| A | B | |
|---|---|---|
|
1
|
Charge Description | Charge Amount |
|
2
|
ABD 1 / KUB 1V | $671.70 |
|
3
|
ACETONE SERUM QUALITATIVE | $21.00 |
|
4
|
MATRISTEM WOUND MATRIX PR SQ CM-SHEET | $0.00 |
|
5
|
REF AMOEBIASIS, IHA | $18.87 |
|
6
|
MATRISTEM MICROMATRIX OR POWDER 1MG | $0.00 |
|
7
|
ADAPTER BRONCH SWIVEL | $35.60 |
|
8
|
REF ANDROSTENEDIONE | $31.57 |
|
9
|
MINOR SURG.1ST.HOUR | $6,167.00 |
|
10
|
SYRINGE/GAUGE ASSEMBLY SET | $160.00 |
|
11
|
ABD 2 VIEWS | $661.00 |
|
12
|
POSTERIOR STABILIZED ARTICULAR INSER | $6,431.25 |
|
13
|
REF ANGIOTENSIN I, CONV. ENZYME | $16.34 |
|
14
|
BAIR HUGGER BLANKET | $147.00 |
|
15
|
ASPETO SYRINGE | $0.00 |
|
16
|
BICAP HEMOSTASIS PROBE | $551.46 |
|
17
|
MINOR SURG. ADDL 15 MIN | $1,545.00 |
|
18
|
BAG O JET | $0.00 |
|
19
|
ABDOMINAL SERIES | $828.00 |
|
20
|
NON POROUS TIBIAL BASE PLATE | $7,486.50 |
|
21
|
FIBER CHAIN | $130.00 |
|
22
|
REF ANTI-HERPES V, TYPE I, IGM | $21.99 |
|
23
|
REF ANTI-HERPES V, TYPE 1, IGG | $14.76 |
|
24
|
REF ANTI-HERPES V, TYPE 2, IGG | $14.76 |
|
25
|
REF ANTI-HERPES V, TYPE 2, IGM | $21.99 |
|
26
|
PT MECHANICAL TRACTION | $37.64 |
|
27
|
US HEAD ULTRASOUND NEO NATAL | $1,884.15 |
|
28
|
REF ACID-FAST CULTURE | $16.65 |
|
29
|
ACETONE URINE QUALITATIVE | $22.05 |
|
30
|
PT CONTRAST BATHS, EA 15 MIN | $88.31 |
|
31
|
REF ANTI MICROSOMAL ANTIBODY | $15.14 |
|
32
|
US THYROID ULTRASOUND | $1,322.10 |
|
33
|
US TRANSVAGINAL ULTRASOUND | $2,156.00 |
|
34
|
BRONCHO – CATH | $309.75 |
|
35
|
REF ALLER SP IGE EA | $34.78 |
|
36
|
MINERAL OIL 25ML STERILE | $0.00 |
|
37
|
PERIATIVE 1L | $0.00 |
|
38
|
ENSURE COMPLETE 8 OZ | $0.00 |
|
39
|
OSMOLITE 1 CAL 1500ML | $0.00 |
|
40
|
US TESTICULAR ULTRASOUND | $1,322.10 |
|
41
|
NON PRESSURIZED INITIAL TREATMENT | $210.00 |
|
42
|
POWER EQUIPMENT | $314.73 |
|
43
|
C-ARM DRAPE | $27.72 |
|
44
|
CHOLESTEROL BODY FLUIDS | $52.50 |
|
45
|
REF ANTI-RETICULIN ANTIBODY, IFA | $74.11 |
|
46
|
AC JTS BIL W/WO WEIGHT | $228.90 |
|
47
|
REF AMIODARONE | $36.16 |
|
48
|
CANNULATED SCRWS | $551.25 |
|
49
|
REF ANTI-SSA ANTI-SSB | $56.29 |
|
50
|
US ABDOMINAL ULTRASOUND | $2,382.00 |
|
51
|
CATH CHOLANGIOCATH | $36.75 |
|
52
|
REF ACID-FAST STAIN | $5.34 |
|
53
|
REF HIV-1 AB | $58.24 |
|
54
|
REF MICROALBUMIN RANDOM URINE | $34.65 |
|
55
|
TRANSFUSION REAC. WORKUP INITIAL | $196.87 |
|
56
|
CROSSMATCH IMM SPIN | $61.76 |
|
57
|
REF ANTI-STRIATED MUSCLE ANTIBODY | $81.22 |
|
58
|
ACCUCHECK | $8.19 |
|
59
|
CATH FOGARTY | $165.79 |
|
60
|
REF ANTI-THROMBIN III | $51.55 |
|
61
|
REF ASO TITER | $7.75 |
|
62
|
A C JTS LIMITED | $128.37 |
|
63
|
COMBIVENT INH 200 ACT 14.7GM | $0.00 |
|
64
|
REF APOLIPOPROTEIN B | $9.34 |
|
65
|
REF ANTI – DIURETIC HORMONE | $81.46 |
|
66
|
AEROSOLIZED PENTAMIDINE ADMIN. | $246.68 |
|
67
|
ACCUPRIL 20MG TAB | $0.00 |
|
68
|
REF APOLIPROTEIN A-1 | $9.34 |
|
69
|
ANGIO FEMORAL UNI EXTREM | $5,331.37 |
|
70
|
ANKLE 3 VIEW LT | $521.40 |
|
71
|
C.T. GUIDANCE NEEDLE BIOPSY | $6,980.85 |
|
72
|
REF ARSENIC, URINE | $25.83 |
|
73
|
PT ELECTRICAL STIM MANUAL EA 15MIN | $77.08 |
|
74
|
D – DIMER | $85.75 |
|
75
|
CT FACIAL BONES W/OUT CONTRAST | $2,988.00 |
|
76
|
ANKLE 3 VIEW RT | $521.40 |
|
77
|
C.T. LARYNX WO CONTRAST | $3,158.55 |
|
78
|
CT MASTOIDS W/O CONTRAST | $3,230.00 |
|
79
|
ANKLE 2V RT | $193.20 |
|
80
|
REF ASCORBIC ACID | $13.26 |
|
81
|
CT ORBITS W/O CONTRAST | $2,588.00 |
|
82
|
CT SCAN CXR W/CONTRAST | $4,845.00 |
|
83
|
REF PROTEIN S ANTIGEN | $111.04 |
|
84
|
CT SCAN CXR W/O CONTRAST | $4,345.00 |
|
85
|
ANKLE 2V LT | $193.20 |
|
86
|
REF ACID PHOSPHATASE, TOTAL | $8.66 |
|
87
|
ALBUMIN | $41.00 |
|
88
|
REF PRE- ALBUMIN | $52.06 |
|
89
|
REF AMOEBA, EXAMINATION FOR | $16.66 |
|
90
|
CULTURE NOSE | $42.00 |
|
91
|
REF ACID PHOSPHATASE, PROS. RIA | $10.55 |
|
92
|
CIRCUIT ANESTHESIA SET | $0.00 |
|
93
|
REF ASPERRGILLUS, ANTIBODY | $43.31 |
|
94
|
BEDSIDE SPIROMETRY | $196.87 |
|
95
|
RECOVERY RM 1ST HOUR | $1,900.00 |
|
96
|
RECOVERY RM 15 MIN | $542.00 |
|
97
|
DIRECTED DONOR PRBC | $375.80 |
|
98
|
FLUORO PORT UP TO 1HR | $0.00 |
|
99
|
NASAL / CANNULA / FACE | $15.75 |
|
100
|
PUMP VOLUME PRIMARY | $94.50 |
|
101
|
TRI-CUT BIOPSY NEEDLE | $61.95 |
|
102
|
CLIP ENDO | $512.66 |
|
103
|
LMA | $14.00 |
|
104
|
ENDOTRACHEAL TUBE | $52.00 |
|
105
|
RADIAL ARTERY CATHERTER | $1.00 |
|
106
|
COOK INTRODUCER SET | $172.20 |
|
107
|
COTTON BALLS (RAYON) | $0.00 |
|
108
|
TRACH INTRO SET | $1,955.00 |
|
109
|
MAYO COVER | $2.00 |
|
110
|
SPINAL KIT | $1.00 |
|
111
|
REF BENZOYLECGONINE, QUANT. | $21.10 |
|
112
|
TRIPLE LUMEN CATHETER | $154.00 |
|
113
|
DRILL BIT | $27.50 |
|
114
|
GALLIUM SCAN WB | $2,500.00 |
|
115
|
ALKALINE PHOSPHATASE | $52.50 |
|
116
|
C.T. UPPER ABDOMINAL WITH & W/O CONTRAST | $4,844.70 |
|
117
|
DRAIN JACKSON PRATT | $45.78 |
|
118
|
CATHETER ANGIOGRAPHIC | $26.25 |
|
119
|
ACETAMINOPHEN 125MG SUPP | $0.00 |
|
120
|
ECHO STRESS TEST | $1,176.84 |
|
121
|
COLON-BARIUM ENEMA | $2,124.00 |
|
122
|
REF BETA-2-MICROGLOBULIN, SERUM | $36.81 |
|
123
|
BENZOYL PEROXIDE GEL 5% 90GM | $0.00 |
|
124
|
C.T. PARANASAL SINUSES WO CONT | $5,407.05 |
|
125
|
TYLENOL 650 MG | $0.00 |
|
126
|
C.T. PELVIS W/O CONTRAST | $4,147.00 |
|
127
|
CT PELVIS W/ CONTRAST | $4,210.00 |
|
128
|
FFP | $194.28 |
|
129
|
REF BLASTOMYCOSIS ANTIBODY, CF | $19.22 |
|
130
|
BONE AGE | $128.37 |
|
131
|
GASTRO BLOOD LOSS IMAGING | $3,555.00 |
|
132
|
US GUIDED BIOPSY | $3,829.50 |
|
133
|
CERETEC SCAN WHITE BLOOD CELL | $2,475.00 |
|
134
|
REF LYME DISEASE ANTIBODY | $18.17 |
|
135
|
PATIENT VISIT UNIT (STATISTICAL) | $0.00 |
|
136
|
SURG PATH LEVEL 2 | $44.25 |
|
137
|
REF BROMIDE, SERUM | $49.24 |
|
138
|
BONE SURVEY COMPLETE | $743.40 |
|
139
|
REF AMYLASE ISOENZYMES | $31.34 |
|
140
|
AMYLASE, SERUM | $55.75 |
|
141
|
AMYLASE URINE RANDOM | $55.75 |
|
142
|
BREAST NEEDLE LOCAL LT | $538.65 |
|
143
|
BREAST SURGICAL SPECIMEN | $267.75 |
|
144
|
BREAST NEEDLE LOCAL RT | $538.65 |
|
145
|
FLUORO UP TO FIRST HR | $0.00 |
|
146
|
REF BROMIDE, URINE | $49.24 |
|
147
|
C SPINE 7 V FLEX / EXT | $658.35 |
|
148
|
REF ANA FLUORESCENT | $31.50 |
|
149
|
ANCHORING DEVICE | $16.38 |
|
150
|
C SPINE MIN 3 VIEWS | $1,575.00 |
|
151
|
REF BUTABARBITAL, QUANT | $19.47 |
|
152
|
DRNG UNIT HEMOVAC | $110.77 |
|
153
|
ACETYLCHOLINE CHLOR 2ML (MIOS) | $0.00 |
|
154
|
MULTAQ 400 MG TAB | $21.60 |
|
155
|
SEROQUEL XR 50 MG TAB | $0.00 |
|
156
|
C.T. CERVICAL WITHOUT CONTRAST | $5,246.00 |
|
157
|
FONDAPARINUX SOD 7.5MG/0.6ML INJ | $0.00 |
|
158
|
GALANTAMINE 4MG TAB | $0.00 |
|
159
|
VIMPAT 50 MG TAB | $0.00 |
|
160
|
TYLENOL W CODEINE 120MG/12MG/5ML | $0.00 |
|
161
|
REF C-PEPTIDE, SERUM | $24.72 |
|
162
|
ANAEROBIC I.D. | $102.51 |
|
163
|
REF ANITRETICULIN ANTIBODY | $72.03 |
|
164
|
REF C-PEPTIDE, URINE | $25.92 |
|
165
|
REF C-1 ESTERASE INHIBITOR | $44.22 |
|
166
|
CHEST 2 V W/AP LORD | $210.00 |
|
167
|
REF C-REACTIVE PROTEIN | $8.28 |
|
168
|
ENDO GIA RELOAD | $277.20 |
|
169
|
REF CA-125 | $96.91 |
|
170
|
MANUAL DIFFERENTIAL (BLOOD) | $24.99 |
|
171
|
REF CA-15-3 | $96.91 |
|
172
|
C.T. DORSAL SPINE W/O CONTRAST | $5,853.15 |
|
173
|
CHEST 3 V | $228.90 |
|
174
|
REF CA-19-9 | $36.75 |
|
175
|
MANUAL DIFFERENTIAL (BODY FLUIDS) | $49.93 |
|
176
|
ENDOSCOPY VIDEO SYSTEM PROC. | $1,459.08 |
|
177
|
LITHOTRIPSY PROBE | $441.00 |
|
178
|
REF CALCITONIN | $30.42 |
|
179
|
URETERAL CATHETER | $60.90 |
|
180
|
LUNG SCAN PER FUSION | $2,475.00 |
|
181
|
REF ALDOLASE, SERUM | $61.12 |
|
182
|
ASO TITER, STREPTOZYME | $73.86 |
|
183
|
REF ALDOSTERONE, PLAS | $78.43 |
|
184
|
REF ALDOSTERONE, SERUM | $78.43 |
|
185
|
EXTERNAL NASAL SPLINT | $90.72 |
|
186
|
REF AMOBARBITAL,M QUANT | $18.37 |
|
187
|
BILIRUBIN TOTAL | $52.50 |
|
188
|
CT LOWER EXT LT W/O CONTRAST | $3,335.00 |
|
189
|
REF ALKALINE PHOSPHATASE, ISOENZY | $13.26 |
|
190
|
REF ALPHA-1-ANTITRYPSIN | $56.01 |
|
191
|
PACKED RED CELLS UBS | $375.80 |
|
192
|
CANNULA NASAL ALL SIZES | $56.17 |
|
193
|
BILIRUBIN URINE | $35.94 |
|
194
|
REF ALPRAZOLAM (XANAX) | $26.40 |
|
195
|
D5W 500ML | $47.25 |
|
196
|
REF ALUMINUM, PLASMA | $18.71 |
|
197
|
GRAFT ST 6-8 100 CM | $3,014.68 |
|
198
|
GUIDEWIRE | $78.75 |
|
199
|
C.T. LUMBAR SPINE W /O CONTRAST | $5,976.00 |
|
200
|
02 MASK/ RESP | $24.67 |
|
201
|
BILIRUBIN DIRECT | $45.15 |
|
202
|
REF BILE ACIDS (RIA) | $138.93 |
|
203
|
PLATELET CONCENTRATE | $201.44 |
|
204
|
PLATELETPHERESIS | $1,278.27 |
|
205
|
CLAVICLE COMP LT | $229.95 |
|
206
|
CLAVICLE COMP RT | $229.95 |
|
207
|
REF CALCIUM, IONIZED | $47.65 |
|
208
|
HEMOCLIP | $80.11 |
|
209
|
REF CAMPYLOBACTER SCREEN | $16.53 |
|
210
|
SURGICEL | $1,190.70 |
|
211
|
REF CANDIDA ANTIBODY, IMMUNODIFF. | $27.99 |
|
212
|
INSUFFLATION TUBING SET | $80.00 |
|
213
|
ARMBOARD WRIST | $0.00 |
|
214
|
WRIST 2V LT | $171.15 |
|
215
|
REF CARBOXYHEMOGLOBIN (CO) | $13.26 |
|
216
|
WRIST 2V RT | $171.15 |
|
217
|
PT ICE MASSAGE, EA 15 MIN | $77.08 |
|
218
|
ACCOLATE 20MG TAB | $0.00 |
|
219
|
ERTAPENEM 1 GM INJ | $0.00 |
|
220
|
CHLORHEXIDINE GLUC 0.12% RINSE 473ML | $0.00 |
|
221
|
BLEEDING TIME, SIMPLATE | $48.19 |
|
222
|
ACLOVATE 0.05% CR. 15GM. | $0.00 |
|
223
|
JACKSON PRATT RESERVOIR | $26.25 |
|
224
|
REF CATECHOLAMINES, FRACTNL & TOTAL | $73.19 |
|
225
|
KELMAN CLEAR COR. ANG.BLADE W/ | $140.70 |
|
226
|
EGD DX | $1,922.55 |
|
227
|
COLONOSCOPY DX | $1,633.53 |
|
228
|
REF CERULOPLASMIN | $39.01 |
|
229
|
C.T. HEAD W/ CONTRAST | $2,732.70 |
|
230
|
LAPAROTOMY T SHEET | $15.00 |
|
231
|
DORSAL THORACIC SPINE | $407.40 |
|
232
|
REF CHLAMYDIA CULTURE | $16.63 |
|
233
|
RENAL SCAN W/ FLOW | $2,475.00 |
|
234
|
RENAL SCAN FLOW & FUNCTION | $2,475.00 |
|
235
|
S&N RECON PLATE 3.5 6×70-8×94 | $1,207.50 |
|
236
|
S&N 1/3 TUB PLATE 2×25 | $187.63 |
|
237
|
S&N SM CP PLATE 3×39-10×30 | $457.50 |
|
238
|
S&N SM PLATE 3.5 3×37-10×121 | $413.75 |
|
239
|
S&N 1/3 TUB PLATE 2×25-10×121 | $193.63 |
|
240
|
GLIDE WIRE | $162.75 |
|
241
|
S&N 1-3 7-PLATE SM 12t ANGLE | $382.50 |
|
242
|
S&N OBLIQUE SM T-PLATE | $660.00 |
|
243
|
S&N CLOVERLEAF PLATE 3×88-4×104 | $870.00 |
|
244
|
C.T. SAGITTAL RECONSTRUCTION | $1,188.60 |
|
245
|
S&N SCREW 3.5 10mm-50mm | $91.75 |
|
246
|
S&N SCREW 7.0 30mm-130mm | $105.00 |
|
247
|
S&N SCREW WASHER | $76.25 |
|
248
|
S&N WASHER 6.5 | $76.25 |
|
249
|
BLOOD CULTURE | $98.49 |
|
250
|
S&N DRILL BIT 2.5, 3.5, 5.2 | $252.00 |
|
251
|
S&N PERI LOK K-WIRES | $81.25 |
|
252
|
S&N PF PIN SHT-MED-LONG | $250.00 |
|
253
|
S&N 1/3 TUB PLATE 3-10 HOLE | $242.50 |
|
254
|
S&N SM T-PLATE 3-5 HOLE | $435.00 |
|
255
|
REF CHLORDIAZEPOXIDE (LIBRIUM) | $22.37 |
|
256
|
ELBOW 2V RT | $172.20 |
|
257
|
MEROCEL NASAL PACKING | $52.50 |
|
258
|
ELBOW COMP MIN 3 VIEW RT | $271.95 |
|
259
|
ELBOW COMP MIN 3 VIEW LT | $271.95 |
|
260
|
S&N OBLIQUE PLATE 3-5 HOLE | $695.00 |
|
261
|
ELBOW LTD 2V LT | $172.20 |
|
262
|
CT STELLA TURCICA W/O CONTRAST | $3,230.00 |
|
263
|
REF CHLORPROMAZINE (THORAZINE) | $16.65 |
|
264
|
TRACH MASK | $24.67 |
|
265
|
S&N CLVRLEAF PLATE 3-4 HOLE | $962.50 |
|
266
|
MIC TUBE 20 | $255.94 |
|
267
|
MITEK QUICK ANCHOR | $825.00 |
|
268
|
REF CHOLINESTERASE, PLASMA & RBC | $14.76 |
|
269
|
MRI PORT-A-CATH | $3,123.75 |
|
270
|
REF CHOLINESTERASE, TOTAL | $25.24 |
|
271
|
ALLERGEN SPECIFIC IGE | $18.95 |
|
272
|
ASSAY IGE | $59.88 |
|
273
|
ESOPHAGRAM | $923.70 |
|
274
|
PT MANUAL THERAPY, EA 15 MIN | $88.31 |
|
275
|
BLOOD DRAW | $24.67 |
|
276
|
REF CITRIC ACID, URINE | $149.87 |
|
277
|
REF PARVO VIRUS | $161.20 |
|
278
|
CALCIUM BLOOD OR URINE | $52.50 |
|
279
|
TESTICULAR WITH FLOW VASCULAR | $2,475.00 |
|
280
|
C.T. SELLA TURCICA W/ CONTRAST | $3,230.10 |
|
281
|
REF CLONAPEPAM (KLONOPIN) | $20.72 |
|
282
|
BAG BILE | $28.14 |
|
283
|
PACK- LAP CHOLE | $101.00 |
|
284
|
D5/0.2% NACL 1000ML | $68.25 |
|
285
|
REF CLORAZEPATE (TRANXENE) | $79.38 |
|
286
|
SCREW BONE | $37.40 |
|
287
|
ESTRADIOL 2 MG TABS | $0.00 |
|
288
|
THYROID IMAGING W/BLOOD FLOW/SINGLE OR M | $3,254.00 |
|
289
|
THYROID IMAGING W/BLOOD FLOW | $3,254.00 |
|
290
|
THYROID UPTAKE MEASUREMENT | $3,254.00 |
|
291
|
THYROID UPTAKE AND SCAN | $2,475.00 |
|
292
|
REF DEOXYCORTISOL, II (COMPND-S) | $44.60 |
|
293
|
C.T. SOFT TISSUE NECK W/WO CONTRAST | $3,158.55 |
|
294
|
REF COCCIDIOIDOMYCOSIS, IMMUNODIFF, | $14.76 |
|
295
|
EYE FOREIGN BODY | $478.80 |
|
296
|
VOL. MEASUREMENT OF URINE | $19.68 |
|
297
|
CULTURE ADDITIONAL SENSITIVITY | $59.06 |
|
298
|
CULTURE ID SEROLOGICAL TEST | $28.15 |
|
299
|
CULTURE BODY FLUID | $73.86 |
|
300
|
BAG LEG | $16.38 |
|
301
|
REF CODINE, QUALITATIVE | $125.45 |
|
302
|
STRYKER CEMENT MIXING SYSTEM | $355.92 |
|
303
|
MARKING PEN, SKIN SCRIBE | $36.22 |
|
304
|
D5 1/2 1000 KCL 20MEG | $78.75 |
|
305
|
ROUTINE CULTURE | $92.40 |
|
306
|
FACIAL BONES MIN 3 VIEWS | $1,087.00 |
|
307
|
PEG SET | $393.75 |
|
308
|
PONSKY G-TUBE | $275.10 |
|
309
|
RETROBULAR ALKINSON NEEDLE | $42.00 |
|
310
|
REF CODEINE, QUANT. | $125.45 |
|
311
|
D5 .50 NS 1000 ML | $0.00 |
|
312
|
REF COMPLEMENT, TOTAL (CH-50) | $22.90 |
|
313
|
FACIAL BONES LTD <3 VIEWS | $429.45 |
|
314
|
ABO TYPE | $37.07 |
|
315
|
REF AMIKACIN | $49.35 |
|
316
|
CARBON DIOXIDE BICARB | $41.05 |
|
317
|
REF COXACKILL A AB | $126.90 |
|
318
|
FEMUR 2V LT | $569.55 |
|
319
|
HEART LG VOL NEBULIZER | $95.31 |
|
320
|
REF COMPOUND S (11DEXYCORTISOL) | $43.34 |
|
321
|
FEMUR 2V RT | $269.85 |
|
322
|
CERVICAL SPINE 5 VIEWS | $471.45 |
|
323
|
HOPE BEAR NEBULIZER | $0.00 |
|
324
|
REF COXACKII AB,B1-B6 | $123.32 |
|
325
|
SHEET SPLIT | $38.59 |
|
326
|
CELL CT BODY FLUIDS | $57.48 |
|
327
|
REF COPPER, SERUM | $81.90 |
|
328
|
INCENTIVE SPIROMETRY SET | $49.24 |
|
329
|
REF COGENTIN | $52.50 |
|
330
|
ISOTOPE WBC CERETEC | $8,085.00 |
|
331
|
INCENTIVE SPIROMETRY TRAI | $98.49 |
|
332
|
FINGER LT | $422.70 |
|
333
|
FINGER LT THUMB | $148.05 |
|
334
|
REF COPROPORPHYRINS | $25.55 |
|
335
|
FINGER RT | $148.05 |
|
336
|
FINGER RT THUMB | $148.05 |
|
337
|
COMPLETE BLOOD COUNT | $147.72 |
|
338
|
D5 NS 1000 ML | $0.00 |
|
339
|
REF CD-4 (HEIDERT) | $77.36 |
|
340
|
REF T CELLS ABSOLUTE CD4 COUNT | $102.90 |
|
341
|
SPINAL CORD STIMULATOR LEAD | $2,800.00 |
|
342
|
REF CORITSOL, FREE URINE | $95.02 |
|
343
|
BABYGRAM | $123.40 |
|
344
|
ORBITS COMPLETE MIN 4 VIEWS | $123.40 |
|
345
|
VIDEO SWALLOW W/SPEECH PATH | $1,887.90 |
|
346
|
REF CRYOFIBRINOGEN | $9.45 |
|
347
|
REF CRYOGLOBULINS, QUAL | $5.19 |
|
348
|
FLUORO >1HR | $0.00 |
|
349
|
C.T. UPPER EXTREMITY W/CONT LT | $4,609.00 |
|
350
|
C.T. UPPER EXTREMITY W/O CONT RT | $4,109.00 |
|
351
|
C.T. UPPER EXTREMITY W/O CONT LT | $4,109.00 |
|
352
|
REF CRYOGLOBULINS, QUANT | $22.90 |
|
353
|
ACTIFED TAB | $0.00 |
|
354
|
ACETADOTE INJ 200MG/30 ML | $0.00 |
|
355
|
TEKTURNA 150MG TAB | $0.00 |
|
356
|
OMEPRAZOLE 20MG CAP | $0.00 |
|
357
|
REF CRYPTOCOCCAL ANTIGEN LATAX (CSF) | $80.85 |
|
358
|
FOOT 3 VIEW LT | $521.40 |
|
359
|
CSF CELL COUNT | $136.50 |
|
360
|
BASIC METABOLIC PANEL | $250.00 |
|
361
|
COMPREHENSIVE METABOLIC PANEL | $300.00 |
|
362
|
FOOT 2 VIEW RT | $181.65 |
|
363
|
REF CRYPTOSPORIDIOSIS SMEAR | $11.14 |
|
364
|
FOOT 2 VIEW LT | $181.65 |
|
365
|
FOOT 3 VIEW RT | $521.40 |
|
366
|
IPPB SUBSEQUENT TX | $210.00 |
|
367
|
REF AMITRIPTYLINE (ELAVIL) | $19.81 |
|
368
|
AMMONIA: PLASMA | $73.86 |
|
369
|
CHLORIDE SERUM | $45.99 |
|
370
|
CHLORIDE, BODY FLUID, CSF | $45.99 |
|
371
|
CHLORIDE, URINE | $45.99 |
|
372
|
PT PHONOPHORESIS EA 15MIN | $168.52 |
|
373
|
REF CRYSTALS, FLUID | $12.50 |
|
374
|
CYCLOSPORIN 50MG INJ | $0.00 |
|
375
|
TRIZIVIR TAB | $0.00 |
|
376
|
BAG U PEDIATRIC | $0.00 |
|
377
|
REF CULTURE: MYCLOPLASMA/UREAPLASM | $37.35 |
|
378
|
REF LEGIONELLA CULTURE | $27.04 |
|
379
|
GASTROGRAFIN 37% | $22.00 |
|
380
|
STRYKER SAW BLADE | $182.00 |
|
381
|
STRYKER SHAVER | $295.05 |
|
382
|
STRYKER PUMP TUBING | $147.00 |
|
383
|
D10W 100ML | $68.25 |
|
384
|
GUIDE WIRE | $31.50 |
|
385
|
REF CYANIDE, QUANT. | $20.11 |
|
386
|
HAND 3V LT | $521.40 |
|
387
|
HAND 3V RT | $521.40 |
|
388
|
SUCTION IRRIGATION | $150.00 |
|
389
|
REF CYCLOSPORIN | $60.06 |
|
390
|
HAND 2V RT | $178.50 |
|
391
|
HAND 2V LT | $178.50 |
|
392
|
VASCULAR MULTIPACK | $21.00 |
|
393
|
REF D-XYLOSE TOLERANCE | $18.76 |
|
394
|
REF CYSTINE URINE RANDOM | $14.39 |
|
395
|
SUTURE BOOT | $34.60 |
|
396
|
VASCULAR MULTIPACK | $5.00 |
|
397
|
THYROID SHEET | $11.18 |
|
398
|
CHOLESTEROL | $52.50 |
|
399
|
HIP PINNING IN O R | $1,700.00 |
|
400
|
MDI TX | $210.00 |
|
401
|
IMMUNE GLOBULIN 1GM INJ | $168.00 |
|
402
|
PRE & POST BRONCHODILATOR | $307.65 |
|
403
|
HIP 2 VIEW LT | $307.65 |
|
404
|
SEROQUEL 100 MG TAB | $0.00 |
|
405
|
REF DHEA | $44.60 |
|
406
|
REF DRUG SCREEN, GASTRIC | $161.91 |
|
407
|
REF DHEA SULFATE | $27.04 |
|
408
|
HIP 2 VIEW RT | $307.65 |
|
409
|
HIP 1VIEW RT | $569.55 |
|
410
|
REF KETOGENIC, 17, STEROIDS | $16.34 |
|
411
|
SIMPLE OXYGEN MASK | $93.55 |
|
412
|
CLO TEST | $57.75 |
|
413
|
REF DIHYDROTESTOSTERONE 5-ALPHA | $36.46 |
|
414
|
REF DIGITOXIN | $15.82 |
|
415
|
GLUCOTROL XL 5MG TAB | $0.00 |
|
416
|
REF DISOPYRAMIDE (NORPACE) | $16.34 |
|
417
|
FLOW VOLUME LOOP | $170.83 |
|
418
|
PREZISTA 400MG TABLET | $0.00 |
|
419
|
LEXIVA 700MG TABLET | $0.00 |
|
420
|
HUMERUS MIN 2V LT | $239.40 |
|
421
|
HUMERUS MIN 2V RT | $239.40 |
|
422
|
24 HOUR URINE CAL | $65.62 |
|
423
|
CLINIC-IV INFUSION UP TO 1HR | $459.00 |
|
424
|
CLINIC-RECLAST 1MG | $0.00 |
|
425
|
CLINIC-CHEMO, IV INF UP TO 1HR | $519.00 |
|
426
|
CLINIC-CHEMO, IV INF EA ADDTLE HR | $100.00 |
|
427
|
CLINIC-INF, SALINE, 250ML | $0.00 |
|
428
|
CLINIC-REMICADE, 10MG | $0.00 |
|
429
|
GLUCOSE BODY FLUIDS | $41.05 |
|
430
|
HYPERTENSIVE IVP | $1,244.25 |
|
431
|
REF ECHO VIRUS, SERLOLGY | $35.25 |
|
432
|
REF ELECTROPHORESIS, HEMOGLOBIN | $15.14 |
|
433
|
EVACUATED CONTAINER 250ML | $21.00 |
|
434
|
HYSTEROSAPINGIOGRAM | $688.80 |
|
435
|
REF ELECTROPHORESIS, IMMUNO,PACK | $84.97 |
|
436
|
EVACUATED CONTAINER 500ML | $42.00 |
|
437
|
REF ELECTROPHORESIS, PROTEIN, CSF | $84.97 |
|
438
|
INFUSION PYELOGRAM | $482.24 |
|
439
|
REF EPINEPHRINE, URINE | $39.27 |
|
440
|
REF EPSTEIN BARR VIRUS (VCA) IGG | $52.68 |
|
441
|
FLOWCYTOMETRY/TC, 1MRKR | $45.55 |
|
442
|
FLOWCYTOMETRY/TC, ADD-ON | $45.55 |
|
443
|
FLOWCYTOMETRY/READ, 16/> | $95.38 |
|
444
|
TISSUE CULTURE, BONE MARROW | $420.00 |
|
445
|
CHROMOSOME ANALYSIS, 20-25 | $260.00 |
|
446
|
CHROMOSOME KARYOTYPE | $60.00 |
|
447
|
CYTO / MOLECULAR RPT | $30.00 |
|
448
|
REF EPSTEIN BARR VIRUS (VCA) IGM | $52.68 |
|
449
|
INSITY HYBRIDIZATION | $95.38 |
|
450
|
INTRAVENOUS PYELOGRAM IVP | $482.24 |
|
451
|
EVACUATED CONTAINER 1000ML | $52.50 |
|
452
|
ADRENALIN TOPICAL SOLN 30ML | $0.00 |
|
453
|
REF ANTI DNA, SINGLE STRAND | $37.60 |
|
454
|
REF ANTI-DNA TITER (DOUBLE STRND) | $52.23 |
|
455
|
KNEE 2 VIEW RT | $193.20 |
|
456
|
KNEE 3 VIEW LT | $617.00 |
|
457
|
KNEE 3 VIEW RT | $617.00 |
|
458
|
REF ANTI-NEUTROPHIL CYTOPLASMIC AB | $71.08 |
|
459
|
REF BACTERIAL ANTIGENS | $50.03 |
|
460
|
TRUMPET VALVE CONTROLLED FLUID | $84.00 |
|
461
|
VANCERIL 84MG NASAL INH DS 19GM | $0.00 |
|
462
|
REF ERYTHROPOETIN | $89.70 |
|
463
|
KNEE 2 VIEW LT | $193.20 |
|
464
|
REF ESTRIOL, SERUM (PREGNANT) | $16.65 |
|
465
|
REF ESTROGEN, FRACTIONATED | $61.47 |
|
466
|
REF ETHCHLORVYNOL (PLACIDYL) | $19.81 |
|
467
|
EAR VENT TUBES | $47.00 |
|
468
|
POST TUR DRAINAGE BAG4000W | $44.10 |
|
469
|
CPK | $150.00 |
|
470
|
CPK- MB | $206.77 |
|
471
|
REF ETHOSUXIMIDE (ZARONTIN) | $15.82 |
|
472
|
REF FACTOR VIII ANTIGEN | $118.00 |
|
473
|
VASCULAR PATCH | $343.88 |
|
474
|
VASCUGUARD | $0.00 |
|
475
|
REF FLECAINIDE (TAMBOCOR) | $11.22 |
|
476
|
REF FLUPHENAZINE (PROLIXIN) | $83.46 |
|
477
|
L-S COMP MIN 4V | $500.85 |
|
478
|
CREATININE, SERUM | $45.99 |
|
479
|
CREATININE, URINE | $45.99 |
|
480
|
MAMMOGRAM DIAG RT | $91.35 |
|
481
|
CREATININE CLEARANCE | $91.87 |
|
482
|
PT TRACTION/BUCKS/TRAPEZE SET-UP | $119.09 |
|
483
|
CSF CULTURE | $73.92 |
|
484
|
MAMMOGRAM DIAG LT | $91.35 |
|
485
|
MAMMOGRAM DIAG BI-LAT | $183.75 |
|
486
|
MASTOIDS COMP MIN 3/V SIDE | $464.10 |
|
487
|
REF FONTANA STAIN FOR TREPONEMATA | $18.62 |
|
488
|
REF FREE ERYTHROCYTE PROTOPORPHRYN | $16.91 |
|
489
|
MASTOIDS LTD <3V PER SIDE | $444.15 |
|
490
|
REF FREE T3 | $79.27 |
|
491
|
REF FREE T4 (THYROXINE) | $79.27 |
|
492
|
PT TRACTION COMPLEX/ SKELETAL | $208.53 |
|
493
|
DOBUTAMINE 250MG (AS HCL) DOCUTREX | $0.00 |
|
494
|
CULTURE ANAEROBIC | $82.00 |
|
495
|
MANDIBLE LTD <4V | $444.15 |
|
496
|
REF FOLL. STIM. HORMONE | $49.59 |
|
497
|
CULTURE SPUTUM | $59.11 |
|
498
|
CULTURE THROAT | $42.00 |
|
499
|
REF CMV CULTURE | $21.32 |
|
500
|
MYELOGRAM COMPLETE | $1,970.85 |
|
501
|
CULTURE WOUND | $73.86 |
|
502
|
DEPAKANE (VALPRO ACID) | $73.86 |
|
503
|
REF FTA-ABS | $10.84 |
|
504
|
NASAL BONES COMP MIN 3V | $982.80 |
|
505
|
REF GASTRIN | $86.75 |
|
506
|
PT THERAPEUTIC ACTIVITIES EA 15 | $226.00 |
|
507
|
CALCANEUS- 2+ VIEWS | $257.25 |
|
508
|
CALCANEUS- 2+ VIEWS | $257.25 |
|
509
|
SPUTUM INDUCTION | $210.00 |
|
510
|
SPUTUM INDUCTION DX OF PCP | $210.00 |
|
511
|
NEEDLE BIOPSY | $26.25 |
|
512
|
ESMARK-TOURNIQUET | $47.25 |
|
513
|
HEPARIN 25,000/DSW 250ML | $42.00 |
|
514
|
REF GLUCOSE-6-PHOS.DEHYDROGENASE | $15.82 |
|
515
|
OPTIC FORAMINA | $478.80 |
|
516
|
AEROBID INH 7GM | $0.00 |
|
517
|
AEROBID-M INH 7GM | $0.00 |
|
518
|
REF (P-ANCA) NEWTROPHIL CTOPLASMIC ANTIB | $117.05 |
|
519
|
REF (C-ANCA)NEWTROPHIL CYTOPLASMIC ANTIB | $71.08 |
|
520
|
REF GONORRHEA, DNA PROBE | $9.11 |
|
521
|
REF GROWTH HORMONE | $15.82 |
|
522
|
FACIAL BONES LTD <3 VIEWS | $478.80 |
|
523
|
DIASTASE | $63.99 |
|
524
|
MAMMOGRAM SCREENING BI LAT | $129.36 |
|
525
|
REF H PYLORI ANTIGEN EIA STOOL | $105.00 |
|
526
|
PT ULTRASOUND EA 15 MIN | $257.00 |
|
527
|
REF HALDOL (HALOPERIDOL) | $26.29 |
|
528
|
SINUS PARANASAL MIN 3V | $400.05 |
|
529
|
COUMADIN 7.5 MG TABS | $0.00 |
|
530
|
REF HEAVY METAL SCREEN, QUAL | $157.34 |
|
531
|
PARANASAL SINUSES 3 VIEWS LIMITED | $1,339.00 |
|
532
|
DIGOXIN | $73.86 |
|
533
|
PELVIS | $246.75 |
|
534
|
RETROGRADE PYELOGRAM | $1,019.55 |
|
535
|
REF HEPATITIS B CORE ANTIBODY, IGM | $15.67 |
|
536
|
HICKMAN | $12.34 |
|
537
|
DILANTIN, (PHENYTOIN) | $73.86 |
|
538
|
DRUG SCREEN MULTI CLASS | $400.00 |
|
539
|
RIBS UNI-LAT RT 2 VIEWS | $295.05 |
|
540
|
RIBS UNI-LAT LT 2 VIEWS | $295.05 |
|
541
|
REF HUMAN GROWTH HORMONE | $120.37 |
|
542
|
REF HYDROXY PROGESTERONE, 17 | $128.70 |
|
543
|
REF IMIPRAMINE (TOFRANIL) | $21.70 |
|
544
|
PT WHIRLPOOL | $271.88 |
|
545
|
ELECTROLYTES NA K CL CO2 | $50.87 |
|
546
|
REF INFLUENZA VIRUS, TYPE A, CF | $19.81 |
|
547
|
AERO CHAMBER | $0.00 |
|
548
|
REF INFLUENZA VIRUS, TYPE B, CF | $19.83 |
|
549
|
REF IMMUNOGLOBULIN E | $15.14 |
|
550
|
REF INSULIN ANTIBODIES | $10.84 |
|
551
|
REF INSULIN – LIKE FROWTH FACTOR – 1 | $42.79 |
|
552
|
OT HOT OR COLD PACK | $96.62 |
|
553
|
LACTATED RINGERS 1000ML | $68.25 |
|
554
|
PT EVALUATION 60 MIN | $350.00 |
|
555
|
PT RE-EVAL 30 MIN | $300.00 |
|
556
|
PT GAIT TRAIN, EA 15 MIN. | $175.00 |
|
557
|
PT HOME PROG/FAMILY ED EA 15 MIN | $200.00 |
|
558
|
PT HOT OR COLD PACK | $100.00 |
|
559
|
REF INTRINSIC FACTOR AB | $66.70 |
|
560
|
PT MASSAGE EA 15MIN | $175.00 |
|
561
|
PT ORTHOTIC TRAINING EA 15MIN | $175.00 |
|
562
|
PT PARAFFIN BATH | $150.00 |
|
563
|
PT THERAPEUTIC EXERCISE EA 15 MIN | $150.00 |
|
564
|
SACROILIAC JTS MIN 3 VIEWS | $279.30 |
|
565
|
EOSINOPHIL COUNT NASAL | $41.08 |
|
566
|
SYMBIOCORT INH 80/4.5 6.9GM | $0.00 |
|
567
|
SYMBIOCORT INH 160/4.5 INH 6.9GM | $0.00 |
|
568
|
ARGINAID 9.2GM PACKET | $0.00 |
|
569
|
SALIVARY GLANDS (W/O INJ) | $396.90 |
|
570
|
REF SERUM DRUG SCREEN (HVP.SCREEN) | $50.52 |
|
571
|
REF HIAA,5 (SEROTONIN METAB.) | $56.84 |
|
572
|
REF FECAL FAT STAIN QUAL | $10.93 |
|
573
|
SCAPULA – COMPLETE RT | $228.90 |
|
574
|
SCAPULA COMPLETE LT | $228.90 |
|
575
|
SCOLIOSIS STUDY | $279.30 |
|
576
|
REF LEAD, BLOOD | $40.12 |
|
577
|
FUNGUS CULTURE | $56.43 |
|
578
|
AFRIN NSL SPRAY 15ML | $0.00 |
|
579
|
REF LEAD, URINE | $40.12 |
|
580
|
REF LEGIONELLA ANTIBODY, IFA | $46.49 |
|
581
|
REF LEGINELLA, AG URINE | $110.31 |
|
582
|
RETURN VISIT COMPREHENSIV | $264.80 |
|
583
|
SELLA TURCICA | $208.95 |
|
584
|
SINUSES (WATER’S VIEW) 1 VIEW | $215.25 |
|
585
|
NACL 0.45% 500ML | $29.50 |
|
586
|
CULTURE GC SCR | $102.51 |
|
587
|
CULTURE: CERVIX EGC R/O | $120.42 |
|
588
|
CULTURE, BRONCHIAL WASH | $59.11 |
|
589
|
REF LEUCINE AMINOPEPTIDASE | $13.48 |
|
590
|
SHOULDER – COMPLETE VIEW | $0.00 |
|
591
|
REF LEUKOCYTE ALKALINE PHOS. | $13.56 |
|
592
|
VENT CIRCUIT | $98.49 |
|
593
|
SHOULDER 2 VIEW RT | $278.25 |
|
594
|
SHOULDER 2 VIEW LT | $278.25 |
|
595
|
NACL 0.45% 1000ML | $68.25 |
|
596
|
SHOULDER 1 VIEW LT | $228.90 |
|
597
|
SHOULDER 1 VIEW RT | $228.90 |
|
598
|
ABDOMINAL BINDER SM | $167.37 |
|
599
|
BINDER ABD M LG | $167.37 |
|
600
|
GENTAMYCIN | $73.86 |
|
601
|
ABDOMINAL BINDER XL | $167.37 |
|
602
|
ABDOMINAL BINDER LG | $167.37 |
|
603
|
ABDOMINAL BINDER XXL | $167.37 |
|
604
|
VOL VENT SUBSEQUENT DAY | $2,205.00 |
|
605
|
PT PROSTHETIC TRAINING, 15 MIN | $168.52 |
|
606
|
ST SPEECH TREATMENT, GROUP | $50.55 |
|
607
|
ST SWALLOWING TREATMENT | $140.43 |
|
608
|
SKULL COMP MIN 4 VIEWS | $552.30 |
|
609
|
REF LUTEINIZING HORMONE (LH), BLOOD | $10.39 |
|
610
|
DLCO, CARBON MONOXIDE | $170.83 |
|
611
|
REF LUTEINIZING HORMONE (LH), URINE | $39.90 |
|
612
|
REF ABUMIN, BODY FLUID | $5.78 |
|
613
|
REF NOCARDIA SMEAR | $27.19 |
|
614
|
GAMMA GLUTAMYL TRANSFERASE | $52.50 |
|
615
|
SKULL LIMITED; <4 VIEWS | $294.00 |
|
616
|
REF LYME DISEASE REFLEX TEST | $87.50 |
|
617
|
IN-LINE TX S | $313.00 |
|
618
|
OT EVALUATION 60 MIN | $140.43 |
|
619
|
OT RE-EVAL 30 MIN | $56.17 |
|
620
|
OT PARAFIN BATH | $148.30 |
|
621
|
SM BOWEL W/MULT IMAGES | $921.00 |
|
622
|
OT CONTRAST BATH, 15 MIN | $88.31 |
|
623
|
OT ULTRASOUND, 15 MIN | $151.67 |
|
624
|
REF MYOGLOBIN URINE | $17.85 |
|
625
|
OT THERAPUTIC EXERCISE EA 15MIN | $120.21 |
|
626
|
OT NEUROMUSCULAR RE ED EA 15MIN | $50.55 |
|
627
|
OT MASSAGE EA 15 MIN | $148.30 |
|
628
|
OT MANUAL THERAPY EA 15 MIN | $88.31 |
|
629
|
OT THERAPEUTIC ACTIVITIES EA 15MIN | $87.63 |
|
630
|
OT SELF CARE/HOME TRAIN EA 15MIN | $198.85 |
|
631
|
OT COMM/WORK TRAIN EA 15MIN | $56.17 |
|
632
|
OT WHEELCHAIR TRAINING EA 15MIN | $39.32 |
|
633
|
OT DEVELOP COG SKILLS EA 15MIN | $67.41 |
|
634
|
ALBUMIN HUMAN 5% 250ML | $0.00 |
|
635
|
NACL 0.9% 250ML | $52.50 |
|
636
|
15 FT NASAL CANNULA | $33.86 |
|
637
|
NACL 0.9% 500ML | $57.75 |
|
638
|
STERNUM MIN 2V | $228.90 |
|
639
|
STERNUM | $258.30 |
|
640
|
NACL 0.9% 1000ML | $68.25 |
|
641
|
GLUCOSE, CSF | $39.37 |
|
642
|
GLUCOSE SERUM | $41.05 |
|
643
|
TM JTS OPEN & CLO BILAT | $300.30 |
|
644
|
REF MELLARIL (THORIDAZIN) | $14.77 |
|
645
|
TIBIA & FIBULA 2 VIEWS RT | $224.70 |
|
646
|
NACL 3% 500ML | $52.50 |
|
647
|
TIBIA & FIBULA 2 VIEWS LT | $449.00 |
|
648
|
REF RUBELLA IGG | $33.60 |
|
649
|
REF RUBELLA VIRUS ANT BODY IGM | $28.63 |
|
650
|
REF MEPHOBARBITAL (MEBARAL) | $20.42 |
|
651
|
GLUCOSE TOLERANCE TEST (GTT) | $85.31 |
|
652
|
US VENOUS LOWER EXTREMITY RT | $2,194.35 |
|
653
|
GLUCOSE TOLERANCE 1ST 3 SPECIMENS | $89.25 |
|
654
|
REF MEPROBAMATE | $21.70 |
|
655
|
TOE GREAT RT | $178.50 |
|
656
|
REF MERCURY, URINE | $24.03 |
|
657
|
TOE GREAT LT | $178.50 |
|
658
|
TOE RT 2ND DIGIT | $361.00 |
|
659
|
REF METANEPHRINES, FRAC | $79.44 |
|
660
|
TOE LT 2ND DIGIT | $128.37 |
|
661
|
BILAT RIBS MIN 3 VIEWS | $126.20 |
|
662
|
TOMOGRAMS | $432.60 |
|
663
|
GLUCOSE,TOLERANCE TEST, ADDITIONAL H | $52.50 |
|
664
|
PCA TUBING | $47.25 |
|
665
|
ALBUMIN HUMAN 25% 50 ML | $0.00 |
|
666
|
PROCALAMINE 1000ML | $73.50 |
|
667
|
UPPER G I SERIES W/KUB | $562.80 |
|
668
|
CARCINOEMBRYONIC ANTIGEN | $137.66 |
|
669
|
GLUCOSE QUAL URINE | $35.94 |
|
670
|
VENOUS UPPER EXTREMITY BI-LAT | $4,386.00 |
|
671
|
US VENOUS UPPER EXTREMITY LT | $2,193.00 |
|
672
|
US VENOUS UPPER EXTREMITY RT | $2,193.00 |
|
673
|
UPPER G I SERIES SMALL BOWEL FOLLOW THRO | $2,170.80 |
|
674
|
US VENOUS LOWER EXTREMITY BI-LAT | $5,690.00 |
|
675
|
US VENOUS LOWER EXTREMITY LT | $2,194.35 |
|
676
|
US RENAL ULTRASOUND | $1,778.55 |
|
677
|
URETHROGRAM / RETROGRADE | $677.25 |
|
678
|
US THORACENTESIS ULTRASOUND | $1,731.00 |
|
679
|
GRAM STAIN | $36.88 |
|
680
|
WRIST 3 VIEW RT | $268.80 |
|
681
|
REF MUMPS IGG | $48.94 |
|
682
|
REF MYCOPLASMA, PNUEMONIA, IGM | $43.05 |
|
683
|
ALCOHOL DEHYDRATED 1 ML | $0.00 |
|
684
|
BIOPSY DEVICE | $16.38 |
|
685
|
ABILIFY 2 MG TABLETS | $0.00 |
|
686
|
MEGACE SUSP 800 MG/20ML UD | $0.00 |
|
687
|
ZOFRAN SOLN 4 MG/5ML UD | $0.00 |
|
688
|
TETRACAINE 1% 2ML AMPULE | $0.00 |
|
689
|
REF MYOCARDIAL ANTIBODY | $87.51 |
|
690
|
NON C OV US CHEST ULTRASOUND | $488.25 |
|
691
|
MYOGLOBIN SERUM | $57.10 |
|
692
|
REF MYSOLINE (PRIMIDONE) | $17.86 |
|
693
|
TISSUE NECK | $215.25 |
|
694
|
BITE STICK | $0.00 |
|
695
|
HDL CHOLESTEROL | $65.62 |
|
696
|
REF NAVANE (THIOTHIXENE) | $41.47 |
|
697
|
REF NEUROTHIN | $81.02 |
|
698
|
FLUORO ROOM TIME-1ST HR | $0.00 |
|
699
|
FLUORO ROOM TIME-EA HR AFTER 1ST HR | $0.00 |
|
700
|
FLUORO RM 30 MIN EACH | $0.00 |
|
701
|
FLUOROGUIDE FR SPINE INJ | $750.00 |
|
702
|
REF NEUTROPHIL ALKALINE PHOSPHATAS | $15.37 |
|
703
|
REF NOREPINEPHRINE, URINE (CATECHO) | $33.75 |
|
704
|
REF NORTRIPTYLINE | $58.95 |
|
705
|
REF NUCLEOTIDASE, 5′ | $10.84 |
|
706
|
H. PYLORI ANT BODY | $105.26 |
|
707
|
REF OSTEOCALCIN | $26.67 |
|
708
|
REF OXAZEPAM (SERAX) | $17.40 |
|
709
|
STERILE WATER INJ 1000ML | $42.00 |
|
710
|
LIPID PANEL | $366.00 |
|
711
|
C.DIFFICILE TOXIN | $107.10 |
|
712
|
REF HETEROPHILE ANTIBODIES | $21.22 |
|
713
|
PARATHYROID HORMONE (PTH) | $136.89 |
|
714
|
REF PARATHYROID HORMONE, INTACT | $82.84 |
|
715
|
REF PARATHYROID HORMAON-N TERMINAL | $35.33 |
|
716
|
IRON SERUM | $53.02 |
|
717
|
IRON BINDING CAPACITY | $65.62 |
|
718
|
REF PARATHYROID HORMONE, C TERMINAL | $91.87 |
|
719
|
REF PARIETAL CELL ANTIBODY, IFA | $49.22 |
|
720
|
REF COCCIDIOIDOMYCOSIS, AB, CF | $43.09 |
|
721
|
KOH PREP | $41.08 |
|
722
|
KETONES SEMI-QUANTITATIVE | $47.25 |
|
723
|
ALDOMET 250MG TAB | $0.00 |
|
724
|
US PORTAL VEIN DOPPLER LIVER | $574.35 |
|
725
|
US BREAST NEEDLE BIOPSY (USBOP) | $1,997.03 |
|
726
|
REF PENTOBARBITAL | $33.81 |
|
727
|
REF PERPHENAZINE | $50.40 |
|
728
|
BONE MARROW ASPIRATION | $1,431.08 |
|
729
|
LDH LACTIC DEHYDROGENASE | $47.61 |
|
730
|
REF LDH ISOENZYMES | $12.98 |
|
731
|
LACTATE (LD) (LDH) ENZYME | $59.52 |
|
732
|
REF PHOSPHOLIPIDS | $12.35 |
|
733
|
PHOSPHORUS, 24 HR URINE | $45.04 |
|
734
|
REF PORPHOBILINOGEN SCREEN | $11.38 |
|
735
|
ALKERAN 2 MG TAB | $0.00 |
|
736
|
PERIPHERAL SMEAR | $52.50 |
|
737
|
LIPASE | $52.50 |
|
738
|
REF PORPHYRINS, TOTAL (URINE) | $26.29 |
|
739
|
REF COMPLEMENT C’3 | $29.40 |
|
740
|
REF RENIN ACTIVITY | $78.98 |
|
741
|
REF ANTI – SSB | $56.29 |
|
742
|
REF PRONESTYL (PROCAIN, & NAPA) | $13.63 |
|
743
|
REF TACROLINMUS | $133.35 |
|
744
|
REF COMPLEMENT C’4 | $29.40 |
|
745
|
LITHIUM | $34.49 |
|
746
|
FRC, NITROGEN OPEN CIRCUIT METHOD | $213.15 |
|
747
|
HEPATIC FUNCTION PANEL | $59.27 |
|
748
|
REF PROTEIN C ANTIGEN | $111.04 |
|
749
|
REF PROTEIN, CSF ELECTROPHORESIS | $11.74 |
|
750
|
MAGNESIUM | $213.00 |
|
751
|
EXCEDRIN MIGRANE TAB | $0.00 |
|
752
|
REF PROTOPORPHYRIN, FREE ERYTHROEYTE | $25.09 |
|
753
|
REF PROSTATIC ACID PHOSPHATASE | $10.55 |
|
754
|
ALLEGRA 60MG TAB | $0.00 |
|
755
|
ALLOPURINOL 100MG TAB | $0.00 |
|
756
|
EEG AWAKE & DROWSY | $1,437.00 |
|
757
|
REF PTH-MIDMOLECULE | $34.33 |
|
758
|
REF LEGIONELLA, DNA PROBE | $28.92 |
|
759
|
REF CORTISOL, SERUM OR PLASMA | $79.27 |
|
760
|
REF ALKALINE PHOSPHATASE ISOENZIMES | $13.26 |
|
761
|
REF RICKETTSIA, IGG | $22.37 |
|
762
|
REF RICKETTSIA AB IGM | $22.37 |
|
763
|
FNA W/O GUIDANCE BY PATHOLOGIST | $512.15 |
|
764
|
REF ROTAVIRUS AGGLUTINATION, STOOL | $25.09 |
|
765
|
FNA EVAL ADEQ SPEC | $131.25 |
|
766
|
DIOVAN 160 MG TAB | $0.00 |
|
767
|
FNA EVAL ADEQ SPEC I&R | $183.75 |
|
768
|
REF SCLERODERMA ANTIBODIES (SCL70) | $74.11 |
|
769
|
IMMUNOPEROXIDASE,EACH ANTIBODY | $99.75 |
|
770
|
REF ACTH | $40.99 |
|
771
|
REF ADENOVIRUS, CF | $17.86 |
|
772
|
REF SEROTONIN METABOLITE (5-HIAA) | $14.35 |
|
773
|
REF SEROTONIN, BLOOD | $100.75 |
|
774
|
REF SEX HORMONE-BINDING GLOBULIN | $17.85 |
|
775
|
ALTACE 2.5MG CAP | $0.00 |
|
776
|
ALPHAGAN 0.2 % OPTH 5 ML | $0.00 |
|
777
|
PAXIL 10 MG TAB | $0.00 |
|
778
|
FNA W/IMAGE | $1,419.36 |
|
779
|
LEV I-SURG PATH GROSS | $44.25 |
|
780
|
FNA W/O GUIDANCE | $512.15 |
|
781
|
BLADE SURGICAL 10/11/15/20 | $4.59 |
|
782
|
REF CPK. ISOENZYMES | $16.34 |
|
783
|
REF SMOOTH MUSCLE ANTIBODY | $47.62 |
|
784
|
ALTACE 5MG CAP | $0.00 |
|
785
|
REF SOMATOMEDIN C | $42.79 |
|
786
|
BAIR HUGGER | $26.00 |
|
787
|
REF STARCH, FECES | $9.71 |
|
788
|
SILK SUTURES | $40.95 |
|
789
|
VICRYL SUTURES | $35.70 |
|
790
|
ANKLE SUPPORT | $73.50 |
|
791
|
QUINTON CATH | $468.56 |
|
792
|
FOLEY CATH | $56.70 |
|
793
|
KNEE IMMOBILIZER | $148.05 |
|
794
|
SHOULDER IMMOBILIZER | $28.35 |
|
795
|
WRIST BRACE | $44.10 |
|
796
|
SPLINT COLLES | $56.70 |
|
797
|
LEFT WITHOUT BEING SEEN/ ELOPEMENT | $0.00 |
|
798
|
LEVEL VI (CRITICAL CARE) | $1,687.50 |
|
799
|
OBSERVATION- HOSPITAL OBS SERVICE PER HR | $767.55 |
|
800
|
SURGICAL PROCEDURE SIMPLE | $261.19 |
|
801
|
SURGICAL PROCEDURE INTERMEDIATE | $527.63 |
|
802
|
SURGICAL PROCEDURE COMPLEX | $1,277.06 |
|
803
|
INJECTION IV | $185.56 |
|
804
|
INJECTION IMMUN | $91.04 |
|
805
|
INJECTION IMMUN ADDL EA | $58.73 |
|
806
|
INJECTION, SC / IM | $159.00 |
|
807
|
REF INSULIN ANTIBODIES | $29.21 |
|
808
|
REF T HELPER/SUPPRESSON PANEL | $272.21 |
|
809
|
BNDG ACE 2″ | $0.00 |
|
810
|
BNDG ACE 3″ | $0.00 |
|
811
|
BAND AID | $0.05 |
|
812
|
PRADAXA 75 MG CAP (60 CAPS) | $0.00 |
|
813
|
REF ACETONE, BLOOD | $14.76 |
|
814
|
REF AMPHETAMINES, QUANT | $19.27 |
|
815
|
REF THORIDAZINE | $14.77 |
|
816
|
REF ANTI-STREPTOCOCCAL AB TITER | $9.34 |
|
817
|
REF CHROMOSOME ANALYSIS | $493.92 |
|
818
|
REF STOOL, REDUCING SUBSTANCES | $12.30 |
|
819
|
REF CRYPTOCOCCAL ANTIGEN | $26.69 |
|
820
|
REF AMININOLEVULENIC ACID | $21.32 |
|
821
|
MONO TEST | $75.13 |
|
822
|
REF STOOL, REDUCING SUBSTANCES | $12.66 |
|
823
|
REF ANTIMITOCHONDRIAL ANTIBODY | $44.53 |
|
824
|
COLD AGGLUTININS | $52.50 |
|
825
|
REF THROMBIN TIME | $7.85 |
|
826
|
REF CULTURE: SPUTUM | $33.91 |
|
827
|
REF THYROID BINDING GLOBULIN (TBG) | $23.20 |
|
828
|
REF LSD. QUAL. (RIA) | $34.93 |
|
829
|
REF GIEMSA STAIN | $19.81 |
|
830
|
REF THYROID MICROSOMAL AB | $14.72 |
|
831
|
REF MORPHINE, QUAL | $7.80 |
|
832
|
REF INDIA INK PREP | $5.34 |
|
833
|
TSH THYROID STIMULATING HORMONE | $335.00 |
|
834
|
OCCULT BLOOD FLUIDS | $28.74 |
|
835
|
REF ACETALDEHYDE, BLOOD | $16.91 |
|
836
|
REF TOFRANIL (IMIPRAMINE) | $21.70 |
|
837
|
REF TOXOPLASMA ANTIBODY, IGG | $16.34 |
|
838
|
REF TOXOPLASMA ANTIBODY, IGM | $22.90 |
|
839
|
OCCULT BLOOD STOOL | $22.99 |
|
840
|
REF HIGHLY SENSITIVE TSH (HS-TSH) | $8.74 |
|
841
|
REF TRICHOMONAOS (WET MOUNT) | $6.25 |
|
842
|
REF THIOTHIXENE (NAVANE) | $22.55 |
|
843
|
REF TSH RECEPTOR ANTIBODY | $184.55 |
|
844
|
ALUPENT INHALER 10ML | $0.00 |
|
845
|
REF OVA AND PARASITES | $39.20 |
|
846
|
REF CYTOMEGALOVIRUS IGG | $54.36 |
|
847
|
REF CYTOMEGALOVIRUS IGM | $50.87 |
|
848
|
REF CYSTICERCOSIS TITER | $67.20 |
|
849
|
REF PARASITES, BLOOD | $36.12 |
|
850
|
ALUPENT 0.4%/2.5 RT | $0.00 |
|
851
|
REF (VIP) VASOACTIVE INTEST. POLY. | $114.03 |
|
852
|
REF VITAMIN A | $21.32 |
|
853
|
PH, URINE AND FLDS. | $12.36 |
|
854
|
REF VITAMIN B6 | $148.77 |
|
855
|
ALUPENT SOL 0.6%/2.5 RT | $0.00 |
|
856
|
LEVEL V-SURG PATH GROSS&MICRO | $210.00 |
|
857
|
PHENOBARBITAL SERUM | $73.86 |
|
858
|
LEVEL IV-SURG PATH GROSS&MICRO | $157.50 |
|
859
|
LEV VI-SURG PATH GROS/MIC | $315.00 |
|
860
|
REF VITAMIN D (25-HYDROXY) | $45.72 |
|
861
|
REF VALIUM | $17.86 |
|
862
|
REF VMA (VANILYL MANDELIC ACID) | $48.94 |
|
863
|
REF XYLOSE TOLERANCE | $17.20 |
|
864
|
PHOSPHORUS INORGANIC | $170.00 |
|
865
|
REF ZINC PROTOPORPHYRIN | $25.09 |
|
866
|
REF ZINC, SERUM | $11.74 |
|
867
|
REF ZINC, URINE | $14.50 |
|
868
|
FISH OIL 500 MG CAPSULE | $0.00 |
|
869
|
PRANDIN 1 MG TABLET | $0.00 |
|
870
|
XIFAXAN 200 MG TABLET | $0.00 |
|
871
|
VAPRISOL 20MG/4ML INJECTION | $0.00 |
|
872
|
FIBERSOURCE HN 240ML LIQ | $0.00 |
|
873
|
EVOVAC 30MG CAPSULE | $0.00 |
|
874
|
LEVEMIR U-100 INSULIN VIAL | $0.00 |
|
875
|
AMARYL 2 MG TAB | $0.00 |
|
876
|
PULMONARY ASSESSMENT | $0.00 |
|
877
|
REF ANTIPLATELET ANTIBODY | $118.65 |
|
878
|
VANCOMYCIN | $73.86 |
|
879
|
POTASSIUM | $41.00 |
|
880
|
POTASSIUM, URINE | $41.00 |
|
881
|
REF POTASSIUM, RBC | $23.24 |
|
882
|
ABORTED SURGICAL CASE | $1,422.75 |
|
883
|
GENERAL ANESTHESIA FIRST HOUR | $1,900.00 |
|
884
|
GENERAL ANESTHESIA EA ADDL 15 MIN | $375.00 |
|
885
|
MAC / REGIONAL ANESTHESIA FIRST HOUR | $1,500.00 |
|
886
|
MAC / REGIONAL EA ADDL 15 MIN | $264.60 |
|
887
|
CONSCOUS SEDATION IV / IM / INH | $84.00 |
|
888
|
CONSCOUS SEDATION ORAL / REC / INRANASAL | $84.00 |
|
889
|
LOCAL ANESTHESIA | $84.00 |
|
890
|
RECOVERY RM LEVEL II 1ST HOUR | $635.00 |
|
891
|
RECOVERY RM LEVEL II EA ADDL 15 MIN | $175.00 |
|
892
|
TUBE GASTROSTOMY | $302.40 |
|
893
|
URETERAL CATHETER | $17.85 |
|
894
|
PLUG PERFIX BARD MESH | $1,624.88 |
|
895
|
STAPLER | $284.55 |
|
896
|
GAUZE PETROLATUM XEROFORM | $8.40 |
|
897
|
SEVOFORANE FIRST HOUR | $0.00 |
|
898
|
SEVOFORANE EA ADDL 15 MIN | $0.00 |
|
899
|
DESOFORANE FIRST HOUR | $0.00 |
|
900
|
DESOFORANE EA ADDL 15 MIN | $0.00 |
|
901
|
HCG, QUANTITATIVE | $85.68 |
|
902
|
HCG, QUALITATIVE | $259.00 |
|
903
|
PHOSPORUS URINE | $45.99 |
|
904
|
MIRAPEX 0.125 MG TAB | $0.00 |
|
905
|
ZITHROMAX 600GM TAB | $0.00 |
|
906
|
AMBIEN 5MG TAB | $0.00 |
|
907
|
AMBIEN 10MG TAB | $0.00 |
|
908
|
BNDG WEBRIL | $8.29 |
|
909
|
PROTEIN SERUM | $34.49 |
|
910
|
PROTEIN BODY FLUIDS | $34.49 |
|
911
|
AUTOMATED PLATELET COUNT | $47.18 |
|
912
|
EGD W/PROCEDURE | $3,731.00 |
|
913
|
COLONOSCOPY W/PROC | $1,922.55 |
|
914
|
SIGMODOSCOPY DX | $1,128.75 |
|
915
|
SIGMODOSCOPY W/PROCEDURE | $1,525.65 |
|
916
|
UPPER ENDOSCOPY DX | $1,525.65 |
|
917
|
UPPER ENDOSCOPY W/PROCEDURE | $1,922.55 |
|
918
|
Bupivacaine w/ Epi 0.25% 30ml-SDV | $0.00 |
|
919
|
Bupivacaine w/ Epi 0.25% 50ml-MDV | $0.00 |
|
920
|
Xylocaine 1% MPF 10mg/ml 10ml | $0.00 |
|
921
|
Xylocaine 2% MDV 20mg/ml 10ml | $0.00 |
|
922
|
Xylocaine W/ Epi 2% SDV 10ml | $0.00 |
|
923
|
Bupivacaine w/ Epi 0.5% MPF 10ml | $0.00 |
|
924
|
Xylocaine 2% SDV 20mg/ml 5ml | $0.00 |
|
925
|
Xylocaine 1% SDV 30ml | $0.00 |
|
926
|
Lidocaine 1% MDV 10ml | $0.00 |
|
927
|
Lidocaine 1% 10mg/ml 5ml | $0.00 |
|
928
|
Lidocaine 1% MPF SDV 10mg/ml 2ml | $0.00 |
|
929
|
Botox Therapeutic 100 U | $0.00 |
|
930
|
BUPIVACAINE LIPOSOME(EXPAREL266MG-20ML | $0.00 |
|
931
|
SURG PATH LEVEL 3 | $105.00 |
|
932
|
PROTEIN URINE | $41.08 |
|
933
|
CELEBREX 100 MG CAP | $0.00 |
|
934
|
BIOPSY SYSTEM 18GA | $257.25 |
|
935
|
AMIKIN 500MG INJ | $0.00 |
|
936
|
BOOT EQUILIZER SM MED | $367.50 |
|
937
|
ALBUMIN, URINE, QUAL | $35.94 |
|
938
|
URINE MICROALBUMIN | $91.00 |
|
939
|
VITAMIN D 25 OH | $146.00 |
|
940
|
TESTOSTERONE-FREE | $106.71 |
|
941
|
RHEUMATOID FACTOR | $42.60 |
|
942
|
CARDIO CRP | $64.03 |
|
943
|
PROTHROMBIN TIME | $192.00 |
|
944
|
REF ESTRADIOL, SERUM | $28.93 |
|
945
|
REF ELECTROPHORESIS, PROTEIN, SERU | $84.97 |
|
946
|
REF ELECTROPHORESIS, PROTEIN URINE | $76.78 |
|
947
|
AMINOPHYLLINE 250MG INJ | $0.00 |
|
948
|
APTT | $65.20 |
|
949
|
AMINOPHYLLINE 500 INJ | $0.00 |
|
950
|
RETICULOCYTE COUNT | $32.81 |
|
951
|
SERZONE 50 MG TAB | $0.00 |
|
952
|
BOTTLE PERI | $0.00 |
|
953
|
RHEUMATOID ARTHRITIS FACT | $45.99 |
|
954
|
REF RPR | $26.61 |
|
955
|
BONE SCAN LTD | $2,475.00 |
|
956
|
3 PHASE BONE SCAN | $2,475.00 |
|
957
|
BRAIN SCAN W/FLOW | $3,200.00 |
|
958
|
HEPATOBILIARY DUCT GALLBLADDER IMAGING | $2,054.00 |
|
959
|
HEPATOBILIARY DUCT GB IMAGING | $2,054.00 |
|
960
|
LIVER SPLEEN SCAN SPECT | $2,475.00 |
|
961
|
RENAL SCAN SPECT | $2,475.00 |
|
962
|
VENTILATION SCAN(LUNG SCAN) | $2,475.00 |
|
963
|
WBC SCAN | $3,054.00 |
|
964
|
PARATHYROID SCAN | $3,180.00 |
|
965
|
SED RATE | $39.11 |
|
966
|
REF SEMEN ANALYSIS COMP | $55.75 |
|
967
|
SEMEN ANALYSIS POST VAS | $31.04 |
|
968
|
ANTIBIOTIC SENSITIVITY – MIC | $107.11 |
|
969
|
SENSITIVITY, INDIVIDUAL, EA. | $13.12 |
|
970
|
PATIENT MONITOR | $214.20 |
|
971
|
VIDEO PRINTER | $425.88 |
|
972
|
VIDEO CART SYSTEM | $411.60 |
|
973
|
VIDEO MONITOR | $146.79 |
|
974
|
OR FIBEROPTIC SCOPE | $674.73 |
|
975
|
VIDEO PHOTO EACH | $12.23 |
|
976
|
BREATHING CIRCUIT | $126.00 |
|
977
|
ELECTRODES 3 PACK | $44.03 |
|
978
|
O2 1ST HOUR | $25.35 |
|
979
|
IV TUBING / PRIMARY | $41.73 |
|
980
|
BOVIE MACHINE | $356.73 |
|
981
|
BOVIE GROUND PAD | $39.06 |
|
982
|
BOVIE TIP CLEANER | $16.69 |
|
983
|
DURA PREP | $8.66 |
|
984
|
EXTREMITY PACK | $77.97 |
|
985
|
LIGHT SOURCE | $205.06 |
|
986
|
LIGHT HANDLE | $44.10 |
|
987
|
MAJOR BASIN SET | $626.22 |
|
988
|
OR BOVIE | $513.76 |
|
989
|
STIMPLEX NEEDLE | $29.16 |
|
990
|
SUCTION BOTTLE | $98.91 |
|
991
|
SUTURE GENERAL SINGLE | $34.96 |
|
992
|
TIES -SILK MULTIPACK | $2.80 |
|
993
|
ARTHROSCOPY TOWERS | $3,129.84 |
|
994
|
STRYKER PUMP | $337.05 |
|
995
|
SURFACE WAND | $245.02 |
|
996
|
SURFACE GENERATOR | $573.30 |
|
997
|
TOURNIQUET | $173.88 |
|
998
|
TEGADERM 4X4 | $11.34 |
|
999
|
XERFORM | $242.65 |
|
1000
|
DRAPE EXTRA | $42.21 |
|
1001
|
SPECIAL SHEET | $94.18 |
|
1002
|
OXISENSOR ADULT ALL | $35.07 |
|
1003
|
SPECIMEN CUP | $36.54 |
|
1004
|
PAR BP MONITOR | $165.06 |
|
1005
|
TEMP STRIP | $19.65 |
|
1006
|
MINOR INSTRUMENT | $264.60 |
|
1007
|
MAJOR INSTRUMENT | $443.52 |
|
1008
|
SHOULDER ARTHROSCOPY PACK | $1,031.31 |
|
1009
|
ARTHROSCOPY PACK | $283.28 |
|
1010
|
STERILE ADHESIVE ORGANIZER | $33.76 |
|
1011
|
KNEE ARTHROSCOPY DRAPE | $155.52 |
|
1012
|
SHOULDER ARTHROSCOPY DRAPE | $44.10 |
|
1013
|
DRESS. SPONGE 4X4 10 PK | $3.00 |
|
1014
|
SURGICAL BLADES 15 | $2.29 |
|
1015
|
PUMP VOLUME PRIMARY | $94.50 |
|
1016
|
POLYSOMNOGRAPHY | $525.00 |
|
1017
|
POLYSOMNOGRAPHY W\CPAP | $525.00 |
|
1018
|
SGOT | $47.61 |
|
1019
|
REF FREE PHENYTOIN | $51.97 |
|
1020
|
SGPT | $47.61 |
|
1021
|
REF THYROID PEROXIDASE ANTIBODIES | $30.71 |
|
1022
|
EVISTA 60 MG TAB | $0.00 |
|
1023
|
E-MYCIN GEL PAD 60 | $0.00 |
|
1024
|
SODIUM, SERUM | $41.00 |
|
1025
|
SODIUM, URINE | $51.25 |
|
1026
|
TAMIFLU 75 MG CAP. | $0.00 |
|
1027
|
AMOXICILLIN 250MG CAP | $0.00 |
|
1028
|
SPEC. GRAVITY URINE | $15.75 |
|
1029
|
AMOXICILLIN 500MG CAP | $0.00 |
|
1030
|
SPEC GRAVITY OTHER FLDS | $11.49 |
|
1031
|
CANE | $57.54 |
|
1032
|
AMOXICILLIN 125MG/5ML 100ML | $0.00 |
|
1033
|
AMOXICILLIN 250MG/5ML 100ML | $0.00 |
|
1034
|
AMOXICILLIN 250MG #30 IND. | $0.00 |
|
1035
|
REF FEBRILE AGGLUTINIS | $76.57 |
|
1036
|
STOOL CULTURE | $50.40 |
|
1037
|
REF ISOPROPHEL ALCOHOL | $67.20 |
|
1038
|
AMOXICILLIN 500MG #30 IND. | $0.00 |
|
1039
|
STREP SCREEN | $35.85 |
|
1040
|
AMPHOGEL 30ML LIQ | $0.00 |
|
1041
|
THEOPHYLLINE | $73.86 |
|
1042
|
REF TORCH PANEL | $114.52 |
|
1043
|
AMPHOGEL 360ML LIQ | $0.00 |
|
1044
|
AMPHOTEC 50MG INJ. | $0.00 |
|
1045
|
FIBRINOGEN | $61.63 |
|
1046
|
REF HEPATITIS “C” ANTIBODY | $87.00 |
|
1047
|
T – UPTAKE (T3U) | $46.98 |
|
1048
|
THYROXINE (T4) | $41.00 |
|
1049
|
AMPICILLIN 250MG CAP | $0.00 |
|
1050
|
TRIGLYCERIDES | $52.50 |
|
1051
|
CANNISTER SUCTION SM | $26.25 |
|
1052
|
TROPONIN -T | $56.59 |
|
1053
|
AMPICILLIN 500MG CAP | $0.00 |
|
1054
|
REF FIBRIN SPLIT PRODUCTS, QUANT. | $11.22 |
|
1055
|
FOLIC ACID | $106.68 |
|
1056
|
UREA NITROGEN (BUN SERUM) | $42.63 |
|
1057
|
URETHRA CULTURE | $73.92 |
|
1058
|
AMPICILLIN 500MG INJ | $0.00 |
|
1059
|
AMPICILLIN 1GM INJ | $0.00 |
|
1060
|
REF FOLIC ACID, RBC | $24.71 |
|
1061
|
UREA NITROGEN URINE | $39.37 |
|
1062
|
AMPICILLIN 2GM INJ | $0.00 |
|
1063
|
AMPICILLIN 125/5 100ML | $0.00 |
|
1064
|
URIC ACID SERUM | $39.37 |
|
1065
|
AMPICILLIN 250/5 100ML | $0.00 |
|
1066
|
URIC ACID URINE | $58.27 |
|
1067
|
REF URIC ACID URINE | $39.37 |
|
1068
|
DISP INNER CANULLA #4 | $25.72 |
|
1069
|
DISP INNER CANULLA #6 | $25.72 |
|
1070
|
DISP INNER CANULLA #8 | $25.72 |
|
1071
|
DISP INNER CANULLA #10 | $25.72 |
|
1072
