TidalHealth Nanticoke "As of September 15, 2023" Charge Description Master Revenue Code CPT/HCPCS NDC Gross Charges Aetna HMO Aetna Medicare Aetna Amerihealth BCBS of Delaware Cigna Cigna Medicare Health Options Humana Medicare United Managed Care United Medicare United Medicare PPO Discounted Cash Price De-Identified Minimum Negotiated Charge De-Identified Maximum Negotiated Charge HC DAILY CARE MSU 120 N/A N/A 875 543.48 308.38 427.87 208.4 484.44 592.68 290.11 161.55 306.25 636.58 316.89 346.28 315.41 161.55 636.58 HC DAILY CARE PSSU 120 N/A N/A 875 543.48 308.38 427.87 208.4 484.44 592.68 290.11 161.55 306.25 636.58 316.89 346.28 315.41 161.55 636.58 HC DAILY CARE SSU 120 N/A N/A 875 543.48 308.38 427.87 208.4 484.44 592.68 290.11 161.55 306.25 636.58 316.89 346.28 315.41 161.55 636.58 HC DAILY CARE CDU 120 N/A N/A 1175 729.81 414.11 574.57 279.85 650.53 795.89 389.57 216.94 411.25 854.84 425.53 465.01 423.55 216.94 854.84 HC DAILY CARE OB 120 N/A N/A 875 543.48 308.38 427.87 208.4 484.44 592.68 290.11 161.55 306.25 636.58 316.89 346.28 315.41 161.55 636.58 HC DAILY CARE PROGRESSIVE CARE UNIT 160 N/A N/A 1175 729.81 414.11 574.57 279.85 650.53 795.89 389.57 216.94 411.25 854.84 425.53 465.01 423.55 216.94 854.84 HC DAILY CARE PCU HC 160 N/A N/A 1175 729.81 414.11 574.57 279.85 650.53 795.89 389.57 216.94 411.25 854.84 425.53 465.01 423.55 216.94 854.84 HC DAILY CARE NURSERY 170 N/A N/A 600 372.67 211.46 293.4 142.9 332.18 406.41 198.93 110.78 210 436.51 217.29 237.45 216.28 110.78 436.51 NEWBORN LEVEL 1 NORM FT/PRETERM NEO 171 92586 N/A 625 388.2 220.27 305.62 148.85 346.03 423.34 207.22 115.4 218.75 454.7 226.35 247.34 225.29 115.4 454.7 NEWBORN LEVEL 2 LOW BIRTH WEIGHT NEO 172 92586 N/A 650 403.73 229.08 317.85 154.81 359.87 440.28 215.51 120.01 227.5 472.89 235.4 257.24 234.3 120.01 472.89 NEWBORN LEVEL 3 SICK NEO ICU 173 92586 N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 HC DAILY CARE CICU 200 N/A N/A 2400 "1,490.68" 845.83 "1,173.59" 571.6 "1,328.74" "1,625.64" 795.72 443.12 840 "1,746.06" 869.18 949.8 865.12 443.12 "1,746.06" HC INFLUENZA ADMIN 771 G0008 N/A 0.01 0.01 0 0 0 0.01 0.01 0 0 0.0035 0.01 0 0 0 0 0.01 HC PNEUMOCOCCAL ADMIN 771 G0009 N/A 0.01 0.01 0 0 0 0.01 0.01 0 0 0.0035 0.01 0 0 0 0 0.01 HC BLOOD SPECIMEN FROM IMPLANTED DEVICE 260 36591 N/A 204 126.71 71.9 99.75 48.59 112.94 138.18 67.64 37.67 71.4 148.42 73.88 80.73 73.54 37.67 148.42 HC INFUSION HYDRATION 0-1 HR 260 96360 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 HC INFUSION HYDRATION EACH ADD HR 260 96361 N/A 101 62.73 35.6 49.39 24.05 55.92 68.41 33.49 18.65 35.35 73.48 36.58 39.97 36.41 18.65 73.48 HC INFUSION THERAPY NON CHEMO 0-1HR 260 96365 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC INFUSION NON CHEMO EACH ADD HR 260 96366 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC INFUS NON CHEMO SEQUENTIAL 0-1HR 260 96367 N/A 169 104.97 59.56 82.64 40.25 93.57 114.47 56.03 31.2 59.15 122.95 61.2 66.88 60.92 31.2 122.95 HC INFUSION THERPAY CONCURRENT 260 96368 N/A 204 126.71 71.9 99.75 48.59 112.94 138.18 67.64 37.67 71.4 148.42 73.88 80.73 73.54 37.67 148.42 HC INJ. NON CHEMO INTRAMUSCULAR/SUB 260 96372 N/A 204 126.71 71.9 99.75 48.59 112.94 138.18 67.64 37.67 71.4 148.42 73.88 80.73 73.54 37.67 148.42 HC INJ. NON CHEMO IV PUSH INITIAL 260 96374 N/A 240 149.07 84.58 117.36 57.16 132.87 162.56 79.57 44.31 84 174.61 86.92 94.98 86.51 44.31 174.61 HC INJ NON CHEMO IV PUSH SEQUENTIAL 260 96375 N/A 358 222.36 126.17 175.06 85.26 198.2 242.49 118.7 66.1 125.3 260.45 129.65 141.68 129.05 66.1 260.45 "HC THERAPEUTIC,PROPHYLATIC,DIAG INJ EA ADD'L PUSH NEW DRUG" 260 96376 N/A 125 77.64 44.05 61.12 29.77 69.21 84.67 41.44 23.08 43.75 90.94 45.27 49.47 45.06 23.08 90.94 HC XR INTRATHECAL INJ OF CHEMO 260 96450 N/A 362 224.84 127.58 177.02 86.22 200.42 245.2 120.02 66.84 126.7 263.36 131.1 143.26 130.49 66.84 263.36 HC IRRIGATION IMPLANTED VENOUS ACCES 260 96523 N/A 143.7 89.25 50.64 70.27 34.22 79.56 97.34 47.64 26.53 50.295 104.55 52.04 56.87 51.8 26.53 104.55 KIT EPISTAT 270 N/A N/A 266 165.22 93.75 130.07 63.35 147.27 180.18 88.19 49.11 93.1 193.52 96.33 105.27 95.88 49.11 193.52 TRAY PACK 5/6 FR 270 N/A N/A 64.09 39.81 22.59 31.34 15.26 35.48 43.41 21.25 11.83 22.4315 46.63 23.21 25.36 23.1 11.83 46.63 "MASK,FULL FACE SMALL W/HG" 270 N/A N/A 50.46 31.34 17.78 24.67 12.02 27.94 34.18 16.73 9.32 17.661 36.71 18.27 19.97 18.19 9.32 36.71 "MASK,FULL FACE MED W/HG" 270 N/A N/A 50 31.06 17.62 24.45 11.91 27.68 33.87 16.58 9.23 17.5 36.38 18.11 19.79 18.02 9.23 36.38 KIT PLEURA-SEAL THORACENTESIS 270 N/A N/A 118 73.29 41.59 57.7 28.1 65.33 79.93 39.12 21.79 41.3 85.85 42.73 46.7 42.54 21.79 85.85 "BELT, SECURITY ROLL- UNIVERSAL" 270 N/A N/A 60.22 37.4 21.22 29.45 14.34 33.34 40.79 19.97 11.12 21.077 43.81 21.81 23.83 21.71 11.12 43.81 TRACH CUFF 8DCT 270 N/A N/A 90.22 56.04 31.8 44.12 21.49 49.95 61.11 29.91 16.66 31.577 65.64 32.67 35.7 32.52 16.66 65.64 TRACH CUFF FENSTRATED LO PRESS 270 N/A N/A 64.4 40 22.7 31.49 15.34 35.65 43.62 21.35 11.89 22.54 46.85 23.32 25.49 23.21 11.89 46.85 TRACH CUFF LOW PRESSURE 4 270 N/A N/A 117.89 73.22 41.55 57.65 28.08 65.27 79.85 39.09 21.77 41.2615 85.77 42.69 46.66 42.5 21.77 85.77 TRACH CUFF TB LP6 270 N/A N/A 91.7 56.96 32.32 44.84 21.84 50.77 62.11 30.4 16.93 32.095 66.71 33.21 36.29 33.05 16.93 66.71 TUBE CUFFLESS TRACH #8 270 N/A N/A 83.42 51.81 29.4 40.79 19.87 46.18 56.5 27.66 15.4 29.197 60.69 30.21 33.01 30.07 15.4 60.69 TRACH CUFFLESS FENSTRATED 4 270 N/A N/A 96.44 59.9 33.99 47.16 22.97 53.39 65.32 31.97 17.81 33.754 70.16 34.93 38.17 34.76 17.81 70.16 NEEDLE SPINAL WHITACRE 22F X 3.5 272 N/A N/A 82.68 51.35 29.14 40.43 19.69 45.78 56 27.41 15.27 28.938 60.15 29.94 32.72 29.8 15.27 60.15 KIT MONITOR SINGLE LINE VAMP 270 N/A N/A 92.78 57.63 32.7 45.37 22.1 51.37 62.84 30.76 17.13 32.473 67.5 33.6 36.72 33.44 17.13 67.5 AEROBIKA OPEP 270 N/A N/A 90.02 55.91 31.73 44.02 21.44 49.84 60.98 29.85 16.62 31.507 65.49 32.6 35.63 32.45 16.62 65.49 TRAC MED. DRESSING KIT 270 N/A N/A 83.03 51.57 29.26 40.6 19.78 45.97 56.24 27.53 15.33 29.0605 60.41 30.07 32.86 29.93 15.33 60.41 CANISTER INFO VAC 270 N/A N/A 69.07 42.9 24.34 33.77 16.45 38.24 46.78 22.9 12.75 24.1745 50.25 25.01 27.33 24.9 12.75 50.25 TRACH CUFFLESS FENSTRATED 6CFN 270 N/A N/A 132.46 82.27 46.68 64.77 31.55 73.34 89.72 43.92 24.46 46.361 96.37 47.97 52.42 47.75 24.46 96.37 TRACH TUBE FOAM CUFFED #7 270 N/A N/A 204.44 126.98 72.05 99.97 48.69 113.19 138.48 67.78 37.75 71.554 148.74 74.04 80.91 73.69 37.75 148.74 TUBE CUFFLESS TRACH #6 270 N/A N/A 121.94 75.74 42.98 59.63 29.04 67.51 82.6 40.43 22.51 42.679 88.71 44.16 48.26 43.96 22.51 88.71 CATHETER-SWAN GANZ 7.5FR PACEPORT 270 N/A N/A 97.86 60.78 34.49 47.85 23.31 54.18 66.29 32.45 18.07 34.251 71.2 35.44 38.73 35.28 18.07 71.2 NEED MARROW BONE STERILE 270 N/A N/A 65.98 40.98 23.25 32.26 15.71 36.53 44.69 21.88 12.18 23.093 48 23.9 26.11 23.78 12.18 48 "SKIN TEMP PROBE, DISPOSABLE" 270 N/A N/A 480 298.14 169.17 234.72 114.32 265.75 325.13 159.14 88.62 168 349.21 173.84 189.96 173.02 88.62 349.21 TIPS BILICHECK DISP CALIBRATION 270 N/A N/A 540.22 335.54 190.39 264.16 128.66 299.09 365.92 179.11 99.74 189.077 393.02 195.64 213.79 194.73 99.74 393.02 TRAY EPIDURAL 270 N/A N/A 68.57 42.59 24.17 33.53 16.33 37.96 46.45 22.73 12.66 23.9995 49.89 24.83 27.14 24.72 12.66 49.89 TRACH TUBE FOAM CUFFED #8 270 N/A N/A 205.2 127.45 72.32 100.34 48.87 113.61 138.99 68.03 37.89 71.82 149.29 74.31 81.21 73.97 37.89 149.29 TUBE TRACH SHILEY PERC SZ6 DUAL CANN 270 N/A N/A 869.74 540.21 306.52 425.3 207.14 481.52 589.12 288.36 160.58 304.409 632.76 314.98 344.2 313.51 160.58 632.76 SWAN TUBING 10/CS 270 N/A N/A 293.56 182.33 103.46 143.55 69.92 162.53 198.84 97.33 54.2 102.746 213.57 106.31 116.18 105.82 54.2 213.57 "MASK, FULL FACE XSMALL W/HG" 270 N/A N/A 50.94 31.64 17.95 24.91 12.13 28.2 34.5 16.89 9.41 17.829 37.06 18.45 20.16 18.36 9.41 37.06 TRACH CUFFED NONFEN 4 270 N/A N/A 90.22 56.04 31.8 44.12 21.49 49.95 61.11 29.91 16.66 31.577 65.64 32.67 35.7 32.52 16.66 65.64 TRACH CUFFLESS FENSTRATED 8CFN 270 N/A N/A 97.81 60.75 34.47 47.83 23.3 54.15 66.25 32.43 18.06 34.2335 71.16 35.42 38.71 35.26 18.06 71.16 TRAY PACK 8 270 N/A N/A 143.94 89.4 50.73 70.39 34.28 79.69 97.5 47.72 26.58 50.379 104.72 52.13 56.96 51.89 26.58 104.72 PULSE OX PROBE WRAP 270 N/A N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 PLUER E VAC INFANT 270 N/A N/A 356 221.12 125.47 174.08 84.79 197.1 241.14 118.03 65.73 124.6 259 128.93 140.89 128.33 65.73 259 TRAY AMNIOCENTSIS 270 N/A N/A 59 36.65 20.79 28.85 14.05 32.66 39.96 19.56 10.89 20.65 42.92 21.37 23.35 21.27 10.89 42.92 ALGO NEWBORN HEARING SCREENING 270 N/A N/A 54 33.54 19.03 26.41 12.86 29.9 36.58 17.9 9.97 18.9 39.29 19.56 21.37 19.47 9.97 39.29 "MASK, FULL FACE LARGE W/ HG" 270 N/A N/A 25.25 15.68 8.9 12.35 6.01 13.98 17.1 8.37 4.66 8.8375 18.37 9.14 9.99 9.1 4.66 18.37 HC FOLEY CATHETER TRAY 270 N/A N/A 47.52 29.52 16.75 23.24 11.32 26.31 32.19 15.76 8.77 16.632 34.57 17.21 18.81 17.13 8.77 34.57 HC DAVINCI PACK 270 N/A N/A 280.8 174.41 98.96 137.31 66.88 155.46 190.2 93.1 51.85 98.28 204.29 101.69 111.13 101.22 51.85 204.29 HC APLIGAF-PER 44 SQ CM 270 Q4101 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC THERASKIN 2X3 270 Q4121 N/A 117.58 73.03 41.44 57.5 28 65.1 79.64 38.98 21.71 41.153 85.54 42.58 46.53 42.38 21.71 85.54 HC THERASKIN 1X1 636 Q4121 N/A 497 308.69 175.16 243.03 118.37 275.16 336.64 164.78 91.76 173.95 361.58 179.99 196.69 179.15 91.76 361.58 HC PURAPLY AM 2 X 2 761 Q4196 N/A 317.47 197.19 111.89 155.24 75.61 175.76 215.04 105.26 58.62 111.1145 230.97 114.97 125.64 114.44 58.62 230.97 HC PURAPLY AM 2 X 4 761 Q4196 N/A 317.47 197.19 111.89 155.24 75.61 175.76 215.04 105.26 58.62 111.1145 230.97 114.97 125.64 114.44 58.62 230.97 HC OASIS 3.5CM X 3.0CM TRIPLE LAYER 270 Q4124 N/A 551 342.23 194.19 269.44 131.23 305.06 373.22 182.68 101.73 192.85 400.87 199.55 218.06 198.62 101.73 400.87 HC HEADBAND EEG PEDIATRIC 270 N/A N/A 1500 931.67 528.65 733.49 357.25 830.46 "1,016.03" 497.33 276.95 525 "1,091.29" 543.23 593.63 540.7 276.95 "1,091.29" HC HEADBAND EEG ADULT MEDIUM/LARGE 270 N/A N/A 1500 931.67 528.65 733.49 357.25 830.46 "1,016.03" 497.33 276.95 525 "1,091.29" 543.23 593.63 540.7 276.95 "1,091.29" HC MC CRUTCH PUSH BUTTON ADJUSTABLE ALUMINUM YOUTH 54 TO 62IN 270 N/A N/A 56 34.78 19.74 27.38 13.34 31 37.93 18.57 10.34 19.6 40.74 20.28 22.16 20.19 10.34 40.74 HC MC CRUTCH ADJUSTABLE PUSH BUTTON ALUMINUM ADULT MEDIUM 62 TO 70 270 N/A N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 HC MC CRUTCH PUSH BUTTON ADJUSTABLE ALUMINUM ADULT TALL 70 TO 78IN 270 N/A N/A 43 26.71 15.15 21.03 10.24 23.81 29.13 14.26 7.94 15.05 31.28 15.57 17.02 15.5 7.94 31.28 HC MC SENSOR PULSE OXIMETER FINGER DISPOSABLE ADULT 18IN 270 N/A N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 DISPENSE MALE CONDOM TO MALE OR FEMALE 270 A4267 N/A 212 131.68 74.72 103.67 50.49 117.37 143.6 70.29 39.14 74.2 154.24 76.78 83.9 76.42 39.14 154.24 AEROSOL MASK 270 A7015 N/A 317 196.89 111.72 155.01 75.5 175.5 214.72 105.1 58.53 110.95 230.63 114.8 125.45 114.27 58.53 230.63 NEBULIZER TUBING 270 A7016 N/A 438 272.05 154.36 214.18 104.32 242.5 296.68 145.22 80.87 153.3 318.66 158.62 173.34 157.88 80.87 318.66 "ALBUTEROL,INHALATION SOLUTION, UP TO 2.5 MG" 270 J7620 N/A 438 272.05 154.36 214.18 104.32 242.5 296.68 145.22 80.87 153.3 318.66 158.62 173.34 157.88 80.87 318.66 CONTRACEPTIVE PILLS FOR BIRTH CONTROL 270 S4993 N/A 438 272.05 154.36 214.18 104.32 242.5 296.68 145.22 80.87 153.3 318.66 158.62 173.34 157.88 80.87 318.66 CATHETER PHILLIPS 10FR 272 N/A N/A 216.42 134.42 76.27 105.83 51.54 119.82 146.59 71.75 39.96 75.747 157.45 78.38 85.65 78.01 39.96 157.45 CATHETER PHILLIPS 16FR 272 N/A N/A 148.08 91.97 52.19 72.41 35.27 81.98 100.3 49.1 27.34 51.828 107.73 53.63 58.6 53.38 27.34 107.73 CATHETER PHILLIPS 22FR 272 N/A N/A 131.66 81.78 46.4 64.38 31.36 72.89 89.18 43.65 24.31 46.081 95.79 47.68 52.1 47.46 24.31 95.79 CATHETER PHILLIPS 8FR 272 N/A N/A 109.61 68.08 38.63 53.6 26.11 60.68 74.24 36.34 20.24 38.3635 79.74 39.7 43.38 39.51 20.24 79.74 KIT HIGH FLOW MAC SHEATH INTRODUCER 270 N/A N/A 1190.6 739.5 419.6 582.2 283.56 659.17 806.45 394.74 219.82 416.71 866.19 431.18 471.18 429.17 219.82 866.19 NEEDLE SET EZ IO 15MM PEDIATRIC 272 N/A N/A 1150 714.28 405.3 562.34 273.89 636.69 778.95 381.28 212.33 402.5 836.65 416.48 455.11 414.54 212.33 836.65 BOUGIE ENDOTRACHEAL TUBE INTRODUCER 272 N/A N/A 139.42 86.6 49.14 68.18 33.21 77.19 94.44 46.22 25.74 48.797 101.43 50.49 55.18 50.26 25.74 101.43 QUIKCLOT 4X4 XRAY 272 N/A N/A 371.6 230.81 130.96 181.71 88.5 205.73 251.7 123.2 68.61 130.06 270.35 134.58 147.06 133.95 68.61 270.35 QUIKCLOT ZFOLD HEMOSTATIC 3X4 XRAY 272 N/A N/A 900.2 559.13 317.26 440.19 214.4 498.39 609.75 298.46 166.21 315.07 654.92 326.01 356.26 324.49 166.21 654.92 TRAY FOLEY LF 16FR TEMP SENSING 272 N/A N/A 68.98 42.84 24.31 33.73 16.43 38.19 46.72 22.87 12.74 24.143 50.18 24.98 27.3 24.86 12.74 50.18 PNEUMOTHORAX SET WAYNE 10.2F 272 N/A N/A 416 258.38 146.61 203.42 99.08 230.31 281.78 137.92 76.81 145.6 302.65 150.66 164.63 149.95 76.81 302.65 SURGIFLO (FLOSEAL) 272 N/A N/A 387.99 240.99 136.74 189.72 92.41 214.81 262.81 128.64 71.64 135.7965 282.27 140.51 153.55 139.86 71.64 282.27 HYPERFLEX TRACH TUBE SZ-8 272 N/A N/A 380.32 236.22 134.04 185.97 90.58 210.56 257.61 126.1 70.22 133.112 276.69 137.74 150.51 137.09 70.22 276.69 COMBI TUBE 41FR 272 N/A N/A 355.52 220.82 125.3 173.85 84.67 196.83 240.81 117.87 65.64 124.432 258.65 128.75 140.7 128.15 65.64 258.65 TUBE TRACH SHILEY PERC SZ8 DUAL CANN 272 N/A N/A 869.74 540.21 306.52 425.3 207.14 481.52 589.12 288.36 160.58 304.409 632.76 314.98 344.2 313.51 160.58 632.76 COMBITUBE 37 F 272 N/A N/A 319.88 198.68 112.74 156.42 76.19 177.1 216.67 106.06 59.06 111.958 232.72 115.85 126.59 115.31 59.06 232.72 POSITIONER ARTERIAL LINE 272 N/A N/A 223.4 138.76 78.73 109.24 53.21 123.68 151.32 74.07 41.25 78.19 162.53 80.91 88.41 80.53 41.25 162.53 CATHETER UMBILICAL 8 FR TRIPLE LUMEN 272 N/A N/A 82.5 51.24 29.08 40.34 19.65 45.68 55.88 27.35 15.23 28.875 60.02 29.88 32.65 29.74 15.23 60.02 CATHETER UMBILICAL 3.5 FR DOUBLE LUMEN 272 N/A N/A 65.91 40.94 23.23 32.23 15.7 36.49 44.64 21.85 12.17 23.0685 47.95 23.87 26.08 23.76 12.17 47.95 CATHETER UMBILICAL 5 FR DOUBLE LUMEN 272 N/A N/A 62.71 38.95 22.1 30.66 14.94 34.72 42.48 20.79 11.58 21.9485 45.62 22.71 24.82 22.6 11.58 45.62 "IUPC, CATHETERS-INTRAN PLUS" 272 N/A N/A 600 372.67 211.46 293.4 142.9 332.18 406.41 198.93 110.78 210 436.51 217.29 237.45 216.28 110.78 436.51 UMBILICUP 272 N/A N/A 459.86 285.63 162.07 224.87 109.52 254.6 311.49 152.47 84.91 160.951 334.56 166.54 181.99 165.76 84.91 334.56 PATIENT CIRCUIT HIGHFLOW 272 N/A N/A 904 561.49 318.6 442.05 215.3 500.49 612.33 299.72 166.91 316.4 657.68 327.39 357.76 325.86 166.91 657.68 NEEDLE SET EZ IO BLUE 25MM ADULT 272 N/A N/A 1314 816.15 463.09 642.54 312.95 727.49 890.04 435.66 242.61 459.9 955.97 475.87 520.02 473.65 242.61 955.97 NEEDLE SET EZ IO YELLOW 15G 272 N/A N/A 1366 848.44 481.42 667.97 325.34 756.27 925.26 452.9 252.21 478.1 993.8 494.71 540.6 492.4 252.21 993.8 POST PARTUM BALLOON 24 FR 272 N/A N/A 651 404.35 229.43 318.34 155.05 360.42 440.96 215.84 120.2 227.85 473.62 235.76 257.63 234.66 120.2 473.62 CATHETER BARTHOLIN GLAND CH10 5CC 272 C1729 N/A 454 281.99 160 222 108.13 251.35 307.52 150.52 83.82 158.9 330.3 164.42 179.67 163.65 83.82 330.3 "CHEST DRAIN VALVE,HEIMLICH" 272 C1729 N/A 471 292.55 166 230.32 112.18 260.77 319.03 156.16 86.96 164.85 342.66 170.58 186.4 169.78 86.96 342.66 THORACIC CATHETER 8 FR 272 C1729 N/A 475 295.03 167.4 232.27 113.13 262.98 321.74 157.49 87.7 166.25 345.57 172.02 187.98 171.22 87.7 345.57 THORACIC CATHETER 10 FR 272 N/A N/A 488 303.1 171.99 238.63 116.23 270.18 330.55 161.8 90.1 170.8 355.03 176.73 193.13 175.91 90.1 355.03 CATHETER QUAD LUMEN 272 C1751 N/A 488 303.1 171.99 238.63 116.23 270.18 330.55 161.8 90.1 170.8 355.03 176.73 193.13 175.91 90.1 355.03 "SPRING WIRE J .025"" X 35CM" 272 C1769 N/A 494 306.83 174.1 241.56 117.65 273.5 334.61 163.79 91.21 172.9 359.4 178.91 195.5 178.07 91.21 359.4 SPRING WIRE .018 X 25CM (A-LINE) 272 C1769 N/A 707 439.13 249.17 345.72 168.38 391.42 478.89 234.41 130.54 247.45 514.36 256.04 279.8 254.85 130.54 514.36 "SPRING WIRE .032"" X 60CM (C-LINE)" 272 C1769 N/A 707 439.13 249.17 345.72 168.38 391.42 478.89 234.41 130.54 247.45 514.36 256.04 279.8 254.85 130.54 514.36 CVC GUILD FOR QUAD LUMEN CATH 272 C1769 N/A 707 439.13 249.17 345.72 168.38 391.42 478.89 234.41 130.54 247.45 514.36 256.04 279.8 254.85 130.54 514.36 COLLAR VISTA 274 L0172 N/A 732 454.66 257.98 357.94 174.34 405.27 495.82 242.69 135.15 256.2 532.55 265.1 289.69 263.86 135.15 532.55 SLING SAM MEDIUM 32-50 274 L0621 N/A 732 454.66 257.98 357.94 174.34 405.27 495.82 242.69 135.15 256.2 532.55 265.1 289.69 263.86 135.15 532.55 SLING SAM LARGE 36-60 274 L0621 N/A 767 476.4 270.31 375.06 182.67 424.64 519.53 254.3 141.61 268.45 558.01 277.77 303.54 276.48 141.61 558.01 SLING SAM SMALL 27-47 274 L0621 N/A 1232 765.21 434.2 602.44 293.42 682.09 834.5 408.47 227.47 431.2 896.31 446.18 487.57 444.09 227.47 896.31 HC LEFT VENTRICULAR LEAD 275 C1900 N/A 4726 "2,935.39" "1,665.59" "2,310.99" "1,125.58" "2,616.51" "3,201.16" "1,566.91" 872.58 1654.1 "3,438.28" "1,711.55" "1,870.32" "1,703.56" 872.58 "3,438.28" HC PACEMAKER OTHER THAN SINGLE OR DUAL LEAD 275 C2621 N/A 16095 "9,996.85" "5,672.38" "7,870.37" "3,833.31" "8,910.86" "10,901.96" "5,336.30" "2,971.68" 5633.25 "11,709.51" "5,828.91" "6,369.61" "5,801.71" "2,971.68" "11,709.51" TRAY CENTRAL LINE TRIPLE 7FR X 20 ARROW 278 C1751 N/A 184.77 114.76 65.12 90.35 44.01 102.3 125.15 61.26 34.11 64.6695 134.42 66.92 73.12 66.6 34.11 134.42 TRACY CENTRAL QUAD 8.5FR X 16CM ARROW 278 C1751 N/A 224.72 139.58 79.2 109.89 53.52 124.41 152.21 74.51 41.49 78.652 163.49 81.38 88.93 81 41.49 163.49 12X20 CATH KIT LG BORE MULT-LUMEN NU0125 278 C1751 N/A 163.5 101.55 57.62 79.95 38.94 90.52 110.75 54.21 30.19 57.225 118.95 59.21 64.71 58.94 30.19 118.95 HC 12X16 CATH KIT LG BORE MULTILUMEN NU0123 278 C1751 N/A 25 15.53 8.81 12.22 5.95 13.84 16.93 8.29 4.62 8.75 18.19 9.05 9.89 9.01 4.62 18.19 HC 12X16 CATH KIT LG BORE MULTILUMEN (SUB) 278 C1751 N/A 27.5 17.08 9.69 13.45 6.55 15.23 18.63 9.12 5.08 9.625 20.01 9.96 10.88 9.91 5.08 20.01 CATHETER FILIFORM 3FR 278 C1758 N/A 27.5 17.08 9.69 13.45 6.55 15.23 18.63 9.12 5.08 9.625 20.01 9.96 10.88 9.91 5.08 20.01 CATHETER FILIFORM 4FR 278 C1758 N/A 27.5 17.08 9.69 13.45 6.55 15.23 18.63 9.12 5.08 9.625 20.01 9.96 10.88 9.91 5.08 20.01 CATHETER FILIFORM 5R 278 C1758 N/A 38 23.6 13.39 18.58 9.05 21.04 25.74 12.6 7.02 13.3 27.65 13.76 15.04 13.7 7.02 27.65 "HC NASH FIBROTEST, SERUM AND PLASMA" 300 0003M N/A 390 242.24 137.45 190.71 92.89 215.92 264.17 129.3 72.01 136.5 283.73 141.24 154.34 140.58 72.01 283.73 HC PSA SCREEN (PSAS) 300 G0103 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC LIVER DS ALYS 3 BMRK SRM ALG 300 0014M N/A 440.48 273.59 155.24 215.39 104.91 243.87 298.36 146.04 81.33 154.168 320.46 159.52 174.32 158.78 81.33 320.46 HC THYROSEQ 300 0026U N/A 7200 "4,472.03" "2,537.50" "3,520.76" "1,714.81" "3,986.22" "4,876.93" "2,387.16" "1,329.36" 2520 "5,238.18" "2,607.53" "2,849.41" "2,595.36" "1,329.36" "5,238.18" HC INFCT DS BCT/VIR RESP 22 TARGETS ARS/COV2 300 0202U N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 "HC INFECTIOUS DETECTION SARS-COV2,INFLUENZA A/B, RSV" 300 0241U N/A 214 132.92 75.42 104.64 50.97 118.48 144.95 70.95 39.51 74.9 155.69 77.5 84.69 77.14 39.51 155.69 HC VENIPUNCTURE 300 36415 N/A 13 8.07 4.58 6.36 3.1 7.2 8.81 4.31 2.4 4.55 9.46 4.71 5.14 4.69 2.4 9.46 VENIPUNCTURE-VENOUS 300 36415 N/A 13 8.07 4.58 6.36 3.1 7.2 8.81 4.31 2.4 4.55 9.46 4.71 5.14 4.69 2.4 9.46 HC VENIPUNCTURE 300 36415 N/A 13 8.07 4.58 6.36 3.1 7.2 8.81 4.31 2.4 4.55 9.46 4.71 5.14 4.69 2.4 9.46 HC NATERA DRAW CHARGE 300 36415 N/A 25 15.53 8.81 12.22 5.95 13.84 16.93 8.29 4.62 8.75 18.19 9.05 9.89 9.01 4.62 18.19 HC NH VENIPUNCTURE 300 36415 N/A 21 13.04 7.4 10.27 5 11.63 14.22 6.96 3.88 7.35 15.28 7.61 8.31 7.57 3.88 15.28 HC CHEM8(BASIC METABOLIC) 301 80048 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC ELECTROLYTES (LYTE) 301 80051 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC COMP METABOLIC PANEL (CMP) 301 80053 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 HC OBSTETRIC PANEL 300 80055 N/A 124 77.02 43.7 60.64 29.53 68.65 83.99 41.11 22.89 43.4 90.21 44.91 49.07 44.7 22.89 90.21 HC LIPID PROFILE (LIPD) 301 80061 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC RENAL PROFILE (RENAL) 301 80069 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC VIRAL HEPATITIS STUDY 300 80074 N/A 187 116.15 65.9 91.44 44.54 103.53 126.66 62 34.53 65.45 136.05 67.72 74.01 67.41 34.53 136.05 HC HEPATIC PANEL (LIVR) 301 80076 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC AMIKACIN 300 80150 N/A 60 37.27 21.15 29.34 14.29 33.22 40.64 19.89 11.08 21 43.65 21.73 23.75 21.63 11.08 43.65 HC CARBAMAZEPINE (TEG) 301 80156 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC CYCLOSPORIN (CYCLO) 301 80158 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 "HC ASSAY CARBAMAZEPHINE 10,11 EPOXIDE" 300 80161 N/A 46.6 28.94 16.42 22.79 11.1 25.8 31.56 15.45 8.6 16.31 33.9 16.88 18.44 16.8 8.6 33.9 "HC DIGOXIN, SERUM (DIG)" 300 80162 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC DEPAKENE (DEPK)(VA) 301 80164 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC GENTAMICIN 301 80170 N/A 208 129.19 73.31 101.71 49.54 115.16 140.89 68.96 38.4 72.8 151.33 75.33 82.32 74.98 38.4 151.33 HC LAMOTRIGINE (LAMO) 301 80175 N/A 45 27.95 15.86 22 10.72 24.91 30.48 14.92 8.31 15.75 32.74 16.3 17.81 16.22 8.31 32.74 HC LEVETIRACETAM (LEVE) 301 80177 N/A 45 27.95 15.86 22 10.72 24.91 30.48 14.92 8.31 15.75 32.74 16.3 17.81 16.22 8.31 32.74 "HC LITHIUM,SERUM (LI)" 301 80178 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC DRUG SCREEN QUANTITATIVE MYCOPHENOLATE 300 80180 N/A 62 38.51 21.85 30.32 14.77 34.33 42 20.56 11.45 21.7 45.11 22.45 24.54 22.35 11.45 45.11 HC PHENOBARBITAL (PHEN) 300 80184 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC DILANTIN (PTN) 300 80185 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC FK506(TACROLIMUS) 300 80197 N/A 208 129.19 73.31 101.71 49.54 115.16 140.89 68.96 38.4 72.8 151.33 75.33 82.32 74.98 38.4 151.33 HC AMINOPHYLLINE (THEO)(AMFN) 300 80198 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC VANCOMYCIN 301 80202 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC DRUG SCREEN QUANT ZONISAMIDE 300 80203 N/A 33.12 20.57 11.67 16.2 7.89 18.34 22.43 10.98 6.12 11.592 24.1 11.99 13.11 11.94 6.12 24.1 "HC LACOSAMIDE, S" 300 80235 N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 "HC DRUG SCREEN, ABBREV. (ADRUG)" 300 80307 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC DRUG SCREEN MECONIUM 300 80307 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC PRENATAL DRUG SCRN. (PNDS) 300 80307 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC SALICYLATE SERUM (SALI) 300 80179 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC ACETAMINOPHEN (ACE) 300 80143 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 "HC URINE DRUG SCREEN, INSTRUMENT CHEM ANALYZER" 300 80307 N/A 206.56 128.3 72.8 101.01 49.2 114.36 139.91 68.49 38.14 72.296 150.28 74.81 81.75 74.46 38.14 150.28 HC BLOOD ALCOHOL (ALCO) 301 80320 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 "HC DRUG SCREENING, FENTANYL" 300 80354 N/A 229 142.24 80.71 111.98 54.54 126.78 155.11 75.93 42.28 80.15 166.6 82.93 90.63 82.55 42.28 166.6 "HC OPIOIDS , OPIATE ANALOGS 1 OR 2" 300 G0480 N/A 286.07 177.68 100.82 139.89 68.13 158.38 193.77 94.85 52.82 100.1245 208.12 103.6 113.21 103.12 52.82 208.12 HC ADRENOCORTICOTROPHIC HORMONE (ACTH) STIM PANEL 300 80400 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC URINE DIPSTICK TEST(URDIP) 300 81000 N/A 12 7.45 4.23 5.87 2.86 6.64 8.13 3.98 2.22 4.2 8.73 4.35 4.75 4.33 2.22 8.73 HC URINE W/MICROSCOPIC (UWM) 307 81001 N/A 37 22.98 13.04 18.09 8.81 20.48 25.06 12.27 6.83 12.95 26.92 13.4 14.64 13.34 6.83 26.92 HC REFRACTOMETER SPECIFIC GRAVITY 300 81002 N/A 33 20.5 11.63 16.14 7.86 18.27 22.35 10.94 6.09 11.55 24.01 11.95 13.06 11.9 6.09 24.01 HC URINALYSIS ROUTINE 307 81003 N/A 25 15.53 8.81 12.22 5.95 13.84 16.93 8.29 4.62 8.75 18.19 9.05 9.89 9.01 4.62 18.19 HC UCG SPOT TEST (UCG) 300 81025 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC BRCA1/BRCA2 GENE ANALYSIS 300 81162 N/A 1913 "1,188.19" 674.2 935.45 455.62 "1,059.12" "1,295.77" 634.26 353.2 669.55 "1,391.75" 692.81 757.07 689.57 353.2 "1,391.75" HC BCR ABL P210 MRNA QUANT 300 81206 N/A 560 347.82 197.36 273.84 133.37 310.04 379.32 185.67 103.39 196 407.41 202.81 221.62 201.86 103.39 407.41 "HC BCR/ABL, RNA,QUAL, DIAGNOSTIC" 300 81206 N/A 560 347.82 197.36 273.84 133.37 310.04 379.32 185.67 103.39 196 407.41 202.81 221.62 201.86 103.39 407.41 HC BCR ABL P190 MRNA QUANT 300 81207 N/A 493 306.21 173.75 241.07 117.42 272.95 333.93 163.45 91.02 172.55 358.67 178.54 195.11 177.71 91.02 358.67 "HC BCR/ABL,RNA, QUAL MINOR QUAL, DIAGNOSTIC" 300 81207 N/A 493 306.21 173.75 241.07 117.42 272.95 333.93 163.45 91.02 172.55 358.67 178.54 195.11 177.71 91.02 358.67 "HC BCR/ABL, RNA, OTHER, QUAL, DIAGNOSTIC" 300 81208 N/A 203.99 126.7 71.89 99.75 48.58 112.94 138.17 67.63 37.66 71.3965 148.41 73.88 80.73 73.53 37.66 148.41 HC BRAF ANALYSIS 300 81210 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC CYSTIC FIB.CARRIER AND DETECTION 300 81220 N/A 557 345.96 196.3 272.37 132.66 308.38 377.28 184.67 102.84 194.95 405.23 201.72 220.43 200.78 102.84 405.23 HC FULL GENE SEQUENCE(CYSTIC FIBROSIS) 300 81223 N/A 3158.29 "1,961.66" "1,113.08" "1,544.39" 752.2 "1,748.56" "2,139.27" "1,047.13" 583.13 1105.4015 "2,297.73" "1,143.79" "1,249.90" "1,138.46" 583.13 "2,297.73" HC PROTHROMBIN 20210 MUTATION (PTGM) 300 81240 N/A 103 63.97 36.3 50.37 24.53 57.03 69.77 34.15 19.02 36.05 74.94 37.3 40.76 37.13 19.02 74.94 HC FACTOR V LEIDEN (F5DNA) 302 81241 N/A 196 121.74 69.08 95.84 46.68 108.51 132.76 64.98 36.19 68.6 142.59 70.98 77.57 70.65 36.19 142.59 HC HEMOCHROMATOSIS HFE GENE ANALYSIS 300 81256 N/A 222.93 138.47 78.57 109.01 53.09 123.42 151 73.91 41.16 78.0255 162.19 80.74 88.22 80.36 41.16 162.19 "HC HBA1/HBA2, GENE ANALYSIS, COMMON DELTIONS OR VARIANT" 300 81257 N/A 802.06 498.17 282.67 392.2 191.02 444.05 543.28 265.92 148.09 280.721 583.52 290.47 317.42 289.12 148.09 583.52 "HC HBA1,HBA2 FULL GENE SEQUENCE" 300 81259 N/A 1500 931.67 528.65 733.49 357.25 830.46 "1,016.03" 497.33 276.95 525 "1,091.29" 543.23 593.63 540.7 276.95 "1,091.29" HC JAK2 V617F MUTATION 310 81270 N/A 627 389.44 220.97 306.6 149.33 347.13 424.7 207.88 115.77 219.45 456.16 227.07 248.14 226.01 115.77 456.16 "HC MYELOPROLIFERATIVE NEOPLASM,JAK2 V617F W REFLEX" 300 81270 N/A 627 389.44 220.97 306.6 149.33 347.13 424.7 207.88 115.77 219.45 456.16 227.07 248.14 226.01 115.77 456.16 HC MLH1 HYPERMETHYLATION ANALYSIS 300 81288 N/A 411.65 255.68 145.08 201.29 98.04 227.91 278.83 136.48 76 144.0775 299.49 149.08 162.91 148.39 76 299.49 HC MYD88 L265P GENE MUTATION ANALYSIS (MYD88) 300 81305 N/A 427 265.22 150.49 208.8 101.7 236.4 289.23 141.57 78.84 149.45 310.65 154.64 168.99 153.92 78.84 310.65 "HC HLA CLASS I TYPING, LOW RESOLUTION, ONE ANTIGEN EQUIV" 300 81374 N/A 125 77.64 44.05 61.12 29.77 69.21 84.67 41.44 23.08 43.75 90.94 45.27 49.47 45.06 23.08 90.94 "HC MOLECULAR PATHOLOGY PROCEDURE, LEVEL 9" 300 81408 N/A 1486.25 923.13 523.8 726.77 353.98 822.85 "1,006.71" 492.77 274.41 520.1875 "1,081.28" 538.25 588.19 535.74 274.41 "1,081.28" HC FETAL CHRMOML ANEUPLOIDY 300 81420 N/A 1897.62 "1,178.64" 668.78 927.93 451.95 "1,050.60" "1,285.35" 629.16 350.36 664.167 "1,380.57" 687.24 750.99 684.03 350.36 "1,380.57" HC GENETIC TESTING FOR SEVERE INHERITED CONDITIONS 300 81443 N/A 6121.4 "3,802.10" "2,157.37" "2,993.33" "1,457.92" "3,389.06" "4,146.33" "2,029.55" "1,130.22" 2142.49 "4,453.47" "2,216.90" "2,422.55" "2,206.56" "1,130.22" "4,453.47" HC AFP MATERNAL 4 MARKER 300 81511 N/A 145.44 90.34 51.26 71.12 34.64 80.52 98.51 48.22 26.85 50.904 105.81 52.67 57.56 52.43 26.85 105.81 "HC INFECTIOUS DISEASE, BACTERIAL VAGINOSIS, QUANT REAL TIME AMP" 300 81513 N/A 356.57 221.47 125.67 174.36 84.92 197.41 241.52 118.22 65.83 124.7995 259.41 129.13 141.11 128.53 65.83 259.41 "HC FIBRO TEST ACTI TEST, S (FIBRO)" 300 81596 N/A 217 134.78 76.48 106.11 51.68 120.14 146.99 71.95 40.07 75.95 157.87 78.59 85.88 78.22 40.07 157.87 "HC KETONE BODIES SERUM, QUALITATIVE" 301 82009 N/A 19 11.8 6.7 9.29 4.53 10.52 12.87 6.3 3.51 6.65 13.82 6.88 7.52 6.85 3.51 13.82 HC BETA HYDROXYBUTYRATE (BHOB) 300 82010 N/A 29 18.01 10.22 14.18 6.91 16.06 19.64 9.61 5.35 10.15 21.1 10.5 11.48 10.45 5.35 21.1 HC ACTH (ACTH) 301 82024 N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 "HC ALBUMIN;SERUM, PLASMA OR WHOLE BLOOD" 301 82040 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 "HC ALBUMIN, URINE/OTHER SOURCE QUANTITATIVE EA." 301 82042 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 "HC URINE,MICROALBUMIN" 301 82043 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC ALDOLASE (ALSE) 301 82085 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC ALDOSTERONE 301 82088 N/A 298 185.09 105.02 145.72 70.97 164.99 201.85 98.8 55.02 104.3 216.8 107.92 117.93 107.42 55.02 216.8 HC ALPHA-1-ANTITRYPSIN (ALA) 301 82103 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 "HC CHG ALPHA-1-ANTITRYPSIN, PHENO" 301 82104 N/A 52 32.3 18.33 25.43 12.38 28.79 35.22 17.24 9.6 18.2 37.83 18.83 20.58 18.74 9.6 37.83 HC ALPHA-FETOPROTEIN (AFP) SERUM 301 82105 N/A 238 147.83 83.88 116.38 56.68 131.77 161.21 78.91 43.94 83.3 173.15 86.19 94.19 85.79 43.94 173.15 HC AMMONIA 301 82140 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC AMYLASE 301 82150 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC ANDROSTENEDIONE (ANDRS) 300 82157 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC ASSAY OF ANDROSTERONE 300 82160 N/A 64 39.75 22.56 31.3 15.24 35.43 43.35 21.22 11.82 22.4 46.56 23.18 25.33 23.07 11.82 46.56 HC ANGIOTENSIN I CONVERT ENZYME 301 82164 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC CHG ASSAY OF ALPOLIPOPROTEIN 300 82172 N/A 52 32.3 18.33 25.43 12.38 28.79 35.22 17.24 9.6 18.2 37.83 18.83 20.58 18.74 9.6 37.83 HC ARSENIC (ARSU) 300 82175 N/A 47.53 29.52 16.75 23.24 11.32 26.31 32.19 15.76 8.78 16.6355 34.58 17.21 18.81 17.13 8.78 34.58 HC BETA 2 MICROGLOBULIN (B2M) 300 82232 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC BILIRUBIN TOTAL 301 82247 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC DIRECT BILIRUBIN(DBIL) 301 82248 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC OCCULT BLD FECES (OCB) 300 82270 N/A 26 16.15 9.16 12.71 6.19 14.39 17.61 8.62 4.8 9.1 18.92 9.42 10.29 9.37 4.8 18.92 HC OCCULT BLOOD X2 300 82270 N/A 26 16.15 9.16 12.71 6.19 14.39 17.61 8.62 4.8 9.1 18.92 9.42 10.29 9.37 4.8 18.92 HC OCCULT BLOOD X3 300 82270 N/A 26 16.15 9.16 12.71 6.19 14.39 17.61 8.62 4.8 9.1 18.92 9.42 10.29 9.37 4.8 18.92 "HC BLOOD, OCCULT, QUAL, FECES, SINGLE SPECIMEN" 301 82272 N/A 37 22.98 13.04 18.09 8.81 20.48 25.06 12.27 6.83 12.95 26.92 13.4 14.64 13.34 6.83 26.92 HC FECAL OCCULT BLOOD IMMUNO 300 82274 N/A 57 35.4 20.09 27.87 13.58 31.56 38.61 18.9 10.52 19.95 41.47 20.64 22.56 20.55 10.52 41.47 HC VITAMIN D -25 HYDROXY 300 82306 N/A 353 219.25 124.41 172.62 84.07 195.44 239.1 117.04 65.18 123.55 256.82 127.84 139.7 127.24 65.18 256.82 HC CALCIUM TOTAL 301 82310 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC CALCIUM IONIZED 300 82330 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC CALCIUM RANDOM URINE 301 82340 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC STONE ANALYSIS (STONE) 301 82365 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC CO2 (CO2) 300 82374 N/A 71 44.1 25.02 34.72 16.91 39.31 48.09 23.54 13.11 24.85 51.65 25.71 28.1 25.59 13.11 51.65 HC RT CO-OX ANALYSIS 300 82375 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC CEA (CEAM) 300 82378 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 HC CERULOPLASMIN (CERMN) 301 82390 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 HC CHLORIDE URINE 301 82436 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC CHOLESTEROL (CHOL) 301 82465 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC COPPER 301 82525 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC CORTISOL FREE 301 82530 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC CORTISOL TOTAL 301 82533 N/A 208 129.19 73.31 101.71 49.54 115.16 140.89 68.96 38.4 72.8 151.33 75.33 82.32 74.98 38.4 151.33 "HC COLUMN CHROMATOGRAPHY, EACH SPECIMIN" 300 82542 N/A 62 38.51 21.85 30.32 14.77 34.33 42 20.56 11.45 21.7 45.11 22.45 24.54 22.35 11.45 45.11 HC CPK (CPK) 301 82550 N/A 91 56.52 32.07 44.5 21.67 50.38 61.64 30.17 16.8 31.85 66.2 32.96 36.01 32.8 16.8 66.2 HC CPK-MB (CKMB) 301 82553 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC CREATININE BLOOD 301 82565 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC CREATININE OTHER SOURCE 301 82570 N/A 22 13.66 7.75 10.76 5.24 12.18 14.9 7.29 4.06 7.7 16.01 7.97 8.71 7.93 4.06 16.01 HC CREAT CLEAR 24 HR (CRCL) 301 82575 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC CRYOGLOBULIN (CRY) 300 82595 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC B-12 (B12) 301 82607 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 "HC DHEA, SULFATE (DHEAS)" 301 82627 N/A 78 48.45 27.49 38.14 18.58 43.18 52.83 25.86 14.4 27.3 56.75 28.25 30.87 28.12 14.4 56.75 HC VITAMIN D - DIHYDROXY (VITDD) 301 82652 N/A 366 227.33 128.99 178.97 87.17 202.63 247.91 121.35 67.58 128.1 266.27 132.55 144.84 131.93 67.58 266.27 HC ERTHROPOIETIN (ERYTP) 301 82668 N/A 208 129.19 73.31 101.71 49.54 115.16 140.89 68.96 38.4 72.8 151.33 75.33 82.32 74.98 38.4 151.33 HC ESTRADIOL 300 82670 N/A 366 227.33 128.99 178.97 87.17 202.63 247.91 121.35 67.58 128.1 266.27 132.55 144.84 131.93 67.58 266.27 HC ESTRONE 300 82679 N/A 55 34.16 19.38 26.89 13.1 30.45 37.25 18.24 10.15 19.25 40.01 19.92 21.77 19.83 10.15 40.01 HC FERRITIN (FER) 301 82728 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC FETAL FIBRONECTIN (FFN) 301 82731 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 HC FOLIC ACID (FOL) 300 82746 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 "HC ASSAY OF FOLIC ACID, RBC" 300 82747 N/A 60 37.27 21.15 29.34 14.29 33.22 40.64 19.89 11.08 21 43.65 21.73 23.75 21.63 11.08 43.65 "HC IMMUNOGLOBULIN IGA,IGD,IGC,IGM EACH" 301 82784 N/A 51.14 31.76 18.02 25.01 12.18 28.31 34.64 16.96 9.44 17.899 37.21 18.52 20.24 18.43 9.44 37.21 HC IGE (IGE) 301 82785 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC IGG SUBGLASS (IGGS) 301 82787 N/A 28 17.39 9.87 13.69 6.67 15.5 18.97 9.28 5.17 9.8 20.37 10.14 11.08 10.09 5.17 20.37 HC RT VENOUS BG-ANALYSIS-ONLY (ABGA) 300 82800 N/A 37 22.98 13.04 18.09 8.81 20.48 25.06 12.27 6.83 12.95 26.92 13.4 14.64 13.34 6.83 26.92 HC RT BLOOD GAS ANALYSIS 300 82803 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 HC GLUCOSE FLUID 301 82945 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC GLUCOSE QUANTITATIVE BLOOD 301 82947 N/A 23 14.29 8.11 11.25 5.48 12.73 15.58 7.63 4.25 8.05 16.73 8.33 9.1 8.29 4.25 16.73 "HC GLUCOSE, POST GLUC. DOSE(INCLUDES GLUC)" 300 82950 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC GLUC. CHALLENGE SCREEN (GLUC) 300 82950 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC POST GLUCOSE TEST 301 82952 N/A 37 22.98 13.04 18.09 8.81 20.48 25.06 12.27 6.83 12.95 26.92 13.4 14.64 13.34 6.83 26.92 HC GLUCOSE TOL 5 HR (OGT5) 300 82951 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC GLUCOSE TOLERANCE TEST 3 SPECIMENS 300 82951 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC G6PD QUANTITATIVE (G6PDQ) 300 82955 N/A 40.79 25.34 14.38 19.95 9.71 22.58 27.63 13.52 7.53 14.2765 29.68 14.77 16.14 14.7 7.53 29.68 HC BLOOD GLUCOSE CHECK 300 82962 N/A 21 13.04 7.4 10.27 5 11.63 14.22 6.96 3.88 7.35 15.28 7.61 8.31 7.57 3.88 15.28 HC GGTP (GT) 301 82977 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 "HC FRUCTOSAMINE, SERUM" 301 82985 N/A 53 32.92 18.68 25.92 12.62 29.34 35.9 17.57 9.79 18.55 38.56 19.19 20.97 19.1 9.79 38.56 HC FSH (FSH) 301 83001 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 HC LH (LH) 301 83002 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 "HC HAPTOGLOBIN, BLD. (HAP)" 300 83010 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC H. PYLORI UREA BREATH TEST (UBT) 301 83013 N/A 229 142.24 80.71 111.98 54.54 126.78 155.11 75.93 42.28 80.15 166.6 82.93 90.63 82.55 42.28 166.6 HC HEAVY METAL QUANTITATIVE EACH 300 83018 N/A 75 46.58 26.43 36.67 17.86 41.52 50.8 24.87 13.85 26.25 54.56 27.16 29.68 27.03 13.85 54.56 HC HGB INVESTIGATION (HIN)(HELEC) 300 83020 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC HEMOGLOBIN A1C (A1C) 301 83036 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 "HC HOMOCYSTEINE, TL PLASMA (HCP)" 301 83090 N/A 329 204.35 115.95 160.88 78.36 182.15 222.85 109.08 60.74 115.15 239.36 119.15 130.2 118.59 60.74 239.36 HC 5-HIAA (HIAA) 301 83497 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC 17 HYDROXY PROGESTERONE (17HPG) 301 83498 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 "HC IMMUNOASSAY,NON INFECTIOUS DISEASE;MULTI, STEP" 301 83516 N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 HC IMMUNOASSAY ANALYTE QUANTITATIVE BY RADIOIMMUNOASSAY 300 83519 N/A 94 58.38 33.13 45.97 22.39 52.04 63.67 31.17 17.36 32.9 68.39 34.04 37.2 33.88 17.36 68.39 HC ACETYCHOLINE RECEPTOR AB (ACEAB) 300 83519 N/A 94 58.38 33.13 45.97 22.39 52.04 63.67 31.17 17.36 32.9 68.39 34.04 37.2 33.88 17.36 68.39 "HC METHOTREXATE, SERUM" 300 80204 N/A 96.42 59.89 33.98 47.15 22.96 53.38 65.31 31.97 17.8 33.747 70.15 34.92 38.16 34.76 17.8 70.15 HC TRYPTASE (TRYPT) 300 83520 N/A 78.67 48.86 27.73 38.47 18.74 43.55 53.29 26.08 14.53 27.5345 57.23 28.49 31.13 28.36 14.53 57.23 HC GLOM.BASEMENT AB (AGBM) 300 83520 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 "HC IMMUNOASSAY FOR ANALYTE, QUANTITATIVE NOT SPECIFIED" 300 83520 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 "HC THYROTROPIN RECEPTOR ANTIBODY,SERUM(THYRO)" 300 83520 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 "HC PANCREATIC ELASTASE, FECES" 300 83520 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 HC INSULIN (INLN) 301 83525 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 "HC IRON,SERUM (FEE)" 301 83540 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC LACTIC ACID (LACT) 301 83605 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 HC LDH 301 83615 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC FECAL LACTOFERRIN 300 83630 N/A 75.33 46.79 26.55 36.84 17.94 41.71 51.02 24.98 13.91 26.3655 54.8 27.28 29.81 27.15 13.91 54.8 HC LEAD 301 83655 N/A 36.19 22.48 12.75 17.7 8.62 20.04 24.51 12 6.68 12.6665 26.33 13.11 14.32 13.05 6.68 26.33 "HC LIPASE, SERUM (LPSE)" 301 83690 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC HDL CHOLESTEROL (HDL) 300 83718 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC DIRECT LOW DENSITY LIPOPROTEIN 300 83721 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC MAGNESIUM 301 83735 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC ASSAY OF MANGANESE 300 83785 N/A 69.87 43.4 24.62 34.17 16.64 38.68 47.33 23.17 12.9 24.4545 50.83 25.3 27.65 25.19 12.9 50.83 HC MASS SPECTROMETRY & TANDEM MASS SPECTR NON DRUG ANALYTES NOT SPEC. 300 83789 N/A 65 40.37 22.91 31.78 15.48 35.99 44.03 21.55 12 22.75 47.29 23.54 25.72 23.43 12 47.29 HC MERCURY (HGU) 300 83825 N/A 40.7 25.28 14.34 19.9 9.69 22.53 27.57 13.49 7.51 14.245 29.61 14.74 16.11 14.67 7.51 29.61 HC METANEPHRINES 301 83835 N/A 62 38.51 21.85 30.32 14.77 34.33 42 20.56 11.45 21.7 45.11 22.45 24.54 22.35 11.45 45.11 HC MYOGLOBIN 301 83874 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC B TYPE NATURIURETIC PEPTIDE 301 83880 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 "HC NEPHELOMETRY, EA ANALYTE NOT ELSEWHERE SPECIFIED" 300 83883 N/A 50 31.06 17.62 24.45 11.91 27.68 33.87 16.58 9.23 17.5 36.38 18.11 19.79 18.02 9.23 36.38 HC OLIGOCLONAL IMMUNE(OLIGOCLONAL BANDS) 300 83916 N/A 78 48.45 27.49 38.14 18.58 43.18 52.83 25.86 14.4 27.3 56.75 28.25 30.87 28.12 14.4 56.75 "HC METHYLALONIC ACID, SERUM(MMAS)" 301 83921 N/A 71 44.1 25.02 34.72 16.91 39.31 48.09 23.54 13.11 24.85 51.65 25.71 28.1 25.59 13.11 51.65 HC SERUM OSMOLALITY (OSM) 300 83930 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 "HC OSMOLALITY,URINE (UOSM)" 300 83935 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC PARATHORMONE 300 83970 N/A 176 109.32 62.03 86.06 41.92 97.44 119.21 58.35 32.5 61.6 128.04 63.74 69.65 63.44 32.5 128.04 "HC PH, BODY FLUID, EXCEPT BLOOD" 301 83986 N/A 24 14.91 8.46 11.74 5.72 13.29 16.26 7.96 4.43 8.4 17.46 8.69 9.5 8.65 4.43 17.46 "HC CALPROTECTIN, FECAL" 301 83993 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 HC ALK PHOSPHATASE (ALKP) 301 84075 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC ALKALINE PHOS. ISOENZYMES (APISO) 300 84080 N/A 52 32.3 18.33 25.43 12.38 28.79 35.22 17.24 9.6 18.2 37.83 18.83 20.58 18.74 9.6 37.83 HC PHOSPHORUS INORGANIC (PHOSPHATE) 301 84100 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC POTASSIUM (K) 301 84132 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC POTASSIUM URINE 301 84133 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC PRE-ALBUMIN 300 84134 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC PROGESTERONE (PROG) 300 84144 N/A 269 167.08 94.8 131.54 64.07 148.93 182.21 89.19 49.67 94.15 195.7 97.42 106.46 96.97 49.67 195.7 HC PROCALCITONIN (PCT) 300 84145 N/A 68 42.24 23.97 33.25 16.2 37.65 46.06 22.55 12.56 23.8 49.47 24.63 26.91 24.51 12.56 49.47 HC PROLACTIN (PROL) 300 84146 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 "HC PROLACTIN, DILUTED" 300 84146 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 HC PSA TOTAL 301 84153 N/A 78 48.45 27.49 38.14 18.58 43.18 52.83 25.86 14.4 27.3 56.75 28.25 30.87 28.12 14.4 56.75 HC FREE PSA 301 84154 N/A 78 48.45 27.49 38.14 18.58 43.18 52.83 25.86 14.4 27.3 56.75 28.25 30.87 28.12 14.4 56.75 HC PROTEIN (TP) 301 84155 N/A 15 9.32 5.29 7.33 3.57 8.3 10.16 4.97 2.77 5.25 10.91 5.43 5.94 5.41 2.77 10.91 HC PROTEIN TOTAL URINE 301 84156 N/A 46 28.57 16.21 22.49 10.96 25.47 31.16 15.25 8.49 16.1 33.47 16.66 18.2 16.58 8.49 33.47 HC FLUID T. PROTEIN (FPRO) 301 84157 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC FLUID T. PROTEIN (FPRO) 300 84157 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC PROTEIN E'PHORES (PE) 300 84165 N/A 46 28.57 16.21 22.49 10.96 25.47 31.16 15.25 8.49 16.1 33.47 16.66 18.2 16.58 8.49 33.47 "HC PROTEIN ELECTROPHORETIC, OTHE FLUIDS" 301 84166 N/A 75 46.58 26.43 36.67 17.86 41.52 50.8 24.87 13.85 26.25 54.56 27.16 29.68 27.03 13.85 54.56 HC PYRIDOXAL PHOSPHATE (VITAMIN B6) 301 84207 N/A 399 247.83 140.62 195.11 95.03 220.9 270.26 132.29 73.67 139.65 290.28 144.5 157.9 143.83 73.67 290.28 HC RENIN (REN) 301 84244 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC SEX HORMONE BINDING GLOBULIN (SHBG) 301 84270 N/A 137 85.09 48.28 66.99 32.63 75.85 92.8 45.42 25.29 47.95 99.67 49.62 54.22 49.38 25.29 99.67 HC SODIUM (NA) 301 84295 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC SODIUM URINE 301 84300 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC SOMATOMEDIN C (SOMC) 300 84305 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 "HC SPECTOPHOTOTOMETRY, ANALYTE" 300 84311 N/A 25 15.53 8.81 12.22 5.95 13.84 16.93 8.29 4.62 8.75 18.19 9.05 9.89 9.01 4.62 18.19 HC REFRACTOMETER SG BODY FLUID 300 84315 N/A 37 22.98 13.04 18.09 8.81 20.48 25.06 12.27 6.83 12.95 26.92 13.4 14.64 13.34 6.83 26.92 "HC TESTOSERONE, FREE" 300 84402 N/A 329 204.35 115.95 160.88 78.36 182.15 222.85 109.08 60.74 115.15 239.36 119.15 130.2 118.59 60.74 239.36 HC TESTOSTERONE (TES) 300 84403 N/A 329 204.35 115.95 160.88 78.36 182.15 222.85 109.08 60.74 115.15 239.36 119.15 130.2 118.59 60.74 239.36 HC VITAMIN B-1 (VITB1) 301 84425 N/A 225 139.75 79.3 110.02 53.59 124.57 152.4 74.6 41.54 78.75 163.69 81.49 89.04 81.1 41.54 163.69 HC THYROGLOBULIN (TG) 301 84432 N/A 68 42.24 23.97 33.25 16.2 37.65 46.06 22.55 12.56 23.8 49.47 24.63 26.91 24.51 12.56 49.47 HC NEWBORN SCREEN ONE(NBSCR1) 300 84437 N/A 16 9.94 5.64 7.82 3.81 8.86 10.84 5.3 2.95 5.6 11.64 5.79 6.33 5.77 2.95 11.64 HC THYROXINE FREE 301 84439 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC TSH 300 84443 N/A 208 129.19 73.31 101.71 49.54 115.16 140.89 68.96 38.4 72.8 151.33 75.33 82.32 74.98 38.4 151.33 HC THYROID STIMULATING IG (TSIG) 301 84445 N/A 722 448.45 254.46 353.05 171.96 399.73 489.05 239.38 133.31 252.7 525.27 261.48 285.73 260.26 133.31 525.27 HC VITAMIN E (VITE) 301 84446 N/A 50 31.06 17.62 24.45 11.91 27.68 33.87 16.58 9.23 17.5 36.38 18.11 19.79 18.02 9.23 36.38 HC AST (SGOT) 301 84450 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC ALT (SGPT) 301 84460 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC TRANSFERRIN (TRANF) 301 84466 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC TRIGLYCERIDES 301 84478 N/A 21 13.04 7.4 10.27 5 11.63 14.22 6.96 3.88 7.35 15.28 7.61 8.31 7.57 3.88 15.28 HC T3 BY RIA (T3R) 300 84480 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 HC FREE T3 (FT3) 300 84481 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC TROPONIN-I(TNI) 301 84484 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC BUN (BUN) 301 84520 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC UREA NITROGEN RANDOM 301 84540 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 HC URIC ACID (URIC) 301 84550 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC VITAMIN A (VITA) 301 84590 N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 HC ZINC 301 84630 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC C-PEPTIDE (CPEP) 301 84681 N/A 269 167.08 94.8 131.54 64.07 148.93 182.21 89.19 49.67 94.15 195.7 97.42 106.46 96.97 49.67 195.7 "HC GONADOTROPIN, CHORIONIC(HCG);QUANTITATIVE" 301 84702 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC MANUAL DIFFERENTIAL 300 85007 N/A 12 7.45 4.23 5.87 2.86 6.64 8.13 3.98 2.22 4.2 8.73 4.35 4.75 4.33 2.22 8.73 HC HEMATOCRIT (HCT) 305 85014 N/A 25 15.53 8.81 12.22 5.95 13.84 16.93 8.29 4.62 8.75 18.19 9.05 9.89 9.01 4.62 18.19 HC HEMOGLOBIN (HGB) 305 85018 N/A 25 15.53 8.81 12.22 5.95 13.84 16.93 8.29 4.62 8.75 18.19 9.05 9.89 9.01 4.62 18.19 HC CBC W/DIFF (CBCD) 305 85025 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC CBC (CBC) 305 85027 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC RETICULOCYTE CT (RET) 305 85045 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC PLATELET COUNT 305 85049 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC FACTOR VIII ANTIGEN (F8AG) 305 85240 N/A 284 176.4 100.09 138.87 67.64 157.23 192.37 94.16 52.44 99.4 206.62 102.85 112.39 102.37 52.44 206.62 "HC CHG ANTITHROMBIN II TEST, ACTIV" 305 85300 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC PROTEIN C (PROTC) 300 85302 N/A 43 26.71 15.15 21.03 10.24 23.81 29.13 14.26 7.94 15.05 31.28 15.57 17.02 15.5 7.94 31.28 "HC CHG CLOT INHIB PROTEIN C, ACTIV" 305 85303 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 "HC PROTEIN S AG, TL" 300 85305 N/A 42 26.09 14.8 20.54 10 23.25 28.45 13.93 7.75 14.7 30.56 15.21 16.62 15.14 7.75 30.56 HC PROTEIN S FREE 305 85306 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 HC D DIMER QUANTITATIVE 305 85379 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC FIBRINOGEN ACTIVITY 305 85384 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC FETALDEX SCREEN (FEDXS) 305 85460 N/A 96 59.63 33.83 46.94 22.86 53.15 65.03 31.83 17.72 33.6 69.84 34.77 37.99 34.6 17.72 69.84 "HC HEMOGLOBIN, FETAL, ROSETTE" 300 85461 N/A 62 38.51 21.85 30.32 14.77 34.33 42 20.56 11.45 21.7 45.11 22.45 24.54 22.35 11.45 45.11 HC HEPARIN ASSAY 305 85520 N/A 45 27.95 15.86 22 10.72 24.91 30.48 14.92 8.31 15.75 32.74 16.3 17.81 16.22 8.31 32.74 HC PLATELET NEUTRALIZATION 305 85597 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 "HC PHOSPHOLIPID, HEXAGONAL" 300 85598 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 HC PROTHROMBIN TIME (PROT)(PROS) 305 85610 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC RUSSELL VIPER VENOM TIME DILUTED 305 85613 N/A 42 26.09 14.8 20.54 10 23.25 28.45 13.93 7.75 14.7 30.56 15.21 16.62 15.14 7.75 30.56 HC SICKLE CELL PREP (SIKL) 300 85660 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 "HC THROMBIN TIME, PLASMA" 300 85670 N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 HC PTT SCREENING 305 85730 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 "ALLERGAN SPEC IGG QUANT, EACH X8" 302 86001 N/A 22 13.66 7.75 10.76 5.24 12.18 14.9 7.29 4.06 7.7 16.01 7.97 8.71 7.93 4.06 16.01 HC RAST (RST1) 302 86003 N/A 75 46.58 26.43 36.67 17.86 41.52 50.8 24.87 13.85 26.25 54.56 27.16 29.68 27.03 13.85 54.56 "HC ALLERGEN SPECIFIC IGE;QUANT OR SEMIQUANT, RECOMBINANT OR PURIFED COMPONENT, EACH" 300 86008 N/A 36 22.36 12.69 17.6 8.57 19.93 24.38 11.94 6.65 12.6 26.19 13.04 14.25 12.98 6.65 26.19 HC PLATELET ANTIBODIES 302 86022 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC ANTI NUCLEAR ANTIBODY 300 86038 N/A 41 25.47 14.45 20.05 9.76 22.7 27.77 13.59 7.57 14.35 29.83 14.85 16.23 14.78 7.57 29.83 HC ASTO TITER (ASTO) 300 86060 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC ANTISTREPTOLYSIN O SCREEN 300 86063 N/A 83 51.55 29.25 40.59 19.77 45.95 56.22 27.52 15.32 29.05 60.38 30.06 32.85 29.92 15.32 60.38 "HC C-REACTIVE PROTEIN, INFLAMMATORY" 302 86140 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 "HC HSCRP, CARDIAC" 302 86141 N/A 51 31.68 17.97 24.94 12.15 28.24 34.54 16.91 9.42 17.85 37.1 18.47 20.18 18.38 9.42 37.1 HC BETA 2 GLYCOPROTEIN 1 ANTIBODY EACH 306 86146 N/A 93 57.76 32.78 45.48 22.15 51.49 62.99 30.83 17.17 32.55 67.66 33.68 36.8 33.52 17.17 67.66 "HC CARDIOLIPIN ANTIBODY, EA IG CLASS" 302 86147 N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 HC COMPLEMENT;ANTIGEN EACH COMPONENT 302 86160 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC COMPLEMENT C4 (C4) 300 86160 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC COMPLEMENT C3 (C3) 300 86160 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC COMPLEMENT-TL (TCMP) 300 86162 N/A 66 40.99 23.26 32.27 15.72 36.54 44.71 21.88 12.19 23.1 48.02 23.9 26.12 23.79 12.19 48.02 HC CYCLIC CITRULLINATED PEPTIDE 302 86200 N/A 47 29.19 16.56 22.98 11.19 26.02 31.84 15.58 8.68 16.45 34.19 17.02 18.6 16.94 8.68 34.19 HC ANTI-DNA ANTIBODY (ADNA) 300 86225 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC AB TO EXTRACTABLE NUCLEAR AG(ENA) 300 86235 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 HC AUTOANTIBODIES TO SS-A/RO 300 86235 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 HC AUTOANTIBODIES TO SS-B/LA 300 86235 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 HC AUTOANTIBODIES TO SCL 70 300 86235 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 HC AUTOANTIBODIES TO SM 300 86235 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 HC AUTOANTIBODIES TO U1RNP 300 86235 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 HC AUTOANTIBODIES TO JO 1 300 86235 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 HC CENTROMERE ANTIBODY (CMA) 300 86235 N/A 64.54 40.09 22.75 31.56 15.37 35.73 43.72 21.4 11.92 22.589 46.95 23.37 25.54 23.26 11.92 46.95 HC HISTONE ANTIBODY (HISTA) 300 86235 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 HC NUCLEAR ANTIGEN ANTIBODY X8 300 86235 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 "HC FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN EA" 302 86255 N/A 68.55 42.58 24.16 33.52 16.33 37.95 46.43 22.73 12.66 23.9925 49.87 24.83 27.13 24.71 12.66 49.87 HC ANTI-SMOOTH MUSCLE AB (ASMUS) 300 86255 N/A 68.55 42.58 24.16 33.52 16.33 37.95 46.43 22.73 12.66 23.9925 49.87 24.83 27.13 24.71 12.66 49.87 HC FLUORESCENT NONINFECTIOUS AGENT ANTIBODY;TITER EA. 302 86256 N/A 31 19.25 10.93 15.16 7.38 17.16 21 10.28 5.72 10.85 22.55 11.23 12.27 11.17 5.72 22.55 HC IMMUNOASSAY TUMOR ANTIGEN 302 86300 N/A 84 52.17 29.6 41.08 20.01 46.51 56.9 27.85 15.51 29.4 61.11 30.42 33.24 30.28 15.51 61.11 HC CA 199 (CA199) 300 86301 N/A 298 185.09 105.02 145.72 70.97 164.99 201.85 98.8 55.02 104.3 216.8 107.92 117.93 107.42 55.02 216.8 HC CA 125 AG (C125) 300 86304 N/A 269 167.08 94.8 131.54 64.07 148.93 182.21 89.19 49.67 94.15 195.7 97.42 106.46 96.97 49.67 195.7 HC MONO TEST (MONO) 302 86308 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC CHROMOGRANIN A 300 86316 N/A 75 46.58 26.43 36.67 17.86 41.52 50.8 24.87 13.85 26.25 54.56 27.16 29.68 27.03 13.85 54.56 HC IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUANTITATIVE 300 86317 N/A 54 33.54 19.03 26.41 12.86 29.9 36.58 17.9 9.97 18.9 39.29 19.56 21.37 19.47 9.97 39.29 IMMUNODIFFUSION OUCHTEROLOGY X5 302 86331 N/A 43 26.71 15.15 21.03 10.24 23.81 29.13 14.26 7.94 15.05 31.28 15.57 17.02 15.5 7.94 31.28 "HC IMMUNOFIXATION, BLOOD" 300 86334 N/A 149 92.55 52.51 72.86 35.49 82.49 100.93 49.4 27.51 52.15 108.4 53.96 58.97 53.71 27.51 108.4 "HC IMMUNOFIXATION ELECTROPHORESIS, OTHER FLUID" 302 86335 N/A 125 77.64 44.05 61.12 29.77 69.21 84.67 41.44 23.08 43.75 90.94 45.27 49.47 45.06 23.08 90.94 HC INSULIN ANTIBODIES (INAB) 300 86337 N/A 250 155.28 88.11 122.25 59.54 138.41 169.34 82.89 46.16 87.5 181.88 90.54 98.94 90.12 46.16 181.88 HC INTRINSIC FACTOR ANTIBODIES 300 86340 N/A 52 32.3 18.33 25.43 12.38 28.79 35.22 17.24 9.6 18.2 37.83 18.83 20.58 18.74 9.6 37.83 HC ISLET CELL ANTIBODY 302 86341 N/A 153 95.03 53.92 74.82 36.44 84.71 103.63 50.73 28.25 53.55 111.31 55.41 60.55 55.15 28.25 111.31 HC MICROSOMAL ANTIBODIES(THYROID/KIDNEY/LIVER) EA. 302 86376 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC RA TEST (RA) 300 86430 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC RHEUMATOID FACTOR; QUANTITATIVE 302 86431 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC M TUBERCULOSIS BY QUANTIFERON 302 86480 N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 "HC SYPHILIS TEST, NON TREPONEMAL ANTIBODY, QUALIT(VDRL,RPR,ART)" 302 86592 N/A 60 37.27 21.15 29.34 14.29 33.22 40.64 19.89 11.08 21 43.65 21.73 23.75 21.63 11.08 43.65 "HC ASPERGILLUS, ANTIBODY" 302 86606 N/A 54 33.54 19.03 26.41 12.86 29.9 36.58 17.9 9.97 18.9 39.29 19.56 21.37 19.47 9.97 39.29 "HC BACTERIUM, ANTIBODY" 300 86609 N/A 46 28.57 16.21 22.49 10.96 25.47 31.16 15.25 8.49 16.1 33.47 16.66 18.2 16.58 8.49 33.47 "HC LYME DISEASE, CONF. (LYMWB)" 300 86617 N/A 62 38.51 21.85 30.32 14.77 34.33 42 20.56 11.45 21.7 45.11 22.45 24.54 22.35 11.45 45.11 HC BORRELIA BURGDORFERI(LYME DISEASE) 300 86618 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC BRUCELLA AGGLUTINATION 300 86622 N/A 34 21.12 11.98 16.63 8.1 18.82 23.03 11.27 6.28 11.9 24.74 12.31 13.46 12.26 6.28 24.74 HC CYTOMEGALOVIRUS(CMV) 302 86644 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC TORCH TEST (TORT) 300 86644 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC ANTIBODY CYTOMEGALOVIRUS (CMV) 302 86645 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC ARBOVIRUS 300 86652 N/A 115 71.43 40.53 56.23 27.39 63.67 77.9 38.13 21.23 40.25 83.67 41.65 45.51 41.45 21.23 83.67 HC EB VIRUS SEROLOGY (EBVS) 302 86663 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC ANTIBODY EHRLICHIA 302 86666 N/A 36 22.36 12.69 17.6 8.57 19.93 24.38 11.94 6.65 12.6 26.19 13.04 14.25 12.98 6.65 26.19 "HC HELMINTH, ANTIBODY" 300 86682 N/A 62 38.51 21.85 30.32 14.77 34.33 42 20.56 11.45 21.7 45.11 22.45 24.54 22.35 11.45 45.11 "HC HTLV OR HIV ANTIBODY, CONFIRMATORY TEST(EG. WESTERN BLOT)" 300 86689 N/A 53 32.92 18.68 25.92 12.62 29.34 35.9 17.57 9.79 18.55 38.56 19.19 20.97 19.1 9.79 38.56 HC STATE HIV CONF TEST (SHIV) 300 86689 N/A 53 32.92 18.68 25.92 12.62 29.34 35.9 17.57 9.79 18.55 38.56 19.19 20.97 19.1 9.79 38.56 "HC HERPES SIMPLEX, NONSPEC TYPE, ANTIBODY" 300 86694 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC HERPES SEROLOGY (HESE) 300 86694 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 "HC HERPES SIMPLEX, TYPE 1, ANTIBODY" 302 86695 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 "HC HERPES SIMPLEX, TYPE 2, ANTIBODY" 302 86696 N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 HC ANTI-HB CORE (CORE) 302 86704 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC ANTI-CORE IGM (COREM) 302 86705 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC ANTI-HBSAG (HAB) 300 86706 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 HC ANTI-HBE (EAB) 302 86707 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC HEPATITIS A ANTIBODY (HAAB) 302 86708 N/A 52 32.3 18.33 25.43 12.38 28.79 35.22 17.24 9.6 18.2 37.83 18.83 20.58 18.74 9.6 37.83 "HC ANTI-HAV, IGM (HAV)" 300 86709 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC ANTIBODY JOHN CUNNINGHAM VIRUS 300 86711 N/A 66 40.99 23.26 32.27 15.72 36.54 44.71 21.88 12.19 23.1 48.02 23.9 26.12 23.79 12.19 48.02 HC MUMPS TITER (MUSE) 300 86735 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC MYCOPLASMA SEROLOGY (MYSE) 302 86738 N/A 56 34.78 19.74 27.38 13.34 31 37.93 18.57 10.34 19.6 40.74 20.28 22.16 20.19 10.34 40.74 HC PARVOVIRUS 302 86747 N/A 65 40.37 22.91 31.78 15.48 35.99 44.03 21.55 12 22.75 47.29 23.54 25.72 23.43 12 47.29 HC RICKETTSIA 302 86757 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 HC ROCKY MTN SPOTTED FEVER (RMSF) 300 86759 N/A 69 42.86 24.32 33.74 16.43 38.2 46.74 22.88 12.74 24.15 50.2 24.99 27.31 24.87 12.74 50.2 HC RUBELLA TEST (RUBE) 300 86762 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC RUBEOLA SCREEN (RBOLA) 300 86765 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 "HC IMMUNOASSAY INFECTIOUS AGENT ANTIBODY(IES), QUALIT/SEMIQUANT, MULTI-STEP COVID-19" 300 86769 N/A 119 73.91 41.94 58.19 28.34 65.88 80.6 39.45 21.97 41.65 86.58 43.1 47.09 42.9 21.97 86.58 HC TOXOPLASMA SEROLOGY (TOSE) 302 86777 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 HC VARICELLA-ZOSTER 300 86787 N/A 44 27.33 15.51 21.52 10.48 24.36 29.8 14.59 8.12 15.4 32.01 15.93 17.41 15.86 8.12 32.01 HC ANTI-THYROGLOBULIN AB (ATHYR) 302 86800 N/A 208 129.19 73.31 101.71 49.54 115.16 140.89 68.96 38.4 72.8 151.33 75.33 82.32 74.98 38.4 151.33 HC ANT-HEPATITITS C (AHCV) 300 86803 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC HLA B27 (HLA) 302 86812 N/A 329 204.35 115.95 160.88 78.36 182.15 222.85 109.08 60.74 115.15 239.36 119.15 130.2 118.59 60.74 239.36 HC ANTIBODY SCREEN (ABST) 300 86850 N/A 78 48.45 27.49 38.14 18.58 43.18 52.83 25.86 14.4 27.3 56.75 28.25 30.87 28.12 14.4 56.75 "HC ANTIBODY ELUTION, RBC, EA ELUTION" 300 86860 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC ANTIBODY IDENTIFICATION 300 86870 N/A 229 142.24 80.71 111.98 54.54 126.78 155.11 75.93 42.28 80.15 166.6 82.93 90.63 82.55 42.28 166.6 HC DIRECT COOMBS 300 86880 N/A 127 78.88 44.76 62.1 30.25 70.31 86.02 42.11 23.45 44.45 92.4 45.99 50.26 45.78 23.45 92.4 HC ANTIBODY TITER (ABTI) 302 86886 N/A 187 116.15 65.9 91.44 44.54 103.53 126.66 62 34.53 65.45 136.05 67.72 74.01 67.41 34.53 136.05 HC PATIENT BLOOD TYPE (BTY) 300 86900 N/A 213 132.3 75.07 104.16 50.73 117.93 144.28 70.62 39.33 74.55 154.96 77.14 84.29 76.78 39.33 154.96 "HC BLOOD TYPING, ABO" 300 86900 N/A 213 132.3 75.07 104.16 50.73 117.93 144.28 70.62 39.33 74.55 154.96 77.14 84.29 76.78 39.33 154.96 HC BLOOD TYPING RH (D) 300 86901 N/A 77 47.83 27.14 37.65 18.34 42.63 52.16 25.53 14.22 26.95 56.02 27.89 30.47 27.76 14.22 56.02 HC ANTIGEN TYPING 300 86902 N/A 544 337.89 191.72 266.01 129.56 301.18 368.48 180.36 100.44 190.4 395.77 197.01 215.29 196.09 100.44 395.77 "HC COMPATIBILITY TEST, EACH" 300 86920 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC AHG PHASE CROSSMATCH ANTIGLOBULIN 300 86922 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC CROSSMATCH (XM) 300 86923 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC SPECIAL TEST BB 300 86999 N/A 62.4 38.76 21.99 30.51 14.86 34.55 42.27 20.69 11.52 21.84 45.4 22.6 24.69 22.49 11.52 45.4 HC CONCENTRATION(ANY TYPE)INFECTIOUS AGENTS 300 87015 N/A 24 14.91 8.46 11.74 5.72 13.29 16.26 7.96 4.43 8.4 17.46 8.69 9.5 8.65 4.43 17.46 HC CULTURE BLOOD (BLC) 306 87040 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC SM CULT RESPIR (RESC) 300 87070 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC SM CULT GENITAL (GESC) 300 87070 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC SM CULT CSF (SFSC) 300 87070 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC CULT THROAT (THRC) 300 87070 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC SM CULT MISC (MISC) 300 87070 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC BODY FLUID SMEAR AND CULTURE 300 87070 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 "HC CULTURE,BACTERIAL,ANAEROBIC ISOLATE, ADD, ID