Crystal Decisions
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Chase Manstedt
2018-12-17T15:43:00Z
2018-12-17T15:53:10Z
16.00
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500
False
False
Charge Code |
Description |
Rate |
3100005 |
PRIVATE PAY-ILC ROOM CHARGE |
332 |
3100020 |
ACUTE PRIVATE |
1404 |
3100030 |
SWING BED PRIVATE ROOM |
1018 |
3100075 |
HOSPICE PRIVATE PAY |
310 |
3100080 |
HOSPICE RESPITE |
131 |
3100085 |
HOSPICE ACUTE |
445 |
3603499 |
MINOR OR/CARDIOVRSN W/SED |
967 |
3603500 |
MINOR O.R./CARDIOVERSION |
967 |
3604002 |
ENDOSCOPY-1 SCOPE |
2204 |
3604004 |
ENDOSCOPY-2 SCOPES |
3690 |
3604512 |
VERTEBROPLASTY EA + VERT |
760 |
3604513 |
VERTEBROPLASTY-1ST LEVEL |
2889 |
3607601 |
OR M1 |
474 |
3607603 |
OR M3 |
843 |
3607604 |
OR M4 |
958 |
3607606 |
OR M6 |
1322 |
3607607 |
OR M7 |
1439 |
3607608 |
OR M8 |
1549 |
3607631 |
OR M2 |
719 |
3607690 |
OR M5 |
1082 |
3650001 |
RECOVERY-P II-X 1 HR |
234 |
3650002 |
RECOVERY-P II-X 2 HRS |
234 |
3650003 |
RECOVERY-P II-X 3 HRS |
234 |
3650004 |
RECOVERY-P II-X 4 HRS |
234 |
3650005 |
RECOVERY-P II-X 5 HRS |
234 |
3650006 |
RECOVERY-P II-X 6 HRS |
234 |
3650007 |
RECOVERY-P II-X 7 HRS |
200 |
3650008 |
RECOVERY-P II-X 8 HRS |
170 |
3650009 |
RECOVERY-P II-X 9 HRS |
157 |
3650010 |
RECOVERY-P II-X 10 HRS |
141 |
3650011 |
RECOVERY-P II-X 11 HRS |
128 |
3650012 |
RECOVERY-P II-X 12 HRS |
117 |
3650013 |
RECOVERY-P II-X 13 HRS |
108 |
3650014 |
RECOVERY-P II-X 14 HRS |
101 |
3650015 |
RECOVERY-P II-X 15 HRS |
93 |
3650016 |
RECOVERY-P II-X 16 HRS |
88 |
3650017 |
RECOVERY-P II-X 17 HRS |
82 |
3650018 |
RECOVERY-P II-X 18 HRS |
78 |
3650019 |
RECOVERY-P II-X 19 HRS |
75 |
3650020 |
RECOVERY-P II-X 20 HRS |
69 |
3650021 |
RECOVERY-P II-X 21 HRS |
66 |
3650022 |
RECOVERY-P II-X 22 HRS |
64 |
3650023 |
RECOVERY-P II-X 23 HRS |
61 |
3650024 |
RECOVERY-P II-X 24 HRS |
58 |
3650025 |
RECOVERY-P II-X 25 HRS |
58 |
3650026 |
RECOVERY-P II-X 26 HRS |
58 |
3653607 |
OR ENDO SCOPE RECOVER-P I |
519 |
3703200 |
LABOR ROOM ONLY |
759.2 |
3703300 |
BIRTHING SERV-LABOR & DEL |
1833.52 |
3750001 |
TUBI GRIP PER FOOT |
9.48 |
3750004 |
PACK, KNEE SCOPE |
267.3 |
3750005 |
SCD MACHINE PER DAY |
116 |
3750006 |
STABILIZER,ANKLE/W STRAP |
138.6 |
3750007 |
CERVICAL FOAM COLLAR-PEDI |
35.700000000000003 |
3750009 |
VAN CHRG/STAFF FEE PER HR |
20 |
3750010 |
GAS SAMPLING CIRCUIT |
10.68 |
3750014 |
MORGAN LENS FOR IRRIGAT |
111.25 |
3750020 |
GUIDEWIRE, NITINOL .038" |
134.6 |
3750021 |
CAUTERY EXTENSION 6" |
32.6 |
3750025 |
TROCAR 12MM BLUNT |
264.60000000000002 |
3750026 |
NEEDLE, VERRES 120MM |
178.5 |
3750027 |
ENDOPOUCH RETRIEVER SPECIMAN 10MM |
250 |
3750028 |
SHEARS, 5MM W/CAUTERY |
317.25 |
3750029 |
TROCAR VERSAPORT 11MM |
115 |
3750030 |
TROCAR VERSAPORT 5MM |
115 |
3750031 |
BIOPSY TISSUE MARKR-RIBBN |
428 |
3750033 |
DRAINAGE KIT,PLEURX 500ML |
308.60000000000002 |
3750035 |
SPONGE, LAP 4x18 |
11.76 |
3750036 |
TROCAR,ETH W/SLEEVE 5x100 |
251.93 |
3750037 |
ET TUBE HOLDER |
135.88 |
3750038 |
ACE BANDAGE 6" DBL LNGTH |
27.1 |
3750039 |
TOURNIQUET 34" |
157.63999999999999 |
3750040 |
PACKING, LOWER EXTREMITY |
52.16 |
3750043 |
TUBE,MYRINGOTMY COLR BUTN |
44.5 |
3750044 |
SKIN PREP TRAY W/GEL |
37.15 |
3750045 |
BLADE, ANGLED MYRINGOTOMY |
80.8 |
3750047 |
NEEDLE, INDUCTION/CEMENT |
192.29 |
3750048 |
BIOPSY KIT, BONE |
256.55 |
3750049 |
BONE CEMENT KIT |
3500 |
3750051 |
SUTURE, ULTRA BRAID |
84.15 |
3750057 |
VESSEL LOOP |
12.6 |
3750058 |
SHOULDER IMMOB,SURGCL S/M |
246.4 |
3750062 |
BLADE,LARYNGO CHAN/STNDRD |
200 |
3750063 |
NEEDLE,YUEH CENTESIS CATH |
145 |
3750064 |
GUIDEWIRE, K-WIRE 2.0 |
124 |
3750065 |
SCREW, IMPLANTABLE |
3562.5 |
3750066 |
ENDOTRACHEAL COUDE CATHET |
26.75 |
3750067 |
PICC NEEDLE GUIDE KIT |
111.25 |
3750068 |
NEEDLE, STIMUPLEX 22G X3+ |
56.3 |
3750069 |
ENDOBUTTON |
747.6 |
3750070 |
ENDOBUTTON,CL ULTRA |
1334.8 |
3750071 |
GLUCERNA SELECT SUPPLEMNT |
1.94 |
3750072 |
IV START KIT W/HUBGUARD |
50 |
3750073 |
IV START KIT W/SORBAVIEW |
15.54 |
3750075 |
SPACEMAKER DISSECTOR |
1459.25 |
3750076 |
KNEE BRACE, POST-OP |
237.65 |
3750078 |
PACK, MINOR PROCEDURE |
158.68 |
3750079 |
PACK, ORTHO SCOPE |
233.56 |
3750080 |
STYLET,OROTRACHEAL,STERIL |
153.4 |
3750081 |
FEED TUBE,GASTROSTOM 24FR |
337.65 |
3750082 |
STOPCOCK,3 WAY W/O TUBING |
6 |
3750083 |
GENESYS PROCEDURE SET |
3500 |
3750084 |
SORBAFIX FIXATION DEVICE |
1650 |
3750085 |
MESH,3D HERNIA PATCH-LG |
398.25 |
3750086 |
MESH,2D HERNIA PATCH-MD |
366.75 |
3750087 |
VAPR S90 |
752 |
3750088 |
BURR,SHANNON-SINGLE USE |
73.13 |
3750089 |
HEP LOCK W/MICRO CONNECT |
4.67 |
3750090 |
ENSURE CLEAR 10OZ |
12.3 |
3750091 |
SHOULDER SUSPENSION KIT |
147.4 |
3750092 |
SUTURE ANCHOR, GRYPHON |
1042.25 |
3750093 |
SUTURE PASSER,IDEAL SHUTT |
483.75 |
3750094 |
SAW BLADE, MICRO |
84 |
3750095 |
EZ PAP W/MANOMETER |
136.55000000000001 |
3750096 |
EZ PAP W/MD MASK |
103.15 |
3750097 |
EZ PAP W/LG MASK |
144.44999999999999 |
3750099 |
DRILL BIT, 2.8MM |
321 |
3750100 |
DRILL BIT, 2.0MM |
378 |
3750101 |
CHLOROPREP APPLICATORS |
6.06 |
3750102 |
GUIDEWIRE .54X6" |
84 |
3750103 |
ACU-LOC VDR PLATE |
3390 |
3750104 |
SCREW,LOCKING |
447 |
3750105 |
SCREW,CORTICAL |
330 |
3750106 |
PADDING,SURE PRESS ABSORB |
6.36 |
3750107 |
SCREW,LOCKING CORTICAL |
504 |
3750108 |
TOE PROTHESIS |
4125 |
3750109 |
SPACER MDI |
36 |
3750110 |
FORCEPS,BIOPSY RADIAL JAW |
9.9499999999999993 |
3750112 |
DRAIN,FLAT 14 FR W/TROCAR |
23 |
3750113 |
ACAPELLA BLUE |
217.45 |
3750114 |
SCREW,CANNULATED 3MM |
394.05 |
3750116 |
DRILL BIT,CANNULATED 3.2MM |
747 |
3750117 |
BONE GRAFT,MINI IGNITE |
4987.5 |
3750118 |
K-WIRE |
136 |
3750119 |
NEEDLE SET,INTRAOSS 25MM |
324 |
3750120 |
NEEDLE SET,INTRAOSS 45MM |
546.4 |
3750121 |
STABILIZER,INTRAOSSEOUS |
20 |
3750123 |
PFT FILTER KIT |
12.6 |
3750124 |
CATH TRAY,UMBILICAL 3.5FR |
297.39999999999998 |
3750125 |
POLY TRAP |
16.25 |
3750126 |
CATHETER URETERAL OLIVETIP 4 FR |
67.650000000000006 |
3750127 |
BANDAGE, ELASTIC LF 4" |
4.5199999999999996 |
3750128 |
BANDAGE,ELASTIC LF 2" |
2.89 |
3750129 |
BANDAGE,ELASTIC LF 3" |
3.52 |
3750130 |
BANDAGE, ELASTIC LF 6" |
7.5 |
3750132 |
DRAIN BAG 4000 CC |
23.4 |
3750134 |
ELECTRODE,BUGBEE FULGURAT |
355.75 |
3750135 |
ENDOCLIP, 10MM ROTATING |
1056 |
3750136 |
EVAC CONTAINER, 250ML |
25.55 |
3750137 |
SCREW,CANNULATED 2.0MM |
650 |
3750138 |
TUBING, IV EXTENSION 36" |
13.8 |
3750139 |
SCREW,CANNULATED 2.4MM |
568.75 |
3750143 |
CO2 SAMPLING LINE (FILTER SET) |
52.8 |
3750144 |
OSMOLITE SUPPLEMENT |
10.08 |
3750145 |
SUTURE ANCHOR,HEALIX 6.5 |
1281 |
3750146 |
SUTURE ANCHOR,HEALIX KNOTLESS 4.75 |
1473 |
3750147 |
BLADE, BEAVER |
8.82 |
3750148 |
NEEDLE,SUTURE EXPRESS SEW III |
553.15 |
3750149 |
SUTURE RETRIEVER, HEWSON |
275 |
3750150 |
SPLINT, ORTHOGLASS 5X45 |
85.2 |
3750151 |
CPAP MASK,MEDIUM |
440 |
3750152 |
BIOPSY RETRIVAL DEVICE,ROTATABLE |
390.15 |
3750153 |
NEEDLE, INTERJECT THERAPY |
182 |
3750154 |
SNARE,ROTATABLE BIOPSY |
58.2 |
3750155 |
EXTENSION COLLAR,INFANT |
39.5 |
3750156 |
EQUALIZER BOOT-LOW PROFILE |
183.25 |
3750157 |
SUTURE CLOSURE,CARTER THOMASON |
540 |
3750158 |
ROTATABLE CLIP FIXING DEVICE |
900 |
3750159 |
CBC II-BLOOD RETAINING DEVICE |
466.6 |
3750160 |
DRAIN, BLAKE WITH 1/8" TROCAR |
257.85000000000002 |
3750161 |
ENDO SCOPE KIT OR |
92.1 |
3750162 |
MISTY NEB AEROCLIP |
30.65 |
3750163 |
TUBING, PCA EXT SET |
30 |
3750164 |
SCD SLEEVE KNEE HI-LG |
175 |
3750165 |
TUBING, PCA BODY GUARD MICRO SET |
55.1 |
3750166 |
BLADE, CONMED OSCILLATOR |
147 |
3750167 |
BLADE, CONMED RECIPROCATOR |
115.25 |
3750168 |
BALLOON TROCAR 10MM |
960 |
3750169 |
KIDNEY DISTENSION BALLOON |
1549.9 |
3750170 |
SUCTION TUBE-ORTHO |
26.6 |
3750171 |
BLOOD FILTER, PALL |
99.55 |
3750172 |
BONE CEMENT, SMARTSET (DEPUY) |
1050 |
3750173 |
MESH, HERNIA FLAT SHEET 3"X6" |
184.5 |
3750174 |
SUTURE ANCHOR, PEEK 3 |
1165 |
3750175 |
SUCTION CANISTER 12 LITER |
105.3 |
3750176 |
SKIN STAPLER, WIDE MULITDIRECTIONAL |
35 |
3750177 |
STENT, URETHERAL 24CM |
717.4 |
3750178 |
CATHETER, BALLOON W/INFLATION DEVICE |
1143.75 |
3750179 |
DRESSING, MEPILEX 9X9 BORDER |
89.9 |
3750180 |
TIBIA COMPONENT |
7350 |
3750181 |
FEMARAL COMPONENT |
9922.5 |
3750182 |
PATELA |
2205 |
3750183 |
PLASTIC INSERT, KNEE |
5145 |
3750184 |
PACK, TOTAL KNEE (CUSTOM) |
460.8 |
3750185 |
OXYGEN NON-REB MASK,PEDI |
8.4 |
3750186 |
PLATE, IMPLANTABLE WRIST |
1395 |
3750187 |
SCREW,SELF-TAPPING IMPLANT |
231.25 |
3750188 |
DRILL BIT,MINI QC/65MM |
445.5 |
3750189 |
AIRWAY, NASOPHARYNGEAL |
15.4 |
3750190 |
EQUALIZER BOOT, EXTRA SMALL |
392.4 |
3750192 |
HEMOSTATIC APPLICATOR |
273.60000000000002 |
3750193 |
DRILL BIT 3.5MM/QC/110MM |
424 |
3750194 |
SUTURE ANCHOR,6.5 HEALIX PEEK 3 |
1851.5 |
3750195 |
SUTURE ANCHOR,HEALIX 6.5 KNOTLESS |
1981 |
3750196 |
CPAP MASK, BI-LEVEL FULL FACE, SMALL |
158.5 |
3750197 |
FEEDING BAG SET PATRL EZF |
11.4 |
3750198 |
SAW BLADE, SAGITTAL MICRO 9.5 X 25.5 |
138.75 |
3750199 |
SHOULDER TIGHTROPE REPAIR KIT |
2250.5 |
3750200 |
ANCHOR BUTTON INSERTER |
800 |
3750201 |
PACK, MAJOR EXTREMITY |
207.5 |
3750202 |
CHEST TUBE, THORACIC |
42.6 |
3750203 |
NEEDLE, HUBER POWER INFUSION KIT |
66.900000000000006 |
3750204 |
NEEDLE, HUBER POWER INFUSION |
34.299999999999997 |
3750205 |
SCREW,CANNULATED 2.4MMx18MM TIGER |
1000 |
3750206 |
K-WIRE .035"x5" STANDARD |
110 |
3750207 |
SPHENOCATH |
520 |
3750208 |
GUIDEWIRE, ACCUMED .45x6 ST |
110 |
3750209 |
SCREW,COMPRESSION ACUTWIST |
1151.25 |
3750210 |
PATCH,HERNIA 5x6CM SURGIMED |
3748.5 |
3750211 |
PACK, TOTAL KNEE (STANDARD) |
238.5 |
3750212 |
BLADE, MICRO EDGE DISP SURG |
50.4 |
3750213 |
OXYGEN MAXK W/14' TUBING |
27 |
3750214 |
BLADE, LARYNGOSPOPE DISPOSIBLE |
42 |
3750215 |
HEMOSTATIC GAUZE, COMBAT |
242.25 |
3750216 |
TOURNIQUET, COMBAT |
165 |
3750217 |
IC COOLER-SHOULDER SYSTEM |
922.8 |
3750218 |
SHOULDER REPLACEMENT COMPONENTS |
37693.599999999999 |
3750219 |
EXTEND SCREW LOCK 4.5MM |
1541.25 |
3750220 |
EXT SET W/1.2 MICRON FILTER |
27.3 |
3750221 |
SCD FOOT PAD-AVI |
280.60000000000002 |
3750222 |
SUTURE, VICRYL TP-1 |
98.45 |
3750223 |
PACK, BASIC OTRHO |
120.25 |
3750224 |
HIP COMPONENTS W/O BALL |
9261 |
3750225 |
HIP REPLACEMENT BALL |
11760 |
3750226 |
GUIDE PIN 2.5MM |
1012.5 |
3750227 |
BOTOX-BLADDER INJECTOR NDL |
275 |
3750228 |
TIGER SCREW REAMER |
1312.5 |
3750229 |
BONE CEMENT, ZIMMER |
2145.5 |
3750230 |
CPAP CIRCUIT, 6' |
25.2 |
3750231 |
VENTILATOR MASK-FULL FACE |
193.5 |
3750232 |
VENTILATOR-CIRCUIT |
58.8 |
3750233 |
DRAIN-JACKSON PRATT 10 FRW/TROCAR |
36.299999999999997 |
3750234 |
PELVIC STABILIZATION DEVICE |
480 |
3750235 |
CANNULA SCREWDRIVER BIT 4.0MM |
1031.25 |
3750236 |
WOUND SEAL APPLICATOR |
11.9 |
3750237 |
CANNULA, VENOM FOR RF ABALATION |
328.5 |
3750238 |
ELECTRODES FOR RF ABALATION |
225 |
3750239 |
NASAL PACKING RAPID RHINO 7.5MM |
189.8 |
3750241 |
NASAL PACKING RAPID RHINO 9.0MM |
320.85000000000002 |
3750242 |
MICROPUNCTURE INTROSET |
143.25 |
3750243 |
BOTOX INJECTOR ND/W/ELECTRODE |
100 |
3750244 |
STAY FIX FIXATION DEVICE |
79.2 |
3750245 |
BIPOLAR CAUTERY |
768 |
3750246 |
SUCTION COAGULATOR TIP |
69.75 |
3750247 |
EPIDURAL TRAY SINGLE SHOT |
112.5 |
3750248 |
DRILL BIT, CANNULATED 4.5 |
546 |
3750249 |
DRILL TIP PASSING PIN |
487.6 |
3750250 |
GAS SAMPLE LINE |
114.6 |
3750251 |
CANNULA ET CO2 SAMPLE-PEDI |
33.25 |
3750252 |
BIOPSY ELECTRO SURG SHAVE 10MM |
52.2 |
3750253 |
ANGIOCATH 14GA X 5 1/4" |
101.75 |
3750254 |
NASAL TAMPON RAPID RHINO 5.5MM |
178.5 |
3750267 |
STERILE H2O 1000ML BAG/IR |
5.2 |
3750308 |
COBAN 6" |
13.32 |
3750309 |
CAUTERY W/PAD |
44.85 |
3750387 |
DRESSING,MEPILEX 3X3 |
20.94 |
3750392 |
PICC LINE DRSNG CHN TRAY |
58.95 |
3750407 |
DEPUY HIP COMPONENTS W/O BALL-METAL |
8526 |
3750408 |
TROCAR, VERSA LONG 5MM |
517.4 |
3750411 |
TROCAR, VERSA LONG 150MM |
572.20000000000005 |
3750412 |
PADDLE RETRACTOR |
1221.4000000000001 |
3750413 |
ELECTRODES, LOOP FOR LEEP PROCEDURE |
113.5 |
3750415 |
FLOSEAL THERMOSTATIC APPLICATOR |
822 |
3750416 |
SHAVER BLADE-AGGRESSIVE SHAVER |
239.4 |
3750432 |
SYRINGE BULB, ASEPTO |
6.42 |
3750466 |
TEDS THIGH HI (CAROLON) |
27.96 |
3750486 |
TAPE, MICROFOAM 3" |
21.9 |
3750490 |
TROCAR OPTICAL 12MM |
392.6 |
3750491 |
MESH W/BALOON |
3062.5 |
3750492 |
MESH FLAT 10X15 |
1350 |
3750493 |
SUCTION COAGULATOR 6" FOOTSWITCH |
48.6 |
3750494 |
WRISTPLATE 6 HOLE DISTAL RADIUS |
5295.5 |
3750495 |
SCREW, LOCKING 14MM |
988 |
3750496 |
DRILL BIT 100MM-2.4MM |
576 |
3750497 |
DRILL BIT/QC/100MM 2.0MM |
468 |
3750498 |
DRILL BIT 1.8MM |
1038.75 |
3750499 |
INTERSTIM ANTENNA, EACH ADDITIONAL |
360 |
3750500 |
ARTERIAL TRIPLE LINE KIT |
191.5 |
3750501 |
BIOPSY INJECTION NEEDLE 23GA X 4MM |
177 |
3750525 |
KNEE IMOBILIZER 16" |
49.41 |
3750529 |
CATHETER/CARSON |
47.5 |
3750572 |
SKIN PREP, DURA PREP SURG |
25.02 |
3750594 |
CANNULA,CO2-O2 |
21.78 |
3750638 |
WRIST SUPPORT DLX |
29.4 |
3750681 |
BANDAGE,ELASTIC 4" STERIL |
22.68 |
3750682 |
BANDAGE ELAS, STERILE 6" |
49.5 |
3750690 |
NASAL TAMPON 4.5CM |
83.6 |
3750697 |
UNNAS BOOT (MEDICATE BAND |
41.4 |
3750735 |
CHLORAPREP APPLICATR 26ML |
36.75 |
3750779 |
SHOULDER IMMOBILIZER XSM |
54.68 |
3750809 |
ENDOPADDLE RETRACTOR 12MM |
809.44 |
3750834 |
ABDOMINAL BINDER UNIV |
31.8 |
3750909 |
BLOOD SET Y-TYPE 2 PORT |
78.2 |
3750999 |
VAN CHRG/OUT-OF-TOWN/MILE |
0.6 |
3751020 |
TUBING,O2 EXT 21 FOOT |
4.57 |
3751060 |
NEEDLE, PROSTATE BIOPSY |
103.2 |
3751062 |
NEEDLE, HUBER SAFETY |
49.4 |
3751104 |
EXT SET,INTERLINK T-CON |
13.62 |
3751112 |
COMPRESSION BNDG SYS,PROF |
50.04 |
3751116 |
VENTILATOR FILTERS |
6.66 |
3751122 |
AERO CHAMBERS/OPTIC CHAMB |
29.22 |
3751161 |
STERILE H2O W/INHALATION |
11.45 |
3751184 |
CAUTERY PENCIL W/TFLN TIP |
44.85 |
3751247 |
DRESSING,COPA 4X4 |
7.44 |
3751256 |
GASTROSTOMY TUBE |
173.56 |
3751270 |
MASTISOL |
9.84 |
3751275 |
PICC LN MICRO/INTROD 7CM |
240.1 |
3751290 |
ANESTH CIRC,LNG LATEX FRE |
16.38 |
3751360 |
FILTER, BACTERIA |
12.6 |
3751372 |
LUMBAR PUNCTURE ADULT |
38.15 |
3751480 |
DRAIN BAG,UROLOGIST |
100.65 |
3751523 |
SUTURES |
15 |
3751524 |
SUTURES |
21 |
3751525 |
SUTURES |
27 |
3751526 |
SUTURES |
27.5 |
3751528 |
SUTURES |
47.5 |
3751533 |
SUTURES |
102 |
3751535 |
SUTURES-VICRYL2-0 CON REL |
51.75 |
3751540 |
SLEEVE, STERILE OR |
9.24 |
3751812 |
SPLINT, STACK FINGER |
8.52 |
3751860 |
BIOPSY NEEDLE,DISPOSIBLE |
155 |
3751898 |
PHILLI COLLARS |
80.010000000000005 |
3751914 |
DUODERM DRSNG ULTRA THIN |
11.76 |
3751915 |
DUODERM DRSNG 8X8 |
52.2 |
3751917 |
SPONGE DRESSING TRAY-4X4S |
3.37 |
3751992 |
BITE BLOCK, DISPOSABLE |
3.85 |
3752001 |
BLADDER SLING KIT |
3123.5 |
3752002 |
COAPTITE 1ML SYRINGE BULKING AGENT |
1373.6 |
3752003 |
SIDEKICK NEEDLE |
222.75 |
3752034 |
AMBU-MASK BAG/PEDI |
86 |
3752072 |
PICC LINE INSERT KIT W/GR |
466.38 |
3752115 |
TRACK TUBE HOLDER |
10.44 |
3752119 |
CHEST DRAIN UNIT-THORSEAL |
198.76 |
3752159 |
SUCTION/IRRIGATOR FLOW II |
237.15 |
3752230 |
CANNULATED IMPLANT SCREW |
501.75 |
3752300 |
IODOFORM |
10.5 |
3752304 |
O2 E.R. |
40 |
3752307 |
O2 PER HOUR |
15 |
3752311 |
VASELINE |
1.89 |
3752317 |
CAST PADDING/3" |
3.52 |
3752325 |
CAST PADDING/4" |
5.25 |
3752377 |
STOCKINETTE, IMP MED |
17.52 |
3752379 |
STOCKINETTE, IMP LG |
11.58 |
3752384 |
MESH/PATCH-VNTRLX HERN SM |
1192.6199999999999 |
3752413 |
PEAK FLOW METER |
40.450000000000003 |
3752421 |
SPLINT 4 X 30 |
51.35 |
3752422 |
SPLINT 4 X 15 |
29.95 |
3752423 |
SPLINT 3 X 12 |
25.2 |
3752425 |
SPLINT |
66.239999999999995 |
3752468 |
MOTION MACHINE/PER DAY |
25.38 |
3752505 |
MONITOR/HEART |
37 |
3752510 |
CUSHION INSERT,PRONEVIEW |
100 |
3752526 |
CATH KIT, URINARY PEDI |
102 |
3752674 |
XEROFORM 5X9 |
2.42 |
3752690 |
EQUALIZER AIR WALKER |
299.88 |
3752735 |
SCD SLEEVE KNEE HI-MED |
105.6 |
3752818 |
LEVINE |
4.0999999999999996 |
3753000 |
CANNUAL CVD 100MM 20GA |
185 |
3753044 |
CANNULA,OXYGEN WRAPS |
4.7300000000000004 |
3753086 |
ENDOCLIPPER |
450 |
3753144 |
ANTI-REFLUX VALVE |
25.5 |
3753150 |
WOUND VAC CANNISTER/EACH |
131.68 |
3753152 |
WOUND VAC/DAILY |
234.5 |
3753153 |
WOUND VAC DRESSING/EA-MED |
127.68 |
3753154 |
ANKLE SUPPORT,STABILIZING |
85 |
3753224 |
HEP LOCK INJ CAP |
8.76 |
3753295 |
DRESSING,MEPILEX 4X4 |
21.96 |
3753321 |
SKIN PREP TRAY W/PVP SPNG |
19.38 |
3753340 |
STERILE 2X2'S |
1 |
3753341 |
STERILE 4X4"S/PKG 5 |
2.5499999999999998 |
3753362 |
SCALPEL/DISPOSABLE |
4.99 |
3753363 |
SCISSORS-CURVED 5MM |
271.04000000000002 |
3753366 |
SCD SLEEVE THIGH HI |
186.1 |
3753470 |
DRESSING,ALLEVYN 4X4 |
20.82 |
3753499 |
TUBING, IRRIGATION Y TYPE |
30.65 |
3753501 |
TUBING, EXT IV 3-WAY 33" |
8.76 |
3753520 |
PREVAIL SURG PREP SOLUTN |
26.4 |
3753545 |
SORBITOL 3% IRR 3000CC |
35 |
3753553 |
SUCTION CANNISTR,OMNI JUG |
142.12 |
3753575 |
SPONGES TONSIL |
22.4 |
3753584 |
TEDS THIGH HIGH XXL |
27.96 |
3753725 |
DRESSING,BIO PATCH 1" |
46.6 |
3753761 |
IV SET-BURETROL ADD ON |
15.9 |
3753873 |
LEAD,SCS STNDRD TRIAL KIT |
1750 |
3753874 |
LEAD,SCS COMPCT TRIAL KIT |
1750 |
3753875 |
LEAD,SCS SUBCMPT TRIAL KT |
1750 |
3753955 |
CATH CHOLANGIOGRAPH 4FR |
231.75 |
3754001 |
PACK ORTHO EXT |
52.61 |
3754002 |
IRRIGATION BULB, STERILE |
6.42 |
3754005 |
IRRIGATION SET-TUR/BLADR |
22.14 |
3754008 |
TENNIS ELBOW WRAP-UNIVERS |
29.64 |
3754012 |
IV CASSETTE |
20.23 |
3754013 |
NEEDLE, JELCO/INSYTE |
10.38 |
3754018 |
BRACE/ANKLE-GEL 10" |
75.599999999999994 |
3754020 |
WOUND VAC DRSNG,SILVER/SM |
160.80000000000001 |
3754023 |
NEEDLE,INSYTE PEDI AUTOG |
18.84 |
3754024 |
TUBING, PRIMARY IV HSPIRA |
58.3 |
3754032 |
SHAVER, SINUS STRYKER |
342.45 |
3754037 |
IRRIGATION TUBING, SINUS STRYKER |
732 |
3754062 |
MASK, SURGERY PER BOX/50 |
18.18 |
3754064 |
MASK, NASAL CONTOUR DELUX |
69.53 |
3754065 |
MASK, PERFORMATRACK |
139.5 |
3754067 |
MASK, LARYNGEAL |
31.15 |
3754070 |
CATH CONE TIP,URETERL 8FR |
162.80000000000001 |
3754075 |
CLIP APPLIER, MED |
283.5 |
3754106 |
ADAPTIC 3X3 |
1 |
3754107 |
ADAPTIC 3X8 |
2.42 |
3754109 |
AIRWAY ANY SIZE |
1.31 |
3754111 |
ABD EACH |
1.1599999999999999 |
3754114 |
ALCOHOL - PINT |
9.7200000000000006 |
3754117 |
ARM BOARD LONG |
3.73 |
3754118 |
ARM BOARD SHORT |
2.42 |
3754122 |
COBAN 4" |
9.42 |
3754123 |
ARM SLING DISP. ANY SIZE |
22.92 |
3754124 |
ARM SLING, PEDIATRIC |
33.6 |
3754127 |
ATHLETIC SUPPORTER |
22.5 |
3754128 |
ARM SPLINT ANY SIZE-COLLE |
28.62 |
3754132 |
BACK SUP-CRISS CROSS |
63.68 |
3754133 |
BACK BOOK EACH |
4.03 |
3754134 |
BETADINE 8 OZ. |
20.04 |
3754142 |
BLOOD COLLECT SET TUBING |
14.4 |
3754148 |
BUTTERFLY NEEDLE |
15.66 |
3754152 |
CAST PADDING/PACKAGE 6" |
7.44 |
3754153 |
CATHETER COUDE W/5CC BAG |
56.25 |
3754155 |
CATH. ROB. |
83.25 |
3754156 |
CATH. FOLEY 30CC ANY SIZE |
74.25 |
3754158 |
CATH. FR. FOLEY 3 WAY |
63 |
3754159 |
COBAN 1" ROLL |
2.89 |
3754160 |
CATHETER PLUG |
4.0999999999999996 |
3754161 |
CATHETER STRAP |
14.5 |
3754162 |
COBAN 3" ROLL |
7.5 |
3754163 |
CATH. TRAY 5CC-16 & 18 |
57.8 |
3754164 |
CATHETER/FEMALE |
21.96 |
3754165 |
CATH.TRAY 5CC-14 FR |
9 |
3754166 |
CATH. TRAY - BLADDER CARE |
12 |
3754168 |
CAUTERY DISPOSABLE (ER) |
43.5 |
3754169 |
CERVICAL FOAM COLLAR-ADLT |
20.94 |
3754176 |
CLAVICLE BRACE ANY SIZE |
28.44 |
3754177 |
COBAN 2" |
4.57 |
3754181 |
CONNECTING TUBE |
4.78 |
3754182 |
CRUTCHES/INCLD TPS PDS GR |
53.5 |
3754191 |
DUODERM DRSNG/4 X 4 |
16.8 |
3754193 |
EAR/ULCER SYRINGE |
3.68 |
3754197 |
ET TUBE |
10.199999999999999 |