|
URINALYSIS, AUTO W/SCOPE | $216.00 |
|
1073
|
MRSA NARES SCREENING TEST | $37.20 |
|
1074
|
CANULLA NASAL 02 | $13.12 |
|
1075
|
URINE CULTURE/COLONY COUNT | $222.00 |
|
1076
|
UREA CLEARANCE | $91.87 |
|
1077
|
UROBILINOGEN, QUAL | $28.74 |
|
1078
|
URINE CULTURE, ADDITIONAL ID | $32.55 |
|
1079
|
VAGINAL / CERVIX CULTURE | $96.33 |
|
1080
|
ANAFRANIL 25 MG TAB | $0.00 |
|
1081
|
WBC’S STOOL | $24.62 |
|
1082
|
SPECIAL STAIN GROUP II | $52.50 |
|
1083
|
SPECIAL STAIN GROUP 1 | $94.50 |
|
1084
|
GROUP PSYCHOTHERAPY 1HR | $195.00 |
|
1085
|
WET MOUNT TRICH AND YEAST | $32.86 |
|
1086
|
ANAFRANIL 75 MG. TAB | $0.00 |
|
1087
|
CAST ARM LONG | $152.25 |
|
1088
|
GLYCOHEMOGLOBIN | $169.00 |
|
1089
|
CYTOLOGY FLUIDS WASHINGS OR BRUSHING | $126.00 |
|
1090
|
CAST ARM SHORT | $120.75 |
|
1091
|
SLIDE CONSULT | $147.00 |
|
1092
|
ANCEF UP TO 500MG INJ J0690 | $0.00 |
|
1093
|
INJ CEFAZOLIN SOD 500MG | $0.00 |
|
1094
|
ADDITIONAL FROZEN SECTION | $136.50 |
|
1095
|
YEAST I.D. | $90.93 |
|
1096
|
CULTR FUNGI DEF ID EA YEAST | $19.41 |
|
1097
|
ANECTINE,UP TO 20MG/ML 10 | $0.00 |
|
1098
|
INJ SUCCINYLCHOLINE CHL TO 20MG | $0.00 |
|
1099
|
ANNUSOL HC SUPP | $0.00 |
|
1100
|
REF HEPATITIS A VIRUS ANTIBODY, IGG | $13.56 |
|
1101
|
REF HEPATITIS A VIRUS ANTIBODY, IGM | $15.58 |
|
1102
|
ANSAID 100MG TAB | $0.00 |
|
1103
|
REF HEPATITIS BE ANTIGEN | $42.69 |
|
1104
|
REF HEPATITIS B VIRUS DNA QUANTITATION | $381.87 |
|
1105
|
REF HEPATITIS B ANTIBODY | $49.67 |
|
1106
|
REF HEPATITIS BE ANTIBODY | $49.67 |
|
1107
|
REF HEPATITIS BE ANTIGEN | $42.69 |
|
1108
|
REF HEPATITIS DELTA ANTIBODY | $20.11 |
|
1109
|
REF HEPATITIS B SURFACE ANTIBODY | $29.40 |
|
1110
|
REF HEPATITIS B SURFACE ANTIGEN | $25.72 |
|
1111
|
REF HAPTOGLOBIN | $31.77 |
|
1112
|
REF CLOZARIL (COLZAPINE) | $80.85 |
|
1113
|
REF HERPES SIMPLEX, CULTURE | $18.71 |
|
1114
|
REF HERPES SIMPLEX SMEAR, DFA | $9.93 |
|
1115
|
REF HERPES VARICELLA-ZOSTER AB | $48.85 |
|
1116
|
REF HSV I AB | $146.16 |
|
1117
|
REF HERPES PCR (CSF) | $117.04 |
|
1118
|
ANTABUSE 250MG TAB | $0.00 |
|
1119
|
CAST LEG LONG | $222.60 |
|
1120
|
REF HISTOPLASMA ANTIBODY, CF | $55.28 |
|
1121
|
REF HISTAMINE | $38.27 |
|
1122
|
CAST LEG SHORT | $120.75 |
|
1123
|
REF HLA-B27 (TISSUE TYPING) | $78.93 |
|
1124
|
ANTILIRIUM 2MG/2ML INJ | $0.00 |
|
1125
|
REF HIV ANTIBODY, WESTERN BLOT | $72.82 |
|
1126
|
REF HIV-1 RNA | $176.40 |
|
1127
|
ANTIVENIN-SPIDER INJ | $0.00 |
|
1128
|
REF IMMUNOELECTROPHORESIS, SERUM | $28.63 |
|
1129
|
ANTIVENIN-SNAKE INJ | $0.00 |
|
1130
|
REF IMMUNOELECTROPHORESIS, URINE | $23.55 |
|
1131
|
ANTIVERT 12.5 MG TAB | $0.00 |
|
1132
|
ANTIVERT 25MG TAB | $0.00 |
|
1133
|
REF IMMUNOGLOBULIN A (IGA) | $9.34 |
|
1134
|
ANUSOL HC CRM 30GM | $0.00 |
|
1135
|
CAST SHOE 4-6 FEM. | $85.41 |
|
1136
|
REF IMMUNOGLOBULIN E (IGE) | $15.14 |
|
1137
|
ANUSOL OINT 30GM | $0.00 |
|
1138
|
REF IMMUNIGLOBULIN G (IGG) | $21.37 |
|
1139
|
REF IGD | $14.76 |
|
1140
|
ANUSOL SUPP | $0.00 |
|
1141
|
ANZEMET 12.5 MG/2ML | $0.00 |
|
1142
|
REF IMMUNOGLOBULING M | $9.34 |
|
1143
|
APRESOLINE 10MG TAB | $0.00 |
|
1144
|
APRESOLINE 25MG TAB | $0.00 |
|
1145
|
APRESOLINE 20MG/ML INJ | $0.00 |
|
1146
|
REF HOMOCYSTEIN | $69.88 |
|
1147
|
REF HIV, RNA QUANT | $176.40 |
|
1148
|
CATH FEMORAL ARTERY KIT | $171.25 |
|
1149
|
CATH ARTERY RADIAL KIT. | $220.92 |
|
1150
|
ARTERIAL LINE KIT | $100.59 |
|
1151
|
CATH CENTRAL VENOUS 3 LUM | $146.42 |
|
1152
|
CATH-HEMODIALYSIS, SHRT TRM | $757.00 |
|
1153
|
CATH-HEMODIALYSIS, SHRT TRM | $946.25 |
|
1154
|
CATH TRANSLUMINAL ANGIO NONLASER | $500.00 |
|
1155
|
REF LACTIC ACID | $23.12 |
|
1156
|
AQUAMEP 10MG/ML INJ X5652 | $0.00 |
|
1157
|
CYTOLOGY CYTO SPIN | $94.92 |
|
1158
|
CELEBREX 200 MG | $0.00 |
|
1159
|
NAPROXEN SOD. 550 MG #14 INO | $0.00 |
|
1160
|
METARAMINOL 10MG/ML (1%) AS BITARTRATE | $0.00 |
|
1161
|
AREDIA 30MG INJ | $0.00 |
|
1162
|
CATH COUDE ALL SIZES | $89.25 |
|
1163
|
CATH COUDE 14FR 5CC | $89.25 |
|
1164
|
CATH COUDE 16FR 5CC | $89.25 |
|
1165
|
CATH COUDE 18FR 5CC | $89.25 |
|
1166
|
CATH COUDE 20FR 5CC | $89.25 |
|
1167
|
CATH COUDE 22FR 5CC | $89.25 |
|
1168
|
CATH COUDE 24FR 5CC | $89.25 |
|
1169
|
ARICEPT 5MG. TAB | $0.00 |
|
1170
|
ESTRADIOL 1 MG TABS | $0.00 |
|
1171
|
CATH BONNANO | $89.25 |
|
1172
|
CATH:BAG | $102.37 |
|
1173
|
CATH COUDE 18FR 30CC | $102.37 |
|
1174
|
CATH COUDE 20FR 30CC | $102.37 |
|
1175
|
CATH CAUDE 22FR 30CC | $102.37 |
|
1176
|
CATH CAUDE 24FR 30CC | $102.37 |
|
1177
|
CATH COUNCIL ALL SIZES | $110.25 |
|
1178
|
CATH COUNCIL 18FR 5CC | $110.25 |
|
1179
|
ARISTOCORT CRM 15GM | $0.00 |
|
1180
|
KALETRA CAP | $0.00 |
|
1181
|
VIREAD 300MG TAB | $0.00 |
|
1182
|
RISEDRONATE 5MG TAB | $0.00 |
|
1183
|
SERTALINE 100MG TAB | $0.00 |
|
1184
|
DURGESIC 50 MCG/HR PATCH | $0.00 |
|
1185
|
DURAGESIC 75 MCG/HR PATCH | $0.00 |
|
1186
|
SIMETHICONE 80MG TAB | $0.00 |
|
1187
|
REF LIDOCAINE | $18.15 |
|
1188
|
OXYCONTIN 40MG TAB | $0.00 |
|
1189
|
REF LIGHT CHAIN, URINE PROTEIN | $32.19 |
|
1190
|
OXYCONTIN 80MG TAB | $0.00 |
|
1191
|
CATH PLUG | $7.90 |
|
1192
|
FAT EMULSION 10% 250ML | $0.00 |
|
1193
|
BACTROBAN NASAL 2% OINT UD | $0.00 |
|
1194
|
BUSPAR 15MG TAB | $0.00 |
|
1195
|
ZITHROMAZ SUSP 200MG/5ML 15ML | $0.00 |
|
1196
|
DEPAKENE 250MG/5ML 5ML UD | $0.00 |
|
1197
|
MYLANTA SUSP 5OZ | $0.00 |
|
1198
|
DITROPAN XL 5MG TAB | $0.00 |
|
1199
|
RENAGEL 800MG TAB | $0.00 |
|
1200
|
RENVELA PWD 0.8G SACHET | $0.00 |
|
1201
|
RENVELA PWD 2.4G SACHET | $0.00 |
|
1202
|
PHARMACY | $0.00 |
|
1203
|
RENVELA 800MG TAB | $0.00 |
|
1204
|
CATH. CRICTHYROTOMY SET | $399.00 |
|
1205
|
CATH EPISTAXIS KIT (NASAL/HEMO) | $270.11 |
|
1206
|
CATH FEMORAL | $22.15 |
|
1207
|
CATH KIT PEDS 5FR | $22.05 |
|
1208
|
CATH PHILLIPS FOLLOWER #8 | $426.82 |
|
1209
|
CATH FILLIFORM ALL | $106.68 |
|
1210
|
AROMATIC AMMONIA | $0.00 |
|
1211
|
AROMATIC CASCARA 120ML | $0.00 |
|
1212
|
DECALCIFICATION | $44.25 |
|
1213
|
ARTANE 5MG TAB | $0.00 |
|
1214
|
ARTANE 2MG/5ML LIQ | $0.00 |
|
1215
|
ARTANE 2MG TAB | $0.00 |
|
1216
|
ARTHROTEC 50 MG TAB | $0.00 |
|
1217
|
ARTIFICIAL TEARS 15ML | $0.00 |
|
1218
|
ASACOL 400MG TAB | $0.00 |
|
1219
|
ASACOL HD 800 MG ORAL TABLETS | $0.00 |
|
1220
|
CATH FOLEY 12FR 30CC | $47.25 |
|
1221
|
CATH FOLEY 14FR 30CC | $47.25 |
|
1222
|
CATH FOLEY 16FR 30CC | $47.25 |
|
1223
|
CATH FOLEY 18FR 30CC 2WY | $47.25 |
|
1224
|
CATH FOLEY 20FR 30CC 2WY | $47.25 |
|
1225
|
CATH FOLEY 22FR 30CC 2WY | $47.25 |
|
1226
|
ASCORBIC ACID 500MG INJ | $0.00 |
|
1227
|
CATH FOLEY 24FR 30CC 2WY | $47.25 |
|
1228
|
CATH FOLEY 26FR 30CC 2WY | $47.25 |
|
1229
|
CATH FOLEY 28 FR 30CC 2WY | $47.25 |
|
1230
|
ASCRIPTIN TAB | $0.00 |
|
1231
|
ASENDIN 50MG TAB | $0.00 |
|
1232
|
ASENDIN 100MG TAB | $0.00 |
|
1233
|
ASENDIN 150MG TAB | $0.00 |
|
1234
|
ASPIRIN 125MG SUPP. | $0.00 |
|
1235
|
ASPIRIN 325MG SUPP | $0.00 |
|
1236
|
ASPIRIN 650MG SUPP | $0.00 |
|
1237
|
ASPIRIN 81MG E.C. TAB | $0.00 |
|
1238
|
ASPIRIN 81MG CHEW TAB | $0.00 |
|
1239
|
ASPIRIN 325MG TAB | $0.00 |
|
1240
|
CATH 2-WAY ALL SIZES | $38.26 |
|
1241
|
ASPIRIN 650MG EC TAB | $0.00 |
|
1242
|
CULTURE AEROBIC DEF ID EA ISO | $47.25 |
|
1243
|
CULTURE TYPING – SEROLOGIC | $59.06 |
|
1244
|
CULTURE ANAEROBE IDENT, EACH | $59.06 |
|
1245
|
REF MICROALBUMIN RANDOM | $34.65 |
|
1246
|
REF FELBAMATE | $53.48 |
|
1247
|
REF DIPHENHYDRAMINE | $18.15 |
|
1248
|
SOMA 350 MG #30 IND. | $0.00 |
|
1249
|
REF MICROALBUMIN, 24 HR URINE | $18.15 |
|
1250
|
REF VISCOSITY, FLUID | $15.51 |
|
1251
|
CATH FOLEY 18FR 5CC 3WY | $110.25 |
|
1252
|
CATH FOLEY 20FR 5CC 3WY | $110.25 |
|
1253
|
CATH FOLEY 22FR 5CC 3WY | $110.25 |
|
1254
|
CATH FOLEY 24FR 5CC 3WY | $110.25 |
|
1255
|
CATH FOLEY 26FR 5CC 3WY | $110.25 |
|
1256
|
ATARAX 10MG TAB | $0.00 |
|
1257
|
ADMINISTRATION OF INFLUENZA VACCINE | $62.00 |
|
1258
|
AVULSON OF NAIL PLATE | $154.00 |
|
1259
|
BLOOD TRANSFUSION | $1,485.00 |
|
1260
|
BLOOD VESSEL REPAIR- UPPR EXTREM | $5,390.00 |
|
1261
|
BURNS CARE – OARTIAL THICKNESS SML (<5%) | $262.00 |
|
1262
|
CARDIOVERSION (ELECTRIC) | $933.00 |
|
1263
|
CATHETER | $114.00 |
|
1264
|
CENTRAL LINE > OR EQUAL TO 5 YRS | $1,939.00 |
|
1265
|
CHEST TUBE | $963.00 |
|
1266
|
REF ALPHA-1 ANTITRYPSIN PHENOTYPE | $56.01 |
|
1267
|
LACER RPR CX LID NOSE EAR LIP 1.0CM/< | $869.00 |
|
1268
|
LACER RPR CX LID NSE EAR LIP 1.1CM-2.5CM | $869.00 |
|
1269
|
LACER RPR CX LID NSE EAR LIP 2.6CM-7.5CM | $869.00 |
|
1270
|
CMPX RP FCE NCK GENT HNDS FEET 5CM/< | $570.00 |
|
1271
|
RPR OD CX LESION 1.1CM-2.5CM | $570.00 |
|
1272
|
RPR OF CX LESION 2.6CM-7.5CM | $869.00 |
|
1273
|
COMPLX RPR SCALP ARMS LEG ADDL 5.0CM< | $209.00 |
|
1274
|
LAC RPR SCALP ARM LEG 1.1-2.5CM | $570.00 |
|
1275
|
LAC RPR SCALP ARM LEG 2.6CM-7.5CM | $570.00 |
|
1276
|
MOD SEDATION BY SAME PHYS >5YRS | $650.00 |
|
1277
|
ROBITUSSIN W/ COD 5ML UD | $0.00 |
|
1278
|
MOD SEDATION BY SUPPORT PHYS >5YRS | $650.00 |
|
1279
|
MOD SEDATION BY SUPPORT PHYS >5YRS | $0.00 |
|
1280
|
CONTROL OF NOSE BLEED | $187.00 |
|
1281
|
CHG CYSTOSTOMY TUBE SIMPLE | $341.00 |
|
1282
|
DEBRIDEMENT INFECT SKIN 10% BSA | $483.00 |
|
1283
|
DEBRIDEMENT SKIN AND SC TISSUE | $483.00 |
|
1284
|
TX SUPRFIC WOUND DEHISCIENCE W / PACKING | $570.00 |
|
1285
|
DENTAL TX- FORCEP EXTRACT TOOTH | $188.00 |
|
1286
|
DRAINAGE PILONDIAL CYST- COMPLEX | $2,295.00 |
|
1287
|
DRAINAGE PILONDIAL CYST- SIMPLE | $248.00 |
|
1288
|
ATARAX 25MG TAB | $0.00 |
|
1289
|
DRAINAGE EXT EAR ABSCESS OR HEMA-SIMPLE | $248.00 |
|
1290
|
DRAINAGE OF EYELID ABSCESS | $543.00 |
|
1291
|
DRAINAGE OF FINGR ABSCESS-SIMPLE | $248.00 |
|
1292
|
BURN TX DRSNG DBRIDE WO ANES-MEDIUM | $262.00 |
|
1293
|
REMOVE IMPACTED EAR WAX | $114.00 |
|
1294
|
EKG | $300.00 |
|
1295
|
REMOVAL OF NAIL BED | $774.00 |
|
1296
|
EXPLORE WOUND- EXTREMITY | $2,295.00 |
|
1297
|
EYE CONJUNCTIVA SUPERFICIAL | $185.00 |
|
1298
|
FIRST DEGREE LOCAL TX INITIAL | $154.00 |
|
1299
|
GAUZE IODOFORM PACK STRIP | $23.27 |
|
1300
|
FOLEY CATHETER – SIMPLE | $114.00 |
|
1301
|
GITUBE REPLACE | $161.00 |
|
1302
|
INCISION AND DRAINAGE- BARTHOLIN CYST | $277.00 |
|
1303
|
INCISION AND DRAINAGE- DENTAL | $248.00 |
|
1304
|
I&D HEMATOMA SEROMA FLUID COLLECTION | $2,295.00 |
|
1305
|
INCISION AND DRAINAGE- PERIANAL ABSCESS | $973.00 |
|
1306
|
INCISION AND DRAINAGE- PERIRECTAL ABCESS | $4,268.00 |
|
1307
|
INCISION AND DRAINAGE- PERITONSILAR | $545.00 |
|
1308
|
INCISION AND DRAINAGE- VULVA/PERINEAL | $277.00 |
|
1309
|
I&D ABSCES COMPL MX | $248.00 |
|
1310
|
TUBE GASTROSTOMY | $284.81 |
|
1311
|
I&D ABSCES SIMPLE SINGL | $248.00 |
|
1312
|
INFLUENZA A (H1N1) VACCINE ADMIN | $62.00 |
|
1313
|
INJECT/ASPIRATE JOINT- LARGE | $457.00 |
|
1314
|
INJECT/ASPIRATE JOINT-MEDIUM | $457.00 |
|
1315
|
ANKLE AND/OR FOOT STRAPPING-BOTH | $276.00 |
|
1316
|
ANKLE AND/OR FOOT STRAPPING- LEFT | $221.00 |
|
1317
|
ANKLE AND/OR FOOT STRAPPING- RIGHT | $221.00 |
|
1318
|
ANKL BIMALLEOLAR FX W MANIP CLO- BOTH | $369.00 |
|
1319
|
ANKL BIMALLEOLAR FX W MANIP CLO- LEFT | $295.00 |
|
1320
|
ANKL BIMALLEOLAR FX W MANIP CLO- RIGHT | $295.00 |
|
1321
|
REF HEMOGLOBIN, FREE PLASMA | $18.46 |
|
1322
|
ANKLE DISLOCATION W ANES- BOTH | $3,791.00 |
|
1323
|
ANKLE DISLOCATION W ANES- LEFT | $3,033.00 |
|
1324
|
ANKLE DISLOCATION W ANES- RIGHT | $3,033.00 |
|
1325
|
ANKLE TRIMALLEOLAR FX W MANIP- BOTH | $1,238.00 |
|
1326
|
ANKLE TRIMALLEOLAR FX W MANIP- LEFT | $990.00 |
|
1327
|
ANKLE TRIMALLEOLAR FX W MANIP- RIGHT | $990.00 |
|
1328
|
APPLY LONG LEG CAST(THIGH TO TOE)- BOTH | $630.00 |
|
1329
|
APPLY LONG LEG CAST(THIGH TO TOE)- RIGHT | $504.00 |
|
1330
|
APPLY LONG LEG CAST(THIGH TO TOE)- LEFT | $504.00 |
|
1331
|
APPLY LONG LEG SPLINT- BOTH | $276.00 |
|
1332
|
REF FRUCTOSAMINE | $36.81 |
|
1333
|
APPLY LONG LEG SPLINT- LEFT | $221.00 |
|
1334
|
APPLY LONG LEG SPLINT- RIGHT | $221.00 |
|
1335
|
APPLY SHRT ARM SPLINT STATIC-BOTH | $276.00 |
|
1336
|
APPLY SHRT ARM SPLINT STATIC-LEFT | $221.00 |
|
1337
|
APPLY SHRT ARM SPLINT STATIC-RIGHT | $221.00 |
|
1338
|
APP SHRT LEG CAST(BELOW KNEE-TOES)- BOTH | $630.00 |
|
1339
|
APP SHRT LEG CAST(BELOW KNEE-TOES)- LEFT | $504.00 |
|
1340
|
APP SHRT LEG CAST(BELOW KNEE-TOES)-RIGHT | $504.00 |
|
1341
|
APP SHRT LEG SPLINT(CALF-FOOT)- BOTH | $276.00 |
|
1342
|
APP SHRT LEG SPLINT(CALF -FOOT)- LEFT | $221.00 |
|
1343
|
REF DRUG CONFIRMATIION, EA PROC | $199.58 |
|
1344
|
APP SHRT LEG SPLINT(CALF-FOOT)- RIGHT | $221.00 |
|
1345
|
ARTICUL FX INVG MTCARP JT W/ MANIP- BOTH | $369.00 |
|
1346
|
ARTICUL FX INVG MTCARP JT W/ MANIP- LEFT | $295.00 |
|
1347
|
ARTICU FX INVG MTCARP JT W/ MANIP- RIGHT | $295.00 |
|
1348
|
CALCANEAL FX TX WO MANIP-BOTH | $369.00 |
|
1349
|
CALCANEAL FX TX WO MANIP-LEFT | $295.00 |
|
1350
|
CALCANEAL FX TX WO MANIP-RIGHT | $295.00 |
|
1351
|
ELBOW DISLOCATION W ANES- BOTH | $3,791.00 |
|
1352
|
ELBOW DISLOCATION W ANES- LEFT | $3,033.05 |
|
1353
|
ELBOW DISLOCATION W ANES- RIGHT | $3,033.05 |
|
1354
|
ELBOW DISLOCATION WO ANES- BOTH | $368.00 |
|
1355
|
ELBOW DISLOCATION WO ANES-LEFT | $295.00 |
|
1356
|
ELBOW DISLOCATION WO ANES- RIGHT | $295.00 |
|
1357
|
Elbow/wrist strapping-Bilateral | $276.00 |
|
1358
|
ELLBOW AND WRIST STRAPPING- LEFT | $221.00 |
|
1359
|
ELLBOW AND WRIST STRAPPING- RIGHT | $221.00 |
|
1360
|
APPLY LONG ARM SPLINT (ELBOW)- BOTH | $276.00 |
|
1361
|
APPLY LONG ARM SPLINT (ELBOW)- LEFT | $221.00 |
|
1362
|
APPLY LONG ARM SPLINT (ELBOW)- RIGHT | $221.00 |
|
1363
|
FEMORAL FX DISTL END CONDYL W MANIP-BOTH | $1,238.00 |
|
1364
|
ATARAX 50MG TAB | $0.00 |
|
1365
|
FEMORAL FX DISTL END CONDYL W MANIP-LEFT | $990.00 |
|
1366
|
FEMORAL FX DISTL END CONDL W MANIP-RIGHT | $990.00 |
|
1367
|
ANKLE FX TREATMENT W MANIP- BOTH | $369.00 |
|
1368
|
ANKLE FX TREATMENT W MANIP- LEFT | $295.00 |
|
1369
|
ANKLE FX TREATMENT W MANIP- RIGHT | $295.00 |
|
1370
|
ANKLE FX TREATMENT WO MANIP- BOTH | $369.00 |
|
1371
|
ANKLE FX TREATMENT WO MANIP- LEFT | $295.00 |
|
1372
|
ANKLE FX TREATMENT WO MANIP- RIGHT | $295.00 |
|
1373
|
APPLICATION OF SPLINT-LEFT FINGER 1 | $221.00 |
|
1374
|
APPLICATION OF SPLINT-LEFT FINGER 2 | $221.00 |
|
1375
|
FOSAMAX 70 MG TAB | $0.00 |
|
1376
|
APPLICATION OF SPLINT-LEFT FINGER4 | $221.00 |
|
1377
|
APPLICATION OF SPLINT-LEFT FINGER 5 | $221.00 |
|
1378
|
APPLICATION OF SPLINT-LEFT FINGER 3 | $221.00 |
|
1379
|
APPLICATION OF SPLINT-RIGHT FINGER 1 | $221.00 |
|
1380
|
APPLICATION OF SPLINT-RIGHT FINGER 2 | $221.00 |
|
1381
|
APPLICATION OF SPLINT-RIGHT FINGER 4 | $221.00 |
|
1382
|
APPLICATION OF SPLINT-RIGHT FINGER 5 | $221.00 |
|
1383
|
APPLICATION OF SPLINT-RIGHT FINGER 3 | $221.00 |
|
1384
|
FINGER DISLOC W MANIP/ANES- LEFT FINGER1 | $3,033.00 |
|
1385
|
FINGER DISLOC W MANIP/ANES- LEFT FINGER2 | $3,033.00 |
|
1386
|
AMINOCAPROIC ACID 250MG/ML (AMICAR) | $0.00 |
|
1387
|
FINGER DISLOC W MANIP/ANES- LEFT FINGER3 | $3,033.00 |
|
1388
|
FINGER DISLOC W MANIP/ANES- LEFT FINGER4 | $3,033.00 |
|
1389
|
FINGER DISLOC W MANIP/ANES- LEFT FINGER5 | $3,033.00 |
|
1390
|
TOE DISLOCATION W ANES- LEFT TOE 1 | $3,033.00 |
|
1391
|
TOE DISLOCATION W ANES- LEFT TOE 2 | $3,033.00 |
|
1392
|
TOE DISLOCATION W ANES- LEFT TOE 3 | $3,033.00 |
|
1393
|
TOE DISLOCATION W ANES- LEFT TOE 4 | $3,033.00 |
|
1394
|
TOE DISLOCATION W ANES- LEFT TOE 5 | $3,033.00 |
|
1395
|
FINGER DISLOC W MANIP/ANES-RIGHT FINGR 1 | $3,033.00 |
|
1396
|
FINGER DISLOC W MANIP/ANES-RIGHT FINGR 2 | $3,033.00 |
|
1397
|
AMINOPHYLLINE DRIP 400MG/500ML | $0.00 |
|
1398
|
FINGER DISLOC W MANIP/ANES-RIGHT FINGR 3 | $3,033.00 |
|
1399
|
FINGER DISLOC W MANIP/ANES-RIGHT FINGR 4 | $3,033.00 |
|
1400
|
FINGER DISLOC W MANIP/ANES-RIGHT FINGR 5 | $3,033.00 |
|
1401
|
TOE DISLOC W ANES- RIGHT TOE 1 | $3,033.00 |
|
1402
|
TOE DISLOC W ANES- RIGHT TOE 2 | $3,033.00 |
|
1403
|
TOE DISLOC W ANES- RIGHT TOE 3 | $3,033.00 |
|
1404
|
TOE DISLOC W ANES- RIGHT TOE 4 | $3,033.00 |
|
1405
|
TOE DISLOC W ANES- RIGHT TOE 5 | $3,033.00 |
|
1406
|
FINGER DISLOC WO ANES- LEFT FINGER 1 | $295.00 |
|
1407
|
FINGER DISLOC WO ANES- LEFT FINGER 2 | $295.00 |
|
1408
|
AGRYLIN 0.5MG CAP | $0.00 |
|
1409
|
FINGER DISLOC WO ANES- LEFT FINGER 3 | $295.00 |
|
1410
|
FINGER DISLOC WO ANES- LEFT FINGER 4 | $295.00 |
|
1411
|
FINGER DISLOC WO ANES- LEFT FINGER 5 | $295.00 |
|
1412
|
TOE DISLOC WO ANES- LEFT TOE 1 | $295.00 |
|
1413
|
TOE DISLOC WO ANES- LEFT TOE 2 | $295.00 |
|
1414
|
TOE DISLOC WO ANES- LEFT TOE 3 | $295.00 |
|
1415
|
TOE DISLOC WO ANES- LEFT TOE 4 | $295.00 |
|
1416
|
TOE DISLOC WO ANES- LEFT TOE 5 | $295.00 |
|
1417
|
FINGER DISLOC WO ANES- RIGHT FINGER 1 | $295.00 |
|
1418
|
FINGER DISLOC WO ANES- RIGHT FINGER 2 | $295.00 |
|
1419
|
ARGATROBAN 100MG INJ | $0.00 |
|
1420
|
FINGER DISLOC WO ANES- RIGHT FINGER 3 | $295.00 |
|
1421
|
FINGER DISLOC WO ANES- RIGHT FINGER 4 | $295.00 |
|
1422
|
FINGER DISLOC WO ANES- RIGHT FINGER 5 | $295.00 |
|
1423
|
TOE DISLOC WO ANES- RIGHT TOE 1 | $295.00 |
|
1424
|
TOE DISLOC WO ANES- RIGHT TOE 2 | $295.00 |
|
1425
|
TOE DISLOC WO ANES- RIGHT TOE 3 | $295.00 |
|
1426
|
TOE DISLOC WO ANES- RIGHT TOE 4 | $295.00 |
|
1427
|
TOE DISLOC WO ANES- RIGHT TOE 5 | $295.00 |
|
1428
|
INTRAOSSEOUS INFUSION | $282.00 |
|
1429
|
INTUBATION ENDOTRACHEAL EMERGENCY PROC | $282.00 |
|
1430
|
BETIMOL 0.5% OPHTH SOL’N 5ML | $0.00 |
|
1431
|
IV PUSH-SEQUENTIAL 48 | $98.00 |
|
1432
|
IV PUSH-SEQUENTIAL SAME SUBSTANCE | $98.00 |
|
1433
|
KNEE STRAPPING- BOTH | $276.00 |
|
1434
|
KNEE STRAPPING-LEFT | $221.00 |
|
1435
|
KNEE STRAPPING-RIGHT | $221.00 |
|
1436
|
INTMD WOUND RPR FACE/ MM 2.5CM OR LESS | $570.00 |
|
1437
|
CORT ENEMA 100MG 60 ML | $0.00 |
|
1438
|
INTMD WOUND RPR FACE/ MM 2.6-5.0 | $570.00 |
|
1439
|
INTMD WOUND RPR N/H/F/XTRNL GENT 2.5CM/< | $570.00 |
|
1440
|
INTMD WND RPR N/H/F/XTRNL GENT 2.6CM-7.5 | $570.00 |
|
1441
|
INTMD WND RPR S/A/T/EXT 12.6CM-20.0CM | $570.00 |
|
1442
|
INTMD WND RPR S/A/T/EXT 2.5CM/< | $570.00 |
|
1443
|
INTMD WND RPR S/A/T/EXT 2.6CM-7.5CM | $570.00 |
|
1444
|
INTMD WND RPR S/A/T/EXT 7.6CM-12.5CM | $570.00 |
|
1445
|
SPINAL PUNCTURE, LUMBAR | $682.00 |
|
1446
|
KNUCKLE DISLOC TX W MANIP/ ANES- BOTH | $368.00 |
|
1447
|
KNUCKLE DISLOC TX W MANIP/ ANES- LEFT | $295.00 |
|
1448
|
DECADRON 2 MG TAB | $0.00 |
|
1449
|
KNUCKLE DISLOC TX W MANIP/ ANES- RIGHT | $295.00 |
|
1450
|
KNUCKLE DISLOC TX W MANIP/ WO ANES- BOTH | $368.00 |
|
1451
|
KNUCKLE DISLOC TX W MANIP/ WO ANES- LEFT | $295.00 |
|
1452
|
KNUCKL DISLOC TX W MANIP/ WO ANES- RIGHT | $295.00 |
|
1453
|
METATARSAL FX WO MANIP- BOTH | $368.00 |
|
1454
|
METATARSAL FX WO MANIP- LEFT | $295.00 |
|
1455
|
METATARSAL FX WO MANIP- RIGHT | $295.00 |
|
1456
|
NAIL AVULSION- NAIL PALTE ADD-ON | $154.00 |
|
1457
|
NEBULIZER | $210.00 |
|
1458
|
NONIVASIVE EAR/PULSE OX 02 SAT SINGL | $0.00 |
|
1459
|
CYTOVENE 250MG CAP | $0.00 |
|
1460
|
NURSEMAID ELBOW W MANIP- BOTH | $369.00 |
|
1461
|
NURSEMAID ELBOW W MANIP- LEFT | $295.00 |
|
1462
|
NURSEMAID ELBOW W MANIP-RIGHT | $295.00 |
|
1463
|
PACE- INTERNAL TEMPORARY | $8,683.00 |
|
1464
|
PATELLAR DISLOCATION W ANES- BOTH | $3,791.00 |
|
1465
|
PATELLAR DISLOCATION W ANES-LEFT | $3,033.00 |
|
1466
|
PATELLAR DISLOCATION W ANES-RIGHT | $3,033.00 |
|
1467
|
PATELLAR DISLOCATION WO ANES-BOTH | $368.00 |
|
1468
|
PATELLAR DISLOCATION WO ANES-LEFT | $295.00 |
|
1469
|
PATELLAR DISLOCATION WO ANES- RIGHT | $295.00 |
|
1470
|
HEPARIN SOD INJ(USP)1000UNITS/ML(HEPARIN | $0.00 |
|
1471
|
PATELLAR DISLOCATION WO MANIP- BOTH | $368.00 |
|
1472
|
PATELLAR DISLOCATION WO MANIP-LEFT | $295.00 |
|
1473
|
PATELLAR DISLOCATION WO MANIP-RIGHT | $295.00 |
|
1474
|
PERICARDIOCENTESIS | $963.00 |
|
1475
|
PHALANGEAL DIS FX WO MANI- LEFT FINGER 1 | $295.00 |
|
1476
|
PHALANGEAL DIS FX WO MANI- LEFT FINGER 2 | $295.00 |
|
1477
|
PHALANGEAL DIS FX WO MANI- LEFT FINGER 3 | $295.00 |
|
1478
|
PHALANGEAL DIS FX WO MANI- LEFT FINGER 4 | $295.00 |
|
1479
|
PHALANGEAL DIS FX WO MANI- LEFT FINGER 5 | $295.00 |
|
1480
|
PHALANGEAL DIS FX WO MANIP- RT FINGER 1 | $295.00 |
|
1481
|
INSULIN 50/50 U-100 10ML | $0.00 |
|
1482
|
PHALANGEAL DIS FX WO MAINP- RT FINGER 2 | $295.00 |
|
1483
|
PHALANGEAL DIS FX WO MAINP- RT FINGER 3 | $295.00 |
|
1484
|
PHALANGEAL DIS FX WO MAINP- RT FINGER 4 | $295.00 |
|
1485
|
PHALANGEAL DIS FX WO MANIP- RT FINGER 5 | $295.00 |
|
1486
|
PHALAN SHFT FX PRX MID WO MAN-LFT FINGR1 | $295.00 |
|
1487
|
PHALAN SHFT FX PRX MID WO MAN-LFT FINGR2 | $295.00 |
|
1488
|
PHALAN SHFT FX PRX MID WO MAN-LFT FINGR3 | $295.00 |
|
1489
|
PHALAN SHFT FX PRX MID WO MAN-LFT FINGR4 | $295.00 |
|
1490
|
PHALAN SHFT FX PRX MID WO MAN-LFT FINGR5 | $295.00 |
|
1491
|
PHALAN SHFT FX PRX MID WO MAN-RT FINGR1 | $295.00 |
|
1492
|
INJ EPTIFIBATIDE 5MG (INTERGRILIN) | $0.00 |
|
1493
|
PHALAN SHFT FX PRX MID WO MAN-RT FINGR2 | $295.00 |
|
1494
|
PHALAN SHFT FX PRX MID WO MAN-RT FINGR3 | $295.00 |
|
1495
|
PHALAN SHFT FX PRX MID WO MAN-RT FINGR4 | $295.00 |
|
1496
|
PHALAN SHFT FX PRX MID WO MAN-RT FINGR5 | $295.00 |
|
1497
|
PHAL/ PHLG OTH THN GRT TOE W MAN-LFT TOE | $295.00 |
|
1498
|
PHAL/ PHLG OTH THN GRT TOE W MAN-LFT TOE | $295.00 |
|
1499
|
PHAL/ PHLG OTH THN GRT TOE W MAN-LFT TOE | $295.00 |
|
1500
|
PHAL/ PHLG OTH THN GRT TOE WMAN-LFT TOE5 | $295.00 |
|
1501
|
PHAL/ PHLG OTH THN GRT TOE WMAN-RT TOE | $295.00 |
|
1502
|
PHAL/ PHLG OTH THN GRT TOE WMAN-RT TOE | $295.00 |
|
1503
|
METHADONE 10MG/5ML 5ML UD | $0.00 |
|
1504
|
PHAL/ PHLG OTH THN GRT TOE WMAN-RT TOE | $295.00 |
|
1505
|
PHAL/ PHLG OTH THN GRT TOE WMAN-RT TOE5 | $295.00 |
|
1506
|
INSERT PICC CATH 5YR/> | $1,939.00 |
|
1507
|
ADMIIN PNEUMOCOCCAL VACCINE | $221.41 |
|
1508
|
PUNCT ASP- ABSCES/ HEMA/ BULLA /CYST | $248.00 |
|
1509
|
RADIALAND ULNA SHAFT FXS W MANIP- BOTH | $990.00 |
|
1510
|
RADIALAND ULNA SHAFT FXS W MANIP- LEFT | $990.00 |
|
1511
|
RADIALAND ULNA SHAFT FXS W MANIP-RIGHT | $990.00 |
|
1512
|
I & R FOREIGN BDY THIGH/ KNEE SIMPL-BOTH | $271.00 |
|
1513
|
REMOVAL FOREIGN BODY FRM NOSE | $114.00 |
|
1514
|
NORCO TAB | $0.00 |
|
1515
|
REMOVAL FOREIGN BODY FRM PHARYNX | $114.00 |
|
1516
|
I&R FB SUBCU TISSUE COMPLICATED | $2,974.00 |
|
1517
|
I&R FB SUBCU TISSUE SIMPLE | $483.00 |
|
1518
|
REMOVE FOREIGN BODY OUTER EAR | $114.00 |
|
1519
|
REMOVE FB EYE CORNEAL W SLIT LAMP | $185.00 |
|
1520
|
REMOVE FB EYE CORNEAL WO SLIT LAMP | $185.00 |
|
1521
|
REM FB IN MUSCLE TEND SHEATH SIMPLE | $774.00 |
|
1522
|
RPR LAC 2.5CM/< MOUTH & ANT 2/3 TONQUE | $187.00 |
|
1523
|
REPAIR OF NAIL BED | $209.00 |
|
1524
|
SHLDR DISLO W FX GTR HUM TUB WMANIP-BOTH | $1,238.00 |
|
1525
|
ZOFRAN OTD 4MG TAB | $0.00 |
|
1526
|
SHLDR DISLO W FX GTR HUM TUB WMANP-RIGHT | $990.00 |
|
1527
|
SHLDR DISLOCATION W MANIP/ ANES-BOTH | $1,238.00 |
|
1528
|
SHLDR DISLOCATION W MANIP/ ANES-LEFT | $990.00 |
|
1529
|
SHLDR DISLOCATION W MANIP/ ANES-RIGHT | $990.00 |
|
1530
|
SHLDR DISLOCATION W MANIP/ WO ANES-BOTH | $370.00 |
|
1531
|
SHLDR DISLOCATION W MANIP/ WO ANES-LEFT | $295.00 |
|
1532
|
SHLDR DISLOCATION W MANIP/ WO ANES-RIGHT | $295.00 |
|
1533
|
SHLDR DISLOC WSURG NCK FX W MANIP-BOTH | $369.00 |
|
1534
|
SHLDR DISLOC WSURG NCK FX W MANIP-LEFT | $295.00 |
|
1535
|
PILOCARPINE 5MG TAB | $0.00 |
|
1536
|
SHLDR DISLOC WSURG NCK FX W MANIP-RIGHT | $295.00 |
|
1537
|
SHOULDER STRAPPING- BOTH | $276.00 |
|
1538
|
SHOULDER STRAPPING- LEFT | $221.00 |
|
1539
|
SHOULDER STRAPPING-RIGHT | $221.00 |
|
1540
|
SIM RPR FAC EAR LID NS LP MU WND 2.5CM< | $209.00 |
|
1541
|
SIM RPR FAC EAR LID NS LP MU 2.6-5.0CM | $209.00 |
|
1542
|
SIM RPR FAC EAR LID NS LP MU 5.1-7.5CM | $209.00 |
|
1543
|
SIM RPR FAC EAR LID NS LP MU 7.6-12.5CM | $209.00 |
|
1544
|
SIM RPR FAC EAR LID NS LP MU GTR THN30CM | $570.00 |
|
1545
|
SIM RPR SCALP NCK AX GEN TRUNK 12.6-20CM | $209.00 |
|
1546
|
RESOURCE BENECALORIE 41.4GM | $0.00 |
|
1547
|
SIM RPR SCALP NCK AX GEN TRUNK 2.5CM< | $209.00 |
|
1548
|
SIM RPR SCALP NCK AX GEN TRUNK 2.6-7.5CM | $209.00 |
|
1549
|
SIM RPR SCALP NCK AX GEN TRUNK 20.1-30CM | $209.00 |
|
1550
|
SIM RPR SCALP NCK AX GEN TRNK 7.6-12.5CM | $209.00 |
|
1551
|
TEMPOROMANDIBULAR DISLOCATION 1ST/ SBSQ | $187.00 |
|
1552
|
TENDON REPAIR- DIGITAL SHEATH REP | $5,046.00 |
|
1553
|
TIBIA W BRG FX WO MANIP W/WO ANES- BOTH | $369.00 |
|
1554
|
TIBIA W BRG FX WO MANIP W/WO ANES- LEFT | $295.00 |
|
1555
|
TIBIA W BRG FX WO MANIP W/WO ANES- RT | $295.00 |
|
1556
|
ULNAR STYLOID FX WO MANIP- BOTH | $369.00 |
|
1557
|
REBETOL 200MG CAP | $0.00 |
|
1558
|
ULNAR STYLOID FX WO MANIP- LEFT | $295.00 |
|
1559
|
ULNAR STYLOID FX WO MANIP- RIGHT | $295.00 |
|
1560
|
UNLISTED PROC-ABDOMEN, PERITON & OMENTUM | $4,794.00 |
|
1561
|
UNLISTED PROC-PHARANX/ADENOIDS/TONSIL | $187.00 |
|
1562
|
UNLISTED PROC-SKIN, MUCOUS, SUBCUTANEOUS | $68.00 |
|
1563
|
VAGINAL DELIVERY | $3,611.00 |
|
1564
|
WEDGE EXCISION OF SKIN OF NAIL FOLD | $154.00 |
|
1565
|
LVL 1 ED SERVICES WO PROCEDURES | $200.00 |
|
1566
|
LVL 2 ED SERVICES WO PROCEDURES | $350.00 |
|
1567
|
LVL 3 ED SERVICES WO PROCEDURES | $850.00 |
|
1568
|
BETAPACE AF 80MG TAB | $0.00 |
|
1569
|
LVL 4 ED SERVICES WO PROCEDURES | $1,025.00 |
|
1570
|
LVL 5 ED SERVICES WO PROCEDURES | $1,275.00 |
|
1571
|
CRITICAL CARE LVL 6- FIRST HR | $4,000.00 |
|
1572
|
CRITICAL CARE -EA ADDTL 30 MIN | $815.00 |
|
1573
|
ANKL BIMALLEOLAR FX WO MANIP- BOTH | $369.00 |
|
1574
|
ANKL BIMALLEOLAR FX WO MANIP- LEFT | $295.00 |
|
1575
|
ANKL BIMALLEOLAR FX WO MANIP- RIGHT | $295.00 |
|
1576
|
ANKLE DISLOCATION WO ANES- BOTH | $369.00 |
|
1577
|
ANKLE DISLOCATION WO ANES- LEFT | $295.00 |
|
1578
|
ANKLE DISLOCATION WO ANES- RIGHT | $295.00 |
|
1579
|
SUBUTEX 2MG SL TAB | $0.00 |
|
1580
|
ARTICU FX INVG MTCARP JT W/O MANI- BOTH | $396.00 |
|
1581
|
ARTICU FX INVG MTCARP JT W/O MANI- LEFT | $295.00 |
|
1582
|
ARTICU FX INVG MTCARP JT W/O MANI- RIGHT | $295.00 |
|
1583
|
CHEST TUBE- BILATERAL | $1,080.00 |
|
1584
|
BLADDER IRRIGATION | $341.00 |
|
1585
|
BLADDER SCAN | $114.00 |
|
1586
|
BLOCK FOR PAIN- MUSCLE | $457.00 |
|
1587
|
BLOCK FOR PAIN- TENDON | $457.00 |
|
1588
|
BLOOD VESSEL REPAIR-Lower Extremity | $1,447.00 |
|
1589
|
CENTRAL LINE LESS THAN 5 YRS | $1,939.00 |
|
1590
|
TEGRETOL LIQ 100MG/5ML 5ML UD | $0.00 |
|
1591
|
CHEMICAL CAUTERY OF TISSUE | $262.00 |
|
1592
|
EYE CONJUNCTIVA EMBEDDED | $185.00 |
|
1593
|
RPR SIM FAC EAR LID NS LIP MUC 20.1-30CM | $209.00 |
|
1594
|
RPR INT SCALP/AX/TRU EXTRM >30CM | $570.00 |
|
1595
|
RPR INT SCALP/AX/TRU EXTRM 20.1-30.0CM | $570.00 |
|
1596
|
UNLISTED PROCEEDURE- GENITALIA FEMALE | $23.00 |
|
1597
|
UNLISTED PROCEEDURE- MALE | $194.00 |
|
1598
|
UNLISTED PROCEEDURE-HAND / FINGER | $263.00 |
|
1599
|
UNLISTED PROCEEDURE-INTESTINE | $4,794.00 |
|
1600
|
UNLISTED PROCEEDURE-RECTUM | $973.00 |
|
1601
|
MAGNESIUM S04 1GM/100ML D5W | $0.00 |
|
1602
|
FINGER STRAPPING- LEFT FINGER 1 | $221.00 |
|
1603
|
FINGER STRAPPING- LEFT FINGER 2 | $221.00 |
|
1604
|
FINGER STRAPPING- LEFT FINGER 3 | $221.00 |
|
1605
|
FINGER STRAPPING- LEFT FINGER 4 | $221.00 |
|
1606
|
FINGER STRAPPING- LEFT FINGER 5 | $221.00 |
|
1607
|
FINGER STRAPPING- RIGHT FINGER 1 | $221.00 |
|
1608
|
FINGER STRAPPING- RIGHT FINGER 2 | $221.00 |
|
1609
|
FINGER STRAPPING- RIGHT FINGER 3 | $221.00 |
|
1610
|
FINGER STRAPPING- RIGHT FINGER 4 | $221.00 |
|
1611
|
FINGER STRAPPING- RIGHT FINGER 5 | $221.00 |
|
1612
|
LEXAPRO 10MG TAB | $0.00 |
|
1613
|
HAND STRAPPING- BOTH | $221.00 |
|
1614
|
HAND STRAPPING- LEFT | $221.00 |
|
1615
|
HAND STRAPPING- RIGHT | $221.00 |
|
1616
|
GLUCOSE TOLERANCE TEST (GTT) | $57.00 |
|
1617
|
FEMORAL FX DISTL END CONDL WO /MAN-BOTH | $1,238.00 |
|
1618
|
FEMORAL FX DISTL END CONDL WO /MAN-LEFT | $990.00 |
|
1619
|
FEMORAL FX DISTL END CONDL WO /MAN-RT | $990.00 |
|
1620
|
GTUBE REPOSITION | $1,478.00 |
|
1621
|
FOLEY CATHETER – COMPLEX | $194.00 |
|
1622
|
NEBULIZER ADDITIONAL | $83.00 |
|
1623
|
CRIXIVAN 200MG CAP | $0.00 |
|
1624
|
CONSCIOUS SEDATION- SAME PHYS ADDTL 15 | $325.00 |
|
1625
|
CONSCIOUS SEDATION- SUPPORT PHYS-ADDTL15 | $325.00 |
|
1626
|
INTMD WOUND RPR FACE/ MM 5.0-7.5CM | $570.00 |
|
1627
|
INTMD WOUND RPR FACE/ MM 7.6-12.5CM | $209.00 |
|
1628
|
INTMD WOUND RPR FACE/ MM 12.6-20.0CM | $570.00 |
|
1629
|
INTMD WOUND RPR FACE/ MM 20.1-30.0CM | $570.00 |
|
1630
|
CLAVICLE FRACTURE W MANIP- BOTH | $3,900.00 |
|
1631
|
CLAVICLE FRACTURE W MANIP- LEFT | $3,900.00 |
|
1632
|
CLAVICLE FRACTURE W MANIP- RT | $3,900.00 |
|
1633
|
NONIVASIVE EAR/PULSE OX 02 SAT-MULTIPLE | $12.00 |
|
1634
|
LEVLEN-28 TAB | $0.00 |
|
1635
|
ELECTROCARDIOGRAM TRACING | $240.00 |
|
1636
|
CONSCIOUS SEDATION- SUPP PHYS <5YRS | $325.00 |
|
1637
|
APPLICATION OF SHOULDER CAST BI-LATERAL | $630.00 |
|
1638
|
APPLICATION OF SHOULDER CAST-LEFT | $504.00 |
|
1639
|
APPLICATION OF SHOULDER CAST-RIGHT | $504.00 |
|
1640
|
APPLICATION OF LONG ARM CAST-BOTH | $630.00 |
|
1641
|
APPLICATION OF LONG ARM CAST-LEFT | $504.00 |
|
1642
|
APPLICATION OF LONG ARM CAST-RIGHT | $504.00 |
|
1643
|
APPLICATION CAST ELB/ FNGR SHRT ARM-BOTH | $630.00 |
|
1644
|
APPLICATION CAST ELB/ FNGR SHRT ARM-LEFT | $504.00 |
|
1645
|
REF ALLERGY PANEL – MOLDS | $218.40 |
|
1646
|
APPLICATION CAST ELB/ FNGR SHRT ARM- RT | $504.00 |
|
1647
|
APPLIC CAST HND&LWR FOREARM GAUNTL-BOTH | $276.00 |
|
1648
|
APPLIC CAST HND&LWR FOREARM GAUNTL-LEFT | $221.00 |
|
1649
|
APPLIC CAST HND&LWR FOREARM GAUNTL-RT | $221.00 |
|
1650
|
APPLICATION CAST FINGER-LEFT FINGR 2 | $221.00 |
|
1651
|
APPLICATION CAST FINGER-LEFT FINGR 3 | $221.00 |
|
1652
|
APPLICATION CAST FINGER-LEFT FINGR 4 | $221.00 |
|
1653
|
APPLICATION CAST FINGER-LEFT FINGR 5 | $221.00 |
|
1654
|
APPLICATION CAST FINGER-RIGHT FINGR 1 | $221.00 |
|
1655
|
APPLICATION CAST FINGER-RIGHT FINGR 2 | $221.00 |
|
1656
|
REF OLIGOCLONAL IMMUNE | $19.45 |
|
1657
|
APPLICATION CAST FINGER-RIGHT FINGR 3 | $221.00 |
|
1658
|
APPLICATION CAST FINGER-RIGHT FINGR 4 | $221.00 |
|
1659
|
APPLICATION CAST FINGER-RIGHT FINGR 5 | $221.00 |
|
1660
|
APPLICATION CAST FINGER-LEFT FINGER 1 | $221.00 |
|
1661
|
RABIES VACCINE-IM | $516.00 |
|
1662
|
GLUCOSE TOLERANCE TEST- ER | $107.00 |
|
1663
|
REF MYELIN BASIC PROTEIN | $17.10 |
|
1664
|
REF, ALBUMIN, SERUM | $7.17 |
|
1665
|
REF, ALBUMIN, URINE | $7.35 |
|
1666
|
LOPEZ VALVE #1459000 | $20.72 |
|
1667
|
COPAXONE 20MG INJ | $0.00 |
|
1668
|
NAFCILLIN 1 GM INJ | $0.00 |
|
1669
|
IMITREX 25MG TAB | $0.00 |
|
1670
|
INFLUENZA VACCINE 0.5ML INJ | $0.00 |
|
1671
|
MANNITOL 20% 250ML INJ | $0.00 |
|
1672
|
LEVALBUTEROL 0.63MG UD RT | $0.00 |
|
1673
|
DESMOPRESSIN 0.01% NASAL SPY | $0.00 |
|
1674
|
ZYPREX ZYDIS 15MG TAB | $0.00 |
|
1675
|
NORTREL 1/35 TAB BCP | $0.00 |
|
1676
|
4.0 AGGRESSIVE CUTTER | $221.60 |
|
1677
|
3.2 COARSE DIAMOND | $372.00 |
|
1678
|
3-0 ETHILON PS-2 | $9.75 |
|
1679
|
3-0 MONOCRYL PS-2 | $16.95 |
|
1680
|
CATHETER FILIFORM | $211.05 |
|
1681
|
3M TEGADERM PLUS 2-3/8 | $11.88 |
|
1682
|
3M TEGADERM PLUS 3-1/2X10 | $11.88 |
|
1683
|
3M TEGADERM PLUS 6X6 | $11.88 |
|
1684
|
3MM FLUTED MATCHSTICK | $372.00 |
|
1685
|
4-0 AGGRESSIVE PLUS | $728.97 |
|
1686
|
WYCILLIN 1.2MU INJ | $0.00 |
|
1687
|
4FR FILIFORM STRAIGHT TIP | $184.95 |
|
1688
|
5.0 AGRESSIVE PLUS | $792.00 |
|
1689
|
5-0 AGGRESIVE PLUS | $792.00 |
|
1690
|
5FR FILIFORM STRAIGHT TIP | $211.05 |
|
1691
|
5MM DILATING TIP TROCAR | $1,212.72 |
|
1692
|
ACCESS PORT KIT | $1,785.00 |
|
1693
|
ACCESS PORT NEEDLE 3 1/2 | $30.00 |
|
1694
|
ACCESSORY ELECTRODE | $168.87 |
|
1695
|
ACCESSORY TIP COVER | $60.00 |
|
1696
|
ACCUPORT SIDE | $1,185.00 |
|
1697
|
DEXTROSE 25% INFANT SYG 10ML | $0.00 |
|
1698
|
ACL KIT | $0.00 |
|
1699
|
ADAPTER BRONCHSCOPE SWIVEL | $45.21 |
|
1700
|
ADAPTER INTRAMEDIC STUB | $6.30 |
|
1701
|
ADAPTER RACINE | $144.00 |
|
1702
|
ADAPTER URETERAL CATH | $2.49 |
|
1703
|
ADPTER URETERAL CATH | $43.20 |
|
1704
|
AGGRESSIVE CUTTER 3.5 MM | $139.02 |
|
1705
|
AGGRESSIVE PLUS 3 | $145.77 |
|
1706
|
AGGRESSIVE PLUS 4.0 | $166.29 |
|
1707
|
AGGRESSIVE TOOTH BLADE WIDE MED LONG | $89.25 |
|
1708
|
FREE PSA | $163.27 |
|
1709
|
AIRWAY- #10 | $5.88 |
|
1710
|
AIRWAY #8 | $2.97 |
|
1711
|
AIRWAY DISPOSABLE #5 | $1.65 |
|
1712
|
AIRWAY DISPOSABLE #6 | $1.65 |
|
1713
|
AIRWAY NASOPHARYNGEAL 26FR | $8.25 |
|
1714
|
AIRWAY NASOPHARYNGEAL 28FR | $8.25 |
|
1715
|
AIRWAY NASOPHARYNGEAL 30FR | $8.25 |
|
1716
|
ALISTRAP SOFT 2″X30″ | $144.00 |
|
1717
|
AM-8 DRILL TIP (A LEGEND TOOL 14CM 3ML) | $465.00 |
|
1718
|
ANESTHESIA CIRCUIT ADULT | $22.50 |
|
1719
|
ANESTHESIA CIRCUIT LATEX FREE | $22.95 |
|
1720
|
ANESTHESIA CIRCUIT PED | $15.45 |
|
1721
|
ANGIOCATH ALL SIZES | $8.85 |
|
1722
|
ANGIO- 14X1.75 | $8.85 |
|
1723
|
ANGIO- 16GA X 1 1/8 | $8.85 |
|
1724
|
ANGIO- 18G X 1 1/4 | $8.85 |
|
1725
|
ANGIO- 20GA X 1 1/4 | $8.85 |
|
1726
|
ANGIO- 20GA X 2 | $8.85 |
|
1727
|
ANGIO- 22GA X 1 | $8.85 |
|
1728
|
ANGIO- 24 X 3/4 | $8.85 |
|
1729
|
ASMANEX TWIST 220 MCG | $0.00 |
|
1730
|
ANGIO CATH 14 GA X 5.25 | $8.85 |
|
1731
|
ANGIO CATHETER 16X1.77 | $8.85 |
|
1732
|
ANGIOCATH 20G 1.88 | $8.85 |
|
1733
|
ANGLED CORNEAL KNIFE 2.7MM CLEAR | $425.40 |
|
1734
|
ANTERIOR CANNULA | $17.40 |
|
1735
|
APAPTOR SPKE RITE | $55.08 |
|
1736
|
API PROFICIENCY TEST | $0.00 |
|
1737
|
APPLICATOR COTTON 6″ | $1.29 |
|
1738
|
APPLICATOR FLOSEAL LAP | $1,770.00 |
|
1739
|
BLAKE DRAIN | $42.00 |
|
1740
|
ARCH KOH EFFICIENT 4.0 | $1,350.00 |
|
1741
|
ARM SLEEVE | $28.80 |
|
1742
|
SLING ARM ALL SIZES | $10.62 |
|
1743
|
ARM SLING MEDIUM | $10.62 |
|
1744
|
ARM SLING PED | $10.62 |
|
1745
|
ARM SLING SMALL | $10.62 |
|
1746
|
ARM SLING X-LARGE | $10.62 |
|
1747
|
ARMBOARD ADULT BENDABLE | $18.36 |
|
1748
|
ARMBOARD PEDS BENDABLE | $18.36 |
|
1749
|
ARTERIAL CATH SYSTEM | $30.00 |
|
1750
|
FIBRILLAR | $31.50 |
|
1751
|
ARTERIOCYTE PRP | $0.00 |
|
1752
|
ARTHROSCOPIC PUMP TUBING | $147.69 |
|
1753
|
ARTHROSCOPY PUMP TUBING | $174.66 |
|
1754
|
ASEPTIC FLUID TRANSFER | $48.75 |
|
1755
|
AUTOTRANFUSER | $391.33 |
|
1756
|
BAG PRESSURE 500CC | $3.75 |
|
1757
|
BAG TISSUE RETRIEVAL | $447.27 |
|
1758
|
BAG TISSUE RETRIEVAL 12MM | $267.27 |
|
1759
|
BAG-A-JET | $15.96 |
|
1760
|
BANDAGE ACE ALL SIZES | $4.59 |
|
1761
|
CATH ANGIO | $19.65 |
|
1762
|
BANDAGE ACE 4″ | $4.59 |
|
1763
|
BANDAGE ACE 6″ | $4.59 |
|
1764
|
BANDAGE ADHESION 3X4 | $684.00 |
|
1765
|
BANDAGE COBAN ALL SIZES | $9.69 |
|
1766
|
BANDAGE COBAN 2″ STL | $9.69 |
|
1767
|
BANDAGE COBAN 4″ STERILE | $9.69 |
|
1768
|
BANDAGE COBAN 4″ STERILE | $9.69 |
|
1769
|
BANDAGE COBAN 6″ STL | $3.75 |
|
1770
|
BANDAGE ELASTOPLAST 2 IN | $6.60 |
|
1771
|
BANDAGE ELASTOPLAST 4 IN | $16.86 |
|
1772
|
INTERCEED | $98.44 |
|
1773
|
BANDAGE ESMARK 4X9 | $4.38 |
|
1774
|
BANDAGE ESMARK 6X9 | $4.38 |
|
1775
|
BANDAGE UNNA BOOT 3IN X 10 YDS | $22.68 |
|
1776
|
BANDAGE UNNA BOOT 4 IN | $22.68 |
|
1777
|
BANDAID COVERLET 2X3 | $15.87 |
|
1778
|
BARREL BUR 4.0 MM | $154.26 |
|
1779
|
BARREL BUR 5.5 MM HOLLOW | $154.26 |
|
1780
|
BARREL BUR 5.5MM | $154.26 |
|
1781
|
BARRELL BUR 4.0 | $154.26 |
|
1782
|
BASKET STONE RETRIEVAL | $661.50 |
|
1783
|
CHEST TUBE STRAIGHT | $37.80 |
|
1784
|
Battery | $252.00 |
|
1785
|
BENZOIN TINCTURE | $0.24 |
|
1786
|
BINDER- ABDOMINAL 46/62 | $13.71 |
|
1787
|
BIOPSY FORCEP 2.8MM 160CM | $555.00 |
|
1788
|
BIOPSY FORCEPS 230CM DISP | $555.00 |
|
1789
|
BIPOLAR CUTTING FORCEP | $990.00 |
|
1790
|
BIT 14MM DRILL | $1,149.00 |
|
1791
|
BIT MILLING | $0.00 |
|
1792
|
BITE BLOCK PEDS | $10.62 |
|
1793
|
BITE STICK | $4.62 |
|
1794
|
CHEST TUBE ANGLED | $42.00 |
|
1795
|
BLADE | $89.25 |
|
1796
|
BLADE | $149.25 |
|
1797
|
BLADE | $300.00 |
|
1798
|
BLADE | $405.00 |
|
1799
|
BLADE SURGICAL ALL SIZES | $0.75 |
|
1800
|
BLADE #11 | $0.75 |
|
1801
|
BLADE #15 | $0.75 |
|
1802
|
BLADE AGRESSIVE PLUS 4.0 | $831.48 |
|
1803
|
BLADE ARTHRO-LOK 4MM CURVED LEFT | $188.52 |
|
1804
|
BLADE BANANA 4MM | $188.52 |
|
1805
|
CONFORM | $17.19 |
|
1806
|
BLADE BEAVER ORTHO 4MM | $30.72 |
|
1807
|
BLADE CORNEAL ANGLED | $426.48 |
|
1808
|
BLADE CUTTING | $12.45 |
|
1809
|
SURGICAL BLADE BOVIE | $16.38 |
|
1810
|
BLADE MINI BANANA CURVED | $33.21 |
|
1811
|
BLADE MINI MENISCUS 4MM | $33.21 |
|
1812
|
BLADE OSCILLATING | $246.00 |
|
1813
|
BLADE SAGITAL LARGE BONE | $32.40 |
|
1814
|
BLADE SAGITAL SAW | $37.80 |
|
1815
|
BLADE SAGITTAL 4.5X25.5X0.4 | $168.00 |
|
1816
|
NG TUBE | $22.05 |
|
1817
|
BLADE SURGICAL | $162.04 |
|
1818
|
BLADE SURGICAL | $168.00 |
|
1819
|
BLADE SURGICAL | $168.00 |
|
1820
|
BLADE SURGICAL | $168.00 |
|
1821
|
BLADE SURGICAL #11 | $144.54 |
|
1822
|
BLADE ULTRA CLAEA 6 IN EXT. INSULATION | $16.74 |
|
1823
|
BLADE ULTRA CLEAN 6 INCH | $15.57 |
|
1824
|
BLADE ULTRA CLEAN EXTENDED INSULATION | $16.65 |
|
1825
|
BLADES MEDICLIP CLIPPER | $6.30 |
|
1826
|
BLAKE DRAIN 10FR W/TROCAR | $93.51 |
|
1827
|
PT EVALUATION 15 MIN | $119.00 |
|
1828
|
BLAKE DRAIN 15FR W/TROCAR | $96.54 |
|
1829
|
BLANKET LOWER BAIR HUGGER | $23.85 |
|
1830
|
BLANKET UPPER BAIR HUGGER | $38.01 |
|
1831
|
BLANKET WHOLE BAIR HUGGER | $20.43 |
|
1832
|
BLOCK BITE ADULT DISP. | $2.25 |
|
1833
|
BOOT EQUALIZER LARGE | $106.80 |
|
1834
|
BOOT EQUALIZER ALL SIZES | $106.80 |
|
1835
|
BOOT EQUALIZER SHORT LEG (S/M) | $106.80 |
|
1836
|
BOOT EQUALIZER SHORT LEG (S/M) | $106.80 |
|
1837
|
BOOTIES YELLOW SUTURE | $1.62 |
|
1838
|
BOUGIE ALL SIZES | $195.00 |
|
1839
|
BRACE- WRIST ALL SIZES | $10.74 |
|
1840
|
BRACE- WRIST LARGE R | $10.74 |
|
1841
|
BRACE- WRIST SMALL L | $10.74 |
|
1842
|
BRACE- WRIST X-LARGE R | $10.74 |
|
1843
|
BRIEF STRETCH SF | $3.39 |
|
1844
|
BRONCH TUBE 37FR RT | $152.52 |
|
1845
|
BRONCH TUBE LT. 41FR. | $152.52 |
|
1846
|
BRONCH TUBE RT 41FR. | $152.52 |
|
1847
|
BRUSH CLEANING | $0.00 |
|
1848
|
BRUSH FEMORAL | $60.99 |
|
1849
|
BRUSH HAIR | $0.00 |
|
1850
|
BRUSH SCRUB BLUE BOX | $0.00 |
|
1851
|
BRUSH SCRUB SURGICAL | $0.00 |
|
1852
|
BRUSH SCRUB W/OUT DETERGENT | $0.00 |
|
1853
|
BULB REPLACEMENT LARYNGOSCOPE | $0.00 |
|
1854
|
BULB REPLACEMENT OTOSCOPE | $0.00 |
|
1855
|
BULB SIGMOIDOSCOPE | $0.00 |
|
1856
|
BULB WELCH ALLYN | $0.00 |
|
1857
|
BULLDOG CLAMPS 2.3CM | $291.18 |
|
1858
|
BULLDOG CLAMPS 3.2CM | $291.18 |
|
1859
|
BUR GUARD MICRO LONG | $954.00 |
|
1860
|
BURR 3.5MM | $227.85 |
|
1861
|
BURR 4.0 ROUND | $227.85 |
|
1862
|
BURR TRANS NASAL 13X3 | $1,137.00 |
|
1863
|
BUTTON DEVICE 18FR | $711.00 |
|
1864
|
CABLE INTERFACE CARDIAC OUTPUT | $0.00 |
|
1865
|
CABLE LIGHT | $0.00 |
|
1866
|
CABLE NERVE MONITORING | $0.00 |
|
1867
|
CABLE TRANSDUCER INTERFACE | $0.00 |
|
1868
|
CANNULA CRYSTAL | $75.00 |
|
1869
|
CANNULA DISPOSABLE CUFFLESS ALL SIZES | $99.57 |
|
1870
|
CANNULA DISP ALL SIZES | $200.00 |
|
1871
|
CANNULA DISP CUFFLESS #4 | $99.57 |
|
1872
|
CANNULA- INTERLINK | $0.84 |
|
1873
|
CANNULA- NASAL RT | $1.44 |
|
1874
|
CANNULA PATH | $300.00 |
|
1875
|
CANNULA TWIST IN | $75.00 |
|
1876
|
CAP BOUFFANT GREEN | $0.00 |
|
1877
|
CAP REDUCER ENDOPATH ONE SEAL | $81.27 |
|
1878
|
CAP RETRACTOR | $0.00 |
|
1879
|
CARTER THOMPSON | $288.75 |
|
1880
|
PADDING CAST ALL SIZES | $7.02 |
|
1881
|
CAST PADDING 6″ | $7.02 |
|
1882
|
CAST PADDING 6″ SOF ROL | $7.02 |
|
1883
|
CAST PADDING SOF-ROL 3″ | $7.02 |
|
1884
|
CASTING TAPE 3X4YD | $7.86 |
|
1885
|
CASTING TAPE 5X4YD | $7.86 |
|
1886
|
CATH 18FR 5CC COUNCIL | $56.55 |
|
1887
|
CATH 20FR 5CC COUNCIL | $56.55 |
|
1888
|
CATH 22FR 5CC COUNCIL | $56.55 |
|
1889
|
CATH ARTERIAL EMBOLECTOMY 4F | $102.00 |
|
1890
|
CATH BRONCH 37FR | $292.02 |
|
1891
|
CATH BRONCH 37FR LT | $292.02 |
|
1892
|
CATH BRONCH 39FR | $292.02 |
|
1893
|
CATH CHOLANGIOGRAM 7.5FR 18IN. | $83.70 |
|
1894
|
CATH CONE TIP ALL SIZES | $38.58 |
|
1895
|
CATH CONE TIP 12FR | $38.58 |
|
1896
|
CATH CONE TIP 8FR | $38.58 |
|
1897
|
CATH COUDE 20FR 5CC 2-WAY | $49.23 |
|
1898
|
CATH COUDE 22FR 5CC 2-WAY | $49.23 |
|
1899
|
CATH COUDE 24FR 5CC | $49.23 |
|
1900
|
CATH COUDE 30 CC 20 FR | $49.23 |
|
1901
|
CATH- COUDE TIP 12FR | $49.35 |
|
1902
|
CATH- COUDE TIP 14FR | $49.35 |
|
1903
|
CATH- COUDE TIP 16FR | $49.35 |
|
1904
|
CATH- COUDE TIP 18FR | $49.35 |
|
1905
|
CATH DIALYSIS 19 PALINDROME | $1,146.00 |
|
1906
|
CATH DIALYSIS 23 PALINDROME | $1,146.00 |
|
1907
|
CATH EMBOLECTOMY #2 LONG | $210.00 |
|
1908
|
CATH EMBOLECTOMY ALL SIZES | $239.55 |
|
1909
|
CATH EMBOLECTOMY 4FR | $239.55 |
|
1910
|
CATH EMBOLECTOMY 5FR | $239.55 |
|
1911
|
CATH FOGARTY 4FR 80CM | $102.00 |
|
1912
|
CATH- FOLEY 16FR 30CC 3WAY | $27.06 |
|
1913
|
CATH FOLEY 16FR 5CC | $69.24 |
|
1914
|
CATH- FOLEY 2WAY 30CC 12FR | $56.55 |
|
1915
|
CATH- FOLEY 2WAY 30CC 14FR | $56.55 |
|
1916
|
CATH- FOLEY 2WAY 30CC 16FR | $56.55 |
|
1917
|
CATH- FOLEY 2WAY 30CC 20FR | $56.55 |
|
1918
|
CATH- FOLEY 2WAY 30CC 22FR | $56.55 |
|
1919
|
CATH- FOLEY 2WAY 30CC 24FR | $56.55 |
|
1920
|
CATH- FOLEY 2WAY 30CC 26FR | $56.55 |
|
1921
|
CATH- FOLEY 2WAY 30CC 28FR | $56.55 |
|
1922
|
CATH- FOLEY 2WAY 30CC 30FR | $56.55 |
|
1923
|
CATH- FOLEY 2WAY 3CC 10FR | $56.55 |
|
1924
|
CATH- FOLEY 2WAY 3CC 8FR | $56.55 |
|
1925
|
CATH- FOLEY 2WAY 5CC 12FR | $56.55 |
|
1926
|
CATH- FOLEY 2WAY 5CC 14FR | $56.55 |
|
1927
|
CATH- FOLEY 2WAY 5CC 16FR | $56.55 |
|
1928
|
CATH- FOLEY 2WAY 5CC 18FR | $56.55 |
|
1929
|
CATH- FOLEY 2WAY 5CC 18FR | $56.55 |
|
1930
|
CATH- FOLEY 2WAY 5CC 20FR | $56.55 |
|
1931
|
CATH- FOLEY 2WAY 5CC 22FR | $56.55 |
|
1932
|
CATH- FOLEY 2WAY 5CC 24FR | $56.55 |
|
1933
|
CATH- FOLEY 2WAY 5CC 26FR | $56.55 |
|
1934
|
CATH- FOLEY 2WAY 5CC 28FR | $56.55 |
|
1935
|
CATH- FOLEY 3WAY 30CC 18FR | $36.48 |
|
1936
|
CATH- FOLEY 3WAY 30CC 20FR | $36.48 |
|
1937
|
CATH- FOLEY 3WAY 30CC 22FR | $36.48 |
|
1938
|
CATH- FOLEY 3WAY 30CC 24FR | $36.48 |
|
1939
|
CATH- FOLEY 3WAY 30CC 26FR | $46.35 |
|
1940
|
CATH- FOLEY 3WAY 5CC 16FR | $46.35 |
|
1941
|
CATH- FOLEY 3WAY 5CC 18FR | $46.35 |
|
1942
|
CATH- FOLEY 3WAY 5CC 20FR | $46.35 |
|
1943
|
CATH- FOLEY 3WAY 5CC 22FR | $46.35 |
|
1944
|
CATH- FOLEY 3WAY 5CC 24FR | $46.35 |
|
1945
|
CATH- FOLEY 3WAY 5CC 26FR | $46.35 |
|
1946
|
CATH FOLEY 5CC 16FR LATEX FREE | $14.94 |
|
1947
|
CATH FOLEY 5CC 18FR LATEX FREE | $14.94 |
|
1948
|
CATH NIAGARA SLIM 15CM | $210.00 |
|
1949
|
CATH NIAGARA SLIM 20CM | $210.00 |
|
1950
|
CATH PHILLIP FOLLOWER 10FR | $322.92 |
|
1951
|
CATH PHILLIPS FOLLOWER 12FR | $322.92 |
|
1952
|
CATH PHILLIPS FOLLOWER 14FR | $322.92 |
|
1953
|
CATH PHILLIPS FOLLOWER 16FR | $322.92 |
|
1954
|
CATH PHILLIPS FOLLOWER 18FR | $322.92 |
|
1955
|
CATH PHILLIPS FOLLOWER 20FR | $322.92 |
|
1956
|
CATH PHILLIPS FOLLOWER 8FR | $322.92 |
|
1957
|
PIN TROCAR 1/2 X 3 | $21.36 |
|
1958
|
PROGRASP FORCEPS | $660.00 |
|
1959
|
RENTAL ABLATION TOOL | $4,200.00 |
|
1960
|
#20 GA WIRE | $201.60 |
|
1961
|
#5 FIBERWIRE | $108.00 |
|
1962
|
18.0D ANTERIOR CHAMBER | $525.00 |
|
1963
|
FAST FIX 360 | $176.00 |
|
1964
|
SCREW | $87.50 |
|
1965
|
3D MESH LARGE, LEFT BARD | $1,113.00 |
|
1966
|
3D MESH, LARGE RIGHT BARD | $1,113.00 |
|
1967
|
ACRYSOF 18.5D | $670.00 |
|
1968
|
ACRYSOF 20.5D | $670.00 |
|
1969
|
ACTIFUSE ALL SIZES | $4,250.00 |
|
1970
|
ACYRSOF 19.0D | $670.00 |
|
1971
|
AMBI PLATE 150 DEG | $2,195.00 |
|
1972
|
SUTURE ANCHOR ALL SIZES | $1,350.00 |
|
1973
|
ANCHOR | $1,475.00 |
|
1974
|
ANCHOR SUTURE CORKSCREW 5.5 | $1,675.00 |
|
1975
|
APPLIER 10MM M/L | $853.75 |
|
1976
|
APPLIER 5MM CLIP | $570.00 |
|
1977
|
APPLIER MCA MULTI CLIP 20 LRG | $283.50 |
|
1978
|
APPLIER MULTIPLE CLIP MED/LG | $144.15 |
|
1979
|
APPLIER ROTATING ENDOSCOPIC CLIP | $420.75 |
|
1980
|
APRON | $0.00 |
|
1981
|
AQUA-KNOT WATERTRAP | $0.00 |
|
1982
|
ATTEST RAPID READOUT | $0.00 |
|
1983
|
AVAGARD HAND SOAP W/LOTION | $0.00 |
|
1984
|
AWL SOLITAIRE | $0.00 |
|
1985
|
BAG BIOHAZARD 8X10 | $0.00 |
|
1986
|
BAG FLUID COLLECTION | $0.00 |
|
1987
|
PTA BALLOON ALL SIZES | $1,060.00 |
|
1988
|
BALLOON DILATION 12-13.5-15MM | $1,185.00 |
|
1989
|
BALLOON DILATION FIXED WIRE 6-7-8 | $1,185.00 |
|
1990
|
BALLOON DILATOR 18-20 | $812.00 |
|
1991
|
BALLOON REP. FEED | $225.00 |
|
1992
|
BALLOON, DILATION FIXED WIRE 10-11-12MM | $1,185.00 |
|
1993
|
BIOCIDE | $0.00 |
|
1994
|
FORCEP BIOPSY ALL SIZES | $36.64 |
|
1995
|
BLACKER XIA 3 | $750.00 |
|
1996
|
BMP INFUSE LARGE | $27,040.00 |
|
1997
|
BMP INFUSE ALL SIZES | $17,255.00 |
|
1998
|
BMP MED INFUSE SET MED | $24,465.00 |
|
1999
|
BMP XSMALL INFUSE | $8,630.00 |
|
2000
|
BONE 5MM CERVICAL | $0.00 |
|
2001
|
BONE MATRIX CRUNCH | $0.00 |
|
2002
|
BONE SCREW SYSTEM | $0.00 |
|
2003
|
BONE WAX | $19.25 |
|
2004
|
CAGE | $0.00 |
|
2005
|
CAGE 100 | $0.00 |
|
2006
|
CAGE LORDOTIC ALL SIZES | $0.00 |
|
2007
|
CAGE 11X14 7MM | $0.00 |