EA ISOLATE" 300 87076 N/A 42 26.09 14.8 20.54 10 23.25 28.45 13.93 7.75 14.7 30.56 15.21 16.62 15.14 7.75 30.56 "HC CULTURE,BACTERIAL,AEROBIC ISOLATE. ADD ID EA ISOLATE" 300 87077 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 HC BACTERIAL IDENTIFICATION X 1 306 87077 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 HC MRSA SCREEN CULTURE(MRSAC) 300 87081 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC STAPH. AUREUS SCREEN ORTHO 300 87081 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC CULT URINE (URNC) 300 87086 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC PRESUMPTIVE IDENTIFICATION X 1 300 87088 N/A 44 27.33 15.51 21.52 10.48 24.36 29.8 14.59 8.12 15.4 32.01 15.93 17.41 15.86 8.12 32.01 HC FUNGUS SM AND CULT (FUSC) 300 87102 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC YEAST IDENTIFICATION X 1 300 87106 N/A 38 23.6 13.39 18.58 9.05 21.04 25.74 12.6 7.02 13.3 27.65 13.76 15.04 13.7 7.02 27.65 "HC CULTURE,FUNGI, DEFINITIVE ID, EA ORGANISM,MOLD" 300 87107 N/A 38 23.6 13.39 18.58 9.05 21.04 25.74 12.6 7.02 13.3 27.65 13.76 15.04 13.7 7.02 27.65 "HC CULTURE,TUBERCLE,AFB, ANY SOURCE W/ISOL&PRESUMP" 300 87116 N/A 38 23.6 13.39 18.58 9.05 21.04 25.74 12.6 7.02 13.3 27.65 13.76 15.04 13.7 7.02 27.65 "HC CULTURE MYCOBACTERIAL, DEFINITIVE ID, EA ISOLATE" 300 87118 N/A 75 46.58 26.43 36.67 17.86 41.52 50.8 24.87 13.85 26.25 54.56 27.16 29.68 27.03 13.85 54.56 HC PBP2A TEST 306 87147 N/A 37 22.98 13.04 18.09 8.81 20.48 25.06 12.27 6.83 12.95 26.92 13.4 14.64 13.34 6.83 26.92 HC BLOOD CULTURE GRAM POSITIVE 300 87149 N/A 74.28 46.14 26.18 36.32 17.69 41.12 50.31 24.63 13.71 25.998 54.04 26.9 29.4 26.78 13.71 54.04 HC BLOOD CULTURE GRAM NEGATIVE 300 87149 N/A 74.28 46.14 26.18 36.32 17.69 41.12 50.31 24.63 13.71 25.998 54.04 26.9 29.4 26.78 13.71 54.04 HC BLOOD CULTURE GRAM NEGATIVE 6 300 87149 N/A 74.28 46.14 26.18 36.32 17.69 41.12 50.31 24.63 13.71 25.998 54.04 26.9 29.4 26.78 13.71 54.04 HC BLOOD CULTURE GRAM NEGATIVE 7 300 87149 N/A 74.28 46.14 26.18 36.32 17.69 41.12 50.31 24.63 13.71 25.998 54.04 26.9 29.4 26.78 13.71 54.04 HC BLOOD CULTURE GRAM POSITIVE 11 300 87149 N/A 74.28 46.14 26.18 36.32 17.69 41.12 50.31 24.63 13.71 25.998 54.04 26.9 29.4 26.78 13.71 54.04 HC BLOOD CULTURE GRAM POSITIVE 2 300 87149 N/A 74.28 46.14 26.18 36.32 17.69 41.12 50.31 24.63 13.71 25.998 54.04 26.9 29.4 26.78 13.71 54.04 HC BLOOD CULTURE GRAM POSITIVE 1 300 87149 N/A 74.28 46.14 26.18 36.32 17.69 41.12 50.31 24.63 13.71 25.998 54.04 26.9 29.4 26.78 13.71 54.04 "HC CULTURE TYPING, ID NUCLEIC ACID(DNA OR RNA)PROBE" 300 87150 N/A 120 74.53 42.29 58.68 28.58 66.44 81.28 39.79 22.16 42 87.3 43.46 47.49 43.26 22.16 87.3 "HC CULTURE REFER FOR ID, FUNGUS&CULTURE ID (FUNID(DSF)" 300 87153 N/A 215.05 133.57 75.79 105.16 51.22 119.06 145.66 71.3 39.71 75.2675 156.45 77.88 85.11 77.52 39.71 156.45 "HC ORGANISM REFERRED FOR ID, ANAEROBIC BACTERIA(ISAN,ISAE)" 300 87153 N/A 215.05 133.57 75.79 105.16 51.22 119.06 145.66 71.3 39.71 75.2675 156.45 77.88 85.11 77.52 39.71 156.45 HC TISSUE GRINDING 300 87176 N/A 30 18.63 10.57 14.67 7.15 16.61 20.32 9.95 5.54 10.5 21.83 10.86 11.87 10.81 5.54 21.83 HC OVA AND PARASITES (ONP) 300 87177 N/A 44.28 27.5 15.61 21.65 10.55 24.52 29.99 14.68 8.18 15.498 32.21 16.04 17.52 15.96 8.18 32.21 HC SENSITIVITY TESTING 300 87186 N/A 62 38.51 21.85 30.32 14.77 34.33 42 20.56 11.45 21.7 45.11 22.45 24.54 22.35 11.45 45.11 HC GRAM STAIN (GRAM) 306 87205 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 "HC SMEAR, FLUORES AND/OR ACID FAST BACTERIA,FUNGI, PARASITES,VIRUS OR CELL TYPES" 300 87206 N/A 17 10.56 5.99 8.31 4.05 9.41 11.51 5.64 3.14 5.95 12.37 6.16 6.73 6.13 3.14 12.37 HC MALARIA SMEAR (MAL) 300 87207 N/A 42 26.09 14.8 20.54 10 23.25 28.45 13.93 7.75 14.7 30.56 15.21 16.62 15.14 7.75 30.56 HC OVA AND PARASITES COMPLEX SMEAR 300 87209 N/A 49 30.43 17.27 23.96 11.67 27.13 33.19 16.25 9.05 17.15 35.65 17.75 19.39 17.66 9.05 35.65 "HC SMEAR, WET MOUNT, SIMPLE STAIN" 300 87210 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC KOH PREP 300 87220 N/A 37 22.98 13.04 18.09 8.81 20.48 25.06 12.27 6.83 12.95 26.92 13.4 14.64 13.34 6.83 26.92 HC GIARDIA 300 87269 N/A 57 35.4 20.09 27.87 13.58 31.56 38.61 18.9 10.52 19.95 41.47 20.64 22.56 20.55 10.52 41.47 "HC CHYLMD TRACH AG, DFA" 300 87270 N/A 39 24.22 13.74 19.07 9.29 21.59 26.42 12.93 7.2 13.65 28.37 14.12 15.43 14.06 7.2 28.37 HC CRYPTOSPORDIUM 300 87272 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 "HC ASPERGILUS, ANTIGEN, BRONCHOALEVOLAR LAVAGE" 302 87305 N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 HC CL DIFFICILE LATEX TEST (CDT) 300 87324 N/A 47 29.19 16.56 22.98 11.19 26.02 31.84 15.58 8.68 16.45 34.19 17.02 18.6 16.94 8.68 34.19 "HC H.PYLORI ANTIGEN, STOOL" 306 87338 N/A 38 23.6 13.39 18.58 9.05 21.04 25.74 12.6 7.02 13.3 27.65 13.76 15.04 13.7 7.02 27.65 HC HEPATITIS B SURFACE ANTIGEN 300 87340 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 HC HEP B. SURFACE AG NEUTRALIZATION 300 87341 N/A 56 34.78 19.74 27.38 13.34 31 37.93 18.57 10.34 19.6 40.74 20.28 22.16 20.19 10.34 40.74 HC HEPATITIS BE ANTIGEN (EAG) 306 87350 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 "HC HIV-Q ANTIGEN(S) W HIV-1/HIV-2 ANTIBODIES,SIMPLE" 300 87389 N/A 80 49.69 28.19 39.12 19.05 44.29 54.19 26.52 14.77 28 58.2 28.97 31.66 28.84 14.77 58.2 HC LEGIONELLA URINARY ANTIGEN 306 87449 N/A 71.45 44.38 25.18 34.94 17.02 39.56 48.4 23.69 13.19 25.0075 51.98 25.88 28.28 25.76 13.19 51.98 "HC FUNGITELL, BAL" 300 87449 N/A 71.45 44.38 25.18 34.94 17.02 39.56 48.4 23.69 13.19 25.0075 51.98 25.88 28.28 25.76 13.19 51.98 "HC BORRELIA BURGDORFERI, AMPLIFIED PROBE TECHNIQUE" 300 87476 N/A 157.03 97.53 55.34 76.79 37.4 86.94 106.36 52.06 28.99 54.9605 114.24 56.87 62.14 56.6 28.99 114.24 HC BORRELIA MIYAMOTOI DNA REAL TIME PCR MISC 300 87478 N/A 87.72 54.48 30.92 42.89 20.89 48.57 59.42 29.08 16.2 30.702 63.82 31.77 34.72 31.62 16.2 63.82 HC CANDIDA SPECIES AMPLIFIED PROBE 300 87481 N/A 120 74.53 42.29 58.68 28.58 66.44 81.28 39.79 22.16 42 87.3 43.46 47.49 43.26 22.16 87.3 HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA) 300 87483 N/A 834 518.01 293.93 407.82 198.63 461.74 564.91 276.51 153.98 291.9 606.76 302.04 330.06 300.63 153.98 606.76 "HC CHLAMYDIA PNEUMONIAE, DNA, AMP PROBE" 300 87486 N/A 87 54.04 30.66 42.54 20.72 48.17 58.93 28.84 16.06 30.45 63.29 31.51 34.43 31.36 16.06 63.29 "HC CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE" 306 87491 N/A 123 76.4 43.35 60.15 29.29 68.1 83.31 40.78 22.71 43.05 89.49 44.55 48.68 44.34 22.71 89.49 HC CMV BY RAPID PCR (CMVPCR) 300 87496 N/A 151.95 94.38 53.55 74.3 36.19 84.13 102.92 50.38 28.06 53.1825 110.55 55.03 60.13 54.77 28.06 110.55 "HC CYTOMEGALOVIRUS, AMPLIFIED PROBE" 300 87496 N/A 151.95 94.38 53.55 74.3 36.19 84.13 102.92 50.38 28.06 53.1825 110.55 55.03 60.13 54.77 28.06 110.55 "HC CMV, QUANT, PCR, PLASMA" 306 87497 N/A 102 63.35 35.95 49.88 24.29 56.47 69.09 33.82 18.83 35.7 74.21 36.94 40.37 36.77 18.83 74.21 HC ENTEROVIRUS BY PCR (PCRENT) 300 87498 N/A 463 287.58 163.18 226.4 110.27 256.34 313.61 153.51 85.49 162.05 336.84 167.68 183.23 166.9 85.49 336.84 "HC ENTERIC BACTERIAL PANEL, STOOL" 300 87506 N/A 451 280.12 158.95 220.54 107.41 249.69 305.49 149.53 83.27 157.85 328.11 163.33 178.48 162.57 83.27 328.11 "HC HEPATITIS C, REVERSE TRANSCRIPTION & QUANTIFICATION" 306 87522 N/A 121 75.15 42.64 59.17 28.82 66.99 81.96 40.12 22.34 42.35 88.03 43.82 47.89 43.62 22.34 88.03 HC HERPES BY PCR (HSVPCR) 306 87529 N/A 123 76.4 43.35 60.15 29.29 68.1 83.31 40.78 22.71 43.05 89.49 44.55 48.68 44.34 22.71 89.49 HC HIV RNA BY PCR (PCRHIV) 306 87536 N/A 310 192.55 109.25 151.59 73.83 171.63 209.98 102.78 57.24 108.5 225.53 112.27 122.68 111.74 57.24 225.53 HC MYCOPLASMA GENITALIUM AMPLIFIED PROBE 300 87563 N/A 253 157.14 89.17 123.72 60.26 140.07 171.37 83.88 46.71 88.55 184.06 91.63 100.13 91.2 46.71 184.06 "HC MYCOPLASMA PNEUMONIAE, AMP PROBE" 300 87581 N/A 88 54.66 31.01 43.03 20.96 48.72 59.61 29.18 16.25 30.8 64.02 31.87 34.83 31.72 16.25 64.02 "HC N. GONO, AMPLIFIED PROBE" 300 87591 N/A 123 76.4 43.35 60.15 29.29 68.1 83.31 40.78 22.71 43.05 89.49 44.55 48.68 44.34 22.71 89.49 HC ORTHOPOXVIRUS AMP PRB EACH MONKEYPOX 300 87593 N/A 77 47.83 27.14 37.65 18.34 42.63 52.16 25.53 14.22 26.95 56.02 27.89 30.47 27.76 14.22 56.02 HC HUMAN PAPILLOMAVIRUS(HPV) 300 87624 N/A 150 93.17 52.86 73.35 35.73 83.05 101.6 49.73 27.7 52.5 109.13 54.32 59.36 54.07 27.7 109.13 HC HPV GENOTYPES 16&18 300 87625 N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 "RESPIRATORY VIRUS, INFLUENZA TYPE A&BM 3-5 TARGETS" 300 87631 N/A 214 132.92 75.42 104.64 50.97 118.48 144.95 70.95 39.51 74.9 155.69 77.5 84.69 77.14 39.51 155.69 "HC RESP VIRUS,MULTIPLEX, REVERSE TRANS/AMP, 12-25 TARGETS" 300 87633 N/A 719 446.58 253.4 351.59 171.24 398.07 487.02 238.38 132.75 251.65 523.09 260.39 284.55 259.18 132.75 523.09 "HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID, RESPIRATORY SYNDROME" 300 U0002 N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 "HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID, HIGH THROUGHPUT TECH" 300 U0003 N/A 75 46.58 26.43 36.67 17.86 41.52 50.8 24.87 13.85 26.25 54.56 27.16 29.68 27.03 13.85 54.56 HC INFEC AGENT DETECTION AMPLIFIED PROBE 300 U0005 N/A 25 15.53 8.81 12.22 5.95 13.84 16.93 8.29 4.62 8.75 18.19 9.05 9.89 9.01 4.62 18.19 HC SURGEY MRSA SCREEN (SXMR) 306 87641 N/A 120 74.53 42.29 58.68 28.58 66.44 81.28 39.79 22.16 42 87.3 43.46 47.49 43.26 22.16 87.3 HC TRICHOMONAS VAGINALIS 300 87661 N/A 238 147.83 83.88 116.38 56.68 131.77 161.21 78.91 43.94 83.3 173.15 86.19 94.19 85.79 43.94 173.15 "HC INFECTIOUS AGENT AMPLIFIED PROBE, EA ORGANISM" 306 87798 N/A 120 74.53 42.29 58.68 28.58 66.44 81.28 39.79 22.16 42 87.3 43.46 47.49 43.26 22.16 87.3 "HC AMPLIFIED PROBE, EA. ORGANISM" 300 87798 N/A 123 76.4 43.35 60.15 29.29 68.1 83.31 40.78 22.71 43.05 89.49 44.55 48.68 44.34 22.71 89.49 "HC INFECTIOUS AGENT QUANTIFICATION, EA ORGANISM" 300 87799 N/A 153 95.03 53.92 74.82 36.44 84.71 103.63 50.73 28.25 53.55 111.31 55.41 60.55 55.15 28.25 111.31 "HC INFECTIOUS AGENT, MULTIPLE ORGS, AMPLIFIED PROBE" 302 87801 N/A 251 155.9 88.46 122.74 59.78 138.96 170.02 83.22 46.34 87.85 182.61 90.9 99.33 90.48 46.34 182.61 "HC STREPTOCOCCUS, GROUP A" 300 87880 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC INFECTIOUS AGENT IMMUNOASSAY NOT SPECIFIED 300 87899 N/A 25 15.53 8.81 12.22 5.95 13.84 16.93 8.29 4.62 8.75 18.19 9.05 9.89 9.01 4.62 18.19 HC INFECT AGENT DRUG SUSEPT BY PHENOTYPE REDICT 300 87900 N/A 271 168.32 95.51 132.52 64.54 150.04 183.56 89.85 50.04 94.85 197.16 98.14 107.25 97.69 50.04 197.16 "HC HIV-1 GENOTYPIC PR RT-RESISTANCE,P" 300 87901 N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 "HC GENOTYPE BY NUCLEIC ACID,HEPATITIS C" 300 87902 N/A 1015 630.43 357.72 496.33 241.74 561.95 687.51 336.52 187.4 355.25 738.44 367.59 401.69 365.87 187.4 738.44 "HC HIV1 GENOTYPE DNA/RNA, OTHER REGIONS" 300 87906 N/A 308.33 191.51 108.67 150.77 73.43 170.7 208.85 102.23 56.93 107.9155 224.32 111.66 122.02 111.14 56.93 224.32 "HC FLOW CYTOMETRY, CELL SFC,CYTOPLASMIC OR NUCLEAR MARKER" 300 88184 N/A 480 298.14 169.17 234.72 114.32 265.75 325.13 159.14 88.62 168 349.21 173.84 189.96 173.02 88.62 349.21 HC FLOW CYTOMETRY EACH ADD'L MARKER 300 88185 N/A 28 17.39 9.87 13.69 6.67 15.5 18.97 9.28 5.17 9.8 20.37 10.14 11.08 10.09 5.17 20.37 HC FLOW CYTOMETRY EACH ADD'L MARKER 300 88185 N/A 28 17.39 9.87 13.69 6.67 15.5 18.97 9.28 5.17 9.8 20.37 10.14 11.08 10.09 5.17 20.37 HC FLOW CYTO INTERP 2 TO 8 MARKERS 300 88187 N/A 23 14.29 8.11 11.25 5.48 12.73 15.58 7.63 4.25 8.05 16.73 8.33 9.1 8.29 4.25 16.73 HC FLOW CYTO INTERP 9 TO 15 MARKERS 300 88188 N/A 111.5 69.25 39.3 54.52 26.56 61.73 75.52 36.97 20.59 39.025 81.12 40.38 44.13 40.19 20.59 81.12 HC FLOW CYTO INTERP 16 OR GREAT MARK 300 88189 N/A 225 139.75 79.3 110.02 53.59 124.57 152.4 74.6 41.54 78.75 163.69 81.49 89.04 81.1 41.54 163.69 "HC CHG TISSUE CULTURE, PLACENTA" 300 88235 N/A 250 155.28 88.11 122.25 59.54 138.41 169.34 82.89 46.16 87.5 181.88 90.54 98.94 90.12 46.16 181.88 "HC TISSUE CULTURE NEOPLASTIC DISORDERS;BONE MARROW, BLOOD CELLS" 300 88237 N/A 187.05 116.18 65.92 91.47 44.55 103.56 126.7 62.02 34.54 65.4675 136.08 67.74 74.03 67.43 34.54 136.08 HC CHROMOSOME ANALYSIS 20-25 CELLS 300 88264 N/A 308.1 191.37 108.58 150.66 73.38 170.58 208.69 102.15 56.89 107.835 224.15 111.58 121.93 111.06 56.89 224.15 "HC METAPHASES, 20-25 (BILL ONLY" 300 88264 N/A 308.1 191.37 108.58 150.66 73.38 170.58 208.69 102.15 56.89 107.835 224.15 111.58 121.93 111.06 56.89 224.15 HC MOLECULAR CYTOGENETICS;DNA PROBE EACH 300 88271 N/A 188 116.77 66.26 91.93 44.78 104.08 127.34 62.33 34.71 65.8 136.77 68.09 74.4 67.77 34.71 136.77 "HC INTERPHASES, 25-99 (BILL ONLY)" 300 88274 N/A 156.25 97.05 55.07 76.41 37.21 86.51 105.84 51.8 28.85 54.6875 113.68 56.59 61.84 56.32 28.85 113.68 "HC INTERPHASES, <25 (BILL ONLY)" 300 88274 N/A 156.25 97.05 55.07 76.41 37.21 86.51 105.84 51.8 28.85 54.6875 113.68 56.59 61.84 56.32 28.85 113.68 "HC INTERPHASES, >=100 (BILL ONLY)" 300 88275 N/A 119 73.91 41.94 58.19 28.34 65.88 80.6 39.45 21.97 41.65 86.58 43.1 47.09 42.9 21.97 86.58 HC METAPHASES ADD'L CELLS (BILL ONLY 300 88285 N/A 85.5 53.11 30.13 41.81 20.36 47.34 57.91 28.35 15.79 29.925 62.2 30.96 33.84 30.82 15.79 62.2 HC IMMUNO SENDOUT ADDL 300 88341 N/A 279 173.29 98.33 136.43 66.45 154.47 188.98 92.5 51.51 97.65 202.98 101.04 110.41 100.57 51.51 202.98 HC IMMUNO SENDOUT 300 88342 N/A 186 115.53 65.55 90.95 44.3 102.98 125.99 61.67 34.34 65.1 135.32 67.36 73.61 67.05 34.34 135.32 "HC MORPHOMETRIC ANAL,IN SITU HYBRID,MANU,PER SPEC,EACH MULTI PROBE STAIN" 300 88377 N/A 393.12 244.17 138.55 192.23 93.63 217.65 266.28 130.34 72.58 137.592 286 142.37 155.58 141.71 72.58 286 HC MORPHOMETRIC IN SITU MULTIPLEX PROB STAI 300 88377 N/A 393.12 244.17 138.55 192.23 93.63 217.65 266.28 130.34 72.58 137.592 286 142.37 155.58 141.71 72.58 286 "HC MICRODISSECTION, MANUAL" 301 88381 N/A 176.56 109.66 62.23 86.34 42.05 97.75 119.59 58.54 32.6 61.796 128.45 63.94 69.87 63.64 32.6 128.45 "HC MLH1 HYPERMEHTYLATION,BRAF MUTATION ANALYS, TUMOR" 300 88381 N/A 176.56 109.66 62.23 86.34 42.05 97.75 119.59 58.54 32.6 61.796 128.45 63.94 69.87 63.64 32.6 128.45 HC FLUID CELL COUNT (FCC) 300 89050 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 "HC CSF, ROUTINE ANALYSIS (SPFR)" 300 89050 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC FLUID CELL COUNT W/DIFFERENTIAL (FDIF) 300 89051 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC STOOL FOR POLYS (STSM) 300 89055 N/A 18 11.18 6.34 8.8 4.29 9.97 12.19 5.97 3.32 6.3 13.1 6.52 7.12 6.49 3.32 13.1 HC FLUID CRYSTALS (FLDC) 300 89060 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC EOSINOPHIL SMEAR (EOSM) 300 89190 N/A 17 10.56 5.99 8.31 4.05 9.41 11.51 5.64 3.14 5.95 12.37 6.16 6.73 6.13 3.14 12.37 HC SPUTUM COLLECTED 300 89220 N/A 218 135.4 76.83 106.6 51.92 120.69 147.66 72.28 40.25 76.3 158.6 78.95 86.27 78.58 40.25 158.6 HC SPERM POST VAS (SPCK) 300 89321 N/A 43 26.71 15.15 21.03 10.24 23.81 29.13 14.26 7.94 15.05 31.28 15.57 17.02 15.5 7.94 31.28 HC OB PANEL INCLUDES HIV 301 80081 N/A 255 158.38 89.87 124.69 60.73 141.18 172.72 84.55 47.08 89.25 185.52 92.35 100.92 91.92 47.08 185.52 HC QUANTITATIVE ASSAY DRUG 301 80299 N/A 111 68.94 39.12 54.28 26.44 61.45 75.19 36.8 20.49 38.85 80.76 40.2 43.93 40.01 20.49 80.76 HC TN SCREENING HEROINE METABOLITE 301 80356 N/A 229 142.24 80.71 111.98 54.54 126.78 155.11 75.93 42.28 80.15 166.6 82.93 90.63 82.55 42.28 166.6 HC HLA CLASS II TYPING LOW RES 1 LOCUS 301 81376 N/A 340 211.18 119.83 166.26 80.98 188.24 230.3 112.73 62.78 119 247.36 123.13 134.56 122.56 62.78 247.36 HC HLA CLASS II TYPING HIGH RES 1 LOCUS 301 81382 N/A 344 213.66 121.24 168.21 81.93 190.45 233.01 114.05 63.51 120.4 250.27 124.58 136.14 124 63.51 250.27 HC GASTRIC OCCULT BLOOD 301 82271 N/A 37 22.98 13.04 18.09 8.81 20.48 25.06 12.27 6.83 12.95 26.92 13.4 14.64 13.34 6.83 26.92 HC CARBOXYHEMOGLOBIN 301 82375 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC CARBOXYHEMOGLOBIN - PFT OUTPT 301 82375 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC CHROMIUM 301 82495 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC CPK ISOENZYMES 301 82552 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 "HC FAT,FECES;QUAL" 301 82705 N/A 18 11.18 6.34 8.8 4.29 9.97 12.19 5.97 3.32 6.3 13.1 6.52 7.12 6.49 3.32 13.1 HC GASES BLOOD O2 SAT ONLY 301 82810 N/A 30 18.63 10.57 14.67 7.15 16.61 20.32 9.95 5.54 10.5 21.83 10.86 11.87 10.81 5.54 21.83 "HC GLUCOSE BLOOD, GLUCOSE MONTIOR DEV" 301 82947 N/A 23 14.29 8.11 11.25 5.48 12.73 15.58 7.63 4.25 8.05 16.73 8.33 9.1 8.29 4.25 16.73 ACETYLCHOLINE RECEPTOR BINDING ANTIBODY 301 83519 N/A 94 58.38 33.13 45.97 22.39 52.04 63.67 31.17 17.36 32.9 68.39 34.04 37.2 33.88 17.36 68.39 "INTERLEUKIN-6 (IL-6), SERUM" 301 83520 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 "HC NEPHELOMETRY, EA ANALYTE (FLCP)" 301 83521 N/A 43.18 26.82 15.22 21.11 10.28 23.91 29.25 14.32 7.97 15.113 31.41 15.64 17.09 15.56 7.97 31.41 "HC NEPHELOMETRY, EA ANALYTE (MSP3)" 301 83521 N/A 43.18 26.82 15.22 21.11 10.28 23.91 29.25 14.32 7.97 15.113 31.41 15.64 17.09 15.56 7.97 31.41 "HC IRON BINDING CAPACITY, % SAT" 301 83550 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC HMD SCREENING 301 84030 N/A 150 93.17 52.86 73.35 35.73 83.05 101.6 49.73 27.7 52.5 109.13 54.32 59.36 54.07 27.7 109.13 "HC TN PLACENTAL ALPHA MICROGLOBULIN-1, CERVICAL VAGINAL SECRETION QUAL" 301 84112 N/A 245 152.17 86.35 119.8 58.35 135.64 165.95 81.23 45.24 85.75 178.24 88.73 96.96 88.31 45.24 178.24 HC PROLACTIN 301 84146 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 HC T4 (THYROXINE) 301 84436 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC T3 UPTAKE 301 84479 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC VITAMIN K Q 36585 301 84597 N/A 84 52.17 29.6 41.08 20.01 46.51 56.9 27.85 15.51 29.4 61.11 30.42 33.24 30.28 15.51 61.11 "HCG, QUALITATIVE" 301 84703 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC BILICHECK TRANSCUTANEOUS - EACH TIME 301 88720 N/A 18 11.18 6.34 8.8 4.29 9.97 12.19 5.97 3.32 6.3 13.1 6.52 7.12 6.49 3.32 13.1 "HC PANCREATIC ELASTASE, FECES" 300 82653 N/A 57.43 35.67 20.24 28.08 13.68 31.8 38.9 19.04 10.6 20.1005 41.78 20.8 22.73 20.7 10.6 41.78 PTH-RELATED PROTEN (PTH-RP) 302 83519 N/A 94 58.38 33.13 45.97 22.39 52.04 63.67 31.17 17.36 32.9 68.39 34.04 37.2 33.88 17.36 68.39 "HC INTERLEUKIN-6 (IL-6), SERUM" 302 83529 N/A 43.18 26.82 15.22 21.11 10.28 23.91 29.25 14.32 7.97 15.113 31.41 15.64 17.09 15.56 7.97 31.41 "HC SMOOTH MUSCLE FLUORESCENT AB, SCREEN EA (SMA)" 302 86015 N/A 28.83 17.91 10.16 14.1 6.87 15.96 19.53 9.56 5.32 10.0905 20.97 10.44 11.41 10.39 5.32 20.97 HC WBC ANTIBODY IDENTIFICATION 302 86021 N/A 56 34.78 19.74 27.38 13.34 31 37.93 18.57 10.34 19.6 40.74 20.28 22.16 20.19 10.34 40.74 "HC ANTICYTOPLASMIC NEUT FLUORESCENT AB, SCREEN EA (ANCA)" 302 86036 N/A 30.12 18.71 10.62 14.73 7.17 16.68 20.4 9.99 5.56 10.542 21.91 10.91 11.92 10.86 5.56 21.91 "HC INFLAMMATORY BOWEL DISEASE PANEL FLUORESCENT AB, SCREEN EA (IBDPT)" 302 86036 N/A 30.13 18.71 10.62 14.73 7.18 16.68 20.41 9.99 5.56 10.5455 21.92 10.91 11.92 10.86 5.56 21.92 "HC NMO/AQP4 FACS FLUORESCENT NONINFECTIOUS AB, SCREEN EA (NMOFS/NMOFC)" 302 86053 N/A 30.13 18.71 10.62 14.73 7.18 16.68 20.41 9.99 5.56 10.5455 21.92 10.91 11.92 10.86 5.56 21.92 HC IMMUNOASSAY FOR ANALYTE NOT INF AB OR AG 302 86148 N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 "HC ENDOMYSIAL FLUORESCENT AB, SCREEN EA (EMA)" 302 86231 N/A 30.23 18.78 10.65 14.78 7.2 16.74 20.48 10.02 5.58 10.5805 21.99 10.95 11.96 10.9 5.58 21.99 HC GLIADIN (DEAMINATED) ANTIBODY 302 86258 N/A 30.12 18.71 10.62 14.73 7.17 16.68 20.4 9.99 5.56 10.542 21.91 10.91 11.92 10.86 5.56 21.91 HC T CELLS;ABSOLUTE CD4 302 86361 N/A 94 58.38 33.13 45.97 22.39 52.04 63.67 31.17 17.36 32.9 68.39 34.04 37.2 33.88 17.36 68.39 "HC FLUORESCENT NONINFECTIOUS AGENT AB, SCREEN EA (FACS)" 302 86363 N/A 30.13 18.71 10.62 14.73 7.18 16.68 20.41 9.99 5.56 10.5455 21.92 10.91 11.92 10.86 5.56 21.92 HC TISSUE TRANSGLUTAMINASE (TTG) AB 302 86364 N/A 28.83 17.91 10.16 14.1 6.87 15.96 19.53 9.56 5.32 10.0905 20.97 10.44 11.41 10.39 5.32 20.97 "HC MITOCHONDRIAL AB, IMMUNOASSAY;MULTI, STEP (AMA)" 302 86381 N/A 63.63 39.52 22.43 31.11 15.15 35.23 43.1 21.1 11.75 22.2705 46.29 23.04 25.18 22.94 11.75 46.29 HC RPR TITER 302 86593 N/A 57 35.4 20.09 27.87 13.58 31.56 38.61 18.9 10.52 19.95 41.47 20.64 22.56 20.55 10.52 41.47 HC P/Q TYPE CALCIUM CHANNEL AB QUANT BY RADIOIMMUNOASSAY 302 86596 N/A 30.12 18.71 10.62 14.73 7.17 16.68 20.4 9.99 5.56 10.542 21.91 10.91 11.92 10.86 5.56 21.91 HC COCCIDIODES 302 86635 N/A 37.6 23.35 13.25 18.39 8.96 20.82 25.47 12.47 6.94 13.16 27.35 13.62 14.88 13.55 6.94 27.35 HC EPSTEIN BARR NUCLEAR ANTIGEN 302 86664 N/A 157 97.52 55.33 76.77 37.39 86.92 106.34 52.05 28.99 54.95 114.22 56.86 62.13 56.59 28.99 114.22 HC EPSTEIN-BARR VIRUS VCA IGG AB 302 86665 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC HIV -1 302 86701 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC ANTIBODY HIV 2 302 86702 N/A 36 22.36 12.69 17.6 8.57 19.93 24.38 11.94 6.65 12.6 26.19 13.04 14.25 12.98 6.65 26.19 HC HIV 1 & 2 SINGLE ASSAY 302 86703 N/A 59 36.65 20.79 28.85 14.05 32.66 39.96 19.56 10.89 20.65 42.92 21.37 23.35 21.27 10.89 42.92 HC RED BLOOD CELL AUTOMATED 305 85041 N/A 13 8.07 4.58 6.36 3.1 7.2 8.81 4.31 2.4 4.55 9.46 4.71 5.14 4.69 2.4 9.46 HC CC ACTIVATED CLOTTING TIME 305 85347 N/A 57 35.4 20.09 27.87 13.58 31.56 38.61 18.9 10.52 19.95 41.47 20.64 22.56 20.55 10.52 41.47 "HC SED RATE ERYTHROCYTE, AUTOMATED" 305 85652 N/A 37 22.98 13.04 18.09 8.81 20.48 25.06 12.27 6.83 12.95 26.92 13.4 14.64 13.34 6.83 26.92 HC GROUP B STREP BY PCR 306 87150 N/A 120 74.53 42.29 58.68 28.58 66.44 81.28 39.79 22.16 42 87.3 43.46 47.49 43.26 22.16 87.3 HC VAGINAL SMEAR FERNING 306 87205 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 "HC CANDIDA, DNA, DIR PROBE" 306 87480 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 "HC CLOSTRIDIUM DIFFICILE, TOXIN GENE" 306 87493 N/A 126 78.26 44.41 61.61 30.01 69.76 85.35 41.78 23.26 44.1 91.67 45.63 49.86 45.42 23.26 91.67 HC INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES 306 87502 N/A 292 181.37 102.91 142.79 69.55 161.66 197.79 96.81 53.91 102.2 212.44 105.75 115.56 105.26 53.91 212.44 "HC GARDNER VAG, DNA, DIR PROBE" 306 87510 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 HC GARDNER VAG DNA QUANT 306 87512 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC HEP C QT RNA/PCR 306 87521 N/A 401 249.07 141.32 196.09 95.51 222.01 271.62 132.95 74.04 140.35 291.74 145.22 158.7 144.55 74.04 291.74 HC IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE 306 87634 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC MSSA BY PCR 306 87640 N/A 120 74.53 42.29 58.68 28.58 66.44 81.28 39.79 22.16 42 87.3 43.46 47.49 43.26 22.16 87.3 HC STREP A BY PCR 306 87651 N/A 121 75.15 42.64 59.17 28.82 66.99 81.96 40.12 22.34 42.35 88.03 43.82 47.89 43.62 22.34 88.03 "HC TRICHOMONAS VAGIN, DIR PROBE" 306 87660 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 "HC INF AGENT BY NUCLEIC ACID, QUANTIFICATIO" 306 87799 N/A 153 95.03 53.92 74.82 36.44 84.71 103.63 50.73 28.25 53.55 111.31 55.41 60.55 55.15 28.25 111.31 HC MOLECULAR TESTING BBD 309 81403 N/A 370.4 230.06 130.54 181.12 88.22 205.07 250.89 122.81 68.39 129.64 269.48 134.14 146.59 133.52 68.39 269.48 HC BRAF MUTATION ANAL (OTH SOLID TUM 310 81210 N/A 447 277.64 157.54 218.58 106.46 247.48 302.78 148.2 82.53 156.45 325.2 161.88 176.9 161.13 82.53 325.2 "HC MOLECULAR PATHOLOGY PROCEDURE, LEVEL 4" 310 81403 N/A 370.4 230.06 130.54 181.12 88.22 205.07 250.89 122.81 68.39 129.64 269.48 134.14 146.59 133.52 68.39 269.48 "HC TARGET GENOMIC SEQU ANALYSIS PANEL, SOLID ORGAN NEOPL 5-50 GENES" 310 81445 N/A 1495 928.57 526.88 731.05 356.06 827.69 "1,012.64" 495.67 276.03 523.25 "1,087.65" 541.42 591.65 538.9 276.03 "1,087.65" HC SOLID TUMOR PANEL 310 81445 N/A 1495 928.57 526.88 731.05 356.06 827.69 "1,012.64" 495.67 276.03 523.25 "1,087.65" 541.42 591.65 538.9 276.03 "1,087.65" "HC CYTOLOGY WASHING, SMEARS" 310 88104 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 "HC CYTOLOGY, CYTOSPINS" 310 88108 N/A 155 96.27 54.63 75.79 36.92 85.81 104.99 51.39 28.62 54.25 112.77 56.13 61.34 55.87 28.62 112.77 HC FINE NEEDLE ASPIRATION 310 88172 N/A 90 55.9 31.72 44.01 21.44 49.83 60.96 29.84 16.62 31.5 65.48 32.59 35.62 32.44 16.62 65.48 "HC FNA, INTERPRETATION]" 310 88173 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 "HC FNA, EA ADDL IMMEDIATE INTERP SAME SITE" 310 88177 N/A 36 22.36 12.69 17.6 8.57 19.93 24.38 11.94 6.65 12.6 26.19 13.04 14.25 12.98 6.65 26.19 HC DNA PLOIDY 310 88182 N/A 298 185.09 105.02 145.72 70.97 164.99 201.85 98.8 55.02 104.3 216.8 107.92 117.93 107.42 55.02 216.8 "HC FLOW CYTOMETRY, CELL CYCLE OR DNA ANALYSIS" 310 88182 N/A 298 185.09 105.02 145.72 70.97 164.99 201.85 98.8 55.02 104.3 216.8 107.92 117.93 107.42 55.02 216.8 "HC SURG PATH, LEVEL I" 310 88300 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 "HC SURG PATH, LEVEL II" 310 88302 N/A 426 264.6 150.14 208.31 101.46 235.85 288.55 141.24 78.65 149.1 309.93 154.28 168.59 153.56 78.65 309.93 "HC SURG PATH, LEVEL III" 310 88304 N/A 426 264.6 150.14 208.31 101.46 235.85 288.55 141.24 78.65 149.1 309.93 154.28 168.59 153.56 78.65 309.93 "HC SURG PATH, LEVEL IV" 310 88305 N/A 426 264.6 150.14 208.31 101.46 235.85 288.55 141.24 78.65 149.1 309.93 154.28 168.59 153.56 78.65 309.93 HC SURG PATH PROSTATE 310 88305 N/A 426 264.6 150.14 208.31 101.46 235.85 288.55 141.24 78.65 149.1 309.93 154.28 168.59 153.56 78.65 309.93 HC RENAL PATH LEVEL IV WET TS 310 88305 N/A 341 211.8 120.18 166.75 81.22 188.79 230.98 113.06 62.96 119.35 248.09 123.5 134.95 122.92 62.96 248.09 "HC SURG PATH, LEVEL V" 310 88307 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 "HC SURG PATH, LEVEL VI" 310 88309 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 HC DECAL 310 88311 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC SPECIAL STAIN I 310 88312 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC SPECIAL STAIN II 310 88313 N/A 113 70.19 39.82 55.26 26.91 62.56 76.54 37.47 20.86 39.55 82.21 40.92 44.72 40.73 20.86 82.21 HC FROZEN SECTION 310 88331 N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 HC ADD'L FROZEN SECTION 310 88332 N/A 87 54.04 30.66 42.54 20.72 48.17 58.93 28.84 16.06 30.45 63.29 31.51 34.43 31.36 16.06 63.29 HC TOUCH PREP 310 88333 N/A 1228 762.73 432.79 600.49 292.47 679.87 831.79 407.14 226.73 429.8 893.4 444.73 485.98 442.65 226.73 893.4 HC ADDITIONAL TOUCH PREP 310 88334 N/A 41 25.47 14.45 20.05 9.76 22.7 27.77 13.59 7.57 14.35 29.83 14.85 16.23 14.78 7.57 29.83 HC IMMUNOPEROXIDASE STAIN ADDL 310 88341 N/A 279 173.29 98.33 136.43 66.45 154.47 188.98 92.5 51.51 97.65 202.98 101.04 110.41 100.57 51.51 202.98 HC IMMUNOPEROXIDASE STAIN 310 88342 N/A 186 115.53 65.55 90.95 44.3 102.98 125.99 61.67 34.34 65.1 135.32 67.36 73.61 67.05 34.34 135.32 "HC IMMUNOHISTOCHEMISTRY, EACH ANTIBODY" 310 88342 N/A 186 115.53 65.55 90.95 44.3 102.98 125.99 61.67 34.34 65.1 135.32 67.36 73.61 67.05 34.34 135.32 HC IMMUNOFLUORESCENCE 310 88346 N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 HC IGG2 IMMUNOFLUO STAIN RENAL 310 88346 N/A 743.62 461.87 262.07 363.63 177.11 411.7 503.69 246.55 137.3 260.267 541 269.31 294.29 268.05 137.3 541 HC RENAL BIOPSY ELECTRON MICROSCOPY 310 88348 N/A 1228 762.73 432.79 600.49 292.47 679.87 831.79 407.14 226.73 429.8 893.4 444.73 485.98 442.65 226.73 893.4 HC EACH ADD'L SINGLE ANTIBODY STAIN 310 88350 N/A 921 572.05 324.59 450.36 219.35 509.9 623.84 305.36 170.05 322.35 670.05 333.55 364.49 331.99 170.05 670.05 "HC TUMOR IHC QUANT OR SEMI QUANT, EA ANTIBODY" 312 88360 N/A 186 115.53 65.55 90.95 44.3 102.98 125.99 61.67 34.34 65.1 135.32 67.36 73.61 67.05 34.34 135.32 HC IHC ANTIBODY VIA IMAGE ANALYSIS 310 88361 N/A 554 344.1 195.25 270.9 131.95 306.72 375.25 183.68 102.29 193.9 403.05 200.63 219.25 199.7 102.29 403.05 HC IN SITU HYBIRD (FISH) EA ADD SING PROBE 310 88364 N/A 194.4 120.74 68.51 95.06 46.3 107.63 131.68 64.45 35.89 68.04 141.43 70.4 76.93 70.07 35.89 141.43 HC TISSUE IN-SITU HYBRIDIZATION 312 88365 N/A 281 174.53 99.03 137.41 66.93 155.57 190.34 93.17 51.88 98.35 204.43 101.77 111.21 101.29 51.88 204.43 HC HER-2 FISH BY CLARIENT 310 88374 N/A 380.8 236.52 134.21 186.21 90.69 210.83 257.94 126.25 70.31 133.28 277.04 137.91 150.7 137.27 70.31 277.04 HC MORPHOMETRIC IN SITU MULTIPLEX PROB STAI 310 88377 N/A 393.12 244.17 138.55 192.23 93.63 217.65 266.28 130.34 72.58 137.592 286 142.37 155.58 141.71 72.58 286 HC CYTOLOGY SELECT ENHANCEMENT 311 88112 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC CYTOLOGY THIN PREP MANUAL 311 88142 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC CYTOLOGY AUTO THIN PREP SCREEN 311 88175 N/A 95 59.01 33.48 46.45 22.63 52.6 64.35 31.5 17.54 33.25 69.11 34.4 37.6 34.24 17.54 69.11 PAP SMEAR COLLECTION 311 Q0091 N/A 78 48.45 27.49 38.14 18.58 43.18 52.83 25.86 14.4 27.3 56.75 28.25 30.87 28.12 14.4 56.75 "HC TUMOR IMMUNOHISTOCHEM, EA AB, MANUAL" 312 88360 N/A 186 115.53 65.55 90.95 44.3 102.98 125.99 61.67 34.34 65.1 135.32 67.36 73.61 67.05 34.34 135.32 HC SI JOINT INJECT W ANESTH 320 27096 N/A 2556 "1,587.57" 900.81 "1,249.87" 608.76 "1,415.11" "1,731.31" 847.44 471.92 894.6 "1,859.55" 925.67 "1,011.54" 921.35 471.92 "1,859.55" HC INJECT CONTRAST KNEE ARTHORGR 320 27369 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC HIP W PELVIS 4 OR MORE VIEWS 320 73503 N/A 316 196.27 111.37 154.52 75.26 174.95 214.04 104.77 58.34 110.6 229.9 114.44 125.06 113.91 58.34 229.9 HC T-TUBE CHOLANGIOGRAM 320 47531 N/A 6082 "3,777.62" "2,143.49" "2,974.06" "1,448.54" "3,367.25" "4,119.65" "2,016.49" "1,122.94" 2128.7 "4,424.81" "2,202.64" "2,406.96" "2,192.36" "1,122.94" "4,424.81" HC XR T TUBE CHOLANGIOG NEW ACCESS 320 47532 N/A 6082 "3,777.62" "2,143.49" "2,974.06" "1,448.54" "3,367.25" "4,119.65" "2,016.49" "1,122.94" 2128.7 "4,424.81" "2,202.64" "2,406.96" "2,192.36" "1,122.94" "4,424.81" HC REPLACEMENT OF GI TUBE UNDER FLUORO 320 49450 N/A 1186.5 736.95 418.16 580.19 282.59 656.9 803.68 393.38 219.07 415.275 863.21 429.7 469.56 427.69 219.07 863.21 HC LUMBAR INJECTION PAIN MGT 320 62323 N/A 1046 649.69 368.64 511.49 249.12 579.11 708.51 346.8 193.13 366.1 760.99 378.82 413.96 377.05 193.13 760.99 HC ORBIT-FOREIGN BODY 320 70030 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC MANDIBLE - LIMITED < 4 VIEWS 320 70100 N/A 149 92.55 52.51 72.86 35.49 82.49 100.93 49.4 27.51 52.15 108.4 53.96 58.97 53.71 27.51 108.4 HC MANDIBLE 320 70110 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC FACIAL BONES 320 70140 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC FACIAL BONES 320 70150 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC NOSE-NASAL BONES 320 70160 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC ORBIT-FRACTURE 320 70200 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 HC SINUSES 320 70210 N/A 276 171.43 97.27 134.96 65.73 152.81 186.95 91.51 50.96 96.6 200.8 99.96 109.23 99.49 50.96 200.8 HC SINUSES 320 70220 N/A 317 196.89 111.72 155.01 75.5 175.5 214.72 105.1 58.53 110.95 230.63 114.8 125.45 114.27 58.53 230.63 HC SELLA TURCICA 320 70240 N/A 185 114.91 65.2 90.46 44.06 102.42 125.31 61.34 34.16 64.75 134.59 67 73.21 66.69 34.16 134.59 HC SKULL < 4 VIEWS 320 70250 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC SKULL - COMPLETE MIN 4 VIEWS 320 70260 N/A 317 196.89 111.72 155.01 75.5 175.5 214.72 105.1 58.53 110.95 230.63 114.8 125.45 114.27 58.53 230.63 HC SOFT TISSUES OF NECK 320 70360 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC CHEST SINGLE AP VIEW 320 71045 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC CHEST 2 VIEWS 320 71046 N/A 50 31.06 17.62 24.45 11.91 27.68 33.87 16.58 9.23 17.5 36.38 18.11 19.79 18.02 9.23 36.38 HC APICAL LORDOTIC CHEST 320 71021 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 HC CHEST & OBLIQUES 324 71022 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 HC CHEST-DECUBITUS 320 71048 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC RIBS 320 71100 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC RIBS WITH CHEST 320 71101 N/A 293 181.99 103.26 143.28 69.78 162.22 198.46 97.14 54.1 102.55 213.16 106.11 115.96 105.62 54.1 213.16 HC TN RIBS BILATERAL WITH CHEST 320 71110 N/A 133 82.61 46.87 65.04 31.68 73.63 90.09 44.1 24.56 46.55 96.76 48.17 52.63 47.94 24.56 96.76 HC RIBS BILATERAL WITH CHEST 320 71111 N/A 378 234.78 133.22 184.84 90.03 209.28 256.04 125.33 69.79 132.3 275 136.9 149.59 136.26 69.79 275 HC STERNUM 320 71120 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 HC STERNO-CLAVICULAR JT 320 71130 N/A 157 97.52 55.33 76.77 37.39 86.92 106.34 52.05 28.99 54.95 114.22 56.86 62.13 56.59 28.99 114.22 HC SPINE 1 VIEW 320 72020 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC XR C SPINE 3 VIEWS OR LESS 320 72040 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC XR C SPINE 4 OR 5 VIEWS 320 72050 N/A 329 204.35 115.95 160.88 78.36 182.15 222.85 109.08 60.74 115.15 239.36 119.15 130.2 118.59 60.74 239.36 HC XR C-SPINE 6 OR MORE VIEWS 320 72052 N/A 451 280.12 158.95 220.54 107.41 249.69 305.49 149.53 83.27 157.85 328.11 163.33 178.48 162.57 83.27 328.11 HC THORACIC SPINE 2 VIEWS 320 72070 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC THORACIC SPINE 3 VIEWS 320 72072 N/A 323 200.62 113.84 157.95 76.93 178.83 218.78 107.09 59.64 113.05 234.99 116.98 127.83 116.43 59.64 234.99 HC THORACIC SPINE 4 VIEWS 320 72074 N/A 129 80.12 45.46 63.08 30.72 71.42 87.38 42.77 23.82 45.15 93.85 46.72 51.05 46.5 23.82 93.85 HC SPINE-THORACOLUMBAR 320 72080 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 HC SCOLIOSIS SERIES 320 72081 N/A 186 115.53 65.55 90.95 44.3 102.98 125.99 61.67 34.34 65.1 135.32 67.36 73.61 67.05 34.34 135.32 HC XR THOR & LUM SPINE PORT 1 VIEW 320 72081 N/A 186 115.53 65.55 90.95 44.3 102.98 125.99 61.67 34.34 65.1 135.32 67.36 73.61 67.05 34.34 135.32 HC XR SCOLIOSIS SERIES 2-3 VIEW 320 72082 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 HC XR PORT THOR/LUMB SPINE 2-3 VIEW 320 72082 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 HC XR SCOLIOSIS SERIES 4-5 VIEW 320 72083 N/A 300 186.33 105.73 146.7 71.45 166.09 203.21 99.47 55.39 105 218.26 108.65 118.73 108.14 55.39 218.26 HC XR SCOLIOSIS SERIES MIN 6 VIEW 320 72084 N/A 357 221.74 125.82 174.57 85.03 197.65 241.81 118.36 65.91 124.95 259.73 129.29 141.28 128.69 65.91 259.73 HC LUMBAR SPINE 2 VIEWS 320 72100 N/A 269 167.08 94.8 131.54 64.07 148.93 182.21 89.19 49.67 94.15 195.7 97.42 106.46 96.97 49.67 195.7 HC LUMBAR SPINE MIN 4 VIEWS 320 72110 N/A 366 227.33 128.99 178.97 87.17 202.63 247.91 121.35 67.58 128.1 266.27 132.55 144.84 131.93 67.58 266.27 HC LUMBAR SPINE 6 VIEW W BEND 320 72114 N/A 395 245.34 139.21 193.15 94.08 218.69 267.55 130.96 72.93 138.25 287.37 143.05 156.32 142.38 72.93 287.37 HC LUMB SPINE BENDING VIEWS 2 OR 3 320 72120 N/A 269 167.08 94.8 131.54 64.07 148.93 182.21 89.19 49.67 94.15 195.7 97.42 106.46 96.97 49.67 195.7 HC PELVIS 320 72170 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC PELVIS : COMP > 3 VIEWS 320 72190 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC SACRO-ILIAC JOINTS 320 72202 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC SACRUM AND/OR COCCYX 320 72220 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 HC CERVICAL MYELOGRAM 361 62302 N/A 873 542.23 307.67 426.89 207.92 483.33 591.33 289.44 161.19 305.55 635.13 316.16 345.49 314.69 161.19 635.13 HC THORACIC MYELOGRAM 320 72255 N/A 813 504.97 286.53 397.55 193.63 450.11 550.69 269.55 150.11 284.55 591.48 294.43 321.75 293.06 150.11 591.48 HC LUMBAR MYELOGRAM 361 62304 N/A 756 469.56 266.44 369.68 180.05 418.55 512.08 250.65 139.58 264.6 550.01 273.79 299.19 272.51 139.58 550.01 "HC MYELOGRAM, COMPLETE" 320 72270 N/A 773 480.12 272.43 377.99 184.1 427.96 523.59 256.29 142.72 270.55 562.38 279.95 305.92 278.64 142.72 562.38 HC CLAVICLE 320 73000 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC SCAPULA 320 73010 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC SHOULDER 1 VIEW 320 73020 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC SHOULDER 320 73030 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 HC SHOULDER ARTHROGRAM 322 73040 N/A 621 385.71 218.86 303.67 147.9 343.81 420.63 205.89 114.66 217.35 451.79 224.9 245.76 223.85 114.66 451.79 HC ACROMIO-CLAV JOINTS 320 73050 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 HC HUMERUS 320 73060 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC ELBOW 320 73070 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC ELBOW 3 VIEWS 320 73080 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 HC ELBOW ARTHROGRAM 320 73085 N/A 621 385.71 218.86 303.67 147.9 343.81 420.63 205.89 114.66 217.35 451.79 224.9 245.76 223.85 114.66 451.79 HC FOREARM 320 73090 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC WRIST W 20 DEGREE ELEVATION 2 VIE 320 73100 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC WRIST 2 VIEWS 320 73100 N/A 158 98.14 55.68 77.26 37.63 87.48 107.02 52.38 29.17 55.3 114.95 57.22 62.53 56.95 29.17 114.95 HC WRIST 3 VIEW 320 73110 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC WRIST ARTHORGRAM 320 73115 N/A 621 385.71 218.86 303.67 147.9 343.81 420.63 205.89 114.66 217.35 451.79 224.9 245.76 223.85 114.66 451.79 HC HAND 320 73120 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 "HC XR HAND, 3 VIEWS" 320 73130 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC FINGER 320 73140 N/A 133 82.61 46.87 65.04 31.68 73.63 90.09 44.1 24.56 46.55 96.76 48.17 52.63 47.94 24.56 96.76 "HC HIP FOR PROGRESS, 1 VIEW" 320 73501 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 "HC HIP FOR FX, 2 OR 3 VIEWS" 320 73502 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 HC HIPS BILAERAL W PELVIS 2 VIEWS 320 73521 N/A 269 167.08 94.8 131.54 64.07 148.93 182.21 89.19 49.67 94.15 195.7 97.42 106.46 96.97 49.67 195.7 HC HIPS BILATERAL W PELVIS 3 4 VIEWS 320 73522 N/A 354 219.87 124.76 173.1 84.31 195.99 239.78 117.37 65.36 123.9 257.54 128.2 140.1 127.61 65.36 257.54 HC PELVIS/HIPS 320 73523 N/A 439 272.67 154.72 214.67 104.56 243.05 297.36 145.55 81.05 153.65 319.38 158.99 173.73 158.24 81.05 319.38 HC XR HIP ARTHROGRAM 320 73525 N/A 621 385.71 218.86 303.67 147.9 343.81 420.63 205.89 114.66 217.35 451.79 224.9 245.76 223.85 114.66 451.79 HC XR FEMUR (1)VIEW 320 73551 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC FEMUR 320 73552 N/A 250 155.28 88.11 122.25 59.54 138.41 169.34 82.89 46.16 87.5 181.88 90.54 98.94 90.12 46.16 181.88 HC KNEE 320 73560 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC KNEES 3 VIEWS 320 73562 N/A 269 167.08 94.8 131.54 64.07 148.93 182.21 89.19 49.67 94.15 195.7 97.42 106.46 96.97 49.67 195.7 HC KNEE COMPLETE 320 73564 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC KNEES WEIGHT BEAR BOTH 320 73565 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC ARTHROGRAM KNEE 320 73580 N/A 621 385.71 218.86 303.67 147.9 343.81 420.63 205.89 114.66 217.35 451.79 224.9 245.76 223.85 114.66 451.79 HC LEG 320 73590 N/A 195 121.12 68.72 95.35 46.44 107.96 132.08 64.65 36 68.25 141.87 70.62 77.17 70.29 36 141.87 HC LOWER EXTREMITY INFANT 2 VIEWS 320 73592 N/A 123 76.4 43.35 60.15 29.29 68.1 83.31 40.78 22.71 43.05 89.49 44.55 48.68 44.34 22.71 89.49 HC ANKLE 320 73600 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 "HC XR ANKLE, 3 VIEWS" 320 73610 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC ARTHROGRAM ANKLE 320 73615 N/A 621 385.71 218.86 303.67 147.9 343.81 420.63 205.89 114.66 217.35 451.79 224.9 245.76 223.85 114.66 451.79 HC FOOT 320 73620 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC XR FOOT 3 VIEWS 320 73630 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC HEEL BRODENS VIEW 4 VIEWS 320 73650 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC TOE 320 73660 N/A 133 82.61 46.87 65.04 31.68 73.63 90.09 44.1 24.56 46.55 96.76 48.17 52.63 47.94 24.56 96.76 HC ABDOMEN SINGLE VIEW 320 74018 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC ABDOMEN 2 VIEWS 320 74019 N/A 268 166.46 94.45 131.05 63.83 148.38 181.53 88.86 49.48 93.8 194.98 97.06 106.06 96.6 49.48 194.98 HC ACUTE ABD MULTIVIEWS W 1 VIEW CXR 320 74022 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 HC ESOPHAGUS SINGLE CONTRAST INC. SCOUT CHEST/DELAYED IMAGES 320 74220 N/A 439 272.67 154.72 214.67 104.56 243.05 297.36 145.55 81.05 153.65 319.38 158.99 173.73 158.24 81.05 319.38 HC ESOPHAGUS DOUBLE CONTRAST 320 74221 N/A 436 270.81 153.66 213.2 103.84 241.39 295.32 144.56 80.5 152.6 317.2 157.9 172.55 157.16 80.5 317.2 HC MODIFIED BARIUM SWALLOW W SCOUT/DELAYED IMAGES 320 74230 N/A 439 272.67 154.72 214.67 104.56 243.05 297.36 145.55 81.05 153.65 319.38 158.99 173.73 158.24 81.05 319.38 HC GASTROGRAFIN GI W SCOUT W/WO DELAYED IMAGES 320 74240 N/A 446 277.02 157.18 218.09 106.22 246.92 302.1 147.87 82.35 156.1 324.48 161.52 176.5 160.77 82.35 324.48 HC UGI DOUBLE CONTRAST 320 74246 N/A 446 277.02 157.18 218.09 106.22 246.92 302.1 147.87 82.35 156.1 324.48 161.52 176.5 160.77 82.35 324.48 HC UPPER GI SERIES 320 74246 N/A 446 277.02 157.18 218.09 106.22 246.92 302.1 147.87 82.35 156.1 324.48 161.52 176.5 160.77 82.35 324.48 HC TN UGI/SMALL BOWEL 320 74248 N/A 502 311.8 176.92 245.48 119.56 277.93 340.03 166.44 92.69 175.7 365.22 181.8 198.67 180.95 92.69 365.22 HC UGI/SMALL BOWEL 320 74248 N/A 695 431.68 244.94 339.85 165.53 384.78 470.76 230.43 128.32 243.25 505.63 251.7 275.05 250.52 128.32 505.63 HC SMALL BOWEL SERIES W SCOUT/SINGLE CONTRAST 320 74250 N/A 524 325.46 184.67 256.23 124.8 290.11 354.93 173.73 96.75 183.4 381.22 189.77 207.37 188.88 96.75 381.22 HC BARIUM ENEMA SINGLE CONTRAST W SCOUT/DELAYED IMAGES 320 74270 N/A 695 431.68 244.94 339.85 165.53 384.78 470.76 230.43 128.32 243.25 505.63 251.7 275.05 250.52 128.32 505.63 HC BARIUM ENEMA W/AIR DOUBELE CONTRAST W SCOUT/DELAYED IMAGES 320 74280 N/A 817 507.45 287.94 399.51 194.58 452.33 553.4 270.88 150.85 285.95 594.39 295.88 323.33 294.5 150.85 594.39 HC OPER CHOLANGIOGRM 320 74300 N/A 341 211.8 120.18 166.75 81.22 188.79 230.98 113.06 62.96 119.35 248.09 123.5 134.95 122.92 62.96 248.09 HC OPER CHOLAGIOGRAM ADDITIONAL IMAGES 320 74301 N/A 302 187.58 106.43 147.68 71.93 167.2 204.56 100.13 55.76 105.7 219.71 109.37 119.52 108.86 55.76 219.71 HC ERCP 320 74330 N/A 426 264.6 150.14 208.31 101.46 235.85 288.55 141.24 78.65 149.1 309.93 154.28 168.59 153.56 78.65 309.93 HC IV PYLEOGRAMS 320 74400 N/A 536 332.92 188.9 262.1 127.66 296.75 363.06 177.71 98.96 187.6 389.95 194.12 212.12 193.21 98.96 389.95 HC RETRO PYLEOGRAM 320 74420 N/A 424 263.35 149.43 207.33 100.98 234.74 287.2 140.58 78.28 148.4 308.47 153.55 167.8 152.84 78.28 308.47 HC CYSTOGRAM 320 74430 N/A 454 281.99 160 222 108.13 251.35 307.52 150.52 83.82 158.9 330.3 164.42 179.67 163.65 83.82 330.3 HC URETHROCYSTOGRAM RETRO 320 74450 N/A 454 281.99 160 222 108.13 251.35 307.52 150.52 83.82 158.9 330.3 164.42 179.67 163.65 83.82 330.3 HC URETHROGRAM 320 74455 N/A 536 332.92 188.9 262.1 127.66 296.75 363.06 177.71 98.96 187.6 389.95 194.12 212.12 193.21 98.96 389.95 HC XR HYSTEROSALPINGOGRAM 320 74740 N/A 612 380.12 215.69 299.26 145.76 338.83 414.54 202.91 113 214.2 445.25 221.64 242.2 220.61 113 445.25 HC SHUNT SERIES 320 75809 N/A 301 186.96 106.08 147.19 71.69 166.65 203.88 99.8 55.57 105.35 218.98 109.01 119.12 108.5 55.57 218.98 HC VENOGRAM 320 75820 N/A 1087 675.15 383.09 531.54 258.89 601.81 736.28 360.4 200.7 380.45 790.82 393.66 430.18 391.83 200.7 790.82 HC VENOGRAM EXTREMITY UNI 320 75820 N/A 1603 995.65 564.95 783.86 381.78 887.49 "1,085.79" 531.48 295.97 561.05 "1,166.22" 580.54 634.39 577.83 295.97 "1,166.22" HC VENOGRAM EXTREMITY BILAT 320 75822 N/A 3192 "1,982.60" "1,124.96" "1,560.87" 760.23 "1,767.22" "2,162.10" "1,058.31" 589.35 1117.2 "2,322.26" "1,156.00" "1,263.24" "1,150.61" 589.35 "2,322.26" HC IVC 320 75825 N/A 3369 "2,092.54" "1,187.34" "1,647.42" 802.39 "1,865.22" "2,281.99" "1,116.99" 622.03 1179.15 "2,451.03" "1,220.10" "1,333.29" "1,214.41" 622.03 "2,451.03" HC VENOGRAM RENAL BIL 320 75833 N/A 3369 "2,092.54" "1,187.34" "1,647.42" 802.39 "1,865.22" "2,281.99" "1,116.99" 622.03 1179.15 "2,451.03" "1,220.10" "1,333.29" "1,214.41" 622.03 "2,451.03" HC IR ABSCESS DRAIN 320 75989 N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 HC FLUORO ONLY-UP TO 1 HR 320 76000 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 HC FOREIGN BODY LOCALIZATION 320 76010 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC IR FLUOROSCOPIC GUIDANCE CVAD 320 77001 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC FLURO GUIDE NEEDLE PLACEMENT 320 77002 N/A 237 147.2 83.53 115.89 56.45 131.21 160.53 78.58 43.76 82.95 172.42 85.83 93.79 85.43 43.76 172.42 HC FOOT ARTHROGRAM 320 77002 N/A 237 147.2 83.53 115.89 56.45 131.21 160.53 78.58 43.76 82.95 172.42 85.83 93.79 85.43 43.76 172.42 HC TOE ARTHROGRAM 320 77002 N/A 237 147.2 83.53 115.89 56.45 131.21 160.53 78.58 43.76 82.95 172.42 85.83 93.79 85.43 43.76 172.42 HC LUMBAR PUNCTURE FOR DX 320 77003 N/A 210 130.43 74.01 102.69 50.02 116.26 142.24 69.63 38.77 73.5 152.78 76.05 83.11 75.7 38.77 152.78 HC BONE AGE SURVEY 320 77072 N/A 170 105.59 59.91 83.13 40.49 94.12 115.15 56.36 31.39 59.5 123.68 61.57 67.28 61.28 31.39 123.68 HC SCANOGRAM 320 77073 N/A 220 136.65 77.53 107.58 52.4 121.8 149.02 72.94 40.62 77 160.06 79.67 87.07 79.3 40.62 160.06 "HC BONE LENGTH, SCANOGRAM" 320 77073 N/A 220 136.65 77.53 107.58 52.4 121.8 149.02 72.94 40.62 77 160.06 79.67 87.07 79.3 40.62 160.06 HC LONG BONE SURVEY 320 77074 N/A 361 224.22 127.23 176.53 85.98 199.86 244.52 119.69 66.65 126.35 262.64 130.74 142.87 130.13 66.65 262.64 HC METASTATIC BONE SURVEY 320 77075 N/A 574 356.52 202.3 280.68 136.71 317.79 388.8 190.31 105.98 200.9 417.6 207.88 227.16 206.91 105.98 417.6 HC BONE SURVEY COMPLETE 320 77075 N/A 574 356.52 202.3 280.68 136.71 317.79 388.8 190.31 105.98 200.9 417.6 207.88 227.16 206.91 105.98 417.6 HC INFANT OSSEOUS SURVEY 320 77076 N/A 220 136.65 77.53 107.58 52.4 121.8 149.02 72.94 40.62 77 160.06 79.67 87.07 79.3 40.62 160.06 HC DEXA BONE DENSITY AXIAL 320 77080 N/A 216 134.16 76.13 105.62 51.44 119.59 146.31 71.61 39.88 75.6 157.15 78.23 85.48 77.86 39.88 157.15 HC DEXA SCAN AXIAL W VERT FRACTURE ASSESSME 320 77085 N/A 238 147.83 83.88 116.38 56.68 131.77 161.21 78.91 43.94 83.3 173.15 86.19 94.19 85.79 43.94 173.15 RENAL LT/RT UNI (W OR W/O FLUSH) 323 36251 N/A 3369 "2,092.54" "1,187.34" "1,647.42" 802.39 "1,865.22" "2,281.99" "1,116.99" 622.03 1179.15 "2,451.03" "1,220.10" "1,333.29" "1,214.41" 622.03 "2,451.03" HC RENAL BIL (W OR W/O FLUSH) 323 36252 N/A 3369 "2,092.54" "1,187.34" "1,647.42" 802.39 "1,865.22" "2,281.99" "1,116.99" 622.03 1179.15 "2,451.03" "1,220.10" "1,333.29" "1,214.41" 622.03 "2,451.03" HC ABDOMINAL AORTOGRAM 323 75625 N/A 3369 "2,092.54" "1,187.34" "1,647.42" 802.39 "1,865.22" "2,281.99" "1,116.99" 622.03 1179.15 "2,451.03" "1,220.10" "1,333.29" "1,214.41" 622.03 "2,451.03" HC ABD AORTOGRAM WITH RUNOFF 323 75630 N/A 3369 "2,092.54" "1,187.34" "1,647.42" 802.39 "1,865.22" "2,281.99" "1,116.99" 622.03 1179.15 "2,451.03" "1,220.10" "1,333.29" "1,214.41" 622.03 "2,451.03" HC VAS PROC ANGIOGRAPHY EXT RS&I 323 75710 N/A 3369 "2,092.54" "1,187.34" "1,647.42" 802.39 "1,865.22" "2,281.99" "1,116.99" 622.03 1179.15 "2,451.03" "1,220.10" "1,333.29" "1,214.41" 622.03 "2,451.03" HC ANGIO EXTREMITY BIL 323 75716 N/A 3369 "2,092.54" "1,187.34" "1,647.42" 802.39 "1,865.22" "2,281.99" "1,116.99" 622.03 1179.15 "2,451.03" "1,220.10" "1,333.29" "1,214.41" 622.03 "2,451.03" CHEST - W/APICAL LORDOTIC 3 VIEWS 324 71047 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 HC CHEST - W/APICAL LORDOTIC 3 VIEWS 324 71047 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 CHEST - 4 VIEWS OR MORE 324 71048 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 "HC CHEMO,SUBQ/INTRA NON HOR ANTI NEO" 331 96401 N/A 203 126.09 71.54 99.27 48.35 112.39 137.5 67.3 37.48 71.05 147.69 73.52 80.34 73.17 37.48 147.69 HC CHEMO SUBQ/INTRA HOR ANTI NEO 331 96402 N/A 203 126.09 71.54 99.27 48.35 112.39 137.5 67.3 37.48 71.05 147.69 73.52 80.34 73.17 37.48 147.69 HC CHEMO ADMIN IV PUSH-SINGL/INITIAL 331 96409 N/A 269 167.08 94.8 131.54 64.07 148.93 182.21 89.19 49.67 94.15 195.7 97.42 106.46 96.97 49.67 195.7 HC CHEMO ADMIN IV PUSH-EACH ADD DRUG 331 96411 N/A 269 167.08 94.8 131.54 64.07 148.93 182.21 89.19 49.67 94.15 195.7 97.42 106.46 96.97 49.67 195.7 HC ARTHROGRAM KNEE 322 73580 N/A 621 385.71 218.86 303.67 147.9 343.81 420.63 205.89 114.66 217.35 451.79 224.9 245.76 223.85 114.66 451.79 HC SIMULATION SIMPLE INITIAL 333 77280 N/A 330 204.97 116.3 161.37 78.6 182.7 223.53 109.41 60.93 115.5 240.08 119.51 130.6 118.95 60.93 240.08 "HC SIMULATION, INTERMEDIATE" 333 77285 N/A 864.6 537.02 304.71 422.78 205.92 478.68 585.64 286.66 159.63 302.61 629.02 313.12 342.17 311.66 159.63 629.02 "HC SIMULATION, COMPLEX" 333 77290 N/A 750 465.84 264.32 366.75 178.63 415.23 508.01 248.66 138.48 262.5 545.64 271.62 296.81 270.35 138.48 545.64 HC RESPIRATORY MOTION MGMT 333 77293 N/A 425 263.97 149.78 207.82 101.22 235.3 287.87 140.91 78.47 148.75 309.2 153.92 168.19 153.2 78.47 309.2 HC 3D TREATMENT PLANNING 333 77295 N/A 2742 "1,703.10" 966.37 "1,340.82" 653.06 "1,518.09" "1,857.30" 909.11 506.27 959.7 "1,994.87" 993.03 "1,085.15" 988.4 506.27 "1,994.87" HC BASIC DOSIMETRY CALC 333 77300 N/A 426 264.6 150.14 208.31 101.46 235.85 288.55 141.24 78.65 149.1 309.93 154.28 168.59 153.56 78.65 309.93 HC IMRT PLAN 333 77301 N/A 2669 "1,657.76" 940.64 "1,305.13" 635.67 "1,477.67" "1,807.85" 884.91 492.79 934.15 "1,941.76" 966.6 "1,056.26" 962.08 492.79 "1,941.76" HC COMPUTER ISODOSE-COMPLEX 333 77307 N/A 654 406.21 230.49 319.8 155.76 362.08 442.99 216.83 120.75 228.9 475.8 236.85 258.82 235.74 120.75 475.8 HC BRACHY THERAPY DOS-SIMPLE 333 77316 N/A 864.62 537.03 304.72 422.79 205.92 478.69 585.65 286.67 159.64 302.617 629.03 313.13 342.17 311.67 159.64 629.03 HC SPECIAL THERAPY PORT PLAN 333 77321 N/A 767 476.4 270.31 375.06 182.67 424.64 519.53 254.3 141.61 268.45 558.01 277.77 303.54 276.48 141.61 558.01 "HC SPECIAL DOSIMETRY (EG,TLD)" 333 77331 N/A 353 219.25 124.41 172.62 84.07 195.44 239.1 117.04 65.18 123.55 256.82 127.84 139.7 127.24 65.18 256.82 HC TREATMENT DEVICES-SIMPLE 333 77332 N/A 566 351.55 199.48 276.77 134.8 313.36 383.38 187.66 104.5 198.1 411.78 204.98 224 204.02 104.5 411.78 HC TX DEVICE INTERMEDIATE (MOD 59) 333 77333 N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 HC TREATMENT DEVICES-COMPLEX 333 77334 N/A 609 378.26 214.63 297.8 145.04 337.17 412.51 201.91 112.44 213.15 443.06 220.55 241.01 219.52 112.44 443.06 "HC PHYSICS, CONSULT., CONT." 333 77336 N/A 353 219.25 124.41 172.62 84.07 195.44 239.1 117.04 65.18 123.55 256.82 127.84 139.7 127.24 65.18 256.82 HC DESIGN MLC DEVICE FOR IMRT 333 77338 N/A 609 378.26 214.63 297.8 145.04 337.17 412.51 201.91 112.44 213.15 443.06 220.55 241.01 219.52 112.44 443.06 HC PHYSICS CONSULTATION 333 77370 N/A 744 462.11 262.21 363.81 177.2 411.91 503.95 246.67 137.37 260.4 541.28 269.44 294.44 268.19 137.37 541.28 HC TREATMENT DELIVERY SRS LINEAR 333 77372 N/A 19432 "12,069.52" "6,848.44" "9,502.14" "4,628.08" "10,758.36" "13,162.28" "6,442.69" "3,587.80" 6801.2 "14,137.26" "7,037.42" "7,690.24" "7,004.58" "3,587.80" "14,137.26" HC SBRT TREATMENT DELIVERY PER FRAC 333 77373 N/A 4334 "2,691.91" "1,527.44" "2,119.30" "1,032.22" "2,399.48" "2,935.64" "1,436.94" 800.2 1516.9 "3,153.09" "1,569.59" "1,715.19" "1,562.26" 800.2 "3,153.09" HC IMRT TREATMENTS SIMPLE 333 77385 N/A 1270 788.82 447.59 621.02 302.47 703.12 860.24 421.07 234.48 444.5 923.96 459.94 502.6 457.79 234.48 923.96 HC IMRT TREATMENTS COMPLEX 333 77386 N/A 1270 788.82 447.59 621.02 302.47 703.12 860.24 421.07 234.48 444.5 923.96 459.94 502.6 457.79 234.48 923.96 HC STEREOSCOPIC GUIDE VOL RAD THER 333 77387 N/A 311 193.17 109.61 152.08 74.07 172.18 210.66 103.11 57.42 108.85 226.26 112.63 123.08 112.11 57.42 226.26 HC CT SCAN FOR THERAPY GUIDE 333 77387 N/A 311 193.17 109.61 152.08 74.07 172.18 210.66 103.11 57.42 108.85 226.26 112.63 123.08 112.11 57.42 226.26 "HC TRMT DELIVERY =>1MEV, COMPLEX" 333 77412 N/A 487 302.48 171.63 238.14 115.99 269.62 329.87 161.47 89.92 170.45 354.3 176.37 192.73 175.55 89.92 354.3 HC PORT FILMS 333 77417 N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 HC SPECIAL TREATMENT PROCEDURE 333 77470 N/A 1024 636.02 360.89 500.73 243.88 566.93 693.61 339.51 189.06 358.4 744.99 370.85 405.25 369.12 189.06 744.99 "HC RAD THERAPY ANAL CANCER RAD ONC MODEL,90 DAY EPISODE, TC" 333 M1073 N/A 17517.57 "10,880.44" "6,173.74" "8,566.00" "4,172.12" "9,698.46" "11,865.54" "5,807.96" "3,234.33" 6131.1495 "12,744.47" "6,344.10" "6,932.60" "6,314.49" "3,234.33" "12,744.47" "HC RAD THERAPY BLADDER CANCER RAD ONC MODEL,90 DAY EPISODE, TC" 333 M1075 N/A 14069.06 "8,738.51" "4,958.38" "6,879.69" "3,350.80" "7,789.22" "9,529.69" "4,664.60" "2,597.62" 4924.171 "10,235.59" "5,095.20" "5,567.85" "5,071.42" "2,597.62" "10,235.59" "HC RAD THERAPY BONE METASTASES RAD ONC MODEL,90 DAY EPISODE, TC" 333 M1077 N/A 6209.37 "3,856.74" "2,188.38" "3,036.35" "1,478.87" "3,437.77" "4,205.92" "2,058.72" "1,146.46" 2173.2795 "4,517.47" "2,248.76" "2,457.36" "2,238.27" "1,146.46" "4,517.47" "HC RAD THERAPY BRAIN METASTASES RAD ONC MODEL,90 DAY EPISODE, TC" 333 M1079 N/A 10127.96 "6,290.63" "3,569.41" "4,952.52" "2,412.16" "5,607.26" "6,860.18" "3,357.93" "1,869.96" 3544.786 "7,368.34" "3,667.91" "4,008.15" "3,650.79" "1,869.96" "7,368.34" "HC RAD THERAPY BREAST CANCER RAD ONC MODEL,90 DAY EPISODE, TC" 333 M1081 N/A 10316.98 "6,408.04" "3,636.03" "5,044.95" "2,457.17" "5,711.91" "6,988.21" "3,420.60" "1,904.86" 3610.943 "7,505.86" "3,736.36" "4,082.96" "3,718.92" "1,904.86" "7,505.86" "HC RAD THERAPY CERVICAL CANCER RAD ONC MODEL, 90 DAY EPISODE TC" 333 M1083 N/A 14094.75 "8,754.47" "4,967.43" "6,892.26" "3,356.92" "7,803.44" "9,547.09" "4,673.12" "2,602.36" 4933.1625 "10,254.28" "5,104.50" "5,578.01" "5,080.68" "2,602.36" "10,254.28" "HC RAD THERAPY CNS TUMORS RAD ONC MODEL, 90 DAY EPISODE TC" 333 M1085 N/A 15434.87 "9,586.84" "5,439.73" "7,547.57" "3,676.09" "8,545.39" "10,454.82" "5,117.44" "2,849.79" 5402.2045 "11,229.25" "5,589.84" "6,108.37" "5,563.75" "2,849.79" "11,229.25" "HC RAD THERAPY COLORECTAL CANCER RAD ONC MODEL,90 DAY EPISODE TC" 333 M1087 N/A 12646.72 "7,855.07" "4,457.10" "6,184.18" "3,012.04" "7,001.75" "8,566.27" "4,193.03" "2,335.01" 4426.352 "9,200.80" "4,580.09" "5,004.95" "4,558.72" "2,335.01" "9,200.80" "HC RAD THERAPY HEAD&NECK CANCER RAD ONC MODEL, 90 DAY EPISODE TC" 333 M1089 N/A 18223.47 "11,318.88" "6,422.52" "8,911.18" "4,340.25" "10,089.27" "12,343.68" "6,042.00" "3,364.66" 6378.2145 "13,258.03" "6,599.75" "7,211.96" "6,568.95" "3,364.66" "13,258.03" "HC RAD THERAPY LUNG CANCER RAD ONC MODEL, 90 DAY EPISODE TC" 333 M1095 N/A 12477.92 "7,750.23" "4,397.61" "6,101.63" "2,971.84" "6,908.30" "8,451.93" "4,137.06" "2,303.84" 4367.272 "9,078.00" "4,518.96" "4,938.15" "4,497.87" "2,303.84" "9,078.00" "HC RAD THERAPY LYMPHOMA RAD ONC MODEL, 90 DAY EPISODE TC" 333 M1097 N/A 8239.84 "5,117.89" "2,903.98" "4,029.24" "1,962.47" "4,561.92" "5,581.26" "2,731.92" "1,521.35" 2883.944 "5,994.69" "2,984.11" "3,260.93" "2,970.18" "1,521.35" "5,994.69" "HC RAD THERAPY PANCREATIC CANCER RAD ONC MODEL, 90 DAY EPISODE TC" 333 M1099 N/A 14129.15 "8,775.83" "4,979.55" "6,909.08" "3,365.11" "7,822.49" "9,570.39" "4,684.53" "2,608.71" 4945.2025 "10,279.31" "5,116.96" "5,591.63" "5,093.08" "2,608.71" "10,279.31" "HC RAD THERAPY PROSTATE CANCER RAD ONC MODEL, 90 DAY EPISODE TC" 333 M1101 N/A 12101.22 "7,516.26" "4,264.85" "5,917.43" "2,882.12" "6,699.74" "8,196.77" "4,012.16" "2,234.29" 4235.427 "8,803.94" "4,382.53" "4,789.07" "4,362.08" "2,234.29" "8,803.94" "HC RAD THERAPY UPPER GI CANCER RAD ONC MODEL, 90 DAY EPISODE TC" 333 M1103 N/A 15233.16 "9,461.55" "5,368.64" "7,448.93" "3,628.05" "8,433.71" "10,318.19" "5,050.56" "2,812.55" 5331.606 "11,082.50" "5,516.79" "6,028.54" "5,491.04" "2,812.55" "11,082.50" "HC RAD THERAPY UTERINE CANCER RAD ONC MODEL, 90 DAY EPISODE TC" 333 M1105 N/A 14777.08 "9,178.27" "5,207.90" "7,225.91" "3,519.43" "8,181.21" "10,009.27" "4,899.35" "2,728.34" 5171.978 "10,750.69" "5,351.61" "5,848.05" "5,326.64" "2,728.34" "10,750.69" HC CHEMO ADMIN BY INFUSION 0-1 HR 335 96413 N/A 523 324.84 184.32 255.74 124.56 289.55 354.25 173.4 96.56 183.05 380.5 189.41 206.98 188.52 96.56 380.5 HC CHEMO ADMIN BY INFUS EA ADD 1HR 335 96415 N/A 175 108.7 61.68 85.57 41.68 96.89 118.54 58.02 32.31 61.25 127.32 63.38 69.26 63.08 32.31 127.32 HC CHEMO INTRAV DRIP > 8 HRS W PUMP 335 96416 N/A 564 350.31 198.77 275.79 134.33 312.25 382.03 186.99 104.13 197.4 410.32 204.26 223.2 203.3 104.13 410.32 HC CHEMO ADMIN BY INFUSE EA ADDL SEQ 335 96417 N/A 551 342.23 194.19 269.44 131.23 305.06 373.22 182.68 101.73 192.85 400.87 199.55 218.06 198.62 101.73 400.87 "HC 65030 - CHEMOTHERAPY,INTRATHECAL" 335 96450 N/A 362 224.84 127.58 177.02 86.22 200.42 245.2 120.02 66.84 126.7 263.36 131.1 143.26 130.49 66.84 263.36 HC CONCURRENT CHEMO INFUSION 335 96549 N/A 102.17 63.46 36.01 49.96 24.33 56.57 69.2 33.87 18.86 35.7595 74.33 37 40.43 36.83 18.86 74.33 HC INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE 340 38792 N/A 971.7 603.54 342.46 475.16 231.43 537.97 658.18 322.17 179.41 340.095 706.94 351.91 384.55 350.27 179.41 706.94 HC THYROID IMAG SING/MUL QM 340 78014 N/A 550 341.61 193.84 268.95 130.99 304.5 372.54 182.35 101.55 192.5 400.14 199.19 217.66 198.26 101.55 400.14 HC THYROID CA METS-WHOLE BODY 340 78018 N/A 1426 885.71 502.57 697.31 339.63 789.49 965.9 472.79 263.29 499.1 "1,037.45" 516.44 564.34 514.02 263.29 "1,037.45" HC PARATHYROID PLANAR INC SUBTR 340 78070 N/A 496 308.07 174.81 242.54 118.13 274.61 335.97 164.45 91.58 173.6 360.85 179.63 196.29 178.79 91.58 360.85 HC PARATHYROID SCAN W SPECT 340 78071 N/A 921 572.05 324.59 450.36 219.35 509.9 623.84 305.36 170.05 322.35 670.05 333.55 364.49 331.99 170.05 670.05 HC PARATHYROID SCAN W SPECT & CT 340 78072 N/A 1249.45 776.05 440.35 610.97 297.58 691.75 846.32 414.26 230.69 437.3075 909.01 452.5 494.47 450.38 230.69 909.01 HC LYMPHATICS AND LYMPH NODE IMAGING 340 78195 N/A 780 484.47 274.9 381.42 185.77 431.84 528.33 258.61 144.01 273 567.47 282.48 308.69 281.16 144.01 567.47 HC HEPABILRY SYS IMAG INC GALLBLADDER 340 78226 N/A 878 545.34 309.43 429.34 209.11 486.1 594.71 291.1 162.11 307.3 638.77 317.97 347.47 316.49 162.11 638.77 HC HEPABILRY SYS IMAG W PHARMA 340 78227 N/A 878 545.34 309.43 429.34 209.11 486.1 594.71 291.1 162.11 307.3 638.77 317.97 347.47 316.49 162.11 638.77 HC NM GI GASTRIC EMPTY IMAGE STUDY 340 78264 N/A 744 462.11 262.21 363.81 177.2 411.91 503.95 246.67 137.37 260.4 541.28 269.44 294.44 268.19 137.37 541.28 HC ACUTE GI BLOOD LOSS 340 78278 N/A 955 593.17 336.57 466.99 227.45 528.73 646.87 316.63 176.33 334.25 694.79 345.86 377.94 344.25 176.33 694.79 HC BOWEL SCAN-MECKELS 340 78290 N/A 954 592.54 336.22 466.5 227.21 528.17 646.19 316.3 176.14 333.9 694.06 345.5 377.55 343.88 176.14 694.06 HC BONE SCAN-LIMITED 341 78300 N/A 817 507.45 287.94 399.51 194.58 452.33 553.4 270.88 150.85 285.95 594.39 295.88 323.33 294.5 150.85 594.39 HC BONE SCAN-WHOLE BODY 340 78306 N/A 901 559.63 317.54 440.58 214.59 498.83 610.29 298.73 166.35 315.35 655.5 326.3 356.57 324.78 166.35 655.5 HC 3 PHASE BONE SCAN 340 78315 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC BONE SPECT 340 78803 N/A 3112 "1,932.91" "1,096.77" "1,521.75" 741.18 "1,722.93" "2,107.92" "1,031.79" 574.58 1089.2 "2,264.06" "1,127.03" "1,231.58" "1,121.77" 574.58 "2,264.06" HC MYOCARDIAL PERF-SPECT/SINGLE 341 78451 N/A 1718 "1,067.08" 605.48 840.09 409.17 951.16 "1,163.69" 569.6 317.2 601.3 "1,249.89" 622.18 679.9 619.28 317.2 "1,249.89" HC MYOCARDIAL PERF-SPECT/MULTI 340 78452 N/A 1829 "1,136.02" 644.6 894.37 435.61 "1,012.61" "1,238.87" 606.41 337.69 640.15 "1,330.64" 662.38 723.83 659.29 337.69 "1,330.64" HC MUGA-SINGLE STUDY 340 78472 N/A 1443 896.27 508.56 705.62 343.68 798.9 977.42 478.43 266.43 505.05 "1,049.82" 522.59 571.07 520.15 266.43 "1,049.82" HC PULM PERFUSION PARTICULATE 340 78580 N/A 622 386.33 219.21 304.15 148.14 344.37 421.31 206.22 114.84 217.7 452.52 225.26 246.16 224.21 114.84 452.52 HC NM PULMONARY VENT PERFUSION IMAG 340 78582 N/A 960 596.27 338.33 469.43 228.64 531.5 650.26 318.29 177.25 336 698.42 347.67 379.92 346.05 177.25 698.42 HC NM PULMON PERFUSION VENT QUAN DIF 340 78598 N/A 1261.25 783.38 444.5 616.74 300.39 698.28 854.31 418.17 232.87 441.4375 917.59 456.77 499.14 454.64 232.87 917.59 HC BRAIN SCAN <4 VIEWS W VASC FLOW 340 78601 N/A 962.48 597.81 339.21 470.65 229.23 532.87 651.94 319.11 177.71 336.868 700.23 348.57 380.9 346.94 177.71 700.23 