3754198 |
ENEMA BUCKET |
27.65 |
3754200 |
ENSURE - 8 OZ. |
3.4 |
3754201 |
EYE PAD |
1 |
3754207 |
FLUORO STRIPS/2 |
1.58 |
3754210 |
FINGER SPLINT STRT W/FOAM |
4.5199999999999996 |
3754214 |
CAST, GEL |
81.36 |
3754219 |
PACK GYN |
48.35 |
3754222 |
HEEL/ELBOW PROTECTOR |
23.82 |
3754227 |
HYDROGEN PEROXIDE-PINT |
4.3099999999999996 |
3754233 |
IRRIGATION TRAY ARGYLE |
4.25 |
3754246 |
KLING 2" |
1.21 |
3754247 |
KLING 3" |
1.31 |
3754248 |
KLING 4" |
1.42 |
3754249 |
KLING 6" |
2.78 |
3754250 |
KNEE IMOBILIZER 20" |
50.49 |
3754252 |
SPONGES, LAP 18x18 |
8.75 |
3754253 |
PACK, LAPORATOMY |
55.15 |
3754254 |
LEG BAG |
14.95 |
3754261 |
MONTGOMERY STRAPS - PAIR |
8.1 |
3754263 |
IRRIG 0.9% NACL 1000ML |
92 |
3754279 |
PENROSE |
7.32 |
3754293 |
SPONGES RAYTEC |
2.89 |
3754296 |
RIB BELT |
27 |
3754299 |
IRRIG 0.9% NACL 500ML |
10.5 |
3754300 |
AEROSAL CIRCUIT |
2.89 |
3754301 |
OXYGEN MASK/ADULT |
2.57 |
3754302 |
AMBU-MASK BAG W/CO2,ADULT |
38.35 |
3754303 |
OXYGEN SUPPLY TUBING |
1.21 |
3754304 |
CANNULA,OXYGEN-ADULT |
1.37 |
3754306 |
VENTI OXYGEN MASK |
8.94 |
3754308 |
OXYGEN NON-REB MASK |
3.94 |
3754309 |
AEROSOL MASK |
1.68 |
3754310 |
PED AEROSOL MASK |
2.68 |
3754311 |
PED O2 MASK |
3.36 |
3754313 |
INCENTIVE SPIROMETER |
13.38 |
3754314 |
SALEM SUMP PUMP |
27.36 |
3754319 |
SHOULDER IMMOBILIZER |
52.11 |
3754322 |
FEEDING TUBE/PEDIATRIC |
2.4300000000000002 |
3754327 |
SPUTUM TRAP |
10.86 |
3754328 |
SPINAL TAP TRAY |
80.38 |
3754329 |
SPONGES 4X4 |
1 |
3754333 |
STRAP ARM SLING |
26.74 |
3754335 |
URINE METER |
58.85 |
3754337 |
STERI STRIP 1/4" |
4.46 |
3754340 |
STERI STRIP 1/8" |
2.84 |
3754342 |
STERI STRIP 1/2" |
4.46 |
3754344 |
IRRIG STER WATER 1000ML |
12.5 |
3754346 |
SUCTION CANNISTER 1200CC |
12.12 |
3754348 |
SUCTION CATHETER 14FR |
3.1 |
3754349 |
SUCTION CATH (TRACH KIT) |
3.1 |
3754350 |
SUTURE TRAY |
31.9 |
3754354 |
SYRINGE CATH TIP 60 CC |
1.73 |
3754357 |
TEDS KNEE HIGH ANY SIZE |
14.52 |
3754358 |
TEDS THIGH HIGH |
28 |
3754366 |
TOPPER SPONGE |
1 |
3754372 |
2" CAST PLUS |
12.78 |
3754373 |
3" Cast Plus/White |
14.34 |
3754374 |
4" TUFSTUF/WHITE |
18.66 |
3754376 |
URINE STRAINER |
1 |
3754377 |
VASELINE GAUZE 3X9 |
1.89 |
3754380 |
WRIST BRACE |
25.32 |
3754389 |
MEPILEX BORDER DRESSING |
43 |
3754395 |
DRAPE, E.R. |
1.68 |
3754401 |
KERLIX 4" |
3.2 |
3754402 |
DRESSING,AQUACELL 4X4 EA |
22.86 |
3754403 |
CANNULA,OXYGEN-PEDI |
71.150000000000006 |
3754404 |
DRESSING,AQUACEL AG 4X4 |
55.2 |
3754414 |
JAMSHIDE NEEDLE |
46.9 |
3754420 |
IV START KIT |
4.3099999999999996 |
3754436 |
SHOELIFT |
39.69 |
3754437 |
SHOE INSERTS |
43.88 |
3754440 |
SHOE INSOLES/LARGE |
58.87 |
3754442 |
PACK HEAD/NECK |
47.57 |
3754443 |
IRRIG STER WATER 500ML |
10.5 |
3754444 |
TRACH MASK - ADULT |
11.7 |
3754446 |
TRACH-NU |
621.80999999999995 |
3754447 |
SUCTION CATH-YAN KAUR |
2.21 |
3754448 |
STIFF NECK COLLAR |
62.19 |
3754449 |
CATH. EXT. |
8.6999999999999993 |
3754450 |
CATH. FILIFORM |
42.5 |
3754452 |
TRACTION PER DAY |
116.1 |
3754455 |
TRACHEOSTOMY CARE KIT |
7.38 |
3754456 |
CATH. FOLEY 5CC |
64.900000000000006 |
3754458 |
LUMBAR ROLL/MESTIC AIR |
77.180000000000007 |
3754459 |
TELFA |
1 |
3754463 |
MRI PORT CATH |
1817.65 |
3754464 |
MUCOUS TRAP-SPEC STERILE |
19.440000000000001 |
3754470 |
TROCARS, 5MM |
193 |
3754474 |
3 X 3 UNSTERILE 200 |
23.27 |
3754475 |
SUTURE RETRIEVER |
154.35 |
3754476 |
SUTURE REMOVAL KIT |
6.96 |
3754477 |
VASELINE PACKING |
2.63 |
3754478 |
TELEPHONE EXPENSE |
3.31 |
3754484 |
CUTTER-PROXIMATE LINEAR |
371.27 |
3754485 |
CYSTO CATH |
179.45 |
3754488 |
LAVAGE KIT |
40.1 |
3754497 |
MESH MARLIX 3X6 |
179.27 |
3754509 |
BAZOOKA BED/PER DAY |
74.42 |
3754510 |
AIRWAY, NASOPHARYNGEAL (SURG) |
24.72 |
3754511 |
ANKLE PROTECTOR |
77.180000000000007 |
3754512 |
ANKLE SUPPORT |
31.26 |
3754513 |
ANKLE WRAP-ANY SIZE |
29.49 |
3754514 |
ANTI-FOG |
11.2 |
3754515 |
ARGENAID/PKT |
4.2 |
3754519 |
SEPTA SOFT SOAP |
9.48 |
3754521 |
SKIN STAPLER WIDE |
52.59 |
3754522 |
HEEL/EGG CARTON PR |
7 |
3754525 |
SORBSAN DRESSING 3X3 |
27.68 |
3754528 |
HEEL SPUR PADS/PAIR |
36.6 |
3754529 |
MEDIPLASTER-EACH |
2.21 |
3754530 |
MEDIPORE-DRESS-IT TAPE |
29 |
3754532 |
MICROSCOPE <15 MIN |
82.69 |
3754533 |
MICROSCOPE EACH ADD 15MIN |
27.56 |
3754545 |
TRACH TIE |
7.44 |
3754546 |
TRACH TUBE-ADULT |
116.24 |
3754547 |
TRACH HUM W/TEMP PROB/DAY |
7.72 |
3754553 |
CATHETER COUDE-STRAIGHT |
27 |
3754554 |
MARKERS W/LABELS, STERILE |
4.46 |
3754561 |
NASAL MOISTURIZER 2GM/2PK |
2.68 |
3754565 |
SHOELACES, TYLASTIC |
13.23 |
3754582 |
HEEL/ELBOW PROT-PR SHPSKN |
29.4 |
3754590 |
DRAINAGE BAG |
12.84 |
3754601 |
ELASTIKON 3" |
26.85 |
3754603 |
EKG ELECTRODES PKG OF 3 |
3.97 |
3754604 |
ELECTRODE, LOOP #24 |
334.45 |
3754605 |
ELECTRODE,BI PHASIC ADULT |
48.6 |
3754606 |
ELECTRODE, BI PHASIC PEDI |
99 |
3754607 |
ELECTRODE,ENDO ROLLERBALL |
300.44 |
3754612 |
ANESTHESIA CIRC, PED |
26.95 |
3754613 |
AQUA K PAD |
25.7 |
3754614 |
ANESTHESIA MASK |
6.48 |
3754615 |
ANGIOCATH |
4.63 |
3754728 |
CHLORAPREP 3ML VIAL |
1.73 |
3754739 |
VIDEO EQUIPMENT SET-UP |
49.61 |
3754770 |
OXIMETER PROBE, PEDI |
79.2 |
3754771 |
OXYMIZER |
55.13 |
3754772 |
OXYMIZER PENDANT |
94.05 |
3754811 |
EYE SHIELD |
26.94 |
3754812 |
FEATHER-LIGHT REACHER |
56.67 |
3754829 |
ICY HOT/3.5 OZ |
18.739999999999998 |
3754844 |
STERILE WATER 30CC VIAL |
2.1 |
3754845 |
STERILE WATER 3000ML |
27.65 |
3754857 |
HUMIDIFIER, THERAMIST |
44.5 |
3754858 |
HUMIDIFIER CHAMBER |
10.38 |
3754860 |
IRRIGATION SET-CYSTO |
23.59 |
3754861 |
HYFERCATOR TIP |
22.05 |
3754863 |
HYFRECATOR ELECTRODES |
5.2 |
3754884 |
PACER PADS |
22.08 |
3754886 |
KNEE SUPPORT |
22.27 |
3754888 |
BRACE-HINGED KNEE |
142.51 |
3754889 |
TAPE-KNEE STRAPPING/ROLL |
38.590000000000003 |
3754890 |
HYPAFIX/ROLL |
38.65 |
3754891 |
KNEE SLEEVE-NEOPRN/S-M-LG |
33.049999999999997 |
3754892 |
KNEE SUPPORT/HINGE, XXL |
118.8 |
3754893 |
KNEE SUPRT & NEUP SLEEVE |
45.3 |
3754894 |
KNEE SUPPORT, LATERAL "J" |
93.04 |
3754900 |
BIOPSY GUN,DISPOSIBLE |
364.5 |
3754910 |
LOOPS OLYMPUS #24 |
238.14 |
3754939 |
SUCTION CATH KIT |
2.89 |
3754944 |
STOCKINETTE 4"X12" |
67.73 |
3754945 |
NEEDLE 11GA./BONE MARROW |
41.45 |
3754946 |
STOCKINETTE 6"/YD |
2.1 |
3754947 |
NEEDLE BOX |
4.83 |
3754948 |
NEEDLE, BIOPSY |
100.6 |
3754952 |
NERF BALL |
5.24 |
3754954 |
NO STING BARRIER |
4.67 |
3754958 |
NACL 0.9 FOR IRRI 3000ML |
25.4 |
3754985 |
DELIVERY PACK/OB PACK |
51.8 |
3754988 |
CATH COUNCIL TIP FOLEY |
87.75 |
3755000 |
TUBING, LATEX PER FOOT |
4.3099999999999996 |
3755022 |
EQUALIZER BOOT (DEROYAL) |
246.3 |
3755023 |
EQUALIZER BOOT, PEDI |
326.25 |
3755024 |
WRISTPLATE 2.4 RADIUS SHAFT |
5820.5 |
3755025 |
SCREW, SELF TAPPING 2.4 MM |
89 |
3755026 |
TROCAR W/ K-WIRE 1.25MM |
145 |
3755027 |
DRILL BIT X 100MM 2.0 MM |
126 |
3755028 |
COLLINGSKNIFE ELECTRODE |
455.85 |
3755029 |
DILATION CATHETER ESOPHAGEL |
562.4 |
3755030 |
ESOPHAGEL DILATION DEVICE |
217.5 |
3755031 |
ENDOTRACHAEL AIRWAY ADAPTER |
25.2 |
3755032 |
SCOPE WARMER, DISPOSIBLE |
42.5 |
3755033 |
ENDO NEEDLE GUIDE KIT |
83.6 |
3755034 |
PACK, SHOULDER |
241 |
3755035 |
WASHER, SPIKED |
568.75 |
3755036 |
DRILL BIT, CANNULATED 3/0/4.0MM |
1050 |
3755037 |
FORCEP, MACRO JAW & ELECTROLOBE |
1000.9 |
3755038 |
NASAL TAMPON W/AIRWAY SM |
32.200000000000003 |
3755039 |
GI ULTRA ENDOSTAPLER |
1425.95 |
3755040 |
TROCAR BLUNT 12MM VERSAONE |
586.6 |
3755041 |
ENDO GIA 30MM CLIPS |
1439.25 |
3755042 |
ENDO GIA 45MM CLIPS |
1588.9 |
3755043 |
ESOPHAGEAL DILATING BALLOON |
904.8 |
3755044 |
SUTURE, PDS II OCT-1 |
148 |
3755045 |
DRILLL BIT, THREAD PILOT |
1312.5 |
3755046 |
REAMER 10MM CONCAVE |
960 |
3755047 |
HAMMER TOE IMPLANT 3.4X3.0X14MM |
5600 |
3755048 |
NEEDLE, 14GA ANGIO CATH |
4.63 |
3755050 |
DRILL BIT 3/4MM SPADE |
1125 |
3755051 |
REAMER, 10MM CONVEX |
960 |
3755056 |
ORTHO HINGED PAD-CHEST OR |
386.89 |
3755061 |
BILI MASK |
16.559999999999999 |
3755094 |
SPLINT, PLANTER NITE |
178.29 |
3755152 |
CAST SHOE |
26.65 |
3755164 |
CATH./SPECIAL |
31.45 |
3755241 |
SPLINT/SPRNG WIRE SFTY PN |
29.11 |
3755243 |
ISOLETTE/PER DAY |
27.56 |
3755269 |
ASST HEAR DEVICE W/HD PHN |
66.150000000000006 |
3755279 |
2" CAST PLUS/BLUE |
31.31 |
3755280 |
3" CAST PLUS BLUE |
32.409999999999997 |
3755281 |
4" TUFSTUF/BLUE |
35.18 |
3755283 |
3" CAST PLUS/TEDDY BEARS |
32.409999999999997 |
3755310 |
UMBILICAL CORD CLMP/CUT |
35.130000000000003 |
3755327 |
PICC LINE STAT LOCK |
43.2 |
3755334 |
URINE COLLECTOR, PEDI |
14.69 |
3755341 |
STERILE 4X4'S/PKG 10 |
1.84 |
3755342 |
STERILE 3X3'S/1-10 |
1 |
3755359 |
TEMP. PROBE |
6.73 |
3755360 |
TEMPERATURE STRIP |
7.44 |
3755380 |
SNARE, POLYPECTOMY |
94.27 |
3755381 |
SNARE, POLYPECTOMY ROTATA |
104 |
3755432 |
DRESSING SURGIFOAM SZ100 |
131.52000000000001 |
3755435 |
FORCEPS, HOT BIOPSY |
105.6 |
3755436 |
FORCEPS, DISPOSABLE BX |
100.1 |
3755437 |
FOOT ELEVATOR |
46.86 |
3755438 |
SHOE HORN |
20.23 |
3755439 |
SOCK AID |
20.73 |
3755442 |
GERI LEGS |
41.67 |
3755511 |
PED O2 CANNULA |
16.14 |
3755512 |
PED TRACH MASK |
5.8 |
3755520 |
SLING, TRIANGLE |
12.96 |
3755545 |
HOLLISTER PCH DRN 10/BX |
186.54 |
3755546 |
FRAZIER SUCTION |
26.28 |
3755575 |
TOOMEY |
11.58 |
3755578 |
GLOVE-ISOTONER, ANY SIZE |
20.95 |
3755585 |
PCA PUMP-1ST DAY & SETUP |
94.82 |
3755586 |
PCA PUMP - PER DAY |
38.590000000000003 |
3755594 |
LAP CHOLE TRAY (BP) |
919.77 |
3755599 |
AZURE SLING |
24.15 |
3755600 |
EOA |
125.02 |
3755605 |
ENDOCLOSE |
69.739999999999995 |
3755606 |
EPIDURAL TRAY, SINGLE |
70.47 |
3755619 |
HEAD REST |
6.73 |
3755620 |
PORT CHEMO |
2173.5 |
3755621 |
BLADDER EVACUATOR |
37.200000000000003 |
3755681 |
EVACUATED CONT. BLADDER |
34.1 |
3755704 |
SUTURES-ENDO HERNIA 4.0MM |
177.06 |
3755705 |
SUTURES-ENDO HERNIA 4.8MM |
184.78 |
3755823 |
STRYKER BLADE CUTTER |
276.75 |
3755850 |
NASAL PACKING W/AIRWAY LG |
72.05 |
3755860 |
LAP CHOLE CATH ARROW |
303.60000000000002 |
3755887 |
BRACE - ANKLE |
57.3 |
3755888 |
PNEUMATIC CUFF |
71.66 |
3755890 |
BOOK/STEP TOWARD CONTROL |
12.63 |
3755900 |
ENLIVE 120CC/8 OZ CARTON |
4.83 |
3755952 |
TOURNIQUET, BEIR 24 |
147.6 |
3755954 |
TRACH COLLAR |
3.53 |
3755955 |
TRACH DRAINAGE SYSTEM |
7.08 |
3755998 |
INSUFFATION TUBING HI-FLO |
254.5 |
3755999 |
MULTIBOOT |
210 |
3756000 |
INTERSTIM INTRODUCER |
1050 |
3756001 |
INTERSTIM NEUROSTIMULATOR |
30952 |
3756002 |
INTERSTIM KIT - TRIAL |
21465 |
3756003 |
INTERSTIM PATIENT PROGRAMMER |
4165 |
3756049 |
MESH-PROLENE 3X6 |
261.17 |
3756053 |
MESH-VISILEX |
355.79 |
3756054 |
MESH-GYNEMESH PS |
811.25 |
3756102 |
HEEL PROTECTOR, PREVALON |
213.57 |
3756197 |
IOBAN 2 |
60 |
3756286 |
PICC LINE INSERTION TRAY |
366.44 |
3756295 |
STAPLER, D5/15 |
27.9 |
3756296 |
STAPLE REMOVER |
9.6 |
3756297 |
STAPLER RELOADS 55MM |
206.15 |
3756325 |
SLEEVE, NEOPRENE CALF |
89.25 |
3756331 |
MAGIC CUP 40Z/CASE OF 48 |
31.97 |
3756334 |
ISOMIL WITH IRON |
58.46 |
3756336 |
SUS/ENS/ISO/BST/RS/8OZ |
1 |
3756337 |
SUSTACAL LIQUID/4 OZ |
2.1 |
3756338 |
MAGNACAL |
7.2 |
3756339 |
RESPALOR |
2.21 |
3756340 |
ISOCAL HN 80Z CAN |
2.1 |
3756341 |
DELIVER 2.0 SUPPLMNT |
2.0499999999999998 |
3756342 |
BOOST BREEZE |
4.9400000000000004 |
3756343 |
CHOICE VANILLA |
2.89 |
3756346 |
ISOSOURCE 1 LITER |
27.72 |
3756347 |
ISOSOURCE HN 8 OZ CAN |
6.3 |
3756413 |
IV CANNULA |
1.42 |
3756438 |
UNDERPAD BREATHABLE |
4.03 |
3756466 |
ELECTRODE, CT LOOP 30 DEGREE |
440 |
3756496 |
STRYKER BLADE RESECTOR |
261.45 |
3756503 |
CO2 ADAPTOR( ATTACH KIT) |
36.049999999999997 |
3756533 |
GLYCINE 3000ML |
36.770000000000003 |
3756536 |
BETOPTIC OPTH GTTS |
37.21 |
3756545 |
HEEL LIFT-THERA BOOT/EACH |
229.08 |
3756586 |
HEMATEST HEMACULT CARDS |
2.8 |
3756596 |
AQUAFORM CORSET-BRACE |
202.6 |
3756639 |
RESOURCE BENEPROTEIN |
2.2599999999999998 |
3756644 |
STAPLER, ENDO REDUCER |
783.89 |
3756646 |
ELECTRODE, 24FR 3MM LOOP |
307.93 |
3756716 |
STAPLER TA 55 UNITS |
146.52000000000001 |
3756717 |
STAPLER, TX LINEAR |
331.54 |
3756770 |
CAST,SHOE SUPER BLUE SM |
26.65 |
3756860 |
STRYKER FLO TUBE KIT |
260.55 |
3756872 |
PACK, UNIVERSAL |
85.46 |
3756879 |
PACK, ARTHROSCOPY |
161.5 |
3756880 |
PACK, SET-UP |
7.72 |
3756881 |
PACK, LAPAROSCOPY GYN |
61.65 |
3756882 |
PACK, ENDOSCOPY |
109.45 |
3756901 |
KNEE ORTHOSIS W/ADJ JOINT |
1901.81 |
3756935 |
CENT LINE TRIP LUMEN 7 FR |
295.72000000000003 |
3756963 |
DURMABOND |
101.5 |
3757005 |
ACCUCHECK/CHEMSTRIP |
3 |
3757019 |
WALKER PLATFORM |
51.45 |
3757029 |
WANDERGARDS |
123.26 |
3757034 |
SPLINT, THUMB FOR O.T. |
44.76 |
3757035 |
SPLINT, THUMB SPICA |
93.5 |
3757083 |
NEEDLE, TOUHY EPI 18G |
37.5 |
3757117 |
THERAPUTTY/SOFT |
28.67 |
3757139 |
BLISTERDERM |
2.1 |
3757245 |
STOCKINGS, COMPRESSION |
164.92 |
3757246 |
HAMMERTOE REAMER |
2100 |
3757247 |
DRAIN RESEVOIR W/ADAPTERS |
45 |
3757321 |
GIGLI SAW WIRE |
36.9 |
3757383 |
4X4 UNSTERILE - 100 |
12.24 |
3757401 |
BANDAGE,ESMARK 6X9 |
65.790000000000006 |
3757402 |
BANDAGE,ESMARK 4X9 |
55.17 |
3757443 |
WRIST SPLINT CONTOURED |
35.700000000000003 |
3757475 |
SUCTION COAG WECK |
39.75 |
3757500 |
JOBST PUMP/DAY |
7.72 |
3757520 |
MESH/PATCH VNTRLX HERN LG |
1034 |
3757533 |
BULB - J VAC 100CC |
70.16 |
3757575 |
SUCTION CATH-10 F PEDI |
2.84 |
3757590 |
PICC LN TRAY/DOT 5FR NXT |
759 |
3757616 |
CAUTERY EXTENSION |
39.5 |
3757618 |
BIPAP CIRCUITS |
39.75 |
3757641 |
SPLINT/PREFORMED MITT, SM |
118.85 |
3757642 |
SPLINT/RESTING HAND-MED |
162.07 |
3757900 |
POSITRAP BASKET |
393.75 |
3757901 |
POSITRAP FORCEP |
276.5 |
3757905 |
OUTSIDE FACLTY STERILE CS |
150.05000000000001 |
3757943 |
PERI BOTTLE |
3.41 |
3757975 |
PICC LINE SOLO 4FR |
927.4 |
3758000 |
CLIPPER SHAVER HEADS |
17.100000000000001 |
3758001 |
NU GAUZE PLAIN |
12 |
3758014 |
PEDIALYTE 32 OZ |
21 |
3758108 |
ROOK BOOT/EACH |
37.65 |
3758109 |
ROOK BOOT, POSEY EACH |
99.56 |
3758148 |
TUBING,SECONDARY HOSPIRA |
9.1 |
3758163 |
LIGHT SHIELD |
7.92 |
3758164 |
LIGACLIP APPLIER 5MM M/LG |
407.39 |
3758224 |
HIBICLEANS SOAP 16OZ |
28.34 |
3758226 |
HIP KIT |
69.349999999999994 |
3758227 |
BASIN, SURGERY |
29.4 |
3758250 |
PICC LINE SOLO 5FR |
967.4 |
3758282 |
2 X 2 UNSTERILE-UP TO 50 |
1 |
3758313 |
CATH, TROCAR CHEST TUBE |
190.75 |
3758315 |
TROCAR 12MM |
211.79 |
3758380 |
TUBE-EAR, MODIFIED T |
139.32 |
3758381 |
TUBE-EAR, VENT |
102.87 |
3758384 |
TROCARS, 10/12 BLUNTPORTS |
243.5 |
3758385 |
TROCAR, 10/12MM LONG |
225.09 |
3758387 |
TUBE HOLDER, FLEXIBLE |
16.2 |
3758389 |
TUBE-SUCTION, DAVOL,ENT |
28.39 |
3758405 |
MAX PLUS VALVE-CLEAR |
8.4 |
3758532 |
AIR MATTRESS, HURLY/DAY |
75 |
3758534 |
AIR MATTRESS, ACUCAIR OVR |
77 |
3758550 |
OXIMETER PROBE,NEONAT/INF |
65 |
3758840 |
BILIRUIBIN LIGHT/PER DAY |
27.56 |
3758842 |
DRAIN 10 FR JP |
107.08 |
3758843 |
BLADE, KNIFE |
5.09 |
3758846 |
KALTOSTAT ROPE |
31.04 |
3758851 |
GLOVE, ISOTONER/PAIR |
36.380000000000003 |
3758854 |
GLOVE, BIOGEL SURGERY |
16.54 |
3758879 |
INTRA OCULAR LENS |
174.2 |
3759181 |
CORSET-SACRO LUMBAR |
95.26 |
3759223 |
HERNIA RELOAD |
154.85 |
3759224 |
HIBICLEANS SOAP 4OZ |
20.04 |
3759280 |
PREP TRAY |
11.64 |
3759290 |
POSEY CONE |
2.1 |
3759351 |
TEGADERM IV SECUREMENT |
4.55 |
3759382 |
TUBE GAUZE 1/2 ROLL |
14.7 |
3759391 |
DRESSING, TEGADERM 6X8 |
8.0399999999999991 |
3759392 |
DRESSING-TEGADERM "IV" |
1 |
3759394 |
DRESSING-TEGADERM 4X4 |
3.47 |
3759395 |
DRESSING,ACTICOAT 4X4EACH |
55.2 |
3759396 |
ET KING LARYNGEAL TUBES |
197.56 |
3759398 |
BRUSH/ALGER EYE |
2.1 |
3759400 |
BRUSHES, CYTOLOGY |
297.89999999999998 |
3759480 |
ET KING SCOP HNDL/BLD DIS |
331.8 |
3759565 |
CANE BASE, TRIPOD |
98.98 |
3759625 |
PICC LN INSRT TRA/1PWR GR |
962.5 |
3759650 |
DRESSING,AMD SPONGE |
1 |
3759696 |
FEEDING TUBE/WEIGHTED |
60.93 |
3759697 |
FEEDING TUBE KIT,PEG 24FR |
263.25 |
3759711 |
TUBING, EXT SET IV HSPRA |
11.82 |
3759883 |
PACK CYSTOSCOPY |
54.3 |
3759914 |
ENEMA FLEETS-OIL |
14.1 |
3759943 |
CPAP MASK |
380.74 |
3759944 |
CPAP PRESSURE LINE ADAPTR |
5.51 |
3759954 |
TOPPER SPONGES - BOX |
11.58 |
3759956 |
SPUTUM CUP |
17.64 |
3759960 |
WRIST RESTRAINT/EACH |
24.48 |
3759964 |
COBAN 6" STERILE |
44.3 |
3759965 |
ZIP 4 SURGICAL SKIN CLOSURE |
175 |
3759966 |
INTERSTIM TINED LEAD (REPLACEMENT) |
9954 |
3759967 |
INTERSTIM TEST CABLE |
200 |
3759969 |
HAMMERTOE SPADE IMPLANT 12MM |
6282.5 |
3759970 |
CONVEX REAMER |
1687.5 |
3759971 |
HAMMERTOE SPADE IMPLANT 14MM |
6982.5 |
3759973 |
SUPPORT ELBOW SLIP ON |
19.02 |
3759980 |
XEROFORM 1X8 |
2.21 |
3759982 |
ENDOMARK INK MARKER |
183.5 |
3759983 |
PESSARY FOR INCONTINENCE |
270 |
3759984 |
STRYKER 10 GAUGE ACCESS |
4614.75 |
3759985 |
STRYKER 10 GAUGE HAND DRILL |
416.4 |
3759986 |
SCREW, SELFTAP 2.7MM |
315 |
3759987 |
CATH COUDE TIP 12FR |
28.64 |
3759988 |
IOVERA GAS CARTRIDGE |
22 |
3759989 |
IOVERA SMART TIP NEEDLE |
1500 |
3759990 |
CARD RESUSITATION |
330.75 |
3759991 |
CARD EXT PACER W/PADS |
281.14 |
3759993 |
CARD DEFIB IN SQUAD |
55.13 |
3759995 |
GROSHONG CATH FLUSH |
11.03 |
3759996 |
GUIDE WIRE |
97.16 |
3780000 |
TRT RM LEV 0 |
130 |
3780001 |
TRT RM LEV 1 |
182 |
3780002 |
TRT RM LEV 2 |
287 |
3780003 |
TRT RM LEV 3 |
423 |
3780004 |
TRT RM LEV 4 |
119 |
3780004 |
TRT RM LEV 4 |
628 |
3780005 |
TRT RM LEV 5 |
759 |
3780006 |
TRT RM LEV 6 |
832 |
3780010 |
BOTOX ONE EXTREMITY 1-4 MUSCLES |
546 |
3780011 |
BOTOX EA ADDTL EXTREMITY 1-4 MUSCLES |
360 |
3780012 |
BOTOX ONE EXTREMITY 5 OR > MUSCLES |
619 |
3780013 |
BOTOX EA ADDTL EXTREMITY 5 OR > MUSCLES |
436 |
3780014 |
BOTOX NEEDLE ELECTROMYOGRAPHY GUIDANCE |
119 |
3780015 |
BOTOX FACIAL/TRIGEM/CERV MUSC MIGRAINE |
528 |
3780040 |
NURSERY CARE |
639 |
3780390 |
ER-TRAUMA RESPONSE |
702 |
3780781 |
IV HYDRA,EA HR 2-8 |
95 |
3780782 |
TRT RM INJ,THR/PRO SC/IM |
123 |
3780783 |
INJ,THER/PRO/DX,IA |
134 |
3780788 |
INJ, IV PUSH |
189 |
3780789 |
EACH ADD SAME IVP |
135 |
3781000 |
TRT RM NUR ASSMT/DRS CHNG |
142 |
3781500 |
ER LEVEL I |
180 |
3781501 |
ER LEVEL II |
276 |
3781502 |
ER LEVEL III |
473 |
3781504 |
ER LEVEL V |
1136 |
3781508 |
CONSULT/DIET INDIV .5HR |
83 |
3781509 |
EVAL-NURSE ASSESS/BLD ALC |
180 |
3781510 |
ER LEVEL IV |
753 |
3781515 |
ER CC GT 30-LT 90 MIN |
1881 |
3781516 |
ER CC HOLD/TRANS GT 90MIN |
1881 |
3782311 |
PN MGT/LUMB/SAC EPID SNGL |
668 |
3782709 |
PN MGT/SACROILIAC JNT INJ |
1496 |
3786227 |
TRT RM SPINE/CORD INJ,DRN |
558 |
3787605 |
WOUND VAC WOCN<50/WND CAR |
139.36000000000001 |
3789047 |
ADMINISTRATION X1 VACCINE |
133 |
3789077 |
EACH ADD NEW IVP |
150 |
3789078 |
IV HYDRATION, 1ST HR |
334 |
3789080 |
IV INFUSION 1ST HR |
347 |
3789081 |
IV INFUS,EA HR 2-8 |
109 |
3789082 |
ADD SEQ INFUSION TO 1HR |
128 |
3789083 |
CONCURRENT INFUSION |
100 |
3790000 |
MED OBSV>48HRS-NO MED NEC |
58 |
3790001 |
MED OBSV 1 HR |
1088 |
3790002 |
MED OBSV X 2 HRS |
561 |
3790003 |
MED OBSV X 3 HRS |
386 |
3790004 |
MED OBSV X 4 HRS |
299 |
3790005 |
MED OBSV X 5 HRS |
246 |
3790006 |
MED OBSV X 6 HRS |
210 |
3790007 |
MED OBSV X 7 HRS |
186 |
3790008 |
MED OBSV X 8 HRS |
167 |
3790009 |
MED OBSV X 9 HRS |
151 |
3790010 |
MED OBSV X 10 HRS |
141 |
3790011 |
MED OBSV X 11 HRS |
128 |
3790012 |
MED OBSV X 12 HRS |
117 |
3790013 |
MED OBSV X 13 HRS |
108 |
3790014 |
MED OBSV X 14 HRS |
101 |
3790015 |
MED OBSV X 15 HRS |
93 |
3790016 |
MED OBSV X 16 HRS |
88 |
3790017 |
MED OBSV X 17 HRS |
82 |
3790018 |
MED OBSV X 18 HRS |
78 |
3790019 |
MED OBSV X 19 HRS |
74 |
3790020 |
MED OBSV X 20 HRS |
69 |
3790021 |
