NYU Langone Health Standard Charges

Non Winthrop Standard Charges

Non Winthrop Standard Charges
IDENTIFIERDESCRIPTIONCATEGORY OF SERVICECHARGE AMOUNT
2022451HC KIDNEY TRANSPLANT (CADAVER)Acquisition of Body Components - Cadaver Donor$410,628.00
2022453HC LIVER TRANSPLANT (CADAVER)Acquisition of Body Components - Cadaver Donor$425,524.00
2022457HC KIDNEY/PANCREAS TRANSPLANT CADAcquisition of Body Components - Cadaver Donor$466,664.70
2025007HC OTHER TRANSPLANTAcquisition of Body Components - Cadaver Donor$323,171.99
2025900HC LUNG TRANSPLANT (CADAVER)Acquisition of Body Components - Cadaver Donor$410,628.00
2025937HC HEART TRANSPLANT (CADAVER)Acquisition of Body Components - Cadaver Donor$544,000.00
2026787HC HEART/LUNG TRANSPLANT CADAcquisition of Body Components - Cadaver Donor$711,765.60
2022452HC KIDNEY TRANSPLANT (LIVE)Acquisition of Body Components - Living Donor$387,140.00
2022454HC LIVER TRANSPLANT (LIVE)Acquisition of Body Components - Living Donor$589,632.00
2026257HC BMT AUTOLOGOUS BY NYBCAcquisition of Body Components - Stem Cells - Allogeneic (Effective 1/1/17)$5,277.00
2026261HC BMT ALLOGENEIC UNRELATED CORD BLOODAcquisition of Body Components - Stem Cells - Allogeneic (Effective 1/1/17)$275,358.00
2022434HC BLOOD SPLIT UNITAdministration, Processing, and Storage for Blood and Blood Components $3,300.00
2022435HC CRYOPRECIPITATE EACH UNITAdministration, Processing, and Storage for Blood and Blood Components $648.00
2022436HC RBC LEUKOCYTES REDUCEDAdministration, Processing, and Storage for Blood and Blood Components $2,126.70
2022438HC RED BLOOD CELLS UNITAdministration, Processing, and Storage for Blood and Blood Components $2,952.00
2022439HC WASHED RED BLOOD CELLS UNITAdministration, Processing, and Storage for Blood and Blood Components $10,110.72
2022441HC PLATELET PHERES LEUKOREDUCEDAdministration, Processing, and Storage for Blood and Blood Components $7,932.00
2022442HC PLATE PHERES LEUKOREDU IRRADAdministration, Processing, and Storage for Blood and Blood Components $7,409.49
2022443HC RBC DEGLYCEROLIZEDAdministration, Processing, and Storage for Blood and Blood Components $10,116.00
2022447HC PLATELETS, HLA-M, L/R, UNITAdministration, Processing, and Storage for Blood and Blood Components $16,368.00
2022448HC PLASMA, FRZ BETWEEN 8-24HOURAdministration, Processing, and Storage for Blood and Blood Components $780.00
2025244HC DETERGNT TX FROZ PLASMA EA UNITAdministration, Processing, and Storage for Blood and Blood Components $1,320.00
2020472HC BLOOD TRANSFUSION SERVICEAdministration, Processing, and Storage for Blood and Blood Components - Administration (e.g., Transfusion)$3,003.05
2025454HC GROUND MILEAGE PER STATUTE MILEAmbulance $51.75
2025455HC ALS1-EMERGENCYAmbulance $2,875.00
2025456HC BLS - EMERGENCYAmbulance $1,725.00
2025490HC AMB EKGAmbulance $621.00
2025763HC ALS 2Ambulance $4,025.00
2010000HC OPERATING ROOM FLAT FEEAmbulatory Surgical Care $4,303.53
2010001HC OPERATING ROOM PER MINUTEAmbulatory Surgical Care $143.45
2022677HC TERMINATED PROCEDUREAmbulatory Surgical Care $4,620.96
2022680HC ROBOTIC SURGERYAmbulatory Surgical Care $43,175.54
2026244HC ROBOTIC SURGERY - DAVINCI SINGLE PORTAmbulatory Surgical Care $43,175.54
2026538HC ROBOTIC SURGERY - INTUITIVE IONAmbulatory Surgical Care $43,175.54
2026567HC COMPUTER ASSISTED NAVIGATION IMAGE-LESSAmbulatory Surgical Care $29,342.60
2026568HC COMPUTER ASSISTED NAVIGATION CT/MRIAmbulatory Surgical Care $29,342.60
2022685HC ANESTHESIA BASE FEEAnesthesia $521.05
2022686HC ANESTHESIA PER MINUTEAnesthesia $4.83
2025794HC MOD SED SAME PHYS/QHP <5 YRSAnesthesia $392.44
2025796HC MOD SED SAME PHYS/QHP EAAnesthesia $130.81
2026163HC MOD SED SAME PHYS/QHP 5/>YRSAnesthesia $254.34
2021990HC EVOKED AUDITORY TESTAudiology $315.13
2022766HC NEWBORN AUDITORY EPAudiology $531.30
2023067HC NASOPHARYNGOSCOPY W ENDOSCOPEAudiology $3,313.38
2021986HC PURE TONE AUDIOMETRY, AIRAudiology - Diagnostic$269.27
2021987HC COMPREHENSIVE HEARING TESTAudiology - Diagnostic$305.50
2021989HC AUDITOR EVOKE POTENT, COMPREAudiology - Diagnostic$856.12
2022763HC TYMPANOMETRY & REFL THRAudiology - Diagnostic$186.05
2022765HC VRAAudiology - Diagnostic$362.25
2022922HC BASIC VESTIBULAR EVALAudiology - Diagnostic$315.13
2022989HC SCREEN TONE AIR ONLYAudiology - Diagnostic$231.58
2025549HC CALORIC VSTBLR TEST W/REC BITHERMALAudiology - Diagnostic$798.22
2021969HC ELECTROCONVULSIVE THERAPYBehavior Health Treatments/Services - Electroshock Treatment$2,058.15
2021964HC FAMILY PSYTX W/O PT 50 MINBehavioral Health Treatment/Services - Family Therapy$833.32
2021965HC FAMILY PSYTX W/PT 50 MINBehavioral Health Treatment/Services - Family Therapy$981.34
2021966HC MULTIPLE FAMILY GROUP PSYTXBehavioral Health Treatment/Services - Family Therapy$304.60
2025660HC FQHC FAMILY PSYTX W/O PATIENT 50 MIN - SMIBehavioral Health Treatment/Services - Family Therapy$833.24
2025661HC FQHC FAMILY PSYTX W/O PATIENT 50 MIN - SEDBehavioral Health Treatment/Services - Family Therapy$833.24
2025662HC FQHC FAMILY PSYTX W/PATIENT 50 MIN - SMIBehavioral Health Treatment/Services - Family Therapy$981.34
2025663HC FQHC FAMILY PSYTX W/PATIENT 50 MIN - SEDBehavioral Health Treatment/Services - Family Therapy$981.34
2025968HC TELEHEALTH FAMILY PSYTX W/PT 50 MINBehavioral Health Treatment/Services - Family Therapy$981.71
2026596HC HLTH BHV IVNTJ FAM 1ST 30 MINBehavioral Health Treatment/Services - Family Therapy$105.25
2026597HC HLTH BHV IVNTJ FAM WO PT 1ST 30 MINBehavioral Health Treatment/Services - Family Therapy$172.12
2026598HC HLTH BHV IVNTJ FAM W/O PT EA ADDL 15 MINBehavioral Health Treatment/Services - Family Therapy$86.06
2026682HC HLTH BHV IVNTJ FAM EA ADDLBehavioral Health Treatment/Services - Family Therapy$52.62
2026890HC FHC TELE SBH FAMILY PSYTX W/PT 50 MINBehavioral Health Treatment/Services - Family Therapy$981.34
2026891HC FHC TELE SBH PSYTX W/O PT 50 MINBehavioral Health Treatment/Services - Family Therapy$833.32
2026943HC SBHC/LCM AUDIO ONLY FAMILY PSYTX W/O PT 50 MINBehavioral Health Treatment/Services - Family Therapy$786.16
2026944HC SBHC/LCM AUDIO ONLY FAMILY PSYTX W/PT 50 MINBehavioral Health Treatment/Services - Family Therapy$925.80
2021967HC COG REMED SKILLS GRP 90MINBehavioral Health Treatment/Services - Group Therapy$260.47
2023030HC ENVIR INTERV GRP 30MINBehavioral Health Treatment/Services - Group Therapy$89.04
2024622HC COG REMED SKILLS GRP 120MINBehavioral Health Treatment/Services - Group Therapy$521.52
2025664HC FQHC COG REMED SKILLS GRP - SMIBehavioral Health Treatment/Services - Group Therapy$261.10
2025665HC FQHC COG REMED SKILLS GRP - SEDBehavioral Health Treatment/Services - Group Therapy$261.10
2026594HC HLTH BHV IVNTJ GRP 1ST 30Behavioral Health Treatment/Services - Group Therapy$106.00
2026595HC HLTH BHV IVNTJ GRP EA ADDL 15 MINBehavioral Health Treatment/Services - Group Therapy$79.50
2026899HC FHC TELE SBH COG REMED SKILLS GRP 90MINBehavioral Health Treatment/Services - Group Therapy$260.47
2026945HC SBHC/LCM AUDIO ONLY COG REMED SKILLS GRPBehavioral Health Treatment/Services - Group Therapy$245.73
2021949HC PSYTX W PT 30 MINUTESBehavioral Health Treatment/Services - Individual Therapy$1,047.00
2021951HC PSYTX W PT 45 MINUTESBehavioral Health Treatment/Services - Individual Therapy$1,377.22
2021953HC PSYTX W PT 60 MINUTESBehavioral Health Treatment/Services - Individual Therapy$2,051.75
2021958HC PSYTX W PT 30 MINUTESBehavioral Health Treatment/Services - Individual Therapy$1,047.00
2022558HC CONSULTATION WITH FAMILYBehavioral Health Treatment/Services - Individual Therapy$189.43
2024316HC PSYCH DIAGNOSTIC EVALUATIONBehavioral Health Treatment/Services - Individual Therapy$685.67
2024317HC PSYCH DIAG EVAL W/MED SRVCSBehavioral Health Treatment/Services - Individual Therapy$760.04
2024318HC PSYTX W PT W E/M 30 MINBehavioral Health Treatment/Services - Individual Therapy$1,073.87
2024319HC PSYTX W PT W E/M 45 MINBehavioral Health Treatment/Services - Individual Therapy$1,349.07
2024320HC PSYTX W PT W E/M 60 MINBehavioral Health Treatment/Services - Individual Therapy$1,762.49
2024322HC PSYTX COMPLEX INTERACTIVEBehavioral Health Treatment/Services - Individual Therapy$60.54
2025668HC FQHC PSYTX PTW/E&M 45 MIN - SMIBehavioral Health Treatment/Services - Individual Therapy$1,349.07
2025672HC FQHC PSYTX PT 60 MINUTES - SMIBehavioral Health Treatment/Services - Individual Therapy$2,051.75
2025673HC FQHC PSYTX PT 60 MINUTES - SEDBehavioral Health Treatment/Services - Individual Therapy$2,051.75
2025678HC FQHC PSYCH DIAGNOSTIC EVALUATION - SMIBehavioral Health Treatment/Services - Individual Therapy$686.05
2025679HC FQHC PSYCH DIAGNOSTIC EVALUATION - SEDBehavioral Health Treatment/Services - Individual Therapy$686.05
2025680HC FQHC PSYCH DIAG EVAL W/MED SRVCS - SMIBehavioral Health Treatment/Services - Individual Therapy$760.29
2025681HC FQHC PSYCH DIAG EVAL W/MED SRVCS - SEDBehavioral Health Treatment/Services - Individual Therapy$760.29
2025682HC FQHC PSYTX PT 30 MINUTES - SMIBehavioral Health Treatment/Services - Individual Therapy$1,047.00
2025683HC FQHC PSYTX PT 30 MINUTES - SEDBehavioral Health Treatment/Services - Individual Therapy$1,047.00
2025684HC FQHC PSYTX PT W/E&M 30 MIN - SMIBehavioral Health Treatment/Services - Individual Therapy$1,073.87
2025686HC FQHC PSYTX PT 45 MINUTES - SMIBehavioral Health Treatment/Services - Individual Therapy$1,377.22
2025687HC FQHC PSYTX PT45 MINUTES - SEDBehavioral Health Treatment/Services - Individual Therapy$1,377.22
2025729HC FQHC PSYCH THRPY FOR CRISIS 1ST 60 MIN -SEDBehavioral Health Treatment/Services - Individual Therapy$574.35
2025730HC FQHC PSYCH THRPY FOR CRISIS EA ADDL 30 MIN -SEDBehavioral Health Treatment/Services - Individual Therapy$274.81
2025736HC FQHC PSYCH THRPY FOR CRISIS EA ADDL 30 MIN -SMIBehavioral Health Treatment/Services - Individual Therapy$274.81
2025760HC FQHC PSYCH THRPY FOR CRISIS 1ST 60 MINBehavioral Health Treatment/Services - Individual Therapy$574.35
2025761HC FQHC PSYCH THRPY FOR CRISIS EA ADDL 30 MINBehavioral Health Treatment/Services - Individual Therapy$274.81
2025965HC TELEHEALTH PSYTX W PT W E/M 30 MINBehavioral Health Treatment/Services - Individual Therapy$1,073.87
2025966HC TELEHEALTH PSYTX W PT W E/M 45 MINBehavioral Health Treatment/Services - Individual Therapy$1,349.07
2025969HC TELEHEALTH PSYCH DIAGNOSTIC EVALUATIONBehavioral Health Treatment/Services - Individual Therapy$686.05
2025970HC TELEHEALTH PSYCH DIAG EVAL W/MED SRVCSBehavioral Health Treatment/Services - Individual Therapy$760.29
2026587HC HLTH BHV ASSMT/REASSESSMENTBehavioral Health Treatment/Services - Individual Therapy$242.04
2026588HC HLTH BHV IVNTJ INDIV 1ST 30 MINBehavioral Health Treatment/Services - Individual Therapy$302.54
2026589HC HLTH BHV IVNTJ INDIV EA ADDL 15 MINBehavioral Health Treatment/Services - Individual Therapy$75.64
2026889HC FHC TELE SBH CONSULTATION WITH FAMILYBehavioral Health Treatment/Services - Individual Therapy$189.43
2026892HC FHC TELE SBH PSYTX W PT 30 MINBehavioral Health Treatment/Services - Individual Therapy$1,047.00
2026893HC FHC TELE SBH PSYTX W PT 45 MINBehavioral Health Treatment/Services - Individual Therapy$1,377.22
2026894HC FHC TELE SBH PSYTX W PT 60 MINBehavioral Health Treatment/Services - Individual Therapy$2,051.75
2026895HC FHC TELE SBH PSYTX W PT W E/M 30 MINBehavioral Health Treatment/Services - Individual Therapy$1,073.87
2026898HC FHC TELE SBH PSYCH DIAGNOSTIC EVALUATIONBehavioral Health Treatment/Services - Individual Therapy$685.67
2026901HC FHC TELE SBH PSYCH THRPY FOR CRISIS 1ST 60 MINBehavioral Health Treatment/Services - Individual Therapy$574.35
2026939HC SBHC/LCM AUDIO ONLY PSYCH DIAGNOSTIC EVALUATIONBehavioral Health Treatment/Services - Individual Therapy$646.86
2026940HC SBHC/LCM AUDIO ONLY PSYTX W PT 30 MINUTESBehavioral Health Treatment/Services - Individual Therapy$987.74
2026941HC SBHC/LCM AUDIO ONLY PSYTX W PT 45 MINUTESBehavioral Health Treatment/Services - Individual Therapy$1,299.27
2026942HC SBHC/LCM AUDIO ONLY PSYTX W PT 60 MINUTESBehavioral Health Treatment/Services - Individual Therapy$1,935.62
2026590HC PSY THER IVNTJ COG FUNC 1ST 15 MINBehavioral Health Treatment/Services - Rehabilitation$243.19
2026591HC PSY THER IVNTJ COG FUNC EA ADDL 15 MINBehavioral Health Treatment/Services - Rehabilitation$60.80
2022196HC NUBHVL XM PHYS/QHP 1ST HRBehavioral Health Treatment/Services - Testing$747.49
2026130HC BRIEF EMOTIONAL/BEHAV ASSMTBehavioral Health Treatment/Services - Testing$118.58
2026353HC NUBHVL XM PHY/QHP EA ADDL HRBehavioral Health Treatment/Services - Testing$498.32
2026361HC PSYCL TST EVAL PHYS/QHP 1STBehavioral Health Treatment/Services - Testing$506.31
2026362HC PSYCL TST EVAL PHYS/QHP EABehavioral Health Treatment/Services - Testing$337.54
2026363HC NRPSYC TST EVAL PHYS/QHP 1STBehavioral Health Treatment/Services - Testing$506.31
2026364HC NRPSYC TST EACH 1HRBehavioral Health Treatment/Services - Testing$337.54
2026365HC PSYCL/NRPSYC TST PHY/QHP 1STBehavioral Health Treatment/Services - Testing$63.94
2026366HC PSYCL/NRPSY EACH 30MINBehavioral Health Treatment/Services - Testing$42.63
2026367HC PSYCL/NRPSYC TECH 1STBehavioral Health Treatment/Services - Testing$63.94
2026368HC PSYCL/NRPSYC TST TECH EABehavioral Health Treatment/Services - Testing$42.63
2022004HC HEART/LUNG RESUSCITATION CPRCardiology $2,211.75
2022005HC CATH/EP CARDIOVERSION ELECTRIC, EXTCardiology $7,308.51
2022033HC CATH/EP PM DEVICE PROGR EVAL, DUALCardiology $604.13
2022034HC CATH/EP PM DEVICE PROGR EVAL, MULTICardiology $682.21
2022035HC PRGRMG EVAL IMPLANTABLE DFB 1 SNGLCardiology $1,458.76
2022036HC PRGRMG EVAL IMPLANTABLE DFB 1DUALCardiology $1,676.73
2022037HC PRGRMG EVAL IMPLANTABLE DFB MULTCardiology $1,894.71
2022038HC PRGRMG DEV EVAL SCRMS IPCardiology $2,041.51
2022039HC PERI-PX EVAL PM/LDLS PM IPCardiology $2,041.51
2022040HC PERI-PX DEVICE EVAL & PRGRCardiology $2,041.51
2022041HC INTERROG EVL PM/LDLS PM IPCardiology $2,041.51
2022042HC INTERROG DEVICE EVAL HEARTCardiology $2,041.51
2022044HC INTERROG DEV EVAL SCRMS IPCardiology $2,041.51
2022051HC DOPPLER ECHO EXAM, HEARTCardiology $1,614.01
2022080HC CATH/EP HEART FLOW RESERVE MEASURECardiology $6,674.93
2022083HC CATH/EP BUNDLE OF HIS RECORDINGCardiology $1,205.52
2022084HC CATH/EP INTRA-ATRIAL RECORDINGCardiology $3,612.53
2022085HC CATH/EP RIGHT VENTRICULAR RECORDINGCardiology $1,338.56
2022086HC CATH/EP MAP TACHYCARDIA, ADD-ONCardiology $6,897.65
2022087HC CATH/EP INTRA-ATRIAL PACINGCardiology $3,612.53
2022088HC CATH/EP INTRAVENTRICULAR PACINGCardiology $3,041.35
2022089HC CATH/EP ELECTROPHYS MAP 3D, ADD-ONCardiology $33,300.46
2022090HC CATH/EP ESOPHGL REC ATR EGRM +-VENTR EGRMCardiology $1,205.71
2022092HC CATH/EP HEART RHYTHM PACINGCardiology $3,612.05
2022093HC CATH/EP COMPRE ELECTROPHYSIOLOGIC W/ ARRHYT HMIA INDUCTCardiology $51,360.55
2022094HC CATH/EP COMPRE ELECTROPHYSIOLOGIC W/L ATR PAC/RECCardiology $9,298.83
2022095HC CATH/EP COMPRE ELECTROPHYSIOLOGIC W/L VENTR PAC/RECCardiology $13,626.35
2022096HC CATH/EP STIMULATION, PACING HEARTCardiology $12,374.55
2022100HC CATH/EP EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GENCardiology $10,633.82
2022101HC ELECTROPHYSIOLOGY EVALUATIONCardiology $14,460.88
2022102HC CATH/EP ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTIONCardiology $16,931.17
2022105HC CATH/EP TILT TABLE EVALUATIONCardiology $8,949.41
2022106HC CATH/EP INTRACARDIAC ECG (ICE)Cardiology $7,718.10
2022107HC CATH/EP ANALYZE PACEMAKER SYSTEMCardiology $446.70
2022770HC PRGRMG DEV EVAL PM/LDLS PMCardiology $526.05
2022771HC PPM PROGRAM EVAL DUALCardiology $604.13
2022772HC PPM PROGRAM EVAL MULTICardiology $682.21
2022861HC CATH/EP EXER W/HEMODYNMIC MEASCardiology $1,727.93
2023066HC CATH/EP INTERROGATION VAD IN PERSONCardiology $401.90
2024336HC EP & ABLATE SUPRAVENT ARRHYTCardiology $23,703.39
2024337HC EP & ABLATE VENTRIC TACHYCardiology $61,798.55
2024338HC ABLATE ARRHYTHMIA ADD ONCardiology $23,237.48
2024339HC TX ATRIAL FIB PULM VEIN ISOLCardiology $62,804.58
2024340HC TX L/R ATRIAL FIB ADDLCardiology $23,865.95
2024811HC VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&ICardiology $33,327.21
2024812HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&ICardiology $33,327.21
2024844HC INTERROGATE SUBQ DEFIBCardiology $158.98
2024982HC PERQ TRANSCATH CLOSURE PDACardiology $20,412.64
2025051HC AMBL BP MNTR W/SW REC ONLYCardiology $320.05
2025986HC PAD REHAB PER SESSIONCardiology $204.02
2026133HC ELECTROPHYS EVAL COMPCardiology $19,815.72
2020401HC CATH/EP INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD ATRCardiology - Cardiac Cath Lab$15,130.29
2020402HC CATH/EP INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD VENTRCardiology - Cardiac Cath Lab$15,999.37
2020403HC CATH/EP INSJ/RPLCMT PRM PM W/TRANSVNS ELTRD ATR&VENTRCardiology - Cardiac Cath Lab$17,390.67
2020404HC CATH/EP INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATHCardiology - Cardiac Cath Lab$7,347.35
2020408HC CATH/EP UPGRADE OF PACEMAKER SYSTEMCardiology - Cardiac Cath Lab$16,902.83
2020409HC CATH/EP REPOSITION PACING-DEFIB LEADCardiology - Cardiac Cath Lab$3,407.91
2020410HC CATH/EP INSJ ELTRD 1CHMBR 1 ELTRD PRM PM/1CHMBR CVDFBCardiology - Cardiac Cath Lab$7,347.35
2020411HC CATH/EP INSJ ELTRD 2CHMBR 2 ELTRDS PRM PM/2CHMBR CVDFBCardiology - Cardiac Cath Lab$7,347.35
2020412HC CATH/EP REPAIR LEAD PACE-DEFIB, ONECardiology - Cardiac Cath Lab$3,761.00
2020413HC CATH/EP REVISE POCKET, PACEMAKERCardiology - Cardiac Cath Lab$3,428.98
2020414HC CATH/EP REVISE POCKET, PACING-DEFIBCardiology - Cardiac Cath Lab$4,114.78
2020415HC CATH/EP INSERT PACING LEAD & CONNECTCardiology - Cardiac Cath Lab$16,902.83
2020416HC CATH/EP L VENTRIC PACING LEAD ADD-ONCardiology - Cardiac Cath Lab$16,097.93
2020417HC CATH/EP REPOSITION L VENTRIC LEADCardiology - Cardiac Cath Lab$4,136.79
2020418HC CATH/EP REMOVAL PERMANENT PACEMAKER PULSE GENERATORCardiology - Cardiac Cath Lab$10,114.17
2020419HC CATH/EP RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTRCardiology - Cardiac Cath Lab$12,136.49
2020420HC CATH/EP REMOVAL PACEMAKER ELECTRODECardiology - Cardiac Cath Lab$15,171.25
2020422HC CATH/EP REMOVE PULSE GENERATORCardiology - Cardiac Cath Lab$5,720.09
2020423HC CATH/EP REMOVE ELTRD, TRANSVENCardiology - Cardiac Cath Lab$10,048.88
2020424HC CATH/EP ELTRD/INSERT PACE-DEFIBCardiology - Cardiac Cath Lab$51,311.91
2020427HC CATH/EP INSERT IA PERCUT DEVICECardiology - Cardiac Cath Lab$2,454.94
2020441HC CATH/EP INJECTION EXT VENOGRAPHYCardiology - Cardiac Cath Lab$13,017.09
2020445HC CATH/EP PLACE CATHETER IN VEINCardiology - Cardiac Cath Lab$1,679.29
2020450HC CATH/EP ESTABLISH ACCESS TO ARTERYCardiology - Cardiac Cath Lab$1,442.50
2020452HC CATH/EP PLACE CATHETER IN AORTACardiology - Cardiac Cath Lab$2,154.15
2020456HC CATH/EP SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCHCardiology - Cardiac Cath Lab$2,882.44
2020457HC CATH/EP SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCHCardiology - Cardiac Cath Lab$3,458.93
2020462HC CATH/EP SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCHCardiology - Cardiac Cath Lab$5,618.98
2020464HC CATH/EP SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCHCardiology - Cardiac Cath Lab$9,414.02
2020466HC CATH/EP SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCHCardiology - Cardiac Cath Lab$11,202.12
2020482HC CATH/EP INSJ NON-TUN CTR CVC UNDER 5 YRCardiology - Cardiac Cath Lab$3,875.68
2020497HC CATH/EP INSERTION CATHETER, ARTERYCardiology - Cardiac Cath Lab$575.98
2020508HC CATH/EP TRANSCATH STENT, CCA W/EPSCardiology - Cardiac Cath Lab$10,989.65
2022006HC CATH/EP CARDIOVERSION, ELECTRIC, INTCardiology - Cardiac Cath Lab$2,005.67
2022007HC CATH/EP PERCUT CORONARY THROMBECTOMYCardiology - Cardiac Cath Lab$7,212.51
2022009HC CATH/EP INTRAVASC US, HEART ADD-ONCardiology - Cardiac Cath Lab$6,098.96
2022014HC CATH/EP REVISION OF AORTIC VALVECardiology - Cardiac Cath Lab$11,939.37
2022016HC CATH/EP REVISION OF PULMONARY VALVECardiology - Cardiac Cath Lab$14,483.91
2022017HC CATH/EP REVISION OF HEART CHAMBERCardiology - Cardiac Cath Lab$8,191.68
2022021HC CATH/EP PRQ TRLUML P-ART BALO ANGIOP 1 VSLCardiology - Cardiac Cath Lab$21,120.45
2022022HC CATH/EP PRQ TRLUML P-ART BALO ANGIOP EA VSLCardiology - Cardiac Cath Lab$21,120.45
2022055HC CATH/EP INSERT/PLACE HEART CATHETERCardiology - Cardiac Cath Lab$6,951.40
2022056HC CATH/EP BIOPSY OF HEART LININGCardiology - Cardiac Cath Lab$4,881.73
2022063HC CATH/EP RT HEART CATH, CONGENITALCardiology - Cardiac Cath Lab$7,206.12
2022064HC CATH/EP CMBN R HRT & RETROGRADE L HRT CATHJ CGEN ANOMALYCardiology - Cardiac Cath Lab$33,418.21
2022065HC CATH/EP CMBN R HRT T-SEPTAL L HRT CATHJ NTC SEPTUM CGENCardiology - Cardiac Cath Lab$39,768.05
2022066HC CATH/EP CMBN R HRT T-SEPTAL L HRT CATHJ SEPTAL OPNG CGENCardiology - Cardiac Cath Lab$29,548.93
2022081HC CATH/EP TRANSCATH CLOSURE OF ASDCardiology - Cardiac Cath Lab$32,494.08
2022082HC CATH/EP TRANSCATH CLOSURE OF VSDCardiology - Cardiac Cath Lab$61,235.62
2022573HC CATH/EP SECONDY PERC THROMBECTCardiology - Cardiac Cath Lab$5,510.18
2022699HC FEM/POPL REVSC STNT&ATHRCardiology - Cardiac Cath Lab$24,758.07
2022826HC CATH/EP TRLUM PERIP ATHR ILC ARTCardiology - Cardiac Cath Lab$28,228.27
2022828HC CATH/EP P INSERTION CHEST TUBECardiology - Cardiac Cath Lab$1,507.78
2022832HC CATH/EP ILIAC REVASCCardiology - Cardiac Cath Lab$11,936.81
2022833HC CATH/EP ILIAC REVASC W/STENTCardiology - Cardiac Cath Lab$14,558.15
2022834HC CATH/EP ILIAC REVASC ADD-ONCardiology - Cardiac Cath Lab$7,041.00
2022835HC CATH/EP ILIAC REVASC STENT ADDONCardiology - Cardiac Cath Lab$21,120.45
2022836HC CATH/EP FEM/POPL REVAS W/TLACardiology - Cardiac Cath Lab$13,138.68
2022837HC CATH/EP FEM/POPL REVAS W/ATHERCardiology - Cardiac Cath Lab$17,663.31
2022838HC CATH/EP FEM/POPL REVASC W/STENTCardiology - Cardiac Cath Lab$14,597.83
2022839HC CATH/EP TIB/PER REVASC W/TLACardiology - Cardiac Cath Lab$15,926.41
2022840HC CATH/EP TIB/PER REVASC W/ATHERCardiology - Cardiac Cath Lab$14,558.15
2022841HC CATH/EP TIB/PER REVASC W/STENTCardiology - Cardiac Cath Lab$14,558.15
2022842HC CATH/EP TIB/PER REVSC STNT&ATHERCardiology - Cardiac Cath Lab$74,271.65
2022843HC CATH/EP TIB/PER REVASC ADD-ONCardiology - Cardiac Cath Lab$7,041.00
2022848HC CATH/EP RIGHT HEART CATHCardiology - Cardiac Cath Lab$26,108.42
2022849HC CATH/EP L HRT CATH W/VENTGRPHYCardiology - Cardiac Cath Lab$28,719.52
2022850HC CATH/EP R&L HRT CATH W/VENTGRPHYCardiology - Cardiac Cath Lab$37,595.97
2022851HC CATH/EP CORONARY ART ANGIO S&ICardiology - Cardiac Cath Lab$20,815.06
2022852HC CATH/EP CORO ART/GRFT ANGIO S&ICardiology - Cardiac Cath Lab$24,246.62
2022853HC CATH/EP R HRT CORONARY ART ANGIOCardiology - Cardiac Cath Lab$27,152.86
2022854HC CATH/EP R HRT ART/GRFT ANGIOCardiology - Cardiac Cath Lab$30,808.40
2022855HC CATH/EP L HRT ART/VENTRCLE ANGIOCardiology - Cardiac Cath Lab$26,108.42
2022856HC CATH/EP L HRT ART/GRFT ANGIOCardiology - Cardiac Cath Lab$28,719.52
2022857HC CATH/EP R&L HRT ART/VENT ANGIOCardiology - Cardiac Cath Lab$30,808.40
2022858HC CATH/EP R&L HRT ART/VENT ANGIOCardiology - Cardiac Cath Lab$34,984.87
2022859HC CATH/EP L HRT CATH TRNSPTL PUNCCardiology - Cardiac Cath Lab$9,036.44
2022860HC CATH/EP DRUG ADMN&HEMODYMIC MEASCardiology - Cardiac Cath Lab$4,246.87
2022862HC CATH/EP P INJ CONG CARD CATHCardiology - Cardiac Cath Lab$9,108.12
2022864HC CATH/EP INJ L VENT/ATRIAL ANGCardiology - Cardiac Cath Lab$7,157.48
2022865HC CATH/EP INJ R VENT/ATRIAL ANGCardiology - Cardiac Cath Lab$7,157.48
2022866HC CATH/EP INJ SUPRVLV AORTGRAPYCardiology - Cardiac Cath Lab$8,132.80
2022867HC CATH/EP INJ PULM ART HRT CATHCardiology - Cardiac Cath Lab$7,320.03
2022909HC CATH/EP INSERT VENTRIC ASSIS DEVCardiology - Cardiac Cath Lab$11,417.15
2022910HC CATH/EP PRIM ART MECH THROMBCTMYCardiology - Cardiac Cath Lab$14,920.37
2023027HC CATH/EP IVUS ADDITIONAL VESSELCardiology - Cardiac Cath Lab$4,879.16
2023033HC CATH/EP IV DOPPLER; EA ADDTL VESSELCardiology - Cardiac Cath Lab$5,339.95
2023084HC TRANSCATH OCCLUSION CNSCardiology - Cardiac Cath Lab$9,758.40
2023096HC INS CATH REN ART 1ST UNILATCardiology - Cardiac Cath Lab$13,488.30
2023097HC INS CATH REN ART 1ST BILATCardiology - Cardiac Cath Lab$17,747.79
2023410HC REMV&REPLC PM GEN DUAL LEADCardiology - Cardiac Cath Lab$19,302.92
2023411HC RMVL& REPLC PULSE GEN 1 LEADCardiology - Cardiac Cath Lab$20,029.94
2023420HC REMOVE&REPLACE PM GEN SINGLCardiology - Cardiac Cath Lab$18,531.12
2023421HC REMV&REPLC PM GEN MULT LEADSCardiology - Cardiac Cath Lab$20,268.00
2023422HC INSRT PULSE GEN W/DUAL LEADSCardiology - Cardiac Cath Lab$15,350.57
2023423HC INSRT PULSE GEN W/MULT LEADSCardiology - Cardiac Cath Lab$15,350.57
2023424HC RMVL & RPLCMT DFB GEN 2 LEADCardiology - Cardiac Cath Lab$20,273.12
2023425HC RMVL & RPLCMT DFB GEN MLT LDCardiology - Cardiac Cath Lab$22,070.17
2023589HC REM IAB ASSIST DEVICE PERCUTANEOUSCardiology - Cardiac Cath Lab$287.99
2023590HC PRIM ART M-THROMBECT ADD-ONCardiology - Cardiac Cath Lab$5,520.53
2024310HC CATH/EP PLACE CATH THORACIC AORTACardiology - Cardiac Cath Lab$6,692.86
2024311HC CATH/EP PLACE CATH CAROTID/INOM ARTCardiology - Cardiac Cath Lab$9,168.27
2024313HC CATH/EP PLACE CATH CAROTD ARTCardiology - Cardiac Cath Lab$11,276.36
2024314HC CATH/EP PLACE CATH SUBCLAVIAN ARTCardiology - Cardiac Cath Lab$9,993.84
2024323HC PRQ CARD STENT W/ANGIO 1 VSLCardiology - Cardiac Cath Lab$22,336.40
2024324HC PRQ CARD STENT/ATH/ANGIOCardiology - Cardiac Cath Lab$22,336.40
2024325HC PRQ REVASC BYP GRAFT 1 VSLCardiology - Cardiac Cath Lab$22,336.40
2024326HC PRQ CARD REVASC MI 1 VSLCardiology - Cardiac Cath Lab$22,336.40
2024327HC PRQ CARD REVASC CHRONIC 1VSLCardiology - Cardiac Cath Lab$22,336.40
2024328HC PRQ CARD STENT W/ANGIO ADDLCardiology - Cardiac Cath Lab$22,336.40
2024329HC PRQ CARD STENT/ATH/ANGIO ADDLCardiology - Cardiac Cath Lab$22,336.40
2024330HC PRQ REVASC BYP GRAFT ADDLCardiology - Cardiac Cath Lab$22,336.40
2024331HC PRQ CARD REVASC CHRONIC ADDLCardiology - Cardiac Cath Lab$22,336.40
2024332HC PRQ CARDIAC ANGIOPLAST 1 ARTCardiology - Cardiac Cath Lab$15,411.88
2024333HC PRQ CARD ANGIO/ATHRECT 1 ARTCardiology - Cardiac Cath Lab$31,047.74
2024334HC PRQ CARDIAC ANGIO ADDL ARTCardiology - Cardiac Cath Lab$15,411.88
2024335HC PRQ CARD ANGIO/ATHRECT ADDLCardiology - Cardiac Cath Lab$31,047.74
2024353HC PERC DRUG-EL COR STENT SINGCardiology - Cardiac Cath Lab$27,027.42
2024354HC PERC DRUG-EL COR STENT BRANCardiology - Cardiac Cath Lab$27,027.42
2024355HC PERC D-E COR STENT ATHER SCardiology - Cardiac Cath Lab$27,027.42
2024356HC PERC D-E COR STENT ATHER BRCardiology - Cardiac Cath Lab$27,027.42
2024357HC PERC D-E COR REVASC T CABG SCardiology - Cardiac Cath Lab$27,027.42
2024359HC PERC D-E COR REVASC W AMI SCardiology - Cardiac Cath Lab$27,027.42
2024360HC PERC D-E COR REVASC CHRO SINCardiology - Cardiac Cath Lab$27,027.42
2024361HC PERC D-E COR REVASC CHRO ADDCardiology - Cardiac Cath Lab$27,027.42
2024623HC PERQ CLSR TCAT L ATR APNDGECardiology - Cardiac Cath Lab$28,777.11
2024807HC OPEN/PERQ PLACE STENT 1STCardiology - Cardiac Cath Lab$38,668.56
2024809HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1STCardiology - Cardiac Cath Lab$34,371.45
2024836HC INS/REP SUBQ DEFIBRILLATORCardiology - Cardiac Cath Lab$146,352.54
2024841HC RMVL OF SUBQ DEFIBRILLATORCardiology - Cardiac Cath Lab$10,615.92
2024869HC REPAIR TCAT MITRAL VALVECardiology - Cardiac Cath Lab$2,986.12
2024870HC REPAIR TCAT MITRAL VALVECardiology - Cardiac Cath Lab$302.06
2025017HC IMPLANTING PA SENSORCardiology - Cardiac Cath Lab$20,114.41
2025075HC ECMO/ECLS INITIATION VENOUSCardiology - Cardiac Cath Lab$10,605.67
2025076HC ECMO/ECLS INITIATION ARTERYCardiology - Cardiac Cath Lab$10,605.67
2025077HC ECMO/ECLS DAILY MGMT-VENOUSCardiology - Cardiac Cath Lab$10,817.77
2025078HC ECMO/ECLS DAILY MGMT ARTERYCardiology - Cardiac Cath Lab$10,817.77
2025080HC ECMO/ECLS INSJ PRPH CANNULA; PERCUTANEOUS 6 YRS & OLDERCardiology - Cardiac Cath Lab$4,253.27
2025081HC ECMO/ECLS INSJ PRPH CANNULA; OPEN BIRTH - 5 YRS OLDCardiology - Cardiac Cath Lab$4,253.27
2025082HC ECMO/ECLS INSJ PRPH CANNULA; OPEN 6 YRS & OLDERCardiology - Cardiac Cath Lab$4,253.27
2025083HC ECMO/ECLS INSJ PRPH CANNULA; STERNOTOMY OR THORACOTOMY BIRTH - 5 YRS OLDCardiology - Cardiac Cath Lab$4,253.27
2025084HC ECMO/ECLS INSJ PRPH CANNULA; STERNOTOMY OR THORACOTOMY 6 YRS & OLDERCardiology - Cardiac Cath Lab$4,253.27
2025158HC ECMO/ECLS REPOS PERPH CNULA >6 YRSCardiology - Cardiac Cath Lab$4,253.27
2025163HC ECMO/ECLS RMVL PERPH CANNULA BIRTH - 5YRSCardiology - Cardiac Cath Lab$4,253.27
2025164HC ECMO/ECLS RMVL PERPH CANNULA > 6YRSCardiology - Cardiac Cath Lab$4,253.27
2025165HC TCAT IMPL WRLS P-ART PRS SNRCardiology - Cardiac Cath Lab$50,470.84
2025182HC ECMO/ECLS RMVL PERPH CANNULA BIRTH - 5YRSCardiology - Cardiac Cath Lab$4,253.27
2025183HC ECMO/ECLS RMVL PERPH CANNULA >6 YRSCardiology - Cardiac Cath Lab$4,253.27
2025184HC ECMO/ECLS RMVL CTR CANNULA BIRTH - 5YRSCardiology - Cardiac Cath Lab$4,253.27
2025185HC ECMO/ECLS RMVL CTR CANNULA >6 YRSCardiology - Cardiac Cath Lab$4,253.27
2025255HC INSERT VAD ARTERY ACCESSCardiology - Cardiac Cath Lab$25,740.05
2025256HC REMOVE VAD DIFFERENT SESSIONCardiology - Cardiac Cath Lab$25,740.05
2025257HC REPOSITION VAD DIFF SESSIONCardiology - Cardiac Cath Lab$25,740.05
2026279HC TCAT INSJ/RPL PERM LDLS PMCardiology - Cardiac Cath Lab$57,185.55
2026280HC TCAT RMVL PERM LDLS PMCardiology - Cardiac Cath Lab$9,837.96
2026281HC INSJ SUBQ CAR RHYTHM MNTRCardiology - Cardiac Cath Lab$27,575.52
2026282HC RMVL SUBQ CAR RHYTHM MNTRCardiology - Cardiac Cath Lab$2,265.54
2026390HC PERQ TRANSCATH SEPTAL REDUXNCardiology - Cardiac Cath Lab$16,287.16
2026564HC PERQ TRANSCATH CLS AORTICCardiology - Cardiac Cath Lab$57,185.55
2026625HC PERICARDIOCENTESIS W/IMAGINGCardiology - Cardiac Cath Lab$6,280.50
2026626HC PRCRD DRG 6YR+ W/O CGEN CARCardiology - Cardiac Cath Lab$742.00
2026627HC PRCRD DRG 0-5YR OR W/ANOMLYCardiology - Cardiac Cath Lab$742.00
2026965HC REVASC INTRAVASC LITHOTRIPSYCardiology - Cardiac Cath Lab$18,004.98
2026966HC REVASC INTRA LITHOTRIP-STENTCardiology - Cardiac Cath Lab$36,012.36
2026967HC REVASC INTRA LITHOTRIP-ATHERCardiology - Cardiac Cath Lab$36,012.36
2022046HC TTE W/DOPPLER, COMPLETECardiology - Echocardiology$3,309.95
2022048HC CATH/EP TTE, F-UP OR LMTDCardiology - Echocardiology$911.32
2022049HC TEE R-T IMG 2D W/PRB IMG ACQUISJ I&RCardiology - Echocardiology$4,219.99
2022052HC DOPPLER COLOR FLOW ADD-ONCardiology - Echocardiology$774.37
2022053HC STRESS TTE ONLYCardiology - Echocardiology$2,680.22
2022409HC TTE W OR WO FOL WCON,DOPPLERCardiology - Echocardiology$3,309.95
2022731HC FETAL CARDIOVASC 2-D FOLLOWUP USCardiology - Echocardiology$1,777.85
2022732HC COMP FETAL DOPPLER ECHOCardiology - Echocardiology$746.20
2022733HC LIMIT FETAL DOPPLER ECHOCARDIOGRAMCardiology - Echocardiology$522.21
2022773HC TTE CONG ABN; COMPLETECardiology - Echocardiology$2,666.13
2022774HC TTE CONG ABN; LIMITED/F-UPCardiology - Echocardiology$1,893.04
2022775HC TTE F-UP OR LMTDCardiology - Echocardiology$911.32
2022776HC DOPPLER ECHO;LMITED F/UPCardiology - Echocardiology$807.64
2022777HC STRESS TTE COMPLETECardiology - Echocardiology$2,680.22
2022888HC 2D TTE W OR W/O FOL W/CON FUCardiology - Echocardiology$911.32
2025133HC ECHO TRANSESOPHAGEAL (TEE)Cardiology - Echocardiology$2,622.62
2025700HC TEE CONGENITAL; INT & REPCardiology - Echocardiology$464.81
2026424HC ECHO TRANSESOPHAGEAL IMAGE I&R ONLYCardiology - Echocardiology$3,602.38
2026783HC MYOCRD STRAIN IMG SPCKL TRCKCardiology - Echocardiology$455.66
2022026HC CARDIOVASCULAR STRESS TESTCardiology - Stress Test$1,718.97
2022687HC CARD REHAB STRESS TESTCardiology - Stress Test$1,718.97
2020015HC DEBRIDE SKIN, FULLClinic $3,003.05
2022153HC RAPID DESENSITIZATION, EA HRClinic $928.57
2022304HC WOUND(S) CARE NON-SELECTIVEClinic $280.64
2022305HC NEG PRESS WOUND TX <=50 CMClinic $241.50
2022306HC NEG PRESS WOUND TX >50 CMClinic $425.04
2022330HC OFFICE OUTPT NEW 10 MINClinic $458.70
2022331HC OFFICE OUTPT NEW 10 MIN 25Clinic $458.70
2022332HC OFFICE OUTPT NEW 20 MINUTESClinic $462.98
2022333HC OFFICE OUTPT NEW 20 MINUTES 25Clinic $462.98
2022334HC OFFICE OUTPT NEW 30 MINClinic $688.06
2022335HC OFFICE OUTPT NEW 30 MIN 25Clinic $688.06
2022336HC OFFICE OUTPT NEW 45 MINClinic $736.48
2022337HC OFFICE OUTPT NEW 45 MIN 25Clinic $736.48
2022338HC OFFICE OUTPT NEW 60 MINClinic $1,236.50
2022339HC OFFICE OUTPT NEW 60 MIN 25Clinic $1,236.50
2022340HC OFFICE O/P EST 5 MIN 25Clinic $406.00
2022341HC OFFICE O/P EST 5 MINClinic $406.00
2022342HC OFFICE OUTPT EST 10 MINClinic $418.82
2022343HC OFFICE OUTPT EST 10 MIN 25Clinic $418.82
2022344HC OFFICE OUTPT EST15 MINClinic $502.87
2022345HC OFFICE OUTPT EST15 MIN 25Clinic $502.87
2022346HC OFFICE OUTPT EST 25 MINClinic $733.64
2022347HC OFFICE OUTPT EST 25 MIN 25Clinic $733.64
2022348HC OFFICE OUTPT EST 40 MINClinic $1,115.42
2022349HC OFFICE OUTPT EST 40 MIN 25Clinic $1,115.42
2022350HC PREV VISIT, NEW, AGE 18-39Clinic $183.90
2022351HC PREV VISIT, NEW, AGE 40-64Clinic $183.39
2022352HC PREV VISIT, EST, AGE 18-39Clinic $624.28
2022353HC PREV VISIT, EST, AGE 40-64Clinic $624.28
2022657HC PT FOLLOWUP EVAL FOOT PT LOPClinic $218.89
2022787HC INIT PM E/M, NEW PT INFClinic $183.39
2022788HC INIT PM E/M NEW PT 1-4YRClinic $183.39
2022789HC PREV VISIT NEW AGE 5-11Clinic $183.39
2022790HC PREV VISIT NEW AGE 12-17Clinic $183.39
2022791HC PER PM REEVAL EST PT INFClinic $624.28
2022792HC PREV VISIT EST AGE 1-4Clinic $624.28
2022793HC PREV VISIT EST AGE 5-11Clinic $624.28
2022794HC PREV VISIT EST AGE 12-17Clinic $624.28
2022796HC PREVENTIVE CONSLT IND 30 MINClinic $206.01
2023132HC GENETIC COUNSEL NEW PATIENT 30MINClinic $688.06
2023133HC GENETIC COUNSEL EST PATIENT 30MINClinic $733.64
2023134HC GENETIC COUNSEL NEW PATIENT 60MINClinic $1,236.50
2023238HC PROLONGED SERVICE OFFICEClinic $710.01
2023239HC PER PM REEVAL EST PAT 65+ YRClinic $624.28
2025194HC PREV VISIT, NEW, AGE 65+Clinic $183.39
2025441HC VISUAL FIELD EXAMINATION(S)Clinic $177.50
2025443HC INTERM EYE EXAM NEW PTClinic $332.00
2025444HC EYE EXAM NEW PATIENT 1+ VISITSClinic $332.06
2025445HC INTERM EYE EXAM EST PTClinic $265.65
2025446HC EYE EXAM & TREATMENT 1+VISITSClinic $265.65
2025451HC GONIOSCOPYClinic $132.08
2025475HC DETERMINE REFRACTIONClinic $126.79
2025478HC VISUAL ACUITY SCREEN BILAT - QUANClinic $76.07
2025656HC FQHC MONITORING VST - ASYMPTOMATIC HIV DISEASEClinic $265.65
2025657HC FQHC HIV COUNSELING VISIT (NO TESTING)Clinic $265.65
2025658HC FQHC HIV COUNSELING AND TESTING VISITClinic $265.65
2025659HC FQHC POST-TEST HIV COUNSELING VISIT - POSITIVE RESULTSClinic $265.65
2025688HC FQHC OFFSITE BILLINGClinic $253.00
2025724HC TRANS CARE MGMT 14 DAY DISCHClinic $436.33
2025725HC TRANS CARE MGMT 7 DAY DISCHClinic $436.33
2025770HC OFFICE CONSULTATION 60 MINClinic $733.64
2025785HC CAREGIVER HEALTH RISK ASSMTClinic $93.45
2025859HC ADVNCD CARE PLAN 30 MINClinic $629.31
2025860HC ADVNCD CARE PLAN ADDL 30 MINClinic $590.75
2025872HC NEG PRESS WND TX <=50 SQ CMClinic $1,149.18
2025907HC FUNDUS PHOTOGRAPHYClinic $370.57
2025961HC TELEHEALTH OFFICE OUTPT EST 10 MINClinic $418.82
2025962HC TELEHEALTH OFFICE OUTPT EST 15 MINClinic $502.87
2025963HC TELEHEALTH OFFICE OUTPT EST 25 MINClinic $733.64
2025964HC TELEHEALTH OFFICE OUTPT EST 40 MINClinic $1,115.42
2026013HC SLIT LAMP PHOTOGRAPHY (EXT)Clinic $196.86
2026128HC OCULAR INSTRUMNT SCREEN BILClinic $69.00
2026172HC FIT GLASSES; MONOFOCALClinic $396.30
2026174HC FIT GLASSES; MULTIFOCALClinic $562.14
2026179HC INIT PM E/M NEW PAT INF <1 YR 25Clinic $183.39
2026180HC INIT PM E/M NEW PAT 1-4 YRS 25Clinic $183.39
2026181HC PREV VISIT NEW AGE 5-11 25Clinic $183.39
2026182HC PREV VISIT NEW AGE 12-17 25Clinic $183.39
2026183HC PREV VISIT NEW AGE 18-39 25Clinic $183.39
2026184HC PREV VISIT NEW AGE 40-64 25Clinic $183.39
2026185HC INIT PM E/M NEW PAT 65+ YRS 25Clinic $183.39
2026186HC PER PM REEVAL EST PAT INF <1 YR 25Clinic $624.28
2026187HC PREV VISIT EST AGE 1-4 25Clinic $624.28
2026188HC PREV VISIT EST AGE 5-11 25Clinic $624.28
2026189HC PREV VISIT EST AGE 12-17 25Clinic $624.28
2026190HC PREV VISIT EST AGE 18-39 25Clinic $624.28
2026191HC PREV VISIT EST AGE 40-64 25Clinic $624.28
2026192HC PER PM REEVAL EST PAT 65+ YR 25Clinic $624.28
2026231HC SUBSEQUENT HOSPITAL CARE 15Clinic $133.77
2026249HC OCULAR INSTRUMNT SCREEN BILClinic $69.00
2026356HC OFFICE CONSULTATION 30 MINClinic $418.82
2026357HC OFFICE CONSULTATION 40 MINClinic $502.87
2026489HC PHARMACY (ONLY) - CDTM AMBULATORY SERVICESClinic $165.00
2026798HC FQHC PHONE E/M PHYS/QHP 5-10 MINClinic $406.00
2026799HC FQHC PHONE E/M PHYS/QHP 11-20 MINClinic $406.00
2026800HC FQHC PHONE E/M PHYS/QHP 21-30 MINClinic $406.00
2026938HC CLINIC VISIT SPEC COLLEC COVID-19, ANY SPEC SOURCEClinic $83.55
2022330IOCHC OFFICE OUTPT NEW 10 MINClinic $1,236.00
2022331IOCHC OFFICE OUTPT NEW 10 MIN 25Clinic $1,236.00
2022332IOCHC OFFICE OUTPT NEW 20 MINUTESClinic $1,236.00
2022333IOCHC OFFICE OUTPT NEW 20 MINUTES 25Clinic $1,236.00
2022334IOCHC OFFICE OUTPT NEW 30 MINClinic $1,236.00
2022335IOCHC OFFICE OUTPT NEW 30 MIN 25Clinic $1,236.00
2022336IOCHC OFFICE OUTPT NEW 45 MINClinic $1,236.00
2022337IOCHC OFFICE OUTPT NEW 45 MIN 25Clinic $1,236.00
2022338IOCHC OFFICE OUTPT NEW 60 MINClinic $1,236.00
2022339IOCHC OFFICE OUTPT NEW 60 MIN 25Clinic $1,236.00
2022340IOCHC OFFICE O/P EST 5 MIN 25Clinic $1,236.00
2022341IOCHC OFFICE O/P EST 5 MINClinic $1,236.00
2022342IOCHC OFFICE OUTPT EST 10 MINClinic $1,236.00
2022343IOCHC OFFICE OUTPT EST 10 MIN 25Clinic $1,236.00
2022344IOCHC OFFICE OUTPT EST15 MINClinic $1,236.00
2022345IOCHC OFFICE OUTPT EST15 MIN 25Clinic $1,236.00
2022346IOCHC OFFICE OUTPT EST 25 MINClinic $1,236.00
2022347IOCHC OFFICE OUTPT EST 25 MIN 25Clinic $1,236.00
2022348IOCHC OFFICE OUTPT EST 40 MINClinic $1,236.00
2022349IOCHC OFFICE OUTPT EST 40 MIN 25Clinic $1,236.00
D000120HC PERIODIC ORAL EVALUATION - ESTABLClinic - Dental$220.00
D000140HC LIMITED ORAL EVALUATION - PROBLEMClinic - Dental$220.00
D000145HC ORAL EVALUATION FOR A PATIENT UNDClinic - Dental$220.00
D000150HC COMPREHENSIVE ORAL EVALUATION - NClinic - Dental$220.00
D000160HC DETAILED AND EXTENSIVE ORAL EVALUClinic - Dental$220.00
D000170HC RE-EVALUATION - LIMITED, PROBLEMClinic - Dental$220.00
D000171HC RE-EVALUATION ? POST-OPERATIVE OFFICE VISITClinic - Dental$150.00
D000180HC COMPREHENSIVE PERIODONTAL EVALUATClinic - Dental$129.00
D000190HC SCREENING OF A PATIENTClinic - Dental$75.00
D000191HC DENTAL ASSESSMENT OF A PATIENTClinic - Dental$75.00
D000210HC INTRAORAL - COMPLETE SERIES (INCLClinic - Dental$161.00
D000220HC INTRAORAL - PERIAPICAL FIRST FILMClinic - Dental$36.00
D000230HC INTRAORAL - PERIAPICAL EACH ADDITClinic - Dental$30.00
D000240HC INTRAORAL - OCCLUSAL FILMClinic - Dental$56.00
D000250HC EXTRAORAL - FIRST FILMClinic - Dental$99.00
D000251HC EXTRA-ORAL POSTERIOR DENTAL RADIOGRAPHIC IMAGEClinic - Dental$103.00
D000270HC BITEWING - SINGLE FILMClinic - Dental$36.00
D000272HC BITEWINGS - TWO FILMSClinic - Dental$56.00
D000273HC BITEWINGS - THREE FILMSClinic - Dental$69.00
D000274HC BITEWINGS - FOUR FILMSClinic - Dental$80.00
D000321HC OTHER TEMPOROMANDIBULAR JOINT FILClinic - Dental$264.00
D000330HC PANORAMIC FILMClinic - Dental$136.00
D000340HC CEPHALOMETRIC FILMClinic - Dental$159.00
D000350HC ORAL/FACIAL PHOTOGRAPHIC IMAGESClinic - Dental$110.00
D000364HC CONE BEAM INTERP LIMITED VIEWClinic - Dental$243.00
D000365HC CONE BEAM INTERP FULL ARCH MANDClinic - Dental$400.00
D000366HC CONE BEAM INTERP FULL ARCH MAXClinic - Dental$400.00
D000367HC CONE BEAM INTERP BOTH JAWSClinic - Dental$558.00
D000368HC CONE BEAM INTERP TMJ SERIESClinic - Dental$400.00
D000380HC CONE BEAM CT IMAG-LIMITED FIELClinic - Dental$325.00
D000381HC CONE BEAM FULL ARCH MANDClinic - Dental$400.00
D000382HC CONE BEAM FULL ARCH MAXClinic - Dental$400.00
D000384HC CONE BEAM TMJ SERIESClinic - Dental$550.00
D000415HC COLLECTION OF MICROORGANISMS FORClinic - Dental$256.00
D000422HC COLLECTION AND PREPARATION OF GENETIC SAMPLE MATERIAL FOR LABORATORY ANALYSIS AND REPORTClinic - Dental$270.00
D000460HC PULP VITALITY TESTSClinic - Dental$74.00
D000470HC DIAGNOSTIC CASTSClinic - Dental$154.00
D000601HC CARIES RISK ASSESSMENT AND DOCUMENTATION, WITH A FINDING OF LOW RISKClinic - Dental$5.00
D000602HC CARIES RISK ASSESSMENT AND DOCUMENTATION, WITH A FINDING OF MODERATE RISKClinic - Dental$30.00
D000603HC CARIES RISK ASSESSMENT AND DOCUMENTATION, WITH A FINDING OF HIGH RISKClinic - Dental$50.00
D001000HC DENTAL CLINIC VISITClinic - Dental$196.00
D001110HC PROPHYLAXIS - ADULTClinic - Dental$117.00
D001120HC PROPHYLAXIS - CHILDClinic - Dental$85.00
D001206HC TOPICAL FLUORIDE VARNISH, THERAPEClinic - Dental$65.00
D001208HC TOPICAL APPLICATION OF FLUORIDEClinic - Dental$51.00
D001310HC NUTRITIONAL COUNSELING FOR CONTROClinic - Dental$95.00
D001330HC ORAL HYGIENE INSTRUCTIONSClinic - Dental$74.00
D001351HC SEALANT - PER TOOTHClinic - Dental$68.00
D001352HC PREVENTIVE RESIN RESTORATIONClinic - Dental$68.00
D001353HC SEALANT REPAIR ? PER TOOTHClinic - Dental$54.00
D001354HC INTERIM CARIES ARRESTING MEDICAMENT APPLICATIONClinic - Dental$108.00
D001510HC SPACE MAINTAINER - FIXED - UNILATClinic - Dental$402.00
D001516HC FIXED BILAT SPACE MAINT, MAXClinic - Dental$551.00
D001517HC FIXED BILAT SPACE MAINT, MANClinic - Dental$551.00
D001520HC SPACE MAINTAINER - REMOVABLE - UNClinic - Dental$489.00
D001526HC REMOVE BILAT SPACE MAIN, MAXClinic - Dental$612.00
D001527HC REMOVE BILAT SPACE MAIN, MANClinic - Dental$612.00
D001999HC UNSPECIFIED PREVENTIVE PROCEDURE, BY REPORTClinic - Dental$250.00
D002140HC AMALGAM - ONE SURFACE, PRIMARY ORClinic - Dental$175.00
D002150HC AMALGAM - TWO SURFACES, PRIMARY OClinic - Dental$227.00
D002160HC AMALGAM - THREE SURFACES, PRIMARYClinic - Dental$276.00
D002161HC AMALGAM - FOUR OR MORE SURFACES,Clinic - Dental$325.00
D002330HC RESIN-BASED COMPOSITE - ONE SURFAClinic - Dental$198.00
D002331HC RESIN-BASED COMPOSITE - TWO SURFAClinic - Dental$258.00
D002332HC RESIN-BASED COMPOSITE - THREE SURClinic - Dental$320.00
D002335HC RESIN-BASED COMPOSITE - FOUR OR MClinic - Dental$388.00
D002390HC RESIN-BASED COMPOSITE CROWN, ANTEClinic - Dental$612.00
D002391HC RESIN-BASED COMPOSITE-ONE SUR2391Clinic - Dental$229.00
D002392HC RESIN-BASED COMPOSITE-TWO SUR2392Clinic - Dental$292.00
D002393HC RESIN-BASED COMPOSITE-THREE 2393Clinic - Dental$365.00
D002394HC RESIN-BASED COMPOSITE-FOUR OR2394Clinic - Dental$432.00
D002630HC INLAY - PORCELAIN/CERAMIC - THREEClinic - Dental$1,247.00
D002740HC CROWN - PORCELAIN/CERAMIC SUBSTRAClinic - Dental$1,433.00
D002750HC CROWN - PORCELAIN FUSED TO HIGH NClinic - Dental$1,404.00
D002751HC CROWN - PORCELAIN FUSED TO PR2751Clinic - Dental$1,297.00
D002752HC CROWN-PORCELAIN FUSED TO NOBLEClinic - Dental$1,328.00
D002790HC CROWN - FULL CAST HIGH NOBLE METAClinic - Dental$1,620.00
D002791HC CROWN - FULL CAST PREDOMINANTLY BClinic - Dental$1,262.00
D002792HC CROWN - FULL CAST NOBLE METALClinic - Dental$1,297.00
D002799HC PROVISIONAL CROWNClinic - Dental$612.00
D002910HC RECEMENT INLAY, ONLAY, OR PARTIALClinic - Dental$136.00
D002915HC RECEMENT CAST OR PREFABRICATED POClinic - Dental$154.00
D002920HC RECEMENT CROWNClinic - Dental$143.00
D002929HC PREFAB PORC/CERAM CROWN-PRIMARYClinic - Dental$164.00
D002930HC PREFABRICATED STAINLESS STEEL CROClinic - Dental$362.00
D002931HC PREFABRICATED STAINLESS STEEL2931Clinic - Dental$419.00
D002932HC PREFABRICATED RESIN CROWNClinic - Dental$491.00
D002933HC PREFABRICATED STAINLESS STEEL2933Clinic - Dental$477.00
D002940HC PROTECTIVE RESTORATIONClinic - Dental$154.00
D002941HC INTERIM THERAPEUTIC RESTORATION ? PRIMARY DENTITIONClinic - Dental$198.00
D002950HC CORE BUILDUP, INCLUDING ANY PINSClinic - Dental$355.00
D002952HC POST AND CORE IN ADDITION TO CROWClinic - Dental$556.00
D002954HC PREFABRICATED POST AND CORE IN ADClinic - Dental$440.00
D002957HC EACH ADDITIONAL PREFABRICATED POSClinic - Dental$285.00
D002962HC LABIAL VENEER (PORCELAIN LAMINATEClinic - Dental$1,728.00
D002980HC CROWN REPAIR, BY REPORTClinic - Dental$1,000.00
D002990HC RESIN INFILTRATION INCIPIENTClinic - Dental$75.00
D002999HC UNSPECIFIED RESTORATIVE PROCEDUREClinic - Dental$250.00
D003110HC PULP CAP - DIRECT (EXCLUDING FINAClinic - Dental$111.00
D003120HC PULP CAP - INDIRECT (EXCLUDING FIClinic - Dental$117.00
D003220HC THERAPEUTIC PULPOTOMY (EXCLUDINGClinic - Dental$266.00
D003221HC PULPAL DEBRIDEMENT, PRIMARY AND PClinic - Dental$314.00
D003222HC PARTIAL PULPOTOTOMY APEXOGENClinic - Dental$403.65
D003240HC PULPAL THERAPY (RESORBABLE FI3240Clinic - Dental$446.00
D003310HC ANTERIOR (EXCLUDING FINAL RESTORAClinic - Dental$966.60
D003320HC BICUSPID (EXCLUDING FINAL RESTORAClinic - Dental$1,080.00
D003330HC MOLAR (EXCLUDING FINAL RESTORATIOClinic - Dental$1,267.92
D003332HC INCOMPLETE ENDODONTIC THERAPY, INClinic - Dental$586.00
D003333HC INTERNAL ROOT REPAIR OF PERFORATIClinic - Dental$465.00
D003346HC RETREATMENT OF PREVIOUS ROOT CANAClinic - Dental$1,091.00
D003347HC RETREATMENT OF PREVIOUS ROOT 3347Clinic - Dental$1,205.00
D003348HC RETREATMENT OF PREVIOUS ROOT 3348Clinic - Dental$1,424.00
D003353HC APEXIFICATION/RECALCIFICATION - FClinic - Dental$741.00
D003355HC PULPAL REGENERATION - INITIAL VISITClinic - Dental$786.00
D003357HC PULPAL REGENERATION - COMPLETION OF TREATMENTClinic - Dental$371.00
D003410HC APICOECTOMY/PERIRADICULAR SUR3410Clinic - Dental$893.00
D003421HC APICOECTOMY/PERIRADICULAR SUR3421Clinic - Dental$984.00
D003425HC APICOECTOMY/PERIRADICULAR SUR3425Clinic - Dental$1,132.00
D003426HC APICOECTOMY/PERIRADICULAR SURGERYClinic - Dental$562.00
D003428HC BONE GRAFT IN CONJUNCTION WITH PERIRADICULAR SURGERY ? PER TOOTH, SINGLE SITEClinic - Dental$513.00
D003429HC BONE GRAFT IN CONJUNCTION WITH PERIRADICULAR SURGERY ? EACH ADDITIONAL CONTIGUOUS TOOTH IN THE SAClinic - Dental$1,959.00
D003430HC RETROGRADE FILLING - PER ROOTClinic - Dental$393.00
D003431HC BIOLOGIC MATERIALS TO AID IN SOFT AND OSSEOUS TISSUE REGENERATION IN CONJUNCTION WITH PERIRADICULClinic - Dental$529.20
D003432HC GUIDED TISSUE REGENERATION, RESORBABLE BARRIER, PER SITE, IN CONJUNCTION WITH PERIRADICULAR SURGEClinic - Dental$450.00
D003450HC ROOT AMPUTATION - PER ROOTClinic - Dental$652.00
D003470HC INTENTIONAL REIMPLANTATION (INCLUClinic - Dental$997.00
D004211HC GINGIVECTOMY OR GINGIVOPLASTY - OClinic - Dental$419.00
D004240HC GINGIVAL FLAP PROCEDURE, INCL4240Clinic - Dental$989.00
D004241HC GINGIVAL FLAP PROCEDURE, INCLUDINClinic - Dental$863.00
D004245HC APICALLY POSITIONED FLAPClinic - Dental$1,045.00
D004249HC CLINICAL CROWN LENGTHENING - HARDClinic - Dental$989.00
D004260HC OSSEOUS SURGERY (INCLUDING FL4260Clinic - Dental$1,369.00
D004261HC OSSEOUS SURGERY (INCLUDING FLAP EClinic - Dental$1,134.00
D004263HC BONE REPLACEMENT GRAFT - FIRST SIClinic - Dental$1,037.00
D004264HC BONE REPLACEMENT GRAFT - EACH ADDClinic - Dental$760.00
D004266HC GUIDED TISSUE REGENERATION - RESOClinic - Dental$1,124.00
D004275HC SOFT TISSUE ALLOGRAFTClinic - Dental$1,309.00
D004277HC FREE SOFT TISSUE GRAFT,FIRST TTHClinic - Dental$1,400.00
D004278HC FREE SOFT TISSUE GRAFT,EACH ADDClinic - Dental$432.00
D004321HC PROVISIONAL SPLINTING - EXTRACOROClinic - Dental$680.00
D004341HC PERIODONTAL SCALING AND ROOT 4341Clinic - Dental$320.00
D004342HC PERIODONTAL SCALING AND ROOT PLANClinic - Dental$241.00
D004346HC SCALING GINGIV INFLAMMATIONClinic - Dental$325.00
D004355HC FULL MOUTH DEBRIDEMENT TO ENABLEClinic - Dental$246.00
D004910HC PERIODONTAL MAINTENANCEClinic - Dental$179.00
D005110HC COMPLETE DENTURE - MAXILLARYClinic - Dental$2,140.00
D005120HC COMPLETE DENTURE - MANDIBULARClinic - Dental$2,101.00
D005130HC IMMEDIATE DENTURE - MAXILLARYClinic - Dental$2,344.00
D005140HC IMMEDIATE DENTURE - MANDIBULARClinic - Dental$2,348.00
D005211HC MAXILLARY PARTIAL DENTURE - RESINClinic - Dental$1,731.00
D005212HC MANDIBULAR PARTIAL DENTURE - RESIClinic - Dental$1,713.00
D005213HC DENTURES MAXILL PART METALClinic - Dental$2,279.00
D005214HC DENTURES MANDIBL PART METALClinic - Dental$2,286.00
D005221HC IMMEDIATE MAXILLARY PARTIAL DENTURE ? RESIN BASE (INCLUDING ANY CONVENTIONAL CLASPS, RESTS AND TEClinic - Dental$2,214.88
D005223HC IMMEDIATE MAXILLARY PARTIAL DENTURE ? CAST METAL FRAMEWORK WITH RESIN DENTURE BASES (INCLUDING ANClinic - Dental$2,897.56
D005224HC IMMEDIATE MANDIBULAR PARTIAL DENTURE ? CAST METAL FRAMEWORK WITH RESIN DENTURE BASES (INCLUDING AClinic - Dental$2,897.56
D005225HC MAXILLARY PARTIAL DENTURE - FLEXIClinic - Dental$2,592.00
D005226HC MANDIBULAR PARTIAL DENTURE - FLEXClinic - Dental$2,592.00
D005283HC REMOVE UNIL PART DENTURE,MANClinic - Dental$1,359.00
D005410HC ADJUST COMPLETE DENTURE - MAXILLAClinic - Dental$117.00
D005411HC ADJUST COMPLETE DENTURE - MANDIBUClinic - Dental$115.00
D005421HC DJUST PARTIAL DENTURE - MAXILLARClinic - Dental$116.00
D005422HC ADJUST PARTIAL DENTURE - MANDIBULClinic - Dental$115.00
D005511HC REPAIR BROKEN COMPLETE DENTRURE BASE, MANDIBULARClinic - Dental$279.00
D005512HC REPAIR BROKEN COMPLETE DENTRURE BASE, MAXILLARYClinic - Dental$350.00
D005520HC REPLACE MISSING OR BROKEN TEETH -Clinic - Dental$241.00
D005611HC REPAIR RESIN PARTIAL DENTRUE BASE, MANDIBULARClinic - Dental$486.00
D005612HC REPAIR RESIN PARTIAL DENTURE BASE, MAXILLARYClinic - Dental$486.00
D005621HC REPAIR CAST PARTIAL FRAMEWORK, MANDIBULARClinic - Dental$468.00
D005622HC REPAIR CAST PARTIAL FRAMEWORK, MAXILLARYClinic - Dental$468.00
D005630HC REPAIR OR REPLACE BROKEN CLASPClinic - Dental$405.00
D005640HC REPLACE BROKEN TEETH - PER TOOTHClinic - Dental$405.00
D005650HC ADD TOOTH TO EXISTING PARTIAL DENClinic - Dental$405.00
D005660HC ADD CLASP TO EXISTING PARTIAL DENClinic - Dental$405.00
D005710HC REBASE COMPLETE MAXILLARY DENTUREClinic - Dental$754.00
D005711HC REBASE COMPLETE MANDIBULAR DENTURClinic - Dental$754.00
D005730HC RELINE COMPLETE MAXILLARY DENTUREClinic - Dental$492.00
D005731HC RELINE COMPLETE MANDIBULAR DENTURClinic - Dental$492.00
D005741HC RELINE MANDIBULAR PARTIAL DENTUREClinic - Dental$491.00
D005750HC RELINE COMPLETE MAXILLARY DEN5750Clinic - Dental$810.00
D005751HC RELINE COMPLETE MANDIBULAR DE5751Clinic - Dental$810.00
D005760HC RELINE MAXILLARY PARTIAL DEN 5760Clinic - Dental$810.00
D005810HC INTERIM COMPLETE DENTURE (MAXILLAClinic - Dental$1,221.00
D005820HC INTERIM PARTIAL DENTURE (MAXILLARClinic - Dental$932.00
D005821HC INTERIM PARTIAL DENTURE (MANDIBULClinic - Dental$958.00
D005865HC OVERDENTURE - COMPLETE MANDIBULARClinic - Dental$6,480.00
D005867HC REPLACEMENT OF REPLACEABLE PART OClinic - Dental$563.00
D005986HC FLUORIDE GEL CARRIERClinic - Dental$345.00
D006010HC SURGICAL PLACEMENT OF IMPLANT BODClinic - Dental$2,471.00
D006011HC SECOND STAGE IMPLANT SURGERYClinic - Dental$200.00
D006052HC SEMI-PRECISION ATTACHMENT ABUTMENTClinic - Dental$2,500.00
D006056HC PREFABRICATED ABUTMENT - INCLUDESClinic - Dental$1,204.00
D006057HC CUSTOM ABUTMENT - INCLUDES PLACEMClinic - Dental$1,348.00
D006058HC ABUTMENT SUPPORTED PORCELAIN/CERAClinic - Dental$1,977.00
D006059HC ABUTMENT SUPPORTED PORCELAIN 6059Clinic - Dental$1,977.00
D006060HC ABUTMENT SUPPORTED PORCELAIN 6060Clinic - Dental$1,850.00
D006065HC IMPLANT SUPPORTED PORCELAIN/CERAMClinic - Dental$2,145.00
D006066HC IMPLANT SUPPORTED MTL CROWNClinic - Dental$2,070.00
D006069HC ABUTMENT SUPPORTED RETAINER 6069Clinic - Dental$2,000.00
D006072HC ABUTMENT SUPPORTED RETAINER 6072Clinic - Dental$1,945.00
D006076HC IMPLANT SUPPORTED RETAINER FOR POClinic - Dental$2,067.00
D006080HC IMPLANT MAINTENANCE PROCEDURES, IClinic - Dental$476.00
D006081HC SCALE & DEBRIDE, SINGLE IMPClinic - Dental$250.00
D006090HC REPAIR IMPLANT SUPPORTED PROSTHESClinic - Dental$977.00
D006091HC REPLACEMENT OF SEMI-PRECISION ORClinic - Dental$879.00
D006093HC RECEMENT IMPLANT/ABUTMENT SUP6093Clinic - Dental$227.00
D006100HC IMPLANT REMOVAL, BY REPORTClinic - Dental$1,012.00
D006104HC BONE GRAFT AT IMPLANT PLACEMENTClinic - Dental$600.00
D006111HC IMPLANT/ABUTMENT SUPPORTED REMOVABLE DENTURE FOR EDENTULOUS ARCH ? MANDIBULARClinic - Dental$6,480.00
D006119HC IMPLANT/ABUTMENT SUPPORTED INTERIM FIXED DENTRURE FOR EDENTULOUS ARCH - MAXILLARYClinic - Dental$3,060.00
D006190HC RADIOGRAPHIC/SURGICAL IMPLANT INDClinic - Dental$1,400.00
D006199HC UNSPECIFIED IMPLANT PROCEDURE, BYClinic - Dental$250.00
D006205HC PONTIC - INDIRECT RESIN BASED COMClinic - Dental$1,253.00
D006210HC PONTIC - CAST HIGH NOBLE METALClinic - Dental$1,359.00
D006212HC PONTIC - CAST NOBLE METALClinic - Dental$1,297.00
D006240HC PONTIC - PORCELAIN FUSED TO HIGHClinic - Dental$1,404.00
D006241HC PONTIC - PORCELAIN FUSED TO PREDOClinic - Dental$1,300.00
D006242HC PONTIC - PORCELAIN FUSED TO NOBLEClinic - Dental$1,404.00
D006245HC PONTIC - PORCELAIN/CERAMICClinic - Dental$1,404.00
D006251HC PONTIC - RESIN WITH PREDOMINANTLYClinic - Dental$1,359.00
D006253HC PROVISIONAL PONTICClinic - Dental$1,031.00
D006545HC RETAINER - CAST METAL FOR RESIN BClinic - Dental$1,113.00
D006548HC RETAINER - PORCELAIN/CERAMIC FORClinic - Dental$1,337.00
D006740HC CROWN - PORCELAIN/CERAMICClinic - Dental$1,421.00
D006750HC CROWN-PORCELAIN FUSED TO HIGH6750Clinic - Dental$1,404.00
D006751HC CROWN - PORCELAIN FUSED TO PREDOMClinic - Dental$1,295.00
D006752HC CROWN-PORCELAIN FUSED TO NOBL6752Clinic - Dental$1,404.00
D006791HC CROWN - FULL CAST PREDOMINANT6791Clinic - Dental$1,288.00
D006792HC CROWN - FULL CAST NOBLE METAL6792Clinic - Dental$1,318.00
D006930HC RECEMENT FIXED PARTIAL DENTUREClinic - Dental$229.00
D006950HC PRECISION ATTACHMENTClinic - Dental$1,574.64
D007111HC EXTRACTION, CORONAL REMNANTS - DEClinic - Dental$183.00
D007140HC EXTRACTION, ERUPTED TOOTH OR EXPOClinic - Dental$229.00
D007210HC SURGICAL REMOVAL OF ERUPTED TOOTHClinic - Dental$357.00
D007220HC REMOVAL OF IMPACTED TOOTH - SOFTClinic - Dental$418.00
D007230HC REMOVAL OF IMPACTED TOOTH - PARTIClinic - Dental$521.00
D007240HC REMOVAL OF IMPACTED TOOTH - COMPLClinic - Dental$639.00
D007241HC REMOVAL OF IMPACTED TOOTH - 7241Clinic - Dental$745.00
D007250HC SURGICAL REMOVAL OF RESIDUAL TOOTClinic - Dental$402.00
D007251HC CORONECTOMYClinic - Dental$639.00
D007270HC TOOTH REIMPLANTATION AND/OR STABIClinic - Dental$736.00
D007280HC SURGICAL ACCESS OF AN UNERUPTED TClinic - Dental$665.00
D007283HC PLACEMENT OF DEVICE TO FACILITATEClinic - Dental$698.00
D007285HC BIOPSY OF ORAL TISSUE - HARD (BONClinic - Dental$624.00
D007286HC BIOPSY OF ORAL TISSUE - SOFTClinic - Dental$432.00
D007311HC ALVEOLOPLASTY IN CONJUNCTION 7311Clinic - Dental$446.00
D007320HC ALVEOLOPLASTY NOT IN CONJUNCTIONClinic - Dental$647.00
D007321HC ALVEOLOPLASTY NOT IN CONJUNC 7321Clinic - Dental$655.00
D007410HC EXCISION OF BENIGN LESION UP TO 1Clinic - Dental$618.00
D007411HC EXCISION OF BENIGN LESION GREATERClinic - Dental$924.00
D007451HC REMOVAL OF BENIGN ODONTOGENIC7451Clinic - Dental$1,175.00
D007473HC REMOVAL OF TORUS MANDIBULARISClinic - Dental$1,039.00
D007510HC INCISION AND DRAINAGE OF ABSCESSClinic - Dental$309.00
D007511HC INCISION AND DRAINAGE OF ABS 7511Clinic - Dental$507.00
D007520HC INCISION AND DRAINAGE OF ABS 7520Clinic - Dental$704.00
D007670HC ALVEOLUS CLOSED REDUCTION MAY INClinic - Dental$2,961.00
D007820HC CLOSED REDUCTION OF DISLOCATIONClinic - Dental$890.00
D007870HC ARTHROCENTESISClinic - Dental$803.00
D007880HC OCCLUSAL ORTHOTIC DEVICE, BY REPOClinic - Dental$1,641.00
D007951HC SINUS AUGMENTATION WITH BONE OR BClinic - Dental$4,771.00
D007952HC SINUS AUGMENTATION-VERTICAL APPClinic - Dental$1,500.00
D007953HC BONE REPLACEMENT GRAFT FOR RIDGEClinic - Dental$4,561.00
D007960HC FRENULECTOMY (FRENECTOMY OR FRENOClinic - Dental$610.00
D007963HC FRENULOPLASTYClinic - Dental$676.00
D007997HC APPLIANCE REMOVAL (NOT BY DENTISTClinic - Dental$524.00
D008020HC LIMITED ORTHODONTIC TREATMENT8020Clinic - Dental$3,398.00
D008060HC INTERCEPTIVE ORTHODONTIC TREA8060Clinic - Dental$3,944.00
D008090HC COMPREHENSIVE ORTHODONTIC TRE8090Clinic - Dental$7,358.00
D008210HC REMOVABLE APPLIANCE THERAPYClinic - Dental$1,297.00
D008220HC FIXED APPLIANCE THERAPYClinic - Dental$1,489.00
D008660HC PRE-ORTHODONTIC TREATMENT VISITClinic - Dental$628.00
D008670HC PERIODIC ORTHODONTIC TREATMENT VIClinic - Dental$376.00
D008681HC REMOVABLE ORTHODONTIC RETAINER ADJUSTMENTClinic - Dental$216.00
D008695HC REMOVAL OF FIXED ORTHODONTIC APPLIANCES FOR REASONS OTHER THAN COMPLETION OF TREATMENTClinic - Dental$250.00
D008999HC UNSPECIFIED ORTHODONTIC PROCEDUREClinic - Dental$250.00
D009110HC PALLIATIVE (EMERGENCY) TREATMENTClinic - Dental$172.00
D009120HC FIXED PARTIAL DENTURE SECTIONINGClinic - Dental$367.00
D009211HC REGIONAL BLOCK ANESTHESIAClinic - Dental$130.00
D009215HC LOCAL ANESTHESIAClinic - Dental$86.00
D009219HC EVALUATION FOR DEEP SEDATION OR GENERAL ANESTHESIAClinic - Dental$216.00
D009222HC DEEP SEDATION/GENERAL ANESTHESIA - FIRST 15 MINSClinic - Dental$350.00
D009223HC DEEP SEDATION/GENERAL ANESTHESIA ? EACH 15 MINUTE INCREMENTClinic - Dental$350.00
D009230HC INHAL NITR OXIDE/ANXIOLYS,ANALGESClinic - Dental$117.00
D009239HC INTRAVENOUS MODERATE (CONSCIOUS) SEDATION/ANALGESIA - FIRST 15 MINSClinic - Dental$300.00
D009243HC INTRAVENOUS MODERATE (CONSCIOUS) SEDATION/ANALGESIA ? EACH 15 MINUTE INCREMENTClinic - Dental$296.15
D009248HC NON-INTRAVENOUS CONSCIOUS SEDATIOClinic - Dental$482.00
D009310HC CONSULTATION - DIAGNOSTIC SERVICEClinic - Dental$203.00
D009420HC HOSPITAL OR AMB SURG CTR CALLClinic - Dental$411.00
D009430HC OFFICE VISIT FOR OBSERVATION (DURClinic - Dental$220.00
D009440HC OFFICE VISIT - AFTER REGULARLY SCClinic - Dental$247.00
D009610HC THERAPEUTIC PARENTERAL DRUG, SINGClinic - Dental$163.00
D009910HC APPLICATION OF DESENSITIZING MEDIClinic - Dental$93.00
D009911HC APPLICATION OF DESENSITIZING RESIClinic - Dental$117.00
D009920HC BEHAVIOR MANAGEMENT, BY REPORTClinic - Dental$247.00
D009930HC TREATMENT OF COMPLICATIONS (POST-Clinic - Dental$204.00
D009943HC OCCLUSAL GUARD ADJUSTMENTClinic - Dental$161.54
D009944HC OCC GUARD, HARD, FULL ARCHClinic - Dental$839.00
D009945HC OCC GUARD, SOFT, FULL ARCHClinic - Dental$839.00
D009946HC OCC GUARD, HARD, PART ARCHClinic - Dental$839.00
D009951HC OCCLUSAL ADJUSTMENT - LIMITEDClinic - Dental$267.00
D009971HC ODONTOPLASTY 1 - 2 TEETH, INCLUDEClinic - Dental$295.00
D009972HC EXTERNAL BLEACHING - PER ARCHClinic - Dental$518.00
D009974HC INTERNAL BLEACHING - PER TOOTHClinic - Dental$409.00
D009975HC EXTERNAL BLEACHING-HOME,PER ARCHClinic - Dental$300.00
D009990HC TRANS OR SIGN LANGUAGE SVCSClinic - Dental$110.00
D009991HC CASE MGMT, APPT BARRIERSClinic - Dental$106.00
D009994HC CASE MGMT, PT EDUCATIONClinic - Dental$145.00
D009995HC TELEDENTRISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTERClinic - Dental$483.00
D009999HC UNSPECIFIED ADJUNCTIVE PROCEDURE,Clinic - Dental$250.00
D011552HC RECEMENT SPACE MAINT - MAN BILATClinic - Dental$109.00
D011553HC RECEMENT UNILAT SPACE MAINTClinic - Dental$109.00
D011556HC REMOVE FIXED UNILAT SPACE MAINTClinic - Dental$98.00
D011557HC REMOVE FIXED BILAT SPACE MAINT MAXClinic - Dental$98.00
D011558HC REMOVE FIXED BILAT MANClinic - Dental$98.00
D019975HC EXTERNAL BLEACHING-HOME, NON-CUSTOM TRAYClinic - Dental$540.00
2026235HC HOME VISIT NEW PATIENT 30Clinic - Other$270.90
2026239HC HOME VISIT EST PATIENT 15Clinic - Other$188.28
2026240HC HOME VISIT EST PATIENT 25Clinic - Other$286.92
2026241HC HOME VISIT EST PATIENT 40Clinic - Other$439.17
2026242HC HOME VISIT EST PATIENT 60Clinic - Other$610.29
2026502HC DIALYSIS ONE EVALUATION (CAPD)Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD/Composite or Other Rate$1,127.81
2026505HC DIALYSIS TRAINING INCOMPLETE (CAPD)Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD/Composite or Other Rate$2,330.00
2026503HC DIALYSIS ONE EVALUATION (CCPD)Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD/Composite or Other Rate$1,127.81
2026506HC DIALYSIS TRAINING INCOMPLETE (CCPD)Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD/Composite or Other Rate$2,330.00
1010031HC RB SPECIAL CARE EPILEPSYCoronary Care Unit - Other$11,753.20
2020001HC CCTA W/WO, STRXRCT Scan $4,923.96
2020645HC CT HEAD/BRAIN W/O DYECT Scan $2,997.64
2020646HC CT HEAD/BRAIN W/DYECT Scan $4,196.95
2020647HC CT HEAD/BRAIN W/O & W/DYECT Scan $4,945.72
2020648HC CT ORBIT/EAR/FOSSA W/O DYECT Scan $3,530.10
2020649HC CT ORBIT/EAR/FOSSA W/DYECT Scan $4,164.96
2020650HC CT ORBIT/EAR/FOSSA W/O&W/DYECT Scan $4,554.06
2020651HC CT MAXILLOFACIAL W/O CONTRASTCT Scan $3,710.57
2020652HC CT MAXILLOFACIAL W/CONTRASTCT Scan $4,490.06
2020653HC CT MAXILLOFACIAL W/O & W/CONTRASTCT Scan $5,455.15
2020654HC CT SOFT TISSUE NECK W/O DYECT Scan $3,871.85
2020655HC CT SOFT TISSUE NECK W/DYECT Scan $4,721.73
2020656HC CT SFT TSUE NCK W/O & W/DYECT Scan $5,571.62
2020695HC CT THORAX W/O DYECT Scan $3,842.41
2020696HC CT THORAX W/DYECT Scan $7,723.22
2020697HC CT THORAX W/O & W/DYECT Scan $8,646.05
2020698HC CT ANGIOGRAPHY, CHESTCT Scan $6,056.72
2020719HC CT NECK SPINE W/O DYECT Scan $3,517.30
2020720HC CT NECK SPINE W/DYECT Scan $7,069.16
2020721HC CT NECK SPINE W/O & W/DYECT Scan $7,913.92
2020722HC CT CHEST SPINE W/O DYECT Scan $3,517.30
2020723HC CT CHEST SPINE W/DYECT Scan $7,069.16
2020724HC CT CHEST SPINE W/O & W/DYECT Scan $7,913.92
2020725HC CT LUMBAR SPINE W/O DYECT Scan $3,623.53
2020728HC CT LUMBAR SPINE W/DYECT Scan $7,282.92
2020729HC CT LUMBAR SPINE W/O & W/DYECT Scan $8,153.28
2020744HC CT ANGIOGRAPH PELV W/O&W/DYECT Scan $4,185.44
2020745HC CT PELVIS W/O DYECT Scan $2,461.34
2020746HC CT PELVIS W/O DYE 52CT Scan $2,461.34
2020747HC CT PELVIS W/DYECT Scan $4,922.69
2020750HC CT PELVIS W/O & W/DYECT Scan $5,514.02
2020967HC CT LOWER EXTREMITY W/CONTRASTCT Scan $3,896.16
2020971HC CT ANGIO LWR EXTR W/O&W/DYECT Scan $3,764.33
2020992HC CT ABDOMEN W/O DYECT Scan $3,600.50
2020993HC CT ABDOMEN W/DYECT Scan $5,551.14
2020994HC CT ABDOMEN W/O & W/DYECT Scan $6,301.19
2020995HC CT ANGIO ABDOM W/O & W/DYECT Scan $7,499.22
2021039HC CT ANGIO ABDOMINAL ARTERIESCT Scan $3,115.40
2021131HC 3D RENDER W/O POSTPROCESSCT Scan $651.49
2021132HC 3D RENDERING W/POSTPROCESSCT Scan $1,808.57
2021172HC CT SCAN FOR NEEDLE BIOPSYCT Scan $3,463.55
2021173HC CT GUIDE FOR TISSUE ABLATIONCT Scan $7,025.64
2021174HC CT SCAN FOR THERAPY GUIDECT Scan $1,971.12
2022720HC CT HRT W/O DYE W/CA TESTCT Scan $4,185.44
2022721HC CT HRT W/3D IMAGECT Scan $4,923.96
2022917HC CT ABD & PEL W/O CONTCT Scan $4,801.08
2022918HC CT ABD & PEL W/CONTCT Scan $7,501.78
2022919HC CT ABD & PEL W & W/O CONCT Scan $8,477.10
2023501HC CT; U EXTR WO CONTRASTCT Scan $3,523.70
2023502HC CT; U EXTR W CONTRASTCT Scan $4,369.75
2023503HC CT: U EXTR W AND WO CONTRASTCT Scan $5,461.54
2023504HC CT ANGIO UPR EXTRM W/O&W/DYECT Scan $2,551.84
2023524HC CT L EXTR W AND WO CONTRASTCT Scan $4,730.69
2023570HC CT ANGIO ABD&PELV W/O&W/DYECT Scan $9,493.39
2023571HC CT COLONOGRAPHY DXCT Scan $1,624.25
2023781HC CT LIMITED OR FOLLOW-UP STUDYCT Scan $1,105.87
2025033HC CT PERFUSION W/CONTRAST CBFCT Scan $1,002.19
2025722HC LDCT FOR LUNG CA SCREENCT Scan $509.47
2026138HC CT COLONOGRAPHY SCREENCT Scan $1,752.18
2026733HC CT CDSM NDSCCT Scan $1.06
2022884HC CT LOWER EXTREMITY W/O CONTRCT Scan - Body Scan$3,092.35
2020657HC CT ANGIOGRAPHY, HEADCT Scan - Head Scan$6,554.62
2020658HC CT ANGIOGRAPHY, NECKCT Scan - Head Scan$6,723.58
2022154HC EEG EXTND MNTR 61-119 MINEEG (Electroencephalogram) $4,159.37
2022155HC EEG, AWAKE AND ASLEEPEEG (Electroencephalogram) $3,678.46
2022665HC WADA ACTIVATION TESTEEG (Electroencephalogram) $3,147.39
2024302HC EEG EXTEND MONIT 41-60 MINUTESEEG (Electroencephalogram) $3,493.73
2024303HC EEG AWAKE & DROWSYEEG (Electroencephalogram) $3,214.65
2024468HC EEG COMA OR SLEEP ONLYEEG (Electroencephalogram) $3,276.67
2024593HC POLYSOM <6 YRS 4> PARAMTRSEEG (Electroencephalogram) $6,488.06
2024594HC POLYSOM <6 YRS CPAP/BILVLEEG (Electroencephalogram) $8,823.98
2024597HC POLYSOM 6/> YRS 4/> PARAMEEG (Electroencephalogram) $4,642.51
2024598HC POLYSOM 6/>YRS CPAP 4/> PARMEEG (Electroencephalogram) $4,886.85
2026444HC ACTIGRAPHY TESTING 73 HRS-14 CONS DAYSEEG (Electroencephalogram) $208.19
2026605HC EEG CONT REC W/VID EEG TECH 8 CHEEG (Electroencephalogram) $919.89
2026606HC EEG W/O VID 2-12 HR UNMNTREEG (Electroencephalogram) $950.90
2026608HC EEG W/O VID 2-12HR CONT MNTREEG (Electroencephalogram) $1,692.90
2026609HC EEG WO VID EA 12-26HR UNMNTREEG (Electroencephalogram) $2,821.80
2026611HC EEG W/O VID EA 12-26HR CONTEEG (Electroencephalogram) $4,305.80
2026612HC VEEG 2-12 HR UNMONITOREDEEG (Electroencephalogram) $11,206.51
2026614HC VEEG 2-12 HR CONT MNTREEG (Electroencephalogram) $12,194.51
2026615HC VEEG EA 12-26 HR UNMNTREEG (Electroencephalogram) $22,908.91
2026616HC VEEG EA 12-26HR INTMT MNTREEG (Electroencephalogram) $23,402.91
2022023HC ELECTROCARDIOGRAM, TRACINGEKG/ECG (Electrocardiogram) $515.81
2022024HC ELECTROCARDIOGRAM, TRACING 76EKG/ECG (Electrocardiogram) $515.81
2022030HC ECG MONITOR/RECORD, 48 HRSEKG/ECG (Electrocardiogram) - Holter Monitor$629.73
2022031HC ECG MONITOR/REPORT, 48 HRSEKG/ECG (Electrocardiogram) - Holter Monitor$940.76
2023746HC EMERGENCY DEPT VISIT LVL 1Emergency Room $2,624.30
2023747HC EMERGENCY DEPT VISIT LVL 2Emergency Room $3,017.60
2023748HC EMERGENCY DEPT VISIT LVL 3Emergency Room $4,364.25
2023749HC EMERGENCY DEPT VISIT LVL 4Emergency Room $4,985.25
2023750HC EMERGENCY DEPT VISIT LVL 5Emergency Room $5,904.10
2023751HC CRITICAL CARE 1ST HOUREmergency Room $6,369.28
2023752HC CRITICAL CARE ADDL 30 MINEmergency Room $3,185.25
2023783HC EMERG DEPT F/U VISIT LVL 1Emergency Room $1,312.15
2023784HC EMERG DEPT F/U VISIT LVL 2Emergency Room $1,508.80
2023785HC EMERG DEPT F/U VISIT LVL 3Emergency Room $2,182.13
2023786HC EMERG DEPT F/U VISIT LVL 4Emergency Room $2,492.63
2023787HC EMERG DEPT F/U VISIT LVL 5Emergency Room $2,952.05
2023789HC ED TRIAGE VISITEmergency Room $430.92
2025615HC ED SUTURE REMOVAL VISIT LVL 1Emergency Room $430.92
2026978HC HOSP NOTIF TRAUMA RESPONS W OR W/O CCEmergency Room $7,511.03
2024430HC URGENT CARE NEW LVL 1 - 25Emergency Room - Urgent Care$1,495.00
2024431HC URGENT CARE NEW LVL 1Emergency Room - Urgent Care$1,495.00
2024434HC URGENT CARE NEW LVL 3 - 25Emergency Room - Urgent Care$1,495.00
2024435HC URGENT CARE NEW LVL 3Emergency Room - Urgent Care$1,495.00
2024436HC URGENT CARE NEW LVL 4 - 25Emergency Room - Urgent Care$1,495.00
2024438HC URGENT CARE NEW LVL 5 - 25Emergency Room - Urgent Care$1,495.00
2024440HC URGENT CARE EST LVL 1 - 25Emergency Room - Urgent Care$1,495.00
2024441HC URGENT CARE EST LVL 1Emergency Room - Urgent Care$1,495.00
2024444HC URGENT CARE EST LVL 3 - 25Emergency Room - Urgent Care$1,495.00
2024445HC URGENT CARE EST LVL 3Emergency Room - Urgent Care$1,495.00
2024446HC URGENT CARE EST LVL 4 - 25Emergency Room - Urgent Care$1,495.00
2024447HC URGENT CARE EST LVL 4Emergency Room - Urgent Care$1,495.00
2024448HC URGENT CARE EST LVL 5 - 25Emergency Room - Urgent Care$1,495.00
2024449HC URGENT CARE EST LVL 5Emergency Room - Urgent Care$1,495.00
2022762HC BREATH HYDROGEN TESTGastro-Intestinal (GI) Services $1,317.38
2023730HC PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPXGastro-Intestinal (GI) Services $925.44
2025006HC GI TRACT CAPSULE ENDOSCOPYGastro-Intestinal (GI) Services $5,212.35
0230001HH SOCHealth Insurance Prospective Payment System (HIPPS) - Home Health$420.00
0230002HH F/UHealth Insurance Prospective Payment System (HIPPS) - Home Health$420.00
0230004HH ROCHealth Insurance Prospective Payment System (HIPPS) - Home Health$420.00
2026113HC DIALYSIS TRAINING INCOMPLETEHemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate$2,330.00
2026114HC ESRD SVC HOME DIALYSIS FULL MONTH 20+YRSHemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate$1,415.00
2026115HC UNLISTED DIALYSIS PROCEDUREHemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate$1,209.00
2026116HC DIALYSIS ACU KIDNEY NO ESRDHemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate$945.00
2026504HC HEMODIALYSIS REPEAT EVALHemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate$2,470.00
2021974HC HEMODIALYSIS, ONE EVALUATIONHemodialysis - Outpatient or Home - Other OP Hemodialysis$2,887.13
2024613HC EMERG DIALYSIS ESRD PTHemodialysis - Outpatient or Home - Other OP Hemodialysis$1,524.81
2026573HC HH SVS OF CSW EA 15 MINHome Health (HH) - Medical Social Services - Visit Charge$420.00
2026569HC HH RN TELEHEALTH PER DIEM GTHome Health (HH) - Other Visits $420.00
2026578HC HH NUTRITION COUNSELING DIETITIANHome Health (HH) - Other Visits - Other$420.00
2026574HC HH SVS OF AIDE EA 15 MINHome Health (HH) Aide - Visit Charge$420.00
2026200HC IP CAPD DIALYSIS 90945Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (CAPD)$1,500.00
2026199HC IP DIALYSIS CVVHInpatient Renal Dialysis - Hemodialysis$2,469.00
2026204HC IP CVVHDInpatient Renal Dialysis - Hemodialysis$2,469.00
2024850HC DIALYSIS ONE EVALUATIONInpatient Renal Dialysis - Peritoneal Dialysis (Non-CAPD)$1,127.81
1010025HC RB POST OP/STEPDOWN ICUIntensive Care Unit - Intermediate ICU$13,173.22
1010028HC RB SPECIAL CARE ICU/INTERMEDIATEIntensive Care Unit - Intermediate ICU$12,545.93
1010018HC RB ICU MEDICALIntensive Care Unit - Medical$14,000.00
1010029HC RB SPECIAL CARE OTHERIntensive Care Unit - Other$11,753.20
1010020HC RB ICU PEDIATRICSIntensive Care Unit - Pediatric$11,753.20
1010019HC RB ICU SURGICALIntensive Care Unit - Surgical$14,000.00
1010035HC RB ICU/TRAUMAIntensive Care Unit - Trauma$14,079.45
2021945HC NON CHEMO INFUSION, CONCURRENTIV Therapy $412.34
2021946HC NON CHEMO IV PUSH, SAME DRUG, REPEATIV Therapy $289.38
2022190HC RFL&MAIN IMPLT PMP/RSVR RX DLVR SPI/BRN BY PHYSIV Therapy $3,780.11
2022202HC HYDRATION IV INFUSION, 1ST HOURIV Therapy $2,718.90
2022203HC HYDRATION IV INFUSION, ADDITIONAL HOURIV Therapy $921.14
2022204HC NON CHEMO INFUSION, 1ST HOURIV Therapy $2,718.90
2022205HC NON CHEMO INFUSION, ADDITIONAL HOURIV Therapy $921.14
2022206HC NON CHEMO INFUSION, SEQ 1ST HOURIV Therapy $1,081.20
2022207HC INJECTION - SC/IMIV Therapy $1,246.56
2022209HC NON CHEMO IV PUSH 0-15 MINUTES, INITIALIV Therapy $1,221.12
2022210HC NON CHEMO IV PUSH 0-15 MINUTES, SEQIV Therapy $455.80
2022222HC REFILL/MAINT PUMP/RESVR SYSTIV Therapy $1,402.38
2022223HC IRRIG DRUG DELIVERY DEVICEIV Therapy $429.30
2022427HC THER/PROPH/DIAG INJ, IV PUSHIV Therapy $1,221.12
2024829HC PROLONG IV INFUSION, REQ PUMPIV Therapy $798.68
2025836HC APPLICATON ON-BODY INJECTORIV Therapy $286.20
2027040HC BAMLANIVIMAB-XXXX INFUSIONIV Therapy $928.80
2020556HC FETAL MONITOR W/REPORTLabor Room/Delivery $120.75
2024288HC L&D OPERATING ROOM FLAT FEELabor Room/Delivery $4,303.53
2024289HC L&D OPERATING ROOM PER MINUTELabor Room/Delivery $143.45
2022469HC CIRCUMCISIONLabor Room/Delivery - Circumcision$698.41
2022468HC LDR DELIVERY ROOMLabor Room/Delivery - Delivery Room$7,195.00
2022481HC MULTPLE BIRTH RESOURCESLabor Room/Delivery - Delivery Room$5,318.82
2025459HC ATTENDANCE AT DELIVERYLabor Room/Delivery - Delivery Room$289.80
2020470HC ROUTINE VENIPUNCTURELaboratory $87.49
2020471HC CAPILLARY BLOOD DRAWLaboratory $308.09
2021286HC LIPID PANELLaboratory $282.56
2021287HC RENAL FUNCTION PANELLaboratory $176.30
2021289HC HEPATIC FUNCTION PANELLaboratory $141.28
2021292HC ASSAY OF AMIKACINLaboratory $211.31
2021295HC ASSAY, CARBAMAZEPINE, TOTALLaboratory $220.97
2021298HC ASSAY OF DIGOXINLaboratory $195.62
2021300HC ASSAY, DIPROPYLACETIC ACIDLaboratory $179.92
2021302HC ASSAY OF GENTAMICINLaboratory $206.48
2021306HC ASSAY OF LIDOCAINELaboratory $106.26
2021307HC ASSAY OF LITHIUMLaboratory $159.39
2021309HC ASSAY OF PHENOBARBITALLaboratory $169.05
2021310HC ASSAY OF PHENYTOIN, TOTALLaboratory $184.75
2021311HC ASSAY OF PHENYTOIN, FREELaboratory $67.62
2021312HC ASSAY OF PRIMIDONELaboratory $149.73
2021315HC ASSAY OF QUINIDINELaboratory $82.11
2021316HC ASSAY OF SIROLIMUSLaboratory $282.56
2021318HC ASSAY OF TACROLIMUSLaboratory $350.18
2021320HC ASSAY OF THEOPHYLLINELaboratory $231.84
2021321HC ASSAY OF TOBRAMYCINLaboratory $224.60
2021322HC ASSAY OF TOPIRAMATELaboratory $158.18
2021323HC ASSAY OF VANCOMYCINLaboratory $208.90
2021324HC QUANTITATIVE ASSAY, DRUGLaboratory $237.88
2021326HC URINALYSIS, AUTO, W/O SCOPELaboratory $199.06
2021332HC TEST FOR ACETONE/KETONESLaboratory $54.34
2021333HC ACYLCARNITINES, QUANTLaboratory $235.46
2021334HC ASSAY OF ACTHLaboratory $567.53
2021335HC ASSAY OF SERUM ALBUMINLaboratory $79.87
2021336HC ASSAY OF ALBUMINLaboratory $62.79
2021339HC ASSAY OF ALDOLASELaboratory $443.76
2021340HC ASSAY OF ALDOSTERONELaboratory $710.01
2021341HC ALPHA-1-ANTITRYPSIN, TOTALLaboratory $248.75
2021343HC ALPHA-FETOPROTEIN, SERUMLaboratory $315.16
2021349HC AMINO ACIDS, QUAN, 6 OR MORELaboratory $1,127.81
2021350HC ASSAY OF AMMONIALaboratory $202.86
2021351HC ASSAY OF AMYLASELaboratory $143.69
2021353HC ASSAY OF ANDROSTENEDIONELaboratory $476.96
2021354HC ANGIOTENSIN I ENZYME TESTLaboratory $322.40
2021355HC ASSAY OF APOLIPOPROTEINLaboratory $206.48
2021356HC ASSAY OF ARSENICLaboratory $313.95
2021357HC ASSAY OF ASCORBIC ACIDLaboratory $147.32
2021359HC ASSAY OF BETA-2 PROTEINLaboratory $321.20
2021361HC BILIRUBIN, TOTALLaboratory $143.27
2021362HC BILIRUBIN, DIRECTLaboratory $86.94
2021363HC OCCULT BLOOD, FECESLaboratory $131.62
2021364HC OCCULT BLOOD, OTHER SOURCESLaboratory $57.96
2021367HC ASSAY OF CALCITONINLaboratory $393.65
2021368HC CALCIUM TOTLaboratory $73.54
2021369HC CALCIUM IONIZEDLaboratory $230.63
2021370HC CALCIUM URINE QUAN TMD SPECLaboratory $117.13
2021371HC CALCULUS ASSAY, QUANTLaboratory $72.45
2021374HC ASSAY, BLOOD CARBON DIOXIDELaboratory $56.75
2021380HC ASSAY, THREE CATECHOLAMINESLaboratory $456.44
2021381HC ASSAY OF CERULOPLASMINLaboratory $191.45
2021382HC ASSAY OF BLOOD CHLORIDELaboratory $103.85
2021383HC ASSAY OF URINE CHLORIDELaboratory $42.26
2021384HC ASSAY, OTHER FLUID CHLORIDESLaboratory $42.26
2021385HC ASSAY, BLD/SERUM CHOLESTEROLLaboratory $78.49
2021391HC ASSAY OF CHROMIUMLaboratory $254.78
2021394HC ASSAY OF COPPERLaboratory $364.67
2021395HC CORTISOL, FREELaboratory $313.95
2021396HC TOTAL CORTISOLLaboratory $251.16
2021397HC ASSAY OF CREATINELaboratory $72.45
2021399HC ASSAY OF CK (CPK)Laboratory $107.57
2021400HC ASSAY OF CPK IN BLOODLaboratory $138.86
2021401HC ASSAY OF CREATININELaboratory $137.66
2021402HC ASSAY OF URINE CREATININELaboratory $146.11
2021403HC CREATININE CLEARANCE TESTLaboratory $154.56
2021404HC ASSAY OF CRYOGLOBULINLaboratory $128.00
2021406HC VITAMIN B-12Laboratory $254.25
2021409HC DEHYDROEPIANDROSTERONELaboratory $531.24
2021412HC DEOXYCORTISOLLaboratory $297.05
2021415HC ASSAY OF DIHYDROXYVITAMIN DLaboratory $677.41
2021416HC ASSAY OF ERYTHROPOIETINLaboratory $334.48
2021417HC ASSAY OF ESTRADIOLLaboratory $469.38
2021418HC ASSAY OF ESTROGENSLaboratory $449.19
2021422HC ASSAY OF BLOOD FATTY ACIDSLaboratory $120.75
2021423HC LONG CHAIN FATTY ACIDSLaboratory $294.63
2021424HC ASSAY OF FERRITINLaboratory $271.69
2021425HC ASSAY OF FETAL FIBRONECTINLaboratory $920.48
2021429HC GG IGA IGD IGG IGM EALaboratory $286.18
2021430HC GG IGELaboratory $315.16
2021431HC IGG 1, 2, 3 OR 4, EACHLaboratory $450.40
2021435HC ASSAY OF GLUCAGONLaboratory $80.90
2021436HC GLUCOSE OTHER FLUIDLaboratory $67.62
2021437HC ASSAY, GLUCOSE, BLOOD QUANTLaboratory $62.79
2021438HC GLUCOSE TESTLaboratory $73.66
2021439HC GLUCOSE TOLERANCE TEST (GTT)Laboratory $227.01
2021441HC ASSAY OF G6PD ENZYMELaboratory $245.97
2021443HC ASSAY OF GGTLaboratory $178.77
2021445HC GONADOTROPIN (FSH)Laboratory $370.70
2021448HC ASSAY OF HAPTOGLOBIN, QUANTLaboratory $170.26
2021457HC ASSAY OF HEMOSIDERIN, QUALLaboratory $45.89
2021462HC ASSAY OF 5-HIAALaboratory $207.69
2021463HC HYDROXYPROGST 17-DLaboratory $451.61
2021465HC IA ANAL OTH/THN NFCT AGT MLT STEP METHLaboratory $365.87
2021466HC RIA NONANTIBODYLaboratory $450.40
2021467HC IMMUNOASSAY QUANT NOS NONABLaboratory $652.95
2021468HC ASSAY OF INSULINLaboratory $240.29
2021469HC ASSAY OF IRONLaboratory $115.92
2021470HC IRON BINDING TESTLaboratory $201.06
2021472HC ASSAY OF LACTIC ACIDLaboratory $231.84
2021473HC LACTATE (LD) (LDH) ENZYMELaboratory $125.93
2021474HC ASSAY OF LDH ENZYMESLaboratory $72.45
2021475HC LACTOFERRIN, FECAL (QUAL)Laboratory $287.81
2021476HC ASSAY OF LEADLaboratory $218.07
2021478HC ASSAY OF LIPASELaboratory $243.92
2021481HC ASSAY OF LIPOPROTEINLaboratory $111.09
2021483HC ASSAY OF MAGNESIUMLaboratory $120.75
2021485HC ASSAY OF MERCURYLaboratory $282.73
2021486HC ASSAY OF METANEPHRINESLaboratory $537.34
2021489HC MUCOPOLYSACCHARIDESLaboratory $90.56
2021490HC ASSAY OF MYOGLOBINLaboratory $271.33
2021492HC ASSAY, NEPHELOMETRY NOT SPECLaboratory $229.80
2021512HC OLIGOCLONAL BANDSLaboratory $294.63
2021513HC ORGANIC ACIDS, TOTAL, QUANTLaboratory $311.54
2021515HC ASSAY OF BLOOD OSMOLALITYLaboratory $165.43
2021516HC ASSAY OF URINE OSMOLALITYLaboratory $86.94
2021519HC ASSAY OF PARATHORMONELaboratory $590.47
2021522HC ASSAY ACID PHOSPHATASELaboratory $51.92
2021523HC PHOSPHATASE ALKALINELaboratory $145.80
2021525HC PHOSPHATASE ALKALINE ISOENZYMESLaboratory $194.41
2021526HC ASSAY OF PHOSPHORUSLaboratory $80.90
2021529HC ASSAY OF URINE PORPHYRINSLaboratory $196.52
2021530HC ASSAY OF SERUM POTASSIUMLaboratory $61.58
2021531HC ASSAY OF URINE POTASSIUMLaboratory $60.38
2021532HC ASSAY OF PREALBUMINLaboratory $135.24
2021536HC PROGSTLaboratory $340.52
2021537HC ASSAY OF PROLACTINLaboratory $410.55
2021539HC ASSAY OF PSA, FREELaboratory $308.03
2021540HC ASSAY OF PROTEIN, SERUMLaboratory $147.07
2021541HC ASSAY OF PROTEIN, URINELaboratory $113.51
2021542HC ASSAY OF PROTEIN, OTHERLaboratory $67.20
2021543HC PROTEIN E-PHORESIS, SERUMLaboratory $249.95
2021546HC ASSAY OF PROINSULINLaboratory $126.79
2021548HC ASSAY OF PYRUVATELaboratory $177.50
2021549HC ASSAY OF ENDOCRINE HORMONELaboratory $476.96
2021550HC ASSAY, NONENDOCRINE RECEPTORLaboratory $333.27
2021555HC ASSAY OF SERUM SODIUMLaboratory $65.21
2021556HC ASSAY OF URINE SODIUMLaboratory $67.62
2021558HC ASSAY OF SOMATOMEDINLaboratory $470.93
2021560HC BODY FLUID SPECIFIC GRAVITYLaboratory $13.28
2021564HC ASSAY OF THYROGLOBULINLaboratory $363.46
2021565HC ASSAY OF TOTAL THYROXINELaboratory $187.16
2021566HC ASSAY OF FREE THYROXINELaboratory $283.62
2021567HC ASSAY OF THYROID ACTIVITYLaboratory $202.86
2021568HC ASSAY THYROID STIM HORMONELaboratory $306.71
2021571HC TRANSFERASE (AST) (SGOT)Laboratory $92.98
2021572HC ALANINE AMINO (ALT) (SGPT)Laboratory $91.77