|
2008
|
CAGE 14MM | $0.00 |
|
2009
|
CAGE 18X55 RATTLESNAKE | $0.00 |
|
2010
|
CAGE 39X21X16 | $0.00 |
|
2011
|
CAGE 42X21X16 | $0.00 |
|
2012
|
CAGE 6MMX14 | $0.00 |
|
2013
|
CAGE 8MM | $0.00 |
|
2014
|
CAGE 8MM LORDOTIC | $0.00 |
|
2015
|
CAGE BACFUSE | $0.00 |
|
2016
|
CAGE ALL SIZES | $0.00 |
|
2017
|
CAGE PEEK 12MM | $0.00 |
|
2018
|
CAGE PEEK 6MM | $0.00 |
|
2019
|
CAGE PEEK 7MM | $0.00 |
|
2020
|
CAGE PEEK 8X50X8 | $0.00 |
|
2021
|
CAGE SD | $0.00 |
|
2022
|
CAGE XLIF 12X18X50 | $0.00 |
|
2023
|
CALIBRATION TUBE | $0.00 |
|
2024
|
CANNULATED SCREW | $0.00 |
|
2025
|
CAP SCREW | $0.00 |
|
2026
|
CAP SURGICAL | $0.00 |
|
2027
|
CAPS SCREW | $0.00 |
|
2028
|
CAROTID BYPASS SHUNT | $240.00 |
|
2029
|
CART 10″ 1UM CODE PP ROG | $0.00 |
|
2030
|
CART 10″ 20UM CARON | $0.00 |
|
2031
|
CARTRIDGE INK | $0.00 |
|
2032
|
CARTRIDGE PREFILTER | $0.00 |
|
2033
|
CARTRIDGE PREFILTER | $0.00 |
|
2034
|
CARTRIDGE PREFILTER | $0.00 |
|
2035
|
CASSETTE NX | $0.00 |
|
2036
|
CASTROVIEJO TITANIUM 6 | $0.00 |
|
2037
|
CASTROVIEJO TITANIUM 7 1/4 | $0.00 |
|
2038
|
CATH GROSHONG 9.5 DBL LUMEN | $1,455.00 |
|
2039
|
CATH HEMOSPLIT 14.5 BIOBLOC | $1,430.00 |
|
2040
|
CATH HEMOSPLIT 14.5 LEFT | $2,557.50 |
|
2041
|
CATH HEMOSPLIT 14.5 RIGHT | $2,557.50 |
|
2042
|
CATH HEMOSPLIT 14.5FR | $2,557.50 |
|
2043
|
CATH HEMOSPLIT 16FR | $2,128.50 |
|
2044
|
CATH HEMOSPLIT 24 | $2,325.00 |
|
2045
|
CATH HEMOSPLIT 27 | $1,800.00 |
|
2046
|
ATIVAN 2MG INJ | $0.00 |
|
2047
|
CATH HEMOSPLIT STD. BIOBLOC | $2,600.00 |
|
2048
|
CATH HICKMAN 9.6 FR SGL LUMEN | $500.00 |
|
2049
|
CATH- QUINTON 11.5 X 13.5 CM | $718.10 |
|
2050
|
CATH QUINTON 11.5X19 DBL. | $699.60 |
|
2051
|
CATH QUINTON CURL 24.4 16FR | $487.00 |
|
2052
|
CATH ROBINSON ALL SIZES | $8.97 |
|
2053
|
CATH RED ROBINSON 12FR | $8.97 |
|
2054
|
CATH RED ROBINSON 14FR | $8.97 |
|
2055
|
CATH RED ROBINSON 16FR | $8.97 |
|
2056
|
CATH RED ROBINSON 18FR | $8.97 |
|
2057
|
CATH RED ROBINSON 20FR | $8.97 |
|
2058
|
CATH RED ROBINSON 22FR | $8.97 |
|
2059
|
CATH RED ROBINSON 24 FR | $8.97 |
|
2060
|
CATH RED ROBINSON 26 FR | $8.97 |
|
2061
|
CATH RED ROBINSON 28 FR | $8.97 |
|
2062
|
CATH RED ROBINSON 24 FR | $8.97 |
|
2063
|
CATH THORACIC RT ANGLE 24FR | $23.25 |
|
2064
|
CATH THORACIC RT ANGLE 28FR | $23.25 |
|
2065
|
CATH THORACIC RT ANGLE 36FR | $23.25 |
|
2066
|
CATH THORACIC STRAIGHT 20FR | $23.25 |
|
2067
|
CATH THORACIC STRAIGHT 28FR | $23.25 |
|
2068
|
CATH THORACIC STRAIGHT 32FR | $23.25 |
|
2069
|
CATH THORACIC STRAIGHT 36FR | $23.25 |
|
2070
|
CATH TRI-FLO 12FR. | $1.23 |
|
2071
|
CATH URETERAL 6FR | $3.96 |
|
2072
|
CATH URETERAL TAPER TIP 5FR | $3.96 |
|
2073
|
CATH URETERAL TAPERED TIP | $3.96 |
|
2074
|
CATH URETHAL SPIRAL TIP 3 FR | $3.96 |
|
2075
|
CATH URETHAL ST TIP 6 FR | $3.96 |
|
2076
|
CATH WHISTLE TIP 4FR LEFT | $3.96 |
|
2077
|
CATH WHISTLE TIP 5FR RIGHT | $36.77 |
|
2078
|
CATH WHISTLE TIP 6FR RIGHT | $36.75 |
|
2079
|
CATH WORD BARTHOLIN | $54.69 |
|
2080
|
CATHETER CHOLANGIOGRAPHY | $100.50 |
|
2081
|
CATHETER COOK AIRWAY | $148.02 |
|
2082
|
CATHETER CRUZ | $457.50 |
|
2083
|
CATHETER FOGARTY | $61.80 |
|
2084
|
CATHETER FOGARTY | $61.80 |
|
2085
|
CATHETER FOGARTY 4FR | $102.00 |
|
2086
|
CATHETER SILCONE 24FR | $1,623.00 |
|
2087
|
CATH THROMBECTOMY ALL SIZES | $135.00 |
|
2088
|
CATHETER THROMBECTOMY 4FR 40CM | $135.00 |
|
2089
|
CATHETER THROMBECTOMY 5FR 40CM | $135.00 |
|
2090
|
CAUTERY MONOPOLAR | $195.00 |
|
2091
|
CAUTERY PENCIL W/TIP | $4.62 |
|
2092
|
CAUTERY TIP EXTENDED BLADE | $10.29 |
|
2093
|
CAUTERY TIP MODIFIED | $10.41 |
|
2094
|
CAUTERY TIP- NEEDLE POINT | $3.60 |
|
2095
|
CAUTERY TIP POLISHER | $1.83 |
|
2096
|
CEMEN HOOK | $60.48 |
|
2097
|
CEMENT BIO PREP JOINT KIT | $1,079.49 |
|
2098
|
CENTRAL VENOUS CATH 20 | $145.91 |
|
2099
|
CFAS CALIBRATOR | $0.00 |
|
2100
|
CFAS CALIBRATOR | $0.00 |
|
2101
|
CHEMICAL MONITORING STRIPS | $0.00 |
|
2102
|
CHEMICAL MONITORING STRIPS | $0.00 |
|
2103
|
CHLORAPREP 26ML | $21.09 |
|
2104
|
CHLORAPREP 3.0ML | $2.87 |
|
2105
|
CHS SUPER LAG SCREW | $5.49 |
|
2106
|
CIAGLIA PERC. TRACH INTRO SET | $2,125.00 |
|
2107
|
CIDEX OPA SOLUTION | $0.00 |
|
2108
|
CIDEX OPA SOLUTION TEST STRIPS | $0.00 |
|
2109
|
CIRCUIT ANESTHESA ADULT | $28.86 |
|
2110
|
CLAMP BONE HOLDING | $0.00 |
|
2111
|
CLAMP BULLDOG (VASCU STATT ) | $45.96 |
|
2112
|
CLAMP BULLDOG (VASCU STATT) | $45.96 |
|
2113
|
CLAMP BULLDOG (VASCUSTATT) | $45.96 |
|
2114
|
CLAMP BULLDOG DISP. | $45.96 |
|
2115
|
CLAMP EDNA TOWEL 5 1/2″ | $0.00 |
|
2116
|
CLAMP, BOOK WALTER, ADVANCED TILT BLADE | $0.00 |
|
2117
|
CLINI TEMP | $0.00 |
|
2118
|
CO2 DETECTOR EASY 30MM | $0.00 |
|
2119
|
CO2 SAMPLE LINE | $0.00 |
|
2120
|
COBRA RETRACTOR DEEP | $0.00 |
|
2121
|
COILED CATH WITH STYLET 15FR | $151.83 |
|
2122
|
COLD KNIFE | $405.00 |
|
2123
|
PACK HEAT/COLD | $1.32 |
|
2124
|
COLLAR BUTTON | $24.48 |
|
2125
|
COLLECTION SYSTEM SAFETOUCH | $42.00 |
|
2126
|
CONNECTOR 5-1 | $0.66 |
|
2127
|
TOURNIQUET STERILE 1X1 | $2.34 |
|
2128
|
TOWEL OR 4PK | $5.58 |
|
2129
|
TOWEL STERILE SINGLE | $1.86 |
|
2130
|
TRACH BRONCH STENT GRAFT | $6,585.00 |
|
2131
|
TRACH BRONCH STENT GRATF 6FR 80X80 | $6,585.00 |
|
2132
|
TRACH FLEX TIP 6.5 | $10.47 |
|
2133
|
TRACH FLEX TIP 7.0 | $10.47 |
|
2134
|
TRACH FLEX TIP 7.5 | $10.47 |
|
2135
|
TRACH FLEX TIP 8.0 | $10.47 |
|
2136
|
TRACH INTRODUCER | $1,012.80 |
|
2137
|
TRACH TUBE 8XLT | $37.68 |
|
2138
|
TRACH TUBE NASAL RAE | $14.31 |
|
2139
|
TRACH TUBE NASAL RAE | $14.31 |
|
2140
|
TRACH TUBE NASAL RAE | $14.31 |
|
2141
|
TRACH TUBE NASAL RAE | $14.31 |
|
2142
|
TRACH NASAL RAE ALL SIZES | $14.31 |
|
2143
|
TRACH/BROCH STENT GRAFT 8FR 7×60 | $6,585.00 |
|
2144
|
TRACH/BRONCH GRAFT STENT 9FR 40X80 | $6,585.00 |
|
2145
|
TRACH/BRONCH STENT GRAFT 8 FR 40X80 | $6,585.00 |
|
2146
|
TRACH/BRONCH STENT GRAFT 8 FR 40X80 | $6,585.00 |
|
2147
|
TRACH/BRONCH STENT GRAFT 9FR 10X60 | $6,585.00 |
|
2148
|
TRACH/BRONCH STENT GRAFT 9FR 8X60 | $6,585.00 |
|
2149
|
TRACTION BOOT | $506.88 |
|
2150
|
TRACTION BOOT UNIVERSAL | $506.88 |
|
2151
|
TRANSDUCER DOME SGL | $45.90 |
|
2152
|
TRAY CATH FOLEY 16FR | $24.96 |
|
2153
|
TRAY EPIDURAL | $55.80 |
|
2154
|
TRAY EZ SKIN PREP | $8.07 |
|
2155
|
TRAY FOLEY CATH 16FR LATEX FREE | $34.32 |
|
2156
|
TRAY GAUZE VAGINAL 2X3 | $10.32 |
|
2157
|
TRAY LACERATION | $13.53 |
|
2158
|
TRAY PERICARDIAL CENTEHISIS | $482.40 |
|
2159
|
TRAY PLUER-EVAC | $332.49 |
|
2160
|
TRAY QUINCKE 22GA. | $62.43 |
|
2161
|
TRAY SKIN PREP | $8.07 |
|
2162
|
TRAY SPINAL 25GA QUINCKE | $63.15 |
|
2163
|
TRAY SPINAL ANESTHESIA | $41.40 |
|
2164
|
TRAY SPINAL ANESTHESIA | $49.23 |
|
2165
|
TROCAR 10-15MM VERSAPORT | $399.00 |
|
2166
|
TROCAR 10MM BLUNT TIP | $533.34 |
|
2167
|
TROCAR | $139.20 |
|
2168
|
TROCAR 11MMX100 BLADED | $558.00 |
|
2169
|
TROCAR 11MMX100 SLEEVE | $558.00 |
|
2170
|
TROCAR 12 BLADELESS | $267.24 |
|
2171
|
TROCAR 12 LONG | $310.41 |
|
2172
|
TROCAR 12MM BLUNT | $227.76 |
|
2173
|
TROCAR 12MMX100 BLADED | $540.00 |
|
2174
|
TROCAR 12MMX100 NONBLADED | $540.00 |
|
2175
|
TROCAR 12MMX100 SLEEVE | $540.00 |
|
2176
|
TROCAR 12MMX150 NONBLADED | $90.00 |
|
2177
|
TROCAR 15 BLADELESS | $431.01 |
|
2178
|
TROCAR 15X150MM | $153.00 |
|
2179
|
TROCAR 3.2 | $371.79 |
|
2180
|
TROCAR 5 | $195.75 |
|
2181
|
TROCAR 5 BLADELESS | $195.75 |
|
2182
|
TROCAR 5 LONG | $234.54 |
|
2183
|
TROCAR 5-11MM VERSA PORT | $324.63 |
|
2184
|
TROCAR 5MM DIALATING TIP | $144.48 |
|
2185
|
TROCAR 5MM NON BLADED | $360.00 |
|
2186
|
TROCAR 5MMX100 SLEEVE ADVNCED | $360.00 |
|
2187
|
TROCAR 5MMX100MM BLADED | $378.00 |
|
2188
|
TROCAR 5MMX100MM SLEEVE | $378.00 |
|
2189
|
TROCAR 5MMX150 NONBLADE | $378.00 |
|
2190
|
TROCAR BALLOON | $247.50 |
|
2191
|
TROCAR BLUNT TIP 12X100 | $577.50 |
|
2192
|
TROCAR DIALATIN TIP | $260.04 |
|
2193
|
TROCAR DILATING TIP 12MM | $260.04 |
|
2194
|
TROCAR ENDO CLOSE DEVICE | $154.74 |
|
2195
|
TROCAR ENDOPATH | $159.75 |
|
2196
|
TROCAR ENDOPATH 11MM OPTICAL | $159.75 |
|
2197
|
TROCAR THORACOPORT 11.5MM | $156.75 |
|
2198
|
TROCAR VERSAPORT 5MM | $156.75 |
|
2199
|
T-TUBE 12FR CATTELL | $44.49 |
|
2200
|
T-TUBE 14FR CATTELL | $44.49 |
|
2201
|
T-TUBE 16FR CATTELL | $44.49 |
|
2202
|
T-TUBE 18FR CATTELL | $44.49 |
|
2203
|
T-TUBE DENVER SZ 16 | $17.94 |
|
2204
|
T-TUBE DENVER SZ 18 | $17.94 |
|
2205
|
ZERIT 20MG CAP | $0.00 |
|
2206
|
T-TUBE DENVER SZ 20 | $17.94 |
|
2207
|
T-TUBE DENVER SZ 22 | $17.94 |
|
2208
|
TUBE BRONCH ALL SIZES | $768.00 |
|
2209
|
TUBE CUFFLESS FENESTRATED #4 | $99.00 |
|
2210
|
TUBE CUFFLESS FENESTRATED #8 | $133.11 |
|
2211
|
TUBE FEEDING G 24FR | $166.29 |
|
2212
|
TUBE G BUTTON 15FRX3.4 | $246.06 |
|
2213
|
TUBE INFANT FEEDING 5FR | $1.83 |
|
2214
|
TUBE METRX 7X22MM | $1,149.00 |
|
2215
|
TUBE MIC FEEDING 18 | $129.93 |
|
2216
|
RECOMBINATE INJ 250 IU | $0.00 |
|
2217
|
TUBE FEEDING ALL SIZES | $20.22 |
|
2218
|
TUBE MIC FEEDING 20FR | $129.93 |
|
2219
|
TUBE MIC FEEDING 22 | $129.93 |
|
2220
|
TUBE MIC FEEDING 22 FR | $129.93 |
|
2221
|
TUBE ORAL RAE 7.5 CUFFED | $144.21 |
|
2222
|
TRACH ORAL RAE ALL SIZES | $144.21 |
|
2223
|
TUBE SET DISPOSABLE | $167.40 |
|
2224
|
TUBE SUCTION SURGICAL | $183.03 |
|
2225
|
TUBE TRACH UN-CUFFED | $14.16 |
|
2226
|
TUBE TRACH CUFFED | $4.95 |
|
2227
|
TUBE TRACH CUFFED #10 | $102.72 |
|
2228
|
TUBE TRACH CUFFED #8 | $102.72 |
|
2229
|
TUBE TRACH PEDS W/OBITUATOR | $124.50 |
|
2230
|
TUBE TRACH SGL #9 | $77.82 |
|
2231
|
TUBING BULK | $2.46 |
|
2232
|
TUBING COLLECTION SET DISP | $24.00 |
|
2233
|
TUBING DISPOSABLE PHACO | $702.00 |
|
2234
|
TUBING FLUID WARMING | $20.25 |
|
2235
|
TUBING INSUFFLATION | $21.81 |
|
2236
|
TUBING SET PACK DISP. | $117.00 |
|
2237
|
TUBING SUCTION 1/4″X120″ | $117.00 |
|
2238
|
TUBING Y TYPE BLOOD SET | $16.35 |
|
2239
|
TWIST-IN CANNULA 5X7 | $75.00 |
|
2240
|
TWIST-IN CANNULA 6MMX7CM | $75.00 |
|
2241
|
TWIST-IN CANNULA 8.25X7CM | $75.00 |
|
2242
|
URETERAL STENT 7.0FR X 20CM | $126.00 |
|
2243
|
URETHERAL AXXESS CATHETER | $39.66 |
|
2244
|
URETHRAL CATH | $40.71 |
|
2245
|
UROVAC | $632.10 |
|
2246
|
UTENNE MANIPULATOR INJECT ZUNI 4.5 | $85.92 |
|
2247
|
UTILITY DRAPE STERILE 26X15 | $1.95 |
|
2248
|
VACURETTE 8MM | $14.10 |
|
2249
|
VACURETTE CURVED 10MM | $14.10 |
|
2250
|
VACURETTE CURVED 11MM | $14.10 |
|
2251
|
VACURRETTE CURVED 7MM | $14.10 |
|
2252
|
VAPOTHERM HIGH FLOW | $136.32 |
|
2253
|
VASCUT GLOWN TELL | $2,217.00 |
|
2254
|
VCARE ELEVATOR | $224.04 |
|
2255
|
VCARE LARGE | $223.95 |
|
2256
|
VEINSTRIPPER | $83.31 |
|
2257
|
VERSASTEP 5MM | $1,014.39 |
|
2258
|
VERSASTEP PLUS 12MM | $1,014.45 |
|
2259
|
WAND SUPER MULTI VAC 50 | $600.00 |
|
2260
|
WAND SUPER TURBO VAC 90 | $600.00 |
|
2261
|
WILSON FOAM KIT | $119.67 |
|
2262
|
YANKAUER FINE CAPACITY | $2.25 |
|
2263
|
YANKAUER OR | $2.25 |
|
2264
|
YANKAUER SUC W/O VENT #298 | $2.25 |
|
2265
|
CATHETER BALLOON DILATATION 15-18MM | $1,185.00 |
|
2266
|
CATHETER BALLOON DILATATION 8-10MM | $1,185.00 |
|
2267
|
CATHETER HEMOSPLIT | $2,218.00 |
|
2268
|
CATHETER HEMOSPLIT | $2,325.00 |
|
2269
|
BONE CEMENT | $1,508.35 |
|
2270
|
CERVICAL BONE | $0.00 |
|
2271
|
CLIP RANEY | $83.00 |
|
2272
|
CLIP WECK LARGE | $245.85 |
|
2273
|
COLLAGEN HEMO 1.0GM | $2,925.00 |
|
2274
|
VASCO-GUARD PERIPHERAL | $495.00 |
|
2275
|
VASCU T STENT GUIDE | $184.75 |
|
2276
|
VASCULAR GRAFT .6MMX2.5CMX15CM | $1,300.00 |
|
2277
|
VASCULAR GRAFT 25CM | $3,919.60 |
|
2278
|
VASCULAR GRAFT 70 4MM | $2,341.75 |
|
2279
|
VASCULAR GRAFT 8 | $1,487.75 |
|
2280
|
VASCULAR GRAFT VLT3047C | $3,919.60 |
|
2281
|
VENA CAVA FILTER | $565.00 |
|
2282
|
VENOUS SHUNT | $2,564.30 |
|
2283
|
VENTRALEX PATCH | $2,593.75 |
|
2284
|
VITOSS FOAM 10CC | $18,080.00 |
|
2285
|
VITOSS FOAM 2.5CC BA | $5,417.50 |
|
2286
|
VITOSS FOAM 5CC | $9,796.00 |
|
2287
|
CONNECTOR LATERAL | $0.00 |
|
2288
|
TRANSURETHERAL INJECTION SYS | $0.00 |
|
2289
|
TRAP WATER AQUA KNOT II | $0.00 |
|
2290
|
TUBING COMPAT SPIKE RIGHT FEEDING | $0.00 |
|
2291
|
ULTRA CONCENTRATE | $0.00 |
|
2292
|
VALVE SOLINOID | $0.00 |
|
2293
|
VOLKMANN RETRACTOR 8 | $0.00 |
|
2294
|
WALKERS | $0.00 |
|
2295
|
WHEELCHAIR | $0.00 |
|
2296
|
WRAP 36X36 | $0.00 |
|
2297
|
WRAP 40X40 | $0.00 |
|
2298
|
WRAP 45X45 | $0.00 |
|
2299
|
WRAP 54X54 | $0.00 |
|
2300
|
WRAP- KIMGAURD 30 X 30 1-STEP | $0.00 |
|
2301
|
WRAP- KIMGUARD 24X24 1-STEP | $0.00 |
|
2302
|
WRAP- KIMGUARD 36X36 | $0.00 |
|
2303
|
WRAP- KIMGUARD 40X40 1-STEP | $0.00 |
|
2304
|
WRAP- KIMGUARD 54X54 1-STEP | $0.00 |
|
2305
|
WRAP STERILIZATION 45X45 | $0.00 |
|
2306
|
CONNECTOR TUBING ASSY FLOWTRON | $43.83 |
|
2307
|
CONNECTOR Y | $3.75 |
|
2308
|
CONNECTOR, HARMONIC GENERATOR | $300.00 |
|
2309
|
CONTAINER EVAC GLASS ALL SIZES | $6.51 |
|
2310
|
COPULER 4MM | $0.00 |
|
2311
|
CORD BIPOLAR | $255.00 |
|
2312
|
CORD DISP BIPOLAR | $11.88 |
|
2313
|
CORE 8MM | $0.00 |
|
2314
|
COUPLER 2MM | $0.00 |
|
2315
|
COVER BIG BACK TABLE | $122.40 |
|
2316
|
COVER CLAMP | $16.59 |
|
2317
|
COVER MAINTENANCE 12X20 | $372.00 |
|
2318
|
COVER MAINTENANCE 16X22 | $50.25 |
|
2319
|
COVER MINI C-ARM | $13.20 |
|
2320
|
COVERALLS XX-LRG | $4.83 |
|
2321
|
C-QUR MESH | $12.45 |
|
2322
|
CRICOTHYROTOMY CATH SET 3.5 MM | $456.21 |
|
2323
|
CRICOTHYROTOMY CATH SET 4 MM | $456.21 |
|
2324
|
CRICOTHYROTOMY CATH SET 6MM | $464.43 |
|
2325
|
CROCODILE GRASPER | $187.50 |
|
2326
|
CROSSLINK | $0.00 |
|
2327
|
CUFF DISP. DUAL PORT | $104.79 |
|
2328
|
CUFF FLEXIBLE LMA SIZE 5 | $645.00 |
|
2329
|
CUFF FLEXIBLE LMA SZ. 1 1/2 | $67.50 |
|
2330
|
CUFF FLEXIBLE LMA SZ.1 | $67.50 |
|
2331
|
AMA All Sizes | $45.96 |
|
2332
|
CUFF LMA SZ.2 | $645.00 |
|
2333
|
CUFF LMA SZ.3 | $645.00 |
|
2334
|
CURETTE 9MM CURVED VACURETTE | $14.10 |
|
2335
|
CURRETTES | $177.69 |
|
2336
|
CUSA RENTAL CRANI | $0.00 |
|
2337
|
CUSTOM PACK CATARACT | $477.00 |
|
2338
|
CUTTER RELOAD | $151.74 |
|
2339
|
CUTTER VIRECTOMY | $747.00 |
|
2340
|
DART DOMESTIC | $11.97 |
|
2341
|
DECATHLON 55CM CATHETER | $996.30 |
|
2342
|
DELTA LITE 2″ CAST TAPE | $30.81 |
|
2343
|
DELTA LITE 2″ CONFORMABLE CAST TAPE | $31.44 |
|
2344
|
DELTA LITE 3″ CAST TAPE | $33.69 |
|
2345
|
DELTA LITE 3″ CONFORMABLE CAST TAPE | $35.70 |
|
2346
|
DELTA LITE 4″ CAST TAPE | $46.50 |
|
2347
|
DENTAL IMPLANT | $0.00 |
|
2348
|
DENTAL ROLLS | $0.48 |
|
2349
|
DEVICE BX BONE KYPHON | $450.00 |
|
2350
|
DEVICE TISSUE SEALING | $1,379.04 |
|
2351
|
DILATOR 8/13/18 | $1,725.00 |
|
2352
|
DISECTOR BALLOON | $1,868.43 |
|
2353
|
DISECTOR DISP CURVED | $189.00 |
|
2354
|
DISP ACTIVE CORD | $70.95 |
|
2355
|
DISP. NEEDLE HOLDER | $7.29 |
|
2356
|
DISSECTOR CURVD MARYLAND | $948.24 |
|
2357
|
DISSECTOR ENDO 5MM CURVED | $218.76 |
|
2358
|
DISSECTOR ENDO BLUNT 5MM | $47.10 |
|
2359
|
DOPPLER HANDLE CORD | $297.00 |
|
2360
|
DOPPLER PROBE DISP. | $297.00 |
|
2361
|
DRAIN 19FR SILICONE RD | $24.33 |
|
2362
|
DRAIN BLAKE | $137.79 |
|
2363
|
DRAIN HEMOVAC MEDIUM | $60.87 |
|
2364
|
DRAIN J/P FLAT 10MM | $52.47 |
|
2365
|
DRAIN J/P RESERVOIR 100CC | $30.87 |
|
2366
|
DRAIN JACKSON PRATT 15FR RD | $24.33 |
|
2367
|
DRAIN JACKSON PRATT 7FR RD | $24.33 |
|
2368
|
DRAIN PENROSE 1/2″ X 18 | $1.53 |
|
2369
|
DRAIN PENROSE 1/4X12 | $36.84 |
|
2370
|
DRAIN PENROSE 4DIAX7/16 | $1.17 |
|
2371
|
DRAIN PENROSE 4DIAX7/16 | $5.46 |
|
2372
|
DRAIN SILICONE 10FR RD | $35.40 |
|
2373
|
DRAPE 3 ARM | $375.00 |
|
2374
|
DRAPE 4 ARM | $390.00 |
|
2375
|
DRAPE CARM | $144.00 |
|
2376
|
DRAPE C-ARM & MOBILE X-RAY | $172.44 |
|
2377
|
DRAPE CRANIOTOMY | $64.32 |
|
2378
|
DRAPE INCISE 1035 | $4.05 |
|
2379
|
DRAPE INSTRUMENT ARM | $270.00 |
|
2380
|
DRAPE IOBAN 2 23X33 | $16.35 |
|
2381
|
DRAPE IOBAN ANTIMICOBIAL 13X13 | $20.37 |
|
2382
|
DRAPE LAPAROSCOPY | $18.45 |
|
2383
|
DRAPE LARGE 60X76 | $4.59 |
|
2384
|
DRAPE LASER ARM | $19.26 |
|
2385
|
DRAPE LEICA MICROSCOPE | $72.12 |
|
2386
|
DRAPE LINGEMAN | $34.32 |
|
2387
|
DRAPE MAGNETIC SURGICAL | $46.86 |
|
2388
|
DRAPE PROSTECTOMY | $32.37 |
|
2389
|
DRAPE STANDARD CARM | $15.00 |
|
2390
|
DRAPE STERI | $3.78 |
|
2391
|
DRAPE STERI 1018 | $4.62 |
|
2392
|
DRAPE STERI 1071 | $51.48 |
|
2393
|
DRAPE STERI TOWEL | $2.70 |
|
2394
|
CATH FOL 8FR 3CC PEDS | $55.77 |
|
2395
|
DRAPE STERI U | $10.89 |
|
2396
|
DRAPE STERI W/TWL 17 5/8 X 23 1/2 | $12.45 |
|
2397
|
DRAPE STERILE TUBE | $234.00 |
|
2398
|
DRAPE TRANS. LAP | $16.92 |
|
2399
|
DRAPE U 76X120 | $12.81 |
|
2400
|
DRAPE VERTICAL ISOLATION | $84.42 |
|
2401
|
DRAPES MICROSCOPE | $62.82 |
|
2402
|
DRESG PACKING STRIP 1/2X72 | $2.88 |
|
2403
|
DRESSING 2X2 2/PK | $0.06 |
|
2404
|
DRESSING 4X4 10PK | $1.14 |
|
2405
|
CATH FOLEY | $55.77 |
|
2406
|
DRESSING ABD PAD | $0.25 |
|
2407
|
DRESSING ADAPTIC 3X3 | $0.81 |
|
2408
|
DRESSING DRAIN 4X4-6 PLY | $0.21 |
|
2409
|
DRESSING ISLAND ALL SIZES | $7.68 |
|
2410
|
DRESSING ISLAND 6X10 | $7.68 |
|
2411
|
DRESSING KERLIX ROLL | $1.68 |
|
2412
|
DRESSING SPONGE SUPER FLUFF | $0.30 |
|
2413
|
DRESSING STRETCH 2″ | $0.42 |
|
2414
|
DRESSING STRETCH 3″ | $0.54 |
|
2415
|
DRESSING STRETCH 4″ | $0.60 |
|
2416
|
DRESSING TEGADERM 4X10 | $4.47 |
|
2417
|
DRESSING TELFA 3X4″ | $0.39 |
|
2418
|
DRESSING TELFA 3X8″ | $0.51 |
|
2419
|
DRESSING TRANSPARENT 4X5 | $3.54 |
|
2420
|
DRESSING XEROFORM 1X8 | $1.08 |
|
2421
|
DRILL BIT | $261.39 |
|
2422
|
DRILL | $300.00 |
|
2423
|
DRILL 3.2 | $555.00 |
|
2424
|
DRILL 3.2 SHORT | $555.00 |
|
2425
|
DRILL 3.5 | $174.75 |
|
2426
|
DRILL 3.5 SHORT | $154.20 |
|
2427
|
DRILL 5.2 | $986.10 |
|
2428
|
DRILL AT 2 | $750.00 |
|
2429
|
DRILL BIT | $567.00 |
|
2430
|
DRILL BIT 27MM | $1,089.00 |
|
2431
|
DRILL EXPRESS KYPHON BX | $375.00 |
|
2432
|
DRILL LAG SCREW | $969.21 |
|
2433
|
DRILL TWIST 3.5MM | $172.50 |
|
2434
|
DRIVER CANNULATED SCREW | $795.00 |
|
2435
|
DUAL CUT BLADE 25X1.27X90MM | $135.00 |
|
2436
|
EAR FORCEP | $1,620.21 |
|
2437
|
ECG ELECTRODE | $9.42 |
|
2438
|
EKG PAPER | $1,281.00 |
|
2439
|
ELECTRODE BLADE | $151.80 |
|
2440
|
ELECTRODE J-HOOK | $123.78 |
|
2441
|
ELECTRODE MCCARTHY 8 FR | $270.00 |
|
2442
|
ENDO REINFORCED 8.5 | $117.30 |
|
2443
|
ENDO RETRIEVER | $219.09 |
|
2444
|
ENDO TRACH TUBE 7.5 CUFFED | $4.86 |
|
2445
|
ENDO TUBE 6.0 REINFORCED | $81.54 |
|
2446
|
ENDO TUBE 7.0 REINFORCED | $81.54 |
|
2447
|
ENDO TUBE 7.0 REINFORCED | $81.54 |
|
2448
|
ENDO. REINFORCED 8.0 | $81.54 |
|
2449
|
ENDOLOOP O LIGATURE | $104.28 |
|
2450
|
ENDOSTITCH DEVICE | $678.24 |
|
2451
|
ENDOTRACHEAL TUBE 6.5 | $5.58 |
|
2452
|
ENDOTRACHEAL TUBE 8.5 | $5.58 |
|
2453
|
ENTRY KIT | $381.00 |
|
2454
|
EPISTAXIS PACKING | $51.75 |
|
2455
|
ANTIBODY RBC IDENT EA PANEL EA TECH | $140.70 |
|
2456
|
ET TUBE NIMS 6MM | $855.00 |
|
2457
|
ET TUBE NIMS 8MM | $855.00 |
|
2458
|
ETHIBOND CT-1 | $5.79 |
|
2459
|
ETHIBOND SUPER QUICK ANCHOR PLUS | $1,041.00 |
|
2460
|
ETHICON STAPLER 35 | $809.73 |
|
2461
|
EXTENSION SET W/LVER SLIP A | $1.89 |
|
2462
|
EYE COVERS | $90.00 |
|
2463
|
EYE SHIELD PLASTIC | $2.76 |
|
2464
|
EYEWARE FRAME PROTECTIVE | $34.23 |
|
2465
|
EZ GLIDER 038 ST. TIP | $180.00 |
|
2466
|
FEMORAL DELIVERY KIT | $4,050.00 |
|
2467
|
FEMOSTOPS | $315.00 |
|
2468
|
FILIFORM SPIRAL TIP 4FR | $215.28 |
|
2469
|
FILIFORM STRAIGHT 3FR | $173.79 |
|
2470
|
FILIFORM STRAIGHT 4FR | $173.79 |
|
2471
|
FILIFORM STRAIGHT 5FR | $173.79 |
|
2472
|
FILIFORM STRAIGHT 6FR | $173.79 |
|
2473
|
FILIFORM WOVEN SPIRAL TIP 3 FR | $173.79 |
|
2474
|
FILTER BACTERIA | $3.21 |
|
2475
|
FILTER EXTENSION | $221.25 |
|
2476
|
ANTIBODY SCREEN EA | $77.94 |
|
2477
|
FINGER PROTECTOR | $0.84 |
|
2478
|
FLANG BUCK | $331.98 |
|
2479
|
FLANGE BUCK 18.5 CM | $9.63 |
|
2480
|
FLOWTRON CALF GARMENT | $56.49 |
|
2481
|
FLUTED MATCHSTICK | $216.00 |
|
2482
|
FOGARTY CATH 6 FR | $102.00 |
|
2483
|
FOGARTY CATH OVERGUIDE 4 FR | $217.50 |
|
2484
|
FOGARTY CATH OVERGUIDE 8FR | $217.50 |
|
2485
|
FOGARTY DBL SOFTJAW INSERT | $27.24 |
|
2486
|
FOGARTY DBL SOFTJAW INSERT | $27.84 |
|
2487
|
DIRECT COOMBS | $48.69 |
|
2488
|
RETRIVER ENDPOUCH 10MM | $122.85 |
|
2489
|
RX LITHOTRIPTER TRAPEZOID 2.5 | $897.00 |
|
2490
|
RX LITHOTRIPTOR 3.0 | $897.00 |
|
2491
|
RX LOCKING DEVICE | $897.00 |
|
2492
|
SAFETY PINS #2 | $1.68 |
|
2493
|
SARFAS ENERGY 3.5 (50-S) | $451.76 |
|
2494
|
SARFAS ENERGY 3.5 (90-S) | $451.77 |
|
2495
|
SAW BLADE 25X9.5 .025MM | $12.51 |
|
2496
|
SAW BLADES | $32.40 |
|
2497
|
SCALPEL W/ #11 BLADE | $1.56 |
|
2498
|
SCISSOR MONOPOLAR CRVD | $960.00 |
|
2499
|
SCISSOR VITAL METZ 9 1/4 | $960.00 |
|
2500
|
SCISSORS | $195.00 |
|
2501
|
SCISSORS, UTILITY PLASTIC 7.5 | $3.75 |
|
2502
|
SCOTCHCAST 3X12″ | $10.98 |
|
2503
|
SCOTCHCAST 4X30 | $10.98 |
|
2504
|
SPECIMEN COLLECTOR 4.0 OZ | $0.75 |
|
2505
|
SPECIMEN TRAP MUCUS 40CC | $2.70 |
|
2506
|
SPECIPAN | $1.05 |
|
2507
|
SPECULUM BLUE GRAVE VAGINAL | $449.01 |
|
2508
|
SPECULUM BLUE GRAVES VAGINAL | $384.51 |
|
2509
|
SPINAL ANESTHESIA TRAY | $41.46 |
|
2510
|
SPINAL NEEDLE 22X3.5 | $9.39 |
|
2511
|
SPINAL POST OP KIT PAIN | $1,950.00 |
|
2512
|
SPINAL QUINCKE NDL. 22X3 1/2 | $0.75 |
|
2513
|
SPIRAL TIP LEFT 5 FR | $32.07 |
|
2514
|
SPIRAL WOVEN 4 FR | $215.28 |
|
2515
|
SPLINT CLAVICAL LARGE | $30.90 |
|
2516
|
SPLINT CLAVICAL SMALL | $10.50 |
|
2517
|
SPLINT CLAVICAL X-LARGE | $40.50 |
|
2518
|
SPLINT COCK-UP LARGE/LEFT | $13.92 |
|
2519
|
SPLINT COCK-UP MED/RT | $31.95 |
|
2520
|
SPLINT COCK-UP R | $15.00 |
|
2521
|
SPONGE LAP 18X18 | $7.62 |
|
2522
|
SPONGE X-RAY | $5.31 |
|
2523
|
STAB KNIFE 15 DEGREES | $27.30 |
|
2524
|
STAPLE POWERED | $924.00 |
|
2525
|
STAPLE REG WIDTH | $369.00 |
|
2526
|
STAPLE RELOAD VAS | $369.00 |
|
2527
|
STAPLER 45ATS XL | $2,860.53 |
|
2528
|
STAPLER 6- ECHILON | $506.10 |
|
2529
|
STAPLER CIRCULAR CURVED 29MM | $506.10 |
|
2530
|
STAPLER CIRCULAR CURVED 33M | $775.11 |
|
2531
|
STAPLER LINEAR 30MM | $271.80 |
|
2532
|
STAPLER LINEAR 35MM RELOAD | $471.92 |
|
2533
|
STAPLER LINEAR 35MM VASCULAR | $560.25 |
|
2534
|
STAPLER LINEAR 60MM | $296.25 |
|
2535
|
STAPLER LINEAR CUTTER 75MM | $451.83 |
|
2536
|
STAPLER LINEAR RELOAD 30MM | $127.86 |
|
2537
|
STAPLER LINEAR RELOAD 60MM | $142.14 |
|
2538
|
STAPLER LINEAR W/SAFETY OUT | $820.53 |
|
2539
|
STAPLER PROXIMATE 55 THK | $111.60 |
|
2540
|
STAPLER PROXIMATE 75MM | $460.65 |
|
2541
|
STAPLER RELOAD 12 PROXIMATE | $146.58 |
|
2542
|
TAPE CASTING 4′ | $15.60 |
|
2543
|
TAPE DURAPORE 1 | $1.80 |
|
2544
|
TAPE DURAPORE 3 | $1.80 |
|
2545
|
TAPE ENDO TUBE HOLDER | $15.75 |
|
2546
|
TAPE MEDIPORE 3 INCH | $19.14 |
|
2547
|
TAPE MEDIPORE 4X10 | $19.14 |
|
2548
|
TAPE MEDIPORE 4X10 YD | $19.14 |
|
2549
|
TAPE MEDIPORE 6×2 | $19.14 |
|
2550
|
TAPE MICROFOAM 3″ | $9.75 |
|
2551
|
TAPE MICROFOAM 4″ | $9.75 |
|
2552
|
TAPE MICROPORE 1″ | $9.75 |
|
2553
|
TAPE MICROPORE 2″ | $9.75 |
|
2554
|
TAPE POROUS 1″ | $4.14 |
|
2555
|
TAPE POROUS 2″ | $4.14 |
|
2556
|
TAPE POROUS 3″ | $4.14 |
|
2557
|
TAPE TRANSPORE 1″ | $4.35 |
|
2558
|
TAPE TRANSPORE 3″ | $4.35 |
|
2559
|
TAPE UMBILICAL COTTON | $4.17 |
|
2560
|
HOSE TED ALL SIZES | $12.75 |
|
2561
|
TEGADEERM 4X10 | $89.61 |
|
2562
|
THE MILL DISPOSABLE | $270.60 |
|
2563
|
THERMO GARD PLUS | $17.22 |
|
2564
|
THERMOMETER NEX TEMP | $2.85 |
|
2565
|
TIMBER LAKE OBT BK | $1,143.00 |
|
2566
|
TIP GREEN RUMI 6.7X10 | $658.02 |
|
2567
|
TIP ORANGE RUMI 6.7X12 | $658.02 |
|
2568
|
LEUKOCYTE POOR PACKED CELLS | $536.64 |
|
2569
|
TIP PHACO 30DEGREE 19GA | $225.00 |
|
2570
|
TIP PROTECTOR | $1.05 |
|
2571
|
TOOL DRILL BIT CRANI | $360.00 |
|
2572
|
TOOMEY SYRINGE 7OCC | $17.82 |
|
2573
|
TOOTHETTE | $0.21 |
|
2574
|
TORACIC ELC | $915.00 |
|
2575
|
DERMABOND | $76.99 |
|
2576
|
DERMABOND | $102.45 |
|
2577
|
DERMABOND | $102.45 |
|
2578
|
BALLOON PTA DILATION ALL SIZES | $1,325.00 |
|
2579
|
DILATION CATHETER 50CM 6X4 BALLOON | $1,325.00 |
|
2580
|
DILATION CATHETER 75CM 10X2 BALLOON | $1,325.00 |
|
2581
|
DILATION CATHETER 75CM 10X4 BALLOON | $1,325.00 |
|
2582
|
DILATION CATHETER 75CM 6X2 BALLOON | $1,325.00 |
|
2583
|
DILATION CATHETER 75CM 6X4 BALLOON | $1,325.00 |
|
2584
|
DILATION CATHETER 75CM 6X8 BALLOON | $1,325.00 |
|
2585
|
DILATION CATHETER 75CM 8X2 BALLOON | $1,325.00 |
|
2586
|
DILATION CATHETER 75CM 8X4 BALLOON | $1,325.00 |
|
2587
|
DILATION CATHETER 75CM 8X6 BALLOON | $1,325.00 |
|
2588
|
DILATION CATHETER 75CM 8X8 BALLOON | $1,325.00 |
|
2589
|
RH ONLY | $36.91 |
|
2590
|
DURAGEN | $9,553.25 |
|
2591
|
DURAGEN 2X2 | $10,059.00 |
|
2592
|
DURAGEN 3X3 | $2,625.00 |
|
2593
|
DURAGEN 3X3 | $17,844.75 |
|
2594
|
DURAGEN 3X3 PLUS | $3,966.20 |
|
2595
|
DURAGEN 4X5 | $6,710.85 |
|
2596
|
DURAGEN DURAL REPAIR | $1,872.25 |
|
2597
|
DURAGEN PLUS 1X1 | $2,752.10 |
|
2598
|
DURAGEN PLUS 1X3 | $2,182.55 |
|
2599
|
ENSEAL | $13,123.10 |
|
2600
|
FABRIC 4X4 | $1.00 |
|
2601
|
FELT PTFE 4X4 | $2,204.50 |
|
2602
|
FEMUR OX 5 | $0.00 |
|
2603
|
FEMUR WEDGE 5MM | $0.00 |
|
2604
|
FIBERWIRE #2 BLUE W/TAPER NEEDLE | $1,110.00 |
|
2605
|
SUTURE FIBERWIRE | $160.00 |
|
2606
|
FILLER CALCIUM BONE | $7,500.00 |
|
2607
|
FILMENTOUS FABRIC | $25.65 |
|
2608
|
FILTER FEMORAL VENA CAVA 12FR SYS | $5,055.00 |
|
2609
|
FILTER JUGULAR 12FR | $5,495.00 |
|
2610
|
MISCELLANEIOUS: BLOOD BANK | $0.00 |
|
2611
|
FLOSEAL ML 10 | $1,994.60 |
|
2612
|
ROD 35MM | $0.00 |
|
2613
|
ROD 35MM | $0.00 |
|
2614
|
ROD 5.5MM | $0.00 |
|
2615
|
ROD 5.5X60 | $0.00 |
|
2616
|
ROD 5.5X70 | $0.00 |
|
2617
|
ROD PRE BENT | $0.00 |
|
2618
|
ROD STRAIGHT | $0.00 |
|
2619
|
ROD XIA 3 | $0.00 |
|
2620
|
ROD, WISSINGER 4MM | $0.00 |
|
2621
|
ROTATOR CUFF QUICK ANCHOR | $1,470.00 |
|
2622
|
SCRE 4.0 CANN. 716 | $0.00 |
|
2623
|
SCREW BIOTENODESIS | $0.00 |
|
2624
|
SCREW 11.5X38CM | $0.00 |
|
2625
|
SCREW 14MM | $0.00 |
|
2626
|
SCREW RESCUE | $1,000.00 |
|
2627
|
SCREW 16MM | $0.00 |
|
2628
|
SCREW 16MM | $0.00 |
|
2629
|
SCREW LESS THAN 4 MM | $0.00 |
|
2630
|
SCREW 2.0 CANN. 15S | $0.00 |
|
2631
|
ATIVAN 1MG TAB | $0.00 |
|
2632
|
SCREW 2.0 CANN. 16S | $0.00 |
|
2633
|
SCREW 2.0 CANN. 17S | $0.00 |
|
2634
|
SCREW 2.0 CANN. 18S | $0.00 |
|
2635
|
SCREW 2.0 CANN. 18S | $0.00 |
|
2636
|
SCREW 2.0 CANN. 8S | $0.00 |
|
2637
|
SCREW 2.0 CANN. 9S | $0.00 |
|
2638
|
SCREW 2.0 CANN. 9S | $0.00 |
|
2639
|
SCREW 2.0MMX 16 | $0.00 |
|
2640
|
SCREW 2.0MMX 16 | $0.00 |
|
2641
|
SCREW 2.5 CANN. 10S | $0.00 |
|
2642
|
ARC AUTOLOGOUS DONOR | $262.50 |
|
2643
|
SCREW 2.5 CANN. 12S | $0.00 |
|
2644
|
SCREW 2.5 CANN. 18S | $0.00 |
|
2645
|
SCREW 2.5 CANN. 20S | $0.00 |
|
2646
|
SCREW 2.5 CANN. 22S | $0.00 |
|
2647
|
SCREW 2.5 CANN. 22S | $0.00 |
|
2648
|
SCREW 2.5 CANN. 24S | $0.00 |
|
2649
|
SCREW 2.5 CANN. 26S | $0.00 |
|
2650
|
SCREW 2.5 CANN. 28S | $0.00 |
|
2651
|
SCREW 2.5 CANN. 30S | $0.00 |
|
2652
|
SCREW 2.5 CANN. 32S | $0.00 |
|
2653
|
ARC DIRECTED DONOR | $262.50 |
|
2654
|
SCREW 2.5 CANN. 32S | $0.00 |
|
2655
|
SCREW 2.5 CANN. 36S | $0.00 |
|
2656
|
SCREW 2.5 CANN. 38S | $0.00 |
|
2657
|
SCREW 2.5 CANN. 40S | $0.00 |
|
2658
|
SCREW 2.5 CANN. 6S | $0.00 |
|
2659
|
SCREW 2.5 CANN. 8S | $0.00 |
|
2660
|
SCREW 3.0 CANN 16S | $0.00 |
|
2661
|
SCREW 3.0 CANN, 28S | $0.00 |
|
2662
|
SCREW 3.0 CANN. 10S | $0.00 |
|
2663
|
SCREW 3.0 CANN. 12S | $0.00 |
|
2664
|
SCREW 3.0 CANN. 14S | $0.00 |
|
2665
|
SCREW 3.0 CANN. 18S | $0.00 |
|
2666
|
SCREW 3.0 CANN. 20S | $0.00 |
|
2667
|
SCREW 3.0 CANN. 22S | $0.00 |
|
2668
|
SCREW 3.0 CANN. 24S | $0.00 |
|
2669
|
SCREW 3.0 CANN. 26S | $0.00 |
|
2670
|
SCREW 3.0 CANN. 28S | $0.00 |
|
2671
|
SCREW 3.0 CANN. 30S | $0.00 |
|
2672
|
SCREW 3.0 CANN. 32S | $0.00 |
|
2673
|
SCREW 3.0 CANN. 34S | $0.00 |
|
2674
|
BLOOD BANK SERVICES STATE CHARGE | $52.50 |
|
2675
|
SCREW 3.0 CANN. 36S | $0.00 |
|
2676
|
SCREW 3.0 CANN. 38S | $0.00 |
|
2677
|
SCREW 3.0 CANN. 6S | $0.00 |
|
2678
|
SCREW 3.0 CANN. 8S | $0.00 |
|
2679
|
SCREW 3.0 CANN.40S | $0.00 |
|
2680
|
SCREW 3.0MM X 6 | $0.00 |
|
2681
|
SCREW 3.5 7122-2012 | $0.00 |
|
2682
|
SCREW 3.5 7122-2014 | $0.00 |
|
2683
|
SCREW 3.5 9514 | $0.00 |
|
2684
|
SCREW 3.5 9516 | $0.00 |
|
2685
|
SCREW 3.5 9520 | $0.00 |
|
2686
|
SCREW 3.5 X 18 9518 | $0.00 |
|
2687
|
SCREW 3.5MM | $0.00 |
|
2688
|
SCREW 3.5X16MM CORTEX | $0.00 |
|
2689
|
SCREW 4.0 7122-3012 | $0.00 |
|
2690
|
SCREW 4.0 7122-3014 | $0.00 |
|
2691
|
SCREW 4.0 7122-3016 | $0.00 |
|
2692
|
SCREW 4.0 7122-3214 | $0.00 |
|
2693
|
SCREW 4.0 7122-3250 | $0.00 |
|
2694
|
SCREW 4.0 CANN. 3018 | $0.00 |
|
2695
|
SCREW 4.0 CANN. 3020 | $0.00 |
|
2696
|
SCREW 4.0 CANN. 3050 | $0.00 |
|
2697
|
SCREW 4.0 CANN. 610 | $0.00 |
|
2698
|
SCREW 4.0 CANN. 612 | $0.00 |
|
2699
|
SCREW 4.0 CANN. 614 | $0.00 |
|
2700
|
SCREW 4.0 CANN. 616 | $0.00 |
|
2701
|
SCREW 4.0 CANN. 618 | $0.00 |
|
2702
|
SCREW 4.0 CANN. 620 | $0.00 |
|
2703
|
SCREW 4.0 CANN. 622 | $0.00 |
|
2704
|
SCREW 4.0 CANN. 624 | $0.00 |
|
2705
|
SCREW 4.0 CANN. 626 | $0.00 |
|
2706
|
SCREW 4.0 CANN. 628 | $0.00 |
|
2707
|
SCREW 4.0 CANN. 630 | $0.00 |
|
2708
|
SCREW 4.0 CANN. 632 | $0.00 |
|
2709
|
SCREW 4.0 CANN. 634 | $0.00 |
|
2710
|
SCREW 4.0 CANN. 636 | $0.00 |
|
2711
|
SCREW 4.0 CANN. 638 | $0.00 |
|
2712
|
SCREW 4.0 CANN. 640 | $0.00 |
|
2713
|
SCREW 4.0 CANN. 642 | $0.00 |
|
2714
|
SCREW 4.0 CANN. 644 | $0.00 |
|
2715
|
SCREW 4.0 CANN. 646 | $0.00 |
|
2716
|
SCREW 4.0 CANN. 648 | $0.00 |
|
2717
|
SCREW 4.0 CANN. 650 | $0.00 |
|
2718
|
SCREW 4.0 CANN. 718 | $0.00 |
|
2719
|
SCREW 4.0 CANN. 720 | $0.00 |
|
2720
|
SCREW 4.0 CANN. 722 | $0.00 |
|
2721
|
SCREW 4.0 CANN. 724 | $0.00 |
|
2722
|
SCREW 4.0 CANN. 728 | $0.00 |
|
2723
|
SCREW 4.0 CANN. 730 | $0.00 |
|
2724
|
SCREW 4.0 CANN. 730 | $0.00 |
|
2725
|
SCREW 4.0 CANN. 734 | $0.00 |
|
2726
|
SCREW 4.0 CANN.726 | $0.00 |
|
2727
|
SCREW 4.0 MM | $0.00 |
|
2728
|
SCREW | $0.00 |
|
2729
|
SCREW 4.0X70 | $0.00 |
|
2730
|
SCREW 4.5 MM | $0.00 |
|
2731
|
SCREW 4X16 | $0.00 |
|
2732
|
SCREW 5.5 | $0.00 |
|
2733
|
SCREW 5.5X50 | $0.00 |
|
2734
|
SCREW 5.0 MM | $0.00 |
|
2735
|
SCREW 6.0X50 | $0.00 |
|
2736
|
SCREW 6.5 MM | $0.00 |
|
2737
|
SCREW 6X45 | $0.00 |
|
2738
|
SCREW 7.5X45 | $0.00 |
|
2739
|
SCREW 7.0 MM | $0.00 |
|
2740
|
SCREW- AMBI LAG 65MM | $0.00 |
|
2741
|
SCREW- AMBI LAG 95MM | $0.00 |
|
2742
|
SPACE PEEK | $0.00 |
|
2743
|
SCREW 7.5 MM | $0.00 |
|
2744
|
SPACER ALL SIZES | $0.00 |
|
2745
|
SPACER CESPACE 6MM | $0.00 |
|
2746
|
SPACER CESPACE 7MM | $0.00 |
|
2747
|
SPACER PEEK 10X45 | $0.00 |
|
2748
|
SPONGE BLOCK | $0.00 |
|
2749
|
SSEP | $0.00 |
|
2750
|
TIBIA BASE/TRAY | $0.00 |
|
2751
|
TIBIAL INSERT PATELLA | $0.00 |
|
2752
|
TIGHTROPE ACL RT | $1,965.00 |
|
2753
|
TIGHTROPE BTB | $2,680.00 |
|
2754
|
TITANIZED POLYMERS 4X6″ | $1,250.00 |
|
2755
|
FOLEY CATH TRAY LATEX FREE | $3.75 |
|
2756
|
FOOT SWITCH SUC 10FR | $20.91 |
|
2757
|
FORCEP ALLIGATOR | $42.45 |
|
2758
|
FORCEP BIOPSY JUMBO | $54.00 |
|
2759
|
FORCEP BIOPSY PRECISOR DISP. 240 | $135.00 |
|
2760
|
FORCEP FENESTRATED BIPOLAR | $810.00 |
|
2761
|
FORCEP GRASPING | $372.60 |
|
2762
|
FORCEP HOT BIOPSY | $111.51 |
|
2763
|
FORCEP LONG TIP | $735.00 |
|
2764
|
FORCEP RIGID STONE CRUSHING | $2,967.00 |
|
2765
|
FORCEP SPONGE PLASTIC 9.5 STL | $2,967.00 |
|
2766
|
FORCEP TISSUE 1X2 SERRATED HANDLE 8 | $41.76 |
|
2767
|
FORCEP TISSUE 7 1/2 IN. | $172.26 |
|
2768
|
FORCEP, BIOPSY RADIAL JAW 3 LARGE CAP | $29.13 |
|
2769
|
FORCEPS- BIOPSY PRECISOR 160CM | $117.00 |
|
2770
|
FORCEPS CUTTING 5MM | $1,107.00 |
|
2771
|
FOREIGN BODY KT | $300.00 |
|
2772
|
SUCTION FRAZIER ALL SIZES | $11.28 |
|
2773
|
FRAZIER SUCTION 10FR | $6.96 |
|
2774
|
FRAZIER SUCTION 12FR | $6.72 |
|
2775
|
FRAZIER SUCTION 8FR | $7.44 |
|
2776
|
FULL RADIUS CUTTER | $138.60 |
|
2777
|
GARMENT CALF BARIATRIC | $116.04 |
|
2778
|
GASTRIC BALLOON SUCTION CATHETER | $405.00 |
|
2779
|
GAUZE BORDERED 6X6 STERILE | $2.25 |
|
2780
|
GAUZE VASELINE STRIP 1/2 X 72 IN | $2.34 |
|
2781
|
GIBECK HUMID FLO | $17.25 |
|
2782
|
GLIDE WIRE .025 X 150 | $122.88 |
|
2783
|
GLIDECATH 5 FR | $195.00 |
|
2784
|
GLIDEWIRE 0.025 | $122.88 |
|
2785
|
GLIDEWIRE 38X150X3CM STRAIGHT | $122.40 |
|
2786
|
GLIDEWIRE ANGLED | $1.20 |
|
2787
|
GLIDEWIRE STANDARD .035CM | $120.00 |
|
2788
|
GLIDEWIRE STIFF SHAFT | $146.70 |
|
2789
|
GLOVE BIOGEL SURGEONS SIZE 7 | $2.70 |
|
2790
|
GLOVE BIOGEL SURGEONS SIZE 7.5 | $2.70 |
|
2791
|
GLOVE BIOGEL SURGEONS SIZE 8 | $2.70 |
|
2792
|
GLOVE BIOGEL SURGEONS SIZE 8.5 | $2.70 |
|
2793
|
GLOVE BIOGEL SURGEONS SZ 6 1/2 | $2.70 |
|
2794
|
GLOVE STERILE ALL SIZES | $2.70 |
|
2795
|
GLOVE ENCORE ORTHO P/F BROWN SZ 8.0 | $2.58 |
|
2796
|
GLOVE ESTEEM SYN 7.5 | $2.61 |
|
2797
|
GLOVE EXAM ALL SIZES | $2.61 |
|
2798
|
GLOVE LATEX EXAM MED | $2.61 |
|
2799
|
GLOVE LATEX EXAM SM | $2.61 |
|
2800
|
GLOVE NEODERM 7 | $2.25 |
|
2801
|
GLOVE PROTEGRITY SLK SZ 7.5 | $2.85 |
|
2802
|
GLOVE PROTEGRITY SLK SZ. 8.0 | $2.85 |
|
2803
|
GLOVE PROTEGRITY SMT SZ. 7 | $2.85 |
|
2804
|
GLOVE PROTEXIS 7.0 | $2.85 |
|
2805
|
GLOVE SENSICARE 8.5 | $2.85 |
|
2806
|
GLOVE SURG TRIGLEX SZ 5.5 | $0.81 |
|
2807
|
GLOVE TRIFLEX SZ. 6 | $0.81 |
|
2808
|
GLOVE TRIFLEX SZ. 6 1/2 | $0.81 |
|
2809
|
GLOVE TRIFLEX SZ. 7 | $0.81 |
|
2810
|
GLOVE TRIFLEX SZ. 7 1/2 | $0.81 |
|
2811
|
GLOVE TRIFLEX SZ. 8 | $0.81 |
|
2812
|
GLOVE TRIFLEX SZ. 8.5 | $0.81 |
|
2813
|
GLOVE TRIFLEX SZ. 9 | $0.81 |
|
2814
|
GLOVE UNDER GREEN 7.5 | $1.35 |
|
2815
|
GLOVE VINYL LARGE | $20.13 |
|
2816
|
GLOVE VINYL MEDIUM | $2.01 |
|
2817
|
GLOVES SENSICARE 7 1/2 | $7.05 |
|
2818
|
GOLD PROBE BIPOLAR HEMO 7FR | $612.00 |
|
2819
|
GOWN ISOLATION | $497.70 |
|
2820
|
GOWN SURGICAL X-LG FOR PROCEDURE PACK | $0.00 |
|
2821
|
GOWN XL PROCEDURAL (GI) | $11.37 |
|
2822
|
GOWN X-LARGE REINFORCED | $6.75 |
|
2823
|
GOWN XXL X-LONG | $11.37 |
|
2824
|
GRASPER ENDOWEAVE | $948.00 |
|
2825
|
GRASPERS 5MM | $165.00 |
|
2826
|
GRASPING FORCEPS 3 WIRE | $609.00 |
|
2827
|
GROUNDING PAD W/CORD | $2.19 |
|
2828
|
GUARD BUR MICRO LONG | $828.00 |
|
2829
|
GUARDALL SHIELD 3/4 NO MASK | $2.97 |
|
2830
|
GUIDE PIN 3.2 | $631.40 |
|
2831
|
GUIDE PIN- THREADED | $139.20 |
|
2832
|
GUIDE PIN- THREADED | $396.81 |
|
2833
|
GUIDE WIRE | $27.75 |
|
2834
|
GUIDEWIRE ALL SIZES | $795.00 |
|
2835
|
GUIDEWIRE .045 40CM | $25.50 |
|
2836
|
GUIDEWIRE AMPLATZ XTRA STIFF 35X260 | $375.00 |
|
2837
|
GUIDEWIRE KIT | $0.00 |
|
2838
|
GUIDEWIRE STIFF .038 145CM | $78.30 |
|
2839
|
GUIDEWIRE STRAIGHT 3CM .035 | $78.30 |
|
2840
|
HAND SWITCH COAG 6FR | $26.40 |
|
2841
|
HANDLE MATTE #3 | $21.09 |
|
2842
|
HANDPIECE A BEAM | $34.98 |
|
2843
|
HANDPIECE ABC BEND A BEAM | $34.98 |
|
2844
|
HANDPIECE ELECTRO SURGERY | $71.58 |
|
2845
|
HARMONIC ACE | $4,077.00 |
|
2846
|
HARNESS CLIPWIRE | $0.00 |
|
2847
|
HEAD HALTER LARGE | $41.13 |
|
2848
|
HEAD POSITIONER ADULT | $10.86 |
|
2849
|
HEADREST 9″ FOAM | $5.13 |
|
2850
|
HEADREST SLOTTED | $6.75 |
|
2851
|
HEAT MOISTURE EXCHANGER DISPOSABLE | $17.25 |
|
2852
|
HEMO STOR14.5FR KIT 24CM | $1,255.50 |
|
2853
|
HEMOVAC MEDIUM | $51.57 |
|
2854
|
HEMOVAC RESERVOIR SZ 400ML | $51.57 |
|
2855
|
HEMOVAC SMALL | $46.50 |
|
2856
|
HOOD SURGICAL | $55.50 |
|
2857
|
HOODED ABRASION | $243.00 |
|
2858
|
HYPO BLANKET 25X64 | $36.15 |
|
2859
|
IMMOBILIZER SHOULDER L | $13.23 |
|
2860
|
IMMOBILIZER SHOULDER M | $13.05 |
|
2861
|
IMMOBILIZER SHOULDER X-LG | $13.05 |
|
2862
|
INFUSOR 500 | $33.75 |
|
2863
|
INJECTOR VARICES 23G NEEDLE | $195.96 |
|
2864
|
INJECTOR VARICES 25GA NEEDLE | $172.98 |
|
2865
|
CANNULA INNER ALL SIZES | $8.25 |
|
2866
|
INNER CANNULA 10 | $8.25 |
|
2867
|
INNER CANNULA 6 | $8.25 |
|
2868
|
INNER CANNULA 8 | $8.25 |
|
2869
|
INNER CANNULA DISP #4 | $4.11 |
|
2870
|
INSERT HARMONIC ACE | $2,199.99 |
|
2871
|
INTERPULSE IRRIGATION | $121.32 |
|
2872
|
INTERPULSE SUCTION TUBE | $121.32 |
|
2873
|
INTRODUCER PEEL AWAY | $201.00 |
|
2874
|
INTRODUCER SET | $165.51 |
|
2875
|
INTRODUCER SET 10 FR | $159.15 |
|
2876
|
INTRODUCER SET 11.0 FR PEEL AWAY | $14.70 |
|
2877
|
INTRODUCER SET 12.0 | $171.87 |
|
2878
|
INTRODUCER SET 14 | $159.15 |
|
2879
|
INTRODUCER SET 15FR | $183.03 |
|
2880
|
INTRODUCER SET 6 FR | $185.25 |
|
2881
|
IRRIGATOR BOVIE | $80.70 |
|
2882
|
ISOVUE 300 150ML | $56.31 |
|
2883
|
ISOVUE 300 50ML | $42.93 |
|
2884
|
IV .9/IR/BTL R520001 | $4.92 |
|
2885
|
ATIVAN 2MG TAB | $0.00 |
|
2886
|
IV 9%SC 1000 L8000 | $2.76 |
|
2887
|
J/P DRAIN 7MM | $30.27 |
|
2888
|
J/P RESERV0IR 400CC SUC | $22.50 |
|
2889
|
JAGTOME RX 39-20 | $1,242.00 |
|
2890
|
JAKCON FOAM KIT | $74.01 |
|
2891
|
JUGUNAL FEEDING | $558.00 |
|
2892
|
JUMPSUIT / COVERALL | $3.99 |
|
2893
|
KIT ADMIT CUSTOM | $19.80 |
|
2894
|
KIT ANTI FOG | $11.85 |
|
2895
|
KIT ARTERIAL LINE | $60.00 |
|
2896
|
KIT ASPIRATOR | $255.39 |
|
2897
|
KIT BONE PREP | $325.50 |
|
2898
|
KIT CHEST TUBE INSERTION PLEURAGLID | $245.40 |
|
2899
|
KIT CPM PAD | $45.00 |
|
2900
|
KIT DISP FOR 3X8 BIOTENODESIS | $750.00 |
|
2901
|
KIT DISPOSABLE INSTRUMENT | $2,100.00 |
|
2902
|
KIT EPIDURAL CATH W/FLEXITIP PLUS | $94.36 |
|
2903
|
KIT GUIDEWIRE | $0.00 |
|
2904
|
KIT KYPHO BALLOON | $3,750.00 |
|
2905
|
KIT SPECIMAN COLLECTOR FEMALE | $3.60 |
|
2906
|
KIT SUPRAPUBIC INTRODUCER | $183.66 |
|
2907
|
KNIFE CLEAR CORNEAL 2.75MM | $73.86 |
|
2908
|
KNIFE SLIT MICRO 2.85MM | $29.40 |
|
2909
|
KOH EFFICIEN 3.5M | $270.00 |
|
2910
|
LAMINAR FLOW PHACO TIP 30 DEGREE | $225.00 |
|
2911
|
LANCET UNISTICK 2 | $90.75 |
|
2912
|
LAP CARE DHELP WARMER | $120.00 |
|
2913
|
LAP CHOLE TRAY | $706.38 |
|
2914
|
LAP SPONGE 4X18 | $1.80 |
|
2915
|
LAPAROSCOPIC SPATULA | $111.39 |
|
2916
|
LAPRA TYS | $212.25 |
|
2917
|
LARYNGEAL MASK #3 | $21.00 |
|
2918
|
LARYNGEAL MASK AIRWAY #4 | $64.50 |
|
2919
|
LARYNGOSCOPE #4 | $428.64 |
|
2920
|
LARYNGOSCOPE 3 MACK | $190.92 |
|
2921
|
LARYNGOSCOPE 3 MILLER | $190.92 |
|
2922
|
LARYNGOSCOPE BLADES #4 | $192.30 |
|
2923
|
LASER FIBER ROBOTIC CO2 | $720.00 |
|
2924
|
LEGGINGS | $3.63 |
|
2925
|
LIGHT HANDLE COVER DISP. | $1.50 |
|
2926
|
LMA #2 UNIQUE | $24.93 |
|
2927
|
LMA #4 UNIQUE | $23.79 |
|
2928
|
LMA #5 UNIQUE | $24.93 |
|
2929
|
LMA 1.5″ | $23.79 |
|
2930
|
LMA 3″ | $23.79 |
|
2931
|
LMA FASTRACH #4 | $23.79 |
|
2932
|
LMA FASTRACH #4 | $1,470.00 |
|
2933
|
LOOP ELECTRODE | $57.57 |
|
2934
|
LOOP SURGI RED | $4.98 |
|
2935
|
LOOP SURGI YELLOW MAXI | $5.22 |
|
2936
|
LOOP SURGI YELLOW MINI | $5.13 |
|
2937
|
M/L CLIP APPLIER | $210.00 |
|
2938
|
MALE PORT PROTECTOR 2C6253 | $0.30 |
|
2939
|
MANIPULATOR UTERINE ZUMI 4.5 | $85.92 |
|
2940
|
MARCON HABER INJEC. NEEDLE | $1.73 |
|
2941
|
MARKER PASSIVE | $5.61 |
|
2942
|
MARKER SPOT ENDOSCOPIC | $59.70 |
|
2943
|
MARYLAND BIPOLAR FORCEPS | $810.00 |
|
2944
|
MARYLAND SINGLE SITE | $195.00 |
|
2945
|
MASK AIR CUSHION LARGE/BLUE | $6.60 |
|
2946
|
MASK AIR CUSHION MEDIUM/RED | $6.00 |
|
2947
|
MASK AIR CUSHION PEDS. | $6.99 |
|
2948
|
MASK ANES PED RUSUSITATION | $7.02 |
|
2949
|
MASK BUBBLE GUM | $8.04 |
|
2950
|
MASK FILTRON 1838 | $1.35 |
|
2951
|
MASK FLUIDSHIELD W/TIES | $34.14 |
|
2952
|
MASK HARNESS ADULT | $38.19 |
|
2953
|
MASK HARNESS PED | $38.19 |
|
2954
|
MASK LARGE | $1.20 |
|
2955
|
MASK LARYGEAL #5 | $21.00 |
|
2956
|
MASK LARYNGEAL MASK #4 | $21.00 |
|
2957
|
MASK MEDIUM | $9.90 |
|
2958
|
MASK O2 ADULT | $1.89 |
|
2959
|
MASK SURGICAL TIE 1818 | $0.18 |
|
2960
|
MASK SURGICAL-FLUID REPEL | $27.00 |
|
2961
|
MAYO 1/2 TAPER | $24.00 |
|
2962
|
MAYO 1/2 TAPER | $24.00 |
|
2963
|
MAYO STAND COVER | $5.91 |
|
2964
|
MEROCEL | $37.80 |
|
2965
|
MEROCEL DRAWS | $40.50 |
|
2966
|
MICRO SAGITTAL SAW BLADE | $123.45 |
|
2967
|
MICRO SAGITTAL SAW BLADE 4.5 | $12.45 |
|
2968
|
MICROPUNCTURE SET 6 FR 21GA .O18 | $203.01 |
|
2969
|
MICROSCOPE COVER | $62.49 |
|
2970
|
MIDAS REX 14CM 5MM | $513.00 |
|
2971
|
MIDAS REX 14CM 900 | $423.00 |
|
2972
|
MIDAS REX 7.6CM 3MM | $597.00 |
|
2973
|
MILL MEDIUM | $1,200.00 |
|
2974
|
MIXER, CEMENT BONE EVAC 3 | $174.00 |
|
2975
|
MONO POLAR CAUTERY | $193.08 |
|
2976
|
MORCELLATOR DISP | $11,769.81 |
|
2977
|
MUSLINE UNBLEACHED | $10.50 |
|
2978
|
NASAL DRESSING | $0.15 |
|
2979
|
NASAL SPLINT EXTERNAL MEDIUM | $141.60 |
|
2980
|
NASAL SPLINT LARGE | $103.20 |
|
2981
|
NASOPORE FIRM | $478.14 |
|
2982
|
NEEDLE 18G X 1 | $0.09 |
|
2983
|
NEEDLE 18G X 6IN | $90.27 |
|
2984
|
NEEDLE 1ML 27G X 1/2 | $22.05 |
|
2985
|
NEEDLE 21GA X 1 | $9.45 |
|
2986
|
NEEDLE 22G X 3.5 | $3.72 |
|
2987
|
NEEDLE 22GA X 1 1/2 | $9.57 |
|
2988
|
NEEDLE 25GA X 1 1/2″ | $10.35 |
|
2989
|
NEEDLE 27 X 1 1/4 | $13.56 |
|
2990
|
NEEDLE 5.0 X 7 22G | $0.90 |
|
2991
|
NEEDLE ACCESS PORT 20X3 1/2 | $0.30 |
|
2992
|
NEEDLE 22X20 | $19.95 |
|
2993
|
NEEDLE BLUNT FILL 305180 | $2.37 |
|
2994
|
NEEDLE BONE MARROW ASPIRATING | $27.45 |
|
2995
|
NEEDLE COLON | $124.80 |
|
2996
|
NEEDLE COUNTER MAGNET | $6.47 |
|
2997
|
NEEDLE EYED SURGICAL | $124.14 |
|
2998
|
NEEDLE HAWKINS BLUNT 16X15CM | $7.20 |
|
2999
|
NEEDLE HEPARIN FLUSHING | $7.20 |
|
3000
|
NEEDLE HYPO 19X 1/2 | $8.82 |
|
3001
|
NEEDLE INSUFFLATION 14X15 | $39.60 |
|
3002
|
NEEDLE INSULATED | $25.41 |
|
3003
|
NEEDLE INSULATED | $35.25 |
|
3004
|
NEEDLE NAV PAK | $1,650.00 |
|
3005
|
NEEDLE PAK NAVIGATION | $2,985.00 |
|
3006
|
NEEDLE QUINCKE 35GA X 3 1/2 | $3.75 |
|
3007
|
NEEDLE RETROBULBAR | $2.34 |
|
3008
|
NEEDLE SCORPION FIRE | $5.10 |
|
3009
|
NEEDLE SPINAL 18GA X3 1/2 | $3.75 |
|
3010
|
NEEDLE SPINAL 22 X 3 1/2 | $13.11 |
|
3011
|
NEEDLE SPINAL 22G X 5 | $313.29 |
|
3012
|
NEEDLE SPINAL 22G X 7 | $3.12 |
|
3013
|
NEEDLE SPINAL 22GA X 1 1/2 | $3.72 |
|
3014
|
NEEDLE SPINAL 22GA X2 1/2 | $3.27 |
|
3015
|
REF WEST NILE VIRUS TITER | $130.41 |
|
3016
|
NEEDLE SPINAL 23 X 3.5 | $4.02 |
|
3017
|
NEEDLE SPINAL 25X2 | $1.74 |
|
3018
|
NEEDLE SPINOCAN SPINAL | $4.20 |
|
3019
|
NEEDLE STANDARD | $72.00 |
|
3020
|
NEEDLE VERYSS 13G 120MM | $756.00 |
|
3021
|
NEEDLE VERYSS 13G 150MM | $756.00 |
|
3022
|
NEEDLEDRIVER LARGE DAVINCI | $6,600.00 |
|
3023
|
NEEDLEDRIVER MEGA DAVINCI | $660.00 |
|
3024
|
NEEDLEDRIVER MEGA SUTURE DAVINCI | $720.00 |
|
3025
|
OB/GYN SWABS | $1.11 |
|
3026
|
OB/GYN SWABS | $227.49 |
|
3027
|
OBTURATOR CONTIN. FLOW RES. | $750.00 |
|
3028
|
OBTURATOR CONTIN. FLOW RES. | $750.00 |
|
3029
|
OCCLUDERS PNEUMO | $1,290.00 |
|
3030
|
OLATE ANCHORING | $0.00 |
|
3031
|
ONE STEP ELECTRODE PADS | $211.65 |
|
3032
|
ONE STEP PEDS ELECTRODE | $161.16 |
|
3033
|
OPTHALMIC CUSTOM PACK | $654.00 |
|
3034
|
OPTIGUARD EYE PROTECTOR | $23.19 |
|
3035
|
OPTI-GUARD LARGE EYE PROTECTOR | $370.95 |
|
3036
|
O-RINGS | $225.00 |
|
3037
|
RESECTOR 5.0 MM | $145.80 |
|
3038
|
PACK BASIC ORTHO | $214.47 |
|
3039
|
PACK BASIC ORTHO REV Q004 | $258.96 |
|
3040
|
PACK COLOR PRINTING SONY | $571.05 |
|
3041
|
SHUNT CARATOID | $1.05 |
|
3042
|
PACK DAVINCI | $520.32 |
|
3043
|
PACK HEAD AND NECK | $32.67 |
|
3044
|
PACK HIP – LF | $231.03 |
|
3045
|
PACK ICE STAY DRY EYE CARE | $3.75 |
|
3046
|
PACK LAP CHOLE | $188.25 |
|
3047
|
PACK LAP CHOLE – LF | $152.70 |
|
3048
|
PACK LITHOTOMY | $86.25 |
|
3049
|
PACK PAIN | $67.50 |
|
3050
|
PACK PAINPACK- SET UP BASIC | $75.27 |
|
3051
|
PACK SPINE QOO6 | $322.77 |
|
3052
|
PACKING IDOFORM 1″ | $6.42 |
|
3053
|
PACKING IDOFORM 1/2″ | $5.52 |
|
3054
|
PACKING IDOFORM 1/4″ | $4.77 |
|
3055
|
PACKING IDOFORM 1″ | $6.42 |
|
3056
|
PACKING PLAIN 1/2″ | $18.33 |
|
3057
|
PACKING PLAIN 1/4″ | $4.92 |
|
3058
|
PAD ALCOHOL PREP | $2.70 |
|
3059
|
PAD ARM BOARD | $7.50 |
|
3060
|
PAD ARM CONVULUTED | $9.75 |
|
3061
|
PAD COMPLETE SET BED | $14.25 |
|
3062
|
PAD DEFIBRILATOR ALL SIZES | $268.88 |
|
3063
|
PAD DEFIBRILATOR PEDIATRIC | $4.68 |
|
3064
|
PAD DISPERSIVE ELCETRODE | $48.75 |
|
3065
|
PAD EYE OVAL LARGE | $0.45 |
|
3066
|
PAD EYE OVAL SMALL | $0.75 |
|
3067
|
PAD MULTI 18X26 | $15.42 |
|
3068
|
PAD O.B. | $3.87 |
|
3069
|
PADDING SOF-ROLCAST 4″ | $10.77 |
|
3070
|
PAIN PUMP ON-Q | $525.00 |
|
3071
|
PATTIES SURGICAL 1/2X6 | $57.00 |
|
3072
|
PEANUT DISECTOR | $4.41 |
|
3073
|
PEAR BUR FLUTE 5.0 | $20.25 |
|
3074
|
PEDIATRIC HEAD DONUTS | $6.75 |
|
3075
|
PEDIATRIC HORSESHOE | $176.46 |
|
3076
|
PEEL AWAY INTRODUCER | $162.96 |
|
3077
|
PEG KIT | $360.00 |
|
3078
|
PEG KIT PUSH METHOD | $234.00 |
|
3079
|
PENROSE DRAIN 1/4 X 25 | $1.50 |
|
3080
|
PENROSE DRAIN 18 X 1/2 | $1.50 |
|
3081
|
PERCUTANEOUS CATH INTRODUCER SET | $62.25 |
|
3082
|
PERCUTANEOUS STERILE | $705.00 |
|
3083
|
PILLOW ABDUCTION LARGE | $104.97 |
|
3084
|
PILLOW ABDUCTION MED | $76.11 |
|
3085
|
PILLOW ABDUCTION ALL SIZES | $76.11 |
|
3086
|
PIN | $136.50 |
|
3087
|
PIN GUARDS 62 | $3.30 |
|
3088
|
PIN GUARDS 62 | $108.99 |
|
3089
|
PIN PERCUTANEOUS 100MM | $705.00 |
|
3090
|
PIN SHINS | $810.00 |
|
3091
|
PK BI-POLAR | $810.00 |
|
3092
|