HC NM KIDNEY SCAN-VAS FLOW/FUNCT W/O 340 78707 N/A 744 462.11 262.21 363.81 177.2 411.91 503.95 246.67 137.37 260.4 541.28 269.44 294.44 268.19 137.37 541.28 HC KIDNEY IMAG-VASC FLOW/FUN W 1PHAR 340 78708 N/A 865 537.26 304.85 422.98 206.02 478.9 585.91 286.79 159.71 302.75 629.31 313.27 342.32 311.8 159.71 629.31 HC TUMOR IMAGING SINGLE AREA/SINGLE DAY 340 78800 N/A 735 456.52 259.04 359.41 175.05 406.93 497.85 243.69 135.71 257.25 534.73 266.18 290.88 264.94 135.71 534.73 HC TUMOR IMAGING-SPECT SINGLE AREA SINGLE DAY 340 78803 N/A 962.47 597.81 339.2 470.64 229.23 532.86 651.93 319.11 177.7 336.8645 700.22 348.56 380.9 346.94 177.7 700.22 HC INFLAMMATION IMAGING-WB 340 78306 N/A 1426 885.71 502.57 697.31 339.63 789.49 965.9 472.79 263.29 499.1 "1,037.45" 516.44 564.34 514.02 263.29 "1,037.45" HC INFLAMMATION IMAGING-SPECT 340 78803 N/A 3318.17 "2,060.97" "1,169.43" "1,622.57" 790.28 "1,837.08" "2,247.56" "1,100.14" 612.65 1161.3595 "2,414.05" "1,201.70" "1,313.17" "1,196.09" 612.65 "2,414.05" HC INFLAMMATORY LOCALIZATION LIMITED 341 78300 N/A 901 559.63 317.54 440.58 214.59 498.83 610.29 298.73 166.35 315.35 655.5 326.3 356.57 324.78 166.35 655.5 HC PYROPHOSPHATE 343 A9538 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC Z NM TC99M TAG RRC PER DOSE 30MCI 343 A9560 N/A 275.44 171.08 97.07 134.69 65.6 152.5 186.57 91.32 50.86 96.404 200.39 99.75 109.01 99.29 50.86 200.39 HC TC99 TILMANOCEPT DIAG 0.5MCI 343 A9520 N/A 896 556.52 315.78 438.14 213.4 496.06 606.91 297.07 165.43 313.6 651.86 324.49 354.59 322.98 165.43 651.86 HC TC99M OXIDRONATE UP TO 30 MCI 343 A9561 N/A 111 68.94 39.12 54.28 26.44 61.45 75.19 36.8 20.49 38.85 80.76 40.2 43.93 40.01 20.49 80.76 HC UPPER EXTREMITY RT W & WO CONTRAST 350 73202 N/A 821 509.94 289.35 401.46 195.54 454.54 556.1 272.2 151.58 287.35 597.3 297.33 324.91 295.94 151.58 597.3 HC CTA AORTA W/RUNOFF W & W/O CONTRAST 350 75635 N/A 781 485.09 275.25 381.9 186.01 432.39 529.01 258.94 144.2 273.35 568.2 282.84 309.08 281.52 144.2 568.2 HC CT PERCUT DRAIN ABSCESS W OR W/OCATH 350 75989 N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 HC LOW DOSE CT LUNG SCREENING 350 G0297 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC CT HEAD W/O CONTRAST 351 70450 N/A 1024 636.02 360.89 500.73 243.88 566.93 693.61 339.51 189.06 358.4 744.99 370.85 405.25 369.12 189.06 744.99 HC C/T-HEAD SCAN W CONTRAST 351 70460 N/A 1246 773.91 439.13 609.29 296.76 689.84 843.98 413.11 230.05 436.1 906.5 451.25 493.11 449.14 230.05 906.5 HC C/T-HEAD SCAN W/WO CONTRAST 351 70470 N/A 1755 "1,090.06" 618.52 858.19 417.98 971.64 "1,188.75" 581.87 324.03 614.25 "1,276.81" 635.58 694.54 632.62 324.03 "1,276.81" "HC CT ORBIT, SELLA POST FOSSA W/O CONTRAST" 351 70480 N/A 1476 916.77 520.19 721.76 351.54 817.18 999.77 489.37 272.52 516.6 "1,073.83" 534.54 584.13 532.05 272.52 "1,073.83" "HC CT ORBIT, SELLA POST FOSSA W CONTRAST" 351 70481 N/A 762 473.29 268.55 372.61 181.48 421.87 516.14 252.64 140.69 266.7 554.37 275.96 301.56 274.68 140.69 554.37 "HC CT ORBIT, SELLA POST FOSSA W W/O" 351 70482 N/A 907 563.35 319.66 443.52 216.02 502.15 614.36 300.72 167.46 317.45 659.86 328.48 358.95 326.94 167.46 659.86 HC C/T-MAXILLOFACIAL WO CONTRAST 351 70486 N/A 1218 756.52 429.26 595.6 290.09 674.34 825.01 403.83 224.88 426.3 886.13 441.11 482.02 439.05 224.88 886.13 HC C/T-MAXILLOFACIAL W CONTRAST 351 70487 N/A 762 473.29 268.55 372.61 181.48 421.87 516.14 252.64 140.69 266.7 554.37 275.96 301.56 274.68 140.69 554.37 HC C/T-MAXILLOFACIAL W/WO CONTRAS 351 70488 N/A 907 563.35 319.66 443.52 216.02 502.15 614.36 300.72 167.46 317.45 659.86 328.48 358.95 326.94 167.46 659.86 HC C/T-NECK SCAN W/O CONTRAST 351 70490 N/A 939 583.23 330.93 459.17 223.64 519.87 636.03 311.33 173.37 328.65 683.15 340.06 371.61 338.48 173.37 683.15 HC C/T-NECK SCAN W CONTRAST 351 70491 N/A 1085 673.91 382.39 530.56 258.41 600.7 734.93 359.73 200.33 379.75 789.36 392.94 429.39 391.11 200.33 789.36 HC C/T-NECK SCAN W/WO CONTRAST 351 70492 N/A 1231 764.59 433.84 601.95 293.18 681.53 833.82 408.14 227.28 430.85 895.58 445.81 487.17 443.73 227.28 895.58 HC CT LUNG CANCER SCREENING 352 71271 N/A 198 122.98 69.78 96.82 47.16 109.62 134.12 65.65 36.56 69.3 144.05 71.71 78.36 71.37 36.56 144.05 HC CT PERFUSION CEREBRAL W CONTRAST 352 0042T N/A 1161 721.12 409.17 567.72 276.51 642.78 786.4 384.93 214.36 406.35 844.66 420.46 459.47 418.5 214.36 844.66 "HC CT GUIDE DRAIN CATH ABD WALL,NECK" 352 10030 N/A 615 381.99 216.75 300.73 146.47 340.49 416.57 203.9 113.55 215.25 447.43 222.73 243.39 221.69 113.55 447.43 HC CT LUNG NEEDLE BIOPSY 361 32408 N/A 3438 "2,135.40" "1,211.66" "1,681.16" 818.82 "1,903.42" "2,328.73" "1,139.87" 634.77 1203.3 "2,501.23" "1,245.09" "1,360.59" "1,239.28" 634.77 "2,501.23" HC CT GUIDE CATH DRAIN VISCERAL 352 49405 N/A 1743 "1,082.60" 614.29 852.32 415.13 965 "1,180.62" 577.89 321.82 610.05 "1,268.08" 631.24 689.79 628.29 321.82 "1,268.08" HC CT GUIDE CATH PERITON RETROPER 352 49406 N/A 3748.87 "2,328.48" "1,321.22" "1,833.18" 892.86 "2,075.53" "2,539.30" "1,242.94" 692.17 1312.1045 "2,727.40" "1,357.68" "1,483.62" "1,351.34" 692.17 "2,727.40" HC CT TMJ (ALSO FOR SELLA) 352 70480 N/A 1476 916.77 520.19 721.76 351.54 817.18 999.77 489.37 272.52 516.6 "1,073.83" 534.54 584.13 532.05 272.52 "1,073.83" HC CTA HEAD 352 70496 N/A 781 485.09 275.25 381.9 186.01 432.39 529.01 258.94 144.2 273.35 568.2 282.84 309.08 281.52 144.2 568.2 HC CTA NECK 352 70498 N/A 781 485.09 275.25 381.9 186.01 432.39 529.01 258.94 144.2 273.35 568.2 282.84 309.08 281.52 144.2 568.2 HC CT THORAX W/O CONTRAST 352 71250 N/A 1584 983.85 558.25 774.57 377.26 876.97 "1,072.92" 525.18 292.46 554.4 "1,152.40" 573.66 626.87 570.98 292.46 "1,152.40" HC C/T-THORAX SCAN W CONTRAST 352 71260 N/A 1621 "1,006.83" 571.29 792.66 386.07 897.45 "1,097.99" 537.44 299.29 567.35 "1,179.32" 587.06 641.51 584.32 299.29 "1,179.32" HC C/T-THORAX W/WO CONTRAST 352 71270 N/A 1670 "1,037.26" 588.56 816.62 397.74 924.58 "1,131.18" 553.69 308.34 584.5 "1,214.97" 604.8 660.9 601.98 308.34 "1,214.97" HC CTA CHEST 352 71275 N/A 781 485.09 275.25 381.9 186.01 432.39 529.01 258.94 144.2 273.35 568.2 282.84 309.08 281.52 144.2 568.2 HC C/T-C SPINE W/O CONTRAST 352 72125 N/A 1218 756.52 429.26 595.6 290.09 674.34 825.01 403.83 224.88 426.3 886.13 441.11 482.02 439.05 224.88 886.13 HC C/T-C SPINE W CONTRAST 352 72126 N/A 1085 673.91 382.39 530.56 258.41 600.7 734.93 359.73 200.33 379.75 789.36 392.94 429.39 391.11 200.33 789.36 HC C/T-C SPINE W/WO CONTRAST 352 72127 N/A 1218 756.52 429.26 595.6 290.09 674.34 825.01 403.83 224.88 426.3 886.13 441.11 482.02 439.05 224.88 886.13 HC C/T-T SPINE W/O CONTRAST 352 72128 N/A 1110 689.44 391.2 542.78 264.37 614.54 751.86 368.02 204.94 388.5 807.55 401.99 439.28 400.12 204.94 807.55 HC C/T-T SPINE W CONTRAST 352 72129 N/A 1250 776.39 440.54 611.24 297.71 692.05 846.69 414.44 230.79 437.5 909.41 452.7 494.69 450.58 230.79 909.41 HC C/T-L SPINE W/O CONTRAST 352 72131 N/A 1670 "1,037.26" 588.56 816.62 397.74 924.58 "1,131.18" 553.69 308.34 584.5 "1,214.97" 604.8 660.9 601.98 308.34 "1,214.97" HC C/T-L SPINE W CONTRAST 352 72132 N/A 1722 "1,069.56" 606.89 842.05 410.13 953.37 "1,166.40" 570.93 317.94 602.7 "1,252.80" 623.63 681.48 620.72 317.94 "1,252.80" HC C/T-L SPINE W/WO CONTRAST 352 72133 N/A 1900 "1,180.12" 669.62 929.09 452.52 "1,051.92" "1,286.97" 629.95 350.8 665 "1,382.30" 688.1 751.93 684.89 350.8 "1,382.30" HC CTA PELVIS 352 72191 N/A 781 485.09 275.25 381.9 186.01 432.39 529.01 258.94 144.2 273.35 568.2 282.84 309.08 281.52 144.2 568.2 HC CT PELVIS W/O CONTRAST 352 72192 N/A 1268 787.57 446.88 620.05 302 702.02 858.88 420.41 234.12 443.8 922.5 459.21 501.81 457.07 234.12 922.5 HC C/T-PELVIS SCAN W CONTRAST 352 72193 N/A 1487 923.6 524.07 727.13 354.16 823.27 "1,007.22" 493.02 274.55 520.45 "1,081.83" 538.53 588.48 536.01 274.55 "1,081.83" HC C/T-PELVIS SCAN W/WO CONTRAST 352 72194 N/A 1511 938.51 532.52 738.87 359.87 836.55 "1,023.48" 500.97 278.98 528.85 "1,099.29" 547.22 597.98 544.66 278.98 "1,099.29" HC CT UPPER EXTREM WO CONTRAST 352 73200 N/A 634 393.79 223.44 310.02 151 351.01 429.44 210.2 117.06 221.9 461.25 229.61 250.91 228.54 117.06 461.25 HC CT UPPER EXTREM W CONTRAST 352 73201 N/A 762 473.29 268.55 372.61 181.48 421.87 516.14 252.64 140.69 266.7 554.37 275.96 301.56 274.68 140.69 554.37 HC CT UPPER EXTREM WWO CONTRAST 350 73202 N/A 821 509.94 289.35 401.46 195.54 454.54 556.1 272.2 151.58 287.35 597.3 297.33 324.91 295.94 151.58 597.3 HC CTA UPPER EXTREMITY 352 73206 N/A 781 485.09 275.25 381.9 186.01 432.39 529.01 258.94 144.2 273.35 568.2 282.84 309.08 281.52 144.2 568.2 HC CT LOWER EXTREM WO CONTRAST 352 73700 N/A 1110 689.44 391.2 542.78 264.37 614.54 751.86 368.02 204.94 388.5 807.55 401.99 439.28 400.12 204.94 807.55 HC CT LOWER EXTREM W CONTRAST 352 73701 N/A 1293 803.1 455.69 632.27 307.95 715.86 875.81 428.69 238.73 452.55 940.69 468.27 511.71 466.08 238.73 940.69 HC CT LOWER EXTR WWO CONTRAST 352 73702 N/A 907 563.35 319.66 443.52 216.02 502.15 614.36 300.72 167.46 317.45 659.86 328.48 358.95 326.94 167.46 659.86 HC CTA LOWER EXTREMITY 352 73706 N/A 781 485.09 275.25 381.9 186.01 432.39 529.01 258.94 144.2 273.35 568.2 282.84 309.08 281.52 144.2 568.2 HC CT ABDOMEN W/O CONTRAST 352 74150 N/A 1328 824.84 468.03 649.38 316.29 735.24 899.52 440.3 245.19 464.8 966.15 480.94 525.56 478.7 245.19 966.15 HC C/T-ABDOMEN W CONTRAST 352 74160 N/A 1304 809.93 459.57 637.65 310.57 721.95 883.27 432.34 240.76 456.4 948.69 472.25 516.06 470.05 240.76 948.69 HC C/T-ABDOMEN W/WO CONTRAST 352 74170 N/A 2023 "1,256.52" 712.97 989.24 481.81 "1,120.02" "1,370.28" 670.73 373.51 708.05 "1,471.78" 732.64 800.6 729.22 373.51 "1,471.78" HC CTA ABD/PEL W CONTRAST 352 74174 N/A 2000 "1,242.23" 704.86 977.99 476.34 "1,107.28" "1,354.70" 663.1 369.27 700 "1,455.05" 724.31 791.5 720.93 369.27 "1,455.05" HC CTA ABDOMEN 352 74175 N/A 781 485.09 275.25 381.9 186.01 432.39 529.01 258.94 144.2 273.35 568.2 282.84 309.08 281.52 144.2 568.2 HC CT ABD AND PELVIS W/O CONTRAST 352 74176 N/A 1962 "1,218.63" 691.47 959.41 467.29 "1,086.24" "1,328.96" 650.5 362.25 686.7 "1,427.40" 710.55 776.46 707.23 362.25 "1,427.40" HC CT ABD AND PELVIS W CONTRAST 352 74177 N/A 2048 "1,272.04" 721.78 "1,001.46" 487.77 "1,133.86" "1,387.21" 679.02 378.13 716.8 "1,489.97" 741.7 810.5 738.23 378.13 "1,489.97" HC CT ABD AND PELVIS 1+ SECTION/REG 352 74178 N/A 2779 "1,726.08" 979.41 "1,358.92" 661.87 "1,538.57" "1,882.36" 921.38 513.1 972.65 "2,021.79" "1,006.43" "1,099.79" "1,001.74" 513.1 "2,021.79" HC C/T ABD/PELVIS UROGRAM W&W/O 352 74178 N/A 2779 "1,726.08" 979.41 "1,358.92" 661.87 "1,538.57" "1,882.36" 921.38 513.1 972.65 "2,021.79" "1,006.43" "1,099.79" "1,001.74" 513.1 "2,021.79" HC CT HEART WOUT CONTRST CORO CALC 352 75571 N/A 155 96.27 54.63 75.79 36.92 85.81 104.99 51.39 28.62 54.25 112.77 56.13 61.34 55.87 28.62 112.77 HC CTA AORTA W RUNOFF W CONTRST POST 350 75635 N/A 781 485.09 275.25 381.9 186.01 432.39 529.01 258.94 144.2 273.35 568.2 282.84 309.08 281.52 144.2 568.2 HC CT GUIDED NEEDLE BIOPSY 352 77012 N/A 914 567.7 322.12 446.94 217.69 506.03 619.1 303.04 168.76 319.9 664.96 331.01 361.72 329.47 168.76 664.96 HC CYST ASPIRATION - CT GUIDE 350 77012 N/A 914 567.7 322.12 446.94 217.69 506.03 619.1 303.04 168.76 319.9 664.96 331.01 361.72 329.47 168.76 664.96 HC CT-THERAPY PLAN 352 77014 N/A 300 186.33 105.73 146.7 71.45 166.09 203.21 99.47 55.39 105 218.26 108.65 118.73 108.14 55.39 218.26 "HC BONE LENGTH, SCANOGRAM" 352 77073 N/A 220 136.65 77.53 107.58 52.4 121.8 149.02 72.94 40.62 77 160.06 79.67 87.07 79.3 40.62 160.06 HC OPERATING ROOM (MINUTES) 360 N/A N/A 1000 621.12 352.43 488.99 238.17 553.64 677.35 331.55 184.63 350 727.52 362.16 395.75 360.47 184.63 727.52 HC OPERATING ROOM (MINUTES) 360 N/A N/A 2000 "1,242.23" 704.86 977.99 476.34 "1,107.28" "1,354.70" 663.1 369.27 700 "1,455.05" 724.31 791.5 720.93 369.27 "1,455.05" HC NM INJ RADIOACT TRAC SENT NODE 360 38792 N/A 962 597.51 339.04 470.41 229.12 532.6 651.61 318.95 177.62 336.7 699.88 348.39 380.71 346.77 177.62 699.88 HC IR STENT ARTERIAL PLACEMENT INITIAL 361 N/A N/A 11528 "7,160.22" "4,062.83" "5,637.13" "2,745.60" "6,382.38" "7,808.50" "3,822.11" "2,128.46" 4034.8 "8,386.91" "4,174.94" "4,562.22" "4,155.46" "2,128.46" "8,386.91" HC IR STENT ARTERIAL PLACEMENT ADDITIONAL 361 N/A N/A 5575 "3,462.72" "1,964.80" "2,726.14" "1,327.79" "3,086.55" "3,776.23" "1,848.39" "1,029.33" 1951.25 "4,055.95" "2,019.02" "2,206.31" "2,009.60" "1,029.33" "4,055.95" HC IR EMBOLIZATION VENOUS 361 N/A N/A 11178 "6,942.83" "3,939.48" "5,465.98" "2,662.24" "6,188.61" "7,571.43" "3,706.07" "2,063.83" 3912.3 "8,132.27" "4,048.18" "4,423.71" "4,029.29" "2,063.83" "8,132.27" HC IR EMBOLIZATION ARTERIAL 361 N/A N/A 11178 "6,942.83" "3,939.48" "5,465.98" "2,662.24" "6,188.61" "7,571.43" "3,706.07" "2,063.83" 3912.3 "8,132.27" "4,048.18" "4,423.71" "4,029.29" "2,063.83" "8,132.27" HC CPU FIRST 30 MINUTES 361 N/A N/A 314 195.03 110.66 153.54 74.78 173.84 212.69 104.11 57.97 109.9 228.44 113.72 124.27 113.19 57.97 228.44 HC CPU PROCEDURE EACH ADDL 15 MINUTES 361 N/A N/A 105 65.22 37.01 51.34 25.01 58.13 71.12 34.81 19.39 36.75 76.39 38.03 41.55 37.85 19.39 76.39 HC US FINE NEEDLE ASPIRATION FIRST LESION 361 10005 N/A 1192 740.37 420.1 582.88 283.9 659.94 807.4 395.21 220.08 417.2 867.21 431.69 471.74 429.68 220.08 867.21 HC US FINE NEEDLE ASPIRATION ADD LESION 361 10006 N/A 581 360.87 204.76 284.11 138.38 321.67 393.54 192.63 107.27 203.35 422.69 210.41 229.93 209.43 107.27 422.69 HC CT FINE NEEDLE ASPIRATIION FIRST LESION 361 10009 N/A 1192 740.37 420.1 582.88 283.9 659.94 807.4 395.21 220.08 417.2 867.21 431.69 471.74 429.68 220.08 867.21 HC REMOVE DRUG IMPLANT DEVICE 361 11982 N/A 692.95 430.4 244.22 338.85 165.04 383.65 469.37 229.75 127.94 242.5325 504.14 250.96 274.24 249.79 127.94 504.14 HC SKIN TISSUE PROCEDURE 361 17999 N/A 458.5 284.78 161.59 224.2 109.2 253.84 310.57 152.02 84.65 160.475 333.57 166.05 181.45 165.27 84.65 333.57 HC BREAST CYST ASP EACH ADD'L 361 19001 N/A 316 196.27 111.37 154.52 75.26 174.95 214.04 104.77 58.34 110.6 229.9 114.44 125.06 113.91 58.34 229.9 HC SL BREAST BIOPSY LOCALIZATION INITIAL 361 19081 N/A 4147 "2,575.77" "1,461.53" "2,027.86" 987.68 "2,295.95" "2,808.97" "1,374.94" 765.68 1451.45 "3,017.05" "1,501.86" "1,641.18" "1,494.85" 765.68 "3,017.05" HC SL BREAST BIOPSY LOCALIZATION EACH ADDIT 361 19082 N/A 1629 "1,011.80" 574.11 796.57 387.98 901.88 "1,103.40" 540.1 300.77 570.15 "1,185.14" 589.95 644.68 587.2 300.77 "1,185.14" HC US PERCUT NDL CORE W IMAG 1ST LES 361 19083 N/A 4147 "2,575.77" "1,461.53" "2,027.86" 987.68 "2,295.95" "2,808.97" "1,374.94" 765.68 1451.45 "3,017.05" "1,501.86" "1,641.18" "1,494.85" 765.68 "3,017.05" HC US BREAST BX PERCUT 361 19100 N/A 3371 "2,093.78" "1,188.05" "1,648.40" 802.86 "1,866.33" "2,283.35" "1,117.66" 622.4 1179.85 "2,452.49" "1,220.83" "1,334.08" "1,215.13" 622.4 "2,452.49" HC SL BREAST LOCALIZATION INITIAL 361 19283 N/A 1374 853.41 484.24 671.88 327.24 760.7 930.68 455.55 253.69 480.9 999.62 497.6 543.76 495.28 253.69 999.62 HC SL BREAST LOCALIZATION EACH ADDITIONAL 361 19284 N/A 1129 701.24 397.89 552.07 268.89 625.06 764.73 374.32 208.45 395.15 821.38 408.87 446.8 406.97 208.45 821.38 HC MUSCLE BIOPSY 361 20200 N/A 3592.48 "2,231.35" "1,266.10" "1,756.70" 855.61 "1,988.95" "2,433.37" "1,191.09" 663.29 1257.368 "2,613.62" "1,301.04" "1,421.73" "1,294.97" 663.29 "2,613.62" HC BIOPSY MUSCLE PERCUTANEOUS NEEDLE 361 20206 N/A 2684 "1,667.07" 945.93 "1,312.46" 639.24 "1,485.97" "1,818.01" 889.88 495.56 939.4 "1,952.68" 972.03 "1,062.20" 967.49 495.56 "1,952.68" HC BONE BIOPSY TROCAR/NEEDLE 361 20220 N/A 3592.47 "2,231.34" "1,266.10" "1,756.70" 855.61 "1,988.94" "2,433.36" "1,191.09" 663.29 1257.3645 "2,613.61" "1,301.04" "1,421.72" "1,294.96" 663.29 "2,613.61" "HC DEEP BONE BX - FEMUR, VERT. BODY" 361 20225 N/A 3370 "2,093.16" "1,187.69" "1,647.91" 802.63 "1,865.77" "2,282.67" "1,117.33" 622.21 1179.5 "2,451.76" "1,220.47" "1,333.68" "1,214.77" 622.21 "2,451.76" HC FISTULA OR SINUS TRACT STUDY 361 20501 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC ASPIRATE/INJ GANGLION CYST 361 20612 N/A 679.72 422.18 239.55 332.38 161.89 376.32 460.41 225.36 125.5 237.902 494.51 246.16 269 245.02 125.5 494.51 "HC BIOPSY, SOFT TISSUE NECK OR THORAX" 361 21550 N/A 3592.47 "2,231.34" "1,266.10" "1,756.70" 855.61 "1,988.94" "2,433.36" "1,191.09" 663.29 1257.3645 "2,613.61" "1,301.04" "1,421.72" "1,294.96" 663.29 "2,613.61" HC HIP ARTHROGRAM 361 27093 N/A 440 273.29 155.07 215.16 104.79 243.6 298.03 145.88 81.24 154 320.11 159.35 174.13 158.61 81.24 320.11 HC ENDOTRACHEAL INTUBATION OR ASSIST 361 31500 N/A 437 271.43 154.01 213.69 104.08 241.94 296 144.89 80.68 152.95 317.93 158.26 172.94 157.52 80.68 317.93 HC INSERTION OF LONG TERM PLEURAL CATH 361 32550 N/A 6082 "3,777.62" "2,143.49" "2,974.06" "1,448.54" "3,367.25" "4,119.65" "2,016.49" "1,122.94" 2128.7 "4,424.81" "2,202.64" "2,406.96" "2,192.36" "1,122.94" "4,424.81" HC IR CHEST TUBE INSERTION THORACOSTOMY 361 32551 N/A 1596 991.3 562.48 780.44 380.12 883.61 "1,081.05" 529.15 294.68 558.6 "1,161.13" 578 631.62 575.3 294.68 "1,161.13" HC REMOVAL INDWELLING TUNNELED CATHETER 361 32552 N/A 1380.1 857.2 486.39 674.86 328.7 764.08 934.81 457.57 254.81 483.035 "1,004.06" 499.81 546.18 497.48 254.81 "1,004.06" "HC CT/THORACENTESIS, W/TUBE" 361 32557 N/A 3190 "1,981.36" "1,124.26" "1,559.89" 759.76 "1,766.12" "2,160.75" "1,057.65" 588.98 1116.5 "2,320.80" "1,155.28" "1,262.45" "1,149.89" 588.98 "2,320.80" HC THORASCOPY DIAGNOSTIC 361 32601 N/A 12919.22 "8,024.33" "4,553.14" "6,317.43" "3,076.94" "7,152.62" "8,750.84" "4,283.37" "2,385.32" 4521.727 "9,399.05" "4,678.78" "5,112.80" "4,656.94" "2,385.32" "9,399.05" HC THORASCOPY W/BX MED SPACE 361 32606 N/A 12919.22 "8,024.33" "4,553.14" "6,317.43" "3,076.94" "7,152.62" "8,750.84" "4,283.37" "2,385.32" 4521.727 "9,399.05" "4,678.78" "5,112.80" "4,656.94" "2,385.32" "9,399.05" HC THORASCOPY W/BX INFILTRATE 361 32607 N/A 12919.22 "8,024.33" "4,553.14" "6,317.43" "3,076.94" "7,152.62" "8,750.84" "4,283.37" "2,385.32" 4521.727 "9,399.05" "4,678.78" "5,112.80" "4,656.94" "2,385.32" "9,399.05" HC THORASCOPY W/BX NODULE 361 32608 N/A 12919.22 "8,024.33" "4,553.14" "6,317.43" "3,076.94" "7,152.62" "8,750.84" "4,283.37" "2,385.32" 4521.727 "9,399.05" "4,678.78" "5,112.80" "4,656.94" "2,385.32" "9,399.05" HC THORASCOPY W/BX PLEURA 361 32609 N/A 12919.22 "8,024.33" "4,553.14" "6,317.43" "3,076.94" "7,152.62" "8,750.84" "4,283.37" "2,385.32" 4521.727 "9,399.05" "4,678.78" "5,112.80" "4,656.94" "2,385.32" "9,399.05" HC CC INSERTION OF BIVENT LEAD 361 33225 N/A 7075 "4,394.39" "2,493.45" "3,459.64" "1,685.04" "3,917.01" "4,792.26" "2,345.72" "1,306.28" 2476.25 "5,147.24" "2,562.26" "2,799.94" "2,550.30" "1,306.28" "5,147.24" HC CC ACID INSERTION SINGLE OR DUAL 361 33249 N/A 33000 "20,496.81" "11,630.23" "16,136.82" "7,859.54" "18,270.17" "22,352.57" "10,941.16" "6,092.91" 11550 "24,008.32" "11,951.16" "13,059.79" "11,895.39" "6,092.91" "24,008.32" HC CC AICD BATTERY CHANGE SINGLE LEAD 361 33262 N/A 23000 "14,285.66" "8,105.92" "11,246.87" "5,477.86" "12,733.76" "15,579.07" "7,625.66" "4,246.57" 8050 "16,733.07" "8,329.60" "9,102.28" "8,290.72" "4,246.57" "16,733.07" HC CC AICD BATTERY CHANGE DUAL LEAD 361 33263 N/A 23000 "14,285.66" "8,105.92" "11,246.87" "5,477.86" "12,733.76" "15,579.07" "7,625.66" "4,246.57" 8050 "16,733.07" "8,329.60" "9,102.28" "8,290.72" "4,246.57" "16,733.07" HC CC AICD BATTERY CHANGE MULTI LEAD 361 33264 N/A 33000 "20,496.81" "11,630.23" "16,136.82" "7,859.54" "18,270.17" "22,352.57" "10,941.16" "6,092.91" 11550 "24,008.32" "11,951.16" "13,059.79" "11,895.39" "6,092.91" "24,008.32" "HC VENOGRAPHY, NEEDLE INJECT" 361 36005 N/A 473 293.79 166.7 231.29 112.65 261.87 320.39 156.82 87.33 165.55 344.12 171.3 187.19 170.5 87.33 344.12 HC SUPERIOR OR INFERIOR VENA CAVA CATH 361 36010 N/A 918 570.18 323.53 448.9 218.64 508.24 621.81 304.36 169.49 321.3 667.87 332.46 363.3 330.91 169.49 667.87 HC VENOUS VASCULAR ORDER/>SLCTV BRANC 361 36012 N/A 963 598.13 339.39 470.9 229.36 533.16 652.29 319.28 177.8 337.05 700.61 348.76 381.11 347.13 177.8 700.61 "HC RETROGRADE, BRACHIAL" 361 36120 N/A 737 457.76 259.74 360.39 175.53 408.03 499.21 244.35 136.07 257.95 536.19 266.91 291.67 265.66 136.07 536.19 "HC COMMON FEMORAL, IPSILATERAL" 361 36140 N/A 897 557.14 316.13 438.63 213.64 496.62 607.58 297.4 165.62 313.95 652.59 324.85 354.99 323.34 165.62 652.59 "HC AORTA, CATHETER NON-SELECTIVE" 361 36200 N/A 1314 816.15 463.09 642.54 312.95 727.49 890.04 435.66 242.61 459.9 955.97 475.87 520.02 473.65 242.61 955.97 HC OTHER ABD AORTA VASCULAR 1ST ORDER 361 36245 N/A 1582 982.6 557.55 773.59 376.78 875.86 "1,071.57" 524.51 292.09 553.7 "1,150.94" 572.93 626.08 570.26 292.09 "1,150.94" HC INS CATH ABD/L-EXT ART 2ND 361 36246 N/A 1623 "1,008.07" 572 793.64 386.55 898.56 "1,099.34" 538.11 299.66 568.05 "1,180.77" 587.78 642.3 585.04 299.66 "1,180.77" HC VASCULAR ABDOMINAL 3RD ORDER 361 36247 N/A 1763 "1,095.03" 621.34 862.1 419.89 976.07 "1,194.17" 584.52 325.51 617.05 "1,282.63" 638.48 697.71 635.5 325.51 "1,282.63" HC INJ SCLERO SPIDER VEINS 361 36468 N/A 383 237.89 134.98 187.28 91.22 212.04 259.43 126.98 70.71 134.05 278.64 138.71 151.57 138.06 70.71 278.64 HC INJECT OF SCLEROSING AGENT: SINGLE VEIN 361 36470 N/A 732 454.66 257.98 357.94 174.34 405.27 495.82 242.69 135.15 256.2 532.55 265.1 289.69 263.86 135.15 532.55 HC INJ SCLERO SOLN VEIN MULTI LEG 361 36471 N/A 732 454.66 257.98 357.94 174.34 405.27 495.82 242.69 135.15 256.2 532.55 265.1 289.69 263.86 135.15 532.55 HC CENTRAL VENOUS ACCES NON-TUNNELED 361 36556 N/A 3190 "1,981.36" "1,124.26" "1,559.89" 759.76 "1,766.12" "2,160.75" "1,057.65" 588.98 1116.5 "2,320.80" "1,155.28" "1,262.45" "1,149.89" 588.98 "2,320.80" HC IR CVAD INSERTION NON-TUNNELED 361 36556 N/A 2857.03 "1,774.55" "1,006.91" "1,397.07" 680.45 "1,581.77" "1,935.21" 947.25 527.5 999.9605 "2,078.56" "1,034.69" "1,130.67" "1,029.86" 527.5 "2,078.56" HC IR CVAD INSERTION TUNNELED 361 36558 N/A 3849 "2,390.67" "1,356.51" "1,882.14" 916.71 "2,130.97" "2,607.12" "1,276.14" 710.65 1347.15 "2,800.24" "1,393.94" "1,523.25" "1,387.43" 710.65 "2,800.24" HC IR CVAD INSERTION PORT 361 36561 N/A 4839 "3,005.58" "1,705.41" "2,366.24" "1,152.49" "2,679.07" "3,277.70" "1,604.37" 893.44 1693.65 "3,520.49" "1,752.47" "1,915.04" "1,744.30" 893.44 "3,520.49" HC XR PICC LNE INSERTION 361 36573 N/A 1864 "1,157.76" 656.93 911.49 443.95 "1,031.99" "1,262.58" 618.01 344.16 652.4 "1,356.11" 675.06 737.68 671.91 344.16 "1,356.11" HC IR CVAD REPLACE TUNNEL COMP NON PORT 361 36581 N/A 3849 "2,390.67" "1,356.51" "1,882.14" 916.71 "2,130.97" "2,607.12" "1,276.14" 710.65 1347.15 "2,800.24" "1,393.94" "1,523.25" "1,387.43" 710.65 "2,800.24" HC IR CVAD REPLACE TUNNELED PORT COMP 361 36582 N/A 4839 "3,005.58" "1,705.41" "2,366.24" "1,152.49" "2,679.07" "3,277.70" "1,604.37" 893.44 1693.65 "3,520.49" "1,752.47" "1,915.04" "1,744.30" 893.44 "3,520.49" HC IR CVAD REPLACEMENT PICC 361 36584 N/A 1864 "1,157.76" 656.93 911.49 443.95 "1,031.99" "1,262.58" 618.01 344.16 652.4 "1,356.11" 675.06 737.68 671.91 344.16 "1,356.11" HC CPU FIRST 30 MINUTES 361 36589 N/A 314 195.03 110.66 153.54 74.78 173.84 212.69 104.11 57.97 109.9 228.44 113.72 124.27 113.19 57.97 228.44 HC REMOVAL TUNNELED CENTRAL VENOUS CATHW/O SUBCU PORT/PUMP 361 36589 N/A 1380.1 857.2 486.39 674.86 328.7 764.08 934.81 457.57 254.81 483.035 "1,004.06" 499.81 546.18 497.48 254.81 "1,004.06" HC REMOVAL OF TUNNELED CV CATH W/ PUMP 361 36590 N/A 1492 926.7 525.83 729.58 355.35 826.03 "1,010.61" 494.67 275.47 522.2 "1,085.47" 540.34 590.46 537.82 275.47 "1,085.47" HC CENTRAL LINE REPOSITION W FLUORO 361 36597 N/A 3190 "1,981.36" "1,124.26" "1,559.89" 759.76 "1,766.12" "2,160.75" "1,057.65" 588.98 1116.5 "2,320.80" "1,155.28" "1,262.45" "1,149.89" 588.98 "2,320.80" HC CONTRAST INJ/EVAL EXIST CVAD INC FLU 361 36598 N/A 397 246.58 139.92 194.13 94.55 219.8 268.91 131.63 73.3 138.95 288.83 143.78 157.11 143.11 73.3 288.83 HC IR DIAL FISTULAGRAM 361 36901 N/A 1783 "1,107.45" 628.38 871.88 424.65 987.14 "1,207.72" 591.15 329.2 624.05 "1,297.18" 645.72 705.62 642.71 329.2 "1,297.18" HC IR DIAL FISTULAGRAM THROMBECTOMY 361 36904 N/A 12576 "7,811.15" "4,432.18" "6,149.60" "2,995.20" "6,962.60" "8,518.36" "4,169.58" "2,321.95" 4401.6 "9,149.35" "4,554.48" "4,976.97" "4,533.22" "2,321.95" "9,149.35" HC IR DIAL FISTULAGRAM THROMBEC PTA PERIPH 361 36905 N/A 16809 "10,440.33" "5,924.02" "8,219.51" "4,003.36" "9,306.16" "11,385.59" "5,573.03" "3,103.50" 5883.15 "12,228.96" "6,087.49" "6,652.18" "6,059.08" "3,103.50" "12,228.96" HC IR DIAL FISTULAGRAM PTA CENTRAL SEGMENT 361 36907 N/A 6106 "3,792.53" "2,151.95" "2,985.80" "1,454.25" "3,380.54" "4,135.90" "2,024.45" "1,127.37" 2137.1 "4,442.27" "2,211.33" "2,416.46" "2,201.01" "1,127.37" "4,442.27" HC IR THROMBECTOMY ARTERIAL INITIAL 361 37184 N/A 9700 "6,024.82" "3,418.58" "4,743.25" "2,310.23" "5,370.32" "6,570.30" "3,216.04" "1,790.95" 3395 "7,056.99" "3,512.92" "3,838.79" "3,496.52" "1,790.95" "7,056.99" HC IR THROMBECTOMY ARTERIAL SECONDARY 361 37186 N/A 4705 "2,922.35" "1,658.19" "2,300.72" "1,120.58" "2,604.88" "3,186.94" "1,559.94" 868.7 1646.75 "3,423.00" "1,703.95" "1,862.01" "1,695.99" 868.7 "3,423.00" HC IR THROMBECTOMY VENOUS 361 37187 N/A 4900 "3,043.47" "1,726.91" "2,396.07" "1,167.02" "2,712.84" "3,319.02" "1,624.60" 904.7 1715 "3,564.87" "1,774.57" "1,939.18" "1,766.28" 904.7 "3,564.87" HC IR THROMBECTOMY VENOUS SUBSEQUENT DAY 361 37188 N/A 4705 "2,922.35" "1,658.19" "2,300.72" "1,120.58" "2,604.88" "3,186.94" "1,559.94" 868.7 1646.75 "3,423.00" "1,703.95" "1,862.01" "1,695.99" 868.7 "3,423.00" HC IR IVC FILTER INSERTION 361 37191 N/A 4591 "2,851.54" "1,618.01" "2,244.97" "1,093.43" "2,541.77" "3,109.72" "1,522.15" 847.65 1606.85 "3,340.07" "1,662.66" "1,816.89" "1,654.90" 847.65 "3,340.07" HC IR THROMBOLYSIS VENOUS INITIAL TRT DAY 361 37212 N/A 4877 "3,029.18" "1,718.81" "2,384.83" "1,161.54" "2,700.11" "3,303.44" "1,616.97" 900.46 1706.95 "3,548.14" "1,766.24" "1,930.08" "1,757.99" 900.46 "3,548.14" HC IR THROMBOLYSIS SUBSEQUENT DAY 361 37213 N/A 4877 "3,029.18" "1,718.81" "2,384.83" "1,161.54" "2,700.11" "3,303.44" "1,616.97" 900.46 1706.95 "3,548.14" "1,766.24" "1,930.08" "1,757.99" 900.46 "3,548.14" HC IR THROMBOLYSIS CATH RMVL SUBSEQUENT DAY 361 37214 N/A 4877 "3,029.18" "1,718.81" "2,384.83" "1,161.54" "2,700.11" "3,303.44" "1,616.97" 900.46 1706.95 "3,548.14" "1,766.24" "1,930.08" "1,757.99" 900.46 "3,548.14" "HC IR ILIAC ARTER, INITIAL, PTA" 361 37220 N/A 6106 "3,792.53" "2,151.95" "2,985.80" "1,454.25" "3,380.54" "4,135.90" "2,024.45" "1,127.37" 2137.1 "4,442.27" "2,211.33" "2,416.46" "2,201.01" "1,127.37" "4,442.27" "HC IR ILIAC ARTERY, INITIAL, PTA, STENT" 361 37221 N/A 13139 "8,160.84" "4,630.59" "6,424.90" "3,129.29" "7,274.30" "8,899.71" "4,356.24" "2,425.90" 4598.65 "9,558.95" "4,758.37" "5,199.77" "4,736.17" "2,425.90" "9,558.95" "HC IR ILIAC ARTERY, ADD'L, PTA" 361 37222 N/A 6106 "3,792.53" "2,151.95" "2,985.80" "1,454.25" "3,380.54" "4,135.90" "2,024.45" "1,127.37" 2137.1 "4,442.27" "2,211.33" "2,416.46" "2,201.01" "1,127.37" "4,442.27" "HC IR FEM/POP ART, INIT'L, PTA" 361 37224 N/A 6106 "3,792.53" "2,151.95" "2,985.80" "1,454.25" "3,380.54" "4,135.90" "2,024.45" "1,127.37" 2137.1 "4,442.27" "2,211.33" "2,416.46" "2,201.01" "1,127.37" "4,442.27" "HC IR FEM/POP ART, INITIAL, PTA ATHER" 361 37225 N/A 13139 "8,160.84" "4,630.59" "6,424.90" "3,129.29" "7,274.30" "8,899.71" "4,356.24" "2,425.90" 4598.65 "9,558.95" "4,758.37" "5,199.77" "4,736.17" "2,425.90" "9,558.95" "HC IR FEM/POP ART, INITIAL, PTA STENT" 361 37226 N/A 13139 "8,160.84" "4,630.59" "6,424.90" "3,129.29" "7,274.30" "8,899.71" "4,356.24" "2,425.90" 4598.65 "9,558.95" "4,758.37" "5,199.77" "4,736.17" "2,425.90" "9,558.95" "HC IR FEM/POP ART, INIT'L, PTA STENT ARTHER" 361 37227 N/A 22152 "13,758.95" "7,807.06" "10,832.21" "5,275.90" "12,264.27" "15,004.67" "7,344.51" "4,090.00" 7753.2 "16,116.13" "8,022.49" "8,766.68" "7,985.05" "4,090.00" "16,116.13" "HC IR TIB/PER , INITIAL, PTA" 361 37228 N/A 9750 "6,055.88" "3,436.20" "4,767.70" "2,322.14" "5,398.01" "6,604.17" "3,232.62" "1,800.18" 3412.5 "7,093.37" "3,531.02" "3,858.57" "3,514.55" "1,800.18" "7,093.37" "HC IR TIB/PER, INITIAL, PTA, ATHER" 361 37229 N/A 15600 "9,689.40" "5,497.93" "7,628.31" "3,715.42" "8,636.81" "10,566.67" "5,172.19" "2,880.28" 5460 "11,349.39" "5,649.64" "6,173.72" "5,623.27" "2,880.28" "11,349.39" HC TIB/PER REVASC W/STENT 361 37230 N/A 41005 "25,468.84" "14,451.44" "20,051.22" "9,766.08" "22,702.07" "27,774.77" "13,595.23" "7,570.90" 14351.75 "29,832.15" "14,850.22" "16,227.77" "14,780.92" "7,570.90" "29,832.15" "HC IR TIB/PER, ADD'L PTA" 361 37232 N/A 6106 "3,792.53" "2,151.95" "2,985.80" "1,454.25" "3,380.54" "4,135.90" "2,024.45" "1,127.37" 2137.1 "4,442.27" "2,211.33" "2,416.46" "2,201.01" "1,127.37" "4,442.27" "HC IR TIB/PER, ADD'L, PTA STENT" 361 37233 N/A 13139 "8,160.84" "4,630.59" "6,424.90" "3,129.29" "7,274.30" "8,899.71" "4,356.24" "2,425.90" 4598.65 "9,558.95" "4,758.37" "5,199.77" "4,736.17" "2,425.90" "9,558.95" HC IR STENT VENOUS PLACEMENT INITIAL 361 37238 N/A 11528 "7,160.22" "4,062.83" "5,637.13" "2,745.60" "6,382.38" "7,808.50" "3,822.11" "2,128.46" 4034.8 "8,386.91" "4,174.94" "4,562.22" "4,155.46" "2,128.46" "8,386.91" HC IR TRANSCTH INTVSC STNT OPN PRC VEI 361 37239 N/A 5575 "3,462.72" "1,964.80" "2,726.14" "1,327.79" "3,086.55" "3,776.23" "1,848.39" "1,029.33" 1951.25 "4,055.95" "2,019.02" "2,206.31" "2,009.60" "1,029.33" "4,055.95" HC IR PTA VENOUS INITIAL 361 37248 N/A 12576 "7,811.15" "4,432.18" "6,149.60" "2,995.20" "6,962.60" "8,518.36" "4,169.58" "2,321.95" 4401.6 "9,149.35" "4,554.48" "4,976.97" "4,533.22" "2,321.95" "9,149.35" HC IRPTA VENOUS ADDITIONAL 361 37249 N/A 12576 "7,811.15" "4,432.18" "6,149.60" "2,995.20" "6,962.60" "8,518.36" "4,169.58" "2,321.95" 4401.6 "9,149.35" "4,554.48" "4,976.97" "4,533.22" "2,321.95" "9,149.35" HC IVUS NON CORONARY INITIAL VESSEL 361 37252 N/A 2044 "1,269.56" 720.37 999.5 486.82 "1,131.64" "1,384.50" 677.69 377.39 715.4 "1,487.06" 740.25 808.92 736.79 377.39 "1,487.06" HC IVUS NON CORONARY ADDITIONAL VESSEL 361 37253 N/A 1812 "1,125.46" 638.61 886.06 431.56 "1,003.20" "1,227.36" 600.77 334.56 634.2 "1,318.27" 656.23 717.1 653.16 334.56 "1,318.27" HC DIAGNOSTIC BONE MARROW ASPIRATIONS 361 38220 N/A 3592 "2,231.05" "1,265.93" "1,756.47" 855.5 "1,988.68" "2,433.04" "1,190.93" 663.2 1257.2 "2,613.27" "1,300.87" "1,421.54" "1,294.79" 663.2 "2,613.27" HC CT BONE MARRORW BIOPSY AND ASPIRATION 361 38222 N/A 3370 "2,093.16" "1,187.69" "1,647.91" 802.63 "1,865.77" "2,282.67" "1,117.33" 622.21 1179.5 "2,451.76" "1,220.47" "1,333.68" "1,214.77" 622.21 "2,451.76" HC BIOPSY LYMPH NODE SUPER(AXIL ING CER 361 38505 N/A 2684 "1,667.07" 945.93 "1,312.46" 639.24 "1,485.97" "1,818.01" 889.88 495.56 939.4 "1,952.68" 972.03 "1,062.20" 967.49 495.56 "1,952.68" HC US BX SALIVARY GLAND 361 42400 N/A 1191 739.75 419.75 582.39 283.66 659.39 806.72 394.88 219.9 416.85 866.48 431.33 471.34 429.32 219.9 866.48 "HC CT/APPENDICEAL ABSCESS, PERCUT" 361 44901 N/A 1743 "1,082.60" 614.29 852.32 415.13 965 "1,180.62" 577.89 321.82 610.05 "1,268.08" 631.24 689.79 628.29 321.82 "1,268.08" HC US LIVER BX PERCUT NEEDLE 361 47000 N/A 1446 898.13 509.62 707.09 344.39 800.57 979.45 479.42 266.98 506.1 "1,052.00" 523.68 572.26 521.23 266.98 "1,052.00" HC ABSCESS DRAIN LIVER - CT PERCUT 361 47011 N/A 1743 "1,082.60" 614.29 852.32 415.13 965 "1,180.62" 577.89 321.82 610.05 "1,268.08" 631.24 689.79 628.29 321.82 "1,268.08" HC INCISION OF GALLBLADDER 361 47490 N/A 8123.37 "5,045.55" "2,862.93" "3,972.28" "1,934.73" "4,497.44" "5,502.37" "2,693.31" "1,499.85" 2843.1795 "5,909.95" "2,941.93" "3,214.83" "2,928.20" "1,499.85" "5,909.95" HC BILIARY DRAIN CATHETER US GUIDANCE 361 47533 N/A 6082 "3,777.62" "2,143.49" "2,974.06" "1,448.54" "3,367.25" "4,119.65" "2,016.49" "1,122.94" 2128.7 "4,424.81" "2,202.64" "2,406.96" "2,192.36" "1,122.94" "4,424.81" HC NEEDLE BIOPSY OF PANCREAS 361 48102 N/A 3748.88 "2,328.49" "1,321.22" "1,833.18" 892.86 "2,075.54" "2,539.31" "1,242.94" 692.17 1312.108 "2,727.40" "1,357.68" "1,483.62" "1,351.34" 692.17 "2,727.40" HC US PARACENTESIS INITIAL 361 49083 N/A 1536 954.03 541.33 751.1 365.83 850.39 "1,040.41" 509.26 283.6 537.6 "1,117.48" 556.27 607.87 553.68 283.6 "1,117.48" "HC MC ARTHROCENT,APSIRAT &/OR INJECT, MAJOR JOINT/BURSA" 361 20610 N/A 375 232.92 132.16 183.37 89.31 207.62 254.01 124.33 69.24 131.25 272.82 135.81 148.41 135.17 69.24 272.82 HC BIOPSY ABDOMINAL MASS 361 49180 N/A 3592 "2,231.05" "1,265.93" "1,756.47" 855.5 "1,988.68" "2,433.04" "1,190.93" 663.2 1257.2 "2,613.27" "1,300.87" "1,421.54" "1,294.79" 663.2 "2,613.27" HC CT ABSCESS DRAIN PERIRENAL W CON SED 361 49405 N/A 1743 "1,082.60" 614.29 852.32 415.13 965 "1,180.62" 577.89 321.82 610.05 "1,268.08" 631.24 689.79 628.29 321.82 "1,268.08" HC XR REP GASTRO JEJUNGO UNDER FLUO 361 49440 N/A 4147.02 "2,575.78" "1,461.54" "2,027.87" 987.69 "2,295.96" "2,808.99" "1,374.95" 765.68 1451.457 "3,017.06" "1,501.87" "1,641.19" "1,494.86" 765.68 "3,017.06" HC XR REP DUOD/JEJUNO TUBE W FLUORO 361 49451 N/A 1235 767.08 435.25 603.91 294.14 683.75 836.53 409.46 228.02 432.25 898.49 447.26 488.75 445.18 228.02 898.49 HC CT BIOPSY RENAL PERCUT 361 50200 N/A 2684 "1,667.07" 945.93 "1,312.46" 639.24 "1,485.97" "1,818.01" 889.88 495.56 939.4 "1,952.68" 972.03 "1,062.20" 967.49 495.56 "1,952.68" HC US RENAL BX PERCUT TROCAR/NEEDLE 361 50200 N/A 2684 "1,667.07" 945.93 "1,312.46" 639.24 "1,485.97" "1,818.01" 889.88 495.56 939.4 "1,952.68" 972.03 "1,062.20" 967.49 495.56 "1,952.68" HC NEPHROSTOMY DRAIN INSERTION 361 50432 N/A 4571.62 "2,839.50" "1,611.18" "2,235.50" "1,088.81" "2,531.04" "3,096.59" "1,515.72" 844.07 1600.067 "3,325.97" "1,655.64" "1,809.22" "1,647.91" 844.07 "3,325.97" HC NEPHHROSTOMY DRAIN REPLACEMENT 361 50435 N/A 3466 "2,152.79" "1,221.53" "1,694.86" 825.49 "1,918.92" "2,347.70" "1,149.15" 639.94 1213.1 "2,521.60" "1,255.23" "1,371.67" "1,249.38" 639.94 "2,521.60" HC CC DILATION EXISTNEPHHROSTOMY NEW ACCESS 361 50437 N/A 2954 "1,834.78" "1,041.08" "1,444.49" 703.55 "1,635.46" "2,000.89" 979.4 545.41 1033.9 "2,149.11" "1,069.81" "1,169.05" "1,064.82" 545.41 "2,149.11" HC RAD/CYSTO/VCUG INJECTION 361 51600 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC URETHROCYSTOGRAM-RETRO INJ PROC 361 51610 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC LUMBAR PUNCTURE 361 62328 N/A 1223 759.62 431.02 598.04 291.28 677.1 828.4 405.49 225.81 428.05 889.76 442.92 484 440.85 225.81 889.76 HC TN CERVICAL MYELOGRAM 361 62302 N/A 1535 953.41 540.98 750.61 365.59 849.84 "1,039.73" 508.93 283.41 537.25 "1,116.75" 555.91 607.48 553.32 283.41 "1,116.75" "HC CERVICAL MYELOGRAM, LUMBAR PUNCTURE" 361 62302 N/A 1535 953.41 540.98 750.61 365.59 849.84 "1,039.73" 508.93 283.41 537.25 "1,116.75" 555.91 607.48 553.32 283.41 "1,116.75" HC TN LUMBAR MYELOGRAM 361 62304 N/A 1535 953.41 540.98 750.61 365.59 849.84 "1,039.73" 508.93 283.41 537.25 "1,116.75" 555.91 607.48 553.32 283.41 "1,116.75" "HC LUMBAR MYELOGRAM, LUMBAR PUNCTURE" 361 62304 N/A 1535 953.41 540.98 750.61 365.59 849.84 "1,039.73" 508.93 283.41 537.25 "1,116.75" 555.91 607.48 553.32 283.41 "1,116.75" HC MC CERUMEN REMOVAL 361 69209 N/A 136 84.47 47.93 66.5 32.39 75.3 92.12 45.09 25.11 47.6 98.94 49.25 53.82 49.02 25.11 98.94 HC APPLICATION ON-BODY INJECTOR TIMED SUBCUTANEOUS INJ 361 96377 N/A 102 63.35 35.95 49.88 24.29 56.47 69.09 33.82 18.83 35.7 74.21 36.94 40.37 36.77 18.83 74.21 HC IVL WITH ANGIOPLASTY 361 C9764 N/A 26538.27 "16,483.33" "9,352.92" "12,977.07" "6,320.56" "14,692.69" "17,975.72" "8,798.78" "4,899.85" 9288.3945 "19,307.25" "9,611.00" "10,502.55" "9,566.15" "4,899.85" "19,307.25" HC IVL+STENT WITH ANGIOPLASTY 361 C9765 N/A 42944 "26,673.19" "15,134.81" "20,999.38" "10,227.88" "23,775.59" "29,088.15" "14,238.10" "7,928.90" 15030.4 "31,242.83" "15,552.44" "16,995.14" "15,479.86" "7,928.90" "31,242.83" HC IVL+ATHERECTOMY WITH ANGIOPLASTY 361 C9766 N/A 42944 "26,673.19" "15,134.81" "20,999.38" "10,227.88" "23,775.59" "29,088.15" "14,238.10" "7,928.90" 15030.4 "31,242.83" "15,552.44" "16,995.14" "15,479.86" "7,928.90" "31,242.83" HC IVL+STENT+ATHERECTOMY WITH ANGIOPLASTY 361 C9767 N/A 42944 "26,673.19" "15,134.81" "20,999.38" "10,227.88" "23,775.59" "29,088.15" "14,238.10" "7,928.90" 15030.4 "31,242.83" "15,552.44" "16,995.14" "15,479.86" "7,928.90" "31,242.83" HC IVL WITH ANGIOPLASTY 361 C9772 N/A 26538.27 "16,483.33" "9,352.92" "12,977.07" "6,320.56" "14,692.69" "17,975.72" "8,798.78" "4,899.85" 9288.3945 "19,307.25" "9,611.00" "10,502.55" "9,566.15" "4,899.85" "19,307.25" HC IVL+STENT WITH ANGIOPLASTY 361 C9773 N/A 42944 "26,673.19" "15,134.81" "20,999.38" "10,227.88" "23,775.59" "29,088.15" "14,238.10" "7,928.90" 15030.4 "31,242.83" "15,552.44" "16,995.14" "15,479.86" "7,928.90" "31,242.83" HC IVL+ATHERECTOMY WITH ANGIOPLASTY 361 C9774 N/A 42944 "26,673.19" "15,134.81" "20,999.38" "10,227.88" "23,775.59" "29,088.15" "14,238.10" "7,928.90" 15030.4 "31,242.83" "15,552.44" "16,995.14" "15,479.86" "7,928.90" "31,242.83" HC IVL+STENT+ATHERECTOMY WITH ANGIOPLASTY 361 C9775 N/A 42944 "26,673.19" "15,134.81" "20,999.38" "10,227.88" "23,775.59" "29,088.15" "14,238.10" "7,928.90" 15030.4 "31,242.83" "15,552.44" "16,995.14" "15,479.86" "7,928.90" "31,242.83" HC ANESTHESIOLOGY 370 N/A N/A 341 211.8 120.18 166.75 81.22 188.79 230.98 113.06 62.96 119.35 248.09 123.5 134.95 122.92 62.96 248.09 HC ANESTHESIA LO/REG 0-30 MINS 370 N/A N/A 275 170.81 96.92 134.47 65.5 152.25 186.27 91.18 50.77 96.25 200.07 99.59 108.83 99.13 50.77 200.07 HC ANESTHESIA LO/REG ADD'L 15 MINUTES 370 N/A N/A 75 46.58 26.43 36.67 17.86 41.52 50.8 24.87 13.85 26.25 54.56 27.16 29.68 27.03 13.85 54.56 ANESTH SUPPLIES 0-30 MINS 370 N/A N/A 300 186.33 105.73 146.7 71.45 166.09 203.21 99.47 55.39 105 218.26 108.65 118.73 108.14 55.39 218.26 HC ANESTHESIA GEN 0-30 MINS. 370 N/A N/A 450 279.5 158.59 220.05 107.18 249.14 304.81 149.2 83.09 157.5 327.39 162.97 178.09 162.21 83.09 327.39 HC ANESTHESIA GEN ADD'L 15 MINS 370 N/A N/A 150 93.17 52.86 73.35 35.73 83.05 101.6 49.73 27.7 52.5 109.13 54.32 59.36 54.07 27.7 109.13 ANESTH. SUPPLIES ADD'L 15 MINS 370 N/A N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 HC MODERATE SEDATION < 5YRS FIRST 15 MIN 370 99151 N/A 125 77.64 44.05 61.12 29.77 69.21 84.67 41.44 23.08 43.75 90.94 45.27 49.47 45.06 23.08 90.94 HC MODERATE SEDATION SAME PHYS >5 INITIAL 15 MIN 370 99152 N/A 125 77.64 44.05 61.12 29.77 69.21 84.67 41.44 23.08 43.75 90.94 45.27 49.47 45.06 23.08 90.94 HC MODERATE SEDATION SAME PHY EACH ADDL 15 MIN 370 99153 N/A 60 37.27 21.15 29.34 14.29 33.22 40.64 19.89 11.08 21 43.65 21.73 23.75 21.63 11.08 43.65 HC LEUKOPOOR RBC'S 390 P9016 N/A 434 269.56 152.96 212.22 103.36 240.28 293.97 143.89 80.13 151.9 315.75 157.18 171.76 156.44 80.13 315.75 HC BB MD INVEST OF TRANSFUSION RXN 302 86078 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 "HC FRESH FROZEN PLASMA, THAWING EA UNIT" 390 86927 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC RHOGAM (UF) 390 90384 N/A 163 101.24 57.45 79.71 38.82 90.24 110.41 54.04 30.1 57.05 118.59 59.03 64.51 58.76 30.1 118.59 HC PSOORALEN TREATED PLATELETS 390 P9073 N/A 1168 725.46 411.64 571.15 278.18 646.65 791.15 387.25 215.65 408.8 849.75 423 462.24 421.02 215.65 849.75 HC PLATELET PHERESIS LEUKOREDUCED IRRADIATED 390 P9037 N/A 850.05 527.98 299.58 415.67 202.45 470.62 575.78 281.83 156.95 297.5175 618.43 307.85 336.41 306.41 156.95 618.43 HC RBC LEUKOREDUCED IRRADIATED 390 P9040 N/A 470.49 292.23 165.82 230.07 112.06 260.48 318.69 155.99 86.87 164.6715 342.29 170.39 186.2 169.6 86.87 342.29 HC FFP BETWEEN 8-24 HRS OF COLLECT 390 P9059 N/A 169 104.97 59.56 82.64 40.25 93.57 114.47 56.03 31.2 59.15 122.95 61.2 66.88 60.92 31.2 122.95 HC PLASMA PROCESSING FEE 390 P9017 N/A 194 120.5 68.37 94.86 46.2 107.41 131.41 64.32 35.82 67.9 141.14 70.26 76.78 69.93 35.82 141.14 HC CRYOPRECIPITATE PROCESSING FEE 390 P9012 N/A 526.67 327.12 185.61 257.54 125.44 291.59 356.74 174.62 97.24 184.3345 383.17 190.74 208.43 189.85 97.24 383.17 HC RED BLOOD CELL PROCESS FEE 390 P9016 N/A 464.75 288.66 163.79 227.26 110.69 257.3 314.8 154.09 85.81 162.6625 338.12 168.31 183.93 167.53 85.81 338.12 "HC TRANSFUS,BLOOD/BLOOD COMP 0-90MIN" 391 36430 N/A 646 401.24 227.67 315.89 153.86 357.65 437.57 214.18 119.27 226.1 469.98 233.95 255.66 232.86 119.27 469.98 "HC TRANSF,BLOOD/BLOOD COMP 91-150MIN" 391 36430 N/A 646 401.24 227.67 315.89 153.86 357.65 437.57 214.18 119.27 226.1 469.98 233.95 255.66 232.86 119.27 469.98 "HC TRANSF,BLOOD/BLOOD COMP 151-210MI" 391 36430 N/A 646 401.24 227.67 315.89 153.86 357.65 437.57 214.18 119.27 226.1 469.98 233.95 255.66 232.86 119.27 469.98 "HC TRANSF,BLOOD/BLOOD COMP 211-270MI" 391 36430 N/A 646 401.24 227.67 315.89 153.86 357.65 437.57 214.18 119.27 226.1 469.98 233.95 255.66 232.86 119.27 469.98 "HC TRANSF,BLOOD/BLOOD COMP 271-330MI" 391 36430 N/A 646 401.24 227.67 315.89 153.86 357.65 437.57 214.18 119.27 226.1 469.98 233.95 255.66 232.86 119.27 469.98 HC BLOOD TRANSFUSION 391 36430 N/A 646 401.24 227.67 315.89 153.86 357.65 437.57 214.18 119.27 226.1 469.98 233.95 255.66 232.86 119.27 469.98 HC PHERESIS (PLATELETS) 390 P9035 N/A 844.87 524.76 297.76 413.14 201.22 467.76 572.27 280.12 155.99 295.7045 614.66 305.98 334.36 304.55 155.99 614.66 HC BD MAMMO DIAG DIGITAL 2D BILAT 401 77066 N/A 188 116.77 66.26 91.93 44.78 104.08 127.34 62.33 34.71 65.8 136.77 68.09 74.4 67.77 34.71 136.77 HC BD MAMMO DIAG DIGITAL 2DRT 401 77065 N/A 176 109.32 62.03 86.06 41.92 97.44 119.21 58.35 32.5 61.6 128.04 63.74 69.65 63.44 32.5 128.04 HC BD MAMMO DIAG DIGITAL 2D LT 401 77065 N/A 176 109.32 62.03 86.06 41.92 97.44 119.21 58.35 32.5 61.6 128.04 63.74 69.65 63.44 32.5 128.04 HC BD MAMMO DIAG DIGITAL TOMO 401 G0279 N/A 144.75 89.91 51.01 70.78 34.47 80.14 98.05 47.99 26.73 50.6625 105.31 52.42 57.28 52.18 26.73 105.31 HC STEREOTACTIC BREAST BIOPSY 401 19081 N/A 4147 "2,575.77" "1,461.53" "2,027.86" 987.68 "2,295.95" "2,808.97" "1,374.94" 765.68 1451.45 "3,017.05" "1,501.86" "1,641.18" "1,494.85" 765.68 "3,017.05" HC BD US BREAST BIOPSY 1ST LESION 402 19083 N/A 4147 "2,575.77" "1,461.53" "2,027.86" 987.68 "2,295.95" "2,808.97" "1,374.94" 765.68 1451.45 "3,017.05" "1,501.86" "1,641.18" "1,494.85" 765.68 "3,017.05" HC BREAST SURGICAL SPECIMEN (2) 401 76098 N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 HC BD MAMMO DIAG DIGITAL TOMO UNILATERAL 401 77061 N/A 68 42.24 23.97 33.25 16.2 37.65 46.06 22.55 12.56 23.8 49.47 24.63 26.91 24.51 12.56 49.47 HC US THORA 361 32555 N/A 1232 765.21 434.2 602.44 293.42 682.09 834.5 408.47 227.47 431.2 896.31 446.18 487.57 444.09 227.47 896.31 HC US GUIDE ABD PARACENTESIS 402 49083 N/A 1536 954.03 541.33 751.1 365.83 850.39 "1,040.41" 509.26 283.6 537.6 "1,117.48" 556.27 607.87 553.68 283.6 "1,117.48" HC US GUID PLEURAL DRAIN TUBE 402 49405 N/A 1743 "1,082.60" 614.29 852.32 415.13 965 "1,180.62" 577.89 321.82 610.05 "1,268.08" 631.24 689.79 628.29 321.82 "1,268.08" "HC US GUID PERIT,RETRO DRAIN TUBE" 361 49406 N/A 3748.87 "2,328.48" "1,321.22" "1,833.18" 892.86 "2,075.53" "2,539.30" "1,242.94" 692.17 1312.1045 "2,727.40" "1,357.68" "1,483.62" "1,351.34" 692.17 "2,727.40" HC US GUID CTH PER PERITON RETRO 402 49407 N/A 2599 "1,614.28" 915.97 "1,270.90" 619 "1,438.91" "1,760.43" 861.7 479.86 909.65 "1,890.84" 941.24 "1,028.56" 936.85 479.86 "1,890.84" HC ABSCESS DRAINAGE W/CATHETER-US GUIDE 402 75989 N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 HC NEONATE CRANIAL SONO 402 76506 N/A 466 289.44 164.23 227.87 110.99 258 315.65 154.5 86.04 163.1 339.03 168.76 184.42 167.98 86.04 339.03 HC THYROID SONOGRAPHY 402 76536 N/A 658 408.69 231.9 321.76 156.71 364.3 445.7 218.16 121.49 230.3 478.71 238.3 260.4 237.19 121.49 478.71 HC CHEST 402 76604 N/A 305 189.44 107.49 149.14 72.64 168.86 206.59 101.12 56.31 106.75 221.9 110.46 120.7 109.94 56.31 221.9 HC US BREAST 402 76641 N/A 230 142.86 81.06 112.47 54.78 127.34 155.79 76.26 42.47 80.5 167.33 83.3 91.02 82.91 42.47 167.33 HC BD BREAST ULTRASOUND UNI RT 402 76641 N/A 230 142.86 81.06 112.47 54.78 127.34 155.79 76.26 42.47 80.5 167.33 83.3 91.02 82.91 42.47 167.33 HC BD BREAST ULTRASOUND UNI LT 402 76641 N/A 230 142.86 81.06 112.47 54.78 127.34 155.79 76.26 42.47 80.5 167.33 83.3 91.02 82.91 42.47 167.33 HC BD US BREAST UNI LIMITED FOCUS 402 76642 N/A 230 142.86 81.06 112.47 54.78 127.34 155.79 76.26 42.47 80.5 167.33 83.3 91.02 82.91 42.47 167.33 HC BD BREAST ULTRASOUND LIMITED RT 402 76642 N/A 230 142.86 81.06 112.47 54.78 127.34 155.79 76.26 42.47 80.5 167.33 83.3 91.02 82.91 42.47 167.33 HC BD BREAST ULTRASOUND LIMITED LT 402 76642 N/A 230 142.86 81.06 112.47 54.78 127.34 155.79 76.26 42.47 80.5 167.33 83.3 91.02 82.91 42.47 167.33 HC ABDOMEN COMPLETE 402 76700 N/A 792 491.92 279.13 387.28 188.63 438.48 536.46 262.59 146.23 277.2 576.2 286.83 313.43 285.49 146.23 576.2 HC ABDOMEN LIMITED B 402 76705 N/A 463 287.58 163.18 226.4 110.27 256.34 313.61 153.51 85.49 162.05 336.84 167.68 183.23 166.9 85.49 336.84 HC LIVER SONOGRAM 402 76705 N/A 463 287.58 163.18 226.4 110.27 256.34 313.61 153.51 85.49 162.05 336.84 167.68 183.23 166.9 85.49 336.84 HC SPLEEN SONOGRAM 402 76705 N/A 463 287.58 163.18 226.4 110.27 256.34 313.61 153.51 85.49 162.05 336.84 167.68 183.23 166.9 85.49 336.84 HC RIGHT UPPER QUADRANT 402 76705 N/A 463 287.58 163.18 226.4 110.27 256.34 313.61 153.51 85.49 162.05 336.84 167.68 183.23 166.9 85.49 336.84 HC PYLORIC STENOSIS 402 76705 N/A 463 287.58 163.18 226.4 110.27 256.34 313.61 153.51 85.49 162.05 336.84 167.68 183.23 166.9 85.49 336.84 HC US ABDOMINAL AORTA AAA SCREENING 402 76706 N/A 194 120.5 68.37 94.86 46.2 107.41 131.41 64.32 35.82 67.9 141.14 70.26 76.78 69.93 35.82 141.14 HC RETROPERITONEAL COMPLETE 402 76770 N/A 537 333.54 189.26 262.59 127.9 297.31 363.74 178.04 99.15 187.95 390.68 194.48 212.52 193.57 99.15 390.68 HC US RETROPERITONEAL LTD 402 76775 N/A 463 287.58 163.18 226.4 110.27 256.34 313.61 153.51 85.49 162.05 336.84 167.68 183.23 166.9 85.49 336.84 HC RENAL SONOGRAM 402 76775 N/A 463 287.58 163.18 226.4 110.27 256.34 313.61 153.51 85.49 162.05 336.84 167.68 183.23 166.9 85.49 336.84 HC SONOGRAM OF TRANSPLANT KIDNEY 402 76776 N/A 463 287.58 163.18 226.4 110.27 256.34 313.61 153.51 85.49 162.05 336.84 167.68 183.23 166.9 85.49 336.84 HC SPINAL CANAL 402 76800 N/A 333 206.83 117.36 162.84 79.31 184.36 225.56 110.41 61.48 116.55 242.27 120.6 131.79 120.04 61.48 242.27 HC OB 1ST TRIMESTER 402 76801 N/A 865 537.26 304.85 422.98 206.02 478.9 585.91 286.79 159.71 302.75 629.31 313.27 342.32 311.8 159.71 629.31 HC PREGNANCY COMP 2+ FETUS UNDER 14 WKS 402 76802 N/A 179 111.18 63.09 87.53 42.63 99.1 121.25 59.35 33.05 62.65 130.23 64.83 70.84 64.52 33.05 130.23 HC OB 2ND & 3RD TRIMESTER 402 76805 N/A 865 537.26 304.85 422.98 206.02 478.9 585.91 286.79 159.71 302.75 629.31 313.27 342.32 311.8 159.71 629.31 HC PREGNANCY EXAM MULTIPLE GESTATION 402 76810 N/A 277 172.05 97.62 135.45 65.97 153.36 187.63 91.84 51.14 96.95 201.52 100.32 109.62 99.85 51.14 201.52 HC US OB LIMITED 402 76815 N/A 378 234.78 133.22 184.84 90.03 209.28 256.04 125.33 69.79 132.3 275 136.9 149.59 136.26 69.79 275 HC PREGNANCY REPEAT (DATES AND/OR WGHT) 402 76816 N/A 463 287.58 163.18 226.4 110.27 256.34 313.61 153.51 85.49 162.05 336.84 167.68 183.23 166.9 85.49 336.84 "HC US, PREGNANT UTERUS, TRANSVAGINAL" 402 76817 N/A 277 172.05 97.62 135.45 65.97 153.36 187.63 91.84 51.14 96.95 201.52 100.32 109.62 99.85 51.14 201.52 HC BIOPHYS PROFILE W/ NON STRESS 402 76819 N/A 475 295.03 167.4 232.27 113.13 262.98 321.74 157.49 87.7 166.25 345.57 172.02 187.98 171.22 87.7 345.57 HC TRANSVAGINAL SONOGRAM 402 76830 N/A 512 318.01 180.44 250.37 121.94 283.46 346.8 169.75 94.53 179.2 372.49 185.42 202.62 184.56 94.53 372.49 HC PELVIC SONOGRAM 402 76856 N/A 488 303.1 171.99 238.63 116.23 270.18 330.55 161.8 90.1 170.8 355.03 176.73 193.13 175.91 90.1 355.03 HC IUD LOCALIZATION 402 76856 N/A 488 303.1 171.99 238.63 116.23 270.18 330.55 161.8 90.1 170.8 355.03 176.73 193.13 175.91 90.1 355.03 HC SONO PELVIS LIMITED 402 76857 N/A 234 145.34 82.47 114.42 55.73 129.55 158.5 77.58 43.2 81.9 170.24 84.74 92.61 84.35 43.2 170.24 HC SCROTUM SONOGRAM 402 76870 N/A 536 332.92 188.9 262.1 127.66 296.75 363.06 177.71 98.96 187.6 389.95 194.12 212.12 193.21 98.96 389.95 HC EXTREMITY 402 76881 N/A 800 496.89 281.94 391.2 190.53 442.91 541.88 265.24 147.71 280 582.02 289.73 316.6 288.37 147.71 582.02 HC US AXILLARY 402 76882 N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 HC US HIPS BILATERAL 402 76885 N/A 378 234.78 133.22 184.84 90.03 209.28 256.04 125.33 69.79 132.3 275 136.9 149.59 136.26 69.79 275 HC ULTRASONIC NEEDLE GUIDE BIOPSY 402 76942 N/A 273 169.56 96.21 133.5 65.02 151.14 184.92 90.51 50.4 95.55 198.61 98.87 108.04 98.41 50.4 198.61 HC VL PSA INJECTION U/S GUIDE 402 76942 N/A 273 169.56 96.21 133.5 65.02 151.14 184.92 90.51 50.4 95.55 198.61 98.87 108.04 98.41 50.4 198.61 HC LIVER BX - US GUIDE 402 76942 N/A 273 169.56 96.21 133.5 65.02 151.14 184.92 90.51 50.4 95.55 198.61 98.87 108.04 98.41 50.4 198.61 HC RENAL BX - US GUIDE 402 76942 N/A 273 169.56 96.21 133.5 65.02 151.14 184.92 90.51 50.4 95.55 198.61 98.87 108.04 98.41 50.4 198.61 HC US BIOPSY SOFT TISSUE/MUSCLE GUIDE 402 76942 N/A 273 169.56 96.21 133.5 65.02 151.14 184.92 90.51 50.4 95.55 198.61 98.87 108.04 98.41 50.4 198.61 "HC CYST, ANY LOCATION SKIN - US" 402 76942 N/A 273 169.56 96.21 133.5 65.02 151.14 184.92 90.51 50.4 95.55 198.61 98.87 108.04 98.41 50.4 198.61 "HC US GUIDANCE,INTRAOPERATIVE" 402 76998 N/A 329 204.35 115.95 160.88 78.36 182.15 222.85 109.08 60.74 115.15 239.36 119.15 130.2 118.59 60.74 239.36 HC BD MAMMO SCREEN DIGITAL 2D 403 77067 N/A 175 108.7 61.68 85.57 41.68 96.89 118.54 58.02 32.31 61.25 127.32 63.38 69.26 63.08 32.31 127.32 HC BD TOMOSYNTHESIS BILATERAL 403 77063 N/A 66 40.99 23.26 32.27 15.72 36.54 44.71 21.88 12.19 23.1 48.02 23.9 26.12 23.79 12.19 48.02 HC PET CT STANDARD BODY SCAN 404 78815 N/A 2250 "1,397.51" 792.97 "1,100.24" 535.88 "1,245.69" "1,524.04" 745.99 415.43 787.5 "1,636.93" 814.85 890.44 811.05 415.43 "1,636.93" HC PET CT WHOLE BODY SCAN 404 78816 N/A 2250 "1,397.51" 792.97 "1,100.24" 535.88 "1,245.69" "1,524.04" 745.99 415.43 787.5 "1,636.93" 814.85 890.44 811.05 415.43 "1,636.93" HC PULMONARY REHAB-OTHER 410 G0239 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 HC SUCTIONING 410 31720 N/A 358 222.36 126.17 175.06 85.26 198.2 242.49 118.7 66.1 125.3 260.45 129.65 141.68 129.05 66.1 260.45 HC MECH VENT ADULT 410 94002 N/A 865 537.26 304.85 422.98 206.02 478.9 585.91 286.79 159.71 302.75 629.31 313.27 342.32 311.8 159.71 629.31 HC MECH VENT SUBSEQUENT ADULT 410 94003 N/A 908 563.97 320.01 444.01 216.26 502.71 615.03 301.05 167.65 317.8 660.59 328.84 359.34 327.3 167.65 660.59 HC MDI INITIAL 410 94640 N/A 235 145.96 82.82 114.91 55.97 130.11 159.18 77.91 43.39 82.25 170.97 85.11 93 84.71 43.39 170.97 HC CONT NEB W/BRONCHODILATOR FIRST HR 410 94644 N/A 194 120.5 68.37 94.86 46.2 107.41 131.41 64.32 35.82 67.9 141.14 70.26 76.78 69.93 35.82 141.14 HC CONT NEB W/BRONCHODILAT ADDL HR 410 94645 N/A 194 120.5 68.37 94.86 46.2 107.41 131.41 64.32 35.82 67.9 141.14 70.26 76.78 69.93 35.82 141.14 HC HAND HELD NEBULIZER/IPPB/MDI-IP 410 94640 N/A 358 222.36 126.17 175.06 85.26 198.2 242.49 118.7 66.1 125.3 260.45 129.65 141.68 129.05 66.1 260.45 HC HAND HELD NEBULIZER/IBB/MDI-OP 410 94640 N/A 358 222.36 126.17 175.06 85.26 198.2 242.49 118.7 66.1 125.3 260.45 129.65 141.68 129.05 66.1 260.45 AEROSOL TREATMENT 410 94640 N/A 358 222.36 126.17 175.06 85.26 198.2 242.49 118.7 66.1 125.3 260.45 129.65 141.68 129.05 66.1 260.45 HC CPAP 410 94660 N/A 260 161.49 91.63 127.14 61.92 143.95 176.11 86.2 48 91 189.16 94.16 102.9 93.72 48 189.16 HC BIPAP/CPAP 410 94660 N/A 260 161.49 91.63 127.14 61.92 143.95 176.11 86.2 48 91 189.16 94.16 102.9 93.72 48 189.16 HC ACAPELLA INITIAL RX 410 94667 N/A 167 103.73 58.86 81.66 39.77 92.46 113.12 55.37 30.83 58.45 121.5 60.48 66.09 60.2 30.83 121.5 HC CPT&POSTUAL DRAIN SUBSEQ RX 4 POS 410 94668 N/A 212 131.68 74.72 103.67 50.49 117.37 143.6 70.29 39.14 74.2 154.24 76.78 83.9 76.42 39.14 154.24 HC ACAPELLA SUB RX 410 94668 N/A 212 131.68 74.72 103.67 50.49 117.37 143.6 70.29 39.14 74.2 154.24 76.78 83.9 76.42 39.14 154.24 HC PULSE OXIMETRY CONTINUOUS 410 94762 N/A 234 145.34 82.47 114.42 55.73 129.55 158.5 77.58 43.2 81.9 170.24 84.74 92.61 84.35 43.2 170.24 HC ENDOTRACHEAL TUBE CARE NON VENTED 410 94799 N/A 341 211.8 120.18 166.75 81.22 188.79 230.98 113.06 62.96 119.35 248.09 123.5 134.95 122.92 62.96 248.09 HC SPONTANEOUS MECHANICS NON VENTED 410 94799 N/A 356.48 221.42 125.63 174.32 84.9 197.36 241.46 118.19 65.82 124.768 259.35 129.1 141.08 128.5 65.82 259.35 HC OXYGEN THERAPY SUBSEQ DAY 410 94799 N/A 317 196.89 111.72 155.01 75.5 175.5 214.72 105.1 58.53 110.95 230.63 114.8 125.45 114.27 58.53 230.63 HC PULM TREATMENT FOR RESP FX EA 15 MIN 410 G0238 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 HC HBO PER 30 MINS 413 99183 N/A 330 204.97 116.3 161.37 78.6 182.7 223.53 109.41 60.93 115.5 240.08 119.51 130.6 118.95 60.93 240.08 HC PT APP MLT-LAY COM L LEG/FT 8-22 420 29581 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC PT APP MLT-LAY COMP L LEG/FT23-37 420 29581 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC PT APP MLT-LAY COMP L LEG/FT38-52 420 29581 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC PT APP MLT-LAY COMP L FEG/FT53-67 420 29581 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC PT APP MLT-LAY COMP L LEG/FT 68-82 420 29581 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC TN BIOFEEDBACK 420 90901 N/A 132 81.99 46.52 64.55 31.44 73.08 89.41 43.76 24.37 46.2 96.03 47.8 52.24 47.58 24.37 96.03 "HC RANGE OF MOTION MEASUREMENT,EXC HAND" 420 95851 N/A 37 22.98 13.04 18.09 8.81 20.48 25.06 12.27 6.83 12.95 26.92 13.4 14.64 13.34 6.83 26.92 HC CANALITH REPOSITIONING PROC 420 95992 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC RE EVALUATION 8-22 MIN 420 97164 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC RE EVALUATION 23-37 MIN 420 97164 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC RE EVALUATION 38-52 MIN 420 97164 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC RE EVALUATION 53-67 MIN 420 97164 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC HOT/COLD PACK 420 97010 N/A 13 8.07 4.58 6.36 3.1 7.2 8.81 4.31 2.4 4.55 9.46 4.71 5.14 4.69 2.4 9.46 HC PT MECHANICAL TRACT 8-22 420 97012 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC TRACTION (MECHANICAL) 420 97012 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC PT MECHANICAL TRACT 38-52 420 97012 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC PT MECHANCIAL TRACT 53-67 420 97012 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC PT MECHANICAL TRACT 68-82 420 97012 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC ELECTRICAL STIMULATN UNATT NON WOUND 420 97014 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC EXTREM PUMP 8-22 MIN 420 97016 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 HC EXTREM PUMP 23-37 420 97016 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 HC EXTREM PUMP 38-52 420 97016 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 HC EXTREM PUMP 53-67 420 97016 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 HC EXTREM PUMP 68-82 MIN 420 97016 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 HC VASOPNEUMATIC DEVICE 420 97016 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 HC PT E-STIM NOT WC MANUAL 8-22 420 97032 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC IONTOPHORESIS 15 MINS 420 N/A N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC CONTRAST BATHS 15 MINS 420 N/A N/A 27 16.77 9.52 13.2 6.43 14.95 18.29 8.95 4.99 9.45 19.64 9.78 10.69 9.73 4.99 19.64 HC ULTRASOUND 420 97035 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC THERAPEUTIC EXERCISES TH 420 97110 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC NEUROMUSCULAR REEDUCATION 420 97112 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC AMBULATION TRAIN 420 97116 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC MASSAGE 15 MIN 420 97124 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC MANUAL THERAPY 420 97140 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC PT GROUP THERAPY 8-22 MIN 2 PTS 420 97150 N/A 79.62 49.45 28.06 38.93 18.96 44.08 53.93 26.4 14.7 27.867 57.93 28.83 31.51 28.7 14.7 57.93 HC THERAPEUTIC EX. GROUP 420 97150 N/A 79.62 49.45 28.06 38.93 18.96 44.08 53.93 26.4 14.7 27.867 57.93 28.83 31.51 28.7 14.7 57.93 HC EVALUATION LOW COMPLEXITY 8-22 MIN 420 97161 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION LOW COMPLEXITY 23-37 MIN 420 97161 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION LOW COMPLEXITY 38-52 MIN 420 97161 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION MOD COMPLEXITY 8-22 MIN 420 97162 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION MOD COMPLEXITY 23-37MIN 420 97162 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION MOD COMPLEXITY 38-52 MIN 420 97162 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION MOD COMPLEXITY 53-67 MIN 420 97162 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION MOD COMPLEXITY 68-82 MIN 420 97162 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION HIGH COMPLEXITY 8-22 MIN 420 97163 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION HIGH COMPLEXITY 23-37 MIN 420 97163 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION HIGH COMPLEXITY 38-52 MIN 420 97163 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC EVALUATION HIGH COMPLEXITY 53-67 MIN 420 97163 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC FUNCTIONAL ACTIVITY TH 420 97530 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC ORTHOTICS FITTING/TRAINING 15 MINS 420 N/A N/A 52 32.3 18.33 25.43 12.38 28.79 35.22 17.24 9.6 18.2 37.83 18.83 20.58 18.74 9.6 37.83 HC PROSTHETICS FITTING/TRAINING 15 MINS 420 N/A N/A 91 56.52 32.07 44.5 21.67 50.38 61.64 30.17 16.8 31.85 66.2 32.96 36.01 32.8 16.8 66.2 HC PT EVALUATION LOW COMPLEXITY 424 97161 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC PT EVALUATOIN MODERATE COMPLEXITY 424 97162 N/A 89 55.28 31.37 43.52 21.2 49.27 60.28 29.51 16.43 31.15 64.75 32.23 35.22 32.08 16.43 64.75 HC OT APP M/L COMP L LEG/FT 8-22 430 29581 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC OT APP M/L COMP L LEG/FT 23-37 430 29581 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC OT APP M/L COMP L LEG/FT 38-52 430 29581 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC OT APP M/L COMP L LEG/FT 53-67 430 29581 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC OT APP M/L L LEG/FT 68-82 430 29581 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 HC OT APP M/L COMP UP ARM/FING 8-22 430 29584 N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 "HC RANGE OF MOTION MEASUREMENTS, HAND" 430 95852 N/A 29 18.01 10.22 14.18 6.91 16.06 19.64 9.61 5.35 10.15 21.1 10.5 11.48 10.45 5.35 21.1 HC HOT/COLD PACKS 430 97010 N/A 13 8.07 4.58 6.36 3.1 7.2 8.81 4.31 2.4 4.55 9.46 4.71 5.14 4.69 2.4 9.46 HC OT MECHANICAL TRACT 8-22 430 97012 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC OT MECHANICAL TRACT 23-37 430 97012 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC OT MECHANICAL TRACT 38-52 430 97012 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC OT MECHANICAL TRACT 53-67 430 97012 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC ELECTRICAL STIMULATN UNATT NON WOUND 430 97014 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC VASOPNEUMATIC DEVICE 430 97016 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 HC PARAFFIN BATH 430 97018 N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 HC MANUAL ELECTRICAL STIMULATION 15 MIN 430 97032 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC IONTOPHORESIS 15 MINS 430 97033 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC ULTRASOUND (15 MINS.) 430 97035 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC OT THERAPEUTIC EXERCISE 15 MIN TH 430 97110 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC OT NEUROMUSCULAR REED 15 MIN 430 97112 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC MASSAGE 430 97124 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC MANUAL THERAPY TECHNIQUES 430 97140 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC THERAPEUTIC EX. GROUP 430 97150 N/A 79.62 49.45 28.06 38.93 18.96 44.08 53.93 26.4 14.7 27.867 57.93 28.83 31.51 28.7 14.7 57.93 HC OT EVALUATION LOW COMPLEXITY 8-22 430 97165 N/A 95 59.01 33.48 46.45 22.63 52.6 64.35 31.5 17.54 33.25 69.11 34.4 37.6 34.24 17.54 69.11 HC OT EVALUATION LOW COMPLEXITY 23-37 430 97165 N/A 95 59.01 33.48 46.45 22.63 52.6 64.35 31.5 17.54 33.25 69.11 34.4 37.6 34.24 17.54 69.11 HC OT EVALUATION LOW COMPLEXITY 38-52 430 97165 N/A 95 59.01 33.48 46.45 22.63 52.6 64.35 31.5 17.54 33.25 69.11 34.4 37.6 34.24 17.54 69.11 