2021573HC ASSAY OF TRANSFERRINLaboratory $326.03
2021574HC ASSAY OF TRIGLYCERIDESLaboratory $94.19
2021575HC ASSAY OF THYROID (T3 OR T4)Laboratory $96.60
2021576HC ASSAY, TRIIODOTHYRONINE (T3)Laboratory $255.99
2021577HC FREE ASSAY (FT-3)Laboratory $469.72
2021578HC T3 REVERSELaboratory $305.50
2021579HC ASSAY OF TROPONIN, QUANTLaboratory $249.74
2021580HC UREA NITROGEN; QUANLaboratory $68.83
2021581HC ASSAY OF URINE/UREA-NLaboratory $126.79
2021583HC ASSAY OF BLOOD/URIC ACIDLaboratory $106.26
2021584HC ASSAY OF URINE/URIC ACIDLaboratory $81.14
2021587HC ASSAY OF VASOPRESSINLaboratory $472.13
2021590HC ASSAY OF ZINCLaboratory $190.19
2021592HC CHORIONIC GONADOTROPIN TESTLaboratory $335.69
2021593HC CHORIONIC GONADOTROPIN ASSAYLaboratory $223.15
2021643HC BLOOD PLATELET AGGREGATIONLaboratory $387.61
2021654HC BLOOD VISCOSITY EXAMINATIONLaboratory $96.60
2021666HC C-REACTIVE PROTEIN, HSLaboratory $262.03
2021672HC COMPLEMENT, TOTAL (CHBI)Laboratory $367.08
2021687HC IMMUNE COMPLEX ASSAYLaboratory $538.55
2021688HC IMMUNOFIX E-PHORESIS, SERUMLaboratory $353.80
2021689HC IMMUNFIX E-PHORSIS/URINE/CSFLaboratory $387.61
2021690HC INSULIN ANTIBODIESLaboratory $275.31
2021710HC BARTONELLA ANTIBODYLaboratory $114.71
2021714HC BRUCELLA ANTIBODYLaboratory $118.34
2021742HC HEP B SURFACE ANTIBODYLaboratory $205.28
2021745HC HEP A ANTIBODY, IGMLaboratory $229.43
2021746HC INFLUENZA VIRUS ANTIBODYLaboratory $207.69
2021753HC PROTOZOA ANTIBODY NOSLaboratory $178.71
2021762HC WEST NILE VIRUS AB, IGMLaboratory $136.45
2021771HC RBC ANTIBODY SCREENLaboratory $376.56
2021773HC RBC ANTIBODY IDENTIFICATIONLaboratory $815.06
2021774HC COOMBS TEST, DIRECTLaboratory $169.05
2021776HC COOMBS TEST, INDIRECT, TITERLaboratory $248.75
2021777HC AUTOLOGOUS BLOOD PROCESSLaboratory $1,078.96
2021782HC COMPATIBILITY TEST, SPINLaboratory $213.73
2021785HC COMPATIBILITY TEST, ELECTRICLaboratory $173.88
2021789HC BLOOD PRODUCT/IRRADIATIONLaboratory $117.13
2021792HC POOLING BLOOD PLATELETSLaboratory $177.95
2021799HC CULTURE ANAEROBE IDENT, EACHLaboratory $44.68
2021812HC MICROBE SUSCEPTIBLE, MICLaboratory $173.88
2021830HC GIARDIA AG, EIALaboratory $191.45
2021831HC ENTAMOEB HIST GROUP, AG, EIALaboratory $228.22
2021844HC CYTOMEG, DNA, QUANTLaboratory $781.25
2021848HC HEPATITIS C, RNA, QUANTLaboratory $879.06
2021857HC DETECT AGENT NOS, DNA, AMPLaboratory $698.60
2021860HC INFLUENZA ASSAY W/OPTICLaboratory $51.92
2021862HC AGENT NOS ASSAY W/OPTICLaboratory $146.11
2021863HC GENOTYPE, DNA, HIV REVERSE TLaboratory $1,877.66
2021864HC GENOTYPE, DNA, HEPATITIS CLaboratory $3,587.48
2021937HC C-CNT MISC BDY FLUS XCPT BLD DIFFIAL CNTLaboratory $237.09
2021938HC EXAM,SYNOVIAL FLUID CRYSTALSLaboratory $210.11
2022410HC PSA SCREENINGLaboratory $363.46
2022528HC MISC SEND OUT / CHEM LAB TESTLaboratory $0.00
2022737HC ENZYME ACTIVITY BC NO RALaboratory $403.08
2022738HC HEAVY METAL QUANTITATIVELaboratory $291.01
2022739HC NMR LIPO PRFLLaboratory $315.16
2022743HC RIBOFLAVINLaboratory $181.30
2022748HC INHIBIN ALaboratory $254.85
2022749HC CELL FUNCTION ASSAY STIMLaboratory $929.78
2022757HC SPUTUM SPEC INDUCTIONLaboratory $248.75
2023022HC HEPARIN ASSAYLaboratory $561.49
2023301HC DRAW BLOOD OFF VENOUS DEVICELaboratory $379.16
2023333HC URINALYSIS AUTO W/ MICROSCOPYLaboratory $57.96
2023651HC MONONUCLEAR CELL ANTIGEN QUANT NOS EA ANTGLaboratory $348.97
2023653HC FIBRINOGEN; ANTIGENLaboratory $47.09
2025036HC AB; ENCEPHALITIS CALIFLaboratory $65.21
2025037HC AB; ENCEPHALITIS E EQUINELaboratory $65.21
2025038HC AB; ENCEPHALITIS ST. LOUISLaboratory $65.21
2025039HC AB; ENCEPHALITIS W EQUINELaboratory $65.21
2025040HC AB; NEISSERIA MENINGITIDISLaboratory $65.21
2025041HC CRYPTOCOCCUS NEOFORM AG EIALaboratory $59.26
2025042HC GENOTYPE DNA HIV OTHER REGIONLaboratory $636.18
2025204HC TRANSCUTANEOUS CARBOXYHBLaboratory $24.74
2025205HC TRANSCUTANEOUS METHBLaboratory $3,296.48
2025221HC DIPROPYLACETIC ACID FREELaboratory $179.92
2025260HC IADNA-DNA/RNA PROBE TQ 12-25Laboratory $2,157.34
2025310HC SECRETIONS FAT STAINLaboratory $50.72
2025518HC MGMT GENE PRMTR MTHYLTN ALYSLaboratory $1,046.00
2025941HC TRICHOMONAS VAGINALIS AMPLIFLaboratory $586.73
2026042HC BILIRUBIN TOTAL TRANSCUTLaboratory $18.57
2026169HC ONCOLOGY PROSTATE PROB SCORELaboratory $2,280.00
2026555HC FERN TESTLaboratory $78.20
2026904HC IA NFCT AB COVID19; MULTI STEPLaboratory $207.69
2026905HC IA NFCT AB COVID19; SGL STEPLaboratory $155.77
2026906HC IA INFECTIOUS AGENT SGL STEPLaboratory $155.77
2026937HC DRUG ASSAY VEDOLIZUMABLaboratory $185.12
2026963HC NFCT DS 22 TRGT SARS-COV-2Laboratory $2,000.54
2026972HC CORONAVIRUS AG IALaboratory $53.13
2026973HC NFCT DS 22 TRGT SARS-COV-2Laboratory $2,000.54
2026974HC ANTIBODY SARSCOV-2 TITER(S)Laboratory $207.69
2026984HC NEUTRLZG ANTB SARSCOV2 SCRLaboratory $410.55
2026985HC NEUTRLZG ANTB SARSCOV2 TITERLaboratory $410.55
2026987HC SVNT SARSCOV2 ELISA PLSM SRMLaboratory $2,000.54
2027006HC SARS-COV-2 ANTB QUANTITATIVELaboratory $207.69
2027030HC NFCT DS VIR RESP RNA 4 TRGTLaboratory $427.89
2027031HC NFCT DS VIR RESP RNA 3 TRGTLaboratory $427.89
2027035HC SARSCOV & INF VIR A&B AG IALaboratory $53.13
2021795HC BLOOD CULTURE FOR BACTERIALaboratory - Bacteriology & Microbiology$186.25
2021796HC FECES CULTURE, BACTERIALaboratory - Bacteriology & Microbiology$149.73
2021797HC CULTURE, BACTERIA, OTHERLaboratory - Bacteriology & Microbiology$338.91
2021798HC CULTR BACTERIA, EXCEPT BLOODLaboratory - Bacteriology & Microbiology$166.64
2021800HC CULTURE SCREEN ONLYLaboratory - Bacteriology & Microbiology$214.94
2021801HC URINE CULTURE/COLONY COUNTLaboratory - Bacteriology & Microbiology$248.69
2021803HC SKIN FUNGI CULTURELaboratory - Bacteriology & Microbiology$43.47
2021804HC FUNGUS ISOLATION CULTURELaboratory - Bacteriology & Microbiology$263.24
2021806HC MYCOPLASMALaboratory - Bacteriology & Microbiology$242.71
2021807HC CHLAMYDIA CULTURELaboratory - Bacteriology & Microbiology$160.60
2021808HC MYCOBACTERIA CULTURELaboratory - Bacteriology & Microbiology$248.75
2021810HC OVA AND PARASITES SMEARSLaboratory - Bacteriology & Microbiology$216.80
2021811HC MICROBE SUSCEPTIBLE, DISKLaboratory - Bacteriology & Microbiology$121.96
2021814HC SMEAR, GRAM STAINLaboratory - Bacteriology & Microbiology$112.22
2021815HC SMEAR, FLUORESCENT/ACID STAILaboratory - Bacteriology & Microbiology$97.81
2021816HC SMEAR, SPECIAL STAINLaboratory - Bacteriology & Microbiology$187.16
2021817HC SMEAR, COMPLEX STAINLaboratory - Bacteriology & Microbiology$277.66
2021818HC SMEAR, WET MOUNT, SALINE/INKLaboratory - Bacteriology & Microbiology$84.53
2021819HC TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASITLaboratory - Bacteriology & Microbiology$65.21
2021820HC ASSAY, TOXIN OR ANTITOXINLaboratory - Bacteriology & Microbiology$48.30
2021821HC VIRUS INOCULATION, TISSUELaboratory - Bacteriology & Microbiology$582.02
2021822HC VIRUS INOCULATION, SHELL VIALaboratory - Bacteriology & Microbiology$260.82
2021824HC INFLUENZA B, AG, IFLaboratory - Bacteriology & Microbiology$96.60
2021826HC LEGION PNEUMOPHILIA AG, IFLaboratory - Bacteriology & Microbiology$195.62
2021828HC ASPERGILLUS AG, EIALaboratory - Bacteriology & Microbiology$315.16
2021829HC CRYPTOSPORIDIUM AG, EIALaboratory - Bacteriology & Microbiology$243.43
2021832HC HPYLORI, STOOL, EIALaboratory - Bacteriology & Microbiology$217.35
2021834HC HEPATITIS B SURFACE AG, EIALaboratory - Bacteriology & Microbiology$220.62
2021835HC HEPATITIS BE AG, EIALaboratory - Bacteriology & Microbiology$214.94
2021839HC STREP A AG, EIALaboratory - Bacteriology & Microbiology$111.09
2021840HC AG DETECT NOS, EIA, MULTLaboratory - Bacteriology & Microbiology$206.48
2021841HC LYME DIS, DNA, AMP PROBELaboratory - Bacteriology & Microbiology$897.17
2021842HC CHYLMD TRACH, DNA, AMP PROBELaboratory - Bacteriology & Microbiology$586.73
2021843HC CYTOMEG, DNA, AMP PROBELaboratory - Bacteriology & Microbiology$530.09
2021845HC ENTEROVIRUS, DNA, AMP PROBELaboratory - Bacteriology & Microbiology$478.17
2021846HC HEPATITIS B, DNA, QUANTLaboratory - Bacteriology & Microbiology$747.44
2021849HC HSV, DNA, AMP PROBELaboratory - Bacteriology & Microbiology$555.45
2021851HC HIV-1, DNA, QUANTLaboratory - Bacteriology & Microbiology$1,247.35
2021852HC M.PNEUMON, DNA, AMP PROBELaboratory - Bacteriology & Microbiology$543.38
2021853HC N.GONORRHOEAE, DNA, AMP PROBLaboratory - Bacteriology & Microbiology$586.73
2021855HC TRICHOMONAS VAGIN, DIR PROBELaboratory - Bacteriology & Microbiology$294.15
2021858HC DETECT AGENT NOS, DNA, QUANTLaboratory - Bacteriology & Microbiology$607.31
2021861HC RSV ASSAY W/OPTICLaboratory - Bacteriology & Microbiology$62.79
2021865HC MICROBIOLOGY PROCEDURELaboratory - Bacteriology & Microbiology$130.41
2022648HC C DIFF AMPLIFIED PROBELaboratory - Bacteriology & Microbiology$293.42
2022659HC SC STD ANTMCRB AGT AGAR DIL METH PR AGTLaboratory - Bacteriology & Microbiology$43.47
2022752HC CANDIDA NA DIRECT PROBELaboratory - Bacteriology & Microbiology$280.14
2022753HC GARDNERELLA DIR NA PROBELaboratory - Bacteriology & Microbiology$280.14
2023021HC STAPH A DNA AMP PROBELaboratory - Bacteriology & Microbiology$543.38
2023034HC DNA/RNA; MULTI ORG - AMP PRLaboratory - Bacteriology & Microbiology$1,028.79
2023035HC HC INFLUENZA DNA AMP PROBELaboratory - Bacteriology & Microbiology$2,862.98
2023039HC HISTOPLASMA CAPSUL AG EIALaboratory - Bacteriology & Microbiology$144.90
2023061HC HIV-1 AMPLIF NA PROBELaboratory - Bacteriology & Microbiology$660.50
2023064HC BARTONELLA AMPLIF NAPLaboratory - Bacteriology & Microbiology$248.75
2023068HC MYCOBACTERIA T AMPLIF NA PROBELaboratory - Bacteriology & Microbiology$333.27
2023069HC CHLAMYDIA P AMPLIF NA PROBELaboratory - Bacteriology & Microbiology$543.38
2023075HC HERPES 6 NA QUANLaboratory - Bacteriology & Microbiology$647.22
2023631HC AEROBIC STOOL CULTR ADDTL PATHOG EA PLATELaboratory - Bacteriology & Microbiology$53.13
2024459HC GENOTYPE DNA HEPATITIS BLaboratory - Bacteriology & Microbiology$2,466.92
2024605HC RESP VIRUS 3-5 TARGETSLaboratory - Bacteriology & Microbiology$637.56
2024607HC RESP VIRUS 12-25 TARGETSLaboratory - Bacteriology & Microbiology$2,056.37
2024653HC STREP A ASSAY W/OPTICLaboratory - Bacteriology & Microbiology$224.91
2024654HC GENOTYPE CYTOMEGALOVIRUSLaboratory - Bacteriology & Microbiology$2,466.92
2024868HC HIV-1 AG W/HIV-1 & HIV-2 ABLaboratory - Bacteriology & Microbiology$405.82
2024992HC CANDIDA NA AMPLIFIED PROBELaboratory - Bacteriology & Microbiology$586.73
2025070HC GENOTYPE DNA HIVLaboratory - Bacteriology & Microbiology$636.18
2025118HC HPV HIGH-RISK TYPESLaboratory - Bacteriology & Microbiology$586.73
2025119HC HPV TYPES 16 & 18 ONLYLaboratory - Bacteriology & Microbiology$490.25
2025322HC CLOSTRIDIUM AG EIALaboratory - Bacteriology & Microbiology$83.97
2025852HC CNS DNA AMP PROBE TYPE 12-25Laboratory - Bacteriology & Microbiology$1,800.92
2025942HC MACROSCOPIC EXAM PARASITELaboratory - Bacteriology & Microbiology$53.94
2026039HC STREP A AMPLIF NA PROBELaboratory - Bacteriology & Microbiology$129.99
2026178HC IADNA-DNA/RNA PROBE TQ 6-11Laboratory - Bacteriology & Microbiology$790.47
2026438HC VIRUS INOCULATE TISSUE ADDLLaboratory - Bacteriology & Microbiology$67.35
2026789HC COVID-19 LAB TEST NON-CDCLaboratory - Bacteriology & Microbiology$195.62
2026794HC 2019-NCOV DIAGNOSTIC PLaboratory - Bacteriology & Microbiology$195.62
2026802HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQLaboratory - Bacteriology & Microbiology$195.62
2026907HC COVID-19 LAB TEST NON-CDC; HIGH THROUGHPUT TECHLaboratory - Bacteriology & Microbiology$195.62
2026908HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ; HIGH THROUGHPUT TECHLaboratory - Bacteriology & Microbiology$195.62
2027007HC NFCT AGENT DETECTION GILaboratory - Bacteriology & Microbiology$384.87
2027009HC SARSCOV2 & INF A&B AMP PRBLaboratory - Bacteriology & Microbiology$244.53
2027010HC SARSCOV2&INF A&B&RSV AMP PRBLaboratory - Bacteriology & Microbiology$293.43
2027027HC SARS-COV-2 COVID19 W/OPTICLaboratory - Bacteriology & Microbiology$53.13
2027028HC COV-19 AMP PRB HGH THRUPUT WITHIN 2 DAYS COLLECTLaboratory - Bacteriology & Microbiology$1.00
2021282HC METABOLIC PANEL TOTAL CALaboratory - Chemistry$170.37
2021283HC ELECTROLYTE PANELLaboratory - Chemistry$117.13
2021284HC COMPREHEN METABOLIC PANELLaboratory - Chemistry$310.01
2021296HC ASSAY OF CYCLOSPORINELaboratory - Chemistry$399.38
2021303HC DRUG/SUBSTANCE NOS 1-3Laboratory - Chemistry$96.36
2021314HC PROCAINAMIDE METABOLITESLaboratory - Chemistry$94.19
2021337HC URINE ALBUMIN, QUANTITATIVELaboratory - Chemistry$154.56
2021342HC ALPHA-1-ANTITRYPSIN, PHENOLaboratory - Chemistry$381.63
2021345HC ALPHA-FETOPROTEIN L3Laboratory - Chemistry$876.65
2021365HC ASSAY OF CADMIUMLaboratory - Chemistry$206.48
2021366HC ASSAY OF VITAMIN DLaboratory - Chemistry$498.72
2021372HC CALCULUS SPECTROSCOPYLaboratory - Chemistry$189.58
2021375HC CARCINOEMBRYONIC ANTIGENLaboratory - Chemistry$313.95
2021376HC ASSAY OF CARNITINELaboratory - Chemistry$297.05
2021377HC ASSAY OF CAROTENELaboratory - Chemistry$86.94
2021392HC ASSAY OF CITRATELaboratory - Chemistry$156.98
2021393HC COLLAGEN CROSSLINKSLaboratory - Chemistry$268.07
2021405HC ASSAY OF CYANIDELaboratory - Chemistry$109.88
2021407HC B-12 BINDING CAPACITYLaboratory - Chemistry$211.31
2021408HC CYSTATIN CLaboratory - Chemistry$156.98
2021410HC DEHYDROEPIANDROSTERONE-SULFATELaboratory - Chemistry$392.44
2021411HC DESOXYCORTICOSTERONELaboratory - Chemistry$175.09
2021420HC FATS/LIPIDS, FECES, QUALLaboratory - Chemistry$121.96
2021426HC BLOOD FOLIC ACID SERUMLaboratory - Chemistry$249.95
2021427HC ASSAY OF FOLIC ACID, RBCLaboratory - Chemistry$323.61
2021428HC ASSAY GALACTOSE TRANSFERASELaboratory - Chemistry$118.34
2021432HC BLOOD PHLaboratory - Chemistry$47.09
2021433HC BLOOD GASES: PH, PO2 & PCO2Laboratory - Chemistry$387.61
2021434HC ASSAY OF GASTRINLaboratory - Chemistry$259.61
2021444HC GLYCATED PROTEINLaboratory - Chemistry$200.45
2021446HC GONADOTROPIN (LH)Laboratory - Chemistry$355.01
2021447HC ASSAY, GROWTH HORMONE (HGH)Laboratory - Chemistry$245.12
2021450HC HEMOGLOBIN ELECTROPHORESISLaboratory - Chemistry$115.92
2021451HC HEMOGLOBIN CHROMOTOGRAPHYLaboratory - Chemistry$239.09
2021453HC FETAL HEMOGLOBIN ASSAY, QUALLaboratory - Chemistry$19.32
2021454HC GLYCOSYLATED HEMOGLOBIN TESTLaboratory - Chemistry$190.19
2021459HC ASSAY OF HOMOCYSTINELaboratory - Chemistry$431.08
2021460HC ASSAY OF FOR HVALaboratory - Chemistry$96.60
2021479HC ASSAY OF LIPOPROTEIN(A)Laboratory - Chemistry$172.67
2021480HC LIPOPRO BLD, ELECTROPHORETICLaboratory - Chemistry$62.79
2021482HC ASSAY OF BLOOD LIPOPROTEINLaboratory - Chemistry$132.83
2021484HC MASS SPECTROMETRY QUAL/QUANLaboratory - Chemistry$514.40
2021487HC DRUG SCREENING METHADONELaboratory - Chemistry$66.41
2021491HC NATRIURETIC PEPTIDELaboratory - Chemistry$472.13
2021494HC ALKALOIDS NOSLaboratory - Chemistry$218.56
2021514HC ORGANIC ACID, SINGLE, QUANTLaboratory - Chemistry$422.63
2021517HC ASSAY OF OSTEOCALCINLaboratory - Chemistry$438.32
2021518HC ASSAY OF OXALATELaboratory - Chemistry$65.93
2021520HC ASSAY OF BODY FLUID ACIDITYLaboratory - Chemistry$115.37
2021521HC ASSAY FOR CALPROTECTIN FECALLaboratory - Chemistry$408.14
2021527HC ASSAY OF URINE PHOSPHORUSLaboratory - Chemistry$72.45
2021528HC ASSAY OF PORPHOBILINOGENLaboratory - Chemistry$120.75
2021534HC ASSAY OF PREGNENOLONELaboratory - Chemistry$301.76
2021535HC ASSAY OF 17-HYDROXYPREGNENOLaboratory - Chemistry$334.48
2021538HC ASSAY OF PSA, TOTALLaboratory - Chemistry$363.46
2021544HC PROTEIN E-PHORESIS/URINE/CSFLaboratory - Chemistry$236.67
2021545HC ASSAY RBC PROTOPORPHYRINLaboratory - Chemistry$55.55
2021547HC ASSAY OF VITAMIN B-6Laboratory - Chemistry$444.36
2021551HC ASSAY OF RENINLaboratory - Chemistry$335.69
2021552HC ASSAY OF SELENIUMLaboratory - Chemistry$356.21
2021553HC ASSAY OF SEROTONINLaboratory - Chemistry$469.72
2021554HC ASSAY OF SEX HORMONE GLOBULLaboratory - Chemistry$366.70
2021557HC ASSAY OF SWEAT SODIUMLaboratory - Chemistry$28.98
2021559HC SPECTROPHOTOMETRYLaboratory - Chemistry$400.22
2021561HC ASSAY OF TESTOSTERONELaboratory - Chemistry$231.84
2021562HC ASSAY OF TOTAL TESTOSTERONELaboratory - Chemistry$518.02
2021563HC ASSAY OF VITAMIN B-1Laboratory - Chemistry$341.72
2021569HC ASSAY OF TSILaboratory - Chemistry$731.75
2021570HC ASSAY OF VITAMIN ELaboratory - Chemistry$216.14
2021585HC ASSAY OF URINE VMALaboratory - Chemistry$239.09
2021586HC ASSAY OF VIPLaboratory - Chemistry$275.31
2021588HC ASSAY OF VITAMIN ALaboratory - Chemistry$171.47
2021591HC ASSAY OF C-PEPTIDELaboratory - Chemistry$448.83
2022645HC HPYLORI BRTH NON-RADACT ISOTOPELaboratory - Chemistry$585.64
2023009HC BLOODGASES W/02 SATURATNLaboratory - Chemistry$160.60
2023020HC PLASMA HEMOGLOBINLaboratory - Chemistry$47.09
2023031HC ONCOPROTEIN DCPLaboratory - Chemistry$885.10
2023045HC PROTEIN WB; IM ID FOR BANDSLaboratory - Chemistry$496.28
2023046HC SUGARS; SINGLE QUAL EA SPECIMENLaboratory - Chemistry$30.19
2023047HC SUGARS; SINGLE QUAN EA SPECIMENLaboratory - Chemistry$105.05
2023056HC QUANT SERUM ACETONES/KETONESLaboratory - Chemistry$76.07
2023062HC ASSAY OF VOLATILESLaboratory - Chemistry$141.28
2023063HC ETHYLENE GLYCOLLaboratory - Chemistry$135.24
2023070HC ETHOSUXIMIDELaboratory - Chemistry$184.75
2023072HC DELTA ALALaboratory - Chemistry$91.77
2023073HC CC/MS; QUAL/QUAN SS & MPLaboratory - Chemistry$371.91
2023076HC SOMATOSTATINLaboratory - Chemistry$102.64
2023079HC PROCALCITONIN (PCT)Laboratory - Chemistry$387.61
2023130HC DRUG SCREENING COCAINELaboratory - Chemistry$81.14
2023302HC COLLECT BLOOD FROM PICCLaboratory - Chemistry$421.42
2023334HC STAT GLUCOSE/REAGENT STRIP IILaboratory - Chemistry$71.96
2023398HC ASSAY CARBOXYHB QUANTLaboratory - Chemistry$68.83
2023403HC MYELIN BASIC PROTEIN CSFLaboratory - Chemistry$159.39
2023561HC CARB DEFICIENT TRANSFERRINLaboratory - Chemistry$164.22
2023563HC CHEMILUMINESCENT ASSAYLaboratory - Chemistry$421.42
2023626HC UNLISTED CHEMISTRY PROCEDURELaboratory - Chemistry$91.77
2024425HC VITAMIN NOSLaboratory - Chemistry$163.01
2024428HC PHENOTYPE INFECT AGENT DRUGLaboratory - Chemistry$646.01
2024603HC HOMOGENIZ TISS FOR CULTURELaboratory - Chemistry$119.54
2024698HC ACTH STIM; ADRENAL INSUFFLaboratory - Chemistry$122.49
2024710HC HLA I & II TYPE VERIFY LRLaboratory - Chemistry$839.82
2024720HC UR ALBUMIN SEMIQUANTITATIVELaboratory - Chemistry$72.45
2024724HC OCCULT BLD FECES 1-3 TESTSLaboratory - Chemistry$50.72
2024730HC ELECTROPHORESIS NESLaboratory - Chemistry$123.00
2024739HC GLUCOSIDASE BETALaboratory - Chemistry$137.66
2024741HC B-HEXOSAMINIDASE EA ASSAYLaboratory - Chemistry$330.86
2024854HC DRUG SCREEN QUAN LAMOTRIGINELaboratory - Chemistry$66.41
2024855HC DRUG SCREEN QUANT EVEROLIMUSLaboratory - Chemistry$68.83
2024856HC DRUG SCREEN QUANT ZONISAMIDELaboratory - Chemistry$66.41
2024857HC DRUG SCRN QUAN LEVETIRACETAMLaboratory - Chemistry$66.41
2024858HC DRUG SCRN QUANT OXCARBAZEPINLaboratory - Chemistry$66.41
2024859HC AB; FRANCISELLA TULARENSISLaboratory - Chemistry$52.50
2024864HC CLOZAPINELaboratory - Chemistry$92.39
2024865HC MYCOPHENOLATE (MYCOPHENOLIC ACID)Laboratory - Chemistry$89.36
2024866HC TIAGABINELaboratory - Chemistry$89.04
2024986HC HLA II TYPING 1 LOCUS LRLaboratory - Chemistry$684.65
2025094HC DRUG SCREEN QUANTALCOHOLSLaboratory - Chemistry$272.90
2025095HC ALCOHOLS BIOMARKERS 1OR 2Laboratory - Chemistry$247.54
2025102HC ANALGESICS NON-OPIOID 1 OR 2Laboratory - Chemistry$297.05
2025105HC ANTIDEPRESSANT TRICYCLIC 1/2Laboratory - Chemistry$101.43
2025108HC ANTIEPILEPTICS NOS 1-3Laboratory - Chemistry$173.70
2025111HC BENZODIAZEPINES1-12Laboratory - Chemistry$258.41
2025112HC BENZODIAZEPINES 13 OR MORELaboratory - Chemistry$271.33
2025113HC OPIATES 1 OR MORELaboratory - Chemistry$177.50
2025116HC OPIOID &OPIATE ANALOG 5/MORELaboratory - Chemistry$195.62
2025559HC DRUG TEST(S), DEFINITIVE, QUAL/QUANT 1-7Laboratory - Chemistry$464.92
2025560HC DRUG TEST(S), DEFINITIVE, QUAL/QUANT 8-14Laboratory - Chemistry$715.31
2025562HC DRUG TEST(S), DEFINITIVE, QUAL/QUANT 22+Laboratory - Chemistry$1,251.77
2025704HC DRUG SCREENING FENTANYLLaboratory - Chemistry$77.28
2025790HC DRUG TEST PRSMV DIR OPT OBSLaboratory - Chemistry$179.92
2025798HC DRUG TEST PRSMV CHEM ANLYZRLaboratory - Chemistry$241.50
2025855HC DRUG/SUBSTANCE NOS 7/MORELaboratory - Chemistry$370.60
2025890HC AORTIC DYSFUNCTION/DILATIONLaboratory - Chemistry$5,094.75
2025891HC AORTIC DYSFUNCTION/DILATIONLaboratory - Chemistry$3,299.25
2025958HC EVAL AMNIOTIC FLUID PROTEINLaboratory - Chemistry$278.33
2026035HC VKORC1 GENELaboratory - Chemistry$264.60
2026056HC BLOOD GASES O2 SAT ONLYLaboratory - Chemistry$32.31
2026059HC TPMT GENE COM VARIANTSLaboratory - Chemistry$524.43
2026061HC MLH1 GENELaboratory - Chemistry$576.96
2026062HC FLT3 GENE ANALYSISLaboratory - Chemistry$249.00
2026063HC ASXL1 GENE TARGET SEQ ALYSLaboratory - Chemistry$895.92
2026064HC IDH2 COMMON VARIANTSLaboratory - Chemistry$887.37
2026065HC DH1 COMMON VARIANTSLaboratory - Chemistry$579.75
2026256HC GENERAL HEALTH PANELLaboratory - Chemistry$645.40
2026343HC DIHYDROTESTOSTERONELaboratory - Chemistry$297.05
2026696HC DRUG SCREENING OXYCODONELaboratory - Chemistry$464.92
2021597HC HEMATOCRITLaboratory - Hematology$36.23
2021598HC HEMOGLOBINLaboratory - Hematology$39.85
2021599HC COMPLETE CBC W/AUTO DIFF WBCLaboratory - Hematology$132.01
2021600HC COMPLETE CBC, AUTOMATEDLaboratory - Hematology$128.90
2021602HC AUTOMATED RETICULOCYTE COUNTLaboratory - Hematology$72.45
2021603HC AUTOMATED LEUKOCYTE COUNTLaboratory - Hematology$100.16
2021604HC AUTOMATED PLATELET COUNTLaboratory - Hematology$48.18
2021605HC BLOOD SMEAR INTERPRETATIONLaboratory - Hematology$101.18
2021608HC BLOOD CLOT FACTOR II TESTLaboratory - Hematology$301.88
2021609HC BLOOD CLOT FACTOR V TESTLaboratory - Hematology$309.12
2021610HC BLOOD CLOT FACTOR VII TESTLaboratory - Hematology$412.97
2021611HC CLTNG FACTOR VIII AHG 1 STGLaboratory - Hematology$563.90
2021612HC CLTNG FACTOR VIII VW FACTOR RISTOCETIN COFACTORLaboratory - Hematology$547.00
2021613HC CLTNG FACTOR VIII VW FACTOR AGLaboratory - Hematology$615.83
2021614HC CLTNG FACTOR VIII MULTMTRIC ALYSLaboratory - Hematology$422.63
2021615HC BLOOD CLOT FACTOR IX TESTLaboratory - Hematology$443.76
2021616HC BLOOD CLOT FACTOR X TESTLaboratory - Hematology$332.06
2021617HC BLOOD CLOT FACTOR XI TESTLaboratory - Hematology$491.45
2021618HC BLOOD CLOT FACTOR XII TESTLaboratory - Hematology$305.56
2021619HC CLTNG FACTOR XIII FIBRIN STABILIZINGLaboratory - Hematology$363.46
2021620HC CLTNG FACTOR XIII FIBRIN STABILIZING SCR SOLUBLaboratory - Hematology$220.97
2021622HC ANTITHROMBIN III TESTLaboratory - Hematology$392.44
2021625HC CLTNG NHBTORS PROTEIN C ACTVLaboratory - Hematology$480.59
2021627HC CLTNG NHBTORS PROTEIN S FRLaboratory - Hematology$438.32
2021628HC ASSAY ACTIVATED PROTEIN CLaboratory - Hematology$358.63
2021630HC FIBRIN DEGRADE, SEMIQUANTLaboratory - Hematology$125.52
2021632HC FIBRINOGENLaboratory - Hematology$223.39
2021633HC FBRNLYC FACTORS&NHBTORS PLSMNG ACTIVATORLaboratory - Hematology$121.96
2021634HC FBRNLYC FACTORS&NHBTORS PLSMNG XCPT AGIC ASSAYLaboratory - Hematology$201.65
2021636HC HGB/RBCS FTL F&MAT HEMRRG DIFFIAL LSSLaboratory - Hematology$136.45
2021637HC HGB/RBCS FTL F&MAT HEMRRG ROSETTELaboratory - Hematology$114.71
2021641HC MURAMIDASELaboratory - Hematology$276.52
2021644HC PROTHROMBIN TIMELaboratory - Hematology$164.22
2021646HC RUSSELL VIPER VENOM, DILUTEDLaboratory - Hematology$393.65
2021649HC RBC SED RATE, AUTOMATEDLaboratory - Hematology$76.07
2021650HC RBC SICKLE CELL TESTLaboratory - Hematology$97.81
2021651HC THROMBIN TIME, PLASMALaboratory - Hematology$111.09
2021652HC THROMBOPLASTIN TM PRTL PLSM/WHL BLDLaboratory - Hematology$118.52
2021653HC THROMBOPLASTIN TM PRTL SUBJ PLSM FXJS EALaboratory - Hematology$260.82
2021663HC BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REPRTLaboratory - Hematology$553.04
2021664HC BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRTLaboratory - Hematology$386.40
2021778HC BLOOD TYPING, ABOLaboratory - Hematology$280.20
2021779HC BLOOD TYPING, RH (D)Laboratory - Hematology$280.20
2021781HC BLOOD TYPING, RBC ANTIGENSLaboratory - Hematology$343.35
2022646HC BLD# RETICULOCYTES AUTO 1+ CELL MEASLaboratory - Hematology$50.72
2022745HC COAG TIME ACTIVATEDLaboratory - Hematology$82.11
2022746HC FIBRINOLYS OR/COAG SCRNLaboratory - Hematology$79.70
2023048HC OSMOTIC FRAGILITY RBC; UNINCUBATEDLaboratory - Hematology$37.43
2023404HC CLOTTING FUNCT ACTIVITYLaboratory - Hematology$211.31
2023550HC FACTOR INHIBITOR TESTLaboratory - Hematology$94.19
2025921HC UNLISTED HEMAT & COAG PROCEDLaboratory - Hematology$125.69
2021656HC ALLERGEN SPECIFIC IGELaboratory - Immunology$141.28
2021657HC WBC ANTIBODY IDENTIFICATIONLaboratory - Immunology$410.55
2021658HC PLATELET ANTIBODIESLaboratory - Immunology$352.59
2021659HC IMMUNOGLOBULIN ASSAYLaboratory - Immunology$403.31
2021660HC ANALaboratory - Immunology$301.88
2021661HC ANA TITERLaboratory - Immunology$185.80
2021662HC ANTISTREPTOLYSIN O, TITERLaboratory - Immunology$187.16
2021665HC C-REACTIVE PROTEINLaboratory - Immunology$239.09
2021667HC GLYCOPROTEIN ANTIBODYLaboratory - Immunology$328.44
2021668HC CARDIOLIPIN ANTIBODYLaboratory - Immunology$425.38
2021669HC COLD AGGLUTININ, TITERLaboratory - Immunology$71.24
2021670HC COMPLEMENT, ANTIGENLaboratory - Immunology$229.43
2021671HC COMPLEMENT/FUNCTION ACTIVITYLaboratory - Immunology$234.26
2021673HC CCP ANTIBODYLaboratory - Immunology$339.31
2021674HC DNA ANTIBODYLaboratory - Immunology$304.29
2021675HC NUCLEAR ANTIGEN ANTIBODYLaboratory - Immunology$356.21
2021676HC FLUORESCENT ANTIBODY, SCREENLaboratory - Immunology$463.68
2021677HC FLUORESCENT ANTIBODY, TITERLaboratory - Immunology$390.02
2021678HC HEMAGGLUTINATION INHIBITIONLaboratory - Immunology$57.96
2021679HC IMMUNOASSAY, TUMOR, CA 15-3Laboratory - Immunology$408.14
2021680HC IMMUNOASSAY, TUMOR, CA 19-9Laboratory - Immunology$288.59
2021681HC IMMUNOASSAY, TUMOR, CA 125Laboratory - Immunology$450.40
2021682HC HTROPHL ANTIBODIES SCRLaboratory - Immunology$186.38
2021684HC IMMUNOASSAY, TUMOR OTHERLaboratory - Immunology$304.29
2021685HC IMMUNOASSAY,INFECTIOUS AGENTLaboratory - Immunology$315.16
2021686HC IMMUNODIFFUSION OUCHTERLONYLaboratory - Immunology$176.30
2021691HC INTRINSIC FACTOR ANTIBODYLaboratory - Immunology$233.29
2021692HC LYMPHOCYTE TRANSFORMATIONLaboratory - Immunology$479.38
2021693HC B CELLS, TOTAL COUNTLaboratory - Immunology$555.45
2021694HC NK CELLS, TOTAL COUNTLaboratory - Immunology$562.70
2021695HC T CELLS, TOTAL COUNTLaboratory - Immunology$525.26
2021696HC T CELL, ABSOLUTE COUNT/RATIOLaboratory - Immunology$765.56
2021697HC T CELL, ABSOLUTE COUNTLaboratory - Immunology$243.92
2021698HC STEM CELLS, TOTAL COUNTLaboratory - Immunology$321.20
2021699HC MICROSOMAL ANTIBODYLaboratory - Immunology$419.00
2021701HC PART AGGLUJ SCR EA ANTBLaboratory - Immunology$199.24
2021704HC RHEUMATOID FACTOR, QUANTLaboratory - Immunology$135.24
2021705HC TB INTRADERMAL TESTLaboratory - Immunology$106.50
2021706HC BLOOD SEROLOGY, QUALITATIVELaboratory - Immunology$112.30
2021708HC ASPERGILLUS ANTIBODYLaboratory - Immunology$126.79
2021709HC BACTERIUM ANTIBODYLaboratory - Immunology$71.24
2021711HC BLASTOMYCES ANTIBODYLaboratory - Immunology$49.51
2021712HC ANTB BORRELIA BURGDORFERI CONFIRMATORY TSTLaboratory - Immunology$385.19
2021713HC ANTB BORRELIA BURGDORFERI LYME DISEASELaboratory - Immunology$434.70
2021715HC CAMPYLOBACTER ANTIBODYLaboratory - Immunology$65.21
2021716HC CHLAMYDIA ANTIBODYLaboratory - Immunology$182.33
2021717HC CHLAMYDIA IGM ANTIBODYLaboratory - Immunology$95.39
2021718HC COCCIDIOIDES ANTIBODYLaboratory - Immunology$62.79
2021720HC CMV ANTIBODYLaboratory - Immunology$234.26
2021721HC CMV ANTIBODY, IGMLaboratory - Immunology$195.62
2021722HC ENTEROVIRUS ANTIBODYLaboratory - Immunology$293.42
2021723HC ANTB EPSTEIN-BARR EB VIRUS EARLY AG EALaboratory - Immunology$274.10
2021724HC ANTB EPSTEIN-BARR EB VIRUS NUC AG EBNALaboratory - Immunology$306.71
2021725HC ANTB EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCALaboratory - Immunology$294.63
2021726HC EHRLICHIA ANTIBODYLaboratory - Immunology$188.37
2021727HC FUNGUS ANTIBODYLaboratory - Immunology$254.78
2021732HC HTLV/HIV CONFIRMATORY TESTLaboratory - Immunology$361.35
2021733HC ANTB HERPES SMPLX NON-SPEC TYP TSTLaboratory - Immunology$199.24
2021734HC ANTB HERPES SMPLX TYP 1Laboratory - Immunology$240.29
2021735HC HERPES SIMPLEX TYPE 2Laboratory - Immunology$322.70
2021736HC HISTOPLASMALaboratory - Immunology$128.00
2021737HC HIV-1Laboratory - Immunology$72.45
2021738HC HIV-2Laboratory - Immunology$225.80
2021739HC HIV-1/HIV-2, SINGLE ASSAYLaboratory - Immunology$287.81
2021740HC HEP B CORE ANTIBODY, TOTALLaboratory - Immunology$200.47
2021741HC HEP B CORE ANTIBODY, IGMLaboratory - Immunology$231.84
2021743HC HEP BE ANTIBODYLaboratory - Immunology$248.75
2021747HC LEGIONELLA ANTIBODYLaboratory - Immunology$213.73
2021748HC LEPTOSPIRA ANTIBODYLaboratory - Immunology$62.79
2021749HC MUMPS ANTIBODYLaboratory - Immunology$263.72
2021750HC MYCOPLASMA ANTIBODYLaboratory - Immunology$195.62
2021751HC PARVOVIRUS ANTIBODYLaboratory - Immunology$345.35
2021754HC RICKETTSIA ANTIBODYLaboratory - Immunology$199.24
2021755HC RUBELLA ANTIBODYLaboratory - Immunology$191.99
2021756HC RUBEOLA ANTIBODYLaboratory - Immunology$240.29
2021757HC TOXOPLASMA ANTIBODYLaboratory - Immunology$191.99
2021758HC TOXOPLASMA ANTIBODY, IGMLaboratory - Immunology$189.58
2021759HC TREPONEMA PALLIDUM, CONFIRMLaboratory - Immunology$220.02
2021760HC TRICHINELLA ANTIBODYLaboratory - Immunology$32.60
2021761HC VARICELLA-ZOSTER ANTIBODYLaboratory - Immunology$255.99
2021763HC VIRUS ANTIBODY NOSLaboratory - Immunology$249.95
2021764HC THYROGLOBULIN ANTIBODYLaboratory - Immunology$335.99
2021765HC HEPATITIS C AB TESTLaboratory - Immunology$310.33
2021767HC HLA TYPING B/C 1 AGLaboratory - Immunology$547.00
2021772HC RBC ANTIBODY ELUTIONLaboratory - Immunology$173.85
2021780HC BLOOD TYPING, ANTIGEN SCREENLaboratory - Immunology$343.35
2021783HC COMPATIBILITY TEST, INCUBATELaboratory - Immunology$173.85
2021784HC COMPATIBILITY TEST, ANTIGLOBLaboratory - Immunology$219.77
2021836HC HEPATITIS DELTA AG, EIALaboratory - Immunology$166.64
2022650HC TUBERCULOSIS TST CELL MEDIATED IMMUNITYLaboratory - Immunology$1,041.44
2022747HC ANTI-PHOSPHATIDYLSER ABLaboratory - Immunology$144.90
2022750HC ANTIBODY SALMONELLALaboratory - Immunology$44.68
2022751HC WEST NILE VIRUS ANTIBODYLaboratory - Immunology$225.80
2023038HC ISLET CELL ABLaboratory - Immunology$224.60
2023040HC AB HELMINTH NESLaboratory - Immunology$131.62
2023049HC ALLERG SP IGG QUAN OR SEMIQUANLaboratory - Immunology$44.68
2023050HC DNA ABLaboratory - Immunology$259.92
2023051HC IEP; NOT SERUMLaboratory - Immunology$202.86
2023052HC AB; BORDETELLALaboratory - Immunology$184.75
2023053HC AB; HEPATITIS DLaboratory - Immunology$195.62
2023058HC AB; COXIELLA BRUNETIILaboratory - Immunology$50.72
2023560HC HUMAN EPIDIDYMIS PROTEIN 4Laboratory - Immunology$217.35
2024641HC JOHN CUNNINGHAM ANTIBODYLaboratory - Immunology$70.93
2024643HC HLA CLASS1 & 2 ANTIBODY QUALITATIVELaboratory - Immunology$128.38
2024749HC SYPHILIS TEST NON-TREP QUANTLaboratory - Immunology$21.70
2024752HC CULTURE AEROBIC IDENTIFYLaboratory - Immunology$136.90
2024756HC CULTURE TYPE IMMUNOFLUORESCLaboratory - Immunology$28.71
2024758HC DNA/RNA SEQUENCINGLaboratory - Immunology$569.87
2024759HC MICROBE SUSCEPTIBLE ENZYMELaboratory - Immunology$23.40
2024763HC VANOMYCIN DNA AMP PROBELaboratory - Immunology$187.16
2024774HC M.AVIUM-INTRA DNA AMP PROBLaboratory - Immunology$173.01
2024851HC ALLERGEN SPECIFIC IGELaboratory - Immunology$40.51
2025984HC TB AG RESPONSE T-CELL SUSPLaboratory - Immunology$308.37
2024453HC GLUCOSE; BLD BY MONITOR DEVICELaboratory - Other$22.83
2021329HC MICROSCOPIC EXAM OF URINELaboratory - Urology$16.49
2023222HC N-AUTOM URINALYS WO MICROLaboratory - Urology$40.57
2024638HC URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODSLaboratory - Urology$87.49
2021606HC BONE MARROW INTERPRETATIONLaboratory Pathology $761.06
2021879HC CELL MARKER STUDYLaboratory Pathology $418.51
2021883HC TISSUE CULTURE, LYMPHOCYTELaboratory Pathology $916.49
2021884HC TISSUE CULTURE, SKIN/BIOPSYLaboratory Pathology $1,312.55
2021885HC TISSUE CULTURE, PLACENTALaboratory Pathology $629.11
2021886HC TISSUE CULTURE, BONE MARROWLaboratory Pathology $1,052.94
2021887HC TISSUE CULTURE, TUMORLaboratory Pathology $699.14
2021890HC CHROMOSOME ANALYSIS, BI-100Laboratory Pathology $1,234.07
2021892HC CHROMOSOME ANALYSIS, 5Laboratory Pathology $2,463.30
2021893HC CHROMOSOME ANALYSIS, 15-20Laboratory Pathology $1,828.16
2021894HC CHROMOSOME ANALYSIS, 45Laboratory Pathology $2,448.81
2021896HC CHROMOSOME ANALYS, PLACENTALaboratory Pathology $2,783.29
2021902HC CHROMOSOME KARYOTYPE STUDYLaboratory Pathology $536.13
2021904HC CHROMOSOME COUNT, ADDITIONALLaboratory Pathology $414.17
2021905HC CHROMOSOME STUDY, ADDITIONALLaboratory Pathology $350.18
2021907HC SURGICAL PATH, GROSSLaboratory Pathology $1,047.99
2021908HC LVL II-SURG PATH GROSS&MCRSCP XMLaboratory Pathology $1,204.41
2021909HC LEVEL III-SURG PATH GROSS&MICROSCOPIC XMLaboratory Pathology $1,360.83
2021910HC LVL IV-SURG PATH GROSS&MCRSCP XMLaboratory Pathology $1,564.17
2021911HC LVL V-SURG PATH GROSS&MCRSCP XMLaboratory Pathology $1,742.94
2021912HC LVL VI-SURG PATH GROSS&MCRSCP XMLaboratory Pathology $1,981.29
2021913HC DECALCIFY TISSUELaboratory Pathology $150.87
2021914HC SPEC STAINS GRP I MICROORGANISMS EALaboratory Pathology $981.70
2021915HC SPEC STAINS GRP II STAINS EALaboratory Pathology $603.51
2021916HC HISTOCHEMICAL STAINLaboratory Pathology $524.06
2021917HC ENZYME HISTOCHEMISTRYLaboratory Pathology $1,365.68
2021918HC CONSLTJ&REPRT SLIDES PREPARED ELSEWHERELaboratory Pathology $548.21
2021919HC CONSLTJ&REPRT MATRL REQ PREPJ SLIDESLaboratory Pathology $486.62
2021920HC PATH CONSULT INTROPLaboratory Pathology $231.84
2021921HC PATH CONSULT INTRAOP, 1 BLOCLaboratory Pathology $536.13
2021922HC PATH CONSULT INTRAOP, ADD'LLaboratory Pathology $202.86
2021925HC IMMUNOHISTOCHEMISTRYLaboratory Pathology $770.41
2021926HC IMFLUOR STD DIR METH 1ST STAINLaboratory Pathology $1,115.73
2021928HC ELECTRON MICROSCOPYLaboratory Pathology $6,724.57
2021930HC ANALYSIS, TUMORLaboratory Pathology $418.51
2021931HC TUMOR IMMUNOHISTOCHEM/MANUALLaboratory Pathology $886.24
2021932HC TUMOR IMMUNOHISTOCHEM/COMPUTLaboratory Pathology $467.21
2021933HC INSITU HYBRIDIZATION (FISH)Laboratory Pathology $477.99
2021934HC INSITU HYBRIDIZATION, MANUALLaboratory Pathology $725.71
2022423HC PROSTATE BIOPSY, ANY MTHDLaboratory Pathology $5,756.15
2022653HC TISS EXAM MOLECULAR STUDYLaboratory Pathology $66.41
2022920HC INSITU HYBRIDIZATION AUTOLaboratory Pathology $2,277.10
2023013HC CYT FNA EVAL SPEC EA ADDLaboratory Pathology $78.61
2023014HC CYT URINE 3-5 PROBE COMPLaboratory Pathology $3,420.85
2023015HC XM ARCHIVE TISSUE MOL ANLaboratory Pathology $177.32
2023444HC NERVE TEASING PREPLaboratory Pathology $783.84
2023568HC HBA1/HBA2 GENELaboratory Pathology $1,391.04
2024487HC NPM1Laboratory Pathology $874.23
2024488HC JAK2Laboratory Pathology $1,396.69
2024489HC IGH GENE REARRANGE AMP METHLaboratory Pathology $1,754.39
2024490HC TRG GENE REARRANGEMENT ANALLaboratory Pathology $1,783.37
2024491HC MOPATH PROCEDURE LEVEL 2Laboratory Pathology $1,839.17
2024492HC FLT3 GENELaboratory Pathology $645.98
2024493HC UNLISTED MOLECULAR PATHOLOGYLaboratory Pathology $645.98
2024495HC BCR-ABL (CML)Laboratory Pathology $1,643.70
2024496HC BCR-ABL (ALL)Laboratory Pathology $1,643.70
2024497HC MOPATH PROCEDURE LEVEL 6Laboratory Pathology $3,509.13
2024498HC PML-RARALaboratory Pathology $2,864.52
2024504HC IGK REARRANGEABN CLONAL POPLaboratory Pathology $1,754.39
2024505HC KRAS GENELaboratory Pathology $5,416.06
2024506HC BRAF GENELaboratory Pathology $1,893.29
2024525HC CFTR GENE COM VARIANTSLaboratory Pathology $1,113.20
2024528HC CFTR GENE FULL SEQUENCELaboratory Pathology $8,690.52
2024532HC CYP2C9 GENE COM VARIANTSLaboratory Pathology $1,719.99
2024534HC CYTOGEN M ARRAY COPY NO&SNPLaboratory Pathology $5,137.37
2024535HC F2 GENELaboratory Pathology $1,012.05
2024536HC F5 GENELaboratory Pathology $314.41
2024538HC FMR1 GENE DETECTIONLaboratory Pathology $588.43
2024545HC HFE GENELaboratory Pathology $748.57
2024546HC IKBKAP GENELaboratory Pathology $2,070.79
2024547HC IGH GENE REARRANG DIR PROBELaboratory Pathology $2,263.16
2024548HC IGH VARI REGIONAL MUTATIONLaboratory Pathology $2,828.95
2024550HC CHIMERISM ANAL NO CELL SELECLaboratory Pathology $796.64
2024554HC MTHFR GENELaboratory Pathology $434.53
2024567HC UGT1A1 GENE COMMON VARIANTSLaboratory Pathology $1,348.84
2024570HC HLA I TYPING COMPLETE HRLaboratory Pathology $5,584.75
2024571HC HLA I TYPING 1 LOCUS HRLaboratory Pathology $2,480.43
2024572HC HLA I TYPING 1 ALLELE HRLaboratory Pathology $724.21
2024573HC HLA II TYPING 1 LOC HRLaboratory Pathology $1,701.90
2024574HC HLA II TYPING 1 ALLELE HRLaboratory Pathology $1,378.27
2024575HC MOPATH PROCEDURE LEVEL 1Laboratory Pathology $1,267.01
2024576HC MOPATH PROCEDURE LVL 3Laboratory Pathology $1,976.85
2024577HC MOPATH PROCEDURE LEVEL 4Laboratory Pathology $1,916.47
2024578HC MOPATH PROCEDURE LEVEL 5Laboratory Pathology $2,862.95
2024579HC MOPATH PROCEDURE LEVEL 7Laboratory Pathology $6,782.82
2024580HC MOPATH PROCEDURE LEVEL 8Laboratory Pathology $6,056.19
2024581HC MOPATH PROCEDURE LEVEL 9Laboratory Pathology $6,351.88
2024582HC MICRODISSECTION MANUALLaboratory Pathology $2,160.69
2024663HC EGFR GENE COM VARIANTSLaboratory Pathology $891.19
2025120HC IMMUNOHISTO ANTIBODY ADDL SLIDELaboratory Pathology $654.84
2025150HC ISH, ADDTL SINGLE PROBE STAIN/SPECIMENLaboratory Pathology $314.43
2025151HC ISH, MULTIPLEX PROBE STAIN/SPECIMENLaboratory Pathology $728.12
2025152HC ISH, COMPUTER ASSISTED, ADDT?L SINGLE PROBE STAIN/SPECIMENLaboratory Pathology $1,259.00
2025153HC ISH, COMPUTER ASSISTED, MULTIPLEX PROBE STAIN/SPECIMENLaboratory Pathology $823.52
2025220HC TARGETED GENOMIC SEQ ANALYS 5-50Laboratory Pathology $3,622.50
2025548HC IIMMUNOFLUOR ANTB ADDL STAINLaboratory Pathology $532.51
2025644HC ABL1 GENELaboratory Pathology $1,916.47
2025645HC CEBPA GENE FULL SEQUENCELaboratory Pathology $1,916.47
2025646HC CALR GENE COM VARIANTSLaboratory Pathology $963.59
2025647HC KIT GENE TARGETED SEQ ANALYSLaboratory Pathology $1,916.47
2025648HC KIT GENE ANALYS D816 VARIANTLaboratory Pathology $726.29
2025649HC KRAS GENE ADDL VARIANTSLaboratory Pathology $1,146.86
2025650HC NRAS GENE VARIANTS EXON 2&3Laboratory Pathology $1,720.33
2025651HC PDGFRA GENELaboratory Pathology $1,916.47
2026022HC TARGETED GENOMIC SEQ ANALYS > 50Laboratory Pathology $8,759.00
2026029HC ONC BREAST MRNA 58 GENESLaboratory Pathology $9,297.06
2026030HC MICROSATELLITE INSTABILITYLaboratory Pathology $1,072.44
2026043HC MICRODISSECTION LASERLaboratory Pathology $132.40
2026317HC AR GENE CHARAC ALLELESLaboratory Pathology $1,839.17
2026318HC BTK GENE COMMON VARIANTSLaboratory Pathology $1,893.29
2026329HC MYD88 GENE P.LEU265PRO VRNTLaboratory Pathology $1,893.29
2026330HC NUDT15 GENE COMMON VARIANTSLaboratory Pathology $2,263.16
2026333HC SMN1 GENE DOS/DELETION ALYSLaboratory Pathology $1,839.17
2026936HC DPYD GENE COMMON VARIANTSLaboratory Pathology $839.08
2021866HC CYTOPATH FL NONGYN, SMEARSLaboratory Pathology - Cytology$382.78
2021867HC CYTOPATH, CONCENTRATE TECHLaboratory Pathology - Cytology$514.40
2021869HC CYTOPATH, C/V, THIN LAYERLaboratory Pathology - Cytology$269.27
2021872HC CYTP SMRS ANY OTH SRC PREPJ SCR&INTERPJLaboratory Pathology - Cytology$151.00
2021877HC CYTOPATHOLOGY EVAL OF FNALaboratory Pathology - Cytology$391.78
2021878HC CYTOPATH EVAL, FNA, REPORTLaboratory Pathology - Cytology$897.66
2021880HC FLOWCYTOMETRY/ TC, 1 MARKERLaboratory Pathology - Cytology$548.21
2021881HC FLOWCYTOMETRY/TC, ADD-ONLaboratory Pathology - Cytology$467.74
2021891HC CHROMOSOME ANALYSIS, 100Laboratory Pathology - Cytology$1,234.07
2021895HC CHROMOSOME ANALYSIS, 20-25Laboratory Pathology - Cytology$710.01
2021897HC CYTOGENETICS, DNA PROBELaboratory Pathology - Cytology$414.17
2021899HC CYTOGENETICS, 10-30Laboratory Pathology - Cytology$376.74
2021900HC CYTOGENETICS, 25-99Laboratory Pathology - Cytology$528.89
2021901HC CYTOGENETICS, 100-300Laboratory Pathology - Cytology$638.77
2021923HC INTRAOP CYTO PATH CONSULT, 1Laboratory Pathology - Cytology$761.06
2021924HC INTRAOP CYTO PATH CONSULT, 2Laboratory Pathology - Cytology$172.67
2023648HC CYTOGENETICS AND MOLEC CYTOGENETICS, INTERP & RPTLaboratory Pathology - Cytology$164.83
2024629HC CYTOPATH C/V AUTO FLUID REDOLaboratory Pathology - Cytology$444.93
2024661HC OBTAINING SCREEN PAP SMEARLaboratory Pathology - Cytology$142.73
2024682HC CYTOPATH CELL ENHANCE TECHLaboratory Pathology - Cytology$554.30
2025329HC CHROM ANALY; SITU AF CELLS FROM 6-12 COLLaboratory Pathology - Cytology$647.22
2024867HC IMMUNOHISTO ANTIBODY SLIDELaboratory Pathology - Histology$1,248.05
2025582HC M/PHMTRC ALYS ISH QUANT/SEMIQ EACHLaboratory Pathology - Histology$894.76
2020643HC MAGNETIC IMAGE, JAW JOINTMagnetic Resonance Technology (MRT) $2,646.18
2020659HC MRI ORBIT/FACE/NECK W/O DYEMagnetic Resonance Technology (MRT) $5,762.34
2020660HC MRI ORBIT/FACE/NECK W/DYEMagnetic Resonance Technology (MRT) $8,594.86
2020661HC MRI ORBT/FAC/NCK W/O & W/DYEMagnetic Resonance Technology (MRT) $9,767.29
2020662HC MR ANGIOGRAPHY HEAD W/O DYEMagnetic Resonance Technology (MRT) $6,644.21
2020663HC MR ANGIOGRAPH HEAD W/O&W/DYEMagnetic Resonance Technology (MRT) $11,229.00
2020664HC MR ANGIOGRAPHY NECK W/O DYEMagnetic Resonance Technology (MRT) $5,780.25
2020665HC MR ANGIOGRAPH NECK W/O&W/DYEMagnetic Resonance Technology (MRT) $9,798.01
2020667HC MRI BRAIN W/DYEMagnetic Resonance Technology (MRT) $8,185.27
2020668HC MRI BRAIN W/O & W/DYEMagnetic Resonance Technology (MRT) $9,301.39
2020700HC MRI CHEST W/O DYEMagnetic Resonance Technology (MRT) $5,775.13
2020701HC MRI CHEST W/DYEMagnetic Resonance Technology (MRT) $8,614.06
2020702HC MRI CHEST W/O & W/DYEMagnetic Resonance Technology (MRT) $9,789.05
2020703HC MRA W/O FOL W/CONT, CHESTMagnetic Resonance Technology (MRT) $6,637.82
2020730HC MRI NECK SPINE W/O DYEMagnetic Resonance Technology (MRT) $5,043.00
2020731HC MRI NECK SPINE W/DYEMagnetic Resonance Technology (MRT) $7,514.58
2020732HC MRI CHEST SPINE W/O DYEMagnetic Resonance Technology (MRT) $4,696.13
2020751HC MRI PELVIS W/O DYEMagnetic Resonance Technology (MRT) $4,058.71
2020752HC MRI PELVIS W/DYEMagnetic Resonance Technology (MRT) $6,052.88
2020753HC MRI PELVIS W/O & W/DYEMagnetic Resonance Technology (MRT) $6,878.45
2020871HC MR ANGIO UPR EXTR W/O&W/DYEMagnetic Resonance Technology (MRT) $3,584.01
2020996HC MRI ABDOMEN W/O DYEMagnetic Resonance Technology (MRT) $5,758.49
2020997HC MRI ABDOMEN W/DYEMagnetic Resonance Technology (MRT) $8,589.74
2020998HC MRI ABDOMEN W/O & W/DYEMagnetic Resonance Technology (MRT) $9,760.90
2021030HC CARDIAC MRI FOR MORPH W/DYEMagnetic Resonance Technology (MRT) $10,879.57
2022396HC MRA W/O FOL W/CONT, ABDMagnetic Resonance Technology (MRT) $5,433.39
2022399HC MRI W/O FOL W/CONT, BRST, UNMagnetic Resonance Technology (MRT) $7,922.44
2022402HC MRI W/O FOL W/CONT, BRST, BIMagnetic Resonance Technology (MRT) $11,861.40
2023505HC MRI U EXT NOT JOINT WO CONTRASTMagnetic Resonance Technology (MRT) $5,009.72
2023506HC MRI U EXT NOT JOINT W CONTRASTMagnetic Resonance Technology (MRT) $7,464.66
2023507HC MRI U EXTR; NOT JOINT W&WO CONTRMagnetic Resonance Technology (MRT) $8,466.86
2023508HC MRI U EXTR; ANY JOINT WO CONTRASTMagnetic Resonance Technology (MRT) $6,325.51
2023509HC MRI U EXTR; ANY JOINT W CONTRASTMagnetic Resonance Technology (MRT) $9,425.55
2023510HC MRI UE ANY JOINT W & WO CONTRASTMagnetic Resonance Technology (MRT) $10,690.14
2023525HC MRI - LEXTREM WO CONTRMagnetic Resonance Technology (MRT) $6,464.38
2023526HC MRI - LEXTREM W CONTRMagnetic Resonance Technology (MRT) $9,632.07
2023527HC MRI LEXTREM W&WO CONTRMagnetic Resonance Technology (MRT) $10,924.82
2023528HC MRI - LE JNT WO CONTRMagnetic Resonance Technology (MRT) $6,325.51
2023529HC MRI LE JNT W CONTRMagnetic Resonance Technology (MRT) $9,425.55
2023530HC MRI LE JNT W&WO CONTRMagnetic Resonance Technology (MRT) $10,690.14
2023572HC CARDIAC MRI FOR MORPHMagnetic Resonance Technology (MRT) $9,465.22
2023574HC UNLISTED MAGNETIC RESONANCE PROCEDMagnetic Resonance Technology (MRT) $2,858.37
2025616HC MRA ABD W/WO CONTRMagnetic Resonance Technology (MRT) $5,274.67
2025617HC MR ANGIO PELVIS W/WO CONTRASTMagnetic Resonance Technology (MRT) $6,468.87
2026012HC CARD MRI VEL FLW MAP ADD-ONMagnetic Resonance Technology (MRT) $587.24
2026384HC CAD BREAST MRIMagnetic Resonance Technology (MRT) $433.90
2026735HC MRT GEN CDSM NDSCMagnetic Resonance Technology (MRT) $1.06
2020666HC MRI BRAIN W/O DYEMagnetic Resonance Technology (MRT) - Brain/Brainstem$5,488.42
2020669HC FMRI BRAIN BY TECHMagnetic Resonance Technology (MRT) - Brain/Brainstem$3,535.32
2022407HC MRA W/O FOL W/CONT, LWR EXTMagnetic Resonance Technology (MRT) - MRA - Lower Extremities$6,557.18
2025630HC MRA LEXTREM W/WO CONTRMagnetic Resonance Technology (MRT) - MRA - Lower Extremities$6,366.47
2022408HC MRA W/O FOL W/CONT, PELVISMagnetic Resonance Technology (MRT) - MRA - Other$4,336.47
2026737HC MRA CDSM NDSCMagnetic Resonance Technology (MRT) - MRA - Other$1.06
2026779HC MRA CDSM QUALIFIED NOSMagnetic Resonance Technology (MRT) - MRA - Other$1.06
2022401HC MRI BREAST C- BILATERALMagnetic Resonance Technology (MRT) - MRI - Other$7,675.75
2025720HC MRI FETAL SNGL/1ST GESTATIONMagnetic Resonance Technology (MRT) - MRI - Other$1,238.84
2025721HC MRI FETAL EA ADDL GESTATIONMagnetic Resonance Technology (MRT) - MRI - Other$389.28
2026736HC MRI CDSM NDSCMagnetic Resonance Technology (MRT) - MRI - Other$1.06
2020733HC MRI CHEST SPINE W/DYEMagnetic Resonance Technology (MRT) - Spinal Cord/Spine$7,003.88
2020734HC MRI LUMBAR SPINE W/O DYEMagnetic Resonance Technology (MRT) - Spinal Cord/Spine$5,967.13
2020735HC MRI LUMBAR SPINE W/DYEMagnetic Resonance Technology (MRT) - Spinal Cord/Spine$8,890.53
2020736HC MRI NECK SPINE W/O & W/DYEMagnetic Resonance Technology (MRT) - Spinal Cord/Spine$8,523.18
2020737HC MRI THORAC SPINE W & WO CONTRMagnetic Resonance Technology (MRT) - Spinal Cord/Spine$7,958.73
2020738HC MRI LUMBAR SPINE W/O & W/DYEMagnetic Resonance Technology (MRT) - Spinal Cord/Spine$10,084.72
2021975HC DIALYSIS PROCEDUREMiscellaneous Dialysis $4,087.03
2026112HC ULTRAFILTRATION ONLYMiscellaneous Dialysis - Ultrafiltration$2,470.00
2026201HC IP ULTRAFILTRATIONMiscellaneous Dialysis - Ultrafiltration$2,469.00
2020517HC IDENTIFY SENTINEL NODENuclear Medicine $3,470.36
2021207HC THYROID MET IMAGING, BODYNuclear Medicine $4,774.46
2026732HC NUC MED CDSM NDSCNuclear Medicine $1.00
2021201HC THYROID, SINGLE UPTAKENuclear Medicine - Diagnostic Procedures$1,420.02
2021204HC THYROID IMAGING WITH UPTAKENuclear Medicine - Diagnostic Procedures$2,840.04
2021211HC THYROID MET UPTAKENuclear Medicine - Diagnostic Procedures$1,289.61
2021213HC BONE MARROW IMAGING, BODYNuclear Medicine - Diagnostic Procedures$2,559.90
2021214HC BLOOD VOLUMENuclear Medicine - Diagnostic Procedures$1,732.76
2021215HC RED CELL SEQUESTRATIONNuclear Medicine - Diagnostic Procedures$1,616.84
2021216HC SPLEEN IMAGINGNuclear Medicine - Diagnostic Procedures$1,588.71
2021217HC LYMPH SYSTEM IMAGINGNuclear Medicine - Diagnostic Procedures$4,502.77
2021221HC SERIAL SALIVARY IMAGINGNuclear Medicine - Diagnostic Procedures$1,418.81
2021222HC ESOPHAGEAL MOTILITY STUDYNuclear Medicine - Diagnostic Procedures$3,537.98
2021223HC GASTROESOPHAGEAL REFLUX EXAMNuclear Medicine - Diagnostic Procedures$1,802.83
2021224HC GASTRIC EMPTYING IMAG STUDYNuclear Medicine - Diagnostic Procedures$3,934.04
2021226HC ACUTE GI BLOOD LOSS IMAGINGNuclear Medicine - Diagnostic Procedures$2,044.97
2021227HC MECKEL'S DIVERT EXAMNuclear Medicine - Diagnostic Procedures$3,051.35
2021228HC BONE IMAGING, LIMITED AREANuclear Medicine - Diagnostic Procedures$2,346.17
2021230HC BONE IMAGING, WHOLE BODYNuclear Medicine - Diagnostic Procedures$3,257.84
2021231HC BONE IMAGING, 3 PHASENuclear Medicine - Diagnostic Procedures$4,495.52
2021238HC HEART IMAGE (3D), SINGLENuclear Medicine - Diagnostic Procedures$4,598.16
2021239HC HEART IMAGE (3D), MULTIPLENuclear Medicine - Diagnostic Procedures$5,540.01
2021240HC HEART INFARCT IMAGE (3D)Nuclear Medicine - Diagnostic Procedures$1,510.16
2021241HC GATED HEART, PLANAR, SINGLENuclear Medicine - Diagnostic Procedures$2,789.33
2021242HC GATED HEART, MULTIPLENuclear Medicine - Diagnostic Procedures$3,486.05
2021246HC LUNG PERFUSION IMAGINGNuclear Medicine - Diagnostic Procedures$2,276.14
2021253HC BRAIN IMAGE W/FLOW 4 + VIEWSNuclear Medicine - Diagnostic Procedures$5,024.41
2021255HC CEREBSP FLU FLO IMG X INTRO MATRL CISTRNGNuclear Medicine - Diagnostic Procedures$3,143.12
2021256HC CSF SHUNT EVALUATIONNuclear Medicine - Diagnostic Procedures$3,556.09
2021260HC K FLOW/FUNCT IMAGE W/O DRUGNuclear Medicine - Diagnostic Procedures$3,007.88
2021261HC K FLOW/FUNCT IMAGE W/DRUGNuclear Medicine - Diagnostic Procedures$2,255.61
2021262HC K FLOW/FUNCT IMAGE, MULTIPLENuclear Medicine - Diagnostic Procedures$4,699.59
2021264HC KIDNEY FUNCTION STUDYNuclear Medicine - Diagnostic Procedures$1,418.81
2021265HC URINARY BLADDER RETENTIONNuclear Medicine - Diagnostic Procedures$1,418.81
2021269HC RP LOCLZJ TUM 1 AREA 1 D IMGNuclear Medicine - Diagnostic Procedures$2,206.10
2021270HC RP LOCLZJ TUM 2+AREA 1+D IMGNuclear Medicine - Diagnostic Procedures$3,022.37
2021271HC RP LOCLZJ TUM/DSTRBJ AGT WHBDY 1 D IMGNuclear Medicine - Diagnostic Procedures$3,750.50
2021273HC RP LOCLZJ TUM SPECT 1 AREANuclear Medicine - Diagnostic Procedures$4,623.27
2021274HC RP LOCLZJ TUM/DSTRBJ AGT WHBDY REQ 2/> D IMGNuclear Medicine - Diagnostic Procedures$6,618.31
2022966HC BRAIN VASCULAR FLOW ONLYNuclear Medicine - Diagnostic Procedures$1,418.81
2023109HC HEPATOBILIARY SYSTEM IMAGINGNuclear Medicine - Diagnostic Procedures$4,456.88
2023110HC HEPATOBIL SYST IMAGE W/DRUGNuclear Medicine - Diagnostic Procedures$6,105.12
2023113HC LUNG VENTILAT&PERFUS IMAGINGNuclear Medicine - Diagnostic Procedures$3,205.91
2023114HC LUNG PERFUSION DIFFERENTIALNuclear Medicine - Diagnostic Procedures$5,141.54
2023575HC LIVER IMAGE; W VASC FLOWNuclear Medicine - Diagnostic Procedures$2,375.15
2023576HC VT VENOGRAM; UNILNuclear Medicine - Diagnostic Procedures$1,702.58
2024467HC PARATHYRD PLANAR W/WO SUBTRJNuclear Medicine - Diagnostic Procedures$2,586.47
2025340HC HEART FIRST PASS SINGLENuclear Medicine - Diagnostic Procedures$1,407.95
2026034HC PARATHYRD PLANAR W/SPECT&CTNuclear Medicine - Diagnostic Procedures$2,832.80
2026473HC MUGA SGL W RV EF BY 1ST PASSNuclear Medicine - Diagnostic Procedures$2,283.88
2026622HC RP LOCLZJ TUM SPECT W/CT 1Nuclear Medicine - Diagnostic Procedures$4,623.27
2026623HC RP LOCLZJ TUM SPECT 2 AREASNuclear Medicine - Diagnostic Procedures$5,085.60
2022358HC TC99M SESTAMIBINuclear Medicine - Diagnostic Radiopharmaceuticals$945.00
2022359HC TC99M MEDRONATENuclear Medicine - Diagnostic Radiopharmaceuticals$494.04
2022361HC TL201 THALLIUM PER 1 MCINuclear Medicine - Diagnostic Radiopharmaceuticals$203.11
2022365HC TC99M PERTECHNETATENuclear Medicine - Diagnostic Radiopharmaceuticals$11.35
2022366HC IODINE I-123 SOD IODIDE MICNuclear Medicine - Diagnostic Radiopharmaceuticals$780.57
2022369HC I131 SERUM ALBUMIN, DXNuclear Medicine - Diagnostic Radiopharmaceuticals$819.00
2022373HC TC99M MEBROFENINNuclear Medicine - Diagnostic Radiopharmaceuticals$420.21
2022374HC TC99M PYROPHOSPHATENuclear Medicine - Diagnostic Radiopharmaceuticals$967.68
2022375HC TC99M PENTETATENuclear Medicine - Diagnostic Radiopharmaceuticals$2,770.99
2022377HC TC99M FILT SULFUR COLLOIDNuclear Medicine - Diagnostic Radiopharmaceuticals$11,740.68
2022386HC TC99M MERTIATIDENuclear Medicine - Diagnostic Radiopharmaceuticals$4,953.31
2023753HC AMYVID FLORBETAPIR F 18 INJNuclear Medicine - Diagnostic Radiopharmaceuticals$56,485.80
2026553HC TC99M UNFILT SULFUR COLLOIDNuclear Medicine - Diagnostic Radiopharmaceuticals$1,153.02
5020037HC TC99M TETROFOSMINNuclear Medicine - Diagnostic Radiopharmaceuticals$548.10
5020042HC F18 FDG =< 45 MCINuclear Medicine - Diagnostic Radiopharmaceuticals$1,877.40
5020046HC TECHNETIUM TC-99M AEROSOLNuclear Medicine - Diagnostic Radiopharmaceuticals$3,425.62
5020053HC NEURACEQ RADIOPHARM DX BETA AMYLOID PETNuclear Medicine - Diagnostic Radiopharmaceuticals$35,280.00
5020058HC FLUCICLOVINE F-18Nuclear Medicine - Diagnostic Radiopharmaceuticals$5,351.22
5020059HC GALLIUM GA-68Nuclear Medicine - Diagnostic Radiopharmaceuticals$816.66
2021279HC NUCLEAR RX, ORAL ADMINNuclear Medicine - Therapeutic Procedures$2,673.41
2021280HC NUCLEAR RX, IV ADMINNuclear Medicine - Therapeutic Procedures$2,056.37
2021281HC HEMATOPOIETIC NUCLEAR TXNuclear Medicine - Therapeutic Procedures$1,938.04
2023124HC INTRA-ARTERIAL RPHARM RXNuclear Medicine - Therapeutic Procedures$1,347.57
2023328HC HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHANNuclear Medicine - Therapeutic Procedures$6,078.56
2023329HC HDR RDNCL NTRSTL/ICAV BRCHTX 2-12 CHANNuclear Medicine - Therapeutic Procedures$6,685.93
2023620HC HDR RDNCL NTRSTL/ICAV BRCHTX 12+ CHANNuclear Medicine - Therapeutic Procedures$7,294.51
2022367HC I131 IODIDE CAP, RXNuclear Medicine - Therapeutic Radiopharmaceuticals$198.45
2025134HC RADIUM RA223 DICHLORIDE THER PER MICROCURIENuclear Medicine - Therapeutic Radiopharmaceuticals$1,725.95
1010022HC RB NURSERY/NEWBORN LEVEL INursery - Newborn - Level I$10,660.50
1010034HC RB NURSERY/NEWBORN LEVEL IINursery - Newborn - Level II$11,311.97
1010024HC RB NURSERY/NEWBORN LEVEL IVNursery - Newborn - Level IV$13,500.00
2020292HC OT APPLICATION OF LONG ARM CAST GOOccupational Therapy $297.05
2022236HC OT HOT OR COLD PACKS THERAPY GOOccupational Therapy $77.28
2022242HC OT PARAFFIN BATH THERAPY GOOccupational Therapy $102.64
2022255HC OT ULTRASOUND THERAPY GOOccupational Therapy $140.07
2022257HC OT THERAPEUTIC EXERCISES GOOccupational Therapy $397.27
2022260HC THERAPEUTIC EXERCISESOccupational Therapy $397.27
2022262HC OT NEUROMUSCULAR REEDUCATION GOOccupational Therapy $431.08
2022264HC OT AQUATIC THERAPY/EXERCISES GOOccupational Therapy $379.16
2022271HC OT MASSAGE THERAPY EA 15 MINS - GOOccupational Therapy $272.90
2022277HC OT MANUAL THERAPY EA 15 MINS - GOOccupational Therapy $365.87
2022278HC OT GROUP THERAPEUTIC PROCEDURES GOOccupational Therapy $216.14
2022281HC OT THERAPEUTIC ACTIVITIES GO EA 15 MINSOccupational Therapy $363.46
2022291HC OT SENSORY INTEGRATION GO EA 15 MINSOccupational Therapy $385.19
2022293HC OT SELF CARE MNGMENT TRAINING GO EA 15 MINSOccupational Therapy $420.21
2022296HC OT COMMUNITY/WORK REINTEGRATION GO EA 15 MINSOccupational Therapy $324.82
2022299HC OT WHEELCHAIR MNGMENT TRAINING GO EA 15 MINSOccupational Therapy $276.52
2022300HC WORK HARDENINGOccupational Therapy $1,100.03
2022311HC OT INI ORTH MGMT/TRAINING GOOccupational Therapy $458.85
2022318HC OT C/O FOR ORTHOTIC/PROSTH USE 15 MIN GOOccupational Therapy $310.33
2022421HC OT ELEC STIM OTHER THAN WOUND GOOccupational Therapy $188.37
2022913HC CANALITH REPOSITIONING PROC GOOccupational Therapy $350.18
2026250HC OT GAIT TRAINING THERAPY EA 15 MINS GOOccupational Therapy $345.35
2026592HC OT THER IVNTJ COG FUNC 1ST 15 MIN GOOccupational Therapy $243.19
2026593HC OT THER IVNTJ COG FUNC EA ADDL 15 MIN GOOccupational Therapy $60.80
2026633HC OT OTA WHEELCHAIR MNGMENT TRAINING EA 15 MINS GOCOOccupational Therapy $276.52
2026635HC OT OTA THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN GOCOOccupational Therapy $363.46
2026637HC OT OTA ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS GOCOOccupational Therapy $458.85
2026643HC OT OTA SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES GOCOOccupational Therapy $420.21
2026645HC OT OTA NEUROMUSCULAR REEDUCATION EA 15 MINS GOCOOccupational Therapy $431.08
2026647HC OT OTA THERAPEUTIC EXERCISES EA 15 MINS GOCOOccupational Therapy $397.27
2026650HC OT OTA COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN GOCOOccupational Therapy $324.82
2026653HC OT OTA MANUAL THERAPY EA 15 MINS GOCOOccupational Therapy $365.87
2026659HC OT OTA MASSAGE THERAPY EA 15 MINS GOCOOccupational Therapy $272.90
2026948HC OT HCPRO PHONE CALL 5-10MIN GOOccupational Therapy $19.29
2026951HC OT HCPRO PHONE CALL 11-20MIN GOOccupational Therapy $38.09
2026954HC OT HCPRO PHONE CALL 21-30MIN GOOccupational Therapy $55.00
2026960HC OTA THER IVNTJ COG FUNC 1ST 15 MIN GO COOccupational Therapy $243.19
2026961HC OTA THER IVNTJ COG FUNC EA ADDL 15 MIN GO COOccupational Therapy $60.80
2022235HC OT RE-EVAL EST PLAN CARE GOOccupational Therapy - Evaluation or Reevaluation$559.07
2025788HC OT EVAL MOD COMPLEX GOOccupational Therapy - Evaluation or Reevaluation$1,351.37
2025789HC OT EVAL HIGH COMPLEX GOOccupational Therapy - Evaluation or Reevaluation$1,801.59
2025793HC OT EVAL LOW COMPLEX GOOccupational Therapy - Evaluation or Reevaluation$900.80
2022248HC OT ELECTRICAL STIMULATION GOOccupational Therapy - Visit Charge$144.90
2026571HC HH SERV OF OT EA 15 MINOccupational Therapy - Visit Charge$420.00
2026412HC REPLACE AORTIC VALVE PERQOperating Room Services $33,900.00
2026413HC REPLACE AORTIC VALVE OPENOperating Room Services $35,595.00
2026414HC REPLACE AORTIC VALVE OPEN AXILLARYOperating Room Services $37,375.00
2026416HC REPLACE AORTIC VALVE OPEN TRANSOperating Room Services $41,206.00
2026417HC TRCATH REPLACE AORTIC VALVEOperating Room Services $43,266.00
2026421HC TRANSCATH TMVR/REPLACE (OTHER CARDIAC SURG PROC)Operating Room Services $13,725.00
2026422HC TMVI TRANSTHORACIC EXPOSUREOperating Room Services $42,342.00
2010026HC S/P ABLATIONOperating Room Services - Minor Surgery$11,461.59
2010027HC S/P ANGIOPLASTYOperating Room Services - Minor Surgery$9,353.30
2010028HC S/P ASPIRATIONOperating Room Services - Minor Surgery$6,874.30
2010030HC S/P BILARY PROCEDUREOperating Room Services - Minor Surgery$7,915.16
2010031HC S/P BIOPSYOperating Room Services - Minor Surgery$8,567.82
2010032HC S/P CATH DECLOTTING PROCOperating Room Services - Minor Surgery$3,465.53
2010033HC S/P CATHETER REPOSITIONINGOperating Room Services - Minor Surgery$1,107.06
2010034HC S/P DESTRUCT BY NEUROLYT AGENTOperating Room Services - Minor Surgery$1,817.45
2010035HC S/P DRAINAGEOperating Room Services - Minor Surgery$8,051.75
2010036HC S/P EMBOLIZATIONOperating Room Services - Minor Surgery$30,889.06
2010037HC S/P INJECTION PROCEDUREOperating Room Services - Minor Surgery$6,685.93
2010038HC S/P INTRO TO NEEDLEOperating Room Services - Minor Surgery$7,541.47
2010039HC S/P KYPHOPLASTYOperating Room Services - Minor Surgery$26,379.05
2010040HC S/P OTHER PROCEDUREOperating Room Services - Minor Surgery$3,932.83
2010041HC S/P PERIPHERAL ANGIOPLASTYOperating Room Services - Minor Surgery$7,790.64
2010042HC S/P SELECTIVE CATH PLACEMENTOperating Room Services - Minor Surgery$20,572.18
2010044HC S/P STENT PROCEDUREOperating Room Services - Minor Surgery$6,632.80
2010045HC S/P THROMBECTOMYOperating Room Services - Minor Surgery$5,563.43
2010046HC S/P TIPSOperating Room Services - Minor Surgery$12,320.12
2010047HC S/P TRANSCATH THERAPY/PROCOperating Room Services - Minor Surgery$15,686.63
2010048HC S/P TUBE OR CATH PLACEMENTOperating Room Services - Minor Surgery$10,337.41
2010057HC S/P PERQ ART M-THROMBECT &/NFSOperating Room Services - Minor Surgery$6,425.41
2020002HC FNA BX W/O IMG GDN 1ST LESOperating Room Services - Minor Surgery$3,934.04
2020006HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLEOperating Room Services - Minor Surgery$1,226.39
2020007HC INCISION&DRAINAGE ABSCESS COMPLICATED/MULTIPLEOperating Room Services - Minor Surgery$2,133.92
2020008HC DRAINAGE OF HEMATOMA/FLUIDOperating Room Services - Minor Surgery$2,755.52
2020010HC PUNCTURE DRAINAGE OF LESIONOperating Room Services - Minor Surgery$2,472.36
2020011HC PUNCTURE DRAINAGE OF LESIONOperating Room Services - Minor Surgery$2,472.36
2020012HC DEBRIDE INFECTED SKINOperating Room Services - Minor Surgery$747.44
2020016HC DEBRIDE SKIN/TISSUEOperating Room Services - Minor Surgery$7,482.88
2020017HC DEBRIDE TISSUE/MUSCLEOperating Room Services - Minor Surgery$19,187.18
2020019HC DEBRIDE TISSUE/MUSCLE/BONEOperating Room Services - Minor Surgery$28,588.77
2020020HC TRIM SKIN LESIONOperating Room Services - Minor Surgery$1,543.25
2020021HC TRIM SKIN LESIONS, 2 TO 4Operating Room Services - Minor Surgery$2,175.73
2020022HC TRIM SKIN LESIONS, OVER 4Operating Room Services - Minor Surgery$2,839.58
2020025HC REMOVAL OF SKIN TAGSOperating Room Services - Minor Surgery$603.75
2020029HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<Operating Room Services - Minor Surgery$307.45
2020030HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CMOperating Room Services - Minor Surgery$413.47
2020033HC EXC TR-EXT B9+MARG 0.5 < CMOperating Room Services - Minor Surgery$1,447.79
2020034HC EXC TR-EXT B9+MARG 0.6-1 CMOperating Room Services - Minor Surgery$3,401.53
2020035HC EXC TR-EXT B9+MARG 1.1-2 CMOperating Room Services - Minor Surgery$3,738.42
2020036HC EXC TR-EXT B9+MARG 2.1-3 CMOperating Room Services - Minor Surgery$4,822.76
2020037HC EXC TR-EXT B9+MARG 3.1-4 CMOperating Room Services - Minor Surgery$5,308.17
2020038HC EXC TR-EXT B9+MARG > 4.0 CMOperating Room Services - Minor Surgery$8,074.55
2020039HC EXC H-F-NK-SP B9+MARG 0.5 <Operating Room Services - Minor Surgery$3,499.34
2020040HC EXC H-F-NK-SP B9+MARG 0.6-1Operating Room Services - Minor Surgery$4,086.18
2020042HC EXC H-F-NK-SP B9+MARG 2.1-3Operating Room Services - Minor Surgery$5,802.37
2020044HC EXC H-F-NK-SP B9+MARG > 4 CMOperating Room Services - Minor Surgery$10,092.86
2020045HC EXC FACE-MM B9+MARG 0.5 < CMOperating Room Services - Minor Surgery$2,718.08
2020046HC EXC FACE-MM B9+MARG 0.6-1 CMOperating Room Services - Minor Surgery$2,904.04
2020047HC EXC FACE-MM B9+MARG 1.1-2 CMOperating Room Services - Minor Surgery$3,217.99
2020051HC EXC TR-EXT MLG+MARG 0.5 < CMOperating Room Services - Minor Surgery$4,307.15
2020052HC EXC TR-EXT MLG+MARG 0.6-1 CMOperating Room Services - Minor Surgery$5,368.55
2020053HC EXC TR-EXT MLG+MARG 1.1-2 CMOperating Room Services - Minor Surgery$5,899.85
2020056HC EXC H-F-NK-SP MLG+MARG 1.1-2Operating Room Services - Minor Surgery$1,403.12
2020059HC EXC FACE-MM MALIG+MARG 1.1-2Operating Room Services - Minor Surgery$2,083.37
2020061HC TRIM NAIL(S)Operating Room Services - Minor Surgery$208.90
2020062HC DEBRIDE NAIL, 1-5Operating Room Services - Minor Surgery$613.68
2020063HC DEBRIDE NAIL, 6 OR MOREOperating Room Services - Minor Surgery$1,040.14
2020064HC REMOVAL OF NAIL PLATEOperating Room Services - Minor Surgery$1,477.98
2020066HC DRAIN BLOOD FROM UNDER NAILOperating Room Services - Minor Surgery$265.65
2020067HC REMOVAL OF NAIL BEDOperating Room Services - Minor Surgery$1,404.32
2020068HC BIOPSY, NAIL UNITOperating Room Services - Minor Surgery$1,912.68
2020069HC EXCISION OF NAIL FOLD, TOEOperating Room Services - Minor Surgery$757.10
2020070HC INJECTION INTO SKIN LESIONSOperating Room Services - Minor Surgery$2,721.32
2020071HC ADDED SKIN LESIONS INJECTIONOperating Room Services - Minor Surgery$3,991.27
2020074HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<Operating Room Services - Minor Surgery$1,496.09
2020075HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CMOperating Room Services - Minor Surgery$1,989.96
2020076HC SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CMOperating Room Services - Minor Surgery$2,483.83
2020077HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<Operating Room Services - Minor Surgery$784.88
2020078HC SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0CMOperating Room Services - Minor Surgery$887.51
2020079HC CLOSURE OF SPLIT WOUNDOperating Room Services - Minor Surgery$697.94
2020080HC INTMD WND REPAIR S/TR/EXTOperating Room Services - Minor Surgery$2,681.86
2020081HC INTMD WND REPAIR S/TR/EXTOperating Room Services - Minor Surgery$3,406.36
2020082HC INTMD WND REPAIR S/TR/EXTOperating Room Services - Minor Surgery$3,620.09
2020083HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<Operating Room Services - Minor Surgery$1,800.00
2020084HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CMOperating Room Services - Minor Surgery$2,400.00
2020085HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<Operating Room Services - Minor Surgery$2,450.02
2020086HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CMOperating Room Services - Minor Surgery$2,916.11
2020087HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CMOperating Room Services - Minor Surgery$3,111.73
2020088HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CMOperating Room Services - Minor Surgery$4,311.98
2020089HC REPAIR COMPLEX TRUNK 1.1 CM-2.5 CMOperating Room Services - Minor Surgery$2,011.66
2020090HC REPAIR COMPLEX TRUNK 2.6 CM-7.5 CMOperating Room Services - Minor Surgery$2,082.94
2020091HC REPAIR WOUND/LESION ADD-ONOperating Room Services - Minor Surgery$2,194.03
2020092HC REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CMOperating Room Services - Minor Surgery$2,925.77
2020093HC REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CMOperating Room Services - Minor Surgery$3,288.02
2020094HC REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1 CM-2.5 CMOperating Room Services - Minor Surgery$3,059.81
2020095HC REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CMOperating Room Services - Minor Surgery$3,824.15
2020097HC REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CMOperating Room Services - Minor Surgery$2,341.34
2020100HC ATT/REARRANGEMENT SCALP/ARM/LEG 10 CM/<Operating Room Services - Minor Surgery$4,710.46
2020102HC ATT/REARRANGEMENT F/C/C/M/N/AX/G/H/F 10 CM/<Operating Room Services - Minor Surgery$5,221.23
2020103HC ATT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0CMOperating Room Services - Minor Surgery$6,422.12
2020104HC ATT/REARGMT E/N/E/L DFCT 10 CM/<Operating Room Services - Minor Surgery$5,548.46
2020105HC ATT/REARGMT EYELID/NOSE/EAR/LIP 10.1-30.0 CMOperating Room Services - Minor Surgery$6,824.61
2020106HC WOUND PREP, TRK/ARM/LEGOperating Room Services - Minor Surgery$4,874.68
2020123HC DESTRUCT PREMALG LESIONOperating Room Services - Minor Surgery$1,402.95
2020124HC DESTRUCT PREMALG LES, 2-14Operating Room Services - Minor Surgery$140.42
2020125HC DESTROY PREMLG LESIONS 15+Operating Room Services - Minor Surgery$3,675.12
2020128HC DESTRUCT B9 LESION, 1-14Operating Room Services - Minor Surgery$3,045.32
2020129HC DESTRUCT LESION, 15 OR MOREOperating Room Services - Minor Surgery$1,186.97
2020130HC CHEMICAL CAUTERY, TISSUEOperating Room Services - Minor Surgery$1,292.05
2020131HC DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<Operating Room Services - Minor Surgery$2,325.24
2020133HC DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CMOperating Room Services - Minor Surgery$2,953.00
2020134HC DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CMOperating Room Services - Minor Surgery$3,248.30
2020135HC DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CMOperating Room Services - Minor Surgery$3,484.54
2020137HC DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/<Operating Room Services - Minor Surgery$2,325.24
2020151HC NEEDLE BIOPSY, MUSCLEOperating Room Services - Minor Surgery$5,041.31
2020152HC BIOPSY BONE TROCAR/NEEDLE SUPERFICIALOperating Room Services - Minor Surgery$8,822.00
2020153HC BIOPSY BONE TROCAR/NEEDLE DEEPOperating Room Services - Minor Surgery$7,986.41
2020154HC THER INJECTION, CARP TUNNEL BIOperating Room Services - Minor Surgery$1,563.71
2020155HC INJ TENDON SHEATH/LIGAMENTOperating Room Services - Minor Surgery$2,970.45
2020156HC INJ TENDON SHEATH/LIGAMENTOperating Room Services - Minor Surgery$2,970.45
2020157HC INJ TRIGGER POINT, 1/2 MUSCLOperating Room Services - Minor Surgery$3,500.61
2020158HC INJ TRIGGER POINT, 1/2 MUSCLOperating Room Services - Minor Surgery$3,500.61
2020159HC INJECT TRIGGER POINTS, =/> 3Operating Room Services - Minor Surgery$3,990.69
2020161HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$4,918.53
2020162HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$4,919.15
2020163HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$4,919.15
2020164HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$4,919.15
2020166HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$4,919.15
2020167HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$4,919.15
2020169HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$5,158.33
2020170HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$5,158.33
2020171HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$5,158.33
2020174HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$5,158.33
2020175HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$5,158.33
2020176HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$5,158.33
2020177HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$6,402.30
2020178HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$6,402.30
2020179HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$6,402.30
2020180HC DRAIN/INJ JOINT/BURSA W/O USOperating Room Services - Minor Surgery$6,402.30
2020181HC ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA RTOperating Room Services - Minor Surgery$6,402.30
2020182HC ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA LTOperating Room Services - Minor Surgery$6,402.30
2020183HC ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA BIOperating Room Services - Minor Surgery$6,402.30
2020184HC ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSAOperating Room Services - Minor Surgery$6,402.30
2020185HC ASPIRATE/INJ GANGLION CYSTOperating Room Services - Minor Surgery$388.82
2020186HC ASPIRATE/INJ GANGLION CYSTOperating Room Services - Minor Surgery$388.82
2020189HC ABLATE, BONE TUMOR(S) PERQOperating Room Services - Minor Surgery$6,420.28
2020196HC INJECTION FOR SHOULDER X-RAYOperating Room Services - Minor Surgery$6,388.88
2020205HC TREAT SHOULDER DISLOCATIONOperating Room Services - Minor Surgery$791.00
2020206HC TREAT SHOULDER DISLOCATION RTOperating Room Services - Minor Surgery$6,281.42
2020207HC TREAT SHOULDER DISLOCATION LTOperating Room Services - Minor Surgery$6,281.42
2020208HC INJECTION FOR ELBOW X-RAYOperating Room Services - Minor Surgery$1,299.27
2020212HC CL TX "NURSEMAID ELBOW" W MANIPOperating Room Services - Minor Surgery$751.07
2020216HC INJECTION FOR WRIST X-RAY RTOperating Room Services - Minor Surgery$1,615.64
2020217HC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ RTOperating Room Services - Minor Surgery$2,931.81
2020218HC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ LTOperating Room Services - Minor Surgery$2,931.81
2020219HC CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ RTOperating Room Services - Minor Surgery$4,258.85
2020220HC CLTX DSTL RDL FX/EPIPHYSL SEP +-W/MNPJ LTOperating Room Services - Minor Surgery$4,258.85
2020221HC CLTX MTCRPL FX 1 W/O MNPJ EA B1Operating Room Services - Minor Surgery$2,319.61
2020222HC CLTX MTCRPL FX 1 W/MNPJ EA B1Operating Room Services - Minor Surgery$2,319.61
2020259HC INJECTION FOR HIP X-RAYOperating Room Services - Minor Surgery$1,994.57
2020264HC NJX CNTRST KNE ARTHG/CT/MRIOperating Room Services - Minor Surgery$3,494.51
2020265HC TREAT KNEECAP FRACTURE LTOperating Room Services - Minor Surgery$2,466.92
2020269HC INCISION OF ACHILLES TENDON BIOperating Room Services - Minor Surgery$7,243.79
2020271HC INCISION OF ACHILLES TENDON LTOperating Room Services - Minor Surgery$7,243.79
2020273HC CLTX TIBL SHFT FX W/O MNPJ RTOperating Room Services - Minor Surgery$2,648.05
2020280HC CLTX DSTL FIBULAR FX LAT MALLS W/MNPJ LTOperating Room Services - Minor Surgery$3,033.24
2020281HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MNPJ RTOperating Room Services - Minor Surgery$2,517.64
2020282HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MNPJ LTOperating Room Services - Minor Surgery$2,517.64
2020283HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MNPJ LTOperating Room Services - Minor Surgery$3,531.94
2020284HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MNPJ RTOperating Room Services - Minor Surgery$3,531.94
2020285HC REMOVAL FOREIGN BODY FOOT SUBCUTANEOUSOperating Room Services - Minor Surgery$3,359.27
2020286HC REMOVAL FOREIGN BODY FOOT DEEPOperating Room Services - Minor Surgery$5,418.05
2020287HC CLOSED TX METATARSAL FRACTURE W/O MANIPULATIONOperating Room Services - Minor Surgery$1,903.39
2020294HC APPLICATION OF LONG ARM CAST LTOperating Room Services - Minor Surgery$297.05
2020295HC APPLICATION OF LONG ARM CAST RTOperating Room Services - Minor Surgery$297.05
2020299HC APPLICATION OF FOREARM CAST LTOperating Room Services - Minor Surgery$357.54
2020300HC APPLICATION OF FOREARM CAST RTOperating Room Services - Minor Surgery$357.54
2020303HC APPLY LONG ARM SPLINT RTOperating Room Services - Minor Surgery$340.52
2020304HC APPLY LONG ARM SPLINT LTOperating Room Services - Minor Surgery$340.52
2020307HC APPLY FOREARM SPLINT BIOperating Room Services - Minor Surgery$340.52
2020308HC APPLY FOREARM SPLINT LTOperating Room Services - Minor Surgery$340.52
2020309HC APPLY FOREARM SPLINT RTOperating Room Services - Minor Surgery$340.52
2020312HC APPLICATION FINGER SPLINT STATICOperating Room Services - Minor Surgery$340.52
2020313HC APPLICATION FINGER SPLINT STATIC F2Operating Room Services - Minor Surgery$340.52
2020314HC APPLICATION FINGER SPLINT STATIC F3Operating Room Services - Minor Surgery$340.52
2020315HC APPLICATION FINGER SPLINT STATIC F4Operating Room Services - Minor Surgery$340.52
2020316HC APPLICATION FINGER SPLINT STATIC FAOperating Room Services - Minor Surgery$340.52
2020317HC APPLICATION FINGER SPLINT STATIC F6Operating Room Services - Minor Surgery$340.52
2020318HC APPLICATION FINGER SPLINT STATIC F7Operating Room Services - Minor Surgery$340.52
2020320HC APPLICATION FINGER SPLINT STATIC F9Operating Room Services - Minor Surgery$340.52
2020321HC APPLICATION FINGER SPLINT STATIC F5Operating Room Services - Minor Surgery$340.52
2020324HC APPLICATION FINGER SPLINT DYNAMIC F1Operating Room Services - Minor Surgery$398.48
2020325HC APPLICATION FINGER SPLINT DYNAMIC F2Operating Room Services - Minor Surgery$398.48
2020326HC APPLICATION FINGER SPLINT DYNAMIC F3Operating Room Services - Minor Surgery$398.48
2020328HC APPLICATION FINGER SPLINT DYNAMIC F7Operating Room Services - Minor Surgery$398.48
2020329HC APPLICATION FINGER SPLINT DYNAMIC F9Operating Room Services - Minor Surgery$398.48
2020332HC STRAPPING OF SHOULDEROperating Room Services - Minor Surgery$340.52
2020336HC STRAPPING OF HAND OR FINGER F1Operating Room Services - Minor Surgery$340.52
2020346HC APPLICATION OF LONG LEG CAST BIOperating Room Services - Minor Surgery$821.10
2020347HC APPLICATION OF LONG LEG CAST LTOperating Room Services - Minor Surgery$821.10
2020348HC APPLICATION OF LONG LEG CAST RTOperating Room Services - Minor Surgery$821.10
2020350HC APPLICATION OF LONG LEG CAST LTOperating Room Services - Minor Surgery$870.61
2020351HC APPLICATION OF LONG LEG CAST RTOperating Room Services - Minor Surgery$870.61
2020354HC APPLICATION SHORT LEG CAST BELOW KNEE-TOE BIOperating Room Services - Minor Surgery$598.92
2020355HC APPLICATION SHORT LEG CAST BELOW KNEE-TOE LTOperating Room Services - Minor Surgery$598.92
2020356HC APPLICATION SHORT LEG CAST BELOW KNEE-TOE RTOperating Room Services - Minor Surgery$598.92
2020359HC APPLICATION SHORT LEG CAST WALKING/AMBULATORY LTOperating Room Services - Minor Surgery$565.11
2020360HC APPLICATION SHORT LEG CAST WALKING/AMBULATORY RTOperating Room Services - Minor Surgery$565.11
2020364HC APPLY RIGID LEG CAST RTOperating Room Services - Minor Surgery$716.10
2020365HC APPLY RIGID LEG CAST LTOperating Room Services - Minor Surgery$716.10
2020366HC APPLICATION OF LEG CAST BIOperating Room Services - Minor Surgery$565.11
2020367HC APPLICATION OF LEG CAST RTOperating Room Services - Minor Surgery$565.11
2020368HC APPLICATION OF LEG CAST LTOperating Room Services - Minor Surgery$565.11
2020369HC APPLICATION, LONG LEG SPLINT LTOperating Room Services - Minor Surgery$340.52
2020374HC APPLICATION LOWER LEG SPLINT RTOperating Room Services - Minor Surgery$340.52
2020375HC APPLICATION LOWER LEG SPLINT LTOperating Room Services - Minor Surgery$340.52
2020378HC STRAPPING OF KNEEOperating Room Services - Minor Surgery$340.52
2020379HC STRAPPING OF ANKLE AND/OR FTOperating Room Services - Minor Surgery$340.52
2020380HC STRAPPING OF TOESOperating Room Services - Minor Surgery$227.01
2020381HC APPLICATION OF PASTE BOOT BIOperating Room Services - Minor Surgery$800.78
2020382HC APPLICATION OF PASTE BOOT RTOperating Room Services - Minor Surgery$800.78
2020383HC APPLICATION OF PASTE BOOT LTOperating Room Services - Minor Surgery$800.78
2020384HC APPLICATION OF PASTE BOOTOperating Room Services - Minor Surgery$800.78
2020386HC REMOVAL/REVISION OF CAST BIOperating Room Services - Minor Surgery$340.52
2020387HC REMOVAL/REVISION OF CAST RTOperating Room Services - Minor Surgery$340.52
2020388HC REMOVAL/REVISION OF CAST LTOperating Room Services - Minor Surgery$340.52
2020391HC INSERT EMERGENCY AIRWAYOperating Room Services - Minor Surgery$1,096.41
2020392HC LARYNGOSCOPY FLEXIBLE DIAGNOSTICOperating Room Services - Minor Surgery$8,186.85
2020395HC IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQOperating Room Services - Minor Surgery$4,349.42
2020396HC BIOPSY, LUNG OR MEDIASTINUMOperating Room Services - Minor Surgery$1,497.09
2020448HC ESTABLISH ACCESS TO ARTERYOperating Room Services - Minor Surgery$1,442.50
2020451HC PLACE CATHETER IN AORTAOperating Room Services - Minor Surgery$2,154.15
2020460HC PLACE CATHETER IN ARTERY LTOperating Room Services - Minor Surgery$5,618.98
2020463HC PLACE CATHETER IN ARTERY RTOperating Room Services - Minor Surgery$9,414.02
2020465HC SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCHOperating Room Services - Minor Surgery$11,202.12
2020469HC NON-ROUTINE BL DRAW > 3 YRSOperating Room Services - Minor Surgery$76.07
2020476HC APHERESIS WBCOperating Room Services - Minor Surgery$3,762.57