MED OBSV X 21 HRS |
66 |
3790022 |
MED OBSV X 22 HRS |
63 |
3790023 |
MED OBSV X 23 HRS |
61 |
3790024 |
MED OBSV X 24 HRS |
58 |
3790025 |
MED OBSV X 25 HRS |
58 |
3790026 |
MED OBSV X 26 HRS |
58 |
3790027 |
MED OBSV X 27 HRS |
58 |
3790028 |
MED OBSV X 28 HRS |
58 |
3790029 |
MED OBSV X 29 HRS |
58 |
3790030 |
MED OBSV X 30 HRS |
58 |
3790031 |
MED OBSV X 31 HRS |
58 |
3790032 |
MED OBSV X 32 HRS |
58 |
3790033 |
MED OBSV X 33 HRS |
58 |
3790034 |
MED OBSV X 34 HRS |
58 |
3790035 |
MED OBSV X 35 HRS |
58 |
3790036 |
MED OBSV X 36 HRS |
58 |
3790037 |
MED OBSV X 37 HRS |
58 |
3790038 |
MED OBSV X 38 HRS |
58 |
3790039 |
MED OBSV X 39 HRS |
58 |
3790040 |
MED OBSV X 40 HRS |
58 |
3790041 |
MED OBSV X 41 HRS |
58 |
3790042 |
MED OBSV X 42 HRS |
58 |
3790043 |
MED OBSV X 43 HRS |
58 |
3790044 |
MED OBSV X 44 HRS |
58 |
3790045 |
MED OBSV X 45 HRS |
58 |
3790046 |
MED OBSV X 46 HRS |
58 |
3790047 |
MED OBSV X 47 HRS |
58 |
3790048 |
MED OBSV X 48 HRS |
58 |
3790068 |
MED OBSV X 68 HRS |
58 |
4020001 |
DRUG SCRN, COMPREHENSIVE |
221 |
4020002 |
DRUG SCREEN,QUAL,MULTI,EA |
200 |
4020003 |
SOLUBLE TRANSFERRIN RECPT |
210 |
4020004 |
MODIFIED FRAG X GEL ELECT |
142 |
4020005 |
MODIFIED FRAG X AMP TARG |
189 |
4020006 |
LIVER FUNCTION PANEL |
141 |
4020007 |
MODIFIED FRAG X INT & REP |
108 |
4020008 |
VIP-VASOAC INTEST PEPTIDE |
191 |
4020009 |
AB ID/EA SEL REAGENT CELL |
17 |
4020012 |
COMPLETE PHENOTYPE-ARC |
162 |
4020013 |
PRETRT RBC INC W/ENZYMES |
91 |
4020014 |
PRETREATMENT OF RBC |
242 |
4020015 |
INHIBITION OF SERUM |
104 |
4020016 |
DILUTION OF SERUM |
58 |
4020017 |
MUMPS-LGM |
124 |
4020018 |
MANNOSE BINDING PROTEIN |
198 |
4020019 |
NEUTROPHIL CYTOPLASM AB-P |
163 |
4020020 |
ANTIGEN TEST W/REAGENT SE |
124 |
4020021 |
PROCALCITONIN |
249 |
4020022 |
HERPES SIMP VIR 1& 2 PCR |
245 |
4020023 |
LEAD VENOUS |
78 |
4020024 |
CELL COUNT & DIFF CSF |
50 |
4020025 |
GLUCOSE CSF |
70 |
4020026 |
PROTEIN CSF |
58 |
4020027 |
TESTOSTRN FEMALE OR CHILD |
135 |
4020028 |
LDH BODY FLUID |
66 |
4020029 |
ANA REFLEXIVE PANEL |
102 |
4020030 |
TOXOPLASMA,LGM |
50 |
4020031 |
TOXOPLASMA,LGG |
50 |
4020032 |
CONNECT TISSUE DISEAS-NUC |
177 |
4020033 |
CONNECT TISSUE DISEAS-IMM |
156 |
4020034 |
HEP B VIRAL DNA QUANT |
380 |
4020035 |
PARANEO AUTO AB ST MUS AB |
198 |
4020036 |
PARANEO AUTO AB-5 |
283 |
4020037 |
PARANEO AUTO AB-9 |
176 |
4020038 |
SENSORY NEURO PANEL-83516 |
156 |
4020039 |
SENSORY NEURO PANEL-86255 |
163 |
4020040 |
CMV-QUANT |
219 |
4020041 |
MOLECULAR DIAG-AMPLI F |
189 |
4020042 |
DNA ARRAY EVAL 11-50 PROB |
78 |
4020043 |
MRSA SCREEN |
72 |
4020044 |
CALCOFLUOR WHITE STAIN |
69 |
4020045 |
IMMUNOASSAY, QUANT |
198 |
4020046 |
CHEMILUMINESCENT ASSAY |
198 |
4020047 |
C-REACTIVE PROTEIN |
111 |
4020048 |
IMMNOFLORSCNT EA IND METH |
182 |
4020049 |
MOLECULAR DX-LYSIS |
118 |
4020050 |
GENERAL HEALTH PANEL |
304 |
4020051 |
ANTI-DNA TITER LGG BY IFA |
176 |
4020052 |
VITAMIN K1 |
209 |
4020053 |
PLT ASSOC IMMUNOGLB ASSAY |
153 |
4020054 |
FATTY ACID PROFILE-ESSENT |
556 |
4020055 |
PRENATAL PANEL |
284 |
4020056 |
BK VIRUS DNA QUANT |
204 |
4020057 |
CENTROMERE AB |
156 |
4020058 |
NIACIN |
182 |
4020059 |
BLOOD BORNE PARASITE |
78 |
4020060 |
HAPARIN ANTI-XA LMWH |
66 |
4020061 |
TB INTERFERON ANTIGEN |
188 |
4020062 |
LYME LG G BY WESTERN BLOT |
105 |
4020063 |
LYME LG M BY WESTERN BLOT |
105 |
4020064 |
ADENOVIRUS |
188 |
4020065 |
CYTOSPIN |
115 |
4020066 |
SURG,PATH LEVEL 3 |
157 |
4020067 |
IHC TUMOR MORPHOMETRY |
183 |
4020068 |
ALLERGEN, EACH |
61 |
4020069 |
RENAL FUNCTION PANEL |
138 |
4020070 |
DHT (DIHYDROTESTOSTERONE) |
151 |
4020071 |
HSV TYPE 2 GLYCOPROTN LLG |
105 |
4020072 |
CHROMIUM |
98 |
4020073 |
MANGANESE |
79 |
4020074 |
MOLEC DX RVRS TRANS |
55 |
4020075 |
HANTA VIRUS LGG |
169 |
4020076 |
HANTA VIRUS LGM |
169 |
4020077 |
NICOTINE-URINE |
236 |
4020078 |
TPMT ENZYME |
261 |
4020079 |
LAMBDA QNT,FREE LT CHAIN |
198 |
4020080 |
TPMT HPLC |
239 |
4020081 |
HSV TYPE 1 GLYCOPROTN IGG |
105 |
4020082 |
CYTOLOGY FNA W/INTERP |
158 |
4020083 |
HIV-1 RNA QT RT PCR |
247 |
4020084 |
HISTOPLASMA AB ID |
78 |
4020085 |
ALDOSTERONE-URINE |
360 |
4020086 |
SPECIAL STAIN GROUP 1 |
135 |
4020087 |
HIV SCREEN-MCAR |
92 |
4020088 |
INTRACONAZOLE LEVEL-QUANT |
223 |
4020089 |
LACTOFERRIN, FECAL |
140 |
4020090 |
T4-FREE BY DIALYSIS |
107 |
4020091 |
INFLUENZA A & B SCREEN PCR |
215 |
4020092 |
INFLUENZA B PCR |
188 |
4020093 |
LEGIONELLA AG, URINE |
87 |
4020094 |
MYCOPLASMA PCR |
277 |
4020095 |
DOT SPECIAL HANDLING |
38 |
4020096 |
DOT DRUG TESTING |
93 |
4020097 |
DOT POSITIVE REPORT FEE |
24 |
4020099 |
SURG,PATH LEVEL 5 |
296 |
4020101 |
CANNABINOIDS-THC |
88 |
4020102 |
BETA-HYDROXYBUTYRATE |
96 |
4020103 |
PROSTATE SPEC ANTI SCREEN |
112 |
4020104 |
DOT ALCOHOL TESTING |
37 |
4020105 |
ALCOHOL-BREATHLYZER |
61 |
4020106 |
SPECIAL STAIN GROUP 2 |
73 |
4020107 |
SURG PATH LEVEL 1 |
32 |
4020108 |
METHOTREXATE |
88 |
4020109 |
HAEMOPHILUS INFL B AB-LGG |
129 |
4020110 |
ALPHA SUBUNIT-GLYCOPROTEIN |
198 |
4020111 |
ARC PRESELECTED UNIT |
92 |
4020112 |
INSULIN, FREE |
59 |
4020113 |
PROTHROMBIN FACTOR II MUTATION |
183 |
4020114 |
MTHFR GENE MUTATION |
161 |
4020115 |
IODINE, SERUM |
274 |
4020117 |
LAMICTAL |
180 |
4020118 |
METHADONE, URINE |
131 |
4020119 |
STOOL ADENOVIRUS AG BY EIA |
74 |
4020120 |
ADENOVIRIS AB IGV |
64 |
4020121 |
ADENOVIRUS |
64 |
4020122 |
RSV ANTIGEN-SEND OUT |
142 |
4020123 |
HER-2/NEU QUANT |
335 |
4020124 |
QED SALIVA ALCOHOL (ETHANOL) |
61 |
4020125 |
RAPID HIV |
56 |
4020126 |
CARNITINE PANEL |
277 |
4020127 |
ADENOVIRUS HSV DFA IDENT |
94 |
4020128 |
ADENOVIRUS HSV DFA CULTURE |
71 |
4020129 |
OMAHA STEEL DRUG & ALCOHOL |
37 |
4020130 |
MANUAL MORPHOMETRIC ANALYSIS |
395 |
4020131 |
CHLAMYDIA/GC |
4020132 |
EHRLICHIA IGG AB |
69 |
4020133 |
EHRLICHIA IGM AB |
69 |
4020134 |
TPMT GENETICS |
550 |
4020135 |
HEMOCHROMATOSIS-MUTATION DETECT |
450 |
4020136 |
T CELL RECEPTOR GAMMA CHAIN |
544 |
4020137 |
CHG CONSULT/REPORT REF |
322 |
4020138 |
CHG TISSUE CULTURE NEOPLASTIC DISORDERS |
411 |
4020139 |
CHG MOLEC CYTO INTRPHS IN SITU HYB |
200 |
4020140 |
CHNG MOLEC CYTOGEN DNA PROBE |
440 |
4020142 |
UA W/PROTEIN & CREATININE |
4020143 |
YERSINIA CULTURE |
78 |
4020144 |
Q FEVER PHASE 1 |
70 |
4020145 |
Q FEVER PHASE 2 |
70 |
4020146 |
HEMOSIDERIN-URINE |
55 |
4020147 |
TYPE & CORSSMATCH 1 UNIT |
4020148 |
TYPE & SCREEN |
4020149 |
TYPE & CROSSMATCH 2 UNITS |
4020150 |
TYPE & CROSSMATCH 3 UNITS |
4020151 |
TYPE & CROSSMATCH 4 UNITS |
4020152 |
ALPHA 2 MACROGLOBULINS |
155 |
4020153 |
PROTEIN S FUNCTIONAL |
253 |
4020154 |
BENZODIAZEPINE |
209 |
4020155 |
PEMPHIGOID AB PANEL(IMMUNOFL,INDIRECT) |
182 |
4020156 |
PEMPHIGOID AB PANEL (IMMUNOASSAY) |
156 |
4020157 |
URINE HEMOGLOBIN |
69 |
4020158 |
CYCLOSPORIN |
178 |
4020159 |
HYPOGLYCEMIA PANEL |
112 |
4020160 |
CELIAC DISEASE DUAL AG SCREEN |
156 |
4020161 |
FLU PANEL-RAPID |
4020163 |
DNEGUE FEVER-IGG |
169 |
4020164 |
DENGUE FEVER, IGM |
169 |
4020165 |
CHIKUNGUNYA AB-IGG |
169 |
4020166 |
CHIKUNGUNYA AB-IGM |
169 |
4020167 |
VASOPRESSIN |
104 |
4020168 |
B2 GLYCOPROTEIN IGG |
165 |
4020169 |
B2 GLYOPROTEIN IGM |
165 |
4020170 |
THROMBIN TIME |
75 |
4020171 |
BETA 2 GLYOPROTEIN |
4020172 |
DIRECT IMMUNENCE |
66 |
4020173 |
CUTANEOUS INESCENCE BIOPSY |
239 |
4020174 |
GBM AB, BY IFA |
163 |
4020175 |
MORPHOM ANAL EA MULTIPLEX PROBE STAIN |
835 |
4020176 |
GIARDIA/CRYPTO |
4020177 |
ZONISAMIDE LEVEL |
102 |
4020178 |
ETHOSUXIMIDE |
64 |
4020179 |
VARICELLA ZOSTER VIRUS DFA |
123 |
4020180 |
VALPROIC ACID - FREE |
58 |
4020181 |
IMMUNOHISTOCHEMISTRY EA ADDL ANTIBODY |
150 |
4020182 |
IN SITU HYBRIDIZATION |
104 |
4020183 |
IN SITU HYBRIDIZATION EACH ADDL |
104 |
4020184 |
ALPHA SUBUNIT PITUITARY GLYCO HORMONES |
198 |
4020185 |
TISSUE HOMOGENIZATION |
49 |
4020186 |
DILANTIN FREE |
131 |
4020187 |
MORPHOMETRIC ANALYSIS |
201 |
4020188 |
VERY LONG/BRANCHED CHAIN FATTY ACIDS |
202 |
4020189 |
UNLISTED MOLECULAR PATHOLOGY |
88 |
4020190 |
JAK2 GENE V617F MUTATION |
566 |
4020191 |
QUAD SCREEN |
124 |
4020192 |
SYSTIC FIBROSIS 32 MUTATIONS |
200 |
4020193 |
HEP C MCAR SCREEN |
120 |
4020194 |
FRAGILE X MUTATION |
566 |
4020195 |
MYOSITIS AB COMP PANEL IMMUNOASSAY |
156 |
4020196 |
MYOSITIS AB COMP PANEL NUCLEAR |
177 |
4020197 |
FK506 |
205 |
4020198 |
GLUCAGON |
96 |
4020199 |
DENVER PLASTICS DRUG TEST (INHOUSE) |
28 |
4020200 |
URTICARIA INDYCING ACTIVITY |
350 |
4020201 |
TOPAMAX (TOPIRAMATE) |
209 |
4020202 |
JAK2 EXON 12 MUTATION BY PCR |
287 |
4020203 |
NEWBORN HGB SCREEN |
120 |
4020204 |
CYTOLOGY, CELL ENHANCE |
115 |
4020205 |
RETICULIN AB-IG A |
163 |
4020206 |
MUMPS VIRUS/PCR |
188 |
4020207 |
JAK 2 MUTATION BY PCR QUANT |
566 |
4020208 |
BACTERIAL ID-DNA SEQUENCING |
227 |
4020209 |
JC VIRUS DNA DETECTION |
188 |
4020210 |
OPIATES-CONFIRM/QUANT URINE |
57 |
4020211 |
BCR-ABL QUANT |
895 |
4020212 |
AQUAPORIN 4 RECEPTOR AB |
156 |
4020213 |
HLA CLASS 1, ANKYLOSING SPONDYLITIS |
362 |
4020214 |
HUNTINGTON DISEASE MUTATION |
550 |
4020215 |
MICROALBUMIN URINE RANDOM |
4020216 |
CUITURE, BLOOD SET 2 |
218 |
4020217 |
CRP |
111 |
4020218 |
CLAR HER 2 FISH AUTO |
641 |
4020219 |
IMMUNOHISTOCHEMISTRY MULTIPLEX |
150 |
4020220 |
INTERFERON AB |
273 |
4020221 |
HLA CLASS II DR/DX LUMINEX |
522 |
4020222 |
TOXOCARA AB-HELMINTH |
87 |
4020223 |
VDRL-CSF SYPHILIS |
60 |
4020224 |
TRYPTASE |
198 |
4020225 |
6TG/6MMP |
257 |
4020226 |
CULTURE, MYCOPLASMA/UREAPLASMA |
95 |
4020227 |
AMPHETAMINE CONFIRM/URINE QUANT |
26 |
4020228 |
METHYLENEDIOXYAMPHETAMINE |
26 |
4020229 |
THC CANNABINOIDS METABOLITE URINE QUANT |
74 |
4020230 |
TRAMADOL-QUANT URINE |
109 |
4020231 |
TRAMADOL SCREEN-URINE |
200 |
4020232 |
PORPHYRINS, SERUM |
36.25 |
4020233 |
PARATHORME RELATED PEPTIDE |
118.75 |
4020253 |
BNP |
268 |
4020254 |
MR CBC WITH DIFF |
6.25 |
4020255 |
MR CMP |
6.25 |
4020299 |
TICLOPIDINE |
223 |
4020328 |
TISSUE CULTURE,LUMPHOCYTE |
456 |
4020352 |
URINE-FREE CORTISOL |
139 |
4020768 |
HEP BE AB |
88 |
4020792 |
HEP A AB TOTAL |
125 |
4020818 |
CD4 CELL COUNT(T4-T8RATIO |
266 |
4020828 |
CLOZAPINE LEVEL |
86 |
4020829 |
TOTAL TRICYCLICS |
223 |
4020878 |
FLU B-QUICK VUE |
102 |
4020983 |
PT 20210 MUT ISOLATION |
155 |
4021000 |
BLOOD ALCOHOL DRAW |
24 |
4021004 |
SPECIFIC GRAVITY |
36 |
4021010 |
DRUGS OF ABUSE SCREEN |
88 |
4021025 |
URINE HCG QUALITATIVE |
85 |
4021050 |
URINALYSIS VOLUME MEASURE |
25 |
4021206 |
CU-INDEX (WBC AB) |
102 |
4021224 |
STREP SCREEN CULTURE |
72 |
4021366 |
CHLAMYDIA PN IGG |
66 |
4021368 |
CHLAMYDIA PS IGG |
66 |
4021428 |
IODINE URINE |
239 |
4021538 |
ANTI-HU NEURONAL NUC AB |
156 |
4021766 |
S CEREVISIAE AB-IGG |
128 |
4021800 |
CELL MARKER STUDY |
70 |
4021807 |
STAPH SCREEN |
72 |
4021875 |
ROHIPNOL-URINE |
88 |
4021928 |
6TG/6MMP + 6 METABOLITE |
239 |
4021938 |
PT 20210 MUT RPT |
108 |
4021942 |
PEMOLINE |
239 |
4021945 |
METHAQUALONE |
257 |
4021948 |
6TG/6MMP-MM6 METABOLITE |
239 |
4021983 |
ISO/EXT HI PUR NUC ACID |
118 |
4021985 |
GHB-URINE |
221 |
4022010 |
ACETONE |
96 |
4022042 |
ALBUMIN-CSF,BF,OTH SOURCE |
60 |
4022043 |
ALBUMIN, MICRO |
100 |
4022076 |
ISOPROPANOL |
188 |
4022088 |
ALDOSTERONE |
360 |
4022089 |
RISPERIDONE |
223 |
4022105 |
ALPHA FETO PROTEIN LEVEL |
118 |
4022106 |
OPIATES QUANT URINE |
28 |
4022131 |
URINE, CYSTINE |
230 |
4022135 |
AMINOLEVULINIC ACID-URINE |
230 |
4022139 |
AMINO ACID, QUANT |
123 |
4022145 |
AMPHETAMINE CONFIRM |
130 |
4022157 |
ANDROSTENEDIONE |
164 |
4022172 |
APOLIPOPROTEIN B |
83 |
4022250 |
BILIRUBIN, DIRECT |
59 |
4022271 |
OCCULT BLOOD-BODY FLUID |
41 |
4022306 |
VITAMIN D HYDROXY |
189 |
4022308 |
CALCITONIN |
218 |
4022366 |
CHLAMYDIA PN IGM |
82 |
4022375 |
CARBOXYHEMOGLOBIN QUANT |
131 |
4022379 |
CARNITINE-TOTAL & FREE |
190 |
4022380 |
BETA CAROTENE |
127 |
4022397 |
IFG BINDING PROTEIN 3 |
198 |
4022491 |
FELBAMATE |
223 |
4022492 |
TARMADOL-URINE |
241 |
4022520 |
COCAINE-DRUG CONFIRM |
167 |
4022523 |
N-TELEOPEPTIDE (URINE) |
235 |
4022527 |
CMV CULTURE |
176 |
4022528 |
ECHOVIRUS |
176 |
4022531 |
PARA INFLUENZA 1 |
104 |
4022532 |
PARA INFLUENZA 2 |
104 |
4022533 |
PARA INFLUENZA 3 |
104 |
4022535 |
ADENOVIRUS |
104 |
4022538 |
CALPROTECTIN |
375 |
4022542 |
THC |
257 |
4022568 |
ANCA PANEL-ANCA IGG TITER |
176 |
4022578 |
RESP VIRAL PANEL IFA |
176 |
4022626 |
DHEA LEVEL |
213 |
4022668 |
ERYTHROPIETIN |
191 |
4022671 |
ESTROGEN LEVELS |
250 |
4022677 |
ESTRIOL |
115 |
4022710 |
QUANTITATIVE FECAL FAT |
262 |
4022712 |
APOLIPOPROTEIN A1 |
83 |
4022747 |
FOLATE, RBC |
153 |
4022784 |
IGM LEVELS |
105 |
4022787 |
IMMUNOGLOBULIN-SUBCLASS |
63 |
4022800 |
PH, VENOUS |
90 |
4022854 |
ESTRADIOL |
163 |
4022855 |
PHOSPHORUS-URINE |
65 |
4022945 |
GLUCOSE-BODY FLUID |
70 |
4022948 |
GLUCOSE, CHEMSTRIP(ACCUCK |
21 |
4022950 |
GLUCOSE POST GLUCIDOSE |
60 |
4022998 |
KEPPRA LEVEL |
230 |
4023001 |
FSH |
121 |
4023003 |
GROWTH HORMONE |
75 |
4023006 |
ALLERGEN SPEC IGE-EA ALLR |
61 |
4023020 |
HEMOGLOBIN, ELECTROPHORES |
123 |
4023025 |
INTERLEUKIN 2 |
198 |
4023030 |
FETAL HGB/HGB F |
86 |
4023036 |
HEMOGLOBIN A1C |
76 |
4023051 |
PLASMA HEMOGLOBIN (FREE) |
129 |
4023069 |
MILEAGE, TRANSPORTATN/MI |
2 |
4023088 |
CU-INDEX (HISTAMINE) |
102 |
4023163 |
CA 15-3 |
181 |
4023268 |
ANTI-RNP |
177 |
4023491 |
TRAZODONE LEVEL |
239 |
4023498 |
17-HYDROXYPROGESTERONE |
209 |
4023500 |
HYDROXPROLINE |
168 |
4023501 |
RNA POLYMERASE III AB (IMMUNOASSAY) |
156 |
4023502 |
PMS2 TARGETED SEQUENCING |
413 |
4023516 |
TGA |
156 |
4023518 |
STREP CULT/GRP B CERVIX |
81 |
4023519 |
LSD |
283 |
4023520 |
TOTAL TRICYCLICS RIA |
223 |
4023522 |
NORPACE |
198 |
4023525 |
INSULIN LEVEL |
163 |
4023605 |
LACTATE |
127 |
4023641 |
VENIPUNCTURE |
29 |
4023655 |
LEAD LEVEL (ST OF NE) |
78 |
4023660 |
ARTERIAL PUNCTURE |
91 |
4023668 |
CHLAMYDIA PS IGM |
82 |
4023687 |
TETANUS TOXOID LG G AB |
129 |
4023695 |
LIPOPROTEIN A |
118 |
4023721 |
MEASURED LDL CHOLESTEROL |
75 |
4023835 |
METANEPHRINES |
277 |
4023873 |
MYELIN BASIC PROTEIN |
145 |
4023874 |
URINE MYOGLOBIN |
161 |
4023883 |
CYSTATINC |
155 |
4023891 |
MOLEC DX ISOLAT/EXTRCT EA |
155 |
4023892 |
MOLEC DX ENZYME DIGEST EA |
108 |
4023894 |
MOLEC DX SEPARATION EACH |
142 |
4023896 |
MOLEC DX NUC ACID PROBE |
130 |
4023898 |
PT 20210 MUT AMPLIF |
189 |
4023900 |
AMPLIF NUC ACID-MULTIPLEX |
144 |
4023901 |
MOLEC DX NUC ACID AMP |
169 |
4023903 |
LEIDEN FACTOR V MUTATION |
134 |
4023912 |
MOLEC DX INTERP/REPORT |
108 |
4023914 |
MUTATION ID |
107 |
4023916 |
OLIGOCLONAL BOND |
129 |
4023921 |
METHYLMALONIC ACID |
367 |
4023925 |
OPIOIDS & OPIATE ANALOGS 5 OR MORE |
188 |
4023986 |
PH, MISC |
47 |
4024060 |
TOTAL ACID PHOSPHATASE |
96 |
4024087 |
FLU A-QUICK VUE |
102 |
4024106 |
PORPHOBILINOGEN |
45 |
4024110 |
PORPHOBILINOGEN-URINE |
117 |
4024133 |
POTASSIUM VARIABLE |
58 |
4024134 |
PREALBUMIN |
123 |
4024141 |
PRIMIDONE |
106 |
4024146 |
PROLACTIN LEVELS |
195 |
4024154 |
PSA, FREE |
165 |
4024156 |
PROTEIN, TOTAL-URINE |
73 |
4024157 |
PROTEIN,TOTAL-OTHER SOURC |
58 |
4024166 |
PROTEIN ELECT, URINE |
147 |
4024206 |
PROINSULIN |
157 |
4024234 |
PROGESTERONE RECPT ASSAY |
252 |
4024244 |
RENIN SERUM LEVEL |
228 |
4024255 |
SELENIUM |
84 |
4024305 |
SOMATOMEDIN-C |
169 |
4024311 |
BROMIDE |
142 |
4024402 |
FREE TESTOSTERONE |
176 |
4024425 |
ERYTHROCITETHIAMINE PYROP |
201 |
4024432 |
THYROGLOBULIN |
202 |
4024443 |
NEWBORN SCREEN-TSH |
112 |
4024445 |
THYROID STIM IMMUNE GLOB |
369 |
4024446 |
VITAMIN E |
200 |
4024482 |
T-3 REVERSE |
203 |
4024491 |
GABAPENTIN LEVEL |
112 |
4024585 |
VMA |
138 |
4024702 |
QUANTITATIVE HcG |
138 |
4024783 |
MYGLOBIN |
161 |
4024817 |
SENSITIVITY-KIRBY BAUER |
108 |
4024872 |
CELIAC DISEASE REFLEX |
105 |
4024918 |
CARBAMEZAPINE CHROMATOGPR |
239 |
4025013 |
HEMATOCRIT, SPUN |
21 |
4025060 |
CONSULTING BLOOD SMEAR |
66 |
4025168 |
ANCA PANEL-SEVINE PROTEAS |
156 |
4025198 |
MUSK AB IMMUNO |
283 |
4025240 |
FACTOR VIII (AHG) |
147 |
4025244 |
VITAMIN B-1 |
201 |
4025245 |
FACTOR VIII, RISTOCETIN |
250 |
4025246 |
FACTOR VIII, VW FACTOR |
250 |
4025250 |
FACTOR IX |
318 |
4025268 |
INDOMYSIAL AB |
176 |
4025278 |
HSV CULTURE |
176 |
4025302 |
PROTEIN C ANTIGEN |
206 |
4025303 |
PROTEIN C, FUNCTIONAL |
227 |
4025305 |
PROTEIN S - TOTAL |
202 |
4025306 |
PROTEIN S FREE |
253 |
4025326 |
ANTI-SSB |
177 |
4025366 |
COCCIDIOIDES AB LG M |
76 |
4025389 |
21-HYDROXYLASE AB |
283 |
4025526 |
ENDOMYSIAL ANTIBODY |
156 |
4025549 |
LYSOZYME |
82 |
4025568 |
STRIATED MUSCLE AB |
163 |
4025610 |
CAPILLARY PT/INR |
55 |
4025613 |
LUPUS ANTI-COAG DRVVT |
112 |
4025668 |
POLIOVIRUS AB |
121 |
4025891 |
THYROTROPIN RELEAS HORMON |
283 |
4026003 |
COMP ALLERGY PANEL |
61 |
4026021 |
ANCA |
163 |
4026022 |
PLT ANTIBODY SCREEN I |
189 |
4026067 |
ANTITRYPSIN |
164 |
4026078 |
TRANSFUSION REACTION WORK |
144 |
4026136 |
CHROMOGRANIN A |
325 |
4026138 |
HISTONE AB |
156 |
4026140 |
C-REACTIVE PROTEIN HI SEN |
111 |
4026147 |
CARDIOLIPIN ANTIBODY |
135 |
4026153 |
ANCA PANEL-MYELOPEROX |
156 |
4026162 |
CH 50 (COMPLEMENT TOTAL) |
206 |
4026185 |
ROTA VIRUS ANTIGEN |
140 |
4026215 |
ANTI-DNASE B |
66 |
4026225 |
ANTIDNA TITER |
128 |
4026231 |
RUBEOLA SCREEN |
112 |
4026235 |
ANTI-SSA |
177 |
4026255 |
ASMA TITER |
176 |
4026268 |
RETICULIAN AB |
176 |
4026280 |
AMOEBA ANTIBODY |
70 |
4026282 |
COLD AGGLUTININ |
135 |
4026316 |
CA-19-9 |
188 |
4026317 |
PNEUMOCOCCAL AB, IEAP |
129 |
4026329 |
RHEUMATOID FACT-QNT |
72 |
4026331 |
GEL DIFFUSION EACH AG/AB |
27 |
4026332 |
IMMUNE COMPLEX CIQ |
176 |
4026334 |
BETA-2 TRANSFERRIN-SERUM |
168 |
4026335 |
BETA-2 TRANSFERRIN-NASAL |
168 |
4026336 |
INHIBIN A |
121 |
4026337 |
ANTI-INSULIN ANTIBODY |
181 |
4026343 |
CU-INDEX (LHR) |
102 |
4026355 |
B CELLS-TOTAL COUNT |
85 |
4026357 |
NK (NATURAL KILLER) CELLS |
85 |
4026358 |
COCCIDIOIDES AB CF |
76 |
4026359 |
T CELLS-TOTAL COUNT |
85 |
4026360 |
ABSOLUTE CD4&CD8 COUNT... |
85 |
4026376 |
TPO THYROID PEROXIDASE AB |
144 |
4026377 |
MICROSOMAL AB |
144 |
4026403 |
CRYPTOCOCCAL ANTIGEN |
108 |
4026407 |
CULTURE,FECES+PATH |
78 |
4026416 |
COLLECTION,CAPILLARY SPEC |
26 |
4026526 |
FLUORESCENT AB TITER |
100 |
4026568 |
MAG ANTIBODY |
176 |
4026593 |
SYPHILIS,QUANTITATIVE |
47 |
4026611 |
BARTONELLA HENSELAE |
69 |
4026614 |
BENCE JONES, URINE |
147 |
4026615 |
BORDETELLA PERTUSSIS IGM |
153 |
4026631 |
CHLAMYDIA T IGG |
66 |
4026632 |
CHLAMYDIA T IGM |
82 |
4026634 |
BETA-2 TRANSFERRIN-SERUM |
168 |
4026635 |
COCCIDIOIDIS AB ID |
76 |
4026645 |
CMV, AB-1GM |
191 |
4026650 |
RPR (SYPHILIS AB) |
124 |
4026658 |
COXSACCIVIRUS A & B |
121 |
4026671 |
S CEREVISIAE AB-IGA |
128 |
4026684 |
HAEMOPHILUS INFLUENZA AB |
204 |
4026689 |
HIV CONFIRMATION |
250 |
4026694 |
HERPES (HSV SCREEN) |
116 |
4026698 |
HISTOPLASMA YEAST |
78 |
4026727 |
LCM AB |
193 |
4026747 |
PARVO VIRUS LGM |
135 |
4026789 |
WEST NILE VIRUS-IGG |
123 |
4026804 |
HEPATITIS C RIBA CONFIRM |
261 |
4026817 |
SENSITIVITY-MIC |
108 |
4026871 |
DIPHTHERIA TOXOID LG G AB |
129 |
4026905 |
ANTIGENS-RBC |
120 |
4026920 |
CROSSMATCH-IS |
163 |
4026921 |
CROSSMATCH-37 |
134 |
4026922 |
CROSSMATCH-AHG |
192 |
4026972 |
RETICULOCYTE SEPARATION |
138 |
4026983 |
PT 20210 MUT PROBE |
130 |
4026988 |
HISTOPLASMA MYCELIA |
78 |
4027015 |
CONCENTRATION |
45 |
4027076 |
ANAEROBIC ORGANISM ID |
104 |
4027077 |
CLOTEST-AEROBIC ISOLATE |
90 |
4027081 |
G C SCREEN |
72 |
4027086 |
CULTURE UR QT COLONY CT |
88 |
