|
ROOM-BOARD/PRIVATE
|
|
1474.4
|
|
ACETAMIN W/COD 30MG TAB UD C3
|
|
5
|
|
ACETAMINOPHEN 325MG TAB 100
|
|
5
|
|
ACETAMINOPHEN (MPAP) IN**SUSP DROPS 15ML
|
|
24.99
|
|
ACETAMINOPHEN 1000mg/100ml
|
|
170.53
|
|
ACETAMINOPHEN 325MG SUPP
|
|
5
|
|
ACETAMINOPHEN 500MG UD 100
|
|
5
|
|
ACETAMINOPHEN W/CODEINE ELIX 5ML UD C5
|
|
6.2
|
|
ACETAMINOPHEN/CODEINE 120-12/5 118ML
|
|
10
|
|
ACETAZOLAMIDE SODIUM INJECTION 500MG
|
|
0
|
|
ACETYLCYSTEINE 20% 3X30ML
|
|
51.55
|
|
ACYCLOVIR SODIUM IV SOLUTION 500MG
|
|
64
|
|
ADENOCARD IV 3MG/ML 10X2ML
|
82030
|
29.75
|
|
ADENOSINE 3MG/ML 2ML PFSYR
|
|
122.95
|
|
ADENOSINE 3MG/ML 2ML VL
|
|
4.96
|
|
ADVAIR 250/50 DISKUS
|
|
1890.88
|
|
ALBUMIN 25% (HUMAN) SOL0ML ALBUMIN25
|
|
141
|
|
ALBUMIN 25% 50ML
|
|
220.84
|
|
ALBUMIN HUMAN 5% 500ML
|
|
667
|
|
ALBUTEROL 0.083% 3ML INH
|
|
5
|
|
ALBUTEROL HFA 90MCG 8.5GM INHALER
|
|
40
|
|
ALCOHOL ABSOLUTE(DEHYDR**D) ETHYL 5ML VL
|
|
346.86
|
|
ALDACTONE 25MG TAB
|
|
5
|
|
ALPRAZOLAM (XANAX) 0.25MG TAB C4
|
|
5
|
|
ALPRAZOLAM (XANAX) 1MG TAB C4
|
|
10
|
|
ALTEPLASE 2 MG INJ
|
J2997
|
368.25
|
|
Amikacin Injection 1gm/4 ml
|
|
31.06
|
|
AMINOPHYLLINE 500MG/20ML
|
|
5
|
|
AMIODARONE 50MG/ML 3ML SDV
|
|
10
|
|
AMIODARONE HCL TABLETS 200MG
|
|
14.99
|
|
AMIODARONE PREMIX
|
|
221.47
|
|
AMLODIPINE 5MG 10X10
|
|
5
|
|
AMMONIA AROMATIC INHALATION
|
|
4
|
|
AMOX/CLAV 500/125
|
|
15.14
|
|
AMOXICIL 500MG CAPSULES
|
|
5
|
|
ANTI-ITCH 2-0.1% 1OZ
|
|
16
|
|
Arixtra/ Fondaparinux 2.5 mg Syringe
|
|
235.2
|
|
ASPIRIN (CHILDRENS) 81MG
|
|
16
|
|
ASPIRIN 325MG 100/BT EC
|
|
5
|
|
ASPIRIN CHEW 81 MG
|
|
5
|
|
ASPIRIN EC 325 MG
|
|
1
|
|
ASPIRIN LOW STRENGTH 81 MG TAB
|
|
1
|
|
ATENOLOL 25 MG TAB
|
|
4
|
|
ATENOLOL 25MG UD/100BX
|
|
5
|
|
ATROPINE 0.1MG 10ML LFS
|
|
60.29
|
|
ATROPINE 0.4MG/1ML SDV
|
|
0.88
|
|
AVITENE .5MM FLOUR AVIT5
|
|
912
|
|
AZACTAM IGM INJ
|
|
173.18
|
|
AZITHROMYCIN 250MG 3 X 6UU
|
|
5.28
|
|
AZITHROMYCIN 500MG 10VIAL AZITHRO500
|
|
24
|
|
BACITRACIN 50,000U SDV 10/BX
|
|
48
|
|
BACITRACIN 500U/GM .9GM
|
J3490
|
5
|
|
BACITRACIN 500U/GM 30 GM USP
|
J3490
|
5
|
|
BACLOFEN 10 MG TAB
|
|
5
|
|
BACTERIOSTATIC SODIUM CL 0.9% 20ML
|
|
5
|
|
BACTROBAN 2% 30G
|
|
45
|
|
BAR SULF SUSP (BAN SMTH-RDI CAT) 7450
|
|
23.99
|
|
Barhemsys / Amisulpride
|
|
102
|
|
BARIUM SULFATE SUSP (LIQUID EZ-PAQUE)
|
|
21
|
|
BETADINE 5% O/S 30ML
|
|
68.83
|
|
BETAMETHASONE SOD PHOS/**TE 30MG/5ML INJ
|
|
24.75
|
|
BETASEPT 4%
|
|
27.28
|
|
BETHANECHOL CHLORIDE ORAL TABLET 25 MG
|
|
7.14
|
|
BHL2B2323QCS LR INJECTION 500ML BAG
|
|
0
|
|
BISACODYL (DULCOLAX) 10MG SUPP
|
|
5
|
|
BISACODYL (DULCOLAX) 5MG TABLETS
|
|
5
|
|
BRIDION INJ 200MG/2ML
|
|
527.71
|
|
BSS 15ML O/S
|
|
49.01
|
|
BUPIV/EPI 0.25% 30ML
|
J3490
|
14.99
|
|
BUPIV/EPI 0.25% 50ML
|
|
59.5
|
|
BUPIV/EPI 0.5% 30ML
|
|
39.75
|
|
BUPIV/EPI 0.5% 50ML
|
J3490
|
69.12
|
|
BUPIVAC 0.5%INJ 50ML
|
|
23.36
|
|
BUPIVACAINE .5% 30ML VL
|
|
28.32
|
|
BUPIVACAINE 0.25% 50ML MDV
|
|
13.75
|
|
BUPIVACAINE/EPI .25% 30ML
|
|
13.75
|
|
BUPIVICAINE-PF 0.25% SDV 30ML VIAL
|
|
7.96
|
|
CALCIUM CARBONATE 1250 (500 CA) MG CHEW
|
|
4
|
|
CALCIUM CHLORIDE 10% 100MG/ML 10ML VIAL
|
|
73.97
|
|
CALCIUM CHLORIDE 10% 10ML ANSYR
|
|
34.2
|
|
CALCIUM GLUC 10% 50ML SDV PF
|
|
5
|
|
CALDOLAR 800MG/250ML IVPB
|
|
2.75
|
|
CALDOLOR 100MG/ML
|
|
91.96
|
|
CALDOLOR 800MG/250ML IVPB
|
|
2.5
|
|
CARBOCAINE 1.5% INJ 30ML
|
|
26.75
|
|
CARVEDILOL 12.5MG TABS
|
|
5
|
|
CARVEDILOL 6.25MG 100
|
|
10
|
|
CATAPRESS 0.1MG PATCH
|
|
24.97
|
|
Cathflo Activase 2mg / Alteplase 2mg
|
|
1469.36
|
|
CEFAZOLIN 1GM 50ML PREMIX
|
J0690
|
20.25
|
|
CEFAZOLIN 1GM ADDV
|
|
7.92
|
|
CEFAZOLIN 2GM 24X50ML 4571238
|
J0690
|
44.25
|
|
CEFAZOLIN INJECTION 1 GM
|
J0690
|
5.28
|
|
CEFEPIME 1GM SDV
|
J0692
|
28.8
|
|
CEFEPIME 2GM SDV
|
J0692
|
47.04
|
|
CEFOXITIN 1GM IV
|
|
30.62
|
|
CEFOXITIN 2GM IV
|
|
48
|
|
CEFOXITIN 2GM IVPB
|
|
95.76
|
|
CEFOXITIN SOD. 1GM 24/DPX CEFOX1GM25PK
|
|
53.75
|
|
CEFOXITIN SOD. 2GM 24/DPX CEFOX2GM24PK
|
|
49.38
|
|
CEFTRIAX 500MG INJ
|
|
107.54
|
|
CEFTRIAXONE 1GM
|
|
17.56
|
|
CELEBREX 200MG CAP UD
|
|
46.98
|
|
CELECOXIB 100 MG CAP
|
|
5
|
|
CELESTONE SOLUSPAN
|
J0702
|
247.2
|
|
CEPACOL SUGAR FREE LOZENGES MX/NM CHERRY
|
|
5
|
|
CEPHALEXIN 250MG BOTTLE
|
|
10
|
|
CEPHALEXIN 500MG 100/BOTTLE (KEFLEX)
|
|
5
|
|
CETACAINE 56GM SPRAY EA
|
|
252.08
|
|
CHAP-AID (LIP BALM)
|
|
16.39
|
|
CHERATUSSIN AC SYRUP
|
|
54.28
|
|
CHLORASEPTIC SPRAY 177ML
|
|
10
|
|
CHLORHEXIDINE GLUCONATE 0.12 % 480ML
|
|
9.12
|
|
CHLORPROMAZ 50MG/2ML
|
|
138.25
|
|
CHLORPROMAZINE (THORAZI**)) 25 MG / 2 ML
|
J3230
|
138.68
|
|
CIPROFLAXIN 500MG TAB
|
|
5
|
|
CIPROFLOXACIN 2MG/ML 200ML IV CIPRO200
|
|
14.23
|
|
CISATRACURIUM BESYLATE 2MG/ML
|
|
13.44
|
|
CITRACAL GUMMIES
|
|
10
|
|
CLEOCIN/D5W 600/50 24X50ML IV MX 9337502
|
J3490
|
13.33
|
|
CLINDAMYCIN 150MG CAPSULES BTL/100
|
|
5
|
|
CLINDAMYCIN 150MG/ML 6ML ADDV
|
|
20.25
|
|
CLINDAMYCIN 300MG CAP
|
|
13
|
|
CLINDAMYCIN 600 MG/NaCl 50 mL PREMIX
|
J3490
|
20.51
|
|
CLINDAMYCIN 900MG/6ML
|
|
20.24
|
|
CLINIMIX 4.25/5
|
|
274.89
|
|
CLINIMIX 4.25/5
|
|
1581.37
|
|
CLINIMIX E
|
|
1424.43
|
|
CLONAZEPAM 0.5MG 100TABS BTL
|
|
5
|
|
CLONIDINE 0.1MG TAB U/D
|
|
5
|
|
CLONIDINE 0.2MG TAB U/D
|
|
4
|
|
CLONIDINE 10ML
|
|
125
|
|
CLOPIDOGREL 75MG
|
|
27.81
|
|
CLOTRIMAZOLE 1% CREAM 28GM
|
|
5
|
|
COCAINE TOPICAL 4% 4ML
|
|
1176
|
|
COLLODION LIQUID
|
|
165.94
|
|
COLYMYCIN-S OTIC
|
|
1014.25
|
|
CONJ ESTROG 0.625CRM
|
|
1939.24
|
|
CYANOCOBALAMIN (B-12) 1000MCG/ML 1ML VL
|
|
17.8
|
|
CYCLOBENZAPRINE 10MG PO
|
|
5
|
|
CYCLOPENT OPH
|
|
59.08
|
|
CYMBALTA 30MG 30/BOTTLE
|
|
42.77
|
|
DAKINS 1/2 STRENGTH
|
|
45.5
|
|
DAKIN'S SOLUTION FULL STRENGTH 473 ML
|
|
55.44
|
|
DANTROLENE SOD IV 20MG
|
|
336
|
|
DDAVP 4MCG/ML 10ML
|
|
389.47
|
|
DEMEROL 25MG INJ
|
|
12.17
|
|
DEMEROL 50MG INJ
|
|
12.68
|
|
DEPACON 100MG/1ML 5 ML VIAL DEPACON100M
|
|
148.94
|
|
DEPO MEDROL 40MG/ML 1ML SDV
|
|
5
|
|
DEPO-MEDROL 80MG/ML
|
J1040
|
88.48
|
|
DESMOPRESSIN ACETATE 4MCG/ML 1ML VIAL
|
|
372.23
|
|
DEX4 GLUCOSE TAB GRAPE
|
|
5
|
|
DEXAMETH 4MG / ML 5ML MDV
|
|
6.06
|
|
DEXAMETH 4MG / ML SDV
|
|
5
|
|
DEXAMETH 4MG TAB UD
|
|
11
|
|
DEXAMETHASONE 1MG 100UD
|
|
191.92
|
|
DEXAMTHASONE 10MG/ML SDV PF
|
|
30.05
|
|
Dexmedetomidine 400mcg/4ml
|
|
94.74
|
|
DEXTROMETHORPHAN 20MG/GUAIFENESIN 118ML
|
|
4
|
|
DEXTROSE 25% PED LL SYR 10ML
|
|
46.1
|
|
DEXTROSE 250 MG/ML SOLN
|
|
40.25
|
|
DEXTROSE 50% 50ML LFS SYR
|
J7799
|
63.6
|
|
DEXTROSE 50% INJECTION
|
|
13
|
|
DEXTROSE 50% PFS
|
|
38.5
|
|
DIATRIZ MEG 66%120ML
|
Q9963
|
2.79
|
|
DIAZEPAM 5MG / ML 2 ML LL CJT
|
J3360
|
132.21
|
|
DIAZEPAM 5MG TAB UD C4
|
|
5
|
|
DICYCLOMINE HCL 20MG TABS
|
|
5
|
|
DIGOXIN 0.5MG/2ML AMP
|
|
13.2
|
|
Diltiazem 50mg/10ml
|
J3490
|
9.3
|
|
DIPHENCREAM
|
|
15.96
|
|
DIPHENHYDRAMINE 25MG TAB
|
|
5
|
|
DIPHENHYDRAMINE 50MG UD CAP 100
|
|
10
|
|
DIPHENHYDRAMINE 50MG/1ML SDV
|
|
5.12
|
|
DIPHENHYDRAMINE ORAL SOL 118ML
|
|
5
|
|
DIPRIVAN 10MG/ML 20X50ML
|
|
108.35
|
|
DIPRIVAN 10MG/ML 25X20ML
|
|
51.4
|
|
DOBUTAMINE 12.5MG/ML 20ML VL
|
|
5
|
|
DOCUSATE SODIUM (COLACE) 100MG CAP
|
|
5
|
|
DOPAMINE 400MG IN 250ML D5W EA
|
|
62.55
|
|
DOXY 100 INJ
|
|
11.2
|
|
DOXYXYXLINE HYCLATE 100MG CAPSULE
|
|
15.99
|
|
DUONEB INHALATION
|
|
8.75
|
|
DUONEB3ML
|
|
25.99
|
|
DURAMARPH 5MG/10ML AMP
|
|
139
|
|
DURAMORPH 10MG/10ML AMP
|
|
139
|
|
ENALAPRIL 10MG
|
|
5
|
|
ENALAPRILAT 1.25MG/ML VL
|
|
14.75
|
|
ENEMA FLEET ADULT 4.5OZ
|
|
6.88
|
|
ENGERIX-B 20MCG SDV
|
|
296.33
|
|
ENOXAPARIN SODIUM SUBQ SOLUTION 100MG/ML
|
|
72
|
|
EPHEDRINE SULF 50MG/ML 25X1ML SDV
|
|
139.4
|
|
EPINEPHRINE 0.1MG/ML 10ML LFS ABJ
|
|
25.16
|
|
EPINEPHRINE 1:1000 1ML AMP
|
|
71.81
|
|
EPINEPHRINE 1MG/ML 30ML VL
|
J0171
|
1202.72
|
|
EPINEPHRINE 1MG/ML 5X30ML
|
|
25.7
|
|
EPI-PEN 0.3MG/0.3ML 1 DOSE
|
J0171
|
1500
|
|
EPI-PEN JR.
|
J0171
|
1500
|
|
ESMOLOL 100MG/10ML VL
|
|
5
|
|
ETOMIDATE 20MG/10ML VL
|
|
29.86
|
|
EUFLEXXA 1% 2ML INJ (J7323)
|
|
1695.33
|
|
EXPAREL 10ML
|
|
0
|
|
FAMOTIDINE 10MG/ML 2ML VL
|
|
5
|
|
FAMOTIDINE/PEPCID 20MG TAB 100/BX UD
|
J3490
|
5
|
|
FAMOTIDINE/PEPCID 40MG/ML
|
|
8.5
|
|
FENTANYL 100MCG PAT
|
|
214
|
|
fentanyl 25mc/hr patch
|
|
57.68
|
|
FENTANYL 50 MCG/ML 5 ML - C2
|
|
9.07
|
|
FENTANYL 50MCG/ML 2ML - C2
|
|
6.05
|
|
FENTANYL CITRATE 250MCG/5ML AMPULE
|
|
9.5
|
|
FENTANYL PATCH (50MCG) C2
|
|
155.53
|
|
FERROUS SULFATE 325MG TAB
|
|
5
|
|
FLUCONAZ 400MG/200ML
|
|
16.88
|
|
FLUCONAZOLE 100MG TABLETS
|
|
5
|
|
FLUCONAZOLE 2MG/ML 100ML IVPB
|
|
33.6
|
|
FLUID KCL 20MEQ/1000ML D5 0.9% 2B2434X
|
|
17.12
|
|
FLUID LR 1000ML. 2B2324X
|
|
25.2
|
|
FLUID NACL 0.9% 1000ML 2B1324X
|
|
20.25
|
|
FLUID NACL 0.9% 100ML 2B1307X
|
|
10.9
|
|
FLUID NACL 0.9% 500ML 2B1323Q
|
|
18.58
|
|
FLUMAZENIL 0.1MG/ML 5ML
|
|
6.5
|
|
FLUORESCEIN 1MG STRIP
|
|
5
|
|
FLUOXETINE 20MG CAP
|
|
5
|
|
FLUZONE SD 10 X 0.5ML
|
|
473.78
|
|
FOLIC ACID 1MG TABS #30
|
|
66.33
|
|
FOLIC ACID 400MCG
|
|
5
|
|
FOLIC ACID INJ 10ML
|
|
236.08
|
|
Fosaprepitant IV 150mg
|
J1453
|
1444
|
|
FUROSEMIDE 10MG/ML 10ML
|
|
10.08
|
|
FUROSEMIDE 20 MG TABLET
|
|
4
|
|
FUROSEMIDE 40MG TABS
|
|
5
|
|
FUROSEMIDE 40MG/4ML SDV
|
|
14.99
|
|
GABAPENTIN 100MG TABLETS
|
|
5
|
|
GAVISCON EXTRA STRENGTH 12OZ BOTTLE
|
|
83.86
|
|
GENTAM 0.1% OP OINT
|
|
148.38
|
|
GENTAM 0.3% OP SOLN
|
|
77
|
|
GENTAMICIN 0.3% EYE DROP
|
|
86.8
|
|
GENTAMICIN 80MG/2ML
|
|
15.5
|
|
GENTAMICIN OINTMENT
|
|
131.68
|
|
GLUCAGON 1MG PER VIAL
|
|
823.68
|
|
GLYBURIDE 5MG 100UD
|
|
5
|
|
GLYCOPYRROL 2MG/5ML MDV 21X25
|
|
96
|
|
GLYCOPYRROLATE 0.2MG/ML
|
|
98.4
|
|
GOLYTELY
|
|
68
|
|
GOLYTELY POWDER
|
|
7.82
|
|
GUAIFENESIN DM 100-10/5 100 X 10ML UD
|
|
21.28
|
|
HALDOL 5 MG/ML
|
|
7.68
|
|
HCTZ 12.5MG CAP
|
|
4
|
|
HEPA10ML
|
|
194.92
|
|
HEPARIN 1000/UN 1ML SDV
|
J1644
|
5
|
|
HEPARIN 30000UNITS/30ML
|
|
34.22
|
|
HEPARIN 5000 UNITS/ML INJ
|
J1644
|
12.48
|
|
HEPARIN LOCK 100U/ML 25X30ML
|
|
7.73
|
|
HEPARIN LOCK FLUSH 3ML
|
|
19.77
|
|
HUMALOG U-100
|
J1817
|
131.85
|
|
HYALGAN 20MG/ML 2ML VIAL
|
|
575.02
|
|
HYDEL15
|
|
6
|
|
HYDRALAZINE 20MG/1ML
|
J0360
|
62.8
|
|
HYDROCHLOROTHIAZIDE 25MG PO
|
|
5
|
|
HYDROCO/IBU 7.5/200
|
|
10
|
|
HYDROCOD/APAP 10-325 100UD C3
|
|
5
|
|
HYDROCOD/APAP 5 / 500MG UD C3
|
|
11
|
|
HYDROCOD/APAP 7.5 / 500MG UD C3
|
|
10
|
|
HYDROCOD/IBUP 7.5/200
|
|
1
|
|
HYDROCODONE 5/325MG TABLETS
|
|
5
|
|
HYDROCODONE/APAP ELIXIR 40X5ML
|
|
39.71
|
|
HYDROCODONE/IBUPROFEN 7.5/200 MG TABLETS
|
|
18
|
|
HYDROCORT 1% CRM
|
|
11.8
|
|
HYDROCORTISONE 2.5% 20GM
|
|
22.99
|
|
HYDROGEN PEROX 3% 4OZ
|
|
5.95
|
|
HYDROMOR PCA0.5MG/ML
|
|
84
|
|
HYDROMORP 0.5MG INJ
|
|
39.84
|
|
HYDROMORP 2MG TAB
|
|
5
|
|
HYDROMORPHONE (DILAUDID) 2MG/ML 1ML
|
|
7.52
|
|
HYDROMORPHONE 0.5MG/ML 50ML BAG
|
|
94
|
|
HYDROMORPHONE 2MG/2ML SYRINGE
|
|
28.75
|
|
HYDROMORPHONE 2MG/ML 1 ML
|
|
7
|
|
HYDROXYZINE HCL 25MG/ML 1 ML
|
|
97
|
|
HYDROXYZINE PAM 25MG 100UD (VISTARIL)
|
|
5
|
|
HYOSCYAMINE SULFATE 125MG ELX 1
|
|
411.83
|
|
IBUPROFEN 100/5 10X5ML
|
|
5
|
|
IBUPROFEN 200MG UD TAB
|
|
5
|
|
IBUPROFEN 400MG EA TAB
|
|
10
|
|
IBUPROFEN 800MG UD TAB
|
|
5
|
|
IMDUR 30MG TABLET
|
|
13.99
|
|
INDIGO CARMINE .8% 5ML AMP 10/BOX
|
|
452.2
|
|
INDOMETHACIN 25MG PO
|
|
4
|
|
IN-FED 50MG/ML 10X2ML INFED50MG
|
|
119.39
|
|
INFUVITE ADULT 5X2X5ML INFUVIT222
|
|
5
|
|
INJECTION EXPAREL
|
C9290
|
5.7
|
|
INSTA-CHAR 25GM 120UD CHY
|
|
66.8
|
|
INSULIN HUM- 70/30
|
|
9.49
|
|
INSULIN HUM R 100U/ML
|
J1815
|
71.37
|
|
INSULIN HUM-N 100U/ML
|
J1817
|
13
|
|
INSULIN LANTUS 100U/ML 10ML
|
J1817
|
136.11
|
|
INSULIN NOVOLIN N 100U/ML 10ML
|
|
11
|
|
INSULIN NOVOLIN R 100U/ML 10ML VIAL
|
|
4
|
|
INSULIN NOVOLOG 100U/ML 10ML
|
|
553.78
|
|
INSULIN-HUMALOG 100 UNITS/ML 10ML
|
|
6.5
|
|
INVANZ 1GM 10VL INVNZ1GM
|
|
380.41
|
|
IPRATROPIUM .2 % 2.5ML INHAL
|
|
5.28
|
|
IPRATROPIUM INHALATION
|
|
5.25
|
|
ISOVUE 300 61% 30ML SDV
|
|
81.97
|
|
ISOVUE-M 200 41% 20 ML
|
|
137.62
|
|
ISUPREL 1:5000 5ML AMP
|
|
327.87
|
|
IV FLUID-D5W 1/2 NACL 1000ML
|
|
111.95
|
|
K10MEQUD
|
|
5
|
|
KAOPECTATE (DIARRHEA RELIEF) 355ML
|
|
54.69
|
|
KCL 40MEQ/20ML INJ
|
|
0.38
|
|
KCL20MEQ-D5W 0.45%NACL 1000ML
|
|
114.95
|
|
KENALOG-40 (TRIAMCINOLONE) INJ 1ML
|
J3301
|
40.8
|
|
KETAMINE 10MG/ML 10X20ML
|
|
27.92
|
|
KETAMINE 50MG/ML 10ML
|
|
17.25
|
|
KETOROLAC (TORADOL(R)) 30MG/ML 1ML VL
|
|
5
|
|
LABETALOL 5MG/ML -20ML MDV VIAL
|
|
55
|
|
LACRILUBE 3.5GM O/O
|
|
8.91
|
|
LACTATED RINGERS INJECTION 1000ML
|
|
0
|
|
LACTOBACILLUS GRANULE PACKET
|
|
8.13
|
|
LACTULOSE 10GM/15ML
|
|
5
|
|
LACTULOSE 10GM/15ML 480ML
|
|
46.98
|
|
LASIX 80MG PO 50/BOTTLE
|
|
13.97
|
|
LEVAFLOXACIN 750MG/150ML
|
|
5
|
|
LEVOFLOXACIN 500MG 100UD
|
|
5
|
|
LEVOFLOXACIN 500MG 24 X 100ML
|
|
24
|
|
LEVOFLOXACIN INJ 500MG 20ML EACH
|
|
90.97
|
|
LEVOPHED 1 MG/ML SOLN
|
|
39.92
|
|
LEVOPHED BIT 4ML AMP.
|
|
25.99
|
|
LEVOTHYR 200MCG INJ
|
|
508
|
|
LEVOTHYROXINE 50MCG 10X10
|
|
5
|
|
LEVOTHYROXINE SODIUM 200 MCG
|
|
506.8
|
|
LEVSIN .5MG 1ML
|
J1980
|
197.92
|
|
LIDOCAINE 0.5% 50ML PLAIN SDV 25/BX
|
|
37.36
|
|
LIDOCAINE 0.5% W/EPI 0.5% 50ML
|
J2001
|
16.7
|
|
LIDOCAINE 1% 20ML SDV
|
|
6.85
|
|
LIDOCAINE 1% 30ML TEAR TOP VL
|
|
14.16
|
|
LIDOCAINE 1% 50ML VIAL
|
|
13.39
|
|
LIDOCAINE 1% 5ML PRESERV FREE 25/BX
|
|
16.99
|
|
LIDOCAINE 1% INJ 10ML VIAL
|
|
30.99
|
|
LIDOCAINE 1% W/EPI
|
J2001
|
41.44
|
|
LIDOCAINE 2% 100MG/5ML ANSYR
|
|
27.6
|
|
LIDOCAINE 2% 20ML MDV EACH
|
|
6.88
|
|
LIDOCAINE 2% INJ 2ML
|
J2001
|
12
|
|
LIDOCAINE 2% JELLY TOP 30ML
|
|
16.8
|
|
LIDOCAINE 2% VISCOUS 100ML
|
|
5
|
|
LIDOCAINE 2% VISCOUS 20ML UD
|
|
5
|
|
lidocaine 4% patches
|
|
5
|
|
LIDOCAINE 4% W/LOJ
|
|
96.25
|
|
LIDOCAINE HCL 4% 50ML TOP
|
|
258.56
|
|
LIDOCAINE PATCH 4%
|
|
8
|
|
LINEZOLID 600MG IVPB
|
J2020
|
128.33
|
|
LIPIDS 20% 250ML
|
|
110.75
|
|
LISINOPRIL 10MG
|
|
5
|
|
LISINOPRIL 20MG 100TABS
|
|
5.25
|
|
LOCM 100-199 MG/ML IODINE CONCENTRATION
|
Q9965
|
12.55
|
|
LOMOTIL 2.5MG TAB 100/BTL C5
|
|
5
|
|
LOPERAMIDE (ANTI-DIARRHEAL) 2MG TABLETS
|
|
5
|
|
LORATADINE 10MG TAB
|
|
5
|
|
LORATADINE 10MG TAB US 100BX
|
|
11
|
|
LORAZEPAM 0.5MG 10X10
|
|
5
|
|
LORAZEPAM 2 MG/ML INJ C4
|
|
5.65
|
|
LOSARTAN 25MG 10X10
|
|
6.44
|
|
LOVENOX 30 MG PREFILL
|
J1650
|
21.6
|
|
LOVENOX 40MG INJ
|
J1650
|
95.28
|
|
LOVENOX 80MG
|
|
295.89
|
|
LUBRICATING JELLY ONE SHOT 3GM
|
|
4
|
|
LYRICA 75MG CAPSULES
|
|
45.33
|
|
MAALOX MINT 5 OZ SUSP
|
|
15.17
|
|
MAG CITRATE 10 OZ BT
|
|
8.51
|
|
MAG SULF 50% 1GM/2ML VIAL
|
|
5
|
|
MAGNESIUM SULFATE 2GM PREMIX
|
|
18
|
|
MAGNESIUM SULFATE 40MG/ML 100ML PREMIX
|
|
34.75
|
|
MAGNESIUM SULFATE 50% 25X2ML
|
|
8.32
|
|
MANNITOL 25% 50ML
|
|
10.56
|
|
MARCAINE 0.25% 50ML
|
|
24.14
|
|
MARCAINE 0.5% 50ML
|
|
38.98
|
|
MARCAINE 0.5% W/ EPI 50ML
|
|
80.97
|
|
MARCAINE 0.75% INJ PF 30ML
|
|
12.85
|
|
MARCAINE SPINAL 0.75% 2ML SDV
|
|
27.98
|
|
MECLIZINE 12.5MG TAB
|
|
4
|
|
MECLIZINE HCL 25MG 100UD
|
|
5
|
|
MEPERIDENE 50 MG TAB UD 25/BX
|
|
11.99
|
|
MEROPENEM 500MG INJ
|
|
28.75
|
|
MERREM 1GM IV
|
J2185
|
28.8
|
|
METFORMIN 500MG TAB UD 100/BOX
|
|
5
|
|
METHOCARB TAB 500MG
|
|
5
|
|
METHYLENE BLUE INJ 50 MG/10 ML SOLN 10ML
|
|
897
|
|
METHYLENEBLUE 1 % 10ML
|
|
1142.26
|
|
METHYLERGO 0.2MG INJ
|
J2210
|
34.25
|
|
METHYLERGON 0.2
|
|
43.98
|
|
METHYLPREDNISOLONE 4 MG DOSEPAK 21EA
|
|
120.25
|
|
METHYLPREDNISOLONE SOD SUCCINATE 40MG IN
|
|
29.04
|
|
METOCLOPRAMIDE(REGLAN) 10MG / 2ML SDV
|
J2765
|
5
|
|
METOCLOPRAMIDE(REGLAN) 10MG TAB 100 UD
|
|
5
|
|
METOPROLOL 5 MG 5 ML AMP
|
|
8.64
|
|
METOPROLOL 50 MG TAB
|
|
9.59
|
|
METOPROLOL 50MG TAB
|
|
4
|
|
METOPROLOL TART 25MG TABLET 10 X 10 UD
|
|
5
|
|
METRONID 500MG TAB
|
J3490
|
5
|
|
METRONIDAZOLE (FLAGYL) 500MG/100ML BAG
|
|
5
|
|
MIDAZOLAM 1MG/ ML 2ML C4
|
J2250
|
5
|
|
MIDAZOLAM 1MG/ML 2ML (10)
|
|
23.61
|
|
MILK OF MAGNESIA (MAG HYDROXIDE) 30ML UD
|
|
10.54
|
|
MILK OF MAGNESIA 16OZ
|
|
21
|
|
MISC PHARM NO CHARGE
|
|
40
|
|
MISOPROSTOL 200MCG TAB
|
|
5
|
|
MISOPROSTOL 200MCG TABLETS
|
|
16
|
|
MORPH PF 10MG/ML INJ
|
|
9.25
|
|
MORPHINE 10 MG/1ML
|
|
11.12
|
|
MORPHINE 2MG/ML PF CJT
|
|
9.92
|
|
MORPHINE 60MG XR PO C2
|
|
13
|
|
MORPHINE PCA 1 MG/1ML 50 ML
|
|
63.84
|
|
MORPHINE SULFATE 1MG/ML 50ML BAG (PCA)
|
|
110.96
|
|
MORPHINE SULFATE IR 15MG TABLETS
|
|
4
|
|
MUCINEX 600 ER TABLET
|
|
5
|
|
MUCINEX DM
|
|
4
|
|
MULTIGEN ORAL TABLET 70 MG
|
|
1
|
|
MULTIVIT/MULTIMIN
|
|
5
|
|
MUPIROCIN 2% 22GM OINT
|
|
45
|
|
MURILUBE 10ML VIAL
|
|
7.32
|
|
MVI INJ 10ML
|
|
48.75
|
|
NACL 0.9% 50ML
|
|
13.92
|
|
NACL 0.9% NEBULIZER SOLN 3ML
|
|
4
|
|
NACL 1000 IRRI BTL
|
|
16.36
|
|
NACL IRRIGATION BOTTLE
|
|
0
|
|
NAFCILLIN 1GM ADDV
|
J3490
|
58
|
|
NALBUPHINE 20MG/ML
|
|
17.47
|
|
NALOXONE 0.4MG/1ML AMP
|
|
94.89
|
|
NAROPIN 0.2% 100ML
|
|
32.71
|
|
NAROPIN 0.2% 5X20 ML POLYAMP 5 / 210986
|
|
1.16
|
|
NAROPIN 0.5% 20 ML POLYAMP
|
|
100.8
|
|
NAROPIN 0.5% 30ML SDV EA
|
J3490
|
0.7
|
|
NASAL DECONG SPRAY 12HR 15ML
|
|
7.68
|
|
NEO-POLY DEX 3.5GM O/O
|
|
60.6
|
|
NEO-POLY DEX O/SUSP 5ML
|
|
79.44
|
|
NEOSPORIN 1OZ TUBE
|
|
53.98
|
|
NEOSTIGMINE 1/1000 10ML
|
|
10.83
|
|
NEOSTIGMINE 1:1000 25X10ML
|
|
95.53
|
|
NEOSTIGMINE METHYLSULFATE 10MG/10ML SOL
|
J2710
|
221.25
|
|
NEURONTIN 100MG CAPSULES BOTTLE/100
|
|
14.61
|
|
NEURONTIN 300MG CAPSULES
|
|
5.5
|
|
Nicardipine 25mg/10ml
|
|
122.48
|
|
NICOTINE PATCH
|
|
9.57
|
|
NIFEDIPINE 10MG
|
|
106.5
|
|
NITRO-BID 2% 1GM FOILPAC
|
|
11.02
|
|
NITROGLYC 50MG/250ML
|
|
0.09
|
|
NITROGLYCERIN 25MG/D5W 250ML
|
|
99.25
|
|
NITROGLYCERIN TRANSDERMAL 0.4MG/HR
|
|
12.31
|
|
NITROGLYCERN 5MG/ML 10ML SDV
|
|
43.98
|
|
NITROSTAT 0.4MG 4X25 SL
|
|
5
|
|
NORCO TAB 7.5/325
|
|
5
|
|
NORMAL SALINE FLUSH
|
|
5
|
|
NORMAL SALINE IRR BT 1L SOLN
|
|
16.5
|
|
OFIRMEV 1000MG/100ML SDV 24/CASE
|
|
227.37
|
|
OFLOXACIN 0.3% OTIC SOLUTION
|
|
28.99
|
|
OMEPRAZOLE 20MG CAPS UD 100/BOX
|
|
5
|
|
OMNIPAQUE 180/10ML
|
|
125.16
|
|
OMNIPAQUE 300 150 ML Y318
|
Q9967
|
271.89
|
|
ONDANSETRON 2 MG/ML VIAL
|
J2405
|
5.55
|
|
ONDANSETRON 2MG/ML 20ML VL
|
|
219.91
|
|
ONDANSETRON 2MG/ML INJ 10X2ML
|
|
19.48
|
|
ONDANSETRON 4MG SDV (5 PACK) / 2ML EACH
|
|
12.91
|
|
ONDANSETRON ODT 4MG
|
|
5
|
|
ONDANSETRON ODT 8MG
|
|
11.99
|
|
OXYCOD/APAP 10/325MG
|
|
14.2
|
|
OXYCOD/APAP 5/325 MG TAB UD C2
|
|
5.48
|
|
Oxycodone 10 mg tablet IM
|
|
5
|
|
OXYCODONE 5MG TAB
|
|
5
|
|
OXYCONTIN 10MG TAB
|
|
21.87
|
|
OXYTOCIN 10 UNITS/ML
|
J2590
|
17.28
|
|
OYSTER SHELL CALCIUM 500MG
|
|
0
|
|
PAIN PUMP AMBIT CONTROL SYSTEM
|
|
1247.5
|
|
PANTOPRAZOLE 40MG/ 100NS IVPB
|
|
25
|
|
PAPAVERINE 60 MG/ 2ML
|
|
198.77
|
|
PAPAVERINE 60 MG/2 ML INJ
|
|
172.25
|
|
PEG 3350 17GM PKT
|
|
6.5
|
|
PEPTO-BISMOL 262MG ORIG 40/TABS
|
|
11
|
|
PHENYLEPH IV 10MG/ML
|
|
22
|
|
PHENYLEPHRINE 1% 10 MG/1ML SDV
|
J2370
|
17.6
|
|
PHENYLPHRINE 2.5% O/S 15 ML
|
|
31.16
|
|
PHENYTOIN 100MG/2ML SDV
|
J1165
|
6.68
|
|
PHENYTOIN 250MG INJ
|
|
1.6
|
|
PHISOHEX 3% 148ML
|
|
214.91
|
|
PHYTONIDIONE 1MG INJ
|
J3430
|
205.28
|
|
PNEUMOVAX VACCINE 23 25MCG 10 X 0.5ML
|
|
1048.16
|
|
POLYETHYLENE GLYCOL (MIRALAX) 3350
|
|
11.13
|
|
POTASSIUM CHLORIDE 20MEQ INJ 100ML EACH
|
|
121.95
|
|
POTASSIUM CHLORIDE 20MEQ/100ML PREMIX
|
|
12.77
|
|
POTASSIUM CHLORIDE 20MEQ/10ML VL EA
|
|
26.99
|
|
POTASSIUM CL 10% 30ML UD ORAL SOLUTION
|
|
74.4
|
|
POTASSIUM PHOSPHATES INJ 15ML SDV
|
|
70.28
|
|
PPD1ML
|
|
37.25
|
|
PREDNISONE 10MG TABS
|
|
5
|
|
PREDNISONE TABLETS USP 10MG 10X10UD
|
|
10
|
|
PREDNISONE TABLETS USP 20MG PO 10X10UD
|
|
4
|
|
PRIMAXIN 500 MG VL IV
|
|
230.47
|
|
PRIMAXIN 500MG IV
|
|
262.9
|
|
PROCAINAMIDE HCL 1GM/10ML MDV
|
|
172.93
|
|
PROCALAMINE
|
|
306.88
|
|
PROCALAMINE 3% IM/IV
|
|
184.63
|
|
PROGESTERONE IN OIL
|
J2675
|
15.64
|
|
PROMETHAZINE 50MG/ML
|
|
17.25
|
|
PROMETHAZINE/PHENERGAN 25MG/ML 1ML
|
|
8.87
|
|
PROMETHAZINE/PHENERGAN HCL 25MG TAB
|
|
5
|
|
PROMETHEGAN 12.5MG SUPP 12/BX
|
|
71
|
|
PROMETHEGAN 25MG SUPP 12/BOX
|
|
70.82
|
|
PROPOFOL 10MG/ML 1% 20ML 5766
|
|
27.5
|
|
PROPOFOL 10MG/ML 100ML
|
|
68.5
|
|
PROPOFOL 50ML
|
|
28.8
|
|
PROPRANOLOL 1 MG/ML SDV
|
J1800
|
38.4
|
|
PROPRANOLOL 1MG INJ
|
|
38.5
|
|
PROPRANOLOL HCL 10 MG TABLET
|
|
5
|
|
PROTAMINE SULFATE 50MG/5ML VIAL
|
|
14.15
|
|
PROTONIX IV 40 MG IV
|
J3490
|
34
|
|
PROVAY BLUE
|
|
0
|
|
PSEUDOEPHEDRINE 120MG SR TAB
|
|
4
|
|
PURALUBE OPHTH 1GM
|
|
7.13
|
|
QUELICIN 20MG/ML 10ML VL
|
|
92.06
|
|
QUETIAPINE 25 MG TAB
|
|
5
|
|
RACEMIC EPI INH 2.25% .5ML
|
|
7.2
|
|
REFRESH 1.4-0.6 % SOLN
|
|
4
|
|
REFRESH PLUS OPHTHALMIC SOLUTION 0.5%
|
|
5
|
|
RHO D 1500UNIT INJ
|
J2790
|
386.25
|
|
RIFAMPIN 300MG CAP
|
|
13.99
|
|
ROBAXIN 100/ML 10ML SD-VIAL
|
|
5
|
|
ROBAXIN/METOCARBAMOL
|
|
5
|
|
ROCURON 100MG INJ
|
|
57.75
|
|
ROCURONIUM 10 MG / ML 10 ML
|
|
73.97
|
|
ROCURONIUM 10MG/ML 5ML VL
|
|
42
|
|
ROPIVACAINE 0.25% 400ML
|
|
8.36
|
|
ROPIVACAINE 0.5% 100ML
|
|
291.84
|
|
RT-DUONEB
|
|
8.76
|
|
SALINE MIST 0.65% 45ML
|
|
5
|
|
SCOPALAMINE -TRANSDERM PATCH 1.5 MG
|
|
102.22
|
|
SENNA 8.6 MG TAB
|
|
5
|
|
SEROQUEL 100MG TABLETS
|
|
13
|
|
SEVOFLURANE 250ML
|
|
194.21
|
|
SILVADENE 1% 50GM
|
|
66.48
|
|
SIMETHIC 62.5MG STRIP
|
|
1
|
|
SIMETHICONE 30ML DROP
|
|
14
|
|
SIMETHICONE 80MG CHW TAB 100 BT
|
|
5
|
|
SIMVASTATIN 40MG TABS BTL
|
|
5
|
|
SODIUM BICARBONATE 8.4% 50ML
|
|
51.98
|
|
SODIUM CHL 0.9% 10ML VIAL
|
|
5
|
|
SODIUM CHL 10ML PREFILLED SYR.