2020477HC APHERESIS RBCOperating Room Services - Minor Surgery$3,725.14
2020479HC APHERESIS PLASMAOperating Room Services - Minor Surgery$3,725.14
2020480HC APHERESIS, SELECTIVEOperating Room Services - Minor Surgery$13,189.52
2020481HC PHOTOPHERESISOperating Room Services - Minor Surgery$10,871.12
2020483HC INSJ NON-TUN CTR CVC AGE 5 YR/>Operating Room Services - Minor Surgery$3,284.35
2020486HC INSJ TUN CTR CTR VAD W/SUBQ PORT AGE 5 YR/>Operating Room Services - Minor Surgery$3,366.51
2020487HC INSJ PICC 5 YR+ W/O IMAGINGOperating Room Services - Minor Surgery$7,000.00
2020489HC REPLACE CVAD CATHOperating Room Services - Minor Surgery$1,229.97
2020491HC COMPL RPLCMT PICC RS&IOperating Room Services - Minor Surgery$6,343.00
2020492HC RMVL TUN CVC W/O SUBQ PORT/PMPOperating Room Services - Minor Surgery$1,142.30
2020493HC RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJOperating Room Services - Minor Surgery$2,078.98
2020495HC DECLOT VASCULAR DEVICEOperating Room Services - Minor Surgery$499.91
2020500HC TRANSCATHETER RETRIEVALOperating Room Services - Minor Surgery$4,587.34
2020509HC INTRVASC US NONCORONARY 1STOperating Room Services - Minor Surgery$7,628.99
2020513HC DIAG BONE ASPIRATIONOperating Room Services - Minor Surgery$6,360.61
2020514HC DIAG BONE BIOPSYOperating Room Services - Minor Surgery$6,241.45
2020516HC NEEDLE BIOPSY, LYMPH NODESOperating Room Services - Minor Surgery$1,497.09
2020518HC IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQOperating Room Services - Minor Surgery$4,210.55
2020520HC NEEDLE BIOPSY OF LIVEROperating Room Services - Minor Surgery$1,497.09
2020532HC BIOPSY, ABDOMINAL MASSOperating Room Services - Minor Surgery$3,789.14
2020534HC PLACE GASTROSTOMY TUBE PERCOperating Room Services - Minor Surgery$3,925.99
2020536HC BIOPSY OF KIDNEYOperating Room Services - Minor Surgery$7,856.00
2020538HC INJECTION FOR BLADDER X-RAYOperating Room Services - Minor Surgery$4,994.22
2020539HC INSERT TEMP BLADDER CATHOperating Room Services - Minor Surgery$679.82
2020545HC BIOPSY OF VULVA/PERINEUMOperating Room Services - Minor Surgery$5,094.44
2020547HC BIOPSY OF VAGINAOperating Room Services - Minor Surgery$4,491.90
2020548HC EXAM OF CERVIX W/SCOPEOperating Room Services - Minor Surgery$2,203.69
2020549HC BX/CURETT OF CERVIX W/SCOPEOperating Room Services - Minor Surgery$3,401.70
2020550HC ENDOCERV CURETTAGE W/SCOPEOperating Room Services - Minor Surgery$1,250.97
2020553HC BIOPSY OF UTERUS LININGOperating Room Services - Minor Surgery$3,815.79
2020558HC REMOVE CERCLAGE SUTUREOperating Room Services - Minor Surgery$7,881.35
2020559HC OMMAYA RESERVOIR W/OUT CHEMOOperating Room Services - Minor Surgery$7,874.90
2020560HC SPI PNXR LMBR DXOperating Room Services - Minor Surgery$5,987.31
2020561HC SPI PNXR LMBR DXOperating Room Services - Minor Surgery$5,987.31
2020562HC THER SPI PNXR DRG CSFOperating Room Services - Minor Surgery$3,460.59
2020563HC INJECT EPIDURAL PATCHOperating Room Services - Minor Surgery$4,155.01
2020567HC NJX INTERLAMINAR CRV/THRCOperating Room Services - Minor Surgery$6,941.65
2020568HC NJX INTERLAMINAR LMBR/SAC W/O IMG GDNOperating Room Services - Minor Surgery$6,630.66
2020570HC ELEC ALYS PRGRBL PMP W/O REPRGRMGOperating Room Services - Minor Surgery$5,656.81
2020571HC ELEC ALYS PRGRBL PMP REPRGRMGOperating Room Services - Minor Surgery$7,749.05
2020572HC IMPLANT NEUROELECTRODESOperating Room Services - Minor Surgery$40,739.36
2020574HC NJX AA&/STRD OTHER PN/BRANCHOperating Room Services - Minor Surgery$8,351.07
2020575HC INJ PARAVERTEBRAL C/TOperating Room Services - Minor Surgery$11,760.87
2020576HC INJ PARAVERTEBRAL C/T ADD-ONOperating Room Services - Minor Surgery$14,112.32
2020577HC INJ PARAVERTEBRAL L/SOperating Room Services - Minor Surgery$16,053.59
2020578HC INJ PARAVERTEBRAL L/S ADD-ONOperating Room Services - Minor Surgery$9,508.25
2020579HC INJ FORAMEN EPIDURAL C/TOperating Room Services - Minor Surgery$15,086.51
2020580HC INJ FORAMEN EPIDURAL ADD-ONOperating Room Services - Minor Surgery$2,628.73
2020581HC INJ FORAMEN EPIDURAL L/SOperating Room Services - Minor Surgery$4,410.00
2020582HC INJ FORAMEN EPIDURAL ADD-ONOperating Room Services - Minor Surgery$5,556.60
2020583HC N BLOCK, STELLATE GANGLIONOperating Room Services - Minor Surgery$2,187.99
2020584HC CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIAOperating Room Services - Minor Surgery$915.29
2020591HC INJECTION TREATMENT OF NERVE RTOperating Room Services - Minor Surgery$3,155.20
2020592HC LASER SURGERY OF EYE RTOperating Room Services - Minor Surgery$5,879.32
2020593HC LASER SURGERY OF EYE LTOperating Room Services - Minor Surgery$5,879.32
2020601HC REVISION OF IRIS RTOperating Room Services - Minor Surgery$9,937.73
2020602HC REVISION OF IRIS LTOperating Room Services - Minor Surgery$9,937.73
2020607HC AFTER CATARACT LASER SURGERY RTOperating Room Services - Minor Surgery$3,268.70
2020608HC AFTER CATARACT LASER SURGERY LTOperating Room Services - Minor Surgery$3,268.70
2020617HC REPAIR DETACHED RETINA RTOperating Room Services - Minor Surgery$5,378.21
2020618HC REPAIR DETACHED RETINA LTOperating Room Services - Minor Surgery$5,378.21
2020620HC TREATMENT OF RETINA RTOperating Room Services - Minor Surgery$4,164.67
2020626HC EXTENSIVE RETINOPATHY 1+ SESS PHOTOCOAGULATION RTOperating Room Services - Minor Surgery$7,921.20
2020627HC EXTENSIVE RETINOPATHY 1+ SESS PHOTOCOAGULATION LTOperating Room Services - Minor Surgery$7,921.20
2022601HC SFT TISS BX - NECK/THORAXOperating Room Services - Minor Surgery$4,742.00
2022619HC BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIALOperating Room Services - Minor Surgery$1,662.90
2022628HC BX THYR PRQ CORE NDLOperating Room Services - Minor Surgery$1,043.28
2022690HC CL TX RADIAL & ULNA FXOperating Room Services - Minor Surgery$3,694.95
2022693HC BRONCOSCOPY THERAPEUTICOperating Room Services - Minor Surgery$1,500.63
2022695HC NON-ROUTINE BL DRAW 3/> YRSOperating Room Services - Minor Surgery$76.07
2022697HC FEM/POPL REVAS W/TLAOperating Room Services - Minor Surgery$13,138.68
2022698HC FEM/POPL REVAS W/TLAOperating Room Services - Minor Surgery$13,771.54
2022700HC FEM/POPL REVAS STN ATHEROperating Room Services - Minor Surgery$23,356.67
2022701HC TIB/PER REVASC W/ATHEROperating Room Services - Minor Surgery$13,734.11
2022702HC TIB/PER REVASC W/STENTOperating Room Services - Minor Surgery$13,734.11
2022704HC TIB/PER REVASC ADD-ONOperating Room Services - Minor Surgery$6,642.46
2022706HC REVSC OP/PRQ TIBPERO STNOperating Room Services - Minor Surgery$19,924.96
2022710HC EXT CEPHALIC VERSIONOperating Room Services - Minor Surgery$4,733.40
2022712HC NJX AA&/STRD NTRCOST NRV 1Operating Room Services - Minor Surgery$1,311.35
2022713HC INJ PARAVERT F JNT 3 LVLOperating Room Services - Minor Surgery$9,508.25
2022847HC INTRVASC US NONCORONARY ADDLOperating Room Services - Minor Surgery$6,422.69
2022893HC DEB SUBQ TISSUE ADD<20CMOperating Room Services - Minor Surgery$3,261.46
2022894HC DEB MUSC/FASCIA ADD<20CMOperating Room Services - Minor Surgery$6,716.12
2022898HC ADT'L NAIL AVLUSIONOperating Room Services - Minor Surgery$591.68
2022902HC APP MULT COMP LWR LEG RTOperating Room Services - Minor Surgery$353.73
2022903HC APP MULT COMP LWR LEG LTOperating Room Services - Minor Surgery$353.73
2022904HC APP MULT COMP LWR L BILOperating Room Services - Minor Surgery$353.73
2022905HC APP TTL CONTACT CAST RTOperating Room Services - Minor Surgery$716.10
2022906HC APP TTL CONTACT CAST LTOperating Room Services - Minor Surgery$716.10
2022907HC APP TTL CONTACT CAST BILOperating Room Services - Minor Surgery$716.10
2022908HC REM BOOT OR BODY CASTOperating Room Services - Minor Surgery$297.36
2022915HC REPAIR OF NAIL BEDOperating Room Services - Minor Surgery$2,172.29
2022943HC REMOVE IMPACTED EAR WAXOperating Room Services - Minor Surgery$705.18
2022946HC DX NASAL ENDOSCOPYOperating Room Services - Minor Surgery$3,042.90
2022947HC NASAL HEMORRH ANT SMPOperating Room Services - Minor Surgery$1,238.90
2022948HC REM FB INTRANASAL OFFICEOperating Room Services - Minor Surgery$1,081.92
2022953HC NONSEL CATH PLC IN VEINOperating Room Services - Minor Surgery$92.98
2022954HC INSERT BLADDER CATHETEROperating Room Services - Minor Surgery$216.14
2022965HC REM FB AUD CANAL WO ANESOperating Room Services - Minor Surgery$719.67
2022968HC CHEMODENERVATIONOperating Room Services - Minor Surgery$1,017.92
2022969HC CONT NAS HEMORRH ANT COMOperating Room Services - Minor Surgery$1,721.90
2022970HC NASAL ENDO W BLD CNTRLOperating Room Services - Minor Surgery$1,876.46
2022971HC NAS ENDO W BX POLY/DEBRIOperating Room Services - Minor Surgery$1,791.38
2023006HC BIOPSY OF CERVIXOperating Room Services - Minor Surgery$6,390.09
2023008HC UNLISTD PROC NERVOUS SYSOperating Room Services - Minor Surgery$5,192.25
2023083HC INJ PARAVERT F JNT C/T 2 LEVOperating Room Services - Minor Surgery$12,936.40
2023087HC SKIN SUB GRAFT TRNK/ARM/LEGOperating Room Services - Minor Surgery$6,705.25
2023088HC SKIN SUB GRAFT T/A/L ADD-ONOperating Room Services - Minor Surgery$402.10
2023091HC SKIN SUB GRAFT FACE/NK/HF/GOperating Room Services - Minor Surgery$2,011.70
2023092HC SKIN SUB GRAFT F/N/HF/G ADDLOperating Room Services - Minor Surgery$536.13
2023100HC INS ENDOVAS VENA CAVA FILTROperating Room Services - Minor Surgery$29,799.89
2023101HC ABD PARACENTESISOperating Room Services - Minor Surgery$4,887.96
2023102HC ABD PARACENTESIS W/IMAGINGOperating Room Services - Minor Surgery$7,083.20
2023103HC PERITONEAL LAVAGEOperating Room Services - Minor Surgery$952.14
2023104HC DESTROY CERV/THOR FACET JNTOperating Room Services - Minor Surgery$4,546.27
2023105HC DESTROY C/TH FACET JNT ADDLOperating Room Services - Minor Surgery$1,285.63
2023106HC DESTROY LUMB/SAC FACET JNTOperating Room Services - Minor Surgery$4,816.09
2023107HC DESTROY L/S FACET JNT ADDLOperating Room Services - Minor Surgery$1,238.60
2023138HC INJ TENDON ORIGIN/INSERTOperating Room Services - Minor Surgery$3,030.83
2023141HC NJX AA&/STRD GR OCPL NRVOperating Room Services - Minor Surgery$1,092.79
2023143HC INJ DUPUYTREN CORD W/ENZYMEOperating Room Services - Minor Surgery$484.21
2023145HC I&D CPLX POSTOP WND INFOperating Room Services - Minor Surgery$6,752.34
2023146HC DEB SKIN BONE AT FX SITEOperating Room Services - Minor Surgery$3,408.77
2023147HC CARPAL TUNNEL TX INJOperating Room Services - Minor Surgery$1,563.71
2023148HC REMOVAL OF SUPPORT IMPLANTOperating Room Services - Minor Surgery$2,016.04
2023159HC CL TX SCAPULAR FX; W MANIPOperating Room Services - Minor Surgery$3,131.82
2023162HC CL TX HUMERUS FX WO MANIPOperating Room Services - Minor Surgery$2,709.63
2023163HC CL TX HUMERUS FX W MANIPOperating Room Services - Minor Surgery$9,761.43
2023167HC CL TX RADIAL HD/NECK FX; WO MANIPOperating Room Services - Minor Surgery$9,960.67
2023170HC CL TX ULNAR SHAFT FX; WO MANIPOperating Room Services - Minor Surgery$1,980.30
2023171HC CL TX RADIAL & ULNAR SHFT FX; WO MANIPOperating Room Services - Minor Surgery$2,098.64
2023172HC CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNPOperating Room Services - Minor Surgery$2,931.81
2023173HC CLTX DSTL RDL FX/EPIPHYSL SEP W MNPOperating Room Services - Minor Surgery$4,258.85
2023174HC CL TX CARPAL SCAPHOID FX; WO MANIPOperating Room Services - Minor Surgery$2,315.99
2023175HC CL TX PHAL SHAFT FX; WO MANIPOperating Room Services - Minor Surgery$1,534.28
2023176HC CL TX PHALANG SHFT FX; W MANIPOperating Room Services - Minor Surgery$2,515.22
2023177HC CL TX ART FX MCP/IP JNT; WO MANOperating Room Services - Minor Surgery$1,787.10
2023178HC CL TX D PHAL FX FGR/THMB; WO MANIPOperating Room Services - Minor Surgery$1,741.22
2023179HC CL TX D PHAL FX FGRR/THMB; W MANIPOperating Room Services - Minor Surgery$2,576.81
2023183HC CL TX PROX TIBIAL FX WO MANIPOperating Room Services - Minor Surgery$2,349.80
2023184HC CL TX TIB SHFT FX WO MANIPOperating Room Services - Minor Surgery$2,648.05
2023185HC CL TX TIB SHFT FX W MANIPOperating Room Services - Minor Surgery$4,130.95
2023186HC CL TX DSTL FIB FX WO MANIPOperating Room Services - Minor Surgery$2,393.27
2023187HC CL TX DISTL FIB FX W MANIPOperating Room Services - Minor Surgery$3,033.24
2023188HC CLTX BIMALLEOLAR ANKLE FRACT WO MNPOperating Room Services - Minor Surgery$2,517.64
2023189HC CLTX BIMALLEOLAR ANKLE FRACT W MNPOperating Room Services - Minor Surgery$3,531.94
2023192HC TX TARSAL BONE FX ; WO MANIPUOperating Room Services - Minor Surgery$1,608.39
2023194HC APPLY LONG ARM CASTOperating Room Services - Minor Surgery$297.05
2023195HC APPLY SHORT ARM CASTOperating Room Services - Minor Surgery$357.54
2023197HC APPLY FINGER CASTOperating Room Services - Minor Surgery$227.01
2023198HC APPLY LONG ARM SPLINTOperating Room Services - Minor Surgery$340.52
2023199HC APPLY SHORT ARM SPLINT; STATICOperating Room Services - Minor Surgery$340.52
2023200HC APPLY SHORT ARM SPLINT; DYNAMICOperating Room Services - Minor Surgery$422.63
2023201HC APPLY FINGER SPLINT; DYNAMICOperating Room Services - Minor Surgery$398.48
2023202HC STRAPPING; ELBOW OR WRISTOperating Room Services - Minor Surgery$340.52
2023203HC STRAPPING; HAND OR FINGEROperating Room Services - Minor Surgery$340.52
2023204HC APPLY LONG LEG CASTOperating Room Services - Minor Surgery$821.10
2023206HC APPLY SH LEG CASTOperating Room Services - Minor Surgery$598.92
2023208HC APPLY LONG LEG SPLINTOperating Room Services - Minor Surgery$340.52
2023209HC APPLY SHORT LEG SPLINTOperating Room Services - Minor Surgery$340.52
2023211HC WEDGING OF CAST NOT CLUBFOOT CASTOperating Room Services - Minor Surgery$297.36
2023216HC CYSTO W MULTI OBSTR CLOT REMOperating Room Services - Minor Surgery$2,802.45
2023218HC NJX AA&/STRD NTRCOST NRV EAOperating Room Services - Minor Surgery$1,772.61
2023219HC INJ ANESTH; LUMB/THOR (SYMPATHETIC)Operating Room Services - Minor Surgery$1,772.61
2023221HC DESTR W NEUROLYTIC; OTHER PERIPH NRVOperating Room Services - Minor Surgery$3,155.20
2023240HC NJX PLATELET PLASMAOperating Room Services - Minor Surgery$2,698.76
2023294HC PUNCTURE ASPIR. CYST OF BOperating Room Services - Minor Surgery$1,565.82
2023303HC BIOPSY OF PALETE, UVULAOperating Room Services - Minor Surgery$1,467.97
2023304HC BIOPSY, OROPHARYNXOperating Room Services - Minor Surgery$2,396.10
2023305HC COLPOSCOPY W/LEEP OF CERVIXOperating Room Services - Minor Surgery$7,301.75
2023306HC ENDOCERVICAL CURETTAGEOperating Room Services - Minor Surgery$5,696.86
2023385HC DIAGNOSTIC COLONOSCOPYOperating Room Services - Minor Surgery$1,762.95
2023387HC COLONOSCOPY AND BIOPSYOperating Room Services - Minor Surgery$2,101.05
2023392HC COLONOSCOPY W/LESION REMOVALOperating Room Services - Minor Surgery$2,500.25
2023394HC DIAGNOSTIC ANOSCOPY SPXOperating Room Services - Minor Surgery$336.89
2023396HC SCRN COLONOSCOPY PT NOT HI RISKOperating Room Services - Minor Surgery$1,762.95
2023442HC AMNIOCENTESIS DIAGNOSTICOperating Room Services - Minor Surgery$908.47
2023443HC AMNIOCENTESIS THERAPEUTICOperating Room Services - Minor Surgery$1,628.92
2023446HC CL TX PROX HUMERAL FX; W MANIPOperating Room Services - Minor Surgery$13,064.18
2023448HC ST BX U ARM/ELB; SUPERFOperating Room Services - Minor Surgery$4,932.64
2023450HC RX CL ELBOW DISLOC WO ANESTHOperating Room Services - Minor Surgery$2,625.11
2023451HC CL TX "NURSEMAID ELBOW" W MANIPOperating Room Services - Minor Surgery$751.07
2023452HC WRIST ARTHROGRAPHY INJOperating Room Services - Minor Surgery$1,615.64
2023456HC CL TX POST HIP DISLOC WO ANESTHOperating Room Services - Minor Surgery$3,315.80
2023457HC SUPERF SFT TISS BX THIGH/KNEEOperating Room Services - Minor Surgery$2,016.04
2023462HC CL TX FX GT PHALANX(S); W MANIPOperating Room Services - Minor Surgery$1,269.32
2023465HC APPLY RIGID TOTAL CONTACT LEG CASTOperating Room Services - Minor Surgery$716.10
2023468HC OPEN BX OR EXC LN; SUPERFICIALOperating Room Services - Minor Surgery$5,886.56
2023469HC OPEN BX/EXC LN; DEEP CERV NODE(S)Operating Room Services - Minor Surgery$3,414.81
2023470HC OPEN BX/EXC LN; AXILLARY NODE(S)Operating Room Services - Minor Surgery$3,562.13
2023472HC NJX AA&/STRD II IH NERVESOperating Room Services - Minor Surgery$3,042.90
2023473HC NJX AA&/STRD PUDENDAL NERVEOperating Room Services - Minor Surgery$2,556.28
2023474HC N BLOCK INJ PLANTAR DIGITOperating Room Services - Minor Surgery$4,143.17
2023478HC REVISION OF IRIS LASEROperating Room Services - Minor Surgery$9,937.73
2023536HC SIJ ANESTH/STEROID INJOperating Room Services - Minor Surgery$6,179.99
2023646HC IMPLANT TCAT PULM VLV PERQOperating Room Services - Minor Surgery$19,933.41
2023668HC INCISION&REMOVAL FOREIGN BODY SUBQ TISS SIMPLEOperating Room Services - Minor Surgery$4,514.84
2023676HC BIOPSY OF LIPOperating Room Services - Minor Surgery$595.30
2023677HC BIOPSY VESTIBULE MOUTHOperating Room Services - Minor Surgery$924.95
2023678HC BIOPSY TONGUE ANTERIOR TWO-THIRDSOperating Room Services - Minor Surgery$2,344.97
2023679HC BIOPSY TONGUE POSTERIOR ONE-THIRDOperating Room Services - Minor Surgery$2,396.10
2023680HC BIOPSY FLOOR MOUTHOperating Room Services - Minor Surgery$1,362.90
2023681HC REMOVAL TUNNELED INTRAPERITONEAL CATHETEROperating Room Services - Minor Surgery$7,946.56
2023682HC I&D OF BARTHOLINS GLAND ABSCESSOperating Room Services - Minor Surgery$712.43
2023683HC BIOPSY VULVA/PERINEUM EACH ADDL LESIONOperating Room Services - Minor Surgery$2,495.90
2023684HC COLPOSCOPY VULVAOperating Room Services - Minor Surgery$695.52
2023687HC COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BXOperating Room Services - Minor Surgery$1,339.12
2023688HC COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIXOperating Room Services - Minor Surgery$4,241.95
2023692HC REMOVAL INTRAUTERINE DEVICE IUDOperating Room Services - Minor Surgery$576.88
2023693HC PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYSTOperating Room Services - Minor Surgery$782.91
2023696HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESIONSOperating Room Services - Minor Surgery$7,381.45
2023703HC EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM/>Operating Room Services - Minor Surgery$7,020.41
2023704HC EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CMOperating Room Services - Minor Surgery$7,788.38
2023706HC EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM/>Operating Room Services - Minor Surgery$1,739.86
2023720HC BONE MARROW ASPIRATE & BIOPSYOperating Room Services - Minor Surgery$6,704.25
2023735HC I&D OF VULVA OR PERINEAL ABSCESSOperating Room Services - Minor Surgery$810.23
2023738HC COLPOSCOPY VULVA W BXOperating Room Services - Minor Surgery$932.00
2023739HC COLPOSCOPY OF VAGINAOperating Room Services - Minor Surgery$950.30
2023740HC COLPOSCOPY VAGINA W BXOperating Room Services - Minor Surgery$1,284.78
2023760HC TRANSABD AMNIOINFUS W USOperating Room Services - Minor Surgery$2,565.94
2023764HC FETAL FLUID DRAINAGE W USOperating Room Services - Minor Surgery$2,557.49
2023768HC INS CATH ABD/L EXT ART 1STOperating Room Services - Minor Surgery$5,618.98
2024296HC PARTICAL MASTECTOMYOperating Room Services - Minor Surgery$5,270.74
2024297HC MAST SIMPLE COMPLETEOperating Room Services - Minor Surgery$8,157.87
2024304HC UNLISTED PROCEDURE HUMERUS OR ELBOWOperating Room Services - Minor Surgery$2,824.34
2024307HC ASPIRATE PLEURA W/O IMAGINGOperating Room Services - Minor Surgery$1,846.03
2024308HC ASPIRATE PLEURA W/ IMAGINGOperating Room Services - Minor Surgery$2,422.90
2024450HC CL TX IP JNT D W MANIP ; WO ANESTHOperating Room Services - Minor Surgery$2,014.11
2024460HC CLOSED TX MCP DISLOC SGL W MANIPOperating Room Services - Minor Surgery$2,905.25
2024461HC CLOSED TX DSTL RADIOULNAR DISLOC W MANIPOperating Room Services - Minor Surgery$3,341.15
2024464HC INSERT CATH PLEURA W/O IMAGEOperating Room Services - Minor Surgery$1,721.81
2024509HC INJ PARAVERT F JNT C/T 3 LEVOperating Room Services - Minor Surgery$14,112.32
2024513HC ANL SP INF PMP W/MDREPRG&FILOperating Room Services - Minor Surgery$652.05
2024516HC DESTR W NEUROLYTIC; PUDENDA NRVOperating Room Services - Minor Surgery$1,689.29
2024583HC CHEMODENERV MUSC MIGRAINEOperating Room Services - Minor Surgery$1,050.53
2024608HC CL TX RADIAL SHFT FX W MANIPOperating Room Services - Minor Surgery$3,801.21
2024609HC GALEAZZI FX/DISLOCOperating Room Services - Minor Surgery$4,417.04
2024610HC REPAIR ELBOW PERCOperating Room Services - Minor Surgery$9,331.56
2024624HC CL TX TRIMALL ANKLE FX; W MANIPOperating Room Services - Minor Surgery$3,586.28
2024627HC DRAIN FINGER ABSC SIMPLEOperating Room Services - Minor Surgery$1,346.36
2024628HC DRAIN FINGER ABSC COMPLICATEDOperating Room Services - Minor Surgery$1,517.83
2024630HC DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSOperating Room Services - Minor Surgery$444.36
2024637HC FITTING AND INSERTION OF PESSARY OR OTHER INTRAVAGINAL SUPPORT DEVICEOperating Room Services - Minor Surgery$429.48
2024674HC DRESS/DEBRID P-THICK BURN MOperating Room Services - Minor Surgery$915.38
2024679HC INSERT IUDOperating Room Services - Minor Surgery$1,863.34
2024681HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CMOperating Room Services - Minor Surgery$588.40
2024684HC CL TX POSTOP HIP DISLOC W ANESTHOperating Room Services - Minor Surgery$8,289.49
2024685HC REM SHOULDER OR HIP SPICAOperating Room Services - Minor Surgery$686.15
2024694HC NJX AA&/STRD TRIGEMINAL NRVOperating Room Services - Minor Surgery$3,290.44
2024746HC INF BURSA I&D - UA/ELBOWOperating Room Services - Minor Surgery$4,378.40
2024781HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDEOperating Room Services - Minor Surgery$11,003.95
2024782HC BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDEOperating Room Services - Minor Surgery$5,391.49
2024783HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDEOperating Room Services - Minor Surgery$11,003.95
2024784HC BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDEOperating Room Services - Minor Surgery$5,171.72
2024785HC BX BREAST W DEVICE 1ST LESION MAGNETIC RES GUIDEOperating Room Services - Minor Surgery$11,003.95
2024786HC BX BREAST W DEVICE ADDL LESION MAGNET RES GUIDEOperating Room Services - Minor Surgery$4,842.08
2024787HC PERQ DEVICE PLACEMT BREAST LOC 1ST LES W GUIDNCEOperating Room Services - Minor Surgery$3,577.11
2024788HC PERQ DEVICE PLACEMT BREAST LOC EA LES W GUIDNCEOperating Room Services - Minor Surgery$3,577.11
2024789HC PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GUIDOperating Room Services - Minor Surgery$3,244.48
2024790HC PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTCOperating Room Services - Minor Surgery$3,244.48
2024791HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAGOperating Room Services - Minor Surgery$3,645.25
2024792HC PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGEOperating Room Services - Minor Surgery$3,406.77
2024793HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUIDOperating Room Services - Minor Surgery$3,406.77
2024819HC CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLEOperating Room Services - Minor Surgery$1,668.77
2024820HC CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLEOperating Room Services - Minor Surgery$1,135.05
2024823HC CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLESOperating Room Services - Minor Surgery$1,522.66
2024824HC CHEMODENERV TRUNK MUSC 6/>Operating Room Services - Minor Surgery$1,645.82
2024849HC INSERT CERVICAL DILATOROperating Room Services - Minor Surgery$734.16
2024873HC DRAINAGE OF PILONIDAL CYSTOperating Room Services - Minor Surgery$961.17
2024874HC DEBRIDE SKIN MUSC AT FX SITEOperating Room Services - Minor Surgery$2,420.23
2024875HC RPR S/N/A/GEN/TRK12.6-20.0CMOperating Room Services - Minor Surgery$3,350.81
2024876HC RPR S/N/A/GEN/TRK20.1-30.0CMOperating Room Services - Minor Surgery$967.21
2024877HC RPR F/E/E/N/L/M 5.1-7.5 CMOperating Room Services - Minor Surgery$1,114.52
2024878HC RPR F/E/E/N/L/M 7.6-12.5 CMOperating Room Services - Minor Surgery$1,397.08
2024879HC CLOSURE OF SPLIT WOUNDOperating Room Services - Minor Surgery$8,073.35
2024880HC CMPLX RPR S/A/L ADDL 5 CM/>Operating Room Services - Minor Surgery$1,579.41
2024881HC CMPLX RPR E/N/E/L 2.6-7.5 CMOperating Room Services - Minor Surgery$12,913.09
2024882HC CMPLX RPR E/N/E/L ADDL 5CM/<Operating Room Services - Minor Surgery$1,170.68
2024883HC INITIAL TREATMENT OF BURN(S)Operating Room Services - Minor Surgery$502.32
2024884HC INCISION OF BREAST LESIONOperating Room Services - Minor Surgery$4,547.45
2024885HC EXPLORE WOUND EXTREMITYOperating Room Services - Minor Surgery$3,059.39
2024886HC REPLANTATION DIGIT COMPLETEOperating Room Services - Minor Surgery$14,841.38
2024887HC INTERDENTAL FIXATIONOperating Room Services - Minor Surgery$5,643.86
2024888HC CLOSED TX NOSE FX W/O STABLJOperating Room Services - Minor Surgery$2,304.70
2024891HC RESET DISLOCATED JAWOperating Room Services - Minor Surgery$399.68
2024894HC TREAT DISLOCATION/FRACTUREOperating Room Services - Minor Surgery$3,266.29
2024896HC TREAT HUMERUS FRACTUREOperating Room Services - Minor Surgery$4,738.52
2024897HC TREAT HUMERUS FRACTUREOperating Room Services - Minor Surgery$4,019.77
2024898HC TREAT RADIUS FRACTUREOperating Room Services - Minor Surgery$3,301.31
2024899HC TREAT ULNAR FRACTUREOperating Room Services - Minor Surgery$3,434.13
2024903HC TREAT WRIST BONE FRACTUREOperating Room Services - Minor Surgery$3,327.87
2024904HC TREAT FINGER FRACTURE EACHOperating Room Services - Minor Surgery$2,787.88
2024905HC TREAT FINGER DISLOCATIONOperating Room Services - Minor Surgery$2,879.89
2024907HC TREAT HIP DISLOCATIONOperating Room Services - Minor Surgery$1,712.94
2024908HC TREAT KNEE DISLOCATIONOperating Room Services - Minor Surgery$3,796.38
2024909HC TREAT KNEECAP DISLOCATIONOperating Room Services - Minor Surgery$2,797.78
2024910HC CLTX MEDIAL ANKLE FXOperating Room Services - Minor Surgery$2,547.83
2024911HC CLTX MED ANKLE FX W/MNPJOperating Room Services - Minor Surgery$3,628.54
2024912HC TREAT LOWER LEG FRACTUREOperating Room Services - Minor Surgery$4,535.92
2024914HC TREATMENT OF ANKLE FRACTUREOperating Room Services - Minor Surgery$3,628.54
2024915HC TREATMENT OF TOE FRACTUREOperating Room Services - Minor Surgery$7,310.21
2024916HC TREATMENT OF TOE FRACTUREOperating Room Services - Minor Surgery$8,626.04
2024917HC TREAT TOE DISLOCATIONOperating Room Services - Minor Surgery$889.93
2024918HC TREAT TOE DISLOCATIONOperating Room Services - Minor Surgery$730.54
2024921HC DRAINAGE OF NOSE LESIONOperating Room Services - Minor Surgery$987.74
2024922HC CONTROL OF NOSEBLEEDOperating Room Services - Minor Surgery$2,446.40
2024924HC REPAIR TONGUE LACERATIONOperating Room Services - Minor Surgery$1,316.18
2024925HC REPAIR TONGUE LACERATIONOperating Room Services - Minor Surgery$1,974.77
2024926HC REMOVE PHARYNX FOREIGN BODYOperating Room Services - Minor Surgery$1,109.69
2024927HC DRAINAGE OF RECTAL ABSCESSOperating Room Services - Minor Surgery$4,113.95
2024929HC REMOVE RECTAL OBSTRUCTIONOperating Room Services - Minor Surgery$4,113.95
2024930HC INCISION OF RECTAL ABSCESSOperating Room Services - Minor Surgery$3,420.85
2024931HC INCISION OF RECTAL ABSCESSOperating Room Services - Minor Surgery$6,916.15
2024932HC INCISION OF ANAL ABSCESSOperating Room Services - Minor Surgery$6,926.22
2024933HC INCISE EXTERNAL HEMORRHOIDOperating Room Services - Minor Surgery$877.85
2024934HC INJECTION FOR CHOLANGIOGRAM EXIST ACCESSOperating Room Services - Minor Surgery$4,412.21
2024935HC LAPAROSCOPIC CHOLECYSTECTOMYOperating Room Services - Minor Surgery$9,879.28
2024937HC EXCHANGE DRAINAGE CATHETEROperating Room Services - Minor Surgery$2,587.67
2024938HC REPLACE G/C TUBE PERCOperating Room Services - Minor Surgery$2,923.20
2024939HC REPLACE DUOD/JEJ TUBE PERCOperating Room Services - Minor Surgery$952.14
2024943HC EXCHANGE NEPHROSTOMY CATHOperating Room Services - Minor Surgery$4,443.60
2024944HC IRRIGATION OF BLADDEROperating Room Services - Minor Surgery$724.50
2024945HC CHANGE OF BLADDER TUBEOperating Room Services - Minor Surgery$1,541.98
2024949HC TREATMENT OF PENIS LESIONOperating Room Services - Minor Surgery$1,056.56
2024950HC PENILE INJECTIONOperating Room Services - Minor Surgery$920.12
2024951HC DRAINAGE OF SCROTUMOperating Room Services - Minor Surgery$5,028.03
2024952HC DRAINAGE OF SCROTUM ABSCESSOperating Room Services - Minor Surgery$1,558.96
2024953HC REPAIR OF VAGINAOperating Room Services - Minor Surgery$7,310.21
2024956HC CARE OF MISCARRIAGEOperating Room Services - Minor Surgery$3,984.75
2024957HC REMOVE FOREIGN BODY FROM EYEOperating Room Services - Minor Surgery$393.65
2024958HC REMOVE FOREIGN BODY FROM EYEOperating Room Services - Minor Surgery$668.96
2024959HC REMOVE FOREIGN BODY FROM EYEOperating Room Services - Minor Surgery$836.80
2024960HC DRAINAGE OF EYELID ABSCESSOperating Room Services - Minor Surgery$984.11
2024961HC REMOVE EYELID FOREIGN BODYOperating Room Services - Minor Surgery$980.49
2024962HC DRAIN EXTERNAL EAR LESIONOperating Room Services - Minor Surgery$1,001.02
2024963HC DRAIN EXTERNAL EAR LESIONOperating Room Services - Minor Surgery$3,059.39
2024967HC CLOSED TX OF ULNAR STYLOID FXOperating Room Services - Minor Surgery$2,497.11
2024972HC DX LARYNGOSCOPY EXCL NBOperating Room Services - Minor Surgery$5,233.24
2024974HC DR ABSC CYST HEMAT-MOUTH; SIMPLEOperating Room Services - Minor Surgery$1,127.81
2024975HC DR ABSC CYST HEMATOM - DENTOALVEOLAROperating Room Services - Minor Surgery$1,220.78
2024976HC UNLISTED PROCEDURE DENTOALVEOLAR STRUCTOperating Room Services - Minor Surgery$288.59
2024977HC I&D ABSCESS; PERITONSILLAROperating Room Services - Minor Surgery$1,094.00
2024979HC TX GASTRO INTUB W/ASPOperating Room Services - Minor Surgery$338.10
2024989HC DESTR W NEUROLYT TRIGEM NRV INF ALV BROperating Room Services - Minor Surgery$5,700.00
2024999HC TRANSFUSION INTRAUTERINE FETALOperating Room Services - Minor Surgery$1,226.98
2025012HC DRAINAGE OF ABSCESS OF PALATE UVULAOperating Room Services - Minor Surgery$1,123.37
2025013HC ESOPHAGUS MOTILITY STUDYOperating Room Services - Minor Surgery$1,258.22
2025046HC REP ET HAND; WO FG EA TENDONOperating Room Services - Minor Surgery$5,379.41
2025053HC INTMD WND REPAIR N-HF/GENIT 7.6-12.5Operating Room Services - Minor Surgery$2,568.00
2025054HC INTMD WND REPAIR N-HF/GENIT 12.6-20Operating Room Services - Minor Surgery$3,216.00
2025057HC EPIDRM AUTOGRFT TRNK/ARM/LEG 100 SQ CM/1% BAOperating Room Services - Minor Surgery$9,725.84
2025059HC EPIDRM A-GRFT FACE/NCK/HF/G 100 SQ CM/1% BAOperating Room Services - Minor Surgery$9,823.10
2025140HC DRAIN/INJ SMALL JOINT/BURSA W/USOperating Room Services - Minor Surgery$6,360.38
2025141HC DRAIN/INJ INTER JOINT/BURSA W/USOperating Room Services - Minor Surgery$7,323.25
2025142HC DRAIN/INJ MAJOR JOINT/BURSA W/USOperating Room Services - Minor Surgery$7,300.00
2025143HC MYELOGRAPHY LUMBAR INJECTION; CERVICALOperating Room Services - Minor Surgery$2,620.95
2025145HC MYELOGRAPHY LUMBAR INJECTION; LUMBOSACRALOperating Room Services - Minor Surgery$2,620.95
2025146HC MYELOGRAPHY LUMBAR INJECTION; 2 OR MORE REGIONSOperating Room Services - Minor Surgery$2,620.95
2025188HC EPIDURAL LYSIS OF ADH MULTI 1 DAYOperating Room Services - Minor Surgery$2,867.51
2025222HC I&D ABSC/CYS FOM; MASTIC SPACEOperating Room Services - Minor Surgery$1,550.07
2025245HC TX CL ELBOW DISLOC W ANESTHOperating Room Services - Minor Surgery$4,909.63
2025248HC NJX AA&/STRD SPRSCAP NRVOperating Room Services - Minor Surgery$1,618.43
2025250HC PLACE NEEDLE INTRAOSSEOUS INFUSIONOperating Room Services - Minor Surgery$571.98
2025262HC GUIDE CATHET FLUID DRAINAGEOperating Room Services - Minor Surgery$3,759.72
2025270HC REMOVE VAGINAL FOREIGN BODYOperating Room Services - Minor Surgery$8,015.57
2025271HC INSERT DRUG IMPLANTOperating Room Services - Minor Surgery$571.96
2025272HC REMOVE DRUG IMPLANTOperating Room Services - Minor Surgery$571.96
2025273HC REMOVE W INS DRUG IMPLANTOperating Room Services - Minor Surgery$784.88
2025342HC I&D PILONID CYST; CPLXOperating Room Services - Minor Surgery$1,575.79
2025344HC CL TX ULNAR SHFT FX W MANIPOperating Room Services - Minor Surgery$1,020.34
2025345HC CL TX PROX FIB/SHAFT FX W MANIPOperating Room Services - Minor Surgery$3,272.33
2025347HC TRACH TUBE CHG BEFORE FISTULA TRACTOperating Room Services - Minor Surgery$1,074.68
2025354HC REM FB EXT AUDITORY CANAL; W ANESTHOperating Room Services - Minor Surgery$5,473.60
2025355HC REM IMPL CONTRACEP CAPSOperating Room Services - Minor Surgery$739.02
2025360HC SREP F/E/N/L/MM; 12.6-20.0CMOperating Room Services - Minor Surgery$1,883.70
2025361HC INTMD WND REPAIR S/A/T/EXTOperating Room Services - Minor Surgery$4,210.55
2025362HC INTMD WND REPAIR FACE/MM 7.6-12.5 CMOperating Room Services - Minor Surgery$3,259.04
2025363HC CREP H/A/G/EXTR; EA ADD 5 CM/<Operating Room Services - Minor Surgery$2,687.10
2025365HC CL TX CMC DISLOC THUMB W MANIPOperating Room Services - Minor Surgery$452.81
2025366HC CL TX CMC DISL W M EAOperating Room Services - Minor Surgery$452.81
2025367HC CL TX MCP DISLOC W MANIP & ANESTHOperating Room Services - Minor Surgery$1,563.24
2025368HC INS BLADDER CATH COMPLEXOperating Room Services - Minor Surgery$863.37
2025373HC CIRCUMCISION W/REGIONL BLOCKOperating Room Services - Minor Surgery$2,577.36
2025379HC POSTPARTUM CARE ONLYOperating Room Services - Minor Surgery$265.65
2025380HC SURG TX INCOMPL ABORTIONOperating Room Services - Minor Surgery$4,734.07
2025381HC CL TX TRAUMA HIP DISLOC W ANESTHOperating Room Services - Minor Surgery$4,656.12
2025382HC CL TX FEMORAL SHAFT FX W MANIPOperating Room Services - Minor Surgery$5,770.64
2025383HC CL TX PATELLAR DISLOCATION; W ANESTHOperating Room Services - Minor Surgery$4,656.12
2025385HC CL TX ANKLE DISLOC W ANESTHOperating Room Services - Minor Surgery$4,656.12
2025386HC CL TX IP JOINT DISL; W ANESTHOperating Room Services - Minor Surgery$4,656.12
2025388HC UNLISTED PROCEDURE STOMACHOperating Room Services - Minor Surgery$2,545.41
2025390HC REMOVAL OF HEMORRHOID CLOTOperating Room Services - Minor Surgery$7,350.05
2025394HC ABSC CYST CONSTRAST INJOperating Room Services - Minor Surgery$132.83
2025396HC PLMT NEPHROSTOMY CATHETEROperating Room Services - Minor Surgery$5,457.01
2025399HC INSERT PLEURAL CATHOperating Room Services - Minor Surgery$5,445.83
2025401HC INJ W/FLUOR EVAL CV DEVICEOperating Room Services - Minor Surgery$2,008.02
2025404HC EGD PLACE GASTROSTOMY TUBEOperating Room Services - Minor Surgery$4,350.72
2025409HC CL TX OF MAND FX W ID FIXOperating Room Services - Minor Surgery$14,294.03
2025411HC AMPUTATE FING/TH SGL; W DIR CLOSEOperating Room Services - Minor Surgery$5,177.76
2025414HC LAPAROSCOPY; APPENDECTOMYOperating Room Services - Minor Surgery$15,181.54
2025494HC TX SHOULDER DISLOCATION W/ANESTHOperating Room Services - Minor Surgery$3,845.00
2025538HC EXCHANGE BILIARY DRG CATHOperating Room Services - Minor Surgery$5,003.19
2025542HC NJX PX NFROSGRM &/URTRGRM EXIST ACCESSOperating Room Services - Minor Surgery$3,663.56
2025572HC CONIZATION OF CERVIX LEEPOperating Room Services - Minor Surgery$7,952.08
2025614HC REMOVE LUNG CATHETEROperating Room Services - Minor Surgery$2,062.95
2025619HC CSF SHUNT REPROGRAMOperating Room Services - Minor Surgery$1,030.46
2025629HC CORDOCENTESIS (INTRAUTERINE)Operating Room Services - Minor Surgery$1,072.01
2025632HC FLUORO EXAM OF G/COLON TUBEOperating Room Services - Minor Surgery$2,190.41
2025633HC PERCUTANEOUS CHOLECYSTOSTOMYOperating Room Services - Minor Surgery$7,833.77
2025637HC RPR S/N/A/GEN/TKR > 30CMOperating Room Services - Minor Surgery$952.72
2025689HC CYSTOURETHROSCOPYOperating Room Services - Minor Surgery$2,241.12
2025701HC BIOPSY SALIVARY GLAND; INCISIONALOperating Room Services - Minor Surgery$6,908.36
2025703HC CIRCUMCISION NEONATE <=28 DAYSOperating Room Services - Minor Surgery$6,436.31
2025709HC COLPOPEXY LAPAROSCOPYOperating Room Services - Minor Surgery$29,313.89
2025715HC UNLISTED PROCEDURE FEMALE GENITAL SYSOperating Room Services - Minor Surgery$600.68
2025718HC REMOVE IMPACTED EAR WAX UNIOperating Room Services - Minor Surgery$139.47
2025719HC TRANSPERI NEEDLE PLACE PROSOperating Room Services - Minor Surgery$9,585.53
2025726HC OPEN TX FINGER DISLOCATION,SINGLEOperating Room Services - Minor Surgery$7,881.35
2025737HC LASER TX SKIN < 250 SQ CMOperating Room Services - Minor Surgery$501.04
2025738HC LASER TX SKIN 250-500 SQ CMOperating Room Services - Minor Surgery$501.04
2025755HC ABLTJ PERC LXTR/PERPH NRVOperating Room Services - Minor Surgery$17,095.30
2025756HC EXC LES MOUTH VESTIBULE W SIMPLE REPAIROperating Room Services - Minor Surgery$7,670.00
2025772HC INTRO CATH DIALYSIS CIRCUITOperating Room Services - Minor Surgery$3,484.95
2025780HC TRLUML BALO ANGIOP 1ST ARTOperating Room Services - Minor Surgery$11,912.90
2025781HC TRLUML BALO ANGIOP ADDL ARTOperating Room Services - Minor Surgery$11,913.30
2025782HC TRLUML BALO ANGIOP 1ST VEINOperating Room Services - Minor Surgery$11,912.90
2025783HC TRLUML BALO ANGIOP ADDL VEINOperating Room Services - Minor Surgery$11,102.70
2025799HC EXC TONGUE LESION W CL; ANT 2/3Operating Room Services - Minor Surgery$8,049.86
2025800HC TAP BLOCK BI INJECTIONOperating Room Services - Minor Surgery$3,771.60
2025807HC NJX INTERLAMINAR LMBR/SAC W/IMG GDNOperating Room Services - Minor Surgery$7,367.12
2025808HC NJX INTERLAMINAR CRV/THRCOperating Room Services - Minor Surgery$7,713.25
2025837HC CYSTO W DIL OF URETHRAL STRICTUREOperating Room Services - Minor Surgery$6,102.75
2025851HC N BLOCK INJ COMMON DIGITOperating Room Services - Minor Surgery$855.82
2025853HC BIOPSY INTRANASALOperating Room Services - Minor Surgery$3,847.73
2025870HC BX DONE W/COLPOSCOPY ADD-ONOperating Room Services - Minor Surgery$2,756.73
2025903HC SIALOLITHOTOMY; SM UNCOMPLICATEDOperating Room Services - Minor Surgery$8,053.32
2025913HC INC/REPL SPINE NSTIM PG/RCVROperating Room Services - Minor Surgery$33,402.32
2025918HC EXC LES/TUMOR DENTOALVEOLAR WO REPAIROperating Room Services - Minor Surgery$8,053.32
2025919HC TRACHEOBRONCH THRU OLD INCISIONOperating Room Services - Minor Surgery$1,639.86
2025930HC EXC LESION PALATE UVULA; WO CLOSUREOperating Room Services - Minor Surgery$8,053.32
2025935HC EXCISE TONGUE LESION WO CLOSUREOperating Room Services - Minor Surgery$8,269.80
2025950HC DRAINAGE OF ABSCESS; PAROTID SIMPLEOperating Room Services - Minor Surgery$3,847.73
2025955HC CL TX ANKLE DISLOCATION; WO ANESTHOperating Room Services - Minor Surgery$740.34
2025993HC EXC LES MOUTH VESTIBULE WO REPAIROperating Room Services - Minor Surgery$6,972.73
2026024HC CYSTO W REM FB/STNT URETH/BLDR; SIMPLEOperating Room Services - Minor Surgery$5,965.00
2026028HC EXC NECK LES SC < 3 CMOperating Room Services - Minor Surgery$4,742.00
2026040HC CL TX MONTEGGIA ELB FX W MANIPOperating Room Services - Minor Surgery$2,530.92
2026068HC REPAIR OF DIGIT NERVE 1Operating Room Services - Minor Surgery$16,278.39
2026070HC FORESKIN MANIPULATIONOperating Room Services - Minor Surgery$807.42
2026072HC REPAIR LIP FT; > 1/2 V HGT OR COMPLEXOperating Room Services - Minor Surgery$4,003.74
2026074HC REPAIR LIP FT; VERMILION ONLYOperating Room Services - Minor Surgery$1,617.19
2026075HC REPAIR CVA CATHETEROperating Room Services - Minor Surgery$2,154.84
2026077HC AMPUTATE FING/TH SGL; W LOC ADV FLAPOperating Room Services - Minor Surgery$9,305.07
2026080HC EXTENSOR TENDON REPAIR EACHOperating Room Services - Minor Surgery$4,748.67
2026082HC REP FLXR TENDON NOT ZONE 2 WO GRFT EAOperating Room Services - Minor Surgery$9,305.07
2026083HC REP T/M EXTENSOR FA/W ; 1' EAOperating Room Services - Minor Surgery$9,305.07
2026084HC REP TENDN/MSCL - FARM.WRISTOperating Room Services - Minor Surgery$9,305.07
2026089HC CL TX OF NASAL BONE FX; W STABILIZOperating Room Services - Minor Surgery$7,735.59
2026092HC SKIN FULL GRFT FACE/GENIT/HF =< 20 SQ CMOperating Room Services - Minor Surgery$5,517.24
2026095HC INTMD WND RPR S/A/T/E 20.1-30.0Operating Room Services - Minor Surgery$1,717.32
2026118HC SUTURE OF FACIAL NERVE; EXTRACRANIALOperating Room Services - Minor Surgery$16,278.39
2026120HC INS VAG BRACHYTX DEVICEOperating Room Services - Minor Surgery$943.98
2026121HC PLACE RT DEVICE/MARKER PROSOperating Room Services - Minor Surgery$4,174.35
2026124HC MUSC MYOQ/FSCQ FLP H&N PEDCLOperating Room Services - Minor Surgery$9,534.60
2026137HC CL TX NASAL SEPTAL FXOperating Room Services - Minor Surgery$7,735.59
2026158HC TIS TRNFR ADDL 30 SQ CMOperating Room Services - Minor Surgery$1,382.00
2026162HC PERQ DEV SOFT TISS 1ST IMAGOperating Room Services - Minor Surgery$2,015.10
2026171HC EPILATION BY FORCEPSOperating Room Services - Minor Surgery$369.51
2026176HC BX; NASOPHARYNX VISIBLE LESION SIMPLEOperating Room Services - Minor Surgery$4,512.43
2026245HC THROMBOLYSIS CEREBRAL BY IV INFUSIONOperating Room Services - Minor Surgery$1,046.76
2026252HC OPEN CHEST HEART MASSAGEOperating Room Services - Minor Surgery$6,829.35
2026263HC INTRAVITREAL INJECTION OF DRUGOperating Room Services - Minor Surgery$1,013.22
2026264HC FNA BX W/O IMG GDN EA ADDLOperating Room Services - Minor Surgery$2,754.00
2026265HC FNA BX W/US GDN 1ST LESOperating Room Services - Minor Surgery$4,331.00
2026266HC FNA BX W/US GDN EA ADDLOperating Room Services - Minor Surgery$2,887.33
2026267HC FNA BX W/FLUOR GDN 1ST LESOperating Room Services - Minor Surgery$4,331.00
2026269HC FNA BX W/CT GDN 1ST LESOperating Room Services - Minor Surgery$4,331.00
2026273HC TANGNTL BX SKIN SINGLE LESOperating Room Services - Minor Surgery$683.49
2026274HC TANGNTL BX SKIN EA SEP/ADDLOperating Room Services - Minor Surgery$413.30
2026275HC PUNCH BX SKIN SINGLE LESIONOperating Room Services - Minor Surgery$619.95
2026276HC PUNCH BX SKIN EA SEP/ADDLOperating Room Services - Minor Surgery$413.30
2026277HC INCAL BX SKN SINGLE LESOperating Room Services - Minor Surgery$1,103.52
2026278HC INCAL BX SKN EA SEP/ADDLOperating Room Services - Minor Surgery$735.68
2026283HC RPLC GTUBE NO REVJ TRCOperating Room Services - Minor Surgery$813.09
2026284HC RPLC GTUBE REVJ GSTRST TRCOperating Room Services - Minor Surgery$1,084.12
2026370HC SKIN TISSUE REARRANGEMENT 30.1-60.0 SQ CMOperating Room Services - Minor Surgery$9,718.92
2026372HC CL TX LUNATE DISLOC W MANIPOperating Room Services - Minor Surgery$4,614.48
2026373HC REPR FOOT EXTENSOR TENDON EAOperating Room Services - Minor Surgery$9,217.20
2026380HC RECONST NAIL BED W GRFTOperating Room Services - Minor Surgery$5,442.33
2026398HC REPAIR BLD VESSEL DIRECT; LWR EXTREMOperating Room Services - Minor Surgery$2,035.53
2026399HC INSJ PICC RS&I <5 YROperating Room Services - Minor Surgery$8,584.12
2026400HC INSJ PICC RS&I 5 YR+Operating Room Services - Minor Surgery$7,947.77
2026409HC MUSCLE FLAP; TRUNKOperating Room Services - Minor Surgery$9,718.92
2026429HC LOW COST SKIN SUB TRNK/ARM/LEG < 100 SQ CMOperating Room Services - Minor Surgery$6,705.25
2026430HC LOW COST SKIN SUB T/A/L < 100 SQ CM ADD-ONOperating Room Services - Minor Surgery$402.10
2026431HC LOW COST SKIN SUB TRNK/ARM/LEG > 100 SQ CMOperating Room Services - Minor Surgery$3,495.84
2026433HC LOW COST SKIN SUB FACE/NK/HF/G < 100 SQ CMOperating Room Services - Minor Surgery$2,011.70
2026434HC LOW COST SKIN SUB F/N/HF/G < 100 SQ CM ADD-ONOperating Room Services - Minor Surgery$536.13
2026442HC MYOMECTOMY VAG METHOD 1-4 MYOMASOperating Room Services - Minor Surgery$8,296.41
2026446HC REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS LTOperating Room Services - Minor Surgery$3,359.27
2026452HC STRAPPING OF TOES LTOperating Room Services - Minor Surgery$227.01
2026453HC STRAPPING OF TOES RTOperating Room Services - Minor Surgery$227.01
2026454HC BONE MARROW ASPIRATE & BIOPSY BILOperating Room Services - Minor Surgery$6,704.25
2026455HC BONE MARROW ASPIRATE & BIOPSY LTOperating Room Services - Minor Surgery$6,704.25
2026456HC BONE MARROW ASPIRATE & BIOPSY RTOperating Room Services - Minor Surgery$6,704.25
2026457HC REM FB AUD CANAL WO ANES BILOperating Room Services - Minor Surgery$719.67
2026460HC REMOVE IMPACTED EAR WAX BILOperating Room Services - Minor Surgery$705.18
2026462HC REMOVE IMPACTED EAR WAX RTOperating Room Services - Minor Surgery$705.18
2026463HC INJ TENDON SHEATH/LIGAMENT BILOperating Room Services - Minor Surgery$2,970.45
2026464HC INJ TENDON SHEATH/LIGAMENT LTOperating Room Services - Minor Surgery$2,970.45
2026465HC INJ TENDON SHEATH/LIGAMENT RTOperating Room Services - Minor Surgery$2,970.45
2026481HC DR ABSC/HEMATOMA NASAL SEPTUMOperating Room Services - Minor Surgery$1,711.56
2026482HC BIOPSY SALIVARY GLAND; NEEDLEOperating Room Services - Minor Surgery$2,035.53
2026486HC UNLISTED PROCEDURE PHARYNX ADENOIDSOperating Room Services - Minor Surgery$724.29
2026527HC SKIN FULL GRAFT EEN & LIPS =< 20 SQ CMOperating Room Services - Minor Surgery$5,422.33
2026535HC DRESS/DEBRID P-THICK BURN LOperating Room Services - Minor Surgery$1,876.00
2026537HC CL TX SHDR DISLOC W NK FX W MANIPOperating Room Services - Minor Surgery$4,614.00
2026676HC CL TX TMT JNT DISL; WO ANESTHESIAOperating Room Services - Minor Surgery$783.66
2026677HC DRAINAGE OF EYEOperating Room Services - Minor Surgery$7,347.66
2026678HC INJ ANTERIOR CHAMBER ; MEDICATIONOperating Room Services - Minor Surgery$7,347.66
2026679HC TENDON SHEATH INCISIONOperating Room Services - Minor Surgery$4,925.61
2026680HC CL TX ANKLE DISLOCATION; WO ANESTHOperating Room Services - Minor Surgery$783.66
2026681HC ASP VITREOUS SUBRETIN OR CHOROID FLUIDOperating Room Services - Minor Surgery$7,347.66
2026698HC TRACHEOSTOMY EMERG; TRANSTRACHLOperating Room Services - Minor Surgery$4,904.19
2026784HC DX LMBR SPI PNXR W/FLUOR/CTOperating Room Services - Minor Surgery$5,702.20
2026785HC THER SPI PNXR CSF FLUOR/CTOperating Room Services - Minor Surgery$3,460.96
2026803HC LARYNGOSCOPY W/FB REMOVALOperating Room Services - Minor Surgery$5,199.54
2026870HC NJX AA&/STRD NRV NRVTG SI JTOperating Room Services - Minor Surgery$8,768.62
2026871HC NJX AA&/STRD GNCLR NRV BRNCHOperating Room Services - Minor Surgery$8,768.62
2026872HC DSTRJ NULYT AGT GNCLR NRVOperating Room Services - Minor Surgery$6,428.97
2026873HC RF ABLTJ NRV NRVTG SI JTOperating Room Services - Minor Surgery$6,428.97
2026903HC REM TE WO INS PERM PROSTHOperating Room Services - Minor Surgery$8,428.02
2026962HC REPAIR RETINAL DETACHM; BY AIR INJOperating Room Services - Minor Surgery$7,348.44
2026964HC ALVEOLECTOMY INCL CURETTAGE OF OSTEITISOperating Room Services - Minor Surgery$9,519.81
2026971HC EXC LES MOUTH VESTIBULE; CPLX W EXCLOperating Room Services - Minor Surgery$8,437.00
2026983HC APPY PATELLAR TENDON BEARING CASTOperating Room Services - Minor Surgery$689.46
2026990HC EXPL P WND; ABD/FLANKOperating Room Services - Minor Surgery$5,897.85
2026991HC LIGATION/BAND ANGIOACCESS AV FISTULAOperating Room Services - Minor Surgery$10,072.23
2026994HC CL TX KNEE DISL; W ANESTHESIAOperating Room Services - Minor Surgery$4,656.12
2026996HC DISSECTION DEEP JUGULAR NODEOperating Room Services - Minor Surgery$17,568.12
2020511HC HARVEST AUTO STEM CELLSOperating Room Services - Organ transplant - Other Than Kidney$5,220.02
2020512HC CRYOPRESERVE STEM CELLSOperating Room Services - Organ transplant - Other Than Kidney$498.60
2020515HC BONE MARROW/STEM TRANSPLANTOperating Room Services - Organ transplant - Other Than Kidney$13,850.03
2026008HC TRANSPLT ALLO LYMPHOCYTESOperating Room Services - Organ transplant - Other Than Kidney$3,876.66
2020555HC FETAL NON-STRESS TESTOther Diagnostic Services $3,643.69
2022109HC DUP-SCAN XTRC ART COMPL BI STDOther Diagnostic Services $4,953.14
2022119HC DUP-SCAN XTR VEINS COMPL BI STDOther Diagnostic Services $2,524.06
2022177HC SHORT-LATENCY SOMATOSENS EP STD UPR LIMBSOther Diagnostic Services $1,496.26
2022180HC C MOTOR EVOKED, UPPR LIMBSOther Diagnostic Services $1,926.32
2022183HC BLINK REFLEX TESTOther Diagnostic Services $541.41
2022782HC GLUCOSE MONITORING CONTOther Diagnostic Services $1,971.12
2023418HC C MOTOR EVOKED UPR&LWR LIMBSOther Diagnostic Services $3,295.86
2023441HC SOMATOSENSORY TESTINGOther Diagnostic Services $2,424.23
2023643HC DUPLEX UE ART/BPG; BILATOther Diagnostic Services $2,291.11
2023644HC DUPLEX A IVC IL/BPG; UNIL/LIMOther Diagnostic Services $1,582.28
2024349HC IONM REMOTE/>1 PT OR PER HROther Diagnostic Services $2,355.10
2026109HC SLEEP STUDY UNATT&RESP EFFTOther Diagnostic Services $508.29
2026110HC MSLT/MWT; GLOBALOther Diagnostic Services $3,366.98
2026467HC CONT INTRAOP NEURO MONITOROther Diagnostic Services $588.77
2022148HC PERCUT ALLERGY SKIN TESTSOther Diagnostic Services - Allergy Test$1,101.19
2022150HC ALLERGY PATCH TESTSOther Diagnostic Services - Allergy Test$1,101.19
2022151HC PHOTO PATCH TESTOther Diagnostic Services - Allergy Test$152.31
2022152HC PHOTOSENSITIVITY TESTSOther Diagnostic Services - Allergy Test$499.18
2026025HC INGEST CHALLENGE INI 120 MINOther Diagnostic Services - Allergy Test$1,657.00
2026026HC INGEST CHALLENGE ADDL 60 MINOther Diagnostic Services - Allergy Test$828.39
2026508HC PERQ & ICUT ALLG TEST VENOMSOther Diagnostic Services - Allergy Test$119.63
2022162HC MUSCLE TEST, ONE LIMBOther Diagnostic Services - Electromyogram$559.34
2022163HC MUSCLE TEST, 2 LIMBSOther Diagnostic Services - Electromyogram$788.44
2022164HC MUSCLE TEST, 3 LIMBSOther Diagnostic Services - Electromyogram$977.88
2022166HC MUSCLE TEST CRAN NERV UNILATOther Diagnostic Services - Electromyogram$655.33
2022167HC MUSCLE TEST CRAN NERVE BILATOther Diagnostic Services - Electromyogram$924.12
2022168HC MUSCLE TEST, THOR PARASPINALOther Diagnostic Services - Electromyogram$602.85
2022169HC MUSCLE TEST, NONPARASPINALOther Diagnostic Services - Electromyogram$637.42
2022170HC MUSCLE TEST, ONE FIBEROther Diagnostic Services - Electromyogram$446.70
2022171HC GUIDE NERV DESTR, ELEC STIMOther Diagnostic Services - Electromyogram$490.21
2022178HC SHORT-LATENCY SOMATOSENS EP STD LWR LIMBSOther Diagnostic Services - Electromyogram$1,433.54
2022182HC VISUAL EVOKED POTENTIAL TESTOther Diagnostic Services - Electromyogram$1,230.03
2022185HC NEUROMUSCULAR JUNCTION TESTOther Diagnostic Services - Electromyogram$383.98
2023415HC MUSC TST DONE W/NERV TST LIMTDOther Diagnostic Services - Electromyogram$295.95
2023416HC MUSC TEST DONE W/NERV TST COMPLETEOther Diagnostic Services - Electromyogram$460.78
2023417HC MUSC TST DONE W/N TST NONEXTREMITYOther Diagnostic Services - Electromyogram$410.49
2024341HC MOTOR&/SENS 1-2 NRV CNDJ TSTOther Diagnostic Services - Electromyogram$414.70
2024342HC MOTOR&/SENS 3-4 NRV CNDJ TSTOther Diagnostic Services - Electromyogram$523.50
2024343HC MOTOR&/SENS 5-6 NRV CNDJ TSTOther Diagnostic Services - Electromyogram$622.06
2024344HC MOTOR&SENS 7-8 NRV CNDJ TESTOther Diagnostic Services - Electromyogram$829.40
2024345HC MOTOR&SEN 9-10 NRV CNDJ TESTOther Diagnostic Services - Electromyogram$988.12
2024346HC MOTOR&SEN 11-12 NRV CND TESTOther Diagnostic Services - Electromyogram$1,096.91
2024347HC MOTOR&SENS 13/> NRV CND TESTOther Diagnostic Services - Electromyogram$1,254.35
2025477HC SPECIMEN HANDLING OFFICE-LABOther Diagnostic Services - Pap Smear$32.00
2022110HC DUP-SCAN XTRC ART UNI/LMTD STDOther Diagnostic Services - Peripheral Vascular Lab$3,165.23
2022111HC N-INVAS PHYSIOLOGIC STD UPR/LXTR ART 1 LVL BIOther Diagnostic Services - Peripheral Vascular Lab$1,304.26
2022113HC N-INVAS PHYSIOLOGIC STD UPR/LXTR BLAT MLT LVL BIOther Diagnostic Services - Peripheral Vascular Lab$2,006.96
2022115HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STDOther Diagnostic Services - Peripheral Vascular Lab$2,236.07
2022116HC DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STDOther Diagnostic Services - Peripheral Vascular Lab$1,319.62
2022117HC UPPER EXTREMITY STUDYOther Diagnostic Services - Peripheral Vascular Lab$1,414.34
2022120HC DUP-SCAN XTR VEINS UNI/LMTD STDOther Diagnostic Services - Peripheral Vascular Lab$1,539.77
2022122HC EXTREMITY STUDY RTOther Diagnostic Services - Peripheral Vascular Lab$1,539.77
2022124HC DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COMPLOther Diagnostic Services - Peripheral Vascular Lab$3,699.11
2022125HC DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMTDOther Diagnostic Services - Peripheral Vascular Lab$2,138.22
2022126HC DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLOther Diagnostic Services - Peripheral Vascular Lab$2,501.09
2022668HC DUP-SCAN OF HEMODIALYSIS ACCESSOther Diagnostic Services - Peripheral Vascular Lab$1,745.85
2024983HC INTRACRANIAL ARTERY DOPPLER; COMPLOther Diagnostic Services - Peripheral Vascular Lab$487.66
2024984HC INTRACRANIAL ARTERY DOPPLER; LIMITEDOther Diagnostic Services - Peripheral Vascular Lab$282.85
2025003HC TCD VASOREACTIVITY STUDYOther Diagnostic Services - Peripheral Vascular Lab$613.71
2025004HC TCD EMBOLI DETECT W/O INJOther Diagnostic Services - Peripheral Vascular Lab$643.81
2025005HC TCD EMBOLI DETECT W/INJOther Diagnostic Services - Peripheral Vascular Lab$583.65
2026111HC NONINVAS VASC DX STUDY PROCOther Diagnostic Services - Peripheral Vascular Lab$65.12
2023341HC DX MAMMO INCL CAD BIOther Imaging Services - Diagnostic Mammography$1,562.77
2023535HC DX MAMMO INCL CAD UNIOther Imaging Services - Diagnostic Mammography$1,297.12
2025148HC BREAST TOMOSYNTHESIS UNI ADD ONOther Imaging Services - Diagnostic Mammography$124.32
2025274HC BREAST TOMOSYNTHESIS BI ADD ONOther Imaging Services - Diagnostic Mammography$124.32
2023330HC PET IM METABOLIC BRAIN W/O IVCOther Imaging Services - Positron Emission Tomography$9,087.65
2023331HC PET IMAGE W/CT SKULL-THIGHOther Imaging Services - Positron Emission Tomography$9,858.03
2023332HC PTCT IMAGE WHOLE BODY WOIVCOther Imaging Services - Positron Emission Tomography$10,087.46
2023577HC MYOCRD IMG PET SINGLE STUDYOther Imaging Services - Positron Emission Tomography$8,916.32
2023578HC MYOCRD IMG PET MLT RST&STRSOther Imaging Services - Positron Emission Tomography$10,285.49
2023579HC PET IMAGE W/CT LMTDOther Imaging Services - Positron Emission Tomography$8,916.32
2026734HC PET CDSM NDSCOther Imaging Services - Positron Emission Tomography$1.00
2023340HC SCR MAMMO BI INCL CADOther Imaging Services - Screening Mammography$1,354.55
2025149HC BREAST TOMOSYNTHESIS BIOther Imaging Services - Screening Mammography$146.98
2020000HC CHD RISK IMT STUDYOther Imaging Services - Ultrasound$352.60
2021135HC ECHO EXAM OF HEADOther Imaging Services - Ultrasound$1,250.97
2021136HC US EXAM OF HEAD AND NECKOther Imaging Services - Ultrasound$1,791.93
2021137HC US EXAM, CHESTOther Imaging Services - Ultrasound$1,052.94
2021141HC US EXAM, ABDOM, COMPLETEOther Imaging Services - Ultrasound$1,791.93
2021142HC ECHO EXAM OF ABDOMENOther Imaging Services - Ultrasound$1,469.53
2021143HC US EXAM ABDO BACK WALL, COMPOther Imaging Services - Ultrasound$1,721.90
2021144HC US EXAM ABDO BACK WALL, LIMOther Imaging Services - Ultrasound$877.85
2021145HC US EXAM K TRANSPL W/DOPPLEROther Imaging Services - Ultrasound$1,188.18
2021146HC US EXAM, SPINAL CANALOther Imaging Services - Ultrasound$687.07
2021147HC OB US < 14 WKS, SINGLE FETUSOther Imaging Services - Ultrasound$2,628.73
2021148HC OB US >/= 14 WKS, SNGL FETUSOther Imaging Services - Ultrasound$3,021.17
2021149HC OB US >/= 14 WKS, ADDL FETUSOther Imaging Services - Ultrasound$2,023.77
2021150HC FETAL BIOPHYS PROFILE W/NSTOther Imaging Services - Ultrasound$3,800.00
2021151HC FETAL BIOPHYS PROFIL W/O NSTOther Imaging Services - Ultrasound$2,712.87
2021153HC TRANSVAGINAL US, NON-OBOther Imaging Services - Ultrasound$1,945.28
2021154HC US EXAM, PELVIC, COMPLETEOther Imaging Services - Ultrasound$1,911.47
2021155HC US EXAM, PELVIC, LIMITEDOther Imaging Services - Ultrasound$1,299.27
2021156HC US SCROTUM AND CONTENTSOther Imaging Services - Ultrasound$1,686.88
2021157HC ECHOGRAP TRANS R, PROS STUDYOther Imaging Services - Ultrasound$821.81
2021158HC US COMPL JOINT R-T W/IMGOther Imaging Services - Ultrasound$2,604.58
2021161HC US EXAM INFANT HIPS, DYNAMICOther Imaging Services - Ultrasound$1,379.44
2021165HC US GUIDE, VASCULAR ACCESSOther Imaging Services - Ultrasound$745.03
2021166HC US GUIDE, TISSUE ABLATIONOther Imaging Services - Ultrasound$766.76
2021167HC US GUIDED NEEDLE PLACEMENTOther Imaging Services - Ultrasound$3,308.55
2021168HC US GUIDE, INTRAOPOther Imaging Services - Ultrasound$543.38
2022580HC OB US FOLLOW-UP PER FETUSOther Imaging Services - Ultrasound$4,212.45
2022587HC OB US LIMITED 1+ FETUS(S)Other Imaging Services - Ultrasound$3,079.66
2022729HC TRANSVAGINAL OB USOther Imaging Services - Ultrasound$3,556.02
2022730HC FETAL CARDIOVASC 2-D USOther Imaging Services - Ultrasound$1,677.22
2023137HC US LMTD JT/NONVASC XTR STRUXOther Imaging Services - Ultrasound$809.03
2023541HC OB US < 14 WKS ADDL FETUSOther Imaging Services - Ultrasound$1,389.83
2023638HC US GUIDED AMNIOCENTESISOther Imaging Services - Ultrasound$268.07
2023765HC OB US NUCHAL MEAS 1 GESTOther Imaging Services - Ultrasound$557.49
2023766HC TRANSRECTAL USOther Imaging Services - Ultrasound$461.36
2024834HC UMBILICAL ARTERY ECHOOther Imaging Services - Ultrasound$309.12
2025034HC FETAL MIDL CEREBRAL ARTERY ECHOOther Imaging Services - Ultrasound$525.97
2025085HC ULTRASOUND BREAST COMPLETEOther Imaging Services - Ultrasound$1,350.00
2025086HC ULTRASOUND BREAST LIMITEDOther Imaging Services - Ultrasound$1,232.86
2025427HC OB US DETAILED SNGL FETUSOther Imaging Services - Ultrasound$820.24
2025430HC US FOLLOW-UP STUDYOther Imaging Services - Ultrasound$546.02
2025622HC US FOR FETAL TRANSF/CORDOCENTESISOther Imaging Services - Ultrasound$358.63
2026134HC US ABDL AORTA SCREEN AAAOther Imaging Services - Ultrasound$402.63
2026982HC US EXAM INFANT HIPS STATICOther Imaging Services - Ultrasound$1,379.44
2022189HC RFL&MAIN IMPLT PMP/RSVR F/DRUG DLVR SPI/BRNOther Therapeutic Services $7,468.76
2022224HC ULTRAVIOLET LIGHT THERAPYOther Therapeutic Services $340.47
2022226HC PHOTOCHEMOTHERAPY WITH UV-BOther Therapeutic Services $1,103.32
2022245HC ULTRAVIOLET THERAPYOther Therapeutic Services $61.43
2022328HC PHLEBOTOMYOther Therapeutic Services $1,118.68
2024477HC ACUPUNCT W/O STIMUL 15 MINOther Therapeutic Services $83.55
2024499HC ACUPUNCT W/O STIMUL ADDL 15 MINOther Therapeutic Services $83.55
2024500HC ACUPUNCT W/STIMUL ADDL 15 MINOther Therapeutic Services $88.55
2024658HC CHIRO MANIPULATIVE TREATMENT;CMT; SPINAL, 1-2 REGIONSOther Therapeutic Services $183.03
2024659HC CHIRO MANIPULATIVE TREATMENT;CMT; SPINAL, 3-4 REGIONSOther Therapeutic Services $271.34
2022108HC CARDIAC REHAB/MONITOROther Therapeutic Services - Cardiac Rehabilitation$299.51
2026126HC ALCOHOL/DRUG SERVICE 15 MINOther Therapeutic Services - Drug Rehabilitation$133.56
2026127HC ALCOHOL/DRUG SCREENINGOther Therapeutic Services - Drug Rehabilitation$126.14
2022319HC MED NUTRITION THERAPY INIT, EA 15 MINOther Therapeutic Services - Education/Training$53.00
2022320HC MED NUTRITION THERAPY INIT, EA 15 MINOther Therapeutic Services - Education/Training$59.62
2022321HC MED NUTRITION THERAPY REASSES, EA 15 MINOther Therapeutic Services - Education/Training$39.75
2022322HC MED NUTRITION THERAPY REASSES, EA 15 MINOther Therapeutic Services - Education/Training$37.10
2022323HC MEDICAL NUTRITION, GROUPOther Therapeutic Services - Education/Training$121.90
2022324HC SELF-MGMT EDUC & TRAIN, 1 PTOther Therapeutic Services - Education/Training$198.69
2022325HC SELF-MGMT EDUC/TRAIN, 2-4 PTOther Therapeutic Services - Education/Training$264.52
2022354HC BEHAV CHNG SMOKING 3-10 MINOther Therapeutic Services - Education/Training$96.30
2022355HC BEHAV CHNG SMOKING > 10 MINOther Therapeutic Services - Education/Training$200.30
2022411HC DIAB MANAGE TRN PER INDIVOther Therapeutic Services - Education/Training$429.40
2022412HC DIAB MANAGE TRN IND/GROUPOther Therapeutic Services - Education/Training$151.91
2025464HC INSULIN PUMP INSTRUCTIONOther Therapeutic Services - Education/Training$95.42
2025467HC DIABETES MANAGEMENT - GROUPOther Therapeutic Services - Education/Training$219.42
2025812HC DM PROGRAM NURSE VISITOther Therapeutic Services - Education/Training$237.19
2025813HC DM PROGRAM DIETITIAN VISITOther Therapeutic Services - Education/Training$237.19
2025814HC DM PROGRAM F/U TO NON-MDOther Therapeutic Services - Education/Training$237.19
2025816HC PT EDUCATION NOC INDIVIDOther Therapeutic Services - Education/Training$237.19
2026145HC 2 EM CORE MS MO 7-9 NO WLOther Therapeutic Services - Education/Training$47.70
2026146HC 2 EM CORE MS MO 10-12 NO WLOther Therapeutic Services - Education/Training$47.70
2026147HC 2 EM CORE MS MO 7-9 WLOther Therapeutic Services - Education/Training$190.80
2026148HC 2 EM CORE MS MO 10-12 WLOther Therapeutic Services - Education/Training$190.80
2026149HC EM 5 PERCENT WLOther Therapeutic Services - Education/Training$508.80
2026150HC EM 9 PERCENT WLOther Therapeutic Services - Education/Training$79.50
2026151HC 2 EM ONGOING MS MO 13-15 WLOther Therapeutic Services - Education/Training$159.00
2026152HC 2 EM ONGOING MS MO 16-18 WLOther Therapeutic Services - Education/Training$159.00
2026153HC 2 EM ONGOING MS MO 19-21 WLOther Therapeutic Services - Education/Training$159.00
2026154HC 2 EM ONGOING MS MO 22-24 WLOther Therapeutic Services - Education/Training$159.00
2026156HC EM SESSION REPORTINGOther Therapeutic Services - Education/Training$1.06
2026382HC NM FAMILY PLANNING EDUCOther Therapeutic Services - Education/Training$126.14
2026383HC AUDIT/DAST OVER 30 MINOther Therapeutic Services - Education/Training$437.78
2022664HC PULMONARY REHAB W EXEROther Therapeutic Services - Pulmonary Rehabilitation$119.97
2022489HC CHILD LIFE IND TRMNT 15MINOther Therapeutic Services - Recreational Therapy$147.90
1011001HC RB STANDARD PRIVATE ROOM DIFFERENTIALPatient Convenience Items $375.00
1011002HC RB PREMIUM PRIVATE ROOM DIFFERENTIALPatient Convenience Items $525.00
2022496HC THERAPEUTIC REC 15M INDPatient Convenience Items $144.80
2022498HC THERAPEUTIC REC 15M GRPPatient Convenience Items $157.50
2022508HC COMMUNITY REINTEG 180M GRPPatient Convenience Items $276.60
2022514HC MUSIC THERAPY 30M EVALPatient Convenience Items $154.61
2022516HC MUSIC THERAPY 15M INDPatient Convenience Items $158.06
2022518HC MUSIC THERAPY 15M GRPPatient Convenience Items $160.67
2022525HC THERAPEUTIC REC 30M EVALPatient Convenience Items $133.42
2023244HC HEALTH AND FITNESS EVAL 90 MINPatient Convenience Items $325.00
2023246HC GHF PRSNL TRAIN 60 MINPatient Convenience Items $175.00
2023247HC GHF PRSNL TRAIN 30 MINPatient Convenience Items $90.00
2023248HC SPORTS SPECIFIC TRAINING 60 MINPatient Convenience Items $175.00
2023251HC MT LACTATE PROF 60 MINPatient Convenience Items $225.00
2023252HC AEROBIC CAPACITY WITH LACTATEPatient Convenience Items $350.00
2023253HC MT REST MR 45 MINPatient Convenience Items $175.00
2023255HC RUNNERS EVALUATIONPatient Convenience Items $395.00
2023349HC PERSONAL TRAINING 30 MIN 8 SESSION PACKAGEPatient Convenience Items $570.00
2023351HC PERSONAL TRAINING 60 MIN 8 SESSION PACKAGEPatient Convenience Items $1,140.00
2023788HC FUNCTIONAL MVMT SCREEN 60 MINPatient Convenience Items $200.00
2024298HC SPORTS NUTRIT ASSESS 60MINPatient Convenience Items $225.00
2024299HC SPORTS NUTRIT FUP 30MINPatient Convenience Items $75.00
2024480HC MASSAGE THERAPY (FULL BODY) 60 MINPatient Convenience Items $91.22
2024689HC ACUPUNCTURE W/ OR W/O STIM - 1 HOURPatient Convenience Items $91.22
2024860HC RUNNING LAB EVALUATION 180 MINPatient Convenience Items $495.00
2024993HC WELLNESS EXE CLASS 60 MINPatient Convenience Items $20.00
2025147HC MASSAGE THERAPY (FULL BODY) 30 MINPatient Convenience Items $45.19
2025168HC CARD REHAB MAINT PRG 3X/WEEKPatient Convenience Items $200.67
2025169HC CARD REHAB MAINT PRG 2X/WEEKPatient Convenience Items $145.95
2025192HC RUNNERS EXERCISE CLASS 60 MINPatient Convenience Items $40.00
2025223HC PERSONAL TRAINING 30 MIN 16 SESSION PACKAGEPatient Convenience Items $1,080.00
2025225HC PERSONAL TRAINING 60 MIN 16 SESSION PACKAGEPatient Convenience Items $2,160.00
2025227HC SPORTS PERFORMANCE EVALUATION 120 MINPatient Convenience Items $425.00
2025230HC SPORTS SPECIFIC TRAINING 60 MIN 16 SESSION PACKAGEPatient Convenience Items $2,160.00
2025580HC GHF TRNG 30MIN 8 SES PKGPatient Convenience Items $570.00
2025581HC GHF TRAINING 60MIN 8 SES PKGPatient Convenience Items $1,140.00
2025751HC CARD REHAB MAINT PRG 1X/WEEKPatient Convenience Items $80.00
2025801HC SPORTS SPECIFIC TRAINING 30 MINPatient Convenience Items $90.00
2025987HC SPORTS SPECIFIC EVALUATION W/LACTATEPatient Convenience Items $475.00
2026027HC COOLING CAP ADMINISTRATIONPatient Convenience Items $72.51
2026202HC NW CARDIAC REHAB SESS PHASE IIIPatient Convenience Items $22.00
2026224HC ACL RETURN TO SPORT EVALUATIONPatient Convenience Items $495.00
2026228HC GOLF EXERCISE CLASSPatient Convenience Items $40.00
2026401HC RUNNING 3D EVALUATIONPatient Convenience Items $425.00
2026439HC INTENSIVE SPEECH LANGUAGE THERAPY FOR STROKE SURVIVORSPatient Convenience Items $10,000.00
2026557HC NW DIABETES PREVENTION IND COUNSELPatient Convenience Items $140.00
D015999HC PREMIUM DENTURE UP-CHARGEPatient Convenience Items $1,080.00
D018999HC INVISALIGN WORK-UPPatient Convenience Items $270.00
D025999HC ESSEX RETAINERPatient Convenience Items $250.00
D038999HC INVISALIGNPatient Convenience Items $8,000.00
RX-10.45% SODIUM ACETATE, HEPARIN 0.5 UNITS/ML IV INFUSIONPharmacy$63.00
RX-10ACETIC ACID 2 % OTIC SOLNPharmacy$47.04
RX-1000IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLNPharmacy$1,955.29
RX-1002IPRATROPIUM BROMIDE 0.03 % NASAL SPRYPharmacy$114.24
RX-1003IPRATROPIUM BROMIDE 17 MCG/ACTUATION INHALATION HFAAPharmacy$364.64
RX-1005IPRATROPIUM-ALBUTEROL 20-100 MCG/ACTUATION INHALATION MISTPharmacy$1,011.78
RX-1006IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLNPharmacy$31.20
RX-1007IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS DISPPharmacy$627.96
RX-1008IRON DEXTRAN 50 MG/ML INJECTION SOLNPharmacy$181.19
RX-101ARGININE-LYSINE IN 0.9 % NACL 25-25 MG/ML INTRAVENOUS SOLNPharmacy$3,024.00
RX-1010ISAVUCONAZONIUM SULFATE 186 MG ORAL CAPPharmacy$293.86
RX-1012ISOPROTERENOL 200 MCG/50 ML D5W IVPBPharmacy$67.81
RX-1013ISOPROTERENOL HCL 0.2 MG/ML INJECTION SOLNPharmacy$8,231.96
RX-1014ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLNPharmacy$77.01
RX-1015IXABEPILONE 15 MG INTRAVENOUS SOLRPharmacy$1,210.52
RX-1016KETAMINE 50 MG/ML (1 ML) INTRAVENOUS SYRGPharmacy$65.52
RX-1019KETOCONAZOLE 2 % TOP CREAPharmacy$56.18
RX-102ARIPIPRAZOLE 300 MG IM SERSPharmacy$86.21
RX-1020KETOCONAZOLE 2 % TOP SHAMPharmacy$37.80
RX-1021KETOROLAC 0.4 % OPHTHALMIC DROPPharmacy$161.88
RX-1022KETOROLAC 0.5 % OPHTHALMIC DROPPharmacy$88.90
RX-1026KIT FOR OF PREP TC-99M-ALBUMIN 2.5 MG INTRAVENOUS SOLRPharmacy$2,413.03
RX-1027KIT FOR PREP OF GA 68-DOTATATE 40 MCG INTRAVENOUS SOLRPharmacy$4,083.33
RX-1028KIT FOR PREP TC-99M-BICISATE 0.9 MG INTRAVENOUS SOLRPharmacy$17,019.45
RX-1029KIT FOR TC 99M FILTERED SULFUR COLLOIDPharmacy$11,740.68
RX-103ARIPIPRAZOLE 300 MG IM SSRRPharmacy$64.66
RX-1030KIT FOR TC 99M-SOD THIOSULFATE 2 MG MISC. SOLRPharmacy$1,153.03
RX-1031KIT FOR TC-99M-TILMANOCEPT 250 MCG INJECTION SOLRPharmacy$18,798.26
RX-1032KIT PREP OF TC-99M-MEBROFENIN 45 MG INTRAVENOUS SOLRPharmacy$420.21
RX-1033KIT PREP OF TC-99M-SOD PYROPH 12 MG INTRAVENOUS SOLRPharmacy$967.05
RX-1034KIT PREP OF TC-99M-TETROFOSMIN 1.38 MG INTRAVENOUS SOLRPharmacy$548.10
RX-1035KIT PREP TC 99M-PENTETIC ACID 20 MG AEROSOLPharmacy$3,425.63
RX-1036KIT PREP TC 99M-PENTETIC ACID 20 MG INTRAVENOUS SOLRPharmacy$2,770.98
RX-1037KIT PREP TC-99M-EXAMETAZIME 0.5 MG INTRAVENOUS KITPharmacy$20,278.57
RX-1038KIT PREP TC-99M-EXAMETAZIME 0.5 MG INTRAVENOUS SOLRPharmacy$25,779.60
RX-1039KIT PREP TC-99M-MEDRONATE SOD 25 MG INTRAVENOUS SOLRPharmacy$494.05
RX-104ARIPIPRAZOLE 400 MG IM SERSPharmacy$64.66
RX-1043LACOSAMIDE 100 MG ORAL TABPharmacy$51.84
RX-1044LACOSAMIDE 100 MG/50 ML NSPharmacy$228.90
RX-1045LACOSAMIDE 150 MG ORAL TABPharmacy$49.91
RX-1046LACOSAMIDE 200 MG ORAL TABPharmacy$54.92
RX-1048LACOSAMIDE 200 MG/50 ML NSPharmacy$112.70
RX-1049LACTATED RINGERS INTRAVENOUS SOLPPharmacy$63.00
RX-105ARIPIPRAZOLE 400 MG IM SSRRPharmacy$86.21
RX-1050LACTATED RINGERS IV BOLUSPharmacy$63.00
RX-1051LACTATED RINGERS IV KVOPharmacy$63.00
RX-1052LANOLIN-MINERAL OIL TOP LOTNPharmacy$181.72
RX-1053LANOLIN-MINERAL OIL-NACL-W.PET TOP LOTNPharmacy$117.60
RX-1054LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRGPharmacy$802.04
RX-1055LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRGPharmacy$802.04
RX-1056LANSOPRAZOLE 3 MG/ML ORAL SUSRPharmacy$3,867.26
RX-1057LENALIDOMIDE 10 MG ORAL CAPPharmacy$2,670.54
RX-1058LEUCOVORIN CALCIUM 50 MG INJECTION SOLRPharmacy$41.95
RX-1059LEUCOVORIN CALCIUM 10 MG/ML INJECTION SOLNPharmacy$41.96
RX-106ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLNPharmacy$555.33
RX-1060LEUCOVORIN CALCIUM 100 MG INJECTION SOLRPharmacy$41.95
RX-1061LEUCOVORIN CALCIUM 350 MG INJECTION SOLRPharmacy$41.95
RX-1062LEUPROLIDE 3.75 MG IM SYKTPharmacy$16,015.87
RX-1063LEUPROLIDE 7.5 MG IM SYKTPharmacy$2,898.93
RX-1064LEUPROLIDE (3 MONTH) 11.25 MG IM SYKTPharmacy$16,015.87
RX-1065LEUPROLIDE (3 MONTH) 22.5 MG IM SYKTPharmacy$2,898.94
RX-1066LEUPROLIDE (3 MONTH) 22.5 MG SUBCUTANEOUS SYRGPharmacy$2,898.94
RX-1067LEUPROLIDE (4 MONTH) 30 MG IM SYKTPharmacy$2,898.93
RX-1068LEUPROLIDE (6 MONTH) 45 MG IM SYKTPharmacy$2,898.93
RX-1069LEUPROLIDE (6 MONTH) 45 MG SUBCUTANEOUS SYRGPharmacy$2,898.93
RX-107ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLNPharmacy$555.33
RX-1070LEUPROLIDE (PEDIATRIC 3 MONTH) 11.25 MG IM SYKTPharmacy$16,015.87
RX-1071LEUPROLIDE (PEDIATRIC 3 MONTH) 30 MG IM SYKTPharmacy$16,015.87
RX-1072LEUPROLIDE 1 MG/0.2 ML SUBCUTANEOUS KITPharmacy$127.61
RX-1073LEUPROLIDE 11.25 MG IM KITPharmacy$15,999.86
RX-1074LEUPROLIDE 15 MG IM KITPharmacy$2,898.93
RX-1075LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRGPharmacy$2,898.93
RX-1079LEVALBUTEROL TARTRATE 45 MCG/ACTUATION INHALATION HFAAPharmacy$182.70
RX-108ARTIFICIAL TEARS(HYPROMELLOSE) 0.5 % OPHTHALMIC DROPPharmacy$81.90
RX-1085LEVOCARNITINE 20 MG/ML INTRAVENOUS SOLN FOR NEONATAL TPNPharmacy$258.99
RX-1086LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLNPharmacy$249.73
RX-109ASPARAGINASE (ERWINIA CHRYSAN) 10000 UNITS INJECTION SOLRPharmacy$5,226.78
RX-1091LEVONORGESTREL 1.5 MG ORAL TABPharmacy$103.25
RX-1092LEVONORGESTREL 14 MCG/24 HRS (3 YRS) 13.5 MG INTRAUTERINE IUDPharmacy$8,403.32
RX-1093LEVONORGESTREL 17.5 MCG/24 HRS (5 YRS) 19.5 MG INTRAUTERINE IUDPharmacy$10,091.97
RX-1094LEVONORGESTREL 20 MCG/24 HOURS (5 YRS) 52 MG INTRAUTERINE IUDPharmacy$10,091.97
RX-1095LEVONORGESTREL 20.1 MCG/24 HRS (6 YRS) 52 MG INTRAUTERINE IUDPharmacy$9,914.56
RX-1096LEVOTHYROXINE 100 MCG INTRAVENOUS SOLRPharmacy$1,049.71
RX-1097LEVOTHYROXINE 20 MCG/ML INJECTION (PED-NEO)Pharmacy$1,041.64
RX-1098LEVOTHYROXINE 200 MCG INTRAVENOUS SOLRPharmacy$1,865.43
RX-1099LEVOTHYROXINE 500 MCG INTRAVENOUS SOLRPharmacy$4,515.59
RX-11ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KITPharmacy$197.47
RX-110ATAZANAVIR 200 MG ORAL CAPPharmacy$82.36
RX-1105LIDOCAINE (PF) 3.5 % OPHTHALMIC GELPharmacy$64.19
RX-111ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLNPharmacy$981.00
RX-1113LIDOCAINE HCL 4 % (40 MG/ML) MUCOUS MEMBR SOLNPharmacy$63.00
RX-1118LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLNPharmacy$10.33
RX-112ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLNPharmacy$981.00
RX-1127LINACLOTIDE 145 MCG ORAL CAPPharmacy$47.08
RX-1128LINACLOTIDE 290 MCG ORAL CAPPharmacy$47.08
RX-1129LINDANE 1 % TOP SHAMPharmacy$348.60
RX-1130LINEZOLID 2 MG/ML IV DISPENSABLEPharmacy$70.56
RX-1131LINEZOLID IN DEXTROSE 5% 200 MG/100 ML INTRAVENOUS PGBKPharmacy$70.56
RX-1132LINEZOLID IN DEXTROSE 5% 600 MG/300 ML INTRAVENOUS PGBKPharmacy$70.56
RX-1133LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLNPharmacy$3,087.00
RX-1134LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PNIJPharmacy$3,688.52
RX-1135LOMUSTINE 10 MG ORAL CAPPharmacy$1,040.13
RX-1136LOMUSTINE 40 MG ORAL CAPPharmacy$1,155.67
RX-1137LOMUSTINE 100 MG ORAL CAPPharmacy$1,148.49
RX-1141LOTEPREDNOL ETABONATE 0.5 % OPHTHALMIC DRPSPharmacy$800.28
RX-1142LURASIDONE 20 MG ORAL TABPharmacy$131.78
RX-1143LURASIDONE 40 MG ORAL TABPharmacy$131.78
RX-1144LURASIDONE 60 MG ORAL TABPharmacy$131.78
RX-1145LURASIDONE 80 MG ORAL TABPharmacy$131.78
RX-1146LURASIDONE 120 MG ORAL TABPharmacy$196.74
RX-1147LURBINECTEDIN 4 MG INTRAVENOUS SOLRPharmacy$83,575.80
RX-1148LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLRPharmacy$433.59
RX-1149LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLNPharmacy$2,254.56
RX-115ATROPINE 1 % OPHTHALMIC DROPPharmacy$148.40
RX-1150LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML INTRAVENOUS SOLNPharmacy$16,274.32
RX-1151MACITENTAN 10 MG ORAL TABPharmacy$806.16
RX-116ATROPINE 1 % OPHTHALMIC OINTPharmacy$53.41
RX-1164MANGANESE CHLORIDE 0.01 MG/ML INTRAVENOUS SOLN FOR NEONATAL TPNPharmacy$24.07
RX-1165MANGANESE CHLORIDE 0.1 MG/ML INTRAVENOUS SOLNPharmacy$24.07
RX-1166MANGANESE SULFATE 0.1 MG/ML INTRAVENOUS SOLNPharmacy$28.22
RX-1167MANNITOL 20 % 20 % INTRAVENOUS SOLPPharmacy$25.83
RX-1168MANNITOL 25 % 25 % INTRAVENOUS SOLNPharmacy$25.83
RX-1169MARAVIROC 150 MG ORAL TABPharmacy$82.39
RX-1170MARAVIROC 300 MG ORAL TABPharmacy$82.39
RX-1171MEASLES,MUMPS,RUB,VARICEL(PF) 10EXP3-4.3-3- 3.99 TCID50/0.5 SUBCUTANEOUS SUSRPharmacy$5,388.77
RX-1172MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBCUTANEOUS SOLRPharmacy$858.44
RX-1175MELPHALAN HCL 50 MG INTRAVENOUS SOLRPharmacy$7,980.69
RX-1176MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KITPharmacy$1,142.32
RX-1177MENING VAC A,C,Y,W135 DIP (PF) 4 MCG/0.5 ML IM SOLNPharmacy$734.96
RX-1178MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRGPharmacy$1,740.56
RX-1179MENTHOL-ZINC OXIDE 0.44-20.6 % TOP OINTPharmacy$88.10
RX-118AVELUMAB 20 MG/ML INTRAVENOUS SOLNPharmacy$1,059.86
RX-1180MEPERIDINE (PF) 25 MG/ML INJECTION SOLNPharmacy$59.52
RX-1181MEPERIDINE (PF) 25 MG/ML INJECTION SYRGPharmacy$59.52
RX-1182MEPERIDINE (PF) 50 MG/ML INJECTION SOLNPharmacy$59.52
RX-1183MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLNPharmacy$29.36
RX-1184MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLNPharmacy$29.36
RX-1185MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLNPharmacy$29.36
RX-1186MEROPENEM 1 G INTRAVENOUS SOLRPharmacy$10.04
RX-1187MEROPENEM 500 MG INTRAVENOUS SOLRPharmacy$10.04
RX-1188MEROPENEM-0.9% SODIUM CHLORIDE 1 GRAM/50 ML INTRAVENOUS PGBKPharmacy$10.08
RX-1189MEROPENEM-0.9% SODIUM CHLORIDE 500 MG/50 ML INTRAVENOUS PGBKPharmacy$10.04
RX-119AZACITIDINE 100 MG INJECTION SOLRPharmacy$12.89
RX-1190MESALAMINE 1000 MG RECTAL SUPPPharmacy$122.99
RX-1191MESNA 100 MG/ML INTRAVENOUS SOLNPharmacy$27.95
RX-1192METFORMIN 1000 MG ORAL TG24Pharmacy$44.10
RX-1193METHADONE 10 MG/ML INJECTION SOLNPharmacy$213.87
RX-1194METHOCARBAMOL 100 MG/ML INJECTION SOLNPharmacy$104.20
RX-1195METHOHEXITAL 500 MG INJECTION SOLRPharmacy$15.37
RX-1197METHOTREXATE SODIUM (PF) 1 G INJECTION SOLRPharmacy$31.37
RX-12ACETYLCYSTEINE 100 MG/ML (10 %) MISC. SOLNPharmacy$71.69
RX-120AZACITIDINE INJ SUBQ 100 MG (CC)Pharmacy$12.89
RX-1202METHOXSALEN 20 MCG/ML INJECTION SOLNPharmacy$1,337.00
RX-1203METHYL SALICYLATE-MENTHOL TOP OINTPharmacy$90.16
RX-1204METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLNPharmacy$77.01
RX-1205METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) INTRAVENOUS SOLNPharmacy$77.01
RX-1206METHYLERGONOVINE 0.2 MG ORAL TABPharmacy$139.76
RX-1207METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLNPharmacy$227.34
RX-1211METHYLNALTREXONE 150 MG ORAL TABPharmacy$65.98
RX-1213METHYLPHENIDATE HCL 27 MG ORAL TR24Pharmacy$38.47
RX-1214METHYLPHENIDATE HCL 54 MG ORAL TR24Pharmacy$43.19
RX-122AZELASTINE 0.15 % (205.5 MCG) NASAL SPRYPharmacy$93.45
RX-1220METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSPPharmacy$79.22
RX-1221METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSPPharmacy$149.88
RX-1222METHYLPREDNISOLONE SOD SUC(PF) 1000 MG/8 ML INTRAVENOUS SOLRPharmacy$79.59
RX-1223METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML INJECTION SOLRPharmacy$79.59
RX-1224METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML INJECTION SOLRPharmacy$57.73
RX-1225METHYLPREDNISOLONE SOD SUC(PF) 500 MG/4 ML INTRAVENOUS SOLRPharmacy$79.59
RX-1226METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOLRPharmacy$57.73
RX-1227METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SOLRPharmacy$79.59
RX-1228METHYLPREDNISOLONE SODIUM SUCC 500 MG INTRAVENOUS SOLRPharmacy$79.59
RX-1229METHYLPREDNISOLONE SODIUM SUCC 1000 MG INTRAVENOUS SOLRPharmacy$79.59
RX-123AZITHROMYCIN 1 G ORAL PACKPharmacy$277.58
RX-1230METHYLPREDNISOLONE SODIUM SUCC 40 MG/ML INJECTION SOLRPharmacy$57.73
RX-1231METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLNPharmacy$15.15
RX-1232METOCLOPRAMIDE HCL 5 MG/ML INJECTION SYRGPharmacy$15.15
RX-1233METOPROLOL IN 0.9 % NACL 5 MG/50 ML IVPBPharmacy$31.50
RX-1235METRONIDAZOLE 0.75 % TOP CREAPharmacy$151.20
RX-1236METRONIDAZOLE 0.75 % VAGINAL GELPharmacy$218.05
RX-1237METRONIDAZOLE IN NACL (ISO-OS) 500 MG/100 ML INTRAVENOUS PGBKPharmacy$25.20
RX-1239MICAFUNGIN 50 MG INTRAVENOUS SOLRPharmacy$13.32
RX-124AZITHROMYCIN 200 MG/5 ML ORAL SUSRPharmacy$144.90
RX-1240MICAFUNGIN 100 MG INTRAVENOUS SOLRPharmacy$13.32
RX-1241MICONAZOLE NITRATE 2 % TOP CREAPharmacy$92.61
RX-1242MICONAZOLE NITRATE 2 % TOP OINTPharmacy$474.81
RX-1243MICROFIBRIL. COLLAGEN HEMOSTAT TOP POWDPharmacy$364.70
RX-125AZITHROMYCIN 250 MG ORAL TABPharmacy$15.12
RX-1255MIDOSTAURIN 25 MG ORAL CAPPharmacy$508.62
RX-1256MILRINONE 1 MG/ML INTRAVENOUS SOLNPharmacy$19.22
RX-1257MILRINONE IN 5 % DEXTROSE 40 MG/200 ML (200 MCG/ML) INTRAVENOUS PGBKPharmacy$19.22
RX-1258MILRINONE IN 5 % DEXTROSE 50 ML (200 MCG/ML) INTRAVENOUSPharmacy$19.22
RX-1259MINOCYCLINE 100 MG INTRAVENOUS SOLRPharmacy$22.86
RX-126AZITHROMYCIN 500 MG INTRAVENOUS SOLRPharmacy$32.75
RX-1260MIRABEGRON 25 MG ORAL TB24Pharmacy$42.88
RX-1261MIRABEGRON 50 MG ORAL TB24Pharmacy$42.88
RX-1262MITOMYCIN 0.2 MG OPHTHALMIC KITPharmacy$4,523.40
RX-1263MITOMYCIN 20 MG INTRAVENOUS SOLRPharmacy$1,006.60
RX-1264MITOMYCIN 20 MG NON-ONCOLOGY USE IV SOLRPharmacy$1,006.60
RX-1265MITOMYCIN 40 MG IV SOLUTIONPharmacy$1,006.60
RX-1266MITOMYCIN TOPICAL SOLUTION 0.4 MG/MLPharmacy$278.67
