ. VIAL 250 24.00
      9075 MAJOR TRAY 270 240.45
    300988 MANNITOL 25% 50 ML VIAL 250 37.80
     94334 MASK DISP SIZE 2 INFANT 270 30.45
     94331 MASK DISP SIZE 4 ADULT SMALL 270 30.45
     94332 MASK DISP SIZE 5 ADULT MEDIUM 270 30.45
     94333 MASK DISP SIZE 6 270 30.45
      5137 MASK HEPA 1860 N95 MEDIUM 270 130.20
      5225 MASK HEPA 1860S SMALL 270 130.20
      1039 MASK OVER EAR LOOPS 270 28.35
      5515 MASK OVER THE EAR PEDIATRIC 270 28.35
     97198 MASSAGE CREAM 270 116.00
    971900 MASSAGER 8-WAY (WAHL) 270 111.00
     91600 MASSE NAIL 270 289.80
    302840 MAXIPIME 2GM/NS 100 ML**** 250 22.05
      9285 MAYO COVER 270 35.70
    303499 MEDIHONEY GEL 15ML 250 34.00
    300915 MEDROL DOSEPAK (methylPREDNISolone):4MG 250 42.00
    302244 MEGESTROL LIQUID (MEGACE) 40MG/ML 250 26.50
    300245 MEPERIDINE (DEMEROL)  25MG/ML TUBEX 250 57.50
    300247 MEPERIDINE (DEMEROL)  50MG/ML TUBEX 250 65.00
    300248 MEPERIDINE (DEMEROL)  75MG/ML TUBEX 250 60.00
    303562 MEROPENEM (MERREM) 1GM INJ 250 62.00
    302914 MESALAMINE (DELZICOL)  400 MG CAP 250 22.00
    300692 MESALAMINE (ROWASA) ENEMA 4GM/60ML 250 92.93
       169 MESH 30 MAX LEFT LARGE 0117311 270 863.10
       168 MESH 30 MAX LEFT MEDIUM 0117310 270 814.80
       172 MESH 30 MAX RIGHT LARGE 0117321 270 439.95
       171 MESH 30 MAX RIGHT MEDIUM 0117320 270 827.40
       183 MESH BARD 3 D MAX  RIGHT LARGE 270 750.00
       184 MESH BARD 3 D MAX  RIGHT MEDIUM 270 705.00
       181 MESH BARD 3 D MAX LEFT LARGE 270 750.00
       182 MESH BARD 3 D MAX LEFT MEDIUM 270 705.00
      5629 MESH EASY PLUG AND MATCH 270 894.60
       191 MESH MIRO BIOLOGIC MATRIX 6X8 270 2768.64
       192 MESH MIRO BIOLOGIC MATRIX 8X8 270 3691.52
      1401 MESH PROCEED 12×12 30.5CMX30.5CM PCDL1 270 8954.40
    302257 METHOTREXATE (RHEUMATREX) 2.5MG TAB 250 22.00
    300029 METHYLDOPATE INJ 250MG/5 ML VIAL 250 150.68
    303702 METHYLENE BLUE 0.5% 5MG/1ML  10MLAMP 250 2515.00
    300935 METHYLENE BLUE 1% 10MG/1ML AMP 250 140.50
    300934 METHYLERGONOVINE (METHERGINE) 0.2MG AMP 250 26.25
    300669 METOCLOPRAMIDE (REGLAN) INJ 10MG/2ML 250 23.00
    300631 METOPROLOL (LOPRESSOR) INJ 5MG/5ML AMP 250 23.00
    300406 metroNIDAZOLE (FLAGYL) 500MG/100ML RTU 250 26.00
    300947 MICONAZOLE VAG CR(MONISTAT) 2% 45GM 250 50.50
    300946 MICONAZOLE-7 (MONISTAT) 100MG VAG SUPP 250 139.13
      9245 MICROSCOPE DRAPE 270 74.55
    301289 MIDAZOLAM (VERSED) 1MG/ML 2ML SYRINGE 250 44.00
    301553 MIDAZOLAM (VERSED) 1MG/ML 2ML VL 250 28.00
    301960 MIDAZOLAM (VERSED) 2MG/ML ORAL(ANES 250 28.00
      9080 MINOR TRAY 270 180.60
    302335 MIOSTAT(CARBACHOL) 0.01% OPHTH SOL.1.5ML 250 60.00
    302043 MOMETASONE FUROATE (NASONEX): 50MCG 17GM 250 293.50
     90150 MONITORS (02 SATURATED) RECOVERY 270 144.90
    302846 MONSEL FERRIC SULFATE SOLUTION 1 PINT 258 107.10
    300858 MONSEL’S FERRIC SUBSULFATE SOLUTION 250 74.00
    302419 MONTELUKAST CHEW (SINGULAIR) 5MGTAB 250 21.00
    303754 MONTELUKAST CHEW(SINGULAIR)5MGTAB(EMP) 250 21.00
     91599 MOORE HIP PROSTHESIS 38MM 120938 274 2683.80
     91604 MOORE HIP PROSTHESIS 40MM 40050040 274 1290.45
     91601 MOORE HIP PROSTHESIS 41MM 120941 274 2573.55
     91605 MOORE HIP PROSTHESIS 41MM 40050041 274 2109.45
     91606 MOORE HIP PROSTHESIS 42MM 40050042 274 2109.45
     91607 MOORE HIP PROSTHESIS 43MM 40050043 274 2109.45
     91608 MOORE HIP PROSTHESIS 44MM 40050044 274 2767.80
     91609 MOORE HIP PROSTHESIS 45MM 40050045 274 3069.15
     91630 MOORE HIP PROSTHESIS 46MM 40050046 274 3069.15
     91631 MOORE HIP PROSTHESIS 47MM 40050047 274 2706.90
     91602 MOORE HIP PROSTHESIS 48MM 120948 274 2573.55
     91632 MOORE HIP PROSTHESIS 48MM 40050048 274 2706.90
     91633 MOORE HIP PROSTHESIS 49MM 40050049 274 2706.90
     91603 MOORE HIP PROSTHESIS 50MM 120950 274 2573.55
     91634 MOORE HIP PROSTHESIS 51MM 40050051 274 2285.85
     91635 MOORE HIP PROSTHESIS 52MM 40050052 274 3623.55
     91636 MOORE HIP PROSTHESIS 53MM 50050053 274 3069.15
     91637 MOORE HIP PROSTHESIS 54MM 40050054 274 3069.15
     91638 MOORE HIP PROSTHESIS 55MM 40050055 274 3069.15
     91639 MOORE HIP PROSTHESIS 57MM 40050057 274 3478.65
      5072 MORGAN MEDIFLOW LENS 270 53.55
    302862 morphine INJ (ANES ONLY): 5MG/ML VIAL 250 33.60
    303030 morphine INJ 4MG/ML SYRINGE 250 34.00
    302616 morphine INJ 4MG/ML TUBEX 250 33.00
    303029 morphine INJ 4MG/ML VIAL 250 33.50
    300951 morphine INJ. :10MG TUBEX 250 32.50
    304019 morphine ORAL SOL 2MG/1ML UD 250 28.00
    302594 morphine ORAL SOL IR 20MG/1ML 258 28.00
    301918 morphine PCA VL 1MG/ML 30ML 250 160.65
    302266 MOXIFLOXACIN IV (AVELOX):400MG/250ML 250 128.50
    302304 MS CONTIN(morphine SULFATE ER) 15MG TAB 250 28.00
    302125 MSIR (morphine IR) 30MG TAB 250 28.00
      1365 MULTI-SEAL MS512 270 71.40
    300160 MUPIROCIN CREAM (BACTROBAN) 2% 250 297.00
    302595 MUPIROCIN OINT (BACTROBAN)  2% 258 110.25
    302012 MURO-128 5% O.O. 250 58.28
    300959 MVI-12 INJ.  10 ML VIAL 250 71.00
    303713 MYRBETRIQ ER TABLET 25MG 250 82.00
      9230 MYRINGOTOMY KIT 270 227.85
      9231 MYRINGOTOMY KNIFE 270 84.00
       732 NACL 0.45% 1000ML 7985-09 258 101.85
    302774 NACL 0.45% KCL 20MEQ 1000ML 258 61.50
       731 NACL 0.9% 100ML 258 79.80
       745 NACL 0.9% 100ML ADD-VANTAGE BAG 258 79.80
       724 NACL 0.9% 250ML 258 79.80
       746 NACL 0.9% 250ML ADD-VANTAGE BAG 258 79.80
       728 NACL 0.9% 500ML 7983.03 258 101.85
    302035 NACL 0.9% 50ML 20X4 250 75.00
    304197 NACL 0.9% 50ML ADD-VANTAGE BAG 258 79.80
       714 NACL IRR 1000ML 7138-09 BOTTLE 258 45.00
       742 NACL IRR 100ML BOTTLE 270 79.80
       718 NACL IRR 3000ML 7972.08 258 148.05
       713 NACL IRR 500ML 6138-03 BOTTLE 258 101.85
     20024 NAIL 2236-13-34/15-42/225-10 274 3394.65
      3450 NAIL FEMORAL 1M 2236-12-38 274 1754.55
     91674 NAIL FIBUEA INGO 499.6 120003 274 456.75
      3451 NAIL HUMERAL 1M 2247-240-08 274 3983.70
      3493 NAIL NANCY & ENDCAP 274 1021.65
    300854 NALBUPHINE (NUBAIN) 10MG/ML AMP 250 24.15
    300806 NALOXONE HCL (NARCAN) 0.4MG/ML AMP 250 49.00
     85120 NASAL AIRWAY 270 39.00
       650 NASAL AIRWAY 2.5 12FR 270 48.30
       661 NASAL AIRWAY 3.5 16FR 270 48.30
       679 NASAL AIRWAY 5.0 20FR 270 48.30
       614 NASAL AIRWAY 6 270 71.40
       647 NASAL AIRWAY 7 270 71.40
       648 NASAL AIRWAY 8 270 71.40
       649 NASAL AIRWAY 9 270 71.40
       202 NASAL RAPID RHINO RR550 270 88.20
       203 NASAL RAPID RHINO RR900 270 160.65
       211 NASAL RHINO ROCKET SLIMLINE MEDIUM 270 29.40
       809 NASAL SPLINT 270 35.70
      1505 NASAL TRAY 270 71.40
    302836 NEBIVOLOL (BYSTOLIC)  5MG TAB 250 34.50
      9050 NEEDLE COUNTER SURGERY POP N COUNT 270 28.35
      5042 NEEDLE EPIDURAL TOUHY 18X3.5 270 96.60
      5041 NEEDLE EPIDURAL TOUHY 18X6 270 96.60
      5038 NEEDLE EZ IO 15mm PINK 9018 270 501.90
      5051 NEEDLE EZ IO 25mm BLUE 9001 270 501.90
      5039 NEEDLE EZ IO 45mm YELLOW 9079 270 294.00
      5040 NEEDLE REGIONAL BLOCK 22X1.5 270 29.40
      5193 NEEDLE REGIONAL BLOCK 22X40 270 74.55
      5194 NEEDLE REGIONAL BLOCK 22X80 270 74.55
      5463 NEEDLE SPINAL 18GA X 6 270 31.50
      5191 NEEDLE SPINAL 20 X 5.5 270 51.45
      5192 NEEDLE SPINAL 22 X 5.5 270 51.45
      5028 NEEDLE SPINAL 25X3.5 270 51.45
    303581 NEO/POLYB/HC (CORTISPORIN) OTIC SUSP 250 168.00
    300911 NEOMY/POLY/DEX (MAXITROL) OO 250 43.50
    300910 NEOMY/POLY/DEX (MAXITROL) OS  5ML 250 65.50
    300820 NEOSPORIN (TRIPLE ANTIBIOTIC) O.S. 10ML 250 75.60
    300819 NEOSPORIN(BACIT.NEOMY.-POLYM.) O.O. 250 135.98
    301633 NEOSTIGMINE 1MG/ML  10ML VIAL 250 63.50
    301299 NEOSTIGMINE 1MG/ML  3ML SYRINGE 250 239.00
    300823 NEO-SYNEPHRINE 0.5% NASAL SPRAY 250 23.50
      9235 NERVE STIMULATOR 270 194.25
    302819 NEUT (SODIUM BI-CARB) 4% 5ML INJ. 250 45.00
    303401 NF-abacavir-lamiVUDine Oral Tab 600MG-30 258 170.10
    303268 NF-ABILIFY MAINTENA DUAL-CHAMBERED SYRIN 258 8690.49
    303339 NF-Abilify Oral Tablet 2MG 250 84.00
    302483 NF-ABILIFY ORAL TABLET 2MG 258 124.88
    303338 NF-ABILIFY ORAL TABLET 5MG 250 224.48
    303976 NF-Actos Oral Tablet 30MG   83.00
    304184 NF-Actos Oral Tablet 45MG   90.00
    303342 NF-Adderall Oral Tablet 258 26.25
    303641 NF-Adderall Oral Tablet 258 27.00
    303217 NF-Advair Diskus 250/50 Disk 258 26.25
    302981 NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC   132.81
    304176 NF-Advair HFA 230/21 Inh Aer 230MCG-21MC   181.00
    304065 NF-Alendronate Sodium Oral Tablet 70MG   71.00
    304047 NF-Ambien Oral Tablet 10MG   74.00
    304033 NF-Amiodarone HCl Oral Tablet 100MG   26.00
    303894 NF-Amiodarone HCl Tablet 100MG 258 26.00
    302579 NF-Amitiza Oral Liquid Filled Capsule 8M 258 25.20
    302381 NF-Anoro Ellipta Inhalation Powder 250 24.15
    303573 NF-Anoro Ellipta Inhalation Powder 250 28.00
    303655 NF-Aptiom Oral Tablet 800MG 258 128.00
    303780 NF-Aricept Tablet 10MG 258 44.00
    303570 NF-Arimidex Oral Tablet 1MG 258 174.00
    302296 NF-Asmanex Twist Inh/Neb Powder 220MCG/A 250 678.30
    303060 NF-aspirin-dipyridamole Cap ER 25MG-200M 258 25.20
    304212 NF-Atomoxetine Oral Capsule 60MG 250 54.00
    302368 NF-Atorvastatin Calcium Oral Tab 40MG 250 21.00
    302661 NF-Atorvastatin Calcium Oral Tab 40MG 258 21.00
    303036 NF-Atorvastatin Calcium Oral Tab 40MG 258 21.00
    303158 NF-Atorvastatin Calcium Oral Tab 40MG 258 21.00
    303626 NF-Atorvastatin Calcium Oral Tablet 40MG 250 21.00
    304177 NF-Atorvastatin Calcium Oral Tablet 40MG   23.00
    302999 NF-Atorvastatin Calcium Oral Tablet 40MG 258 130.20
    301614 NF-Atovaquone Oral Suspension 750MG/5ML 250 23.10
    302557 NF-Auryxia Oral Tablet 1GM 258 22.05
    302531 NF-AURYXIA ORAL TABLET 1GM 250 22.25
    303906 NF-Basaglar KwikPen SubQ Soln 100U/1ML 250 91.00
    303572 NF-BASAGLAR KWIKPEN SUBQ SOLN 100U/1ML 258 91.38
    303538 NF-Breo Ellipta Inhalation Powder 258 23.00
    302253 NF-Breo Ellipta Inhalation Powder 258 23.10
    303084 NF-Breo Ellipta Inhalation Powder 258 23.10
    303256 NF-Breo Ellipta Inhalation Powder 250 23.10
    303723 NF-Breo Ellipta Inhalation Powder 250 24.00
    303457 NF-Brilinta Oral Tablet 90MG 258 24.00
    303661 NF-Brilinta Oral Tablet 90MG 258 24.00
    303169 NF-Brilinta Oral Tablet 90MG 258 24.15
    302459 NF-BRILINTA ORAL TABLET 90MG 258 24.48
    303331 NF-Brilinta Oral Tablet 90MG 258 25.20
    303743 NF-Brilinta Oral Tablet 90MG 258 26.00
    302958 NF-Bromocriptine Mesylate Oral Capsule 5 258 33.60
    303333 NF-Budesonide Delayed Release Capsule 3M 250 68.25
    303587 NF-Budesonide Oral Capsule DR 3MG 258 72.00
    303472 NF-Buprenorphine HCl SL Tablet 8MG 258 43.00
    303473 NF-Buprenorphine HCl SL Tablet 8MG 258 43.00
    303474 NF-Buprenorphine HCl SL Tablet 8MG 258 43.00
    303475 NF-Buprenorphine HCl SL Tablet 8MG 258 43.00
    303471 NF-Buprenorphine HCl Sublingual Tablet 8 258 27.00
    302198 NF-Butrans Transdermal Patch ER 10MCG/1H 258 369.60
    303235 NF-Butrans Transdermal Patch ER 15MCG/1 258 583.80
    303299 NF-Butrans Transdermal Patch ER 15MCG/1 258 639.45
    302390 NF-Butrans Transdermal Patch ER 5MCG/1HR 250 269.85
    302359 NF-Byetta Subcutaneous Solution 250MCG/1 258 1568.70
    303240 NF-Calcitonin-Salmon Nasal Spray 200IU/1 258 117.60
    302518 NF-Calcitriol Route Not Applicable Powde 258 2786201.25
    300458 NF-CANASA RECTAL SUPP 1000MG 250 126.00
    303889 NF-Cardizem Oral Tablet 60MG   42.00
    303555 NF-Ceftin Tablet 500MG 258 103.00
    302944 NF-Chantix Oral Tablet 0.5MG 258 26.25
    303254 NF-Chantix Oral Tablet 1MG 250 28.35