|
|
9.77
|
|
SODIUM CHL BACT 10ML
|
|
7
|
|
SODIUM CITRATE/CITRIC ACID 1GM/15ML
|
|
8.52
|
|
SODIUM PHOSPHATE 3MMOL/ML 25X15ML
|
|
15.49
|
|
SODIUM POLYSTYRENE
|
|
5
|
|
SODIUM TETRADECYL SULFATE INJ
|
|
376
|
|
SOLU-CORTEF 100MG/2ML ACTVL
|
J1720
|
74.08
|
|
SOLU-MEDROL 125MG/2ML 25/BX
|
J2930
|
93.52
|
|
SOLU-MEDROL 500MG/4ML AOV VL
|
|
116.56
|
|
SOLUTION BETADINE PAINT 4OZ
|
|
7.68
|
|
SPIRIVA HANDIHALER
|
|
1
|
|
SPS 15GM/60ML 10X60ML
|
|
45
|
|
SUCRALAFATE SUS 1GM/10ML
|
|
45.04
|
|
SUCRALFATE 1GM TAB
|
|
11
|
|
SUDAFED 30MG TABLETS
|
|
4
|
|
SULFAMETH & TRIMETH DS 800/160MG TAB
|
|
5
|
|
SUMATRIPTAN(IMITREX) 50MG TAB
|
|
33.18
|
|
SUPRANE INH ANESTH 240ML
|
|
255.35
|
|
SWABSTICK BETADINE
|
|
4.58
|
|
SYNVISC 8MG/ML INJ
|
J7325
|
66.83
|
|
SYNVISC HYLAN G-F20 SYR (J7320)
|
|
128.72
|
|
SYNVISC ONE 48MG 6ML (J325)
|
|
5969.61
|
|
TAMILFLU 75MG CAPS 10/PACK
|
|
87.97
|
|
TAMSULOSIN 0.4MG CAPSULES
|
|
5
|
|
TAZICEF 2 GRAMS VIAL TAXICEF2
|
|
44.11
|
|
TEMAZEPAM 15MG CAP UD
|
|
5
|
|
TERBUTALINE 1MG/ML
|
|
19.2
|
|
TETANUS AND DIPHTHERIA TOXO*** USE102638
|
|
115.25
|
|
TETANUS DIP TOX 0.5 ML
|
|
226.62
|
|
TETANUS TOXOID ADSORBED INTRAMUSCULAR
|
|
248.48
|
|
TETRACAINE 0.5% 15ML OPTH SOL
|
|
25.42
|
|
TETRACAINE HCL 0.5% 2ML
|
|
44.25
|
|
TETRACYCLINE POWDER
|
|
531.79
|
|
THIAMINE 100 MG/ML 2ML
|
J3411
|
47.76
|
|
THROMBIN-JMI 5000U DIL VIAL EA
|
|
346.24
|
|
TOBRADEX 0.3-0.1% 3.5GM OPTH OINTMENT
|
|
312.97
|
|
TOBRADEX 5ML O/S
|
|
388.43
|
|
TOBRAMYCIN .3% 5 ML O/S
|
|
57.98
|
|
TOBRAMYCIN SULFATE 1.2 GM / VL
|
|
56.13
|
|
TOBRAMYCIN SULFATE 80 MG/2ML INJ
|
|
8.14
|
|
TOBRAMYCIN-DEX O/S 2.5ML OPTH
|
|
194.75
|
|
TRAIMTERENE/HCTZ 37.5/25MG 100/BOTTLE
|
|
10
|
|
TRAMADOLTABLETS 50MG
|
|
5
|
|
TRIAM15GM
|
|
15.55
|
|
TRIAMCINOLONE 40MG INTRAOCULAR
|
|
721.96
|
|
TRIAMTER/HCTZ
|
|
11
|
|
TRIPLEABX144
|
|
5
|
|
TUBPPD
|
|
430.64
|
|
TUMS
|
|
5
|
|
TYLENOL SUSPENSION
|
|
16.97
|
|
VANCO 2GM(2 VIALS)
|
J3370
|
57.5
|
|
VANCOM 1GM/250ML IV
|
|
57.5
|
|
VANCOMYCIN 1G
|
J3370
|
28.75
|
|
VASELINE LIP THERAPY TUBE
|
|
16.4
|
|
VASOPRESS 20UNIT/ML
|
|
863
|
|
VASOPRESSIN 20UN/1ML MDV 25/BX
|
|
20.5
|
|
VECURONIUM 10MG/10ML VL 10/BX
|
|
30.24
|
|
VECURONIUM 20MG INJ
|
|
63.5
|
|
VENOFER 100MG VIAL
|
J1756
|
264
|
|
VERAPAMIL HCL 2.5MG/ML 25X2ML
|
|
77.16
|
|
VISTASEAL 10ML
|
|
183
|
|
VITAMIN B1 100MG TAB
|
|
5
|
|
VITAMIN D3 1000 UNIT TABLET
|
|
1
|
|
VITAMIN K 10MG/1ML
|
|
23.2
|
|
WARFARIN 2MG
|
|
10
|
|
WARFARIN 3MG TABS
|
|
76.97
|
|
WARFARIN 5MG TAB
|
|
5
|
|
WATER 25X100ML STRL INJ
|
|
20.56
|
|
WATER STERILE 50ML
|
|
18.99
|
|
WATER STERILE 10ML SDV
|
|
5
|
|
WATER STERILE IRRIGATION 1000ML
|
|
14.75
|
|
WOUND WASH SALINE 0.9% 3OZ
|
|
36.98
|
|
XARELTO 10MG TABLETS
|
|
78.8
|
|
XOPENEX 0.63MG
|
|
8
|
|
XOPENEX 1.25MG/3ML
|
|
8
|
|
XOPENEX HFA 45MCG 15
|
|
262.9
|
|
XYLOCAINE PF 1% 30ML
|
|
170.94
|
|
XYLOCAINE PF 2% 2ML X 25 SDV
|
|
21.99
|
|
ZINC OXIDE OINTMENT 30G
|
|
16.99
|
|
ZOLPIDEM 10 MG TAB UD
|
|
18.5
|
|
ZOLPIDEM 5MG TAB
|
|
5
|
|
ZOLPIDEM 5MG10X10
|
|
10
|
|
ZOSYN 3GM/.375GM SDV
|
J2543
|
73.86
|
|
ZOSYN 4.5GM 10VL ZOSYN45
|
|
86.96
|
|
ZYVOX 600MG IV
|
|
192
|
|
LOCM 200-299 MG/ML IODINE CONCENTRATION
|
Q9966
|
405.84
|
|
LOCM 300-399 MG/ML IODINE CONCENTRATION
|
Q9967
|
4.24
|
|
OMNIPAQUE 240MG/ML 100ML
|
|
187.57
|
|
D5LR/20KCL 1000ML
|
|
14.5
|
|
DIPRIVAN 10MG/ML 10X20ML 6060
|
J2704
|
26.88
|
|
DOPAMINE 800MG D5W 500ML 5739
|
|
125.95
|
|
FLUID D5 0.45% NACL 1000ML 2B1074X
|
|
13.44
|
|
FLUID D5 0.9% NACL 1000ML 2B1064X
|
|
22.64
|
|
FLUID D5 0.9% NACL 500ML2B1073Q
|
|
20.76
|
|
FLUID D5 1000ML 2B0064X
|
|
22.36
|
|
FLUID D5 250ML 2B0062Q
|
|
69.64
|
|
FLUID D5 500ML 2B0063Q
|
|
107.96
|
|
FLUID D5%W LR 1000ML 2B2074X
|
|
24.08
|
|
FLUID INJ NACL 0.9% 100ML ADD-VANTAGE
|
|
1239.5
|
|
FLUID INJ NACL 0.9% 250ML ADD C710102
|
|
37.22
|
|
FLUID KCL 10MEQ D5.45
|
|
11
|
|
FLUID KCL 20MEQ 1/2NS
|
|
12.68
|
|
FLUID KCL 20MEQ D5NS
|
|
40.25
|
|
FLUID KCL 20MEQ/1000ML 0.9% 2B1764X
|
|
14.84
|
|
FLUID KCL 20MEQ/1000ML D5 0.45% 2B1654X
|
|
10.08
|
|
FLUID LR 3000ML
|
|
60.5
|
|
FLUID LR 500ML 2B2323Q
|
|
25.2
|
|
FLUID NACL 0.45% 1000ML 2B1314X
|
|
25.28
|
|
FLUID NACL 0.9% 250ML 2B1322Q
|
|
11.51
|
|
FLUID NACL 0.9% 3000ML
|
|
39.5
|
|
HETASTARCH INF BAG 6% 500ML HETA500
|
|
72.4
|
|
INTRALIPID 20% 250ML 2B6022
|
|
211.38
|
|
LIDOCAINE 0.4% (2GM) 500ML D5W
|
|
37.46
|
|
LIDOCAINE 2% 2ML SDV 25/BOX 5613
|
J2001
|
6.12
|
|
NACL 250ML IRRIGATION
|
|
17
|
|
NITROGLYCERIN 50 MG IN D5
|
|
138.84
|
|
SOD CHLORIDE 10% HY**C SOLUTION-0ML 5738
|
|
110.96
|
|
TRANEXAMIC ACID 1000MG/10ML 6116
|
|
147.75
|
|
VANCOMYCIN 500MG INJ 5979
|
|
33.6
|
|
WATER STERILE 500ML GLASS BTL
|
|
40.99
|
|
INTRODUCTION NEEDLE/INTRACATHETER VEIN
|
36000
|
99.96
|
|
IV INFUSION HYDRATION EACH ADDITIONAL HR
|
96361
|
199.92
|
|
IV INFUSION HYDRATION INITIAL 31 MIN-1 H
|
96360
|
214.91
|
|
IV INFUSION THER PROPH ADDL SEQUENTIAL T
|
96367
|
224.91
|
|
IV INFUSION THERAPY PROPHYLAXIS/DX EA HO
|
96366
|
198.92
|
|
IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST
|
96365
|
667
|
|
IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT
|
96368
|
214.91
|
|
THER PROPH/DX INJECTION SU
|
96372
|
141.89
|
|
THER PROPH/DX NJX EA SEQL IV PUSH SBST/D
|
96376
|
188.92
|
|
THER PROPH/DX NJX IV PUSH SINGLE/1ST SBS
|
96374
|
256.9
|
|
THERAPEUTIC INJECTION IV PUSH EACH NEW D
|
96375
|
745
|
|
THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-AR
|
96373
|
195.15
|
|
UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/
|
96379
|
182.23
|
|
"Scissors Curved w/unipolar "
|
|
981.16
|
|
1-1/2 OZ. SPARKLE FRESH TOOTHPASTE
|
|
0
|
|
12MM 2-FINGER BLUNT HOOK
|
|
118.44
|
|
12mm blunt hook
|
|
156.72
|
|
2.3 DRILL
|
|
1319.5
|
|
2000ML DISPOSABLE LINER
|
|
72.5
|
|
2000ML RECEPTAL LINER w 3/8" ORTHOP PORT
|
|
20.76
|
|
4.7 DRILL PRO
|
|
4118
|
|
5820107530 BURR NEURO DRILL 3.0mmX3.8mm
|
|
727.32
|
|
5MM ELASTIC STAYS
|
|
72.45
|
|
6000006000 Navigation INSTRUMENT BATTERY
|
|
283.76
|
|
Accu-Therm EENT-Style Ice Bag for Eyes
|
|
18.69
|
|
ALCOH,RUBBING,70% ISOPROPYL,16OZ
|
|
7.15
|
|
APPL SURG 40CM 5MM SNPLK RGD DEHP-FR
|
|
418.88
|
|
ATHLETIC SUPPORTER, ADULT, SIZE S, 26-32
|
|
41.61
|
|
ATHLETIC SUPPORTER, SIZE M, 33"-38"
|
|
36.83
|
|
AUTOFUSE TUBING SGLE SPIKE STERILE DISP
|
|
145
|
|
BAG,EMESIS,SICKNESS CLEAN-UP,CLEAN SACK
|
|
2.95
|
|
BAG,LEG,COMFORT-STRAPS,MEDIUM,20OZ
|
|
24.46
|
|
BASIN,EMESIS,GRAPHITE,500ML
|
|
0
|
|
BEDPAN,FRACTURE,GRAPHITE
|
|
0
|
|
BINDER,ABDOM,12",4-PANL,60-75"
|
|
103.09
|
|
BIODEGRADABLE ZIPPER BAG 2X3 2MIL 18360
|
|
0.5
|
|
BLANKET,WARMING,LOWER,WHITE,ALLIANCE
|
|
35.95
|
|
BLANKET,WARMING,UPPER,WHITE,ALLIANCE
|
|
35.95
|
|
BLOCK,BITE,ADULT,LATEX FREE DYK1000BBEL
|
|
6.16
|
|
BODY SUIT W/SUSP MID THIGH FEMALE LG
|
|
311.75
|
|
BODY SUIT W/SUSP MID THIGH FEMALE MED
|
|
311.75
|
|
BODY SUIT W/SUSP MID THIGH FEMALE SM
|
|
311.75
|
|
BODY SUIT W/SUSP MID THIGH FEMALE X LG
|
|
311.75
|
|
BOOT COVER NONSKID BLUE SZ XL MEN SZ 15
|
|
6.65
|
|
BOOT COVER NONSKID SZREG MEN:SZ 12
|
|
2.88
|
|
BRA COMPRESSION SZ 32
|
|
181.25
|
|
BRA COMPRESSION SZ 34
|
|
181.25
|
|
BRA COMPRESSION SZ 36
|
|
181.25
|
|
BRA COMPRESSION SZ 38
|
|
181.25
|
|
BRA COMPRESSION SZ 40
|
|
181.25
|
|
BRAVO BUFFER pH7 YELLOW 500ml
|
|
181.25
|
|
CABLE EXTENSION
|
|
1482.77
|
|
Calculi Strainer
|
|
1.57
|
|
CANNISTER 2000ML
|
|
427.75
|
|
CANNULA,CURVED,FLARED,14' TUBING
|
|
4.31
|
|
CAPS BOUFFANT 24"BLUE
|
|
0.23
|
|
CAPTIV Lg OVAL Md STIFF SNGL USE POLYP
|
|
94.25
|
|
CARESITE Luer Access Device
|
|
8.49
|
|
CLEAN PROLYSTICA ENZYMATIC ULTRA INST TR
|
|
257.79
|
|
CLEANER,CAUTERY TIP,2X2",STERILE
|
|
1.59
|
|
COAGULATOR, SUCTION, FOOT SWITCHING,10FR
|
|
49.22
|
|
COMFORT RINSE-FREE SHAMPOO&COND CAP
|
|
0
|
|
CONNECTOR,TUBING,5-IN-1,STERILE
|
|
1.01
|
|
CONTAINER,DENTURE,W/LID,AQUA
|
|
0
|
|
CONTAINER,GRADUATED,TRIANG,IN/OUT,CLR
|
|
2.68
|
|
CONTROLLER
|
|
8700
|
|
COTTON BALL,LARGE,STERILE,5/PK
|
|
0
|
|
COVER,PROBE,INTRAOPERATIVE,W/GEL,6"X96"
|
|
51
|
|
COVER,SHOE BLUE SZ REG
|
|
0.55
|
|
COVERS,SHOE NONSKID MULTI BLUE Z REG
|
|
0.61
|
|
CRASH CART CHECK 17576
|
|
170.71
|
|
CURVED LARGE JAW OPEN SEALER
|
|
4442.18
|
|
DEBAKEY FORCEPS, T 1MM JAWS 8.25
|
|
5720.25
|
|
DISH,PETRI,PLASTIC,STERILE,ROUND
|
|
10.54
|
|
Disposable Filter Assembly
|
|
72.83
|
|
Disposable Stethoscope, Yellow
|
|
21.31
|
|
EMESIS BAGS W/RIGID RING /GRADUATIO
|
|
3.26
|
|
ENDO CATH INTRODUCER
|
|
161.79
|
|
ENDO PEANUT 5mm DEVICE
|
|
157.08
|
|
ENDO STCHSRGDAC2/0 48GRN DLUSU
|
|
507.16
|
|
ENDOSCOPY TOTE,BLUE,52"X42" W/HOOK&LOOP
|
|
10
|
|
ENVELOPE RECORD STORAGE 100/BX
|
|
1.92
|
|
Esophageal Stethoscope, w/400 Series,
|
|
18.18
|
|
EVACUATOR 400 ML HEMOVAC 7FR
|
|
127.67
|
|
EXACTA MED ORAL DISPENSER 35ML 11456
|
|
7.1
|
|
EXTREMITY DRILL
|
|
2131.5
|
|
FACE MASK , PREMIUM ANESTHESIA, LG ADLT
|
|
8.06
|
|
FCT PACK BOWIE DICK TYPE TEST LEAD FREE
|
|
18.16
|
|
FLOW II DISP SUCTIO IRRI TUBING 10FT 5MM
|
|
291.4
|
|
FORCEENDO NDL 240CM 2.4MM RJ4 LG 2.8MM
|
|
61.62
|
|
FREE-T-5/FREEHOLD TRIO 5-PACK
|
|
1413.75
|
|
GIRDLE FEMALE ABOVE KNEE L
|
|
949.75
|
|
GIRDLE FEMALE ABOVE KNEE M
|
|
949.75
|
|
GIRDLE FEMALE ABOVE KNEE S
|
|
949.75
|
|
GIRDLE FEMALE ABOVE KNEE XL
|
|
949.75
|
|
GIRDLE FEMALE ABOVE KNEE XXL
|
|
986
|
|
GIRDLE FEMALE BELOW KNEE L
|
|
949.75
|
|
GIRDLE FEMALE BELOW KNEE M
|
|
949.75
|
|
GIRDLE FEMALE BELOW KNEE XL
|
|
949.75
|
|
GIRDLE FEMALE BELOW KNEE XXL
|
|
986
|
|
Grounding Pads, Adult, Uncorded
|
|
8.11
|
|
HAND SANITIZERS PURELL ADVANCED HANDFOAM
|
|
0
|
|
HANDPIECE,INTERPULSE W/COAXIAL HIFLO TIP
|
|
206.33
|
|
HARMONIC ACE 23CM
|
|
2603.39
|
|
HEMOSTAT,SURGICEL SNOW ABS 2X4
|
|
4350
|
|
HIBICLENS 15ML PACKETS,50/BX,8BX/CS
|
|
4.96
|
|
HIGH WAIST GIRDLES BELOW KNEE XL
|
|
340.75
|
|
HUMIDIFIER HCH
|
|
23.95
|
|
HYDROGEN PEROXIDE, 3%, 4-OZ
|
|
2.57
|
|
INDICATERS VERIFY HPU CHEMIACL INDICATER
|
|
1.6
|
|
INFILTRATION TUBING, SINGLE SPIKE
|
|
68.87
|
|
INFUSER,PRESSURE,DISP 1000ML W/HOOK
|
|
53.66
|
|
INTEGRATORS COMPLY STERIGAGE SYEAM CHEM
|
|
0.58
|
|
INTRAVENOUS SOLUTION ADDITIVES LABEL2302
|
|
145.44
|
|
INTRODUCER
|
|
304.5
|
|
INTRODUCER SLEEVE
|
|
72.5
|
|
INTRODUCER, PEEL AWAY, PLVW-14.0-38
|
|
370.33
|
|
INTRODUCER,TRACH,COUDE,15 FR,70 CM
|
|
67.79
|
|
KELLER FUNNEL 2
|
|
1065.75
|
|
KIT BNCMNT BIOPRP FEM PREP PLG INS BRSH
|
|
597.27
|
|
KIT,ADMISSION,GENERAL
|
|
16.27
|
|
KIT,ANTI FOG,W/SPONGE & FLUID,SOFT PACK
|
|
6.22
|
|
KITS JESSIE ARM ( MCCONNELL )
|
|
279.84
|
|
LAMINECTOMY TRAY I
|
|
446.16
|
|
LAP / CHOLECYSTECTOMY TRAY II
|
|
211.22
|
|
LINER,SEMI RIGID 1000cc SUCTION CANISTER
|
|
11.48
|
|
MALE BELOW THE KNEE GIRDLE LARGE
|
|
1051.25
|
|
MALE BELOW THE KNEE GIRDLE X LARGE
|
|
1051.25
|
|
MALE BELOW THE KNEE GIRDLE XX LARGE
|
|
1087.5
|
|
MALE BELOW THE KNEE-GIRDLE MED
|
|
1196.25
|
|
MARYLAND JAW LAPAR SEALER/DIV 5mm-44cm
|
|
4966.25
|
|
MARYLAND JAW OPEN SEALER DIVIDER
|
|
4205
|
|
MASK SURGICAL DUCKBILL 48220
|
|
0
|
|
Masks Airlife Oxygen Mask w/ Vent & Bag
|
|
4.87
|
|
Max-Core Biopsy Instt, Pk Switch,18Gx20
|
|
736.02
|
|
MBO-DSPNG PIN, MULTI ACCESS, MINISPIKE
|
|
7.7
|
|
MBO-INSTRUMENT,LIGASURE,RETRACT,L-HOOK,4
|
|
2700.02
|
|
MEDICATION ADDED TO IV LABEL 2403
|
|
1.1
|
|
METZENBAUM SCISSORS CURVED 7" (18CM)
|
|
2022.75
|
|
MICRO LONG DRILL
|
|
3168.25
|
|
MICROCUVETTES,HB201,HEMOCUE 50/VIAL
|
|
17.5
|
|
Monitoring Adapter,15 mm OD/ID,22 mm OD
|
|
5.04
|
|
NACL 1000 IRRI. BTL
|
|
16.36
|
|
NEPTUNE DOCKING STATION DERERGENT
|
|
727.35
|
|
Neptune E-SEP 165mm Suction Sleeve
|
|
25.46
|
|
NONSKID MULT SHOE COVER BLUE SZXL
|
|
0.61
|
|
OXYGEN PER DAY
|
|
2686
|
|
PACKS LAVH
|
|
146.25
|
|
PAD ABSORBENT FLOOR 3640W
|
|
89.06
|
|
PAD, REMOVER, ADHESIVE
|
|
0.14
|
|
PAD, REMOVER, NAIL POLISH
|
|
0.13
|
|
PAD,GROUNDING,ADULT,UNCORDED
|
|
9.03
|
|
PAN,SPECIMEN,SPECIPAN,GRAD,BLACK
|
|
3.98
|
|
PAPER,TISSUE,FACE,STND,5.7X7,40SHT/200BX
|
|
0
|
|
PATIENT BELONGINGS BAG w DRAWSTRING
|
|
0
|
|
PATTERNED SHEET TAPE
|
|
67.13
|
|
PATTERNED SHEET TAPE
|
|
67.13
|
|
PATTERNED SHEET TAPE
|
|
67.13
|
|
PATTERNED SHEET TAPE
|
|
67.13
|
|
PATTERNED SHEET TAPE
|
|
67.13
|
|
PATTERNED SHEET TAPE
|
|
67.13
|
|
PATTERNED SHEET TAPE T330020503
|
|
67.13
|
|
PATTERNED SHEET TAPE T330030504
|
|
67.13
|
|
PATTERNED SHEET TAPE T330040309
|
|
67.13
|
|
PATTERNED SHEET TAPE T330040509
|
|
67.13
|
|
PORT MANIFOLD 0702020000
|
|
146.45
|
|
POSITIONERS FOAM ARMBOARD POS 3"X5X24"
|
|
32.91
|
|
POSITIONERS SLOTTED HEAD POS 8.5X8X4"
|
|
33.96
|
|
POUCH 9" 1.75" OST 2 PC CLS INTGR FL ODR
|
|
89.63
|
|
POUCH FLUID COLLECTION DYNJSD1016
|
|
42.97
|
|
POUCH,INSTRU,2POCKET DYNJSD1018
|
|
8.58
|
|
POUCHES STERI DRAPE INSTRU 7X11
|
|
7.77
|
|
POUR SPOUT,W/SPIKE, LRG BORE TUBING,6"
|
|
11.69
|
|
PREMIUM KNIT INCONT UNDERPANTS, SIZE M/L
|
|
2.5
|
|
PREP,CHG,LIQUID,2%,4 OZ BOTTLE,48 EA/CS
|
|
15.21
|
|
PREP,CHG,LIQUID,4%,16 OZ BOTTLE,12 EA/CS
|
|
18.02
|
|
PROBE GOLD INJECTION
|
|
1434.05
|
|
PT KIT FOR JACKSON SPINAL SURG TABLE
|
|
269.03
|
|
PULL-TIGHT SEAL RED NUMBERED 7820
|
|
1.45
|
|
PULL-TIGHT SEAL YELLOW NUMBERED 7813
|
|
1.45
|
|
RADIAL JAW 4 BIOPSY FORCEP- HOT
|
|
121.43
|
|
RAZOR DISP (BIC) 29808B
|
|
0
|
|
REAGENT MINICLEAN BTLE 0403010
|
|
605.56
|
|
Refillable Ice Bag w Clamp Closure,
|
|
9.98
|
|
RESERVOIR,SUCTION,100CC,SILICONE
|
|
27.91
|
|
SANITIZER PURELL ADV GREEN FOAM 200ML
|
|
112.66
|
|
SCULPTU STRAPPED ABOVE KNEE GIRDLE XXXXL
|
|
717.75
|
|
SCULPTURES FEMALE BRA VEST BEIGE LG
|
|
369.75
|
|
SCULPTURES FEMALE BRA VEST BEIGE MED
|
|
369.75
|
|
SCULPTURES FEMALE BRA VEST BEIGE SMALL
|
|
369.75
|
|
Secondary Medication Set, IV, 60 GTT,37"
|
|
19.95
|
|
SET,BLOOD PUMP,Y-TYPE,CARESITE,170MIC
|
|
41.76
|
|
SET,EXT,CARESITE,ULTRAPORT,HIGHFLOW
|
|
22.07
|
|
SET,FLUID WARMING STANDARD FLOW,DISP
|
|
62.48
|
|
SET,INFUSOMAT,LUER,15 DP/ML,120IN,22PV
|
|
31.52
|
|
SET,LAP-CHOLEANGIOGRAPHIC
|
|
680.05
|
|
SHARPS RED LG ABSORB PAD & SLIDE TP 19Gl
|
|
133.44
|
|
SHIELD,FACE,T5,HOOD,PEEL AWAY
|
|
184.02
|
|
Site-Rite Vision US Probe Cover Kit w/Ge
|
|
103.5
|
|
SKIN PROBE W/400 SERIES TEMP
|
|
20.86
|
|
SLIPPER,SINGLE TR,BEIGE,XL MDT211218XLI
|
|
4.73
|
|
slippers, patient: safety skids single-
|
|
0
|
|
SMOKE EVAC PENCIL COATED RS PK
|
|
166.75
|
|
SOFTWARE MANOVIEW ESO V3.3
|
|
0
|
|
SPINAL EPIDURAL TRAY
|
|
205.63
|
|
SPIROMETERS:INCENTIVE 1 WAY VALVE
|
|
16.17
|
|
SPLINT,NASAL,ALUM,SOFT-FORM,REG,SINGLE
|
|
79.73
|
|
ST VAGINAL PACKING X-RAY DETECT 2" X 72"
|
|
25.15
|
|
STAINLESS STEEL CLEANING BRUSH 7"
|
|
39.02
|
|
STRIP MONITORING CHEMICAL LCC008
|
|
4.13
|
|
Strt-Type Stand-Bore Anes Set w/Male
|
|
25.88
|
|
STRYKER PRINTER PAPER
|
|
1678.37
|
|
SUPER RAPID 5 24 MI BIOLOPICASL IND PK
|
|
49.96
|
|
SUPPORTER,ATHLETIC,ADULT,LARGE, 39"- 44"
|
|
47.44
|
|
SURETEMP DISP THERMOM PROBE COVERS
|
|
0.1
|
|
SURGICAL SCRUB BRUSHES E=Z SCRUB GREEN
|
|
4.23
|
|
SURGICAL SCRUB BRUSHES E-Z SCRUB 4% RED
|
|
8.35
|
|
SWAB,CULTURE,SINGLE,AMIES GEL,NO CHRCL
|
|
8.33
|
|
SYSTEM CLEARIFY VISUAL SYSTEM
|
|
458.13
|
|
SYSTEM,CLEARIFY,VISUALIZATION
|
|
259.47
|
|
SYSTEM,SUCTION,ORTHOPEDIC
|
|
232.45
|
|
TAPE DURAPORE SURG 1"X10YD
|
|
3.78
|
|
TAPE MICROPORE PAPER 1/2" 15300
|
|
0
|
|
TAPE UMBILICAL COTTON 36X1/8IN TIE WOVEN
|
|
1.93
|
|
TAPE, ELASTIC, 2"X5YD
|
|
22.2
|
|
TAPE,CLOTH,SURGICAL,MEDIPORE-H,4"X10YD
|
|
46.33
|
|
TAPE,ELASTIC,3" X 2.5 YD,ELASTIKON
|
|
33.31
|
|
TAPE,ELASTIC,4"X 2.5YD,ELASTIK
|
|
58.73
|
|
TAPE,MEASURE,PAPER,STER,36''
|
|
4.93
|
|
TAPE,PAPER,SURGICAL,MICROPORE,1"X10YD
|
|
2
|
|
TAPE,PAPER,SURGICAL,MICROPORE,1/2"X10YD
|
|
1
|
|
TAPE,PAPER,SURGICAL,MICROPORE,2"X10YD
|
|
4.01
|
|
TAPE,PAPER,SURGICAL,MICROPORE,3"X10YD
|
|
6.01
|
|
TAPE,SURGICAL,DURAPORE,2"X10YD
|
|
7.57
|
|
TAPE,SURGICAL,DURAPORE,3"X10YD
|
|
11.36
|
|
TAPE,SURGICAL,MICROFOAM,1"X5.5YD
|
|
7.2
|
|
TAPE,SURGICAL,MICROFOAM,3"X5.5YD
|
|
21.62
|
|
TAPE,SURGICAL,MICROFOAM,4"X5.5YD
|
|
28.83
|
|
TAPE,SURGICAL,MICROPORE,TAN,1/2"X10YD
|
|
2.31
|
|
TAPE,SURGICAL,TRANSPORE,2"X10YD
|
|
7.57
|
|
TAPE,SURGICAL,TRANSPORE,3"X10YD
|
|
18.5
|
|
TAPES AUTOCL STEAM STERI TAPE BL 1X60 YD
|
|
32.75
|
|
TAPES MEDIPORE H CLOTH SURG TAPE 4X10 YD
|
|
46.33
|
|
TEST HEMOCCULT SENSA 1-SLIDE U231535
|
|
9.24
|
|
TEST STRIP A RAPID B107727
|
|
12.13
|
|
THERMABASIN
|
|
460.01
|
|
TIP SCSR ENDCT 19.3MM DISP
|
|
271.87
|
|
TISSEEL 10ML
|
|
3051.44
|
|
TOPIFOAM SILICONE-BACKED ADH. FOAM PADS
|
|
78.54
|
|
Towel, OR,ST,Disp,Deluxe,Blue MDT2168204
|
|
10.75
|
|
TRACEABLE AIR TEMP THERMOMETER 10367
|
|
399.84
|
|
TRAP, F/DATEX MONITOR DISP WATER
|
|
135.93
|
|
TRAY,GASTRIC LAVAGE,LARGE,34FR,36"
|
|
60.57
|
|
TRAY,LACERATION DYNJ03108LF
|
|
31.91
|
|
TRAY,SKIN SCRUB,DRY,PREMIUM
|
|
13.6
|
|
TRAY,SKIN SCRUB,PREMIUM,WET,LF
|
|
21.27
|
|
TRAY,SUTURE REMOVAL,METAL IRIS,FORCEPS
|
|
5.9
|
|
TRAYS,LAMI TRAY II
|
|
325.41
|
|
TRI FOLD BINDER
|
|
195.75
|
|
TUBING, SUCTION, 1/4" X 10', SCALLOP
|
|
4.33
|
|
UlltraVac w/ 22mm connector
|
|
340.16
|
|
ULTRA PILL SPLITTER 7349
|
|
46.98
|
|
UNDERPAD,PREMIUM,POLYMER,30"X30"
|
|
1.26
|
|
UNIVERSAL FACIAL WRAP
|
|
101.5
|
|
UNIVERSAL GROUNDING PADS, SPLIT, CORD
|
|
15.06
|
|
URINAL,MALE,SUPREME DYND80235S
|
|
2.42
|
|
VEST COMP 2XL WST 2IN MED SLV BOLERO
|
|
235.62
|
|
VEST COMP 3XL FML WST 2IN VST MED SLV
|
|
235.62
|
|
VIS U ALL HIGH TEMP SLF SEAL PCH 10.5X28
|
|
5.75
|
|
Visitec Instrument Wipe, 7.3 cm x 7.3 cm
|
|
37.15
|
|
WASH,BABY BATH 4 OZ
|
|
0
|
|
WHIN Safe Sets w/Injection Site
|
|
42.01
|
|
WS PC GIFD 3020 WIN 10 W SW
|
|
17588.5
|
|
ZIMMER SKIN GRAFT CARRIER, 8"
|
|
255.41
|
|
"Laparoscopic Plume Filtration System "
|
|
245.97
|
|
"Loop Electrode, Green, 15 mm x 12 mm "
|
|
115
|
|
"MiniLap Alligator Grasper "
|
|
1916.71
|
|
"Silic Channel Dr,Round,Full Fluted,10Fr
|
|
172.19
|
|
"Silicone Channel Drain,Full Fluted,10mm
|
|
172.19
|
|
"Y-Type Tube Connector, Sterile "
|
|
9.22
|
|
0.059 GUIDE WIRE
|
C1769
|
159.5
|
|
1 mL Insulin Syringe w 28G x 1/2" Ndl
|
|
0.52
|
|
1.5 DRIVER TIP
|
|
2269.25
|
|
1.5 MM COUPLER
|
|
2863.75
|
|
100MM,RED,GUEDEL AIRWAY
|
|
2.92
|
|
1035 GUIDE WIRE
|
C1769
|
159.5
|
|
12X9.25 WIRE
|
C1769
|
181.25
|
|
14GA COUDE NEEDLE
|
|
340.75
|
|
15 Drop IV Admin Set w/Flow Control
|
|
79.24
|
|
16G TOUHY NEEDLE
|
|
54.88
|
|
18G TOUHY NEEDLE
|
|
54.88
|
|
18GA RX2 3 1/2 NEEDLE
|
|
143.91
|
|
18MM CONVEX REAMER
|
|
3262.5
|
|
2.0 DRILL BIT
|
|
1580.5
|
|
2.0 MM COUPLER
|
|
477.29
|
|
2.0 MM FLOW COUPLw 20MHZ DOPPLER EXT Ld
|
|
7213.75
|
|
2.5 MM COUPLER
|
|
501.45
|
|
2.5 MM FLOW COUPLw 20MHZ DOPPLER EXT Ld
|
|
6887.5
|
|
2.7 DRILL BIT
|
|
1624
|
|
2.8 DRILL BIT
|
|
1580.5
|
|
20GA COUDLE NEEDLE
|
|
115.2
|
|
22MM CONVEX REAMER
|
|
3262.5
|
|
22MM CONVEX REAMER
|
|
3262.5
|
|
25G X 6IN QUINCKE SPINAL NEEDLE
|
|
83.44
|
|
29CM SHAFT
|
|
891.75
|
|
2-PLY ALCOHOL PREP PADS STERILE SZ L
|
|
0
|
|
2-TIER BACK TABLE COVER DRAPE DYNJP2TBTC
|
|
238.65
|
|
3.0 MM COUPLER
|
|
477.29
|
|
3.0 MM FLOW COUPLw 20MHZ DOPPLER EXT Ld
|
|
7213.75
|
|
3.5 DRILL BIT
|
|
1624
|
|
3.5 MM COUPLER
|
|
477.29
|
|
3.5 MM FLOW COUPLw 20MHZ DOPPLER EXT Ld
|
|
6887.5
|
|
3/0 PDS PS-2
|
|
49.74
|
|
3-0 60cm STRATAFIX Spiral MONO Plus PS-1
|
|
192.81
|
|
4 FR WHISTLE TIP STENTS, LEFT
|
|
100.7
|
|
4.0 MM COUPLER
|
|
477.29
|
|
4.0 MM FLOW COUPLw 20MHZ DOPPLER EXT Ld
|
|
7213.75
|
|
4-0 70cm STRATAFIX Spiral MONO Plus PS-2
|
|
160.7
|
|
400MM NITENOL K-WIRE
|
|
725
|
|
5820009040 BURR SURGICAL4MM PRECISION
|
|
1610.73
|
|
5921034135 PURPLE TOUNIQUET
|
|
34.52
|
|
6.0 mm HVL Cuff Oral/Nas Endo Tube w Mur
|
|
8.97
|
|
6.5 mm HVL Cuff Oral/Nas Endo Tube w Mur
|
|
8.97
|
|
68075-01M DISPOSABLE CHOLANGIO CATH 7"
|
|
152.25
|
|
68076-01M DISPOSABLE CHOLANGIO CATH 11"
|
|
163.12
|
|
7 TRIUMPH ORTHO GLOVES
|
|
0
|
|
7.0 mm HVL Cuff Oral/Nas Endo Tube w Mur
|
|
8.97
|
|
7.5 mm HVL Cuff Oral/Nas Endo Tube w Mur
|
|
8.97
|
|
8.0 mm HVL Cuff Oral/Nas Endo Tube w Mur
|
|
8.97
|
|
8.5 mm HVL Cuff Oral/Nas Endo Tube w Mur
|
|
8.97
|
|
80MM,GREEN,GUEDEL AIRWAY
|
|
2.58
|
|
90MM,YELLOW,GUEDEL AIRWAY
|
|
2.75
|
|
ABS FIX DEV POLY 30 TACK ABS PSTL GRP LA
|
|
4332.97
|
|
ABSOBENTS SODASORB CO2 PRE PAK CANISTER
|
|
51.72
|
|
ACL DISPS KIT
|
|
5560.75
|
|
ACUTRAK MICRO 18MM
|
C1713
|
3672
|
|
ADAPTER, IRRIGATING TUBE SET, DUAL SPIKE
|
|
48.4
|
|
Adaptic Touch Nonad Drsg,Oil Em,3"x3",St
|
|
1.76
|
|
ADH SKNCLS 2 OCTYL CYN DRMBND PRINEO MSH
|
|
598.59
|
|
ADHESIVE,MEDICAL,SPRAY CAN,3.2 OZ
|
|
51.47
|
|
AGENT HMSTC MTRX SRGFLO 8ML
|
|
782.13
|
|
AIRWAY,NASOPARYNGEAL,ROBERTAZZI,34 FR,LF
|
|
13.08
|
|
AIRWAY,NASOPARYNGEAL,ROBERTAZZI,36 FR,LF
|
|
13.08
|
|
AIRWAY,NASOPHARYNGEAL,ROBERTAZZI,32FR,LF
|
|
13.08
|
|
Angiocath IV Catheter,PTFE,Gray,16Gx1.88
|
|
26.2
|
|
APOLLO OVERSTITCH SUTURE CINCH 141.5CM
|
|
540.12
|
|
APPLE HUNT SECONDARY CANNULA
|
|
541.21
|
|
APPLICATOR CHLORAPREP ORANGE 10.5ML
|
|
35.59
|
|
APPLICATOR, COTTON-TIP, WOOD, 6", STRL
|
|
0.06
|
|
APPLICATOR,CHLORAPREP,ORANGE,26 ML
|
|
52.12
|
|
APPLIER ENDO 11IN LGCLP MED OPN MUL CLIP
|
|
813.45
|
|
APPLIER INT CLP 30D 13IN DISP 20 LG
|
|
833.02
|
|
APPLIER INT CLP LG TI ANG JW DIST TIP
|
|
935.25
|
|
APPLIER INT CLP MED LG 8.8MM TI
|
|
1341.25
|
|
APPLIER INT CLP MED LG ANG JW DIST TIP
|
|
1389.58
|
|
APPLIER INT CLP SM 23.8CM LIGATE
|
|
828.32
|
|
APPLIER,CLIP,LIGACLIP,MULTI,20MD,9 3
|
|
815.62
|
|
Argyle Umbilic Cath,Sgl Lumen,3.5 Fr,15
|
|
75.98
|
|
ARTHOSCOPY PUMP TUBING
|
|
442.25
|
|
ARTHX TUBE OUTFLOW SET
|
|
290
|
|
ASPIRATION TUBING, RIGID, THICK WALL
|
|
68.87
|
|
BAIRHUGGER UNDERBODY
|
|
103.71
|
|
BANDAGE,ADHESIVE,FABRIC,1"X3",STRL,LF
|
|
0
|
|
BANDAGE,ADHSVE,PLASTIC,2"X4",ST,LF,50/BX
|
|
0
|
|
BANDAGE,ELAST,MATRIX,3"X5YD,LF,HOOK&LP
|
|
2.58
|
|
BANDAGE,ELASTIC,ESMARK,STERILE,4"X9',LF
|
|
16.48
|
|
BANDAGE,ELASTIC,ESMARK,STERILE,6"X9',LF
|
|
22.77
|
|
BANDAGE,ELASTIC,MATRIX,4"X5YD,SELF CLSR
|
|
3.37
|
|
BANDAGE,ELASTIC,MATRIX,6"X15YD,SELF CLSR
|
|
11.88
|
|
BANDAGE,ELASTIC,MATRIX,6"X5YD,SELF CLSR
|
|
4.76
|
|
BANDAGE,GAUZE,BULKEE II,4.5"X4.1YD,STRL
|
|
3.42