RX-1267MITOXANTRONE 2 MG/ML INTRAVENOUS CONCPharmacy$350.34
RX-1268MITOXANTRONE 2 MG/ML NON-ONCOLOGY USE IV CONCPharmacy$350.34
RX-1269MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLNPharmacy$2,530.96
RX-127AZITHROMYCIN 500 MG ORAL TABPharmacy$110.38
RX-1270MOMETASONE 100 MCG/ACTUATION INHALATION HFAAPharmacy$18.27
RX-1271MOMETASONE 1350 MCG SINU IMPLPharmacy$117.52
RX-1272MOMETASONE-FORMOTEROL 200-5 MCG/ACTUATION INHALATION HFAAPharmacy$273.80
RX-1273MORPHINE 2 MG/ML INJECTION SYRGPharmacy$25.58
RX-1274MORPHINE 2 MG/ML INTRAVENOUS SYRGPharmacy$25.58
RX-1275MORPHINE 4 MG/ML INJECTION SYRGPharmacy$25.58
RX-1276MORPHINE 4 MG/ML INTRAVENOUS CRTGPharmacy$25.57
RX-1277MORPHINE 4 MG/ML INTRAVENOUS SOLNPharmacy$25.58
RX-1278MORPHINE 4 MG/ML INTRAVENOUS SYRGPharmacy$25.58
RX-1279MORPHINE (PF) 0.5 MG/ML INJECTION SOLNPharmacy$25.70
RX-128AZITHROMYCIN 600 MG ORAL TABPharmacy$80.87
RX-1280MORPHINE (PF) 1 MG/ML INJECTION SOLNPharmacy$25.58
RX-1281MORPHINE (PF) 10 MG/ML INJECTION SOLNPharmacy$25.57
RX-1282MORPHINE (PF) 25 MG/ML INJECTION SOLNPharmacy$25.57
RX-1283MORPHINE (PF) IN 0.9 % SOD CHL 0.5 MG/ML INTRAVENOUS SYRGPharmacy$25.70
RX-1284MORPHINE (PF) IN 0.9 % SOD CHL 100 MG/100 ML (1 MG/ML) INTRAVENOUS RESVPharmacy$25.58
RX-1285MORPHINE 0.5 MG/ML SUPER ORDERABLEPharmacy$148.72
RX-1286MORPHINE 10 MG/ML INJECTION SOLNPharmacy$25.57
RX-1287MORPHINE 10 MG/ML INJECTION SYRGPharmacy$25.57
RX-1288MORPHINE 10 MG/ML INTRAVENOUS SOLNPharmacy$25.57
RX-1289MORPHINE 10 MG/ML SUPER ORDERABLEPharmacy$25.57
RX-129AZTREONAM 1 G INJECTION SOLRPharmacy$154.60
RX-1290MORPHINE 100 MG/4 ML INTRAVENOUS SOLNPharmacy$25.57
RX-1291MORPHINE 2 MG/ML SUPER ORDERABLEPharmacy$25.58
RX-1292MORPHINE 25 MG/ML INTRAVENOUS SOLNPharmacy$25.57
RX-1293MORPHINE 4 MG/ML SUPER ORDERABLEPharmacy$25.58
RX-1294MORPHINE 8 MG/ML SUPER ORDERABLEPharmacy$25.58
RX-1295MORPHINE IN 0.9 % NACL 100 MG/100 ML (1 MG/ML) INFUSIONPharmacy$25.58
RX-1296MORPHINE IN 0.9 % NACL 60 MG/30 ML (PED-NEO) PCA STANDARDPharmacy$25.58
RX-1297MORPHINE IN 0.9 % NACL 60 MG/30 ML (PED-NEO) PCA STANDARD FLAT DOSINGPharmacy$25.64
RX-1298MORPHINE IN 0.9 % NACL 60 MG/30 ML PCA RESTRICTEDPharmacy$25.58
RX-1299MORPHINE IN 0.9 % SODIUM CHLOR 1 MG/ML INTRAVENOUS SOLNPharmacy$25.58
RX-13ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLNPharmacy$11.44
RX-130AZTREONAM 2 G INJECTION SOLRPharmacy$154.57
RX-1300MORPHINE IN 0.9 % SODIUM CHLOR 60 MG/30 ML (2 MG/ML) INTRAVENOUS SPCAPharmacy$25.58
RX-1301MOXIFLOXACIN 0.5 % OPHTHALMIC DROPPharmacy$77.07
RX-1302MOXIFLOXACIN-SOD.ACE,SUL-WATER 400 MG/250 ML INTRAVENOUS PGBKPharmacy$113.40
RX-1303MOXIFLOXACIN-SOD.CHLORIDE(ISO) 400 MG/250 ML INTRAVENOUS PGBKPharmacy$113.40
RX-1304MULTIVIT-MIN-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQDPharmacy$46.73
RX-1305MUPIROCIN CALCIUM 2 % TOP CREAPharmacy$537.08
RX-1306MVI ADULT TPN INJECTIONPharmacy$45.36
RX-1308MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT- 200 MCG/5 ML INTRAVENOUS SOLNPharmacy$20.16
RX-1309MYCOPHENOLATE MOFETIL (HCL) 500 MG INTRAVENOUS SOLRPharmacy$514.58
RX-131BACITRACIN 500 UNIT/GRAM OPHTHALMIC OINTPharmacy$313.48
RX-1313MYCOPHENOLATE SODIUM 180 MG ORAL TBECPharmacy$33.57
RX-1314MYCOPHENOLATE SODIUM 360 MG ORAL TBECPharmacy$33.57
RX-1315N.MENINGITIDIS B,LIPID FHBP RC 120 MCG/0.5 ML IM SYRGPharmacy$1,527.06
RX-1316NAFCILLIN 1 G INJECTION SOLRPharmacy$65.27
RX-1317NAFCILLIN 2 G INJECTION SOLRPharmacy$92.11
RX-1318NALBUPHINE 10 MG/ML INJECTION SOLNPharmacy$39.63
RX-1319NALOXONE 0.4 MG/ML INJECTION SOLNPharmacy$167.33
RX-132BACITRACIN 50000 UNITS IM SOLRPharmacy$55.44
RX-1320NALOXONE 1 MG/ML INJECTION SYRGPharmacy$167.30
RX-1321NALOXONE 1 MG/ML ORAL SOLUTIONPharmacy$48.58
RX-1322NALTREXONE MICROSPHERES 380 MG IM SSRRPharmacy$40.76
RX-1323NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLNPharmacy$263.37
RX-1324NELARABINE 250 MG/50 ML INTRAVENOUS SOLNPharmacy$1,924.27
RX-1325NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5MG-400 UNIT- 5,000 UNIT/GRAM TOP OINTPharmacy$143.85
RX-1326NEOMYCIN-POLYMYXIN B-DEXAMETH 3.5MG/ML-10,000 UNIT/ML-0.1 % OPHTHALMIC DRPSPharmacy$47.08
RX-1327NEOMYCIN-POLYMYXIN-GRAMICIDIN 1.75 MG-10,000 UNIT-0.025MG/ML OPHTHALMIC DROPPharmacy$156.45
RX-1328NEOMYCIN-POLYMYXIN-HC 3.5-10,000-1 MG/ML-UNIT/ML-% OTIC DRPSPharmacy$182.00
RX-1329NEOMYCIN-POLYMYXIN-HC 3.5-10,000-1 MG/ML-UNIT/ML-% OTIC SOLNPharmacy$199.15
RX-133BACITRACIN ZINC 500 UNIT/GRAM TOP OINTPharmacy$57.82
RX-1330NEOMYCIN-POLYMYXIN-HC 3.5-10,000-10 MG-UNIT-MG/ML OPHTHALMIC DRPSPharmacy$353.59
RX-1331NEOMY-POLYMYXINB-BACITRACIN-HC 1 % TOP OINTPharmacy$505.05
RX-1335NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLNPharmacy$18.27
RX-1336NICARDIPINE IN D5W 25 MG/250 ML (CUPID OSM USE ONLY)Pharmacy$4,580.10
RX-1337NICARDIPINE IN DEXTROSE,ISO-OS 20 MG/200 ML (0.1 MG/ML) INTRAVENOUS PGBKPharmacy$1,159.20
RX-1338NICARDIPINE IN NACL (ISO-OS) 20 MG/200 ML (0.1 MG/ML) INTRAVENOUS PGBKPharmacy$630.00
RX-1339NICARDIPINE IN NACL (ISO-OS) 40 MG/200 ML (0.2 MG/ML) INTRAVENOUS PGBKPharmacy$1,033.20
RX-134BACLOFEN 50 MCG/ML INTRATHECAL SOLNPharmacy$756.86
RX-1340NICARDIPINE IN NS 25 MG/250 ML (CUPID OSM USE ONLY)Pharmacy$4,580.10
RX-1341NIMODIPINE 30 MG/10 ML ORAL SOLNPharmacy$1,506.05
RX-1342NIMODIPINE 30 MG/5 ML ORAL SYRGPharmacy$27.46
RX-1343NIMODIPINE 60 MG/10 ML ORAL SYRGPharmacy$27.46
RX-1344NIMODIPINE 60 MG/20 ML ORAL SOLNPharmacy$263.20
RX-1345NINTEDANIB 150 MG ORAL CAPPharmacy$611.59
RX-1346NITAZOXANIDE 500 MG ORAL TABPharmacy$460.25
RX-1347NITROGLYCERIN 0.3 MG/HR TRANSDERMAL PT24Pharmacy$99.72
RX-1348NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL SPRYPharmacy$425.66
RX-1349NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLNPharmacy$13.73
RX-135BACLOFEN 500 MCG/ML INTRATHECAL SOLNPharmacy$2,187.36
RX-1352NITROGLYCERIN IN 5 % DEXTROSE 100 MG/250 ML (400 MCG/ML) IV SOLN (CATHLAB ONLY)Pharmacy$157.50
RX-1358NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLNPharmacy$354.84
RX-1359NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLNPharmacy$354.84
RX-136BACLOFEN 10,000 MCG/20ML (500 MCG/ML) INTRATHECAL SOLNPharmacy$2,187.36
RX-1360NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLNPharmacy$354.84
RX-1361NORELGESTROMIN-ETHIN.ESTRADIOL 150-35 MCG/24 HR TRANSDERMAL PTWKPharmacy$129.33
RX-1362NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLNPharmacy$19.03
RX-1363NOREPINEPHRINE BITARTRATE-NACL 16 MG/250 ML (64 MCG/ML) INTRAVENOUS SOLNPharmacy$598.50
RX-1364NOREPINEPHRINE BITARTRATE-NACL 4 MG/250 ML (16 MCG/ML) INTRAVENOUS SOLNPharmacy$299.25
RX-1365NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLNPharmacy$6,169.83
RX-1366NYSTATIN 100000 UNIT/GRAM TOP POWDPharmacy$44.52
RX-1367NYSTATIN-TRIAMCINOLONE 100,000-0.1 UNIT/G-% TOP CREAPharmacy$84.00
RX-1368NYSTATIN-TRIAMCINOLONE 100,000-0.1 UNIT/GRAM-% TOP OINTPharmacy$284.97
RX-1369OBINUTUZUMAB 1000 MG/40 ML INTRAVENOUS SOLNPharmacy$800.29
RX-137BACLOFEN 10,000 MCG/20ML (500 MCG/ML) INTRATHECAL SYRGPharmacy$2,187.36
RX-1370OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLNPharmacy$723.45
RX-1371OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLNPharmacy$11.82
RX-1372OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLNPharmacy$11.82
RX-1373OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLNPharmacy$11.82
RX-1374OCTREOTIDE ACETATE 1000 MCG/ML INJECTION SOLNPharmacy$11.82
RX-1375OCTREOTIDE,MICROSPHERES 10 MG IM SSRRPharmacy$2,596.67
RX-1376OCTREOTIDE,MICROSPHERES 20 MG IM SSRRPharmacy$2,596.67
RX-1377OCTREOTIDE,MICROSPHERES 30 MG IM SSRRPharmacy$2,596.67
RX-1378OLANZAPINE 10 MG IM SOLRPharmacy$32.94
RX-1379OLARATUMAB 10 MG/ML INTRAVENOUS SOLNPharmacy$657.28
RX-138BACLOFEN 10,000 MCG/5 ML (2,000 MCG/ML) IT SOLNPharmacy$2,187.36
RX-1380OLOPATADINE 0.1 % OPHTHALMIC DROPPharmacy$125.65
RX-1381OMALIZUMAB 150 MG SUBCUTANEOUS SOLRPharmacy$470.70
RX-1382OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRGPharmacy$470.70
RX-1383OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRGPharmacy$470.70
RX-1384ONABOTULINUMTOXINA (COSMETIC) 50 UNITS IM SOLRPharmacy$77.14
RX-1385ONABOTULINUMTOXINA 100 UNITS INJECTION SOLRPharmacy$77.14
RX-1386ONABOTULINUMTOXINA 200 UNITS INJECTION SOLRPharmacy$77.14
RX-139BACLOFEN 20,000 MCG/20ML (1,000 MCG/ML) INTRATHECAL SYRGPharmacy$2,187.36
RX-1396OXACILLIN 1 G INJECTION SOLRPharmacy$16.47
RX-1397OXACILLIN 2 G INJECTION SOLRPharmacy$16.47
RX-1399OXCARBAZEPINE 600 MG ORAL TB24Pharmacy$57.79
RX-14ACETYLCYSTEINE 200 MG/ML (20 %) MISC. SOLNPharmacy$71.69
RX-140BACLOFEN 2000 MCG/ML INTRATHECAL SOLNPharmacy$2,187.36
RX-1400OXYCODONE 40 MG ORAL TR12Pharmacy$35.14
RX-1401OXYTOCIN 10 UNITS/ML INJECTION SOLNPharmacy$34.27
RX-1402OXYTOCIN IN LACTACTED RINGERS 20 UNITS/1,000 ML INFUSION (POST-PARTUM) NON TITPharmacy$18.90
RX-1403OXYTOCIN IN LACTATED RINGERS 20 UNIT/1,000 ML INTRAVENOUS SOLNPharmacy$18.90
RX-1404OXYTOCIN IN LACTATED RINGERS 30 UNIT/500 ML INTRAVENOUS SOLNPharmacy$16.80
RX-1406PACLITAXEL-PROTEIN BOUND 100 MG INTRAVENOUS SUSRPharmacy$158.18
RX-1407PALIPERIDONE 3 MG ORAL TR24Pharmacy$38.22
RX-1408PALIPERIDONE 6 MG ORAL TR24Pharmacy$76.72
RX-1409PALIPERIDONE PALMITATE 117 MG/0.75 ML IM SYRGPharmacy$145.93
RX-141BACLOFEN 40,000 MCG/20ML (2,000 MCG/ML) INTRATHECAL SOLNPharmacy$2,187.36
RX-1410PALIPERIDONE PALMITATE 156 MG/ML IM SYRGPharmacy$145.93
RX-1411PALIPERIDONE PALMITATE 234 MG/1.5 ML IM SYRGPharmacy$145.93
RX-1412PALIPERIDONE PALMITATE 39 MG/0.25 ML IM SYRGPharmacy$145.93
RX-1413PALIPERIDONE PALMITATE 78 MG/0.5 ML IM SYRGPharmacy$145.93
RX-1414PALIVIZUMAB 100 MG/ML IM SOLNPharmacy$23,167.37
RX-1415PALIVIZUMAB 50 MG/0.5 ML IM SOLNPharmacy$23,167.37
RX-1416PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLNPharmacy$78.25
RX-1417PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLN (PED-NEO)Pharmacy$78.25
RX-1418PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLNPharmacy$139.48
RX-1419PAMIDRONATE 60 MG/10 ML (6 MG/ML) INTRAVENOUS SOLNPharmacy$139.42
RX-142BACLOFEN 40,000 MCG/20ML (2,000 MCG/ML) INTRATHECAL SYRGPharmacy$2,187.36
RX-1420PAMIDRONATE 90 MG INTRAVENOUS SOLRPharmacy$139.37
RX-1421PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLNPharmacy$1,493.33
RX-1422PANTOPRAZOLE 2 MG/ML ORAL SUSPPharmacy$45.22
RX-1423PANTOPRAZOLE 4 MG/ML INJECTION (PED-NEO)Pharmacy$35.78
RX-1424PANTOPRAZOLE 40 MG INTRAVENOUS SOLRPharmacy$57.20
RX-1425PANTOPRAZOLE 40 MG ORAL GRPSPharmacy$45.22
RX-1426PAPAVERINE 30 MG/ML INJECTION SOLNPharmacy$350.53
RX-1427PARENTERAL AMINO ACID 10% NO.4 10 % INTRAVENOUS SOLPPharmacy$126.00
RX-1428PARENTERAL AMINO ACID 15% NO.1 15 % INTRAVENOUS SOLPPharmacy$756.00
RX-143BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRGPharmacy$2,187.36
RX-1431PAROXETINE MESYLATE 20 MG ORAL TABPharmacy$35.35
RX-1432PATIROMER CALCIUM SORBITEX 8.4 G ORAL PWPKPharmacy$1,067.22
RX-1433PATIROMER CALCIUM SORBITEX 16.8 G ORAL PWPKPharmacy$1,597.01
RX-1434PEG 3350-ELECTROLYTES 236-22.74-6.74 -5.86 GRAM ORAL SOLRPharmacy$42.00
RX-1435PEGASPARGASE 750 UNITS/ML INJECTION SOLNPharmacy$221,402.48
RX-1436PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYINPharmacy$53,639.42
RX-1437PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRGPharmacy$53,639.42
RX-1438PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRGPharmacy$4,240.16
RX-1439PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLNPharmacy$11,679.07
RX-144BARIUM SULFATE 0.1 % ORAL SUSPPharmacy$12.60
RX-1440PEGLOTICASE 8 MG/ML INTRAVENOUS SOLNPharmacy$33,034.31
RX-1441PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLNPharmacy$633.33
RX-1442PEMETREXED 500 MG INTRAVENOUS SOLRPharmacy$891.99
RX-1443PENICILLIN G BENZATHIN,PROCAIN 1,200,000 UNIT/ 2 ML(600K/600K) IM SYRGPharmacy$136.91
RX-1444PENICILLIN G BENZATHINE 1200000 UNIT/2 ML IM SYRGPharmacy$173.43
RX-1445PENICILLIN G BENZATHINE 2400000 UNIT/4 ML IM SYRGPharmacy$173.43
RX-1446PENICILLIN G BENZATHINE 600000 UNITS/ML IM SYRGPharmacy$173.43
RX-1447PENICILLIN G POTASSIUM 5 MILLION UNIT INJECTION SOLRPharmacy$13.22
RX-1448PENICILLIN G POTASSIUM 5 MU/50 MLPharmacy$13.23
RX-1449PENICILLIN G SODIUM 5 MILLION UNIT INJECTION SOLRPharmacy$317.39
RX-145BARIUM SULFATE 40 % (W/V) ORAL SUSPPharmacy$50.40
RX-1450PENICILLIN G SODIUM IN D5W 2.5 MU/100 ML IVPBPharmacy$13.31
RX-1451PENICILLIN G SODIUM IN D5W 3 MU/100 ML IVPBPharmacy$199.16
RX-1452PENICILLIN G SODIUM IN D5W 5 MU/100 ML IVPBPharmacy$13.31
RX-1453PENTAMIDINE 300 MG INHALATION SOLRPharmacy$1,527.26
RX-1454PENTAMIDINE 300 MG INJECTION SOLRPharmacy$86.18
RX-1455PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLNPharmacy$440.75
RX-1456PEP PACK 1-DAYPharmacy$393.60
RX-1457PEP PACK 4-DAYPharmacy$2,298.32
RX-1458PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLNPharmacy$21.15
RX-1459PERAMPANEL 2 MG ORAL TABPharmacy$54.01
RX-146BARIUM SULFATE 60 % (W/V) ORAL SUSPPharmacy$484.58
RX-1460PERAMPANEL 4 MG ORAL TABPharmacy$106.72
RX-1461PERAMPANEL 6 MG ORAL TABPharmacy$106.72
RX-1462PERAMPANEL 10 MG ORAL TABPharmacy$106.72
RX-1463PERAMPANEL 12 MG ORAL TABPharmacy$106.72
RX-1464PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPPharmacy$607.27
RX-1465PERMETHRIN 1 % TOP LIQDPharmacy$456.37
RX-1466PERMETHRIN 5 % TOP CREAPharmacy$48.30
RX-1467PERPHENAZINE 2 MG ORAL TABPharmacy$21.67
RX-147BARIUM SULFATE 40 % (W/V) 29% (W/W) ORAL SUSPPharmacy$175.00
RX-1471PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLNPharmacy$158.97
RX-1472PERTUZUMAB-TRASTUZUMAB-HY-ZZXF 600 MG-600 MG- 20000 UNIT/10ML SUBCUTANEOUS SOLNPharmacy$106,734.60
RX-1473PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2-0.1037 -0.0194 MG/5 ML ORAL ELIXPharmacy$51.63
RX-1474PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLNPharmacy$534.18
RX-1475PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLNPharmacy$534.17
RX-1476PHENTOLAMINE 5 MG INJECTION SOLRPharmacy$4,811.97
RX-1477PHENYLEPH-MIN OIL-PETROLATUM 0.25-14-74.9 % RECTAL OINTPharmacy$636.41
RX-1478PHENYLEPHRINE HCL 0.25 % NASAL SPRYPharmacy$302.40
RX-1479PHENYLEPHRINE HCL 0.5 % NASAL SPRYPharmacy$302.40
RX-148BARIUM SULFATE 40 % (W/V), 30% (W/W) ORAL PSTEPharmacy$177.10
RX-1480PHENYLEPHRINE HCL 1 % NASAL DROPPharmacy$132.30
RX-1481PHENYLEPHRINE HCL 2.5 % OPHTHALMIC DROPPharmacy$96.04
RX-1482PHENYLEPHRINE HCL 10 % OPHTHALMIC DROPPharmacy$109.73
RX-1483PHENYLEPHRINE HCL 10 MG/ML INJECTION SOLNPharmacy$34.65
RX-1484PHENYLEPHRINE HCL IN 0.9% NACL 1 MG/10 ML (100 MCG/ML) INTRAVENOUS SYRGPharmacy$53.26
RX-1486PHENYLEPHRINE HCL IN 0.9% NACL 400 MCG/ML INTRAVENOUS SOLNPharmacy$223.65
RX-1487PHENYLEPHRINE IN 0.9 % NACL 100 MG/250 ML (400 MCG/ML) IVPBPharmacy$223.65
RX-1488PHENYLEPHRINE IN 0.9% NACL(PF) 1 MG/10 ML (100 MCG/ML) INTRAVENOUS SYRGPharmacy$53.26
RX-1489PHENYLEPHRINE-KETOROLAC 1-0.3 % INTRAOCULAR CONCPharmacy$1,382.18
RX-149BASILIXIMAB 20 MG INTRAVENOUS SOLRPharmacy$47,981.81
RX-1490PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLNPharmacy$12.31
RX-1491PHYSOSTIGMINE SALICYLATE 1 MG/ML INJECTION SOLNPharmacy$447.55
RX-1492PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SOLNPharmacy$53.32
RX-1493PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRGPharmacy$53.32
RX-1494PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLNPharmacy$53.32
RX-1495PHYTONADIONE (VITAMIN K1) 5 MG ORAL TABPharmacy$171.19
RX-1496PHYTONADIONE 2.5 MG ORAL PARTIAL TABPharmacy$186.62
RX-1497PILOCARPINE HCL 1 % OPHTHALMIC DROPPharmacy$148.58
RX-1498PILOCARPINE HCL 2 % OPHTHALMIC DROPPharmacy$300.83
RX-1499PILOCARPINE HCL 4 % OPHTHALMIC DROPPharmacy$252.53
RX-15ACYCLOVIR 5 % TOP OINTPharmacy$134.93
RX-150BECLOMETHASONE DIPROPIONATE 40 MCG/ACTUATION INHALATION AEROPharmacy$419.56
RX-1500PIPERACILLIN-TAZOBACTAM 2.25 G INTRAVENOUS SOLRPharmacy$23.30
RX-1501PIPERACILLIN-TAZOBACTAM 3.375 G INTRAVENOUS SOLRPharmacy$23.30
RX-1502PIPERACILLIN-TAZOBACTAM 4.5 G INTRAVENOUS SOLRPharmacy$23.30
RX-1503PIPERACILLIN-TAZOBACTAM-DEXTRS 2.25 GRAM/50 ML INTRAVENOUS PGBKPharmacy$23.30
RX-1504PLASMA-LYTE WITH HEPARIN 32000 UNITS 1000 ML SOLUTIONPharmacy$45.50
RX-1505PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLNPharmacy$4,381.35
RX-1506PNEUMOC 13-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRGPharmacy$2,704.21
RX-1507PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJECTION SOLNPharmacy$1,439.06
RX-1508PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJECTION SYRGPharmacy$1,439.06
RX-1509POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLRPharmacy$1,400.05
RX-151BECLOMETHASONE DIPROPIONATE 80 MCG/ACTUATION INHALATION AEROPharmacy$700.35
RX-1510POLIOVIRUS VACCINE 40-8-32 UNIT/0.5 ML INJECTION SUSPPharmacy$403.52
RX-1511POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDPharmacy$441.49
RX-1512POLYMYXIN B SULFATE 500000 UNITS INJECTION SOLRPharmacy$47.50
RX-1513PORACTANT ALFA 120 MG/1.5 ML INTRATRACH SUSPPharmacy$1,449.47
RX-1514PORACTANT ALFA 240 MG/3 ML INTRATRACH SUSPPharmacy$2,820.93
RX-1515POSACONAZOLE 100 MG ORAL TBECPharmacy$217.63
RX-1516POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPPharmacy$43.54
RX-1517POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLNPharmacy$290.56
RX-1519POTASSIUM CHLORID-D5-0.45%NACL 10 MEQ/L INTRAVENOUS SOLPPharmacy$63.00
RX-152BELATACEPT 250 MG INTRAVENOUS SOLRPharmacy$47.53
RX-1520POTASSIUM CHLORID-D5-0.45%NACL 20 MEQ/L INTRAVENOUS SOLPPharmacy$63.00
RX-1521POTASSIUM CHLORID-D5-0.45%NACL 40 MEQ/L INTRAVENOUS SOLPPharmacy$63.00
RX-1522POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLNPharmacy$63.00
RX-1523POTASSIUM CHLORIDE IN 0.9%NACL 20 MEQ/L INTRAVENOUS SOLPPharmacy$63.00
RX-1524POTASSIUM CHLORIDE IN 0.9%NACL 40 MEQ/L INTRAVENOUS SOLPPharmacy$63.00
RX-1525POTASSIUM CHLORIDE IN 5 % DEX 20 MEQ/L INTRAVENOUS SOLPPharmacy$63.00
RX-1526POTASSIUM CHLORIDE IN SWFI 10 MEQ/100 ML IVPBPharmacy$63.00
RX-1527POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML INTRAVENOUS PGBKPharmacy$63.00
RX-1528POTASSIUM CHLORIDE IN WATER 10 MEQ/50 ML INTRAVENOUS PGBKPharmacy$63.00
RX-1529POTASSIUM CHLORIDE IN WATER 20 MEQ/100 ML INTRAVENOUS PGBKPharmacy$63.00
RX-153BELIMUMAB 120 MG INTRAVENOUS SOLRPharmacy$573.19
RX-1530POTASSIUM CHLORIDE IN WATER 20 MEQ/50 ML INTRAVENOUS PGBKPharmacy$63.00
RX-1531POTASSIUM CHLORIDE IN WATER 40 MEQ/100 ML INTRAVENOUS PGBKPharmacy$63.00
RX-1532POTASSIUM CHLORIDE-0.45 % NACL 20 MEQ/L INTRAVENOUS SOLPPharmacy$63.00
RX-1533POTASSIUM CHLORIDE-D5-0.3%NACL 20 MEQ/L INTRAVENOUS SOLPPharmacy$63.00
RX-1534POTASSIUM CHLORIDE-D5-0.9%NACL 20 MEQ/L INTRAVENOUS SOLPPharmacy$63.00
RX-1535POTASSIUM CHLORIDE-D5-0.9%NACL 40 MEQ/L INTRAVENOUS SOLPPharmacy$63.00
RX-1536POTASSIUM IODIDE 1 G/ML ORAL SOLNPharmacy$37.70
RX-1537POTASSIUM PHOSPHATE M-/D-BASIC 3 MMOL/ML INTRAVENOUS SOLNPharmacy$10.58
RX-1538POVIDONE-IODINE 10 % TOP OINTPharmacy$117.29
RX-1539POVIDONE-IODINE 10 % TOP SOLNPharmacy$467.68
RX-154BELINOSTAT 500 MG INTRAVENOUS SOLRPharmacy$514.42
RX-1540PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLNPharmacy$3,723.59
RX-1541PRAZIQUANTEL 600 MG ORAL TABPharmacy$186.38
RX-1543PREDNISOLONE ACETATE 0.12 % OPHTHALMIC DRPSPharmacy$485.10
RX-1544PREDNISOLONE ACETATE 1 % OPHTHALMIC DRPSPharmacy$152.95
RX-1545PREDNISOLONE SODIUM PHOSPHATE 1 % OPHTHALMIC DROPPharmacy$78.75
RX-155BELLADONNA ALKALOIDS-OPIUM 16.2-30 MG RECTAL SUPPPharmacy$69.93
RX-1554PROCAINAMIDE 100 MG/ML INJECTION SOLNPharmacy$1,225.48
RX-1555PROCAINAMIDE 500 MG/ML INJECTION SOLNPharmacy$1,225.43
RX-1556PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLNPharmacy$108.86
RX-1557PROCHLORPERAZINE EDISYLATE 5 MG/ML INJECTION SOLNPharmacy$108.86
RX-156BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLNPharmacy$273.74
RX-1560PROGESTERONE 50 MG/ML IM OILPharmacy$23.21
RX-1564PROMETHAZINE 25 MG/ML INJECTION SOLNPharmacy$25.96
RX-1565PROPARACAINE 0.5 % OPHTHALMIC DROPPharmacy$108.68
RX-1569PROPRANOLOL 1 MG/ML INTRAVENOUS SOLNPharmacy$23.66
RX-157BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRGPharmacy$2,148.19
RX-1570PROTAMINE 10 MG/ML INTRAVENOUS SOLNPharmacy$13.68
RX-1571PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLNPharmacy$152.21
RX-1572PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLNPharmacy$83.21
RX-1573PYRIMETHAMINE 25 MG ORAL TABPharmacy$997.50
RX-1574RABIES IMMUNE GLOBULIN (PF) 150 UNITS/ML IM SOLNPharmacy$3,494.48
RX-1575RABIES IMMUNE GLOBULIN (PF) 300 UNITS/ML IM SOLNPharmacy$3,494.48
RX-1576RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNITS IM SOLRPharmacy$3,500.48
RX-1577RABIES VACCINE, PCEC (PF) 2.5 UNITS IM SUSRPharmacy$3,500.48
RX-1578RADIUM RA 223 DICHLORIDE 1,100 KBQ/ML(30 MICROCURIE/ML) INTRAVENOUS SOLNPharmacy$474,635.70
RX-1579RALTEGRAVIR 400 MG ORAL TABPharmacy$93.07
RX-158BENZOCAINE 20 % MUCOUS MEMBR SPRAPharmacy$141.65
RX-1580RAMELTEON 8 MG ORAL TABPharmacy$40.78
RX-1581RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLNPharmacy$751.84
RX-1582RASAGILINE 0.5 MG ORAL TABPharmacy$43.68
RX-1583RASBURICASE 1.5 MG INTRAVENOUS SOLRPharmacy$3,683.37
RX-1584RASBURICASE 7.5 MG INTRAVENOUS SOLRPharmacy$3,683.37
RX-1585RAVULIZUMAB-CWVZ 300 MG/30 ML (10 MG/ML) INTRAVENOUS SOLNPharmacy$1,787.57
RX-1586REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRGPharmacy$746.91
RX-1587REGULAR INSULIN 100 UNITS IN 100ML NS IVPBPharmacy$11.34
RX-1588REMIFENTANIL (ULTIVA) IN 0.9 % NACL 2,000 MCG/100 ML (20 MCG/ML) INFUNPharmacy$1,404.90
RX-1589REMIFENTANIL 1 MG INTRAVENOUS SOLRPharmacy$233.60
RX-159BENZOCAINE 20 % MUCOUS MEMBR SPRYPharmacy$62.48
RX-1590REMIFENTANIL 2 MG INTRAVENOUS SOLRPharmacy$280.35
RX-1591RHO(D) IMMUNE GLOBULIN 250 UNIT (50 MCG) IM SYRGPharmacy$318.10
RX-1592RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECTION SOLNPharmacy$375.30
RX-1593RHO(D) IMMUNE GLOBULIN-MALTOSE 5,000 UNIT(1000 MCG)/4.4 ML INJECTION SOLNPharmacy$375.30
RX-1594RIFAMPIN 600 MG INTRAVENOUS SOLRPharmacy$36.04
RX-1595RIFAXIMIN 200 MG ORAL TABPharmacy$70.98
RX-1596RIFAXIMIN 550 MG ORAL TABPharmacy$135.28
RX-1597RILPIVIRINE 25 MG ORAL TABPharmacy$123.38
RX-1598RIOCIGUAT 0.5 MG ORAL TABPharmacy$426.15
RX-1599RIOCIGUAT 1 MG ORAL TABPharmacy$426.15
RX-160BENZOCAINE 40 MG/SPRAY (20 %) MUCOUS MEMBR SPRMPharmacy$72.07
RX-1600RIOCIGUAT 2.5 MG ORAL TABPharmacy$426.15
RX-1601RISEDRONATE 30 MG ORAL TABPharmacy$157.40
RX-1602RISPERIDONE MICROSPHERES 12.5 MG/2 ML IM SSRRPharmacy$126.57
RX-1603RISPERIDONE MICROSPHERES 25 MG/2 ML IM SSRRPharmacy$126.57
RX-1604RISPERIDONE MICROSPHERES 37.5 MG/2 ML IM SSRRPharmacy$126.57
RX-1605RISPERIDONE MICROSPHERES 50 MG/2 ML IM SSRRPharmacy$126.57
RX-1606RITUXIMAB 10 MG/ML INTRAVENOUS CONCPharmacy$1,189.58
RX-1607RITUXIMAB 10 MG/ML NON-ONCOLOGY USE IV CONCPharmacy$1,189.58
RX-1608RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS CONCPharmacy$1,097.36
RX-1609RITUXIMAB-HYALURONIDASE,HUMAN 1400 MG/11.7 ML (120 MG/ML) SUBCUTANEOUS SOLNPharmacy$540.15
RX-161BENZOCAINE-MENTHOL 20-0.5 % TOP AEROPharmacy$384.16
RX-1610RITUXIMAB-HYALURONIDASE,HUMAN 1600 MG/13.4 ML (120 MG/ML) SUBCUTANEOUS SOLNPharmacy$540.15
RX-1611RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS CONCPharmacy$930.26
RX-1612RIVAROXABAN 10 MG ORAL TABPharmacy$37.31
RX-1613RIVAROXABAN 15 MG ORAL TABPharmacy$37.31
RX-1614RIVAROXABAN 20 MG ORAL TABPharmacy$37.31
RX-1616ROMIDEPSIN 10 MG/2 ML INTRAVENOUS SOLRPharmacy$2,783.05
RX-1617ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLRPharmacy$902.22
RX-1618ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLRPharmacy$935.68
RX-1619ROMOSOZUMAB-AQQG 210MG/2.34ML ( 105MG/1.17MLX2) SUBCUTANEOUS SYRGPharmacy$114.48
RX-162BENZOIN TOP TINCPharmacy$793.80
RX-1623ROTAVIRUS VACCINE, LIVE, 89-12 10EXP6 CCID50/ML ORAL SUSRPharmacy$1,137.40
RX-1624ROTIGOTINE 1 MG/24 HOUR TRANSDERMAL PT24Pharmacy$74.69
RX-1625ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL PT24Pharmacy$74.69
RX-1626ROTIGOTINE 3 MG/24 HOUR TRANSDERMAL PT24Pharmacy$74.69
RX-1627ROTIGOTINE 4 MG/24 HOUR TRANSDERMAL PT24Pharmacy$74.69
RX-1628ROTIGOTINE 6 MG/24 HOUR TRANSDERMAL PT24Pharmacy$74.69
RX-1629ROTIGOTINE 8 MG/24 HOUR TRANSDERMAL PT24Pharmacy$74.69
RX-163BENZTROPINE 1 MG/ML INJECTION SOLNPharmacy$223.41
RX-1630RUFINAMIDE 200 MG ORAL TABPharmacy$40.22
RX-1631RUFINAMIDE 400 MG ORAL TABPharmacy$80.47
RX-1632SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLRPharmacy$362.75
RX-1633SALICYLIC ACID-SULFUR 2-2 % TOP SHAMPharmacy$206.50
RX-1634SARGRAMOSTIM 250 MCG INJECTION SOLRPharmacy$548.15
RX-1635SCOPOLAMINE BASE 1 MG OVER 3 DAYS TRANSDERMAL PT3DPharmacy$59.47
RX-1636SELENIUM 4 MCG/ML INTRAVENOUS SOLN FOR TPNPharmacy$16.38
RX-1637SELENIUM 40 MCG/ML INTRAVENOUS SOLNPharmacy$16.38
RX-1638SELENIUM SULFIDE 1 % TOP SHAMPharmacy$304.29
RX-1639SELENIUM SULFIDE 2.5 % TOP LOTNPharmacy$697.20
RX-164BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL SOLNPharmacy$460.51
RX-1640SELEXIPAG 200 MCG ORAL TABPharmacy$757.37
RX-1641SELEXIPAG 1000 MCG ORAL TABPharmacy$968.98
RX-1642SEVELAMER CARBONATE 2.4 G ORAL PWPKPharmacy$56.70
RX-1643SEVOFLURANE INHALATION LIQDPharmacy$253.75
RX-1644SILDENAFIL (PULM.HYPERTENSION) 10 MG/12.5 ML INTRAVENOUS SOLNPharmacy$153.09
RX-1645SILDENAFIL (PULM.HYPERTENSION) 10 MG/ML ORAL SUSRPharmacy$21.31
RX-1646SINCALIDE 5 MCG INJECTION SOLRPharmacy$1,397.71
RX-1647SIPULEUCEL-T-LACTATED RINGERS 50 MILLION CELL/250 ML INTRAVENOUS SUSPPharmacy$362,947.73
RX-1648SIROLIMUS 0.5 MG ORAL TABPharmacy$75.63
RX-1649SIROLIMUS 1 MG ORAL TABPharmacy$75.63
RX-165BETAMETHASONE ACET,SOD PHOS 6 MG/ML INJECTION SUSPPharmacy$89.11
RX-1650SIROLIMUS 1 MG/ML ORAL SOLNPharmacy$75.63
RX-1651SITAGLIPTIN 25 MG ORAL TABPharmacy$50.12
RX-1652SITAGLIPTIN 50 MG ORAL TABPharmacy$50.12
RX-1653SITAGLIPTIN 100 MG ORAL TABPharmacy$50.12
RX-1654SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLNPharmacy$17.64
RX-1655SODIUM BICARBONATE 1 MEQ/ML INTRAVENOUS SOLNPharmacy$100.80
RX-1656SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRGPharmacy$693.00
RX-1657SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRGPharmacy$11.21
RX-1658SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLNPharmacy$18.65
RX-1659SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRGPharmacy$100.80
RX-166BETAMETHASONE DIPROPIONATE 0.05 % TOP CREAPharmacy$47.78
RX-1660SODIUM BICARBONATE IN D5W 150 MEQ/1,000 ML INTRAVENOUS SOLNPharmacy$302.40
RX-1662SODIUM CHLORIDE 0.45 % 0.45 % INTRAVENOUS SOLPPharmacy$63.00
RX-1663SODIUM CHLORIDE 0.9 % INJECTION SOLNPharmacy$63.00
RX-1664SODIUM CHLORIDE 0.9 % INTRAVENOUS PGBKPharmacy$63.00
RX-1665SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLPPharmacy$63.00
RX-1666SODIUM CHLORIDE 0.9 % IV BOLUSPharmacy$63.00
RX-1667SODIUM CHLORIDE 0.9 % IV DISPENSABLEPharmacy$63.00
RX-1668SODIUM CHLORIDE 0.9 % IV KVOPharmacy$16.29
RX-1669SODIUM CHLORIDE 23.4 % (4 MEQ/ML) IV SOLPPharmacy$30.24
RX-167BETAMETHASONE VALERATE 0.1 % TOP CREAPharmacy$40.43
RX-1670SODIUM CHLORIDE 3 % 3 % INTRAVENOUS SOLPPharmacy$63.00
RX-1671SODIUM CHLORIDE 3 % IV BOLUSPharmacy$63.00
RX-1672SODIUM CHLORIDE 4 MEQ/ML INTRAVENOUS SOLPPharmacy$30.24
RX-1673SODIUM FERRIC GLUCONAT-SUCROSE 62.5 MG/5 ML INTRAVENOUS SOLNPharmacy$25.04
RX-1674SODIUM HYALURONATE (VISCOSUP) 10 MG/ML INTRAARTICLR SYRGPharmacy$1,043.88
RX-1675SODIUM HYALURONATE (VISCOSUP) 10 MG/ML(MW 2.4 -3.6 MILLION) INTRAARTICLR SYRGPharmacy$1,823.14
RX-1676SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRGPharmacy$109.91
RX-1677SODIUM HYALURONATE 23 MG/ML INTRAOCULAR SYRGPharmacy$1,498.90
RX-1678SODIUM HYPOCHLORITE 0.125 % MISC. SOLNPharmacy$993.30
RX-1679SODIUM HYPOCHLORITE 0.25 % MISC. SOLNPharmacy$761.53
RX-168BETAMETHASONE VALERATE 0.1 % TOP LOTNPharmacy$109.20
RX-1680SODIUM IODIDE I-123 2 MCI CAP PER MCIPharmacy$6,696.02
RX-1681SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) ORAL CAPPharmacy$936.68
RX-1682SODIUM IODIDE-131 1000 MCI/ML (1 ML) ORAL KITPharmacy$198.45
RX-1684SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLNPharmacy$743.27
RX-1685SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLNPharmacy$19.78
RX-1686SODIUM PHOSPHATE IN 0.9 % NACL 15 MMOL/100 ML IVPBPharmacy$214.20
RX-1687SODIUM PHOSPHATES 19-7 GRAM/118 ML RECTAL ENEMPharmacy$74.48
RX-1688SODIUM PHOSPHATES 9.5-3.5 GRAM/59 ML RECTAL ENEMPharmacy$113.19
RX-1689SODIUM POLYSTYRENE SULFONATE 30 GRAM/120 ML RECTAL ENEMPharmacy$46.20
RX-169BETAMETHASONE, AUGMENTED 0.05 % TOP LOTNPharmacy$141.75
RX-1690SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLNPharmacy$424.24
RX-1691SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLNPharmacy$22.43
RX-1692SODIUM ZIRCONIUM CYCLOSILICATE 5 G ORAL PWPKPharmacy$44.38
RX-1693SODIUM ZIRCONIUM CYCLOSILICATE 10 G ORAL PWPKPharmacy$44.38
RX-1694SODIUM,POTASSIUM,MAG SULFATES 17.5-3.13-1.6 GRAM ORAL SOLRPharmacy$234.17
RX-1695SOLIFENACIN 5 MG ORAL TABPharmacy$40.81
RX-1696SOLIFENACIN 10 MG ORAL TABPharmacy$40.81
RX-1697STERILE TALC 4 G INTRAPLEURAL AERPPharmacy$101.85
RX-1698STERILE TALC 4 G INTRAPLEURAL SUSRPharmacy$521.50
RX-1699SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLNPharmacy$20.79
RX-17ADEFOVIR 10 MG ORAL TABPharmacy$89.92
RX-170BETAXOLOL 0.25 % OPHTHALMIC DRPSPharmacy$981.40
RX-1700SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRGPharmacy$21.24
RX-1701SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLNPharmacy$19.03
RX-1703SUGAMMADEX 100 MG/ML INTRAVENOUS SOLNPharmacy$598.63
RX-1704SULFACETAMIDE SODIUM 10 % OPHTHALMIC DROPPharmacy$116.03
RX-1705SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5 ML INTRAVENOUS SOLNPharmacy$10.33
RX-1706SULFUR HEXAFLUORIDE LIPID-TYPE A MICROSPHERESPharmacy$246.77
RX-1707SULFUR HEXAFLUORIDE MICROSPHR 25 MG INTRAVENOUS SUSRPharmacy$246.77
RX-1708SUMATRIPTAN 20 MG/ACTUATION NASAL SPRYPharmacy$122.89
RX-1709SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SUBCUTANEOUS SOLNPharmacy$79.88
RX-171BEVACIZUMAB 1.25 MG/0.05 ML INTRAVITREAL INJECTIONPharmacy$1,016.10
RX-1710TACROLIMUS 0.1 % TOP OINTPharmacy$279.30
RX-1713TACROLIMUS 0.75 MG ORAL TB24Pharmacy$17.05
RX-1715TACROLIMUS 1 MG ORAL TB24Pharmacy$17.05
RX-1717TACROLIMUS 4 MG ORAL TB24Pharmacy$17.05
RX-1719TACROLIMUS 5 MG/ML INTRAVENOUS SOLNPharmacy$2,666.10
RX-172BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLNPharmacy$1,016.10
RX-1720TALIGLUCERASE ALFA 200 UNITS INTRAVENOUS SOLRPharmacy$503.53
RX-1721TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML INJECTION SUSPPharmacy$648.12
RX-1722TAPENTADOL 100 MG ORAL TB12Pharmacy$44.24
RX-1723TC 99M HDPPharmacy$510.43
RX-1724TC 99M MERTIATIDE =< 15 MCIPharmacy$24,766.56
RX-1725TC 99M SESTAMIBIPharmacy$945.00
RX-1726TC 99M SODIUM PERTECHNETATE 25 MCIPharmacy$11.34
RX-1727TC 99M TAGGED ULTRATAG RBCPharmacy$1,738.80
RX-1728TEMOZOLOMIDE 100 MG ORAL CAPPharmacy$11.44
RX-1729TEMOZOLOMIDE 140 MG ORAL CAPPharmacy$11.44
RX-173BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLNPharmacy$879.13
RX-1730TEMOZOLOMIDE ORAL SUSP 10 MG/MLPharmacy$19.53
RX-1731TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST) INTRAVENOUS SOLRPharmacy$603.89
RX-1732TENECTEPLASE 50 MG INTRAVENOUS SOLRPharmacy$1,534.84
RX-1733TENOFOVIR ALAFENAMIDE 25 MG ORAL TABPharmacy$124.15
RX-1734TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLRPharmacy$3,980.09
RX-1735TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLNPharmacy$26.70
RX-1736TERBUTALINE INFUSION 1 MG/ML (PED-NEO)Pharmacy$26.70
RX-1737TERIPARATIDE 20 MCG/DOSE - 600 MCG/2.4 ML SUBCUTANEOUS PNIJPharmacy$729.10
RX-1738TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GLPKPharmacy$67.73
RX-174BEXAROTENE 75 MG ORAL CAPPharmacy$591.95
RX-1740TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSPPharmacy$316.34
RX-1741TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRGPharmacy$316.34
RX-1742TETANUS IMMUNE GLOBULIN (PF) 250 UNITS IM SYRGPharmacy$5,833.65
RX-1743TETRABENAZINE 12.5 MG ORAL TABPharmacy$41.55
RX-1744THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) INTRAVENOUS SOLNPharmacy$203.11
RX-1745THALLOUS CHLORIDE TL-201 74 MBQ/ML (2 MCI/ML) INTRAVENOUS SOLNPharmacy$228.19
RX-1746THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLNPharmacy$20.84
RX-1747THIOTEPA 15 MG INJECTION SOLRPharmacy$5,191.29
RX-1748THIOTEPA 100 MG INJECTION SOLRPharmacy$5,191.29
RX-1749THROMB,HM-FIBRIN-APROTIN,S-CA 4 ML TOP SYRGPharmacy$842.24
RX-175BICTEGRAV-EMTRICIT-TENOFOV ALA 50-200-25 MG ORAL TABPharmacy$342.83
RX-1750THROMB,HM-FIBRIN-APROTIN,S-CA 10 ML TOP SYRGPharmacy$2,066.75
RX-1751THROMB,HM-FIBRIN-APROTIN,S-CA 2.5 TO 6.5 UNIT/ML (10ML) TOP SYRGPharmacy$1,976.21
RX-1752THROMB,HM-FIBRIN-APROTIN,S-CA 2.5 TO 6.5 UNIT/ML (4 ML) TOP SYRGPharmacy$1,976.21
RX-1753THROMBIN (BOVINE) 5000 UNITS TOP SOLRPharmacy$177.80
RX-1754THROMBIN (RECOMBINANT) 5000 UNITS TOP SOLRPharmacy$150.22
RX-1755THROMBIN-FIBRINOGN-APROTIN-CAL 4 ML TOP SYRGPharmacy$817.71
RX-1756THROMBIN-FIBRINOGN-APROTIN-CAL 10 ML TOP SYRGPharmacy$2,006.55
RX-1757THYROTROPIN ALFA 1.1 MG (0.9 MG/ ML FINAL CONC.) IM SOLRPharmacy$21,425.17
RX-1758TIGECYCLINE 50 MG INTRAVENOUS SOLRPharmacy$20.60
RX-1759TIMOLOL 0.5 % OPHTHALMIC DROPPharmacy$81.80
RX-176BIMATOPROST 0.01 % OPHTHALMIC DROPPharmacy$656.51
RX-1760TIMOLOL MALEATE 0.5 % OPHTHALMIC DRPDPharmacy$273.00
RX-1761TIMOLOL MALEATE 0.5 % OPHTHALMIC SOLGPharmacy$526.40
RX-1762TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION INHALATION MISTPharmacy$42.84
RX-1763TOBRAMYCIN 0.3 % OPHTHALMIC OINTPharmacy$677.43
RX-1764TOBRAMYCIN IN 0.225 % NACL 300 MG/5 ML INHALATION NEBUPharmacy$503.12
RX-1765TOBRAMYCIN SULFATE 1.2 G INJECTION SOLRPharmacy$46.51
RX-1766TOBRAMYCIN SULFATE 40 MG/ML INJECTION SOLNPharmacy$46.52
RX-1767TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OPHTHALMIC DRPSPharmacy$292.95
RX-1768TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OPHTHALMIC OINTPharmacy$721.16
RX-1769TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLNPharmacy$64.01
RX-177BIMATOPROST 0.03 % OPHTHALMIC DROPPharmacy$168.26
RX-1770TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLNPharmacy$64.01
RX-1771TOCILIZUMAB 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLNPharmacy$64.01
RX-1772TOLNAFTATE 1 % TOP CREAPharmacy$119.70
RX-1773TOLVAPTAN 15 MG ORAL TABPharmacy$1,725.33
RX-1774TOLVAPTAN 30 MG ORAL TABPharmacy$1,789.83
RX-1775TOPOTECAN 4 MG INTRAVENOUS SOLRPharmacy$12.34
RX-1776TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLNPharmacy$12.34
RX-1777TRABECTEDIN 1 MG INTRAVENOUS SOLRPharmacy$3,943.02
RX-1778TRACE ELEMENTS CR-CU-MN-SE-ZN 10 MCG-1 MG-0.5 MG-60MCG-5MG/ML INTRAVENOUS SOLNPharmacy$24.19
RX-1782TRASTUZUMAB 150 MG INTRAVENOUS SOLRPharmacy$1,333.77
RX-1783TRASTUZUMAB 440 MG INTRAVENOUS SOLRPharmacy$1,333.77
RX-1784TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLRPharmacy$1,142.45
RX-1785TRASTUZUMAB-DKST 420 MG INTRAVENOUS SOLRPharmacy$1,151.59
RX-1786TRASTUZUMAB-HYALURONIDASE-OYSK 600 MG-10,000 UNIT/5 ML SUBCUTANEOUS SOLNPharmacy$997.73
RX-1787TRAVOPROST 0.004 % OPHTHALMIC DROPPharmacy$616.09
RX-1788TREPROSTINIL DIOLAMINE 0.25 MG ORAL TBSRPharmacy$47.27
RX-1789TREPROSTINIL DIOLAMINE 1 MG ORAL TBSRPharmacy$189.08
RX-1790TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLNPharmacy$787.64
RX-1791TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLNPharmacy$787.64
RX-1792TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLNPharmacy$787.64
RX-1793TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLNPharmacy$787.64
RX-1794TRETINOIN (ANTINEOPLASTIC) 10 MG ORAL CAPPharmacy$82.57
RX-1795TRETINOIN 0.05 % TOP CREAPharmacy$163.10
RX-1796TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR INJECTIONPharmacy$48.38
RX-1797TRIAMCINOLONE ACETONIDE 0.025 % TOP LOTNPharmacy$56.70
RX-1798TRIAMCINOLONE ACETONIDE 0.1 % DENT PSTEPharmacy$204.75
RX-1799TRIAMCINOLONE ACETONIDE 0.1 % TOP LOTNPharmacy$73.50
RX-180BLEOMYCIN 15 UNITS INJECTION SOLRPharmacy$285.58
RX-1800TRIAMCINOLONE ACETONIDE 10 MG/ML INJECTIONPharmacy$19.66
RX-1801TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSPPharmacy$19.66
RX-1802TRIFLURIDINE 1 % OPHTHALMIC DROPPharmacy$622.65
RX-1803TRIMETHOBENZAMIDE 100 MG/ML IM SOLNPharmacy$459.42
RX-1804TRIMETHOBENZAMIDE 300 MG ORAL CAPPharmacy$10.92
RX-1805TRIPTORELIN PAMOATE 11.25 MG IM SUSRPharmacy$3,323.16
RX-1806TRIPTORELIN PAMOATE 11.25 MG/2 ML IM SYRGPharmacy$3,323.16
RX-1807TUMESCENT LIPOSUCTION SOLUTION FOR SUBCUTANEOUS 1000 MLPharmacy$403.20
RX-1808UMECLIDINIUM-VILANTEROL 62.5-25 MCG/ACTUATION INHALATION DSDVPharmacy$183.26
RX-1809USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLNPharmacy$150.34
RX-181BLEOMYCIN 30 UNIT NON-ONCOLOGY INJ SOLRPharmacy$285.58
RX-1810USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SOLNPharmacy$2,398.50
RX-1811USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRGPharmacy$2,398.50
RX-1812USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRGPharmacy$2,398.50
RX-1814VANCOMYCIN 1.25 G INTRAVENOUS SOLRPharmacy$42.68
RX-1815VANCOMYCIN 10 G INTRAVENOUS SOLRPharmacy$42.68
RX-1816VANCOMYCIN 500 MG INTRAVENOUS SOLRPharmacy$42.68
RX-1817VANCOMYCIN 750 MG INTRAVENOUS SOLRPharmacy$42.68
RX-1818VANCOMYCIN (BULK) 900 MCG/MG (NOT LESS THAN) MISC. POWDPharmacy$84.21
RX-1819VANCOMYCIN 1000 MG INTRAVENOUS SOLRPharmacy$42.68
RX-182BLEOMYCIN 30 UNITS INJECTION SOLRPharmacy$285.58
RX-1820VANCOMYCIN 1000 MG INTRAVENOUS SOLR FOR POWDER USEPharmacy$42.68
RX-1821VANCOMYCIN 500 MG IV SOLR (CUSTOM)Pharmacy$42.68
RX-1823VANCOMYCIN IN 0.9 % SODIUM CHL 1 GRAM/250 ML INTRAVENOUS SOLNPharmacy$44.10
RX-1824VANCOMYCIN IN 0.9 % SODIUM CHL 1250 MG INTRAVENOUS SOLNPharmacy$42.84
RX-1825VANCOMYCIN IN 0.9 % SODIUM CHL 1500 MG INTRAVENOUS SOLNPharmacy$43.05
RX-1826VANCOMYCIN IN 0.9% SODIUM CL 1750 MG/500 ML IV SOLNPharmacy$43.20
RX-1827VANCOMYCIN IN 0.9% SODIUM CL 2000 MG/500 ML IV SOLNPharmacy$44.10
RX-1828VANCOMYCIN IN D5W 750 MG/250 ML IVPBPharmacy$44.10
RX-1829VANCOMYCIN IN DEXTROSE 5 % 1250 MG INTRAVENOUS SOLNPharmacy$42.84
RX-183BLINATUMOMAB 35 MCG INTRAVENOUS KITPharmacy$1,428.13
RX-1830VANCOMYCIN IN DEXTROSE 5 % 1500 MG INTRAVENOUS SOLNPharmacy$42.68
RX-1831VANCOMYCIN IN NS 10 MG/ML 1ML SYGPharmacy$42.84
RX-1832VANCOMYCIN IN NS 750 MG/250 ML IVPBPharmacy$42.68
RX-1833VANCOMYCIN-HEPARIN ALT 2.5 MG-2500 UNIT/ML INJPharmacy$42.84
RX-1834VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSRPharmacy$3,420.14
RX-1835VARICELLA-ZOSTER GE-AS01B (PF) 50 MCG/0.5 ML IM SUSRPharmacy$1,696.59
RX-1836VARICELLA-ZOSTER I.GLOB-MALTOS 125 UNIT/1.2 ML IM SOLNPharmacy$21,486.97
RX-1837VASOPRESSIN 20 UNITS/ML INJECTION SOLNPharmacy$2,252.38
RX-1838VASOPRESSIN 20 UNITS/ML INTRAVENOUS SOLNPharmacy$2,252.38
RX-1839VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLRPharmacy$49.14
RX-184BORTEZOMIB 2.5 MG INJ SOLR SUBCUT (CC)Pharmacy$565.17
RX-1840VEDOLIZUMAB 300 MG INTRAVENOUS SOLRPharmacy$255.05
RX-1841VELAGLUCERASE ALFA 400 UNITS INTRAVENOUS SOLRPharmacy$4,352.25
RX-1842VERAPAMIL 2.5 MG/ML IA SOLNPharmacy$74.47
RX-1843VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLNPharmacy$45.99
RX-1844VIGABATRIN 500 MG ORAL PWPKPharmacy$236.72
RX-1845VINBLASTINE 1 MG/ML INTRAVENOUS SOLNPharmacy$48.95
RX-1846VINCRISTINE 1 MG/ML INTRAVENOUS SOLNPharmacy$61.54
RX-1847VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLNPharmacy$61.54
RX-1848VINCRISTINE 2 MG/2 ML IV SOLN FOR HODGKINS DISEASEPharmacy$61.54
RX-1849VINORELBINE 10 MG/ML INTRAVENOUS SOLNPharmacy$150.70
RX-185BORTEZOMIB 3.5 MG INJECTION SOLRPharmacy$565.17
RX-1850VINORELBINE 50 MG/5 ML INTRAVENOUS SOLNPharmacy$150.70
RX-1851VITAMIN A PALMITATE 50000 UNITS/ML ORAL SOLUTIONPharmacy$686.07
RX-1852VORICONAZOLE 200 MG INTRAVENOUS SOLRPharmacy$26.64
RX-1856XE133 XENON PER 10 MCIPharmacy$2,421.34
RX-1857ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLNPharmacy$19.08
RX-1858ZILEUTON 600 MG ORAL TABPharmacy$99.47
RX-1859ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLNPharmacy$43.19
RX-186BORTEZOMIB NON-ONCOLOGY USE 3.5 MG INJ SOLRPharmacy$565.17
RX-1860ZINC OXIDE 4 X 10 "-YARD TOP BNDGPharmacy$44.03
RX-1861ZINC SULFATE 1 MG/ML INTRAVENOUS SOLNPharmacy$17.89
RX-1862ZIPRASIDONE MESYLATE 20 MG/ML (FINAL CONC.) IM SOLRPharmacy$226.25
RX-1863ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLNPharmacy$137.12
RX-1864ZOLEDRONIC ACID-MANNITOL-WATER 5 MG/100 ML INTRAVENOUS PGBKPharmacy$137.34
RX-1865ZOLEDRONIC AC-MANNITOL-0.9NACL 4 MG/100 ML INTRAVENOUS PGBKPharmacy$137.34
RX-1866ZOSTER VACCINE LIVE (PF) 19400 UNIT/0.65 ML SUBCUTANEOUS SUSRPharmacy$2,625.97
RX-187BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLRPharmacy$2,134.11
RX-188BREXPIPRAZOLE 1 MG ORAL TABPharmacy$123.31
RX-189BRIMONIDINE 0.1 % OPHTHALMIC DROPPharmacy$533.23
RX-190BRIMONIDINE 0.15 % OPHTHALMIC DROPPharmacy$445.03
RX-191BRIMONIDINE-TIMOLOL 0.2-0.5 % OPHTHALMIC DROPPharmacy$587.83
RX-192BRINZOLAMIDE 1 % OPHTHALMIC DRPSPharmacy$1,027.95
RX-193BRINZOLAMIDE-BRIMONIDINE 1-0.2 % OPHTHALMIC DRPSPharmacy$542.64
RX-194BRIVARACETAM 50 MG ORAL TABPharmacy$62.44
RX-195BRIVARACETAM 100 MG ORAL TABPharmacy$62.44
RX-196BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLNPharmacy$57.83
RX-197BROMFENAC 0.07 % OPHTHALMIC DROPPharmacy$897.75
RX-198BROMFENAC 0.09 % OPHTHALMIC DROPPharmacy$421.58
RX-199BUDESONIDE 90 MCG/ACTUATION INHALATION AEPBPharmacy$33.26
RX-200BUDESONIDE 0.25 MG/2 ML INHALATION NBSPPharmacy$21.87
RX-201BUDESONIDE 0.5 MG/2 ML INHALATION NBSPPharmacy$21.87
RX-202BUDESONIDE 1 MG/2 ML INHALATION NBSPPharmacy$21.87
RX-203BUDESONIDE 180 MCG/ACTUATION INHALATION AEPBPharmacy$22.30
RX-204BUDESONIDE 9 MG ORAL TADEPharmacy$189.81
RX-205BUDESONIDE-FORMOTEROL 160-4.5 MCG/ACTUATION INHALATION HFAAPharmacy$388.46
RX-206BUDESONIDE-FORMOTEROL 80-4.5 MCG/ACTUATION INHALATION HFAAPharmacy$94.50
RX-218BUPIVACAINE LIPOSOME (PF) 1.3 % (13.3 MG/ML) LINF SUSPPharmacy$15.79
RX-219BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) INJECTION SOLNPharmacy$12.22
RX-222BUPRENORPHINE 5 MCG/HR TRANSDERMAL PTWKPharmacy$153.48
RX-223BUPRENORPHINE 15 MCG/HR TRANSDERMAL PTWKPharmacy$477.23
RX-224BUPRENORPHINE 20 MCG/HR TRANSDERMAL PTWKPharmacy$452.83
RX-225BUSULFAN 60 MG/10 ML INTRAVENOUS SOLNPharmacy$61.67
RX-226BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) TOP SPRAPharmacy$386.90
RX-227BUTORPHANOL 1 MG/ML INJECTION SOLNPharmacy$31.16
RX-228BUTORPHANOL 2 MG/ML INJECTION SOLNPharmacy$31.16
RX-229C1 ESTERASE INHIBITOR 500 UNIT (5 ML) INTRAVENOUS SOLRPharmacy$353.77
RX-230CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLNPharmacy$2,218.13
RX-231CABERGOLINE 0.5 MG ORAL TABPharmacy$17.89
RX-232CADEXOMER IODINE 0.9 % TOP GELPharmacy$315.98
RX-233CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLNPharmacy$12.95
RX-234CALCIPOTRIENE 0.005 % TOP OINTPharmacy$663.60
RX-235CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRYPharmacy$46.88
RX-236CALCITONIN (SALMON) 200 UNITS/ML INJECTIONPharmacy$33,471.67
RX-237CALCITONIN (SALMON) 200 UNITS/ML INJECTION SOLNPharmacy$33,471.67
RX-24ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLRPharmacy$404.55
RX-241CALCIUM GLUC IN NACL, ISO-OSM 1 GRAM/50 ML INTRAVENOUS SOLNPharmacy$43.34
RX-242CALCIUM GLUCONATE 100 MG/ML (10%) INTRAVENOUS SOLNPharmacy$43.34
RX-243CALCIUM GLUCONATE IN 0.9% NACL 1 G/100 ML INTRAVENOUS SOLNPharmacy$43.34
RX-244CALCIUM GLUCONATE IN 0.9% NACL 1 GRAM/110 ML INTRAVENOUS SOLNPharmacy$43.34
RX-245CAMPHOR-MENTHOL 0.5-0.5 % TOP LOTNPharmacy$279.72
RX-246CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLNPharmacy$1,398.63
RX-247CANGRELOR 50 MG INTRAVENOUS SOLRPharmacy$193.11
RX-248CANNABIDIOL 100 MG/ML ORAL SOLNPharmacy$45.85
RX-249CAPLACIZUMAB-YHDP 11 MG INJECTION SOLRPharmacy$8,686.25
RX-25AGALSIDASE BETA 5 MG INTRAVENOUS SOLRPharmacy$2,315.19
RX-250CARBACHOL 0.01 % INTRAOCULAR SOLNPharmacy$42.58
RX-251CARBOPLATIN 10 MG/ML INTRAVENOUS SOLNPharmacy$33.89
RX-252CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLNPharmacy$4,038.30
RX-253CARFILZOMIB 60 MG INTRAVENOUS SOLRPharmacy$473.00
RX-254CARMUSTINE 100 MG INTRAVENOUS SOLRPharmacy$32,994.62
RX-255CASPOFUNGIN 50 MG INTRAVENOUS SOLRPharmacy$88.59
RX-256CASPOFUNGIN 70 MG INTRAVENOUS SOLRPharmacy$88.59
RX-257CEFAZOLIN 1 G INJECTION SOLRPharmacy$10.29
RX-258CEFAZOLIN 1 G INTRAVENOUS SOLRPharmacy$10.29
RX-259CEFAZOLIN 1,000 MG/50 ML D5WPharmacy$11.34
RX-26AGALSIDASE BETA 35 MG INTRAVENOUS SOLRPharmacy$2,315.19
RX-260CEFAZOLIN 2,000 MG/50 ML D5WPharmacy$10.40
RX-261CEFAZOLIN 500 MG INJECTION SOLRPharmacy$10.29
RX-262CEFAZOLIN IN DEXTROSE (ISO-OS) 1 GRAM/50 ML INTRAVENOUS PGBKPharmacy$10.29
RX-263CEFAZOLIN IN DEXTROSE (ISO-OS) 2 GRAM/50 ML INTRAVENOUS PGBKPharmacy$10.29
RX-264CEFAZOLIN IN DEXTROSE 5 % 2 GRAM/50 ML INTRAVENOUS PGBKPharmacy$10.29
RX-265CEFEPIME 1 G INJECTION SOLRPharmacy$22.42
RX-266CEFEPIME 1 G INTRAVENOUS SOLRPharmacy$22.42
RX-267CEFEPIME 2 G INJECTION SOLRPharmacy$22.42
RX-268CEFEPIME 2 G INTRAVENOUS SOLRPharmacy$22.42
RX-269CEFEPIME IN DEXTROSE 5 % 2 GRAM/50 ML INTRAVENOUS PGBKPharmacy$22.42
RX-27ALBENDAZOLE 200 MG ORAL TABPharmacy$157.22
RX-270CEFOTAXIME 1 G INJECTION SOLRPharmacy$29.38
RX-271CEFOTAXIME 300 MG/ML IM INJECTIONPharmacy$29.40
RX-272CEFOXITIN 1 G INTRAVENOUS SOLRPharmacy$66.68
RX-273CEFOXITIN 2 G INTRAVENOUS SOLRPharmacy$66.68
RX-274CEFOXITIN IN DEXTROSE, ISO-OSM 1 GRAM/50 ML INTRAVENOUS PGBKPharmacy$66.68
RX-275CEFOXITIN IN DEXTROSE, ISO-OSM 2 GRAM/50 ML INTRAVENOUS PGBKPharmacy$66.68
RX-276CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLRPharmacy$40.04
RX-277CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLRPharmacy$40.04
RX-278CEFTAZIDIME 1 G INJECTION SOLRPharmacy$25.55
RX-279CEFTAZIDIME 1000 MG INJ SOLRPharmacy$25.55
RX-28ALBUMIN, HUMAN 25 % 25 % INTRAVENOUS SOLPPharmacy$660.87
RX-280CEFTAZIDIME 2 G INJECTION SOLRPharmacy$25.55
RX-281CEFTAZIDIME 500 MG INJECTION SOLRPharmacy$25.55
RX-282CEFTAZIDIME-AVIBACTAM 2.5 G INTRAVENOUS SOLRPharmacy$1,159.53
RX-283CEFTOLOZANE-TAZOBACTAM 1.5 G INTRAVENOUS SOLRPharmacy$74.66
RX-29ALBUMIN, HUMAN 5 % 5 % INTRAVENOUS SOLPPharmacy$661.50
RX-293CEFUROXIME IN STERILE WATER 1.5 GRAM/50 ML INTRAVENOUS PGBKPharmacy$28.00
RX-294CEFUROXIME SODIUM 1.5 G INTRAVENOUS SOLRPharmacy$28.00
RX-295CEFUROXIME SODIUM 750 MG INJECTION SOLRPharmacy$28.00
RX-296CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLNPharmacy$345.67
RX-297CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X 2) SUBCUTANEOUS SYKTPharmacy$103.41
RX-298CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLNPharmacy$796.45
RX-299CHLORHEXIDINE GLUCONATE 4 % TOP LIQDPharmacy$445.20
RX-300CHLOROPROCAINE (PF) 10 MG/ML (1 %) INTRATHECAL SOLNPharmacy$307.69
RX-301CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLNPharmacy$307.69
RX-302CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLNPharmacy$307.69
RX-303CHLOROPROCAINE 20 MG/ML (2 %) INJECTION SOLNPharmacy$307.57
RX-304CHLOROTHIAZIDE IV 27.8 MG/ML (PED-NEO)Pharmacy$631.83
RX-305CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLRPharmacy$631.80
RX-306CHLORPROMAZINE 25 MG/ML INJECTION SOLNPharmacy$397.61
RX-307CHROMIUM CHLORIDE 0.4 MCG/ML INTRAVENOUS SOLN FOR NEONATAL TPNPharmacy$21.29
RX-308CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLNPharmacy$21.17
RX-309CICLOPIROX 0.77 % TOP SUSPPharmacy$147.00
RX-310CIDOFOVIR 75 MG/ML INTRAVENOUS SOLNPharmacy$7,980.90
RX-314CIPROFLOXACIN HCL 0.2 % OTIC DPETPharmacy$287.58
RX-315CIPROFLOXACIN IN 5 % DEXTROSE 200 MG/100 ML INTRAVENOUS PGBKPharmacy$15.12
RX-316CIPROFLOXACIN IN 5 % DEXTROSE 400 MG/200 ML INTRAVENOUS PGBKPharmacy$15.12
RX-317CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OTIC DRPSPharmacy$787.24
RX-318CISATRACURIUM 10 MG/ML CONC. (ICU USE ONLY) INTRAVENOUS SOLNPharmacy$72.83
RX-319CISATRACURIUM 2 MG/ML INTRAVENOUS SOLNPharmacy$10.58
RX-320CISPLATIN 1 MG/ML INTRAVENOUS SOLNPharmacy$24.32
RX-321CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLNPharmacy$254.27
RX-322CLEVIDIPINE 0.5 MG/ML INTRAVENOUS EMULSION WRAPPERPharmacy$32.76
RX-323CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULPharmacy$32.76
RX-324CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULPharmacy$35.08
RX-325CLINDAMYCIN 600 MG IN 1000 ML NS SOLUTIONPharmacy$25.20
RX-326CLINDAMYCIN IN 5 % DEXTROSE 300 MG/50 ML INTRAVENOUS PGBKPharmacy$69.30
RX-327CLINDAMYCIN IN 5 % DEXTROSE 600 MG/50 ML INTRAVENOUS PGBKPharmacy$69.30
RX-328CLINDAMYCIN IN 5 % DEXTROSE 900 MG/50 ML INTRAVENOUS PGBKPharmacy$44.10
RX-329CLINDAMYCIN PHOSPHATE 1 % TOP LOTNPharmacy$216.30
RX-33ALBUTEROL SULFATE 90 MCG/ACTUATION INHALATION HFAAPharmacy$387.49
RX-330CLINDAMYCIN PHOSPHATE 1 % TOP SOLNPharmacy$39.90
RX-331CLINDAMYCIN PHOSPHATE 150 MG/ML INJECTION SOLNPharmacy$11.84
RX-332CLINDAMYCIN PHOSPHATE 600 MG/4 ML INTRAVENOUS SOLNPharmacy$18.14
RX-333CLOBAZAM 5 MG PARTIAL TABLETPharmacy$69.97
RX-334CLOBETASOL 0.05 % SCALP SOLNPharmacy$61.25
RX-335CLOBETASOL 0.05 % TOP GELPharmacy$35.70
RX-336CLOBETASOL 0.05 % TOP LOTNPharmacy$214.97
RX-337CLOMIPRAMINE 50 MG ORAL CAPPharmacy$37.07
RX-338CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLNPharmacy$215.33
RX-339CLONIDINE 0.2 MG/24 HR TRANSDERMAL PTWKPharmacy$46.52
RX-34ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLNPharmacy$15,398.44
RX-340CLONIDINE 0.3 MG/24 HR TRANSDERMAL PTWKPharmacy$59.08
RX-341COAGULATION FACTOR IX (RECOMB) 2000 UNITS INTRAVENOUS SOLRPharmacy$19.25
RX-342COAGULATION FACTOR IX (RECOMB) 3000 UNITS INTRAVENOUS SOLRPharmacy$19.25
RX-343COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLRPharmacy$27.18
RX-344COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLRPharmacy$27.18
RX-345COAGULATION FACTOR VIIA RECOMB IV SYRINGE 1 MG/MLPharmacy$26.21
RX-346COAGULATION FACTOR VIIA RECOMB IV SYRINGE 1 MG/ML (PED-NEO)Pharmacy$27.18
RX-347COCAINE 4 % NASAL SOLNPharmacy$10.80
RX-348COCAINE 4 % TOP SOLNPharmacy$558.32
RX-349COLISTIN (COLISTIMETHATE NA) 150 MG INJECTION SOLRPharmacy$248.45
RX-35ALGLUCOSIDASE ALFA 50 MG INTRAVENOUS SOLRPharmacy$2,157.23
RX-350COLLAGENASE CLOSTRIDIUM HISTO. 0.9 MG INJECTION SOLRPharmacy$613.96
RX-351COLLAGENASE CLOSTRIDIUM HISTO. 250 UNIT/GRAM TOP OINTPharmacy$387.45
RX-352COLLAGENASE CLOSTRIDIUM HISTO. 250 UNIT/GRAM TOP OINT (WOUND CARE CHARGE PER PT)Pharmacy$774.90
RX-353CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAPharmacy$1,245.30
RX-354CONJUGATED ESTROGENS 25 MG INJECTION SOLRPharmacy$3,889.67
RX-355COPANLISIB 60 MG INTRAVENOUS SOLRPharmacy$1,000.07
RX-356COPPER 380 SQUARE MM INTRAUTERINE IUDPharmacy$10,187.10
RX-357CORTICORELIN OVINE TRIFLUTATE 100 MCG INTRAVENOUS SOLRPharmacy$116.41
RX-358CORTICOTROPIN 80 UNITS/ML INJECTION GELPharmacy$49,439.65
RX-359COSYNTROPIN 0.25 MG INJECTION SOLRPharmacy$477.79
RX-36ALIROCUMAB 75 MG/ML SUBCUTANEOUS PNIJPharmacy$1,891.40
RX-360CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLNPharmacy$1,542.71
RX-361CROMOLYN 20 MG/2 ML INHALATION NEBUPharmacy$61.70
RX-362CUPRIC CHLORIDE 0.04 MG/ML INTRAVENOUS SOLN FOR NEONATAL TPNPharmacy$21.29
RX-363CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLNPharmacy$21.17
RX-365CYANOCOBALAMIN (VITAMIN B-12) 1000 MCG/ML INJECTION SOLNPharmacy$27.87
RX-366CYCLOPHOSPHAMIDE 50 MG ORAL CAPPharmacy$33.40
RX-367CYCLOPHOSPHAMIDE 1 G INTRAVENOUS SOLRPharmacy$418.76
RX-368CYCLOPHOSPHAMIDE 2 G INTRAVENOUS SOLRPharmacy$418.76
RX-369CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS SOLRPharmacy$418.76
RX-37ALLOPURINOL SODIUM 500 MG INTRAVENOUS SOLRPharmacy$23,174.55
RX-370CYCLOPHOSPHAMIDE NON-ONCOLOGY USE 1 G IV SOLRPharmacy$418.76
RX-371CYCLOPHOSPHAMIDE NON-ONCOLOGY USE 50 MG ORAL CAPPharmacy$33.40
RX-373CYCLOSPORINE 0.05 % OPHTHALMIC DPETPharmacy$77.46
RX-374CYCLOSPORINE 100 MG ORAL CAPPharmacy$30.00
RX-375CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLNPharmacy$740.19
RX-377CYCLOSPORINE MODIFIED 100 MG ORAL CAPPharmacy$30.00
RX-378CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLNPharmacy$30.00
RX-379CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLNPharmacy$82.91
RX-38ALPHA-1 PROTEINASE INHIB.(HUM) 1000 MG (+/-)/20 ML INTRAVENOUS SOLNPharmacy$56.08
RX-380CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLNPharmacy$10.21
RX-381CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLNPharmacy$10.16
RX-382CYTOMEGALOVIRUS IMMUNE GLOB 50 MG/ML INTRAVENOUS SOLNPharmacy$14,227.92
RX-383D10 %-0.45 % SODIUM CHLORIDE INTRAVENOUS SOLPPharmacy$63.00
RX-384D10-0.225 % NACL WITH POTASSIUM CHLORIDE 1.5 MEQ/50 ML INJ SYRINGEPharmacy$63.00
RX-385D10-0.225 % NACL WITH POTASSIUM CHLORIDE 15 MEQ/500 ML IVPBPharmacy$63.00
RX-386D2.5 %-0.45 % SODIUM CHLORIDE INTRAVENOUS SOLPPharmacy$63.00
RX-387D5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLPPharmacy$63.00
RX-388D5 %-0.45 % SODIUM CHLORIDE INTRAVENOUS SOLPPharmacy$63.00
RX-389D5-0.45 % NACL WITH POTASSIUM CHLORIDE 1.5 MEQ/50 ML INJ SYRINGEPharmacy$63.00
RX-39ALPROSTADIL 20 MCG INTRACAVRNSL KITPharmacy$62.84
RX-390D5-0.45 % NACL WITH POTASSIUM CHLORIDE 15 MEQ/500 ML IVPBPharmacy$63.00
RX-391DABRAFENIB 75 MG ORAL CAPPharmacy$320.86
RX-392DACARBAZINE 200 MG INTRAVENOUS SOLRPharmacy$51.31
RX-393DACTINOMYCIN 0.5 MG INTRAVENOUS SOLRPharmacy$13,941.33
RX-394DALBAVANCIN 500 MG INTRAVENOUS SOLNPharmacy$189.72
RX-395DANTROLENE 250 MG INTRAVENOUS SUSRPharmacy$1,154.79
RX-398DARATUMUMAB 20 MG/ML INTRAVENOUS SOLNPharmacy$680.78
RX-399DARBEPOETIN ALFA IN POLYSORBAT 25 MCG/ML INJECTION SOLNPharmacy$48.13
RX-4ABACAVIR-DOLUTEGRAVIR-LAMIVUD 600-50-300 MG ORAL TABPharmacy$341.36
RX-400DARBEPOETIN ALFA IN POLYSORBAT 40 MCG/0.4 ML INJECTION SYRGPharmacy$48.13
RX-401DARBEPOETIN ALFA IN POLYSORBAT 40 MCG/ML INJECTION SOLNPharmacy$48.13
RX-402DARBEPOETIN ALFA IN POLYSORBAT 60 MCG/0.3 ML INJECTION SYRGPharmacy$48.13
RX-403DARBEPOETIN ALFA IN POLYSORBAT 60 MCG/ML INJECTION SOLNPharmacy$48.13
RX-404DARBEPOETIN ALFA IN POLYSORBAT 100 MCG/0.5 ML INJECTION SYRGPharmacy$48.13
RX-405DARBEPOETIN ALFA IN POLYSORBAT 100 MCG/ML INJECTION SOLNPharmacy$48.13
RX-406DARBEPOETIN ALFA IN POLYSORBAT 150 MCG/0.3 ML INJECTION SYRGPharmacy$48.13
RX-407DARBEPOETIN ALFA IN POLYSORBAT 200 MCG/0.4 ML INJECTION SYRGPharmacy$48.13
RX-408DARBEPOETIN ALFA IN POLYSORBAT 200 MCG/ML INJECTION SOLNPharmacy$48.13
RX-409DARBEPOETIN ALFA IN POLYSORBAT 25 MCG/0.42 ML INJECTION SYRGPharmacy$48.13
RX-41ALTEPLASE 2 MG INTRACATHTR SOLRPharmacy$1,106.94
RX-410DARBEPOETIN ALFA IN POLYSORBAT 300 MCG/0.6 ML INJECTION SYRGPharmacy$48.13
RX-411DARBEPOETIN ALFA IN POLYSORBAT 500 MCG/ML INJECTION SYRGPharmacy$48.13
RX-412DARIFENACIN 15 MG ORAL TB24Pharmacy$40.36
RX-413DARUNAVIR ETHANOLATE 600 MG ORAL TABPharmacy$99.40
RX-414DARUNAVIR ETHANOLATE 800 MG ORAL TABPharmacy$198.80
RX-415DARUNAVIR-COBICISTAT 800-150 MG-MG ORAL TABPharmacy$227.22
RX-416DASATINIB 70 MG ORAL TABPharmacy$906.26
RX-417DASATINIB 100 MG ORAL TABPharmacy$1,633.35
RX-418DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLNPharmacy$609.79
RX-419DECITABINE 50 MG INTRAVENOUS SOLRPharmacy$54.22
RX-42ALTEPLASE 50 MG INTRAVENOUS SOLRPharmacy$1,106.94
RX-420DEFEROXAMINE 2 G INJECTION SOLRPharmacy$99.67
RX-421DEGARELIX 80 MG SUBCUTANEOUS SOLRPharmacy$49.85
RX-422DEGARELIX 120 MG SUBCUTANEOUS SOLRPharmacy$49.85
RX-423DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLNPharmacy$242.90
RX-424DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRGPharmacy$242.90
RX-425DESMOPRESSIN 4 MCG/ML INJECTION SOLNPharmacy$145.18
RX-426DESMOPRESSIN 4 MCG/ML ORAL SOLUTIONPharmacy$46.75
RX-427DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRPPharmacy$531.65
RX-428DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRYPharmacy$531.65
RX-429DEXAMETHASONE 0.4 MG INCA INSTPharmacy$1,709.06
RX-43ALTEPLASE 1 MG/ML IA SOLNPharmacy$1,106.94
RX-435DEXAMETHASONE 0.1 % OPHTHALMIC DRPSPharmacy$44.56
RX-44ALTEPLASE 100 MG INTRAVENOUS SOLRPharmacy$1,106.94
RX-445DEXAMETHASONE SODIUM PHOSPHATE 0.1 % OPHTHALMIC DROPPharmacy$162.58
RX-447DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLNPharmacy$18.52
RX-45ALVIMOPAN 12 MG ORAL CAPPharmacy$606.13
RX-454DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLRPharmacy$2,488.79
RX-455DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLRPharmacy$2,488.79
RX-456DEXTRAN 40 10 % IN 0.9 % NACL 10 % INTRAVENOUS SOLPPharmacy$315.00
RX-457DEXTROMETHORPHAN-QUINIDINE 20-10 MG ORAL CAPPharmacy$66.19
RX-458DEXTROSE 10 % IN WATER (D10W) 10 % INTRAVENOUS SOLPPharmacy$15.75
RX-459DEXTROSE 10% IN WATER (D10W) IV BOLUSPharmacy$63.00
RX-46AMBRISENTAN 5 MG ORAL TABPharmacy$259.49
RX-460DEXTROSE 20 % IN WATER (D20W) 20 % INTRAVENOUS SOLPPharmacy$126.00
RX-461DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRGPharmacy$90.72
RX-462DEXTROSE 5 % IN WATER (D5W) 5 % INTRAVENOUS PGBKPharmacy$63.00
RX-463DEXTROSE 5 % IN WATER (D5W) 5 % INTRAVENOUS SOLPPharmacy$63.00
RX-464DEXTROSE 5 % IN WATER (D5W) 5 % IV DISPENSABLEPharmacy$63.00
RX-465DEXTROSE 5 % IV BOLUSPharmacy$63.00
RX-466DEXTROSE 5 % IV KVOPharmacy$63.00
RX-467DEXTROSE 5 %-0.45 % NACL BOLUSPharmacy$63.00
RX-468DEXTROSE 5 %-0.45 % NACL IV KVOPharmacy$63.00
RX-469DEXTROSE 5 %-0.9 % NACL BOLUSPharmacy$63.00
RX-47AMBRISENTAN 10 MG ORAL TABPharmacy$259.49
RX-470DEXTROSE 5 %-LACTATED RINGERS INTRAVENOUS SOLPPharmacy$63.00
RX-471DEXTROSE 5%-0.2 % SOD CHLORIDE INTRAVENOUS SOLPPharmacy$63.00
RX-472DEXTROSE 5%-0.3 % SOD.CHLORIDE INTRAVENOUS SOLPPharmacy$63.00
RX-473DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLPPharmacy$63.00
RX-474DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRGPharmacy$63.00
RX-475DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLPPharmacy$63.00
RX-48AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLRPharmacy$12,749.80
RX-480DIAZEPAM 2.5 MG RECTAL KITPharmacy$406.11
RX-481DIAZEPAM 12.5-15-17.5-20 MG RECTAL KITPharmacy$463.17
RX-482DIAZEPAM 5 MG/ML INJECTION SOLNPharmacy$118.72
RX-483DIAZEPAM 5 MG/ML INJECTION SYRGPharmacy$118.72
RX-484DIAZEPAM 5-7.5-10 MG RECTAL KITPharmacy$457.52
RX-485DICLOFENAC EPOLAMINE 1.3 % TRANSDERMAL PT12Pharmacy$39.10
RX-486DICLOFENAC SODIUM 1 % TOP GELPharmacy$52.50
RX-487DIFLUPREDNATE 0.05 % OPHTHALMIC DROPPharmacy$621.95
RX-488DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLNPharmacy$70.37
RX-489DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLNPharmacy$70.33
RX-49AMIKACIN 1000 MG/4 ML INJECTION SOLNPharmacy$16.08
RX-490DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SYRGPharmacy$70.32
RX-491DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLRPharmacy$47,630.43
RX-492DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLNPharmacy$686.02
RX-494DILTIAZEM HCL IN 0.9% NACL 125 MG/125 ML (1 MG/ML) INFUSIONPharmacy$64.58
RX-497DIMERCAPROL 100 MG/ML IM SOLNPharmacy$689.99
RX-498DINOPROSTONE 10 MG VAGINAL INSRPharmacy$1,347.71
RX-499DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLNPharmacy$28,927.08
RX-5ABACAVIR-LAMIVUDINE 600-300 MG ORAL TABPharmacy$145.43
RX-50AMIKACIN 500 MG/2 ML INJECTION SOLNPharmacy$16.08
RX-500DIPH,PERTUS(ACEL),TET PED (PF) 15-10-5 LF-MCG-LF/0.5ML IM SUSPPharmacy$365.59
RX-501DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM SUSPPharmacy$229.70
RX-502DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM SYRGPharmacy$229.70
RX-503DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SUSPPharmacy$247.53
RX-504DIPH,PERTUSS(ACEL),TET VAC(PF) 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 ML IM SUSPPharmacy$423.83
RX-505DIPH,PERTUSS(ACEL),TET VAC(PF) 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 ML IM SYRGPharmacy$423.83
RX-508DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLNPharmacy$11.33
RX-509DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SYRGPharmacy$11.33
RX-510DIPHENHYDRAMINE-0.9 % SOD.CHLR 50 MG/50 ML INTRAVENOUS PGBKPharmacy$11.34
RX-511DIPHENHYDRAMINE-ZINC ACETATE 1-0.1 % TOP CREAPharmacy$108.96
RX-512DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM SUSPPharmacy$423.83
RX-513DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML IM SYRGPharmacy$423.83
RX-514DIP-PERT(A)-TET-POLIO-HIB (PF) 15 LF UNIT-20 MCG-5 LF/0.5 ML IM KITPharmacy$2,293.96
RX-515DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLNPharmacy$76.86
RX-516DOBUTAMINE IN D5W 1,000 MG/250 ML (4,000 MCG/ML) INTRAVENOUS SOLPPharmacy$77.18
RX-517DOBUTAMINE IN D5W 250 MG/250 ML (1 MG/ML) INTRAVENOUS SOLPPharmacy$78.75
RX-518DOBUTAMINE IN D5W 500 MG/250 ML (2,000 MCG/ML) INTRAVENOUS SOLPPharmacy$77.18
RX-519DOCETAXEL 160 MG/16 ML (10 MG/ML) INTRAVENOUS SOLNPharmacy$12.16
RX-520DOCETAXEL 20 MG/ML (1 ML) INTRAVENOUS SOLNPharmacy$12.16
RX-521DOCETAXEL 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLNPharmacy$12.16
RX-522DOCETAXEL 80 MG/8 ML (10 MG/ML) INTRAVENOUS SOLNPharmacy$12.16
RX-523DOCOSANOL 10 % TOP CREAPharmacy$42.56
RX-524DOLUTEGRAVIR 50 MG ORAL TABPharmacy$205.63
RX-528DORNASE ALFA 1 MG/ML INHALATION SOLNPharmacy$602.19
RX-529DORZOLAMIDE 2 % OPHTHALMIC DROPPharmacy$69.30
RX-530DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML OPHTHALMIC DROPPharmacy$79.28
RX-531DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLNPharmacy$36.16
RX-532DOXORUBICIN 2 MG/ML INTRAVENOUS SOLNPharmacy$36.16
RX-533DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLNPharmacy$36.16
RX-534DOXORUBICIN FOR LC BEAD EMBOLIZATIONPharmacy$36.12
RX-535DOXORUBICIN POWDER FOR EMBOLIZATIONPharmacy$36.12
RX-536DOXORUBICIN, PEG-LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPPharmacy$3,723.55
RX-537DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS SOLRPharmacy$230.58
RX-538DOXYCYCLINE MONOHYDRATE 40 MG ORAL CPIDPharmacy$60.03
RX-542DROXIDOPA 100 MG ORAL CAPPharmacy$108.85
RX-543DROXIDOPA 200 MG ORAL CAPPharmacy$217.70
RX-544DROXIDOPA 300 MG ORAL CAPPharmacy$326.59
RX-545DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRGPharmacy$18,907.81
RX-546DURVALUMAB 50 MG/ML INTRAVENOUS SOLNPharmacy$952.31
RX-547ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLNPharmacy$2,904.04
RX-548EDARAVONE 30 MG/100 ML INTRAVENOUS PGBKPharmacy$245.55
RX-549EFAVIRENZ 600 MG ORAL TABPharmacy$103.81
RX-55AMINO ACIDS 4.25%-LYTES-CA-D5W 4.25 % INTRAVENOUS SOLPPharmacy$210.00
RX-550EFAVIRENZ-EMTRICITABIN-TENOFOV 600-200-300 MG ORAL TABPharmacy$337.16
RX-551ELECTROLYTE-A INTRAVENOUS SOLPPharmacy$35.00
RX-553ELOTUZUMAB 300 MG INTRAVENOUS SOLRPharmacy$82.93
RX-554ELOTUZUMAB 400 MG INTRAVENOUS SOLRPharmacy$82.93
RX-555ELTROMBOPAG 25 MG ORAL TABPharmacy$614.99
RX-556ELTROMBOPAG 50 MG ORAL TABPharmacy$1,040.13
RX-557ELUXADOLINE 100 MG ORAL TABPharmacy$69.69
RX-558ELVITEG-COB-EMTRI-TENOF ALAFEN 150-150-200-10 MG ORAL TABPharmacy$364.60
RX-559ELVITEG-COB-EMTRI-TENOFO DISOP 150-150-200-300 MG ORAL TABPharmacy$382.45
RX-56AMINO ACIDS-PROTEIN HYDROLYS 15-100 GRAM-KCAL/30 ML ORAL LIQDPharmacy$66.15
RX-560EMOLLIENT COMBINATION NO.10 TOP EMULPharmacy$58.28
RX-561EMTRICITABINE 200 MG ORAL CAPPharmacy$56.81
RX-562EMTRICITABINE-TENOFOVIR (TDF) 200-300 MG ORAL TABPharmacy$207.41
RX-563EMTRICITABINE-TENOFOVIR ALAFEN 200-25 MG ORAL TABPharmacy$207.41
RX-564EMTRICITAB-RILPIVIR-TENOFO ALA 200-25-25 MG ORAL TABPharmacy$331.80
RX-565EMTRICITA-RILPIVIRINE-TENOF DF 200-25-300 MG ORAL TABPharmacy$331.80
RX-566ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLNPharmacy$44.35
RX-567ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLRPharmacy$352.27
RX-57AMINOCAPROIC ACID 500 MG ORAL TABPharmacy$50.33
RX-577EPHEDRINE SULFATE 50 MG/ML INJECTION SOLNPharmacy$168.58
RX-578EPHEDRINE SULFATE-0.9%NACL(PF) 25 MG/5 ML (5 MG/ML) INTRAVENOUS SYRGPharmacy$77.91
RX-579EPHEDRINE SULFATE-0.9%NACL(PF) 50 MG/10 ML (5 MG/ML) INTRAVENOUS SYRGPharmacy$14.18
RX-58AMINOCAPROIC ACID 250 MG/ML (25 %) ORAL SOLNPharmacy$37.52
RX-580EPINEPHRINE 0.1 MG/ML INJECTION SYRGPharmacy$10.31
RX-581EPINEPHRINE 0.15 MG/0.3 ML INJECTION ATINPharmacy$10.31
RX-582EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLNPharmacy$10.31
RX-583EPINEPHRINE 1 MG/ML INJECTION ATINPharmacy$10.31
RX-584EPINEPHRINE 1 MG/ML INJECTION SOLNPharmacy$10.31
RX-585EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLNPharmacy$10.31
RX-586EPINEPHRINE HCL IN 0.9 % NACL 100 MCG/10 ML (10 MCG/ML) INTRAVENOUS SYRGPharmacy$10.33
RX-587EPINEPHRINE HCL IN 0.9 % NACL 16 MG/250 ML (64 MCG/ML) INTRAVENOUS SOLNPharmacy$10.32
RX-588EPINEPHRINE HCL IN 5% DEXTROSE 4 MG/250 ML (16 MCG/ML) INTRAVENOUS SOLNPharmacy$10.32
RX-589EPINEPHRINE IN 0.9 % NACL 0.5 MG/50 ML INJ SYRINGEPharmacy$10.33
RX-590EPINEPHRINE IN 0.9 % NACL 0.5 MG/50 ML INJ SYRINGEPharmacy$10.33
RX-591EPINEPHRINE IN 0.9 % NACL 1 MG/10 ML INJ SYRINGEPharmacy$10.31
RX-592EPINEPHRINE IN 0.9 % NACL 1 MG/250 ML IVPB (CUPID)Pharmacy$10.40
RX-593EPINEPHRINE IN 0.9 % NACL 4 MG/250 ML IVPBPharmacy$10.32
RX-594EPIRUBICIN 50 MG/25 ML INTRAVENOUS SOLNPharmacy$14.11
RX-595EPOETIN ALFA 2000 UNITS/ML INJECTION SOLNPharmacy$133.11
RX-596EPOETIN ALFA 4000 UNITS/ML INJECTION SOLNPharmacy$133.11
RX-597EPOETIN ALFA 10000 UNITS/ML INJECTION SOLNPharmacy$133.11
RX-598EPOETIN ALFA 20000 UNITS/ML INJECTION SOLNPharmacy$133.11
RX-599EPOETIN ALFA 40000 UNITS/ML INJECTION SOLNPharmacy$133.11
RX-6ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLRPharmacy$691.10
RX-60AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLRPharmacy$195.23
RX-600EPOETIN ALFA-EPBX 2000 UNITS/ML INJECTION SOLNPharmacy$117.50
RX-601EPOETIN ALFA-EPBX 10000 UNITS/ML INJECTION SOLNPharmacy$117.50
RX-602EPOETIN ALFA-EPBX 40000 UNITS/ML INJECTION SOLNPharmacy$117.50
RX-603EPOPROSTENOL (ARGININE) 1.5 MG INTRAVENOUS SOLRPharmacy$203.64
RX-604EPOPROSTENOL (GLYCINE) 0.5 MG INTRAVENOUS SOLRPharmacy$203.64
RX-605EPOPROSTENOL (GLYCINE) 1.5 MG INTRAVENOUS SOLRPharmacy$203.64
RX-606EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLNPharmacy$42.34
RX-607EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLNPharmacy$42.30
RX-608EPTIFIBATIDE IA (INTERVENTIONAL RADIOLOGY)Pharmacy$42.30
RX-609ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLNPharmacy$1,464.59
RX-61AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLNPharmacy$132.80
RX-610ERTAPENEM 1 G INJECTION SOLRPharmacy$487.61
RX-611ERTAPENEM 1 G INTRAVENOUS SOLRPharmacy$487.61
RX-612ERYTHROMYCIN 500 MG ORAL TABPharmacy$45.01
RX-613ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLRPharmacy$947.90
RX-614ERYTHROMYCIN LACTOBIONATE 1000 MG INTRAVENOUS SOLRPharmacy$947.90
RX-615ERYTHROMYCIN-BENZOYL PEROXIDE 3-5 % TOP GELPharmacy$198.98
RX-616ESLICARBAZEPINE 200 MG ORAL TABPharmacy$107.24
RX-617ESLICARBAZEPINE 400 MG ORAL TABPharmacy$107.24
RX-618ESLICARBAZEPINE 600 MG ORAL TABPharmacy$107.24
RX-619ESLICARBAZEPINE 800 MG ORAL TABPharmacy$107.24
RX-620ESMOLOL 10 MG/ML IV BOLUS FROM PUMPPharmacy$24.44
RX-623ESMOLOL IN NACL (ISO-OSM) 2,500 MG/250 ML (10 MG/ML) INTRAVENOUS SOLPPharmacy$315.00
RX-624ESTRADIOL VALERATE 20 MG/ML IM OILPharmacy$106.14
RX-625ETELCALCETIDE 5 MG/ML INTRAVENOUS SOLNPharmacy$30.82
RX-626ETEPLIRSEN 50 MG/ML INTRAVENOUS SOLNPharmacy$2,108.58
RX-627ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLRPharmacy$9,718.25
RX-628ETHANOL (ETHYL ALCOHOL) 98 % INJECTION SOLNPharmacy$283.78
RX-629ETHIODIZED OIL 480 MG IODINE/ML INJECTION OILPharmacy$1,294.02
RX-630ETHYL CHLORIDE 100 % TOP SPRAPharmacy$101.43
RX-632ETOMIDATE 2 MG/ML INTRAVENOUS SYRGPharmacy$16.25
RX-633ETONOGESTREL 68 MG SUBDERMAL IMPLPharmacy$10,683.54
RX-634ETONOGESTREL-ETHINYL ESTRADIOL 0.12-0.015 MG/24 HR VAGINAL RINGPharmacy$516.50
RX-638ETRAVIRINE 100 MG ORAL TABPharmacy$36.61
RX-639ETRAVIRINE 200 MG ORAL TABPharmacy$73.26
RX-64AMIODARONE IN DEXTROSE 5 % 150 MG/100 ML (1.5 MG/ML) INTRAVENOUS SOLNPharmacy$2,202.48
RX-640EVEROLIMUS (ANTINEOPLASTIC) 5 MG ORAL TABPharmacy$1,963.33
RX-641EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG ORAL TABPharmacy$112.95
RX-642EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG ORAL TABPharmacy$112.95
RX-643FACTOR VIII REC,FC FUSION PROT (ELOCTATE) INJ ORD/DISPENSABLEPharmacy$25.44
RX-644FACTOR VIII/VWF COMPLEX (ALPHANATE) INJ ORD/DISPENSABLEPharmacy$13.49
RX-645FACTOR VIII/VWF COMPLEX (HUMATE-P) INJ ORD/DISPENSABLEPharmacy$14.69
RX-647FAMOTIDINE (PF)-NACL (ISO-OS) 20 MG/50 ML INTRAVENOUS PGBKPharmacy$50.40
RX-648FAMOTIDINE 10 MG/ML INTRAVENOUS SOLNPharmacy$11.34
RX-651FAM-TRASTUZUMAB DERUXTECN-NXKI 100 MG INTRAVENOUS SOLRPharmacy$304.79
RX-652FAT EMULSION 20 % INTRAVENOUS EMULPharmacy$25.20
RX-654FATTY ACID6-FISH OIL-GLY-P-LIP 10 % INTRAVENOUS EMULPharmacy$10.96
RX-655FENOLDOPAM 10 MG/ML INTRAVENOUS SOLNPharmacy$3,622.50
RX-656FENTANYL 12 MCG/HR TRANSDERMAL PT72Pharmacy$42.63
RX-657FENTANYL (PF)-BUPIVACAINE-NACL 2 MCG/ML- 0.1 % INJECTION SOLNPharmacy$12.60
RX-659FENTANYL 500 MCG IN 10 ML INFUSIONPharmacy$10.46
RX-66AMIODARONE IN DEXTROSE,ISO-OSM 150 MG/100 ML (1.5 MG/ML) INTRAVENOUS SOLNPharmacy$80.64
RX-660FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLNPharmacy$12.45
RX-661FENTANYL CITRATE (PF)-0.9%NACL 750 MCG/30 ML INJECTION PCASPharmacy$12.45
RX-662FENTANYL CITRATE (PF)-0.9%NACL 10 MCG/ML INTRAVENOUS SOLNPharmacy$12.47
RX-663FENTANYL CITRATE (PF)-0.9%NACL 10 MCG/ML INTRAVENOUS SYRGPharmacy$12.47
RX-664FENTANYL CITRATE IN 0.9 % NACL 1250 MCG/50 ML PCAPharmacy$12.45
RX-665FENTANYL IN 0.9 % NACL 250 MCG/25 ML INJ SYRPharmacy$12.47
RX-666FENTANYL IN 0.9 % NACL 2500 MCG/250 ML (10 MCG/ML) INFUSIONPharmacy$12.47
RX-667FENTANYL IN 0.9 % NACL 5 MCG/0.5 ML INJ SYRPharmacy$12.47
RX-668FENTANYL INFUSION 50 MCG/MLPharmacy$12.45
RX-669FENTANYL-BUPIVACAINE IN 0.9 % NACL 1250 MCG-312.5 MG/250 ML IVPBPharmacy$94.50
RX-67AMIODARONE IN DEXTROSE,ISO-OSM 360 MG/200 ML (1.8 MG/ML) INTRAVENOUS SOLNPharmacy$46.20
RX-670FENTANYL-BUPIVACAINE IN 0.9 % NACL 500 MCG-150 MG/250 ML IVPBPharmacy$12.60
RX-672FERRIC CARBOXYMALTOSE 50 IRON MG/ML INTRAVENOUS SOLNPharmacy$13.92
RX-673FERRIC PYROPHOSPHATE CITRATE 27.2 MG IRON/5 ML HEMODIALYSIS SOLNPharmacy$2,038.40
RX-674FERRIC PYROPHOSPHATE CITRATE 272 MG IRON HEMODIALYSIS PWPKPharmacy$107.77
RX-675FERRIC SUBSULFATE 259 MG/G TOP SOLNPharmacy$45.92
RX-676FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLNPharmacy$13.13
RX-677FIDAXOMICIN 200 MG ORAL TABPharmacy$315.84
RX-678FILGRASTIM 300 MCG/0.5 ML INJECTION SYRGPharmacy$12.03
RX-679FILGRASTIM 300 MCG/ML INJECTION SOLNPharmacy$12.03
RX-68AMOBARBITAL 500 MG INJECTION SOLRPharmacy$1,199.02
RX-680FILGRASTIM 480 MCG/0.8 ML INJECTION SYRGPharmacy$12.03
RX-681FILGRASTIM 480 MCG/1.6 ML INJECTION SOLNPharmacy$12.03
RX-684FLU VAC QS 2016(4 YR UP)CD(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRGPharmacy$288.99
RX-685FLU VAC QS 2017-18(6-35MO)(PF) 30 MCG (7.5 MCG X 4)/0.25 ML IM SYRGPharmacy$274.84
RX-686FLU VAC QS 2018(4 YR UP)CD(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRGPharmacy$302.99
RX-687FLU VAC QS2016-17 36MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRGPharmacy$239.80
RX-688FLU VAC QS2017-18 36MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRGPharmacy$239.81
RX-689FLU VAC QS2018-19 36MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRGPharmacy$239.81
RX-69AMPHOTERICIN B 50 MG INJECTION SOLRPharmacy$479.77
RX-690FLU VAC QV 2019(18YR UP)RC(PF) 180 MCG (45 MCG X 4)/0.5 ML IM SYRGPharmacy$705.68
RX-691FLU VAC QV 2020(18YR UP)RC(PF) 180 MCG (45 MCG X 4)/0.5 ML IM SYRGPharmacy$768.37
RX-692FLU VACC QS 2019-20 (6 MOS UP) 60 MCG (15 MCG X 4)/0.5 ML IM SUSPPharmacy$224.73
RX-693FLU VACC QS2018-19 6MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRGPharmacy$239.81
RX-694FLU VACC QS2019-20 6MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRGPharmacy$239.81
RX-695FLU VACC QS2020-21 6MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SUSPPharmacy$246.72
RX-696FLU VACC QS2020-21 6MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML IM SYRGPharmacy$246.72
RX-697FLU VACC QS2020-21(65YR UP)-PF 240 MCG/0.7 ML IM SYRGPharmacy$768.37
RX-698FLU VACC QV LIVE 2019(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL NSSYPharmacy$338.64
RX-699FLU VACC TS2016-17 65YR UP(PF) 180 MCG/0.5 ML IM SYRGPharmacy$672.50
RX-7ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLNPharmacy$438.73
RX-70AMPHOTERICIN B LIPOSOME 50 MG INJECTIONPharmacy$336.75
RX-700FLU VACC TS2017-18 65YR UP(PF) 180 MCG/0.5 ML IM SYRGPharmacy$672.50
RX-701FLU VACC TS2018-19 65YR UP(PF) 180 MCG/0.5 ML IM SYRGPharmacy$672.50
RX-702FLU VACC TS2019-20(65YR UP)PF 180 MCG/0.5 ML IM SYRGPharmacy$705.68
RX-703FLU VACCINE QS2016-17(36MO,UP) 60 MCG (15 MCG X 4)/0.5 ML IM SUSPPharmacy$230.19
RX-704FLU VACCINE QS2020-21(6MOS UP) 60 MCG (15 MCG X 4)/0.5 ML IM SUSPPharmacy$239.80
RX-705FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLNPharmacy$53,512.20
RX-706FLUCONAZOLE IN DEXTROSE(ISO-O) 200 MG/100 ML INTRAVENOUS PGBKPharmacy$59.22
RX-707FLUCONAZOLE IN NACL (ISO-OSM) 1,000 MG/500 ML INTRAVENOUS PGBK - RX MIXTUREPharmacy$59.22
RX-708FLUCONAZOLE IN NACL (ISO-OSM) 1,200 MG/600 ML INTRAVENOUS PGBK - RX MIXTUREPharmacy$70.56
RX-709FLUCONAZOLE IN NACL (ISO-OSM) 2 MG/ML IV DISPENSABLEPharmacy$59.22
RX-71AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSRPharmacy$336.75
RX-710FLUCONAZOLE IN NACL (ISO-OSM) 200 MG/100 ML INTRAVENOUS PGBKPharmacy$59.22
RX-711FLUCONAZOLE IN NACL (ISO-OSM) 400 MG/200 ML INTRAVENOUS PGBKPharmacy$59.22
RX-712FLUCONAZOLE IN NACL (ISO-OSM) 600 MG/300 ML INTRAVENOUS PGBK - RX MIXTUREPharmacy$59.22
RX-713FLUCONAZOLE IN NACL (ISO-OSM) 800 MG/400 ML INTRAVENOUS PGBK - RX MIXTUREPharmacy$59.22
RX-714FLUCYTOSINE 250 MG ORAL CAPPharmacy$41.55
RX-715FLUCYTOSINE 500 MG ORAL CAPPharmacy$172.31
RX-716FLUDARABINE 50 MG INTRAVENOUS SOLRPharmacy$603.39
RX-717FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLNPharmacy$11.34
RX-718FLUOCINOLONE 0.025 % TOP CREAPharmacy$77.70
RX-719FLUOCINONIDE 0.05 % TOP GELPharmacy$54.08
RX-72AMPICILLIN IM INJECTION ORDERABLEPharmacy$12.35
RX-720FLUOCINONIDE 0.05 % TOP OINTPharmacy$41.48
RX-721FLUOCINONIDE 0.05 % TOP SOLNPharmacy$182.70
RX-722FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLNPharmacy$106.47
RX-723FLUORODEOXYGLUCOSE F-18 FDG =< 45 MCIPharmacy$1,877.40
RX-724FLUOROMETHOLONE 0.1 % OPHTHALMIC DRPSPharmacy$218.05
RX-725FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLNPharmacy$19.15
RX-726FLUOROURACIL 2.5 GRAM/50 ML INTRAVENOUS SOLNPharmacy$19.15
RX-727FLUOROURACIL 5 G/100 ML INTRAVENOUS SOLNPharmacy$19.15
RX-728FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLNPharmacy$125.75
RX-729FLUPHENAZINE HCL 2.5 MG/ML INJECTION SOLNPharmacy$103.82
RX-73AMPICILLIN SODIUM 1 G INJECTION SOLRPharmacy$12.35
RX-730FLUTICASONE FUROATE-VILANTEROL 100-25 MCG/DOSE INHALATION DSDVPharmacy$1,081.50
RX-731FLUTICASONE PROPIONATE 44 MCG/ACTUATION INHALATION HFAAPharmacy$187.74
RX-732FLUTICASONE PROPIONATE 110 MCG/ACTUATION INHALATION HFAAPharmacy$221.89
RX-733FLUTICASONE PROPIONATE 220 MCG/ACTUATION INHALATION HFAAPharmacy$344.74
RX-734FLUTICASONE PROPION-SALMETEROL 100-50 MCG/DOSE INHALATION DSDVPharmacy$59.85
RX-735FLUTICASONE PROPION-SALMETEROL 115-21 MCG/ACTUATION INHALATION HFAAPharmacy$1,242.36
RX-736FLUTICASONE PROPION-SALMETEROL 230-21 MCG/ACTUATION INHALATION HFAAPharmacy$1,633.80
RX-737FLUTICASONE PROPION-SALMETEROL 250-50 MCG/DOSE INHALATION DSDVPharmacy$74.34
RX-738FLUTICASONE PROPION-SALMETEROL 500-50 MCG/DOSE INHALATION DSDVPharmacy$97.78
RX-739FOLIC ACID 5 MG/ML INJECTION SOLNPharmacy$26.33
RX-74AMPICILLIN SODIUM 2 G INJECTION SOLRPharmacy$12.35
RX-740FOMEPIZOLE 1 G/ML INTRAVENOUS SOLNPharmacy$107.96
RX-741FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SYRGPharmacy$19.10
RX-742FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SYRGPharmacy$19.10
RX-743FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SYRGPharmacy$19.10
RX-744FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SYRGPharmacy$19.10
RX-745FORMOTEROL FUMARATE 20 MCG/2 ML INHALATION NEBUPharmacy$152.21
RX-746FOSAMPRENAVIR 700 MG ORAL TABPharmacy$61.32
RX-747FOSAPREPITANT 150 MG INTRAVENOUS SOLRPharmacy$24.95
RX-748FOSCARNET 24 MG/ML INJPharmacy$1,036.88
RX-749FOSCARNET 24 MG/ML INTRAVENOUS SOLNPharmacy$1,036.88
RX-75AMPICILLIN SODIUM 500 MG INJECTION SOLRPharmacy$12.35
RX-750FOSFOMYCIN TROMETHAMINE 3 G ORAL PACKPharmacy$289.87
RX-751FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLNPharmacy$17.39
RX-752FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLNPharmacy$17.39
RX-753FULVESTRANT 250 MG/5 ML IM SYRGPharmacy$1,070.46
RX-76AMPICILLIN-SULBACTAM 1.5 G INJECTION SOLRPharmacy$32.47
RX-762GADODIAMIDE 10 MMOL/20 ML (287 MG/ML) INTRAVENOUS SOLNPharmacy$19.48
RX-763GADODIAMIDE 5 MMOL/10 ML (287 MG/ML) INTRAVENOUS SOLNPharmacy$19.48
RX-764GADODIAMIDE 7.5 MMOL/15 ML (287 MG/ML) INTRAVENOUS SOLNPharmacy$19.48
RX-765GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML (469.01 MG/ML) INTRAVENOUS SOLNPharmacy$19.48
RX-766GADOPENTETATE DIMEGLUMINE 2.5 MMOL/5 ML (469.01 MG/ML) INTRAVENOUS SOLNPharmacy$19.48
RX-767GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLNPharmacy$19.48
RX-769GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLNPharmacy$185.79
RX-77AMPICILLIN-SULBACTAM 3 G INJECTION SOLRPharmacy$32.47
RX-770GALLIUM CITRATE GA-67 PER 1 MCIPharmacy$743.27
RX-771GALSULFASE 5 MG/5 ML INTRAVENOUS SOLNPharmacy$5,013.04
RX-772GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLRPharmacy$436.50
RX-773GATIFLOXACIN 0.5 % OPHTHALMIC DROPPharmacy$130.11
RX-774GEL DRESSING TOP GELPharmacy$44.63
RX-775GELATIN SPONGE,ABSORB-PORCINE 100 TOP SPGEPharmacy$60.55
RX-776GEMCITABINE 1 G INTRAVENOUS SOLRPharmacy$52.37
RX-777GEMCITABINE 2 G INTRAVENOUS SOLRPharmacy$52.37
RX-778GEMCITABINE 2 GRAM/52.6 ML (38 MG/ML) INTRAVENOUS SOLNPharmacy$52.42
RX-779GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONC) INTRAVENOUS SOLRPharmacy$2,514.36
RX-78ANAKINRA 100 MG/0.67 ML IV SYRG (COVID19)Pharmacy$1,953.11
RX-780GENTAMICIN 0.1 % TOP CREAPharmacy$77.18
RX-781GENTAMICIN 0.3 % (3 MG/GRAM) OPHTHALMIC OINTPharmacy$90.04
RX-782GENTAMICIN 20 MG/2 ML INJECTION SOLNPharmacy$24.90
RX-783GENTAMICIN 40 MG/ML INJECTION SOLNPharmacy$24.85
RX-784GENTAMICIN 5 MG/ML INJ IN NS (PF)Pharmacy$24.85
RX-785GENTAMICIN IN NACL (ISO-OSM) 80 MG/100 ML INTRAVENOUS PGBKPharmacy$25.20
RX-786GENTAMICIN IN NACL (ISO-OSM) 80 MG/50 ML INTRAVENOUS PGBKPharmacy$25.20
RX-787GENTAMICIN IN NACL (ISO-OSM) 100 MG/50 ML INTRAVENOUS PGBKPharmacy$25.20
RX-788GENTAMICIN IN NS INTRATHECAL 4MG IN 2ML SYGPharmacy$25.20
RX-789GENTAMICIN IV (PF) 10 MG/ML - DISPENSABLE (PED-NEO)Pharmacy$24.90
RX-79ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRGPharmacy$1,953.14
RX-790GENTAMICIN SULFATE (PED) (PF) 20 MG/2 ML INJECTION SOLNPharmacy$24.90
RX-791GENTIAN VIOLET 1 % TOP SOLNPharmacy$239.54
RX-792GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRGPharmacy$2,032.62
RX-793GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRGPharmacy$2,032.62
RX-794GLECAPREVIR-PIBRENTASVIR 100-40 MG ORAL TABPharmacy$530.74
RX-795GLUCAGON (HUMAN RECOMBINANT) 1 MG INJECTION SOLRPharmacy$2,741.31
RX-796GLUCAGON (HUMAN RECOMBINANT) 1 MG/ML INJECTION SOLRPharmacy$2,741.31
RX-797GLUCARPIDASE 1000 UNITS INTRAVENOUS SOLRPharmacy$3,988.91
RX-798GLUCOSE (TOLERANCE TEST) 100 GRAM/180 ML ORAL LIQDPharmacy$718.20
RX-799GLUCOSE ORAL SOLN 5 GM/30 MLPharmacy$76.13
RX-80ANTIHEMOPHIL FVIII,FULL LENGTH (ADVATE) IV SOLR ORDER/DISPENSABLEPharmacy$16.25
RX-800GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLNPharmacy$80.01
RX-801GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLNPharmacy$1,562.79