4027101 |
CULT,FUNGUS SKIN/HAIR/NAI |
112 |
4027102 |
CULT FUNGUS PRESUMP ID,OT |
112 |
4027107 |
ORGANISM ID,FUNGUS/MOLD |
130 |
4027110 |
CHLAMYDIA CULTURE |
168 |
4027136 |
WEST NILE VIRUS |
129 |
4027140 |
CHLAMYDIA |
141 |
4027147 |
STREP/STAPH LATEX TEST |
78 |
4027168 |
STREP PNEUMONIA AB |
129 |
4027169 |
PARASITE ID |
43 |
4027190 |
ANTIMIC SUSC SUBSQ |
70 |
4027206 |
AFB MOD FOR CYCLO/CRYP |
69 |
4027208 |
PINWORM PREP |
55 |
4027250 |
VIRAL CULTURE |
176 |
4027254 |
SHELL VIAL ID-IFA |
71 |
4027273 |
HSV II DFA |
68 |
4027336 |
INSULIN ANTIBODIES |
181 |
4027350 |
HEP BE AG |
76 |
4027385 |
HISTOPLASMA AG |
280 |
4027423 |
IMMUNOCYTOCHEMISTRY |
158 |
4027427 |
SHIGA-TOXIN |
134 |
4027522 |
HEP C VIR RFIX GENOTYPE |
368 |
4027640 |
STAPH PCR |
200 |
4027798 |
BORDETELLA PERTUSSIS/PCR |
188 |
4027804 |
FLU B-NOW |
102 |
4028001 |
ELECTROLYTES |
109 |
4028002 |
BASIC METABOLIC |
142 |
4028006 |
VANCOMYCIN |
165 |
4028009 |
LIPID PROFILE |
116 |
4028010 |
DRUG CONFIRMATION |
110 |
4028011 |
URINALYSIS, ROUTINE |
61 |
4028012 |
COMPREHENSIVE METABOLIC |
158 |
4028015 |
CLONAZEPAM |
209 |
4028016 |
DOXEPIN/SINEGUAN |
118 |
4028017 |
IMIPRAMINE |
118 |
4028018 |
NORTRIPTYLINE |
118 |
4028019 |
NAPA |
106 |
4028029 |
HALDOL LEVEL |
122 |
4028031 |
ATIVAN LEVEL |
209 |
4028041 |
PROGESTERONE |
129 |
4028052 |
ELASTASE |
198 |
4028059 |
HEPATITIS PANEL |
330 |
4028060 |
ASO TITER |
96 |
4028070 |
LEGIONELLA CULT |
133 |
4028078 |
CULTURE-TRICH |
72 |
4028081 |
THROAT SCREEN |
72 |
4028100 |
DRUG CONFIRMATION-GC |
221 |
4028101 |
MICROSCOPICM URINARY SED |
27 |
4028102 |
URINE AUTO W/O MICROSCOPY |
36 |
4028103 |
HYDROCHLOROTHIOZIDE |
223 |
4028105 |
REDUCING SUBSTANCE |
70 |
4028110 |
DRUG SCRN-COMP-1DRUG CLAS |
88 |
4028117 |
PARATHORMONE |
287 |
4028122 |
EOSINOPHIL SMEAR |
51 |
4028163 |
ORGANISM IDENTIFICATION |
90 |
4028180 |
CELL SURFACE MARKERS |
606 |
4028184 |
CELL MRKR FLOW CYTO 1ST |
109 |
4028185 |
CELL MRKR FLOW CYTO EA |
94 |
4028187 |
VRE SCREEN |
72 |
4028189 |
CELL MRKR23 FLOW CYTO INT |
109 |
4028200 |
ACETOMINOPHEN,BLOOD,QUANT |
250 |
4028202 |
SALICYLATE |
200 |
4028203 |
ACTH, BLOOD (MAYO) |
271 |
4028204 |
ALBUMIN,SERUM PLAS/W BLD |
43 |
4028205 |
ALCOHOL-ETHANOL,BLD OR UR |
245 |
4028208 |
ALPHA FETO PROTEIN MATRNL |
118 |
4028210 |
PHENOTYPE/ALPHA 1 ANTITRY |
151 |
4028213 |
AMITRIPTYLINE |
118 |
4028214 |
AMMONIA |
138 |
4028215 |
AMYLASE |
102 |
4028216 |
ANGIOTENSIN CONVERT ENZYM |
151 |
4028217 |
HVY MTL BLD SCRN-ARSENIC |
127 |
4028220 |
PHENOBARBITAL,QUANT |
150 |
4028223 |
BETA 2 MICROGLOBULIN |
162 |
4028225 |
BILIRUBI, TOTAL |
58 |
4028227 |
BLOOD OCCLT,HEM 1-3 CARDS |
40 |
4028230 |
HVY MTL BLD SCRN-CADMIUM |
121 |
4028231 |
CALCIUM, BLOOD |
48 |
4028233 |
CALCIUM, IONIZED |
133 |
4028234 |
CALCIUM URINE |
71 |
4028235 |
ANTI-SCLERODERMA |
177 |
4028236 |
STONE ANALYSIS |
135 |
4028237 |
TEGRETOL (CARBAMAZEPINE) |
147 |
4028238 |
CATECHOLAMINES FRACTION |
229 |
4028239 |
CERULOPLASMIN |
110 |
4028243 |
CHLORIDE, BLOOD |
43 |
4028245 |
CHLORIDE, URINE |
70 |
4028246 |
CHOLESTEROL, TOTAL |
70 |
4028248 |
CHOLINESTERASE |
88 |
4028249 |
FLECAINIDE LEVEL |
239 |
4028250 |
CITRATE URINE |
169 |
4028252 |
COPPER |
155 |
4028253 |
CKMB ISOENZYME |
192 |
4028254 |
CPK |
95 |
4028255 |
CORTISOL, PLASMA |
145 |
4028256 |
CREATININE, SERUM |
64 |
4028257 |
CREATINIE, URINE,OTH SOUR |
81 |
4028258 |
CREATININE CLEARANCE, REN |
111 |
4028259 |
CRYOGLOBULIN LEVEL |
66 |
4028260 |
VITAMIN B-12 |
156 |
4028261 |
CHROMSM 5CELL,1KARYO BAND |
838 |
4028262 |
DHEAS LEVEL |
213 |
4028264 |
DIGOXIN |
124 |
4028265 |
VIT D-DIHYDROXY |
327 |
4028269 |
ETHYLENE GLYCOL |
177 |
4028270 |
QUAL FECAL FAT |
50 |
4028271 |
WET PREP SMEAR,STAIN,INTR |
75 |
4028272 |
FERRITIN |
156 |
4028274 |
FOLATE |
144 |
4028277 |
GLACTOSEMIA |
56 |
4028280 |
PH,PCO2, & PO2(BY ELECTR |
227 |
4028284 |
IGG |
105 |
4028285 |
ALDOLASE |
94 |
4028288 |
CHORMSM ANALYS,+KARYO |
134 |
4028289 |
CHROM ANALYS+KARY+HI RESL |
134 |
4028291 |
AMIODARONE |
223 |
4028294 |
GASTRIN, SERUM (SK) |
175 |
4028295 |
GLUCOSE (EA,ADD SPECIMEN) |
47 |
4028296 |
GLUCOSE |
58 |
4028297 |
GAMMA GLUTAMYL TRANSPEPTI |
78 |
4028298 |
FRUCTOSAMINE |
97 |
4028299 |
FREE TEGRETOL |
123 |
4028300 |
LUTEINIZING HORMONE |
114 |
4028302 |
SURG PATH,LEVEL 2 |
131 |
4028303 |
HAPTOGLOBIN |
131 |
4028305 |
SURG,PATH LEVEL 4 |
198 |
4028307 |
APC RESISTANCE PROFILE |
191 |
4028309 |
HOMOCYSTEINE |
270 |
4028311 |
PATH DECAL TECH COMP |
76 |
4028315 |
HOMOVANYLLIC ACID |
191 |
4028316 |
CA - 125 |
158 |
4028319 |
PEROXIDASE STAIN, PERIPHE |
67 |
4028349 |
5-HIAA QUANTITATIVE |
147 |
4028350 |
TROPONIN - I |
230 |
4028351 |
BETA STREP SCREEN |
81 |
4028352 |
DESIPRAMINE |
118 |
4028354 |
IRON, TOTAL, SERUM |
66 |
4028355 |
TIBC |
78 |
4028358 |
17-KETOSTEROIDS |
140 |
4028360 |
IGE LEVEL |
121 |
4028361 |
LDH |
66 |
4028362 |
LDH ISOEMZYMES |
114 |
4028365 |
LEAD LEVEL |
78 |
4028368 |
LIDOCAINE |
108 |
4028369 |
LIPASE |
105 |
4028372 |
LITHIUM SERUM |
97 |
4028373 |
MAGNESIUM, SERUM |
81 |
4028374 |
HDL CHOLESTEROL |
61 |
4028375 |
MAGNESIUM URINE |
81 |
4028378 |
MASS SPECT-QUANT-EA SPEC |
150 |
4028382 |
MERCURY LEVEL |
144 |
4028383 |
URINE/MERCURY |
144 |
4028387 |
MUCIN CLOT |
39 |
4028388 |
NICOTINE LEVEL |
236 |
4028389 |
LEIDEN FACTOR V AMPLIF |
189 |
4028390 |
NORWALK VIRUS-LYSIS EACH |
118 |
4028391 |
ORGANIC ACIDS |
323 |
4028392 |
OSMOLALITY, URINE |
131 |
4028393 |
OSMOLALITY, BLOOD |
92 |
4028394 |
OXALATE |
170 |
4028399 |
PHENCYCLIDINE, PCP, URINE |
122 |
4028402 |
CHLORPROMAZINE THORAZINE |
130 |
4028403 |
PHENYLALANINE (PKU) BLOOD |
67 |
4028404 |
PHENYTOIN, (DILANTIN) QUA |
153 |
4028406 |
PROSTATIC ACID PHOSPHATAS |
123 |
4028407 |
PHOSPHATASE, ALKALINE |
44 |
4028408 |
PHOSPHATASE, ALKLN ISOENZ |
121 |
4028410 |
PHOSPHORUS |
54 |
4028411 |
PORPHYRINS, QUAL |
90 |
4028412 |
PORPHYRINS-URINE |
193 |
4028413 |
POTASSIUM, SERUM PLAS/W B |
46 |
4028414 |
POTASSIUM, URINE |
58 |
4028415 |
PROCAINAMIDE |
115 |
4028416 |
PROTEIN, TOTAL PLAS/W BLD |
45 |
4028417 |
PROTEIN ELECT,SERUM/URINE |
129 |
4028420 |
VITAMIN B6 ASSAY |
181 |
4028421 |
PYRUVATE |
115 |
4028423 |
QUINIDINE, SERUM |
104 |
4028424 |
PROSTATE SPECI ANTI TOTAL |
118 |
4028425 |
TRANSKETOLASE ACTIVITY |
201 |
4028427 |
SHBG (SEX HORM BIND GLOB) |
138 |
4028428 |
ACETYLCHOLINE RECPT ANTIB |
283 |
4028429 |
SODIUM, BLOOD PLAS/W BLD |
46 |
4028430 |
SODIUM, URINE |
70 |
4028431 |
TARRATE RESISTANT & PHOSP |
261 |
4028434 |
THIORIDAZINE |
130 |
4028437 |
T4 NEONATAL SCREEN |
43 |
4028439 |
T-4 FREE |
107 |
4028440 |
TESTOSTERONE |
135 |
4028441 |
T-3 FREE |
206 |
4028442 |
THEOPHYLLINE,BLOOD-AMINOP |
121 |
4028443 |
T-4 |
85 |
4028445 |
SGOT AST |
63 |
4028446 |
THYROID STIM HORMONE-TSH |
112 |
4028447 |
SGPT ALT |
63 |
4028448 |
TRIGLYCERIDES |
56 |
4028449 |
T-3 UPTAKE-T3U |
86 |
4028450 |
T-3 RIA |
114 |
4028452 |
UREA NITROGEN - BUN |
55 |
4028454 |
UREA NITROGEN, URINE |
52 |
4028455 |
URIC ACID |
66 |
4028456 |
URIC ACID URINE |
67 |
4028457 |
UROBILINOGEN |
22 |
4028458 |
SERUM VISCOSITY |
107 |
4028460 |
VOLATILE SCREEN |
188 |
4028462 |
XYLOSE ABSORPTION TEST |
142 |
4028463 |
ZINC |
85 |
4028468 |
C-PEPTIDE |
209 |
4028469 |
GENTAMICIN, ANTIBIOTIC |
142 |
4028470 |
HCG-QUALITATIVE SERUM |
129 |
4028481 |
TOBRAMYCIN, ANTIBOTIC |
151 |
4028491 |
GLUCOSE TOL TEST,3 SPECMN |
156 |
4028492 |
VALPROIC ACID - DEPAKENE |
152 |
4028499 |
BIOTINIDASE |
142 |
4028500 |
BLEEDING TIME |
81 |
4028501 |
DIFFERENTIAL |
63 |
4028502 |
BUFFY COAT,SMEARS,PER.BLD |
50 |
4028503 |
EOSINOPHIL, ABSOL. CT. |
75 |
4028504 |
HEMATOCRIT, ANY METHOD |
37 |
4028505 |
HEMOGLOBIN, ROUTINE |
38 |
4028506 |
BLOOD CT, AUTO., W/O DIFF |
74 |
4028507 |
BLOOD COUNT, CBC (AUTO) |
97 |
4028508 |
BLOOD CT, ERYTHROCYTE-RBC |
37 |
4028510 |
BLOOD CT,LEUKOCYTE-WBC |
75 |
4028511 |
RETICULOCYTE COUNT |
56 |
4028516 |
SM MUSCLE(F-ACTIN) AB IGG |
156 |
4028519 |
GAD AB |
283 |
4028520 |
GLIADIN AB |
156 |
4028521 |
PROTEIN - FACTOR II |
244 |
4028522 |
FACTOR V |
270 |
4028523 |
PROTEIN C-FACTOR VII |
298 |
4028524 |
VON WILLEBRAND MULTIMETRC |
229 |
4028525 |
HEMOGRAM AUTO/OUTSIDE FAC |
97 |
4028526 |
FACTOR X |
298 |
4028527 |
FACTOR XI |
298 |
4028530 |
ANTITHROMBIN III ACTIVITY |
182 |
4028531 |
ANTITHRMBN III ANTI ASSAY |
189 |
4028532 |
LUPUS ANTICOAG-PTT 1:1MIX |
64 |
4028536 |
FIBRIN SPLIT PRODUCTS |
76 |
4028537 |
D-DIMER |
167 |
4028538 |
FIBRINOGEN |
111 |
4028546 |
KLEIHAUER-BETKE(FETAL HGB |
197 |
4028552 |
CK ISOS |
153 |
4028554 |
LEUKOCYTE ALKALINE PHOSPH |
183 |
4028558 |
PLATELET COUNT |
65 |
4028559 |
LUPUS ANTICOAG-PLT NEUTRL |
151 |
4028561 |
PROTHROMBIN TIME |
55 |
4028565 |
SEDIMENT RATE-ESR-WESTERG |
47 |
4028566 |
SICKLE CELL SCREEN |
66 |
4028573 |
PART. THROMBOPLASTIN TIME |
94 |
4028590 |
VITAMIN A |
161 |
4028595 |
GBPD |
152 |
4028602 |
ANTIBODY SCREENING |
97 |
4028603 |
ANA PROFILE |
100 |
4028606 |
ANTIBODY IDENTIFICATION |
220 |
4028607 |
CLOSTRIDIUM DIFFICILE |
186 |
4028608 |
COOMBS TEST, DIRECT |
81 |
4028609 |
ANTIBODY TITER |
79 |
4028612 |
HIV |
100 |
4028614 |
ABO TYPE |
62 |
4028616 |
RESP VIRUS ADULT PANEL SET |
459 |
4028617 |
COCCIDOIDES ANTIBODY |
74 |
4028618 |
BL TYPING-RH-D,INCL DU |
60 |
4028619 |
CEA - EIA |
166 |
4028620 |
ANTI-CCP |
165 |
4028621 |
COMPLEMENT,SERUM-C'3 |
102 |
4028622 |
COMPLEMENT C'4 |
102 |
4028623 |
ANTI-SMITH AB |
177 |
4028624 |
HEPATITIS B CORE ANTIBODY |
115 |
4028625 |
ANA |
102 |
4028627 |
LYME'S TITER-MAYOS |
152 |
4028628 |
HEPATITIS B SURF ANTIGEN |
108 |
4028629 |
HEPATITIS B SURFACE ANTIB |
115 |
4028630 |
MONOSCREEN-NONWAIVED |
86 |
4028631 |
HEPATITIS A AB |
121 |
4028632 |
HETEROPHILE MONO SCREEN |
86 |
4028633 |
URINE IMMUNOELECTROPHORES |
168 |
4028634 |
IMMUNOFIXATION ELEC SERUM |
168 |
4028635 |
COCCIDIOIDES AB LG G |
76 |
4028636 |
CA 27.29 |
181 |
4028638 |
CMV,AB |
156 |
4028639 |
HGB NEWBORN CONFIRM |
50 |
4028640 |
VARICELLA TITER |
121 |
4028643 |
RHEUMATOID FACT-LATEX FIX |
69 |
4028655 |
ANTIMITOCHONDRIAL ANTIBDS |
156 |
4028656 |
LEGIONELLA TITER |
114 |
4028658 |
COXSACKIE VIRUS ANTITITER |
121 |
4028660 |
EHRLICKIA ANTIBODY |
238 |
4028661 |
BORDETELLA PERTUSSIS IGG |
153 |
4028662 |
BRUCELLA AB |
139 |
4028663 |
CHLAMYDIA ANTIBODY |
66 |
4028664 |
EPSTEIN BARR, EBNA |
121 |
4028665 |
EPSTEIN BARR, VCA |
118 |
4028666 |
EPSTEIN BARR, EA |
142 |
4028667 |
HELICOBACTER PYLORI IGG |
147 |
4028668 |
ECHOVIRUS ANTIBODY TITER |
121 |
4028669 |
HSV I DFA |
64 |
4028670 |
HEP B CORE AB-TOTAL |
122 |
4028671 |
INFULENZA ANTIBODY |
114 |
4028672 |
LEPTOSPIROSIS ANTI-TITER |
114 |
4028673 |
MUMPS TITER |
124 |
4028674 |
PARVO VIRUS LGG |
135 |
4028675 |
ROCKY MNT SPOTTED FEVER |
117 |
4028678 |
WEST NILE VIRUS-IGM |
123 |
4028679 |
HHV6 (HERPES VIRUS 6) |
169 |
4028680 |
THYROGLOBULIN AB |
111 |
4028681 |
HLA-B27 |
364 |
4028686 |
ELUTION |
181 |
4028691 |
TRANSFERRIN |
112 |
4028692 |
RUBELLA EIA, SCREEN-SNGL |
80 |
4028697 |
DIFF ABSORPTION OF SERUM |
167 |
4028699 |
HEPATITIS C AB |
120 |
4028701 |
OVA & PARASITES,FECAL CON |
100 |
4028702 |
OVA & PARAS TRICHROME STN |
96 |
4028704 |
CULTURE, BLOOD |
218 |
4028705 |
CULTURE,FECES-SALM & SHIG |
123 |
4028706 |
CULTURE, ROUTINE,OTHER |
133 |
4028707 |
STREP SCREEN GROUP A |
87 |
4028708 |
CULTURE, ANAEROBIC |
138 |
4028709 |
CULTURE,URINE,ROUTINE,QUA |
100 |
4028710 |
CULTURE, FUNGUS |
112 |
4028711 |
CULTURE-ACID FAST |
150 |
4028715 |
ORGANISM ID BY DNA |
473 |
4028717 |
BETA LACTAMASE |
55 |
4028718 |
SENSITIVITY- EMIC |
43 |
4028719 |
ANTIMIC SUSC MYCOBAC |
70 |
4028720 |
SMEARS STAINED,ANY TYPE |
62 |
4028721 |
ACID-FAST SMEAR |
69 |
4028722 |
KOH PREP |
60 |
4028723 |
C DIFFICILE CYTOTOXIN PCR |
188 |
4028725 |
VIRAL HERPES SIMPLEX |
152 |
4028727 |
INFLUENZA A-RAPID SCREEN |
108 |
4028728 |
RSV BY DFA |
119 |
4028729 |
INFLUENZA B-RAPD SCRN DFA |
108 |
4028730 |
HSV DFA REFLEX CULTURE |
122 |
4028732 |
CRYPTOSPORIDIUM AG |
134 |
4028733 |
HELICOBACTER PHLORI-FECAL |
193 |
4028738 |
MYCOPLASMA ANTIBODY |
114 |
4028740 |
HERPES SIMPLEX CULTURE |
71 |
4028752 |
HEPATITIS C RNA PCR QUANT |
368 |
4028753 |
QUALITATIVE PCR FOR HIV |
537 |
4028755 |
HSV ISOLAT WITH ID |
94 |
4028759 |
DNA PROBE (GC) |
138 |
4028762 |
HPV DNA HIGH RISK |
140 |
4028764 |
MRSA PCR |
200 |
4028779 |
PARVOVIRUS PCR-PROBE |
188 |
4028780 |
FLU A-NOW |
102 |
4028781 |
CANDIDA SCREEN |
72 |
4028784 |
IGA LEVELS |
105 |
4028789 |
RSV-NOW (RESP SYNC VIRUS) |
142 |
4028790 |
HEP C GENOTYPE |
625 |
4028799 |
GIARDIA ANTIGEN |
144 |
4028815 |
PAP SMEAR |
74 |
4028816 |
TZANCK SMEAR |
85 |
4028818 |
DNA PLOIDY |
256 |
4028826 |
CHROME COUNT |
846 |
4028828 |
CHROMSM ANALYS,+CELLS |
115 |
4028862 |
KARYOTYPE BLOOD |
846 |
4028905 |
CELL COUNT OF BODY FLUID |
50 |
4028906 |
CELL ID OF BODY FLUID-CYT |
82 |
4028912 |
MUSK AB |
108 |
4028916 |
MEAT FIBERS |
22 |
4028931 |
SEMEN EXAM |
153 |
4028939 |
TRYPSINOGEN |
283 |
4028977 |
NORWALK VIRUS-PROBE |
188 |
4028986 |
GASTRIC PH |
47 |
4029001 |
SP HANDL URINE DRUG SCRN |
37 |
4029051 |
CELL CNT & DIF BDY FL,VAR |
98 |
4029055 |
FECAL WBC ASSESSMENT |
69 |
4029060 |
WET PREP-CRYSTALS |
88 |
4029153 |
TSH RECEPTOR AB |
198 |
4029182 |
FATTY ACID PROFILE |
239 |
4029208 |
MYCOPHENOLIC ACID |
139 |
4029538 |
PTH RELATED PEPTIDE |
283 |
4029603 |
MILEAGE, PERSONNEL/MILE |
1 |
4029612 |
CATH FOR COLLECTION SPEC |
115 |
4029700 |
KAPPA QNT,FREE LT CHAIN |
198 |
4029802 |
TRILEPTAL/OXCARBAZEPINE |
190 |
4029877 |
ENTEROVIRUS PCR |
198 |
4029900 |
SPECIAL HANDLING |
37 |
4029901 |
DNA-PATERNITY COLLECTION |
37 |
4029902 |
ASPERGILLUS AB (CF) |
20.45 |
4029903 |
BLASTOMYCES AB (EIA) |
17.5 |
4029904 |
CRYPTOCOCCUS AG |
27.95 |
4029908 |
SEROQUEL (QUETIAPINE) |
223 |
4029920 |
IBUPROFEN LEVEL |
223 |
4029948 |
SODIUM, STOOL |
41 |
4029950 |
CARDIAC ENZYMES |
4029952 |
RENAL PANEL |
4029953 |
CMV-CYTOMEGALOVIRUS |
4029954 |
EBV-PANEL |
4029955 |
HANTAVIRUS IGG AND IGM |
4029956 |
HERPES SIMPLEX VIRUS DFA PANEL |
4029957 |
INFLAMMATORY BOWEL DISEASE |
4029958 |
IRON PANEL |
4029959 |
LEIDEN FACTOR V PCR |
4029960 |
O & P PANEL |
4029961 |
PROTHROMBIN NUCLEOTIDE 202 |
4029962 |
RA-(RHEUMATOID FACT-QNT) |
4029963 |
STOOL CULTURE |
4029964 |
THIOPURINE METHYLTRANSFERASE |
4029965 |
THYROGLOBULIN PANEL |
4029966 |
THYROID ANTIBODIES |
4029967 |
TOXOPLASMA ANTIBODIES |
4029968 |
WNV-WEST NILE VIRUS |
4029969 |
HEMOGRAM W/MAN DIFF |
4029970 |
NATALIZUIMAB AB |
156 |
4029971 |
ZIKA VIRUS BY PCR |
188 |
4029994 |
POTASSIUM, STOOL |
41 |
4030006 |
REF-LIVER FUNCTION PANEL |
141 |
4032250 |
REF-BILIRUBIN,DIRECT |
59 |
4033036 |
REF-HEMOGLOBIN A1C |
76 |
4034702 |
REF-QUANTITATIVE HcG |
138 |
4034783 |
REF-BIO-MYGLOBIN |
161 |
4038001 |
REF-ELECTROLYTES |
109 |
4038002 |
REF-BASIC METABOLIC |
142 |
4038009 |
REF-LIPID PROFILE |
116 |
4038012 |
REF-COMPREHENSIVE METABOL |
158 |
4038225 |
REF-BILI TOTAL |
58 |
4038246 |
REF-CHOLESTERAL,TOTAL |
70 |
4038253 |
REF-BIO-CKMB ISOENZYME |
192 |
4038254 |
REF-CPK |
95 |
4038350 |
REF-BIO-TROPONIN-I |
230 |
4038369 |
REF-LIPASE |
105 |
4038439 |
REF-T-4 FREE |
107 |
4038445 |
REF-SGOT AST |
63 |
4038446 |
REF-THYROID STIM HORM-TSH |
112 |
4038447 |
REF-SGPT ALT |
63 |
4038506 |
REF-BLOOD CT,AUTO,W/O DIF |
74 |
4038507 |
REF-BLOOD COUNT,CBC (AUTO |
97 |
4038537 |
REF-BIO-D-DIMER |
167 |
4038561 |
REF-PROTHROMBIN TIME |
55 |
4038602 |
REF-ANTIBODY SCREEN |
97 |
4038614 |
REF-ABO TYPE |
62 |
4038618 |
REF-BL TYPING-RH-D,INCL D |
60 |
4039980 |
REF-ABO/RH PATIENT TYPE |
4043464 |
DIABETES ED-GRP SES/.5HR |
50 |
4043465 |
DIABETES ED-INDIVID/.5 HR |
77 |
4100001 |
BLOOD TRANSF UP TO 1 UNIT |
1075.3599999999999 |
4100002 |
BLOOD TRANSF TO 2 UNITS |
1160.6400000000001 |
4100003 |
BLOOD TRANSF TO 3+ UNITS |
1246.96 |
4101014 |
PLATELT,PHER,LEUK REDC/UN |
958.88 |
4103216 |
FRESH FROZEN PLASMA/UNIT |
162.24 |
4103225 |
RBC,LEUKO REDUCED/UNIT |
345.28 |
4103227 |
RBC,LEUKO REDUCE,IRRAD/UN |
420.16 |
4109036 |
PLATELET,PHERES,IRRAD/UN |
887.12 |
4120002 |
FIT FOR DUTY-EMS |
32 |
4120404 |
EKG TRACE-MCAR INIT SCRN |
250 |
4122501 |
STRESS TEST |
1077 |
4122502 |
EKG TRACING ONLY,W/O I &R |
301 |
4122506 |
RHYTHM STRIP |
194 |
4123231 |
HOLTER MONTR H/U & RECORD |
473 |
4123306 |
ECHO COMPLETE |
2089 |
4123308 |
ECHO CARD 2-D LTD/OR FU |
860 |
4129327 |
CARDIAC EVENT MONITOR |
290 |
4129335 |
STRESS ECHOCARD/DOBUTREX |
1462 |
4129339 |
TRANSESOPHAGEAL ECHO |
1925 |
4131512 |
TELEHEALTH ORIGINATE FEE |
32 |
4139241 |
SP CLINIC LEVEL 1 TO 15MN |
35 |
4139242 |
SP CLINIC LEVEL 2 16-30MN |
35 |
4139243 |
SP CLINIC LEVEL 3 31-40MN |
35 |
4139244 |
SP CLINIC LEVEL 4 41-60MN |
35 |
4139245 |
SP CLINIC LEVEL 5 61-80MN |
35 |
4210000 |
CT ABD/PELVIS WO CONTRAST |
3634 |
4210001 |
FLUORO NEEDLE PLACEMENT |
910 |
4210002 |
CT ABD/PELVIS W CONTRAST |
4316 |
4210003 |
CT ABD/PELVIS W/WO CONTRA |
4997 |
4210004 |
EXTREMITY COMP ULTRASOUND |
711 |
4210005 |
EXTREMITY LIMITED ULTRSND |
573 |
4210006 |
CT 3D RENDERING |
549 |
4210007 |
CT ANGIO ABD ILIOFEM |
2954 |
4210009 |
CT C-SPINE W/WO CONTRAST |
2585 |
4210020 |
MRI UPPER EXT JOINT W/WO |
2512 |
4210021 |
SHOULDER ARTHROGRAM |
794 |
4210024 |
CT UPP EXT JT W/CON MEDIA |
2455 |
4210025 |
CT MAXILLOFACIAL WO CONTRAST |
2207 |
4210026 |
CT LOW EXT W CON MED |
2455 |
4210027 |
MRI ANY JT LOW EXT W/CONT |
2709 |
4210028 |
MRI ANY JT L EXT W/WO CON |
2996 |
4210029 |
SCOLIOSIS T-L SPINE 1 VIEW |
274 |
4210030 |
X-RAY TRT RM LEV 0 |
137 |
4210031 |
X-RAY TRT RM LEV 1 |
189 |
4210032 |
X-RAY TRT RM LEV 2 |
292 |
4210033 |
X-RAY TRT RM LEV 3 |
428 |
4210034 |
X-RAY TRT RM LEV 4 |
637 |
4210035 |
X-RAY TRT RM LEV 5 |
765 |
4210036 |
X-RAY TRT RM LEV 6 |
835 |
4210037 |
MRI UPPER EXT JNT W/CONT |
2520 |
4210038 |
L-SPINE BENDING 2-3 VIEWS |
438 |
4210039 |
LUNG VENT & PERFUSION(NM) |
2033 |
4210040 |
STERNOCLAVICULAR JTS=>3V |
278 |
4210041 |
HEPATOBILE WO |
1060 |
4210042 |
PELVIC & TV |
4210043 |
CARDIOLITE COMP |
4210044 |
CARIOLITE LIMIT |
4210045 |
BREAST U/S UNILATERAL |
452 |
4210046 |
BREAST U/S UNILATERAL (BOTH BREASTS) |
678 |
4210047 |
CT L-SPINE W/CONTRAST |
2300 |
4210048 |
DXA DEXA W/VFA |
612 |
4210049 |
US BREAST AXILLA ONLY |
405 |
4210050 |
CT ANGIO ABD & PELVIS W & WO CONTRAST |
5000 |
4210051 |
USFETAL BIOPHYS PROFILE WO NS TEST |
656 |
4210052 |
CT T-SPINE W/CON |
2385 |
4210053 |
MR LOW EXT NON JT W/CONTRAST |
2498 |
4210054 |
SCOLIOSIS T-L SPINE 2 VIEWS |
346 |
4210055 |
FEMUR 1 VIEW |
253 |
4210056 |
FEMUR 2 VIEWS |
317 |
4210057 |
HIP 1 VIEW |
247 |
4210058 |
HIP 2-3 VIEWS |
319 |
4210059 |
HIP BILAT W PELVIS |
452 |
4210060 |
FLOURO GUIDE FOR PORT/CENT LINE |
850 |
4210061 |
RENAL DOPPLER - COMPLETE |
1100 |
4210062 |
INJECTION SI JOINT, ARTHRO W/CT GUIDANCE |
1496 |
4210063 |
HIP ARTHROGRAM |
825 |
4210064 |
CT LUNG CANCER SCREEN |
850 |
4210336 |
MRI TEMPOROMANDIBULAR JNT |
2198 |
4210389 |
U/S B-SCAN, AAA SCREEN |
546 |
4210460 |
CT OF HEAD WITH CON MEDIA |
2349 |
4210480 |
CT ORBT/SLLA/PO FO W/O CM |
2205 |
4210481 |
CT ORBT/SLLA/POFO WITH CM |
2298 |
4210486 |
CT MAXILLOFACL W/O CM |
1760 |
4210488 |
CT MAX FACIAL/SINUS W/WO |
2400 |
4210490 |
CT NECK W/O CON MEDIA |
1386 |
4210491 |
CT NECK WITH CON MEDIA |
2260 |
4210492 |
CT NECK W/WO CON MEDIA |
2600 |
4210493 |
CT LOW EXT W/WO CONTRAST |
2665 |
4210498 |
CT ANGIO NECK |
2818 |
4210543 |
MRI ORBIT,FACE,NECK W W/O |
3500 |
4210544 |
MRA HEAD W/O |
3200 |
4210546 |
MRA HEAD W/WO |
3495 |
4210549 |