PLASTER 6′ SPECIALIST | $3.06 |
|
3093
|
PLASTER SPECIALIST 4″ | $8.10 |
|
3094
|
POOLE SUCTION | $2.13 |
|
3095
|
HEMI TOE IMPLANT | $0.00 |
|
3096
|
PORT 6.6 IMPLANT | $683.10 |
|
3097
|
POSITIONER BEANBAG 30″X40″ | $924.00 |
|
3098
|
POWERED ECH FLEX 60MM 44CM SHAFT | $3,510.45 |
|
3099
|
POWERED LDS 15W TIT STAPLER | $970.50 |
|
3100
|
PROBE EMG | $1,560.00 |
|
3101
|
PROBE FIAPC 1.5 ERBE | $855.80 |
|
3102
|
PROBES ORAL SUCTION | $5.64 |
|
3103
|
PROBES ORAL SUCTION | $0.54 |
|
3104
|
PUMP BREAST | $41.70 |
|
3105
|
RESECTOR 5.0 MM | $145.80 |
|
3106
|
RELIEF KIT PAIN | $1,950.00 |
|
3107
|
RESECTOR 4.0 MM | $145.47 |
|
3108
|
RESECTOR 5.0 MM | $145.80 |
|
3109
|
RESECTOR 5.0MM | $145.47 |
|
3110
|
RESECTOR 5.5 | $142.14 |
|
3111
|
RESECTOR3.5MM | $145.80 |
|
3112
|
RESECTOSCOPE RT | $150.99 |
|
3113
|
RESOLUTION KIT 235MM | $525.00 |
|
3114
|
RESTRAINT WRIST | $6.81 |
|
3115
|
SEAL SCOPE DISPOSABLE | $24.03 |
|
3116
|
SEALER TISSUE ORTH 6.0 BIPOLAR | $1,529.55 |
|
3117
|
SEALS CANNULA | $450.00 |
|
3118
|
SECTO TONSIL SPONGE LARGE | $4.35 |
|
3119
|
SECTO TONSIL SPONGE MEDIUM | $4.35 |
|
3120
|
SECTO TONSIL SPONGE SMALL | $4.35 |
|
3121
|
SET ARTHR IR 2C4031 | $98.37 |
|
3122
|
SET CATH ART/VENOUS | $1,008.00 |
|
3123
|
SET CYSTO IR 2C4040 | $12.24 |
|
3124
|
SET CYSTO IR 2C4040 | $3.90 |
|
3125
|
SET EXT 21″ 2C8606 | $9.48 |
|
3126
|
SET FLUID WARMING (HOTLINE) | $31.35 |
|
3127
|
SET INTRODUCER PEEL | $203.01 |
|
3128
|
SET PERCUTANEOUS 7 FR | $62.25 |
|
3129
|
SET TRANSFER W/TWIST | $11.88 |
|
3130
|
SET TRANSFER W/TWIST | $14.97 |
|
3131
|
SHAVE PREP RAZOR | $0.12 |
|
3132
|
SHAVER RESECTOR | $0.00 |
|
3133
|
SHEATH BROWN BEAK | $2,025.00 |
|
3134
|
INTRODUCER / SHEATHS ALL SIZES | $63.00 |
|
3135
|
SHEATH INTRODUCER FAST CATH 6FR 5CM | $63.00 |
|
3136
|
SHEATH INTRODUCER FAST CATH 7FR 5CM | $63.00 |
|
3137
|
SHEEP SKIN (WISSON FRAME) | $0.00 |
|
3138
|
SHEET EXTREMITY SGL | $13.71 |
|
3139
|
SHEET LAP W/POUCH | $15.75 |
|
3140
|
SHEET LAPOROTOMY | $22.50 |
|
3141
|
SHEET LIMB BILATERAL | $15.24 |
|
3142
|
SHEET NECK/THYROID | $19.35 |
|
3143
|
SHEET SPLIT ADHERENT TRANSVERSE | $16.77 |
|
3144
|
SHEET TRANSVERSE LAP | $0.00 |
|
3145
|
SHOE COVER BOOT | $15.45 |
|
3146
|
SHOE COVER SURGICAL XLG | $0.63 |
|
3147
|
SIGMOIDOSCOPIC SUCTION TIP W/TUBE | $105.00 |
|
3148
|
SIGMOIDOSCOPIC SUCTION TIP W/TUBE | $10.77 |
|
3149
|
SIMMS CONNECTOR | $0.42 |
|
3150
|
SIX SHOOTER X-SMALL | $540.00 |
|
3151
|
SKIN MARKER SURGICAL FINE TIP | $2.97 |
|
3152
|
SKIN MARKER W/REG TIP & LABEL | $11.30 |
|
3153
|
SLOTTED WHISKER 5 | $162.00 |
|
3154
|
SLOTTED WHISKER 5 | $166.20 |
|
3155
|
SNARE LG. OVAL | $41.70 |
|
3156
|
SNARE MEDIUM OVAL | $39.00 |
|
3157
|
SNARE POLEPECTOMY | $45.00 |
|
3158
|
SNARE POLYPECTOMY | $72.00 |
|
3159
|
SNARE POLYPECTOMY 230CM | $94.50 |
|
3160
|
SNARE POLYPECTOMY 25MM | $101.40 |
|
3161
|
SNARE POLYPECTOMY LRG FIRM OVAL | $39.00 |
|
3162
|
SNARE POLYPECTOMY OVAL | $927.00 |
|
3163
|
SOLUTION D5W 250ML | $3.42 |
|
3164
|
SOLUTION LACT RINGER 1000ML | $3.42 |
|
3165
|
SOLUTION NACL 1000ML | $3.03 |
|
3166
|
SOLUTION NACL 500ML | $2.43 |
|
3167
|
STAPLER RELOAD 30MM | $131.40 |
|
3168
|
STAPLER SKIN | $131.55 |
|
3169
|
STERI STRIP 1/2″ | $3.12 |
|
3170
|
STETHOSCOPE ESOPHAGEAL | $23.67 |
|
3171
|
STOCKINETTE BIAS 4IN STERILE | $8.58 |
|
3172
|
STOCKINETTE BIAS 6″ | $12.99 |
|
3173
|
STOCKINETTE BIAS 6″ STERILE | $11.70 |
|
3174
|
STOCKINETTE BIAS CUT 3″ | $38.52 |
|
3175
|
STOCKINETTE IMPERVIOUS | $35.91 |
|
3176
|
STOCKINETTE IMPERVIOUS 12X48 | $8.73 |
|
3177
|
STOCKINETTE IMPERVIOUS 9X36 | $6.72 |
|
3178
|
STOCKINETTE IMPERVIOUS 9X48 | $23.49 |
|
3179
|
STOCKINETTE STERILE 4X48 | $5.10 |
|
3180
|
STOCKINETTE TUBULAR 6″ NS | $5.13 |
|
3181
|
STOCKINETTE TUBULAR 6X48 | $5.49 |
|
3182
|
STOPCOCK 1-WAY | $1.44 |
|
3183
|
STOPCOCK 3 WAY W/MALE LUER LOCK | $1.29 |
|
3184
|
STYLET INTUBATING ALL SIZES | $14.48 |
|
3185
|
STYLET FFLEX-IT 6570 | $12.75 |
|
3186
|
STYLET FLEXI-SLIP 14FR | $6.78 |
|
3187
|
STYLET FLEX-IT 7580 | $12.75 |
|
3188
|
STYLET GLIDE RITE | $3.00 |
|
3189
|
STYLET LARGE | $11.55 |
|
3190
|
STYLET SLICK 3.5MM | $12.75 |
|
3191
|
STYLETTE SUN GLIDE | $14.04 |
|
3192
|
SUCTION | $900.00 |
|
3193
|
SUCTION CANNISTER 1200 W/TOP BLUE | $6.33 |
|
3194
|
SUCTION CATH 10FR TRI-FLOW | $0.87 |
|
3195
|
SUCTION CATH 12FR | $441.00 |
|
3196
|
SUCTION CATH 14FR | $2.07 |
|
3197
|
SUCTION CATH TRI-FLO 18FR | $1.08 |
|
3198
|
SUCTION CATH TRI-FLOW 14FR | $1.08 |
|
3199
|
SUCTION CONNECTING TUBING | $2.22 |
|
3200
|
SUCTION IRRIGATOR | $139.98 |
|
3201
|
SUCTION IRRIGATOR | $150.99 |
|
3202
|
SUCTION IRRIGATOR ROBOTIC | $660.00 |
|
3203
|
SURGI LOOP | $4.98 |
|
3204
|
SURGI LOOP | $4.98 |
|
3205
|
SURGI LOOP- BLUE | $7.65 |
|
3206
|
SURGICAL PATTIE 1/4 X 1/4 | $716.97 |
|
3207
|
SURGICAL PATTIES 1/2″ X 3″ | $105.30 |
|
3208
|
SURGICAL PATTIES 1/2″X1/2″ | $50.82 |
|
3209
|
SURGICAL PATTIES 1X1 | $560.04 |
|
3210
|
SURGICAL PATTIES 3/4X3/4 | $53.97 |
|
3211
|
SURGICAL SLEEVE | $1.95 |
|
3212
|
SURGICAL SPEARS | $0.66 |
|
3213
|
ALDACTONE 100MG TAB | $0.00 |
|
3214
|
SURGICAL VEST W/CUP | $179.76 |
|
3215
|
SURGICAL VEST W/CUP SZ.2 | $170.25 |
|
3216
|
SURGICAL VEST W/CUP SZ.4 | $170.25 |
|
3217
|
SURGICAL VEST W/CUPS SZ.3 | $170.25 |
|
3218
|
Surgical Vest W/O CUP SZ.5 | $179.76 |
|
3219
|
SURGICAL VEST W/O CUPS SZ.2 | $179.76 |
|
3220
|
SURGICAL VEST W/O CUPS SZ.3 | $178.56 |
|
3221
|
SURGICAL VEST W/O CUPS SZ.4 | $179.76 |
|
3222
|
SUTURE SILK | $11.73 |
|
3223
|
SUTURE MAXON | $20.07 |
|
3224
|
SUTURE QUILL | $103.38 |
|
3225
|
SUTURE #1 PDS II XLH LOOPED | $12.36 |
|
3226
|
SUTURE- 0 CHROMIC UR-5 | $26.49 |
|
3227
|
SUTURE 0 PDS CTX | $6.16 |
|
3228
|
SUTURE 0 PLAIN GUT | $7.68 |
|
3229
|
SUTURE- 0 PROLENE CT-2 | $17.85 |
|
3230
|
SUTURE 0 SILK | $3.42 |
|
3231
|
SUTURE- 0 VICRYL 18″ | $19.56 |
|
3232
|
SUTURE- 0 VICRYL CP-1 | $4.44 |
|
3233
|
SUTURE- 0 VICRYL CR/8 CT-2 | $13.68 |
|
3234
|
SUTURE VICRYL | $4.83 |
|
3235
|
SUTURE- 0 VICRYL CT-1 | $4.32 |
|
3236
|
SUTURE 0 VICRYL CT-1 POP-OFFS 27 INCHES | $53.14 |
|
3237
|
SUTURE- 0 VICRYL CT-2 | $4.56 |
|
3238
|
SUTURE 0-SILK | $3.75 |
|
3239
|
SUTURE CHROMIC | $7.59 |
|
3240
|
SUTURE ETHIBOND | $4.08 |
|
3241
|
SUTURE- 1 ETHILON LR | $17.13 |
|
3242
|
SUTURE PROLENE | $5.61 |
|
3243
|
SUTURE- 1 PROLENE CT-1 | $6.00 |
|
3244
|
SUTURE- 1 VICRYL CT | $4.71 |
|
3245
|
SUTURE 1 VICRYL CT-1 | $3.75 |
|
3246
|
SUTURE 1 VICRYL CT-1 | $4.29 |
|
3247
|
SUTURE- 1 VICRYL CT-1 CR/8 | $29.43 |
|
3248
|
SUTURE 1 VICRYL CT-1 POP-OFFS 27 INCHES | $39.27 |
|
3249
|
SUTURE- 1 VICRYL CTX | $4.95 |
|
3250
|
SUTURE- 2 ETHILON 60″ | $15.84 |
|
3251
|
SUTURE ETHILON | $20.55 |
|
3252
|
SUTURE- 2-0 CHROMIC CT | $7.65 |
|
3253
|
SUTURE 2-0 CHROMIC GUT CT-1 | $6.96 |
|
3254
|
SUTURE 2-0 CHROMIC GUT CT-2 | $7.56 |
|
3255
|
SUTURE- CHROMIC | $20.31 |
|
3256
|
SUTURE- 2-0 ETHIBOND CT-2 | $15.45 |
|
3257
|
SUTURE- 2-0 ETHILON FS | $14.52 |
|
3258
|
SUTURE- 2-0 PROLENE CT-2 | $17.85 |
|
3259
|
SUTURE 2-0 SILK | $8.46 |
|
3260
|
SUTURE 2-0 SILK | $16.95 |
|
3261
|
SUTURE- 2-0 SILK 24″ | $3.09 |
|
3262
|
SUTURE 2-0 SILK SH | $3.60 |
|
3263
|
SUTURE- 2-0 SILK SH | $3.42 |
|
3264
|
SUTURE 2-0 VICRYL | $61.50 |
|
3265
|
SUTURE- 2-0 VICRYL 18″ | $36.60 |
|
3266
|
SUTURE- 2-0 VICRYL CT | $17.07 |
|
3267
|
SUTURE 2-0 VICRYL CT-1 | $13.38 |
|
3268
|
SUTURE- 2-0 VICRYL CT-1 | $4.08 |
|
3269
|
SUTURE- 2-0 VICRYL CT-1 | $4.26 |
|
3270
|
SUTURE- 2-0 VICRYL CT-2 | $4.08 |
|
3271
|
SUTURE 2-0 VICRYL FS | $5.76 |
|
3272
|
SUTURE 2-0 VICRYL MO-4 | $14.13 |
|
3273
|
SUTURE 2-0 VICRYL PLUS | $37.11 |
|
3274
|
SUTURE 2-0 VICRYL PLUS SH | $4.08 |
|
3275
|
SUTURE- 2-0 VICRYL SH | $12.78 |
|
3276
|
SUTURE 2-0 VICRYL TIES | $7.62 |
|
3277
|
SUTURE 2-0 VICRYL UR-6 | $5.13 |
|
3278
|
SUTURE PDS | $6.54 |
|
3279
|
SUTURE 2-O SILK SH CR/8 | $22.32 |
|
3280
|
SUTURE 3-0 CHROMIC | $7.56 |
|
3281
|
SUTURE 3-0 CHROMIC CT-1 | $7.59 |
|
3282
|
SUTURE 3-0 CHROMIC DISPENSING REEL | $7.71 |
|
3283
|
SUTURE- 3-0 CHROMIC RB-1 | $6.06 |
|
3284
|
SUTURE- 3-0 CHROMIC SH | $3.18 |
|
3285
|
SUTURE 3-0 ETHILON PS1 | $7.11 |
|
3286
|
SUTURE 3-0 ETHILON PS-1 | $28.68 |
|
3287
|
SUTURE MONCRYL | $4.56 |
|
3288
|
SUTURE 3-0 PLAIN GUT FS2 | $7.80 |
|
3289
|
SUTURE 3-0 PROLENE | $10.35 |
|
3290
|
SUTURE 3-0 PROLENE SH | $10.38 |
|
3291
|
SUTURE 3-0 SILK FSL | $7.83 |
|
3292
|
SUTURE 3-0 SILK SH | $7.71 |
|
3293
|
SUTURE- 3-0 SILK SH | $3.60 |
|
3294
|
SUTURE 3-0 SILK TIE 18″ | $6.87 |
|
3295
|
SUTURE- 3-0 SILK TIES | $5.13 |
|
3296
|
SUTURE 3-0 VICRYL | $4.23 |
|
3297
|
SUTURE- 3-0 VICRYL CT-1 | $15.69 |
|
3298
|
SUTURE 3-0 VICRYL CT-2 | $5.82 |
|
3299
|
SUTURE- 3-0 VICRYL CT-3 | $4.20 |
|
3300
|
SUTURE 3-0 VICRYL OB-GYN | $5.61 |
|
3301
|
SUTURE- 3-0 VICRYL PS-2 | $35.73 |
|
3302
|
SUTURE- 3-0 VICRYL SH | $15.63 |
|
3303
|
SUTURE 3-0 VICRYL SH CR/8 | $12.78 |
|
3304
|
SUTURE- 3-0 VICRYL TIES | $11.67 |
|
3305
|
SUTURE 4-0 CHROMIC RB-1 | $6.78 |
|
3306
|
SUTURE- 4-0 CHROMIC SH | $6.27 |
|
3307
|
SUTURE 4-0 ETHILON | $11.22 |
|
3308
|
SUTURE 4-0 MONOCRYL PS1 | $16.20 |
|
3309
|
SUTURE- 4-0 MONOCRYL PS-2 | $16.20 |
|
3310
|
SUTURE 4-0 NUROLON TF | $27.60 |
|
3311
|
SUTURE 4-0 PROLENE PS-1 | $11.04 |
|
3312
|
SUTURE 4-0 RB-1 CR | $9.84 |
|
3313
|
SUTURE 4-0 VICRYL | $9.78 |
|
3314
|
SUTURE- 4-0 VICRYL PS-2 | $12.06 |
|
3315
|
SUTURE- 4-0 VICRYL PS-2 | $15.18 |
|
3316
|
SUTURE NUROLON | $13.11 |
|
3317
|
SUTURE- 4-0 VICRYL SH | $4.29 |
|
3318
|
SUTURE- 4-0 VICRYL SH | $4.29 |
|
3319
|
SUTURE RETRIEVER | $5.19 |
|
3320
|
SUTURE 5-0 CHROMIC GUT PS3 | $4.86 |
|
3321
|
SUTURE- 5-0 ETHILON FS-2 | $4.71 |
|
3322
|
SUTURE 5-0 MONOCRYL | $4.71 |
|
3323
|
SUTURE 5-0 MONOCRYL | $12.78 |
|
3324
|
SUTURE 5-0 PROLENE BB | $12.15 |
|
3325
|
SUTURE- 5-0 PROLENE PC-1 | $1.46 |
|
3326
|
SUTURE- 5-0 VICRYL PC-3 | $11.52 |
|
3327
|
SUTURE 5-0 VICRYL RAPIDE | $19.53 |
|
3328
|
SUTURE 5-ETHIBOND EXCEL | $36.12 |
|
3329
|
SUTURE 6-0 MONOCRYL | $11.01 |
|
3330
|
SUTURE 6-0 PROLENE BV-1 | $116.73 |
|
3331
|
SUTURE 6-0 PROLENE C-1 TA | $14.64 |
|
3332
|
SUTURE 7-0 PROLENE BV-1 | $22.77 |
|
3333
|
SUTURE 7-0 SILK | $23.55 |
|
3334
|
SUTURE BLK 6″ DBL ARM | $174.00 |
|
3335
|
SUTURE CAPIO | $719.49 |
|
3336
|
SUTURE CARDIO O PROLENE | $4.80 |
|
3337
|
SUTURE CHR GUT 1 CT-1 27IN | $7.20 |
|
3338
|
SUTURE CHR GUT 2-0 CT-2 | $6.63 |
|
3339
|
SUTURE CHROMIC CUT 2-0 CT | $7.02 |
|
3340
|
SUTURE CHROMIC GUT 0 CT | $6.66 |
|
3341
|
SUTURE CHROMIC O GUT | $6.99 |
|
3342
|
SUTURE CHROMIC O GUT | $7.56 |
|
3343
|
SUTURE CST-43 | $90.51 |
|
3344
|
SUTURE CTD VICRYL 1 UND BR CT-1 27 | $4.41 |
|
3345
|
SUTURE D SPECIAL VICRYL 2 | $26.28 |
|
3346
|
SUTURE ENDO SURGIDAC | $10.86 |
|
3347
|
SUTURE ETHIBOND #2 | $36.63 |
|
3348
|
SUTURE ETHIBOND 1 CTX | $29.40 |
|
3349
|
SUTURE ETHIBOND 2-0 SH | $15.12 |
|
3350
|
SUTURE ETHIBOND EXCEL-O CT-2 GRN | $15.14 |
|
3351
|
SUTURE ETHILON 2-0 PS-2 | $33.24 |
|
3352
|
SUTURE ETHILON 3-0 PS-2 | $17.10 |
|
3353
|
SUTURE ETHILON 4.0 PC-5 | $13.68 |
|
3354
|
SUTURE ETHILON 4-0 PS-2 | $9.15 |
|
3355
|
SUTURE ETHILON 5.0 PC-1 | $13.68 |
|
3356
|
SUTURE ETHILON 5-0 PC-5 | $16.41 |
|
3357
|
SUTURE ETHILON 5-0 PS-2 | $8.97 |
|
3358
|
SUTURE ETHILON 6-0 PC3 | $14.56 |
|
3359
|
SUTURE MAX BARID PE HC5 | $1,041.00 |
|
3360
|
SUTURE MAXON O 1X60IN GREEN | $49.29 |
|
3361
|
SUTURE MAXON O GR 60 GS-26 LOOP | $51.36 |
|
3362
|
SUTURE- MERSILENE 5MM | $82.50 |
|
3363
|
SUTURE MONO CRYL 4-0 PS-2 | $16.23 |
|
3364
|
SUTURE MONOCRYL 2-0 | $7.71 |
|
3365
|
SUTURE MONOCRYL 2-0 27L | $6.60 |
|
3366
|
SUTURE MONOCRYL 2-0YSH UNDYED | $15.45 |
|
3367
|
SUTURE MONOCRYL 3-0 18L | $10.98 |
|
3368
|
SUTURE MONOCRYL 3-0 27L | $16.17 |
|
3369
|
SUTURE MONOCRYL 3-0 PS-1 | $52.50 |
|
3370
|
SUTURE MONOCRYL 3-0 PSI | $11.58 |
|
3371
|
SUTURE MONOCYL 4-0 P-3 | $11.82 |
|
3372
|
SUTURE NYLON | $87.00 |
|
3373
|
SUTURE MONOSOF 2 30IN BLACK | $18.81 |
|
3374
|
SUTURE NYLON 4-0 PS2 | $11.31 |
|
3375
|
SUTURE NYLON 5-0 | $3.21 |
|
3376
|
SUTURE NYLON BLK BR SZ 0 | $29.73 |
|
3377
|
SUTURE O CHROMIC DISPENSING REEL | $7.71 |
|
3378
|
SUTURE O CT-1 | $11.82 |
|
3379
|
SUTURE O PDS II | $15.81 |
|
3380
|
SUTURE O SILK BLK | $4.47 |
|
3381
|
SUTURE O VICRYL CT | $13.56 |
|
3382
|
SUTURE O VICRYL UR-6 | $5.25 |
|
3383
|
SUTURE O-ETHIBOND EXCEL CT1 | $5.76 |
|
3384
|
SUTURE O-MAXON SINGLE | $17.94 |
|
3385
|
SUTURE PDS II | $7.29 |
|
3386
|
SUTURE PDS II | $11.22 |
|
3387
|
SUTURE PDS II CTX VIL | $9.12 |
|
3388
|
SUTURE PDS II LOOPED | $12.18 |
|
3389
|
SUTURE PDS PS2 3-0 | $3.90 |
|
3390
|
SUTURE PDS TP-1 | $11.04 |
|
3391
|
SUTURE POLYDEK II SILKY | $16.32 |
|
3392
|
SUTURE PROLENE | $5.88 |
|
3393
|
SUTURE PROLENE 1 CTX | $5.31 |
|
3394
|
SUTURE- PROLENE 2-0 CT-1 | $7.95 |
|
3395
|
SUTURE PROLENE 3-0 PS-2 | $14.37 |
|
3396
|
SUTURE PROLENE 4-0 P3 | $14.76 |
|
3397
|
SUTURE PROLENE 4-0 PC-5 | $5.64 |
|
3398
|
SUTURE PROLENE 4-0 PS-2 | $10.53 |
|
3399
|
SUTURE PROLENE 4-0 SH BL MONO 30L | $10.32 |
|
3400
|
SUTURE PROLENE 5.0 PC-5 | $12.78 |
|
3401
|
SUTURE PROLENE 5-0 C-1 MONO 36L | $14.82 |
|
3402
|
SUTURE PROLENE 5-0 P-3 | $4.89 |
|
3403
|
SUTURE PROLENE 5-0 PC3 | $13.89 |
|
3404
|
SUTURE PROLENE 6-0 | $89.25 |
|
3405
|
SUTURE PROLENE 6-0 | $29.01 |
|
3406
|
SUTURE PROLENE 6-0 BV-1 18L | $22.32 |
|
3407
|
SUTURE PROLENE 6-0 PC-1 | $22.95 |
|
3408
|
SUTURE PROLENE MESH 3X6 | $229.53 |
|
3409
|
SUTURE PROLENE MESH HERNIA EXT. | $1,317.03 |
|
3410
|
SUTURE QUILL 0 | $103.68 |
|
3411
|
SUTURE QUILL 0 PDO 36″ | $177.00 |
|
3412
|
SUTURE RETRIEVER | $250.50 |
|
3413
|
SUTURE SILK 0 CT1 | $3.81 |
|
3414
|
SUTURE SILK 2.0 BLK BR FSLX 30 IN | $4.83 |
|
3415
|
SUTURE SILK 2-0 | $18.63 |
|
3416
|
SUTURE SILK 2-0 CP-1 | $3.96 |
|
3417
|
SUTURE SILK 2-0 CT-1 30 IN | $3.75 |
|
3418
|
SUTURE SILK 2-0 FS | $5.52 |
|
3419
|
SUTURE SILK 2-0 FSL | $4.07 |
|
3420
|
SUTURE SILK 4-0 | $3.54 |
|
3421
|
SUTURE SILK O CT-1 30 IN | $36.42 |
|
3422
|
SUTURE SZ 5 MONOFILAMENT | $15.99 |
|
3423
|
SUTURE VICRYL | $0.00 |
|
3424
|
SUTURE VICRYL 1 CT | $12.66 |
|
3425
|
SUTURE VICRYL 1 CT-1 CR | $12.66 |
|
3426
|
SUTURE VICRYL 1-0 | $2.34 |
|
3427
|
SUTURE VICRYL 1-0 | $12.66 |
|
3428
|
SUTURE VICRYL 2 | $5.43 |
|
3429
|
SUTURE VICRYL 2-0 | $15.72 |
|
3430
|
SUTURE VICRYL 2-0 27L | $9.87 |
|
3431
|
SUTURE VICRYL 2-0 CT-1 | $30.78 |
|
3432
|
SUTURE VICRYL 2-0 CT-1 | $31.23 |
|
3433
|
SUTURE VICRYL 2-0 CT-2 | $34.41 |
|
3434
|
SUTURE VICRYL 2-0 CTD | $4.26 |
|
3435
|
SUTURE VICRYL 2-0 SH | $35.43 |
|
3436
|
SUTURE VICRYL 3-0 | $5.67 |
|
3437
|
SUTURE VICRYL 3-0 | $13.92 |
|
3438
|
SUTURE VICRYL 3-0 CP2 | $11.40 |
|
3439
|
SUTURE VICRYL 3-0 SH | $28.14 |
|
3440
|
SUTURE VICRYL 4-0 P-3 | $12.45 |
|
3441
|
SUTURE VICRYL 5-0 P3 | $12.69 |
|
3442
|
SUTURE VICRYL CT 2-0 | $27.69 |
|
3443
|
SUTURE VICRYL CT-1 | $28.62 |
|
3444
|
SUTURE VICRYL CTD 1 VIL | $34.98 |
|
3445
|
SUTURE VICRYL CTD 2 VIL | $35.46 |
|
3446
|
SUTURE VICRYL CTD 3-0 | $28.62 |
|
3447
|
SUTURE VICRYL CTD I UND CR-OS-8 | $18.75 |
|
3448
|
SUTURE VICRYL O CT | $28.20 |
|
3449
|
SUTURE VICRYL O CTX VIL BRD | $4.65 |
|
3450
|
SUTURE VICRYL PLUS 0 CT-1 | $12.81 |
|
3451
|
SUTURE VICRYL PLUS 3-0 | $12.81 |
|
3452
|
SUTURE VICRYL PS2 3-0 | $12.81 |
|
3453
|
SUTURE VICRYL RB-1 4-0 | $30.75 |
|
3454
|
SUTURE VICRYL TIES 0 | $6.45 |
|
3455
|
SUTURE= 4-0 CHROMIC P=2 | $13.83 |
|
3456
|
SUTURE= 4-0 CHROMIC P-3 | $9.24 |
|
3457
|
SUTURE= 4-0 CHROMIC P-3 | $0.24 |
|
3458
|
SWAB OB/GYN 8″ | $0.75 |
|
3459
|
SWAB TAPE REMOVER | $5.43 |
|
3460
|
SYRINGE 10 NS PREFILLED | $5.85 |
|
3461
|
SYRINGE 10CC CONTROL | $0.48 |
|
3462
|
SYRINGE 10CC LL | $0.21 |
|
3463
|
SYRINGE 10CC ST | $2.07 |
|
3464
|
SYRINGE 1ML LUER LOK | $0.75 |
|
3465
|
SYRINGE 20CC LL | $0.24 |
|
3466
|
SYRINGE 30CC LL | $3.09 |
|
3467
|
SYRINGE 3CC 22 X 1 1/2 | $4.35 |
|
3468
|
SYRINGE 3CC 23G X 1″ INTEGRA | $0.30 |
|
3469
|
SYRINGE 3CC LL | $0.21 |
|
3470
|
SYRINGE 3CC W/BLUNT FILL 305060 | $2.55 |
|
3471
|
SYRINGE 5CC L/L | $0.24 |
|
3472
|
SYRINGE 5CC SAFETY LOK LUER | $0.60 |
|
3473
|
SYRINGE 5CC SAFETY LOK LUER | $0.36 |
|
3474
|
SYRINGE ASEPTO IRRIG BULB | $4.35 |
|
3475
|
SYRINGE EAR & ULCER BULB | $1.59 |
|
3476
|
SYRINGE TB 1CC 27G X 1/2 | $2.04 |
|
3477
|
SYRINGE, GLASS 10CC | $2.67 |
|
3478
|
SYSTEM 18 GA CORE BIOPSY | $123.00 |
|
3479
|
SYSTEM DRAIN BAG | $4.77 |
|
3480
|
SYTLET 14FR INTUBATING | $1,110.00 |
|
3481
|
GELFOAM 100 | $132.00 |
|
3482
|
GELFOAM PLUS | $244.80 |
|
3483
|
GRAFT ACL FRESH FROZEN | $15,000.00 |
|
3484
|
GRAFT BYPASS DISTAFLO | $9,818.25 |
|
3485
|
GRAFT DYNAFLO 60 | $7,930.00 |
|
3486
|
GRAFT EPTFE 6MM VASCULAR | $6,012.65 |
|
3487
|
GRAFT EPTFE 7MM VASCULAR | $6,012.65 |
|
3488
|
GRAFT GORTEX | $4,130.00 |
|
3489
|
GRAFT GORTEX | $4,130.00 |
|
3490
|
GRAFT PELVIC FLOOR – USL | $7,475.00 |
|
3491
|
GRAFT PROSPACE 15X12 | $0.00 |
|
3492
|
GRAFT VASACULAR 6.0MM | $1,643.40 |
|
3493
|
GRAFT VASCULAR ALL SIZES | $2,385.00 |
|
3494
|
GRAFT VASCULAR | $3,425.00 |
|
3495
|
GRAFT VASCULAR 4.7MM | $1,754.50 |
|
3496
|
GRAFT VASCULAR 7X15CM | $2,595.00 |
|
3497
|
GRAFT VASCULAR 7X40CM | $4,745.00 |
|
3498
|
GRAFT VASCULAR 8.0MM | $2,705.00 |
|
3499
|
GRAFT VASCULAR ARTEGRAFT COLLAGEN | $4,445.00 |
|
3500
|
GRAFT VASCULAR DYNAFLO | $10,000.00 |
|
3501
|
GRAFT VASCULAR DYNAFLOW | $10,000.00 |
|
3502
|
GRAFT VASCULAR FLIXENE | $5,000.00 |
|
3503
|
GRAFT VASCULAR VENAFLO | $4,445.00 |
|
3504
|
GRAFT VASCULAR VENAFLO | $4,445.00 |
|
3505
|
GRAFT WOUND 4X5 MATRIX | $14,285.00 |
|
3506
|
GRAFT XENFORM | $7,175.00 |
|
3507
|
GRAFTA VENAFLO II | $7,175.00 |
|
3508
|
GREEN RELOAD 60 FOR ECHELON | $596.05 |
|
3509
|
HEMOCLIP MED. CURVED 11″ | $350.00 |
|
3510
|
HEMOCLIP MED. CURVED 8″ | $350.00 |
|
3511
|
HEMOCLIP MED/LG 8″ | $350.00 |
|
3512
|
HEMOCLIP SM. CURVED | $350.00 |
|
3513
|
HEMOCLIP TANTALUM MD-LG | $40.70 |
|
3514
|
HEMOCLIP TANTALUM MED | $34.75 |
|
3515
|
HEMOCLIP TANTALUM SM | $34.75 |
|
3516
|
HEMOCLIP TANTALUM SM | $34.75 |
|
3517
|
HEMOCLIP TANTALUM SM | $1,950.00 |
|
3518
|
HEMOSTAT 4X4 FIBRILLAR | $569.60 |
|
3519
|
HEMOSTAT 4X4 FIBRILLAR | $398.00 |
|
3520
|
HERNIA PATCH | $2,990.00 |
|
3521
|
HERNIA PATCH EXTRA LG. | $4,000.00 |
|
3522
|
HERNIA PATCH LG | $4,987.50 |
|
3523
|
HERNIA PATCH SMALL | $5.00 |
|
3524
|
TOTAL HIP | $0.00 |
|
3525
|
HYDROSET 5CC | $6,925.00 |
|
3526
|
IMPLANT CERVICAL DISC | $0.00 |
|
3527
|
IMPLANT GII OVAL RESURFACE | $0.00 |
|
3528
|
IMPLANT HEAD A CLASS | $0.00 |
|
3529
|
IMPLANT LORDOTIC 6X12X14 | $0.00 |
|
3530
|
IMPLANT ORTHO | $0.00 |
|
3531
|
INFLATION DEVICE | $249.75 |
|
3532
|
INFLATION DEVICE 75CM 7X2 | $1,325.00 |
|
3533
|
INFLATION DEVICE 75CM 7X4 | $1,325.00 |
|
3534
|
INSERT 9MM | $0.00 |
|
3535
|
INSERT PATELLA GII | $0.00 |
|
3536
|
INSERT PEEK 10MM | $0.00 |
|
3537
|
INSERTER TIP LARGE 5MM | $0.00 |
|
3538
|
INTERCEED DRESSING | $2,437.50 |
|
3539
|
JUGULAR SUBCLAVIAN DELIVERY KIT | $6,250.00 |
|
3540
|
K WIRE 1.25 MM | $31.25 |
|
3541
|
K WIRE 4″ THREADED | $46,650.00 |
|
3542
|
KENNEDY SLIM PROFILE PAK 3.5CM | $0.00 |
|
3543
|
KIT LLIF | $0.00 |
|
3544
|
ENDOBUTTON CL ULTRA | $0.00 |
|
3545
|
KWIRE | $21.85 |
|
3546
|
KWIRE | $116.10 |
|
3547
|
K-WIRE 0.45 | $39.00 |
|
3548
|
K-WIRE 0.62 | $39.00 |
|
3549
|
K-WIRE 1.25MM | $39.00 |
|
3550
|
K-WIRE 2.0 | $600.00 |
|
3551
|
K-WIRE 4″ .028 TROCAR | $39.00 |
|
3552
|
K-WIRE 4″ .035 TROCAR | $39.00 |
|
3553
|
K-WIRE 4″ .062 TROCAR | $39.00 |
|
3554
|
K-WIRE 9″ .045 | $39.00 |
|
3555
|
K-WIRE 9″ .062 | $39.00 |
|
3556
|
KWIRE AT2 | $39.00 |
|
3557
|
K-WIRE TROCAR .045 | $39.00 |
|
3558
|
K-WIRE WITH WIRE GUIDE | $17.15 |
|
3559
|
KYPHOPLASTY CEMENT | $1,675.00 |
|
3560
|
LAP BAND 10.0 CM | $15,975.00 |
|
3561
|
LAP BAND VG SYSTEM | $15,975.00 |
|
3562
|
LEAD | $0.00 |
|
3563
|
LIGA CLIP SMALL | $47.00 |
|
3564
|
LIGACLIP 29.2 CM | $283.50 |
|
3565
|
LIGACLIP EXTRA | $29.65 |
|
3566
|
LIGATOR MULTIPLE BAND SUPERVIEW | $900.00 |
|
3567
|
LINEAR CUTTER | $494.85 |
|
3568
|
LINEAR CUTTER RELOAD | $397.20 |
|
3569
|
LINEAR CUTTER RELOAD 75MM | $1,817.95 |
|
3570
|
LLIF KIT | $0.00 |
|
3571
|
MASTISOL LIQUID ADHESIVE | $7.80 |
|
3572
|
MESH | $1,044.75 |
|
3573
|
MESH 3D MEDIUM RIGHT | $1,044.75 |
|
3574
|
MESH MARLEX 3″ X 6″ | $627.30 |
|
3575
|
MESH MOMO 6X6 | $487.50 |
|
3576
|
MESH MONOFIL 1X4 | $1,316.60 |
|
3577
|
MESH PLUG LG. | $1,149.00 |
|
3578
|
MESH PLUG XL | $2,676.75 |
|
3579
|
MESH TIMESH 41.4X4 TITANIZED | $1,000.00 |
|
3580
|
MESH VENTRALEX 2.5 | $3,594.95 |
|
3581
|
MESH VENTRALEX 3.2 | $3,840.05 |
|
3582
|
MESH VENTRALEX ST LARGE | $3,700.00 |
|
3583
|
MIC GASTRO TUBE #18 | $213.32 |
|
3584
|
MIC GASTRO TUBE #22 | $266.65 |
|
3585
|
MIC TUBE #24 | $237.50 |
|
3586
|
MIC TUBE 24 FR | $249.35 |
|
3587
|
MOZAIK STRIP ALL SIZES | $6,000.00 |
|
3588
|
NAIL ALL SIZES | $0.00 |
|
3589
|
NANOSS 10CC | $11,473.55 |
|
3590
|
NANOSS 20CC | $15,500.00 |
|
3591
|
NANOSS 2CC | $3,500.00 |
|
3592
|
NANOSS 3D Strip | $11,000.00 |
|
3593
|
NANOSS 3D | $13,750.00 |
|
3594
|
NANOSS 5CC | $5,250.00 |
|
3595
|
NECK HIP IMPLANT | $0.00 |
|
3596
|
NEXOSS 100 | $0.00 |
|
3597
|
NUTS RETAINER | $0.00 |
|
3598
|
BIT DRILL ALL SIZES | $500.00 |
|
3599
|
OSTEOCELL 1CC | $2,415.00 |
|
3600
|
OSTEOSET 5CC | $2,415.00 |
|
3601
|
PACEMAKER | $0.00 |
|
3602
|
PALACOS W/O GENTAMICIN | $512.50 |
|
3603
|
PALACOS WITH GENTAMICIN | $2,039.45 |
|
3604
|
PATELLA IMPLANT | $0.00 |
|
3605
|
PIN TEMPORARY | $0.00 |
|
3606
|
PIN TROCAR | $0.00 |
|
3607
|
PINS | $0.00 |
|
3608
|
PLATE 10HOLE | $0.00 |
|
3609
|
PLATE 12MM | $0.00 |
|
3610
|
PLATE 12MM | $0.00 |
|
3611
|
PLATE 3 LEVEL 48MM | $0.00 |
|
3612
|
PLATE 3 LEVEL 51MM | $0.00 |
|
3613
|
PLATE 36MM | $0.00 |
|
3614
|
PLATE 2 LEVEL | $0.00 |
|
3615
|
PLATE 36MM CROSSBAR | $0.00 |
|
3616
|
PLATE 36MM LOCKING | $0.00 |
|
3617
|
PLATE 39MM | $0.00 |
|
3618
|
PLATE 4 HOLE | $0.00 |
|
3619
|
PLATE 4 HOLE 3.5MM | $0.00 |
|
3620
|
PLATE 46MM | $0.00 |
|
3621
|
PLATE 57MM PYARANEES | $0.00 |
|
3622
|
PLATE 58MM | $0.00 |
|
3623
|
PLATE 64MM | $0.00 |
|
3624
|
PLATE 7113-0304 | $0.00 |
|
3625
|
PLATE 7113-0306 | $0.00 |
|
3626
|
PLATE 7113-0310 | $0.00 |
|
3627
|
PLATE 7113-0503 | $0.00 |
|
3628
|
PLATE 7113-0503 | $0.00 |
|
3629
|
PLATE 7114-0302 | $0.00 |
|
3630
|
PLATE 8MM | $0.00 |
|
3631
|
PLATE AMBI CHS 135 100MM 4-SLOT | $0.00 |
|
3632
|
PLATE- AMBI CHS 135 4 SLOT | $0.00 |
|
3633
|
PLATE- AMBI CHS 135 5 SLOT 120MM | $0.00 |
|
3634
|
DRILL | $0.00 |
|
3635
|
PLATE CHS 140 120MM | $0.00 |
|
3636
|
PLATE CHS 140MM | $0.00 |
|
3637
|
PLATE CHS 150 100MM | $0.00 |
|
3638
|
PLATE CHS140 100MM111 | $0.00 |
|
3639
|
PLATE COVER 14MM | $0.00 |
|
3640
|
PLATE LUMBAR | $0.00 |
|
3641
|
MESH/PLATE(CRANI) | $0.00 |
|
3642
|
PORT MRI IMPLANTED 8R SGL LUMEN | $1,645.00 |
|
3643
|
PREP KIT STEM PRP | $1,687.50 |
|
3644
|
PRODISC C IMPLANT | $0.00 |
|
3645
|
PROFUSE 25MM | $0.00 |
|
3646
|
PROFUSE ALLOGRAFT | $0.00 |
|
3647
|
PROLENE MESH 12×12 | $1,035.00 |
|
3648
|
PROSPACE 11X12 | $0.00 |
|
3649
|
PROSPACE 11X6 | $0.00 |
|
3650
|
PUTTY 5CC | $3,081.25 |
|
3651
|
RE DIALATION BALLOON | $1,185.00 |
|
3652
|
REAMER LOW PROFILE | $1,395.00 |
|
3653
|
RELOAD 35B | $47.25 |
|
3654
|
RELOAD LINEAR (BLUE RELOAD FOR EZ45B) | $960.00 |
|
3655
|
RELOAD LINEAR 55MM | $253.15 |
|
3656
|
RELOAD LINEAR STAPLER | $267.60 |
|
3657
|
RELOAD STAPLER GREEN | $58.05 |
|
3658
|
RENTAL BILLING | $0.00 |
|
3659
|
RENTAL OF LASER | $0.00 |
|
3660
|
RENTAL OF METRX | $0.00 |
|
3661
|
REPAIR OF EQUIPMENT | $0.00 |
|
3662
|
REPAIR/EXCHANGE SCOPE | $0.00 |
|
3663
|
SCREW BIO COMPOSITE | $1,610.00 |
|
3664
|
SCREW BONE | $0.00 |
|
3665
|
SCREW > THAN 8.5 MM AND < 20 MM | $0.00 |
|
3666
|
SCREW BONE 14S | $0.00 |
|
3667
|
SCREW GREATER THAN 20 MM | $0.00 |
|
3668
|
SCREW BONE 30.0 ACUTRAK | $0.00 |
|
3669
|
SCREW BONE 4.5 42MM | $0.00 |
|
3670
|
SCREW BONE 4.5MM 36MMLG | $0.00 |
|
3671
|
SCREW BONE 4.5X34 | $0.00 |
|
3672
|
SCREW CAN 5X34 | $0.00 |
|
3673
|
SCREW- CAN 7X50MM | $0.00 |
|
3674
|
SCREW- CAN 7X65MM | $0.00 |
|
3675
|
SCREW- CAN 7X70MM | $0.00 |
|
3676
|
SCREW- CAN 7X75MM | $0.00 |
|
3677
|
SCREW- CAN 7X80MM | $0.00 |
|
3678
|
SCREW CAN. LONG | $0.00 |
|
3679
|
SCREW CANN 7.0X80 | $0.00 |
|
3680
|
SCREW CANN W/ SHEATH | $0.00 |
|
3681
|
SCREW CANN. SHORT 4.0 X 12MM | $0.00 |
|
3682
|
SCREW CANN.SHORT 4.0 X 1MM | $0.00 |
|
3683
|
SCREW CANNULATED | $0.00 |
|
3684
|
SCREW CANNULATED | $0.00 |
|
3685
|
SCREW CANNULATED 16,, 7.0 | $0.00 |
|
3686
|
SCREW CANNULATED 3MMX1000 | $0.00 |
|
3687
|
SCREW CANNULATED 7.0 | $0.00 |
|
3688
|
SCREW CANNULATED 7.0MM | $0.00 |
|
3689
|
SCREW CANNULATED 7X45MM | $0.00 |
|
3690
|
SCREW CANNULATED 85MM | $0.00 |
|
3691
|
SCREW CANNULATED 90MM | $0.00 |
|
3692
|
SCREW CANNULATED 95MM | $0.00 |
|
3693
|
SCREW CANNULATED THREADED | $0.00 |
|
3694
|
SCREW CANNULATED THREADED | $0.00 |
|
3695
|
SCREW CANNULATED THREADED | $0.00 |
|
3696
|
SCREW CANNULATED THREADED | $0.00 |
|
3697
|
SCREW CANNULATED THREADED | $0.00 |
|
3698
|
SCREW CANNULATED THREADED | $0.00 |
|
3699
|
SCREW CANNULATED THREADED | $0.00 |
|
3700
|
SCREW CANULATED 2.0 9MM | $0.00 |
|
3701
|
SCREW CAP | $0.00 |
|
3702
|
SCREW- COMPRESSION 28.5MM | $0.00 |
|
3703
|
SCREW COMPRESSION AMBI | $0.00 |
|
3704
|
SCREW CORKSREW | $0.00 |
|
3705
|
SCREW CORTEX 3.5 18MM | $0.00 |
|
3706
|
SCREW CORTICAL | $0.00 |
|
3707
|
SCREW FLAT LOCK | $0.00 |
|
3708
|
SCREW LAG CHS 1015MM | $0.00 |
|
3709
|
SCREW LAG CHS 110MM | $0.00 |
|
3710
|
SCREW LAG CHS 60MM | $0.00 |
|
3711
|
SCREW LAG SUPER | $0.00 |
|
3712
|
SCREW LAG SUPER 125MM | $0.00 |
|
3713
|
SCREW LAG SUPER 90MM | $0.00 |
|
3714
|
SCREW LARGE CHS 100MM | $0.00 |
|
3715
|
SCREW LARGE CHS 90MM | $0.00 |
|
3716
|
SCREW LOCK FLAT | $0.00 |
|
3717
|
SCREW LOCKING | $0.00 |
|
3718
|
SCREW LUMBER 6.6 | $0.00 |
|
3719
|
SCREW PEDICLE 5.5 | $0.00 |
|
3720
|
SCREW POLYAXIAL 5.5X45 | $0.00 |
|
3721
|
SCREW RETAINER | $0.00 |
|
3722
|
SCREW SUPER LAG | $0.00 |
|
3723
|
SCREW SUPER LAG | $0.00 |
|
3724
|
SCREW TENODESIS | $20.40 |
|
3725
|
SCREW TENODESIS BIOCOMPOSIT | $22.60 |
|
3726
|
SCREW THREADED CANNULATED | $0.00 |
|
3727
|
SCREWS LUMBAR | $0.00 |
|
3728
|
SCRWE 14MM | $0.00 |
|
3729
|
SCREW 4X20 | $0.00 |
|
3730
|
SCREW 6.0 MM | $0.00 |
|
3731
|
SEALANT TISSEEL FIBRIN 10ML | $2,623.40 |
|
3732
|
SEALANT TISSEEL FIBRIN 4ML; | $1,069.00 |
|
3733
|
SET CATH ASH SPLIT 32 | $20,025.00 |
|
3734
|
SET SCREW | $0.00 |
|
3735
|
SET SCREW | $0.00 |
|
3736
|
SET SCREW | $0.00 |
|
3737
|
SET SCREW | $0.00 |
|
3738
|
STEM 16MM | $0.00 |
|
3739
|
STEM 18MM | $0.00 |
|
3740
|
STEM HIP IMPLANT | $0.00 |
|
3741
|
STENT 6FRX22CM DBL URET | $840.00 |
|
3742
|
STENT 6FRX24CM DBL URET | $840.00 |
|
3743
|
STENT 6X26 | $575.00 |
|
3744
|
STENT ENDO 7/10FX26CM | $925.00 |
|
3745
|
STENT LUMENEX 12X40 | $7,250.00 |
|
3746
|
STENT SINGLE J 70″ | $2,000.00 |
|
3747
|
STENT URETERAL ALL SIZES | $672.00 |
|
3748
|
STENT URETERAL 6X20 | $840.00 |
|
3749
|
STENT URETERAL 6X22 | $875.00 |
|
3750
|
STENT URETERAL 6X26 | $875.00 |
|
3751
|
STENT URETERAL 6X28 | $875.00 |
|
3752
|
SURGI FOAM | $728.10 |
|
3753
|
SURGIFLO HEMOSTAT MATRIX | $387.60 |
|
3754
|
SUTURE ANCHOR MICROBIOCOMP 2.4 X 6.5MM | $1,525.00 |
|
3755
|
SUTURE LASSO | $700.00 |
|
3756
|
SUTURE LASSO 25D | $700.00 |
|
3757
|
SUTURETAK 2.4 | $975.00 |
|
3758
|
TAL PALINDROME CATH | $439.00 |
|
3759
|
CAGE SMALL 7MM | $0.00 |
|
3760
|
CAGE SMALL 8MM | $0.00 |
|
3761
|
PLATE 32MM LEVEL 2 | $0.00 |
|
3762
|
SCREW 14MM VA | $0.00 |
|
3763
|
SCREW 16MM VA | $0.00 |
|
3764
|
PLATE 5H 83MM 3.5MM | $0.00 |
|
3765
|
SCREW OSTEOPENIA 5X14 | $0.00 |
|
3766
|
SCREW OSTEOPENIA 5X12 | $0.00 |
|
3767
|
SCREW CANN 56MM 4.0 | $0.00 |
|
3768
|
SCREW CRTX 3.5X12 | $0.00 |
|
3769
|
SCREW LCK 3.5X12 | $0.00 |
|
3770
|
SCREW LCK 3.5X14 | $0.00 |
|
3771
|
DRILL BIT 2.7 SHORT | $0.00 |
|
3772
|
NEUROSTIM LEAD | $0.00 |
|
3773
|
NEUROSTIM PROGRAMMER KIT | $0.00 |
|
3774
|
NEUROSTIM CHARGING SYSTEM KIT | $0.00 |
|
3775
|
NEUROSTIM GENERATOR KIT | $0.00 |
|
3776
|
PERIPHERAL INFUSION SYSTEM | $8,380.00 |
|
3777
|
SYRINGE BONE GRAFT DELIVERY | $600.00 |
|
3778
|
SCREW MIS 7.5X45 | $0.00 |
|
3779
|
SCREW MIS | $0.00 |
|
3780
|
ROD | $0.00 |
|
3781
|
PROBE PEDICLE SCREW | $600.00 |
|
3782
|
ILLUMINATOR SURGICAL | $600.00 |
|
3783
|
CAGE PARALLEL 18X55X11 | $0.00 |
|
3784
|
CAGE LORDOTIC 18X55X11 | $0.00 |
|
3785
|
PIN VERSITONIC | $0.00 |
|
3786
|
SCREW ACL INTERFERENCE | $0.00 |
|
3787
|
SCREW ACL INTERFERENCE 9X20 | $0.00 |
|
3788
|
IMPLANT TOTAL KNEE | $0.00 |
|
3789
|
IMPLANT TIBIA GNS II SZ 7 | $0.00 |
|
3790
|
IMPLANT FEMUR SZ 7 | $0.00 |
|
3791
|
IMPLANT LGN XLPE SZ 7-9 9MM | $0.00 |
|
3792
|
IMPLANT PATELLA 35MM 7.5MM | $0.00 |
|
3793
|
STENT GI ALL SIZES | $0.00 |
|
3794
|
PLATE 2 LEVEL CORPECTOMY 32MM | $0.00 |
|
3795
|
CAGE CORPECTOMY 24MM | $0.00 |
|
3796
|
NEUROSTIMULATOR IMPLANT | $0.00 |
|
3797
|
NAIL INTERTAN 11.5X42 125D | $0.00 |
|
3798
|
DRILL 4.0MM SHORT AO | $0.00 |
|
3799
|
SCREW 8.5 MM | $0.00 |
|
3800
|
SCREW 8.5 X 45MM | $0.00 |
|
3801
|
ROD 40MM | $0.00 |
|
3802
|
EXTRACTOR TISSUE DISP | $2,780.00 |
|
3803
|
RASP KIT AXIAL DISP | $3,580.00 |
|
3804
|
RETRACTOR TUBULAR DISP | $3,180.00 |
|
3805
|
GRANULES HA TCP 7 DWL 5CC | $0.00 |
|
3806
|
SYSTEM AXIAL LIF | $0.00 |
|
3807
|
SLING SUPRAPUBIC URETHRAL | $4,924.50 |
|
3808
|
NEEDLE TARGETING | $720.00 |
|
3809
|
ROD 45MM | $0.00 |
|
3810
|
NEEDLE ELECTRODE SUBDERMAL | $2,000.00 |
|
3811
|
PLATE LEVEL 4 CERVICAL | $0.00 |
|
3812
|
SCREW FIXED CERVICAL | $0.00 |
|
3813
|
SCREW STALIF ABO | $0.00 |
|
3814
|
SCREW 2.5MM CRTX LCK | $0.00 |
|
3815
|
PACEMAKER DUAL CHAMBER RATE RESPONSIVE | $0.00 |
|
3816
|
AICD SINGLE/DUAL CHAMBER | $0.00 |
|
3817
|
MESH 3D R/L | $0.00 |
|
3818
|
TACKER SORBAFIX | $1,640.00 |
|
3819
|
LEAD, PACEMAKER, OTHER THAN TRANSVENOUS | $0.00 |
|
3820
|
PACEMAKER | $0.00 |
|
3821
|
PENILE KIT ACCESSORY | $1,865.60 |
|
3822
|
PENILE RETRACTION SYSTEM | $1,220.00 |
|
3823
|
PENILE CATHETER | $0.00 |
|
3824
|
SLING MALE URINARY | $22,000.00 |
|
3825
|
PENILE RESERVOIR | $8,223.60 |
|
3826
|
PENILE PUMP | $27,536.96 |
|
3827
|
NEUROCHECK W/WIRE IO FLEX | $4,464.00 |
|
3828
|
PROBE IO FLEX S | $832.00 |
|
3829
|
HANDLE DISTAL IO FLEX | $1,104.00 |
|
3830
|
CANNULA IO FLEX | $0.00 |
|
3831
|
SHAVER MICROBLADE IO FLEX | $7,580.00 |
|
3832
|
SHUNT VENTRICULAR | $0.00 |
|
3833
|
VALVE HAKIM | $0.00 |
|
3834
|
KYPHO KIT | $0.00 |
|
3835
|
DBM PUTTY (ALL SIZES) | $0.00 |
|
3836
|
PUNCTURE ASP LESION | $1,079.40 |
|
3837
|
NEEDLE BX MUSCLE | $1,079.40 |
|
3838
|
BX OFBONE TROCAR/NEEDLE | $1,603.00 |
|
3839
|
LIVER NEEDLE PERQ/BX. | $1,723.41 |
|
3840
|
LIVER NEEDLE PERQ/BX. | $1,723.41 |
|
3841
|
OR CONSULT W/FROZEN SECTION | $80.00 |
|
3842
|
CINCH MENISCAL | $1,632.00 |
|
3843
|
SUTURE KNOT PUSHER #2 | $716.00 |
|
3844
|
CANNISTER WOUND VAC | $170.52 |
|
3845
|
HIP CUP | $13,640.00 |
|
3846
|
HIP LINER | $9,750.00 |
|
3847
|
HIP STEM | $2,500.00 |
|
3848
|
HIP HEAD | $15,750.00 |
|
3849
|
HIP INSERT | $6,250.00 |
|
3850
|
TESTICULAR SALINE PROSTHESIS | $8,750.00 |
|
3851
|
Cisatracurium 2mg/ml (10ml vial) | $0.00 |
|
3852
|
Alinia 500mg tab | $0.00 |
|
3853
|
Alinia Oral Solution 60ml (100mg/5ml) | $0.00 |
|
3854
|
Neostigmine 0.5mg/ml 10ml | $0.00 |
|
3855
|
Phospha 250 Neutral | $0.00 |
|
3856
|
VENEFLEX OINT 60 GM | $0.00 |
|
3857
|
NAMENDA XR 28MG CAP | $0.00 |
|
3858
|
OXYCODONE 20MG TAB | $0.00 |
|
3859
|
HYDROMORPHONE 1MG/ML VIAL | $0.00 |
|
3860
|
NEOSTIGMINE 5MG/10ML VIAL | $0.00 |
|
3861
|
VITAL AF 1.2 1 LITER | $0.00 |
|
3862
|
ORAJEL | $0.00 |
|
3863
|
FOMEPIZOLE 1.5 INJ VIAL | $0.00 |
|
3864
|
TX/PROPH/DG/ADDL SEQ IV INF | $87.00 |
|
3865
|
RELISTOR 12 MG INJ | $1,361.00 |
|
3866
|
ATROPINE 0.4MG/ML ING(VIAL) | $0.00 |
|
3867
|
UROLIFT | $0.00 |
|
3868
|
CYSTOURETHROSCOPY W/ 4+ IMPL | $11,000.00 |
|
3869
|
HOSPITAL OUTPT CLINIC VISIT | $271.17 |
|
3870
|
SPACER CORTICAL CANCELLOUS 7MM | $1,125.00 |
|
3871
|
HOSPITAL OUTPT CLINIC VISIT | $271.17 |
|
3872
|
INTRAVENOUS INFUSION, HYDRATION 1ST HR | $332.27 |
|
3873
|
INJECTION IV | $185.56 |
|
3874
|
GITUBE REPLACE/CHANGE | $528.52 |
|
3875
|
GITUBE REPOSITION | $1,928.40 |
|
3876
|
AICD SINGLE CHAMBER | $0.00 |
|
3877
|
ATACAND 16 MG TABLET | $0.00 |
|
3878
|
GENERATOR, NEUROSTIM NON-RECHARGE | $0.00 |
|
3879
|
SWALLOW CURRENT STATUS | $0.00 |
|
3880
|
PROAIR HFA MDI W/Container | $0.00 |
|
3881
|
SYNVISC PFS 16mg/2ml | $0.00 |
|
3882
|
STANDARD STEM SZ 8 | $0.00 |
|
3883
|
COLLAR STANDARD 48mm | $0.00 |
|
3884
|
BODY POROCOAT EPIPHYSIS SZ 10 -5 | $8,449.50 |
|
3885
|
HEAD STANDARD 48 X 18 | $0.00 |
|
3886
|
CEMENT BIOSTOP RESTRICTOR 12MM | $836.00 |
|
3887
|
SORBITOL SOLUTION 70% 30ML | $0.00 |
|
3888
|
AICD DUAL CHAMBER | $0.00 |
|
3889
|
LEAD, AICD ENDO DUAL COIL | $0.00 |
|
3890
|
CATH FOLEY 3WY 18FR | $55.77 |
|
3891
|
CATH FOLEY 3WY 20FR 30CC | $55.77 |
|
3892
|
CATH FOLEY W/BAG | $55.77 |
|
3893
|
3WY 24FR 30CC | $55.77 |
|
3894
|
CATH 3-WAY ALL SIZES | $55.77 |
|
3895
|
ATROPINE 0.1MG/ ML 5MLSYR | $0.00 |
|
3896
|
Orthoblend small | $0.00 |
|
3897
|
V-D-R LK Pl Std HD 3h R 62mm | $4,187.50 |
|
3898
|
2.5mm S-T Crtx Lck Screw 12mm | $476.10 |
|
3899
|
2.5mm S-T Crtx Lck Screw 16mm | $476.10 |
|
3900
|
2.5mm S-T Crtx Lck Screw 18mm | $476.10 |
|
3901
|
2.5mm S-T Crtx Screw 16mm | $112.80 |
|
3902
|
2.5mm S-T Crtx Screw 18mm | $112.80 |
|
3903
|
2.5mm S-T Crtx Screw 20mm | $112.80 |
|
3904
|
Peri-loc 3.5mm T20 Lock Screw 16mm | $1,177.60 |
|
3905
|
Temporary Pacing Wire | $865.00 |
|
3906
|
Wedge HTO 6 Deg. 7.5mm | $3,750.00 |
|
3907
|
BOTOX Bladder | $2,204.00 |
|
3908
|
Vascu-Guard | $761.40 |
|
3909
|
Preformed Osteoform Mesh | $13,375.00 |
|
3910
|
OR Cable 2 X * 61 CM extention | $2,000.00 |
|
3911
|
Autologous adult adipose derived stem-ce | $21,000.00 |
|
3912
|
Occipital Screw 8nm | $4,475.00 |
|
3913
|
Occipital Screw 10mm | $4,475.00 |
|
3914
|
Transitional Rod | $2,065.00 |
|
3915
|
DETROL LA 2MG CAP | $0.00 |
|
3916
|
Hexalobe | $900.00 |
|
3917
|
Occipital Plate 56mm | $21,000.00 |
|
3918
|
Flexible Great Toe Implant | $8,665.00 |
|
3919
|
BTB Cross Pin Kit | $1,992.00 |
|
3920
|
BASEPLATE | $4,206.25 |
|
3921
|
4.5 mm screw and cap 22mm | $343.75 |
|
3922
|
4.5 mm screw and cap 25mm | $343.75 |
|
3923
|
4.5 mm screw and cap 25mm | $343.75 |
|
3924
|
Glenosphere | $4,363.75 |
|
3925
|
Standard Poly Liner | $2,218.75 |
|
3926
|
Stem | $3,200.00 |
|
3927
|
REVERSE SHOULDER | $5,181.25 |
|
3928
|
Guidepin 2.0 x 150 | $91.00 |
|
3929
|
TIS driver tip | $180.00 |
|
3930
|
Hex driver 2.5 | $260.00 |
|
3931
|
X-Small Left Trochlear Component | $19,845.00 |
|
3932
|
Tenodesis | $1,575.00 |
|
3933
|
Brace Ligament Augmentation w/fiber wire | $7,680.00 |
|
3934
|
Achilies Midsubstance Speedbridge | $6,965.00 |
|
3935
|
Entretoise Spacer | $6,945.25 |
|
3936
|
Humeral Metephyse | $15,567.50 |
|
3937
|
screw (Double Neck) | $2,343.25 |
|
3938
|
Bouchon Obturator | $1,007.50 |
|
3939
|
Humeral Insert | $6,025.50 |
|
3940
|
Locking Screw 4.5 x 20 | $786.50 |
|
3941
|
Locking Screw 4.5 x 23 | $786.50 |
|
3942
|
Locking Screw 4.5 x 26 | $786.50 |
|
3943
|
Humeral Head | $14,660.75 |
|
3944
|
Humeral Stem | $18,453.50 |
|
3945
|
Follicle Stimulating Hormone | $76.62 |
|
3946
|
Luteinzing Hormone | $25.00 |
|
3947
|
Hematocrit | $9.78 |
|
3948
|
Hemoglobin | $9.78 |
|
3949
|
Talus Cryo (Right) | $17,750.00 |
|
3950
|
Allogen (Large) Injectable | $4,975.00 |
|
3951
|
Alloshield 2 x 4 | $9,750.00 |
|
3952
|
Cancellous Bone Sponge | $3,175.00 |
|
3953
|
Cartiform | $42,500.00 |
|
3954
|
Subchondaral Dart Kit | $2,080.00 |
|
3955
|
Subchondaral Dart | $605.00 |
|
3956
|
Graft Delivery System | $2,500.00 |
|
3957
|
Bone Harvester | $3,588.00 |
|
3958
|
Fastforward Bone Tether Plate | $5,400.00 |
|
3959
|
Suture Passer Nitinol w/Metal Tube | $193.60 |
|
3960
|
Interference Screw 4.75 x 15MM | $2,075.00 |
|
3961
|
Interference Screw 4.75 x 17.5MM | $2,075.00 |
|
3962
|
Interference Screw 4.75 X 20mm | $1,660.00 |
|
3963
|
Ultiva (Remifentanil PF) 2mg/5ml vital | $579.25 |
|
3964
|
Duraseal | $4,498.00 |
|
3965
|
Delta Tap 2.2 X 8/10mm | $1,736.00 |
|
3966
|
Delta Tap 2.2 X 6mm | $1,736.00 |
|
3967
|
DELTA TAP 2.2 X 4mm DRILL | $1,736.00 |
|
3968
|
Resorb 2.2. X 4mm SCR/DS | $2,775.00 |
|
3969
|
Delta Tap 2.6 X 10mm SCR/DS | $2,775.00 |
|
3970
|
Delta System Straigth Plate | $2,580.00 |
|
3971
|
Hydroset Injectable Cement 5cc | $11,000.00 |
|
3972
|
Hydroset Injectable Cement 10cc | $18,350.00 |
|
3973
|
SD SCR Cross Pin 1.5 x 4mm | $495.00 |
|
3974
|
Standard Cross-Pin Self 1.5 X 5mm | $495.00 |
|
3975
|
UN3 Straight Plate 16 Hole | $2,125.00 |
|
3976
|
Cross-Pin Self Tapping 1.7 X4mm | $440.00 |
|
3977
|
Duramatrix 1 X 1 | $2,185.00 |
|
3978
|
Duramatrix 2X2 | $3,985.00 |
|
3979
|
DURAMTRIX ALL SIZES | $5,770.00 |
|
3980
|
Flex Catheter | $5,188.00 |
|
3981
|
Nosecone Reusable | $2,235.00 |
|
3982
|
Wedge Pillow 5 position | $168.00 |
|
3983
|
Delta Tap 2.2 X 8/10mm | $1,736.00 |
|
3984
|
Delta Tap 2.2 X 6mm | $1,736.00 |
|
3985
|
Battery quickdrive Varispeed | $1,200.00 |
|
3986
|
3cm Straight 3/32″ Sleeve | $312.00 |
|
3987
|
Bacterin 10cc | $6,800.00 |
|
3988
|
Bacterin 5cc | $4,500.00 |
|
3989
|
7.3mm hip screw | $1,855.00 |
|
3990
|
Fastforward Bone Tether Plate | $6,750.00 |
|
3991
|
PTFE 6 X 6 | $591.00 |
|
3992
|
PTFE 1 X 1 | $92.05 |
|
3993
|
PTFE 2 X 2 | $135.65 |
|
3994
|
Allogen Large Injectables | $4,975.00 |
|
3995
|
Screw Polyaxial 12 mm | $4,750.00 |
|
3996
|
SCREW ASNIS III CANNULATED 5.0 X 46MM | $1,000.15 |
|
3997
|
WASHER FOR ASNIS III 5.0MM | $146.25 |
|
3998
|
CBC II W/O DISC 1/8 DRAIN(CONSTAVAC) | $513.28 |
|
3999
|
BONE COLLECTOR | $352.68 |
|
4000
|
VIEW SITE BRAIN ACCESS SYSTEM | $2,780.00 |
|
4001
|
PUTTY DBM 2.0-2.5 CC | $2,950.00 |
|
4002
|
SPACER 9 X 8 X 26 MM8 DEGREES | $21,000.00 |
|
4003
|
LUMBAR DRAIN | $1,632.00 |
|
4004
|
DURASEAL | $6,626.00 |
|
4005
|
THREADED GUIDE WIREAANIS 2.0 X 160MM | $179.68 |
|
4006
|
K-WIREASNIS IIISMOOTH TIP 2.0 X 160MM | $32.24 |
|
4007
|
DRILLCANNULATED ANSIS III 2.5MM | $1,066.40 |
|
4008
|
CANNULATEDCOUNTER SINK ASNIS III | $908.30 |
|
4009
|
DRILL CANNULATED ASNIS III 5.0MM | $1,319.36 |
|
4010
|
TAP CANNULATED ASNIS III 5.0 | $617.52 |
|
4011
|
PIN | $155.00 |
|
4012
|
KIRSCHNEW WIRE 1.2 X 65MM | $570.40 |
|
4013
|
SCREW TITANIUM 2.0 MM X 6.00MM | $2,075.00 |
|
4014
|
CORE IRRIGATION CASSETTE | $212.12 |
|
4015
|
ROUTER TAPERED D-58 1.7 X 16MM | $511.96 |
|
4016
|
ROUTER TAPERED D- 58 1.5 X 12MM | $511.96 |
|
4017
|
BURR ROUND FLUTED ZYPHR 2.0 MM | $746.48 |
|
4018
|
BURR ROUND FLUTED ZYPHR 3.0 MM | $965.44 |
|
4019
|
BURR ROUND FLUTED ZYPHR 4.0MM | $965.44 |
|
4020
|
KIRSCHNEW WIRE 1.2 X 65MM | $570.40 |
|
4021
|
BURR ROUND DIAMOND ELITE | $526.60 |
|
4022
|
BURR ROUND DIAMOND ELITE | $526.60 |
|
4023
|
BURR ROUND DIAMOND ELITE | $526.60 |
|
4024
|
BURR ROUND DIAMOND ELITE | $536.60 |
|
4025
|
BURR ROUND DIAMOND ELITE COARSE | $526.60 |
|
4026
|
BURR ROUND DIAMOND ELITE COARSE | $526.60 |
|
4027
|
BURR MIS CURVED ROUND 2.0 MM | $783.32 |
|
4028
|
BURR MIS CURVED ROUND 2.0 MM | $783.32 |
|
4029
|
BURR MIS CURVED ROUND 3.0 MM | $783.32 |
|
4030
|
BURR MIS CURVED 2.0 MM NERO DIA | $783.32 |
|
4031
|
BURR MIS CURVED 3.0 MM NEURO DIA | $783.32 |
|
4032
|
BURR MIS CURVED 3.0 MM NEURO DIA | $783.32 |
|
4033
|
BURR MIS CURVED 2.5 MM NEURO DIA | $783.32 |
|
4034
|
BURR MIS NEURO COARSE 3.0 MM | $783.32 |
|
4035
|
SMALL JOINT BUNDLE | $1,400.00 |
|
4036
|
FOOT STRAP | $237.16 |
|
4037
|
THIGH PAD | $336.00 |
|
4038
|
DRUG OF ABUSE TESTING (DAU) | $996.18 |
|
4039
|
ACETAMINOPHEN | $239.40 |
|
4040
|
SALICYLATE | $221.58 |
|
4041
|
ETOH(ALCOHOL) | $162.36 |
|
4042
|
ETOH(ALCOHOL) SERUM | $162.36 |
|
4043
|
ETOH(ALCOHOL) URINE | $162.36 |
|
4044
|
EXCEL TUBING (CUSA) | $1,304.00 |
|
4045
|
EXCEL CURVED EXTENDED TIP (CUSE) | $2,856.00 |
|
4046
|
EXCEL CURVED EXTENDED TIP (CUSE) | $2,485.00 |
|
4047
|
EXCEL STANDARD TIP MICRO (CUSA) | $2,214.00 |
|
4048
|
EXCEL DISPOSABLE WRENCH (CUSA) | $328.00 |
|
4049
|
MAYFIELD PIN | $126.67 |
|
4050
|
CRANI PAK | $2,521.88 |
|
4051
|
DRAPE MITAKE ARM | $103.20 |
|
4052
|
PRASS PAIRE ELECTRODE NEEDLE | $636.91 |
|
4053
|
SUCTION SPECIMEN TRAP | $4.19 |
|
4054
|
ACCUDRAIN | $1,264.00 |
|
4055
|
CELL SAVER 1/4 Hr | $0.00 |
|
4056
|
CELL SAVER STEM CELL | $0.00 |
|
4057
|
BURR HOLE COVER UN3 14MMW/TAB | $1,680.00 |
|
4058
|
CERAMENT 5 CC | $7,800.00 |
|
4059
|
HUMERAL STEM | $19,975.00 |
|
4060
|
HUMERAL ADAPTER | $19,300.00 |
|
4061
|
HUMERAL LINER | $8,475.00 |
|
4062
|
GLENOID PLATE | $16,025.00 |
|
4063
|
GLENOSPERE | $14,825.00 |
|
4064
|
FIXED ANGLE TORGUE SCREW | $2,725.00 |
|
4065
|
GLENOSPHERE LOCKING SCREW | $1,250.00 |
|
4066
|
COMPRESSION SCREW 4.5x34MM | $1,275.00 |
|
4067
|
COMPRESSION SCREW 4.5 X 30MM | $1,275.00 |
|
4068
|
DRILL BIT | $2,540.00 |
|
4069
|
KIDNEY SHAPED SKULL PLATE | $5,570.00 |
|
4070
|
KIDNEY SHAPED SKULL PLATE | $5,570.00 |
|
4071
|
PUTTY BIOACTIVE BONE GRAFT | $0.00 |
|
4072
|
CYTOLOGY BRUSH | $468.00 |
|
4073
|
DREAMTOME | $1,785.48 |
|
4074
|
DREAMWIRE | $730.80 |
|
4075
|
PANCREATIC STENT (SINGLE PIGTAIL) | $760.00 |
|
4076
|
IIIIUM TRICORTICAL BLOCK 9MM X 18MM | $3,050.00 |
|
4077
|
SCREW SMOOTH SHANK 22 X 9 MM | $5,750.00 |
|
4078
|
SCREW FAVORED ANGLE 4.0 X 34 MM | $5,750.00 |
|
4079
|
LEFT OFFSET CONNECTOR | $4,000.00 |
|
4080
|
RIGHT OFFSET CONNECTOR | $4,000.00 |
|
4081
|
DISPOSABLE SUBDERMAL NEEDLE ELECTRODE | $2,000.00 |
|
4082
|
CHEST TUBE INSERTION | $1,100.00 |
|
4083
|
ATROPINE 1MG/ML INJ (VIAL) | $0.00 |
|
4084
|
US BREAST ULTRASOUND COMPLETE | $462.00 |
|
4085
|
BREAST ULTRASOUND LIMITED | $462.00 |
|
4086
|
ATROPINE 1MG/ML JECT X5694 | $0.00 |
|
4087
|
OB transvaginal ultrasound | $190.00 |
|
4088
|
OSMOLALITY, SERUM | $49.45 |
|
4089
|
INTRAOPERATIVE NEURO MONITORING HOUR | $0.00 |
|
4090
|
TEFLARO 600MG VIAL (CEFTAROLINE) | $0.00 |
|
4091
|
ELIQUIS 5MG TABLET (APIXABAN) | $0.00 |
|
4092
|
ELIQUIS 2.5MG TABLET (APIXABAN) | $0.00 |
|
4093
|
LEVEMIRE FLEXTOUCH INJ PEN 100 UNITS/ML | $0.00 |
|
4094
|
NOVOLOG FLEXPEN 100 UNITS/ML 3ML | $0.00 |
|
4095
|
NOVOLOG 70/30 FLEXPEN INJ 70/30 UNITS/ML | $0.00 |
|
4096
|
DESFLURANE (SUPRANE) INH ANESTH FIR | $0.00 |
|
4097
|
DESFLURANE (SUPRANE) INH ANESTH ADDL 15 | $0.00 |
|
4098
|
SEVOFLURANE (ULTANE) INH ANESTH ADDL 15 | $0.00 |
|
4099
|
SEVOFLURANE (ULTANE) INH ANESTH 1ST HOUR | $0.00 |
|
4100
|
ISOFLURANE (FORANE) INH ANESTH 1ST HOUR | $0.00 |
|
4101
|
ISOFLURANE (FORANE) INH ANESTH ADDL 15 M | $0.00 |
|
4102
|
BLOOD TRANSFUSION | $900.00 |
|
4103
|
ASPEN COLLAR | $225.20 |
|
4104
|
GLIDESCOPE COVER | $160.00 |
|
4105
|
BILLIARY STENT UNCOVERED 10X60 | $8,504.25 |
|
4106
|
ACCORD 2.0 MM COCR CABLE W/CLAMP | $1,120.16 |
|
4107
|
ACCORD 2.0 MM CABLE | $1,120.16 |
|
4108
|
ACCORD STD 85MM C CABLE TROCK GRIP | $5,880.00 |
|
4109
|
PROCEDURE PACK MTP | $5,600.00 |
|
4110
|
ULTRABRAID 2-0 (10 PACK) | $240.00 |
|
4111
|
IMPLANT DELIVERY SYSTEM | $6,075.00 |
|
4112
|
BEAVER BLADE 6400 | $5.28 |
|
4113
|
MINI HOOK PLATE | $2,765.00 |
|
4114
|
CORTICAL SCREW 2.3 X 8 | $355.00 |
|
4115
|
CORTICAL SCREW 2.3 X 12 | $355.00 |
|
4116
|
CORTICAL SCREW 2.3 X 14 | $355.00 |
|
4117
|
AIRWATER SUCTION AND BIOSPY KIT | $24.25 |
|
4118
|
ENDO SMARTCAP W/C02 | $42.08 |
|
4119
|
DISPOSABLE C02 LINE SOURCE TUBING | $40.00 |
|
4120
|
NITHIODOTE 50 ML | $0.00 |
|
4121
|
OBELISC CENTER PIECE 20MM, HGHT 40-62MM | $39,500.00 |
|
4122
|
OBELISC END PIECE 26MM, 0 DEG | $5,000.00 |
|
4123
|
OBELISC END PIECE 26MM, 5 DEG | $5,000.00 |
|
4124
|
NUCEL | $17,500.00 |
|
4125
|
ULTRA FAST CURVED NEEDLE SPLIT CANNULA | $1,484.00 |
|
4126
|
FLOSEAL 5 ML | $1,090.20 |
|
4127
|
SHOULDER IMMOBILIZER W/ABDCTIN PILLOW SM | $117.12 |
|
4128
|
SHOULDER IMMOBILIZER W/ABDCTIN PILLOW MD | $117.12 |
|
4129
|
SHOULDER IMMOBILIZER W/ABDCTIN PILLOW LG | $117.12 |
|
4130
|
CHEST 2 V | $210.00 |
|
4131
|
PUTTY FIBERGRAFT ALL SIZES | $3,440.60 |
|
4132
|
COMPRESSION FOOT SCREW 3.5 X 30 MM | $1,475.00 |
|
4133
|
COMPRESSION FOOT SCREW 3.5 X 34MM | $1,475.00 |
|
4134
|
COMPRESSION FOOT SCREW 4.0 X 40MM | $1,475.00 |
|
4135
|
GUIDE WIRE TROCAR TIP .045 | $88.00 |
|
4136
|
FAST FIX 360 CURVED NEEDLE DELIVERY SYST | $1,800.00 |
|
4137
|
KNOT PUSHER/SUTURE CUTTER | $520.20 |
|
4138
|
GELITA POWDER | $650.00 |
|
4139
|
ASNIS CANNULATE SCREW 17 X 5 MM | $650.00 |
|
4140
|
PLATE 6 HOLE STRAIGHT 1.5 MM | $1,350.00 |