    303269 NF-CHANTIX ORAL TABLET 1MG 258 28.88
    303546 NF-Cholecalciferol Crystal 258 1013.00
    303257 NF-Cholecalciferol Crystal 258 1063.65
    303334 NF-Cholecalciferol Crystal 250 1063.65
    302334 NF-Clarinex Tablet 5mg 250 21.00
    302641 NF-Colazal Capsule 750MG 258 22.05
    303530 NF-Colazal Capsule 750MG 250 23.00
    302371 NF-Collagenase Powder 258 16614.15
    302497 NF-Combigan Ophth Soln 0.2%-0.5% 258 129.15
    303108 NF-Combigan Ophth Soln 0.2%-0.5% 258 129.15
    303183 NF-Combigan Ophth Soln 0.2%-0.5% 250 129.15
    303225 NF-Combigan Ophth Soln 0.2%-0.5% 258 129.15
    303563 NF-Combigan Ophth Soln 0.2%-0.5% 258 135.00
    300372 NF-COMBIVENT 103MCG-18MCG/1 ACTUA INHALA 250 70.35
    301533 NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A 250 326.01
    303375 NF-Coreg Tablet 12.5MG 258 21.00
    303411 NF-Coreg Tablet 3.125MG 258 21.00
    302623 NF-Cosopt Ocumeter Plus Ophth Solution 258 87.15
    303895 NF-Cozaar Oral Tablet 100MG 258 21.00
    301590 NF-Creon Oral Delayed Release Capsule 258 22.05
    303607 NF-Cyanocobalamin Crystals 258 782.00
    304235 NF-Cyanocobalamin Inj Soln 1000MCG/1ML 250 29.00
    303738 NF-Cyanocobalamin Injection 1000MCG/ML 250 30.00
    303803 NF-Cyanocobalamin Injection 1000MCG/ML 250 30.00
    304182 NF-Cyanocobalamin Injection 1000MCG/ML 250 30.00
    304204 NF-Cyanocobalamin Injection 1000MCG/ML 250 30.00
    302258 NF-Cyanocobalamin Powder 250 1407.00
    301966 NF-Cymbalta Capsule, Delayed Release 20M 258 28.35
    303047 NF-Cymbalta Capsule, Delayed Release 20M 250 28.35
    302278 NF-Cymbalta Capsule, Delayed Release 30M 258 31.50
    302677 NF-Cymbalta Capsule, Delayed Release 30M 258 31.50
    302934 NF-Cymbalta Capsule, Delayed Release 30M 258 31.50
    303139 NF-Cymbalta Capsule, Delayed Release 30M 250 31.50
    303720 NF-Cymbalta Capsule, Delayed Release 30M 250 34.00
    302174 NF-Cymbalta Delayed-Release Capsule 60MG 250 32.55
    300902 NF-DALIRESP 500MCG ORAL TABLET 258 39.90
    300369 NF-DDAVP 0.2MG ORAL TABLET 250 45.68
    303955 NF-Depakote Delayed-Release Tablet 500MG   27.00
    304009 NF-DEPO-Medrol Injection 40MG/ML 250 44.00
    303711 NF-Depo-Provera Contrace Injection 150MG 250 367.00
    303688 NF-Depo-Provera IM Susp 150MG/1ML 250 355.00
    303718 NF-Depo-Provera IM Susp 150MG/1ML 250 355.00
    303734 NF-Depo-Provera IM Susp 150MG/1ML 250 355.00
    303741 NF-Depo-Provera IM Susp 150MG/1ML 250 355.00
    303935 NF-Depo-Provera IM Susp 150MG/1ML   355.00
    303936 NF-Depo-Provera IM Susp 150MG/1ML 250 355.00
    303949 NF-Depo-Provera IM Susp 150MG/1ML 250 355.00
    303957 NF-Depo-Provera IM Susp 150MG/1ML 250 355.00
    304020 NF-Depo-Provera IM Susp 150MG/1ML 250 355.00
    304253 NF-Depo-Provera IM Susp 400MG/1ML 250 905.00
    303693 NF-Depo-Provera IM Suspension 150MG/1ML 250 422.00
    303690 NF-Depo-Provera IM Suspension 150MG/1ML 250 839.00
    303685 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303686 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303700 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303703 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303719 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303727 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303728 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303729 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303739 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303751 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303996 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303997 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    304162 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    304201 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    304249 NF-Depo-Provera IM Suspension 150MG/1ML 250 876.00
    303715 NF-Depo-Provera Injection 150MG/ML 250 839.00
    304215 NF-Depo-Provera Injection 150MG/ML 250 839.00
    303691 NF-Depo-Provera Injection 150MG/ML 250 876.00
    303733 NF-Depo-Provera Injection 150MG/ML 250 876.00
    303930 NF-Depo-Provera Injection 150MG/ML 250 876.00
    300236 NF-DEXILANT CAP DR 30MG 250 32.55
    301427 NF-Diovan HCT Oral Tablet 160MG-25MG 250 37.80
    303172 NF-Diovan HCT Oral Tablet 160MG-25MG 258 40.95
    303350 NF-Diovan HCT Oral Tablet 160MG-25MG 250 45.15
    303470 NF-Diovan Tablet 160MG   33.00
    302749 NF-Diovan Tablet 320MG 250 39.90
    304175 NF-Donepezil Hydrochloride Oral Tablet 1   29.00
    303826 NF-Donepezil Hydrochloride Oral Tablet 1   30.00
    303883 NF-Donepezil Hydrochloride Oral Tablet 1   30.00
    303194 NF-Donepezil Hydrochloride Oral Tablet 1 250 31.50
    304308 NF-Donepezil Hydrochloride Oral Tablet 1   49.00
    303054 NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/ 258 44.10
    302377 NF-Dorzolamide HCl-TimololMaleate OphthS 258 44.10
    303204 NF-Dorzolamide HCl-TimololMaleate OphthS 250 44.10
    303750 NF-Dorzolamide Hydrochloride and Timolol   42.00
    300251 NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL 250 49.88
    301138 NF-Dronabinol Liquid Filled Capsule 2.5M 258 21.00
    303329 NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act 258 105.00
    302298 NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act 250 97.65
    303757 NF-DULoxetine HCl Cap DR 30MG   27.00
    302374 NF-DULoxetine HCl Cap DR 30MG 250 28.35
    302946 NF-DULoxetine HCl Cap DR 30MG 258 28.35
    302993 NF-DULoxetine HCl Cap DR 30MG 258 28.35
    303009 NF-DULoxetine HCl Cap DR 30MG 250 28.35
    304285 NF-DULoxetine HCl Cap DR 60MG   24.00
    301428 NF-DULoxetine HCl Cap DR 60MG 258 25.20
    304275 NF-DULoxetine HCl Oral Capsule DR 30MG   27.00
    304276 NF-DULoxetine HCl Oral Capsule DR 60MG   27.00
    303087 NF-DULoxetine Hydrochloride Cap DR 60MG 258 28.35
    302160 NF-Duoderm CGF 258 53.55
    303380 NF-Duoderm CGF 258 102.90
    304018 NF-Effexor-XR Capsule 75MG 258 59.00
    302045 NF-Eliquis Oral Tablet 2.5MG 258 26.25
    303410 NF-Eliquis Oral Tablet 2.5MG 258 30.45
    302062 NF-Eliquis Oral Tablet 5MG 258 26.25
    302373 NF-Eliquis Oral Tablet 5MG 250 28.35
    303011 NF-Eliquis Oral Tablet 5MG 250 28.35
    303149 NF-Eliquis Oral Tablet 5MG 258 28.35
    303628 NF-Eliquis Oral Tablet 5MG 250 29.00
    303643 NF-Eliquis Oral Tablet 5MG   29.00
     30310 NF-ENTEREG CAP 12MG   351.23
    301653 NF-Entresto Oral Tablet 24MG-26MG 250 29.40
    302391 NF-Entresto Oral Tablet 24MG-26MG 250 29.40
    303580 NF-ENTRESTO ORAL TABLET 49MG-51MG 250 32.43
    304130 NF-Entresto Oral Tablet 97MG-103MG 258 32.00
    303692 NF-Entresto Oral Tablet 97MG-103MG 250 35.00
    300998 NF-EPZICOM 600MG-300MG ORAL TABLET 258 131.48
    303316 NF-Esomeprazole Magnesium Oral Cap DR 20 250 30.45
    300597 NF-Esomeprazole Magnesium Oral Cap DR 20 250 32.03
    300456 NF-EXELON 13.3MG/24HR TRANSDERMAL PATCH, 250 69.30
    303758 NF-Exelon Capsule 1.5MG 250 24.00
    303582 NF-Exelon Capsule 3MG 250 24.00
    303616 NF-Exelon Capsule 3MG 258 24.00
    302052 NF-Exelon TD Patch ER 13.3MG/24HR 258 80.85
    303279 NF-Exelon TD Patch ER 13.3MG/24HR 250 87.15
    304335 NF-Exelon TD Patch ER 4.6MG/24HR 258 96.00
    303277 NF-Exelon TD Patch ER 9.5MG/24HR 250 87.15
    301115 NF-EXEMESTANE 25MG ORAL TABLET 258 74.35
    304210 NF-Ezetimibe Oral Tablet 10MG 258 39.00
    300304 NF-FENTANYL 25MCG/1HR TRANSDERMAL PATCH, 250 152.25
    304089 NF-Fioricet Oral Capsule 300MG-50MG-40MG 250 21.00
    302447 NF-Fluorometholone Ophth Suspension 0.1% 258 61.95
    303143 NF-FLUOXETINE HCL CAP 10MG 250 59.40
    301882 NF-Fluticasone Propionate Lotion 0.05% 258 23.10
    302343 NF-Fluticasone Propionate Lotion 0.05% 250 23.10
    303574 NF-Fluticasone Propionate Micro Pwd   12250.00
    304014 NF-fluticasone-salmeterol 232MCG-14MCG/1 250 417.00
    301588 NF-Gamunex-C Injection Solution 100MG/ML 258 45.15
    304195 NF-Geodon Capsule 60MG 258 98.00
    300901 NF-HumaLOG Injection 100U/ML 258 109.20
    302466 NF-HumaLOG Injection 100U/ML 258 112.35
    303024 NF-HumaLOG KwikPen SubQ Susp 100U/1ML 258 155.40
    303002 NF-HumaLOG Pen Injection 100U/ML 258 54.60
    303188 NF-HumaLOG Pen Injection 100U/ML 258 54.60
    304056 NF-HumaLOG SubQ Soln 100U/1ML   142.00
    303355 NF-Humira Subcutaneous Kit 250 10742.55
    302961 NF-Humira SubQ Kit 40MG/0.8ML 250 9792.30
    303459 NF-Humira SubQ Kit 40MG/0.8ML   10231.00
    303388 NF-Humira SubQ Kit 40MG/0.8ML 250 10742.55
    303394 NF-Humira SubQ Kit 40MG/0.8ML 258 10742.55
    303407 NF-Humira SubQ Kit 40MG/0.8ML 250 10742.55
    303426 NF-Humira SubQ Kit 40MG/0.8ML 250 10742.55
    301413 NF-HUMULIN N KWIKPEN SUBQ SUSP 100U/1ML 258 128.55
    303044 NF-HumuLIN R Concentrate U-500 Inj 500U/ 250 327.60
    303045 NF-HumuLIN R Concentrate U-500 Inj 500U/ 250 327.60
    303046 NF-HumuLIN R Concentrate U-500 Inj 500U/ 250 327.60
    303346 NF-Hydrocortisone/Iodoquinol Cream 1%-1% 258 21.00
    304168 NF-Imatinib Mesylate Oral Tablet 100MG 258 373.00
    303989 NF-Imitrex Tablet 100MG   60.00
    301766 NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT 258 38.85
    303463 NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT 258 41.00
    303539 NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT 258 41.00
    302670 NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT 258 43.05
    302997 NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT 258 43.05
    303085 NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT 258 43.05
    303199 NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT 250 43.05
    303237 NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT 258 43.05
    303180 NF-Invega Oral Extended Release Tablet 3 258 149.10
    301481 NF-Invokamet Oral Tablet 150MG-500MG 258 28.35
    303115 NF-Invokana Oral Tablet 300MG 258 61.95
    303295 NF-Invokana Oral Tablet 300MG 258 68.25
    300987 NF-ISENTRESS 400MG ORAL TABLET 258 94.64
    303402 NF-Isentress Oral Tablet 400MG 258 110.25
    301406 NF-JAKAFI ORAL TABLET 10MG 258 778.07
    302254 NF-Januvia Oral Tablet 100MG 258 55.65
    302436 NF-Januvia Oral Tablet 100MG 258 55.65
    300916 NF-JARDIANCE 10MG ORAL TABLET 258 56.18
    300921 NF-JARDIANCE ORAL TABLET 25MG 250 56.18
    301910 NF-Jardiance Oral Tablet 25MG 258 56.70
    303466 NF-Jardiance Oral Tablet 25MG 258 65.00
    303683 NF-Jardiance Oral Tablet 25MG 258 69.00
    303932 NF-Kenalog-40 Inj Susp 40MG/ML 250 39.00
    303958 NF-Kenalog-40 Inj Susp 40MG/ML 250 39.00
    304026 NF-Kenalog-40 Inj Susp 40MG/ML 250 39.00
    304121 NF-Kenalog-40 Inj Susp 40MG/ML   39.00
    302421 NF-Keppra Oral Tablet 1000MG 250 67.20
    303071 NF-Keppra Oral Tablet 1000MG 258 67.20
    303281 NF-Keppra Oral Tablet 1000MG 258 67.20
    300177 NF-KEPPRA XR TAB ER 750MG 250 42.00
    304211 NF-Ketorolac Tromethamine Ophth Soln 0.5 258 74.00
    304231 NF-Klor-Con Oral Powder for Solution 20M 258 23.00
    300422 NF-KOMBIGLYZE XR ORAL EXTENDED RELEASE T 250 22.58
    303467 NF-Kombiglyze XR Oral Extended Release T 258 41.00
    300427 NF-LAMOTRIGINE 150MG ORAL TABLET 250 22.05
    300675 NF-LAMOTRIGINE 200MG ORAL TABLET 258 48.83
    302282 NF-lamoTRIgine Oral Tab ER 200MG 258 54.60
    302301 NF-Lansoprazole Oral Cap DR 15MG 258 21.00
    304347 NF-Lantus SoloStar SubQ Solution 100U/1M   64.00
    303117 NF-Lantus SoloStar SubQ Solution 100U/1M 250 109.20
    303000 NF-Lantus Solution 100U/ML 258 54.60
    301490 NF-Lantus Solution 100U/ML 258 109.20
    301976 NF-Lantus Solution 100U/ML 258 109.20
    302101 NF-Lantus Solution 100U/ML 258 109.20
    303001 NF-Lantus Solution 100U/ML 258 109.20
    303120 NF-Lantus Solution 100U/ML 258 109.20
