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Mission Charge Master

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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