|
|
BANDAGE,LOW PLY,DERMACEA,ST,2"X4YD
|
|
2.54
|
|
BANDAGE,LOW PLY,DERMACEA,ST,3"X4.1YD
|
|
2.55
|
|
BANDAGE,SELF ADH,COBAN,6"X5",TAN,STERILE
|
|
20.08
|
|
BANDAGE,SELF ADHRNT,COBAN,4"X5YD,LF,STRL
|
|
14.12
|
|
BANDGE, SLF ADH, COBAN, 1"X5 YD,TAN, LTX
|
|
3.04
|
|
Bardex Red Rubber Urethral Catheter,8 Fr
|
|
20.53
|
|
BEAVERBLADE,MINI,GRNDLESS STRT,180 CUT
|
|
73.55
|
|
Berkeley Vacurette Cannula, Curved, 9 mm
|
|
53.67
|
|
Berkeley Vacurette Cannula, Curved,11 mm
|
|
53.67
|
|
Berkeley Vacurette Cannula, Curved,14 mm
|
|
61.33
|
|
Berkeley Vacurette Cannula, Curved,16 mm
|
|
61.33
|
|
BINDER,ABDOM,4 PANEL,LF,12" WIDE,46-62"
|
|
117.3
|
|
BINDER,ABDOMINAL,3 PANEL,9" WIDE,46-62"
|
|
98.16
|
|
Biogel PI UltraTouch G Ste Powder-Free
|
|
0
|
|
Black 60mm Reload
|
|
1027.08
|
|
BLACK BEAUTY COOK STENTS 6 X 26
|
|
1149.12
|
|
BLADE SAW 3.543X.984IN THK.05IN SS 2 LF
|
|
278.47
|
|
BLADE, F/LARYNGOSCOPE,KING,VISION,STNDR
|
|
66.64
|
|
BLADE, TONGUE, 5 1/2", STERILE
|
|
0
|
|
BLADE,#64 MINI,GRINDLESS RND TIP BEAVER
|
|
21.4
|
|
BLADE,CLIPPER,UNIVERSAL,GRAY
|
|
19.06
|
|
BLADE,F/LARYNGOSCOPE,KING,VISION,CHNL
|
|
66.64
|
|
BLADE,PERSONNA ,SURGICAL,STRL,NO 11
|
|
4.28
|
|
BLADE,SAW,SAGITTAL,MICRO,4MMX34MMX0.5MM
|
|
160.08
|
|
BLADE,SURGICAL PLUS STRL#10
|
|
4.28
|
|
BLADE,SURGICAL,STRL,#15
|
|
4.27
|
|
BLAKE 10FR ROUND
|
|
427.42
|
|
BLAKE SILICONE DRAIN 19FR ROUND 1/4 TROC
|
|
503.22
|
|
BLD SAW 105X18MM THK1.2MM XLNG SS SGTL
|
|
141.23
|
|
BLD SAW 9MM TPS ELT PRCSN THK .38MM 25MM
|
|
181.54
|
|
BLN DSCT LAPS SPCMKR+BTT ENDO LUB 3 VLV
|
|
4686.2
|
|
BLN DSCT LAPSCP PBD SPCMKR XVW
|
|
2795.23
|
|
BLUNT TIP LAP SEALER DIVIDER
|
|
3454.05
|
|
BNDG,ELASTIC,MATRIX,6"X10YD,LF,HOOK&LP
|
|
8.98
|
|
BONE MARROW ASPIRATION NEEDLE
|
|
12687.5
|
|
BONE MARROW ASPIRATION NEEDLE
|
|
12687.5
|
|
BRAVO pH CAPSULE
|
|
1798
|
|
BREVI-KATH RADIO-OPAQUE EPIDURAL CATH
|
|
527.87
|
|
BUFFALO SMOKE EVAC TUBING
|
|
95.77
|
|
CANNULA 100MM, 22G, 10MM
|
|
386.49
|
|
CANNULA,VACCURETTE,BERKELEY,CURVED,10MM
|
|
53.67
|
|
CANNULA,VACCURETTE,BERKELEY,CURVED,8MM
|
|
53.67
|
|
CANNULA,VACURETTE,7MM,CURVED
|
|
57.49
|
|
CARTRIDGES, SMALL, RED, LIGATION CLIP
|
|
8.02
|
|
CATH ELHMST 7FR BIP RND DIST TIP FRM SHF
|
|
1145.5
|
|
CATHETER 21G X 12" (VERSA-KATH)
|
|
488.72
|
|
CATHETER FOLEY SILICONE 14FR
|
|
45
|
|
CATHETER, IV,AUTOGUARD,INSYTE,22GX1.00
|
|
11.31
|
|
CATHETER, IV,INTROCAN,SAFETY,20G X1.25"
|
|
11.37
|
|
CATHETER, SUCT, LOOP, SINGLE, 12FR
|
|
2.88
|
|
CATHETER, SUCTION, CONTROL PORT, 10 FR
|
|
2.53
|
|
CATHETER, SUCTION, CONTROL PORT, 14 FR
|
|
3.2
|
|
CATHETER,FOLEY,100% SILICONE,10FR,3ML,LF
|
|
58.96
|
|
CATHETER,FOLEY,100% SILICONE,8FR,3ML,LF
|
|
35.26
|
|
CATHETER,FOLEY,100%SILICONE,12FR,10ML,LF
|
|
45.56
|
|
CATHETER,FOLEY,100%SILICONE,16FR,10ML,LF
|
|
45.31
|
|
CATHETER,IV,ANGIOCATH,ORN,14 GA X 3.25
|
|
90.2
|
|
CATHETER,IV,AUTOGUARD,INSYTE,18GX1.16
|
|
11.36
|
|
CATHETER,IV,PROTECT PLUS,24 X 3/4
|
|
13.27
|
|
CATHETER,IV,SAFETY,16G X1.25",FEP,STRGHT
|
|
11.37
|
|
CATHETER,IV,SAFETY,18G X1.25",FEP,STRGHT
|
|
11.37
|
|
CATHETER,IV,SAFETY,22G X1",FEP,STRGHT
|
|
11.37
|
|
CATHETER,SUCTION,18 FR
|
|
3.5
|
|
CATHETER,URETHRAL,REDRUBBER,STRL,10FR
|
|
7.4
|
|
CATHETER,URETHRAL,REDRUBBER,STRL,12FR
|
|
7.41
|
|
CATHETER,URETHRAL,REDRUBBER,STRL,14FR
|
|
3.77
|
|
CATHETER,URETHRAL,REDRUBBER,STRL,16FR
|
|
6.82
|
|
CIRCUIT,72 IN, FLEX 2, SAMPLE LINE 5 MAS
|
|
34.65
|
|
CLIP 2.8MM 11MM OPN 235CM HMSTC RSL RAD
|
|
1123.75
|
|
CLIP, HEM-O-LOK, LARGE purple
|
|
202.63
|
|
CLIP, HEM-O-LOK, MED / LG
|
|
33.77
|
|
CO2 SAMPLING CANNULA,ADLT,GRN,7'O2,7'CO2
|
|
13.77
|
|
CONNECTOR, FLEX, ANESTHESIA
|
|
7.46
|
|
CONTAINER,SPECIMEN,OR STERILE,4OZ
|
|
1.52
|
|
CORD,CAUTERY,BIPOLAR,STERILE
|
|
11.42
|
|
COUNTER,NEEDLE,FOAM/ADHESIVE,40COUNT
|
|
6.03
|
|
COVER PIN GRN .062IN PLS KWR STRL LF
|
|
11.37
|
|
COVER, PIN, SMALL,.028"-.062",YELLOW
|
|
4.38
|
|
COVER,C-ARM,41X74
|
|
20.95
|
|
COVER,LIGHT HANDLE,FLEXIBLE,SOFT,1/PK
|
|
2.15
|
|
COVER,LIGHTHANDLE,STERILE,BLUE
|
|
12.53
|
|
COVER,MAYO STAND,STERILE
|
|
5.05
|
|
COVER,MAYO STAND,XL,STERILE
|
|
9.39
|
|
COVER,TABLE,HVY DUTY,60"X90",STRL
|
|
19.1
|
|
COVER,TABLE,REINFORCED,50"X90",STERILE
|
|
10.98
|
|
CRAWFORD NEEDLE
|
|
260.47
|
|
CROUCH CORNEAL PROTECTOR
|
|
68.62
|
|
CUFF TRNQT CYL 18X3IN 1 PORT 1 BLDR TBG
|
|
293.45
|
|
CUFF TRNQT NBL 44X4IN CLR CUF CYL 1 PORT
|
|
414.28
|
|
CUFF TRNQT YLW 24X4IN CLR CUF CYL 1 PORT
|
|
76.34
|
|
CUP,MEDICINE,GRAD,PLASTIC,1OZ
|
|
0
|
|
CURAD Sterile Petrolatum Gauze Overwrap,
|
|
7.67
|
|
Dermatome Blade,Sterile, 1.25" - 4.25"
|
|
363.73
|
|
DEVICE,ENDO,GIA,ARTIC,60,MED,THK,RELOAD
|
|
1280.83
|
|
DEVICE,SUTURE,STITCH,ENDOSCOPIC,10MM
|
|
1442.75
|
|
DEVON DEV-O-LOOP VESSEL LOOP, MINI, BLUE
|
|
8.72
|
|
DGOWN,NON-REINFRCD,SIRUS,SET IN SLV,XL
|
|
0
|
|
DILA ENDO CRE 180CM 8CM 6FR 12-13.5-15MM
|
|
1247
|
|
DILATOR ENDO CRE 180CM 8CM 15-16.5-18MM
|
|
1247
|
|
DILATOR ENDO CRE 180CM 8CM 6FR 10-12MM
|
|
1419
|
|
DILATOR ENDO CRE 240CM 5.5CM 7.5FR 18-20
|
|
1445.65
|
|
Disp Stainless 6" ENT NDL Electrode
|
|
46.11
|
|
Disposable Stainl Steel 6" NDL Hex Hub
|
|
20.45
|
|
DISPS KIT TRANS-TIB ACL
|
|
1051.25
|
|
DRAIN, CHEST, 1 PATIENT TUBE, STERILE
|
|
348.65
|
|
DRAIN,FLAT,HUBLESS,SILICONE,10MM
|
|
27.04
|
|
DRAIN,FLAT,HUBLESS,SILICONE,7MM
|
|
44.33
|
|
DRAIN,PENROSE,LATEX,18"X0.25",STERILE
|
|
3.24
|
|
DRAIN,PENROSE,LATEX,18"X0.5",STERILE
|
|
3.24
|
|
DRAIN,PENROSE,LATEX,18"X1",STERILE
|
|
3.24
|
|
DRAIN,W/TROCAR,AND,ADAPTOR,3/32& DIAM
|
|
509.84
|
|
DRAIN,WOUND,10FR,1/8",FULL-FLUTED,TROC
|
|
97.48
|
|
DRAIN,WOUND,15FR,3/16",FULL-FLUTE,TROC
|
|
124.76
|
|
DRAIN,WOUND,19FR,1/4",FULL-FLUTE,TROC
|
|
119.26
|
|
DRAIN,WOUND,FLAT,HUBLESS,7MM,TROC
|
|
59.9
|
|
DRAIN,WOUND,ROUND,SILIC,10FR
|
|
41.6
|
|
DRAIN,WOUND,ROUND,SILIC,15FR
|
|
40.13
|
|
DRAIN,WOUND,ROUND,SILICONE,7FR
|
|
28.9
|
|
DRAIN,WOUND,ROUND,SILICONE,7FR,3/32"
|
|
70.53
|
|
DRAPE,ABDOMINAL,MAJOR,STERILE
|
|
43.42
|
|
DRAPE,C-ARMOR
|
|
240.92
|
|
DRAPE,CHEST,FENES,15X10,STERIL
|
|
34.14
|
|
DRAPE,EXTREMITY,89X128,STERILE
|
|
32.15
|
|
DRAPE,HAND,STERILE
|
|
39.52
|
|
DRAPE,INSTRUMENT,MAGNETIC,16X20,STERILE
|
|
27.19
|
|
DRAPE,IOBAN2,INCISE,ANTIMCRBL,23"X 23"
|
|
50.6
|
|
DRAPE,LAP,CHOLE,W/TROUGHS,STERILE
|
|
52.22
|
|
DRAPE,MINI C-ARM,54X85
|
|
50.02
|
|
DRAPE,ORTHOMAX ,HIP,W/POUCHES
|
|
130.05
|
|
DRAPE,ORTHOMAX,ARTHRO T ,W/ POUCH
|
|
134.1
|
|
DRAPE,SHOULDER,ORTHOMAX,W/POUCH
|
|
122.22
|
|
DRAPE,SPLIT ,77X120 DYNJP8304A
|
|
31.83
|
|
DRAPE,STERI,U-DRAPE
|
|
20.4
|
|
DRAPE,T,LAPARO,TRANS,STERILE
|
|
31.55
|
|
DRAPE,THYROID,SOFT,STERILE
|
|
27.55
|
|
DRAPE,U,ORTHOMAX
|
|
67.3
|
|
DRAPE,U/ SHT,SPLIT,PLAS,STERIL
|
|
10.8
|
|
DRAPE,UNDERBUTTOCKS,PCH,STERILE
|
|
13.15
|
|
DRAPE,UTILITY,TAPE,15X26,STERILE
|
|
1.7
|
|
DRAPE,VIDEO CAMERA,STERILE,5"X96"
|
|
43.04
|
|
DRAPES STER 3/4 SHEET 53X77 DYDJP2414R
|
|
12.29
|
|
Drapes: Bilateral Limb T-Drape, Sterile
|
|
49.18
|
|
DRESSING,GAUZE,OIL EMULSION,CURAD,3"X3"
|
|
1.32
|
|
DRESSING,GAUZE,XEROFORM,CURAD,1"X8",ST
|
|
2.46
|
|
DRESSING,GAUZE,XEROFORM,CURAD,5"X9",ST
|
|
3.7
|
|
DRESSING,ISLAND SILVERLON 4"X10"
|
|
244.15
|
|
DRESSING,PAD,TELFA,NON-ADHRNT,3X4",S
|
|
1
|
|
DRESSING,SILVERLON,ISLAND,4"X6",PD 2"X4"
|
|
118.45
|
|
DRESSING,TEGADERM,TRNS,FILM,2.375X2.75"
|
|
1.46
|
|
DRESSING,TEGADERM,TRNS,FILM,FRAME,4X4.75
|
|
4.32
|
|
DRESSING,TEGADERM,TRNSPR,FILM,FRAME,6X8"
|
|
8.8
|
|
DRESSING,TEGADERM+PAD,2"X2.75"
|
|
2.03
|
|
DRESSING,TEGADERM+PAD,3.5"X6"
|
|
7.77
|
|
DRILL BIT 1.5MM
|
|
414
|
|
DUPLOCATH 35CM MIS
|
|
369.82
|
|
DURASEAL EXACT SPINE SEALANT SYSTEM,5ML
|
|
8656.21
|
|
DYNJSD1010 DRAPE,TOWEL,LARGE,INVISISHIE
|
|
7.54
|
|
Ear Tubes Type 2 Paperella Ear Vent Tube
|
|
113.72
|
|
EARLOOP MASK
|
|
0
|
|
Eclipse Needle, 22G x 1-1/2"
|
|
1.01
|
|
EGIA 60 CURVED TIP ART VASCUL MED
|
|
1087.5
|
|
Electric Surgery Electrode, Safety
|
|
115
|
|
ELECTRODE,ADULT,POLYHESIVE,PAT RETURN
|
|
58.23
|
|
ELECTRODE,BALL 5MM, SHAFT 12CM, LEEP
|
|
167.7
|
|
ELECTRODE,BLADE,2.5",COATED
|
|
31.95
|
|
ELECTRODE,BLADE,5.1,COATD,INSULTD,HEXLOC
|
|
33.06
|
|
ELECTRODE,BLADE,BLUE-SILK,PTFE,2.5"
|
|
15.79
|
|
ELECTRODE,BLADE,BLUE-SILK,PTFE-INS,2.5"
|
|
17.91
|
|
ELECTRODE,BLADE,BLUESILK,PTFE-INS,4"
|
|
25.46
|
|
ELECTRODE,BLADE,BLUESILK,PTFE-INS,6"
|
|
24.69
|
|
ELECTRODE,BLADE,PTFE-COATED,6.5"
|
|
32.69
|
|
ELECTRODE,ECG,ADULT,SNAP,FOAM,WET GEL
|
|
0.83
|
|
ELECTRODE,LAP,L HOOK,32CM,STER,DISP
|
|
200.46
|
|
ELECTRODE,NEEDLE,BLUE-SILK,PTFE,2.75"
|
|
19.2
|
|
ELECTRODE,NEEDLE,STD,EXTENDED,INSULATED
|
|
9.04
|
|
Electrosurg Pencil, Ultraclean, Push But
|
|
18.23
|
|
ENDO STITCH POLYSORB 2/0 48 VIO DLU SU
|
|
507.16
|
|
ENDOCLIP III 5MM APPLIER W/HEMO STAY CLP
|
|
3803.76
|
|
ENDOPATH XCEL BLADELESS TROCAR 5MM,100MM
|
|
217.5
|
|
ENDOPATHfi Xcel" Bladeless Trocar,
|
|
355.25
|
|
Endotra Tube,Preformed w/Murp Eye
|
|
21.97
|
|
ENDPH XCEL BLADELESS TROCAR, W/ST
|
|
34.93
|
|
ES2 RING
|
|
2548.81
|
|
ESURG 45CM RND TIP SLR STR JW ENSEAL 5MM
|
|
2586.3
|
|
ETHICON LINEAR CUTTER
|
|
6334.27
|
|
ETHICON TROCAR 11MM BLADELESS
|
|
220.21
|
|
EVICEL 35CM RIGID TIP 3-PACK BOX
|
|
252.17
|
|
EXPANSION KITS ON-Q EXP KIT
|
|
263.91
|
|
EXTENSION SET
|
|
8.98
|
|
EXTENSION SET,SMALLBORE,ET112
|
|
12.62
|
|
FACE MASK PROCEDURAL PINK FLUID
|
|
4.15
|
|
FENESTRATED GRASPER TIP
|
|
409.62
|
|
FLUID DECANTER WHITE 9:FOR BAG TO STERIL
|
|
6.99
|
|
FLUID LR 3000ML BAG
|
|
60.46
|
|
FLUID NACL 0.9% IRR 1000ML BTL 2F7124
|
|
13.78
|
|
FLUID NACL 0.9% IRR 250ML BTL 2F7122
|
|
8.33
|
|
FLUID NACL 0.9% IRR 3000ML 2B7477
|
|
53.44
|
|
FLUID SEALS (HIP) 72200027
|
|
161.39
|
|
Gauze Packing Strip, 1/2" x 5 yd
|
|
16.43
|
|
GAUZE,PACKING STRIP,IODOFORM,1/2"X5YD,ST
|
|
11.43
|
|
GAUZE,PACKING STRIP,PLAIN,1"X5YD,STRL,LF
|
|
12.45
|
|
GAUZE,PACKING STRIP,PLAIN,1/4"X5YD,STRL
|
|
10.4
|
|
GAUZE,SPONGE,2"X2",12PLY,NS,LF,200/PK
|
|
0.04
|
|
GAUZE,SPONGE,2"X2",8PLY,STERILE,LF,2'S
|
|
0.08
|
|
GAUZE,SPONGE,4"X4",12PLY,WOVEN,NS,LF
|
|
0.11
|
|
GAUZE,SPONGE,4"X4",16PLY,STRL,LF
|
|
0.35
|
|
GAUZE,SPONGE,4"X4",16PLY,STRL,LF,10/TRAY
|
|
0.3
|
|
GAUZE,TUBEFOIL,VASELINE,OVERWRAP .5"x72"
|
|
10.92
|
|
GEL,AQUASONIC STERILE 100,ULTRASOUND,20G
|
|
6.54
|
|
GEM COUPLER 4.0MM
|
|
2863.75
|
|
GFT 8X4IN MSGRFT DERMA SS PVC LUBELEGEAR
|
|
258.6
|
|
GLOVE EXAM POWDER FREE SZ L
|
|
0
|
|
GLOVE,BIOGEL PL ULTRATOUCH G,SZ 6.5,LF
|
|
0
|
|
GLOVE,BIOGEL PL ULTRATOUCH G,SZ 7.5
|
|
0
|
|
GLOVE,BIOGEL PL ULTRATOUCH G,SZ 8.5
|
|
0
|
|
GLOVE,BIOGEL,PI ULTRATOUCH G,7.0,LF
|
|
0
|
|
GLOVE,MEDICAL,RADION-X,LTX,PF,7.5
|
|
342.64
|
|
GLOVE,MEDICAL,RADION-X,LTX,PF,8
|
|
217.5
|
|
GLOVE,SURG,BIOGEL,SKINSENSE,LF,PF,8
|
|
0
|
|
GLOVE,SURG,BIOGEL,SKINSENSE,LF,PF,8.5
|
|
0
|
|
GLOVE,SURG,LATEX,BIOGEL,INDICATOR,PF, 9
|
|
0
|
|
GLOVE,SURG,LATEX,BIOGEL,INDICATOR,PF,6
|
|
0
|
|
GLOVE,SURG,LATEX,BIOGEL,INDICATOR,PF,6.5
|
|
0
|
|
GLOVE,SURG,LATEX,BIOGEL,INDICATOR,PF,7
|
|
0
|
|
GLOVE,SURG,LATEX,BIOGEL,INDICATOR,PF,7.5
|
|
0
|
|
GLOVE,SURG,LATEX,BIOGEL,INDICATOR,PF,8
|
|
0
|
|
GLOVE,SURG,LATEX,BIOGEL,INDICATOR,PF,8.5
|
|
0
|
|
GLOVE,SURG,LATEX,BIOGEL,SURGICAL,PF,6
|
|
0
|
|
GLOVE,SURG,LATEX,BIOGEL,SURGICAL,PF,8.5
|
|
0
|
|
GLOVE,SURG,LATEX,BIOGEL,SURGICAL,PF,9
|
|
0
|
|
GLOVE,SURG,SENSICARE ORTHO,LF,PF,7.5
|
|
0
|
|
GLOVE,SURG,SENSICARE ORTHO,LF,PF,8
|
|
0
|
|
GLOVE,SURG,TRIUMPH ORTHO,ALOE,LTX,PF,6.5
|
|
0
|
|
GLOVE,SURG,TRIUMPH ORTHO,ALOE,LTX,PF,7.5
|
|
0
|
|
GLOVE,SURG,TRIUMPH ORTHO,ALOE,LTX,PF,8
|
|
0
|
|
GLOVE,SURGICAL,BIOGEL,SKINSENSE,PF,7.5
|
|
0
|
|
GLOVE,SURGICAL,LATEX,BIOGEL,PF,6.5
|
|
0
|
|
GLOVE,SURGICAL,LATEX,BIOGEL,PF,7
|
|
0
|
|
GLOVE,SURGICAL,LATEX,BIOGEL,PF,7.5
|
|
0
|
|
GLOVE,SURGICAL,LATEX,BIOGEL,PF,8
|
|
0
|
|
GLOVES EXAM FIT GUARD POWDER FREE SZ M
|
|
0
|
|
GLOVES:EXAM FITGUARD POWDER FREE SZ S
|
|
0
|
|
GOLDBERG URETERAL ADAPTER
|
|
241.06
|
|
GOWN,NON-REINFRCD,SIRUS,SET IN SLV,XXL
|
|
0
|
|
GOWN,SIRUS,NON REINFRCD,LARGE,SET IN SL
|
|
0
|
|
GOWNS SZ XL
|
|
0
|
|
GOWNS,ISOLATION W/THUMB LOOP BLUE SZ XL
|
|
2.34
|
|
GRASPER
|
|
957
|
|
GRASPER LAPSCP FENESTR 5MM CTLTIP 22.6MM
|
|
409.62
|
|
GREEN RELOADS
|
|
833.75
|
|
GUARDUS ESOPH DISP 25 CM SCOPE 8.6-10MM
|
|
1413.75
|
|
HEMOSTAT,ABSORB,SURGICEL FIBRILLAR,2X4
|
|
685.16
|
|
HMSTC 5ML MTRX FLOSEAL
|
|
1035.39
|
|
HS SYNERGY COMBO HOOK BLADE
|
|
1387.89
|
|
hypod ndle w bevel & reg wall,20G x 1.5"
|
|
0.19
|
|
hypod ndle w bevel & reg wall,25G x 5/8"
|
|
0.59
|
|
hypod ndle w bevel & reg wall,27G x 0.5
|
|
0.22
|
|
ILLUMINATION SYS
|
|
4821.25
|
|
IMP SEAMGUARD CIRC
|
|
2059
|
|
INSULATED NEEDLE ELECTRODE w EXTENSION
|
|
21.87
|
|
IRRIGATION SOLUTION 1000ml
|
|
22.64
|
|
IRRISEPT JET LAVAGE DEVICE, W/.05% CHG
|
|
444.78
|
|
IV CATHETER
|
|
25.94
|
|
IV Catheters: Insyte Autoguard 14Gx1.75"
|
|
11.86
|
|
IV EXTENSION, STD BORE, LL, 30"
|
|
6.98
|
|
IV STRAT KIT 6-Pc PREP PAD SURESITE WIN
|
|
5.74
|
|
JAM SHIDI NEEDLE
|
|
1450
|
|
Jamshidi Biopsy Needle, 11G x 152 mm
|
|
118.08
|
|
Jelco Straight Hub IV Cath, 14G x 1-1/4"
|
|
11.79
|
|
Jelco Straight Hub IV Cath,18G x 1-1/4
|
|
11.79
|
|
Jelco Straight Hub IV Catheter, 20G x 1"
|
|
11.79
|
|
Jelco Straight Hub IV Catheter, 22G x 1"
|
|
12.54
|
|
JELLY, LUBE, STERILE, FOIL PACK, 5G
|
|
0.38
|
|
KII BALLOON BLUNT TIP SYSTEM
|
|
507.5
|
|
KII BALLOON BLUNT TIP SYSTEM
|
|
3465
|
|
KIT TISS CLSR EVCEL FBRN SLNT 5ML
|
|
3315.71
|
|
KIT URINE MIDSTREAM CLEAN CATCH 25015
|
|
0
|
|
KIT, CATH, RAD ARTERY,20GX1 3/4"(DUPE)
|
|
84.51
|
|
KIT, EXPANSION, ON-Q, ANTIMCRBL, 2.5IN
|
|
262.46
|
|
KIT,IV START,CHLORAPREP,TEGADERM
|
|
12.09
|
|
K-Wires,Dbl trocar,.035" (1.6mm) diam,6"
|
|
43.98
|
|
K-Wires,Dbl trocar,.045" (1.6mm) diam,6"
|
|
21.99
|
|
K-Wires,Dbl trocar,.054" (1.6mm) diam 6"
|
|
21.99
|
|
K-Wires,Dbl trocar,.062" (1.6mm) diam 6"
|
|
43.98
|
|
Laparoscop Smoke Evac System, 6.0 L/min
|
|
230.55
|
|
LAPAROSCOPIC,OPTI2,ELECTRODE,WIRE-L HOOK
|
|
761.73
|
|
LARGE PEC BUTTON KIT
|
|
14148
|
|
LATERAL ACCESS KIT
|
|
4748.75
|
|
LATERAL MONITORING KIT
|
|
9874.5
|
|
LEGGINGS, PAIR, 29X43, STERILE
|
|
13.95
|
|
LEICA DRAPES MICROSCOPE
|
|
199.37
|
|
LFZ BANDAGE,ELAS,MATRIX,2"X5YD,SELF CLSR
|
|
2.47
|
|
LIGASURE CUR SM JAW SEALER/DIV
|
|
2860.93
|
|
LIGATOR 18IN E-LP MFL TIE LOOP SUT ENDO
|
|
194.28
|
|
LIPO FOAM(5 SHEET) 8X11"
|
|
54.37
|
|
Lng Lth Whit High-Flow Spinal Ndl Bl,25
|
|
35.1
|
|
Loop Electrode, 20 mm x 12 mm
|
|
115
|
|
LOOP,VESSEL,MINI,RED,2/PK,STERILE
|
|
16.45
|
|
LOOP,VESSEL,RED,MAXI,2/CARD
|
|
13.25
|
|
Lubricath Contin Irrig Cath, 5Cc, 22Fr
|
|
51.59
|
|
Lubricath Urine Meter Foley Tray,16 Fr
|
|
74.65
|
|
MAJOR SINGLE-BASIN TRAY WITH GOWNS
|
|
166.14
|
|
MARKER,SKIN,W/RULER,FINE TIP (BULK)
|
|
14.04
|
|
MASK
|
|
6.52
|
|
MASK RESPIRATOR N95 WHITE REG SZ
|
|
2.8
|
|
MASK, LARYNGEAL SUP AIRWAY STERILE SZ 3
|
|
77.83
|
|
MASK, LARYNGEAL SUP AIRWAY STERILE SZ 4
|
|
77.83
|
|
MASK, LARYNGEAL SUP AIRWAY STERILE SZ 5
|
|
77.83
|
|
MASK,LARYNGEAL,SZ 2.5,CHILD,LF
|
|
40.03
|
|
MASK,LARYNGEAL,SZ 3,CHILD,LF
|
|
40.03
|
|
MASK,LARYNGEAL,SZ 4,ADULT,LF
|
|
40.03
|
|
MASK,LARYNGEAL,SZ 5,ADULT,LF
|
|
40.03
|
|
MASK,OXYGEN,MED,CONCEN,7'TUBING
|
|
40.03
|
|
MASKS FACE MASK W/TIES ANTIFOG AGGR
|
|
1.72
|
|
MASKS FLUID RESIST PROCEDURE FACE
|
|
1.7
|
|
MASKS MEDITE SURG FACE MASK BLUE
|
|
1.22
|
|
MASTISOL ADHSV,LIQ,F/DRSSNG USE,LF,VIAL
|
|
11.6
|
|
MAYO NEEDLE
|
|
21.09
|
|
MBO- DRESSING,TELFA,8" X 3",STERILE
|
|
1.31
|
|
MBO-NEEDLE,HYPO,27GX1.5,RG BVL,PRCSN GLD
|
|
0.3
|
|
MBO-RELOAD,TRI,2.0 SUL TRS 60,ART MED TH
|
|
5903.36
|
|
MBO-RELOAD,TRI,2.0 SUL TRS 60,ART XTRA T
|
|
3678.16
|
|
MBO-SYRINGE,BLUNT FILL,10ML,18GX 1.5",LL
|
|
0
|
|
MBO-SYRINGE,BLUNT FILL,3ML,18GX1.5",LL
|
|
0
|
|
MBO-SYRINGE,BLUNT FILL,5ML,18GX 1.5",LL
|
|
0
|
|
MBO-TUBE,SALEM SUMP,ARGYLE,14FR,48"
|
|
6.77
|
|
MBO-TUBE,SALEM SUMP,ARGYLE,16FR,48"
|
|
6.77
|
|
MBO-TUBE,SALEM SUMP,ARGYLE,18FR,48"
|
|
6.77
|
|
MENISCAL ROOT KIT
|
|
7213.75
|
|
MULTIFIRE VERSATACK STAPL W/4.8MM DLU(6)
|
|
1689.89
|
|
Myringotomy Blade, Spear Tip, Narrow
|
|
78.36
|
|
NARROW INTRADISCAL SHIM
|
|
2175
|
|
Nasal RAE Endotrach Tube, 6.0 mm
|
|
28.65
|
|
NDL INSFL 120MM 14GA EPTH ULT VERS BLNT
|
|
155.67
|
|
NDL SCLRTX 23GA 2.3MM .24MM INNR CATH
|
|
210.25
|
|
NEEDLE TUN-L-CATH
|
|
47.15
|
|
NEEDLE,11GX4",10/CS,BONEMARROW,STRL
|
|
104.37
|
|
NEEDLE,18GX1.5"(1.2MMX40MM),BLUNT,FILL
|
|
0.47
|
|
NEEDLE,18GX1.5",HYPODERMIC,REG WALL
|
|
0.18
|
|
NEEDLE,18GX3.5",PINK HUB,STRL,SNGL USE
|
|
7.56
|
|
NEEDLE,20GX3.5",YELLOW HUB,STRL,SNGL USE
|
|
7.56
|
|
NEEDLE,22GX1.5",HYPODERMIC,REG WALL/BEV
|
|
0.59
|
|
NEEDLE,22GX3.5",BLACK HUB,STRL,SNGL USE
|
|
7.76
|
|
NEEDLE,22GX5",BLACK,LONG,STRL,SINGLE USE
|
|
19.31
|
|
NEEDLE,25GX1.5",HYPODERMIC,REG WALL/BEV
|
|
0.22
|
|
NEEDLE,25GX3.5",BLUE HUB,STRL,SINGLE USE
|
|
7.87
|
|
NEEDLE,DISSECTION,3CM,MICRO,STR,3/32"
|
|
751.39
|
|
NEEDLE,SPCLTY HYPO,27GX1.25",RG BV
|
|
0.3
|
|
NEEDLE,SPECIALTY HYPO,30GX0.5",STERILE
|
|
0.48
|
|
NEEDLE,SPINAL,22G X 2.5",QUINCKE,STRL
|
|
8.45
|
|
NEOCLOSE ANCHORGUIDE REG PORT
|
|
601.85
|
|
NONSTER CONFORMING GAUZE BANDAGE,2"X75"
|
|
0.79
|
|
OBERA BALLON REMOVAL KIT
|
|
725
|
|
OM21258SLMML CO2 OXYMASK ADUKT MASK W/7
|
|
66.17
|
|
OMEGA SURGICAL INS.
|
|
362.5
|
|
Oral RAE Trach Tube, Cuffed, 6.0 mm
|
|
28.65
|
|
Oral RAE Trach Tube, Cuffed, 6.5 mm
|
|
28.65
|
|
OVERSTITCH ENDO SUTURING SYSTEM
|
|
6592.66
|
|
PACK,SHOULDER,DRAPE,POUCH
|
|
129.41
|
|
PAD, PREP, ALCOHOL, STRL, MEDIUM, 2-PLY
|
|
0.03
|
|
PAD,ABDOMINAL,5"X9",STERILE,LF,1/PK
|
|
0.51
|
|
PAD,EYE,LARGE,2 1/8"X2 5/8",STERILE,LF
|
|
0.73
|
|
PAD,MATERNITY,11 IN,W/TAILS,STERILE
|
|
0.61
|
|
PAD,NON-ADHERENT,3"X4",STERILE,LF,1/PK
|
|
0.33
|
|
PAD,NON-ADHERENT,3"X8",STERILE,LF,1/PK
|
|
0.66
|
|
PADDING,UNDERCAST,COTTON, 2"X4YD ST
|
|
15.52
|
|
PADDING,UNDERCAST,COTTON, 4"X4YD ST
|
|
17.12
|
|
PADDING,UNDERCAST,COTTON, 6"X4YD STERILE
|
|
17.14
|
|
PAIN RELIEF KITS ON-Q TUNNELER 17G 8'
|
|
204.6
|
|
PASSER CARTER-THOMASON ADV SUREGRASP SUT
|
|
616.25
|
|
PENCIL,CAUTERY,PUSHBUTTON,STERILE,LF,SS
|
|
16.52
|
|
PHANTOM DILATORS
|
|
12687.5
|
|
PI PMP 2ML/HR ON PNB SKR DL CATH NDL100M
|
|
609.36
|
|
PIN NVG 100MM 3MM PRCSN NVG SYS KN
|
|
9098.75
|
|
PINS,SAFETY,STERILE,#2 MEDIUM,2/PK
|
|
1.33
|
|
PIPELLES, STERILE, SINGLE USE,DISPOSABLE
|
|
52.2
|
|
PLEDGET CARDIO 1/8X.25IN THK1/16IN PTFE
|
|
31.94
|
|
PLEDGET CARDIO WH 9.5X4.8MM THK1.5MM SF
|
|
51.55
|
|
PLEDGET CARDIO WHITE 9.5X4.8MM THK1.5MM
|
|
4.7
|
|
PMI PUNCTUR CLOSURE DEVICE 15cm 14g
|
|
64.86
|
|
POUCH SPECIMEN 10MM ENDO CATCH GOLD
|
|
398.75
|
|
POUCH,STERIDRAPE,IRRIGATION,19" X 23"
|
|
23.79
|
|
POWDER,SURGIFOAM,PORCINE,STERILE,1.0G
|
|
2982.13
|
|
Precise Needle Electrode, 2.84"
|
|
6.11
|
|
PREM TUBING SOFT SOFT 3/8 X 10
|
|
18.12
|
|
ProTack 5mm Single Use Instrument
|
|
2911.12
|
|
PROTECTOR,EYE,OPTI-GARD,STERILE
|
|
32.96
|
|
PT TRACKER 9733534XOM
|
|
1443.17
|
|
PUMP SYSTEM ON Q PUMP SYST 100MLVOLX2ML
|
|
693.41
|
|
PUSH PIN (LONG) 3.2MM 50090
|
|
973.11
|
|
QuickTrach ER Cricothy Kit,4.0 mm,
|
|
1157.39
|
|
RADIAL ARTERY CATH KIT W/20G X 1-3/4
|
|
85.33
|
|
RADIAL JAW 3 W/2.8MM NDL 1599
|
|
90.3
|
|
RASP SM TEAR X-CUT 510037113
|
|
1603.82
|
|
RASP SM X-CUT KM82
|
|
440.38
|
|
REAGENT PROTEIN TOTAPENTRA 400 B3166406
|
|
99.87
|
|
REAMER 2.7MM XDR27
|
|
2350.31
|
|
RECHARGER
|
|
7250
|
|
REGARD MASK EARLOOP
|
|
200.1
|
|
RELOAD BLK
|
|
2649.9
|
|
RELOAD STPLR 3.8MM ECHLN EPTH REG THKTIS
|
|
2649.9
|
|
RELOAD STPLR 60MMX2.6MM ECHLN EPTH ECHLN
|
|
2324.48
|
|
RELOAD, GST, BLUE, 60MM, 6ROW
|
|
2066.25
|
|
REMOVER,STAPLE,SKIN,STERILE
|
|
4.48
|
|
REPROCESSED 12MM HASON TROCAR
|
|
220.21
|
|
REPROCESSED 5MM XL TROCAR
|
|
222.39
|
|
REVOLVE FAT GRAFTING SYSTEM
|
|
4074.5
|
|
Roadrunner½ PC Hydrophilic Wire Guide
|
|
405.34
|
|
Robertazzi Nasopharyngeal Airway, 20 Fr
|
|
34.9
|
|
Robertazzi Nasopharyngeal Airway, 22 Fr
|
|
34.9
|
|
Robertazzi Nasopharyngeal Airway, 24 Fr
|
|
34.9
|
|
Robertazzi Nasopharyngeal Airway, 26 Fr
|
|
34.9
|
|
Robertazzi Nasopharyngeal Airway, 28 Fr
|
|
42.16
|
|
Robertazzi Nasopharyngeal Airway, 30 Fr
|
|
34.9
|
|
RUBBERBAND,#8,SMALL,2/PK
|
|
4.35
|
|
RX COUDE EPIDURAL NEEDLE 18GA X 89MM
|
|
341.33
|
|
RX STRAIGHT EPIDURAL NEEDLE 18GA X 89MM
|
|
341.33
|
|
Safety IV Cath,Straight,FEP,24Gx0.75
|
|
11.37
|
|
SAW BLADE 19105127YG1
|
|
1283.25
|
|
SCALPEL,STAINLESS STEEL,#15,DISP,STERIL
|
|
8.51
|
|
SCREW SHIM RETRACTOR
|
|
2175
|
|
SCRW,DISTRAC PIN,12MM,ST,10/BX
|
|
151.52
|
|
SCRW,DISTRAC PIN,14MM,ST,10/BX
|
|
151.52
|
|
SEALER TISS 45CM 5MM ENSEAL TRIO 3MM
|
|
2705.55
|
|
SEAMGUARD GORE (PURPLE)
|
|
1195.04
|
|
Secto Dissector Sponge, Cherry
|
|
6.95
|
|
SET SHTH 20CM 14FR .38IN PLWY SF-T-J STD
|
|
626.32
|
|
SET, NEEDLE/CATH,PROLONG, 18GX4"
|
|
236.62
|
|
SET, UNIVERSAL IV ADMIN 15 DROP
|
|
19.69
|
|
SET,BLOOD COLLECT,21G X .75" INFUSION
|
|
8.7
|
|
SET,BLOOD COLLECT,23G X .75" INFUSION
|
|
5.57
|
|
SET,EXTENSION,I.V. CATHETER,LUER LOC
|
|
15.55
|
|
SET,IRRIGATION,CYSTO/TUR,90"
|
|
20.6
|
|
SET,IRRIGATION,TWO-BAG,94"
|
|
57.57
|
|
SET,IV,ADMIN,SECOND,15DR/ML,UNIV SPIK
|
|
6.9
|
|
SET,NEEDLE/CATHETER,PROLONG,19GX4"
|
|
236.62
|
|
SET,NERVE,PROLONG,CONTINUOUS,16GX50MM
|
|
197.19
|
|
SETCOLLECTION,BERKLEY,3/8"ID,6',DISP
|
|
80.5
|
|
SHEARS ESURG 36CM 5MM HRMN A +7 CRV ADV
|
|
2927.88
|
|
SHEARS LAPSCP CRV TIP ADV A +7 45CM 5MM
|
|
3045
|
|
SHEET,DRAPE,3/4,53X77,STERILE DYNJP2414R
|
|
9.02
|
|
SHELL,POWER,CONTROL,SIGNIA,DIR ONLYSHELL
|
|
4065.36
|
|
SINGLE BLADDER 30" X 4" TOURNIQUET
|
|
345.23
|
|
SKIN PREP APP CHLORAPREP SKIN PREP 26ML
|
|
64.78
|
|
SKINAFFIX SURG ADHESIVE 0.4ML MSC091040Z
|
|
95.65
|
|
SKULL PINS DISP
|
|
113.78
|
|
SLATER ENSIZOR
|
|
2175
|
|
SLEEVE LAPSCP 12MM 100MM EPTH XCL UNV
|
|
155.68
|
|
SLEEVE LAPSCP 5MM 100MM EPTH XCL UNV
|
|
155.68
|
|
Smoke Evacuation High-Flow Tubing Set
|
|
240.43
|
|
Sng-Use Spinal NDL w Quine Bevel,Bl Hub2
|
|
19.31
|
|
Sng-Use Spinal NDL w/Quin Bevel, BLK Hub
|
|
19.31
|
|
SOLUTION,DURAPREP,APPLICATOR,26 ML
|
|
26.68
|
|
SOLUTION,PREP,POVIDONE IODINE,4 OZ BTL
|
|
5.36
|
|
SONIC ANCHOR SYS.