HC OT EVALUATION MOD COMPLEXITY 8-22 430 97166 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC OT EVALUATION MOD COMPLEXITY 23-37 430 97166 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC OT EVALUATION MOD COMPLEXITY 38-52 430 97166 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC OT EVALUATION MOD COMPLEXITY 53-67 430 97166 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC OT EVALUATION HIGH COMPLEXITY 8-22 430 97167 N/A 95 59.01 33.48 46.45 22.63 52.6 64.35 31.5 17.54 33.25 69.11 34.4 37.6 34.24 17.54 69.11 HC OT EVALUATION HIGH COMPLEXITY 23-37 430 97167 N/A 95 59.01 33.48 46.45 22.63 52.6 64.35 31.5 17.54 33.25 69.11 34.4 37.6 34.24 17.54 69.11 HC OT EVALUATION HIGH COMPLEXITY 38-52 430 97167 N/A 95 59.01 33.48 46.45 22.63 52.6 64.35 31.5 17.54 33.25 69.11 34.4 37.6 34.24 17.54 69.11 HC OT EVALUATION HIGH COMPLEXITY 53-67 430 97167 N/A 95 59.01 33.48 46.45 22.63 52.6 64.35 31.5 17.54 33.25 69.11 34.4 37.6 34.24 17.54 69.11 HC OT FUNCTIONAL ACTIVITY 15 MIN TH 430 97530 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC ADL TRAINING (15 MINS) 430 97535 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC PROSTHETICS FITTING/TRAINING 15 MINS 430 97761 N/A 91 56.52 32.07 44.5 21.67 50.38 61.64 30.17 16.8 31.85 66.2 32.96 36.01 32.8 16.8 66.2 HC OT DAILY LIVING SKILLS 15 MIN 430 97535 N/A 73 45.34 25.73 35.7 17.39 40.42 49.45 24.2 13.48 25.55 53.11 26.44 28.89 26.31 13.48 53.11 HC ST BASIC TREATMENT/8-22 MIN IND 440 92507 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC ST BASIC TREATMENT/23-37 MIN IND 440 92507 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC ST BASIC TREATMENT/38-52 MIN IND 440 92507 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC ST BASIC TREATMENT/53-67 MIN IND 440 92507 N/A 110 68.32 38.77 53.79 26.2 60.9 74.51 36.47 20.31 38.5 80.03 39.84 43.53 39.65 20.31 80.03 HC ST EVAL SOUND/LANG COMPRE 8-22 444 92523 N/A 281 174.53 99.03 137.41 66.93 155.57 190.34 93.17 51.88 98.35 204.43 101.77 111.21 101.29 51.88 204.43 HC ST EVAL SOUND/LANG COMPRE 23-37 440 92523 N/A 281 174.53 99.03 137.41 66.93 155.57 190.34 93.17 51.88 98.35 204.43 101.77 111.21 101.29 51.88 204.43 HC ST EVAL BEHAV QUAL VOICE 8-22 440 92524 N/A 141 87.58 49.69 68.95 33.58 78.06 95.51 46.75 26.03 49.35 102.58 51.06 55.8 50.83 26.03 102.58 HC ST EVAL BEHAV QUAL VOICE 23-37 440 92524 N/A 141 87.58 49.69 68.95 33.58 78.06 95.51 46.75 26.03 49.35 102.58 51.06 55.8 50.83 26.03 102.58 HC ST EVAL BEHAV QUAL VOICE 38-52 440 92524 N/A 141 87.58 49.69 68.95 33.58 78.06 95.51 46.75 26.03 49.35 102.58 51.06 55.8 50.83 26.03 102.58 HC ST EVAL BEHAV QUAL VOICE 53-67 440 92524 N/A 141 87.58 49.69 68.95 33.58 78.06 95.51 46.75 26.03 49.35 102.58 51.06 55.8 50.83 26.03 102.58 HC ST EVAL BEHAV QUAL VOICE 68-82 440 92524 N/A 141 87.58 49.69 68.95 33.58 78.06 95.51 46.75 26.03 49.35 102.58 51.06 55.8 50.83 26.03 102.58 HC ST EVAL BEHAV QUAL VOICE 83-97 440 92524 N/A 141 87.58 49.69 68.95 33.58 78.06 95.51 46.75 26.03 49.35 102.58 51.06 55.8 50.83 26.03 102.58 HC ST TREAT SWALLOW/ORAL FEED 8-22MN 440 92526 N/A 96 59.63 33.83 46.94 22.86 53.15 65.03 31.83 17.72 33.6 69.84 34.77 37.99 34.6 17.72 69.84 HC ST TREAT SWALLOW/ORAL FEED/23-37 440 92526 N/A 96 59.63 33.83 46.94 22.86 53.15 65.03 31.83 17.72 33.6 69.84 34.77 37.99 34.6 17.72 69.84 HC ST TREAT SWALLOW/ORAL FEED/38-52 440 92526 N/A 96 59.63 33.83 46.94 22.86 53.15 65.03 31.83 17.72 33.6 69.84 34.77 37.99 34.6 17.72 69.84 HC ST TREAT SWALLOW/ORAL FEED/53-67 440 92526 N/A 96 59.63 33.83 46.94 22.86 53.15 65.03 31.83 17.72 33.6 69.84 34.77 37.99 34.6 17.72 69.84 HC ST EVAL USE/FIT VOICE PROST 23-37 440 92597 N/A 209 129.81 73.66 102.2 49.78 115.71 141.57 69.29 38.59 73.15 152.05 75.69 82.71 75.34 38.59 152.05 HC ST EVAL USE/FIT VOICE PROS 38-52 440 92597 N/A 209 129.81 73.66 102.2 49.78 115.71 141.57 69.29 38.59 73.15 152.05 75.69 82.71 75.34 38.59 152.05 HC ST EVAL USE/FIT VOICE PROS 53-67 440 92597 N/A 209 129.81 73.66 102.2 49.78 115.71 141.57 69.29 38.59 73.15 152.05 75.69 82.71 75.34 38.59 152.05 HC ST EVAL ORAL/PHARYN SWALLOW 8-22 440 92610 N/A 317 196.89 111.72 155.01 75.5 175.5 214.72 105.1 58.53 110.95 230.63 114.8 125.45 114.27 58.53 230.63 HC ST EVAL ORAL/PHARYN SWALLOW 23-37 440 92610 N/A 317 196.89 111.72 155.01 75.5 175.5 214.72 105.1 58.53 110.95 230.63 114.8 125.45 114.27 58.53 230.63 HC ST EVAL ORAL/PHARYN SWALLOW 38-52 440 92610 N/A 317 196.89 111.72 155.01 75.5 175.5 214.72 105.1 58.53 110.95 230.63 114.8 125.45 114.27 58.53 230.63 HC ST EVAL ORAL/PHARYN SWALLOW 53-67 440 92610 N/A 317 196.89 111.72 155.01 75.5 175.5 214.72 105.1 58.53 110.95 230.63 114.8 125.45 114.27 58.53 230.63 HC ST MOTION FLUORO EVAL SWALLOW8-22 440 92611 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC ST MOTION FLUORO EVAL SWALL 23-37 440 92611 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC ST MOTION FLUORO EVAL SWALL 38-52 440 92611 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC ST MOTION FLUORO EVAL SWALL 53-67 440 92611 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC ST MOTION FLUORO SWAL 68-82 440 92611 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC ST MOTION FLUORO EVAL SWAL 83-97 440 92611 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC ST MOTION FLUORO EVAL SWAL 98-112 440 92611 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC ST MOTION FLUORO EVAL SWAL113-127 440 92611 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC ST STANDARD COGNITIVE PERFORMANCE TESTING 440 96125 N/A 296 183.85 104.32 144.74 70.5 163.88 200.5 98.14 54.65 103.6 215.35 107.2 117.14 106.7 54.65 215.35 HC ST DEVELOP COGNITIVE SKILLS EA ADD'L 15 MIN 440 97130 N/A 70.75 43.94 24.93 34.6 16.85 39.17 47.92 23.46 13.06 24.7625 51.47 25.62 28 25.5 13.06 51.47 HC ST DEVELOP COGNITIVE SKILLS INITIAL 15 MN 440 97129 N/A 83 51.55 29.25 40.59 19.77 45.95 56.22 27.52 15.32 29.05 60.38 30.06 32.85 29.92 15.32 60.38 HC DEVELOPMENT OF COGNITIVE SKILLS 441 G0515 N/A 30 18.63 10.57 14.67 7.15 16.61 20.32 9.95 5.54 10.5 21.83 10.86 11.87 10.81 5.54 21.83 HC EVALUATION OF SPEECH FLUENCY 444 92521 N/A 167 103.73 58.86 81.66 39.77 92.46 113.12 55.37 30.83 58.45 121.5 60.48 66.09 60.2 30.83 121.5 HC EVALUATION OF SPEECH SOUND PRODUCTION 444 92522 N/A 135 83.85 47.58 66.01 32.15 74.74 91.44 44.76 24.93 47.25 98.22 48.89 53.43 48.66 24.93 98.22 HC EVAL SPEECH SOUND PROD W/LANG COMP&EXPR 444 92523 N/A 281 174.53 99.03 137.41 66.93 155.57 190.34 93.17 51.88 98.35 204.43 101.77 111.21 101.29 51.88 204.43 HC BEHAVIOR&QUALITATIVE ANALYSYS VOICE&RESO 440 92524 N/A 141 87.58 49.69 68.95 33.58 78.06 95.51 46.75 26.03 49.35 102.58 51.06 55.8 50.83 26.03 102.58 HC EVAL OF SWALLOWING & ORAL FUNCTION 444 92610 N/A 351 218.01 123.7 171.64 83.6 194.33 237.75 116.37 64.81 122.85 255.36 127.12 138.91 126.52 64.81 255.36 HC MODIFY BARIUM SWALLOW STUDY 444 92611 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC DRAINAGE OF SKIN ABSCESS 450 10060 N/A 286 177.64 100.8 139.85 68.12 158.34 193.72 94.82 52.81 100.1 208.07 103.58 113.18 103.09 52.81 208.07 HC SKIN ABCESS DRAIN COMP OR MULTIPLE 450 10061 N/A 507 314.91 178.68 247.92 120.75 280.7 343.42 168.1 93.61 177.45 368.86 183.61 200.65 182.76 93.61 368.86 HC DRAINAGE OF PILONIDAL CYST SIMPLE 450 10080 N/A 615 381.99 216.75 300.73 146.47 340.49 416.57 203.9 113.55 215.25 447.43 222.73 243.39 221.69 113.55 447.43 HC REMOVE FOREIGN BODY SUBCUTAN SIMPLE 450 10120 N/A 391 242.86 137.8 191.2 93.12 216.47 264.84 129.64 72.19 136.85 284.46 141.6 154.74 140.94 72.19 284.46 HC DRAINAGE OF HEMATOMA/FLUID 450 10140 N/A 2063 "1,281.36" 727.07 "1,008.80" 491.34 "1,142.16" "1,397.37" 683.99 380.9 722.05 "1,500.88" 747.13 816.43 743.64 380.9 "1,500.88" HC PUNCTURE DRAINAGE OF LESION 450 10160 N/A 507 314.91 178.68 247.92 120.75 280.7 343.42 168.1 93.61 177.45 368.86 183.61 200.65 182.76 93.61 368.86 HC REMOVAL OF NAIL PLATE SIMPLE 450 11730 N/A 263 163.35 92.69 128.61 62.64 145.61 178.14 87.2 48.56 92.05 191.34 95.25 104.08 94.8 48.56 191.34 HC AVULSION OF NAIL PLATE ADDL (EA) 450 11732 N/A 150 93.17 52.86 73.35 35.73 83.05 101.6 49.73 27.7 52.5 109.13 54.32 59.36 54.07 27.7 109.13 HC DRAIN BLOOD FROM UNDER NAIL 450 11740 N/A 157 97.52 55.33 76.77 37.39 86.92 106.34 52.05 28.99 54.95 114.22 56.86 62.13 56.59 28.99 114.22 HC REMOVAL OF NAIL BED 450 11750 N/A 736 457.14 259.39 359.9 175.29 407.48 498.53 244.02 135.89 257.6 535.46 266.55 291.27 265.3 135.89 535.46 HC REPAIR OF NAIL BED 450 11760 N/A 524 325.46 184.67 256.23 124.8 290.11 354.93 173.73 96.75 183.4 381.22 189.77 207.37 188.88 96.75 381.22 "HC EXCISION OF NAIL FOLD, TOE" 450 11765 N/A 334 207.45 117.71 163.32 79.55 184.92 226.24 110.74 61.67 116.9 242.99 120.96 132.18 120.4 61.67 242.99 HC REPAIR SUPERF.WOUND 2.5CM OR LESS 450 12001 N/A 269 167.08 94.8 131.54 64.07 148.93 182.21 89.19 49.67 94.15 195.7 97.42 106.46 96.97 49.67 195.7 HC REPAIR SUPERF.WOUND 2.6 - 7.5 CM 450 12002 N/A 276 171.43 97.27 134.96 65.73 152.81 186.95 91.51 50.96 96.6 200.8 99.96 109.23 99.49 50.96 200.8 HC REPAIR SUPERF.WOUND 7.6 - 12.5 CM 450 12004 N/A 276 171.43 97.27 134.96 65.73 152.81 186.95 91.51 50.96 96.6 200.8 99.96 109.23 99.49 50.96 200.8 HC REPAIR SUPERF. WOUND 12.6 - 20.0 CM 450 12005 N/A 334 207.45 117.71 163.32 79.55 184.92 226.24 110.74 61.67 116.9 242.99 120.96 132.18 120.4 61.67 242.99 REPAIR SIMPLE SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0 CM 450 12006 N/A 882.5 548.13 311.02 431.54 210.18 488.59 597.76 292.59 162.94 308.875 642.04 319.6 349.25 318.11 162.94 642.04 HC REPAIR SUPERF.WOUND OVER 30.0 CM 450 12007 N/A 428 265.84 150.84 209.29 101.94 236.96 289.91 141.9 79.02 149.8 311.38 155 169.38 154.28 79.02 311.38 HC REPAIR SUPERF WOUND 2.5 CM OR LESS 450 12011 N/A 276 171.43 97.27 134.96 65.73 152.81 186.95 91.51 50.96 96.6 200.8 99.96 109.23 99.49 50.96 200.8 HC REPAIR SUPERF WOUND 2.6 - 5.0 CM 450 12013 N/A 276 171.43 97.27 134.96 65.73 152.81 186.95 91.51 50.96 96.6 200.8 99.96 109.23 99.49 50.96 200.8 HC REPAIR SUPERF WOUND 5.1 - 7.5 CM 450 12014 N/A 279 173.29 98.33 136.43 66.45 154.47 188.98 92.5 51.51 97.65 202.98 101.04 110.41 100.57 51.51 202.98 HC REPAIR SUPERF WOUND 7.6 - 12.5 CM 450 12015 N/A 351 218.01 123.7 171.64 83.6 194.33 237.75 116.37 64.81 122.85 255.36 127.12 138.91 126.52 64.81 255.36 REPAIR SIMPLE FACE/EARS/EYELIDS/NOSE/LIPS/MOUTH 20.1-30.0 CM 450 12017 N/A 932.67 579.3 328.7 456.07 222.13 516.36 631.74 309.23 172.2 326.4345 678.54 337.77 369.11 336.2 172.2 678.54 HC CLOSURE OF SPLIT WOUND 450 12020 N/A 758 470.81 267.14 370.66 180.53 419.66 513.43 251.32 139.95 265.3 551.46 274.51 299.98 273.23 139.95 551.46 REPAIR SIMPLE FACE/EARS/EYELIDS/NOSE/LIPS/MOUTH 2.5 CM OR LESS 450 12031 N/A 624 387.58 219.92 305.13 148.62 345.47 422.67 206.89 115.21 218.4 453.98 225.99 246.95 224.93 115.21 453.98 HC LAYER CLOSURE OF WOUND 2.6 - 7.5 CM 450 12032 N/A 334 207.45 117.71 163.32 79.55 184.92 226.24 110.74 61.67 116.9 242.99 120.96 132.18 120.4 61.67 242.99 HC LAYER CLOSURE OF WOUND 7.6 - 12.5CM 450 12034 N/A 351 218.01 123.7 171.64 83.6 194.33 237.75 116.37 64.81 122.85 255.36 127.12 138.91 126.52 64.81 255.36 REPAIR INTERMEDIATE SCALP/AX/TRUNK/EXTREM 12.6-20.0 CM 450 12035 N/A 882.5 548.13 311.02 431.54 210.18 488.59 597.76 292.59 162.94 308.875 642.04 319.6 349.25 318.11 162.94 642.04 REPAIR INTERMEDIATE NECK/HANDS/FEET/XTRNL GENT 2.5 CM/< 450 12041 N/A 334 207.45 117.71 163.32 79.55 184.92 226.24 110.74 61.67 116.9 242.99 120.96 132.18 120.4 61.67 242.99 HC LAYER CLOSURE OF WOUND 2.6 - 7.5 CM 450 12042 N/A 334 207.45 117.71 163.32 79.55 184.92 226.24 110.74 61.67 116.9 242.99 120.96 132.18 120.4 61.67 242.99 HC LAYER CLOSURE OF WOUND 7.6 - 12.5CM 450 12044 N/A 524 325.46 184.67 256.23 124.8 290.11 354.93 173.73 96.75 183.4 381.22 189.77 207.37 188.88 96.75 381.22 HC LAYER CLOSURE OF WOUND 2.5CM OR LESS 450 12051 N/A 334 207.45 117.71 163.32 79.55 184.92 226.24 110.74 61.67 116.9 242.99 120.96 132.18 120.4 61.67 242.99 HC LAYER CLOSURE OF WOUND 2.6 - 5.0 CM 450 12052 N/A 351 218.01 123.7 171.64 83.6 194.33 237.75 116.37 64.81 122.85 255.36 127.12 138.91 126.52 64.81 255.36 HC LAYER CLOSURE OF WOUND 5.1 - 7.5 CM 450 12053 N/A 421 261.49 148.37 205.87 100.27 233.08 285.16 139.58 77.73 147.35 306.29 152.47 166.61 151.76 77.73 306.29 HC LAYER CLOSURE OF WOUND 7.6 - 12.5CM 450 12054 N/A 498 309.32 175.51 243.52 118.61 275.71 337.32 165.11 91.95 174.3 362.31 180.35 197.08 179.51 91.95 362.31 "HC REPAIR, COMPLEX TRUNK 2.6 - 7.5 CM" 450 13101 N/A 943 585.71 332.34 461.12 224.59 522.08 638.74 312.65 174.11 330.05 686.06 341.51 373.19 339.92 174.11 686.06 "HC REPAIR EYELIDS,NOSE,EARS 2.6-7.5 CM" 450 13152 N/A 943 585.71 332.34 461.12 224.59 522.08 638.74 312.65 174.11 330.05 686.06 341.51 373.19 339.92 174.11 686.06 HC TX BURN DEBRID DRESS PAR THICK <5% 450 16020 N/A 187 116.15 65.9 91.44 44.54 103.53 126.66 62 34.53 65.45 136.05 67.72 74.01 67.41 34.53 136.05 HC SKIN TISSUE PROCEDURE 450 17999 N/A 458.5 284.78 161.59 224.2 109.2 253.84 310.57 152.02 84.65 160.475 333.57 166.05 181.45 165.27 84.65 333.57 "HC EXPLORE PENETRATING WOUND,EXTREME" 450 20103 N/A 1000 621.12 352.43 488.99 238.17 553.64 677.35 331.55 184.63 350 727.52 362.16 395.75 360.47 184.63 727.52 HC FOREIGN BODY REMVL TENDON MUSCLE SIM 450 20520 N/A 2062.5 "1,281.05" 726.89 "1,008.55" 491.22 "1,141.89" "1,397.04" 683.82 380.81 721.875 "1,500.52" 746.95 816.24 743.46 380.81 "1,500.52" "HC DRAIN/INJECT, INTERMED JOINT/BURSA" 450 20605 N/A 375 232.92 132.16 183.37 89.31 207.62 254.01 124.33 69.24 131.25 272.82 135.81 148.41 135.17 69.24 272.82 "HC DRAIN/INJECT, MAJOR JOINT/BURSA" 450 20610 N/A 375 232.92 132.16 183.37 89.31 207.62 254.01 124.33 69.24 131.25 272.82 135.81 148.41 135.17 69.24 272.82 HC REMOVAL OF SUPPORT IMPLANT 450 20670 N/A 2664 "1,654.65" 938.88 "1,302.68" 634.48 "1,474.90" "1,804.46" 883.25 491.86 932.4 "1,938.13" 964.78 "1,054.28" 960.28 491.86 "1,938.13" HC AC JOINT DISLOCATION W/MANIPULATION 450 23545 N/A 450 279.5 158.59 220.05 107.18 249.14 304.81 149.2 83.09 157.5 327.39 162.97 178.09 162.21 83.09 327.39 HC TREAT SHOULDER DISLOCATION W/MANIPUL 450 23650 N/A 304 188.82 107.14 148.65 72.4 168.31 205.91 100.79 56.13 106.4 221.17 110.1 120.31 109.58 56.13 221.17 HC CLOSED TRMT SHLDR DISLOC W/MAN &ANES 450 23655 N/A 2546 "1,581.36" 897.29 "1,244.98" 606.38 "1,409.57" "1,724.53" 844.13 470.08 891.1 "1,852.28" 922.05 "1,007.58" 917.75 470.08 "1,852.28" HC TREAT DISLOC/FX SHOULDER W/SURG W/MN 450 23675 N/A 1448 899.38 510.32 708.06 344.87 801.67 980.8 480.09 267.35 506.8 "1,053.46" 524.4 573.05 521.96 267.35 "1,053.46" HC CLOSE TREAT HUMERUS FX W/O MANIPULAT 450 24500 N/A 421 261.49 148.37 205.87 100.27 233.08 285.16 139.58 77.73 147.35 306.29 152.47 166.61 151.76 77.73 306.29 HC ELBOW DISLOCATION CLOSED TX W SEDATE 450 24605 N/A 2546 "1,581.36" 897.29 "1,244.98" 606.38 "1,409.57" "1,724.53" 844.13 470.08 891.1 "1,852.28" 922.05 "1,007.58" 917.75 470.08 "1,852.28" HC TREAT CLOSE NURSEMAID ELBOW W/MANIP 450 24640 N/A 421 261.49 148.37 205.87 100.27 233.08 285.16 139.58 77.73 147.35 306.29 152.47 166.61 151.76 77.73 306.29 HC TREAT FX OF ULNA W/MANIPULATION 450 25535 N/A 421 261.49 148.37 205.87 100.27 233.08 285.16 139.58 77.73 147.35 306.29 152.47 166.61 151.76 77.73 306.29 HC TREAT FX RADIUS & ULNA W/MANIPULATIO 450 25565 N/A 1327 824.22 467.68 648.9 316.05 734.68 898.84 439.97 245.01 464.45 965.43 480.58 525.16 478.34 245.01 965.43 HC TREAT FX RADIUS W&W/O ULNA W/MANIPUL 450 25605 N/A 1448 899.38 510.32 708.06 344.87 801.67 980.8 480.09 267.35 506.8 "1,053.46" 524.4 573.05 521.96 267.35 "1,053.46" "HC DRAINAGE OF FINGER ABSCESS,SIMPLE" 450 26010 N/A 391 242.86 137.8 191.2 93.12 216.47 264.84 129.64 72.19 136.85 284.46 141.6 154.74 140.94 72.19 284.46 "HC DRAINAGE OF FINGER ABSCESS, COMPLICATED" 450 26011 N/A 3748.87 "2,328.48" "1,321.22" "1,833.18" 892.86 "2,075.53" "2,539.30" "1,242.94" 692.17 1312.1045 "2,727.40" "1,357.68" "1,483.62" "1,351.34" 692.17 "2,727.40" HC TREAT KNUCKLE DISLOCATION 450 26700 N/A 328 203.73 115.6 160.39 78.12 181.59 222.17 108.75 60.56 114.8 238.63 118.79 129.81 118.23 60.56 238.63 "HC TREAT FINGER FX, EA W/MANIPULATION" 450 26725 N/A 328 203.73 115.6 160.39 78.12 181.59 222.17 108.75 60.56 114.8 238.63 118.79 129.81 118.23 60.56 238.63 HC FINGER IP JOINT DISLOCATION WO ANES 450 26770 N/A 328 203.73 115.6 160.39 78.12 181.59 222.17 108.75 60.56 114.8 238.63 118.79 129.81 118.23 60.56 238.63 HC CLSD REDUCTN IPJT DISLOC W/MANP/ANES 450 26775 N/A 2533 "1,573.29" 892.71 "1,238.62" 603.28 "1,402.37" "1,715.73" 839.82 467.68 886.55 "1,842.82" 917.34 "1,002.44" 913.06 467.68 "1,842.82" "HC AMPUTATION,FINGER OR THUMB, PRI/SEC" 450 26951 N/A 2742 "1,703.10" 966.37 "1,340.82" 653.06 "1,518.09" "1,857.30" 909.11 506.27 959.7 "1,994.87" 993.03 "1,085.15" 988.4 506.27 "1,994.87" HC TREAT HIP DISLOCATION W/O ANES. 450 27250 N/A 421 261.49 148.37 205.87 100.27 233.08 285.16 139.58 77.73 147.35 306.29 152.47 166.61 151.76 77.73 306.29 HC CLSED RED DISLOC POST HIP ARTHR WO A 450 27265 N/A 283 175.78 99.74 138.39 67.4 156.68 191.69 93.83 52.25 99.05 205.89 102.49 112 102.01 52.25 205.89 HC CLSED RED DISLOCAT POST HIP ARTHROP 450 27266 N/A 2546 "1,581.36" 897.29 "1,244.98" 606.38 "1,409.57" "1,724.53" 844.13 470.08 891.1 "1,852.28" 922.05 "1,007.58" 917.75 470.08 "1,852.28" HC TREAT KNEECAP DISLOCATION 450 27560 N/A 421 261.49 148.37 205.87 100.27 233.08 285.16 139.58 77.73 147.35 306.29 152.47 166.61 151.76 77.73 306.29 "HC TREAT TIBIA FX, W/MANIPULATION" 450 27752 N/A 1500 931.67 528.65 733.49 357.25 830.46 "1,016.03" 497.33 276.95 525 "1,091.29" 543.23 593.63 540.7 276.95 "1,091.29" HC TREAT OF DISTAL FIBULA FX W/MANIPULA 450 27788 N/A 421 261.49 148.37 205.87 100.27 233.08 285.16 139.58 77.73 147.35 306.29 152.47 166.61 151.76 77.73 306.29 HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MAN 450 27810 N/A 1448 899.38 510.32 708.06 344.87 801.67 980.8 480.09 267.35 506.8 "1,053.46" 524.4 573.05 521.96 267.35 "1,053.46" HC TRT ANKLE DISLOCATION W/O ANESTHESIA 450 27840 N/A 421 261.49 148.37 205.87 100.27 233.08 285.16 139.58 77.73 147.35 306.29 152.47 166.61 151.76 77.73 306.29 HC ANKLE DISLOCATE CLOSED TX W ANES 450 27842 N/A 2479 "1,539.75" 873.68 "1,212.22" 590.42 "1,372.48" "1,679.15" 821.91 457.71 867.65 "1,803.53" 897.79 981.07 893.6 457.71 "1,803.53" HC REMOVAL OF FOOT FOREIGN BODY SUBCUT 450 28190 N/A 764 474.53 269.26 373.59 181.96 422.98 517.5 253.3 141.06 267.4 555.83 276.69 302.35 275.4 141.06 555.83 HC CLOSED TRT OF BIG TOE FX W/ MANIPULA 450 28495 N/A 328 203.73 115.6 160.39 78.12 181.59 222.17 108.75 60.56 114.8 238.63 118.79 129.81 118.23 60.56 238.63 HC CLOSED TRTMT TOE DISLOC W/O ANESTHES 450 28630 N/A 328 203.73 115.6 160.39 78.12 181.59 222.17 108.75 60.56 114.8 238.63 118.79 129.81 118.23 60.56 238.63 HC CLOSED TRTMT OF DISLOC TOE W/O ANES 450 28660 N/A 328 203.73 115.6 160.39 78.12 181.59 222.17 108.75 60.56 114.8 238.63 118.79 129.81 118.23 60.56 238.63 HC APPLICATION OF LONG ARM CAST 450 29065 N/A 394 244.72 138.86 192.66 93.84 218.13 266.88 130.63 72.75 137.9 286.64 142.69 155.93 142.02 72.75 286.64 HC APPLY LONG ARM SPLINT 450 29105 N/A 344 213.66 121.24 168.21 81.93 190.45 233.01 114.05 63.51 120.4 250.27 124.58 136.14 124 63.51 250.27 HC APPLY FOREARM SPLINT 450 29125 N/A 344 213.66 121.24 168.21 81.93 190.45 233.01 114.05 63.51 120.4 250.27 124.58 136.14 124 63.51 250.27 "HC APPLY FOREARM SPLINT, DYNAMIC" 450 29126 N/A 344 213.66 121.24 168.21 81.93 190.45 233.01 114.05 63.51 120.4 250.27 124.58 136.14 124 63.51 250.27 "HC APPLICATION FINGER SPLINT, STATIC" 450 29130 N/A 344 213.66 121.24 168.21 81.93 190.45 233.01 114.05 63.51 120.4 250.27 124.58 136.14 124 63.51 250.27 HC STRAPPING OF SHOULDER 450 29240 N/A 344 213.66 121.24 168.21 81.93 190.45 233.01 114.05 63.51 120.4 250.27 124.58 136.14 124 63.51 250.27 HC APPLY SHORT LEG CAST 450 29405 N/A 353 219.25 124.41 172.62 84.07 195.44 239.1 117.04 65.18 123.55 256.82 127.84 139.7 127.24 65.18 256.82 HC APPLICATION LONG LEG SPLINT 450 29505 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC APPLICATION LOWER LEG SPLINT 450 29515 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC STRAPPING OF KNEE 450 29530 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC STRAPPING OF ANKLE 450 29540 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC REMOVAL/BIVALVE CAST GAUNT BOOT BODY 450 29700 N/A 352 218.63 124.06 172.13 83.84 194.88 238.43 116.71 64.99 123.2 256.09 127.48 139.3 126.88 64.99 256.09 HC REMOVE NASAL FOREIGN BODY 450 30300 N/A 328 203.73 115.6 160.39 78.12 181.59 222.17 108.75 60.56 114.8 238.63 118.79 129.81 118.23 60.56 238.63 "HC CONTROL OF NOSEBLEED, SIMPLE" 450 30901 N/A 438 272.05 154.36 214.18 104.32 242.5 296.68 145.22 80.87 153.3 318.66 158.62 173.34 157.88 80.87 318.66 "HC CONTROL OF NOSEBLEED, POSTERIOR" 450 30905 N/A 438 272.05 154.36 214.18 104.32 242.5 296.68 145.22 80.87 153.3 318.66 158.62 173.34 157.88 80.87 318.66 HC INSERT EMERGENCY AIRWAY 450 31500 N/A 437 271.43 154.01 213.69 104.08 241.94 296 144.89 80.68 152.95 317.93 158.26 172.94 157.52 80.68 317.93 HC CHEST TUBE INSERTION W THORACOSTOMY 450 32551 N/A 1596 991.3 562.48 780.44 380.12 883.61 "1,081.05" 529.15 294.68 558.6 "1,161.13" 578 631.62 575.3 294.68 "1,161.13" HC PLACE NEEDLE IN VEIN 450 36000 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC CENTRAL LINE INSERT NON TUNNEL 5YR&> 450 36556 N/A 2857.03 "1,774.55" "1,006.91" "1,397.07" 680.45 "1,581.77" "1,935.21" 947.25 527.5 999.9605 "2,078.56" "1,034.69" "1,130.67" "1,029.86" 527.5 "2,078.56" HC REPAIR OF LACERTION 2.5CM MOUTH/TONG 450 41250 N/A 417 259.01 146.96 203.91 99.32 230.87 282.46 138.26 76.99 145.95 303.38 151.02 165.03 150.31 76.99 303.38 HC DRAINAGE OF GUM LESION 450 41800 N/A 369 229.19 130.05 180.44 87.88 204.29 249.94 122.34 68.13 129.15 268.46 133.64 146.03 133.01 68.13 268.46 HC INCISION AND DRAINAGE ABSCESS PERITO 450 42700 N/A 417 259.01 146.96 203.91 99.32 230.87 282.46 138.26 76.99 145.95 303.38 151.02 165.03 150.31 76.99 303.38 HC REPLACEMENT GASTROTOMY TUBE PERCUTANEOUS 450 43762 N/A 576 357.76 203 281.66 137.18 318.9 390.15 190.97 106.35 201.6 419.05 208.6 227.95 207.63 106.35 419.05 HC INCISION OF ANAL ABSCESS 450 46050 N/A 862 535.4 303.8 421.51 205.3 477.24 583.88 285.8 159.15 301.7 627.13 312.18 341.14 310.72 159.15 627.13 HC INCISE EXTERNAL HEMORRHOID 450 46083 N/A 623 386.95 219.56 304.64 148.38 344.92 421.99 206.56 115.03 218.05 453.25 225.62 246.55 224.57 115.03 453.25 HC INSERT NON-INDWELLING BLADDER CATH 450 51701 N/A 134 83.23 47.23 65.53 31.91 74.19 90.76 44.43 24.74 46.9 97.49 48.53 53.03 48.3 24.74 97.49 HC INSERT URINARY CATHETER 450 51702 N/A 134 83.23 47.23 65.53 31.91 74.19 90.76 44.43 24.74 46.9 97.49 48.53 53.03 48.3 24.74 97.49 HC CHANGE OF BLADDER TUBE 450 51705 N/A 397 246.58 139.92 194.13 94.55 219.8 268.91 131.63 73.3 138.95 288.83 143.78 157.11 143.11 73.3 288.83 HC I & D OF VULVA/PERINEUM 450 56405 N/A 650 403.73 229.08 317.85 154.81 359.87 440.28 215.51 120.01 227.5 472.89 235.4 257.24 234.3 120.01 472.89 HC DRAINAGE BARTHOLIN GLAND ABSCESS 450 56420 N/A 439 272.67 154.72 214.67 104.56 243.05 297.36 145.55 81.05 153.65 319.38 158.99 173.73 158.24 81.05 319.38 "HC SPINAL TAP, DIAGNOSTIC" 450 62270 N/A 1223 759.62 431.02 598.04 291.28 677.1 828.4 405.49 225.81 428.05 889.76 442.92 484 440.85 225.81 889.76 "HC INJECT, EPIDURAL,OF BLOOD CLOT PATCH" 450 62273 N/A 972 603.72 342.56 475.3 231.5 538.14 658.38 322.27 179.46 340.2 707.15 352.02 384.67 350.37 179.46 707.15 HC REMOVE FOREIGN BODY FROM EYE 450 65205 N/A 516 320.5 181.85 252.32 122.89 285.68 349.51 171.08 95.27 180.6 375.4 186.87 204.21 186 95.27 375.4 "HC REMOVE FOREIGN BODY FROM EYE,EMBED" 450 65210 N/A 516 320.5 181.85 252.32 122.89 285.68 349.51 171.08 95.27 180.6 375.4 186.87 204.21 186 95.27 375.4 "HC REMOVE F.BODY FROM EYE,CORNEAL-W/O S" 450 65220 N/A 516 320.5 181.85 252.32 122.89 285.68 349.51 171.08 95.27 180.6 375.4 186.87 204.21 186 95.27 375.4 "HC REMOVE F.BODY EYE, CORNEAL W/SLIT LA" 450 65222 N/A 516 320.5 181.85 252.32 122.89 285.68 349.51 171.08 95.27 180.6 375.4 186.87 204.21 186 95.27 375.4 HC CANTHOTOMY 450 67715 N/A 2963 "1,840.37" "1,044.25" "1,448.89" 705.69 "1,640.44" "2,006.99" 982.38 547.07 1037.05 "2,155.66" "1,073.07" "1,172.61" "1,068.06" 547.07 "2,155.66" HC REMOVAL EMBEDDED FB EYELID 450 67938 N/A 265 164.6 93.39 129.58 63.11 146.72 179.5 87.86 48.93 92.75 192.79 95.97 104.87 95.52 48.93 192.79 HC REMOVAL FB EX AUD CANAL 450 69200 N/A 113 70.19 39.82 55.26 26.91 62.56 76.54 37.47 20.86 39.55 82.21 40.92 44.72 40.73 20.86 82.21 HC REMOVE IMPACTED EAR WAX 450 69210 N/A 108 67.08 38.06 52.81 25.72 59.79 73.15 35.81 19.94 37.8 78.57 39.11 42.74 38.93 19.94 78.57 HC HEART/LUNG RESUSCITATION CPR 450 92950 N/A 874 542.85 308.02 427.38 208.16 483.88 592 289.78 161.37 305.9 635.86 316.52 345.89 315.05 161.37 635.86 HC TEMPORARY EXTERNAL PACING 450 92953 N/A 874 542.85 308.02 427.38 208.16 483.88 592 289.78 161.37 305.9 635.86 316.52 345.89 315.05 161.37 635.86 "HC CARDIOVERSION ELECTRIC, EXT" 450 92960 N/A 1434 890.68 505.39 701.22 341.53 793.92 971.32 475.44 264.76 501.9 "1,043.27" 519.33 567.51 516.91 264.76 "1,043.27" HC HYDRATION INFUSION TO 1 HR 450 96360 N/A 362 224.84 127.58 177.02 86.22 200.42 245.2 120.02 66.84 126.7 263.36 131.1 143.26 130.49 66.84 263.36 HC HYDRATION INFUSION EA ADDL HR 450 96361 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC IV INFUSION FOR THERAPY PROPHYL DX 450 96365 N/A 362 224.84 127.58 177.02 86.22 200.42 245.2 120.02 66.84 126.7 263.36 131.1 143.26 130.49 66.84 263.36 HC IV INFUS INITIAL UP TO 1 HOUR W 59 MOD 450 96365 N/A 362 224.84 127.58 177.02 86.22 200.42 245.2 120.02 66.84 126.7 263.36 131.1 143.26 130.49 66.84 263.36 HC IV INFUSE THER PROPHYL DX EA ADD HR 450 96366 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC IV INFUS EA ADD HOUR W 59 MOD 450 96366 N/A 61 37.89 21.5 29.83 14.53 33.77 41.32 20.22 11.26 21.35 44.38 22.09 24.14 21.99 11.26 44.38 HC IV INFUS EA NEW MED 16-90 MIN W MOD59 450 96367 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC IV INFUSE ADDL SEQ INFUSION 1ST HR 450 96367 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC INJECT SC IMTHERP PROPHYL DX 450 96372 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 HC INJECT IV THERP PROPHYL DX SGL INITI 450 96374 N/A 338 209.94 119.12 165.28 80.5 187.13 228.94 112.06 62.41 118.3 245.9 122.41 133.76 121.84 62.41 245.9 HC INJECT IVTHER PROPHYL DX EA ADD DRUG 450 96375 N/A 169 104.97 59.56 82.64 40.25 93.57 114.47 56.03 31.2 59.15 122.95 61.2 66.88 60.92 31.2 122.95 HC IV PUSH EA SEQ SAME DRUG AFTER 30 MINS 450 96376 N/A 125 77.64 44.05 61.12 29.77 69.21 84.67 41.44 23.08 43.75 90.94 45.27 49.47 45.06 23.08 90.94 HC ER LEVEL I 450 99281 N/A 175 108.7 61.68 85.57 41.68 96.89 118.54 58.02 32.31 61.25 127.32 63.38 69.26 63.08 32.31 127.32 HC ER LEVEL II 450 99282 N/A 275 170.81 96.92 134.47 65.5 152.25 186.27 91.18 50.77 96.25 200.07 99.59 108.83 99.13 50.77 200.07 HC ER LEVEL III 450 99283 N/A 425 263.97 149.78 207.82 101.22 235.3 287.87 140.91 78.47 148.75 309.2 153.92 168.19 153.2 78.47 309.2 HC ER LEVEL IV 450 99284 N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 HC ER LEVEL V 450 99285 N/A 1000 621.12 352.43 488.99 238.17 553.64 677.35 331.55 184.63 350 727.52 362.16 395.75 360.47 184.63 727.52 HC CRITICAL CARE 30-74 MINS 450 99291 N/A 1514 940.37 533.58 740.34 360.59 838.21 "1,025.51" 501.97 279.54 529.9 "1,101.47" 548.3 599.17 545.75 279.54 "1,101.47" "HC CRITICAL CARE, ADDL 30 MIN" 450 99292 N/A 311 193.17 109.61 152.08 74.07 172.18 210.66 103.11 57.42 108.85 226.26 112.63 123.08 112.11 57.42 226.26 HC ER-SCREENING 451 99281 N/A 175 108.7 61.68 85.57 41.68 96.89 118.54 58.02 32.31 61.25 127.32 63.38 69.26 63.08 32.31 127.32 HC ER-INTERMEDIATE VISIT 452 99282 N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 HC ER-EXTENDED VISIT 452 99283 N/A 250 155.28 88.11 122.25 59.54 138.41 169.34 82.89 46.16 87.5 181.88 90.54 98.94 90.12 46.16 181.88 HC ER-INTENSIVE VISIT 452 99284 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 HC ER-COMPREHENSIVE VISIT 452 99285 N/A 825 512.42 290.76 403.42 196.49 456.75 558.81 273.53 152.32 288.75 600.21 298.78 326.49 297.38 152.32 600.21 HC RT BLOOD GAS PUNCTURE 460 36600 N/A 274 170.19 96.57 133.98 65.26 151.7 185.59 90.84 50.59 95.9 199.34 99.23 108.44 98.77 50.59 199.34 HC SCREENING SPIROMETRY 460 94010 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC SCREENING SPIRO. C BD 460 94060 N/A 248 154.04 87.4 121.27 59.07 137.3 167.98 82.22 45.79 86.8 180.43 89.81 98.15 89.4 45.79 180.43 HC EVAL BRONCHOSPASM W/ METHACHOLINE 460 94070 N/A 512 318.01 180.44 250.37 121.94 283.46 346.8 169.75 94.53 179.2 372.49 185.42 202.62 184.56 94.53 372.49 HC PULMONARY STRESS TESTING SIMPLE 460 94618 N/A 210 130.43 74.01 102.69 50.02 116.26 142.24 69.63 38.77 73.5 152.78 76.05 83.11 75.7 38.77 152.78 HC PULMONARY STRESS TESTING 460 94618 N/A 263 163.35 92.69 128.61 62.64 145.61 178.14 87.2 48.56 92.05 191.34 95.25 104.08 94.8 48.56 191.34 HC PULMONARY STRESS TEST 460 94621 N/A 574 356.52 202.3 280.68 136.71 317.79 388.8 190.31 105.98 200.9 417.6 207.88 227.16 206.91 105.98 417.6 HC DEMONSTRATION OF NEBULAZATION 460 94664 N/A 358 222.36 126.17 175.06 85.26 198.2 242.49 118.7 66.1 125.3 260.45 129.65 141.68 129.05 66.1 260.45 HC GAS DILUTION OR WASHOUT 460 94727 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC DIFFUSION/VOLUME 460 94729 N/A 183 113.66 64.49 89.49 43.58 101.32 123.96 60.67 33.79 64.05 133.14 66.27 72.42 65.97 33.79 133.14 HC PF PULSE OX 460 94760 N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 HC PULSE OXIMETRY 460 94760 N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 HC PULSE OXIMETRY MULTIPLE READINGS 460 94761 N/A 117 72.67 41.23 57.21 27.87 64.78 79.25 38.79 21.6 40.95 85.12 42.37 46.3 42.17 21.6 85.12 HC AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYSL 471 92650 N/A 275.18 170.92 96.98 134.56 65.54 152.35 186.39 91.24 50.81 96.313 200.2 99.66 108.9 99.19 50.81 200.2 HC EK CARDIOVERSION 480 92960 N/A 976 606.21 343.97 477.26 232.45 540.35 661.09 323.59 180.2 341.6 710.06 353.46 386.25 351.82 180.2 710.06 HC EC ECHO 2D-M DOPPLER/COLOR 480 93306 N/A 767 476.4 270.31 375.06 182.67 424.64 519.53 254.3 141.61 268.45 558.01 277.77 303.54 276.48 141.61 558.01 HC ECHO 2D LIMITED/FOLLOW-UP 480 93308 N/A 423 262.73 149.08 206.84 100.75 234.19 286.52 140.25 78.1 148.05 307.74 153.19 167.4 152.48 78.1 307.74 HC TEE PROBE PLACEMENT ONLY 480 93313 N/A 1233.7 766.27 434.79 603.27 293.83 683.03 835.65 409.03 227.78 431.795 897.55 446.79 488.24 444.71 227.78 897.55 HC CARDIAC DOPPLER FOLLOW-UP 480 93321 N/A 304 188.82 107.14 148.65 72.4 168.31 205.91 100.79 56.13 106.4 221.17 110.1 120.31 109.58 56.13 221.17 HC DOPPLER COLOR FLOW 480 93325 N/A 280 173.91 98.68 136.92 66.69 155.02 189.66 92.83 51.7 98 203.71 101.4 110.81 100.93 51.7 203.71 HC EK TILT TABLE 45 MIN OR LESS 480 93660 N/A 817 507.45 287.94 399.51 194.58 452.33 553.4 270.88 150.85 285.95 594.39 295.88 323.33 294.5 150.85 594.39 HC EK TILT TABLE >45 MIN 480 93660 N/A 817 507.45 287.94 399.51 194.58 452.33 553.4 270.88 150.85 285.95 594.39 295.88 323.33 294.5 150.85 594.39 HC CC PACEMAKER INSERT VENTRICULAR LEAD 481 33207 N/A 10030 "6,229.79" "3,534.89" "4,904.62" "2,388.82" "5,553.03" "6,793.83" "3,325.45" "1,851.87" 3510.5 "7,297.07" "3,632.43" "3,969.38" "3,615.48" "1,851.87" "7,297.07" HC CC PACEMAKER INSERTION DUAL LEAD 481 33208 N/A 10500 "6,521.71" "3,700.53" "5,134.44" "2,500.76" "5,813.24" "7,112.18" "3,481.28" "1,938.65" 3675 "7,639.01" "3,802.64" "4,155.39" "3,784.90" "1,938.65" "7,639.01" HC CC TEMPORARY PACEMAKER INSERTION 481 33210 N/A 9994 "6,207.43" "3,522.20" "4,887.01" "2,380.25" "5,533.09" "6,769.44" "3,313.52" "1,845.23" 3497.9 "7,270.88" "3,619.39" "3,955.14" "3,602.50" "1,845.23" "7,270.88" HC PACEMAKER LEADS REPOSTION SINGLE CH 481 33215 N/A 4500 "2,795.02" "1,585.94" "2,200.48" "1,071.76" "2,491.39" "3,048.08" "1,491.98" 830.85 1575 "3,273.86" "1,629.70" "1,780.88" "1,622.10" 830.85 "3,273.86" HC CC PACEMAKER POCKET REVISION 481 33222 N/A 3750 "2,329.18" "1,321.62" "1,833.73" 893.13 "2,076.16" "2,540.07" "1,243.31" 692.38 1312.5 "2,728.22" "1,358.09" "1,484.07" "1,351.75" 692.38 "2,728.22" HC CC PACEMAKER BATTERY CHANGE SINGLE 481 33227 N/A 8000 "4,968.92" "2,819.45" "3,911.96" "1,905.34" "4,429.13" "5,418.81" "2,652.40" "1,477.07" 2800 "5,820.20" "2,897.25" "3,166.01" "2,883.73" "1,477.07" "5,820.20" HC CC PACEMAKER BATTERY CHANGE DUAL 481 33228 N/A 10030 "6,229.79" "3,534.89" "4,904.62" "2,388.82" "5,553.03" "6,793.83" "3,325.45" "1,851.87" 3510.5 "7,297.07" "3,632.43" "3,969.38" "3,615.48" "1,851.87" "7,297.07" HC CC LOOP RECORDER INSERTION 481 33285 N/A 8000 "4,968.92" "2,819.45" "3,911.96" "1,905.34" "4,429.13" "5,418.81" "2,652.40" "1,477.07" 2800 "5,820.20" "2,897.25" "3,166.01" "2,883.73" "1,477.07" "5,820.20" HC CC LOOP RECORDER REMOVAL 481 33286 N/A 2000 "1,242.23" 704.86 977.99 476.34 "1,107.28" "1,354.70" 663.1 369.27 700 "1,455.05" 724.31 791.5 720.93 369.27 "1,455.05" HC CC PERC INS OF BALLOON PUMP 481 33967 N/A 2684 "1,667.07" 945.93 "1,312.46" 639.24 "1,485.97" "1,818.01" 889.88 495.56 939.4 "1,952.68" 972.03 "1,062.20" 967.49 495.56 "1,952.68" HC CC CORONARY ANGIOPLASTY MAJOR BRANCH 481 92920 N/A 6150 "3,819.86" "2,167.45" "3,007.32" "1,464.73" "3,404.90" "4,165.71" "2,039.04" "1,135.50" 2152.5 "4,474.28" "2,227.26" "2,433.87" "2,216.87" "1,135.50" "4,474.28" HC CC CORONARY ANGIOPLASTY ADDL BRANCH 481 92921 N/A 6150 "3,819.86" "2,167.45" "3,007.32" "1,464.73" "3,404.90" "4,165.71" "2,039.04" "1,135.50" 2152.5 "4,474.28" "2,227.26" "2,433.87" "2,216.87" "1,135.50" "4,474.28" HC CC CORONARY STENT MAJOR BRANCH 481 92928 N/A 9700 "6,024.82" "3,418.58" "4,743.25" "2,310.23" "5,370.32" "6,570.30" "3,216.04" "1,790.95" 3395 "7,056.99" "3,512.92" "3,838.79" "3,496.52" "1,790.95" "7,056.99" HC CC CORONARY THOMBECTOMY 481 92973 N/A 6763 "4,200.60" "2,383.49" "3,307.07" "1,610.73" "3,744.28" "4,580.92" "2,242.28" "1,248.68" 2367.05 "4,920.25" "2,449.26" "2,676.46" "2,437.83" "1,248.68" "4,920.25" HC CC IVUS INITIAL VESSEL 481 92978 N/A 300 186.33 105.73 146.7 71.45 166.09 203.21 99.47 55.39 105 218.26 108.65 118.73 108.14 55.39 218.26 HC CC IVUS ADDITIONAL VESSEL 481 92979 N/A 150 93.17 52.86 73.35 35.73 83.05 101.6 49.73 27.7 52.5 109.13 54.32 59.36 54.07 27.7 109.13 HC CC RIGHT HEART CATH 481 93451 N/A 7500 "4,658.37" "2,643.23" "3,667.46" "1,786.26" "4,152.31" "5,080.13" "2,486.63" "1,384.75" 2625 "5,456.44" "2,716.17" "2,968.13" "2,703.50" "1,384.75" "5,456.44" HC CC LH W/LV 481 93452 N/A 7614 "4,729.17" "2,683.41" "3,723.20" "1,813.41" "4,215.43" "5,157.35" "2,524.43" "1,405.80" 2664.9 "5,539.37" "2,757.46" "3,013.25" "2,744.59" "1,405.80" "5,539.37" HC CC CORONARY ONLY 481 93454 N/A 7679 "4,769.55" "2,706.32" "3,754.99" "1,828.89" "4,251.41" "5,201.38" "2,545.98" "1,417.80" 2687.65 "5,586.66" "2,781.00" "3,038.97" "2,768.02" "1,417.80" "5,586.66" HC CC CORONARY W/BYPASS 481 93455 N/A 7813 "4,852.78" "2,753.55" "3,820.51" "1,860.81" "4,325.60" "5,292.14" "2,590.40" "1,442.54" 2734.55 "5,684.15" "2,829.53" "3,092.00" "2,816.32" "1,442.54" "5,684.15" HC CC CORONARY W/RH 481 93456 N/A 7614 "4,729.17" "2,683.41" "3,723.20" "1,813.41" "4,215.43" "5,157.35" "2,524.43" "1,405.80" 2664.9 "5,539.37" "2,757.46" "3,013.25" "2,744.59" "1,405.80" "5,539.37" HC CC CORONARY W/BYPAS W/RH 481 93457 N/A 7813 "4,852.78" "2,753.55" "3,820.51" "1,860.81" "4,325.60" "5,292.14" "2,590.40" "1,442.54" 2734.55 "5,684.15" "2,829.53" "3,092.00" "2,816.32" "1,442.54" "5,684.15" HC CC CORONARY W/LH W/LV 481 93458 N/A 7793 "4,840.35" "2,746.50" "3,810.73" "1,856.04" "4,314.53" "5,278.59" "2,583.77" "1,438.85" 2727.55 "5,669.60" "2,822.28" "3,084.09" "2,809.11" "1,438.85" "5,669.60" HC CC CORNARY W/LH W/LV W/BYPASS 481 93459 N/A 7927 "4,923.58" "2,793.72" "3,876.26" "1,887.96" "4,388.72" "5,369.36" "2,628.20" "1,463.59" 2774.45 "5,767.09" "2,870.81" "3,137.12" "2,857.42" "1,463.59" "5,767.09" HC CC CORNARY W/L&R W/LV 481 93460 N/A 7793 "4,840.35" "2,746.50" "3,810.73" "1,856.04" "4,314.53" "5,278.59" "2,583.77" "1,438.85" 2727.55 "5,669.60" "2,822.28" "3,084.09" "2,809.11" "1,438.85" "5,669.60" HC CC CORNARY W/L&R W/LV W/BYPASS 481 93461 N/A 7927 "4,923.58" "2,793.72" "3,876.26" "1,887.96" "4,388.72" "5,369.36" "2,628.20" "1,463.59" 2774.45 "5,767.09" "2,870.81" "3,137.12" "2,857.42" "1,463.59" "5,767.09" HC AORTIC ANGIOGRAPHY 481 93567 N/A 34 21.12 11.98 16.63 8.1 18.82 23.03 11.27 6.28 11.9 24.74 12.31 13.46 12.26 6.28 24.74 HC CC INTRAVASCULAR DOPLER INITIAL VESSEL 481 93571 N/A 300 186.33 105.73 146.7 71.45 166.09 203.21 99.47 55.39 105 218.26 108.65 118.73 108.14 55.39 218.26 HC CC INTRAVASCULAR DOPLER ADDL VESSEL 481 93572 N/A 150 93.17 52.86 73.35 35.73 83.05 101.6 49.73 27.7 52.5 109.13 54.32 59.36 54.07 27.7 109.13 HC CC CORONARY STENT MAJOR BRANCH - DES 481 C9600 N/A 9750 "6,055.88" "3,436.20" "4,767.70" "2,322.14" "5,398.01" "6,604.17" "3,232.62" "1,800.18" 3412.5 "7,093.37" "3,531.02" "3,858.57" "3,514.55" "1,800.18" "7,093.37" HC CC CORONARY STENT ADDL BRANCH - DES 481 C9601 N/A 9658 "5,998.73" "3,403.78" "4,722.71" "2,300.23" "5,347.07" "6,541.85" "3,202.11" "1,783.19" 3380.3 "7,026.43" "3,497.71" "3,822.16" "3,481.38" "1,783.19" "7,026.43" HC CC CORONARY ATHER/ STENT MAJOR BRNCH-DES 481 C9602 N/A 15600 "9,689.40" "5,497.93" "7,628.31" "3,715.42" "8,636.81" "10,566.67" "5,172.19" "2,880.28" 5460 "11,349.39" "5,649.64" "6,173.72" "5,623.27" "2,880.28" "11,349.39" HC CC CORONARY ATHER & STENT ADDL BRNCH-DES 481 C9603 N/A 9658 "5,998.73" "3,403.78" "4,722.71" "2,300.23" "5,347.07" "6,541.85" "3,202.11" "1,783.19" 3380.3 "7,026.43" "3,497.71" "3,822.16" "3,481.38" "1,783.19" "7,026.43" HC CC CORONARY BYPASS GRAFT MAJOR BRNCH-DES 481 C9604 N/A 9750 "6,055.88" "3,436.20" "4,767.70" "2,322.14" "5,398.01" "6,604.17" "3,232.62" "1,800.18" 3412.5 "7,093.37" "3,531.02" "3,858.57" "3,514.55" "1,800.18" "7,093.37" HC CC CORONARY BYPASS GRAFT ADDL BRANCH-DES 481 C9605 N/A 9658 "5,998.73" "3,403.78" "4,722.71" "2,300.23" "5,347.07" "6,541.85" "3,202.11" "1,783.19" 3380.3 "7,026.43" "3,497.71" "3,822.16" "3,481.38" "1,783.19" "7,026.43" HC CC CORONARY PCI IN AMI (STEMI) - DES 481 C9606 N/A 15035 "9,338.47" "5,298.80" "7,352.03" "3,580.85" "8,324.00" "10,183.97" "4,984.86" "2,775.96" 5262.25 "10,938.34" "5,445.02" "5,950.12" "5,419.61" "2,775.96" "10,938.34" HC CC CORONARY PCI IN CTO MAJOR - DES 481 C9607 N/A 15600 "9,689.40" "5,497.93" "7,628.31" "3,715.42" "8,636.81" "10,566.67" "5,172.19" "2,880.28" 5460 "11,349.39" "5,649.64" "6,173.72" "5,623.27" "2,880.28" "11,349.39" HC CC CORONARY PCI IN CTO ADDL BRANCH - DES 481 C9608 N/A 9658 "5,998.73" "3,403.78" "4,722.71" "2,300.23" "5,347.07" "6,541.85" "3,202.11" "1,783.19" 3380.3 "7,026.43" "3,497.71" "3,822.16" "3,481.38" "1,783.19" "7,026.43" HC VASCULAR CLOSURE DEVICE INSERTION 481 G0269 N/A 355 220.5 125.11 173.59 84.55 196.54 240.46 117.7 65.54 124.25 258.27 128.57 140.49 127.97 65.54 258.27 HC EXER TOLERANCE TEST 482 93017 N/A 817 507.45 287.94 399.51 194.58 452.33 553.4 270.88 150.85 285.95 594.39 295.88 323.33 294.5 150.85 594.39 HC TRANSESOPHAGEAL ECHO 483 93312 N/A 1231 764.59 433.84 601.95 293.18 681.53 833.82 408.14 227.28 430.85 895.58 445.81 487.17 443.73 227.28 895.58 HC STRESS/PHARMACOLOGICAL ECHO 483 93350 N/A 609 378.26 214.63 297.8 145.04 337.17 412.51 201.91 112.44 213.15 443.06 220.55 241.01 219.52 112.44 443.06 HC STRESS ECHO W/ECG MONITORING 483 93351 N/A 1078 669.56 379.92 527.14 256.75 596.83 730.18 357.41 199.03 377.3 784.27 390.4 426.62 388.58 199.03 784.27 I & D ABSCESS 510 10060 N/A 286 177.64 100.8 139.85 68.12 158.34 193.72 94.82 52.81 100.1 208.07 103.58 113.18 103.09 52.81 208.07 EPISTAXIS CONTROL: SIMPLE 510 30901 N/A 438 272.05 154.36 214.18 104.32 242.5 296.68 145.22 80.87 153.3 318.66 158.62 173.34 157.88 80.87 318.66 EPISTAXIS CONTROL:COMPLEX 510 30903 N/A 405 251.55 142.73 198.04 96.46 224.22 274.33 134.28 74.78 141.75 294.65 146.67 160.28 145.99 74.78 294.65 "HC LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; DIAGN" 510 31575 N/A 256 159.01 90.22 125.18 60.97 141.73 173.4 84.88 47.27 89.6 186.25 92.71 101.31 92.28 47.27 186.25 HC COLL OF BLOOD VENOUS ACCESS DEV 510 36591 N/A 204 126.71 71.9 99.75 48.59 112.94 138.18 67.64 37.67 71.4 148.42 73.88 80.73 73.54 37.67 148.42 HC DECLOT THROMBO AGENT DEV/CATHETER 510 36593 N/A 403 250.31 142.03 197.06 95.98 223.12 272.97 133.61 74.41 141.05 293.19 145.95 159.49 145.27 74.41 293.19 REMOVAL OF FOREIGN BODY (EYE) 510 65205 N/A 516 320.5 181.85 252.32 122.89 285.68 349.51 171.08 95.27 180.6 375.4 186.87 204.21 186 95.27 375.4 REMOVE IMPACTED CERUMENT (SINGLE SIDE) 510 69210 N/A 108 67.08 38.06 52.81 25.72 59.79 73.15 35.81 19.94 37.8 78.57 39.11 42.74 38.93 19.94 78.57 IMMUN ADMIN W/ COUNSELING 510 90460 N/A 31 19.25 10.93 15.16 7.38 17.16 21 10.28 5.72 10.85 22.55 11.23 12.27 11.17 5.72 22.55 EA ADDT'L VACCINE W/ COUNSELING 510 90461 N/A 24 14.91 8.46 11.74 5.72 13.29 16.26 7.96 4.43 8.4 17.46 8.69 9.5 8.65 4.43 17.46 HC MC IMMUNIZATION EA ADD 510 90472 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 MMR 510 90707 N/A 91 56.52 32.07 44.5 21.67 50.38 61.64 30.17 16.8 31.85 66.2 32.96 36.01 32.8 16.8 66.2 INDIVID PSYCH W. EVAL & MGNT 30 MINS (16-37) MINS 510 90833 N/A 129 80.12 45.46 63.08 30.72 71.42 87.38 42.77 23.82 45.15 93.85 46.72 51.05 46.5 23.82 93.85 INDIVID PSCYH W/ EVAL & MGNT 45 MINS (38-52) MINS 510 90836 N/A 164 101.86 57.8 80.2 39.06 90.8 111.09 54.37 30.28 57.4 119.31 59.39 64.9 59.12 30.28 119.31 INDIVID PSYCH W/ EVAL & MGNT 60 MINS (53+) MINS 510 90838 N/A 216 134.16 76.13 105.62 51.44 119.59 146.31 71.61 39.88 75.6 157.15 78.23 85.48 77.86 39.88 157.15 FLUORESCEIN STAIN 510 92230 N/A 131 81.37 46.17 64.06 31.2 72.53 88.73 43.43 24.19 45.85 95.31 47.44 51.84 47.22 24.19 95.31 AUDIOMETRY 510 92551 N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 NEBULIZER TREATMENT 510 94640 N/A 235 145.96 82.82 114.91 55.97 130.11 159.18 77.91 43.39 82.25 170.97 85.11 93 84.71 43.39 170.97 ONE ALLERGY INJECTION 510 95115 N/A 24 14.91 8.46 11.74 5.72 13.29 16.26 7.96 4.43 8.4 17.46 8.69 9.5 8.65 4.43 17.46 MULTI ALLERGY INJECTION 510 95117 N/A 29 18.01 10.22 14.18 6.91 16.06 19.64 9.61 5.35 10.15 21.1 10.5 11.48 10.45 5.35 21.1 BRIEF EMOTIONAL/BEHAVIORAL ASSESSMENT 510 96127 N/A 5 3.11 1.76 2.44 1.19 2.77 3.39 1.66 0.92 1.75 3.64 1.81 1.98 1.8 0.92 3.64 ADMIN HEALTH RISK ASSESSMENT 510 96160 N/A 23 14.29 8.11 11.25 5.48 12.73 15.58 7.63 4.25 8.05 16.73 8.33 9.1 8.29 4.25 16.73 HC INJECTION - SUB Q OR IM 510 96372 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 HC MC MED NUTR THER IND INITIAL 942 97802 N/A 38 23.6 13.39 18.58 9.05 21.04 25.74 12.6 7.02 13.3 27.65 13.76 15.04 13.7 7.02 27.65 "HC MC MED NUT THER, IND RE ASSES" 942 97803 N/A 47.42 29.45 16.71 23.19 11.29 26.25 32.12 15.72 8.76 16.597 34.5 17.17 18.77 17.09 8.76 34.5 "HC MC MED NUT THER, GROUP RE" 942 97804 N/A 27.5 17.08 9.69 13.45 6.55 15.23 18.63 9.12 5.08 9.625 20.01 9.96 10.88 9.91 5.08 20.01 SPECIMENT HANDLING 510 99000 N/A 15 9.32 5.29 7.33 3.57 8.3 10.16 4.97 2.77 5.25 10.91 5.43 5.94 5.41 2.77 10.91 VISUAL FUNCTION SCREENING 510 99172 N/A 6 3.73 2.11 2.93 1.43 3.32 4.06 1.99 1.11 2.1 4.37 2.17 2.37 2.16 1.11 4.37 SNELLEN SCREEN 510 99173 N/A 35 21.74 12.34 17.11 8.34 19.38 23.71 11.6 6.46 12.25 25.46 12.68 13.85 12.62 6.46 25.46 "HC OP VISIT, NEW 0-10 MIN" 510 99202 N/A 85 52.79 29.96 41.56 20.24 47.06 57.57 28.18 15.69 29.75 61.84 30.78 33.64 30.64 15.69 61.84 HC OP VISIT NEW 11-25 MIN 510 99202 N/A 105 65.22 37.01 51.34 25.01 58.13 71.12 34.81 19.39 36.75 76.39 38.03 41.55 37.85 19.39 76.39 HC NEW PT VISIT LEVEL 2 510 99202 N/A 105 65.22 37.01 51.34 25.01 58.13 71.12 34.81 19.39 36.75 76.39 38.03 41.55 37.85 19.39 76.39 HC OP VISIT NEW 26-45 MIN 510 99203 N/A 145 90.06 51.1 70.9 34.53 80.28 98.22 48.07 26.77 50.75 105.49 52.51 57.38 52.27 26.77 105.49 HC NEW PT VISIT LEVEL 3 510 99203 N/A 145 90.06 51.1 70.9 34.53 80.28 98.22 48.07 26.77 50.75 105.49 52.51 57.38 52.27 26.77 105.49 HC OP VISIT NEW 46-90 MIN 510 99204 N/A 165 102.48 58.15 80.68 39.3 91.35 111.76 54.71 30.46 57.75 120.04 59.76 65.3 59.48 30.46 120.04 HC NEW PT VISIT LEVEL 4 510 99204 N/A 185 114.91 65.2 90.46 44.06 102.42 125.31 61.34 34.16 64.75 134.59 67 73.21 66.69 34.16 134.59 HC OP VISIT NEW 90 MIN OR > 510 99205 N/A 185 114.91 65.2 90.46 44.06 102.42 125.31 61.34 34.16 64.75 134.59 67 73.21 66.69 34.16 134.59 HC NEW PT VISIT LEVEL 5 510 99205 N/A 185 114.91 65.2 90.46 44.06 102.42 125.31 61.34 34.16 64.75 134.59 67 73.21 66.69 34.16 134.59 HC OP VISIT EST 0-10 MIN 510 99211 N/A 199 123.6 70.13 97.31 47.4 110.17 134.79 65.98 36.74 69.65 144.78 72.07 78.75 71.73 36.74 144.78 HC OP VISIT EST 11-25 MIN 510 99212 N/A 85 52.79 29.96 41.56 20.24 47.06 57.57 28.18 15.69 29.75 61.84 30.78 33.64 30.64 15.69 61.84 HC OP VISIT EST 26-45 MIN 510 99213 N/A 125 77.64 44.05 61.12 29.77 69.21 84.67 41.44 23.08 43.75 90.94 45.27 49.47 45.06 23.08 90.94 HC OP VISIT EST 46-90 MIN 510 99214 N/A 145 90.06 51.1 70.9 34.53 80.28 98.22 48.07 26.77 50.75 105.49 52.51 57.38 52.27 26.77 105.49 HC OP VISIT EST 90 MIN OR > 510 99215 N/A 411 255.28 144.85 200.98 97.89 227.55 278.39 136.27 75.88 143.85 299.01 148.85 162.65 148.15 75.88 299.01 HC MC PROLONGED FIRST HOUR 510 99354 N/A 218 135.4 76.83 106.6 51.92 120.69 147.66 72.28 40.25 76.3 158.6 78.95 86.27 78.58 40.25 158.6 NEW PAT: AGE 5-11 YEARS 510 99383 N/A 185 114.91 65.2 90.46 44.06 102.42 125.31 61.34 34.16 64.75 134.59 67 73.21 66.69 34.16 134.59 NEW PAT: AGE 12-17 YEARS 510 99384 N/A 201 124.84 70.84 98.29 47.87 111.28 136.15 66.64 37.11 70.35 146.23 72.79 79.55 72.45 37.11 146.23 NEW PAT: AGE 18+ YEARS 510 99385 N/A 201 124.84 70.84 98.29 47.87 111.28 136.15 66.64 37.11 70.35 146.23 72.79 79.55 72.45 37.11 146.23 EST. PAT: 5-11 YEARS 510 99393 N/A 201 124.84 70.84 98.29 47.87 111.28 136.15 66.64 37.11 70.35 146.23 72.79 79.55 72.45 37.11 146.23 EST. PAT: 12-17 YEARS 510 99394 N/A 175 108.7 61.68 85.57 41.68 96.89 118.54 58.02 32.31 61.25 127.32 63.38 69.26 63.08 32.31 127.32 EST. PAT: AGE 18+YEARS 510 99395 N/A 201 124.84 70.84 98.29 47.87 111.28 136.15 66.64 37.11 70.35 146.23 72.79 79.55 72.45 37.11 146.23 HC 15 MIN. INDIV 510 99401 N/A 84 52.17 29.6 41.08 20.01 46.51 56.9 27.85 15.51 29.4 61.11 30.42 33.24 30.28 15.51 61.11 HC 30 MIN. INDIV 510 99402 N/A 144 89.44 50.75 70.42 34.3 79.72 97.54 47.74 26.59 50.4 104.76 52.15 56.99 51.91 26.59 104.76 HC 45 MIN. INDIV 510 99403 N/A 201 124.84 70.84 98.29 47.87 111.28 136.15 66.64 37.11 70.35 146.23 72.79 79.55 72.45 37.11 146.23 HC 60 MIN. INDIV 510 99404 N/A 185 114.91 65.2 90.46 44.06 102.42 125.31 61.34 34.16 64.75 134.59 67 73.21 66.69 34.16 134.59 "SUBST ABUSE SCREEN, 15-30MINS" 510 99408 N/A 66 40.99 23.26 32.27 15.72 36.54 44.71 21.88 12.19 23.1 48.02 23.9 26.12 23.79 12.19 48.02 "SUBST ABUSE SCREEN, > 30MINS" 510 99409 N/A 123 76.4 43.35 60.15 29.29 68.1 83.31 40.78 22.71 43.05 89.49 44.55 48.68 44.34 22.71 89.49 HC 30 MIN. GROUP 510 99411 N/A 25 15.53 8.81 12.22 5.95 13.84 16.93 8.29 4.62 8.75 18.19 9.05 9.89 9.01 4.62 18.19 HC 60 MIN. GROUP 510 99412 N/A 50 31.06 17.62 24.45 11.91 27.68 33.87 16.58 9.23 17.5 36.38 18.11 19.79 18.02 9.23 36.38 PREVENTIVE MED SERVICE 510 99429 N/A 215 133.54 75.77 105.13 51.21 119.03 145.63 71.28 39.7 75.25 156.42 77.86 85.09 77.5 39.7 156.42 HC UNLISTED E/M SERVICE 510 99499 N/A 176 109.32 62.03 86.06 41.92 97.44 119.21 58.35 32.5 61.6 128.04 63.74 69.65 63.44 32.5 128.04 "BH COUNSELING, PER 15 MINS" 510 H0004 N/A 21 13.04 7.4 10.27 5 11.63 14.22 6.96 3.88 7.35 15.28 7.61 8.31 7.57 3.88 15.28 "CRISIS INTERVENTION SRVC, PER 15 MINS" 510 H2011 N/A 21 13.04 7.4 10.27 5 11.63 14.22 6.96 3.88 7.35 15.28 7.61 8.31 7.57 3.88 15.28 HC CLINIC SERVICE 510 T1015 N/A 206 127.95 72.6 100.73 49.06 114.05 139.53 68.3 38.03 72.1 149.87 74.6 81.52 74.26 38.03 149.87 "HC MRI ORBIT, FACE, OR NECK W/O" 610 70540 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" "HC MRI ORBIT, FACE, OR NECK W" 610 70542 N/A 2307 "1,432.91" 813.06 "1,128.11" 549.45 "1,277.25" "1,562.65" 764.89 425.95 807.45 "1,678.40" 835.49 913 831.6 425.95 "1,678.40" "HC MRI ORBIT, FACE, OR NECK W WO" 610 70543 N/A 2925 "1,816.76" "1,030.86" "1,430.31" 696.64 "1,619.40" "1,981.25" 969.79 540.05 1023.75 "2,128.01" "1,059.31" "1,157.57" "1,054.36" 540.05 "2,128.01" HC MRI-CHEST 610 71550 N/A 2001 "1,242.85" 705.21 978.48 476.57 "1,107.84" "1,355.38" 663.43 369.45 700.35 "1,455.78" 724.67 791.9 721.29 369.45 "1,455.78" HC MRI-CHEST W CONTRAST 610 71551 N/A 2307 "1,432.91" 813.06 "1,128.11" 549.45 "1,277.25" "1,562.65" 764.89 425.95 807.45 "1,678.40" 835.49 913 831.6 425.95 "1,678.40" HC MRI-CHEST W/WO CONTRAST 610 71552 N/A 2731 "1,696.27" 962.49 "1,335.44" 650.44 "1,512.00" "1,849.84" 905.46 504.23 955.85 "1,986.87" 989.05 "1,080.80" 984.43 504.23 "1,986.87" HC MRI-PELVIS 610 72195 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI-PELVIS W CONTRAST 610 72196 N/A 2001 "1,242.85" 705.21 978.48 476.57 "1,107.84" "1,355.38" 663.43 369.45 700.35 "1,455.78" 724.67 791.9 721.29 369.45 "1,455.78" HC MRI-PELVIS W/WO CONTRAST 610 72197 N/A 2925 "1,816.76" "1,030.86" "1,430.31" 696.64 "1,619.40" "1,981.25" 969.79 540.05 1023.75 "2,128.01" "1,059.31" "1,157.57" "1,054.36" 540.05 "2,128.01" HC MRI UPPER EXTREM WO CONTRAST 610 73218 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI UPPER EXTREM W CONTRAST 610 73219 N/A 2307 "1,432.91" 813.06 "1,128.11" 549.45 "1,277.25" "1,562.65" 764.89 425.95 807.45 "1,678.40" 835.49 913 831.6 425.95 "1,678.40" HC MRI UPPER EXTREM W WO CONTRAST 610 73220 N/A 2001 "1,242.85" 705.21 978.48 476.57 "1,107.84" "1,355.38" 663.43 369.45 700.35 "1,455.78" 724.67 791.9 721.29 369.45 "1,455.78" HC MRI UPPER EXTREM JOINT WO CONT 610 73221 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI UPPER EXTREM JOINT W CONT 610 73222 N/A 2307 "1,432.91" 813.06 "1,128.11" 549.45 "1,277.25" "1,562.65" 764.89 425.95 807.45 "1,678.40" 835.49 913 831.6 425.95 "1,678.40" HC MRI UPPER EXTREM JOINT WWO CONT 610 73223 N/A 2731 "1,696.27" 962.49 "1,335.44" 650.44 "1,512.00" "1,849.84" 905.46 504.23 955.85 "1,986.87" 989.05 "1,080.80" 984.43 504.23 "1,986.87" HC MRI LOWER EXTREM JOINT WWO CONT 610 73723 N/A 2731 "1,696.27" 962.49 "1,335.44" 650.44 "1,512.00" "1,849.84" 905.46 504.23 955.85 "1,986.87" 989.05 "1,080.80" 984.43 504.23 "1,986.87" HC MRI LOWER EXTREM WO CONTRAST 610 73718 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI LOWER EXTREM W CONTRAST 610 73719 N/A 2307 "1,432.91" 813.06 "1,128.11" 549.45 "1,277.25" "1,562.65" 764.89 425.95 807.45 "1,678.40" 835.49 913 831.6 425.95 "1,678.40" HC MRI LOWER EXTREM WWO CONTRAST 610 73720 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI LOWER EXTREM JOINT WO CONT 610 73721 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI LOWER EXTREM JOINT W CONT 610 73722 N/A 2307 "1,432.91" 813.06 "1,128.11" 549.45 "1,277.25" "1,562.65" 764.89 425.95 807.45 "1,678.40" 835.49 913 831.6 425.95 "1,678.40" HC MRI LOWER EXTREM JOINT WWO CONT 610 73723 N/A 2731 "1,696.27" 962.49 "1,335.44" 650.44 "1,512.00" "1,849.84" 905.46 504.23 955.85 "1,986.87" 989.05 "1,080.80" 984.43 504.23 "1,986.87" HC MRI ABDOMEN WO CONTRAST 610 74181 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI ABDOMEN W CONTRAST 610 74182 N/A 2307 "1,432.91" 813.06 "1,128.11" 549.45 "1,277.25" "1,562.65" 764.89 425.95 807.45 "1,678.40" 835.49 913 831.6 425.95 "1,678.40" HC MRI ABDOMEN W WO CONTRAST 610 74183 N/A 2925 "1,816.76" "1,030.86" "1,430.31" 696.64 "1,619.40" "1,981.25" 969.79 540.05 1023.75 "2,128.01" "1,059.31" "1,157.57" "1,054.36" 540.05 "2,128.01" HC BD MRI BREAST BILATERAL W/WO CONTRAST 610 77049 N/A 2731 "1,696.27" 962.49 "1,335.44" 650.44 "1,512.00" "1,849.84" 905.46 504.23 955.85 "1,986.87" 989.05 "1,080.80" 984.43 504.23 "1,986.87" HC BD MRI BREAST BILATERAL NO CONTRAST 610 77047 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI BRAIN WO CONTRAST 611 70551 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" MRI BRAIN W CONTRAST 611 70552 N/A 2463 "1,529.81" 868.04 "1,204.39" 586.61 "1,363.62" "1,668.31" 816.61 454.75 862.05 "1,791.89" 891.99 974.73 887.83 454.75 "1,791.89" HC MRI-C-SPINE 612 72141 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI-C SPINE W CONTRAST 612 72142 N/A 2307 "1,432.91" 813.06 "1,128.11" 549.45 "1,277.25" "1,562.65" 764.89 425.95 807.45 "1,678.40" 835.49 913 831.6 425.95 "1,678.40" HC MRI-T-SPINE 612 72146 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI-T-SPINE W CONTRAST 612 72147 N/A 2307 "1,432.91" 813.06 "1,128.11" 549.45 "1,277.25" "1,562.65" 764.89 425.95 807.45 "1,678.40" 835.49 913 831.6 425.95 "1,678.40" HC MRI-L-SPINE 612 72148 N/A 2145 "1,332.29" 755.96 "1,048.89" 510.87 "1,187.56" "1,452.92" 711.18 396.04 750.75 "1,560.54" 776.83 848.89 773.2 396.04 "1,560.54" HC MRI-L-SPINE W CONTRAST 612 72149 N/A 2307 "1,432.91" 813.06 "1,128.11" 549.45 "1,277.25" "1,562.65" 764.89 425.95 807.45 "1,678.40" 835.49 913 831.6 425.95 "1,678.40" HC MRI-C SPINE W/WO CONTRAST 612 72156 N/A 2925 "1,816.76" "1,030.86" "1,430.31" 696.64 "1,619.40" "1,981.25" 969.79 540.05 1023.75 "2,128.01" "1,059.31" "1,157.57" "1,054.36" 540.05 "2,128.01" HC MRI-T SPINE W/WO CONTRAST 612 72157 N/A 2925 "1,816.76" "1,030.86" "1,430.31" 696.64 "1,619.40" "1,981.25" 969.79 540.05 1023.75 "2,128.01" "1,059.31" "1,157.57" "1,054.36" 540.05 "2,128.01" HC MRI-L-SPINE W/WO CONTRAST 612 72158 N/A 2925 "1,816.76" "1,030.86" "1,430.31" 696.64 "1,619.40" "1,981.25" 969.79 540.05 1023.75 "2,128.01" "1,059.31" "1,157.57" "1,054.36" 540.05 "2,128.01" HC MRA HEAD WO CONTRAST 615 70544 N/A 1426 885.71 502.57 697.31 339.63 789.49 965.9 472.79 263.29 499.1 "1,037.45" 516.44 564.34 514.02 263.29 "1,037.45" HC MRA-NECK 615 70547 N/A 1334 828.57 470.14 652.32 317.72 738.56 903.59 442.29 246.3 466.9 970.52 483.12 527.93 480.86 246.3 970.52 HC MRA NECK W & W/O CONTRAST 615 70549 N/A 1719 "1,067.70" 605.83 840.58 409.41 951.71 "1,164.37" 569.94 317.39 601.65 "1,250.62" 622.55 680.3 619.64 317.39 "1,250.62" HC MRA LOWER EXTREMITY 616 73725 N/A 1426 885.71 502.57 697.31 339.63 789.49 965.9 472.79 263.29 499.1 "1,037.45" 516.44 564.34 514.02 263.29 "1,037.45" HC MRA-CHEST 618 71555 N/A 1510 937.88 532.17 738.38 359.63 836 "1,022.80" 500.64 278.8 528.5 "1,098.56" 546.86 597.58 544.3 278.8 "1,098.56" HC MRA-PELVIS 618 72198 N/A 1510 937.88 532.17 738.38 359.63 836 "1,022.80" 500.64 278.8 528.5 "1,098.56" 546.86 597.58 544.3 278.8 "1,098.56" HC MRA UPPER EXTREMITY 618 73225 N/A 1334 828.57 470.14 652.32 317.72 738.56 903.59 442.29 246.3 466.9 970.52 483.12 527.93 480.86 246.3 970.52 HC MRA ABDOMEN W WO CONTRAST 618 74185 N/A 1426 885.71 502.57 697.31 339.63 789.49 965.9 472.79 263.29 499.1 "1,037.45" 516.44 564.34 514.02 263.29 "1,037.45" HEP A PEDS/ADOL 2 DOSE SCHEDULE 636 90633 N/A 112 69.56 39.47 54.77 26.67 62.01 75.86 37.13 20.68 39.2 81.48 40.56 44.32 40.37 20.68 81.48 INFLUENZA > 3 YEARS 636 90658 N/A 28.42 17.65 10.02 13.9 6.77 15.73 19.25 9.42 5.25 9.947 20.68 10.29 11.25 10.24 5.25 20.68 IPB 636 90713 N/A 80 49.69 28.19 39.12 19.05 44.29 54.19 26.52 14.77 28 58.2 28.97 31.66 28.84 14.77 58.2 TD 636 90714 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 TDAP > 7 YEARS 636 90715 N/A 120 74.53 42.29 58.68 28.58 66.44 81.28 39.79 22.16 42 87.3 43.46 47.49 43.26 22.16 87.3 DTAP HEPB-IPV 636 90723 N/A 142 88.2 50.05 69.44 33.82 78.62 96.18 47.08 26.22 49.7 103.31 51.43 56.2 51.19 26.22 103.31 MENACTRA (MENINGOCOCCAL) 636 90734 N/A 260 161.49 91.63 127.14 61.92 143.95 176.11 86.2 48 91 189.16 94.16 102.9 93.72 48 189.16 "HEP B, 3 DOSES PED/ADOL" 636 90744 N/A 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 HC TN THERASKIN 1X2= 13 CM PER SQ CM 636 Q4121 N/A 260 161.49 91.63 127.14 61.92 143.95 176.11 86.2 48 91 189.16 94.16 102.9 93.72 48 189.16 HC TN THERASKIN .50X.50= 3 CM PER SQ CM 636 Q4121 N/A 895 555.9 315.43 437.65 213.16 495.51 606.23 296.74 165.25 313.25 651.13 324.13 354.2 322.62 165.25 651.13 HC TN THERASKIN 2X2= 26 CM PER SQ CM 636 Q4121 N/A 147 91.3 51.81 71.88 35.01 81.39 99.57 48.74 27.14 51.45 106.95 53.24 58.18 52.99 27.14 106.95 HC TN THERASKIN 3X6= 116 CM PER SQ CM 636 Q4121 N/A 93 57.76 32.78 45.48 22.15 51.49 62.99 30.83 17.17 32.55 67.66 33.68 36.8 33.52 17.17 67.66 PURAPLY AM 1.6 CM DISC; PER SQ CM 636 Q4196 N/A 317.47 197.19 111.89 155.24 75.61 175.76 215.04 105.26 58.62 111.1145 230.97 114.97 125.64 114.44 58.62 230.97 HC TRAUMA CODE 683 G0390 N/A 2239 "1,390.68" 789.09 "1,094.86" 533.26 "1,239.60" "1,516.59" 742.34 413.39 783.65 "1,628.93" 810.87 886.09 807.08 413.39 "1,628.93" HC PACU RECOVERY 1ST 15 MINS 710 N/A N/A 200 124.22 70.49 97.8 47.63 110.73 135.47 66.31 36.93 70 145.5 72.43 79.15 72.09 36.93 145.5 HC PACU RECOVERY EA 15 MINS AFTER 1ST 710 N/A N/A 75 46.58 26.43 36.67 17.86 41.52 50.8 24.87 13.85 26.25 54.56 27.16 29.68 27.03 13.85 54.56 HC OP RECOVERY UP TO 1ST 30 MINUTES 710 N/A N/A 169 104.97 59.56 82.64 40.25 93.57 114.47 56.03 31.2 59.15 122.95 61.2 66.88 60.92 31.2 122.95 HC OP RECOVERY EA 15 MIN AFT INIT 30MIN 710 N/A N/A 17 10.56 5.99 8.31 4.05 9.41 11.51 5.64 3.14 5.95 12.37 6.16 6.73 6.13 3.14 12.37 HC CIRCUMCISION 723 N/A N/A 1900 "1,180.12" 669.62 929.09 452.52 "1,051.92" "1,286.97" 629.95 350.8 665 "1,382.30" 688.1 751.93 684.89 350.8 "1,382.30" HC VAGINAL DELIVERY 722 59409 N/A 3600 "2,236.02" "1,268.75" "1,760.38" 857.4 "1,993.11" "2,438.46" "1,193.58" 664.68 1260 "2,619.09" "1,303.76" "1,424.70" "1,297.68" 664.68 "2,619.09" HC EXTERNAL CEPHALIC VERSION 722 59412 N/A 4886 "3,034.77" "1,721.98" "2,389.23" "1,163.69" "2,705.09" "3,309.54" "1,619.96" 902.12 1710.1 "3,554.69" "1,769.50" "1,933.64" "1,761.24" 902.12 "3,554.69" HC DELIVERY OF PLACENTA (AS SEP PROCED) 722 59414 N/A 3844.5 "2,387.88" "1,354.92" "1,879.94" 915.64 "2,128.48" "2,604.07" "1,274.65" 709.82 1345.575 "2,796.97" "1,392.31" "1,521.47" "1,385.81" 709.82 "2,796.97" HC CIRCUMCISION USING CLAMP W REG BLOCK 723 54150 N/A 1900 "1,180.12" 669.62 929.09 452.52 "1,051.92" "1,286.97" 629.95 350.8 665 "1,382.30" 688.1 751.93 684.89 350.8 "1,382.30" HC ELECTROCARDIOGRAM 730 93005 N/A 219 136.02 77.18 107.09 52.16 121.25 148.34 72.61 40.43 76.65 159.33 79.31 86.67 78.94 40.43 159.33 HC EXT ECG CONNECTION >48HR UP TO 7 DAYS 731 93242 N/A 142.12 88.27 50.09 69.5 33.85 78.68 96.27 47.12 26.24 49.742 103.4 51.47 56.24 51.23 26.24 103.4 HC EXT ECG CONNECTION >7 UP TO 15 DAYS 731 93246 N/A 142.12 88.27 50.09 69.5 33.85 78.68 96.27 47.12 26.24 49.742 103.4 51.47 56.24 51.23 26.24 103.4 HC HOLTER MONITOR HOOK-UP 731 93225 N/A 243 150.93 85.64 118.83 57.87 134.53 164.6 80.57 44.87 85.05 176.79 88 96.17 87.59 44.87 176.79 HC HOLTER 24 HOUR 731 93226 N/A 213 132.3 75.07 104.16 50.73 117.93 144.28 70.62 39.33 74.55 154.96 77.14 84.29 76.78 39.33 154.96 HC EEG W/O VIDEO 2-12 HOURS UNMONITORED 740 95705 N/A 675.72 419.7 238.14 330.42 160.93 374.11 457.7 224.04 124.76 236.502 491.6 244.72 267.42 243.57 124.76 491.6 HC EEG W/O VIDEO 12-26 HOURS UNMONITORED 740 95708 N/A 1246.32 774.11 439.24 609.44 296.83 690.01 844.2 413.22 230.11 436.212 906.73 451.36 493.23 449.26 230.11 906.73 HC POLYSOM AGE <6 W/PARAM 4OR> 740 95782 N/A 2169 "1,347.20" 764.42 "1,060.63" 516.59 "1,200.85" "1,469.17" 719.13 400.47 759.15 "1,578.00" 785.52 858.38 781.85 400.47 "1,578.00" HC SLEEP STUDY UNATTENDED WATCH PAT 740 95800 N/A 349 216.77 123 170.66 83.12 193.22 236.4 115.71 64.44 122.15 253.91 126.39 138.12 125.8 64.44 253.91 HC MULT SLEEP LATENCY TEST 740 95805 N/A 2169 "1,347.20" 764.42 "1,060.63" 516.59 "1,200.85" "1,469.17" 719.13 400.47 759.15 "1,578.00" 785.52 858.38 781.85 400.47 "1,578.00" HC POLYSOM AGE 6>W/PARAM 4 OR> 740 95810 N/A 2169 "1,347.20" 764.42 "1,060.63" 516.59 "1,200.85" "1,469.17" 719.13 400.47 759.15 "1,578.00" 785.52 858.38 781.85 400.47 "1,578.00" HC POLYSOM AGE 6> SPLIT/CPAP 740 95811 N/A 2169 "1,347.20" 764.42 "1,060.63" 516.59 "1,200.85" "1,469.17" 719.13 400.47 759.15 "1,578.00" 785.52 858.38 781.85 400.47 "1,578.00" HC EEG - AWAKE & DROWSY 740 95816 N/A 426 264.6 150.14 208.31 101.46 235.85 288.55 141.24 78.65 149.1 309.93 154.28 168.59 153.56 78.65 309.93 HC EEG 740 95819 N/A 426 264.6 150.14 208.31 101.46 235.85 288.55 141.24 78.65 149.1 309.93 154.28 168.59 153.56 78.65 309.93 HC EEG 24 HOUR RECORDING FOR SEIZURE 740 95950 N/A 2004 "1,244.72" 706.27 979.95 477.29 "1,109.50" "1,357.41" 664.43 370.01 701.4 "1,457.96" 725.76 793.09 722.37 370.01 "1,457.96" HC ENDOSCOPY PROCEDURE FIRST 30 MINS 750 N/A N/A 1200 745.34 422.92 586.79 285.8 664.37 812.82 397.86 221.56 420 873.03 434.59 474.9 432.56 221.56 873.03 HC ENDOSCOPY PROCEDURE EA ADDL 15 MINS 750 N/A N/A 500 310.56 176.22 244.5 119.08 276.82 338.68 165.78 92.32 175 363.76 181.08 197.88 180.23 92.32 363.76 HC EGD TRANSORAL CONTROL BLEEDING ANY METHOD 750 43235 N/A 1978 "1,228.57" 697.11 967.23 471.1 "1,095.10" "1,339.80" 655.81 365.21 692.3 "1,439.04" 716.35 782.8 713 365.21 "1,439.04" HC ESOPHAGEAL MANOMETRY STUDY W/I&R 750 91010 N/A 705 437.89 248.46 344.74 167.91 390.32 477.53 233.74 130.17 246.75 512.9 255.32 279 254.13 130.17 512.9 HC ESOPH G-ESOP REFULX E/ELECTROD PLCMT 750 91035 