RX-802GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLNPharmacy$260.30
RX-803GOSERELIN 3.6 MG SUBCUTANEOUS IMPLPharmacy$6,350.20
RX-804GOSERELIN 10.8 MG SUBCUTANEOUS IMPLPharmacy$6,350.20
RX-808H PAPILLOMAVIRUS VAC,QVAL (PF) 20-40-40-20 MCG/0.5 ML IM SUSPPharmacy$2,350.05
RX-809HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLRPharmacy$197.95
RX-81ANTIHEMOPHIL FVIII,FULL LENGTH 500 (+/-) UNIT INTRAVENOUS SOLRPharmacy$16.25
RX-810HALOPERIDOL DECANOATE 50 MG/ML IM SOLNPharmacy$205.12
RX-811HALOPERIDOL DECANOATE 100 MG/ML IM SOLNPharmacy$205.12
RX-812HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLNPharmacy$15.18
RX-813HEMIN 350 MG INTRAVENOUS SOLRPharmacy$298.86
RX-814HEP B-DP(A)T-POLIO VAC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRGPharmacy$705.92
RX-815HEPARIN (PORCINE) 1000 UNITS/ML INJECTION SOLNPharmacy$63.00
RX-816HEPARIN (PORCINE) 5000 UNITS/ML INJECTION SOLNPharmacy$63.00
RX-817HEPARIN (PORCINE) 10,000 UNITS/10 ML INJ SYRGPharmacy$63.00
RX-818HEPARIN (PORCINE) 10,000 UNITS/20 ML NS SYRINGEPharmacy$63.00
RX-819HEPARIN (PORCINE) 100 UNITS/ML IV BOLUS FROM PUMPPharmacy$63.00
RX-82ANTIHEMOPHILIC FACTOR (RECOMB) 1,000 (+/-) UNIT INTRAVENOUS SOLRPharmacy$16.25
RX-820HEPARIN (PORCINE) 10000 UNITS/ML INJECTION SOLNPharmacy$63.00
RX-821HEPARIN (PORCINE) 5000 UNIT/ML INJ(PRE-OP) NO DOSE CKPharmacy$63.00
RX-822HEPARIN (PORCINE) 5000 UNITS/ML INJECTION SOLNPharmacy$63.00
RX-823HEPARIN (PORCINE) IN 0.45 % SODIUM CHLORIDE 0.5 UNITS/ML INFUSION 500 MLPharmacy$63.00
RX-824HEPARIN (PORCINE) IN 0.45% SODIUM CHLORIDE 0.5 UNITS/ML INFUSION 500 MLPharmacy$63.00
RX-825HEPARIN (PORCINE) IN 0.9 % NACL 0.5 UNITS/ML INFUSIONPharmacy$63.00
RX-826HEPARIN (PORCINE) IN 0.9 % NACL 1,000 UNITS/1,000 ML IVPBPharmacy$63.00
RX-827HEPARIN (PORCINE) IN 0.9 % NACL 4,000 UNITS/1,000 ML IVPBPharmacy$63.00
RX-828HEPARIN (PORCINE) IN 0.9 % NACL 4,000 UNITS/1,000 ML SOLUTIONPharmacy$63.00
RX-829HEPARIN (PORCINE) IN 0.9 % NACL 7,500 UNITS/1,000 ML IVPBPharmacy$63.00
RX-83ANTIHEMOPHILIC FACTOR (RECOMB) 2,000 (+/-) UNIT INTRAVENOUS SOLRPharmacy$16.25
RX-830HEPARIN (PORCINE) IN 0.9 % NACL 8,000 UNITS/1,000 ML IVPBPharmacy$63.00
RX-831HEPARIN (PORCINE) IN 0.9% NACL 10 UNITS/ML INTRAVENOUS KITPharmacy$63.00
RX-832HEPARIN (PORCINE) IN 0.9% NACL 5000 UNIT/1,000 ML INTRAVENOUS SOLPPharmacy$63.00
RX-833HEPARIN (PORCINE) IN 0.9% NACL 2,500 UNIT/500 ML (5 UNIT/ML) INTRAVENOUS SOLPPharmacy$63.00
RX-834HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/250 ML(100 UNIT/ML) INTRAVENOUS SOLPPharmacy$63.00
RX-835HEPARIN (PORCINE) IN 5 % DEX 25,000 UNIT/500 ML (50 UNIT/ML) INTRAVENOUS SOLPPharmacy$63.00
RX-836HEPARIN (PORCINE) IN D10W 25 UNITS/50 ML INFUSIONPharmacy$63.00
RX-837HEPARIN (PORCINE) IN D10W 250 UNITS/500 ML IVPBPharmacy$63.00
RX-838HEPARIN (PORCINE) IN D5W 0.5 UNITS/ML INFUSION 500 MLPharmacy$63.00
RX-839HEPARIN (PORCINE) IN NACL (PF) 2 UNITS/ML INTRAVENOUS SOLPPharmacy$63.00
RX-84ANTIHEMOPHILIC FACTOR-VWF 1,000 (400 VWF) UNIT/10 ML INTRAVENOUS SOLRPharmacy$13.49
RX-840HEPARIN IA 100 UNIT/ML INFUSIONPharmacy$63.00
RX-841HEPARIN LOCK FLUSH (PORCINE) 10 UNITS/ML INTRAVENOUS SOLNPharmacy$63.00
RX-842HEPARIN LOCK FLUSH (PORCINE) 100 UNITS/ML INTRAVENOUS SOLNPharmacy$63.00
RX-843HEPARIN(PORCINE) IN 0.45% NACL 25000 UNIT/250 ML INTRAVENOUS SOLPPharmacy$63.00
RX-844HEPARIN, PORCINE (PF) 10 UNITS/ML INTRAVENOUS SYRGPharmacy$63.00
RX-845HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS (CUSTOM 3 ML)Pharmacy$63.00
RX-846HEPARIN, PORCINE (PF) 100 UNITS/ML INTRAVENOUS SYRGPharmacy$63.00
RX-847HEPARIN, PORCINE (PF) 100 UNIT/ML (1 ML) INTRAVENOUS SOLNPharmacy$63.00
RX-848HEPARIN, PORCINE (PF) 1000 UNITS/ML INJECTION SOLNPharmacy$63.00
RX-849HEPATITIS A AND B VACCINE (PF) 720 ELISA UNIT- 20 MCG/ML IM SYRGPharmacy$1,047.69
RX-85ANTIHEMOPHILIC FACTOR-VWF 1,000-2,400 UNIT INTRAVENOUS SOLRPharmacy$14.69
RX-850HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SUSPPharmacy$754.83
RX-851HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM SYRGPharmacy$754.83
RX-852HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML IM SUSPPharmacy$345.74
RX-853HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SUSPPharmacy$301.77
RX-854HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRGPharmacy$301.77
RX-855HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML IM SYRGPharmacy$1,460.79
RX-856HEPATITIS B IMMUNE GLOBULIN GREATER THAN 1,560 UNIT/5 ML IM SOLNPharmacy$1,460.79
RX-857HEPATITIS B IMMUNE GLOBULIN GREATR THAN 312 UNIT/ML IM SOLNPharmacy$1,460.79
RX-858HEPATITIS B VACC-CPG 1018 (PF) 20 MCG/0.5 ML IM SYRGPharmacy$1,651.86
RX-859HEPATITIS B VIRUS VACC.REC(PF) 5 MCG/0.5 ML IM SUSPPharmacy$338.91
RX-86ANTIHEMOPHILIC FACTOR-VWF 2,000 (800 VWF) UNIT/10 ML INTRAVENOUS SOLRPharmacy$13.49
RX-860HEPATITIS B VIRUS VACC.REC(PF) 5 MCG/0.5 ML IM SYRGPharmacy$338.91
RX-861HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML IM SYRGPharmacy$338.91
RX-862HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SUSPPharmacy$844.97
RX-863HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRGPharmacy$844.97
RX-864HES 130/0.4 6 % IN 0.9 % NACL 6 % INTRAVENOUS SOLNPharmacy$819.00
RX-865HETASTARCH 6 % IN 0.9 % NACL 6 % INTRAVENOUS SOLNPharmacy$189.00
RX-866HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLRPharmacy$14,429.02
RX-867HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KITPharmacy$462,099.14
RX-868HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1240 UNIT) INTRAVENOUS SOLRPharmacy$25.29
RX-869HUM PROTHROMBIN CPLX(PCC)4FACT 500 UNIT (400-620 UNIT) INTRAVENOUS SOLRPharmacy$25.29
RX-87ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLRPharmacy$41.32
RX-870HUMAN PAPILLOMAV VAC,9-VAL(PF) 0.5 ML IM SUSPPharmacy$2,528.95
RX-871HYALURONATE SOD, CROSS-LINKED 30 MG/3 ML INTRAARTICLR SYRGPharmacy$14,691.61
RX-872HYALURONATE SODIUM, STABILIZED 88 MG/4 ML INTRAARTICLR SYRGPharmacy$9,843.98
RX-874HYALURONIDASE 150 UNITS/ML INJECTION SOLNPharmacy$384.55
RX-876HYDRALAZINE 20 MG/ML INJECTION SOLNPharmacy$47.26
RX-877HYDROCORTISONE 1 % TOP OINTPharmacy$191.10
RX-878HYDROCORTISONE SOD SUCC (PF) 100 MG/2 ML INJECTION SOLRPharmacy$164.43
RX-879HYDROCORTISONE SOD SUCC (PF) 250 MG/2 ML INJECTION SOLRPharmacy$164.43
RX-88ANTI-THYMOCYTE GLOB (RABBIT) 25 MG INTRAVENOUS SOLRPharmacy$9,648.29
RX-880HYDROCORTISONE SOD SUCC (PF) 500 MG/4 ML INJECTION SOLRPharmacy$164.43
RX-881HYDROCORTISONE SOD SUCCINATE 100 MG INJECTION SOLRPharmacy$164.43
RX-882HYDROGEN PEROXIDE 3 % MISC. SOLNPharmacy$215.22
RX-883HYDROMORPHONE 1 MG/ML INJECTION SYRGPharmacy$39.06
RX-884HYDROMORPHONE 2 MG/ML INJECTION SOLNPharmacy$39.06
RX-885HYDROMORPHONE 2 MG/ML INJECTION SYRGPharmacy$39.06
RX-886HYDROMORPHONE 4 MG/ML INJECTION SYRGPharmacy$39.06
RX-887HYDROMORPHONE (DILAUDID) IN 0.9% NACL 25 MG/250 ML IV BOLUS FROM PUMPPharmacy$39.31
RX-888HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLNPharmacy$39.06
RX-889HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRGPharmacy$39.06
RX-89APRACLONIDINE 0.5 % OPHTHALMIC DROPPharmacy$98.35
RX-890HYDROMORPHONE (PF) 2 MG/ML INJECTION SOLNPharmacy$39.06
RX-891HYDROMORPHONE (PF) 2 MG/ML INJECTION SYRGPharmacy$39.06
RX-892HYDROMORPHONE (PF) 4 MG/ML INJECTION SOLNPharmacy$39.06
RX-893HYDROMORPHONE (PF) 0.5 MG/0.5 ML INJECTION SYRGPharmacy$39.06
RX-894HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLNPharmacy$39.06
RX-895HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRGPharmacy$39.06
RX-896HYDROMORPHONE 1 MG/ML SUPER ORDERABLEPharmacy$39.06
RX-897HYDROMORPHONE 10 MG/250 ML NS EPIDURALPharmacy$39.06
RX-898HYDROMORPHONE 2 MG/ML INJ SOLN SUPER ORDERABLEPharmacy$39.06
RX-899HYDROMORPHONE IN 0.9 % NACL 25 MG/250 ML (0.1 MG/ML) INFUSIONPharmacy$39.31
RX-9ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLRPharmacy$178.14
RX-90APRACLONIDINE 1 % OPHTHALMIC DPETPharmacy$87.62
RX-900HYDROMORPHONE IN 0.9 % NACL 25 MG/250 ML IVPBPharmacy$39.31
RX-901HYDROMORPHONE IN 0.9 % NACL 30 MG/30 ML (PED-NEO) PCA STANDARDPharmacy$39.06
RX-902HYDROMORPHONE IN 0.9 % NACL 30 MG/30 ML INFUSIONPharmacy$39.06
RX-903HYDROMORPHONE IN 0.9 % NACL 30 MG/30 ML PCA RESTRICTEDPharmacy$39.06
RX-904HYDROMORPHONE IN 0.9 % NACL 30 MG/30 ML PCA STANDARDPharmacy$39.06
RX-905HYDROMORPHONE IN 0.9 % NACL 50 MG/250 ML (0.2 MG/ML) INFUSIONPharmacy$39.06
RX-906HYDROMORPHONE IN NS 100 MG/100 ML (1 MG/ML)Pharmacy$39.06
RX-907HYDROXOCOBALAMIN 5 G INTRAVENOUS SOLRPharmacy$2,712.78
RX-908HYDROXYPROGEST(PF)(PREG PRESV) 250 MG/ML (1 ML) IM OILPharmacy$253.41
RX-909HYDROXYPROGEST(PF)(PREG PRESV) 275 MG/1.1 ML SUBCUTANEOUS ATINPharmacy$253.41
RX-91APREMILAST 30 MG ORAL TABPharmacy$202.20
RX-910HYDROXYPROGESTERONE CAP(PPRES) 250 MG/ML IM OILPharmacy$253.41
RX-911HYDROXYZINE HCL 25 MG/ML IM SOLNPharmacy$88.45
RX-912HYDROXYZINE HCL 50 MG/ML IM SOLNPharmacy$88.45
RX-915HYPROMELLOSE 2.5 % OPHTHALMIC DROPPharmacy$56.12
RX-916IBANDRONATE 3 MG/3 ML INTRAVENOUS SYRGPharmacy$557.80
RX-917IBRUTINIB 140 MG ORAL CAPPharmacy$518.63
RX-918IBUPROFEN 400 MG/4 ML (100 MG/ML) INTRAVENOUS SOLRPharmacy$13.97
RX-919IBUPROFEN 800 MG/200 ML (4 MG/ML) INTRAVENOUS PGBKPharmacy$30.87
RX-92APREPITANT 40 MG ORAL CAPPharmacy$61.35
RX-920IBUPROFEN 800 MG/8 ML (100 MG/ML) INTRAVENOUS SOLRPharmacy$24.82
RX-921IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLNPharmacy$15,327.90
RX-922IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLNPharmacy$3,253.57
RX-923IDARUBICIN 1 MG/ML INTRAVENOUS SOLNPharmacy$457.51
RX-924IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLNPharmacy$25,242.84
RX-925IDURSULFASE 6 MG/3 ML INTRAVENOUS SOLNPharmacy$6,840.41
RX-926IFOSFAMIDE 1 G INTRAVENOUS SOLRPharmacy$336.39
RX-927ILOPROST 10 MCG/ML INHALATION NEBUPharmacy$1,761.91
RX-928ILOPROST 20 MCG/ML INHALATION NEBUPharmacy$1,761.90
RX-929IMATINIB 100 MG ORAL TABPharmacy$316.26
RX-93APREPITANT 80 MG ORAL CAPPharmacy$61.35
RX-930IMIGLUCERASE 400 UNITS INTRAVENOUS SOLRPharmacy$537.21
RX-931IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLRPharmacy$71.63
RX-932IMMUN GLOB G(IGG)-GLY-IGA OV50 10 % INJECTION SOLNPharmacy$503.06
RX-933IMMUN GLOB G(IGG)-PRO-IGA 0-50 10 % INTRAVENOUS SOLNPharmacy$514.65
RX-934IMMUN GLOB G-GLY-GLUC-IGA 0-50 5 % INTRAVENOUS SOLRPharmacy$796.17
RX-935IMMUN GLOBG(IGG)-MALT-IGA OV50 5 % INTRAVENOUS SOLNPharmacy$481.57
RX-936IMMUN GLOBG(IGG)-MALT-IGA OV50 10 % INTRAVENOUS SOLNPharmacy$481.57
RX-937IMMUNE GLOB G (IGG)-GLYCINE 15-18 % RANGE IM SOLNPharmacy$514.76
RX-938IMMUNE GLOBUL G-GLY-IGA AVG 46 1 GRAM/10 ML (10 %) INJECTION SOLNPharmacy$508.41
RX-939IMMUNE GLOBUL G-GLY-IGA AVG 46 10 GRAM/100 ML (10 %) INJECTION SOLNPharmacy$508.41
RX-94APREPITANT 125 MG (25 MG/ ML FINAL CONC.) ORAL SUSRPharmacy$61.35
RX-940IMMUNE GLOBUL G-GLY-IGA AVG 46 20 GRAM/200 ML (10 %) INJECTION SOLNPharmacy$508.41
RX-941IMMUNE GLOBUL G-GLY-IGA AVG 46 5 GRAM/50 ML (10 %) INJECTION SOLNPharmacy$508.41
RX-942IMMUNE GLOBULIN (10%) (IGA<1 MCG/ML) GAMMAGARD S-D INFUSIONPharmacy$796.17
RX-943IMMUNE GLOBULIN (HUMAN) (IGG) 10 % IV SOLN (PRIVIGEN)Pharmacy$514.65
RX-944INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLNPharmacy$460.43
RX-945INDIUM 111 DTPAPharmacy$17,921.04
RX-946INDIUM 111-PENTETREOTIDE 3-10 MCI/ML-MCG INTRAVENOUS KITPharmacy$77,568.62
RX-947INDIUM IN-111 LABELED WBC IV SOLUTIONPharmacy$41,328.00
RX-948INDIUM IN-111 OXYQUINOLINE 1 MCI/ML (37 MBQ/ML)(1 ML) INTRAVENOUS SOLNPharmacy$30,507.75
RX-949INDOMETHACIN 50 MG RECTAL SUPPPharmacy$270.76
RX-95APREPITANT 125 MG ORAL CAPPharmacy$61.35
RX-950INDOMETHACIN SODIUM 1 MG INTRAVENOUS SOLRPharmacy$3,104.14
RX-951INFLIXIMAB 100 MG INTRAVENOUS SOLRPharmacy$722.56
RX-952INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLRPharmacy$652.05
RX-953INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLRPharmacy$601.91
RX-954INHALAT. SPACING DEV,SM. MASK MISC. SPCRPharmacy$41.30
RX-955INHALAT.SPACING DEV,LARGE MASK MISC. SPCRPharmacy$44.49
RX-956INHALAT.SPACING DEV,MED. MASK MISC. SPCRPharmacy$41.30
RX-957INHALATIONAL SPACING DEVICE MISC. SPCRPharmacy$156.07
RX-958INOTUZUMAB OZOGAMICIN 0.9 MG (0.25 MG/ML INITIAL) INTRAVENOUS SOLRPharmacy$28,649.38
RX-959INSULIN ASP PRT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS SOLNPharmacy$11.33
RX-96APREPITANT 20 MG/ML ORAL SUSPPharmacy$125.34
RX-960INSULIN ASPART INJECTION ORDERABLEPharmacy$10.85
RX-961INSULIN ASPART U-100 100 UNIT/ML (3 ML) SUBCUTANEOUS INPNPharmacy$11.33
RX-962INSULIN ASPART U-100 100 UNITS/ML SUBCUTANEOUS CRTGPharmacy$11.33
RX-963INSULIN ASPART U-100 100 UNITS/ML SUBCUTANEOUS SOLNPharmacy$11.33
RX-964INSULIN DEGLUDEC 100 UNIT/ML (3 ML) SUBCUTANEOUS INPNPharmacy$102.48
RX-965INSULIN DETEMIR U-100 100 UNIT/ML (3 ML) SUBCUTANEOUS INPNPharmacy$11.33
RX-966INSULIN DETEMIR U-100 100 UNITS/ML SUBCUTANEOUS SOLNPharmacy$11.33
RX-967INSULIN GLARGINE 100 UNITS/ML SUBCUTANEOUS SOLNPharmacy$11.33
RX-968INSULIN LISPRO 100 UNITS/ML SUBCUTANEOUS CRTGPharmacy$11.33
RX-969INSULIN LISPRO 100 UNITS/ML SUBCUTANEOUS INPNPharmacy$11.33
RX-97APREPITANT 7.2 MG/ML INTRAVENOUS EMULPharmacy$26.30
RX-970INSULIN LISPRO 100 UNITS/ML SUBCUTANEOUS SOLNPharmacy$11.33
RX-971INSULIN NPH AND REGULAR HUMAN 100 UNIT/ML (70-30) SUBCUTANEOUS SUSPPharmacy$11.33
RX-972INSULIN NPH HUMAN RECOMB 100 UNIT/ML SUBQ SUSP (PED-NEO)Pharmacy$11.33
RX-973INSULIN NPH ISOPH U-100 HUMAN 100 UNITS/ML SUBCUTANEOUS SUSPPharmacy$11.33
RX-974INSULIN REGULAR HUM U-500 CONC 500 UNIT/ML (3 ML) SUBCUTANEOUS INPNPharmacy$11.33
RX-975INSULIN REGULAR HUMAN 100 UNIT/ML INJECTIONPharmacy$11.21
RX-976INSULIN REGULAR HUMAN 100 UNITS/ML INJECTION SOLNPharmacy$11.33
RX-977INSULIN REGULAR IN 0.9 % NACL 100 UNIT/100 ML (1 UNIT/ML) INTRAVENOUS SOLNPharmacy$11.34
RX-978INTERFERON ALFA-2B 10 MILLION UNIT (1 ML) INJECTION SOLRPharmacy$431.03
RX-979INTERFERON ALFA-2B 6 MILLION UNIT/ML INJECTION SOLNPharmacy$431.03
RX-98ARGATROBAN 100 MG/ML INTRAVENOUS SOLNPharmacy$15.35
RX-980IOBENGUANE SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) INTRAVENOUS SOLNPharmacy$214,987.50
RX-981IODIDE I-131 DIAGNOSTIC CAP PER MCIPharmacy$209.48
RX-982IODINE I-131 IODINATED SERUM ALBUMIN DIAGNOSTIC IV SOLUTIONPharmacy$4,095.00
RX-985IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5ML) INTRAVENOUS SOLNPharmacy$31,210.93
RX-986IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLNPharmacy$11.13
2020349HC PT APPLICATION LONG LEG CAST THIGH-TOE GPPhysical Therapy $821.10
2020352HC PT APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPEPhysical Therapy $870.61
2020357HC PT APPLICATION SHORT LEG CAST BELOW KNEE-TOE GPPhysical Therapy $598.92
2020361HC PT APPLICATION SHORT LEG CAST WALKING/AMBULATORY GPPhysical Therapy $565.11
2020362HC APPLICATION SHORT LEG CAST WALKING/AMBULATORYPhysical Therapy $565.11
2022237HC PT HOT OR COLD PACKS THERAPY GPPhysical Therapy $77.28
2022238HC PT HOT OR COLD PACKS THERAPY GPPhysical Therapy $77.28
2022239HC PT MECHANICAL TRACTION THERAPY GPPhysical Therapy $175.09
2022246HC PT ELECTRICAL STIMULATION GPPhysical Therapy $144.90
2022249HC PT ELECTRIC CURRENT THERAPY GPPhysical Therapy $246.33
2022252HC PT ULTRASOUND THERAPY GPPhysical Therapy $140.07
2022258HC PT THERAPEUTIC EXERCISES GPPhysical Therapy $397.27
2022259HC PT THERAPEUTIC EXERCISES GPPhysical Therapy $397.27
2022261HC PT NEUROMUSCULAR REEDUCATION GPPhysical Therapy $431.08
2022265HC AQUATIC THERAPY/EXERCISES GPPhysical Therapy $379.16
2022268HC PT GAIT TRAINING THERAPY GPPhysical Therapy $345.35
2022269HC PT MASSAGE THERAPY EA 15 MINS - GPPhysical Therapy $272.90
2022275HC PT MANUAL THERAPY EA 15 MINS - GPPhysical Therapy $365.87
2022279HC PT GROUP THERAPEUTIC PROCEDURES GPPhysical Therapy $216.14
2022282HC PT THERAPEUTIC ACTIVITIES GP EA 15 MINSPhysical Therapy $363.46
2022292HC PT SENSORY INTEGRATION GP EA 15 MINSPhysical Therapy $385.19
2022294HC PT SELF CARE MNGMENT TRAINING GP EA 15 MINSPhysical Therapy $420.21
2022297HC PT COMMUNITY/WORK REINTEGRATION GP EA 15 MINSPhysical Therapy $324.82
2022298HC PT WHEELCHAIR MNGMENT TRAINING GP EA 15 MINSPhysical Therapy $276.52
2022308HC PT PHYSICAL PERFORMANCE TEST GPPhysical Therapy $329.65
2022312HC PT INI ORTH MGMT/TRAINING GPPhysical Therapy $458.85
2022316HC PT C/O FOR ORTHOTIC/PROSTH USE 15 MIN GPPhysical Therapy $310.33
2022420HC PT ELEC STIM OTHER THAN WOUND GPPhysical Therapy $188.37
2022780HC PT EDUC PERCUSSION CHESTPhysical Therapy $234.14
2022781HC PT MANIULATIONCHESTPhysical Therapy $251.34
2023555HC CANALITH REPOSITIONING PROC GPPhysical Therapy $350.18
2025433HC DEVELOPMENTAL SCREEN W/SCORE GPPhysical Therapy $361.04
2025861HC NEG PRESS WND TX <=50 SQ CM PTPhysical Therapy $1,149.18
2026632HC PT PTA WHEELCHAIR MNGMENT TRAINING EA 15 MINS GPCQPhysical Therapy $276.52
2026634HC PT PTA THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN GPCQPhysical Therapy $363.46
2026636HC PT PTA ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS GPCQPhysical Therapy $458.85
2026638HC PT PTA PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS CPCQPhysical Therapy $280.14
2026642HC PT PTA ULTRASOUND THERAPY EA 15 MINS GPCQPhysical Therapy $140.07
2026644HC PT PTA NEUROMUSCULAR REEDUCATION EA 15 MINS GPCQPhysical Therapy $431.08
2026646HC PT PTA THERAPEUTIC EXERCISES EA 15 MINS GPCQPhysical Therapy $397.27
2026648HC PT PTA AQUATIC THERAPY/EXERCISES EA 15 MINS GPCQPhysical Therapy $379.16
2026649HC PT PTA COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN GPCQPhysical Therapy $324.82
2026651HC PT PTA GAIT TRAINING THERAPY EA 15 MINS GPCQPhysical Therapy $345.35
2026652HC PT PTA MANUAL THERAPY EA 15 MINS GPCQPhysical Therapy $365.87
2026654HC PT PTA NON WND ELECT STIM GPCQPhysical Therapy $188.37
2026657HC PT PTA THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS GPCQPhysical Therapy $216.14
2026658HC PT PTA MASSAGE THERAPY EA 15 MINS GPCQPhysical Therapy $272.90
2026947HC PT HCPRO PHONE CALL 5-10MIN GPPhysical Therapy $19.29
2026950HC PT HCPRO PHONE CALL 11-20MIN GPPhysical Therapy $38.09
2026953HC PT HCPRO PHONE CALL 21-30MIN GPPhysical Therapy $55.00
2022231HC PT RE-EVAL EST PLAN CARE GPPhysical Therapy - Evaluation or Re-evaluation$470.93
2022232HC PT RE-EVAL EST PLAN CAREPhysical Therapy - Evaluation or Re-evaluation$470.93
2025786HC PT EVAL MOD COMPLEX GPPhysical Therapy - Evaluation or Re-evaluation$1,262.45
2025787HC PT EVAL HIGH COMPLEX GPPhysical Therapy - Evaluation or Re-evaluation$1,893.66
2025792HC PT EVAL LOW COMPLEX GPPhysical Therapy - Evaluation or Re-evaluation$841.63
2022274HC PT PHYSICAL MEDICINE PROCEDURE GPPhysical Therapy - Visit Charge$135.24
2022301HC WORK HARDENING ADD-ONPhysical Therapy - Visit Charge$550.02
2025840HC HH HHC PT MAINT EA 15 MINPhysical Therapy - Visit Charge$420.00
2026570HC HH SERV OF PT EA 15 MINPhysical Therapy - Visit Charge$420.00
2024676HC CA SCRNING PELV & BRST EXAMPreventive Care Services $256.84
2024677HC PPPS INITIAL, ANNUAL WELLNESS VISITPreventive Care Services $1,480.50
2026117HC APP TOPICAL FLUORIDE VARNISHPreventive Care Services $95.40
2021943HC IMMUN ADMINPreventive Care Services - Vaccine Administration$1,013.72
2021944HC IMMUN ADMIN EACH ADDL VACCINE/COMPONENTPreventive Care Services - Vaccine Administration$700.13
2022684HC ADMIN FLU VACCINEPreventive Care Services - Vaccine Administration$179.19
2023241HC ADMIN PNEUMONIA VACCINEPreventive Care Services - Vaccine Administration$176.63
2023759HC ADMIN HEPATITIS B VACCINEPreventive Care Services - Vaccine Administration$700.13
2025289HC IMMUNE ADMIN ORAL/NASAL 1 VACCINEPreventive Care Services - Vaccine Administration$79.56
2025290HC IMMUNE ADMIN ORAL/NASAL ADDLPreventive Care Services - Vaccine Administration$46.94
2025471HC IMMUN ADMIN EACH ADDL VACCINE/COMPONENT W/ COUNSELING <18 YEARS OF AGEPreventive Care Services - Vaccine Administration$38.40
2025806HC IMMUN ADMIN 1ST/ONLY COMPONENT W/ COUNSELING <18 YEARS OF AGEPreventive Care Services - Vaccine Administration$211.76
2027036HC ADM SARSCOV2 30MCG/0.3ML 1STPreventive Care Services - Vaccine Administration$1,013.72
2027037HC ADM SARSCOV2 30MCG/0.3ML 2NDPreventive Care Services - Vaccine Administration$1,013.72
2027038HC ADM SARSCOV2 100MCG/0.5ML1STPreventive Care Services - Vaccine Administration$1,013.72
2027039HC ADM SARSCOV2 100MCG/0.5ML2NDPreventive Care Services - Vaccine Administration$1,013.72
2026843HC EXTERNAL PT ACTIVATED DWNLD W/R&I ONLYProfessional Fees $205.00
2026857HC HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN/<Professional Fees $84.00
2026860HC INITIAL INPATIENT CONSULT NEW/EST PT 40 MINProfessional Fees $238.46
2026861HC INITIAL INPATIENT CONSULT NEW/EST PT 55 MINProfessional Fees $357.69
2026865HC SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS/<Professional Fees $455.00
2026866HC INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHSProfessional Fees $911.00
2022129HC BREATHING CAPACITY TESTPulmonary Function $718.46
2022130HC BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMNPulmonary Function $1,407.95
2022131HC BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGTPulmonary Function $1,365.68
2022132HC VITAL CAPACITY TESTPulmonary Function $228.22
2022133HC LUNG FUNCTION TEST (MBC/MVV)Pulmonary Function $342.93
2022137HC PULMONARY STRESS TESTPulmonary Function $740.20
2022138HC CARDIOPULM EXCER TEST MIN VENTPulmonary Function $2,177.12
2022145HC DIFFUSING CAPACITY EX. CARBON MONOXIDE, MEMBRANEPulmonary Function $665.33
2022146HC N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETERPulmonary Function $346.55
2022147HC N-INVAS EAR/PLS OXIMTRY F/O2 SAT MLT DETERSPulmonary Function $540.96
2023012HC CO EXPIRED GAS BY IRPulmonary Function $350.18
2023116HC PULM FUNCT TST PLETHYSMOGRAPPulmonary Function $439.53
2023117HC PULM FUNCTION TEST BY GASPulmonary Function $351.38
2023118HC AIRWY RESIST BY OSCILLOMETRYPulmonary Function $324.82
2023225HC FLOW VOLUME LOOPPulmonary Function $683.45
2024980HC UNLISTED PULMONARY SERVICEPulmonary Function $229.39
2025208HC MEAS LUNG VOL THRU 2 YRSPulmonary Function $1,010.63
2025209HC PATIENT RECORDED SPIROMETRYPulmonary Function $687.92
2025210HC PI SPIROMETRY/30 DAYS - RECORDINGPulmonary Function $687.92
2025214HC PULMONARY COMPLIANCEPulmonary Function $687.92
2025438HC SURFACTANT ADMIN THRU TUBEPulmonary Function $714.75
2025487HC CONTINUOUS PULSE OXPulmonary Function $2,679.44
2025939HC OXYGEN UPTAKE % O2Pulmonary Function $860.67
2020629HC CONTRAST X-RAY OF BRAINRadiology - Diagnostic $2,570.77
2020630HC RADEX MNDBL PRTL < 4 VIEWSRadiology - Diagnostic $330.86
2020631HC RADEX MNDBL COMPL MINIMUM 4 VIEWSRadiology - Diagnostic $380.36
2020633HC X-RAY EXAM OF MIDDLE EARRadiology - Diagnostic $583.43
2020634HC X-RAY EXAM OF FACIAL BONESRadiology - Diagnostic $480.95
2020635HC X-RAY EXAM OF FACIAL BONESRadiology - Diagnostic $687.07
2020636HC X-RAY EXAM OF NASAL BONESRadiology - Diagnostic $468.51
2020637HC X-RAY EXAM OF EYE SOCKETSRadiology - Diagnostic $388.82
2020638HC X-RAY EXAM OF SINUSESRadiology - Diagnostic $544.58
2020639HC X-RAY EXAM OF SKULLRadiology - Diagnostic $627.90
2020640HC X-RAY EXAM OF SKULLRadiology - Diagnostic $790.91
2020642HC RADEX TMPRMAND JT OPN&CLSD MOUTH BIRadiology - Diagnostic $438.32
2020644HC X-RAY EXAM OF NECKRadiology - Diagnostic $544.58
2020680HC X-RAY EXAM OF RIBSRadiology - Diagnostic $549.41
2020687HC X-RAY EXAM OF RIBS/CHESTRadiology - Diagnostic $653.26
2020690HC X-RAY EXAM OF RIBS/CHESTRadiology - Diagnostic $653.26
2020691HC X-RAY EXAM OF RIBSRadiology - Diagnostic $670.16
2020693HC X-RAY EXAM OF BREASTBONERadiology - Diagnostic $388.82
2020694HC X-RAY EXAM OF BREASTBONERadiology - Diagnostic $480.59
2020704HC X-RAY EXAM ENTIRE SPI 2-3 VIEWRadiology - Diagnostic $1,455.04
2020705HC X-RAY EXAM OF SPINERadiology - Diagnostic $450.40
2020706HC RADEX SPI CRV 2/3 VIEWSRadiology - Diagnostic $917.70
2020707HC RADEX SPI CRV MINIMUM 4 VIEWSRadiology - Diagnostic $1,240.10
2020708HC RADEX SPI CRV COMPL W/OBLQ&FLEXION&/XTN STDSRadiology - Diagnostic $1,550.43
2020710HC X-RAY EXAM OF THORACIC SPINERadiology - Diagnostic $572.36
2020711HC X-RAY EXAM OF THORACIC SPINERadiology - Diagnostic $624.28
2020712HC X-RAY EXAM OF THORACIC SPINERadiology - Diagnostic $710.01
2020713HC X-RAY EXAM OF TRUNK SPINE MIN OF 2 VWSRadiology - Diagnostic $412.97
2020715HC RADEX SPI LUMBOSAC 2/3 VIEWSRadiology - Diagnostic $677.41
2020716HC RADEX SPI LUMBOSAC MINIMUM 4 VIEWSRadiology - Diagnostic $940.64
2020717HC RADEX SPI LUMBOSAC COMPL W/BENDING VIEWSRadiology - Diagnostic $1,194.22
2020718HC RADEX SPI LUMBOSAC BENDING MINIMUM 4 VIEWSRadiology - Diagnostic $771.59
2020740HC RADEX PELVIS 1/2 VIEWSRadiology - Diagnostic $580.81
2020741HC RADEX PELVIS 1/2 VIEWS 76Radiology - Diagnostic $580.81
2020742HC RADEX PELVIS COMPL MINIMUM 3 VIEWSRadiology - Diagnostic $812.65
2020743HC RADEX PELVIS COMPL MINIMUM 3 VIEWS 76Radiology - Diagnostic $580.81
2020754HC RADEX SI JTS < 3 VIEWSRadiology - Diagnostic $507.15
2020755HC RADEX SI JTS 3/MORE VIEWSRadiology - Diagnostic $583.22
2020756HC X-RAY EXAM OF TAILBONERadiology - Diagnostic $501.11
2020760HC CONTRAST X-RAY, SPINERadiology - Diagnostic $2,743.44
2020783HC X-RAY EXAM OF SHOULDERSRadiology - Diagnostic $619.45
2020831HC RADEX HAND 2 VIEWSRadiology - Diagnostic $748.65
2020903HC X-RAY EXAM OF KNEE, 1 OR 2Radiology - Diagnostic $731.75
2020916HC X-RAY KNEE EXAM; BOTH KNEES STANDING APRadiology - Diagnostic $825.93
2020926HC X-RAY EXAM OF LOWER LEGRadiology - Diagnostic $926.15
2020957HC X-RAY EXAM OF TOE(S)Radiology - Diagnostic $668.96
2020990HC XRAY EX OF AB 1 VIEWRadiology - Diagnostic $531.30
2021000HC X-RAY XM ESOPHAGUS 1CNTRSTRadiology - Diagnostic $1,109.69
2021001HC X-RAY XM SWLNG FUNCJ C+Radiology - Diagnostic $993.77
2021002HC X-RAY XM UPR GI TRC 1CNTRSTRadiology - Diagnostic $662.22
2021007HC X-RAY XM SM INT 1CNTRST STDRadiology - Diagnostic $1,503.34
2021009HC X-RAY XM COLON 1CNTRST STDRadiology - Diagnostic $1,586.66
2021010HC X-RAY XM COLON 2CNTRST STDRadiology - Diagnostic $2,221.80
2021011HC THER ENEMA C+ RDCTJ INTUSSUSCEPTION/OBSTRCJRadiology - Diagnostic $919.46
2021012HC CHOLANGRPH&/PCG INTRAOP RS&IRadiology - Diagnostic $778.84
2021016HC X-RAY BILE DUCT ENDOSCOPYRadiology - Diagnostic $912.87
2021024HC CONTRAST X-RAY, BLADDERRadiology - Diagnostic $1,387.42
2021025HC X-RAY, URETHRA/BLADDERRadiology - Diagnostic $3,242.28
2021028HC DILATION URTR/URT RS&IRadiology - Diagnostic $2,147.30
2021033HC AORTOGRAPY THRC SRLOGRAPY RS&IRadiology - Diagnostic $5,568.28
2021037HC X-RAY AORTA, LEG ARTERIESRadiology - Diagnostic $9,315.86
2021057HC ANGRPH SPI SLCTV RS&IRadiology - Diagnostic $7,194.29
2021059HC ARTERY X-RAYS, ARM/LEGRadiology - Diagnostic $7,149.61
2021068HC ARTERY X-RAYS, ABDOMENRadiology - Diagnostic $11,360.16
2021070HC ARTERY X-RAYS, PELVISRadiology - Diagnostic $6,838.07
2021072HC ANGRPH PULM UNI SLCTV RS&IRadiology - Diagnostic $11,084.85
2021073HC ANGRPH PULM BI SLCTV RS&IRadiology - Diagnostic $11,084.85
2021077HC NONVASCULAR SHUNT, X-RAYRadiology - Diagnostic $700.35
2021080HC CATH/EP VEIN X-RAY, ARM/LEGRadiology - Diagnostic $3,370.13
2021081HC VEIN X-RAY, ARMS/LEGSRadiology - Diagnostic $3,976.30
2021083HC VEIN X-RAY, TRUNKRadiology - Diagnostic $3,874.87
2021084HC VEIN X-RAY, CHESTRadiology - Diagnostic $1,240.10
2021085HC VNGRPH RNL UNI SLCTV RS&IRadiology - Diagnostic $11,084.85
2021087HC VEIN X-RAY, NECKRadiology - Diagnostic $3,874.54
2021089HC VNGRPH SUPRIOR SGTL SINUS RS&IRadiology - Diagnostic $4,029.52
2021092HC PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&IRadiology - Diagnostic $4,558.31
2021093HC PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVAL RS&IRadiology - Diagnostic $1,976.11
2021094HC HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&IRadiology - Diagnostic $3,874.54
2021095HC VENOUS SAMPLING BY CATHETERRadiology - Diagnostic $11,084.85
2021096HC TCAT THER EMBOLIZATION ANY METH RS&IRadiology - Diagnostic $17,061.98
2021118HC XRAY CONTROL CATHETER CHANGERadiology - Diagnostic $1,967.02
2021119HC ABSCESS DRAINAGE UNDER X-RAYRadiology - Diagnostic $2,331.68
2021122HC FLUOROSCOPE EXAMINATIONRadiology - Diagnostic $1,777.66
2021125HC X-RAY EXAM OF FISTULARadiology - Diagnostic $1,271.50
2021126HC RAD XM SURG SPECRadiology - Diagnostic $1,434.51
2021134HC RADIOGRAPHIC PROCEDURERadiology - Diagnostic $388.06
2021169HC FLUOROGUIDE FOR VEIN DEVICERadiology - Diagnostic $1,579.54
2021170HC NEEDLE LOCALIZATION BY XRAYRadiology - Diagnostic $2,089.34
2021171HC FLUOROGUIDE FOR SPINE INJECTRadiology - Diagnostic $1,128.83
2021178HC X-RAYS FOR BONE AGERadiology - Diagnostic $556.66
2021179HC X-RAYS, BONE LENGTH STUDIESRadiology - Diagnostic $653.26
2021181HC X-RAYS, BONE SURVEY COMPLETERadiology - Diagnostic $1,184.56
2021182HC X-RAYS, BONE SURVEY, INFANTRadiology - Diagnostic $1,290.82
2021183HC DXA BONE DENSITY, AXIALRadiology - Diagnostic $1,120.56
2021184HC DXA BONE DENSITY/PERIPHERALRadiology - Diagnostic $694.31
2022419HC CATH/EP ILIAC ART ANGIO,CARDIAC CATHRadiology - Diagnostic $92.98
2022718HC TRANS CATH FALLOP TUBERadiology - Diagnostic $402.23
2022725HC TRANSCATHETER BIOPSY S&IRadiology - Diagnostic $9,239.79
2022882HC ANKLE WT BEAR ONLYRadiology - Diagnostic $681.03
2022883HC URETHOGRAM RETRORadiology - Diagnostic $1,769.70
2022885HC UEXTREM INFANT MIN 2 VWRadiology - Diagnostic $329.65
2023085HC EXISTING CATH ANGIOGR FOR FOLLOW-UPRadiology - Diagnostic $2,795.17
2023486HC CLAVICLE COMPLETERadiology - Diagnostic $654.47
2023487HC SCAPULA COMPLETERadiology - Diagnostic $723.29
2023488HC X-RAY EXAM OF SHOULDER 1 VIEWRadiology - Diagnostic $555.45
2023489HC X-RAY EXAM OF SHOULDER 2+ VIEWSRadiology - Diagnostic $694.31
2023491HC X-RAY EXAM OF HUMERUS 2+ VIEWSRadiology - Diagnostic $639.98
2023492HC X-RAY EXAM OF ELBOW 2 VIEWSRadiology - Diagnostic $690.69
2023493HC X-RAY EXAM OF ELBOW 3+ VIEWSRadiology - Diagnostic $793.33
2023495HC X-RAY EXAM OF FOREARM 2 VIEWSRadiology - Diagnostic $677.41
2023496HC X-RAY EXAM OF WRIST 2 VIEWSRadiology - Diagnostic $646.01
2023497HC X-RAY EXAM OF WRIST 3+ VIEWSRadiology - Diagnostic $777.63
2023499HC X-RAY EXAM OF HAND 3+ VIEWSRadiology - Diagnostic $868.19
2023500HC X-RAY EXAM OF FINGER(S) 2+ VIEWSRadiology - Diagnostic $504.74
2023511HC X-RAY EXAM OF HIP 1 VIEW UNILATRadiology - Diagnostic $387.61
2023516HC X-RAY EXAM OF KNEE 3Radiology - Diagnostic $860.95
2023517HC X-RAY EXAM KNEE 4 OR MORERadiology - Diagnostic $998.60
2023519HC X-RAY EXAM OF ANKLE 3+ VIEWSRadiology - Diagnostic $792.12
2023521HC X-RAY EXAM OF FOOT; 2 VIEWSRadiology - Diagnostic $695.52
2023522HC X-RAY EXAM OF FOOT; 3+ VIEWSRadiology - Diagnostic $781.25
2023523HC X-RAY EXAM OF HEEL 2+ VIEWSRadiology - Diagnostic $548.21
2023573HC TOMOGRAMRadiology - Diagnostic $597.74
2023633HC X-RAY XM UPR GI TRC 2CNTRSTRadiology - Diagnostic $662.22
2023636HC HYSTEROSALPINGOGRAMRadiology - Diagnostic $517.31
2024309HC THROMBOLYTIC ART THERAPYRadiology - Diagnostic $5,568.28
2025010HC DILATE FOR STRICTURE/OBSTRRadiology - Diagnostic $608.50
2025237HC DXA BONE DENSITY STUDYRadiology - Diagnostic $1,120.56
2025240HC HEPATIC VENOGRAM WO HDMRadiology - Diagnostic $11,116.52
2025524HC X-RAY EXAM HIP UNI 2-3 VIEWSRadiology - Diagnostic $535.62
2025525HC X-RAY EXAM HIP UNI 4+ VIEWSRadiology - Diagnostic $669.28
2025528HC X-RAY EXAM ENTIRE SPI 1 VIEWRadiology - Diagnostic $903.76
2025529HC X-RAY EXAM ENTIRE SPI 4-5 VIEWRadiology - Diagnostic $1,577.01
2025530HC X-RAY EXAM ENTIRE SPI 6+ VIEWRadiology - Diagnostic $1,876.29
2025531HC X-RAY EXAM HIPS BI 2 VIEWSRadiology - Diagnostic $517.10
2025532HC X-RAY EXAM HIPS BI 3-4 VIEWSRadiology - Diagnostic $632.28
2025534HC X-RAY EXAM HIPS BI 5+ VIEWSRadiology - Diagnostic $734.04
2025535HC X-RAY EXAM OF FEMUR 1Radiology - Diagnostic $717.26
2025536HC X-RAY EXAM OF FEMUR 2+Radiology - Diagnostic $837.22
2025568HC X-RAY EXAM HIPS BI 3-4 VIEWSRadiology - Diagnostic $406.99
2025971HC X-RAY EXAM ABDOMEN 2 VIEWSRadiology - Diagnostic $828.35
2025972HC X-RAY EXAM ABDOMEN 3+ VIEWSRadiology - Diagnostic $911.19
2026170HC UNLISTED FLUORORadiology - Diagnostic $218.52
2026629HC X-RAY SM INT F-THRU STDRadiology - Diagnostic $400.00
2026665HC XRAY CDSM EVICORERadiology - Diagnostic $1.00
2026668HC XRAY CDSM NDSCRadiology - Diagnostic $1.00
2026670HC XRAY CDSM TEST APPROPRadiology - Diagnostic $1.00
2026671HC XRAY CDSM AIMRadiology - Diagnostic $1.00
2026675HC XRAY CDSM QUALIFIED NOSRadiology - Diagnostic $1.00
2021036HC CATH/EP AORTOGRAPY ABDL SRLOGRAPY RS&IRadiology - Diagnostic - Arteriography$7,513.07
2021062HC CATH/EP ARTERY X-RAYS, ARM/LEGRadiology - Diagnostic - Arteriography$7,149.61
2021064HC CATH/EP ARTERY X-RAYS, ARMS/LEGSRadiology - Diagnostic - Arteriography$8,313.64
2021069HC CATH/EP ARTERY X-RAYS, ABDOMENRadiology - Diagnostic - Arteriography$11,360.16
2021074HC CATH/EP ARTERY X-RAY, EACH VESSELRadiology - Diagnostic - Arteriography$3,440.17
2021106HC CATH/EP RETRIEVAL, BROKEN CATHETERRadiology - Diagnostic - Arteriography$4,587.34
2022724HC ANGIOGR EA ADDTL VESSELRadiology - Diagnostic - Arteriography$3,440.17
2025335HC PULMONARY NONSELECTIVE ANGIORadiology - Diagnostic - Arteriography$3,874.54
2023490HC SHOULDER ARTHROGRAMRadiology - Diagnostic - Arthrography$1,405.53
2023513HC HIP ARTHROGRAMRadiology - Diagnostic - Arthrography$1,861.97
2023518HC KNEE ARTHROGRAMRadiology - Diagnostic - Arthrography$1,261.84
2020670HC RADEX CHEST 1 VIEWRadiology - Diagnostic - Chest X-Ray$394.85
2020671HC RADEX CHEST 2 VIEWSRadiology - Diagnostic - Chest X-Ray$489.04
2020673HC RADEX CHEST 3 VIEWSRadiology - Diagnostic - Chest X-Ray$596.51
2020676HC RADEX CHEST 4 OR MORE VIEWSRadiology - Diagnostic - Chest X-Ray$685.00
2022212HC CHEMO NON-HORMONAL ANTI-NEOPLASTIC, SC / IMRadiology - Therapeutic - Chemotherapy Administration - Injected$1,214.42
2022213HC CHEMO HORMON ANTINEOPL SQ/IMRadiology - Therapeutic - Chemotherapy Administration - Injected$526.23
2022214HC CHEMO IV PUSH 0 -15 MINUTES, INITIALRadiology - Therapeutic - Chemotherapy Administration - Injected$1,732.76
2022215HC CHEMO IV PUSH 0-15 MINUTES, SEQRadiology - Therapeutic - Chemotherapy Administration - Injected$970.83
2022220HC CHEMO, IA, PUSH TECNIQUERadiology - Therapeutic - Chemotherapy Administration - Injected$1,638.58
2022221HC CHEMO INTRA-THECALRadiology - Therapeutic - Chemotherapy Administration - Injected$2,922.15
2023660HC CHEMOTHERAPY ADMINISTRATION INTRALESIONAL Radiology - Therapeutic - Chemotherapy Administration - Injected$236.67
2022216HC CHEMO IV INFUSION, 1ST HOURRadiology - Therapeutic - Chemotherapy Administration - IV$3,129.84
2022217HC CHEMO IV INFUSION, ADDITIONAL HOURRadiology - Therapeutic - Chemotherapy Administration - IV$887.00
2022218HC PROLONG CHEMO IV INFUSION REQUIRING PUMP, > 8 HOURSRadiology - Therapeutic - Chemotherapy Administration - IV$2,506.77
2022219HC CHEMO IV INFUSION, SEQ 1ST HOURRadiology - Therapeutic - Chemotherapy Administration - IV$1,102.45
2023336HC CHEMO INTRA-PERITONEALRadiology - Therapeutic - Chemotherapy Administration - IV$400.89
2023667HC CHEMO OMMAYA RESERVOIRRadiology - Therapeutic - Chemotherapy Administration - IV$677.80
2021185HC THER RAD SIMULAJ-AIDED FLD SETTING SMPLRadiology - Therapeutic - Radiation Therapy$1,819.70
2021186HC THER RAD SIMULAJ-AIDED FLD SETTING CPLXRadiology - Therapeutic - Radiation Therapy$5,351.64
2021187HC THER RAD SIMULAJ-AIDED FLD SETTING 3-DIMENSIONALRadiology - Therapeutic - Radiation Therapy$13,377.89
2021188HC RADIATION THERAPY DOSE PLANRadiology - Therapeutic - Radiation Therapy$935.81
2021189HC RADIATION THERAPY DOSE PLANRadiology - Therapeutic - Radiation Therapy$935.81
2021190HC BRACHYTX ISODOSE COMPLEXRadiology - Therapeutic - Radiation Therapy$2,014.11
2021191HC SPECIAL RADIATION DOSIMETRYRadiology - Therapeutic - Radiation Therapy$185.42
2021192HC RADIATION TREATMENT AID(S)Radiology - Therapeutic - Radiation Therapy$1,341.53
2021193HC TX DEVICES - INTERMED -59Radiology - Therapeutic - Radiation Therapy$869.40
2021194HC TX DEVICES - COMPLEX -59Radiology - Therapeutic - Radiation Therapy$2,485.04
2021195HC CONTINUING MEDICAL PHYSICS CONSLTJ PR WKRadiology - Therapeutic - Radiation Therapy$1,253.39
2021196HC SPEC MEDICAL RADJ PHYSICS CONSLTJRadiology - Therapeutic - Radiation Therapy$1,905.44
2021197HC SRS, MULTISOURCERadiology - Therapeutic - Radiation Therapy$113,915.55
2021198HC SPECIAL RADIATION TREATMENTRadiology - Therapeutic - Radiation Therapy$4,367.53
2021199HC APPLY INTERSTIT RADIAT COMPLRadiology - Therapeutic - Radiation Therapy$2,558.76
2023315HC IMRT PLANNINGRadiology - Therapeutic - Radiation Therapy$13,357.37
2023316HC TELETHX ISODOSE PLAN SIMPLERadiology - Therapeutic - Radiation Therapy$1,136.52
2023317HC TELETHX ISODOSE PLAN CPLXRadiology - Therapeutic - Radiation Therapy$1,515.36
2023318HC BRACHYTX ISODOSE PLAN SIMPLERadiology - Therapeutic - Radiation Therapy$1,067.43
2023319HC BRACHYTX ISODOSE INTERMEDRadiology - Therapeutic - Radiation Therapy$1,389.83
2023320HC DESIGN MLC DEVICE FOR IMRTRadiology - Therapeutic - Radiation Therapy$5,014.75
2023322HC RADIATION TREATMENT DELIVERY, >= 1 MEV COMPLEXRadiology - Therapeutic - Radiation Therapy$3,010.30
2023325HC TREATMENT PORT VERIFICATIRadiology - Therapeutic - Radiation Therapy$759.52
2023327HC GUIDANCE FOR RADJ TX DLVRRadiology - Therapeutic - Radiation Therapy$1,482.81
2023534HC TX DEVICES; COMPLEXRadiology - Therapeutic - Radiation Therapy$2,485.04
2023596HC US INTERSTITIAL RE APPLICRadiology - Therapeutic - Radiation Therapy$388.82
2023601HC RADIATION TREATMENT DELIVERY, >= 1 MEV SIMPLERadiology - Therapeutic - Radiation Therapy$1,749.67
2025043HC SBRT DELIVERY PER FRACTIONRadiology - Therapeutic - Radiation Therapy$107,000.00
2025087HC NTSTY MODUL RAD TX DLVR SMPLRadiology - Therapeutic - Radiation Therapy$6,824.79
2025088HC NTSTY MODUL RAD TX DLVR CPLXRadiology - Therapeutic - Radiation Therapy$6,824.79
2025124HC TX DEVICES; INTERMED MODIFIER XURadiology - Therapeutic - Radiation Therapy$869.40
2026475HC TPRNL PLMT BIODEGRDABL MATRLRadiology - Therapeutic - Radiation Therapy$14,126.34
2026909HC ROBOT LIN-RADSURG FRACTX 1STRadiology - Therapeutic - Radiation Therapy$107,000.00
2026910HC ROBOT LIN-RADSURG FRACTX 2-5Radiology - Therapeutic - Radiation Therapy$107,000.00
2010002HC RECOVERY ROOM TO .5 HRSRecovery Room $607.76
2010003HC RECOVERY ROOM .5 - 1.5 HRSRecovery Room $1,853.04
2010004HC RECOVERY ROOM 1.5 - 3 HRSRecovery Room $3,388.47
2010005HC RECOVERY ROOM 3 - 4.5 HRSRecovery Room $4,978.79
2010006HC RECOVERY ROOM 4.5 - 6 HRSRecovery Room $6,422.47
2010007HC RECOVERY ROOM 6 - 7.5 HRSRecovery Room $7,875.57
2010008HC RECOVERY ROOM 7.5 - 9 HRSRecovery Room $9,315.33
2010009HC RECOVERY ROOM 9 - 10.5 HRSRecovery Room $11,721.98
2010010HC RECOVERY ROOM 10.5 - 12 HRSRecovery Room $13,193.09
2010011HC RECOVERY ROOM > 12 HRSRecovery Room $23,233.02
2010012HC POST PROC MONITORING TO 0.5 HRRecovery Room $834.36
2010013HC POST PROC MONITORING TO 1 HRSRecovery Room $1,670.31
2010014HC POST PROC MONITORING TO 2 HRSRecovery Room $3,340.62
2010015HC POST PROC MONITORING TO 3 HRSRecovery Room $5,010.94
2010016HC POST PROC MONITORING TO 4 HRSRecovery Room $6,681.26
2010017HC POST PROC MONITORING TO 5 HRSRecovery Room $8,351.56
2010018HC POST PROC MONITORING TO 6 HRSRecovery Room $10,021.86
2010019HC POST PROC MONITORING TO 7 HRSRecovery Room $11,692.19
2010020HC POST PROC MONITORING > 7 HRSRecovery Room $13,362.49
2022682HC RECOVERY ROOM 15 MIN OPTIMERecovery Room $0.00
2026795HC RECOVERY ROOM 15 MIN BED CHARGE BILLINGRecovery Room $0.00
2020394HC CLEARANCE OF AIRWAYSRespiratory Services $602.54
2020496HC WITHDRAWAL OF ARTERIAL BLOODRespiratory Services $348.97
2022003HC HEART/LUNG RESUSCITATION CPRRespiratory Services $2,211.75
2022127HC VENT MGMT INPAT, INIT DAYRespiratory Services $1,510.00
2022128HC VENT MGMT INPAT, SUBQ DAYRespiratory Services $1,510.00
2022139HC AIRWAY INHALATION TREATMENTRespiratory Services $362.25
2022140HC AIRWAY INHALATION TREATMENT 76Respiratory Services $362.25
2022141HC CBT, 1ST HOURRespiratory Services $396.71
2022142HC CBT, EACH ADDL HOURRespiratory Services $126.64
2022143HC POS AIRWAY PRESSURE, CPAPRespiratory Services $603.75
2022413HC OTH RESP PROC, INDIVRespiratory Services $161.69
2022414HC PT OTH RESP PROC, INDIVRespiratory Services $161.69
2022473HC PEAK FLOWRespiratory Services $368.08
2022474HC RESPIRATORY THERAPY CONSULTRespiratory Services $155.37
2024301HC EVALUATE PT USE OF INHALERRespiratory Services $309.12
2025212HC AEROSOL PENTAMIDEN FOR P. CARINIIRespiratory Services $667.75
2025213HC MECHANICAL CHEST WALL OSCILLRespiratory Services $737.78
2025219HC RESP MS THERAPY/15 MINRespiratory Services $230.15
2025484HC DEMO-SMOKING CESSATION COUN 6-10 MINRespiratory Services $0.00
2024451HC HBOT, FULL BODY CHAMBER, 30MRespiratory Services - Hyperbaric Oxygen Therapy$1,174.08
1011004HC RB PRIVATE 1B MED/SURG/GYNRoom & Board - Private (One Bed) - Medical/Surgical/GYN$8,450.00
1011005HC RB PRIVATE 1B OBRoom & Board - Private (One Bed) - Obstetrics (OB)$10,290.00
1011006HC RB PRIVATE 1B PEDIATRICSRoom & Board - Private (One Bed) - Pediatric$8,000.00
1011007HC RB PRIVATE 1B PSYCHIATRYRoom & Board - Private (One Bed) - Psychiatric$8,000.00
1011008HC RB PRIVATE 1B REHABRoom & Board - Private (One Bed) - Rehabilitation$6,175.26
1010005HC RB SEMIPRIVATE 2B MED/SURG/GYNRoom & Board - Semi-private (Two Beds) - Medical/Surgical/GYN$8,100.00
1010008HC RB SEMIPRIVATE 2B OBRoom & Board - Semi-private (Two Beds) - Obstetrics (OB)$7,725.00
1010006HC RB SEMIPRIVATE 2B PEDIATRICSRoom & Board - Semi-private (Two Beds) - Pediatric$7,350.00
1010007HC RB SEMIPRIVATE 2B PSYCHIATRYRoom & Board - Semi-private (Two Beds) - Psychiatric$7,625.00
1010009HC RB SEMIPRIVATE RB REHABRoom & Board - Semi-private (Two Beds) - Rehabilitation$5,800.00
1010011HC RB SEMIPRIVATE 4B MED/SURG/GYNRoom & Board - Three and Four Beds - Medical/Surgical/GYN$8,300.00
1010014HC RB SEMIPRIVATE 4B OBRoom & Board - Three and Four Beds - Obstetrics (OB)$9,895.12
2025843HC HH HHC RN E&M PLAN SVS 15 MINSkilled Nursing - Visit Charge$420.00
2026575HC HH HH/HOSPICE OF RN EA 15 MINSkilled Nursing - Visit Charge$420.00
2026580HC HH HOME INFUSION VISIT SN 15 MINSkilled Nursing - Visit Charge$420.00
2026582HC HH PRENATAL NEWBORN VISIT SN 15 MINSkilled Nursing - Visit Charge$420.00
2026548HC HH NY EPS RECERTIFICATIONSpecial Charges - Other$420.00
2026549HC HH NY EPS START OF CARESpecial Charges - Other$420.00
2022422HC HOSPITAL OBSERVATION PER HRSpecialty Services - Observation Hours$0.00
2023023HC NON-ED OBSERVATION PER HOURSpecialty Services - Observation Hours$0.00
2023347HC DIRECT REFER HOSPITAL OBSERVSpecialty Services - Observation Hours$793.32
2021978HC TX SP LANG COMUNICAJ PCX DISORDER INDIVSpeech Therapy - Language Pathology $615.83
2021980HC TX SP LANG COMUNICAJ PCX DISORDER 2/>Speech Therapy - Language Pathology $179.59
2021982HC LARYNGEAL FUNCTION STUDIESSpeech Therapy - Language Pathology $319.99
2021983HC ORAL FUNCTION THERAPY GNSpeech Therapy - Language Pathology $676.20
2021992HC EX FOR SPEECH DEVICE RX, 1HR GNSpeech Therapy - Language Pathology $793.33
2021993HC USE OF SPEECH DEVICE SERVICE GNSpeech Therapy - Language Pathology $966.00
2021994HC EVALUATE SWALLOWING FUNCTION GNSpeech Therapy - Language Pathology $1,052.94
2021995HC EVALUATE SWALLOWING FUNCTION 59Speech Therapy - Language Pathology $1,052.94
2021996HC MOTION FLUOROSCOPY/SWALLOW GNSpeech Therapy - Language Pathology $1,327.04
2021997HC MOTION FLUOROSCOPY/SWALLOWSpeech Therapy - Language Pathology $1,327.04
2022194HC ASSESSMENT OF APHASIA GNSpeech Therapy - Language Pathology $874.23
2022199HC COGNITIVE TEST BY HC PRO GNSpeech Therapy - Language Pathology $858.53
2022283HC THERAPEUTIC ACTIVITIES EA 15 MINSSpeech Therapy - Language Pathology $363.46
2022921HC FACIAL NERVE FUNCTIONSpeech Therapy - Language Pathology $315.13
2025063HC EX FOR NONSPEECH DEVICE RXSpeech Therapy - Language Pathology $992.57
2025065HC EX FOR SPEECH DEVICE RX EA ADDL 30 MINSpeech Therapy - Language Pathology $521.64
2025694HC DEVELOPMENTAL SCREEN W/SCORE GNSpeech Therapy - Language Pathology $361.04
2026683HC SLP THER IVNTJ COG FUNC EA ADDL 15 MIN GNSpeech Therapy - Language Pathology $60.80
2026684HC SLP THER IVNTJ COG FUNC 1ST 15 MIN GNSpeech Therapy - Language Pathology $229.43
2026952HC SLP HCPRO PHONE CALL 11-20MIN GNSpeech Therapy - Language Pathology $38.09
2026955HC SLP HCPRO PHONE CALL 21-30MIN GNSpeech Therapy - Language Pathology $55.00
2021991HC ORAL SPEECH DEVICE EVAL GNSpeech Therapy - Language Pathology - Evaluation or Reevaluation$607.37
2021998HC ENDOSCOPY SWALLOW TST (FEES) GNSpeech Therapy - Language Pathology - Evaluation or Reevaluation$954.71
2024825HC EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)Speech Therapy - Language Pathology - Evaluation or Reevaluation$723.29
2024826HC EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATESpeech Therapy - Language Pathology - Evaluation or Reevaluation$1,096.41
2024827HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSIONSpeech Therapy - Language Pathology - Evaluation or Reevaluation$1,666.35
2024828HC BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCESpeech Therapy - Language Pathology - Other$1,096.41
2026572HC HH SVS OF S/L PATH EA 15 MINSpeech Therapy - Language Pathology - Visit Charge$420.00
6020006LOW AIR/TURNING BEDSupply/Implant$932.95
6020009PRONE THERAPY BED (ROTOPRONE)Supply/Implant$13,098.87
6020851PT KNEE WO JOINT CUSTOM L1834Supply/Implant$919.00
6020869BARIATRIC BED STDSupply/Implant$1,392.23
6020956STENT, NON-COR, TEM W/O DELSupply/Implant$1,515.78
6020957STENT, NON-COR, TEM W/O DELSupply/Implant$1,515.78
6020958STENT, NON-COR, TEM W/O DELSupply/Implant$1,515.78
6020961STENT, NON-COR, TEM W/O DELSupply/Implant$1,653.63
6020962STENT, NON-COR, TEM W/O DELSupply/Implant$1,653.63
6020963STENT, NON-COR, TEM W/O DELSupply/Implant$1,653.63
6020964STENT, NON-COA/NON-COV W/DELSupply/Implant$16,844.80
6020966GUIDE WIRESupply/Implant$6,784.00
6020971SUPPLY IMPLANTSupply/Implant$479.36
6020973SUPPLY IMPLANTSupply/Implant$1,228.80
6020977SUPPLY IMPLANTSupply/Implant$99,200.00
6020981CATH, INF, PER/CENT/MIDLINESupply/Implant$5,532.80
6020982CATH, INF, PER/CENT/MIDLINESupply/Implant$4,596.48
6020983SUPPLY IMPLANTSupply/Implant$1,228.80
6020984SUPPLY IMPLANTSupply/Implant$990.46
6020985CATH, TRANSLUMIN NON-LASERSupply/Implant$192.00
6020986SUPPLY IMPLANTSupply/Implant$2,368.00
6020987RET DEV, INSERTABLESupply/Implant$3,776.00
6020988SUPPLY IMPLANTSupply/Implant$1,228.80
6020989STENT, NON-COA/NON-COV W/DELSupply/Implant$17,856.00
6020991STENT, COATED/COV W/DEL SYSSupply/Implant$31,312.00
6020994SUPPLY IMPLANTSupply/Implant$1,530.88
6020995STENT, NON-COA/NON-COV W/DELSupply/Implant$15,308.80
6020997SUPPLY IMPLANTSupply/Implant$2,980.61
6021001GASTRO/JEJUNO TUBE, STDSupply/Implant$1,816.32
6021007STENT, NON-COR, TEM W/O DELSupply/Implant$57,894.40
6021011CATH, HEMODIALYSIS,LONG-TERMSupply/Implant$7,360.00
6021018SUPPLY IMPLANTSupply/Implant$3,164.16
6021019SUPPLY IMPLANTSupply/Implant$3,184.64
6021020SUPPLY IMPLANTSupply/Implant$3,072.00
6021021CATH, DRAINAGESupply/Implant$1,084.80
6021022CATH, DRAINAGESupply/Implant$1,084.80
6021023CATH, DRAINAGESupply/Implant$1,084.80
6021024CATH, DRAINAGESupply/Implant$1,084.80
6021025CATH, DRAINAGESupply/Implant$1,084.80
6021026CATH, DRAINAGESupply/Implant$1,084.67
6021027CATH, DRAINAGESupply/Implant$1,084.80
6021029CATH, DRAINAGESupply/Implant$1,013.12
6021030CATH, DRAINAGESupply/Implant$1,013.12
6021031SUPPLY IMPLANTSupply/Implant$1,228.80
6021032SUPPLY IMPLANTSupply/Implant$1,228.80
6021033SUPPLY IMPLANTSupply/Implant$1,140.48
6021034SUPPLY IMPLANTSupply/Implant$1,228.80
6021035SUPPLY IMPLANTSupply/Implant$1,228.80
6021037VENA CAVA FILTERSupply/Implant$14,171.52
6021038CATH, INF, PER/CENT/MIDLINESupply/Implant$2,163.20
6021039SUPPLY IMPLANTSupply/Implant$1,540.22
6021040SUPPLY IMPLANTSupply/Implant$1,920.00
6021041SUPPLY IMPLANTSupply/Implant$1,920.00
6021043STENT, NON-COA/NON-COV W/DELSupply/Implant$16,844.80
6021044SUPPLY IMPLANTSupply/Implant$3,072.00
6021049CATH, DRAINAGESupply/Implant$1,084.80
6021050SUPPLY IMPLANTSupply/Implant$46,016.00
6021054CATH, HEMODIALYSIS,LONG-TERMSupply/Implant$3,904.00
6021066CATH, HEMODIALYSIS,LONG-TERMSupply/Implant$16,234.37
6021073CATHETER, GUIDINGSupply/Implant$166.40
6021075CATHETER, GUIDINGSupply/Implant$202.24
6021076CATHETER, GUIDINGSupply/Implant$202.24
6021078CATHETER, GUIDINGSupply/Implant$172.80
6021079CATHETER, GUIDINGSupply/Implant$134.40
6021080RET DEV, INSERTABLESupply/Implant$4,096.00
6021081SUPPLY IMPLANTSupply/Implant$614.40
6021084CATHETER, GUIDINGSupply/Implant$134.40
6021086CATH, TRANSLUMIN NON-LASERSupply/Implant$2,035.20
6021087GUIDE WIRESupply/Implant$712.96
6021089GUIDE WIRESupply/Implant$232.96
6021090INTRO/SHEATH, NON-LASERSupply/Implant$951.04
6021098RET DEV, INSERTABLESupply/Implant$4,096.00
6021099RET DEV, INSERTABLESupply/Implant$4,096.00
6021100INTRO/SHEATH, NON-LASERSupply/Implant$921.22
6021103RET DEV, INSERTABLESupply/Implant$4,096.00
6021104RET DEV, INSERTABLESupply/Implant$4,096.00
6021106INTRO/SHEATH, NON-LASERSupply/Implant$793.60
6021107INTRO/SHEATH, NON-LASERSupply/Implant$831.62
6021108INTRO/SHEATH, NON-LASERSupply/Implant$831.62
6021110GENERAL SUPPLYSupply/Implant$284.03
6021111SUPPLY IMPLANTSupply/Implant$2,035.20
6021113INTRO/SHEATH, NON-LASERSupply/Implant$1,410.94
6021114INTRO/SHEATH, NON-LASERSupply/Implant$1,190.40
6021115INTRO/SHEATH, NON-LASERSupply/Implant$5,998.08
6021118CATHETER, GUIDINGSupply/Implant$648.32
6021119CATHETER, GUIDINGSupply/Implant$648.32
6021120INTRO/SHEATH, NON-LASERSupply/Implant$896.00
6021122INTRO/SHEATH, NON-LASERSupply/Implant$896.00
6021123SUPPLY IMPLANTSupply/Implant$147.20
6021127GUIDE WIRESupply/Implant$382.34
6021129SUPPLY IMPLANTSupply/Implant$3,200.00
6021135SUPPLY IMPLANTSupply/Implant$668.16
6021136SUPPLY IMPLANTSupply/Implant$234.62
6021137SUPPLY IMPLANTSupply/Implant$281.73
6021141GUIDE WIRESupply/Implant$1,490.05
6021144SUPPLY IMPLANTSupply/Implant$672.00
6021147GUIDE WIRESupply/Implant$281.60
6021152GUIDE WIRESupply/Implant$132.35
6021154CATH, INF, PER/CENT/MIDLINESupply/Implant$1,689.60
6021155GUIDE WIRESupply/Implant$386.69
6021156CATH, THROMBECTOMY/EMBOLECTSupply/Implant$19,841.92
6021157SUPPLY IMPLANTSupply/Implant$192.00
6021158INTRO/SHEATH, NON-LASERSupply/Implant$1,520.64
6021159STERILE SUPPLYSupply/Implant$456.19
6021160RET DEV, INSERTABLESupply/Implant$4,608.00
6021161SUPPLY IMPLANTSupply/Implant$22,808.32
6021167SUPPLY IMPLANTSupply/Implant$1,228.80
6021168GUIDE WIRESupply/Implant$160.00
6021169CATHETER, GUIDINGSupply/Implant$648.32
6021170INTRO/SHEATH, NON-LASERSupply/Implant$373.25
6021171CATH, TRANSLUMIN NON-LASERSupply/Implant$4,928.00
6021172INTRO/SHEATH, NON-LASERSupply/Implant$166.40
6021173GUIDE WIRESupply/Implant$574.08
6021174GUIDE WIRESupply/Implant$392.32
6021175GUIDE WIRESupply/Implant$588.80
6021176CATHETER, GUIDINGSupply/Implant$1,152.00
6021177CATHETER, GUIDINGSupply/Implant$278.27
6021178CATHETER, GUIDINGSupply/Implant$278.27
6021180GUIDE WIRESupply/Implant$392.32
6021181CATHETER, GUIDINGSupply/Implant$648.32
6021183GUIDE WIRESupply/Implant$1,600.00
6021184GUIDE WIRESupply/Implant$620.16
6021185CATH, THROMBECTOMY/EMBOLECTSupply/Implant$2,196.10
6021186CATH, TRANSLUMIN NON-LASERSupply/Implant$2,956.80
6021189GUIDE WIRESupply/Implant$160.00
6021190CATHETER, GUIDINGSupply/Implant$648.32
6021191CATH, DRAINAGESupply/Implant$1,013.12
6021192INTRO/SHEATH, NON-LASERSupply/Implant$373.25
6021193CATH, DRAINAGESupply/Implant$1,013.12
6021198INTRO/SHEATH, NON-LASERSupply/Implant$560.51
6021199CATHETER, GUIDINGSupply/Implant$648.32
6021200CATHETER, GUIDINGSupply/Implant$7,168.00
6021202CATHETER, GUIDINGSupply/Implant$11,571.20
6021203INTRO/SHEATH, NON-LASERSupply/Implant$896.00
6021205SUPPLY IMPLANTSupply/Implant$12,800.00
6021206SUPPLY IMPLANTSupply/Implant$142.34
6021207SUPPLY IMPLANTSupply/Implant$142.34
6021208SUPPLY IMPLANTSupply/Implant$168.06
6021209SUPPLY IMPLANTSupply/Implant$168.06
6021210SUPPLY IMPLANTSupply/Implant$142.34
6021211SUPPLY IMPLANTSupply/Implant$168.06
6021212SUPPLY IMPLANTSupply/Implant$168.06
6021214SUPPLY IMPLANTSupply/Implant$192.00
6021218SUPPLY IMPLANTSupply/Implant$1,653.76
6021219SUPPLY IMPLANTSupply/Implant$52,416.00
6021220SUPPLY IMPLANTSupply/Implant$15,296.00
6021221SUPPLY IMPLANTSupply/Implant$1,792.00
6021224GUIDE WIRESupply/Implant$1,412.86
6021225INTRO/SHEATH, NON-LASERSupply/Implant$166.40
6021227SUPPLY IMPLANTSupply/Implant$1,664.00
6021233SUPPLY IMPLANTSupply/Implant$311.94
6021238SUPPLY IMPLANTSupply/Implant$1,228.80
6021239SUPPLY IMPLANTSupply/Implant$1,140.48
6021240CATHETER, GUIDINGSupply/Implant$6,156.80
6021241GUIDE WIRESupply/Implant$929.28
6021242GUIDE WIRESupply/Implant$158.98
6021243INTRO/SHEATH, NON-LASERSupply/Implant$837.12
6021244INTRO/SHEATH, NON-LASERSupply/Implant$6,609.54
6021245SUPPLY IMPLANTSupply/Implant$234.62
6021247INTRO/SHEATH, NON-LASERSupply/Implant$526.08
6021248INTRO/SHEATH, NON-LASERSupply/Implant$659.97
6021251STERILE SUPPLYSupply/Implant$454.14
6021252GUIDE WIRESupply/Implant$640.00
6021254CATH, TRANSLUMIN NON-LASERSupply/Implant$18,278.40
6021255CATHETER, GUIDINGSupply/Implant$202.24
6021256CATHETER, GUIDINGSupply/Implant$172.80
6021257GUIDE WIRESupply/Implant$160.00
6021258SUPPLY IMPLANTSupply/Implant$509.18
6021259INTRO/SHEATH, NON-LASERSupply/Implant$677.12
6021261CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6021262SUPPLY IMPLANTSupply/Implant$330.37
6021264GUIDE WIRESupply/Implant$2,995.20
6021265GUIDE WIRESupply/Implant$6,054.40
6021266GUIDE WIRESupply/Implant$7,155.20
6021268SUPPLY IMPLANTSupply/Implant$7,808.00
6021269SUPPLY IMPLANTSupply/Implant$288.64
6021283INTRO/SHEATH, NON-LASERSupply/Implant$278.27
6021284CATHETER, GUIDINGSupply/Implant$278.27
6021285SUPPLY IMPLANTSupply/Implant$46,016.00
6021286CATH, TRANSLUMIN NON-LASERSupply/Implant$192.00
6021288CATHETER, GUIDINGSupply/Implant$208.64
6021290SUPPLY IMPLANTSupply/Implant$190.21
6021292SUPPLY IMPLANTSupply/Implant$243.20
6021296CATHETER, GUIDINGSupply/Implant$6,156.80
6021301CATHETER, GUIDINGSupply/Implant$11,571.20
6021305SUPPLY IMPLANTSupply/Implant$192.00
6021306CATHETER, GUIDINGSupply/Implant$208.64
6021307GUIDE WIRESupply/Implant$221.44
6021312SUPPLY IMPLANTSupply/Implant$509.18
6021313CATHETER, GUIDINGSupply/Implant$134.40
6021314GENERAL SUPPLYSupply/Implant$173.06
6021315SUPPLY IMPLANTSupply/Implant$190.21
6021317SUPPLY IMPLANTSupply/Implant$5,608.96
6021318SUPPLY IMPLANTSupply/Implant$320.00
6021319CATHETER, GUIDINGSupply/Implant$147.20
6021320SUPPLY IMPLANTSupply/Implant$147.20
6021321CATHETER, GUIDINGSupply/Implant$147.20
6021324SUPPLY IMPLANTSupply/Implant$147.20
6021325CATHETER, GUIDINGSupply/Implant$147.20
6021327GUIDE WIRESupply/Implant$1,077.76
6021329GUIDE WIRESupply/Implant$568.58
6021330GUIDE WIRESupply/Implant$420.74
6021331GUIDE WIRESupply/Implant$344.06
6021333CATHETER, GUIDINGSupply/Implant$202.24
6021337INTRO/SHEATH,FIXED,PEEL-AWAYSupply/Implant$1,088.00
6021366INTRO/SHEATH, NON-LASERSupply/Implant$657.15
6021373GENERAL SUPPLYSupply/Implant$493.06
6021374GENERAL SUPPLYSupply/Implant$479.74
6021375GENERAL SUPPLYSupply/Implant$293.12
6021388GENERAL SUPPLYSupply/Implant$132.86
6021406GENERAL SUPPLYSupply/Implant$139.14
6021410GENERAL SUPPLYSupply/Implant$173.06
6021422SUPPLY IMPLANTSupply/Implant$230.14
6021423STERILE SUPPLYSupply/Implant$363.65
6021433ADAPT/EXT, PACING/NEURO LEADSupply/Implant$6,515.20
6021435LEAD, PMKR, OTHER THAN TRANSSupply/Implant$6,630.40
6021441LEAD, AICD, ENDO DUAL COILSupply/Implant$54,118.40
6021460SUPPLY IMPLANTSupply/Implant$2,407.55
6021461SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6021462RET DEV, INSERTABLESupply/Implant$7,253.34
6021464ADAPT/EXT, PACING/NEURO LEADSupply/Implant$6,630.40
6021472SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6021478LEAD, PMKR, OTHER THAN TRANSSupply/Implant$6,630.40
6021482LEAD, PMKR, OTHER THAN TRANSSupply/Implant$6,630.40
6021485STENT, NON-COA/NON-COV W/DELSupply/Implant$13,440.00
6021486SUPPLY IMPLANTSupply/Implant$23,936.00
6021487CLOSURE DEV, VASCSupply/Implant$3,840.00
6021488CLOSURE DEV, VASCSupply/Implant$3,840.00
6021496LEAD, PMKR, OTHER THAN TRANSSupply/Implant$7,680.00
6021501SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6021504SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6021515SUPPLY IMPLANTSupply/Implant$320.00
6021521JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,008.00
6021524STENT, NON-COA/NON-COV W/DELSupply/Implant$17,856.00
6021525STENT, NON-COA/NON-COV W/DELSupply/Implant$1,653.79
6021528STENT, NON-COA/NON-COV W/DELSupply/Implant$12,228.48
6021531STENT, NON-COA/NON-COV W/DELSupply/Implant$17,856.00
6021547STENT, NON-COA/NON-COV W/DELSupply/Implant$20,416.00
6021548STENT, NON-COA/NON-COV W/DELSupply/Implant$21,696.00
6021549STENT, NON-COA/NON-COV W/DELSupply/Implant$22,976.00
6021552STENT, NON-COA/NON-COV W/DELSupply/Implant$22,976.00
6021569SUPPLY IMPLANTSupply/Implant$512.00
6021571SUPPLY IMPLANTSupply/Implant$1,140.48
6021583CATH, TRANSLUMIN NON-LASERSupply/Implant$3,136.00
6021616SUPPLY IMPLANTSupply/Implant$80,768.00
6021619STENT, NON-COA/NON-COV W/DELSupply/Implant$16,576.00
6021623INTRO/SHEATH, NON-LASERSupply/Implant$742.40
6021624INTRO/SHEATH, NON-LASERSupply/Implant$742.40
6021625CATH, EP, OTHR THAN COOL-TIPSupply/Implant$9,981.82
6021636INTRO/SHEATH, NON-LASERSupply/Implant$645.89
6021637INTRO/SHEATH, NON-LASERSupply/Implant$668.16
6021643CATH, TRANSLUMIN NON-LASERSupply/Implant$12,480.00
6021645CLOSURE DEV, VASCSupply/Implant$4,096.00
6021647CATH, TRANSLUMIN NON-LASERSupply/Implant$1,676.80
6021649CATH, TRANSLUMIN NON-LASERSupply/Implant$1,676.80
6021650CATH, TRANSLUMIN NON-LASERSupply/Implant$2,432.00
6021651CATH, TRANSLUMIN NON-LASERSupply/Implant$2,432.00
6021652CATH, TRANSLUMIN NON-LASERSupply/Implant$2,432.00
6021653CATH, TRANSLUMIN NON-LASERSupply/Implant$2,432.00
6021655CATH, TRANSLUMIN NON-LASERSupply/Implant$2,432.00
6021656CATH, TRANSLUMIN NON-LASERSupply/Implant$1,676.80
6021657CATH, TRANSLUMIN NON-LASERSupply/Implant$2,432.00
6021659CATH, TRANSLUMIN NON-LASERSupply/Implant$2,432.00
6021660CATH, TRANSLUMIN NON-LASERSupply/Implant$1,676.80
6021663CATH, TRANSLUMIN NON-LASERSupply/Implant$1,676.80
6021667SUPPLY IMPLANTSupply/Implant$704.00
6021672CATH, TRANSLUMIN NON-LASERSupply/Implant$2,432.00
6021673CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6021674CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6021676CATH, TRANSLUMIN NON-LASERSupply/Implant$2,432.00
6021677CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6021678CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6021680SUPPLY IMPLANTSupply/Implant$2,432.00
6021683CATH, TRANSLUMIN NON-LASERSupply/Implant$1,676.80
6021685CATH, TRANSLUMIN NON-LASERSupply/Implant$1,676.80
6021686CATH, TRANSLUMIN NON-LASERSupply/Implant$1,676.80
6021696CATH, TRANSLUMIN NON-LASERSupply/Implant$6,400.00
6021698CATH, TRANSLUMIN NON-LASERSupply/Implant$6,400.00
6021699CATH, TRANSLUMIN NON-LASERSupply/Implant$6,400.00
6021700SUPPLY IMPLANTSupply/Implant$6,400.00
6021706CATH, TRANS ATHEREC,ROTATIONSupply/Implant$42,112.00
6021712GUIDE WIRESupply/Implant$147.20
6021714LEAD, CORONARY VENOUSSupply/Implant$48,640.00
6021718STENT, NON-COA/NON-COV W/DELSupply/Implant$1,318.40
6021731STENT, NON-COA/NON-COV W/DELSupply/Implant$15,360.00
6021734GUIDE WIRESupply/Implant$1,958.40
6021735CATHETER, GUIDINGSupply/Implant$2,137.60
6021745SUPPLY IMPLANTSupply/Implant$1,049.60
6021748CATH, DRAINAGESupply/Implant$1,604.74
6021750GUIDE WIRESupply/Implant$661.12
6021751GUIDE WIRESupply/Implant$758.02
6021752GUIDE WIRESupply/Implant$2,273.92
6021754CATH, TRANSLUMIN NON-LASERSupply/Implant$208.64
6021755INTRO/SHEATH, NON-LASERSupply/Implant$425.09
6021756GUIDE WIRESupply/Implant$903.17
6021757SUPPLY IMPLANTSupply/Implant$243.20
6021758SUPPLY IMPLANTSupply/Implant$614.40
6021759SUPPLY IMPLANTSupply/Implant$14,080.00
6021761CATH, EP, OTHR THAN COOL-TIPSupply/Implant$14,080.00
6021765GUIDE WIRESupply/Implant$588.80
6021766GUIDE WIRESupply/Implant$648.32
6021767GUIDE WIRESupply/Implant$1,318.40
6021768GUIDE WIRESupply/Implant$398.34
6021770GUIDE WIRESupply/Implant$392.32
6021771SUPPLY IMPLANTSupply/Implant$304.38
6021772GUIDE WIRESupply/Implant$1,779.20
6021773SUPPLY IMPLANTSupply/Implant$186.37
6021774CATH, EP, DIAG/ABL, 3D/VECTSupply/Implant$30,720.00
6021776CATHETER, GUIDINGSupply/Implant$1,088.00
6021777GUIDE WIRESupply/Implant$392.32
6021778INTRO/SHEATH, NON-LASERSupply/Implant$425.09
6021781GUIDE WIRESupply/Implant$392.32
6021784SUPPLY IMPLANTSupply/Implant$8,678.40
6021785SUPPLY IMPLANTSupply/Implant$8,678.40
6021786RET DEV, INSERTABLESupply/Implant$8,678.40
6021787RET DEV, INSERTABLESupply/Implant$8,678.40
6021789SUPPLY IMPLANTSupply/Implant$8,678.40
6021790SUPPLY IMPLANTSupply/Implant$3,840.00
6021794CATH, TRANSLUMIN NON-LASERSupply/Implant$2,304.00
6021795SUPPLY IMPLANTSupply/Implant$3,200.00
6021800GUIDE WIRESupply/Implant$710.91
6021802GUIDE WIRESupply/Implant$1,280.00
6021807GUIDE WIRESupply/Implant$1,280.00
6021809SUPPLY IMPLANTSupply/Implant$2,304.00
6021810GUIDE WIRESupply/Implant$140.80
6021811CATH, TRANSLUMIN NON-LASERSupply/Implant$5,914.75
6021815CATHETER, GUIDINGSupply/Implant$648.32
6021816CATHETER, GUIDINGSupply/Implant$648.32
6021818GUIDE WIRESupply/Implant$547.20
6021820GUIDE WIRESupply/Implant$1,280.00
6021821CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6021822GUIDE WIRESupply/Implant$264.96
6021824SUPPLY IMPLANTSupply/Implant$32,000.00
6021826CATH EP 19 OR FEW ELECTRODESSupply/Implant$13,312.00
6021829SUPPLY IMPLANTSupply/Implant$2,322.43
6021830INTRO/SHEATH, NON-LASERSupply/Implant$2,322.43
6021831SUPPLY IMPLANTSupply/Implant$1,497.60
6021833CATHETER, GUIDINGSupply/Implant$1,664.00
6021834CATHETER, GUIDINGSupply/Implant$1,664.00
6021835CATHETER, GUIDINGSupply/Implant$1,664.00
6021837CATHETER, GUIDINGSupply/Implant$1,664.00
6021842CATHETER, GUIDINGSupply/Implant$1,779.20
6021843SUPPLY IMPLANTSupply/Implant$1,856.00
6021845CATH, INF, PER/CENT/MIDLINESupply/Implant$896.00
6021880CATHETER, GUIDINGSupply/Implant$1,126.40
6021881SUPPLY IMPLANTSupply/Implant$1,088.00
6021882SUPPLY IMPLANTSupply/Implant$716.80
6021883SUPPLY IMPLANTSupply/Implant$328.45
6021884SUPPLY IMPLANTSupply/Implant$192.00
6021886SUPPLY IMPLANTSupply/Implant$448.00
6021887SUPPLY IMPLANTSupply/Implant$537.60
6021889SUPPLY IMPLANTSupply/Implant$1,766.40
6021890INTRO/SHEATH, NON-LASERSupply/Implant$179.20
6021891INTRO/SHEATH, NON-LASERSupply/Implant$179.20
6021893INTRO/SHEATH, NON-LASERSupply/Implant$179.20
6021894INTRO/SHEATH, NON-LASERSupply/Implant$179.20
6021895SUPPLY IMPLANTSupply/Implant$3,264.00
6021897INTRO/SHEATH, NON-LASERSupply/Implant$230.40
6021898INTRO/SHEATH, NON-LASERSupply/Implant$384.00
6021899INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$2,713.60
6021900INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$3,059.20
6021901INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$2,176.00
6021903INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$2,790.40
6021904INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$2,790.40
6021906INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$2,790.40
6021907INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$2,713.60
6021908CATH, EP, 20 OR MORE ELECSupply/Implant$15,603.20
6021909CATH EP 19 OR FEW ELECTRODESSupply/Implant$4,352.00
6021910CATH EP 19 OR FEW ELECTRODESSupply/Implant$5,977.60
6021911CATH EP 19 OR FEW ELECTRODESSupply/Implant$5,977.60
6021912CATH EP 19 OR FEW ELECTRODESSupply/Implant$5,977.60
6021915CATH EP 19 OR FEW ELECTRODESSupply/Implant$1,408.00
6021916CATH EP 19 OR FEW ELECTRODESSupply/Implant$5,977.60
6021923STERILE SUPPLYSupply/Implant$1,356.80
6021924STERILE SUPPLYSupply/Implant$1,228.80
6021927GUIDE WIRESupply/Implant$1,280.00
6021928GUIDE WIRESupply/Implant$1,280.00
6021929CATHETER, GUIDINGSupply/Implant$7,219.20
6021930CATHETER, GUIDINGSupply/Implant$2,026.75
6021933INTRO/SHEATH, NON-LASERSupply/Implant$320.00
6021934INTRO/SHEATH, NON-LASERSupply/Implant$320.00
6021935INTRO/SHEATH, NON-LASERSupply/Implant$320.00
6021942SUPPLY IMPLANTSupply/Implant$1,136.00
6021945SUPPLY IMPLANTSupply/Implant$3,980.80
6021946INTRO/SHEATH, NON-LASERSupply/Implant$425.09
6021947INTRO/SHEATH, NON-LASERSupply/Implant$1,728.00
6021948GUIDE WIRESupply/Implant$1,728.00
6021950CATHETER, GUIDINGSupply/Implant$6,105.60
6021951CATH, EP, OTHR THAN COOL-TIPSupply/Implant$20,480.00
6021953SUPPLY IMPLANTSupply/Implant$1,280.00
6021954GUIDE WIRESupply/Implant$1,280.00
6021956CATHETER, GUIDINGSupply/Implant$672.00
6021957SUPPLY IMPLANTSupply/Implant$8,678.40
6021958INTRO/SHEATH, NON-LASERSupply/Implant$896.00
6021963GUIDE WIRESupply/Implant$185.60
6021964GUIDE WIRESupply/Implant$764.80
6021965CATHETER, GUIDINGSupply/Implant$672.00
6021966CATHETER, GUIDINGSupply/Implant$672.00
6021967CATHETER, GUIDINGSupply/Implant$672.00
6021969CATHETER, GUIDINGSupply/Implant$672.00
6021970CATHETER, GUIDINGSupply/Implant$672.00
6021971CATHETER, GUIDINGSupply/Implant$672.00
6021972CATHETER, GUIDINGSupply/Implant$672.00
6021973CATHETER, GUIDINGSupply/Implant$672.00
6021977CATHETER, GUIDINGSupply/Implant$1,664.00
6021979CATHETER, GUIDINGSupply/Implant$1,664.00
6021981CATHETER, GUIDINGSupply/Implant$1,664.00
6021982CATH, TRANSLUMIN NON-LASERSupply/Implant$2,304.00
6021984CATH, TRANSLUMIN NON-LASERSupply/Implant$2,304.00
6021990CATH, TRANSLUMIN NON-LASERSupply/Implant$2,304.00
6021998CATH, TRANSLUMIN NON-LASERSupply/Implant$2,304.00
6022039STERILE SUPPLYSupply/Implant$914.94
6022040STERILE SUPPLYSupply/Implant$1,702.31
6022042SUPPLY IMPLANTSupply/Implant$19,129.60
6022043INTRO/SHEATH, NON-LASERSupply/Implant$128.00
6022048SUPPLY IMPLANTSupply/Implant$266.62
6022050SUPPLY IMPLANTSupply/Implant$1,412.86
6022051GUIDE WIRESupply/Implant$1,412.86
6022052GUIDE WIRESupply/Implant$591.36
6022053CATH, TRANSLUMIN NON-LASERSupply/Implant$11,084.80
6022054CATH, TRANSLUMIN NON-LASERSupply/Implant$11,084.80
6022057GUIDE WIRESupply/Implant$599.04
6022058INTRO/SHEATH, NON-LASERSupply/Implant$128.00
6022070INTRO/SHEATH, NON-LASERSupply/Implant$360.06
6022072SUPPLY IMPLANTSupply/Implant$1,446.40
6022073CATH, EP, OTHR THAN COOL-TIPSupply/Implant$1,510.40
6022075GUIDE WIRESupply/Implant$1,253.63
6022077GUIDE WIRESupply/Implant$352.00
6022079GUIDE WIRESupply/Implant$233.60
6022081GUIDE WIRESupply/Implant$1,266.18
6022083GUIDE WIRESupply/Implant$2,571.52
6022084SUPPLY IMPLANTSupply/Implant$1,190.40
6022088GENERAL SUPPLYSupply/Implant$320.00
6022089SUPPLY IMPLANTSupply/Implant$4,608.00
6022090INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$1,728.00
6022091INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$1,728.00
6022092INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$2,790.40
6022093INTRO/SHEATH,STRBLE,NON-PEELSupply/Implant$10,880.00
6022098SUPPLY IMPLANTSupply/Implant$800.64
6022099CATH, INF, PER/CENT/MIDLINESupply/Implant$588.80
6022121CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6022123CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6022125CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6022126STERILE SUPPLYSupply/Implant$1,497.60
6022129SUPPLY IMPLANTSupply/Implant$222.72
6022130CATH, THROMBECTOMY/EMBOLECTSupply/Implant$5,824.00
6022131CATHETER, GUIDINGSupply/Implant$2,137.60
6022132STERILE SUPPLYSupply/Implant$576.00
6022137GUIDE WIRESupply/Implant$1,152.00
6022141CATHETER, GUIDINGSupply/Implant$1,152.00
6022150GENERAL SUPPLYSupply/Implant$240.90
6022151SUPPLY IMPLANTSupply/Implant$1,280.00
6022152GUIDE WIRESupply/Implant$1,728.00
6022163GUIDE WIRESupply/Implant$599.04
6022164STERILE SUPPLYSupply/Implant$2,053.67
6022165GUIDE WIRESupply/Implant$1,512.32
6022167CATHETER, GUIDINGSupply/Implant$2,137.60
6022168CATH, TRANSLUMIN NON-LASERSupply/Implant$4,352.00
6022170GUIDE WIRESupply/Implant$351.49
6022172CATH, TRANSLUMIN NON-LASERSupply/Implant$4,928.00
6022173CATH, TRANSLUMIN NON-LASERSupply/Implant$4,928.00
6022174CATH, TRANSLUMIN NON-LASERSupply/Implant$648.32
6022176CATH, TRANS ATHEREC,ROTATIONSupply/Implant$19,129.60
6022177STERILE SUPPLYSupply/Implant$1,921.28
6022188CATH, TRANSLUMIN NON-LASERSupply/Implant$4,928.00
6022189CATH, TRANSLUMIN NON-LASERSupply/Implant$4,928.00
6022192CATH, TRANSLUMIN NON-LASERSupply/Implant$4,928.00
6022197EMBOLIZATION PROTECT SYSTSupply/Implant$17,856.00
6022198EMBOLIZATION PROTECT SYSTSupply/Implant$17,856.00
6022199VENA CAVA FILTERSupply/Implant$17,856.00
6022200VENA CAVA FILTERSupply/Implant$17,856.00
6022201EMBOLIZATION PROTECT SYSTSupply/Implant$17,856.00
6022203GUIDE WIRESupply/Implant$526.72
6022204SUPPLY IMPLANTSupply/Implant$3,264.00
6022205CATH, TRANSLUMIN NON-LASERSupply/Implant$4,096.00
6022206CATH, TRANSLUMIN NON-LASERSupply/Implant$4,928.00
6022208CATH, TRANSLUMIN NON-LASERSupply/Implant$4,928.00
6022210CATH, TRANSLUMIN NON-LASERSupply/Implant$4,928.00
6022211INTRO/SHEATH, NON-LASERSupply/Implant$128.00
6022213CATH, EP, OTHR THAN COOL-TIPSupply/Implant$8,128.00
6022214CATH, EP, OTHR THAN COOL-TIPSupply/Implant$10,496.00
6022215CATH, EP, OTHR THAN COOL-TIPSupply/Implant$8,128.00
6022218CATHETER, GUIDINGSupply/Implant$1,152.00
6022219INTRO/SHEATH, NON-LASERSupply/Implant$1,484.80
6022220INTRO/SHEATH, NON-LASERSupply/Implant$1,484.80
6022221INTRO/SHEATH, NON-LASERSupply/Implant$1,152.00
6022222CATHETER, GUIDINGSupply/Implant$2,017.28
6022223SUPPLY IMPLANTSupply/Implant$1,441.43
6022224CATH, TRANS ATHEREC,ROTATIONSupply/Implant$38,336.00
6022225CATH, TRANS ATHEREC,ROTATIONSupply/Implant$38,336.00
6022226CATH, TRANSLUMIN ANGIO LASERSupply/Implant$38,336.00
6022227CATH, TRANSLUMIN ANGIO LASERSupply/Implant$38,336.00
6022243GENERAL SUPPLYSupply/Implant$572.90
6022244SUPPLY IMPLANTSupply/Implant$648.32
6022246GENERAL SUPPLYSupply/Implant$331.90
6022250CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6022254INTRO/SHEATH, NON-LASERSupply/Implant$1,504.00
6022255CATH EP 19 OR FEW ELECTRODESSupply/Implant$4,620.80
6022256CATH, EP, 20 OR MORE ELECSupply/Implant$17,600.00
6022257STERILE SUPPLYSupply/Implant$3,571.20
6022261CATH, TRANSLUMIN NON-LASERSupply/Implant$1,728.00
6022262GUIDE WIRESupply/Implant$1,728.00
6022264GUIDE WIRESupply/Implant$1,728.00
6022275GUIDE WIRESupply/Implant$1,280.00
6022276SUPPLY IMPLANTSupply/Implant$1,280.00
6022277CATH, TRANSLUMIN ANGIO LASERSupply/Implant$38,336.00
6022280GUIDE WIRESupply/Implant$1,760.00
6022281STERILE SUPPLYSupply/Implant$576.00
6022282STERILE SUPPLYSupply/Implant$576.00
6022289CLOSURE DEV, VASCSupply/Implant$3,136.00
6022294STENT, NON-COA/NON-COV W/DELSupply/Implant$14,976.00
6022296STENT, NON-COA/NON-COV W/DELSupply/Implant$14,976.00
6022298STENT, COATED/COV W/DEL SYSSupply/Implant$14,976.00
6022299STENT, COATED/COV W/DEL SYSSupply/Implant$57,536.00
6022302SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6022316GUIDE WIRESupply/Implant$1,280.00
6022317STENT, NON-COA/NON-COV W/DELSupply/Implant$1,728.00
6022320SUPPLY IMPLANTSupply/Implant$437.25
6022323GUIDE WIRESupply/Implant$661.12
6022324CATH, TRANS ATHEREC,ROTATIONSupply/Implant$38,336.00
6022329CATHETER, GUIDINGSupply/Implant$652.80
6022330CATHETER, GUIDINGSupply/Implant$652.80
6022331CATHETER, GUIDINGSupply/Implant$652.80
6022332CATHETER, GUIDINGSupply/Implant$652.80
6022333INTRO/SHEATH, NON-LASERSupply/Implant$1,365.76
6022334INTRO/SHEATH, NON-LASERSupply/Implant$1,365.76
6022335CATHETER, GUIDINGSupply/Implant$652.80
6022337CATH, TRANSLUMIN NON-LASERSupply/Implant$12,480.00
6022341CATH, TRANSLUMIN NON-LASERSupply/Implant$11,200.00
6022342CATH, TRANSLUMIN NON-LASERSupply/Implant$11,200.00
6022343CATH, TRANSLUMIN NON-LASERSupply/Implant$11,200.00
6022346STERILE SUPPLYSupply/Implant$1,665.54
6022350STENT, NON-COA/NON-COV W/DELSupply/Implant$20,416.00
6022351INTRO/SHEATH, NON-LASERSupply/Implant$1,320.96
6022352INTRO/SHEATH, NON-LASERSupply/Implant$1,280.00
6022353CATHETER, GUIDINGSupply/Implant$793.60
6022356GUIDE WIRESupply/Implant$2,432.00
6022359CLOSURE DEV, VASCSupply/Implant$3,289.60
6022361SUPPLY IMPLANTSupply/Implant$2,519.04
6022364CATH, EP, OTHR THAN COOL-TIPSupply/Implant$14,950.40
6022365CATH, EP, OTHR THAN COOL-TIPSupply/Implant$14,950.40
6022371CLOSURE DEV, VASCSupply/Implant$4,096.00
6022375CLOSURE DEV, VASCSupply/Implant$3,136.00
6022382COMPUTER ASSISTED SURGERYSupply/Implant$29,342.60
6022383PMKR, DUAL, RATE-RESPSupply/Implant$55,756.80
6022385SUPPLY IMPLANTSupply/Implant$3,264.00
6022386SUPPLY IMPLANTSupply/Implant$3,264.00
6022389STERILE SUPPLYSupply/Implant$3,968.00
6022396CATH, TRANSLUMIN NON-LASERSupply/Implant$2,035.20
6022400GENERAL SUPPLYSupply/Implant$5,120.00
6022401SUPPLY IMPLANTSupply/Implant$4,377.60
6022403STERILE SUPPLYSupply/Implant$5,120.00
6022404STERILE SUPPLYSupply/Implant$5,120.00
6022405STERILE SUPPLYSupply/Implant$4,377.60
6022406CATH, EP, DIAG/ABL, 3D/VECTSupply/Implant$29,440.00
6022408SUPPLY IMPLANTSupply/Implant$165.38
6022440STERILE SUPPLYSupply/Implant$855.81
6022445STERILE SUPPLYSupply/Implant$152.58
6022452STERILE SUPPLYSupply/Implant$148.86
6022483AIR FLUIDIZED BEDSupply/Implant$792.52
6022494BARIATRIC BED OBESESupply/Implant$2,034.81
6022541VAC RENTAL DAILY E0182Supply/Implant$698.63
6022545PULMO/ROTATE BEDSupply/Implant$1,516.00
6022549LOW AIR LOSS OVERLAY STANDARDSupply/Implant$310.16
6023421OT WH W NONTORSION W FITSupply/Implant$986.00
6023529OT HF WO JT W FIT PREFABSupply/Implant$89.00
6023619OT HF W JT W FIT CUSTOMSupply/Implant$269.00
6023721LOW AIR LOSS OVERLAY, OBESESupply/Implant$471.23
6023744OT EWH RIGID W FIT CUSTSupply/Implant$766.00
6023745OT WHF W JT W FIT CUSTOMSupply/Implant$451.00
6023849BARIATRIC BED, SIDE EGRESSSupply/Implant$963.87
6023883OT ELBOW W FIT CUSTOMSupply/Implant$287.00
6023884OT F WO JT W FIT CUSTOMSupply/Implant$212.00
6023985OT F PIP/DIP W JT W FITSupply/Implant$51.00
6024063OT HF WO JT W FIT CUSTOMSupply/Implant$269.00
6024069WHFO RIGID W/O JOINTSSupply/Implant$1,049.43
6024089OT WH WO JOINTS CUSTOMSupply/Implant$418.00
6024116GENERAL SUPPLYSupply/Implant$258.05
6024136SUPPLY IMPLANTSupply/Implant$496.13
6024142GENERAL SUPPLYSupply/Implant$288.64
6024143GENERAL SUPPLYSupply/Implant$230.40
6024144GENERAL SUPPLYSupply/Implant$230.40
6024158GENERAL SUPPLYSupply/Implant$250.50
6024159STERILE SUPPLYSupply/Implant$812.67
6024161GENERAL SUPPLYSupply/Implant$476.42
6024162GENERAL SUPPLYSupply/Implant$225.79
6024166GENERAL SUPPLYSupply/Implant$131.26
6024188GENERAL SUPPLYSupply/Implant$287.49
6024196GENERAL SUPPLYSupply/Implant$656.90
6024209CATHETER, URETERALSupply/Implant$228.22
6024221SUPPLY IMPLANTSupply/Implant$490.37
6024226GENERAL SUPPLYSupply/Implant$153.60
6024230GENERAL SUPPLYSupply/Implant$144.51
6024240CATHETER, URETERALSupply/Implant$247.55
6024254GENERAL DRUGSupply/Implant$199.74
6024286STERILE SUPPLYSupply/Implant$391.55
6024294SUPPLY IMPLANTSupply/Implant$1,228.80
6024295SUPPLY IMPLANTSupply/Implant$701.44
6024297STERILE SUPPLYSupply/Implant$343.17
6024300GUIDE WIRESupply/Implant$526.72
6024302STERILE SUPPLYSupply/Implant$511.23
6024303STERILE SUPPLYSupply/Implant$551.17
6024308SUPPLY IMPLANTSupply/Implant$2,520.32
6024310STENT, NON-COA/NON-COV W/DELSupply/Implant$25,664.00
6024312SUPPLY IMPLANTSupply/Implant$52,416.00
6024319STERILE SUPPLYSupply/Implant$281.09
6024324GENERAL SUPPLYSupply/Implant$168.96
6024327SUPPLY IMPLANTSupply/Implant$1,530.88
6024331SUPPLY IMPLANTSupply/Implant$1,920.00
6024335INTRO/SHEATH, NON-LASERSupply/Implant$544.00
6024342GUIDE WIRESupply/Implant$1,157.12
6024344INTRO/SHEATH, NON-LASERSupply/Implant$1,255.04
6024348INTRO/SHEATH, NON-LASERSupply/Implant$1,320.96
6024349STENT, NON-COAT/COV W/O DELSupply/Implant$13,619.20
6024358CATH, THROMBECTOMY/EMBOLECTSupply/Implant$8,320.00
6024360RET DEV, INSERTABLESupply/Implant$8,640.00
6024361SUPPLY IMPLANTSupply/Implant$8,640.00
6024362GUIDE WIRESupply/Implant$6,935.04
6024364CATH, INF, PER/CENT/MIDLINESupply/Implant$4,160.00
6024365RET DEV, INSERTABLESupply/Implant$8,640.00
6024366EMBOLIZATION PROTECT SYSTSupply/Implant$19,136.00
6024369STENT, NON-COAT/COV W/O DELSupply/Implant$13,619.20
6024373GUIDE WIRESupply/Implant$3,686.40
6024374CATHETER, GUIDINGSupply/Implant$1,653.76
6024375CATH, TRANSLUMIN NON-LASERSupply/Implant$14,310.40
6024376CATH OCCLUSIONSupply/Implant$14,310.40
6024386GUIDE WIRESupply/Implant$7,980.80
6024396CATH, INF, PER/CENT/MIDLINESupply/Implant$2,163.20
6024397CATHETER, GUIDINGSupply/Implant$6,156.80
6024398STENT, COATED/COV W/DEL SYSSupply/Implant$63,360.00
6024408STENT, NON-COA/NON-COV W/DELSupply/Implant$17,868.80
6024415SUPPLY IMPLANTSupply/Implant$3,072.00
6024417STENT, COATED/COV W/DEL SYSSupply/Implant$30,582.40
6024422CATH, TRANSLUMIN NON-LASERSupply/Implant$4,928.00
6024436CATHETER, GUIDINGSupply/Implant$6,156.80
6024439SUPPLY IMPLANTSupply/Implant$1,216.00
6024444INTRO/SHEATH, NON-LASERSupply/Implant$373.25
6024453SUPPLY IMPLANTSupply/Implant$35,776.00
6024470VENA CAVA FILTERSupply/Implant$1,536.00
6024471GASTRO/JEJUNO TUBE, STDSupply/Implant$1,780.74
6024472STENT, NON-COR, TEM W/O DELSupply/Implant$1,653.63
6024474INTRO/SHEATH, NON-LASERSupply/Implant$896.00
6024488SUPPLY IMPLANTSupply/Implant$1,228.80
6024490GASTRO/JEJUNO TUBE, STDSupply/Implant$1,352.45
6024491GASTRO/JEJUNO TUBE, STDSupply/Implant$1,352.45
6024504INTRO/SHEATH,FIXED,PEEL-AWAYSupply/Implant$640.00
6024506GASTRO/JEJUNO TUBE, STDSupply/Implant$1,816.32
6024518CATH, THROMBECTOMY/EMBOLECTSupply/Implant$21,160.32
6024520STENT, NON-COA/NON-COV W/DELSupply/Implant$16,844.80
6024523SUPPLY IMPLANTSupply/Implant$1,305.60
6024529GUIDE WIRESupply/Implant$6,880.00
6024530SUPPLY IMPLANTSupply/Implant$729.60
6024550CATHETER, GUIDINGSupply/Implant$13,824.00
6024559ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,126.72
6024562ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024565ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,128.00
6024566ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$622.98
6024567GRAFT, VASCULARSupply/Implant$3,942.40
6024570ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$685.57
6024574MESH (IMPLANTABLE)Supply/Implant$10,973.57
6024578ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$622.98
6024580POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024581POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024582POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024587PROS, URINARY SPH, IMPSupply/Implant$34,280.96
6024588PROS, URINARY SPH, IMPSupply/Implant$70,786.56
6024589POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024591POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024592POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024595POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024596POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024597POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024599PROS, URINARY SPH, IMPSupply/Implant$71,257.60