    303189 NF-Lantus Solution 100U/ML 258 109.20
    303190 NF-Lantus Solution 100U/ML 258 109.20
    303161 NF-Latanoprost Ophthalmic Solution 0.005 258 31.50
    300694 NF-Latuda Oral Tablet 120MG 258 193.20
    302204 NF-Latuda Oral Tablet 120MG 258 221.55
    303063 NF-Latuda Oral Tablet 120MG 258 243.60
    303202 NF-LATUDA ORAL TABLET 20MG 258 163.65
    301458 NF-Latuda Oral Tablet 40MG 250 135.45
    303584 NF-Latuda Oral Tablet 80MG 258 171.00
    304060 NF-Leflunomide Oral Tablet 10MG   57.00
    301347 NF-Leflunomide Oral Tablet 20MG 258 59.85
    301477 NF-Leflunomide Oral Tablet 20MG 258 59.85
    301786 NF-Leflunomide Oral Tablet 20MG 250 59.85
    302267 NF-Leflunomide Oral Tablet 20MG 258 59.85
    301034 NF-Leflunomide Oral Tablet 20MG 258 63.00
    303462 NF-Letrozole Oral Tablet 2.5MG 258 63.00
    303523 NF-Letrozole Oral Tablet 2.5MG 250 63.00
    303361 NF-Leucovorin Calcium Tablet 25MG 250 88.20
    303937 NF-Levaquin Oral Tablet 750MG   105.00
    304358 NF-Levaquin Tablet 500MG   68.00
    301581 NF-Levaquin Tablet 750MG 258 96.00
    301022 NF-LEVEMIR FLEXPEN 100U/1ML SUBCUTANEOUS 258 127.31
    301262 NF-Levemir Subcutaneous Solution 100U/1M 258 117.60
    304100 NF-levETIRAcetam Oral Tablet 1000MG 258 24.00
    303034 NF-levETIRAcetam Oral Tablet 1000MG 258 25.20
    304292 NF-levoFLOXacin Oral Tablet 500MG   70.00
    304208 NF-Lexapro Tablet 20MG   50.00
    304131 NF-Lialda Oral Delayed-Release Tablet 1. 258 39.00
    300157 NF-LIDODERM PATCH 5% 250 37.80
    301618 NF-LINEZOLID ORAL TABLET 600MG 250 217.93
    303480 NF-Linezolid Oral Tablet 600MG 250 642.00
    301073 NF-Linzess Oral Capsule 145MCG 258 44.10
    303524 NF-Linzess Oral Capsule 290MCG 258 54.00
    303393 NF-Linzess Oral Capsule 72MCG 258 56.70
    303191 NF-Lipitor Oral Tablet 40MG 258 56.70
    303212 NF-Lipitor Oral Tablet 40MG 258 56.70
    303131 NF-Lipitor Tablet 10MG 258 39.90
    304049 NF-Lipitor Tablet 80MG   62.00
    303121 NF-Lispro-PFC SQ Susp 100U/1ML 258 35.70
    303585 NF-Lotemax Ophth Suspension 0.5% 250 188.00
    303429 NF-Lotrel Oral Capsule 10MG-40MG 258 52.50
    300881 NF-LUMIGAN OPHTH SOLN 0.01% 250 277.73
      1742 NF-LUMIGAN OPHTH SOLN 0.03% 250 161.18
    301754 NF-Lumigan Ophth Solution 0.01% 258 264.60
    303106 NF-Lumigan Ophth Solution 0.01% 258 288.75
    303182 NF-Lumigan Ophth Solution 0.01% 250 288.75
    303544 NF-Lumigan Ophth Solution 0.01% 250 302.00
    302683 NF-Lumigan Solution Ophthalmic 0.03% 258 129.15
    302935 NF-Lumigan Solution Ophthalmic 0.03% 258 129.15
    304084 NF-Lyrica Oral Capsule 200MG   32.00
    300228 NF-MACRODANTIN CAPSULE 50MG 250 35.70
    303697 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303732 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303735 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303740 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303747 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303752 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303753 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303802 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303822 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303875 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303899 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303972 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    303978 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304081 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304114 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304122 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304152 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304192 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304193 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304226 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304236 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304279 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304280 NF-medroxyPROGESTERone  IM Susp 150MG/1M 250 342.00
    304355 NF-medroxyPROGESTERone  IM Susp 150MG/1M   342.00
    303950 NF-medroxyPROGESTERone Acetate 150MG/1ML 250 189.00
    304046 NF-medroxyPROGESTERone Acetate 150MG/1ML 250 189.00
    304356 NF-medroxyPROGESTERone Acetate 150MG/1ML 250 231.00
    303980 NF-medroxyPROGESTERone Acetate 150MG/1ML 250 403.00
    304289 NF-medroxyPROGESTERone Acetate 150MG/1ML 250 403.00
    303855 NF-medroxyPROGESTERone IM Susp 150MG/1ML 250 342.00
    302319 NF-Mekinist Oral Tablet 0.5MG 258 376.95
    303058 NF-Mekinist Oral Tablet 0.5MG 250 430.50
    302221 NF-MEMANTINE HCL CAP ER 14MG 258 56.98
    303349 NF-MEMANTINE HCL CAP ER 28MG 258 56.15
    304199 NF-Memantine HCl Oral Cap ER 28MG 250 53.00
    303760 NF-Memantine HCl Oral Capsule ER 28MG 250 53.00
    303819 NF-Memantine HCl Oral Tablet 5MG 258 21.00
    302498 NF-Memantine HCl Oral Tablet 5MG 258 22.05
    304116 NF-Meropenem IV Pwd for Soln 1GM   48.00
    304093 NF-metFORMIN HCl Tab ER 24HR 500MG   60.00
    304241 NF-metFORMIN HCl Tab ER, 24HR 1000MG   109.00
    303620 NF-Miconazole Nitrate Powder 250 64.00
    300186 NF-MODAFINIL 100MG ORAL TABLET 250 33.08
    303112 NF-Modafinil Oral Tablet 100MG 258 80.85
    303228 NF-Modafinil Oral Tablet 100MG 258 80.85
    301434 NF-Modafinil Oral Tablet 200MG 258 121.80
    303141 NF-Modafinil Oral Tablet 200MG 258 121.80
    303171 NF-Modafinil Oral Tablet 200MG 258 121.80
    303343 NF-Modafinil Oral Tablet 200MG 258 121.80
    301806 NF-Mometasone Furoate Nasal Spray 0.05MG 250 54.60
    301915 NF-Mometasone Furoate Nasal Spray 0.05MG 258 54.60
    303062 NF-Movantik Oral Tablet 25MG 258 45.15
    303744 NF-Movantik Oral Tablet 25MG 258 49.00
    303431 NF-Movantik Oral Tablet 25MG 258 50.40
    303794 NF-Movantik Oral Tablet 25MG 258 51.00
    303645 NF-Multaq Oral Tablet 400MG 250 44.00
    303698 NF-Multaq Oral Tablet 400MG 250 46.00
    303421 NF-Multaq Oral Tablet 400MG 258 46.20
    300020 NF-MYRBETRIQ ORAL TABLET 25MG 250 40.43
    303618 NF-Myrbetriq Oral Tablet 25MG 250 49.00
    304200 NF-Myrbetriq Oral Tablet 25MG 250 53.00
    304310 NF-Myrbetriq Oral Tablet 25MG   53.00
    301851 NF-Myrbetriq Oral Tablet 50MG 258 43.05
    301867 NF-Myrbetriq Oral Tablet 50MG 258 43.05
    303272 NF-Myrbetriq Oral Tablet 50MG 250 47.25
    303704 NF-Myrbetriq Oral Tablet 50MG 250 53.00
    303708 NF-Myrbetriq Oral Tablet 50MG 250 53.00
    303721 NF-Myrbetriq Oral Tablet 50MG 250 53.00
    303893 NF-Myrbetriq Oral Tablet 50MG 258 53.00
    301127 NF-Namenda Oral Tablet 5MG-10MG 258 27.30
    300085 NF-NAMENDA XR 28MG ORAL CAPSULE, EXTENDE 250 47.78
    300088 NF-NAMENDA XR CAP ER 14MG 250 47.78
    302593 NF-Namenda XR Oral Capsule ER 14MG 258 56.70
    302959 NF-Namenda XR Oral Capsule ER 14MG 258 56.70
    302960 NF-Namenda XR Oral Capsule ER 14MG 258 56.70
    303015 NF-Namenda XR Oral Capsule ER 14MG 258 56.70
    301854 NF-Namenda XROral Capsule ER 28MG 258 51.45
    303278 NF-Namenda XROral Capsule ER 28MG 250 56.70
    303151 NF-Narcan Nasal Spray 4MG/0.1ML 258 275.10
    300763 NF-NASACORT AQ NASAL SPRAY 55MCG/ACT 258 33.08
    300494 NF-Nasonex Spray 0.05MG/Inh 250 58.28
    301879 NF-Nasonex Spray 0.05MG/Inh 258 60.90
    302344 NF-Nasonex Spray 0.05MG/Inh 250 60.90
    303126 NF-NESINA ORAL TABLET 25MG 258 55.03
    300485 NF-Neupogen Injection Solution 480MCG/0. 250 2988.83
    300388 NF-NEUPRO TD PATCH ER 1MG/24HR 250 81.38
    302980 NF-Neupro TD Patch ER 2MG/24HR 250 91.35
    303566 NF-NexAVAR Oral Tablet 200MG 250 653.00
    300074 NF-NEXIUM CAP DR 20MG 250 62.54
    300184 NF-NEXIUM CAP DR 40MG 250 49.88
    304169 NF-NexIUM Capsule 20MG 258 35.00
    303662 NF-NexIUM Capsule 40MG   35.00
    303880 NF-Norvasc Tablet 10MG   37.00
    301468 NF-Norvir Oral Tablet 100MG 258 37.80
    300316 NF-NOVOLIN 70/30 70U-30U/1ML SUBCUTANEOU 250 29.40
    304094 NF-NovoLIN 70/30 FlexPen SubQ Susp 250 72.00
    300490 NF-NOVOLIN N INJECTION 100U/ML 250 50.93
    300489 NF-NOVOLIN R INJ SOLN 100U/1ML 250 50.93
     30313 NF-NOVOLOG 100U/ML SUBCUTANEOUS SOLUTION   79.71
    300922 NF-NovoLOG FlexPen SQ Soln 100U/ML 258 140.18
    302423 NF-NovoLOG FlexPen SQ Soln 100U/ML 250 144.90
    301492 NF-NovoLOG Injection 100U/ML 258 112.35
    301587 NF-Noxafil Tablet Delayed Release 100MG 258 265.65
    302674 NF-Nuedexta Oral Capsule 20MG-10MG 258 54.60
    302940 NF-Nuedexta Oral Capsule 20MG-10MG 258 54.60
    302691 NF-Nystatin Powder 258 5105.10
    300933 NF-NYSTATIN POWDER 250 5361.30
    302435 NF-Nystatin Powder 250 20423.55
    303615 NF-Nystatin Powder 258 97256.00
    303296 NF-OLANZapine Oral Tablet 10MG 258 72.45
    303845 NF-olmesartan medoxomil-hydroCHLOROthiaz 258 30.00
    303797 NF-Omeprazole Cap DR 40MG 258 25.00
    303791 NF-Omeprazole Capsule, Delayed Release 4   25.00
    303787 NF-Omeprazole Delayed Release Capsule 40 258 25.00
    303928 NF-Omeprazole Oral Capsule DR 40MG 250 25.00
    304071 NF-Omeprazole Oral Capsule DR 40MG   25.00
    304295 NF-Ondansetron Oral Tablet 4MG   87.00
    303244 NF-ONGLYZA ORAL TABLET 2.5MG 258 56.62
    300084 NF-ONGLYZA ORAL TABLET 5MG 250 45.15
    303397 NF-Oseni Oral Tablet 25MG-15MG 258 54.60
    301239 NF-Oxandrolone Oral Tablet 2.5MG 258 24.15
    301334 NF-Oxandrolone Oral Tablet 2.5MG 258 24.15
    304299 NF-Oxybutynin Oral Tab ER 10MG   28.00
    300481 NF-OXYCONTIN EXTENDED RELEASE TABLET 60M 250 51.98
    301599 NF-Pancreaze Oral Delayed Release Capsul 258 22.05
    300537 NF-Pantoprazole Sodium Oral Tab EC 40MG 258 37.28
    301384 NF-Pataday Ophthalmic Solution 0.2% 258 278.25
    301395 NF-Pataday Ophthalmic Solution 0.2% 258 278.25
    302722 NF-Pataday Ophthalmic Solution 0.2% 258 292.95
    302936 NF-Pataday Ophthalmic Solution 0.2% 258 292.95
    301187 NF-PAXIL CR EXTENDED-RELEASE TABLET 25MG 258 22.74
    301886 NF-Pazeo Ophthalmic Solution 0.7% 250 288.75
    301965 NF-Pazeo Ophthalmic Solution 0.7% 258 288.75
    304002 NF-Pepcid Oral Tablet 20MG   40.00
    304300 NF-Percocet Tablet 10MG-325MG 258 23.00
    300363 NF-PERFOROMIST 20MCG/2ML INHALATION SOLU 250 24.68
    303181 NF-Perforomist Inhalation Soln 20MCG/2ML 258 32.55
    303531 NF-Perforomist Inhalation Soln 20MCG/2ML 258 34.00
    303547 NF-Perforomist Inhalation Soln 20MCG/2ML 258 34.00
    303144 NF-Pioglitazone Oral Tablet 15MG 258 25.20
    304109 NF-Piperacillin/Tazobactam IV 36GM-4.5GM   721.00
    300319 NF-PLAVIX 75MG ORAL TABLET 250 29.93
    303736 NF-PPRX Testosterone Cypionate IM 200MG/ 250 77.00
    300130 NF-PRAVASTATIN SODIUM 20MG ORAL TABLET   22.87
    301661 NF-prednisoLONE Acetate Ophth Suspension 258 39.90
    304138 NF-PREGABALIN CAP 75MG 258 32.77
    304157 NF-Pregabalin Oral Cap 75MG   29.00
    304082 NF-Premarin Oral Tablet 0.3MG 258 23.00
    301716 NF-Premarin Vaginal Cream 0.625MG/1GM 258 46.20
    303305 NF-PriLOSEC Oral Packet 10MG/1Pkt 250 38.85
    302361 NF-Pristiq Extended-Release Tablet 100MG 258 46.20
    303502 NF-Proair HFA Inh Susp 0.09MG/1Act 258 21.00
    303311 NF-Proair HFA Inh Susp 0.09MG/1Act 258 30.45
    301849 NF-ProAir RespiClick Inh Powder 117MCG/1 258 220.50
    300013 NF-PROLENSA OPHTH SOLN 0.07% 250 564.90
    301756 NF-Prolia Subcutaneous Solution 60MG/1ML   4529.70
    302057 NF-Prolia Subcutaneous Solution 60MG/1ML   4529.70
    303764 NF-Prolia Subcutaneous Solution 60MG/1ML 250 5120.00
    303621 NF-Prometrium Oral Liquid Capsule 100MG 258 25.00
    303096 NF-PROPAFENONE HCL ORAL CAP ER 225MG 250 29.00
    303093 NF-Propafenone Hydrochloride Cap ER 225M 258 28.35
    301223 NF-Protonix Injection 40MG   22.05