MRA NECK W/WO |
3015 |
4210551 |
MRI BRAIN WO CONTRAST |
3165 |
4210552 |
MRI BRAIN WITH CONTRAST |
3232 |
4210553 |
MRI BRAIN W/WO CONTRAST |
3861 |
4210912 |
PELVIS COMPLETE,3 VIEWS |
371 |
4211021 |
CHEST-LORDOTIC |
285 |
4211200 |
HAND-1 VIEW |
183 |
4211275 |
CT PE PROTOCAL |
3272 |
4211550 |
MRI CHEST W/O CONTRAST |
3232 |
4211552 |
MIR CHEST W & W/O CONTRST |
3495 |
4212072 |
THORACIC SPINE/3 VIEWS |
407 |
4212100 |
LUMBAR SPINE-ADD VIEWS |
452 |
4212125 |
CT CERV SPINE W/O CON MED |
2362 |
4212128 |
CT THORACIC SPINE W/O CM |
2381 |
4212142 |
MRI CERVICAL SPINE W CONT |
3748 |
4212146 |
MRI THORACIC SPINE WO CON |
3076 |
4212147 |
MRI THORACIC SPINE W CONT |
3232 |
4212148 |
MRI LUMBAR SPINE WO CONTR |
3237 |
4212149 |
MRI LUMBAR SPINE WITH CON |
2628 |
4212157 |
MRI THORACIC SPINE W/WO C |
4367 |
4212158 |
MRI LUMBAR SPINE W/WO CON |
4171 |
4212193 |
CT LOW ABD/PLV WITH CM |
2388 |
4212194 |
CT LOW ABD/PLV W/WO CM |
2330 |
4212195 |
MRI PELVIS W/O CONTRAST |
3117 |
4212196 |
MRI PELVIS W CONTRAST |
2751 |
4212197 |
MRI PELVIS W/WO CONT |
3438 |
4213200 |
CT UPP EXT W/O CON MEDIA |
2000 |
4213220 |
MRI UP EXT OTHER THAN JNT |
3000 |
4213221 |
MRI UP EXT ANY JOINT W/O |
2442 |
4213564 |
KNEE 4 OR MORE VIEWS |
352 |
4213565 |
KNEES,STANDING AP BILATRL |
245 |
4213592 |
LOWER EXTREMITY-INFANT |
200 |
4213593 |
ARTERIAL DPLX LOWER COMPL |
1109 |
4213700 |
CT LOW EXT W/O CON MEDIA |
2150 |
4213720 |
MRI LOW EX NON JT WO/W |
2800 |
4213721 |
MRI LOW EX ANY JOINT |
2442 |
4213886 |
TRANSCRANIAL DOPPLER |
904 |
4213910 |
ARTERIAL DOPPLER UPPER |
723 |
4213911 |
ABDOMINAL AORTA DOPPLER SCAN LIMITED |
819 |
4213921 |
ARTERIAL DOPPLER LOWER |
815 |
4213924 |
ANKLE-ANKLE INDEX W/EXERS |
1020 |
4213926 |
ARTERIAL DPLX LIMIT LOWER |
1017 |
4213976 |
RENAL DOPPLER AORTA |
660 |
4214022 |
ACUTE ABD SERIES |
461 |
4214175 |
CT ANGIO ABDOMEN RENALS |
2906 |
4214181 |
MRI ABDOMEN |
3359 |
4214182 |
MRI ABDOMEN W/CONTRAST |
3299 |
4214183 |
MRI ABDOMEN W & WO CONTRA |
3871 |
4214450 |
URETHROCYSTO SUPER/INTERP |
571 |
4216376 |
CT/MR 3D |
549 |
4216400 |
MRI BONE MARROW BLOOD SUP |
2198 |
4216500 |
CAROTID ULTRASOUND |
1409 |
4216770 |
RETROPERITONEAL U/S COMPL |
805 |
4216801 |
U/S OB LESS THAN 14 WK |
601 |
4216811 |
U/S OB COMPL SINGLE FETUS |
708 |
4216812 |
U/S OB COMPLETE ADDL |
283 |
4216817 |
U/S OB TRANSVAGINAL |
452 |
4216872 |
TRANSRECTAL U/S |
518 |
4217003 |
WATERS VIEW |
227 |
4217010 |
MANDIBLE, 3 VIEWS OR LESS |
315 |
4217011 |
MANDIBLE COMPL MIN/4 VIEW |
365 |
4217012 |
MASTOIDS,2 VIEWS OR LESS |
234 |
4217013 |
MASTOIDS COMP MIN/3 VIEWS |
264 |
4217014 |
FACIAL BONES, 2 OR LESS |
269 |
4217015 |
COMPLETE FACIAL BONES |
384 |
4217016 |
NASAL BONES COMP MIN/3 VI |
318 |
4217021 |
SINUSES |
261 |
4217022 |
SINUSES COMPL MIN/3 VIEWS |
392 |
4217025 |
SKULL-LIMITED OR TRAUMA |
269 |
4217033 |
TM JOINTS |
373 |
4217036 |
NECK, SOFT TISSUE |
306 |
4217038 |
SALIVARY GLAND |
242 |
4217045 |
CT OF HEAD W/O CON MEDIA |
2018 |
4217047 |
CT HEAD W W/O CONTRAST |
2384 |
4217048 |
CT ORBT/SLLA/POFO W/WO CM |
2391 |
4217049 |
CT ANGIO HEAD |
2818 |
4217054 |
MRI ORBIT, FACE, & NECK |
3133 |
4217081 |
DXA BONE DENS EXTREMITY |
240 |
4217100 |
RIBS BILATERAL |
405 |
4217101 |
CHEST-ONE VIEW |
256 |
4217102 |
CHEST-2 VIEWS |
332 |
4217103 |
CHEST 3 VIEW |
394 |
4217110 |
RIBS UNILATERAL |
306 |
4217111 |
RIBS UNILAT W/ PA CHEST |
380 |
4217112 |
STERNUM |
305 |
4217125 |
CT CHEST W/O CON MEDIA |
2215 |
4217126 |
CT CHEST WITH CON MEDIA |
2498 |
4217127 |
CT CHEST W/WO CON MEDIA |
2414 |
4217155 |
MRI CHEST W/CONTRAST |
3438 |
4217202 |
SPINE-SINGLE VIEW |
230 |
4217204 |
CERV. SPINE-AP/LAT/ODONTO |
335 |
4217205 |
CERVICAL SPINE/4 VIEWS/OB |
498 |
4217207 |
THORACIC SPINE |
349 |
4217208 |
THORACOLUMBAR SPINE |
300 |
4217210 |
LUMBAR SPINE |
452 |
4217211 |
LUMBAR SPINE W/ OBLIQUES |
489 |
4217213 |
CT LUMBAR SPINE W/O CM |
2192 |
4217214 |
MRI CERVICAL SPINE WO CON |
3237 |
4217215 |
MRI CERVCL SPINE W/WO CON |
4111 |
4217217 |
PELVIS AP |
277 |
4217219 |
CT LOW ABD/PLV W/O CM |
2215 |
4217222 |
SACRUM ANDJ COCCYX |
368 |
4217223 |
INFANT UPPER EXTREMITY |
199 |
4217300 |
CLAVICLE |
285 |
4217301 |
SCAPULA |
319 |
4217302 |
SHOULDER ONE VIEW |
217 |
4217303 |
SHOULDER MIN/2 VIEWS |
343 |
4217305 |
ACROMIOCLAVICULAR JOINTS |
277 |
4217306 |
HUMERUS |
305 |
4217307 |
ELBOW - 2 VIEWS |
264 |
4217308 |
ELBOW - 3 VIEWS OR MORE |
311 |
4217309 |
FOREARM |
273 |
4217310 |
WRIST - 2 VIEWS |
221 |
4217311 |
WRIST - 3 VIEWS |
308 |
4217312 |
HAND - 2 VIEWS |
221 |
4217313 |
HAND - 3 VIEWS |
309 |
4217314 |
FINGER |
218 |
4217321 |
MRI UPP EXT NON JT WO CM |
2408 |
4217353 |
HIP IN OR - 4 SETS |
426 |
4217356 |
KNEE - 2 VIEWS |
306 |
4217357 |
KNEE 3 VIEWS OR MORE |
329 |
4217359 |
TIBIA/FIBULA LOWER LEG |
297 |
4217360 |
ANKLE-ANTERO/LAT/2 VIEWS |
223 |
4217361 |
ANKLE - 3 VIEWS |
323 |
4217362 |
FOOT - 2 VIEWS |
258 |
4217363 |
FOOT - 3 VIEWS |
335 |
4217365 |
OS CALCIS - 2 VIEWS |
209 |
4217366 |
TOES |
226 |
4217371 |
MRI LOW EXT NON JT WO CM |
2458 |
4217400 |
ABDOMEN/KUB |
288 |
4217402 |
ABD W/DECUB &/OR UPRIGHT |
378 |
4217408 |
RADIATION TX 2 AREAS 6-10 |
520 |
4217413 |
RADIATION TX 3 AREAS 6-10 |
767 |
4217415 |
CT UPP ABD W/O CON MEDIA |
2140 |
4217416 |
CT UPP ABD WITH CON MEDIA |
2498 |
4217417 |
CT UPP ABD W/WO CON MEDIA |
3020 |
4217418 |
MR ANGIO ABDOMEN |
3691 |
4217422 |
BA SWALLOW-ESOPHAGUS |
560 |
4217423 |
MOD BARIUM SWALLOW |
656 |
4217430 |
CHOLANGIOGRAPHY |
581 |
4217442 |
UROGRAPHY RETROGRADE |
690 |
4217443 |
CYSTOGRAPHY |
495 |
4217565 |
ANGIO,CERVICOCEREB CATH |
2363 |
4217567 |
ANGIO,CAROTID,CERV,UNILAT |
2363 |
4217600 |
FLUOROSCOPY |
637 |
4217606 |
METASTATIC SURVEY |
633 |
4217653 |
HEAD & NECK ULTRASOUND |
571 |
4217664 |
BREAST U/S UNILAT/BILAT |
446 |
4217670 |
ABDOMINAL ULTRASOUND |
841 |
4217675 |
ABDOMINAL ULTRSND-LIMITED |
645 |
4217677 |
RETROPERITONEAL U/S-LIMIT |
579 |
4217680 |
PELVIS-GYN-OB ULTRASOUND |
685 |
4217681 |
OB LIMITED ULTRASOUND |
437 |
4217683 |
TRANS VAG ULTRASOUND |
634 |
4217685 |
PELVIC ULTRASOUND-LIMITED |
341 |
4217687 |
SCROTUM ULTRASOUND |
648 |
4217694 |
U/S, GUIDED NEEDLE BX/ASP |
829 |
4217699 |
UNLISTED ULTRASOUND PROCE |
337 |
4217700 |
FLUOROGUID SPINE INJ |
658 |
4217708 |
DXA BONE DENS-SPN/HIP/PLV |
442 |
4217807 |
PARATHYROID SCAN |
1209 |
4217822 |
HEPATOBILIARY IMAGE W/WO |
1814 |
4217826 |
GASTRIC EMPTY NUC MED |
1814 |
4217831 |
BONE SCAN 3 PHASE |
2063 |
4217844 |
VENOUS ULTRASOUND |
1374 |
4217845 |
MYOCARDIAL PERF MULTIPLE |
3913 |
4217851 |
MYOCARDIAL PERF LIMITED |
3233 |
4217856 |
PELVIC ULTRASOUND-COMPLET |
755 |
4217870 |
KIDNEY FLOW/FUNCT W/O PHR |
1219 |
4217878 |
KIDNEY FUNCTION W/PHARM |
1572 |
4218300 |
BONE IMAGING LIMITED AREA |
830 |
4218305 |
BONE IMAGE MULTI AREAS |
1115 |
4218306 |
BONE SCAN WL BDY/NUC SCAN |
1749 |
4218320 |
BONE SCAN, SPECT |
2183 |
4218472 |
RESTING MUGA,BLD POOL IMA |
1600 |
4218588 |
LUNG SCAN VENT/PERF |
2353 |
4218596 |
LUNG QUANTITATIVE (NM) |
1989 |
4218709 |
KIDNEY FUNCT W & W/O PHAR |
1695 |
4219075 |
SCOLIOSIS T-L SPINE 2 VIEWS |
346 |
4219330 |
U/S ADLT SECTR LIM(BUBBLE |
860 |
4219332 |
DOPPLER/ECHO LIMITED |
250 |
4219388 |
CAROTID DUPLEX LIMITED |
1160 |
4219392 |
ANKLE-ARM PRESSURES/BILAT |
495 |
4219393 |
ARTERIAL DPLX LIMIT UPPER |
772 |
4219397 |
VENOUS DUPLEX LIMITED |
1076 |
4219923 |
ARTERIAL SEG LOW REACT HY |
815 |
4219924 |
ARTERIAL SEG LOW W/EXERS |
1020 |
4227706 |
MAMMO DIG DX UNI W/CAD |
333 |
4227707 |
MAMMO DIG DX BILAT W CAD |
404 |
4227708 |
MAMMO DIG SCREEN UNI W CAD |
304 |
4227709 |
MAMMO DIG SCREEN BILAT W CAD |
331 |
4227710 |
MAMMO SCREEN 3D TOMO |
101 |
4227711 |
MAMMO DIAG 3D TOMO |
101 |
4300008 |
PHENYTOIN TAB [50MG] |
5.6 |
4300024 |
CLINDAMYCIN INJ [300MG] |
42 |
4300031 |
CLONIDINE 1 PATCH [0.1MG/ |
99.4 |
4300032 |
CLONIDINE 2 PATCH [0.2MG/ |
247 |
4300047 |
EYE VITAMINS TAB |
5.6 |
4300068 |
ASCORBIC ACID TAB [500MG] |
5.6 |
4300078 |
Methylprednisolone 125mg Inj |
82 |
4300085 |
QUINAPRIL TAB [10MG] |
5.6 |
4300110 |
MONTELUKAST TAB [10MG] |
17 |
4300118 |
IBUPROFEN TAB [600MG] |
5.6 |
4300134 |
ZINC SULFATE CAP [220MG] |
5.6 |
4300140 |
QUINAPRIL TAB [20MG] |
5.6 |
4300144 |
CEFAZOLIN INJ [1GM] |
58 |
4300149 |
LOVASTATIN TAB [20MG] |
5.6 |
4300175 |
COLCHICINE TAB [0.6MG] |
24.4 |
4300190 |
SODIUM BICARBONATE 8.4% I |
47 |
4300197 |
ZAFIRLUKAST TAB [20MG] |
9.1 |
4300202 |
ASPIRIN CHEWABLE TAB [81M |
5.6 |
4300219 |
PHENOL LOZENGE (#9) |
5.6 |
4300220 |
ORPHENADRINE INJ [60MG/2M |
125 |
4300223 |
MEDROXYPROGESTERONE INJ [ |
360.9 |
4300228 |
LIDOCAINE/EPI 1% INJ [20M |
55 |
4300231 |
PROPRANOLOL ER CAP [60MG] |
8.3000000000000007 |
4300236 |
SODIUM PHOSPHATE ENEMA [1 |
5.6 |
4300237 |
MINERAL OIL ENEMA [133ML] |
5.6 |
4300240 |
HALOPERIDOL LACTATE INJ [ |
64 |
4300259 |
ATORVASTATIN TAB [10MG] |
5.6 |
4300261 |
ALBUTEROL NEB U/D 2.5MG [ |
5.6 |
4300268 |
BRIMONIDINE/TIMOLOL OPHTH |
387 |
4300269 |
DILTIAZEM TAB [60MG] |
6.3 |
4300274 |
MAFENIDE CRM [57GM] |
105.4 |
4300275 |
DIVALPROEX SOD TAB [500MG |
12.9 |
4300276 |
METHOCARBAMOL TAB [500MG] |
5.6 |
4300283 |
TAPENTADOL TAB [50MG] |
20.9 |
4300285 |
ISOSORBIDE MONONIT ER TAB |
8 |
4300287 |
DOCUSATE SODIUM CAP [100M |
5.6 |
4300290 |
ERGOCALCIFEROL CAP [50,00 |
6.8 |
4300292 |
WELLBUTRIN SR TAB (200MG) |
15.4 |
4300293 |
POLYMYXIN B INJ [500,000 |
89 |
4300294 |
BACITRACIN INJ [50,000 UN |
89 |
4300298 |
METHIMAZOLE TAB [5MG] |
5.6 |
4300299 |
ALTEPLASE INJ [50MG] |
6665 |
4300302 |
VANCOMYCIN INJ [1GM] |
112 |
4300307 |
CARBAMAZEPINE TAB [200MG] |
6.6 |
4300312 |
ALBUTEROL HFA MDI [8GM] |
143 |
4300313 |
SOLIFENACIN TAB [10MG] |
41.2 |
4300318 |
CEFPROZIL TAB [500MG] |
27.2 |
4300319 |
VALSARTAN TAB [40MG] |
16 |
4300320 |
VITAMIN A CAP [10,000 UNI |
5.6 |
4300323 |
FENTANYL PATCH [12MCG/HR] |
60.9 |
4300325 |
SUMATRIPTAN TAB [100MG] |
75.5 |
4300326 |
ATROPINE INJ VL (1MG/1ML) |
90 |
4300331 |
ICY HOT CREAM [35GM] |
17.8 |
4300337 |
PYRIDOSTIGMINE TAB [60MG] |
5.6 |
4300346 |
RANITIDINE INJ [50MG/2ML] |
44 |
4300349 |
NYSTATIN SUSP [60ML] |
34 |
4300350 |
GLIPIZIDE ER TAB [2.5MG] |
5.6 |
4300352 |
IMMUNE GLOBULIN 5% [10GM/ |
66 |
4300353 |
ERYTHROMYCIN ETH SUCC 200 |
177 |
4300362 |
PHENYTOIN ER CAP [100MG] |
5.6 |
4300364 |
DIGOXIN TAB [0.125MG] |
5.6 |
4300366 |
ROSIGLITAZONE TAB [2MG] |
12.7 |
4300367 |
HYALURONATE SODIUM INJ [4 |
1895 |
4300372 |
PANCRELIPASE CAP [4500 UN |
5.4 |
4300376 |
RABIES IMMUN GLOB INJ [30 |
806 |
4300378 |
METHENAMINE HIPPURATE TAB |
8.4 |
4300379 |
PROCHLORPERAZINE TAB [10M |
5.6 |
4300381 |
SALINE NASAL SPRAY [44ML] |
10 |
4300385 |
WHITE PETROLATUM OINT [30 |
5.6 |
4300386 |
FERROUS SULFATE LIQ [220M |
5.6 |
4300389 |
HEPARIN LOCK FLUSH [500 U |
48 |
4300391 |
HYDROCODONE/APAP LIQ [2.5 |
7 |
4300393 |
MULTI-VITAMIN/MIN LIQ |
5.6 |
4300395 |
GENTAMICIN INJ [80MG/2ML] |
44 |
4300399 |
VERAPAMIL TAB [80MG] |
5.6 |
4300402 |
BUDESONIDE NEB SOLN [1MG |
73.900000000000006 |
4300405 |
ALLOPURINOL TAB [100MG] |
5.6 |
4300408 |
MVI INJECTION [10ML] |
41 |
4300416 |
TAMOXIFEN TAB [20MG] |
15.2 |
4300417 |
TICLOPIDINE TAB [250MG] |
8.1999999999999993 |
4300418 |
METHYLCELLULOSE POWDER |
5.6 |
4300427 |
INDOMETHACIN CAP [25MG] |
5.6 |
4300432 |
HYDROXYZINE PAMOATE 25mg |
5.6 |
4300437 |
VERAPAMIL ER TAB [240MG] |
6.6 |
4300440 |
LACTULOSE 30CC (1OZ) |
6.7 |
4300448 |
ASPIRIN EC TAB [325MG] |
5.6 |
4300451 |
PHENYLEPHRINE INJ [10MG] |
93 |
4300454 |
SAXAGLIPTIN TAB [5MG] |
35.5 |
4300455 |
ESTRADIOL TAB [0.5MG] |
5.6 |
4300456 |
SUCRALFATE SUSP [1GM] |
31.2 |
4300458 |
CHLORHEXIDINE ORAL RINSE |
31.2 |
4300466 |
DENOSUMAB INJ [60MG/1ML] |
2415 |
4300467 |
BUDESONIDE FLEXHALER [180 |
551 |
4300468 |
NOREPINEPHRINE INJ [4MG/4 |
77 |
4300469 |
SALINE INJ. VIAL (10ML) |
50 |
4300470 |
FENOFIBRATE CAP [67MG] |
5.6 |
4300473 |
QUETIAPINE XR TAB [150MG] |
53.1 |
4300474 |
HYDROMORPHONE TAB [4MG] |
7 |
4300477 |
HYDROMORPHONE INJ [2MG/ML |
44 |
4300478 |
HYDRALAZINE INJ [20MG/1ML |
93 |
4300490 |
OCTREOTIDE ACET INJ 20MG |
5240 |
4300491 |
ACYCLOVIR TAB [800MG] |
8.1 |
4300492 |
SIMVASTATIN TAB [40MG] |
19.7 |
4300493 |
PANTOPRAZOLE INJ [40MG] |
59 |
4300495 |
ACYCLOVIR 5% CREAM [5GM] |
343.7 |
4300501 |
BENZTROPINE TAB [1MG] |
5.6 |
4300502 |
HEPARIN INJ 10,000 UNITS/ |
57 |
4300503 |
DIPYRIDAMOLE TAB [50MG] |
5.4 |
4300506 |
METHADONE TAB [5MG] |
7 |
4300507 |
DARBEPOETIN INJ 500MCG |
6505 |
4300514 |
RIVASTIGMINE PATCH [9.5MG |
77.7 |
4300515 |
MORPHINE INJ [10MG/1ML] |
46 |
4300519 |
ACYCLOVIR 5% CRM [2GM} |
262.8 |
4300521 |
SYSTANE OPTH DROP [15ML |
21 |
4300522 |
DOCOSANOL 10% CRM [2GM} |
54.4 |
4300524 |
NYSTATIN CREAM [30GM] |
78.8 |
4300525 |
INSULIN NPH HUMAN 10ml vial |
162.19999999999999 |
4300534 |
BISACODYL TAB [5MG] |
5.6 |
4300539 |
CITALOPRAM TAB [10MG] |
9.8000000000000007 |
4300541 |
SEVELAMER CARBONATE TAB [ |
20.399999999999999 |
4300542 |
IMMUNE GLOBULIN 10% [10GM |
88 |
4300545 |
FERUMOXYTOL INJ [510MG/17 |
1765 |
4300546 |
EPOETIN ALFA INJ [PER 100 |
1137 |
4300548 |
ALPHA1 PROTEINASE INHIB [ |
10.7 |
4300549 |
DABIGATRAN CAP [150MG] |
24.1 |
4300553 |
DAKINS SOLUTION 1/2 STREN |
5.6 |
4300554 |
Methylprednisolone 500mg Inj |
81 |
4300558 |
LOSARTAN TAB [50MG] |
5.6 |
4300562 |
BUPROPION TAB [100MG] |
5.4 |
4300564 |
THYROID TAB [60MG] |
5.6 |
4300566 |
MIRTAZEPINE TAB [15MG] |
10.9 |
4300567 |
BRIMONIDINE 0.1% OPTH DRO |
460 |
4300576 |
ARFORMOTEROL INH VL [15MC |
29.2 |
4300577 |
VITAMIN A & D OINT [120GM |
17.3 |
4300590 |
INTERFERON BETA-1A INJ [3 |
1773.8 |
4300591 |
IPRATROPIUM NASAL SPY 0.0 |
13 |
4300592 |
NISOLDIPINE ER TAB [17MG] |
20 |
4300593 |
HYALURONATE SODIUM INJ [2 |
436 |
4300594 |
BUPIVACAINE W EPI 0.25% I |
55 |
4300595 |
LEVETIRACETAM XR [500MG] |
25.7 |
4300599 |
BUPROPION TAB [75MG] |
5.6 |
4300600 |
ZONISAMIDE CAP [100MG] |
8.8000000000000007 |
4300605 |
CIPROFLOXACIN/DEXAMETH OT |
345 |
4300606 |
FESOTERODINE ER TAB [4MG] |
37.9 |
4300607 |
ALISKIREN TAB [300MG] |
25 |
4300608 |
BLUE GEL (227GM) |
15.9 |
4300609 |
IVF 3% NACL 500ML BAG |
76 |
4300610 |
AMOX / CLAVULANATE TAB [8 |
15.2 |
4300612 |
AMOXICILLIN CAP [500MG] |
5.6 |
4300613 |
AMOXICILLIN CHEWABLE [250 |
5.6 |
4300616 |
IMMUNE GLOBULIN 10% [5GM/ |
88 |
4300617 |
GENTAMICIN INJ [100MG/100 |
46 |
4300618 |
CARBAMAZEPINE CHEWABLE [1 |
5.6 |
4300619 |
NEO/POLY/HC OTIC SOLN [10 |
188 |
4300623 |
DONEPEZIL HCL TAB [5MG] |
26 |
4300624 |
DONEPEZIL HCL TAB [10MG] |
5.6 |
4300625 |
EPHEDRINE INJ [50MG/1ML] |
131 |
4300626 |
GALANTAMINE ER CAP [24MG] |
38.5 |
4300627 |
EPINEPHRINE 1:1000 AMP [1 |
105 |
4300628 |
DENOSUMAB INJ [120MG/1.7M |
3725 |
4300629 |
PROGESTERONE INJ [50MG/1M |
52 |
4300631 |
FENTANYL PATCH [25MCG] |
63.8 |
4300635 |
QUETIAPINE XR TAB [50MG] |
29.6 |
4300636 |
KETOROLAC INJ [30MG/1ML] |
51.5 |
4300639 |
BUTALBITAL/APAP/CAFFEINE |
7.8 |
4300641 |
FENTANYL INJ [100MCG/2ML] |
49 |
4300642 |
ROPINIROLE TAB [3MG] |
10 |
4300643 |
CIPROFLOXACIN INJ [400MG/ |
46 |
4300644 |
RIVAROXABAN TAB [10MG] |
50.3 |
4300645 |
SULINDAC TAB [200MG] |
5.6 |
4300649 |
ESTROPIPATE TAB [1.5MG] |
5.4 |
4300651 |
DARBEPOETIN INJ 60MCG |
910 |
4300652 |
NALOXONE INJ (2MG/2ML) |
76 |
4300653 |
LIDOCAINE 1% INJ [10ML} |
47 |
4300661 |
QUETIAPINE TAB [400MG] |
69.8 |
4300662 |
MINACIPRAN TAB [50MG] |
21 |
4300666 |
DILTIAZEM ER CAP 90MG |
14.5 |
4300668 |
PENICILLIN G POT INJ [5 M |
96 |
4300669 |
HYDROXYZINE INJ [25MG/1ML |
132 |
4300670 |
RIVASTIGMINE PATCH [4.6MG |
77.7 |
4300676 |
IOPAMIDOL INJ 76% [100ML] |
237 |
4300677 |
BETAMETHASONE SUSP INJ [3 |
149 |
4300678 |
HYALURONATE SODIUM INJ [3 |
1010 |
4300679 |
IMMUNE GLOBULIN 10% [20GM |
2882.5 |
4300681 |
TERAZOSIN CAP [1MG] |
6.5 |
4300683 |
ROFLUMILAST TAB [500MCG] |
42.1 |
4300685 |
PALIPERIDONE TAB [6MG] |
133 |
4300691 |
IRON SUCROSE INJ [100MG/5 |
145 |
4300702 |
IV FAT EMULSION 20% [100M |
47 |
4300703 |
ROPIVICAINE INJ 0.5% [20M |
105 |
4300708 |
AMLODIPINE TAB [5MG] |
6.6 |
4300710 |
LEVOTHYROXINE TAB [0.1MG] |
5.6 |
4300719 |
MAGNESIUM SULFATE 50% INJ |
46 |
4300722 |
DIAZEPAM RECTAL GEL [10MG |
810 |
4300735 |
NEOMYCIN SULF TAB [500MG] |
6.7 |
4300736 |
PYRIDOXINE TAB (1000MG) |
5.6 |
4300738 |
NIACIN TAB [100MG] |
5.6 |
4300746 |
DARBEPOETIN INJ 40MCG |
510 |
4300747 |
CISATRACURIUM INJ [10MG/5 |
111 |
4300749 |
ESMOLOL INJ [100MG/10ML] |
50 |
4300750 |
IMMUNE GLOBULIN 10% [10GM |
101 |
4300751 |
OXYCODONE ER TAB [60MG] |
27.5 |
4300752 |
AMOX / CLAVULANATE 400MG/ |
113.3 |
4300753 |
AMOXICILLIN SUSP 400MG/5M |
19.600000000000001 |
4300755 |
DIPYRIDAMOLE/ASPIRIN CAP |
31.4 |
4300763 |
RISPERIDONE TAB [0.25MG] |
15.7 |
4300764 |
RISPERIDONE TAB [0.5MG] |
15.8 |
4300765 |
RISPERIDONE TAB [1MG] |
18.3 |
4300771 |
MOMETASONE/FORMOTEROL MDI |
748 |
4300772 |
TACROLIMUS ANHYDROUS CAP |
21.5 |
4300773 |
VORICONAZOLE TAB [200MG] |
156.6 |
4300774 |
VENLAFAXINE TAB [100MG} |
9.3000000000000007 |
4300777 |
DEXTROSE 50% INJ SYR [50M |
46 |
4300779 |
DIHYDROERGOTAMINE INJ [1M |
309 |
4300781 |
CEFTRIAXONE INJ [500MG] |
90.3 |
4300783 |
ARIPIPRAZOLE TAB [2MG] |
107.1 |
4300786 |
FAMOTIDINE INJ [20MG/2ML] |
40 |
4300788 |
SODIUM PHOSPHATE ENEMA [P |
6 |
4300789 |
ETOMIDATE INJ [20MG/10ML] |
62 |
4300790 |
PANCREATIC ENZYMES [12000 |
10.1 |
4300791 |
SIMVASTATIN TAB [20MG] |
17.7 |
4300793 |
DIVALPROEX SPRINKLE [125M |
5.7 |
4300794 |
BUMETANIDE INJ [2.5MG/10M |
53 |
4300797 |
MELATONIN TAB [3MG] |
5.6 |
4300798 |
ACETYLCYSTEINE 20% [30ML] |
5.6 |
4300801 |
TESTOSTERONE CYPIONATE IN |
45.4 |
4300802 |
NEBIVOLOL TAB [20MG] |
15.7 |
4300809 |
MINERAL OIL STERILE [10ML |
102 |
4300810 |
MINOXIDIL TAB [2.5MG] |
5.6 |
4300812 |
Oseltamivir Susp 6mg/ml 60ml |
328 |
4300813 |
RIVAROXABAN TAB [20MG] |
50.3 |
4300814 |
VASOPRESSIN INJ [20 UNITS |
56 |
4300815 |
VALACYCLOVIR TAB [1000MG |
38 |
4300816 |
MYCOPHENOLATE CAP (250MG) |
5.4 |
4300822 |
DEXAMETHASONE INJ [10MG] |
43 |
4300823 |
LITHIUM CARBONATE ER TAB |
5.6 |
4300825 |
BENZOCAINE PASTE 20% [12G |
25.5 |
4300827 |
TERBINAFINE 1% CREAM [30G |
36.700000000000003 |
4300828 |
DOPAMINE 800MCG/ML [250ML |
46 |
4300829 |
AMLODIPINE TAB [2.5MG] |
6.4 |
4300831 |
RANOLAZINE TAB [500MG] |
21.5 |
4300833 |
MEPERIDINE TAB [50MG] |
6.4 |
4300834 |
IVF CUSTOM TPN [2100ML] |
454.3 |
4300836 |
DABIGATRAN CAP [75MG] |
24.1 |
4300837 |
HEMORRHOIDAL OINT [60MG] |
5.6 |
4300839 |
ACYCLOVIR TAB [400MG] |
15 |
4300840 |
ENALAPRILAT INJ [1.25MG/1ML] |
52 |
4300841 |
INSULIN DETEMIR 100 UNITS/1ML [3ML] |
120 |
4300842 |
INSULIN ASPART MIX 70/30 100 UNITS [3ML] |
192 |
4300843 |
INSULIN ASPART 100 UNITS/ML [3ML] |
167.1 |
4300845 |
SALINE FOR INHAL (3ML) |
5.6 |
4300846 |
PILOCARPINE TAB 7.5MG |
8 |
4300847 |
SULFAMYLON TOP SOLN 5% [1000ML] |
324.5 |
4300859 |
Cefepime inj 2gm |
83 |
4300861 |
TRANEXAMIC ACID 1000MG |
135 |
4300862 |
SULFAMETH/TMP TAB DS TAB |
5.6 |
4300864 |
LEUPROLIDE 45MG DEPOT |
13135 |
4300871 |
FOLIC ACID INJ [50MG/10ML |
57 |
4300873 |
FOLIC ACID TAB [1MG] |
5.6 |
4300874 |
CEFTAZIDIME INJ [1GM] |
60 |
4300880 |
Methyldopa 500mg tab |
5.6 |
4300881 |
DARBEPOETIN INJ 150MCG |
2594 |
4300882 |
hydroMORPHONE 2MG TAB |
3.3 |
4300883 |
FLUARIX QUADRIVALENT 0.5ML |
40 |
4300884 |
LEVETIRACETAM INJ 500MG |
42 |
4300885 |
RIFAXIMIN 550MG |
131.69999999999999 |
4300886 |
ISOSORB DINIT 30MG |
5.6 |
4300888 |
FENTANYL PATCH 100MCG |
185.2 |
4300890 |
Mouth Moisturizer |
5.6 |
4300892 |
Theragesic Cream 142gm |
18.899999999999999 |
4300894 |
Acetazolamide Tab 250mg |
