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 12x12 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 |