|
|
4632
|
|
SpecHypod Ndle w/Reg Bevel,16G x 1.5"
|
|
0.36
|
|
SPONGE,GELATIN,SURGIFOAM,2CMX6CMX7MM
|
|
56.75
|
|
SPONGE,GELATIN,SURGIFOAM,8CMX12.5CMX10MM
|
|
138.49
|
|
SPONGE,LAP,18"X18",STD,XR,ST,5/PK,40PK/C
|
|
7.22
|
|
SPONGE,NEURO,0.5"X0.5",XR,STRL,10/PK
|
|
27.77
|
|
SPONGE,NEURO,0.5"X3",XR,STRL,LF,10/PK
|
|
29.3
|
|
SPONGES DISSECTOR CHERRY
|
|
7.03
|
|
SPONGES GAUZE SUPER KERLIX 6X6.75
|
|
1.83
|
|
ST CIRCULAR BAG W/ELASTIC BAND 26"X13"
|
|
14.63
|
|
ST CIRCULAR BAG W/ELASTIC BAND, 50"X25"
|
|
15.65
|
|
Stand Flat Blade Electrode w Hex Hub,
|
|
7.19
|
|
STAPLER ENDO GIA 45MM ARTIC MED THICK ST
|
|
3978.72
|
|
STAPLER ENDO GIA 45MM ARTICULATING VASC
|
|
1346.92
|
|
STAPLER ENDO GIA 60MM ARTICULATING VASC
|
|
4182.05
|
|
STAPLER SKN 3.9X6.9MM 360D W RECT 35 CNT
|
|
148.26
|
|
STAPLER,ENDO GIA 4,XL
|
|
2167.75
|
|
STAPLER,SKIN,SUBCUT,ABSORBABLE,STERI
|
|
416.36
|
|
St-Bore IV Extn St w/Bonded Ultrasite Va
|
|
12.86
|
|
Sterile Conforming Gauze Bandage,2" x 75
|
|
0.88
|
|
Sterile Conforming Gauze Bandage,4" x 75
|
|
1.31
|
|
Sterile Eye Spear Sponge w/Plastic Hnd
|
|
2
|
|
STERILE GOWN SLEEVES WITH CSR WRAP
|
|
0
|
|
STERILE JT PREP INST KIT
|
|
1631.25
|
|
STERILE LUER LOCK SYRINGES 20ML
|
|
1.89
|
|
Sterile Peanut Sponge, 3/8", X-Ray Detec
|
|
5.74
|
|
Sterile Sng Thin Wall Biopsy NDL,22Gx6"
|
|
29.26
|
|
STERILE WATER FOR IRRIGATION 1000ML
|
|
23.31
|
|
Stimu A Insul Needle w Ext Set, 21G x 4"
|
|
94.39
|
|
Stimu A Insul Needle w Ext Set, 22G x 2"
|
|
66.07
|
|
STOCKINETTE IMPERVIOUS L 89821
|
|
57.89
|
|
STOCKINETTE,DOUBLE PLY,4X48,STERILE
|
|
25.95
|
|
STOCKINETTE,IMPERVIOUS,12X48,STERILE
|
|
35.53
|
|
STOCKINETTE,IMPERVIOUS,9X36,STERILE
|
|
25.86
|
|
STOCKING, ANTI EMBOL 2XL THIGH
|
|
48.3
|
|
STOCKING,ANTI EMBOL,XL,THIGH
|
|
46
|
|
STOCKING,ANTI EMBOLISM THIGH SM-REG
|
|
46
|
|
STOCKING,ANTI-EMBLSM ULTRA CARE, LRG/REG
|
|
628.16
|
|
STOCKING,ANTI-EMBLSM,ULTRA CARE,MD/REG
|
|
46
|
|
STOPCOCK, 3-WAY, PORT COVERS, LUER SLIP
|
|
3.25
|
|
STRIP, CLOSURE, SKIN, REINFORCED, 1/4"X3
|
|
3.74
|
|
STRIP,CLOSURE,FLEX,1"X5",4PK
|
|
15.75
|
|
STRIP,CLOSURE,SKIN,REINFORCED,1"X5"
|
|
5.86
|
|
STRIP,CLOSURE,SKIN,REINFORCED,1/2"X4"
|
|
5.86
|
|
STRIP,CLOSURE,SKIN,REINFORCED,1/4"X4"
|
|
5.86
|
|
STRIP,CLOSURE,SKIN,REINFORCED,1/8"X3"
|
|
3.74
|
|
STRIP,SUTUR PLS,1/2"X4",6/PK,50PK/BX
|
|
7.64
|
|
STRIPS FLEXIBLE WOUND CLOSURE STRIP 1X5
|
|
15.75
|
|
STYLET,INTUBATING,14 FR FIRM
|
|
11.78
|
|
SureTrans Autotrans Sys w 3/16" PVC Dr&2
|
|
1570.25
|
|
Sureview Film Fabric IV Dressing,4"x4.5"
|
|
20.9
|
|
SURGICEL HEMO 4X8
|
|
216.77
|
|
SURGIFLO ENDOSCOPIC APPLICATOR
|
|
337.86
|
|
SURGIWIP SUT LIGATURE W DELIVERY SYSTEM
|
|
153.71
|
|
SUT CHROM GUT 4-0 RB-1 27" MONO BR Abso
|
|
36.6
|
|
SUT CHROM GUT MulPa 4-0 P-3 18" MONO BRN
|
|
69.26
|
|
SUT CHROM GUT MulPa 4-0 PS-4 18" MONO
|
|
68.76
|
|
SUT CHROM GUT MulPa 5-0 PS-4 18" MONO
|
|
69.38
|
|
SUT CHROM GUT MulPa 6-0 PS-4 18" MON BRN
|
|
69.93
|
|
SUT CHROMIC GUT 2-0 CT 54" 2 ARM MONO
|
|
60.66
|
|
SUT CHROMIC GUT 2-0 SH 27" MONO BR Absor
|
|
34.34
|
|
SUT CHROMIC GUT 3-0 SH 27" MONO BR Absor
|
|
34.87
|
|
SUT CHROMIC GUT MulPa 5-0 P-3 18" MONO B
|
|
70.89
|
|
SUT CHROMIC GUT4-0 PS-2 18" MONOF BR Abs
|
|
72.19
|
|
SUT Eth 0 TP-1 48" MONOF LOOP BLK NONAbs
|
|
36.86
|
|
SUT Eth 10-0 BV100-4 5" MONOF BLK NONAbs
|
|
203.29
|
|
SUT Eth 11-0 BV50-3 5" MONOF BLK NONAbso
|
|
294.28
|
|
SUT Eth 2 TP-1 60IN MONOF BLK NONAbsor
|
|
30.55
|
|
SUT Eth 2-0 FSLX 30IN MONOF BLK NONAbsor
|
|
20.09
|
|
SUT Eth 2-0 PS 18IN MONOF BLK NONAbsor
|
|
20.09
|
|
SUT Eth 2-0 PSLX 30IN MONOF BLK NONAbsor
|
|
39.52
|
|
SUT Eth 3-0 PSL 30" MONOF PLIABILIZE BLK
|
|
39.96
|
|
SUT Eth 7-0 P-1 18IN MONOF BLK NONAbsor
|
|
45.08
|
|
SUT Eth 9-0 BV100-4 5" MONOF BLK NONAbso
|
|
194.87
|
|
SUT Eth MulPa 2-0 FS 18" MONO BLK NONAb
|
|
18.74
|
|
SUT Eth MulPa 3-0 FS-1 30" MONO BLK NONA
|
|
18.32
|
|
SUT Eth MulPa 3-0 PS-1 18" MONO BLK NONA
|
|
42.42
|
|
SUT Eth MulPa 3-0 PS-2 18" MONO BLK NONA
|
|
28.1
|
|
SUT Eth MulPa 4-0 PS-2 18" MONO BLK NONA
|
|
39.25
|
|
SUT Eth MulPa 4-0 PS-4 18" MONO BLK NONA
|
|
39.53
|
|
SUT Eth MulPa 5-0 FS-2 18IN MONOF PLIBLK
|
|
19.94
|
|
SUT Eth MulPa 5-0 P-3 18" MONOF BLK NONA
|
|
35.69
|
|
SUT Eth MulPa 5-0 P-3 18" MONOF BLK NONA
|
|
35.43
|
|
SUT Eth MulPa 5-0 P-3 18" MONOF UNDYED
|
|
43.53
|
|
SUT Eth MulPa 5-0 PS-2 18" MONO BLK NONA
|
|
38.54
|
|
SUT Eth MulPa 6-0 P-3 18" MONOF BLK NONA
|
|
35.5
|
|
SUT Eth MulPa 6-0 PS-3 18" MONO BLK NONA
|
|
36.35
|
|
SUT Eth MulPa 8-0 BV130-5 5IN MONOF BLK
|
|
151.53
|
|
SUT ETHI EXCEL MulPa 4-0 PS-2 18" BR WH
|
|
43.69
|
|
SUT ETHI EXCEL MulPa 4-0 PS-4 18" BR WH
|
|
43.69
|
|
SUT ETHI EXCEL TAPERCUT 3-0 V-4 30" 2 AR
|
|
67.84
|
|
SUT ETHIBD 0 CT-1 18" CN REL BR 8 STR GR
|
|
124.02
|
|
SUT ETHIBD 0 MO-6 18" Ctl Rl Br 8ST GR
|
|
146.9
|
|
SUT ETHIBD 0 MO-7 18" Ctl Rl Br 8ST GR
|
|
146.9
|
|
SUT ETHIBD 2-0 CT-1 18" Ctl Rl Br 8ST GR
|
|
121
|
|
SUT ETHIBD 2-0 CT-2 18" Ctl Rl Br 8ST GR
|
|
124.46
|
|
SUT ETHIBOND 0 CT-1 30" BRAID GR NONAbso
|
|
797.92
|
|
SUT ETHIBOND 0 SH 36IN 2 ARM BR GREEN
|
|
49.29
|
|
SUT ETHIBOND 1 CT-1 30" BRAID GR NONAbso
|
|
9.08
|
|
SUT ETHIBOND 2 V-37 30" BR 4 STRAND GR
|
|
183.24
|
|
SUT ETHIBOND 2-0 SH 30IN BRAID GRN NONAb
|
|
23.88
|
|
SUT ETHIBOND 3-0 SH 30IN BRAID GRN NONAb
|
|
24.33
|
|
SUT ETHIBOND 5 CCS 30" BRAID 4 STRAND GR
|
|
225.46
|
|
SUT ETHIBOND EXCEL 0 CT-2 30IN BR GR
|
|
19.33
|
|
SUT ETHIBOND EXCEL 2-0 CT-1 30IN BR GR
|
|
19.33
|
|
SUT ETHIBOND EXCEL 2-0 SH 36IN 2 ARM BR
|
|
22.78
|
|
SUT ETHIBOND EXCEL 5 LR 30IN 2 ARM BRAID
|
|
43.44
|
|
SUT MERSIL 5MM BP-1 12IN 2 ARM WOVEN WH
|
|
373.73
|
|
SUT MERSILENE 0 CT-1 30IN br gr NONAbsor
|
|
23.5
|
|
SUT MERSILENE 2-0 FS 18IN br wht NONAbso
|
|
23.97
|
|
SUT MERSILENE 2-0 SH 30IN br gr NONAbsor
|
|
26.73
|
|
SUT MERSILENE 3-0 FS-1 18" br wht NONAbs
|
|
23.62
|
|
SUT MERSILENE 3-0 SH 30IN br gr NONAbsor
|
|
27.61
|
|
SUT MERSILENE 4-0 FS-2 18" br wht NONAbs
|
|
22.99
|
|
SUT MONCR 0 CP-1 27IN MONOF UNDY Absor
|
|
20.67
|
|
SUT MONCR 0 CT-1 27IN MONOF VIOLET Absor
|
|
20.21
|
|
SUT MONCR 2-0 CP-1 27IN MONOF UNDY Absor
|
|
20.69
|
|
SUT MONCR 2-0 CT-1 36IN MONOF UNDY Absor
|
|
21.31
|
|
SUT MONCR 2-0 CT-2 36IN MONOF VIOL Absor
|
|
20.13
|
|
SUT MONCR 2-0 SH 27IN MONOF UNDY Absor
|
|
19.05
|
|
SUT MONCR 3-0 SH 27IN MONOF UNDY Absor
|
|
19.05
|
|
SUT MONCR 4-0 SH 27IN MONOF UNDY Absor
|
|
19.34
|
|
SUT MONCR 5-0 RB-1 27IN MONOF UNDY Absor
|
|
21.64
|
|
SUT MONCR MulPa 3-0 PS-1 27IN MONOF UNDY
|
|
54.87
|
|
SUT MONCR MulPa 3-0 PS-2 27IN MONOF UNDY
|
|
52.26
|
|
SUT MONCR MulPa 4-0 P-3 18IN MONOF Absor
|
|
54.87
|
|
SUT MONCR MulPa 4-0 PS-1 18IN MONOF UNDY
|
|
54.87
|
|
SUT MONCR MulPa 4-0 PS-2 18IN MONOF Abso
|
|
51.43
|
|
SUT MONCR MulPa 4-0 PS-2 27IN MONOF UNDY
|
|
28.63
|
|
SUT MONCR MulPa 5-0 P-3 18IN MONOF UNDY
|
|
54.87
|
|
SUT MONCR MulPa 5-0 PS-2 18IN MONOF UNDY
|
|
52.26
|
|
SUT MONOC + 2-0 CP-1 27" MONOF ANTIBAC
|
|
22.51
|
|
SUT MONOC + MulPa 4-0 P-3 18IN MONOF
|
|
59.26
|
|
SUT MONOCRYL 0 CT-1 36IN MONO UNDYEAbsor
|
|
2.85
|
|
SUT NUROLON 0 CT-1 30IN BRAID BLK NONAb
|
|
18.89
|
|
SUT NYLON 6 Eth 0 CT 96" MONO LP BLK Non
|
|
37.34
|
|
SUT NYLON Eth 4-0 PSL 30" MONOF BLK NONA
|
|
40.26
|
|
SUT NYLON Eth MulPa 4-0 FS-2 18" MONOF B
|
|
2.49
|
|
SUT NYLON NUROLON 0 CT-1 TAPERPOINT 18IN
|
|
111.36
|
|
SUT NYLON NUROLON 4-0 TF TAPERPOINT 18IN
|
|
160.76
|
|
SUT PDS II 0 CT-1 27IN MONOF Viol Absor
|
|
24.63
|
|
SUT PDS II 0 CT-1 36IN MONOF Viol Absor
|
|
26.48
|
|
SUT PDS II 0 TP-1 60IN MONOF LOOP Viol
|
|
55.15
|
|
SUT PDS II 1 CP-1 27IN MONOF Viol Absor
|
|
27.76
|
|
SUT PDS II 1 CT-1 36IN MONOF Viol Absor
|
|
28.18
|
|
SUT PDS II 1 TP-1 96IN MONOF LOOP Viol
|
|
6.54
|
|
SUT PDS II 2 CP 27IN MONOF VIOLET Absor
|
|
32.25
|
|
SUT PDS II 2-0 CT-1 27IN MONO UNDY Absor
|
|
24.54
|
|
SUT PDS II 2-0 CT-1 27IN MONOF Viol Abso
|
|
24.53
|
|
SUT PDS II 2-0 FS-1 27IN MONO UNDY Absor
|
|
1436.75
|
|
SUT PDS II 2-0 SH 27IN MONOF Viol Absor
|
|
24.92
|
|
SUT PDS II 3-0 FS-1 27IN MONO UNDY Absor
|
|
37.25
|
|
SUT PDS II 3-0 SH 27IN MONOF Viol Absor
|
|
25.48
|
|
SUT PDS II 3-0 SH-1 27IN MONOF Viol Abso
|
|
30.4
|
|
SUT PDS II 4-0 SH 27IN MONOF Viol Absor
|
|
27.38
|
|
SUT PDS II 5-0 RB-2 30IN 2 ARM MONO VIOL
|
|
63.02
|
|
SUT PDS II 6-0 P-1 18IN MONOF Viol Absor
|
|
59.86
|
|
SUT PDS II MulPa 3-0 PS-1 18" MONO UNDY
|
|
57.6
|
|
SUT PDS II MulPa 4-0 PS-2 18" MONO Viol
|
|
55.39
|
|
SUT PDS II MulPa 5-0 P-3 18" MONO UNDYED
|
|
53.78
|
|
SUT PDS II MulPa 5-0 P-3 18IN MONOF Viol
|
|
57.95
|
|
SUT PDS II MulPa 5-0 PS-2 18" MONO UNDYE
|
|
53.61
|
|
SUT PLAIN GUT 3-0 SH 27IN MONOF Absor
|
|
35.12
|
|
SUT PLAIN GUT 4-0 SC-1 18IN MONO Yw TAN
|
|
35.6
|
|
SUT PLAIN GUT MulPa 5-0 P-3 18" MONOF
|
|
69.48
|
|
SUT PLAIN GUT MulPa 5-0 PC-1 18INYw TAN
|
|
76.58
|
|
SUT PLAIN GUT MulPa 6-0 PC-1 18INYw TAN
|
|
75.83
|
|
SUT PLAIN GUT4-0 PS-2 18" MONO Yw TAN Ab
|
|
72.17
|
|
SUT PLAIN GUT5-0 PS-3 18" MONO Yw TAN Ab
|
|
69.53
|
|
SUT PLAIN GUT5-0 PS-4 18" MONO Yw TAN Ab
|
|
69.53
|
|
SUT POLY ETHIBOND 2-0 SH 30" 2 ARM BR GR
|
|
47.69
|
|
SUT POLYESTER ETHIBOND 1 OS-8 30" BR GR
|
|
29.64
|
|
SUT POLYPROP PROL 5-0 C-1 36IN 2 ARM MON
|
|
114.36
|
|
SUT Prol 0 CT-1 30IN MONOF BLUE NONAbsor
|
|
27.72
|
|
SUT Prol 0 CT-2 30IN MONOF BLUE NONAbsor
|
|
27.95
|
|
SUT Prol 1 CT-1 30IN MONOF BLUE NONAbsor
|
|
27.97
|
|
SUT Prol 1 CTX 30IN MONOF BLUE NONAbsor
|
|
78.5
|
|
SUT Prol 1 TP-1 60IN MONOF BLUE NONAbsor
|
|
41.99
|
|
SUT Prol 2-0 CT-1 30IN MONF BLUE NONAbso
|
|
27.97
|
|
SUT Prol 2-0 CT-2 30IN MONO BLUE NONAbso
|
|
27.95
|
|
SUT Prol 2-0 FS 18IN MONOF BLUE NONAbsor
|
|
29.28
|
|
SUT Prol 2-0 SH 30IN MONOF BLUE NONAbsor
|
|
28.67
|
|
SUT Prol 3-0 FS-2 18IN MONO BLUE NONAbso
|
|
30.14
|
|
SUT Prol 3-0 SH 30IN MONOF BLUE NONAbsor
|
|
29.62
|
|
SUT Prol 4-0 FS-2 18IN MONO BLUE NONAbso
|
|
30.14
|
|
SUT Prol 4-0 RB-1 30IN MONOF BLUE NONAbs
|
|
30.98
|
|
SUT Prol 4-0V-47 14" 2 ARM MONO BL NONAb
|
|
61.87
|
|
SUT Prol 5-0 C-1 18" 2 ARM MONO BL NONAb
|
|
108.38
|
|
SUT Prol 5-0 C-1 36" 2 ARM MONO BL NONAb
|
|
108.93
|
|
SUT Prol 5-0 FS-2 18IN MONO BLUE NONAbso
|
|
30.6
|
|
SUT Prol 5-0 RB-1 36" 2 ARM MONO BL NONA
|
|
60.26
|
|
SUT Prol 6-0 P-1 18IN MONOF BLUE NONAbso
|
|
52.98
|
|
SUT Prol 6-0BV-1 30" 2 ARM MONO BL NONAb
|
|
135.46
|
|
SUT Prol 6-0C-1 30" 2 ARM MONO BL NONAb
|
|
55.43
|
|
SUT Prol 6-0RB-2 18" 2 ARM MONO BL NONAb
|
|
58.48
|
|
SUT Prol 7-0 P-1 18IN MONOF BLUE NONAbso
|
|
53.24
|
|
SUT Prol 7-0BV-1 30" 2 ARM MONO BL NONAb
|
|
136.47
|
|
SUT PROL MICROP9-0 TG140-8 6" 2 ARM MONO
|
|
91.79
|
|
SUT Prol MulPa 3-0 PS-1 18" Mono Bl NONA
|
|
48.2
|
|
SUT Prol MulPa 3-0 PS-2 18" Mono Bl NONA
|
|
47.99
|
|
SUT Prol MulPa 4-0 P-3 18" Mono Bl NONAB
|
|
49.45
|
|
SUT Prol MulPa 4-0 PS-2 18" Mono Bl NONA
|
|
53.62
|
|
SUT Prol MulPa 5-0 P-3 18" Mono Bl NONAB
|
|
53.4
|
|
SUT Prol MulPa 5-0 PS-2 18" Mono Bl NONA
|
|
49.84
|
|
SUT Prol MulPa 5-0 PS-3 18" Mono Bl NONA
|
|
53.64
|
|
SUT Prol MulPa 6-0 P-3 18" Mono Bl NONAB
|
|
53.33
|
|
SUT Prol MulPa 6-0 PS-3 18" Mono Bl NONA
|
|
52.81
|
|
SUT Prol VISI-BLK 5-0 C-1 24" 2 ARM MONO
|
|
107.6
|
|
SUT PROLENE 0 MO-6 18IN CR MONOF 8 STR
|
|
168.29
|
|
SUT PROLENE 10-0 BV100-4 2IN MONOF BLUE
|
|
411.4
|
|
SUT PROLENE 2-0 CT-1 18IN CRE MONOF 8 ST
|
|
167.58
|
|
SUT SILK PERMA 2-0 30IN BR TIE 12 STR
|
|
28.11
|
|
SUT SILK PERMA 3-0 30IN BR TIE 12 STR
|
|
31.87
|
|
SUT SILK PERMA 6-0 P-1 18IN BRAID BLK
|
|
42.53
|
|
SUT SILK PERMA MulPa 5-0 P-3 18IN BR BLK
|
|
41.85
|
|
SUT SILK PERMA-HAND 0 30IN br TIE BLK
|
|
25.42
|
|
SUT SILK PERMA-HAND 0 CT-1 30" BR BLK N
|
|
14.43
|
|
SUT SILK PERMA-HAND 0 SH 30IN BRAID BLK
|
|
14.59
|
|
SUT SILK PERMA-HAND 2 60IN br TIE BLK
|
|
14.52
|
|
SUT SILK PERMA-HAND 2-0 18IN br TIE BLK
|
|
24.48
|
|
SUT SILK PERMA-HAND 2-0 BB 30IN BRA BLK
|
|
22.28
|
|
SUT SILK PERMA-HAND 2-0 CT-2 18IN CONTRO
|
|
95.89
|
|
SUT SILK PERMA-HAND 2-0 FS 18" BR BLK
|
|
17.88
|
|
SUT SILK PERMA-HAND 2-0 PS 18" BR BLK
|
|
40.41
|
|
SUT SILK PERMA-HAND 2-0 PS-2 18" BR BLK
|
|
36.9
|
|
SUT SILK PERMA-HAND 2-0 PSLX 30" BR BLK
|
|
40.41
|
|
SUT SILK PERMA-HAND 2-0 SH 18IN CONTROL
|
|
61.94
|
|
SUT SILK PERMA-HAND 2-0 SH 18IN CONTROL
|
|
91.84
|
|
SUT SILK PERMA-HAND 2-0 SH 30IN BR BLK
|
|
22.28
|
|
SUT SILK PERMA-HAND 3-0 FS-1 18" BR BLK
|
|
18.58
|
|
SUT SILK PERMA-HAND 3-0 SH 30IN BR BLK
|
|
14.25
|
|
SUT SILK PERMA-HAND 3-0 SH 30IN CONTROL
|
|
102.81
|
|
SUT SILK PERMA-HAND 4-0 18IN br TIE BLK
|
|
24.3
|
|
SUT SILK PERMA-HAND 5-0 FS-2 18" BR BLK
|
|
19.28
|
|
SUT SILK PERMA-HAND 5-0 TF 18" BR BLK
|
|
26.61
|
|
SUT SLK PERM-HND 3-0 PS-1 18" BR BLK NON
|
|
41.36
|
|
SUT SLK PERM-HND 3-0 PS-2 18" BR BLK NON
|
|
37.67
|
|
SUT SLK PERM-HND 4-0 PS-2 18" BR BLK NON
|
|
37.41
|
|
SUT SLK PERM-HND 6-0 P-3 18" BR BLK NON
|
|
42.25
|
|
SUT TICRON 2/0 BLUE 30 CS-10/SC-250 D/A
|
|
299.35
|
|
SUT VICR 0 CP-1 27IN Braid Co Undy ABS
|
|
17.94
|
|
SUT VICR 0 CT 36IN BR CTD UNDYED Absor
|
|
18.19
|
|
SUT VICR 0 CT-1 18" CTL RL BR 8 STRAND C
|
|
119.02
|
|
SUT VICR 0 CT-1 18IN CONTROL RELEASE BRA
|
|
117.91
|
|
SUT VICR 0 CT-1 27IN CONTROL RELEASE BRA
|
|
117.2
|
|
SUT VICR 0 CT-1 27IN CONTROL RELEASE BRA
|
|
121.17
|
|
SUT VICR 0 CT-1 36IN BR CTD UNDYED Absor
|
|
9.45
|
|
SUT VICR 0 CT-1 36IN BRAID COAT VIOL ABS
|
|
17.67
|
|
SUT VICR 0 CT-2 18IN CONTROL RELEASE BRA
|
|
117.65
|
|
SUT VICR 0 CT-2 27IN Braid Co Undy ABS
|
|
17.27
|
|
SUT VICR 0 MO-5 18IN CONTROL RELEASE BRA
|
|
159.66
|
|
SUT VICR 0 MO-5 27IN CONTROL RELEASE BRA
|
|
172.22
|
|
SUT VICR 0 ST SHORT 54" BR TIES COATED
|
|
20.33
|
|
SUT VICR 0 UR-5 27IN BRAID COAT VIOL ABS
|
|
21.02
|
|
SUT VICR 0 UR-6 27IN BR CTD VIOLET Absor
|
|
20.46
|
|
SUT VICR 1 54IN BR TIE COATED VIOL Absor
|
|
20.34
|
|
SUT VICR 1 CP-1 27IN Braid Co Undy ABS
|
|
18.47
|
|
SUT VICR 1 CPX 27IN BR COATED UNDYED Abs
|
|
18.79
|
|
SUT VICR 1 CT 36IN BR CTD UNDYED Absor
|
|
18.13
|
|
SUT VICR 1 CT-1 18IN CONTROL RELEASE BRA
|
|
118.12
|
|
SUT VICR 1 CT-1 18IN CONTROL RELEASE BRA
|
|
122.95
|
|
SUT VICR 1 CT-1 27IN Braid Co Undy ABS
|
|
17.24
|
|
SUT VICR 1 CT-1 27IN CONTROL RELEASE BRA
|
|
122.05
|
|
SUT VICR 1 CT-1 36IN BRAID TIES 12 STR
|
|
18.05
|
|
SUT VICR 1 CTX 36IN BR CTD UNDYED Absor
|
|
18.59
|
|
SUT VICR 2 TP-1 27IN BRAID 2 STRAND C
|
|
79.35
|
|
SUT VICR 2-0 CP-1 27IN Braid Co Undy ABS
|
|
17.95
|
|
SUT VICR 2-0 CT-1 18IN CONTROL RELEASE B
|
|
115.03
|
|
SUT VICR 2-0 CT-1 27IN Braid Co Undy ABS
|
|
16.56
|
|
SUT VICR 2-0 CT-1 36IN BRAID TIES 12 ST
|
|
17.63
|
|
SUT VICR 2-0 CT-2 18IN CONTROL RELEASE B
|
|
114.4
|
|
SUT VICR 2-0 CT-2 27IN Braid Co Undy ABS
|
|
17.66
|
|
SUT VICR 2-0 CTX 36IN BRAID TIES 12 STR
|
|
18.14
|
|
SUT VICR 2-0 FS-1 27IN BR CTD UNDY Absor
|
|
23.74
|
|
SUT VICR 2-0 PSL 27IN BR CTD UNDYED Abso
|
|
50.95
|
|
SUT VICR 2-0 SH 27IN Braid Co Undy ABS
|
|
16.56
|
|
SUT VICR 2-0 SH 27IN BRAID COAT VIOL ABS
|
|
16.56
|
|
SUT VICR 2-0 X-1 27IN BR CTD UNDY Absor
|
|
23.43
|
|
SUT VICR 3-0 CT-1 18IN CONTROL RELEASE B
|
|
118.17
|
|
SUT VICR 3-0 CT-1 36IN BR CTD undy Absor
|
|
17.75
|
|
SUT VICR 3-0 CT-2 27IN Braid Co Undy ABS
|
|
17.18
|
|
SUT VICR 3-0 FS-2 18IN BRA COAT VIOL ABS
|
|
23.91
|
|
SUT VICR 3-0 SH 18IN CONTROL RELEASE BRA
|
|
118.42
|
|
SUT VICR 3-0 SH 27IN Braid Co Undy ABS
|
|
16.6
|
|
SUT VICR 3-0 SH 27IN BRAID COAT VIOL ABS
|
|
16.6
|
|
SUT VICR 4-0 FS-1 27IN BR CTD UNDYAbsor
|
|
23.74
|
|
SUT VICR 4-0 FS-2 27IN Braid Co Undy ABS
|
|
12.6
|
|
SUT VICR 4-0 SH 27IN Braid Co Undy ABS
|
|
17.07
|
|
SUT VICR 4-0 TF 18IN CONTROL RELEASE BRA
|
|
167.52
|
|
SUT VICR 4-0 TF 27IN BR CTD UNDYED Absor
|
|
21.16
|
|
SUT VICR 5-0 P-2 18" BR CTD undy Absor
|
|
52.91
|
|
SUT VICR MulP 3-0 PS-2 18" BR CTD undy A
|
|
41.03
|
|
SUT VICR MulP 3-0 PS-2 27" BR CTD undy A
|
|
41.75
|
|
SUT VICR MulP 4-0 P-3 18" BR CTD undy
|
|
45.38
|
|
SUT VICR MulP 4-0 PS-2 27" BR CTD undy A
|
|
42.07
|
|
SUT VICR MulP 5-0 P-3 18" BR CTD undy A
|
|
46.16
|
|
SUT VICR MulP 5-0 PS-2 18" BR CTD Abso
|
|
41.34
|
|
SUT VICR MulP 5-0 PS-2 18" BR CTD undy A
|
|
41.76
|
|
SUT VICR MulP 5-0 PS-3 18" BR CTD undy A
|
|
41.34
|
|
SUT VICR MulP 5-0 PS-3 18" BR CTD undy A
|
|
42.06
|
|
SUT VICR MulP 6-0 P-3 18" BR CTD undy A
|
|
45.4
|
|
SUT VICR MulPa 3-0 PS-1 27IN BR CTD
|
|
45.82
|
|
SUT VICR SUTUPAK 1 18" BRAID TIES 6 STRA
|
|
52.34
|
|
SUT VICR SUTUPAK 2-0 18" BRAID 12 STRAND
|
|
89.25
|
|
SUT VICRYL + 2 CP 27IN BRAID ANTIBACTERI
|
|
22.01
|
|
SUT VICRYL + 2 OS-8 18" CT REl BR 3 ST
|
|
84.61
|
|
SUT VICRYL + 2-0 SH 27" BR CTD VIOL Abs
|
|
17.88
|
|
SUT VICRYL + 2-0 SH 27" CT REl BR 8 ST
|
|
127.47
|
|
SUT VICRYL + 3-0 SH 27" BR CTD UNDYED Ab
|
|
17.93
|
|
SUT VICRYL PLUS 1 CT-1 36" BRAID
|
|
19.83
|
|
SUT VICRYL+ 2-0 CP-1 27IN BR Ct ANTIBACT
|
|
10.47
|
|
SUTURABLE DUREGEN
|
|
10150
|
|
SUTURE PLYG02020APL
|
|
5104
|
|
SUTURE FIBERWIRE #2 AR7200
|
|
152.57
|
|
SUTURE MONOCRYL 1-0 CT-1 Y341H
|
|
19.13
|
|
SUTURE RETRIEVER SM9892
|
|
404.09
|
|
SUTURE VICRYL 0 UR-6 J603H
|
|
21.03
|
|
SWABSTICK, LEMON/GLYCERIN, 3/PK
|
|
0.25
|
|
SWABSTICK, PVP-I, 1/PK
|
|
0.42
|
|
SWISS EYE THERAPY MASK
|
|
76.68
|
|
SYR LUER BLUNT FILL S W/NDLE 18GX1.5 5ML
|
|
2.59
|
|
SYR LUER BLUNT FILL W/ NDLE 18GX1.5 10ML
|
|
2.63
|
|
SYRINGE 3ML W/BLUNT NDL 305060
|
|
0
|
|
Syringe Catheter Tip, 2 oz./50 ml
|
|
2.13
|
|
SYRINGE LUER LOCK BLUNT FILL 18GX1.5 3ML
|
|
1.16
|
|
SYRINGE STERILE DISP SSSCTPSPK
|
|
125.76
|
|
SYRINGE TB 1ML 25G X 5/8" ECL 305780
|
|
0
|
|
SYRINGE TB 1ML 309626
|
|
0
|
|
SYRINGE, LUER LOCK, 20ML
|
|
1.95
|
|
SYRINGE, LUER LOCK, STERILE, 30ML
|
|
2.68
|
|
SYRINGE,60CC,SLIP TIP
|
|
2.15
|
|
SYRINGE,60ML,LUER-LOK TIP,SCALE MARK
|
|
2.13
|
|
SYRINGE,EAR/ULCER, 2 OZ, STERILE
|
|
2.95
|
|
SYRINGE,EPIDURAL,7ML,PULSATOR,L.O.R.,LL
|
|
25.23
|
|
SYRINGE,EPIDURAL,7ML,PULSATOR,L.O.R.,LS
|
|
25.08
|
|
SYRINGE,HYPO,1ML,25GX 5/8",LL,ECLIPSE
|
|
2.24
|
|
SYRINGE,IRRIGATION,BULB,60ML,STERILE
|
|
3.14
|
|
SYRINGES TOOMEY TIP 60ML SWD560265Z
|
|
10.67
|
|
Syringes:TB Luer Slip Syr,1 mL,25Gx5/8"
|
|
0.48
|
|
SYSTEM, SIMPULSE SOLO SUCTION
|
|
271.99
|
|
Tegaderm Dress w NonadhPad,3-1/2"x4-1/8"
|
|
5.2
|
|
TINCTURE,BENZOIN,SKIN,STERI-STRIP,VIAL
|
|
3.1
|
|
TIP APL 45CM EVCEL FLX FBRN SLNT
|
|
163.36
|
|
TITANIUM HEMOSTATIC MICROCLIP
|
|
74.91
|
|
TONSIL SPONGE, DOUBLE STRUNG, LG, 5/PACK
|
|
2263.14
|
|
Toomey Type Tip Syringe, 60 ML
|
|
10.67
|
|
TOUHY EPIDURAL NEEDLE, LUMBAR, 18G X 3.5
|
|
62.46
|
|
TRANSDUCER KITS TRU WAVE SINGKE LINE PX
|
|
93.3
|
|
TRAP, MUCOUS SPECIMEN, 80 CC, LATEX FREE
|
|
32.51
|
|
TRAY,FOLEY CATH,16FR,LUBRSIL,DRN BG,SYR
|
|
41.58
|
|
TRAY,SPINAL,25G X 3.5" DYNJRA9028
|
|
221.41
|
|
TRI 2.0 SUL 45 ART XTRA THK
|
|
1642.91
|
|
TRI 2.0 SUL 60 CT ART VSCLR ME
|
|
4874.75
|
|
TRI 2.0 SUL TRS 45 ART MED THK
|
|
2716.24
|
|
TRI 2.0 SUL TRS 45 ART XTRA TH
|
|
2972.95
|
|
TRIMANO BEACH CHAIR KIT
|
|
543.75
|
|
TROCAR LAPSCP 100MM 12MM EPTH XCL BLDLS
|
|
217.5
|
|
TROCAR LAPSCP 100MM 5MM EPTH XCL OPT
|
|
997.17
|
|
TROCAR LAPSCP 100MM 5MM KII Z THRD SLV
|
|
435
|
|
TROCAR LAPSCP 5MM 7/8MM LG 3 ANG 10MM
|
|
1770.55
|
|
TROCAR,XCEL,BLADELESS,STABLE SLV,8/100MM
|
|
222.39
|
|
Tru-Cut Single-Use Biopsy N 14G x 6"
|
|
204.3
|
|
TRUSHOT W/Y-KNOT 1.8MM ALL SUT W/2#2
|
|
3153.75
|
|
TUBE, ET, NASAL RAE, CUFFED, 6.5
|
|
326.04
|
|
TUBE, NASOGASTRIC, STANDARD, 18FR X 48"
|
|
10.42
|
|
TUBE,ENDOTRACH,NASAL RAE,7.0 MM
|
|
28.65
|
|
TUBE,ENDOTRACH,NASAL RAE,7.5 MM
|
|
28.65
|
|
TUBE,NASAL,RAE TRACH,WITH TG CUFF 8.0
|
|
28.65
|
|
TUBE,SUCTION,FRAZIER,CTRL VENT,STRL,10FR
|
|
13.41
|
|
TUBE,SUCTION,FRAZIER,CTRL VENT,STRL,12FR
|
|
13.32
|
|
TUBE,T,MODIFIED, SILICONE
|
|
65.25
|
|
TUBE,TRACH,ORAL RAE,CUFFED,7.0mm
|
|
28.65
|
|
TUBE,TRACH,ORAL RAE,CUFFED,7.5
|
|
28.65
|
|
TUBE,TRACH,ORAL RAE,CUFFED,8.0
|
|
28.65
|
|
TUBE,VENT,PARARELLA TYPE, SILICONE, 0
|
|
545.35
|
|
TUBES FEEDING TUBES 3.5 FR 12
|
|
5.87
|
|
TUBING,INSUFFLATION,W/LUER LOCK CONNECT
|
|
56.83
|
|
TUNNELE SURG SHTH ONQ 8" 17G STRL LF DSP
|
|
204.6
|
|
VENMON CANNULA 100MM,20G
|
|
579.27
|
|
VENMON CANNULA 150MM,20G
|
|
579.27
|
|
VERSASTEP VS101000
|
|
393.2
|
|
Visiport+ Plus RPF 5mm-11m St Opt Trocar
|
|
1019.32
|
|
V-LOC 90 3-0 METRIC
|
|
169.83
|
|
Weiss Perisafe Epidural Needle,20G x 3.5
|
|
26.34
|
|
WHISTLE TIP URETERAL CATHETER 5FR LEFT
|
|
102.39
|
|
WHISTLE TIP URETERAL CATHETER 5FR RIGHT
|
|
102.39
|
|
YANKAUER,BULB TIP,W/O VENT,RIGID,STERILE
|
|
1.87
|
|
YANKAUER,FLANGE TIP,W/O VENT,RIGID,STRL
|
|
1.8
|
|
Y-TYPE BLOOD SET
|
|
69.84
|
|
ZIMMER SKIN GRAFT CARRIER, 16"
|
|
387
|
|
ZVPLASTY
|
C1713
|
22438.75
|
|
10CC GRANULES
|
C1713
|
11134.02
|
|
10M 3.5 LOCKING
|
C1713
|
1392
|
|
12MM MICRO ACUTRAK
|
C1713
|
3672
|
|
13MM MICRO ACUTRAK
|
C1713
|
3672
|
|
14MM 3.5 LOCKING
|
C1713
|
1152
|
|
14MM MED LUMBAR ANTER CAGE SCALM1514S
|
C1713
|
20000
|
|
15CC PUTTY
|
C1713
|
15078.66
|
|
16MM 3.5 LOCKING
|
C1713
|
1152
|
|
16MM 3.5 NON LOCKING
|
C1713
|
739.5
|
|
1CC PUTTY
|
C1713
|
2649.9
|
|
2.7 X 16 LOCKING
|
C1713
|
1152
|
|
2.7 X 16 NON LOCKING
|
C1713
|
612
|
|
2.7 X 18 LOCKING
|
C1713
|
1152
|
|
22MM 3.5 NON LOCKING
|
C1713
|
612
|
|
22MM ONE LEVEL PLATE TRYCP0422S
|
C1713
|
4950
|
|
24MM MICRO ACUTRAK
|
C1713
|
3672
|
|
28 X 11 X 10MM TLIF CAGE
|
C1713
|
21000
|
|
28MMX11MM (W)X12MM (H) 8
|
C1713
|
21000
|
|
3.5 X 14 NON LOCKING
|
C1713
|
612
|
|
3.5 X 18 NON LOCKING
|
C1713
|
612
|
|
3.5 X 48 NON LOCKING
|
C1713
|
612
|
|
4.7 X 28MM ACU
|
C1713
|
3708
|
|
4.7 X 40MM ACU
|
C1713
|
3708
|
|
40MM LORDOTIC ROD
|
C1713
|
2100
|
|
40MM PRE-BENT ROD
|
C1713
|
12083.28
|
|
4-10MM, 10CC
|
C1713
|
2106
|
|
5 HOLE LEFT F, 6 PLATE
|
C1713
|
7764
|
|
5CC PUTTY
|
C1713
|
6680.4
|
|
6.0X45MM OLYMPIC SCREW
|
C1713
|
5100
|
|
7X45MM PEDICLE POLYAXIAL TRACTION SCREW
|
C1713
|
12083.28
|
|
9MM LORDOTIC CERV CAGE TRYCL1209S
|
C1713
|
8400
|
|
ACETABULAR SYSTEM SHELL 60MM
|
C1776
|
6000
|
|
ACUTRAK 5.5 45MM
|
C1713
|
3756
|
|
ACUTRAK 5.5 50MM
|
C1713
|
3948
|
|
ACUTRAK MICRO 14M
|
C1713
|
3858
|
|
ACUTRAK MICRO 16MM
|
C1713
|
3672
|
|
ALLOCELL AF LARGE
|
C1713
|
12300
|
|
ALLOCELL AF MEDIUM
|
C1713
|
7500
|
|
ALLOWRAP DS WET 2X4CM
|
C1762
|
18894
|
|
APEX DBM PUTTY 5CC
|
C1713
|
10170
|
|
AUGMENT INJ KIT 1.5CC
|
C1734
|
10152
|
|
AUGMENT INJ KIT 3.0CC
|
C1734
|
18720
|
|
BARD PERFIX PLUG SMALL
|
C1781
|
1650
|
|
BARRIER ADH 4X3IN GNCR INTERC PLVC STRL
|
C1765
|
780
|
|
BIO STAPLER INT VRTS 6 FRNG GEL TUBE LNR
|
C9354
|
936.96
|
|
BIOCOMP MENISCAL ROOT REP KIT
|
C1713
|
10200
|
|
BONE CEMENT, SIMPLEX P WITH TOBRAMYCIN
|
C1713
|
1483.5
|
|
BONE SCREW 5.0 X 25MM SJTLS5025S
|
C1713
|
1500
|
|
CANCELLOUS STRIP
|
C1713
|
8250
|
|
CERV CAGE LORDOTIC 12X14 7HL TRYCL1207S
|
C1713
|
8400
|
|
CERV CAGE LORDOTIC TRYCL1208S
|
C1713
|
8400
|
|
CORETRACK ARTICULATING DIS 20MM
|
C1713
|
24126
|
|
CORETRACK HALF PIN 3MM
|
C1713
|
912
|
|
CROSSLINK 35-44
|
C1713
|
4914
|
|
CROSSLINK 43-54
|
C1713
|
4914
|
|
CROSSLINK 53-73
|
C1713
|
4914
|
|
CURVED ROD 50MM
|
C1713
|
600
|
|
CURVED ROD 55MM
|
C1713
|
600
|
|
DBM PUTTY 10CC
|
C1713
|
14970
|
|
DBM PUTTY 1CC
|
C1713
|
1350
|
|
EXTREMITY SCREW
|
C1713
|
1800
|
|
FLEXBAND PLUS 0.5CM X 32CM
|
C1713
|
17598
|
|
FLEXBAND SOLO
|
C1713
|
6632
|
|
FLOWER AMNIO PATCH
|
Q4178
|
7500
|
|
FLOWER AMNIO PATCH
|
Q4178
|
11970
|
|
FLOWER AMNIO PATCH 4X6 CM
|
Q4178
|
14370
|
|
FLOWER AMNIOFLO ACELL LIQ AMNION 1.0ML
|
L8699
|
10200
|
|
FUSEFORCE 10X10
|
C1713
|
13902
|
|
GASTRIC BALLOON
|
L8699
|
1050
|
|
GRAFT ST TIS 1X1IN DRGN + CRNL DURA BVN
|
C1762
|
422.26
|
|
GRAFT ST TIS 3X1IN DRGN + CRNL DURA BVN
|
C1762
|
4812
|
|
GRAFT ST TIS 3X3IN DRGN + CRNL DURA BVN
|
C1762
|
7714.74
|
|
GRAFT VASC 40CM 6MM GORE STD WL HEP
|
C1762
|
6444
|
|
GRANULES 2MM, 15CC
|
C1713
|
15078.66
|
|
HEADLESS SCREW 4.0MM X 26MM
|
C1713
|
1380
|
|
H-GENIN DBM PUTTY 2.5CC
|
C1713
|
3000
|
|
HII MICRO LENG PIN CLAMP
|
C1713
|
13854
|
|
HII MICRO LENG THUMBWHEEL
|
C1713
|
2166
|
|
HII MICRO LENGTHNER
|
C1713
|
27760
|
|
LAPIPLASTY SYSTEM
|
C1713
|
22800
|
|
LEAD 90CM
|
C1778
|
31800
|
|
LOCKING SCREW
|
C1713
|
9999.96
|
|
LUMBAR POSTERIOR TI CAGE JIR062810S
|
C1713
|
21000
|
|
MACROPOR SI 2.6CC
|
C1713
|
5100
|
|
MACROPOR SI+ 10CC
|
C1713
|
14220
|
|
MATRIX OI STRIP 26X19X7MM
|
C1713
|
8250
|
|
MESH 3 15/16"X1.75" .5" 2 15/16".75" SFT
|
C1781
|
1756.06
|
|
MESH 3 15/16"X1.75" .5" 3 15/16".75" ONL
|
C1781
|
1756.06
|
|
MESH SURG GORE BIO-A 10X7CM REINF SYN
|
C1781
|
4116
|
|
MESH SURG UPSYLON 35.4CM M0068318200
|
C1781
|
5556.78
|
|
MODULAR PLATE SCREW
|
C1713
|
945
|
|
MTF PLATE 4
|
C1713
|
7386
|
|
NITINOL BONE IMPLANT 13X10X10 1.5MM
|
C1713
|
9507.3
|
|
NITINOL BONE IMPLANT 15X12X12 2.0
|
C1713
|
9507.3
|
|
NOVAFIX 4X4
|
Q4208
|
11970
|
|
OBERA BALLON
|
L8699
|
11850
|
|
PALACOS R 1 X 40 SINGLE
|
C1713
|
450
|
|
PARIETEX MESH 12CM
|
C1781
|
2994
|
|
PARIETEX MESH 15CM
|
C1781
|
3739.26
|
|
Parietex+ Hydro Anat Lf Side,Poly,15x10c
|
C1781
|
906.24
|
|
PARS SUTURE IMP KIT/ SUT URE TAPE
|
C1713
|
8970
|
|
PEDICLE SCREW 6.5MM X 45MM
|
C1713
|
6600
|
|
PEDICLE SCREW 6.5MMX 50MM
|
C1713
|
6600
|
|
PLATE 20MM 1 LEVEL TRYCP0420S
|
C1713
|
4950
|
|
PLATE 24MM 1 LEVEL TRYCP0424S
|
C1713
|
4950
|
|
PLATE TACK
|
C1713
|
348
|
|
POSISEP NASAL IMP
|
L8699
|
840
|
|
POWERPORT
|
C1788
|
1500
|
|
PUTTY 5CC
|
C1713
|
4500
|
|
RTS FLEXIBLE 1MPG W/ GROMMETS SIZE2
|
C1713
|
14376
|
|
RTS IMPLANT SIZER
|
C1713
|
2376
|
|
RTS SIZE 1-2
|
C1713
|
3816
|
|
SD SCREW POLYAXIAL 4.0X14 TRYPD4014S
|
C1713
|
1590
|
|
SD SCREW POLYAXIAL 4.5X14 TRYPD4514S
|
C1713
|
1590
|
|
SET SCREW
|
C1713
|
2400
|
|
SET SCREW
|
C1713
|
600
|
|
SI ANCHOR 13X45MM
|
C1889
|
25580
|
|
SI ANCHOR 13X55MM
|
C1889
|
25580
|
|
SI IMPLANT 11X35MM
|
C1889
|
25580
|
|
SI IMPLANT 11X40MM
|
C1889
|
25580
|
|
SI IMPLANT 13X35MM
|
C1889
|
25580
|
|
SI IMPLANT 13X40MM
|
C1889
|
25580
|
|
SI IMPLANT 13X50MM
|
C1889
|
25580
|
|
SIDE BY SIDE CONNECTOR
|
C1714
|
3024
|
|
SIDEKICK CORETRACK SHORT
|
C1713
|
21234
|
|
SIMPLEX HV W GENTAMICIN BONE CEMENT
|
C1713
|
988.2
|
|
STERSHIELD II DUAL LAY AMNIO PATCH 2X3CM
|
C1762
|