6024600PROS, URINARY SPH, IMPSupply/Implant$71,257.60
6024601PROS, URINARY SPH, IMPSupply/Implant$71,257.60
6024604POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6024606POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6024615ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$499.20
6024616ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$550.40
6024617ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024618MESH (IMPLANTABLE)Supply/Implant$7,375.87
6024626POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024628POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024629POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024630POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024631POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024632POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024633POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024634POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024635POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024636MESH (IMPLANTABLE)Supply/Implant$1,731.46
6024637MESH (IMPLANTABLE)Supply/Implant$6,111.74
6024638ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024639ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,924.74
6024646ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024647ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024649PORT, INDWELLING, IMPSupply/Implant$6,720.00
6024657POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024658POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024660POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024666POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024667POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024668ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,456.00
6024669ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024670MESH (IMPLANTABLE)Supply/Implant$1,019.52
6024673ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024674ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024676ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024677ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024680ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024683ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$545.92
6024685ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$266.37
6024692ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024694ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024695ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$580.74
6024700ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$605.18
6024702ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,344.00
6024703ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024704ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,060.80
6024705ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6024709ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$819.20
6024710ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024712ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024713ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024714ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024715ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024716ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024717ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024718ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024719ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024720ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024721ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024722ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024723ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024724ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024725ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024726ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6024727ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6024728ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,080.00
6024729ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,686.40
6024731MESH (IMPLANTABLE)Supply/Implant$6,528.00
6024734MESH (IMPLANTABLE)Supply/Implant$9,597.95
6024735ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$819.20
6024741MESH (IMPLANTABLE)Supply/Implant$8,625.79
6024743ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,075.20
6024744ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,078.72
6024745ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,956.80
6024752MESH (IMPLANTABLE)Supply/Implant$1,731.46
6024753ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6024754ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6024760STENT, NON-COR, TEM W/DEL SYSupply/Implant$1,881.60
6024761STENT, NON-COR, TEM W/DEL SYSupply/Implant$1,881.60
6024762PROSTHESIS, PENILE, INFLATABSupply/Implant$140,553.00
6024764SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6024765SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6024770SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6024783ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$983.04
6024788POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024789POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024791ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,075.20
6024792ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,075.20
6024793ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,075.20
6024795ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6024796GUIDE WIRESupply/Implant$2,396.16
6024797GUIDE WIRESupply/Implant$2,396.16
6024798ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6024799ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$580.74
6024800ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$580.74
6024803PROSTHESIS, PENILE, INFLATABSupply/Implant$18,880.00
6024804LEAD, NEUROSTIMULATORSupply/Implant$45,504.00
6024806POST CHMBR INTRAOCULAR LENSSupply/Implant$2,137.60
6024812LEAD, PMKR, OTHER THAN TRANSSupply/Implant$6,630.40
6024816ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6024817ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6024818STENT, NON-COAT/COV W/O DELSupply/Implant$21,120.00
6024831SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6024846ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$638.72
6024854INTRO/SHEATH, NON-LASERSupply/Implant$3,584.00
6024864POST CHMBR INTRAOCULAR LENSSupply/Implant$1,920.00
6024865POST CHMBR INTRAOCULAR LENSSupply/Implant$1,920.00
6024868POST CHMBR INTRAOCULAR LENSSupply/Implant$1,920.00
6024871PROSTHESIS, BREAST, IMPSupply/Implant$5,632.00
6024874POST CHMBR INTRAOCULAR LENSSupply/Implant$1,920.00
6024875POST CHMBR INTRAOCULAR LENSSupply/Implant$1,920.00
6024878ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,266.30
6024880PROSTHESIS, PENILE, INFLATABSupply/Implant$31,993.60
6024881PROSTHESIS, PENILE, INFLATABSupply/Implant$125,321.60
6024884LEAD, NEUROSTIMULATORSupply/Implant$87,398.40
6024886POST CHMBR INTRAOCULAR LENSSupply/Implant$1,920.00
6024891CATH, TRANSLUMIN NON-LASERSupply/Implant$3,008.00
6024892CATH, TRANSLUMIN NON-LASERSupply/Implant$3,136.00
6024894STENT, NON-COR, TEM W/O DELSupply/Implant$2,738.30
6024895GUIDE WIRESupply/Implant$154.75
6024896SUPPLY IMPLANTSupply/Implant$825.34
6024897SUPPLY IMPLANTSupply/Implant$4,247.04
6024898GUIDE WIRESupply/Implant$558.82
6024899GUIDE WIRESupply/Implant$558.85
6024900PROSTHESIS, PENILE, INFLATABSupply/Implant$72,199.68
6024901PROSTHESIS, PENILE, INFLATABSupply/Implant$74,967.04
6024902APLIGRAF SKIN SUBSupply/Implant$21,004.80
6024904PROSTHESIS, PENILE, INFLATABSupply/Implant$125,321.60
6024907GENERATOR, NEURO NON-RECHARGSupply/Implant$255,418.90
6024914CATH, TRANSLUMIN NON-LASERSupply/Implant$1,676.80
6024915CATH, TRANSLUMIN NON-LASERSupply/Implant$2,432.00
6024916CATH, TRANSLUMIN NON-LASERSupply/Implant$1,676.80
6024925ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$723.97
6024927POST CHMBR INTRAOCULAR LENSSupply/Implant$1,920.00
6024928POST CHMBR INTRAOCULAR LENSSupply/Implant$1,920.00
6024936STENT, NON-COA/NON-COV W/DELSupply/Implant$13,440.00
6024938STENT, NON-COA/NON-COV W/DELSupply/Implant$35,858.18
6024945GENERATOR, NEURO NON-RECHARGSupply/Implant$122,640.00
6024946GUIDE WIRESupply/Implant$344.06
6024947INTRO/SHEATH, NON-LASERSupply/Implant$542.08
6024948GUIDE WIRESupply/Implant$560.38
6024949SUPPLY IMPLANTSupply/Implant$825.34
6024950SUPPLY IMPLANTSupply/Implant$1,335.42
6024951SUPPLY IMPLANTSupply/Implant$1,833.28
6024952GUIDE WIRESupply/Implant$494.59
6024954GUIDE WIRESupply/Implant$558.85
6024955GUIDE WIRESupply/Implant$154.75
6024958POST CHMBR INTRAOCULAR LENSSupply/Implant$1,920.00
6024980PATIENT PROGR, NEUROSTIMSupply/Implant$15,232.00
6024982GUIDE WIRESupply/Implant$1,003.52
6024987INTRO/SHEATH, NON-LASERSupply/Implant$278.27
6025005STENT, NON-COA/NON-COV W/DELSupply/Implant$16,000.00
6025012ASTIGMATISM-CORRECT FUNCTIONSupply/Implant$6,336.00
6025014POST CHMBR INTRAOCULAR LENSSupply/Implant$2,227.20
6025015CATHETER, GUIDINGSupply/Implant$2,137.60
6025023PROS, URINARY SPH, IMPSupply/Implant$74,967.04
6025024ASTIGMATISM-CORRECT FUNCTIONSupply/Implant$6,336.00
6025029ASTIGMATISM-CORRECT FUNCTIONSupply/Implant$6,336.00
6025030ASTIGMATISM-CORRECT FUNCTIONSupply/Implant$6,336.00
6025033CATH, BAL DIL, NON-VASCULARSupply/Implant$3,279.36
6025035GUIDE WIRESupply/Implant$198.91
6025036GUIDE WIRESupply/Implant$144.00
6025038CATHETER, URETERALSupply/Implant$845.82
6025040GUIDE WIRESupply/Implant$576.00
6025042INTRO/SHEATH, NON-LASERSupply/Implant$268.80
6025045GUIDE WIRESupply/Implant$977.66
6025046INTRO/SHEATH, NON-LASERSupply/Implant$403.97
6025047GUIDE WIRESupply/Implant$1,516.42
6025050SUPPLY IMPLANTSupply/Implant$2,912.51
6025051INTRO/SHEATH, NON-LASERSupply/Implant$540.93
6025053GUIDE WIRESupply/Implant$755.20
6025054GENERAL DRUGSupply/Implant$838.02
6025056GUIDE WIRESupply/Implant$651.39
6025057GUIDE WIRESupply/Implant$1,305.47
6025058CATH, BAL DIL, NON-VASCULARSupply/Implant$3,434.75
6025062SUPPLY IMPLANTSupply/Implant$243.20
6025063INTRO/SHEATH, NON-LASERSupply/Implant$1,320.96
6025065CATH, TRANSLUMIN NON-LASERSupply/Implant$5,914.75
6025067CATH, TRANSLUMIN NON-LASERSupply/Implant$6,204.67
6025068SUPPLY IMPLANTSupply/Implant$720.00
6025071CATHETER, GUIDINGSupply/Implant$672.00
6025075INTRO/SHEATH, NON-LASERSupply/Implant$1,520.38
6025077GUIDE WIRESupply/Implant$1,424.13
6025079CATH, TRANSLUMIN NON-LASERSupply/Implant$2,238.72
6025080GUIDE WIRESupply/Implant$1,280.00
6025091GUIDE WIRESupply/Implant$4,044.16
6025092GUIDE WIRESupply/Implant$183.30
6025095REP DEV, URINARY, W/SLINGSupply/Implant$17,248.00
6025096GUIDE WIRESupply/Implant$1,766.40
6025097CATH, BAL DIL, NON-VASCULARSupply/Implant$4,044.16
6025098CATH, BAL DIL, NON-VASCULARSupply/Implant$4,044.16
6025099GUIDE WIRESupply/Implant$4,044.16
6025100GUIDE WIRESupply/Implant$217.60
6025101INTRO/SHEATH, NON-LASERSupply/Implant$390.40
6025103PORT, INDWELLING, IMPSupply/Implant$6,592.00
6025106INTRO/SHEATH, NON-LASERSupply/Implant$352.77
6025109CATHETER, GUIDINGSupply/Implant$1,664.00
6025110SUPPLY IMPLANTSupply/Implant$2,954.50
6025111CATH, BAL DIL, NON-VASCULARSupply/Implant$5,043.97
6025112GUIDE WIRESupply/Implant$2,184.96
6025113PORT, INDWELLING, IMPSupply/Implant$9,676.80
6025115STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025116STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025117STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025118STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025119STENT, NON-COR, TEM W/O DELSupply/Implant$2,738.30
6025120STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025131STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025132STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025133STENT, NON-COR, TEM W/O DELSupply/Implant$2,738.30
6025134STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025135STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025136STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025138STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6025139SYNTHETIC IMPLNT URINARY 1MLSupply/Implant$4,929.41
6025142ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,139.20
6025143ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$17,497.60
6025150GUIDE WIRESupply/Implant$2,150.40
6025152ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6025158ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,724.80
6025159ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,724.80
6025160ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,227.20
6025162ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,227.20
6025163ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6025164ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6025166JOINT DEVICE (IMPLANTABLE)Supply/Implant$16,640.00
6025168ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,216.00
6025169ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6025179ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6025180ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6025187ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6025190SUPPLY IMPLANTSupply/Implant$3,375.10
6025191ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,160.00
6025194ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$819.20
6025200ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,958.40
6025201ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,008.00
6025203ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$854.40
6025214ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$266.37
6025217ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$251.90
6025224ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$251.90
6025225ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,907.20
6025227ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,052.80
6025237ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6025238ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,052.80
6025239ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,052.80
6025243ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$499.20
6025252ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,160.96
6025256ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$622.98
6025260ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,432.00
6025273ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,085.76
6025274ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,085.76
6025275ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,085.76
6025276ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,085.76
6025290ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6025291ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6025345ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,340.80
6025363ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$665.60
6025364ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$266.37
6025365ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$266.37
6025367ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$622.98
6025378POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025379POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025380POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025381POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025382POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025389POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025390POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025410POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025411POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025421POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025427ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,036.80
6025429ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,036.80
6025433POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025434POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025435POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025436POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025437POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025444POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025446POST CHMBR INTRAOCULAR LENSSupply/Implant$2,124.42
6025464ANTER CHAMBER INTRAOCUL LENSSupply/Implant$1,088.00
6025466ANTER CHAMBER INTRAOCUL LENSSupply/Implant$1,088.00
6025491ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,838.40
6025522ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6025527ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,160.96
6025540ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,048.00
6025541ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6025542ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6025552ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$534.78
6025565ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$691.20
6025567ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$266.37
6025568ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$499.20
6025586ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,324.93
6025587ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,443.84
6025591LEAD, PMKR, OTHER THAN TRANSSupply/Implant$8,934.40
6025604ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,838.40
6025605ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,838.40
6025607ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,838.40
6025610ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,324.93
6025612ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,324.93
6025615ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,977.73
6025616ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,977.73
6025617ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,977.73
6025636ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,977.73
6025655ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$800.00
6025656ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,456.00
6025709ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6025790ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6025791ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$21,120.00
6025800ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$580.74
6025804GUIDE WIRESupply/Implant$532.74
6025814ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,190.40
6025816ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,646.40
6025845ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,907.20
6025855ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,809.60
6025868ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6025897ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$266.37
6025932ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$266.37
6025973GUIDE WIRESupply/Implant$2,140.16
6025975ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$499.20
6025988ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,171.20
6026009ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$685.57
6026011ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$685.57
6026013ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026014ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,375.68
6026027STENT, NON-COAT/COV W/O DELSupply/Implant$17,920.00
6026033ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,340.80
6026034ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,340.80
6026035ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,441.60
6026036ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,283.20
6026039ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$712.96
6026043ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026057ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026063ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026064ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026065ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026066ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026067ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026079ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026080ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026081ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026082ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6026089ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$17,625.60
6026098ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026099ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026100ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026127ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,724.80
6026131ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,532.80
6026132ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026133ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,724.80
6026143ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026147ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026148ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026158ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026160ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026161ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026162ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026163ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$352.00
6026176ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6026178ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$10,150.40
6026179ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026180ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026181ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026185ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6026187ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6026190ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$16,576.00
6026191ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,352.00
6026192ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026194ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6026202ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026208ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026209ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026210ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026211ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,057.60
6026212ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026231ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6026238ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026239ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026240ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026242ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,035.20
6026246GUIDE WIRESupply/Implant$1,881.60
6026247ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026255ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026256ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026257ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$326.40
6026258ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,467.20
6026259ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026260ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026263JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6026273ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$638.72
6026282ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,820.74
6026288ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6026290ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,907.20
6026291ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,907.20
6026292ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,907.20
6026302ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,907.20
6026304ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,052.80
6026305CATH, TRANSLUMIN NON-LASERSupply/Implant$2,035.20
6026330ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,052.80
6026331ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,052.80
6026340ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,820.74
6026360ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6026361ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6026362ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6026365ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$352.00
6026370ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$499.20
6026371ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$499.20
6026374ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$537.60
6026378ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$13,222.40
6026379ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$13,222.40
6026380ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$580.74
6026393ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6026396ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,052.80
6026397ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,228.80
6026407ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6026415ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6026420ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6026434ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,324.93
6026438ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$819.20
6026474STENT, NON-COR, TEM W/O DELSupply/Implant$1,836.80
6026475STENT, NON-COR, TEM W/DEL SYSupply/Implant$1,836.80
6026487STENT, NON-COR, TEM W/O DELSupply/Implant$1,836.80
6026504ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$750.85
6026515SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6026525PROSTHESIS, PENILE, INFLATABSupply/Implant$140,553.00
6026559ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$638.72
6026562ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$717.18
6026571ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6026620ADAPT/EXT, PACING/NEURO LEADSupply/Implant$6,630.40
6026630ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,838.40
6026640ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6026653ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,870.40
6026654ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,870.40
6026658ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,440.64
6026659ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6026666ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,440.64
6026667ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,440.64
6026670ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,870.40
6026681ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,870.40
6026682ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,870.40
6026683ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$580.74
6026698ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,440.64
6026727LEAD, PMKR, OTHER THAN TRANSSupply/Implant$6,630.40
6026729ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026732ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,724.80
6026736ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,440.64
6026739GUIDE WIRESupply/Implant$1,648.64
6026766ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,440.64
6026767ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,440.64
6026790ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6026797ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6026809ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,227.20
6026811ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,227.20
6026812ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,227.20
6026815ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6026816ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6026819ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$432.00
6026822ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$432.00
6026823ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$432.00
6026846ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,680.00
6026853ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6026854ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6026855ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6026856ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6026857ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6026859ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$580.74
6026863GUIDE WIRESupply/Implant$256.00
6026867ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6026868ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6026871ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$266.37
6026884ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,440.64
6026927STENT, NON-COAT/COV W/O DELSupply/Implant$12,185.60
6026986ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$163.20
6027008ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6027028GUIDE WIRESupply/Implant$256.00
6027029GUIDE WIRESupply/Implant$256.00
6027030SUPPLY IMPLANTSupply/Implant$140.80
6027031ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,516.16
6027032ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$712.96
6027035ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,724.80
6027054LEAD, PMKR, OTHER THAN TRANSSupply/Implant$8,934.40
6027057LEAD, PMKR, OTHER THAN TRANSSupply/Implant$6,630.40
6027077ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6027118ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,736.00
6027120ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,736.00
6027121ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,736.00
6027136ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,956.80
6027161ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$624.00
6027162ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$624.00
6027166ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$499.20
6027179ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6027181ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.97
6027286STENT, NON-COAT/COV W/O DELSupply/Implant$9,820.16
6027289LEAD, PMKR, OTHER THAN TRANSSupply/Implant$8,934.40
6027296ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,680.00
6027310ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$268.80
6027333ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6027355ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$640.00
6027358ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6027390ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6027391ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6027415INFUSION PUMP, PROGRAMMABLESupply/Implant$123,900.00
6027422STENT, NON-COA/NON-COV W/DELSupply/Implant$7,680.00
6027423STENT, NON-COA/NON-COV W/DELSupply/Implant$8,320.00
6027432ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,123.20
6027433ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,045.12
6027438STENT, NON-COA/NON-COV W/DELSupply/Implant$7,680.00
6027441STENT, NON-COA/NON-COV W/DELSupply/Implant$7,680.00
6027444GUIDE WIRESupply/Implant$256.00
6027459LEAD, PMKR, OTHER THAN TRANSSupply/Implant$10,240.00
6027460LEAD, PMKR, OTHER THAN TRANSSupply/Implant$7,680.00
6027463STENT, NON-COA/NON-COV W/DELSupply/Implant$7,680.00
6027465STENT, NON-COA/NON-COV W/DELSupply/Implant$7,680.00
6027468ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6027484ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,042.05
6027493SUPPLY IMPLANTSupply/Implant$960.00
6027496SEPTAL DEFECT IMP SYSSupply/Implant$80,768.00
6027506ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,528.00
6027513ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,045.12
6027514ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,933.44
6027540ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,045.12
6027564ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,045.12
6027567LEAD, PMKR, OTHER THAN TRANSSupply/Implant$12,160.00
6027579ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,045.12
6027595ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6027596ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6027609ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$854.40
6027611ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,804.80
6027617ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6027630ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6027632ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$471.04
6027641ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,956.80
6027643STENT, COATED/COV W/DEL SYSSupply/Implant$34,835.84
6027645ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,243.52
6027649ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,804.80
6027650GUIDE WIRESupply/Implant$2,931.20
6027663ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6027664ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,933.44
6027665ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,123.20
6027668ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6027669ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$896.00
6027699ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,164.80
6027702STENT, NON-COA/NON-COV W/DELSupply/Implant$7,680.00
6027711CLOSURE DEV, VASCSupply/Implant$3,008.00
6027712ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$640.00
6027732ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$694.78
6027737ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$638.72
6027747ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6027748STENT, COATED/COV W/DEL SYSSupply/Implant$31,312.00
6027751ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,254.40
6027752ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,254.40
6027755ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,254.40
6027769SUPPLY IMPLANTSupply/Implant$8,640.00
6027770CONN TISS, HUMAN(INC FASCIA)Supply/Implant$8,470.40
6027799STENT, COATED/COV W/DEL SYSSupply/Implant$30,582.40
6027803PROSTHESIS, BREAST, IMPSupply/Implant$5,632.00
6027805ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$717.18
6027813ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6027819ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,528.00
6027828ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,470.40
6027833ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6027838PROSTHESIS, BREAST, IMPSupply/Implant$5,632.00
6027857ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6027861ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6027871ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$605.18
6027872ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$605.18
6027875PMKR, DUAL, RATE-RESPSupply/Implant$55,756.80
6027884ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,008.00
6027885ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,123.20
6027886ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,933.44
6027887ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,045.12
6027889ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,804.80
6027893ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6027897GUIDE WIRESupply/Implant$1,982.08
6027898SUPPLY IMPLANTSupply/Implant$2,538.88
6027899ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,859.20
6027901ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,254.40
6027902SUPPLY IMPLANTSupply/Implant$7,040.00
6027908ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6027909ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6027910ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6027926ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$717.18
6027931ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6027932ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6027933ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,098.24
6027934ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$605.18
6027946ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6027947ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6027989ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,504.00
6028000ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,098.24
6028001ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,098.24
6028016ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6028027ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,804.80
6028030ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6028058ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$640.00
6028077JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6028100ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,408.00
6028102ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,008.00
6028103ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,956.80
6028111ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$605.18
6028135ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$276.48
6028143STENT, NON-COAT/COV W/O DELSupply/Implant$11,520.00
6028146ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$386.30
6028147ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$386.30
6028148ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6028157ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6028160JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,319.55
6028161ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,098.24
6028162GRAFT, VASCULARSupply/Implant$35,737.60
6028177CATH, TRANSLUMIN NON-LASERSupply/Implant$3,008.00
6028183ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$605.18
6028184ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6028188CATH, TRANSLUMIN NON-LASERSupply/Implant$3,136.00
6028189STENT, NON-COA/NON-COV W/DELSupply/Implant$21,452.80
6028206ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$317.44
6028207ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$317.44
6028209ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$854.40
6028210ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,785.60
6028211ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,785.60
6028212LEAD, PMKR, OTHER THAN TRANSSupply/Implant$28,160.00
6028213INTRO/SHEATH, NON-LASERSupply/Implant$1,523.58
6028234ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$739.58
6028246LEAD, AICD, ENDO SINGLE COILSupply/Implant$54,118.40
6028250CATH, TRANSLUMIN NON-LASERSupply/Implant$2,304.00
6028254ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$739.58
6028255CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6028257CATH, INF, PER/CENT/MIDLINESupply/Implant$13,801.22
6028261INTRO/SHEATH, NON-LASERSupply/Implant$307.33
6028270INTRO/SHEATH, NON-LASERSupply/Implant$307.33
6028277GUIDE WIRESupply/Implant$1,356.42
6028282INTRO/SHEATH, NON-LASERSupply/Implant$263.55
6028283GUIDE WIRESupply/Implant$620.16
6028284GUIDE WIRESupply/Implant$550.40
6028299CATH, TRANSLUMIN NON-LASERSupply/Implant$5,940.61
6028300CATH, TRANSLUMIN NON-LASERSupply/Implant$6,204.67
6028301CATH, TRANSLUMIN NON-LASERSupply/Implant$5,940.61
6028311CATH, TRANSLUMIN NON-LASERSupply/Implant$5,891.84
6028312CATH, TRANSLUMIN NON-LASERSupply/Implant$5,806.08
6028319INTRO/SHEATH, NON-LASERSupply/Implant$1,320.96
6028320CATH, TRANSLUMIN NON-LASERSupply/Implant$3,200.00
6028322GUIDE WIRESupply/Implant$1,334.91
6028323INTRO/SHEATH, NON-LASERSupply/Implant$1,241.60
6028330GUIDE WIRESupply/Implant$1,280.00
6028331GUIDE WIRESupply/Implant$1,280.00
6028336GUIDE WIRESupply/Implant$712.96
6028342GUIDE WIRESupply/Implant$321.28
6028344GUIDE WIRESupply/Implant$1,280.00
6028348INTRO/SHEATH, NON-LASERSupply/Implant$768.00
6028349CATH, TRANSLUMIN NON-LASERSupply/Implant$2,035.20
6028354GUIDE WIRESupply/Implant$432.00
6028357GUIDE WIRESupply/Implant$4,044.16
6028358CATH, TRANSLUMIN NON-LASERSupply/Implant$5,914.75
6028368CATH, TRANSLUMIN NON-LASERSupply/Implant$960.00
6028371GUIDE WIRESupply/Implant$2,867.20
6028374SUPPLY IMPLANTSupply/Implant$448.00
6028375SUPPLY IMPLANTSupply/Implant$268.80
6028376SUPPLY IMPLANTSupply/Implant$224.00
6028392CATH, TRANSLUMIN NON-LASERSupply/Implant$32,000.00
6028393CATH, TRANSLUMIN NON-LASERSupply/Implant$7,382.53
6028406SUPPLY IMPLANTSupply/Implant$1,507.20
6028435CATHETER, GUIDINGSupply/Implant$1,664.00
6028440CATH, TRANSLUMIN NON-LASERSupply/Implant$1,779.20
6028445CATHETER, GUIDINGSupply/Implant$672.00
6028447CATHETER, GUIDINGSupply/Implant$672.00
6028455INTRO/SHEATH, NON-LASERSupply/Implant$1,276.29
6028459INTRO/SHEATH, NON-LASERSupply/Implant$320.00
6028462CATHETER, GUIDINGSupply/Implant$496.00
6028469CATHETER, GUIDINGSupply/Implant$672.00
6028470INTRO/SHEATH, NON-LASERSupply/Implant$1,113.60
6028471CATHETER, GUIDINGSupply/Implant$672.00
6028473CATHETER, GUIDINGSupply/Implant$672.00
6028474CATHETER, GUIDINGSupply/Implant$672.00
6028475CATHETER, GUIDINGSupply/Implant$672.00
6028476GUIDE WIRESupply/Implant$1,152.00
6028479CATHETER, GUIDINGSupply/Implant$672.00
6028480CATHETER, GUIDINGSupply/Implant$672.00
6028481GUIDE WIRESupply/Implant$17,670.27
6028483CATHETER, GUIDINGSupply/Implant$672.00
6028484CATHETER, GUIDINGSupply/Implant$672.00
6028489CATHETER, GUIDINGSupply/Implant$672.00
6028502CATHETER, GUIDINGSupply/Implant$1,664.00
6028506CATHETER, GUIDINGSupply/Implant$1,664.00
6028509CATHETER, GUIDINGSupply/Implant$1,664.00
6028537CATH, TRANSLUMIN NON-LASERSupply/Implant$2,304.00
6028570GUIDE WIRESupply/Implant$5,721.60
6028602CATH, TRANSLUMIN NON-LASERSupply/Implant$11,084.80
6028603CATH, TRANSLUMIN NON-LASERSupply/Implant$11,084.80
6028607INTRO/SHEATH, NON-LASERSupply/Implant$768.00
6028608INTRO/SHEATH, NON-LASERSupply/Implant$768.00
6028623CATH, TRANSLUMIN NON-LASERSupply/Implant$2,035.20
6028626GUIDE WIRESupply/Implant$4,044.16
6028632CATH, TRANS ATHEREC,ROTATIONSupply/Implant$38,336.00
6028633CATH, TRANS ATHEREC,ROTATIONSupply/Implant$38,336.00
6028635RET DEV, INSERTABLESupply/Implant$8,678.40
6028642CATHETER, GUIDINGSupply/Implant$2,137.60
6028646GUIDE WIRESupply/Implant$166.40
6028650GUIDE WIRESupply/Implant$4,044.16
6028651CATH, TRANSLUMIN NON-LASERSupply/Implant$2,035.20
6028656RET DEV, INSERTABLESupply/Implant$8,678.40
6028661CATHETER, GUIDINGSupply/Implant$1,664.00
6028668LEAD, NEUROSTIMULATORSupply/Implant$1,920.00
6028670GUIDE WIRESupply/Implant$433.92
6028683SEPTAL DEFECT IMP SYSSupply/Implant$9,318.40
6028684SEPTAL DEFECT IMP SYSSupply/Implant$9,318.40
6028685SEPTAL DEFECT IMP SYSSupply/Implant$9,318.40
6028692GUIDE WIRESupply/Implant$1,422.87
6028702SEPTAL DEFECT IMP SYSSupply/Implant$9,318.40
6028704GUIDE WIRESupply/Implant$1,728.00
6028705GUIDE WIRESupply/Implant$1,280.00
6028712INTRO/SHEATH, NON-LASERSupply/Implant$969.98
6028713INTRO/SHEATH, NON-LASERSupply/Implant$2,635.26
6028716STENT, NON-COA/NON-COV W/DELSupply/Implant$8,960.00
6028721STENT, NON-COA/NON-COV W/DELSupply/Implant$1,792.00
6028736STENT, NON-COR, TEM W/O DELSupply/Implant$1,881.60
6028737STENT, NON-COA/NON-COV W/DELSupply/Implant$14,976.00
6028738STENT, NON-COA/NON-COV W/DELSupply/Implant$14,976.00
6028739STENT, NON-COA/NON-COV W/DELSupply/Implant$14,976.00
6028742GUIDE WIRESupply/Implant$1,280.00
6028743GUIDE WIRESupply/Implant$1,280.00
6028747INTRO/SHEATH, NON-LASERSupply/Implant$3,195.26
6028750ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$39,875.20
6028752ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,408.00
6028759SUPPLY IMPLANTSupply/Implant$193.66
6028763ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$386.30
6028764ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$427.14
6028765ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,329.60
6028767SUPPLY IMPLANTSupply/Implant$245.76
6028776ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,892.80
6028778SUPPLY IMPLANTSupply/Implant$245.76
6028779SUPPLY IMPLANTSupply/Implant$245.76
6028784ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,223.62
6028785PROSTHESIS, BREAST, IMPSupply/Implant$5,632.00
6028795INTERPHALANGEAL JOINT REPLSupply/Implant$12,569.73
6028796GRAFT, VASCULARSupply/Implant$3,072.00
6028804SUPPLY IMPLANTSupply/Implant$1,049.60
6028806ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,659.90
6028807ADHESION BARRIERSupply/Implant$3,546.50
6028814ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$854.40
6028832SUPPLY IMPLANTSupply/Implant$485.50
6028833SUPPLY IMPLANTSupply/Implant$2,641.92
6028834SUPPLY IMPLANTSupply/Implant$6,982.40
6028841SUPPLY IMPLANTSupply/Implant$1,312.64
6028846ALLODERM SKIN SUBSupply/Implant$7,769.60
6028847GENERAL SUPPLYSupply/Implant$462.08
6028849SUPPLY IMPLANTSupply/Implant$2,688.00
6028851ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,223.62
6028852ALLODERM SKIN SUBSupply/Implant$5,888.00
6028853ALLODERM SKIN SUBSupply/Implant$9,945.60
6028858SUPPLY IMPLANTSupply/Implant$23,936.00
6028859SUPPLY IMPLANTSupply/Implant$3,143.68
6028863SUPPLY IMPLANTSupply/Implant$3,475.97
6028864CONN TISS, NON-HUMANSupply/Implant$1,415.04
6028871SUPPLY IMPLANTSupply/Implant$1,257.18
6028872SUPPLY IMPLANTSupply/Implant$3,407.49
6028873SUPPLY IMPLANTSupply/Implant$6,832.64
6028876ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,563.20
6028877ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,611.20
6028879SUPPLY IMPLANTSupply/Implant$4,334.68
6028881SUPPLY IMPLANTSupply/Implant$4,395.39
6028883SUPPLY IMPLANTSupply/Implant$2,461.22
6028884SUPPLY IMPLANTSupply/Implant$1,972.39
6028885SUPPLY IMPLANTSupply/Implant$4,101.25
6028886SUPPLY IMPLANTSupply/Implant$2,124.16
6028887SUPPLY IMPLANTSupply/Implant$5,944.32
6028888SUPPLY IMPLANTSupply/Implant$2,050.56
6028889SUPPLY IMPLANTSupply/Implant$4,064.13
6028890SUPPLY IMPLANTSupply/Implant$1,165.57
6028897SUPPLY IMPLANTSupply/Implant$10,470.40
6028898SUPPLY IMPLANTSupply/Implant$1,441.54
6028900SUPPLY IMPLANTSupply/Implant$4,300.80
6028901SUPPLY IMPLANTSupply/Implant$378.75
6028906ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,164.80
6028907STENT, NON-COR, TEM W/O DELSupply/Implant$2,580.48
6028908ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,755.20
6028911ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,494.40
6028912ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,539.20
6028915STERILE SUPPLYSupply/Implant$262.78
6028917ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,540.80
6028919STERILE SUPPLYSupply/Implant$532.22
6028920STERILE SUPPLYSupply/Implant$3,002.88
6028921SUPPLY IMPLANTSupply/Implant$1,951.62
6028924MESH (IMPLANTABLE)Supply/Implant$28,992.00
6028925SUPPLY IMPLANTSupply/Implant$2,923.78
6028926SUPPLY IMPLANTSupply/Implant$7,983.36
6028927SUPPLY IMPLANTSupply/Implant$139.20
6028928SUPPLY IMPLANTSupply/Implant$256.00
6028931SUPPLY IMPLANTSupply/Implant$160.32
6028932SUPPLY IMPLANTSupply/Implant$663.81
6028940GENERAL SUPPLYSupply/Implant$14,689.02
6028945SUPPLY IMPLANTSupply/Implant$1,698.69
6028946ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,512.00
6028947ALLODERM SKIN SUBSupply/Implant$2,956.80
6028951SUPPLY IMPLANTSupply/Implant$1,774.08
6028952GENERAL SUPPLYSupply/Implant$132.22
6028954STERILE SUPPLYSupply/Implant$213.12
6028957STERILE SUPPLYSupply/Implant$9,228.80
6028961SUPPLY IMPLANTSupply/Implant$1,648.64
6028963SUPPLY IMPLANTSupply/Implant$31,529.79
6028966SUPPLY IMPLANTSupply/Implant$26,337.54
6028968SUPPLY IMPLANTSupply/Implant$1,280.00
6028969SUPPLY IMPLANTSupply/Implant$678.40
6028970SUPPLY IMPLANTSupply/Implant$1,153.54
6028972STENT, NON-COR, TEM W/O DELSupply/Implant$2,407.17
6028973SUPPLY IMPLANTSupply/Implant$1,312.90
6028985SUPPLY IMPLANTSupply/Implant$6,844.67
6028987SUPPLY IMPLANTSupply/Implant$1,280.00
6028990SUPPLY IMPLANTSupply/Implant$417.54
6028993SUPPLY IMPLANTSupply/Implant$1,280.00
6028994ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,274.94
6028995SUPPLY IMPLANTSupply/Implant$12,736.00
6028997SUPPLY IMPLANTSupply/Implant$9,146.37
6029006JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,035.26
6029013ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,223.62
6029015SUPPLY IMPLANTSupply/Implant$3,538.56
6029016ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,274.94
6029019ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,081.41
6029022ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,081.41
6029023ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,671.30
6029024ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$10,150.40
6029027SUPPLY IMPLANTSupply/Implant$1,430.53
6029028CATH, TRANSLUMIN NON-LASERSupply/Implant$6,153.73
6029030STERILE SUPPLYSupply/Implant$547.58
6029031SUPPLY IMPLANTSupply/Implant$276.10
6029032GENERAL SUPPLYSupply/Implant$404.10
6029033GENERAL SUPPLYSupply/Implant$520.32
6029035SUPPLY IMPLANTSupply/Implant$75,648.00
6029038ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,671.30
6029039SUPPLY IMPLANTSupply/Implant$258.56
6029040SUPPLY IMPLANTSupply/Implant$1,280.00
6029041SUPPLY IMPLANTSupply/Implant$1,280.00
6029042SUPPLY IMPLANTSupply/Implant$1,280.00
6029043GASTRO/JEJUNO TUBE, STDSupply/Implant$1,280.00
6029044GASTRO/JEJUNO TUBE, STDSupply/Implant$1,280.00
6029045ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6029047STENT, NON-COR, TEM W/O DELSupply/Implant$2,407.17
6029050SUPPLY IMPLANTSupply/Implant$8,256.00
6029052SUPPLY IMPLANTSupply/Implant$1,280.00
6029053SUPPLY IMPLANTSupply/Implant$4,101.25
6029054SUPPLY IMPLANTSupply/Implant$783.10
6029055STERILE SUPPLYSupply/Implant$1,813.35
6029056SUPPLY IMPLANTSupply/Implant$1,813.35
6029057ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,081.41
6029065SUPPLY IMPLANTSupply/Implant$256.00
6029066ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,987.90
6029069SUPPLY IMPLANTSupply/Implant$1,049.60
6029079SUPPLY IMPLANTSupply/Implant$1,202.56
6029081SUPPLY IMPLANTSupply/Implant$743.71
6029082SUPPLY IMPLANTSupply/Implant$23,936.00
6029083STERILE SUPPLYSupply/Implant$256.00
6029085JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,760.00
6029086JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,955.20
6029093SUPPLY IMPLANTSupply/Implant$1,092.57
6029094SUPPLY IMPLANTSupply/Implant$22,540.80
6029097ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$268.80
6029106ADHESION BARRIERSupply/Implant$4,290.82
6029108SUPPLY IMPLANTSupply/Implant$176.00
6029111SUPPLY IMPLANTSupply/Implant$448.00
6029113SUPPLY IMPLANTSupply/Implant$3,110.40
6029116SUPPLY IMPLANTSupply/Implant$1,687.04
6029120SUPPLY IMPLANTSupply/Implant$2,398.57
6029121SUPPLY IMPLANTSupply/Implant$2,398.57
6029130SUPPLY IMPLANTSupply/Implant$576.00
6029137ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,960.00
6029138PROSTHESIS, BREAST, IMPSupply/Implant$7,360.00
6029140SUPPLY IMPLANTSupply/Implant$2,835.84
6029141SUPPLY IMPLANTSupply/Implant$550.66
6029143SUPPLY IMPLANTSupply/Implant$194.56
6029146SUPPLY IMPLANTSupply/Implant$11,712.00
6029147SUPPLY IMPLANTSupply/Implant$576.00
6029148CATH, DRAINAGESupply/Implant$10,057.98
6029149SUPPLY IMPLANTSupply/Implant$16,000.10
6029150SUPPLY IMPLANTSupply/Implant$28,800.00
6029151JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,760.00
6029158SUPPLY IMPLANTSupply/Implant$3,153.92
6029160SUPPLY IMPLANTSupply/Implant$576.00
6029162SUPPLY IMPLANTSupply/Implant$576.00
6029163SUPPLY IMPLANTSupply/Implant$576.00
6029164SUPPLY IMPLANTSupply/Implant$576.00
6029166SUPPLY IMPLANTSupply/Implant$2,866.56
6029169SUPPLY IMPLANTSupply/Implant$1,925.12
6029170SUPPLY IMPLANTSupply/Implant$896.00
6029172ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,035.57
6029173ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,035.57
6029178ALLODERM SKIN SUBSupply/Implant$26,585.60
6029180SUPPLY IMPLANTSupply/Implant$2,730.11
6029183SUPPLY IMPLANTSupply/Implant$2,730.11
6029184STENT, NON-COA/NON-COV W/DELSupply/Implant$31,296.00
6029185CATHETER, GUIDINGSupply/Implant$5,440.00
6029191SUPPLY IMPLANTSupply/Implant$742.40
6029193SUPPLY IMPLANTSupply/Implant$588.80
6029195SUPPLY IMPLANTSupply/Implant$1,092.57
6029199MESH (IMPLANTABLE)Supply/Implant$5,248.00
6029200ADAPT/EXT, PACING/NEURO LEADSupply/Implant$9,344.00
6029207ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$854.40
6029208ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$16,369.92
6029212SUPPLY IMPLANTSupply/Implant$576.00
6029220SUPPLY IMPLANTSupply/Implant$1,433.60
6029221SUPPLY IMPLANTSupply/Implant$1,433.60
6029222SUPPLY IMPLANTSupply/Implant$1,433.60
6029223SUPPLY IMPLANTSupply/Implant$1,497.60
6029227CLOSURE DEV, VASCSupply/Implant$3,520.00
6029228SUPPLY IMPLANTSupply/Implant$48,704.00
6029231SUPPLY IMPLANTSupply/Implant$7,001.60
6029232SUPPLY IMPLANTSupply/Implant$4,211.20
6029233SUPPLY IMPLANTSupply/Implant$4,428.29
6029234SUPPLY IMPLANTSupply/Implant$1,624.32
6029235SUPPLY IMPLANTSupply/Implant$4,507.78
6029245INTEGRA BMWD SKIN SUBSupply/Implant$61,089.79
6029248SUPPLY IMPLANTSupply/Implant$582.40
6029252TISSUE MARKER, IMPLANTABLESupply/Implant$2,624.00
6029254MESH (IMPLANTABLE)Supply/Implant$9,689.60
6029255MESH (IMPLANTABLE)Supply/Implant$35,089.34
6029257ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,128.96
6029258SUPPLY IMPLANTSupply/Implant$38,912.00
6029260ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,272.00
6029274SUPPLY IMPLANTSupply/Implant$13,141.76
6029276SUPPLY IMPLANTSupply/Implant$576.00
6029279ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6029282ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6029283ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6029284SUPPLY IMPLANTSupply/Implant$576.00
6029285PROSTHETIC IMPLANT NOSSupply/Implant$37,964.80
6029287SUPPLY IMPLANTSupply/Implant$5,669.47
6029288SUPPLY IMPLANTSupply/Implant$766.11
6029289SUPPLY IMPLANTSupply/Implant$651.26
6029295PROSTHETIC IMPLANT NOSSupply/Implant$37,964.80
6029296SUPPLY IMPLANTSupply/Implant$4,963.97
6029297SUPPLY IMPLANTSupply/Implant$4,427.78
6029303UNSPEC MAXILLOFACIAL PROSTHSupply/Implant$59,939.84
6029304SUPPLY IMPLANTSupply/Implant$576.00
6029305SUPPLY IMPLANTSupply/Implant$576.00
6029306SUPPLY IMPLANTSupply/Implant$2,461.57
6029310SUPPLY IMPLANTSupply/Implant$620.84
6029311SUPPLY IMPLANTSupply/Implant$907.67
6029312SUPPLY IMPLANTSupply/Implant$611.84
6029313SUPPLY IMPLANTSupply/Implant$907.67
6029314SUPPLY IMPLANTSupply/Implant$1,181.22
6029315SUPPLY IMPLANTSupply/Implant$1,740.71
6029316SUPPLY IMPLANTSupply/Implant$2,208.90
6029317JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,955.20
6029319SUPPLY IMPLANTSupply/Implant$576.00
6029321ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,070.59
6029323ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$798.72
6029324GRAFT, VASCULARSupply/Implant$16,153.60
6029327STERILE SUPPLYSupply/Implant$15,086.08
6029330ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,664.00
6029331ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$854.40
6029332ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$620.80
6029333ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,785.60
6029334ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,785.60
6029335ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,785.60
6029336ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,785.60
6029337ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$854.40
6029338ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,785.60
6029339ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,785.60
6029342CONN TISS, HUMAN(INC FASCIA)Supply/Implant$3,697.92
6029343SUPPLY IMPLANTSupply/Implant$3,698.05
6029344ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6029354ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,139.20
6029355ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$268.80
6029356ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6029358ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$854.40
6029362SUPPLY IMPLANTSupply/Implant$6,179.58
6029366ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6029369SUPPLY IMPLANTSupply/Implant$576.00
6029370ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,804.80
6029371STENT, NON-COR, TEM W/O DELSupply/Implant$960.00
6029372ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,272.32
6029373ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,256.96
6029374ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,241.60
6029378MESH (IMPLANTABLE)Supply/Implant$5,670.40
6029379SUPPLY IMPLANTSupply/Implant$1,766.40
6029380ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,966.72
6029385LEAD, NEUROSTIMULATORSupply/Implant$41,152.00
6029387SUPPLY IMPLANTSupply/Implant$1,088.00
6029389INTRO/SHEATH, NON-LASERSupply/Implant$668.16
6029390POST CHMBR INTRAOCULAR LENSSupply/Implant$2,227.20
6029391ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$854.40
6029393ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,315.20
6029396PROSTHETIC IMPLANT NOSSupply/Implant$2,547.20
6029403ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$268.80
6029408ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6029409ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6029410ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,662.40
6029413MESH (IMPLANTABLE)Supply/Implant$6,310.40
6029415STRATTICE TM PER 1 SQ CMSupply/Implant$52,915.20
6029418SUPPLY IMPLANTSupply/Implant$6,400.00
6029422GENERAL SUPPLYSupply/Implant$358.27
6029424ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$268.80
6029426ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,299.20
6029430SUPPLY IMPLANTSupply/Implant$14,720.00
6029434SUPPLY IMPLANTSupply/Implant$3,975.94
6029436SUPPLY IMPLANTSupply/Implant$1,308.16
6029439ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,299.20
6029444SUPPLY IMPLANTSupply/Implant$512.00
6029446STRATTICE TM PER 1 SQ CMSupply/Implant$31,744.00
6029447SUPPLY IMPLANTSupply/Implant$3,975.94
6029448SUPPLY IMPLANTSupply/Implant$3,911.04
6029457ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$10,572.80
6029460PROSTHESIS, PENILE, INFLATABSupply/Implant$91,468.80
6029464SUPPLY IMPLANTSupply/Implant$576.00
6029466SUPPLY IMPLANTSupply/Implant$4,000.64
6029468INTRO/SHEATH, NON-LASERSupply/Implant$476.93
6029472POST CHMBR INTRAOCULAR LENSSupply/Implant$2,227.20
6029473POST CHMBR INTRAOCULAR LENSSupply/Implant$2,227.20
6029474POST CHMBR INTRAOCULAR LENSSupply/Implant$6,336.00
6029476SUPPLY IMPLANTSupply/Implant$576.00
6029477POST CHMBR INTRAOCULAR LENSSupply/Implant$2,227.20
6029478ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,660.42
6029484SUPPLY IMPLANTSupply/Implant$8,000.00
6029485GUIDE WIRESupply/Implant$1,088.00
6029487SUPPLY IMPLANTSupply/Implant$5,470.72
6029488EMBOLIZATION PROTECT SYSTSupply/Implant$23,680.00
6029494ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,945.60
6029496ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,299.20
6029498INTRO/SHEATH, NON-LASERSupply/Implant$268.80
6029517ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.20
6029521LEAD, NEUROSTIMULATORSupply/Implant$33,024.00
6029527CATH, EP, DIAG/ABL, 3D/VECTSupply/Implant$34,560.00
6029567SUPPLY IMPLANTSupply/Implant$490.42
6029580GENERAL SUPPLYSupply/Implant$1,353.60
6029582GENERAL SUPPLYSupply/Implant$1,039.74
6029583GENERAL SUPPLYSupply/Implant$1,307.14
6029584GENERAL SUPPLYSupply/Implant$1,795.58
6029585STERILE SUPPLYSupply/Implant$1,860.10
6029588STERILE SUPPLYSupply/Implant$535.04
6029592SUPPLY IMPLANTSupply/Implant$3,279.36
6029593CATH, BAL DIL, NON-VASCULARSupply/Implant$3,064.32
6029594SUPPLY IMPLANTSupply/Implant$1,666.56
6029595SUPPLY IMPLANTSupply/Implant$1,666.56
6029597INTRO/SHEATH, NON-LASERSupply/Implant$559.10
6029623GENERAL SUPPLYSupply/Implant$220.42
6029627STERILE SUPPLYSupply/Implant$260.10
6029631GENERAL SUPPLYSupply/Implant$873.34
6029632GENERAL SUPPLYSupply/Implant$2,795.39
6029633GENERAL SUPPLYSupply/Implant$1,027.71
6029634SUPPLY IMPLANTSupply/Implant$2,073.60
6029635SUPPLY IMPLANTSupply/Implant$2,343.94
6029637SUPPLY IMPLANTSupply/Implant$145.15
6029638SUPPLY IMPLANTSupply/Implant$343.94
6029640GENERAL SUPPLYSupply/Implant$2,009.86
6029641GENERAL SUPPLYSupply/Implant$991.23
6029642GENERAL SUPPLYSupply/Implant$2,353.92
6029643GENERAL SUPPLYSupply/Implant$1,085.82
6029645STERILE SUPPLYSupply/Implant$1,989.63
6029648GENERAL SUPPLYSupply/Implant$2,379.01
6029649GENERAL SUPPLYSupply/Implant$834.18
6029650STERILE SUPPLYSupply/Implant$1,413.25
6029651GENERAL SUPPLYSupply/Implant$1,687.55
6029652GENERAL SUPPLYSupply/Implant$2,022.27
6029653GENERAL SUPPLYSupply/Implant$1,386.50
6029654STERILE SUPPLYSupply/Implant$786.18
6029655GENERAL SUPPLYSupply/Implant$603.90
6029656GENERAL SUPPLYSupply/Implant$507.65
6029657GENERAL SUPPLYSupply/Implant$838.27
6029658CATHETER, URETERALSupply/Implant$1,350.02
6029659CATHETER, URETERALSupply/Implant$967.68
6029664GENERAL SUPPLYSupply/Implant$1,447.55
6029670SUPPLY IMPLANTSupply/Implant$197.89
6029671STERILE SUPPLYSupply/Implant$934.40
6029672SUPPLY IMPLANTSupply/Implant$971.65
6029676GENERAL SUPPLYSupply/Implant$2,094.66
6029677SUPPLY IMPLANTSupply/Implant$1,095.33
6029678GENERAL SUPPLYSupply/Implant$429.76
6029679SUPPLY IMPLANTSupply/Implant$2,744.79
6029681CATH, TRANSLUMIN NON-LASERSupply/Implant$3,225.60
6029682STERILE SUPPLYSupply/Implant$285.70
6029689SUPPLY IMPLANTSupply/Implant$226.00
6029696GENERAL DRUGSupply/Implant$270.59
6029711STERILE SUPPLYSupply/Implant$169.22
6029715GENERAL SUPPLYSupply/Implant$727.42
6029716GENERAL SUPPLYSupply/Implant$706.18
6029721STERILE SUPPLYSupply/Implant$195.07
6029738GENERAL SUPPLYSupply/Implant$282.75
6029741CATHETER, URETERALSupply/Implant$195.84
6029750GENERAL SUPPLYSupply/Implant$480.77
6029765STERILE SUPPLYSupply/Implant$216.96
6029766KO IMMOBILIZER CANVAS LONGITSupply/Implant$721.02
6029776STERILE SUPPLYSupply/Implant$155.14
6029779STERILE SUPPLYSupply/Implant$177.38
6029787STERILE SUPPLYSupply/Implant$163.33
6029789STERILE SUPPLYSupply/Implant$166.78
6029790STERILE SUPPLYSupply/Implant$180.52
6029796STERILE SUPPLYSupply/Implant$181.41
6029797STERILE SUPPLYSupply/Implant$197.76
6029798STERILE SUPPLYSupply/Implant$198.78
6029831STERILE SUPPLYSupply/Implant$249.86
6029846STERILE SUPPLYSupply/Implant$192.83
6029847STERILE SUPPLYSupply/Implant$238.03
6029853STERILE SUPPLYSupply/Implant$317.44
6029854STERILE SUPPLYSupply/Implant$228.48
6029857STERILE SUPPLYSupply/Implant$129.15
6029876STERILE SUPPLYSupply/Implant$135.94
6029877STERILE SUPPLYSupply/Implant$234.50
6029878STERILE SUPPLYSupply/Implant$183.30
6029884STERILE SUPPLYSupply/Implant$150.30
6029887STERILE SUPPLYSupply/Implant$396.66
6029895STERILE SUPPLYSupply/Implant$162.21
6029898STERILE SUPPLYSupply/Implant$331.14
6029899STERILE SUPPLYSupply/Implant$338.83
6029900STERILE SUPPLYSupply/Implant$259.56
6029904STERILE SUPPLYSupply/Implant$307.20
6029905STERILE SUPPLYSupply/Implant$300.80
6029906STERILE SUPPLYSupply/Implant$332.44
6029907STERILE SUPPLYSupply/Implant$307.20
6029908STERILE SUPPLYSupply/Implant$2,959.36
6029910STERILE SUPPLYSupply/Implant$155.14
6029929STERILE SUPPLYSupply/Implant$216.79
6029932STERILE SUPPLYSupply/Implant$228.48
6029933STERILE SUPPLYSupply/Implant$247.04
6029935STERILE SUPPLYSupply/Implant$129.47
6029936STERILE SUPPLYSupply/Implant$770.28
6029937STERILE SUPPLYSupply/Implant$193.51
6029938STERILE SUPPLYSupply/Implant$812.84
6029939STERILE SUPPLYSupply/Implant$810.65
6029940STERILE SUPPLYSupply/Implant$203.19
6029941STERILE SUPPLYSupply/Implant$887.80
6029942STERILE SUPPLYSupply/Implant$919.85
6029943STERILE SUPPLYSupply/Implant$919.72
6029944STERILE SUPPLYSupply/Implant$727.81
6029945STERILE SUPPLYSupply/Implant$374.27
6029952SUPPLY IMPLANTSupply/Implant$1,902.94
6029954STERILE SUPPLYSupply/Implant$180.99
6029960STERILE SUPPLYSupply/Implant$204.80
6029962STERILE SUPPLYSupply/Implant$198.66
6029963STERILE SUPPLYSupply/Implant$290.02
6029975STERILE SUPPLYSupply/Implant$264.65
6029981SUPPLY IMPLANTSupply/Implant$204.16
6029982SUPPLY IMPLANTSupply/Implant$219.90
6029983SUPPLY IMPLANTSupply/Implant$290.75
6029984SUPPLY IMPLANTSupply/Implant$290.82
6029986CATH, THROMBECTOMY/EMBOLECTSupply/Implant$2,419.20
6029987CATH, THROMBECTOMY/EMBOLECTSupply/Implant$2,419.20
6029989GENERAL SUPPLYSupply/Implant$243.84
6029992SUPPLY IMPLANTSupply/Implant$137.34
6030006SUPPLY IMPLANTSupply/Implant$1,459.07
6030008STERILE SUPPLYSupply/Implant$149.12
6030009SUPPLY IMPLANTSupply/Implant$2,863.85
6030014SUPPLY IMPLANTSupply/Implant$309.76
6030015SUPPLY IMPLANTSupply/Implant$974.72
6030016SUPPLY IMPLANTSupply/Implant$896.00
6030018SUPPLY IMPLANTSupply/Implant$232.41
6030019CATHETER, URETERALSupply/Implant$237.18
6030022CATHETER, URETERALSupply/Implant$247.55
6030023CATHETER, URETERALSupply/Implant$258.20
6030024SUPPLY IMPLANTSupply/Implant$241.28
6030029CATHETER, URETERALSupply/Implant$239.36
6030030SUPPLY IMPLANTSupply/Implant$11,129.60
6030031CATHETER, URETERALSupply/Implant$146.82
6030032CATHETER, URETERALSupply/Implant$146.82
6030034CATHETER, URETERALSupply/Implant$228.22
6030035CATHETER, URETERALSupply/Implant$228.22
6030036SUPPLY IMPLANTSupply/Implant$146.18
6030037SUPPLY IMPLANTSupply/Implant$188.03
6030038SUPPLY IMPLANTSupply/Implant$188.03
6030039SUPPLY IMPLANTSupply/Implant$159.62
6030042CATHETER, URETERALSupply/Implant$391.68
6030043SUPPLY IMPLANTSupply/Implant$391.68
6030044CATHETER, URETERALSupply/Implant$210.18
6030045CATHETER, URETERALSupply/Implant$294.91
6030046CATHETER, URETERALSupply/Implant$282.75
6030048CATH, DRAINAGESupply/Implant$312.83
6030049CATH, DRAINAGESupply/Implant$291.33
6030050CATHETER, URETERALSupply/Implant$152.32
6030067LOCM 100-199MG/ML IODINE,1MLSupply/Implant$517.50
6030082SUPPLY IMPLANTSupply/Implant$440.65
6030083GENERAL SUPPLYSupply/Implant$2,844.29
6030104STERILE SUPPLYSupply/Implant$832.00
6030105GENERAL SUPPLYSupply/Implant$231.68
6030108SUPPLY IMPLANTSupply/Implant$739.84
6030115SUPPLY IMPLANTSupply/Implant$1,280.00
6030116SUPPLY IMPLANTSupply/Implant$1,280.00
6030119SUPPLY IMPLANTSupply/Implant$605.16
6030121SUPPLY IMPLANTSupply/Implant$1,833.34
6030122SUPPLY IMPLANTSupply/Implant$489.89
6030123GENERAL SUPPLYSupply/Implant$678.40
6030125GENERAL SUPPLYSupply/Implant$186.88
6030126SUPPLY IMPLANTSupply/Implant$3,001.22
6030137SUPPLY IMPLANTSupply/Implant$378.62
6030143GENERAL SUPPLYSupply/Implant$141.82
6030153SUPPLY IMPLANTSupply/Implant$298.24
6030159SUPPLY IMPLANTSupply/Implant$6,208.00
6030160GENERAL SUPPLYSupply/Implant$829.39
6030161GENERAL SUPPLYSupply/Implant$700.86
6030164SUPPLY IMPLANTSupply/Implant$133.38
6030169CATHETER, URETERALSupply/Implant$319.36
6030170SUPPLY IMPLANTSupply/Implant$160.38
6030174SUPPLY IMPLANTSupply/Implant$723.97
6030176SUPPLY IMPLANTSupply/Implant$249.22
6030178SUPPLY IMPLANTSupply/Implant$511.36
6030179GENERAL SUPPLYSupply/Implant$177.60
6030180CATHETER, URETERALSupply/Implant$181.76
6030185STERILE SUPPLYSupply/Implant$140.42
6030194SUPPLY IMPLANTSupply/Implant$852.74
6030195STERILE SUPPLYSupply/Implant$540.16
6030196STERILE SUPPLYSupply/Implant$1,228.29
6030197STERILE SUPPLYSupply/Implant$1,066.11
6030199SUPPLY IMPLANTSupply/Implant$1,553.72
6030204STERILE SUPPLYSupply/Implant$1,413.89
6030205STERILE SUPPLYSupply/Implant$748.42
6030207STERILE SUPPLYSupply/Implant$3,504.90
6030210STERILE SUPPLYSupply/Implant$170.98
6030211GENERAL SUPPLYSupply/Implant$152.58
6030216SUPPLY IMPLANTSupply/Implant$652.80
6030217SUPPLY IMPLANTSupply/Implant$359.04
6030218SUPPLY IMPLANTSupply/Implant$563.20
6030219SUPPLY IMPLANTSupply/Implant$330.24
6030220SUPPLY IMPLANTSupply/Implant$321.15
6030223GENERAL SUPPLYSupply/Implant$225.98
6030232STERILE SUPPLYSupply/Implant$234.11
6030233STERILE SUPPLYSupply/Implant$179.20
6030251SUPPLY IMPLANTSupply/Implant$789.50
6030253GENERAL SUPPLYSupply/Implant$252.29
6030255SUPPLY IMPLANTSupply/Implant$666.62
6030256SUPPLY IMPLANTSupply/Implant$338.69
6030260SUPPLY IMPLANTSupply/Implant$633.98
6030262SUPPLY IMPLANTSupply/Implant$556.80
6030263SUPPLY IMPLANTSupply/Implant$282.75
6030264SUPPLY IMPLANTSupply/Implant$243.20
6030270CATHETER, URETERALSupply/Implant$247.55
6030271SUPPLY IMPLANTSupply/Implant$376.32
6030272SUPPLY IMPLANTSupply/Implant$376.32
6030274SUPPLY IMPLANTSupply/Implant$1,217.28
6030276SUPPLY IMPLANTSupply/Implant$1,304.06
6030282SUPPLY IMPLANTSupply/Implant$484.22
6030282SUPPLY IMPLANTSupply/Implant$547.66
6030283CATHETER, URETERALSupply/Implant$177.05
6030293SUPPLY IMPLANTSupply/Implant$830.85
6030294GENERAL SUPPLYSupply/Implant$211.20
6030298SUPPLY IMPLANTSupply/Implant$1,209.60
6030301GENERAL SUPPLYSupply/Implant$320.00
6030306GENERAL SUPPLYSupply/Implant$134.53
6030312STERILE SUPPLYSupply/Implant$416.03
6030313SUPPLY IMPLANTSupply/Implant$775.68
6030317GENERAL SUPPLYSupply/Implant$180.99
6030321SUPPLY IMPLANTSupply/Implant$2,549.09
6030323SUPPLY IMPLANTSupply/Implant$2,662.14
6030328STERILE SUPPLYSupply/Implant$496.00
6030333SUPPLY IMPLANTSupply/Implant$633.98
6030334SUPPLY IMPLANTSupply/Implant$2,605.82
6030338SUPPLY IMPLANTSupply/Implant$2,290.23
6030339SUPPLY IMPLANTSupply/Implant$2,754.18
6030340STERILE SUPPLYSupply/Implant$244.06
6030343STERILE SUPPLYSupply/Implant$129.09
6030347STERILE SUPPLYSupply/Implant$1,587.84
6030348STERILE SUPPLYSupply/Implant$1,606.78
6030349STERILE SUPPLYSupply/Implant$1,987.97
6030350STERILE SUPPLYSupply/Implant$855.42
6030351STERILE SUPPLYSupply/Implant$1,151.74
6030352STERILE SUPPLYSupply/Implant$1,231.62
6030354SUPPLY IMPLANTSupply/Implant$201.60
6030355SUPPLY IMPLANTSupply/Implant$201.60
6030356SUPPLY IMPLANTSupply/Implant$201.60
6030357SUPPLY IMPLANTSupply/Implant$201.60
6030359SUPPLY IMPLANTSupply/Implant$1,304.06
6030362SUPPLY IMPLANTSupply/Implant$2,329.60
6030364SUPPLY IMPLANTSupply/Implant$569.09
6030365STERILE SUPPLYSupply/Implant$1,349.89
6030368SUPPLY IMPLANTSupply/Implant$825.34
6030370STERILE SUPPLYSupply/Implant$222.08
6030372SUPPLY IMPLANTSupply/Implant$290.82
6030373SUPPLY IMPLANTSupply/Implant$2,291.20
6030374SUPPLY IMPLANTSupply/Implant$3,820.80
6030376GENERAL SUPPLYSupply/Implant$228.48
6030377SUPPLY IMPLANTSupply/Implant$273.64
6030379STERILE SUPPLYSupply/Implant$246.40
6030381STERILE SUPPLYSupply/Implant$165.70
6030383SUPPLY IMPLANTSupply/Implant$566.14
6030388SUPPLY IMPLANTSupply/Implant$998.40
6030390SUPPLY IMPLANTSupply/Implant$259.84
6030391SUPPLY IMPLANTSupply/Implant$152.32
6030395SUPPLY IMPLANTSupply/Implant$511.63
6030397SUPPLY IMPLANTSupply/Implant$211.46
6030400STERILE SUPPLYSupply/Implant$136.83
6030402GENERAL SUPPLYSupply/Implant$275.20
6030403SUPPLY IMPLANTSupply/Implant$1,827.84
6030408SUPPLY IMPLANTSupply/Implant$1,149.31
6030410SUPPLY IMPLANTSupply/Implant$507.52
6030414SUPPLY IMPLANTSupply/Implant$476.29
6030415GENERAL SUPPLYSupply/Implant$247.42
6030416SUPPLY IMPLANTSupply/Implant$640.00
6030418SUPPLY IMPLANTSupply/Implant$2,228.60
6030420STERILE SUPPLYSupply/Implant$157.82
6030421STERILE SUPPLYSupply/Implant$249.86
6030422STERILE SUPPLYSupply/Implant$2,134.40
6030423STERILE SUPPLYSupply/Implant$472.32
6030427STERILE SUPPLYSupply/Implant$1,407.74
6030430SUPPLY IMPLANTSupply/Implant$6,476.80
6030437STERILE SUPPLYSupply/Implant$290.05
6030439SUPPLY IMPLANTSupply/Implant$1,167.36
6030442STERILE SUPPLYSupply/Implant$2,104.19
6030445GENERAL SUPPLYSupply/Implant$876.80
6030446STERILE SUPPLYSupply/Implant$1,260.67
6030447GENERAL SUPPLYSupply/Implant$323.75
6030448STERILE SUPPLYSupply/Implant$1,428.65
6030450CATHETER, URETERALSupply/Implant$137.73
6030452SUPPLY IMPLANTSupply/Implant$1,132.80
6030454SUPPLY IMPLANTSupply/Implant$2,965.63
6030457SUPPLY IMPLANTSupply/Implant$2,577.66
6030458SUPPLY IMPLANTSupply/Implant$228.48
6030462SUPPLY IMPLANTSupply/Implant$1,576.45
6030465LOCM 300-399MG/ML IODINE,1MLSupply/Implant$176.60
6030466SUPPLY IMPLANTSupply/Implant$7,040.00
6030468INTRO/SHEATH, NON-LASERSupply/Implant$304.64
6030469INTRO/SHEATH, NON-LASERSupply/Implant$425.09
6030470INTRO/SHEATH, NON-LASERSupply/Implant$425.09
6030472CATHETER, GUIDINGSupply/Implant$172.80
6030481SUPPLY IMPLANTSupply/Implant$4,772.01
6030483GENERAL SUPPLYSupply/Implant$257.86
6030488GENERAL SUPPLYSupply/Implant$135.17
6030490SUPPLY IMPLANTSupply/Implant$209.79
6030492INTRO/SHEATH, NON-LASERSupply/Implant$870.40
6030493SUPPLY IMPLANTSupply/Implant$412.03
6030495STERILE SUPPLYSupply/Implant$1,005.02
6030497CATHETER, URETERALSupply/Implant$252.16
6030502STERILE SUPPLYSupply/Implant$1,472.00
6030504SUPPLY IMPLANTSupply/Implant$9,830.40
6030505SUPPLY IMPLANTSupply/Implant$797.70
6030507RET DEV, INSERTABLESupply/Implant$5,056.00
6030508INTRO/SHEATH, NON-LASERSupply/Implant$425.09
6030509SUPPLY IMPLANTSupply/Implant$736.13
6030516SUPPLY IMPLANTSupply/Implant$512.00
6030517SUPPLY IMPLANTSupply/Implant$1,012.48
6030518SUPPLY IMPLANTSupply/Implant$1,012.48
6030519SUPPLY IMPLANTSupply/Implant$1,012.48
6030526SUPPLY IMPLANTSupply/Implant$448.00
6030529SUPPLY IMPLANTSupply/Implant$2,739.20
6030533SUPPLY IMPLANTSupply/Implant$1,536.00
6030535STERILE SUPPLYSupply/Implant$130.56
6030536SUPPLY IMPLANTSupply/Implant$1,389.44
6030538SUPPLY IMPLANTSupply/Implant$214.66
6030539STERILE SUPPLYSupply/Implant$130.56
6030541STERILE SUPPLYSupply/Implant$232.83
6030542SUPPLY IMPLANTSupply/Implant$243.20
6030543SUPPLY IMPLANTSupply/Implant$1,131.14
6030548SUPPLY IMPLANTSupply/Implant$649.92
6030551SUPPLY IMPLANTSupply/Implant$146.94
6030552SUPPLY IMPLANTSupply/Implant$5,090.69
6030556STERILE SUPPLYSupply/Implant$1,273.09
6030557STERILE SUPPLYSupply/Implant$705.66
6030561SUPPLY IMPLANTSupply/Implant$1,952.06
6030562GENERAL SUPPLYSupply/Implant$727.81
6030564STERILE SUPPLYSupply/Implant$887.80
6030571SUPPLY IMPLANTSupply/Implant$3,238.02
6030572SUPPLY IMPLANTSupply/Implant$2,368.68
6030575STERILE SUPPLYSupply/Implant$358.40
6030576SUPPLY IMPLANTSupply/Implant$985.60
6030578SUPPLY IMPLANTSupply/Implant$686.46
6030582SUPPLY IMPLANTSupply/Implant$833.28
6030583INTRO/SHEATH, NON-LASERSupply/Implant$425.09
6030584SUPPLY IMPLANTSupply/Implant$174.72
6030585STERILE SUPPLYSupply/Implant$170.62
6030586SUPPLY IMPLANTSupply/Implant$682.62
6030587SUPPLY IMPLANTSupply/Implant$619.52
6030590SUPPLY IMPLANTSupply/Implant$1,517.82
6030592SUPPLY IMPLANTSupply/Implant$334.72
6030593SUPPLY IMPLANTSupply/Implant$302.08
6030598SUPPLY IMPLANTSupply/Implant$974.46
6030600STERILE SUPPLYSupply/Implant$364.16
6030602SUPPLY IMPLANTSupply/Implant$283.39
6030604GENERAL SUPPLYSupply/Implant$129.79
6030608GENERAL SUPPLYSupply/Implant$219.90
6030613SUPPLY IMPLANTSupply/Implant$5,249.66
6030615SUPPLY IMPLANTSupply/Implant$5,249.66
6030617SUPPLY IMPLANTSupply/Implant$1,012.48
6030618SUPPLY IMPLANTSupply/Implant$316.80
6030619SUPPLY IMPLANTSupply/Implant$1,576.96
6030620GENERAL SUPPLYSupply/Implant$476.03
6030622SUPPLY IMPLANTSupply/Implant$2,916.10
6030624SUPPLY IMPLANTSupply/Implant$1,012.48
6030626SUPPLY IMPLANTSupply/Implant$985.60
6030627SUPPLY IMPLANTSupply/Implant$598.14
6030634SUPPLY IMPLANTSupply/Implant$2,522.34
6030637GENERAL SUPPLYSupply/Implant$801.66
6030639GENERAL SUPPLYSupply/Implant$256.00
6030640SUPPLY IMPLANTSupply/Implant$2,922.11
6030643SUPPLY IMPLANTSupply/Implant$1,081.09
6030652SUPPLY IMPLANTSupply/Implant$241.41
6030653CERV FLEXIBLE NON-ADJUSTABLESupply/Implant$189.95
6030656SUPPLY IMPLANTSupply/Implant$192.00
6030658SUPPLY IMPLANTSupply/Implant$737.41
6030661SUPPLY IMPLANTSupply/Implant$4,684.54
6030663CATH, BAL DIL, NON-VASCULARSupply/Implant$2,989.06
6030664SUPPLY IMPLANTSupply/Implant$239.36
6030665SUPPLY IMPLANTSupply/Implant$1,903.87
6030667STERILE SUPPLYSupply/Implant$1,079.33
6030668STERILE SUPPLYSupply/Implant$308.99
6030669SUPPLY IMPLANTSupply/Implant$444.42
6030681SUPPLY IMPLANTSupply/Implant$985.60
6030682SUPPLY IMPLANTSupply/Implant$985.60
6030683SUPPLY IMPLANTSupply/Implant$985.60
6030684SUPPLY IMPLANTSupply/Implant$1,012.48
6030686SUPPLY IMPLANTSupply/Implant$1,012.48
6030687SUPPLY IMPLANTSupply/Implant$1,012.48
6030688SUPPLY IMPLANTSupply/Implant$1,012.48
6030690STERILE SUPPLYSupply/Implant$288.90
6030691GENERAL SUPPLYSupply/Implant$360.06
6030692SUPPLY IMPLANTSupply/Implant$2,316.80
6030693SUPPLY IMPLANTSupply/Implant$3,737.60
6030695SUPPLY IMPLANTSupply/Implant$5,126.66
6030701STERILE SUPPLYSupply/Implant$584.58
6030703CATHETER, GUIDINGSupply/Implant$1,648.38
6030707SUPPLY IMPLANTSupply/Implant$8,585.47
6030709SUPPLY IMPLANTSupply/Implant$747.78
6030711GENERAL SUPPLYSupply/Implant$373.12
6030713SUPPLY IMPLANTSupply/Implant$1,881.60
6030714SUPPLY IMPLANTSupply/Implant$1,089.15
6030715SUPPLY IMPLANTSupply/Implant$2,283.01
6030716SUPPLY IMPLANTSupply/Implant$1,320.70
6030718SUPPLY IMPLANTSupply/Implant$1,243.52
6030721SUPPLY IMPLANTSupply/Implant$961.54
6030722SUPPLY IMPLANTSupply/Implant$4,560.00
6030724SUPPLY IMPLANTSupply/Implant$995.33
6030725STERILE SUPPLYSupply/Implant$382.59
6030730STERILE SUPPLYSupply/Implant$207.74
6030733SUPPLY IMPLANTSupply/Implant$316.88
6030734CATH, BAL DIL, NON-VASCULARSupply/Implant$3,434.75
6030738SUPPLY IMPLANTSupply/Implant$199.30
6030739SUPPLY IMPLANTSupply/Implant$4,851.84
6030740SUPPLY IMPLANTSupply/Implant$1,404.54
6030742GENERAL SUPPLYSupply/Implant$308.99
6030746STERILE SUPPLYSupply/Implant$380.01
6030747STERILE SUPPLYSupply/Implant$392.61
6030748STERILE SUPPLYSupply/Implant$453.95
6030749GENERAL SUPPLYSupply/Implant$211.20
6030750SUPPLY IMPLANTSupply/Implant$1,434.37
6030751SUPPLY IMPLANTSupply/Implant$1,434.37
6030752SUPPLY IMPLANTSupply/Implant$361.34
6030752SUPPLY IMPLANTSupply/Implant$461.57
6030755STERILE SUPPLYSupply/Implant$158.21
6030756STERILE SUPPLYSupply/Implant$157.44
6030757GENERAL SUPPLYSupply/Implant$155.14
6030758SUPPLY IMPLANTSupply/Implant$1,320.70
6030759STERILE SUPPLYSupply/Implant$140.65
6030762GENERAL SUPPLYSupply/Implant$153.60
6030763CATHETER, URETERALSupply/Implant$162.15
6030764GENERAL SUPPLYSupply/Implant$711.68
6030766SUPPLY IMPLANTSupply/Implant$195.56
6030769STERILE SUPPLYSupply/Implant$482.82
6030772STERILE SUPPLYSupply/Implant$165.93
6030775GENERAL SUPPLYSupply/Implant$619.01
6030777SUPPLY IMPLANTSupply/Implant$393.60
6030778SUPPLY IMPLANTSupply/Implant$1,767.59
6030783STERILE SUPPLYSupply/Implant$262.66
6030784STERILE SUPPLYSupply/Implant$250.88
6030787SUPPLY IMPLANTSupply/Implant$160.90
6030792SUPPLY IMPLANTSupply/Implant$212.74
6030795SUPPLY IMPLANTSupply/Implant$1,079.96
6030802SUPPLY IMPLANTSupply/Implant$224.90
6030803SUPPLY IMPLANTSupply/Implant$154.62
6030804GENERAL SUPPLYSupply/Implant$751.87
6030805GENERAL SUPPLYSupply/Implant$576.00
6030807CATH, BAL DIL, NON-VASCULARSupply/Implant$3,279.36
6030818CATHETER, URETERALSupply/Implant$231.42
6030820SUPPLY IMPLANTSupply/Implant$5,241.60
6030822SUPPLY IMPLANTSupply/Implant$799.62
6030832SUPPLY IMPLANTSupply/Implant$1,355.01
6030836SUPPLY IMPLANTSupply/Implant$1,434.37
6030839SUPPLY IMPLANTSupply/Implant$4,672.00
6030840STERILE SUPPLYSupply/Implant$229.95
6030857SUPPLY IMPLANTSupply/Implant$2,304.00
6030860SUPPLY IMPLANTSupply/Implant$2,195.46
6030861SUPPLY IMPLANTSupply/Implant$1,689.60
6030862GENERAL SUPPLYSupply/Implant$1,301.25
6030863STERILE SUPPLYSupply/Implant$681.34
6030872SUPPLY IMPLANTSupply/Implant$273.97
6030873SUPPLY IMPLANTSupply/Implant$273.97
6030874SUPPLY IMPLANTSupply/Implant$5,902.08
6030877SUPPLY IMPLANTSupply/Implant$780.80
6030878SUPPLY IMPLANTSupply/Implant$547.58
6030879SUPPLY IMPLANTSupply/Implant$1,389.57