|
4141
|
THIN OSTEO BLADE 8 X 3 | $299.88 |
|
4142
|
THIN OSTEO BLADE SZ 14 | $473.36 |
|
4143
|
THIN OSTEO BLADE 10 X 5 | $376.32 |
|
4144
|
MINI RAIL CARRIAGE | $12,235.00 |
|
4145
|
3.0 MM 1/2 PIN X 25MM | $615.00 |
|
4146
|
CANNULA THREADED DISP 8.5 X 72 | $152.00 |
|
4147
|
CLEAR TRAC SCOPE/SHAVER | $106.80 |
|
4148
|
CANNULA THREADED DISP 6.5 X 72 | $171.60 |
|
4149
|
TWIST DRILL FLEX CURVED | $820.00 |
|
4150
|
ACUPASS STR SHUTTLE 45 DGRS | $620.00 |
|
4151
|
OSTEORAPTOR CURVED 2.3 | $1,596.00 |
|
4152
|
LATERAL ANKLE RECONSTRUCTION | $8,750.00 |
|
4153
|
TRIPLE LUMEN CATHETER | $850.05 |
|
4154
|
DOUBLE LUMEN CATHETER | $710.85 |
|
4155
|
AGGRESSIVE PLUS 4.0 LONG (HIP) | $265.80 |
|
4156
|
AGGRESSIVE PLUS 4.0 LONG ANGLED (HIP) | $265.80 |
|
4157
|
ROUND BURR XL LONG HIP 5.5 MM | $363.12 |
|
4158
|
SEFRAS 90S CL | $938.12 |
|
4159
|
SEFRAS 50S CL | $938.12 |
|
4160
|
MEDPOR TITAN SURG IMPL CRANIAL CURVE | $25,000.00 |
|
4161
|
CRANIAL IMPLANT KIT | $6,520.00 |
|
4162
|
DRILL | $3,520.00 |
|
4163
|
SCREW 38MM | $17,900.00 |
|
4164
|
IMPLNT DLVRY SYST PEC RPR LG EYELET | $11,790.00 |
|
4165
|
IMPLANT DELIVERY SYSTEM PEC REPAIR | $8,430.00 |
|
4166
|
DREAMTONE | $1,676.68 |
|
4167
|
RAPID REFILL | $848.96 |
|
4168
|
LOCKING DEVICE | $0.00 |
|
4169
|
JAGTOME | $1,349.56 |
|
4170
|
DREAMWIRE | $730.80 |
|
4171
|
CYTOLOGY BRUSH | $468.00 |
|
4172
|
MASTERGRAFT 2CC | $1,060.00 |
|
4173
|
MASTERGRAFT 3CC | $1,992.00 |
|
4174
|
NOVA BONE (ALL SIZES) | $14,500.00 |
|
4175
|
NOVABONE PUTTY 10CC | $17,500.00 |
|
4176
|
COROTID SHUNT | $2,344.00 |
|
4177
|
CEMENT INJECTIBLE MACARPOROUS | $11,400.00 |
|
4178
|
DURAMATRIX 4X5 | $8,460.00 |
|
4179
|
EMERGENCY SCREW | $1,347.50 |
|
4180
|
PTFE GRAFT | $4,975.00 |
|
4181
|
XENOSURE BIOLOGIC PATCH | $1,020.00 |
|
4182
|
BI-POLAR HEAD SELF CENTERING | $7,500.00 |
|
4183
|
FEMORAL HEAD (METAL) | $7,500.00 |
|
4184
|
FEMORAL STEM CEMENTLESS | $7,500.00 |
|
4185
|
CAROTID SHUNT | $640.00 |
|
4186
|
CATHETER PASSER | $392.00 |
|
4187
|
INSULIN ASPART(FLEX PEN NOVOLOG)0.01ML | $0.00 |
|
4188
|
INSULIN ASPART FLEXPEN NOVLOG 70/30 0.01 | $0.00 |
|
4189
|
INSULIN DETEMIR (LEVEMIR FLEXPEN) 0.01ML | $0.00 |
|
4190
|
MEROPENEM 500MG/50ML (FOR IV INFUSN) | $0.00 |
|
4191
|
MEROPENEM 1,000MG/50ML (FOR IV INFUSN) | $0.00 |
|
4192
|
RAPTROR GRASPING DEVICE | $380.00 |
|
4193
|
GUIDE RODS | $631.40 |
|
4194
|
OBSTETRIC PANEL | $726.02 |
|
4195
|
NM GASTRIC EMPTYING W/SM BOWEL TRANSIT | $2,475.00 |
|
4196
|
NM GASTRIC EMPTYING W SB COLON MULTI DAY | $5,256.00 |
|
4197
|
SCOLIOSIS 2 OR 3 VIEWS | $307.65 |
|
4198
|
TAP DRILL BIT 2.2 X4 | $1,804.00 |
|
4199
|
TAP DRILL BIT 2.2 X 5/6 | $3,112.00 |
|
4200
|
EGG BURR | $1,171.04 |
|
4201
|
VARIABLE ANGLE SCREW | $1,150.00 |
|
4202
|
VARIABLE ANGLE SCREW 4.5 X 30MM | $1,150.00 |
|
4203
|
LOCKING COVER PLATE | $4,025.00 |
|
4204
|
IMPLANT 38 X 360 X 11MM Ti-6AI-4V | $31,450.00 |
|
4205
|
OFFSET CARRIAGE 90 DEGREE | $2,725.00 |
|
4206
|
SELF DRILLING PIN 2.4 X 25 MM | $615.00 |
|
4207
|
SELF DRILLING PIN 3.0 X 20 MM | $615.00 |
|
4208
|
BALLOON EXTRACTOR 9-12MM | $756.25 |
|
4209
|
BALLOON EXTRACTOR 12-15MM | $700.00 |
|
4210
|
BALLOON EXTRACTOR 12-15MM | $632.32 |
|
4211
|
BALLOON EXTRACTOR 12-15MM | $445.72 |
|
4212
|
GUIDEWIRE SUPER STIFF .035 X 500MM | $445.60 |
|
4213
|
PATHFINDER GUIDEWIRE | $477.54 |
|
4214
|
SYNTHETIC BONE PUTTY | $3,740.00 |
|
4215
|
ROD TO ROD CLAMP | $3,805.00 |
|
4216
|
ROD RIGHT 5.5MM | $39,250.00 |
|
4217
|
VENELEX OINTMENT 5 GM UNIT DOSE PACKET | $0.00 |
|
4218
|
TRIGAN DISPOSABLE EXTRACTOR | $860.16 |
|
4219
|
IMPLANT – FINGER JOINT | $7,245.00 |
|
4220
|
CRYOPRESERVED TISSUE | $8,500.00 |
|
4221
|
JAGWIRE | $858.84 |
|
4222
|
HOOK OFFSET MEDIUM (L) | $4,250.00 |
|
4223
|
HOOK OFFSET MEDIUM (R) | $4,250.00 |
|
4224
|
HOOK PEDICLE MEDIUM | $4,250.00 |
|
4225
|
HOOK PEDICLE LARGE | $4,250.00 |
|
4226
|
MULTIFIX 5.5 MM PEEK | $1,800.00 |
|
4227
|
ANCHOR ULTRABRAID 5.5 MM | $1,625.00 |
|
4228
|
INTRAOPERATIVE NEURO MONITORING 15 MIN | $0.00 |
|
4229
|
MEDPOR SURGICAL IMPLANT | $3,410.00 |
|
4230
|
CHICAGO TIP 12FR | $200.00 |
|
4231
|
CHICAGO TIP 10FR | $200.00 |
|
4232
|
ALLOSHIELD DRY 4X6CM | $2,900.00 |
|
4233
|
ARTHROSCOPY BURR 2.0 | $234.20 |
|
4234
|
ARTHROSCOPY BURR 3.0 | $234.20 |
|
4235
|
SCREW CORT 70/20 3.0/25. TAPER | $1,165.00 |
|
4236
|
DRILL 2.0 | $2,150.00 |
|
4237
|
DISTAL RADIUS FIXATOR W/DISTRACTOR | $21,880.00 |
|
4238
|
SHAVER AGRRESSIVE ALL SIZES | $221.60 |
|
4239
|
EMG PROBE | $596.00 |
|
4240
|
PROBE SINGLE U STRLE NVM5 | $596.00 |
|
4241
|
SCREW 4.0 CANCELIOUS 14MM | $152.50 |
|
4242
|
SCREW 4.0 CANCELIOUS 16MM | $152.50 |
|
4243
|
SCREW 4.0 CANCELIOUS 20MM | $152.50 |
|
4244
|
SCREW 4.0 CANCELIOUS 40 MM | $1,245.00 |
|
4245
|
SCREW 4.0 CANCELIOUS 40 MM | $152.50 |
|
4246
|
CRANIAL PERFORATOR | $804.52 |
|
4247
|
VERSAGRAFT | $6,450.00 |
|
4248
|
HURRICANE RX 4MKM X 4CM | $1,035.12 |
|
4249
|
ENCORE INFILTRATION | $300.00 |
|
4250
|
OSMOLALITY, URINE | $49.45 |
|
4251
|
PLATE 6 HOLES/69MM | $1,245.00 |
|
4252
|
HURRICANE RX 8 MM X 4 CM | $1,035.12 |
|
4253
|
U-BAG URINE COLLECTOR | $3.00 |
|
4254
|
TIGHTROPE REPAIR KIT | $3,215.00 |
|
4255
|
GRAFT CCL (SHOULDER) | $6,450.00 |
|
4256
|
SI JOINT IMPLANT 12.5MM X 50MM | $25,000.00 |
|
4257
|
SUTURE ANCHOR 2.9 X 15.5 MM | $2,000.00 |
|
4258
|
SMARTSTITCH CONNECTOR | $700.00 |
|
4259
|
MAGNUM CO-BRAID | $2,260.00 |
|
4260
|
NYSTATIN PWD BTL | $0.00 |
|
4261
|
SI JOINT IMPLANT 8.5MM AND 55MM | $20,000.00 |
|
4262
|
CRE WIREGUIDED 12 MM-15 MM | $853.88 |
|
4263
|
SUTURE ANCHOR 2.9 X 12.5 MM | $2,000.00 |
|
4264
|
PLATE TITANIUM BURR ALL SIZES | $1,188.00 |
|
4265
|
PROBE DIAMOND SPRINGLESS | $1,188.00 |
|
4266
|
CEMENT SCULP KIT | $309.60 |
|
4267
|
RETRACTOR | $252.68 |
|
4268
|
PROBE DIAMOND SPRINGLESS | $31.56 |
|
4269
|
STAY ELASTIC | $28.08 |
|
4270
|
STAYS 12MM ELASTIC | $31.56 |
|
4271
|
GENTAMICIN 80MG/100MI IVPB | $0.00 |
|
4272
|
CREAON 2400 CAP (24-76-120K) | $0.00 |
|
4273
|
VIAGRA 25MG TAB | $0.00 |
|
4274
|
ATRIPLA 600-200MG TAB | $0.00 |
|
4275
|
NADOLOL 20MG TAB | $0.00 |
|
4276
|
LYMPHOSCINTIGRAPHY | $2,475.00 |
|
4277
|
TRUNODE DISPOSABLE | $1,596.00 |
|
4278
|
ADM FLEX HD MEDIUM | $25,312.50 |
|
4279
|
UHP BREAST TISSUE EXPANDER | $10,625.00 |
|
4280
|
CAP W W/O | $0.00 |
|
4281
|
C.T. ABD & PELVIS W/WO | $7,759.00 |
|
4282
|
CT SCAN CXR W/CONTRAST | $4,845.00 |
|
4283
|
CAP WITH CONTRAST | $0.00 |
|
4284
|
C.T. ABD&PELVIS W/CONTRAST | $7,652.00 |
|
4285
|
CT SCAN CXR W/CONTRAST | $4,845.00 |
|
4286
|
CAP WITHOUT | $0.00 |
|
4287
|
C.T. ABD&PELVIS W/OUT CONTRAST | $7,252.00 |
|
4288
|
CT SCAN CXR W/O CONTRAST | $4,345.00 |
|
4289
|
STROKE CTA NECK AND HEAD | $0.00 |
|
4290
|
CTA CAROTIDS | $7,706.00 |
|
4291
|
CTA CIRCLE OF WILLIS (COW) | $7,706.00 |
|
4292
|
ENSURE ENLIVE 8 OZ | $0.00 |
|
4293
|
ENSURE | $0.00 |
|
4294
|
GRAFT SUTUREABLE BOVINE 2X7 | $1,845.00 |
|
4295
|
GRAFT SUTUREABLE BOVINE 4X5 | $2,040.00 |
|
4296
|
METHYLNALTREXONE(RELISTOR) 12 MG SYRINGE | $480.00 |
|
4297
|
METHYLNALTREXONE(RELISTOR) 8MG SYRINGE | $3,359.92 |
|
4298
|
RYANODEX 250MG VIAL | $11,040.00 |
|
4299
|
AMINO ACID INFUSION 5% IN D15W 2000 ML | $1,214.88 |
|
4300
|
FEMUR LOGIC | $24,300.00 |
|
4301
|
FIT TRAY | $9,378.00 |
|
4302
|
REVISION KNEE INSERT | $6,547.50 |
|
4303
|
STEM EXTENSION | $3,848.40 |
|
4304
|
FEMORAL AUGMENT | $4,135.50 |
|
4305
|
SCREW STEM | $270.00 |
|
4306
|
SURGICAL ACCESS KIT MAXCESS | $4,080.00 |
|
4307
|
FORMAGRAFT LARGE | $4,250.00 |
|
4308
|
KIT OR NUVAMAO NVMS | $948.00 |
|
4309
|
NV I-PAS III BEVELED TIP STERILE | $1,320.00 |
|
4310
|
OSTEOCEL 10 CC | $20,465.00 |
|
4311
|
SCREW SHANK PRECEPT | $3,260.00 |
|
4312
|
TULIP MODULAR PRECEPT | $2,608.00 |
|
4313
|
LORDOTIC ACCESSORY KIT | $7,020.00 |
|
4314
|
LORDOTIC ACCESSORY KIT | $7,020.00 |
|
4315
|
GRAFT INJECTOR | $1,620.00 |
|
4316
|
GRAFT INJECTOR | $1,620.00 |
|
4317
|
DVR LOCK NARROW MINI R | $6,315.00 |
|
4318
|
LP NON LOCK 2.7MM x 10 MM | $375.00 |
|
4319
|
LP NON LOCK 2.7MM x 22 MM | $375.00 |
|
4320
|
LP NON LOCK 2.7MM x 12 MM | $375.00 |
|
4321
|
SMOOTH LOCK PEG 2.2MM X 16MM | $745.00 |
|
4322
|
SMOOTH LOCK PEG 2.2MM X 20MM | $745.00 |
|
4323
|
SMOOTH LOCK PEG 2.2MM X 18MM | $745.00 |
|
4324
|
LP NPN LOCK 2.7MM X 20 MM | $375.00 |
|
4325
|
EXPANDER TISSUE 400 CC | $7,750.00 |
|
4326
|
EXPANDER TISSUE 400 CC | $7,750.00 |
|
4327
|
WAVEGUIDE | $1,100.00 |
|
4328
|
OSTEOVIVE VIABLE CELLULAR ALLOGRAFT 10CC | $21,000.00 |
|
4329
|
OSTEOVIVE VIABLE CELLULAR ALLOGRAFT 10CC | $3,081.25 |
|
4330
|
CERTEX CUP | $0.00 |
|
4331
|
PLATE 1 LEVEL 24MM | $0.00 |
|
4332
|
PLATE FIXED 4 X 14 MM | $0.00 |
|
4333
|
PLATE FIXED 4 X 16 MM | $0.00 |
|
4334
|
PLATE | $0.00 |
|
4335
|
SLEEVE HEAD MODULAR | $0.00 |
|
4336
|
FEMORAL HEAD TAPERED | $0.00 |
|
4337
|
WAVEGUIDE | $1,100.00 |
|
4338
|
TISSUE MATRIX ALLODERM SELECT (L) 164CM | $35,595.00 |
|
4339
|
LATERAL DISPOSABLE KIT | $4,400.00 |
|
4340
|
MIS KIT | $3,280.00 |
|
4341
|
STAPLE NITINOL EZ CLIP | $4,024.80 |
|
4342
|
FIBERS CORTICAL 3DEMIN | $4,750.00 |
|
4343
|
Shoulder Total | $36,000.00 |
|
4344
|
Cannister Suction | $0.00 |
|
4345
|
Bowl Sterile Graduated | $2.41 |
|
4346
|
Suture Gore 36″ | $96.00 |
|
4347
|
Kittner Laparoscopic | $47.32 |
|
4348
|
Knee Revision | $0.00 |
|
4349
|
CATHETER DIALYSIS PALINDROME -ALL LENGTH | $3,809.43 |
|
4350
|
IMPLANT BREAST SALINE | $3,350.00 |
|
4351
|
IMPLANT BREAST GEL | $4,900.00 |
|
4352
|
IRREIGATOR PULSE LAVAGE | $161.76 |
|
4353
|
TUBE FEEDING ALL SIZES | $222.15 |
|
4354
|
LUMENIS ACUPULSE | $2,000.00 |
|
4355
|
LUMENIS FIBER ENDURE | $3,180.00 |
|
4356
|
CATHETER MAGIL FCP | $44.00 |
|
4357
|
GRAFT MATRIX PSM 7 X 10 CM | $7,350.00 |
|
4358
|
GRAFT MATRIX MICRO 200MG | $3,200.00 |
|
4359
|
NEEDLE MAYO CATGUT 1/2 CIRCLE | $64.04 |
|
4360
|
PALINGEN FLOW ALL SIZES | $11,200.00 |
|
4361
|
PASTE STOMAHESIVE | $21.36 |
|
4362
|
KIT PROSTHESIS PENILE | $2,128.00 |
|
4363
|
SPLINT PLASTER ALL SIZES | $193.44 |
|
4364
|
TRAP POLYP | $42.00 |
|
4365
|
KIT BONE BIOPSY | $5,660.00 |
|
4366
|
KIT BRIGADE 2 LEVEL | $71,200.00 |
|
4367
|
KIT CRANIAL ACCESS | $1,166.80 |
|
4368
|
KIT FECAL MANAGEMENT (FLEXI SEAL) | $1,100.80 |
|
4369
|
CATHETER KIT | $285.60 |
|
4370
|
KIT PEDICLE ACCESS | $5,280.00 |
|
4371
|
KIT TEMP PACING | $808.00 |
|
4372
|
DRAIN BAG 750ML W/ADAPER | $5.96 |
|
4373
|
GUIDE WIRE SUPER STIFF AMPLATZ | $1,132.10 |
|
4374
|
GUIDEWIRE | $500.00 |
|
4375
|
HEADSTRAP ADULT | $11.60 |
|
4376
|
HEAT MOISTURE EXCHANGER DISPOSABLE | $25.28 |
|
4377
|
HEIMLECH DRAIN VALVE | $100.76 |
|
4378
|
HEMOSPLIT CATH | $1,560.00 |
|
4379
|
HIP REVISION | $1,000.00 |
|
4380
|
HUMIDIFIER ADAPTOR ALP RESERVOIRS | $1.00 |
|
4381
|
INDICATOR BIOLOGIC | $8.88 |
|
4382
|
NET TUBULAR ALL SIZES | $156.76 |
|
4383
|
NOVOFINE AUTOCOVER 30G X 1/3″ NEEDLE | $2.36 |
|
4384
|
NS W/20MEQ KCL L8650 | $4.84 |
|
4385
|
OSTOMY BAG – CUSTOM POUCH SQUIBB | $7.04 |
|
4386
|
V40 BIOLOXA DELTA HEAD | $6,610.05 |
|
4387
|
VAPOTHERM CIRCUIT HIGH FLOW | $408.52 |
|
4388
|
VERSA STEP PLUS 12MM | $548.92 |
|
4389
|
VESSEL GUARD SCOUT 65X55X1 | $1,900.04 |
|
4390
|
SUTURE VLOC | $153.25 |
|
4391
|
WAFER DURAHESIVE 4IN 100MM | $9.40 |
|
4392
|
SOL WATER/INJ 1000ML 2B0304 | $5.64 |
|
4393
|
WIRE | $806.52 |
|
4394
|
WIRE GUID BILLIARY | $886.64 |
|
4395
|
WIRE NITINOL | $720.00 |
|
4396
|
WIRE PASS DRILL BIT 1.5MM | $230.00 |
|
4397
|
WIRE SPOOL 18G | $315.16 |
|
4398
|
WIREGUID BILLIARY 10-12 SILVER | $903.00 |
|
4399
|
WOUND INFOV AC THERAPY UNIT (RENTAL) | $252.04 |
|
4400
|
ELECTRODE QUIK COMBO | $100.00 |
|
4401
|
ELECTRODE CUTTING LOOP STABILIZED | $233.00 |
|
4402
|
E-PROBE 5 MM | $156.68 |
|
4403
|
ET TUBE “ALL SIZES” CUFF FLEX TIP | $15.00 |
|
4404
|
EV03 SYRINGE 10CC | $7,120.04 |
|
4405
|
FINGER PROBE SENSOR SPO2 NELLCOR | $260.04 |
|
4406
|
FINGER TRAP LARGE | $312.08 |
|
4407
|
FLEX INSERT HIP | $7,331.65 |
|
4408
|
FLOWPORT II` | $1,580.04 |
|
4409
|
FLOWTRON FOOT GARMET “ALL SIZES” | $105.60 |
|
4410
|
FRAZIER SUCTION (CONMED) ALL SIZES | $3.96 |
|
4411
|
GENOSIS M60S KIT | $6,750.00 |
|
4412
|
GPS PLATELET | $2,250.05 |
|
4413
|
GRAFT ZENAPRO HYBRID 10X15 | $9,000.00 |
|
4414
|
GREEN RELOAD 60 FOR ECHELON | $476.88 |
|
4415
|
THUMB SPICA WRIST BRACE “ALL SIZES” | $115.96 |
|
4416
|
TITANIUM PORT IMPLANT 8FR | $1,619.95 |
|
4417
|
TRACH BRONCH STENT GRAFT | $10,975.00 |
|
4418
|
TRACH SPEAKING VALVE | $12.24 |
|
4419
|
TRAY CATHETER HICKMAN 9FR DUAL LUMEN | $2,162.04 |
|
4420
|
TRAY CATHETER HICKMAN W/INTRO KIT 9.6 | $1,374.24 |
|
4421
|
TRAY DBL LUMEN 8CM PED | $150.48 |
|
4422
|
TRISTAR 50% INTEGRATED CABLE | $639.96 |
|
4423
|
TUBING 1 LEAD ARTHRO | $52.76 |
|
4424
|
tUBING FLUID MANAGEMENT PROC KIT | $608.00 |
|
4425
|
TUNNELER FOR 7.5″ CATH | $600.04 |
|
4426
|
TURBINE | $7.40 |
|
4427
|
UN3 DOUBLE Y PLATE 6 HOLE | $1,850.00 |
|
4428
|
STER STIMULATION DYMIC SHEATH NVJJB | $565.00 |
|
4429
|
STERICATH SHORT CLSD (14FR,18FR) ALL SIZ | $48.32 |
|
4430
|
STOCKINETTE TUBE ALL SIZES | $187.20 |
|
4431
|
STOCMAHESIVEBARRIER 7/8 – 1 1/4 | $8.44 |
|
4432
|
STYLET ALL SIZES | $11.84 |
|
4433
|
SUCTION FRAZIER CONTROL VENT ALL SIZES | $4.04 |
|
4434
|
SUPPORT ANKLE “ALL SIZES” | $135.00 |
|
4435
|
SUPPORT LUMBAR “ALL SIZES” | $60.80 |
|
4436
|
SUPPORT WRIST ELASTIC “ALL SIZES” | $63.96 |
|
4437
|
POUCH DRAINABLE SUR-FIT “ALL SIZES” | $6.04 |
|
4438
|
SYRINGE 10CC EVOC 3 INTEGRA | $7,120.00 |
|
4439
|
SYSTEM CONE RECOVERY REMOVE | $2,300.00 |
|
4440
|
SYSTEM DUEL DISPOS 5 LEAD CABLE & WIRE | $66.60 |
|
4441
|
TEMP-PAD COOL 11 X 12 STERIL | $126.32 |
|
4442
|
SEAL CANNULA 5MM | $68.00 |
|
4443
|
SEAMGAURD FOR ETHICON STAPLER | $1,060.80 |
|
4444
|
BURR PRECISION ROUND 4.0, 13CM | $780.04 |
|
4445
|
PREP TRAY NERVE BLOCK | $140.04 |
|
4446
|
PROBE ARIA | $2,500.00 |
|
4447
|
REBOSIS | $12,500.00 |
|
4448
|
RELOAD ECHELON 45 GOLD | $58.05 |
|
4449
|
RELOAD FOR ATW45 | $710.65 |
|
4450
|
RELOAD GREEN FOR CS40B | $1,265.50 |
|
4451
|
RELOAD LINEAR 45 | $714.15 |
|
4452
|
RELOAD LINEAR CUTTER GREY | $580.60 |
|
4453
|
RELOAD STAPLE 60MM BLUE | $775.50 |
|
4454
|
RELOAD STAPLE 60MM GOLD | $581.60 |
|
4455
|
Positioner | $34.50 |
|
4456
|
ACUTE AC REPAIR | $6,432.00 |
|
4457
|
DISTAL CLAVICLE PLATE SHORT | $3,144.00 |
|
4458
|
DISTAL CLAVICLE PLATE BUTTON | $2,000.00 |
|
4459
|
HEPATITIS A VIRUS VACCINE 1440/ML HAVRIX | $0.00 |
|
4460
|
EQUIPMENT RENTAL SURGERY PROCEDURE | $6,000.00 |
|
4461
|
DREAMTOME | $1,676.68 |
|
4462
|
JAGTOME | $1,208.76 |
|
4463
|
JAGTOME | $1,349.56 |
|
4464
|
INTUBATION TRAY | $1,200.00 |
|
4465
|
HCV QN W/REFLEX | $318.27 |
|
4466
|
HCV GENOTYPE (LIPA) | $384.39 |
|
4467
|
oxivcarbazepine | $90.00 |
|
4468
|
CITRIC ACID W/OUT CREATININE | $60.00 |
|
4469
|
LYME DIS IGG/IGM WBA | $113.25 |
|
4470
|
IMCAP, DOG DANDER (E5) | $21.24 |
|
4471
|
TETANUS, ANTITOXOID | $245.58 |
|
4472
|
DIPHTHERIA ANTITOXOID | $276.66 |
|
4473
|
TTG IGA | $95.31 |
|
4474
|
MUMPS VIRUS IGG, EIA | $27.69 |
|
4475
|
TSIG | $1,137.45 |
|
4476
|
MEASLES AB IGG, EIA | $27.69 |
|
4477
|
LACTOFERRIN, QL, STOOL | $417.96 |
|
4478
|
GLYCOMARK (R) | $234.06 |
|
4479
|
MTHFR, DNA MUTATION | $910.11 |
|
4480
|
A-1-ANTITRYPSIN | $403.71 |
|
4481
|
IMMUNOGLOBULIN A | $21.51 |
|
4482
|
NICOTINE, METABOLITE | $260.79 |
|
4483
|
TOPIRAMATE | $203.46 |
|
4484
|
HBV DNA QUANT | $350.25 |
|
4485
|
PREGNENOLONE LC/MS/MS | $295.17 |
|
4486
|
ESTRONE | $78.00 |
|
4487
|
METANEPHRINES | $97.62 |
|
4488
|
PHENYTOIN, FREE | $198.63 |
|
4489
|
PRA LC/MS/MS | $207.57 |
|
4490
|
ROTAVIRUS AG DETECT | $69.66 |
|
4491
|
ANTITHROMBIN III ACT | $101.49 |
|
4492
|
DIHYDROTESTOSTOSTERONE | $416.88 |
|
4493
|
VITAMIN B2 | $193.47 |
|
4494
|
BILE ACIDS, TOTAL | $188.94 |
|
4495
|
PLASMINOGEN ACTIVITY | $585.96 |
|
4496
|
ELASTASE EL1, STOOL | $748.95 |
|
4497
|
IMMUNOFIXATION, SERUM | $61.26 |
|
4498
|
C1 INHIBITOR, PROTEIN | $302.91 |
|
4499
|
SMA DIAGNOSTIC TEST | $2,065.11 |
|
4500
|
QUETIAPINE; SP | $147.60 |
|
4501
|
BASKET TIPLES NITINOL | $2,000.00 |
|
4502
|
CATHETER URETERAL DUAL LUMEN | $200.00 |
|
4503
|
STENT | $1,950.00 |
|
4504
|
HIP REVISION | $75,961.04 |
|
4505
|
EMG TUBE | $2,500.00 |
|
4506
|
AQUAMANTYS | $2,500.00 |
|
4507
|
NEURO MONITORING .25 HOUR | $0.00 |
|
4508
|
ACL KIT | $0.00 |
|
4509
|
VOID | $228.79 |
|
4510
|
Amino Acid 4.25%-Dextrose 25% 1000ML | $0.00 |
|
4511
|
Hydromorphone HCl 10mg/1ml 5ml | $0.00 |
|
4512
|
Oseltamir (Tamiflu) 30mg cap | $0.00 |
|
4513
|
ACL KIT ALL SIZES | $0.00 |
|
4514
|
Colonic Stent All Sizes | $9,840.28 |
|
4515
|
Epidural injection of anes substance | $2,091.60 |
|
4516
|
Local anesthetic lumbar epidural block | $2,091.60 |
|
4517
|
Local anesthetic sacral epidural block | $2,091.60 |
|
4518
|
Epidural anesthesia | $2,091.60 |
|
4519
|
Regional anesthesia | $2,091.60 |
|
4520
|
Local anes cervical epidural block | $2,091.60 |
|
4521
|
Epidural injec of anes substance, lumbar | $2,512.50 |
|
4522
|
Epidural injection of anes, cervical | $2,512.50 |
|
4523
|
Epidural injection of anes thoracic | $2,512.50 |
|
4524
|
Epidural injection of anes therap lumbar | $2,512.50 |
|
4525
|
General Spinal Regional | $2,392.00 |
|
4526
|
General Spinal Regional Ea. Addl 15 Min. | $523.00 |
|
4527
|
MAC Spinal Regional | $866.88 |
|
4528
|
MAC Spinal Regional Ea. Addl 15 Min. | $317.52 |
|
4529
|
ESWL | $0.00 |
|
4530
|
VIVIGEN | $0.00 |
|
4531
|
OSTEOVIVE | $0.00 |
|
4532
|
SUGAMMADEX (Bridion) 200mg/2ml | $0.00 |
|
4533
|
MIDAZOLAM (Versed) 5mg/ml 10ml | $0.00 |
|
4534
|
EMG TUBE ALL SIZES | $2,500.00 |
|
4535
|
LUMENIS ACUPULSE | $0.00 |
|
4536
|
LIDOCAINE4% 160MG/4ML (LARYNG-O-JETKIT | $0.00 |
|
4537
|
C-ARM | $8,500.00 |
|
4538
|
ANTERIOR RETRACTOR | $4,000.00 |
|
4539
|
CUTTER LINEAR ENDOSCOPIC | $2,352.96 |
|
4540
|
GROUP PSYCHOTHERAPY | $195.00 |
|
4541
|
STAPLER LINEAR | $560.25 |
|
4542
|
MICROSCOPE | $6,000.00 |
|
4543
|
SPINAL BRACE | $0.00 |
|
4544
|
PROTACK | $4,840.64 |
|
4545
|
PRESUMPTIVE URINE DRUG COLLECTION | $53.88 |
|
4546
|
WRIST STABILIZATION KIT | $2,335.00 |
|
4547
|
THERMAL TISSUE FUSION | $3,250.00 |
|
4548
|
Amino Acid 5%-Dextrose 20% 2000ml | $0.00 |
|
4549
|
OMNIPAQUE 180MG/ML 10ML | $0.00 |
|
4550
|
OMNIPAQUE 300MG/ML 10ML | $0.00 |
|
4551
|
IOPAMIDOL (ISOVUE-300) | $0.00 |
|
4552
|
9.0MM X 2.0MM STEM | $9,185.00 |
|
4553
|
20.0MM HEAD, LEFT | $15,080.00 |
|
4554
|
MELATONIN 3MG TAB | $0.00 |
|
4555
|
AMINO ACID 5% DEXTROSE 15% 1000ML | $0.00 |
|
4556
|
ACCESS SHEATH URETERAL 12/14FR X 24 CM | $1,065.00 |
|
4557
|
FLUCAINE 0.5%-0.25% OPTH SOLN 5ML | $0.00 |
|
4558
|
Midodrine (Proamatine) 10mg tab | $0.00 |
|
4559
|
Carboxymethylcellulose (Refresh Tears 15 | $0.00 |
|
4560
|
PATCH ALL SIZES | $0.00 |
|
4561
|
VI BONE 10CC | $4,930.00 |
|
4562
|
LIGASURE IMPACT LAP | $2,674.40 |
|
4563
|
KETALAR 10MG/ML 20ML | $0.00 |
|
4564
|
FLUCONAZOLE IN DEXTROSE 200MG | $0.00 |
|
4565
|
FLUOXETINE ORAL SOLUTION 200MG/ML 5ML | $0.00 |
|
4566
|
ANGIOJET ZELANTE DVT 105CM X 8FR | $15,000.00 |
|
4567
|
Clinical Staff threshold time 15 min | $175.00 |
|
4568
|
MAJOR SURG ADDL 15MIN OT | $1,603.00 |
|
4569
|
MAJOR SURGERY 1ST HR OT | $6,414.00 |
|
4570
|
KIT KYPHOPLASTY | $16,125.00 |
|
4571
|
Epinephrine Injection 0.3mg | $0.00 |
|
4572
|
Liothyronine 5 mcg tab | $0.00 |
|
4573
|
POTASSIUM BICARB-CITRIC ACID | $0.00 |
|
4574
|
ACETYLCYSTEINE 10% 100MG/ML 4ML | $0.00 |
|
4575
|
ACETYLCYSTEINE 20% 200MG/ML 4ML | $0.00 |
|
4576
|
Immune Globulin (IGG) (Flebogamma Diff) | $0.00 |
|
4577
|
FGT Implant | $10,145.00 |
|
4578
|
OC OSTEOCOOL RFA RTL | $15,000.00 |
|
4579
|
DEBRIDEMENT SKIN AND SC TISSUE | $1,500.00 |
|
4580
|
Depo Testosterone 200MG/ML | $0.00 |
|
4581
|
HEMODIALYSIS (BICARB) OUTPATIENT | $1,700.00 |
|
4582
|
EXPAREL 266MG / 4ML | $1,562.50 |
|
4583
|
NAVIGATION RTL SYSTEM | $17,500.00 |
|
4584
|
LUMBAR DRAIN | $2,445.00 |
|
4585
|
MICROSCOPE | $17,500.00 |
|
4586
|
C-ARM | $10,000.00 |
|
4587
|
INSERT PE (POLYETHEIENE) | $0.00 |
|
4588
|
ARTICULAR SPACER | $0.00 |
|
4589
|
POSITIONERBEAN BAG | $0.00 |
|
4590
|
CONNECTOR MEDIUM | $2,047.70 |
|
4591
|
FEMORAL COMPONENT | $0.00 |
|
4592
|
KIT BMA | $6,850.00 |
|
4593
|
NOSE CLIP | $1.55 |
|
4594
|
PACK CYSTO | $148.45 |
|
4595
|
PLATE 2 LEVEL | $8,500.00 |
|
4596
|
SCREW | $6,500.00 |
|
4597
|
MESH Y | $4,975.00 |
|
4598
|
PACING LEAD | $3,000.00 |
|
4599
|
PUTTY GRAFTON 1CC | $1,080.00 |
|
4600
|
PUTTY GRAFTON 2.5CC | $2,525.00 |
|
4601
|
PUTTY GRAFTON 5CC | $4,585.00 |
|
4602
|
PUTTY GRAFTON 10CC | $0.00 |
|
4603
|
PLATE HUMURUS | $0.00 |
|
4604
|
PEG KIT | $0.00 |
|
4605
|
KIT FEMALE CATHETER | $2.20 |
|
4606
|
CATHETER BEACON TIP TORCON | $152.00 |
|
4607
|
ALLOGRAFT AMNIOTIC MEMBRANE | $7,375.00 |
|
4608
|
GRAFT CERVICAL ALL SIZES | $4,500.00 |
|
4609
|
SHAFT FIBULA | $0.00 |
|
4610
|
GRAFT BONE INQU PASTE | $0.00 |
|
4611
|
TISSUE ALLODERM MATRIX SELECT | $28,650.00 |
|
4612
|
VI BONE 5CC | $0.00 |
|
4613
|
WIRE 20G | $336.00 |
|
4614
|
ADAPTER RESERVOIR KYPHO | $80.00 |
|
4615
|
CATHETER BACTISEAL | $4,625.00 |
|
4616
|
BLADE HELICAL | $3,448.00 |
|
4617
|
IMPLANT BREAST | $0.00 |
|
4618
|
SPACER CERVICAL BONE ALLOFRAFT | $0.00 |
|
4619
|
NEEDLE BONE BIOPSY | $0.00 |
|
4620
|
GRAFT GRAFIX ALL SIZES | $0.00 |
|
4621
|
KIT CROSS PIN BTB | $1,700.00 |
|
4622
|
PUTTY MORPHEUS OSTEOSPAN | $7,500.00 |
|
4623
|
PIN DISTRACTION (CASPER PIN) ALL SIZES | $120.00 |
|
4624
|
SET DILATOR SINGLE USE | $800.00 |
|
4625
|
Labetalol 5 mg/ml 4ml syringe | $0.00 |
|
4626
|
CISATRACURIUM 2MG/ML VIAL 5ML | $0.00 |
|
4627
|
ATROPINE 1% OPTH SOLN 5ML | $0.00 |
|
4628
|
REF OXALATE | $14.39 |
|
4629
|
COZAAR 25MG | $0.00 |
|
4630
|
ATROVENT INH. 0.02%/ML RT | $0.00 |
|
4631
|
ATROVENT INHALER 13GM | $0.00 |
|
4632
|
CANCELLOUS CRUSHED (ALL SIZES) | $5,000.00 |
|
4633
|
HARMONIC ACE | $2,516.00 |
|
4634
|
VANCOMYCIN CAP. 250 | $0.00 |
|
4635
|
AUGMENTIN 250 MG TAB | $0.00 |
|
4636
|
AUGMENTIN 500MG TAB | $0.00 |
|
4637
|
AUGMENTIN 500MG SUSP 50ML | $0.00 |
|
4638
|
JUVEN | $0.00 |
|
4639
|
NOREPINEPHRINE 4MG/D5W 250ML BAG | $0.00 |
|
4640
|
FASCIAL BLADE | $5,000.00 |
|
4641
|
PAS BEVEL SPRINGLESS | $1,525.00 |
|
4642
|
HCP Room and Board | $2,500.00 |
|
4643
|
REMOVAL SET | $0.00 |
|
4644
|
VALGANCICLOVIR 50MG/ML 100ML SOLN | $0.00 |
|
4645
|
1 CM X 9M GOROTEX PATCH | $1,595.00 |
|
4646
|
Hepatitis A Virus Vaccine | $0.00 |
|
4647
|
Varicella Virus Live 1350 units/0.5ml | $0.00 |
|
4648
|
Haemoph Bpoly Conj-Tet Tox -PF | $0.00 |
|
4649
|
Zoster Vaccine Live PF 19400unit/0.65ml | $0.00 |
|
4650
|
Diph, Pertusis, Tet, Pol (PF) 25LF-58mcg | $0.00 |
|
4651
|
Rotavirus Vaccine, Live 2 ml | $0.00 |
|
4652
|
Human Papillomav Vac ,9 -val (PF) 0.5ml | $0.00 |
|
4653
|
Meningococcal B Vaccine, 4 -CMP (PF) | $0.00 |
|
4654
|
Poliovirus vaccine 40-8-32 unit/0.5ml | $0.00 |
|
4655
|
Pneumoc 13 Val Conj-Dip (PF) 0.5ml | $0.00 |
|
4656
|
Oxycodone 10mg tab | $0.00 |
|
4657
|
FLOVENT 110 MCG IHN | $0.00 |
|
4658
|
HANA TABLE KIT | $473.65 |
|
4659
|
Evacuator Container | $125.00 |
|
4660
|
Paracentesis Tray | $500.65 |
|
4661
|
Omnipaque inj 300mg/ml 100ml | $0.00 |
|
4662
|
Unicompartmental knee arthroplasty | $14,500.00 |
|
4663
|
Artemether-Lumefantrine (Coartem) 20-120 | $0.00 |
|
4664
|
ARTIFICIAL DISK IMPLANT | $0.00 |
|
4665
|
Succinylcholine 100mg/5ml Syringe | $0.00 |
|
4666
|
Hook Knife | $0.00 |
|
4667
|
ANTIBIOTIC SPACER | $15,000.00 |
|
4668
|
OXACILLIN 1GM | $0.00 |
|
4669
|
KCENTRA 500 UNITS | $0.00 |
|
4670
|
KCENTRA 1000 UNITS | $0.00 |
|
4671
|
A & D OINTMENT 4 OZ | $0.00 |
|
4672
|
BUMETANIDE 0.25MG/ML 4 ML INJ | $0.00 |
|
4673
|
ERYTHROMYCIN WIT ETHANOL 2% 60ML TOP | $0.00 |
|
4674
|
METHYLENE BLUE 0.5% 5MG/ML 10ML | $0.00 |
|
4675
|
SORBITOL 70% 30ML | $0.00 |
|
4676
|
Amniotic Membrane | $3,975.00 |
|
4677
|
AURALGAN OTIC 15ML | $0.00 |
|
4678
|
GLUCOVANCE 1.25MG/250MG TAB | $0.00 |
|
4679
|
Nicardipine 20 mg/200ml 0.9% NaCI IV Pre | $0.00 |
|
4680
|
Nicardipine 40 mg/200ml 0.9% NaCI IV Pre | $0.00 |
|
4681
|
Nicardipine 2.5 mg/ml Inj 10ml vial | $0.00 |
|
4682
|
AVC VAG CRM 120GM | $0.00 |
|
4683
|
CATH FOLEY 12FR 5CC | $38.26 |
|
4684
|
CATH FOLEY 14FR 5CC | $38.26 |
|
4685
|
CATH FOLEY 16FR 5CC | $38.26 |
|
4686
|
CATH FOLEY 18FR 5CC | $38.26 |
|
4687
|
CATH FOLEY 20FR 5CC | $38.26 |
|
4688
|
CATH FOLEY 22FR 5CC | $38.26 |
|
4689
|
CATH FOLEY 24FR 5CC | $38.26 |
|
4690
|
CATH FOLEY 26FR 5CC | $38.26 |
|
4691
|
CATH FOLEY 28FR 5CC | $38.26 |
|
4692
|
CATH FOLEY 30FR 5CC | $38.26 |
|
4693
|
LUVOX 25MG TAB | $0.00 |
|
4694
|
AVENO OATMEAL BATH | $0.00 |
|
4695
|
LUVOX 50MG TAB | $0.00 |
|
4696
|
COVID RESPIRATORY PANEL (COVRE) | $375.00 |
|
4697
|
Dexamethasone 10mg/ml | $0.00 |
|
4698
|
PERCUT-TRAC-CANNULA REPLACEMENT | $724.49 |
|
4699
|
PERCUT-TRAC-CANNULA | $423.55 |
|
4700
|
DOPAMINE 400MG/10ML | $0.00 |
|
4701
|
LEVOTHYROXINE 100MCG VIAL | $0.00 |
|
4702
|
BALL TIP GUIDE | $0.00 |
|
4703
|
CERVICAL SPIKES | $0.00 |
|
4704
|
BARREL IMPLANT | $0.00 |
|
4705
|
STAPLER FIX W/SPIKES | $0.00 |
|
4706
|
HARDWARE REMOVAL SET | $0.00 |
|
4707
|
COLON DECOMPRESION SET | $0.00 |
|
4708
|
CHLORHEXIDINE GLUCONATE RINSE 0.12% 15ML | $0.00 |
|
4709
|
FLORANEX 1 MILLION CELL | $0.00 |
|
4710
|
RETRACTOR | $0.00 |
|
4711
|
BENEPROTEIN POWDER PACKET 7G | $0.00 |
|
4712
|
Lactobacillus (Culterelle) 10Billion | $0.00 |
|
4713
|
Quantiferon TB Gold | $350.00 |
|
4714
|
Procalcitonin | $1,750.00 |
|
4715
|
BIOSPHERE | $0.00 |
|
4716
|
Cable single loop titanium w/Crimp | $0.00 |
|
4717
|
Vancomycin 1.25gram / NS 250ml premix | $0.00 |
|
4718
|
Vancomycin 1.5gram / NS 250ml premix | $0.00 |
|
4719
|
Vancomycin 750MG / NS 250ml premix | $0.00 |
|
4720
|
Dexmedetomidine 200mcg/2ml | $0.00 |
|
4721
|
White Petrolatum ointment 3.5Gm | $0.00 |
|
4722
|
HIP SCOPE KIT | $5,000.00 |
|
4723
|
Admin of Hep B vaccine | $225.00 |
|
4724
|
COFLEX DEVICE | $25,000.00 |
|
4725
|
ZOSTER VACCINE (SHINGRIX) | $0.00 |
|
4726
|
ISOVUE-300 VIAL 61% 100ML | $0.00 |
|
4727
|
TWOCAL HN 2.0 CAL 1000ML | $0.00 |
|
4728
|
VITAL AF 1.2 CAL 237ML | $0.00 |
|
4729
|
Repair of Central Venous Access Device | $2,174.41 |
|
4730
|
Change Cystonomy Tube | $1,971.84 |
|
4731
|
Surgery Cancellation fee | $3,000.00 |
|
4732
|
PEDICLE MARKERS | $400.00 |
|
4733
|
SARS-COV-2 COVID-19 AMP PRB | $995.00 |
|
4734
|
CT Enterography | $7,952.00 |
|
4735
|
EXTERNAL FIXATION CLAMP | $3,500.00 |
|
4736
|
DARUNAVIR-COBICISTAT 800-150mg Tab | $0.00 |
|
4737
|
LOPINAVIR-RITONAVIR 200-50MG TAB | $0.00 |
|
4738
|
SARILUMAB (KEVZARA) 200MG/1.14ML INJ | $0.00 |
|
4739
|
TOCILIZUMAB (ACTEMRA) | $0.00 |
|
4740
|
AZITHROMYCIN 500MG TAB | $0.00 |
|
4741
|
HEMIARTHROPLASTY SHOULDER | $12,500.00 |
|
4742
|
MIDAZOLAM (VERSED) 5MG/1ML 2M | $0.00 |
|
4743
|
FENTANYL 50MCG/ML 50ML | $0.00 |
|
4744
|
METOPROLOL SUCCINATE ER 25MG TAB | $0.00 |
|
4745
|
PRECEDEX 400MCG/100ML BAG | $0.00 |
|
4746
|
ENDOSCOPIC REMOVAL OF GASTROSTOMY TUBE | $4,451.34 |
|
4747
|
EMERGENCY INTUBATION | $974.29 |
|
4748
|
TRACHEOSTOMY (BEDSIDE) | $11,441.13 |
|
4749
|
COVID Screening IGG / IGM | $135.39 |
|
4750
|
PICC LINE PLACEMENT | $5,801.51 |
|
4751
|
BRONCHOSCOPY | $11,996.88 |
|
4752
|
THORACENTESIS WT IMAGING | $2,688.86 |
|
4753
|
CENTRAL LINE PLACEMENT | $9,961.49 |
|
4754
|
ARTERIAL LINE PLACEMENT | $10,074.07 |
|
4755
|
CHEST TUBE PLACEMENT | $6,063.12 |
|
4756
|
CEFTRIAXONE 2GRAMS | $0.00 |
|
4757
|
CEFEPIME 2 GRAMS | $0.00 |
|
4758
|
TELEHEALTH ORIGIN FACILITY FEE | $150.00 |
|
4759
|
PHARMACY | $320.35 |
|
4760
|
Pharmacy General | $1,012.58 |
|
4761
|
Laboratory | $375.83 |
|
4762
|
Respiratory Services | $652.29 |
|
4763
|
ORIF IMPLANT | $0.00 |
|
4764
|
LASSO 90 DEGREE STRAIGHT | $0.00 |
|
4765
|
PARTIAL HIP IMPLANT | $0.00 |
|
4766
|
Flu Vac (Fluarix) Quadrivalent 60mcg/0.5 | $0.00 |
|
4767
|
REVERSE TOTAL SHOULDER | $32,500.00 |
|
4768
|
FLUBLOK Quadrivalent 0.5ML | $0.00 |
|
4769
|
AVENTYL 10MG CAP | $0.00 |
|
4770
|
MICARDIS 80MG TAB | $0.00 |
|
4771
|
MICARDIS 40MG TAB | $0.00 |
|
4772
|
METHADONE LIQ 20MG/2ML UD | $0.00 |
|
4773
|
AVENTYL 25MG CAP | $0.00 |
|
4774
|
CATH MALEWCOTT SIL 32FR | $128.41 |
|
4775
|
CATH MALEWCOTT SIL 34FR | $128.41 |
|
4776
|
CATH MALECOT 36FR | $128.41 |
|
4777
|
CATH MALECOT 38FR | $128.41 |
|
4778
|
CATH PEZZER 40FR | $724.50 |
|
4779
|
FREEDOM SPLINT ALL SIZES | $49.39 |
|
4780
|
CT BONE DENSITY STUDY SPINE/HIP | $210.16 |
|
4781
|
ARTHROGRAM WRIST | $739.02 |
|
4782
|
ARTHROGRAM KNEE | $739.02 |
|
4783
|
ARTHROGRAM SHOULDER | $739.02 |
|
4784
|
ARTHROGRAM HIP | $739.02 |
|
4785
|
CANCIDAS 50MG INJ | $0.00 |
|
4786
|
COLY-MYCIN 150MG INJ | $0.00 |
|
4787
|
FENTANYL CIT 50MCG/ML 20ML INJ | $0.00 |
|
4788
|
LYMPHAZURIN 1% INJ | $0.00 |
|
4789
|
IMITREX 100MG TAB | $0.00 |
|
4790
|
PREVACID SOLU TAB 15MG | $0.00 |
|
4791
|
PREVACID SOLU TAB 30MG | $0.00 |
|
4792
|
AVIANE-28 BCP TAB | $0.00 |
|
4793
|
ADVICOR 500 MG/20MG TAB | $0.00 |
|
4794
|
AMICAR 500MG TAB | $0.00 |
|
4795
|
REF WEST NILE VIRUS By PCR,CSF | $130.41 |
|
4796
|
REF ENTEROVIRUS By PCR, CSR | $247.77 |
|
4797
|
OXEPA RTU 1000ML | $0.00 |
|
4798
|
MORPHINE ORAL SOL 10MG/5ML UD | $0.00 |
|
4799
|
AVITENE 1GM TOPICAL | $0.00 |
|
4800
|
OCTREOTIDE 500 MCG / ML 1ML | $0.00 |
|
4801
|
DOBUTAMINE 1000 MG / 250ML IV | $0.00 |
|
4802
|
KENALOG 40 MG / ML 1ML VIAL | $245.70 |
|
4803
|
MORPHINE 10 MG / ML 1ML VIAL | $0.00 |
|
4804
|
BUMETANIDE 0.25 MG / ML 10ML | $0.00 |
|
4805
|
MARCAINE / DEXT SPINAL 0.75% 2ML | $0.00 |
|
4806
|
DUONEB INH SOLN | $0.00 |
|
4807
|
CRESTOR 10 MG TAB | $0.00 |
|
4808
|
FLORASTOR 250 MG CAP | $0.00 |
|
4809
|
ABILIFY 9.75 MG INJ | $0.00 |
|
4810
|
AZACTAM 1G INJ | $0.00 |
|
4811
|
AZACTAM 2 G INJ | $0.00 |
|
4812
|
CELL SAVER | $1,000.00 |
|
4813
|
REF MICROALBUMIN 24 HOUR URINE | $18.15 |
|
4814
|
HYDROMORPHONE PCA 0.2MG/ML 30ML | $0.00 |
|
4815
|
AZMACORT INH 17GM | $0.00 |
|
4816
|
AZULFIDINE 500MG TAB | $0.00 |
|
4817
|
REF CLOT FACTOR V LABILE FACTOR | $221.55 |
|
4818
|
BACITRACIN 50000 UNIT | $0.00 |
|
4819
|
BACITRACIN OINT 15GM | $0.00 |
|
4820
|
BACITRACIN OINT U.D. | $0.00 |
|
4821
|
REF PROGESTERONE, SERUM | $12.47 |
|
4822
|
ANCOBAN 500 MG TAB | $0.00 |
|
4823
|
BACITRACIN OINT 30GM | $0.00 |
|
4824
|
BACTRIM INJ | $0.00 |
|
4825
|
REF PROCAINAMIDE & NAPA | $50.69 |
|
4826
|
REF PH, STOOL | $30.08 |
|
4827
|
BACTRIM DS TAB | $0.00 |
|
4828
|
BACTRIM SUSPENSION 15ML | $0.00 |
|
4829
|
BACTRIM SUSPENSION 4 OZ | $0.00 |
|
4830
|
BACTROBAN OINT 20GM | $0.00 |
|
4831
|
REF PROLACTIN | $57.58 |
|
4832
|
BACLOFEN 10MG TAB | $0.00 |
|
4833
|
CATH PNEUMOTHORAX | $582.75 |
|
4834
|
CATH QUINTON ALL SIZES | $840.00 |
|
4835
|
BECLOVENT INH. 16GM | $0.00 |
|
4836
|
CATH ROBINSON 8FR | $36.75 |
|
4837
|
CATH ROBINSON 10FR | $36.75 |
|
4838
|
CATH ROBINSON 12FR | $36.75 |
|
4839
|
CATH ROBINSON 14FR | $36.75 |
|
4840
|
CATH ROBINSON 16FR | $36.75 |
|
4841
|
CATH ROBINSON 18FR | $36.75 |
|
4842
|
CATH ROBINSON 20FR | $36.75 |
|
4843
|
CATH ROBINSON 22FR | $36.75 |
|
4844
|
CATH ROBINSON 24FR | $36.75 |
|
4845
|
CATH ROBINSON 26FR | $36.75 |
|
4846
|
CATH ROBINSON 28FR | $36.75 |
|
4847
|
CATH ROBINSON 30FR | $36.75 |
|
4848
|
BECONASE 16.86M INH. | $0.00 |
|
4849
|
BECONASE AQ 25 GM INH | $0.00 |
|
4850
|
REF MYCOPLASMA PNEU IGM | $43.05 |
|
4851
|
DIPHENHYDRAMINE 2% CRM | $0.00 |
|
4852
|
BENADRYL 25MG #20 IND. | $0.00 |
|
4853
|
BENADRYL 25MG CAP | $0.00 |
|
4854
|
BENADRYL 50MG CAP | $0.00 |
|
4855
|
BENADRYL 50MG INJ. | $0.00 |
|
4856
|
PICC LINE KIT | $3,332.00 |
|
4857
|
PICC LINE CATHETER | $236.25 |
|
4858
|
ESSURE INTRATUBAL OCC DEVICE | $6,495.00 |
|
4859
|
REF C.DIFFICILE TOXIN B | $23.24 |
|
4860
|
REF AFB SMEAR BY PCR | $183.75 |
|
4861
|
REF DRUG SCREEN SERUM, QUANT | $84.14 |
|
4862
|
INTERCEED DRESSING | $1,205.20 |
|
4863
|
REF DRUG SCREEN URINE, QUANT | $34.65 |
|
4864
|
BENADRYL ELIXER 25MG/10ML | $0.00 |
|
4865
|
REF HEPARIN INDUCED PLATELET ANTIBODY | $198.97 |
|
4866
|
PT WHEELCHAIR TRAINING EA 15 MIN | $51.27 |
|
4867
|
RESPIRATORY SYNCYTIAL VIRUS – OIA | $79.27 |
|
4868
|
INFLUENZA A/B – OIA | $86.62 |
|
4869
|
VORCONIZOLE 200 MG INJ | $0.00 |
|
4870
|
VICKS VAPOR RUB JAR | $0.00 |
|
4871
|
LEVOTHYROXINE 88 MCG TAB | $0.00 |
|
4872
|
INSULIN NOVOLOG U-100 10ML | $0.00 |
|
4873
|
GLYCERIN ADULT SUPP | $0.00 |
|
4874
|
CALCIUM CARB LIQ 500MG/5ML UD | $0.00 |
|
4875
|
PHENYTEK 300MG CAP | $0.00 |
|
4876
|
PRIMAXIN 500MG INJ | $0.00 |
|
4877
|
PHENYTEC 200MG CAP | $0.00 |
|
4878
|
ABILIFY 9.75 MG (DBL ENTRY) | $0.00 |
|
4879
|
REYATAZ 200MG CAP | $0.00 |
|
4880
|
INJ SUBCUTANEOUS/ INTRAMUSCULAR | $159.00 |
|
4881
|
INJ INTRAVENIUS SNGL OR INITIAL | $103.35 |
|
4882
|
EA SEQUENTIAL IV INJ PUSH NEW DRUG | $103.35 |
|
4883
|
U/S GUIDE VASCULAR ACCESS | $90.00 |
|
4884
|
BONIVA 1MG/1ML | $0.00 |
|
4885
|
ORENCIA 250MG/15ML | $0.00 |
|
4886
|
AVONEX 30MG/10ML | $0.00 |
|
4887
|
VANCOMYCIN 500MG INJ | $0.00 |
|
4888
|
VAPOTHERM HI-FLOW 02/HR | $100.00 |
|
4889
|
VAPOTHERM HI-FLOW SET-UP | $0.00 |
|
4890
|
THER/PROPH IV INF ADD ON EA ADDL HR | $95.00 |
|
4891
|
REF CA 27.29 | $25.85 |
|
4892
|
BENEMID 0.5GM TAB | $0.00 |
|
4893
|
REF MYCOPLASMA PNEV. IgG | $14.63 |
|
4894
|
FLPH | $59.84 |
|
4895
|
HVC FIBROSURE | $684.00 |
|
4896
|
HLA B27 | $21.76 |
|
4897
|
VILEX SCREW 2.0 6MM-20 | $330.00 |
|
4898
|
VILEX SCREW 2.0 21MM | $362.50 |
|
4899
|
VILEX SCREW 2.5 6MM-30MM | $330.00 |
|
4900
|
VILEX SCREW 2.5 32MM-40MM | $380.00 |
|
4901
|
VILEX SCREW 3 6MM-20MM | $330.00 |
|
4902
|
VILEX SCREW 3 22MM-30MM | $362.50 |
|
4903
|
VILEX SCREW 3 32MM-40MM | $397.50 |
|
4904
|
KWIRES/ALL SIZES | $37.50 |
|
4905
|
US PROSTATE | $2,511.30 |
|
4906
|
LACTIC ACID | $150.00 |
|
4907
|
REF LDL DIRECT | $41.31 |
|
4908
|
REF LIPOPROTEIN A | $46.27 |
|
4909
|
REF PHOSPHOLIPIDS | $35.53 |
|
4910
|
REF SICKLE CELL | $38.37 |
|
4911
|
REF GC PROBE | $217.87 |
|
4912
|
REF CHLAMYDIA DNA PROBE | $217.87 |
|
4913
|
REF IMMUNOFIXATION, SER | $83.11 |
|
4914
|
REF IMMUNOFIXATION, URI | $69.42 |
|
4915
|
REF GIARDIA ANTIGEN | $81.90 |
|
4916
|
REF CLOZARIL | $113.40 |
|
4917
|
REF ANTI-SCLERODERMA AB | $113.40 |
|
4918
|
HYDROCODONE/APAP 5/325MG TAB | $0.00 |
|
4919
|
HYDROCODONE/APAP 7.5/325MG TAB | $0.00 |
|
4920
|
PROMOD LIQ 30ML UD | $0.00 |
|
4921
|
POTASS CHL 10 MEQ/50ML INJ | $0.00 |
|
4922
|
BEN GAY 85 GM. | $0.00 |
|
4923
|
NM CARDIAC SPECT REST | $2,475.00 |
|
4924
|
FERRLECIT 62.5 MG / 5ML INJ | $0.00 |
|
4925
|
VANCOMYCIN 1G/200ML IVPB | $0.00 |
|
4926
|
VANCOMYCIN 750MG/150ML IVPB | $0.00 |
|
4927
|
US AORTA | $1,815.00 |
|
4928
|
REF Q FEVER, SEROLOGY | $22.37 |
|
4929
|
REF QUINIDINE | $13.26 |
|
4930
|
GLYSET 25 MG | $0.00 |
|
4931
|
BENTYL 10MG CAP | $0.00 |
|
4932
|
BENTYL 20MG TAB | $0.00 |
|
4933
|
test charge | $0.00 |
|
4934
|
OBSERVATION-PER HR MS WARD | $151.00 |
|
4935
|
OBSERVATION PER HR- ER | $500.00 |
|
4936
|
DICYCLOMINE HCL 0MG/ML | $0.00 |
|
4937
|
BUTORPHANOL 1MG/ML VIAL | $0.00 |
|
4938
|
NAFCILLIN 1GM VIAL | $0.00 |
|
4939
|
EGG, EXTENDED OVER 1 HR MODIFY | $0.00 |
|
4940
|
ZOLADEX 3.6 MG INJ | $0.00 |
|
4941
|
ABILIFY DISOLVE TAB 10 MG | $0.00 |
|
4942
|
ABILIFY DISOLVE TAB 15 MG | $0.08 |
|
4943
|
COREG CR 10 MG CAP | $0.00 |
|
4944
|
COREG CR 20 MG CAP | $0.00 |
|
4945
|
VIGAMOX 0.5% OPTH SOLN 3ML | $0.00 |
|
4946
|
REF RUBELLA IGM (EIA) | $28.63 |
|
4947
|
ACTOSE 15MG TAB | $0.00 |
|
4948
|
ACULAR OPTH SOLN 5ML | $0.06 |
|
4949
|
VOLMAX 4 MG 100 TABS | $0.00 |
|
4950
|
RISPERDAL 1 MG/ML 30 ML LIQ | $0.00 |
|
4951
|
NM CARDIAC MUGA / WITH WALL MOTION | $2,475.00 |
|
4952
|
CATH SUBCLAVIAN | $139.54 |
|
4953
|
HEPATIC AIDE | $0.00 |
|
4954
|
REF SICKLE CELL SCREEN | $3.99 |
|
4955
|
ZOCOR 20 MG TAB | $0.00 |
|
4956
|
REF HIV RNA | $320.59 |
|
4957
|
AKINETION 2 MG TAB | $0.00 |
|
4958
|
BENZOIN, TINC 60ML | $0.00 |
|
4959
|
ANGIO JET | $315.00 |
|
4960
|
THROMBECTOMY CATH | $0.00 |
|
4961
|
CATH SUCT KIT 10F | $8.29 |
|
4962
|
CATH SUCT KIT 14F | $15.75 |
|
4963
|
BETADINE OINT 30GM | $0.00 |
|
4964
|
BETADINE OINT PKT | $0.00 |
|
4965
|
PULSE OXIMETRY SPOT CHECK | $0.00 |
|
4966
|
PULSE OXIMETRY CON OVERNIGHT MONITOR | $553.00 |
|
4967
|
PULSE OXIMETRY/MULTIPLE DTERMINATION | $218.40 |
|
4968
|
ABG COMPLETE ANALYSIS | $489.00 |
|
4969
|
ARTERIAL LAB DRAW | $135.45 |
|
4970
|
PEAK FLOW TEST A & P | $104.81 |
|
4971
|
PEAK FLOW METER | $105.00 |
|
4972
|
REF T3 (RIA) | $24.83 |
|
4973
|
REF T3 TOTAL RIA | $79.27 |
|
4974
|
BETADINE SOLN 120 ML | $0.00 |
|
4975
|
BETADINE SOLN 480 ML | $0.00 |
|
4976
|
BETAGAN DROPS 5ML | $0.00 |
|
4977
|
BETAPACE 80MG TAB | $0.00 |
|
4978
|
BETOPTIC 0.5% OPTH SOLN | $0.00 |
|
4979
|
BETOPTIC-S 0.25H 5ML | $0.00 |
|
4980
|
CATH SUPRPUBIC | $336.00 |
|
4981
|
BIAXIN 250MG TAB | $0.00 |
|
4982
|
BIAXIN 500MG TAB | $0.00 |
|
4983
|
BICILLIN-CR 600000U | $0.00 |
|
4984
|
CARBAMAZEPINE TOTAL | $92.33 |
|
4985
|
BICILLIN-CR 900/300 | $0.00 |
|
4986
|
BICILLIN CR 1.2 MU 2ML SYR | $0.00 |
|
4987
|
VITAMIN B-COMPLEX CAP. | $0.00 |
|
4988
|
REF ANTITHROM BIN III ACTIVITY | $51.55 |
|
4989
|
BICILLIN CR 2.4 MU 4ML SYR | $0.00 |
|
4990
|
HOLTER MONITOR, 24 HOUR W/REPORT | $445.20 |
|
4991
|
REF CARDILIPIN ANTIBODIEO | $92.40 |
|
4992
|
BICILLIN-LA 600000U | $0.00 |
|
4993
|
ALBENZA 200MG (ALBENDAZOLE) TAB | $10.50 |
|
4994
|
BICILLIN LA 1.2 MU 2ML SYR | $0.00 |
|
4995
|
BICILLIN LA 2.4 MU 4ML SYR | $0.00 |
|
4996
|
ORINASE 500 MG | $0.00 |
|
4997
|
SUPPLY / PERCUTANEOUS NEPHROSTOMY | $177.19 |
|
4998
|
VOL VENT FIRST DAY | $4,641.68 |
|
4999
|
REF INSULIN | $22.92 |
|
5000
|
BICITRA 120ML | $0.00 |
|
5001
|
BICITRA 480ML | $0.00 |
|
5002
|
CATH SWANGANZ 7.0FR | $1,706.25 |
|
5003
|
CATH SWANGANZ 7.5FR | $1,706.25 |
|
5004
|
CATH SWANGANZ 8.0FR | $1,706.25 |
|
5005
|
REF THYROGLOBULIN AUTOANTIBODIES | $34.65 |
|
5006
|
EFFEXOR XR 37.5MG CAP | $0.00 |
|
5007
|
CULTURE YEAST | $47.25 |
|
5008
|
REF TOBRAMYCIN | $44.62 |
|
5009
|
NM CARDIAC SPECT STRESS / REST | $3,478.00 |
|
5010
|
REF CLOT FACTOR V LABILE FACTOR | $170.10 |
|
5011
|
REF CHLAMYDIA IGM | $48.72 |
|
5012
|
US PELVIC | $1,744.50 |
|
5013
|
REF CHLAMYDIA IGM ANTIBODY | $19.66 |
|
5014
|
REF CHLAMYDIA IGG ANTIBODY | $48.72 |
|
5015
|
COSOPT OPTH SOLN 10ML | $0.00 |
|
5016
|
BLEPHAMIDE 3.5GM OPTH OINT | $0.00 |
|
5017
|
REF CHLAMYDIA TRACHOMATIS AG, IF | $10.81 |
|
5018
|
REF ANTITHROMBIN III ANTIGEN | $131.27 |
|
5019
|
REF CHLAMYDIA DNA PROBE | $28.35 |
|
5020
|
BLEPHAMIDE 5ML OPTH SOL | $0.00 |
|
5021
|
ENSURE PLUS 240ML | $0.00 |
|
5022
|
MORPHINE 8MG/ML(MORPHINE SULFATE) | $0.00 |
|
5023
|
CATH EXTERNAL | $19.19 |
|
5024
|
BLOCADREN 20MG TAB | $0.00 |
|
5025
|
CATH THORACTIC | $39.23 |
|
5026
|
REF TRANSFERRIN | $13.26 |
|
5027
|
REF RISPENDAL | $74.81 |
|
5028
|
REF RSV ANTIGEN BY DFA | $12.88 |
|
5029
|
CORTROSYN 0.25 MG VIAL | $0.00 |
|
5030
|
REF VOLATILES-METHANOL ALCOHOL | $91.61 |
|
5031
|
REF METHEMOGLOBIN | $18.08 |
|
5032
|
BRETHINE 1MG/ML INJ X5776 | $0.00 |
|
5033
|
REF ADH (ANTI-DIUR. HORMONE) | $44.60 |
|
5034
|
BRETHINE 2.5MG TAB | $0.00 |
|
5035
|
BRETHINE 5MG TAB | $0.00 |
|
5036
|
EVAL OF SPEECH (ARTIC, PHONO, APRAX, DYS | $224.70 |
|
5037
|
ST SPEECH/LANGUAGE TREATMENT | $166.84 |
|
5038
|
MOTION FLUOROSCOP/SWALLOW/CINE/VIDEO | $750.00 |
|
5039
|
EVAL ORAL&PHARYNGEAL SWL FUNCJ-UNLISTED | $750.00 |
|
5040
|
BERTYLIUM 500MG 10ML JECT | $0.00 |
|
5041
|
BREVIBLOC 100MG/10ML | $0.00 |
|
5042
|
KETAMINE 100MG/1ML SYRINGE 1ML | $0.00 |
|
5043
|
CONTRAST / GASTROGRAFFIN 60 % 120 ML | $94.01 |
|
5044
|
REF VDRL, CSF | $7.53 |
|
5045
|
REF VIRAL CULTURE | $157.34 |
|
5046
|
BSS 15 ML U.D. | $0.00 |
|
5047
|
BSS 500 ML | $0.00 |
|
5048
|
BSS PLUS 500ML | $0.00 |
|
5049
|
VITAMIN B/12 | $109.35 |
|
5050
|
CATH NASAL WHISTLE TIP | $29.82 |
|
5051
|
BUFFERIN TAB | $0.00 |
|
5052
|
BUMEX 1MG TAB | $0.00 |
|
5053
|
BUMEX 1MG/4ML INJ | $0.00 |
|
5054
|
BUSPAR 5MG TAB | $0.00 |
|
5055
|
BUSPAR 10MG TAB | $0.00 |
|
5056
|
CALCIUM CARBONATE 500MG/5ML 4Z | $0.00 |
|
5057
|
CALAMINE LOT 120ML | $0.00 |
|
5058
|
CALAN 80MG TAB | $0.00 |
|
5059
|
CALAN 120MG TAB | $0.00 |
|
5060
|
CALAN SR 120MG TAB | $0.00 |
|
5061
|
CALAN SR 180MG TAB | $0.00 |
|
5062
|
CALAN SR 240MG TAB | $0.00 |
|
5063
|
CALCIJEX 1MCG/ML X7510 | $0.00 |
|
5064
|
CALCIJEX 100 IU/ML X5804 | $0.00 |
|
5065
|
CALCITONIN 400MCR UNITS(CALCIMAR) | $0.00 |
|
5066
|
CALCIUM CARBONATE (TUMS) 750MG | $0.00 |
|
5067
|
CALCIUM CARBONATE (TUMS) 500MG | $0.00 |
|
5068
|
CALCIUM CARB 650 TAB | $0.00 |
|
5069
|
CALCIUM CHLOR 10% JECT 10ML | $0.00 |
|
5070
|
CALCIUM GLUC 10 ML INJ | $0.00 |
|
5071
|
MORPHINE 5MG/ML 1ML VIAL | $0.00 |
|
5072
|
CALCIUM GLUC 480MG TAB | $0.00 |
|
5073
|
REF FLUOCYTOSINE (ANCOBAN) | $45.48 |
|
5074
|
CALCIUM LACT 325 TAB | $0.00 |
|
5075
|
REF HEPATITIS C VIRUS GENOTYPE | $228.90 |
|
5076
|
COMBIVIR 150MG/300MG TAB | $0.00 |
|
5077
|
CAMPHO-PHENIQUE 30ML | $0.00 |
|
5078
|
FERRITIN | $98.85 |
|
5079
|
COLLAR CERV UNIV | $33.07 |
|
5080
|
COLLAR CERVICAL M | $33.07 |
|
5081
|
COLLAR CERVICAL L | $41.37 |
|
5082
|
CAPOTEN 12.5MG TAB | $0.00 |
|
5083
|
CAPOTEN 25MG TAB | $0.00 |
|
5084
|
CARAFATE 1GM TAB | $0.00 |
|
5085
|
CARAFATE 1GM/10ML | $0.00 |
|
5086
|
CARDENE 20MG CAP | $0.00 |
|
5087
|
CARDENE 30MG CAP | $0.00 |
|
5088
|
CARDIZEM 25MG/5ML INJ | $0.00 |
|
5089
|
CARDIZEM 30MG TAB | $0.00 |
|
5090
|
CARDIZEM-SR 60MG CAP | $0.00 |
|
5091
|
CARDIZEM 60MG TAB | $0.00 |
|
5092
|
CARDIZEN 90MG TAB | $0.00 |
|
5093
|
CARDIZEM CD 120MG CAP | $0.00 |
|
5094
|
CARDURA 1MG TAB | $0.00 |
|
5095
|
CARDURA 2MG TAB | $0.00 |
|
5096
|
CARDIZEM CD 180MG CAP | $0.00 |
|
5097
|
CARDIZEM CD 240MG CAP | $0.00 |
|
5098
|
CARDURA 4MG TAB | $0.00 |
|
5099
|
CARDIZEM CD 300MG CAPS | $0.00 |
|
5100
|
CARNITOR 330MG TAB | $0.00 |
|
5101
|
CASEC POWDER 10 OZ | $0.00 |
|
5102
|
COLL UNIT SPUTUM | $0.00 |
|
5103
|
CASTOR OIL 60ML LIQ | $0.00 |
|
5104
|
CATAPRES 0.1MG TAB | $0.00 |
|
5105
|
CATAPRES 0.2 MG TAB | $0.00 |
|
5106
|
CATAPRES TTS-1 | $0.00 |
|
5107
|
CATAPRES TTS-2 | $0.00 |
|
5108
|
CATAPRES TTS-3 | $0.00 |
|
5109
|
CECLOR 250MG CAP | $0.00 |
|
5110
|
REF GLOMERVLAR ANTIBODY (ANT,GBM) | $141.48 |
|
5111
|
CONNECTOR SIMS | $16.38 |
|
5112
|
CEFOTAN 1GM INJ | $0.00 |
|
5113
|
CEFOTAN 2GM INJ | $0.00 |
|
5114
|
CONNECTOR Y | $16.38 |
|
5115
|
KANAMYCIN SULFATE 1GM/3ML VIAL(KANTREX) | $0.00 |
|
5116
|
TOP NOTCH CONNECTOR 5.5X5.5 | $0.00 |
|
5117
|
VARIABLE CONNECTOR 5.5X5.5 | $0.00 |
|
5118
|
SINGLE INLINE | $0.00 |
|
5119
|
CONNECTOR 5-1 | $16.38 |
|
5120
|
CEFTIN 250MG TAB | $0.00 |
|
5121
|
CELESTONE SOLUSPAN PER/ML 5ML | $0.00 |
|
5122
|
CELLCEPT 250MG TAB | $0.00 |
|
5123
|
SLING CRADLE ARM L | $42.00 |
|
5124
|
SLING CRADLE ARM XL | $42.00 |
|
5125
|
SLING CRADLE PEDS | $42.00 |
|
5126
|
ARM SLING | $42.00 |
|
5127
|
CRASH CART | $0.00 |
|
5128
|
CEPACOL LOZ | $0.00 |
|
5129
|
CEPHULAC 30ML LIQ | $0.00 |
|
5130
|
CEPHULAC 240ML LIQ | $0.00 |
|
5131
|
CEREBYX 250MG INJ | $0.00 |
|
5132
|
CEREBYX 100MG INJ | $0.00 |
|
5133
|
CRUTCH ASSEMBLED | $109.20 |
|
5134
|
CERUMENEX OTIC 6ML GTTS | $0.00 |
|
5135
|
CETACAINE SPRAY 50ML | $0.00 |
|
5136
|
CELEXA 20 MG TABLET | $0.00 |
|
5137
|
CULTURETTE | $0.00 |
|
5138
|
CULTURETTE | $0.00 |
|
5139
|
CHLORAL HYDR. 500MG CAP | $0.00 |
|
5140
|
CHLORAL HYDR. 500MG/5ML | $0.00 |
|
5141
|
CHLORASEPTIC LOZENGE | $0.00 |
|
5142
|
HEMODIALYSIS (BICARB) OUTPT | $1,700.00 |
|
5143
|
HEMODIALYSIS (BICARB) INPT | $1,700.00 |
|
5144
|
CAPD / PERITONEAL TREATMENT | $1,700.00 |
|
5145
|
CHLORASEPTIC SPR 45ML | $0.00 |
|
5146
|
COTTON APPLICATOR | $1.00 |
|
5147
|
COTTONOIDS | $0.90 |
|
5148
|
BRA SURGI/JOBST | $1.00 |
|
5149
|
ARTHROSCOPY DRAPE | $10.00 |
|
5150
|
ENT PACK | $22.00 |
|
5151
|
HALF SHEET | $3.00 |
|
5152
|
DIAPERS ADULT PKG | $0.00 |
|
5153
|
DERMAL ALLOGRAFT IMPLANT | $2,953.13 |
|
5154
|
DERMACARRIER 3×1- ZIMMER | $39.10 |
|
5155
|
DIAL A FLOW | $28.24 |
|
5156
|
DIALYSIS DRY RUN | $600.00 |
|
5157
|
CHLOR-TRIMETON 4MG TAB | $0.00 |
|
5158
|
CHOICE DM | $0.00 |
|
5159
|
DEODORANT | $0.00 |
|
5160
|
SOD. BICARB (NEUT) 4% 5ML | $0.00 |
|
5161
|
CILOXAN OPTH. SOLN. (CIPRO) | $0.00 |
|
5162
|
SALIVA SUBSTITUDE | $0.00 |
|
5163
|
CIPRO 200MG/100ML | $0.00 |
|
5164
|
CIPRO 200MG INJ | $0.00 |
|
5165
|
REF NIACIN | $57.75 |
|
5166
|
CIPRO 250MG TAB | $0.00 |
|
5167
|
CIPRO 400MG INJ. | $0.00 |
|
5168
|
CIPRO 400MG DEXTROSE/200ML | $0.00 |
|
5169
|
CIPRO 500 MG TAB | $0.00 |
|
5170