8970
|
|
STIMQ PNS NEUROSTIM KIT
|
C1816
|
66000
|
|
TALOS, Polymeric spinal fusion cage
|
C1713
|
8400
|
|
TALOS, Polymeric spinal fusion cage
|
C1713
|
8400
|
|
TECT1510AL PARIETEX POLYESTER MESH LEFT
|
C1781
|
840.48
|
|
TECT1510AR PARIETEX POLYESTER MESH RIGHT
|
C1781
|
840.48
|
|
TRICORTICAL BLK 8-15MM FD
|
C1713
|
14400
|
|
TRNVG MID-URET SLING SYS M0068502000
|
C1771
|
6715.5
|
|
ULTRA THIN SHEET 38X50X0.85MM
|
C1762
|
2706
|
|
UNILATERAL PSIF KIT
|
C1889
|
34000
|
|
VENTRALIGH ST MESH 6X8
|
C1781
|
6900
|
|
VITOSS BIMODAL 2.5CC
|
C1713
|
6362.04
|
|
VITOSS BIMODAL 5CC
|
C1713
|
12991.5
|
|
25 HYDROXY INCLUDES FRACTIONS IF PERFORM
|
82306
|
433.45
|
|
ABO & RH TYPING
|
86900
|
0
|
|
ACUTE HEPATITIS PANEL
|
80074
|
904
|
|
ALBUMIN SERUM PLASMA/WHOLE BLOOD
|
82040
|
131.95
|
|
ALBUMIN URINE MICROALBUMIN QUANTIATIVE
|
82043
|
194
|
|
ALPHA-1-ANTITRYPSIN TOTAL
|
82103
|
262.5
|
|
ALPHA-FETOPROTEIN SERUM
|
82105
|
334
|
|
ANTIBODY CHLAMYDIA
|
86631
|
146
|
|
ANTIBODY CYTOMEGALOVIRUS CMV
|
86644
|
260
|
|
ANTIBODY CYTOMEGALOVIRUS CMV IGM
|
86645
|
269
|
|
ANTIBODY ELUTION RBC EACH ELUTION
|
86860
|
497
|
|
ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANT
|
86663
|
226
|
|
ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR A
|
86664
|
232.89
|
|
ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAP
|
86665
|
265
|
|
ANTIBODY HELICOBACTER PYLORI
|
86677
|
326
|
|
ANTIBODY HIV-1
|
86701
|
246.63
|
|
ANTIBODY HIV-1&HIV-2 SINGLE RESULT
|
86703
|
313
|
|
ANTIBODY HIV-2
|
86702
|
251.9
|
|
ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY
|
86689
|
283.45
|
|
ANTIBODY ID RBC ANTIBODIES EA PANEL EA S
|
86870
|
802.61
|
|
ANTIBODY INFLUENZA VIRUS
|
86710
|
248
|
|
ANTIBODY ROTAVIRUS
|
86759
|
308.81
|
|
ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE
|
86850
|
338.52
|
|
ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM
|
86880
|
237.25
|
|
ANTINUCLEAR ANTIBODIES ANA
|
86038
|
298
|
|
ANTISTREPTOLYSIN O TITER
|
86060
|
199.5
|
|
ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX
|
36600
|
420
|
|
ASSAY OF ALDOLASE
|
82085
|
170.5
|
|
ASSAY OF ALDOSTERONE
|
82088
|
1055.58
|
|
ASSAY OF AMMONIA
|
82140
|
329.87
|
|
ASSAY OF AMYLASE
|
82150
|
268.69
|
|
ASSAY OF BLOOD/URIC ACID
|
84550
|
173.92
|
|
ASSAY OF CITRATE
|
82507
|
923.63
|
|
ASSAY OF COPPER
|
82525
|
395.85
|
|
ASSAY OF C-PEPTIDE
|
84681
|
751.7
|
|
ASSAY OF CREATINE
|
82540
|
237.91
|
|
ASSAY OF ERYTHROPOIETIN
|
82668
|
857.66
|
|
ASSAY OF ESTRADIOL
|
82670
|
324.7
|
|
ASSAY OF ESTROGENS TOTAL
|
82672
|
791.68
|
|
ASSAY OF FERRITIN
|
82728
|
487.81
|
|
ASSAY OF FOLIC ACID RBC
|
82747
|
267
|
|
ASSAY OF FOLIC ACID SERUM
|
82746
|
540.79
|
|
ASSAY OF FREE THYROXINE
|
84439
|
369.85
|
|
ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM E
|
82784
|
421.83
|
|
ASSAY OF GAMMAGLOBULIN IGE
|
82785
|
540.79
|
|
ASSAY OF GASTRIN
|
82941
|
246.91
|
|
ASSAY OF GLUTAMYLTRASE GAMMA
|
82977
|
173.92
|
|
ASSAY OF HAPTOGLOBIN QUANTITATIVE
|
83010
|
487.81
|
|
ASSAY OF HOMOCYSTEINE
|
83090
|
501.8
|
|
ASSAY OF INSULIN TOTAL
|
83525
|
501.8
|
|
ASSAY OF IRON
|
83540
|
173.92
|
|
ASSAY OF LACTATE
|
83605
|
395.85
|
|
ASSAY OF LIPASE
|
83690
|
289.88
|
|
ASSAY OF MAGNESIUM
|
83735
|
253.1
|
|
ASSAY OF OSMOLALITY BLOOD
|
83930
|
301.08
|
|
ASSAY OF OSMOLALITY URINE
|
83935
|
329.87
|
|
ASSAY OF OSTEOCALCIN
|
83937
|
277
|
|
ASSAY OF OXALATE
|
83945
|
395.85
|
|
ASSAY OF PARATHORMONE
|
83970
|
1200.52
|
|
ASSAY OF PHOSPHATASE ALKALINE
|
84075
|
131.95
|
|
ASSAY OF PHOSPHORUS INORGANIC
|
84100
|
147.14
|
|
ASSAY OF PREALBUMIN
|
84134
|
230
|
|
ASSAY OF PROGESTERONE
|
84144
|
659.74
|
|
ASSAY OF PROLACTIN
|
84146
|
659.74
|
|
ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL
|
84153
|
633.74
|
|
ASSAY OF PYRIDOXAL PHOSPHATE
|
84207
|
989.6
|
|
ASSAY OF RENIN
|
84244
|
910.64
|
|
ASSAY OF SOMATOMEDIN
|
84305
|
302.6
|
|
ASSAY OF TESTOSTERONE FREE
|
84402
|
303.45
|
|
ASSAY OF TESTOSTERONE TOTAL
|
84403
|
593.76
|
|
ASSAY OF THIAMINE-VITAMIN B-1
|
84425
|
672.73
|
|
ASSAY OF THYROID STIMULATING HORMONE TSH
|
84443
|
527.79
|
|
ASSAY OF THYROXINE TOTAL
|
84436
|
253.1
|
|
ASSAY OF TOCOPHEROL ALPHA VITAMIN E
|
84446
|
172.55
|
|
ASSAY OF TRIGLYCERIDES
|
84478
|
177.94
|
|
ASSAY OF TRIIODOTHYRONINE T3 FREE
|
84481
|
698.72
|
|
ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3
|
84480
|
527.79
|
|
ASSAY OF TROPONIN QUANTITATIVE
|
84484
|
269.89
|
|
ASSAY OF UREA NITROGEN QUANTITATIVE
|
84520
|
144.94
|
|
ASSAY OF URIC ACID OTHER SOURCE
|
84560
|
210.92
|
|
ASSAY OF URINE SODIUM
|
84300
|
184.93
|
|
ASSAY OF VITAMIN A
|
84590
|
226
|
|
ASSAY OF VITAMIN K
|
84597
|
443
|
|
ASSAY OF ZINC
|
84630
|
184.25
|
|
AUTOL BLD/COMPONENT COLLJ STORAGE PREDEP
|
86890
|
1140.74
|
|
BASIC METABOLIC PANEL CALCIUM TOTAL
|
80048
|
633.34
|
|
BETA 2 GLYCOPROTEIN I ANTIBODY EACH
|
86146
|
726.71
|
|
BILIRUBIN DIRECT
|
82248
|
144.94
|
|
BILIRUBIN TOTAL
|
82247
|
144.94
|
|
Blank
|
86900
|
158.62
|
|
Blank
|
86850
|
276.36
|
|
Blank
|
|
0
|
|
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL W
|
85025
|
215.92
|
|
BLOOD COUNT COMPLETE AUTOMATED
|
85027
|
244.7
|
|
BLOOD COUNT HEMATOCRIT
|
85014
|
104.96
|
|
BLOOD COUNT HEMOGLOBIN
|
85018
|
104.96
|
|
BLOOD COUNT RED BLOOD CELL AUTOMATED
|
85041
|
139.94
|
|
BLOOD COUNT RETICULOCYTE AUTOMATED
|
85044
|
195.52
|
|
BLOOD COUNT RETICULOCYTE AUTOMATED
|
85045
|
174.93
|
|
BLOOD GASES ANY COMBINATION PH PCO2 PO2
|
82803
|
728.11
|
|
BLOOD OCCULT PEROXIDASE ACTV QUAL FECES
|
82270
|
131.95
|
|
BLOOD SMEAR PERIPHERAL
|
85060
|
358
|
|
BLOOD TYPE ANTIGEN DONOR REAGENT SERUM E
|
86902
|
247.9
|
|
BLOOD TYPING ABO
|
86900
|
134.83
|
|
BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH
|
86905
|
234.91
|
|
BLOOD TYPING RH (D)
|
86901
|
122.95
|
|
CALCIUM IONIZED
|
82330
|
435.83
|
|
CALCIUM TOTAL
|
82310
|
157.94
|
|
CALCIUM URINE QUANTITATIVE TIMED SPECIME
|
82340
|
210.92
|
|
CARBON DIOXIDE BICARBONATE
|
82374
|
144.94
|
|
CARCINOEMBRYONIC ANTIGEN CEA
|
82378
|
685.73
|
|
CARDIOLIPIN ANTIBODY EACH IG CLASS
|
86147
|
726.71
|
|
CERULOPLASMIN
|
82390
|
421.83
|
|
CHLAMYDIA TRACHOMATIS
|
87810
|
554.17
|
|
CHLORIDE BLD
|
82435
|
131.95
|
|
CHLORIDE URINE
|
82436
|
144.94
|
|
CHOLESTEROL SERUM/WHOLE BLOOD TOTAL
|
82465
|
131.95
|
|
CLOTTING FACTOR V ACG/PROACCELERIN LABIL
|
85220
|
839.66
|
|
CLOTTING INHIBITORS ANTITHROMBIN III ACT
|
85300
|
617.76
|
|
CLOTTING INHIBITORS PROTEIN C ACTIVITY
|
85303
|
722.71
|
|
CLOTTING INHIBITORS PROTEIN C ANTIGEN
|
85302
|
641.74
|
|
CLOTTING INHIBITORS PROTEIN S TOTAL
|
85305
|
734.71
|
|
CLOTTING INHIBITRS ANTITHROMBN III ANTIG
|
85301
|
606.76
|
|
COAGJ&FIBRINOLYSIS FUNCTIONAL ACTV NOS E
|
85397
|
560.17
|
|
COMPATIBILITY EACH UNIT ANTIGLOBULIN
|
86922
|
429.43
|
|
COMPATIBILITY EACH UNIT ELECTRONIC
|
86923
|
268.89
|
|
COMPLEMENT ANTIGEN EACH COMPONENT
|
86160
|
290.28
|
|
COMPREHENSIVE METABOLIC PANEL
|
80053
|
615.76
|
|
CONCENTRATION INFECTIOUS AGENTS
|
87015
|
242.91
|
|
CORTISOL FREE
|
82530
|
226.95
|
|
CORTISOL TOTAL
|
82533
|
246.63
|
|
C-REACTIVE PROTEIN
|
86140
|
268.69
|
|
CREATINE KINASE ISOENZYMES
|
82552
|
474.81
|
|
CREATINE KINASE ISOFORMS
|
82554
|
448.82
|
|
CREATINE KINASE MB FRACTION ONLY
|
82553
|
303.88
|
|
CREATINE KINASE TOTAL
|
82550
|
206.31
|
|
CREATININE BLOOD
|
82565
|
131.95
|
|
CREATININE CLEARANCE
|
82575
|
459.42
|
|
CREATININE OTHER SOURCE
|
82570
|
210.92
|
|
CUL BACT AEROBIC ADDL METHS DEFINITIVE E
|
87077
|
345.87
|
|
CUL BACT ANAEROBIC ADDL METHS DEFINITIVE
|
87076
|
345.87
|
|
CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD
|
87071
|
322.87
|
|
CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/
|
87073
|
415.04
|
|
CUL BACT STOOL AEROBIC ADDL PATHOGENS&ID
|
87046
|
322.87
|
|
CUL BACT STOOL AEROBIC ISOL SALMONELLA&S
|
87045
|
322.87
|
|
CUL BACT XCPT URINE BLOOD/STOOL AEROBIC
|
87070
|
374.24
|
|
CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/
|
87101
|
346.65
|
|
CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLON
|
87081
|
207.92
|
|
CULTURE BACTERIAL ANY SOURCE ANAEROBIC I
|
87075
|
415.04
|
|
CULTURE BACTERIAL BLOOD AEROBIC W/ID ISO
|
87040
|
387.44
|
|
CULTURE BACTERIAL QUANTTATIVE COLONY COU
|
87086
|
346.65
|
|
CULTURE CHLAMYDIA ANY SOURCE
|
87110
|
526.58
|
|
CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT
|
87102
|
359.85
|
|
CULTURE FUNGI DEFINITIVE ID EACH ORGANIS
|
87106
|
311.87
|
|
CULTURE TUBERCLE/OTH ACID-FAST BACILLI A
|
87116
|
415.04
|
|
CULTURE TYPING OTHER METHODS
|
87158
|
229.11
|
|
CYANOCOBALAMIN VITAMIN B-12
|
82607
|
527.79
|
|
CYCLIC CITRULLINATED PEPTIDE ANTIBODY
|
86200
|
221.04
|
|
DNA ANTIBODY NATIVE/DOUBLE STRANDED
|
86225
|
239.9
|
|
DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG
|
80101
|
286.93
|
|
DRUG SCR QUAL MLT DRUG CLASSES CHROM EA
|
80100
|
236.29
|
|
DRUG SCREEN QUANTITATIVE DIGOXIN
|
80162
|
989.6
|
|
DRUG SCREEN QUANTITATIVE DIPROPYLACETIC
|
80164
|
1033.58
|
|
DRUG SCREEN QUANTITATIVE GENTAMICIN
|
80170
|
266.4
|
|
DRUG SCREEN QUANTITATIVE PHENYTOIN FREE
|
80186
|
1077.57
|
|
DRUG SCREEN QUANTITATIVE PROCAINAMIDE ME
|
80192
|
195.48
|
|
DRUG SCREEN QUANTITATIVE SALICYLATE
|
80196
|
747.7
|
|
DRUG SCREEN QUANTITATIVE THEOPHYLLINE
|
80198
|
218.4
|
|
DRUG SCREEN QUANTITATIVE TOBRAMYCIN
|
80200
|
274.8
|
|
DRUG SCREEN QUANTITATIVE VANCOMYCIN
|
80202
|
989.6
|
|
EBV PANEL
|
|
0
|
|
ELECTROLYTE PANEL
|
80051
|
439.82
|
|
EOSINOPHIL, URINE
|
87205
|
275.6
|
|
EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY
|
86235
|
248.5
|
|
F5 COAGULATION FACTOR V ANAL LEIDEN VARI
|
81241
|
421.63
|
|
FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITAT
|
85379
|
407.84
|
|
FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENS
|
85380
|
489.4
|
|
FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE
|
85362
|
418.32
|
|
FIBRINOGEN ACTIVITY
|
85384
|
291.88
|
|
FLUORESCENT NONNFCT AGT ANTB SCREEN EA A
|
86255
|
301
|
|
FLUORESCENT NONNFCT AGT ANTB TITER EA AN
|
86256
|
228.91
|
|
GENE ANALYSIS (PROTHROMBIN, COAGULATION
|
81240
|
531.7
|
|
GENERAL HEALTH PANEL
|
80050
|
951.27
|
|
GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC
|
82962
|
58.97
|
|
GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT
|
82947
|
171.93
|
|
GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECI
|
82952
|
144.94
|
|
GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS
|
82951
|
474.81
|
|
GONADOTROPIN CHORIONIC HCG FREE BETA CHA
|
84704
|
501.8
|
|
GONADOTROPIN CHORIONIC QUALITATIVE
|
84703
|
303.88
|
|
GONADOTROPIN CHORIONIC QUANTITATIVE
|
84702
|
501.8
|
|
GONADOTROPIN FOLLICLE STIMULATING HORMON
|
83001
|
659.74
|
|
GONADOTROPIN LUTEINIZING HORMONE
|
83002
|
659.74
|
|
H&H
|
|
0
|
|
HEMOGLOBIN GLYCOSYLATED A1C
|
83036
|
355.86
|
|
HEPARIN INDUCED TRROMBOCYTOPENIA
|
|
305.88
|
|
HEPATIC FUNCTION PANEL
|
80076
|
659.73
|
|
HEPATITIS B CORE ANTIBODY HBCAB TOTAL
|
86704
|
391.84
|
|
HEPATITIS B SURF ANTIBODY HBSAB
|
86706
|
346.86
|
|
HEPATITIS C ANTIBODY
|
86803
|
547.78
|
|
HETEROPHILE ANTIBODIES SCREEN
|
86308
|
241.1
|
|
HPYLORI BREATH ANAL UREASE ACT NON-RADAC
|
83013
|
313.87
|
|
HPYLORI DRUG ADMINISTRATION
|
83014
|
253.4
|
|
IAAD EIA CLOSTRIDIUM DIFFICILE TOXIN
|
87324
|
443.82
|
|
IAAD EIA CRYPTOSPORIDIUM
|
87328
|
369.85
|
|
IAAD EIA GIARDIA
|
87329
|
369.85
|
|
IAAD EIA HEPATITIS B SURFACE AG NEUTRALI
|
87341
|
369.85
|
|
IAAD EIA HEPATITIS B SURFACE ANTIGEN
|
87340
|
369.85
|
|
IAAD EIA INFLUENZA A/B EACH
|
87400
|
369.85
|
|
IAADIADOO INFLUENZA
|
87804
|
403.84
|
|
IAADIADOO TRICHOMONAS VAGINALIS
|
87808
|
461.81
|
|
IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PR
|
87491
|
830.67
|
|
IADNA HEPATITIS C QUANT & REVERSE TRANSC
|
87522
|
1292.49
|
|
IADNA HERPES SOMPLX VIRUS AMPLIFIED PROB
|
87529
|
1038.58
|
|
IADNA HIV-1 QUANT & REVERSE TRANSCRIPTIO
|
87536
|
1616.35
|
|
IADNA HIV-2 QUANT & REVERSE TRANSCRIPTIO
|
87539
|
1154.54
|
|
IADNA NEISSERIA GONORRHOEAE AMPLIFIED PR
|
87591
|
923.63
|
|
IADNA SARS-COV-2 COVID-19 AMPLIFIED PROB
|
87635
|
250
|
|
IFE-SERUM
|
|
0
|
|
IFE-URINE
|
|
0
|
|
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIP
|
83516
|
395.85
|
|
IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QU
|
86317
|
322.66
|
|
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE C
|
86301
|
536.78
|
|
IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE C
|
86304
|
559.78
|
|
IMMUNOELECTROPHORESIS OTHER FLUIDS CONCE
|
86325
|
698.12
|
|
IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS
|
86335
|
482.81
|
|
IMMUNOFIXJ ELECTROPHORESIS SERUM
|
86334
|
482.81
|
|
IRON BINDING CAPACITY
|
83550
|
223.91
|
|
LACTATE DEHYDROGENASE LDH
|
83615
|
173.92
|
|
LIPID PANEL
|
80061
|
703.72
|
|
LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLES
|
83718
|
250.9
|
|
MACROSCOPIC EXAMINATION ARTHROPOD
|
87168
|
244.9
|
|
METANEPHRINES
|
83835
|
817.68
|
|
MICROSOMAL ANTIBODIES EACH
|
86376
|
447.82
|
|
MONONUCLEAR CELL ANTIGEN QUANTITATIVE NO
|
86356
|
671.73
|
|
MYOGLOBIN
|
83874
|
569.77
|
|
N/C CBC Order
|
85025
|
0
|
|
NATRIURETIC PEPTIDE
|
83880
|
791.68
|
|
NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS
|
87902
|
5124.95
|
|
ORGANIC ACID 1 QUANTITATIVE
|
83921
|
527.79
|
|
OVA&PARASITES DIRECT SMEARS CONCENTRATIO
|
87177
|
311.87
|
|
PARTICLE AGGLUTINATION SCREEN EACH ANTIB
|
86403
|
214.71
|
|
PARVOVIRUS ANTIBODY
|
86747
|
239.5
|
|
PORPHYRINS URINE QUANTITATION & FRACTION
|
84120
|
619.75
|
|
POTASSIUM SERUM PLASMA/WHOLE BLOOD
|
84132
|
142.74
|
|
POTASSIUM URINE
|
84133
|
171.93
|
|
PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/
|
86970
|
335.86
|
|
PRETX SERUM RBC ANTB ID INCUBATION INHIB
|
86977
|
526.29
|
|
PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCE
|
84166
|
501.8
|
|
PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SE
|
84165
|
474.81
|
|
PROTEIN TOTAL XCPT REFRACTOMETRY URINE
|
84156
|
184.93
|
|
PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/
|
84155
|
144.94
|
|
PROTHROMBIN TIME
|
85610
|
176.32
|
|
RENAL FUNCTION PANEL
|
80069
|
791.68
|
|
RHEUMATOID FACTOR QUANTITATIVE
|
86431
|
223.91
|
|
RUSSELL VIPER VENOM TIME DILUTED
|
85613
|
434.22
|
|
SEDIMENTATION RATE RBC AUTOMATED
|
85652
|
139.94
|
|
SEDIMENTATION RATE RBC NON-AUTOMATED
|
85651
|
145.95
|
|
SERPINA1 GENE ANALYSIS COMMON VARIANTS
|
81332
|
377.85
|
|
SICKLING RBC REDUCTION
|
85660
|
180.93
|
|
SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI P
|
87206
|
249.5
|
|
SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI
|
87205
|
207.51
|
|
SMR PRIM SRC WET MOUNT NFCT AGT
|
87210
|
179.92
|
|
SODIUM SERUM PLASMA OR WHOLE BLOOD
|
84295
|
158.34
|
|
SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE S
|
84311
|
276.89
|
|
STREPTOKINASE ANTIBODY
|
86590
|
255.5
|
|
SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR
|
87181
|
131.55
|
|
SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK
|
87184
|
155.94
|
|
SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGA
|
87186
|
319.08
|
|
SYPHILIS TEST NON-TREPONEMAL ANTIBODY QU
|
86592
|
156.94
|
|
SYPHILIS TEST QUANTITATIVE
|
86593
|
156.94
|
|
TEST FOR PRESENCE OF DRUG
|
80306
|
275
|
|
THROMBIN TIME PLASMA
|
85670
|
244.9
|
|
THROMBOPLASTIN INHIBITION TISSUE
|
85705
|
466.81
|
|
THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE
|
85730
|
197.92
|
|
THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA
|
85732
|
308.28
|
|
THYROGLOBULIN ANTIBODY
|
86800
|
480.81
|
|
THYROID HORM UPTK/THYROID HORMONE BINDIN
|
84479
|
285.49
|
|
TRANSFERASE ALANINE AMINO ALT SGPT
|
84460
|
161
|
|
TRANSFERASE ASPARTATE AMINO AST SGOT
|
84450
|
144.94
|
|
TYPE & SCREEN
|
86900
|
0
|
|
UEP
|
|
0
|
|
UREA NITROGEN CLEARANCE
|
84545
|
276.89
|
|
URINALYSIS MICROSCOPIC ONLY
|
81015
|
138.94
|
|
URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOA
|
81005
|
166.72
|
|
URINE PREGNANCY TEST VISUAL COLOR CMPRSN
|
81025
|
262.9
|
|
URINLS DIP STICK/TABLET REAGNT NON-AUTO
|
81000
|
177.93
|
|
URNLS DIP STICK/TABLET REAGENT AUTO MICR
|
81001
|
177.93
|
|
URNLS DIP STICK/TABLET RGNT AUTO W/O MIC
|
81003
|
146.94
|
|
ZINC, URINE
|
|
0
|
|
IAADIADOO STREPTOCOCCUS GROUP A
|
87880
|
403.84
|
|
URINALYSIS 2/3 GLASS TEST
|
81020
|
203.91
|
|
URNLS DIP STICK/TABLET RGNT NON-AUTO W/O
|
81002
|
138.94
|
|
CYTP CERV/VAG AUTO THIN LAYER PREP MNL S
|
88142
|
299.88
|
|
CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONT
|
72191
|
4756
|
|
CT CERVICAL SPINE W/CONTRAST MATERIAL
|
72126
|
4297.08
|
|
DISKOGRAPY LUMBAR RS&I
|
72295
|
5628.75
|
|
DUP-SCAN XTR VEINS COMPLETE BILATERAL ST
|
93970
|
2644.94
|
|
ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM R
|
74328
|
1963.21
|
|
EPIDUROGRAPY RS&I
|
72275
|
3212.31
|
|
FLUORO NEEDLE/CATH SPINE/PARASPINAL DX/T
|
77003
|
1080.76
|
|
FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT
|
77002
|
1074
|
|
FLUOROSCOPY SPX UP TO 1 HOUR PHYS/QHP TI
|
76000
|
0
|
|
INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI
|
23350
|
1378.24
|
|
INTRALUMINAL DILATION STRICTURES&/OBSTRC
|
74360
|
2024.19
|
|
ISOVUE M200 CONTRAST
|
|
158.93
|
|
ISOVUE M300 CONTRAST
|
|
153.94
|
|
MRI ORBIT FACE &/NECK W/O CONTRAST
|
70540
|
8979.41
|
|
MYELOGRAPY LUMBOSACRAL RS&I
|
72265
|
3207.71
|
|
RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEW
|
74010
|
1107.56
|
|
RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1
|
74022
|
1218.51
|
|
RADEX ABDOMEN COMPL W/DCBTS&/ERC VIEWS
|
74020
|
1100.56
|
|
RADEX A-C JOINTS BI W/WO WEIGHTED DISTRC
|
73050
|
991.6
|
|
RADEX ANKLE COMPLETE MINIMUM 3 VIEWS
|
73610
|
724.71
|
|
RADEX CALCANEUS MINIMUM 2 VIEWS
|
73650
|
610.76
|
|
RADEX CH 2 VIEWS FRNT & LAT APICAL LORDO
|
71021
|
857.66
|
|
RADEX CLAVICLE COMPLETE
|
73000
|
772.69
|
|
RADEX ELBOW 2 VIEWS
|
73070
|
735.71
|
|
RADEX ELBOW ARTHROGRAPHY RS&I
|
73085
|
2699.92
|
|
RADEX FACIAL BONES < 3 VIEWS
|
70140
|
703.72
|
|
RADEX FACIAL BONES COMPLETE MINIMUM 3 VI
|
70150
|
843.66
|
|
RADEX FINGR MINIMUM 2 VIEWS
|
73140
|
583.76
|
|
RADEX FOOT COMPLETE MINIMUM 3 VIEWS
|
73630
|
711.71
|
|
RADEX FOREARM 2 VIEWS
|
73090
|
741.7
|
|
RADEX GI TRACT UPPER W/WO DELAYED FILMS
|
74240
|
1295.49
|
|
RADEX GI TRACT UPPER W/WO DELAYED FILMS
|
74241
|
1476.61
|
|
RADEX GI TRACT UPR W/SM INT W/MULT SERIA
|
74245
|
2019.19
|
|
RADEX GI UPR W/WO GLUCOSE W/SM INTEST FO
|
74249
|
2120.16
|
|
RADEX HAND 2 VIEWS
|
73120
|
668.73
|
|
RADEX HAND MINIMUM 3 VIEWS
|
73130
|
777.69
|
|
RADEX HIP ARTHROGRAPHY RS&I
|
73525
|
2429.03
|
|
RADEX HIP UNILATERAL 1 VIEW
|
73500
|
627.75
|
|
RADEX HIP UNILATERAL COMPLETE MINIMUM 2
|
73510
|
793.68
|
|
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW
|
73501
|
653
|
|
RADEX HUMERUS MINIMUM 2 VIEWS
|
73060
|
879.65
|
|
RADEX LOWER EXTREMITY INFANT MINIMUM 2 V
|
73592
|
774.9
|
|
RADEX NASAL BONES COMPLETE MINIMUM 3 VIE
|
70160
|
494.1
|
|
RADEX OPTIC FORAMINA
|
70190
|
795.28
|
|
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS
|
70200
|
1011.2
|
|
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4
|
71111
|
1053.58
|
|
RADEX RIBS BILATERAL 3 VIEWS
|
71110
|
1102.35
|
|
RADEX RIBS BILATERAL 3 VIEWS
|
71110
|
1102.35
|
|
RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3
|
71101
|
785.69
|
|
RADEX SACRUM & COCCYX MINIMUM 2 VIEWS
|
72220
|
550.78
|
|
RADEX SCAPULA COMPLETE
|
73010
|
858.65
|
|
RADEX SHOULDER ARTHROGRAPHY RS&I
|
73040
|
2665.93
|
|
RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS
|
73030
|
946.62
|
|
RADEX SINUSES PARANASAL COMPL MINIMUM 3
|
70220
|
982.61
|
|
RADEX SMALL INTESTINE W/MULTIPLE SERIAL
|
74250
|
1110.56
|
|
RADEX SPINE 1 VIEW SPECIFY LEVEL
|
72020
|
525.79
|
|
RADEX SPINE CERVICAL 2 OR 3 VIEWS
|
72040
|
757.7
|
|
RADEX SPINE CERVICAL 4 OR 5 VIEWS
|
72050
|
1079.57
|
|
RADEX SPINE CERVICAL 6 OR MORE VIEWS
|
72052
|
1288.48
|
|
RADEX SPINE LUMBOSACRAL 2/3 VIEWS
|
72100
|
798.68
|
|
RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS
|
72110
|
1159.54
|
|
RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3
|
72120
|
1119.55
|
|
RADEX SPINE LUMBSCRL COMPL W/BENDING VIE
|
72114
|
1437.43
|
|
RADEX SPINE THORACIC 2 VIEWS
|
72070
|
757.7
|
|
RADEX SPINE THORACIC 3 VIEWS
|
72072
|
927.63
|
|
RADEX SPINE THORACIC MINIMUM 4 VIEWS
|
72074
|
1119.55
|
|
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH
|
70328
|
676.73
|
|
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH
|
70330
|
1070.58
|
|
RADEX UPPER EXTREMITY INFANT MINIMUM 2 V
|
73092
|
699.72
|
|
RADEX WRIST 2 VIEWS
|
73100
|
684.73
|
|
RADEX WRIST COMPLETE MINIMUM 3 VIEWS
|
73110
|
785.69
|
|
RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 V
|
70110
|
698.72
|
|
RADIOLOGIC EXAM ABDOMEN 2 VIEWS
|
74019
|
935.31
|
|
RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 V
|
72190
|
770.08
|
|
RADIOLOGIC EXAMINATION ANKLE 2 VIEWS
|
73600
|
638.74
|
|
RADIOLOGIC EXAMINATION FOOT 2 VIEWS
|
73620
|
632.75
|
|
RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS
|
73560
|
681.73
|
|
RADIOLOGIC EXAMINATION KNEE 3 VIEWS
|
73562
|
788.68
|
|
RADIOLOGIC EXAMINATION NECK SOFT TISSUE
|
70360
|
529.79
|
|
RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS
|
72170
|
498.8
|
|
RADIOLOGIC EXAMINATION SKULL 4/> VIEWS
|
70250
|
654.76
|
|
RADIOLOGIC EXAMINATION TIBIA & FIBULA 2
|
73590
|
675.73
|
|
SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRAD
|
74230
|
749.7
|
|
ULTRASOUND SPINAL CANAL & CONTENTS
|
76800
|
1479.41
|
|
UNLISTED FLUOROSCOPIC PROCEDURE
|
76496
|
778.31
|
|
UPPER GI TRACT CONTRAST X-RAY
|
74246
|
1441
|
|
URETHROCYSTOGRAPHY VOIDING RS&I
|
74455
|
1198.8
|
|
UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY
|
74400
|
1683
|
|
US ABDOMINAL REAL TIME W/IMAGE DOCUMENTA
|
76700
|
1764.29
|
|
US GUIDANCE NEEDLE PLACEMENT RS&I
|
76942
|
2288.46
|
|
XR ANKLE 2V BIL (73600)
|
73600
|
638.74
|
|
XR ANKLE 2V LT (73600)
|
73600
|
638.74
|
|
XR ANKLE 2V RT (73600)
|
73600
|
638.74
|
|
XR ANKLE 3+V BIL (73610)
|
73610
|
724.71
|
|
XR ANKLE 3+V LT (73610)
|
73610
|
724.71
|
|
XR ANKLE 3+V RT (73610)
|
73610
|
724.71
|
|
XR CALCANEUS 2+V BIL (73650)
|
73650
|
610.76
|
|
XR CALCANEUS 2+V LT (73650)
|
73650
|
610.76
|
|
XR CALCANEUS 2+V RT (73650)
|
73650
|
610.76
|
|
XR CLAVICLE COMPLETE BIL (73000)
|
73000
|
772.69
|
|
XR CLAVICLE COMPLETE LT (73000)
|
73000
|
772.69
|
|
XR CLAVICLE COMPLETE RT (73000)
|
73000
|
772.69
|
|
XR ELBOW 2V BIL (73070)
|
73070
|
735.71
|
|
XR ELBOW 3+V BIL (73080)
|
73080
|
995.37
|
|
XR ELBOW 3+V LT (73080)
|
73080
|
995.37
|
|
XR ELBOW 3+V RT (73080)
|
73080
|
995.37
|
|
XR ESOPHAGRAM (74220)
|
74220
|
1090.7
|
|
XR FEMUR 2V BIL (73552)
|
73550
|
895.05
|
|
XR FEMUR 2V LT (73552)
|
73550
|
895.05
|
|
XR FEMUR 2V RT (73552)
|
73550
|
895.05
|
|
XR FINGER LT INDEX (73140)
|
73140
|
583.76
|
|
XR FINGER LT LITTLE (73140)
|
73140
|
583.76
|
|
XR FINGER LT MIDDLE (73140)
|
73140
|
583.76
|
|
XR FINGER LT RING (73140)
|
73140
|
583.76
|
|
XR FINGER LT THUMB (73140)
|
73140
|
583.76
|
|
XR FINGER RT INDEX (73140)
|
73140
|
583.76
|
|
XR FINGER RT LITTLE (73140)
|
73140
|
583.76
|
|
XR FINGER RT MIDDLE (73140)
|
73140
|
583.76
|
|
XR FINGER RT RING (73140)
|
73140
|
583.76
|
|
XR FINGER RT THUMB (73140)
|
73140
|
583.76
|
|
XR FOOT 2V BIL (73620)
|
73620
|
632.75
|
|
XR FOOT 2V LT (73620)
|
73620
|
632.75
|
|
XR FOOT 2V RT (73620)
|
73620
|
632.75
|
|
XR FOOT 3+V BIL (73630)
|
73630
|
711.71
|
|
XR FOOT 3+V LT (73630)
|
73630
|
711.71
|
|
XR FOOT 3+V RT (73630)
|
73630
|
711.71
|
|
XR FOREARM 2V BIL (73090)
|
73090
|
741.7
|
|
XR FOREARM 2V LT (73090)
|
73090
|
741.7
|
|
XR FOREARM 2V RT (73090)
|
73090
|
741.7
|
|
XR HAND 2V BIL (73120)
|
73120
|
668.73
|
|
XR HAND 2V LT (73120)
|
73120
|
668.73
|
|
XR HAND 2V RT (73120)
|
73120
|
668.73
|
|
XR HAND 3+V BIL (73130)
|
73130
|
777.69
|
|
XR HAND 3+V LT (73130)
|
73130
|
777.69
|
|
XR HAND 3+V RT (73130)
|
73130
|
777.69
|
|
XR HIP 1 VIEW BIL (73501)
|
73500
|
627.75
|
|
XR HIP 1 VIEW LT (73501)
|
73500
|
627.75
|
|
XR HIP 1 VIEW RT (73501)
|
73500
|
627.75
|
|
XR HIP 2+ VIEWS BIL (73502)
|
73510
|
793.68
|
|
XR HIP 2+ VIEWS LT (73502)
|
73510
|
793.68
|
|
XR HIP 2+ VIEWS RT (73502)
|
73510
|
793.68
|
|
XR HUMERUS 2+ V BIL (73060)
|
73060
|
879.65
|
|
XR HUMERUS 2+ V LT (73060)
|
73060
|
879.65
|
|
XR HUMERUS 2+ V RT (73060)
|
73060
|
879.65
|
|
XR KNEE 1-2V BIL (73560)
|
73560
|
681.73
|
|
XR KNEE 1-2V LT (73560)
|
73560
|
681.73
|
|
XR KNEE 1-2V RT (73560)
|
73560
|
681.73
|
|
XR KNEE 3V BIL (73562)
|
73562
|
788.68
|
|
XR KNEE 3V LT (73562)
|
73562
|
788.68
|
|
XR KNEE 3V RT (73562)
|
73562
|
788.68
|
|
XR KNEE 4+V BIL (73564)
|
73564
|
1008.8
|
|
XR KNEE 4+V LT (73564)
|
73564
|
1008.8
|
|
XR KNEE 4+V RT (73564)
|
73564
|
1008.8
|
|
XR KNEE AP STANDING BIL (73565)
|
73565
|
1000
|
|
XR SACROILIAC JOINTS < 3 VIEWS (72200)
|
72200
|
695.5
|
|
XR SHOULDER 1V BIL (73020)
|
73020
|
704
|
|
XR SHOULDER 1V LT (73020)
|
73020
|
704
|
|
XR SHOULDER 1V RT (73020)
|
73020
|
704
|
|
XR SHOULDER 2+ V BIL (73030)
|
73030
|
946.62
|
|
XR SHOULDER 2+ V LT (73030)
|
73030
|
946.62
|
|
XR SHOULDER 2+ V RT (73030)
|
73030
|
946.62
|
|
XR SKULL 4+ VIEWS (70260)
|
70260
|
1257.1
|
|
XR STERNO-CLAVIC JNTS 3+ VIEWS (71130)
|
71130
|
804.7
|
|
XR STERNUM 2+ VIEWS (71120)
|
71120
|
715
|
|
XR T/L-SPINE STANDING (72082)
|
72069
|
2600
|
|
XR TIB/FIB 2V BIL (73590)
|
73590
|
675.73
|
|
XR TIB/FIB 2V LT (73590)
|
73590
|
675.73
|
|
XR TIB/FIB 2V RT (73590)
|
73590
|
675.73
|
|
XR TOE 2+V LT FIFTH (73660)
|
73660
|
603.2
|
|
XR TOE 2+V LT FOURTH (73660)
|
73660
|
603.2
|
|
XR TOE 2+V LT GREAT (73660)
|
73660
|
603.2
|
|
XR TOE 2+V LT SECOND (73660)
|
73660
|
603.2
|
|
XR TOE 2+V LT THIRD (73660)
|
73660
|
603.2
|
|
XR TOE 2+V RT FIFTH (73660)
|
73660
|
603.2
|
|
XR TOE 2+V RT FOURTH (73660)
|
73660
|
603.2
|
|
XR TOE 2+V RT GREAT (73660)
|
73660
|
603.2
|
|
XR TOE 2+V RT SECOND (73660)
|
73660
|
603.2
|
|
XR TOE 2+V RT THIRD (73660)
|
73660
|
603.2
|
|
XR WRIST 2V BIL (73100)
|
73100
|
684.73
|
|
XR WRIST 2V LT (73100)
|
73100
|
684.73
|
|
XR WRIST 2V RT (73100)
|