    300282 NF-PROVIGIL 100MG ORAL TABLET 250 33.08
    304051 NF-PROzac Capsule 40MG   43.00
    300670 NF-PULMICORT FLEX 180MCG/1ACT INHALATION 258 725.03
    301445 NF-QUETIAPINE FUMARATE ORAL TABLET 200MG 250 47.54
    304015 NF-QUEtiapine Fumarate Oral Tablet 400MG   69.00
    303991 NF-QUEtiapine Fumarate Oral Tablet 50MG 250 22.00
    304288 NF-QUEtiapine Fumarate Oral Tablet 50MG 258 22.00
    303129 NF-RABEPRAZOLE SODIUM CAP DR 10MG 258 51.44
    303335 NF-RABEprazole Sodium Oral Tab EC 20MG 250 42.00
    304262 NF-Ranolazine Oral Tablet ER 1000MG 258 36.00
    304357 NF-Rebif Injection 44MCG/0.5ML 250 5580.00
    301544 NF-Renvela Oral Tablet 800MG 258 24.15
    302078 NF-Renvela Oral Tablet 800MG 258 24.15
    303436 NF-Repatha Subcutaneous Solution 140MG/1 258 2346.00
    303481 NF-Repatha Subcutaneous Solution 140MG/1   2346.00
    303482 NF-Repatha Subcutaneous Solution 140MG/1 250 2346.00
    302031 NF-RESTASIS OPHTH EMULSION 0.05% 258 31.36
    303432 NF-Restasis Ophthalmic Emulsion 0.05% 258 32.00
    303203 NF-Restasis Ophthalmic Emulsion 0.05% 250 33.60
    303314 NF-Restasis Ophthalmic Emulsion 0.05% 258 36.75
    300403 NF-REVLIMID 10MG ORAL CAPSULE 250 2238.08
    303405 NF-Rexulti Oral Tablet 1MG 250 162.75
    301465 NF-Reyataz Oral Capsule 300MG 258 200.55
    300429 NF-RISPERDAL 4MG ORAL TABLET   100.28
      1495 NF-RISPERDAL TABLET 0.25MG 250 25.73
    300589 NF-RisperDAL Tablet 0.5MG 250 35.18
    302431 NF-RisperDAL Tablet 2MG 250 72.45
    303368 NF-Robinul Tablet 1MG 258 33.60
    304242 NF-Rosuvastatin Calcium Oral Tablet 5MG   31.00
    302182 NF-Rozerem Oral Tablet 8MG 250 49.35
    302079 NF-Sensipar Oral Tablet 30MG 258 109.20
    301482 NF-SEROquel Oral Tablet 400MG 258 81.00
    302494 NF-SEROquel Oral Tablet 400MG 258 85.05
    302574 NF-SEROquel Oral Tablet 50MG 258 27.30
    303864 NF-SEROquel Tablet 200MG 258 52.00
    303575 NF-Sevelamer Carbonate Oral Tablet 800MG 250 21.00
    302303 NF-Simbrinza Ophthalmic Suspension 0.2%- 258 74.55
    303677 NF-Simbrinza Ophthalmic Suspension 0.2%- 250 79.00
    303142 NF-Simbrinza Ophthalmic Suspension 0.2%- 250 79.80
    304153 NF-Solifenacin Succinate Oral Tablet 10M   48.00
    303832 NF-SOLU-Medrol 125mg Vial Inj 62.5MG/1ML 250 40.00
    303831 NF-SOLU-Medrol 1GM Vial Inj 125MG/1ML   238.00
    303488 NF-Spiriva Inh/Neb Cap 18MCG 258 55.00
    301995 NF-Spiriva Inh/Neb Cap 18MCG 258 69.30
    303336 NF-Spiriva Respimat Inh Spray 1.25MCG/1A 250 437.85
    303848 NF-Spiriva Respimat Inh Spray 2.5MCG/1Ac   450.00
    303938 NF-STALEVO 125 ORAL TAB 31.25MG-125MG-20 258 32.12
    303865 NF-Strattera Oral Capsule 60MG 258 23.00
    303536 NF-Strattera Oral Capsule 80MG 250 64.00
    303065 NF-Strattera Oral Capsule 80MG 258 67.20
    303300 NF-Strattera Oral Capsule 80MG 250 67.20
    301967 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 258 124.95
    302030 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 250 124.95
    300861 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 258 131.25
    302243 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 250 133.35
    303010 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 250 133.35
    303262 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 258 133.35
    303443 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 258 134.00
    303517 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 258 134.00
    303543 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 258 134.00
    303583 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 258 134.00
    303301 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 258 140.70
    303442 NF-Symbicort Inh Aer Liq 160MCG-4.5MCG 258 155.00
    301997 NF-Symbicort Inh Aer Liq 80MCG-4.5MCG 258 109.20
    300224 NF-TACROLIMUS 0.03% TOPICAL APPLICATION 258 33.60
    300226 NF-TACROLIMUS 0.1% TOPICAL APPLICATION O   33.60
    303019 NF-TAFINLAR CAP 75MG 258 344.34
    302317 NF-Tafinlar Oral Capsule 50MG 258 228.90
    303059 NF-Tafinlar Oral Capsule 75MG 250 343.35
    303810 NF-Temazepam Capsule 7.5MG 250 34.00
    302122 NF-TEMODAR CAP 250MG 250 2126.18
    300344 NF-TEMOZOLOMIDE CAP 180MG 250 1512.00
    303558 NF-TEMOZOLOMIDE CAP 20MG 250 132.49
    303557 NF-Temozolomide Oral Capsule 20MG 258 176.00
    303838 NF-Testost Cypio IJ 200MG/ML 250 39.00
    303705 NF-Testosterone Cypionate IM Oil 100MG/1 250 29.00
    303886 NF-Testosterone Cypionate IM Oil 100MG/1 250 29.00
    304023 NF-Testosterone Cypionate IM Oil 100MG/1 250 29.00
    304036 NF-Testosterone Cypionate IM Oil 100MG/1 250 29.00
    304333 NF-Testosterone Cypionate IM Oil 100MG/1 250 29.00
    303699 NF-Testosterone Cypionate Intramuscular 250 29.00
    303722 NF-Testosterone Cypionate Intramuscular 250 29.00
    303963 NF-Testosterone Cypionate Intramuscular 250 29.00
    304159 NF-Tikosyn Oral Capsule 250MCG   43.00
    301286 NF-Tikosyn Oral Capsule 500MCG   34.65
    303242 NF-Timolol Maleate Ophth Gel Drop 0.5% 258 141.75
    301971 NF-Tobradex Ophth Ointment 258 246.75
    300479 NF-Tobradex Ophth Suspension 258 138.08
    303422 NF-Tofranil Tablet 50MG 250 89.25
    301021 NF-TOPAMAX 100MG ORAL TABLET 258 27.33
    301012 NF-TOPAMAX 200MG ORAL TABLET 258 31.99
    300430 NF-TOPAMAX 200MG ORAL TABLET 250 34.13
    302433 NF-Topamax Oral Tablet 200MG 250 73.50
    304099 NF-Topamax Oral Tablet 25MG   25.00
    303134 NF-Topiramate Oral Tablet 100MG 258 24.15
    302205 NF-Topiramate Oral Tablet 100MG 258 25.20
    300484 NF-TOPIRAMATE ORAL TABLET 100MG 250 28.88
    303137 NF-Toujeo Subcutaneous Solution 300U/1ML 258 328.65
    303687 NF-Toujeo Subcutaneous Solution 300U/1ML   362.00
    301075 NF-TRADJENTA 5MG ORAL TABLET 258 52.50
    301077 NF-TRADJENTA ORAL TABLET 5MG 250 52.49
    301759 NF-Tradjenta Oral Tablet 5MG 258 52.50
    303270 NF-TRADJENTA ORAL TABLET 5MG 258 56.01
    303515 NF-Tradjenta Oral Tablet 5MG 258 57.00
    303540 NF-Tradjenta Oral Tablet 5MG 250 57.00
    303315 NF-traMADol HCl Oral Cap ER 100MG 258 34.65
    303174 NF-Tresiba Subcutaneous Solution 100U/1M 258 130.20
    303351 NF-Tresiba Subcutaneous Solution 100U/1M 250 135.45
    302974 NF-Tresiba Subcutaneous Solution 200U/1M 258 260.40
    303425 NF-Trileptal Tablet 300MG 258 35.70
    303551 NF-Trintellix Oral Tablet 10MG 258 44.00
    303348 NF-Trintellix Oral Tablet 10MG 250 46.20
    303406 NF-Trintellix Oral Tablet 10MG 250 46.20
    302932 NF-Trintellix Oral Tablet 20MG 258 46.20
    304213 NF-Trulicity SubQ Soln 1.5MG/0.5ML   1594.00
    301868 NF-Trulicity SubQ Solution 0.75MG/0.5ML 258 1379.70
    303664 NF-Trulicity SubQ Solution 0.75MG/0.5ML   1533.00
    301467 NF-Truvada Oral Tablet 200MG-300MG 258 215.25
    303900 NF-Tubersol Inj Soln 5TU/0.1ML 250 325.00
    303925 NF-Tubersol Inj Soln 5TU/0.1ML 250 325.00
    301051 NF-TUDORZA PRESSAIR 400MCG/1 ACTUATION I 258 620.49
    301469 NF-Tudorza Pressair Inh Aer Pwd 400MCG/1 258 619.50
    302210 NF-Tudorza Pressair Inh Aer Pwd 400MCG/1 258 619.50
    302261 NF-Tudorza Pressair Inh Aer Pwd 400MCG/1 250 1240.05
    303130 NF-ULORIC ORAL TABLET 40MG 258 44.44
    304073 NF-Valium Tablet 10MG   34.00
    300298 NF-VALSARTAN 160MG ORAL TABLET 250 21.00
    300723 NF-VALTREX 500MG ORAL TABLET 258 46.20
    303599 NF-Valtrex Oral Tablet 1GM 258 87.00
    304113 NF-Vancomycin IV PwdforSoln 1.5GM   101.00
    304361 NF-VESIcare Oral Tablet 10MG   53.00
    304158 NF-VESICARE ORAL TABLET 10MG 250 53.97
    302019 NF-Victoza Subcutaneous Solution 6MG/1ML 250 365.40
    302037 NF-Victoza Subcutaneous Solution 6MG/1ML 258 365.40
    302458 NF-Victoza Subcutaneous Solution 6MG/1ML 258 365.40
    302512 NF-Victoza Subcutaneous Solution 6MG/1ML 258 365.40
    302990 NF-Victoza Subcutaneous Solution 6MG/1ML 258 365.40
    303452 NF-Victoza Subcutaneous Solution 6MG/1ML 258 376.00
    303453 NF-Victoza Subcutaneous Solution 6MG/1ML 258 376.00
    303113 NF-Victoza Subcutaneous Solution 6MG/1ML 258 394.80
    303220 NF-Victoza Subcutaneous Solution 6MG/1ML 258 394.80
    303294 NF-Victoza Subcutaneous Solution 6MG/1ML 258 394.80
    300368 NF-Vimpat Oral Tablet 100MG 250 53.03
    304228 NF-Vimpat Oral Tablet 100MG 258 60.00
    304227 NF-Vimpat Oral Tablet 100MG 258 66.00
    302998 NF-Vimpat Oral Tablet 150MG 258 57.75
    303282 NF-Vimpat Oral Tablet 150MG 258 64.05
    303283 NF-Vimpat Oral Tablet 200MG 258 57.75
    303271 NF-VIMPAT ORAL TABLET 200MG 258 58.78
    303882 NF-Wellbutrin SR 12 Hr Tab ER 200MG 250 57.00
    301452 NF-WELLBUTRIN XL 24 HR TAB ER 150MG 250 27.23
    303994 NF-Wellbutrin XL 24 Hr Tab ER 300MG   251.00
    302528 NF-Xarelto Oral Tablet 15MG 258 56.70
    303055 NF-Xarelto Oral Tablet 15MG 258 56.70
    303057 NF-Xarelto Oral Tablet 20MG 258 56.70
    303297 NF-Xarelto Oral Tablet 20MG 258 60.90
    303924 NF-Xarelto Oral Tablet 20MG   62.00
    301503 NF-Xifaxan Oral Tablet 550MG 258 134.40
    301526 NF-Xifaxan Oral Tablet 550MG 258 134.40
    303207 NF-Xifaxan Oral Tablet 550MG 258 147.00
    300779 NF-XIFAXAN TAB 550MG 250 129.68
    301441 NF-Xolair SubQ Pwd for Soln 150MG 250 4168.50
    303176 NF-Xolair SubQ Pwd for Soln 150MG 258 4508.70
    303354 NF-Xolair SubQ Pwd for Soln 150MG 258 4689.30
    302350 NF-Zegerid Oral Capsule 1100MG-40MG 250 23.10
    301878 NF-Zegerid Oral Capsule 40MG-1100MG 258 445.20
    303516 NF-Zestoretic Oral Tablet 20MG-25MG 258 55.00
    301937 NF-Zetia Tablet 10MG   40.95
    303078 NF-Zetia Tablet 10MG 250 45.15
    303430 NF-Zetia Tablet 10MG 258 50.40
    300263 NF-ZIRGAN 0.15% OPHTHALMIC GEL/JELLY 250 135.98
    300724 NF-ZIRGAN 0.15% OPHTHALMIC GEL/JELLY 258 260.40
    301665 NF-Zirgan Ophthalmic Gel 0.15% 258 247.80
    303849 NF-Zocor Oral Tablet 20MG 258 33.00
    303535 NF-Zocor Oral Tablet 40MG   33.00
    301992 NF-Zofran Tablet 4MG 258 101.85
    303146 NF-Zofran Tablet 4MG 258 101.85
    303325 NF-Zofran Tablet 4MG 258 101.85
    303926 NF-Zofran Tablet 8MG 258 162.00
    303995 NF-Zoloft Tablet 100MG   46.00
    304037 NF-ZyPREXA Oral Tablet 5MG 258 38.00
    304038 NF-ZyPREXA Oral Tablet 7.5MG 258 69.00
    303147 NF-ZyPREXA Tablet 5MG 258 53.55
    300715 NF-Zytiga Oral Tablet 250MG 258 307.65
    301332 NICOTINE (NICODERM) PATCH 7MG/24HR 250 34.65
    301325 NICOTINE (NICODERM) PATCH:14MG/24HR 250 36.00
    302470 NIMBEX(CISATRACURIUM) 2MG/ML 10ML VIAL 250 108.68
    302897 NITHIODOTE DS VL 250 574.35
       250 NITRO IV SETS VL SP62-1 270 96.60
    302302 NITRO-BID(NITROGLYCERIN)OINT 2% PKTS 250 23.50
    302269 NITROFURANTOIN (MACROBID) 100MG CAP 250 21.00
    302780 NITROGLYCERIN DRIP 200 MCG/ML  250 ML 250 75.00
    302887 NITROGLYCERIN DRIP 400 MCG/ML  250 ML** 250 23.63
    301362 NITROPRESS 50MG/2ML VL 250 40.95
    300836 NITROSTAT 0.4 MG- BOTTLE OF 25 TABS 250 39.38
     80036 NMR LIPO PROFILE 300 316.05
    300603 NOREPINEPHrine (LEVOPHED) 4MG/4ML INJ 250 99.50
    301996 NOVOFINE NEEDLES (USE IN NOVOPEN) 250 107.63
    303081 novoLIN N INSULIN  10ML VL 250 62.50
    301669 novoLIN R INSULIN 10ML VL 250 63.00
    302714 novoLOG 70/30 FLEXPEN SYG 3ML 250 68.50
    302412 novoLOG FLEXPEN SYG 3ML 250 68.50
    302329 novoLOG INSULIN  10ML VL 250 122.85
    302752 NOVOLOG SLIDING SCALE 250 34.13
       790 NS 0.9% + KCL 20MEQ 1000ML 270 90.30
       792 NS 0.9% + KCL 40MEQ 1000ML 258 38.00
       729 NS 0.9% 1000ML 7983-09 258 101.85
       133 NU GAUZE IDOFORM 1 270 55.65
       134 NU GAUZE IDOFORM 2 270 55.65
       132 NU GAUZE IODOFORM 1/2 270 55.65
       113 NU GAUZE IODOFORM 1/4 270 55.65
       135 NU GAUZE PLAIN 1/2 270 55.65
       114 NU GAUZE PLAIN 1/4 270 55.65
     21060 NURSE TRANSFER CHG EACH 1/4 HR 450 78.75