11.6 |
4300895 |
APIXABAN TAB 2.5MG |
25.2 |
4300896 |
Surgilube 5gm pkt |
5.6 |
4300897 |
NIACIN 250MG TAB IR |
5.6 |
4300903 |
Fenofibrate 200mg Tab |
12.6 |
4300907 |
TRAMADOL TAB [50MG] |
7 |
4300912 |
HYDROCORTISONE INJ 100mg |
83 |
4300917 |
Lidocaine/Prilocain 30gm Crm |
159.4 |
4300921 |
Minocycline Cap 50mg |
6.8 |
4300923 |
CLOTRIM/BETAMETH CRM [15G |
116.3 |
4300927 |
Mesalamine HD 800mg Tab |
31 |
4300928 |
PROMETHAZINE INJ 50MG |
37.9 |
4300929 |
PCA Morphine 50mg/50ml |
104 |
4300935 |
FLAXSEED OIL CAP [1000MG] |
5.6 |
4300937 |
CYSTOGRAFIN 30% 300ML |
45 |
4300939 |
CLINDAMYCIN CAP [150MG] |
5.6 |
4300943 |
Bacitracin Oint 30gm |
13.9 |
4300948 |
AMIODARONE 900mg/18ml inj |
104 |
4300949 |
Sterile water for inj 10ml |
54 |
4300950 |
Colestipol 1gm tab |
5.9 |
4300952 |
DRONEDARONE 400MG TAB |
37.9 |
4300953 |
Exemestane 25mg Tab |
60.7 |
4300954 |
FLECAINIDE TAB [50MG] |
8.1 |
4300955 |
OMNIPAQUE 240 50ML |
119 |
4300956 |
Tapentadol ER 100mg |
37.799999999999997 |
4300957 |
Vashe Wound Therapy 16OZ |
56.3 |
4300962 |
Sorbitol/Mannitol irrg 3L |
78.900000000000006 |
4300966 |
POTASSIUM CHL INJ [40MEQ/ |
58 |
4300973 |
Rosuvastatin 20MG TAB |
31.4 |
4300975 |
Exparel inj 20ml |
706 |
4300976 |
Nalbuphine 20mg inj |
65 |
4300977 |
Ceftaroline Inj 600mg |
164.3 |
4300978 |
Diclofenac DR 75mg Tab |
5.6 |
4300979 |
Topiramate 200mg Tab |
24.5 |
4300980 |
NYSTATIN POWDER [15GM] |
112.4 |
4300982 |
NYSTATIN CREAM [15GM] |
52.5 |
4300988 |
TELMISARTAN TAB [40MG] |
16.600000000000001 |
4300989 |
MICONAZOLE 2% CREAM [30GM |
5.6 |
4300992 |
VPRIV 400 Units |
2644 |
4300994 |
TRIMETHOPRIM |
5.6 |
4300995 |
OLANZAPINE TAB [5MG] |
39.700000000000003 |
4300999 |
OLANZAPINE TAB [10MG] |
59.8 |
4301006 |
ROPINROLE 4MG ER TAB |
16.5 |
4301007 |
SALINE NASAL GEL [30GM] |
11 |
4301008 |
Ferric Carbox inj 750mg |
1460.2 |
4301010 |
HYDROCORTISONE TAB [10MG] |
5.6 |
4301018 |
Lidocaine 0.5% PF 50ml |
86 |
4301022 |
CALCITONIN NASAL SPY [3.7 |
208 |
4301032 |
Nitroglycerin 25mg/250ml |
120 |
4301035 |
ZINC GLUCONATE TAB [50MG] |
5.6 |
4301036 |
Phenazopyridine 95mg Tab |
5.6 |
4301039 |
Pneumo Conj-13 Vac |
432 |
4301040 |
EXENATIDE INJ [5MCG PEN] |
794 |
4301050 |
SILVADENE CRM 50GM TB/JR |
44.7 |
4301053 |
SILVERNITRATE STICKS [EA] |
54.5 |
4301056 |
Lacosamide Tab 100mg |
37.9 |
4301058 |
NORTRIPTYLINE CAP [25MG] |
5.6 |
4301060 |
NORTRIPTYLINE CAP [10MG] |
5.6 |
4301062 |
Triamcinolone0.1% Oint 80gm |
39.700000000000003 |
4301063 |
Filgrastim-TBO 300mcg Inj |
1105 |
4301064 |
Methylergonovine 0.2mg Inj |
130 |
4301067 |
METHYLPHENIDATE TAB [5MG] |
7 |
4301068 |
Bupivacaine 0.5% PF, 30ml |
45 |
4301069 |
Miconazole 2% cream, 30gm |
5.6 |
4301074 |
Aloe Vera Gel 20oz |
8.6 |
4301075 |
Levofloxacin Inj 500mg/150ml D5W |
65 |
4301077 |
Rituximab 100mg/10ml Inj |
1773 |
4301079 |
TRIAMCINOLONE 0.1% CRM [8 |
43.7 |
4301085 |
Methylprednisolone 1gm Inj |
162 |
4301086 |
Hydromorphone PCA 10mg/50ml |
47 |
4301091 |
Potassium Chloride 20meQ/100ml Bag |
46 |
4301092 |
Calcium Chloride Inj 1gm |
79 |
4301095 |
CEFAZOLIN 2gm in 50ml D5W Inj |
71 |
4301096 |
LIDOCAINE VISCOUS 2% 15ML |
5.6 |
4301101 |
DANTROLENE CAP [25MG] |
5.6 |
4301103 |
ALUMINUM/MAG OH SUSP. 30ml |
5.6 |
4301112 |
MORPHINE Pres Free 10MG/10ML Inj |
119 |
4301113 |
ACETAMINOPHEN INJ 1000mg/100ml |
122 |
4301125 |
TB TEST DOS [0.5ML] |
73 |
4301147 |
BETHANECHOL TAB [25MG] |
10.7 |
4301149 |
Zonisamide 25mg Cap |
5.6 |
4301152 |
THEOPHYLLINE ER TAB [200 |
5.6 |
4301157 |
SPIRONOLACTONE TAB [25MG] |
5.6 |
4301172 |
METRONIDAZOLE TAB [500MG] |
5.6 |
4301181 |
Morphine IR 15mg Tab |
5.6 |
4301182 |
NITROFURANTOIN MACRO CAP |
15.3 |
4301187 |
BCG Live 50mg |
365 |
4301189 |
Hyaluronan Monovisc |
1742 |
4301191 |
Aminophylline Inj 250mg |
90 |
4301192 |
Lidocaine PF 4% Inj 5ml |
41 |
4301193 |
Hydrochlorothiazide 12.5mg Cap |
5.6 |
4301194 |
Methylene blue 1% Inj 1ml |
116 |
4301195 |
QUETIAPINE TAB [300MG] |
59.4 |
4301202 |
Propranolol 10mg TAB |
5.6 |
4301203 |
Eletriptan 40mg Tab |
224.2 |
4301204 |
ZONISAMIDE CAP [50MG] |
5.6 |
4301210 |
ASPIRIN EC TAB [81MG] |
5.6 |
4301212 |
CYANOCOBALAMIN INJ [1000M |
70 |
4301226 |
Oseltamivir Cap 75mg |
46.4 |
4301227 |
Clindamycin 600mg/50ml D5W |
46 |
4301233 |
OXYCODONE ER TAB [20MG] |
18 |
4301234 |
PENTOXIFYLLINE TAB [400MG |
5.6 |
4301236 |
OXYCODONE ER TAB [10MG] |
14.6 |
4301238 |
OXYBUTYNIN TAB [5MG] |
5.6 |
4301244 |
Thrombin Topical 5000 Units |
207 |
4301247 |
Meropenem 1gm Inj |
93 |
4301254 |
TPN Clinimix 5%/20% w Elect, 2000ml |
197.6 |
4301255 |
PAROXETINE ER TAB [12.5MG |
17 |
4301258 |
SYMMETREL CAP [100MG] |
8.1 |
4301260 |
SULFAMETH/TMP LIQ DOS [20 |
5.6 |
4301262 |
PHENAZOPYRIDINE TAB [100M |
5.6 |
4301263 |
Lipids IV 20%, 250ml |
109.2 |
4301264 |
Ceftriaxone 1gm/50ml D5W |
91 |
4301265 |
Omnipaque 240 150ml |
249 |
4301267 |
Acetaminophen 160mg/5mL UD |
5.6 |
4301269 |
Guaif/Dext 200mg/20mg/10mL |
5.6 |
4301271 |
IBUPROFEN SUSP 100MG/5ML |
5.6 |
4301273 |
Clindamycin 900mg in 50ml D5W |
46 |
4301277 |
GEMFIBROZIL TAB [600MG] |
9.8000000000000007 |
4301278 |
Amiodarone 150mg/3ml Inj |
46 |
4301279 |
MEGESTROL TAB [20MG] |
207.6 |
4301282 |
Triamcinolone inj 40mg/1ml |
33.700000000000003 |
4301283 |
Lidocaine 2gm/500ml Inf |
63 |
4301287 |
Linaclotide 145mcg Cap |
46.5 |
4301288 |
PIOGLITAZONE |
21.1 |
4301289 |
Tobramycin 1200mg/30ml Vial |
80 |
4301290 |
OLMESARTAN TAB [20MG] |
5.6 |
4301292 |
MORPHINE 2MG/ML |
46 |
4301293 |
Chloraseptic Spray Phenol 1.4% |
7.7 |
4301294 |
ACETAMINOPHEN TAB [325MG] |
5.6 |
4301295 |
OLMESARTAN TAB [40MG] |
5.6 |
4301297 |
Gablofen 50mcg/ml inj |
223.6 |
4301300 |
FERROUS SULFATE EC TAB [3 |
5.6 |
4301301 |
WARFARIN TAB [2.5MG] |
5.6 |
4301304 |
Albumin 25%, 50ml |
163 |
4301305 |
FLUOXETINE CAP [10MG] |
9.6999999999999993 |
4301306 |
Filgrastim-TBO 480mcg Inj |
1105 |
4301307 |
Vedolizumab 300mg Inj (Entyvio) |
9150 |
4301308 |
Ceftazidime inj 2gm |
83 |
4301310 |
Fosfomycin 3gm Packet |
285.8 |
4301313 |
CARBIDOPA/LEVODOPA TAB [ |
5.6 |
4301314 |
CARBIDOPA/LEVODOPA TAB [ |
5.6 |
4301316 |
Lithium Carbonate 300mg |
5.6 |
4301322 |
Demeclocycline 150mg Tab |
19.399999999999999 |
4301325 |
CARBAMOXIDE OTIC [15ML] |
10 |
4301326 |
Guaifenesin 200mg/10ml |
5.6 |
4301327 |
Butenafine 1% Crm 12gm |
24.5 |
4301329 |
VANCOMYCIN INJ [750MG] |
127 |
4301330 |
ARIPIPRAZOLE TAB [5MG] |
107.1 |
4301331 |
IRBESARTAN TAB [300MG] |
14.8 |
4301333 |
CARBIDOPA/LEVODOPA TAB [1 |
5.6 |
4301340 |
POTASSIUM CHL LIQ [20MEQ/ |
5.6 |
4301350 |
FLUOXETINE CAP [20MG] |
10 |
4301351 |
Dextrose 10%, 250ml Bag |
67 |
4301352 |
3% NaCl for INHAL, 4ml |
5.6 |
4301355 |
DIGOXIN INJ [0.5MG/2ML] |
65 |
4301357 |
Mannitol 20% Inj 500ml |
127 |
4301358 |
B & O Suppos 60mg |
68 |
4301367 |
Botox Therapeutic Inj 100 Units |
1270 |
4301368 |
Ocreluzimab 300mg Inj |
21450 |
4301369 |
Lacosamide 100mg Tab |
48.5 |
4301374 |
MECLIZINE TAB [12.5MG] |
5.6 |
4301381 |
AZTREONAM INJ [1GM] |
107 |
4301384 |
Mirabegron tab 25mg |
42.4 |
4301385 |
Ceftriaxone 2gm/50ml D5W |
124 |
4301386 |
LETS Gel 3ml |
25 |
4301387 |
Iopamidol 76%, 75ml |
202 |
4301388 |
LIOTHYRONINE 5 MCG |
5.6 |
4301389 |
LIDOCAINE-MPF 2% Inj 5ml |
44 |
4301390 |
Lidocaine 4% Patch |
5.6 |
4301391 |
Midazolam 5mg/1ml Inj |
55 |
4301392 |
Bupivacaine 0.5% PF Inj 10ml |
41 |
4301393 |
Oseltamivir Cap 45mg |
28.5 |
4301394 |
UMECLIDINIUM /VILANTEROL14 DOSE MDI |
201 |
4301397 |
Bupivicaine w Epi 0.5% 30ml |
49 |
4301399 |
Oseltamivir 30mg Cap |
19 |
4301400 |
Trospium IR 20mg Tab |
11.4 |
4301408 |
LEUPROLIDE (ELIGARD) DEPOT 45MG |
4555 |
4301409 |
DOXAZOSIN TAB [4MG] |
5.7 |
4301410 |
DARBEPOETIN INJ 25mcg |
445 |
4301412 |
LIDOCAINE 1% MPF 5ml |
45 |
4301413 |
RAMIPRIL CAP [10MG] |
8.9 |
4301415 |
Ganciclovir 500mg |
198 |
4301416 |
Lidocaine 1% MPF 30ml |
47 |
4301418 |
LINACLOTIDE 72 MCG |
46.5 |
4301419 |
Lidocaine MPF 1%, 2ml |
47 |
4301421 |
Fentanyl 250mcg/5ml Inj |
52 |
4301422 |
NAFcillin 2gm Inj |
105 |
4301424 |
Bupivacaine 0.75% 30ml |
45 |
4301437 |
VERAPAMIL INJ [10MG/4ML] |
75 |
4301446 |
FUROSEMIDE TAB [80MG] |
5.6 |
4301450 |
Lorazepam Oral Conc 2mg/ml. 30ml |
96 |
4301451 |
Infliximab (Remicade) 100mg Inj |
2380 |
4301453 |
Diclofenac Gel Topical |
130 |
4301455 |
FLUCONAZOLE INJ [200MG] |
79 |
4301457 |
Phenylephrine Nasal Spy 0.5% 15ml |
21 |
4301466 |
FLUCONAZOLE TAB [100MG] |
28.6 |
4301482 |
ALLOPURINOL TAB [300MG] |
5.6 |
4301485 |
ALPRAZOLAM TAB [0.25MG] |
7 |
4301500 |
PREDNISONE TAB [10MG] |
5.6 |
4301507 |
OXYMETAZOLINE NASAL SPY [ |
10 |
4301511 |
POTASSIUM CHL ER TAB [10M |
5.6 |
4301522 |
FLUOCINONIDE 0.05% CRM [3 |
12.2 |
4301529 |
BACITRCN/POLYMX OINT [15 |
21.6 |
4301540 |
FEXOFENADINE TAB [180MG] |
5.6 |
4301558 |
CYCLOBENZAPRINE TAB [10MG |
5.6 |
4301584 |
NAFCILLIN INJ [1GM] |
90 |
4301598 |
NAPROXEN TAB [500MG] |
5.6 |
4301601 |
WARFARIN TAB [5MG] |
5.6 |
4301608 |
VALSARTAN TAB [160MG] |
5.6 |
4301620 |
FENOFIBRATE CAP [134MG] |
7.9 |
4301633 |
AMPICILLIN/SULBACTAM INJ |
57 |
4301634 |
BISACODYL SUPP[10MG] |
5.6 |
4301647 |
ALTEPLASE INJ [100MG] |
13205 |
4301667 |
CALCIUM CARB/VIT D TAB [6 |
5.6 |
4301670 |
CALCIUM GLUCONATE INJ [1G |
69 |
4301676 |
PENTASA CAP [250MG] |
14.6 |
4301689 |
PREDNISOLONE LIQ [15MG/5M |
6.3 |
4301696 |
ISOSORBIDE DINITRATE TAB |
5.4 |
4301701 |
IBANDRONATE TAB [150MG] |
213.6 |
4301731 |
NICOTINE PATCH [21MG] |
10.1 |
4301732 |
NICOTINE PATCH [14MG] |
10.1 |
4301735 |
NICOTINE PATCH [7MG] |
10.1 |
4301742 |
HYDRALAZINE TAB [10MG] |
5.6 |
4301743 |
HYDRALAZINE TAB [50MG] |
5.6 |
4301744 |
HYDRALAZINE TAB [25MG] |
5.6 |
4301757 |
AMLODIPINE TAB [10MG] |
9.1 |
4301783 |
NIACIN ER TAB [500MG] |
15.7 |
4301803 |
LABETALOL TAB [100MG] |
9.1999999999999993 |
4301819 |
FUROSEMIDE TAB [20MG] |
5.6 |
4301820 |
GALANTAMINE ER CAP [8MG] |
38.5 |
4301822 |
RIFAMPIN CAP [300MG] |
8.1 |
4301835 |
CHLORTHALIDONE TAB [25MG] |
5.6 |
4301903 |
TORSEMIDE TAB [10MG] |
5.6 |
4301911 |
GLYCERIN SUPP-PEDIATRIC [ |
5.6 |
4301941 |
CLONAZEPAM TAB [0.5MG] |
7 |
4301943 |
CLONIDINE TAB [0.1MG] |
5.6 |
4301950 |
BUDESONIDE/FORMOTEROL MDI |
350 |
4301951 |
HYDROCORTISONE 1% CREAM [ |
19.5 |
4301953 |
HYDROCORTISONE TAB [20MG] |
5.6 |
4301955 |
HYDROXYCHLOROQUINE TAB [2 |
16.399999999999999 |
4301966 |
FUROSEMIDE TAB [40MG] |
5.6 |
4301974 |
FLU VACCINE/ADMIN |
44.1 |
4301978 |
MISOPROSTOL TAB [100MCG] |
5.6 |
4301988 |
ALENDRONATE TAB [70MG] |
61.5 |
4301992 |
OLSALAZINE CAP [250MG] |
12.3 |
4301999 |
ROSUVASTATIN TAB [10MG] |
31.4 |
4302006 |
HYDROCOD/APAP TAB 7.5/325 |
7 |
4302021 |
ANASTROZOLE TAB [1MG] |
8.3000000000000007 |
4302085 |
ZOLMITRIPTAN TAB [5MG] |
97.2 |
4302104 |
ECONAZOLE 1% CREAM [15GM] |
90.2 |
4302105 |
SORBITOL 70% LIQ [15ML] |
18.399999999999999 |
4302111 |
OXYBUTYNIN ER TAB (5MG) |
12.3 |
4302131 |
AMITRIPTYLINE TAB [10MG] |
5.6 |
4302132 |
AMITRIPTYLINE TAB [25MG] |
5.6 |
4302140 |
WARFARIN TAB [3MG] |
5.6 |
4302150 |
ESCITALOPRAM TAB [10MG] |
17.600000000000001 |
4302152 |
LIDOCAINE 2% SYRINGE [100 |
53 |
4302167 |
MANNITOL 25% INJ [12.5GM/ |
39.9 |
4302194 |
ACETAMINOPHEN SUPP [120MG |
5.6 |
4302223 |
FILGRASTIM INJ [300MCG/1M |
706 |
4302225 |
DILTIAZEM TAB [30MG] |
5.6 |
4302231 |
GABAPENTIN CAP [100MG] |
5.6 |
4302239 |
CEPACOL LOZ - PKG OF 18 B |
13.3 |
4302247 |
ADENOSINE INJ SYR [6MG/2M |
65 |
4302249 |
DIPHENHYDRAMINE TAB [25MG |
5.6 |
4302252 |
PROMETHAZINE/CODEINE LIQ |
5.6 |
4302257 |
DIPHENHYDRAMINE LIQ [12.5 |
5.6 |
4302259 |
DIPHENHYDRAMINE INJ [50MG |
50 |
4302261 |
FILGRASTIM INJ [480MCG/1. |
1460 |
4302278 |
DEXAMETHASONE INJ [4MG] |
40 |
4302279 |
DEXAMETHASONE TAB [4MG] |
5.6 |
4302285 |
CALCIUM W VIT D TAB [500M |
5.6 |
4302294 |
ACETAMINOPHEN TAB [500MG] |
5.6 |
4302300 |
GENTIAN VIOLET 2% SOLN [6 |
50.9 |
4302303 |
BUSPIRONE TAB [15MG] |
8.1 |
4302309 |
FELODIPINE ER TAB [10MG] |
12.3 |
4302310 |
BUDESONIDE/FORMOTEROL MDI |
305 |
4302319 |
FIBER LAXATIVE |
5.6 |
4302324 |
CHOL MAG TRISAL TAB [750 |
5.6 |
4302325 |
DILTIAZEM ER CAP [120MG] |
5.6 |
4302328 |
CHOLESTYRAMINE PKT [4GM] |
15.4 |
4302334 |
PIPERACILLIN/TAZOBACTAM 4.5gm |
72 |
4302335 |
PREDNISONE TAB [5MG] |
5.6 |
4302337 |
PREDNISONE TAB [20MG] |
5.6 |
4302352 |
DIVALPROEX SOD TAB [250MG |
16.8 |
4302353 |
DIVALPROEX SOD CAP [125MG |
5.4 |
4302354 |
DIVALPROEX ER TAB [500MG] |
16.3 |
4302355 |
DIVALPROEX ER TAB [250MG] |
7.1 |
4302394 |
ACETAMINOPHEN SUPP [650MG |
5.6 |
4302398 |
CLOBETASOL CREAM [30GM] |
513 |
4302401 |
NEO/POLYMYX/DEX OP OINT [ |
60 |
4302410 |
EXENATIDE INJ [10MCG PEN] |
242 |
4302416 |
BUTENAFINE CREAM 1% [12GM |
46.6 |
4302420 |
MIDODRINE TAB [5MG] |
15.8 |
4302440 |
METFORMIN TAB [850MG] |
5.6 |
4302486 |
RAMIPRIL CAP [2.5MG] |
7.8 |
4302494 |
ACETAMNPHN W/COD LIQ [120 |
7 |
4302501 |
ENALAPRIL TAB [5MG] |
6.2 |
4302503 |
ENALAPRIL TAB [10MG] |
5.6 |
4302515 |
TOPIRAMATE TAB [25MG] |
8.4 |
4302522 |
DOXYCYCLINE TAB [100MG] |
9.5 |
4302536 |
FOSINOPRIL TAB [40MG] |
5.6 |
4302544 |
ATROPINE 1% OP BTL |
89 |
4302589 |
IPRATROPIUM 0.03% NASAL [ |
196 |
4302594 |
ACETAMNPHN W/COD TAB [30 |
7 |
4302615 |
TOPIRAMATE TAB [50MG] |
18 |
4302625 |
DILTIAZEM ER CAP [180MG] |
5.6 |
4302628 |
PROCHLORPERAZINE SUPP [25 |
36.799999999999997 |
4302640 |
FENTANYL PATCH [50MCG] |
79.099999999999994 |
4302641 |
PERINDOPRIL TAB [8MG] |
13 |
4302652 |
PROCHLORPERAZINE INJ [10M |
124 |
4302655 |
EPOETIN ALFA INJ [20,000U |
1137 |
4302656 |
DIPHENOXYLATE/ATROPINE TA |
7 |
4302660 |
PROPOFOL INJ [200MG/20ML] |
64 |
4302669 |
ESTRADIOL TAB [0.5MG] |
5.4 |
4302672 |
ESTRADIOL TAB [1MG] |
5.6 |
4302708 |
NITROGLYCERIN SL TAB [0.4 |
6 |
4302725 |
DILTIAZEM ER CAP [240MG] |
5.6 |
4302728 |
AMPICILLIN/SULBACTAM INJ |
94 |
4302758 |
FINASTERIDE TAB [5MG] |
12.7 |
4302785 |
REGADENOSON INJ [0.4MG/5M |
537 |
4302801 |
DOXEPIN CAP [25MG] |
5.6 |
4302827 |
HYDROCORTISONE SUPP [25MG |
9.1999999999999993 |
4302836 |
GUAIFEN/DM ER TAB [600/30 |
5.6 |
4302840 |
PRAVASTATIN TAB [20MG] |
10 |
4302850 |
CYCLOSPORINE 0.05% DROP [ |
302.7 |
4302881 |
DARBEPOETIN INJ 200MCG |
2973 |
4302903 |
VENLAFAXINE TAB [37.5MG] |
8.8000000000000007 |
4302905 |
VENLAFAXINE XR CAP [75MG] |
18.7 |
4302906 |
VENLAFAXINE XR CAP [150MG |
5.6 |
4302913 |
PREDNISONE TAB [1MG] |
5.6 |
4302928 |
PROPAFENONE TAB [225MG] |
9.4 |
4302931 |
METFORMIN TAB [500MG] |
5.6 |
4302933 |
METFORMIN ER TAB [500MG] |
5.6 |
4303002 |
CALAMINE LOTION [120ML] |
6.3 |
4303016 |
CEFADROXIL CAP [500MG] |
14.9 |
4303024 |
LIDOCAINE 1% PRESFREE INJ |
44 |
4303037 |
PROMETHAZINE LIQ [6.25MG/ |
5.6 |
4303052 |
AZATHIOPRINE TAB [50MG] |
5.6 |
4303076 |
LUTEIN TAB [6MG] |
5.6 |
4303087 |
AMOXICILLIN TAB [875MG] |
5.6 |
4303102 |
PSEUDOEPHEDRINE TAB [30MG |
5.6 |
4303125 |
CARVEDILOL TAB [3.125MG] |
8.5 |
4303132 |
SODIUM CHL 0.9% INHAL U/D |
5.6 |
4303154 |
VANCOMYCIN INJ [500MG] |
46 |
4303192 |
TEMAZEPAM CAP [15MG] |
5.6 |
4303208 |
BUDESONIDE NEB SOLN [0.5 |
33.299999999999997 |
4303209 |
CEFTRIAXONE INJ [2GM] |
72 |
4303211 |
TRAZODONE TAB [50MG] |
5.6 |
4303227 |
DILTIAZEM INJ [25MG/5ML] |
48 |
4303228 |
LATANOPROST OPH DROP [2.5 |
157.69999999999999 |
4303250 |
TERBUTALINE INJ[1MG/1ML] |
57 |
4303252 |
FIBER TABLET TAB |
5.6 |
4303259 |
ATORVASTATIN TAB [20MG] |
5.6 |
4303269 |
OXAPROZIN TAB [600MG] |
14.7 |
4303272 |
DILTIAZEM INJ [125MG/25ML |
48 |
4303280 |
FORMOTEROL 12MCG INH [12D |
216.2 |
4303290 |
AZITHROMYCIN LIQ 100MG/5M |
104.7 |
4303293 |
LISINOPRIL TAB [2.5MG] |
5.6 |
4303294 |
LISINOPRIL TAB [5MG] |
5.6 |
4303295 |
LISINOPRIL TAB [10MG] |
5.6 |
4303296 |
LISINOPRIL TAB [20MG] |
5.6 |
4303300 |
NALBUPHINE INJ [10MG/1ML] |
55.5 |
4303303 |
SUCCINYLCHOLINE INJ [200M |
128 |
4303305 |
SOLIFENACIN TAB [5MG] |
20.7 |
4303353 |
MILK OF MAGNESIA |
5.6 |
4303362 |
TETRACAINE 0.5% OPHTH [15 |
22 |
4303377 |
DOBUTAMINE INJ [250MG/20M |
47 |
4303390 |
LABETALOL INJ [100MG/20ML |
54 |
4303402 |
MINOCYCLINE CAP [100MG] |
13.4 |
4303421 |
SILVER SULFADIAZINE CRM [ |
88.3 |
4303422 |
SILVER SULFADIAZINE CRM ( |
27.3 |
4303432 |
NADOLOL TAB [20MG] |
14.7 |
4303438 |
LACTASE TAB [3000 UNIT] |
5.6 |
4303443 |
LIDOCAINE 2% JELLY UROJET |
23.1 |
4303464 |
NIFEDIPINE ER TAB [30MG] |
5.6 |
4303465 |
NIFEDIPINE ER TAB [60MG] |
8.6999999999999993 |
4303485 |
CAPTOPRIL TAB [25MG] |
5.4 |
4303490 |
SINCALIDE INJ [5MCG] |
244 |
4303500 |
FISH OIL CAP [1000MG] |
5.6 |
4303502 |
PRAMIPEXOLE TAB [0.5MG] |
23.4 |
4303509 |
PRAMIPEXOLE TAB [0.125MG] |
23.4 |
4303515 |
IMIPENEM/CILASTATIN INJ [ |
67 |
4303517 |
PRIMIDONE TAB [250MG] |
5.6 |
4303524 |
PROMETHAZINE TAB [25MG] |
5.6 |
4303525 |
PROMETHAZINE SUPP [25MG] |
425 |
4303526 |
PROMETHAZINE SUPP [12.5MG |
425 |
4303545 |
ALBUTEROL/IPRATROPIUM MDI |
585 |
4303548 |
ENTACAPONE TAB [200MG] |
27.8 |
4303555 |
NEFAZODONE TAB [100MG] |
19.2 |
4303561 |
ZOLEDRONIC ACID INJ [5MG/ |
2210 |
4303600 |
COUGH DROPS SUGAR FREE[# |
8.1 |
4303601 |
LUBIPROSTONE CAP [24MCG] |
22.3 |
4303611 |
BENZONATATE CAP [100MG] |
10.1 |
4303612 |
CEFPROZIL 125MG/5ML [50ML |
63.3 |
4303624 |
DICYCLOMINE CAP [10MG] |
5.6 |
4303628 |
DIAZEPAM INJ [10MG] |
42 |
4303648 |
OXYCODONE ER TAB [80MG] |
51.5 |
4303653 |
MOEXIPRIL TAB [15MG] |
5.9 |
4303658 |
OXYCODONE IR TAB [5MG] |
7 |
4303668 |
OXYCODONE/APAP 5 TAB [5/3 |
7 |
4303694 |
IMIPENEM/CILASTATIN INJ [ |
85 |
4303700 |
HYDROCORTISONE ACETATE SU |
5.4 |
4303702 |
MIDAZOLAM INJ [2MG/2ML] |
47 |
4303718 |
NITROGLYCERIN 2% OINT TUB |
41.2 |
4303720 |
BISMUTH SUBSALICYLATE TAB |
5.6 |
4303730 |
NEBIVOLOL TAB [5MG] |
15.7 |
4303733 |
DIAZEPAM TAB [2MG] |
7 |
4303751 |
MORPHINE LIQ [20MG/ML] |
5.6 |
4303800 |
WARFARIN TAB [2MG] |
5.6 |
4303851 |
FLUMAZENIL INJ [0.5MG/5ML |
68 |
4303871 |
MEPERIDINE INJ [50MG/1ML] |
65 |
4303881 |
DARBEPOETIN INJ 300MCG |
3905 |
4303939 |
GLIMEPERIDE TAB [1MG] |
5.6 |
4303975 |
OXYBUTYNIN PATCH [3.9MG] |
36.5 |
4304000 |
CEFOTAXIME INJ [1GM] |
78 |
4304001 |
MELOXICAM TAB [7.5MG] |
12.4 |
4304002 |
MEMANTINE TAB [10MG] |
5.6 |
4304005 |
CHOLECALCIFEROL TAB [1000 |
5.6 |
4304012 |
THIAMINE TAB [100MG] |
5.6 |
4304013 |
THIAMINE INJ [200MG/2ML] |
60 |
4304025 |
CARVEDILOL TAB [25MG] |
7.8 |
4304026 |
MYCOPHENOLATE TAB [500MG] |
36.700000000000003 |
4304031 |
TERAZOSIN CAP [5MG] |
6.5 |
4304040 |
LORATADINE TAB [10MG] |
5.6 |
4304041 |
DULOXETINE CAP [30MG] |
23.6 |
4304075 |
CEPHALEXIN CAP [500MG] |
5.6 |
4304091 |
MEPERIDINE INJ [25MG/1ML] |
64 |
4304096 |
POTASSIUM CHL INJ [20MEQ/ |
52 |
4304114 |
AMPICILLIN INJ [2GM] |
83.2 |
4304125 |
SODIUM CHLORIDE TAB [1GM] |
5.6 |
4304134 |
PIPERACILLIN/TAZO 3.375gm |
63 |
4304181 |
GUAIFENESIN LIQ [100MG/5M |
5.6 |
4304185 |
GUAIFENESIN ER TAB [600MG |
5.6 |
4304186 |
GUAIFENESIN 300MG |
4.7 |
4304200 |
RALOXIFENE TAB [60MG] |
23.8 |
4304201 |
SOD BORATE/NACL/BORIC AC |
11.6 |
4304208 |
TIMOLOL 0.5% OPH [5ML] |
12 |
4304230 |
ALFUZOSIN TAB [10MG] |
16.899999999999999 |
4304240 |
SALINE FLUSH SYR [10ML] |
12.7 |
4304244 |
LORAZEPAM TAB [0.5MG] |
7 |
4304280 |
NEOMYC/BACITR/ POLYMYX OI |
17 |
4304302 |
CARISOPRODOL TAB [350MG] |
5.6 |
4304311 |
BACLOFEN TAB [10MG] |
5.6 |
4304320 |
GLUCAGON INJ [1MG/1ML] |
396 |
4304334 |
DARIFENACIN TAB [15MG] |
20 |
4304335 |
DARIFENACIN TAB [7.5MG] |
20 |
4304337 |
CONJUGATED ESTROGENS TAB |
19.3 |
4304339 |
CONJ ESTROGEN CREAM [43GM |
16.399999999999999 |
4304341 |
SALSALATE TAB [750MG] |
7.3 |
4304364 |
FLUTICASONE/SALMETEROL 25 |
319 |
4304370 |
FLUTICASONE/SALMETEROL 10 |
319 |
4304371 |
FLUTICASONE/SALMETEROL 50 |
390 |
4304377 |