73100
|
684.73
|
|
XR WRIST 3+V BIL (73110)
|
73110
|
785.69
|
|
XR WRIST 3+V LT (73110)
|
73110
|
785.69
|
|
XR WRIST 3+V RT (73110)
|
73110
|
785.69
|
|
X-RAY EXAM ABDOMEN 1 VIEW
|
74018
|
731.98
|
|
X-RAY EXAM HIP UNI 2-3 VIEWS
|
73502
|
794
|
|
X-RAY EXAM OF FEMUR 2/>
|
73552
|
1233.7
|
|
X-RAY EXAM OF JAW <4VIEWS (70100)
|
70100
|
716
|
|
X-RAY EXAM OF JAW JOINT LT (70328)
|
70328
|
676.73
|
|
X-RAY EXAM OF JAW JOINT RT (70328)
|
70328
|
676.73
|
|
X-RAY EXAM OF MASTOIDS (70130)
|
70130
|
816.4
|
|
X-RAY EXAM PITUITARY SADDLE (70240)
|
70240
|
806
|
|
X-RAY EXAM RIBS LT 2 VIEWS (71100)
|
71100
|
1102.35
|
|
X-RAY EXAM RIBS RT 2 VIEWS (71100)
|
71100
|
1102.35
|
|
CHEST X-RAY AND FLUOROSCOPY (71023)
|
71023
|
1211.6
|
|
CHEST X-RAY FRNT LAT OBLIQUE (71022)
|
71022
|
894.4
|
|
RADEX CHEST COMPLETE MINIMUM 4 VIEWS
|
71030
|
914.63
|
|
RADIOLOGIC EXAM CHEST 2 VIEWS FRONTAL&LA
|
71046
|
710.72
|
|
RADIOLOGIC EXAMINATION CHEST SINGLE VIEW
|
71045
|
527.79
|
|
XR CHEST SPECIAL VIEWS BIL (71035)
|
71035
|
782
|
|
XR CHEST SPECIAL VIEWS LT (71035)
|
71035
|
782
|
|
XR CHEST SPECIAL VIEWS RT (71035)
|
71035
|
782
|
|
X-RAY EXAM CHEST 2 VIEWS
|
71046
|
710
|
|
CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IM
|
0054T
|
259.9
|
|
RADEX HIP OPERATIVE PROCEDURE
|
73530
|
837.26
|
|
RADEX SINUSES PARANASAL <3 VIEWS
|
70210
|
594.76
|
|
CT 3D WITH WORKSTATION (76377)
|
76377
|
3000
|
|
CT ABDOMEN W/CONTRAST MATERIAL
|
74160
|
11489.4
|
|
CT ABDOMEN W/O CONTRAST MATERIAL
|
74150
|
8851.46
|
|
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTR
|
71275
|
6528.99
|
|
CT CERVICAL SPINE W/O &W/CONTRAST MATERI
|
72127
|
7591.96
|
|
CT FOLLOW UP/LIMITED (76380)
|
76380
|
3000
|
|
CT LOWER EXTREMITY W/O & W/CONTRAST MATR
|
73702
|
4885.64
|
|
CT LOWER EXTREMITY W/O CONTRAST MATERIAL
|
73700
|
3326.26
|
|
CT LUMBAR SPINE W/CONTRAST MATERIAL
|
72132
|
5758.59
|
|
CT LUMBAR SPINE W/O & W/CONTRAST MATERIA
|
72133
|
7242.1
|
|
CT LUMBAR SPINE W/O CONTRAST MATERIAL
|
72131
|
6074.36
|
|
CT THORACIC SPINE W/O & W/CONTRAST MATER
|
72130
|
7476.01
|
|
CT THORAX W/CONTRAST MATERIAL
|
71260
|
4181.53
|
|
CT THORAX W/O & W/CONTRAST MATERIAL
|
71270
|
5305.47
|
|
CT THORAX W/O CONTRAST MATERIAL
|
71250
|
3736.5
|
|
CT UPPER EXTREMITY W/CONTRAST MATERIAL
|
73201
|
3725.71
|
|
CT UPPER EXTREMITY W/O CONTRAST MATERIAL
|
73200
|
3229.1
|
|
CT FOSSA/SELLA/IAC W (70481)
|
70481
|
4660.5
|
|
CT FOSSA/SELLA/IAC W/WO (70482)
|
70482
|
5169
|
|
CT FOSSA/SELLA/IAC WO (70480)
|
70480
|
3967.6
|
|
CT HEAD/BRAIN W/CONTRAST MATERIAL
|
70460
|
4134.35
|
|
CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL
|
70470
|
5272.89
|
|
CT HEAD/BRAIN W/O CONTRAST MATERIAL
|
70450
|
3550.58
|
|
CT MAXILLOFACIAL W & WO (70488)
|
70488
|
5443.1
|
|
CT MAXILLOFACIAL W (70487)
|
70487
|
4184.7
|
|
CT MAXILLOFACIAL W/O CONTRAST MATERIAL
|
70486
|
3624.55
|
|
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL
|
74177
|
10496.8
|
|
CT ABDOMEN & PELVIS W/O CONTRAST MATERIA
|
74176
|
6776.08
|
|
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY
|
74178
|
14256.29
|
|
CT ABDOMEN W/O & W/CONTRAST MATERIAL
|
74170
|
13796.48
|
|
CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCON
|
74175
|
16126.55
|
|
CT CERVICAL SPINE W/O CONTRAST MATERIAL
|
72125
|
6113.95
|
|
CT LOWER EXTREMITY W/CONTRAST MATERIAL
|
73701
|
3761.7
|
|
CT LWR EXTREM W BIL (73701)
|
73701
|
3761.7
|
|
CT LWR EXTREM W LT (73701)
|
73701
|
3761.7
|
|
CT LWR EXTREM W RT (73701)
|
73701
|
3761.7
|
|
CT LWR EXTREM W/O BIL (73700)
|
73700
|
3326.26
|
|
CT LWR EXTREM W/O LT (73700)
|
73700
|
3326.26
|
|
CT LWR EXTREM W/O RT (73700)
|
73700
|
3326.26
|
|
CT LWR EXTREM W/WO BIL (73702)
|
73702
|
4885.64
|
|
CT LWR EXTREM W/WO LT (73702)
|
73702
|
4885.64
|
|
CT LWR EXTREM W/WO RT (73702)
|
73702
|
4885.64
|
|
CT PELVIS W/CONTRAST MATERIAL
|
72193
|
5244.9
|
|
CT PELVIS W/O & W/CONTRAST MATERIAL
|
72194
|
6424.43
|
|
CT PELVIS W/O CONTRAST MATERIAL
|
72192
|
4505.2
|
|
CT SOFT TISSUE NECK W/CONTRAST MATERIAL
|
70491
|
4163.33
|
|
CT SOFT TISSUE NECK W/O & W/CONTRAST MAT
|
70492
|
5213.92
|
|
CT SOFT TISSUE NECK W/O CONTRAST MATERIA
|
70490
|
3672.53
|
|
CT THORACIC SPINE W/O CONTRAST MATERIAL
|
72128
|
5083.97
|
|
CT T-SPINE W (72129)
|
72129
|
6438.9
|
|
CT UPR EXTREM W BIL (73201)
|
73201
|
3725.71
|
|
CT UPR EXTREM W LT (73201)
|
73201
|
3725.71
|
|
CT UPR EXTREM W RT (73201)
|
73201
|
3725.71
|
|
CT UPR EXTREM W/O BIL (73200)
|
73200
|
3229.1
|
|
CT UPR EXTREM W/O LT (73200)
|
73200
|
3229.1
|
|
CT UPR EXTREM W/O RT (73200)
|
73200
|
3229.1
|
|
CT UPR EXTREM W/WO BIL (73202)
|
73202
|
5749.9
|
|
CT UPR EXTREM W/WO LT (73202)
|
73202
|
5749.9
|
|
CT UPR EXTREM W/WO RT (73202)
|
73202
|
5749.9
|
|
CTA CHEST W &/OR WO (71275)
|
71275
|
6400.97
|
|
ABDOM PARACENTESIS DX/THER W/O IMAGING G
|
49082
|
3087.2
|
|
ABLTJ SOF TISS INF TURBS UNI/BI SUPFC IN
|
30802
|
3891
|
|
ABRASION 1 LESION
|
15786
|
799.5
|
|
ADJACENT TISSUE TRANSFER/REARGMT TRUNK 1
|
14000
|
7325.05
|
|
ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-3
|
14001
|
11409.35
|
|
ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-6
|
14301
|
7130.57
|
|
ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F
|
14040
|
21528.8
|
|
ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30
|
14302
|
5512.85
|
|
ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10
|
14020
|
7856.86
|
|
ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10
|
14060
|
12136
|
|
ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.
|
14041
|
3280
|
|
ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ
|
14021
|
11180.53
|
|
ALLOGRAFT FOR SPINE SURGERY ONLY MORSELI
|
20930
|
14862.6
|
|
ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTU
|
20931
|
14862.1
|
|
AMPUTATION THRU METATARSAL
|
28805
|
15728.7
|
|
AMPUTATION TOE & METATARSAL
|
28810
|
13247.3
|
|
AMPUTATION TOE INTERPHALANGEAL JOINT
|
28825
|
14079
|
|
AMPUTATION TOE METATARSOPHALANGEAL JOINT
|
28820
|
10984
|
|
ANOSCOPY W/RMVL LESION CAUTERY
|
46610
|
8157
|
|
ANRCT XM SURG REQ ANES GENERAL SPI/EDRL
|
45990
|
7956
|
|
ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL S
|
22845
|
73656.35
|
|
ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL S
|
22846
|
53518.55
|
|
APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1
|
15271
|
1190.09
|
|
APPENDECTOMY
|
44950
|
18114
|
|
APPL CRANIAL TONG/STRTCTC FRAME W/REMOVA
|
20660
|
11233.6
|
|
APPLICATION CAST SHOULDER HAND LONG ARM
|
29065
|
1495.15
|
|
APPLICATION SHORT LEG SPLINT CALF FOOT
|
29515
|
1060
|
|
APPLY BONE FIXATION DEVICE
|
20690
|
10882.3
|
|
APPLY FOREARM SPLINT
|
29125
|
741
|
|
ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY
|
22633
|
27572
|
|
ARTHRD ANT INTERBODY DECOMPRESS CERVI
|
22551
|
102183.15
|
|
ARTHRD ANT INTERDY CERVCL BELW C2 EA ADD
|
22552
|
21942.75
|
|
ARTHRD ANT MIN DISCECT INTERBODY CERV BE
|
22554
|
98652
|
|
ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRA
|
28730
|
28360.25
|
|
ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT
|
20610
|
12349.1
|
|
ARTHROCENTESIS ASPIR&/INJECTION SMALL JT
|
20600
|
11983.7
|
|
ARTHRODESIS ANKLE OPEN
|
27870
|
31511.2
|
|
ARTHRODESIS ANTERIOR INTERBODY EA ADDL N
|
22585
|
18455.35
|
|
ARTHRODESIS ANTERIOR INTERBODY LUMBAR
|
22558
|
94133.34
|
|
ARTHRODESIS GREAT TOE INTERPHALANGEAL JO
|
28755
|
28360.25
|
|
ARTHRODESIS GREAT TOE METATARSOPHALANGEA
|
28750
|
28360.25
|
|
ARTHRODESIS INTERFALANGEAL JT W/WO INTFI
|
26860
|
15383
|
|
ARTHRODESIS MIDTARSOMETATARSAL SINGLE JO
|
28740
|
14228
|
|
ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2
|
22595
|
75699.71
|
|
ARTHRODESIS POSTERIOR INTERBODY LUMBAR
|
22630
|
52703
|
|
ARTHRODESIS POSTERIOR/POSTEROLATERAL
|
22612
|
121546.6
|
|
ARTHRODESIS POSTERIOR/POSTEROLATERAL EA
|
22614
|
38371.55
|
|
ARTHRODESIS POSTERIOR/POSTEROLATERAL THO
|
22610
|
42670.3
|
|
ARTHRODESIS PST/PSTLAT CERVICAL BELW C2
|
22600
|
89321.3
|
|
ARTHRODESIS SACROILIAC JOINT
|
27279
|
40287.45
|
|
ARTHRODESIS SACROILIAC JOINT W/OBTAINING
|
27280
|
29608.6
|
|
ARTHRODESIS SUBTALAR
|
28725
|
23056.25
|
|
ARTHRODESIS TRIPLE
|
28715
|
28360.25
|
|
ARTHROPLASTY ANKLE W/IMPLANT
|
27702
|
38130.75
|
|
ARTHROPLASTY PATELLA W/O PROSTHESIS
|
27437
|
33808
|
|
ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT E
|
29898
|
16158
|
|
ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT L
|
29897
|
36540.38
|
|
ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY P
|
29895
|
40357.69
|
|
ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHR
|
29899
|
97590.19
|
|
ARTHROSCOPY HIP W/ACETABULOPLASTY
|
29915
|
21065.2
|
|
ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIA
|
29870
|
51815.92
|
|
ARTHROSCOPY KNEE LATERAL RELEASE
|
29873
|
40666.75
|
|
ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN B
|
29874
|
11872
|
|
ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTM
|
29876
|
55673.73
|
|
ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX
|
29875
|
38401.66
|
|
ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO
|
29884
|
11877
|
|
ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/L
|
29882
|
67011.03
|
|
ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
29828
|
22961.05
|
|
ARTHROSCOPY SHOULDER DISTAL CLAVICULECTO
|
29824
|
22961.05
|
|
ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BI
|
29805
|
7828
|
|
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
|
29827
|
22961.05
|
|
ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EX
|
29823
|
14753
|
|
ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LI
|
29822
|
22961.05
|
|
ARTHROSCOPY SHOULDER SURG SYNOVECTOMY CO
|
29821
|
11763.7
|
|
ARTHROSCOPY SHOULDER SURGICAL CAPSULORRH
|
29806
|
75225.86
|
|
ARTHROSCOPY SHOULDER SURGICAL REMOVAL LO
|
29819
|
10701
|
|
ARTHROSCOPY SHOULDER SURGICAL REPAIR SLA
|
29807
|
76075.04
|
|
ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT
|
29826
|
25968.7
|
|
ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEM
|
29906
|
10786.1
|
|
ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMP
|
27447
|
78336.85
|
|
ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT C
|
27446
|
78336.85
|
|
ARTHRS AID RPR LES/TALAR DOME FX/TIBL PL
|
29892
|
20286.5
|
|
ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNT
|
29888
|
82544.99
|
|
ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG D
|
29891
|
13490.8
|
|
ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR
|
29862
|
23123
|
|
ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W
|
29881
|
65228
|
|
ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MIC
|
29879
|
12190.1
|
|
ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHA
|
29880
|
65906.85
|
|
ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL T
|
27612
|
28360.25
|
|
AUDITORY EVOKED POTENTIALS COMPREHENSIVE
|
92585
|
2634.32
|
|
AUGMENTATION CHEEK BONE
|
21270
|
30000
|
|
AUTOGRAFT SPINE SURGERY BICORT/TRICORT S
|
20938
|
14794.08
|
|
AUTOGRAFT SPINE SURGERY LOCAL FROM SAME
|
20936
|
38304.7
|
|
AUTOGRAFT SPINE SURGERY MORSELIZED SEP I
|
20937
|
13456.6
|
|
BIOPSY BONE TROCAR/NEEDLE DEEP
|
20225
|
24338.9
|
|
BIOPSY BREAST OPEN INCISIONAL
|
19101
|
13355.03
|
|
BIOPSY CERVIX SINGLE/MULT/EXCISION OF LE
|
57500
|
6811.05
|
|
BIOPSY LIVER NEEDLE PERCUTANEOUS
|
47000
|
18833.45
|
|
BIOPSY LIVER WEDGE
|
47100
|
19903.19
|
|
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE
|
42804
|
3435.26
|
|
BIOPSY OF CERVIX W/SCOPE
|
57455
|
1572
|
|
BIOPSY OF NECK/CHEST
|
21550
|
8619
|
|
BIOPSY OF RECTUM
|
45100
|
11310
|
|
BIOPSY SOFT TISSUE OF BACK
|
21925
|
6542
|
|
BIOPSY SOFT TISSUE SHOULDER DEEP
|
23066
|
10669.1
|
|
BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPER
|
27323
|
8365.5
|
|
BIOPSY THYROID PERCUTANEOUS CORE NEEDLE
|
60100
|
3238.3
|
|
BIOPSY VULVA/PERINEUM 1 LESION SPX
|
56605
|
5027.75
|
|
BIOPSY VULVA/PERINEUM EACH ADDL LESION
|
56606
|
2919.75
|
|
BLDR IRRIGATION SMPL LAVAGE &/INSTLJ
|
51700
|
982.6
|
|
BLEPHAROPLASTY LOWER EYELID
|
15820
|
14443.2
|
|
BLEPHAROPLASTY LOWER EYELID HERNIATED FA
|
15821
|
18054.85
|
|
BLEPHAROPLASTY UPPER EYELID
|
15822
|
17537.2
|
|
BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE
|
15823
|
21665.65
|
|
BONE BIOPSY OPEN DEEP
|
20245
|
13637
|
|
BONE BIOPSY OPEN SUPERFICIAL
|
20240
|
11001
|
|
BONE GRAFT ANY DONOR AREA MAJOR/LARGE
|
20902
|
15112.5
|
|
BONE GRAFT ANY DONOR AREA MINOR/SMALL
|
20900
|
14021.3
|
|
BONE MARROW ASPIR BONE GRFG
|
20939
|
5642.92
|
|
BREAST RECONSTRUCTION FREE FLAP
|
19364
|
14022.15
|
|
BREAST RECONSTRUCTION OTHER TECHNIQUE
|
19366
|
11528.5
|
|
BREAST RECONSTRUCTION TRAM FLAP 1 PEDICL
|
19367
|
16690
|
|
BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SB
|
19357
|
15184
|
|
BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1
|
11100
|
316
|
|
BX/EXC LYMPH NODE OPEN DEEP AXILLARY NOD
|
38525
|
10736
|
|
BX/EXC LYMPH NODE OPEN DEEP CERVICAL NOD
|
38510
|
13129
|
|
BX/EXC LYMPH NODE OPEN SUPERFICIAL
|
38500
|
10771.2
|
|
CANTHOPLASTY
|
67950
|
20451
|
|
CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS
|
25320
|
27838.35
|
|
CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY E
|
28270
|
18906.55
|
|
CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EAC
|
26525
|
6618.1
|
|
CAPSULODESIS MTCARPHLNGL JOINT SINGLE DI
|
26516
|
20281
|
|
CARTILAGE GRAFT NASAL SEPTUM
|
20912
|
15716.45
|
|
CERCLAGE CERVIX PREGNANCY VAGINAL
|
59320
|
31138.9
|
|
CERCLAGE UTERINE CERVIX NONOBSTETRICAL
|
57700
|
7544
|
|
CERVICAL LYMPHADEC MODIFIED RADICAL NECK
|
38724
|
16990
|
|
CERVICAL LYMPHADENECTOMY
|
38720
|
20421.7
|
|
CHEMICAL CAUTERIZATION GRANULATION TISSU
|
17250
|
509.8
|
|
CHEMICAL PEEL FACE DERMAL
|
15789
|
2283
|
|
CHEMODENERVATION INTERNAL ANAL SPHINCTER
|
46505
|
7732.4
|
|
CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL
|
64612
|
10313.9
|
|
CHROMOTUBATION OVIDUCT W/MATERIALS
|
58350
|
8495.25
|
|
CIRCUMCISION AGE >28 DAYS
|
54161
|
13315.25
|
|
CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK
|
54150
|
11919.7
|
|
C-LAMINOPLASTY W/GRAFT/PLATE
|
63051
|
36525.77
|
|
CLOSED TREATMENT NASAL FRACTURE W/STABIL
|
21320
|
8438.3
|
|
CLOSED TX NASAL SEPTAL FRACT W/WO STABIL
|
21337
|
7938
|
|
CLOSED TX NOSE FX W/O MANJ
|
21310
|
1648
|
|
CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MANJ
|
25600
|
1379
|
|
CLTX METACARPAL FX W/MANIPULATION EACH B
|
26605
|
1299.65
|
|
CMBND ANTERPOST COLPORRAPHY W/CYSTO
|
57260
|
14817.4
|
|
CMPLX RPR E/N/E/L 1.1-2.5 CM
|
13151
|
5674
|
|
CMPLX RPR E/N/E/L ADDL 5CM/<
|
13153
|
15000
|
|
CMPLX RPR S/A/L 1.1-2.5 CM
|
13120
|
4034
|
|
COCCYGECTOMY PRIMARY
|
27080
|
68611.75
|
|
COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS
|
45378
|
13396
|
|
COLONOSCOPY W/ABLATION
|
45388
|
11533.65
|
|
COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
|
45380
|
11533.65
|
|
COLONOSCOPY W/CONTROL BLEED
|
45382
|
5638.5
|
|
COLONOSCOPY W/STENT PLCMT
|
45389
|
4764
|
|
COLPOPEXY INTRAPERITONEAL
|
57283
|
14375.4
|
|
COLPORRHAPHY SUTURE INJURY VAGINA
|
57200
|
46709.2
|
|
COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CU
|
57454
|
8109.85
|
|
COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERV
|
57460
|
20434.85
|
|
COLSC FLX PROX SPLENIC FLXR ABLTJ LES
|
45383
|
13396.23
|
|
COLSC FLX PROX SPLENIC FLXR RMVL LES CAU
|
45384
|
14795.83
|
|
COLSC FLX PROX SPLENIC FLXR RMVL LES SNA
|
45385
|
28044.3
|
|
COLSC FLX PROX SPLENIC FLXR SBMCSL NJX
|
45381
|
13396.23
|
|
COMP EXT FIXATE STRUT CHANGE
|
20697
|
24932
|
|
CONIZATION CERVIX W/WO D&C RPR
|
57520
|
13206.32
|
|
CONIZATION CERVIX W/WO D&C RPR ELTRD EXC
|
57522
|
38924.05
|
|
CORONOIDECTOMY SEPARATE PROCEDURE
|
21070
|
11552
|
|
CORRECTION COCK-UP 5TH TOE W/PLASTIC CLO
|
28286
|
22294.65
|
|
CORRECTION HAMMERTOE
|
28285
|
34051.1
|
|
CORRECTION INVERTED NIPPLES
|
19355
|
24408.6
|
|
CORRJ HALLUX VALGUS W/WO SESMDC 2 OSTEOT
|
28299
|
47214.95
|
|
CORRJ HALLUX VALGUS W/WO SESMDC LAPIDUS-
|
28297
|
30534.81
|
|
CORRJ HALLUX VALGUS W/WO SESMDC PHALANX
|
28298
|
25209.3
|
|
CORRJ HALLUX VALGUS W/WO SESMDC SMPL EXO
|
28292
|
31516.9
|
|
CORRJ HALLUX VALGUS W/WO SESMDC W/METAR
|
28296
|
25209.3
|
|
CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LI
|
67912
|
9332
|
|
CPTR-ASST DIR MS PX
|
20985
|
11074.7
|
|
CRANIAL NEUROSTIM COMPLEX
|
95974
|
1912.3
|
|
CRANIO/MAXILLOFACIAL SURGERY
|
21299
|
12433
|
|
CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ L
|
95929
|
1814.41
|
|
CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ U
|
95928
|
1687.34
|
|
CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&
|
95939
|
3515.01
|
|
CYSTO BLADDER W/URETERAL CATHETERIZATION
|
52005
|
23577.3
|
|
CYSTO W/INSERT URETERAL STENT
|
52332
|
23577.3
|
|
CYSTOURETHROSCOPY
|
52000
|
11451.2
|
|
CYSTOURETHROSCOPY INSERTION PERM URETHRA
|
52282
|
9274
|
|
CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY
|
52276
|
23577.3
|
|
DACRYOCSTORHINOSTOMY
|
68720
|
23686.1
|
|
DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL
|
11005
|
19907
|
|
DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT&
|
11004
|
1767.31
|
|
DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ
|
11045
|
1459
|
|
DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/
|
11011
|
3692
|
|
DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O D
|
25020
|
31319.1
|
|
DCMPRN FASCT LEG ANT&/LAT COMPARTMENTS O
|
27600
|
25174.62
|
|
DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS
|
62287
|
89941.9
|
|
DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ C
|
11044
|
23675.05
|
|
DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<
|
11043
|
3091.8
|
|
DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 S
|
11046
|
1283.1
|
|
DEBRIDEMENT OPEN WOUND 20 SQ CM/<
|
97597
|
204
|
|
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM
|
11042
|
14205.2
|
|
DECOMPRESS FINGERS/HAND
|
26035
|
6986.2
|
|
DECOMPRESS SPINAL CORD THRC
|
63055
|
33719.4
|
|
DECOMPRESS SPINAL CORD THRC
|
63064
|
16632.6
|
|
DECOMPRESS SPINE CORD ADD-ON
|
63066
|
16632.6
|
|
DECOMPRESSION FASCIOTOMY PELVIC COMPARTM
|
27027
|
16785.82
|
|
DECOMPRESSION OF LOWER LEG
|
27602
|
22500
|
|
DECOMPRESSION OF TIBIA NERVE
|
28035
|
15027.99
|
|
DECOMPRESSION UNSPECIFIED NERVE
|
64722
|
29981.2
|
|
DELAY FLAP TRUNK
|
15600
|
10500
|
|
DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/L
|
15630
|
5834.4
|
|
DERMABRASION SEGMENTAL FACE
|
15781
|
10832.4
|
|
DERMABRASION TOTAL FACE
|
15780
|
6926
|
|
DERMAL FILLER INJECTION(S)
|
G0429
|
5000
|
|
DESTRUCT B9 LESION 1-14
|
17110
|
956
|
|
DESTRUCTION ANAL LESION(S)
|
46924
|
10278
|
|
DESTRUCTION LESIONS VULVA EXTENSIVE
|
56515
|
12818
|
|
DESTRUCTION LESIONS VULVA SIMPLE
|
56501
|
7460
|
|
DIAGNOSTIC SIGMOIDOSCOPY
|
45330
|
4913
|
|
DILATION & CURETTAGE DX&/THER NONOBSTETR
|
58120
|
31138.9
|
|
DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NT
|
63075
|
25050
|
|
DISCECTOMY ANT DCMPRN CORD CERVICAL EA N
|
63076
|
20030
|
|
DIVISION OF FALLOPIAN TUBE
|
58600
|
44500
|
|
DIVISION PLANTAR FASCIA & MUSCLE SPX
|
28250
|
25209.3
|
|
DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAS
|
19342
|
30511.6
|
|
DRAIN NECK/CHEST LESION
|
21501
|
11831.3
|
|
DRAIN OPEN ABDOM ABSCESS
|
49040
|
43972.2
|
|
DRAIN/INJ JOINT/BURSA W/US
|
20611
|
1997
|
|
DRAINAGE ABSCESS/HEMATOMA NASAL INT APPR
|
30000
|
1405
|
|
DRAINAGE OF BREAST LESION
|
19000
|
2183.5
|
|
DRAINAGE OF PILONIDAL CYST
|
10081
|
2512
|
|
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SM
|
16020
|
800
|
|
DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRV
|
64634
|
10534
|
|
DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMB
|
64636
|
12429
|
|
DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRV
|
64633
|
15071
|
|
DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMB
|
64635
|
19500
|
|
DSTRJ LESION ANUS SIMPLE SURG EXCISION
|
46922
|
13539.5
|
|
DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL
|
64640
|
5417.1
|
|
DSTRJ NULYT AGT GNCLR NRV
|
64624
|
25999
|
|
EDG ABLATE TUMOR POLYP/LESION W/DILATION
|
43270
|
12497
|
|
EDG BALLOON DILATION ESOPHAGUS <30 MM DI
|
43249
|
14526.6
|
|
EDG BAND LIGATION ESOPHGEAL/GASTRIC VARI
|
43244
|
11155.4
|
|
EDG DILATION GASTRIC/DUODENAL STRICTURE
|
43245
|
7962.93
|
|
EDG FLEX REMOVAL LESION HOT BX/BIPOLAR C
|
43250
|
12084.45
|
|
EDG FLEXIBLE FOREIGN BODY REMOVAL
|
43247
|
11155.4
|
|
EDG REMOVAL TUMOR POLYP/OTHER LESION SNA
|
43251
|
10797.68
|
|
EDG TRANSORAL CONTROL BLEEDING ANY METHO
|
43255
|
11155.4
|
|
EEG NONINTRACRANIAL SURGERY
|
95955
|
4047.62
|
|
EGD TRANSORAL BIOPSY SINGLE/MULTIPLE
|
43239
|
12815.45
|
|
EGD US FINE NEEDLE BX/ASPIR
|
43238
|
5597.8
|
|
ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REP
|
95981
|
706.1
|
|
ELEC ALYS NSTIM PLS GEN CPLX SC/PERPH 1S
|
95972
|
1728.9
|
|
ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/
|
95971
|
4605.3
|
|
ENDOCERVICAL CURETTAGE W/DILATION & CURE
|
57505
|
4066.4
|
|
ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DI
|
58100
|
361
|
|
ENDOSCOPIC PLANTAR FASCIOTOMY
|
29893
|
13088.4
|
|
ENDOSCOPY OF BOWEL POUCH
|
44385
|
5385
|
|
ENDOVENOUS RF 1ST VEIN
|
36475
|
39662
|
|
ENDOVENOUS RF VEIN ADD-ON
|
36476
|
16700
|
|
ENTEROLSS FRING INTSTINAL ADHESION SPX
|
44005
|
1963.5
|
|
ERCP BILIARY/PANC DUCT STENT EXCHANGE W/
|
43276
|
16662.48
|
|
ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCR
|
43264
|
19521.1
|
|
ERCP REMOVE FOREIGN BODY/STENT BILIARY/P
|
43275
|
14580.07
|
|
ERCP STENT PLACEMENT BILIARY/PANCREATIC
|
43274
|
16662.48
|
|
ERCP W/BIOPSY SINGLE/MULTIPLE
|
43261
|
13944.25
|
|
ERCP W/SPHINCTEROTOMY/PAPILLOTOMY
|
43262
|
19521.1
|
|
ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL IN
|
43236
|
5138
|
|
ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIA
|
43235
|
10689.6
|
|
ESOPHAGOSCOPY FLEX BALLOON DILAT <30
|
43220
|
7335.9
|
|
ESOPHAGOSCOPY FLEX BIOPSY
|
43202
|
6139.9
|
|
ESOPHAGOSCOPY FLEX TRANSORAL
|
43229
|
9288
|
|
ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNO
|
43197
|
9760.55
|
|
ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTA
|
28890
|
9190.29
|
|
EX ARM/ELBOW TUM DEEP < 5 CM
|
24076
|
11410.1
|
|
EXC ABD TUM OVER 10 CM
|
49205
|
25100
|
|
EXC ARM/ELBOW LES SC < 3 CM
|
24075
|
6909.5
|
|
EXC ARM/ELBOW LES SC 3 CM/>
|
24071
|
10741
|
|
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M >
|
11446
|
44641.15
|
|
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.
|
11440
|
1401
|
|
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.
|
11441
|
9919.5
|
|
EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.
|
11442
|
13329.7
|
|
EXC B9 LES MRGN XCP SK TG S/N/H/F/G > 4.
|
11462
|
43363.6
|
|
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 0.5
|
11420
|
6324
|
|
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 0.6-
|
11421
|
8370
|
|
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 1.1-
|
11422
|
10540.85
|
|
EXC B9 LES MRGN XCP SK TG S/N/H/F/G 2.1-
|
11423
|
5489.3
|
|
EXC B9 LES MRGN XCP SK TG T/A/L >4.0 CM
|
11406
|
44641.15
|
|
EXC B9 LES MRGN XCP SK TG T/A/L 0.5 CM/<
|
11400
|
5889.65
|
|
EXC B9 LES MRGN XCP SK TG T/A/L 1.1-2.0
|
11402
|
9919.5
|
|
EXC BARTHOLINS GLAND/CYST
|
56740
|
13181.97
|
|
EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS
|
42815
|
27887.65
|
|
EXC CYST/ABERRANT BREAST TISSUE OPEN 1/>
|
19120
|
14818.9
|
|
EXC CYST/ADENOMA THYROID/TRANSECTION IST
|
60200
|
14651
|
|
EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL F
|
15838
|
6204
|
|
EXC FACE-MM B9+MARG 3.1-4 CM
|
11444
|
9632
|
|
EXC HIP/PELV TUM DEEP <5CM
|
27048
|
15794
|
|
EXC LESION SPERMATIC CORD SEPARATE PROCE
|
55520
|
6453
|
|
EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FL
|
40527
|
25234.3
|
|
EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP
|
40525
|
18364
|
|
EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR
|
40510
|
11945.7
|
|
EXC LIP V-EXC W/PRIM DIR LINR CLSR
|
40520
|
13550.7
|
|
EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME
|
64776
|
9210
|
|
EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE
|
64782
|
52465.4
|
|
EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCI
|
64784
|
52465.4
|
|
EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FAC
|
42415
|
24390.75
|
|
EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FAC
|
42420
|
32520.15
|
|
EXC SHOULDER TUM DEEP < 5 CM
|
23076
|
11280.1
|
|
EXC TR-EXT B9+MARG 0.6-1 CM
|
11401
|
1536.6
|
|
EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFAS
|
26116
|
9422
|
|
EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ
|
21552
|
28070.4
|
|
EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIA
|
21013
|
15638
|
|
EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIA
|
21014
|
38986.95
|
|
EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <
|
28045
|
22058.35
|
|
EXCISE ANAL EXT TAG/PAPILLA
|
46220
|
9352
|
|
EXCISE MANDIBLE LESION
|
21040
|
14974.5
|
|
EXCISION EXCESSIVE SKIN & SUBQ TISSUE AB
|
15847
|
14443.2
|
|
EXCISION EXCESSIVE SKIN & SUBQ TISSUE AR
|
15836
|
21665.65
|
|
EXCISION EXCESSIVE SKIN & SUBQ TISSUE BU
|
15835
|
24553.1
|
|
EXCISION EXCESSIVE SKIN & SUBQ TISSUE HI
|
15834
|
25275.6
|
|
EXCISION EXCESSIVE SKIN & SUBQ TISSUE LE
|
15833
|
16489.2
|
|
EXCISION EXCESSIVE SKIN & SUBQ TISSUE OT
|
15839
|
3277.25
|
|
EXCISION EXCESSIVE SKIN & SUBQ TISSUE TH
|
15832
|
27735.5
|
|
EXCISION EXTERNAL EAR PARTIAL SIMPLE REP
|
69110
|
7375
|
|
EXCISION GANGLION WRIST DORSAL/VOLAR PRI
|
25111
|
27838.35
|
|
EXCISION HIDRADENITIS AXILLARY COMPLEX R
|
11451
|
74400.5
|
|
EXCISION HIDRADENITIS AXILLARY SMPL/INTR
|
11450
|
43363.6
|
|
EXCISION INFECTED GRAFT ABDOMEN
|
35907
|
78030.01
|
|
EXCISION INFERIOR TURBINATE PARTIAL/COMP
|
30130
|
17362.3
|
|
EXCISION INTERDIGITAL MORTON NEUROMA SIN
|
28080
|
28613.3
|
|
EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL
|
68500
|
9978.8
|
|
EXCISION LESION MENISCUS/CAPSULE KNEE
|
27347
|
7848
|
|
EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.