      9417 NUTIP CURVED SCISSORS 270 443.10
    301104 NYSTATIN 100,000 UNIT/GM OINTMENT 15 GM 250 24.15
    302883 NYSTATIN CREAM 100,000 UNITS/GM 30GM 250 36.00
    303501 NYSTATIN POWDER 100,000 UNITS/GM 15GM 250 28.00
    303696 NYSTATIN POWDER 100,000 UNITS/GM 60GM 250 74.00
     94495 O2 TRANSPORT 270 46.20
     94011 O2/ADMIN/SET-UP 270 87.15
     21070 OB DELIVERY PACK 270 305.55
     21080 OB DELIVERY TRAY 270 268.80
     99226 OBS DISCHARGE 982 126.00
    303439 OCTREOTIDE ACETATE INJ SOLN 50MCG/1ML 250 39.00
     78306 OFFSITE SVC (BONESCAN) 341 337.05
     91277 OFFSITE SVC (MRI) 610 3436.65
    302020 OFLOXACIN (OCUFLOX) 0.3% O.S. 250 109.20
    302583 OLANZapine (ZyPREXA) 2.5MG TAB 258 49.35
    302299 ONDANSETRON (ZOFRAN) 4MG/2ML VL 250 23.00
      8147 ONE TOUCH TEST 270 75.60
     21013 OP VISIT ENTRY EXIT CARDIAC REHAB 761 117.60
       170 OPTIFIX 0113126 270 2118.90
     20021 OR DRESSING CHANGE ROOM 761 84.00
     20055 OR INDIVIDUAL CALLBACK 360 273.00
     20010 OR-1/2HR OR LESS (BASE RATE) 360 506.10
     20000 OR-1/2HR OR LESS (BASE RATE) 360 1061.55
     20001 OR-EACH 1/2HR AFTER BASE 360 422.10
     20020 OR-EACH 1/4HR AFTER BASE 360 422.10
     20050 OR-EMERGENCE CHR AFTER HOURS 360 828.45
      9406 ORIGIN ENDUCTOR CHOLANGIOCATH 270 326.55
       773 ORTHO-GLASS 1 270 75.60
       890 ORTHO-GLASS 3 270 75.60
       900 ORTHO-GLASS 4 270 75.60
       891 ORTHO-GLASS 5 270 87.15
    302772 OSELTAMIVIR (TAMIFLU) 30MG CAP 250 33.50
    302773 OSELTAMIVIR (TAMIFLU) 45MG CAP 250 54.08
    302881 OSELTAMIVIR (TAMIFLU) 6MG/ML 60ML SUSP 250 293.48
    302279 OSELTAMIVIR (TAMIFLU) 75MG CAP 250 31.00
     70133 OS-NM YYOPTIRAY 320 100 ML PREFILL 320 429.00
      3445 OSTEOTOME CRVD TIPS 270 1408.05
      3443 OSTEOTOME STRT TIPS 270 1408.05
       400 OSTOMY BELT MED 7300 270 42.00
      9380 OSTOMY CONVEN.KIT 270 158.55
       413 OSTOMY DRAIN POUCH 2.25 3803/18103 270 29.40
       406 OSTOMY DRAIN POUCH 2.25 3823/18153 270 51.45
       409 OSTOMY DRAIN POUCH 2.75 3824/18154 270 51.45
       414 OSTOMY DRAINABLE POUCH 2.75 3804 270 29.40
       410 OSTOMY IRRIGATION SET 2 1/4 7721 270 137.55
       402 OSTOMY PASTE ADAPT 79301 270 51.45
       403 OSTOMY POWDER STOMA ADAPT 7906 270 26.25
       408 OSTOMY SKIN BARRIER 2.25 3703 270 29.40
       407 OSTOMY SKIN BARRIER 2.75 3704 270 33.60
       416 OSTOMY SKIN BARRIER 7700 270 28.35
       415 OSTOMY SKIN BARRIER W/FL 4  3706/14206 270 28.35
      9233 OTOLOGICAL VENT TUBE 140033 270 46.20
      8008 OXIMETER BANDAGE RECOVERY 270 35.70
      8006 OXIMETER-> 1 HR BUT < 1 DAY 270 431.55
     94610 OXIMETER-CONT->1 HOUR-PER DAY 410 724.50
     94600 OXIMETER-CONTINOUS-<1 HOUR 410 60.00
      8004 OXIMETER-SET UP < 1 HR 270 171.15
    303660 oxyCODONE IMMED REL 20MG TAB 250 28.00
    300893 oxyCODONE/APAP (PERCOCET) 5/325MG TAB 250 28.00
    302099 oxyCONTIN (oxyCODONE CR) 10MG TAB 250 45.50
     94010 OXYGEN 12 HOURS -NASAL CANNULA 270 189.00
     94038 OXYGEN 12 HOURS OF USAGE – MASK 270 189.00
     94033 OXYGEN 12 HOURS USE – NONREBREATHER MASK 270 189.00
     94037 OXYGEN 12 HOURS USE – VENTURI MASK 270 189.00
      6000 OXYGEN CONCENTRATOR 129 315.00
     97279 OXYGEN USE-ER 270 35.70
    301078 OXYTOCIN (PITOCIN) INJ: 10UNITS/ML 250 24.15
     22050 PACING ELECTRODES 270 383.25
      1036 PAD EGG CRATE BED PAD 270 122.85
    303639 PAIN EASE SPRAY (116ML) 250 31.50
     97069 PALM PROTECTOR LEFT 270 105.00
     97070 PALM PROTECTOR W/FINGER SEPARATORS 270 105.00
      9021 PANT PROTECTOR STA-DRY 270 44.10
     97240 PARA BATH UNIT 270 397.00
      1044 PARACENTESIS TRAY 270 276.50
      3437 PATELLA 1880-0427 274 3514.35
      3457 PATELLA 1880-0428 274 3514.35
     97168 PATELLA TRACKER PALUMBO 270 171.00
     82552 PATERNITY ADDITIONAL PERSON TESTED 300 541.80
     82551 PATERNITY MOTHERLESS 300 1134.00
     82550 PATERNITY STANDARD TRIO 300 1134.00
       207 PCA SET MINI BORE 270 33.60
      8142 PCA SET-UP CHG. 270 197.40
      8143 PCA UNIT DAILY CHARGE 270 137.55
     94175 PEAK-FLOW SETUP 410 82.95
    301629 PEDIAPRED(prednisoLONE) 5MG/5ML BASE 6.7 250 26.00
     91745 PEG SET 14FR 270 264.60
     91744 PEG TUBE KIT 20FR SAFETY 270 322.35
       854 PELVIC TRACTION BELT LG 270 202.65
       853 PELVIC TRACTION BELT MED 270 202.65
       815 PELVIC TRACTION BELT SM 270 202.65
       855 PELVIC TRACTION BELT XLG 270 202.65
       886 PELVIC TRACTION BELT XSM 270 202.65
    301519 PENICILLIN V K SUSP 250MG/5ML 200ML 250 34.13
     21130 PERITONEAL LAVAGE LAZ/NELSON 270 245.70
      6006 PERM 0 36.75
      6009 PERMANENT COLOR AND SET 0 36.75
     99470 PFT INDUSTRIAL SCREENING 410 23.10
    302606 PHENERGAN/COD 6.25MG/10MG 5ML UD 258 28.00
    301015 PHENobarbital 65MG/ML INJ 250 24.15
      9234 PHENOL APPLICATION KIT 270 144.90
    302323 PHENYLEPHRINE (AK DILATE)  2.5% O.S. 250 125.50
    301233 PHENYLEPHRINE (NEOSYNEPHRINE) 1% SDV 250 38.00
    302331 PHENYLEPHRINE(AK DILATE) 10% O.S. 5ML 250 141.50
    301293 PHENYLEPHRINE(NEOSYN) 100MCG/ML 10ML SYR 250 47.00
    300277 PHENYTOIN (DILANTIN) 100MG/2ML VL 250 23.50
     97131 PHYSICAL AGILITY TESTING 420 158.00
     97165 PHYSICAL THERAPY FOAM BLOCK 270 21.00
     97036 PHYSICAL THERAPY HAND HELPER A 348-8 270 45.00
     97057 PHYSICAL THERAPY THERABAND BLACK 270 26.25
     97051 PHYSICAL THERAPY THERABAND BLUE 270 26.25
     97048 PHYSICAL THERAPY THERABAND GREEN 270 26.25
     97164 PHYSICAL THERAPY THERAPUTTY PROGRESSIVE 270 26.00
    300061 PHYSOSTIGMINE (ANTILIRIUM)  1MG/ML AMP 250 103.95
       370 PICC 5 FR DUAL LUMEN 1275108D 270 617.40
       381 PICC DRESSING CHANGE KIT W/STATLOCK 270 39.72
       369 PICC NEEDLE GUIDE KIT 900013B01 761 48.30
    301084 PILOCARPINE (PILOCAR) 1%  O.S. 250 210.00
    301695 PILOCARPINE (PILOCAR) 2% O.S. 250 42.00
     97193 PIP EXTENSION ASSIST 270 66.00
      1101 PLAC-VAC 270 42.00
      1507 PLASTIC TRAY 270 158.55
      1045 PLEUR EVAC 270 515.55
      9240 PNEUMATIC TOURN 270 168.00
     97175 PNEUMATIC WALKING SPLINT 270 205.00
      1498 PNEUMOTHORAX 9.0FR SET C-TPT-100 270 405.30
      1499 PNEUMOTHORAX G13722 270 371.70
     21120 POISON TRAY 270 117.60
      9276 POOLE SUCTION 270 35.70
       208 PORT-A-CATH 9.6FR LVTX5013 274 3453.45
    301028 POTASSIUM CHLORIDE (KCL) INJ 40mEq/20ML 250 26.50
    302600 POTASSIUM CL (KAON-CL)20 MEQ/15ML ORAL 258 39.50
    300065 PRAMOXINE (ANUSOL) OINT  30GM 250 42.00
    301079 PRED FORTE 1% (prednisoLONE ACE)  5ML 250 149.00
    302509 predniSONE ORAL SOLUTION 5MG/5ML 250 28.00
    302507 PREGABALIN (LYRICA) 100MG CAP 250 84.50
    302545 PREGABALIN (LYRICA) 25MG CAP 250 75.50
    302508 PREGABALIN (LYRICA) 50MG CAP 250 84.50
     94485 PRE-OP TRAINING 410 23.00
       248 PRIMARY SETS VL PR42-11 270 86.10
    300540 PROAIR HFA (ALBUTEROL) INHALER  8.5GM 250 210.00
    300220 PROCHLORPERAZINE (COMPAZINE)  25MG SUPP 250 26.25
    302633 PROCHLORPERAZINE (COMPAZINE) 5MG/ML 10ML 250 55.13
     21050 PROCTO 360 163.80
    302923 PROCTOFOAM-HC FOAM 1%-1% 250 188.48
    301295 PROMETHAZINE (PHENERGAN) 12.5MG SUPP 250 75.60
    301247 PROMETHAZINE (PHENERGAN) 25MG SUPP 250 28.50
    302320 PROPARACAINE 0.5% OPHTH.SOL. 15ML BOTTL 250 121.00
    301307 PROPOFOL (DIPRIVAN)  10MG/ML 20ML VL 250 32.50
    302532 PROPOFOL (DIPRIVAN)  10MG/ML 50ML VL 250 284.55
    301248 PROTAMINE SO4 INJ  10MG/ML  25 ML VIAL 250 42.00
    302270 PROTONIX I.V.(PANTOPRAZOLE) 40MG VIALS 250 36.00
    301056 PROVENTIL (VENTOLIN) INH. SOL. 0.5% 20ML 250 100.00
     97112 PT DEBRIDMENT KIT 272 44.10
     97042 PT DRESSING LARGE 420 90.30
     97238 PT ESSENTIAL FUNCTIONS TEST 420 71.40
     97548 PT IFSP MEET/EARLY INTERVEN 420 395.85
     97004 PT KNEE BRACE WEEKENDER HINGED 270 799.05
     97040 PT KNEE SUPPORTS 270 171.15
     97250 PT MASSAGE THER 30 MIN 420 51.45
     97251 PT MASSAGE THER 60 MIN 420 86.10
     97014 PT TENS INST CHRG (BAT/ELECT) 270 134.40
     97102 PT TREATMENT ROOM 761 81.90
     97171 PULLY SYSTEM OVER DOOR 270 118.00
     22040 QUICK-PACE STAND BY 270 853.65
     22030 QUIK-PACE USE 270 853.65
    301212 RANITIDINE (ZANTAC) 50MG/2ML VL 250 59.00
    302611 RANITIDINE (ZANTAC): 150MG/10ML SYR 258 21.00
    301211 RANITIDINE (ZANTAC): 300MG TAB (EMP) 250 31.00
    302549 RANITIDINE PREMIX (ZANTAC): 50MG***** 250 33.00
    302646 RANOLAZINE (RANEXA) 500MG TAB 250 43.50
    300336 REA LO (UREA) 40% CRM 250 45.50
     97075 REACHER 24 270 54.00
     90021 RECOVERY ROOM /PER HOUR 710 227.85
       603 RECTAL TUBE 270 31.50
    302841 REGADENOSON (LEXISCAN) SYR 0.4MG/5ML 250 863.63
      5428 REHAB VITALSTIM ELECTRODES 270 26.25
    302441 REMIFENTANIL (ULTIVA):2MG/5ML VIAL 250 142.50
     97060 REP BAN PLUM #5 270 28.35
     67917 REPAIR OF ECTROPION 360 2137.80
       972 RESP AIRWAY ADAPTOR EMMA ADULT/PEDI 270 30.45
       973 RESP AIRWAY ADAPTOR PEDI/ADULT 270 49.35
       944 RESP AMBU BAG ADULT  RESUSCITATION 270 148.05
       955 RESP AMBU BAG INFANT RESUSCITATION 270 148.05
       945 RESP AMBU BAG PEDIACTRIC RESUCIATATION 270 148.05
       931 RESP AQUA PAK 145 DISP 270 28.35
       904 RESP AQUA PAK 340 HUMIDIFIERS 003-40 270 33.60
       905 RESP AQUA PAK 760 037-28 270 48.30
     94475 RESP CONSULTATION 410 48.30
       759 RESP DISPOSABLE MILLER BLADE 3 270 21.00
       959 RESP EASY CAP II DETECTOR CO2 ADULT 270 36.41
       942 RESP ENDO TRACH TUBE 9101 270 29.40
       977 RESP HOPE CONTIOUS NEB 103-11310EA 270 436.80
       954 RESP NEBLIZER AEROEDIPES II BAN 270 33.60
       933 RESP NEBLIZER RESPRAGARD 11/24030 270 61.95
       917 RESP NEBLIZER-T-UPDRAFT 1734 270 33.60
       960 RESP PEAK FLOW METER 270 75.60
       962 RESP RESQPOD 270 177.45
      2000 RESP VENTILATOR CIRCUIT 3762 270 27.30
       963 RESP VEST FOR AIRWAY CLEARANCE 270 227.85
      9262 RETRACTORS SOFIELD 0233-001 270 210.00
      9261 RETRACTORS SOFIELD 0233-002 270 210.00
      9259 RETRACTORS SOFIELD 0233-003 270 210.00
      9258 RETRACTORS SOFIELD 0233-004 270 210.00
      9257 RETRACTORS SOFIELD 0233-005 270 210.00
      9256 RETRACTORS SOFIELD 0233-006 270 210.00
      9361 RETRIEVAL DEVICE ROTH NET 00711050 270 761.25
       844 RIB BELT LARGE 79-89077 270 96.60
       843 RIB BELT MEDIUM 79-89075 270 96.60
       811 RIB BELT SMALL 150110 270 96.60
       845 RIB BELT X-LG 270 96.60
       846 RIB BELT XX-LG 150114 270 96.60
    303243 RIFAXIMIN (XIFAXAN) 550MG TAB 250 206.50
    302900 RIVAROXABAN (XARELTO) 10MG TAB 250 73.00
    302726 RIVASTIGMINE (EXELON) 3MG CAP 250 23.10
    302767 RIVASTIGMINE(EXELON): 4.6MG/24HOUR PATCH 250 71.50
    301336 ROCURONIUM BROMIDE (ZEMURON) INJ 10MG/ML 250 43.50
    302851 ROFLUMILAST (DALIRESP) 500MCG TAB 250 77.50
     22080 ROLL FIBER GLASS CAST 270 48.30
      3550 ROTATOR CUFF QUICK 274 1313.55
      3322 RUSH PIN 1/8X10     8030114 274 411.60
      3323 RUSH PIN 1/8X10.5   8030115 274 411.60
      3318 RUSH PIN 1/8X8      8030110 274 411.60
      3319 RUSH PIN 1/8X8.5    8030111 274 411.60
      3320 RUSH PIN 1/8X9      8030112 274 411.60
      3321 RUSH PIN 1/8X9.5    8030113 274 411.60
      3304 RUSH PIN 3/16X10.25 8020105 274 411.60
      3305 RUSH PIN 3/16X11    8020106 274 411.60
      3306 RUSH PIN 3/16X11.75 8020107 274 411.60
      3301 RUSH PIN 3/16X8     8020102 274 411.60
      3302 RUSH PIN 3/16X8-3/3 8020104 274 411.60
      3303 RUSH PIN 3/16X9.5   8020104 274 411.60
    301388 S2 INHALANT (RACEMIC EPI)2.25%: 0.5ML 250 29.00
       612 SALEM SUMP TUBE 12FR 270 31.50
       601 SALEM SUMP TUBE 14FR 270 31.50
       632 SALEM SUMP TUBE 16FR 270 31.50
       633 SALEM SUMP TUBE 18FR 270 24.36