6030883SUPPLY IMPLANTSupply/Implant$1,702.40
6030884SUPPLY IMPLANTSupply/Implant$541.31
6030900SUPPLY IMPLANTSupply/Implant$3,298.43
6030908GENERAL SUPPLYSupply/Implant$2,816.00
6030910SUPPLY IMPLANTSupply/Implant$3,047.63
6030913SUPPLY IMPLANTSupply/Implant$1,132.80
6030916SUPPLY IMPLANTSupply/Implant$258.56
6030918STERILE SUPPLYSupply/Implant$170.50
6030919CERV COL THERMPLAS FOAM 2 PISupply/Implant$265.09
6030922CERV COL THERMPLAS FOAM 2 PISupply/Implant$353.66
6030923CERV COL THERMPLAS FOAM 2 PISupply/Implant$314.62
6030932GENERAL SUPPLYSupply/Implant$2,880.00
6030933SUPPLY IMPLANTSupply/Implant$258.56
6030935STERILE SUPPLYSupply/Implant$244.99
6030940GENERAL SUPPLYSupply/Implant$375.17
6030942CATHETER, URETERALSupply/Implant$185.60
6030943CATHETER, URETERALSupply/Implant$185.60
6030948SUPPLY IMPLANTSupply/Implant$9,369.60
6030949SUPPLY IMPLANTSupply/Implant$1,122.82
6030968STERILE SUPPLYSupply/Implant$5,132.16
6030970GENERAL SUPPLYSupply/Implant$608.26
6030973STERILE SUPPLYSupply/Implant$252.80
6030975SUPPLY IMPLANTSupply/Implant$4,098.05
6030976SUPPLY IMPLANTSupply/Implant$4,025.31
6030981STERILE SUPPLYSupply/Implant$248.06
6030985STERILE SUPPLYSupply/Implant$4,418.94
6030987SUPPLY IMPLANTSupply/Implant$1,083.65
6030992STERILE SUPPLYSupply/Implant$532.22
6030999INTRO/SHEATH, NON-LASERSupply/Implant$591.36
6031009SUPPLY IMPLANTSupply/Implant$960.00
6031011GENERAL SUPPLYSupply/Implant$152.55
6031015SUPPLY IMPLANTSupply/Implant$145.79
6031016SUPPLY IMPLANTSupply/Implant$169.22
6031018SUPPLY IMPLANTSupply/Implant$3,520.00
6031023SUPPLY IMPLANTSupply/Implant$1,033.34
6031024SUPPLY IMPLANTSupply/Implant$283.39
6031025CATHETER, URETERALSupply/Implant$129.41
6031030SUPPLY IMPLANTSupply/Implant$374.14
6031031CATH, BAL DIL, NON-VASCULARSupply/Implant$5,223.68
6031032ADHESION BARRIERSupply/Implant$9,991.68
6031034GENERAL SUPPLYSupply/Implant$729.60
6031039CATH, BAL DIL, NON-VASCULARSupply/Implant$4,044.16
6031040CATH, BAL DIL, NON-VASCULARSupply/Implant$4,044.16
6031041CATH, BAL DIL, NON-VASCULARSupply/Implant$4,044.16
6031042CATH, BAL DIL, NON-VASCULARSupply/Implant$4,044.16
6031043CATH, BAL DIL, NON-VASCULARSupply/Implant$4,044.16
6031052SUPPLY IMPLANTSupply/Implant$6,170.11
6031062SUPPLY IMPLANTSupply/Implant$243.20
6031065STERILE SUPPLYSupply/Implant$249.60
6031070SUPPLY IMPLANTSupply/Implant$841.93
6031080SUPPLY IMPLANTSupply/Implant$7,456.00
6031082SUPPLY IMPLANTSupply/Implant$977.73
6031086STERILE SUPPLYSupply/Implant$574.67
6031087SUPPLY IMPLANTSupply/Implant$642.56
6031088SUPPLY IMPLANTSupply/Implant$1,058.23
6031089CATH, BAL DIL, NON-VASCULARSupply/Implant$5,223.68
6031093SUPPLY IMPLANTSupply/Implant$316.80
6031096SUPPLY IMPLANTSupply/Implant$619.52
6031098SUPPLY IMPLANTSupply/Implant$3,820.80
6031108GUIDE WIRESupply/Implant$3,387.78
6031112STERILE SUPPLYSupply/Implant$656.19
6031114SUPPLY IMPLANTSupply/Implant$2,789.18
6031117STERILE SUPPLYSupply/Implant$214.34
6031118SUPPLY IMPLANTSupply/Implant$576.00
6031119GENERAL SUPPLYSupply/Implant$620.80
6031123STERILE SUPPLYSupply/Implant$422.40
6031126SUPPLY IMPLANTSupply/Implant$367.87
6031127SUPPLY IMPLANTSupply/Implant$166.57
6031128SUPPLY IMPLANTSupply/Implant$288.00
6031130SUPPLY IMPLANTSupply/Implant$25,600.00
6031132CATH, BAL DIL, NON-VASCULARSupply/Implant$5,223.68
6031135GENERAL SUPPLYSupply/Implant$1,024.00
6031136SUPPLY IMPLANTSupply/Implant$3,257.86
6031141SUPPLY IMPLANTSupply/Implant$572.03
6031143SUPPLY IMPLANTSupply/Implant$956.01
6031144SUPPLY IMPLANTSupply/Implant$1,839.10
6031149SUPPLY IMPLANTSupply/Implant$256.00
6031150SUPPLY IMPLANTSupply/Implant$5,738.66
6031155INTRO/SHEATH, NON-LASERSupply/Implant$1,152.00
6031159STERILE SUPPLYSupply/Implant$134.14
6031168STERILE SUPPLYSupply/Implant$734.72
6031171SUPPLY IMPLANTSupply/Implant$1,809.79
6031172SUPPLY IMPLANTSupply/Implant$917.38
6031173SUPPLY IMPLANTSupply/Implant$128.00
6031175STERILE SUPPLYSupply/Implant$1,676.80
6031181STERILE SUPPLYSupply/Implant$156.54
6031184SUPPLY IMPLANTSupply/Implant$896.00
6031185STERILE SUPPLYSupply/Implant$972.42
6031190SUPPLY IMPLANTSupply/Implant$1,635.84
6031192SUPPLY IMPLANTSupply/Implant$1,653.06
6031195SUPPLY IMPLANTSupply/Implant$3,644.48
6031196SUPPLY IMPLANTSupply/Implant$2,655.36
6031198STERILE SUPPLYSupply/Implant$204.16
6031201SUPPLY IMPLANTSupply/Implant$1,202.05
6031205SUPPLY IMPLANTSupply/Implant$3,993.60
6031206SUPPLY IMPLANTSupply/Implant$4,070.40
6031207GENERAL SUPPLYSupply/Implant$217.97
6031208GUIDE WIRESupply/Implant$3,010.62
6031209SUPPLY IMPLANTSupply/Implant$1,036.80
6031210CATH, TRANSLUMIN NON-LASERSupply/Implant$6,131.71
6031211CATH, TRANSLUMIN NON-LASERSupply/Implant$6,131.71
6031212CATH, TRANSLUMIN NON-LASERSupply/Implant$6,131.71
6031215SUPPLY IMPLANTSupply/Implant$904.96
6031219CATH, BAL DIL, NON-VASCULARSupply/Implant$5,223.68
6031225SUPPLY IMPLANTSupply/Implant$4,565.34
6031227SUPPLY IMPLANTSupply/Implant$1,113.60
6031228SUPPLY IMPLANTSupply/Implant$353.15
6031231STERILE SUPPLYSupply/Implant$357.12
6031234SUPPLY IMPLANTSupply/Implant$1,809.79
6031235GENERAL SUPPLYSupply/Implant$360.96
6031236GENERAL SUPPLYSupply/Implant$499.20
6031238LOCM 300-399MG/ML IODINE,1MLSupply/Implant$182.02
6031244GENERAL SUPPLYSupply/Implant$187.39
6031249STERILE SUPPLYSupply/Implant$273.97
6031251STERILE SUPPLYSupply/Implant$430.08
6031252SUPPLY IMPLANTSupply/Implant$50,585.60
6031253SUPPLY IMPLANTSupply/Implant$288.00
6031259STERILE SUPPLYSupply/Implant$150.18
6031263SUPPLY IMPLANTSupply/Implant$336.00
6031267GENERAL SUPPLYSupply/Implant$279.68
6031269SUPPLY IMPLANTSupply/Implant$7,677.06
6031272SUPPLY IMPLANTSupply/Implant$568.63
6031273SUPPLY IMPLANTSupply/Implant$568.63
6031274SUPPLY IMPLANTSupply/Implant$619.01
6031276STENT, NON-COR, TEM W/O DELSupply/Implant$1,894.40
6031278STENT, NON-COR, TEM W/O DELSupply/Implant$1,894.40
6031280SUPPLY IMPLANTSupply/Implant$1,753.60
6031283STERILE SUPPLYSupply/Implant$343.94
6031284LEAD, NEUROSTIMULATORSupply/Implant$87,398.40
6031288SUPPLY IMPLANTSupply/Implant$1,434.11
6031289SUPPLY IMPLANTSupply/Implant$2,380.80
6031290STERILE SUPPLYSupply/Implant$1,792.00
6031291STERILE SUPPLYSupply/Implant$1,792.00
6031292STERILE SUPPLYSupply/Implant$984.52
6031297SUPPLY IMPLANTSupply/Implant$2,880.00
6031300STERILE SUPPLYSupply/Implant$193.15
6031302GENERAL SUPPLYSupply/Implant$1,164.80
6031303SUPPLY IMPLANTSupply/Implant$1,587.20
6031305SUPPLY IMPLANTSupply/Implant$445.18
6031307SUPPLY IMPLANTSupply/Implant$4,318.34
6031310STERILE SUPPLYSupply/Implant$172.29
6031312SUPPLY IMPLANTSupply/Implant$576.00
6031318STERILE SUPPLYSupply/Implant$756.61
6031320STERILE SUPPLYSupply/Implant$976.90
6031321SUPPLY IMPLANTSupply/Implant$2,736.64
6031322SUPPLY IMPLANTSupply/Implant$6,715.90
6031325SUPPLY IMPLANTSupply/Implant$3,233.82
6031339SUPPLY IMPLANTSupply/Implant$938.62
6031344GENERAL SUPPLYSupply/Implant$364.80
6031348SUPPLY IMPLANTSupply/Implant$1,196.93
6031351SUPPLY IMPLANTSupply/Implant$1,931.01
6031353STERILE SUPPLYSupply/Implant$532.22
6031354SUPPLY IMPLANTSupply/Implant$5,735.42
6031355SUPPLY IMPLANTSupply/Implant$649.98
6031358SUPPLY IMPLANTSupply/Implant$863.74
6031359SUPPLY IMPLANTSupply/Implant$710.14
6031360SUPPLY IMPLANTSupply/Implant$142.59
6031361SUPPLY IMPLANTSupply/Implant$1,587.20
6031368GENERAL SUPPLYSupply/Implant$1,344.00
6031372SUPPLY IMPLANTSupply/Implant$668.42
6031373SUPPLY IMPLANTSupply/Implant$1,178.75
6031376SUPPLY IMPLANTSupply/Implant$1,405.57
6031382SUPPLY IMPLANTSupply/Implant$297.60
6031385SUPPLY IMPLANTSupply/Implant$338.39
6031387STERILE SUPPLYSupply/Implant$281.60
6031388GENERAL SUPPLYSupply/Implant$564.22
6031391SUPPLY IMPLANTSupply/Implant$146.48
6031391SUPPLY IMPLANTSupply/Implant$149.58
6031393STERILE SUPPLYSupply/Implant$456.06
6031396SUPPLY IMPLANTSupply/Implant$188.42
6031398SUPPLY IMPLANTSupply/Implant$1,375.00
6031399STERILE SUPPLYSupply/Implant$214.66
6031401SUPPLY IMPLANTSupply/Implant$336.13
6031402STERILE SUPPLYSupply/Implant$140.16
6031409SUPPLY IMPLANTSupply/Implant$809.86
6031414SUPPLY IMPLANTSupply/Implant$135.81
6031415SUPPLY IMPLANTSupply/Implant$4,642.56
6031417INTRO/SHEATH, NON-LASERSupply/Implant$2,881.54
6031418STERILE SUPPLYSupply/Implant$493.95
6031419SUPPLY IMPLANTSupply/Implant$2,688.00
6031421SUPPLY IMPLANTSupply/Implant$302.08
6031422SUPPLY IMPLANTSupply/Implant$719.87
6031424SUPPLY IMPLANTSupply/Implant$576.00
6031426SUPPLY IMPLANTSupply/Implant$2,590.08
6031429STERILE SUPPLYSupply/Implant$303.36
6031433STERILE SUPPLYSupply/Implant$1,408.00
6031437SUPPLY IMPLANTSupply/Implant$3,752.06
6031438GUIDE WIRESupply/Implant$7,099.78
6031441SUPPLY IMPLANTSupply/Implant$4,684.54
6031442STERILE SUPPLYSupply/Implant$1,943.42
6031443CATH, EP, DIAG/ABL, 3D/VECTSupply/Implant$29,440.00
6031444CATH, EP, DIAG/ABL, 3D/VECTSupply/Implant$34,560.00
6031445SUPPLY IMPLANTSupply/Implant$2,035.20
6031446STERILE SUPPLYSupply/Implant$691.20
6031452SUPPLY IMPLANTSupply/Implant$5,165.44
6031453SUPPLY IMPLANTSupply/Implant$5,165.44
6031454SUPPLY IMPLANTSupply/Implant$2,378.11
6031456CONN TISS, HUMAN(INC FASCIA)Supply/Implant$6,813.76
6031463SUPPLY IMPLANTSupply/Implant$1,653.50
6031467SUPPLY IMPLANTSupply/Implant$1,095.33
6031468SUPPLY IMPLANTSupply/Implant$584.17
6031471SUPPLY IMPLANTSupply/Implant$4,984.96
6031482SUPPLY IMPLANTSupply/Implant$11,175.91
6031483SUPPLY IMPLANTSupply/Implant$10,476.06
6031494SUPPLY IMPLANTSupply/Implant$11,520.00
6031497STERILE SUPPLYSupply/Implant$293.25
6031500SUPPLY IMPLANTSupply/Implant$152.96
6031506STERILE SUPPLYSupply/Implant$550.40
6031510SUPPLY IMPLANTSupply/Implant$2,323.20
6031511SUPPLY IMPLANTSupply/Implant$5,067.01
6031512STERILE SUPPLYSupply/Implant$145.15
6031513GENERAL DRUGSupply/Implant$893.44
6031515INTRO/SHEATH, NON-LASERSupply/Implant$1,350.40
6031520STERILE SUPPLYSupply/Implant$761.34
6031524STERILE SUPPLYSupply/Implant$257.15
6031531SUPPLY IMPLANTSupply/Implant$249.60
6031536SUPPLY IMPLANTSupply/Implant$2,323.20
6031539SUPPLY IMPLANTSupply/Implant$606.67
6031545STERILE SUPPLYSupply/Implant$627.84
6031550CATHETER, URETERALSupply/Implant$240.00
6031558SUPPLY IMPLANTSupply/Implant$158.46
6031559SUPPLY IMPLANTSupply/Implant$158.46
6031560SUPPLY IMPLANTSupply/Implant$512.00
6031566SUPPLY IMPLANTSupply/Implant$143.36
6031568CATHETER, URETERALSupply/Implant$137.73
6031572SUPPLY IMPLANTSupply/Implant$1,551.36
6031573SUPPLY IMPLANTSupply/Implant$1,551.36
6031575GENERAL SUPPLYSupply/Implant$183.42
6031576SUPPLY IMPLANTSupply/Implant$2,019.58
6031580SUPPLY IMPLANTSupply/Implant$595.58
6031588SUPPLY IMPLANTSupply/Implant$3,520.00
6031592SUPPLY IMPLANTSupply/Implant$4,328.19
6031593SUPPLY IMPLANTSupply/Implant$4,328.19
6031601SUPPLY IMPLANTSupply/Implant$11,888.68
6031602SUPPLY IMPLANTSupply/Implant$267.65
6031605SUPPLY IMPLANTSupply/Implant$1,957.76
6031606MESH (IMPLANTABLE)Supply/Implant$2,086.40
6031608STERILE SUPPLYSupply/Implant$312.54
6031609GENERAL SUPPLYSupply/Implant$137.34
6031610SUPPLY IMPLANTSupply/Implant$640.00
6031613SUPPLY IMPLANTSupply/Implant$1,142.78
6031620SUPPLY IMPLANTSupply/Implant$1,152.00
6031622SUPPLY IMPLANTSupply/Implant$384.03
6031624STERILE SUPPLYSupply/Implant$530.66
6031627STERILE SUPPLYSupply/Implant$219.39
6031628SUPPLY IMPLANTSupply/Implant$2,252.80
6031630SUPPLY IMPLANTSupply/Implant$320.00
6031631SUPPLY IMPLANTSupply/Implant$3,328.00
6031639GENERAL SUPPLYSupply/Implant$524.80
6031641SUPPLY IMPLANTSupply/Implant$405.38
6031644STERILE SUPPLYSupply/Implant$537.60
6031647SUPPLY IMPLANTSupply/Implant$23,680.00
6031652SUPPLY IMPLANTSupply/Implant$954.24
6031654ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,272.32
6031655SUPPLY IMPLANTSupply/Implant$5,165.44
6031663SUPPLY IMPLANTSupply/Implant$134.40
6031666PROS, URINARY SPH, IMPSupply/Implant$74,967.04
6031668STERILE SUPPLYSupply/Implant$198.91
6031669MESH (IMPLANTABLE)Supply/Implant$4,809.09
6031670SUPPLY IMPLANTSupply/Implant$512.00
6031671SUPPLY IMPLANTSupply/Implant$512.00
6031672SUPPLY IMPLANTSupply/Implant$960.00
6031676GENERAL SUPPLYSupply/Implant$1,834.88
6031677SUPPLY IMPLANTSupply/Implant$322.94
6031678SUPPLY IMPLANTSupply/Implant$11,456.00
6031680STERILE SUPPLYSupply/Implant$284.67
6031685SUPPLY IMPLANTSupply/Implant$782.08
6031686STERILE SUPPLYSupply/Implant$883.20
6031691CATHETER, URETERALSupply/Implant$308.19
6031692INTRO/SHEATH, NON-LASERSupply/Implant$425.09
6031696STENT, COATED/COV W/DEL SYSSupply/Implant$37,381.38
6031697SUPPLY IMPLANTSupply/Implant$2,799.74
6031701SUPPLY IMPLANTSupply/Implant$678.40
6031703STERILE SUPPLYSupply/Implant$259.56
6031706STERILE SUPPLYSupply/Implant$5,789.44
6031707SUPPLY IMPLANTSupply/Implant$281.60
6031711SUPPLY IMPLANTSupply/Implant$256.00
6031712SUPPLY IMPLANTSupply/Implant$409.60
6031713SUPPLY IMPLANTSupply/Implant$322.56
6031722SUPPLY IMPLANTSupply/Implant$441.98
6031724SUPPLY IMPLANTSupply/Implant$2,199.17
6031725SUPPLY IMPLANTSupply/Implant$2,844.16
6031726SUPPLY IMPLANTSupply/Implant$3,737.60
6031728JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6031729JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6031730JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6031737SUPPLY IMPLANTSupply/Implant$2,188.54
6031738SUPPLY IMPLANTSupply/Implant$2,124.80
6031739SUPPLY IMPLANTSupply/Implant$2,503.94
6031742CATH, TRANSLUMIN NON-LASERSupply/Implant$3,136.00
6031753SUPPLY IMPLANTSupply/Implant$2,803.20
6031759SUPPLY IMPLANTSupply/Implant$632.86
6031762CATH, TRANSLUMIN NON-LASERSupply/Implant$3,520.00
6031768JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,742.27
6031769ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,497.60
6031770SUPPLY IMPLANTSupply/Implant$256.00
6031772ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,512.00
6031775SUPPLY IMPLANTSupply/Implant$11,992.19
6031776SUPPLY IMPLANTSupply/Implant$3,904.00
6031779JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,040.00
6031780ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,915.20
6031787SUPPLY IMPLANTSupply/Implant$6,921.60
6031795SUPPLY IMPLANTSupply/Implant$1,848.96
6031797SUPPLY IMPLANTSupply/Implant$323.20
6031803SUPPLY IMPLANTSupply/Implant$2,992.79
6031805ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$947.20
6031807SUPPLY IMPLANTSupply/Implant$313.60
6031808ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,960.00
6031809SUPPLY IMPLANTSupply/Implant$3,697.02
6031810SUPPLY IMPLANTSupply/Implant$314.24
6031811SUPPLY IMPLANTSupply/Implant$921.60
6031812SUPPLY IMPLANTSupply/Implant$245.76
6031813GASTRO/JEJUNO TUBE, STDSupply/Implant$1,280.00
6031814ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,960.00
6031815SUPPLY IMPLANTSupply/Implant$67,840.00
6031816SUPPLY IMPLANTSupply/Implant$499.20
6031817SUPPLY IMPLANTSupply/Implant$6,720.00
6031820SUPPLY IMPLANTSupply/Implant$5,120.00
6031821SUPPLY IMPLANTSupply/Implant$3,456.00
6031822SUPPLY IMPLANTSupply/Implant$1,032.32
6031826SUPPLY IMPLANTSupply/Implant$7,028.74
6031829SUPPLY IMPLANTSupply/Implant$672.13
6031841ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,504.00
6031844ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,563.20
6031845ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,732.80
6031848SUPPLY IMPLANTSupply/Implant$1,280.00
6031849SUPPLY IMPLANTSupply/Implant$1,042.05
6031852ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,870.40
6031853SUPPLY IMPLANTSupply/Implant$28,655.49
6031858SUPPLY IMPLANTSupply/Implant$940.80
6031859SUPPLY IMPLANTSupply/Implant$590.59
6031862SUPPLY IMPLANTSupply/Implant$20,106.75
6031866GENERAL SUPPLYSupply/Implant$468.35
6031867SUPPLY IMPLANTSupply/Implant$13,104.90
6031868SUPPLY IMPLANTSupply/Implant$14,090.37
6031877SUPPLY IMPLANTSupply/Implant$3,375.10
6031878STERILE SUPPLYSupply/Implant$206.98
6031879GENERAL SUPPLYSupply/Implant$277.63
6031880SUPPLY IMPLANTSupply/Implant$270.08
6031882SUPPLY IMPLANTSupply/Implant$6,912.00
6031886SUPPLY IMPLANTSupply/Implant$226.05
6031888SUPPLY IMPLANTSupply/Implant$1,256.81
6031890ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,504.00
6031891SUPPLY IMPLANTSupply/Implant$632.70
6031897JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6031899ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,169.60
6031900ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,520.00
6031901ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,664.00
6031905STERILE SUPPLYSupply/Implant$1,671.68
6031907ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,059.20
6031909ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,993.60
6031913GUIDE WIRESupply/Implant$1,331.20
6031916SUPPLY IMPLANTSupply/Implant$2,867.20
6031920SUPPLY IMPLANTSupply/Implant$317.44
6031921ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,059.20
6031922NEUROMATRIX NERVE CUFF, CMSupply/Implant$23,109.12
6031926ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,352.00
6031927JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,242.30
6031931SUPPLY IMPLANTSupply/Implant$317.44
6031932SUPPLY IMPLANTSupply/Implant$8,640.00
6031935SUPPLY IMPLANTSupply/Implant$591.26
6031936SUPPLY IMPLANTSupply/Implant$591.26
6031937SUPPLY IMPLANTSupply/Implant$548.48
6031939ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,643.14
6031940SUPPLY IMPLANTSupply/Implant$570.88
6031942ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,062.40
6031944SUPPLY IMPLANTSupply/Implant$1,331.20
6031945SUPPLY IMPLANTSupply/Implant$1,216.00
6031949SUPPLY IMPLANTSupply/Implant$13,184.00
6031958SUPPLY IMPLANTSupply/Implant$23,040.00
6031960ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,734.40
6031968ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,504.00
6031970ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,734.40
6031971ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6031978SUPPLY IMPLANTSupply/Implant$288.00
6031981ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$13,977.60
6031986SUPPLY IMPLANTSupply/Implant$362.88
6031988ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,397.76
6031989ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,612.80
6031992ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$627.20
6031993ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,785.60
6031994ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$632.32
6032002ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,504.00
6032003ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,504.00
6032004ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,612.80
6032006ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,062.40
6032014ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,504.00
6032018ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,059.20
6032020NEUROMATRIX NERVE CUFF, CMSupply/Implant$23,109.12
6032024ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,736.00
6032025SUPPLY IMPLANTSupply/Implant$524.54
6032026ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,932.80
6032027SUPPLY IMPLANTSupply/Implant$4,544.00
6032029ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,614.40
6032032JOINT DEVICE (IMPLANTABLE)Supply/Implant$11,200.00
6032033ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$13,977.60
6032035SUPPLY IMPLANTSupply/Implant$11,233.02
6032041ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,682.37
6032043ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,012.48
6032044ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,012.48
6032045ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,012.48
6032046STERILE SUPPLYSupply/Implant$1,280.00
6032048ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,352.00
6032050ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,880.00
6032058SUPPLY IMPLANTSupply/Implant$19,111.55
6032059NEUROMATRIX NERVE CUFF, CMSupply/Implant$23,109.12
6032060ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,299.20
6032068ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,075.20
6032069ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,075.20
6032073ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,932.80
6032074SUPPLY IMPLANTSupply/Implant$1,932.80
6032076STERILE SUPPLYSupply/Implant$518.40
6032077STERILE SUPPLYSupply/Implant$518.40
6032078ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,880.00
6032082ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,052.80
6032086ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$825.60
6032091ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,449.34
6032092ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,331.20
6032112ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6032118SUPPLY IMPLANTSupply/Implant$1,036.80
6032120ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,105.92
6032124ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,454.08
6032125SUPPLY IMPLANTSupply/Implant$1,792.00
6032126STERILE SUPPLYSupply/Implant$1,664.00
6032130ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,062.40
6032131ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6032132ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6032133ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6032135SUPPLY IMPLANTSupply/Implant$2,880.00
6032138STERILE SUPPLYSupply/Implant$213.12
6032143ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,012.48
6032145SUPPLY IMPLANTSupply/Implant$1,792.00
6032148ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,059.20
6032152SUPPLY IMPLANTSupply/Implant$409.60
6032162ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,696.70
6032165ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,561.60
6032167ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,878.40
6032168ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,696.70
6032171ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,560.00
6032172STERILE SUPPLYSupply/Implant$249.60
6032173SUPPLY IMPLANTSupply/Implant$249.60
6032174SUPPLY IMPLANTSupply/Implant$2,624.00
6032175ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,880.00
6032177ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,696.70
6032184ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,925.50
6032185STERILE SUPPLYSupply/Implant$486.40
6032189SUPPLY IMPLANTSupply/Implant$2,432.00
6032195ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,105.92
6032197STERILE SUPPLYSupply/Implant$15,360.00
6032203SUPPLY IMPLANTSupply/Implant$288.00
6032208SUPPLY IMPLANTSupply/Implant$1,433.60
6032212ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$10,150.40
6032219GASTRO/JEJUNO TUBE, STDSupply/Implant$1,280.00
6032220SUPPLY IMPLANTSupply/Implant$2,240.00
6032224ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,028.80
6032227ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,926.40
6032228ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$580.74
6032229SUPPLY IMPLANTSupply/Implant$288.00
6032240ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,032.00
6032242ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,926.40
6032245ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,499.84
6032246ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,072.00
6032250JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,118.08
6032253SUPPLY IMPLANTSupply/Implant$3,375.10
6032254SUPPLY IMPLANTSupply/Implant$3,375.10
6032258GASTRO/JEJUNO TUBE, STDSupply/Implant$1,280.00
6032259GASTRO/JEJUNO TUBE, STDSupply/Implant$1,280.00
6032260ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,924.74
6032261GUIDE WIRESupply/Implant$669.57
6032266ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$517.12
6032267SUPPLY IMPLANTSupply/Implant$779.60
6032268SUPPLY IMPLANTSupply/Implant$852.56
6032271ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,057.60
6032272ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6032276ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6032277ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6032278ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6032283ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,377.60
6032284ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,257.60
6032285ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,062.40
6032287ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$17,114.24
6032288SUPPLY IMPLANTSupply/Implant$6,080.00
6032289ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,350.08
6032290ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,350.08
6032291ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$17,756.16
6032293ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$17,114.24
6032297ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,350.08
6032299SUPPLY IMPLANTSupply/Implant$8,534.40
6032300ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$17,114.24
6032301ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,350.08
6032302ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$17,984.64
6032310ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6032311ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,057.60
6032312GENERAL SUPPLYSupply/Implant$3,686.40
6032313GENERAL SUPPLYSupply/Implant$3,955.20
6032319ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,880.00
6032329SUPPLY IMPLANTSupply/Implant$5,977.60
6032334SUPPLY IMPLANTSupply/Implant$3,697.02
6032343ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,397.76
6032344SUPPLY IMPLANTSupply/Implant$60,800.00
6032345ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,648.00
6032346ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,560.00
6032347SUPPLY IMPLANTSupply/Implant$3,375.10
6032348ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,560.00
6032350STERILE SUPPLYSupply/Implant$529.92
6032353ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,089.60
6032354ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,880.00
6032357SUPPLY IMPLANTSupply/Implant$6,220.80
6032365ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$998.40
6032369ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$998.40
6032382SUPPLY IMPLANTSupply/Implant$6,656.00
6032384ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$10,880.00
6032389SUPPLY IMPLANTSupply/Implant$52,838.40
6032397ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$448.00
6032398ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$448.00
6032401ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,408.00
6032402ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,344.00
6032403ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,344.00
6032404ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,344.00
6032405ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,648.00
6032406STERILE SUPPLYSupply/Implant$249.60
6032407ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,032.00
6032408ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,030.40
6032410ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,344.00
6032412ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$448.00
6032413ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$448.00
6032414ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$10,060.80
6032415ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,406.40
6032416ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$580.74
6032417SUPPLY IMPLANTSupply/Implant$4,218.88
6032418GUIDE WIRESupply/Implant$407.81
6032419ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,057.60
6032420ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,057.60
6032423ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$17,114.24
6032425ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,512.00
6032426ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,128.96
6032427ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,128.96
6032429ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,535.68
6032430ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,535.68
6032431ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,535.68
6032432ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,089.60
6032433ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,174.40
6032435GENERAL SUPPLYSupply/Implant$148.48
6032438KO IMMOBILIZER CANVAS LONGITSupply/Implant$762.62
6032439GENERAL SUPPLYSupply/Implant$275.46
6032442ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,057.60
6032443ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,057.60
6032454ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,062.40
6032461SUPPLY IMPLANTSupply/Implant$2,214.40
6032466SUPPLY IMPLANTSupply/Implant$6,656.00
6032468ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,648.00
6032470ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,350.08
6032471ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,350.08
6032478GENERAL SUPPLYSupply/Implant$130.56
6032480SUPPLY IMPLANTSupply/Implant$373.63
6032484GENERAL SUPPLYSupply/Implant$151.68
6032496STERILE SUPPLYSupply/Implant$172.03
6032500CATH, THROMBECTOMY/EMBOLECTSupply/Implant$1,043.20
6032501GENERAL SUPPLYSupply/Implant$138.24
6032512GENERAL SUPPLYSupply/Implant$819.20
6032515SUPPLY IMPLANTSupply/Implant$533.12
6032518SUPPLY IMPLANTSupply/Implant$1,210.11
6032522SUPPLY IMPLANTSupply/Implant$633.98
6032523SUPPLY IMPLANTSupply/Implant$150.53
6032524SUPPLY IMPLANTSupply/Implant$146.18
6032525SUPPLY IMPLANTSupply/Implant$691.20
6032529ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,643.14
6032541CERV FLEXIBLE NON-ADJUSTABLESupply/Implant$190.59
6032544SUPPLY IMPLANTSupply/Implant$1,612.80
6032549STERILE SUPPLYSupply/Implant$210.94
6032554SUPPLY IMPLANTSupply/Implant$2,232.83
6032556STERILE SUPPLYSupply/Implant$217.47
6032561SUPPLY IMPLANTSupply/Implant$1,132.80
6032563STERILE SUPPLYSupply/Implant$962.30
6032568SUPPLY IMPLANTSupply/Implant$1,931.01
6032569STERILE SUPPLYSupply/Implant$252.42
6032571SUPPLY IMPLANTSupply/Implant$2,048.00
6032572STERILE SUPPLYSupply/Implant$148.48
6032574ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$315.01
6032579STERILE SUPPLYSupply/Implant$824.06
6032582STERILE SUPPLYSupply/Implant$499.07
6032583SUPPLY IMPLANTSupply/Implant$1,032.32
6032587SUPPLY IMPLANTSupply/Implant$2,151.68
6032592STERILE SUPPLYSupply/Implant$203.19
6032593GENERAL SUPPLYSupply/Implant$254.34
6032596SUPPLY IMPLANTSupply/Implant$153.60
6032597SUPPLY IMPLANTSupply/Implant$4,160.00
6032598STERILE SUPPLYSupply/Implant$199.26
6032600STERILE SUPPLYSupply/Implant$130.05
6032603SUPPLY IMPLANTSupply/Implant$2,240.00
6032604STERILE SUPPLYSupply/Implant$380.16
6032608SUPPLY IMPLANTSupply/Implant$1,809.79
6032611SUPPLY IMPLANTSupply/Implant$489.09
6032616SUPPLY IMPLANTSupply/Implant$6,921.60
6032617SUPPLY IMPLANTSupply/Implant$1,210.11
6032620SUPPLY IMPLANTSupply/Implant$836.48
6032624SUPPLY IMPLANTSupply/Implant$134.40
6032626SUPPLY IMPLANTSupply/Implant$1,209.60
6032633SUPPLY IMPLANTSupply/Implant$440.83
6032635SUPPLY IMPLANTSupply/Implant$780.80
6032636SUPPLY IMPLANTSupply/Implant$166.40
6032641SUPPLY IMPLANTSupply/Implant$1,795.20
6032644GUIDE WIRESupply/Implant$2,841.60
6032646SUPPLY IMPLANTSupply/Implant$1,161.60
6032647SUPPLY IMPLANTSupply/Implant$1,132.80
6032652SUPPLY IMPLANTSupply/Implant$165.76
6032658STERILE SUPPLYSupply/Implant$636.80
6032659STERILE SUPPLYSupply/Implant$414.98
6032661SUPPLY IMPLANTSupply/Implant$1,363.58
6032662SUPPLY IMPLANTSupply/Implant$1,074.69
6032665SUPPLY IMPLANTSupply/Implant$1,536.00
6032667ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,107.20
6032669STERILE SUPPLYSupply/Implant$221.25
6032675SUPPLY IMPLANTSupply/Implant$1,667.71
6032676SUPPLY IMPLANTSupply/Implant$1,792.00
6032677SUPPLY IMPLANTSupply/Implant$1,792.00
6032678SUPPLY IMPLANTSupply/Implant$1,792.00
6032679STERILE SUPPLYSupply/Implant$330.75
6032680SUPPLY IMPLANTSupply/Implant$1,074.69
6032683GUIDE WIRESupply/Implant$1,267.20
6032688SUPPLY IMPLANTSupply/Implant$4,825.60
6032690SUPPLY IMPLANTSupply/Implant$1,612.80
6032692SUPPLY IMPLANTSupply/Implant$1,886.72
6032693SUPPLY IMPLANTSupply/Implant$320.00
6032695STERILE SUPPLYSupply/Implant$297.42
6032696SUPPLY IMPLANTSupply/Implant$445.18
6032697ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,560.00
6032699SUPPLY IMPLANTSupply/Implant$633.47
6032704ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,560.00
6032706STERILE SUPPLYSupply/Implant$215.81
6032707STERILE SUPPLYSupply/Implant$224.00
6032713SUPPLY IMPLANTSupply/Implant$713.60
6032717SUPPLY IMPLANTSupply/Implant$391.68
6032719STERILE SUPPLYSupply/Implant$4,088.90
6032720SUPPLY IMPLANTSupply/Implant$5,437.44
6032721SUPPLY IMPLANTSupply/Implant$426.75
6032722STERILE SUPPLYSupply/Implant$1,774.08
6032726SUPPLY IMPLANTSupply/Implant$2,176.00
6032729SUPPLY IMPLANTSupply/Implant$6,514.43
6032733STERILE SUPPLYSupply/Implant$200.32
6032737STERILE SUPPLYSupply/Implant$195.84
6032743SUPPLY IMPLANTSupply/Implant$815.81
6032744SUPPLY IMPLANTSupply/Implant$524.54
6032745STERILE SUPPLYSupply/Implant$249.60
6032753SUPPLY IMPLANTSupply/Implant$512.00
6032754SUPPLY IMPLANTSupply/Implant$1,167.36
6032761SUPPLY IMPLANTSupply/Implant$1,382.40
6032763SUPPLY IMPLANTSupply/Implant$1,237.34
6032764SUPPLY IMPLANTSupply/Implant$1,105.92
6032766SUPPLY IMPLANTSupply/Implant$2,188.80
6032767STERILE SUPPLYSupply/Implant$435.20
6032770STERILE SUPPLYSupply/Implant$3,915.52
6032772SUPPLY IMPLANTSupply/Implant$398.08
6032775STERILE SUPPLYSupply/Implant$514.18
6032776STERILE SUPPLYSupply/Implant$830.98
6032778SUPPLY IMPLANTSupply/Implant$268.80
6032780SUPPLY IMPLANTSupply/Implant$6,080.00
6032781SUPPLY IMPLANTSupply/Implant$6,080.00
6032783SUPPLY IMPLANTSupply/Implant$1,032.32
6032790STERILE SUPPLYSupply/Implant$274.94
6032798SUPPLY IMPLANTSupply/Implant$5,312.00
6032813GENERAL SUPPLYSupply/Implant$230.40
6032814GENERAL SUPPLYSupply/Implant$230.40
6032815GENERAL SUPPLYSupply/Implant$230.40
6032816GENERAL SUPPLYSupply/Implant$137.60
6032817SUPPLY IMPLANTSupply/Implant$2,726.40
6032822STERILE SUPPLYSupply/Implant$1,026.56
6032824STERILE SUPPLYSupply/Implant$415.49
6032825ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,764.80
6032826ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,825.60
6032828GUIDE WIRESupply/Implant$947.20
6032829ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,073.60
6032832SUPPLY IMPLANTSupply/Implant$1,809.79
6032836JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,225.60
6032838KO IMMOBILIZER CANVAS LONGITSupply/Implant$675.33
6032839GENERAL SUPPLYSupply/Implant$355.71
6032840GENERAL SUPPLYSupply/Implant$346.62
6032843SUPPLY IMPLANTSupply/Implant$1,011.20
6032849SUPPLY IMPLANTSupply/Implant$272.00
6032853ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,399.04
6032854ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,456.00
6032861SUPPLY IMPLANTSupply/Implant$175.62
6032863SUPPLY IMPLANTSupply/Implant$1,792.00
6032873STERILE SUPPLYSupply/Implant$1,023.36
6032895STERILE SUPPLYSupply/Implant$216.97
6032903KO IMMOBILIZER CANVAS LONGITSupply/Implant$672.38
6032904KO IMMOBILIZER CANVAS LONGITSupply/Implant$683.26
6032905KO IMMOBILIZER CANVAS LONGITSupply/Implant$233.60
6032909SUPPLY IMPLANTSupply/Implant$1,186.56
6032910SUPPLY IMPLANTSupply/Implant$787.71
6032911SUPPLY IMPLANTSupply/Implant$737.79
6032912SUPPLY IMPLANTSupply/Implant$704.00
6032916STERILE SUPPLYSupply/Implant$1,144.32
6032918SUPPLY IMPLANTSupply/Implant$4,185.60
6032924KO IMMOBILIZER CANVAS LONGITSupply/Implant$270.08
6032925KO IMMOBILIZER CANVAS LONGITSupply/Implant$270.08
6032932STERILE SUPPLYSupply/Implant$428.99
6032934KO IMMOBILIZER CANVAS LONGITSupply/Implant$670.85
6032939SUPPLY IMPLANTSupply/Implant$6,537.60
6032941SUPPLY IMPLANTSupply/Implant$1,128.70
6032942SUPPLY IMPLANTSupply/Implant$832.00
6032944SUPPLY IMPLANTSupply/Implant$1,809.79
6032950STERILE SUPPLYSupply/Implant$1,732.01
6032951SUPPLY IMPLANTSupply/Implant$1,848.96
6032953SUPPLY IMPLANTSupply/Implant$1,848.96
6032956STERILE SUPPLYSupply/Implant$429.76
6032975STERILE SUPPLYSupply/Implant$476.66
6032976STERILE SUPPLYSupply/Implant$452.86
6032981SUPPLY IMPLANTSupply/Implant$291.33
6032982SUPPLY IMPLANTSupply/Implant$1,612.80
6033008SUPPLY IMPLANTSupply/Implant$739.07
6033009CERV COL THERMPLAS FOAM 2 PISupply/Implant$200.96
6033010CERV COL THERMPLAS FOAM 2 PISupply/Implant$200.96
6033011CERV COL THERMPLAS FOAM 2 PISupply/Implant$200.96
6033014GENERAL SUPPLYSupply/Implant$574.85
6033015SUPPLY IMPLANTSupply/Implant$832.00
6033016SUPPLY IMPLANTSupply/Implant$288.00
6033021GENERAL SUPPLYSupply/Implant$896.00
6033023SUPPLY IMPLANTSupply/Implant$243.20
6033025STERILE SUPPLYSupply/Implant$147.20
6033026STERILE SUPPLYSupply/Implant$1,664.00
6033027SUPPLY IMPLANTSupply/Implant$437.76
6033031STERILE SUPPLYSupply/Implant$276.35
6033032STERILE SUPPLYSupply/Implant$301.16
6033033SUPPLY IMPLANTSupply/Implant$1,809.79
6033043STERILE SUPPLYSupply/Implant$409.60
6033053SUPPLY IMPLANTSupply/Implant$2,841.60
6033055ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,132.80
6033056SUPPLY IMPLANTSupply/Implant$1,082.75
6033063STERILE SUPPLYSupply/Implant$852.56
6033067SUPPLY IMPLANTSupply/Implant$452.10
6033070SUPPLY IMPLANTSupply/Implant$2,368.00
6033073SUPPLY IMPLANTSupply/Implant$1,331.20
6033089SUPPLY IMPLANTSupply/Implant$3,338.88
6033097SUPPLY IMPLANTSupply/Implant$2,841.60
6033103SUPPLY IMPLANTSupply/Implant$1,856.00
6033105SUPPLY IMPLANTSupply/Implant$787.71
6033106SUPPLY IMPLANTSupply/Implant$1,420.80
6033107SUPPLY IMPLANTSupply/Implant$1,420.80
6033108SUPPLY IMPLANTSupply/Implant$787.71
6033109SUPPLY IMPLANTSupply/Implant$3,904.00
6033112SUPPLY IMPLANTSupply/Implant$230.40
6033113SUPPLY IMPLANTSupply/Implant$5,080.19
6033116GENERAL SUPPLYSupply/Implant$515.71
6033118SUPPLY IMPLANTSupply/Implant$134.40
6033133SUPPLY IMPLANTSupply/Implant$576.00
6033138GUIDE WIRESupply/Implant$576.00
6033139GUIDE WIRESupply/Implant$512.00
6033140GUIDE WIRESupply/Implant$512.00
6033146SUPPLY IMPLANTSupply/Implant$1,938.82
6033157JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,040.00
6033163SUPPLY IMPLANTSupply/Implant$19,878.40
6033164SUPPLY IMPLANTSupply/Implant$19,878.40
6033181SUPPLY IMPLANTSupply/Implant$2,560.00
6033185SUPPLY IMPLANTSupply/Implant$1,809.79
6033188GRAFT, VASCULARSupply/Implant$11,061.12
6033189SUPPLY IMPLANTSupply/Implant$55,795.20
6033214SUPPLY IMPLANTSupply/Implant$2,181.12
6033215AQUEOUS SHUNT IMPLANTSupply/Implant$10,772.48
6033232SUPPLY IMPLANTSupply/Implant$12,172.80
6033237SUPPLY IMPLANTSupply/Implant$14,374.40
6033240SUPPLY IMPLANTSupply/Implant$4,736.00
6033241SUPPLY IMPLANTSupply/Implant$4,736.00
6033247SUPPLY IMPLANTSupply/Implant$11,303.04
6033248GRAFT, VASCULARSupply/Implant$11,303.04
6033249GRAFT, VASCULARSupply/Implant$11,303.04
6033250GRAFT, VASCULARSupply/Implant$11,057.79
6033251GRAFT, VASCULARSupply/Implant$8,079.36
6033252GRAFT, VASCULARSupply/Implant$9,009.15
6033255GRAFT, VASCULARSupply/Implant$8,646.02
6033256GRAFT, VASCULARSupply/Implant$8,983.68
6033264SUPPLY IMPLANTSupply/Implant$8,669.06
6033266SUPPLY IMPLANTSupply/Implant$55,795.20
6033267GRAFT, VASCULARSupply/Implant$6,361.60
6033271GRAFT, VASCULARSupply/Implant$21,580.80
6033273GRAFT, VASCULARSupply/Implant$5,286.40
6033281JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6033282ADAPT/EXT, PACING/NEURO LEADSupply/Implant$38,182.40
6033283JOINT DEVICE (IMPLANTABLE)Supply/Implant$11,430.40
6033301SUPPLY IMPLANTSupply/Implant$7,232.00
6033302SUPPLY IMPLANTSupply/Implant$1,920.00
6033303SUPPLY IMPLANTSupply/Implant$3,975.04
6033304SUPPLY IMPLANTSupply/Implant$6,048.64
6033306SUPPLY IMPLANTSupply/Implant$8,396.80
6033307SUPPLY IMPLANTSupply/Implant$12,979.20
6033308SUPPLY IMPLANTSupply/Implant$1,356.67
6033309SUPPLY IMPLANTSupply/Implant$15,991.94
6033312SUPPLY IMPLANTSupply/Implant$4,338.56
6033314JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6033315JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6033320JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6033329GRAFT, VASCULARSupply/Implant$20,851.20
6033330JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6033332GRAFT, VASCULARSupply/Implant$17,766.40
6033334SUPPLY IMPLANTSupply/Implant$3,264.00
6033335SUPPLY IMPLANTSupply/Implant$55,795.20
6033357JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6033358JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6033364ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$427.14
6033372IMPLANT BREAST SILICONE/EQSupply/Implant$14,464.00
6033374JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,742.27
6033386SUPPLY IMPLANTSupply/Implant$960.00
6033392SUPPLY IMPLANTSupply/Implant$522.50
6033393SUPPLY IMPLANTSupply/Implant$37,854.59
6033407JOINT DEVICE (IMPLANTABLE)Supply/Implant$1,959.55
6033408JOINT DEVICE (IMPLANTABLE)Supply/Implant$1,959.55
6033412JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6033426JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,394.05
6033430SUPPLY IMPLANTSupply/Implant$55,795.20
6033431SUPPLY IMPLANTSupply/Implant$55,795.20
6033432SUPPLY IMPLANTSupply/Implant$55,795.20
6033436SUPPLY IMPLANTSupply/Implant$1,427.97
6033437SUPPLY IMPLANTSupply/Implant$1,427.97
6033438SUPPLY IMPLANTSupply/Implant$1,316.99
6033448JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,648.00
6033450ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,223.62
6033452SUPPLY IMPLANTSupply/Implant$2,176.00
6033453ALLODERM SKIN SUBSupply/Implant$2,956.80
6033454GRAFT, VASCULARSupply/Implant$2,136.96
6033457SUPPLY IMPLANTSupply/Implant$3,829.34
6033464AQUEOUS SHUNT IMPLANTSupply/Implant$17,827.84
6033468SUPPLY IMPLANTSupply/Implant$2,377.47
6033469SUPPLY IMPLANTSupply/Implant$4,764.29
6033470SUPPLY IMPLANTSupply/Implant$1,638.02
6033472SUPPLY IMPLANTSupply/Implant$3,619.07
6033473SUPPLY IMPLANTSupply/Implant$3,619.07
6033474SUPPLY IMPLANTSupply/Implant$3,619.07
6033475SUPPLY IMPLANTSupply/Implant$5,120.00
6033491SUPPLY IMPLANTSupply/Implant$53,760.00
6033492SUPPLY IMPLANTSupply/Implant$56,960.00
6033493SUPPLY IMPLANTSupply/Implant$53,760.00
6033495SUPPLY IMPLANTSupply/Implant$53,760.00
6033496SUPPLY IMPLANTSupply/Implant$53,760.00
6033497SUPPLY IMPLANTSupply/Implant$53,760.00
6033498SUPPLY IMPLANTSupply/Implant$53,760.00
6033499SUPPLY IMPLANTSupply/Implant$53,760.00
6033508SUPPLY IMPLANTSupply/Implant$2,730.11
6033512SUPPLY IMPLANTSupply/Implant$3,597.70
6033513SUPPLY IMPLANTSupply/Implant$2,461.22
6033514AQUEOUS SHUNT IMPLANTSupply/Implant$17,827.84
6033525SUPPLY IMPLANTSupply/Implant$17,868.80
6033526SUPPLY IMPLANTSupply/Implant$17,868.80
6033527SUPPLY IMPLANTSupply/Implant$17,868.80
6033528SUPPLY IMPLANTSupply/Implant$17,868.80
6033529SUPPLY IMPLANTSupply/Implant$17,868.80
6033530SUPPLY IMPLANTSupply/Implant$17,868.80
6033531SUPPLY IMPLANTSupply/Implant$19,878.40
6033536SUPPLY IMPLANTSupply/Implant$17,864.70
6033547SUPPLY IMPLANTSupply/Implant$10,897.92
6033548ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$712.96
6033551ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$898.56
6033552SUPPLY IMPLANTSupply/Implant$5,120.00
6033563SUPPLY IMPLANTSupply/Implant$4,838.40
6033577SUPPLY IMPLANTSupply/Implant$3,829.38
6033578SUPPLY IMPLANTSupply/Implant$3,829.38
6033579SUPPLY IMPLANTSupply/Implant$3,829.38
6033582SUPPLY IMPLANTSupply/Implant$6,553.60
6033586JOINT DEVICE (IMPLANTABLE)Supply/Implant$124,225.50
6033601SUPPLY IMPLANTSupply/Implant$1,770.11
6033603JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6033604JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6033605JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6033606JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6033607STENT, NON-COR, TEM W/O DELSupply/Implant$960.00
6033611ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$712.96
6033612JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6033613JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6033614JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6033615JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6033616JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6033617JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6033619JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,742.27
6033620SUPPLY IMPLANTSupply/Implant$47,020.80
6033621SUPPLY IMPLANTSupply/Implant$47,020.80
6033639SUPPLY IMPLANTSupply/Implant$2,396.16
6033643ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,176.70
6033644ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,311.10
6033646ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$23,020.80
6033652STENT, NON-COA/NON-COV W/DELSupply/Implant$16,844.80
6033657ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$23,750.40
6033658ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,755.20
6033659ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,851.20
6033660ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,555.20
6033662ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,158.40
6033669SUPPLY IMPLANTSupply/Implant$19,619.84
6033672JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,742.27
6033674SUPPLY IMPLANTSupply/Implant$19,619.84
6033678GUIDE WIRESupply/Implant$2,931.20
6033681SUPPLY IMPLANTSupply/Implant$3,619.07
6033688JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,770.30
6033689JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,610.43
6033690JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,822.59
6033693SUPPLY IMPLANTSupply/Implant$2,108.93
6033702SUPPLY IMPLANTSupply/Implant$7,180.80
6033703JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6033704JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6033706ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,090.37
6033707ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,964.48
6033708ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,390.34
6033710ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,381.70
6033712ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,031.04
6033714SUPPLY IMPLANTSupply/Implant$5,427.20
6033716SUPPLY IMPLANTSupply/Implant$11,635.20
6033735SUPPLY IMPLANTSupply/Implant$917.63
6033736JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,341.44
6033738STENT, NON-COR, TEM W/O DELSupply/Implant$2,407.17
6033743JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,364.42
6033745SUPPLY IMPLANTSupply/Implant$5,319.55
6033746SUPPLY IMPLANTSupply/Implant$40,320.00
6033751GRAFT, VASCULARSupply/Implant$4,428.80
6033752SUPPLY IMPLANTSupply/Implant$883.20
6033764ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,771.52
6033765STENT, NON-COA/NON-COV W/DELSupply/Implant$18,395.26
6033766SUPPLY IMPLANTSupply/Implant$18,395.26
6033779GRAFT, VASCULARSupply/Implant$6,361.60
6033780SUPPLY IMPLANTSupply/Implant$5,280.77
6033782ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,920.00
6033793INTRO/SHEATH, NON-LASERSupply/Implant$658.69
6033794JOINT DEVICE (IMPLANTABLE)Supply/Implant$4,411.01
6033796JOINT DEVICE (IMPLANTABLE)Supply/Implant$102,728.96
6033797STERILE SUPPLYSupply/Implant$2,981.12
6033803SUPPLY IMPLANTSupply/Implant$5,280.77
6033812GASTRO/JEJUNO TUBE, STDSupply/Implant$561.02
6033814SUPPLY IMPLANTSupply/Implant$3,417.60
6033816SUPPLY IMPLANTSupply/Implant$5,977.60
6033818SUPPLY IMPLANTSupply/Implant$12,518.40
6033820SUPPLY IMPLANTSupply/Implant$9,674.24
6033830SUPPLY IMPLANTSupply/Implant$1,771.52
6033831SUPPLY IMPLANTSupply/Implant$18,299.39
6033835ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,223.62
6033837SUPPLY IMPLANTSupply/Implant$3,200.00
6033848JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,592.00
6033853JOINT DEVICE (IMPLANTABLE)Supply/Implant$4,265.98
6033876JOINT DEVICE (IMPLANTABLE)Supply/Implant$25,689.60
6033877INTERSPINOUS IMPLANTSupply/Implant$15,360.00
6033878JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6033890SUPPLY IMPLANTSupply/Implant$12,480.00
6033892SUPPLY IMPLANTSupply/Implant$329.47
6033896ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,207.62
6033897SUPPLY IMPLANTSupply/Implant$3,648.00
6033898ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,207.62
6033899SUPPLY IMPLANTSupply/Implant$1,389.57
6033900SUPPLY IMPLANTSupply/Implant$1,389.57
6033901ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,633.47
6033903ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,255.17
6033904ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,555.01
6033905ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,350.08
6033906ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,420.61
6033907ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,392.83
6033908ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,311.10
6033909ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,070.59
6033910ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,972.35
6033911ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,342.14
6033921ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,352.90
6033923ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,393.60
6033933SUPPLY IMPLANTSupply/Implant$10,448.51
6033942SUPPLY IMPLANTSupply/Implant$1,042.05
6033944JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,631.17
6033956ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,081.41
6033958JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,040.00
6033959JOINT DEVICE (IMPLANTABLE)Supply/Implant$25,689.60
6033967JOINT DEVICE (IMPLANTABLE)Supply/Implant$16,132.48
6033993ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,771.52
6033998SUPPLY IMPLANTSupply/Implant$741.50
6034007JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6034010SUPPLY IMPLANTSupply/Implant$564.90
6034011SUPPLY IMPLANTSupply/Implant$1,075.20
6034013SUPPLY IMPLANTSupply/Implant$239.36
6034018JOINT DEVICE (IMPLANTABLE)Supply/Implant$36,595.20
6034023SUPPLY IMPLANTSupply/Implant$1,464.32
6034031JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,958.59
6034032JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6034033JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6034035STENT, NON-COR, TEM W/O DELSupply/Implant$1,459.20
6034036STENT, NON-COR, TEM W/DEL SYSupply/Implant$970.37
6034037STENT, NON-COR, TEM W/DEL SYSupply/Implant$970.37
6034049JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6034055JOINT DEVICE (IMPLANTABLE)Supply/Implant$25,689.60
6034056SUPPLY IMPLANTSupply/Implant$2,982.40
6034059SUPPLY IMPLANTSupply/Implant$1,228.80
6034061JOINT DEVICE (IMPLANTABLE)Supply/Implant$71,312.90
6034062JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6034078JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,509.57
6034080JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,509.57
6034090INFUSION PUMP, PROGRAMMABLESupply/Implant$123,900.00
6034096JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,394.05
6034113SUPPLY IMPLANTSupply/Implant$8,668.80
6034115SUPPLY IMPLANTSupply/Implant$1,186.56
6034133JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,184.00
6034135JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6034140ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,276.80
6034141ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,276.80
6034143SUPPLY IMPLANTSupply/Implant$7,238.40
6034153JOINT DEVICE (IMPLANTABLE)Supply/Implant$40,683.65
6034155SUPPLY IMPLANTSupply/Implant$8,640.00
6034163SUPPLY IMPLANTSupply/Implant$448.00
6034166SUPPLY IMPLANTSupply/Implant$1,603.20
6034167SUPPLY IMPLANTSupply/Implant$3,360.00
6034168SUPPLY IMPLANTSupply/Implant$3,974.40
6034182SUPPLY IMPLANTSupply/Implant$14,025.60
6034186SUPPLY IMPLANTSupply/Implant$3,904.00
6034192SUPPLY IMPLANTSupply/Implant$176.00
6034193SUPPLY IMPLANTSupply/Implant$1,427.97
6034194SUPPLY IMPLANTSupply/Implant$2,398.59
6034197JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,137.66
6034205JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6034207SUPPLY IMPLANTSupply/Implant$7,420.80
6034210SUPPLY IMPLANTSupply/Implant$7,001.60
6034211SUPPLY IMPLANTSupply/Implant$5,646.98
6034215SUPPLY IMPLANTSupply/Implant$5,396.48
6034225SUPPLY IMPLANTSupply/Implant$17,274.88
6034227SUPPLY IMPLANTSupply/Implant$17,274.88
6034228SUPPLY IMPLANTSupply/Implant$249.60
6034247SUPPLY IMPLANTSupply/Implant$31,294.08
6034258ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,104.00
6034264SUPPLY IMPLANTSupply/Implant$69,966.34
6034265PROSTHESIS, BREAST, IMPSupply/Implant$5,632.00
6034268SUPPLY IMPLANTSupply/Implant$965.89
6034271SUPPLY IMPLANTSupply/Implant$28,800.00
6034277STENT, NON-COA/NON-COV W/DELSupply/Implant$31,296.00
6034278STENT, NON-COA/NON-COV W/DELSupply/Implant$31,296.00
6034286JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,137.66
6034287SUPPLY IMPLANTSupply/Implant$2,038.53
6034288SUPPLY IMPLANTSupply/Implant$5,004.80
6034291JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,137.66
6034292SUPPLY IMPLANTSupply/Implant$2,296.19
6034293SUPPLY IMPLANTSupply/Implant$26,501.12
6034307STENT, NON-COA/NON-COV W/DELSupply/Implant$31,296.00
6034308STENT, NON-COA/NON-COV W/DELSupply/Implant$31,296.00
6034309STENT, NON-COA/NON-COV W/DELSupply/Implant$31,296.00
6034317ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,035.57
6034318MESH (IMPLANTABLE)Supply/Implant$54,835.20
6034320JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,137.66
6034324SUPPLY IMPLANTSupply/Implant$2,421.95
6034336JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6034352SUPPLY IMPLANTSupply/Implant$2,560.00
6034363SUPPLY IMPLANTSupply/Implant$2,560.00
6034364SUPPLY IMPLANTSupply/Implant$2,368.00
6034366CATH, INF, PER/CENT/MIDLINESupply/Implant$6,508.54
6034368SUPPLY IMPLANTSupply/Implant$4,838.40
6034373STENT, COATED/COV W/DEL SYSSupply/Implant$31,312.00
6034377ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,859.20
6034395JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,184.00
6034416SUPPLY IMPLANTSupply/Implant$8,691.20
6034417SUPPLY IMPLANTSupply/Implant$5,593.47
6034418SUPPLY IMPLANTSupply/Implant$3,829.34
6034426SUPPLY IMPLANTSupply/Implant$1,352.45
6034429SUPPLY IMPLANTSupply/Implant$4,838.40
6034431SUPPLY IMPLANTSupply/Implant$6,809.60
6034440ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,495.23
6034443SUPPLY IMPLANTSupply/Implant$5,120.00
6034444SUPPLY IMPLANTSupply/Implant$6,131.20
6034447SUPPLY IMPLANTSupply/Implant$25,169.92
6034448SUPPLY IMPLANTSupply/Implant$7,040.00
6034452SUPPLY IMPLANTSupply/Implant$3,829.34
6034454JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,636.99
6034459SUPPLY IMPLANTSupply/Implant$19,878.40
6034460SUPPLY IMPLANTSupply/Implant$19,878.40
6034462SUPPLY IMPLANTSupply/Implant$5,294.59
6034463SUPPLY IMPLANTSupply/Implant$5,294.59
6034473SUPPLY IMPLANTSupply/Implant$14,899.71
6034476ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,413.18
6034478SUPPLY IMPLANTSupply/Implant$3,110.40
6034483SUPPLY IMPLANTSupply/Implant$5,294.59
6034488SUPPLY IMPLANTSupply/Implant$11,712.00
6034489SUPPLY IMPLANTSupply/Implant$10,009.60
6034497SUPPLY IMPLANTSupply/Implant$5,294.59
6034501JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,058.24
6034507SUPPLY IMPLANTSupply/Implant$5,120.00
6034508SUPPLY IMPLANTSupply/Implant$2,560.00
6034517JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034518JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,509.57
6034521JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,319.55
6034522JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,509.57
6034527MESH (IMPLANTABLE)Supply/Implant$9,561.60
6034528ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6034533ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,228.22
6034538JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6034540JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6034541JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034542JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034544JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6034545JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,184.13
6034547JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,509.57
6034548SUPPLY IMPLANTSupply/Implant$1,074.69
6034551JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6034552SUPPLY IMPLANTSupply/Implant$5,120.00
6034561JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,118.08
6034566SUPPLY IMPLANTSupply/Implant$9,076.48
6034568SUPPLY IMPLANTSupply/Implant$1,250.24
6034572JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,319.55
6034573JOINT DEVICE (IMPLANTABLE)Supply/Implant$39,077.38
6034574JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,618.62
6034575JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,184.13
6034576SUPPLY IMPLANTSupply/Implant$5,294.59
6034577JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,242.30
6034578JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,184.13
6034580JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,242.30
6034581JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6034582JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6034587JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6034589JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6034590JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,693.06
6034595SUPPLY IMPLANTSupply/Implant$68,480.00
6034596SUPPLY IMPLANTSupply/Implant$68,480.00
6034597SUPPLY IMPLANTSupply/Implant$68,480.00
6034598SUPPLY IMPLANTSupply/Implant$68,480.00
6034599SUPPLY IMPLANTSupply/Implant$35,840.00
6034604SUPPLY IMPLANTSupply/Implant$1,860.22
6034605JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,319.55
6034606SUPPLY IMPLANTSupply/Implant$1,568.90
6034607JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6034611JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034612JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,069.82
6034615JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034618ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$750.98
6034621JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,636.99
6034625JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,184.13
6034626SUPPLY IMPLANTSupply/Implant$25,169.92
6034627SUPPLY IMPLANTSupply/Implant$19,948.31
6034628JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,240.00
6034630JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,184.13
6034632JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034633JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034634JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034635SUPPLY IMPLANTSupply/Implant$5,255.55
6034636JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,644.29
6034637JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6034639JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034640JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,319.55
6034641JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6034642JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6034643JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,509.57
6034647JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,644.29
6034649JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6034657SUPPLY IMPLANTSupply/Implant$2,350.08
6034658SUPPLY IMPLANTSupply/Implant$4,218.88
6034661JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,693.06
6034662JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,636.99
6034664SUPPLY IMPLANTSupply/Implant$1,433.60
6034665SUPPLY IMPLANTSupply/Implant$49,746.05
6034666ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$37,259.52
6034668JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6034670JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,509.57
6034672JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,687.55
6034673JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,184.13
6034674JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,242.30
6034676JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,644.29
6034681JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,644.29
6034682JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,242.30
6034683JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,644.29
6034685SUPPLY IMPLANTSupply/Implant$3,968.00
6034690SUPPLY IMPLANTSupply/Implant$54,400.00
6034691SUPPLY IMPLANTSupply/Implant$54,400.00
6034692SUPPLY IMPLANTSupply/Implant$54,400.00
6034694SUPPLY IMPLANTSupply/Implant$68,480.00
6034696SUPPLY IMPLANTSupply/Implant$54,400.00
6034704JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6034706JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,636.99
6034707JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,636.99
6034708JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6034710JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,319.55
6034712JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034722JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6034723JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,958.59
6034728JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,618.62
6034729JOINT DEVICE (IMPLANTABLE)Supply/Implant$39,077.38
6034730JOINT DEVICE (IMPLANTABLE)Supply/Implant$39,077.38
6034742ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6034758STENT, COATED/COV W/DEL SYSSupply/Implant$29,440.00
6034759STENT, COATED/COV W/DEL SYSSupply/Implant$28,480.00
6034760JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,644.29
6034766SUPPLY IMPLANTSupply/Implant$112,576.00
6034768JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,509.57
6034778JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,137.66
6034779SUPPLY IMPLANTSupply/Implant$5,294.59
6034787JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6034788JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6034796JOINT DEVICE (IMPLANTABLE)Supply/Implant$37,574.40
6034797JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,376.00
6034798JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6034799SUPPLY IMPLANTSupply/Implant$2,774.40
6034802JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6034806INTERSPINOUS IMPLANTSupply/Implant$62,112.64
6034814PROSTHESIS, BREAST, IMPSupply/Implant$5,632.00
6034815ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,966.72
6034817ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,128.96
6034822JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6034824ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,375.68
6034826JOINT DEVICE (IMPLANTABLE)Supply/Implant$45,053.31
6034829ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$25,192.96
6034830JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6034832JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6034840ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,771.52
6034851SUPPLY IMPLANTSupply/Implant$6,148.99
6034852ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$840.45
6034854JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6034856JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,184.13
6034860SUPPLY IMPLANTSupply/Implant$10,321.92
6034863JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6034864JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6034868ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$31,188.22
6034869JOINT DEVICE (IMPLANTABLE)Supply/Implant$43,085.95
6034885SUPPLY IMPLANTSupply/Implant$318.72
6034893CATH, THROMBECTOMY/EMBOLECTSupply/Implant$1,433.60
6034894SUPPLY IMPLANTSupply/Implant$1,433.60
6034897JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,118.08
6034898JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6034912STENT, COATED/COV W/DEL SYSSupply/Implant$108,267.01
6034919JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,644.29
6034921JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6034922SUPPLY IMPLANTSupply/Implant$435.20
6034925ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,266.30
6034934ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,050.24
6034935JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6034937ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$19,187.33
6034939SUPPLY IMPLANTSupply/Implant$668.03
6034940SUPPLY IMPLANTSupply/Implant$1,181.22
6034941SUPPLY IMPLANTSupply/Implant$1,740.71
6034942SUPPLY IMPLANTSupply/Implant$535.08
6034943SUPPLY IMPLANTSupply/Implant$535.08
6034944JOINT DEVICE (IMPLANTABLE)Supply/Implant$32,117.76
6034949CATH, TRANSLUMIN NON-LASERSupply/Implant$3,008.00
6034954JOINT DEVICE (IMPLANTABLE)Supply/Implant$55,808.00
6034955JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6034957ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,804.80
6034962ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6034964JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,242.30
6034965SUPPLY IMPLANTSupply/Implant$4,608.00
6034966SUPPLY IMPLANTSupply/Implant$2,368.00
6034967SUPPLY IMPLANTSupply/Implant$2,368.00
6034977SUPPLY IMPLANTSupply/Implant$768.64
6034984ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,008.00
6034991ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,232.00
6034992JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,226.43
6034996SUPPLY IMPLANTSupply/Implant$1,698.69
6034997SUPPLY IMPLANTSupply/Implant$1,123.71
6034998SUPPLY IMPLANTSupply/Implant$193.13
6034999SUPPLY IMPLANTSupply/Implant$1,086.46
6035000SUPPLY IMPLANTSupply/Implant$1,123.71
6035001ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,008.00
6035006ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,401.22
6035007ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,401.22
6035009JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6035017ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,008.00
6035018JOINT DEVICE (IMPLANTABLE)Supply/Implant$45,053.31
6035019ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$605.18
6035030SUPPLY IMPLANTSupply/Implant$5,294.59
6035044JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6035047SUPPLY IMPLANTSupply/Implant$21,056.00
6035053SUPPLY IMPLANTSupply/Implant$51,712.00
6035054SUPPLY IMPLANTSupply/Implant$51,712.00
6035055SUPPLY IMPLANTSupply/Implant$51,712.00
6035056SUPPLY IMPLANTSupply/Implant$51,712.00
6035059JOINT DEVICE (IMPLANTABLE)Supply/Implant$73,776.00
6035066ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,292.99
6035078ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,008.00
6035086ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,008.00
6035087JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6035089ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,932.80
6035094JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6035100JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,319.55
6035103JOINT DEVICE (IMPLANTABLE)Supply/Implant$18,450.43
6035112SUPPLY IMPLANTSupply/Implant$15,360.00
6035113JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,958.59
6035114JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,509.57
6035118JOINT DEVICE (IMPLANTABLE)Supply/Implant$34,648.96
6035120JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6035129JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,721.22
6035135JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6035136JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6035137ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$883.20
6035151JOINT DEVICE (IMPLANTABLE)Supply/Implant$47,923.20
6035152JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,952.00
6035153JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,721.22
6035154JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,959.68
6035158ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,460.80
6035159SUPPLY IMPLANTSupply/Implant$16,000.00
6035165JOINT DEVICE (IMPLANTABLE)Supply/Implant$11,235.84
6035179JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,353.92
6035187ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,404.16
6035188ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,404.16
6035191SUPPLY IMPLANTSupply/Implant$2,176.00
6035202JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,644.29
6035207JOINT DEVICE (IMPLANTABLE)Supply/Implant$25,984.64
6035217JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,595.20
6035219ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$55,632.00
6035222JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,912.38
6035223JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6035231JOINT DEVICE (IMPLANTABLE)Supply/Implant$27,729.66
6035240ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,408.00
6035244JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,808.64
6035248ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,123.20
6035253ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,232.00
6035260PROSTHESIS, BREAST, IMPSupply/Implant$5,632.00
6035285INTRO/SHEATH, NON-LASERSupply/Implant$742.40
6035289ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6035293CATH, BAL DIL, NON-VASCULARSupply/Implant$35,840.00
6035302JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6035311JOINT DEVICE (IMPLANTABLE)Supply/Implant$43,453.44
6035317ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$739.58
6035320ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,035.57
6035323ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,546.50
6035324JOINT DEVICE (IMPLANTABLE)Supply/Implant$53,817.22
6035326ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,776.00
6035337JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,800.00
6035345JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6035346ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,914.37
6035347SUPPLY IMPLANTSupply/Implant$79,296.00
6035348SUPPLY IMPLANTSupply/Implant$79,296.00
6035349SUPPLY IMPLANTSupply/Implant$79,296.00
6035350SUPPLY IMPLANTSupply/Implant$79,296.00
6035351SUPPLY IMPLANTSupply/Implant$79,296.00
6035353CATH, BAL DIL, NON-VASCULARSupply/Implant$10,368.00
6035354CATH, BAL DIL, NON-VASCULARSupply/Implant$9,600.00
6035367JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6035368SUPPLY IMPLANTSupply/Implant$43,187.71
6035369JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,618.62
6035378SUPPLY IMPLANTSupply/Implant$252,500.00
6035379JOINT DEVICE (IMPLANTABLE)Supply/Implant$52,477.70
6035381JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6035394SUPPLY IMPLANTSupply/Implant$48,872.70
6035395ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$268.80
6035396JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6035403SUPPLY IMPLANTSupply/Implant$225.28
6035431SUPPLY IMPLANTSupply/Implant$1,885.06
6035442JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,958.59
6035443JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6035447SUPPLY IMPLANTSupply/Implant$4,966.40
6035461ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$439.04
6035472JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6035496STENT, COATED/COV W/DEL SYSSupply/Implant$36,352.00
6035500SUPPLY IMPLANTSupply/Implant$26,501.12
6035528ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$10,572.80
6035529ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$268.80
6035530ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,299.20
6035531JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6035532SUPPLY IMPLANTSupply/Implant$1,280.00
6035535SUPPLY IMPLANTSupply/Implant$147,000.00
6035537ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$14,414.72
6035541JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,959.68
6035548ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6035551SUPPLY IMPLANTSupply/Implant$105,843.20
6035567ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$14,414.72
6035569ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,943.81
6035570ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,943.81
6035571ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,943.81
6035573ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,165.50
6035576ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6035577ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6035585JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,636.99
6035586JOINT DEVICE (IMPLANTABLE)Supply/Implant$53,817.22
6035589ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,447.36
6035597ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,956.80
6035627JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,958.59
6035628JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,958.59
6035632SUPPLY IMPLANTSupply/Implant$652.80
6035633JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6035639SUPPLY IMPLANTSupply/Implant$3,494.40
6035641JOINT DEVICE (IMPLANTABLE)Supply/Implant$53,817.22
6035642JOINT DEVICE (IMPLANTABLE)Supply/Implant$38,535.94
6035647JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6035670GRAFT, VASCULARSupply/Implant$35,737.60
6035671GRAFT, VASCULARSupply/Implant$23,244.80
6035672ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,440.64
6035677JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6035678JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6035679JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6035680JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6035702JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,595.20
6035705ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6035722ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6035733SUPPLY IMPLANTSupply/Implant$3,481.60
6035734INTRO/SHEATH,FIXED,PEEL-AWAYSupply/Implant$768.00
6035735INTRO/SHEATH,FIXED,PEEL-AWAYSupply/Implant$768.00
6035744ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6035752ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,139.20
6035760STENT, COATED/COV W/DEL SYSSupply/Implant$108,267.01
6035773SUPPLY IMPLANTSupply/Implant$13,632.00
6035777LEAD, AICD, ENDO SINGLE COILSupply/Implant$66,560.00
6035779LEAD, AICD, ENDO SINGLE COILSupply/Implant$66,560.00
6035782MESH (IMPLANTABLE)Supply/Implant$13,580.80
6035799SUPPLY IMPLANTSupply/Implant$768.00
6035801SUPPLY IMPLANTSupply/Implant$6,528.00
6035812JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6035820SUPPLY IMPLANTSupply/Implant$5,593.47
6035839SUPPLY IMPLANTSupply/Implant$25,536.00
6035840GUIDE WIRESupply/Implant$1,478.40
6035846SUPPLY IMPLANTSupply/Implant$24,701.57
6035862ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,321.60
6035863ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,321.60
6035865SUPPLY IMPLANTSupply/Implant$30,955.52
6035867GRAFT, VASCULARSupply/Implant$10,265.60
6035869ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,241.60
6035874ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,241.60
6035875ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,436.80
6035878ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,809.60
6035880SUPPLY IMPLANTSupply/Implant$5,120.00
6035886ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,052.80
6035887SUPPLY IMPLANTSupply/Implant$3,254.40
6035894ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,809.60
6035895ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,536.00
6035896ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,536.00
6035897ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,809.60
6035899SUPPLY IMPLANTSupply/Implant$2,368.00
6035901INTRO/SHEATH, NON-LASERSupply/Implant$1,152.00
6035904ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,809.60
6035905ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$19,702.02
6035906SUPPLY IMPLANTSupply/Implant$8,000.00
6035909JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6035911ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,536.00
6035912ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$19,702.02
6035914CATH, DRAINAGESupply/Implant$1,042.69
6035925ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$323.20
6035927ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$19,702.02
6035944SUPPLY IMPLANTSupply/Implant$2,368.00
6035947SUPPLY IMPLANTSupply/Implant$2,755.20
6035952ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,809.60
6035967LEAD, PMKR, OTHER THAN TRANSSupply/Implant$8,960.00
6035972ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,266.30
6035974ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,252.29
6035975ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,252.16
6035976SUPPLY IMPLANTSupply/Implant$2,560.00
6035977CATH, TRANSLUMIN NON-LASERSupply/Implant$6,131.71
6035978CATH, TRANSLUMIN NON-LASERSupply/Implant$5,059.20
6036001ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$739.58
6036003SUPPLY IMPLANTSupply/Implant$26,880.00
6036006SUPPLY IMPLANTSupply/Implant$11,712.00
6036014SUPPLY IMPLANTSupply/Implant$9,676.80
6036016ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$268.80
6036023SUPPLY IMPLANTSupply/Implant$2,368.00
6036029SUPPLY IMPLANTSupply/Implant$16,947.20
6036050ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,536.00
6036057ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$19,702.02
6036058SUPPLY IMPLANTSupply/Implant$10,649.60
6036067ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,200.00
6036075ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,252.16
6036096SUPPLY IMPLANTSupply/Implant$3,326.46
6036096SUPPLY IMPLANTSupply/Implant$3,415.17
6036100STERILE SUPPLYSupply/Implant$212.48
6036101STERILE SUPPLYSupply/Implant$727.81
6036103STERILE SUPPLYSupply/Implant$430.55
6036104STERILE SUPPLYSupply/Implant$144.90
6036106STERILE SUPPLYSupply/Implant$160.13
6036110SUPPLY IMPLANTSupply/Implant$429.18
6036112SUPPLY IMPLANTSupply/Implant$366.59
6036114SUPPLY IMPLANTSupply/Implant$377.60
6036115SUPPLY IMPLANTSupply/Implant$366.59
6036116SUPPLY IMPLANTSupply/Implant$366.59
6036117SUPPLY IMPLANTSupply/Implant$794.75
6036118SUPPLY IMPLANTSupply/Implant$794.75
6036119SUPPLY IMPLANTSupply/Implant$794.75
6036120SUPPLY IMPLANTSupply/Implant$3,415.17
6036126CATHETER, GUIDINGSupply/Implant$326.02
6036127STERILE SUPPLYSupply/Implant$1,636.86
6036128SUPPLY IMPLANTSupply/Implant$3,415.17
6036129SUPPLY IMPLANTSupply/Implant$374.02
6036130SUPPLY IMPLANTSupply/Implant$234.62
6036131SUPPLY IMPLANTSupply/Implant$352.00
6036138SUPPLY IMPLANTSupply/Implant$343.94
6036140CATH, DRAINAGESupply/Implant$913.92
6036141CATH, DRAINAGESupply/Implant$967.68
6036143CATHETER, URETERALSupply/Implant$239.36
6036144SUPPLY IMPLANTSupply/Implant$217.60
6036146CATH, DRAINAGESupply/Implant$177.92
6036147CATH, DRAINAGESupply/Implant$312.83
6036148CATH, DRAINAGESupply/Implant$312.83
6036151STERILE SUPPLYSupply/Implant$157.25
6036152GENERAL SUPPLYSupply/Implant$191.36
6036158STERILE SUPPLYSupply/Implant$1,151.36
6036159STERILE SUPPLYSupply/Implant$1,142.53
6036163CATH, DRAINAGESupply/Implant$291.33
6036164CATH, DRAINAGESupply/Implant$325.63
6036168SUPPLY IMPLANTSupply/Implant$219.90
6036173SUPPLY IMPLANTSupply/Implant$524.93
6036174SUPPLY IMPLANTSupply/Implant$524.93
6036175SUPPLY IMPLANTSupply/Implant$402.56
6036176SUPPLY IMPLANTSupply/Implant$392.83
6036177SUPPLY IMPLANTSupply/Implant$402.43
6036178SUPPLY IMPLANTSupply/Implant$402.56
6036179SUPPLY IMPLANTSupply/Implant$392.83
6036183SUPPLY IMPLANTSupply/Implant$402.56
6036184SUPPLY IMPLANTSupply/Implant$402.56
6036186SUPPLY IMPLANTSupply/Implant$1,854.85