N/A 705 437.89 248.46 344.74 167.91 390.32 477.53 233.74 130.17 246.75 512.9 255.32 279 254.13 130.17 512.9 HC IMPEDENCE (LESS THAN 1 HOUR) 750 91037 N/A 564 350.31 198.77 275.79 134.33 312.25 382.03 186.99 104.13 197.4 410.32 204.26 223.2 203.3 104.13 410.32 HC PILL CAM PROCEDURE 750 91110 N/A 1732 "1,075.77" 610.41 846.94 412.51 958.91 "1,173.17" 574.25 319.79 606.2 "1,260.07" 627.25 685.44 624.33 319.79 "1,260.07" HC ANORECTAL MANOMETRY 750 91122 N/A 574 356.52 202.3 280.68 136.71 317.79 388.8 190.31 105.98 200.9 417.6 207.88 227.16 206.91 105.98 417.6 HC I&D ABSCESS-SINGLE 761 10060 N/A 286 177.64 100.8 139.85 68.12 158.34 193.72 94.82 52.81 100.1 208.07 103.58 113.18 103.09 52.81 208.07 HC I&D ABSCESS-MULTIPLE 761 10061 N/A 507 314.91 178.68 247.92 120.75 280.7 343.42 168.1 93.61 177.45 368.86 183.61 200.65 182.76 93.61 368.86 HC HEMATOMA FLUID SEROMA DRAINAGE 761 10140 N/A 2063 "1,281.36" 727.07 "1,008.80" 491.34 "1,142.16" "1,397.37" 683.99 380.9 722.05 "1,500.88" 747.13 816.43 743.64 380.9 "1,500.88" HC PUNCTURE ASPIRATION OF ABSCESS 761 10160 N/A 507 314.91 178.68 247.92 120.75 280.7 343.42 168.1 93.61 177.45 368.86 183.61 200.65 182.76 93.61 368.86 HC I&D POST-OP WOUND 761 10180 N/A 2320 "1,440.99" 817.64 "1,134.47" 552.55 "1,284.45" "1,571.45" 769.2 428.35 812 "1,687.86" 840.2 918.14 836.28 428.35 "1,687.86" HC DEBRIDE SUB Q 761 11042 N/A 507 314.91 178.68 247.92 120.75 280.7 343.42 168.1 93.61 177.45 368.86 183.61 200.65 182.76 93.61 368.86 HC DEBRIDE MUSCLE 761 11043 N/A 768 477.02 270.67 375.55 182.91 425.2 520.21 254.63 141.8 268.8 558.74 278.14 303.94 276.84 141.8 558.74 HC DEBRIDE BONE 761 11044 N/A 2063 "1,281.36" 727.07 "1,008.80" 491.34 "1,142.16" "1,397.37" 683.99 380.9 722.05 "1,500.88" 747.13 816.43 743.64 380.9 "1,500.88" HC DEBRIDE SUB Q EA ADD 20 SQ CM 761 11045 N/A 556 345.34 195.95 271.88 132.42 307.82 376.61 184.34 102.66 194.6 404.5 201.36 220.04 200.42 102.66 404.5 HC DEBRIDE MUSCLE EACH ADD. 20SQ 761 11046 N/A 665 413.04 234.37 325.18 158.38 368.17 450.44 220.48 122.78 232.75 483.8 240.83 263.17 239.71 122.78 483.8 HC DEBRIDE BONE EA ADD 20 SQ CM 761 11047 N/A 1286 798.75 453.23 628.85 306.28 711.98 871.07 426.37 237.44 450.1 935.6 465.73 508.94 463.56 237.44 935.6 HC PARING BENIGN LESION - ONE 761 11055 N/A 171 106.21 60.27 83.62 40.73 94.67 115.83 56.7 31.57 59.85 124.41 61.93 67.67 61.64 31.57 124.41 HC PARING BENIGN LESION - 2-4 761 11056 N/A 171 106.21 60.27 83.62 40.73 94.67 115.83 56.7 31.57 59.85 124.41 61.93 67.67 61.64 31.57 124.41 HC TANGENTIAL BIOPSY OF SKIN 761 11102 N/A 171 106.21 60.27 83.62 40.73 94.67 115.83 56.7 31.57 59.85 124.41 61.93 67.67 61.64 31.57 124.41 HC TANGENTIAL BIOPSY OF SKIN EACH ADD'L 761 11103 N/A 94 58.38 33.13 45.97 22.39 52.04 63.67 31.17 17.36 32.9 68.39 34.04 37.2 33.88 17.36 68.39 HC PUNCH BIOPSY OF SKIN 761 11104 N/A 171 106.21 60.27 83.62 40.73 94.67 115.83 56.7 31.57 59.85 124.41 61.93 67.67 61.64 31.57 124.41 HC PUNCH BIOPSY OF SKIN EACH ADD'L 761 11105 N/A 118 73.29 41.59 57.7 28.1 65.33 79.93 39.12 21.79 41.3 85.85 42.73 46.7 42.54 21.79 85.85 HC INSICIONAL BIOSPY OF SKIN 761 11106 N/A 313 194.41 110.31 153.06 74.55 173.29 212.01 103.78 57.79 109.55 227.72 113.35 123.87 112.83 57.79 227.72 HC INSICIONAL BIOSPY OF SKIN EACH ADD'L 761 11107 N/A 151 93.79 53.22 73.84 35.96 83.6 102.28 50.06 27.88 52.85 109.86 54.69 59.76 54.43 27.88 109.86 HC EXCISIONAL BIOPSY MALIGNANT LESION .5CM OR LESS 761 11600 N/A 1493 927.33 526.18 730.07 355.58 826.59 "1,011.28" 495 275.66 522.55 "1,086.19" 540.7 590.86 538.18 275.66 "1,086.19" HC EXCISIONAL BIOPSY MALIGNANT LESION .6-1.0 CM 761 11601 N/A 1493 927.33 526.18 730.07 355.58 826.59 "1,011.28" 495 275.66 522.55 "1,086.19" 540.7 590.86 538.18 275.66 "1,086.19" HC EXCISIONAL BIOPSY MALIGNANT LESION 1.1-2.0 CM 761 11602 N/A 780 484.47 274.9 381.42 185.77 431.84 528.33 258.61 144.01 273 567.47 282.48 308.69 281.16 144.01 567.47 "HC TRIM NONDYSTROPHIC NAILS, ANY NO." 761 11719 N/A 83 51.55 29.25 40.59 19.77 45.95 56.22 27.52 15.32 29.05 60.38 30.06 32.85 29.92 15.32 60.38 HC DEBRIDE NAIL 1-5 761 11720 N/A 132 81.99 46.52 64.55 31.44 73.08 89.41 43.76 24.37 46.2 96.03 47.8 52.24 47.58 24.37 96.03 HC DEBRIDE NAIL >5 761 11721 N/A 90 55.9 31.72 44.01 21.44 49.83 60.96 29.84 16.62 31.5 65.48 32.59 35.62 32.44 16.62 65.48 HC AVULSION OF NAIL PLATE SINGLE 761 11730 N/A 263 163.35 92.69 128.61 62.64 145.61 178.14 87.2 48.56 92.05 191.34 95.25 104.08 94.8 48.56 191.34 "HC AVULSION OF NAIL PLATE, EA ADDL" 761 11732 N/A 150 93.17 52.86 73.35 35.73 83.05 101.6 49.73 27.7 52.5 109.13 54.32 59.36 54.07 27.7 109.13 HC EXCISION NAIL PARTIAL OR COMPLETE 761 11750 N/A 736 457.14 259.39 359.9 175.29 407.48 498.53 244.02 135.89 257.6 535.46 266.55 291.27 265.3 135.89 535.46 "HC CLOSURE SURGICAL WOUND, EXTESIVE/COMPLICATED" 761 13160 N/A 3639 "2,260.24" "1,282.50" "1,779.45" 866.69 "2,014.70" "2,464.88" "1,206.51" 671.88 1273.65 "2,647.46" "1,317.89" "1,440.14" "1,311.74" 671.88 "2,647.46" HC GFT SKIN SUB T/A/L >100CM 1ST 25 761 15271 N/A 1682 "1,044.72" 592.79 822.49 400.6 931.23 "1,139.30" 557.67 310.55 588.7 "1,223.70" 609.15 665.65 606.3 310.55 "1,223.70" HC GFT SKIN SUB T/A/L <100CM ADD 25 761 15272 N/A 429 266.46 151.19 209.78 102.17 237.51 290.58 142.24 79.21 150.15 312.11 155.37 169.78 154.64 79.21 312.11 HC GFT SKIN SUB T/A/L >100CM 1ST 100 761 15273 N/A 4833 "3,001.85" "1,703.30" "2,363.31" "1,151.07" "2,675.75" "3,273.64" "1,602.38" 892.33 1691.55 "3,516.13" "1,750.30" "1,912.67" "1,742.13" 892.33 "3,516.13" HC GFT SKIN SUB T/A/L >100CM EA ADDL 761 15274 N/A 808 501.86 284.76 395.11 192.44 447.34 547.3 267.89 149.18 282.8 587.84 292.62 319.77 291.26 149.18 587.84 HC GFT SKIN SUB F/S/E <100CM 1ST 25 761 15275 N/A 1682 "1,044.72" 592.79 822.49 400.6 931.23 "1,139.30" 557.67 310.55 588.7 "1,223.70" 609.15 665.65 606.3 310.55 "1,223.70" HC GFT SKIN SUB F/S <100CM EA ADD 25 761 15276 N/A 540 335.4 190.31 264.06 128.61 298.97 365.77 179.04 99.7 189 392.86 195.56 213.71 194.65 99.7 392.86 HC GFT SKIN SUB F/S/E >100CM 1ST 100 761 15277 N/A 2514 "1,561.48" 886.01 "1,229.33" 598.75 "1,391.86" "1,702.86" 833.52 464.17 879.9 "1,829.00" 910.46 994.92 906.21 464.17 "1,829.00" HC GFT SKIN SUB F/S>100CM EA ADD 100 761 15278 N/A 550 341.61 193.84 268.95 130.99 304.5 372.54 182.35 101.55 192.5 400.14 199.19 217.66 198.26 101.55 400.14 HC DRESS/DEBRIDE PART THICK BURN <5% 761 16020 N/A 187 116.15 65.9 91.44 44.54 103.53 126.66 62 34.53 65.45 136.05 67.72 74.01 67.41 34.53 136.05 HC DRESS/DEBRIDE PART THICK BURN 5-10% 761 16025 N/A 187 116.15 65.9 91.44 44.54 103.53 126.66 62 34.53 65.45 136.05 67.72 74.01 67.41 34.53 136.05 HC DRESS/DEBRIDE PART THICK BURN >10% 761 16030 N/A 783 486.33 275.95 382.88 186.49 433.5 530.37 259.6 144.57 274.05 569.65 283.57 309.87 282.25 144.57 569.65 HC CHEMICAL CAUTERIZATION 761 17250 N/A 263 163.35 92.69 128.61 62.64 145.61 178.14 87.2 48.56 92.05 191.34 95.25 104.08 94.8 48.56 191.34 "HC BONE BIOSPY-SUPERFICIAL RIBS, ILIUM, STERNUM,SPINOUS" 761 20240 N/A 2320 "1,440.99" 817.64 "1,134.47" 552.55 "1,284.45" "1,571.45" 769.2 428.35 812 "1,687.86" 840.2 918.14 836.28 428.35 "1,687.86" "HC BONE BIOPSY-DEEP BONE HUMERUS,ISCHIUM,FEMUR" 761 20245 N/A 2269 "1,409.31" 799.67 "1,109.53" 540.4 "1,256.21" "1,536.91" 752.29 418.93 794.15 "1,650.75" 821.73 897.96 817.9 418.93 "1,650.75" HC APPLY TL CONTACT LEG CAST 761 29445 N/A 353 219.25 124.41 172.62 84.07 195.44 239.1 117.04 65.18 123.55 256.82 127.84 139.7 127.24 65.18 256.82 HC APPLY UNNA BOOT 761 29580 N/A 213 132.3 75.07 104.16 50.73 117.93 144.28 70.62 39.33 74.55 154.96 77.14 84.29 76.78 39.33 154.96 HC STRAPPING UNNA BOOT LT 761 29580 N/A 150 93.17 52.86 73.35 35.73 83.05 101.6 49.73 27.7 52.5 109.13 54.32 59.36 54.07 27.7 109.13 HC STRAPPING UNNA BOOT RT 761 29580 N/A 150 93.17 52.86 73.35 35.73 83.05 101.6 49.73 27.7 52.5 109.13 54.32 59.36 54.07 27.7 109.13 HC STRAPPING UNNA BOOT BILATERAL 761 29580 N/A 180 111.8 63.44 88.02 42.87 99.66 121.92 59.68 33.23 63 130.95 65.19 71.24 64.88 33.23 130.95 HC APPLY PROFORE 761 29581 N/A 210 130.43 74.01 102.69 50.02 116.26 142.24 69.63 38.77 73.5 152.78 76.05 83.11 75.7 38.77 152.78 HC VL VENOUS ABLATION LASER FIRST VEIN 761 36478 N/A 3200 "1,987.57" "1,127.78" "1,564.78" 762.14 "1,771.65" "2,167.52" "1,060.96" 590.83 1120 "2,328.08" "1,158.90" "1,266.40" "1,153.49" 590.83 "2,328.08" HC BONE MARROW/ASPIRATION 761 38221 N/A 1373 852.79 483.89 671.39 327 760.15 930 455.22 253.5 480.55 998.89 497.24 543.37 494.92 253.5 998.89 HC INSERTION STRAIGHT BLADDER CATH 761 51701 N/A 134 83.23 47.23 65.53 31.91 74.19 90.76 44.43 24.74 46.9 97.49 48.53 53.03 48.3 24.74 97.49 HC INSERTION URINARY CATHETER TEMP OB 761 51702 N/A 134 83.23 47.23 65.53 31.91 74.19 90.76 44.43 24.74 46.9 97.49 48.53 53.03 48.3 24.74 97.49 HC MEDICAL INDUCED DELIVERY NV/STILLBRN 761 59855 N/A 3600 "2,236.02" "1,268.75" "1,760.38" 857.4 "1,993.11" "2,438.46" "1,193.58" 664.68 1260 "2,619.09" "1,303.76" "1,424.70" "1,297.68" 664.68 "2,619.09" HC IV INFUSION MED 16-90 MINS INITIAL 761 96365 N/A 362 224.84 127.58 177.02 86.22 200.42 245.2 120.02 66.84 126.7 263.36 131.1 143.26 130.49 66.84 263.36 HC ADD'T SEQUENTIAL INF OF NEW DRUG 761 96367 N/A 122 75.78 43 59.66 29.06 67.54 82.64 40.45 22.53 42.7 88.76 44.18 48.28 43.98 22.53 88.76 HC IV PUSH SINGLE OR INITIAL 761 96374 N/A 338 209.94 119.12 165.28 80.5 187.13 228.94 112.06 62.41 118.3 245.9 122.41 133.76 121.84 62.41 245.9 HC IV PUSH EACH ADD OF SAME DRUG 761 96376 N/A 125 77.64 44.05 61.12 29.77 69.21 84.67 41.44 23.08 43.75 90.94 45.27 49.47 45.06 23.08 90.94 HC IV PUSH EA SEQ SAME DRUG AFTER 30 MINS 761 96376 N/A 125 77.64 44.05 61.12 29.77 69.21 84.67 41.44 23.08 43.75 90.94 45.27 49.47 45.06 23.08 90.94 HC PORT FLUSH 761 96523 N/A 143.7 89.25 50.64 70.27 34.22 79.56 97.34 47.64 26.53 50.295 104.55 52.04 56.87 51.8 26.53 104.55 HC DEBRIDE OPEN 761 97597 N/A 344 213.66 121.24 168.21 81.93 190.45 233.01 114.05 63.51 120.4 250.27 124.58 136.14 124 63.51 250.27 HC DEBRIDE OPEN EACH ADD. 20SQ 761 97598 N/A 155 96.27 54.63 75.79 36.92 85.81 104.99 51.39 28.62 54.25 112.77 56.13 61.34 55.87 28.62 112.77 HC WC NEGATIVE PRESSURE <=50 CM 761 97605 N/A 340 211.18 119.83 166.26 80.98 188.24 230.3 112.73 62.78 119 247.36 123.13 134.56 122.56 62.78 247.36 HC NEG PRESSURE WOUND TREATMENT >50CM 761 97606 N/A 507 314.91 178.68 247.92 120.75 280.7 343.42 168.1 93.61 177.45 368.86 183.61 200.65 182.76 93.61 368.86 HC OB EXAM ROOM - LEVEL I 761 99211 N/A 199 123.6 70.13 97.31 47.4 110.17 134.79 65.98 36.74 69.65 144.78 72.07 78.75 71.73 36.74 144.78 HC OB EXAM ROOM - LEVEL II 761 99212 N/A 282 175.15 99.39 137.9 67.16 156.13 191.01 93.5 52.07 98.7 205.16 102.13 111.6 101.65 52.07 205.16 HC OB EXAM ROOM - LEVEL III 761 99213 N/A 325 201.86 114.54 158.92 77.4 179.93 220.14 107.75 60.01 113.75 236.45 117.7 128.62 117.15 60.01 236.45 HC OB EXAM ROOM - LEVEL IV 761 99214 N/A 367 227.95 129.34 179.46 87.41 203.19 248.59 121.68 67.76 128.45 267 132.91 145.24 132.29 67.76 267 HC OB EXAM ROOM - LEVEL V 761 99215 N/A 411 255.28 144.85 200.98 97.89 227.55 278.39 136.27 75.88 143.85 299.01 148.85 162.65 148.15 75.88 299.01 HC OBSERVATION CARVE OUT 762 G0378 N/A 53 32.92 18.68 25.92 12.62 29.34 35.9 17.57 9.79 18.55 38.56 19.19 20.97 19.1 9.79 38.56 HC IMMUNIZATION ADMINISTRATION 771 90471 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 HC MC IMMUNIZATION 771 90471 N/A 70 43.48 24.67 34.23 16.67 38.75 47.41 23.21 12.92 24.5 50.93 25.35 27.7 25.23 12.92 50.93 HC INJ TIXAGEVIMAB/CILAGAVIMAB 771 M0220 N/A 376.25 233.69 132.6 183.98 89.61 208.31 254.85 124.75 69.47 131.6875 273.73 136.26 148.9 135.63 69.47 273.73 HC CASIRIVIMAB AND IMDEVIMAB INCLUDES INFUSION OR INJECTION AND POST ADMIN MONITORING 771 M0243 N/A 1101 683.85 388.03 538.38 262.22 609.56 745.76 365.04 203.28 385.35 801 398.73 435.72 396.87 203.28 801 HC HEMODIALYSIS 801 N/A N/A 470 291.92 165.64 229.83 111.94 260.21 318.35 155.83 86.78 164.5 341.94 170.21 186 169.42 86.78 341.94 HC PERITONEAL DIALYSIS OR CRRT 802 N/A N/A 470 291.92 165.64 229.83 111.94 260.21 318.35 155.83 86.78 164.5 341.94 170.21 186 169.42 86.78 341.94 HC UNSCHED DIALYSIS ESRD 820 G0257 N/A 791 491.3 278.77 386.79 188.39 437.93 535.78 262.26 146.05 276.85 575.47 286.47 313.04 285.13 146.05 575.47 HC MC BH PSYCH ASSESSMENT 900 90791 N/A 275 170.81 96.92 134.47 65.5 152.25 186.27 91.18 50.77 96.25 200.07 99.59 108.83 99.13 50.77 200.07 HC MC BH THERAPY 30 MIN IND 914 90832 N/A 114 70.81 40.18 55.75 27.15 63.12 77.22 37.8 21.05 39.9 82.94 41.29 45.12 41.09 21.05 82.94 HC MC BH THERAPY 45 MIN IND 914 90834 N/A 146 90.68 51.45 71.39 34.77 80.83 98.89 48.41 26.96 51.1 106.22 52.87 57.78 52.63 26.96 106.22 HC MC BH THERAPY 60 MIN IND 914 90837 N/A 214 132.92 75.42 104.64 50.97 118.48 144.95 70.95 39.51 74.9 155.69 77.5 84.69 77.14 39.51 155.69 HC MC BH PSYCHOTHERAPY CRISIS 60 MIN 914 90839 N/A 245 152.17 86.35 119.8 58.35 135.64 165.95 81.23 45.24 85.75 178.24 88.73 96.96 88.31 45.24 178.24 HC MC BH PSYCHOTHERAPY CRISIS ADD 30 MIN 914 90840 N/A 117 72.67 41.23 57.21 27.87 64.78 79.25 38.79 21.6 40.95 85.12 42.37 46.3 42.17 21.6 85.12 INTERACTIVE COMPLEXITY 900 90875 N/A 97 60.25 34.19 47.43 23.1 53.7 65.7 32.16 17.91 33.95 70.57 35.13 38.39 34.97 17.91 70.57 HC MC BH GROUP THERAPY 915 90853 N/A 50 31.06 17.62 24.45 11.91 27.68 33.87 16.58 9.23 17.5 36.38 18.11 19.79 18.02 9.23 36.38 HC MC BH FAMILY PSYCHOTHERAPY W/O PATIENT 916 90846 N/A 179 111.18 63.09 87.53 42.63 99.1 121.25 59.35 33.05 62.65 130.23 64.83 70.84 64.52 33.05 130.23 HC MC BH FAMILY PSYCHOTHERAPY W/ PATIENT 916 90847 N/A 186 115.53 65.55 90.95 44.3 102.98 125.99 61.67 34.34 65.1 135.32 67.36 73.61 67.05 34.34 135.32 HC NON STRESS TEST 920 59025 N/A 292 181.37 102.91 142.79 69.55 161.66 197.79 96.81 53.91 102.2 212.44 105.75 115.56 105.26 53.91 212.44 HC SLEEP STUDY UNATTENDED 920 95806 N/A 1800 "1,118.01" 634.38 880.19 428.7 996.55 "1,219.23" 596.79 332.34 630 "1,309.54" 651.88 712.35 648.84 332.34 "1,309.54" HC SLEEP STUDY ATTENDED 920 95807 N/A 1133 703.72 399.3 554.03 269.84 627.28 767.44 375.65 209.19 396.55 824.29 410.32 448.39 408.41 209.19 824.29 "HC POLYSOMNOGRAPHY,4 PARAMETERS W/CPAP" 920 95811 N/A 2169 "1,347.20" 764.42 "1,060.63" 516.59 "1,200.85" "1,469.17" 719.13 400.47 759.15 "1,578.00" 785.52 858.38 781.85 400.47 "1,578.00" HC ELECT ANALYSIS IMPANT NEUROSTIMUL COMPLX 920 95977 N/A 293 181.99 103.26 143.28 69.78 162.22 198.46 97.14 54.1 102.55 213.16 106.11 115.96 105.62 54.1 213.16 HC VL VEIN MAPPING 921 93985 N/A 587.5 364.91 207.05 287.28 139.92 325.26 397.94 194.79 108.47 205.625 427.42 212.77 232.5 211.77 108.47 427.42 HC VL AAA SCREEN INITIAL 402 76706 N/A 194 120.5 68.37 94.86 46.2 107.41 131.41 64.32 35.82 67.9 141.14 70.26 76.78 69.93 35.82 141.14 HC PSEUDOA THROMBIN INJECTION VAS CTR 921 36002 N/A 1232 765.21 434.2 602.44 293.42 682.09 834.5 408.47 227.47 431.2 896.31 446.18 487.57 444.09 227.47 896.31 HC US GUIDE FOR VASCULAR ACCESS 402 76937 N/A 305 189.44 107.49 149.14 72.64 168.86 206.59 101.12 56.31 106.75 221.9 110.46 120.7 109.94 56.31 221.9 HC VL CAROTID DUPLEX BILATERAL 921 93880 N/A 707 439.13 249.17 345.72 168.38 391.42 478.89 234.41 130.54 247.45 514.36 256.04 279.8 254.85 130.54 514.36 HC VL CAROTID DUPLEX UNILATERAL 921 93882 N/A 438 272.05 154.36 214.18 104.32 242.5 296.68 145.22 80.87 153.3 318.66 158.62 173.34 157.88 80.87 318.66 HC VL SINGLE LEVEL BILATERAL 921 93922 N/A 212 131.68 74.72 103.67 50.49 117.37 143.6 70.29 39.14 74.2 154.24 76.78 83.9 76.42 39.14 154.24 HC VL MULTIPLE LEVEL BILATERAL 921 93923 N/A 329 204.35 115.95 160.88 78.36 182.15 222.85 109.08 60.74 115.15 239.36 119.15 130.2 118.59 60.74 239.36 HC VL DUPLEX LEA BILATERAL 921 93925 N/A 707 439.13 249.17 345.72 168.38 391.42 478.89 234.41 130.54 247.45 514.36 256.04 279.8 254.85 130.54 514.36 HC VL DUPLEX LEA UNILATERAL 921 93926 N/A 438 272.05 154.36 214.18 104.32 242.5 296.68 145.22 80.87 153.3 318.66 158.62 173.34 157.88 80.87 318.66 HC VL DUPLEX UEA BILATERAL 921 93930 N/A 707 439.13 249.17 345.72 168.38 391.42 478.89 234.41 130.54 247.45 514.36 256.04 279.8 254.85 130.54 514.36 HC VL DUPLEX UEA UNILATERAL 921 93931 N/A 438 272.05 154.36 214.18 104.32 242.5 296.68 145.22 80.87 153.3 318.66 158.62 173.34 157.88 80.87 318.66 HC VL DUPLEX VENOUS MAP BILAT 921 93970 N/A 767 476.4 270.31 375.06 182.67 424.64 519.53 254.3 141.61 268.45 558.01 277.77 303.54 276.48 141.61 558.01 HC VL DUPLEX VENOUS MAP UNILAT 921 93971 N/A 475 295.03 167.4 232.27 113.13 262.98 321.74 157.49 87.7 166.25 345.57 172.02 187.98 171.22 87.7 345.57 HC VL RENAL ARTERY DUPLEX COMPLETE 921 93975 N/A 488 303.1 171.99 238.63 116.23 270.18 330.55 161.8 90.1 170.8 355.03 176.73 193.13 175.91 90.1 355.03 HC VL RENAL ARTERY DUPLEX LIMITED 921 93976 N/A 488 303.1 171.99 238.63 116.23 270.18 330.55 161.8 90.1 170.8 355.03 176.73 193.13 175.91 90.1 355.03 "HC DUPLEX LIMITED, ABD, PEL, RETROPERI V C" 921 93976 N/A 488 303.1 171.99 238.63 116.23 270.18 330.55 161.8 90.1 170.8 355.03 176.73 193.13 175.91 90.1 355.03 HC VL AORTIC DUPLEX SCAN COMPLETE 921 93978 N/A 732 454.66 257.98 357.94 174.34 405.27 495.82 242.69 135.15 256.2 532.55 265.1 289.69 263.86 135.15 532.55 HC VL AORTIC DUPLEX SCAN LIMITED 921 93979 N/A 454 281.99 160 222 108.13 251.35 307.52 150.52 83.82 158.9 330.3 164.42 179.67 163.65 83.82 330.3 "HC VL DUPLEX ART/VEN PRE-OP VESSEL MAPPING, UNILATERAL" 921 93986 N/A 267.2 165.96 94.17 130.66 63.64 147.93 180.99 88.59 49.33 93.52 194.39 96.77 105.74 96.32 49.33 194.39 HC VL DUPLEX HD ART AV GRAFT 921 93990 N/A 471 292.55 166 230.32 112.18 260.77 319.03 156.16 86.96 164.85 342.66 170.58 186.4 169.78 86.96 342.66 HC BODY PLETHYSMOGRAPHY 921 94726 N/A 494 306.83 174.1 241.56 117.65 273.5 334.61 163.79 91.21 172.9 359.4 178.91 195.5 178.07 91.21 359.4 HC PHLEBOTOMY-THERAPEUTIC 940 99195 N/A 212 131.68 74.72 103.67 50.49 117.37 143.6 70.29 39.14 74.2 154.24 76.78 83.9 76.42 39.14 154.24 HC PHLEBOTOMY (PHLE) 940 99195 N/A 212 131.68 74.72 103.67 50.49 117.37 143.6 70.29 39.14 74.2 154.24 76.78 83.9 76.42 39.14 154.24 HC DIABETES OP SELF MGMT INDIV. 942 G0108 N/A 99 61.49 34.89 48.41 23.58 54.81 67.06 32.82 18.28 34.65 72.02 35.85 39.18 35.69 18.28 72.02 HC D IABETES OP SELF MGMT GROUP 942 G0109 N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 HC GLUCOSE MONITOR CONTINOUS PT EQUIP 942 95249 N/A 142.12 88.27 50.09 69.5 33.85 78.68 96.27 47.12 26.24 49.742 103.4 51.47 56.24 51.23 26.24 103.4 HC MNT INITIAL ASSESS IND 15 MIN 942 97802 N/A 38 23.6 13.39 18.58 9.05 21.04 25.74 12.6 7.02 13.3 27.65 13.76 15.04 13.7 7.02 27.65 HC MNT INITIAL ASSESSMENT PER 15 MINS 942 97802 N/A 38 23.6 13.39 18.58 9.05 21.04 25.74 12.6 7.02 13.3 27.65 13.76 15.04 13.7 7.02 27.65 HC MNT INTERV & REASS IND 15 MIN 942 97803 N/A 47.42 29.45 16.71 23.19 11.29 26.25 32.12 15.72 8.76 16.597 34.5 17.17 18.77 17.09 8.76 34.5 HC MNT FU 1:1 W PT EACH 15 MINS 942 97803 N/A 47.42 29.45 16.71 23.19 11.29 26.25 32.12 15.72 8.76 16.597 34.5 17.17 18.77 17.09 8.76 34.5 HC MNT GROUP PER 30 MINUTES 942 97804 N/A 27.5 17.08 9.69 13.45 6.55 15.23 18.63 9.12 5.08 9.625 20.01 9.96 10.88 9.91 5.08 20.01 HC DIABETES OP SELF MGMT IND. RN 942 98960 N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 HC DIABETES OP SELF MGMT GROUP 2-4 942 98961 N/A 141 87.58 49.69 68.95 33.58 78.06 95.51 46.75 26.03 49.35 102.58 51.06 55.8 50.83 26.03 102.58 HC DIABETES OP SELF MGMT GROUP 5-8 942 98962 N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 HC INDIVIDUAL 30 MIN DSMT 942 99211 N/A 199 123.6 70.13 97.31 47.4 110.17 134.79 65.98 36.74 69.65 144.78 72.07 78.75 71.73 36.74 144.78 HC SMOKING CESSATION-INTERMEDIATE 942 99406 N/A 32 19.88 11.28 15.65 7.62 17.72 21.68 10.61 5.91 11.2 23.28 11.59 12.66 11.53 5.91 23.28 HC SMOKING CESSATION - INTENSIVE 942 99407 N/A 60 37.27 21.15 29.34 14.29 33.22 40.64 19.89 11.08 21 43.65 21.73 23.75 21.63 11.08 43.65 "HC MNT 1:1 15 MIN 2ND REF/YEAR, MEDICARE" 942 G0270 N/A 38 23.6 13.39 18.58 9.05 21.04 25.74 12.6 7.02 13.3 27.65 13.76 15.04 13.7 7.02 27.65 "HC MNT GROUP 30 MIN, 2ND REF, SAME YEAR" 942 G0271 N/A 27.5 17.08 9.69 13.45 6.55 15.23 18.63 9.12 5.08 9.625 20.01 9.96 10.88 9.91 5.08 20.01 HC CARDIAC REHAB THERAPY 943 93798 N/A 112 69.56 39.47 54.77 26.67 62.01 75.86 37.13 20.68 39.2 81.48 40.56 44.32 40.37 20.68 81.48 HC PULMONARY REHAB-COPD 948 G0424 N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 HC PULMONARY REHAB W/O CONTINUOUS OXIMETRY MONITOR 948 94625 N/A 142 88.2 50.05 69.44 33.82 78.62 96.18 47.08 26.22 49.7 103.31 51.43 56.2 51.19 26.22 103.31 HC PULMONARY REHAB W/ CONTINUOUS OXIMETRY MONITOR 948 94626 N/A 142 88.2 50.05 69.44 33.82 78.62 96.18 47.08 26.22 49.7 103.31 51.43 56.2 51.19 26.22 103.31 OFFICE VISIT LEVEL 3 EST 99213 988 99213 N/A 325 201.86 114.54 158.92 77.4 179.93 220.14 107.75 60.01 113.75 236.45 117.7 128.62 117.15 60.01 236.45 OFFICE VISIT LEVEL 4 EST 99214 988 99214 N/A 367 227.95 129.34 179.46 87.41 203.19 248.59 121.68 67.76 128.45 267 132.91 145.24 132.29 67.76 267 OFFICE VISIT LEVEL 5 EST 99215 988 99215 N/A 411 255.28 144.85 200.98 97.89 227.55 278.39 136.27 75.88 143.85 299.01 148.85 162.65 148.15 75.88 299.01 INITIAL HOSPITAL CARE/DAY 988 99221 N/A 220 136.65 77.53 107.58 52.4 121.8 149.02 72.94 40.62 77 160.06 79.67 87.07 79.3 40.62 160.06 INITIAL HOSPITAL CARE/DAY 50 MINUTES 99222 988 99222 N/A 299 185.71 105.38 146.21 71.21 165.54 202.53 99.13 55.21 104.65 217.53 108.28 118.33 107.78 55.21 217.53 INITIAL HOSPITAL CARE/DAY 70 MINUTES 99223 988 99223 N/A 440 273.29 155.07 215.16 104.79 243.6 298.03 145.88 81.24 154 320.11 159.35 174.13 158.61 81.24 320.11 SUBSEQUENT HOSPITAL CARE 99231 988 99231 N/A 88 54.66 31.01 43.03 20.96 48.72 59.61 29.18 16.25 30.8 64.02 31.87 34.83 31.72 16.25 64.02 SUBSEQUENT HOSPITAL CARE 99232 988 99232 N/A 160 99.38 56.39 78.24 38.11 88.58 108.38 53.05 29.54 56 116.4 57.95 63.32 57.67 29.54 116.4 SUBSEQUENT HOSPITAL CARE 99233 988 99233 N/A 229 142.24 80.71 111.98 54.54 126.78 155.11 75.93 42.28 80.15 166.6 82.93 90.63 82.55 42.28 166.6 ADVNCD CARE PLAN 30 MIN 99497 988 99497 N/A 424 263.35 149.43 207.33 100.98 234.74 287.2 140.58 78.28 148.4 308.47 153.55 167.8 152.84 78.28 308.47 MRI BRAIN W WO CONTRAST 611 70553 N/A 2925 "1,816.76" "1,030.86" "1,430.31" 696.64 "1,619.40" "1,981.25" 969.79 540.05 1023.75 "2,128.01" "1,059.31" "1,157.57" "1,054.36" 540.05 "2,128.01" DRILL BIT 2.0MM N/A N/A N/A 297.5 184.78 104.85 145.48 70.85 164.71 201.51 98.64 54.93 104.125 216.44 107.74 117.74 107.24 54.93 216.44 .062 GUIDE WIRE TROCAR TIP N/A C1713 N/A 60 37.27 21.15 29.34 14.29 33.22 40.64 19.89 11.08 21 43.65 21.73 23.75 21.63 11.08 43.65 "12 "" A.T.S. DISP CUFF W/SLEEVE" N/A N/A N/A 89.79 55.77 31.64 43.91 21.39 49.71 60.82 29.77 16.58 31.4265 65.32 32.52 35.53 32.37 16.58 65.32 "12"" A.T.S DISP CUFF W/ SLEEVE" N/A N/A N/A 95.84 59.53 33.78 46.87 22.83 53.06 64.92 31.78 17.7 33.544 69.73 34.71 37.93 34.55 17.7 69.73 15MM SNARE N/A N/A N/A 262.65 163.14 92.57 128.43 62.55 145.41 177.91 87.08 48.49 91.9275 191.08 95.12 103.94 94.68 48.49 191.08 "18"" A.T.S DISP CUFF W/ SLEEVE" N/A N/A N/A 47.24 29.34 16.65 23.1 11.25 26.15 32 15.66 8.72 16.534 34.37 17.11 18.7 17.03 8.72 34.37 2.0 CANNULATED DRILL BIT N/A N/A N/A 1267.5 787.26 446.71 619.8 301.88 701.74 858.54 420.24 234.02 443.625 922.14 459.03 501.61 456.89 234.02 922.14 2.0 DRILL BIT N/A N/A N/A 313.88 194.96 110.62 153.49 74.76 173.78 212.61 104.07 57.95 109.858 228.36 113.67 124.22 113.14 57.95 228.36 2.0 DRILLBIT N/A N/A N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 2.3MMX230CM BEAMER ARGON PROBE (10/CS) N/A N/A N/A 537.5 333.85 189.43 262.83 128.02 297.58 364.08 178.21 99.24 188.125 391.04 194.66 212.72 193.75 99.24 391.04 2.6MM KNOTLESS FIBERTAK ANCHOR N/A C1713 N/A 1350 838.51 475.78 660.14 321.53 747.42 914.42 447.59 249.26 472.5 982.16 488.91 534.26 486.63 249.26 982.16 2.7MM CANN DRILL BIT N/A N/A N/A 1485 922.36 523.36 726.16 353.68 822.16 "1,005.87" 492.35 274.18 519.75 "1,080.37" 537.8 587.69 535.29 274.18 "1,080.37" 2.7MM/0.106 ZIMMER DRILL BIT N/A N/A N/A 212.5 131.99 74.89 103.91 50.61 117.65 143.94 70.45 39.23 74.375 154.6 76.96 84.1 76.6 39.23 154.6 "24"" A.T.S DISP CUFF W/ SLEEVE" N/A N/A N/A 47.24 29.34 16.65 23.1 11.25 26.15 32 15.66 8.72 16.534 34.37 17.11 18.7 17.03 8.72 34.37 24/26FR BIPOLAR CUTTING LOOP N/A N/A N/A 1293.41 803.36 455.84 632.47 308.05 716.09 876.09 428.83 238.81 452.6935 940.99 468.42 511.87 466.23 238.81 940.99 3.5MM/0.138 ZIMMER DRILL BIT N/A N/A N/A 212.5 131.99 74.89 103.91 50.61 117.65 143.94 70.45 39.23 74.375 154.6 76.96 84.1 76.6 39.23 154.6 "30"" A.T.S. DISP CUFF W/SLEEVE" N/A N/A N/A 47.24 29.34 16.65 23.1 11.25 26.15 32 15.66 8.72 16.534 34.37 17.11 18.7 17.03 8.72 34.37 "34"" A.T.S DISP CUFF W/O SLEEVE" N/A N/A N/A 36.08 22.41 12.72 17.64 8.59 19.98 24.44 11.96 6.66 12.628 26.25 13.07 14.28 13.01 6.66 26.25 4.75MM BC KNOTLESS SWIVELOCK N/A C9364 N/A 1380 857.14 486.36 674.81 328.67 764.03 934.74 457.54 254.79 483 "1,003.98" 499.78 546.14 497.44 254.79 "1,003.98" 4-0 FIBER LOOP N/A N/A N/A 200 124.22 70.49 97.8 47.63 110.73 135.47 66.31 36.93 70 145.5 72.43 79.15 72.09 36.93 145.5 45MM STAPLER VASCULAR RELOADS N/A N/A N/A 387.88 240.92 136.7 189.67 92.38 214.75 262.73 128.6 71.62 135.758 282.19 140.47 153.5 139.82 71.62 282.19 6.5MM LOW PROFILE HEX SCREW 30MM N/A C1713 N/A 462 286.96 162.82 225.92 110.03 255.78 312.94 153.18 85.3 161.7 336.12 167.32 182.84 166.54 85.3 336.12 6.5MM LOW PROFILE HEX SCREW 35MM N/A C1776 N/A 462 286.96 162.82 225.92 110.03 255.78 312.94 153.18 85.3 161.7 336.12 167.32 182.84 166.54 85.3 336.12 6FR CONTOUR VL N/A C2625 N/A 470.47 292.22 165.81 230.06 112.05 260.47 318.67 155.98 86.86 164.6645 342.28 170.38 186.19 169.59 86.86 342.28 7 HOLE DIST FIB PLATE N/A C1713 N/A 1438.2 893.29 506.87 703.27 342.53 796.25 974.17 476.84 265.54 503.37 "1,046.33" 520.85 569.17 518.42 265.54 "1,046.33" 90 EDGE KIT N/A N/A N/A 3048.7 "1,893.59" "1,074.46" "1,490.80" 726.1 "1,687.89" "2,065.04" "1,010.80" 562.89 1067.045 "2,218.00" "1,104.11" "1,206.53" "1,098.95" 562.89 "2,218.00" ABLATOR ARTHROSCOPIC APOLLORF MP50 N/A N/A N/A 556.5 345.65 196.13 272.13 132.54 308.1 376.95 184.51 102.75 194.775 404.87 201.54 220.24 200.6 102.75 404.87 ABLATOR ASPIRATING APOLLO RF XL90 N/A N/A N/A 665 413.04 234.37 325.18 158.38 368.17 450.44 220.48 122.78 232.75 483.8 240.83 263.17 239.71 122.78 483.8 ACHILLES SPEED BRIDGE N/A C1713 N/A 2925 "1,816.76" "1,030.86" "1,430.31" 696.64 "1,619.40" "1,981.25" 969.79 540.05 1023.75 "2,128.01" "1,059.31" "1,157.57" "1,054.36" 540.05 "2,128.01" ACHILLES SPEED BRIDGE IMPLANT SYS W/JUMP N/A C1713 N/A 4987.5 "3,097.81" "1,757.75" "2,438.86" "1,187.86" "2,761.29" "3,378.29" "1,653.61" 920.86 1745.625 "3,628.53" "1,806.25" "1,973.81" "1,797.83" 920.86 "3,628.53" ACHILLES TEN- BONE BLOCK-ZORC N/A C1762 N/A 5694.73 "3,537.09" "2,007.00" "2,784.69" "1,356.30" "3,152.84" "3,857.33" "1,888.09" "1,051.44" 1993.1555 "4,143.06" "2,062.38" "2,253.70" "2,052.76" "1,051.44" "4,143.06" ACL BACKUP N/A C1713 N/A 2175 "1,350.93" 766.54 "1,063.56" 518.02 "1,204.17" "1,473.24" 721.12 401.58 761.25 "1,582.37" 787.69 860.76 784.01 401.58 "1,582.37" ADAPTER FIBEROPTIC SWIVEL STERILE N/A N/A N/A 26.33 16.35 9.28 12.88 6.27 14.58 17.83 8.73 4.86 9.2155 19.16 9.54 10.42 9.49 4.86 19.16 ADAPTER LOCKING TITANIUM N/A N/A N/A 944.08 586.38 332.72 461.65 224.85 522.68 639.47 313.01 174.31 330.428 686.84 341.9 373.62 340.31 174.31 686.84 ADVANCED CEMENT MIXING BOWL N/A N/A N/A 287 178.26 101.15 140.34 68.35 158.9 194.4 95.15 52.99 100.45 208.8 103.94 113.58 103.45 52.99 208.8 AIRSEAL 8MM CANNULA CAP AND OB N/A N/A N/A 502.25 311.96 177.01 245.6 119.62 278.07 340.2 166.52 92.73 175.7875 365.4 181.89 198.77 181.04 92.73 365.4 ALIGNMENT GUIDE PROPHECY INIFINITY N/A C1776 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" ANTERIOR CHAMBER INJ CANN 27G ANG N/A N/A N/A 2.05 1.27 0.72 1 0.49 1.13 1.39 0.68 0.38 0.7175 1.49 0.74 0.81 0.74 0.38 1.49 APPLIER LIGAMAX 5MM ENDOCLIP N/A N/A N/A 445.67 276.81 157.07 217.93 106.14 246.74 301.87 147.76 82.29 155.9845 324.24 161.4 176.37 160.65 82.29 324.24 AQUILEX INFLOW /OUTFLOW TUBE SET N/A N/A N/A 424.55 263.69 149.62 207.6 101.11 235.05 287.57 140.76 78.39 148.5925 308.87 153.75 168.02 153.04 78.39 308.87 ARTEGRAFT 6X40 (AG740) N/A C1768 N/A 4697.5 "2,917.69" "1,655.55" "2,297.05" "1,118.79" "2,600.73" "3,181.86" "1,557.46" 867.32 1644.125 "3,417.55" "1,701.23" "1,859.04" "1,693.29" 867.32 "3,417.55" ARTHREX 5.5MM EXCALIBUR N/A N/A N/A 206.5 128.26 72.78 100.98 49.18 114.33 139.87 68.47 38.13 72.275 150.23 74.79 81.72 74.44 38.13 150.23 ARTHREX LABRAL TAPE N/A N/A N/A 245 152.17 86.35 119.8 58.35 135.64 165.95 81.23 45.24 85.75 178.24 88.73 96.96 88.31 45.24 178.24 ASCOPE BRONCH REGULAR N/A N/A N/A 793.5 492.86 279.65 388.02 188.99 439.31 537.48 263.09 146.51 277.725 577.29 287.37 314.03 286.03 146.51 577.29 ASCOPE BRONCH SLIM SINGLE USE N/A N/A N/A 799.5 496.58 281.77 390.95 190.42 442.64 541.54 265.07 147.61 279.825 581.66 289.54 316.4 288.19 147.61 581.66 ASYMMETRIC METAL BACK PATELLA A32X10 N/A C1776 N/A 990 614.9 348.91 484.1 235.79 548.11 670.58 328.23 182.79 346.5 720.25 358.53 391.79 356.86 182.79 720.25 BAG 1L PRESSURE INFUSER 1000CC LF N/A N/A N/A 45.99 28.57 16.21 22.49 10.95 25.46 31.15 15.25 8.49 16.0965 33.46 16.66 18.2 16.58 8.49 33.46 BAG DRAIN 2L W/ANTIREFLUX CHAMBER N/A N/A N/A 2.58 1.6 0.91 1.26 0.61 1.43 1.75 0.86 0.48 0.903 1.88 0.93 1.02 0.93 0.48 1.88 BALLOON - ATLAS 14X40 N/A C1725 N/A 1020 633.54 359.48 498.77 242.93 564.71 690.9 338.18 188.33 357 742.08 369.4 403.67 367.68 188.33 742.08 BALLOON - CHOCOLATE RX 2.5X10 N/A C1725 N/A 2250 "1,397.51" 792.97 "1,100.24" 535.88 "1,245.69" "1,524.04" 745.99 415.43 787.5 "1,636.93" 814.85 890.44 811.05 415.43 "1,636.93" BALLOON - COYOTE OTW 3.0X220X150 N/A C1725 N/A 1185 736.02 417.63 579.46 282.23 656.07 802.66 392.89 218.79 414.75 862.12 429.16 468.97 427.15 218.79 862.12 BALLOON - EUPHORA 1.5 X 10 N/A C1725 N/A 630 391.3 222.03 308.07 150.05 348.79 426.73 208.88 116.32 220.5 458.34 228.16 249.32 227.09 116.32 458.34 BALLOON - EUPHORA 1.5X6 N/A C1725 N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 BALLOON - EUPHORA 2.0X15 N/A C1725 N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 BALLOON - EUPHORA 2.5 X 12 N/A C1725 N/A 630 391.3 222.03 308.07 150.05 348.79 426.73 208.88 116.32 220.5 458.34 228.16 249.32 227.09 116.32 458.34 BALLOON - EUPHORA 2.5 X 15 N/A C1725 N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 BALLOON - EUPHORA 2.5X20 N/A C1725 N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 BALLOON - EUPHORA 3.0X12 N/A C1725 N/A 630 391.3 222.03 308.07 150.05 348.79 426.73 208.88 116.32 220.5 458.34 228.16 249.32 227.09 116.32 458.34 BALLOON - EUPHORA 3.0X15 N/A C1725 N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 BALLOON - JADE 0.14 1.5X120 N/A C1725 N/A 472.5 293.48 166.52 231.05 112.53 261.6 320.05 156.66 87.24 165.375 343.76 171.12 186.99 170.32 87.24 343.76 BALLOON - JADE 0.14 2.0X80 N/A C1725 N/A 472.5 293.48 166.52 231.05 112.53 261.6 320.05 156.66 87.24 165.375 343.76 171.12 186.99 170.32 87.24 343.76 BALLOON - JADE 0.14 2.5X240 N/A C1725 N/A 472.5 293.48 166.52 231.05 112.53 261.6 320.05 156.66 87.24 165.375 343.76 171.12 186.99 170.32 87.24 343.76 BALLOON - JADE 0.14 3.0X100 N/A C1725 N/A 472.5 293.48 166.52 231.05 112.53 261.6 320.05 156.66 87.24 165.375 343.76 171.12 186.99 170.32 87.24 343.76 BALLOON - JADE 0.14 4.0X60 N/A C1725 N/A 472.5 293.48 166.52 231.05 112.53 261.6 320.05 156.66 87.24 165.375 343.76 171.12 186.99 170.32 87.24 343.76 BALLOON - MINI TREK 1.5X12 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - MINI TREK 2.0X12 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - MINI TREK 2.0X15 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - MUSTANG OTW 12X40X75 N/A C1725 N/A 577.5 358.69 203.53 282.39 137.54 319.73 391.17 191.47 106.63 202.125 420.15 209.15 228.55 208.17 106.63 420.15 BALLOON - NC EUPHORA 2.5X12 N/A C1725 N/A 630 391.3 222.03 308.07 150.05 348.79 426.73 208.88 116.32 220.5 458.34 228.16 249.32 227.09 116.32 458.34 BALLOON - NC EUPHORA 2.75X12 N/A C1725 N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 BALLOON - NC EUPHORA 3.0X6 N/A C1725 N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 BALLOON - NC EUPHORA 3.5X12 N/A C1725 N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 BALLOON - NC EUPHORA 4.0X12 N/A C1725 N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 BALLOON - NC EUPHORA 4.0X15 N/A C1725 N/A 665 413.04 234.37 325.18 158.38 368.17 450.44 220.48 122.78 232.75 483.8 240.83 263.17 239.71 122.78 483.8 BALLOON - NC TREK NEO 2.5X12 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - NC TREK NEO 3.0X15 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - NC TREK NEO 3.0X8 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - NC TREK NEO 3.25X15 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - NC TREK NEO 3.25X8 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - STERLING OTW 4.0X100 N/A C1725 N/A 825 512.42 290.76 403.42 196.49 456.75 558.81 273.53 152.32 288.75 600.21 298.78 326.49 297.38 152.32 600.21 BALLOON - STERLING OTW 5.0X150 N/A C1725 N/A 795 493.79 280.18 388.75 189.34 440.15 538.49 263.58 146.78 278.25 578.38 287.91 314.62 286.57 146.78 578.38 BALLOON - STERLING OTW 5.0X40 N/A C1725 N/A 825 512.42 290.76 403.42 196.49 456.75 558.81 273.53 152.32 288.75 600.21 298.78 326.49 297.38 152.32 600.21 BALLOON - TREK 2.5X12 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - TREK 2.5X15 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - TREK 2.5X20 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - TREK 3.0X15 N/A C1725 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 BALLOON - XXL 14X40 N/A C1725 N/A 682.5 423.91 240.53 333.74 162.55 377.86 462.29 226.28 126.01 238.875 496.54 247.17 270.1 246.02 126.01 496.54 BALLOON - XXL 16X40 N/A C1725 N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 BALLOON DILATOR 10-11-12 N/A C1726 N/A 375 232.92 132.16 183.37 89.31 207.62 254.01 124.33 69.24 131.25 272.82 135.81 148.41 135.17 69.24 272.82 BALLOON DILATOR 12-13.5-15 N/A C1726 N/A 412.5 256.21 145.38 201.71 98.24 228.38 279.41 136.76 76.16 144.375 300.1 149.39 163.25 148.69 76.16 300.1 BALLOON DILATOR 15-18 N/A C1726 N/A 412.5 256.21 145.38 201.71 98.24 228.38 279.41 136.76 76.16 144.375 300.1 149.39 163.25 148.69 76.16 300.1 BALLOON DILATOR 18-20 N/A C1726 N/A 375 232.92 132.16 183.37 89.31 207.62 254.01 124.33 69.24 131.25 272.82 135.81 148.41 135.17 69.24 272.82 BALLOON DILATOR 6-7-8 N/A C1726 N/A 187.5 116.46 66.08 91.69 44.66 103.81 127 62.17 34.62 65.625 136.41 67.9 74.2 67.59 34.62 136.41 BALLOON DILATOR 8-9-10 N/A C1726 N/A 375 232.92 132.16 183.37 89.31 207.62 254.01 124.33 69.24 131.25 272.82 135.81 148.41 135.17 69.24 272.82 BALLOON EBUS N/A C1726 N/A 83.18 51.66 29.32 40.67 19.81 46.05 56.34 27.58 15.36 29.113 60.52 30.12 32.92 29.98 15.36 60.52 BALLOON-ANGIOSCULPT EVO RX 2.0 X 10 N/A C1725 N/A 2550 "1,583.84" 898.7 "1,246.94" 607.33 "1,411.79" "1,727.24" 845.45 470.82 892.5 "1,855.19" 923.5 "1,009.17" 919.19 470.82 "1,855.19" BALLOON-ANGIOSCULPT EVO RX 2.5 X 10 N/A C1725 N/A 2400 "1,490.68" 845.83 "1,173.59" 571.6 "1,328.74" "1,625.64" 795.72 443.12 840 "1,746.06" 869.18 949.8 865.12 443.12 "1,746.06" BALLOON-ANGIOSCULPT EVO RX 2.5 X 15 N/A C1725 N/A 2400 "1,490.68" 845.83 "1,173.59" 571.6 "1,328.74" "1,625.64" 795.72 443.12 840 "1,746.06" 869.18 949.8 865.12 443.12 "1,746.06" BALLOON-ANGIOSCULPT EVO RX 3.0 X 15 N/A C1725 N/A 2400 "1,490.68" 845.83 "1,173.59" 571.6 "1,328.74" "1,625.64" 795.72 443.12 840 "1,746.06" 869.18 949.8 865.12 443.12 "1,746.06" BANDAGE 6 FLEXMASTER N/A N/A N/A 23 14.29 8.11 11.25 5.48 12.73 15.58 7.63 4.25 8.05 16.73 8.33 9.1 8.29 4.25 16.73 BANDAGE 6 STERILE ACE N/A N/A N/A 3.09 1.92 1.09 1.51 0.74 1.71 2.09 1.02 0.57 1.0815 2.25 1.12 1.22 1.11 0.57 2.25 BASEPLATE SIZE 5 TRIATHLON TRITANIUM N/A C1776 N/A 3700 "2,298.13" "1,304.00" "1,809.28" 881.22 "2,048.47" "2,506.20" "1,226.74" 683.14 1295 "2,691.84" "1,339.98" "1,464.28" "1,333.73" 683.14 "2,691.84" BASKET ZERO TIP 1.9 FR N/A N/A N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 BB-TAK N/A N/A N/A 200 124.22 70.49 97.8 47.63 110.73 135.47 66.31 36.93 70 145.5 72.43 79.15 72.09 36.93 145.5 BEADED CABLE AND SLEEVE SET N/A C1713 N/A 801.6 497.89 282.51 391.98 190.92 443.8 542.96 265.77 148 280.56 583.18 290.3 317.23 288.95 148 583.18 BEARING POSTERIOR STABILIZED 6MM N/A C1776 N/A 8000 "4,968.92" "2,819.45" "3,911.96" "1,905.34" "4,429.13" "5,418.81" "2,652.40" "1,477.07" 2800 "5,820.20" "2,897.25" "3,166.01" "2,883.73" "1,477.07" "5,820.20" BETADINE SOLUTION 5% N/A N/A N/A 37.92 23.55 13.36 18.54 9.03 20.99 25.69 12.57 7 13.272 27.59 13.73 15.01 13.67 7 27.59 BIG 60 INFLATION DEVICE N/A N/A N/A 437.5 271.74 154.19 213.94 104.2 242.22 296.34 145.05 80.78 153.125 318.29 158.44 173.14 157.7 80.78 318.29 BINDER ABDOMINAL 12 UNIV N/A N/A N/A 31.52 19.58 11.11 15.41 7.51 17.45 21.35 10.45 5.82 11.032 22.93 11.42 12.47 11.36 5.82 22.93 BINDER ABDOMINAL 9 N/A N/A N/A 26.32 16.35 9.28 12.87 6.27 14.57 17.83 8.73 4.86 9.212 19.15 9.53 10.42 9.49 4.86 19.15 BIOCOMPOSITE SWIVEL SP SELF PUNCHING N/A C1713 N/A 1260 782.61 444.06 616.13 300.09 697.59 853.46 417.75 232.64 441 916.68 456.32 498.65 454.19 232.64 916.68 BIOPSY NEEDLE - CHIBA 18G X 10CM CTSUP N/A N/A N/A 41.52 25.79 14.63 20.3 9.89 22.99 28.12 13.77 7.67 14.532 30.21 15.04 16.43 14.97 7.67 30.21 BIOPSY NEEDLE - CHIBA 18G X 15CM CTSUP N/A N/A N/A 41.52 25.79 14.63 20.3 9.89 22.99 28.12 13.77 7.67 14.532 30.21 15.04 16.43 14.97 7.67 30.21 BIOPSY NEEDLE - CHIBA 20G X 10CM CTSUP N/A N/A N/A 41.52 25.79 14.63 20.3 9.89 22.99 28.12 13.77 7.67 14.532 30.21 15.04 16.43 14.97 7.67 30.21 BLADE MINI #6900 N/A N/A N/A 20.48 12.72 7.22 10.01 4.88 11.34 13.87 6.79 3.78 7.168 14.9 7.42 8.1 7.38 3.78 14.9 BLADE BEAVER 6700 N/A N/A N/A 1.55 0.96 0.55 0.76 0.37 0.86 1.05 0.51 0.29 0.5425 1.13 0.56 0.61 0.56 0.29 1.13 BLADE NARROW SAW N/A N/A N/A 729 452.79 256.92 356.48 173.62 403.6 493.79 241.7 134.6 255.15 530.37 264.01 288.5 262.78 134.6 530.37 BLADE SAG 138 N/A N/A N/A 53.28 33.09 18.78 26.05 12.69 29.5 36.09 17.67 9.84 18.648 38.76 19.3 21.09 19.21 9.84 38.76 BLADE SAG 139 N/A N/A N/A 53.28 33.09 18.78 26.05 12.69 29.5 36.09 17.67 9.84 18.648 38.76 19.3 21.09 19.21 9.84 38.76 BLADE SAG SAW N/A N/A N/A 205.21 127.46 72.32 100.35 48.87 113.61 139 68.04 37.89 71.8235 149.3 74.32 81.21 73.97 37.89 149.3 BLADE SAG SAW SYSTEM 6 N/A N/A N/A 193.13 119.96 68.07 94.44 46 106.92 130.82 64.03 35.66 67.5955 140.51 69.94 76.43 69.62 35.66 140.51 BLADE SAGITTAL 3.5 X 98 INS6 N/A N/A N/A 193.13 119.96 68.07 94.44 46 106.92 130.82 64.03 35.66 67.5955 140.51 69.94 76.43 69.62 35.66 140.51 BLADE SAGITTAL 90 X 12.7 X 1.19 N/A N/A N/A 193.13 119.96 68.07 94.44 46 106.92 130.82 64.03 35.66 67.5955 140.51 69.94 76.43 69.62 35.66 140.51 BLADE SAW RECIP 70 X 12.5 X .8MM N/A N/A N/A 120 74.53 42.29 58.68 28.58 66.44 81.28 39.79 22.16 42 87.3 43.46 47.49 43.26 22.16 87.3 BLADE STERNUM N/A N/A N/A 88 54.66 31.01 43.03 20.96 48.72 59.61 29.18 16.25 30.8 64.02 31.87 34.83 31.72 16.25 64.02 BONE CUTTER 4MM X 13CM BX/5 N/A N/A N/A 231 143.48 81.41 112.96 55.02 127.89 156.47 76.59 42.65 80.85 168.06 83.66 91.42 83.27 42.65 168.06 BONE MARROW BIOPSY NEEDLE - 152MM N/A N/A N/A 542.5 336.96 191.19 265.28 129.21 300.35 367.46 179.87 100.16 189.875 394.68 196.47 214.69 195.55 100.16 394.68 BONE SCREWS N/A C1713 N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 BONE WAX W31G N/A N/A N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 "BRA 3XL PINK ELIZABETH SURGICAL 45-48""" N/A N/A N/A 128 79.5 45.11 62.59 30.49 70.87 86.7 42.44 23.63 44.8 93.12 46.36 50.66 46.14 23.63 93.12 "BRA MEDIUM PINK ELIZABETH SURGICAL 33-36""" N/A N/A N/A 128 79.5 45.11 62.59 30.49 70.87 86.7 42.44 23.63 44.8 93.12 46.36 50.66 46.14 23.63 93.12 "BRA XLARGE PINK ELIZABETH SURGICAL 39-42""" N/A N/A N/A 128 79.5 45.11 62.59 30.49 70.87 86.7 42.44 23.63 44.8 93.12 46.36 50.66 46.14 23.63 93.12 BRACE TROM ADVANCE COOL KNEE N/A L1832 N/A 314.44 195.3 110.82 153.76 74.89 174.09 212.99 104.25 58.06 110.054 228.76 113.88 124.44 113.35 58.06 228.76 BRONCH SUCTION BUTTON N/A N/A N/A 30.44 18.91 10.73 14.88 7.25 16.85 20.62 10.09 5.62 10.654 22.15 11.02 12.05 10.97 5.62 22.15 "BRUSH, PEG" N/A N/A N/A 6.69 4.16 2.36 3.27 1.59 3.7 4.53 2.22 1.24 2.3415 4.87 2.42 2.65 2.41 1.24 4.87 BULB ONLY FOR HEMAVAC'S N/A N/A N/A 2.59 1.61 0.91 1.27 0.62 1.43 1.75 0.86 0.48 0.9065 1.88 0.94 1.02 0.93 0.48 1.88 BURR OVAL XLONG N/A N/A N/A 81.6 50.68 28.76 39.9 19.43 45.18 55.27 27.05 15.07 28.56 59.37 29.55 32.29 29.41 15.07 59.37 CANISTER INFO VAC N/A N/A N/A 69.07 42.9 24.34 33.77 16.45 38.24 46.78 22.9 12.75 24.1745 50.25 25.01 27.33 24.9 12.75 50.25 CANNULA 5MM STABILITY SLEEVE N/A N/A N/A 64.64 40.15 22.78 31.61 15.4 35.79 43.78 21.43 11.93 22.624 47.03 23.41 25.58 23.3 11.93 47.03 CANNULA SEAL 5MM-8MM DAVINCI N/A N/A N/A 75.6 46.96 26.64 36.97 18.01 41.86 51.21 25.07 13.96 26.46 55 27.38 29.92 27.25 13.96 55 CANNULA TWIST 8.25MM X 7CM N/A N/A N/A 100 62.11 35.24 48.9 23.82 55.36 67.74 33.16 18.46 35 72.75 36.22 39.58 36.05 18.46 72.75 CARR-LOCKE INJECTION NEEDLE 25G N/A N/A N/A 87.5 54.35 30.84 42.79 20.84 48.44 59.27 29.01 16.16 30.625 63.66 31.69 34.63 31.54 16.16 63.66 CATHETER - 2.0FX135CM TELEPORT MICROCATHETER N/A C1769 N/A 1350 838.51 475.78 660.14 321.53 747.42 914.42 447.59 249.26 472.5 982.16 488.91 534.26 486.63 249.26 982.16 CATHETER - 5F FL3 N/A N/A N/A 38 23.6 13.39 18.58 9.05 21.04 25.74 12.6 7.02 13.3 27.65 13.76 15.04 13.7 7.02 27.65 CATHETER - AL1 5F N/A N/A N/A 30.68 19.06 10.81 15 7.31 16.99 20.78 10.17 5.66 10.738 22.32 11.11 12.14 11.06 5.66 22.32 CATHETER - ANGLED TAPER GLIDECATH 5FX65CM N/A C1887 N/A 194.2 120.62 68.44 94.96 46.25 107.52 131.54 64.39 35.86 67.97 141.29 70.33 76.85 70 35.86 141.29 CATHETER - IMA 5F N/A N/A N/A 30.68 19.06 10.81 15 7.31 16.99 20.78 10.17 5.66 10.738 22.32 11.11 12.14 11.06 5.66 22.32 CATHETER - JL 3.5 5F N/A N/A N/A 32.28 20.05 11.38 15.78 7.69 17.87 21.86 10.7 5.96 11.298 23.48 11.69 12.77 11.64 5.96 23.48 CATHETER - JL 4.0 5F N/A N/A N/A 32.28 20.05 11.38 15.78 7.69 17.87 21.86 10.7 5.96 11.298 23.48 11.69 12.77 11.64 5.96 23.48 CATHETER - JR 3.5 5F N/A N/A N/A 30.68 19.06 10.81 15 7.31 16.99 20.78 10.17 5.66 10.738 22.32 11.11 12.14 11.06 5.66 22.32 CATHETER - JR 4.0 5F N/A N/A N/A 282.45 175.43 99.54 138.12 67.27 156.38 191.32 93.65 52.15 98.8575 205.49 102.29 111.78 101.81 52.15 205.49 CATHETER - JR4.0 5F (MEDTRONIC) N/A N/A N/A 36 22.36 12.69 17.6 8.57 19.93 24.38 11.94 6.65 12.6 26.19 13.04 14.25 12.98 6.65 26.19 CATHETER - LCB 6F N/A N/A N/A 30.68 19.06 10.81 15 7.31 16.99 20.78 10.17 5.66 10.738 22.32 11.11 12.14 11.06 5.66 22.32 CATHETER - MODIFIED HOOK N/A N/A N/A 368.9 229.13 130.01 180.39 87.86 204.24 249.87 122.31 68.11 129.115 268.38 133.6 145.99 132.98 68.11 268.38 CATHETER - MULTIPURPOSE A-1 5F N/A N/A N/A 153.4 95.28 54.06 75.01 36.53 84.93 103.91 50.86 28.32 53.69 111.6 55.55 60.71 55.3 28.32 111.6 CATHETER - NAVICROSS 135CM ANGLED N/A C1887 N/A 598.5 371.74 210.93 292.66 142.54 331.35 405.39 198.43 110.5 209.475 435.42 216.75 236.86 215.74 110.5 435.42 CATHETER - NAVICROSS 150CM ANGLED N/A C1887 N/A 598.5 371.74 210.93 292.66 142.54 331.35 405.39 198.43 110.5 209.475 435.42 216.75 236.86 215.74 110.5 435.42 CATHETER - NAVICROSS 90CM ANGLED N/A C1887 N/A 598.5 371.74 210.93 292.66 142.54 331.35 405.39 198.43 110.5 209.475 435.42 216.75 236.86 215.74 110.5 435.42 CATHETER - PIGTAIL 5F N/A N/A N/A 32.28 20.05 11.38 15.78 7.69 17.87 21.86 10.7 5.96 11.298 23.48 11.69 12.77 11.64 5.96 23.48 CATHETER - PIGTAIL 6F N/A N/A N/A 30.68 19.06 10.81 15 7.31 16.99 20.78 10.17 5.66 10.738 22.32 11.11 12.14 11.06 5.66 22.32 CATHETER - PIGTAIL ANGLED 5F N/A N/A N/A 30.68 19.06 10.81 15 7.31 16.99 20.78 10.17 5.66 10.738 22.32 11.11 12.14 11.06 5.66 22.32 CATHETER - PRONTO LP EXTRACTION N/A C1757 N/A 930 577.64 327.76 454.76 221.5 514.89 629.94 308.34 171.71 325.5 676.6 336.81 368.05 335.23 171.71 676.6 CATHETER - RIM 5F (MERIT) N/A N/A N/A 48 29.81 16.92 23.47 11.43 26.57 32.51 15.91 8.86 16.8 34.92 17.38 19 17.3 8.86 34.92 CATHETER - RUBICON 14 150CM N/A C1887 N/A 472.5 293.48 166.52 231.05 112.53 261.6 320.05 156.66 87.24 165.375 343.76 171.12 186.99 170.32 87.24 343.76 CATHETER - SWAN GANZ MONITORING N/A N/A N/A 1455 903.72 512.79 711.49 346.53 805.55 985.55 482.41 268.64 509.25 "1,058.55" 526.94 575.82 524.48 268.64 "1,058.55" CATHETER - THROMBECTOMY OMNI N/A C1757 N/A 5421.03 "3,367.09" "1,910.54" "2,650.85" "1,291.12" "3,001.31" "3,671.94" "1,797.34" "1,000.90" 1897.3605 "3,943.93" "1,963.26" "2,145.38" "1,954.10" "1,000.90" "3,943.93" CATHETER - TIGER 4.0 5FR 110CM N/A N/A N/A 612.5 380.43 215.86 299.51 145.88 339.11 414.88 203.07 113.09 214.375 445.61 221.82 242.4 220.79 113.09 445.61 CATHETER - TWIN-PASS TORQUE N/A C1877 N/A 1365 847.82 481.07 667.48 325.1 755.72 924.58 452.57 252.02 477.75 993.07 494.34 540.2 492.04 252.02 993.07 CATHETER COUDE FOLEY 12 FR 5CC N/A C1729 N/A 41.21 25.6 14.52 20.15 9.81 22.82 27.91 13.66 7.61 14.4235 29.98 14.92 16.31 14.85 7.61 29.98 CATHETER COUDE FOLEY 16 FR N/A C1729 N/A 41.21 25.6 14.52 20.15 9.81 22.82 27.91 13.66 7.61 14.4235 29.98 14.92 16.31 14.85 7.61 29.98 CATHETER DUAL LUMEN N/A C1758 N/A 236.64 146.98 83.4 115.72 56.36 131.01 160.29 78.46 43.69 82.824 172.16 85.7 93.65 85.3 43.69 172.16 CATHETER FOLEY LATEX 18FR 2WAY 5CC N/A C1729 N/A 3.35 2.08 1.18 1.64 0.8 1.85 2.27 1.11 0.62 1.1725 2.44 1.21 1.33 1.21 0.62 2.44 CATHETER FOLEY LATEX 20FR 2WAY 5CC N/A C1729 N/A 3.27 2.03 1.15 1.6 0.78 1.81 2.21 1.08 0.6 1.1445 2.38 1.18 1.29 1.18 0.6 2.38 CATHETER FOLEY LATEX 22FR 3WAY 30CC N/A C1729 N/A 35.64 22.14 12.56 17.43 8.49 19.73 24.14 11.82 6.58 12.474 25.93 12.91 14.1 12.85 6.58 25.93 CATHETER FOLEY LF 14FR 2WAY 5CC N/A C1729 N/A 3.63 2.25 1.28 1.78 0.86 2.01 2.46 1.2 0.67 1.2705 2.64 1.31 1.44 1.31 0.67 2.64 CATHETER FOLEY LF 18 FR 2WAY 5CC N/A C1729 N/A 3.21 1.99 1.13 1.57 0.76 1.78 2.17 1.06 0.59 1.1235 2.34 1.16 1.27 1.16 0.59 2.34 CATHETER INTRODUCER 18G X 2.5 N/A N/A N/A 610.44 379.15 215.14 298.5 145.39 337.96 413.48 202.39 112.71 213.654 444.11 221.07 241.58 220.04 112.71 444.11 CATHETER LATEX 16FR ALL PURPOSE N/A C1729 N/A 0.77 0.48 0.27 0.38 0.18 0.43 0.52 0.26 0.14 0.2695 0.56 0.28 0.3 0.28 0.14 0.56 CATHETER LATEX 18FR ALL PURPOSE N/A C1729 N/A 0.77 0.48 0.27 0.38 0.18 0.43 0.52 0.26 0.14 0.2695 0.56 0.28 0.3 0.28 0.14 0.56 CATHETER LATEX 8FR ALL PURPOSE N/A C1729 N/A 0.77 0.48 0.27 0.38 0.18 0.43 0.52 0.26 0.14 0.2695 0.56 0.28 0.3 0.28 0.14 0.56 CATHETER OPEN END POLLACK 5 FR N/A C1758 N/A 48.96 30.41 17.26 23.94 11.66 27.11 33.16 16.23 9.04 17.136 35.62 17.73 19.38 17.65 9.04 35.62 CATHETER PRESTERNAL PERITONEAL DIALYSIS N/A C1750 N/A 1610.25 "1,000.15" 567.5 787.4 383.51 891.5 "1,090.70" 533.88 297.31 563.5875 "1,171.50" 583.16 637.26 580.44 297.31 "1,171.50" CAUTERY TIP 0014 N/A N/A N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 CEMENT BONE PALACOS R +G N/A C1713 N/A 581.88 361.41 205.07 284.53 138.58 322.15 394.13 192.92 107.43 203.65625 423.33 210.73 230.28 209.75 107.43 423.33 CEMENT R HV SIMPLEX N/A C1713 N/A 227.5 141.3 80.18 111.25 54.18 125.95 154.1 75.43 42 79.625 165.51 82.39 90.03 82.01 42 165.51 CEMENTED STEM N/A C1776 N/A 2766 "1,718.01" 974.82 "1,352.56" 658.77 "1,531.37" "1,873.55" 917.07 510.7 968.1 "2,012.33" "1,001.72" "1,094.65" 997.05 510.7 "2,012.33" CLEARVISION TUBING SET (FESS ) N/A N/A N/A 116.48 72.35 41.05 56.96 27.74 64.49 78.9 38.62 21.51 40.768 84.74 42.18 46.1 41.99 21.51 84.74 CLIP APPLIER 5MM LAPAROSCOPIC N/A N/A N/A 445.67 276.81 157.07 217.93 106.14 246.74 301.87 147.76 82.29 155.9845 324.24 161.4 176.37 160.65 82.29 324.24 CLIP APPLIER LAPAROSCOPIC 10MM N/A N/A N/A 254.5 158.07 89.69 124.45 60.61 140.9 172.39 84.38 46.99 89.075 185.16 92.17 100.72 91.74 46.99 185.16 CLIP APPLIER LG N/A N/A N/A 254.5 158.07 89.69 124.45 60.61 140.9 172.39 84.38 46.99 89.075 185.16 92.17 100.72 91.74 46.99 185.16 CLIP APPLIER MCA MULTI 11.5 N/A N/A N/A 175.21 108.83 61.75 85.68 41.73 97 118.68 58.09 32.35 61.3235 127.47 63.45 69.34 63.16 32.35 127.47 CLIP APPLIER MEDIUM OPEN N/A N/A N/A 175.21 108.83 61.75 85.68 41.73 97 118.68 58.09 32.35 61.3235 127.47 63.45 69.34 63.16 32.35 127.47 "CLIP APPLIER, LARGE 13.0" N/A N/A N/A 175.39 108.94 61.81 85.76 41.77 97.1 118.8 58.15 32.38 61.3865 127.6 63.52 69.41 63.22 32.38 127.6 "CLIP APPLIER, LARGE OPEN" N/A N/A N/A 177.15 110.03 62.43 86.63 42.19 98.08 119.99 58.73 32.71 62.0025 128.88 64.16 70.11 63.86 32.71 128.88 CLIP WECK HEMOLOK LG N/A N/A N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 CLIP WECK HEMOLOK MED/LG N/A N/A N/A 105.62 65.6 37.22 51.65 25.16 58.48 71.54 35.02 19.5 36.967 76.84 38.25 41.8 38.07 19.5 76.84 CLOSURE - SAFEGUARD FOCUS N/A C1725 N/A 315 195.65 111.02 154.03 75.02 174.4 213.37 104.44 58.16 110.25 229.17 114.08 124.66 113.55 58.16 229.17 CLOSURE - VASCBAND - LONG N/A N/A N/A 78 48.45 27.49 38.14 18.58 43.18 52.83 25.86 14.4 27.3 56.75 28.25 30.87 28.12 14.4 56.75 CLOSURE - VASCBAND - REGULAR N/A N/A N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 CLOSURE - VASCBAND -SHORT N/A N/A N/A 83.2 51.68 29.32 40.68 19.82 46.06 56.36 27.58 15.36 29.12 60.53 30.13 32.93 29.99 15.36 60.53 CLOSURE DEVICE - MYNX 5F GRIP N/A C1762 N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 CLOSURE DEVICE - MYNX CONTROL N/A C1762 N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 COBLATION WAND EIC-5872 N/A N/A N/A 937.14 582.07 330.28 458.26 223.2 518.84 634.77 310.71 173.03 327.999 681.79 339.39 370.87 337.81 173.03 681.79 COBLATION WAND PROCISE XP N/A N/A N/A 882.6 548.2 311.06 431.59 210.21 488.64 597.83 292.63 162.96 308.91 642.11 319.64 349.29 318.15 162.96 642.11 COLD SNARE EXACTO N/A N/A N/A 30 18.63 10.57 14.67 7.15 16.61 20.32 9.95 5.54 10.5 21.83 10.86 11.87 10.81 5.54 21.83 COLLAR VISTA N/A L0172 N/A 732 454.66 257.98 357.94 174.34 405.27 495.82 242.69 135.15 256.2 532.55 265.1 289.69 263.86 135.15 532.55 COMPACT MIXING SYSTEM N/A N/A N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 COMPACT MIXING SYSTEM CEMENT N/A N/A N/A 192.5 119.56 67.84 94.13 45.85 106.58 130.39 63.82 35.54 67.375 140.05 69.72 76.18 69.39 35.54 140.05 CONRAY 50ML N/A N/A N/A 66.15 41.09 23.31 32.35 15.75 36.62 44.81 21.93 12.21 23.1525 48.13 23.96 26.18 23.84 12.21 48.13 CORE/HUMMER DISP CASSETTE N/A N/A N/A 1785 "1,108.69" 629.09 872.86 425.13 988.25 "1,209.07" 591.82 329.57 624.75 "1,298.63" 646.45 706.42 643.43 329.57 "1,298.63" CORSON PROBE /ASSY STRYKEFLOW 2W/TIP N/A N/A N/A 191.6 119.01 67.53 93.69 45.63 106.08 129.78 63.53 35.38 67.06 139.39 69.39 75.83 69.07 35.38 139.39 COUNTERSINK 2.0/2.4MM CANNULATED N/A N/A N/A 612.5 380.43 215.86 299.51 145.88 339.11 414.88 203.07 113.09 214.375 445.61 221.82 242.4 220.79 113.09 445.61 COUNTERSINK 3.0MM CANNULATED N/A N/A N/A 612.5 380.43 215.86 299.51 145.88 339.11 414.88 203.07 113.09 214.375 445.61 221.82 242.4 220.79 113.09 445.61 COVER TRANSDUCER NEOGUARD N/A N/A N/A 3.28 2.04 1.16 1.6 0.78 1.82 2.22 1.09 0.61 1.148 2.39 1.19 1.3 1.18 0.61 2.39 CPT LAPARASCOPIC HERNIA REPAIR N/A N/A N/A 388.85 241.52 137.04 190.15 92.61 215.28 263.39 128.92 71.79 136.0975 282.9 140.82 153.89 140.17 71.79 282.9 CPT MYRINGOTOMY PACK N/A N/A N/A 82.16 51.03 28.96 40.18 19.57 45.49 55.65 27.24 15.17 28.756 59.77 29.75 32.51 29.62 15.17 59.77 CPT TONSIL PACK N/A N/A N/A 153.41 95.29 54.07 75.02 36.54 84.93 103.91 50.86 28.32 53.6935 111.61 55.56 60.71 55.3 28.32 111.61 "CPT,LAPARASCOPIC TUBAL LIG PAC" N/A N/A N/A 328.97 204.33 115.94 160.86 78.35 182.13 222.83 109.07 60.74 115.1395 239.33 119.14 130.19 118.58 60.74 239.33 "CPT,PODIATRY PACK" N/A N/A N/A 187.74 116.61 66.17 91.8 44.71 103.94 127.17 62.25 34.66 65.709 136.59 67.99 74.3 67.67 34.66 136.59 CRUTCHES ADULT MEDIUM N/A N/A N/A 29.33 18.22 10.34 14.34 6.99 16.24 19.87 9.72 5.42 10.2655 21.34 10.62 11.61 10.57 5.42 21.34 CT CLOSURE SYSTEM STD N/A N/A N/A 510.3 316.96 179.85 249.53 121.54 282.52 345.65 169.19 94.22 178.605 371.26 184.81 201.95 183.95 94.22 371.26 CT CLOSURE SYSTEM XL N/A N/A N/A 665.28 413.22 234.47 325.32 158.45 368.33 450.63 220.57 122.83 232.848 484.01 240.94 263.29 239.81 122.83 484.01 CURETTE 8MM CURVED CANNULA N/A N/A N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 CUTTER LINEAR FLEX ARTIC 45MM N/A N/A N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 DERMABOND N/A N/A N/A 75.07 46.63 26.46 36.71 17.88 41.56 50.85 24.89 13.86 26.2745 54.62 27.19 29.71 27.06 13.86 54.62 DERMABOND PRINEO 22CM N/A N/A N/A 291.41 181 102.7 142.5 69.4 161.34 197.39 96.62 53.8 101.9935 212.01 105.54 115.33 105.04 53.8 212.01 DETACHABLE SCISSORS N/A N/A N/A 954.81 593.05 336.5 466.9 227.41 528.62 646.74 316.57 176.29 334.1835 694.65 345.79 377.87 344.18 176.29 694.65 DEVICE TROCLEAN TROCAR CLEANING N/A N/A N/A 73.67 45.76 25.96 36.02 17.55 40.79 49.9 24.43 13.6 25.7845 53.6 26.68 29.15 26.56 13.6 53.6 DISP CEMENT SCULPS N/A N/A N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 DISPS KITTRANS-TIB ACL W/P SAWBLD N/A N/A N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 DOYLE NASAL SEPTAL SPLINT N/A N/A N/A 257.6 160 90.79 125.96 61.35 142.62 174.49 85.41 47.56 90.16 187.41 93.29 101.95 92.86 47.56 187.41 DR LEMON'S K WIRES .045 N/A C1713 N/A 26.26 16.31 9.25 12.84 6.25 14.54 17.78 8.7 4.85 9.18925 19.1 9.51 10.39 9.46 4.85 19.1 DR LEMON'S K WIRES .062 N/A C1713 N/A 26.25 16.3 9.25 12.84 6.25 14.53 17.78 8.7 4.85 9.1875 19.1 9.51 10.39 9.46 4.85 19.1 "DRAIN BAG, UROLOGICAL CMS958" N/A N/A N/A 41 25.47 14.45 20.05 9.76 22.7 27.77 13.59 7.57 14.35 29.83 14.85 16.23 14.78 7.57 29.83 DRAIN JP 15FR ROUND WITH END PERFORATION N/A N/A N/A 21.56 13.39 7.6 10.54 5.13 11.94 14.6 7.15 3.98 7.546 15.69 7.81 8.53 7.77 3.98 15.69 DRAIN PENROSE 12 N/A N/A N/A 0.69 0.43 0.24 0.34 0.16 0.38 0.47 0.23 0.13 0.2415 0.5 0.25 0.27 0.25 0.13 0.5 DRAIN ROUND SILICONE HUBLESS 19FR N/A N/A N/A 235.38 146.2 82.96 115.1 56.06 130.32 159.43 78.04 43.46 82.383 171.24 85.24 93.15 84.85 43.46 171.24 DRAINAGE CATH 8F FLEXIM APD INVRAD CTSUP N/A C1729 N/A 280.88 174.46 98.99 137.35 66.9 155.51 190.25 93.13 51.86 98.308 204.35 101.72 111.16 101.25 51.86 204.35 DRAINS MINI SYNDER 10 X 20 N/A N/A N/A 47.17 29.3 16.62 23.07 11.23 26.12 31.95 15.64 8.71 16.5095 34.32 17.08 18.67 17 8.71 34.32 DRAPE C-ARMOR N/A N/A N/A 177.76 110.41 62.65 86.92 42.34 98.42 120.41 58.94 32.82 62.216 129.32 64.38 70.35 64.08 32.82 129.32 DRESSING ABTHERA N/A E2402 N/A 1420.56 882.33 500.65 694.65 338.33 786.48 962.22 470.99 262.28 497.196 "1,033.49" 514.46 562.19 512.06 262.28 "1,033.49" DRESSING MEPILEX AG 4X10 (SILVER) N/A N/A N/A 102.87 63.89 36.25 50.3 24.5 56.95 69.68 34.11 18.99 36.0045 74.84 37.26 40.71 37.08 18.99 74.84 DRESSING MEPILEX AG 4X12 (SILVER) N/A N/A N/A 117.54 73.01 41.42 57.48 27.99 65.08 79.62 38.97 21.7 41.139 85.51 42.57 46.52 42.37 21.7 85.51 DRESSING MEPILEX AG 4X4 (SILVER) N/A N/A N/A 35.79 22.23 12.61 17.5 8.52 19.81 24.24 11.87 6.61 12.5265 26.04 12.96 14.16 12.9 6.61 26.04 DRESSING MEPILEX AG 4X8 (SILVER) N/A N/A N/A 95.49 59.31 33.65 46.69 22.74 52.87 64.68 31.66 17.63 33.4215 69.47 34.58 37.79 34.42 17.63 69.47 DRESSING MEPILEX BORDER FLEX 3X3 N/A N/A N/A 1.81 1.12 0.64 0.89 0.43 1 1.23 0.6 0.33 0.6335 1.32 0.66 0.72 0.65 0.33 1.32 DRESSING MEPILEX BORDER FLEX 4X4 N/A N/A N/A 2.46 1.53 0.87 1.2 0.59 1.36 1.67 0.82 0.45 0.861 1.79 0.89 0.97 0.89 0.45 1.79 DRESSING MEPILEX FOAM 4X4 N/A N/A N/A 59.8 37.14 21.08 29.24 14.24 33.11 40.51 19.83 11.04 20.93 43.51 21.66 23.67 21.56 11.04 43.51 DRESSING MEPILEX POST OP 4X10 N/A N/A N/A 23.32 14.48 8.22 11.4 5.55 12.91 15.8 7.73 4.31 8.162 16.97 8.45 9.23 8.41 4.31 16.97 DRESSING MEPILEX POST OP 4X12 N/A N/A N/A 23.51 14.6 8.29 11.5 5.6 13.02 15.92 7.79 4.34 8.2285 17.1 8.51 9.3 8.47 4.34 17.1 DRESSING TEGADERM 2 1/4 X 2 3/4 N/A N/A N/A 0.2 0.12 0.07 0.1 0.05 0.11 0.14 0.07 0.04 0.07 0.15 0.07 0.08 0.07 0.04 0.15 DRESSING TRACH 4X4 STERILE N/A N/A N/A 2.13 1.32 0.75 1.04 0.51 1.18 1.44 0.71 0.39 0.7455 1.55 0.77 0.84 0.77 0.39 1.55 DRESSING WHITE FOAM SM 10 X 7.5 N/A N/A N/A 39.07 24.27 13.77 19.11 9.31 21.63 26.46 12.95 7.21 13.6745 28.42 14.15 15.46 14.08 7.21 28.42 DRILL AO N/A N/A N/A 380.1 236.09 133.96 185.87 90.53 210.44 257.46 126.02 70.18 133.035 276.53 137.66 150.42 137.01 70.18 276.53 DRILL BIT N/A N/A N/A 2493 "1,548.44" 878.61 "1,219.06" 593.75 "1,380.23" "1,688.64" 826.56 460.29 872.55 "1,813.72" 902.86 986.61 898.64 460.29 "1,813.72" DRILL BIT 2.6 X 220MM AO N/A N/A N/A 266 165.22 93.75 130.07 63.35 147.27 180.18 88.19 49.11 93.1 193.52 96.33 105.27 95.88 49.11 193.52 DRILL BIT 3 X 60MM MICA CANNULATED N/A N/A N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 DRILL BIT 3.1 N/A N/A N/A 245 152.17 86.35 119.8 58.35 135.64 165.95 81.23 45.24 85.75 178.24 88.73 96.96 88.31 45.24 178.24 DRILL BIT 4.2 3 FLUTED NP145MM N/S N/A N/A N/A 650.48 404.02 229.25 318.08 154.92 360.13 440.6 215.67 120.1 227.668 473.24 235.58 257.43 234.48 120.1 473.24 DRILL BIT CANN 2.7MM TWIST W/ AO F N/A N/A N/A 928.5 576.71 327.23 454.03 221.14 514.06 628.92 307.84 171.43 324.975 675.51 336.26 367.45 334.69 171.43 675.51 "DRILL BIT, AO DIA 2.6MM X 135MM, SCALED" N/A N/A N/A 549.5 341.3 193.66 268.7 130.87 304.23 372.2 182.19 101.46 192.325 399.77 199 217.47 198.08 101.46 399.77 DRILL GUIDE 1.8 N/A N/A N/A 1506.84 935.92 531.06 736.84 358.88 834.25 "1,020.66" 499.59 278.21 527.394 "1,096.26" 545.71 596.33 543.17 278.21 "1,096.26" DUAL FOIL UNIVERSAL GROUNDING N/A N/A N/A 2.28 1.42 0.8 1.11 0.54 1.26 1.54 0.76 0.42 0.798 1.66 0.83 0.9 0.82 0.42 1.66 DURA CLIPS 11MM N/A N/A N/A 369.75 229.66 130.31 180.81 88.06 204.71 250.45 122.59 68.27 129.4125 269 133.91 146.33 133.28 68.27 269 DYNANITE PIP-BENT 14MM W/INSTR N/A C1713 N/A 3737.5 "2,321.42" "1,317.21" "1,827.62" 890.15 "2,069.24" "2,531.60" "1,239.17" 690.07 1308.125 "2,719.12" "1,353.56" "1,479.12" "1,347.24" 690.07 "2,719.12" EASY CLIP MONCRTCL FIXN DEVICE 12X10X10 N/A C1713 N/A 2463.24 "1,529.96" 868.12 "1,204.51" 586.66 "1,363.75" "1,668.48" 816.69 454.8 862.134 "1,792.07" 892.08 974.83 887.91 454.8 "1,792.07" EEA 29MM N/A N/A N/A 1200.87 745.88 423.22 587.22 286.01 664.85 813.41 398.15 221.72 420.3045 873.66 434.9 475.25 432.87 221.72 873.66 "EENT PACK,I EVOL" N/A N/A N/A 74.66 46.37 26.31 36.51 17.78 41.33 50.57 24.75 13.78 26.131 54.32 27.04 29.55 26.91 13.78 54.32 EENT PRECISION CUTTER N/A N/A N/A 409.01 254.04 144.15 200 97.41 226.44 277.04 135.61 75.52 143.1535 297.56 148.13 161.87 147.43 75.52 297.56 ELECTRODE 24FR BIPOLAR COAGULATION BALL N/A N/A N/A 1414.98 878.87 498.68 691.92 337 783.39 958.44 469.14 261.25 495.243 "1,029.43" 512.44 559.98 510.05 261.25 "1,029.43" "ELECTRODE, C-LETZ CONIZATION 1" N/A N/A N/A 64.4 40 22.7 31.49 15.34 35.65 43.62 21.35 11.89 22.54 46.85 23.32 25.49 23.21 11.89 46.85 "ELECTRODE, C-LETZ CONIZATION 5" N/A N/A N/A 64.4 40 22.7 31.49 15.34 35.65 43.62 21.35 11.89 22.54 46.85 23.32 25.49 23.21 11.89 46.85 "ELECTRODE, CTZ CONIZATION 20X1" N/A N/A N/A 64.4 40 22.7 31.49 15.34 35.65 43.62 21.35 11.89 22.54 46.85 23.32 25.49 23.21 11.89 46.85 ELETROSURG PENCIL FOR FOOT SWITCH N/A N/A N/A 21.8 13.54 7.68 10.66 5.19 12.07 14.77 7.23 4.03 7.63 15.86 7.9 8.63 7.86 4.03 15.86 ELEVIEW 10ML SUBMUCOSAL INJECTABLE N/A N/A N/A 215.27 133.71 75.87 105.27 51.27 119.18 145.81 71.37 39.75 75.3445 156.61 77.96 85.19 77.6 39.75 156.61 ENDO SUCTION/IRRIGATION W/TUBING STRYKER N/A N/A N/A 276.43 171.69 97.42 135.17 65.84 153.04 187.24 91.65 51.04 96.7505 201.11 100.11 109.4 99.64 51.04 201.11 ENDOCUTTER RELOAD N/A N/A N/A 384.04 238.53 135.35 187.79 91.47 212.62 260.13 127.33 70.91 134.414 279.4 139.08 151.98 138.43 70.91 279.4 ENDOPOUCH CATCH SPECIMEN 15MM N/A N/A N/A 901.97 560.23 317.88 441.06 214.82 499.37 610.95 299.05 166.53 315.6895 656.21 326.65 356.96 325.13 166.53 656.21 ENDOSTITCH DEVICE N/A N/A N/A 1298.96 806.8 457.79 635.18 309.37 719.16 879.85 430.67 239.83 454.636 945.03 470.43 514.06 468.23 239.83 945.03 ENDOTRAC BLADE N/A N/A N/A 1000.5 621.43 352.61 489.24 238.29 553.92 677.69 331.72 184.73 350.175 727.89 362.34 395.95 360.65 184.73 727.89 ENDOWRIST STAPLER SHEATH DAVINCI N/A N/A N/A 84 52.17 29.6 41.08 20.01 46.51 56.9 27.85 15.51 29.4 61.11 30.42 33.24 30.28 15.51 61.11 ENDOWRIST SUCTION IRRIG DAVINCI N/A N/A N/A 795 493.79 280.18 388.75 189.34 440.15 538.49 263.58 146.78 278.25 578.38 287.91 314.62 286.57 146.78 578.38 ENSEALX1 LARGE JAW TISSUE N/A N/A N/A 1609.24 999.52 567.15 786.91 383.27 890.94 "1,090.02" 533.54 297.12 563.234 "1,170.76" 582.8 636.86 580.08 297.12 "1,170.76" ENT PRECISION CUTTER 2.5MM AGGRESSIVE N/A N/A N/A 474.47 294.7 167.22 232.01 113 262.69 321.38 157.31 87.6 166.0645 345.19 171.83 187.77 171.03 87.6 345.19 ESMARK 4 N/A N/A N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 ESMARK 6 N/A N/A N/A 3.66 2.27 1.29 1.79 0.87 2.03 2.48 1.21 0.68 1.281 2.66 1.33 1.45 1.32 0.68 2.66 EVACUATED CONTAINER 1000ML N/A N/A N/A 63.53 39.46 22.39 31.07 15.13 35.17 43.03 21.06 11.73 22.2355 46.22 23.01 25.14 22.9 11.73 46.22 EVACUATION PLUME AWAY SMOKE N/A N/A