       597 SALEM SUMP TUBE 6 FR PEDI 24 270 21.00
       607 SALEM SUMP TUBE 8FR 270 31.50
     85180 SALEM-SUMP 270 30.00
    300810 SANTYL (COLLAGENASE) OINT 250U/GM 30GM 250 448.50
      3400 SAW BLADE 2108-111-118 270 556.50
      3390 SAW BLADE SAGITTAL 411813790 270 278.25
    301085 SCOPOLAMINE(TRANSDERM SCOP) 1.5MG PATCH 250 70.00
      9390 SE-GURA BASKET FULL SIZE 270 987.00
       936 SELF-SEALING WATER TRAP ADULT 270 31.50
    301844 SENSORCAINE 0.75% c DEXTROSE 8.25% 2ML 250 36.23
    301789 SENSORCAINE(BUPIVACAINE) 0.5% 10 ML VL 250 24.15
    301365 SENSORCAINE-MPF 0.25% 10ML 250 34.65
    301628 SEVOFLURANE (ULTANE) INH.ANESTHETIC 250 383.25
      1406 SHOE COVERS REGULAR 270 84.00
      1402 SHOE COVERS X LARGE NON28859 270 84.00
       990 SHOULDER ABDUCTION SUPPORT 270 337.05
       848 SHOULDER IMMOB LG 79-84037 270 128.10
       847 SHOULDER IMMOB MED 79-84035 270 128.10
       812 SHOULDER IMMOB SMALL 79-84033 270 128.10
       836 SHOULDER IMMOB STAT LARGE 270 128.10
       835 SHOULDER IMMOB STAT MEDIUM 270 128.10
       834 SHOULDER IMMOB STAT SMALL 270 128.10
       895 SHOULDER IMMOB STAT X-LARGE 270 128.10
       833 SHOULDER IMMOB STAT X-SMALL 270 124.95
       849 SHOULDER IMMOB XLG 79-84038 270 128.10
       888 SHOULDER IMMOB XXLG 79-84039 270 128.10
      1075 SIGMOIDOSCOPE DISP KLEENSPEC 270 31.50
     21100 SIGMOIDOSCOPIC SUCTION INSTRUMENT 270 35.70
    301112 SILVADENE CR (SILVER SULFADIAZINE) 400GM 250 156.45
    301111 SILVADENE CR(SILVER SULFADIAZINE) 50GM 250 40.50
    301901 SIMVASTATIN (ZOCOR) 40MG TAB (EMPLOYEE) 250 35.70
    302717 SITAGLYSTIN (JANUVIA) 50MG TAB 258 90.00
      1057 SITZ BATH 270 31.50
      9072 SKIN PREP TRAY (DRY) 270 46.20
      9070 SKIN PREP TRAY (WET) BETADINE 270 74.55
      9396 SMOKE EVACVUATION PENCILS 270 108.64
     20025 SMOOTH GUIDE WIRE 274 1332.45
    301125 SODIUM BICARBONATE 8.4% 50 ML INJ. 250 127.00
    301391 SODIUM CHLORIDE 0.9%  3ML (INHALANT) 250 22.05
    301122 SODIUM CHLORIDE 0.9% 10 ML VIAL 250 23.00
    302613 SOLIFENACIN (VESICARE) 5MG TAB 258 68.50
    301128 solu-CORTEF(HYDROCORTISONE) 100 MG *** 250 114.50
    301170 solu-CORTEF(HYDROCORTISONE) 500MG SDV 250 64.05
    301169 solu-MEDROL(methylPREDNISolone) 1 GM  VL 250 354.00
      9110 SORBITOL 270 74.55
    302003 SPACER- EASIVENT 250 79.80
     82444 SPECIMEN PROCESSING FEE 300 39.90
       507 SPECIMEN TRAP (SURGERY) 270 28.35
     94179 SPIROMETRY-QNFT 460 82.95
     97185 SPLINT BALL (MED PAN) 270 252.00
     97184 SPLINT MITT (MED PAN) 270 108.00
     97196 SPLINT PIN SMALL 270 105.00
     97182 SPLINTING MATERIALS 270 170.00
       479 SPONGE SURGIFOAM ABSORBABLE GELATIN 1974 270 152.41
      1130 SPROAM SPRAY 270 37.80
     94112 SPUTUM COLLECTION 270 48.30
     94111 SPUTUM INDUCTION (CHG PER TX) 410 75.60
     94110 SPUTUM INDUCTION (SET UP CHG) 410 33.60
      1060 STAPLE EXTRACTOR 270 31.50
      9272 STAPLER 3/M DS15 FOR ER 270 28.35
      9203 STAPLER SKIN 15 WIDE SURGERY 270 94.50
      9204 STAPLER SKIN 15W FOR ER 270 94.50
      9200 STAPLER SKIN 35 WIDE SURGERY 270 112.35
      9112 STAPLER TA DST RELOAD TA6048L 270 1143.45
      9111 STAPLER TA DST TA6048S 270 2315.25
     91676 STEINMAN PIN P-      128107 274 74.55
     91680 STEINMAN PIN P-2.0MM 18700159 274 74.55
     91681 STEINMAN PIN P-2.4MM 18700259 274 74.55
     91669 STEINMAN PIN P-2.7MM 128001 274 74.55
     91682 STEINMAN PIN P-2.8MM 18700359 274 74.55
     91678 STEINMAN PIN P-3.1MM 128111 274 74.55
     91683 STEINMAN PIN P-3.2MM 18700459 274 74.55
     91684 STEINMAN PIN P-3.6MM 1870559 274 74.55
     91685 STEINMAN PIN P-4.0MM 1870659 274 74.55
     91686 STEINMAN PIN P-4.8MM 1870759 274 74.55
     91667 STEINMAN PIN T-1.9MM 5/64 127881 274 74.55
     91677 STEINMAN PIN T-2.0MM 274 74.55
     91672 STEINMAN PIN T-2.3MM 3/32 127901 274 74.55
     91671 STEINMAN PIN T-2.7MM 7/64 127921 274 74.55
     91673 STEINMAN PIN T-3.1MM 1/8  127941 274 74.55
     91670 STEINMAN PIN T-3.5MM 9/64 127961 274 74.55
     91668 STEINMAN PIN T-3.9MM 5/32 127981 274 74.55
     91687 STEINMAN PIN T-4.8MM 3/16 1279 274 74.55
      6801 STENT DOUBLE J 5202100 270 1013.25
      6802 STENT DOUBLE J 5202200 270 1013.25
      6800 STENT DOUBLE J 5202800 270 1013.25
      6803 STENT DOUBLE J 5204100 270 1013.25
      6805 STENT DOUBLE J 5204200 270 1013.25
      6804 STENT DOUBLE J 5204800 270 1013.25
      9289 STERIDRAPE  IOBAN 6648 EZ 270 30.45
      9287 STERIDRAPE  IOBAN 6650 EZ 270 46.20
      9343 STERLING GREAT WHITE 4.2MM 9299A 270 177.45
      9045 STOCKINETTE BOOT 8X38 STERILE MED 270 84.00
      9040 STOCKINETTE LARGE 6X60 STERILE 270 94.50
      9391 STONE RETRIEVAL DEVICE 270 761.25
       223 STOPCOCK 3-WAY W/TUBING 270 28.35
     20027 STRYKER POWER EQUIPMENT 270 987.00
      9079 STYLET FLEXI SLIP STYLET 14FR PLASTIC CO 270 22.05
    302286 SUCCINYLCHOLINE (QUELICIN) 20MG/ML 10ML 250 168.50
    301290 SUCCINYLCHOLINE 20MG/ML 5ML SYRINGE 250 182.50
    301760 SUCRALFATE (CARAFATE) 1GM/10ML SUSP 250 61.00
     94324 SUCTION 270 37.80
       522 SUCTION CANISTER (NON-DISPOSABLE) 270 31.50
       524 SUCTION CANISTER HOLDER 270 31.50
       503 SUCTION CANISTERS SURGERY 270 31.50
       506 SUCTION CANISTERS W/SHUT-OFF VALVE 270 31.50
      9340 SUCTION COAGULATOR E3305 270 74.55
       727 SUCTION ELBOW CONNECTOR 258 82.95
      8140 SUCTION MACHINE-DAILY- ER USE 270 31.50
       505 SUCTION NG TUBE HOLDER 270 31.50
       921 SUCTION POLYP TRAP (SURGERY) 270 54.28
       523 SUCTION WALL BRACKET 270 31.50
       521 SUCTION WALL HOLDERS 270 31.50
       520 SUCTION WALL MOUNTS 270 31.50
    301141 SULFACETAMIDE (SULAMYD) 10% OPTH.SOL. 250 134.00
    300567 SUMAtriptan (IMITREX) 6MG/0.5ML VL 250 64.50
      9198 SUPER SUCKER MINI KAM 270 144.90
      9136 SUPRAPUBIC STAMI CATHETER 270 240.45
       383 SURGERY ALLIANCE II SYRINGE SINGLE USE 270 679.35
    300464 SURGERY ALPRAZolam (XANAX) 0.25MG ODT 250 28.00
      9279 SURGERY BIOPATCH ETHICON 4150 270 21.00
      9216 SURGERY BIOPSY FORCEPS RADIAL JAW 4 270 201.60
      9086 SURGERY BONE CEMENT 402283 270 1354.50
     91619 SURGERY BONE SCREW LAG 200180 274 1062.60
      9129 SURGERY C CARTRIDGES MONARCH II 270 65.10
      3060 SURGERY CANNULA SCREW BONE ASST SYNTHES 274 877.80
      8997 SURGERY CANNULA SLEEVE UNVCA5STF 270 112.12
      9039 SURGERY CANNULATED DRILL 4.5 DRL-890-00 270 452.55
      9214 SURGERY CAPTIFLEX POL SNARE 6240 270 210.00
      9274 SURGERY CARRY ON PROCEDURE KIT 270 27.30
      9351 SURGERY CATH CONQUEST DILATION CQ-7564 270 452.55
      9352 SURGERY CATH CONQUEST DILATION CQ-7584 270 405.30
      9368 SURGERY CATH FOGARTY 3FR 120803F 270 143.85
      9355 SURGERY CATH FOGARTY 4FR 120804F 270 467.25
      9088 SURGERY CENTRALIZER FEMORAL 12-162611 270 10306.80
      9367 SURGERY CLEARIFY VISUALIZATION SYSTEM 270 143.85
      9123 SURGERY CORDIS TRAPEZE INFERIOR VENA CAV 270 3975.30
      9162 SURGERY CORT SCREW ASSORTED SIZES 270 94.50
      9103 SURGERY CRE ESOPH BLAN 270 932.40
       384 SURGERY CRE WIREGUIDED 5849 270 927.15
       395 SURGERY CRE WIREGUIDED 5850 270 769.65
       297 SURGERY DILATOR 18FR 997504 270 981.75
      9159 SURGERY DOPPLER PROBE DISPOSABLE 270 202.65
      3312 SURGERY DRILL 2.0XL100 299005ND 274 669.90
      9166 SURGERY DRILL BIT 5.0mm 310.63 270 1680.00
      9354 SURGERY ENCORE INSUFFLATION 15-105 270 94.50
      9082 SURGERY ENDO II HEAD 49MM 12-139022 270 1704.15
      9223 SURGERY ENDO MARKER SPOT X 5ML SYRINGE 270 69.30
      9081 SURGERY ENDOII TAPER ADAPTER 139249 270 449.40
      9365 SURGERY ENTERRA II LEAD KIT 270 4961.25
      9366 SURGERY ENTERRA II TORQUE AND BOOT KIT 270 121.80
      9156 SURGERY EPIX LAP GRASPER C4140 270 153.30
      9157 SURGERY EPIX UNIV CLIP APPLIER 5MM CA500 270 347.55
      9022 SURGERY ESSURE SYSTEMS 270 2251.20
      5962 SURGERY EVAP WING ELECTRODE 24FR 270 141.75
      9117 SURGERY FISH VISCERA RETAINER LG 3206 270 179.55
      9116 SURGERY FISH VISCERA RETAINER MED 3204 270 220.50
      9013 SURGERY FOAM WELL LEG HOLDER 270 88.20
      9158 SURGERY GELPOINT MINI CNGL3 270 868.35
      9292 SURGERY GORE GRAFT 270 1869.00
      9119 SURGERY GORETEX NEEDLE SLEEVE 1GSP02 270 373.80
      9027 SURGERY GOWN T5 ZIPPER TOGA W/PEEL AWAY 270 195.30
      9038 SURGERY GUIDE PIN 2.0X125 GDW-890-00 270 71.40
      9124 SURGERY GUIDE WIRE JINDO CORDIS 270 289.80
      3385 SURGERY GUIDE WIRE PIN ASST SYNTHES 270 145.95
      9011 SURGERY GYNECARE THERMA CHOICE III 270 3218.25
       368 SURGERY GYRUS BLUE 6-12FR CS-B612 270 26.25
      3311 SURGERY HALLU LOCK PLATE SZ 1 290340SND 274 3992.10
      9192 SURGERY HEMOVAC DRAIN 3/16 2537-000-10 270 256.20
      3331 SURGERY HLCK 5 RIGHT 290550ND 274 4186.35
      5963 SURGERY HOOK ELECTRODE 22/24FR 270 288.75
      3307 SURGERY INTEGRA OS 5CC PUTTY IOS10155 274 3284.40
      9362 SURGERY INTRODUCER SHEATH 11CM 15-963B 270 64.05
      9369 SURGERY INTRODUCER SHEATH 7CM 15-958B 270 115.16
      3308 SURGERY K WIRE 1.0XL70 115070ND 274 107.10
      3309 SURGERY K WIRE 1.6XL150 115116ND 274 121.80
      9195 SURGERY KII FIOS 5X75 KIT CFF05 270 138.60
      9386 SURGERY KII FIOS CTF03 270 60.00
      9293 SURGERY KII SLEEVE 5X100 CFS02 270 138.60
      9393 SURGERY KII TROCAR BALN C0R47 270 92.00
      9387 SURGERY KII Z CTS02 270 30.00
      5934 SURGERY KNIFE ELECTODE 22/24FR 270 663.60
      9126 SURGERY KNIFE LIGHT 3300-001-000 270 340.20
      9167 SURGERY LAG SCREW VHS ASSORTED SIZE 270 1107.75
      9378 SURGERY LIGASURE IMPACT LF4418 270 1887.10
      9389 SURGERY LIGASURE MARYLAND LF1944 270 1549.18
      9224 SURGERY LLETZ BALL E1564 270 46.20
      9246 SURGERY LLETZ TUNGSTEN LOOP E1559 270 46.20
      9248 SURGERY LLETZ TUNGSTEN LOOP E1560 270 46.20
      9249 SURGERY LLETZ TUNGSTEN LOOP E1561 270 46.20
      9254 SURGERY LLETZ TUNGSTEN LOOP E1562 270 46.20
      3317 SURGERY LOCK WASHER 185100SND 274 415.80
      9375 SURGERY MEPITEL ONE 4X7.2 DRESSING 270 30.84
      9041 SURGERY METZ SCISSOR TIP 3162 270 89.25
      3328 SURGERY MT REAMER 14 129714ND 274 2908.50
      3329 SURGERY MT REAMER 14 129718ND 274 2908.50
      9218 SURGERY NUMBER CAN BE REUSED 270 136.50
       284 SURGERY OPEN TIP CATH 5FR 400201 270 37.80
      9384 SURGERY OPTICAL TROCAR 5MM  ONB5STF 270 248.52
      9083 SURGERY OPTIVAC KIT 80 GRAM 417200 270 625.80
      9033 SURGERY ORTHOMAX HIP DRAPE DYNJP8211 270 82.95
      9322 SURGERY PEG TUBE KIT 003029 274 234.15
      3330 SURGERY PH REAMER 22 129752ND 274 2908.50
      9164 SURGERY PIN GUIDE WIRE 2.8MM 292.68 270 157.50
      9168 SURGERY PLATE VARI ANGLE VHS 200104 270 1799.70
      9089 SURGERY PLUG BONE CEMENT 163010 270 578.55
      9238 SURGERY POLYPECTOME SNARE 270 107.10
      9281 SURGERY POWER PORT 1808000 270 903.00
      9034 SURGERY PROLAPSE AND HEMORRHOIDS PPH03 270 1127.70
      9036 SURGERY PROX PHAL HEMI IMPL SIZE 10 270 4124.40
      9037 SURGERY PROX PHAL SURF REAMER 10/20 270 452.55
      9294 SURGERY PUNCTURE NEEDLE G36333 270 105.00
      3327 SURGERY QWIX 26 HR SCREW 11324SND 274 982.80
      3326 SURGERY QWIX 26 HR SCREW 11426SND 274 1199.10
      3332 SURGERY QWIX LONG DRILL 119516ND 274 740.25
      3310 SURGERY QWIX SCREW 3 LG 28 111328SND 274 1032.15
      9372 SURGERY RELIATACK 3X8 FIXATION DEVICE 270 1642.00
      9373 SURGERY RELIATACK RELOAD 270 655.26
      9206 SURGERY RESOLUTION CLIP M00522611 270 304.50
      9222 SURGERY RESOLUTION CLIPS M00522610 270 639.45
      9239 SURGERY RETRIEVAL TWISTER 270 291.90
      9282 SURGERY ROTATABLE SNARE M00561821 270 220.68
      9163 SURGERY SCREW CORTICAL 18-235142 270 94.50