6036187GENERAL SUPPLYSupply/Implant$160.90
6036188SUPPLY IMPLANTSupply/Implant$247.42
6036189SUPPLY IMPLANTSupply/Implant$247.30
6036190SUPPLY IMPLANTSupply/Implant$202.75
6036191SUPPLY IMPLANTSupply/Implant$153.60
6036192CATH, DRAINAGESupply/Implant$153.60
6036193CATH, DRAINAGESupply/Implant$153.60
6036194CATH, THROMBECTOMY/EMBOLECTSupply/Implant$2,419.20
6036200SUPPLY IMPLANTSupply/Implant$7,872.51
6036202SUPPLY IMPLANTSupply/Implant$419.33
6036205CATH, DRAINAGESupply/Implant$177.10
6036206CATH, DRAINAGESupply/Implant$179.71
6036211SUPPLY IMPLANTSupply/Implant$583.17
6036212STERILE SUPPLYSupply/Implant$298.24
6036221SUPPLY IMPLANTSupply/Implant$459.52
6036228STERILE SUPPLYSupply/Implant$273.79
6036229STERILE SUPPLYSupply/Implant$281.96
6036230STERILE SUPPLYSupply/Implant$293.34
6036239SUPPLY IMPLANTSupply/Implant$137.98
6036242SUPPLY IMPLANTSupply/Implant$1,257.73
6036244CATHETER, URETERALSupply/Implant$244.86
6036245CATHETER, URETERALSupply/Implant$244.86
6036251SUPPLY IMPLANTSupply/Implant$204.16
6036252SUPPLY IMPLANTSupply/Implant$3,415.17
6036257SUPPLY IMPLANTSupply/Implant$4,032.00
6036258SUPPLY IMPLANTSupply/Implant$5,440.00
6036260STERILE SUPPLYSupply/Implant$1,360.26
6036268SUPPLY IMPLANTSupply/Implant$657.02
6036269SUPPLY IMPLANTSupply/Implant$132.22
6036272STERILE SUPPLYSupply/Implant$452.16
6036279SUPPLY IMPLANTSupply/Implant$153.60
6036289GENERAL SUPPLYSupply/Implant$460.80
6036293SUPPLY IMPLANTSupply/Implant$2,965.63
6036296JOINT DEVICE (IMPLANTABLE)Supply/Implant$247.30
6036298SUPPLY IMPLANTSupply/Implant$281.86
6036301SUPPLY IMPLANTSupply/Implant$537.60
6036302GENERAL SUPPLYSupply/Implant$277.34
6036311SUPPLY IMPLANTSupply/Implant$1,228.16
6036314SUPPLY IMPLANTSupply/Implant$768.64
6036318STERILE SUPPLYSupply/Implant$4,966.55
6036320SUPPLY IMPLANTSupply/Implant$10,876.52
6036321SUPPLY IMPLANTSupply/Implant$24,931.97
6036330SUPPLY IMPLANTSupply/Implant$197.63
6036337SUPPLY IMPLANTSupply/Implant$794.75
6036338SUPPLY IMPLANTSupply/Implant$2,201.73
6036339SUPPLY IMPLANTSupply/Implant$272.26
6036341INTRO/SHEATH, NON-LASERSupply/Implant$1,523.58
6036344SUPPLY IMPLANTSupply/Implant$532.22
6036347STERILE SUPPLYSupply/Implant$4,861.93
6036349SUPPLY IMPLANTSupply/Implant$704.00
6036350STERILE SUPPLYSupply/Implant$4,032.00
6036351SUPPLY IMPLANTSupply/Implant$571.53
6036352STERILE SUPPLYSupply/Implant$2,965.63
6036357SUPPLY IMPLANTSupply/Implant$3,233.79
6036362SUPPLY IMPLANTSupply/Implant$167.68
6036364SUPPLY IMPLANTSupply/Implant$793.83
6036370SUPPLY IMPLANTSupply/Implant$1,331.20
6036371SUPPLY IMPLANTSupply/Implant$1,792.00
6036372CATHETER, URETERALSupply/Implant$170.98
6036374SUPPLY IMPLANTSupply/Implant$2,992.00
6036375SUPPLY IMPLANTSupply/Implant$1,679.36
6036376INTRO/SHEATH, NON-LASERSupply/Implant$425.09
6036377INTRO/SHEATH, NON-LASERSupply/Implant$425.09
6036378STERILE SUPPLYSupply/Implant$159.90
6036380SUPPLY IMPLANTSupply/Implant$1,329.28
6036381SUPPLY IMPLANTSupply/Implant$2,333.18
6036384SUPPLY IMPLANTSupply/Implant$1,200.64
6036385SUPPLY IMPLANTSupply/Implant$1,680.90
6036386SUPPLY IMPLANTSupply/Implant$1,455.49
6036392SUPPLY IMPLANTSupply/Implant$1,320.70
6036394STERILE SUPPLYSupply/Implant$1,062.78
6036395SUPPLY IMPLANTSupply/Implant$3,057.28
6036396SUPPLY IMPLANTSupply/Implant$375.68
6036406SUPPLY IMPLANTSupply/Implant$1,228.80
6036407CATH OCCLUSIONSupply/Implant$2,631.42
6036412SUPPLY IMPLANTSupply/Implant$598.40
6036414CATH, DRAINAGESupply/Implant$449.92
6036415GENERAL SUPPLYSupply/Implant$460.80
6036418CERV FLEXIBLE NON-ADJUSTABLESupply/Implant$197.76
6036419SUPPLY IMPLANTSupply/Implant$2,015.62
6036422STERILE SUPPLYSupply/Implant$2,321.28
6036423SUPPLY IMPLANTSupply/Implant$3,340.80
6036431STERILE SUPPLYSupply/Implant$412.03
6036432SUPPLY IMPLANTSupply/Implant$917.63
6036433SUPPLY IMPLANTSupply/Implant$2,483.71
6036434SUPPLY IMPLANTSupply/Implant$1,294.98
6036439SUPPLY IMPLANTSupply/Implant$12,736.00
6036440TISSUE LOCALIZATION EXCISIONSupply/Implant$23,987.20
6036447GUIDE WIRESupply/Implant$1,336.32
6036453STERILE SUPPLYSupply/Implant$1,299.20
6036454INTRO/SHEATH, NON-LASERSupply/Implant$496.77
6036457SUPPLY IMPLANTSupply/Implant$5,440.00
6036459SUPPLY IMPLANTSupply/Implant$808.58
6036461SUPPLY IMPLANTSupply/Implant$256.00
6036462SUPPLY IMPLANTSupply/Implant$281.60
6036467SUPPLY IMPLANTSupply/Implant$1,294.98
6036468SUPPLY IMPLANTSupply/Implant$1,587.75
6036474GENERAL SUPPLYSupply/Implant$960.00
6036477SUPPLY IMPLANTSupply/Implant$3,041.28
6036480STERILE SUPPLYSupply/Implant$2,713.60
6036483SUPPLY IMPLANTSupply/Implant$1,569.41
6036484GENERAL SUPPLYSupply/Implant$142.08
6036485GENERAL SUPPLYSupply/Implant$1,024.51
6036492SUPPLY IMPLANTSupply/Implant$1,663.74
6036495SUPPLY IMPLANTSupply/Implant$1,535.10
6036496SUPPLY IMPLANTSupply/Implant$1,130.88
6036501SUPPLY IMPLANTSupply/Implant$2,437.12
6036505SUPPLY IMPLANTSupply/Implant$1,113.60
6036508CATHETER, URETERALSupply/Implant$231.42
6036509CATHETER, URETERALSupply/Implant$231.42
6036513SUPPLY IMPLANTSupply/Implant$1,113.60
6036515SUPPLY IMPLANTSupply/Implant$234.66
6036524SUPPLY IMPLANTSupply/Implant$634.88
6036528SUPPLY IMPLANTSupply/Implant$659.20
6036529STERILE SUPPLYSupply/Implant$487.09
6036535SUPPLY IMPLANTSupply/Implant$1,320.96
6036538SUPPLY IMPLANTSupply/Implant$1,234.94
6036542STERILE SUPPLYSupply/Implant$2,475.64
6036543STERILE SUPPLYSupply/Implant$238.03
6036546SUPPLY IMPLANTSupply/Implant$6,787.20
6036548SUPPLY IMPLANTSupply/Implant$590.59
6036549SUPPLY IMPLANTSupply/Implant$38,336.00
6036550SUPPLY IMPLANTSupply/Implant$2,908.80
6036551SUPPLY IMPLANTSupply/Implant$2,396.16
6036553CATH, TRANSLUMIN NON-LASERSupply/Implant$3,536.77
6036555SUPPLY IMPLANTSupply/Implant$2,396.16
6036556SUPPLY IMPLANTSupply/Implant$1,466.50
6036559SUPPLY IMPLANTSupply/Implant$452.10
6036560SUPPLY IMPLANTSupply/Implant$2,294.40
6036561CATH, THROMBECTOMY/EMBOLECTSupply/Implant$1,453.06
6036567SUPPLY IMPLANTSupply/Implant$1,893.89
6036568SUPPLY IMPLANTSupply/Implant$1,468.03
6036572CATH, THROMBECTOMY/EMBOLECTSupply/Implant$1,453.06
6036573CATH, THROMBECTOMY/EMBOLECTSupply/Implant$1,453.06
6036575SUPPLY IMPLANTSupply/Implant$1,692.16
6036577CATH OCCLUSIONSupply/Implant$5,142.40
6036579SUPPLY IMPLANTSupply/Implant$213.25
6036590SUPPLY IMPLANTSupply/Implant$133.45
6036591SUPPLY IMPLANTSupply/Implant$224.90
6036593SUPPLY IMPLANTSupply/Implant$426.75
6036612SUPPLY IMPLANTSupply/Implant$731.78
6036614SUPPLY IMPLANTSupply/Implant$32,416.90
6036623SUPPLY IMPLANTSupply/Implant$2,396.16
6036625STERILE SUPPLYSupply/Implant$449.79
6036628SUPPLY IMPLANTSupply/Implant$8,439.42
6036630SUPPLY IMPLANTSupply/Implant$1,395.84
6036631SUPPLY IMPLANTSupply/Implant$951.04
6036632SUPPLY IMPLANTSupply/Implant$11,270.66
6036635SUPPLY IMPLANTSupply/Implant$1,344.00
6036639SUPPLY IMPLANTSupply/Implant$708.35
6036641SUPPLY IMPLANTSupply/Implant$2,112.00
6036643GUIDE WIRESupply/Implant$1,024.00
6036649STERILE SUPPLYSupply/Implant$134.14
6036651STERILE SUPPLYSupply/Implant$400.51
6036657SUPPLY IMPLANTSupply/Implant$8,988.42
6036658SUPPLY IMPLANTSupply/Implant$1,473.66
6036660SUPPLY IMPLANTSupply/Implant$5,043.20
6036661SUPPLY IMPLANTSupply/Implant$4,550.02
6036662CATH, DRAINAGESupply/Implant$5,396.48
6036663GENERAL SUPPLYSupply/Implant$302.08
6036664SUPPLY IMPLANTSupply/Implant$143.71
6036667CATH, SUPRAPUBIC/CYSTOSCOPICSupply/Implant$3,454.98
6036668STERILE SUPPLYSupply/Implant$2,150.40
6036674CATH, TRANSLUMIN NON-LASERSupply/Implant$6,131.71
6036675STERILE SUPPLYSupply/Implant$290.64
6036677SUPPLY IMPLANTSupply/Implant$4,876.80
6036679SUPPLY IMPLANTSupply/Implant$658.82
6036680SUPPLY IMPLANTSupply/Implant$8,988.42
6036681STERILE SUPPLYSupply/Implant$140.16
6036681STERILE SUPPLYSupply/Implant$140.16
6036682SUPPLY IMPLANTSupply/Implant$533.62
6036683SUPPLY IMPLANTSupply/Implant$1,142.78
6036685STERILE SUPPLYSupply/Implant$133.76
6036686STERILE SUPPLYSupply/Implant$133.12
6036687SUPPLY IMPLANTSupply/Implant$46,592.00
6036688SUPPLY IMPLANTSupply/Implant$5,148.45
6036689STERILE SUPPLYSupply/Implant$3,628.29
6036694SUPPLY IMPLANTSupply/Implant$3,094.02
6036697SUPPLY IMPLANTSupply/Implant$731.01
6036698SUPPLY IMPLANTSupply/Implant$3,842.05
6036705SUPPLY IMPLANTSupply/Implant$929.28
6036709STERILE SUPPLYSupply/Implant$6,461.44
6036710CATH, BAL DIL, NON-VASCULARSupply/Implant$5,223.68
6036717CATH, TRANSLUMIN NON-LASERSupply/Implant$5,696.00
6036723SUPPLY IMPLANTSupply/Implant$8,320.00
6036729SUPPLY IMPLANTSupply/Implant$2,187.87
6036731SUPPLY IMPLANTSupply/Implant$14,899.71
6036732STERILE SUPPLYSupply/Implant$133.76
6036733SUPPLY IMPLANTSupply/Implant$345.60
6036734SUPPLY IMPLANTSupply/Implant$5,438.46
6036738SUPPLY IMPLANTSupply/Implant$1,653.76
6036741SUPPLY IMPLANTSupply/Implant$1,809.79
6036742SUPPLY IMPLANTSupply/Implant$1,809.79
6036744SUPPLY IMPLANTSupply/Implant$3,417.73
6036745STERILE SUPPLYSupply/Implant$133.76
6036746STERILE SUPPLYSupply/Implant$133.76
6036747SUPPLY IMPLANTSupply/Implant$3,983.36
6036753SUPPLY IMPLANTSupply/Implant$1,186.39
6036754SUPPLY IMPLANTSupply/Implant$1,169.41
6036755SUPPLY IMPLANTSupply/Implant$545.54
6036756CATH, INF, PER/CENT/MIDLINESupply/Implant$1,420.80
6036757CATH, INF, PER/CENT/MIDLINESupply/Implant$1,420.80
6036758SUPPLY IMPLANTSupply/Implant$993.28
6036781SUPPLY IMPLANTSupply/Implant$863.74
6036782SUPPLY IMPLANTSupply/Implant$668.42
6036785RET DEV, INSERTABLESupply/Implant$457.59
6036786SUPPLY IMPLANTSupply/Implant$605.57
6036787SUPPLY IMPLANTSupply/Implant$561.02
6036790SUPPLY IMPLANTSupply/Implant$2,270.85
6036791SUPPLY IMPLANTSupply/Implant$850.94
6036792SUPPLY IMPLANTSupply/Implant$15,948.80
6036793SUPPLY IMPLANTSupply/Implant$484.74
6036799SUPPLY IMPLANTSupply/Implant$768.64
6036803SUPPLY IMPLANTSupply/Implant$2,664.19
6036806SUPPLY IMPLANTSupply/Implant$1,320.70
6036807SUPPLY IMPLANTSupply/Implant$1,178.75
6036808SUPPLY IMPLANTSupply/Implant$1,208.96
6036809SUPPLY IMPLANTSupply/Implant$4,863.62
6036811JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,636.99
6036814SUPPLY IMPLANTSupply/Implant$2,321.28
6036815SUPPLY IMPLANTSupply/Implant$1,294.98
6036818SUPPLY IMPLANTSupply/Implant$7,246.46
6036819CATH, INF, PER/CENT/MIDLINESupply/Implant$1,800.81
6036825SUPPLY IMPLANTSupply/Implant$11,328.00
6036826SUPPLY IMPLANTSupply/Implant$1,156.57
6036829SUPPLY IMPLANTSupply/Implant$6,774.02
6036835SUPPLY IMPLANTSupply/Implant$772.48
6036836SUPPLY IMPLANTSupply/Implant$772.48
6036842SUPPLY IMPLANTSupply/Implant$13,058.18
6036844SUPPLY IMPLANTSupply/Implant$3,430.40
6036846INTRO/SHEATH, NON-LASERSupply/Implant$633.60
6036848SUPPLY IMPLANTSupply/Implant$1,648.64
6036856SUPPLY IMPLANTSupply/Implant$2,979.84
6036858SUPPLY IMPLANTSupply/Implant$201.60
6036859STERILE SUPPLYSupply/Implant$4,233.60
6036860GENERAL SUPPLYSupply/Implant$703.36
6036861SUPPLY IMPLANTSupply/Implant$668.42
6036863SUPPLY IMPLANTSupply/Implant$3,764.10
6036864SUPPLY IMPLANTSupply/Implant$3,764.10
6036868STERILE SUPPLYSupply/Implant$3,328.00
6036875STERILE SUPPLYSupply/Implant$3,835.90
6036881SUPPLY IMPLANTSupply/Implant$475.84
6036882SUPPLY IMPLANTSupply/Implant$660.61
6036885SUPPLY IMPLANTSupply/Implant$1,887.36
6036886SUPPLY IMPLANTSupply/Implant$1,192.96
6036889SUPPLY IMPLANTSupply/Implant$1,408.00
6036893SUPPLY IMPLANTSupply/Implant$38,169.60
6036894GRAFT, VASCULARSupply/Implant$23,244.80
6036902SUPPLY IMPLANTSupply/Implant$8,960.00
6036909SUPPLY IMPLANTSupply/Implant$2,658.56
6036914SUPPLY IMPLANTSupply/Implant$21,478.40
6036917GUIDE WIRESupply/Implant$1,024.00
6036918STERILE SUPPLYSupply/Implant$140.16
6036919SUPPLY IMPLANTSupply/Implant$6,131.20
6036920SUPPLY IMPLANTSupply/Implant$1,809.79
6036922SUPPLY IMPLANTSupply/Implant$280.45
6036925STERILE SUPPLYSupply/Implant$309.50
6036926GENERAL SUPPLYSupply/Implant$153.86
6036930SUPPLY IMPLANTSupply/Implant$874.24
6036931SUPPLY IMPLANTSupply/Implant$2,086.40
6036937SUPPLY IMPLANTSupply/Implant$15,847.55
6036939STERILE SUPPLYSupply/Implant$2,816.00
6036940SUPPLY IMPLANTSupply/Implant$2,816.00
6036945CATH, BAL DIL, NON-VASCULARSupply/Implant$3,536.77
6036947SUPPLY IMPLANTSupply/Implant$66,560.00
6036950SUPPLY IMPLANTSupply/Implant$2,697.60
6036953SUPPLY IMPLANTSupply/Implant$3,041.28
6036954CATH, TRANSLUMIN ANGIO LASERSupply/Implant$38,336.00
6036955SUPPLY IMPLANTSupply/Implant$6,080.00
6036960STERILE SUPPLYSupply/Implant$568.00
6036964SUPPLY IMPLANTSupply/Implant$3,004.33
6036965SUPPLY IMPLANTSupply/Implant$4,921.47
6036969STENT, COATED/COV W/DEL SYSSupply/Implant$35,520.00
6036970SUPPLY IMPLANTSupply/Implant$234.50
6036971SUPPLY IMPLANTSupply/Implant$234.50
6036972SUPPLY IMPLANTSupply/Implant$234.50
6036974SUPPLY IMPLANTSupply/Implant$531.24
6036975SUPPLY IMPLANTSupply/Implant$1,667.71
6036981STERILE SUPPLYSupply/Implant$576.00
6036982SUPPLY IMPLANTSupply/Implant$166.40
6036983SUPPLY IMPLANTSupply/Implant$166.40
6036987SUPPLY IMPLANTSupply/Implant$2,231.30
6036988SUPPLY IMPLANTSupply/Implant$2,512.13
6036989SUPPLY IMPLANTSupply/Implant$1,587.75
6036993GRAFT, VASCULARSupply/Implant$38,169.60
6036994SUPPLY IMPLANTSupply/Implant$1,561.34
6036996STERILE SUPPLYSupply/Implant$524.80
6037001SUPPLY IMPLANTSupply/Implant$5,376.00
6037003ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,225.73
6037009LEAD, PMKR, OTHER THAN TRANSSupply/Implant$789.38
6037011SUPPLY IMPLANTSupply/Implant$6,322.18
6037013SUPPLY IMPLANTSupply/Implant$1,408.00
6037016SUPPLY IMPLANTSupply/Implant$3,251.20
6037023SUPPLY IMPLANTSupply/Implant$17,523.20
6037027SUPPLY IMPLANTSupply/Implant$3,456.00
6037030GENERAL SUPPLYSupply/Implant$512.00
6037035SUPPLY IMPLANTSupply/Implant$6,054.40
6037038SUPPLY IMPLANTSupply/Implant$5,751.68
6037043SUPPLY IMPLANTSupply/Implant$5,751.68
6037045RET DEV, INSERTABLESupply/Implant$7,253.34
6037046SUPPLY IMPLANTSupply/Implant$739.33
6037056RET DEV, INSERTABLESupply/Implant$4,352.00
6037058STERILE SUPPLYSupply/Implant$1,166.34
6037059SUPPLY IMPLANTSupply/Implant$5,751.68
6037060SUPPLY IMPLANTSupply/Implant$5,751.68
6037062SUPPLY IMPLANTSupply/Implant$5,751.68
6037063SUPPLY IMPLANTSupply/Implant$5,751.68
6037065SUPPLY IMPLANTSupply/Implant$234.66
6037066SUPPLY IMPLANTSupply/Implant$3,139.20
6037067SUPPLY IMPLANTSupply/Implant$3,139.20
6037068SUPPLY IMPLANTSupply/Implant$3,139.20
6037069SUPPLY IMPLANTSupply/Implant$768.00
6037070SUPPLY IMPLANTSupply/Implant$768.00
6037071SUPPLY IMPLANTSupply/Implant$768.00
6037072SUPPLY IMPLANTSupply/Implant$768.00
6037073SUPPLY IMPLANTSupply/Implant$768.00
6037074SUPPLY IMPLANTSupply/Implant$768.00
6037077GRAFT, VASCULARSupply/Implant$2,176.00
6037078GRAFT, VASCULARSupply/Implant$3,187.20
6037081ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6037092STERILE SUPPLYSupply/Implant$174.21
6037100STERILE SUPPLYSupply/Implant$151.24
6037101STERILE SUPPLYSupply/Implant$180.99
6037102STERILE SUPPLYSupply/Implant$156.42
6037103STERILE SUPPLYSupply/Implant$190.46
6037106SUPPLY IMPLANTSupply/Implant$660.48
6037114SUPPLY IMPLANTSupply/Implant$604.16
6037116STERILE SUPPLYSupply/Implant$396.26
6037118SUPPLY IMPLANTSupply/Implant$2,841.60
6037119SUPPLY IMPLANTSupply/Implant$3,315.71
6037121SUPPLY IMPLANTSupply/Implant$251.49
6037124SUPPLY IMPLANTSupply/Implant$3,315.71
6037125SUPPLY IMPLANTSupply/Implant$1,140.48
6037127SUPPLY IMPLANTSupply/Implant$3,315.71
6037128SUPPLY IMPLANTSupply/Implant$501.89
6037130SUPPLY IMPLANTSupply/Implant$329.47
6037131SUPPLY IMPLANTSupply/Implant$340.74
6037132SUPPLY IMPLANTSupply/Implant$340.74
6037133SUPPLY IMPLANTSupply/Implant$340.74
6037134SUPPLY IMPLANTSupply/Implant$329.47
6037135SUPPLY IMPLANTSupply/Implant$402.56
6037136SUPPLY IMPLANTSupply/Implant$402.56
6037139SUPPLY IMPLANTSupply/Implant$570.24
6037153STENT, COATED/COV W/DEL SYSSupply/Implant$37,381.38
6037155ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$798.72
6037160ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$184.32
6037165JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037171SUPPLY IMPLANTSupply/Implant$3,340.80
6037176SUPPLY IMPLANTSupply/Implant$402.94
6037183SUPPLY IMPLANTSupply/Implant$2,296.96
6037184SUPPLY IMPLANTSupply/Implant$2,296.96
6037185SUPPLY IMPLANTSupply/Implant$2,296.96
6037186CATH, BAL DIL, NON-VASCULARSupply/Implant$8,859.01
6037188STERILE SUPPLYSupply/Implant$1,223.77
6037189STERILE SUPPLYSupply/Implant$187.90
6037201SUPPLY IMPLANTSupply/Implant$8,230.40
6037202GENERAL SUPPLYSupply/Implant$224.64
6037203CATHETER, GUIDINGSupply/Implant$7,680.00
6037205GENERAL SUPPLYSupply/Implant$477.44
6037206GENERAL SUPPLYSupply/Implant$524.16
6037207SUPPLY IMPLANTSupply/Implant$10,432.00
6037208SUPPLY IMPLANTSupply/Implant$391.46
6037209GENERAL SUPPLYSupply/Implant$304.64
6037211SUPPLY IMPLANTSupply/Implant$5,148.45
6037216ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$156.93
6037218SUPPLY IMPLANTSupply/Implant$1,866.11
6037222SUPPLY IMPLANTSupply/Implant$2,340.10
6037226SUPPLY IMPLANTSupply/Implant$2,531.46
6037235JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037242JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037243ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,228.80
6037245JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6037252ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,854.40
6037256ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,291.20
6037262JOINT DEVICE (IMPLANTABLE)Supply/Implant$32,961.28
6037265JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6037289JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6037290JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,880.00
6037298JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037310JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6037318SUPPLY IMPLANTSupply/Implant$9,967.10
6037319ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$712.96
6037321SUPPLY IMPLANTSupply/Implant$685.57
6037323SUPPLY IMPLANTSupply/Implant$712.96
6037329GENERAL SUPPLYSupply/Implant$14,689.02
6037336JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,887.30
6037343JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,040.00
6037348JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,271.36
6037353JOINT DEVICE (IMPLANTABLE)Supply/Implant$18,060.80
6037354JOINT DEVICE (IMPLANTABLE)Supply/Implant$18,060.80
6037361GENERAL SUPPLYSupply/Implant$10,198.02
6037363JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,800.00
6037365JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6037366JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,648.00
6037367JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6037368JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037369JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037370JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037371JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037372JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037373JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037374JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037375JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037376JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037378JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037379JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037380JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037381JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037382JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037383JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037384JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037385JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037388JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,880.00
6037389JOINT DEVICE (IMPLANTABLE)Supply/Implant$1,450.24
6037406ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$712.96
6037407JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,787.07
6037416GENERAL SUPPLYSupply/Implant$9,918.59
6037417GENERAL SUPPLYSupply/Implant$9,918.59
6037425ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,984.00
6037426SUPPLY IMPLANTSupply/Implant$685.57
6037429SUPPLY IMPLANTSupply/Implant$19,619.84
6037440JOINT DEVICE (IMPLANTABLE)Supply/Implant$105,350.40
6037442JOINT DEVICE (IMPLANTABLE)Supply/Implant$16,867.20
6037444JOINT DEVICE (IMPLANTABLE)Supply/Implant$16,867.20
6037448JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,160.00
6037450ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,444.80
6037454JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6037455JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6037456JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6037457JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037459JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037460JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037461JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037463JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037464JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037465JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037466JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037467JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037468JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037469JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037470JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037471JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6037473JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6037475JOINT DEVICE (IMPLANTABLE)Supply/Implant$52,137.60
6037476SUPPLY IMPLANTSupply/Implant$5,152.00
6037477JOINT DEVICE (IMPLANTABLE)Supply/Implant$39,793.02
6037479ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,515.20
6037485JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6037506SUPPLY IMPLANTSupply/Implant$4,579.20
6037508JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,592.00
6037550ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$777.60
6037554SUPPLY IMPLANTSupply/Implant$4,838.40
6037559ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,339.52
6037578ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,256.00
6037580ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,267.20
6037596JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,955.20
6037607JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,787.07
6037611JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6037626SUPPLY IMPLANTSupply/Implant$8,944.00
6037643JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6037644JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6037648JOINT DEVICE (IMPLANTABLE)Supply/Implant$62,536.32
6037657JOINT DEVICE (IMPLANTABLE)Supply/Implant$36,595.20
6037697SUPPLY IMPLANTSupply/Implant$2,531.46
6037698JOINT DEVICE (IMPLANTABLE)Supply/Implant$1,291.65
6037719SUPPLY IMPLANTSupply/Implant$11,520.38
6037720JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6037725ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,134.40
6037727SUPPLY IMPLANTSupply/Implant$5,120.00
6037730ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,804.80
6037743JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,984.70
6037744JOINT DEVICE (IMPLANTABLE)Supply/Implant$34,648.96
6037748ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,339.52
6037762JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,184.00
6037763JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,184.00
6037764JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,184.00
6037765JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,184.00
6037767JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6037768JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6037769JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6037770JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6037771JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6037772JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6037789ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,179.20
6037792SUPPLY IMPLANTSupply/Implant$2,368.00
6037793SUPPLY IMPLANTSupply/Implant$26,880.00
6037795JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6037796JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6037804JOINT DEVICE (IMPLANTABLE)Supply/Implant$34,648.96
6037807JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,753.92
6037808JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,096.96
6037809JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,912.38
6037810JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,460.86
6037811JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037812JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,118.08
6037813JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6037814JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,687.55
6037816JOINT DEVICE (IMPLANTABLE)Supply/Implant$38,913.66
6037817ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,691.20
6037818SUPPLY IMPLANTSupply/Implant$2,368.00
6037819SUPPLY IMPLANTSupply/Implant$2,368.00
6037820ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,640.70
6037822JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,342.72
6037823ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6037824JOINT DEVICE (IMPLANTABLE)Supply/Implant$18,081.79
6037828JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6037833SUPPLY IMPLANTSupply/Implant$2,368.00
6037834JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,118.08
6037835JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,240.00
6037837ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,344.00
6037838ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6037839ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,179.20
6037847JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6037850JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6037853JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6037854JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,553.86
6037855ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,436.80
6037856JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037859ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6037865ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,976.00
6037866JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037867JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037869SUPPLY IMPLANTSupply/Implant$2,368.00
6037870JOINT DEVICE (IMPLANTABLE)Supply/Implant$23,360.00
6037871ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,809.60
6037872JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,560.00
6037873ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6037874ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6037875ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6037877JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6037879SUPPLY IMPLANTSupply/Implant$10,240.13
6037880JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6037881SUPPLY IMPLANTSupply/Implant$10,240.13
6037882JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6037883ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,179.20
6037888JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6037890JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,342.72
6037891ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$14,419.20
6037893ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$22,592.00
6037894ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,880.00
6037897ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,179.20
6037903JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6037904ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$55,632.00
6037905ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,179.20
6037907ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,098.24
6037909ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$640.00
6037914INTERSPINOUS IMPLANTSupply/Implant$51,200.00
6037916JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,644.29
6037922SUPPLY IMPLANTSupply/Implant$2,368.00
6037923SUPPLY IMPLANTSupply/Implant$2,368.00
6037924JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,753.92
6037925JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,376.00
6037926ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,884.03
6037931JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,242.30
6037932JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6037933JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6037935JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,697.60
6037936JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6037937JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,460.86
6037938JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,912.38
6037942ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$640.00
6037949ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$21,129.60
6037951JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037952JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6037955JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037956JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037958ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$640.00
6037964JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037965JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,560.00
6037966ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,542.40
6037967ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$19,200.00
6037968JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,600.00
6037969ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6037970ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6037971ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6037972JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,560.00
6037973JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,600.00
6037974ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6037978ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$55,632.00
6037980GENERAL SUPPLYSupply/Implant$10,732.80
6037981SUPPLY IMPLANTSupply/Implant$19,187.33
6037983JOINT DEVICE (IMPLANTABLE)Supply/Implant$23,360.00
6037985JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6037989JOINT DEVICE (IMPLANTABLE)Supply/Implant$60,473.09
6037991JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,912.38
6037995JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6037997JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,884.03
6038006JOINT DEVICE (IMPLANTABLE)Supply/Implant$34,648.96
6038014ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,820.74
6038018JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6038023ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,104.00
6038027JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,690.94
6038031JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6038033JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,838.34
6038034JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,955.20
6038037JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,198.46
6038038JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6038058JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,921.60
6038060JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,636.80
6038061JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6038068SUPPLY IMPLANTSupply/Implant$8,640.00
6038076JOINT DEVICE (IMPLANTABLE)Supply/Implant$116,992.00
6038078JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6038083JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6038085JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,184.13
6038096JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6038098JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6038104ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,320.00
6038106ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,241.60
6038107ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,241.60
6038118JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,753.92
6038119JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,376.00
6038120JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,376.00
6038121JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6038123JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,580.80
6038129JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6038132JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,912.38
6038133JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,912.38
6038134ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$36,126.72
6038141JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6038142JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6038147JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,560.00
6038148INTERSPINOUS IMPLANTSupply/Implant$60,678.40
6038152JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,721.22
6038157ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,977.60
6038159JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6038162SUPPLY IMPLANTSupply/Implant$1,815.42
6038166ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,687.36
6038171SUPPLY IMPLANTSupply/Implant$23,511.68
6038181ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6038182ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6038183ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,112.00
6038186ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,408.00
6038188JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6038189SUPPLY IMPLANTSupply/Implant$3,840.00
6038190ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,979.20
6038191SUPPLY IMPLANTSupply/Implant$4,608.00
6038193JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6038197JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6038204ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,993.60
6038207JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038213JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,959.68
6038221ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,040.00
6038226ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$640.00
6038228ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,331.20
6038229ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,556.80
6038230ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6038237JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6038238JOINT DEVICE (IMPLANTABLE)Supply/Implant$11,200.00
6038240JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6038243ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,331.20
6038246SUPPLY IMPLANTSupply/Implant$2,323.20
6038256ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$720.00
6038257ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,272.00
6038269ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,608.00
6038270JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6038274SUPPLY IMPLANTSupply/Implant$16,000.00
6038282JOINT DEVICE (IMPLANTABLE)Supply/Implant$25,267.20
6038298JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,242.30
6038299JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,721.22
6038301INTERSPINOUS IMPLANTSupply/Implant$79,385.60
6038303ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,840.00
6038308JOINT DEVICE (IMPLANTABLE)Supply/Implant$47,269.25
6038309ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$10,896.00
6038320JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6038326JOINT DEVICE (IMPLANTABLE)Supply/Implant$62,003.20
6038330JOINT DEVICE (IMPLANTABLE)Supply/Implant$25,267.20
6038331JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,829.31
6038333ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$10,896.00
6038336JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,184.00
6038337JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,753.92
6038348SUPPLY IMPLANTSupply/Implant$2,368.00
6038356JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,496.00
6038360JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,242.30
6038362JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,747.90
6038368JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6038371JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,200.00
6038373ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$32,384.00
6038378JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,959.68
6038384JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,921.60
6038413JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,742.27
6038415JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,921.60
6038416JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6038417SUPPLY IMPLANTSupply/Implant$550.02
6038418JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,721.22
6038426JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6038433ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6038434ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6038435ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6038436JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,921.60
6038438JOINT DEVICE (IMPLANTABLE)Supply/Implant$18,450.43
6038440JOINT DEVICE (IMPLANTABLE)Supply/Implant$62,003.20
6038443JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,686.40
6038447JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,753.92
6038448ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,804.80
6038449JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,768.64
6038451JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,921.60
6038452JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038453JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6038454JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6038458JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,192.64
6038461JOINT DEVICE (IMPLANTABLE)Supply/Implant$69,463.30
6038464ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$32,384.00
6038465SUPPLY IMPLANTSupply/Implant$11,648.00
6038467JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,686.40
6038468GUIDE WIRESupply/Implant$2,880.00
6038470JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,747.90
6038473SUPPLY IMPLANTSupply/Implant$10,464.00
6038481JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6038482ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$585.60
6038483INTERSPINOUS IMPLANTSupply/Implant$60,678.40
6038489JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,753.92
6038492ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,448.00
6038493ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,224.00
6038496GUIDE WIRESupply/Implant$2,944.00
6038497ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,448.00
6038502JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,921.60
6038504ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,880.00
6038505JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6038506JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038507JOINT DEVICE (IMPLANTABLE)Supply/Implant$39,077.38
6038508JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,560.00
6038509JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038511JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,618.62
6038525JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038526JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038527JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,600.00
6038528JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038533JOINT DEVICE (IMPLANTABLE)Supply/Implant$39,793.02
6038534ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,747.20
6038535ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,259.20
6038536ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,705.60
6038543ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$8,448.00
6038546JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038547JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6038548JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6038553ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$276.48
6038556JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,600.00
6038557JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038571ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,200.00
6038573JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,223.81
6038575JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,261.12
6038579JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,800.00
6038585JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,261.12
6038586JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6038591JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,768.64
6038592ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$15,296.00
6038599GUIDE WIRESupply/Implant$1,584.00
6038605INTERSPINOUS IMPLANTSupply/Implant$35,840.00
6038613SUPPLY IMPLANTSupply/Implant$13,946.88
6038620JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,886.40
6038624JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,959.68
6038632JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,600.00
6038634JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,261.12
6038635JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,223.81
6038641INTERSPINOUS IMPLANTSupply/Implant$25,159.68
6038647JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6038652JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6038653JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038654JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,921.60
6038667JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,886.40
6038670JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,472.96
6038673JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6038675ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,339.52
6038678JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6038684ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$276.48
6038693JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6038699JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,797.38
6038700JOINT DEVICE (IMPLANTABLE)Supply/Implant$69,463.30
6038703JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6038704JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6038716JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6038717JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6038719INTERSPINOUS IMPLANTSupply/Implant$75,648.00
6038733JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6038734JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,787.07
6038735JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6038743JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,884.03
6038744JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,753.92
6038748JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,118.08
6038749JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,118.08
6038750JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6038753JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,376.00
6038754JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,912.38
6038756SUPPLY IMPLANTSupply/Implant$896.00
6038760JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038762JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,884.03
6038763JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,376.00
6038767JOINT DEVICE (IMPLANTABLE)Supply/Implant$21,376.00
6038770ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,606.40
6038771JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,753.92
6038772JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,460.86
6038773ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$276.48
6038776JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6038777JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6038787ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,049.47
6038803JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6038819JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6038821SUPPLY IMPLANTSupply/Implant$2,368.00
6038822SUPPLY IMPLANTSupply/Implant$2,368.00
6038829JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6038832JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6038836JOINT DEVICE (IMPLANTABLE)Supply/Implant$4,480.00
6038838JOINT DEVICE (IMPLANTABLE)Supply/Implant$16,640.00
6038841JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,912.38
6038842JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,958.59
6038850JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6038851JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6038855JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6038856ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$276.48
6038857JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6038858JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,895.62
6038869ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,040.00
6038884JOINT DEVICE (IMPLANTABLE)Supply/Implant$60,473.09
6038888JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6038889JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,118.08
6038894JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,138.82
6038897JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6038901SUPPLY IMPLANTSupply/Implant$373.63
6038908JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6038909JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,636.99
6038916ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,907.20
6038917JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,758.40
6038922SUPPLY IMPLANTSupply/Implant$329.09
6038923ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$19,516.80
6038926ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6038930JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,921.60
6038934JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6038935JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6038940JOINT DEVICE (IMPLANTABLE)Supply/Implant$55,702.40
6038942JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,735.62
6038943JOINT DEVICE (IMPLANTABLE)Supply/Implant$16,640.00
6038947ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,339.52
6038951ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$276.48
6038952JOINT DEVICE (IMPLANTABLE)Supply/Implant$38,976.00
6038961ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,241.60
6038973ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,926.40
6038974ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,926.40
6038975ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,926.40
6038977JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,328.00
6038979JOINT DEVICE (IMPLANTABLE)Supply/Implant$44,753.92
6038985ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$10,240.00
6038988ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,640.70
6038993SUPPLY IMPLANTSupply/Implant$1,971.20
6038995JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,746.24
6038996ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,304.00
6039000SUPPLY IMPLANTSupply/Implant$9,600.00
6039008JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,392.00
6039009JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6039012ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,299.20
6039018SUPPLY IMPLANTSupply/Implant$8,192.00
6039021JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,787.07
6039023SUPPLY IMPLANTSupply/Implant$4,881.28
6039030JOINT DEVICE (IMPLANTABLE)Supply/Implant$11,200.00
6039032ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,926.40
6039045JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,256.06
6039046JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,261.12
6039055JOINT DEVICE (IMPLANTABLE)Supply/Implant$52,477.70
6039063ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,907.20
6039064ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,907.20
6039100JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,884.03
6039115JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,912.38
6039120JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,884.03
6039121JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,040.00
6039129ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6039132JOINT DEVICE (IMPLANTABLE)Supply/Implant$62,003.20
6039136JOINT DEVICE (IMPLANTABLE)Supply/Implant$16,960.00
6039146SUPPLY IMPLANTSupply/Implant$2,368.00
6039150ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,040.00
6039164JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,600.00
6039166JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,080.00
6039190ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,040.00
6039193JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,884.03
6039207SUPPLY IMPLANTSupply/Implant$993.28
6039211ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6039217JOINT DEVICE (IMPLANTABLE)Supply/Implant$47,347.20
6039219ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,216.00
6039227JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6039232JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,550.08
6039242JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,921.60
6039247JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,241.60
6039249JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,768.64
6039253SUPPLY IMPLANTSupply/Implant$9,600.00
6039254SUPPLY IMPLANTSupply/Implant$5,760.00
6039255JOINT DEVICE (IMPLANTABLE)Supply/Implant$62,003.20
6039256ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$18,912.00
6039258JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,142.34
6039259JOINT DEVICE (IMPLANTABLE)Supply/Implant$30,406.66
6039264JOINT DEVICE (IMPLANTABLE)Supply/Implant$30,406.66
6039265JOINT DEVICE (IMPLANTABLE)Supply/Implant$30,406.66
6039267JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,142.34
6039268JOINT DEVICE (IMPLANTABLE)Supply/Implant$34,262.27
6039281JOINT DEVICE (IMPLANTABLE)Supply/Implant$62,003.20
6039282JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6039284ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,553.60
6039290JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,142.34
6039297SUPPLY IMPLANTSupply/Implant$5,760.00
6039300JOINT DEVICE (IMPLANTABLE)Supply/Implant$30,406.66
6039303SUPPLY IMPLANTSupply/Implant$34,240.00
6039308SUPPLY IMPLANTSupply/Implant$5,760.00
6039309ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$13,939.20
6039316ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,676.80
6039323JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,534.98
6039331ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6039332ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6039347ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6039352ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6039358GENERAL SUPPLYSupply/Implant$2,607.74
6039359JOINT DEVICE (IMPLANTABLE)Supply/Implant$47,269.25
6039368SUPPLY IMPLANTSupply/Implant$619.14
6039371JOINT DEVICE (IMPLANTABLE)Supply/Implant$30,406.66
6039372JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,142.34
6039381SUPPLY IMPLANTSupply/Implant$5,120.00
6039382SUPPLY IMPLANTSupply/Implant$2,150.40
6039387ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,814.40
6039391JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,544.06
6039404SUPPLY IMPLANTSupply/Implant$2,368.00
6039405SUPPLY IMPLANTSupply/Implant$4,659.20
6039410JOINT DEVICE (IMPLANTABLE)Supply/Implant$41,065.47
6039413JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6039415JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6039422JOINT DEVICE (IMPLANTABLE)Supply/Implant$23,961.60
6039423JOINT DEVICE (IMPLANTABLE)Supply/Implant$29,952.00
6039426JOINT DEVICE (IMPLANTABLE)Supply/Implant$52,477.70
6039430ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,548.80
6039436ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6039437ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6039438ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6039441ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6039444JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,912.38
6039453JOINT DEVICE (IMPLANTABLE)Supply/Implant$47,269.25
6039456SUPPLY IMPLANTSupply/Implant$23,488.00
6039467ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,328.00
6039468ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6039473JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6039501JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6039503JOINT DEVICE (IMPLANTABLE)Supply/Implant$30,406.66
6039504SUPPLY IMPLANTSupply/Implant$2,368.00
6039506SUPPLY IMPLANTSupply/Implant$10,895.23
6039507ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,280.00
6039512ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,560.00
6039521SUPPLY IMPLANTSupply/Implant$512.00
6039522JOINT DEVICE (IMPLANTABLE)Supply/Implant$30,406.66
6039524ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,304.00
6039526JOINT DEVICE (IMPLANTABLE)Supply/Implant$6,921.60
6039531ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$22,592.00
6039532SUPPLY IMPLANTSupply/Implant$18,304.00
6039533SUPPLY IMPLANTSupply/Implant$2,368.00
6039534JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,142.34
6039539ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,040.00
6039541JOINT DEVICE (IMPLANTABLE)Supply/Implant$62,003.20
6039551JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6039552JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6039563JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6039589JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6039590JOINT DEVICE (IMPLANTABLE)Supply/Implant$34,262.27
6039591SUPPLY IMPLANTSupply/Implant$2,368.00
6039606SUPPLY IMPLANTSupply/Implant$6,656.00
6039623SUPPLY IMPLANTSupply/Implant$2,368.00
6039624JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,984.00
6039641ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$5,932.80
6039644ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,436.80
6039645ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,436.80
6039646ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,436.80
6039649JOINT DEVICE (IMPLANTABLE)Supply/Implant$36,595.20
6039651JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6039653SUPPLY IMPLANTSupply/Implant$1,141.89
6039659JOINT DEVICE (IMPLANTABLE)Supply/Implant$36,203.52
6039661SUPPLY IMPLANTSupply/Implant$4,803.20
6039686JOINT DEVICE (IMPLANTABLE)Supply/Implant$11,200.00
6039687JOINT DEVICE (IMPLANTABLE)Supply/Implant$65,088.00
6039689CATH, BAL DIL, NON-VASCULARSupply/Implant$14,118.40
6039702JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6039705JOINT DEVICE (IMPLANTABLE)Supply/Implant$58,752.00
6039706JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,944.00
6039707JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,944.00
6039712JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,460.86
6039713JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,884.03
6039716SUPPLY IMPLANTSupply/Implant$43,520.00
6039732SUPPLY IMPLANTSupply/Implant$2,688.00
6039750ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,920.00
6039751ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,766.40
6039753JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,566.53
6039760JOINT DEVICE (IMPLANTABLE)Supply/Implant$40,588.80
6039770SUPPLY IMPLANTSupply/Implant$2,368.00
6039773ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,544.00
6039782ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,057.60
6039783ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,062.40
6039784ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,057.60
6039785JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,735.62
6039796JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,760.00
6039798SUPPLY IMPLANTSupply/Implant$6,461.44
6039803JOINT DEVICE (IMPLANTABLE)Supply/Implant$36,569.60
6039807JOINT DEVICE (IMPLANTABLE)Supply/Implant$46,886.40
6039808SUPPLY IMPLANTSupply/Implant$806.40
6039809JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,920.00
6039836ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,436.80
6039840SUPPLY IMPLANTSupply/Implant$21,984.00
6039846SUPPLY IMPLANTSupply/Implant$7,936.00
6039847ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,536.00
6039853JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6039856JOINT DEVICE (IMPLANTABLE)Supply/Implant$34,262.27
6039858ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$9,536.00
6039859JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,880.00
6039866ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,179.20
6039867JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6039869JOINT DEVICE (IMPLANTABLE)Supply/Implant$62,003.20
6039871JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,392.00
6039872ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,328.00
6039873ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,436.80
6039874ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,436.80
6039875JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6039876JOINT DEVICE (IMPLANTABLE)Supply/Implant$4,032.00
6039885SUPPLY IMPLANTSupply/Implant$7,430.40
6039887SUPPLY IMPLANTSupply/Implant$36,595.20
6039891SUPPLY IMPLANTSupply/Implant$28,160.00
6039898SUPPLY IMPLANTSupply/Implant$5,120.00
6039900JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,142.34
6039902JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,987.20
6039905JOINT DEVICE (IMPLANTABLE)Supply/Implant$19,866.88
6039906JOINT DEVICE (IMPLANTABLE)Supply/Implant$4,544.00
6039907SUPPLY IMPLANTSupply/Implant$5,120.00
6039908SUPPLY IMPLANTSupply/Implant$5,120.00
6039909ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,321.60
6039910ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$12,313.60
6039913SUPPLY IMPLANTSupply/Implant$9,600.00
6039914STERILE SUPPLYSupply/Implant$5,760.00
6039918SUPPLY IMPLANTSupply/Implant$9,987.71
6039936ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$22,592.00
6039948JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,142.34
6039960JOINT DEVICE (IMPLANTABLE)Supply/Implant$116,992.00
6039961JOINT DEVICE (IMPLANTABLE)Supply/Implant$11,200.00
6039963SUPPLY IMPLANTSupply/Implant$7,680.00
6039981JOINT DEVICE (IMPLANTABLE)Supply/Implant$11,200.00
6039982JOINT DEVICE (IMPLANTABLE)Supply/Implant$36,569.60
6039984SUPPLY IMPLANTSupply/Implant$30,955.52
6039985ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6039986ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,088.00
6039999GENERAL SUPPLYSupply/Implant$278.02
6040002SUPPLY IMPLANTSupply/Implant$3,914.02
6040005SUPPLY IMPLANTSupply/Implant$1,411.20
6040006SUPPLY IMPLANTSupply/Implant$1,331.20
6040011SUPPLY IMPLANTSupply/Implant$2,333.18
6040015SUPPLY IMPLANTSupply/Implant$1,243.52
6040022STERILE SUPPLYSupply/Implant$1,480.58
6040026SUPPLY IMPLANTSupply/Implant$1,415.04
6040036SUPPLY IMPLANTSupply/Implant$172.80
6040042GUIDE WIRESupply/Implant$2,931.20
6040043SUPPLY IMPLANTSupply/Implant$2,640.00
6040044SUPPLY IMPLANTSupply/Implant$1,903.87
6040047SUPPLY IMPLANTSupply/Implant$2,015.62
6040055STERILE SUPPLYSupply/Implant$7,257.60
6040060SUPPLY IMPLANTSupply/Implant$11,123.97
6040061SUPPLY IMPLANTSupply/Implant$1,682.56
6040062SUPPLY IMPLANTSupply/Implant$682.38
6040065SUPPLY IMPLANTSupply/Implant$6,400.00
6040066SUPPLY IMPLANTSupply/Implant$1,809.79
6040067SUPPLY IMPLANTSupply/Implant$6,400.00
6040071SUPPLY IMPLANTSupply/Implant$10,009.60
6040072SUPPLY IMPLANTSupply/Implant$17,619.07
6040073SUPPLY IMPLANTSupply/Implant$3,016.45
6040080SUPPLY IMPLANTSupply/Implant$1,741.48
6040098SUPPLY IMPLANTSupply/Implant$4,410.15
6040099STERILE SUPPLYSupply/Implant$595.32
6040101SUPPLY IMPLANTSupply/Implant$3,680.00
6040105SUPPLY IMPLANTSupply/Implant$1,576.96
6040107STERILE SUPPLYSupply/Implant$243.71
6040108STERILE SUPPLYSupply/Implant$1,635.33
6040109GENERAL SUPPLYSupply/Implant$397.82
6040111SUPPLY IMPLANTSupply/Implant$862.85
6040119SUPPLY IMPLANTSupply/Implant$5,120.00
6040121SUPPLY IMPLANTSupply/Implant$3,680.00
6040127SUPPLY IMPLANTSupply/Implant$1,920.00
6040128SUPPLY IMPLANTSupply/Implant$210.37
6040130STERILE SUPPLYSupply/Implant$739.07
6040131SUPPLY IMPLANTSupply/Implant$195.56
6040134SUPPLY IMPLANTSupply/Implant$148.48
6040135SUPPLY IMPLANTSupply/Implant$1,809.79
6040136SUPPLY IMPLANTSupply/Implant$153.60
6040137CERV COL THERMPLAS FOAM 2 PISupply/Implant$200.96
6040139SUPPLY IMPLANTSupply/Implant$514.18
6040142SUPPLY IMPLANTSupply/Implant$704.00
6040145SUPPLY IMPLANTSupply/Implant$6,400.00
6040146SUPPLY IMPLANTSupply/Implant$1,197.70
6040163CATHETER, URETERALSupply/Implant$142.72
6040165GENERAL SUPPLYSupply/Implant$141.18
6040166SUPPLY IMPLANTSupply/Implant$2,640.00
6040167SUPPLY IMPLANTSupply/Implant$1,848.96
6040169STERILE SUPPLYSupply/Implant$253.31
6040178SUPPLY IMPLANTSupply/Implant$2,687.00
6040179SUPPLY IMPLANTSupply/Implant$192.00
6040180STERILE SUPPLYSupply/Implant$438.66
6040181STERILE SUPPLYSupply/Implant$512.13
6040191SUPPLY IMPLANTSupply/Implant$2,204.33
6040195STERILE SUPPLYSupply/Implant$370.56
6040196STERILE SUPPLYSupply/Implant$276.35
6040198SUPPLY IMPLANTSupply/Implant$3,497.73
6040200GENERAL SUPPLYSupply/Implant$206.21
6040201GENERAL SUPPLYSupply/Implant$376.06
6040202GENERAL SUPPLYSupply/Implant$138.24
6040206SUPPLY IMPLANTSupply/Implant$6,400.00
6040207SUPPLY IMPLANTSupply/Implant$6,400.00
6040210SUPPLY IMPLANTSupply/Implant$1,041.54
6040213STERILE SUPPLYSupply/Implant$643.58
6040216SUPPLY IMPLANTSupply/Implant$10,176.00
6040217SUPPLY IMPLANTSupply/Implant$15,936.00
6040221SUPPLY IMPLANTSupply/Implant$2,437.76
6040222STERILE SUPPLYSupply/Implant$1,700.86
6040223SUPPLY IMPLANTSupply/Implant$7,616.00
6040224SUPPLY IMPLANTSupply/Implant$1,280.00
6040233SUPPLY IMPLANTSupply/Implant$3,705.60
6040238SUPPLY IMPLANTSupply/Implant$931.84
6040239SUPPLY IMPLANTSupply/Implant$45,209.60
6040243GUIDE WIRESupply/Implant$2,432.00
6040244SUPPLY IMPLANTSupply/Implant$1,977.60
6040245SUPPLY IMPLANTSupply/Implant$1,977.60
6040253SUPPLY IMPLANTSupply/Implant$5,247.10
6040255SUPPLY IMPLANTSupply/Implant$1,254.40
6040256SUPPLY IMPLANTSupply/Implant$1,267.20
6040260SUPPLY IMPLANTSupply/Implant$977.92
6040267SUPPLY IMPLANTSupply/Implant$741.50
6040268SUPPLY IMPLANTSupply/Implant$3,338.88
6040270SUPPLY IMPLANTSupply/Implant$1,280.00
6040276STERILE SUPPLYSupply/Implant$522.24
6040277SUPPLY IMPLANTSupply/Implant$1,152.00
6040278SUPPLY IMPLANTSupply/Implant$3,338.88
6040279SUPPLY IMPLANTSupply/Implant$1,809.79
6040309ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$281.47
6040341SUPPLY IMPLANTSupply/Implant$55,795.20
6040390GRAFT, VASCULARSupply/Implant$5,286.40
6040433GRAFT, VASCULARSupply/Implant$8,646.02
6040457PROSTHESIS, BREAST, IMPSupply/Implant$5,632.00
6040478JOINT DEVICE (IMPLANTABLE)Supply/Implant$24,460.80
6040504SUPPLY IMPLANTSupply/Implant$53,644.80
6040506SUPPLY IMPLANTSupply/Implant$550.40
6040546INTERPHALANGEAL JOINT REPLSupply/Implant$11,543.04
6040549SUPPLY IMPLANTSupply/Implant$4,264.45
6040623JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,040.00
6040679JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,880.00
6040680JOINT DEVICE (IMPLANTABLE)Supply/Implant$1,450.24
6040718SUPPLY IMPLANTSupply/Implant$2,624.00
6040734STENT, NON-COA/NON-COV W/DELSupply/Implant$17,722.75
6040802STENT, NON-COA/NON-COV W/DELSupply/Implant$16,640.00
6040847JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,800.00
6040857JOINT DEVICE (IMPLANTABLE)Supply/Implant$82,240.00
6040898JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,040.00
6040899JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,036.80
6040902JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,040.00
6040903JOINT DEVICE (IMPLANTABLE)Supply/Implant$7,040.00
6041026CATH, HEMODIALYSIS,LONG-TERMSupply/Implant$4,160.00
6041096SUPPLY IMPLANTSupply/Implant$41,484.80
6041143JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,832.00
6041177JOINT DEVICE (IMPLANTABLE)Supply/Implant$13,120.00
6041188SUPPLY IMPLANTSupply/Implant$5,606.40
6041197SUPPLY IMPLANTSupply/Implant$1,771.52
6041217SUPPLY IMPLANTSupply/Implant$15,704.67
6041224SUPPLY IMPLANTSupply/Implant$685.57
6041232SUPPLY IMPLANTSupply/Implant$870.40
6041235SUPPLY IMPLANTSupply/Implant$9,210.62
6041247JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,832.00
6041253SUPPLY IMPLANTSupply/Implant$160.38
6041264JOINT DEVICE (IMPLANTABLE)Supply/Implant$66,577.28
6041272SUPPLY IMPLANTSupply/Implant$1,600.00
6041273SUPPLY IMPLANTSupply/Implant$1,600.00
6041275SUPPLY IMPLANTSupply/Implant$1,600.00
6041307SUPPLY IMPLANTSupply/Implant$1,600.00
6041316SUPPLY IMPLANTSupply/Implant$13,056.00
6041323JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,707.20
6041345ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,292.80
6041356SUPPLY IMPLANTSupply/Implant$2,962.56
6041360JOINT DEVICE (IMPLANTABLE)Supply/Implant$74,828.16
6041412STENT, NON-COR, TEM W/O DELSupply/Implant$960.00
6041422JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,707.20
6041428JOINT DEVICE (IMPLANTABLE)Supply/Implant$124,225.50
6041444JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6041449JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6041483JOINT DEVICE (IMPLANTABLE)Supply/Implant$2,887.30
6041484JOINT DEVICE (IMPLANTABLE)Supply/Implant$3,793.92
6041488JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6041497JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6041498JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6041499JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6041502JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6041517SUPPLY IMPLANTSupply/Implant$2,467.84
6041518VENA CAVA FILTERSupply/Implant$13,619.07
6041520JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6041524JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6041525JOINT DEVICE (IMPLANTABLE)Supply/Implant$5,120.00
6041536SUPPLY IMPLANTSupply/Implant$17,446.40
6041540SUPPLY IMPLANTSupply/Implant$685.57
6041541SUPPLY IMPLANTSupply/Implant$685.57
6041544SUPPLY IMPLANTSupply/Implant$19,619.84
6041561JOINT DEVICE (IMPLANTABLE)Supply/Implant$20,380.80
6041612SUPPLY IMPLANTSupply/Implant$19,619.84
6041614SUPPLY IMPLANTSupply/Implant$19,619.84
6041729SUPPLY IMPLANTSupply/Implant$4,313.60
6041739GENERAL SUPPLYSupply/Implant$2,243.46
6041784JOINT DEVICE (IMPLANTABLE)Supply/Implant$45,593.60
6041844ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,888.00
6041866ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,910.40
6041869ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$6,537.60
6041897JOINT DEVICE (IMPLANTABLE)Supply/Implant$1,510.40
6041902ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$4,236.03
6041916SUPPLY IMPLANTSupply/Implant$8,944.00
6041927SUPPLY IMPLANTSupply/Implant$5,280.77
6041947SUPPLY IMPLANTSupply/Implant$9,497.60
6041975STENT, NON-COR, TEM W/O DELSupply/Implant$2,580.48
6041986SUPPLY IMPLANTSupply/Implant$10,073.60
6042005PROSTHETIC IMPLANT NOSSupply/Implant$22,540.80
6042051SUPPLY IMPLANTSupply/Implant$3,432.70
6042055INTERSPINOUS IMPLANTSupply/Implant$58,240.00
6042063ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,673.60
6042085SUPPLY IMPLANTSupply/Implant$155.26
6042085SUPPLY IMPLANTSupply/Implant$191.62
6042099ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$3,052.80
6042108ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$947.20
6042110SUPPLY IMPLANTSupply/Implant$15,595.52
6042120SUPPLY IMPLANTSupply/Implant$685.57
6042136ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,613.70
6042161STENT, COATED/COV W/DEL SYSSupply/Implant$108,267.01
6042248ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$7,603.20
6042252SUPPLY IMPLANTSupply/Implant$973.44
6042265JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,240.00
6042289ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,555.01
6042348ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,476.67
6042361ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$734.98
6042367ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,437.12
6042385ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,487.81
6042388SUPPLY IMPLANTSupply/Implant$917.63
6042399ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,633.47
6042414SUPPLY IMPLANTSupply/Implant$960.00
6042415SUPPLY IMPLANTSupply/Implant$960.00
6042483SUPPLY IMPLANTSupply/Implant$973.44
6042499ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,870.40
6042512SUPPLY IMPLANTSupply/Implant$5,116.80
6042611ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,181.12
6042627JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,160.00
6042653GUIDE WIRESupply/Implant$2,995.20
6042681STERILE SUPPLYSupply/Implant$960.00
6042764SUPPLY IMPLANTSupply/Implant$1,344.00
6042780SUPPLY IMPLANTSupply/Implant$2,274.30
6042858ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$1,676.80
6042873JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6042874JOINT DEVICE (IMPLANTABLE)Supply/Implant$14,643.20
6042918STENT, NON-COR, TEM W/O DELSupply/Implant$2,580.48
6042941JOINT DEVICE (IMPLANTABLE)Supply/Implant$33,369.60
6042963JOINT DEVICE (IMPLANTABLE)Supply/Implant$33,369.60
6043010GENERAL SUPPLYSupply/Implant$526.34
6043031SUPPLY IMPLANTSupply/Implant$345.60
6043034SUPPLY IMPLANTSupply/Implant$326.40
6043045SUPPLY IMPLANTSupply/Implant$1,352.45
6043085SUPPLY IMPLANTSupply/Implant$1,228.80
6043148SUPPLY IMPLANTSupply/Implant$1,228.80
6043257SUPPLY IMPLANTSupply/Implant$323.20
6043285SUPPLY IMPLANTSupply/Implant$231.17
6043287SUPPLY IMPLANTSupply/Implant$231.17
6043300JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,340.22
6043323SUPPLY IMPLANTSupply/Implant$6,988.80
6043358JOINT DEVICE (IMPLANTABLE)Supply/Implant$12,984.70
6043366SUPPLY IMPLANTSupply/Implant$1,352.45
6043387JOINT DEVICE (IMPLANTABLE)Supply/Implant$8,576.00
6043409GRAFT, VASCULARSupply/Implant$31,294.08
6043513SUPPLY IMPLANTSupply/Implant$324.61
6043531JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,012.99
6043576PROSTHESIS, PENILE, INFLATABSupply/Implant$23,667.20
6043661SUPPLY IMPLANTSupply/Implant$668.80
6043674SUPPLY IMPLANTSupply/Implant$6,528.00
6043686SUPPLY IMPLANTSupply/Implant$4,000.64
6043689JOINT DEVICE (IMPLANTABLE)Supply/Implant$72,704.00
6043690STENT, COATED/COV W/DEL SYSSupply/Implant$31,312.00
6043704STENT, COATED/COV W/DEL SYSSupply/Implant$40,908.80
6043760SUPPLY IMPLANTSupply/Implant$23,828.48
6043770SUPPLY IMPLANTSupply/Implant$4,838.40
6043832ALLODERM SKIN SUBSupply/Implant$37,465.60
6043865GRAFT, VASCULARSupply/Implant$2,315.26
6043925STENT, NON-COA/NON-COV W/DELSupply/Implant$31,296.00
6043938STENT, NON-COR, TEM W/O DELSupply/Implant$960.00
6043947SUPPLY IMPLANTSupply/Implant$62,933.76
6043951JOINT DEVICE (IMPLANTABLE)Supply/Implant$10,240.00
6043954SUPPLY IMPLANTSupply/Implant$30,087.68
6043971SUPPLY IMPLANTSupply/Implant$832.00
6043979ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$2,774.40
6043992SUPPLY IMPLANTSupply/Implant$1,663.49
6044000SUPPLY IMPLANTSupply/Implant$640.00
6044086ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$11,673.60
6044087JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,305.60
6044092SUPPLY IMPLANTSupply/Implant$1,920.00
6044096JOINT DEVICE (IMPLANTABLE)Supply/Implant$35,481.34
6044111JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,687.55
6044117JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,687.55
6044125JOINT DEVICE (IMPLANTABLE)Supply/Implant$18,081.79
6044133JOINT DEVICE (IMPLANTABLE)Supply/Implant$36,126.72
6044163JOINT DEVICE (IMPLANTABLE)Supply/Implant$9,600.00
6044167JOINT DEVICE (IMPLANTABLE)Supply/Implant$26,039.81
6044168SUPPLY IMPLANTSupply/Implant$1,228.80
6044180SUPPLY IMPLANTSupply/Implant$19,403.52
6044188JOINT DEVICE (IMPLANTABLE)Supply/Implant$23,828.48
6044203JOINT DEVICE (IMPLANTABLE)Supply/Implant$17,407.49
6044237ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$784.51
6044256SUPPLY IMPLANTSupply/Implant$3,622.40
6044269SUPPLY IMPLANTSupply/Implant$2,754.56
6044280SUPPLY IMPLANTSupply/Implant$5,365.76
6044294SUPPLY IMPLANTSupply/Implant$541.27
6044299JOINT DEVICE (IMPLANTABLE)Supply/Implant$40,588.80
6044315GENERAL SUPPLYSupply/Implant$180.48
6044320SUPPLY IMPLANTSupply/Implant$662.66
6044331GENERAL SUPPLYSupply/Implant$288.26
6044342GENERAL SUPPLYSupply/Implant$154.50
6044345GENERAL SUPPLYSupply/Implant$419.58
6044351GENERAL SUPPLYSupply/Implant$957.80
6044353KO IMMOBILIZER CANVAS LONGITSupply/Implant$798.46
6044367SUPPLY IMPLANTSupply/Implant$217.60
6044374GENERAL SUPPLYSupply/Implant$327.04
6044384GENERAL SUPPLYSupply/Implant$214.14
6044401GENERAL SUPPLYSupply/Implant$133.12
6044403STERILE SUPPLYSupply/Implant$181.80
6044407SUPPLY IMPLANTSupply/Implant$1,472.00
6044410GENERAL SUPPLYSupply/Implant$377.60
6044418SUPPLY IMPLANTSupply/Implant$3,123.20
6044419SUPPLY IMPLANTSupply/Implant$3,030.14
6044420SUPPLY IMPLANTSupply/Implant$3,030.14
6044429SUPPLY IMPLANTSupply/Implant$3,415.17
6044437CATHETER, URETERALSupply/Implant$209.02
6044438CATH, DRAINAGESupply/Implant$291.33
6044439CATH, DRAINAGESupply/Implant$312.83
6044440CATH, DRAINAGESupply/Implant$325.63
6044441CATH, DRAINAGESupply/Implant$312.83
6044442SUPPLY IMPLANTSupply/Implant$328.45
6044459SUPPLY IMPLANTSupply/Implant$219.90
6044475SUPPLY IMPLANTSupply/Implant$3,415.17
6044510SUPPLY IMPLANTSupply/Implant$1,679.87
6044534SUPPLY IMPLANTSupply/Implant$2,444.80
6044535CATHETER, URETERALSupply/Implant$247.55
6044547SUPPLY IMPLANTSupply/Implant$419.33
6044557GENERAL SUPPLYSupply/Implant$149.76
6044558SUPPLY IMPLANTSupply/Implant$178.94
6044559GENERAL SUPPLYSupply/Implant$171.65
6044571SUPPLY IMPLANTSupply/Implant$1,438.08
6044615STERILE SUPPLYSupply/Implant$515.84
6044616STERILE SUPPLYSupply/Implant$476.16
6044633GENERAL SUPPLYSupply/Implant$185.86
6044634GENERAL SUPPLYSupply/Implant$132.48
6044635GENERAL SUPPLYSupply/Implant$223.74
6044647CATH, INF, PER/CENT/MIDLINESupply/Implant$314.24
6044653SUPPLY IMPLANTSupply/Implant$2,965.63
6044672GASTRO/JEJUNO TUBE LOW-PROSupply/Implant$1,786.18
6044700ADAPT/EXT, PACING/NEURO LEADSupply/Implant$2,368.00
6044720SUPPLY IMPLANTSupply/Implant$1,667.71
6044726SUPPLY IMPLANTSupply/Implant$457.09
6044728SUPPLY IMPLANTSupply/Implant$457.09
6044730SUPPLY IMPLANTSupply/Implant$524.29
6044734SUPPLY IMPLANTSupply/Implant$566.27
6044743SUPPLY IMPLANTSupply/Implant$6,912.00
6044813SUPPLY IMPLANTSupply/Implant$3,415.17
6044823GENERAL SUPPLYSupply/Implant$303.49
6044857SUPPLY IMPLANTSupply/Implant$211.58
6044863CATHETER, URETERALSupply/Implant$135.55
6044902CATH, DRAINAGESupply/Implant$449.92
6044903SUPPLY IMPLANTSupply/Implant$492.93
6044911GENERAL SUPPLYSupply/Implant$271.36
6044912SUPPLY IMPLANTSupply/Implant$1,505.28
6044919SUPPLY IMPLANTSupply/Implant$6,785.66
6044921SUPPLY IMPLANTSupply/Implant$917.63
6044925CATH, BAL DIL, NON-VASCULARSupply/Implant$3,126.58
6044945SUPPLY IMPLANTSupply/Implant$3,737.60
6044947SUPPLY IMPLANTSupply/Implant$3,199.36
6044995CATHETER, URETERALSupply/Implant$231.42
6045000GENERAL SUPPLYSupply/Implant$896.00
6045004TRANS ANGIOPLASTY CATHSupply/Implant$12,160.00
6045027STERILE SUPPLYSupply/Implant$245.16
6045028STERILE SUPPLYSupply/Implant$152.18
6045050SUPPLY IMPLANTSupply/Implant$5,542.40
6045051SUPPLY IMPLANTSupply/Implant$6,825.60
6045059GENERAL SUPPLYSupply/Implant$178.82
6045068STERILE SUPPLYSupply/Implant$311.62
6045094SUPPLY IMPLANTSupply/Implant$2,195.46
6045096SUPPLY IMPLANTSupply/Implant$2,195.46
6045103ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$409.60
6045108GENERAL SUPPLYSupply/Implant$254.34
6045117SUPPLY IMPLANTSupply/Implant$2,195.46
6045121SUPPLY IMPLANTSupply/Implant$2,496.00
6045122SUPPLY IMPLANTSupply/Implant$1,276.80
6045125SUPPLY IMPLANTSupply/Implant$1,862.40
6045134SUPPLY IMPLANTSupply/Implant$209.54
6045149SUPPLY IMPLANTSupply/Implant$1,852.80
6045177SUPPLY IMPLANTSupply/Implant$1,977.60
6045178SUPPLY IMPLANTSupply/Implant$2,150.40
6045179STERILE SUPPLYSupply/Implant$3,027.46
6045182SUPPLY IMPLANTSupply/Implant$4,134.40
6045186STERILE SUPPLYSupply/Implant$5,824.00
6045212CATHETER, GUIDINGSupply/Implant$275.20
6045213CATH, THROMBECTOMY/EMBOLECTSupply/Implant$1,453.06
6045227SUPPLY IMPLANTSupply/Implant$1,244.29
6045243SUPPLY IMPLANTSupply/Implant$38,336.00
6045246SUPPLY IMPLANTSupply/Implant$3,600.00
6045247SUPPLY IMPLANTSupply/Implant$3,891.20
6045257SUPPLY IMPLANTSupply/Implant$4,172.80
6045269CATH, INF, PER/CENT/MIDLINESupply/Implant$1,523.20
6045271CATH, TRANSLUMIN ANGIO LASERSupply/Implant$38,336.00
6045275SUPPLY IMPLANTSupply/Implant$3,840.00
6045331CATH, TRANSLUMIN NON-LASERSupply/Implant$8,859.01
6045333CATH, TRANSLUMIN NON-LASERSupply/Implant$8,859.01
6045505SUPPLY IMPLANTSupply/Implant$973.44
6045534GENERAL SUPPLYSupply/Implant$547.84
6045553CATHETER, GUIDINGSupply/Implant$275.20
6045557CATH, INF, PER/CENT/MIDLINESupply/Implant$588.80
6045587STERILE SUPPLYSupply/Implant$1,862.14
6045598RET DEV, INSERTABLESupply/Implant$8,960.00
6045635SUPPLY IMPLANTSupply/Implant$10,176.00
6045665ANCHOR/SCREW BN/BN,TIS/BNSupply/Implant$473.60
6045666SUPPLY IMPLANTSupply/Implant$2,585.09
6045671CATH, TRANSLUMIN NON-LASERSupply/Implant$11,084.80
6045672CATH, TRANSLUMIN NON-LASERSupply/Implant$11,084.80
6045678CATH, DRAINAGESupply/Implant$962.43
6045680GENERAL SUPPLYSupply/Implant$363.52
6045721INTRO/SHEATH, FIXED,NON-PEELSupply/Implant$2,790.40
6045725RET DEV, INSERTABLESupply/Implant$8,678.40
6045726SUPPLY IMPLANTSupply/Implant$460.16
6045727SUPPLY IMPLANTSupply/Implant$3,842.05
6045763SUPPLY IMPLANTSupply/Implant$175.87
6045767GENERAL SUPPLYSupply/Implant$599.04
6045769STERILE SUPPLYSupply/Implant$320.00
6045770SUPPLY IMPLANTSupply/Implant$1,264.64
6045777SUPPLY IMPLANTSupply/Implant$362.88
6045779SUPPLY IMPLANTSupply/Implant$3,226.34
6045799INTRO/SHEATH, NON-LASERSupply/Implant$591.36
6045800INTRO/SHEATH, NON-LASERSupply/Implant$1,152.00
6045811SUPPLY IMPLANTSupply/Implant$320.00
6045817SUPPLY IMPLANTSupply/Implant$1,078.27
6045818SUPPLY IMPLANTSupply/Implant$3,315.39
6045822SUPPLY IMPLANTSupply/Implant$523.49
6045837GENERAL SUPPLYSupply/Implant$342.78
6045843SUPPLY IMPLANTSupply/Implant$1,809.79
6045852SUPPLY IMPLANTSupply/Implant$1,809.79
6045859SUPPLY IMPLANTSupply/Implant$437.63
6045863SUPPLY IMPLANTSupply/Implant$3,315.39
6045865GENERAL SUPPLYSupply/Implant$131.58
6045870SUPPLY IMPLANTSupply/Implant$1,856.00
6045878SUPPLY IMPLANTSupply/Implant$3,040.00
6045882SUPPLY IMPLANTSupply/Implant$186.37
6045884SUPPLY IMPLANTSupply/Implant$875.52
6045897CATH, INF, PER/CENT/MIDLINESupply/Implant$1,024.90
6045899STERILE SUPPLYSupply/Implant$145.02
6045923SUPPLY IMPLANTSupply/Implant$406.43
6045928GENERAL SUPPLYSupply/Implant$154.37
6045929CATH, BAL DIL, NON-VASCULARSupply/Implant$3,064.32
6045942SUPPLY IMPLANTSupply/Implant$551.30
6045944CATHETER, GUIDINGSupply/Implant$4,467.20
6045947SUPPLY IMPLANTSupply/Implant$217.60
6045957SUPPLY IMPLANTSupply/Implant$1,238.53
6045958SUPPLY IMPLANTSupply/Implant$2,802.56
6045964STERILE SUPPLYSupply