|
11603
|
29760.2
|
|
EXCISION MALIGNANT LES F/E/E/N/L 1.1-2.0
|
11642
|
5254
|
|
EXCISION NAIL MATRIX PERMANENT REMOVAL
|
11750
|
29760.2
|
|
EXCISION OF BONE LOWER JAW
|
21025
|
17259
|
|
EXCISION OF ESOPHAGUS LESION
|
43101
|
34870.75
|
|
EXCISION OF FACIAL BONE(S)
|
21026
|
11118
|
|
EXCISION OR FULGURATION SKENES GLANDS
|
53270
|
23577.3
|
|
EXCISION PILONIDAL CYST/SINUS COMPLICATE
|
11772
|
13626
|
|
EXCISION PILONIDAL CYST/SINUS SIMPLE
|
11770
|
10193
|
|
EXCISION SKIN ABD INFRAUMBILICAL PANNICU
|
15830
|
28887.25
|
|
EXCISION SPERMATOCELE W/WO EPIDIDYMECTOM
|
54840
|
29079.36
|
|
EXCISION SUBMANDIBULAR SUBMAXILLARY GLAN
|
42440
|
21680.1
|
|
EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
27345
|
12218.55
|
|
EXCISION THYROGLOSSAL DUCT CYST/SINUS
|
60280
|
21473
|
|
EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ
|
21931
|
11005
|
|
EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ
|
21011
|
5478
|
|
EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ
|
21012
|
10732
|
|
EXCISION TUMOR SOFT TISSUE BACK/FLANK SU
|
21930
|
17441.15
|
|
EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ
|
28043
|
12604.65
|
|
EXCISION TUMOR SOFT TISSUE PELVIS&HIP
|
27043
|
12853.1
|
|
EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ
|
23075
|
9480.9
|
|
EXCISION VAGINAL CYST/TUMOR
|
57135
|
12244.7
|
|
EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA
|
27635
|
12002.9
|
|
EXCISION/DESTRUCTION INTRANASAL LESION I
|
30117
|
7296
|
|
EXCISION/DESTRUCTION OPEN ABDOMINAL TUMO
|
49203
|
25887.27
|
|
EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUB
|
27337
|
12434
|
|
EXPLORATION PENETRATING WOUND SPX CHEST
|
20101
|
6447
|
|
EXPLORATION SPINAL FUSION
|
22830
|
70725.7
|
|
EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BI
|
49000
|
25958
|
|
EXPLORE SCROTUM
|
55110
|
14082.9
|
|
EXPLORE/TREAT FINGER JOINT
|
26080
|
10500
|
|
FASCIA LATA GRAFT INCISION & AREA EXPOSU
|
20922
|
13639.1
|
|
FASCIECTOMY PLANTAR FASCIA PARTIAL SPX
|
28060
|
25536.84
|
|
FASCIOTOMY FOOT&/TOE
|
28008
|
18906.55
|
|
FASCIOTOMY HIP/THIGH ANY TYPE
|
27025
|
32654.9
|
|
FISSURECTOMY INCL SPHINCTEROTOMY WHEN PE
|
46200
|
10098.4
|
|
FLUOROGUIDE FOR VEIN DEVICE
|
77001
|
2658.5
|
|
FOREHEAD FLAP W/PRESERVATION VASCULAR PE
|
15731
|
12242
|
|
Fracture and/or Dislocation Procedures o
|
26742
|
1233.7
|
|
FRACTURE NASAL INFERIOR TURBINATE THERAP
|
30930
|
13049.2
|
|
FREE FASCIAL FLAP W/MICROVASCULAR ANASTO
|
15758
|
24231
|
|
FRENULOTOMY PENIS
|
54164
|
20770.6
|
|
FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/
|
15574
|
10222
|
|
FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER
|
15570
|
33219.7
|
|
FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F
|
15240
|
12707.5
|
|
FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 C
|
15221
|
6353.75
|
|
FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM
|
15201
|
3411
|
|
FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20
|
15260
|
8132.8
|
|
FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 C
|
15220
|
12707.5
|
|
FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 C
|
15200
|
8844.25
|
|
FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F
|
15241
|
3400
|
|
FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND
|
95962
|
1784.58
|
|
FUSION OF FINGER JNT ADD-ON
|
26861
|
10891
|
|
GASTRIC INTUBAT DX W/ASPIRATION SINGLE S
|
43754
|
720.94
|
|
GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/
|
43846
|
7551
|
|
GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100
|
43845
|
12062.35
|
|
GASTROCNEMIUS RECESSION
|
27687
|
28360.25
|
|
GENIOPLASTY 2/> SLIDING OSTEOTOMIES
|
21122
|
7357
|
|
GENIOPLASTY AUGMENTATION
|
21120
|
23392
|
|
GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIE
|
21121
|
7357
|
|
GFRG AUTOL FAT LIPO EA ADDL
|
15774
|
10500
|
|
GLOSSECTOMY
|
41120
|
24390.75
|
|
GLSSC COMPOSIT W/RESCJ FLOOR & MANDIBULA
|
41150
|
50140.65
|
|
GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR
|
15760
|
9106
|
|
GRAFT DERMA-FAT-FASCIA
|
15770
|
15613
|
|
GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR
|
21235
|
45444.4
|
|
GRAFT FACIAL NERVE PARALYSIS FREE FASCIA
|
15840
|
10244
|
|
GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOS
|
21230
|
21724
|
|
GRF FACIAL NERVE PARALYSIS REGIONAL MUSC
|
15845
|
8337
|
|
GRF FACIAL NRV PALYSS FR MUSCLE FLAP MIC
|
15842
|
35076.1
|
|
GRFG AUTOL FAT LIPO 25 CC/<
|
15773
|
21000
|
|
GRFG AUTOL FAT LIPO 50 CC/<
|
15771
|
20862
|
|
GRFG AUTOL FAT LIPO EA ADDL
|
15772
|
10500
|
|
GRFG AUTOL SOFT TISS DIR EXC
|
15769
|
10854.25
|
|
GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY
|
43632
|
72856.7
|
|
HALLUX RIGIDUS CORRECT W/CHEILECTOMY 1ST
|
28289
|
22275.27
|
|
HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT
|
28291
|
20203.18
|
|
HARVEST ALLOGENEIC STEM CELL
|
38205
|
10856
|
|
HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT
|
28160
|
18365.95
|
|
HEMORRHOIDECTOMY INT/EXT 1 GROUP
|
46255
|
11395
|
|
HRHC NTRNL LIG OTH THAN RBBR BAND 1 COL/
|
46945
|
7547.8
|
|
HRHC NTRNL LIG OTH THAN RBBR BAND 2/> CO
|
46946
|
2931.83
|
|
HYSTEROSCOPE PROCEDURE
|
58579
|
5500
|
|
HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IM
|
58565
|
51898.45
|
|
HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO
|
58558
|
38924.05
|
|
HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDU
|
58555
|
30248.1
|
|
HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPT
|
58560
|
38924.05
|
|
HYSTEROSCOPY ENDOMETRIAL ABLATION
|
58563
|
62278.65
|
|
HYSTEROSCOPY LYSIS INTRAUTERINE ADHESION
|
58559
|
45372.15
|
|
HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BO
|
58562
|
46709.2
|
|
HYSTEROSCOPY REMOVAL LEIOMYOMATA
|
58561
|
46709.2
|
|
I&D BELOW FASCIA FOOT 1 BURSAL SPACE
|
28002
|
7699.9
|
|
I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNE
|
27301
|
12021.1
|
|
I&D DEEP ABSCESS PST SPINE CRV THRC/CERV
|
22010
|
12515
|
|
I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LU
|
22015
|
15972.35
|
|
I&D HEMATOMA SEROMA/FLUID COLLECTION
|
10140
|
2773.9
|
|
I&D OF VULVA/PERINEUM
|
56405
|
1452.1
|
|
ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE
|
44382
|
10092.05
|
|
IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAS
|
19340
|
24408.6
|
|
IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT
|
49568
|
9417.15
|
|
IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFO
|
15777
|
3625.25
|
|
IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMG
|
64561
|
19224.23
|
|
IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL
|
62362
|
20911.63
|
|
INC IMPLTJ CRNL NRV NSTIM ELTRDS & PULSE
|
64568
|
72178.6
|
|
INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL
|
64581
|
16178
|
|
INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR
|
64575
|
16709.3
|
|
INCISE TENDON(S) & MUSCLE(S)
|
23406
|
8879
|
|
INCISION & DRAINAGE ABSCESS COMPLICATED/
|
10061
|
3741
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
10060
|
1768.3
|
|
INCISION & DRAINAGE COMPLEX PO WOUND INF
|
10180
|
7076.25
|
|
INCISION & DRAINAGE LEG/ANKLE INFECTED B
|
27604
|
20021
|
|
INCISION & REMOVAL FOREIGN BODY SUBQ TIS
|
10120
|
5459.25
|
|
INCISION & REMOVAL FOREIGN BODY SUBQ TIS
|
10121
|
6838
|
|
INCISION BONE CORTEX FOOT
|
28005
|
10998
|
|
INCISION EXTENSOR TENDON SHEATH WRIST
|
25000
|
20879.4
|
|
INCISION OF ANAL ABSCESS
|
46050
|
6668
|
|
INCISION OF FOOT TENDON
|
28234
|
3146
|
|
INCISION OF RECTAL ABSCESS
|
46060
|
11183.9
|
|
INCISION OF RECTAL ABSCESS
|
46040
|
8979
|
|
INCISION OF THIGH TENDON
|
27306
|
8569.6
|
|
INCISION OF WRIST CAPSULE
|
25085
|
6321
|
|
INDUCED ABORTION DILATION & EVACUATION
|
59841
|
8769.8
|
|
INDUCED ABORTION DILATION AND CURETTAGE
|
59840
|
46709.2
|
|
INJ PROC SI JNT;ANES STEROID&/TX AGT&ART
|
G0260
|
10460.3
|
|
INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID
|
27096
|
15997.83
|
|
INJECTION 1 TENDON SHEATH/LIGAMENT APONE
|
20550
|
850.2
|
|
INJECTION AA&/STRD GENICULAR NRV BRANCHE
|
64454
|
15500
|
|
INJECTION ANES LMBR/THRC PARAVERTBRL SYM
|
64520
|
11571.55
|
|
INJECTION ANES OTHER PERIPHERAL NERVE/BR
|
64450
|
11810.7
|
|
INJECTION ANESTHETIC AGENT GREATER OCCIP
|
64405
|
5205.7
|
|
INJECTION ANESTHETIC AGENT SCIATIC NRV S
|
64445
|
13803.35
|
|
INJECTION ANESTHETIC AGENT SUPRASCAPULAR
|
64418
|
2988
|
|
INJECTION EPIDURAL BLOOD/CLOT PATCH
|
62273
|
5972.2
|
|
INJECTION INTRALESIONAL UP TO & INCLUD 7
|
11900
|
11900
|
|
INJECTION KNEE ARTHROGRAPHY
|
27370
|
593
|
|
INJECTION PX DISCOGRAPHY EACH LEVEL LUMB
|
62290
|
18446.1
|
|
INJECTION SINGLE/MLT TRIGGER POINT 1/2 M
|
20552
|
1619
|
|
INJECTION SINGLE/MLT TRIGGER POINT 3/> M
|
20553
|
10884.4
|
|
INSERT AND REMOVE BONE PIN
|
20650
|
13886
|
|
INSERT EYE SOCKET IMPLANT
|
67550
|
11014.9
|
|
INSERT MULTI-COMP PENIS PROS
|
54405
|
23446.8
|
|
INSERTION INTRAUTERINE DEVICE IUD
|
58300
|
5355.85
|
|
INSERTION NASAL SEPTAL PROSTHESIS BUTTON
|
30220
|
5506
|
|
INSERTION TUNNEL INTRAPERITONEAL CATH SU
|
49419
|
18294.55
|
|
INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR
|
64590
|
20911.7
|
|
INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O A
|
22859
|
14734.75
|
|
INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W
|
22854
|
10241
|
|
INSJ BIOMECHANICAL DEVICE
|
22853
|
10241
|
|
INSJ NON-BIODEGRADABLE DRUG DELIVERY IMP
|
11981
|
9405.5
|
|
INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5
|
36561
|
10519
|
|
INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLI
|
63685
|
67456
|
|
INTERNAL NERVE REVISION
|
64727
|
6410
|
|
INTESTINAL PLICATION SEPARATE PROCEDURE
|
44680
|
33598.95
|
|
INTRAOP SENTINEL LYMPH NODE ID W/DYE INJ
|
38900
|
8301.25
|
|
IONM REMOTE/NEARBY/>1 PATIENT IN OR PER
|
95941
|
854.17
|
|
IRRIGATION MAXILLARY SINUS
|
31000
|
4708.6
|
|
IRRIGATION SPHENOID SINUS
|
31002
|
2863.9
|
|
ISLAND PEDICLE FLAP GRAFT
|
15740
|
5380
|
|
KNEE ARTHROSCOPY/SURGERY
|
29883
|
15006
|
|
KNEE ARTHROSCOPY/SURGERY
|
29887
|
33495
|
|
KNEE ARTHROSCOPY/SURGERY
|
29877
|
17414.8
|
|
LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL L
|
63267
|
4424.25
|
|
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT C
|
63045
|
25195.7
|
|
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT L
|
63047
|
91707.35
|
|
LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT T
|
63046
|
83032.78
|
|
LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV T
|
63048
|
91707.35
|
|
LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDR
|
63655
|
62420.63
|
|
LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR
|
63005
|
80087
|
|
LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL
|
63011
|
12802
|
|
LAMINECTOMY W/O FFD 1/2 VERT SEG THORACI
|
63003
|
80087
|
|
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRS
|
63020
|
83032.1
|
|
LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRS
|
63030
|
91707.3
|
|
LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/L
|
63035
|
91707.3
|
|
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC
|
63042
|
83032.1
|
|
LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC
|
63043
|
18657.5
|
|
LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSP
|
63044
|
107941.85
|
|
LAP PLACE GASTR ADJ DEVICE
|
43770
|
19619.6
|
|
LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRA
|
49653
|
35312.4
|
|
LAP W/OMENTOPEXY ADD-ON
|
49326
|
9538
|
|
LAPARO PROC HERNIA REPAIR
|
49659
|
26400
|
|
LAPARO PROC SPERMATIC CORD
|
55559
|
19509.75
|
|
LAPAROSCOPE PROC BILIARY
|
47579
|
28064.4
|
|
LAPAROSCOPE PROC INTESTINE
|
44238
|
43278.15
|
|
LAPAROSCOPE PROC LYMPHATIC
|
38589
|
24722.5
|
|
LAPAROSCOPIC APPENDECTOMY
|
44970
|
18207
|
|
LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL
|
57425
|
15317
|
|
LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDU
|
44180
|
87530
|
|
LAPAROSCOPY FIMBRIOPLASTY
|
58672
|
55000
|
|
LAPAROSCOPY REPAIR INCISIONAL HERNIA RED
|
49654
|
33351.45
|
|
LAPAROSCOPY SALPINGOSTOMY
|
58673
|
12100
|
|
LAPAROSCOPY SURG CHOLECYSTECTOMY
|
47562
|
23542.45
|
|
LAPAROSCOPY SURG RPR INITIAL INGUINAL HE
|
49650
|
36465.85
|
|
LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE
|
49321
|
23542.45
|
|
LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TU
|
58573
|
93265.4
|
|
LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS
|
58570
|
85633.25
|
|
LAPAROSCOPY W/LYSIS OF ADHESIONS
|
58660
|
17973.25
|
|
LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES
|
58661
|
20689.85
|
|
LAPARO-VAG HYST W/T/O COMPL
|
58554
|
39972.4
|
|
LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA
|
49320
|
36327.5
|
|
LAPS ABLATJ UTERINE FIBROIDS W/INTRAOP U
|
58674
|
21158.2
|
|
LAPS ESOPHAGEAL LENGTHENING ADDL
|
43283
|
2575.48
|
|
LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PE
|
43279
|
28991.18
|
|
LAPS ESOPHGL SPHNCTR AGMNTJ
|
43284
|
32302.4
|
|
LAPS FULG/EXC OVARY VISCERA/PERITONEAL S
|
58662
|
62278.65
|
|
LAPS GASTRIC RESTRICTIVE PX REMOVE DEVIC
|
43772
|
14462
|
|
LAPS GASTRIC RESTRICTIVE PX REMOVE DEVIC
|
43774
|
7646
|
|
LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB
|
43644
|
42588.7
|
|
LAPS GSTRC RSTRICTIV PX LONGITUDINAL
|
43775
|
100495.8
|
|
LAPS INSERTION TUNNELED INTRAPERITONEAL
|
49324
|
22827
|
|
LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/<
|
58545
|
24896
|
|
LAPS REPAIR HERNIA EXCEPT INCAL/INGUN RE
|
49652
|
78907.35
|
|
LAPS RPR INCISIONAL HERNIA NCRC8/STRANGU
|
49655
|
37275.05
|
|
LAPS RPR PARAESPHGL HRNA INCL FUNDPLS
|
43281
|
100495.8
|
|
LAPS RPR PARAESPHGL HRNA INCL FUNDPLS
|
43282
|
108053.1
|
|
LAPS RPR RECURRENT INCAL HRNA NCRC8/STRA
|
49657
|
27972.1
|
|
LAPS RPR RECURRENT INCISIONAL HERNIA R
|
49656
|
33379.32
|
|
LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRA
|
47563
|
23542.45
|
|
LAPS SURG ESOPG/GSTR FUNDOPLASTY
|
43280
|
22309.95
|
|
LAPS SURG RETROPERITONEAL LYMPH NODE BX
|
38570
|
30390
|
|
LAPS SURG RPR RECURRENT INGUINAL HERNIA
|
49651
|
18497
|
|
LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MUL
|
49322
|
12876.5
|
|
LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUB
|
58571
|
31700.75
|
|
LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/
|
58550
|
77848.1
|
|
LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/
|
58552
|
17543
|
|
LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS
|
58553
|
34873
|
|
LARNYX SURGERY PROCEDURE
|
31599
|
14375
|
|
LASER VAPORIZATION OF PROSTATE FOR URINE
|
52648
|
35366.96
|
|
LATERAL CANTHOPEXY
|
21282
|
37426.35
|
|
LITHOTRIPSY XTRCORP SHOCK WAVE
|
50590
|
29472.9
|
|
LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX
|
27685
|
18906.55
|
|
LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC C
|
38308
|
12009
|
|
LYSIS OF ADHESIONS SALPINX/OVARY
|
58740
|
55000
|
|
MAMMAPLASTY AUGMENTATION W/O PROSTHETIC
|
19324
|
15255.8
|
|
MAMMAPLASTY AUGMENTATION W/PROSTHETIC IM
|
19325
|
15255.8
|
|
MANIPULATION ANKLE UNDER GENERAL ANESTHE
|
27860
|
12604.65
|
|
MANIPULATION KNEE JOINT UNDER GENERAL AN
|
27570
|
6918
|
|
MANJ W/ANES SHOULDER JOINT W/FIXATION AP
|
23700
|
17313.02
|
|
MARROW ASPIRATION ONLY
|
38220
|
935.85
|
|
MARSUPIALIZATION BARTHOLINS GLAND CYST
|
56440
|
38923.63
|
|
MAST MODF RAD W/AX LYMPH NOD W/WO PECT/A
|
19307
|
35565.7
|
|
MASTECTOMY GYNECOMASTIA
|
19300
|
12357.1
|
|
MASTECTOMY PARTIAL
|
19301
|
22883.7
|
|
MASTECTOMY PARTIAL W/AXILLARY LYMPHADENE
|
19302
|
15222.65
|
|
MASTECTOMY SIMPLE COMPLETE
|
19303
|
30511.6
|
|
MASTECTOMY SUBCUTANEOUS
|
19304
|
21357.1
|
|
MASTOPEXY
|
19316
|
21357.1
|
|
MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS
|
19020
|
14818.9
|
|
MEDIAL CANTHOPEXY SEPARATE PROCEDURE
|
21280
|
37426.35
|
|
MEDIASTINOSCPY W/LMPH NOD BX
|
39402
|
15184
|
|
MEDIASTINOSCPY W/MEDSTNL BX
|
39401
|
15184
|
|
MICROSURG TQS REQ USE OPERATING MICROSCO
|
69990
|
2319.31
|
|
MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP H
|
15732
|
6453
|
|
MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP L
|
15738
|
20226
|
|
MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP T
|
15734
|
24272
|
|
MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP U
|
15736
|
20226
|
|
MUSC MYOQ/FSCQ FLP H&N PEDCL
|
15733
|
7434.86
|
|
MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL A
|
58145
|
77848.1
|
|
MYOMECTOMY 5/> MYOMAS &/>250 GM ABDOMINA
|
58146
|
21683.5
|
|
MYOMECTOMY ABDOM METHOD
|
58140
|
33553
|
|
N BLOCK INJ ILIO-ING/HYPOGI
|
64425
|
2954.9
|
|
NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX
|
31231
|
3344.67
|
|
NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUS
|
31233
|
9741.86
|
|
NASAL/SINUS ENDOSCOPY W/ETHMOIDECTOMY PA
|
31254
|
19573.9
|
|
NASAL/SINUS ENDOSCOPY W/ETHMOIDECTOMY TO
|
31255
|
21748.95
|
|
NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROS
|
31256
|
11063
|
|
NASAL/SINUS ENDOSCOPY W/SPHENOIDECTOMY
|
31287
|
8321
|
|
NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRD
|
31237
|
8661
|
|
NASAL/SINUS NDSC SURG W/CONCHA BULLOSA R
|
31240
|
19573.89
|
|
NASAL/SINUS NDSC SURG W/DILAT MAXILLARY
|
31295
|
7600
|
|
NASAL/SINUS NDSC SURG W/DILATION FRONTAL
|
31296
|
17421.73
|
|
NASAL/SINUS NDSC W/FRONTAL SINUS EXPLORA
|
31276
|
21748.95
|
|
NDL EMG 1 XTR W/WO RELATED PARASPINAL AR
|
95860
|
3440.97
|
|
NDL EMG 2 XTR W/WO RELATED PARASPINAL AR
|
95861
|
991.19
|
|
NDL EMG 3 XTR W/WO RELATED PARASPINAL AR
|
95863
|
1843.14
|
|
NDL EMG 4 XTR W/WO RELATED PARASPINAL AR
|
95864
|
2390.12
|
|
NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY T
|
51785
|
755.82
|
|
NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM
|
29848
|
17414.72
|
|
NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSC
|
95868
|
1379.04
|
|
NEEDLE ELECTROMYOGRAPHY LARYNX
|
95865
|
1108.32
|
|
NEEDLE EMG GUID W/CHEMODENERVATION
|
95874
|
232
|
|
NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB
|
95870
|
867.43
|
|
NEGATIVE PRESSURE WOUND THERAPY
|
97605
|
552.02
|
|
NERVE GRAFT 1 STRAND ARM/LEG <4 CM
|
64892
|
65526.5
|
|
NERVE GRAFT HAND/FOOT
|
64890
|
50500
|
|
NERVE GRAFT HEAD/NECK
|
64885
|
55000
|
|
NEURECTOMY INTRINSIC MUSCULATURE OF FOOT
|
28055
|
7681.7
|
|
NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 ME
|
95937
|
1005.55
|
|
NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL
|
64721
|
43684.05
|
|
NEUROPLASTY &/TRANSPOSITION CRANIAL NERV
|
64716
|
10808.2
|
|
NEUROPLASTY &/TRANSPOSITION ULNAR NERVE
|
64718
|
17012
|
|
NEUROPLASTY &/TRANSPOSITION ULNAR NERVE
|
64719
|
59960.7
|
|
NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT
|
64702
|
29981.2
|
|
NEUROPLASTY NERVE HAND/FOOT
|
64704
|
29981.2
|
|
NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN
|
64708
|
59960.7
|
|
NIPPLE EXPLORATION
|
19110
|
18770.75
|
|
NIPPLE/AREOLA RECONSTRUCTION
|
19350
|
24408.6
|
|
NJX AA&/STRD NTRCOST NRV 1
|
64420
|
4106.65
|
|
NJX AA&/STRD NTRCOST NRV EA
|
64421
|
4713
|
|
NJX ANES STELLATE GANGLION CRV SYMPATHET
|
64510
|
4522
|
|
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC
|
64479
|
20399.2
|
|
NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC
|
64480
|
18340.95
|
|
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC
|
64483
|
19870.5
|
|
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC
|
64484
|
23376.6
|
|
NJX DX/THER AGT PVRT FACET JT CRV/THRC 1
|
64490
|
10868
|
|
NJX DX/THER AGT PVRT FACET JT CRV/THRC 2
|
64491
|
23773.1
|
|
NJX DX/THER AGT PVRT FACET JT CRV/THRC 3
|
64492
|
7541
|
|
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1
|
64493
|
23773.1
|
|
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2
|
64494
|
23773.1
|
|
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3
|
64495
|
23662.5
|
|
NJX DX/THER SBST INTRLMNR CRV/THRC W/O I
|
62320
|
9893
|
|
NJX INTERLAMINAR CRV/THRC
|
62321
|
7770
|
|
NJX INTERLAMINAR LMBR/SAC
|
62322
|
8643
|
|
NJX INTERLAMINAR LMBR/SAC
|
62323
|
6691
|
|
NJX PX DISCOGRAPHY CRV/THRC
|
62291
|
4176.9
|
|
NJX SCLEROSING SOLUTION MULTIPLE VEINS S
|
36471
|
11228
|
|
NJX SCLEROSING SOLUTION SINGLE VEIN
|
36470
|
9386
|
|
OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC AP
|
58615
|
8147
|
|
OMENTAL FLAP INTRA-ABDOMINAL
|
49905
|
4190.3
|
|
OPEN NASOETHMOID FX/ FXJ
|
21339
|
30566
|
|
OPEN PERIPROSTHETIC CAPSULOTOMY BREAST
|
19370
|
24408.6
|
|
OPEN REPAIR OF ROTATOR CUFF CHRONIC
|
23412
|
31364.15
|
|
OPEN TREATMENT BIMALLEOLAR ANKLE FRACTUR
|
27814
|
28360.25
|
|
OPEN TREATMENT CALCANEAL FRACTURE
|
28415
|
25690
|
|
OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE
|
27766
|
25209.3
|
|
OPEN TREATMENT METATARSAL FRACTURE EACH
|
28485
|
22058.35
|
|
OPEN TREATMENT NASAL FRACTURE UNCOMPLICA
|
21325
|
40900.3
|
|
OPEN TREATMENT OF ULNAR SHAFT FRACTURE
|
25545
|
19193.2
|
|
OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRA
|
27784
|
25209.3
|
|
OPEN TREATMENT PROXIMAL HUMERAL FRACTURE
|
23615
|
28228.5
|
|
OPEN TREATMENT TARSOMETATARSAL JOINT DIS
|
28615
|
21876
|
|
OPEN TX ARTICULAR FRACTURE MCP/IP JOINT
|
26746
|
13764.9
|
|
OPEN TX CARPOMETACARPAL FRACTURE DISLOCA
|
26665
|
21920.6
|
|
OPEN TX COMP FRACTURE MALAR AREA W/BONE
|
21366
|
24236
|
|
OPEN TX COMP FX MALAR W/INTERNAL FX&MULT
|
21365
|
20984
|
|
OPEN TX DISTAL FIBULAR FRACTURE LAT MALL
|
27792
|
25209.3
|
|
OPEN TX DISTAL PHALANGEAL FRACTURE EACH
|
26765
|
10935
|
|
OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUP
|
27829
|
28360.25
|
|
OPEN TX FRACTURE GREAT TOE/PHALANX/PHALA
|
28505
|
12444
|
|
OPEN TX METACARPAL FRACTURE SINGLE EA BO
|
26615
|
27838.35
|
|
OPEN TX NASAL FX COMP W/INT&/XTRNL SKELE
|
21330
|
46783.15
|
|
OPEN TX NASAL FX W/CONCOMITANT OPTX FXD
|
21335
|
56140.8
|
|
OPEN TX NASAL SEPTAL FRACTURE W/WO STABI
|
21336
|
37426.35
|
|
OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINE
|
21387
|
42798
|
|
OPEN TX PHALANGEAL SHAFT FRACTURE PROX/M
|
26735
|
27838.35
|
|
OPEN TX TIBIAL FRACTURE PROXIMAL UNICOND
|
27535
|
3541.01
|
|
OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ P
|
27822
|
34663
|
|
OPN TX DPRSD MALAR FRACTURE
|
21360
|
20566
|
|
OPN TX ORBIT FX W/IMPLANT
|
21407
|
14265.65
|
|
OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLY
|
26686
|
35198
|
|
OPTX COMP MANDIBULAR FX MLT APPR W/INT F
|
21470
|
27602.9
|
|
OPTX NASOMAX CPLX FX LEFT II TYPE REQ ML
|
21347
|
14028
|
|
OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG
|
21346
|
11552
|
|
OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/
|
21390
|
22615.1
|
|
OPTX POST ANKLE FX
|
27769
|
21632
|
|
OR LEVEL 1 1ST HOUR
|
|
8407.65
|
|
OR LEVEL 1 ADDITIONAL 15 MIN
|
|
1104.07
|
|
OR LEVEL 2 1ST HOUR
|
|
16985.2
|
|
OR LEVEL 2 ADDITIONAL 15 MIN
|
|
7473.51
|
|
OR LEVEL 3 1ST HOUR
|
|
38216.72
|
|
OR LEVEL 3 ADDITIONAL 15 MIN
|
|
15286.7
|
|
ORCHIECTOMY RADICAL TUMOR INGUINAL APPRO
|
54530
|
24823.07
|
|
ORCHIOPEXY INGUINAL APPROACH W/WO HERNIA
|
54640
|
40080
|
|
OSTC PRTL EXOSTC/CONDYLC METAR HEAD
|
28288
|
36214.51
|
|
OSTECTOMY CALCANEUS
|
28118
|
41101.64
|
|
OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FAS
|
28119
|
25209.47
|
|
OSTECTOMY COMPLETE 1ST METATARSAL HEAD
|
28111
|
22058.35
|
|
OSTECTOMY COMPLETE OTHER METATARSAL HEAD
|
28112
|
12218.7
|
|
OSTECTOMY PRTL 5TH METAR HEAD SPX
|
28110
|
22058.35
|
|
OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAIC
|
27416
|
15561
|
|
OSTEOPLASTY FACIAL BONES AUGMENTATION
|
21208
|
56140.8
|
|
OSTEOPLASTY FACIAL BONES REDUCTION
|
21209
|
11552
|
|
OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE
|
28312
|
5814
|
|
OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/
|
28305
|
13101.4
|
|
OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR
|
28306
|
36214.51
|
|
OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1
|
28308
|
22058.35
|
|
OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATI
|
28300
|
22058.35
|
|
OSTEOTOMY MANDIBLE SEGMENTAL
|
21198
|
7357
|
|
OSTEOTOMY MAXILLA SEGMENTAL
|
21206
|
15017.6
|
|
OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ
|
69300
|
7357
|
|
OVARIAN CYSTECTOMY UNI/BI
|
58925
|
11007
|
|
PALATOPHARYNGOPLASTY
|
42145
|
24390.75
|
|
PART REMOVAL OF ANKLE/HEEL
|
28120
|
10433.8
|
|
PARTIAL EXCISION OF LIP
|
40500
|
10374
|
|
PARTIAL REMOVAL COLLAR BONE
|
23120
|
13632
|
|
PARTIAL REMOVAL OF NOSE
|
30150
|
17707
|
|
PARTIAL REMOVAL OF TOE
|
28126
|
7529.6
|
|
PARTIAL REMOVAL OF TOE
|
28153
|
7881
|
|
PARTIAL REMOVAL OF VULVA
|
56620
|
62278.65
|
|
PARTIAL REPAIR OR REMOVAL OF SHOULDER BO
|
23130
|
9434
|
|
PARTICAL EXCISION BONE PHALANX TOE
|
28124
|
18906.55
|
|
PELVIS/HIP JOINT SURGERY
|
27299
|
21663.2
|
|
PENILE INJECTION
|
54235
|
815.1
|
|
PENIS PLASTIC SURGERY
|
54360
|
12762.1
|
|
PERC LAMINO-/LAMINECTOMY INDIR IMAG GUID
|
0275T
|
258609.56
|
|
PERCUT BX LUNG/MEDIASTINUM
|
32405
|
3823.3
|
|
PERIPROSTHETIC CAPSULECTOMY BREAST
|
19371
|
24408.6
|
|
PERQ SKELETAL FIXATION PST PELVIC BONE F
|
27216
|
33573.3
|
|
PERQ VERTEBRAL AUGMENTATION
|
22513
|
63947.4
|
|
PERQ VERTEBRAL AUGMENTATION
|
22514
|
25043.55
|
|
PERQ VERTEBRAL AUGMENTATION
|
22515
|
24603
|
|
PLACEMENT OF SETON
|
46020
|
12236.9
|
|
POST COLPORRHAPHY RECTOCELE W/WO PERINEO
|
57250
|
4862.85
|
|
POSTERIOR NON-SEGMENTAL INSTRUMENTATION
|
22840
|
65813.7
|
|
POSTERIOR SEGMENTAL INSTRUMENTATION 3-6
|
22842
|
14717
|
|
PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ
|
15004
|
9811.55
|
|
PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1P
|
15002
|
16557.8
|
|
PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ T
|
68815
|
15790.45
|
|
PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/W
|
45300
|
1020.85
|
|
PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL
|
64553
|
11439
|
|
PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHE
|
64555
|
4996.81
|
|
PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURA
|
63650
|
67456
|
|
PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE
|
26727
|
5757
|
|
PRQ SKELETAL FIXJ METACARPAL FX EACH BON
|
26608
|
11874
|
|
PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CA
|
28122
|
22058.35
|
|
PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1
|
22114
|
32608.55
|
|
PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSE
|
60210
|
22085
|
|
RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS
|
25116
|
7698
|
|
RADICAL RESECTION TONSIL W/O CLOSURE
|
42842
|
13944
|
|
RADICAL RESECTION TUMOR PHALANX OR TOE
|
28175
|
25209.47
|
|
RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/I
|
64625
|
25870.5
|
|
RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONL
|
28313
|
22058.35
|
|
RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/F
|
26541
|
18675.8
|
|
RCNSTJ EYELID FULL THICKNESS LOWER EYELI
|
67973
|
12410
|
|
RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT P
|
21248
|
10703
|
|
RCNSTJ MDFC OTH/THN LEFORT OSTEOT & BONE
|
21188
|
30975
|
|
RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BON
|
21142
|
16391
|
|
RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT P
|
21245
|
11552
|
|
RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARS
|
28238
|
31511.2
|
|
RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EA
|
28345
|
7060.3
|
|
RDCTJ FHD CNTRG & PROSTHETIC MATRL/BONE
|
21138
|
20670
|
|
RECONS ORBIT W/OSTEOTOMIES & BONE GRAFTS
|
21256
|
27021
|
|
RECONST LWR JAW W/FIXATION
|
21196
|
40000
|
|
RECONST LWR JAW W/O FIXATION
|
21195
|
30680
|
|
RECONSTR LWR JAW W/ADVANCE
|
21199
|
40000
|
|
RECONSTRUCT CLEFT PALATE
|
42210
|
55000
|
|
RECONSTRUCT LOWER JAW BONE
|
21255
|
16305.29
|
|
RECONSTRUCT SHOULDER JOINT
|
23470
|
30803.5
|
|
RECONSTRUCT SHOULDER JOINT
|
23472
|
30156.36
|
|
RECONSTRUCT WRIST JOINT
|
25445
|
22079.2
|
|
RECONSTRUCTION EXTERNAL AUDITORY CANAL S
|
69310
|
19899.1
|
|
RECONSTRUCTION OF JAW JOINT
|
21240
|
28022.8
|
|
RECONSTRUCTION ROTATOR CUFF AVULSION CHR
|
23420
|
15344
|
|
REDUCTION MAMMAPLASTY
|
19318
|
24408.6
|
|
REDUCTION OF FOREHEAD
|
21139
|
30753
|
|
REDUCTION OF RECTAL PROLAPSE
|
45900
|
4297
|
|
REINSERTION SPINAL FIXATION DEVICE
|
22849
|
129378.25
|
|
RELEASE OF FOOT TENDON
|
28220
|
9538
|
|
RELEASE OF NASAL ADHESIONS
|
30560
|
1946.1
|
|
RELEASE THENAR MUSCLE
|
26508
|
27838.35
|
|
REMOVAL ANTERIOR INSTRUMENTATION
|
22855
|
111652.3
|
|
REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA
|
59871
|
31138.9
|
|
REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GE
|
64570
|
23047.74
|
|
REMOVAL FOREIGN BODY FOOT DEEP
|
28192
|
9106.5
|
|
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS
|
28190
|
6301.82
|
|
REMOVAL FOREIGN BODY INTRANASAL GENERAL
|
30310
|
8528
|
|
REMOVAL FOREIGN BODY MUSCLE/TENDON SHEAT
|
20520
|
2628.6
|
|
REMOVAL FOREIGN BODY PELVIS/HIP DEEP
|
27087
|
9126
|
|
REMOVAL IMPLANT DEEP
|
20680
|
41937.3
|
|
REMOVAL IMPLANT SUPERFICIAL PROCEDURRE
|
20670
|
12049.83
|
|
REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSUL
|
11976
|
934
|
|
REMOVAL INTACT MAMMARY IMPLANT
|
19328
|
12205.15
|
|
REMOVAL INTRAUTERINE DEVICE IUD
|
58301
|
426
|
|
REMOVAL MAMMARY IMPLANT MATERIAL
|
19330
|
13533
|
|
REMOVAL OF ADENOIDS (42836)
|
42836
|
8657
|
|
REMOVAL OF ANAL TAGS
|
46230
|
9337
|
|
REMOVAL OF BONE LESION
|
23146
|
11527.1
|
|
REMOVAL OF HEMORRHOID CLOT
|
46320
|
10189
|
|
REMOVAL OF KNEECAP BURSA
|
27340
|
15407
|
|
REMOVAL OF SKULL LESION
|
61500
|
25000
|
|
REMOVAL OF SPLEEN PARTIAL
|
38101
|
38162.7
|
|
REMOVAL OF STOMACH PARTIAL
|
43633
|
100495.8
|
|
REMOVAL OF STOMACH PARTIAL
|
43631
|
11811
|
|
REMOVAL OF TESTIS
|
54520
|
16341.75
|
|
REMOVAL PERITONEAL FOREIGN BODY FROM CAV
|
49402
|
27441.4
|
|
REMOVAL POSTERIOR NONSEGMENTAL INSTRUMEN
|
22850
|
68200
|
|
REMOVAL TUNNELED CV CATH
|
36590
|
7709
|
|
REMOVE ANAL FIST COMPLEX
|
46280
|
11436
|
|
REMOVE ANAL FIST SUBQ
|
46270
|
10844.6
|
|
REMOVE ANKLE JOINT LINING
|
27625
|
9262
|
|
REMOVE DRUG IMPLANT DEVICE
|
11982
|
8262
|
|
REMOVE EAR CANAL LESION(S)
|
69140
|
21989
|
|
REMOVE EXT HEM GROUPS 2+
|
46250
|
14104
|
|
REMOVE EYELID LESION
|
67800
|
2923.25
|
|
REMOVE EYELID LESION
|
67840
|
6268
|
|
REMOVE FEMUR LESION/BURSA
|
27062
|
15480
|
|
REMOVE IN/EX HEM GROUPS 2+
|
46260
|
13668
|
|
REMOVE IN/EX HEM GRPS & FISS
|
46261
|
13282
|
|
REMOVE PILONIDAL CYST EXTEN
|
11771
|
20200
|
|
REMOVE SKIN NERVE LESION
|
64774
|
12441
|
|
REMOVE SPINE FIXATION DEVICE
|
22852
|
62003
|
|
REMOVE VAGINAL FOREIGN BODY
|
57415
|
9678
|
|
REPAIR & REVISE NERVE ADD-ON
|
64874
|
9900
|
|
REPAIR BLOOD VESSEL LESION
|
35271
|
35728
|
|
REPAIR BOWEL OPENING
|
44620
|
7461.24
|
|
REPAIR BROW PTOSIS
|
67900
|
21053.65
|
|
REPAIR CLEFT LIP/NASAL
|
40700
|
55000
|
|
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.