|
COLON-AIR CONTR. W/BARIUM | $711.90 |
|
5171
|
CHEST; 1 VIEW-FRONTAL | $200.00 |
|
5172
|
CHEST -COMPLETE – MIN 4 VIEWS | $295.05 |
|
5173
|
CYSTOGRAM MIN 3V | $482.24 |
|
5174
|
HIP 1VIEW LT | $163.80 |
|
5175
|
LUMBAR SPINE 3 VIEWS | $784.00 |
|
5176
|
MANDIBLE COMP MIN 4 VIEWS | $123.40 |
|
5177
|
SACRUM COCCYX IN 2V | $299.25 |
|
5178
|
WRIST 3 VIEW LT | $268.80 |
|
5179
|
US DUPLEX SCAN HEMODIALYSIS ACCESS | $2,601.90 |
|
5180
|
US GUIDED PARACENTESIS | $1,731.00 |
|
5181
|
US CAROTID SPECTRAL ANALYSIS BI-LAT | $4,000.00 |
|
5182
|
US RENAL DUPLEX SCAN OF ARTER VEN COMP | $2,950.34 |
|
5183
|
ARTERIAL LOWER EXTREMITY BI-LAT | $3,737.00 |
|
5184
|
US ARTERIAL LOWER EXTREMITY LT | $1,620.08 |
|
5185
|
US ARTERIAL LOWER EXTREMITY RT | $1,620.08 |
|
5186
|
CITRATE OF MAG. 360ML | $0.00 |
|
5187
|
CITRUCEL PKT | $0.00 |
|
5188
|
C.T. ABD W/O CONTRAST | $4,844.70 |
|
5189
|
C.T. CERVICAL SPINE W/CONTRAST | $7,856.00 |
|
5190
|
C.T. HEAD W/O CONTRAST | $2,450.70 |
|
5191
|
CLAFORAN 1GM INJ | $0.00 |
|
5192
|
CLAFORAN 2GM INJ. | $0.00 |
|
5193
|
CLAFORAN 500MG INJ. | $0.00 |
|
5194
|
CLARITIN 10MG TAB | $0.00 |
|
5195
|
CLEOCIN 150MG CAP | $0.00 |
|
5196
|
AEROSOL BY HOUR | $22.31 |
|
5197
|
APNEA MONOTOR MANAGEMENT | $0.00 |
|
5198
|
BI PAP SUBSEQUENT DAY | $2,940.00 |
|
5199
|
BI PAP INITIAL DAY | $457.51 |
|
5200
|
RT INSTRUCTION | $57.54 |
|
5201
|
CHEST PHYSIOTHERAPY | $71.55 |
|
5202
|
CONT. NEBULIZER TX PER HR | $275.62 |
|
5203
|
CPR | $453.94 |
|
5204
|
AMBU BAG & MASK | $162.75 |
|
5205
|
AEROSOL MASK | $24.67 |
|
5206
|
FIRST HR NEB TX | $275.62 |
|
5207
|
OXYGEN MASK | $29.61 |
|
5208
|
ET TUBE CHANGE | $0.00 |
|
5209
|
EXTUBATION | $0.00 |
|
5210
|
IPPB INITIAL TX | $210.00 |
|
5211
|
ISOLETTE/HR | $242.86 |
|
5212
|
OXYGEN BY DAY INITIAL | $432.60 |
|
5213
|
OX TENT/HR | $26.25 |
|
5214
|
PT TRANSPORT WITH RT | $164.11 |
|
5215
|
T-TUBE | $37.38 |
|
5216
|
HAND HELD NEB. TX | $210.00 |
|
5217
|
WEANING PARAMETERS | $104.81 |
|
5218
|
AEROSOL SET UP | $0.00 |
|
5219
|
CLEOCIN 300MG INJ X5958 | $0.00 |
|
5220
|
CLEOCIN 600MG INJ S0077 | $0.00 |
|
5221
|
CLINORIL 150MG TAB | $0.00 |
|
5222
|
CLINORIL 200MG TAB | $0.00 |
|
5223
|
DRAIN PENROSE | $8.29 |
|
5224
|
CLOZARIL 25MG TAB | $0.00 |
|
5225
|
CLOZARIL 100MG TAB | $0.00 |
|
5226
|
COCAINE 4% SOLN 4ML | $0.00 |
|
5227
|
COCAINE 10% SOL 4ML | $0.00 |
|
5228
|
CODEINE 30MG INJ X5962 | $0.00 |
|
5229
|
CODEINE 60MG INJ X5960 | $0.00 |
|
5230
|
COGENTIN 1 MG INJ X5744 | $0.00 |
|
5231
|
COGENTIN .5MG TAB | $0.00 |
|
5232
|
COGENTIN 1MG TAB | $0.00 |
|
5233
|
COGENTIN 2MG TAB | $0.00 |
|
5234
|
COGNEX 10MG CAPS | $0.00 |
|
5235
|
C.T SUPPLY / MEDRAD INJECTOR SYRINGE KIT | $10.50 |
|
5236
|
COMTAN 200MG TAB | $0.00 |
|
5237
|
1 | $2,040.00 |
|
5238
|
COLCHICINE PER 1MG INJ X5964 | $0.00 |
|
5239
|
REF MOLECULAR DIAGNOSTICS | $20.26 |
|
5240
|
REF ENZYMATIC DIGESTION | $20.26 |
|
5241
|
REF GEL ELECTROPHORESIS | $20.26 |
|
5242
|
REF AMPLIFICATION OF NUCLEIC ACID | $20.26 |
|
5243
|
REF INTERPRETATION AND REPORT | $20.26 |
|
5244
|
GROSS / MICRO EXAM LEVEL 4 | $140.04 |
|
5245
|
ELECTRON MICROSCOPY | $497.51 |
|
5246
|
OP ACTIVASE 1MG INJ 96379 | $0.00 |
|
5247
|
OP ALBUMIN HUMAN 25% 20ML | $0.00 |
|
5248
|
OP ALBUMIN HUMAN 25% 20ML | $0.00 |
|
5249
|
OP ALBUMIN 5% 50ML | $0.00 |
|
5250
|
OP ALBUMIN 5% 50ML | $0.00 |
|
5251
|
OP ATARAX 25MG TAB | $0.00 |
|
5252
|
OP EPOGEN 1,000 UNITS | $0.00 |
|
5253
|
OP EPOGEN 1000 UNITS | $0.00 |
|
5254
|
OP EPOGEN 1000 UNITS | $0.00 |
|
5255
|
PROAMATINE 5MG TAB | $0.00 |
|
5256
|
MEPHYTON 5MG TAB | $0.00 |
|
5257
|
SEROQUEL 200MG TAB | $0.00 |
|
5258
|
ANBESOL SOLN | $0.00 |
|
5259
|
MAG OX 400MG TAB | $0.00 |
|
5260
|
RIFAMPIN 150MG TAB | $0.00 |
|
5261
|
MIRAPEX 0.25MG TAB | $0.00 |
|
5262
|
TRILEPTAL 300MG TAB | $0.00 |
|
5263
|
IMMUNOFLUORESCENT STUDY | $236.06 |
|
5264
|
D5W 50ML | $42.00 |
|
5265
|
COLCHICINE .6MG TAB | $0.00 |
|
5266
|
REF CD2 | $44.25 |
|
5267
|
REF CD3 | $44.25 |
|
5268
|
REF CD7 | $44.25 |
|
5269
|
REF CD10 | $44.25 |
|
5270
|
REF CD11b | $44.25 |
|
5271
|
REF CD13 | $44.25 |
|
5272
|
REF CD14 | $44.25 |
|
5273
|
REF CD15 | $44.25 |
|
5274
|
REF CD19 | $44.25 |
|
5275
|
REF CD20 | $44.25 |
|
5276
|
REF CD33 | $44.25 |
|
5277
|
REF CD34 | $44.25 |
|
5278
|
REF CD45 | $44.25 |
|
5279
|
REF CD71 | $44.25 |
|
5280
|
REF C117 | $44.25 |
|
5281
|
REF HLA-DR | $44.25 |
|
5282
|
LIDOCAINE 4% 5ML AMP | $0.00 |
|
5283
|
PREVACID 30MG PWD PKT | $0.00 |
|
5284
|
EMTRIVA 200MG CAP | $0.00 |
|
5285
|
COLESTID 1GM TAB | $0.00 |
|
5286
|
D5W 100ML | $42.00 |
|
5287
|
ABILITY 5 MG TABLET | $0.00 |
|
5288
|
METHADONE ORAL SOLN 10 MG/ML UD | $0.00 |
|
5289
|
BACTROBAN CRM 2% 15GM | $0.00 |
|
5290
|
CISTERNOGRAM | $2,475.00 |
|
5291
|
ISOTOPE INDIUM DTPA | $330.00 |
|
5292
|
PICC LINE KIT | $288.40 |
|
5293
|
COLY MYCIN OTIC SOLN | $0.00 |
|
5294
|
NACL 0.9% 50ML | $27.61 |
|
5295
|
OP EPOGEN 1000 UNITS | $0.00 |
|
5296
|
OP GAMMA GLOBULIN 500MG 200ML | $0.00 |
|
5297
|
OP PHENERGAN 12.5MG PO #2 SART | $0.00 |
|
5298
|
OP PHENEGAN 12.5 MG TAB | $0.00 |
|
5299
|
OP PHENERGAN DM SYRUP 12.5 MG | $0.00 |
|
5300
|
OP PHENERGAN EXP 12.5ML LIQ | $0.00 |
|
5301
|
OP PHENEGAN EXP W/COD 12.5 MG | $0.00 |
|
5302
|
NACL 0.9% 100ML | $27.61 |
|
5303
|
OP PHENERGAN SYRUP 12.5 MG | $0.00 |
|
5304
|
OP PHENERGAN VC EXP 12.5MG LIQ | $0.00 |
|
5305
|
OP PHENERGAN VC W/COD 12.5 MG | $0.00 |
|
5306
|
OP PHENERGAN W/ COD 12.5 MG LIQ | $0.00 |
|
5307
|
OP PREDNISONE 5MG TAB | $0.00 |
|
5308
|
OP PREDNISONE 5MG TAB | $0.00 |
|
5309
|
VINBLASTINE SUL (VLB) 10MG/10ML VIAL | $0.00 |
|
5310
|
VINCRISTINE SUL(VCR-1MG 10MG/ACTOSE VIAL | $0.00 |
|
5311
|
CHLOROPHYLL TAB | $0.00 |
|
5312
|
LIPITOR 20MG TAB | $0.00 |
|
5313
|
ZYDIS 5MG TAB | $0.00 |
|
5314
|
WART REMOVER SOLN 30ML | $0.00 |
|
5315
|
TENECTAPLASE 50MG VL INJ | $0.00 |
|
5316
|
ALORA PTCH 0.05 MG | $0.00 |
|
5317
|
ADVAIR DISKUS 100/50 PWD | $0.00 |
|
5318
|
ADVAIR DISKUS 250/50 PWD | $0.00 |
|
5319
|
ZONEGRAN 100MG CAP | $0.00 |
|
5320
|
KEPPRA 500MG TAB | $0.00 |
|
5321
|
GABITRIL 4MG TAB | $0.00 |
|
5322
|
MRI ABDOMEN N/C | $5,226.00 |
|
5323
|
MRI ABDOMEN W/C | $5,226.00 |
|
5324
|
MRI BRAIN N/C | $6,758.00 |
|
5325
|
MRI BRAIN W/C | $7,281.00 |
|
5326
|
MRI BRAIN WWO/C | $5,690.00 |
|
5327
|
MRI CERVICAL SPINE N/C | $5,190.00 |
|
5328
|
MRI CERVICAL SPINE W/C | $5,190.00 |
|
5329
|
MRI LUMBAR SPINE N/C | $6,206.00 |
|
5330
|
MRI LUMBAR SPINE W/C | $5,190.00 |
|
5331
|
MRI LOWER EXT JOINT RIGHT N/C | $3,011.00 |
|
5332
|
MRI LOWER EXT JOINT LEFT N/C | $3,011.00 |
|
5333
|
MRI SOFT TISSUE NECK N/C | $5,190.00 |
|
5334
|
MRI SOFT TISSUE NECK NW/C | $5,690.00 |
|
5335
|
NORETHINDRONE 5MG TAB | $0.00 |
|
5336
|
AUGMENTIN 875MG TAB | $0.00 |
|
5337
|
ADDERALL 10MG TAB | $0.00 |
|
5338
|
PROTONIX 40MG INJ | $0.00 |
|
5339
|
GEODON 80MG CAP | $0.00 |
|
5340
|
KIT VALVE SYSTEM NEURO | $3,068.63 |
|
5341
|
BONE SCREW SYSTEM IN FAST | $2,100.00 |
|
5342
|
TOPAMAX 200MG TAB | $0.00 |
|
5343
|
HYPERTONIC SALINE 3% 15ML | $0.00 |
|
5344
|
INSULIN LANTUS U-100 10ML | $0.00 |
|
5345
|
NM GASTRIC EMPTYING | $2,475.00 |
|
5346
|
NM MUGA WALL MOTION | $2,475.00 |
|
5347
|
MRI THORACIC SPINE N/C | $5,190.00 |
|
5348
|
MRI THORACIC SPINE W/C | $5,190.00 |
|
5349
|
MRI UPPER EXT JOINT RIGHT N/C | $3,011.00 |
|
5350
|
MRI UPPER EXT JOINT LEFT N/C | $3,011.00 |
|
5351
|
MRA ABDOMEN/ANGIO | $5,226.00 |
|
5352
|
MRA BRAIN ANGIO (COW) | $6,704.85 |
|
5353
|
MRA NECK/ANGIO | $5,226.00 |
|
5354
|
MRA RENAL/ANGIO | $5,226.00 |
|
5355
|
DEPAKOTE ER 500MG TAB | $0.00 |
|
5356
|
DEMADEX 20MG TAB | $0.00 |
|
5357
|
BILTRICIDE 600MG TAB | $0.00 |
|
5358
|
DEMADEX 10MG/ML 2ML INJ | $0.00 |
|
5359
|
ZYPREXA 20MG TAB | $0.00 |
|
5360
|
ZOVIRAX 400MG TAB | $0.00 |
|
5361
|
MEGACE SUSP 400MG/ML 10ML UD | $0.00 |
|
5362
|
MIRALAX PWD 17GM UD | $0.00 |
|
5363
|
RESTORIL 7.5MG CAP | $0.00 |
|
5364
|
FORTAZ 1GM INJ | $0.00 |
|
5365
|
OR CONSULT W/ FRZ SECTION | $210.00 |
|
5366
|
ARIMIDEX 1MG TAB | $0.00 |
|
5367
|
AGGRENOX 25/200MG CAP | $0.00 |
|
5368
|
IMDUR 30MG TAB 4.75 | $0.00 |
|
5369
|
EXELON 1.5MG CAP | $0.00 |
|
5370
|
FEMARA 2.5MG TAB | $0.00 |
|
5371
|
PILOPINE HS 4% GEL 3.5GM | $0.00 |
|
5372
|
PROGESTERONE 100MG CAP | $0.00 |
|
5373
|
PULMICORT 0.5MG/2ML RT | $0.00 |
|
5374
|
SONATA 10MG TAB | $0.00 |
|
5375
|
TORADOL 30MG INJ J1885 | $0.00 |
|
5376
|
OP TORADOL 15MG INJ J1885 | $0.00 |
|
5377
|
CLINDAMYCIN 300MG(ASPHOSPHATE/2ML AMPUL | $0.00 |
|
5378
|
MORPHINE IR 15MG TAB | $0.00 |
|
5379
|
MS CONTIN 15MG TAB | $0.00 |
|
5380
|
BACITRACIN OPTH OINT 3.5GM | $0.00 |
|
5381
|
REF PLATELET ANTIBODY IGG | $99.26 |
|
5382
|
B TYPE NATRIURETIC PEPTIDE (BNP) | $282.00 |
|
5383
|
COMPLETE CBC AUTOMATED | $102.77 |
|
5384
|
COMPLETE CBC AUTO/AUTO OFF | $92.33 |
|
5385
|
MRCP | $5,226.00 |
|
5386
|
MRI LOWER EXT NON JOINT W/CONTRAST | $3,511.00 |
|
5387
|
MRI UPPER EXT NON JOINT W/CONTRAST | $3,511.00 |
|
5388
|
MRI LOWER EXT NON JOINT WO/CONTRAST | $3,011.00 |
|
5389
|
MRI UPPER EXT NON JOINT WO/CONTRAST | $3,011.00 |
|
5390
|
MRI PELVIS W/O CONTRAST | $5,226.00 |
|
5391
|
MRI PELVIS W/WO CONTRAST | $5,726.00 |
|
5392
|
MRI HIPS W/O CONTRAST | $5,226.00 |
|
5393
|
GROUP NUTRITIONAL COUNSELING 30 MIN. | $28.18 |
|
5394
|
BONE SCAN | $2,475.00 |
|
5395
|
US SOFT TISSUE | $1,479.00 |
|
5396
|
US PELVIC LIMITED | $1,744.50 |
|
5397
|
US AV GRAFT | $2,601.90 |
|
5398
|
US VENOUSE UPPER EXT MAPPING UNILATERAL | $2,193.00 |
|
5399
|
US ARTERIAL UPPER EXT MAPPING UNILATERAL | $1,620.08 |
|
5400
|
US VENOUS UPPER EXT MAPPING BILATERAL | $3,386.00 |
|
5401
|
US ARTERIAL UPPER EXT MAPPING BILATERAL | $3,240.15 |
|
5402
|
US OB LIMITED | $1,444.95 |
|
5403
|
US CHEST | $906.30 |
|
5404
|
US OB > 14 WEEKS | $2,092.35 |
|
5405
|
CTA CAROTIDS | $7,706.00 |
|
5406
|
CTA CIRCLE OF WILLIS (COW) | $7,706.00 |
|
5407
|
CTA ABDOMEN | $7,706.00 |
|
5408
|
CTA PELVIS | $7,706.00 |
|
5409
|
CTA RUNOFF | $7,706.00 |
|
5410
|
CTA UPPER EXTREMITY | $7,706.00 |
|
5411
|
CTA LOWER EXTREMITY | $7,706.00 |
|
5412
|
CTA AORTA | $7,706.00 |
|
5413
|
US VENOUS LOWER EXT BILATERAL | $5,690.00 |
|
5414
|
US ARTERIAL LOWER EXT BILATERAL | $6,010.00 |
|
5415
|
MRI TMJ | $7,190.00 |
|
5416
|
CT Head/Brain w/out contrast | $4,388.00 |
|
5417
|
CT Head/Brain with contrast | $4,388.00 |
|
5418
|
CT Head/Brain w/o & with conrast | $4,888.00 |
|
5419
|
CT Orbit w/o contrast | $2,988.00 |
|
5420
|
CT Orbit with contrast | $3,488.00 |
|
5421
|
CT Orbit w/o & with contrast | $3,488.00 |
|
5422
|
CT MAXLLFCL W/O CONTRAST | $3,230.00 |
|
5423
|
CT MAXLLFCL W/CONTRAST | $3,730.00 |
|
5424
|
CT MAXLLFCL W/O & W/CONTRAST | $3,730.00 |
|
5425
|
CT SOFT TISSUE NECK W/O CONTRAST | $4,388.00 |
|
5426
|
CT SOFT TISSUE NECK W/CONTRAST | $4,888.00 |
|
5427
|
CT SOFT TISSUE NECK W/O & W/CONTRAST | $4,888.00 |
|
5428
|
CT ANGIOGRAPHY HEAD | $5,082.00 |
|
5429
|
CT ANGIOGRAPHY NECK | $5,839.50 |
|
5430
|
MRI FACE,ORBIT,NECK W/O CONTRAST | $5,190.00 |
|
5431
|
MRI FACE,ORBIT,NECK W/CONTRAST | $5,190.00 |
|
5432
|
MRI FACE,ORBIT,NECK W&W/O CONTRAST | $5,690.00 |
|
5433
|
MRA HEAD W/O CONTRAST | $5,226.00 |
|
5434
|
MRA HEAD W/CONTRAST | $5,726.00 |
|
5435
|
MRA HEAD W&W/O CONTRAST | $5,726.00 |
|
5436
|
MRA NECK W/O CONTRAST | $5,226.00 |
|
5437
|
MRA NECK W/CONTRAST | $5,226.00 |
|
5438
|
MRA NECK W & W/O CONTRAST | $5,726.00 |
|
5439
|
MRI HEAD W/O CONTRAST | $5,190.00 |
|
5440
|
MRI HEAD W/CONTRAST | $5,690.00 |
|
5441
|
MRI HEAD W & W/O CONTRAST | $5,690.00 |
|
5442
|
CT THORAX W/O CONTRAST | $5,353.00 |
|
5443
|
CT THORAX W/CONTRAST | $5,853.00 |
|
5444
|
CT THORAX W &W/O CONTRAST | $5,853.00 |
|
5445
|
CT ANGIOGRAPHY CHEST, NON CORONARY | $5,407.00 |
|
5446
|
MRI CHEST W/O CONTRAST | $5,226.00 |
|
5447
|
MRI CHEST W/CONTRAST | $5,726.00 |
|
5448
|
MRI CHEST W & W/O CONTRAST | $5,726.00 |
|
5449
|
MRI CHEST(EXC MYOCARDIUM) W OR W/O CONTR | $5,726.00 |
|
5450
|
CT NECK SPINE W/O DYE | $7,856.10 |
|
5451
|
CT NECK SPINE W/DYE | $8,056.00 |
|
5452
|
CT C SPINE W/O & W/CONTRAST | $7,856.00 |
|
5453
|
CT CHEST SPINE W/O DYE | $4,888.00 |
|
5454
|
CT CHEST SPINE W/DYE | $4,888.00 |
|
5455
|
CT T SPINE W/O & W CONTRAST | $5,853.00 |
|
5456
|
CT L SPINE W/O CONTRAST | $5,976.00 |
|
5457
|
CT L SPINE W/ CONTRAST | $5,976.00 |
|
5458
|
CT L SPINE W & W/O CONTRAST | $5,976.00 |
|
5459
|
MRI CERVICAL SPINE W/O CONTRAST | $5,190.00 |
|
5460
|
MRI CERVICAL SPINE W/CONTRAST | $5,690.00 |
|
5461
|
MRI THORACIC SPINE W/O CONTRAST | $5,190.00 |
|
5462
|
MRI THORACIC SPINE W/CONTRAST | $5,690.00 |
|
5463
|
MRI LUMBAR SPINE W/O CONTRAST | $5,190.00 |
|
5464
|
MRI LUMBAR SPINE W/CONTRAST | $5,690.00 |
|
5465
|
MRI C SPINE W & W/O CONTRAST | $5,690.00 |
|
5466
|
MRI T SPINE W & W/O CONTRAST | $7,190.00 |
|
5467
|
MRI L SPINE W & W/O CONTRAST | $5,690.00 |
|
5468
|
MRA SPINAL CANAL W OR W/O CONTRAST | $5,690.00 |
|
5469
|
CT ANGIOGRAPHY PELVIS | $7,706.00 |
|
5470
|
CT PELVIS W/O CONTRAST | $3,710.00 |
|
5471
|
CT PELVIS W/CONTRAST | $4,810.00 |
|
5472
|
CT PELVIS W/O & W/CONTRAST | $4,210.00 |
|
5473
|
MRI PELVIS W/O CONTRAST | $5,226.00 |
|
5474
|
MRI PELVIS W/CONTRAST | $5,726.00 |
|
5475
|
MRI PELVIS W & W/O CONTRAST | $5,726.00 |
|
5476
|
MRA PELVIS W OR W/O CONTRAST | $5,726.00 |
|
5477
|
CT UPPER EXTREMITY W/O CONTRAST | $4,109.00 |
|
5478
|
CT UPPER EXTREMITY W/CONTRAST | $4,609.00 |
|
5479
|
CT UPPER EXTREMITY W/O & W/CONTRAST | $4,609.00 |
|
5480
|
CT ANGIOGRAPHY UPPER EXTREMITY | $7,706.00 |
|
5481
|
MRI UPPER EXTREMITY W/O CONTRAST | $5,011.00 |
|
5482
|
MRI UPPER EXTREMITY W/CONTRAST | $6,011.00 |
|
5483
|
MRI UPPER EXTREMITY W &W/O CONTRAST | $6,011.00 |
|
5484
|
MRI UPPER EXTREMITY JOINT W/O CONTRAST | $5,011.00 |
|
5485
|
MRI UPPER EXTREMITY JOINT W/CONTRAST | $6,011.00 |
|
5486
|
MRI UPPER EXTREMITY JOINT W & W/O CONTRA | $5,511.00 |
|
5487
|
MRA UPPER EXTREMITY W OR W/O CONTRAST | $3,511.00 |
|
5488
|
CT LOWER EXTREMITY W/O CONTRAST | $3,835.00 |
|
5489
|
CT LOWER EXTREMITY W/CONTRAST | $4,335.00 |
|
5490
|
CT LOWER EXTREMITY W/O & W/CONTRAST | $4,835.00 |
|
5491
|
CT ANGIOGRAPHY LOWER EXTREMITY | $7,706.00 |
|
5492
|
MRI LOWER EXTREMITY W/O CONTRAST | $3,511.00 |
|
5493
|
MRI LOWER EXTREMITY W/CONTRAST | $4,011.00 |
|
5494
|
MRI LOWER EXTREMITY W & W/O CONTRAST | $4,511.00 |
|
5495
|
MRI LOWER EXTREMITY JOINT W/O CONTRAST | $4,011.00 |
|
5496
|
MRI LOWER EXTREMITY JOINT W/CONTRAST | $4,511.00 |
|
5497
|
MRI LOWER EXTREMITY JOINT W & W/O CONTRA | $4,511.00 |
|
5498
|
MRA LOWER EXTREMITY W OR W/O CONTRAST | $3,511.00 |
|
5499
|
CT ABDOMEN W/O CONTRAST | $4,844.00 |
|
5500
|
CT ABDOMEN W/CONTRAST | $5,344.00 |
|
5501
|
CT ABDOMEN W & W/O CONTRAST | $5,344.00 |
|
5502
|
CT ANGIOGRAPHY,ABDOMEN AND PELVIS W/CONT | $7,706.00 |
|
5503
|
CT ANGIOGRAPHY ABDOMEN | $7,706.00 |
|
5504
|
CT ABD & PELVIS | $7,652.00 |
|
5505
|
CT ABD & PELV W/CONTRAST | $7,952.00 |
|
5506
|
CT ABD & PELVIS W & W/O | $7,952.00 |
|
5507
|
MRI ABDOMEN W/O CONTRAST | $5,226.00 |
|
5508
|
MRI ABDOMEN W/CONTRAST | $5,726.00 |
|
5509
|
MRI ABDOMEN W &W/O CONTRAST | $5,726.00 |
|
5510
|
MRA ABDOMEN W OR W/O CONTRAST | $5,726.00 |
|
5511
|
CARDIAC MRI FOR MORPH | $3,399.00 |
|
5512
|
CARDIAC MRI W/STRESS IMG | $5,008.30 |
|
5513
|
CARDIAC MAGNETIC RESONANCE IMG FOR MORPH | $4,638.70 |
|
5514
|
CARDIAC MAGNETIC RESONANCE IMG FOR MORPH | $5,772.80 |
|
5515
|
COMP TOMOGRAPHY,HEART,W.CONT MATERIAL,W/ | $605.55 |
|
5516
|
CARDIAC FOR MORPHOLOGY | $1,017.50 |
|
5517
|
CORONARY CTA | $2,748.90 |
|
5518
|
CT ANGIOGRAPHY ABD AORTA | $7,706.00 |
|
5519
|
CT LIMITED OR LOCALIZED FOLLOWED UP STUD | $1,300.20 |
|
5520
|
MRI SPECTROSCOPY | $3,085.50 |
|
5521
|
UNLISTED COMP TOMOGRAPGHY PROCEDUCE | $1,024.10 |
|
5522
|
UNLISTED RADIOLOGIC PROCEDURE | $665.86 |
|
5523
|
CT stereotactic localization | $1,485.20 |
|
5524
|
CT needle BX-RAD S&I | $1,860.89 |
|
5525
|
CT monitoring of tissue ablation | $1,796.30 |
|
5526
|
CT of radiation therapy fields | $1,696.99 |
|
5527
|
MRI needle placement | $2,821.68 |
|
5528
|
MRI breast w/ w/o cont unilateral | $4,389.00 |
|
5529
|
MRI breast bilateral | $5,963.10 |
|
5530
|
CT Bone density axial 1 or more | $4,388.00 |
|
5531
|
MRI Bone Marrow Blood supply | $3,392.02 |
|
5532
|
PROCHLORPERAZINE-5MG/ML(COMPAZINE) | $0.00 |
|
5533
|
COMPAZINE 25MG SUPP | $0.00 |
|
5534
|
COMPAZINE 5MG TAB | $0.00 |
|
5535
|
COMPAZINE 10 MG TAB | $0.00 |
|
5536
|
TROPONIN I | $150.00 |
|
5537
|
CORDARONE 150MG/ML INJ | $0.00 |
|
5538
|
CORDARONE 200MG TAB | $0.00 |
|
5539
|
CORGARD 20MG TAB | $0.00 |
|
5540
|
CORGARD 40MG TAB | $0.00 |
|
5541
|
CORGARD 80MG TAB | $0.00 |
|
5542
|
COREG 3.125 MG TAB | $0.00 |
|
5543
|
COREG 6.25 MG TAB | $10.50 |
|
5544
|
COREG 12.5 MG TAB | $0.00 |
|
5545
|
Profilnine SD 1500 IU Fix Range 10ml via | $0.00 |
|
5546
|
Profilnine SD 1000 IU Fix Range 10ml via | $0.00 |
|
5547
|
Glutose 15 (Lemon) Oral Gel Tube 1.3 | $0.00 |
|
5548
|
FLUOROMETHOLONE 0.1% SUSP. 5ML | $0.00 |
|
5549
|
INJECTION FOR KNEE | $1,575.00 |
|
5550
|
REMOVAL OF FOREIGN BODY | $9,743.03 |
|
5551
|
CONTRAST X RAY ANKLE | $840.00 |
|
5552
|
NEEDLE LOCALIZED BYOP | $840.00 |
|
5553
|
JOINT SURVEY SINGLE VIEW | $546.00 |
|
5554
|
FAT EMULSION 20% 250 ML | $131.25 |
|
5555
|
REF QUNIDINE | $13.26 |
|
5556
|
AVAPRO 75 MG TAB | $0.00 |
|
5557
|
CORTENEMA | $0.00 |
|
5558
|
CORTISPORIN OINT 15GM | $0.00 |
|
5559
|
CORTISPORIN 3.5G OPTH OINT | $0.00 |
|
5560
|
CORTISPORIN 7.5ML OPTH SOLN | $0.00 |
|
5561
|
CORTISPORIN 10ML OTIC SOLN | $0.00 |
|
5562
|
CORTISPORIN 10 OTIC SUSP | $0.00 |
|
5563
|
COTAZYM CAP | $0.00 |
|
5564
|
COVERA-HS 180MG TAB | $0.00 |
|
5565
|
COVERA-HS 240MG TAB | $0.00 |
|
5566
|
UNIT PLEUREVAC | $183.05 |
|
5567
|
COUMADIN 1MG TAB | $0.00 |
|
5568
|
COUMADIN 2MG TAB | $0.00 |
|
5569
|
COUMADIN 2.5MG TAB | $0.00 |
|
5570
|
COUMADIN 5MG TAB | $0.00 |
|
5571
|
COUMADIN 10MG TAB | $0.00 |
|
5572
|
COZAAR 50MG TAB | $0.00 |
|
5573
|
CRITICARE HN 8OZ | $0.00 |
|
5574
|
CYANIDE ANTIDOTE INJ | $0.00 |
|
5575
|
REF TESTOTERONE TOTAL | $143.00 |
|
5576
|
REF TESTOSTERONE-FREE | $101.31 |
|
5577
|
CYANOCOBAL-AMIN 1000 MG | $0.00 |
|
5578
|
CYCLOGYL 1% OPTH 2ML | $0.00 |
|
5579
|
CYCLOGYL 2% OPTH SOLN 2ML | $0.00 |
|
5580
|
CYCLOSPORIN 100MG CAP | $0.00 |
|
5581
|
CYCLOSPORIN 25MG CAP | $0.00 |
|
5582
|
CYTOXAN 25MG TAB | $0.00 |
|
5583
|
CYLERT 18.75MG TAB | $0.00 |
|
5584
|
CYTOMEL 25MCG TAB | $0.00 |
|
5585
|
CYLERT 37.5MG TAB | $0.00 |
|
5586
|
CYTOTEC 200MCG TAB | $0.00 |
|
5587
|
CYTOTEC 100 MCG TAB | $0.00 |
|
5588
|
DRSG ADAPTIC 3X3 | $8.29 |
|
5589
|
DRSG ADAPTIC 3X8 | $8.29 |
|
5590
|
DRSG COMBINE 4X6 | $8.29 |
|
5591
|
DRSG COMBINE 8 X 6 | $8.29 |
|
5592
|
DERMA BOND | $176.40 |
|
5593
|
DRSG DUO DERM SQUARE | $35.65 |
|
5594
|
DUODERM HYDROACT | $36.63 |
|
5595
|
DRSG FINGER | $84.00 |
|
5596
|
FIBER WIRE #5 (SUTURE) | $180.00 |
|
5597
|
BIO SCREW 9X23MM | $1,125.00 |
|
5598
|
BIO SCREW 9X28MM | $1,125.00 |
|
5599
|
BIO SCREW 10X23MM | $1,125.00 |
|
5600
|
SUTURE ANCHOR TAK | $1,625.00 |
|
5601
|
CT PELVIS / WITH CONTRAST | $4,210.00 |
|
5602
|
DRSG KERLIX 2’S | $25.20 |
|
5603
|
DACRIOSE OPTH SOLN 1OZ. | $0.00 |
|
5604
|
DALMANE 15MG CAP | $0.00 |
|
5605
|
DALMANE 30MG CAP | $0.00 |
|
5606
|
DAKIN’S SOLN QUARTER STRENGTH | $0.00 |
|
5607
|
DAKIN’S SOLN HALF STRENGTH | $0.00 |
|
5608
|
DAKIN’S SOLN FULL STRENGTH | $0.00 |
|
5609
|
DANAZOL 200MG CAP | $0.00 |
|
5610
|
DANTRIUM 50MG TAB | $0.00 |
|
5611
|
DANTRIUM 25MG TAB | $0.00 |
|
5612
|
DANTRIUM 20MG INJ | $0.00 |
|
5613
|
DRSG KERLIX ROLL. | $37.80 |
|
5614
|
DARAPRIM 25MG TAB | $0.00 |
|
5615
|
DARVOCET-N 100MG TAB | $0.00 |
|
5616
|
DARVOCET-N 100 #20 IND | $0.00 |
|
5617
|
DARVON 65MG CAP | $0.00 |
|
5618
|
DRSG TELFA 3X4 | $8.29 |
|
5619
|
DRSG TELFA 3X8 | $8.29 |
|
5620
|
TEGADERM DRSG 2X2 | $25.72 |
|
5621
|
TEGADERM DRSG 4X5 | $42.78 |
|
5622
|
DDAVP 4MCG / 1CC | $0.00 |
|
5623
|
DESMOPRESSIN 0.2MG TAB | $0.00 |
|
5624
|
ACTIGALL 300 MG CAP | $0.00 |
|
5625
|
ZIAGEN 300 MG TAB | $0.00 |
|
5626
|
DEBROX OTIC SOLN 15ML | $0.00 |
|
5627
|
TRIAGE ONLY | $70.00 |
|
5628
|
EMERGENCY ROOM LVL 1 W/PROC | $400.00 |
|
5629
|
EMERGENCY ROOM LVL 2 | $650.00 |
|
5630
|
EMERGENCY ROOM LVL 3 | $1,100.00 |
|
5631
|
EMERGENCY ROOM LVL 4 | $1,500.00 |
|
5632
|
EMERGENCY ROOM LVL 5 | $2,500.00 |
|
5633
|
ER: NO CHARGE | $0.00 |
|
5634
|
CODE BLUE (1ST HR) | $567.43 |
|
5635
|
VIDEO PRINTER | $208.74 |
|
5636
|
IV TUBING / SECONDARY | $18.30 |
|
5637
|
BOVIE PENCIL | $50.71 |
|
5638
|
BOVIE TIP | $43.57 |
|
5639
|
SUCTION TIP | $47.88 |
|
5640
|
SYRINGE / NEEDLE | $23.62 |
|
5641
|
WEBRIL | $10.08 |
|
5642
|
BIAS | $21.42 |
|
5643
|
EXTREMITY DRAPE | $21.21 |
|
5644
|
DECADRON 4MG INJ J1100 | $0.00 |
|
5645
|
DECADRON 0.05% OPTH OINT 3.5GM | $0.00 |
|
5646
|
DECADRON 0.1% OPTH SOLN | $0.00 |
|
5647
|
DECADRON 0.5MG TAB | $0.00 |
|
5648
|
DRSG XEROFORM 1X8 | $8.29 |
|
5649
|
DRSG XROFORM 5X9 | $8.29 |
|
5650
|
DECADRON 4MG TAB | $0.00 |
|
5651
|
REF ECHINOCOCCUS AB | $183.75 |
|
5652
|
CONTRAST / CYSTOGRAFFIN 30 % 300 ML | $63.97 |
|
5653
|
CONTRAST / ISOVUE 300 % 50ML | $109.83 |
|
5654
|
EMERGENCY DELIVERY TRAY | $157.50 |
|
5655
|
ELECRODE BI POLAR PACING | $553.74 |
|
5656
|
DEHYDRATED ALCOHOL 1MC AMP | $0.00 |
|
5657
|
ESTRADIOL VALERATE IN OIL-10MG/ML | $0.00 |
|
5658
|
ELECTRODE QUICK PACE | $196.87 |
|
5659
|
TWO CAL HN 8OZ | $0.00 |
|
5660
|
DEMECLOCYLINE 150MG TAB | $0.00 |
|
5661
|
REF ACUTE HEPATITIS PANEL | $69.11 |
|
5662
|
ELECTRODE EXTENNAL | $157.50 |
|
5663
|
MEPERIDINE PCA 10MG/ML 30ML | $0.00 |
|
5664
|
DEMEROL 50MG INJ J2175 | $0.00 |
|
5665
|
ELECTRODES 3PK | $0.10 |
|
5666
|
DEMEROL 75MG INJ | $0.00 |
|
5667
|
DEMEROL 100MG INJ J2175 | $0.00 |
|
5668
|
LAP.CHOLE KIT | $1,436.40 |
|
5669
|
DEMEROL 50MG TAB | $0.00 |
|
5670
|
EASY CAP II CO2 DETECTOR | $107.10 |
|
5671
|
LINEARCUTTER RELOAD UNIT | $519.75 |
|
5672
|
HYDRALAZINE 20 MG INJ | $0.00 |
|
5673
|
DEPAKENE 250MG CAP | $0.00 |
|
5674
|
DEPAKENE 250MG/5ML 120ML | $0.00 |
|
5675
|
DEPAKOTE 125MG TAB | $0.00 |
|
5676
|
DEP-PROVERA 150MG/1ML J1055 | $0.00 |
|
5677
|
DEPAKOTE 250MG TAB | $0.00 |
|
5678
|
DEPAKOTE 500MG TAB | $0.00 |
|
5679
|
DERMATOP CRM. 0.1% 15MG | $0.00 |
|
5680
|
DEMEROL 25MG INJ | $0.00 |
|
5681
|
DEPO-ESTRADIOL 5MG/ML INJ 5ML | $0.00 |
|
5682
|
MENTAL HEALTH ACCESSMENT | $380.00 |
|
5683
|
TRI-NORINYL 28 DAY | $0.00 |
|
5684
|
DEPO-MEDROL 40/ML INJ X6038 | $0.00 |
|
5685
|
DEPO-MEDROL 80/ML INJ | $0.00 |
|
5686
|
DEPO-TESTOSTERONE 100MG/ML INJ | $0.00 |
|
5687
|
DESENEX POWDER 45GM | $0.00 |
|
5688
|
DESFERAL 500MG VIAL INJ | $0.00 |
|
5689
|
DESITIN OINT 37.5GM | $0.00 |
|
5690
|
DESYREL 50MG TAB | $0.00 |
|
5691
|
DESYREL 100MG TAB | $0.00 |
|
5692
|
DEXTROAMPHETAMINE 10MG TAB | $0.00 |
|
5693
|
DETROL 1MG TAB | $0.00 |
|
5694
|
DETROL 2MG TAB | $0.00 |
|
5695
|
GAUZE IODOFORM 1/4″ | $31.59 |
|
5696
|
GAUZE IODOFORM 1/2″ | $31.59 |
|
5697
|
GAUZE PACK’G 10D | $31.59 |
|
5698
|
GAUZE IODOFORM 2″ | $31.59 |
|
5699
|
DEXTROSE 50% 50ML JECT | $0.00 |
|
5700
|
DHE 45 X6062 INJ, PER 1MG | $0.00 |
|
5701
|
DIABETA 2.5 MG TAB | $0.00 |
|
5702
|
DIABINESE 100MG TAB | $0.00 |
|
5703
|
DIABENESE 250MG TAB | $0.00 |
|
5704
|
GAUZE PLAIN 1/4″ | $22.89 |
|
5705
|
GAUZE PLAIN 1/2″ | $22.89 |
|
5706
|
GAUZE PACK’G PLAIN | $22.89 |
|
5707
|
GAUZE PLAIN 2″ | $22.89 |
|
5708
|
DIAMOX 500MG INJ | $0.00 |
|
5709
|
DIAMOX 250MG TAB | $0.00 |
|
5710
|
DIAMOX SEQUEL 500MG CAP | $0.00 |
|
5711
|
DIBUCAINE OINT | $0.00 |
|
5712
|
GAUZE SPNG FNSTR 4X4 | $10.50 |
|
5713
|
GAUZE SP 2X2 | $10.50 |
|
5714
|
DRESS. SPONGE 4X4 SNGL | $1.00 |
|
5715
|
DIFLUCAN 100MG TAB | $0.00 |
|
5716
|
DIFLUCAN 100MG/50ML | $0.00 |
|
5717
|
DIFLUCAN INJ 200MG/100ML | $0.00 |
|
5718
|
DIGIBIND 38MG INJ | $0.00 |
|
5719
|
DILACOR XR 180MG TAB | $0.00 |
|
5720
|
GAUZE STRETCH 3″ | $10.50 |
|
5721
|
GAUZE STRETCH 4″ | $10.50 |
|
5722
|
GAUZE STRETCH 6″ | $10.50 |
|
5723
|
DILAUDID UPTO 4 MG IV J1170 | $0.00 |
|
5724
|
DILANTIN 100MG CAP | $0.00 |
|
5725
|
GLAUCOMA IMPLANTS | $3,360.00 |
|
5726
|
MISC SURGERY IMPLANT CHARGE | $0.00 |
|
5727
|
PHENYTOIN SOD PNT-50MG/ML-2ml(DILANTIN) | $0.00 |
|
5728
|
PHENYTOIN SOD PNT-50MG/ML-5ml(DILANTIN) | $0.00 |
|
5729
|
DILANTIN 125/5ML LIQ UD | $0.00 |
|
5730
|
DILAUDID 2MG INJ J1170 | $0.00 |
|
5731
|
GLOVES BIOGEL | $2.00 |
|
5732
|
GLOVES MICROPTIC | $2.00 |
|
5733
|
GLOVES PERRY STYLE | $1.00 |
|
5734
|
DILAUDID 2MG TAB | $0.00 |
|
5735
|
GAUZE PETROLATUM | $16.38 |
|
5736
|
GAUZE VASELINE 1/2X72 | $8.29 |
|
5737
|
GAUZE VASELINE 3X9 | $8.29 |
|
5738
|
GAUZE VASELINE 3X18 | $8.29 |
|
5739
|
DIMETAPP 5ML LIQ | $0.00 |
|
5740
|
DIMETAPP DM 120ML | $0.00 |
|
5741
|
DIMETAPP LIQ 120ML | $0.00 |
|
5742
|
BENICAR 20 MG TAB | $0.00 |
|
5743
|
TRILEPTIL 150 MG TAB | $0.00 |
|
5744
|
ISOTOPE /WBC INDIUM 111 | $4,025.70 |
|
5745
|
DIOVAN 80MG CAP | $0.00 |
|
5746
|
FLUORAURACIL 500 MG VIAL | $0.00 |
|
5747
|
DIOVAN HCT 80/12.5 MG TAB | $0.00 |
|
5748
|
DIOVAN HCT 160/12.5 CAP | $0.00 |
|
5749
|
DIPRIVAN 10MG/ML 20ML AMP | $0.00 |
|
5750
|
DIPRIVAN 10MG/ML 50ML VIAL | $0.00 |
|
5751
|
DIPRIVAN 10MG/ML 100ML | $0.00 |
|
5752
|
DIP&TET TOX 0.5ML ADULT INJ | $0.00 |
|
5753
|
DIPHT/TET/TOXOID .05ML INJ | $0.00 |
|
5754
|
DIP&TET TOX 0.5ML PED INJ | $0.00 |
|
5755
|
DIPROSONE CRM 0.05% 15GM | $0.00 |
|
5756
|
DIPROSONE OINT 0.05% 15GM | $0.00 |
|
5757
|
DIPROLENE GEL 0.05% 15GM | $0.00 |
|
5758
|
DITROPAN 5MG TAB | $0.00 |
|
5759
|
SUCTION TUBING | $15.87 |
|
5760
|
DOBUTAMINE PER 250MG/250ML | $0.00 |
|
5761
|
DOBUTAMINE 250MG INJ X6108 | $0.00 |
|
5762
|
HANDLE SUCTION YANK | $12.00 |
|
5763
|
REF ETHYLENE GLYCOL | $52.23 |
|
5764
|
DONNAGEL 120ML | $0.00 |
|
5765
|
DONNATAL 5ML LIQ | $0.00 |
|
5766
|
DONNATAL TAB | $0.00 |
|
5767
|
DOPAMINE 400MG INJ | $0.00 |
|
5768
|
DOPAMINE HCL-40MG/ML (INTROPIN) | $0.00 |
|
5769
|
DOXAPRAM HCL-20MG/ML (DOPRAM) | $0.00 |
|
5770
|
ICE PACK CHEM | $0.00 |
|
5771
|
DOXYCYCLINE 100MG INJ | $0.00 |
|
5772
|
DOXYCYCLINE 100MG CAP | $0.00 |
|
5773
|
DOXYCYCLINE 100MG PO #14 SART | $0.00 |
|
5774
|
DRAMAMINE 50MG INJ | $0.00 |
|
5775
|
DRAMAMINE 50MG TAB | $0.00 |
|
5776
|
IMMOBILIZER SHOULDER/ARM | $27.51 |
|
5777
|
IMMOBILIZER SHOULDER M | $27.51 |
|
5778
|
CD-H Hydrolic delivery system | $0.00 |
|
5779
|
BONE CEMENT MIXER | $0.00 |
|
5780
|
RETRACTOR | $0.00 |
|
5781
|
ASSEMBLY KIT (PENILE PROTHESIS) | $0.00 |
|
5782
|
CL RESERVOIR (PENILE PROSTHESIS) | $0.00 |
|
5783
|
TOUCH CYLINDERS (PENILE IMPLANT) | $0.00 |
|
5784
|
IMPLANT PENILE | $11,977.88 |
|
5785
|
DROPERIDOL 2.5MG INJ X6126 | $0.00 |
|
5786
|
DSS 100MG CAP | $0.00 |
|
5787
|
VORICONAZOLE 50 MG TAB | $0.00 |
|
5788
|
GLUCERNA VAN INST 8OZ | $0.00 |
|
5789
|
REF EOSINOPHIL COUNT, TOTAL | $22.55 |
|
5790
|
AMIKACIN | $83.03 |
|
5791
|
AMIKACIN, TROUGH/ PEAK | $83.03 |
|
5792
|
TOBRAMYCIN | $83.03 |
|
5793
|
TOBRAMYCIN, TROUGH/PEAK | $83.03 |
|
5794
|
REF THIAMINE | $96.60 |
|
5795
|
REYATAZ 150 MG CAP | $0.00 |
|
5796
|
TRUVADA TAB | $0.00 |
|
5797
|
CALMOSEPTINE OINT 71GM | $0.00 |
|
5798
|
CYMBALTA 30MG CAP | $0.00 |
|
5799
|
CYMBALTA 20MG CAP | $0.00 |
|
5800
|
LOVENOX 100 MG/ML INJ | $0.00 |
|
5801
|
VIAGRA 50MG TAB | $0.00 |
|
5802
|
PROGRAF 1MG CAP | $0.00 |
|
5803
|
REF HEP B VIRUS DNA, PCR | $191.08 |
|
5804
|
REF SENSITIVITY (ZYVOX) | $65.08 |
|
5805
|
DOCUSATE LIQ 50MG/5ML 10ML | $0.00 |
|
5806
|
LAMICTAL 50MG TAB | $0.00 |
|
5807
|
SEROQUEL 50MG TAB | $0.00 |
|
5808
|
MEROPENEM 1 GM INJ | $0.00 |
|
5809
|
MS CONTIN 100MG TAB | $0.00 |
|
5810
|
DEXEDRINE 5MG TAB | $0.00 |
|
5811
|
AMBIEN CR 6.25MG TAB | $0.00 |
|
5812
|
LEVETIRACETAM 500 MG/5ML INJ | $0.00 |
|
5813
|
DSS 250MG CAP | $0.00 |
|
5814
|
DSS 250MG/25ML SOLN | $0.00 |
|
5815
|
MAJOR SURGERY 1ST HR | $12,828.00 |
|
5816
|
MAJOR SURG ADDL 15MIN | $3,206.00 |
|
5817
|
SSU CHRG | $564.38 |
|
5818
|
MAJOR SURGERY CRANI 1ST HR | $15,328.00 |
|
5819
|
MAJOR SURG CRANI Addl 15 MIN | $3,831.00 |
|
5820
|
BITE BLOCK | $0.00 |
|
5821
|
RASP (STRYKER BLDAE) | $37.96 |
|
5822
|
BONE WAX | $25.00 |
|
5823
|
BALLOON DILATOR | $502.42 |
|
5824
|
COLOSTOMY BAG | $16.38 |
|
5825
|
DRAPE, TABLE MAYO | $23.94 |
|
5826
|
ENDO GIA | $581.70 |
|
5827
|
EPIDURAL SINGLE SHOT | $105.00 |
|
5828
|
GOWN SURG | $83.16 |
|
5829
|
TRANSGASTRIC JEJUNAL FEEDING TUBE | $441.00 |
|
5830
|
LIGADIP MULT. CLIP APPLIER | $1,699.25 |
|
5831
|
LINGEMAN DRAPE | $24.30 |
|
5832
|
LITHOTOMY PACK | $57.50 |
|
5833
|
MASK 02 ADULT | $24.67 |
|
5834
|
PRO WALK ORTHO BRACES | $0.00 |
|
5835
|
SUTURE RETRIVEL PASSER | $375.00 |
|
5836
|
PEG SET | $393.75 |
|
5837
|
SHEET DRAPE | $44.10 |
|
5838
|
SIGMOIDOSCOPY FLEXIBLE | $0.00 |
|
5839
|
RAYREC 4X4 SPONGE 10 PK | $3.00 |
|
5840
|
STRIPPER VEIN | $123.16 |
|
5841
|
DULCOLAX 10MG SUPP | $0.00 |
|
5842
|
DURAMATRIX (duraguard) | $1,750.00 |
|
5843
|
SUCTION SALIVA | $16.38 |
|
5844
|
ETHIBOND SUTURES | $68.25 |
|
5845
|
TROCAR REDUCER | $17.32 |
|
5846
|
BNDG COBAN | $16.38 |
|
5847
|
CEMENT BONE | $1,560.00 |
|
5848
|
COMPRESSION SCREW | $126.00 |
|
5849
|
PINS GUIDE HIP | $49.61 |
|
5850
|
PLATE COMPRESSION AMBI | $637.88 |
|
5851
|
PLATE SUPRA CONDYLAR | $1,509.38 |
|
5852
|
SCREW HIP LAG | $551.25 |
|
5853
|
SMALL FRAGMENT PLATES | $393.75 |
|
5854
|
COSEAL | $2,775.15 |
|
5855
|
TISSEEL 4ML | $1,404.40 |
|
5856
|
DULCOLAX 5MG TAB | $0.00 |
|
5857
|
DURAGESIC 25MCG/HR PATCH | $0.00 |
|
5858
|
DURAMORPH 10MG INJ | $0.00 |
|
5859
|
DURICEF 500MG CAP | $0.00 |
|
5860
|
DYAZIDE CAP | $0.00 |
|
5861
|
DSS 50MG/5ML 120ML SOLN | $0.00 |
|
5862
|
DYNACIRC 2.5MG CAP | $0.00 |
|
5863
|
INFUSION SET EMERG | $168.00 |
|
5864
|
RIFAXIMIN 200MG TAB | $0.00 |
|
5865
|
TOBRAMYCIN TOP PWD 1.2GM VIAL | $0.00 |
|
5866
|
DYNAPEN 250MG CAP | $0.00 |
|
5867
|
DYNAPEN 500MG CAP | $0.00 |
|
5868
|
CATH INTRODUCER | $24.67 |
|
5869
|
ECOTRIN 325MG TAB | $0.00 |
|
5870
|
INTRODUCERSET PERCUT. 7FR | $410.13 |
|
5871
|
INTRODUCERSET PERCUT 8.5FR | $410.13 |
|
5872
|
ETHACRYNIC ACID-500MG(SOD EDECRIN) | $0.00 |
|
5873
|
EES 200MG/5ML -100ML | $0.00 |
|
5874
|
EFFEXOR 37.5MG TAB | $0.00 |
|
5875
|
EFFEXOR 25MG TAB | $0.00 |
|
5876
|
EFFEXOR 50MG TAB | $0.00 |
|
5877
|
EFFEXOR 75MG TAB | $0.00 |
|
5878
|
EFFEXOR 100MG TAB | $0.00 |
|
5879
|
CONTROL A FLO EXTENSION SET | $18.14 |
|
5880
|
D20W 500ML PARTIAL – FILL | $47.25 |
|
5881
|
EFUDEX 5% CRM 40GM | $0.00 |
|
5882
|
D30W 500ML P-F | $47.25 |
|
5883
|
D40W 500ML PARTIAL – FILL | $47.25 |
|
5884
|
D50W 500ML PARTIAL – DILL | $47.25 |
|
5885
|
MINTEZOL 500 MG TAB. | $0.00 |
|
5886
|
PROLIA (DENOSUMAB) 1 MG INJECTION | $0.00 |
|
5887
|
KCL 20MEQ/50ML IVPB | $19.32 |
|
5888
|
D70W 500ML PARTIAL – FILL | $47.25 |
|
5889
|
D5 1/2 NS 500ML BAG | $49.68 |
|
5890
|
D5 1/2 NS 250ML BAG | $49.70 |
|
5891
|
KETOROLAC 15MG/ML VIAL | $10.50 |
|
5892
|
ELASE-CHLORMY OINT 30GM | $0.00 |
|
5893
|
ISOTOPE / Ga 67 GALLIUM CITRATE | $1,771.00 |
|
5894
|
ELASE OINT 30MG | $0.00 |
|
5895
|
ISOTOPE / Tc MAG 3 | $1,230.00 |
|
5896
|
REF ANTIRNP ANTIBODY | $81.22 |
|
5897
|
CHOLECALCIFEROL 400UNITS (VITD3) | $0.00 |
|
5898
|
UREA 40% CREAM 28.35GM | $55.83 |
|
5899
|
FENOFIBRATE 48MG TAB (TRICOR) | $0.00 |
|
5900
|
LISINOPRIL 20MG TAB (ZESTRIL) | $0.00 |
|
5901
|
ELAVIL, UP TO 10MG INJ X5564 | $0.00 |
|
5902
|
ISOTOPE / Tc SULFER COLLOID | $1,200.00 |
|
5903
|
ELAVIL 10MG TAB | $0.00 |
|
5904
|
TUBINE ADMINISTRATION SET | $10.50 |
|
5905
|
ELAVIL 25MG TAB | $0.00 |
|
5906
|
INTERLINK IV CONN LOOP | $0.00 |
|
5907
|
ELAVIL 50MG TAB | $0.00 |
|
5908
|
ELAVIL 75MG TAB | $0.00 |
|
5909
|
ELAVIL 100MG TAB | $0.00 |
|
5910
|
ELAVIL 150MG TAB | $0.00 |
|
5911
|
INTERLINK CANULLA | $0.00 |
|
5912
|
INTERLINK LEVER LOCK CANULLA | $0.00 |
|
5913
|
INTERLINK INJ SITE CENT LINE | $0.00 |
|
5914
|
CATH IV BUTTERFLY | $3.60 |
|
5915
|
ELDEPRYL 5MG TAB | $0.00 |
|
5916
|
DOMEBORO PWD PKT | $10.50 |
|
5917
|
VALTREX 500MG CAP. | $0.00 |
|
5918
|
LYPHOLYTE 20 ML INJ | $0.00 |
|
5919
|
ELIMITE CRM 5% 60GM | $130.52 |
|
5920
|
ELMIRON 100MG CAP | $10.50 |
|
5921
|
ELOCON 0.1% LOTION 30ML | $0.00 |
|
5922
|
ELOCON 0.1% CREAM 15GM | $0.00 |
|
5923
|
ELOCON 0.1% CREAM 45GM | $177.18 |
|
5924
|
EMLA CRM 30MG | $0.00 |
|
5925
|
ETOMIDATE 20MG INJ | $0.00 |
|
5926
|
MONOPRIL 20 MG TAB | $10.50 |
|
5927
|
TISSEEL 10ML | $2,750.00 |
|
5928
|
ANULEX KIT | $9,975.00 |
|
5929
|
MASTERGRAFT | $11,960.00 |
|
5930
|
ALLOGRAFT | $11,400.00 |
|
5931
|
NONOSS – 5CC | $5,750.00 |
|
5932
|
NONOSS – 10CC | $10,500.00 |
|
5933
|
ACTIFUSE – 2.5ML | $4,250.00 |
|
5934
|
ACTIFUSE – 5ML | $7,250.00 |
|
5935
|
ACTIFUSE – 10ML | $12,000.00 |
|
5936
|
TRUBLOCK (SMITH & NEPHEW) | $2,500.00 |
|
5937
|
EBICEAL | $2,975.00 |
|
5938
|
DURAGEN | $1,750.00 |
|
5939
|
DURAGARD | $7,500.00 |
|
5940
|
CANCELLUSE CHIPS | $2,595.00 |
|
5941
|
VITOSS | $10,950.00 |
|
5942
|
BIO RICH | $9,000.00 |
|
5943
|
BMP MEDTRONICS- SMALL (INFUSE) | $17,255.00 |
|
5944
|
BMP MEDTRONICS-XTRA SMALL (INFUSE) | $8,630.00 |
|
5945
|
BMP MEDTRONICS- LARGE (INFUSE) | $27,040.00 |
|
5946
|
SURGIFOAM | $161.40 |
|
5947
|
SURGIFLOW | $645.00 |
|
5948
|
SURGICEL | $1,195.00 |
|
5949
|
SURGICEL | $405.60 |
|
5950
|
GELFOAM | $408.00 |
|
5951
|
GELFOAM | $408.00 |
|
5952
|
ISOTOPE / T c SESTAMIBI | $462.00 |
|
5953
|
EUCERIN CRM 4 OZ | $0.00 |
|
5954
|
ENSURE 240ML LIQ | $0.00 |
|
5955
|
CRITIKIT INJECTION KIT | $122.85 |
|
5956
|
ENTEX TAB | $0.00 |
|
5957
|
ENTEX LA TAB | $0.00 |
|
5958
|
PROSTATIC SPECIFIC ANTIGEN | $166.82 |
|
5959
|
THALLOUS CHLORIDE TL 201 | $405.75 |
|
5960
|
EPHEDRINE 50MG/ML INJ X6158 | $0.02 |
|
5961
|
CT SINUSTS LIMITED STUDY | $2,250.00 |
|
5962
|
US OB < 14 WEEKS | $1,737.60 |
|
5963
|
EPINEPHRINE 2% OPTH SOLN | $0.93 |
|
5964
|
TRIPLE LUMEN PICC KIT | $552.50 |
|
5965
|
CATH HEMODIALYSIS SHORT TERM | $453.75 |
|
5966
|
PACMAKER SINGL RATE RESPONSIVE | $453.75 |
|
5967
|
CT LUMBAR SPINE/W/WO CONTRAST | $6,476.00 |
|
5968
|
C.T. ABD&PELVIS W/OUT CONTRAST | $7,252.00 |
|
5969
|
C.T. ABD&PELVIS W/CONTRAST | $7,652.00 |
|
5970
|
C.T. ABD & PELVIS W/WO | $7,759.00 |
|
5971
|
EPINEPHRINE 1:1000ML AMP | $0.00 |
|
5972
|
EPINEPHRINE 1MG/ML 30ML | $0.00 |
|
5973
|
EPINEPHRINE 10ML INJECT | $0.00 |
|
5974
|
LAMIVUDINE 150MG TAB | $0.00 |
|
5975
|
ISENTRESS 400MG TAB | $0.00 |
|
5976
|
POTASSIUM 30 MEQ/15 ML VIAL | $0.00 |
|
5977
|
POTASSIUM 10 MEQ/15 ML VIAL | $0.00 |
|
5978
|
OSMOLITE 1CAL 1500 ML | $0.00 |
|
5979
|
EPOGEN 2000 UNITS X6836 | $0.00 |
|
5980
|
EPOGEN 3000 UNITS | $0.00 |
|
5981
|
EPOGEN 4000 UNITS X6836 | $0.00 |
|
5982
|
EPOGEN 10,000 UNITS | $0.00 |
|
5983
|
EPSOM SALTS 120GM | $0.00 |
|
5984
|
JELLY K-Y TUBE | $15.75 |
|
5985
|
ERGOLOID MESYLATES 1MG CAP | $0.00 |
|
5986
|
ERY-TAB 250MG #40 IND. | $0.00 |
|
5987
|
KIT- IVC FILTER | $228.00 |
|
5988
|
IOBAN 6651EZ (LARGE) | $30.00 |
|
5989
|
IOBAN 6640EZ (REGULAR) | $12.00 |
|
5990
|
DILATING TIP EXCEL 12MM | $122.00 |
|
5991
|
VERRES NEEDLE | $114.00 |
|
5992
|
TA 30/60/90 | $208.00 |
|
5993
|
RELOAD 30/60/90 | $58.00 |
|
5994
|
ENDO PEANUT | $32.00 |
|
5995
|
INTRODUCER FOR TRACH /CIAGLIA | $606.00 |
|
5996
|
ENDOCATH GOLD | $160.00 |
|
5997
|
SUR TRANS AUTO TRANSFUSION | $334.00 |
|
5998
|
PIN GUARD | $1.60 |
|
5999
|
PULSE LAVAGE | $144.00 |
|
6000
|
KIT- FEMORAL BRUSH | $40.00 |
|
6001
|
ESHMARK | $3.00 |
|
6002
|
1.5 ACL MICRO DRILL (STRYKER) | $636.00 |
|
6003
|
SAW BLADE | $8.00 |
|
6004
|
PACK- BASIC HIP | $154.00 |
|
6005
|
FLUOROSCAN DRAPE | $12.00 |
|
6006
|
1018 STERIDRAPE | $16.00 |
|
6007
|
1010 STERIDRAPE | $5.00 |
|
6008
|
MASTISOL | $3.00 |
|
6009
|
ARTHROSCOPY TUBING | $116.00 |
|
6010
|
CYSTO TUBING | $12.00 |
|
6011
|
LAPAROSCOPY DRAPE | $12.00 |
|
6012
|
VERASPORT 5mm | $216.00 |
|
6013
|
VERASPORT 5-11mm | $8.00 |
|
6014
|
THERMAL ABLIGATOR | $1.00 |
|
6015
|
SUPPORT KNEE CAP M | $58.80 |
|
6016
|
SUPPORT KNEE CAP L | $58.80 |
|
6017
|
IMMOBILIZER KNEE 10″ | $100.91 |
|
6018
|
IMMOBILIZER KNEE 12″ | $124.95 |
|
6019
|
IMMOBILIZER KNEE 16″ | $132.59 |
|
6020
|
IMMOBILIZER KNEE 19″ | $162.06 |
|
6021
|
IMMOBILIZER KNEE 20″ | $162.17 |
|
6022
|
IMMOBILIZER KNEE 22″ | $166.55 |
|
6023
|
IMMOBILIZER KNEE | $169.63 |
|
6024
|
ERYTHROMYCIN 1GM INJ X6172 | $0.00 |
|
6025
|
ERYTHROMYCIN OPTH OINT 5MG | $0.00 |
|
6026
|
ERYTHROMYCIN 250 TAB | $0.00 |
|
6027
|
ERYC 250MG CAP | $0.00 |
|
6028
|
ERYTHROMYCIN 400MG TAB | $0.00 |
|
6029
|
ERYTHROMYCIN 500MG TAB | $0.00 |
|
6030
|
ERYTHROMYCIN , PER 500MG INJ | $10.50 |
|
6031
|
AMMONIA IN. | $0.00 |
|
6032
|
PROCAINAMIDE INJ | $0.00 |
|
6033
|
REF HIV QUANT-ULTRA SENSITIVE | $176.40 |
|
6034
|
ESERINE OPTH OINTMENT | $0.00 |
|
6035
|
ESGIC PLUS TAB | $0.00 |
|
6036
|
ESKALITH CR 450MG TAB | $0.00 |
|
6037
|
KIT LAVAGE | $199.50 |
|
6038
|
CT IAC / WITH & WITHOUT CONTRAST | $3,230.00 |
|
6039
|
MARINOL 2.5 MG CAP | $0.00 |
|
6040
|
ISOTOPE / THALLIUM 201 | $541.27 |
|
6041
|
DAPSONE 100 MG TAB | $0.00 |
|
6042
|
ZYRTEC 10 MG TAB. | $0.00 |
|
6043
|
LASER LUXAR RENTAL | $1,470.00 |
|
6044
|
ETHYL ALCOHOL | $0.00 |
|
6045
|
ETHYL CHLORIDE 100G | $0.00 |
|
6046
|
ETHYL CHLORIDE SPRAY | $0.00 |
|
6047
|
LEGGINGS | $4.00 |
|
6048
|
EVAC-Q-KWIK | $0.00 |
|
6049
|
EULEXIN 125MG TAB | $0.00 |
|
6050
|
LENS MORGAN | $71.48 |
|
6051
|
EXCEDRIN TAB | $0.00 |
|
6052
|
ALPHA-FETO PROTEIN (AFP) | $121.69 |
|
6053
|
VESSEL LOOP | $24.67 |
|
6054
|
FAMVIR 250MG TAB | $0.00 |
|
6055
|
MONOMETER | $0.00 |
|
6056
|
FELDENE 10MG CAP | $0.00 |
|
6057
|
FELDENE 20MG CAP | $0.00 |
|
6058
|
FERROUS SULFATE ELIXIR UD | $0.00 |
|
6059
|
REF CARNITINE LEVEL | $130.72 |
|
6060
|
FENTANYL 2ML INJ | $0.00 |
|
6061
|
REF CAT SCRATCH DISEASE PANEL | $215.25 |
|
6062
|
MASK ONE WAY | $45.99 |
|
6063
|
FEOSOL 300 MG/5 ML LIQ | $0.00 |
|
6064
|
EFFEXOR XR 75MG CAP | $0.00 |
|
6065
|
BOOSTRIX PFS 0.5 ML INJ | $127.00 |
|
6066
|
FERROUS GLUC 325MG TAB | $0.00 |
|
6067
|
FERROUS SULF 325MG TAB | $0.00 |
|
6068
|
BAND LIGATOR | $420.00 |
|
6069
|
MESH MARLEX | $564.11 |
|
6070
|
TOPAMAX 25MG TABS | $0.00 |
|
6071
|
LAMICTAL 25 MG TAB | $0.00 |
|
6072
|
FIORICET TAB | $0.00 |
|
6073
|
FIORINAL CAP/TAB | $0.00 |
|
6074
|
CT SOFT TISSUE NECK / WITH CONTRAST | $3,658.00 |
|
6075
|
FIORINAL/COD 30MG PO | $0.00 |
|
6076
|
FIXODENT 1.4 OZ | $0.00 |
|
6077
|
FLAGYL 500MG INJ | $0.00 |
|
6078
|
FLAGYL 250MG TAB | $0.00 |
|
6079
|
GEOCILLIN 382 MG TAB | $0.00 |
|
6080
|
GEODON 20MG CAP | $0.00 |
|
6081
|
GEODON 60MG CAP | $0.00 |
|
6082
|
REF HEPATITIS C RNA BY PCR QN. | $386.40 |
|
6083
|
REF HEPATITIS C RNA BY PCR, QL | $251.18 |
|
6084
|
ACTOS 45 MG | $0.00 |
|
6085
|
ZOSYN 2.25 GM INJ | $0.00 |
|
6086
|
CARDIAC MONITOR | $165.06 |
|
6087
|
CRIXIVAN 400 TAB | $0.00 |
|
6088
|
FLEET ENEMA | $0.00 |
|
6089
|
ISOTOPE / Tc99 MAA | $517.65 |
|
6090
|
FLEET MIN OIL ENEMA | $0.00 |
|
6091
|
CASODEX 50 MG TAB | $0.00 |
|
6092
|
D5 1/4 1000 ML + KCL 10 MLG | $78.75 |
|
6093
|
FLEET PED ENEMA | $0.00 |
|
6094
|
FLEXERIL 10MG TAB | $0.00 |
|
6095
|
FLEXERIL 10MG #15 IND. | $0.00 |
|
6096
|
TEGRETOL XR 200 MG TABS | $0.00 |
|
6097
|
US ABDOMEN LIMITED | $1,671.00 |
|
6098
|
FLONASE NASAL SPRAY | $239.97 |
|
6099
|
FLOMAX 0.4MG CAP | $0.00 |
|
6100
|
ACTOSE 45MG TAB | $30.24 |
|
6101
|
CHEST PORTABLE (CXRP) | $189.00 |
|
6102
|
RENAL FUNCTION PANEL | $63.42 |
|
6103
|
FLOR 1 STRIP OPOIAG | $0.00 |
|
6104
|
FLOVENT 220MCG INH 7.9GM | $0.00 |
|
6105
|
CT 3 D RECONSTRUCTION | $617.40 |
|
6106
|
ZERIT 40 MG CAPSULE | $0.00 |
|
6107
|
FLUORINEF 0.1MG TAB | $0.00 |
|
6108
|
FLUORI-METHANE SPRAY | $0.00 |
|
6109
|
SAFE NEEDLE TA-BRN | $10.50 |
|
6110
|
CONTRAST / ISOVUE 300 100 ML | $179.70 |
|
6111
|
FOLIC ACID 1MG INJ X6226 | $0.00 |
|
6112
|
FOLIC ACID 5MG/ML 10ML X6226 | $0.00 |
|
6113
|
FOLIC ACID 1MG TAB | $0.00 |
|
6114
|
FORTAZ PER 500MG IV | $0.00 |
|
6115
|
FORTAZ 2GM IV | $0.07 |
|
6116
|
FORTOVASE 200MG CAP | $0.00 |
|
6117
|
FOSAMAX 10MG TAB | $0.00 |
|
6118
|
APHERESIS, PHOTOPHERESIS, PLASMAPHERESIS | $3,971.05 |
|
6119
|
CTLUMBAR SPIN/WITH CONTRAST | $5,976.00 |
|
6120
|
FUNGIZONE 50MG/20ML X5572 | $0.00 |
|
6121
|
NEEDLE BIOPSY DISP | $0.00 |
|
6122
|
GAMMA GLOBULIN 2ML | $0.00 |
|
6123
|
GAMMA GLOBULIN 20GM 200ML | $0.00 |
|
6124
|
CEFEPIME 1GM VIAL | $0.00 |
|
6125
|
ACETAMINOPHEN 80MG TAB | $0.00 |
|
6126
|
NAPHZOLINE-PHENIRAMINE 0.025-0.3% 5ML | $0.00 |
|
6127
|
FOSRENAL 1000MG TAB | $0.00 |
|
6128
|
ACETIC ACID OTIC SOLUTION 2% 15ML | $0.00 |
|
6129
|
MOMETASONE-FORMOTEROL100-5MCG13GMINHL(D) | $0.00 |
|
6130
|
HYDROCORTISON-PRAMOXIN4GM2.5-1%4GMANALHC | $0.00 |
|
6131
|
NEEDLE VARIES | $123.16 |
|
6132
|
GANCICLOVIR 500MG INJ | $0.00 |
|
6133
|
MARCON HABER VARICES INJECTOR | $240.15 |
|
6134
|
NEEDLE SPINAL | $19.65 |
|
6135
|
NEEDLE SPINAL 25G X | $0.00 |
|
6136
|
ISOTOPE / Tc CHOLETEC | $1,500.00 |
|
6137
|
GAVISCON CHEW TAB | $0.00 |
|
6138
|
US OB MULTIPLE GESTATIONS | $2,616.75 |
|
6139
|
GAVISCON 360ML LIQ | $0.00 |
|
6140
|
ISOTOPE / AEROSOL – ISO | $306.00 |
|
6141
|
GELFOAM | $0.00 |
|
6142
|
GELFOAM SPONGE #100 | $0.00 |
|
6143
|
OST BAG OROSTOMY SINGLE | $44.62 |
|
6144
|
ACIPHEX 20MG TABS | $0.00 |
|
6145
|
GENTAMICIN CRM 15GM | $0.00 |
|
6146
|
OST CLAMP | $16.38 |
|
6147
|
OST COLOPLAST | $41.05 |
|
6148
|
GENTAMICIN 80MG INJ X6240 | $0.00 |
|
6149
|
GENTAMICIN 120-300MG X6240 | $0.00 |
|
6150
|
GENTAMICIN OPTH OINT 3.5GM | $0.00 |
|
6151
|
TRUSOPT OPHT. 2% 5ML | $0.00 |
|
6152
|
OST DR BAG LOOP | $16.38 |
|
6153
|
GENTAMICIN OPTH SOLN 5ML | $0.00 |
|
6154
|
GOLYTELY 4L | $0.00 |
|
6155
|
OST BRIDGE | $16.38 |
|
6156
|
RETIN A 0.05% CREAM | $0.00 |
|
6157
|
CT ABDOMEN W/ CONTRAST | $5,344.00 |
|
6158
|
HYDROGEN PEROXIDE 3% SOLN 4 OZ | $0.00 |
|
6159
|
ISOTOPE / Tc MDP MEDRONATE | $1,200.00 |
|
6160
|
AVANDIA 4 MG TAB | $0.00 |
|
6161
|
GABITRIL 12 MG TAB | $0.00 |
|
6162
|
Y LOCK CANNUCA | $10.50 |
|
6163
|
REF CMV ANTIBODY IGG | $16.99 |
|
6164
|
REF CMV ANTIBODY IGM | $16.99 |
|
6165
|
GLUCAGON 1UNIT INJ | $0.00 |
|
6166
|
VINBLASTINE 10 MG VIAL | $0.05 |
|
6167
|
GLUCERNA 240ML | $0.00 |
|
6168
|
GLUCOPHAGE 800MG TAB | $0.00 |
|
6169
|
CT PELVIS / W & WO CONTRAST | $4,210.00 |
|
6170
|
GLUCOTROL 5MG TAB | $0.00 |
|
6171
|
GLUTAMIC ACID UD | $0.00 |
|
6172
|
GLUCOTROL 10MG TAB | $0.00 |
|
6173
|
GLUCOVANCE 5/500MG TAB | $0.00 |
|
6174
|
GLYCERIN 120ML LIQ | $0.00 |
|
6175
|
GLUCOPHAGE 500MG TAB | $0.00 |
|
6176
|
GLYCERIN PEDS SUPP | $0.00 |
|
6177
|
GLYNASE 3MG TAB | $0.00 |
|
6178
|
GLY-OXIDE 15ML LIQ | $0.00 |
|
6179
|
GRANULEX SPRAY 120 ML | $0.00 |
|
6180
|
GYNE-LOTRIM. VAG CRM | $0.00 |
|
6181
|
GYNE-LOTRIM. VAG TAB | $0.00 |
|
6182
|
HALCION 0.125MG TAB | $0.00 |
|
6183
|
HALCION 0.25MG TAB | $0.00 |
|
6184
|
HALDOL 5MG/ML INJ X6 | $0.00 |
|
6185
|
HALDOL 2MG/ML 15ML | $0.00 |
|
6186
|
HALDOL 2MG/ML 120ML | $0.00 |
|
6187
|
HALDOL 0.5MG TAB | $0.00 |
|
6188
|
HALDOL 1MG TAB | $0.00 |
|
6189
|
HALDOL 2MG TAB | $0.00 |
|
6190
|
HALDOL 5MG TAB | $0.00 |
|
6191
|
HALDOL 10MG TAB | $0.00 |
|
6192
|
HALDOL DECANOATE 50MG/ML INJ | $0.00 |
|
6193
|
PATANOL 0.1 % OPTH. SOLN. 5ML | $0.00 |
|
6194
|
LISINOPRIL 10 MG TAB | $0.00 |
|
6195
|
CELEXA 10 MG TAB | $0.00 |
|
6196
|
HALDOL DECANOATE 100 MG INJ | $0.00 |
|
6197
|
ADVAIR 500/50 PWD | $0.00 |
|
6198
|
ZYPREXA ZYDIS 10 MG TAB | $0.00 |
|
6199
|
DIFLUCAN 400MG INJ | $0.00 |
|
6200
|
ZOFRAN 4 MG INJ | $0.00 |
|
6201
|
GUAIFENESIN 10 ML UD | $0.00 |
|
6202
|
THORAZINE 100 MG/ML 1 ML UD | $0.00 |
|
6203
|
DILANTIN 50 MG TAB | $0.00 |
|
6204
|
ARICEPT 10 MG TAB | $0.00 |
|
6205
|
REGETINE 5 MG INJ | $0.00 |
|
6206
|
LITHIUM CARBONATE 600 MG CAP | $0.00 |
|
6207
|
ABELCET 100 MG/20 ML INJ | $0.00 |
|
6208
|
BURPRENORPHINE 0.3 MG/ ML INJ | $0.00 |
|
6209
|
FEXOFENADINE 180 MG TAB | $0.00 |
|
6210
|
GUAFENESIN DM LIQ 10 ML UD | $0.00 |
|
6211
|
THORAZINE LIQ 100 MG/ ML 1 ML UD | $0.00 |
|
6212
|
RISPERDAL LIQ 1 MG/ ML 1ML UD | $0.00 |
|
6213
|
LISINOPRIL 10 MG TAB | $0.00 |
|
6214
|
SYNERCID 500 MG INJ | $0.00 |
|
6215
|
HALDOL LIQ 2 MG/ ML 2 ML UD | $0.00 |
|
6216
|
LITHIUM CITRATE LIQ 300 MG/ ML 5 ML UD | $0.00 |
|
6217
|
MELLARIL LIQ 100 MG/ ML 1 ML UD | $0.00 |
|
6218
|
PROLIXIN LIQ 2.5 MG/ 5 ML 5 ML UD | $0.00 |
|
6219
|
SERENTIL LIQ 25 MG/ ML 1 ML UD | $0.00 |
|
6220
|
TYGACIL 50MG INJ | $0.00 |
|
6221
|
ALBUTEROL CONC RT 2.5M/G/0.3ML | $0.00 |
|
6222
|
STROMECTROL 3MG TAB | $0.00 |
|
6223
|
PHENYTEK 200MG CAP | $0.00 |
|
6224
|
NEXIUM 40MG INJ | $0.00 |
|
6225
|
PSYCHOTHERAPY, 30 MIN WITH PT/FAMILY MBR | $330.00 |
|
6226