N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 EVARREST PATCH 4 X 2 N/A N/A N/A 2325 "1,444.09" 819.4 "1,136.91" 553.74 "1,287.22" "1,574.84" 770.85 429.27 813.75 "1,691.50" 842.01 920.12 838.08 429.27 "1,691.50" FALLER TUNNELING TROCAR N/A N/A N/A 670.32 416.35 236.24 327.78 159.65 371.12 454.04 222.24 123.76 234.612 487.67 242.76 265.28 241.63 123.76 487.67 FELT PLEDGET 4.8 X 9.5MM N/A N/A N/A 507.5 315.22 178.86 248.16 120.87 280.97 343.76 168.26 93.7 177.625 369.22 183.79 200.84 182.94 93.7 369.22 FEMORAL HEAD N/A C1776 N/A 810 503.1 285.47 396.09 192.92 448.45 548.65 268.56 149.55 283.5 589.3 293.35 320.56 291.98 149.55 589.3 FFR - COMET II N/A C1769 N/A 2175 "1,350.93" 766.54 "1,063.56" 518.02 "1,204.17" "1,473.24" 721.12 401.58 761.25 "1,582.37" 787.69 860.76 784.01 401.58 "1,582.37" FFR - OMNIWIRE N/A C1769 N/A 1980 "1,229.81" 697.81 968.21 471.57 "1,096.21" "1,341.15" 656.47 365.57 693 "1,440.50" 717.07 783.59 713.72 365.57 "1,440.50" FIBER FLEXIVA PULSE ID910 MICRON N/A N/A N/A 2124.53 "1,319.58" 748.75 "1,038.88" 505.99 "1,176.23" "1,439.05" 704.39 392.26 743.5855 "1,545.65" 769.41 840.79 765.82 392.26 "1,545.65" FIBER FLEXIVA PULSE ID 242 N/A N/A N/A 1154.87 717.31 407.01 564.73 275.05 639.38 782.25 382.9 213.23 404.2045 840.2 418.24 457.04 416.29 213.23 840.2 FIBERLOOP #2 BLUE N/A N/A N/A 200 124.22 70.49 97.8 47.63 110.73 135.47 66.31 36.93 70 145.5 72.43 79.15 72.09 36.93 145.5 FIBERTAK RC DISPOSABLES KIT N/A N/A N/A 682.5 423.91 240.53 333.74 162.55 377.86 462.29 226.28 126.01 238.875 496.54 247.17 270.1 246.02 126.01 496.54 FIBERTAPE 2MM BX/6 N/A N/A N/A 200 124.22 70.49 97.8 47.63 110.73 135.47 66.31 36.93 70 145.5 72.43 79.15 72.09 36.93 145.5 FIBERTAPE 54IN 2MM(BLUE)#2FIBERWIRE 8IN N/A C9364 N/A 367.5 228.26 129.52 179.71 87.53 203.46 248.93 121.84 67.85 128.625 267.37 133.09 145.44 132.47 67.85 267.37 FIBERWIRE #2 FIBERSTICK N/A N/A N/A 200 124.22 70.49 97.8 47.63 110.73 135.47 66.31 36.93 70 145.5 72.43 79.15 72.09 36.93 145.5 FIBERWIRE 2 AR-7200 N/A C1713 N/A 88 54.66 31.01 43.03 20.96 48.72 59.61 29.18 16.25 30.8 64.02 31.87 34.83 31.72 16.25 64.02 FIBERWIRE 2 AR-7206 N/A C1713 N/A 88 54.66 31.01 43.03 20.96 48.72 59.61 29.18 16.25 30.8 64.02 31.87 34.83 31.72 16.25 64.02 FIBERWIRE 2-0 AR-7220 BX12 N/A C1713 N/A 88 54.66 31.01 43.03 20.96 48.72 59.61 29.18 16.25 30.8 64.02 31.87 34.83 31.72 16.25 64.02 FIBULOCK IMPLANT SYSTEM N/A N/A N/A 2100 "1,304.34" 740.11 "1,026.89" 500.15 "1,162.65" "1,422.44" 696.26 387.73 735 "1,527.80" 760.53 831.08 756.98 387.73 "1,527.80" FILTER DISPOSABLE N/A N/A N/A 27.36 16.99 9.64 13.38 6.52 15.15 18.53 9.07 5.05 9.576 19.91 9.91 10.83 9.86 5.05 19.91 FISH LG VISCERA RETAINER N/A N/A N/A 155.2 96.4 54.7 75.89 36.96 85.93 105.12 51.46 28.66 54.32 112.91 56.21 61.42 55.94 28.66 112.91 FLUFFS SURGICAL N/A N/A N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 FOGARTY EMBOLECTOMY CATH 4 FR N/A C1757 N/A 149.96 93.14 52.85 73.33 35.72 83.02 101.58 49.72 27.69 52.486 109.1 54.31 59.35 54.06 27.69 109.1 "FORCEPS, BIOPSY DISPOSABLE" N/A N/A N/A 23.28 14.46 8.2 11.38 5.54 12.89 15.77 7.72 4.3 8.148 16.94 8.43 9.21 8.39 4.3 16.94 "FORCEPS, BIOPSY DISPOSABLE JUMBO" N/A N/A N/A 33.04 20.52 11.64 16.16 7.87 18.29 22.38 10.95 6.1 11.564 24.04 11.97 13.08 11.91 6.1 24.04 "FORCEPS, DISPOSABLE BIOPSY ALLGTR JAW" N/A N/A N/A 69.04 42.88 24.33 33.76 16.44 38.22 46.76 22.89 12.75 24.164 50.23 25 27.32 24.89 12.75 50.23 FREDS N/A N/A N/A 3.89 2.42 1.37 1.9 0.93 2.15 2.63 1.29 0.72 1.3615 2.83 1.41 1.54 1.4 0.72 2.83 GASTROTOMY FEEDING TUBE N/A N/A N/A 27.61 17.15 9.73 13.5 6.58 15.29 18.7 9.15 5.1 9.6635 20.09 10 10.93 9.95 5.1 20.09 GELPOINT MINI N/A N/A N/A 2250 "1,397.51" 792.97 "1,100.24" 535.88 "1,245.69" "1,524.04" 745.99 415.43 787.5 "1,636.93" 814.85 890.44 811.05 415.43 "1,636.93" GIA75 N/A N/A N/A 411.13 255.36 144.9 201.04 97.92 227.62 278.48 136.31 75.91 143.8955 299.11 148.89 162.71 148.2 75.91 299.11 GIA75 RELOAD N/A N/A N/A 219.25 136.18 77.27 107.21 52.22 121.39 148.51 72.69 40.48 76.7375 159.51 79.4 86.77 79.03 40.48 159.51 GLENOID BASEPLATE 28MM REUNION RSA N/A C1776 N/A 15200 "9,440.96" "5,356.95" "7,432.72" "3,620.15" "8,415.35" "10,295.73" "5,039.57" "2,806.43" 5320 "11,058.38" "5,504.78" "6,015.42" "5,479.09" "2,806.43" "11,058.38" GOWN BAIR PAWS N/A N/A N/A 17.04 10.58 6.01 8.33 4.06 9.43 11.54 5.65 3.15 5.964 12.4 6.17 6.74 6.14 3.15 12.4 GRAFT PROGRIP RECT 15X9 ( TEM1509G) N/A C1781 N/A 1159.47 720.16 408.63 566.97 276.15 641.93 785.37 384.42 214.08 405.8145 843.54 419.91 458.86 417.95 214.08 843.54 GRAFT 3DMAX MID LEFT LARGE N/A C1781 N/A 705 437.89 248.46 344.74 167.91 390.32 477.53 233.74 130.17 246.75 512.9 255.32 279 254.13 130.17 512.9 GRAFT 3DMAX MID RIGHT LARGE N/A C1781 N/A 705 437.89 248.46 344.74 167.91 390.32 477.53 233.74 130.17 246.75 512.9 255.32 279 254.13 130.17 512.9 GRAFT ACHILLIES 23CM N/A C1762 N/A 5500 "3,416.14" "1,938.37" "2,689.47" "1,309.92" "3,045.03" "3,725.43" "1,823.53" "1,015.48" 1925 "4,001.39" "1,991.86" "2,176.63" "1,982.56" "1,015.48" "4,001.39" GRAFT BIO 4 2.5CC (3102-2102) N/A C1762 N/A 2231.25 "1,385.86" 786.36 "1,091.07" 531.41 "1,235.31" "1,511.34" 739.77 411.96 780.9375 "1,623.29" 808.06 883.02 804.29 411.96 "1,623.29" GRAFT BIO 4 5CC (3102-2105) N/A C1762 N/A 3750 "2,329.18" "1,321.62" "1,833.73" 893.13 "2,076.16" "2,540.07" "1,243.31" 692.38 1312.5 "2,728.22" "1,358.09" "1,484.07" "1,351.75" 692.38 "2,728.22" GRAFT DBM PUTTY 5CC (3102-1005) N/A C1713 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" GRAFT ECHO2 10 X 15 (5991015) N/A C1781 N/A 1827.6 "1,135.15" 644.1 893.69 435.28 "1,011.84" "1,237.93" 605.94 337.44 639.66 "1,329.62" 661.88 723.27 658.79 337.44 "1,329.62" GRAFT ECHO2 CIRCLE 7 X 9 IN (5991823) N/A C1781 N/A 3756.75 "2,333.38" "1,324.00" "1,837.03" 894.74 "2,079.89" "2,544.64" "1,245.55" 693.62 1314.8625 "2,733.13" "1,360.53" "1,486.74" "1,354.18" 693.62 "2,733.13" GRAFT VITOSS 5CC N/A C1713 N/A 1500 931.67 528.65 733.49 357.25 830.46 "1,016.03" 497.33 276.95 525 "1,091.29" 543.23 593.63 540.7 276.95 "1,091.29" GREEN PIN GUARDS N/A N/A N/A 1.83 1.14 0.64 0.89 0.44 1.01 1.24 0.61 0.34 0.6405 1.33 0.66 0.72 0.66 0.34 1.33 GRIPPER - KINETEC N/A N/A N/A 448 278.26 157.89 219.07 106.7 248.03 303.45 148.53 82.72 156.8 325.93 162.25 177.3 161.49 82.72 325.93 GROUNDING PAD (LEEP) N/A N/A N/A 0.25 0.16 0.09 0.12 0.06 0.14 0.17 0.08 0.05 0.0875 0.18 0.09 0.1 0.09 0.05 0.18 GUIDE - 3DRC N/A C1887 N/A 188 116.77 66.26 91.93 44.78 104.08 127.34 62.33 34.71 65.8 136.77 68.09 74.4 67.77 34.71 136.77 GUIDE - 5F EBU3.5 N/A C1887 N/A 168 104.35 59.21 82.15 40.01 93.01 113.79 55.7 31.02 58.8 122.22 60.84 66.49 60.56 31.02 122.22 GUIDE - 5F JR4 (BS) N/A C1887 N/A 200 124.22 70.49 97.8 47.63 110.73 135.47 66.31 36.93 70 145.5 72.43 79.15 72.09 36.93 145.5 GUIDE - AL 0.75 (MEDTRONIC) N/A C1887 N/A 168 104.35 59.21 82.15 40.01 93.01 113.79 55.7 31.02 58.8 122.22 60.84 66.49 60.56 31.02 122.22 GUIDE - AR 2 N/A C1887 N/A 174 108.07 61.32 85.09 41.44 96.33 117.86 57.69 32.13 60.9 126.59 63.02 68.86 62.72 32.13 126.59 GUIDE - AR 2 SH N/A C1887 N/A 188 116.77 66.26 91.93 44.78 104.08 127.34 62.33 34.71 65.8 136.77 68.09 74.4 67.77 34.71 136.77 GUIDE - EBU3.5 N/A C1887 N/A 168 104.35 59.21 82.15 40.01 93.01 113.79 55.7 31.02 58.8 122.22 60.84 66.49 60.56 31.02 122.22 GUIDE - EBU4.0 N/A C1887 N/A 168 104.35 59.21 82.15 40.01 93.01 113.79 55.7 31.02 58.8 122.22 60.84 66.49 60.56 31.02 122.22 GUIDE - JR4 N/A C1887 N/A 188 116.77 66.26 91.93 44.78 104.08 127.34 62.33 34.71 65.8 136.77 68.09 74.4 67.77 34.71 136.77 GUIDE - JR4 SH N/A C1887 N/A 168 104.35 59.21 82.15 40.01 93.01 113.79 55.7 31.02 58.8 122.22 60.84 66.49 60.56 31.02 122.22 GUIDE - RBU4.0 N/A C1887 N/A 168 104.35 59.21 82.15 40.01 93.01 113.79 55.7 31.02 58.8 122.22 60.84 66.49 60.56 31.02 122.22 GUIDE - RBU4.0 SH N/A C1887 N/A 168 104.35 59.21 82.15 40.01 93.01 113.79 55.7 31.02 58.8 122.22 60.84 66.49 60.56 31.02 122.22 GUIDE - XB 4 N/A C1887 N/A 174 108.07 61.32 85.09 41.44 96.33 117.86 57.69 32.13 60.9 126.59 63.02 68.86 62.72 32.13 126.59 GUIDE WIRE BALL TIP 3 X 1000 N/A N/A N/A 418.95 260.22 147.65 204.86 99.78 231.95 283.78 138.9 77.35 146.6325 304.8 151.73 165.8 151.02 77.35 304.8 GUIDE WIRE TROCAR TIP 1.1MM X 150MM N/A N/A N/A 273 169.56 96.21 133.5 65.02 151.14 184.92 90.51 50.4 95.55 198.61 98.87 108.04 98.41 50.4 198.61 GUIDE WIRE TROCAR TIP 1.4MM X150MM N/A N/A N/A 291.9 181.3 102.87 142.74 69.52 161.61 197.72 96.78 53.89 102.165 212.36 105.71 115.52 105.22 53.89 212.36 GUIDEWIRE - 3MM J 150CM N/A C1769 N/A 23.84 14.81 8.4 11.66 5.68 13.2 16.15 7.9 4.4 8.344 17.34 8.63 9.43 8.59 4.4 17.34 GUIDEWIRE - 3MM J EXCHANGE N/A C1769 N/A 47 29.19 16.56 22.98 11.19 26.02 31.84 15.58 8.68 16.45 34.19 17.02 18.6 16.94 8.68 34.19 GUIDEWIRE - ASTATO 30 N/A C1769 N/A 560 347.82 197.36 273.84 133.37 310.04 379.32 185.67 103.39 196 407.41 202.81 221.62 201.86 103.39 407.41 GUIDEWIRE - ASTATO XS20 N/A C1769 N/A 560 347.82 197.36 273.84 133.37 310.04 379.32 185.67 103.39 196 407.41 202.81 221.62 201.86 103.39 407.41 GUIDEWIRE - BMW 190CM N/A C1769 N/A 252 156.52 88.81 123.23 60.02 139.52 170.69 83.55 46.53 88.2 183.34 91.26 99.73 90.84 46.53 183.34 GUIDEWIRE - FIELDER XT - 300CM N/A C1769 N/A 490 304.35 172.69 239.61 116.7 271.28 331.9 162.46 90.47 171.5 356.49 177.46 193.92 176.63 90.47 356.49 GUIDEWIRE - FILTERWIRE SPIDER 3MM N/A C1884 N/A 3880.8 "2,410.43" "1,367.72" "1,897.69" 924.28 "2,148.57" "2,628.66" "1,286.68" 716.53 1358.28 "2,823.38" "1,405.46" "1,535.83" "1,398.90" 716.53 "2,823.38" GUIDEWIRE - GLIDEWIRE .014X300 ANGLED N/A C1769 N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 GUIDEWIRE - GRAND SLAM 300CM N/A C1769 N/A 339.5 210.87 119.65 166.01 80.86 187.96 229.96 112.56 62.68 118.825 246.99 122.95 134.36 122.38 62.68 246.99 GUIDEWIRE - MAGIC TORQUE 180CM N/A C1769 N/A 437.5 271.74 154.19 213.94 104.2 242.22 296.34 145.05 80.78 153.125 318.29 158.44 173.14 157.7 80.78 318.29 GUIDEWIRE - MONGO GLADIUS 300CM N/A C1769 N/A 490 304.35 172.69 239.61 116.7 271.28 331.9 162.46 90.47 171.5 356.49 177.46 193.92 176.63 90.47 356.49 GUIDEWIRE - REGALIA N/A C1769 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 GUIDEWIRE - RUNTHROUGH 180CM N/A C1769 N/A 1200 745.34 422.92 586.79 285.8 664.37 812.82 397.86 221.56 420 873.03 434.59 474.9 432.56 221.56 873.03 GUIDEWIRE - RUNTHROUGH 300CM N/A C1769 N/A 1200 745.34 422.92 586.79 285.8 664.37 812.82 397.86 221.56 420 873.03 434.59 474.9 432.56 221.56 873.03 GUIDEWIRE - SILVERWAY 1.5J 260CM N/A C1769 N/A 160 99.38 56.39 78.24 38.11 88.58 108.38 53.05 29.54 56 116.4 57.95 63.32 57.67 29.54 116.4 GUIDEWIRE - STRAIGHT N/A C1769 N/A 24 14.91 8.46 11.74 5.72 13.29 16.26 7.96 4.43 8.4 17.46 8.69 9.5 8.65 4.43 17.46 GUIDEWIRE TROCAR TIP CR TIP .045 N/A C1713 N/A 60 37.27 21.15 29.34 14.29 33.22 40.64 19.89 11.08 21 43.65 21.73 23.75 21.63 11.08 43.65 GUIDEWIRE 3.2MM X 400MM N/A N/A N/A 371.7 230.87 131 181.76 88.53 205.79 251.77 123.24 68.63 130.095 270.42 134.61 147.1 133.99 68.63 270.42 GUIDEWIRE -BENTSTON 150CM STRAIGHT CTSUP N/A C1769 N/A 35.88 22.29 12.65 17.55 8.55 19.86 24.3 11.9 6.62 12.558 26.1 12.99 14.2 12.93 6.62 26.1 GUIDEWIRE-GLIDE SPLASH .035X150 ANGLED N/A C1769 N/A 104.24 64.75 36.74 50.97 24.83 57.71 70.61 34.56 19.25 36.484 75.84 37.75 41.25 37.58 19.25 75.84 GUIDEWIRE-GLIDE SPLASH .035X260 ANGLED N/A C1769 N/A 145.2 90.19 51.17 71 34.58 80.39 98.35 48.14 26.81 50.82 105.64 52.59 57.46 52.34 26.81 105.64 GUIDEWIRE-GLIDE SPLASH.035X260 ANGLED ST N/A C1769 N/A 595 369.56 209.7 290.95 141.71 329.42 403.02 197.27 109.86 208.25 432.88 215.48 235.47 214.48 109.86 432.88 GULDEWIRE .086 W/LASER LINE SS N/A N/A N/A 60 37.27 21.15 29.34 14.29 33.22 40.64 19.89 11.08 21 43.65 21.73 23.75 21.63 11.08 43.65 HAND-TROL ELECTROSURGICAL PENC N/A N/A N/A 2.93 1.82 1.03 1.43 0.7 1.62 1.98 0.97 0.54 1.0255 2.13 1.06 1.16 1.06 0.54 2.13 HC 12X16 CATH KIT LG BORE MULTILUMEN (SUB) N/A C1751 N/A 27.5 17.08 9.69 13.45 6.55 15.23 18.63 9.12 5.08 9.625 20.01 9.96 10.88 9.91 5.08 20.01 HC APLIGAF-PER 44 SQ CM N/A Q4101 N/A 86 53.42 30.31 42.05 20.48 47.61 58.25 28.51 15.88 30.1 62.57 31.15 34.03 31 15.88 62.57 HC CC CORONARY BYPASS GRAFT MAJOR BRNCH-DES N/A C9604 N/A 9750 "6,055.88" "3,436.20" "4,767.70" "2,322.14" "5,398.01" "6,604.17" "3,232.62" "1,800.18" 3412.5 "7,093.37" "3,531.02" "3,858.57" "3,514.55" "1,800.18" "7,093.37" HC CC CORONARY PCI IN AMI (STEMI) - DES N/A C9606 N/A 15035 "9,338.47" "5,298.80" "7,352.03" "3,580.85" "8,324.00" "10,183.97" "4,984.86" "2,775.96" 5262.25 "10,938.34" "5,445.02" "5,950.12" "5,419.61" "2,775.96" "10,938.34" HC CC CORONARY STENT ADDL BRANCH - DES N/A C9601 N/A 9658 "5,998.73" "3,403.78" "4,722.71" "2,300.23" "5,347.07" "6,541.85" "3,202.11" "1,783.19" 3380.3 "7,026.43" "3,497.71" "3,822.16" "3,481.38" "1,783.19" "7,026.43" HC CC CORONARY STENT MAJOR BRANCH - DES N/A C9600 N/A 9750 "6,055.88" "3,436.20" "4,767.70" "2,322.14" "5,398.01" "6,604.17" "3,232.62" "1,800.18" 3412.5 "7,093.37" "3,531.02" "3,858.57" "3,514.55" "1,800.18" "7,093.37" HC DAVINCI PACK N/A N/A N/A 280.8 174.41 98.96 137.31 66.88 155.46 190.2 93.1 51.85 98.28 204.29 101.69 111.13 101.22 51.85 204.29 HC FOLEY CATHETER TRAY N/A N/A N/A 47.52 29.52 16.75 23.24 11.32 26.31 32.19 15.76 8.77 16.632 34.57 17.21 18.81 17.13 8.77 34.57 HC HEADBAND EEG ADULT MEDIUM/LARGE N/A N/A N/A 1500 931.67 528.65 733.49 357.25 830.46 "1,016.03" 497.33 276.95 525 "1,091.29" 543.23 593.63 540.7 276.95 "1,091.29" HC HEADBAND EEG PEDIATRIC N/A N/A N/A 1500 931.67 528.65 733.49 357.25 830.46 "1,016.03" 497.33 276.95 525 "1,091.29" 543.23 593.63 540.7 276.95 "1,091.29" HC PURAPLY AM 2 X 2 N/A Q4196 N/A 317.47 197.19 111.89 155.24 75.61 175.76 215.04 105.26 58.62 111.1145 230.97 114.97 125.64 114.44 58.62 230.97 HC PURAPLY AM 5 X 5 N/A Q4196 N/A 317.47 197.19 111.89 155.24 75.61 175.76 215.04 105.26 58.62 111.1145 230.97 114.97 125.64 114.44 58.62 230.97 HC SUP SHELL 278 REVENUE CODE C1713 HCPCS N/A C1713 N/A 885 549.69 311.9 432.76 210.78 489.97 599.46 293.42 163.4 309.75 643.86 320.51 350.24 319.01 163.4 643.86 HC SUP SHELL 278 REVENUE CODE C1776 HCPCS N/A C1776 N/A 10000 "6,211.16" "3,524.31" "4,889.95" "2,381.68" "5,536.42" "6,773.51" "3,315.50" "1,846.34" 3500 "7,275.25" "3,621.56" "3,957.51" "3,604.66" "1,846.34" "7,275.25" HC SUP SHELL 278 REVENUE CODE C1781 HCPCS N/A C1781 N/A 2916 "1,811.17" "1,027.69" "1,425.91" 694.5 "1,614.42" "1,975.15" 966.8 538.39 1020.6 "2,121.46" "1,056.05" "1,154.01" "1,051.12" 538.39 "2,121.46" HC THERASKIN 2X3 N/A Q4121 N/A 117.58 73.03 41.44 57.5 28 65.1 79.64 38.98 21.71 41.153 85.54 42.58 46.53 42.38 21.71 85.54 HC VASCULAR CLOSURE DEVICE INSERTION N/A G0269 N/A 355 220.5 125.11 173.59 84.55 196.54 240.46 117.7 65.54 124.25 258.27 128.57 140.49 127.97 65.54 258.27 HELICAL BLADE 85MM TFNA N/A C1713 N/A 2272.68 "1,411.60" 800.96 "1,111.33" 541.28 "1,258.25" "1,539.40" 753.51 419.61 795.438 "1,653.43" 823.07 899.42 819.22 419.61 "1,653.43" HEMOCLIP INSTINCT-10 PLUS N/A N/A N/A 583 362.11 205.47 285.08 138.85 322.77 394.9 193.29 107.64 204.05 424.15 211.14 230.72 210.15 107.64 424.15 HEMOSPRAY 7FR N/A N/A N/A 3750 "2,329.18" "1,321.62" "1,833.73" 893.13 "2,076.16" "2,540.07" "1,243.31" 692.38 1312.5 "2,728.22" "1,358.09" "1,484.07" "1,351.75" 692.38 "2,728.22" HOOD STRYKER PEEL AWAY FACE SHIELD N/A N/A N/A 160.39 99.62 56.52 78.43 38.2 88.8 108.64 53.18 29.61 56.13475 116.68 58.08 63.47 57.81 29.61 116.68 HYDROMARK T3 BIOPSY MARKER - ULTRASOUND N/A C1819 N/A 340.04 211.2 119.84 166.28 80.99 188.26 230.33 112.74 62.78 119.014 247.39 123.15 134.57 122.57 62.78 247.39 IMMOBILIZER SHOULDER LG W/ABDUCT N/A N/A N/A 149.76 93.02 52.78 73.23 35.67 82.91 101.44 49.65 27.65 52.416 108.95 54.24 59.27 53.98 27.65 108.95 IMPL SYS CMC MINI T-ROPE 1.1MM N/A C1713 N/A 2685 "1,667.70" 946.28 "1,312.95" 639.48 "1,486.53" "1,818.69" 890.21 495.74 939.75 "1,953.40" 972.39 "1,062.59" 967.85 495.74 "1,953.40" INJECTABLE STENT KWART 6FR N/A C2625 N/A 402.08 249.74 141.71 196.61 95.76 222.61 272.35 133.31 74.24 140.728 292.52 145.62 159.12 144.94 74.24 292.52 INSTRA-MAG DISP BLANKET N/A N/A N/A 23.06 14.32 8.13 11.28 5.49 12.77 15.62 7.65 4.26 8.071 16.78 8.35 9.13 8.31 4.26 16.78 INSUFFLATION TUBING DAVINCI AIRSEAL BIFURCATED FILTERED N/A N/A N/A 502.25 311.96 177.01 245.6 119.62 278.07 340.2 166.52 92.73 175.7875 365.4 181.89 198.77 181.04 92.73 365.4 INSUFFLATION TUBING SMOKE EVAC FILTERED N/A N/A N/A 1993.86 "1,238.42" 702.7 974.99 474.87 "1,103.88" "1,350.54" 661.07 368.13 697.851 "1,450.58" 722.09 789.07 718.72 368.13 "1,450.58" INSUFFLATION TUBING TRI LUMEN FILTERED AIRSEAL TUBE SET N/A N/A N/A 2279.25 "1,415.68" 803.28 "1,114.54" 542.84 "1,261.89" "1,543.85" 755.69 420.83 797.7375 "1,658.21" 825.44 902.02 821.59 420.83 "1,658.21" INSUFFLATION TUBING TRI LUMEN FILTERED TUBE SET N/A N/A N/A 2279.25 "1,415.68" 803.28 "1,114.54" 542.84 "1,261.89" "1,543.85" 755.69 420.83 797.7375 "1,658.21" 825.44 902.02 821.59 420.83 "1,658.21" INTERFYL 1.5ML FLOWABLE N/A Q4171 N/A 5225 "3,245.33" "1,841.45" "2,555.00" "1,244.43" "2,892.78" "3,539.16" "1,732.35" 964.71 1828.75 "3,801.32" "1,892.27" "2,067.80" "1,883.44" 964.71 "3,801.32" INVRAD HICKMAN 6F N/A C1751 N/A 329.84 204.87 116.25 161.29 78.56 182.61 223.42 109.36 60.9 115.444 239.97 119.45 130.53 118.9 60.9 239.97 INVRAD MEDIPORT CLEARVUE 8FR N/A C1788 N/A 1239 769.56 436.66 605.86 295.09 685.96 839.24 410.79 228.76 433.65 901.4 448.71 490.34 446.62 228.76 901.4 INVRAD PICC 5F POWER N/A C1751 N/A 291.06 180.78 102.58 142.33 69.32 161.14 197.15 96.5 53.74 101.871 211.75 105.41 115.19 104.92 53.74 211.75 IOBAN 23 X 23 N/A N/A N/A 26.99 16.76 9.51 13.2 6.43 14.94 18.28 8.95 4.98 9.4465 19.64 9.77 10.68 9.73 4.98 19.64 IOBAN 23 X 33 N/A N/A N/A 37.62 23.37 13.26 18.4 8.96 20.83 25.48 12.47 6.95 13.167 27.37 13.62 14.89 13.56 6.95 27.37 IODOFORM STRIP PACKING 1/2 N/A N/A N/A 1.85 1.15 0.65 0.9 0.44 1.02 1.25 0.61 0.34 0.6475 1.35 0.67 0.73 0.67 0.34 1.35 IODOFORM STRIP PACKING 1/4 N/A N/A N/A 3.68 2.29 1.3 1.8 0.88 2.04 2.49 1.22 0.68 1.288 2.68 1.33 1.46 1.33 0.68 2.68 IODOFORM STRIP PACKING 2 N/A N/A N/A 3.43 2.13 1.21 1.68 0.82 1.9 2.32 1.14 0.63 1.2005 2.5 1.24 1.36 1.24 0.63 2.5 IRRISEPT N/A N/A N/A 229.78 142.72 80.98 112.36 54.73 127.22 155.64 76.18 42.43 80.423 167.17 83.22 90.94 82.83 42.43 167.17 ISTENT INJECT N/A C1783 N/A 5687.5 "3,532.59" "2,004.45" "2,781.16" "1,354.58" "3,148.84" "3,852.43" "1,885.69" "1,050.10" 1990.625 "4,137.80" "2,059.76" "2,250.83" "2,050.15" "1,050.10" "4,137.80" "IUPC, CATHETERS-INTRAN PLUS" N/A N/A N/A 600 372.67 211.46 293.4 142.9 332.18 406.41 198.93 110.78 210 436.51 217.29 237.45 216.28 110.78 436.51 IVUS - EAGLE EYE - PLATINUM SHORT TIP N/A C1753 N/A 2175 "1,350.93" 766.54 "1,063.56" 518.02 "1,204.17" "1,473.24" 721.12 401.58 761.25 "1,582.37" 787.69 860.76 784.01 401.58 "1,582.37" IVUS - VISIONS PV .014P N/A C1753 N/A 2175 "1,350.93" 766.54 "1,063.56" 518.02 "1,204.17" "1,473.24" 721.12 401.58 761.25 "1,582.37" 787.69 860.76 784.01 401.58 "1,582.37" IVUS - VISIONS PV .035 N/A C1753 N/A 2850 "1,770.18" "1,004.43" "1,393.63" 678.78 "1,577.88" "1,930.45" 944.92 526.21 997.5 "2,073.45" "1,032.15" "1,127.89" "1,027.33" 526.21 "2,073.45" J-HOOK E-Z CLEAN 33CM N/A N/A N/A 152.5 94.72 53.75 74.57 36.32 84.43 103.3 50.56 28.16 53.375 110.95 55.23 60.35 54.97 28.16 110.95 K WIRE 1.25 N/A C1713 N/A 304.82 189.33 107.43 149.06 72.6 168.76 206.47 101.06 56.28 106.687 221.76 110.39 120.63 109.88 56.28 221.76 K WIRE 1.6 N/A C1713 N/A 34.84 21.64 12.28 17.03 8.3 19.29 23.6 11.55 6.43 12.19283333 25.34 12.62 13.79 12.56 6.43 25.34 K WIRE 1.6 X 150MM N/A N/A N/A 36 22.36 12.69 17.6 8.57 19.93 24.38 11.94 6.65 12.6 26.19 13.04 14.25 12.98 6.65 26.19 KIT C-SECTION N/A N/A N/A 434.6 269.94 153.17 212.52 103.51 240.61 294.38 144.09 80.24 152.11 316.18 157.39 171.99 156.66 80.24 316.18 KIT CYSTO N/A N/A N/A 137.66 85.5 48.52 67.31 32.79 76.21 93.24 45.64 25.42 48.181 100.15 49.85 54.48 49.62 25.42 100.15 KIT GYN LAP N/A N/A N/A 384.48 238.81 135.5 188.01 91.57 212.86 260.43 127.47 70.99 134.568 279.72 139.24 152.16 138.59 70.99 279.72 KIT MONITOR SINGLE LINE VAMP N/A N/A N/A 92.78 57.63 32.7 45.37 22.1 51.37 62.84 30.76 17.13 32.473 67.5 33.6 36.72 33.44 17.13 67.5 KIT NOVASURE ADVANCED N/A N/A N/A 3100 "1,925.46" "1,092.54" "1,515.88" 738.32 "1,716.29" "2,099.79" "1,027.81" 572.36 1085 "2,255.33" "1,122.68" "1,226.83" "1,117.45" 572.36 "2,255.33" KIT TOTAL HIP N/A N/A N/A 893.25 554.81 314.81 436.79 212.74 494.54 605.04 296.16 164.92 312.6375 649.86 323.5 353.5 321.99 164.92 649.86 KIT TOTAL KNEE N/A N/A N/A 898.08 557.81 316.51 439.16 213.89 497.21 608.32 297.76 165.82 314.328 653.38 325.25 355.42 323.73 165.82 653.38 KIWI PUMPS N/A N/A N/A 95.95 59.6 33.82 46.92 22.85 53.12 64.99 31.81 17.72 33.5825 69.81 34.75 37.97 34.59 17.72 69.81 KNOTLESS FIBERTAK ANCHOR 2.6 BLUE/BLACK N/A C1713 N/A 1590 987.57 560.37 777.5 378.69 880.29 "1,076.99" 527.17 293.57 556.5 "1,156.76" 575.83 629.24 573.14 293.57 "1,156.76" KNOTLESS SPEEDBRIDGE KIT N/A C1713 N/A 5375 "3,338.50" "1,894.32" "2,628.35" "1,280.15" "2,975.82" "3,640.76" "1,782.08" 992.41 1881.25 "3,910.45" "1,946.59" "2,127.16" "1,937.51" 992.41 "3,910.45" KWIRE 1.4 N/A C1713 N/A 188 116.77 66.26 91.93 44.78 104.08 127.34 62.33 34.71 65.8 136.77 68.09 74.4 67.77 34.71 136.77 K-WIRE 3.2 X 450MM N/A C1713 N/A 273 169.56 96.21 133.5 65.02 151.14 184.92 90.51 50.4 95.55 198.61 98.87 108.04 98.41 50.4 198.61 K-WIRE FIXATION N/A C1713 N/A 341.25 211.96 120.27 166.87 81.27 188.93 231.15 113.14 63.01 119.4375 248.27 123.59 135.05 123.01 63.01 248.27 KWIRE SMOOTH 1.4 X150MM N/A C1713 N/A 126.8 78.76 44.69 62 30.2 70.2 85.89 42.04 23.41 44.38 92.25 45.92 50.18 45.71 23.41 92.25 K-WIRE TROCAR POINT 2MM X 150MM N/A C1713 N/A 58.8 36.52 20.72 28.75 14 32.55 39.83 19.5 10.86 20.58 42.78 21.29 23.27 21.2 10.86 42.78 L HOOKS=CORSON PROBE ATTACHMEN N/A N/A N/A 174.72 108.52 61.58 85.44 41.61 96.73 118.35 57.93 32.26 61.152 127.11 63.28 69.15 62.98 32.26 127.11 LAMINAR PHACO TIP& INFUSION SLEEVE N/A N/A N/A 210 130.43 74.01 102.69 50.02 116.26 142.24 69.63 38.77 73.5 152.78 76.05 83.11 75.7 38.77 152.78 LENS 12.0D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 14.5D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 15.0D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 15.5D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 16.5D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 18.0D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 18.5D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 19.0D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 20.0D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 20.5D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 21.0D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 21.5D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 22.0D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 22.5D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 23.0D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 23.5D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 24.0D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 25.0D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS 25.5D N/A C1780 N/A 525 326.09 185.03 256.72 125.04 290.66 355.61 174.06 96.93 183.75 381.95 190.13 207.77 189.24 96.93 381.95 LENS AR40E 20.5D N/A C1780 N/A 402.5 250 141.85 196.82 95.86 222.84 272.63 133.45 74.31 140.875 292.83 145.77 159.29 145.09 74.31 292.83 LINER CEMENTLESS N/A C1776 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" LOW PRO SCRWT 3.0MMX N/A C1713 N/A 553 343.48 194.89 270.41 131.71 306.16 374.57 183.35 102.1 193.55 402.32 200.27 218.85 199.34 102.1 402.32 LOW PRO SCRWT 3.0MMX20 N/A C1713 N/A 553 343.48 194.89 270.41 131.71 306.16 374.57 183.35 102.1 193.55 402.32 200.27 218.85 199.34 102.1 402.32 MAKO BONE PIN 170MM N/A N/A N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 MAKO BONE PIN-4MM X 110MM-STERILE 2 PACK N/A N/A N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 MAKO BONE PIN-4MM X 140MM-STERILE N/A N/A N/A 364 226.09 128.28 177.99 86.69 201.53 246.56 120.68 67.21 127.4 264.82 131.82 144.05 131.21 67.21 264.82 MAKO CHECKPOINT 3.5 HEX IMPACTION N/A N/A N/A 315 195.65 111.02 154.03 75.02 174.4 213.37 104.44 58.16 110.25 229.17 114.08 124.66 113.55 58.16 229.17 MAKO FEM /TIBIAL CH/POINT KIT -(STERILE) N/A N/A N/A 271.25 168.48 95.6 132.64 64.6 150.18 183.73 89.93 50.08 94.9375 197.34 98.23 107.35 97.78 50.08 197.34 MAKO MICS BURR N/A N/A N/A 208.25 129.35 73.39 101.83 49.6 115.3 141.06 69.05 38.45 72.8875 151.51 75.42 82.42 75.07 38.45 151.51 MAKO MICS IRRIGATION CLIP N/A N/A N/A 323.75 201.09 114.1 158.31 77.11 179.24 219.29 107.34 59.78 113.3125 235.54 117.25 128.12 116.7 59.78 235.54 MAKO MICS IRRIGATION TUBING N/A N/A N/A 323.75 201.09 114.1 158.31 77.11 179.24 219.29 107.34 59.78 113.3125 235.54 117.25 128.12 116.7 59.78 235.54 MAKO NARROW BLADE (116171) N/A N/A N/A 915 568.32 322.47 447.43 217.92 506.58 619.78 303.37 168.94 320.25 665.69 331.37 362.11 329.83 168.94 665.69 MAKO RIO-® DRAPE KIT-ONE PIECE W/POCKETS N/A N/A N/A 156 96.89 54.98 76.28 37.15 86.37 105.67 51.72 28.8 54.6 113.49 56.5 61.74 56.23 28.8 113.49 MAKO SILICONE RETRACTOR CORD N/A N/A N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 MAKO STANDARD BLADE (116170) N/A N/A N/A 915 568.32 322.47 447.43 217.92 506.58 619.78 303.37 168.94 320.25 665.69 331.37 362.11 329.83 168.94 665.69 MAKO STRYKER LEG POSITIONER DISP KIT N/A N/A N/A 116 72.05 40.88 56.72 27.63 64.22 78.57 38.46 21.42 40.6 84.39 42.01 45.91 41.81 21.42 84.39 MAKO TIBIAL CHECKPOINT N/A N/A N/A 164 101.86 57.8 80.2 39.06 90.8 111.09 54.37 30.28 57.4 119.31 59.39 64.9 59.12 30.28 119.31 MAKO VISADISC HIP N/A N/A N/A 614.25 381.52 216.48 300.36 146.29 340.07 416.06 203.65 113.41 214.9875 446.88 222.45 243.09 221.42 113.41 446.88 MAKO VIZADISC KNEE PROCED TRACKING KIT N/A N/A N/A 614.25 381.52 216.48 300.36 146.29 340.07 416.06 203.65 113.41 214.9875 446.88 222.45 243.09 221.42 113.41 446.88 MALYUGIN RING 6.25MM N/A N/A N/A 495.83 307.97 174.75 242.46 118.09 274.51 335.85 164.39 91.55 173.5405 360.73 179.57 196.23 178.73 91.55 360.73 MAMMOTOME ELITE 13G PROBE N/A N/A N/A 290.33 180.33 102.32 141.97 69.15 160.74 196.66 96.26 53.6 101.6155 211.22 105.14 114.9 104.65 53.6 211.22 MANIPULATOR UTERINE CLEARVIEW N/A N/A N/A 265.13 164.68 93.44 129.65 63.15 146.79 179.59 87.9 48.95 92.7955 192.89 96.02 104.93 95.57 48.95 192.89 MASK FACE DISPOSABLE N/A N/A N/A 123.28 76.57 43.45 60.28 29.36 68.25 83.5 40.87 22.76 43.148 89.69 44.65 48.79 44.44 22.76 89.69 "MASK, FULL FACE LARGE W/ HG" N/A N/A N/A 25.25 15.68 8.9 12.35 6.01 13.98 17.1 8.37 4.66 8.8375 18.37 9.14 9.99 9.1 4.66 18.37 "MASK,FULL FACE MED W/HG" N/A N/A N/A 50 31.06 17.62 24.45 11.91 27.68 33.87 16.58 9.23 17.5 36.38 18.11 19.79 18.02 9.23 36.38 "MASK,FULL FACE SMALL W/HG" N/A N/A N/A 50.46 31.34 17.78 24.67 12.02 27.94 34.18 16.73 9.32 17.661 36.71 18.27 19.97 18.19 9.32 36.71 MICA BURR 2 X 20MM N/A N/A N/A 1173 728.57 413.4 573.59 279.37 649.42 794.53 388.91 216.58 410.55 853.39 424.81 464.22 422.83 216.58 853.39 MICRO SAG BLADE FINE 5EA N/A N/A N/A 28.96 17.99 10.21 14.16 6.9 16.03 19.62 9.6 5.35 10.136 21.07 10.49 11.46 10.44 5.35 21.07 MINI BIO-PUSHLOCK 2.5M (BX/5) N/A C1713 N/A 1275 791.92 449.35 623.47 303.66 705.89 863.62 422.73 235.41 446.25 927.59 461.75 504.58 459.59 235.41 927.59 MINI OVAL SNARE BX/10EA N/A N/A N/A 67 41.61 23.61 32.76 15.96 37.09 45.38 22.21 12.37 23.45 48.74 24.26 26.52 24.15 12.37 48.74 MIS STERILE INSTRUMENT PACK N/A N/A N/A 840 521.74 296.04 410.76 200.06 465.06 568.97 278.5 155.09 294 611.12 304.21 332.43 302.79 155.09 611.12 MONSELS N/A N/A N/A 50.61 31.43 17.84 24.75 12.05 28.02 34.28 16.78 9.34 17.7135 36.82 18.33 20.03 18.24 9.34 36.82 MULTI SINUS DILATOR TOOL W/LED LIGHT FIB N/A N/A N/A 3547.5 "2,203.41" "1,250.25" "1,734.71" 844.9 "1,964.04" "2,402.90" "1,176.18" 654.99 1241.625 "2,580.89" "1,284.75" "1,403.93" "1,278.75" 654.99 "2,580.89" MYOSURE N/A C1782 N/A 2825 "1,754.65" 995.62 "1,381.41" 672.82 "1,564.04" "1,913.52" 936.63 521.59 988.75 "2,055.26" "1,023.09" "1,118.00" "1,018.32" 521.59 "2,055.26" NAIL TI CANN TFNA 10MM/130DEG N/A C1713 N/A 6248.55 "3,881.07" "2,202.18" "3,055.51" "1,488.20" "3,459.46" "4,232.46" "2,071.71" "1,153.69" 2186.9925 "4,545.98" "2,262.95" "2,472.87" "2,252.39" "1,153.69" "4,545.98" NAIL FIBULA LEFT 3.0 X 130MM N/A C1713 N/A 7487.5 "4,650.60" "2,638.83" "3,661.35" "1,783.28" "4,145.39" "5,071.66" "2,482.48" "1,382.44" 2620.625 "5,447.34" "2,711.65" "2,963.19" "2,698.99" "1,382.44" "5,447.34" NAIL KIT TI TROCHANTERIC 11 X 180 X 125 N/A C1713 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" NAIL TROCH FOR THE GAMMA 3 N/A C1713 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" NASAL DRESSING HOLDER N/A N/A N/A 3.69 2.29 1.3 1.8 0.88 2.04 2.5 1.22 0.68 1.2915 2.68 1.34 1.46 1.33 0.68 2.68 NECK ANGLE HIP STEM N/A C1776 N/A 4650 "2,888.19" "1,638.81" "2,273.82" "1,107.48" "2,574.43" "3,149.68" "1,541.71" 858.55 1627.5 "3,382.99" "1,684.03" "1,840.24" "1,676.17" 858.55 "3,382.99" NECK ANGLE HIP STEM SZ 6 N/A C1776 N/A 4650 "2,888.19" "1,638.81" "2,273.82" "1,107.48" "2,574.43" "3,149.68" "1,541.71" 858.55 1627.5 "3,382.99" "1,684.03" "1,840.24" "1,676.17" 858.55 "3,382.99" NEEDLE ACHIEVE BIOPSY 14G X 15 N/A N/A N/A 109.18 67.81 38.48 53.39 26 60.45 73.95 36.2 20.16 38.213 79.43 39.54 43.21 39.36 20.16 79.43 NEEDLE ACHIEVE BIOPSY 14GX11CM USSUP N/A N/A N/A 95.73 59.46 33.74 46.81 22.8 53 64.84 31.74 17.67 33.5055 69.65 34.67 37.89 34.51 17.67 69.65 NEEDLE ACHIEVE BIOPSY 16GX11CM N/A N/A N/A 153.16 95.13 53.98 74.89 36.48 84.8 103.74 50.78 28.28 53.606 111.43 55.47 60.61 55.21 28.28 111.43 NEEDLE ASPIRATION VISI SHOT 21G N/A N/A N/A 275 170.81 96.92 134.47 65.5 152.25 186.27 91.18 50.77 96.25 200.07 99.59 108.83 99.13 50.77 200.07 NEEDLE BONE MARROW STERILE N/A N/A N/A 140 86.96 49.34 68.46 33.34 77.51 94.83 46.42 25.85 49 101.85 50.7 55.41 50.47 25.85 101.85 NEEDLE COUNTER DOUBLE FOAM N/A N/A N/A 1.59 0.99 0.56 0.78 0.38 0.88 1.08 0.53 0.29 0.5565 1.16 0.58 0.63 0.57 0.29 1.16 NEEDLE ECLIPSE 25G X 1 N/A N/A N/A 62.96 39.11 22.19 30.79 15 34.86 42.65 20.87 11.62 22.036 45.8 22.8 24.92 22.69 11.62 45.8 NEEDLE HYPODERMIC 30G X 1/2 N/A N/A N/A 26.76 16.62 9.43 13.09 6.37 14.82 18.13 8.87 4.94 9.366 19.47 9.69 10.59 9.65 4.94 19.47 NEEDLE ILLINOIS BONE MARROW 16 N/A N/A N/A 43 26.71 15.15 21.03 10.24 23.81 29.13 14.26 7.94 15.05 31.28 15.57 17.02 15.5 7.94 31.28 NEEDLE KEITH STRAIGHT TRIPOINT SZ3 N/A N/A N/A 2.8 1.74 0.99 1.37 0.67 1.55 1.9 0.93 0.52 0.98 2.04 1.01 1.11 1.01 0.52 2.04 NEEDLE MAYO 1/2 CIRCLE #5 N/A N/A N/A 23.82 14.79 8.39 11.65 5.67 13.19 16.13 7.9 4.4 8.337 17.33 8.63 9.43 8.59 4.4 17.33 NEEDLE SAFETY GLIDE 25GX 5/8 N/A N/A N/A 44.88 27.88 15.82 21.95 10.69 24.85 30.4 14.88 8.29 15.708 32.65 16.25 17.76 16.18 8.29 32.65 NEEDLE SCORPION MICROFIRE W/SUTUREMITT N/A N/A N/A 595 369.56 209.7 290.95 141.71 329.42 403.02 197.27 109.86 208.25 432.88 215.48 235.47 214.48 109.86 432.88 NEEDLE STORTZ 4FR INJECTION N/A N/A N/A 447.06 277.68 157.56 218.61 106.48 247.51 302.82 148.22 82.54 156.471 325.25 161.91 176.92 161.15 82.54 325.25 NEEDLE TEMNO COAXIAL 18GX15 CTSUP USSUP N/A N/A N/A 622.3 386.52 219.32 304.3 148.21 344.53 421.52 206.32 114.9 217.805 452.74 225.37 246.28 224.32 114.9 452.74 NEEDLE TEMNO COAXIAL 20GX15 CTSUP USSUP N/A N/A N/A 167 103.73 58.86 81.66 39.77 92.46 113.12 55.37 30.83 58.45 121.5 60.48 66.09 60.2 30.83 121.5 NEEDLE WANG BIOPSY 21G N/A N/A N/A 121.83 75.67 42.94 59.57 29.02 67.45 82.52 40.39 22.49 42.6405 88.63 44.12 48.21 43.92 22.49 88.63 "NEEDLE, ACHIEVE BIOPSY 18G X 15CM USSUP" N/A N/A N/A 95.73 59.46 33.74 46.81 22.8 53 64.84 31.74 17.67 33.5055 69.65 34.67 37.89 34.51 17.67 69.65 NITINOL PILOT WIRE N/A N/A N/A 120 74.53 42.29 58.68 28.58 66.44 81.28 39.79 22.16 42 87.3 43.46 47.49 43.26 22.16 87.3 OBTURATOR BLADELESS 8MM LONG N/A N/A N/A 630 391.3 222.03 308.07 150.05 348.79 426.73 208.88 116.32 220.5 458.34 228.16 249.32 227.09 116.32 458.34 OBURATOR BLADELESS 8MM DAVINCI N/A N/A N/A 126 78.26 44.41 61.61 30.01 69.76 85.35 41.78 23.26 44.1 91.67 45.63 49.86 45.42 23.26 91.67 OMNI JUGS N/A N/A N/A 72.06 44.76 25.4 35.24 17.16 39.9 48.81 23.89 13.3 25.221 52.43 26.1 28.52 25.98 13.3 52.43 ONE-STEP CENTESIS NEEDLE 5F X 7CM N/A N/A N/A 66.24 41.14 23.35 32.39 15.78 36.67 44.87 21.96 12.23 23.184 48.19 23.99 26.21 23.88 12.23 48.19 OVAL BURR ARTHROSOPIC 5.5MM N/A N/A N/A 148 91.93 52.16 72.37 35.25 81.94 100.25 49.07 27.33 51.8 107.67 53.6 58.57 53.35 27.33 107.67 PACEMAKER - AICD - COBALT - DTPA2QQ N/A C1882 N/A 33206 "20,624.76" "11,702.83" "16,237.55" "7,908.60" "18,384.22" "22,492.11" "11,009.46" "6,130.94" 11622.1 "24,158.19" "12,025.77" "13,141.31" "11,969.64" "6,130.94" "24,158.19" PACEMAKER - AICD - COBALT - DVPA2D4 N/A C1721 N/A 16978 "10,545.30" "5,983.58" "8,302.15" "4,043.62" "9,399.73" "11,500.06" "5,629.06" "3,134.71" 5942.3 "12,351.92" "6,148.69" "6,719.06" "6,120.00" "3,134.71" "12,351.92" PACEMAKER - GENERATOR AZURE DUAL W1DR01 N/A C1785 N/A 6243.75 "3,878.09" "2,200.49" "3,053.16" "1,487.06" "3,456.80" "4,229.21" "2,070.12" "1,152.81" 2185.3125 "4,542.48" "2,261.21" "2,470.97" "2,250.66" "1,152.81" "4,542.48" PACEMAKER - GENERATOR AZURE SINGL W1SR01 N/A C1786 N/A 3646.5 "2,264.90" "1,285.14" "1,783.12" 868.48 "2,018.85" "2,469.96" "1,209.00" 673.27 1276.275 "2,652.92" "1,320.60" "1,443.11" "1,314.44" 673.27 "2,652.92" PACEMAKER - LEAD - PERFORMA 4298-88 N/A C1900 N/A 4250 "2,639.74" "1,497.83" "2,078.23" "1,012.21" "2,352.98" "2,878.74" "1,409.09" 784.69 1487.5 "3,091.98" "1,539.16" "1,681.94" "1,531.98" 784.69 "3,091.98" PACEMAKER - LEAD 5076-45 N/A C1898 N/A 1185 736.02 417.63 579.46 282.23 656.07 802.66 392.89 218.79 414.75 862.12 429.16 468.97 427.15 218.79 862.12 PACEMAKER - LEAD 5076-52 N/A C1898 N/A 1185 736.02 417.63 579.46 282.23 656.07 802.66 392.89 218.79 414.75 862.12 429.16 468.97 427.15 218.79 862.12 PACEMAKER - LEAD 5076-58 N/A C1898 N/A 1185 736.02 417.63 579.46 282.23 656.07 802.66 392.89 218.79 414.75 862.12 429.16 468.97 427.15 218.79 862.12 PACEMAKER - REVEAL LINQ II RECORDER N/A C1764 N/A 9290 "5,770.16" "3,274.09" "4,542.76" "2,212.58" "5,143.33" "6,292.59" "3,080.10" "1,715.25" 3251.5 "6,758.71" "3,364.43" "3,676.53" "3,348.73" "1,715.25" "6,758.71" PACK EYE DR MUNRO N/A N/A N/A 120.84 75.06 42.59 59.09 28.78 66.9 81.85 40.06 22.31 42.294 87.91 43.76 47.82 43.56 22.31 87.91 PACK LAPAROTOMY N/A N/A N/A 34.43 21.39 12.13 16.84 8.2 19.06 23.32 11.42 6.36 12.0505 25.05 12.47 13.63 12.41 6.36 25.05 PACK ANTERIOR HIP N/A N/A N/A 1293.54 803.44 455.88 632.53 308.08 716.16 876.18 428.87 238.83 452.739 941.08 468.46 511.92 466.28 238.83 941.08 PACK CPT NASAL-SMR N/A N/A N/A 180.64 112.2 63.66 88.33 43.02 100.01 122.36 59.89 33.35 63.224 131.42 65.42 71.49 65.11 33.35 131.42 PACK KNEE ARTHROSCOPY N/A N/A N/A 198.64 123.38 70.01 97.13 47.31 109.98 134.55 65.86 36.68 69.524 144.52 71.94 78.61 71.6 36.68 144.52 PACK ORTHO SPLIT SHEET N/A N/A N/A 55.1 34.22 19.42 26.94 13.12 30.51 37.32 18.27 10.17 19.285 40.09 19.95 21.81 19.86 10.17 40.09 PAD ABDOMINAL 5X9 STERILE N/A N/A N/A 20 12.42 7.05 9.78 4.76 11.07 13.55 6.63 3.69 7 14.55 7.24 7.92 7.21 3.69 14.55 PATELLA REAMING SYSTEM N/A N/A N/A 250 155.28 88.11 122.25 59.54 138.41 169.34 82.89 46.16 87.5 181.88 90.54 98.94 90.12 46.16 181.88 PATIENT CIRCUIT HIGHFLOW N/A N/A N/A 904 561.49 318.6 442.05 215.3 500.49 612.33 299.72 166.91 316.4 657.68 327.39 357.76 325.86 166.91 657.68 PERC INSERT KIT 3.0MM KNOTLESS ST N/A N/A N/A 1065 661.49 375.34 520.78 253.65 589.63 721.38 353.1 196.63 372.75 774.81 385.7 421.47 383.9 196.63 774.81 PIN STEINMANN 2.4 N/A C1713 N/A 180 111.8 63.44 88.02 42.87 99.66 121.92 59.68 33.23 63 130.95 65.19 71.24 64.88 33.23 130.95 PLASMA BLADE N/A N/A N/A 992.25 616.3 349.7 485.2 236.32 549.35 672.1 328.98 183.2 347.2875 721.89 359.35 392.68 357.67 183.2 721.89 PLATE 3MM SMALL DORSAL MIDFOOT FUSION N/A C1713 N/A 3737.5 "2,321.42" "1,317.21" "1,827.62" 890.15 "2,069.24" "2,531.60" "1,239.17" 690.07 1308.125 "2,719.12" "1,353.56" "1,479.12" "1,347.24" 690.07 "2,719.12" PLEURX CATHETER KIT N/A C1729 N/A 1931.25 "1,199.53" 680.63 944.37 459.96 "1,069.22" "1,308.13" 640.31 356.57 675.9375 "1,405.03" 699.41 764.29 696.15 356.57 "1,405.03" PNEUMOTHORAX SET WAYNE 10.2F N/A N/A N/A 416 258.38 146.61 203.42 99.08 230.31 281.78 137.92 76.81 145.6 302.65 150.66 164.63 149.95 76.81 302.65 PONTO BHX IMPLANT 4MM ABUTMENT 9 N/A L8690 N/A 8021.25 "4,982.12" "2,826.94" "3,922.35" "1,910.40" "4,440.90" "5,433.20" "2,659.45" "1,480.99" 2807.4375 "5,835.66" "2,904.95" "3,174.42" "2,891.39" "1,480.99" "5,835.66" POSTERIOR STABLILZED FEMORAL N/A C1776 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" POSTERIOR STABLIZER FEMORAL LEFT N/A C1776 N/A 8612 "5,349.05" "3,035.14" "4,211.22" "2,051.10" "4,767.96" "5,833.34" "2,855.31" "1,590.06" 3014.2 "6,265.44" "3,118.89" "3,408.21" "3,104.34" "1,590.06" "6,265.44" POSTERIOR STABLIZER FEMORAL RIGHT N/A C1776 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" POSTERIOR STABLIZER FEMORAL LEFT N/A C1776 N/A 9000 "5,590.04" "3,171.88" "4,400.95" "2,143.51" "4,982.77" "6,096.16" "2,983.95" "1,661.70" 3150 "6,547.72" "3,259.41" "3,561.76" "3,244.20" "1,661.70" "6,547.72" PRECISION BLADE 19.5 N/A N/A N/A 1407 873.91 495.87 688.02 335.1 778.97 953.03 466.49 259.78 492.45 "1,023.63" 509.55 556.82 507.18 259.78 "1,023.63" PROBE ST 10G 12CM MAMMOTOME REVOLVE N/A N/A N/A 661.06 410.59 232.98 323.25 157.44 365.99 447.77 219.17 122.05 231.371 480.94 239.41 261.62 238.29 122.05 480.94 PROBE ULTRASOUND 10G MAMMOTOME REVOLVE N/A N/A N/A 728.65 452.57 256.8 356.3 173.54 403.41 493.55 241.58 134.53 255.02575 530.11 263.88 288.36 262.65 134.53 530.11 PROBE ULTRASOUND 8G MAMMOTOME REVOLVE N/A N/A N/A 763.22 474.05 268.98 373.21 181.77 422.55 516.97 253.05 140.92 267.127 555.26 276.4 302.05 275.12 140.92 555.26 PS X3 TIBIAL INSERT N/A C1776 N/A 2430 "1,509.31" 856.41 "1,188.26" 578.75 "1,345.35" "1,645.96" 805.67 448.66 850.5 "1,767.89" 880.04 961.68 875.93 448.66 "1,767.89" QUICKFIX SCREW TI CANN PT 2.4X16MM N/A C1713 N/A 507.5 315.22 178.86 248.16 120.87 280.97 343.76 168.26 93.7 177.625 369.22 183.79 200.84 182.94 93.7 369.22 RANGER IRRIGATION FLUID WARMING SET N/A N/A N/A 155.22 96.41 54.7 75.9 36.97 85.94 105.14 51.46 28.66 54.327 112.93 56.21 61.43 55.95 28.66 112.93 RASP INTRAMEDULLARY LARGE MICRORECIP N/A N/A N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 RASP INTRAMEDULLARY SMALL MICRORECIP N/A N/A N/A 576.17 357.87 203.06 281.74 137.23 318.99 390.27 191.03 106.38 201.6595 419.18 208.66 228.02 207.69 106.38 419.18 RASP MICRORECIPRICATING LARGE CROSSCUT N/A N/A N/A 215.11 133.61 75.81 105.19 51.23 119.09 145.7 71.32 39.72 75.2885 156.5 77.9 85.13 77.54 39.72 156.5 REAMER BLADE PATELLA W/ PILOT HOLE SZ46 N/A N/A N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 REAMING ROD WITH BALL N/A N/A N/A 406.25 252.33 143.18 198.65 96.76 224.92 275.17 134.69 75.01 142.1875 295.56 147.13 160.77 146.44 75.01 295.56 "RECY 18"" A.T.S DISP CUFF W/O SLEEVE" N/A N/A N/A 39.32 24.42 13.86 19.23 9.36 21.77 26.63 13.04 7.26 13.762 28.61 14.24 15.56 14.17 7.26 28.61 "RECY 24"" A.T.S DISP CUFF W/O SLEEVE" N/A N/A N/A 36.08 22.41 12.72 17.64 8.59 19.98 24.44 11.96 6.66 12.628 26.25 13.07 14.28 13.01 6.66 26.25 "RECY 34"" A.T.S DISP CUFF W/ SLEEVE" N/A N/A N/A 47.24 29.34 16.65 23.1 11.25 26.15 32 15.66 8.72 16.534 34.37 17.11 18.7 17.03 8.72 34.37 "RECY 34"" A.T.S DISP CUFF W/O SLEEVE" N/A N/A N/A 36.08 22.41 12.72 17.64 8.59 19.98 24.44 11.96 6.66 12.628 26.25 13.07 14.28 13.01 6.66 26.25 RED MAXI LOOPS N/A N/A N/A 2.82 1.75 0.99 1.38 0.67 1.56 1.91 0.93 0.52 0.987 2.05 1.02 1.12 1.02 0.52 2.05 REDUCER 12-8MM DAVINCI N/A N/A N/A 105.33 65.42 37.12 51.51 25.09 58.32 71.35 34.92 19.45 36.8655 76.63 38.15 41.68 37.97 19.45 76.63 RELOAD ECHELON 60MM BLACK N/A N/A N/A 614.46 381.65 216.55 300.47 146.34 340.19 416.2 203.72 113.45 215.061 447.03 222.53 243.17 221.49 113.45 447.03 RELOAD ECHELON 60MM BLUE N/A N/A N/A 614.46 381.65 216.55 300.47 146.34 340.19 416.2 203.72 113.45 215.061 447.03 222.53 243.17 221.49 113.45 447.03 RELOAD ECHELON 60MM GREEN N/A N/A N/A 614.46 381.65 216.55 300.47 146.34 340.19 416.2 203.72 113.45 215.061 447.03 222.53 243.17 221.49 113.45 447.03 RELOAD ECHELON 60MM WHITE N/A N/A N/A 614.46 381.65 216.55 300.47 146.34 340.19 416.2 203.72 113.45 215.061 447.03 222.53 243.17 221.49 113.45 447.03 RELOAD ENDOWRIST 30 4.3 GREEN N/A N/A N/A 627.96 390.04 221.31 307.07 149.56 347.66 425.35 208.2 115.94 219.786 456.86 227.42 248.52 226.36 115.94 456.86 RELOAD ENDOWRIST 30 4.3 WHITE N/A N/A N/A 627.96 390.04 221.31 307.07 149.56 347.66 425.35 208.2 115.94 219.786 456.86 227.42 248.52 226.36 115.94 456.86 RELOAD ENDOWRIST 45 GREEN DAVINCI N/A N/A N/A 630 391.3 222.03 308.07 150.05 348.79 426.73 208.88 116.32 220.5 458.34 228.16 249.32 227.09 116.32 458.34 RELOAD SUREFORM 60 BLUE N/A N/A N/A 724.5 450 255.34 354.28 172.55 401.11 490.74 240.21 133.77 253.575 527.09 262.38 286.72 261.16 133.77 527.09 RELOAD SUREFORM 60 GREEN N/A N/A N/A 724.5 450 255.34 354.28 172.55 401.11 490.74 240.21 133.77 253.575 527.09 262.38 286.72 261.16 133.77 527.09 RELOAD SUREFORM 60 WHITE N/A N/A N/A 724.5 450 255.34 354.28 172.55 401.11 490.74 240.21 133.77 253.575 527.09 262.38 286.72 261.16 133.77 527.09 REST MOD CONICAL DISTAL STEM 20MM X 155M N/A C1776 N/A 5935 "3,686.32" "2,091.68" "2,902.18" "1,413.53" "3,285.86" "4,020.08" "1,967.75" "1,095.80" 2077.25 "4,317.86" "2,149.40" "2,348.78" "2,139.37" "1,095.80" "4,317.86" REST MOD PROX CONE BODY 19MM + 0MM N/A C1776 N/A 8284 "5,145.32" "2,919.54" "4,050.83" "1,972.98" "4,586.37" "5,611.17" "2,746.56" "1,529.50" 2899.4 "6,026.82" "3,000.10" "3,278.40" "2,986.10" "1,529.50" "6,026.82" RESTORATION ADM X3 INS N/A C1776 N/A 2700 "1,677.01" 951.56 "1,320.29" 643.05 "1,494.83" "1,828.85" 895.19 498.51 945 "1,964.32" 977.82 "1,068.53" 973.26 498.51 "1,964.32" RETRACTOR ALEXIS SMALL N/A N/A N/A 112 69.56 39.47 54.77 26.67 62.01 75.86 37.13 20.68 39.2 81.48 40.56 44.32 40.37 20.68 81.48 RETRACTOR ALEXIS XXS N/A N/A N/A 112 69.56 39.47 54.77 26.67 62.01 75.86 37.13 20.68 39.2 81.48 40.56 44.32 40.37 20.68 81.48 RETRACTOR C-SECTION ALEXIS N/A N/A N/A 192.5 119.56 67.84 94.13 45.85 106.58 130.39 63.82 35.54 67.375 140.05 69.72 76.18 69.39 35.54 140.05 RETRIEVER ENDOPOUCH N/A N/A N/A 188 116.77 66.26 91.93 44.78 104.08 127.34 62.33 34.71 65.8 136.77 68.09 74.4 67.77 34.71 136.77 ROD REAMING 2.5 X 950MM N/A N/A N/A 523.25 325 184.41 255.87 124.62 289.69 354.42 173.48 96.61 183.1375 380.68 189.5 207.08 188.61 96.61 380.68 ROTH NET RETRIEVER N/A N/A N/A 230 142.86 81.06 112.47 54.78 127.34 155.79 76.26 42.47 80.5 167.33 83.3 91.02 82.91 42.47 167.33 SAW BLADE DUAL CUT 90L X 25MM N/A N/A N/A 229.22 142.37 80.78 112.09 54.59 126.91 155.26 76 42.32 80.227 166.76 83.01 90.71 82.63 42.32 166.76 SCALPEL HARMONIC LONG N/A N/A N/A 2109.84 "1,310.45" 743.57 "1,031.70" 502.5 "1,168.10" "1,429.10" 699.52 389.55 738.444 "1,534.96" 764.09 834.97 760.53 389.55 "1,534.96" SCD SLEEVE KNEE LENGTH LARGE 9 N/A N/A N/A 40.27 25.01 14.19 19.69 9.59 22.3 27.28 13.35 7.44 14.0945 29.3 14.58 15.94 14.52 7.44 29.3 SCD SLEEVE KNEE LENGTH MEDIUM N/A N/A N/A 58 36.02 20.44 28.36 13.81 32.11 39.29 19.23 10.71 20.3 42.2 21.01 22.95 20.91 10.71 42.2 SCD SLEEVE KNEE LENGTH XLG N/A N/A N/A 84.07 52.22 29.63 41.11 20.02 46.54 56.94 27.87 15.52 29.4245 61.16 30.45 33.27 30.3 15.52 61.16 SCOPE LITHOVUE N/A N/A N/A 3750 "2,329.18" "1,321.62" "1,833.73" 893.13 "2,076.16" "2,540.07" "1,243.31" 692.38 1312.5 "2,728.22" "1,358.09" "1,484.07" "1,351.75" 692.38 "2,728.22" SCORPION NEEDLE N/A N/A N/A 490 304.35 172.69 239.61 116.7 271.28 331.9 162.46 90.47 171.5 356.49 177.46 193.92 176.63 90.47 356.49 SCREW 10.5 X 80MM LAG TI N/A C1713 N/A 991.8 616.02 349.54 484.98 236.21 549.1 671.8 328.83 183.12 347.13 721.56 359.19 392.51 357.51 183.12 721.56 SCREW 2.4MM VA LCK 16MM SCREWDRIVE N/A C1713 N/A 432.25 268.48 152.34 211.37 102.95 239.31 292.78 143.31 79.81 151.2875 314.47 156.54 171.06 155.81 79.81 314.47 SCREW 2.4MM VA LCK 18MM SCREWDRIVE N/A C1713 N/A 432.25 268.48 152.34 211.37 102.95 239.31 292.78 143.31 79.81 151.2875 314.47 156.54 171.06 155.81 79.81 314.47 SCREW 2.4MM VA LCK 20MM SCREWDRIVE N/A C1713 N/A 432.25 268.48 152.34 211.37 102.95 239.31 292.78 143.31 79.81 151.2875 314.47 156.54 171.06 155.81 79.81 314.47 SCREW 2.7MM 5MM/14MM N/A C1713 N/A 145.96 90.66 51.44 71.37 34.76 80.81 98.87 48.39 26.95 51.086 106.19 52.86 57.76 52.61 26.95 106.19 SCREW 4.0 X 46MM PROSTEP MICA N/A C1713 N/A 1428 886.95 503.27 698.28 340.1 790.6 967.26 473.45 263.66 499.8 "1,038.91" 517.16 565.13 514.75 263.66 "1,038.91" SCREW 5.0 MM LOCKING IM NAIL 5 N/A C1713 N/A 656.67 407.87 231.43 321.11 156.4 363.56 444.8 217.72 121.24 229.8345 477.74 237.82 259.88 236.71 121.24 477.74 SCREW 8X20MM BC IF VENTED N/A C1713 N/A 885 549.69 311.9 432.76 210.78 489.97 599.46 293.42 163.4 309.75 643.86 320.51 350.24 319.01 163.4 643.86 SCREW 9 X 20MM BC IF VENTED N/A C1713 N/A 885 549.69 311.9 432.76 210.78 489.97 599.46 293.42 163.4 309.75 643.86 320.51 350.24 319.01 163.4 643.86 SCREW BONE T10 NON LCKNG 3.5MM X 12MM N/A C1713 N/A 349.44 217.04 123.15 170.87 83.23 193.46 236.69 115.86 64.52 122.304 254.23 126.55 138.29 125.96 64.52 254.23 SCREW BONE T10 NON LCKNG 3.5MM X 14MM N/A C1713 N/A 349.44 217.04 123.15 170.87 83.23 193.46 236.69 115.86 64.52 122.304 254.23 126.55 138.29 125.96 64.52 254.23 SCREW BONE T10 NON LCKNG 3.5MM X 38MM N/A C1713 N/A 349.44 217.04 123.15 170.87 83.23 193.46 236.69 115.86 64.52 122.304 254.23 126.55 138.29 125.96 64.52 254.23 SCREW BONE T10 NON LCKNG 3.5MM X 46MM N/A C1713 N/A 313.25 194.56 110.4 153.18 74.61 173.43 212.18 103.86 57.84 109.6375 227.9 113.45 123.97 112.92 57.84 227.9 SCREW BONE T10 NON LCKNG 3.5MM X 48MM N/A C1713 N/A 349.44 217.04 123.15 170.87 83.23 193.46 236.69 115.86 64.52 122.304 254.23 126.55 138.29 125.96 64.52 254.23 SCREW F/T LOCKING 5MM X 37.5MM N/A C1713 N/A 394.8 245.22 139.14 193.06 94.03 218.58 267.42 130.9 72.89 138.18 287.23 142.98 156.24 142.31 72.89 287.23 SCREW FULL THRD CANN 4.0 X 36MM N/A C1713 N/A 476 295.65 167.76 232.76 113.37 263.53 322.42 157.82 87.89 166.6 346.3 172.39 188.38 171.58 87.89 346.3 SCREW FULL THRD CANN 4.0 X 50MM N/A C1713 N/A 396.48 246.26 139.73 193.88 94.43 219.51 268.56 131.45 73.2 138.768 288.45 143.59 156.91 142.92 73.2 288.45 SCREW INBONE REMOVER N/A C1776 N/A 700 434.78 246.7 342.3 166.72 387.55 474.15 232.09 129.24 245 509.27 253.51 277.03 252.33 129.24 509.27 SCREW LOCK T10 FULL THRD 3.5MM X 10MM N/A C1713 N/A 642.46 399.04 226.42 314.16 153.01 355.69 435.17 213.01 118.62 224.861 467.41 232.67 254.25 231.59 118.62 467.41 SCREW LOCK T10 FULL THRD 3.5MM X 12MM N/A C1713 N/A 642.46 399.04 226.42 314.16 153.01 355.69 435.17 213.01 118.62 224.861 467.41 232.67 254.25 231.59 118.62 467.41 SCREW LOCK T10 FULL THRD 3.5MM X 14MM N/A C1713 N/A 642.46 399.04 226.42 314.16 153.01 355.69 435.17 213.01 118.62 224.861 467.41 232.67 254.25 231.59 118.62 467.41 SCREW LOCK T10 FULL THRD 3.5MM X 16MM N/A C1713 N/A 642.46 399.04 226.42 314.16 153.01 355.69 435.17 213.01 118.62 224.861 467.41 232.67 254.25 231.59 118.62 467.41 SCREW LOCKING FULLY THREADED 5.0 X 32.5MM N/A C1713 N/A 394.8 245.22 139.14 193.06 94.03 218.58 267.42 130.9 72.89 138.18 287.23 142.98 156.24 142.31 72.89 287.23 SCREW LOW PROFILE VA LKG 3.0X18 MM TI N/A C1713 N/A 612.5 380.43 215.86 299.51 145.88 339.11 414.88 203.07 113.09 214.375 445.61 221.82 242.4 220.79 113.09 445.61 SCREW LT CANN COMP HEADLESS 3.5MM X 42MM N/A C1713 N/A 1423.5 884.16 501.69 696.08 339.03 788.11 964.21 471.96 262.83 498.225 "1,035.63" 515.53 563.35 513.12 262.83 "1,035.63" SCREW LT CANN COMP HEADLESS 3.5MM X 46MM N/A C1713 N/A 1423.5 884.16 501.69 696.08 339.03 788.11 964.21 471.96 262.83 498.225 "1,035.63" 515.53 563.35 513.12 262.83 "1,035.63" SCREW LT CANN COMP HEADLESS 3.5MM X 50MM N/A C1713 N/A 1423.5 884.16 501.69 696.08 339.03 788.11 964.21 471.96 262.83 498.225 "1,035.63" 515.53 563.35 513.12 262.83 "1,035.63" SCREW MINI CMP FT 16MM N/A C1713 N/A 1050 652.17 370.05 513.44 250.08 581.32 711.22 348.13 193.87 367.5 763.9 380.26 415.54 378.49 193.87 763.9 SCREW QUICKFIX TITANIUM 2 X 10MM N/A C1713 N/A 720 447.2 253.75 352.08 171.48 398.62 487.69 238.72 132.94 252 523.82 260.75 284.94 259.54 132.94 523.82 SCREW TI LAG 10.5 X 85MM N/A C1713 N/A 1215.36 754.88 428.33 594.3 289.46 672.87 823.22 402.95 224.4 425.376 884.2 440.15 480.98 438.1 224.4 884.2 SCREW TI LAG 10.5 X 95MM N/A C1713 N/A 991.8 616.02 349.54 484.98 236.21 549.1 671.8 328.83 183.12 347.13 721.56 359.19 392.51 357.51 183.12 721.56 "SCULPTING BURR, SHAPE: CYL SS" N/A N/A N/A 488.75 303.57 172.25 239 116.4 270.59 331.06 162.05 90.24 171.0625 355.58 177 193.42 176.18 90.24 355.58 SD 190 KIT N/A N/A N/A 3048.7 "1,893.59" "1,074.46" "1,490.80" 726.1 "1,687.89" "2,065.04" "1,010.80" 562.89 1067.045 "2,218.00" "1,104.11" "1,206.53" "1,098.95" 562.89 "2,218.00" SEALS ROD LENS SCOPE N/A N/A N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 SENSOR ADULT SPO2 N/A N/A N/A 19.95 12.39 7.03 9.76 4.75 11.05 13.51 6.61 3.68 6.9825 14.51 7.23 7.9 7.19 3.68 14.51 SEPRAFILM 3X5 N/A C1765 N/A 420 260.87 148.02 205.38 100.03 232.53 284.49 139.25 77.55 147 305.56 152.11 166.22 151.4 77.55 305.56 SEPRAFILM 5X6 N/A C1765 N/A 691.25 429.35 243.62 338.02 164.63 382.7 468.22 229.18 127.63 241.9375 502.9 250.34 273.56 249.17 127.63 502.9 SET OR BASIN N/A N/A N/A 146.04 90.71 51.47 71.41 34.78 80.85 98.92 48.42 26.96 51.114 106.25 52.89 57.8 52.64 26.96 106.25 SHEATH - 10F N/A C1894 N/A 40 24.84 14.1 19.56 9.53 22.15 27.09 13.26 7.39 14 29.1 14.49 15.83 14.42 7.39 29.1 SHEATH - 11F N/A C1894 N/A 76 47.2 26.78 37.16 18.1 42.08 51.48 25.2 14.03 26.6 55.29 27.52 30.08 27.4 14.03 55.29 SHEATH - 5F N/A C1894 N/A 155.8 96.77 54.91 76.19 37.11 86.26 105.53 51.66 28.77 54.53 113.35 56.42 61.66 56.16 28.77 113.35 SHEATH - 6F N/A C1894 N/A 30.12 18.71 10.62 14.73 7.17 16.68 20.4 9.99 5.56 10.542 21.91 10.91 11.92 10.86 5.56 21.91 SHEATH - 7 F N/A C1894 N/A 153.4 95.28 54.06 75.01 36.53 84.93 103.91 50.86 28.32 53.69 111.6 55.55 60.71 55.3 28.32 111.6 SHEATH - 8 F N/A C1894 N/A 32.24 20.02 11.36 15.77 7.68 17.85 21.84 10.69 5.95 11.284 23.46 11.68 12.76 11.62 5.95 23.46 SHEATH - GLIDESHEATH 6F N/A C1894 N/A 630 391.3 222.03 308.07 150.05 348.79 426.73 208.88 116.32 220.5 458.34 228.16 249.32 227.09 116.32 458.34 SHEATH - GLIDESHEATH SLENDER 6F N/A C1894 N/A 211.75 131.52 74.63 103.54 50.43 117.23 143.43 70.21 39.1 74.1125 154.05 76.69 83.8 76.33 39.1 154.05 SHEATH - GLIDESHEATH SLENDER 6F - 25G N/A C1894 N/A 371.88 230.98 131.06 181.85 88.57 205.89 251.89 123.3 68.66 130.158 270.55 134.68 147.17 134.05 68.66 270.55 SHEATH - GLIDESHEATH SLENDER 6F DOUBLE W N/A C1894 N/A 262.5 163.04 92.51 128.36 62.52 145.33 177.8 87.03 48.47 91.875 190.98 95.07 103.88 94.62 48.47 190.98 SHEATH - MICROPUNTURE INTRODUCER 4F N/A C1894 N/A 79.56 49.42 28.04 38.9 18.95 44.05 53.89 26.38 14.69 27.846 57.88 28.81 31.49 28.68 14.69 57.88 SHEATH - MICROPUNTURE INTRODUCER 5F N/A C1894 N/A 79.56 49.42 28.04 38.9 18.95 44.05 53.89 26.38 14.69 27.846 57.88 28.81 31.49 28.68 14.69 57.88 SHEATH - OPTISEAL 7F 13CM N/A C1894 N/A 130 80.75 45.82 63.57 30.96 71.97 88.06 43.1 24 45.5 94.58 47.08 51.45 46.86 24 94.58 SHEATH - OPTISEAL 7F 13CM (VS) N/A C1894 N/A 192 119.25 67.67 93.89 45.73 106.3 130.05 63.66 35.45 67.2 139.68 69.53 75.98 69.21 35.45 139.68 SHEATH - OPTISEAL 9F 13CM N/A C1894 N/A 130 80.75 45.82 63.57 30.96 71.97 88.06 43.1 24 45.5 94.58 47.08 51.45 46.86 24 94.58 SHEATH - PINNACLE DESTINATION 6FX45CM STRAIGHT TIP N/A C1894 N/A 287 178.26 101.15 140.34 68.35 158.9 194.4 95.15 52.99 100.45 208.8 103.94 113.58 103.45 52.99 208.8 SHEATH ACCESS NAVIGATOR HD STAINLESS STEEL HYDROPHILIC L28 CM OD11-13 FR URETERAL 2 DUROMETER DILATOR RADIOPAQUE INNOVATIVE HUB LATEX FREE URETEROSCOPIC N/A N/A N/A 420.7 261.3 148.27 205.72 100.2 232.92 284.96 139.48 77.68 147.245 306.07 152.36 166.49 151.65 77.68 306.07 SHOE POST OP VELCRO MAN/LRG N/A N/A N/A 12.18 7.57 4.29 5.96 2.9 6.74 8.25 4.04 2.25 4.263 8.86 4.41 4.82 4.39 2.25 8.86 SHOULDER POSITIONER PACK 3 N/A N/A N/A 188 116.77 66.26 91.93 44.78 104.08 127.34 62.33 34.71 65.8 136.77 68.09 74.4 67.77 34.71 136.77 SHOULDER SUSPENSION KIT N/A N/A N/A 299.67 186.13 105.61 146.54 71.37 165.91 202.98 99.36 55.33 104.8845 218.02 108.53 118.59 108.02 55.33 218.02 SIDE PORT KNIFE 1.0MM N/A N/A N/A 26.67 16.57 9.4 13.04 6.35 14.77 18.06 8.84 4.92 9.3345 19.4 9.66 10.55 9.61 4.92 19.4 SIGMA FEMORAL SIZE 3 LM/RL N/A C1776 N/A 5965 "3,704.95" "2,102.25" "2,916.85" "1,420.67" "3,302.47" "4,040.40" "1,977.70" "1,101.34" 2087.75 "4,339.69" "2,160.26" "2,360.66" "2,150.18" "1,101.34" "4,339.69" SKIN CLOSURE ZIP 24CM N/A N/A N/A 442.18 274.64 155.84 216.22 105.31 244.81 299.51 146.6 81.64 154.763 321.7 160.14 174.99 159.39 81.64 321.7 SKIN CLOSURE ZIP 4 N/A N/A N/A 173.17 107.56 61.03 84.68 41.24 95.87 117.3 57.41 31.97 60.6095 125.99 62.71 68.53 62.42 31.97 125.99 SKIN STAPLER 35W ROTATOR N/A N/A N/A 70.7 43.91 24.92 34.57 16.84 39.14 47.89 23.44 13.05 24.745 51.44 25.6 27.98 25.48 13.05 51.44 "SKIN TEMP PROBE, DISPOSABLE" N/A N/A N/A 480 298.14 169.17 234.72 114.32 265.75 325.13 159.14 88.62 168 349.21 173.84 189.96 173.02 88.62 349.21 SLING ARM DELUXE XLG N/A N/A N/A 6.03 3.75 2.13 2.95 1.44 3.34 4.08 2 1.11 2.1105 4.39 2.18 2.39 2.17 1.11 4.39 SLING DELUXE ARM LARGE N/A N/A N/A 2.41 1.5 0.85 1.18 0.57 1.33 1.63 0.8 0.44 0.8435 1.75 0.87 0.95 0.87 0.44 1.75 SLIT KNIFE SINGLE BEVEL 2.4 N/A N/A N/A 32 19.88 11.28 15.65 7.62 17.72 21.68 10.61 5.91 11.2 23.28 11.59 12.66 11.53 5.91 23.28 SNAP KOVER N/A N/A N/A 1.53 0.95 0.54 0.75 0.36 0.85 1.04 0.51 0.28 0.5355 1.11 0.55 0.61 0.55 0.28 1.11 SOD CHL INJ 0.9% 1000ML 2B1324 N/A N/A N/A 1.57 0.98 0.55 0.77 0.37 0.87 1.06 0.52 0.29 0.5495 1.14 0.57 0.62 0.57 0.29 1.14 SOD CHL INJ 0.9% 250ML 2B1322 N/A N/A N/A 1.26 0.78 0.44 0.62 0.3 0.7 0.85 0.42 0.23 0.441 0.92 0.46 0.5 0.45 0.23 0.92 SOD CHL IRR. 0.9% 3000ML 2B7127 N/A N/A N/A 24.87 15.45 8.76 12.16 5.92 13.77 16.85 8.25 4.59 8.7045 18.09 9.01 9.84 8.96 4.59 18.09 SOD CHL IRR. 0.9% 5000ML ARTHROSCOPY N/A N/A N/A 44.92 27.9 15.83 21.97 10.7 24.87 30.43 14.89 8.29 15.722 32.68 16.27 17.78 16.19 8.29 32.68 SPIKE TRANSOFIX TRANSFER VENTED DOUBLE N/A N/A N/A 1.36 0.84 0.48 0.67 0.32 0.75 0.92 0.45 0.25 0.476 0.99 0.49 0.54 0.49 0.25 0.99 SPLINT KNEE UNIVERSAL N/A N/A N/A 48.56 30.16 17.11 23.75 11.57 26.88 32.89 16.1 8.97 16.996 35.33 17.59 19.22 17.5 8.97 35.33 SPLINT WRIST & FOREARM LEFT N/A N/A N/A 27.36 16.99 9.64 13.38 6.52 15.15 18.53 9.07 5.05 9.576 19.91 9.91 10.83 9.86 5.05 19.91 SPOT N/A N/A N/A 90 55.9 31.72 44.01 21.44 49.83 60.96 29.84 16.62 31.5 65.48 32.59 35.62 32.44 16.62 65.48 STAPLE DYNANITE NITI 13MM X 15/12MM N/A C1713 N/A 3737.5 "2,321.42" "1,317.21" "1,827.62" 890.15 "2,069.24" "2,531.60" "1,239.17" 690.07 1308.125 "2,719.12" "1,353.56" "1,479.12" "1,347.24" 690.07 "2,719.12" STAPLE DYNANITE NITI 9MM X 10MM N/A C1713 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" STAPLER 60MM N/A N/A N/A 274.84 170.71 96.86 134.4 65.46 152.16 186.16 91.12 50.74 96.194 199.95 99.54 108.77 99.07 50.74 199.95 STAPLER CANNULA SEAL 12MM DAVINCI N/A N/A N/A 84 52.17 29.6 41.08 20.01 46.51 56.9 27.85 15.51 29.4 61.11 30.42 33.24 30.28 15.51 61.11 STAPLER ECHELON 60MM N/A N/A N/A 1106.03 686.97 389.8 540.84 263.42 612.34 749.17 366.7 204.21 387.1105 804.66 400.56 437.71 398.69 204.21 804.66 STAPLER SUREFORM 60 N/A N/A N/A 1669.5 "1,036.95" 588.38 816.38 397.62 924.3 "1,130.84" 553.52 308.25 584.325 "1,214.60" 604.62 660.71 601.8 308.25 "1,214.60" STENT - ELUVIA DES 6X100 N/A C1874 N/A 6487.5 "4,029.49" "2,286.40" "3,172.35" "1,545.11" "3,591.75" "4,394.31" "2,150.93" "1,197.81" 2270.625 "4,719.82" "2,349.49" "2,567.44" "2,338.53" "1,197.81" "4,719.82" STENT - ONYX FRONTIER 2.75X18 N/A C1874 N/A 1755 "1,090.06" 618.52 858.19 417.98 971.64 "1,188.75" 581.87 324.03 614.25 "1,276.81" 635.58 694.54 632.62 324.03 "1,276.81" STENT - ONYX FRONTIER 3.00X12 N/A C1874 N/A 1350 838.51 475.78 660.14 321.53 747.42 914.42 447.59 249.26 472.5 982.16 488.91 534.26 486.63 249.26 982.16 STENT - ONYX FRONTIER 4.00X18 N/A C1874 N/A 1755 "1,090.06" 618.52 858.19 417.98 971.64 "1,188.75" 581.87 324.03 614.25 "1,276.81" 635.58 694.54 632.62 324.03 "1,276.81" STENT - ONYX FRONTIER 4.00X38 N/A C1874 N/A 1755 "1,090.06" 618.52 858.19 417.98 971.64 "1,188.75" 581.87 324.03 614.25 "1,276.81" 635.58 694.54 632.62 324.03 "1,276.81" STENT - SYNERGY XD 2.25X38 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 2.5X12 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 2.5X16 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 2.5X24 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 2.75X12 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 2.75X16 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 2.75X24 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 2.75X28 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 2.75X32 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 2.75X38 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 3.0X20 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 3.5X20 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 3.5X24 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 3.5X32 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 4.0X16 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - SYNERGY XD 4.0X20 N/A C1874 N/A 1650 "1,024.84" 581.51 806.84 392.98 913.51 "1,117.63" 547.06 304.65 577.5 "1,200.42" 597.56 652.99 594.77 304.65 "1,200.42" STENT - WALLSTENT 14X90 N/A C1876 N/A 5062.5 "3,144.40" "1,784.18" "2,475.53" "1,205.73" "2,802.81" "3,429.09" "1,678.47" 934.71 1771.875 "3,683.09" "1,833.42" "2,003.49" "1,824.86" 934.71 "3,683.09" STENT PERCUFLEX 4.8FR X 22 N/A C2625 N/A 387.03 240.39 136.4 189.26 92.18 214.28 262.16 128.32 71.46 135.4605 281.57 140.17 153.17 139.51 71.46 281.57 STENT PERCUFLEX 4.8FR X 26 N/A C2625 N/A 387.03 240.39 136.4 189.26 92.18 214.28 262.16 128.32 71.46 135.4605 281.57 140.17 153.17 139.51 71.46 281.57 STER. WATER IRR. BAG 3000ML 2B7117 N/A N/A N/A 26.24 16.3 9.25 12.83 6.25 14.53 17.77 8.7 4.84 9.184 19.09 9.5 10.38 9.46 4.84 19.09 STOCKINETTE IMPERVIOUS 10 IN. N/A N/A N/A 3.16 1.96 1.11 1.55 0.75 1.75 2.14 1.05 0.58 1.106 2.3 1.14 1.25 1.14 0.58 2.3 STOCKING THIGH REG XL N/A N/A N/A 40.94 25.43 14.43 20.02 9.75 22.67 27.73 13.57 7.56 14.329 29.78 14.83 16.2 14.76 7.56 29.78 STRAIGHT SENSOR WIRE .035 N/A C1769 N/A 168.62 104.73 59.43 82.45 40.16 93.36 114.21 55.91 31.13 59.017 122.68 61.07 66.73 60.78 31.13 122.68 STRYKER PULSA-VAC SYSTEM N/A N/A N/A 181.21 112.55 63.86 88.61 43.16 100.33 122.74 60.08 33.46 63.4235 131.83 65.63 71.71 65.32 33.46 131.83 SUCTION CAUTERIZER-ENT N/A N/A N/A 25.76 16 9.08 12.6 6.14 14.26 17.45 8.54 4.76 9.016 18.74 9.33 10.19 9.29 4.76 18.74 SUCTION YANKAUER W/TUBING K83A N/A N/A N/A 0.99 0.61 0.35 0.48 0.24 0.55 0.67 0.33 0.18 0.3465 0.72 0.36 0.39 0.36 0.18 0.72 SUIT STRYKER LG FLYTE N/A N/A N/A 234.28 145.51 82.57 114.56 55.8 129.71 158.69 77.68 43.26 81.998 170.44 84.85 92.72 84.45 43.26 170.44 SUIT STRYKER XXL FLYTE N/A N/A N/A 263.57 163.71 92.89 128.88 62.77 145.92 178.53 87.39 48.66 92.2495 191.75 95.45 104.31 95.01 48.66 191.75 SUPER D BIOPSY FORCEP N/A N/A N/A 253.5 157.45 89.34 123.96 60.38 140.35 171.71 84.05 46.8 88.725 184.43 91.81 100.32 91.38 46.8 184.43 SUPER D CYTOLOGY BRUSH NEEDLE TIPPED N/A N/A N/A 1730.93 "1,075.11" 610.03 846.42 412.25 958.31 "1,172.45" 573.89 319.59 605.8255 "1,259.29" 626.87 685.02 623.94 319.59 "1,259.29" SUPERMAT ORTHO N/A N/A N/A 35.83 22.25 12.63 17.52 8.53 19.84 24.27 11.88 6.62 12.5405 26.07 12.98 14.18 12.92 6.62 26.07 SUPERMX NITI STAPLE W/INSTRS 18W X 15L N/A C1713 N/A 6237.5 "3,874.21" "2,198.29" "3,050.10" "1,485.57" "3,453.34" "4,224.98" "2,068.05" "1,151.65" 2183.125 "4,537.94" "2,258.95" "2,468.50" "2,248.41" "1,151.65" "4,537.94" SURG SIMPLEX P BONE CEMENT N/A C1713 N/A 192.5 119.56 67.84 94.13 45.85 106.58 130.39 63.82 35.54 67.375 140.05 69.72 76.18 69.39 35.54 140.05 SURGICAL IRRIGATION TUBE N/A N/A N/A 266 165.22 93.75 130.07 63.35 147.27 180.18 88.19 49.11 93.1 193.52 96.33 105.27 95.88 49.11 193.52 SURGICAL SNOW 1 X 2 SMALL N/A N/A N/A 188 116.77 66.26 91.93 44.78 104.08 127.34 62.33 34.71 65.8 136.77 68.09 74.4 67.77 34.71 136.77 SURGICAL SNOW 4 X 4 LG N/A N/A N/A 420.65 261.27 148.25 205.7 100.19 232.89 284.93 139.47 77.67 147.2275 306.03 152.34 166.47 151.63 77.67 306.03 SURGICEL 2X3 (1953) N/A N/A N/A 247.52 153.74 87.23 121.04 58.95 137.04 167.66 82.07 45.7 86.632 180.08 89.64 97.96 89.22 45.7 180.08 SURGICEL 4X8 (1952) N/A N/A N/A 222.54 138.22 78.43 108.82 53 123.21 150.74 73.78 41.09 77.889 161.9 80.59 88.07 80.22 41.09 161.9 SURGIFLO (FLOSEAL) N/A N/A N/A 634.46 394.07 223.6 310.25 151.11 351.26 429.75 210.36 117.14 222.061 461.59 229.77 251.09 228.7 117.14 461.59 SUTURE ANCHOR SHORT 2.9MM N/A C1713 N/A 1200 745.34 422.92 586.79 285.8 664.37 812.82 397.86 221.56 420 873.03 