      9161 SURGERY SEE CLEAR SMOKE EVAC SYSTEM 270 68.25
       282 SURGERY SENSOR ST TIP GLIDE WIRE 670308 270 158.55
      9087 SURGERY SHORT SHOT BANDER C-HMBL-4-TRI 270 132.30
      9338 SURGERY SLIDE ONE KIT THD AMERICA 800070 270 1512.00
      9183 SURGERY SPACEMAKER PRO DISSECTOR 270 1366.05
       394 SURGERY SPEEDBAND SUPERVIEW 7 270 660.45
      9494 SURGERY STAPLER EEA25 270 1543.18
      9495 SURGERY STAPLER EEA28 270 1543.18
      9496 SURGERY STAPLER EEA31 270 1543.18
      9497 SURGERY STAPLER GIA6083S 270 975.81
      9499 SURGERY STAPLER GIA8038S 270 1060.94
      9492 SURGERY STAPLER RELOAD GIA8038L 270 788.64
      9498 SURGERY STAPLER RELOADS GIA6038L 270 692.52
       291 SURGERY STENT 7FR 180157 270 458.85
      9443 SURGERY STRAP SECURE 5MM ETHICON 270 1567.65
      9398 SURGERY STRATTICE PERFORATED 106002P 270 8290.00
      3313 SURGERY SURFIX SCREW 12 285112SND 274 939.75
      3325 SURGERY SURFIX SCREW 14 285114SND 274 894.60
      3314 SURGERY SURFIX SCREW 16 285116SND 274 939.75
      3315 SURGERY SURFIX SCREW 18 285118SND 274 939.75
      3316 SURGERY SURFIX SCREW 24 285124SND 274 939.75
      9109 SURGERY SYRINGE GAUZE ASSEMBLY 60CC 270 131.25
      9357 SURGERY TITANIUM TIP 5K4623 270 593.25
      9356 SURGERY TRANSFER SET 5C4482 270 145.95
      3324 SURGERY TREL XPRES 305 274 4339.65
       393 SURGERY URETHRAL DILATOR G14185 270 547.05
       327 SURGERY ZEBRA UROLOGICAL GUI 670-112 270 203.70
      9371 SURGERY ZIPWIRE 46-300B 270 157.50
      9353 SURGERY ZIPWIRE 46-308B 270 115.50
      4522 SURGICEL 4 X 8 1952 270 203.70
      9170 SURGICLIP 270 289.80
      9091 SURGILAV VAR-A-PULSE 207-583 STRYKER 270 283.50
      9441 SURGINEEDLE 150MM 172016 270 299.25
      9410 SURGINEEDLE 172015 (VERESS NEEDLE) 270 227.85
      9412 SURGIPORT TROCAR 10MM CONV  171028 270 710.85
      9414 SURGIPORT TROCAR 3.5MM CONV 175004 270 46.20
      9413 SURGIPORT TROCAR 5.5MM CONV 175006 270 46.20
      9054 SUTURE AID BOOTIES YELLOW 05-1-003 270 28.35
      1278 SUTURE BONE WAX  W-31-G 270 48.30
      1281 SUTURE BRDED MARLEX  1263 270 48.30
      1261 SUTURE CHROMIC 0 812-H 270 28.35
      1267 SUTURE CHROMIC 0 884-H 270 28.35
      1250 SUTURE CHROMIC 0 G-124-H 270 28.35
      1255 SUTURE CHROMIC 0 L-114-G 270 28.35
      1262 SUTURE CHROMIC 1   813-H 270 28.35
      1254 SUTURE CHROMIC 1   L-115-G 270 28.35
      1258 SUTURE CHROMIC 2   S-116-H 270 28.35
      1266 SUTURE CHROMIC 2-0 883-H 270 28.35
      1247 SUTURE CHROMIC 2-0 893-H 270 28.35
      1323 SUTURE CHROMIC 2-0 929-H 270 28.35
      1307 SUTURE CHROMIC 2-0 983-H 270 48.30
      1249 SUTURE CHROMIC 2-0 G-123-H 270 28.35
      1308 SUTURE CHROMIC 2-0 G-173-H 270 48.30
      1256 SUTURE CHROMIC 2-0 L-113-G 270 28.35
      1306 SUTURE CHROMIC 2-0 N-878-H 270 28.35
      1273 SUTURE CHROMIC 3-0 636-G 270 28.35
      1310 SUTURE CHROMIC 3-0 636-H 270 28.35
      1260 SUTURE CHROMIC 3-0 654-H 270 28.35
      1265 SUTURE CHROMIC 3-0 882-H 270 28.35
      1268 SUTURE CHROMIC 3-0 886-H 270 28.35
      1309 SUTURE CHROMIC 3-0 G-172-H 270 51.45
      1257 SUTURE CHROMIC 3-0 L112G 270 28.35
      1272 SUTURE CHROMIC 4-0 635-G 270 28.35
      1252 SUTURE CHROMIC 4-0 G-181-H 270 28.35
      1259 SUTURE CHROMIC 4-0 L-111-G 270 28.35
      1271 SUTURE CHROMIC 5-0 634-G 270 28.35
      1253 SUTURE CHROMIC 5-0 G-180-H 270 28.35
      1270 SUTURE CHROMIC 5-0 K-895-H 270 28.35
      1333 SUTURE CHROMIC 6-0 G-3810 270 28.35
      1341 SUTURE DERMA BOND .7ML 270 39.90
      1304 SUTURE DERMA BOND MINI 270 168.00
      1228 SUTURE DEXON 0      7754-61 270 28.35
      1230 SUTURE DEXON 1      7754-71 270 28.35
      1231 SUTURE DEXON 2-0    7248-51 270 28.35
      1229 SUTURE DEXON 2-0    7754-51 270 28.35
      1314 SUTURE DEXON 2-0    7754-81 270 28.35
      1234 SUTURE DEXON 3-0    7612-41 270 28.35
      1232 SUTURE DEXON 3-0    7618-41 270 28.35
      1233 SUTURE DEXON 3-0 7216-41 270 28.35
      1311 SUTURE DEXON 4-0    7232-31 270 28.35
      1325 SUTURE DEXON 4-0 7603-33 270 28.35
      1324 SUTURE DEXON 4-0 CE-4 NDL 7608-33 270 28.35
      1236 SUTURE DEXON 5-0    7532-21 270 51.45
      1293 SUTURE ETHIBOND     B-697-G 270 28.35
      1320 SUTURE ETHIBOND 0   X-412-H 270 28.35
      1437 SUTURE ETHIBOND 2 X406T 270 37.80
      1238 SUTURE ETHIBOND 2-0 X-411-H 270 28.35
      1237 SUTURE ETHIBOND 6-0 B-912-H 270 42.00
      1409 SUTURE ETHIBOND EXCEL CX21D 270 33.60
      1363 SUTURE ETHIBOND O CT-2 270 65.10
      1197 SUTURE ETHICON 6-0 1735-G 270 96.60
      1245 SUTURE ETHILON 10-0 2810-G 270 74.55
      1276 SUTURE ETHILON 2   490-G 270 28.35
      1378 SUTURE ETHILON 2 490T 270 58.80
      1312 SUTURE ETHILON 2-0 664-G 270 28.35
      1240 SUTURE ETHILON 3-0 663-H 270 28.35
      1241 SUTURE ETHILON 4-0 662-H 270 28.35
      1474 SUTURE ETHILON 4-0 691G 270 38.39
      1450 SUTURE ETHILON 4-0 699G 270 23.10
      1542 SUTURE ETHILON 5-0 1666G 270 22.05
      1239 SUTURE ETHILON 5-0 661-G 270 28.35
      1242 SUTURE ETHILON 5-0 P-3 698G 270 48.30
      1299 SUTURE ETHILON 6-0 1698-G 270 48.30
      1243 SUTURE ETHILON 7-0 1696-G 270 48.30
      1244 SUTURE ETHILON 8-0 2822-G 270 116.55
      1280 SUTURE MERSILENE 4-0 R-551-H 270 28.35
      1226 SUTURE MERSILENE 4-0 R-683-G 270 28.35
      1227 SUTURE MERSILENE 5-0 R-698-G 270 28.35
      1371 SUTURE MESH UHSOV 270 838.95
      2925 SUTURE MONCRYL 2-0 Y-917-H 270 22.05
      1340 SUTURE MONOCRYL 4-0 Y426H 270 33.60
      1389 SUTURE MONOCRYL 4-0 Y496G 270 33.60
      1246 SUTURE MONOSOF 6-0 SN-5697 270 48.30
      1331 SUTURE NEEDLES 270 28.35
      1447 SUTURE NUROLON C541D 270 36.42
      1332 SUTURE NYLON 10-0 8065692101 270 28.35
      2802 SUTURE NYLON 9-0 7717G 270 71.40
      1222 SUTURE O-PDS II 0    Z-340-H 270 28.35
      1422 SUTURE PDS        Z-881-G 270 35.70
      1379 SUTURE PDS 0 Z991G 270 100.80
      1380 SUTURE PDS 1 Z341H 270 37.80
      1381 SUTURE PDS 2-0 Z969H 270 44.10
      1200 SUTURE PLAIN 2-0  53-T 270 28.35
      1199 SUTURE PLAIN 2-0  L-103-G 270 28.35
      1194 SUTURE PLAIN 3-0  842-H 270 28.35
      1195 SUTURE PLAIN 3-0  N-862-H 270 28.35
      1193 SUTURE PLAIN 4-0  G-321-H 270 28.35
      1196 SUTURE PLAIN 5-0  728-G 270 28.35
      1192 SUTURE PLAIN 5-0  G-320-H 270 28.35
      1187 SUTURE PROLENE 0   8444-H 270 23.10
      1186 SUTURE PROLENE 1   8425-H 270 28.35
      1385 SUTURE PROLENE 1 8435H 270 37.80
      1188 SUTURE PROLENE 2-0 8623-H 270 28.35
      1419 SUTURE PROLENE 2-0 8833 H TAPER 270 28.35
      1425 SUTURE PROLENE 3-0 8936H 270 25.20
      1288 SUTURE PROLENE 4-0 8757-H 270 51.45
      1452 SUTURE PROLENE 5-0 9702H 270 138.60
      1490 SUTURE PROLENE 6-0 8709H 270 101.85
      1190 SUTURE PROLENE 6-0 8718-H 270 35.70
      1423 SUTURE PROLENE 6-0 8806H 270 101.85
      1191 SUTURE PROLENE 7-0 8701H 270 99.75
      1405 SUTURE PROLENE 7-0 EP8708H 270 121.80
      1560 SUTURE PROLENE MESH PCDL1 270 9054.15
      1294 SUTURE PROLENE MESH PM-53 270 28.35
      1436 SUTURE QUILL PDO RA 1033Q 270 58.80
      1059 SUTURE REMOVAL SET 270 35.70
      1277 SUTURE RETENTION BOLSTER 450-G 270 28.35
      1321 SUTURE SET STERILE DISPOSABLE 270 29.40
      1204 SUTURE SILK 0   SA-86-G 270 28.35
      1426 SUTURE SILK 0 580-H 270 72.45
      1208 SUTURE SILK 2-0 737-G 270 28.35
      1427 SUTURE SILK 2-0 C012D 270 162.75
      1219 SUTURE SILK 2-0 SA-65-H 270 28.35
      1203 SUTURE SILK 3-0 632-G 270 28.35
      1221 SUTURE SILK 3-0 684- H 270 28.35
      1456 SUTURE SILK 3-0 C003D 270 26.25
      1214 SUTURE SILK 3-0 C013D 270 137.55
      1211 SUTURE SILK 3-0 K-882-H 270 28.35
      1205 SUTURE SILK 3-0 M-3-G 270 61.95
      1216 SUTURE SILK 3-0 M-3-T 270 55.65
      1218 SUTURE SILK 3-0 SA-64-H 270 28.35
      1292 SUTURE SILK 4-0 1688-H 270 28.35
      1210 SUTURE SILK 4-0 683-H 270 28.35
      1291 SUTURE SILK 4-0 C-014-G 270 48.30
      1217 SUTURE SILK 4-0 C-014-T 270 51.45
      1212 SUTURE SILK 4-0 K-942-H 270 42.00
      1209 SUTURE SILK 5-0 682-H 270 28.35
      1206 SUTURE SILK 6-0 714-G 270 42.00
      1289 SUTURE SILK 7-0 726-G 270 28.35
      1207 SUTURE SILK 7-0 762-G 270 51.45
      1296 SUTURE SILK 7-0 768-G 270 84.00
      1213 SUTURE SILK 7-0 K-803-H 270 42.00
      1274 SUTURE STEEL 2-0  618-G 270 28.35
      1275 SUTURE STEEL 3-0  540-G 270 42.00
      1449 SUTURE STRATA PDS PLUS 270 86.08
      1448 SUTURE STRATAFIX SPIRAL 4-0 SXMP1B119 270 65.40
      1305 SUTURE TICRON #2 3113-81 270 42.00
      1297 SUTURE TICRON #2 3146-81 270 28.35
      1298 SUTURE TICRON #5 3027-79 270 168.00
      1508 SUTURE TRAY 270 90.30
      1350 SUTURE VICRYL 0 J603H 270 37.80
      1424 SUTURE VICRYL 0 J906G FREE TIE 12/18 270 26.25
      1383 SUTURE VICRYL 0 TIES J636H 270 33.60
      1283 SUTURE VICRYL 1   J-341-H 270 28.35
      1286 SUTURE VICRYL 1   J-695-H 270 28.35
      1330 SUTURE VICRYL 2-0 J-105 270 28.35
      1387 SUTURE VICRYL 2-0 J259H 270 29.40
      1356 SUTURE VICRYL 2-0 J269H 270 31.50
      1326 SUTURE VICRYL 2-0 J-327-H 270 28.35
      1313 SUTURE VICRYL 2-0 J-328-H 270 28.35
      1282 SUTURE VICRYL 2-0 J-453-H 270 28.35
      1382 SUTURE VICRYL 2-0 TIES J905T 270 123.90
      1461 SUTURE VICRYL 3-0 J104T 270 24.80
      1348 SUTURE VICRYL 3-0 J316 270 30.45
      1354 SUTURE VICRYL 3-0 J322H 270 28.35
      1349 SUTURE VICRYL 3-0 J416H 270 30.45
      1352 SUTURE VICRYL 3-0 J442H 270 44.10
      1439 SUTURE VICRYL 3-0 J774D 270 32.98
      1506 SUTURE VICRYL 3-0 J864D 270 65.10
      1496 SUTURE VICRYL 3-0 J910T 270 46.20
      1386 SUTURE VICRYL 3-0 TIES J904T 270 136.50
      1355 SUTURE VICRYL 4-0 J103T 270 28.35
      1384 SUTURE VICRYL 4-0 J304H 270 29.40
      1327 SUTURE VICRYL 4-0 J-310-H 270 28.35
      1329 SUTURE VICRYL 4-0 J-464-G 270 28.35
      1351 SUTURE VICRYL 4-0 J496H 270 72.45
      1443 SUTURE VICRYL 4-0 P2 NEEDLE J504G 270 28.35
      1444 SUTURE VICRYL 4-0 P3 NEEDLE J494H 270 26.25
      1438 SUTURE VICRYL 5-0 J-671-G 270 84.00
      1322 SUTURE VICRYL 5-0 P3 NEEDLE J-463-G 270 28.35
      1177 SUTURE VICRYL 5-0 PS2 J495G 270 25.20
      1397 SUTURE VICRYL 6-0 J544G 270 131.25
      2801 SUTURE VICRYL 6-0 J552G 270 81.90
      2806 SUTURE VICRYL 8-0 BV 130-4 270 99.75
      2803 SUTURE VICRYL 8-0 J548G 270 90.30
    302527 SYSTANE OPHTH.SOL. 250 22.05
     83691 SYSTEMIC LUPAS ERYTHEMATOSIS A 300 1167.60
     97178 T STRAP FOR ENFORCEMENT 270 57.00
       610 T TUBE 10 270 117.60
       637 T TUBE 12 270 117.60
       638 T TUBE 14 270 117.60
      9165 TA 270 722.40
      9409 TABB INSERT 270 35.70
      5093 TAPE MICROFOAM 4 270 46.20
       819 TED STOCKING KNEE HI LARGE REG 270 96.60
       818 TED STOCKING KNEE HI MEDIUM REG 270 96.60
       865 TED STOCKING KNEE HI SM REG 270 96.60
       823 TED STOCKING KNEE HI X-LARGE REG 270 96.60
       869 TED STOCKING THIGH HI LARGE LONG 270 96.60
       868 TED STOCKING THIGH HI MEDIUM LONG 270 96.60
       867 TED STOCKING THIGH HI SMALL REG 270 96.60
       438 TELFA WOUND ISLAND DRESSING 4X8 270 28.35
    300672 TEMAZEPAM (RESTORIL) 15MG CAP 250 28.00
    301994 TEMOVATE CREAM 45 GM TUBE 250 124.00
     97174 TENNIS ELBOW SLEEVE 270 38.00
     97073 TENNIS ELBOW SPLINT 270 75.00
     97200 TENS UNIT AND ELECTRODES 270 638.00
    301257 TERBINAFINE HCL(lamISIL) 1% 15GM CR 250 30.98
    300148 TERBUTALINE (BRETHINE) 1MG/ML VL 250 210.53
    301648 TETANUS-DIPHTH-PERTUSSIS VACCINE 250 78.00
    302861 TETRACAINE OPHTH SOL  0.5% 15ML 250 23.63
    301244 TETRACAINE OPHTH SOL  0.5% 2ML 250 48.50
    300794 THIAMINE (VITAMIN B-1) 100MG/ML 2ML VL 250 57.00
     97197 THIGH SUPPORT MEDIUM 270 116.00
       204 THORACENTESIS SET 270 35.70