|
JANUVIA 50 MG TABLET | $0.00 |
|
6227
|
JANUVIA 100 MG TABLET | $0.00 |
|
6228
|
PROTONIX 40 MG SUSP UD | $0.00 |
|
6229
|
AVODART 0.5 MG CAPSULE | $0.00 |
|
6230
|
UROXATRAL 10 MG TAB | $0.00 |
|
6231
|
DAPTOMYCIN 500 MG INJ | $0.00 |
|
6232
|
EXTENDED INDIVIDUAL THERAPY | $380.00 |
|
6233
|
BRIEF INDIVIDUAL THERAPY | $330.00 |
|
6234
|
BRIEF INDIVIDUAL THERAPY | $330.00 |
|
6235
|
EXTENDED INDIVIDUAL THERAPY | $380.00 |
|
6236
|
EXTENDED INDIVIDUAL THERAPY 60 Min | $380.00 |
|
6237
|
Psychotherapy 30 Min w/Pt and or Family | $330.00 |
|
6238
|
Psychotherapy 60 Min w/Pt and or Family | $512.00 |
|
6239
|
Psychotherapy 30 Min w/Pt and or Family | $330.00 |
|
6240
|
FAMILY PSYCHOTHERAPY W PATIENT PRESENT | $519.88 |
|
6241
|
Psychiatric diagnostic evaluation | $519.88 |
|
6242
|
Psychotherapy, 30 Min W Pt and or Fam Me | $519.88 |
|
6243
|
Psychotherapy, 45 Min W Pt and or Fam Me | $450.00 |
|
6244
|
Psychotherapy, 60 Min W Pt and or Fam Me | $519.88 |
|
6245
|
Psychoanalysis | $519.88 |
|
6246
|
Family Psychotherapy W/O patient present | $519.88 |
|
6247
|
Family PSYTX W/Patient | $519.88 |
|
6248
|
Multiple-family group psychotherapy | $519.88 |
|
6249
|
Group Psychotherapy (other than a multip | $519.88 |
|
6250
|
PSYCHOTHERAPY FOR CRISIS, FIRST 60 MIN | $450.00 |
|
6251
|
GROUP PSYCHOTHERAPY | $195.00 |
|
6252
|
PSYCHOTHERAPY FOR CRISIS ADDL 30 MINUTES | $330.00 |
|
6253
|
INJ HYALURONAN INTRA ART PER DOSE | $0.00 |
|
6254
|
PACEMAKER MISC. | $0.00 |
|
6255
|
PACEMAKER | $20,000.00 |
|
6256
|
BI-V LEAD | $2,600.00 |
|
6257
|
HEMABATE 250MG/ML | $0.00 |
|
6258
|
HEPARIN 100U FLUSH | $0.00 |
|
6259
|
HEPARIN 1000U INJ | $0.00 |
|
6260
|
PACK BASIC SET UP | $210.00 |
|
6261
|
HEPARIN 5000U INJ | $0.00 |
|
6262
|
HEPARIN 10000U INJ X6296 | $0.00 |
|
6263
|
PACK CYSTO | $90.00 |
|
6264
|
HEPATITIS B VACCINE ADLT 20 MCG | $0.00 |
|
6265
|
HESPAN 500ML | $0.00 |
|
6266
|
ACETIC ACID .25% 1000ML | $47.25 |
|
6267
|
PACEMAKER | $10,395.00 |
|
6268
|
INSJ/RPLCMT DEFIB W/ LEAD | $28,000.00 |
|
6269
|
PAD ABD | $10.50 |
|
6270
|
HIBICLENS 32 OZ | $0.00 |
|
6271
|
HYPO/HYPERTHERMIA UNIT | $0.00 |
|
6272
|
HYPO/HYPERTHERMIA BLANKET | $136.50 |
|
6273
|
HYPO/HYPERTHERMIA BLANKET LG | $189.00 |
|
6274
|
ISOLATION CART | $0.00 |
|
6275
|
HISMANAL 10MG TAB | $0.00 |
|
6276
|
PACK-GOES W. OB PACK | $302.40 |
|
6277
|
PAD EYE OVAL | $9.95 |
|
6278
|
HIVID 0.75MG TAB | $0.00 |
|
6279
|
HIVID 0.375MG TAB | $0.00 |
|
6280
|
PAD HEEL/ELBOW | $7.35 |
|
6281
|
HOMATROPINE 5% OPTH SOLN | $0.00 |
|
6282
|
HUMABID-LA 600MG CAPS | $0.00 |
|
6283
|
HURRICAINE TOP ANESTHETIC | $0.00 |
|
6284
|
HYCODAN 1.5MG/5ML LIQ | $0.00 |
|
6285
|
HYCOMINE 5ML LIQ | $0.00 |
|
6286
|
PADS DEFIB | $0.00 |
|
6287
|
PAN BED | $0.00 |
|
6288
|
HYDERGINE 1MG TAB | $0.00 |
|
6289
|
HYDREA 500MG CAP | $0.00 |
|
6290
|
HYDROCORT 0.5% CRM 30G | $0.00 |
|
6291
|
HYDROCORT 1% CRM 30G | $0.00 |
|
6292
|
HYDROCORT 0.5% LOT 30ML | $0.00 |
|
6293
|
HYDROCORTISONE LOTION 1% 120ML | $0.00 |
|
6294
|
HYDROCORT 0.5% OINT 30G | $0.00 |
|
6295
|
HYDROCORT 1% OINT 30G | $0.00 |
|
6296
|
PILLOW ABDUCTION | $88.62 |
|
6297
|
HYDROCORTISONE 1% 1.5 GRM OINT | $0.00 |
|
6298
|
HYDROCORTISONE 2.5% OINT | $0.00 |
|
6299
|
HYDROCORTISONE 10MG TAB | $0.00 |
|
6300
|
HYDROCORTISONE 250MG 2ML INJ | $0.00 |
|
6301
|
METOPROLOL 25MG TAB | $0.00 |
|
6302
|
METHENAMINE HIPP 1GM TAB | $0.00 |
|
6303
|
MERTAZAPINE 30MG TAB | $0.00 |
|
6304
|
OXYCONTIN 10MG TAB | $0.00 |
|
6305
|
ASMANEX TWISTHALR 0.24 GM MDI | $0.00 |
|
6306
|
EFFERGRIP CRM 1.5 OZ | $0.00 |
|
6307
|
INTEGRILIN 75MG/100ML INJ | $1,165.25 |
|
6308
|
ERGOCALCIFEROL 50,000 UNITS CAP | $0.00 |
|
6309
|
RIFAXIMIN 200MG CAP | $0.00 |
|
6310
|
RIFAXIMIN 550MG CAP | $0.00 |
|
6311
|
OSMOLITE HN 1 CAL 1 LITER | $0.00 |
|
6312
|
OSMOLITE HN PLUS 1.2 CAL 1 LITER | $0.00 |
|
6313
|
PULMOCARE 8 oz CAN | $0.00 |
|
6314
|
AMIODARONE 50MG/ML 9ML VIAL | $0.00 |
|
6315
|
AMIODARONE 50MG/ML 18ML VIAL | $0.00 |
|
6316
|
CLINDAMYCIN TOP 1% GEL 30GM | $0.00 |
|
6317
|
DESMOPRESSIN 0.1 MG TAB | $0.00 |
|
6318
|
ESTRADIOL 0.05 MG PATCH | $0.00 |
|
6319
|
ROBITUSSIN DM SUGAR FREE | $0.00 |
|
6320
|
LEVOTHROID 137 MCG TAB | $0.00 |
|
6321
|
PENTASA 250 MG CAP | $0.00 |
|
6322
|
SEROQUEL XR 200MG TAB | $0.00 |
|
6323
|
VIRAMUNE 200MG TAB | $0.00 |
|
6324
|
E-Z SPACER ADULT | $0.00 |
|
6325
|
E-Z SPACER PED | $0.00 |
|
6326
|
ROPIVACAINE 2 MG/ML 10ML AMP | $0.00 |
|
6327
|
ROPIVACAINE 0.5% IMG/ML 30ML | $0.00 |
|
6328
|
SALSALATE 500 MG TAB | $0.00 |
|
6329
|
REQUIP 0.25MG TAB | $0.00 |
|
6330
|
ADD EASE 13MM | $0.00 |
|
6331
|
Q VAR 80MCG MDI | $0.00 |
|
6332
|
AVODART 0.5MG CAP | $0.00 |
|
6333
|
GLYBURIDE 5MG TAB | $0.00 |
|
6334
|
ISONIAZID 100MG TAB | $0.00 |
|
6335
|
PERMETHRIN 1% 60ML LOTION | $0.00 |
|
6336
|
ADENOSINE 6MG/2ML 4ML VIAL | $0.00 |
|
6337
|
SOD CHLORIDE 23.4% 4MEQ/ML 30ML | $0.00 |
|
6338
|
INSULIN LANTUS U-100 3ML | $0.00 |
|
6339
|
INSULIN LANTUS U-100 3ML | $0.00 |
|
6340
|
LIDOCAINE 0.5% MPF 50ML | $0.00 |
|
6341
|
BACTRIM INJ 10ML | $0.00 |
|
6342
|
LIDOCAINE MPF 1% 10MG/ML 2ML | $0.00 |
|
6343
|
LIDOCAINE JELLY 2% 5ML | $0.00 |
|
6344
|
LIDOCAINE 5% DEXT 7.5% 2ML | $0.00 |
|
6345
|
BUPIVACAINE 0.5% W/EPI MDV 50ML | $0.00 |
|
6346
|
BUPIVACAINE 0.5% W/EPI SDV 50ML | $0.00 |
|
6347
|
PREGABALIN 25MG CAP | $0.00 |
|
6348
|
PREGABALIN 50MG CAP | $0.00 |
|
6349
|
Q VAR 80 MCG 17GM MDI | $0.00 |
|
6350
|
SILVER SULFADIAZINE 1% 400GM | $0.00 |
|
6351
|
TRIAMCIONOLONE ACET 0.5% CRM | $0.00 |
|
6352
|
CYCLOSPORIN INJ 250MG/5ML | $0.00 |
|
6353
|
ADENOSINE 3MG/ML 2ML VIAL | $0.00 |
|
6354
|
CAPSAICIN 0.025% CRM 60GM | $0.00 |
|
6355
|
ECONAZOLE 1% CRM 30GM | $0.00 |
|
6356
|
MARCAINE MPF 0.5% 50ML | $0.00 |
|
6357
|
LIDOCAINE 2% MPF 20MG/ML 2ML | $0.00 |
|
6358
|
AZOR 10-20MG TAB | $0.00 |
|
6359
|
LACTULOSE 10GM/15ML 237ML | $0.00 |
|
6360
|
LORAZEPAM 4MG/1ML VIAL | $0.00 |
|
6361
|
SUPLENA LIQ 237ML | $0.00 |
|
6362
|
KEPPRA LIQ 50MG/5ML UD | $0.00 |
|
6363
|
PROFILE | $0.00 |
|
6364
|
BISOPROLOL 5MG TAB | $0.00 |
|
6365
|
VITAMIN D 1000 UNITS TAB | $0.00 |
|
6366
|
JEVITY 1CAL 8oz | $0.00 |
|
6367
|
LIDOCAINE 1% 50MG/5ML JECT | $0.00 |
|
6368
|
CEPASTAT LOZANGES | $0.00 |
|
6369
|
HYDRODIURIL 25MG TAB | $0.00 |
|
6370
|
KETOCONAZOLE 2% SHAMPOO | $0.00 |
|
6371
|
VITAMIN D 400 UNIT TAB | $0.00 |
|
6372
|
HYDROMORPHONE PCA SYR 1MG/ML 30ML | $0.00 |
|
6373
|
HYDROMORPHONE PCA SYR 0.5 MG/ML 30ML | $0.00 |
|
6374
|
ROPIVACAINE 1% 10MG/ML 20ML | $0.00 |
|
6375
|
ROPIVACAINE 1% 10MG/ML 10ML | $0.00 |
|
6376
|
NALTREXONE 50 MG TAB | $0.00 |
|
6377
|
GLYCOPYROLATE 1MG TAB | $0.00 |
|
6378
|
INSULIN NOVOLOG 70/30 10ML | $0.00 |
|
6379
|
PHENOBARBITAL 65MG/ML VIAL | $0.00 |
|
6380
|
OSMOLITE 1.2 CAL 1000ML | $0.00 |
|
6381
|
OSMOLITE 1.5 CAL 1000ML | $0.00 |
|
6382
|
VENOFER 100MG/ 5ML VIAL | $0.00 |
|
6383
|
VENOFER 100MG/ 5ML VIAL | $0.00 |
|
6384
|
LYRICA 25MG CAP | $0.00 |
|
6385
|
AMITIZA 25MCG CAP | $0.00 |
|
6386
|
METHYLPREDNISOLONE 4MG TAB | $0.00 |
|
6387
|
Rivastigmine 4.6mg/24H patch | $0.00 |
|
6388
|
Acetaminophen 100mg/100ml Piggyback | $0.00 |
|
6389
|
Orencia 250mg/15ml Vial | $0.00 |
|
6390
|
ISOVUE-M 200 10ML | $0.00 |
|
6391
|
MORPHINE 5MG/ML 30ML PCA VIAL | $0.00 |
|
6392
|
HYDOMORPHONE 1MG/ML 30ML PCA VIAL | $0.00 |
|
6393
|
Morphine 5mg/10ml | $0.00 |
|
6394
|
Neostigmine 1mg/ml 5ml | $0.00 |
|
6395
|
Suboxone 2mg/0.5mg | $0.00 |
|
6396
|
Lorazepam 1mg/ml Dextrose 50ml in 250ml | $0.00 |
|
6397
|
Fentanyl 5mcg/ml (PF) 0.9% NS 250ml Bag | $0.00 |
|
6398
|
Midazolam 1mg/ml 0.9% NS in 100ml Bag | $0.00 |
|
6399
|
Samsca 15mg tab | $0.00 |
|
6400
|
Samsca 30mg tab | $0.00 |
|
6401
|
Vancomycin D5W 500mg/100,l PGBK | $0.00 |
|
6402
|
HYDRODIURIL 50MG TAB | $0.00 |
|
6403
|
TIMESH-BIOMET 4X6 (STRONG) | $937.50 |
|
6404
|
TIMESH-BIOMET 4X4 | $781.25 |
|
6405
|
PIN GUIDE, CANNULATED | $367.50 |
|
6406
|
TIMESH-BIOMET 4X11 | $2,395.00 |
|
6407
|
ELASTIC SHEETING (EYE) | $1,925.00 |
|
6408
|
HYDROGEN PEROXIDE 3% SOL 16OZ | $0.00 |
|
6409
|
HYDROXYCHLOROQUINE 200MG TAB | $0.00 |
|
6410
|
HYPERSTAT 300MG INJ X6070 | $0.00 |
|
6411
|
HYPERTONIC SALINE SOLN 10% 15ML | $0.00 |
|
6412
|
HYSKON 100ML | $0.00 |
|
6413
|
HYTRIN 1MG TAB | $0.00 |
|
6414
|
HYTRIN 5MG TAB | $0.00 |
|
6415
|
HYZAAR 50-12.5MG TAB | $0.00 |
|
6416
|
IMITREX 6MG/0.5ML VIAL | $0.00 |
|
6417
|
IMITREX 50MG TAB | $0.00 |
|
6418
|
IMDUR 60MG TAB | $0.00 |
|
6419
|
IMODIUM 2MG CAP | $0.00 |
|
6420
|
IMODIUM AD 5ML | $0.00 |
|
6421
|
IMODIUM AD 2 OZ. | $0.00 |
|
6422
|
IMURAN 50MG TAB | $0.00 |
|
6423
|
INDERAL 1MG/ML INJ | $0.00 |
|
6424
|
NORMAL SALINE IRRIG 1000ML | $72.00 |
|
6425
|
INDERAL 10MG TAB | $0.00 |
|
6426
|
INDERAL 20MG TAB | $0.00 |
|
6427
|
INDERAL 40MG TAB | $0.00 |
|
6428
|
INDERAL LA 60MG TAB | $0.00 |
|
6429
|
INDERAL LA 80 MG TAB | $0.00 |
|
6430
|
NORMAL SALINE IRRIG 3000ML | $141.75 |
|
6431
|
INDIGO CARMINE 5ML | $0.00 |
|
6432
|
SURGERY LEVEL 1 1ST 30MIN | $6,255.00 |
|
6433
|
SURGERY LEVEL 1 ADD 15MIN | $1,990.00 |
|
6434
|
SURGERY LEVEL 2 1ST 30MIN | $8,130.00 |
|
6435
|
SURGERY LEVEL 2 ADD 15MIN | $2,587.00 |
|
6436
|
SURGERY LEVEL 3 1ST 30MIN | $10,571.00 |
|
6437
|
SURGERY LEVEL 3 ADD 15MIN | $3,364.00 |
|
6438
|
SURGERY LEVEL 4 1ST 30MIN | $13,742.00 |
|
6439
|
SURGERY LEVEL 4 ADD 15MIN | $4,371.00 |
|
6440
|
SURGERY LEVEL 5 1ST 30MIN | $17,864.00 |
|
6441
|
SURGERY LEVEL 5 ADD 15MIN | $5,686.00 |
|
6442
|
INDOCIN 25MG CAP | $0.00 |
|
6443
|
INDOCIN 50MG CAP | $0.00 |
|
6444
|
INDOCIN 50MG Supp | $0.00 |
|
6445
|
INFUMORPH PER 100MG | $0.00 |
|
6446
|
INOCOR 100MG/20ML INJ | $0.00 |
|
6447
|
INSULIN 70/30 10ML | $0.00 |
|
6448
|
INSULIN HUMULIN ULTRALENTE | $0.00 |
|
6449
|
INSULIN LENTE/DOSE | $0.00 |
|
6450
|
INSULIN HUMALOG INJ | $0.00 |
|
6451
|
INSULIN LENTE 10ML | $0.00 |
|
6452
|
INSULIN NPH 3ML INJ | $0.00 |
|
6453
|
INSULIN NPH 10ML INJ | $0.09 |
|
6454
|
INSULIN REG/DOSE INJ | $0.00 |
|
6455
|
PLATE DCP | $109.59 |
|
6456
|
INSULIN REG 10ML INJ | $0.00 |
|
6457
|
REF CALCULUS ANALYSIS | $32.55 |
|
6458
|
ISOTOPE / I-123 DXCAP PER 100UCI | $1,500.00 |
|
6459
|
INTAL RT/DOSE | $0.00 |
|
6460
|
INTAL INHALER 112 SPR | $0.00 |
|
6461
|
INVIRASE 200MG CAP | $0.00 |
|
6462
|
IRON DEXTRAN 50MG/ML INJ | $0.00 |
|
6463
|
IOPIDINE 0.5% OPTH SOLN | $0.00 |
|
6464
|
PROBE RECTAL DISP | $41.05 |
|
6465
|
SORBITOL IRRIG 3000ML | $63.00 |
|
6466
|
ISOCAL 240ML LIQ O | $0.00 |
|
6467
|
OSMOLITE HN PLUS 1.2 CAL 8OZ | $0.00 |
|
6468
|
ISMO 20MG TAB | $0.00 |
|
6469
|
ISONIAZID 300MG TAB | $0.00 |
|
6470
|
ISOPROTERENOL 0.2MG/ML 5ML | $0.00 |
|
6471
|
CATH PLUG | $10.50 |
|
6472
|
BICITRA 30CC | $0.00 |
|
6473
|
WELLBUTRIN SR 100 MG TAB | $0.00 |
|
6474
|
CT CERVICAL SPINE W/ WO CONTRAST | $7,856.00 |
|
6475
|
ISOSORBIDE 5MG TAB | $0.00 |
|
6476
|
ISOSORBIDE 10MG TAB | $0.00 |
|
6477
|
ISOSORBIDE 20MG TAB | $0.00 |
|
6478
|
ISOSOBIDE 40MG TAB | $0.00 |
|
6479
|
FLUMADINE 100 MG TAB | $0.00 |
|
6480
|
CT LOWER EXTRTEMITY / WITH CONTRAST | $4,335.00 |
|
6481
|
CLINDAMYCIN 1% TOP SOLN 60ML | $0.00 |
|
6482
|
STERILE WATER IRRIG 1000ML | $31.50 |
|
6483
|
KANTREX 500MG VIAL | $0.00 |
|
6484
|
STERILE WATER IRRIG 3000 ML | $141.75 |
|
6485
|
THEOPHYLLINE 400MG DSW 500ML | $63.00 |
|
6486
|
KAOPECTATE 15ML LIQ | $0.00 |
|
6487
|
KAOPECTATE 3 OZ | $0.00 |
|
6488
|
KAYEXALATE 15GM/60ML | $0.00 |
|
6489
|
KAYEX/SORB ENEM. 30GM | $0.00 |
|
6490
|
KAYEXYLATE 120ML | $0.00 |
|
6491
|
CT THORAIC SPINE/WITH CONTRAST | $5,853.00 |
|
6492
|
CT THORACIC SPINE/ SPINE W W/O CONTRAST | $5,853.00 |
|
6493
|
PUMP SEQUENTIAL DAILY | $0.00 |
|
6494
|
IOPIDINE 1 % OPTH SOLN | $0.00 |
|
6495
|
KEFLEX 250MG CAP | $0.00 |
|
6496
|
KEFLEX 250MG #40 IND | $0.00 |
|
6497
|
KEFLEX 500MG CAP | $0.00 |
|
6498
|
PROTECTOR EYE | $10.50 |
|
6499
|
KEFLEX 125/5 100ML SUSP | $0.00 |
|
6500
|
CT THORAIC SPINE/W & WO CONTRAST | $5,853.00 |
|
6501
|
KEFLEX 250/5 100ML SUSP | $0.00 |
|
6502
|
PUMP IV INFUSION | $0.00 |
|
6503
|
IV PUMP DOUBLE | $0.00 |
|
6504
|
IV POLE | $0.00 |
|
6505
|
IRIS SCISSON DISP. 4 1/2 IN | $16.38 |
|
6506
|
KENALOG 0.1% CRM 15GM | $0.00 |
|
6507
|
PULSE OXIMETRY SENSOR | $133.56 |
|
6508
|
RESOLUTION CLIP | $240.00 |
|
6509
|
KCL 20 MEG POWDER | $0.00 |
|
6510
|
KENALOG PER 10MG/ML INJ | $0.00 |
|
6511
|
PUMP SYNCHROMED IMPL | $12,265.31 |
|
6512
|
KENALOG IN ORAL. 5GM | $0.00 |
|
6513
|
GUN RANCY CLIP DISP | $68.98 |
|
6514
|
SHAVER, PREP DISP | $9.95 |
|
6515
|
RESTRAINT VEST MED | $0.00 |
|
6516
|
RESTRAINT VEST LG | $0.00 |
|
6517
|
RESTRAINT LIMB | $0.00 |
|
6518
|
KERLONE 10MG TAB | $0.00 |
|
6519
|
KETAMINE INJ 100MG / 2ML | $0.00 |
|
6520
|
SCALPEL DISP. #11 | $0.00 |
|
6521
|
BUTORPHANOL NASAL INHALER | $0.00 |
|
6522
|
K-DUR 20MEQ TAB | $0.00 |
|
6523
|
MARCAINE 0.75% W/EPI 30ML | $0.00 |
|
6524
|
LIDOCAINE 5% DEXTROSE B7.5%ML AMP | $0.00 |
|
6525
|
MARCAINE 0.5% W/EPI 50ML VIAL | $0.00 |
|
6526
|
SELENIUM SULFIDE 1% SHAMPOO | $0.00 |
|
6527
|
AMMONIUM LACTATE 5% 113GM | $0.00 |
|
6528
|
COAL TAR SHAMPOO 0.5% 251ML | $0.00 |
|
6529
|
TRIAMCINOLONE ACET 0.1%OINT 80GM | $0.00 |
|
6530
|
LIDOCAINE 2% 50ML VIAL | $0.00 |
|
6531
|
LIDOCAIN 1% 30ML VIAL | $0.00 |
|
6532
|
SALICYLIC ACID (COMPOUND W) | $0.00 |
|
6533
|
POLYMIXN B 500,000 VIAL | $0.00 |
|
6534
|
HEPATITIS B VACCINE 10 MCG 0.5ML | $0.00 |
|
6535
|
DIPH, PERTUSIS, TET PED 0.5ML VAC | $0.00 |
|
6536
|
INSULIN LISP MX 50/50 (HUMAL) 50/50 10ML | $0.00 |
|
6537
|
ASPRIN 300 MG SUPP | $0.00 |
|
6538
|
TAMOXIFEN 20MG TAB | $0.00 |
|
6539
|
BETAMETHASONE DIPROP 0.05% CRM 50GM | $0.00 |
|
6540
|
BETAMETHASONE VALERATE LOT 0.1% 60ML | $0.00 |
|
6541
|
CROMOLYN SODIUM 4% 10ML OPHT | $0.00 |
|
6542
|
ALPHAGEN P 0.1% OPHT | $0.00 |
|
6543
|
ATOVAQUONE 750 MG/5ML SUSP | $0.00 |
|
6544
|
MEBENDAZOLE 100MG CHEW TAB | $0.00 |
|
6545
|
K PHOS NEUTRAL 250MG TAB | $0.00 |
|
6546
|
FLUOCINOLONE ACET 0.025% OINT 15GM | $0.00 |
|
6547
|
TRYPSIN BAL CASTOR OIL(XENADERM)OINT30GM | $0.00 |
|
6548
|
PRIMAQUINE 26.3MG TAB | $0.00 |
|
6549
|
CLINDAMYCIN 300MG/50ML PGBK | $0.00 |
|
6550
|
CLINDAMYCIN 600MG/50ML PGBK | $0.00 |
|
6551
|
CEFOTAXIME 500MG VIAL | $0.00 |
|
6552
|
ASPIRIN 600 MG TAB | $0.00 |
|
6553
|
0.45% NACL/KCL 20MEQ 1000ML | $190.20 |
|
6554
|
HYDROCORT 2.5% CREAM 30G | $0.00 |
|
6555
|
ERYTHROMYCIN-BENZOL PEROX TOP GEL2.3G | $0.00 |
|
6556
|
ERYTHROMYCIN W ETHANOL GEL 2% | $0.00 |
|
6557
|
COAL TAR LOTION | $0.00 |
|
6558
|
NORETHINDRON & ETH ESTRAD 0.5/35 (28)TAB | $0.00 |
|
6559
|
TRIMACINOLONE ACETPASTE 0.1% 5MG | $0.00 |
|
6560
|
ADETOVIR DIPIVOXIL (HESPERA) 10mg TAB | $0.00 |
|
6561
|
PRENANTAL VITAMIN TAB | $0.00 |
|
6562
|
VITAMIN B-2 25MG TAB | $0.00 |
|
6563
|
GUANFACINE 1MG TAB | $0.00 |
|
6564
|
ESTRADIOL 0.5MG TAB | $0.00 |
|
6565
|
TEGRETOL XR 100MG TAB | $0.00 |
|
6566
|
DIDANOSINE 400MG CAP | $0.00 |
|
6567
|
NEBIVOLOL 10MG TAB | $0.00 |
|
6568
|
ATOMOXETINE 10MG CAP | $0.00 |
|
6569
|
LEVONORGESTREL 1.5MG TAB | $0.00 |
|
6570
|
DEXTROSE 50% 50ML VIAL | $0.00 |
|
6571
|
MARCAINE 0.5% W/EPI 10ML | $0.00 |
|
6572
|
VQ LUNG SCAN-VENT AND PERF | $3,750.00 |
|
6573
|
K LYTE 25MEQ | $0.00 |
|
6574
|
SCREW HEAD SPHERICAL | $916.13 |
|
6575
|
KLONOPIN 0.5MG TAB | $0.00 |
|
6576
|
KLONOPIN 1MG TAB | $0.00 |
|
6577
|
KONDREMUL 120ML | $0.00 |
|
6578
|
K-PHOS 500MG TAB | $0.00 |
|
6579
|
K-TAB 10 MEQ TAB | $0.00 |
|
6580
|
KWELL CREAM 60ML | $0.00 |
|
6581
|
KWELL LOTION 60ML | $0.00 |
|
6582
|
KWELL SHAMPOO 60ML | $0.00 |
|
6583
|
LACRI-LUBE 0/0 | $0.00 |
|
6584
|
LACTAID TAB | $0.00 |
|
6585
|
LACTINEX TAB | $0.00 |
|
6586
|
LACTULOSE 20MG/30ML | $0.00 |
|
6587
|
LAMPRENE 100MG CAP | $0.00 |
|
6588
|
LAMISIL CREAM 1 % 15GM | $0.00 |
|
6589
|
LO-OVRAL-28 | $0.00 |
|
6590
|
LAC HYDRIN LOTION 4 OZ | $0.00 |
|
6591
|
LACRI-LUBE 3.5GM OPTH OINT | $0.00 |
|
6592
|
LACRIL TEARS OPTH SOLN | $0.00 |
|
6593
|
D5 1/4 NS 1000 ML + KCL 40 MLG | $78.75 |
|
6594
|
ACCUZYME OINT 30 MG | $0.00 |
|
6595
|
LAMICTAL 100MG TAB | $0.00 |
|
6596
|
LAMPRENE 50MG CAP | $0.00 |
|
6597
|
D5 1/4 NS 1000 ML + KCL 20 MLG | $78.75 |
|
6598
|
LANOXIN 0.5MG/2ML INJ | $0.00 |
|
6599
|
LANOXIN 0.125MG TAB | $0.00 |
|
6600
|
LANOXIN 0.125MG/2.5ML | $0.00 |
|
6601
|
LANOXIN 0.25MG TAB | $0.00 |
|
6602
|
LANOXIN 0.25MG/5ML | $0.00 |
|
6603
|
LASIX 20MG/2ML INJ X6228 | $0.00 |
|
6604
|
LASIX 40MG/4ML INJ X6228 | $0.00 |
|
6605
|
LASIX 20MG TAB | $0.00 |
|
6606
|
LASIX 40MG TAB | $0.00 |
|
6607
|
LESCOL 20MG CAP | $0.00 |
|
6608
|
LEVALBUTEROL 1.25MG RT | $0.00 |
|
6609
|
LEVAQUIN 250MG TAB | $0.00 |
|
6610
|
LEVAQUIN 500MG TAB | $0.00 |
|
6611
|
LEVAQUIN 500MG IND #5 | $0.00 |
|
6612
|
LEVAQUIN 250MG INJ | $0.00 |
|
6613
|
LEVAQUIN 500MG INJ | $0.00 |
|
6614
|
LEVOPHED 1MG/ML 4MLH X6452 INJ | $0.00 |
|
6615
|
D5 1/4 NS 1000 ML + 30 MLG | $78.75 |
|
6616
|
FOREARM RT 2 VIEWS | $216.30 |
|
6617
|
FOREARM LT 2 VIEWS | $450.00 |
|
6618
|
LEVSIN 0.125MG TAB | $0.00 |
|
6619
|
BIOPSY ABDOMINAL MASS | $2,179.48 |
|
6620
|
ABD PARACENTESIS W/IMAGING | $5,190.00 |
|
6621
|
IMAGE CATH FLUID COLL DRAIN BY CATHETER | $3,518.30 |
|
6622
|
LIBRAX CAP | $0.00 |
|
6623
|
ALDARA 5% CRM PKT | $0.00 |
|
6624
|
AZOPT 1% OPTH SUSP | $0.00 |
|
6625
|
LOTEMAX 0.5% OPTH SOLN 10ML | $0.00 |
|
6626
|
METHENAMINE 500MG TAB | $0.00 |
|
6627
|
SALIVA SUBSTITUTE 120ML | $0.00 |
|
6628
|
ZELNORM 6MG TAB | $0.00 |
|
6629
|
RISPERDAL CONSTA 25MG INJ | $0.00 |
|
6630
|
RISPERDAL CONSTA 37.5MG INJ | $0.00 |
|
6631
|
RISPERDAL CONSTA 50MG INJ | $0.00 |
|
6632
|
PAXIL CR 25MG TAB | $0.00 |
|
6633
|
INTEGRELIN 20MG INJ | $0.00 |
|
6634
|
CT LUMBAR SPINE W CONTRAST | $5,976.00 |
|
6635
|
CT GUIDED CATHETER INSERTSION | $6,980.85 |
|
6636
|
CT GUIDED PREC/DRN WITH PLAC CAT | $6,280.00 |
|
6637
|
BX OF MUSCLE | $1,313.44 |
|
6638
|
BX OF BONE | $1,603.35 |
|
6639
|
ABD PARACENTESIS W/O IMAGE | $960.42 |
|
6640
|
PUNCTURE ASP LESION | $1,079.40 |
|
6641
|
LIVER NEEDLE PERQ/BX. | $1,723.41 |
|
6642
|
CT GUIDE FOR NEEDLE PLACEMENT | $6,980.85 |
|
6643
|
US SOFT TISSUE MASS ABD | $1,479.00 |
|
6644
|
US SOFT TISSUE MASS NECK | $1,479.00 |
|
6645
|
US GUIDES CYST ASP | $1,250.00 |
|
6646
|
US ABCESS DRAINAGE | $488.25 |
|
6647
|
REPOSITION GASTRIC FEED TUBE | $3,924.38 |
|
6648
|
HIP PINNING SURG LT | $336.00 |
|
6649
|
HIP PINNING SURG RT | $336.00 |
|
6650
|
CHOLANGIOGRAM SURG | $307.65 |
|
6651
|
CHOLANGIOGRAM T-TUBE | $266.70 |
|
6652
|
CHEST FLUORO | $0.00 |
|
6653
|
SINUS TRACK INJECTION | $572.25 |
|
6654
|
LIBRIUM 5MG CAP | $0.00 |
|
6655
|
FLUOROSCOPY PACEMAKER INSERTION | $267.75 |
|
6656
|
SINUS TRACK FISTULA | $495.45 |
|
6657
|
LUMBAR PUNCTURE | $2,370.38 |
|
6658
|
PERCUT TRANSHEPATIC CHOLANG | $989.97 |
|
6659
|
INTRODUCTION GI FEEDING TUBE | $270.90 |
|
6660
|
UTHEROCYSTOGRAM / VOIDING | $989.97 |
|
6661
|
CT ORBITS W CONTRAST | $2,988.00 |
|
6662
|
CT ORBITS W/WO CONTRAST | $2,988.00 |
|
6663
|
CT FACIAL BONES W CONTRAST | $3,888.00 |
|
6664
|
CT FACIAL BONES W/WO CONTRAST | $3,488.00 |
|
6665
|
CT TMJ OPEN & CLOSED WO | $3,488.00 |
|
6666
|
CT LOWER EXT LT WITH CONTRAST | $3,835.00 |
|
6667
|
CT LOWER EXT LT WITH/WO CONTRAST | $3,835.00 |
|
6668
|
CT LOWER EXT RT WO CONTRAST | $3,335.00 |
|
6669
|
CT LOWER EXT RT W CONTRAST | $3,835.00 |
|
6670
|
CT LOWER EXT RT W/WO CONTRAST | $3,835.00 |
|
6671
|
CT UPPER EXT LT W/WO CONTRAST | $4,609.00 |
|
6672
|
CT UPPER EXT RT W CONTRAST | $4,609.00 |
|
6673
|
CT UPPER EXT RT W/WO CONTRAST | $4,609.00 |
|
6674
|
RAD EXAM FACIAL BONES <3 VIEWS | $343.35 |
|
6675
|
ZYPREXA 10 MG/ML INJ | $0.00 |
|
6676
|
DURAGESIC PTCH 100 MCG | $0.00 |
|
6677
|
LIBRIUM 10MG CAP | $0.00 |
|
6678
|
ANCEF 2GM INL | $0.00 |
|
6679
|
DEPAKOTE ER 250MG TAB | $0.00 |
|
6680
|
VIDEX EC 125MG CAP | $0.00 |
|
6681
|
VIDEX EC 250MG CAP | $0.00 |
|
6682
|
MAGNESIUM SULF BOLUS 4GM INJ | $0.00 |
|
6683
|
MERCAPTOPURINE 50MG TAB | $0.00 |
|
6684
|
FLAGYL 250MG INJ | $0.00 |
|
6685
|
MORPHINE DRIP 100MG/100ML INJ | $0.00 |
|
6686
|
DIOVAN 40MG TAB | $0.00 |
|
6687
|
VITAMIN A 10,000 UNITS CAP | $0.00 |
|
6688
|
ALPHAGAN P 0.15% OPTH SOLN | $0.00 |
|
6689
|
LEVAQUIN 750 MG IVPB | $0.00 |
|
6690
|
CANCIDAS 70 MG INJ | $0.00 |
|
6691
|
AVAPRO 150 MG TAB | $0.00 |
|
6692
|
ZOVIRAX 1000 MG INJ | $0.00 |
|
6693
|
LIBRIUM 25MG CAP | $0.00 |
|
6694
|
ASMANEX TWIST 220MCG INH | $0.00 |
|
6695
|
MOBIC 7.5MG TABLET | $0.00 |
|
6696
|
PLAN – 0.75MG KIT | $0.00 |
|
6697
|
OXY IR 5MG TABLET | $0.00 |
|
6698
|
PAXIL CR 12.5MG TABLET | $0.00 |
|
6699
|
PROTOPRAM 500 MG INJ | $0.00 |
|
6700
|
MAGNESIUM SULF2 GM BOLUS INJ | $0.00 |
|
6701
|
ORTHO PACK / SPINE PACK | $135.00 |
|
6702
|
PACK BASIC | $173.88 |
|
6703
|
SPONGE / P-NUT | $9.95 |
|
6704
|
SPONGE COTTONOID | $8.76 |
|
6705
|
LAP SPONGE / 8X/ 8PK | $5.00 |
|
6706
|
STERI STRIP | $43.05 |
|
6707
|
TRAY FOLEY CATH | $241.60 |
|
6708
|
OPSITE | $51.97 |
|
6709
|
STERI SLEEVE | $49.26 |
|
6710
|
SUTURE BLK 6″ / AUSIO-0 | $121.80 |
|
6711
|
TALC POWDER | $199.50 |
|
6712
|
LIBRIUM 100MG INJ X5920 | $0.00 |
|
6713
|
SCREW, HIP COMP | $126.00 |
|
6714
|
LIDEX 0.05% CRM 15GM | $0.00 |
|
6715
|
LIDEX 0.05% OINT 15GM | $0.00 |
|
6716
|
LIDEX 0.05% OINT 60GM | $0.00 |
|
6717
|
LIDOCAINE 2GM IV DRIP | $0.00 |
|
6718
|
LIDOCAINE 1% 20 ML INJ x6096 | $0.00 |
|
6719
|
LIDOCAINE 2 % INJ | $0.00 |
|
6720
|
LIDOCAINE JECT 2% 100MG/ML | $0.00 |
|
6721
|
LIMBITROL 5-12.5 TAB | $0.00 |
|
6722
|
LIORESAL INTRATHECAL KIT | $0.00 |
|
6723
|
LIPITOR 10MG TAB | $0.00 |
|
6724
|
EYE PROTECTOR PAD | $16.38 |
|
6725
|
LITHIUM 300MG CAP | $0.00 |
|
6726
|
LITHIUM CITRATE 8MG/5ML 120ML | $0.00 |
|
6727
|
LODINE 300MG CAP | $0.00 |
|
6728
|
LOMOTIL 2.5MG/5ML L | $0.00 |
|
6729
|
SHOE WOOD POST-OP | $42.00 |
|
6730
|
LOMOTIL 2.5MG TAB | $0.00 |
|
6731
|
LONITEN 2.5MG TAB | $0.00 |
|
6732
|
SHUNT | $1,619.63 |
|
6733
|
LOPID 600MG CAP | $0.00 |
|
6734
|
LOPRESSOR 50MG TAB | $0.00 |
|
6735
|
LOPRESSOR 100MG TAB | $0.00 |
|
6736
|
LOPRESSOR 50MG INJ | $0.00 |
|
6737
|
LOPROX 15GM 1% CRM | $0.00 |
|
6738
|
LOTENSIN 5MG TAB | $0.00 |
|
6739
|
LOTENSIN 10MG TAB | $0.00 |
|
6740
|
LOTENSIN 20MG TAB | $0.00 |
|
6741
|
LOTREL2.5/10 TAB | $0.00 |
|
6742
|
LOTREL 5/10 TAB | $0.00 |
|
6743
|
LOTREL 5/20 TAB | $0.00 |
|
6744
|
LOTRIMIN 1% CRM 15GM | $0.00 |
|
6745
|
LOTRIMIN 1% CRM 30GM | $0.00 |
|
6746
|
Y ENTENSION SET MICRO | $13.56 |
|
6747
|
LOTRIMIN 1% SOLN 10ML | $0.00 |
|
6748
|
LOTRIMIN 1% SOLN 30ML | $0.00 |
|
6749
|
LOTRISONE CRM 15GM | $0.00 |
|
6750
|
LOTRISONE CRM 45GM | $0.00 |
|
6751
|
LOVENOX 30MG INJ | $0.00 |
|
6752
|
LOVENOX 40MG/ML INJ | $0.00 |
|
6753
|
LOVENOX 60MG/ML INJ | $0.00 |
|
6754
|
LOXITANE 5MG TAB | $0.00 |
|
6755
|
LOXITANE 10MG TAB | $0.00 |
|
6756
|
LOXITANE 25MG TAB | $0.00 |
|
6757
|
LOXITANE 50MG TAB | $0.00 |
|
6758
|
LOXITANE 50MG/10ML INJ | $0.00 |
|
6759
|
LOXITANE 25MG/ML 4 OZ | $0.00 |
|
6760
|
LOZOL 2.5MG TAB | $0.00 |
|
6761
|
LUDIOMIL 50MG TAB | $0.00 |
|
6762
|
LUGOL’S SOLN 120ML | $0.00 |
|
6763
|
LUPRON DEPOT 3.75MG INJ | $0.06 |
|
6764
|
LUVOX 100MG TAB | $0.00 |
|
6765
|
IV-BUTEROL SET | $47.25 |
|
6766
|
STERILE WATER 100ML +KU 10MEG PREMIX | $47.25 |
|
6767
|
D5W 250ML | $47.25 |
|
6768
|
D5W 1000ML | $68.25 |
|
6769
|
D5/LAC RINGERS 1000ML | $68.25 |
|
6770
|
D5/O.45% NACL 1000ML | $68.25 |
|
6771
|
D5NS 500ML | $47.25 |
|
6772
|
D5/0.9% NACL 1000ML | $68.25 |
|
6773
|
FAT EMULSION IV 10% 500ML | $157.50 |
|
6774
|
FEEDING SET | $42.00 |
|
6775
|
LIDOCAINE 2GM IV | $63.00 |
|
6776
|
MAALOX 15ML LIQ | $0.00 |
|
6777
|
MAALOX 30 ML LIQ | $0.00 |
|
6778
|
OPTI-GARD / EYE PROTECTOR | $8.40 |
|
6779
|
MAALOX PLUS 15ML LIQ | $0.00 |
|
6780
|
MAALOX PLUS 30ML LIQ | $0.00 |
|
6781
|
SPEC COLL CUP | $0.90 |
|
6782
|
MACROBID 100MG CAP | $0.00 |
|
6783
|
MACRODANTIN 50MG CAP | $0.00 |
|
6784
|
NEPRO VAN INST 8OZ | $0.00 |
|
6785
|
RENTAL EQUIPMENT | $0.00 |
|
6786
|
SPECULUM NASAL DISP. | $110.25 |
|
6787
|
SPECULUM VAG | $0.00 |
|
6788
|
MAGNESIUM OXIDE 250MG TAB | $0.00 |
|
6789
|
SPECIPAN | $0.00 |
|
6790
|
MAGNESIUM SULF 1 GM INJ | $0.00 |
|
6791
|
SPLINT ANKLE | $183.75 |
|
6792
|
ORAL AIRWAY DISPOSABLE | $88.70 |
|
6793
|
AIRWAY DISP #11 | $0.00 |
|
6794
|
ARROW SINGLE SHOT EPIDURAL KIT | $0.00 |
|
6795
|
BASIN WASH | $0.00 |
|
6796
|
BNDG COBAN 3″ | $16.38 |
|
6797
|
BMP INFUSE MEDIUM | $24,465.00 |
|
6798
|
GRAFT JACKET PER SQ CM | $6,884.00 |
|
6799
|
GRAFT JACKET PER SQ CENTIMETER | $13,764.00 |
|
6800
|
GRAFT JACKET EXP-IMPLANT | $8,800.00 |
|
6801
|
DRSG GAUZ STRETCH 2 | $8.29 |
|
6802
|
IV START KIT | $35.17 |
|
6803
|
BAYONET DISP. | $93.45 |
|
6804
|
MANNITOL 25% 50ML INJ X6520 | $0.00 |
|
6805
|
CEFAZOLIN 1GM PIGGYBANK | $0.00 |
|
6806
|
FENTANYL 50MCG/ML 5ML | $0.00 |
|
6807
|
SPLINT COLLES | $38.95 |
|
6808
|
SPLINT COLLES SM R | $30.50 |
|
6809
|
SPLINT COLLES MED L | $40.93 |
|
6810
|
SPLINT COLLES MED R | $40.93 |
|
6811
|
SPLINT COLLES LG L | $41.30 |
|
6812
|
SPLINT COLLES LG R | $41.30 |
|
6813
|
SPLINT FNGR ALUMINUM | $16.38 |
|
6814
|
SPLINT FINGER ALUM XL | $16.38 |
|
6815
|
SPLINT WRIST S. RT | $61.74 |
|
6816
|
SPLINT WRIST M LT | $61.74 |
|
6817
|
SPLINT WRIST M RT | $61.74 |
|
6818
|
SPLINT WRIST L LT | $61.74 |
|
6819
|
SPLINT WRIST XL RT | $63.57 |
|
6820
|
MARCAINE 0.25% 30ML X5792 | $0.00 |
|
6821
|
MARCAINE 0.75% 10ML X5790 | $0.00 |
|
6822
|
BUPIVACAINE W/EPI 0.75% 30ML | $0.00 |
|
6823
|
MARCAINE 0.5% 30ML | $0.00 |
|
6824
|
MARCAINE 0.5% W/EPI 30ML | $0.00 |
|
6825
|
MASSENGILL 6 OZ DOUCHE | $0.00 |
|
6826
|
MAXITRO OPTH/OINT 3.5GM TB | $0.00 |
|
6827
|
MAXITROL OPTH SUSP 5ML | $0.00 |
|
6828
|
MAXZIDE TAB | $0.00 |
|
6829
|
TIAZAC 240 MG CAP | $0.00 |
|
6830
|
TIAZAC 180 MG CAP | $0.00 |
|
6831
|
ROMAZICON 0.5MG/5ML | $0.00 |
|
6832
|
CALCIUM W/ VITAMIN D 500MG/200IU | $0.00 |
|
6833
|
DORIBAX 250MG | $0.00 |
|
6834
|
MEDROL 4MG TAB | $0.00 |
|
6835
|
MEDROL DOSEPAK | $0.00 |
|
6836
|
VALPROATE 500 MG INJ | $0.00 |
|
6837
|
D5NS 1000 ML + 20 MLG | $78.75 |
|
6838
|
TIAZAC 300 MG CAP | $0.00 |
|
6839
|
D5W 1000 ML+KCL 40 MLG | $78.75 |
|
6840
|
SPLINT KNEE | $123.16 |
|
6841
|
MEGACE 20MG TAB | $0.00 |
|
6842
|
MEGACE 40MG TAB | $0.00 |
|
6843
|
MEGACE 40MG/ML 240ML | $0.00 |
|
6844
|
LOPIDINE 0.5% OPTH SOLN 5ML | $0.00 |
|
6845
|
MELLARIL 30MG/ML 120ML | $0.00 |
|
6846
|
MELLARIL 100/ML 120ML | $0.00 |
|
6847
|
LATUDA 40MG TAB | $0.00 |
|
6848
|
MELLARIL 10MG TAB | $0.00 |
|
6849
|
MELLARIL 25MG TAB | $0.00 |
|
6850
|
MELLARIL 50MG TAB | $0.00 |
|
6851
|
SPLINT MTRL OCL | $54.54 |
|
6852
|
MELLARIL 100MG TAB | $0.00 |
|
6853
|
MELLARIL 200MG TAB | $0.00 |
|
6854
|
KANTREX 1GM INJ | $0.00 |
|
6855
|
SPLINT NASAL ALUMINUM | $6.61 |
|
6856
|
SPLINT WRIST FOREARM | $61.74 |
|
6857
|
SPLINT POST PLASTER | $175.66 |
|
6858
|
MESANTOIN 100MG TAB | $0.00 |
|
6859
|
SPOON BLADE | $99.22 |
|
6860
|
WEK-CELL | $10.50 |
|
6861
|
INTRAOCULAR LENS | $945.00 |
|
6862
|
KPE 2000 PACK | $189.00 |
|
6863
|
CT HEAD W/WO CONTRAST | $3,932.00 |
|
6864
|
SPLINT ARM | $82.05 |
|
6865
|
MESTINON 60MG TAB | $0.00 |
|
6866
|
METHADONE 5MG TAB | $0.00 |
|
6867
|
METHADONE 5MG/5ML X6110 | $0.00 |
|
6868
|
METHADONE 10MG TAB | $0.00 |
|
6869
|
METHOTREXATE 2.5MG TAB | $0.00 |
|
6870
|
TEGRETOL XR 400G TABS | $0.00 |
|
6871
|
METAMUCIL PACKET | $0.00 |
|
6872
|
METHERGINE 0.2MG INJ | $0.00 |
|
6873
|
METHERGINE 0.2MG TAB | $0.00 |
|
6874
|
METHYLENE BLUE 1% – 1ML | $0.00 |
|
6875
|
Regadenason .1mg Inj (Lexiscan) | $0.00 |
|
6876
|
METRONIDAZOLE 500MG TAB | $0.00 |
|
6877
|
METRO-GEL (VAGINAL GEL) | $0.00 |
|
6878
|
METRO GEL 0.75% | $0.00 |
|
6879
|
MEVACOR 20MG TAB | $0.00 |
|
6880
|
MEXITIL 150MG CAP | $0.00 |
|
6881
|
MEXITIL 200MG CAP | $0.00 |
|
6882
|
MICATIN CRM 1 OZ | $0.00 |
|
6883
|
MIACALCIN NASAL SPRAY 2ML | $0.00 |
|
6884
|
MISC PHARMACY | $0.00 |
|
6885
|
MICRO-K 10 MEQ TAB | $0.00 |
|
6886
|
NS 1000 ML + KCL 40 MLG | $78.75 |
|
6887
|
MICRONASE 2.5MG TAB | $0.00 |
|
6888
|
MIDRIN CAP | $0.00 |
|
6889
|
MILK OF BISMUTH 30ML | $0.00 |
|
6890
|
MILK OF MAG CASCARA 30ML | $0.00 |
|
6891
|
MILK OF MAGN. 15ML | $0.00 |
|
6892
|
SPLINT SAGER | $123.16 |
|
6893
|
MILK OF MAGN. 30ML L | $0.00 |
|
6894
|
MINERAL ICE | $0.00 |
|
6895
|
MINERAL OIL 30ML LIQ | $0.00 |
|
6896
|
MINIPRESS 1MG CAP | $0.00 |
|
6897
|
MINIPRESS 2MG CAP | $0.00 |
|
6898
|
MINOCIN 50MG CAP | $0.00 |
|
6899
|
EKG | $387.00 |
|
6900
|
RYTHM STRIP, ECG | $135.45 |
|
6901
|
MIRALAX PWD | $0.00 |
|
6902
|
MITROGEL VAG CRM 70GM | $0.00 |
|
6903
|
MIVACRON 10MG/5ML INJ | $0.00 |
|
6904
|
MOBAN 5MG TAB | $0.00 |
|
6905
|
STAPLE SKIN REMOVER | $16.38 |
|
6906
|
MOBAN 25MG TAB | $0.00 |
|
6907
|
MOBAN 50MG TAB | $0.00 |
|
6908
|
EEA STAPLE SURGICAL | $454.54 |
|
6909
|
MODUCAL POWDER 13 OZ | $0.00 |
|
6910
|
LINEAR CUTTER | $328.12 |
|
6911
|
LINEAR STAPLE | $342.11 |
|
6912
|
PILOCARPINE 6% OPTH SOLN. | $0.00 |
|
6913
|
MONISTAT – 3 SUPP | $0.00 |
|
6914
|
NS 1000 ML + KCL 20 MLG | $78.75 |
|
6915
|
CT SELLA TURCIA W/ WO CONTRAST | $3,230.10 |
|
6916
|
MONISTAT – 7 SUPP | $0.00 |
|
6917
|
MONISTAT DERM 15G | $0.00 |
|
6918
|
MONISTAT DUAL PAK | $0.00 |
|
6919
|
MONISTAT-7 VAG CRM 47 | $0.00 |
|
6920
|
STAPLE SKIN CLOSURE | $49.87 |
|
6921
|
MONOKET 10MG TAB | $0.00 |
|
6922
|
MONOPRIL 10MG TAB | $0.00 |
|
6923
|
MONSER’S SOL’N | $0.00 |
|
6924
|
MONUROL 3GM PWD PKT | $0.00 |
|
6925
|
MORPHINE SULF 4MG INJ | $0.00 |
|
6926
|
MORPHINE SULF 6MG INJ | $0.00 |
|
6927
|
MORPHINE SULF 8MG INJ | $0.00 |
|
6928
|
MORPHINE SULF 10MG INJ | $0.00 |
|
6929
|
MORPHINE ORAL CONC 20MG/ML 1ML | $0.00 |
|
6930
|
MORPHINE PCA 1MG/ML 30ML | $0.00 |
|
6931
|
MOTRIN 100MG/5ML PED SUSP 15ML | $0.00 |
|
6932
|
MOTRIN 200MG TAB | $0.00 |
|
6933
|
STKG.TED KNEE SM LONG | $0.00 |
|
6934
|
STKG TED KNEE SM LONG | $0.00 |
|
6935
|
STKG TED KNEE MED REG | $0.00 |
|
6936
|
STKG TED KNEE MED LN | $0.00 |
|
6937
|
STKG TED KNEE LG REG | $0.00 |
|
6938
|
STKG TED KNEE LG. LONG | $0.00 |
|
6939
|
STKG TED KNEE LG. XLONG | $0.00 |
|
6940
|
STKG TED KNEE XLG REG | $0.00 |
|
6941
|
STKG. TED KNEE XLG. LONG | $0.00 |
|
6942
|
MOTRIN 400MG TAB | $0.00 |
|
6943
|
MOTRIN 600MG TAB | $0.00 |
|
6944
|
MOTRIN 600MG #30 IND. | $0.00 |
|
6945
|
MOTRIN 800 MG TAB | $0.00 |
|
6946
|
MOTRIN 800MG #15 IND. | $0.00 |
|
6947
|
MS CONTIN 30MG TAB | $0.00 |
|
6948
|
TIES | $12.00 |
|
6949
|
STKG THIGH SMALL REG | $0.00 |
|
6950
|
STKG THIGH SM LNG | $0.00 |
|
6951
|
STKG TED THIGH MED SHT | $71.82 |
|
6952
|
STKG THIGH MED REG | $0.00 |
|
6953
|
STKG THIGH MED LONG | $0.00 |
|
6954
|
STKG THIGH LG SHT | $0.00 |
|
6955
|
STKG THIGH LG REG | $0.00 |
|
6956
|
STKG THIGH LG LNG | $0.00 |
|
6957
|
STKG THIGH X-LG REG | $0.00 |
|
6958
|
STKG THIGH X-LG LONG | $0.00 |
|
6959
|
MUCOMYST 10% 10ML | $0.00 |
|
6960
|
MUCOMYST 10% 30ML | $0.00 |
|
6961
|
MUCOMYST 20% 10ML | $0.00 |
|
6962
|
MUCOMYST 20% 30ML | $0.00 |
|
6963
|
MULTIVIT TAB | $0.00 |
|
6964
|
MULTIVIT/MIN TAB | $0.00 |
|
6965
|
MURI-LUBE 1ML | $0.00 |
|
6966
|
STOCKINETTE BIAS PER YD | $8.29 |
|
6967
|
MVI-12 10ML INJ X6598 | $0.00 |
|
6968
|
MVI 5ML LIQ | $0.00 |
|
6969
|
MYAMBUTOL 400MG TAB | $0.00 |
|
6970
|
MYCELEX TROCHE | $0.00 |
|
6971
|
MYCOBUTIN 150MG CAP | $0.00 |
|
6972
|
MYCAMINE 100 MG 10ML VIAL INJ | $0.00 |
|
6973
|
MYCOLOG CRM 15GM | $0.00 |
|
6974
|
MYCOLOG CRM 30GM | $0.00 |
|
6975
|
MYCOLOG OINT 15GM | $0.00 |
|
6976
|
MYCOLOG OINT 30GM | $0.00 |
|
6977
|
STOCKINETTE TUBULAR 6″ | $23.62 |
|
6978
|
MYCOSTATIN 100.000 N/G 15GM | $0.00 |
|
6979
|
MYCOSTATIN 60 ML LIQ | $0.00 |
|
6980
|
STOCKINETTE TUBULAR | $23.62 |
|
6981
|
STOCKING SEQUENTIAL | $40.00 |
|
6982
|
INTUBATION TRAY | $0.00 |
|
6983
|
FLOWTRON CALF | $168.00 |
|
6984
|
STOPCOCK 3 WAY | $8.29 |
|
6985
|
FLOWTRON THIGH | $294.00 |
|
6986
|
STOPCOCK 3 WAY W/EXTEN | $10.50 |
|
6987
|
MYDRIACYL 1% OPTH | $0.00 |
|
6988
|
ARC ANTIBOBY SCREEN | $39.50 |
|
6989
|
ARC ANTIBODY ID, EACH PANEL | $61.76 |
|
6990
|
ARC DAT, EACH ANTISERA | $21.96 |
|
6991
|
ARC ABO TYPE | $21.96 |
|
6992
|
ARC RH TYPE | $21.96 |
|
6993
|
ARC PATIENT RBC PHENOTYPE | $39.50 |
|
6994
|
ARC RH PHENOTYPE COMPLETE | $39.50 |
|
6995
|
ARC PRETREATMENT WITH ENZYMES | $39.50 |
|
6996
|
ARC PRESCREEN UNIT | $61.76 |
|
6997
|
ARC ANTIBODY ELUTION EA | $61.76 |
|
6998
|
ARC ANTIGEN TYPE | $54.60 |
|
6999
|
ARC PRETREATMENT WITH CHEMICALS | $39.50 |
|
7000
|
ARC DIFFERENTIAL ADSORPTION | $61.76 |
|
7001
|
ARC ANTIGEN SCREENED – 1/UNIT | $52.50 |
|
7002
|
ELIDEL OINT 1% 15GM | $0.00 |
|
7003
|
ROWASA ENEMA 4GM/60ML | $0.00 |
|
7004
|
JEVITY 1CAL RTH INST 1L | $0.00 |
|
7005
|
JEVITY 1.2 CAL RTH INST 1L | $0.00 |
|
7006
|
JEVITY 1.5 CAL RTH INST 1L | $0.00 |
|
7007
|
ISOSOURCE 1.5 240ML LIQ | $0.00 |
|
7008
|
OSMOLITE HN PLUS 1.2 CAL RTH 1L | $0.00 |
|
7009
|
ISOSOURCE HN 1L CLSD SYST | $0.00 |
|
7010
|
NEPRO RTH INST 1L | $0.00 |
|
7011
|
PULMOCARE RTH 1L | $0.00 |
|
7012
|
REQUIP 4MG TAB | $0.00 |
|
7013
|
ZOLOFT 25 MG TAB | $0.00 |
|
7014
|
ALDACTONE 50 MG | $0.00 |
|
7015
|
TRIAMTERENE/HCTZ 50/25MG CAP | $0.00 |
|
7016
|
ZERIT 15MG CAP | $0.00 |
|
7017
|
LAMISIL 250MG TAB | $0.00 |
|
7018
|
DESYREL 75MG TAB | $0.00 |
|
7019
|
DESYREL 150MG TAB | $0.00 |
|
7020
|
SUBOXONE 2MG CAP | $0.00 |
|
7021
|
LASIX 60MG/6ML INJ | $0.00 |
|
7022
|
ZEMURON 10MG/ML INJ | $0.00 |
|
7023
|
ALUPENT LIQ 10MG/5ML UD | $0.00 |
|
7024
|
GLUCERNA 1.2C RTH INST 1L | $0.00 |
|
7025
|
REF MEASLES IGG | $64.47 |
|
7026
|
AMPHETAMINES, URINE QUAL. | $27.56 |
|
7027
|
COCAINE, URINE QUAL. | $27.56 |
|
7028
|
CANNABINOIDS, URINE QUAL. | $27.56 |
|
7029
|
BENZODIAZEPINES, URINE QUAL. | $27.56 |
|
7030
|
BARBITURATES, URINE QUAL. | $27.56 |
|
7031
|
OPIATES, URINE QUAL. | $27.56 |
|
7032
|
PHENCYCLIDINE, URINE QUAL. | $27.56 |
|
7033
|
REF HTLV I ANTIBODY, IMMUNOBLOT | $103.95 |
|
7034
|
REF HTLV II ANTIBODY, IMMUNOBLOT | $103.95 |
|
7035
|
CEFOXITIN INJ 1GM | $0.00 |
|
7036
|
NS FLUSH SYRINGE | $0.00 |
|
7037
|
D5W MINIBAG 50ML | $0.00 |
|
7038
|
D5W MINIBAG 100ML | $0.00 |
|
7039
|
0.9 NACL MINIBAG 50ML | $0.00 |
|
7040
|
0.9 NACL MINIBAG 200ML | $0.00 |
|
7041
|
AVELOX 400 MG TAB | $0.00 |
|
7042
|
AVELOX 400 MG IVPB | $0.00 |
|
7043
|
HYDROXYZINE HCL 50 MG TAB | $0.00 |
|
7044
|
LEUCOVORIN 5 MG TAB | $0.00 |
|
7045
|
LEUCOVORIN 100 MG/20 ML INJ | $0.00 |
|
7046
|
REQUIP 1 MG TAB | $0.00 |
|
7047
|
REQUIP 2 MG TAB | $0.00 |
|
7048
|
CTA- PULMONARY ANGIOGRAM | $7,500.00 |
|
7049
|
US EXTREMITY – NON VASCULAR | $278.64 |
|
7050
|
MYLANTA CHEWABLE TAB | $0.00 |
|
7051
|
CLAVICLE STRAP | $80.85 |
|
7052
|
MYLANTA 30ML LIQ | $0.00 |
|
7053
|
SUCTION KIT ORAL | $52.50 |
|
7054
|
SUCTION TRACK KIT | $123.48 |
|
7055
|
MYLANTA II 30ML LIQ | $0.00 |
|
7056
|
MYLICON 40MG CHEW TAB | $0.00 |
|
7057
|
MYLICON DROPS LIQUID | $0.00 |
|
7058
|
MYSOLINE 250MG TAB | $0.00 |
|
7059
|
MYSOLINE 50 MG (TAB) | $0.00 |
|
7060
|
NALDECON 5ML | $0.00 |
|
7061
|
NALDECON TABS | $0.00 |
|
7062
|
SUPPORT LUM.SML. | $0.00 |
|
7063
|
NAPHCON FORTE 0.1% OS | $0.00 |
|
7064
|
NAPROSYN 375MG TAB | $0.00 |
|
7065
|
NAPROSYN 375MG #20 IND. | $0.00 |
|
7066
|
NAPROSYN 500MG TAB | $0.00 |
|
7067
|
NAPROSYN 500MG #15 IND. | $0.00 |
|
7068
|
NAPROXEN 250MG TAB | $0.00 |
|
7069
|
NARCAN 0.4MG/ML INJ X6614 | $0.00 |
|
7070
|
NARCAN 1MG/ML 2ML | $0.00 |
|
7071
|
BUPIVACAINE 0.5% 10ML VIAL | $0.00 |
|
7072
|
NASALCORT 10GM INH | $0.00 |
|
7073
|
NARDIL 15MG TAB | $0.00 |
|
7074
|
NAVANE 1MG CAP | $0.00 |
|
7075
|
NAVANE 2MG CAP | $0.00 |
|
7076
|
NAVANE 10MG CAP | $0.00 |
|
7077
|
NAVANE 5MG CAP | $0.00 |
|
7078
|
NAVANE 2MG/ML INJ X6618 | $0.00 |
|
7079
|
BLOOD SET – PUMP Y-TYPE | $26.25 |
|
7080
|
NAVANE 5MG/CC 30ML LIQ | $0.00 |
|
7081
|
NAVANE 5MG/ML 2CCINJ X6618 | $0.00 |
|
7082
|
NEMBUTAL 50MG CAP | $0.00 |
|
7083
|
SURGIFIX | $8.29 |
|
7084
|
NEMBUTAL 100MG CAP | $0.00 |
|
7085
|
BLOOD SET – Y-TYPE | $0.00 |
|
7086
|
SCROTAL SUPPORT | $9.00 |
|
7087
|
ETHILON SUTURES | $27.30 |
|
7088
|
GUT SUTURES | $23.10 |
|
7089
|
MONOCRYL SUTURES | $21.00 |
|
7090
|
MAXON/PDS SUTURES | $24.15 |
|
7091
|
PROLENE SUTURES | $34.65 |
|
7092
|
NEODECADRON CR: 15GM | $0.00 |
|
7093
|
NEODECADRON OS 5ML | $0.00 |
|
7094
|
SWABS LEM GLYC 3’S | $9.95 |
|
7095
|
EXTENSION SET | $26.25 |
|
7096
|
FAT EMULSION TUBING SET | $26.25 |
|
7097
|
FILTER 0.22 MICRON TUBING | $21.00 |
|
7098
|
NEOMYCIN 500MG TAB | $0.00 |
|
7099
|
NEOMYCIN OINT 1 OZ | $0.00 |
|
7100
|
NEOSPORIN GU IRRIGANT 1ML | $0.00 |
|
7101
|
SYRINGE IRRIG BULB | $0.00 |
|
7102
|
NEPTAZANE 50MG TAB | $0.00 |
|
7103
|
NEORAL 25MG | $0.00 |
|
7104
|
NEORAL 100MG | $0.00 |
|
7105
|
NEOSPOR GU ORR 1ML | $0.00 |
|
7106
|
SYRINGE TOOMEY | $0.00 |
|
7107
|
NEOSPOR OINT 15MG | $0.00 |
|
7108
|
SYRINGE BULB | $0.46 |
|
7109
|
NEOSPORIN OINT 30 GM | $0.00 |
|
7110
|
NEOSPOR OINT PKT | $0.00 |
|
7111
|
TAPER FEMORAL HEAD | $3,681.56 |
|
7112
|
NEOSPOR POWDER 10MG | $0.00 |
|
7113
|
NEOSPORIN OPTH OINT 3.5 GM | $0.00 |
|
7114
|
NEOSPORIN OPTH SOLN 5ML | $0.00 |
|
7115
|
NEOSTIGMINE 1:1000 (1MG/ML) | $0.00 |
|
7116
|
NEOSYNEPH 1ML INJ | $0.00 |
|
7117
|
TAPE FIBERGLASS 4″ | $49.24 |
|
7118
|
IRRIG SET – CYSTO | $26.25 |
|
7119
|
NEOSYNEPH NS 0.25% 15 | $0.00 |
|
7120
|
NEOSYNEPH NS 0.5% 15 | $0.00 |
|
7121
|
IRRIG SET – TUR SUPERSET | $31.50 |
|
7122
|
NEOSYNEPHRINE 1% NS | $0.00 |
|
7123
|
NEOSYNEPHRINE 2.5% OPTH | $0.00 |
|
7124
|
NEPHRO-VITE CAP | $0.00 |
|
7125
|
NEUPOGEN 300MCG/ML INJ | $0.00 |
|
7126
|
NEUPOGEN 480MCG/ML INJ | $0.00 |
|
7127
|
NEUROTIN 300MG CAP | $0.00 |
|
7128
|
NEURONTIN 400MG CAP | $0.00 |
|
7129
|
NEURONTIN 100MG CAP | $0.00 |
|
7130
|
NEUTRA-PHOS PKT | $0.00 |
|
7131
|
EXTRA TOWELS- STERILE | $33.70 |
|
7132
|
NEUTRA-PHOS-K PKT | $0.00 |
|
7133
|
NIACIN 50MG TAB | $0.00 |
|
7134
|
NIACIN 500MG TAB | $0.00 |
|
7135
|
NICODERM 14MG PATCH | $0.00 |
|
7136
|
NICODERM 21MG PATCH | $0.00 |
|
7137
|
NICORETTE | $0.00 |
|
7138
|
NICOTROL 10MG PATCH | $0.00 |
|
7139
|
PREGABALIN 75MG CAP | $0.00 |
|
7140
|
NIMOTOP 30MG CAP | $0.00 |
|
7141
|
NIPRIDE 50MG INJ X6636 | $0.00 |
|
7142
|
TRACH HOLDER LATEX FREE | $22.05 |
|
7143
|
TRACHEAL STYLETTE | $22.57 |
|
7144
|
NITRAZINE | $0.00 |
|
7145
|
TRACTION BOOT BUKS | $72.96 |
|
7146
|
PEDIATRIC IV SET | $26.25 |
|
7147
|
NITRO-BID 2.5MG CAP | $0.00 |
|
7148
|
NITRO-OINT U/D | $0.00 |
|
7149
|
NITRODUR 0.1MG/HR | $0.00 |
|
7150
|
NITRODUR 0.2MG/HR | $0.00 |
|
7151
|
NITRODUR 0.4MG/HR | $0.00 |
|
7152
|
NITRODUR 0.6MG/HR | $0.00 |
|
7153
|
NITROGLYCERIN 50MG/250ML BTL | $0.00 |
|
7154
|
NIX CR. RINSE 1% 2 OZ | $0.00 |
|
7155
|
NTG 50MG/250ML | $0.00 |
|
7156
|
NTG SPRAY 14.49GM | $0.00 |
|
7157
|
NTG 0.4MG SL TAB 25S | $0.00 |
|
7158
|
PRIMARY IV SET | $26.25 |
|
7159
|
NITROL 2% OINT 30GM | $0.00 |
|
7160
|
PRIMARY IV SET W/2 INJ | $47.25 |
|
7161
|
NIZORAL CREAM | $0.00 |
|
7162
|
NOLVADEX 10MG TAB | $0.00 |
|
7163
|
NORCURON 1MG/ML 10ML INJ | $0.00 |
|
7164
|
D5NS 1000 ML + KCL 40 MLG | $78.75 |
|
7165
|
VIT C 500 MG/5ML ORAL UD | $0.00 |
|
7166
|
NORMODYNE 100MG TABS | $0.00 |
|
7167
|
NORMODYNE 200MG TAB | $0.00 |
|
7168
|
NORMODYNE 300MG | $0.00 |
|
7169
|
TRANSDUCER DOME DOUBLE | $254.41 |
|
7170
|
TRANSDUCER DOME SINGLE | $194.25 |
|
7171
|
NORPACE 100MG CAP | $0.00 |
|
7172
|
NORPACE 150MG CAP | $0.00 |
|
7173
|
NORPRAMIN 25MG TAB | $0.00 |
|
7174
|
NORPRAMIN 50MG TAB | $0.00 |
|
7175
|
NASONEX NASAL SPRAY 17 G | $0.00 |
|
7176
|
NORPRAMIN 100MG TAB | $0.00 |
|
7177
|
NORVASC 5MG TAB | $0.00 |
|
7178
|
NORVASC 10MG TAB | $0.00 |
|
7179
|
NORVIR 80MG/ML | $0.00 |
|
7180
|
NOVAHISTINE DH 5ML | $0.00 |
|
7181
|
NORVIR 100MG CAP | $0.00 |
|
7182
|
NOVAHISTINE ELIXIR 4 OZ | $0.00 |
|
7183
|
CT SOFT TISSUE NECK / NO CONTRAST | $3,158.00 |
|
7184
|
CT ORBITS / WITH & WITHOUT CONTRAST | $2,988.00 |
|
7185
|
NS 10CC INJ | $0.00 |
|
7186
|
NUBAIN 10MG INJ X6612 | $0.00 |
|
7187
|
NUBAIN 20MG INJ X6612 | $0.00 |
|
7188
|
SECONDARY IV SET | $26.25 |
|
7189
|
SECONDARY IV SET (VENTED) | $26.25 |
|
7190
|
TRAY, BONE MARROW | $101.69 |
|
7191
|
NUPERCAINAL OINT. 30GM | $0.00 |
|
7192
|
NYSTATIN SUSP U.D. | $0.00 |
|
7193
|
NYSTATIN CR. 15GM | $0.00 |
|
7194
|
TRAY CVC 3 LUM 7F 16 | $460.11 |
|
7195
|
TRAY CVC 3 LUM 7F 20 | $460.11 |
|
7196
|
TRAYCHOLEYSTECTOMY | $0.00 |
|
7197
|
OCEAN NASAL SPRAY | $0.00 |
|
7198
|
OCUFEN OPTH SOLN 2.5ML | $0.00 |
|
7199
|
OCUFLOX OPTH SOLN 5ML (OFLOXACIN) | $0.00 |
|
7200
|
TRAY, DRAINAGE CLOSED | $24.08 |
|
7201
|
OPHTHAINE 0.5% OPTH SOLN 15ML | $0.00 |
|
7202
|
ORABASE PASTE | $0.00 |
|
7203
|
ORAP 2MG TAB | $0.00 |
|
7204
|
ORAGEL | $0.00 |
|
7205
|
ORGANDIN ELIXIR 5ML | $0.00 |
|
7206
|
ORGANIDIN TAB | $0.00 |
|
7207
|
TRAY ENT | $65.62 |
|
7208
|
EPIDURAL CATH KIT | $78.59 |
|
7209
|
ORNADE CAP | $0.00 |
|
7210
|
ORTHO-CYCLEN BCP 28 | $0.00 |
|
7211
|
ORTHO-NOVUM 7-7-7/28 TAB | $0.00 |
|
7212
|
ORTHO TRI-CYCLEN BCP 28 | $0.00 |
|
7213
|
ORTHO-NOVUM 1/35 TABS | $0.00 |
|
7214
|
OSCAL D 250 MG TAB | $0.00 |
|
7215
|
OS-CAL 500 TAB | $0.00 |
|
7216
|
RISPERDAL 0.25 MG TAB | $0.00 |
|
7217
|
TRAY GASTRIC LAVAGE TUM-E-VAC | $288.75 |
|
7218
|
OVCON 35 TAB | $0.00 |
|
7219
|
OXACILLIN 1GM INJ X5724 | $0.00 |
|
7220
|
ZOSYN 2.25G/50ML IVPB | $0.00 |
|
7221
|
ZOSYN 3.375G/50ML IVPB | $0.00 |
|
7222
|
OXACILLIN 2GM INJ | $0.00 |
|
7223
|
TRAY INCIS DRAIN | $65.62 |
|
7224
|
OXYCONTIN 20MG TAB | $0.00 |
|
7225
|
OXY-IR 5MG TAB | $0.00 |
|
7226
|
PANAFIL OINT 1 0Z | $0.00 |
|
7227
|
PANCREASE CAP | $0.00 |
|
7228
|
FORCEP BIOPSY | $272.00 |
|
7229
|
TRAY, IRRIG W/SYRINGE | $64.26 |
|
7230
|
PAMELOR 10MG CAP | $0.00 |
|
7231
|
TIZANIDINE 4MG TAB | $0.00 |
|
7232
|
PAMELOR 25MG CAP | $0.00 |
|
7233
|
VIOXX 12.5MG TAB | $0.00 |
|
7234
|
CT CHEST W/WO CONTRAST | $4,888.00 |
|
7235
|
BAND OSUPP. #15 A 30 MG | $0.00 |
|
7236
|
PAMELOR 50MG CAP | $0.00 |
|
7237
|
PAPAVERINE 50MG INJ | $0.00 |
|
7238
|
PARAFON FORTE TAB | $0.00 |
|
7239
|
PAREGORIC 5ML LIQ | $0.00 |
|
7240
|
TRAY LUMBAR PUNCTURE ADULT | $0.00 |
|
7241
|
TRAY LUMBAR PUNCTURE PED | $262.50 |
|
7242
|
PARLODEL 2.5MG TAB | $0.00 |
|
7243
|
PARNATE 10MG TAB | $0.00 |
|
7244
|
MISCELLANEOUS SUPPLY | $0.00 |
|
7245
|
PAPAVID 150MG CAP | $0.00 |
|
7246
|
PAVULON 2MG/ML 2ML H X6670 | $0.00 |
|
7247
|
PAVULON 2MG/ML 5MLH X6670 | $0.00 |
|
7248
|
PAXIL 20MG TAB | $0.00 |
|
7249
|
PAXIL 30MG TAB | $0.00 |
|
7250
|
PCN GK 600,000U INJ | $0.00 |
|
7251
|
PCN GK 1 MILLION UNITS X6706 | $0.00 |
|
7252
|
TRAY, PARACENTESIS | $294.00 |
|
7253
|
PCN GK 1.2 MILLION UNITS X6706 | $0.00 |
|
7254
|
PCN GK 5 ML UNITS IN X6704 | $0.00 |
|
7255
|
TRAY PELVIC EXAM DISP | $41.05 |
|
7256
|
TRAY PERMACATH | $672.00 |
|
7257
|
SYMMETREL SOLN 50MG/5ML UD | $0.00 |
|
7258
|
ABILIFY 15MG TAB | $0.00 |
|
7259
|
MARCAINE 0.25% 10ML VIAL | $0.00 |
|
7260
|
MARCAINE 0.25% W/EPI 10ML VIAL | $0.00 |
|
7261
|
PLETAL 50MG TAB | $0.00 |
|
7262
|
CIPRODEX OTIC SUSP 7.5ML | $0.00 |
|
7263
|
CORVERT 1MG/10ML INJ | $0.00 |
|
7264
|
DEXTROSE 25% 10ML JECT | $0.00 |
|
7265
|
ECONAZOLE 1% CRM 15GM | $0.00 |
|
7266
|
PROZAC 30MG CAP | $0.00 |
|
7267
|
GLYCERIN ADULT SUPP | $0.00 |
|
7268
|
HEPATITIS B IMMUNE GLOBULIN 1ML | $0.00 |
|
7269
|
HEPATITIS B IMMUNE GLOBULIN 5ML | $0.00 |
|
7270
|
ROBAXIN 1000MG/10ML INJ | $0.00 |
|
7271
|
ZYPREXA 15MG TAB | $0.00 |
|
7272
|
ZYPREXA 7.5MG TAB | $0.00 |
|
7273
|
OXANDRIN 2.5MG TAB | $0.00 |
|
7274
|
SERAX 15MG CAP | $0.00 |
|
7275
|
PAXIL 40MG TAB | $0.00 |
|
7276
|
PAXIL 60MG TAB | $0.00 |
|
7277
|
ACTOS 30MG TAB | $0.00 |
|
7278
|
SUBUTEX 8MG SL TAB | $0.00 |
|
7279
|
RISPERDAL M 1MG DISSOLVE TAB | $0.00 |
|
7280
|
RISPERDAL M 2MG DISSOLVE TAB | $0.00 |
|
7281
|
PRIMAXIN 500MG INJ | $0.00 |
|
7282
|
PRIMAXIN 1000MG INJ | $0.00 |
|
7283
|
WYCILLIN 1.2 MU INJ | $0.00 |
|
7284
|
SEROQUEL 300MG TAB | $0.00 |
|
7285
|
COMPAZINE 5MG SUPP | $0.00 |
|
7286
|
PENICILLIAMINE 125MG CAP | $0.00 |
|
7287
|
CALCIUM CHLORIDE 10% 10ML | $0.00 |
|
7288
|
ABILIFY 10MG TAB | $0.00 |
|
7289
|
VIDEX EC 200 MG CAP | $0.00 |
|
7290
|
DEPAKOTE 125 MG TAB | $0.00 |
|
7291
|
LIDODERM 1% PATCH UD | $0.00 |
|
7292
|
NICODERM PATCH 7MG | $0.00 |
|
7293
|
ZETIA 10MG TAB | $0.00 |
|
7294
|
CAMPRAL 333 MG TAB | $0.00 |
|
7295
|
PT DEBRIDEMENT < 20 SQ. CM | $288.30 |
|
7296
|
PT DEBRIBEMENT > 20 SQ. CM | $288.30 |
|
7297
|
PT NEUROMUSCULAR RE ED. EA 15 | $90.13 |
|
7298
|
ST SWALLOW/ORAL/PHARYNGEAL EVAL BED SIDE | $463.00 |
|
7299
|
PT TENS TREATMENT | $34.55 |
|
7300
|
CPM SETUP/ DAILY MAINT (STATISTICAL) | $0.00 |
|
7301
|
PT COMPRESSION WRAP | $215.92 |
|
7302
|
2ND PERSON ASSIST (STATISTICAL) | $0.00 |
|
7303
|