434.59 474.9 432.56 221.56 873.03 SUTURE ANCHOR SWIVELOCK 6.25X19.1MM N/A C1713 N/A 1230 763.97 433.49 601.46 292.95 680.98 833.14 407.81 227.1 430.5 894.86 445.45 486.77 443.37 227.1 894.86 SUTURE ANCHOR SWIVELOCK C 4.75 X 19.1 N/A C1713 N/A 1200 745.34 422.92 586.79 285.8 664.37 812.82 397.86 221.56 420 873.03 434.59 474.9 432.56 221.56 873.03 SUTURE ENDOLOOP PDSII EZ10G N/A N/A N/A 130.87 81.28 46.12 63.99 31.17 72.45 88.64 43.39 24.16 45.80275 95.21 47.39 51.79 47.17 24.16 95.21 SUTURE ENDOSTITCH 0 48IN GREEN (ORANGE) N/A N/A N/A 231.53 143.81 81.6 113.22 55.14 128.18 156.83 76.76 42.75 81.0355 168.44 83.85 91.63 83.46 42.75 168.44 SUTURE ENDOSTITCH 0 48IN VIOLET N/A N/A N/A 233.84 145.24 82.41 114.35 55.69 129.46 158.39 77.53 43.17 81.844 170.12 84.69 92.54 84.29 43.17 170.12 SUTURE ENDOSTITCH POLYSORB 2-0 170053 N/A N/A N/A 231.53 143.8 81.6 113.21 55.14 128.18 156.82 76.76 42.75 81.03375 168.44 83.85 91.63 83.46 42.75 168.44 SUTURE ETHIBOND 0 CX45D N/A N/A N/A 46.45 28.85 16.37 22.71 11.06 25.72 31.46 15.4 8.58 16.2575 33.79 16.82 18.38 16.74 8.58 33.79 SUTURE ETHIBOND 2 MX69G N/A N/A N/A 53.63 33.31 18.9 26.22 12.77 29.69 36.33 17.78 9.9 18.7705 39.02 19.42 21.22 19.33 9.9 39.02 SUTURE ETHIBOND 5 MB47G N/A N/A N/A 65.99 40.99 23.26 32.27 15.72 36.53 44.7 21.88 12.18 23.0965 48.01 23.9 26.12 23.79 12.18 48.01 SUTURE MONOCRYL 3-0 Y936H N/A N/A N/A 21.34 13.25 7.52 10.44 5.08 11.81 14.45 7.08 3.94 7.469 15.53 7.73 8.45 7.69 3.94 15.53 SUTURE PASSER FIRSTPASS STANDARD N/A N/A N/A 649.74 403.56 228.99 317.72 154.75 359.72 440.1 215.42 119.96 227.409 472.7 235.31 257.14 234.21 119.96 472.7 SUTURE PROLENE 2-0 8833H N/A N/A N/A 3.31 2.06 1.17 1.62 0.79 1.83 2.24 1.1 0.61 1.1585 2.41 1.2 1.31 1.19 0.61 2.41 SUTURE PROLENE 6-0 8610H N/A N/A N/A 1.55 0.96 0.55 0.76 0.37 0.86 1.05 0.51 0.29 0.5425 1.13 0.56 0.61 0.56 0.29 1.13 SUTURE RETRIEVER N/A N/A N/A 171.6 106.58 60.48 83.91 40.87 95 116.23 56.89 31.68 60.06 124.84 62.15 67.91 61.86 31.68 124.84 SUTURE SILK 3-0 C013D N/A N/A N/A 30.32 18.83 10.69 14.83 7.22 16.79 20.54 10.05 5.6 10.612 22.06 10.98 12 10.93 5.6 22.06 SUTURE STRATAFIX CT-1 60CM N/A N/A N/A 157.91 98.08 55.65 77.22 37.61 87.43 106.96 52.36 29.16 55.2685 114.88 57.19 62.49 56.92 29.16 114.88 SUTURE STRATAFIX CTX 36CM N/A N/A N/A 149.02 92.56 52.52 72.87 35.49 82.5 100.94 49.41 27.51 52.157 108.42 53.97 58.97 53.72 27.51 108.42 SUTURE STRATAFIX PDS CT-1 30CM N/A N/A N/A 156.51 97.21 55.16 76.53 37.28 86.65 106.01 51.89 28.9 54.7785 113.86 56.68 61.94 56.42 28.9 113.86 SUTURE STRATAFIX PDS CT-1 45CM N/A N/A N/A 163.54 101.58 57.64 79.97 38.95 90.54 110.77 54.22 30.19 57.239 118.98 59.23 64.72 58.95 30.19 118.98 SUTURE STRATAFIX SPIRAL PDS PLUS VIOLET 2-0 6IN N/A N/A N/A 165.89 103.03 58.46 81.12 39.51 91.84 112.36 55 30.63 58.06033333 120.69 60.08 65.65 59.8 30.63 120.69 SUTURE VICRYL 2-0 J443H N/A N/A N/A 1.85 1.15 0.65 0.9 0.44 1.02 1.25 0.61 0.34 0.6475 1.35 0.67 0.73 0.67 0.34 1.35 SUTURE VICRYL 4-0 J214H N/A N/A N/A 1.44 0.89 0.51 0.7 0.34 0.8 0.98 0.48 0.27 0.504 1.05 0.52 0.57 0.52 0.27 1.05 SUTURE VLOC 180 3-0 VLOCL0644 N/A N/A N/A 143.15 88.91 50.45 70 34.09 79.25 96.96 47.46 26.43 50.1025 104.15 51.84 56.65 51.6 26.43 104.15 SUTURE VLOC 180 GS21 0 VLOCL0346 N/A N/A N/A 94.12 58.46 33.17 46.02 22.42 52.11 63.75 31.21 17.38 32.942 68.47 34.09 37.25 33.93 17.38 68.47 SUTURE VLOC 180 GS-21 2-0 VLOCL0305 N/A N/A N/A 136.34 84.68 48.05 66.67 32.47 75.48 92.35 45.2 25.17 47.719 99.19 49.38 53.96 49.15 25.17 99.19 SUTURE VLOC 180 V-20 2-0 VLOCL0615 N/A N/A N/A 90.55 56.24 31.91 44.28 21.57 50.13 61.33 30.02 16.72 31.6925 65.88 32.79 35.84 32.64 16.72 65.88 SUTURE VLOC 180 VLOCA006L N/A N/A N/A 412.34 256.11 145.32 201.63 98.21 228.29 279.3 136.71 76.13 144.319 299.99 149.33 163.18 148.63 76.13 299.99 SUTURE VLOC 90 VLOCM0124 N/A N/A N/A 86.84 53.94 30.61 42.46 20.68 48.08 58.82 28.79 16.03 30.394 63.18 31.45 34.37 31.3 16.03 63.18 SUTURE VLOC CV-23 3-0 VLOCL0804 N/A N/A N/A 143.15 88.91 50.45 70 34.09 79.25 96.96 47.46 26.43 50.1025 104.15 51.84 56.65 51.6 26.43 104.15 SUTURE VLOC PBT 0 GS-21 VLOCN0306 N/A N/A N/A 86.5 53.73 30.49 42.3 20.6 47.89 58.59 28.68 15.97 30.275 62.93 31.33 34.23 31.18 15.97 62.93 SUTURE VLOC PBT V-20 2-0 VLOCN0605 N/A N/A N/A 83.14 51.64 29.3 40.66 19.8 46.03 56.31 27.57 15.35 29.099 60.49 30.11 32.9 29.97 15.35 60.49 SUTURE VLOC PBT V-20 3-0 VLOCN0604 N/A N/A N/A 134.37 83.46 47.36 65.71 32 74.39 91.02 44.55 24.81 47.0295 97.76 48.66 53.18 48.44 24.81 97.76 SUTURE-AID BOOTIES N/A N/A N/A 3.14 1.95 1.11 1.54 0.75 1.74 2.13 1.04 0.58 1.099 2.28 1.14 1.24 1.13 0.58 2.28 SUTURETAPE 1.3MM W/TAILS WHITE/BLUE N/A C1713 N/A 140 86.96 49.34 68.46 33.34 77.51 94.83 46.42 25.85 49 101.85 50.7 55.41 50.47 25.85 101.85 SUTURETAPE FIBERLINK 1.3MM WH/BL N/A C1713 N/A 297.5 184.78 104.85 145.48 70.85 164.71 201.51 98.64 54.93 104.125 216.44 107.74 117.74 107.24 54.93 216.44 SWAN TUBING 10/CS N/A N/A N/A 293.56 182.33 103.46 143.55 69.92 162.53 198.84 97.33 54.2 102.746 213.57 106.31 116.18 105.82 54.2 213.57 SWANSON FLEXSPAN FLEXIBLE HINGE TOE 3S N/A C1776 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" SYR 3ML SAFETY 21GX1 1/2 INT N/A N/A N/A 163.14 101.33 57.5 79.77 38.85 90.32 110.5 54.09 30.12 57.099 118.69 59.08 64.56 58.81 30.12 118.69 SYRINGE EAR-ULCER N/A N/A N/A 1.31 0.81 0.46 0.64 0.31 0.73 0.89 0.43 0.24 0.4585 0.95 0.47 0.52 0.47 0.24 0.95 SYSTEM DRAINAGE PLEUR-EVAC 2500 CC COLLECTION CHAMBER SELF SEAL SAMPLE PORT CONNECTOR STERILE LATEX FREE DISPOSABLE A-6000 CACTUS N/A N/A N/A 153.33 95.24 54.04 74.98 36.52 84.89 103.86 50.84 28.31 53.6655 111.55 55.53 60.68 55.27 28.31 111.55 SYSTEM TISSUE RETRIEVAL N/A N/A N/A 565.95 351.52 199.46 276.75 134.79 313.33 383.35 187.64 104.49 198.0825 411.74 204.96 223.98 204.01 104.49 411.74 TAILOR'S BUNION BROACH SET PROSTEP N/A N/A N/A 1173 728.57 413.4 573.59 279.37 649.42 794.53 388.91 216.58 410.55 853.39 424.81 464.22 422.83 216.58 853.39 TAILOR'S BUNION IMPLANT SMALL N/A C1713 N/A 3377.5 "2,097.82" "1,190.34" "1,651.58" 804.41 "1,869.92" "2,287.75" "1,119.81" 623.6 1182.125 "2,457.22" "1,223.18" "1,336.65" "1,217.47" 623.6 "2,457.22" TEFLON CAUTERY TIP (12/BX) N/A N/A N/A 3.33 2.07 1.17 1.63 0.79 1.84 2.26 1.1 0.61 1.1655 2.42 1.21 1.32 1.2 0.61 2.42 TEMNO EVOLUT COAX 18GX11 CTSUP USSUP N/A N/A N/A 139.48 86.63 49.16 68.2 33.22 77.22 94.48 46.24 25.75 48.818 101.48 50.51 55.2 50.28 25.75 101.48 TEMNO EVOLUT COAX 20GX11 CTSUP USSUP N/A N/A N/A 1866.9 "1,159.56" 657.95 912.9 444.64 "1,033.59" "1,264.55" 618.97 344.69 653.415 "1,358.22" 676.11 738.83 672.95 344.69 "1,358.22" THE ECOSUCTIONER N/A N/A N/A 241.5 150 85.11 118.09 57.52 133.7 163.58 80.07 44.59 84.525 175.7 87.46 95.57 87.05 44.59 175.7 THORA KLEX CHEST DRAINAGE N/A N/A N/A 188 116.77 66.26 91.93 44.78 104.08 127.34 62.33 34.71 65.8 136.77 68.09 74.4 67.77 34.71 136.77 THORACIC CATHETER 20FR PVC N/A C1729 N/A 220.99 137.26 77.88 108.06 52.63 122.35 149.69 73.27 40.8 77.3465 160.78 80.03 87.46 79.66 40.8 160.78 THORACIC CATHETER 24FR PVC N/A C1729 N/A 24.95 15.5 8.79 12.2 5.94 13.81 16.9 8.27 4.61 8.7325 18.15 9.04 9.87 8.99 4.61 18.15 THREADED GUIDE WIRE 1.4X1.5MM N/A N/A N/A 274.75 170.65 96.83 134.35 65.44 152.11 186.1 91.09 50.73 96.1625 199.89 99.5 108.73 99.04 50.73 199.89 THREADED STEINMAN PIN 3/32 N/A C1713 N/A 174.04 108.1 61.34 85.1 41.45 96.36 117.89 57.7 32.13 60.914 126.62 63.03 68.88 62.74 32.13 126.62 THUNDERBEAT 5MM N/A N/A N/A 1445.71 897.95 509.51 706.94 344.32 800.41 979.25 479.33 266.93 505.9985 "1,051.79" 523.57 572.14 521.13 266.93 "1,051.79" THUNDERBEAT OPEN FINE JAW N/A N/A N/A 1493.57 927.68 526.38 730.35 355.72 826.9 "1,011.67" 495.19 275.76 522.7495 "1,086.61" 540.91 591.08 538.38 275.76 "1,086.61" TIBIAL BEARING INSERT CS TRIATHLON N/A C1776 N/A 2430 "1,509.31" 856.41 "1,188.26" 578.75 "1,345.35" "1,645.96" 805.67 448.66 850.5 "1,767.89" 880.04 961.68 875.93 448.66 "1,767.89" TIGERSTICK #2 TIGERWIRE N/A C1713 N/A 200 124.22 70.49 97.8 47.63 110.73 135.47 66.31 36.93 70 145.5 72.43 79.15 72.09 36.93 145.5 TIGERTAPE 2MM N/A N/A N/A 200 124.22 70.49 97.8 47.63 110.73 135.47 66.31 36.93 70 145.5 72.43 79.15 72.09 36.93 145.5 TIP ACCS VISTASEAL 45CM LAP AIRLESS SPRA N/A N/A N/A 227.45 141.27 80.16 111.22 54.17 125.93 154.06 75.41 41.99 79.6075 165.48 82.37 90.01 81.99 41.99 165.48 TISSUE RETENTION SYSTEM N/A N/A N/A 234.5 145.65 82.65 114.67 55.85 129.83 158.84 77.75 43.3 82.075 170.6 84.93 92.8 84.53 43.3 170.6 TOGA SURGICAL T7 PLUS ZIPPER PEEL AWAY FACE SHIELD STERILE LATEX FREE DISPOSABLE N/A N/A N/A 341.4 212.05 120.32 166.94 81.31 189.01 231.25 113.19 63.03 119.49 248.38 123.64 135.11 123.06 63.03 248.38 TOOMEY SYRINGE N/A N/A N/A 776.25 482.14 273.57 379.58 184.88 429.76 525.79 257.37 143.32 271.6875 564.74 281.12 307.2 279.81 143.32 564.74 "TOURNIQUET 18"" A.T.S DISP CUFF W/ OR W/O SLEEVE" N/A N/A N/A 36.08 22.41 12.72 17.64 8.59 19.98 24.44 11.96 6.66 12.628 26.25 13.07 14.28 13.01 6.66 26.25 TOWEL DISP STERILE CLOTH 1/PK N/A N/A N/A 0.7 0.43 0.24 0.34 0.17 0.38 0.47 0.23 0.13 0.24325 0.51 0.25 0.28 0.25 0.13 0.51 TRAC MED. DRESSING KIT N/A N/A N/A 83.03 51.57 29.26 40.6 19.78 45.97 56.24 27.53 15.33 29.0605 60.41 30.07 32.86 29.93 15.33 60.41 TRAY EDLICH TUBE 34FR N/A N/A N/A 30.92 19.2 10.9 15.12 7.36 17.12 20.94 10.25 5.71 10.822 22.5 11.2 12.24 11.15 5.71 22.5 TRAY EPIDURAL N/A N/A N/A 68.57 42.59 24.17 33.53 16.33 37.96 46.45 22.73 12.66 23.9995 49.89 24.83 27.14 24.72 12.66 49.89 TRAY FOLEY CATH 16FR LF 350ML URINEMETER N/A C1729 N/A 81.97 50.91 28.89 40.08 19.52 45.38 55.52 27.18 15.13 28.6895 59.64 29.69 32.44 29.55 15.13 59.64 TRAY FOLEY CATH 16FR LF DRAINAGE BAG N/A C1729 N/A 47.19 29.31 16.63 23.08 11.24 26.13 31.96 15.65 8.71 16.5165 34.33 17.09 18.68 17.01 8.71 34.33 TRAY FOLEY LF 16FR TEMP SENSING N/A C1729 N/A 131.82 81.88 46.46 64.46 31.4 72.98 89.29 43.7 24.34 46.137 95.9 47.74 52.17 47.52 24.34 95.9 TRI PS FEM COMPONET BEADED W/PA N/A C1713 N/A 3125 "1,940.99" "1,101.35" "1,528.11" 744.27 "1,730.13" "2,116.72" "1,036.10" 576.98 1093.75 "2,273.52" "1,131.74" "1,236.72" "1,126.46" 576.98 "2,273.52" TRI.TRITANIUM BASEPLATE SIZE 6 N/A C1776 N/A 3700 "2,298.13" "1,304.00" "1,809.28" 881.22 "2,048.47" "2,506.20" "1,226.74" 683.14 1295 "2,691.84" "1,339.98" "1,464.28" "1,333.73" 683.14 "2,691.84" TRIA PS FEM COMPONENT BEADED W/PA N/A C1776 N/A 3125 "1,940.99" "1,101.35" "1,528.11" 744.27 "1,730.13" "2,116.72" "1,036.10" 576.98 1093.75 "2,273.52" "1,131.74" "1,236.72" "1,126.46" 576.98 "2,273.52" TRIA TRITANIUM BASEPLATE SIZE 3 N/A C1776 N/A 3700 "2,298.13" "1,304.00" "1,809.28" 881.22 "2,048.47" "2,506.20" "1,226.74" 683.14 1295 "2,691.84" "1,339.98" "1,464.28" "1,333.73" 683.14 "2,691.84" TRIANIUM ASY.METAL BACK PATELLA A40X11 N/A C1776 N/A 990 614.9 348.91 484.1 235.79 548.11 670.58 328.23 182.79 346.5 720.25 358.53 391.79 356.86 182.79 720.25 TRIATHLON ASYMMETRIC X3 PATELLA N/A C1776 N/A 810 503.1 285.47 396.09 192.92 448.45 548.65 268.56 149.55 283.5 589.3 293.35 320.56 291.98 149.55 589.3 TRIATHLON CR FEM BEADED W/PA N/A C1776 N/A 3125 "1,940.99" "1,101.35" "1,528.11" 744.27 "1,730.13" "2,116.72" "1,036.10" 576.98 1093.75 "2,273.52" "1,131.74" "1,236.72" "1,126.46" 576.98 "2,273.52" TRIATHLON CR FEM COMP. BEADED W/PA N/A C1776 N/A 3125 "1,940.99" "1,101.35" "1,528.11" 744.27 "1,730.13" "2,116.72" "1,036.10" 576.98 1093.75 "2,273.52" "1,131.74" "1,236.72" "1,126.46" 576.98 "2,273.52" TRIATHLON CR FEM COMPONENET BEAD W/PA N/A C1776 N/A 3125 "1,940.99" "1,101.35" "1,528.11" 744.27 "1,730.13" "2,116.72" "1,036.10" 576.98 1093.75 "2,273.52" "1,131.74" "1,236.72" "1,126.46" 576.98 "2,273.52" TRIATHLON CR FEM COMPONENT BEADED W/PA N/A C1776 N/A 3125 "1,940.99" "1,101.35" "1,528.11" 744.27 "1,730.13" "2,116.72" "1,036.10" 576.98 1093.75 "2,273.52" "1,131.74" "1,236.72" "1,126.46" 576.98 "2,273.52" TRIATHLON CR FEM COMPONENT-BEADED W/PA N/A C1776 N/A 3125 "1,940.99" "1,101.35" "1,528.11" 744.27 "1,730.13" "2,116.72" "1,036.10" 576.98 1093.75 "2,273.52" "1,131.74" "1,236.72" "1,126.46" 576.98 "2,273.52" TRIATHLON PS FEM COMP-BEADED W/PA N/A C1776 N/A 10000 "6,211.16" "3,524.31" "4,889.95" "2,381.68" "5,536.42" "6,773.51" "3,315.50" "1,846.34" 3500 "7,275.25" "3,621.56" "3,957.51" "3,604.66" "1,846.34" "7,275.25" TRIATHLON PS FEM COMPONENT BEADED W/PA N/A C1776 N/A 3125 "1,940.99" "1,101.35" "1,528.11" 744.27 "1,730.13" "2,116.72" "1,036.10" 576.98 1093.75 "2,273.52" "1,131.74" "1,236.72" "1,126.46" 576.98 "2,273.52" TRIATHLON PS FEM COMPONET BEAD W/PA N/A C1776 N/A 10000 "6,211.16" "3,524.31" "4,889.95" "2,381.68" "5,536.42" "6,773.51" "3,315.50" "1,846.34" 3500 "7,275.25" "3,621.56" "3,957.51" "3,604.66" "1,846.34" "7,275.25" TRIATHLON PS X3 TIBAL INSERT N/A C1776 N/A 2430 "1,509.31" 856.41 "1,188.26" 578.75 "1,345.35" "1,645.96" 805.67 448.66 850.5 "1,767.89" 880.04 961.68 875.93 448.66 "1,767.89" TRIATHLON PS X3 TIBIAL INSERT N/A C1776 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" TRIATHLON TRITANIUM BASEPLATE SIZE 4 N/A C1776 N/A 3700 "2,298.13" "1,304.00" "1,809.28" 881.22 "2,048.47" "2,506.20" "1,226.74" 683.14 1295 "2,691.84" "1,339.98" "1,464.28" "1,333.73" 683.14 "2,691.84" TRIATHLON TRITANIUM BASEPLATE SIZE 7 N/A C1776 N/A 3700 "2,298.13" "1,304.00" "1,809.28" 881.22 "2,048.47" "2,506.20" "1,226.74" 683.14 1295 "2,691.84" "1,339.98" "1,464.28" "1,333.73" 683.14 "2,691.84" TRIDENT #0 X3 INSERT 36MM E N/A C1776 N/A 2970 "1,844.71" "1,046.72" "1,452.31" 707.36 "1,644.32" "2,011.73" 984.7 548.36 1039.5 "2,160.75" "1,075.60" "1,175.38" "1,070.58" 548.36 "2,160.75" TRIDENT 0 DEG INSERT 36MM D N/A C1776 N/A 2970 "1,844.71" "1,046.72" "1,452.31" 707.36 "1,644.32" "2,011.73" 984.7 548.36 1039.5 "2,160.75" "1,075.60" "1,175.38" "1,070.58" 548.36 "2,160.75" TRIDENT 0# X3 INSERT 36MM F N/A C1776 N/A 2970 "1,844.71" "1,046.72" "1,452.31" 707.36 "1,644.32" "2,011.73" 984.7 548.36 1039.5 "2,160.75" "1,075.60" "1,175.38" "1,070.58" 548.36 "2,160.75" TRIDENT II CLUSTERHOLE 50D N/A C1776 N/A 2160 "1,341.61" 761.25 "1,056.23" 514.44 "1,195.87" "1,463.08" 716.15 398.81 756 "1,571.45" 782.26 854.82 778.61 398.81 "1,571.45" TRIDENT II CLUSTERHOLE 56F N/A C1776 N/A 2160 "1,341.61" 761.25 "1,056.23" 514.44 "1,195.87" "1,463.08" 716.15 398.81 756 "1,571.45" 782.26 854.82 778.61 398.81 "1,571.45" TRIDENT II TRIT.CLUSTERHOLE 48D N/A C1762 N/A 2160 "1,341.61" 761.25 "1,056.23" 514.44 "1,195.87" "1,463.08" 716.15 398.81 756 "1,571.45" 782.26 854.82 778.61 398.81 "1,571.45" TRIDENT II TRITANIUM CLUSERHOLE 52E N/A C1776 N/A 2160 "1,341.61" 761.25 "1,056.23" 514.44 "1,195.87" "1,463.08" 716.15 398.81 756 "1,571.45" 782.26 854.82 778.61 398.81 "1,571.45" TRIDENT II TRITANIUM CLUSTERHOLE 54E N/A C1776 N/A 9375 "5,822.96" "3,304.04" "4,584.32" "2,232.82" "5,190.39" "6,350.16" "3,108.29" "1,730.94" 3281.25 "6,820.55" "3,395.22" "3,710.17" "3,379.37" "1,730.94" "6,820.55" TRIDENT PSL HA CLUSTER 46MM N/A C1776 N/A 9375 "5,822.96" "3,304.04" "4,584.32" "2,232.82" "5,190.39" "6,350.16" "3,108.29" "1,730.94" 3281.25 "6,820.55" "3,395.22" "3,710.17" "3,379.37" "1,730.94" "6,820.55" TRIT.ASYM.METAL BACKED PATAELLA A35X10 N/A C1776 N/A 990 614.9 348.91 484.1 235.79 548.11 670.58 328.23 182.79 346.5 720.25 358.53 391.79 356.86 182.79 720.25 TRITANIUM ASYMMETRIC METALPATELLA A29X9 N/A C1776 N/A 990 614.9 348.91 484.1 235.79 548.11 670.58 328.23 182.79 346.5 720.25 358.53 391.79 356.86 182.79 720.25 TRITANIUM ASYMMETRIC PATELLA A38X11 N/A C1776 N/A 990 614.9 348.91 484.1 235.79 548.11 670.58 328.23 182.79 346.5 720.25 358.53 391.79 356.86 182.79 720.25 TROCAR 15MM ENDOPATH EXCEL BLADELESS B15LT N/A N/A N/A 161.6 100.37 56.95 79.02 38.49 89.47 109.46 53.58 29.84 56.56 117.57 58.52 63.95 58.25 29.84 117.57 TROCAR 8MM N/A N/A N/A 92.92 57.71 32.75 45.44 22.13 51.44 62.94 30.81 17.16 32.522 67.6 33.65 36.77 33.49 17.16 67.6 TROCAR AIRSEAL 12/100MM LPI PORT N/A N/A N/A 440.58 273.65 155.27 215.44 104.93 243.92 298.43 146.07 81.35 154.203 320.53 159.56 174.36 158.81 81.35 320.53 TROCAR AIRSEAL 5/100MM PORT N/A N/A N/A 416.72 258.83 146.87 203.77 99.25 230.71 282.27 138.16 76.94 145.852 303.17 150.92 164.92 150.21 76.94 303.17 TROCAR AIRSEAL 8/10MM PORT N/A N/A N/A 429.57 266.81 151.39 210.06 102.31 237.83 290.97 142.42 79.31 150.3495 312.52 155.57 170 154.85 79.31 312.52 TRUCUT 6 IN. N/A N/A N/A 61.09 37.94 21.53 29.87 14.55 33.82 41.38 20.25 11.28 21.3815 44.44 22.12 24.18 22.02 11.28 44.44 TUBES SOILEAU DOUBLE N/A N/A N/A 485.1 301.3 170.96 237.21 115.54 268.57 328.58 160.84 89.57 169.785 352.92 175.68 191.98 174.86 89.57 352.92 TUBES SOILEAU SINGLE N/A N/A N/A 212.46 131.96 74.88 103.89 50.6 117.63 143.91 70.44 39.23 74.361 154.57 76.94 84.08 76.58 39.23 154.57 TUBING - DRAINAGE DEPOT N/A N/A N/A 31.44 19.53 11.08 15.37 7.49 17.41 21.3 10.42 5.8 11.004 22.87 11.39 12.44 11.33 5.8 22.87 TUBING FRAZIER SUCTION 10 FR N/A N/A N/A 1.56 0.97 0.55 0.76 0.37 0.86 1.06 0.52 0.29 0.546 1.13 0.56 0.62 0.56 0.29 1.13 UMBILICUP N/A N/A N/A 459.86 285.63 162.07 224.87 109.52 254.6 311.49 152.47 84.91 160.951 334.56 166.54 181.99 165.76 84.91 334.56 UNICONDYAR METAL BACKED N/A C1776 N/A 3622.5 "2,249.99" "1,276.68" "1,771.38" 862.76 "2,005.57" "2,453.70" "1,201.04" 668.83 1267.875 "2,635.46" "1,311.91" "1,433.61" "1,305.79" 668.83 "2,635.46" UNIVERSAL PACK I EVOL N/A N/A N/A 83.37 51.78 29.38 40.77 19.86 46.16 56.47 27.64 15.39 29.1795 60.65 30.19 32.99 30.05 15.39 60.65 UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE N/A C1776 N/A 3460 "2,149.06" "1,219.41" "1,691.92" 824.06 "1,915.60" "2,343.63" "1,147.16" 638.83 1211 "2,517.24" "1,253.06" "1,369.30" "1,247.21" 638.83 "2,517.24" UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE 7 N/A C1776 N/A 3000 "1,863.35" "1,057.29" "1,466.98" 714.5 "1,660.92" "2,032.05" 994.65 553.9 1050 "2,182.57" "1,086.47" "1,187.25" "1,081.40" 553.9 "2,182.57" VCARE PLUS MED 34MM CERVICAL CUP N/A N/A N/A 276.99 172.04 97.62 135.45 65.97 153.35 187.62 91.84 51.14 96.9465 201.52 100.31 109.62 99.85 51.14 201.52 VENOUS ABLATION LASER KIT (ANGIODYNAM) N/A N/A N/A 1080 670.8 380.63 528.11 257.22 597.93 731.54 358.07 199.4 378 785.73 391.13 427.41 389.3 199.4 785.73 VENTRALIGHT ST W/ECHO 4.5 CIRCLE N/A C1781 N/A 1890 "1,173.91" 666.1 924.2 450.14 "1,046.38" "1,280.19" 626.63 348.96 661.5 "1,375.02" 684.48 747.97 681.28 348.96 "1,375.02" VERRIS NEEDLE 120MM N/A N/A N/A 48.48 30.11 17.09 23.71 11.55 26.84 32.84 16.07 8.95 16.968 35.27 17.56 19.19 17.48 8.95 35.27 VERRIS NEEDLE 150MM N/A N/A N/A 48.48 30.11 17.09 23.71 11.55 26.84 32.84 16.07 8.95 16.968 35.27 17.56 19.19 17.48 8.95 35.27 VESSEL SEALER EXTEND DAVINCI N/A N/A N/A 1969 "1,222.98" 693.94 962.83 468.95 "1,090.12" "1,333.70" 652.82 363.54 689.15 "1,432.50" 713.09 779.23 709.76 363.54 "1,432.50" VISION BLUE N/A N/A N/A 267.05 165.87 94.12 130.59 63.6 147.85 180.89 88.54 49.31 93.4675 194.29 96.71 105.69 96.26 49.31 194.29 VRT AI INFUSION PACK VERITAS ADVANCED N/A N/A N/A 152 94.41 53.57 74.33 36.2 84.15 102.96 50.4 28.06 53.2 110.58 55.05 60.15 54.79 28.06 110.58 VTI SURGICAL DOPPLER N/A N/A N/A 458.5 284.78 161.59 224.2 109.2 253.84 310.57 152.02 84.65 160.475 333.57 166.05 181.45 165.27 84.65 333.57 WEDGE HIP ABDUCTION N/A N/A N/A 94.3 58.57 33.23 46.11 22.46 52.21 63.87 31.27 17.41 33.005 68.61 34.15 37.32 33.99 17.41 68.61 WILSON FRAME KIT N/A N/A N/A 194.83 121.01 68.66 95.27 46.4 107.87 131.97 64.6 35.97 68.1905 141.74 70.56 77.1 70.23 35.97 141.74 WIPE CHLORHEXIDINE 2% (3PK) N/A N/A N/A 13.59 8.44 4.79 6.65 3.24 7.52 9.21 4.51 2.51 4.7565 9.89 4.92 5.38 4.9 2.51 9.89 WIRE .035 FIXED CORE N/A C1769 N/A 42.6 26.46 15.01 20.83 10.15 23.59 28.86 14.12 7.87 14.91 30.99 15.43 16.86 15.36 7.87 30.99 WIRE .038 AMPLATZ N/A C1769 N/A 101.81 63.24 35.88 49.78 24.25 56.37 68.96 33.76 18.8 35.6335 74.07 36.87 40.29 36.7 18.8 74.07 WRAP COBAN STERILE 4X5YD N/A N/A N/A 2.06 1.28 0.73 1.01 0.49 1.14 1.4 0.68 0.38 0.721 1.5 0.75 0.82 0.74 0.38 1.5 WRAP KNEE W/COLD PACK N/A N/A N/A 78.4 48.7 27.63 38.34 18.67 43.41 53.1 25.99 14.48 27.44 57.04 28.39 31.03 28.26 14.48 57.04 WRAP SHOULDER W/COLD PACKS N/A N/A N/A 72 44.72 25.38 35.21 17.15 39.86 48.77 23.87 13.29 25.2 52.38 26.08 28.49 25.95 13.29 52.38 WRAP SHOULDER W/COLD PACKS 4 N/A N/A N/A 80.68 50.11 28.43 39.45 19.22 44.67 54.65 26.75 14.9 28.238 58.7 29.22 31.93 29.08 14.9 58.7 X3 TRIATHLON CS INS SIZE 4 9MM N/A C1776 N/A 2430 "1,509.31" 856.41 "1,188.26" 578.75 "1,345.35" "1,645.96" 805.67 448.66 850.5 "1,767.89" 880.04 961.68 875.93 448.66 "1,767.89" X3 TRIATHLON CS INS SIZE5 9MM N/A C1776 N/A 2430 "1,509.31" 856.41 "1,188.26" 578.75 "1,345.35" "1,645.96" 805.67 448.66 850.5 "1,767.89" 880.04 961.68 875.93 448.66 "1,767.89" X3 TRIATHLON INSERT PS #4 10MM N/A C1776 N/A 2430 "1,509.31" 856.41 "1,188.26" 578.75 "1,345.35" "1,645.96" 805.67 448.66 850.5 "1,767.89" 880.04 961.68 875.93 448.66 "1,767.89" X3 TRIATHLON INSERT PS#6 10MM N/A C1776 N/A 9000 "5,590.04" "3,171.88" "4,400.95" "2,143.51" "4,982.77" "6,096.16" "2,983.95" "1,661.70" 3150 "6,547.72" "3,259.41" "3,561.76" "3,244.20" "1,661.70" "6,547.72" X3 TRISTHLON CS INS SIZE 7 9MM N/A C1776 N/A 2430 "1,509.31" 856.41 "1,188.26" 578.75 "1,345.35" "1,645.96" 805.67 448.66 850.5 "1,767.89" 880.04 961.68 875.93 448.66 "1,767.89" "ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLUTION" N/A N/A 36000-306-60 0.29 0.18 0.1 0.14 0.07 0.16 0.19 0.09 0.05 0.09975 0.21 0.1 0.11 0.1 0.05 0.21 ACETAMINOPHEN 120 MG SUPPOSITORY N/A A9270 45802-732-00 1.36 0.84 0.48 0.66 0.32 0.75 0.92 0.45 0.25 0.47425 0.99 0.49 0.54 0.49 0.25 0.99 ACETAMINOPHEN 160 MG/5 ML SUSPENSION N/A A9270 68094-231-59 2.7 1.68 0.95 1.32 0.64 1.49 1.83 0.9 0.5 0.945 1.96 0.98 1.07 0.97 0.5 1.96 ACETAMINOPHEN 325 MG TABLET N/A A9270 0904-6773-61 0.16 0.1 0.06 0.08 0.04 0.09 0.11 0.05 0.03 0.056 0.12 0.06 0.06 0.06 0.03 0.12 ACETAMINOPHEN 650 MG SUPPOSITORY N/A A9270 45802-730-32 1.49 0.93 0.53 0.73 0.35 0.82 1.01 0.49 0.28 0.5215 1.08 0.54 0.59 0.54 0.28 1.08 ACETAMINOPHEN 650 MG/20.3 ML SOLUTION N/A A9270 0121-1971-21 1.62 1.01 0.57 0.79 0.39 0.9 1.1 0.54 0.3 0.567 1.18 0.59 0.64 0.58 0.3 1.18 ACETAZOLAMIDE 250 MG TABLET N/A A9270 0904-6663-61 10.84 6.73 3.82 5.3 2.58 6 7.34 3.59 2 3.79225 7.88 3.92 4.29 3.91 2 7.88 ACETAZOLAMIDE PER 500 MG N/A N/A 67457-853-50 120 74.53 42.29 58.68 28.58 66.44 81.28 39.79 22.16 42 87.3 43.46 47.49 43.26 22.16 87.3 ACETYLCYSTEINE PER 100 MG N/A N/A 72611-860-01 9.4 5.84 3.31 4.6 2.24 5.2 6.37 3.12 1.74 3.29 6.84 3.4 3.72 3.39 1.74 6.84 ACYCLOVIR 200 MG CAPSULE N/A A9270 0904-5789-61 3.83 2.38 1.35 1.87 0.91 2.12 2.59 1.27 0.71 1.33875 2.78 1.39 1.51 1.38 0.71 2.78 ACYCLOVIR 800 MG TABLET N/A A9270 68084-109-11 11.38 7.07 4.01 5.56 2.71 6.3 7.71 3.77 2.1 3.983 8.28 4.12 4.5 4.1 2.1 8.28 ACYCLOVIR PER 5 MG N/A N/A 55150-154-10 0.4 0.25 0.14 0.2 0.1 0.22 0.27 0.13 0.07 0.14 0.29 0.14 0.16 0.14 0.07 0.29 ADENOSINE PER 6 MG N/A N/A 67457-855-00 3.13 1.94 1.1 1.53 0.74 1.73 2.12 1.04 0.58 1.09375 2.27 1.13 1.24 1.13 0.58 2.27 ADULT CONCENTRATED 2-IN-1 TPN INFUSION N/A N/A 0517-9305-01 288 178.88 101.5 140.83 68.59 159.45 195.08 95.49 53.17 100.8 209.53 104.3 113.98 103.81 53.17 209.53 ADULT CYCLIC 2-IN-1 TPN INFUSION N/A N/A 0338-0013-04 288 178.88 101.5 140.83 68.59 159.45 195.08 95.49 53.17 100.8 209.53 104.3 113.98 103.81 53.17 209.53 "ADULT MULTIVITAMIN 3,300 UNIT- 150 MCG/10 ML SOLUTION 10 ML VIAL" N/A N/A 54643-5649-1 3.04 1.89 1.07 1.48 0.72 1.68 2.06 1.01 0.56 1.06225 2.21 1.1 1.2 1.09 0.56 2.21 ALBUMIN HUMAN 25% PER 50 ML N/A N/A 44206-251-05 144 89.44 50.75 70.42 34.3 79.72 97.54 47.74 26.59 50.4 104.76 52.15 56.99 51.91 26.59 104.76 ALBUTEROL HFA 90 MCG/ACTUATION HFA AEROSOL INHALER N/A A9270 0173-0682-24 2.28 1.42 0.8 1.11 0.54 1.26 1.54 0.76 0.42 0.798 1.66 0.83 0.9 0.82 0.42 1.66 ALBUTEROL PER 1 MG N/A N/A 0487-9904-01 2 1.24 0.7 0.98 0.48 1.1 1.35 0.66 0.37 0.69825 1.45 0.72 0.79 0.72 0.37 1.45 ALLOPURINOL 100 MG TABLET N/A A9270 63739-410-10 0.75 0.47 0.26 0.37 0.18 0.42 0.51 0.25 0.14 0.2625 0.55 0.27 0.3 0.27 0.14 0.55 ALLOPURINOL 300 MG TABLET N/A A9270 0904-6572-61 1.53 0.95 0.54 0.75 0.36 0.85 1.04 0.51 0.28 0.5355 1.11 0.55 0.61 0.55 0.28 1.11 "ALPHA-1 PROTEINASE INHIBITOR 1,000 MG (+/-)/20 ML SOLUTION" N/A N/A 13533-705-11 15.5 9.63 5.46 7.58 3.69 8.58 10.5 5.14 2.86 5.425 11.28 5.61 6.13 5.59 2.86 11.28 ALPRAZOLAM 0.25 MG TABLET N/A A9270 0781-1061-01 1.7 1.06 0.6 0.83 0.4 0.94 1.15 0.56 0.31 0.595 1.24 0.62 0.67 0.61 0.31 1.24 ALPRAZOLAM 0.5 MG TABLET N/A A9270 0781-1077-01 1.86 1.16 0.66 0.91 0.44 1.03 1.26 0.62 0.34 0.651 1.35 0.67 0.74 0.67 0.34 1.35 ALPRAZOLAM 1 MG TABLET N/A A9270 0228-2031-10 2.47 1.53 0.87 1.21 0.59 1.36 1.67 0.82 0.46 0.86275 1.79 0.89 0.98 0.89 0.46 1.79 ALTEPLASE 2 MG RECON SOLN N/A N/A 50242-041-64 241.06 149.73 84.96 117.88 57.41 133.46 163.28 79.92 44.51 84.37205 175.38 87.3 95.4 86.9 44.51 175.38 ALTEPLASE 2 MG RECON SOLN 1 EACH VIAL N/A N/A 50242-041-64 241.07 149.73 84.96 117.88 57.41 133.46 163.29 79.93 44.51 84.37275 175.38 87.3 95.4 86.9 44.51 175.38 ALTEPLASE PER 1 MG N/A N/A 50242-085-27 258.14 160.34 90.98 126.23 61.48 142.92 174.85 85.59 47.66 90.35055556 187.81 93.49 102.16 93.05 47.66 187.81 ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML SUSPENSION N/A A9270 57896-629-12 0.02 0.01 0.01 0.01 0 0.01 0.01 0.01 0 0.006066667 0.01 0.01 0.01 0.01 0 0.01 ALVIMOPAN 12 MG CAPSULE N/A A9270 0591-2312-45 518.25 321.89 182.65 253.42 123.43 286.92 351.04 171.83 95.69 181.3875 377.04 187.69 205.1 186.81 95.69 377.04 AMINO ACIDS-PROTEIN HYDROLYSATE (PRO-STAT) 15 GRAMS PROTEIN AND 100 CALORIES/30ML 15 GRAM- 100 KCAL/30 ML LIQUID IN PACKET N/A A9270 2697441017 3.21 1.99 1.13 1.57 0.76 1.78 2.17 1.06 0.59 1.1235 2.34 1.16 1.27 1.16 0.59 2.34 AMINOPHYLLINE PER 250 MG N/A N/A 0409-5922-16 3.99 2.48 1.41 1.95 0.95 2.21 2.7 1.32 0.74 1.3965 2.9 1.45 1.58 1.44 0.74 2.9 AMIODARONE 200 MG TABLET N/A A9270 0904-6993-61 0.64 0.4 0.23 0.31 0.15 0.35 0.43 0.21 0.12 0.224 0.47 0.23 0.25 0.23 0.12 0.47 "AMIODARONE IN DEXTROSE,ISO-OSM 150 MG/100 ML (1.5 MG/ML) SOLUTION" N/A N/A 43066-150-10 104.07 64.64 36.68 50.89 24.79 57.62 70.49 34.5 19.21 36.4245 75.71 37.69 41.19 37.51 19.21 75.71 "AMIODARONE IN DEXTROSE,ISO-OSM 360 MG/200 ML (1.8 MG/ML) SOLUTION" N/A N/A 43066-360-20 138.42 85.97 48.78 67.69 32.97 76.64 93.76 45.89 25.56 48.447 100.7 50.13 54.78 49.9 25.56 100.7 AMIODARONE PER 30 MG N/A N/A 63323-616-03 4.62 2.87 1.63 2.26 1.1 2.56 3.13 1.53 0.85 1.617 3.36 1.67 1.83 1.67 0.85 3.36 AMITRIPTYLINE 10 MG TABLET N/A A9270 16729-171-01 0.8 0.49 0.28 0.39 0.19 0.44 0.54 0.26 0.15 0.278833333 0.58 0.29 0.32 0.29 0.15 0.58 AMLODIPINE 10 MG TABLET N/A A9270 0904-6371-61 5.64 3.5 1.99 2.76 1.34 3.12 3.82 1.87 1.04 1.974 4.1 2.04 2.23 2.03 1.04 4.1 AMLODIPINE 2.5 MG TABLET N/A A9270 0904-6369-61 3.99 2.48 1.41 1.95 0.95 2.21 2.7 1.32 0.74 1.3965 2.9 1.45 1.58 1.44 0.74 2.9 AMLODIPINE 5 MG TABLET N/A A9270 0904-6370-61 0.48 0.3 0.17 0.23 0.11 0.27 0.33 0.16 0.09 0.168 0.35 0.17 0.19 0.17 0.09 0.35 AMMONIUM LACTATE 12 % LOTION 226 G BOTTLE N/A A9270 904598426 95.3 59.19 33.59 46.6 22.7 52.76 64.55 31.6 17.6 33.355 69.33 34.51 37.72 34.35 17.6 69.33 AMOXICILLIN 250 MG CAPSULE N/A A9270 65862-016-01 0.63 0.39 0.22 0.31 0.15 0.35 0.42 0.21 0.12 0.21875 0.45 0.23 0.25 0.23 0.12 0.45 AMOXICILLIN 400 MG/5 ML SUSPENSION FOR RECONSTITUTION N/A A9270 65862-071-01 1.55 0.96 0.55 0.76 0.37 0.86 1.05 0.51 0.29 0.5425 1.13 0.56 0.61 0.56 0.29 1.13 AMOXICILLIN 400 MG/5 ML SUSPENSION FOR RECONSTITUTION 100 ML BOTTLE N/A A9270 65862-071-01 24.53 15.24 8.65 12 5.84 13.58 16.62 8.13 4.53 8.5855 17.85 8.88 9.71 8.84 4.53 17.85 AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5 ML SUSPENSION FOR RECONSTITUTION N/A A9270 0143-9981-01 5.61 3.48 1.98 2.74 1.34 3.11 3.8 1.86 1.04 1.9635 4.08 2.03 2.22 2.02 1.04 4.08 AMOXICILLIN-POT CLAVULANATE 400-57 MG/5 ML SUSPENSION FOR RECONSTITUTION N/A A9270 0143-9982-01 9.66 6 3.4 4.72 2.3 5.35 6.54 3.2 1.78 3.381 7.03 3.5 3.82 3.48 1.78 7.03 AMOXICILLIN-POT CLAVULANATE 500-125 MG TABLET N/A A9270 65862-502-20 9.47 5.88 3.34 4.63 2.26 5.24 6.41 3.14 1.75 3.3145 6.89 3.43 3.75 3.41 1.75 6.89 AMOXICILLIN-POT CLAVULANATE 875-125 MG TABLET N/A A9270 65862-503-01 12.38 7.69 4.36 6.05 2.95 6.85 8.39 4.1 2.29 4.333 9.01 4.48 4.9 4.46 2.29 9.01 AMPICILLIN PER 500 MG N/A N/A 65219-014-01 3.76 2.33 1.32 1.84 0.89 2.08 2.54 1.25 0.69 1.314833333 2.73 1.36 1.49 1.35 0.69 2.73 AMPICILLIN-SULBACTAM PER 1.5 G N/A N/A 55150-117-20 7.17 4.45 2.53 3.51 1.71 3.97 4.86 2.38 1.32 2.5095 5.22 2.6 2.84 2.58 1.32 5.22 APIXABAN 2.5 MG TABLET N/A A9270 0003-0893-31 26.46 16.43 9.33 12.94 6.3 14.65 17.92 8.77 4.89 9.261 19.25 9.58 10.47 9.54 4.89 19.25 APIXABAN 5 MG TABLET N/A A9270 0003-0894-31 26.46 16.43 9.32 12.94 6.3 14.65 17.92 8.77 4.88 9.25925 19.25 9.58 10.47 9.54 4.88 19.25 ARIPIPRAZOLE 10 MG TABLET N/A A9270 16729-280-01 80.18 49.8 28.26 39.21 19.1 44.39 54.31 26.58 14.8 28.06416667 58.34 29.04 31.73 28.9 14.8 58.34 ARIPIPRAZOLE 2 MG TABLET N/A A9270 16729-278-01 80.19 49.81 28.26 39.21 19.1 44.4 54.32 26.59 14.81 28.0665 58.34 29.04 31.74 28.91 14.81 58.34 "ARTICAINE-EPINEPHRINE 4 %- 1:200,000 CARTRIDGE" N/A N/A 0362-9048-02 2.5 1.55 0.88 1.22 0.6 1.39 1.7 0.83 0.46 0.875875 1.82 0.91 0.99 0.9 0.46 1.82 ARTIFICIAL TEARS(HYPROMELLOSE) 0.5 % DROPS 15 ML DROP BTL N/A A9270 0065-0408-72 64.98 40.36 22.9 31.77 15.48 35.98 44.01 21.54 12 22.743 47.27 23.53 25.72 23.42 12 47.27 ASCORBIC ACID (VITAMIN C) 500 MG TABLET N/A A9270 904052361 0.17 0.11 0.06 0.08 0.04 0.09 0.12 0.06 0.03 0.0595 0.12 0.06 0.07 0.06 0.03 0.12 ASPIRIN 300 MG SUPPOSITORY N/A A9270 0574-7034-12 3.65 2.27 1.29 1.78 0.87 2.02 2.47 1.21 0.67 1.2775 2.66 1.32 1.44 1.32 0.67 2.66 ASPIRIN 325 MG TABLET N/A A9270 66553-001-01 0.15 0.09 0.05 0.07 0.04 0.08 0.1 0.05 0.03 0.0525 0.11 0.05 0.06 0.05 0.03 0.11 "ASPIRIN 325 MG TABLET,DELAYED RELEASE (DR/EC)" N/A A9270 69618-015-01 0.05 0.03 0.02 0.02 0.01 0.03 0.03 0.02 0.01 0.0175 0.04 0.02 0.02 0.02 0.01 0.04 "ASPIRIN 81 MG TABLET,CHEWABLE" N/A A9270 63739-434-02 0.15 0.09 0.05 0.07 0.04 0.08 0.1 0.05 0.03 0.0525 0.11 0.05 0.06 0.05 0.03 0.11 "ASPIRIN 81 MG TABLET,DELAYED RELEASE (DR/EC)" N/A A9270 63739-212-02 0.14 0.09 0.05 0.07 0.03 0.08 0.09 0.05 0.03 0.049 0.1 0.05 0.06 0.05 0.03 0.1 ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG TABLET N/A A9270 0536-1326-01 0.08 0.05 0.03 0.04 0.02 0.04 0.05 0.03 0.01 0.028 0.06 0.03 0.03 0.03 0.01 0.06 ATENOLOL 25 MG TABLET N/A A9270 0904-7187-61 0.59 0.37 0.21 0.29 0.14 0.33 0.4 0.2 0.11 0.2065 0.43 0.21 0.23 0.21 0.11 0.43 ATENOLOL 50 MG TABLET N/A A9270 51079-684-01 2.23 1.39 0.79 1.09 0.53 1.23 1.51 0.74 0.41 0.7805 1.62 0.81 0.88 0.8 0.41 1.62 ATORVASTATIN 10 MG TABLET N/A A9270 0904-6290-61 0.92 0.57 0.32 0.45 0.22 0.51 0.62 0.31 0.17 0.322 0.67 0.33 0.36 0.33 0.17 0.67 ATORVASTATIN 20 MG TABLET N/A A9270 0904-6291-61 0.71 0.44 0.25 0.35 0.17 0.39 0.48 0.24 0.13 0.2485 0.52 0.26 0.28 0.26 0.13 0.52 ATORVASTATIN 40 MG TABLET N/A A9270 0904-6292-61 1.32 0.82 0.47 0.65 0.31 0.73 0.89 0.44 0.24 0.462 0.96 0.48 0.52 0.48 0.24 0.96 ATROPINE 1 % DROPS 5 ML DROP BTL N/A A9270 60219-1749-3 145.95 90.65 51.44 71.37 34.76 80.8 98.86 48.39 26.95 51.0825 106.18 52.86 57.76 52.61 26.95 106.18 ATROPINE PER 0.01 MG N/A N/A 76329-3340-1 0.31 0.19 0.11 0.15 0.07 0.17 0.21 0.1 0.06 0.10941 0.23 0.11 0.12 0.11 0.06 0.23 AZITHROMYCIN 250 MG TABLET N/A A9270 60687-282-11 3.71 2.3 1.31 1.81 0.88 2.05 2.51 1.23 0.68 1.29675 2.7 1.34 1.47 1.34 0.68 2.7 AZITHROMYCIN PER 500 MG N/A N/A 70860-100-41 1.8 1.12 0.63 0.88 0.43 1 1.22 0.6 0.33 0.63 1.31 0.65 0.71 0.65 0.33 1.31 AZTREONAM PER 500 MG N/A N/A 0003-2570-16 174 108.07 61.32 85.09 41.44 96.33 117.86 57.69 32.13 60.9 126.59 63.02 68.86 62.72 32.13 126.59 B COMPLEX-VITAMIN C-FOLIC ACID 1 MG CAPSULE N/A A9270 6954326010 1.69 1.05 0.6 0.83 0.4 0.94 1.14 0.56 0.31 0.5915 1.23 0.61 0.67 0.61 0.31 1.23 BACITRACIN 500 UNIT/GRAM OINTMENT 28.4 G TUBE N/A A9270 0713-0280-31 8.68 5.39 3.06 4.24 2.07 4.81 5.88 2.88 1.6 3.038 6.31 3.14 3.44 3.13 1.6 6.31 BACITRACIN 500 UNIT/GRAM PACKET N/A A9270 45802-060-00 0.58 0.36 0.2 0.28 0.14 0.32 0.39 0.19 0.11 0.203 0.42 0.21 0.23 0.21 0.11 0.42 BACLOFEN 10 MG TABLET N/A A9270 68084-855-11 1.26 0.78 0.44 0.62 0.3 0.7 0.85 0.42 0.23 0.441 0.92 0.46 0.5 0.45 0.23 0.92 BALANCED SALT SOLUTION SOLUTION N/A A9270 0065-1795-04 98.28 61.04 34.64 48.06 23.41 54.41 66.57 32.58 18.15 34.398 71.5 35.59 38.89 35.43 18.15 71.5 BALANCED SALT SOLUTION SOLUTION 15 ML BOTTLE N/A A9270 0065-0795-15 32.16 19.98 11.33 15.73 7.66 17.81 21.78 10.66 5.94 11.256 23.4 11.65 12.73 11.59 5.94 23.4 BENZOCAINE 20 % LIQUID 12 ML TUBE N/A A9270 5002443201 10.98 6.82 3.87 5.37 2.62 6.08 7.44 3.64 2.03 3.843 7.99 3.98 4.35 3.96 2.03 7.99 BENZOCAINE-MENTHOL 15-2.6 MG LOZENGE N/A A9270 6382473016 0.76 0.47 0.27 0.37 0.18 0.42 0.51 0.25 0.14 0.266 0.55 0.28 0.3 0.27 0.14 0.55 BENZOCAINE-MENTHOL 20-0.5 % AEROSOL 85 G CANISTER N/A A9270 16864-680-03 15.78 9.8 5.56 7.72 3.76 8.74 10.69 5.23 2.91 5.523 11.48 5.71 6.24 5.69 2.91 11.48 BENZONATATE 100 MG CAPSULE N/A A9270 0904-6564-61 1.49 0.93 0.53 0.73 0.35 0.82 1.01 0.49 0.28 0.5215 1.08 0.54 0.59 0.54 0.28 1.08 BETAMETHASONE ACET & SOD PHOS PER 4 MG N/A N/A 78206-118-01 11.77 7.31 4.15 5.76 2.8 6.52 7.97 3.9 2.17 4.1195 8.56 4.26 4.66 4.24 2.17 8.56 BICTEGRAV-EMTRICIT-TENOFOV ALA 50-200-25 MG TABLET N/A A9270 61958-2501-1 358.38 222.6 126.3 175.25 85.35 198.41 242.75 118.82 66.17 125.433 260.73 129.79 141.83 129.18 66.17 260.73 BISACODYL 10 MG SUPPOSITORY N/A A9270 0574-7050-12 0.4 0.25 0.14 0.2 0.1 0.22 0.27 0.13 0.07 0.14 0.29 0.14 0.16 0.14 0.07 0.29 "BISACODYL 5 MG TABLET,DELAYED RELEASE (DR/EC)" N/A A9270 0904-6407-61 0.18 0.11 0.06 0.09 0.04 0.1 0.12 0.06 0.03 0.063875 0.13 0.07 0.07 0.07 0.03 0.13 BISOPROLOL 10 MG TABLET N/A A9270 52817-271-10 5.64 3.5 1.99 2.76 1.34 3.12 3.82 1.87 1.04 1.97225 4.1 2.04 2.23 2.03 1.04 4.1 BISOPROLOL 5 MG TABLET N/A A9270 52817-270-10 5.64 3.5 1.99 2.76 1.34 3.12 3.82 1.87 1.04 1.97225 4.1 2.04 2.23 2.03 1.04 4.1 BRIMONIDINE 0.2 % DROPS 5 ML DROP BTL N/A A9270 24208-411-05 31.25 19.41 11.01 15.28 7.44 17.3 21.17 10.36 5.77 10.9375 22.74 11.32 12.37 11.26 5.77 22.74 BUDESONIDE-FORMOTEROL 160-4.5 MCG/ACTUATION HFA AEROSOL INHALER N/A A9270 0186-0370-28 12.89 8.01 4.54 6.3 3.07 7.14 8.73 4.27 2.38 4.5115 9.38 4.67 5.1 4.65 2.38 9.38 BUDESONIDE-FORMOTEROL 160-4.5 MCG/ACTUATION HFA AEROSOL INHALER 6 G AER W/ADAP N/A A9270 0186-0370-28 772.83 480.02 272.37 377.91 184.06 427.87 523.48 256.23 142.69 270.4905 562.25 279.89 305.85 278.58 142.69 562.25 BUDESONIDE-FORMOTEROL 80-4.5 MCG/ACTUATION HFA AEROSOL INHALER N/A A9270 0186-0372-28 28.89 17.94 10.18 14.13 6.88 15.99 19.57 9.58 5.33 10.1115 21.02 10.46 11.43 10.41 5.33 21.02 BUMETANIDE 1 MG TABLET N/A A9270 0904-7016-06 3.25 2.02 1.15 1.59 0.77 1.8 2.2 1.08 0.6 1.1375 2.36 1.18 1.29 1.17 0.6 2.36 BUMETANIDE PER 0.5 MG N/A N/A 0641-6008-10 3.93 2.44 1.39 1.92 0.94 2.18 2.66 1.3 0.73 1.3755 2.86 1.42 1.56 1.42 0.73 2.86 BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION N/A N/A 63323-464-37 7.8 4.84 2.75 3.81 1.86 4.32 5.28 2.59 1.44 2.73 5.67 2.82 3.09 2.81 1.44 5.67 BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 10 ML VIAL N/A N/A 55150-167-10 7.8 4.84 2.75 3.81 1.86 4.32 5.28 2.59 1.44 2.73 5.67 2.82 3.09 2.81 1.44 5.67 BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 30 ML VIAL N/A N/A 63323-464-02 19.65 12.2 6.93 9.61 4.68 10.88 13.31 6.51 3.63 6.8775 14.3 7.12 7.78 7.08 3.63 14.3 BUPIVACAINE HCL 0.5 % (5 MG/ML) SOLUTION N/A N/A 63323-467-57 33.6 20.87 11.84 16.43 8 18.6 22.76 11.14 6.2 11.76 24.44 12.17 13.3 12.11 6.2 24.44 BUPIVACAINE HCL 0.5 % (5 MG/ML) SOLUTION 50 ML VIAL N/A N/A 63323-467-57 33.6 20.87 11.84 16.43 8 18.6 22.76 11.14 6.2 11.76 24.44 12.17 13.3 12.11 6.2 24.44 BUPIVACAINE LIPOSOME 1.3 % (13.3 MG/ML) SUSPENSION N/A N/A 65250-266-20 1063.6 660.62 374.85 520.09 253.32 588.85 720.43 352.64 196.38 372.26 773.8 385.19 420.92 383.39 196.38 773.8 BUPIVACAINE LIPOSOME 1.3 % (13.3 MG/ML) SUSPENSION 20 ML VIAL N/A N/A 65250-266-20 1063.6 660.62 374.85 520.09 253.32 588.85 720.43 352.64 196.38 372.26 773.8 385.19 420.92 383.39 196.38 773.8 BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION N/A N/A 63323-466-37 7.5 4.66 2.64 3.67 1.79 4.15 5.08 2.49 1.38 2.625 5.46 2.72 2.97 2.7 1.38 5.46 BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION 10 ML VIAL N/A N/A 0409-1162-18 13.68 8.5 4.82 6.69 3.26 7.57 9.27 4.54 2.53 4.788 9.95 4.95 5.41 4.93 2.53 9.95 BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION N/A N/A 0409-1165-18 2.02 1.25 0.71 0.99 0.48 1.12 1.37 0.67 0.37 0.707 1.47 0.73 0.8 0.73 0.37 1.47 BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION 10 ML VIAL N/A N/A 0409-1165-18 0.92 0.57 0.32 0.45 0.22 0.51 0.62 0.31 0.17 0.322 0.67 0.33 0.36 0.33 0.17 0.67 BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION 30 ML VIAL N/A N/A 63323-472-01 0.5 0.31 0.18 0.24 0.12 0.28 0.34 0.17 0.09 0.175 0.36 0.18 0.2 0.18 0.09 0.36 BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) SOLUTION N/A N/A 0409-1761-18 3.03 1.88 1.07 1.48 0.72 1.68 2.05 1 0.56 1.0605 2.2 1.1 1.2 1.09 0.56 2.2 "BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 SOLUTION" N/A N/A 63323-468-37 27.57 17.12 9.72 13.48 6.57 15.26 18.67 9.14 5.09 9.6495 20.06 9.98 10.91 9.94 5.09 20.06 "BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 SOLUTION" N/A N/A 63323-462-17 13.41 8.33 4.73 6.56 3.19 7.42 9.08 4.45 2.48 4.6935 9.76 4.86 5.31 4.83 2.48 9.76 "BUPRENORPHINE-NALOXONE 8-2 MG TABLET, SUBLINGUAL" N/A A9270 60687-637-11 11.96 7.43 4.22 5.85 2.85 6.62 8.1 3.97 2.21 4.186 8.7 4.33 4.73 4.31 2.21 8.7 BUPROPION SR 100 MG TABLET SUSTAINED-RELEASE 12 HR N/A A9270 68084-697-11 4.16 2.58 1.47 2.03 0.99 2.3 2.82 1.38 0.77 1.456 3.03 1.51 1.65 1.5 0.77 3.03 BUPROPION SR 150 MG TABLET SUSTAINED-RELEASE 12 HR N/A A9270 0904-7214-61 1.76 1.09 0.62 0.86 0.42 0.97 1.19 0.58 0.32 0.616 1.28 0.64 0.7 0.63 0.32 1.28 BUPROPION XL 150 MG TABLET EXTENDED RELEASE 24 HR N/A A9270 0904-7084-61 5.57 3.46 1.96 2.72 1.33 3.08 3.77 1.85 1.03 1.94775 4.05 2.02 2.2 2.01 1.03 4.05 BUSPIRONE 10 MG TABLET N/A A9270 51079-986-01 3.37 2.09 1.19 1.65 0.8 1.87 2.28 1.12 0.62 1.1795 2.45 1.22 1.33 1.21 0.62 2.45 BUSPIRONE 5 MG TABLET N/A A9270 51079-985-01 1.93 1.2 0.68 0.94 0.46 1.07 1.31 0.64 0.36 0.6755 1.4 0.7 0.76 0.7 0.36 1.4 BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG TABLET N/A A9270 60687-672-11 4.88 3.03 1.72 2.39 1.16 2.7 3.31 1.62 0.9 1.708 3.55 1.77 1.93 1.76 0.9 3.55 "BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) AEROSOL,SPRAY 20 G BOTTLE" N/A A9270 10223-0201-3 357 221.74 125.82 174.57 85.03 197.65 241.81 118.36 65.91 124.95 259.73 129.29 141.28 128.69 65.91 259.73 CALCITRIOL 0.25 MCG CAPSULE N/A A9270 60687-345-11 2.22 1.38 0.78 1.08 0.53 1.23 1.5 0.73 0.41 0.77525 1.61 0.8 0.88 0.8 0.41 1.61 "CALCIUM CARBONATE 200 MG CALCIUM (500 MG) TABLET,CHEWABLE" N/A A9270 66553-004-01 0.17 0.11 0.06 0.08 0.04 0.09 0.12 0.06 0.03 0.0595 0.12 0.06 0.07 0.06 0.03 0.12 "CALCIUM CARBONATE 500 MG CALCIUM (1,250 MG) TABLET" N/A A9270 904188361 0.28 0.17 0.1 0.13 0.07 0.15 0.19 0.09 0.05 0.09625 0.2 0.1 0.11 0.1 0.05 0.2 "CALCIUM CARBONATE 600 MG CALCIUM (1,500 MG) TABLET" N/A A9270 2055500500 0.07 0.04 0.02 0.03 0.02 0.04 0.04 0.02 0.01 0.02275 0.05 0.02 0.03 0.02 0.01 0.05 CALCIUM CARBONATE-VITAMIN D3 500 MG-5 MCG (200 UNIT) TABLET N/A A9270 1000670038 0.15 0.09 0.05 0.07 0.04 0.08 0.1 0.05 0.03 0.0525 0.11 0.05 0.06 0.05 0.03 0.11 CALCIUM CARBONATE-VITAMIN D3 600 MG-10 MCG (400 UNIT) TABLET N/A A9270 2055501700 0.45 0.28 0.16 0.22 0.11 0.25 0.3 0.15 0.08 0.1575 0.33 0.16 0.18 0.16 0.08 0.33 CALCIUM CHLORIDE 100 MG/ML (10 %) SYRINGE N/A N/A 76329-3304-1 21.38 13.28 7.53 10.45 5.09 11.84 14.48 7.09 3.95 7.483 15.55 7.74 8.46 7.71 3.95 15.55 CALCIUM GLUCONATE IN NACL 1 GRAM/50 ML SOLUTION N/A N/A 44567-620-01 0.59 0.37 0.21 0.29 0.14 0.33 0.4 0.2 0.11 0.207375 0.43 0.21 0.23 0.21 0.11 0.43 CALCIUM GLUCONATE IN NACL 2 GRAM/100 ML SOLUTION N/A N/A 44567-621-01 0.59 0.37 0.21 0.29 0.14 0.33 0.4 0.2 0.11 0.207375 0.43 0.21 0.23 0.21 0.11 0.43 CALCIUM GLUCONATE PER 10 ML N/A N/A 63323-360-01 0.3 0.19 0.11 0.15 0.07 0.17 0.2 0.1 0.06 0.105175 0.22 0.11 0.12 0.11 0.06 0.22 CAPSAICIN 0.025 % CREAM 60 G TUBE N/A A9270 0536-2525-25 24.88 15.45 8.77 12.17 5.93 13.77 16.85 8.25 4.59 8.708 18.1 9.01 9.85 8.97 4.59 18.1 CARBIDOPA-LEVODOPA 25-100 MG TABLET N/A A9270 0904-7257-61 0.57 0.35 0.2 0.28 0.14 0.32 0.39 0.19 0.11 0.1995 0.41 0.21 0.23 0.21 0.11 0.41 CARBIDOPA-LEVODOPA 50-200 MG TABLET EXTENDED RELEASE N/A A9270 16729-079-01 4.52 2.81 1.59 2.21 1.08 2.5 3.06 1.5 0.83 1.582 3.29 1.64 1.79 1.63 0.83 3.29 CARBOPROST 250 MCG/ML SOLUTION N/A N/A 69784-240-01 956.97 594.39 337.27 467.95 227.92 529.82 648.2 317.28 176.69 334.9395 696.22 346.57 378.72 344.96 176.69 696.22 CARVEDILOL 12.5 MG TABLET N/A A9270 0904-6302-61 5.26 3.26 1.85 2.57 1.25 2.91 3.56 1.74 0.97 1.83925 3.82 1.9 2.08 1.89 0.97 3.82 CARVEDILOL 25 MG TABLET N/A A9270 0904-6303-61 5.26 3.26 1.85 2.57 1.25 2.91 3.56 1.74 0.97 1.83925 3.82 1.9 2.08 1.89 0.97 3.82 CARVEDILOL 3.125 MG TABLET N/A A9270 0904-6300-61 5.26 3.27 1.85 2.57 1.25 2.91 3.56 1.74 0.97 1.841 3.83 1.9 2.08 1.9 0.97 3.83 CARVEDILOL 6.25 MG TABLET N/A A9270 0904-6301-61 5.26 3.27 1.85 2.57 1.25 2.91 3.56 1.74 0.97 1.841 3.83 1.9 2.08 1.9 0.97 3.83 CEFAZOLIN 2 GRAM RECON SOLN N/A N/A 60505-6231-0 4.57 2.84 1.61 2.23 1.09 2.53 3.1 1.52 0.84 1.5995 3.32 1.66 1.81 1.65 0.84 3.32 CEFAZOLIN 2 GRAM RECON SOLN 1 EACH VIAL N/A N/A 60505-6231-0 1.52 0.95 0.54 0.74 0.36 0.84 1.03 0.51 0.28 0.533166667 1.11 0.55 0.6 0.55 0.28 1.11 CEFAZOLIN PER 500 MG N/A N/A 0781-3452-46 0.62 0.38 0.22 0.3 0.15 0.34 0.42 0.21 0.11 0.2165625 0.45 0.22 0.24 0.22 0.11 0.45 CEFDINIR 250 MG/5 ML SUSPENSION FOR RECONSTITUTION N/A A9270 68180-723-04 13.68 8.5 4.82 6.69 3.26 7.57 9.27 4.54 2.53 4.788 9.95 4.95 5.41 4.93 2.53 9.95 CEFDINIR 300 MG CAPSULE N/A A9270 67877-543-60 12.77 7.93 4.5 6.24 3.04 7.07 8.65 4.23 2.36 4.4695 9.29 4.62 5.05 4.6 2.36 9.29 CEFEPIME PER 500 MG N/A N/A 44567-241-10 7.35 4.57 2.59 3.59 1.75 4.07 4.98 2.44 1.36 2.5725 5.35 2.66 2.91 2.65 1.36 5.35 CEFOXITIN PER 1 G N/A N/A 0143-9877-01 29.93 18.59 10.55 14.63 7.13 16.57 20.27 9.92 5.53 10.47375 21.77 10.84 11.84 10.79 5.53 21.77 CEFTAROLINE FOSAMIL PER 10 MG N/A N/A 0456-0400-01 11.12 6.91 3.92 5.44 2.65 6.16 7.53 3.69 2.05 3.892116667 8.09 4.03 4.4 4.01 2.05 8.09 CEFTAZIDIME PER 500 MG N/A N/A 44567-235-25 0.11 0.07 0.04 0.05 0.03 0.06 0.07 0.04 0.02 0.0385 0.08 0.04 0.04 0.04 0.02 0.08 CEFTRIAXONE PER 250 MG N/A N/A 0781-3210-46 1.45 0.9 0.51 0.71 0.35 0.8 0.98 0.48 0.27 0.5075 1.05 0.53 0.57 0.52 0.27 1.05 CEFUROXIME PER 750 MG N/A N/A 25021-119-20 8.14 5.06 2.87 3.98 1.94 4.51 5.51 2.7 1.5 2.849 5.92 2.95 3.22 2.93 1.5 5.92 CELECOXIB 100 MG CAPSULE N/A A9270 60687-436-11 10.92 6.78 3.85 5.34 2.6 6.04 7.39 3.62 2.02 3.82025 7.94 3.95 4.32 3.93 2.02 7.94 CELECOXIB 400 MG CAPSULE N/A A9270 65862-910-60 27.68 17.19 9.76 13.54 6.59 15.32 18.75 9.18 5.11 9.688 20.14 10.02 10.95 9.98 5.11 20.14 CEPHALEXIN 250 MG/5 ML SUSPENSION FOR RECONSTITUTION N/A A9270 67877-545-88 1.44 0.89 0.51 0.7 0.34 0.8 0.98 0.48 0.27 0.504 1.05 0.52 0.57 0.52 0.27 1.05 CEPHALEXIN 500 MG CAPSULE N/A A9270 60687-163-11 3.38 2.1 1.19 1.65 0.81 1.87 2.29 1.12 0.62 1.183 2.46 1.22 1.34 1.22 0.62 2.46 CETIRIZINE 10 MG TABLET N/A A9270 0904-6717-61 0.38 0.24 0.13 0.19 0.09 0.21 0.26 0.13 0.07 0.133 0.28 0.14 0.15 0.14 0.07 0.28 CETIRIZINE 5 MG/5 ML SOLUTION N/A A9270 68094-004-59 7.18 4.46 2.53 3.51 1.71 3.98 4.86 2.38 1.33 2.513 5.22 2.6 2.84 2.59 1.33 5.22 CHLORDIAZEPOXIDE 25 MG CAPSULE N/A A9270 51079-141-01 1.08 0.67 0.38 0.53 0.26 0.6 0.73 0.36 0.2 0.378 0.79 0.39 0.43 0.39 0.2 0.79 CHLORDIAZEPOXIDE 5 MG CAPSULE N/A A9270 51079-374-01 2.03 1.26 0.71 0.99 0.48 1.12 1.37 0.67 0.37 0.709333333 1.47 0.73 0.8 0.73 0.37 1.47 CHLORHEXIDINE 0.12 % MOUTHWASH N/A A9270 66689-106-01 5.33 3.31 1.88 2.61 1.27 2.95 3.61 1.77 0.98 1.8655 3.88 1.93 2.11 1.92 0.98 3.88 CHLOROTHIAZIDE PER 500 MG N/A N/A 25021-305-20 180 111.8 63.44 88.02 42.87 99.66 121.92 59.68 33.23 63 130.95 65.19 71.24 64.88 33.23 130.95 CHLORPROMAZINE PER 50 MG N/A N/A 55150-319-25 49.65 30.84 17.5 24.28 11.83 27.49 33.63 16.46 9.17 17.3775 36.12 17.98 19.65 17.9 9.17 36.12 CHLORTHALIDONE 25 MG TABLET N/A A9270 7733394824 5.94 3.69 2.09 2.9 1.41 3.29 4.02 1.97 1.1 2.079 4.32 2.15 2.35 2.14 1.1 4.32 CHOLECALCIFEROL 10 MCG (400 UNIT) TABLET N/A A9270 7733394825 0.57 0.35 0.2 0.28 0.13 0.31 0.38 0.19 0.1 0.1981 0.41 0.2 0.22 0.2 0.1 0.41 "CHOLECALCIFEROL 25 MCG (1,000 UNIT) TABLET" N/A A9270 2055503300 0.12 0.07 0.04 0.06 0.03 0.07 0.08 0.04 0.02 0.0413 0.09 0.04 0.05 0.04 0.02 0.09 CHOLESTYRAMINE 4 GRAM POWDER IN PACKET N/A A9270 67877-298-09 8.42 5.23 2.97 4.12 2.01 4.66 5.7 2.79 1.55 2.947 6.13 3.05 3.33 3.04 1.55 6.13 CHONDROITIN SULF-SOD HYALURON 3 %-4 %(0.5 ML) 1 % (0.55 ML) SYRINGE N/A N/A 8065183150 700.95 435.37 247.04 342.76 166.94 388.08 474.79 232.4 129.42 245.3325 509.96 253.85 277.4 252.67 129.42 509.96 CINACALCET 30 MG TABLET N/A A9270 16729-440-10 76.64 47.6 27.01 37.47 18.25 42.43 51.91 25.41 14.15 26.82283333 55.76 27.75 30.33 27.62 14.15 55.76 CIPROFLOXACIN 0.3 % DROPS 5 ML DROP BTL N/A A9270 61314-656-05 118.28 73.47 41.69 57.84 28.17 65.48 80.12 39.22 21.84 41.398 86.05 42.84 46.81 42.64 21.84 86.05 CIPROFLOXACIN 500 MG TABLET N/A A9270 68084-070-11 0.87 0.54 0.31 0.43 0.21 0.48 0.59 0.29 0.16 0.3045 0.63 0.32 0.34 0.31 0.16 0.63 CIPROFLOXACIN PER 200 MG N/A N/A 25021-114-87 5.25 3.26 1.85 2.57 1.25 2.91 3.56 1.74 0.97 1.8375 3.82 1.9 2.08 1.89 0.97 3.82 "CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % DROPS,SUSPENSION 7.5 ML DROP BTL" N/A A9270 43598-326-75 672.55 417.73 237.03 328.87 160.18 372.35 455.55 222.98 124.18 235.3925 489.3 243.57 266.16 242.43 124.18 489.3 CISATRACURIUM 2 MG/ML SOLUTION N/A N/A 71288-712-05 36 22.36 12.69 17.6 8.57 19.93 24.38 11.94 6.65 12.6 26.19 13.04 14.25 12.98 6.65 26.19 CITALOPRAM 20 MG TABLET N/A A9270 0904-6085-61 6.34 3.94 2.23 3.1 1.51 3.51 4.29 2.1 1.17 2.219 4.61 2.3 2.51 2.29 1.17 4.61 CLINDAMYCIN 150 MG CAPSULE N/A A9270 0904-5959-61 1.83 1.13 0.64 0.89 0.44 1.01 1.24 0.61 0.34 0.639333333 1.33 0.66 0.72 0.66 0.34 1.33 CLINDAMYCIN IN 0.9% NS 900 MG/50 ML PIGGYBACK N/A N/A 0338-9553-50 39.13 24.3 13.79 19.13 9.32 21.66 26.5 12.97 7.22 13.6955 28.47 14.17 15.49 14.11 7.22 28.47 CLINDAMYCIN PER 300 MG N/A N/A 0338-3814-24 32 19.88 11.28 15.65 7.62 17.72 21.68 10.61 5.91 11.2 23.28 11.59 12.66 11.53 5.91 23.28 CLONAZEPAM 0.5 MG TABLET N/A A9270 60687-544-11 1.77 1.1 0.62 0.87 0.42 0.98 1.2 0.59 0.33 0.6195 1.29 0.64 0.7 0.64 0.33 1.29 CLONAZEPAM 1 MG TABLET N/A A9270 60687-555-11 1.77 1.1 0.62 0.87 0.42 0.98 1.2 0.59 0.33 0.6195 1.29 0.64 0.7 0.64 0.33 1.29 CLONIDINE 0.1 MG TABLET N/A A9270 60687-113-11 0.92 0.57 0.32 0.45 0.22 0.51 0.62 0.3 0.17 0.32025 0.67 0.33 0.36 0.33 0.17 0.67 CLONIDINE 0.2 MG TABLET N/A A9270 60687-124-11 0.92 0.57 0.32 0.45 0.22 0.51 0.62 0.31 0.17 0.322 0.67 0.33 0.36 0.33 0.17 0.67 CLOPIDOGREL 300 MG TABLET N/A A9270 0904-6467-07 48.17 29.92 16.98 23.55 11.47 26.67 32.63 15.97 8.89 16.8595 35.04 17.45 19.06 17.36 8.89 35.04 CLOPIDOGREL 75 MG TABLET N/A A9270 0904-6294-61 10.91 6.78 3.85 5.33 2.6 6.04 7.39 3.62 2.01 3.8185 7.94 3.95 4.32 3.93 2.01 7.94 COCAINE 4 % SOLUTION 4 ML BOTTLE N/A A9270 0527-1971-74 661.5 410.87 233.13 323.47 157.55 366.23 448.07 219.32 122.14 231.525 481.26 239.57 261.79 238.45 122.14 481.26 CODEINE-GUAIFENESIN 10-100 MG/5 ML LIQUID N/A A9270 0121-1550-10 1.88 1.17 0.66 0.92 0.45 1.04 1.27 0.62 0.35 0.658 1.37 0.68 0.74 0.68 0.35 1.37 COLCHICINE 0.6 MG TABLET N/A A9270 0904-7120-04 14.4 8.94 5.07 7.04 3.43 7.97 9.75 4.77 2.66 5.03825 10.47 5.21 5.7 5.19 2.66 10.47 COLLAGENASE 250 UNIT/GRAM OINTMENT 30 G TUBE N/A A9270 50484-010-30 822.75 511.02 289.96 402.32 195.95 455.51 557.29 272.78 151.91 287.9625 598.57 297.96 325.6 296.57 151.91 598.57 "CYANOCOBALAMIN 1,000 MCG TABLET" N/A A9270 7733393825 0.53 0.33 0.19 0.26 0.13 0.29 0.36 0.18 0.1 0.1855 0.39 0.19 0.21 0.19 0.1 0.39 CYANOCOBALAMIN PER 1000 MCG N/A N/A 16729-533-63 1.46 0.91 0.51 0.71 0.35 0.81 0.99 0.48 0.27 0.511 1.06 0.53 0.58 0.53 0.27 1.06 CYCLOBENZAPRINE 10 MG TABLET N/A A9270 60687-558-11 0.54 0.34 0.19 0.26 0.13 0.3 0.37 0.18 0.1 0.189 0.39 0.2 0.21 0.19 0.1 0.39 DABIGATRAN ETEXILATE 150 MG CAPSULE N/A A9270 0597-0360-82 24.8 15.4 8.74 12.13 5.91 13.73 16.8 8.22 4.58 8.68 18.04 8.98 9.81 8.94 4.58 18.04 DAPTOMYCIN PER 1 MG N/A N/A 16729-434-05 0.6 0.37 0.21 0.29 0.14 0.33 0.41 0.2 0.11 0.21 0.44 0.22 0.24 0.22 0.11 0.44 DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SOLUTION N/A N/A 55513-730-01 67.93 42.19 23.94 33.22 16.18 37.61 46.01 22.52 12.54 23.7750625 49.42 24.6 26.88 24.49 12.54 49.42 DENOSUMAB 60 MG/ML SYRINGE N/A N/A 55513-710-01 73.86 45.87 26.03 36.12 17.59 40.89 50.03 24.49 13.64 25.8503 53.73 26.75 29.23 26.62 13.64 53.73 DEXAMETHASONE 1 MG TABLET N/A A9270 0054-8174-25 0.93 0.58 0.33 0.45 0.22 0.51 0.63 0.31 0.17 0.324625 0.67 0.34 0.37 0.33 0.17 0.67 DEXAMETHASONE PER 0.25 MG N/A N/A 0054-8175-25 0.19 0.12 0.07 0.09 0.04 0.1 0.13 0.06 0.03 0.065916667 0.14 0.07 0.07 0.07 0.03 0.14 DEXAMETHASONE PER 1 MG N/A N/A 0641-0367-21 0.16 0.1 0.05 0.08 0.04 0.09 0.11 0.05 0.03 0.054541667 0.11 0.06 0.06 0.06 0.03 0.11 DEXMEDETOMIDINE (PRECEDEX) IN 0.9 % NACL 4 MCG/ML SOLUTION N/A N/A 42023-187-01 180 111.8 63.44 88.02 42.87 99.66 121.92 59.68 33.23 63 130.95 65.19 71.24 64.88 33.23 130.95 DEXMEDETOMIDINE HCL 100 MCG/ML SOLUTION N/A N/A 71288-505-02 0.81 0.5 0.29 0.4 0.19 0.45 0.55 0.27 0.15 0.2835 0.59 0.29 0.32 0.29 0.15 0.59 DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML SYRUP N/A A9270 0121-1276-10 6.92 4.3 2.44 3.38 1.65 3.83 4.69 2.29 1.28 2.422 5.03 2.51 2.74 2.49 1.28 5.03 DEXTROSE 15G ORAL 40 % GEL N/A A9270 574007015 3.95 2.45 1.39 1.93 0.94 2.19 2.68 1.31 0.73 1.3825 2.87 1.43 1.56 1.42 0.73 2.87 DEXTROSE 5% LACTATED RINGER'S WITH KCL 20 MEQ/L 20 MEQ/L PARENTERAL SOLUTION N/A N/A 0338-0811-04 33.68 20.92 11.87 16.47 8.02 18.65 22.81 11.17 6.22 11.788 24.5 12.2 13.33 12.14 6.22 24.5 DEXTROSE 50 % IN WATER (D50W) 50 % SYRINGE N/A N/A 0409-7517-16 11.25 6.99 3.96 5.5 2.68 6.23 7.62 3.73 2.08 3.9375 8.18 4.07 4.45 4.06 2.08 8.18 DIAZEPAM 2 MG TABLET N/A A9270 51079-284-01 0.61 0.38 0.21 0.3 0.15 0.34 0.41 0.2 0.11 0.2135 0.44 0.22 0.24 0.22 0.11 0.44 DIAZEPAM 5 MG TABLET N/A A9270 51079-285-01 0.5 0.31 0.18 0.24 0.12 0.28 0.34 0.17 0.09 0.175 0.36 0.18 0.2 0.18 0.09 0.36 DIAZEPAM 5 MG/ML SYRINGE N/A N/A 0641-6244-01 7.39 4.59 2.6 3.61 1.76 4.09 5.01 2.45 1.36 2.5865 5.38 2.68 2.92 2.66 1.36 5.38 DICYCLOMINE 10 MG CAPSULE N/A A9270 0591-0794-01 1.37 0.85 0.48 0.67 0.33 0.76 0.92 0.45 0.25 0.47775 0.99 0.49 0.54 0.49 0.25 0.99 DICYCLOMINE 10 MG/5 ML SOLUTION N/A A9270 70954-261-10 0.75 0.47 0.27 0.37 0.18 0.42 0.51 0.25 0.14 0.2632 0.55 0.27 0.3 0.27 0.14 0.55 DIGOXIN 125 MCG (0.125 MG) TABLET N/A A9270 60687-540-11 3.48 2.16 1.23 1.7 0.83 1.93 2.36 1.15 0.64 1.218 2.53 1.26 1.38 1.25 0.64 2.53 DIGOXIN 250 MCG/ML (0.25 MG/ML) SOLUTION N/A N/A 0641-1410-31 8.25 5.12 2.91 4.03 1.96 4.57 5.59 2.74 1.52 2.8875 6 2.99 3.26 2.97 1.52 6 DILTIAZEM 100 MG RECON SOLN 1 EACH VIAL N/A N/A 0409-4350-03 34.24 21.27 12.07 16.74 8.15 18.96 23.19 11.35 6.32 11.984 24.91 12.4 13.55 12.34 6.32 24.91 DILTIAZEM 30 MG TABLET N/A A9270 50228-481-01 2.5 1.55 0.88 1.22 0.6 1.38 1.69 0.83 0.46 0.875 1.82 0.91 0.99 0.9 0.46 1.82 DILTIAZEM 5 MG/ML SOLUTION N/A N/A 0641-6013-01 10.27 6.38 3.62 5.02 2.45 5.69 6.96 3.41 1.9 3.5945 7.47 3.72 4.06 3.7 1.9 7.47 DILTIAZEM 60 MG TABLET N/A A9270 0093-0319-01 3.92 2.43 1.38 1.92 0.93 2.17 2.66 1.3 0.72 1.372 2.85 1.42 1.55 1.41 0.72 2.85 "DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24HR" N/A A9270 60687-195-11 1.09 0.68 0.38 0.53 0.26 0.6 0.74 0.36 0.2 0.3815 0.79 0.39 0.43 0.39 0.2 0.79 "DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24HR" N/A A9270 0904-7218-61 0.63 0.39 0.22 0.31 0.15 0.35 0.43 0.21 0.12 0.2205 0.46 0.23 0.25 0.23 0.12 0.46 "DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24HR" N/A A9270 63739-016-10 1.45 0.9 0.51 0.71 0.35 0.8 0.98 0.48 0.27 0.5075 1.05 0.53 0.57 0.52 0.27 1.05 "DINOPROSTONE 10 MG INSERT, EXTENDED RELEASE" N/A N/A 55566-2800-0 1370.98 851.54 483.18 670.4 326.52 759.03 928.63 454.55 253.13 479.843 997.42 496.51 542.57 494.19 253.13 997.42 DIPHENHYDRAMINE PER 50 MG N/A A9270 0641-0376-21 0.11 0.07 0.04 0.05 0.03 0.06 0.07 0.03 0.02 0.03675 0.08 0.04 0.04 0.04 0.02 0.08 DIPHENHYDRAMINE-LIDO-AL HYDROX-MAG HYDROX-SIMETHICONE 119 ML BOTTLE N/A A9270 65628-050-04 225 139.75 79.3 110.02 53.59 124.57 152.4 74.6 41.54 78.75 163.69 81.49 89.04 81.1 41.54 163.69 DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABLET N/A A9270 0832-0590-11 2.19 1.36 0.77 1.07 0.52 1.21 1.48 0.73 0.4 0.7665 1.59 0.79 0.87 0.79 0.4 1.59 "DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SYRINGE" N/A N/A 58160-842-43 129.56 80.47 45.66 63.35 30.86 71.73 87.76 42.96 23.92 45.346 94.26 46.92 51.27 46.7 23.92 94.26 "DIVALPROEX 125 MG TABLET,DELAYED RELEASE (DR/EC)" N/A A9270 60687-211-11 2.23 1.39 0.79 1.09 0.53 1.23 1.51 0.74 0.41 0.7805 1.62 0.81 0.88 0.8 0.41 1.62 "DIVALPROEX 250 MG TABLET,DELAYED RELEASE (DR/EC)" N/A A9270 0832-7123-89 0.6 0.37 0.21 0.29 0.14 0.33 0.41 0.2 0.11 0.21 0.44 0.22 0.24 0.22 0.11 0.44 DIVALPROEX 500 MG TABLET EXTENDED RELEASE 24 HR N/A A9270 0904-6364-61 6.18 3.84 2.18 3.02 1.47 3.42 4.19 2.05 1.14 2.163 4.5 2.24 2.45 2.23 1.14 4.5 "DIVALPROEX 500 MG TABLET,DELAYED RELEASE (DR/EC)" N/A A9270 0832-7124-89 0.59 0.37 0.21 0.29 0.14 0.33 0.4 0.2 0.11 0.2065 0.43 0.21 0.23 0.21 0.11 0.43 "DIVALPROEX SPRINKLE 125 MG CAPSULE, DELAYED REL SPRINKLE" N/A A9270 68084-313-11 3.55 2.2 1.25 1.74 0.85 1.97 2.4 1.18 0.66 1.2425 2.58 1.29 1.4 1.28 0.66 2.58 DOBUTAMINE PER 250 MG N/A N/A 0338-1075-02 59.92 37.22 21.12 29.3 14.27 33.17 40.59 19.87 11.06 20.972 43.59 21.7 23.71 21.6 11.06 43.59 DOCUSATE 50 MG/5 ML LIQUID N/A A9270 0121-1870-10 3.33 2.07 1.17 1.63 0.79 1.84 2.26 1.1 0.61 1.1655 2.42 1.21 1.32 1.2 0.61 2.42 DOCUSATE SODIUM 100 MG CAPSULE N/A A9270 0904-7183-61 0.15 0.09 0.05 0.07 0.04 0.08 0.1 0.05 0.03 0.0525 0.11 0.05 0.06 0.05 0.03 0.11 DONEPEZIL 5 MG TABLET N/A A9270 60687-292-11 0.41 0.25 0.14 0.2 0.1 0.23 0.28 0.14 0.08 0.1435 0.3 0.15 0.16 0.15 0.08 0.3 DORNASE ALFA PER 1 MG N/A N/A 50242-100-39 120.67 74.95 42.53 59.01 28.74 66.81 81.73 40.01 22.28 42.23333333 87.79 43.7 47.75 43.5 22.28 87.79 DORZOLAMIDE 2 % DROPS 10 ML DROP BTL N/A A9270 72266-197-01 166.88 103.65 58.81 81.6 39.75 92.39 113.04 55.33 30.81 58.408 121.41 60.44 66.04 60.15 30.81 121.41 DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML DROPS 10 ML DROP BTL N/A A9270 69315-305-10 62.5 38.82 22.03 30.56 14.89 34.6 42.33 20.72 11.54 21.875 45.47 22.63 24.73 22.53 11.54 45.47 DOXAZOSIN 2 MG TABLET N/A A9270 68382-784-01 3.38 2.1 1.19 1.65 0.8 1.87 2.29 1.12 0.62 1.18125 2.46 1.22 1.34 1.22 0.62 2.46 DOXAZOSIN 8 MG TABLET N/A A9270 68382-786-01 3.72 2.31 1.31 1.82 0.89 2.06 2.52 1.23 0.69 1.302 2.71 1.35 1.47 1.34 0.69 2.71 DOXEPIN 25 MG CAPSULE N/A A9270 51079-437-01 2.11 1.31 0.74 1.03 0.5 1.17 1.43 0.7 0.39 0.7385 1.54 0.76 0.84 0.76 0.39 1.54 DOXORUBICIN LIPOSOMAL PER 10 MG N/A N/A 70710-1530-1 813.96 505.56 286.86 398.02 193.86 450.64 551.34 269.87 150.28 284.886 592.18 294.78 322.13 293.41 150.28 592.18 DOXYCYCLINE 100 MG CAPSULE N/A A9270 50268-281-11 3.11 1.93 1.09 1.52 0.74 1.72 2.1 1.03 0.57 1.08675 2.26 1.12 1.23 1.12 0.57 2.26 DOXYCYCLINE 100 MG RECON SOLN 1 EACH VIAL N/A N/A 0143-9381-01 63.18 39.24 22.27 30.89 15.05 34.98 42.8 20.95 11.67 22.113 45.97 22.88 25 22.77 11.67 45.97 DRONABINOL PER 2.5 MG N/A A9270 0904-7144-61 14.18 8.8 5 6.93 3.38 7.85 9.6 4.7 2.62 4.96125 10.31 5.13 5.61 5.11 2.62 10.31 DROPERIDOL PER 5 MG N/A N/A 0517-9702-01 6.46 4.01 2.28 3.16 1.54 3.58 4.38 2.14 1.19 2.261 4.7 2.34 2.56 2.33 1.19 4.7 "DULOXETINE 20 MG CAPSULE,DELAYED RELEASE(DR/EC)" N/A A9270 50268-269-11 4.37 2.71 1.54 2.14 1.04 2.42 2.96 1.45 0.81 1.5295 3.18 1.58 1.73 1.58 0.81 3.18 "DULOXETINE 30 MG CAPSULE,DELAYED RELEASE(DR/EC)" N/A A9270 0904-7044-61 4.31 2.68 1.52 2.11 1.03 2.39 2.92 1.43 0.8 1.5085 3.14 1.56 1.71 1.55 0.8 3.14 "DULOXETINE 60 MG CAPSULE,DELAYED RELEASE(DR/EC)" N/A A9270 50268-271-11 4.31 2.68 1.52 2.11 1.03 2.39 2.92 1.43 0.8 1.5085 3.14 1.56 1.71 1.55 0.8 3.14 EMPAGLIFLOZIN 10 MG TABLET N/A A9270 0597-0152-37 57.05 35.43 20.11 27.9 13.59 31.59 38.64 18.91 10.53 19.9675 41.51 20.66 22.58 20.56 10.53 41.51 EMPAGLIFLOZIN 25 MG TABLET N/A A9270 0597-0153-37 28.53 17.72 10.05 13.95 6.79 15.8 19.32 9.46 5.27 9.9855 20.76 10.33 11.29 10.28 5.27 20.76 ENALAPRIL 5 MG TABLET N/A A9270 0904-5502-61 3.87 2.4 1.36 1.89 0.92 2.14 2.62 1.28 0.71 1.3545 2.82 1.4 1.53 1.4 0.71 2.82 ENOXAPARIN PER 10 MG N/A N/A 0781-3246-02 4.5 2.8 1.59 2.2 1.07 2.49 3.05 1.49 0.83 1.575 3.27 1.63 1.78 1.62 0.83 3.27 EPHEDRINE 50 MG/ML SOLUTION N/A N/A 0781-3269-95 6 3.73 2.11 2.93 1.43 3.32 4.06 1.99 1.11 2.1 4.37 2.17 2.37 2.16 1.11 4.37 EPINEPHRINE 0.1 MG/ML SYRINGE N/A N/A 0409-4933-11 1.9 1.18 0.67 0.93 0.45 1.05 1.29 0.63 0.35 0.665875 1.38 0.69 0.75 0.69 0.35 1.38 EPINEPHRINE 0.3 MG/0.3 ML AUTO-INJECTOR N/A N/A 49502-102-01 156.25 97.05 55.07 76.41 37.21 86.51 105.84 51.8 28.85 54.6875 113.68 56.59 61.84 56.32 28.85 113.68 EPINEPHRINE 1 MG/ML SOLUTION N/A N/A 76329-9060-0 2.25 1.4 0.79 1.1 0.54 1.25 1.52 0.75 0.42 0.7875 1.64 0.81 0.89 0.81 0.42 1.64 EPINEPHRINE 1 MG/ML SOLUTION 30 ML VIAL N/A N/A 76329-9060-0 2.25 1.4 0.79 1.1 0.54 1.25 1.52 0.75 0.42 0.7875 1.64 0.81 0.89 0.81 0.42 1.64 EPINEPHRINE HCL IN 0.9 % NACL 4 MG/250 ML (16 MCG/ML) SOLUTION N/A N/A 42023-168-01 1.5 0.93 0.53 0.73 0.36 0.83 1.01 0.5 0.28 0.52325 1.09 0.54 0.59 0.54 0.28 1.09 EPINEPHRINE PER 0.1 MG N/A N/A 76329-9060-0 2.25 1.4 0.79 1.1 0.54 1.25 1.52 0.75 0.42 0.7875 1.64 0.81 0.89 0.81 0.42 1.64 ERTAPENEM PER 500 MG N/A N/A 55150-282-20 81 50.31 28.55 39.61 19.29 44.84 54.87 26.86 14.96 28.35 58.93 29.33 32.06 29.2 14.96 58.93 ERYTHROMYCIN 5 MG/GRAM (0.5 %) OINTMENT N/A A9270 0574-4024-11 21.74 13.5 7.66 10.63 5.18 12.04 14.73 7.21 4.01 7.609 15.82 7.87 8.6 7.84 4.01 15.82 ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML SUSPENSION FOR RECONSTITUTION 100 ML BOTTLE N/A A9270 62559-630-01 50.68 31.48 17.86 24.78 12.07 28.06 34.33 16.8 9.36 17.738 36.87 18.35 20.06 18.27 9.36 36.87 ESCITALOPRAM 10 MG TABLET N/A A9270 0904-6426-61 10.96 6.81 3.86 5.36 2.61 6.07 7.42 3.63 2.02 3.836 7.97 3.97 4.34 3.95 2.02 7.97 ESCITALOPRAM 20 MG TABLET N/A A9270 0904-6427-61 11.43 7.1 4.03 5.59 2.72 6.33 7.74 3.79 2.11 4.0005 8.32 4.14 4.52 4.12 2.11 8.32 ESMOLOL 100 MG/10 ML (10 MG/ML) SOLUTION N/A N/A 55150-194-10 22 13.66 7.75 10.76 5.24 12.18 14.9 7.29 4.06 7.7 16.01 7.97 8.71 7.93 4.06 16.01 ETOMIDATE 2 MG/ML SOLUTION N/A N/A 0143-9506-01 16.5 10.25 5.82 8.07 3.93 9.14 11.18 5.47 3.05 5.775 12 5.98 6.53 5.95 3.05 12 EZETIMIBE 10 MG TABLET N/A A9270 51660-200-90 25.71 15.97 9.06 12.57 6.12 14.23 17.41 8.52 4.75 8.9985 18.7 9.31 10.17 9.27 4.75 18.7 FAMOTIDINE 20 MG TABLET N/A A9270 0904-7193-61 0.23 0.14 0.08 0.11 0.05 0.12 0.15 0.07 0.04 0.07875 0.16 0.08 0.09 0.08 0.04 0.16 FAMOTIDINE 20 MG/2 ML SOLUTION 2 ML VIAL N/A N/A 67457-433-00 1.34 0.83 0.47 0.65 0.32 0.74 0.9 0.44 0.25 0.46725 0.97 0.48 0.53 0.48 0.25 0.97 FAT EMULSION-OLIVE-SOY-LIPID 20 % EMULSION 250 ML BAG N/A N/A 0338-9540-02 56.5 35.09 19.91 27.63 13.46 31.28 38.27 18.73 10.43 19.775 41.11 20.46 22.36 20.37 10.43 41.11 FENOFIBRATE 145 MG TABLET N/A A9270 0904-7161-61 7 4.35 2.47 3.42 1.67 3.88 4.74 2.32 1.29 2.45 5.09 2.54 2.77 2.52 1.29 5.09 FENOFIBRATE 48 MG TABLET N/A A9270 51079-599-01 4.78 2.97 1.68 2.34 1.14 2.65 3.24 1.58 0.88 1.673 3.48 1.73 1.89 1.72 0.88 3.48 FENTANYL CITRATE IN 0.9% NACL 10 MCG/ML SOLUTION N/A N/A 90000-002-29 1.48 0.92 0.52 0.72 0.35 0.82 1 0.49 0.27 0.518 1.08 0.54 0.59 0.53 0.27 1.08 FENTANYL PER 0.1 MG N/A N/A 0409-9094-22 0.24 0.15 0.08 0.12 0.06 0.13 0.16 0.08 0.04 0.084 0.17 0.09 0.09 0.09 0.04 0.17 FERRIC DERISOMALTOSE 100 MG IRON/ML SOLUTION 10 ML VIAL N/A N/A 73594-9310-1 78.43 48.71 27.64 38.35 18.68 43.42 53.12 26 14.48 27.450675 57.06 28.4 31.04 28.27 14.48 57.06 FERROUS GLUCONATE 324 MG (37.5 MG IRON) TABLET N/A A9270 2055501900 0.1 0.06 0.04 0.05 0.02 0.06 0.07 0.03 0.02 0.035 0.07 0.04 0.04 0.04 0.02 0.07 FERROUS SULFATE 300 MG (60 MG IRON)/5 ML LIQUID N/A A9270 121053005 10.18 6.32 3.59 4.98 2.42 5.64 6.9 3.38 1.88 3.563 7.41 3.69 4.03 3.67 1.88 7.41 FERROUS SULFATE 325 MG (65 MG IRON) TABLET N/A A9270 904759161 0.17 0.11 0.06 0.08 0.04 0.09 0.12 0.06 0.03 0.0595 0.12 0.06 0.07 0.06 0.03 0.12 FINASTERIDE 5 MG TABLET N/A A9270 0904-6830-06 2.03 1.26 0.72 0.99 0.48 1.12 1.38 0.67 0.37 0.7105 1.48 0.74 0.8 0.73 0.37 1.48 FLUCONAZOLE 100 MG TABLET N/A A9270 0904-6500-61 24.28 15.08 8.56 11.87 5.78 13.44 16.44 8.05 4.48 8.49625 17.66 8.79 9.61 8.75 4.48 17.66 FLUCONAZOLE 150 MG TABLET N/A A9270 57237-005-11 34.84 21.64 12.28 17.04 8.3 19.29 23.6 11.55 6.43 12.194 25.35 12.62 13.79 12.56 6.43 25.35 FLUCONAZOLE 200 MG TABLET N/A A9270 0904-6501-61 40.87 25.38 14.4 19.98 9.73 22.62 27.68 13.55 7.55 14.30275 