    301774 THROMBIN 20,000 I.U.KIT 250 657.00
      4883 THUMPER TORSO RESTRAINT LARGE 270 340.00
      4884 THUMPER TORSO RESTRAINT X-LARGE 270 436.00
      3417 TIB BASE 1880-2102 274 7822.50
      3407 TIB BASE 1880-2200 274 8156.40
      3404 TIB BASE 1880-2202 274 7822.50
      3415 TIB BASE 1880-2300 274 7822.50
      3460 TIB BASE KITC PC 3 V 274 10950.45
      3466 TIB BASE KTTI PC 4 P 274 10950.45
      3467 TIB BASE KTTI PC 41 274 10950.45
      3426 TIB IMPLANT 1872-9200 274 13464.15
      3455 TIB INSERT 1870-0108 274 4188.45
      3403 TIB INSERT 1870-0208 274 4188.45
      3416 TIB INSERT 1880-0110 274 5233.20
      3408 TIB INSERT 1880-0210 274 5233.20
      3431 TIB INSERT 1880-0212 274 5233.20
      3413 TIB INSERT 1880-0310 274 5233.20
      3456 TIB INSERT 1880-3210 274 5233.20
      3411 TIB INSERT 1890-0208 274 5233.20
      3424 TIB INSERT 1890-0212 274 5763.45
      3447 TIB INSERT 1890-1210 274 8977.50
      3436 TIB INSERT 1890-3212 274 5691.00
      3468 TIB INSERT KIMP 410 L 274 5233.20
      3459 TIB INSERT KITC 310 L 274 5233.20
      3465 TIB INSERT KITC 410 L 274 5233.20
      3406 TIB STEM 1870-0464 274 3636.15
      3425 TIB STEM 1872-0705 274 4846.80
      3381 TIBIAL NAIL 274 2609.25
    302589 TICARCILLIN/CLAV (TIMENTIN) :3.1 GM ADV 258 95.55
    300738 TIMOLOL MAL O.S.(TIMOPTIC O.S.)0.5% 5ML 250 43.50
    300737 TIMOLOL O.S.(TIMOPTIC) 0.25% 5ML 250 29.50
    302516 TIOTROPIUM HANDIHALER (SPIRIVA) 18MCG 250 171.50
    304085 TIOTROPIUM RESPIMAT (SPIRIVA) 1.25MCG 250 571.00
      9493 TISSEEL SEALANT 10 ML 272 1258.64
     97089 TLSO (HARD SHELL BACK BRACE) 274 2221.00
    302920 TOBRADEX(TOBRAMYCIN/DEXAMETH) O.O. 3.5GM 250 433.50
    300797 TOBRAMYCIN (TOBREX) 0.3% O.O. 250 408.00
    300796 TOBRAMYCIN (TOBREX) 0.3% O.S. 250 43.50
    302193 TOLTERODINE (DETROL LA) 4MG CAP 250 41.50
      9095 TONSIL TRAY 270 168.00
      9202 TOURNIQUET COVERS LARGE 270 35.70
      9201 TOURNIQUET COVERS SMALL 270 28.35
      9025 TOWELS STERILE OR 270 35.70
    300196 TPN ELECTROLYES 250 24.15
    303438 TRACE ELEMENTS 250 24.15
       948 TRACH TUBE HOLDER 270 29.40
       622 TRACHEOSTOMY TUBE PEDIATRIC SHILEY 3 270 268.80
       623 TRACHEOSTOMY TUBE PEDIATRIC SHILEY 4 270 298.20
       624 TRACHEOSTOMY TUBE PEDIATRIC SHILEY 5 270 268.80
       669 TRACHEOSTOMY TUBE SHILEY #2 270 148.05
       670 TRACHEOSTOMY TUBE SHILEY #4 270 148.05
       672 TRACHEOSTOMY TUBE SHILEY #6 270 148.05
       673 TRACHEOSTOMY TUBE SHILEY #8 270 148.05
     97107 TRACTION EQUIPMENT 270 212.00
    301627 traMADol (ULTRAM) 50MG TAB 250 28.00
     21045 TRANSFER BASE FEE 450 383.25
     97186 TRANSFER BOARD (30 ) 270 95.00
      1125 TRANSTRACHEAL ER AIRWAY CATHETER 270 458.85
     85090 TRANSTRACHEAL JET VENTILATOR 270 422.10
    302384 TRAVOPROST (TRAVATAN) 0.004% O.S. 250 351.50
    300076 TRIAMCINOLONE (KENALOG) CR 0.1% 15GM 250 21.00
    300077 TRIAMCINOLONE (KENALOG) CR 0.1% 80GM 250 32.00
    300078 TRIAMCINOLONE (KENALOG) OINT. 0.1% 15GM 250 24.15
    300312 TRIAZOLAM (HALCION) 0.125MG TAB 250 28.00
    302822 TRIFLURID (VIROPTIC) 1% O/S 7.5ML 250 375.00
    300818 TRIPLE ANTIBIOT (NEOSPORIN) TOP. 30GM 250 24.15
      9184 TRIPLE LUMEN SUMP TUBE DRAIN 270 256.20
      9423 TROCAR 55MM 8920.021 270 845.25
      8998 TROCAR 5MM-100MM CFF03 270 132.30
      8999 TROCAR 5MM-75MM CFS03 270 132.30
      9084 TROCAR 8MM C0Q19 270 138.60
      9376 TROCAR ENDOPATH XCEL BLADELESS SURGERY 270 614.18
      9424 TROCAR SLEEVE SHRT 55MM 8920.001 270 845.25
       683 TROCAR TUBE 12FR 270 118.65
       602 TROCAR TUBE 20FR 561043 270 118.65
       634 TROCAR TUBE 24FR 561050 270 118.65
       635 TROCAR TUBE 28FR 561068 270 118.65
       636 TROCAR TUBE 32FR 561076 250 118.65
      9434 TROCAR W/SLEEVE 35LST 270 71.40
    302324 TROPICAMIDE (MYDRIACYL) 1% O.S. 15ML 250 32.00
    301767 TUBERSOL 5TU 50 TEST 250 24.15
      9420 TUBING C02 INSUFFLATOR 270 130.20
      9138 TUR CONTINUOUS IRR SET 270 35.70
      9122 TUR EXTENSION SET 4693 270 28.35
      9120 TUR FLO POUCH 6542 270 46.20
      9115 TUR RESECTOSCOPE CUTTING LOOPS 270 492.45
      9104 TWIST DRILL 2.5-3.5MM 310.25 270 84.00
      9108 TWIST DRILL 2.7 210441 270 84.00
      9106 TWIST DRILL 3.2 210442 270 84.00
      9107 TWIST DRILL 3.5 210443 270 84.00
    300005 TYLENOL SUSP LIQUID 160MG/5ML(OTC) 250 22.05
      9288 U-DRAPE PLASTIC-SPLIT SHEET 270 46.20
     94450 ULTRASONIC NEB CIRCUIT 410 33.60
     94090 ULTRASONIC NEB. (SET UP CHG) 410 33.60
      9142 URETERAL CATH 12FR CONE TIP 270 256.20
      9141 URETERAL CATH 14FR CONE TIP 270 256.20
      9151 URETERAL CATH 14FR PHILLIPS/FOLLOWER 270 436.80
      9146 URETERAL CATH 18FR PHILLIPS/FOLLOWER 360 433.65
      9147 URETERAL CATH 20FR PHILLIPS/FOLLOWER 360 433.65
      9148 URETERAL CATH 22FR PHILLIPS/FOLLOWER 360 433.65
      9149 URETERAL CATH 24FR PHILLIPS/FOLLOWER 360 433.65
      9134 URETERAL CATH 4FR OLIVE TIP 270 256.20
      9135 URETERAL CATH 4FR SPIRAL FILIFORMTIP 270 256.20
      9152 URETERAL CATH 4FR SPIRAL TIP 270 256.20
      9132 URETERAL CATH 5FR OLIVE TIP 270 256.20
      9133 URETERAL CATH 5FR ROUND TIP 270 256.20
      9137 URETERAL CATH 6FR OLIVE TIP 270 256.20
      9131 URETERAL CATH 6FR ROUND TIP 270 256.20
      9139 URETERAL CATH 6FR SPIRAL TIP 270 256.20
      9144 URETERAL CATH 8FR CONE TIP 270 256.20
      9143 URETERAL CATH ADAPTOR 270 28.35
      9402 URETERAL STENT 26CM 270 845.25
      9400 URETERAL STENT 6FR 270 845.25
      9401 URETERAL STENT 7FR 270 845.25
      9096 URETHERA FILLIFORM INSTRUMENT TRAY 360 35.70
       319 URINARY DRAINAGE BAG 270 51.45
      9395 UROVAC BLADDER EVACUATOR 270 121.80
      1022 VAGINAL IRRIGATION TRAY 270 31.50
    302169 VALPROATE (DEPACON) 100MG/ML  5ML VL 250 117.08
    302552 VANCOMYCIN (VANCOCIN) 125MG CAP 250 28.00
    302908 VANCOMYCIN (VANCOCIN) 250MG CAP 250 32.50
    302785 VANCOMYCIN OPTH: 50MG/ML 250 70.50
    302075 VANCOMYCIN-FIRST SUSP 125MG/5ML 150ML 250 301.50
     94060 VAPORIZOR (SET UP CHG) 270 84.00
    302163 VASOPRESSIN 20 UNITS/ML  1ML VL 250 1074.00
    300361 VECURONIUM  ANESTH 20MG INJ 250 56.18
    300841 VECURONIUM (NORCURON) ANESTH 10MG INJ 250 57.00
     94420 VENTILATOR CIRCUIT 410 32.00
    300175 VERAPAMIL (CALAN): 2.5MG/ML 4ML VL 250 23.50
      9448 VERSAPORT 5-12MM 179096P 270 901.95
      9411 VERSAPORT 5MM 179094F WAS 179069 270 639.45
      9445 VERSAPORT PLUS 10-15MM 179078B 270 1142.40
      9444 VERSAPORT PLUS 5-10MM LONG 179077B 270 996.45
      9403 VERSAPORT TROCAR 179070 270 845.25
      9425 VERSAPORT TROCAR 179076P 270 845.25
    302709 VIBRAMYCIN 100MG/NS 100ML***** 250 156.45
      9419 VIDEO SYSTEM 270 1290.45
    300732 VILAZODONE (VIIBRYD) 20MG TAB 250 61.00
    301664 VITAMIN K (MEPHYTON) 5MG TAB 250 32.50
      9065 WA EDGE PROTE 270 84.00
     83880 WCRC KAPPA/Lambda Ratio 300 44.10
     97078 WEIGHT ADJUSTABLE 5# 270 224.70
     80284 WHITE OAK ALCOHOL 300 26.25
     80282 WHITE OAK PSA 300 21.00
       452 WOUND AQUACEL AG 4 X 5 270 29.57
       478 WOUND PRISMA MATRIX 4.34 SQ IN 270 36.22
      9196 WOUND SUCTION 1/8  253600010 270 256.20
       447 WOUND TUBLULAR ELASTIC RETENTION NETTING 270 111.99
       463 WOUND VAC BRIDGE DRESSING KIT 270 220.50
       441 WOUND VAC BRIDGE DRESSING XG,XG 270 230.28
       464 WOUND VAC FREEDOM CANISTER W/GEL 270 143.85
       483 WOUND VAC GRANUFOAM MEDIUM SENSA TRAC 270 191.52
       482 WOUND VAC TUBING CONNECTOR 270 44.10
       487 WOUND VAC WHITEFOAM LARGE DRESSING 270 87.16
       486 WOUND VAC WHITEFOAM SMALL DRESSING 270 82.90
       484 WOUND VAC WHITEFOAM SMALL KIT 270 191.52
       820 WRIST OR LEG RESTRAINTS 270 31.50
     97192 WRIST STABLIZER (MED/NEOPRENE) 270 114.00
     97093 WRIST SUPPORT W/TENSION 270 61.00
     97189 WRIST/HAND ORTHOSIS 270 79.00
     97167 WRIST/THUMB WRAP 270 27.00
     71550 X-RAY BIOPSY NEEDLE TRAY SET 270 40.00
      5488 X-RAY ENDOCAVITY NEEDLE GUIDE DISPOSABLE 270 37.80
     71543 X-RAY PRECISE CORE 20MM BIOPSY DEVICE 270 107.10
    300839 XYLOCAINE JELLY 2%  20ML UD TUBE 250 37.28
    301712 XYLOCAINE JELLY 2%  5ML UD TUBE 250 32.00
    301820 XYLOCAINE MPF (LIDOCAINE) 1%  30 ML 250 78.23
       616 YANKAUER SUCTION TUBE TIP 270 48.30
     83325 Z ABG 300 92.40
     80054 Z ACETAMINOPHEN 300 50.40
     83010 Z ALK PHOS 234 29.40
     83210 Z ALT (SGPT) 234 29.40
     83020 Z AMYLASE 300 29.40
     83013 Z ANA 234 55.65
     83200 Z AST (SGOT) 234 29.40
     83545 Z B-12 & FOLIC ACID 234 117.60
     83590 Z BASIC 300 27.30
     84023 Z BETA STREP 300 29.40
     84022 Z BODY FLUIDS (CARMI) 300 37.80
     84009 Z C DIFF CULTURE 300 42.00
     83008 Z CA 125  #1318 234 87.15
     80058 Z CARBAMAZEPINE 300 50.40
     83599 Z CARBOXYHEMOGLOBIN 300 39.90
     83740 Z CBC 300 28.35
     83340 Z CBC/MANUAL DIFF 300 29.40
     83065 Z CEA 234 88.20
     83081 Z CHLAMYDIA 234 78.75
     83100 Z CK-MB 234 29.40
     83580 Z COMPREHENSIVE 300 31.50
     83090 Z CPK 234 29.40
     83660 Z CULTURE (BLOOD) 234 50.40
     83700 Z CULTURE (EAR) 234 46.20
     83690 Z CULTURE (NOSE) 234 46.20
     83620 Z CULTURE (SPUTUM) 234 46.20
     83640 Z CULTURE (STOOL) 234 46.20
     83610 Z CULTURE (THROAT) 234 46.20
     83630 Z CULTURE (URINE) 300 46.20
     83680 Z CULTURE (VAGINAL) 234 46.20
     83650 Z CULTURE WOUND 300 69.30
     84003 Z CULTURE,WOUND (CARMI) 300 37.80
     80057 Z D-DIMER 300 53.55
     83120 Z DIGOXIN 234 50.40
     83130 Z DILANTIN 234 50.40
     83556 Z DRUG SCREEN STAT 234 51.45
     83777 Z EPSTEIN BAR VIRUS IgG 234 35.70
     83126 Z FREE T3 234 75.60
     83127 Z FREE T4 300 22.05
     83741 Z FUNGUS 300 148.05
     83160 Z GGT 234 29.40
     83004 Z GLYCOHEMOGLOBIN (AIC) 300 42.00
     83565 Z H & H 234 29.40
     83286 Z Hcg SERUM QUANT 300 31.50
     83017 Z HDL 234 29.40
     83570 Z HEALTH PROFILE 234 100.80
     83078 Z HEPATITIS ACUTE ABC 300 91.35
     83743 Z HIV screen 1 and 2 300 116.55
     83288 Z IgG 300 26.25
     83287 Z IgM 300 26.25
     83215 Z IRON & TIBC 234 46.20
     83012 Z KOH 234 33.60
     83230 Z LDH 234 29.40
     83079 Z LH 300 31.50
     83077 Z LIPASE 300 29.40
     83550 Z LIVER PROFILE (9 TESTS) (HEPATIC) 234 29.40
     83552 Z LYME DISEASE ANTIBODY 234 115.50
     83470 Z MONO 234 28.35
     83361 Z MYOGLOBIN 234 28.35
     84013 Z OVA & PARASITE 300 117.60
     83430 Z PHENOBARB 234 50.40
     83009 Z PROLACTIN 234 84.00
     83480 Z R.A. 234 28.35
     83490 Z RPR 234 31.50
     83002 Z RSV CULTURE 234 118.65
     83495 Z RUBELLA 234 51.45
     80046 Z SALICYLATES 300 50.40
     83270 Z SGOT 234 29.40
     83280 Z SGPT 234 29.40
     83007 Z STONE ANALYSIS 234 28.35
     83435 Z TEGRETOL 234 50.40
     83006 Z TESTOSTERONE 234 144.90
     83450 Z THEOPHYLLINE 234 50.40
     83555 Z TSH 300 42.00
     83520 Z URINE PREG TEST 234 31.50
     80056 Z VALPROIC ACID 300 50.40
     83301 Z VANCOMYCIN 234 69.30
     83015 Z WET PREP CULTURE 300 30.45
     84016 ZAFB CULTURE 300 79.80
     84015 ZAFB SMEAR 300 30.45
     83018 ZAH5 PROFILE (LIPID, ALK PHOS, GGT) 234 48.30
     82014 Z-BNP 300 46.20
     83976 Z-CULTURE BLOOD 300 30.00
     81006 Z-FLU A & B 300 52.50
    302629 ZIDOVUDINE (RETROVIR) 50MG/5ML SYRUP 250 155.50
    302748 ZINACEF 1.5GM/NS 100ML**** 250 56.00
    303973 ZINC OX/MENTHOL 0.45-20%  OINT 113GM 250 28.00
    301219 ZINC OXIDE OINT      20Z. 250 25.00
      9337 ZIP WIRE M00146308B1 270 115.50
    301865 ZOFRAN (ONDANSETRON):2MG/ML 2ML VIAL 250 89.85
      5010 ZOLL DEFIB PAD ADULT 270 136.91
      4235 ZOLL PEDIATRIC 02 SENSOR 270 61.95
    301740 ZOLPIDEM (AMBIEN) 5MG TAB 250 28.00
     83014 ZZZ GLYCOHEMOGLOBIN 234 25.00