MEDROXYPROGESTERONE TAB [ |
5.6 |
4304399 |
CELECOXIB CAP [200MG] |
22.7 |
4304403 |
VITA B/C/FOL ACID CAP |
5.6 |
4304424 |
DOXYCYCLINE TAB [50MG] |
5.4 |
4304435 |
VERAPAMIL ER TAB [180MG] |
5.8 |
4304450 |
LACTULOSE LIQ [10GM/15ML] |
5.6 |
4304455 |
TIZANIDINE TAB [4MG] |
6.1 |
4304457 |
ARIPIPRAZOLE TAB [15MG] |
107.1 |
4304478 |
RISPERIDONE TAB [0.125MG] |
11.1 |
4304485 |
CAPTOPRL TAB6.25MG(.25/25 |
4.7 |
4304501 |
VANCOMYCIN ORAL [500MG/10 |
9.1999999999999993 |
4304506 |
Methylprednisolone 4mg Tab |
5.8 |
4304507 |
METHOTREXATE TAB [2.5MG] |
12.5 |
4304511 |
POTASSIUM CHLOR EFFER TAB |
5.6 |
4304530 |
DAPTOMYCIN INJ [500MG] |
988 |
4304533 |
SIMETHICONE TAB [80MG] |
5.6 |
4304542 |
TRIHEXYPHENIDYL TAB (2MG) |
5.6 |
4304544 |
KETAMINE INJ [500MG/10ML |
48 |
4304554 |
DIOVAN 40MG (.5/80) PO |
10 |
4304556 |
DUTASTERIDE CAP [0.5MG] |
18.2 |
4304561 |
CEFUROXIME INJ [750MG] |
63 |
4304565 |
SCOPOLAMINE PATCH [1.5MG |
57.8 |
4304566 |
LEVOFLOXACIN INJ [750MG/1 |
71 |
4304580 |
PALIPERIDONE TAB [3MG] |
133 |
4304585 |
QUETIAPINE TAB [100MG] |
20.6 |
4304653 |
HYDROCORTISONE 2.5% CRM [ |
262 |
4304715 |
DORZOLAMIDE 2% OPH [10ML] |
134 |
4304738 |
RACEMIC EPINEPHRINE NEB S |
7.2 |
4304750 |
TRAVOPROST OPHTH [2.5ML] |
270 |
4304823 |
DROPERIDOL INJ [5MG/2.5ML |
49 |
4304826 |
INDAPAMIDE TAB [2.5MG] |
5.4 |
4304833 |
CONJUGATED ESTROGENS TAB |
7.8 |
4304879 |
GLIPIZIDE ER TAB [5MG] |
5.6 |
4304900 |
AMIODARONE TAB [200MG] |
13.3 |
4304922 |
CALCIUM CARBONATE TAB [50 |
5.6 |
4304942 |
CLOTRIMAZOLE CREAM [30GM] |
25.8 |
4304943 |
CLOTRIM/BETAMETH CRM [45G |
130.69999999999999 |
4304955 |
TRIAMTERENE/HCTZ TAB [37. |
5.6 |
4304961 |
OXCARBAZEPINE TAB [150MG] |
5.8 |
4305003 |
ONDANSETRON INJ [4MG/2ML] |
48 |
4305004 |
SERTRALINE TAB [50MG] |
10.9 |
4305010 |
BRINZOLAMIDE 1% OPH DRP [ |
450 |
4305024 |
ALTEPLASE INJ [2MG] |
356 |
4305030 |
CLONIDINE 3 PATCH [0.3MG/ |
232.4 |
4305050 |
LORATADINE D-24HR TAB |
16.600000000000001 |
4305062 |
EPSOM SALT [227GM] |
5.6 |
4305063 |
EPSOM SALT [454GM] |
5.6 |
4305071 |
IPRATROPIUM U/D [0.5MG/2 |
5.6 |
4305100 |
ONDANSETRON ODT TAB [4MG] |
15.5 |
4305111 |
OXYBUTYNIN ER TAB (10MG) |
12.3 |
4305114 |
AMPICILLIN INJ [1GM] |
62.4 |
4305116 |
METAXALONE TAB [800MG] |
19.600000000000001 |
4305130 |
REPAGLINIDE TAB [1MG] |
22.6 |
4305183 |
MULTIVITAMIN TAB |
5.6 |
4305202 |
FELODIPINE ER TAB [5MG] |
6.4 |
4305210 |
METFORMIN TAB [1000MG] |
6.1 |
4305213 |
FAMOTIDINE TAB [20MG] |
6.1 |
4305214 |
CARVEDILOL TAB [12.5MG] |
8.5 |
4305221 |
EZETIMIBE TAB [10MG] |
30.9 |
4305223 |
CARBAMAZEPINE ER TAB [100 |
6.2 |
4305225 |
HALOPERIDOL 2MG |
4.7 |
4305226 |
HALOPERIDOL TAB [1MG] |
5.6 |
4305230 |
NEOSTIGMINE INJ [5MG/10M |
172 |
4305284 |
ROPINIROLE TAB [1MG] |
10 |
4305314 |
PEG 3350/LYTES [2L] |
191 |
4305337 |
CONJUGATED ESTROGENS TAB |
5.4 |
4305350 |
ACIDOPHILUS TAB [50 MILUN |
5.6 |
4305353 |
INSULN NOVOLOG 70/30 10ML |
182.2 |
4305400 |
HYDROCOD/APAP TAB 5/325MG |
7 |
4305446 |
SALMETEROL MDI 50MCG [60D |
903 |
4305456 |
DILTIAZEM ER CAP [300MG] |
10.8 |
4305457 |
CEFOXITIN INJ [1GM] |
153.1 |
4305465 |
CARBIDOPA/LEVODOPA ER TAB |
7.6 |
4305488 |
ACTIVATED CHARCOAL TUBE [ |
121.5 |
4305492 |
CETYLITE SPRAY [56GM] |
5.6 |
4305504 |
LEVALBUTEROL INHALATION SOL |
13 |
4305509 |
INSULIN LISPRO [100 UNITS |
26.6 |
4305510 |
INSULIN NPH/REG 70/30 [10 |
27.5 |
4305511 |
POTASSIUM CHL ER TAB [20M |
5.6 |
4305521 |
PAROXETINE ER TAB [25MG] |
17.8 |
4305525 |
RANITIDINE TAB [150MG] |
5.6 |
4305547 |
TOCOPHEROL CAP [200IU] |
5.6 |
4305548 |
VITAMIN K INJ [10MG/1ML] |
141 |
4305551 |
DARBEPOETIN INJ 100MCG |
1263.8 |
4305558 |
ATROPINE INJ SYR [1MG/10 |
60 |
4305563 |
CLOTRIMAZOLE VAG CRM |
24 |
4305564 |
ISOSORB MONO 15MG(.5X30 |
4.7 |
4305568 |
LEVAQUIN 250MG PO (.5/500 |
42.5 |
4305569 |
LEVOFLOXACIN TAB [500MG] |
50.5 |
4305575 |
GLYCOPYRROLATE INJ [0.4MG |
93 |
4305577 |
LEVOFLOXACIN TAB [750MG] |
73.900000000000006 |
4305590 |
PHENASEPTIC SPRAY [180ML] |
11.8 |
4305593 |
THIORIDAZINE TAB [10MG] |
5.6 |
4305600 |
HYDROXYZINE TAB [10MG] |
5.6 |
4305602 |
ATENOLOL TAB [50MG] |
5.6 |
4305603 |
ATENOLOL TAB [25MG] |
5.6 |
4305607 |
CANDESARTAN TAB [32MG] |
17.899999999999999 |
4305645 |
SOD POLY SULF SUSP [15GM] |
32.4 |
4305664 |
HYALURONATE SOD INJ [20MG |
760 |
4305669 |
GALANTAMINE TAB [8MG] |
19.3 |
4305691 |
DEMECLOCYCLINE TAB [300M |
51.2 |
4305704 |
FUROSEMIDE INJ [40MG] |
67 |
4305707 |
CANDESARTAN TAB [8MG] |
17.100000000000001 |
4305717 |
BUMETANIDE TAB [1MG] |
5.6 |
4305731 |
METOCLOPRAMIDE TAB [5MG] |
5.6 |
4305732 |
METRONIDAZOLE INJ [500MG/ |
46 |
4305738 |
METOCLOPRAMIDE INJ [10MG/ |
54 |
4305762 |
METRONIDAZOLE TAB [250MG] |
5.6 |
4305794 |
LEVALBUTEROL HFA MDI [45M |
245.7 |
4305800 |
MAGIC MOUTHWASH 8OZ BTL |
38.799999999999997 |
4305830 |
MORPHINE INJ (4MG/1ML) |
46 |
4305841 |
LEVALBUTEROL NEB SOLN [1. |
20.100000000000001 |
4305880 |
ARIXTRA INJ [2.5MG] |
159 |
4305888 |
MODAFINIL TAB [100MG] |
66.2 |
4305959 |
PROPAFENONE TAB [150MG] |
6.6 |
4305967 |
EPOETIN ALFA INJ [10,000 |
581 |
4305984 |
OFLOXACIN 0.3% OTIC [5ML |
94 |
4306006 |
Methylprednisolone 80mg Susp |
66.099999999999994 |
4306018 |
SITAGLIPTIN TAB [50MG] |
51.6 |
4306024 |
ACETAMINOPHEN TAB [80MG] |
5.6 |
4306057 |
EPINEPHRINE 1:10,000 SYR |
57 |
4306061 |
EPSOM SALT 4OZ |
4.7 |
4306100 |
DULOXETINE CAP [60MG] |
23.6 |
4306104 |
SODIUM BICARB 4.2% INJ [5 |
41 |
4306130 |
PANTOPRAZOLE TAB [40MG] |
16.399999999999999 |
4306137 |
DEPAKENE LIQ [250MG/5ML] |
5.6 |
4306139 |
VALACYCLOVIR TAB [500MG] |
21.7 |
4306152 |
THEOPHYLLINE ER TAB 300mg |
5.6 |
4306164 |
MAG CITRATE LIQ [300ML] |
5.6 |
4306171 |
MAGNESIUM OXIDE TAB [400M |
5.6 |
4306175 |
ROSIGLITAZONE TAB [4MG] |
18.8 |
4306195 |
LIDOCAINE 1% INJ [20ML] |
41 |
4306196 |
LIDOCAINE 2% INJ [20ML] |
50 |
4306220 |
Methylprednisolone 40mg Susp |
38.1 |
4306240 |
HYDROCOD/APAP TAB 10/325M |
7 |
4306250 |
CARVEDILOL TAB [6.25MG] |
8.6 |
4306257 |
COLESEVELAM TAB [625MG] |
5.6 |
4306259 |
ERYTHROMYCIN OPH OINT [3. |
53.9 |
4306328 |
CALCITRIOL CAP [0.25MCG] |
5.6 |
4306335 |
PNEUMONIA VACCINE/ADMIN |
47.7 |
4306336 |
PNEUMO PS 23 VAC |
230 |
4306342 |
COLLAGENASE 250U/GM OINT |
24.6 |
4306345 |
LEVOTHYROXINE TAB [0.112M |
5.7 |
4306352 |
FOSINOPRIL TAB [20MG] |
5.6 |
4306354 |
FAMCICLOVIR TAB [500MG] |
38.6 |
4306360 |
RIVASTIGMINE CAP [6MG] |
20.7 |
4306369 |
LEVOTHYROXINE TAB [0.075M |
5.6 |
4306370 |
LEVOTHYROXINE TAB [0.088M |
5.7 |
4306411 |
PROMETHAZINE INJ [25MG/1M |
43 |
4306453 |
MIRTAZAPINE TAB [30MG] |
11.2 |
4306454 |
SENNOSIDES TAB [8.6MG] |
5.6 |
4306479 |
MORPHINE ER TAB [15MG] |
6.7 |
4306498 |
AMILORIDE TAB [5MG] |
5.6 |
4306515 |
BUPROPION XL TAB [300MG] |
19.100000000000001 |
4306545 |
HYALURONATE SODIUM INJ [1 |
950 |
4306553 |
MIRTAZEPINE 15MG (.5/30 |
13.3 |
4306554 |
SALMETEROL 50MCG MDI [28D |
534 |
4306561 |
DIAPER RASH OINT [113GM] |
13.4 |
4306565 |
BUPROPION XL TAB [150MG] |
19.100000000000001 |
4306571 |
ZIPRASIDONE CAP [20MG] |
69.3 |
4306575 |
CIPROFLOXACIN 0.3% OPH OI |
335 |
4306582 |
QUETIAPINE TAB [25MG] |
14.9 |
4306588 |
QUETIAPINE TAB [200MG] |
38.6 |
4306598 |
LIDOCAINE/EPI 2% INJ [20M |
46 |
4306607 |
DERMATOP CREAM 0.1% 15 |
52 |
4306616 |
AMOXICILLIN 125MG/5ML [10 |
17.8 |
4306624 |
LOPERAMIDE CAP [2MG] |
5.6 |
4306626 |
METOPROLOL ER TAB [50MG] |
5.6 |
4306628 |
METOPROLOL ER TAB [25MG] |
5.6 |
4306631 |
TOBRAMYCIN/DEX OPH OINT [ |
340 |
4306637 |
TOBRAMYCIN 0.3% OPH SOLN |
30 |
4306638 |
TENECTEPLASE INJ [50MG] |
5875 |
4306640 |
TOBRAMYCIN INJ [80MG/2MLM |
50 |
4306641 |
TOBRAMYCIN OPHTH OINT [3. |
515 |
4306655 |
FLUVASTATIN ER TAB [80MG] |
38.799999999999997 |
4306670 |
MEROPENEM INJ [500MG] |
83 |
4306696 |
SUCRALFATE TABLET 1 GM |
5.6 |
4306709 |
MICONAZOLE POWDER |
13.3 |
4306737 |
LORATIDINE-D 12 HR TAB |
5.4 |
4306789 |
BICALUTAMIDE TAB [50MG] |
54.8 |
4306855 |
LIDOCAINE 2% JELLY [30ML) |
37.200000000000003 |
4306951 |
LEVOFLOXACIN INJ [500MG/2 |
162.19999999999999 |
4306960 |
CEFTRIAXONE INJ [250MG] |
38.799999999999997 |
4306969 |
TIOTROPIUM INHAL 18MCG [5 |
283.60000000000002 |
4306985 |
LAMOTRIGINE TAB [100MG] |
10 |
4307010 |
LEVETIRACETAM TAB [500MG] |
5.6 |
4307106 |
KETOROLAC INJ [15MG/1ML] |
54 |
4307107 |
KETOROLAC INJ [60MG/2ML] |
52 |
4307143 |
OXYTOCIN INJ [10UNITS] |
44 |
4307158 |
COSYNTROPIN INJ [0.25MG] |
256 |
4307318 |
ZOLPIDEM TAB [5MG] |
14.9 |
4307342 |
PIROXICAM CAP [20MG] |
18 |
4307348 |
PLETAL 50MG TAB |
9 |
4307384 |
CILOSTAZOL TAB 100MG |
7.3 |
4307430 |
DORZOLAMIDE/TIMOLOL [10ML |
215 |
4307440 |
NABUMETONE TAB [500MG] |
5.6 |
4307442 |
PINDOLOL TAB [10MG] |
7.2 |
4307445 |
LINEZOLID TAB [600MG] |
409 |
4307455 |
LIDOCAINE 5% PATCH |
30.9 |
4307463 |
PEG 3350/LYTES [4000ML] |
69 |
4307529 |
ENOXAPARIN INJ [120MG] |
240 |
4307530 |
FLUTICASONE NASAL SPRAY [ |
171 |
4307544 |
ARIPIPRAZOLE TAB (10MG) |
96.3 |
4307611 |
AZELASTINE NASAL SPY [30M |
284 |
4307661 |
METHYLDOPA TAB [250MG] |
5.6 |
4307696 |
ISOSORBIDE MONONITRATE ER |
5.6 |
4307698 |
ISOSORBIDE DINITRATE TAB |
5.4 |
4307700 |
AZITHROMYCIN TAB [250MG] |
11.7 |
4307716 |
TRIAMCINOLONE NASAL BTL [ |
239 |
4307721 |
HYDROCHLOROTHIAZIDE TAB [ |
5.6 |
4307727 |
INDOMETHACIN CAP [50MG] |
5.6 |
4307739 |
BUPIVACAINE 0.25% INJ [30 |
69 |
4307740 |
BUPIVACAINE 0.5% INJ [50M |
59 |
4307742 |
BUPIVACAINE W EPI 0.5% IN |
99 |
4307743 |
SENNOSIDES/DOCUSATE TAB [ |
5.6 |
4307744 |
METOLAZONE TAB [2.5MG] |
13.2 |
4307750 |
VECURONIUM INJ [10MG] |
78 |
4307752 |
SOTALOL TAB [80MG] |
10.3 |
4307756 |
CEFUROXIME TAB [250MG] |
17.600000000000001 |
4307800 |
AZITHROMYCIN INJ [500MG] |
71 |
4307812 |
DICLOXACILLIN CAP [250MG] |
5.4 |
4307813 |
CEFTRIAXONE INJ [1GM] |
48 |
4307815 |
PYRIDOSTIGMINE TAB [30MG |
5.4 |
4307829 |
PEGFILGRASTIM INJ [6MG/0. |
9725 |
4307833 |
POTASSIUM/PHOSPHOROUS PKT |
5.6 |
4307843 |
ZOLEDRONIC ACID INJ [4MG] |
2170.8000000000002 |
4307852 |
MEGESTROL LIQ [800MG/20ML |
36 |
4307855 |
ESZOPICLONE TAB [3MG] |
56.5 |
4307865 |
LAMOTRIGINE TAB [25MG] |
16.7 |
4307874 |
GABAPENTIN CAP [300MG] |
5.6 |
4307878 |
FOLACIN/B12/B6 TAB |
5.6 |
4307885 |
DICLOFENAC TAB (50MG) |
6.3 |
4307887 |
VENLAFAXINE XR CAP [37.5M |
16.7 |
4307896 |
PREDNISOLONE 1% OPH SUSP |
194 |
4307899 |
NEFAZODONE TAB [150MG] |
19.600000000000001 |
4307979 |
GLIMEPIRIDE TAB [4MG] |
5.6 |
4308001 |
URSODIOL CAP [300MG] |
22.1 |
4308020 |
BISOPROLOL TAB [5MG] |
5.6 |
4308100 |
CITALOPRAM TAB [20MG] |
10.8 |
4308118 |
IBUPROFEN TAB [800MG] |
5.6 |
4308210 |
INSULIN REG HUMAN [100 UN |
100 |
4308212 |
INSULIN GLARGINE [100 UNI |
32 |
4308216 |
ARTIFICIAL TEARS OP OINT |
14.8 |
4308217 |
ARTIFICIAL TEARS OPH [15M |
10 |
4308238 |
IMIPRAMINE TAB [25MG] |
5.6 |
4308239 |
IMIPRAMINE TAB [50MG] |
5.4 |
4308240 |
SUMATRIPTAN INJ [6MG/0.5M |
331 |
4308270 |
VITAMIN B COMPLEX CAP |
5.6 |
4308272 |
DOCUSATE SOD LIQ [100MG/1 |
5.6 |
4308273 |
BUPIVACAINE PF 0.25% [10M |
53 |
4308274 |
CYANOCOBALAMINE TAB [500M |
5.6 |
4308275 |
FOSPHENYTOIN INJ [100MG/ |
115 |
4308276 |
IOPAMIDOL 41% INJ [10ML] |
181 |
4308278 |
HEPARIN BAG 100 UNIT/ML [ |
46.9 |
4308279 |
ERTAPENEM INJ [1GM] |
303 |
4308280 |
CHOLECALCIFEROL TAB [400 |
5.6 |
4308281 |
BENAZEPRIL TAB [20MG] |
5.6 |
4308283 |
CEFEPIME INJ [1GM] |
64 |
4308311 |
WARFARIN TAB [1MG] |
5.6 |
4308321 |
WARFARIN TAB [4MG] |
5.6 |
4308354 |
CLOPIDOGREL TAB [75MG] |
17.5 |
4308383 |
PHENYTOIN INJ [100MG/2ML] |
42 |
4308394 |
OLOPATADINE OPH DROP 0.1% |
430 |
4308401 |
ROPINIROLE TAB [0.5MG] |
10 |
4308423 |
FLOVENT INHLR 110MCG/7.9G |
156.6 |
4308426 |
FLUTICASONE 110MCG MDI [1 |
584 |
4308489 |
PIOGLITAZONE TAB [30MG} |
32.200000000000003 |
4308491 |
RISEDRONATE TAB [35MG] |
99.3 |
4308509 |
CIPROFLOXACIN 0.3% OPH DR |
95 |
4308510 |
CIPROFLOXACIN TAB [500MG] |
22 |
4308512 |
CIPROFLOXACIN TAB [250MG |
16.399999999999999 |
4308518 |
MESALAMINE TAB [400MG] |
8.8000000000000007 |
4308527 |
PRAZOSIN CAP [1MG] |
5.6 |
4308537 |
BENAZEPRIL TAB [5MG] |
5.6 |
4308546 |
LEVOTHYROXINE TAB [0.05MG |
5.6 |
4308549 |
LIP BALM TUBE |
5.6 |
4308564 |
KETOCONAZOLE CRM [15GM] |
26.3 |
4308569 |
GLUCOSAMINE/CHONDROITIN C |
5.6 |
4308571 |
OLOPATADINE 0.2% OPH [2.5 |
275 |
4308581 |
GLIPIZIDE TAB [5MG] |
5.6 |
4308636 |
PROPRANOLOL TAB [20MG] |
5.6 |
4308637 |
HYDROXYUREA CAP [500MG] |
5.6 |
4308642 |
OMEPRAZOLE CAP [20MG] |
12.8 |
4308651 |
PHENYTOIN LIQ [125MG/5ML] |
5.6 |
4308654 |
LEVOBUNOLOL 0.5% OPH DROP |
49 |
4308711 |
TOLTERODINE LA CAP [4MG] |
24.1 |
4308718 |
TOLTERODINE LA CAP [2MG] |
40.700000000000003 |
4308739 |
ROPINIROLE TAB [0.25MG] |
10 |
4308774 |
ACYCLOVIR 5% OINT [15 GM] |
486.7 |
4308829 |
IBUPROFEN TAB [200MG] |
5.6 |
4308848 |
OXCARBAZEPINE TAB [300MG] |
10.6 |
4308858 |
ROCURONIUM INJ [50MG/5ML] |
60 |
4308862 |
METOPROLOL TARTRATE TAB [ |
5.6 |
4308863 |
METOPROLOL TARTRATE TAB [ |
5.6 |
4308868 |
METOPROLOL INJ [5MG] |
49 |
4308878 |
PREGABALIN CAP [50MG] |
21 |
4308879 |
PREGABALIN CAP [25MG] |
19 |
4308880 |
LORAZEPAM INJ [2MG] |
50 |
4308896 |
MUPIROCIN OINT [22GM] |
37.5 |
4308901 |
NORTRIPTYLINE CAP [75MG] |
8.9 |
4308965 |
FLUDROCORTISONE TAB [0.1M |
6.4 |
4308966 |
FORADIL 12MCG INHLR 60DOS |
226.2 |
4308989 |
PRIMIDONE TAB [50MG] |
5.6 |
4309034 |
ENOXAPARIN INJ [30MG] |
85 |
4309035 |
ENOXAPARIN INJ [60MG] |
133 |
4309038 |
ENOXAPARIN INJ [100MG] |
224 |
4309039 |
ENOXAPARIN INJ [80MG] |
184 |
4309040 |
ENOXAPARIN INJ [40MG] |
107 |
4309050 |
ENOXAPARIN INJ [150MG] |
294 |
4309056 |
BETAMETHASONE DIP CRM [45 |
212 |
4309057 |
BETAMETH VAL CRM 0.1% [1 |
5.6 |
4309061 |
NATALIZUMAB INJ (300MG/15 |
6950 |
4309067 |
RABIES VACCINE INJ |
354.7 |
4309071 |
TET/DIP/ACEL PERTU VAC IN |
121 |
4309090 |
PEG 3350 POWDER [17GM] |
6.6 |
4309121 |
NALOXONE INJ [0.4MG/1ML] |
130 |
4309201 |
GOSERELIN SYR [10.8MG] |
3270 |
4309202 |
GOSERELIN SYR [3.6MG] |
1332 |
4309221 |
CYCLOGYL 1% OPH [2ML] |
17 |
4309300 |
LUBRISKIN LOTION [473ML] |
20 |
4309302 |
TACROLIMUS ANHYDROUS CAP |
14.4 |
4309410 |
IOPAMIDOL INJ 61% [15ML] |
211 |
4309459 |
TRIAMCINOLONE ACET INJ [2 |
140 |
4309554 |
DULOXETINE CAP [20MG] |
7 |
4309556 |
THYMOL/MENTH/GLYC/CAL OIN |
17.8 |
4309588 |
DIP/TET VAC INJ [0.5ML] |
140 |
4309608 |
MEPERIDINE INJ [100MG/1ML |
63 |
4309648 |
GLYBURIDE TAB [5MG] |
5.6 |
4309665 |
GALANTAMINE TAB [4MG] |
19.3 |
4309667 |
GALANTAMINE ER CAP [16MG] |
38.5 |
4309676 |
EPOETIN ALFA INJ (40,000 |
2099 |
4309721 |
ACETYLCYSTEINE 20% INHAL |
15 |
4309750 |
ARIPIPRAZOLE VL [9.75MG/1 |
92 |
4309812 |
ALBUTEROL/IPRATROPIUM NEB |
8.8000000000000007 |
4309867 |
CEFDINIR 125MG/5ML [60ML] |
153 |
4309868 |
LEVOTHYROXINE TAB [0.025M |
5.6 |
4309877 |
TRANDOLAPRIL TAB [2MG] |
5.6 |
4309885 |
ESOMEPRAZOLE CAP [40MG] |
30.2 |
4309887 |
CEFDINIR CAP [300MG] |
15.4 |
4309931 |
TAMSULOSIN CAP [0.4MG] |
16.899999999999999 |
4309954 |
STRESS VITAMINS W ZINC TA |
5.6 |
4309982 |
NYSTATIN/TRIAMCINOLONE CR |
320 |
4309986 |
PAROXETINE TAB [20MG] |
11.8 |
4309998 |
FOSINOPRIL TAB [10MG] |
5.6 |
4309999 |
GLUCOSE GEL [15GM} |
15.8 |
4330002 |
ISOVUE 370 INJ/ML 1-75ml |
6.4 |
4330003 |
GADOTERIDOL PER ML/1-5ML |
16.100000000000001 |
4330004 |
GADOTERIDOL PER ML/6-10ML |
16.100000000000001 |
4330005 |
GADOTERIDOL PR ML/11-15ML |
16.100000000000001 |
4330010 |
ISOVUE 370 INJ/ML 76-100ml |
6.7 |
4330011 |
ROPIVICAINE INJ 0.5% 20ML |
0.7 |
4330012 |
IOPAMIDOL INJ 61% 15ML |
15.8 |
4330215 |
GADOLIN INJ PR ML/1-5ML |
16.100000000000001 |
4331094 |
TC99M ALBUMN AGR TO10MCI |
120 |
4331097 |
TC99M MEBROFENIN TO 15MCI |
129.6 |
4331323 |
IOVERSL320 PR ML/51-100ML |
6.4 |
4331690 |
RENOGRAFIN-60 |
61 |
4333004 |
XENON 133 PER 10MCI |
158.5 |
4333005 |
TC99M MERTIATIDE TO 15MCI |
316 |
4333059 |
TC99M MEDRONATE TO 30MCI |
153.19999999999999 |
4333490 |
SINCALIDE INJ 5MCG |
219.6 |
4339003 |
TC99M OXIDRONATE TO 30MCI |
158.5 |
4339500 |
TC99M SESTAMIBI PER STUDY |
404.9 |
4339505 |
TC99M THALLIUM 201/MCI |
110.3 |
4339519 |
TC99M TECHNETIUM TO 10MCI |
187.5 |
4339540 |
TC99M SULFUR COL TO 20MCI |
137.1 |
4339952 |
GADOLIN INJ PR ML/11-20ML |
16.100000000000001 |
4340000 |
IVF Lactated Ringers 500ml |
76 |
4340001 |
IVF D5W 500ML NON DEHP/PVC |
76 |
4340177 |
IVF 0.45% NACL W/20MEQ KC |
92 |
4344015 |
IVF NACL 0.9% 1000ML W KC |
92 |
4344016 |
IVF D5W 500ML BAG |
76 |
4344018 |
IVF D5W 1000ML BAG |
92 |
4344019 |
IVF D5/LACT RINGERS 1000M |
92 |
4344024 |
IVF D5W PARTIAL FILL 100M |
53 |
4344025 |
IVF HEPARIN 25,000 UNIT/0 |
90.9 |
4344029 |
IVF LACTATED RINGERS 1000 |
92 |
4344031 |
IVF NACL 0.9% 500ML BAG |
78.94 |
4344032 |
IVF NACL 0.9% 100ml PARTIAL |
53 |
4344036 |
IVF NACL 0.9% 250ML PART |
67 |
4344037 |
IVF LIDOCAINE/D5W 2GM/500 |
21 |
4344100 |
IVF NACL 0.9% 100ml MIX Bag |
53 |
4344304 |
IVF 0.45% NACL 1000ML BAG |
92 |
4344520 |
IVF D5/0.45% NACL W/20MEQ |
92 |
4344904 |
IVF NACL 0.9% 1000ML |
92 |
4347704 |
IVF D5/0.2% NACL 1000ML B |
92 |
4348504 |
IVF D5/0.45% NACL 1000ML |
92 |
4349804 |
IVF D5/0.9% NACL 1000ML |
92 |
4350001 |
U/S GUIDED NEEDLE PLACEMENT |
204 |
4350963 |
ANESTHESIA(MD)-PER PT |
109 |
4353300 |
ANESTHESIA(CRNA)-PER PT |
109 |
4361000 |
BOOK-COMPLETE FOOD COUNT |
12.48 |
4370001 |
DIATHERMY (MICROWAVE) |
30 |
4370002 |
PHYS PERFORM TEST/15 MIN |
97 |
4370003 |
PROSTHETIC TRAINING/15MIN |
71 |
4370004 |
ORTHO MGT & TRAIN/15MIN |
88 |
4370005 |
CHECKOUT ORTHO/PROS/15MIN |
62 |
4370006 |
MUSCLE TESTING,MANUAL |
76 |
4370007 |
RANGE OF MOTION MEASURE |
45 |
4370008 |
ELECT STIM W/O WOUND-UNAT |
69 |
4370009 |
ELECT STIM FOR WOUND-UNAT |
80 |
4370010 |
THERAPEUTIC EXERCISE-GRP |
75 |
4370011 |
DEBRIDEMENT-NONSELECTIVE |
154 |
4370012 |
PHYS THER < 8 MIN |
0.01 |
4370013 |
MOBILITY-WALK & MOVE-CURRENT |
0.01 |
4370014 |
CHNG & MAINTN BODY POS-CURRENT |
0.01 |
4370015 |
CARRY,MOVE & HANDLE OBJ-CURRENT |
0.01 |
4370016 |
SELF-CARE-CURRENT |
0.01 |
4370017 |
OTHER PT PRIMARY-CURRENT |
0.01 |
4370018 |
OTHER PT SUBSEQUENT-CURRENT |
0.01 |
4370019 |
MOBILITY-WALK & MOVE-GOAL |
0.01 |
4370020 |
MOBILITY-WALK & MOVE-D/C |
0.01 |
4370021 |
CHNG & MAINTN BODY POS-GOAL |
0.01 |
4370022 |
CHNG & MAINTN BODY POS-D/C |
0.01 |
4370023 |
CARRY,MOVE & HANDLE OBJ-GOAL |
0.01 |
4370024 |
CARRY,MOVE & HANDLE OBJ-D/C |
0.01 |
4370025 |
SELF-CARE-GOAL |
0.01 |
4370026 |
SELF-CARE-D/C |
0.01 |
4370027 |
OTHER PT PRIMARY-GOAL |
0.01 |
4370028 |
OTHER PT PRIMARY-D/C |
0.01 |
4370029 |
OTHER PT SUBSEQUENT-GOAL |
0.01 |
4370030 |
OTHER PT SUBSEQUENT-D/C |
0.01 |
4370031 |
WHEELCHAIR MGT/15 MIN |
91 |
4372115 |
BACK SCREEN |
29 |
4372124 |
ULTRASOUND/15MIN ATND |
69 |
4372126 |
ELECTRIC STIMULATION-UNAT |
69 |
4372127 |
TENS |
82 |
4372128 |
VASOPNEUMATIC DEVICES |
66 |
4372129 |
DEBRIDEMENT<= 20 SQ CENT |
209 |
4372135 |
MASSAGE |
58 |
4372136 |
MANUAL THERAPY PER 15MIN |
91 |
4372137 |
ADL PER 15 MIN |
84 |
4372138 |
EXERCISE 15 MIN |
84 |
4372140 |
GAIT PER 15 MINUTES |
84 |
4372143 |
WHIRLPOOL, SMALL |
93 |
4372147 |
CONTRAST BATH/15 MIN ATND |
53 |
4372154 |
IONTOPHORESES/15MIN ATND |
96 |
4372155 |
PARAFIN BATH TX |
61 |
4372156 |
STRAP/TAPE KNEE PROC |
62 |
4372157 |
SPLINT/SPC J SM-PROCEDURE |
24 |
4372158 |
TENS RE-EVAL |
80 |
4372159 |
KINETIC EX 15 MIN |
84 |
4372162 |
EDUCATION & TRAINING/EMPL |
37 |
4372163 |
PT EVAL LOW |
177 |
4372164 |
PT EVAL MODERATE |
177 |
4372165 |
PT EVAL HIGH |
177 |
4372166 |
PT RE-EVAL |
100 |
4372167 |
AQUATIC EXERCISE 15 MIN |
102 |
4372197 |
ELECTRIC STIM-ATTEND/15MN |
70 |
4372924 |
STRAP/TAPE SHOULDER PROC |
53 |
4372954 |
STRAP/TAPE ANKL/FOOT PROC |
53 |