29.73 14.8 16.17 14.73 7.55 29.73 FLUCONAZOLE PER 200 MG N/A N/A 0409-4688-16 10.75 6.68 3.79 5.26 2.56 5.95 7.28 3.56 1.98 3.7625 7.82 3.89 4.25 3.88 1.98 7.82 FLUDROCORTISONE 0.1 MG TABLET N/A A9270 50268-330-11 4 2.48 1.41 1.96 0.95 2.21 2.71 1.33 0.74 1.4 2.91 1.45 1.58 1.44 0.74 2.91 FLUORESCEIN 1 MG STRIP N/A A9270 17238-900-99 0.57 0.35 0.2 0.28 0.13 0.31 0.38 0.19 0.1 0.19775 0.41 0.2 0.22 0.2 0.1 0.41 FLUOXETINE 10 MG CAPSULE N/A A9270 0904-5784-61 6.05 3.76 2.13 2.96 1.44 3.35 4.1 2.01 1.12 2.1175 4.4 2.19 2.39 2.18 1.12 4.4 FLUOXETINE 20 MG CAPSULE N/A A9270 0904-5785-61 6.21 3.86 2.19 3.04 1.48 3.44 4.21 2.06 1.15 2.1735 4.52 2.25 2.46 2.24 1.15 4.52 FLUTICASONE HFA 110 MCG/ACTUATION HFA AEROSOL INHALER 12 G AER W/ADAP N/A A9270 0173-0719-20 821.5 510.25 289.52 401.71 195.65 454.82 556.44 272.37 151.68 287.525 597.66 297.51 325.11 296.12 151.68 597.66 FLUTICASONE HFA 220 MCG/ACTUATION HFA AEROSOL INHALER 12 G AER W/ADAP N/A A9270 0173-0720-20 1276 792.54 449.7 623.96 303.9 706.45 864.3 423.06 235.59 446.6 928.32 462.11 504.98 459.95 235.59 928.32 "FLUTICASONE PROPIONATE 50 MCG/ACTUATION SPRAY,SUSPENSION 16 G AER W/ADAP" N/A A9270 0054-3270-99 188.18 116.88 66.32 92.02 44.82 104.18 127.46 62.39 34.74 65.863 136.91 68.15 74.47 67.83 34.74 136.91 FOLIC ACID 1 MG TABLET N/A A9270 0904-7224-61 0.48 0.3 0.17 0.23 0.11 0.27 0.33 0.16 0.09 0.168 0.35 0.17 0.19 0.17 0.09 0.35 FOLIC ACID 5 MG/ML SOLUTION 10 ML VIAL N/A N/A 63323-184-10 2.19 1.36 0.77 1.07 0.52 1.21 1.48 0.73 0.4 0.7665 1.59 0.79 0.87 0.79 0.4 1.59 FONDAPARINUX PER 0.5 MG N/A N/A 0781-3465-94 11.52 7.16 4.06 5.63 2.74 6.38 7.8 3.82 2.13 4.032233333 8.38 4.17 4.56 4.15 2.13 8.38 FOSPHENYTOIN 100 MG PE/2 ML SOLUTION 10 ML VIAL N/A N/A 0069-6001-10 33.01 20.5 11.63 16.14 7.86 18.27 22.36 10.94 6.09 11.55175 24.01 11.95 13.06 11.9 6.09 24.01 FUROSEMIDE 20 MG TABLET N/A A9270 0054-8297-25 1.29 0.8 0.45 0.63 0.31 0.71 0.87 0.43 0.24 0.4515 0.94 0.47 0.51 0.47 0.24 0.94 FUROSEMIDE 40 MG TABLET N/A A9270 51079-073-01 0.24 0.15 0.08 0.11 0.06 0.13 0.16 0.08 0.04 0.08225 0.17 0.09 0.09 0.08 0.04 0.17 FUROSEMIDE PER 20 MG N/A N/A 23155-473-32 1.86 1.16 0.66 0.91 0.44 1.03 1.26 0.62 0.34 0.651 1.35 0.67 0.74 0.67 0.34 1.35 GABAPENTIN 100 MG CAPSULE N/A A9270 60687-580-11 0.27 0.17 0.1 0.13 0.06 0.15 0.18 0.09 0.05 0.0945 0.2 0.1 0.11 0.1 0.05 0.2 GABAPENTIN 300 MG CAPSULE N/A A9270 60687-591-11 0.33 0.2 0.12 0.16 0.08 0.18 0.22 0.11 0.06 0.1155 0.24 0.12 0.13 0.12 0.06 0.24 GABAPENTIN 400 MG CAPSULE N/A A9270 0904-6667-61 0.56 0.35 0.2 0.27 0.13 0.31 0.38 0.19 0.1 0.196 0.41 0.2 0.22 0.2 0.1 0.41 GALANTAMINE 4 MG TABLET N/A A9270 68084-729-11 10.5 6.52 3.7 5.13 2.5 5.81 7.11 3.48 1.94 3.675 7.64 3.8 4.16 3.78 1.94 7.64 "GELATIN SPONGE,ABSORB-PORCINE 100 SPONGE" N/A N/A 6371301974 82.26 51.09 28.99 40.22 19.59 45.54 55.72 27.27 15.19 28.791 59.85 29.79 32.55 29.65 15.19 59.85 "GELATIN SPONGE,ABSORB-PORCINE 12-7 MM SPONGE" N/A N/A 6371301972 16.85 10.47 5.94 8.24 4.01 9.33 11.41 5.59 3.11 5.8975 12.26 6.1 6.67 6.07 3.11 12.26 GENTAMICIN PER 80 MG N/A N/A 63323-010-03 1.7 1.06 0.6 0.83 0.4 0.94 1.15 0.56 0.31 0.595 1.24 0.62 0.67 0.61 0.31 1.24 GLIPIZIDE 5 MG TABLET N/A A9270 0904-6637-61 1.01 0.63 0.36 0.49 0.24 0.56 0.68 0.33 0.19 0.3535 0.73 0.37 0.4 0.36 0.19 0.73 GLIPIZIDE 5 MG TABLET EXTENDED RELEASE 24HR N/A A9270 68084-111-11 1.8 1.12 0.63 0.88 0.43 1 1.22 0.6 0.33 0.63 1.31 0.65 0.71 0.65 0.33 1.31 GLUCAGON 1 MG RECON SOLN N/A N/A 63323-596-03 257.4 159.88 90.72 125.87 61.3 142.51 174.35 85.34 47.52 90.09 187.26 93.22 101.87 92.78 47.52 187.26 "GLYCERIN-WITCH HAZEL 12.5-50 % PADS, MEDICATED 40 EACH BOX" N/A A9270 50289-3250-1 6.48 4.02 2.28 3.17 1.54 3.59 4.39 2.15 1.2 2.268 4.71 2.35 2.56 2.34 1.2 4.71 GLYCOPYRROLATE 0.2 MG/ML SOLUTION N/A N/A 70069-012-25 16.88 10.48 5.95 8.25 4.02 9.34 11.43 5.59 3.12 5.90625 12.28 6.11 6.68 6.08 3.12 12.28 GUAIFENESIN 100 MG/5 ML LIQUID N/A A9270 0121-1488-10 2.5 1.55 0.88 1.22 0.6 1.38 1.69 0.83 0.46 0.875 1.82 0.91 0.99 0.9 0.46 1.82 GUAIFENESIN 600 MG TABLET EXTENDED RELEASE 12HR N/A A9270 68084-572-11 2.51 1.56 0.88 1.22 0.6 1.39 1.7 0.83 0.46 0.87675 1.82 0.91 0.99 0.9 0.46 1.82 HALOPERIDOL 5 MG TABLET N/A A9270 0904-6782-61 2.28 1.42 0.8 1.11 0.54 1.26 1.54 0.76 0.42 0.798 1.66 0.83 0.9 0.82 0.42 1.66 HALOPERIDOL LACTATE PER 5 MG N/A N/A 67457-426-00 3.6 2.24 1.27 1.76 0.86 1.99 2.44 1.19 0.66 1.26 2.62 1.3 1.42 1.3 0.66 2.62 HEPARIN (PORCINE) PER 1000 UNITS N/A N/A 0409-2723-30 1 0.62 0.35 0.49 0.24 0.55 0.68 0.33 0.18 0.35 0.73 0.36 0.4 0.36 0.18 0.73 HEPARIN (PROCINE) PER 1000 UNITS N/A N/A 71288-402-10 1.19 0.74 0.42 0.58 0.28 0.66 0.8 0.39 0.22 0.415625 0.86 0.43 0.47 0.43 0.22 0.86 "HEPARIN, PORCINE (PF) 10 UNIT/ML SYRINGE" N/A N/A 6425322235 0.3 0.19 0.11 0.15 0.07 0.17 0.2 0.1 0.06 0.105 0.22 0.11 0.12 0.11 0.06 0.22 "HEPARIN, PORCINE (PF) 100 UNIT/ML SYRINGE" N/A N/A 6425333335 0.19 0.12 0.07 0.09 0.04 0.1 0.13 0.06 0.03 0.064925 0.13 0.07 0.07 0.07 0.03 0.13 HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML SOLUTION N/A N/A 69800-4202-1 243.03 150.95 85.65 118.84 57.88 134.55 164.62 80.58 44.87 85.0605 176.81 88.01 96.18 87.6 44.87 176.81 HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML SYRINGE N/A N/A 58160-820-43 75.68 47.01 26.67 37.01 18.02 41.9 51.26 25.09 13.97 26.488 55.06 27.41 29.95 27.28 13.97 55.06 "HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1240 UNIT) RECON SOLN 1 EACH VIAL" N/A N/A 63833-387-02 7.85 4.88 2.77 3.84 1.87 4.35 5.32 2.6 1.45 2.7475 5.71 2.84 3.11 2.83 1.45 5.71 HUM PROTHROMBIN CPLX(PCC)4FACT 500 UNIT (400-620 UNIT) RECON SOLN 1 EACH VIAL N/A N/A 63833-386-02 7.85 4.88 2.77 3.84 1.87 4.35 5.32 2.6 1.45 2.7475 5.71 2.84 3.11 2.83 1.45 5.71 HYDRALAZINE 10 MG TABLET N/A A9270 0904-6440-61 0.32 0.2 0.11 0.16 0.08 0.18 0.22 0.11 0.06 0.112 0.23 0.12 0.13 0.12 0.06 0.23 HYDRALAZINE 25 MG TABLET N/A A9270 0904-6441-61 0.37 0.23 0.13 0.18 0.09 0.21 0.25 0.12 0.07 0.130666667 0.27 0.14 0.15 0.13 0.07 0.27 HYDRALAZINE 50 MG TABLET N/A A9270 0904-6442-61 0.41 0.25 0.14 0.2 0.1 0.23 0.28 0.14 0.08 0.1435 0.3 0.15 0.16 0.15 0.08 0.3 HYDRALAZINE PER 20 MG N/A N/A 0641-6231-01 10.74 6.67 3.79 5.25 2.56 5.95 7.27 3.56 1.98 3.759 7.81 3.89 4.25 3.87 1.98 7.81 HYDROCHLOROTHIAZIDE 12.5 MG TABLET N/A A9270 16729-182-01 1.07 0.66 0.38 0.52 0.25 0.59 0.72 0.35 0.2 0.3745 0.78 0.39 0.42 0.39 0.2 0.78 HYDROCHLOROTHIAZIDE 25 MG TABLET N/A A9270 60687-593-11 0.63 0.39 0.22 0.31 0.15 0.35 0.43 0.21 0.12 0.2205 0.46 0.23 0.25 0.23 0.12 0.46 HYDROCODONE-ACETAMINOPHEN 10-325 MG TABLET N/A A9270 0904-6825-61 3.03 1.88 1.07 1.48 0.72 1.68 2.05 1 0.56 1.0605 2.2 1.1 1.2 1.09 0.56 2.2 HYDROCODONE-ACETAMINOPHEN 5-325 MG TABLET N/A A9270 0904-6824-61 1.02 0.63 0.36 0.5 0.24 0.56 0.69 0.34 0.19 0.357 0.74 0.37 0.4 0.37 0.19 0.74 HYDROCORTISONE 1 % OINTMENT 28 G TUBE N/A A9270 45802-276-03 3.95 2.45 1.39 1.93 0.94 2.19 2.68 1.31 0.73 1.3825 2.87 1.43 1.56 1.42 0.73 2.87 HYDROCORTISONE SOD SUCC (PF) 100 MG/2 ML RECON SOLN N/A N/A 0009-0011-03 27.77 17.25 9.79 13.58 6.61 15.37 18.81 9.21 5.13 9.7195 20.2 10.06 10.99 10.01 5.13 20.2 HYDROMORPHONE (PF) 0.5 MG/0.5 ML SYRINGE N/A N/A 76045-009-96 4.98 3.09 1.76 2.44 1.19 2.76 3.37 1.65 0.92 1.743 3.62 1.8 1.97 1.8 0.92 3.62 HYDROMORPHONE (PF) 1 MG/ML SOLUTION N/A N/A 63323-852-03 8.1 5.03 2.85 3.96 1.93 4.48 5.49 2.69 1.5 2.835 5.89 2.93 3.21 2.92 1.5 5.89 HYDROMORPHONE (PF) 1 MG/ML SOLUTION 1 ML VIAL N/A N/A 63323-852-25 10.8 6.71 3.81 5.28 2.57 5.98 7.32 3.58 1.99 3.78 7.86 3.91 4.27 3.89 1.99 7.86 HYDROMORPHONE (PF) 100 MCG/0.3 ML SOLUTION N/A N/A 63323-852-25 1.08 0.67 0.38 0.53 0.26 0.6 0.73 0.36 0.2 0.378 0.79 0.39 0.43 0.39 0.2 0.79 HYDROMORPHONE 0.5 MG/0.5 ML SYRINGE 0.5 ML SYRINGE N/A N/A 76045-009-06 12.45 7.73 4.39 6.09 2.97 6.89 8.43 4.13 2.3 4.3575 9.06 4.51 4.93 4.49 2.3 9.06 HYDROMORPHONE 2 MG TABLET N/A A9270 42858-301-25 0.5 0.31 0.18 0.25 0.12 0.28 0.34 0.17 0.09 0.175875 0.37 0.18 0.2 0.18 0.09 0.37 HYDROMORPHONE 2 MG/ML SYRINGE N/A N/A 0409-1312-30 0.84 0.52 0.3 0.41 0.2 0.47 0.57 0.28 0.16 0.294 0.61 0.3 0.33 0.3 0.16 0.61 HYDROMORPHONE 4 MG TABLET N/A A9270 42858-302-25 0.66 0.41 0.23 0.32 0.16 0.37 0.45 0.22 0.12 0.231 0.48 0.24 0.26 0.24 0.12 0.48 HYDROMORPHONE PER 4 MG N/A N/A 0409-1283-31 1.25 0.78 0.44 0.61 0.3 0.69 0.85 0.41 0.23 0.4375 0.91 0.45 0.49 0.45 0.23 0.91 HYDROXYCHLOROQUINE 200 MG TABLET N/A A9270 0904-7046-61 4.17 2.59 1.47 2.04 0.99 2.31 2.82 1.38 0.77 1.4595 3.03 1.51 1.65 1.5 0.77 3.03 HYDROXYZINE 10 MG TABLET N/A A9270 63739-483-10 0.72 0.45 0.25 0.35 0.17 0.4 0.49 0.24 0.13 0.252 0.52 0.26 0.28 0.26 0.13 0.52 HYDROXYZINE 25 MG TABLET N/A A9270 63739-486-10 0.76 0.47 0.27 0.37 0.18 0.42 0.51 0.25 0.14 0.266 0.55 0.28 0.3 0.27 0.14 0.55 "HYOSCYAMINE 0.125 MG TABLET, SUBLINGUAL" N/A A9270 47781-011-01 2.13 1.32 0.75 1.04 0.51 1.18 1.44 0.71 0.39 0.7455 1.55 0.77 0.84 0.77 0.39 1.55 IBUPROFEN 100 MG/5 ML SUSPENSION N/A A9270 0121-0914-05 2.18 1.35 0.77 1.06 0.52 1.2 1.47 0.72 0.4 0.76125 1.58 0.79 0.86 0.78 0.4 1.58 IBUPROFEN 200 MG TABLET N/A A9270 0904-7914-61 0.2 0.12 0.07 0.1 0.05 0.11 0.14 0.07 0.04 0.07 0.15 0.07 0.08 0.07 0.04 0.15 IBUPROFEN 600 MG TABLET N/A A9270 0904-5854-61 0.77 0.48 0.27 0.38 0.18 0.43 0.52 0.26 0.14 0.2695 0.56 0.28 0.3 0.28 0.14 0.56 IBUPROFEN 800 MG TABLET N/A A9270 0904-5855-61 1 0.62 0.35 0.49 0.24 0.55 0.68 0.33 0.18 0.35 0.73 0.36 0.4 0.36 0.18 0.73 IMIPENEM-CILASTATIN PER 250 MG N/A N/A 44567-705-01 41.07 25.51 14.47 20.08 9.78 22.74 27.82 13.62 7.58 14.3745 29.88 14.87 16.25 14.8 7.58 29.88 IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION N/A N/A 13533-800-40 195.18 121.23 68.79 95.44 46.48 108.06 132.2 64.71 36.04 68.31125 141.99 70.68 77.24 70.35 36.04 141.99 IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION N/A N/A 44206-438-20 213 132.3 75.07 104.16 50.73 117.93 144.28 70.62 39.33 74.55 154.96 77.14 84.29 76.78 39.33 154.96 INFLIXIMAB-ABDA PER 10 MG N/A N/A 78206-162-99 226.02 140.38 79.66 110.52 53.83 125.13 153.09 74.94 41.73 79.106125 164.43 81.85 89.45 81.47 41.73 164.43 INSULIN GLARGINE PER 5 UNITS N/A A9270 0088-2220-33 4.26 2.65 1.5 2.08 1.01 2.36 2.89 1.41 0.79 1.491 3.1 1.54 1.69 1.54 0.79 3.1 INSULIN ISOPHANE & REGULAR PER 5 UNITS N/A A9270 0002-8715-17 133.83 83.12 47.17 65.44 31.87 74.09 90.65 44.37 24.71 46.8405 97.36 48.47 52.96 48.24 24.71 97.36 INSULIN ISOPHANE HUMAN PER 5 UNITS N/A A9270 0002-8315-01 446.1 277.08 157.22 218.14 106.25 246.98 302.17 147.9 82.37 156.135 324.55 161.56 176.54 160.8 82.37 324.55 INSULIN LISPRO (HUMAN) PER 5 UNITS N/A A9270 0002-7510-17 0.82 0.51 0.29 0.4 0.2 0.46 0.56 0.27 0.15 0.288435 0.6 0.3 0.33 0.3 0.15 0.6 INSULIN REGULAR HUMAN PER 5 UNITS N/A A9270 0002-8215-17 2.24 1.39 0.79 1.1 0.53 1.24 1.52 0.74 0.41 0.784 1.63 0.81 0.89 0.81 0.41 1.63 IOTHALAMATE MEGLUMINE 60 % SOLUTION N/A N/A 0019-0953-05 1 0.62 0.35 0.49 0.24 0.55 0.68 0.33 0.18 0.35 0.73 0.36 0.4 0.36 0.18 0.73 IRON SUCROSE PER 1 MG N/A N/A 0517-2340-01 1.73 1.08 0.61 0.85 0.41 0.96 1.17 0.57 0.32 0.606375 1.26 0.63 0.69 0.62 0.32 1.26 ISOSORBIDE MONONITRATE 30 MG TABLET EXTENDED RELEASE 24 HR N/A A9270 0904-6449-61 4.15 2.58 1.46 2.03 0.99 2.3 2.81 1.38 0.77 1.4525 3.02 1.5 1.64 1.5 0.77 3.02 ISOSORBIDE MONONITRATE 60 MG TABLET EXTENDED RELEASE 24 HR N/A A9270 0904-6450-61 5.07 3.15 1.79 2.48 1.21 2.8 3.43 1.68 0.94 1.77275 3.68 1.83 2 1.83 0.94 3.68 JUVEN ORANGE 7-7-1.5 GRAM POWDER IN PACKET N/A A9270 5978166679 7.09 4.4 2.5 3.47 1.69 3.93 4.8 2.35 1.31 2.4815 5.16 2.57 2.81 2.56 1.31 5.16 KETAMINE 10 MG/ML SOLUTION N/A N/A 42023-113-10 59.35 36.86 20.92 29.02 14.14 32.86 40.2 19.68 10.96 20.7725 43.18 21.49 23.49 21.39 10.96 43.18 KETAMINE 10 MG/ML SOLUTION 20 ML VIAL N/A N/A 42023-113-10 59.35 36.86 20.92 29.02 14.14 32.86 40.2 19.68 10.96 20.7725 43.18 21.49 23.49 21.39 10.96 43.18 KETAMINE 100 MG/ML SOLUTION N/A N/A 0143-9509-10 1.15 0.71 0.41 0.56 0.27 0.64 0.78 0.38 0.21 0.4025 0.84 0.42 0.46 0.41 0.21 0.84 KETOROLAC 0.5 % DROPS 5 ML DROP BTL N/A A9270 61314-126-05 263.75 163.82 92.95 128.97 62.82 146.02 178.65 87.45 48.7 92.3125 191.88 95.52 104.38 95.07 48.7 191.88 KETOROLAC TROMETHAMINE PER 15 MG N/A N/A 0338-0069-10 1.68 1.04 0.59 0.82 0.4 0.93 1.14 0.56 0.31 0.588 1.22 0.61 0.66 0.61 0.31 1.22 LABETALOL 100 MG TABLET N/A A9270 0904-7109-61 1.01 0.62 0.35 0.49 0.24 0.56 0.68 0.33 0.19 0.35175 0.73 0.36 0.4 0.36 0.19 0.73 LABETALOL 20 MG/4 ML (5 MG/ML) SYRINGE N/A N/A 0409-2339-24 22.52 13.99 7.94 11.01 5.36 12.47 15.25 7.47 4.16 7.882 16.38 8.16 8.91 8.12 4.16 16.38 LABETALOL 5 MG/ML SOLUTION 40 ML VIAL N/A N/A 47781-586-56 68.75 42.7 24.23 33.62 16.37 38.06 46.57 22.79 12.69 24.0625 50.02 24.9 27.21 24.78 12.69 50.02 LACOSAMIDE 200 MG/20 ML SOLUTION N/A N/A 31722-203-20 1.8 1.12 0.63 0.88 0.43 1 1.22 0.6 0.33 0.62951 1.31 0.65 0.71 0.65 0.33 1.31 LACOSAMIDE 50 MG TABLET N/A A9270 0131-2477-60 3.7 2.3 1.3 1.81 0.88 2.05 2.51 1.23 0.68 1.295 2.69 1.34 1.46 1.33 0.68 2.69 LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL CAPSULE N/A A9270 04910-0381-64 2.41 1.5 0.85 1.18 0.57 1.33 1.63 0.8 0.44 0.8435 1.75 0.87 0.95 0.87 0.44 1.75 LACTULOSE 10 GRAM/15 ML SOLUTION N/A A9270 0527-5125-70 0.19 0.12 0.07 0.09 0.05 0.11 0.13 0.06 0.04 0.067526667 0.14 0.07 0.08 0.07 0.04 0.14 LAMOTRIGINE 100 MG TABLET N/A A9270 0904-7008-61 0.42 0.26 0.15 0.21 0.1 0.23 0.28 0.14 0.08 0.147 0.31 0.15 0.17 0.15 0.08 0.31 LAMOTRIGINE 25 MG TABLET N/A A9270 62332-037-31 0.51 0.32 0.18 0.25 0.12 0.28 0.35 0.17 0.09 0.1785 0.37 0.18 0.2 0.18 0.09 0.37 LANOLIN 100 % CREAM 7 G TUBE N/A A9270 4467710202 6 3.73 2.11 2.93 1.43 3.32 4.06 1.99 1.11 2.1 4.37 2.17 2.37 2.16 1.11 4.37 "LANSOPRAZOLE 30 MG TABLET,DISINTEGRAT, DELAY REL" N/A A9270 68382-772-30 39.44 24.5 13.9 19.29 9.39 21.84 26.71 13.08 7.28 13.804 28.69 14.28 15.61 14.22 7.28 28.69 LATANOPROST 0.005 % DROPS 2.5 ML DROP BTL N/A A9270 70069-421-01 237.5 147.51 83.7 116.14 56.56 131.49 160.87 78.74 43.85 83.125 172.79 86.01 93.99 85.61 43.85 172.79 LEFLUNOMIDE 10 MG TABLET N/A A9270 70748-129-06 41.06 25.5 14.47 20.08 9.78 22.73 27.81 13.61 7.58 14.371 29.87 14.87 16.25 14.8 7.58 29.87 LEVETIRACETAM 100 MG/ML SOLUTION N/A A9270 0121-4799-05 4.67 2.9 1.65 2.29 1.11 2.59 3.17 1.55 0.86 1.63555 3.4 1.69 1.85 1.68 0.86 3.4 LEVETIRACETAM 500 MG TABLET N/A A9270 60687-657-11 0.63 0.39 0.22 0.31 0.15 0.35 0.43 0.21 0.12 0.2205 0.46 0.23 0.25 0.23 0.12 0.46 LEVETIRACETAM 500 MG/5 ML (5 ML) SOLUTION N/A A9270 0121-4799-05 23.37 14.52 8.24 11.43 5.57 12.94 15.83 7.75 4.31 8.1795 17 8.46 9.25 8.42 4.31 17 LEVETIRACETAM 750 MG TABLET N/A A9270 0904-7125-61 0.86 0.53 0.3 0.42 0.2 0.47 0.58 0.28 0.16 0.29925 0.62 0.31 0.34 0.31 0.16 0.62 LEVETRIRACETAM PER 10 MG N/A N/A 0409-1886-22 0.23 0.14 0.08 0.11 0.06 0.13 0.16 0.08 0.04 0.08085 0.17 0.08 0.09 0.08 0.04 0.17 LEVOFLOXACIN 500 MG TABLET N/A A9270 0904-6352-61 42.06 26.12 14.82 20.57 10.02 23.29 28.49 13.95 7.77 14.721 30.6 15.23 16.65 15.16 7.77 30.6 LEVOFLOXACIN 750 MG TABLET N/A A9270 0904-6353-61 61.54 38.22 21.69 30.09 14.66 34.07 41.68 20.4 11.36 21.539 44.77 22.29 24.35 22.18 11.36 44.77 LEVOFLOXACIN PER 250 MG N/A N/A 36000-048-24 6.24 3.88 2.2 3.05 1.49 3.45 4.23 2.07 1.15 2.184 4.54 2.26 2.47 2.25 1.15 4.54 LEVOTHYROXINE 100 MCG RECON SOLN 1 EACH VIAL N/A N/A 70860-451-10 275.43 171.07 97.07 134.68 65.6 152.49 186.56 91.32 50.85 96.39875 200.38 99.75 109 99.28 50.85 200.38 LEVOTHYROXINE 100 MCG TABLET N/A A9270 0904-6953-61 1.76 1.09 0.62 0.86 0.42 0.97 1.19 0.58 0.32 0.616 1.28 0.64 0.7 0.63 0.32 1.28 LEVOTHYROXINE 112 MCG TABLET N/A A9270 42292-039-01 1.77 1.1 0.62 0.87 0.42 0.98 1.2 0.59 0.33 0.6195 1.29 0.64 0.7 0.64 0.33 1.29 LEVOTHYROXINE 125 MCG TABLET N/A A9270 60687-519-11 2.07 1.29 0.73 1.01 0.49 1.15 1.4 0.69 0.38 0.7245 1.51 0.75 0.82 0.75 0.38 1.51 LEVOTHYROXINE 25 MCG TABLET N/A A9270 0904-6949-61 1.37 0.85 0.48 0.67 0.33 0.76 0.93 0.45 0.25 0.4795 1 0.5 0.54 0.49 0.25 1 LEVOTHYROXINE 50 MCG TABLET N/A A9270 0904-6950-61 1.41 0.88 0.5 0.69 0.34 0.78 0.96 0.47 0.26 0.4935 1.03 0.51 0.56 0.51 0.26 1.03 LEVOTHYROXINE 75 MCG TABLET N/A A9270 51079-441-01 1.49 0.93 0.53 0.73 0.35 0.82 1.01 0.49 0.28 0.5215 1.08 0.54 0.59 0.54 0.28 1.08 LEVOTHYROXINE 88 MCG TABLET N/A A9270 0904-6952-61 1.75 1.09 0.62 0.86 0.42 0.97 1.19 0.58 0.32 0.6125 1.27 0.63 0.69 0.63 0.32 1.27 LIDOCAINE (CARDIAC) 100 MG/5 ML (2 %) SYRINGE N/A N/A 76329-3390-1 20.25 12.58 7.14 9.9 4.82 11.21 13.72 6.71 3.74 7.0875 14.73 7.33 8.01 7.3 3.74 14.73 LIDOCAINE 10 MG/ML (1 %) SOLUTION N/A N/A 63323-201-02 3.18 1.98 1.12 1.56 0.76 1.76 2.15 1.05 0.59 1.113 2.31 1.15 1.26 1.15 0.59 2.31 LIDOCAINE 10 MG/ML (1 %) SOLUTION 10 ML VIAL N/A N/A 63323-201-03 2.55 1.58 0.9 1.25 0.61 1.41 1.73 0.85 0.47 0.8925 1.86 0.92 1.01 0.92 0.47 1.86 LIDOCAINE 10 MG/ML (1 %) SOLUTION 20 ML VIAL N/A N/A 0409-4276-01 4.33 2.69 1.53 2.12 1.03 2.4 2.93 1.44 0.8 1.5155 3.15 1.57 1.71 1.56 0.8 3.15 LIDOCAINE 2 % JELLY IN APPLICATOR N/A A9270 76329-3015-5 27.75 17.24 9.78 13.57 6.61 15.36 18.8 9.2 5.12 9.7125 20.19 10.05 10.98 10 5.12 20.19 LIDOCAINE 2 % SOLUTION N/A A9270 0121-0903-15 0.33 0.2 0.12 0.16 0.08 0.18 0.22 0.11 0.06 0.1155 0.24 0.12 0.13 0.12 0.06 0.24 LIDOCAINE 20 MG/ML (2 %) SOLUTION N/A N/A 63323-486-02 10 6.21 3.52 4.89 2.38 5.54 6.77 3.32 1.85 3.5 7.28 3.62 3.96 3.6 1.85 7.28 LIDOCAINE 4 % (40 MG/ML) SOLUTION 50 ML BOTTLE N/A A9270 60432-465-50 46.48 28.87 16.38 22.73 11.07 25.73 31.48 15.41 8.58 16.268 33.82 16.83 18.39 16.75 8.58 33.82 "LIDOCAINE 5 % ADHESIVE PATCH,MEDICATED" N/A A9270 42858-118-30 6.5 4.04 2.29 3.18 1.55 3.6 4.4 2.16 1.2 2.275 4.73 2.35 2.57 2.34 1.2 4.73 LIDOCAINE PER 10 MG N/A N/A 0264-9594-10 0.12 0.07 0.04 0.06 0.03 0.06 0.08 0.04 0.02 0.040694915 0.08 0.04 0.05 0.04 0.02 0.08 LIDOCAINE PF 10 MG/ML (1 %) SOLUTION N/A N/A 63323-492-09 0.44 0.27 0.16 0.22 0.11 0.24 0.3 0.15 0.08 0.154875 0.32 0.16 0.18 0.16 0.08 0.32 LIDOCAINE PF 10 MG/ML (1 %) SOLUTION 30 ML VIAL N/A N/A 55150-163-30 0.54 0.34 0.19 0.27 0.13 0.3 0.37 0.18 0.1 0.1904 0.4 0.2 0.22 0.2 0.1 0.4 LIDOCAINE PF 20 MG/ML (2 %) SOLUTION N/A N/A 55150-165-05 0.94 0.58 0.33 0.46 0.22 0.52 0.63 0.31 0.17 0.3276 0.68 0.34 0.37 0.34 0.17 0.68 LIDOCAINE PF 20 MG/ML (2 %) SOLUTION 5 ML VIAL N/A N/A 55150-165-05 2.7 1.68 0.95 1.32 0.64 1.49 1.83 0.9 0.5 0.945 1.96 0.98 1.07 0.97 0.5 1.96 "LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 SOLUTION" N/A N/A 63323-489-02 13.77 8.55 4.85 6.73 3.28 7.62 9.33 4.57 2.54 4.8195 10.02 4.99 5.45 4.96 2.54 10.02 "LIDOCAINE-EPINEPHRINE 1 %-1:100,000 SOLUTION" N/A N/A 63323-482-27 11.25 6.99 3.96 5.5 2.68 6.23 7.62 3.73 2.08 3.9375 8.18 4.07 4.45 4.06 2.08 8.18 "LIDOCAINE-EPINEPHRINE 2 %-1:100,000 SOLUTION" N/A N/A 63323-483-27 7.13 4.43 2.51 3.48 1.7 3.94 4.83 2.36 1.32 2.49375 5.18 2.58 2.82 2.57 1.32 5.18 LIDOCAINE-EPI-TETRACAINE 4-0.18-0.5 % SOLUTION N/A A9270 51552-1345-1 10.4 6.46 3.67 5.09 2.48 5.76 7.04 3.45 1.92 3.64 7.57 3.77 4.12 3.75 1.92 7.57 LINEZOLID 600 MG TABLET N/A A9270 72606-001-11 454.58 282.35 160.21 222.29 108.27 251.67 307.91 150.72 83.93 159.103 330.72 164.63 179.9 163.86 83.93 330.72 LINEZOLID PER 200 MG N/A N/A 0781-3433-46 65 40.37 22.91 31.78 15.48 35.99 44.03 21.55 12 22.75 47.29 23.54 25.72 23.43 12 47.29 LISINOPRIL 10 MG TABLET N/A A9270 0904-6798-61 0.16 0.1 0.06 0.08 0.04 0.09 0.11 0.05 0.03 0.056 0.12 0.06 0.06 0.06 0.03 0.12 LISINOPRIL 2.5 MG TABLET N/A A9270 68084-765-11 1.71 1.06 0.6 0.84 0.41 0.95 1.16 0.57 0.32 0.5985 1.24 0.62 0.68 0.62 0.32 1.24 LISINOPRIL 20 MG TABLET N/A A9270 0904-6799-61 0.21 0.13 0.07 0.1 0.05 0.12 0.14 0.07 0.04 0.0735 0.15 0.08 0.08 0.08 0.04 0.15 LISINOPRIL 40 MG TABLET N/A A9270 43547-356-10 0.42 0.26 0.15 0.21 0.1 0.23 0.28 0.14 0.08 0.147 0.31 0.15 0.17 0.15 0.08 0.31 LISINOPRIL 5 MG TABLET N/A A9270 0904-6797-61 0.2 0.12 0.07 0.1 0.05 0.11 0.14 0.07 0.04 0.07 0.15 0.07 0.08 0.07 0.04 0.15 LOPERAMIDE 2 MG CAPSULE N/A A9270 60687-229-11 2.55 1.58 0.9 1.25 0.61 1.41 1.73 0.85 0.47 0.8925 1.86 0.92 1.01 0.92 0.47 1.86 LORAZEPAM 0.5 MG TABLET N/A A9270 0093-3425-05 0.24 0.15 0.08 0.12 0.06 0.13 0.16 0.08 0.04 0.084 0.17 0.09 0.09 0.09 0.04 0.17 LORAZEPAM 1 MG TABLET N/A A9270 0904-6008-61 0.28 0.17 0.1 0.14 0.07 0.16 0.19 0.09 0.05 0.098 0.2 0.1 0.11 0.1 0.05 0.2 LORAZEPAM PER 2 MG N/A N/A 0641-6044-01 1.95 1.21 0.69 0.95 0.46 1.08 1.32 0.65 0.36 0.6825 1.42 0.71 0.77 0.7 0.36 1.42 LOSARTAN 25 MG TABLET N/A A9270 63739-673-10 1.5 0.93 0.53 0.73 0.36 0.83 1.02 0.5 0.28 0.525 1.09 0.54 0.59 0.54 0.28 1.09 LOSARTAN 50 MG TABLET N/A A9270 50268-505-11 1.58 0.98 0.56 0.77 0.38 0.87 1.07 0.52 0.29 0.55125 1.15 0.57 0.62 0.57 0.29 1.15 LURASIDONE 20 MG TABLET N/A A9270 65162-879-03 134.78 83.71 47.5 65.9 32.1 74.62 91.29 44.68 24.88 47.17125 98.05 48.81 53.34 48.58 24.88 98.05 MAGNESIUM HYDROXIDE 400 MG/5 ML SUSPENSION N/A A9270 0121-0431-30 5.86 3.64 2.07 2.87 1.4 3.24 3.97 1.94 1.08 2.051 4.26 2.12 2.32 2.11 1.08 4.26 MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET N/A A9270 64980-339-02 0.22 0.14 0.08 0.11 0.05 0.12 0.15 0.07 0.04 0.077 0.16 0.08 0.09 0.08 0.04 0.16 MAGNESIUM SULFATE 1 GRAM/100 ML PIGGYBACK N/A N/A 0264-4400-54 4.71 2.93 1.66 2.3 1.12 2.61 3.19 1.56 0.87 1.6485 3.43 1.71 1.86 1.7 0.87 3.43 MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK N/A N/A 0409-5239-01 3.78 2.35 1.33 1.85 0.9 2.09 2.56 1.25 0.7 1.323 2.75 1.37 1.5 1.36 0.7 2.75 MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) PARENTERAL SOLUTION N/A N/A 63323-106-15 0.43 0.26 0.15 0.21 0.1 0.24 0.29 0.14 0.08 0.149275 0.31 0.15 0.17 0.15 0.08 0.31 MAGNESIUM SULFATE PER 500 MG MAGNESIUM N/A N/A 0264-4206-54 2.97 1.84 1.05 1.45 0.71 1.64 2.01 0.98 0.55 1.0390625 2.16 1.08 1.17 1.07 0.55 2.16 MAGNESIUM SULFATE PER 500 MG OF MAGNESIUM N/A N/A 63323-064-01 0.57 0.35 0.2 0.28 0.14 0.31 0.38 0.19 0.1 0.198916667 0.41 0.21 0.22 0.2 0.1 0.41 "MEASLES, MUMPS & RUBELLA VAC PER 0.5 ML" N/A N/A 0006-4681-01 260.82 162 91.92 127.54 62.12 144.4 176.67 86.47 48.16 91.287 189.75 94.46 103.22 94.02 48.16 189.75 MECLIZINE 12.5 MG TABLET N/A A9270 0904-6516-61 1.77 1.1 0.62 0.87 0.42 0.98 1.2 0.59 0.33 0.620375 1.29 0.64 0.7 0.64 0.33 1.29 MEDROXYPROGESTERONE 150 MG/ML SUSPENSION N/A N/A 55150-329-01 0.69 0.43 0.24 0.34 0.16 0.38 0.47 0.23 0.13 0.240753333 0.5 0.25 0.27 0.25 0.13 0.5 MELOXICAM 7.5 MG TABLET N/A A9270 50268-525-11 7.75 4.81 2.73 3.79 1.85 4.29 5.25 2.57 1.43 2.7125 5.64 2.81 3.07 2.79 1.43 5.64 "MEMANTINE 28 MG CAPSULE,SPRINKLE,ER 24HR" N/A A9270 65162-785-03 38.16 23.7 13.45 18.66 9.09 21.13 25.85 12.65 7.05 13.356 27.76 13.82 15.1 13.76 7.05 27.76 MEMANTINE 5 MG TABLET N/A A9270 0904-6505-61 2.39 1.48 0.84 1.17 0.57 1.32 1.62 0.79 0.44 0.83475 1.74 0.86 0.94 0.86 0.44 1.74 METFORMIN 500 MG TABLET N/A A9270 0904-7162-61 0.2 0.12 0.07 0.1 0.05 0.11 0.13 0.06 0.04 0.06825 0.14 0.07 0.08 0.07 0.04 0.14 METFORMIN XR 500 MG TABLET EXTENDED RELEASE 24 HR N/A A9270 60687-640-11 0.78 0.48 0.27 0.38 0.19 0.43 0.53 0.26 0.14 0.273 0.57 0.28 0.31 0.28 0.14 0.57 METHADONE 10 MG TABLET N/A A9270 0904-6530-61 0.76 0.47 0.27 0.37 0.18 0.42 0.52 0.25 0.14 0.267 0.55 0.28 0.3 0.27 0.14 0.55 METHADONE 10 MG/5 ML SOLUTION N/A A9270 0054-3556-63 3.46 2.15 1.22 1.69 0.82 1.92 2.34 1.15 0.64 1.211 2.52 1.25 1.37 1.25 0.64 2.52 METHIMAZOLE 5 MG TABLET N/A A9270 23155-070-01 1.12 0.7 0.39 0.55 0.27 0.62 0.76 0.37 0.21 0.392 0.81 0.41 0.44 0.4 0.21 0.81 METHOCARBAMOL 100 MG/ML SOLUTION N/A N/A 70069-101-01 51.58 32.04 18.18 25.22 12.28 28.56 34.94 17.1 9.52 18.053 37.53 18.68 20.41 18.59 9.52 37.53 METHOCARBAMOL 500 MG TABLET N/A A9270 0904-7057-61 0.75 0.47 0.26 0.37 0.18 0.42 0.51 0.25 0.14 0.2625 0.55 0.27 0.3 0.27 0.14 0.55 METHYL SALICYLATE-MENTHOL 29-7.6 % OINTMENT 99.2 G JAR N/A A9270 4116700879 12.28 7.63 4.33 6 2.92 6.8 8.32 4.07 2.27 4.298 8.93 4.45 4.86 4.43 2.27 8.93 METHYLERGONOVINE MALEATE PER 0.2 MG N/A N/A 0517-0740-01 87.99 54.65 31.01 43.03 20.96 48.71 59.6 29.17 16.25 30.7965 64.01 31.87 34.82 31.72 16.25 64.01 METHYLPREDNISOLONE PER 125 MG N/A N/A 0009-0850-01 12.19 7.57 4.3 5.96 2.9 6.75 8.26 4.04 2.25 4.265625 8.87 4.41 4.82 4.39 2.25 8.87 METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML RECON SOLN N/A N/A 0009-0047-25 14.02 8.71 4.94 6.86 3.34 7.76 9.5 4.65 2.59 4.907 10.2 5.08 5.55 5.05 2.59 10.2 METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML RECON SOLN N/A N/A 0009-0039-30 9.07 5.63 3.2 4.44 2.16 5.02 6.14 3.01 1.67 3.1745 6.6 3.28 3.59 3.27 1.67 6.6 METOCLOPRAMIDE 10 MG TABLET N/A A9270 60687-631-11 1.8 1.12 0.63 0.88 0.43 1 1.22 0.6 0.33 0.63 1.31 0.65 0.71 0.65 0.33 1.31 METOCLOPRAMIDE PER 10 MG N/A N/A 23155-240-31 1.78 1.11 0.63 0.87 0.42 0.99 1.21 0.59 0.33 0.623 1.29 0.64 0.7 0.64 0.33 1.29 METOLAZONE 2.5 MG TABLET N/A A9270 72888-052-01 5.18 3.22 1.83 2.53 1.23 2.87 3.51 1.72 0.96 1.813875 3.77 1.88 2.05 1.87 0.96 3.77 METOPROLOL 5 MG/5 ML SOLUTION N/A N/A 0409-1778-15 3.2 1.99 1.13 1.56 0.76 1.77 2.17 1.06 0.59 1.12 2.33 1.16 1.27 1.15 0.59 2.33 METOPROLOL SUCCINATE XL 100 MG TABLET EXTENDED RELEASE 24 HR N/A A9270 50268-542-11 4.19 2.6 1.47 2.05 1 2.32 2.83 1.39 0.77 1.46475 3.04 1.52 1.66 1.51 0.77 3.04 METOPROLOL SUCCINATE XL 25 MG TABLET EXTENDED RELEASE 24 HR N/A A9270 50268-540-11 1.38 0.86 0.49 0.67 0.33 0.76 0.93 0.46 0.25 0.483 1 0.5 0.55 0.5 0.25 1 METOPROLOL SUCCINATE XL 50 MG TABLET EXTENDED RELEASE 24 HR N/A A9270 50268-541-11 2.76 1.71 0.97 1.35 0.66 1.53 1.87 0.92 0.51 0.966 2.01 1 1.09 0.99 0.51 2.01 METOPROLOL TARTRATE 25 MG TABLET N/A A9270 51079-255-01 0.61 0.38 0.21 0.3 0.15 0.34 0.41 0.2 0.11 0.2135 0.44 0.22 0.24 0.22 0.11 0.44 METOPROLOL TARTRATE 50 MG TABLET N/A A9270 51079-801-01 1.43 0.89 0.5 0.7 0.34 0.79 0.97 0.47 0.26 0.5005 1.04 0.52 0.57 0.52 0.26 1.04 METRONIDAZOLE 500 MG TABLET N/A A9270 0904-7126-61 2.11 1.31 0.74 1.03 0.5 1.17 1.43 0.7 0.39 0.737625 1.53 0.76 0.83 0.76 0.39 1.53 METRONIDAZOLE 500 MG/100 ML PIGGYBACK N/A N/A 0338-1055-48 6.88 4.27 2.42 3.36 1.64 3.81 4.66 2.28 1.27 2.408 5.01 2.49 2.72 2.48 1.27 5.01 MICAFUNGIN PER 1 MG N/A N/A 71288-028-10 4.49 2.79 1.58 2.19 1.07 2.48 3.04 1.49 0.83 1.5708 3.27 1.63 1.78 1.62 0.83 3.27 MIDAZOLAM (PF) 1 MG/ML SOLUTION N/A N/A 0409-2305-17 0.62 0.39 0.22 0.3 0.15 0.34 0.42 0.21 0.11 0.217 0.45 0.22 0.25 0.22 0.11 0.45 MIDAZOLAM 10 MG/5 ML (2 MG/ML) SYRUP N/A A9270 60687-576-40 18.5 11.49 6.52 9.05 4.41 10.24 12.53 6.13 3.42 6.475 13.46 6.7 7.32 6.67 3.42 13.46 MIDAZOLAM IN 0.9 % NACL 1 MG/ML SOLUTION N/A N/A 44567-611-01 0.9 0.56 0.32 0.44 0.21 0.5 0.61 0.3 0.17 0.314895 0.65 0.33 0.36 0.32 0.17 0.65 MIDAZOLAM PER 1 MG N/A N/A 0409-2308-21 0.53 0.33 0.19 0.26 0.13 0.29 0.36 0.17 0.1 0.18375 0.38 0.19 0.21 0.19 0.1 0.38 MIDODRINE 5 MG TABLET N/A A9270 60687-398-11 1.06 0.66 0.37 0.52 0.25 0.58 0.71 0.35 0.19 0.36925 0.77 0.38 0.42 0.38 0.19 0.77 MINOXIDIL 2.5 MG TABLET N/A A9270 68084-204-11 4.24 2.63 1.49 2.07 1.01 2.35 2.87 1.41 0.78 1.484 3.08 1.54 1.68 1.53 0.78 3.08 MIRTAZAPINE 15 MG TABLET N/A A9270 63739-098-10 0.4 0.25 0.14 0.19 0.09 0.22 0.27 0.13 0.07 0.13825 0.29 0.14 0.16 0.14 0.07 0.29 MISOPROSTOL 200 MCG TABLET N/A A9270 70954-444-20 3.57 2.22 1.26 1.75 0.85 1.98 2.42 1.18 0.66 1.2509 2.6 1.29 1.41 1.29 0.66 2.6 MISOPROSTOL 25 MCG N/A A9270 43386-160-12 0.73 0.45 0.26 0.36 0.17 0.4 0.49 0.24 0.13 0.2555 0.53 0.26 0.29 0.26 0.13 0.53 MONTELUKAST 10 MG TABLET N/A A9270 0904-6808-61 1 0.62 0.35 0.49 0.24 0.55 0.68 0.33 0.18 0.35 0.73 0.36 0.4 0.36 0.18 0.73 MORPHINE 15 MG TABLET EXTENDED RELEASE N/A A9270 0406-8315-23 4.61 2.86 1.62 2.25 1.1 2.55 3.12 1.53 0.85 1.6135 3.35 1.67 1.82 1.66 0.85 3.35 MORPHINE 2 MG/ML SYRINGE N/A N/A 0409-1890-03 1.6 0.99 0.56 0.78 0.38 0.89 1.08 0.53 0.3 0.56 1.16 0.58 0.63 0.58 0.3 1.16 MORPHINE 4 MG/ML SOLUTION N/A N/A 0409-1891-03 3.45 2.14 1.22 1.69 0.82 1.91 2.34 1.14 0.64 1.2075 2.51 1.25 1.37 1.24 0.64 2.51 MORPHINE IMMEDIATE RELEASE 15 MG TABLET N/A A9270 0054-0235-24 2.28 1.41 0.8 1.11 0.54 1.26 1.54 0.75 0.42 0.79625 1.66 0.82 0.9 0.82 0.42 1.66 MORPHINE PER 10 MG N/A N/A 0409-3814-11 0.17 0.11 0.06 0.08 0.04 0.09 0.12 0.06 0.03 0.0595 0.12 0.06 0.07 0.06 0.03 0.12 MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET N/A A9270 904053961 0.12 0.07 0.04 0.06 0.03 0.07 0.08 0.04 0.02 0.042 0.09 0.04 0.05 0.04 0.02 0.09 MULTIVITAMIN-IRON-FOLIC ACID 18-400 MG-MCG TABLET N/A A9270 904264172 0.16 0.1 0.06 0.08 0.04 0.09 0.11 0.05 0.03 0.056 0.12 0.06 0.06 0.06 0.03 0.12 MULTIVIT-IRON-FA-CALCIUM-MINS 9 MG IRON-400 MCG TABLET N/A A9270 904549261 0.27 0.17 0.1 0.13 0.06 0.15 0.18 0.09 0.05 0.0945 0.2 0.1 0.11 0.1 0.05 0.2 MUPIROCIN 2 % OINTMENT 22 G TUBE N/A A9270 68462-180-22 106.88 66.38 37.67 52.26 25.46 59.17 72.4 35.44 19.73 37.408 77.76 38.71 42.3 38.53 19.73 77.76 MYCOPHENOLATE MOFETIL PER 250 MG N/A N/A 51079-721-01 28.31 17.59 9.98 13.84 6.74 15.67 19.18 9.39 5.23 9.909375 20.6 10.25 11.2 10.21 5.23 20.6 NAFCILLIN 2 GRAM RECON SOLN 1 EACH VIAL N/A N/A 70860-117-41 70.69 43.91 24.91 34.57 16.84 39.14 47.88 23.44 13.05 24.7415 51.43 25.6 27.98 25.48 13.05 51.43 NALBUPHINE PER 10 MG N/A N/A 0409-1467-61 5.35 3.32 1.89 2.62 1.27 2.96 3.62 1.77 0.99 1.8725 3.89 1.94 2.12 1.93 0.99 3.89 NALOXONE 1 MG/ML 1 MG/ML SYRINGE N/A N/A 0641-6205-10 19.8 12.3 6.98 9.68 4.72 10.96 13.41 6.56 3.66 6.93 14.4 7.17 7.84 7.14 3.66 14.4 "NALOXONE 4 MG/ACTUATION SPRAY,NON-AEROSOL" N/A A9270 69547-353-02 187.5 116.46 66.08 91.69 44.66 103.81 127 62.17 34.62 65.625 136.41 67.9 74.2 67.59 34.62 136.41 NALOXONE PER 1 MG N/A N/A 36000-308-01 3.13 1.94 1.1 1.53 0.75 1.73 2.12 1.04 0.58 1.0955 2.28 1.13 1.24 1.13 0.58 2.28 NAPROXEN 500 MG TABLET N/A A9270 63739-403-10 0.64 0.4 0.23 0.31 0.15 0.35 0.43 0.21 0.12 0.224 0.47 0.23 0.25 0.23 0.12 0.47 "NEOMYCIN-POLYMYXIN B GU 40 MG-200,000 UNIT/ML SOLUTION 1 ML AMPUL" N/A N/A 39822-1201-1 32.12 19.95 11.32 15.7 7.65 17.78 21.75 10.65 5.93 11.24083333 23.37 11.63 12.71 11.58 5.93 23.37 "NEOMYCIN-POLYMYXIN-HC 3.5-10,000-1 MG/ML-UNIT/ML-% DROPS,SUSPENSION 10 ML DROP BTL" N/A A9270 24208-635-62 251.7 156.33 88.71 123.08 59.95 139.35 170.49 83.45 46.47 88.095 183.12 91.15 99.61 90.73 46.47 183.12 NEOSTIGMINE PER 0.5 MG N/A N/A 70700-172-23 7.03 4.37 2.48 3.44 1.67 3.89 4.76 2.33 1.3 2.4609375 5.12 2.55 2.78 2.53 1.3 5.12 NIACIN 500 MG TABLET EXTENDED RELEASE 24 HR N/A A9270 59651-018-90 10.6 6.58 3.73 5.18 2.52 5.87 7.18 3.51 1.96 3.70825 7.71 3.84 4.19 3.82 1.96 7.71 NICARDIPINE 40 MG/200 ML (0.2 MG/ML) PIGGYBACK N/A N/A 43066-016-10 488 303.1 171.99 238.63 116.23 270.18 330.55 161.8 90.1 170.8 355.03 176.73 193.13 175.91 90.1 355.03 NICOTINE 14 MG/24 HR PATCH 24 HOUR N/A A9270 60505-708-90 5.72 3.55 2.02 2.8 1.36 3.17 3.87 1.9 1.06 2.002 4.16 2.07 2.26 2.06 1.06 4.16 NICOTINE 21 MG/24 HR PATCH 24 HOUR N/A A9270 43598-448-71 5.36 3.33 1.89 2.62 1.28 2.97 3.63 1.78 0.99 1.876 3.9 1.94 2.12 1.93 0.99 3.9 NIFEDIPINE 10 MG CAPSULE N/A A9270 0904-7229-61 3.23 2.01 1.14 1.58 0.77 1.79 2.19 1.07 0.6 1.1305 2.35 1.17 1.28 1.16 0.6 2.35 NIFEDIPINE XL 30 MG TABLET EXTENDED RELEASE 24HR N/A A9270 0904-7208-06 2.89 1.8 1.02 1.41 0.69 1.6 1.96 0.96 0.53 1.0115 2.1 1.05 1.14 1.04 0.53 2.1 NITROFURANTOIN 100 MG CAPSULE N/A A9270 50268-625-11 10.72 6.66 3.78 5.24 2.55 5.94 7.26 3.55 1.98 3.752 7.8 3.88 4.24 3.86 1.98 7.8 "NITROGLYCERIN 0.4 MG TABLET, SUBLINGUAL" N/A A9270 43598-436-11 2.54 1.58 0.89 1.24 0.6 1.41 1.72 0.84 0.47 0.88872 1.85 0.92 1 0.92 0.47 1.85 NITROGLYCERIN 2 % OINTMENT N/A A9270 0281-0326-08 3.45 2.14 1.22 1.69 0.82 1.91 2.34 1.14 0.64 1.2075 2.51 1.25 1.37 1.24 0.64 2.51 NITROGLYCERIN 50 MG/10 ML (5 MG/ML) SOLUTION N/A N/A 0517-4810-25 0.09 0.06 0.03 0.04 0.02 0.05 0.06 0.03 0.02 0.0315 0.07 0.03 0.04 0.03 0.02 0.07 NITROGLYCERIN IN 5 % DEXTROSE 50 MG/250 ML (200 MCG/ML) SOLUTION N/A N/A 0338-1049-02 67.62 42 23.83 33.07 16.1 37.44 45.8 22.42 12.48 23.667 49.2 24.49 26.76 24.37 12.48 49.2 NOREPINEPHRINE BITARTRATE 1 MG/ML SOLUTION N/A N/A 0781-3755-75 15 9.32 5.29 7.33 3.57 8.3 10.16 4.97 2.77 5.25 10.91 5.43 5.94 5.41 2.77 10.91 NOREPINEPHRINE BITARTRATE 1 MG/ML SOLUTION 4 ML VIAL N/A N/A 63323-940-04 56.9 35.34 20.05 27.82 13.55 31.5 38.54 18.87 10.51 19.915 41.4 20.61 22.52 20.51 10.51 41.4 NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) SOLUTION N/A N/A 36000-162-10 16.47 10.23 5.8 8.05 3.92 9.12 11.15 5.46 3.04 5.76275 11.98 5.96 6.52 5.94 3.04 11.98 NORMAL SALINE 0.9% SOLUTION N/A N/A 0409-4888-03 0.06 0.04 0.02 0.03 0.01 0.03 0.04 0.02 0.01 0.021 0.04 0.02 0.02 0.02 0.01 0.04 "NORMAL SALINE 0.9% SOLUTION 1,000 ML FLEX CONT" N/A N/A 0338-0049-04 0.15 0.09 0.05 0.07 0.04 0.08 0.1 0.05 0.03 0.0525 0.11 0.05 0.06 0.05 0.03 0.11 NORMAL SALINE 0.9% SOLUTION 10 ML SYRINGE N/A N/A 6380710001 1 0.62 0.35 0.49 0.24 0.55 0.68 0.33 0.18 0.35 0.73 0.36 0.4 0.36 0.18 0.73 NORMAL SALINE 0.9% SOLUTION 10 ML VIAL N/A N/A 63323-186-01 0.14 0.09 0.05 0.07 0.03 0.08 0.09 0.05 0.03 0.049 0.1 0.05 0.06 0.05 0.03 0.1 NORMAL SALINE 0.9% SOLUTION 20 ML VIAL N/A N/A 0409-4888-03 1.9 1.18 0.67 0.93 0.45 1.05 1.29 0.63 0.35 0.665 1.38 0.69 0.75 0.68 0.35 1.38 NORTRIPTYLINE 10 MG CAPSULE N/A A9270 60687-281-11 1.11 0.69 0.39 0.54 0.26 0.61 0.75 0.37 0.2 0.38675 0.8 0.4 0.44 0.4 0.2 0.8 "NYSTATIN 100,000 UNIT/GRAM CREAM 15 G TUBE" N/A A9270 45802-059-35 43.76 27.18 15.42 21.4 10.42 24.23 29.64 14.51 8.08 15.316 31.84 15.85 17.32 15.77 8.08 31.84 "NYSTATIN 100,000 UNIT/GRAM POWDER 15 G SQUEEZ BTL" N/A A9270 68308-152-15 54.88 34.09 19.34 26.84 13.07 30.38 37.17 18.2 10.13 19.208 39.93 19.88 21.72 19.78 10.13 39.93 "NYSTATIN 100,000 UNIT/ML SUSPENSION" N/A A9270 0121-0868-05 3.85 2.39 1.36 1.88 0.92 2.13 2.61 1.28 0.71 1.3475 2.8 1.39 1.52 1.39 0.71 2.8 OFLOXACIN 0.3 % DROPS 5 ML DROP BTL N/A A9270 64980-515-05 61.33 38.09 21.61 29.99 14.61 33.95 41.54 20.33 11.32 21.4655 44.62 22.21 24.27 22.11 11.32 44.62 OLANZAPINE 2.5 MG TABLET N/A A9270 60505-3110-0 27.99 17.39 9.87 13.69 6.67 15.5 18.96 9.28 5.17 9.7978125 20.37 10.14 11.08 10.09 5.17 20.37 "OLANZAPINE ZYDIS 5 MG TABLET,DISINTEGRATING" N/A A9270 55111-262-79 5.19 3.22 1.83 2.54 1.24 2.87 3.51 1.72 0.96 1.815625 3.77 1.88 2.05 1.87 0.96 3.77 "OMEGA 3-DHA-EPA-FISH OIL 300-1,000 MG CAPSULE,DELAYED RELEASE(DR/EC)" N/A A9270 7733330825 0.61 0.38 0.21 0.3 0.15 0.34 0.41 0.2 0.11 0.2135 0.44 0.22 0.24 0.22 0.11 0.44 ONABOTULINUMTOXINA PER 1 UNIT N/A N/A 0023-1145-01 19.02 11.81 6.7 9.3 4.53 10.53 12.88 6.31 3.51 6.657 13.84 6.89 7.53 6.86 3.51 13.84 ONDANSETRON 4 (FOUR) 4 MG TABLETS N/A A9270 57237-077-10 0.25 0.15 0.09 0.12 0.06 0.14 0.17 0.08 0.05 0.08575 0.18 0.09 0.1 0.09 0.05 0.18 ONDANSETRON PER 1 MG N/A N/A 60505-6130-5 0.32 0.2 0.11 0.15 0.08 0.18 0.21 0.1 0.06 0.110833333 0.23 0.11 0.13 0.11 0.06 0.23 ONDANSETRON PER 8 MG N/A A9270 57237-077-10 8.2 5.09 2.89 4.01 1.95 4.54 5.55 2.72 1.51 2.87 5.97 2.97 3.25 2.96 1.51 5.97 OXYBUTYNIN 5 MG TABLET N/A A9270 60687-670-11 1.26 0.78 0.44 0.62 0.3 0.7 0.85 0.42 0.23 0.441 0.92 0.46 0.5 0.45 0.23 0.92 OXYBUTYNIN XL 5 MG TABLET EXTENDED RELEASE 24HR N/A A9270 0904-6570-61 6.87 4.27 2.42 3.36 1.64 3.8 4.65 2.28 1.27 2.4045 5 2.49 2.72 2.48 1.27 5 OXYCODONE 5 MG TABLET N/A A9270 68084-354-11 0.99 0.61 0.35 0.48 0.23 0.55 0.67 0.33 0.18 0.34475 0.72 0.36 0.39 0.36 0.18 0.72 OXYCODONE-ACETAMINOPHEN 5-325 MG TABLET N/A A9270 0406-0512-23 0.84 0.52 0.3 0.41 0.2 0.47 0.57 0.28 0.16 0.294 0.61 0.3 0.33 0.3 0.16 0.61 "OXYMETAZOLINE 0.05 % SPRAY,NON-AEROSOL 30 ML SQUEEZ BTL" N/A A9270 0904-6761-30 6.15 3.82 2.17 3.01 1.46 3.4 4.17 2.04 1.14 2.1525 4.47 2.23 2.43 2.22 1.14 4.47 OXYTOCIN IN 0.9 NACL 30 UNIT/500 ML SOLUTION N/A N/A 90000-003-25 6.21 3.86 2.19 3.04 1.48 3.44 4.21 2.06 1.15 2.1735 4.52 2.25 2.46 2.24 1.15 4.52 OXYTOCIN PER 10 UNITS N/A N/A 63323-012-06 2.34 1.45 0.82 1.14 0.56 1.3 1.59 0.78 0.43 0.819 1.7 0.85 0.93 0.84 0.43 1.7 PALONOSETRON PER 25 MCG N/A N/A 36000-326-02 1.8 1.12 0.63 0.88 0.43 1 1.22 0.6 0.33 0.63 1.31 0.65 0.71 0.65 0.33 1.31 "PANCRELIPASE (LIP-PROT-AMYL) 24,000-76,000 -120,000 UNIT CAPSULE,DELAYED RELEASE(DR/EC)" N/A A9270 0032-1224-01 22.41 13.92 7.9 10.96 5.34 12.41 15.18 7.43 4.14 7.8435 16.3 8.12 8.87 8.08 4.14 16.3 PANTOPRAZOLE 40 MG RECON SOLN 1 EACH VIAL N/A N/A 62756-129-40 8.9 5.53 3.14 4.35 2.12 4.93 6.03 2.95 1.64 3.115 6.47 3.22 3.52 3.21 1.64 6.47 "PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE (DR/EC)" N/A A9270 63739-564-10 0.87 0.54 0.31 0.43 0.21 0.48 0.59 0.29 0.16 0.3045 0.63 0.32 0.34 0.31 0.16 0.63 PAROXETINE 10 MG TABLET N/A A9270 0904-5676-61 7.04 4.37 2.48 3.44 1.68 3.9 4.77 2.33 1.3 2.464 5.12 2.55 2.79 2.54 1.3 5.12 PAROXETINE 20 MG TABLET N/A A9270 63739-963-10 0.67 0.41 0.23 0.33 0.16 0.37 0.45 0.22 0.12 0.23275 0.48 0.24 0.26 0.24 0.12 0.48 PENICILLIN G BENZATHINE PER 1200000 UNITS N/A N/A 60793-701-02 52.08 32.35 18.35 25.47 12.4 28.83 35.28 17.27 9.62 18.22741667 37.89 18.86 20.61 18.77 9.62 37.89 PENICILLIN G POTASSIUM PER 600000 UNITS N/A N/A 44567-311-10 0.38 0.24 0.13 0.19 0.09 0.21 0.26 0.13 0.07 0.133 0.28 0.14 0.15 0.14 0.07 0.28 PENICILLIN V POTASSIUM 250 MG TABLET N/A A9270 57237-040-01 2.13 1.32 0.75 1.04 0.51 1.18 1.44 0.7 0.39 0.74375 1.55 0.77 0.84 0.77 0.39 1.55 PHENAZOPYRIDINE 100 MG TABLET N/A A9270 65162-681-10 6.75 4.19 2.38 3.3 1.61 3.74 4.57 2.24 1.25 2.3625 4.91 2.44 2.67 2.43 1.25 4.91 PHENYLEPHRINE 0.5 MG/5 ML (100 MCG/ML) SYRINGE N/A N/A 69374-957-10 0.94 0.58 0.33 0.46 0.22 0.52 0.64 0.31 0.17 0.329 0.68 0.34 0.37 0.34 0.17 0.68 PHENYLEPHRINE 10 % DROPS 5 ML DROP BTL N/A A9270 42702-103-05 125 77.64 44.05 61.12 29.77 69.21 84.67 41.44 23.08 43.75 90.94 45.27 49.47 45.06 23.08 90.94 PHENYLEPHRINE PER 1 ML N/A N/A 70069-802-01 0.02 0.01 0.01 0.01 0 0.01 0.01 0.01 0 0.007 0.01 0.01 0.01 0.01 0 0.01 "PHENYTOIN 50 MG TABLET,CHEWABLE" N/A A9270 60687-156-95 4.5 2.8 1.59 2.2 1.07 2.49 3.05 1.49 0.83 1.575 3.27 1.63 1.78 1.62 0.83 3.27 PHENYTOIN PER 50 MG N/A N/A 0641-0493-25 2.09 1.3 0.73 1.02 0.5 1.15 1.41 0.69 0.38 0.72975 1.52 0.76 0.83 0.75 0.38 1.52 PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML SYRINGE N/A N/A 76329-1240-1 74.19 46.08 26.15 36.28 17.67 41.07 50.25 24.6 13.7 25.9665 53.98 26.87 29.36 26.74 13.7 53.98 PHYTONADIONE (VITAMIN K1) 10 MG/ML SOLUTION 1 ML AMPUL N/A N/A 43598-405-11 10.69 6.64 3.77 5.23 2.55 5.92 7.24 3.55 1.97 3.742666667 7.78 3.87 4.23 3.85 1.97 7.78 PILOCARPINE 5 MG TABLET N/A A9270 0527-1313-01 4.54 2.82 1.6 2.22 1.08 2.51 3.08 1.51 0.84 1.589 3.3 1.64 1.8 1.64 0.84 3.3 PIPERACILLIN SOD-TAZOBACTAM PER 1 G N/A N/A 0206-8861-01 11.7 7.27 4.12 5.72 2.79 6.48 7.93 3.88 2.16 4.095 8.51 4.24 4.63 4.22 2.16 8.51 PNEUMOCOCCAL CONJUGATE PCV20 0.5 ML SYRINGE N/A N/A 0005-2000-01 770.03 478.28 271.38 376.54 183.4 426.32 521.58 255.3 142.17 269.5105 560.22 278.87 304.74 277.57 142.17 560.22 POLYETHYLENE GLYCOL 17 GRAM POWDER IN PACKET N/A A9270 0904-6931-81 4.68 2.9 1.65 2.29 1.11 2.59 3.17 1.55 0.86 1.63625 3.4 1.69 1.85 1.69 0.86 3.4 POLYETHYLENE GLYCOL 17 GRAM/DOSE POWDER 510 G BOTTLE N/A A9270 49348-143-92 39.23 24.37 13.83 19.18 9.34 21.72 26.57 13.01 7.24 13.7305 28.54 14.21 15.53 14.14 7.24 28.54 "POLYMYXIN B 500,000 UNIT RECON SOLN 1 EACH VIAL" N/A N/A 55150-234-10 43.75 27.17 15.42 21.39 10.42 24.22 29.63 14.51 8.08 15.3125 31.83 15.84 17.31 15.77 8.08 31.83 POLYVINYL ALCOHOL 1.4 % DROPS 15 ML DROP BTL N/A A9270 0536-1325-94 15.71 9.76 5.54 7.68 3.74 8.7 10.64 5.21 2.9 5.4985 11.43 5.69 6.22 5.66 2.9 11.43 "POTASSIUM BICARB-CITRIC ACID 20 MEQ TABLET, EFFERVESCENT" N/A A9270 51801-012-30 1.4 0.87 0.49 0.68 0.33 0.78 0.95 0.46 0.26 0.49 1.02 0.51 0.55 0.5 0.26 1.02 "POTASSIUM CHLORIDE 10 MEQ TABLET,ER PARTICLES/CRYSTALS" N/A A9270 63739-972-10 1.55 0.96 0.55 0.76 0.37 0.86 1.05 0.51 0.29 0.5425 1.13 0.56 0.61 0.56 0.29 1.13 "POTASSIUM CHLORIDE 20 MEQ TABLET,ER PARTICLES/CRYSTALS" N/A A9270 0245-5319-89 1.7 1.06 0.6 0.83 0.4 0.94 1.15 0.56 0.31 0.595 1.24 0.62 0.67 0.61 0.31 1.24 POTASSIUM CHLORIDE IN 0.9%NACL 40 MEQ/L PARENTERAL SOLUTION N/A N/A 0338-0695-04 1.65 1.02 0.58 0.81 0.39 0.91 1.12 0.55 0.3 0.577325 1.2 0.6 0.65 0.59 0.3 1.2 POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML PIGGYBACK N/A N/A 0338-0709-48 2.37 1.47 0.83 1.16 0.56 1.31 1.6 0.79 0.44 0.8288 1.72 0.86 0.94 0.85 0.44 1.72 POTASSIUM CHLORIDE PER 2 MEQ N/A N/A 0338-0705-48 1.12 0.7 0.4 0.55 0.27 0.62 0.76 0.37 0.21 0.3934 0.82 0.41 0.44 0.41 0.21 0.82 POTASSIUM CHLORIDE PER 2 MEQ OF POTASSIUM N/A N/A 63323-965-03 0.3 0.19 0.11 0.15 0.07 0.17 0.2 0.1 0.06 0.105 0.22 0.11 0.12 0.11 0.06 0.22 POTASSIUM CHLORIDE-D5-0.9%NACL 20 MEQ/L PARENTERAL SOLUTION N/A N/A 0338-0803-04 29.27 18.18 10.32 14.31 6.97 16.21 19.83 9.7 5.4 10.2445 21.29 10.6 11.58 10.55 5.4 21.29 POTASSIUM PHOSPHATES 3 MMOL/ML SOLUTION 15 ML VIAL N/A N/A 0409-7295-11 15.09 9.37 5.32 7.38 3.59 8.35 10.22 5 2.79 5.2815 10.98 5.46 5.97 5.44 2.79 10.98 "POTASSIUM, SODIUM PHOSPHATES 280-160-250 MG POWDER IN PACKET" N/A A9270 6025800601 1.64 1.02 0.58 0.8 0.39 0.91 1.11 0.54 0.3 0.57225 1.19 0.59 0.65 0.59 0.3 1.19 POVIDONE-IODINE 10 % OINTMENT 28.4 G TUBE N/A A9270 0536-1271-80 4.51 2.8 1.59 2.21 1.07 2.5 3.05 1.5 0.83 1.5785 3.28 1.63 1.78 1.63 0.83 3.28 PRAMIPEXOLE 0.25 MG TABLET N/A A9270 60687-570-11 0.9 0.56 0.32 0.44 0.21 0.5 0.61 0.3 0.17 0.315 0.65 0.33 0.36 0.32 0.17 0.65 PRAVASTATIN 10 MG TABLET N/A A9270 0904-5891-61 7.24 4.5 2.55 3.54 1.72 4.01 4.9 2.4 1.34 2.534 5.27 2.62 2.87 2.61 1.34 5.27 PRAVASTATIN 20 MG TABLET N/A A9270 0904-5892-61 6.24 3.88 2.2 3.05 1.49 3.45 4.23 2.07 1.15 2.184 4.54 2.26 2.47 2.25 1.15 4.54 PRAVASTATIN 40 MG TABLET N/A A9270 0904-5893-61 10.74 6.67 3.78 5.25 2.56 5.94 7.27 3.56 1.98 3.75725 7.81 3.89 4.25 3.87 1.98 7.81 PRAZOSIN 1 MG CAPSULE N/A A9270 0904-7020-61 4.05 2.52 1.43 1.98 0.96 2.24 2.74 1.34 0.75 1.4175 2.95 1.47 1.6 1.46 0.75 2.95 "PREDNISOLONE ACETATE 1 % DROPS,SUSPENSION 5 ML DROP BTL" N/A A9270 61314-637-05 132 81.99 46.52 64.55 31.44 73.08 89.41 43.76 24.37 46.2 96.03 47.8 52.24 47.58 24.37 96.03 PREDNISOLONE PER 5 MG N/A N/A 0121-0759-08 0.94 0.58 0.33 0.46 0.22 0.52 0.64 0.31 0.17 0.329 0.68 0.34 0.37 0.34 0.17 0.68 PREDNISONE PER 5 MG N/A N/A 0904-7127-61 0.03 0.02 0.01 0.01 0.01 0.01 0.02 0.01 0 0.008866667 0.02 0.01 0.01 0.01 0 0.02 PREGABALIN 100 MG CAPSULE N/A A9270 0904-7001-61 2.52 1.57 0.89 1.23 0.6 1.4 1.71 0.84 0.47 0.882875 1.84 0.91 1 0.91 0.47 1.84 PREGABALIN 50 MG CAPSULE N/A A9270 0904-6992-61 4.05 2.52 1.43 1.98 0.96 2.24 2.74 1.34 0.75 1.4175 2.95 1.47 1.6 1.46 0.75 2.95 PREGABALIN 75 MG CAPSULE N/A A9270 60687-495-11 2.31 1.43 0.81 1.13 0.55 1.28 1.56 0.76 0.43 0.80675 1.68 0.83 0.91 0.83 0.43 1.68 PRENATAL VITAMIN WITH IRON AND FOLIC ACID 27 MG IRON- 800 MCG TABLET N/A A9270 7733371525 0.52 0.32 0.18 0.25 0.12 0.29 0.35 0.17 0.1 0.182 0.38 0.19 0.21 0.19 0.1 0.38 PROCHLORPERAZINE EDISYLATE PER 10 MG N/A N/A 70860-778-41 3.98 2.47 1.4 1.95 0.95 2.2 2.7 1.32 0.73 1.393 2.9 1.44 1.58 1.43 0.73 2.9 PROMETHAZINE PER 25 MG N/A A9270 0904-6461-61 2.38 1.48 0.84 1.16 0.57 1.32 1.61 0.79 0.44 0.833 1.73 0.86 0.94 0.86 0.44 1.73 PROPARACAINE 0.5 % DROPS 15 ML DROP BTL N/A A9270 24208-730-06 105.28 65.39 37.1 51.48 25.07 58.29 71.31 34.91 19.44 36.848 76.59 38.13 41.66 37.95 19.44 76.59 PROPOFOL 10 MG/ML EMULSION N/A N/A 16714-690-01 0.64 0.39 0.22 0.31 0.15 0.35 0.43 0.21 0.12 0.222488636 0.46 0.23 0.25 0.23 0.12 0.46 PROPRANOLOL 10 MG TABLET N/A A9270 0904-6550-61 0.88 0.55 0.31 0.43 0.21 0.49 0.6 0.29 0.16 0.308 0.64 0.32 0.35 0.32 0.16 0.64 PROPRANOLOL 20 MG TABLET N/A A9270 60687-598-11 1.39 0.86 0.49 0.68 0.33 0.77 0.94 0.46 0.26 0.4865 1.01 0.5 0.55 0.5 0.26 1.01 "PROPRANOLOL LA 60 MG CAPSULE,EXTENDED RELEASE 24 HR" N/A A9270 0527-4116-37 5.15 3.2 1.82 2.52 1.23 2.85 3.49 1.71 0.95 1.8025 3.75 1.87 2.04 1.86 0.95 3.75 PYRIDOSTIGMINE 60 MG TABLET N/A A9270 0115-3511-01 3.19 1.98 1.12 1.56 0.76 1.77 2.16 1.06 0.59 1.1165 2.32 1.16 1.26 1.15 0.59 2.32 PYRIDOXINE 50 MG TABLET N/A A9270 7733394025 0.43 0.27 0.15 0.21 0.1 0.24 0.29 0.14 0.08 0.1505 0.31 0.16 0.17 0.16 0.08 0.31 QUETIAPINE 100 MG TABLET N/A A9270 0904-6640-61 1.41 0.88 0.5 0.69 0.34 0.78 0.96 0.47 0.26 0.4935 1.03 0.51 0.56 0.51 0.26 1.03 QUETIAPINE 25 MG TABLET N/A A9270 60687-327-11 0.87 0.54 0.31 0.43 0.21 0.48 0.59 0.29 0.16 0.3045 0.63 0.32 0.34 0.31 0.16 0.63 RABIES IMMUNE GLOBULIN PER 150 INT'L UNITS N/A N/A 13533-318-50 838.05 520.53 295.36 409.8 199.6 463.98 567.66 277.86 154.73 293.3186667 609.7 303.51 331.66 302.09 154.73 609.7 RABIES VACCINE PER 1 ML N/A N/A 50632-010-01 966.9 600.56 340.77 472.81 230.28 535.32 654.93 320.58 178.52 338.415 703.44 350.17 382.65 348.53 178.52 703.44 RAMIPRIL 5 MG CAPSULE N/A A9270 68382-146-01 4.74 2.94 1.67 2.32 1.13 2.62 3.21 1.57 0.88 1.659 3.45 1.72 1.88 1.71 0.88 3.45 RANOLAZINE 500 MG TABLET EXTENDED RELEASE 12 HR N/A A9270 60687-549-11 4.2 2.61 1.48 2.05 1 2.33 2.84 1.39 0.78 1.47 3.06 1.52 1.66 1.51 0.78 3.06 REGADENOSON 0.4 MG/5 ML SYRINGE N/A N/A 76329-3321-0 22.5 13.98 7.93 11 5.36 12.46 15.24 7.46 4.15 7.875 16.37 8.15 8.9 8.11 4.15 16.37 RISPERIDONE 1 MG TABLET N/A A9270 0904-6359-61 11.41 7.09 4.02 5.58 2.72 6.32 7.73 3.78 2.11 3.9935 8.3 4.13 4.52 4.11 2.11 8.3 RIVAROXABAN 10 MG TABLET N/A A9270 50458-580-01 51.67 32.09 18.21 25.27 12.31 28.61 35 17.13 9.54 18.0845 37.59 18.71 20.45 18.63 9.54 37.59 RIVAROXABAN 15 MG TABLET N/A A9270 50458-578-01 51.67 32.09 18.21 25.27 12.31 28.61 35 17.13 9.54 18.0845 37.59 18.71 20.45 18.63 9.54 37.59 RIVAROXABAN 2.5 MG TABLET N/A A9270 50458-577-01 25.84 16.05 9.11 12.64 6.15 14.31 17.5 8.57 4.77 9.044 18.8 9.36 10.23 9.31 4.77 18.8 RIVAROXABAN 20 MG TABLET N/A A9270 50458-579-10 51.67 32.09 18.21 25.27 12.31 28.61 35 17.13 9.54 18.0845 37.59 18.71 20.45 18.63 9.54 37.59 ROCURONIUM 10 MG/ML SOLUTION N/A N/A 0143-9250-10 1.12 0.7 0.39 0.55 0.27 0.62 0.76 0.37 0.21 0.392 0.81 0.41 0.44 0.4 0.21 0.81 ROCURONIUM 50 MG/5 ML (10 MG/ML) SYRINGE N/A N/A 69374-924-05 18.75 11.65 6.61 9.17 4.47 10.38 12.7 6.22 3.46 6.5625 13.64 6.79 7.42 6.76 3.46 13.64 ROFLUMILAST 500 MCG TABLET N/A A9270 31722-623-90 18.83 11.7 6.64 9.21 4.48 10.43 12.75 6.24 3.48 6.5905 13.7 6.82 7.45 6.79 3.48 13.7 ROMIPLOSTIM PER 10 MCG N/A N/A 55513-221-01 259.86 161.4 91.58 127.07 61.89 143.87 176.02 86.16 47.98 90.951 189.05 94.11 102.84 93.67 47.98 189.05 ROPINIROLE 0.25 MG TABLET N/A A9270 0904-6373-61 1.48 0.92 0.52 0.72 0.35 0.82 1 0.49 0.27 0.518 1.08 0.54 0.59 0.53 0.27 1.08 ROPINIROLE 1 MG TABLET N/A A9270 50268-743-11 1.7 1.06 0.6 0.83 0.4 0.94 1.15 0.56 0.31 0.595 1.24 0.62 0.67 0.61 0.31 1.24 ROPIVACAINE PER 1 MG N/A N/A 55150-198-30 0.27 0.16 0.09 0.13 0.06 0.15 0.18 0.09 0.05 0.09275 0.19 0.1 0.1 0.1 0.05 0.19 ROSUVASTATIN 10 MG TABLET N/A A9270 50268-709-11 3.44 2.14 1.21 1.68 0.82 1.9 2.33 1.14 0.64 1.204 2.5 1.25 1.36 1.24 0.64 2.5 ROSUVASTATIN 20 MG TABLET N/A A9270 65862-295-90 3.7 2.3 1.3 1.81 0.88 2.05 2.51 1.23 0.68 1.295 2.69 1.34 1.46 1.33 0.68 2.69 ROSUVASTATIN 5 MG TABLET N/A A9270 31722-882-90 3.01 1.87 1.06 1.47 0.72 1.66 2.04 1 0.55 1.05175 2.19 1.09 1.19 1.08 0.55 2.19 SACUBITRIL-VALSARTAN 24-26 MG TABLET N/A A9270 0078-0659-20 31.81 19.76 11.21 15.55 7.58 17.61 21.55 10.55 5.87 11.1335 23.14 11.52 12.59 11.47 5.87 23.14 SACUBITRIL-VALSARTAN 49-51 MG TABLET N/A A9270 0078-0777-20 31.81 19.76 11.21 15.55 7.58 17.61 21.55 10.55 5.87 11.1335 23.14 11.52 12.59 11.47 5.87 23.14 SACUBITRIL-VALSARTAN 97-103 MG TABLET N/A A9270 0078-0696-20 31.81 19.76 11.21 15.55 7.58 17.61 21.55 10.55 5.87 11.1335 23.14 11.52 12.59 11.47 5.87 23.14 SCOPOLAMINE BASE 1 MG OVER 3 DAYS PATCH 3 DAY N/A A9270 50742-505-01 50.5 31.37 17.8 24.69 12.03 27.96 34.21 16.74 9.32 17.675 36.74 18.29 19.99 18.2 9.32 36.74 SENNA 8.6 MG TABLET N/A A9270 0904-7252-61 0.05 0.03 0.02 0.02 0.01 0.03 0.03 0.02 0.01 0.0175 0.04 0.02 0.02 0.02 0.01 0.04 SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG TABLET N/A A9270 60687-622-11 0.43 0.27 0.15 0.21 0.1 0.24 0.29 0.14 0.08 0.1505 0.31 0.16 0.17 0.16 0.08 0.31 SERTRALINE 100 MG TABLET N/A A9270 0904-6926-61 1.33 0.83 0.47 0.65 0.32 0.74 0.9 0.44 0.25 0.4655 0.97 0.48 0.53 0.48 0.25 0.97 SERTRALINE 25 MG TABLET N/A A9270 0904-6924-61 1.05 0.65 0.37 0.51 0.25 0.58 0.71 0.35 0.19 0.3675 0.76 0.38 0.42 0.38 0.19 0.76 SERTRALINE 50 MG TABLET N/A A9270 60687-242-11 1.01 0.63 0.36 0.49 0.24 0.56 0.68 0.33 0.19 0.3535 0.73 0.37 0.4 0.36 0.19 0.73 SEVELAMER 800 MG TABLET N/A A9270 68094-034-59 5.7 3.54 2.01 2.79 1.36 3.16 3.86 1.89 1.05 1.995 4.15 2.06 2.26 2.05 1.05 4.15 SILVER SULFADIAZINE 1 % CREAM 50 G TUBE N/A A9270 61570-131-55 37.2 23.11 13.11 18.19 8.86 20.6 25.2 12.33 6.87 13.02 27.06 13.47 14.72 13.41 6.87 27.06 "SIMETHICONE 40 MG/0.6 ML DROPS,SUSPENSION" N/A A9270 1093960244 0.06 0.04 0.02 0.03 0.01 0.03 0.04 0.02 0.01 0.021 0.04 0.02 0.02 0.02 0.01 0.04 "SIMETHICONE 80 MG TABLET,CHEWABLE" N/A A9270 77333-812-25 0.07 0.04 0.02 0.03 0.02 0.04 0.05 0.02 0.01 0.0245 0.05 0.03 0.03 0.03 0.01 0.05 SITAGLIPTIN PHOSPHATE 100 MG TABLET N/A A9270 0006-0277-01 52.14 32.38 18.38 25.5 12.42 28.87 35.32 17.29 9.63 18.249 37.93 18.88 20.63 18.79 9.63 37.93 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION N/A N/A 0409-6625-22 26.25 16.3 9.25 12.84 6.25 14.53 17.78 8.7 4.85 9.1875 19.1 9.51 10.39 9.46 4.85 19.1 SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION 50 ML VIAL N/A N/A 0409-6625-22 26.25 16.3 9.25 12.84 6.25 14.53 17.78 8.7 4.85 9.1875 19.1 9.51 10.39 9.46 4.85 19.1 SODIUM BICARBONATE 1 MEQ/ML 8.4% (1 MEQ/ML) N/A N/A 51754-5001-1 26.25 16.3 9.25 12.84 6.25 14.53 17.78 8.7 4.85 9.1875 19.1 9.51 10.39 9.46 4.85 19.1 SODIUM BICARBONATE 650 MG TABLET N/A A9270 66553-008-01 0.18 0.11 0.06 0.09 0.04 0.1 0.12 0.06 0.03 0.06125 0.13 0.06 0.07 0.06 0.03 0.13 SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SYRINGE N/A N/A 0409-6637-24 32.5 20.19 11.45 15.89 7.74 17.99 22.01 10.78 6 11.375 23.64 11.77 12.86 11.72 6 23.64 SODIUM CHLORIDE 0.9 % SOLUTION N/A N/A 0338-0048-04 9.04 5.61 3.19 4.42 2.15 5 6.12 3 1.67 3.164 6.58 3.27 3.58 3.26 1.67 6.58 "SODIUM CHLORIDE 0.9 % SOLUTION 1,000 ML BOTTLE" N/A N/A 0338-0048-04 12.05 7.49 4.25 5.89 2.87 6.67 8.16 4 2.23 4.218666667 8.77 4.37 4.77 4.34 2.23 8.77 SODIUM CHLORIDE 0.9 % WITH KCL 20 MEQ/L INFUSION 20 MEQ/L PARENTERAL SOLUTION N/A N/A 0338-0691-04 2.93 1.82 1.03 1.43 0.7 1.62 1.98 0.97 0.54 1.02445 2.13 1.06 1.16 1.06 0.54 2.13 "SODIUM CHLORIDE 1,000 MG TABLET,SOLUBLE" N/A A9270 7733383525 0.72 0.45 0.25 0.35 0.17 0.4 0.49 0.24 0.13 0.252 0.52 0.26 0.28 0.26 0.13 0.52 SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML SOLUTION N/A A9270 121119030 13.88 8.62 4.89 6.79 3.31 7.68 9.4 4.6 2.56 4.858 10.1 5.03 5.49 5 2.56 10.1 SODIUM HYPOCHLORITE 0.25 % SOLUTION 473 ML BOTTLE N/A A9270 0436-0936-16 34.88 21.66 12.29 17.06 8.31 19.31 23.63 11.56 6.44 12.208 25.38 12.63 13.8 12.57 6.44 25.38 SODIUM PHOSPHATE 3 MMOL/ML SOLUTION 15 ML VIAL N/A N/A 63323-881-01 15.23 9.46 5.37 7.45 3.63 8.43 10.32 5.05 2.81 5.3305 11.08 5.52 6.03 5.49 2.81 11.08 SODIUM PHOSPHATES 19-7 GRAM/118 ML ENEMA N/A A9270 1093976744 0.43 0.27 0.15 0.21 0.1 0.24 0.29 0.14 0.08 0.1505 0.31 0.16 0.17 0.16 0.08 0.31 SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM POWDER IN PACKET N/A A9270 0310-1110-01 70.84 44 24.97 34.64 16.87 39.22 47.98 23.49 13.08 24.794 51.54 25.66 28.04 25.54 13.08 51.54 "SODIUM, POTASSIUM, AND MAGNESIUM SULFATES 17.5-3.13-1.6 GRAM RECON SOLN 177 ML BOTTLE" N/A N/A 10572-011-01 130.98 81.35 46.16 64.05 31.2 72.52 88.72 43.43 24.18 45.843 95.29 47.44 51.84 47.21 24.18 95.29 "SODIUM, POTASSIUM, AND MAGNESIUM SULFATES 17.5-3.13-1.6 GRAM RECON SOLN 354 ML KIT" N/A N/A 10572-012-01 261.7 162.55 92.23 127.97 62.33 144.89 177.26 86.77 48.32 91.595 190.39 94.78 103.57 94.33 48.32 190.39 SOTALOL 80 MG TABLET N/A A9270 76385-125-01 10.57 6.57 3.73 5.17 2.52 5.85 7.16 3.5 1.95 3.6995 7.69 3.83 4.18 3.81 1.95 7.69 SPIRONOLACTONE 25 MG TABLET N/A A9270 0904-6927-61 0.47 0.29 0.17 0.23 0.11 0.26 0.32 0.16 0.09 0.1645 0.34 0.17 0.19 0.17 0.09 0.34 SPIRONOLACTONE 50 MG TABLET N/A A9270 60687-476-11 0.69 0.43 0.24 0.34 0.16 0.38 0.47 0.23 0.13 0.2415 0.5 0.25 0.27 0.25 0.13 0.5 STERILE WATER SOLUTION N/A N/A 0338-0004-04 0.03 0.02 0.01 0.01 0.01 0.02 0.02 0.01 0.01 0.0105 0.02 0.01 0.01 0.01 0.01 0.02 SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) SYRINGE N/A N/A 69374-920-05 10.42 6.47 3.67 5.09 2.48 5.77 7.06 3.45 1.92 3.645833333 7.58 3.77 4.12 3.75 1.92 7.58 SUCCINYLCHOLINE PER 20 MG N/A N/A 71288-719-10 35.16 21.84 12.39 17.19 8.37 19.46 23.81 11.66 6.49 12.3046875 25.58 12.73 13.91 12.67 6.49 25.58 SUCRALFATE 1 GRAM TABLET N/A A9270 51079-753-01 0.95 0.59 0.33 0.46 0.23 0.53 0.64 0.31 0.18 0.3325 0.69 0.34 0.38 0.34 0.18 0.69 SUCRALFATE 100 MG/ML SUSPENSION N/A A9270 0121-0974-10 26.99 16.76 9.51 13.2 6.43 14.94 18.28 8.95 4.98 9.4465 19.64 9.77 10.68 9.73 4.98 19.64 SUGAMMADEX 100 MG/ML SOLUTION N/A N/A 0006-5423-02 346.26 215.07 122.03 169.32 82.47 191.7 234.54 114.8 63.93 121.191 251.91 125.4 137.03 124.82 63.93 251.91 SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5 ML SOLUTION 10 ML VIAL N/A N/A 70069-362-01 37.63 23.37 13.26 18.4 8.96 20.83 25.49 12.47 6.95 13.16875 27.37 13.63 14.89 13.56 6.95 27.37 SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG TABLET N/A A9270 0904-2725-61 0.74 0.46 0.26 0.36 0.18 0.41 0.5 0.25 0.14 0.259 0.54 0.27 0.29 0.27 0.14 0.54 SUMATRIPTAN 25 MG TABLET N/A A9270 69452-344-72 67.64 42.01 23.84 33.07 16.11 37.45 45.81 22.42 12.49 23.67225 49.21 24.49 26.77 24.38 12.49 49.21 TAMSULOSIN 0.4 MG CAPSULE N/A A9270 50268-740-11 1.19 0.74 0.42 0.58 0.28 0.66 0.81 0.39 0.22 0.4165 0.87 0.43 0.47 0.43 0.22 0.87 TEMAZEPAM 15 MG CAPSULE N/A A9270 0228-2076-10 1.84 1.14 0.65 0.9 0.44 1.02 1.25 0.61 0.34 0.644 1.34 0.67 0.73 0.66 0.34 1.34 TERBUTALINE PER 1 MG N/A N/A 63323-665-01 13.5 8.39 4.76 6.6 3.22 7.47 9.14 4.48 2.49 4.725 9.82 4.89 5.34 4.87 2.49 9.82 TETANUS-DIPHTHERIA TOXOIDS PER 0.5 ML N/A N/A 13533-131-00 81.51 50.63 28.73 39.86 19.41 45.13 55.21 27.02 15.05 28.5285 59.3 29.52 32.26 29.38 15.05 59.3 TETRACAINE HCL (PF) 0.5 % DROPS 4 ML DROP BTL N/A A9270 0065-0741-14 34.95 21.71 12.32 17.09 8.32 19.35 23.67 11.59 6.45 12.2325 25.43 12.66 13.83 12.6 6.45 25.43 THIAMINE MONONITRATE (VIT B1) 100 MG TABLET N/A A9270 4843310801 0.4 0.25 0.14 0.2 0.1 0.22 0.27 0.13 0.07 0.14 0.29 0.14 0.16 0.14 0.07 0.29 THIAMINE PER 100 MG N/A N/A 43598-050-11 14.93 9.27 5.26 7.3 3.55 8.26 10.11 4.95 2.76 5.22375 10.86 5.41 5.91 5.38 2.76 10.86 "THROMBIN (RECOMBINANT) 5,000 UNIT RECON SOLN" N/A N/A 0338-0322-01 258 160.25 90.93 126.16 61.45 142.84 174.76 85.54 47.64 90.3 187.7 93.44 102.1 93 47.64 187.7 THROMBIN(HUMAN)-FIBRIN-CALCIUM 500 UNIT-80 MG /ML (10 ML) SYRINGE N/A N/A 61953-0014-1 1283.63 797.28 452.39 627.69 305.72 710.67 869.47 425.59 237 449.2705 933.87 464.87 508 462.71 237 933.87 TICAGRELOR 90 MG TABLET N/A N/A 0186-0777-39 21.27 13.21 7.49 10.4 5.06 11.77 14.4 7.05 3.93 7.44275 15.47 7.7 8.42 7.67 3.93 15.47 TIMOLOL 0.5 % DROPS 5 ML DROP BTL N/A A9270 60758-801-05 16.4 10.19 5.78 8.02 3.91 9.08 11.11 5.44 3.03 5.74 11.93 5.94 6.49 5.91 3.03 11.93 TIMOLOL MALEATE (PF) 0.5 % DROPPERETTE N/A A9270 50742-288-60 22.75 14.13 8.02 11.12 5.42 12.6 15.41 7.54 4.2 7.9625 16.55 8.24 9 8.2 4.2 16.55 TIOTROPIUM 2.5 MCG/ACTUATION MIST N/A N/A 0597-0100-51 16.08 9.99 5.67 7.86 3.83 8.9 10.89 5.33 2.97 5.628 11.7 5.82 6.36 5.8 2.97 11.7 TIOTROPIUM 2.5 MCG/ACTUATION MIST 4 G AER W/ADAP N/A N/A 0597-0100-51 225 139.75 79.3 110.02 53.59 124.57 152.4 74.6 41.54 78.75 163.69 81.49 89.04 81.1 41.54 163.69 TIZANIDINE 4 MG TABLET N/A A9270 0904-6418-61 3.67 2.28 1.29 1.79 0.87 2.03 2.49 1.22 0.68 1.2845 2.67 1.33 1.45 1.32 0.68 2.67 "TOLTERODINE LA 2 MG CAPSULE,EXTENDED RELEASE 24HR" N/A A9270 43975-322-03 20.09 12.48 7.08 9.82 4.78 11.12 13.61 6.66 3.71 7.0315 14.62 7.28 7.95 7.24 3.71 14.62 TOLVAPTAN 30 MG TABLET N/A A9270 67877-636-02 682.57 423.95 240.56 333.77 162.57 377.9 462.34 226.31 126.03 238.8995 496.59 247.2 270.13 246.04 126.03 496.59 TOPIRAMATE 100 MG TABLET N/A A9270 68084-344-11 15.5 9.63 5.46 7.58 3.69 8.58 10.5 5.14 2.86 5.425 11.28 5.61 6.13 5.59 2.86 11.28 TOPIRAMATE PER 25 MG N/A A9270 69097-122-03 0.83 0.51 0.29 0.4 0.2 0.46 0.56 0.27 0.15 0.28875 0.6 0.3 0.33 0.3 0.15 0.6 TORSEMIDE 20 MG TABLET N/A A9270 68084-539-11 2.09 1.3 0.74 1.02 0.5 1.16 1.42 0.69 0.39 0.732666667 1.52 0.76 0.83 0.75 0.39 1.52 TRAMADOL 50 MG TABLET N/A A9270 0093-0058-05 0.44 0.27 0.16 0.22 0.1 0.24 0.3 0.15 0.08 0.154 0.32 0.16 0.17 0.16 0.08 0.32 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLUTION" N/A N/A 43066-008-10 13.2 8.2 4.65 6.45 3.14 7.31 8.94 4.38 2.44 4.62 9.6 4.78 5.22 4.76 2.44 9.6 "TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLUTION 10 ML VIAL" N/A N/A 43066-008-10 13.2 8.2 4.65 6.45 3.14 7.31 8.94 4.38 2.44 4.62 9.6 4.78 5.22 4.76 2.44 9.6 "TRANEXAMIC ACID IN NACL 1,000 MG/100 ML (10 MG/ML) PIGGYBACK" N/A N/A 51754-0108-1 63 39.13 22.2 30.81 15 34.88 42.67 20.89 11.63 22.05 45.83 22.82 24.93 22.71 11.63 45.83 TRAZODONE 50 MG TABLET N/A A9270 0904-6868-61 0.37 0.23 0.13 0.18 0.09 0.21 0.25 0.12 0.07 0.130666667 0.27 0.14 0.15 0.13 0.07 0.27 TRIAMCINOLONE PER 10 MG N/A N/A 55150-384-01 2.49 1.54 0.88 1.22 0.59 1.38 1.68 0.82 0.46 0.86975 1.81 0.9 0.98 0.9 0.46 1.81 TROPICAMIDE 1 % DROPS 15 ML DROP BTL N/A A9270 61314-355-02 89.08 55.33 31.39 43.56 21.22 49.32 60.34 29.53 16.45 31.178 64.81 32.26 35.25 32.11 16.45 64.81 USTEKINUMAB FOR IV INJECTION PER 1 MG N/A N/A 57894-054-27 42.78 26.57 15.08 20.92 10.19 23.69 28.98 14.18 7.9 14.97414423 31.13 15.49 16.93 15.42 7.9 31.13 VALACYCLOVIR 500 MG TABLET N/A A9270 63739-077-10 4.09 2.54 1.44 2 0.97 2.26 2.77 1.36 0.76 1.4315 2.98 1.48 1.62 1.47 0.76 2.98 VALPROATE 500 MG/5 ML (100 MG/ML) SOLUTION 5 ML VIAL N/A N/A 63323-494-05 20.1 12.48 7.08 9.83 4.79 11.13 13.61 6.66 3.71 7.035 14.62 7.28 7.95 7.25 3.71 14.62 VALPROIC ACID 250 MG/5 ML (5 ML) SOLUTION N/A A9270 0121-4675-05 2.64 1.64 0.93 1.29 0.63 1.46 1.79 0.88 0.49 0.924 1.92 0.96 1.04 0.95 0.49 1.92 VALSARTAN 160 MG TABLET N/A A9270 60687-634-11 3.62 2.25 1.28 1.77 0.86 2 2.45 1.2 0.67 1.267 2.63 1.31 1.43 1.3 0.67 2.63 VANCOMYCIN 10 GRAM RECON SOLN 1 EACH BOTTLE N/A N/A 70436-023-82 28.09 17.45 9.9 13.73 6.69 15.55 19.03 9.31 5.19 9.830625 20.43 10.17 11.12 10.12 5.19 20.43 VANCOMYCIN 10 GRAM RECON SOLN 1 EACH VIAL N/A N/A 25021-158-99 12.38 7.69 4.36 6.05 2.95 6.85 8.38 4.1 2.29 4.331833333 9 4.48 4.9 4.46 2.29 9 VANCOMYCIN 125 MG CAPSULE N/A A9270 0121-0867-20 78.27 48.61 27.58 38.27 18.64 43.33 53.02 25.95 14.45 27.3945 56.94 28.35 30.98 28.21 14.45 56.94 VANCOMYCIN PER 500 MG N/A N/A 0338-3552-48 7.54 4.68 2.66 3.69 1.8 4.17 5.11 2.5 1.39 2.638125 5.48 2.73 2.98 2.72 1.39 5.48 VASOPRESSIN 0.4 UNIT/ML SOLUTION N/A N/A 42023-219-01 76.46 47.49 26.95 37.39 18.21 42.33 51.79 25.35 14.12 26.761 55.63 27.69 30.26 27.56 14.12 55.63 VASOPRESSIN 20 UNIT/ML SOLUTION N/A N/A 70121-1642-1 315.32 195.85 111.13 154.19 75.1 174.57 213.58 104.54 58.22 110.362 229.4 114.2 124.79 113.66 58.22 229.4 VEDOLIZUMAB 300 MG RECON SOLN 1 EACH VIAL N/A N/A 64764-300-20 81.76 50.78 28.81 39.98 19.47 45.27 55.38 27.11 15.1 28.61605833 59.48 29.61 32.36 29.47 15.1 59.48 "VENLAFAXINE XR 75 MG CAPSULE,EXTENDED RELEASE 24HR" N/A A9270 0904-7077-61 1.57 0.98 0.55 0.77 0.37 0.87 1.06 0.52 0.29 0.5495 1.14 0.57 0.62 0.57 0.29 1.14 VERAPAMIL 2.5 MG/ML SOLUTION N/A N/A 70069-271-01 30 18.63 10.57 14.67 7.15 16.61 20.32 9.95 5.54 10.5 21.83 10.86 11.87 10.81 5.54 21.83 VERAPAMIL SR 120 MG TABLET EXTENDED RELEASE N/A A9270 68462-292-01 2.69 1.67 0.95 1.32 0.64 1.49 1.82 0.89 0.5 0.9415 1.96 0.97 1.06 0.97 0.5 1.96 VERAPAMIL SR 180 MG TABLET EXTENDED RELEASE N/A A9270 75834-158-01 1.8 1.12 0.63 0.88 0.43 1 1.22 0.6 0.33 0.63 1.31 0.65 0.71 0.65 0.33 1.31 "VIT A,C AND E-LUTEIN-MINERALS 300 MCG-200 MG-27 MG-2 MG TABLET" N/A A9270 536509008 0.19 0.12 0.07 0.09 0.05 0.11 0.13 0.06 0.04 0.0665 0.14 0.07 0.08 0.07 0.04 0.14 VITAMIN A & D WITH LANOLIN OINTMENT 42.5 G TUBE N/A A9270 4110081163 5.15 3.2 1.82 2.52 1.23 2.85 3.49 1.71 0.95 1.8025 3.75 1.87 2.04 1.86 0.95 3.75 WARFARIN 2.5 MG TABLET N/A A9270 68084-027-11 1.59 0.99 0.56 0.78 0.38 0.88 1.08 0.53 0.29 0.5565 1.16 0.58 0.63 0.57 0.29 1.16 WARFARIN 3 MG TABLET N/A A9270 0832-1214-89 1.65 1.02 0.58 0.81 0.39 0.91 1.12 0.55 0.3 0.5775 1.2 0.6 0.65 0.59 0.3 1.2 WARFARIN 4 MG TABLET N/A A9270 0832-1215-89 1.65 1.02 0.58 0.81 0.39 0.91 1.12 0.55 0.3 0.5775 1.2 0.6 0.65 0.59 0.3 1.2 WARFARIN 5 MG TABLET N/A A9270 62584-994-11 1.61 1 0.57 0.79 0.38 0.89 1.09 0.53 0.3 0.5635 1.17 0.58 0.64 0.58 0.3 1.17 "WATER FOR INJECTION, STERILE SOLUTION" N/A N/A 0409-4887-17 2.78 1.73 0.98 1.36 0.66 1.54 1.88 0.92 0.51 0.973 2.02 1.01 1.1 1 0.51 2.02 "WATER FOR INJECTION, STERILE SOLUTION 10 ML VIAL" N/A N/A 0409-4887-17 2.78 1.73 0.98 1.36 0.66 1.54 1.88 0.92 0.51 0.973 2.02 1.01 1.1 1 0.51 2.02 "WATER FOR INJECTION, STERILE SOLUTION 50 ML VIAL" N/A N/A 0409-4887-24 0.63 0.39 0.22 0.31 0.15 0.35 0.43 0.21 0.12 0.2205 0.46 0.23 0.25 0.23 0.12 0.46 ZINC OXIDE-COD LIVER OIL 40 % PASTE 113 G TUBE N/A A9270 7430000071 12.06 7.49 4.25 5.9 2.87 6.68 8.17 4 2.23 4.221 8.77 4.37 4.77 4.35 2.23 8.77 ZIPRASIDONE MESYLATE PER 10 MG N/A N/A 43598-848-11 70.5 43.79 24.85 34.47 16.79 39.03 47.75 23.37 13.02 24.675 51.29 25.53 27.9 25.41 13.02 51.29 ZOLPIDEM 5 MG TABLET N/A A9270 0904-6082-61 0.27 0.16 0.09 0.13 0.06 0.15 0.18 0.09 0.05 0.09275 0.19 0.1 0.1 0.1 0.05 0.19