RITUXAN 100 MG INJ | $0.00 |
|
7304
|
GLEEVEC 100MG TAB | $0.00 |
|
7305
|
PT EVALUATION 45 MIN | $262.50 |
|
7306
|
PT EVALUATION 30 MIN | $787.00 |
|
7307
|
OT EVALUATION 45 MIN | $112.35 |
|
7308
|
OT EVALUATION 15 MIN | $56.17 |
|
7309
|
PT WOUND VAC <= 50 SQ CM | $156.64 |
|
7310
|
PT CKOUT PROS. ORTHO. EA 15 MIN | $56.17 |
|
7311
|
SOMATOSENSENSORY TEST-LWR LIMB | $521.68 |
|
7312
|
INTRA-OP NERVE TEST PER HR | $165.00 |
|
7313
|
C MOTOR EVOKED LWR LIMB | $234.93 |
|
7314
|
MUSCLE TEST 2 LIMBS | $234.93 |
|
7315
|
INJECTION J-TUBE / PERCUTAN | $3,924.38 |
|
7316
|
REPLACE J-TUBE / PERCUTAN | $1,494.55 |
|
7317
|
SOMATOSENSORY TEST-UPPER EXT | $521.65 |
|
7318
|
C MOTOR EVOKED UPPR LIMB | $234.93 |
|
7319
|
ST EVAL OR REVAL-(W/O CINE OR VIDEO | $134.00 |
|
7320
|
MUSCLE TEST 4 LIMBS | $234.93 |
|
7321
|
PROCESSED EEG- ANALOG | $0.00 |
|
7322
|
PROCESSED EEG- DIGITAL | $0.00 |
|
7323
|
NEURO JUNCTION TEST – TO4 | $0.00 |
|
7324
|
PCN VK 125/5 100 LIQ | $0.00 |
|
7325
|
PCN VK 250/5 100ML LIQ | $0.00 |
|
7326
|
PCN VK 250MG TAB | $0.00 |
|
7327
|
PCN VK 500MG TAB | $0.00 |
|
7328
|
TRAY PLASTIC | $0.00 |
|
7329
|
PERM CATH 36CM | $2,021.25 |
|
7330
|
PEDIAPRED 6.75MG/5ML SOLN | $0.00 |
|
7331
|
PEDIALYTE | $0.00 |
|
7332
|
PEDIALYTE SOLUTION 33.8OZ | $0.00 |
|
7333
|
PENTAMIDINE PER 150MG INJ | $0.00 |
|
7334
|
PEPCID 20MG TAB | $0.00 |
|
7335
|
PEPCID PREMIX 50ML | $0.00 |
|
7336
|
PEPCID 10MG/ML 2ML INJ | $0.00 |
|
7337
|
PEPTAMEN 240ML | $0.00 |
|
7338
|
PEPTO-BISMOL 120ML LIQ | $0.00 |
|
7339
|
PERCOCET TAB | $0.00 |
|
7340
|
PERCODAN TAB | $0.00 |
|
7341
|
PERIACTIN 4MG TAB | $0.00 |
|
7342
|
PERI-COLACE CAP | $0.00 |
|
7343
|
PERMAX 0.05MG TAB | $0.00 |
|
7344
|
TRAY, INSERTION | $139.54 |
|
7345
|
TRAY, SUTURE | $71.92 |
|
7346
|
I-MED PUMP SET | $99.75 |
|
7347
|
TRAY, SUTURE REMOVAL | $16.38 |
|
7348
|
PERMITIL ELIXER 5MG/ML 120 ML | $0.00 |
|
7349
|
PEROXIDE 16 OZ | $0.00 |
|
7350
|
PERSANTINE PER 10MG/ML INJ | $0.00 |
|
7351
|
PERSANTINE 25MG TAB | $0.00 |
|
7352
|
PERSANTINE 50MG TAB | $0.00 |
|
7353
|
PETROLATUM WHITE 5 OZ | $0.00 |
|
7354
|
TRAY, THORACENTESIS | $236.25 |
|
7355
|
TRAY, TRACH CARE | $11.97 |
|
7356
|
PHENERGAN EXP 120ML LIQ | $0.00 |
|
7357
|
PHENERGAN EXP/COD 5ML | $0.00 |
|
7358
|
PHENERGAN EXP W/COD 120ML | $0.00 |
|
7359
|
PHENERGAN 25MG INJ X6742 | $0.00 |
|
7360
|
PHENERGAN 50MG INJ X6236 | $0.00 |
|
7361
|
PHENERGAN 12.5MG SUPP | $0.00 |
|
7362
|
PHENERGAN 25MG SUPP | $0.00 |
|
7363
|
PHENERGAN 25MG TAB | $0.00 |
|
7364
|
PHENERGAN 6.25MG 5ML SYRUP | $0.00 |
|
7365
|
PHENERGAN DM SYRUP 120ML | $0.00 |
|
7366
|
PHENERGAN SYRUP 120ML | $0.00 |
|
7367
|
PHENERGAN VC EXP 120 ML LIQ | $0.00 |
|
7368
|
PHENERGAN VC W/COD 120ML | $0.00 |
|
7369
|
PHENOBARB 60MG INJ X6754 | $0.00 |
|
7370
|
PHENOBARB 130MG INJ | $0.00 |
|
7371
|
TRAY URET CAT | $41.05 |
|
7372
|
PHENOBARB 20MG/5ML | $0.00 |
|
7373
|
PHENOBARB 30MG TAB | $0.00 |
|
7374
|
PHENOBARB 60MG TAB | $0.00 |
|
7375
|
PHENOBARB 100MG TAB | $0.00 |
|
7376
|
PHENYLEPHRINE 10% OPTH SOLN | $0.00 |
|
7377
|
PHISOHEX 150ML TOP | $0.00 |
|
7378
|
PHOSLO 667MG TAB | $0.00 |
|
7379
|
PHOSPHO-SODA 30ML LIQ | $0.00 |
|
7380
|
PHOSPHOLINE IODIDE 0.25% OPTH | $0.00 |
|
7381
|
PILOCARPINE 1% OPTH SOLN 15ML | $0.00 |
|
7382
|
PILOCARPINE 2% OPTH SOLN 15ML | $0.00 |
|
7383
|
PILOCARPINE 3% OPTH SOLN 15ML | $0.00 |
|
7384
|
PILOCARPINE 4% OPTH SOLN 15ML | $0.00 |
|
7385
|
PIPRACIL 3GM INJ | $0.00 |
|
7386
|
DARUNAVIR 600 MG TAB | $0.00 |
|
7387
|
EXELON PATCH (RIVASTIGMINE) 9.5MG | $0.00 |
|
7388
|
NAMENDA 10MG TAB | $0.00 |
|
7389
|
NADOLOL 20MG TAB | $0.00 |
|
7390
|
BYSTOLIC 5MG TAB | $0.00 |
|
7391
|
NAROPIN INF 0.2% 2mg/ml 200ml vial | $0.00 |
|
7392
|
SULF & PRED 10%-0.23%5ml Opht | $0.00 |
|
7393
|
LOTEPREDNOL ETABONATE 0.2%ml 5ml Opht | $0.00 |
|
7394
|
NITRATEST PAPER W/DISP | $0.00 |
|
7395
|
NEXTERONE IV 150mg/100ml premix bag | $0.00 |
|
7396
|
NEXTERONE IV 360mg/200ml premix bag | $0.00 |
|
7397
|
ERGOCALCIFERAL VITAMIN D 50,000 units | $0.00 |
|
7398
|
PIPRACIL 4GM INJ | $0.00 |
|
7399
|
PITOCIN 10U INJ X6666 | $0.00 |
|
7400
|
PITOCIN 20U INJ X6666 | $0.00 |
|
7401
|
PITRESS 10LI INJ X6760 | $0.00 |
|
7402
|
PITRESS 20NL INJ | $0.00 |
|
7403
|
TUBE CONNECTING 120″ | $16.38 |
|
7404
|
PLAVIX 75MG TAB | $0.00 |
|
7405
|
PLENDIL 5MG TAB | $0.00 |
|
7406
|
PNEUMOCOCCAL VACCINE X6772 | $0.00 |
|
7407
|
REF PNEUMOCYSTIS CARINII DETEC BY DFA | $81.90 |
|
7408
|
PONTOCAINE 2% TOP SOLN | $0.00 |
|
7409
|
POLY-PRED EYEDROP 10ML | $0.00 |
|
7410
|
POLYCITRA-K 1 OZ | $0.00 |
|
7411
|
POLYSPORIN OINT 15GM | $0.00 |
|
7412
|
POLYSPORIN OINT 30GM | $0.00 |
|
7413
|
POLYSPORIN OINT PKT | $0.00 |
|
7414
|
POLYSPORIN PWD 10GM | $0.00 |
|
7415
|
POTASSIUM ACETATE INJ | $0.00 |
|
7416
|
POT CHLOR 20MEQ INJ | $0.00 |
|
7417
|
POT CHLOR 30MEQ INJ | $0.00 |
|
7418
|
POT CHLOR 40MEQ INJ | $0.00 |
|
7419
|
POT CHLOR 10% 20MEQ LIQ | $0.00 |
|
7420
|
POTASSIUM PHOS 20MEQ INJ | $0.00 |
|
7421
|
BRONCHOSCOPY A SCOPE | $837.16 |
|
7422
|
THALLIUM STRESS TEST | $682.50 |
|
7423
|
THALLOUS CHLORIDE 3.0 MCI | $62.47 |
|
7424
|
2D ECHO M MODE W SPEC & COLR DOP | $1,176.84 |
|
7425
|
PRAVACHOL 20MG TAB | $0.00 |
|
7426
|
PRECOSE 50MG TAB | $0.00 |
|
7427
|
ALCON-SGLE MONOFOCAL LENS | $630.00 |
|
7428
|
ALCON-MULTI MONOFOCAL, BACK UP SNGL | $562.80 |
|
7429
|
ALCON-MULTI MONOFOCAL, BACK UP MULTI | $441.00 |
|
7430
|
PREDNISOLONE ACET 1% OPTH SOL 15ML | $0.00 |
|
7431
|
PREDNISONE 1MG TAB | $0.00 |
|
7432
|
Xarelto 10mg tab | $0.00 |
|
7433
|
TUBE FEEDING PEDS | $74.65 |
|
7434
|
PREDNISONE 5MG TAB | $0.00 |
|
7435
|
PREDNISONE 5MG/ML 5ML | $0.00 |
|
7436
|
PRANDIN 2 MG TABLET | $0.00 |
|
7437
|
PREDNISONE 10MG TAB | $0.00 |
|
7438
|
PREDNISONE 20MG TAB | $0.00 |
|
7439
|
PRELONE 15MG/5ML 15ML | $0.00 |
|
7440
|
PREMARIN 25MG INJ X5972 | $0.00 |
|
7441
|
PREMARIN 0.3MG TAB | $0.00 |
|
7442
|
PREMARIN 0.625 TAB | $0.00 |
|
7443
|
PREMARIN 1.25MG TAB | $0.00 |
|
7444
|
PREMARIN 2.5MG (TABS) | $0.00 |
|
7445
|
PREMARIN VAG CRM 45GM | $0.00 |
|
7446
|
PREMPRO 0.625MG/2.5MG | $0.00 |
|
7447
|
PREVACID 15MG TAB | $0.00 |
|
7448
|
PREVACID 30MG TAB | $0.00 |
|
7449
|
PREPARATION-H 30GM CREAM | $0.00 |
|
7450
|
PREPARATION-H SUPP | $0.00 |
|
7451
|
PRIMAXIN PER 250MG INJ | $0.00 |
|
7452
|
PRO-BANTHINE 15MG TAB | $0.00 |
|
7453
|
PROCAN SR 250MG TAB | $0.00 |
|
7454
|
PROCAN SR 500MG TAB | $0.00 |
|
7455
|
PROCARDIA 10MG CAP | $0.00 |
|
7456
|
PROCARDIA 30MG XL TAB | $0.00 |
|
7457
|
PROCARDIA XL 60MG TAB | $0.00 |
|
7458
|
TUBE LEVIN 12 FR | $16.38 |
|
7459
|
TUBE LEVIN 14FR | $16.38 |
|
7460
|
TUBE LEVIN 16FR | $16.38 |
|
7461
|
TUBE LEVIN 18FR | $16.38 |
|
7462
|
PROLIXIN DEC 25MG/ML X6220 | $0.00 |
|
7463
|
PROLIXIN 1MG TAB | $0.00 |
|
7464
|
FLUPHENAZINE 2.5MG TAB | $0.00 |
|
7465
|
PROLIXIN 5MG TAB | $0.00 |
|
7466
|
PROLIXIN 10MG TAB | $0.00 |
|
7467
|
PROLIXIN 2.5MG/ML 10MVIA X6220 | $0.00 |
|
7468
|
TUBE LUKI | $16.38 |
|
7469
|
PRONESTYL 500/ML 2ML INJ | $0.00 |
|
7470
|
PRONESTYL 250MG CAP | $0.00 |
|
7471
|
PRONESTYL 375MG CAP | $0.00 |
|
7472
|
PRONESTYL 500MG CAP | $0.00 |
|
7473
|
PROPARACAINE HYDROCHLORIDE 0.5% | $0.00 |
|
7474
|
PROPINE O/S 5ML | $0.00 |
|
7475
|
PROPYLTHIOURACIL 50MG TAB | $0.00 |
|
7476
|
PROSCAR 5MG TAB | $0.00 |
|
7477
|
PROSTIGMIN 0.5MG INJ | $0.00 |
|
7478
|
PROSTIGMINE 1MG INJ | $0.00 |
|
7479
|
PROCTO FOAM HC TOP | $0.00 |
|
7480
|
PROTAMINE PER 10 MG INJ X6818 | $0.00 |
|
7481
|
PROCTO FOAM HC CR 2.5% | $0.00 |
|
7482
|
PROCTOCORT 1% CRM | $0.00 |
|
7483
|
PROTONIX 40 MG TAB | $0.00 |
|
7484
|
TUBE SALEM SUMP 14FR | $16.38 |
|
7485
|
TUBE SALEM SUMP 16FR | $16.38 |
|
7486
|
TUBE SALEM SUMP 18FR | $16.38 |
|
7487
|
PROVENTIL INHALER RT | $0.00 |
|
7488
|
PROVENTIL REPETABS | $0.00 |
|
7489
|
TUBE TEFLUX VALVE SALEM | $44.94 |
|
7490
|
PROVENTIL 2MG TAB | $0.00 |
|
7491
|
PROVENTIL 4MG TAB | $0.00 |
|
7492
|
PROVENTIL SYRUP 5ML | $0.00 |
|
7493
|
PROVENTIL 0.083%/ML RT | $0.00 |
|
7494
|
PROVERA 2.5MG TAB | $0.00 |
|
7495
|
PROVERA 5MG TAB | $0.00 |
|
7496
|
PROVERA 10MG TAB | $0.00 |
|
7497
|
PROZAC 10MG CAP | $0.00 |
|
7498
|
PROZAC 20MG CAP | $0.00 |
|
7499
|
PROZAC 20 MG/5ML 120ML | $0.00 |
|
7500
|
PYRAZINAMIDE 500MG TAB | $0.00 |
|
7501
|
PYRIDIUM 100MG TAB | $0.00 |
|
7502
|
PYRIDOXINE 1ML INJ | $0.00 |
|
7503
|
PYRIDOXINE 50MG TAB | $0.00 |
|
7504
|
QUESTRAN PKT | $0.00 |
|
7505
|
TUBE TRACH CUFFED | $142.32 |
|
7506
|
TUBE TRACH CUFFED #8 | $142.32 |
|
7507
|
QUINAGLUTE 324MG TAB | $0.00 |
|
7508
|
TUBE TRACH JACKSON PRATT | $196.87 |
|
7509
|
QUINIDINE GLUC 10ML | $0.00 |
|
7510
|
TUBEGAUZE | $16.38 |
|
7511
|
TUBING PHACOE EYE | $409.50 |
|
7512
|
QUINIDINE SULF 200 TAB | $0.00 |
|
7513
|
QUINIDINE SULF 300 TAB | $0.00 |
|
7514
|
QUININE 300MG CAP | $0.00 |
|
7515
|
QUININE SULFATE 260MG TAB | $0.00 |
|
7516
|
URIN COLL MIDSTRM | $0.00 |
|
7517
|
URINAL MALE | $0.00 |
|
7518
|
URINEMETER | $0.00 |
|
7519
|
RACEMIC EPI 2.25%/ML | $0.00 |
|
7520
|
URETERAL STENT | $699.56 |
|
7521
|
REGLAN 10MG/2ML INJ | $0.00 |
|
7522
|
REGLAN 10MG TAB | $0.00 |
|
7523
|
REGLAN 10MG/10ML SYRUP | $0.00 |
|
7524
|
REMERON 15MG TAB | $0.00 |
|
7525
|
RELAFEN 500MG X6826 TAB | $0.00 |
|
7526
|
RENAGEL 403MG CAP | $0.00 |
|
7527
|
RESPALOR FEEDING 8 OZ | $0.00 |
|
7528
|
RESTORIL 15MG CAP | $0.00 |
|
7529
|
RESTORIL 30MG CAP | $0.00 |
|
7530
|
RETROVIR 100 MG CAP | $0.00 |
|
7531
|
WELLBUTRIN 100 MG TAB. | $0.00 |
|
7532
|
RIFADIN 600MG INJ | $0.00 |
|
7533
|
RIFAMATE 150/300 | $0.00 |
|
7534
|
RIFAMPIN 300MG CAP | $0.00 |
|
7535
|
RIFAMPIN 600MG INJ | $0.00 |
|
7536
|
RIOPAN 360ML LIQ | $0.00 |
|
7537
|
RIOPAN PLUS 360ML LIQ | $0.00 |
|
7538
|
RISPERDAL 1MG TAB | $0.00 |
|
7539
|
RISPERDAL 2MG TAB | $0.00 |
|
7540
|
RISPERDAL 3MG TAB | $0.00 |
|
7541
|
RISPERDAL 4MG | $0.00 |
|
7542
|
RITALIN 5MG TAB | $0.00 |
|
7543
|
RITALIN 10MG TAB | $0.00 |
|
7544
|
RITALIN 20MG TAB | $0.00 |
|
7545
|
RYTHMOL 150MG UD TAB | $0.00 |
|
7546
|
K-WIRES | $183.75 |
|
7547
|
ROCALTROL 0.5MCG CAP | $0.00 |
|
7548
|
ROCALTROL 0.25MCG CAP | $0.00 |
|
7549
|
ROBAXIN 500MG TAB | $0.00 |
|
7550
|
ROBAXIN 750MG TAB | $0.00 |
|
7551
|
ROBINUL 2MG INJ X6258 | $0.00 |
|
7552
|
ROBITUSSIN 4 OZ | $0.00 |
|
7553
|
ROBITUSSIN CF 4 OZ | $0.00 |
|
7554
|
Triamcinolone cream 0.025% 80gm | $0.00 |
|
7555
|
ROBITUSSIN 200MG/10ML LIQ | $0.00 |
|
7556
|
ROBITUSSIN DM 4 OZ | $0.00 |
|
7557
|
ROBITUSSIN PE 4 OZ | $0.00 |
|
7558
|
ROCEPHIN PER 250MG INJ | $0.00 |
|
7559
|
ROCEPHIN 500MG INJ | $0.00 |
|
7560
|
ROCEPHIN PER 1 GM INJ | $0.00 |
|
7561
|
ROCEPHIN 2GM INJ | $0.00 |
|
7562
|
ROWASA SUPP | $0.00 |
|
7563
|
RHOGAM IMMUNE GLOB INJ FULL DOSE | $0.00 |
|
7564
|
RYNATAN TAB | $0.00 |
|
7565
|
LAMIVUDINE HBV 100MG TAB | $0.00 |
|
7566
|
SALSALATE 750 MG TAB | $0.00 |
|
7567
|
OXYCONTIN SR 30MG TAB | $0.00 |
|
7568
|
STRATTERA 40MG CAP | $0.00 |
|
7569
|
NIACIN SR 500MG CAP | $0.00 |
|
7570
|
NUTRITION THERAPY INITIAL 15 MIN | $55.68 |
|
7571
|
NUTRITION THERAPY SUBSEQUENT 15 MIN | $48.34 |
|
7572
|
SENSIPAR 30 MG TAB | $0.00 |
|
7573
|
CYBALTA 20MG CAP | $0.00 |
|
7574
|
NUTRIHEP LIQ 240 ML | $0.00 |
|
7575
|
REF HEMOGLOBIN A2 | $43.85 |
|
7576
|
COLLAGEN VASCULAR GRAFT 6 MM 40 MM | $2,491.13 |
|
7577
|
COLLAGEN VASCULAR GRAFT D-6 MM L-38 MM | $2,333.63 |
|
7578
|
ARTERIOVENOUS GRAFT | $1,362.38 |
|
7579
|
ARTHIREX SCREW 2.0 X 15 MM | $332.06 |
|
7580
|
ASH SPLIT CATHERER | $1,047.38 |
|
7581
|
FLEXINE WITH IFG VASCULAR GRAFT | $2,625.00 |
|
7582
|
BARD COMPO SIX KUGAL HERNIA PATCH | $1,397.81 |
|
7583
|
BARD HEMOSPLIT | $945.00 |
|
7584
|
BARD HEMOSPLIT HEMODIALYSIS CATH | $1,008.08 |
|
7585
|
BARD HEMOSPLIT PERMANENT CATH | $945.00 |
|
7586
|
BARD MESH 1X4 | $98.85 |
|
7587
|
BARD MESH 6X6 | $245.44 |
|
7588
|
CATH TRANSLUMIN NON-LASER | $562.50 |
|
7589
|
BARD MESH PERFIX PLUG | $581.44 |
|
7590
|
BARD MESH PLUG | $678.83 |
|
7591
|
BARD MESH 3X6 | $118.13 |
|
7592
|
PORTA CATH GROSHONG CATH | $863.63 |
|
7593
|
BARD SOFT DOUBLE PIGTAIL | $301.88 |
|
7594
|
VENTRALEX HERNIA PATCH 4.3 MM X 4.3CM | $1,156.31 |
|
7595
|
VENTRALEX HERNIA PATCH MED CIR STRAP | $1,148.44 |
|
7596
|
GREAT TOE IMPLANT SIZE 10 | $3,005.63 |
|
7597
|
BIPOLAR PERMANENT PLACEMENT LEAD | $1,470.00 |
|
7598
|
LEAD PACEMAKER TRANS VDD | $1,470.00 |
|
7599
|
BARD MESH EXTRA LARGE | $245.44 |
|
7600
|
IVC FILTER | $5,750.00 |
|
7601
|
BYPASS GRAFT FLEX SM BEAD L60 CM | $4,163.25 |
|
7602
|
BYPASS GRAFT SM BEAD L80 CM D7 MM | $5,250.00 |
|
7603
|
PACEMAKER BIPOLAR PERM PACING LEAD | $2,100.00 |
|
7604
|
EXXCELL AV GRAFT SOFT D-6 MM L-40 MM | $1,565.00 |
|
7605
|
EXXCELL VASCULAR GRAFT SIZE D-6 MM L-50 | $1,565.00 |
|
7606
|
FLIXENE IFG ATRIUM VAS GRAFT 5 MM X 7 MM | $6,431.25 |
|
7607
|
BARD MESH PERFIX PLUG-SMALL | $1,128.30 |
|
7608
|
BARD MESH PERFIX PLUG-MED | $1,138.65 |
|
7609
|
BARD MESH PERFIX LRG | $1,149.05 |
|
7610
|
HEADLESS CORTICAL SCREW | $341.25 |
|
7611
|
HENU SPLIT | $1,023.75 |
|
7612
|
IMPRA VASCULAR GRAFT | $1,229.41 |
|
7613
|
IMPRA VAS GRAFT 4-7 MM L-25 CM | $1,206.98 |
|
7614
|
IMPRA VAS GRAFT L-40 CM D-6 MM | $1,160.25 |
|
7615
|
TOTAL KNEE | $22,913.63 |
|
7616
|
ADJUSTABLE GASTRIC BAND SYSTEM | $8,386.88 |
|
7617
|
DUAL LIMEN CATH INSERTION TRAY | $194.37 |
|
7618
|
MENTOR BREAST IMPLANT | $2,165.63 |
|
7619
|
MENTOR BREAST IMPLANT 450 CC | $3,478.13 |
|
7620
|
MENTOR BREAST INPLANT SMOOTH ROUND | $1,509.38 |
|
7621
|
ADHESIVE SURGICAL BIOGLUE 2CC | $2,284.00 |
|
7622
|
MENTOR SALINE BREAST IMPLANT | $2,034.38 |
|
7623
|
ADHESIVE SURGICAL BIOGLUE 5CC | $3,313.00 |
|
7624
|
METASURG SCREW 22 MM X 25 MM | $341.25 |
|
7625
|
P.E. VENT TUBE | $14.84 |
|
7626
|
PORTA CATH | $15.43 |
|
7627
|
QUINTON CATH | $1,214.85 |
|
7628
|
100 MM CHS LONG SCREW | $577.50 |
|
7629
|
28 MM X 4 MM BIPOLAR | $3,898.13 |
|
7630
|
32 MM ACETABULAR LINER | $5,562.38 |
|
7631
|
32 MM OD + 4 FEMORAL HEAD | $6,712.13 |
|
7632
|
54 MM ACETABULAR SHELL | $6,234.38 |
|
7633
|
CANNULATED SCREW | $601.13 |
|
7634
|
ADHESIVE SURGICAL BIOGLUE 10CC | $3,996.00 |
|
7635
|
FEMORAL HEAD TAPER 12 MM 14 MM | $2,386.00 |
|
7636
|
SANDOSTATIN 0.1MG/ML | $0.00 |
|
7637
|
SPIRIVA INH 18MCG | $0.00 |
|
7638
|
NATRECOR 1.5MG VL | $0.00 |
|
7639
|
ATENOLOL 5 MG/10ML INJ | $0.00 |
|
7640
|
NAMENDA 5MG TAG | $0.00 |
|
7641
|
IMMUNE GLOBULIN IV 5% 100ML | $0.00 |
|
7642
|
ESTRIDIOL PATCH 0.1MG | $0.00 |
|
7643
|
URINE PREGNANCY TEST, QUALITATIVE | $36.75 |
|
7644
|
2.5mm drill tip guide wire 200mm | $0.00 |
|
7645
|
4.3mm drill bit/QC/180mm | $0.00 |
|
7646
|
SANTYL OINT 15GM | $0.00 |
|
7647
|
SANTYL OINTMENT 250GM | $0.00 |
|
7648
|
RICHARDS GENESIS II PATELLAR COMP | $2,491.13 |
|
7649
|
RICHARDS SIZE 14 FEMORAL COMPONENT | $18,692.63 |
|
7650
|
RICHARDS SIZE 4 TIBIAL BASEPLATE | $6,024.38 |
|
7651
|
RICHARDS SIZE 5 FEMORAL COMPONENT | $10,534.13 |
|
7652
|
RICHARDS SIZE 3-4 11 MM ARTICULAR INSERT | $3,864.00 |
|
7653
|
RICHARDS SIZE 3-4 9MM ARTICULAR INSERT | $4,410.00 |
|
7654
|
SCREW BONE CANCELLOUS ALL SIZES | $0.00 |
|
7655
|
5.0 LOCKING SCREW slf-tpng w/t25 star 42 | $0.00 |
|
7656
|
S&N SCREW 4.0 10mm-60mm FT | $75.50 |
|
7657
|
SMITH & NEPHEW PLATE | $1,076.25 |
|
7658
|
S&N SCREW 4.0 10mm-50mm PT | $72.63 |
|
7659
|
SPHERAL HEAD SCREW 6.5 MM | $433.13 |
|
7660
|
SYNERGY POROUS FEM COMP | $16,261.88 |
|
7661
|
TANDEMLINER BIPOLAR | $3,722.25 |
|
7662
|
TAPER FEMORAL HEAD | $3,131.63 |
|
7663
|
TROCHANTERIC NAIL | $5,727.75 |
|
7664
|
SCREW CANNULATED ALL SIZES | $406.88 |
|
7665
|
5.0 LOCKING SCREW slf-tpng w/t25 star 44 | $0.00 |
|
7666
|
5.0 LOCKING SCREW slf-tpng w/t25 star 34 | $0.00 |
|
7667
|
2.0 MM SCREW 12 MM X 14 MM X 16 MM | $367.50 |
|
7668
|
THREADED K-WIRE SIZE 0.62 | $30.71 |
|
7669
|
SCREW 2.5 MM 12 X 1 | $341.25 |
|
7670
|
SHIRLEY TRACHIAL TUBE # 8 | $8.50 |
|
7671
|
VASCU – GUARD | $129.94 |
|
7672
|
17 MM CABLE CRIMP | $1,102.50 |
|
7673
|
5.0 LOCKING SCREW slf-tpng w/t25 star 38 | $0.00 |
|
7674
|
VENT TUBE | $15.94 |
|
7675
|
VIOLEX CANNULATED SCREW 2.2 X 16 MM | $297.94 |
|
7676
|
14MM RESCUE SCREW | $0.00 |
|
7677
|
28 MM I.D. | $1,296.75 |
|
7678
|
ZIMMER BIPOLAR CUP | $1,296.75 |
|
7679
|
FEMORAL HEAD 28 MM | $2,420.25 |
|
7680
|
FEMORAL STEM SIZE 5 12 X 14 NECK TAPER | $15,164.63 |
|
7681
|
MULTIPOLAR BIPOLAR 55 MM | $2,105.25 |
|
7682
|
IV NFS THER PROPH/DX CNCRNT NFS | $38.05 |
|
7683
|
IV NFS THER PROPH/DX ADDL SEQL NFS >1 HR | $87.00 |
|
7684
|
IV NFUS THER PROPH/DX EA HR | $95.00 |
|
7685
|
IV NFS THER PROPH/DX 1ST> 1HR | $819.00 |
|
7686
|
IV NFUS HYDRATION EA HR | $428.00 |
|
7687
|
IV NFS HYDRATION 1ST > 1 HR | $819.00 |
|
7688
|
NM SPECT BONE SCAN | $5,256.00 |
|
7689
|
ELECTROCARDIOGRAM TRACING | $45.56 |
|
7690
|
CARDIOVASCULAR STRESS TEST * | $667.02 |
|
7691
|
TTE W/DOPPLER * | $667.02 |
|
7692
|
TTELIMITED | $363.26 |
|
7693
|
ULTRASOUND EXAM – CHEST * | $335.85 |
|
7694
|
DOPPLER, ECHO HEART EXAM LIMITED | $336.00 |
|
7695
|
ULTRASOUND EXAM – ABDOMEN COMP * | $335.85 |
|
7696
|
ECHO EXAM – ABDOMEN | $335.85 |
|
7697
|
ART. DUPLEX – LOWER EXT STUDY BILAT | $264.32 |
|
7698
|
ART. DUPLEX – LOWER EXT STUDY UNIL | $169.65 |
|
7699
|
ART. DUPLEX – UPPER EXT STUDY BILAT | $264.32 |
|
7700
|
ART. DUPLEX – UPPER EXT STUDY UNIL | $169.65 |
|
7701
|
ULTRASOUND – THYROID (HEAD/NECK) | $169.65 |
|
7702
|
ECG (HOLTER) 24-48 HRS MONITOR / REPORT | $113.63 |
|
7703
|
ECG (HOLTER) 24-48 HRS MONITOR / REVIEW | $1,727.00 |
|
7704
|
CAROTID DUP – EXTRA CRANIAL – BILAT | $264.32 |
|
7705
|
RENAL DUP – VASCULAR STUDY – COMP | $264.32 |
|
7706
|
RENAL US – ABD WALL COMPLETE | $335.85 |
|
7707
|
VENOUS DUP – EXTREMITY STUDY BIL* | $264.32 |
|
7708
|
VENOUS DUP – EXTREMITY STUDY UNIL* | $169.65 |
|
7709
|
U/S Breast (uni-bi) | $110.30 |
|
7710
|
U/S Testicular/Scrotum | $335.85 |
|
7711
|
U/S Transrectal | $169.65 |
|
7712
|
U/S Extremity | $110.30 |
|
7713
|
Aortic Ultrasound “Vascular Study” | $264.32 |
|
7714
|
U/S Breast (uni-bi) | $110.30 |
|
7715
|
U/S Testicular/Scrotum | $335.85 |
|
7716
|
U/S Transrectal | $169.65 |
|
7717
|
U/S Extremity | $110.30 |
|
7718
|
Aortic Ultrasound “Vascular Study” | $264.32 |
|
7719
|
U/S EXAM PELVIC COMPLETE | $335.85 |
|
7720
|
U/S EXAM PELVIC LIMITED | $335.85 |
|
7721
|
OFFICE/OUTPATIENT VISIT, NEW | $125.87 |
|
7722
|
OFFICE/OUTPATIENT VISIT, NEW | $165.63 |
|
7723
|
OFFICE/OUTPATIENT VISIT, NEW | $219.47 |
|
7724
|
OFFICE/OUTPATIENT VISIT, NEW | $751.71 |
|
7725
|
OFFICE/OUTPATIENT VISIT, EST | $96.98 |
|
7726
|
OFFICE/OUTPATIENT VISIT,EST | $125.87 |
|
7727
|
OFFICE/OUTPATIENT VISIT,EST | $125.87 |
|
7728
|
OFFICE/OUTPATIENT VISIT,EST | $165.63 |
|
7729
|
OFFICE/OUTPATIENT VISIT,EST | $751.71 |
|
7730
|
OFFICE/OUTPATIENT VISIT, NEW | $96.98 |
|
7731
|
CONSULT/FOCUSED/15 MIN. | $85.65 |
|
7732
|
CONSULT/EXPANDED/30 MIN | $118.00 |
|
7733
|
CONSULT/DETAILED/LOW 40 MIN | $189.00 |
|
7734
|
CONSULT/COMP/MOD/60 MIN | $174.00 |
|
7735
|
CONSULT/HIGH/80 MIN | $265.50 |
|
7736
|
PROCEDURE I&D COMPLEX/POST-OP | $2,253.29 |
|
7737
|
SPIROMETRY | $107.40 |
|
7738
|
CLINIC VISIT, HOSP OUTPT | $159.68 |
|
7739
|
PNEUMOCOCCAL VACCINE | $136.56 |
|
7740
|
IMMUNIZATION ADMIN 1 VAC | $66.84 |
|
7741
|
IMMUNIZATION ADMIN EACH ADD | $46.14 |
|
7742
|
B12 INJECTION | $9.00 |
|
7743
|
THER INJ SC/IM | $125.93 |
|
7744
|
FLU VACCINE | $30.00 |
|
7745
|
DOPPLER ECHO COMP (ADD ON ONLY) | $512.85 |
|
7746
|
CAROTID DUPLEX UNI/LMTD | $264.32 |
|
7747
|
U/S ECHO HEAD | $110.30 |
|
7748
|
U/S ABD LIMITED | $335.85 |
|
7749
|
U/S EXTREMITY NON-VASC | $169.65 |
|
7750
|
BRONCHODILATION RESPONSIVENESS | $172.43 |
|
7751
|
MEASURE BLOOD OXYGEN LEVEL MULT | $121.52 |
|
7752
|
MEASURE BLOOD OXYGEN LEVEL SINGLE | $57.00 |
|
7753
|
ECG (HOLTER) 24-48 HRS MONITOR / REPORT | $113.00 |
|
7754
|
ECG (HOLTER) 24-48 HRS MONITOR / REVIEW | $113.00 |
|
7755
|
Ultrasound Exam – Chest | $335.85 |
|
7756
|
Ultrasound Exam – Abdomen comp | $335.85 |
|
7757
|
Echo Exam – Abdomen | $335.85 |
|
7758
|
Ultrasound – Thyroid (head/neck) | $169.65 |
|
7759
|
Renal US – Abd wall Complete | $335.85 |
|
7760
|
Art. Duplex – Lower Ext Study Bilat | $264.32 |
|
7761
|
Art. Duplex – Lower Ext Study Unil | $169.65 |
|
7762
|
Art. Duplex – Upper Ext Study Bilat | $264.32 |
|
7763
|
Art. Duplex – Upper Ext Study Unil | $169.65 |
|
7764
|
Carotid Dup – Extra cranial – Bilat | $264.32 |
|
7765
|
Renal Dup – Vascular study – Comp | $264.32 |
|
7766
|
Venous Doppler Bilateral | $264.32 |
|
7767
|
Venous Dup – Extremity Study Unil | $169.65 |
|
7768
|
U/S Head for Echoencephalography | $110.30 |
|
7769
|
U/S Breast Uni//Bilateral | $110.30 |
|
7770
|
U/S Testic/Scrotum | $335.85 |
|
7771
|
U/S Pelvic | $335.85 |
|
7772
|
U/S Extremities | $169.65 |
|
7773
|
U/S Transrectal | $169.65 |
|
7774
|
U/S Transvaginal | $169.65 |
|
7775
|
PROCEDURE I&D COMPLEX/POST-OP | $2,253.29 |
|
7776
|
U/S ABD LIMITED | $335.85 |
|
7777
|
U/S EXAM PELVIC LIMITED | $335.85 |
|
7778
|
U/S Extremity | $110.30 |
|
7779
|
IMMUNIZATION ADMIN 1 VAC | $66.84 |
|
7780
|
IMMUNIZATION ADMIN EACH ADD | $46.14 |
|
7781
|
FLU VACCINE | $30.00 |
|
7782
|
PNEUMOCOCCAL VACCINE | $136.56 |
|
7783
|
ELECTROCARDIOGRAM TRACING | $45.56 |
|
7784
|
ECG (HOLTER) 24-48 HRS MONITOR / REPORT | $1,727.00 |
|
7785
|
ECG (HOLTER) 24-48 HRS MONITOR / REVIEW | $1,727.00 |
|
7786
|
TTE W/DOPPLER * | $667.02 |
|
7787
|
TTE LIMITED | $363.26 |
|
7788
|
DOPPLER ECHO COMP (ADD ON ONLY) | $512.85 |
|
7789
|
DOPPLER, ECHO HEART EXAM LIMITED | $336.00 |
|
7790
|
CARDIOVASCULAR STRESS TEST * | $667.02 |
|
7791
|
CAROTID DUPLEX UNI/LMTD | $264.32 |
|
7792
|
Aortic Ultrasound “Vascular Study” | $264.32 |
|
7793
|
SPIROMETRY | $107.40 |
|
7794
|
THER INJ SC/IM | $125.93 |
|
7795
|
OFFICE/OUTPATIENT VISIT, NEW | $96.98 |
|
7796
|
CONSULT/FOCUSED/15 MIN. | $85.50 |
|
7797
|
CONSULT/EXPANDED/30 MIN | $118.00 |
|
7798
|
CONSULT/DETAILED/LOW 40 MIN | $189.00 |
|
7799
|
CONSULT/COMP/MOD/60 MIN | $174.00 |
|
7800
|
CONSULT/HIGH/80 MIN | $265.50 |
|
7801
|
OFFICE/OUTPATIENT VISIT, NEW | $125.87 |
|
7802
|
OFFICE/OUTPATIENT VISIT, NEW | $165.63 |
|
7803
|
OFFICE/OUTPATIENT VISIT, NEW | $219.47 |
|
7804
|
OFFICE/OUTPATIENT VISIT, NEW | $751.71 |
|
7805
|
OFFICE/OUTPATIENT VISIT, EST | $96.98 |
|
7806
|
OFFICE/OUTPATIENT VISIT,EST | $125.87 |
|
7807
|
OFFICE/OUTPATIENT VISIT,EST | $125.87 |
|
7808
|
OFFICE/OUTPATIENT VISIT,EST | $165.63 |
|
7809
|
OFFICE/OUTPATIENT VISIT,EST | $751.71 |
|
7810
|
B12 INJECTION | $9.00 |
|
7811
|
AUDIOSCOPE | $61.29 |
|
7812
|
Initial Evaluation | $389.91 |
|
7813
|
Visit 20-30 mins | $389.91 |
|
7814
|
Visit 45 mins | $389.91 |
|
7815
|
Visit 60 + mins | $389.91 |
|
7816
|
Family without Patient | $389.91 |
|
7817
|
Family with Patient | $389.91 |
|
7818
|
Neuropsych Testing | $389.91 |
|
7819
|
OFFICE/OUTPATIENT VISIT, NEW | $600.57 |
|
7820
|
CLINIC, HOSP OUTPT | $159.68 |
|
7821
|
SELSUN SHAMPOO | $0.00 |
|
7822
|
QUADRIPOLAR IMPLANTABLE PULSE | $8,400.00 |
|
7823
|
SENOKOT TAB | $0.00 |
|
7824
|
SENOKOT-S TAB | $0.00 |
|
7825
|
D5 LB 1000 ML + KCL 40 MLG | $78.75 |
|
7826
|
D5 LR 1000ML + KCL 20 MLG | $78.75 |
|
7827
|
SERAX 10MG CAP | $0.00 |
|
7828
|
SERENTIL 25MG TAB | $0.00 |
|
7829
|
SERENTIL 10MG TAB | $0.00 |
|
7830
|
SERENTIL 50MG TAB | $0.00 |
|
7831
|
SERENTIL 100MG TAB | $0.00 |
|
7832
|
SERENTIL 25MG AMP | $0.00 |
|
7833
|
SERENTIL CONC. 4 OZ | $0.00 |
|
7834
|
SEREVENT INHALER 6.5GM | $0.00 |
|
7835
|
SEROQUEL 25MG TAB | $0.00 |
|
7836
|
SEROQUEL 100MG TAB | $0.00 |
|
7837
|
SERZONE 100MG TAB | $0.00 |
|
7838
|
SERZONE 150MG TAB | $0.00 |
|
7839
|
OVRAL-21 DAY | $0.00 |
|
7840
|
OVRAL-28 DAY | $0.00 |
|
7841
|
OVRAL TABS #4 | $0.00 |
|
7842
|
D5W 1000 ML + KCL 10 MLG | $78.75 |
|
7843
|
SILVADENE 20GM CREAM | $0.00 |
|
7844
|
D5W 1000 ML + KCL 30 MG | $78.75 |
|
7845
|
D5W 1000 ML + KCL 20 MLG | $78.75 |
|
7846
|
SILVADENE 50GM CREAM | $0.00 |
|
7847
|
SILVER NIT APPLIC. | $0.00 |
|
7848
|
SINEMET CR 25/100 TAB | $0.00 |
|
7849
|
SINEMET 10/100 TAB | $0.00 |
|
7850
|
SINEMET 25/100 TAB | $0.00 |
|
7851
|
SINEMET 25/250 TAB | $0.00 |
|
7852
|
SINEQUAN 10MG CAP | $0.00 |
|
7853
|
SINEQUAN 25MG CAP | $0.00 |
|
7854
|
SINEQUAN 50MG CAP | $0.00 |
|
7855
|
SINEQUAN 100MG CAP | $0.00 |
|
7856
|
SINGULAIR 10MG TAB | $0.00 |
|
7857
|
SLO-MAG TAB | $0.00 |
|
7858
|
SLO-FE TAB | $0.00 |
|
7859
|
SLOW-K 600MG TAB | $0.00 |
|
7860
|
SODIUM ACETATE INJ | $0.00 |
|
7861
|
SOMA #30 | $0.00 |
|
7862
|
HYDROMORPHONE 4MG/ML 1ML | $0.00 |
|
7863
|
SODIUM BICARB 4.2% JECT 10ML | $0.00 |
|
7864
|
TPN | $577.50 |
|
7865
|
SODIUM BICARB 8.4% JECT | $0.00 |
|
7866
|
SODIUM BICARB 8.4% 50ML VIALS | $0.00 |
|
7867
|
TPN SET | $23.62 |
|
7868
|
D5 1/2 NS 1000ML + KCL 10 MLG | $78.75 |
|
7869
|
D5 1/2 NS 1000 ML + KCL 30 MLG | $78.75 |
|
7870
|
KCL 10MEG/100ML IVPB | $0.00 |
|
7871
|
D5 1/2 1000 ML + 40 MLG | $78.75 |
|
7872
|
SODIUM BICARB 650 TAB | $0.00 |
|
7873
|
SODIUM CHLOR 0.9% 5ML FOR RT | $0.00 |
|
7874
|
SODIUM CHLOR 0.9% 15ML RT | $0.00 |
|
7875
|
SODIUM CHLOR CONC 23.4% INJ | $0.00 |
|
7876
|
SODIUM CHLOR 10ML INJ | $0.00 |
|
7877
|
SODIUM CHLOR 1GM TAB | $0.00 |
|
7878
|
SODIUM PHOS 15ML INJ | $0.00 |
|
7879
|
SOLU CORTEF 100MG INJ | $0.00 |
|
7880
|
INJ HYDRCORTIS NA PHOS TO 50MG | $0.00 |
|
7881
|
SOLU MEDROL 40MG INJ | $0.00 |
|
7882
|
SOLU MEDROL 125 MG INJ | $0.00 |
|
7883
|
SOLU MEDROL 1000MG | $0.00 |
|
7884
|
SOMA COMPOUND TAB | $0.00 |
|
7885
|
SOMA 350MG TAB | $0.00 |
|
7886
|
SORBITOL 70% SOLN 120ML | $0.00 |
|
7887
|
SPORANOX 100MG CAP | $0.00 |
|
7888
|
SPECTAZOLE CREAM 1% 15GM | $0.00 |
|
7889
|
SPECTAZOLE CREAM 1% 30GM | $0.00 |
|
7890
|
SSKI 30ML LIQ | $0.00 |
|
7891
|
NATEGLINIDE(STARLIX)120MG TAB | $0.00 |
|
7892
|
STELAZINE 1MG TAB | $0.00 |
|
7893
|
STELAZINE 2MG TAB | $0.00 |
|
7894
|
STELAZINE 5MG TAB | $0.00 |
|
7895
|
STELAZINE 10MG/ML VIAL | $0.00 |
|
7896
|
STELAZINE 10MG TAB | $0.00 |
|
7897
|
STELAZINE 10MG/ML 60CC | $0.00 |
|
7898
|
STERILE H2O 10CC | $0.00 |
|
7899
|
STREPTOKINASE PER 250,000U | $0.00 |
|
7900
|
SUBLIMAZE 2ML INJ X6206 | $0.00 |
|
7901
|
SUCCINYLCHOLINE 20MG/ML | $0.00 |
|
7902
|
SUDAFED 30MG TAB | $0.00 |
|
7903
|
SUDAFED 60MG TAB | $0.00 |
|
7904
|
SULAR ER 10MG TAB | $0.00 |
|
7905
|
SULFACETAMIDE 10% OPTH SOLN 15ML | $0.00 |
|
7906
|
SULFACETAMIDE 10% OPTH OINT 3.5GM | $0.00 |
|
7907
|
SULTRIN VAG CRM 78GM | $0.00 |
|
7908
|
SURFAK 240MG CAP | $0.00 |
|
7909
|
SUSPHRINE,UP TO 1 MG INJ | $0.00 |
|
7910
|
SUSTACAL W/FIBER 240ML | $0.00 |
|
7911
|
SUSTIVA 200MG CAP | $0.00 |
|
7912
|
SYMMETREL 100MG CAP | $0.00 |
|
7913
|
SYNALAR 0.01% CREAM 15GM | $0.00 |
|
7914
|
SYNALAR 0.01% CREAM 60GM | $0.00 |
|
7915
|
SYNALAR 0.025% CREAM 15GM | $0.00 |
|
7916
|
SYNTHROID 200MCG INJ X6456 | $0.00 |
|
7917
|
SYNTHROID 500MCG INJ X6456 | $0.00 |
|
7918
|
SYNTHROID 0.025MG TAB | $0.00 |
|
7919
|
SYNTHROID 0.05 MG TAB | $0.00 |
|
7920
|
SYNTHROID 0.75MG TAB | $0.00 |
|
7921
|
SYNTHROID 0.125MG TAB | $0.00 |
|
7922
|
SYNTHROID 0.112MG TAB | $0.00 |
|
7923
|
SYNTHROID 0.175MG TAB | $0.00 |
|
7924
|
SYNTHROID 0.1MG TAB | $0.00 |
|
7925
|
SYNTHROID 0.15MG TAB | $0.00 |
|
7926
|
SYNTHROID 0.2MG TAB | $0.00 |
|
7927
|
TAC SOLUTION 100ML | $0.00 |
|
7928
|
US PORTAL VEIN LIVER DOPPLER (USPRT) | $439.68 |
|
7929
|
TAGAMET 300MG TAB | $0.00 |
|
7930
|
TAMBOCAR 50MG TAB | $0.00 |
|
7931
|
TAPAZOLE 5MG TAB | $0.00 |
|
7932
|
TAMOXIFEN 10MG TAB | $0.00 |
|
7933
|
TANNIC ACID 60GM | $0.00 |
|
7934
|
TAVIST-1 TAB | $0.00 |
|
7935
|
TAVIST-D TAB | $0.00 |
|
7936
|
TEGRETOL 100MG TAB | $0.00 |
|
7937
|
TEGRETOL 200MG TAB | $0.00 |
|
7938
|
TEGRETOL SUSP 100MG/5ML 120ML | $0.00 |
|
7939
|
TEGRETOL SUSP 100MG/5ML 450ML | $0.00 |
|
7940
|
Meropen 500mg | $0.00 |
|
7941
|
Meropen 1gm | $0.00 |
|
7942
|
TELEPAQUE TAB | $0.00 |
|
7943
|
TEMOVATE 0.05% CREAM 30GM | $0.00 |
|
7944
|
TENORMIN 25MG TAB | $0.00 |
|
7945
|
TENORMIN 50MG TAB | $0.00 |
|
7946
|
TENEX 1MG TAB | $0.00 |
|
7947
|
TENSILON 10MG/ML INJ | $0.00 |
|
7948
|
TERAZOL-3 VAG CRM 20MG | $0.00 |
|
7949
|
TESSALON PERLES 100MG | $0.00 |
|
7950
|
TESTODERM TTS PTCH 5MG | $0.00 |
|
7951
|
TIAZAC 420 MG CAP | $0.00 |
|
7952
|
US ARTERIAL UPPER EXTREMITY LT | $1,620.08 |
|
7953
|
US ARTERIAL UPPER EXTREMITY RT | $1,620.08 |
|
7954
|
VIOXX 25MG TAB | $0.00 |
|
7955
|
REF RESPIRATORY SYNCYTIAN VIRUS | $13.56 |
|
7956
|
TIAZAC 360 MG CAP | $0.00 |
|
7957
|
CATHETER ADAPTER | $84.00 |
|
7958
|
TETANUS IMM GLOB INJ X5676 | $0.00 |
|
7959
|
TETANUS TOXOID FLUID 0.5 ML | $0.00 |
|
7960
|
TETRACAINE DROPETTE 1/2% 1ML UD | $0.00 |
|
7961
|
TETRACYCLINE 250 CAP | $0.00 |
|
7962
|
TETRACYCLINE 500 CAP | $0.00 |
|
7963
|
T-GEL SHAMPOO 4.4 OZ | $0.00 |
|
7964
|
THEODUR 200MG TAB | $0.00 |
|
7965
|
THEODUR 300MG TAB | $0.00 |
|
7966
|
THEODUR 450 MG TABLET | $0.00 |
|
7967
|
THEOPHYLLINE (THEODURE 100ML) | $0.00 |
|
7968
|
THEOPHYLLINE LIQ 30ML | $0.00 |
|
7969
|
THIAMINE 100MG/ML INJ | $0.00 |
|
7970
|
THIAMINE 100MG TAB | $0.00 |
|
7971
|
WELLBUTRIN XL 150MG TAB | $0.00 |
|
7972
|
LORTAB ELIXIR 7.5MG/500MG 15ML UD | $0.00 |
|
7973
|
PREVACID 30MG INJ | $0.00 |
|
7974
|
BIO PATCH DRESSING | $10.52 |
|
7975
|
CATH HEMOSPLIT ALL SIZES | $706.13 |
|
7976
|
SEROQUEL XR 300 MG TAB | $0.00 |
|
7977
|
SEROQUEL XR 400 MG TAB | $0.00 |
|
7978
|
RANEXA 500 MG TAB | $0.00 |
|
7979
|
REF CRYPTOSPORIDIUM ANTIGEN | $59.01 |
|
7980
|
TRICOR 145 MG TABLET | $0.00 |
|
7981
|
MIRAPEX 1 MG TABLET | $0.00 |
|
7982
|
DORIPENEM 500 MG INJ | $0.00 |
|
7983
|
MEROPENEM 250 MG INJ | $0.00 |
|
7984
|
MEROPENEM 500 MG INJ | $0.00 |
|
7985
|
METHADONE | $26.52 |
|
7986
|
C DIFFICILE TOXIN B | $107.10 |
|
7987
|
MRI GADOLINIUM IV CONTRAST 1 ML | $15.48 |
|
7988
|
MRI TMJ BIL | $7,190.00 |
|
7989
|
BLOOD TRANSFUSION | $1,526.27 |
|
7990
|
BLOOD TRANSFUSION | $1,485.00 |
|
7991
|
THORAZINE 25MG/ML INJ X5918 | $0.00 |
|
7992
|
PHENYLEPHRINE HCL 10MG/ML 5ML | $0.00 |
|
7993
|
THORAZINE 50MG/2ML INJ X5918 | $0.00 |
|
7994
|
THORAZINE 30MG/ML LIQ | $0.00 |
|
7995
|
THORAZINE 25MG TAB | $0.00 |
|
7996
|
THORAZINE 30MG/ML 120ML | $0.00 |
|
7997
|
THORAZINE 50MG TAB | $0.00 |
|
7998
|
THORAZINECONC 120 ML | $0.00 |
|
7999
|
THORAZINE 100MG TAB | $0.00 |
|
8000
|
THORAZINE 200MG TAB | $0.00 |
|
8001
|
THROMBIN 5000U TOP | $0.00 |
|
8002
|
THYROID 60MG TAB | $0.00 |
|
8003
|
TOBRADEX DROPS | $0.00 |
|
8004
|
TICARCILLIN 3GM | $0.00 |
|
8005
|
TICLID 250MG TAB | $0.00 |
|
8006
|
TIGAN 200MG/2ML INJ | $0.00 |
|
8007
|
TIGAN 100MG PED SUPP | $0.00 |
|
8008
|
TIGAN 200MG SUPP | $0.00 |
|
8009
|
TILADE INHALER 16GM | $0.00 |
|
8010
|
TIGAN 250MG CAP | $0.00 |
|
8011
|
TIMENTIN 3.1GM 50ML INJ | $0.00 |
|
8012
|
TIMOPTIC 0.25% OS 10ML | $0.00 |
|
8013
|
TIMOPTIC OPTH DROPS 0.5% 5ML | $0.00 |
|
8014
|
TINACTIN CREAM 1% 15GM | $0.00 |
|
8015
|
TINACTIN 1% SOLN 10ML | $0.00 |
|
8016
|
TOBRADEX OPTH OINT 3.5GM TB | $0.00 |
|
8017
|
TOBRADEX OPTHALMIC SUSP 5ML | $0.00 |
|
8018
|
TOBRAMYCIN 80MG INJ X6620 | $0.00 |
|
8019
|
TOBREX OPTH SOLN 5ML | $0.00 |
|
8020
|
TOBREX OPTH OINT 3.5GM | $0.00 |
|
8021
|
TOFRANIL 10MG TAB | $0.00 |
|
8022
|
TOFRANIL 25MG TAB | $0.00 |
|
8023
|
TOFRANIL 50MG TAB | $0.00 |
|
8024
|
TOPAMAX 100MG TAB | $0.00 |
|
8025
|
TOPICORT CRM 0.25% 15GM | $0.00 |
|
8026
|
TOPROL XL 50MG TAB | $0.00 |
|
8027
|
TORADOL 10MG TAB | $0.00 |
|
8028
|
TORADOL 60MG INJ J1885 | $0.00 |
|
8029
|
TORECAN 10MG TAB | $0.00 |
|
8030
|
TRACRIUM 10MG/5ML INJ | $0.00 |
|
8031
|
TRACE METAL INJ | $0.00 |
|
8032
|
TRANDATE INJ MDV 5MG/ML 20ML | $0.00 |
|
8033
|
TRANSDERM SCOP 1.5MG PATCH | $0.00 |
|
8034
|
TRENTAL 400MG TAB | $0.00 |
|
8035
|
TREXAN 50MG TAB | $0.00 |
|
8036
|
Tranexamic Acid 100mg/ml 10 ml Ampule | $0.00 |
|
8037
|
Clonidine 100meg/ml 10ml vial | $0.00 |
|
8038
|
TRIAMCINOLONE CREAM 0.1% 30GM | $0.00 |
|
8039
|
TRIAMCINOLONE 0.1% 80GMS | $0.00 |
|
8040
|
TRIAVIL 2-10 TAB | $0.00 |
|
8041
|
TRIAVIL 2-25 TAB | $0.00 |
|
8042
|
TRIAVIL 4-10 TAB | $0.00 |
|
8043
|
TRIAVIL 4-25 TAB | $0.00 |
|
8044
|
TRILAFON CONC 4 OZ | $0.00 |
|
8045
|
TRILAFON 2MG TAB | $0.00 |
|
8046
|
TRIPHASIL-28 | $0.00 |
|
8047
|
TUCKS PADS | $0.00 |
|
8048
|
TRILAFON 4MG TAB | $0.00 |
|
8049
|
TRILEPTAL 600MG TAB | $0.00 |
|
8050
|
TRILAFON 5MG/ML INJ X6740 | $0.00 |
|
8051
|
TRILAFON 8MG TAB | $0.00 |
|
8052
|
TRILISATE 500MG TAB | $0.00 |
|
8053
|
TRIPLE ANTIBIOTIC SOLN. | $0.00 |
|
8054
|
TRUSOPT 2% OPTH SOLN 10ML | $0.00 |
|
8055
|
TUBOCURARINE 30MG INJ X6982 | $0.00 |
|
8056
|
TUSSIONEX 5ML LIQ | $0.00 |
|
8057
|
TYLENOL DROPS 15ML LIQ | $0.00 |
|
8058
|
TYLENOL ELIXIR 80MG/2.5 4 OZ | $0.00 |
|
8059
|
TYLENOL EXTRA STRENGTH 500 MG | $0.00 |
|
8060
|
TYLENOL 80MG TAB | $0.00 |
|
8061
|
TYLENOL 120MG/5ML LIQ | $0.00 |
|
8062
|
TYLENOL 325MG TAB | $0.00 |
|
8063
|
TYLENOL 500MG TAB | $0.00 |
|
8064
|
TYLENOL 650MG/25ML UD | $0.00 |
|
8065
|
TYLENOL/COD 15ML LIQ | $0.00 |
|
8066
|
TYLENOL/COD 15MG TAB | $0.00 |
|
8067
|
TYLENOL W/COD ELIXIR 4 OZ | $0.00 |
|
8068
|
TYLENOL/COD 30MG TAB | $0.00 |
|
8069
|
TYLENOL W/COD 30MG #20 IND. | $0.00 |
|
8070
|
TYLENOL SUPP 120MG | $0.00 |
|
8071
|
TYLENOL 325MG SUPP | $0.00 |
|
8072
|
TYLENOL/COD 60MG TAB | $0.00 |
|
8073
|
TYLENOL #2 300MG/15MG | $0.00 |
|
8074
|
ULTRACAL 240ML LIQ | $0.00 |
|
8075
|
ULTRAM 50MG TAB | $0.00 |
|
8076
|
UNASYN 1.5GM INJ | $0.00 |
|
8077
|
UNASYN 3.0GM INJ | $0.00 |
|
8078
|
UNIPHYL 400MG TAB | $0.00 |
|
8079
|
UNIPHYL 600MG TAB | $0.00 |
|
8080
|
URECHOLINE 5MG/ML INJ X5762 | $0.00 |
|
8081
|
URECHOLINE 10MG TAB | $0.00 |
|
8082
|
URECHOLINE 25MG TAB | $0.00 |
|
8083
|
URISED TAB | $0.00 |
|
8084
|
URISPAS 100MG TAB | $0.00 |
|
8085
|
VALISONE 0.1% CRM 15GM | $0.00 |
|
8086
|
VALIUM UP TO 5MG INJ X6064 | $0.00 |
|
8087
|
VALIUM 10MG/2ML INJ X6064 | $0.00 |
|
8088
|
VALIUM 2MG TAB | $0.00 |
|
8089
|
VALIUM 5MG TAB | $0.00 |
|
8090
|
VALIUM 10MG TAB | $0.00 |
|
8091
|
VANCENASE 25GM INH | $0.00 |
|
8092
|
VANCENESE AQ NASAL INH | $0.00 |
|
8093
|
VANCERIL INHALER 17GM | $0.00 |
|
8094
|
VANCOCIN 1GM INJ | $0.00 |
|
8095
|
VANCOCIN 500MG INJ J3370 | $0.00 |
|
8096
|
VASOCIDIN OS 10ML | $0.00 |
|
8097
|
VASOCON OS 15ML | $0.00 |
|
8098
|
VASOCON-A OS 15ML | $0.00 |
|
8099
|
VASODILAN 10MG TAB | $0.00 |
|
8100
|
VASOPRESSIN 10MG/0.5ML INJ | $0.00 |
|
8101
|
VASOTEC 2.5MG TAB | $0.00 |
|
8102
|
VASOTEC 5MG TAB | $0.00 |
|
8103
|
VASOTEC 20MG TAB | $0.00 |
|
8104
|
VASOTEC 10MG TAB | $0.00 |
|
8105
|
VASOTEC 1.25MG IV INJ | $0.00 |
|
8106
|
VASOTEC 20MG/ML INJ X6562 | $0.00 |
|
8107
|
VIVACTIL 10MG TAB | $0.00 |
|
8108
|
VENTOLIN 4 MG TAB | $0.00 |
|
8109
|
VERAPAMIL 5MG INJ | $0.00 |
|
8110
|
VERAPAMIL 80MG TAB | $0.00 |
|
8111
|
VERAPAMIL 120MG TAB | $0.00 |
|
8112
|
VERSED 2MG/2ML | $0.00 |
|
8113
|
VERSED 5MG INJ | $0.00 |
|
8114
|
VERSED 1MG INJ | $0.00 |
|
8115
|
VERSED SYRUP 2MG/ML 5 ML | $0.00 |
|
8116
|
VIBRAMYCIN 100MG TAB | $0.00 |
|
8117
|
VIBRAMYCIN 100MG INJ X6120 | $0.00 |
|
8118
|
VICON C CAP | $0.00 |
|
8119
|
VICODIN TAB | $0.00 |
|
8120
|
VICODIN 5/500MG #15 IND. | $0.00 |
|
8121
|
VICODIN ES | $0.00 |
|
8122
|
VIOKASE TAB | $0.00 |
|
8123
|
VIOFORM HC 3% 20GM CR | $0.00 |
|
8124
|
VIDEX 50MG TAB | $0.00 |
|
8125
|
VIDEX 100MG TAB | $0.00 |
|
8126
|
VIDEX 150MG TAB | $0.00 |
|
8127
|
VINCRISTINE 2MG VIAL | $0.00 |
|
8128
|
VIRACEPT (NELFINAVIR) 250 MG | $0.00 |
|
8129
|
VIROPTIC 1% OPTH SOLN 7.5ML | $0.00 |
|
8130
|
VISCOAT OPTH SOLN | $0.00 |
|
8131
|
TETRAHYDRALAZINE 0.05% 15ML | $0.00 |
|
8132
|
VISKEN 5MG TAB | $0.00 |
|
8133
|
VISTARIL 25MG CAP | $0.00 |
|
8134
|
VISTARIL 25MG/ML INJ X7010 | $0.00 |
|
8135
|
VISTARIL 50MG CAP | $0.00 |
|
8136
|
VISTARIL 50MG/ML INJ X6336 | $0.00 |
|
8137
|
VIT E CREAM | $0.00 |
|
8138
|
VITAMIN B-12 1000MCG INJ X5752 | $0.00 |
|
8139
|
VITAMIN B-12 1000 MCG TAB | $0.00 |
|
8140
|
VITAMIN B-12 100MCG TAB | $0.00 |
|
8141
|
VITAMIN C 500MG/5ML UD | $0.00 |
|
8142
|
VITAMIN D 50000U CAP | $0.00 |
|
8143
|
VITAMIN E 400U CAP | $0.00 |
|
8144
|
VITAMIN E OIL | $0.00 |
|
8145
|
VITAMIN E 1000 IU | $0.00 |
|
8146
|
VITAMIN E 200IU | $0.00 |
|
8147
|
VOSOL HC 5ML | $0.00 |
|
8148
|
VOLTAREN OPTH SOLN 2.5ML | $0.00 |
|
8149
|
VOLTAREN 25MG TAB | $0.00 |
|
8150
|
VOLTAREN 50MG TAB | $0.00 |
|
8151
|
VOLTAREN 75MG TAB | $0.00 |
|
8152
|
VOLTAREN OPTH DROP 0.1% 2.5ML | $0.00 |
|
8153
|
LOVENOX 80MG/0.8ML INJ | $0.00 |
|
8154
|
WELLBUTRIN 75MG TAB | $0.00 |
|
8155
|
WELLBUTRIN SR 150MG TAB | $0.00 |
|
8156
|
WYCILLIN 600000U INJ X6136 | $0.00 |
|
8157
|
WYDASE INJ | $0.00 |
|
8158
|
XALATAN 0.005% SOL 2.5 ML | $0.00 |
|
8159
|
XANAX TAB 0.25MG | $0.00 |
|
8160
|
XANAX 0.5MG TAB | $0.00 |
|
8161
|
XANAX 1MG TAB | $0.00 |
|
8162
|
XYLOCAINE 2% 20ML | $0.00 |
|
8163
|
XYLOCAINE JELLY 2% 30ML | $0.00 |
|
8164
|
XYLOCAINE 2.5% OINT 35GM | $0.00 |
|
8165
|
LIDOCAINE MDV 0.5% 50ML | $0.00 |
|
8166
|
XYLOCAINE 5% OINT 35GM | $0.00 |
|
8167
|
XYLOCAINE 4% TOP SOLN 50ML | $0.00 |
|
8168
|
XYLOCAINE VISCOUS 20ML | $0.00 |
|
8169
|
LIDOCAINE W/EPI 0.5% MDV 50ML | $0.00 |
|
8170
|
XYLOCAINE 1% 20ML INJ | $0.00 |
|
8171
|
LIDOCAINE MPFV 1% 10MG/ML 30ML | $0.00 |
|
8172
|
XYLOCAINE 1% 10ML INJ | $0.00 |
|
8173
|
XYLOCAINE 1% W/EPI 20ML | $0.00 |
|
8174
|
XYLOCAINE 1.5% 20ML NB X6480 | $0.00 |
|
8175
|
XYLOCAINE 1.5% EPI 30ML NB X6480 | $0.00 |
|
8176
|
XYLOCAINE 2% W/EPI 20ML | $0.00 |
|
8177
|
Xylocaine-MPF 4% 5ml Ampule (40mg/ml) | $0.00 |
|
8178
|
Omnipaque 240 mg/ml 50ml Vial | $0.00 |
|
8179
|
LIDOCAINE MPF 2% 5ML | $0.00 |
|
8180
|
MITOMYCIN 40MG VIAL | $0.00 |
|
8181
|
0.2% Ropivivaine HCL INJ 400ml/On-Q 400 | $0.00 |
|
8182
|
0.2% Ropivivaine HCL INJ 600ml/On-Q 600 | $0.00 |
|
8183
|
ZEBETA 10 MG TABLET | $0.00 |
|
8184
|
ZAROXOLYN 2.5MG TAB | $0.00 |
|
8185
|
ZAROXOLYN 5MG TAB | $0.00 |
|
8186
|
ZESTRIL 5MG TAB | $0.00 |
|
8187
|
ZESTRIL 20MG TAB | $0.00 |
|
8188
|
ZINACEF 750MG INJ | $0.00 |
|
8189
|
ZINACEFF 1.5GM | $0.00 |
|
8190
|
ZINC OXIDE OINT 30GM | $0.00 |
|
8191
|
ZINC SULFATE 220MG CAP | $0.00 |
|
8192
|
ZITHROMAX 250MG TAB | $0.00 |
|
8193
|
ZITHROMAX 500MG INJ | $0.00 |
|
8194
|
ZITHROMAX 1GM PKT | $0.00 |
|
8195
|
ZOCOR 10MG TAB | $0.00 |
|
8196
|
ZOLOFT 50MG TAB | $0.00 |
|
8197
|
ZOFRAN 4MG TAB | $0.00 |
|
8198
|
ZOFRAN 8MG TAB | $0.00 |
|
8199
|
ZOFRAN PER 1MG INJ | $0.00 |
|
8200
|
ZOSTRIX CRM 20GM | $0.00 |
|
8201
|
ZOSYN 3.375GM INJ | $0.00 |
|
8202
|
ZOSYN 4.5GM INJ | $0.00 |
|
8203
|
ZOVIRAX 200MG CAP | $0.00 |
|
8204
|
ZOVIRAX 800MG TAB | $0.00 |
|
8205
|
ZOVIRAX OINT 15GM | $0.00 |
|
8206
|
ACYCLOVIR 500MG INJ | $0.00 |
|
8207
|
KRONER DEVICE | $0.00 |
|
8208
|
BLUNT TIP W/SYRINGE | $0.00 |
|
8209
|
ARTHREX ACL KIT | $0.00 |
|
8210
|
ARTHREX BIOCOMPOSITE SCREW | $0.00 |
|
8211
|
ARTHREX SUTURE ANCHOR | $0.00 |
|
8212
|
SHLDR SUSPENSION KIT | $157.50 |
|
8213
|
CAST- #4 FIBERGLASS ALL SIZES | $17.16 |
|
8214
|
SPLINT-PRE FORM | $1.20 |
|
8215
|
SPLINT- ALUMINUM | $0.00 |
|
8216
|
ENDO CLIP | $0.00 |
|
8217
|
ETHIBOND MULTIPACK | $660.00 |
|
8218
|
FIBER WIRE | $37.00 |
|
8219
|
BONE MILL | $1,000.00 |
|
8220
|
NEEDLE TUOHY | $0.00 |
|
8221
|
SILK TAPE 3″ | $3.60 |
|
8222
|
ARGON BEAM HANDPIECE | $0.00 |
|
8223
|
EXTRA KNIFE BLADE | $5.00 |
|
8224
|
COLOSTOMY CLIP | $4.00 |
|
8225
|
TUBE TRACHESOTOMY | $0.00 |
|
8226
|
TROCAR 5-12mm | $216.00 |
|
8227
|
CELL SAVER SUPPLY | $0.00 |
|
8228
|
ZYLOPRIM 100MG TAB | $0.00 |
|
8229
|
ZYLOPRIM 300MG TAB | $0.00 |
|
8230
|
ZYPREXA 2.5MG | $0.00 |
|
8231
|
ZYPREXA 5MG | $0.00 |
|
8232
|
ZYPREXA 10MG TAB | $0.00 |
|
8233
|
GROUP PSYCHOTHERAPY | $195.00 |
|
8234
|
ZYVOX 600MG TAB | $0.00 |
|
8235
|
ZYVOX 600MG/D5W 300ML INJ | $0.00 |
|
8236
|
ACTIVASE 2MG INJ X7122 | $0.00 |
|
8237
|
A & D OINT UD PKT | $0.00 |
|
8238
|
ACCUPRIL 10MG TAB | $0.00 |
|
8239
|
ACETAMINOPHEN 325MG SUPP | $0.00 |
|
8240
|
ACTIVASE 100MG | $0.00 |
|
8241
|
ACTIVATED CHAR LIQ | $0.00 |
|
8242
|
ADENOSINE 6MG/2ML 2ML SYR | $0.00 |
|
8243
|
ALCOHOL, ISOPRO. 480ML | $0.00 |
|
8244
|
ALDACTONE 25MG TAB | $0.00 |
|
8245
|
ALDOMET 250MG/ 5ML INJ | $0.00 |
|
8246
|
ALLERQEN EAR DROPS 0.5 OZ | $0.00 |
|
8247
|
AMOXICILLIN 250MG/5ML | $0.00 |
|
8248
|
ATIVAN .5MG TAB | $0.00 |
|
8249
|
BACTRIM TAB | $0.00 |
|
8250
|
KEFLEX 500MG 28 IND | $0.00 |
|
8251
|
LITHOBID 300 MG TAB | $0.00 |
|
8252
|
MOBAN 10MG TAB | $0.00 |
|
8253
|
ACETAMINOPHEN SUPP 650MG | $0.00 |
|
8254
|
INDOCYANINE GREEN INJ 25 MG INJ | $0.00 |
|
8255
|
VIVITROL ER INJ 380MG | $0.00 |
|
8256
|
PREZISTA 800MG TAB | $0.00 |
|
8257
|
AMINO ACIDS 5% – LYTES-CA-D15W 10 | $0.00 |
|
8258
|
SLIDENAFIL (Revatio) 20mg TAB | $0.00 |
|
8259
|
MANNITOL 20% 500MIL BAG | $0.00 |
|
8260
|
ROOM AND BOARD MED/SURG PRIVATE | $5,200.00 |
|
8261
|
ROOM AND BOARD PSYCH SEMI-PRI | $1,650.00 |
|
8262
|
ROOM AND BOARD PSYCH PRVT | $1,650.00 |
|
8263
|
ROOM AND BOARD MED/SURG SEMI-PRVT | $4,400.00 |
|
8264
|
OBSERVATION-PER HR MS WARD | $151.00 |
|
8265
|
OBSERVATION-PER HR MS SEMI | $151.00 |
|
8266
|
OBSERVATION-PER HR MS PVT | $151.00 |
|
8267
|
OBSERVATION-PER HR TELEMETRY | $151.00 |
|
8268
|
OBSERVATION-PER HR ICU/CCU | $213.00 |
|
8269
|
OBSERVATION DIRECT ADMIT | $151.00 |
|
8270
|
OBSERVATION PER HR- ER | $500.00 |
|
8271
|
PSYCHIATRIC CRISIS STABILIZATION- EA HR. | $500.00 |
|
8272
|
ROOM AND BOARD SNF SEMI-PRVT | $4,400.00 |
|
8273
|
ER PSYCH OBSERVATION PER HR | $500.00 |
|
8274
|
ICU/CCU ROOM AND BOARD | $12,500.00 |
|
8275
|
OBSERVATION | $151.00 |
|
8276
|
PCCU ROOM AND BOARD | $11,400.00 |
|
8277
|
TELEMETRY | $10,100.00 |
|
8278
|
OBSERVATION | $151.00 |
|
8279
|
OBSERVATION | $247.97 |
|
8280
|
OBSERVATION DIR ADMIT | $151.00 |
|
8281
|
DECEASED ADJUSTMENT | |
|
8282
|
MEDICARE PAYMENT | $0.00 |
|
8283
|
WORK COMP PAYMENT | |
|
8284
|
MEDI-CAL PAYMENT | $0.00 |
|
8285
|
BLUE CROSS | $0.00 |
|
8286
|
MANAGED CARE | $0.00 |
|
8287
|
OTHER INSURANCE | $0.00 |
|
8288
|
SELF PAY | $0.00 |
|
8289
|
CMRE CASH | $0.00 |
|
8290
|
NON PATIENT PAYMENTS | $0.00 |
|
8291
|
LAPD IN CUSTODY | $0.00 |
|
8292
|
PMR or FIDELITY CASH | |
|
8293
|
UAI CASH | $0.00 |
|
8294
|
SELF PAY CAF | $0.00 |
|
8295
|
PI LIEN PAYMENT | $0.00 |
|
8296
|
OTC PT PMT | $0.00 |
|
8297
|
LA CARE PAYMENT | $0.00 |
|
8298
|
HEALTH NET PAYMENT | $0.00 |
|
8299
|
MOLINA PAYMENT | $0.00 |
|
8300
|
KAISER PAYMENT | $0.00 |
|
8301
|
BLUE SHIELD PROMISE PAYMENT | $0.00 |
|
8302
|
BLUE SHIELD PAYMENT | $0.00 |
|
8303
|
HEALTHCARE PARTNERS PAYMENT | $0.00 |
|
8304
|
PROSPECT MED SYSTEMS PAYMENT | $0.00 |
|
8305
|
TRANSFERS | $0.00 |
|
8306
|
PATIENT REFUND | $0.00 |
|
8307
|
REFUND PAYMENT | |
|
8308
|
MCAL I/P DENIALS/CHARITY | $0.00 |
|
8309
|
MCAL O/P DENIALS/CHARITY | $0.00 |
|
8310
|
VELCADE 3.5 MG INJ | $0.00 |
|
8311
|
CONTRACTUAL ADJUSTMENT | |
|
8312
|
ALL OTHER LATE CHARGE | |
|
8313
|
NON COVERED CHARGE | |
|
8314
|
ADMINISTRATIVE ALLOWANCE | |
|
8315
|
COURTESY DISCOUNT | |
|
8316
|
HOSPITAL RISK CONTRACTUAL | |
|
8317
|
EMPLOYEE DISCOUNT | |
|
8318
|
EMPLOYEE PHYSICAL W/O | |
|
8319
|
PROMPT PAY DISCOUNT | |
|
8320
|
SMALL BALANCE WRITE OFF | |
|
8321
|
LAPD ADJUSMENT | |
|
8322
|
CHARITY | |
|
8323
|
CHARITY WRITEOFF – PARTIAL | |
|
8324
|
BANKRUPTCY ADJUSTMENT | |
|
8325
|
MEDI-CAL TAR DENIED DAYS – FULL | |
|
8326
|
MEDI-CAL TAR DENIED DAYS – PARTIAL | |
|
8327
|
DENIAL NO AUTHORIZATION | |
|
8328
|
DENIAL NO ELIGIBILTY | |
|
8329
|
DENIAL NO MEDICAL NECESSITY | |
|
8330
|
DENIAL INS INFO RECVD UNTIMELY | |
|
8331
|
DENIAL MR RECVD UNTIMELY | |
|
8332
|
DENIAL ER LWBS | |
|
8333
|
DENIAL UNTIMELY FILING | |
|
8334
|
DENIAL W/O DUE TO AGING | |
|
8335
|
DENIAL MEDICARE RAC AUDIT | |
|
8336
|
DENIAL NOT A COVERED BENEFIT | |
|
8337
|
MEDI-CAL MGD DENIED IP DAYS | |
|
8338
|
DENIAL – OTHER | |
|
8339
|
MAX ALLOWABLE PAID BY PRIMARY BD | |
|
8340
|
BAD DEBT WRITE OFF | |
|
8341
|
ACCUSTIK II SET | $247.86 |
|
8342
|
3.0 Conversion Balance Forward | $0.00 |
|
8343
|
COAXIAL BIOPSY NEEDLE | $75.00 |
|
8344
|
DRAINAGE CATHETER | $135.00 |
|
8345
|
CT GUIDED ASPIRATION/ DRN | $6,280.00 |
|
8346
|
CT GUIDED NEEDLE BIOPSY | $6,980.00 |
|
8347
|
ABCESS DRAINAGE WITH FLUORO | $601.00 |
|
8348
|
GASTRIC TUBE | $218.00 |
|
8349
|
GUIDE WIRE 120CM | $152.35 |
|
8350
|
GUIDE WIRE 60 CM | $131.25 |
|
8351
|
HYSTEROSALPINGOGRAM KIT | $135.00 |
|
8352
|
NM MUGA WALL MOTION | $2,475.00 |
|
8353
|
NEPHROSTOGRAM | $459.28 |
|
8354
|
SUPPLY/ PERCUTACEOUS NEPHROSTOMY | $461.25 |
|
8355
|
URETERAL STENT SET | $540.00 |
|
8356
|
GUIDE WIRE | $63.00 |
|
8357
|
YUEH CENTESIS CATHETER | $63.56 |
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