4377012 |
TRACTION, MECHANICAL |
72 |
4377535 |
ADL FIT ASST DEVICE/15MIN |
84 |
4377537 |
COMM/WRK REINT 1:1/15 MIN |
61 |
4379711 |
NEUROMUSCULAR RE-ED |
89 |
4379753 |
THERAPUTIC ACTIVITY/15MIN |
91 |
4379759 |
DEBRDMNT EA ADD20 SQ CENT |
70 |
4380010 |
CARDIAC REHAB |
234 |
4390002 |
BIPAP 1ST DAY |
1350 |
4390003 |
BIPAP SUBSEQUENT |
1185 |
4390004 |
FLUTTER VALVE INITIAL |
189 |
4390005 |
FLUTTER VALVE SUBSEQUENT |
153 |
4390007 |
EZ PAP SUBSEQUENT |
172 |
4390008 |
BRONCHODILATOR/PFT |
168 |
4390009 |
MDI ADMIN SUBSEQUENT |
172 |
4390010 |
DLCO (DIFFUSION) |
456 |
4390011 |
LV BY PLETHYSMOGRAPHY |
515 |
4390014 |
PENTAMIDINE AEROSOL |
197 |
4390016 |
OMAHA STEEL FIT TESTING |
12 |
4390017 |
HOME SLEEP TEST |
341 |
4390239 |
PULMO REHAB |
233 |
4392214 |
NOCTURNAL TREND OXIM |
318 |
4392404 |
CPT(POSTURAL DRAIN) SUBSQ |
153 |
4392415 |
SUCTION SPUTUM COLLECTION |
94 |
4392504 |
CPT(POSTURAL DRAIN)INITAL |
189 |
4393150 |
TRACH CHANGE |
229 |
4393660 |
ARTERIAL PUNCTURE |
91 |
4394620 |
6 MIN WALK PULMO STRESS TEST |
451 |
4394660 |
CPAP |
532 |
4394664 |
DEMO/EVAL AR/NB/MDI/IPPB |
171 |
4394760 |
OXIMETRY SINGLE/PER DAY |
80 |
4394761 |
OXIMETRY MULTIPLE/PER DAY |
248 |
4395811 |
POLYSOMNOGRAPHY & CPAP |
4083 |
4397616 |
VENT MGT INPAT/OBSV DAY 1 |
1350 |
4397617 |
VENT MGT INPAT/OBS SUBDAY |
1185 |
4399406 |
PFT (PRE-POST)/BRONCO |
582 |
4399407 |
PFT (SPIROMETRY)-SIMPLE |
278 |
4399466 |
NEBULIZER TX-EACH ADD/DAY |
172 |
4399477 |
END TIDAL CO2 |
430 |
4399581 |
POLYSOMNOGRAPHY |
3728 |
4570000 |
OCC THER < 8 MIN |
0.01 |
4570001 |
MOBILITY-WALK & MOVE-CURRENT |
0.01 |
4570002 |
CHNG & MAINTN BODY POS-CURRENT |
0.01 |
4570003 |
CARRY,MOVE & HANDLE OBJ-CURRENT |
0.01 |
4570004 |
SELF-CARE-CURRENT |
0.01 |
4570005 |
OTHER OT PRIMARY-CURRENT |
0.01 |
4570006 |
OTHER OT SUBSEQUENT-CURRENT |
0.01 |
4570007 |
SPOKEN LANGUAGE COMP-CURRENT |
0.01 |
4570008 |
SPOKEN LANGUAGE EXP-CURRENT |
0.01 |
4570009 |
ATTENTION-CURRENT |
0.01 |
4570010 |
MEMORY-CURRENT |
0.01 |
4570011 |
MOBILITY-WALK & MOVE-GOAL |
0.01 |
4570012 |
MOBILITY-WALK & MOVE-D/C |
0.01 |
4570013 |
CHNG & MAINTN BODY POS-GOAL |
0.01 |
4570014 |
CHNG & MAINTN BODY POS-D/C |
0.01 |
4570015 |
CARRY,MOVE & HANDLE OBJ-GOAL |
0.01 |
4570016 |
CARRY,MOVE & HANDLE OBJ-D/C |
0.01 |
4570017 |
SELF-CARE-GOAL |
0.01 |
4570018 |
SELF-CARE-D/C |
0.01 |
4570019 |
OTHER OT PRIMARY-GOAL |
0.01 |
4570020 |
OTHER OT PRIMARY-D/C |
0.01 |
4570021 |
OTHER OT SUBSEQUENT-GOAL |
0.01 |
4570022 |
OTHER OT SUBSEQUENT-D/C |
0.01 |
4570023 |
SPOKEN LANGUAGE COMP-GOAL |
0.01 |
4570024 |
SPOKEN LANGUAGE COMP-D/C |
0.01 |
4570025 |
SPOKEN LANGUAGE EXP-GOAL |
0.01 |
4570026 |
SPOKEN LANGUAGE EXP-D/C |
0.01 |
4570027 |
ATTENTION-GOAL |
0.01 |
4570028 |
ATTENTION-D/C |
0.01 |
4570029 |
MEMORY-GOAL |
0.01 |
4570030 |
MEMORY-D/C |
0.01 |
4572357 |
DEVEL COG SKILL/15MIN 1:1 |
91 |
4573357 |
SENSORY INTEGAT/15MIN 1:1 |
84 |
4574550 |
TENS RE-EVAL |
80 |
4575852 |
ROM MEASUREMENT-HAND |
45 |
4576455 |
TENS |
82 |
4577014 |
ELECTRIC STIM-UNATTENDED |
69 |
4577016 |
VASOPNEUMATIC DEVICES |
66 |
4577032 |
ELECTRIC STIM/15MN-ATTEND |
70 |
4577033 |
IONTOPHORESIS/15 MIN ATND |
96 |
4577034 |
CONTRAST BATH/15 MIN ATND |
53 |
4577035 |
ULTRASOUND/PHON/15MN ATND |
69 |
4577535 |
ADL TRAINING/15 MIN 1:1 |
84 |
4577602 |
DEBRIDEMENT-NONSELECT |
154 |
4579585 |
ROM MEASUREMENT-EXCL HAND |
45 |
4579701 |
OT PARAFIN BATH TX |
61 |
4579702 |
WHIRLPOOL-SM |
93 |
4579704 |
OT EVAL LOW |
177 |
4579705 |
OT EVAL MODERATE |
177 |
4579706 |
OT EVAL HIGH |
177 |
4579707 |
OT RE-EVAL |
90 |
4579710 |
THERAPEUT EXER/15MIN 1:1 |
84 |
4579711 |
NEUROMUSCULAR RE-ED |
89 |
4579712 |
MASSAGE |
58 |
4579714 |
MANUAL THERAPY/15 MIN |
91 |
4579715 |
THERAPEUTIC EXERCISE-GRP |
75 |
4579737 |
COMMUN/WK REINT/15MIN 1:1 |
61 |
4579750 |
ORTHO MGT/TRAIN/15MIN |
88 |
4579753 |
THERAP ACTIVITY/15MIN 1:1 |
91 |
4579754 |
WHEELCHAIR MGT/15MIN |
91 |
4579759 |
DEBRDMNT EA ADD20 SQ CENT |
70 |
4579760 |
DEBRIDEMENT<=20 SQ CENT |
209 |
4579770 |
CK ORTHO/PROSTH USE/15MIN |
62 |
4580000 |
SPEECH THER < 8 MIN |
0.01 |
4580001 |
SWALLOWING-CURRENT |
0.01 |
4580002 |
MOTOR SPEECH-CURRRENT |
0.01 |
4580003 |
SPOKEN LANGUAGE COMP-CURRENT |
0.01 |
4580004 |
SPOKEN LANGUAGE EXP-CURRENT |
0.01 |
4580005 |
ATTENTION-CURRENT |
0.01 |
4580006 |
MEMORY-CURRENT |
0.01 |
4580007 |
VOICE-CURRENT |
0.01 |
4580008 |
OTHER SLP-CURRENT |
0.01 |
4580009 |
SWALLOWING-GOAL |
0.01 |
4580010 |
SWALLOWING-D/C |
0.01 |
4580011 |
MOTOR SPEECH-GOAL |
0.01 |
4580012 |
MOTOR SPEECH-D/C |
0.01 |
4580013 |
SPOKEN LANGUAGE COMP-GOAL |
0.01 |
4580014 |
SPOKEN LANGUAGE COMP-D/C |
0.01 |
4580015 |
SPOKEN LANGUAGE EXP-GOAL |
0.01 |
4580016 |
SPOKEN LANGUAGE EXP-D/C |
0.01 |
4580017 |
ATTENTION-GOAL |
0.01 |
4580018 |
ATTENTION-D/C |
0.01 |
4580019 |
MEMORY-GOAL |
0.01 |
4580020 |
MEMORY-D/C |
0.01 |
4580021 |
VOICE-GOAL |
0.01 |
4580022 |
VOICE-D/C |
0.01 |
4580023 |
OTHER SLP-GOAL |
0.01 |
4580024 |
OTHER SLP-D/C |
0.01 |
4580025 |
EVAL OF SPEECH FLUENCY |
300 |
4580026 |
EVAL OF LANG COMP/EXPRESSION |
300 |
4580027 |
EVAL OF SPEECH DYSARTHRIA |
300 |
4580028 |
EVAL OF QUALITATIVE VOICE & RESONANCE |
300 |
4580029 |
STANDARD COG PERF TESTING |
281 |
4580030 |
THERAPEUTIC INTERVENTION |
227 |
4580196 |
SWALL EVAL PER MOT FLUORO |
436 |
4586111 |
SP TH DEV TEST EXTENDED |
319 |
4586115 |
SP TH NEURO STAT EXAM/HR |
313 |
4587110 |
SP TH THER PROC EX/15MIN |
84 |
4587112 |
NEUROMUSCULAR RE-ED |
89 |
4587530 |
SP TH THER ACT 1 ON1/15MN |
91 |
4587532 |
SP TH DEV COG 1 ON 1/15MN |
91 |
4587533 |
SP TH SENSRY INTGRAT/15MN |
84 |
4587535 |
SP TH SELF CR/HM MGT/15MN |
84 |
4587537 |
SP TH COM/WK REINTGR/15MN |
61 |
4589207 |
SP TH TREATMENT OF SPEECH |
288 |
4589252 |
SP TH EVAL SWALLOW FUNCT |
321 |
4589256 |
TX SWALL DYSF/ORAL FUNCT |
279 |
4589568 |
EVAL SP GEN DEV EA ADD 30 |
66 |
4589597 |
EVAL SP GEN DEVICE 1ST HR |
320 |
4589598 |
THER SERV SP GEN DEVICE |
224 |
4589610 |
ASSMNT APHASIA W/INT /HR |
307 |
4600001 |
ACCU CK TEST& PROF FEE/EA |
3 |
4600002 |
AERO-BASIC-TX PROF FEE/EA |
1.5 |
4600003 |
INJECT-BASIC- PROF FEE/EA |
2 |
4600004 |
INJECT-ADV-PROF FEE/EA |
5 |
4600005 |
AERO-ADV-TX PROF FEE/EA |
3 |
4600006 |
INSERT TUBE/CATH PROF FEE |
20 |
4600007 |
SUCTION(MACH/CAN/TUB)/DAY |
5 |
4600008 |
CATH TRAY 18 FR |
6.35 |
4600011 |
VAN CHRG/PER MILE,MCAD PERSONAL |
0.6 |
4600012 |
VAN CHRG-WAHOO,MCAD PERSONAL |
22 |
4600013 |
VAN CHRG STAFF FEE/HR,MCAD PERSONAL |
17 |
4600015 |
WHEELCHAIR, EXTRA HEAVY-DUTY |
1843 |
4600016 |
WHEELCHAIR HEEL LOOP/HOLDER,EACH |
20 |
4600017 |
WHEELCHAIR WHEEL LOCK BRAKE EXT, EACH |
31 |
4600018 |
WHEELCHAIR (MAN) ANTI TIP DEVICE,EACH |
45 |
4600021 |
WHEELCHAIR (MAN) NS SEAT WIDTH 24-27" |
386 |
4600022 |
WHEELCHAIR (MAN) NS SEAT DEPTH 20-22" |
495 |
4600023 |
WHEELCHAIR P&P CUSHION 22" OR > |
360 |
4600024 |
WHEELCHAIR SOLID SEAT SUPP BASE |
165 |
4600025 |
WHEELCHAIR BK CUSH W/LAT SUPP <22" WIDTH |
566 |
4600026 |
WHEELCHAIR LG FOOTPLATE,EACH |
54 |
4600027 |
WHEELCHAIR DYNAMIC FOOTREST COIL |
60 |
4600028 |
WHEELCHAIR (MAN) PUSH ACT POWER,EACH |
4911 |
4600029 |
WHEELCHAIR BRACKET INSTALL KIT |
505 |
4600031 |
WHEELCHAIR (MAN) PNEUMAT TIRE INSERT,EA |
31 |
4600032 |
WHEELCHAIR SEAT UPHOLSTERY REPLACE,EACH |
54 |
4600033 |
WHEELCHAIR BACK UPHOLSTERY REPLACE,EACH |
59 |
4600034 |
WHEELCHAIR CROSS BRACES |
77 |
4600035 |
WHEELCHAIR (MAN) TILT IN SPACE |
2443 |
4600036 |
WHEELCHAIR HEADREST W/FIXED MOUNT |
209 |
4600037 |
WHEELCHAIR MOUNTING HARDWARE |
214 |
4600038 |
WHEELCHAIR SEAT HEIGHT < 17" |
97 |
4600039 |
WHEELCHAIR LAT TRUNK/HIP SUPPORT |
102 |
4600301 |
L2 MCD HSPTL HOSP BEDHOLD |
86.81 |
4601001 |
VAN CHRG/PER MILE |
0.6 |
4601002 |
VAN CHRG-WAHOO |
22 |
4601003 |
VAN CHRG STAFF FEE/HR |
17 |
4601010 |
WHEELCHAIR PAD/CUSHION/MO |
10 |
4604131 |
AEROSOL EQUIP RENTAL/MO |
42 |
4604153 |
CATHETER COUDE W/5CC BAG |
15 |
4604155 |
CATH ROB |
7.6 |
4604156 |
CATH FOLEY 30CC ANY SIZE |
9.65 |
4604163 |
CATH TRAY W/BAG 16FR |
5.9 |
4604164 |
CATHETER/FEMALE |
6.4 |
4604165 |
CATH TRAY 5CC-14FR |
3 |
4604166 |
CATH TRAY-BLADDER CARE |
3.5 |
4604175 |
OXYGEN CONCENT RENTAL/DAY |
5.15 |
4604195 |
MATTRESS, EGG CRATE |
46.75 |
4604254 |
LEG BAG |
2.25 |
4604305 |
OXYGEN E-TANK |
5 |
4604356 |
TABS UNIT/MONTH |
35 |
4604369 |
TRAPEZE/MONTH |
11 |
4604375 |
URINARY DRAIN BAG |
25.4 |
4604380 |
WHEELCHAIR/MONTH |
26 |
4604381 |
WRIST BRACE |
19.739999999999998 |
4604456 |
CATH FOLEY 5CC |
11.4 |
4604553 |
CATHETER COUDE-STRAIGHT |
7.55 |
4604590 |
DRAINAGE BAG |
3.75 |
4604600 |
WOUND/SKIN TX,BASIC |
3 |
4604601 |
WOUND/SKIN TX,ADVANCED |
8 |
4605164 |
CATH/SPECIAL |
6.6 |
4605200 |
L1 I PP PA1-P |
184 |
4605201 |
L2 I MCD PA1-P |
184 |
4605202 |
L1 I PP PA1-SMP |
177 |
4605203 |
L2 I MCD PA1-SMP |
177 |
4605205 |
L2 I MCD PA1-PDX |
192 |
4605207 |
L2 I MCD PA1-MEM |
201 |
4605208 |
L1 II PP STS-P |
196 |
4605209 |
L2 II MCD STS-P |
196 |
4605210 |
L1 II PP IA1-P |
196 |
4605211 |
L2 II MCD IA1-P |
196 |
4605212 |
L1 II PP IA2-P |
196 |
4605213 |
L2 II MCD IA2-P |
196 |
4605214 |
L1 II PP PA2-P |
196 |
4605215 |
L2 II MCD PA2-P |
196 |
4605216 |
L1 II PP PB1-P |
196 |
4605217 |
L2 II MCD PB1-P |
196 |
4605218 |
L1 II PP PB2-P |
196 |
4605219 |
L2 II MCD PB2-P |
196 |
4605220 |
L1 II PP BA1-P |
196 |
4605221 |
L2 II MCD BA1-P |
196 |
4605222 |
L1 II PP BA2-P |
196 |
4605223 |
L2 II MCD BA2-P |
196 |
4605224 |
L1 II PP STS-SMP |
189 |
4605225 |
L2 II MCD STS-SMP |
189 |
4605226 |
L1 II PP IA1-SMP |
189 |
4605227 |
L2 II MCD IA1-SMP |
189 |
4605228 |
L1 II PP IA2-SMP |
189 |
4605229 |
L2 II MCD IA2-SMP |
189 |
4605230 |
L1 II PP PA2-SMP |
189 |
4605231 |
L2 II MCD PA2-SMP |
189 |
4605232 |
L1 II PP PB1-SMP |
189 |
4605233 |
L2 II MCD PB1-SMP |
189 |
4605234 |
L1 II PP PB2-SMP |
189 |
4605235 |
L2 II MCD PB2-SMP |
189 |
4605236 |
L1 II PP BA1-SMP |
189 |
4605237 |
L2 II MCD BA1-SMP |
189 |
4605238 |
L1 II PP BA2-SMP |
189 |
4605239 |
L2 II MCD BA2-SMP |
189 |
4605240 |
L1 II PP STS-PDX |
204 |
4605241 |
L2 II MCD STS-PDX |
204 |
4605243 |
L2 II MCD IA1-PDX |
204 |
4605244 |
L1 II PP IA2-PDX |
204 |
4605245 |
L2 II MCD IA2-PDX |
204 |
4605246 |
L1 II PP PA2-PDX |
204 |
4605247 |
L2 II MCD PA2-PDX |
204 |
4605248 |
L1 II PP PB1-PDX |
204 |
4605249 |
L2 II MCD PB1-PDX |
204 |
4605250 |
L1 II PP PB2-PDX |
204 |
4605251 |
L2 II MCD PB2-PDX |
204 |
4605252 |
L1 II PP BA1-PDX |
204 |
4605253 |
L2 II MCD BA1-PDX |
204 |
4605255 |
L2 II MCD BA2-PDX |
204 |
4605256 |
L1 II PP STS-MEM |
213 |
4605257 |
L2 II MCD STS-MEM |
213 |
4605259 |
L2 II MCD IA1-MEM |
213 |
4605261 |
L2 II MCD IA2-MEM |
213 |
4605262 |
L1 II PP PA2-MEM |
213 |
4605263 |
L2 II MCD PA2-MEM |
213 |
4605264 |
L1 II PP PB1-MEM |
213 |
4605265 |
L2 II MCD PB1-MEM |
213 |
4605266 |
L1 II PP PB2-MEM |
213 |
4605267 |
L2 II MCD PB2-MEM |
213 |
4605269 |
L2 II MCD BA1-MEM |
213 |
4605271 |
L2 II MCD BA2-MEM |
213 |
4605272 |
L1 III PP PC1-P |
206 |
4605273 |
L2 III MCD PC1-P |
206 |
4605274 |
L1 III PP PC2-P |
206 |
4605275 |
L2 III MCD PC2-P |
206 |
4605276 |
L1 III PP PD1-P |
206 |
4605277 |
L2 III MCD PD1-P |
206 |
4605278 |
L1 III PP PD2-P |
206 |
4605279 |
L2 III MCD PD2-P |
206 |
4605280 |
L1 III PP IB1-P |
206 |
4605281 |
L2 III MCD IB1-P |
206 |
4605282 |
L1 III PP IB2-P |
206 |
4605283 |
L2 III MCD IB2-P |
206 |
4605284 |
L1 III PP BB1-P |
206 |
4605285 |
L2 III MCD BB1-P |
206 |
4605286 |
L1 III PP BB2-P |
206 |
4605287 |
L2 III MCD BB2-P |
206 |
4605288 |
L1 III PP PC1-SMP |
199 |
4605289 |
L2 III MCD PC1-SMP |
199 |
4605290 |
L1 III PP PC2-SMP |
199 |
4605291 |
L2 III MCD PC2-SMP |
199 |
4605292 |
L1 III PP PD1-SMP |
199 |
4605293 |
L2 III MCD PD1-SMP |
199 |
4605294 |
L1 III PP PD2-SMP |
199 |
4605295 |
L2 III MCD PD2-SMP |
199 |
4605296 |
L1 III PP IB1-SMP |
199 |
4605297 |
L2 III MCD IB1-SMP |
199 |
4605298 |
L1 III PP IB2-SMP |
199 |
4605299 |
L2 III MCD IB2-SMP |
199 |
4605300 |
L1 III PP BB1-SMP |
199 |
4605301 |
L2 III MCD BB1-SMP |
199 |
4605302 |
L1 III PP BB2-SMP |
199 |
4605303 |
L2 III MCD BB2-SMP |
199 |
4605304 |
L1 III PP PC1-PDX |
214 |
4605305 |
L2 III MCD PC1-PDX |
214 |
4605306 |
L1 III PP PC2-PDX |
214 |
4605307 |
L2 III MCD PC2-PDX |
214 |
4605308 |
L1 III PP PD1-PDX |
214 |
4605309 |
L2 III MCD PD1-PDX |
214 |
4605310 |
L1 III PP PD2-PDX |
214 |
4605311 |
L2 III MCD PD2-PDX |
214 |
4605312 |
L1 III PP IB1-PDX |
214 |
4605313 |
L2 III MCD IB1-PDX |
214 |
4605314 |
L1 III PP IB2-PDX |
214 |
4605315 |
L2 III MCD IB2-PDX |
214 |
4605316 |
L1 III PP BB1-PDX |
214 |
4605317 |
L2 III MCD BB1-PDX |
214 |
4605318 |
L1 III PP BB2-PDX |
214 |
4605319 |
L1 III MCD BB2-PDX |
214 |
4605320 |
L1 III PP PC1-MEM |
223 |
4605321 |
L2 III MCD PC1-MEM |
223 |
4605322 |
L1 III PP PC2-MEM |
223 |
4605323 |
L2 III MCD PC2-MEM |
223 |
4605324 |
L1 III PP PD1-MEM |
223 |
4605325 |
L2 III MCD PD1-MEM |
223 |
4605326 |
L1 III PP PD2-MEM |
223 |
4605327 |
L2 III MCD PD2-MEM |
223 |
4605328 |
L1 III PP IB1-MEM |
223 |
4605329 |
L2 III MCD IB1-MEM |
223 |
4605330 |
L1 III PP IB2-MEM |
223 |
4605331 |
L2 III MCD IB2-MEM |
223 |
4605332 |
L1 III PP BB1-MEM |
223 |
4605333 |
L2 III MCD BB1-MEM |
223 |
4605334 |
L1 III PP BB2-MEM |
223 |
4605335 |
L2 III PP BB2-MEM |
223 |
4605336 |
L1 IV PP PE1-P |
212 |
4605337 |
L2 IV MCD PE1-P |
212 |
4605338 |
L1 IV PP PE2-P |
212 |
4605339 |
L2 IV MCD PE2-P |
212 |
4605340 |
L1 IV PP CA1-P |
212 |
4605341 |
L2 IV MCD CA1-P |
212 |
4605342 |
L1 IV PP CA2-P |
212 |
4605343 |
L2 IV MCD CA2-P |
212 |
4605344 |
L1 IV PP CB1-P |
212 |
4605345 |
L2 IV MCD CB1-P |
212 |
4605346 |
L1 IV PP CB2-P |
212 |
4605347 |
L2 IV MCD CB2-P |
212 |
4605348 |
L1 IV PP CC1-P |
212 |
4605349 |
L2 IV MCD CC1-P |
212 |
4605350 |
L1 IV PP SSA-P |
212 |
4605351 |
L2 IV MCD SSA-P |
212 |
4605352 |
L1 IV PP RAA-P |
212 |
4605353 |
L2 IV MCD RAA-P |
212 |
4605354 |
L1 IV PP RAB-P |
212 |
4605355 |
L2 IV MCD RAB-P |
212 |
4605356 |
L1 IV PP PE1-SMP |
205 |
4605357 |
L2 IV MCD PE1-SMP |
205 |
4605358 |
L1 IV PP PE2-SMP |
205 |
4605359 |
L2 IV MCD PE2-SMP |
205 |
4605360 |
L1 IV PP CA1-SMP |
205 |
4605361 |
L2 IV MCD CA1-SMP |
205 |
4605362 |
L1 IV PP CA2-SMP |
205 |
4605363 |
L2 IV MCD CA2-SMP |
205 |
4605364 |
L1 IV PP CB1-SMP |
205 |
4605365 |
L2 IV MCD CB1-SMP |
205 |
4605366 |
L1 IV PP CB2-SMP |
205 |
4605367 |
L2 IV MCD CB2-SMP |
205 |
4605368 |
L1 IV PP CC1-SMP |
205 |
4605369 |
L2 IV MCD CC1-SMP |
205 |
4605370 |
L1 IV PP SSA-SMP |
205 |
4605371 |
L2 IV MCD SSA-SMP |
205 |
4605372 |
L1 IV PP RAA-SMP |
205 |
4605373 |
L2 IV MCD RAA-SMP |
205 |
4605374 |
L1 IV PP RAB-SMP |
205 |
4605375 |
L2 IV MCD RAB-SMP |
205 |
4605376 |
L1 IV PP PE1-PDX |
220 |
4605377 |
L2 IV MCD PE1-PDX |
220 |
4605378 |
L2 IV PP PE2-PDX |
220 |
4605379 |
L2 IV MCD PE2-PDX |
220 |
4605380 |
L1 IV PP CA1-PDX |
220 |
4605381 |
L2 IV MCD CA1-PDX |
220 |
4605382 |
L1 IV PP CA2-PDX |
220 |
4605383 |
L2 IV MCD CA2-PDX |
220 |
4605384 |
L1 IV PP CB1-PDX |
220 |
4605385 |
L2 IV MCD CB1-PDX |
220 |
4605386 |
L1 IV PP CB2-PDX |
220 |
4605387 |
L2 IV MCD CB2-PDX |
220 |
4605388 |
L1 IV PP CC1-PDX |
220 |
4605389 |
L2 IV MCD CC1-PDX |
220 |
4605390 |
L1 IV PP SSA-PDX |
220 |
4605391 |
L2 IV MCD SSA-PDX |
220 |
4605392 |
L1 IV PP RAA-PDX |
220 |
4605393 |
L2 IV MCD RAA-PDX |
220 |
4605394 |
L1 IV PP RAB-PDX |
220 |
4605395 |
L2 IV MCD RAB-PDX |
220 |
4605396 |
L1 IV PP PE1-MEM |
229 |
4605397 |
L2 IV MCD PE1-MEM |
229 |
4605398 |
L1 IV PP PE2-MEM |
229 |
4605399 |
L1 IV MCD PE2-MEM |
220 |
4605400 |
L1 IV PP CA1-MEM |
229 |
4605401 |
L2 IV MCD CA1-MEM |
229 |
4605402 |
L1 IV PP CA2-MEM |
229 |
4605403 |
L2 IV MCD CA2-MEM |
229 |
4605404 |
L1 IV PP CB1-MEM |
229 |
4605405 |
L2 IV MCD CB1-MEM |
229 |
4605406 |
L1 IV PP CB2-MEM |
229 |
4605407 |
L2 IV MCD CB2-MEM |
229 |
4605408 |
L1 IV PP CC1-MEM |
229 |
4605409 |
L2 IV MCD CC1-MEM |
229 |
4605410 |
L1 IV PP SSA-MEM |
229 |
4605411 |
L2 IV MCD SSA-MEM |
229 |
4605412 |
L1 IV PP RAA-MEM |
229 |
4605413 |
L2 IV MCD RAA-MEM |
229 |
4605414 |
L1 IV PP RAB-MEM |
229 |
4605415 |
L2 IV MCD RAB-MEM |
229 |
4605416 |
L1 V PP SSB-P |
221 |
4605417 |
L2 V MCD SSB-P |
221 |
4605418 |
L1 V PP SSC-P |
221 |
4605419 |
L2 V MCD SSC-P |
221 |
4605420 |
L1 V PP CC2-P |
221 |
4605421 |
L2 V MCD CC2-P |
221 |
4605422 |
L1 V PP SSB-SMP |
214 |
4605423 |
L2 V MCD SSB-SMP |
214 |
4605424 |
L1 V PP SSC-SMP |
214 |
4605425 |
L2 V MCD SSC-SMP |
214 |
4605426 |
L1 V PP CC2-SMP |
214 |
4605427 |
L2 V MCD CC2-SMP |
214 |
4605428 |
L1 V PP SSB-PDX |
229 |
4605429 |
L2 V MCD SSB-PDX |
229 |
4605430 |
L1 V PP SSC-PDX |
229 |
4605431 |
L2 V MCD SSC-PDX |
229 |
4605432 |
L1 V PP CC2-PDX |
229 |
4605433 |
L2 V MCD CC2-PDX |
229 |
4605434 |
L1 V PP SSB-MEM |
238 |
4605435 |
L2 V MCD SSB-MEM |
238 |
4605436 |
L1 V PP SSC-MEM |
238 |
4605437 |
L2 V MCD SSC-MEM |
238 |
4605438 |
L1 V PP CC2-MEM |
238 |
4605440 |
L1 VI PP SE1-P |
232 |
4605441 |
L2 VI MCD SE1-P |
232 |
4605442 |
L1 VI PP SE2-P |
232 |
4605443 |
L2 VI MCD SE2-P |
232 |
4605444 |
L1 VI PP SE3-P |
232 |
4605445 |
L2 VI MCD SE3-P |
232 |
4605446 |
L1 VI PP SE1-SMP |
225 |
4605447 |
L2 VI MCD SE1-SMP |
225 |
4605448 |
L1 VI PP SE2-SMP |
225 |
4605449 |
L2 VI MCD SE2-SMP |
225 |
4605450 |
L1 VI PP SE3-SMP |
225 |
4605451 |
L2 VI MCD SE3-SMP |
225 |
4605452 |
L1 VI PP SE1-PDX |
240 |
4605453 |
L2 VI MCD SE1-PDX |
240 |
4605454 |
L1 VI PP SE2-PDX |
240 |
4605455 |
L2 VI MCD SE2-PDX |
240 |
4605456 |
L1 VI PP SE3-PDX |
240 |
4605457 |
L2 VI MCD SE3-PDX |
240 |
4605458 |
L1 VI PP SE1-MEM |
249 |
4605459 |
L2 VI MCD SE1-MEM |
249 |
4605460 |
L1 VI PP SE2-MEM |
249 |
4605461 |
L2 VI MCD SE2-MEM |
249 |
4605462 |
L1 VI PP SE3-MEM |
249 |
4605463 |
L2 VI MCD SE3-MEM |
249 |
4606000 |
HOSPICE-L3 II PA2 |
86.81 |
4606001 |
HOSPICE-L3 II IA1 |
177.21 |
4606002 |
HOSPICE-L3 II IA2 |
182.01 |
4606003 |
HOSPICE-L3 II PB1 |
86.81 |
4606004 |
HOSPICE-L3 II PB2 |
86.81 |
4606005 |
HOSPICE-L3 II BA1 |
170.5 |
4606006 |
HOSPICE-L3 II BA2 |
181.05 |
4606007 |
HOSPICE-L3 III PC1 |
190.64 |
4606008 |
HOSPICE-L3 III PC2 |
192.56 |
4606009 |
HOSPICE-L3 III PD1 |
198.31 |
4606010 |
HOSPICE-L3 III PD2 |
200.23 |
4606011 |
HOSPICE-L3 III IB1 |
194.48 |
4606012 |
HOSPICE-L3 III IB2 |
194.35 |
4606013 |
HOSPICE-L3 III BB1 |
191.6 |
4606014 |
HOSPICE-L3 III BB2 |
195.43 |
4606015 |
HOSPICE-L3 IV PE1 |
205.98 |
4606016 |
HOSPICE-L3 IV PE2 |
208.86 |
4606017 |
HOSPICE-L3 IV CA1 |
204.07 |
4606018 |
HOSPICE-L3 IV CA2 |
214.61 |
4606019 |
HOSPICE-L3 IV CB1 |
215.57 |
4606020 |
HOSPICE-L3 IV CB2 |
223.25 |
4606021 |
HOSPICE-L3 IV CC1 |
232.84 |
4606022 |
HOSPICE-L3 IV SSA |
235.71 |
4606023 |
HOSPICE-L3 IV RAA |
215.57 |
4606024 |
HOSPICE-L3 IV RAB |
231.88 |
4606025 |
HOSPICE-L3 V SSB |
240.51 |
4606026 |
HOSPICE-L3 SSC |
251.06 |
4606027 |
HOSPICE-L3 V CC2 |
249.14 |
4606028 |
HOSPICE-L3 VI SE1 |
260.64999999999998 |
4606029 |
HOSPICE-L3 VI SE2 |
284.62 |
4606030 |
HOSPICE-L3 VI SE3 |
314.35000000000002 |
4606336 |
SUPPLEMENT,HOUSE/EACH |
2 |
4607028 |
WALKER/MONTH |
10 |
4607029 |
HOME FREE SECURITY/MONTH |
36 |
4607030 |
SAFETY ALARM/MONTH |
36 |
4608533 |
MATTRESS, ALT AIR-GEL/DAY |
6 |
4779045 |
PELVIS COMPLETE, 3 VIEWS |
353.6 |
5011000 |
CAFETERIA/GUEST TRAY-SUPR |
4.16 |
5011001 |
CAFETERIA/GUEST TRAY-LUNC |
5.2 |
5011002 |
CAFETERIA/GUEST TRAY-BRKF |
2.08 |
5321009 |
CLINICAL-EA RM/PER .5 DAY |
10.4 |
5322500 |
PN MGT FACLTY FEE/.5 DAY |
25 |
5325000 |
PN MGT US RENT/.5 DAY |
57.2 |
0
0
600
600
9
False
False
Charge Code