|
13131
|
2698
|
|
REPAIR COMPLEX TRUNK 1.1-2.5 CM
|
13100
|
2026.4
|
|
REPAIR COMPLEX TRUNK 2.6-7.5 CM
|
13101
|
3598.9
|
|
REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 C
|
13102
|
3563
|
|
REPAIR ECTROPION EXTENSIVE
|
67917
|
21053.65
|
|
REPAIR ELBOW W/DEB OPEN
|
24358
|
12138.1
|
|
REPAIR ENTROPION EXTENSIVE
|
67924
|
20451
|
|
REPAIR EYELID DEFECT
|
67903
|
10121.8
|
|
REPAIR FIBULA NONUNION/MALUNION W/INT F
|
27726
|
21069.1
|
|
REPAIR FINGER TENDON
|
26418
|
6995.3
|
|
REPAIR FINGER/HAND TENDON
|
26357
|
13235.3
|
|
REPAIR FIRST ABDOMINAL WALL HERNIA
|
49560
|
37666.9
|
|
REPAIR FLEXOR TENDON LEG PRIMARY W/O GRA
|
27658
|
15754.75
|
|
REPAIR HAND JOINT
|
26540
|
14672
|
|
REPAIR HAND TENDON
|
26410
|
8682.7
|
|
REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 C
|
12051
|
11480.41
|
|
REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5
|
12052
|
3325.7
|
|
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM
|
12035
|
1760
|
|
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<
|
12031
|
3237.39
|
|
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM
|
12032
|
681.79
|
|
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM
|
12036
|
3229.15
|
|
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM
|
12034
|
2161
|
|
REPAIR NASAL SEPTAL PERFORATIONS
|
30630
|
21126.75
|
|
REPAIR NASAL VESTIBULAR STENOSIS
|
30465
|
21748.95
|
|
REPAIR NONUNION/MALUNION TARSAL BONES
|
28320
|
25209.3
|
|
REPAIR OF ABDOMINAL WALL (49900)
|
49900
|
18902
|
|
REPAIR OF BOWEL BULGE
|
57268
|
11758.5
|
|
REPAIR OF HAND OR FOOT NERVE
|
64836
|
13139.1
|
|
REPAIR OF METATARSALS
|
28322
|
16642.5
|
|
REPAIR OF PENIS
|
54440
|
13247
|
|
REPAIR OF URETHRAL LESION
|
57230
|
10527.4
|
|
REPAIR OF WINDPIPE
|
31750
|
35000
|
|
REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLE
|
27650
|
65194.15
|
|
REPAIR SECONDARY ACHILLES TENDON W/WO GR
|
27654
|
30609.35
|
|
REPAIR SECONDARY DISRUPTED LIGAMENT ANKL
|
27698
|
13513.5
|
|
REPAIR SPINAL FLUID LEAKAGE
|
63709
|
90000
|
|
REPAIR TENDON EXTENSOR FOOT 1/2 EA TENDO
|
28208
|
16854.41
|
|
REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA
|
24341
|
17992
|
|
REPAIR/TRANSPOSE NERVE
|
64856
|
50500
|
|
REPLACEMENT TISS EXPANDER PERMANENT PROS
|
11970
|
12376
|
|
REREPAIR VENTRL HERN BLOCK
|
49566
|
16257
|
|
RESECT HIP/PELV TUM < 5 CM
|
27049
|
6701.5
|
|
RESECT NECK TUMOR 5 CM/>
|
21558
|
16577.6
|
|
RESECT SHOULDER TUMOR 5 CM/>
|
23078
|
11323.85
|
|
RESECTION MEDIASTINAL TUMOR
|
39220
|
49111
|
|
RESECTION OF MEDIASTINAL CYST
|
39200
|
49278.84
|
|
REVISE EYELID DEFECT
|
67911
|
7590.7
|
|
REVISE HIP JOINT REPLACEMENT
|
27134
|
37395.8
|
|
REVISE KNEECAP WITH IMPLANT
|
27438
|
29810
|
|
REVISION OF BIG TOE
|
28310
|
7632.3
|
|
REVISION OF NOSE
|
30460
|
20170
|
|
REVISION OF NOSE
|
30120
|
10407
|
|
REVISION OF PENIS
|
54300
|
13694.2
|
|
REVISION OF SCROTUM
|
55180
|
12000
|
|
REVISION RECONSTRUCTED BREAST
|
19380
|
24344.05
|
|
REVISION/REPLMT NEUROSTIMLATOR ELTRD CRA
|
64569
|
19820.3
|
|
REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY
|
43860
|
19637.44
|
|
REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL
|
63663
|
20060
|
|
REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRS
|
22861
|
42748.93
|
|
REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GEN
|
63688
|
59960.7
|
|
REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELE
|
64585
|
7495.3
|
|
RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAI
|
30420
|
21748.95
|
|
RHINOPLASTY SECONDARY INTERMEDIATE REVIS
|
30435
|
19904
|
|
RHINOPLASTY SECONDARY MAJOR REVISION
|
30450
|
23924.1
|
|
RHINOPLASTY SECONDARY MINOR REVISION
|
30430
|
17399.5
|
|
RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT
|
30462
|
15017.6
|
|
RHINP PRIM COMPLETE XTRNL PARTS
|
30410
|
19573.87
|
|
RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NASAL
|
30400
|
16901.4
|
|
RHYTIDECTOMY CHEEK CHIN & NECK
|
15828
|
36108.85
|
|
RHYTIDECTOMY FOREHEAD
|
15824
|
25275.6
|
|
RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING
|
15825
|
36108.85
|
|
RHYTIDECTOMY SMAS FLAP
|
15829
|
36108.85
|
|
RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO
|
24342
|
23622.35
|
|
RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE
|
22864
|
37674.45
|
|
RMVL FB XTRNL AUDITORY CANAL ANES
|
69205
|
8152.3
|
|
RMVL FOREIGN BODY MUSCLE/TENDON SHEATH D
|
20525
|
11719.5
|
|
RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INC
|
63662
|
7483
|
|
RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL F
|
63661
|
11219.15
|
|
RPR 1ST INCAL/VNT HERNIA INCARCERATED
|
49561
|
42375.9
|
|
RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERA
|
49507
|
28250.6
|
|
RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE
|
49505
|
23542.45
|
|
RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT
|
67904
|
18422.9
|
|
RPR DISLOC PERONEAL TENDON W/O FIBULAR O
|
27675
|
25209.3
|
|
RPR DURAL/CEREBROSPINAL FLUID LEAK X
|
63707
|
110889.62
|
|
RPR EPIGASTRIC HERNIA REDUCIBLE SPX
|
49570
|
12224
|
|
RPR EXTENSOR TENDON LEG PRIMARY W/O GRAF
|
27664
|
18906.55
|
|
RPR LIP FULL THICKNESS HALF/< VERTICAL H
|
40652
|
3370
|
|
RPR NON-UNION MTCRPL/PHALANX
|
26546
|
31319.1
|
|
RPR PARAESOPH HIATAL HERNIA W/LAPT W/
|
43332
|
100494.79
|
|
RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL
|
27696
|
28360.25
|
|
RPR PRIMARY DISRUPTED LIGAMENT ANKLE COL
|
27695
|
28360.25
|
|
RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W
|
27652
|
26076.7
|
|
RPR RECRT INCAL/VNT HERNIA REDUCIBLE
|
49565
|
42375.9
|
|
RPR RECRT INGUINAL HERNIA ANY AGE REDUCI
|
49520
|
20489.3
|
|
RPR SPIGELIAN HERNIA
|
49590
|
28250.6
|
|
RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EAC
|
28200
|
25209.3
|
|
RPR UMBIL HERN REDUC < 5 YR
|
49580
|
44500
|
|
RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCE
|
49587
|
32958.75
|
|
RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE
|
49585
|
42686.4
|
|
RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT E
|
26356
|
31319.1
|
|
SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SP
|
58700
|
11909.35
|
|
SALPINGOSTOMY
|
58770
|
11810
|
|
SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF
|
G0289
|
2972.41
|
|
SECOND LEVEL CER DISKECTOMY
|
22858
|
5364
|
|
SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV
|
13160
|
4166.5
|
|
SEPTAL/OTHER INTRANASAL DERMATOPLASTY
|
30620
|
21748.95
|
|
SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTIL
|
30520
|
19573.88
|
|
SESAMOIDECTOMY FIRST TOE SPX
|
28315
|
22058.35
|
|
SHAVE SKIN LESION 0.6-1.0 CM
|
11311
|
554
|
|
SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM
|
11310
|
2099
|
|
SHORT-LATENCY SOMATOSENS EP STD LWR LIMB
|
95926
|
3190.14
|
|
SHORT-LATENCY SOMATOSENS EP STD UPR & LO
|
95938
|
2133.76
|
|
SHORT-LATENCY SOMATOSENS EP STD UPR LIMB
|
95925
|
3359.2
|
|
SHOULDER ARTHROSCOPY/SURGERY
|
29825
|
12231.7
|
|
SIGMOIDOSCOPY FLX TNDSC BALO DILAT
|
45340
|
5843.5
|
|
SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIP
|
45331
|
1700.4
|
|
SIGMOIDOSCOPY W/RESECTION
|
45349
|
5555
|
|
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<
|
12011
|
749.7
|
|
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK
|
12001
|
610.7
|
|
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.
|
12002
|
5000
|
|
SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 C
|
15120
|
37966.1
|
|
SPLIT AGRFT T/A/L 1ST 100 CM/&/1% BDY IN
|
15100
|
11863
|
|
SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY IN
|
15101
|
4154
|
|
STOMACH SURGERY PROCEDURE
|
43999
|
14862
|
|
STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL
|
61781
|
1082.81
|
|
STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL
|
61782
|
1273.89
|
|
SUBCUTANEOUS INJECTION FILLING MATERIAL
|
11950
|
6774.15
|
|
SUBCUTANEOUS INJECTION FILLING MATRL >10
|
11954
|
12835.15
|
|
SUBCUTANEOUS INJECTION FILLING MATRL 5.1
|
11952
|
2015
|
|
SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/
|
30140
|
33708.85
|
|
SUBTALAR ARTHRO W/EXC
|
29905
|
10786.1
|
|
SUCTION ASSISTED LIPECTOMY HEAD & NECK
|
15876
|
14443.2
|
|
SUCTION ASSISTED LIPECTOMY LOWER EXTREMI
|
15879
|
21665.65
|
|
SUCTION ASSISTED LIPECTOMY TRUNK
|
15877
|
21665.65
|
|
SUCTION ASSISTED LIPECTOMY UPPER EXTREMI
|
15878
|
21665.65
|
|
SUPRAHYOID LYMPHADENECTOMY
|
38700
|
21333
|
|
SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN
|
69706
|
31000
|
|
SURG TX ANAL FISTULA 2ND STAGE
|
46285
|
11677.9
|
|
SURG TX ANAL FISTULA INTERSPHINCTERIC
|
46275
|
20184.1
|
|
SUSPENSION OF VAGINA
|
57280
|
26025.93
|
|
SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/
|
27381
|
52824.1
|
|
SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNS
|
27386
|
19585.8
|
|
SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE
|
64831
|
59960.7
|
|
SUTURE FACIAL NERVE EXTRACRANIAL
|
64864
|
58245.4
|
|
SUTURE INFRAPATELLAR TENDON PRIMARY
|
27380
|
41085.6
|
|
SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIM
|
27385
|
25611
|
|
SYMPATHECTOMY RADIAL ARTERY
|
64821
|
9687.6
|
|
SYMPATHECTOMY ULNAR ARTERY
|
64822
|
8019.7
|
|
SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA I
|
26140
|
6861.2
|
|
SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR
|
26145
|
27838.35
|
|
TAP BLOCK BILATERAL BY INJECTION(S)
|
64488
|
933.4
|
|
TAP BLOCK UNIL BY INJECTION
|
64486
|
787
|
|
TENDON SHEATH INCISION
|
26055
|
27838.35
|
|
TENODESIS BICEPS TENDON ELBOW SEPARATE P
|
24340
|
14364
|
|
TENODESIS LONG TENDON BICEPS
|
23430
|
28228.5
|
|
TENODESIS WRIST FLEXORS FINGERS
|
25300
|
25500
|
|
TENOLYSIS CPLX XTNSR TENDON FINGER W/FOR
|
26449
|
8162
|
|
TENOLYSIS EXTENSOR TENDON HAND/FINGER EA
|
26445
|
7931
|
|
TENOLYSIS FLEXOR TENDON PALM/FINGER EACH
|
26440
|
22619.35
|
|
TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1
|
27680
|
18906.55
|
|
TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEO
|
24357
|
11869
|
|
TENOTOMY PERCUTANEOUS TOE SINGLE TENDON
|
28010
|
4422.95
|
|
TENOTOMY PRQ ACHILLES TENDON SPX GENERAL
|
27606
|
22058.35
|
|
TENOTOMY PRQ ACHILLES TENDON SPX LOCAL A
|
27605
|
15754.75
|
|
TENOTOMY SHOULDER AREA 1 TENDON
|
23405
|
6209
|
|
TEST FOR BLOOD FLOW IN GRAFT
|
15860
|
642
|
|
THYROIDECTOMY SUBSTERNAL CERVICAL APPROA
|
60271
|
39311.65
|
|
THYROIDECTOMY TOTAL/COMPLETE
|
60240
|
25331
|
|
THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK D
|
60252
|
13058
|
|
THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DI
|
60254
|
42538.48
|
|
TIBIAL ARTHROSCOPY/SURGERY
|
29855
|
16906.5
|
|
TIS TRNFR E/N/E/L10.1-30SQCM
|
14061
|
11016.2
|
|
TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1
|
25295
|
7351.5
|
|
TONSILLECTOMY & ADENOIDECTOMY AGE 12/>
|
42821
|
13246.4
|
|
TONSILLECTOMY ONE-HALF AGE 12/>
|
42826
|
12994.92
|
|
TOT DISC ARTHRP ART DISC ANT APPRO 1 NTR
|
22856
|
73657.2
|
|
TOT DISC ARTHRP ART DISC ANT APPRO 1 NTR
|
22857
|
70442.05
|
|
TOTAL HIP ARTHROPLASTY
|
27130
|
34391
|
|
TOTAL HYSTERECTOMY
|
58150
|
23172.28
|
|
TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUS
|
60220
|
29884.75
|
|
TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTIN
|
27691
|
12555.4
|
|
TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTO
|
58345
|
6267
|
|
TRANSECTION/AVULSION GREATER OCCIPITAL N
|
64744
|
65526.5
|
|
TRANSECTION/AVULSION OTH SPINAL NRV XDRL
|
64772
|
10067.25
|
|
TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/
|
63057
|
24254.75
|
|
TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG
|
63056
|
91707
|
|
TREAT BIG TOE FRACTURE
|
28496
|
23500
|
|
TREAT CLAVICLE DISLOCATION
|
23550
|
28098.6
|
|
TREAT CLAVICLE DISLOCATION
|
23552
|
27339
|
|
TREAT CLAVICLE FRACTURE
|
23515
|
27823.9
|
|
TREAT FOOT DISLOCATION
|
28606
|
9997
|
|
TREAT FRACTURE RADIUS/ULNA
|
25575
|
27283.5
|
|
TREAT FRACTURE RADIUS/ULNA
|
25605
|
25500
|
|
TREAT FX RAD EXTRA-ARTICUL
|
25607
|
22299.5
|
|
TREAT FX RADIAL 3+ FRAG
|
25609
|
22825.4
|
|
TREAT HUMERUS FRACTURE
|
24575
|
28701.4
|
|
TREAT SPINE FRACTURE
|
22325
|
10007
|
|
TREAT TOE FRACTURE
|
28525
|
13248
|
|
TREAT WRIST BONE FRACTURE
|
25645
|
25578
|
|
TUBOTUBAL ANASTATOMOSIS
|
58750
|
6129.15
|
|
TUBOUTERINE IMPLANTATION
|
58752
|
9739
|
|
TX CONTOUR DEFECTS 1.1-5.0CC
|
11951
|
1424.8
|
|
TX INCOMPLETE ABORTION ANY TRIMESTER SUR
|
59812
|
46709.2
|
|
TX MISSED ABORTION FIRST TRIMESTER SURGI
|
59820
|
46709.2
|
|
TX OPN TENDON FLEXOR FOOT SINGLE/MULT TE
|
28230
|
22058.35
|
|
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE C
|
12020
|
1227.4
|
|
TYMPANOSTOMY GENERAL ANESTHESIA
|
69436
|
17694.45
|
|
UMBILECTOMY OMPHALECTOMY EXC UMBILICUS S
|
49250
|
11586.9
|
|
UNLIS LAPAROSCOPIC PROCEDURE LIVER
|
47379
|
8180
|
|
UNLISTED LAPAROSCOPIC PROCEDURE ESOPHAGU
|
43289
|
83190.35
|
|
UNLISTED LAPAROSCOPIC PROCEDURE STOMACH
|
43659
|
4668.2
|
|
UNLISTED LAPAROSCOPIC PX ABD PERTONEUM &
|
49329
|
16697.2
|
|
UNLISTED LAPAROSCOPY PROCEDURE UTERUS
|
58578
|
22898.5
|
|
UNLISTED MUSCULOSKELETAL PROCEDURE HEAD
|
21499
|
11452
|
|
UNLISTED PROCEDURE ABDOMEN PERITONEUM &
|
49999
|
4887.5
|
|
UNLISTED PROCEDURE ARTHROSCOPY
|
29999
|
5525
|
|
UNLISTED PROCEDURE ESOPHAGUS
|
43499
|
4308
|
|
UNLISTED PROCEDURE EXCISION PRESSURE ULC
|
15999
|
15000
|
|
UNLISTED PROCEDURE EYELIDS
|
67999
|
7994.15
|
|
UNLISTED PROCEDURE FOOT/TOES
|
28899
|
7779.23
|
|
UNLISTED PROCEDURE MUSCSKELETAL SYSTEM G
|
20999
|
12470
|
|
UNLISTED PROCEDURE NECK/THORAX
|
21899
|
11637.4
|
|
UNLISTED PROCEDURE NOSE
|
30999
|
16627.67
|
|
UNLISTED PROCEDURE SHOULDER
|
23929
|
11980.8
|
|
UNLISTED PROCEDURE SPINE
|
22899
|
91707.35
|
|
UNLISTED PROCEDURE TEMPORAL BONE MIDDLE
|
69979
|
20000
|
|
UNLISTED PROCEDURE TRACHEA BRONCHI
|
31899
|
7479.3
|
|
UNLISTED PROCEDURE, LIPS
|
40799
|
10000
|
|
UNLISTED PX ABDOMEN MUSCULOSKELETAL SYST
|
22999
|
4885.81
|
|
UNLISTED PX FEMALE GENITAL SYSTEM NONOBS
|
58999
|
577.45
|
|
UNLISTED PX SKIN MUC MEMBRANE & SUBQ TIS
|
17999
|
6746.6
|
|
UTERINE EVACUATION & CURETTAGE HYDATIDIF
|
59870
|
62278.65
|
|
UVULECTOMY EXCISION UVULA
|
42140
|
13944.25
|
|
VAG HYST 250 GM/< W/RMVL TUBE&/OVARY
|
58262
|
15026.7
|
|
VAG HYST W/ENTEROCELE REPAIR
|
58270
|
15083
|
|
VAGINAL HYSTERECTOMY
|
58260
|
14801.8
|
|
VASCULAR STUDY
|
93978
|
20698
|
|
VASCULAR STUDY
|
93979
|
14423
|
|
VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SA
|
63090
|
91788.1
|
|
VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL
|
63081
|
91707.45
|
|
VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA
|
63082
|
91707.45
|
|
VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RP
|
40845
|
11552
|
|
VULVECTOMY SIMPLE COMPLETE
|
56625
|
13378
|
|
WXCISE BREAST DUCT FISTULA
|
19112
|
9813.7
|
|
CONSCIOUS SEDATION 1ST HOUR
|
|
12114.14
|
|
CONSCIOUS SEDATION ADDITIONAL 15 MIN
|
|
2088.16
|
|
DEEP SEDATION 1ST HOUR
|
|
12114.14
|
|
DEEP SEDATION ADDITIONAL 15 MIN
|
|
2088.16
|
|
EPIDURAL ANESTHESIA
|
|
5000
|
|
EPIDURAL ANESTHESIA 1ST HOUR
|
|
12114.14
|
|
EPIDURAL ANESTHESIA ADDITIONAL 15 MIN
|
|
2088.16
|
|
GENERAL ANESTHESIA 1ST HOUR
|
|
12114.14
|
|
GENERAL ANESTHESIA ADDITIONAL 15 MIN
|
|
2088.16
|
|
LOCAL ANESTHESIA
|
|
5000
|
|
LOCAL ANESTHESIA 1ST HOUR
|
|
12114.14
|
|
LOCAL ANESTHESIA ADDITIONAL 15 MIN
|
|
2088.16
|
|
MAC ANESTHESIA 1ST HOUR
|
|
12114.14
|
|
MAC ANESTHESIA ADDITIONAL 15 MIN
|
|
2088.16
|
|
REGIONAL ANESTHESIA
|
|
5000
|
|
REGIONAL ANESTHESIA 1ST HOUR
|
|
12114.14
|
|
REGIONAL ANESTHESIA ADDITIONAL 15 MIN
|
|
2088.16
|
|
SPINAL ANESTHESIA
|
|
5000
|
|
SPINAL ANESTHESIA 1ST HOUR
|
|
12114.14
|
|
SPINAL ANESTHESIA ADDITIONAL 15 MIN
|
|
2088.16
|
|
RED BLOOD CELLS LEUKOCYTES REDUCED EACH
|
P9016
|
596.76
|
|
CRYOPRECIPITATE EACH UNIT
|
P9012
|
455.18
|
|
FRESH FROZEN PLASMA THAWING EACH UNIT
|
86927
|
189.92
|
|
FRESH FRZN PLASMA FRZN WITHIN 8 HRS CLCT
|
P9017
|
250.9
|
|
PLSMA MX DONR SOLVNT/DETRGNT TREATD FRZN
|
P9023
|
307.02
|
|
PLATELETS PHERESIS IRRADIATED EACH UNIT
|
P9036
|
596.76
|
|
PLATELETS PHERESIS LEUKOCYTES REDUCED EA
|
P9035
|
601.76
|
|
TRANSFUSION BLOOD/BLOOD COMPONENTS
|
36430
|
1197.12
|
|
FRESH FRZN PLASMA FRZN WITHIN 8 HRS CLCT
|
P9017
|
359.86
|
|
RED BLOOD CELLS LEUKOCYTES REDUCED EACH
|
P9016
|
249.9
|
|
DUPLEX SCAN EXTRACRANIAL ART COMPL BI ST
|
93880
|
3118.75
|
|
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STU
|
93925
|
3130.75
|
|
DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STU
|
93926
|
1567.38
|
|
DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STU
|
93931
|
1649.34
|
|
DUP-SCAN XTR VEINS UNILATERAL/LIMITED ST
|
93971
|
1814.88
|
|
NON-INVAS PHYSIOLOGIC STD EXTREMITY ART
|
93922
|
1103.56
|
|
DUPLEX ARTERIAL LE BIL (93926)
|
93926
|
1567.38
|
|
DUPLEX ARTERIAL LE LT (93926)
|
93926
|
1567.38
|
|
DUPLEX ARTERIAL LE RT (93926)
|
93926
|
1567.38
|
|
DUPLEX VENOUS LE BIL (93971)
|
93971
|
1814.88
|
|
DUPLEX VENOUS LE LT (93971)
|
93971
|
1814.88
|
|
DUPLEX VENOUS LE RT (93971)
|
93971
|
1814.88
|
|
N-INVAS PHYSIOLOGIC STD XTR VEINS COMPL
|
93965
|
1379.44
|
|
RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CAT
|
75989
|
8443.62
|
|
ULTRASOUND ABDOMINAL REAL TIME W/IMAGE L
|
76705
|
1513.78
|
|
ULTRASOUND SCROTUM & CONTENTS
|
76870
|
1426.43
|
|
ULTRASOUND TRANSVAGINAL
|
76830
|
1710.32
|
|
US BREAST REAL TIME W/IMAGE DOCUMENTATIO
|
76645
|
1213.51
|
|
US CHEST REAL TIME W/IMAGE DOCUMENTATION
|
76604
|
1764.29
|
|
US EXT NONVASCULAR COMPLETE (76881)
|
76881
|
2406.3
|
|
US EXT NONVASCULAR COMPLETE LT (76881)
|
76881
|
2406.3
|
|
US EXT NONVASCULAR COMPLETE RT (76881)
|
76881
|
2406.3
|
|
US PELVIC NONOBSTETRIC IMAGE DCMTN LIMIT
|
76857
|
1672.33
|
|
US PELVIC NONOBSTETRIC REAL-TIME IMAGE C
|
76856
|
1795.68
|
|
US PREG 1 OR MORE FETUSES LMT (76815)
|
76815
|
4800
|
|
US PREG TRANSVAGINAL (76817)
|
76817
|
4800
|
|
US PREG UTERUS AFTER 1ST TRIMEST 1/1ST G
|
76805
|
1489.4
|
|
US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST
|
76801
|
1489.4
|
|
US RETROPERITIONEAL LIMITED (76775)
|
76775
|
1338
|
|
US RETROPERITONEAL REAL TIME W/IMAGE COM
|
76770
|
1736.3
|
|
US SOFT TISSUE HEAD & NECK REAL TIME IMG
|
76536
|
1424.43
|
|
US STUDY FOLLOW UP
|
76970
|
474.81
|
|
US TRANSRECTAL (76872)
|
76872
|
4800
|
|
AEROSOL TREATMENT INITIAL
|
94640
|
285.89
|
|
AEROSOL TREATMENT SUBSEQUENT
|
94640
|
285.89
|
|
BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILA
|
94060
|
1151.54
|
|
CARDIOPULMONARY RESUSCITATION
|
92950
|
421.03
|
|
CARDIOPULMONARY RESUSCITATION INITIAL
|
92950
|
1500.6
|
|
CARDIOPULMONARY RESUSCITATION SUBSEQ
|
92950
|
1500.6
|
|
CHEST PHYSIOTHERAPY (SUBS)
|
94668
|
959.62
|
|
CONTINUOUS INHALATION TREATMENT 1ST HR
|
94644
|
587.76
|
|
CONTINUOUS INHALATION TREATMENT EA ADDL
|
94645
|
224.3
|
|
CPAP VENTILATION CPAP INITIATION&MGMT
|
94660
|
1518.6
|
|
CPAP VENTILATION CPAP INITIATION&MGMT
|
94660
|
1547.37
|
|
DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/IN
|
94664
|
313.87
|
|
DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/IN
|
94664
|
313.87
|
|
HOME VENTILATOR MGMT CARE OVERSIGHT 30 M
|
94005
|
89.96
|
|
INTUBATION ENDOTRACHEAL EMERGENCY PROCED
|
31500
|
1910.84
|
|
IPPB TREATMENT INITIAL
|
94640
|
285.89
|
|
IPPB TREATMENT SUBSEQUENT
|
94640
|
285.89
|
|
MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO
|
94667
|
451.02
|
|
METERED DOSE INHALER INITIAL
|
94640
|
285.89
|
|
METERED DOSE INHALER SUBSEQUENT
|
94640
|
285.89
|
|
NEBULIZER TREATMENT INITIAL
|
94640
|
285.89
|
|
NEBULIZER TREATMENT SUBSEQ
|
94640
|
285.89
|
|
O2 UPTK EXP GAS ANALYSIS REST&XERS DIREC
|
94680
|
375.17
|
|
PRESSURIZED/NONPRESSURIZED INHALATION TR
|
94640
|
285.89
|
|
RESPIRATORY FLOW VOLUME LOOP
|
94375
|
482.81
|
|
RT SPUTUM OBTAIN SPECIMEN (89220)
|
89220
|
379
|
|
TX PROC IMPRV RESP FUNCT NOT G0237 FCE-F
|
G0238
|
387.85
|
|
UNLISTED PULMONARY SERVICE/PROCEDURE
|
94799
|
156.94
|
|
VENTILATION ASSIST & MGMT INPATIENT 1ST
|
94002
|
416.23
|
|
VENTILATION ASSIST & MGMT INPATIENT EA S
|
94003
|
2079.96
|
|
BODY POSITION CURRENT STATUS
|
G8981
|
0.01
|
|
BODY POSITION CURRENT STATUS
|
G8981
|
0.01
|
|
BODY POSITION CURRENT STATUS
|
G8981
|
0.01
|
|
BODY POSITION CURRENT STATUS
|
G8981
|
0.01
|
|
BODY POSITION CURRENT STATUS
|
G8981
|
0.01
|
|
BODY POSITION CURRENT STATUS
|
G8981
|
0.01
|
|
BODY POSITION CURRENT STATUS
|
G8981
|
0.01
|
|
BODY POSITION DISCHARGE STATUS
|
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8984
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8984
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8984
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8984
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8984
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8984
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8984
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8986
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8986
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8986
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8986
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8986
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8986
|
0.01
|
|
CARRYING, MOVING & HANDLING OBJECTS FUNC
|
G8986
|
0.01
|
|
CARRYING, MOVING AND HANDLING OBJECTS, P
|
G8985
|
0.01
|
|
CARRYING, MOVING AND HANDLING OBJECTS, P
|
G8985
|
0.01
|
|
CARRYING, MOVING AND HANDLING OBJECTS, P
|
G8985
|
0.01
|
|
CARRYING, MOVING AND HANDLING OBJECTS, P
|
G8985
|
0.01
|
|
CARRYING, MOVING AND HANDLING OBJECTS, P
|
G8985
|
0.01
|
|
CARRYING, MOVING AND HANDLING OBJECTS, P
|
G8985
|
0.01
|
|
CARRYING, MOVING AND HANDLING OBJECTS, P
|
G8985
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8983
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8983
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8983
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8983
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8982
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8982
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8982
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8982
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8982
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8982
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8982
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8983
|
0.01
|
|
CHANGING & MAINTAINING BODY POSITION FUN
|
G8983
|
0.01
|
|
MOBILITY CURRENT STATUS
|
G8978
|
0.01
|
|
MOBILITY CURRENT STATUS
|
G8978
|
0.01
|
|
MOBILITY CURRENT STATUS
|
G8978
|
0.01
|
|
MOBILITY CURRENT STATUS
|
G8978
|
0.01
|
|
MOBILITY CURRENT STATUS
|
G8978
|
0.01
|
|
MOBILITY CURRENT STATUS
|
G8978
|
0.01
|
|
MOBILITY CURRENT STATUS
|
G8978
|
0.01
|
|
MOBILITY DISCHARGE STATUS
|
G8980
|
0.01
|
|
MOBILITY DISCHARGE STATUS
|
G8980
|
0.01
|
|
MOBILITY DISCHARGE STATUS
|
G8980
|
0.01
|
|
MOBILITY DISCHARGE STATUS
|
G8980
|
0.01
|
|
MOBILITY DISCHARGE STATUS
|
G8980
|
0.01
|
|
MOBILITY DISCHARGE STATUS
|
G8980
|
0.01
|
|
MOBILITY DISCHARGE STATUS
|
G8980
|
0.01
|
|
MOBILITY GOAL STATUS
|
G8979
|
0.01
|
|
MOBILITY GOAL STATUS
|
G8979
|
0.01
|
|
MOBILITY GOAL STATUS
|
G8979
|
0.01
|
|
MOBILITY GOAL STATUS
|
G8979
|
0.01
|
|
MOBILITY GOAL STATUS
|
G8979
|
0.01
|
|
MOBILITY GOAL STATUS
|
G8979
|
0.01
|
|
MOBILITY GOAL STATUS
|
G8979
|
0.01
|
|
ORTHOTIC MGMT&TRAINJ UXTR LXTR&/TRNK EA
|
97760
|
215.92
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8990
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8990
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8990
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8990
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8990
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8990
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8990
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8991
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8991
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8991
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8991
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8991
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8991
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8991
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8992
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8992
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8992
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8992
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8992
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8992
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY P
|
G8992
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8993
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8993
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8993
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8993
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8993
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8993
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8993
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8994
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8994
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8994
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8994
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8994
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8994
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8994
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8995
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8995
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8995
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8995
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8995
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8995
|
0.01
|
|
OTHER PHYSICAL OR OCCUPATIONAL THERAPY S
|
G8995
|
0.01
|
|
PT MANUAL THERAPY 15 MIN (97140)
|
97140
|
257.4
|
|
PT MANUAL THERAPY 30 MIN
|
|
0
|
|
PT PERFORMANCE TEST (97750)
|
97750
|
188
|
|
SELF CARE FUNCTIONAL LIMITATION, CURRENT
|
G8987
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, CURRENT
|
G8987
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, CURRENT
|
G8987
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, CURRENT
|
G8987
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, CURRENT
|
G8987
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, CURRENT
|
G8987
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, CURRENT
|
G8987
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, DISCHAR
|
G8989
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, DISCHAR
|
G8989
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, DISCHAR
|
G8989
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, DISCHAR
|
G8989
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, DISCHAR
|
G8989
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, DISCHAR
|
G8989
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, DISCHAR
|
G8989
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, PROJECT
|
G8988
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, PROJECT
|
G8988
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, PROJECT
|
G8988
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, PROJECT
|
G8988
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, PROJECT
|
G8988
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, PROJECT
|
G8988
|
0.01
|
|
SELF CARE FUNCTIONAL LIMITATION, PROJECT
|
G8988
|
0.01
|
|
TEAM CONFERENCE FACE-TO-FACE NONPHYSICIA
|
99366
|
273.49
|
|
THER PX 1/> AREAS EA 15 MIN GAIT TRAINJ
|
97116
|
191.92
|
|
THER PX 1/> AREAS EACH 15 MIN NEUROMUSC
|
97112
|
215.92
|
|
THERAPEUT ACTVITY DIRECT PT CONTACT EACH
|
97530
|
215.92
|
|
THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXE
|
97110
|
215.92
|
|
UNLIST MODALITY SPEC TYPE&TIME CONSTANT
|
97039
|
96.96
|
|
PHYSICAL THERAPY EVALUATION
|
97001
|
359.85
|
|
PHYSICAL THERAPY RE-EVALUATION
|
97164
|
287.88
|
|
PT HIGH COMP EVAL
|
97163
|
431.1
|
|
PT LOW COMP EVAL
|
97161
|
282.24
|
|
PT MODERATE COMP EVAL
|
97162
|
356.67
|
|
OT HIGH COMP EVAL (97167)
|
97167
|
1280
|
|
OT LOW COMP EVAL (97165)
|
97165
|
640
|
|
OT MED COMP EVAL (97166)
|
97166
|
960
|
|
OT REEVALUATION (97168)
|
97168
|
480
|
|
ST ATTEN CURRENT STATUS
|
G9165
|
0.01
|
|
ST ATTEN D/C STATUS
|
G9167
|
0.01
|
|
ST ATTEN GOAL STATUS
|
G9166
|
0.01
|
|
ST LANG COMP CURRENT STATUS
|
G9159
|
0.01
|
|
ST LANG COMP D/C STATUS
|
G9161
|
0.01
|
|
ST LANG COMP GOAL STATUS
|
G9160
|
0.01
|
|
ST LANG EXPRESS CURRENT STATUS
|
G9162
|
0.01
|
|
ST LANG EXPRESS D/C STATUS
|
G9164
|
0.01
|
|
ST LANG EXPRESS GOAL STATUS
|
G9163
|
0.01
|
|
ST MEMORY CURRENT STATUS
|
G9168
|
0.01
|
|
ST MEMORY D/C STATUS
|
G9170
|
0.01
|
|
ST MEMORY GOAL STATUS
|
G9169
|
0.01
|
|
ST MOTOR SPEECH CURRENT STATUS
|
G8999
|
0.01
|
|
ST MOTOR SPEECH D/C STATUS
|
G9158
|
0.01
|
|
ST MOTOR SPEECH GOAL STATUS
|
G9186
|
0.01
|
|
ST SPEECH LANG CURRENT STATUS
|
G9174
|
0.01
|
|
ST SPEECH LANG D/C STATUS
|
G9176
|
0.01
|
|
ST SPEECH LANG GOAL STATUS
|
G9175
|
0.01
|
|
ST SWALLOW CURRENT STATUS
|
G8996
|
0.01
|
|
ST SWALLOW D/C STATUS
|
G8998
|
0.01
|
|
ST SWALLOW GOAL STATUS
|
G8997
|
0.01
|
|
ST VOICE CURRENT STATUS
|
G9171
|
0.01
|
|
ST VOICE D/C STATUS
|
G9173
|
0.01
|
|
ST VOICE GOAL STATUS
|
G9172
|
0.01
|
|
EMERGENCY DEPARTMENT VISIT HIGH/URGENT S
|
99284
|
2288.08
|
|
EMERGENCY DEPARTMENT VISIT LIMITED/MINOR
|
99281
|
1055.58
|
|
EMERGENCY DEPARTMENT VISIT LOW/MODER SEV
|
99282
|
1407.44
|
|
EMERGENCY DEPARTMENT VISIT MODERATE SEVE
|
99283
|
1760.31
|
|
EMERGENCY DEPT VISIT HIGH SEVERITY&THREA
|
99285
|
2815.87
|
|
I&D HEMATOMA SEROMA/FLUID COLLECTION
|
10140
|
3328.67
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
10060
|
2080.17
|
|
INCISION & DRAINAGE COMPLEX PO WOUND INF
|
10180
|
8321.67
|
|
INCISION & DRAINAGE PILONIDAL CYST SIMPL
|
10080
|
2080.17
|
|
NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE
|
94761
|
391.84
|
|
NONINVASIVE EAR/PULSE OXIMETRY SINGLE DE
|
94760
|
234.91
|
|
RT SPIROMETRY INITIAL (94010)
|
94010
|
591.76
|
|
RT SPIROMETRY SUBSEQUENT (94010)
|
94010
|
29.4
|
|
VITAL CAPACITY TOTAL SEPARATE PROCEDURE
|
94150
|
388.84
|
|
CV STRS TST XERS&/OR RX CONT ECG TRCG ON
|
93017
|
2516.59
|
|
CV STRS TST XERS&/OR RX CONT ECG W/SI&R
|
93015
|
4717.11
|
|
DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/
|
93321
|
1434.43
|
|
DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL D
|
93320
|
2405.04
|
|
ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC
|
93307
|
4151.34
|
|
ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&
|
93306
|
6428.43
|
|
COMPLETE TTHRC ECHO CONGENITAL CARDIAC A
|
93303
|
2687.53
|
|
ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUI
|
93312
|
4965.01
|
|
MR GUIDE NDL PLACE (77021)
|
77021
|
5544.5
|
|
MRI ABDOMEN W/DYE (74182)
|
74182
|
4742.4
|
|
MRI ABDOMINAL WO DYE (74181)
|
74181
|
6281.6
|
|
MRI BRAIN BRAIN STEM W/O CONTRAST MATERI
|
70551
|
5047.58
|
|
MRI CHEST W CONTR (71551)
|
71551
|
6190.6
|
|
MRI CHEST W WO CONTR (71552)
|
71552
|
7833.8
|
|
MRI CHEST W/O DYE (71550)
|
71550
|
6064.5
|
|
MRI LWR EXTREM JT W BIL (73722)
|
73722
|
7366.05
|
|
MRI LWR EXTREM JT W LT (73722)
|
73722
|
7366.05
|
|
MRI LWR EXTREM JT W RT (73722)
|
73722
|
7366.05
|
|
MRI LWR EXTREM JT W/O BIL (73721)
|
73721
|
6456.41
|
|
MRI LWR EXTREM JT W/O LT (73721)
|
73721
|
6456.41
|
|
MRI LWR EXTREM JT W/O RT (73721)
|
73721
|
6456.41
|
|
MRI LWR EXTREM JT W/WO BIL (73723)
|
73723
|
9266.29
|
|
MRI LWR EXTREM JT W/WO LT (73723)
|
73723
|
9266.29
|
|
MRI LWR EXTREM JT W/WO RT (73723)
|
73723
|
9266.29
|
|
MRI LWR EXTREM NOT JT BIL (73718)
|
73718
|
6542.38
|
|
MRI LWR EXTREM NOT JT LT (73718)
|
73718
|
6542.38
|
|
MRI LWR EXTREM NOT JT RT (73718)
|
73718
|
6542.38
|
|
MRI LWR EXTREM W BIL (73719)
|
73719
|
7444.02
|
|
MRI LWR EXTREM W LT (73719)
|
73719
|
7444.02
|
|
MRI LWR EXTREM W RT (73719)
|
73719
|
7444.02
|
|
MRI LWR EXTREM W/WO BIL (73720)
|
73720
|
9430.22
|
|
MRI LWR EXTREM W/WO LT (73720)
|
73720
|
9430.22
|
|
MRI LWR EXTREM W/WO RT (73720)
|
73720
|
9430.22
|
|
MRI ORBIT/FACE/NECK W/WO (70543)
|
70543
|
6476.6
|
|
MRI PELVIS W (72196)
|
72196
|
6938
|
|
MRI PELVIS W/WO (72197)
|
72197
|
6877
|
|
MRI PELVIS WO (72195)
|
72195
|
6064.5
|
|
MRI SPINAL CANAL LUMBAR W/O & W/CONTR MA
|
72158
|
10555.3
|
|
MRI UPR EXTREM JT W BIL (73222)
|
73222
|
5981
|
|
MRI UPR EXTREM JT W LT (73222)
|
73222
|
5981
|
|
MRI UPR EXTREM JT W RT (73222)
|
73222
|
5981
|
|
MRI UPR EXTREM JT W/O BIL (73221)
|
73221
|
5291
|
|
MRI UPR EXTREM JT W/O LT (73221)
|
73221
|
5291
|
|
MRI UPR EXTREM JT W/O RT (73221)
|
73221
|
5291
|
|
MRI UPR EXTREM JT W/WO BIL (73223)
|
73223
|
5000
|
|
MRI UPR EXTREM JT W/WO LT (73223)
|
73223
|
5000
|
|
MRI UPR EXTREM JT W/WO RT (73223)
|
73223
|
5000
|
|
MRI UPR EXTREM NOT JT W/WO BIL (73220)
|
73220
|
6932.9
|
|
MRI UPR EXTREM NOT JT W/WO LT (73220)
|
73220
|
6932.9
|
|
MRI UPR EXTREM NOT JT W/WO RT (73220)
|
73220
|
6932.9
|
|
MRI UPR EXTREM W BIL (73219)
|
73219
|
7451.6
|
|
MRI UPR EXTREM W LT (73219)
|
73219
|
7451.6
|
|
MRI UPR EXTREM W RT (73219)
|
73219
|
7451.6
|
|
MRI UPR EXTREM W/O BIL (73218)
|
73218
|
5955.3
|
|
MRI UPR EXTREM W/O LT (73218)
|
73218
|
5955.3
|
|
MRI UPR EXTREM W/O RT (73218)
|
73218
|
5955.3
|
|
MRI BRAIN BRAIN STEM W/O W/CONTRAST MATE
|
70553
|
12986.1
|
|
MRI BRAIN STEM W/DYE (70552)
|
70552
|
6695
|
|
MRI ORBIT/FACE/NECK W (70542)
|
70542
|
7789.6
|
|
MRI C-SPINE W (72142)
|
72142
|
6416.8
|
|
MRI C-SPINE W/O (72141)
|
72141
|
6281.6
|
|
MRI C-SPINE W/WO (72156)
|
72156
|
9847.5
|
|
MRI L-SPINE W (72149)
|
72149
|
7971.6
|
|
MRI L-SPINE W/O (72148)
|
72148
|
6373.9
|
|
MRI T-SPINE W (72147)
|
72147
|
6250.4
|
|
MRI T-SPINE W/O (72146)
|
72146
|
6649.5
|
|
MRI T-SPINE W/WO (72157)
|
72157
|
9761.7
|
|
MRI ABDOMEN W/O & W/CONTRAST MATERIAL
|
74183
|
26525.39
|
|
MRI ANY JT LOWER EXTREM W/CONTRAST MATER
|
73722
|
7366.05
|
|
MRI ANY JT LOWER EXTREM W/O & W/CONTRAST
|
73723
|
9266.29
|
|
MRI ANY JT LOWER EXTREM W/O CONTRAST MAT
|
73721
|
6456.41
|
|
MRI LOWER EXTREM OTH/THN JT W/CONTRAST M
|
73719
|
7444.02
|
|
MRI LOWER EXTREM OTH/THN JT W/O & W/CONT
|
73720
|
9430.22
|
|
MRI LOWER EXTREM OTH/THN JT W/O CONTR MA
|
73718
|
6542.38
|
|
BOTULINUM A 50 UNIT
|
J0585
|
2985.6
|
|
BOTULINUM TOXIN TYPE A PER UNIT
|
J0585
|
28.92
|
|
EXPAREL 1.3% 10ML SUSP
|
|
908.96
|
|
EXPAREL 1.3% 20ML SUSP
|
C9290
|
1652.16
|
|
HUMAN PLASMA FIBRIN SEALANT VAPOR-HEATED
|
C9250
|
1933.22
|
|
TISSEEL 4ML
|
|
907.28
|
|
Vistaseal 10 ml Fibrin
|
C9250
|
18.72
|
|
PACU 1ST 15MIN
|
|
3963.41
|
|
PACU ADDITIONAL EVERY 15 MIN
|
|
779.69
|
|
ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY
|
93005
|
523.79
|
|
RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I&
|
93041
|
293.88
|
|
RT EKG 12 LEAD TRACKING ONLY (93005)
|
93005
|
616.22
|
|
ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT
|
91010
|
2240.15
|
|
ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PRO
|
91038
|
1957.62
|
|
GASTROESOPHAG REFLX TEST W/CATH PH ELTRD
|
91034
|
3410.63
|
|
GASTROESOPHAG REFLX TEST W/INTRLUML IMPE
|
91037
|
2082.5
|
|
GASTROESOPHAG REFLX TEST W/TELEMTRY PH E
|
91035
|
2273.76
|
|
GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I
|
91110
|
6221.15
|
|
HOSPITAL OBSERVATION SERVICE PER HOUR
|
G0378
|
74.97
|
|
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR OR
|
93975
|
2741.91
|
